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Lifelong appointments should be tempered just as old drivers should ... test them for competence every couple of years to make sure they're still understanding the rules by which we live.
So does that make the Government responsible for welfare recipients since they pay them to stay at home and have babies to get more money ... like a raise that the rest of us workers rarely see ???
Maybe his parents should be arrested and charged with wrongful death. Aren't they responsible for his behavior anyway ??? Or is that someone else's job too ? Where's Jesse & Al Sharpton now ???
Maybe if his parents did their job there wouldn't be a lengthy rap sheet with the law and you wouldn't have to depend on someone else "policing" your kids !
Seems she's miffed at Ms. Head's choice being seated and not hers ... if she doesn't get her way at home, does she leave and let her family make it on their own as well ???
I personally believe they should both be removed from the City Council. If they're going to act like children then treat them like children. Send them to their rooms and they can't come back until they apologize for their actions and play nice with the others.
Concrete guardrails reinforced with rebar is WAY stronger than steel guardrails ... sorry about that
Concrete guardrails reinforced with rebar is WAY stronger than sttel guardrails ...
You did say FOOT in MOUTH disease right ?
Wait ! Did you say he was quarantined with FOOT in MOUTH disease ?
These people should be sterilized, then put in general population in jail. Inform all why they're there and let nature take it's course.
Last time I tried to eat at Palmettos, the service was horrible. I had to wait 40 minutes for appetizers, and the night was not busy at all. I decided to go elsewhere to finish dinner.


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Bears of the Last Frontier: Arctic Wanderer
Chris Morgan travels to the far north of Alaska, the tiny North Slope town of Kaktovik. It's early November and winter is coming on. But each year, the polar bears struggle for extended periods on dwindling fat reserves, waiting for the opportunity to hunt on sea ice that takes longer to freeze. In early spring, Morgan joins local hunters in Barrow, the northernmost city in Alaska, as they go out on their own hunts, facing some of the same challenges as the bears. In late spring, Morgan travels to the North Slope of the Brooks Range, where countless thousands of caribou cover the ground for miles. The grizzlies are waiting for them, as they have for thousands of years. (Part three of three.)
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Yes, the link probably went to his previous website but as JoLene notes he no longer maintains a site online. Therese
Folks: Make sure to go here to vote: orne.ws/best-or-vote
Nominations in the comments won't be counted in the database. Therese
Here is the direct link: orne.ws/best-or-vote
You can still vote in the other categories as well. Therese
Hi, cgjackman. Thanks for being a loyal reader. To be clear, For Better or Worse is still in the paper. It simply has moved to the Classified section to allow us to test a few new strips. After the new strips run, we'll ask readers for their opinions of them. Therese Bottomly, managing editor
Hi, we left comments open for many hours but today -- the day of his memorial service -- they have been closed. It seemed the right thing to do. Therese Bottomly, managing editor
Different case: http://www.usatoday.com/news/nation/story/2012-03-08/michigan-lottery-food-stamps/53411634/1
Therese Bottomly, managing editor
Hi, the Associated Press added this to a later version of the story:
The Powerball jackpot win is the first since the ticket price increased from $1 to $2 in January. Rising sales nearly doubled the jackpot from $173.5 million on Feb. 1. The Power Play option, which White selected, costs an extra $1 per ticket.
As noted above, Power Play is an option: http://www.powerball.com/powerball/pb_howtoplay.asp
Yes, the Associated Press explains that the total cost was $9 because of upgrades per ticket for Powerball. So it comes out to $3 per ticket. Thanks for pointing that out. Therese Bottomly, managing editor, The Oregonian
Whoops. Link fixed. Therese
Hi, someone asked for a link to public salary databases. There are many out there but here are some:
Therese Bottomly, managing editor
Hi, Deano. You can reach investigative reporters at email@example.com. Or you can mail The Oregonian at 1320 SW Broadway, Portland, OR 97201. General tips and inquiries go to firstname.lastname@example.com.
Personal attack deleted from comments. Error fixed. Keep it civil, folks. Therese Bottomly, PolitiFact Oregon
Hi, the Clackamas County district attorney is John Foote, not Jeff Foote. http://www.co.clackamas.or.us/da/ Therese Bottomly, The Oregonian
Hi, Margie Boule can be reached at email@example.com. Therese Bottomly, The Oregonian
Actually, the article was scheduled for Sunday but moved to Tuesday to allow for more editing time. It was already laid out on the front page by the time Willamette Week posted early Monday evening. Therese Bottomly, The Oregonian
I've fixed my bad headline. Thanks to those who pointed it out. Therese Bottomly, PolitiFact Oregon editor
Hi, the link should be fixed now. Sorry about that. Therese Bottomly, PolitiFact Oregon editor
Hi, this is Therese Bottomly, managing editor of The Oregonian and editor of PolitiFact Oregon. Kokonut, you and anyone else can nominate statements for PolitiFact Oregon to fact-check. Send them to firstname.lastname@example.com. Thanks for reading.
It looks fine at this end. I can't imagine I would upload it incorrectly!!! Never happens..... Let me know if it does not resolve itself. Therese
Hi, this is Therese Bottomly, managing editor. When I say the Kyron Horman box, I mean the screened box with his photo that we have run nearly every day in the newspaper during this investigation. Someone asked what we have decided and, frankly, we haven't yet. But it is fair to say that if no new Kyron news happens for days and weeks, then the daily update box will have to compete with other local news for space in the paper.


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Created: 11/09/2012 10:14 AM KSTP.com By: Hannah Anderson
Post traumatic stress disorder is something a lot of veterans have to deal with when they return from deployment. Out of 2.6 million deployed to Iraq and Afghanistan, it's estimated that 20 percent have PSTD symptoms
KSTP's Megan Newquist talked to a military wife, teacher, published author about the impact of PSTD on her life.
Sharlene Prinsen's husband served in Bosnia and saw symptoms of PSTD after he came home.
She wrote about his symptoms, rage mood swings up and down, nightmares, insomnia in her book "Blind Devotion."
Prinsen said the book is raw and real. It hits on many low points including her husband's attempted suicide several times.
PTSD is something that vets deal with for the rest of their lives, but with good health care options and support systems, they can be on a steady path to recovery, Prinsen said.
Congress recommends screening for vets once a year.


text:
Does it ever seem like you're shooting in the dark when it comes to making business decisions?
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text:
Zach Braff West End
Zach Braff West End, Scrubs and GardenState star Zach Braff is to make his UK stage-acting debut in his new comedy, All New People, which is coming to Glasgow next year.
The play, written by Braff – who also wrote and directed acclaimed indie movie GardenState – will be directed by award-winning Peter Dubois.
All New People will open at the King's Theatre, Glasgow on Tuesday 14th February for one week before arriving in London for a strictly limited 10-week run at the Duke of York's Theatre in the West End.
On coming to Glasgow Zach said: "I've never been to Scotland, so I'm so excited to go and so honoured that I get to perform my play for a Glasgow audience.
"I've seen such beautiful pictures of Scotland and I'm buying a guide book tomorrow. I've heard a lot about the thriving cultural scene there, but I've never had the opportunity to visit. Hopefully I'll meet some locals who can clue me in to all the cool places to explore."
Best known for the smash-hit TV comedy Scrubs – nominated for 17 Emmy Awards and watched by over 22 million people worldwide – Braff is a three-time Golden Globe nominee and Grammy Award winner.


text:
Web Reference - Browse by CategoryBook & Journal Publishing
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On Spin.com, exclusively for 24 hours, there is a fantastically amazing new video. What video, you ask? Why, the brand new video for "Islands (acoustic)" from SoCal rockers Young the Giant. Take a break from the Winter doldrums and watch it now right here.
Fun Fact: "Young the Giant are one of SPIN's must-hear bands at next month's SXSW festival in Austin." See why by streaming their new album.


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I really like the show and I'm from New Orleans. Its a buddy cop show set in New Orleans written for a wide television audience. Not a realistic docu-drama about the recovery. You have to take it for what it is. I just wish there were police in this city who really did try to take down the corruption in the system. I love seeing car chases in our city! This show is fun. And they use the terrible events of Katrina to anchor their stories. There is just the right amount of K-Ville in the show. What moron thinks CSI is a realistic depiction of Las Vegas/Miami/New York? No one with any sense thats who. And only those senseless idiots will watch K-Ville and think, "Hey, they like there hot sauce oatmeal and toxic swamp down there." The cops are the good guys in the show and the bad guys get taken down. Thats something I would like to see not just on TV. I like the show, I like the actors, I like the writing and I LOVE seeing the city alive and kicking on TV. Even if its a Miami Vice rip-off I'll keep watching the show hoping that the real NOPD will take a que from it.
Its a little extreme comparing a suspected child molestor with Jesus Christ, don't you think? Lumping all Christians into the category of crazy zealot is ignorant. "Drinking tap water and buying clothes at K-Mart" What a bunch of elitist jerks. Hating people because their Christian or poor is just as bad as hating someone because their black or muslim.
How long has this picture been up there? Should all previous trials and legal decisions be nullified because a picture of a historical figure is in a couthouse? The caption under the picture reads, "To know peace, obey these laws." If anything it is a Chistian endorsement of law not a government endorsement of religion. Not withstanding that I would bet that every judge who has ever practiced in that courthouse was a Christian. Taking a picture down will not change the the attitude of the judges. They will in one way or another base their decisions on their religious views. There is no endorsement of religion with this picture. Take it down or leave it up nothing will change about court proceedings in the courthouse. What a waste of time. NO DISCRIMINATION OR MALPRACTICE HAS TAKEN PLACE. Until evidence to the contrary can be proven I bet the picture will stay up. ACLU loving zealots why dont you throw all your money away too. It is also a government sanctioned endorsment of religion. "In God we trust." ACLU haters I hate to admit it but you guys are right this time.
I have to agree with the reviewer. The first Pirates movie, which I loved, never crossed that campy line. The second and third installments were just silly. In this third film you must see Jack Sparrow swing around a pirate ship for 30 mins. And seriously do we need to see a monkey shot out of a cannon. You show a child getting hanged and then a monkey shot out of a cannon. Pick a mood Verbinski and stick with it. I was disappointed by almost every aspect of this movie. I knew there was a scene after the credits but I had no interest in waiting for it. The story isn't complex it's just messy. Trilogies should follow the Indiana Jones model where each film stands on its own. The second two films of this franchise do not stand on their own. They just feel like McMovies.
C'mon! Lighten up, we're all in this together. Its just a little friendly ribbing about our dear friends in da' parish. You have to admit it is a funny story. Machete V. Hammer. Who would have thought that hammer would win? No one was being critical of Chalmette or its' school system or crime rate. They were making fun of two old drunk brothers fighting over $20.


text: Brighton Beach Memoirs is part one of Neil Simon's autobiographical trilogy: a portrait of the writer as a young teen in 1937 living with his family in a crowded, lower middle-class Brooklyn walk-up. Eugene Jerome, standing in for the author, is the narrator and central character. Dreaming of baseball and girls, Eugene must cope with the mundane existence of his family life in Brooklyn: formidable mother, overworked father, and his worldly older brother Stanley. Throw into the mix his widowed Aunt Blanche, her two young (but rapidly aging) daughters and Grandpa the Socialist and you have a recipe for hilarity, served up Simon-style. This bittersweet memoir evocatively captures the life of a struggling Jewish household where, as his father states "if you didn't have a problem, you wouldn't be living here."


text:
A method and device for delivering ventricular resynchronization pacing therapy in conjunction with electrical stimulation of nerves which alter the activity of the autonomic nervous system is disclosed. Such therapies may be delivered by an implantable device and are useful in preventing the deleterious ventricular remodeling which occurs as a result of a heart attack or heart failure. The device may perform an assessment of cardiac function in order to individually modulate the delivery of the two types of therapy.
1. An implantable device for delivering cardiac therapy to a patient, comprising:
one or more pacing channels for delivering pacing pulses to one or more ventricular sites;
a sympathetic inhibition channel for stimulating nerves which inhibit sympathetic nerve activity;
a controller for controlling the delivery of pacing pulses to one or more ventricular sites during a cardiac cycle in accordance with a programmed pacing mode;
wherein the controller is programmed to deliver remodeling control therapy (RCT) by delivering ventricular pacing in a manner which pre-excites a region of the ventricular myocardium so as to mechanically unload that region during systole;
wherein the controller is further programmed to delivery anti-remodeling therapy (ART) in conjunction with RCT by inhibiting sympathetic nerve activity via the sympathetic inhibition channel;
means for assessing cardiac function and wherein the controller is programmed to deliver RCT and ART as modulated by an assessment of cardiac function; and,
wherein ART is modulated in response to the assessment of cardiac function by varying the duty cycle of neural stimulation pulses.
2. The device of
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circuitry for measuring and collecting time intervals between successive intrinsic beats, referred to as a BB interval, and storing the collected intervals as a discrete BB interval signal, filtering the BB interval signal into defined high and low frequency bands, and determining the signal power of the BB interval signal in each of the low and high frequency bands, referred to LF and HF, respectively; and,
circuitry for computing an LF/HF ratio and assessing autonomic balance by comparing the LF/HF ratio to a specified threshold value.
21. The device of
22. The device of
23. The device of
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25. The device of
a sensing channel for detecting intrinsic cardiac activity;
a shock channel for delivering a cardioversion/defibriulation shock pulse; and,
wherein the controller is programmed to deliver a shock pulse upon detection of a tachyarrhythmia above a specified rate threshold.
26. The device of
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This patent application is related to co-pending and commonly assigned U.S. patent application Ser. No. 10/700,368 filed Nov. 3, 2003, the disclosure of which is incorporated by reference.
This patent application pertains to methods and apparatus for the treatment of cardiac disease. In particular, it relates to methods and apparatus for improving cardiac function with electro-stimulatory therapy.
Following myocardial infarction (MI) or other cause of decreased cardiac output, a complex remodeling process of the ventricles occurs that involves structural, biochemical, neurohormonal, and electrophysiologic factors. Ventricular remodeling is triggered by a physiological compensatory mechanism that acts to increase cardiac output due to so-called backward failure which increases the diastolic filling pressure of the ventricles and thereby increases the so-called preload (i.e., the degree to which the ventricles are stretched by the volume of blood in the ventricles at the end of diastole). An increase in preload causes an increase in stroke volume during systole, a phenomena known as the Frank-Starling principle. When the ventricles are stretched due to the increased preload over a period of time, however, the ventricles become dilated. The enlargement of the ventricular volume causes increased ventricular wall stress at a given systolic pressure. Along with the increased pressure-volume work done by the ventricle, this acts as a stimulus for hypertrophy of the ventricular myocardium. The disadvantage of dilatation is the extra workload imposed on normal, residual myocardium and the increase in wall tension (Laplace's Law) which represent the stimulus for hypertrophy. If hypertrophy is not adequate to match increased tension, a vicious cycle ensues which causes further and progressive dilatation.
As the heart begins to dilate, afferent baroreceptor and cardiopulmonary receptor signals are sent to the vasomotor central nervous system control center, which responds with hormonal secretion and sympathetic discharge. It is the combination of hemodynamic, sympathetic nervous system and hormonal alterations (such as presence or absence of angiotensin converting enzyme (ACE) activity) that ultimately account for the deleterious alterations in cell structure involved in ventricular remodeling. The sustained stresses causing hypertrophy induce apoptosis (i.e., programmed cell death) of cardiac muscle cells and eventual wall thinning which causes further deterioration in cardiac function. Thus, although ventricular dilation and hypertrophy may at first be compensatory and increase cardiac output, the processes ultimately result in both systolic and diastolic dysfunction.
It has been shown that the extent of ventricular remodeling is positively correlated with increased mortality in post-MI and heart failure patients. It is with reversing and/or preventing such ventricular remodeling that the present invention is primarily concerned.
Clinical data has shown that cardiac resynchronization therapy (CRT), achieved through synchronized biventricular pacing, results in a significant improvement in cardiac function. It has also been reported CRT can be beneficial in preventing and/or reversing the ventricular remodeling that often occurs in post-MI and heart failure patients. As explained in detail below, the present invention relates to an implantable cardiac device capable of providing remodeling control therapy (RCT) by controlling ventricular activation with cardiac resynchronization pacing and providing anti-remodeling therapy (ART) by stimulating the baroreflex in order to inhibit sympathetic activity. The combined application of these two therapies provides a greater therapeutic benefit than either of them individually. The device controls ventricular activation through synchronized pacing of the right and left ventricles. In addition, the device may provide a combination of parasympathetic stimulation and sympathetic inhibition. Parasympathetic stimulation can be achieved through a nerve cuff electrode placed around the cervical vagus nerve bundle, while sympathetic inhibition can be achieved through baroreflex stimulation, either through a nerve cuff electrode placed around the aortic or carotid sinus nerve, or though a stimulation lead designed to stimulate baroreptors in the pulmonary artery. The device controls the delivery of RCT and ART independently in either an open-loop or closed-loop fashion, the latter based upon a cardiac function assessment performed by the device.
1. Remodeling Control Therapy by Cardiac Resynchronization Pacing
Implantable cardiac devices that provide electrical stimulation to selected chambers of the heart have been developed in order to treat a number of cardiac disorders. A pacemaker, for example, is a device which paces the heart with timed pacing pulses, most commonly for the treatment of bradycardia where the ventricular rate is too slow. Atrio-ventricular conduction defects (i.e., AV block) and sick sinus syndrome represent the most common causes of bradycardia for which permanent pacing may be indicated. If functioning properly, the pacemaker makes up for the heart's inability to pace itself at an appropriate rhythm in order to meet metabolic demand by enforcing a minimum heart rate. Implantable devices may also be used to treat cardiac rhythms that are too fast, with either anti-tachycardia pacing or the delivery of electrical shocks to terminate atrial or ventricular fibrillation.
Implantable devices have also been developed that affect the manner and degree to which the heart chambers contract during a cardiac cycle in order to promote the efficient pumping of blood. The heart pumps more effectively when the chambers contract in a coordinated manner, a result normally provided by the specialized conduction pathways in both the atria and the ventricles that enable the rapid conduction of excitation (i.e., depolarization) throughout the myocardium. These pathways conduct excitatory impulses from the sino-atrial node to the atrial myocardium, to the atrio-ventricular node, and thence to the ventricular myocardium to result in a coordinated contraction of both atria and both ventricles. This both synchronizes the contractions of the muscle fibers of each chamber and synchronizes the contraction of each atrium or ventricle with the contralateral atrium or ventricle. Without the synchronization afforded by the normally functioning specialized conduction pathways, the heart's pumping efficiency is greatly diminished. Pathology of these conduction pathways and other inter-ventricular or intra-ventricular conduction deficits can be a causative factor in heart failure, which refers to a clinical syndrome in which an abnormality of cardiac function causes cardiac output to fall below a level adequate to meet the metabolic demand of peripheral tissues. In order to treat these problems, implantable cardiac devices have been developed that provide appropriately timed electrical stimulation to one or more heart chambers in an attempt to improve the coordination of atrial and/or ventricular contractions, termed cardiac resynchronization therapy (CRT). Ventricular resynchronization is useful in treating heart failure because, although not directly inotropic, resynchronization can result in a more coordinated contraction of the ventricles with improved pumping efficiency and increased cardiac output. Currently, a most common form of CRT applies stimulation pulses to both ventricles, either simultaneously or separated by a specified biventricular offset interval, and after a specified atrio-ventricular delay interval with respect to the detection of an intrinsic atrial contraction or delivery of an atrial pace.
It has also been found that CRT can be beneficial in reducing the deleterious ventricular remodeling which can occur in post-MI and heart failure patients. Presumably, this occurs as a result of changes in the distribution of wall stress experienced by the ventricles during the cardiac pumping cycle when CRT is applied. The degree to which a heart muscle fiber is stretched before it contracts is termed the preload, and the maximum tension and velocity of shortening of a muscle fiber increases with increasing preload. When a myocardial region contracts late relative to other regions, the contraction of those opposing regions stretches the later contracting region and increases the preload. The degree of tension or stress on a heart muscle fiber as it contracts is termed the afterload. Because pressure within the ventricles rises rapidly from a diastolic to a systolic value as blood is pumped out into the aorta and pulmonary arteries, the part of the ventricle that first contracts due to an excitatory stimulation pulse does so against a lower afterload than does a part of the ventricle contracting later. Thus a myocardial region which contracts later than other regions is subjected to both an increased preload and afterload. This situation is created frequently by the ventricular conduction delays associated with heart failure and ventricular dysfunction due to an MI. The increased wall stress to the late-activating myocardial regions is most probably the trigger for ventricular remodeling. By pacing one or more sites in a ventricle in a manner which causes a more coordinated contraction, CRT provides pre-excitation of myocardial regions which would otherwise be activated later during systole and experience increased wall stress. The pre-excitation of the remodeled region relative to other regions unloads the region from mechanical stress and allows reversal or prevention of remodeling to occur.
2. Anti-Remodeling Therapy by Modulating Autonomic Activity
As noted above, activity of the autonomic nervous system is at least partly responsible for the ventricular remodeling which occurs as a consequence of an MI or due to heart failure. It has been demonstrated that remodeling can be affected by pharmacological intervention with the use of, for example, ACE inhibitors and beta-blockers. Pharmacological treatment carries with it the risk of side effects, however, and it is also difficult to modulate the effects of drugs in a precise manner. In accordance with the present invention, electrostimulatory means are employed to modulate autonomic activity, referred to as anti-remodeling therapy or ART. When delivered in conjunction with ventricular resynchronization pacing, such modulation of autonomic activity acts synergistically to reverse or prevent cardiac remodeling.
3. Exemplary Device Description
As shown in
Shown in the
The electrodes of each bipolar lead are connected via conductors within the lead to a MOS switching network 70 controlled by the microprocessor. The switching network is used to switch the electrodes to the input of a sense amplifier in order to detect intrinsic cardiac activity and to the output of a pulse generator in order to deliver a pacing pulse. The switching network also enables the device to sense or pace either in a bipolar mode using both the ring and tip electrodes of a lead or in a unipolar mode using only one of the electrodes of the lead with the device housing or can 80 serving as a ground electrode. A shock pulse generator 60 is also interfaced to the controller for delivering a defibrillation shock via a pair of shock electrodes 61 to the atria or ventricles upon detection of a shockable tachyarrhythmia.
The controller 10 controls the overall operation of the device in accordance with programmed instructions stored in memory, including controlling the delivery of paces via the pacing channels, interpreting sense signals received from the sensing channels, and implementing timers for defining escape intervals and sensory refractory periods. The controller is capable of operating the device in a number of programmed pacing modes which define how pulses are output in response to sensed events and expiration of time intervals. Most pacemakers for treating bradycardia are programmed to operate synchronously in a so-called demand mode where sensed cardiac events occurring within a defined interval either trigger or inhibit a pacing pulse. Inhibited demand pacing modes utilize escape intervals to control pacing in accordance with sensed intrinsic activity such that a pacing pulse is delivered to a heart chamber during a cardiac cycle only after expiration of a defined escape interval during which no intrinsic beat by the chamber is detected. Escape intervals for ventricular pacing can be restarted by ventricular or atrial events, the latter allowing the pacing to track intrinsic atrial beats. CRT is most conveniently delivered in conjunction with a bradycardia pacing mode where, for example, multiple excitatory stimulation pulses are delivered to multiple sites during a cardiac cycle in order to both pace the heart in accordance with a bradycardia mode and provide pre-excitation of selected sites. An exertion level sensor 330 (e.g., an accelerometer, a minute ventilation sensor, or other sensor that measures a parameter related to metabolic demand) enables the controller to adapt the pacing rate in accordance with changes in the patient's physical activity and, as explained below, can enable the controller to modulate the delivery of neural stimulation and/or cardiac resynchronization pacing. A telemetry interface 40 is also provided which enables the controller to communicate with an external programmer or remote monitor.
Neural stimulation channels are incorporated into the device for delivering parasympathetic stimulation and/or sympathetic inhibition, where one channel includes a bipolar lead with a ring electrode 44 and a tip electrode 43, a pulse generator 42, and a channel interface 40, and the other channel includes a bipolar lead with a ring electrode 54 and a tip electrode 53, a pulse generator 52, and a channel interface 50. Other embodiments may use unipolar leads in which case the neural stimulation pulses are referenced to the can or another electrode. The pulse generator for each channel outputs a train of neural stimulation pulses which may be varied by the controller as to amplitude, frequency, and duty-cycle. In this embodiment, each of the neural stimulation channels uses a lead which can be intravascularly disposed near an appropriate stimulation site, e.g., near a baroreceptor in the case of a sympathetic inhibition channel or near a parasympathetic nerve in the case of a parasympathetic stimulation channel. Other types of leads and/or electrodes may also be employed. A nerve cuff electrode may be used in place of an intravascularly disposed electrode to provide neural stimulation, where the electrode may be placed, for example, around the cervical vagus nerve bundle to provide parasympathetic stimulation or around the aortic or carotid sinus nerve to provide sympathetic inhibition. In another embodiment, the leads of the neural stimulation electrodes are replaced by wireless links, and the electrodes for providing parasympathetic stimulation and/or sympathetic inhibition are incorporated into satellite units. The wireless link may be, for example, a radio-frequency (RF) link or an acoustic link.
4. Assessment of Cardiac Function
In one embodiment of the invention, the delivery of RCT and/or ART is modulated in accordance with an assessment of cardiac function performed by the implantable device. One means by which cardiac function may be assessed is by measuring cardiac output and comparing it with the patient's measured exertion level. Cardiac output may be measured by an impedance technique in which transthoracic impedance is measured and used compute stroke volume. In one embodiment, the exertion level sensor is a minute ventilation sensor which includes an exciter and an impedance measuring circuit. The exciter supplies excitation current of a specified amplitude (e.g., as a pulse waveform with constant amplitude) to excitation electrodes that are disposed in the thorax. Voltage sense electrodes are disposed in a selected region of the thorax so that the potential difference between the electrodes while excitation current is supplied is representative of the transthoracic impedance between the voltage sense electrodes. The conductive housing or can may be used as one of the voltage sense electrodes. The impedance measuring circuitry processes the voltage sense signal from the voltage sense electrodes to derive the impedance signal. Further processing of the impedance signal allows the derivation of signal representing respiratory activity and/or cardiac blood volume, depending upon the location the voltage sense electrodes in the thorax. (See, e.g., U.S. Pat. Nos. 5,190,035 and 6,161,042, assigned to the assignee of the present invention and hereby incorporated by reference.) If the impedance signal is filtered to remove the respiratory component, the result is a signal that is representative of blood volume in the heart at any point in time, thus allowing the computation of stroke volume and, when combined with heart rate, computation of cardiac output. The stroke volume integrated over time (or averaged and multiplied by heart rate) gives the patient's cardiac output. A look-up table or other function may be used to compute what cardiac output is considered adequate for a given exertion level. Measurement of cardiac output or a determination of the adequacy of the cardiac output may be used by the device to modulate the delivery of RCT and/or ART.
Another means for assessing cardiac function is by determining the autonomic balance of the patient. It is well-known that an increase in the activity of the sympathetic nervous system may be indicative of metabolic stress and the need for increased cardiac output. One means by which increased sympathetic activity may be detected is via spectral analysis of heart rate variability. Heart rate variability refers to the variability of the time intervals between successive heart beats during a sinus rhythm and is primarily due to the interaction between the sympathetic and parasympathetic arms of the autonomic nervous system. Spectral analysis of heart rate variability involves decomposing a signal representing successive beat-to-beat intervals into separate components representing the amplitude of the signal at different oscillation frequencies. It has been found that the amount of signal power in a low frequency (LF) band ranging from 0.04 to 0.15 Hz is influenced by the levels of activity of both the sympathetic and parasympathetic nervous systems, while the amount of signal power in a high frequency band (HF) ranging from 0.15 to 0.40 Hz is primarily a function of parasympathetic activity. The ratio of the signal powers, designated as the LF/HF ratio, is thus a good indicator of the state of autonomic balance, with a high LF/HF ratio indicating increased sympathetic activity. An LF/HF ratio which exceeds a specified threshold value may be taken as an indicator that cardiac function is not adequate. A cardiac rhythm management device can be programmed to determine the LF/HF ratio by analyzing data received from its atrial ventricular sensing channels. The intervals between successive atrial or ventricular senses, referred to as beat-to-beat or BB intervals, can be measured and collected for a period of time or a specified number of beats. The resulting series of RR interval values is then stored as a discrete signal and analyzed to determine its energies in the high and low frequency bands as described above. Techniques for estimating the LF/HF ratio based upon interval data are described in commonly assigned U.S. patent application Ser. Nos. 10/436,876 filed May 12, 2003, and 10/669,170 filed Sep. 23, 2003, the disclosures of which are hereby incorporated by reference.
Other means of assessing cardiac function may also be employed to modulate the delivery of ART and/or RCT. The impedance technique for measuring cardiac output discussed above may also be used to measure ventricular volumes at various stages of the cardiac cycle such as end-diastolic and end-systolic volumes and used to compute parameters reflective of cardiac function such as ejection fraction. The implantable device may also be equipped with other sensing modalities such as a pressure transducer. Such a pressure transducer may be attached to an intravascular lead and be appropriately disposed for measuring diastolic filling pressures and/or systolic pulse pressures.
5. Exemplary Implementations
In an exemplary embodiment of the invention, an implantable device for delivering cardiac therapy to post-MI patients includes one or more pacing channels for delivering pacing pulses to one or more ventricular sites and a sympathetic inhibition channel for stimulating nerves which inhibit sympathetic nerve activity. The controller is programmed to deliver remodeling control therapy (RCT) by delivering ventricular pacing in a cardiac resynchronization mode which pre-excites a region of the ventricular myocardium so as to mechanically unload that region during systole. The cardiac resynchronization therapy may be delivered as biventricular pacing where one of the ventricles is pre-excited relative to the other as determined by a programmed biventricular offset interval. Alternatively, in patients suffering from delayed activation of the left ventricle, a left ventricle-only resynchronization pacing mode may be employed. In another embodiment, the pacing therapy may be delivered as multi-site ventricular pacing where at least one of the ventricles is paced at a plurality of sites so as to pre-excite one or more of the sites relative to the other sites. In any case, the ventricular pacing may be delivered in a non-atrial tracking mode where a ventricular escape interval is defined between ventricular paces, or in an atrial tracking mode where the ventricular paces are delivered after a defined atrio-ventricular escape interval following an atrial sense. In a patient who is chronotropically incompetent, an atrial pacing channel may also be provided for pacing the atria, with the ventricular pace(s) delivered upon expiration of the atrio-ventricular escape interval following the atrial pace.
The controller is further programmed to delivery anti-remodeling therapy (ART) in conjunction with the RCT by inhibiting sympathetic nerve activity via the sympathetic inhibition channel. The sympathetic inhibition channel may include a pulse generator for outputting neural stimulation pulses and a lead incorporating an electrode adapted for disposition near an arterial baroreceptor or afferent nerve of a baroreflex arc. Stimulation of the baroreflex arc then results in inhibition of sympathetic activity. The electrode of the sympathetic inhibition channel may be intravascularly positioned in a blood vessel or elsewhere proximate to a baroreceptor or afferent nerve such as in a pulmonary artery or a cardiac fat pad. In another embodiment, the device may further include a parasympathetic stimulation channel, where the anti-remodeling therapy delivered by the controller further includes stimulation of parasympathetic nerve activity, and the parasympathetic stimulation channel includes a pulse generator for outputting neural stimulation pulses and an electrode for stimulating a parasympathetic nerve. The electrode may be a nerve cuff electrode adapted for disposition around a parasympathetic nerve or an intravascular electrode for transvascularly stimulating a parasympathetic nerve adjacent to a blood vessel. As described above, for either the sympathetic inhibition channel or the parasympathetic stimulation channel, the electrode and pulse generator may also be incorporated into a satellite unit which includes an RF receiver. The implantable device then further comprises an RF transmitter interfaced to the controller for controlling the operation of the satellite unit via an RF link.
The device may be programmed to deliver RCT and ART in open-loop fashion where the RCT and ART are delivered simultaneously or separately at programmed intervals. The RCT and ART may be delivered at a constant or time-varying intensity, where the intensity of the ART may be adjusted by varying the amplitude, frequency, or duty-cycle of the neural stimulation pulses, and the intensity of the RCT may be adjusted by varying one or more parameters which affect the amount of pre-excitation delivered to the ventricles such as the biventricular offset interval and the atrio-ventricular escape interval.
In another embodiment, the device is programmed to deliver RCT and ART in closed-loop fashion, where the intensities of RCT and ART are modulated in accordance with an assessment of cardiac function performed by the controller. The device may also separately modulate the intensities of parasympathetic stimulation and sympathetic inhibition which are delivered as part of the ART in accordance with the assessment of cardiac function. Cardiac function may be assessed by the device using several different modalities, either alone or in combination. In one embodiment, the device incorporates a sensor for measuring cardiac output, and the controller is programmed to modulate the delivery of RCT and ART in accordance with the measured cardiac output. As described above, such a cardiac output sensor may be a trans-throracic impedance measuring circuit. Another means for assessing cardiac function is an arterial blood pressure sensor, where the controller is programmed to modulate the delivery of RCT and ART in accordance with the measured blood pressure. The blood pressure sensor may take the form of a pressure transducer and lead adapted for disposition within an artery. Alternatively, a measure of the patient's respiratory activity taken by a minute ventilation sensor may be used as a surrogate for blood pressure. Cardiac function may also be assessed by measuring the patient's exertion level (e.g., using either a minute ventilation sensor or an accelerometer) together with a measure of cardiac output and/or blood pressure, where the controller is then programmed to modulate the delivery of RCT and ART in accordance with the combined measurements.
In another embodiment, the cardiac function assessment includes an assessment of the patient's autonomic balance. Autonomic balance may be assessed directly with a sensing channel for measuring electrical activity in sympathetic and parasympathetic nerves with appropriately positioned sensing electrodes, or if the patient is chronotropically competent, by measuring the intrinsic heart rate. As described above, measuring heart rate variability provides one means for assessing autonomic balance. Thus, the device may include circuitry for measuring and collecting time intervals between successive intrinsic beats, referred to as a BB interval, where the BB interval may be an interval between successive atrial or ventricular senses. The device stores the collected intervals as a discrete BB interval signal, filters the BB interval signal into defined high and low frequency bands, and determines the signal power of the BB interval signal in each of the low and high frequency bands, referred to LF and HF, respectively. The device then computes an LF/HF ratio and assesses autonomic balance by comparing the LF/HF ratio to a specified threshold value.
In certain embodiments, data gathered by the device in performing the assessment of cardiac function performed is transmitted to a remote monitor via an RF telemetry link. The remote monitor may record the data for later analysis by a clinician and/or transmit it to another location over a network such as the internet. In response to network communications, the remote monitor may also program the implantable device via the RF telemetry link in order to modify the delivery of RCT and ART.
Although the invention has been described in conjunction with the foregoing specific embodiments, many alternatives, variations, and modifications will be apparent to those of ordinary skill in the art. Such alternatives, variations, and modifications are intended to fall within the scope of the following appended claims.
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News Releases by Email
News Release
Friday, June 13, 2014
Media contact: Diane Hirth, 850-410-5291; Greg Workman, 352-620-7335; Gary Morse, 864-648-3852
The Florida Fish and Wildlife Conservation Commission (FWC) is holding regional workshops to present information on opportunities for local governments to help conserve gopher tortoises in Florida.
The goal of these workshops is to identify ways local governments can participate in protecting one of Florida's threatened species.
Two workshops are scheduled in central Florida. Representatives from local governments in nearby counties are encouraged to attend.
Seminole CountyMonday, June 309 a.m. – noonLittle Big Econ State Forest1350 Snow Hill RoadGeneva, FL 32732
Polk CountyWednesday, July 29 a.m. – noonCircle B Bar Reserve4399 Winter Lake RoadLakeland, FL 33803
The workshops are free, but registration is required, as space is limited. To register, please send your name and the name of your agency to firstname.lastname@example.com.
For more information, and to download the Gopher Tortoise Management Plan, visit MyFWC.com/GopherTortoise and click on "Management Plan."
FWC Facts:Bees can see ultraviolet light.
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text:
June 20, 2011
News Release
Office of School and District Improvement Announces $7.5 Million For Lowest-Performing Schools
The Office of School and District Improvement today announced the availability of $7.5 million in federal funds to increase academic achievement in chronically low-performing schools. The opportunity is open to school districts or local education agencies. Proposals are due Aug. 17.
The intent of this grant is to provide funding for districts to partner with the Colorado Department of Education (CDE) in the implementation of a school intervention strategy.
"This is a team effort," said Daphne Pereles, director of the office of school and district improvement. "CDE will work collaboratively with local districts to develop detailed performance goals and specific timelines for improvement in these schools. We share in the urgency and we share in the delivery of results. We will work closely with these schools to develop plans that will make a meaningful difference in performance for all students."
The funds are intended to be used by schools to support the services of an external school turnaround provider. Districts will apply for the grant on behalf of the lowest-performing 5 percent of schools in the state, as measured by state assessments and other criteria.
A school district or local education agency (such as a board of cooperative educational services) may request up to $2 million per year over the three-year grant period for each qualifying school.
Second- and third-year funding will be contingent upon CDE approval.
The allocations will be based on the intervention model chosen and CDE guidelines.
Schools will be prioritized in the following order:
- Tier I sites;
- Tier II sites within a district that has both Tier I and Tier II sites;
- Tier II sites that are equally low performing; and
- Tier III sites.
Tier I: Any Title I school in improvement, corrective action, or restructuring that:
- Is among the lowest-achieving five percent of Title I schools in improvement, corrective action, or restructuring or the lowest-achieving five Title I schools in improvement, corrective action, or restructuring in the state, which ever number of schools is greater; or
- Is a high school that has had a graduation rate as defined in 34 C.F.R. § 200.19(b) that is less than 60 percent over a number of years; and
Tier II: Any secondary school that is eligible for, but does not receive, Title I funds that:
- Is among the lowest-achieving five percent of secondary schools or the lowest-achieving five secondary schools in the state that are eligible for, but do not receive, Title I funds, whichever number is greater; or
- Is a high school that has had a graduation rate as defined in 34 C.R.F. § 200.199b) that is less than 60 percent over a number of years. (See Attachment A for listing of eligible schools).
Tier III: All other Title I schools on Improvement.
CDE does not anticipate that it will have sufficient funding to fund schools beyond Tier I. Up to nine individual schools are expected to receive a grant.
For application and grant materials, including a list of eligible schools, visit:


text:
(based on 4 reviews)
Ratings Distribution
5 Stars
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1 Stars
of respondents would recommend this to a friend.
Best Uses
Feels full size too small
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Feels true to size
75% (3 reviews)
(3 reviews)
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Feels too narrow
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100% (4 reviews)
(4 reviews)
Feels too wide
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(1 of 1 customers found this review helpful)
Well worth the money
By Dan
from Southern California
About Me Intermediate
Comments about Flow The ANSR Boa Coiler Snowboard Boots 2012:
Love these boots, i had some Burton boots previously, that would make my feet numb after a couple hours. Flow did a great job very light, and comfortable i can ride all day.
Bottom Line Yes, I would recommend this to a friend
Was this review helpful? Yes / No
- You may also flag this review
Feel great right out of the box
By ohnokbow
from Seattle, WA
About Me Advanced
My son said that these boots are the most comfortable ones he's owned in the 8 years he's been riding. If he needs a larger size next year we're going with the same style/brand.
Best boots EVA
By Nick Schmidtty
from couer d alene Idaho
i have never been happier with a boot
Comfortable but.....
By Flying tattoo
from Ny
It looks great, and is so easy to get in and out of , i just found that i was constantly readjusting to compensate too much flex
Bottom Line No, I would not recommend this to a friend


text:
Power outage in Boone County
BURLINGTON, Ky - Nearly 1,700 Duke Energy customers were without power in the northern portion of Boone County after a truck came into contact with a Duke Energy power line that caused a power outage.
Traffic lights along Burlington Pike were out, which left traffic snarled.
Duke Energy promptly fixed the line and power is now restored to the area.
No other information was released about the accident at this time.
Stay with 9 News and WCPO.com for updates.


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525 schools meeting the following criteria: Journalism
Search Match:
Concord University
Athens, West Virginia
Approximate Cost: $14,120.00
Nestled in the beautiful and historic state of West Virginia, Concord University offers elite education for students from around the world. Concord University has the 4th largest enrollment of international students in West Virginia for both public and private institutions. The educational programs of…
Search Match:
Eastern Kentucky University
Richmond, Kentucky
Approximate Cost: $19,056.00
Eastern Kentucky University, commonly referred to as Eastern or by the acronym EKU, is an undergraduate and graduate teaching and research institution located in Richmond, Kentucky, U.S.A.. EKU is accredited by the Southern Association of Colleges and Schools (SACS).[5] It maintains three regional campuses in…
Search Match:
Miami University - Ohio
Oxford, Ohio
Approximate Cost: $29,755.00
Miami is a residential university with faculty who are dedicated to learning and discovery. A liberal education core provides the foundation for the more specialized studies of the majors. Immersing students in both academic and co-curricular experiences has enabled Miami to achieve a top-tier national…
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Mississippi State University
Mississippi State, Mississippi
Approximate Cost: $14,670.00
Mississippi State University, established in 1878, offers bachelor's, master's, educational specialist's and doctoral degree programs. The university is home to more than 19,000 students who hail from every county in Mississippi, all 50 states and 75 countries. Currently, there are more than 750 international students…
Search Match:
National University
La Jolla, California
Approximate Cost: $11,376.00
Founded in 1971, National University is the second largest private, not for profit institution in California. The University offers more than 100 undergraduate and graduate degrees in the area of business management, engineering,education, media and communications, liberal arts, and healthcare. Our English Language program accepts…
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Northwest Missouri State University
Maryville, Missouri
Approximate Cost: $10,638.00
Originally established in 1905, Northwest Missouri State University is a state-assisted, four-year regional university that also offers graduate degree programs. Quality Academics Northwest offers 135 undergraduate programs and 36 graduate's programs. The Business, Education, Geography and Agriculture departments graduate the largest number of students each year. Career…
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Northwestern College
Orange City, Iowa
Approximate Cost: $24,630.00
Search Match:
Rochester Institute of Technology
Rochester, New York
Approximate Cost: $35,252.00
Rochester Institute of Technology (RIT) is a private, co-ed, four-year school offering Bachelors, Masters and PhD degrees in Art, Crafts, Design, and Graphic Communications; Business, Management, and Communication; Computing and Information Sciences; Engineering and Engineering Technology; Health Sciences; Multidisciplinary; Science, Mathematics, and Imaging Science; Social…
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Roosevelt University - Pathway Program
Chicago, Illinois
Approximate Cost: $25,000.00
Roosevelt University offers the unique Pathway programs, International Year One, English for Academic Purposes, and a Pre-Master's program. These allow students to bring their English up to speed in a university environment and meet language proficiency requirements to directly enter into the degree program of…
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Slippery Rock University
Slippery Rock, Pennsylvania
Approximate Cost: $11,804.00
SRU welcomes the exchange of students, scholars and faculty. Currently 76 international students from 36 nations are studying on campus. Located in the rolling hills of western Pennsylvania, the 660-acre campus is less than an hour north of Pittsburgh. Two major highways, I-79 and I-80,…
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State University of New York - Brockport
Brockport, New York
Approximate Cost: $32,850.00
If you want to study in a challenging academic environment with world-class faculty; be actively involved in academic, cultural, social and athletic programs; and apply what you have learned to challenges in the real world, then consider the State University of New York-Brockport. We are a…
Search Match:
Mississippi , Mississippi
Approximate Cost: $12,000.00
StudyMississippi is a consortium of accredited educational institutions in the U.S. State of Mississippi whose purpose is to connect international students and professionals with quality Mississippi education and training. Members include high schools, community colleges, public and private colleges and universities, and professional English language…
Search Match:
University of Kentucky
Lexington, Kentucky
Approximate Cost: $18,740.00
The University of Kentucky (UK), founded in 1865, is a public land grant university dedicated to improving people's lives through excellence in education, research and creative work, service and healthcare. As Kentucky's flagship institution, UK plays a critical leadership role by promoting diversity, inclusion,…
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University of Maine - Pathway Program
Orono, Maine
Approximate Cost: $26,356.00
The University of Maine offers the unique Pathway programs, International Year One, and a Pre-Master's program which allow students to bring their English up to speed in a university environment and meet language proficiency requirements to directly enter into the degree program of their dreams.
Search Match:
Western Washington University
Bellingham, Washington
Approximate Cost: $35,520.00
Western Washington University is a nationally recognized dynamic, innovative, and challenging public university that welcomes students from around the world. For the past 16 years, U.S. News and World Report has ranked Western the #1 regional public university in the Pacific Northwest.
Grand Rapids Community College
Grand Rapids, Michigan
Public University
Approximate Cost: $9,361.00
International Students: 50
Grand Valley State University
Allendale, Michigan
Public University
Approximate Cost: $25,510.00
International Students: 397
Grand View College
Des Moines, Iowa
Private not-for-profit University
Approximate Cost: $31,664.00
International Students: 28
Hamline University
Saint Paul, Minnesota
Private not-for-profit University
Approximate Cost: $42,698.00
International Students: 242
Hampton University
Hampton, Virginia
Private not-for-profit University
Approximate Cost: $31,068.00
International Students: 29
Harding University
Searcy, Arkansas
Private not-for-profit University
Approximate Cost: $24,740.00
International Students: 314
Harper College
Palatine, Illinois
Public University
Approximate Cost: $11,890.00
International Students: 95
Hastings College
Hastings, Nebraska
Private not-for-profit University
Approximate Cost: $34,552.00
International Students: 9
Hawaii Pacific University
Honolulu, Hawaii
Private not-for-profit University
Approximate Cost: $37,840.00
Henderson State University
Arkadelphia, Arkansas
Public University
Approximate Cost: $23,322.00
International Students: 66
Hinds Community College
Raymond, Mississippi
Public University
Approximate Cost: $13,640.00
International Students: 1
Hofstra University
Hempstead, New York
Private not-for-profit University
Approximate Cost: $50,146.00
International Students: 563
Houston Baptist University
Houston, Texas
Private not-for-profit University
Approximate Cost: $37,195.00
International Students: 130
Howard University
Washington, District of Columbia
Private not-for-profit University
Approximate Cost: $39,237.00
International Students: 544
Humboldt State University
Arcata, California
Public University
Approximate Cost: $34,016.00
International Students: 102
Huntington University
Huntington, Indiana
Private not-for-profit University
Approximate Cost: $33,140.00
International Students: 32
Illinois Institute of Technology
Chicago, Illinois
Private not-for-profit University
Approximate Cost: $48,389.00
International Students: 3,311
Illinois State University
Normal, Illinois
Public University
Approximate Cost: $31,776.00
International Students: 481
Imperial Valley College
Imperial, California
Public University
Approximate Cost: $8,826.00
International Students: 12
Indiana University of Pennsylvania-Main Campus
Indiana, Pennsylvania
Public University
Approximate Cost: $32,875.00
International Students: 768
Note: Some of the schools in the InternationalStudent.com School Search database have not reported all of the data we make available. When this is the case, it is indicated by 'N/A' (not applicable).


text:
I'll spare you watching any video of this man, who sat down with Sean Hannity to "pour his soul out" — how many different versions of killing Trayvon Martin has he spewed so far?
George Zimmerman made statements during the interview that can't be squared with actually being "sorry" about murdering a young man armed only with a can of iced tea and a bag of Skittles after following him, hunting him down.
"I'm not a racist. I'm not a murderer."
"Is there anything that you regret? Do you regret getting out of the car to follow Trayon that night?" Hannity asked. "Do you regret that you had a gun that night?"
"No, sir," Zimmerman, 28, replied. "I feel that it was all God's plan and not for me to second-guess it or judge it."
Then the "apology" when he was asked what he'd say to Trayvon's parents.
"I would tell them again that I'm sorry."
Well, in light of the first statements, the latter is meaningless. He's not sorry because God apparently told him to shoot the young man. Let this go to trial and leave deities out of it.


text:
Heiner's to sell boxed lunches as fundraiser
HUNTINGTON -- Heiner's Bakery employees and friends are selling boxed lunches to raise funds for Kathy Saunders, who will undergo treatment for breast cancer at MD Anderson in Texas.
Orders for lunch, which will include hot dog with sauce, chips, drink and dessert for $5, must be received by noon Thursday, Nov. 29. Boxes may be picked up at Heiner's Bakery or delivered on Friday, Nov. 30. Orders may be faxed to 304-525-9268.
An account for Saunders has also been set up at First Sentry Bank. Donations may be sent to Kathy Saunder's Fight for Breast Cancer Fund, First Sentry Bank, 823 8th St., Huntington.
Bone marrow donor drive set for Nov. 29
HUNTINGTON -- Cabell Huntington Hospital, the Edwards Comprehensive Cancer Center and the Hoops Family Children's Hospital at Cabell Huntington Hospital will host a bone marrow donor registration drive from 3 to 6 p.m. Thursday, Nov. 29, in the atrium of the Marshall University Medical Center on the hospital campus.
The donor drive is for adults between the ages of 18 and 44 and consists of a simple cheek swab for cells that will be used to determine potential bone marrow matches for cancer patients in need. Thursday's event marks the hospital's second drive, with more than 240 people joining the registry in February 2011.
There is no cost to be placed on the registry, but those who wish to join must be in good health and willing to donate if they are found to be a match.
For more information, visit www.marrow.org.
Wendy's sales Dec. 4 to benefit Habitat
HUNTINGTON -- A portion of sales from 5 to 8 p.m. Tuesday, Dec. 4, at local Wendy's fast food restaurants will benefit Huntington WV Area Habitat for Humanity.
Locations participating in the "Burger Bash" include 5th Avenue, 16th Street Road, Route 60, Huntington Mall, Milton and Point Pleasant locations in West Virginia and Gallipolis, Proctorville and South Point locations in Ohio.


text:
Italian scat mistress Isabella bound her slave completely and uses him in extreme ways - as the final part she wants to use him as a living toilet! She orders him to open his mouth wide and lowers her tasty butt right above his face. Then she just starts to shit into his mouth and makes him swallow all of her scat!
Toilet Slave
Mistress Domi's wearing high heels when she squats over the toilet slave's face. She makes him open his mouth wide and takes a stinky shit right into it. Of course she makes him eat all of it and when he struggles to swallow the massive amount of scat she grabs a spoon and forces the shit down his throat! His mouth is just a toilet after all!
This fat mistress never used a human toilet before and she's quite nervous in the 1st video - never the less the human toilet gets to eat a fat turd. The 2nd time is filmed just 3 days later and by now Amanda's feeling way more comfy using a mouth as her toilet. She shits out a nasty long turd right into the slave's mouth, makes him eat it completely and afterwards forces him to lick her asshole clean completely!
This girl gets home after a night in the clubs and feels the need to take a shit - but she isn't in a hurry. She gets into the bathroom where the toilet slave's waiting and lights up a cigarette first. Then she takes another sip from her drink before she squats over his face and shits right into his open mouth. Of course the slave will have to swallow all of her shit while his mistress goes to bed!
Lady Chantal's staying in a nice hotel and prefers her human toilet over the room's normal toilet - it just feels more natural! As she gets into the room she immediately squats over the toilet's face and takes a huge shit right into his mouth. She makes sure he swallows everything!


text:
Some future engineers came to Region 16, putting their skills to the test through robots.
More than 120 4-12 graders competed in a robotics competition.
The students designed and programmed lego-based robots to preform specific tasks.
Competitor Lane Hedgecoke says, "you do it all on the computer and then you sync it down onto the motor and it does what you want and stuff. You can pick how fast or how much of a degree turn you want."
We talked with the TCEA Area 16 director and she says robotics competitions are more than just fun for the kids.
Debbie Boyer says, "it teaches critical thinking. It teaches problem solving, collaboration with your team. It also teaches programming skills which is absolutely imperative for our world today."
She says students have the opportunity to compete in a presribed problem contest, and also an open-ended invention contest.
The students use marketing, programming, writing, and construction to find a solution for a problem of their choice.
Mark Herndon says, "it's taking fun and learning and putting it together in one and it's just awesome. "
We asked Brock Buckingham and Herndon what they want to be when they grow up.
"An engineer and an inventor."
"Ya, that's what I've always wanted to do. I'm going to Texas Tech to do engineering."
Students came from Kelton ISD, Canadian ISD, and Canyon ISD to name a few.
First and second place winners will have the opportunity to represent their area in a state competition in Deer Park in April.
3 engineers from Bell Helicopter were judges, and there were also many local educators who helped make the robotics competition possible.
Copyright 2014 Nexstar Broadcasting, Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.


text:
Dr. Azharian Now Joins SLEEK Surgical & MedSpa in New York
Contact Information
Dr. Azharian Now Joins SLEEK Surgical & MedSpa in New York
Online PR News – 04-April-2012 – FL – BOCA RATON, Fla. (March 27, 2011) – SLEEK Surgical & MedSpa, one of the nation's leading providers of cosmetic surgery and advanced body and facial rejuvenation services with locations in Massachusetts, New York and Florida, today announced the addition of Dr. Anahita Azharian to its New York surgical staff.
Dr. Azharian will join SLEEK Surgical & MedSpa Manhattan location, which features a wide array of services and proven results that include: SLEEK Lipo HDTM, Tummy Tucks, Breast Augmentation, Brow Lift, Rhinoplasty, Brazilian Butt Lift, Laser Hair Removal, Botox®, Cosmetic Fillers, Chemical Peels, Microdermbrasions, Tattoo Removal, SLEEKskin medical grade skin care products and more.
Dr. Azharian specializes in cosmetic surgery and earned her medical degree from the NOVA Southeastern University College of Osteopathic Medicine. She completed both her general surgery and plastic surgery training in Philadelphia. Dr. Azharian is a skilled plastic surgeon that utilizes the latest proven advances in surgical and non-surgical procedures to achieve a natural and youthful appearance. Her sense of artistry and enthusiasm for helping others achieve the goals that each person sets for themselves allows her to deliver excellent results.
SLEEK has Surgical and MedSpa centers in Massachusetts, New York and Florida. For more information on SLEEK Surgical & MedSpa, please contact 1-800-753-3587 or visit www.sleekmedspa.com.
Copyright 2015 Online PR Media | 507 Casazza Dr Ste A, Reno, NV 89502


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Residents of Boynton Beach, Fla., beware! There's a new sheriff in town and she's a 4-lb. Chihuahua named Bella – the diminutive 3-year-old pooch is credited with helping to apprehend a burglary suspect.
It happened last Monday when Bella was out for a walk with her owner, John Bonafair, who happens to be a sergeant in the Boynton Beach Police Department. "I had just gotten back from dropping my police vehicle off to be serviced," Sergeant Bonafair tells PEOPLEPets.com. "The first thing I do when I go home is to walk the dog."
Bonafair and his girlfriend adopted Bella, the runt of the litter, when a fellow police officer's dog had puppies three years ago this Christmas. "I wasn't even sure I would like a small dog," Bonafair admits. "I had larger animals in the past, but Bella's just a really fun dog and very smart."
Wearing plain clothes and with his police radio on his hip, Bonafair took Bella for a stroll in the neighborhood. "I was walking Bella and this guy came running out of the bushes towards our general direction," recalls Bonafair. "I thought, 'This doesn't look right.' I turned on my radio and heard other officers saying they were in foot pursuit of a suspect."
Bonafair identified himself as a police officer and yelled at the guy to get down on the ground. Instead, the suspect took off running, with Bonafair giving chase in a full-on sprint. "I totally forgot for that moment that Bella was with me," Bonafair says. "As I ran around a couple corners, I saw Bella out of the corner of my eye trying to outpace me."
What about Bella's leash? Had Bonafair dropped it while running after the suspect? "Bella does not like to wear a Ieash," reveals Bonafair. "I've taught her to stay with me. I can take her in public and she'll stick right by my side."
The tiny dog, whose favorite past time is chasing lizards, kept up with Bonafair as he chased the suspect for several blocks. "I'm not sure if she thought this guy was a lizard, or whether she was worried about me because I'd been yelling at him and she was trying to protect me," says Bonafair. "Either way, she was right beside me keeping up. She was fearless. We chased the guy for a few blocks and I tackled him off in some bushes."
Bonafair grappled with the suspect and relayed his location by radio as Bella ran around the struggling pair, barking furiously. "I wasn't readily visible from the road and had a hard time describing where I was because I was on the grounds of an apartment complex and it all looked the same," says Bonafair. Bella's barking attracted the attention of police officers who were on foot, and they came running to help take the suspect into custody.
"I said, 'Come here, puppy. Good job!'" remembers Bonafair, who gave Bella a little, gold police badge to wear on her harness. "It's the kind that detectives wear on the lapels of their suits," says Bonafair. "I'd give her a regular size badge, but I think she'd have trouble walking." Bella is, after all, only four pounds!
See more bad-guy-nabbing animals on PEOPLEPets.com:
Tiny Crime Fighter! 11-In. Midge the Dog Is a Stand Out in Law Enforcement
Navy Seals, for Real! Military Sea Lions Cuff Enemies
Fearless 4-Lb. Chihuahua Helps Nab Burglary Suspect in Florida


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Gear Review
Great warmers
I'm 6'3" and the XL fit perfect. Very soft on the inside and the double grippers (inside/outside) at the top of the leg make sure these warmers stay in place. Very happy i bought them, it was my first Hincapie purchase.
View More Details on Hincapie Sportswear Arenberg Leg Warmers


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Brookies will aim to draw on past experiences in FA Vase fixture
Posted: December 07, 2012|
HOLBROOK Sports will be hoping that their experiences in the FA Vase over the last couple of years will give them an advantage at Brighouse tomorrow.
The Brookies reached the last 16 of the competition in the 2010-11 season.
And they forced a third round replay with Norton United last season after a 2-2 stalemate at Shaw Lane.
They lost second time round but are keen to go one step further this weekend.
Manager Paul Romney said: "Brighouse are currently third in the Northern Counties East League so will command respect.
"We have been to watch them play and they are a very good side.
"However, this is the furthest that they've ever been in the Vase and we'll be hoping that our experiences of the last two years will pay dividends."
It has been a memorable week for the Brookies.
Last Saturday, they thrashed league rivals St Andrews 6-1 with Robbie Fretwell scoring a hat-trick.
And on Tuesday night, they almost caused an upset before losing 2-1 to League Two side Chesterfield in the Derbyshire Senior Cup at the Proact Stadium.
"We played very well against Chesterfield. It was an absolute pleasure to be connected with the club and we weren't disgraced at all," added Romney.
"It was a truly memorable night for everyone but we now turn our attention to the Vase game.
"The lads are buoyant and very much looking forward to playing against Brighouse.
"We have only lost two in the last nine matches and that was to Borrowash Victoria and Chesterfield.
"We were clinical against St Andrews last Saturday and will have a squad at virtually full strength for the Vase game.
"With the attitude and commitment the players have been showing of late, we will give a good show of ourselves."
Simon Lillie is cup-tied while Kane Jellyman is unavailable.
But Holbrook will welcome back Aaron Brady from his holiday as well as Cory Bowler, Gerome Palmer and Chris King.
Borrowash Victoria are also on the road for their FA Vase game.
They visit AFC Wulfrunians tomorrow and manager Mark Wilson is looking forward to the game.
"The lads are really up for the Vase game," he said.
"They are the favourites to win – and we quite like it that way.
"We know what a good side they are and have played teams from their league in pre-season friendlies before.
"We've had AFC Wulfrunians watched and know that they're good going forward; but we're very good on the counter-attack and that's where we can hurt them.
"We go there full of optimism and will, hopefully, enjoy it."
Vics welcome back duo David Hind and Tommy Leighton.
Long Eaton United travel to Staffordshire to take on Midland Alliance outfit Rocester at Hillsfield.
The Romans, currently 13th in the league, have so far knocked out Sporting Khalsa, Castle Vale, Bewdley Town and Shepshed Dynamo.
Bizarrely, both of their last two matches have been abandoned due to a serious injury.
Long Eaton, 10th in the Northern Counties East League Premier Division, booked their place in the third round on Tuesday night, when Elliot King's goal on the stroke of half-time gave them a 1-0 victory over Southam United.
The Blues have also knocked out Lincoln Moorlands Railway, Radford and Heather St John's.


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Sharply higher numbers of students from other states and countries applied for admission to the University of California this year, following UC's controversial efforts to recruit more such students for the extra tuition they pay, according to a report released Thursday.
At the same time, UC administrators said a new policy that reduced the standardized testing requirements for admission appears to have encouraged more Californians than ever to apply to the university system.
The number of non-Californians seeking to become UC freshmen in fall 2012 rose 56% over last year to about 33,000, officials said. About 93,300 in-state students, up 9.8%, applied for freshman entrance to at least one of UC's nine undergraduate campuses, even though the number of students graduating from the state's high schools remained level.
Overall, freshman applications to the university rose 19%, to 126,300.


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Norwegian Air Shuttle is supporting the United Nations Children's Fund, better known as UNICEF, with a customized jet. Airliners Gallery World Airline News has a photo.
Boeing and Aerospace News
The latest Boeing and aerospace news, including updates about the Boeing 787 Dreamliner, 747-8 and 737, Airbus A380 and A350, the anticipated Boeing 797 and Boeing jobs and layoffs


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It's safe to say that if Daniel and I ever split up, we both know whose fault it is.
Alex Trebek.
We're usually quite calm, big laughers, loving, a little like Laverne and Shirley, maybe. One of us being the masculine counterpart.
Generally, we're making jokes at the world's expense, I'm reprimanding pasta when its starchy water bubbles over the pot, Daniel is making promises to God in return for sports favors. Harmony on the whole.
But come 7:30 each evening, there is a marked difference in our den. You see, every night we play a lil' ol' game called Jeopardy. I bet the neighbors could tell you more about it than we can; the two of us so embroiled in game play that the outside world could be blown to smithereens and we'd still be positively wailing, "What are… THINGS THAT RHYME WITH SAILBOAT!!!". The change in sounds booming from our apartment from 7:29 to 7:30 is like a flick of the radio dial from Mozart to gangsta rap. The explicit version.
We are stubborn, the two of us. Competitive in the way that pageant moms are on Toddlers and Tiaras. Both of us would sooner sign our bodies over to science than yield an inch of trivia territory. Let me put it this way, we've thought seriously about getting a voice recorder so we can replay answers when we're unclear on who chimed in first. Guaranteed the voice recorder would be a pile of plastic parts next to the wall, two categories in.
The problem I find is this: Daniel is brilliant.
Don't tell him I said that. Just, please don't.
It's true, though, I've never met anyone so intelligent in every way. One of the reasons I fell in love with him was for his genius. And that's all well and good when we're living our lives outside of the thirty minute time slot for Jeopardy. But once Alex starts reading those answers, Daniel is running categories and I'm rolling a snowball into a snowman of hatred. And while I consider myself to be smarter than a fourth grader (I make no promises about fifth graders), I've had to adapt to my Mensa competitor by using guerrilla game tactics. Darwin is smiling from the grave.
These tactics include, but are not limited to: shouting, crying, threatening, making obscene wagers and perhaps most effective, cooking. He wins: burnt toast. I win: Thanksgiving dinner. It's best if I win, since I'm the mayor of the kitchen.
This dinner is one of the reasons our love can withstand Jeopardy. Sweet and salty fried couscous. It's got all of the flavor and toasted depth of traditional Chinese fried rice, but with that whole 'this is good for me' thing goin' on.
Daniel loves Asian food.
And, well, I just love eating.
Does that count as a Daily Double?
Soy Ginger Fried Couscous
serves 4
- 3 eggs, lightly beaten
- 2 cups cooked, cooled couscous
- 1 tablespoon toasted sesame oil, plus more for drizzling.
- 1 bag organic broccoli slaw
- 2 tablespoons minced fresh ginger
- 2 cloves garlic, minced
- 4 TBSP soy sauce
- 1 TBSP brown sugar
Heat a large skillet over medium heat. Coat the pan with nonstick cooking spray. Add the beaten eggs and stir with a spatula almost constantly for 3 minutes, until scrambled, fluffy, and cooked through. Remove to a small plate. Wipe out the skillet.
Add 1 TBSP sesame oil to the skillet and increase the heat to medium-high.
Add the broccoli slaw, ginger, and garlic. Saute, stirring frequently for about 4 minutes, until slightly softened and fragrant.
Add the couscous. The pan will seem dry but you want the couscous to brown and get nice and crispy. Saute the mixture for about 2 minutes.
In a small bowl, whisk together the soy sauce and brown sugar until the sugar is dissolved. Pour into the pan. Stir to combine. Drizzle with additional sesame oil. Add the scrambled eggs to the pan and mix well.


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A Life in LettersPaperback Penguin Classics
List price $23.42
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- Publisher: PENGUIN CLASSICS
- Format: Paperback | 624 pages
- Dimensions: 130mm x 196mm x 28mm | 431g
- Publication date: 28 September 2004
- Publication City/Country: London
- Edition statement: New.
- Illustrations note: map
- Sales rank: 134,053
Product description
From the teenager in provincial Russia in 1875 to his premature death in Germany in 1904, Chekhov wrote over 4,500 letters to a range of correspondents, including family and friends, his publisher and fellow writers - not to mention actresses. These letters tell the story of Chekhov's life as a man and a writer and he emerges from them as a tough, generous, life-enhancing, and enigmatic character.
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Author information
Anton Chekhov (1860-1904) was a Russian physician and writer of short stories and plays, including the masterpieces: 'Uncle Vanya', 'The Seagull', and 'The Cherry Orchard'. Rosamund Bartlett is the author of Shostakovich in Context (OUP, 2000) and Wagner and Russia (CUP, 1995). She is currently working on a biography of Anton Chekhov that will be published by Simon & Schuster. Anthony Phillips is the translator of the letters between Dmitry Shostakovich and Isaak Gilkman that were published as Story of a Friendship (Faber, 2001/ Cornell UP, 2001)
Editorial reviews
A peculiar biography that justifies its addition to an overcrowded shelf by focusing on the landscapes most important to the Russian writer. It's a good idea-for a magazine article or an academic monograph. Drawn out to book length, this geographical survey eventually palls as the text wanders from Taganrog, where Chekhov was born in 1860, through Moscow and St. Petersburg to Melikhovo, his country home outside Moscow, and Yalta, the Crimean resort to which he relocated in a vain attempt to stem the progress of his tuberculosis. British scholar Bartlett (Russian/Univ. of Durham; Wagner and Russia, not reviewed) admits to taking "an impressionistic approach," and early chapters provide atmospheric context for his work by the evoking flat, unpopulated steppe, dotted with ancient Scythian burial mounds, of his childhood; and the arcadian meadows, forests and rivers he enjoyed when summering in a dacha outside Moscow. But her occasional schematic linking of these vistas to a particular story through lengthy quotes merely serves to underscore how little information this book provides about Chekhov's literary life, apart from his surprising friendship with reactionary St. Petersburg magazine publisher Alexei Suvorin. The plays in particular get very short shrift here; in a typical passage, the author writes, "When [Chekhov] returned to Nice for that last visit, he spent the first week of his stay putting the final touches on Three Sisters"-which has hardly been mentioned before. Happily, we learn a good deal more about Chekhov the man than Chekhov the writer. He quietly improved every place he lived, treating the local peasants long after he had given up practicing medicine and raising funds for local schools and post offices. The chronology of his existence, largely abandoned for long stretches, reasserts itself in the final chapters about his slow decline and death at a German spa in 1904, which make the previous emphasis on the physical terrain seem even more arbitrary. Some interesting material on hitherto unexplored aspects of Chekhov's life, but this one's strictly for specialists. (Kirkus Reviews)


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Vista Ridge finds success in a hurry
The Cedar Park Vista Ridge baseball team has come a long way since the school opened in 2005.
Four years after going 10-15 in its first varsity season, the Rangers are two victories away from a spot in the state tournament. To get there Vista Ridge (29-9 overall) will have to get by top-ranked Calallen (38-1) in a best-of-3 series for the Region IV-4A championship, which begins tonight at the Blossom Athletic Center in San Antonio.
Although the Rangers don't have much experience in the playoffs, there's a reason the team is still playing.
"They're fundamentally sound," Calallen coach Steve Chapman said. "They move runners over when you're supposed to. They tag up and advance when you're supposed to. They do a lot of the little things right."
That's evident by how much Vista Ridge has improved.
In 2006, the Rangers went 8-4 in district and 22-8 overall after losing in the area round. The team missed the postseason last year and finished 18-13.
The runner-up in 25-4A, Vista Ridge swept Cibolo Steele (8-5, 6-2), San Antonio Brackenridge (3-0, 7-1) and Boerne (9-6, 4-3) to advance to the regional semifinals against Uvalde. The Rangers lost the opener 6-5, but rebounded to claim 4-0 and 13-4 victories.
Javier Becerra
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Batman Black and White - New 52
Jim Lee - DC Direct
Packaging - **1/2I'm not really loving the new boxes. I
get the whole 'alter ego' aspect of the new DC logo, but that doesn't
mean I like it a whole lot. They have the black peeling away to show
the white on the box as well, and I like it even less. Most of the box
is now white, much duller and less interesting to the eye than the
previous style.
They've completely dropped the term 'limited
edition' from the box at this point. Not sure what that means, but it
can't be good for those that care about edition sizes.
Sculpting - ***I had a bad attitude toward this statue
from the start, but I'll admit I was wrong. Not completely, but to be
fair this is a much better looking statue than I expected.
not really the overall design, since I'm still not that big of a fan of
Lee's work on this new Batman. There's enough detailing on the outfit
for the style, but the Tron-like cuts annoy me. I'm assuming this is
some sort of suit upgrade or cybernetics (I have avoided the New 52
books so far), but I don't like it.
I do like the pose though.
I've mentioned before that I like when the base is incorporated into
the pose, as it is here where he's stepping up onto it.
But the
real saving grace Sis the cape. There's something about the flow, the
way it curves down, then up, and flows outward - it looks terrific!
This is one of the best looking dynamic cape designs I've seen in ages,
and it was quite the surprise.
Paint - ***1/2Solid
paint work all around this time, including the eyes and lips. The edges
of the face around the cowl look good, always a tricky spot on these
There's still a little slop around the symbol, and some of the fine lines are a bit wobbly, but overall it's above average work.
Value - ***While I have some nits to pick here, I
have to say that the price isn't one of them. Recent releases have
jumped up to $80 - $90, and I've voiced my displeasure, but this statue
is back down around $70 at most retailers, even less at some. That's a
big difference, and a very positive one.
Things to Watch Out For - Not
much. The posts in the base are metal, as usual, and can damage the
softer material of the foot, but with a little care you'll be fine.
Overall - ***While the overall design is not my favorite,
this statue has two very big positives going for it. First, there's the
very, very cool cape. I didn't expect to like it this much - dynamic
cape designs rarely work for me - but it's terrific.
And second,
there's the lower price. As much as I have complained about the
increases, I gotta give them some props when the go the other way.
Score Recap:
Packaging - ***
Sculpting - ***
Paint - ***1/2
Value - ***
Overall - ***
Where to Buy -
Online options include these site sponsors:
- Fanboy Collectibles has it at $65.
- Big Bad Toy Store is at $65 as well.
- Urban
Collector has him for $67.
- Things From Another World has him at $72.
- Entertainment
Earth has it at $70.
- or you can search
ebay for a deal.
Links -
I've covered many of the Batman Black and White statues. Most recent was the Sam Keith version, the Mignola variant, the humorous version based on artwork by Sergio Aragones, the Gleason and Chiang versions, the Finch version, the Bermejo Joker, the Tony Daniel Batman, the Arkham Asylum version, the cool Man-bat,
and don't forget the other black and white Joker Jim
- before that, we had the Quitely version of
Batman, the Bermejo, the McGuinness
version, the Dave Mazzucchelli
version, the Penguin, Gotham Knight 2 version, the Bruce Timm version, the Ethan Van Sciver version, the Aparo, the Neal Adams and George Perez versions, the Gotham Knight, Bob
Kane, Frank Miller, Jim Lee, Matt
Wagner, Mike Mignola, and Kelley Jones. *whew*
Want to chat about this
review? Try out one of these terrific
forums where I'll be
discussing it!
Enjoyed this review? Be sure to head back to the main page to find
thousands more just like it!
this review with others!
This product was purchased for the review by the reviewer.
Photos and text by Michael Crawford.


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Free Documentary Film Screening and Discussion "ON THESE SHOULDERS WE STAND" You are invited to join us at a free screening of Glenne McElhinney's documentary, "On These Shoulders We Stand," about LGBT civil rights in the 60s and 70s in Los Angeles. After the screening a panel of local community activists including Wes Jo and […]
How "Race to the Top" Has Magnified the Obesity Problem in Poor and Working Class Neighborhoods
Could Transportation Planners Have Dreamt Bigger?
AIDS Healthcare Foundation Turns 25
The Fix Is In: A Tale of Two Bans
Media for the 99%: LA Media Reform Group Seeks Workshop Presenters
Crown Heights Riots 20 Years Later
The Audacity of Hate: Birthers, Deniers, and Barack Obama
Yolie Flores on CRES #14 and Camino Nuevo Charter
Martin Luther King Day: They Never Heard Him Give a Speech
Kafi D. Blumenfield: "Injustice anywhere is a threat to justice everywhere." This generation of leaders has taken Dr. King's injunction to heart and they are taking action. They and their peers find common ground by connecting not only through race, gender, sexual orientation or citizenship status, but also, on higher ground, through shared aspirations and hope for the future.
LA Media Reform Group Seeks Workshop Presenters
The Law Offices of East Los Angeles
Press Release This month, friends, supporters, political allies and family members gathered at 6457 E. Whittier Blvd., in East Los Angeles to celebrate and inaugurate the grand opening of a new progressive community law office in East Los Angeles. This new community legal center is the joint effort of Mercedes V. Castillo and Guillermo Suárez […]
DNA and 'The Banality of Evil'
Sikivu Hutchinson: Because Franklin and Turner are black male killers of black women, it is safe to say that there will be no cable-ready film made psychoanalyzing their childhoods, no Lifetime channel melodrama on the lives and last days of their victims trumpeted in flashy national billboard campaigns, and no pathos inspiring media blitz chronicling the anguish that these murders elicited in South L.A. communities.


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Wadsworth attractions are listed below. Find things to do in or near Wadsworth, OH for your upcoming individual or group travel for Wadsworth visitors. We also offer the great discounts on Wadsworth Ohio hotel and motel rooms.
Reserving group travel? Save with Wadsworth Group Rates
Attractions + Things To See in Wadsworth
... Next 6 Things to see > [1 - 6 of 30]


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Saturday September 29th is National Public Lands Day, which is the nation's largest single-day volunteer event for public lands.
The U.S. Army Corps of Engineers however, will get a jump start on the Nationwide Clean-Up project by holding a month long clean-up of Richard B. Russell Lake.
Erin Parnell, who is a Natural Resource Specialist for Corps of Engineers, says that most of the clean-up will be focused on the shorelines of the lake.
"A lot of the shore line areas on Russell, and maybe a few of the boat ramps seem to collect a lot of household trash, as well as trash from island camping." said Erin Parnell. "It adds up, every little bit adds up, and this is just a good time for people to volunteer and help clean up the parks and boat ramps we all enjoy using."
The Lake Russell clean-up will get started tomorrow, and will conclude on September 29th on National Public Lands Day. Volunteers of all ages will be participating in National Public Lands Day by helping to build new trails, planting trees, repairing facilities, and much more.
If you have a group that would like to participate, or want to contribute on your own, you can contact The Corps of Engineers Office at (706) 213-3400.
For more information about National Public Lands Day, you can visit their website at www.publiclandsday.org.