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Own a piece of sporting history
Each signed photo comes with a certificate of authenticity signed by our managing director.
|Product type
|Signed prints
|Signed by
|Bob Wilson
|Approximate size
|16 x 12 inches
|Product code
|Bin Number
Authenticity is everything
A1 Sporting Memorabilia recognises that authenticity is of paramount importance when purchasing signed memorabilia. Every product we sell is from an organised signing session, where the authenticity of the item is guaranteed. If we are unable to arrange an organised signing session with a sporting superstar, then signed items from that individual will not be available from us. We will only ever sell original signatures to our customers - we will never sell copies, facsimiles or reproductions of original signatures.
Certificate of Authenticity
Every signed product is issued with a Certificate of Authenticity signed by our Managing Director, which guarantees that every item has been hand-signed. The certificate includes many security features to avoid duplication and protect your investment.
Security Features
1. Quality of printing & paper
The printed lines and colours of the many intricate patterns on our Certificate of Authenticity are sharp, clear and free of smudges or blurred edges. The paper is high quality, textured and of a heavier weight than normal paper.
2. Integrated image
Each Certificate of Authenticity also includes either an example image of the product or a small photo of the individual signing the product.
*Images are for illustration purposes only and the product/signature location & size my differ slightly.
3. Hologram seal
A security bespoke A1 Sporting Memorabilia hologram seal that shimmers and animates when tilted is included on every Certificate of Authenticity.
4. Online verification
The name and authentication code of every item is printed onto every Certificate of Authenticity. By entering the authentication code into the A1 Sporting Memorabilia website you will be able to view more detailed images of the signed item, a detailed description and if available photos of the individual signing the item.
5. Signed by Managing Director
Every single Certificate of Authenticity is also signed by Terry Baker or Freda H. Baker - the directors of A1 Sporting Memorabilia to guarantee that the item is genuine and hand signed.
A1 Signing Sessions
We have conducted hundreds of signing sessions with legends from the sporting world including Pele, Frank Bruno, Shane Warne and Martin Johnson. We have exclusive memorabilia contracts with Sir Geoff Hurst and Jimmy Greaves - both of whom are shareholders in A1 Sporting Memorabilia - Martin Peters, Gordon Banks, Sir Henry Cooper and many others.
A1 Sporting Memorabilia is also the sole supplier of all official authenticated merchandise bearing Pele's signature, having recently signed an exclusive four-year deal with the legend.
Should you have any questions, simply contact our friendly and knowledgeable customer services team, who will respond within 48 hours.
Specialist Framing Option
We offer a specialist framing service for all our products. After your purchase the item is sent directly to the framers where it is expertly mounted and framed to create a striking presentation of sports memorabilia.
Because of the additional specialist work involved with framing please allow 10 working days for delivery of framed items.
We offer either Standard or Premium framing options for signed shirts and prints, the differences between each and example images are shown below:
- Basic black frame with silver inlay
- Title box with the name & description
- Basic flat shirt mount
- Hand crafted frames by skilled framers
Example of our standard shirt framing:
- Premium black frame with gold inlay
- Textured black background
- Title box with the name & description
- 3D style shirt mount with sleeves exposed
- Integrated photos of the sport star in action
- Hand crafted frames by skilled framers
- Made in the UK using premium materials
- Museum quality build
- Visually stunning & protective
Example of our premium shirt framing:
Standard UK Delivery - £5.95 (Small items)
Orders sent via our standard delivery service are sent via Royal Mail Recorded Delivery. We aim to dispatch all UK orders within 2 working days.
Standard UK Delivery - £14.95 (Large items)
Some of our larger items are dispatched using a courier service due to their size, weight and value.
Additional delivery charges apply for an address in the Scottish Highlands, Channel Islands and Isle of Man.
International Delivery
All international items are dispatched using either Airsure, or International Signed For. You will usually receive your item within 10 working days. Fees are calculated at the checkout dependant on size, weight and destination.
We require a signature for all packages that we send out. If you are not at home in the day, we recommend getting your order delivered to a work address. If you are not in when a delivery is attempted, the parcel will be taken to your nearest postal sorting depot. A card will be left with instructions on how to retrieve it.
We are not responsible for any customs duties, taxes or levies on international orders. We do not expect there to be any additional charges for international orders but we recommend that you check with your local customs officials or post office for further information.


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grace Articles
The Gift God Still Wants
by Sandra Glahn
From the time of Cain and Abel until today God has been asking for only one gift.
Giving Outside the Box
by Mark L. Bailey
From the president.
The mission of Dallas Theological Seminary is to glorify God by equipping godly servant-leaders for the proclamation of His Word and the building up of the body of Christ worldwide.


text:
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Jose Mourinho may have lost some of dressing room, but only wants Real Madrid to win, says Guillem Balague
It was interesting to watch the body language between Jose Mourinho and Real Madrid skipper Iker Casillas during their 4-3 win over Real Sociedad.Back to story
Comments (29)
Pradeep Shenoy (Barcelona fan) says...
Hi Guillem .I always look forward to your liga analysis , very incisive . With all the health problems that tito has been facing , has any concerns arisen in the barca hiearchy with regards to his continuation next season or has anyone been shortlisted to replace him in the worst case scenario if Tito,understandably decides to take a back seat in a less demanding role at the club?
Posted 07:54 14th January 2013
Mark O keeffe (Stoke City fan) says...
guillem, i watch a lot of spanish football and was watching the barca vs cordoba cup match last night and was wondering what you think of alex song`s season so far at barca so far coz to me he is finding it hard to settle with busquets in front of him and wether you think his career may stagnate at barca because lets face it he is never going to replace a talent like busquets??? also would you agree that this barca team are going to get better and better squad wise over the coming years??? because of players like sergi roberto, delofeu, mark bartra etc. all starting to make good progress now and when neymar comes they are just going to make for an amazing squad which i always felt was the 1 thing real had an advantage over barca on but in a couple of years i can see barca having the better squad on top of the better 1 to 11 and if this happens there will be no stopping barca in any competition...
Posted 14:58 11th January 2013
Jj O'grady (Barcelona fan) says...
Hi Guillem, just want to give you an opinion of mine. Many critics in England suggest Messi must prove himself in England, supposedly, the hardest league in the world. In my opinion, that's certainly not true. Players like Torres (in his first Liverpool season), Aguero, Silva, Yaya, Mata and now even the unheard Michu are creating such a reputation for themselves scoring and creating goals, even more than they were in La Liga, and if they can succeed, what makes people believe Messi couldn't, who's on a different level to all those mentioned above. Hope you get a chance to answer this Guillem, thanks.
Posted 08:59 10th January 2013
Patrick Baker (Manchester United fan) says...
I agree Steve, that Messi is one of the true greats to have ever played the game, but i completely agree that Barca is his comfort zone, and that until he proves himself in another team, whether in the same league or another league, he cannot be classed as the best. I reckon ronaldo is a far more all round package, and that he has proved it on 3 fronts, for real portugal and Man U when he was here. Messi i think would find it much harder in a league like ours, which is a lot more physical and competative, and one that wouldnt allow the lack of contact. I think he would just get pushed off the ball due to his size. I am not disregarding the quality, but think without xavi, iniesta and co, that he does struggle, and playing for Argentina shows that.
Posted 08:23 10th January 2013
Tim Hulme (Barcelona fan) says...
Hi Guillem, Is the whole drama about 'the only one' not just result based? I think the booos will be quickly forgotten if he brings them that 10th European title! I'd like to see the back of him cause I feel he approaches the classico with a negative destructive mindset. If they don't win in Europe, do you think Ronaldo will go as well? Who could afford him? PSG or City I guess. Always love your column, wish we could get revista in SA! Tim
Posted 00:59 10th January 2013
Michael Brennan (Birmingham City fan) says...
@ Steve Dont you think leaving Argentina at 12/13 needing to inject himself every night with hgh was leaving his comfort zone? As for Barca being built around him, do you seriously believe if he left that the club he joined wouldnt then be built around him?
Posted 18:13 9th January 2013
Paul Herrington (Real Madrid fan) says...
Although a Madridista I agree with Steve. Maradona left and singlehandedly made Napoli Italy's (if not Europe's) best team when he went there and I think that Messi needs to do the same. Go to another country and learn another language and another culture and do what Maradona did. If not he will be remembered as the best of his generation (yes including Ronaldo) but not of all time. Winning another league and a world cup would end all arguments and discussions. Until then I think it will always be he was fantastic but if only . . .
Posted 18:07 9th January 2013
Jay Moran (Liverpool fan) says...
hi Guillem, i always respect your opinion and you always have valid points. But you seem to be nit picking as to why messi got the award. And you keep saying what did he win last year?? Did he not win the Copa Del Rey??? He is the best player in the world by a distance. . .end of!!
Posted 17:55 9th January 2013
Ibrahim Hussain (Liverpool fan) says...
Hi Guillem what is the latest on xabi alonso i heard he only has 18 months left on his contract will he sign a new one or could he return to the premier league i remember a few months ago you ruled out a return for alonso has the situation changed?
Posted 15:46 9th January 2013
Abhi D (Barcelona fan) says...
@ Steve Ade- I do not understand why Messi has to prove anything anymore. Comfort zone? Do you even know anything about how Barca has evolved into the champions they are? Players have worked hard, so hard, they know how each one moves during the course of play and they play accordingly. What seems easy when you watch it on your couch with popcorn is perfected through hours of hard work. Xavi, Iniesta and Busquets etc make passes which require stunning vision and split defences through runs made by messi and iniesta. Right, comfort zone. Also, on a slightly unrelated note, you cannot take away feelings of loyalty, if Messi wants to stay at Barcelona, he will stay at Barcelona irrespective of his "requirement to prove elsewhere". If a system is in place after years of fine tuning, it does not become a comfort zone. Barcelona have manufactured their comfort zone. And guess what, no one is able to match them.
Posted 07:10 9th January 2013
Steve L (Chelsea fan) says...
So the barca team that thrash espanyol 4 nil will be the one that would play in cl final? is that the sort of comment that trying to make espanyol look special? Truth is, espanyol is not the only one being thumped barca.. As for messi, if he plays in another league and flop, would ya still consider him as the best? if yes then no point of asking..
Posted 05:42 9th January 2013
Edobu Kenneth says...
Jose shuld leave the club for good.
Posted 05:31 9th January 2013
Shane Greenwood (Manchester United fan) says...
I second Steve Ade's comment. Ronaldo has proved himself at different clubs as well as performed for Portugal in major tournaments. Messi at Barca is the best player in the world but does he have the diversity to play any style.
Posted 21:56 8th January 2013
Chris Lambert (Arsenal fan) says...
Hi Guillem, just wondered what your opinion of Adrian Lopez was, would he make it in the PL and is the interest from Arsenal genuine?
Posted 19:54 8th January 2013
Chris Bob (Chelsea fan) says...
Hola Guillem I have been a huge fan of Falcao since he was at Porto and since his move to Atletico I believe he is the best striker in the world. I have heard of the interest in him around Europe, where is the likely destination and when will he go? Also another former Porto player Hulk is reportedly unsettled at Zenit and could be the perfect replacement for Atletico, is their any interest there?
Posted 18:59 8th January 2013
John Gordon (Chelsea fan) says...
Is Falcao close to joining chelsea? If so is there chance he will move in this transfer window?
Posted 15:24 8th January 2013
Dean Willmott (Liverpool fan) says...
Hey Guillem, without being cautious with opinioins, theres no doubt that Messi is the best ever. But it would be very interesting to see Messi in the premier league which is the best in the world. It would be a massive challenge for him which is something he needs. Do you think Manchester City would ever have a chance of signing him in the next five years?
Posted 13:44 8th January 2013
Malcolm Bougard (Espanyol fan) says...
Hi, what do you mean by "Villa does not have the legs anymore?" The guy scores with so little game time and Pedro and the no9 seldom do??? If he was a hasbeen, why is Barca keeping him. I seriously think that playing Villa will take pressure of Messi and allow him to play an even greater roaming position while you are guaranteed that Villa will put away his oppertunities. Did you mean he is too old at 31???
Posted 06:53 8th January 2013
Annas Syed (Barcelona fan) says...
Dear Guillem: Do you think Villa should go on loan as he didn't look 100% after the return from injury ?
Posted 05:06 8th January 2013
Barcafan Bih (Barcelona fan) says...
Guillem, I cannot see how you thought that your team's performance against Barca over the weekend was disappointing. Espanyol defended better against their local rival than any team has so far this season. Barca are just so good that they scored four goals from four half-chances. But I did not see any real penetration or stretching of the Espanyol defence. That was just terrific defending and because they were able to stifle Barca's firepower so effectively, I thought that it was the least entertaining and worthy game to watch of the entire Barca season so far, bar perhaps the Celtic loss. But if Barca had not been at the absolute peak, I am certain that they would have struggled much much more against an Espanyol team who, in my opinion, defended perfectly the entire 90 minutes. So, before you get upset, I think it was a very brave performance from Espanyol and something that every supporter should be proud of.
Posted 01:34 8th January 2013


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By Lyle Fitzsimmons, Contributing NFL Editor
(SportsNetwork.com) - Uneasy is the head that wears the undefeated crown.
Though they're the NFL's last team without a loss, the Kansas City Chiefs have endured more than an unbeaten team's share of doubt amid their best season- starting run in a decade.
In fact, a good deal of expert analysis about the Chiefs concedes the fact that they haven't lost a game yet, but follows up with a contention that their opposition has been less than elite.
That won't change this week when they visit the 3-5 Buffalo Bills on Sunday afternoon, but don't expect wide receiver Dexter McCluster to lose a lot of sleep about it.
"We're not trying to be the beauty queens. A win is a win," he said, after catching seven balls for 67 yards and a touchdown in a six-point defeat of the three-win Cleveland Browns last week. "We know we're going to have to fight. This is the NFL."
In the Bills, the resistance may be dictated as much by health as talent.
Buffalo has won five of its last six games with the Chiefs and routed them, 35-17, in Kansas City last season, but the hosts enter Week 9 this year with a plethora of injuries, including yet another to the latest in a series of starting quarterbacks.
Practice squad reclamation project Thaddeus Lewis was dinged up in last week's loss to New Orleans and was held out of Wednesday's practice with sore ribs while understudies Jeff Tuel and Matt Flynn shared the first-team reps.
Coach Doug Marrone labeled Lewis as "50-50" for Sunday, which, if he's unable to go, means either Tuel or Flynn would become the third QB to start a game this season. Rookie E.J. Manuel is likely out for a few more weeks after injuring a knee in Week 6 at Cleveland, and Lewis was plucked from his deep reserve status after Tuel failed to impress in the final stages of that 37-24 loss.
Lewis was 1-2 in his initial three starts with the Bills, losing to Cincinnati in overtime and beating Miami before an 18-point defeat at New Orleans last week in which he completed 22-of-39 passes for 234 yards, a touchdown and an interception.
Also at less than full health are running back C.J. Spiller, questionable with an ankle injury after missing last week; and wide receiver Stevie Johnson, who's questionable with a hip problem, though he caught seven passes for 72 yards from Lewis against the Saints.
Running back Fred Jackson caught two passes and ran 15 times last week, and is also questionable with a knee injury, but he expects to suit up.
"It probably is happening to every other team, but we're talking about it now and we've got to just get over it," he said. "There's nothing we can really control. We're out there and playing football and this is what happens when you play in this league."
Neither the injuries nor the fact that they're closer to the bottom of the league than the top in scoring defense -- 25th among 32 teams, allowing 26.6 points per game -- have tempered Buffalo optimism.
"Guys are still confident," Jackson said. "We've got a good opponent coming in this weekend that gives us an opportunity to go out and win against a team that's 8-0, give them the first loss of the season and try and build on that."
Kansas City started 9-0 in 2003 en route to 13 wins and this year became the first team in league history to start 8-0 after compiling the league's worst record -- 2-14 -- a season prior.
Ironically, while the Bills would surely trade record, it's the Chiefs who are playing modest.
"We've always been humble," safety Eric Berry said. "We're going to keep working because we know how hard these wins are to come by. We don't take these for granted."
Nine of the 15 teams to sweep the first eight games of a 16-game schedule have ultimately reached the Super Bowl, and all but one -- the 16-0 New England Patriots -- has won it.
Nonetheless, the gaudy expectations remain a non-factor, according to Tamba Hali. Instead, it's a determination to keep building on what's been accomplished.
"We love what's going on around here as far as winning," Hali said. "None of us have been in this position where this team is 8-0. To keep winning, to go 1-0 every week, we have a sense of urgency to keep getting wins."
Hali and his colleagues have helped Kansas City to league-leading status in scoring defense (12.3 points per game) and sacks (36). Not to mention, the 98 points surrendered thus far are second-fewest in Chiefs history for the first half of a 16-game season.
Cleveland matched Kansas City's most prolific foe by posting 17 points last week, but the Chiefs won a close one for the third straight week -- all decided by six points or fewer.
On offense, running back Jamaal Charles is probable with a knee injury after rushing for 74 yards and catching five passes for 46 yards against the Browns.
He leads the league with an average of 127.3 yards from scrimmage and is second with 635 rush yards.
"It's a long season," Charles said, "and I'll get banged up every week."
Pursue the Weak Impala.
Even at full strength, Buffalo's Lewis is still a practice squad refugee facing an unbeaten team in his fifth NFL start. With the hits he's taken over the last several weeks, even that level has been compromised. Expect him to be harassed mightily by a Kansas City defense that's been particularly stingy and especially aggressive through eight games.
Variety is the Spice.
The Bills are 25th in scoring defense, 26th in total yards allowed, 24th in passing yardage and 26th in rushing yardage. Given those numbers, expect Chiefs quarterback Alex Smith to attack with equal parts Charles, McCluster and Bowe while seeing what combination yields the best results.
The Bills are a popular pick thanks to their competitiveness in three of five losses and the lingering skepticism about the quality of the teams that the Chiefs have beaten.
It's a logical argument, but it's also offset by the fact that -- regardless of who they've played -- this week's visitors simply have more healthy talent available to them. It may be close, but it won't be an upset.
Sports Network predicted outcome: Chiefs 24, Bills 17


text:
By DANNY P. SMITH
The Mississippi State Lady Bulldogs have one of the best defensive teams in the Southeastern Conference.
It doesn't do the Lady Bulldogs much good if they can't generate any offense.
Mississippi State is second in the SEC and in the top 40 nationally in scoring defense by allowing 55.1 points per game. The Lady Bulldogs are fourth in the conference by allowing opponents to shoot 34.3 percent from the field.
Being able to hold teams to below 60 points is one thing, but MSU women's coach Sharon Fanning-Otis knows her squad has to perform well enough on offense to make the effort worth it.
"We have to keep plugging from a defensive standpoint and if you hold teams to 61 points, you can win some ballgames," Fanning-Otis said. "How are we going to score more than 61 (points)? That's got to be a goal every day we come out in practice. We have to see each other and get this assist-turnover (ratio) better.
"A mature team finds a way to keep energy. They find a way to keep defending and rebounding the ball, pushing the ball and finding shots. A mature team will find that. They'll keep the game 0-0 if that's the way it's going to be. You've got to be mentally tough and find ways to win ballgames. If that's with defense, then so be it. Make a commitment to that and find a way to get it done."
The Lady Bulldogs (8-6 overall, 0-2 SEC) dug themselves a 30-17 halftime hole against the Arkansas Lady Razorbacks Sunday before making it interesting in the second half, only to lose a 61-57 decision at home.
One of the areas which disappointed Fanning-Otis the most was players failing to find open holes against an opponent.
"We still didn't see people," Fanning-Otis said. "We had weak-side people open and we had others who didn't come meet the ball. There's not much you draw up other than having to penetrate before somebody traps. We have to pull away, reverse the ball and then attack it. It takes courage to attack.
"There is a lot of quickness in this league and Arkansas is just one of the teams that can press you and trap you in a halfcourt setting. Our footwork a lot of times and positioning is what's hurting us now."
As MSU gets ready to host another SEC game, this time against the LSU Lady Tigers on Thursday, Fanning-Otis hopes it takes the shortcomings of the Arkansas game, learn from them and get better moving forward.
Fanning-Otis understands the Lady Bulldogs are new to each other with 11 new players on the roster and three of those joining the team in December.
"We don't know each other as a team," Fanning-Otis said. "(Catina) Bett was on the scout team until the (December) 11th. Darriel Gaynor is just getting back in. Her step is not there, but her understanding is and she'll get better every day and (Ashley) Newsome hasn't played basketball in four years. Those people have been put in roles that are very important."
Fanning-Otis won't use being new as an excuse and knows the rest of the league won't wait for MSU to catch up.
"You are in the SEC right now so it's a process that's going to have to take place," Fanning-Otis said. "The main thing is that we become more stubborn, tougher, we practice harder and that we learn.
"We're seeing different teams every time you go out. It's a different team and a different look. There's a different player you have to guard and the scouting report is a little bit different. We have to learn each other better, be tougher, be able to stay focused, but play harder.
"If we do that, learn the game, then we'll find ways to win ballgames."


text:
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text:
Dora is that classic Latina cartoon that has been around since 1999. Dora is a very adventurous little girl with a heart of gold. She loves to go out and explore real places with the help of a map and her buddy, Boots the monkey. In every episode you learn Spanish words and phrases. Also, she does not hold grudges, even when the mischievous fox, Swiper, tries to steal things from her.
I am so impressed with Dora that I recently stumbled upon an awesome website that I'm sure you will want to share with your kids. On Nick Jr.'s website, they teach you everything from how to make a Dora cake, to playing games with Dora, to printing out coloring pages for kids. There is even a new Dora app for your smartphone, which is the third learning adventure in the Nickelodeon Literacy Suite. This app will teach your children early reading and phonics skills. They will be ready to leap into phonics!
Dora is never afraid to explore, nor should you be. Check out our awesome website for an impressive selection of Dora toys. From rompers to bubbles and more, I dare you to try to find something that we don't have!


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San Francisco Giants ® Vogelsong @ Washington Nationals ® Zimmermann -152 8:05 EST
1* Free Play Nationals.The visitors turn to veteran Ryan Vogelsong (6-6, 4.19 ERA) who was shelled for four runs in Tuesday's 5-3 loss to the Fish; Vogelsong is now just 4-4 with a ballooned 5.40 ERA on the road this season (also note that Vogelsong owns a pedestrian 4.29 ERA in all "night" games). The home side counters with Jordan Zimmermann (6-5, 3.16 ERA) who was dominating in Tuesday's 6-1 win over the Braves, not allowing a single run over 7 2/3's innings of work; note that Zimmermann has now given up a total of three runs over his last 22 2/3's innings of work and he has to be feeling pretty confident that he can keep the momentum rolling today as he's posted a highly respectable 2.39 ERA at home so far this season. Recent performance plays a part in my MLB handicapping process, I'm going to give Zimmermann the clear nod in this match-up, if you don't mind laying some juice for a high percentage shot at a winner, then you should definitely take a second look at the NATIONALS in this one.AAA Sports
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Heart failure is a cardiac condition, that occurs when a problem with the structure or function of the heart impairs its ability to supply sufficient blood flow to meet the body's needs.
Heart failure should not be confused with cardiac arrest (see Terminology, below). It can cause a large variety of symptoms (chiefly shortness of breath and ankle swelling) but some patients can be completely symptom free. Heart failure is often undiagnosed due to a lack of a universally agreed definition and challenges in definitive diagnosis, particularly in early stage. With appropriate therapy, heart failure can be managed in the majority of patients, but it is a potentially life threatening condition, and progressive disease is associated with an annual mortality of 10%. It is the leading cause of hospitalization in people older than 65.
This may occur when the cardiac output is low (often termed "congestive heart failure").
In contrast, it may also occur when the body's requirements are increased, and demand outstrips what the heart can provide, (termed "high output cardiac failure") . This can occur in the context of severe anemia, beriberi (vitamin B1/thiamine deficiency), thyrotoxicosis, Paget's disease, arteriovenous fistulae or arteriovenous malformations.
Fluid overload is a common problem for people with heart failure, but is not synonymous with it. Patients with treated heart failure will often be euvolaemic (a term for normal fluid status), or more rarely, dehydrated.
Doctors use the word "acute" to mean of rapid onset, and "chronic" of long duration. Chronic heart failure is therefore a long term situation, usually with stable treated symptomatology. Acute Heart failure, which should just describe sudden onset HF, is also used to describe exacerbated or decompensated heart failure, referring to episodes in which a patient with known chronic heart failure abruptly develops symptoms.
There are several terms which are closely related to heart failure, and may be the cause of heart failure, but should not be confused with it:
Functional classification generally relies on the New York Heart Association Functional Classification. The classes (I-IV) are:
This score documents severity of symptoms, and can be used to assess response to treatment. While its use is widespread, the NYHA score is not very reproducible and doesn't reliably predict the walking distance or exercise tolerance on formal testing.
In its 2001 guidelines, the American College of Cardiology/American Heart Association working group introduced four stages of heart failure:
The ACC staging system is useful in that Stage A encompasses "pre-heart failure" - a stage where intervention with treatment can presumably prevent progression to overt symptoms. ACC stage A does not have a corresponding NYHA class. ACC Stage B would correspond to NYHA Class I. ACC Stage C corresponds to NYHA Class II and III, while ACC Stage D overlaps with NYHA Class IV.
Left sided forward failure overlaps with right sided backward failure. Additionally, the most common cause of right-sided heart failure is left-sided heart failure. The result is that patients commonly present with both sets of signs and symptoms. The division is still however commonly taught to health professionals.
Compromise of left ventricular forward function may result in symptoms of poor systemic circulation such as dizziness, confusion and cool extremities at rest.
Additional signs indicating left ventricular failure include a laterally displaced apex beat (which occurs if the heart is enlarged) and a gallop rhythm (additional heart sounds) may be heard as a marker of increased blood flow, or increased intra-cardiac pressure. Heart murmurs may indicate the presence of valvular heart disease, either as a cause (e.g. aortic stenosis) or as a result (e.g. mitral regurgitation) of the heart failure.
A 19 year study of 13000 healthy adults in the United States (the National Health and Nutrition Examination Survey (NHANES I) found the following causes ranked by Population Attributable Risk score:
An Italian registry of over 6200 patients with heart failure showed the following underlying causes:
Rarer causes of heart failure include:
Obstructive Sleep Apnea a condition of sleep disordered breathing overlaps with obesity, hypertension and diabetes and is regarded as an independent cause of heart failure.
Heart failure is caused by any condition which reduces the efficiency of the myocardium, or heart muscle, through damage or overloading. As such, it can be caused by as diverse an array of conditions as myocardial infarction (in which the heart muscle is starved of oxygen and dies), hypertension (which increases the force of contraction needed to pump blood) and amyloidosis (in which protein is deposited in the heart muscle, causing it to stiffen). Over time these increases in workload will produce changes to the heart itself:
The general effect is one of reduced cardiac output and increased strain on the heart. This increases the risk of cardiac arrest (specifically due to ventricular dysrhythmias), and reduces blood supply to the rest of the body. In chronic disease the reduced cardiac output causes a number of changes in the rest of the body, some of which are physiological compensations, some of which are part of the disease process:
The increased peripheral resistance and greater blood volume place further strain on the heart and accelerates the process of damage to the myocardium. Vasoconstriction and fluid retention produce an increased hydrostatic pressure in the capillaries. This shifts of the balance of forces in favour of interstitial fluid formation as the increased pressure forces additional fluid out of the blood, into the tissue. This results in edema (fluid build-up) in the tissues. In right-sided heart failure this commonly starts in the ankles where venous pressure is high due to the effects of gravity (although if the patient is bed-ridden, fluid accumulation may begin in the sacral region.) It may also occur in the abdominal cavity, where the fluid build-up is called ascites. In left-sided heart failure edema can occur in the lungs - this is called cardiogenic pulmonary oedema. This reduces spare capacity for ventilation, causes stiffening of the lungs and reduces the efficiency of gas exchange by increasing the distance between the air and the blood. The consequences of this are shortness of breath, orthopnoea and paroxysmal nocturnal dyspnea.
The symptoms of heart failure are largely determined by which side of the heart fails. The left side pumps blood into the systemic circulation, whilst the right side pumps blood into the pulmonary circulation. Whilst left-sided heart failure will reduce cardiac output to the systemic circultion, the initial symptoms often manifest due to effects on the pulmonary circulation. In systolic dysfunction, the ejection fraction is decreased, leaving an abnormally elevated volume of blood in the left ventricle. In diastolic dysfunction, end-diastolic ventricular pressure will be high. This increase in volume or pressure backs up to the left atrium and then to the pulmonary veins. Increased volume or pressure in the pulmonary veins impairs the normal drainage of the alveoli and favors the flow of fluid from the capillaries to the lung parenchyma, causing pulmonary edema. This impairs gas exchange. Thus, left-sided heart failure often presents with respiratory symptoms: shortness of breath, orthopnea and paroxysmal nocturnal dyspnea.
In severe cardiomyopathy, the effects of decreased cardiac output and poor perfusion become more apparent, and patients will manifest with cold and clammy extremities, cyanosis, claudication, generalized weakness, dizziness, and syncope
The resultant hypoxia caused by pulmonary edema causes vasoconstriction in the pulmonary circulation, which results in pulmonary hypertension. Since the right ventricle generates far lower pressures than the left ventricle (approximately 20 mmHg versus around 120 mmHg, respectively, in the healthy individual) but nonetheless generates cardiac output exactly equal to the left ventricle, this means that a small increase in pulmonary vascular resistance causes a large increase in amount of work the right ventricle must perform. However, the main mechanism by which left-sided heart failure causes right-sided heart failure is actually not well understood. Some theories invoke mechanisms that are mediated by neurohormonal activation. Mechanical effects may also contribute. As the left ventricle distends, the intraventricular septum bows into the right ventricle, decreasing the capacity of the right ventricle.
Heart failure caused by systolic dysfunction is more readily recognized. It can be simplistically described as failure of the pump function of the heart. It is characterized by a decreased ejection fraction (less than 45%). The strength of ventricular contraction is attenuated and inadequate for creating an adequate stroke volume, resulting in inadequate cardiac output. In general, this is caused by dysfunction or destruction of cardiac myocytes or their molecular components. In congenital diseases such as Duchenne muscular dystrophy, the molecular structure of individual myocytes is affected. Myocytes and their components can be damaged by inflammation (such as in myocarditis) or by infiltration (such as in amyloidosis). Toxins and pharmacological agents (such as ethanol, cocaine, and amphetamines) cause intracellular damage and oxidative stress. The most common mechanism of damage is ischemia causing infarction and scar formation. After myocardial infarction, dead myocytes are replaced by scar tissue, deleteriously affecting the function of the myocardium. On echocardiogram, this is manifest by abnormal or absent wall motion.
Because the ventricle is inadequately emptied, ventricular end-diastolic pressure and volumes increase. This is transmitted to the atrium. On the left side of the heart, the increased pressure is transmitted to the pulmonary vasculature, and the resultant hydrostatic pressure favors extravassation of fluid into the lung parenchyma, causing pulmonary edema. On the right side of the heart, the increased pressure is transmitted to the systemic venous circulation and systemic capillary beds, favoring extravassation of fluid into the tissues of target organs and extremities, resulting in dependent peripheral edema.
Heart failure caused by diastolic dysfunction is generally described as the failure of the ventricle to adequately relax and typically denotes a stiffer ventricular wall. This causes inadequate filling of the ventricle, and therefore results in an inadequate stroke volume. The failure of ventricular relaxation also results in elevated end-diastolic pressures, and the end result is identical to the case of systolic dysfunction (pulmonary edema in left heart failure, peripheral edema in right heart failure.)
Diastolic dysfunction can be caused by processes similar to those that cause systolic dysfunction, particularly causes that affect cardiac remodeling.
Diastolic dysfunction may not manifest itself except in physiologic extremes if systolic function is preserved. The patient may be completely asymptomatic at rest. However, they are exquisitely sensitive to increases in heart rate, and sudden bouts of tachycardia (which can be caused simply by physiological responses to exertion, fever, or dehydration, or by pathological tachyarrhythmias such as atrial fibrillation with rapid ventricular response) may result in flash pulmonary edema. Adequate rate control (usually with a pharmacological agent that slows down AV conduction such as a calcium channel blocker or a beta-blocker) is therefore key to preventing decompensation.
Left ventricular diastolic function can be determined through echocardiography by measurement of various parameters such as the E/A ratio (early-to-atrial left ventricular filling ratio), the E (early left ventricular filling) deceleration time, and the isovolumic relaxation time.
Chest X-rays are frequently used to aid in the diagnosis of CHF. In the compensated patient, this may show cardiomegaly (visible enlargement of the heart), quantified as the cardiothoracic ratio (proportion of the heart size to the chest). In left ventricular failure, there may be evidence of vascular redistribution ("upper lobe blood diversion" or "cephalization"), Kerley lines, cuffing of the areas around the bronchi, and interstitial edema.
According to a meta-analysis comparing BNP and N-terminal pro-BNP (NTproBNP) in the diagnosis of heart failure, BNP is a better indicator for heart failure and left ventricular systolic dysfunction. In groups of symptomatic patients, a diagnostic odds ratio of 27 for BNP compares with a sensitivity of 85% and specificity of 84% in detecting heart failure.
If a heart failure patient exhibits a resistance to or poor response to diuretic therapy, ultrafiltration or aquapheresis may be needed to achieve adequate control of fluid retention and congestion. The use of such mechanical methods of fluid removal can produce meaningful clinical benefits in patients with diuretic-resistant heart failure and may restore responsiveness to conventional doses of diuretics.9
The inotropic agent dobutamine is advised only in the short-term use of acutely decompensated heart failure, and has no other uses.
Phosphodiesterase inhibitors such as milrinone are sometimes utilized in severe cardiomyopathy. The mechanism of action is through the antagonism of adenosine receptors, resulting in inotropic effects and modest diuretic effects.
The COMPANION trial demonstrated that CRT improved survival in individuals with NYHA class III or IV heart failure with a widened QRS complex on an electrocardiogram. The CARE-HF trial showed that patients receiving CRT and optimal medical therapy benefited from a 36% reduction in all cause mortality, and a reduction in cardiovascular-related hospitalization.
Patients with NYHA class II, III or IV, and LVEF of 35% (without a QRS requirement) may also benefit from an implantable cardioverter-defibrillator (ICD), a device that is proven to reduce all cause mortality by 23% compared to placebo in patients who were already optimally managed on drug therapy. Patients with severe cardiomyopathy are at high risk for sudden cardiac death due to ventricular dysrhythmias. Although ICDs deliver electrical shocks to resynchronize heart rythm which are potentially destressing to the patient, they have not been shown to affect quality of life. The number of (appropriate and inappropriate) shocks seems to be associated to a worse outcome. Although they are expensive, ICDs are potentially cost-effective in this setting.
Another current treatment involves the use of left ventricular assist devices (LVADs). LVADs are battery-operated mechanical pump-type devices that are surgically implanted on the upper part of the abdomen. They take blood from the left ventricle and pump it through the aorta. LVADs are becoming more common and are often used by patients who have to wait for heart transplants.
If heart failure ensues after a myocardial infarction due to scarring and aneurysm formation, reconstructive surgery may be an option. These aneurysms bulge with every contraction, making it inefficient. Cooley and coworkers reported the first surgical treatment of a left ventricular aneurysm in 1958. The used a linear closure after their excision. In the 1980s, Vincent Dor developed a method using an circular patch stitched to the inside of the ventricle (the endoventricular circular patch plasty or Dor procedure) to close the defect after excision. His approach has been modified by others. Today, this is the preferred method for surgical treatment of incorrectly contracting (dyskinetic) left ventricle tissue, although a linear closure technique combined with septoplasty might be equally effective. The multicenter RESTORE trial of 1198 participants demonstrated an increase in ejection fraction from about 30% to 40% with a concomitant shift in NYHA classes, with an early mortality of 5% and a 5-year survival of 70%. As of yet, it remains unknown if surgery is superior to optimal medical therapy. The STICH trial (Surgical Treatment for IschemiC Heart Failure) will examine the role of medical treatment, coronary artery bypass surgery and left ventricle remodeling surgery in heart failure patients. Results are expected to be published in 2009 and 2011.
The Batista procedure was invented by Brazilian doctor Randas Batista in 1994 for use in patients with non-ischemic dilated cardiomyopathy. It involves removal of a portion of viable tissue from the left ventricle to reduce its size (partial left ventriculectomy), with or without repair or replacement of the mitral valve.. Although several studies showed benefits from this surgery, studies at the Cleveland Clinic concluded that this procedure was associated with a high early and late failure rate. At 3 years only 26 percent were event-free and survival rate was only 60 percent. Most hospitals have abandoned this operation and it is no longer included in heart failure guidelines.
Newer procedures under examination are based on the observation that the spherical configuration of the dilated heart reduces ejection fraction compared to the elliptical form. Mesh-like constraint devices such as the Acorn CorCap aim to improve contraction efficacy and prevent further remodeling. Clinical trials are underway. Another technique which aims to divide the spherical ventricle into two elliptical halves is used with the Myosplint device.
Supplemental oxygen should be administered if hypoxemia is present. It should not however be routinely used. Continuous positive airway pressure may be applied using a face mask; this has been shown to improve symptoms more quickly than oxygen therapy alone, and has in some studies been shown to reduce the risk of death. Severe respiratory failure requires treatment with endotracheal intubation and mechanical ventilation.
Heart failure is usually associated with a volume overloaded state. Therefore those with evidence of fluid overload should be treated initially with intravenous loop diuretics. In the absence of symptomatic hypotension intravenous nitroglycerin is often used in addition to diuretic therapy to improve congestive symptoms.
Volume status should still be adequately evaluated. Some heart failure patients on chronic diuretics can be over diuresis. In the case of diastolic dysfunction without systolic dysfunction, fluid resuscitation may in fact improve circulation by decreasing heart rate, which will allow the ventricles more time to fill. Even if the patient is edematous, fluid resuscitation may be the first line of treatment if the patient is hypotensive. The patient may in fact be intravascularly volume depleted, although if the hypotension is due to cardiogenic shock, additional fluid may make the situation worse. If the patient's circulatory volume is adequate but there is persistent evidence of inadequate end-organ perfusion, inotropes may be administered. In certain circumstances, a left ventricular assist device (LVAD) may be necessary.
Certain scenarios will require emergent consultation with cardiothoracic surgery. Heart failure due to acute aortic regurgitation is a surgical emergency associated with high mortality. Heart failure may occur after rupture of ventricular aneurysm. These can form after myocardial infarction. If it ruptures on the free wall, it will cause cardiac tamponade. If it ruptures on the intraventricular septum, it can create a ventricular septal defect. Other causes of cardiac tamponade may also require surgical intervention, although emergent treatment at bedside may be adequate. It should also be determined whether the patient had a history of a repaired congenital heart disease as they often have complex cardiac anatomy with artificial grafts and shunts that may sustain damage, leading to acute decompensated heart failure.
Acute myocardial infarction can precipitate acute decompensated heart failure and will necessitate emergent revascularization with thrombolytics, percutaneous coronary intervention, or coronary artery bypass graft.
Once the patient is stabilized, attention can be turned to treating pulmonary edema to improve oxygenation. Intravenous furosemide is generally the first line. However, patients on long-standing diuretic regimens can become tolerant, and dosages must be progressively increased. If high doses of furosemide are inadequate, boluses or continuous infusions of bumetanide may be preferred. These loop diuretics may be combined with thiazide diuretics such as oral metolazone or intravenous chlorthiazide for a synergistic effect. Intravenous preparations are preferred because of more predictable absorption. When a patient is extremely fluid overloaded, they can develop intestinal edema as well, which can affect enteral absorption of medications.
Another option is nesiritide, although it should only be considered if conventional therapy has been ineffective and the patient is extremely symptomatic.
Provided that the patient has an adequate blood pressure and is not bradycardic, a β1 selective beta-blocker such as metoprolol should be started. In cases of more severe cardiomyopathy, a beta blocker with alpha antagonist effects such as carvedilol or labetalol may be preferred. An ACE inhibitor or angiotensin receptor blockers should be started as well. If the ejection fraction is poor, an aldosterone receptor antagonist should be started as well.
The criteria for successful treatment of acute decompensated heart failure is the re-establishment of adequate oxygenation off of supplemental oxygen, adequate perfusion of end-organs, and return to baseline symptomatology. A parameter frequently used is return to "dry" weight. As the test is becoming more easily available, return to baseline BNP can also serve as a measure of adequate treatment.
The goal is to prevent the development of acute decompensated heart failure, to counteract the deleterious effects of cardiac remodeling, and to minimize the symptoms that the patient suffers. In addition to pharmacologic agents (oral loop diuretics, beta-blockers, ACE inhibitors or angiotensin receptor blockers, vasodilators, and in severe cardiomyopathy aldosterone receptor antagonists), behavioral modification should be pursued, specifically with regards to dietary guidelines regarding salt and fluid intake. Exercise should be encouraged as tolerated, as sufficient conditioning can significantly improve quality-of-life.
In patients with severe cardiomyopathy, implantation of an automatic implantable cardioverter defibrillator(AICD) should be considered. A select population will also probably benefit from ventricular resynchronization.
In select cases, cardiac transplantation can be considered. While this may resolve the problems associated with heart failure, the patient generally must remain on an immunosuppressive regimen to prevent rejection, which has its own significant downsides.
Without transplantation, heart failure caused by ischemic heart disease is not reversible, and cardiac function typically deteriorates with time. (In particular, diastolic function worsens as a function of age even in individuals without ischemic heart disease.) The growing number of patients with Stage D heart failure (intractable symptoms of fatigue, shortness of breath or chest pain at rest despite optimal medical therapy) should be considered for palliative care or hospice, according to American College of Cardiology/American Heart Association guidelines.
A very important method for assessing prognosis in advanced heart failure patients is cardiopulmonary exercise testing (CPX testing). CPX testing is usually required prior to heart transplantation as an indicator of prognosis. Cardiopulmonary exercise testing involves measurement of exhaled oxygen and carbon dioxide during exercise. The peak oxygen consumption (VO2 max) is used as an indicator of prognosis. As a general rule, a VO2 max less than 12-14 cc/kg/min indicates a poorer survival and suggests that the patient may be a candidate for a heart transplant. Patients with a VO2 max<10 cc/kg/min have clearly poorer prognosis. The most recent International Society for Heart and Lung Transplantation (ISHLT) guidelines (http://www.jhltonline.org/article/PIIS1053249806004608/fulltext#sec1) also suggest two other parameters that can be used for evaluation of prognosis in advanced heart failure, the heart failure survival score and the use of a criteria of VE/VCO2 slope>35 from the CPX test. The heart failure survival score is a score calculated using a combination of clinical predictors and the VO2 max from the cardiopulmonary exercise test.


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Welcome to Drug Rehab Comparison, a free resource site offering a list of treatment facilities, a blog and a wealth of resources on recovery and addiction.
The decision to seek help for addiction and entering a treatment center is life altering and one that can ultimately save your life. The wide wide range of of treatment options and facilities offering services for drug and alcohol addiction is overwhelming at a time of often severe stress. Our site seeks to help you gather the necessary information to make an informed decision about treatment. There are many treatment options available – inpatient, extended care, residential, outpatient, etc. – so where do you start with making a choice?
Drug Rehab Comparison is an information site offering a list of Treatment Facilities. Visit our Resources to do research and find answers to common questions to help you make your decision on which treatment center to call.
Regardless of whether you are the addict or the family member making a decision and seeking help, the task can be daunting and overwhelming. This life changing decision is often approached with fear – and minimal understanding of what to look for. The denial is often powerful despite being faced with the reality of the addiction and often life threatening consequences. They are usually in a lot of fear swinging between denial and hopelessness. With your life or the life of a loved one at stake fear can push people into making decisions that may not be the best for the individual involved. This is when it becomes very important to seek medical advice and the help of an addiction professional – This site offers a wealth of relevant information along with a list of all the treatment centers around the country offering drug and alcohol treatment programs.
Which Treatment Facility? Ask Questions
When choosing a facility consider your options carefully. When you are comparing them make a list of the drug rehab centers that you may consider – based on location, treatment specialties, etc. Then contact them in turn. Develop a list of facts you want to gather for each of them and the questions you want to ask.
For example:
- Do they have medically supervised detox or must I do that first.?
- Does the treatment center follow the 12 steps
- How effective has your program been in the past?
- What are the qualifications and credentials of your staff?
- How much will it cost me?
- Does the center accept insurance?
- Will my insurance cover all of the program?
- Is the program 12 step or holistic based, what is the difference?
- What will happen when I leave treatment?
- Will I get assistance with aftercare and introduction to an outside 12 step program?
At the time where the addict or alcoholic is ready for treatment resources may be scarce which is why we do advocate treatment through the 12 steps which is a program of recovery available for free through many meetings throughout the country. Entering treatment will get you sober, living sober is the tough part and many people who enter a 12 step program after leaving treatment go on to live happy, sober, and successful lives no matter how far down the path they have gone.
Check our List of Drug and Alcohol treatment facilities
There is a directory of treatment facilities and options listed on this site. We provide information on thousands of US drug rehab and addiction treatment facilities. We also provide the option to search by location, specialty or type. Regardless of the chemical dependency you or your loved one is suffering from you should be able to find information or the number to call the centers directly on our site.
Find The Facility That Meets Your Needs & Budget
The right choice of treatment facility of the utmost importance. The decision to enter Rehab can alter your life! Our goal is to provide you with a wide range of information to help you make this important decision.
This video from the Cabin Chiang Mai describes the different types of treatments particularly the difference between Inpatient and Outpatient treatments.
Our site is designed to provide information on addiction for addicts and families. If you are looking for a drug rehab center you can call our free phone number 24/7 for a free consultation. Call now if you are seeking help (866) 426-7444
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1000 (Half-day FREE seminar) This seminar gives those who may be interested in a career as a legal assistant, or paralegal, the opportunity to find out about the profession and the opportunities available in the field. This is a great orientation for beginning legal-assistant students.
1013 (Three Saturdays) Survey of the legal system and the role of the legal assistant. This course is a prerequisite to all other courses and provides the student with a background for the courses which follow in the University of Oklahoma legal-assistant program.
1023 (Three Saturdays) (Prerequisite to Legal Writing). Emphasis is on the structure of a legal memorandum. Covers the use of effective writing style and use of Oklahoma legal research materials. Students will also learn how to brief a case. It is strongly recommended that this course be completed in the student's first semester of study.
1033 (Three Saturdays) (Prerequisite to Legal Writing). Covers use of state and federal statutes, court reporters, encyclopedias, annotations, digests, Shepard's, periodicals, legislative history sources, and administrative law materials.
1243 (Three Saturdays) (Prerequisites: Legal Analysis and Legal Research) Presentation of guidelines for effective advisory and argumentative writing as applied to pleadings, briefs, legal memorandums, and other types of legal writing.
1083 (Three Saturdays) (Prerequisite to Civil Procedure II) This course will emphasize the selection of a proper forum, analysis of jurisdiction and venue requirements, both state and federal; determination of necessary parties; preparation of pleadings required in civil litigation, including petitions, motions, answers, counterclaims, and set-offs, as well as post-judgment procedures. Students will make a trial notebook that will also be used in Civil Procedure II.
2083 (Three Saturdays) (Prerequisite: Civil Procedure I) A continuation of Civil Procedure I, using the trial notebook from that course. The course covers preparation for a civil trial. It includes gathering and organizing evidence by investigation and discovery methods and contact with client and parties. Federal and state court discovery methods and organization for effective presentation at trial are studied.
2252 (Two Saturdays) (Prerequisite: Legal Research) Computer-assisted legal research. An introductory course to familiarize students with the computerized legal research systems. Students will receive training in the effective use of search strategies to enhance their legal research capabilities.
2093 (Three Saturdays) Oklahoma and Federal Rules of Evidence will be surveyed in order to familiarize students with the types of evidence which will and will not be admissible in court and objections which may be made during discovery and in pretrial orders to proposed evidence.
2042 (Two Saturdays) Course will provide the student with knowledge of the industry (including the legal marketplace, the legal team, personnel relations, and client relations), provide the student with knowledge of how a law office functions (including legal fees, timekeeping, billing, and financial management), and provide the student with essential skills (including law office systems, docket control systems, records management, file management, and law library management).
1043 (Three Saturdays) (It is recommended that students complete Legal Analysis before taking this course.) Ethics permeate all activities of a lawyer. This course will enable the legal assistant to: (1) identify ethical parameters of the legal profession; (2) research applicable statutes, rules, and case law; and (3) apply that body of law to practical situations. The course also will examine the extent of the legal assistant's ethical responsibility.


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Volleyball Coaching Staff
Kathy Bullock
Head Coach
Since taking over the helm of the TSU volleyball program in 2004, Kathy Roulhac has led the Lady Tigers to two OVC titles, an NCAA appearance and three of the best seasons in school history.
In 2007, Roulhac guided the Lady Tigers to their first OVC Tournament..Championship and first ever NCAA Tournament berth. TSU finished the season 20-14 with a conference mark of 14-6.
Under her guidance, the Tiger volleyball program has had nine All-OVC Second-Team, four All-OVC Newcomer and five All-OVC First Team selections. Additionally, in 2011, Shaquita Williams was named the Ohio Valley Conference Player of the Year; marking the first time that a Tennessee State player has recieved the honor.
Roulhac joined the Tennessee State University staff in 2004. By the next season, she turned the Lady Tigers into conference champions and guided them to the best overall record in school history, 22-11. The previous year, the squad finished with an overall record of 5-17. The 17-game turn around was the largest in 2005 for NCAA Division-I. The Lady Tigers also set the school record for most wins in conference play, going 14-2 en route to their first regular season conference championship. The team's accomplishments earned Roulhac Ohio Valley Conference "Coach of the Year" honors.
Prior to TSU, Roulhac spent ten years as head coach at North Carolina A&T. In her first season, Roulhac went 12-25 and 7-4 in the Mid-Eastern Athletic Conference (MEAC) in 1994. In her next season, Roulhac coached the Lady Aggies to 15 wins and won the MEAC Southern Division with an 8-1 record. In 1996, Roulhac led the Lady Aggies to a remarkable 17-15 record and a first place 6-0 finish in the conference. In 1998, Roulhac led NC A&T to an overall 16-15 record while finishing 8-0 in the MEAC. From 1999-2001, Roulhac's Lady Aggies won 19, 20 and 22 games, extending their winning and school record each year.
In her final year at NC A&T, she led the Lady Aggies to a record of 18-15, with a lineup that had just one senior.
She completed her Lady Aggie career with a record of 146- 161 in ten seasons. She has coached seven First-Team All- MEAC selections, and one MEAC Player of the Year, outside hitter Vania Blake in 1998.
As a student-athlete, Roulhac was named to the volleyball All-MEAC First Team each of her four seasons and is the only player in conference history to achieve that honor. She was also an All-American track performer in the 800-meters during the 1984-85 season.
A native of Durham, N.C., Roulhac graduated from North Carolina A&T in 1987 with a degree in communications. She credits her family as a source of her achievements on and off the field. She has one daughter, Kayla.
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Anti-Abortion and Pro-Choice?
Last week, I asked: So what if I hadn't been born? In response, Rachael Larimore at Slate kindly took up my offer to discuss, as she puts it, "the lightest of topics": abortion.
You will not be surprised to learn that we differ on some core points. First, she believes that embryos are human beings. Here she writes:
… this photo of a 10-week-old embryo clearly shows limbs and eyes and organs and a brain. It might look like an imagined Roswell-esque alien, but if it's not human, I don't know what is.
Rachael, I disagree. I see an embryo, the size of a pinkie, that couldn't survive even in the most intensive NICU. It doesn't have a working brain, internal organs, or lungs that could function under any circumstances. It's a mush of rapidly dividing cells with enormous potential to be a human, if nothing intervenes, like a miscarriage or a D&C. But to me, that uninhabited scrunch of cells is no more human than an acorn is an oak tree. And so I don't agree that "it's barbaric to kill 1 million babies a year," since I do not see a baby in that one ounce of tissue. I don't think women who choose abortion have committed murder, or anything even close. I think they scraped out some extra tissue that could have become babies but were not yet.
I do think, Rachael, that you honestly believe that these cells are human. I don't think you're some misogynist anti-sex demon who wants to impose a patriarchal regimen on American women, which I know is how some pro-choice folks imagine the opposition. But I see no moral tragedy in your declaration that in 2008 there were 1.21 million abortions. I don't think that the moment of having heterosexual intercourse—willingly or otherwise, with or without contraception—should be the last moment when a woman may consider whether or not she would harbor a cluster of cells all the way up until it's a full, independent, sentient being.
I know I am part of a minority—about a third of the country—that is especially anti-sentimental about embryonic development. My sense from the opinion numbers is that most people see, in those cells, a kind of sliding scale of humanity. This point of view conceives (ahem) of a fertilized egg as something more than a fingernail but not really human in the same way that you and I are, though they see a 39-week-old fetus as practically a baby. That's why, I think, most people are okay with first-trimester abortions but have a harder time with the final trimester, and why roughly half the country believes that abortion should be legal in some circumstances but not all. Such people believe that, up to a certain point, the fertilized egg/embryo/fetus is kind of human—although not in precisely the same way that you and I are.
And yet I do believe life is sacred—so much so that I believe that actual life vastly outweighs potential life. If someone considers those multiplying and dividing cells, and concludes that her life's circumstances outweigh that potential life's possibilities, who are you to decide that for her? What if that pregnancy stands between her and getting away from an abusive boyfriend, or recovery from rape, or climbing out of poverty, or being able to support her other three children? What if she's fourteen, carrying the consequences of her father's repeated sexual assaults? What if she has an ectopic pregnancy, which will never result in an independently living child and could rupture and kill her? What if it's the day after she's date-raped and she takes Plan B, whose active ingredient is levonorgestrel, which scientists say works by preventing fertilization but may occasionally prevent implantation instead?
If any of these "ifs" move your heart, Rachael, then you may be anti-abortion but pro-choice—an ethically consistent position, and the position that, I believe, many Americans hold.
Consider this anecdote: I had a friend who was pregnant under horribly difficult circumstances, which she would be uncomfortable having me relate. She hated the idea of abortion. But one day she found herself standing by a train track, fighting the impulse to jump. At that point she realized that she had to treat her life as more important than was the mere promise of life inside her. Had abortion been illegal, she would have found someone to do it anyway—not just for herself but so she could continue to support her two living, breathing, actual children.
So do you feel that abortion should be against the law? Should my friend have been put in jail for that abortion? Should she have been condemned to risk bleeding to death in a hotel room when an unqualified butcher removed the embryo with a coat hanger? I know people who are against abortion, beliving as you do that it is a moral tragedy—but who still believe that it has to be legal, because otherwise women (like my friend) will risk their lives to escape nature's accident.
None of this is abstract. Mississippi will vote next week on the radical "personhood" constitutional amendment, which would enshrine in law the formulation that "sperm + egg = person" and could outlaw some forms of contraception while also complicating medical treatment for miscarriage. (The Prospect's Pema Levy reported on the genesis of the personhood movement here last week; Irin Carmon at Salon reported on the intra-Mississippi politics of the amendment, with careful delineations of the scientific and ethical questions in play.) The consequences here are real and personal.
Do you believe you should impose your beliefs—which are fundamentally spiritual beliefs about an honest question that cannot be decided in any factual or scientific way—on others, no matter their circumstances, overriding their own ethical and moral deliberations? That's what I mean about making women mandatory incubators. If a woman does not believe that that pinkie is a human, should the government force her to hold it inside her until it is?
It's possible to be anti-abortion but pro-choice. I believe many people in this country are. Do you favor the personhood amendment? Do you think abortion should be outlawed under all circumstances?
Wed, 2011-11-02 13:22
I don't know about Rachel, but I think a big part of the problem is that many anti-choice people DO want to impose their spiritual beliefs on other people. The "personhood" people certainly do. They think our beliefs are wrong, theirs are right, and that fact should be enforced by law.
Wed, 2011-11-02 15:24
Sure-- anti-choicers believe that they understand a capital-T Truth about the nature of the human soul, and that their beliefs must therefore be accorded the respect of legal reinforcement even in the face of ruining others' lives. I've rarely, if ever, found anyone on that side who can back up their beliefs enough to sort all of the various other mishaps and disasters of pregnancy into categories that would allow them to recommend appropriate responses beyond 'just let everything run its natural course and if you or others die or suffer, so be it.' And even that approach doesn't apply to labor and birth, as evidenced by intervention rates every bit as high as among the general population.
Once you start drilling down into specifics, it's really all about how much they approve of the women. Testing that may reveal an unfixable problem that could prompt talk of termination: Bad. Testing that opens up opportunities for heroic medical acts and amazing displays (I use that word deliberately) of Maternal Virtue: Good. The narrative is always central with conservatives of all stripes, and that most narratives are actually fictions and/or pleasing myths never seems to bother them, because they don't look for truth in reality, or for reality in truth.
Thu, 2011-11-03 09:31
The thing I don't get about persnohood amendments: even if a fetus is legally defined as a person, and entrusted with rights accoridngly, I'm pretty sure that human beings do not have the right to live inside of other human beings without the consent of the person being so invaded. To my mind, if the fetus is a person, than an abortion can be viewed as self-defense, and a refusal to sacrifice your bodily autonomy for the life of another person (which we are not, by law, requried to do under any other circumstances).
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Biblical Studies
Highlights From Romans
Teaching Series by R.C. Sproul
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The Messiah is Born
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How to Enjoy Your Bible
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The Lord's Prayer
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Throughout the history of the church, the Lord's Prayer had been recited on the Lord's Day as Christians have gathered for worship. In this series, Dr. R.C. Sproul examines the Lord's Prayer and helps to explain the Biblical meaning of … Learn MoreCD $31.00 $27.90 Add to Cart
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Grace and Its Fruits
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Tabletalk 2004 Collection
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Biblical Theology: The History of Theology from Adam to Christ
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Beatty spent a week in Taiwan as a guest of the Ministry of Foreign Affairs and will report on how Taiwan thrives amidst its unique international status. Although not recognized by the United States as a country, Taiwan has been able to not only survive as a counter to mainland China, but in recent years has found a way to build its democratic state while also forging new and unprecedented ties to China.
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Amanda Hughes, university relations, (785) 670-2153
International programs, (785) 670-1051


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Can you leave off the towel rack and spice rack? If so, how wide is the top of the cart?
Nice smaller size island for our small kitchen. I like how it have shelves that can close to keep items clean and out of site....
Meryland White Modern Kitchen Island Cart
Baxton Studio Meryland White Modern Kitchen Island Cart
- Materials: MDF, rubber wood veneer, metal
- White lacquered MDF and rubber wood base
- Natural stained rubber wood veneer countertop
- Cabinets, drawers, shelves, condiment rack, and towel rack
- Silver drawer pulls and hardware
- Wheeled cart with lockable wheels
- Dimensions: 34.5 inches high x 47.4 inches wide x 17.78 inches deep
Assembly required
|Assembly Required
|Cart Type
|Kitchen Cart
|Counter Type
|See description
|MDF, rubber wood veneer, metal
|Model Number
|Meryland White Modern Kitchen Island Cart
Customer Reviews
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Perfect Size
Nice smaller size island for our small kitchen. I like how it have shelves that can close to keep items clean and out of site.Read More
Mr Mark
Received the two large boxes on time. But had a problem putting the item together. No instructions were included. Called and got a copy. Found no items (pieces) were numbered as on the instructions. The instructions were not clear and three times I had to disassemble parts and figure out the correct way. Three items were missing. Item looks good enough and I will not call for these. I can make them myself. Will not order from Overstock again.Read More
Ms A
It was fairly simple to put together because I'm good at puzzles. But there were no written directions and the 132 pieces of hardware were all dumped into one bag with no labels. The wooden parts should have been numbered but they must have fallen off before shipping so that took some figuring out on my part.Read More
Good Value
I found this product to be just as I expected and wanted. Took about 2 hrs to put together. Directions were very good. Quality very good. Delivery process and customer service excellent as I contacted via chat for delivery info. Overall extremely happy.Read More
Very nice. Little hard to put together but looks great in my kitchen.Read More
Above average
The cart looks great in my kitchen. I ordered knobs (from an online hardware site) to match my kitchen cabinets. It took 3 1/2 hours to assemble including the time to disassemble it to the point needed. There are no directions for Part #10, the small piece of the back of the cart and I had to disassemble half the cart to install the piece. Additionally, I incorrectly assembled the drawers and the cabinet doors. You have to look VERY closely at the assemply photos which are the instructions to notice which direction to assemble these pieces. The small shelf under on the left side of the cart was damaged. The small wooden connector was jammed in too hard by the manufacturer and it cracked the shelf. It isn't too noticeable. But, I would have asked for another cart if I'd seen it on a store showroom but sending it back for a replacement would have been difficult. I love the cart but wish the instructions would have been clearer.Read More
simple, beautiful and really useful
I ordered this kitchen cart as it matched perfectly with my rustic kitchen furniture. It is really comfortable to use and more it is highly functional. I can place my tools on the shelves, in the drawers and easily place my bowls and things on the top. The cart looks amazing with its clean white color and simple design. The quality is high while the price was affordable. Cooking and serving became a childs game with this cart.Read More
Good for the Price
I was nervous about purchasing this item because it's so hard to gauge quality online, but after careful consideration, I went ahead with it - and I'm glad I did. The shipping was quick and it only took about an hour and a half to assemble (with two people). The quality isn't exactly top notch, but for the price I'd say it's right about what you'd expect. The only thing I'm not crazy about was the back of the cart. Since I planned to use it as an island, I wanted it to look nice both front and back. The back slots are just particle board painted white instead of the actual wood pieces. It doesn't look terrible, but would've been nice to know ahead of time. Overall, I'm happy with the purchase.Read More
Island Kitchen cart
It fits perfectly in my kitchen and is very useful as more storage and counter space. I like the shelves to place salad bowls on since I have designated the cart as the salad cart. Of course it is a leaning place for guests without them getting in my way. The assembly was a bit complicated (be sure to insert the back panel of the drawer section you put the side panels on.) I have gotten lots of compliments on it and have priced them in Big Lots and this one is a lot cheaper and of same quality and construction.Read More
Good for the price
For the money (and compared to carts costing twice as much), this is an excellent addition to small kitchens. Although it is not a very deep cart, the added counter space, shelves and drawers make it irreplaceable. The "butcher-block" look top contrasts nicely with the white finish elsewhere, and adds at least the feel of durability. Perhaps most usefully (in my case), the caster wheels roll easily - but, importantly, also lock in place when required - and therefore allows the cart to easily be moved out of the main kitchen area when not needed. Overall, very happy with the product!Read More
Questions & Answers
The dimensions advertised: 34.5 inches high x 47.4 inches wide x 17.78 inches deep - is that of the butcher block only (not including the attachments for hanging towels and paper towels?
Hello afrank, the dimensions listed are the overall dimensions including the towel hang and paper towel holder. Thanks for shopping with us!
How wide are the outer cabinets? Will the cabinet fit a standard kitchenaid mixer?
Hello juliesfc, the cabinet dimensions are 23 inches H x 10.5 inches W x 14 inches D. Thanks for shopping with us!
When shipped; how many boxes and what is the weight of each box please????
Hello jvsacc27, there are 2 boxes. one is approximately 70 pounds the other is 35 pounds. Have a great day!
What are the interior dimensions of the two cabinets?
Hello rb23. The interior dimensions of the cabinets are approximately 23 inches high x 10.5 inches wide x 14 inches deep. Please let us know if you have any further questions.
Why did you choose this product?
I chose this product based upon size, and the reviews because I need extra counter space in my kitchen. I am not a fan of the wheels, but I plan on getting some stationary feet from the hardware store so it looks more like it is supposed to be there.
I live in a 2 room apt and am a hobbyist. This will give me more work and storage room .
help organize my kitchen and more storage
Wider counter space and lower price
price and reviews
For my 2006 Sprinter Van 2500 Conversion Kitchen :)
It looks like it will accommodate my needs. It's the perfect color and the reviews were pretty good.
How many shelf inside the each cabinet?
Hello sm4299, unfortunately this item is out of stock. We currently do not have inventory to check, and cannot guarantee the item will be restocked. Thank you for shopping with us.
Do you ship to Australia?
Hello Wendy, yes, we do ship to Australia. Thank you for shopping with us! Terri D.
What is the width and depth of the middle open shelf?
Hello 1comfort, the dimensions are approximately 23 inches high x 10.5 inches wide x 14 inches deep. Thanks for shopping with us! A.S.
Is the width of this cart measured for just the top or from handle to rack?
Hello daldad, the dimensions listed for width are the overall dimensions of the item including the handle and rack. Thank you for shopping with us. Vicki H
I would like this piece with out the wheels. Can you leave the wheels off and it sit fine on the ground?
Hi pcshops, we tried verifying this information with our support team. This item is not intended to be used without the wheels therefore we do not recommend it. While it may be possible with an extra pad to protect your floor again we do not recommend it.
What are the dimensions of the drawers, especially the height. I noticed two others have asked this same question but there has been no answer.
Hello pemrich, unfortunately this item is out of stock. We currently do not have inventory to check, and cannot guarantee the item will be restocked. Thank you for shopping with us.
The drawers are 14 3/4 inches wide, 11 inches deep and 2 1/2 inches high on the inside.
Hello pemrich, we apologize for the delay in answering your question. We can now confirm the drawer dimension as 14.5 W x 10.5 D x 4 inches H. Thank you for shopping with us.
What are the dimensions of the cabinets? Are they large enough to hold garbage cans?
Hi, alwetzel. The interior dimensions of the cabinets are 23 inches high x 10.5 inches wide x 14 inches deep. Some trash cans will fit; it depends on what size you have. I hope this was helpful to you; let us know if there's anything else we can do for you. Thanks for shopping with us!
Height without shelves is 23 1/2 inches.
I see that the cart is made of MDF. Is there a veneer over the MDF or is it just painted?
Hello soclastang, it is described as having white lacquered MDF and rubber wood base, and a natural stained rubber wood veneer countertop. Thank you for shopping with us.
The word is Maryland and there is a veneer.
what is the width of the actual island without the items attached on the side?
Hello njohnsrud, we appreciate your inquiry. The dimension of this item without a towel rack & sauce rack is L39.37 inches x W17.71 inches x H34.37 inches. We hope you have found this information helpful. Thank you for shopping with us.
Is there a picture of the back of the cart to use as an island? Can we see the backing??
Thank you for your interest in the Meryland White Modern Kitchen Island Cart, unfortunately we do not have any other pictures available but it is guaranteed to be finished in the style as the rest of the cart because it is a free floating island and we would not sell an inferior product that would look horrible out in the open. We are sorry though there aren't any more pics of the island. Thank you for your business. Have a great day.
can you lock the wheels?
yes, you can lock 2 of the wheels
Thank you for your interest in the Meryland White Modern Kitchen Island Cart. Yes the wheels on the island are lockable. We hope this was helpful to you. Have a great day.
Thank you for your interest in the Meryland White Modern Kitchen Island Cart, and you can lock all the wheels independently on the island. We hope this information was helpful. Have a great day.
Is the height of the cart inclusive of the wheels or without? If not, what is the total height with wheels?
These dimensions are including the wheels: 34.5 inches high x 47.4 inches wide x 17.78 inches deep. Please let me know if you have any further question.
Are there shelves inside the cabinets?
According the the assembly instructions there is.
There are and you can adjust the height of them
How deep, wide, and long are the drawers? Also, how much does the shipeed package weigh?
Thank you for your inquiry. We are researching this information and will post a response shortly.
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Gifts for the Gourmet Mom
There's nothing quite like Mom's cooking. Your favorite chef may have some seriously outdated supplies, though. Brighten her kitchen with a fresh batch of cookware. Your taste buds will thank you.
The Sunday Brunch Table
Fresh air, sunny skies, and the scent of fresh waffles drifting through the air. Nothing beats a springtime Sunday brunch. Invite guests to a brunch feast in your home with lively table settings, coffee and tea from our Farmers Market, and these delicious recipes.
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text:
It was a shame about Magnum's career ending just as he was becoming so big. But still, its nice to see someone who's seen so much and is still a fan and hopefully you'll enjoy being here on the forums.
When the Devil is to busy
And Death's a bit to much
They call on me by name you see, for my special touch
To the gentleman I'm Ms. Forture
To the ladies I'm Sir Prize
But call me by any name, any way it's all the same
Want to join EWN's original e-fed? Join EWNCW NOW!Want details? Just ask me!
E-fed: Jackson "The Boss" Smith- IWA & former ICW superstar
DJ "The Ladies Man" Williams w/ Rosita-EWNCW
Devon "Just Damn Good" Jones
I'm jus sayin...


text:
Every now and again I try my hand at this. I've been doing it since I was a kid and I think I've gotten pretty good at it. This could work. Hopefully creative is reading and offer me a job, lol. (I tried to make this as realistic as possible based on the current state of WWE.)
Intercontinental Championship
Big E. Langston vs.
Disclaimer: This list is not all-inclusive and does not include matches prior to the 1990s. So if you're a real 'old-head' or a 'PGer' this list may or may not be for you.
10. Bret hart vs. Shawn Michaels (Wrestlemania 10)
After years of the ultimate debate of who was actually better, I still don't think the question was answered even after this match. These two
So starting off after the No Way Out PPV:
I don't like to sit back and criticize other people's ideas and such. I'm referring to the WWE creative team. I have no idea what goes on behind those doors when they come up with the stuff they do. Perhaps they oftentimes come up with awesome ideas that are shut down by Triple H or Vince, who knows? So I don't necessarily blame them wholeheartedly,


text:
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An ex-con tries to get his kidnapped child back home before his wife discovers that their son is missing.
Rated R for violent content, some language and brief sexuality.
Visit the official site
Cast: Danny Trejo, Lance Henriksen, Richard Riehle, Allan Kolman, Carolyn Hennesy
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