text:
It's been a while since I watched a trailer for a horror flick that made my heart skip multiple beats while making my stomach drop several times like the one for Sinister did. I had my mouse cursor over the 'pause' button almost all throughout the trailer and I even hit the 'mute' button a few times out of sheer cowardice.
Yes, folks, the trailer for Scott Derrickson's Sinister is that scary and is all kinds of creepy. If you don't believe me, then you can watch it yourself in the player above. Turn the volume up and stream the video full screen to get the full effect–and sound off what you think about the trailer below!
Sinister stars Ethan Hawke as a true crime novelist who discovers a box of disturbing homes movies that shows other families being brutally murdered. As he looks into the films, danger lurks and his own family is plunged into a nightmarish experience of supernatural horror.
Sinister hits theaters on October 5th and stars Vincent D'Onofrio, James Ransone, Fred Dalton Thompson, Nicholas King, Clare Foley, Victoria Leigh, Juliet Rylance, and Michael Hall D'Addario with Hawke.


text:
After spaying or neutering, your kitten's nutritional needs change. While your kitten is still growing, he or she needs proper nutrition to help build immune defenses. After being spayed or neutered, a kitten's energy needs decrease and appetite increases. As experts in health nutrition, Royal Canin has designed a specific formula to meet the needs of your spayed or neutered kitten. Our Royal Canin Spayed/Neutered Kitten Food promotes growth and weight control. After spaying or neutering, the nutritional needs of kittens change. This food helps limit the risk of excess weight gain thanks to its low fat content and supports healthy growth through a balanced intake of protein, minerals and vitamins. Natural defenses are supported with an antioxidant complex and prebiotics. This dry food also maintains digestive health. Includes highly digestible proteins and other nutrients to minimize digestive stress and ensure a good balance of intestinal flora.
Ingredients:Chicken meal, brewers rice, corn, powdered cellulose, wheat gluten, corn gluten meal, natural flavors, pea fiber, chicken fat, dried beet pulp, grain distillers dried yeast, vegetable oil, sodium silico aluminate, fish oil, potassium chloride, psyllium seed husk, salt, fructooligosaccharides, hydrolyzed yeast, choline chloride, L-lysine, DL-methionine, taurine, vitamins [DL-alpha tocopherol (source of vitamin E), L-ascorbyl-2-polyphosphate (source of vitamin C), niacin, biotin, D-calcium pantothenate, riboflavin (vitamin B2), pyridoxine hydrochloride (vitamin B6), vitamin A acetate, thiamine mononitrate (vitamin B1), vitamin B12 supplement, folic acid, vitamin D3 supplement], trace minerals (zinc proteinate, zinc oxide, ferrous sulfate, manganese proteinate, manganous oxide, copper sulfate, calcium iodate, sodium selenite, copper proteinate), L-carnitine, marigold extract (Tagetes erecta L.), rosemary extract, preserved with natural mixed tocopherols and citric acid.
Guaranteed Analysis:Crude Protein (min) 32.0%, Crude Fat (min) 10.0%, Crude Fiber (max) 12.3%, Moisture (max) 8.0%.
Internet Price: $19.99
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Usually Leaves Warehouse the Next Business Day
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subset: commoncrawl


text:
Agnas & Minions Birthday Cake
A ballet Agnes and Minions birthday cake for a Minions loving 5 year old girl. I tried to capture the characters of the different Minions and sweet Agnes standing on top of a mini cake.
Tags: birthday pink yellow blue orange cake chocolate
Serena, UK, https://www.facebook.com/CobiandCocoCakes


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Comments for Web Scripting for Oracle (PHP, Perl, JSP, ASP and ASP.NET)
|Web Scripting for Oracle (PHP, Perl, JSP, ASP and ASP.NET) - This article presents the basic syntax for several popular web scripting languages that connect to Oracle databases.
Safi said...This is all in one Turtorial.
This helped me a lot
James said...Fantastic! Thanks for the great work. This covers a lot of the basic DML and makes for a great foundation to build upon.
TH said...Thank you very much. It worked!
Hardik Savani... said...Thans ................................................
DO NOT ask technical questions here! They will be deleted!
These comments should relate to the contents of a specific article. Constructive criticism is good. Advertising and offensive comments are bad and will be deleted!


text:
2013 New Years Resolutions
Lessons from a moose: Family takes learnings to heart after double encounterBy Powder Matt Mosteller Our family shares a love for the outdoors, and we often head out for ski and snowshoe tours, despite the usual complaints of being cold, tired and being forced to leave the laptop at home.
Easy Ways to Nourish and hit Refresh in 2014By Powder Matt Mosteller Feeling stuck and tired? We often ignore both by brushing them off and saying we are too busy. Symptoms keep calling and pulling at us to do something before it is too late and
Don't read list of top tips for 2013 that will change your life for GoodBy Powder Matt For the last 7 years I have been battling some health challenges and did not want to resort to what some in today's modern medicine would prescribe, a program that subjects your body to


text:
Swarovski Jewelry
Rapid Black Keyring
- Color:
- black
Please select an available size.
Please select a size.
Share This Item: Email
Description: Stainless steel keyring with black rubber detail and Jet Swarovski crystal accents
- 4 inches long
- ¾ inches at widest point
- Keyring closure
Material: Stainless steel, rubber, and Swarovski crystal
Brand: Swarovski Jewelry
Origin: Imported


text:
The DIVA Foundation's vision is to be known as an organization that is a strong educator in credible, leading-edge information and one that supports advances and rewards excellence in women's health and well-being.
Read More »
Read More and Register »
Sponsorship Opportunities»
In 2012, the DIVA Foundation presented a donation to Youth Net/Réseau Ado (YN/RA) http://www.cheo.on.ca/en/youth-helping-youth, a bilingual by youth for youth mental health [...]
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The DIVA Foundation's annual newsletter is now available! Find out about DIVA's news and events from the past year by clicking the link below to open the PDF file.
DIVA Newsletter 2014 »


text:
TaylorMade RocketBallz HP Hybrid/Irons - (Graphite/Steel) 3-4H,5-PW
$399.97 $649.99*
Save $250.02 (38%)
Product Information:
Longer, Straighter and Better Feeling. TaylorMade ® has created a hybrid/iron set that takes care of distance, accuracy, workability, and feel for improved overall performance. The re-engineered face with new "Toe-bar" controls face-flexion to direct shots straighter. The ultra-thin faces of the TaylorMade® Men's RocketBallz HP Hybrid/Irons flex freely to promote COR up to the USGA limit for insane ball speeds off every swing.
3 Hybrid SPECS:
4 Hybrid SPECS:
5 Iron SPECS:
6 Iron SPECS:
7 Iron SPECS:
8 Iron SPECS:
9 Iron SPECS:
- Individually engineered irons to promote more distance, improved accuracy and great feel
- Two-piece metalwood-inspired construction in 5 iron for low CG and high COR
- Ultra-thin iron face flexes freely to promote COR up to the USGA limit for high ball speed
- Re-engineered face with new "Toe-Bar" controls face-flexion to direct shots straighter in the irons
- New vibration and sound control system promotes excellent feel and sound in the irons
- Wedge incorporates new ATV sole for maximum versatility and playability
- Speed Pocket in the sole boosts ball speed dramatically for more distance in the hybrids
- Thick-Thin Crown design in hybrids creates lower CG to promote higher launch for more distance
- Exceptionally large, deep face and high-MOI head for easy launch
- Lightweight shaft and grip promotes faster swing speed for more distance
- High Polish (HP) finish for a shiny, sleek look
- White crown and black face makes alignment easy and eliminates glare on top
- TaylorMade
3 Hybrid SPECS:
- Loft: 19°
- Lie: 60.5°
- Length: 41"
- Swing Weight: D4
4 Hybrid SPECS:
- Loft: 22°
- Lie: 61°
- Length: 40.5"
- Swing Weight: D4
5 Iron SPECS:
- Loft: 23°
- Lie: 62°
- Length: 38.25"
- Offset: 5.7mm
- Swing Weight: D3.5
6 Iron SPECS:
- Loft: 26.5°
- Lie: 62.5°
- Length: 37.625"
- Offset: 5.3mm
- Swing Weight: D3.5
7 Iron SPECS:
- Loft: 30.5°
- Lie: 63°
- Length: 37"
- Offset: 4.2mm
- Swing Weight: D3.5
8 Iron SPECS:
- Loft: 35°
- Lie: 63.5°
- Length: 36.5"
- Offset: 3.5mm
- Swing Weight: D3.5
9 Iron SPECS:
- Loft: 40°
- Lie: 64°
- Length: 36"
- Offset: 2.7mm
- Swing Weight: D3.5
- Loft: 45°
- Lie: 64.5°
- Length: 35.5"
- Offset: 2mm
- Swing Weight: D3.5
Country of Origin: ImportedWeb ID: 19284936
Customer Reviews:
Rated 4.7 out of 5�by 26 reviewers.
Rated 5 out of 5�by twinsfan Love the clubs I just bought these clubs a month ago to replace the Ping i3+ irons I purchased about 8 years ago. I'm a bogey golfer and not a real consistent ball striker and these clubs have been great. I had my eye on the r11 irons when I went to Dicks, but after talking to a couple workers and hitting the RocketBallz, I decided to go with RocketBallz and have been very pleased. I don't hit them any further than the Ping irons, but my distances are much more consistent, unlike before. The clubs are quite forgiving; I can tell when I don't hit it really well, but the shot ends up much better than it would have with my Pings. I also decided to pay a little more for the three and four hybrids because I don't hit a three iron or four iron very well. I have found that I hit the hybrids quite well, so would recommend them to someone who is a fair golfer. For players who want to see a little more consistency with their iron play, the RocketBallz are the way to go. I'd also recommend RocketBallz fairway woods; I have the Burner woods and love them and will upgrade to RocketBallz in a couple years. June 20, 2013
Rated 5 out of 5�by BubbaRocket Game changer Gained accuracy and 15 yards per club. If they ever start a post senior circuit, Im in! ( the ground) June 10, 2014
Rated 5 out of 5�by Doug744 Very pleased with this set of clubs First of all the clubs look great at address. The ball jumps off the face and even mis-hits feel solid. I would estimate I gained about 10 yards on each club over my old set of Powerbilts. June 3, 2014
Rated 5 out of 5�by ttttony67 Taylor Made The ball rockets off the club face! The 3 and 4 hybrids are awesome. I'm hitting the 3 a solid 25 yards further than I've ever hit a 3 iron. Even the miss hits go alot farther and alot straighter. May 13, 2014
Rated 5 out of 5�by JuRich RBZ Hybrid Combo If you are a beginning player, I recommend these clubs! they are very forgiving and the pocket feels great! These are the first hybrids that I have hit well with. Ive gained 10+ yards with each club compared to my old set! April 1, 2014
Rated 5 out of 5�by renegade80 great clubs I'm a new golfer and after changing from my beginners clubs to these I have seen a significant improvement in my game and my confidence level has also increased I recommend the investment of these clubs to anyone who wants to improve their game June 25, 2013
Rated 5 out of 5�by Jcrawls Ready for consistency These clubs hit the same distance every time. Also pleased with ball stopping ability with irons. Never knew I could till I played these irons. Awesome!!! May 29, 2014
Rated 4 out of 5�by MAC TaylorMade Men's RocketBallz HP Great clubs but wish I would have bought the standard set and not the hybrids. April 29, 2014
Rated 4 out of 5�by Ron Like them so far Received the taylor made irons within a few days. from Dicks. No issues whatsoever. I have played with them twice and so far love them. They have no "demons" yet at least. The irons seem to flight the ball accurately and seem to have more distance than my Callaway X18s. April 15, 2014
Rated 5 out of 5�by Jade31 Good Feel Clubs have a good feel and added distance, miss hits do not lose a lot of distance March 26, 2014


text:
Hello Colleagues -
Central Piedmont Community College Outreach and Recruitment staff is looking at ways to improve their Open House program. Would you please answer the following information?
1) What is the date, time and location of the event? (i.e. if a multi-campus community college, is Open House held on more than one campus?)
2) What is the average attendance of guests?
3) What are the most effective ways to promote Open House events?
4) Are the open house events targeted for specific audiences; and/or sponsored by outside vendors?
Please send all responses to firstname.lastname@example.com
thanks kindly, Marcia


text:
Before the start of his senior campaign, the question was overheard far too many times.
Who is Nik Needham?
While it was a frustrating phrase to hear, the 6-foot, 180-pounder could understand why his name was going under the radar.
Three years into his high school career, Needham had played in three varsity football games. The amount of game film was limited, and as a result, college recruiters were unaware of his on-field capabilities.
That was until this past season.
As a transfer to Buena Park High, Needham put on an absolute show his senior season. In his first full season of varsity action, the two-way star averaged a gaudy 23 yards a reception, amassed nearly 900 receiving yards and was a shut-down corner on defense. On National Signing Day, he officially signed his national letter of intent to play football at the University of Texas-El Paso.
"We put our best players on the field, and that showcases their abilities," said Coyotes coach Anthony White. "Nik got a scholarship as a defensive back, but he led our team and our league in receiving yards. He was our kickoff returner and our punt returner. And he started at corner on every single play this season."
Needham attended San Clemente High for his freshman and sophomore years while living with his mother, Shannon. He played junior varsity ball early in his career before transferring to Servite as a junior.
Nik's father, Steve Calhoun, had been an assistant with the Friars under Troy Thomas in 2007 and 2008, and thought the school would be an ideal location for his son. Needham moved in with his dad in 2012 and began playing for the Trinity League power.
"It was different for me from when I first came in because I never really felt like I wanted to end my high school career there," Needham explained.
While part of Servite's massive squad, Needham played in just three varsity games.
Frustrated and feeling somewhat out of place, he decided to transfer schools. Time was running out on his high school career, and the only college coaches Needham had spoken to were those at offseason spring camps. There was communication with four-year schools, but no legitimate footage of Needham on the field.
Attending the right high school was a must.
"When we looked over here (at Buena Park)," Needham said, "this seemed liked the closest thing to a home."
He officially transferred to Buena Park his second semester of junior year. Knowing only a small group of people on campus, Needham was met on his first day by one of his future teammates.


text:
Overview of the Collection
Biographical Note
Robert W. Limbert was born in Minnesota in 1885, adopted, and raised in Omaha, Nebraska. He worked for the Smithsonian Institution as a field naturalist for two years before moving to Boise, Idaho, in 1911 to enter the taxidermy business. In 1915, he designed Idaho's medal award-winning exhibition for the Panama-Pacific International Exposition, and a few years later he began writing about Idaho's scenery and wildlife for newspapers and magazines.
During the 1920s his essays appeared in Outdoor America, Outdoor Life, and National Geographic Magazine. In 1921, after several preliminary visits, he led an exploring party into the vast lava fields of south-central Idaho; the resulting article in the National Geographic brought this little-known area to the attention of the nation and led to its designation as the Craters of the Moon National Monument by President Calvin Coolidge.
Limbert also searched for and found Indian petroglyphs along the Snake River, explored the inaccessible Bruneau River region, and travelled throughout the Sawtooth Mountains, naming mountains and lakes theretofore uncharted. During the 1920s he and his family moved to the Sawtooths, where he worked as a hunting and fishing guide.
At first through the Izaak Walton League and later through other agents, he embarked on national lecture tours, promoting the vacation potential of Idaho with film and slides and (while dressed in western garb) demonstrating his skills at trick roping, shooting, bird calls, and animal sounds.
During the late 1920s he obtained from the U.S. Forest Service a concession to operate a "dude ranch" at Stanley, Idaho. He then established Redfish Lake Lodge, which is still a popular Idaho resort.
Limbert died of a brain hemorrhage in Cheyenne, Wyoming, in 1933, returning from a speaking tour in the East. He was survived by his wife and four children.
Sources: Biographical material within the collection - Casner, Nicholas. "Two-Gun Limbert: the Man from the Sawtooths." Idaho Yesterdays 32 (1988), 2-12.
Content Description
Robert Limbert's papers document his exploration of the Idaho wilderness, promotion of Idaho as a tourist destination, and photographic studies of Idaho wildlife. The papers include drafts of articles and short stories by Limbert; four scrapbooks of newspaper clippings, published articles, programs, and the like; correspondence and business papers regarding the establishment of Redfish Lake Lodge; and miscellaneous papers relating to his taxidermy business. There is, in particular, a great deal of material relating to the Craters of the Moon area.
The collection contains approximately 3000 photos, both loose and in scrapbooks, documenting Limbert's travels in Idaho. These photos preserve views of the state's landscape of the early twentieth century. The Sawtooth Mountains, Craters of the Moon, and the Bruneau River region are particularly well covered. Along with the photos are contact sheets made from negatives in the collection, a number of copper engraving plates, and glass negatives.
Use of the Collection
Restrictions on Access :
Collection is available for research.Preferred Citation :
[item description], Robert W. Limbert Papers, Box [number] Folder [number], Boise State University Special Collections and Archives.
Administrative Information
Arrangement :
The collection is arranged in ten series: 1. Biographical material; 2. Correspondence, 3. Writings; 4. Lectures and Performances 5. Redfish Lake Lodge; 6. Taxidermy business; 7. Scrapbooks; 8. Miscellaneous papers; 9. Photograph collections; 10. Oversize items; 11. Glass plate netagives.
Box list:
Acquisition Information :
Gift of Mr. Limbert's daughter, Margaret Lawrence, Boise, Idaho, 1986. Additional materials donated by Limbert documentarian Steve Wursta in 2005 and by John Patterson in 2014 (boxes 29 and 30).Processing Note :
Some later biographical material on Limbert has been placed with the collection for reference purposes. Most of the original papers were highly acidic and quite brittle; therefore they were photocopied for preservation purposes. Researchers are asked to use the photocopies rather than the originals.
Detailed Description of the Collection
Items in Series 1 include Limbert's obituary from the Arco Advertiser (Folder 2) and a number of articles about him (Folder 1). Among the latter are a nine-page typescript extolling his shooting abilities and photocopies of articles about him from Idaho Yesterdays (by Nick Casner, 1988), Omaha Chamber of Commerce Journals (1928), and New York World-Herald (April 15, 1928).
Much of the correspondence in Series 2 regards the establishment and operation of Redfish Lake Lodge, Limbert's dude ranch-resort in Idaho's Sawtooth Mountains. He apparently sought the backing of Lewis E. Megowen of Chicago and J.L. Kraft of Kraft Cheese Company; the collection includes a long proposal he sent to Kraft and correspondence back and forth with Megowen. Most of Limbert's letters in this series are typescript drafts or carbons.
The writings on Series 3 are divided into three groups: drafts of articles, articles in published form, and drafts of short stories. The article and short story drafts are chiefly in typescript form, sometimes in more than one version. Like the rest of the collection, Series 3 is available to researchers chiefly in the form of photocopies. Retained originals are located in Box 7.
The published articles (in photocopy form) came from several outdoor magazines and are about outdoor, shooting, or Idaho themes. There are seventeen articles in the Outdoor America file; fifteen are Limbert's regular column, "Revolver Shooting"; two are articles about the Sawtooths. Outdoor America was published by the Izaak Walton League. The tourist booklet Unknown Places in Idaho (folder 37), is a 54-page publication issued in 1927 by the Union Pacific Railroad. It was written by Bob Limbert, who also supplied the photographs. The copy in the collection has been loaned to Albertsons Library by Craters of the Moon National Monument.
Limbert's article from the National Geographic Magazine (March 1924) on Craters of the Moon may be found in his Scrapbook 1 (Series 7), in Box 3, Folder 2 of the collection. A letter from David Starr Jordan (1927) identifying the "sea serpent" that washed up onto a California beach as a bottle-nosed whale is included in the file for Limbert's article, "Something from Somewhere" (Box 1, Folder 26).
This series consists of advertisements, programs, newspaper articles, tickets, and correspondence related to Limbert's speaking engagements, educational programs, and performances at fairs and rodeos across the country.
The papers in this series document the construction and early operation of Redfish Lake Lodge, Limbert's dude ranch- resort near Stanley, Idaho, in the Sawtooth Mountains. Included is a published brochure advertising the resort; agreements with the U.S. Forest Service; and detailed building materials lists.
In addition to the papers listed below, three scrapbooks of magazine clippings of drawings and photos of birds and animals are located in Series 8 (Miscellaneous), Box 5.
Robert Limbert kept four scrapbooks of newspaper clippings, magazine articles, lecture programs, and the like, documenting his activities, chiefly his speaking engagements and marksmanship demonstrations. The items from these scrapbooks have been photocopied and are available to researchers in Boxes 3 and 4. Limbert often shingled clipped articles and other items over one another in the scrapbooks, so the scrapbooks were disassembled to allow photocopying. The original scrapbooks are located in Box 8 and 9.
Among the items in Series 8 are clippings of articles from the Idaho Statesman (1919) about the Indian Chief Nampuh, sometimes called "Bigfoot"; pages from the newsletter of the Panama-Pacific International Exposition about Limbert's Idaho displays; samples of Robert Limbert's business stationary; his son's ham radio log; and a program from Boise State University Library's traveling exhibit about Limbert and the collection (1987).
Robert Limbert's photographs, numbering more than three thousand, constitute an important photographic record of the Idaho outdoors in the early decades of the twentieth century.
The Sawtooth Mountains and its many lakes, the Craters of the Moon, the Bruneau River region, and Snake River Indian petroglyphs are particularly well documented. So too are human activities in these regions, particularly in the Sawtooths: hunting, camping, fishing, and horseback riding, among them. Most of the photos of the Craters of the Moon came from Limbert's 1921 exploring expedition; there are also photos documenting the construction of Redfish Lake Lodge near Stanley (1928), the Panama-Pacific exposition of 1915, and Limbert's taxidermy work. There are also photos of Idaho's wildlife, in desert and mountain, and of Limbert's friends and family.
Robert Limbert left both photographic prints and negatives. The negatives, most of which were on glass or unstable nitrate stock, have been copied onto modern safety film. Contact sheets have been made for the convenience of researchers. The original glass negatives have been retained, but the nitrate negatives were destroyed. Many of Limbert's prints are now brittle and fragile; these have been photocopied for reference use. While there is much duplication between the negatives and prints, there are unique items in each set, so both must be consulted for a complete search of the photo collection. Those photos with captions have been so labelled; unfortunately, few photos were captioned. All captions have been photocopied and assembled in a reference notebook for the convenience of researchers.
There is not yet a complete index to every photo in the collection. The photos and negatives have, however, been grouped into broad subject categories.


text:
Mon-Fri: 7am-1am EST / Sat-Sun: 7am-11pm EST
ApplianceFrigidaire Refrigerator
Level of DifficultyReally easy
Time to do repairLess than 15 mins
Age of Appliance1 - 4 years
0 out of 1 people found this instruction helpful
Amazingly received my new door bin in 12 hours from placing my order. This seriously has to be a record. I will use Partselect.com for all my part needs. They're incredible.
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Part Number: PS429725
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The PartSelect logo is a Registered Trademark of Atlantic Laundry Centres, Ltd.
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StimutacsStimutacs (2002) Season 1 Episode 2202- Sealab 2021 Cartoon Episode Guide
This page has been viewed 28 times this month, and 594 times total.
>Unknown Tag: 'short_stud_crew'
- Seventy-Thirty Productions, Williams Street, Radical Axis
- Animated Characters: Captain Hazel "Hank" Murphy, Marco Rodrigo Diaz de Vivar Gabriel Garcia Marquez, Jodene Sparks, Dr. Quentin Q. Quinn, Derek "Stormy" Waters, Debbie DuPree, Hesh, Dolphin Boy.
- First Aired in 2002.
- Episode Number: 2202
- Running Time: 11 minutes.
- Season: 1
- Color
Cartoon Production Information:
Somewhat similar to Space Ghost Coast to Coast in that a 1960's cartoon show (in this case, Hanna-Barbera's Sealab 2020) is re-edited with new scripts for comic effect.
2D CG Animation.
Submit Additional Information:
Do you have anything to add to this page? Have we made any mistakes... or do you ahve any additional information about Stimutacs? If so, we would love to hear from you. Please send us a quick note with your additions or corrections to this page, and we will make the corrections as soon as possible!Report Errors / Submit Additional Information
Cartoon Comments:
Below are comments about this cartoon submitted by people who have seen this show. Take a look and see what others have said about Stimutacs. We want to know what you think, too!! Feel free to share your own opinion- we do want to hear from you! You can add your own comments here.
Comments By: mechaclaudia
Fucking awesome. Sparks' "natural" supplement turns the crew of Sealab into junkies and it just gets better from there. Ingesting your first Stimutab isn't your last. The writers give a wink and a nod to Darren Aronofsky's also... (read more)
1 of 6 people found this comment useful
Comments By: Beerface
The best cartoon ever written! Sealab breaks all the rules that make TV lame!
3 of 8 people found this comment useful


text:
Lest we forget, the homeless are people
A cigarette butt? You just pick them up?
Where do you get the vodka?
"I buy it. I beg on the street for money."
Robin says if she were to go even a day without alcohol, she fears the strain on her system would cause a heart attack. "I've been thrown out of eight drug programs. I smoke pot now, and it's weaning me off alcoholism. It's very much helping me to get rid of the monkey on my back. I open the cage and I let him go. He comes back now and then, and it's just what it is. Look at everybody running around in their spandex. Everybody is addicted to something. It's a rough road, man. It's really, really hard. It's crushing."
What are your hopes for the future?
"I don't hope."
What do you wish had been?
"I don't."
Robin puts in a full day's work standing in the heat, the sun, the cold and even the rain to beg for money to sustain that monkey. Her begging is born of desperation because without her daily fix of cheap vodka, she knows she likely would lapse into delirium tremens, the dreaded DTs.
"I stand out there with my cardboard sign. Everybody gets to look at me and recognize what my plight is. I get blessed with unconditional love from (givers) who don't even know me."
In the pursuit of vodka money, she's aware of how she's perceived. "I get all kinds of looks. We start at disgusted, and then ignored, and then just plain blank stares … some sympathy, charity."
Being rootless and without resources, she constantly runs the risk of arrest, which has happened to her through the years so often that she's lost count.
She says that long ago, she was a good student. "I graduated on the honor roll early from high school, and I was at college to be an EEG technician …" The thought trails off, lost somewhere in the mist.
Robin has her own version of theology and her place in the world order. "Everything is good. Every day, God takes care of me: some days chickens, some days feathers. I understand and I feel the love that's generated from God because it's everywhere. Every time you see a leaf blow in the breeze, that's God. You can't stop that. Humans scare me, though. I'm not kidding."
Are you a kind person?
"That's my favorite part about me."
What is your biggest fault?
"My insecurity."
What is that due to?
"My fear."
Of what?
"I'm not sure."
You're an upfront woman, so may I ask if you have a mental illness?
"I like to think I do, but I'm pretty sane."
Robin professes love for her tiny homeless "family" in coastal North County, an affluent outpost with few places of refuge. "I mainly hang out with the guys because girls are mean sometimes."
Do you wish you had a real family and children?
"No. I never wanted them. I'm not responsible like that. I'm a vagabond. I like it like that."


text:
To the Editor.—Nobody would disagree
with Dr Pablos-Méndez and colleagues1
that nonadherence in a clinical trial adversely affects statistical efficiency.2,3 We believe, however, that these
authors do not adequately consider the impact of nonadherence on the validity
of a randomized trial, and hence draw inappropriate inferences about generalizability.
Since patients who do not comply obtain no benefit, nonadherence in a clinical
trial will produce bias in the estimation of the true efficacy.3- 5
For this reason clinical trials use a variety of useful strategies, including
a run-in period to identify and enroll subjects who will adhere. In the Physicians'
Health Study,6 adherence during the run-in
was the strongest predictor of adherence during the trial so prerandomization
exclusion of nonadherers greatly enhanced validity. A successful run-in period
in a trial enhances validity, which is a prerequisite for generalizability.
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Cheap GRW to Washington, DC flights
Popular Flights from Graciosa Island, Portugal
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2,599.40 miles
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Browse the most popular airlines servicing the Washington, DC (DCA) airport. Visit their flights pages to learn more about the most popular routes these carriers fly.


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If you have forgotten the codes or do not know them, contact your network operator.
I have forgotten my PIN or PUK code
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text: I am planning to buy a Royal Enfield bike and that to Classic but I just want to know is it worth to buy this bike? And also if anyone has got this bike let me know your experience with this bike. What are the pros and cons of this bike? And also if possible let me know the specification and features and Price.


text:
Discover a selection of top forums smash patrons on the internet. Come to share your passion on forums smash patrons and meet other fans of smash patrons. Then, why don't you create your own forum of smash patrons ?
The forum for the Super Smash Bros Crusade fangame.
free, forum, super, #smash, brothers, crusade, bros, jaklub, dettadeus, mario, link, kirby, pikachu, legend, zelda, pokemon, nintendo, ssbc
The only forum exclusive to Wiimm-Fi players.
free, forum, wiimm-fi, forums, only, exclusive, players, openhost, user, portal, wiimmfi, mario, kart, super, #smash, bros., brawl, strikers, charged, animal, crossing:, city, folk, fortune, street, vwii
Dα♦ is a Mario Kart Wii Competitive Team and Nintendo Gaming Community with the theme of our members showing a tribute to females, the female lifestyle, and femininity. . . no matter their gender.
feminine-themed, gaming, clan, community, dα♦, genders, nintendo, mario, kart, super, #smash, bros., u/3ds, brawl, females, femininity, tribute
The forum for the development team of Project: Smash Bros. X. The forum is split and private, only the devs will be able to see anything of importance.
project, #smash, bros, developer, forums, development, team, split, private, devs, anythin
PA Stadium is the home to the upcoming game Project: Axis and the coveted PACL league! Join in on the fun and awesome discussions that are being held by our friendly community!
forum, playstation, all-stars, super, #smash, bros, league, community, sony, superbot, games, tournaments, tourneys, mobile, brothers, pacl, project, axis, psasxssb
Welcome to Hulk Smash Inc!
Offical Base of Bionicle: Showdown and other fan games
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This is a place where people can discuss about the upcoming Smash bros games for 3DS and Wii U. as well as the previous smash bros games as well.
online, #smash, community, this, place, where, people, discuss, about, upcoming, bros, games, well, previous


text:
- Find a rental
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The Lighthouse Apartment in Centre of Amsterdam
From $217 / night
Description from the owner
- Apartment
- 1 bedrooms
- 1 bathrooms
- Sleeps 2
Bedrooms: 1
Bathrooms: 1
Sleeps: 2
Type: Apt. / CondoThe Lighthouse Apartment in Centre of Amsterdam
Description from the owner
Low Season Oct 1 till Apr 30, € 170,- per night, € 1.085,- per week.
High Season Mai 1 till Sept 30, € 195,- per night, € 1.225,- per week.
High Season Dec 23 till Jan 1, € 195,- per night
Prices are including taxes, bed-linen and cleaning.
For staying longer then 1 week price on request.
City-bicycle rent € 10,- per day per bike / Private car park for € 20,- per day / Pick-up service at the arrival gate of Schiphol Airport for € 45,- / Drop-off service to Schiphol Airport for € 30,- / Breakfast at request put ready in your apartment for € 12,50 per person / Private boat trip in ...Read more
About the owner
About the owner
Wouter Nieuwveld and Liesbeth Iest
Wouter Nieuwveld and Liesbeth Iest
Response rate 95%
Response time Within a day
Calendar updated 3 days ago
Overall rating5.0 / 5.0 based on 62 reviews and 4 properties
The Lighthouse Apartment in Centre of Amsterdam
Amsterdam, North Holland, Holland (Netherlands)
Additional Location Information
I will give you some information about our location in relation to the rest of the city.
First of all, our neighborhood is still part of the Centre of Amsterdam. It is a very quiet and safe "little village" right next to the "busy' part of the city. There are still a few little shipyards but most of the warehouses are converted into residences.
The city is more or less built in circles around the centre. We are the western part of the centre, nearby Central Station. That is at this moment I think the most popular part.
Next to our apartment lies the famous Jordaan. The Jordaan is a small part of the city, famous for the narrow streets with little shops, cafes and restaurants. We are divided from the Jordaan by a very nice shopping street. In this street there are two normal supermarkets (open 8AM/10PM), bakeries, a butcher and two organic supermarkets. There are all kind of shops, cafés, nice little restaurants everywhere around us.
We think Amsterdam is more a "big village". That is, the part where you want to be as a visitor. You can walk everything, but certainly on the bike everything is really nearby.
The address is Prinseneiland 10, Amsterdam if you want to look it up on Google Maps. The street view is still from the period we were building, a few years ago. But one of the pictures you can click shows the finished building.
Walking distance to the Central Station 15 minutes (bike 7 minutes), Jordaan 10 minutes (bike 5 minutes), Dam 17 minutes (bike 10 minutes), and Rijks Museum / Van Gogh / Stedelijk Museum (contamporary/modern art) 35 minutes (bike 20 minutes), Anne Frank Museum 10minutes (bike 5 minutes).
If you want to explore more of the city we have bikes for rent and there are trams and buses to all parts of the city at a 4-minute walk. Apart from the general maps that we provide, we also made a map of our neighbourhood. A selection of breakfast-/lunch-places/restaurants/supermarkets is pointed out on this map. We also have "around the corner" a few very nice and good restaurants. We are happy to advise you and/or make reservations for you.
Don't hesitate to call or email us if you have more questions.
Kind regards,
Wouter Nieuwveld
Liesbeth Iest
More About This Location
City vacations, Waterfront
Getting There
Car is not necessary
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Browns sign QB Josh Johnson
BEREA, Ohio (AP)
The Cleveland Browns have signed free agent quarterback Josh Johnson.
NEED SOME? GET SOMEFeed your NFL addiction! Come feast on all the news in our updating blog.
Johnson replaced safety Usama Young on the roster Wednesday as the Browns look for protection at quarterback, where starter Brandon Weeden went out with a sprained right shoulder in Cleveland's 34-12 loss in Denver on Sunday.
Young sustained a thumb injury that likely will require surgery. He joins a battered defensive backfield that is already missing T.J. Ward with a knee injury. Cornerback Sheldon Brown sustained a concussion in Denver. The club also signed defensive back Jordan Mabin to the practice squad.
Johnson played in 26 games for Tampa Bay after being a fifth-round choice in 2008. He was in San Francisco's camp this summer.
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NFL Headlines
NFL Insiders: Dolphins name Dennis Hickey new general manager
Carroll: Seahawks CB Richard Sherman sorry about postgame rant
Browns to interview Bills' Pettine with Broncos' Gase out of running
NFL talking to 49ers about sideline hit vs Seahawks in NFC title game
Falcons hire former Chiefs GM Pioli as assistant general manager


text:
In a shocking revelation of what appears to be by far this year's biggest football scandal, reports of alleged involvement by seven players of the Cameroon National team at the ongoing FIFA World Cup in Brazil have surfaced.
Breaking news overnight: Cameroon investigate claims of World Cup match-fixing involving 7 players - tune in at 6am for the full story #SSN
— Sky Sports News (@SkySportsNews) July 1, 2014
Cameroon officials and team management will investigate the claims that seven of their team players were involved in the scam. The ethics committee of the African country have promised to look into the role and fraud in their three Group A matches after a dismal performance, being placed at fourth spot and getting knocked out in the group stages, including their 4-0 loss against Croatia.
Joseph Owona, President, Cameroon Football Federation, has confirmed that an investigation are underway into allegations of match-fixing. As per news reports FECAFOOT, country's football federation in a statement said "Recent allegations of fraud around Cameroon's three 2014 World Cup games, especially Cameroon v Croatia, as well the existence of "seven bad apples (in our national team)" do not reflect the values and principles promoted by our administration,".
The allegations have to come to light after a convicted match-fixer from Singapore, Wilson Raj Perumal revealed to a German news magazine Der Spiegel. Perumal had correctly predicted the result and send-off of a player he confiding in the magazine. These allegations first came to the fore in April this year when Perumal was detained by police in Finland on an international arrest warrant.
Cameroon midfielder Alex Song was given the marching orders before halftime for needlessly swinging in his elbow in the back of Croatia's Mario Mandzukic leaving a 10 men side battling for rest of the game. This was not all. The game witnessed more drama after two Cameroon players clashed with each other. Towards the end Benoit Assou-Ekotto attempted to head-butt team mate Benjamin Moukandjo.
The issue has travelled so far that an investigation has been ordered by the country's president, Paul Biya, into the team's poor run at the World Cup. Seasoned bookmakers have said that there hasn't been any suspicious betting activity around Cameroon's games - or any other at this World Cup.
FIFA said, "Speaking generally, the integrity of the game is a top priority for FIFA and as such we take any allegations of match manipulation very seriously."
Even before the footballing extravaganza began Cameroon's players had refused to board a plane to Brazil over dispute regarding non-settlement of bonus payments.
As per a report carried out by the BBC Sport website "Some players behaved very badly, and that's why we have conceded four goals," Cameroon head coach Volker Finke told French newspaper L'Equipe after the Croatia defeat. The coach also said that he was not in agreement of the on-field behaviour of players terming it 'unsatisfactory'.
Another African nation Ghana is also gripped by corruption charges. GFA president Kwesi Nyantakyi is apparently going to sue the Daily Telegraph newspaper rubbishing claims of him agreeing for the national team to play in matches that were fixed.


text:
Call Of Juarez: The Cartel Dated
By admin
Posted on June 9, 2011 AT 05:39am
Posted on June 9, 2011 AT 05:39am
Ubisoft has today announced the official release date of Call of Juarez: The Cartel.
The game will be officially releasing August 26th for the Xbox 360 and PS3.
The latest entry to the series takes a step back from the usual areas and instead of Wild West the game is now set during an ongoing drug smuggling struggle between the US and Mexican border.
Will this step away be a good move for the series? We will find out come August 26th.
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|Jun 3, 2011, 04:20 PM
U.S. Antitrust Regulators Concerned Over Apple's Interest in Nortel Patents
Last December, it was revealed that Apple was among the parties interested in bidding on a huge trove of patents from Nortel Networks that had been placed up for auction. While group of over 6,000 patents covers a wide variety of areas, Apple was thought to be primarily interested in those patents related to LTE and other mobile technologies.
Competition for the patents has been heating up, with Google having launched the first salvo with an opening bid of $900 million for the entire portfolio of patents. According to The Wall Street Journal, federal antitrust regulators had initially expressed concern over Google's bid, but have since had their concerns satisfied. They do, however, continue to have concerns about Apple should it decide to officially submit a bid for the patents.
The official auction for the Nortel patents is scheduled for June 20th, with Google, Apple, and Research in Motion all reportedly interested in participating in the process.
Article Link: U.S. Antitrust Regulators Concerned Over Apple's Interest in Nortel Patents
|Jun 3, 2011, 04:46 PM
Good that theyre considering these things.... Although from the outside, it sounds like similar logic should make them worry about anyone BUT Apple getting the patents, because Apple is so often targeted BY patent suits. Letting someone other than Apple have them could stifle innovation!
(Especially when so much of other companies mobile innovation is just following Apples lead these days, and would not have happened without Apple doing it first.)
|Jun 3, 2011, 05:06 PM
Apple has a history of not letting other companies use the patents that could be another huge reason not to let them have them.
|Jun 3, 2011, 05:09 PM
If they really want to stop patent holders from stifling innovation, they'll do something about the patent holding companies that do *nothing* except buy patents and sue over possible infringement.
Personally, I think most (if not all) of the current patent & copyright ills could be solved by having them be non-transferable. The author/inventor gets the copyright, and cannot sell/gift/transfer ownership of it. They'd still be able license the use of it, and employment contracts could include a perpetual licenses for copyrights/patents created as part of the employee's job duties, but it would pretty much put an end to patent trolls, and corporations lobbying for ever longer and greater control over them.
17" MBP (unibody), 2.66GHz i7, 8GB RAM, 750 GB HDD; iPhone 4s 64GB/Black
|Jun 3, 2011, 05:22 PM
|Jun 3, 2011, 05:54 PM
Why Care
Why do Antitrust Regulators even exist? If a company wants to make more profits by buying up some patents then let them do it. If said company does something immoral/something the public doesn't like, then they wont buy their products & the company has to change. It's called capitalism. Start regulating something that needs regulating, like the borders.
|Jun 3, 2011, 06:04 PM
Flash will be around a lot longer than Steve Jobs will.
|Jun 3, 2011, 06:16 PM
The LAW of the land is the Constitution, and while patents are enshrined in the Constitution, there is no provision in the enumerated powers for the existence of Anti-Trust laws.
Thus if you study the law, and particularly history as it pertains to the creation of the constitution and the powers that it grants the government, you see that the founding fathers were pretty clear on the matter.
There's no point in smugly implying your opponent hasn't studied history, when you don't provide any reason or argument for your side. If your position is more defensible than his, why not argue the position, rather than to the person?
PS- Your sig "Flash will be around a lot longer than Steve Jobs will" is quite offensive, and given that this is MacRumors, makes me wonder if you're trolling? IF not, put up an argument and some facts next time.
Apple is, as always, dragging them kicking and screaming into the future. They hate it now, but when Apple replaces it, they'll be claim it was great.
|Jun 3, 2011, 06:42 PM
IMO, patents should not be transferable.
If a company owns rights to a patent, and it cannot make it on it's own then said IP should become public domain immediately.
Or in the VERY LEAST, the selling of patents shouldn't be allowed.
(So okay... if you buy the entire company, you get the patent with it's existing expiry. But no company should be able to toss up a bunch of patents then sell them.)
(just saying)
Last edited by Mitthrawnuruodo; Jun 4, 2011 at 03:56 AM. Reason: Merging posts, please use MULTIQUOTE and/or EDIT...
|Jun 3, 2011, 07:17 PM
|Jun 3, 2011, 07:19 PM
But you are right about that is the point of patents but Apple history says they should not be allowed to have this block.
|Jun 3, 2011, 07:23 PM
|Jun 3, 2011, 07:41 PM
They're not worried about Google, but they are worried about Apple....... OK.
|Jun 3, 2011, 08:01 PM
Your arguments currently are not valid at this point.
|Jun 3, 2011, 08:36 PM
We all know how it works, by the way. The question is whether regulations apply here (or *should* apply) and if so, to what degree.
The argument is that any one company owning these patents runs the risk of stifling innovation. Does that include the original patent holder (not simply in this case but in general)? If I'm not mistaken we're just seeing x-amount of patents moving from one company to another. If Nortel were still in regular operation and would still hold all those patents, with powers to litigate accordingly, wouldn't the same worries arise?
The interesting part is, and this is likely not applicable anyway, is that they're worried about Apple stifling innovation (and others in general) when Apple is really the one doing most of the innovating, at least at the consumer level.
Last edited by *LTD*; Jun 3, 2011 at 08:45 PM.
|Jun 3, 2011, 08:43 PM
Google case is more they have a history of letting other use their IP. So if lets say Google owns them it does not effect Apple inventing stuff. It just means Apple competitors can use the same IP as well.
If Apple owns them only Apple will use them and no one else will be allowed. This hurts innovations in the long run.
Now the first method screws Apple because Apple does not know how to play fair.
|Jun 3, 2011, 08:46 PM
|Jun 3, 2011, 08:54 PM
Is this the argument?
OF COURSE Apple will not simply allow others to use them like a free-for-all. Others will have to pay licensing fees, IF Apple licenses them out at all. But that's their prerogative. What sort of precedent will that set, though? If some governing body determines based on this or that arbitrary set of conditions that your patents just so happen to be "important" ones, then you lose the very freedom otherwise granted to you by law to defend them?
How is this supposed to work?
Doesn't distributing these patents or somehow arbitrarily rendering them public domain *also* stifle innovation? If Apple held all these lovely patents then wouldn't others take some initiative and attempt to come up with better alternatives? But I fear this might be asking too much of the competition . . .
Seems this also has the by-product of giving the competition a helping hand.
Last edited by *LTD*; Jun 3, 2011 at 08:59 PM.
|Jun 3, 2011, 08:58 PM
And we are back to Anti-trust. Remember when you are one of the big players the rules are very different. Apple getting control is much more likely to hurt innovations than others having control. Mix that 6k with what else they more than likely own and you have some real issues.
Please leave the church the Church of Apple for a while so you can understand the problem at hand.
|Jun 3, 2011, 09:08 PM
I'm sorry but patent holders protecting their property under the law - no matter how fervently - hardly rises to the level of abuse.
This anti-trust initiative, however, *is* ripe for abuse (based on just what's presented in the article, mind you.) It would be interesting to see the conditions that determine whether someone should lose control of their patents based on the assumption that they might seek to protect them under law at some point. Does it take only infrequent litigation to raise eyebrows? Once a year? Twice a year? Or are we talking several times in six months? This all seems very nebulous. Or maybe we don't have all the information. And I'm not just talking about Apple here but how this might affect everyone.
Do these same anti-trust initiatives apply to the *original* patent holder as well? For instance, if at some point Nortel would have been more litigious, or if they were in operation today and would be more litigious with their patents, would they be subject to loss of control of the patents they own?
|Jun 3, 2011, 10:01 PM
Apple has sued for patent infringement only to protect their own product in the market. In my book, that's a fair use of patents. If a company hoards patents with no intention of actually using them to put a product on the market, that's unfair. But when a company (XYZ) has a product out on the market and competitors are using patented technologies in those products without licensing them, then XYZ has every right to sue.
|Jun 3, 2011, 10:27 PM
Of course they're concerned about Apple, Apple doesn't spend hundreds of millions of dollars every year on campaign contributions to the scumbag politicians who appoint these pencil pushers.
The US Government has no right to decide who or what business entity can buy something available in a public auction. If the buyer would later use the property they acquire in an illegal manner, that can be investigated and prosecuted, but they can't tell someone they're excluded because they don't like something about the way they do business.
In granting permissions to bid on these patents, the government is granting favor to one company over another. They are giving some companies a greater opportunity than others. That is unconstitutional in every way.
If the government has been given ownership of these patents and wants to divest them, then they need to hold a truly public auction, in which any interested party has the opportunity to bid.
|Jun 3, 2011, 10:31 PM
Have any of the Apple patent lawsuits against other companies ever stated that Apple offered fair license fees and were turned down? Or did they just want to keep the technology solely to themselves?
Other companies license their patent holdings, which gives them a fair return for their investment while also not stifling competing products.
For example, Microsoft licensed their business critical Exchange ActiveSync to Google and Apple for their phones, even though that helped level the playing field.
|Jun 3, 2011, 10:41 PM
|Jun 3, 2011, 10:42 PM
Punishing Apple for not licensing out IP is ludicrous.
I have a really nice TV, I worked hard to earn the money to buy it and I assume the costs to maintain it and provide it with programming. My neighbors unfortunately do not have nice TV's, they choose to invest their money in other ways.
Am I expected to share my property with my neighbors? Will I be told by the government that I cannot buy a really nice sound system to make my TV better until I've first shared it with my neighbors who don't have one of their own? It's my property and I have the right to do with it what I like. The same goes for Apple and their IP, as well as any other company.
If one company is forced to share their innovations with other companies who
aren't able or willing to innovate on their own--then innovation suffers. Why invest in R&D at all if I know that Apple will soon be forced to let me use their stuff?
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Topics List
Advanced Class Guide for PFS
(6)Hi, Likewise, a set has been sent. Cheers, Andrew
File - MonkeyTeamsExplained
(325)PCGen - Who does what? Last Edited: Aug 19th, 2009 Please see http://wiki.pcgen.org/index.php?title=Explanation_of_Teams for the latest version of this
May 24
File - Welcome
(294)Welcome! Last edited at 26th April 2010 - This document is an amalgamation of existing documentation we have. Important Links ... The following links will lead
May 24
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House Rules Question vs PCGen
(5)Hi Chuck, Sent you the files in a zip folder. Feats & Abilities > Misc subtab Select the Optional Rules Systems, I left it named "Houserule - GM "Bob" Rules.
May 19
Traits in 3.5?
(6)Ah, I see how it works. Under templates - add "Player Character Traits" that will grant you a +2 in the traits pool. Cheers, Andrew
May 9
Pathfinder Mystic Past Life
(3)Thank you, ticket created.
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Feral Gnasher requirements not met?
(4)Hi, Yeah, I saw... I'm a moderator for both. :P Fix is in. Damage included in the fixes. Fixed three lines, just in case you wondered. I posted them in the
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(4)Yup Sent from Yahoo Mail on Android From:"firstname.lastname@example.com [pcgen]" Date:Fri, Apr 17, 2015 at 12:04 Subject:[pcgen] Re:
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Yaun Ti
(5)Mate, I have found a mix of learning is best to get a true understanding of lst code. If at all possible, beg or pester one of the data chimps to give you tips
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Pathfinder - Faction Traits
(5)Not sure if there are any data folks on this list, but I have created jira DATA-2402 for this item. -- Paul Trudel
Paul Trudel
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Racial AC Bonus code questions
(7)gah! Dammit... I just read the reply about etiquette and I've just done it again- I do apologise profusely. I will refrain from specifics in future- though it
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Quick question (possible issue) with skills under 6.04.01
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Pathfinder - Advanced Class Guide
(8)Hi groomlake51 aka Ryan Johnston and anyone else interested in volunteering, (Since DS bemoaned the fact he lacks proper gusto in bringing in volunteers, I
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Pathfinder - problem with racial (sub-)classes
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OSX 10.10.2 and "Requires Java Runtime 6 SE" msg...
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30 August 2013 09:56 [Source: ICIS news]
TOKYO (ICIS)--Japan's production of naphtha increased by 8.6% year on year to 1.73m kilolitres (kl) in July, official data from Ministry of Economy, Trade and Industry (METI) showed on Friday.
Almost all of the output was used for petrochemical production, according to the ministry.
Meanwhile, the country's output of jet fuel rose by 33% year on year to 1.61m kl, the data showed.
Japan's imports of crude oil rose by 1.8% year on year to17.2m kl in July, according to METI.
The Middle East accounted for 86% of overall crude oil imports in July at 14.8m kl, the data showed.
Japan imported 5.11m kl of crude oil from Saudi Arabia, representing 30% of its overall crude imports.
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Asian Chemical Connections


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On March 19, 2014, the Ninth Circuit issued its ruling in Narayanan v. British Airways, No. 11-55870 (9th Cir. 2014), holding that the two-year statute of limitations set forth in Article 35(1) of the Montreal Convention begins to run when an aircraft arrives (or ought to have arrived) at its destination, even if the claim to which the statute is being applied has not yet accrued at that time. The ruling—which decided an issue of first impression in the Ninth Circuit—provides greater certainty for air carriers and effectuates the Montreal Convention's purpose of uniformity.
On December 26, 2008, Panansam Narayanan boarded a British Airways flight from Los Angeles, California, to Bangalore, India, with an intermediate stop in London, England. Mr. Narayanan, who suffered from terminal lung disease, was assured prior to boarding that should he need it, supplemental oxygen would be provided to him during the flight. During the flight, however, Narayanan was denied access to this oxygen. He received medical treatment in both London and Bangalore, and received further treatment upon his return to the United States in January 2009. Nonetheless, his health deteriorated, and on June 11, 2009, he passed away.
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Complications of acute otitis media
TITLE: Complications of Acute Otitis Media SOURCE: Grand Rounds Presentation, UTMB, Dept. of Otolaryngology DATE: October 26, 2009 RESIDENT PHYSICIAN: Chad Simon, MD FACULTY PHYSICIAN: Harold Pine, MD SERIES EDITORS: Francis B. Quinn, Jr., MD ARCHIVIST: Melinda Stoner Quinn, MS(ICS) "This material was prepared by resident physicians in partial fulfillment of educational requirements established for the Postgraduate Training Program of the UTMB Department of Otolaryngology/Head and Neck Surgery and was not intended for clinical use in its present form. It was prepared for the purpose of stimulating group discussion in a conference setting. No warranties, either express or implied, are made with respect to its accuracy, completeness, or timeliness. The material does not necessarily reflect the current or past opinions of members of the UTMB faculty and should not be used for purposes of diagnosis or treatment without consulting appropriate literature sources and informed professional opinion." History Hippocrates noted in 160 BC that "acute pain in the ear with continued high fever is to be dreaded for the patient may become delirious and die." Prior to the antibiotic era, ¼ to ½ of the patients with acute otitis media presented with mastoiditis, subperiosteal abscess, and sigmoid sinus thrombophlebitis. 2-6% of all patients developed an intracranial suppurative complication, with a fatal outcome in ¾ of them. (3) Intracranial and extracranial extension of middle ear infection continues to serious medical problem especially in children. The incidence of mastoiditis and intracranial suppurative intracranial complications in pediatric age group has consistently increased over the past 2 decades. Abuse or inadequacy of antibiotic treatment have been attributed a role in selecting resistant bacterial strains. (3) Another explanation is that antibiotic therapy masks the sign and symptoms of mastoiditis, providing time for the process to extend to the mucoperiosteum and erode the bony septae. (5) Pathophysiology The tendency of middle ear infections to spread beyond the confines of the middle ear and its adjacent spaces is influenced by a number of factors, including the virulence of the infecting organism and its sensitivity to antibiotics, host resistance, the adequacy of antibiotic therapy, the anatomic pathways and barriers to spread, and the drainage of the pneumatic spaces, both natural and surgical. One should also consider the immune status of the host: Immunocompromised individuals are at increased risk of developing not only otitis media but also complications of otitis media. Moreover, the organisms causing the infection are more likely to be atypical pathogens. One should consider infants to be in this group of patients, since their immune systems are not fully mature. Diagnosis Initial diagnostic workup of complicated acute otitis media is usually triggered by a history and physical that is incongruent with with a standard middle ear infection. A complete head and neck exam should be performed with attention to the otoscopic exam and the cranial nerve exam. For patients with high suspicion of meningitis, a Kernig's and Brudzinski's sign should be checked. A fundoscopic exam may reveal signs of intracranial pressure. The workup usually includes a CT of the temporal bones with contrast. In patients that are suspected of having a sinus thrombosis, magnetic resonance venography may be performed. A complete blood count with differential and an erythrocyte sedimentation rate are often performed. Audiogram should be performed when feasible to evaluate for sensorineural hearing loss associated with labyrinthitis. Intratemporal complications Mastoiditis Mastoiditis is the most common intratemporal complication of acute otitis media. Work from Norway reports the incidence of acute mastoiditis in children under age 2 at around 15 per 100,000. For children above age 2, the incidence is slightly less at 5 per 100,000. The Cochrane review found that routine antibiotic treatment of AOM in a population reduces the risk of mastoiditis. (4) Mastoiditis occurs when the aditus ad antrum becomes obstructed by inflammation. The pressure thus generated by the purulent secretions within the mastoid, or the antrum in young infants, is relieved by egress through the cribiform area or the tympanomastoid fissure. This initially results in inflammation and tenderness in the postauricular sulcus. Suspicion of mastoiditis should be raised when certain findings are present, In a review of 124 patients, pain was the most common presenting symptom. Physical signs included an abnormal- appearing tympanic membrane (88%), fever (83%), a narrowed external auditory canal (80%), and postauricular edema with proptosis. (76%). (2) Even without clear evidence of mastoiditis, a "masked" mastoiditis should be suspected if there is persistent pain or otorrhea despite 2 weeks of antibiotic treatment. Acute mastoiditis is defined not by fluid in the mastoid air cells, but by bony destruction with coalescence of the mastoid cavity. This can be seen on a CT scan of the temporal bones, which is usually ordered when there is high clinical suspicion for mastoiditis. An important caveat when treating these patients is that when there is one complication of acute otitis media, look for another. This is reinforced by reviews that show the incidence of second complications, when mastoiditis is present, at up to 38%. (4) A retrospective review of 101 cases of mastoiditis revealed that increased white blood cell count was predictive of a second complication. (1) Mastoiditis should be initially treated at least with IV antibiotics. Culture and gram-stain directed therapy is optimal. The most common pathogen recovered from culture is Streptococcus pneumoniae. Streptococcus pyogenes, Staphylococcus aureus, and coagulase-negative Staphylococcus species are also common. There is also a higher incidence of Pseudomonas aeruginosa as compared to cases of uncomplicated acute otitis media. The AAOHNS guide to antimicrobial therapy recommends vancomycin plus ceftriaxone as empiric therapy. The use of interventions beyond antibiotic therapy have been debated in the literature. The dilemmas that the otologist faces when dealing with mastoiditis are: the indications for a surgical treatment, the timing of surgery (immediate versus delayed), and the choice of surgical procedure. Whether a myringotomy, a myringotomy with PE tube, or a mastoidectomy is performed, the goals of surgery are to drain the infection and to obtain pus for culture. A review of 45 patients showed that in 32 cases of uncomplicated mastoiditis, there were no treatment failures among 20 patients treated with IV antibiotics alone. However when these patients were compared to the 12 patients that had PE tubes with or without mastoidectomy, they had slightly longer hospital stays with a longer time to symptomatic resolution. (3) It should be noted that the patients selected for medical therapy may have had less severe disease at presentation. Another review of 44 patients showed that among the 38 patients with uncomplicated mastoiditis, only 1 did not improve with myringotomy, tube, and IV antibiotics. This patient underwent mastoidectomy after he did not clinically improve within 96 hours of initial surgery. (5) Still another retrospective review of 58 cases examined conservative versus aggressive therapy. 17 patients received IV antibiotics alone with a 100% cure rate. A second group of 28 patients, presumably with more severe disease underwent myringotomy and/ or tubes in addition to antibiotics. There were 4 treatment failures in this group. Of these, 3 had a subperiosteal abscess and 1 had a cholesteatoma. (9) None of these treatment failures had preoperative CT scan. It is possible that imaging would have detected these additional complications and triggered more aggressive therapy, preventing treatment failure. Facial Nerve Paralysis Facial nerve paralysis associated with acute otitis media is a rare, but disturbing complication. The incidence is estimated at 0.005%. Despite the striking presentation of this complication, the prognosis is excellent. A recent review of 11 patients over 26 years reported a full recovery to House-Brackman I or II. All of these patients received a myringotomy with tube placement, along with IV antibiotics; Only 1 patient underwent mastoidectomy. Interestingly, 5 of 7 positive cultures grew Staphylococcus aureus, suggesting that the bacteriology of otitis media with associated facial paralysis may be different. (14) Another study reviewed 10 children who presented with facial paralysis after the onset of acute otitis media. 8 patients with incomplete paralysis had full return of function after myringotomy and intravenous antibiotics. The 2 patients with complete paralysis required mastoidectomy to control otorrhea and fever after initial myringotomy and antibiotics. Both patients had a prolonged recovery, but eventually recovered to House-Brackman I or II. (13) A larger study of 22 patients showed complete resolution of paralysis in 21. (15)These studies support the conservative management of this complication. Corticosteroids should be considered, though there is no good evidence for their effectiveness. Mastoidectomy should be performed only when it is necessary to treat otitis media. Surgical facial nerve decompression is not indicated in these cases. Labyrithitis Bacterial labyrinthitis may occur by either direct bacterial invasion (suppurative labyrinthitis) or through the passage of bacterial toxins and other inflammatory mediators into the inner ear (serous labyrinthitis). Meningitis typically affects both ears, whereas otogenic infections typically cause unilateral symptoms. Profound hearing loss, severe vertigo, ataxia, and nausea and vomiting are common symptoms of bacterial labyrinthitis. Bacterial infections of the middle ear or mastoid most commonly spread to the labyrinth through a dehiscent horizontal semicircular canal. Usually, the dehiscence is the result of erosion by a cholesteatoma. This complication is potentially life-threatening; infection in the inner ear can spread to the subarachnoid space causing meningitis. Early mastoidectomy is indicated in these cases to fully decompress and drain the purulent infection. As with other complications of otitis media, culture-directed antibiotics are an integral part of the treatment regimen. The sensorineural hearing loss is usually irreversible. Labyrinthitis ossificans often follows suppurative labyrinthitis; therefore, decisions regarding cochlear implantation must be made early. Serial MRIs have been have been advocated to monitor for this complication, since CT may not be sensitive enough for early detection. Serous labyrinthitis occurs when bacterial toxins and host inflammatory mediators, such as cytokines, enzymes, and complement, cross the round window membrane, causing inflammation of the labyrinth in the absence of direct bacterial contamination. Penetration of the inflammatory agents into the endolymph at the basilar turn of the cochlea results in a mild-to-moderate high-frequency SNHL. Audiologic testing reveals a mixed hearing loss when a middle ear effusion is present. Vestibular symptoms may occur but are less common. Treatment is aimed at eliminating the underlying infection and clearing the middle ear space of effusion. A small series of patients was examined as part a larger study. 3 of 3 pediatric patients with isolated serous labyrinthitis had resolution of hearing loss with myringotomy, PE tube, and IV antibiotics. (15) Gradenigo's syndrome: In 1907, Gradenigo described his classic triad of abducens nerve paralysis, severe pain in the distribution of the trigeminal nerve, and acute suppurative otitis media. The symptoms were attributed to suppurative disease of the petrous apex. The petrous apicitis is detectable on CT scan of the temporal bones. This complication is often found with synchronous intracranial complications. Small series of patients show complete resolution of the petrous apicitis with complete mastoidectomy, PE tube, and IV antibiotics. (15) Subperiosteal abscess. Drainage of subperiosteal abscess. They found a 93% success rate in the 43 patients reported. (10) It should be noted that close follow up is needed for patients if this treatment regimen is used. Recurrences do occur even in cases that undergo aggressive therapy with mastoidectomy. (11) A low threshold for repeat imaging should be kept, especially for infants and other immunosuppressed patients. However, this regimen avoids the morbidity and potential complications of mastoidectomy in young patients. (7) Bezold abscess In 1881, Bezold described a complication of mastoiditis presenting as a laterocervical abscess. Bezold's abscess is caused when a suppurative process erodes the mastoid cortex along the digastric ridge and spreads between the digastric and sternocleidomastoid muscles. This is a serious complication because of its ability to spread downwards along great vessels and reach the mediastinum. This complication is exceedingly rare in children, probably because of the absence of extensive pneumatization of the mastoid in younger patients. These abscesses may be difficult to detect clinically. Diagnosis can be hindered by infrequency of presentation and inconsistency of signs and symptoms. The common clinical signs and symptoms are pyrexia (74%), otalgia (52%), neck swelling (48%), otorrhea (41%), restriction of neck motion (41%), neck pain (41%), and facial nerve paralysis (15%).(12) There is a paucity of published data on the management of Bezold's abscess. At minimum, these patients should undergo initial myringotomy with tube placement, and culture directed antibiotics. Early aggressive surgical management in the form of mastoidectomy and incision and drainage of the neck abscess should be considered because of the potential of this infection to spread throughout the neck. Intracranial Complications Meningitis is the most common intracranial complication of otitis media. The earliest symptoms are headache, fever, vomiting, photophobia, irritability, and restlessness. Infants may have seizures. As the infection progresses, the headache increases, and vomiting becomes more pronounced. Neck stiffness, with resistance to flexing the neck so that the chin does not touch the chest, may start with minimal discomfort and progress. Brudzinski's sign, the inability to flex the leg without moving the opposite leg (or flexion of the neck resulting in flexion of the hip and knee), is a sign of meningitis. Similarly, Kernig's sign, an inability to extend the leg when lying supine with the thigh flexed toward the abdomen, is suggestive of meningitis. When meningitis is suspected, a lumbar puncture is performed to obtain CSF for bacteriologic analysis. In meningitis, the CSF is cloudy or yellow (xanthochromic); also, an elevated white blood cell count, low glucose, and high protein are expected. Treatment for meningitis resulting from acute otitis media should be directed at H. influenzae type B with second- or third-generation cephalosporins. One should be aware that rapid bacteriolysis releases large amounts of inflammatory fragments that can have severe neurologic and auditory sequelae (sensorineural hearing loss). Glucocorticoids, such as dexamethasone, have been shown to decrease these sequelae). Serial audiograms are recommended as hearing loss can occur as a late complication. In addition, the aforementioned labyrinthitis ossificans can occur with meningitis, preventing future cochlear implantation. Consequently, serial MRIs should be performed in children with profound hearing loss as a sequla of meningitis to detect this development early. Brain abscess Brain abscess is a particularly morbid complication of otitis media. The mortality associated with brain abscess of otogenic origin in the antibiotic era is about 25%. Multiple organisms are usually present in brain abscesses. Polymicrobial cultures with a high incidence of anaerobes are reported in various studies. Streptococcus and staphylococcus are common gram positive organisms that are isolated from brain abscesses. Escherichia coli and Proteus, Klebsiella, and Pseudomonas species are typical gram-negative isolates. It is interesting to note that H. influenzae is rarely found in otogenic brain abscesses. Otogenic brain abscesses are often the result of venous thrombophlebitis rather than direct dural extension. Brain abscess formation is indicated by high fever, headache, and neurologic deficit. Currently, the management of brain abscesses is a controversial. The patient must be hospitalized and treated with appropriate, high- dose antibiotics immediately. The management of the brain abscess takes precedence over that of the primary infective source because the patient is seriously ill and the neurosurgical procedure may be the life-saving procedure. The patient should be first stabilized neurologically; only then should the ear causing the infection be operated on. Extradural abscess Infection can also accumulate in the epidural (extradural) space, a potential space between the dura mater and the bone of the intracranial cavity. Large accumulations of pus are rare. Granulation along the dura mater is seen more commonly than an actual epidural abscess. Epidural collections that are accessible from the mastoid cavity should be drained at the time of surgery. Sigmoid sinus thrombophlebitis Sigmoid sinus and lateral sinus thrombosis is a rare, but feared complication of otitis media. The thrombosis typically begins in the sigmoid sinus and propagates to the lateral sinus and occasionally to the internal jugular vein. In rare cases, emboli may shower to distant locations and cause significant morbidity and mortality. Patients present with the typical symptoms of mastoiditis, along with worsening headache. Picket fence fevers and signs of sepsis are occasionally present. More than half of patients may present with associated cranial nerve findings. These cranial nerve findings are often seen with accompanying elevated intracranial pressure on lumbar puncture. (16) Imaging should be performed in patients suspected of having this condition. Though CT will delineate bony abnormalities and provide a road map for surgery, MRI/ MRV is slightly more sensitive at detecting thromboses. The two imaging modalities should both be performed to maximize diagnostic accuracy. On contrasted CT scan, a filling defect may be seen in the affected sinus. In 1/3 of these, contrast may accumulate in the collateral veins surrounding the non-enhancing thrombus to yield a pathognomonic "empty delta sign." The proper treatment of this condition has only been studied in small case series. Accepted standard practices include myringotomy with tube, IV antibiotics, and mastoidectomy. The plate overlying the sigmoid sinus is opened and the sinus aspirated. If there is return of blood, the sinus is not opened. If there is no blood return, the sinus is opened, and the clot removed. Postoperative anticoagulation remains controversial. Some authors cite the low incidence of septic emboli as a reason to withhold anticoagulation. (17) Others believe anticoagulation should be used for patients who already have had evidence of embolic events or for those who have thrombus extension past the sigmoid sinus. Otitic hydrocephalus Otitic hydrocephalus involves increased intracranial pressure without effect or signs of hydrocephalus. Furthermore, there is no evidence of ventricular dilatation and focal neurologic signs are absent. Headache, drowsiness, vomiting, blurring of vision, and diplopia are typical symptoms. Papilledema and sixth cranial nerve palsy are usually evident. Optic atrophy can eventually develop. A normal CSF cytology and biochemistry along with an opening pressure greater than 24 mm H2O are necessary to make the diagnosis, and to exclude meningitis. Otitic hydrocephalus is very commonly associated with sigmoid sinus thrombophlebitis; however, not all patients with sigmoid sinus thrombophlebitis develop otitic hydrocephalus. Treatment should include proper therapy for associated sinus thromboses. Medical therapy includes corticosteroids, mannitol, diuretics, and acetazolamide. Conclusion Based on the information gathered in this text, one can construct a practicle algorithm to treat complicated otitis media. If a patient has simple coalescent mastoiditis or meningitis, a myringotomy with tube and culture-directed antibiotics should be attempted first. If there is no improvement after 72 hours, mastoidectomy should be performed. This approach can also be used when children have a subperiosteal abscess, except transcutaneous incision and drainage should be added to the intial treatment. If a patient has intracranial complications, mastoidectomy should be performed intially. Aspiration and possible removal of sinus thrombosis should be performed at this surgery. Drainage of epidural abscesses should also be performed. If a patient has a brain abscess, neurosurgical procedures should precede otologic procedures. This algorithm should optimally prevent the spread of infection while sparing children the morbidity of extensive surgery. Bibliography (1) Oestreicher-Kedem Y, Raveh E, Kornreich L, Popovtzer A, Buller N, Nageris B. Complications of mastoiditis in children at the onset of a new millennium. Ann Otol Rhinol Laryngol. 114(2) (2005), pp. 147-52. (2) Gliklich RE, Eavey RD, Iannuzzi RA, Camacho AE. A contemporary analysis of acute mastoiditis. Arch Otolaryngol Head Neck Surg. 1996 Feb;122(2):135-9. (3) Zanetti D, Nassif N.. Indications for surgery in acute mastoiditis and their complications in children. Int J Pediatr Otorhinolaryngol 2006 Jul;70(7):1175-82. Epub 2006 Jan 18. (4) Pang LH, Barakate MS, Havas TE.Mastoiditis in a paediatric population: A review of 11 years experience in management. Int J Pediatr Otorhinolaryngol. 2009 Sep 14. [Epub ahead of print] (5) R. Cohen-Kerem, N. Uri, H. Rennert, N. Peled, E. Greenberg and M. Efrat, Acute mastoiditis in children: is surgical treatment necessary?, J. Laryngol. Otol. 113 (1999), pp. 1081– 1085. (6) J. Spratley, H. Silveira, I. Alvarez and M. Pais_Clemente, Acute mastoiditis in children: review of the current status, Int. J. Pediatr. Otorhinolaryngol. 56 (2000), pp. 33–40. (7) W. Bauer, K.R. Brown and D.T. Jones, Mastoid subperiosteal abscess management in children, Int. J. Pediatr. Otorhinolaryngol. 15 (2002), pp. 185–188. (8) D.B. Hawkins, D. Dru, Mastoid subperiosteal abscess, Arch. Otolaryngol. 109 (1983) pp. 369-371. (9) E.H. Harley, T. Sdralis and R.G. Berkowitz, Acute mastoiditis in children: a 12-year retrospective study, Otolaryngol. Head Neck Surg. 116 (1997), pp. 26–30. (10) Lahav J, Handzel O, Gertler R, Yehuda M, Halperin D. Postauricular needle aspiration of subperiosteal abscess in acute mastoiditis. Ann Otol Rhinol Laryngol. 114 (2005), pp. 323-7. (11) Migirov L, Yakirevitch A, Kronenberg J. Mastoid subperiosteal abscess: a review of 51 cases. Int J Pediatr Otorhinolaryngol. 69(11) (2005), pp. 1529-33. (12) Marioni G., de Fillipis, C, Tregnaghi A. Bezold's abscess in children : a case report and review of the literature. Int J Pediatr Otorhinolaryngol. 61 (2001), pp. 173-177. (13) C.A. Elliott, G.H. Zalzal and W.R. Gottlieb, Acute otitis media and facial paralysis in children, Ann. Otol. Rhinol. Laryngol. 105 (1996) (1), pp. 58–62. (14) Evans, K. Licameli, G. Bretzke, S. Pediatric facial nerve paralysis: patients, management and outcomes. Int J Pediatr Otorhinolaryngol. 69 (2005), pp. 1521-1528. (15) Goldstein, N., Casselbrant, M., Bluestone, C. Intratemporal complications of acute otitis media in infants and children. Otolaryngol. Head Neck Surg. 119(5) (1998), pp. 444-54. (16) Bales CB, Sobol S, Wetmore R, Elden LM. Lateral sinus thrombosis as a complication of otitis media: 10-year experience at the children's hospital of Philadelphia. Pediatrics. 123(2) (2009), pp. 709-13. (17) Bradley, DT., Hashisaki, GT., Mason, JC. Otogenic sigmoid sinus thrombosis: what is the role of anticoagulation. (18) GowerD, McGuirt WF. Intracranial complications of acute and chronic infectious ear disease: a problem still with us. Laryngoscope 1983;93:1028–33 (19) Barry B, Delattre J, Vie F, Bedos JP, Ge'hanno P. Otogenic intracranial infections in adults. Laryngoscope 1999;109:483–7
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Oral Surgery Center - Sacramento, CA
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