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Dahele, Max MBChB, MSc; Palma, David MD; Lagerwaard, Frank MD, PhD; Slotman, Ben MD, PhD; Senan, Suresh FRCR, PhD
In the article that appeared on page 1221 of the July issue, the authors omitted to mention that the composition of our multidisciplinary tumor board (referred to in the section 'Patients and Treatment') also includes thoracic surgeons and pathologists.
In addition, although a previous paper reporting on the classification of CT findings after lung irradiation was cited, they did not acknowledge two original references in this field, namely, (1) Ikezoe J, Takashima S, Morimoto S, et al. CT appearance of acute radiation-induced injury in the lung. AJR Am J Roentgenol. 1988;150:765–770 and (2) Koenig TR, Munden RF, Erasmus JJ, et al. Radiation injury of the lung after three-dimensional conformal radiation therapy. AJR Am J Roentgenol. 2002;178:1383–1388.
Dahele M, Palma D, Lagerwaard F, Slotman B, Senan S. Radiological Changes After Stereotactic Radiotherapy for Stage I Lung Cancer. J Thorac Oncol. 2011;6:1221–1228.
Journal of Thoracic Oncology.
September 2011.
Department of Radiation Oncology, VU University Medical Center, Amsterdam, The Netherlands.
Disclosure: VU University Medical Center has research collaborations with Varian Medical Systems, Palo Alto, CA, BrainLAB AG, Feldkirchen, Germany, and Velocity Medical Solutions, Atlanta, GA. Max Dahele, MBChB, has received travel support from Varian Medical Systems and BrainLAB; Frank Lagerwaard, MD, PhD, has received honoraria from Varian Medical Systems; Ben Slotman, MD, PhD, has received speaker's fees from Varian Medical Systems and BrainLAB; and Suresh Senan, FRCR, PhD, has received speaker's fees from Varian Medical Systems.
Address for correspondence: Dr. Max Dahele, Department of Radiation Oncology, VU University Medical Center, De Boelelaan 1117, Amsterdam 1081 HV, The Netherlands. E-mail: email@example.com
The first two authors contributed equally to this work.
Introduction: Stereotactic body radiation therapy (SBRT) is entering routine clinical use for selected patients with early-stage non-small cell lung cancer. Post-SBRT radiological changes are commonly seen on follow-up computed tomography (CT) imaging and can cause diagnostic dilemmas. The aim of this study is to describe the incidence, radiological severity, and long-term morphology of these changes.
Methods: CT scans from patients treated between 2003 and June 2008 were eligible for evaluation if radiological follow-up had been performed at our center for at least 2 years, and there was no definite evidence of local recurrence. Timing, incidence, morphology, and severity of lung changes were determined.
Results: CT scans from 61 patients (68 lesions) with a median follow-up of 2.5 years were evaluated. Within 6 months, 54% of lesions were associated with additional radiological abnormalities, and this figure reached 99% after 36 months. Most changes were scored as mild to moderate, and although the median time to first observation was 17 weeks, 25% appeared ≥1 year post-SBRT. In 47% of lesions, the morphology or severity of changes continued to evolve more than 2 years posttreatment.
Conclusions: Mild-moderate radiological changes are common after lung SBRT. Some degree of late change is nearly universal, and it often continues to evolve more than 2 years post-SBRT. Clinicians should be aware of these radiological findings, which need to be distinguished from the uncommon cases of local failure post-SBRT.
Stereotactic body radiation therapy (SBRT) is a form of high-precision radiation therapy that is frequently delivered in 3 to 8 fractions over 1 to 3 weeks. There is increasing evidence to support its use in selected patients with early-stage non-small cell lung cancer (NSCLC). Prospective multicenter studies have shown that it can achieve local control rates in excess of 88%,1,2 and a meta-analysis of published studies shows that improved local control rates and survival are achieved with SBRT, when compared with conventionally fractionated radiotherapy delivered in 5 to 7 weeks.3 Population-based analyses have revealed that the percentage of elderly patients with stage I NSCLC who underwent radiotherapy increased after the introduction of SBRT, with a corresponding improvement in their survival.4 SBRT outcomes have also been evaluated in patients with stage I NSCLC who have declined surgery,5 and the body of available evidence has been considered strong enough to support phase III trials comparing surgery versus SBRT for first-line treatment of operable patients.6
Computed tomography (CT) is the primary imaging modality for evaluating response and for detecting changes in pulmonary tissues after lung SBRT (Table 1). We previously reported that acute radiological changes develop in approximately 60% of patients.8 The late fibrotic process after high-dose radiation can be dynamic and continue for many years,9,15,17 which at times makes it difficult to distinguish post-SBRT changes from tumor recurrence.9,18–20 For this reason, we have aimed to better characterize the incidence and morphology of late radiological lung changes after SBRT by evaluating post-SBRT CT studies in patients with a minimum of 2 years radiological follow-up.
The SBRT program at VU University medical center commenced in 2003 and has included evaluations of survival, local control, toxicity, and quality of life. Patients were eligible for this retrospective study if they fulfilled the following criteria: (i) lung SBRT treatment for a stage I NSCLC between 2003 and June 2008, (ii) regular radiological follow-up performed for at least 2 years at our center (rather than their referring center), and (iii) no definite radiological evidence of local recurrence on the study CT scans.
Patient selection, 4D-imaging protocols, use of a risk-adapted fractionation schemes, and the treatment techniques used have all been reported previously.21,22 Treatment was delivered using 8 to 12 noncoplanar static beams and 6 MV photons to a total dose of 60 Gy, calculated with a pencil beam algorithm and prescribed at the 80% isodose line. Fractionation was dependent on tumor size and its location: 3 fractions of 20 Gy were delivered to T1 tumors surrounded by lung parenchyma; 5 fractions of 12 Gy to T2 tumors and T1 tumors in broad contact with the chest wall; and 8 fractions of 7.5 Gy to centrally located tumors and those close to the brachial plexus. Routine follow-up involved outpatient assessments at 3, 6, and 12 months post-SBRT and thereafter every 6–12 months, with a diagnostic CT scan of the thorax and upper abdomen performed at each visit. Fluorodeoxyglucose positron emission tomography-CT scanning is not performed routinely post-SBRT. When intrathoracic disease recurrence is suspected, patients are discussed in a multidisciplinary tumor board consisting of radiation oncologists, pulmonologists, nuclear medicine physicians, and radiologists, before recommendations are made for a follow-up policy. Whether there is definite local recurrence is often uncertain and a common approach involves repeat CT imaging at a short interval (e.g., after 3 months) together with a fluorodeoxyglucose positron emission tomography-CT scan and invasive diagnostic procedures, if appropriate.
Scoring of radiological changes was performed by three radiation oncologists, who together had treated and followed up more than 500 lung SBRT patients. Scoring was performed in a meeting room with digital images of the baseline and follow-up CT scans projected onto a large screen. Scores were assigned by consensus.
Acute CT changes were defined as those occurring within the first 6 months of treatment, using a scoring system described previously8 (Figure 1A and Table 2). Briefly, the five categories of acute findings defined were diffuse consolidation, patchy consolidation, diffuse ground-glass opacities (GGOs), patchy GGO, or no evidence of increasing density. The term "diffuse" was applied to abnormalities that were at least 5 cm in maximum diameter and which contained more than 50% abnormal lung; otherwise, the term "patchy" was applied.
Late CT changes were defined as occurring 6 months after treatment or later and classified into one of four categories10 (Figure 1B and Table 3): "modified conventional pattern" of fibrosis (characterized by consolidation, volume loss, and bronchiectasis ± GGO), mass-like fibrosis (well-circumscribed focal consolidation limited to the tumor region but which is larger than the original tumor), "scar-like fibrosis" (a linear opacity in the tumor region with associated volume loss), or "no evidence of increasing density" (regressing mass at the location of the treated tumor or only normal lung visible).
In addition, our system specified a subjective overall impression of the severity of radiographic findings as follows: "severe" (much more extensive than would usually be expected with SBRT); "moderate" (changes that are common), "mild"/"minor" (slight changes only), or "none."8
For patients undergoing treatment of more than one lesion, CT changes associated with each lesion were scored separately. Any scans in patients who were undergoing treatment for acute infections, such as an infection, were not scored.
Associations between baseline factors and severity of CT changes were calculated using Spearman's correlation, and the relationship between early and late severity scores was assessed using McNemar's test. Time to onset of first CT changes was estimated using the Kaplan-Meier method, and Cox regression analysis was used to determine whether baseline factors (age, sex, COPD severity, comorbidity score, smoking status, and tumor location) were related to time to onset of first CT change. All statistical tests were two sided with p < 0.05 indicative of statistical significance, and all statistical analyses were performed using the Statistical Package of Social Sciences (SPSS version 15.0, Chicago, IL).
Between 2003 and June 2008, a total of 387 patients underwent SBRT for stage I NSCLC. Out of these, we identified 147 patients who survived more than 2 years post-SBRT and who did not develop local recurrence. Sixty-one patients (Table 4) met all the inclusion criteria for this evaluation, with the commonest reason for ineligibility being CT scans performed in other centers and not stored permanently on the VUmc picture archiving and communication system.
The median age was 71 years, and the median duration of CT follow-up was 2.5 years (range: 2–6.7 years). Thirty-four patients had COPD that was scored as moderate (GOLD III) or severe (GOLD IV), as per the GOLD criteria.23 The median Charlson comorbidity score (nonage adjusted) was 4 (range 2–9), and 49 patients (80%) were medically inoperable. The 61 patients were treated for a total of 68 lesions: six patients were treated for two synchronous lesions, and one patient was treated 2 years after the original course of SBRT for a second primary tumor in a different lung region and was followed up for a further 4 years. The pathological confirmation rate was 34%, consistent with our previously reported experience.21 A total of 325 CT scans were reviewed (median, 5 per patient, range 3–10), on which a total of 364 lesion scores were assigned.
CT scans within 6 months of treatment were available for 67 lesions (assessed in 70 scans). In 46% of cases, there was no evidence of increasing density. In 36 (54%), there were acute parenchymal changes. Acute patterns of CT changes were as follows: 46% of lesions showed no evidence of increasing density, 24% patchy consolidation, 16% diffuse consolidation, 7% diffuse GGO, and 6% patchy GGO.
Late parenchymal CT changes were seen for nearly all lesions (67/68; 99%) at some point during the follow-up period. The incidence of CT changes at 6, 12, 24, and 36 months was 56%, 73%, 87%, and 99%, respectively. A total of 294 late morphology scores were assigned, and the modified conventional pattern of fibrosis was most common (71%), followed by scar-like fibrosis (11%), no evidence of increasing density (11%), and mass-like fibrosis (7%). Most lesions had a maximum severity score of 1 (mild; n = 34; 50%) or 2 (moderate; n = 32; 47%). Only one patient had severe (score = 3) changes after SBRT.
The severity of acute change was predictive of late change severity: 55% of patients with moderate or severe acute changes had moderate or severe late changes. In comparison, only 39% of patients with no/mild acute changes had moderate or severe late changes (p = 0.002). There were no significant correlations between maximum severity score and PTV size (p = 0.14), fraction number (p = 0.95), Charlson score (p = 0.32), smoking status (p = 0.16), laterality (p = 0.51), or severity of COPD as measured by GOLD score (p = 0.93). Time to onset of first CT change was faster in men than in women (median: 26 weeks versus 47 weeks, p = 0.015). Other baseline factors, including age (p = 0.16), smoking status (p = 0.87), PTV size (p = 0.96), laterality (p = 0.64), central location (p = 0.52), COPD severity (p = 0.15), and Charlson score (p = 0.56) were not predictive of time to onset of first CT change.
The cumulative incidence of CT changes is shown in Figure 2. Although the actuarial median time to development of first CT changes was 17 weeks, the first CT change developed more than 1 year after treatment in 25% of lesions. The time course of the morphology and severity of the lung changes is shown in Figure 4. A continual evolution in morphology was commonly observed: many lesions demonstrated a modified conventional pattern after 1 year that evolved thereafter into scar or mass-like patterns (Figure 3A). The severity of CT changes peaked between 1 and 2 years and then plateaued (Figure 3B). Although it appeared to diminish beyond 4 years, this observation is based on a small number of patients. Radiological parenchymal changes continued to evolve long after SBRT, with 32 lesions (47%) showing either a change in morphology or severity of the CT findings more than 2 years after treatment (Figure 4).
To the best of our knowledge, this study reports the longest duration of CT follow-up for assessment of normal tissue changes in patients treated with lung SBRT (Table 1). In addition, it systematically describes the frequency, timing, longitudinal evolution, and severity of post-SBRT lung changes. Although about half of patients developed acute CT changes, we found that late CT changes occurred to some extent in almost all patients. With respect to the timing of these changes, it was noteworthy that in 25% of treated lesions, the first CT changes become apparent more than 1 year after treatment. Importantly, CT changes were often dynamic, with almost half of all cases showing signs of evolution more than 2 years after radiotherapy. Significantly, the proportion of mass-like changes seems to increase in those patients with more than 2 years of imaging follow-up and the severity of changes peaked at 1 to 2 years post-SBRT. Although the severity of early change was predictive of late changes—about half of the patients with moderate-severe acute changes developed late changes of the same severity—additional long-term clinical and radiographic follow-up is still required to better characterize this relationship.24
To put the current data in context, 2 to 6 months after lung SBRT Trovo et al.10 reported a 33% incidence of patchy consolidation/GGO and a 27% incidence of diffuse consolidation, whereas we found 24% patchy and 16% diffuse consolidation at 3 months. From 7 to 12 months and 13 to 18 months post-SBRT, they found 54% and 44% modified conventional pattern, and 20% and 28% mass-like patterns respectively. Whereas, in this study, beyond 6 months post-SBRT, we found a modified conventional pattern in 71% and mass-like fibrosis in 7%. Interobserver variation, sample size, follow-up duration, patient characteristics, and SBRT treatment technique may be among the factors that account for these differences. Similar to Trovo et al.,10 we found no relationship between radiographic changes and the PTV size. However, in contrast with the conclusions of Linda et al.25 in a recent review, we have seen that morphological change is commonplace beyond 2 years after SBRT. The dominant acute (patchy consolidation) and late (solid/discrete consolidation) findings of Aoki et al.16 are consistent with our own observations. Guckenberger et al.9 report similar findings but use the terms dense consolidation, spotted streaky consolidation, and retraction to describe the late changes. Our finding that late consolidation can subsequently evolve into a mass or scar-like pattern is consistent with the report of Takeda et al.17
The fact that multiple series report similar morphologic time trends with conventionally delivered SBRT is perhaps not surprising given that they are all describing pneumonitis and subsequent fibrosis. Nevertheless, the differences in descriptive terminology and scoring metrics highlight that it would be desirable to develop a standardized and validated scoring system that could be consistently applied.24 This is especially important for clinical trials. Although the qualitative method of reporting changes used in this article is currently most relevant to everyday clinical practice, more objective methods for evaluating lung changes post-SBRT are required. A quantitative methodology that uses deformable image registration to correlate lung density changes with radiation dose distributions is currently undergoing evaluation for this purpose.26,27
Although we consider our methodology to be at least as robust as previously reported studies (Table 1), there are some potential limitations. First, it is clear that the follow-up imaging interval will contribute substantially to the estimated timeline for normal tissue responses. In this instance, scans were performed at 3, 6, and 12 months after SBRT, and thereafter every 6–12 months, which means that there could be an uncertainty of up to several months in when normal tissue changes actually occurred. Inevitably, the number of patients at risk declines with time, and so it is feasible that the incidence and the characteristics of morphological change could also alter with longer follow-up and a larger number of patient observations, especially at later time points. For example, observations in this study beyond 2.5 to 3 years are based on a relatively small number of patients. The frequency of changes could be further influenced by the test-retest variability of the scoring systems, which was not specifically evaluated in this report. Although somewhat subjective, the scoring system's descriptive qualities do mean that it could be used in the clinical setting, and the addition of a severity score provides an extra dimension and discriminator over previous reports.
Our report was not intended to focus on the relationship of radiological changes to potential patho-etiological factors, symptoms, or medication. Nor has it considered possible dosimetric risk factors for clinical lung toxicity after SBRT or the effect on lung function.28 In addition, this study does not focus on the identification of local recurrence. It is also important to note that the findings in this study relate to patients treated with multiple noncoplanar conformal beams and 6 MV photons. Volumetric modulated arc therapy is now the standard technique for lung SBRT at our center,29 and changes in the pattern of late radiological changes cannot be ruled out as larger volumes of lung tissue may be exposed to lower doses of radiation in these patients. Finally, it follows that distinguishing lung changes from local recurrence is of great importance, not least of all because there are salvage options for selected patients.30,31 Importantly, in two recent articles describing salvage surgery, the authors reported that the local recurrences were associated with rapid enlargement within a relatively short period after SBRT. Continued radiological follow-up of parenchymal lung change is, therefore, necessary, with multidisciplinary review, increased imaging frequency, metabolic studies, and invasive evaluation as appropriate.
In conclusion, with increasing numbers of patients receiving lung SBRT, it is important that their medical team is aware of specific characteristics of this treatment. This preliminary study of post-SBRT fibrotic changes has demonstrated that long-term CT changes and continued radiographic evolution are common more than 2 years after SBRT. Additional work is now needed to improve the early detection of local progression and to better understand the pathogenesis of lung changes post-SBRT and their long-term physiological and functional effects.
David Palma, MD, was supported by a Canadian Association of Radiation Oncologists/Elekta Research Fellowship.
This article has been cited 6 time(s).
Lung cancer; Radiation fibrosis; Radiation pneumonitis; Radiation therapy; Stereotactic
© 2011International Association for the Study of Lung Cancer
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Posted August 20, 2010
by Jen Mayville
- Red Cross Roving Reporter/Communications Co-ordinator
Last week, we put some Toronto community members' culinary skills to the test with a disaster dining challenge. One of the contestants, Chief of Emergency Management Ontario, Dan Hefkey shared with us these yummy recipes with canned crab for when you are in a pinch. We thought they would be perfect for Food Friday. Thanks for sharing them Dan!
Chief of Emergency Management Ontario, Dan Hefkey shows off his crab tacos.
Crab Salad Tacos
1 1/2 cups canned corn kernels - drained
1 lb. canned crab
1 jar, mild salsa
12 corn tortillas
Combine all ingredients besides cilantro and tortillas in a medium bowl. Fill each taco with about 1/3 cup crab salad.
Crab Meat Salad
1 can mandarin oranges, drained
1 can peaches, drained
2 tbsp. lemon juice
2 cans crab meat
Mix together first 5 ingredients; add crab meat.
Mix together a dressing of lemon juice, vegetable oil, salt and pepper and add to salad.
Red Cross Roving Reporter/Communications Co-ordinator
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|View single post by Captain Crow
|Posted: Tue Nov 22nd, 2011 05:47 pm
Captain Crow
Proud Southerner
|Thank you Tim! I fully understand what you mean concerning the local attitude towards the battlefield. You really have to watch out for joggers and dog walkers.....I could've bagged several had I not been alert. I definitely got the impression that they were not concerned with the historic nature of the ground their poodles were pooping on.


text:
On the mountain, as on the planet, the god of mischief will continue to rule.
mountain sheep were everywhere, some sleeping by the road, some foraging, bells ringing from their necks as they moved.
And that mountain is to have a firm run completely by women.
We won't be "buried under a mountain of debt," Obama declared.
You are always reacting to and responding to the unexpected, and Francis knows he wants to keep climbing the mountain.
Returning to the mountain, the fairies, in a band, went with him to the great rock.
He wants to know what mysteries this mountain hides from his eyes.
It moved slowly, and in about five minutes disappeared behind a mountain.
His own life was as littered with hard deeds as the side of a mountain with boulders.
In some of the swamps at the base of the mountain grows Limnorchis leucostachys.
c.1200, from Old French montaigne (Modern French montagne), from Vulgar Latin *montanea "mountain, mountain region," noun use of fem. of *montaneus "of a mountain, mountainous," from Latin montanus "mountainous, of mountains," from mons (genitive montis) "mountain" (see mount (n.)).
Until 18c., applied to a fairly low elevation if it was prominent (e.g. Sussex Downs, the hills around Paris). As an adjective from late 14c. Mountain dew "raw and inferior whiskey" first recorded 1839; earlier a type of Scotch whiskey (1816); Jamieson's 1825 "Supplement" to his Scottish dictionary defines it specifically as "A cant term for Highland whisky that has paid no duty." Mountain-climber recorded from 1839; mountain-climbing from 1836.
A generally massive and usually steep-sided, raised portion of the Earth's surface. Mountains can occur as single peaks or as part of a long chain. They can form through volcanic activity, by erosion, or by uplift of the continental crust when two tectonic plates collide. The Himalayas, which are the highest mountains in the world, were formed when the plate carrying the landmass of India collided with the plate carrying the landmass of China.


text: Distinguished Professor of Chemistry Sanford Asher has won the Charles E. Kaufman Foundation 2011 Award based on his fundamental research in Chemistry that has advanced the field of knowledge in chemistry and benefited humankind through technologies of economic value and significance for improving human welfare, health and security. The work involved the development of sophisticated laser based methods for determining the mechanisms of protein folding and for developing standoff detection of hazardous chemicals, and for the development of smart photonic crystal chemical sensing materials. Professor Asher will be presented with this $50,000 award in December.


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BUSINESS Q&A: Pet salon owner embarks on challenges
New challenge is owning the business
SAN ANGELO, Texas - Bathing and grooming dogs might seem like a messy job, but Mary Sparks sees it as making something she loves more beautiful.
The owner of Kozy Kut Pet Salon said she has always loved animals and brought home strays. In 2000, she decided to channel that devotion into a career, answering a newspaper ad to be a bather at Kozy Kut.
"I just walked through the door and filled out an application," Sparks said. "And I've been doing this ever since."
Melissa Easterly, the grooming salon's former owner, taught Sparks the tricks of the trade, taking her to grooming seminars and teaching her "everything from the nose to the tail on these dogs," Sparks said.
"It's really a skill," Sparks said. "It's not like grooming a human — this is a moving target."
Last year, Sparks got a chance to take her expertise to a new level when Easterly decided to sell the business.
"I've always wanted to have my own business," Sparks said. "I was just undecided on what I wanted it to be until I got involved in this."
And Kozy Kut Pet Salon had an added challenge Sparks couldn't resist: "I wanted to see if I could keep the people coming back to a business that had been established for 30 years," she said.
What: Dog grooming and boarding facility
When: 7:30 a.m. to 5:30 p.m. Tuesdays through Fridays, occassional Saturdays.
Where: 4152 Arden Road
Contact: 325-658-4611
Just a few months ago, Sparks relocated the salon from Beauregard Avenue to Arden Road, a move that gave Sparks and her four employees enough room to add boarding to the business' list of services.
"It's a whole new ballgame," Sparks said of the relocation. "We have kennels that are custom built. The boarding part has really been fun. We have play time with the dogs three to five times a day. It's a safe environment. It's indoor/outdoor."
Sparks said she'd like to see the business continue to flourish, and to continue to be the reliable owner that her successor was.
"Melissa was a great owner people could rely on," Sparks said. "That's how I want things to be for myself. When people come in and need dogs out at a certain time, I want us to be able to meet goals for these people."
Standard-Times: There are numerous grooming and boarding businesses in town. How do you try to set yours apart from the competition?
Sparks: I'm very new to the boarding. My main goal will be able to play with the dogs, to let them have some social time. They're not just put in a kennel — they get to interact. (As for) the grooming, basically the business has been established for this long, and people know who we are and they know we're going to stand behind what we do here, and we're going to take the best possible care of their pet. I have a manager (Tammie Reyes) who has 18 or 19 years of experience, and she teaches me along the way.
You've mentioned the manager and the former owner as inspiration. Would you say these people have helped you find success in this business?
Absolutely. The seminars I've gone to, the people I've worked with have been the very best. My husband Jeremy (who is co-owner) has been behind me 110 percent. Everyone in my family has been up at the new salon until 2 a.m. helping me, just getting the new building ready. We had a lot of makeover to do and getting the kennels ready. They've been with me from the very beginning.
What services does the salon offer?
We do baths, blow-drying, haircuts, any flea and tick treatments, any special needs as far as skin problems — we have special shampoos for that. We can go as small as a bath and a blow-dry up to grooming a poodle. We do all breeds (of dogs). (As far as dogs) if you've got it, we'll take it.
What's the toughest part of your job?
The office work. Just the day-to-day overall running of the facility is the hardest part. Grooming the dogs is far less challenging than the rest of it.
Do you take appointment or walk-ins?
We do appointments. We take on 17 to 18 haircuts a day and anywhere from five to 10 baths after that a day. We take 22 to 27 dogs a day.
How do you ensure new customers come back?
First of all, when I have a new customer I let them look at the building. Having them look around and see how other dogs are being treated and how my employees conduct themselves (is important).
We take the new dog back and spend a little time with the dog to knock down the nervousness. They're scared at a new place. So we try to take it slow and let the owner know that we're doing that.
Usually the haircut and the way we handle the dog ensures the customer will come back. Also cleanliness. If your salon is maintained in a clean, orderly fashion, (customers are) more apt to stay with you.
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text:
Archive for Thursday, July 13, 2006
Historical society meeting set
The Eudora Area Historical Society will meet at 7:30 p.m. July 20 at Eudora City Hall, 4 East Seventh St.
The program will be first car memories and old-time radio shows. There will also be an ice cream social and door prizes.
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The seventh child of Henry and Emma Alexander Owens was named James Cleveland when he was born in Alabama in 1913. "J.C.", as he was called, was nine when the family moved to Cleveland, Ohio, where his new schoolteacher gave him the name that was to become known around the world. The teacher was told "J.C." when she asked his name to enter in her roll book, but she thought he said "Jesse". And Jesse Owens was the name he used for the rest of his life.
Owens had a sensational high school track career and was being sought by dozens of colleges by the time he reached his senior year.
His athletic career began in 1928 in Cleveland, Ohio where he set new world records for Junior High Schools by jumping 6.0 feet in the high jump, and 22 feet 11 3/4 inches in the broad jump. During his high school days, he won all of the major track events, including the state championship for three consecutive years. At the National Interscholastic meet in Chicago, during his senior year, he set a new world record for high schools by running the 100 yard dash in 9.4 seconds to tie the accepted world record, and he created a new high school world record in the 220 yard dash by running the distance in 20.7 seconds. A week earlier he had set a new world record in the broad jump by jumping 24 feet 11 3/4 inches
.Owens chose the Ohio State University over all of the colleges pursuing him, even though OSU had no track scholarships to offer at the time. He supported himself and his young wife, Ruth, with a variety of jobs - as a night elevator operator and a waiter, by pumping gas and working in the library stacks, and through a stint as a page in the Ohio Statehouse, all of this in between practice and record setting on the field in intercollegiate competition.
In 1936 Jesse Owens stood on the center tier of the awards platform of the Berlin Games to accept his fourth Olympic gold medal. Names and faces of great athletes flash on and then off the sports panorama, but though others have broken Jesse Owens' records and accumulated gold medals, he is the best remembered of all the Olympic athletes. Why? Because he, son of a sharecropper and grandson of a slave, achieved what no Olympian before him had accomplished; he not only discredited a heinous dictator, Adolph Hitler, but he affirmed that individual excellence, rather than race or national origin, distinguishes one man from another.
Owens proved in Berlin and thereafter that he was a dreamer who could
make the dreams of others come true, a speaker who could make the world
listen and a man who held out hope to millions of young people. Throughout
his life, he worked with youths, sharing of himself and the little material
wealth that he had. In this way, Jesse Owens was equally the champion
on the playground of the poorest neighborhoods that he was on the oval
of the Olympic games.
|next page
© 1999-2000
The Jesse Owens Foundation


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|Reliable clinical and sonographic findings in the diagnosis of abdominal wall endometriosis near cesarean section scar.
MedLine Citation:
|PMID: 22590667 Owner: NLM Status: PubMed-not-MEDLINE
|AIM: To highlight sonographic and clinical characteristics of scar endometrioma with special emphasis on size-related features.
METHODS: Thirty women (mean age 30.6 years, range 20-42 years) with 33 scar endometriomas (mean diameter 27.1 mm, range 7-60 mm) were consecutively studied by Sonography and Color Doppler examination prior to surgery. Pathological examination was available in all cases.
RESULTS: The most frequent (24 of 33 nodules, 74%) sonographic B-mode aspect of endometrioma was that of an inhomogenously hypoechoic roundish nodule with fibrotic changes (in the form of hyperechoic spots or strands), a peripheral inflammatory hyperechoic ring, spiculated margins and a single vascular pedicle entering the mass at the periphery. On average, 1.6 cesarean sections were recorded per patient (range 1-3). The median interval between the last cesarean section and admission to hospital was 36 mo (range 12-120 mo) and the median duration of symptoms before admission was 25.7 mo (range 0.5-80 mo). 13 patients had 13 large endometriomas (≥ 30 mm) with a mean lesion diameter of 41.3 ± 9.02 mm (range 30-60 mm). Seventeen women had 20 small endometriomas with a mean lesion size of 18.2 ± 5.17 mm (range 7-26 mm). The mean interval between the last cesarean section and admission to hospital (66.0 mo vs 39.6 mo, P < 0.01) and the mean duration of symptoms before admission (43.0 mo vs 17.4 mo, P < 0.01) were significantly longer in patients with large endometriomas; in addition, a statistically significant higher percentage of patients with large implants had undergone previous inconclusive diagnostic examinations, including either computed tomography/magnetic resonance imaging/fine needle biopsy/laparoscopy (38.4% vs 0%, P < 0.05). On sonography, large endometriomas showed frequent cystic portions and fistulous tracts (P < 0.02), loss of round/oval shape (P < 0.04) along with increased vascularity (P < 0.04).
CONCLUSION: Endometrioma near cesarean section scar is an often neglected disease, but knowledge of its clinical and sonographic findings may prevent a delay in diagnosis that typically occurs in patients with larger (≥ 3 cm) endometriomas.
|Giampiero Francica
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Human Translation or Machine Translation?
As the saying goes…….To do a job well, you have to use the right tools.
As technology continues to advance, this subject is in constant debate. Let's detach ourselves for a moment from the matter at hand – it's a well-known fact that to achieve optimum results with any type of project it's imperative to use the proper tools. Decisions on whether to use machine translation or a professional human translator are based on several important factors – cost, timeliness, your target audience and subject matter to name just a [...]
Human Translation or Machine Translation?


text:
See the entire forum here, just loaded with information.
Myself, I quit blog commenting as a waste of time.
Most commenting I see are nothing but spam.
Most who come to my blogs and comment are just spammers.
And more and more blogs are shutting off commenting.
See at some point, the only blogs allowing comments will be spam blogs.


text:
Carolyn Paul ended her summer golf schedule with a bang.
Playing in her final tournament of the season, Paul captured The Juniper women's invitational Wednesday at Juniper Hill.
She also won the tournament in 2007 and 2011.
"It was a fun day," Paul said. "I played real solid today. I putted better today, and I usually do not."
Paul won the tournament with a one-over par 75, three shots ahead of Anne Combs and defending champion Cynthia Powell. Combs took second place in a scorecard playoff.
Paul lives in Eminence, and her home course is Henry County Country Club.
"I've played more golf this summer than I have the last four or five summers," she said. "I've had fun, and I've improved this year. I'm doing well."
Paul's victory in The Juniper was her first tournament win this summer, and her 75 is her best tournament score this year. She's played in about six tournaments.
The last time Paul played in The Juniper was in 2011, the last time she won the tournament.
She came into this year's event with no expectations.
"I was happy to play in the foursome I had and to play well," Paul said. "I played in a group with Anne Combs and Cynthia Powell, and it was great.
"If I could be somewhere in the 70s I was going to be happy today."
Pam Rhodes won the Betty Satterly Award, given to the Juniper Hill member with the lowest net score. Rhodes won the award with a net score of 65.
The top three net and gross finishers in each flight, along with winners of specialty awards, are listed.
Championship Flight
Gross: 1. Carolyn Paul 75, 2. Anne Combs 78 (scorecard playoff), 3. Cynthia Powell 78.
Net: 1. Charlotte Nelson 69, 2. Deedie Tucker 70 (SCP), 3. Shirley Caudill 70 (SCP).
Low putts — Denise Wentz
Longest drive — Denise Wentz
Closest to the pin — Debbie Cummings
First Flight
Gross: 1. Sharon Bunch 81, 2. Mona Burns 82, 3. Mary Matthews 83.
Net: 1. Lori Woodside 66, 2. Joyce Jones 67, 3. Teresa Davis 69.
Low putts — Lynne Saunders 29
Longest drive — Sharon Bunch
Closest to the pin — Lori Woodside
Second Flight
Gross: 1. Brenda Wilson 90, 2. Norma Darnell 93 (SCP), 3. Carol Ferguson 93.
Net: 1. Marianne Leet 69, 2. Trish Gregory 73, 3. Susan Goins 74 (SCP).
Low putts — Michele Brown 31 (SCP)
Longest drive — Brenda Wilson
Closest to the pin — Brenda Wilson
Third Flight
Gross: 1. Mary Crump 84, 2. Cathy Frank 95 (SCP), 3. Charlotte Pyles 95 (SCP).
Net: 1. Pam Rhodes 65, 2. Theresa Tippett 72, 3. Kathy Grear 75.
Low putts — Rose Ann Masters 32
Longest drive — Mary Crump
Closest to the pin — Corky Herbert
Fourth Flight
Gross: 1. Shirley Wilhoite 93, 2. Barbara Booze 96, 3. Judy Wood 99 (SCP).
Net: 1. Karen Liebman 67, 2. Lisa Goins 70, 3. Laverne Cox 72.
Low putts — Jody Gaynor 33 (SCP)
Longest drive — Sandra "Cricket" Floyd
Closest to the pin — Carol Spencer
Fifth Flight
Gross: 1. Shirley Dukes 101, 2. Cathy Kays 102, 3. Nina Sue Rice 103.
Net: 1. Glenda Wardrip 67, 2. Carol Wiard 68, 3. Mary Rhodes 71.
Low putts — Sue Pelphrey 36
Longest drive — Betty Hedges
Closest to the pin — Nancy Erdmann


text:
Beaumont/Port Arthur
Ever since I purchased a new Vista-64 computer several years ago, I have enjoyed using several of Microsoft's desktop gadgets and Yahoo's desktop widgets. In recent years, I have written several columns extolling the joys of widgets and gadgets, and telling where to find them. Widgets and gadgets are small utilities that can be placed on a Windows or Mac desktop and provide the user with current information of some kind. Yahoo offered more than 6,000 free widgets, and Microsoft offered thousands of gadgets.
It never ceases to amaze me how much reliable and quality help is available on the Internet. One of my favorite resources for tips, tricks, cheat sheets and apps is the Web site at www.makeuseof.com. Hosted in the U.K. but with an international staff, MakeUseOf has established a reputation of excellence in terms of tips and tricks to improve our cyber lives, regardless of what operating system we choose or devices we own.
We are now well into hurricane season, and tropical storms started early this year. Compared to just a few years ago, when we had to manually plot storms on a map provided as a free hand out from the supermarket, today there is a plethora of hurricane tracking and information sites available online, and as apps for our Android devices, Windows phones, Blackberry devices, iPads and iPhones.
You have undoubtedly seen countless TV and print ads for a service that promises to give you a "free credit report" but requires a monthly or annual membership for credit monitoring in order to get your "free" credit report. According to the Federal Trade Commission, many people did not realize that in order to get their "free" credit report, they were committing to a $79.95 annual fee for credit monitoring.
Despite the term "Google" becoming somewhat synonymous with the term "search," where people say "Go Google this" meaning to do an Internet search, Google is far from a monopoly. I sometimes have a hard time convincing others that Google is not the only search engine available, and that Yahoo!, Bing, and others are highly competitive and in some cases superior to the ubiquitous Google. Of the major search engines today, Yahoo! is the oldest, starting operations in early 1994, when the World Wide Web was in its infancy.
While we harbor no disrespect for the Wall Street Journal who called us "that scrappy little paper from Southeast Texas," we prefer to think of ourselves as simple seekers of the truth. We're of the opinion that headlines and sound bites never tell the whole story. Our readers demand all the facts, facets and flavors of every story or event. And, they expect to be informed, educated and stirred to action.
For this week's New York Times crossword puzzle, pick up a copy of this week's The Examiner on newsstands now.


text:
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text: Please Register or Log in to Remove this Advertisement! He's gonna look a little better because the rest of our defense will be better. I think one starting spot will come from the winner of a camp battle between R.Mundy and C.Conte and we will get our other starter in the draft and i think R.Mundy will win the spot and play SS.


text:
RR ver: 12/12/2010 latest version, there must be a file or something I can change cos that's gonna bug the hell out of me now lol
I understand that going to bug you but there's no file or adjustment for that. Slider should go to full when vol is 100% and to none when vol is zero. What os you runing? I don't know if that matter. Have you set your vol to master volume from config?
XP sp3, volume is set to master volume. It's not just the volume slider, does the same with the mixer sliders too, it basically is using slider19.jpg as the max level :S
There is slider fixes in newest RR which is not released yet, I'm not sure is this related to that. But like balance slider is not middle when your balance is center is fixed and lots of other old slider issues.
Tried a fresh install of current RR and reverted back to September copy from backup but still the same Can I ask what version you're using?
Definately an issue somewhere in RR as I've just installed Simplistique and got the same issue


text:
What happens during pregnancy weeks 26 to 30? Video
Third Trimester pt1 The third trimester begins at 26 weeks. At 26-30 weeks [24-28 weeks after conc...
Read the full transcript
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text:
12 Week Transformation contest
No More Failed Resolutions. No More Terrible Workouts. The Premier Fitness Program Thats Proven to Build Muscle and Burn Fat in Just 12 Weeks
My plan to fix whats wrong with the fitness industry began 365 days ago.
Thats when I had my good friend, Adam Bornstein, conduct a massive survey on why people fail to see results from their workouts and diet plans. This wasnt the same bullshit approach about eating too many Twinkies or not having enough time to workout.
I wanted to know the real barriers that crushed real people. We received feedback from more than 20,000 participants, and three problems stood out above the rest.
1. Not enough incentive to workout consistently
2. Professional help is too expensive
3. Programs dont deliver visible results
Read More here
8 Attachment(s)
Spam much?
I fail to see how this is spam, there are no magic pills being sold and the guy who is running the contest contributes to Men's Fitness Magazine. I am on his program and I am finally seeing results. I am happy to promote his site since his programs work!
|All times are GMT -5. The time now is 02:57 AM.


text:
Ignition locking devices are being added to a statewide program aimed at keeping convicted drunken drivers in South Dakota away from alcohol.
The devices that go on vehicles and prevent a person from driving if they have been drinking were tested for six months in South Dakota weather conditions. Attorney General Marty Jackley on Wednesday said the devices proved successful during the test that involved 10 offenders in Lincoln County.
The devices are being added to South Dakota's 24/7 Sobriety Program, which enables alcohol offenders to stay out of jail as long as they remain sober. The program also uses other testing methods such as alcohol-monitoring ankle bracelets and urinalysis. Jackley says officials expect the ignition locking devices to be available by fall.


text:
Best Buy confirms HTC Thunderbolt 's retail exclusive
updated 07:30 pm EST, Mon February 7, 2011
Best Buy says it has sole rights to Thunderbolt
Best Buy this evening both confirmed its HTC Thunderbolt pre-orders and its special access to the phone. Verizon's 4G range-topper can be reserved in advance for a $50 deposit. The store chain has a "national retail exclusive" on the Thunderbolt and won't have to compete with other third-party stores, although Verizon will carry the Android hardware itself.
An actual ship date and price still haven't been set by the carrier, but a February 14 ship date and a $250 contract price have both been floated by internal leaks.
The Thunderbolt is the first LTE-capable smartphone in the US and, according to Verizon's estimates, should pull about 5-12Mbps downstream in a populated, real-world network. Its device is otherwise very close to the Desire HD with the same 4.3-inch screen, rear eight-megapixel and front VGA cameras and 1GHz Snapdragon processor. Android 2.2 and HTC's Sense interface level are largely unchanged and mostly see a handful of new apps to take advantage of the very fast cellular Internet access.


text:
The process of buying a new Hyundai car or truck can seem overwhelming if you don't know where to begin. Edmunds.com can get you started on the right track with a convenient directory of Hyundai car dealerships in and around Berne, New York. Compare online price quotes on the new or used car, truck, SUV, minivan, or wagon of your choice to locate the best deals. Edmunds.com makes it easy to find trusted Hyundai car dealers in Berne, saving car buyers time and money on what will be an important purchase.
Non Display Review Name "Just purchased 2013 Elantra and can't say enough about the great service I received from the people at the Fuccillo dealership. Fast, friendly and gre"... Read more Review by: Marmy
Non Display Review Name "I had considered buying an Elantra, and by the time I looked at the exact color and model of the car I wanted, I was already hooked. My salesman, Ryan"... Read more Review by: littlebronzey


text:
Pub. date: 2007 | Online Pub. Date: September 25, 2007 | DOI:http://dx.doi.org/10.4135/9781412952637 | Print ISBN: 9780761923879 | Online ISBN: 9781412952637 | Publisher:Sage Publications, Inc.About this encyclopedia
Jurisprudence of Interests, European
Mathias W. Reimann
Jurisprudence of interests ( Interessenjurisprudenz ) is an approach by which jurists regard law as determined primarily by the struggle among political, economic, moral, and social interests in society. Accordingly, they view legal rules and decisions as reflecting the victory of certain such interests over others. Yet, the meaning of jurisprudence of interests has been neither monolithic nor uniform. To avoid misconceptions, one should distinguish, at a minimum, the broad understanding of the term from the much more particular German concept that gave the approach its name in the first place. In the more general sense, jurisprudence of interests is a broad, diversified approach to law that emerged in the late nineteenth and early twentieth centuries. A reaction against the positivist and formalist jurisprudence that dominated legal thought in many Western countries around that time, its most important roots were in the ideas of the German jurist Rudolf von Jhering ...


text:
Lists of Speakers: 2013-14 | 2012-13 | 2011-12 | 2010-11 | 2009-10 | 2008-09 | 2007-08 | 2006-07 | 2005-06 | 2004-05 | 2003-04 | 2002-03| 2001-2002
Gautam Bose (Univ South Wales) "Search & Intermediation: Toward a Model of the Merchant Trader".
Ellis Tallman (Federal Reserve Bank of Atlanta) "Liquidity Creation without a Lender of Last Resort: Clearinghouse Loan Certificates in the Banking Panic of 1907".
Maria Colacelli de Blackburn (Barnard) "Secondary Currency: An Empirical Analysis".
Luis Fernandez (Oberlin College) "Truth or Consequences in Economic Experiments".
Sylvestre Gaudin (Oberlin) "Wealth, Socio-Economic Status, and the Neglect of Girls in India: Evidence from Immunization".
Karl Kaltenthaler (Akron) "Politics or Technocracy? Understanding Policy-making in the European Central Bank".
David Love (Williams) "Should the Old Play it Safe? Portfolio Choice w/Uncertain Medical Expenses".
Kenneth Kuttner (Oberlin) "Do Markets Care Who Chairs the Central Bank?".
Janice Madden (Wharton, Univ Penn) "Why Racial and Poverty Segregation Are Connected: A Fixed Effect Anaylsis of Large Metropolitan Areas in 1970, 1980, 1990, and 2000".
Sean Flynn (Vassar) "Does Labor Contract Completeness Drive Unionization? Experimental Evidence".
John F. Zipp (Akron) "Is the Academy a Liberal Hegemony? The Political Orientations and Educational Values of Professors".
Honors students:
Matthew Adler, "The Effect of Preferential Trade on Multilateral Trade Liberalization".
Edo Bedzra, "Malaria and Economic Growth-Not Your Everyday Economic Theory".
Jonathan R. Bruno, "Party as Principal, Legislator as Agent: First-term Senators and the Committee Assignment Process".
Noah Cecil, "Income Inequality and the Probability of Violent Revolt".
Matthew Coffina, "Premium Risk and Healthcare Policy".
Imran Lalani, "On the Relation Between Pay and Performance: Presidents of Liberal Arts Colleges".
Erin F. Madden, "A Closer Look at the Inverted U: A Policy-Oriented Approach to Understanding the Environmental Kuznets Curve Hypothesis".
Arthur Zeyda, "Learning and Experience in an Experimental Market".


text:
Community briefs: Mt. Lebanon, Fox Chapel road notices
Several blocks of Washington Road in Mt. Lebanon will be briefly closed to traffic the morning of June 2 for a special procession by churchgoers of St. Bernard Parish, officials said.
After the 12:45 p.m. Mass, the priest, deacons and ministers will carry communion wafers that were consecrated during the Mass in a procession down Washington Road to Academy Avenue and back to the church.
The Rev. David Bonnar, pastor at St. Bernard, said the procession takes place on the Catholic feast day known as Corpus Christi. About 300 people attend the typical 12:45 Sunday Mass at the church, but Bonnar hopes more people will take part in the procession.
Fox Chapel / Aspinwall
Spectators shouldn't park along parade route
Aspinwall officials want onlookers who gather for the Fox Chapel-Aspinwall Memorial Day parade on May 27 to avoid parking along the route.
The police ask every year and people still seem to park along the streets," said Bill Jakovac, American Legion Post 77 adjutant.
The town's Memorial Day Observance is in its 83rd year and typically draws large crowds. The event will kick off this year with 11 a.m. services, and the parade will weave through Aspinwall from Commercial Avenue to Eastern Avenue, Second Street, Lexington Avenue, Fourth Street, Western and Center avenues and back to Commercial at the American Legion Post.
Resolution makes town's parks smoke-free
Collier's commissioners plan to snuff out smoking in township parks.
The board adopted a resolution on May 8 requiring that recreational areas be tobacco-free. The resolution covers parks, courts, ball fields, playgrounds and bleachers. Signage indicating the area is smoke-free will be provided by the state Department of Health.
The resolution allows township police to eject any person who violates the rule.
Recycle Rama set for Saturday at high school
The annual Recycle Rama is planned for 10 a.m. to 1 p.m. Saturday in the Hampton High School parking lot.
Residents will be able to recycle items such as electronics, cellphones, batteries and appliances without Freon, in addition to bringing up to five bags or boxes of material to be shredded. The North Hampton and Hampton volunteer fire departmetns will collect aluminum cans, with proceeds going to a camp for child burn victims. Details are at www.ht-sd.org under community/Recycle Rama.
Volunteers to build playground this weekend
More than 200 volunteers from the Clairton Volunteer Fire Department and Unity Group of Clairton, along with residents and representatives of Kaboom, a nonprofit that plans playgrounds, plan to build a new play area in the community on Saturday.
The project set for North Third Street Park is one of a series of playground construction projects in the Pittsburgh area supported by an $800,000 grant from The Heinz Endowments. The playground design is based on drawings that children at an April design event created.
Allison Park
Presbyterian church to expand classroom
Memorial Park Presbyterian Church in Allison Park will mark the start of construction on Sunday for a $2 million classroom expansion.
The ceremony will be held between worship services, from 10:20 a.m. to 10:50 a.m.
The church, with growing membership, is adding a wing to provide space for its existing preschool program and children's ministry, said Timothy Morgan, a church member who is acting as owner's representative for the project. The work by Nello Construction Co. of Canonsburg is expected to be completed late this year. Pieper O'Brien Herr Architects is the architect.
Quaker Valley
Board to use reserves to balance budget
The Quaker Valley School Board approved a proposed 2013-14 budget of $42.2 million on Tuesday.
The proposed budget is 2.68 percent more than this school year's budget, and most of the increase is attributable to the state-mandated increase in retirement costs, the district said in a statement.
The district plans to use reserve funds to balance the budget — there is a $191,769 gap between costs and revenue, it said. The spending plan includes a proposed millage rate reduction from 21.25 mills to 16.93 mills as a result of the court-ordered property reassessments across Allegheny County that increased property values. The school board will vote on a final budget June 18.
Bullock Pens Park adds kiosk for visitors
Bullock Pens Park in Churchill has a new information kiosk to guide visitors to the sanctuary trail and identify native trees and plants.
"It is our hope that with careful and thoughtful stewardship, this park will remain a nature sanctuary for all to enjoy for years to come," Churchill Councilwoman Bonnie Pantlik said in a statement.
A dedication ceremony at the park, which is off McCrady Road, took place Saturday.
Wilkins resident Jacob Burke, 16, planned and built the kiosk as part of his Eagle Scout project.
The Churchill-Wilkins Rotary Club funded the $500 project, Churchill Manager Craig Robinson said.
The kiosk display contains a 2- by 3-foot bulletin board and a gabled roof to protect it.
Mt. Lebanon
Fresh Market grocery store to conduct interviews to Wednesday to fill 90 jobs
The new Fresh Market grocery store under construction in Mt. Lebanon will hold interviews for up to 90 jobs on Wednesday.
The store at Washington and Connor roads is hiring workers for an anticipated opening in July. It will be the Greensboro, N.C.-based specialty grocer's first location in Western Pennsylvania.
Those interested must apply online at careers.thefreshmarket.com, entering "keyword" 138 for the Mt. Lebanon location. Candidates chosen for interviews will be contacted with the time and place.
Career, technology center plans free summer camps for 7th-, 8th-graders
Parkway West Career and Technology Center will host summer career camps on June 18 and 19 that are free for any current seventh- or eighth- grade student from the 12 districts that send students to the Oakdale school.
Students will choose two programs to attend, out of a possible seven. They must arrange transportation, but lunch will be provided.
A dress code must be followed, and an application must be submitted at www.parkwaywest.org.
Parkway West enrolls students from the Carlynton, Chartiers Valley, Cornell, Keystone Oaks, Montour, Moon Area, Mt. Lebanon, Quaker Valley, South Fayette, Sto-Rox, Upper St. Clair and West Allegheny school districts.
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text:
Even a home with the cachet of being the movie home of the popular holiday family flick "Home Alone" can't seem to catch a break. The Home Alone House, which first hit the market in May for $2.4 million, just received a price cut of $225,000. The decrease brings the house price down below $2 million — to $1,950,000 on the very pricey Winnetka real estate market. Located twenty miles outside Chicago, median Winnetka home values are presently $809,500.
Situated on a quiet residential street, the home looks nearly identical to the movie with its red-brick exterior and stately white columns.
In the movie, Macaulay Culkin's character, Kevin McCallister, is accidentally left behind in the house as his family boards a plane and leaves on a vacation to France. McCallister is then left to ward off a pair of bumbling thieves, played by Joe Pesci and Daniel Stern, who are trying to burglarize the house.
So, what is the reason for the price drop? Maybe damage created by McCallister's traps, blow torches, flying paint cans and loose tarantulas to ward off the burglars? Nah — only some of the real home's interior was used for the movie; most of it was shot on a set re-created in a facility nearby.
More likely, the homeowners John and Cynthia Abendshien, are looking to sell their home quickly. According to Reuters, the couple is looking to downsize from the 5-bedroom, 3.5-bath home.
The Georgian-style home has over 4,000 square feet of living space on a half-acre lot. Charming details like high ceilings, dormered windows, and wood-burning fireplaces lend to its 1921 construction date.
The home is listed by Marissa Hopkins of Coldwell Banker.
Based on a 30-year fixed mortgage rate at a current rate of 3.924 percent and assuming a 20 percent down payment, the monthly mortgage payment for this home is $8,893 per month, as quoted on Zillow Mortgage Marketplace.


text:
Workers with T.L. Construction dig the foundations for a concession stand and restroom while renovating Frank O. Hunter Park in Alexandria this past week. A 6-mill tax approved by city voters will allow for improvements to recreation programing and facilities, as well as stabilizing zoo revenue. That tax was among the 23 local taxes approved by Cenla voters last weekend; no taxes were rejected.
- Filed Under
You often hear people talk about how much they despise taxes, but voters in Central Louisiana regularly pass local tax referendums.
During last weekend's elections, Cenla voters gave approval to all 21 tax referendums on ballots, with most of getting overwhelming approval.
The closest margin of victory for a tax proposition in Cenla was for the city of Alexandria's 6-mill tax to support recreation and the zoo. It passed with 58.7 percent of the votes for and 41.3 percent against. ...


text:
nDreams Announces Xi: Continuum
by NorseGamer, HSM Editor-in-Chief, with information provided by Joe Dale, nDreams Digital Product Manager
"Certainly it is true," said Cornelius. "And the land has never quite forgotten them."
–C. S. Lewis
I sometimes picture all the years of Home — all its achievements, its product releases, its notable moments from developer and community alike — coalesced into one long symphony. If we keep with this analogy, then what we're about to discuss here is nothing less than the fourth movement from Beethoven's Ninth Symphony: the Ode to Joy.
Because, at long last, Xi has truly returned.
That's right. You heard me. After more than three years of silence, nDreams has formally announced its sequel, Xi: Continuum.
From Joe Dale, nDreams Digital Product Manager:
Xi: Continuum is the sequel to the 2009 console-based alternate reality game Xi, which had over 600,000 unique players and gave birth to a hugely passionate community that has been clamoring for a fresh Xi experience.
With many more details to be revealed over the next few weeks, Xi: Continuum is a game that will deserve the attention of those looking for a fresh, unique experience.
Patrick O'Luanaigh, CEO of nDreams said, "Xi: Continuum crosses between console, websites, videos and the real world, yet can be played at any time. We believe that the game offers a genuinely original game experience that will be unlike anything else you have played before."
The mushroom cloud you just saw was the entire Home community going up in a giant "WTF BOOM" moment of glee.
The original Xi is still hailed by many as the high-water mark of Home. Xi: Continuum aims to recapture that magic and even expand on it. This is no easy feat, though: Home is a much more decentralized and balkanized environment than it was back in 2009. Part of what gave the original Xi so much impact is that at the time…there really wasn't much of anything else to do in Home.
This is not to knock the original experience at all; but there is no question that recapturing that same lightning in a bottle in today's Home environment is going to be a tall order. Home's user base has grown exponentially since 2009, and there are a whole lot of people who never experienced the first Xi. On top of that, the people who were around at that time have romanticized the memory of that magical experience and elevated it to such a level that it may be impossible for anything to truly match it. Further, nearly every major game release in Home, over the last six months, has experienced massive bugs and lag issues due to server stress. Given how much traffic is going to be exploring Xi: Continuum, I can only hope that the infrastructure of Home itself is capable of handling the load.
Oh — and to top it all off, there are already people whinging on the Sony forum about how much this new Xi experience is going to cost them.
Face. Palm.
The fact remains, though, that Xi: Continuum has a lot going for it. First off, no one else has released an ARG (Alternate Reality Game) into Home since the original Xi, and the formula of blurring the lines between the real world and the virtual world inherently lends itself exceptionally well to Home. Since there's nothing else in Home that comes close to interactively blurring the lines the way the Xi formula does, it should be a hit even with those people who never experienced the original. And while I agree that the social scene is the beating heart of Home, there is no question that it is games in Home which help to actually bring people together in a cooperative, communal spirit — and Xi did this better than anything else in Home.
Xi also benefits from its ability to play on the human fascination with surrealism, which nDreams is already remarkably adept at creating. Just as Patrick McGoohan's The Prisoner turned television inside-out with its puzzles and riddles — elevating an ordinary TV show into a cultural phenomenon that is still hotly debated and discussed to this day — so Xi did the same with virtual reality, and Xi: Continuum promises to continue and expand upon this.
What fascinates me, personally, is the process involved in creating something like this. Building an ordinary Home game takes a hell of a lot more time than a typical Top Gear montage, and building something like an ARG is a hideously expensive and time-consuming process with a lot of moving parts that need to work together. When you consider how Home itself has evolved in the last few years — and I know of more than a few products in development which had to be completely reworked because of core updates which changed how Home functions — I can only imagine how daunting it was to try to bring something this massive to life.
Here's the bottom line, though: we're about to have a new Xi experience unleashed upon us all. For every Home user, old and new alike, this is a properly Big Deal. In case you're completely in the dark as to what made Xi such a cultural experience for the Home community, take a look at this and you'll understand.
And now it's time to do it again.
At the beginning of 2012, we told you that this would be remembered as the "Year of the Game" in Home.
What, you thought we were kidding?
Say goodbye to daylight, fortify your internet connection, and put away the breakables — Xi is back.
7 Responses to "nDreams Announces Xi: Continuum"
Oh yeah. And they said I had my rose-tints on…
You're gonna love this Riff, it's a different experience from most games; the community, the mix of Real Life and the virtual. Also Home is the perfect platform to hold it on too, no other machine can do this. I've been waiting, as always with patience. Things will get cryptic, crazy and blurred…
nDreams, screw with my head guys! It's what you lot were put here for, show LKWD what Home is really for! LOL… Can't. Wait.
I'll admit that I mentioned the potential expense that could be attached to X1 this time around. I wouldn't say that I was whinging about it, just speculating.
There is a fine line on Home these days between "freemium" style game upgrades and simply paying to achieve goals within games. Since Xi is such a goal-based enterprise driven by the community, it will be interesting to see how nDreams monetises it.
Home's current business environment is nothing like it was in 2009.
Don't ask me what X1 is…something similar to Xi, I believe. But nothing like X7 though. 😉
N-Dreams was asked on twitter about the commercial side of X2, the response was encouraging. They seemed to be well aware that to some users Xi is a big thing, which means they must know how big a risk to them it is if they muck it up. Which im going to believe until its released as they havent given me any reason not to yet. But your right home commercially is a lot different now than it was. probably only 2 personal spaces to buy when Xi was released. Saying that it was when we only had the core home areas, red bull air race and that was about it seems such a long time ago.


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It Is my and my wife's understanding that common citizens on the panels were often selected without any related real estate experience and given a very short training session (1 day). These panels then made decisions for the county commissioners as to the reassessment values of all property owners who questioned the reassessment. I guess, their work completed, the commissioners had a dinner, gave out certificates and plaques and then slapped each other on the backs.
Was it a good example of the "good ol' boy" system at work? We were not impressed.
Last spring, the reassessment contractor (the low bidder with a horrible track record selected by our commissioners) came to our house, made measurements and took photographs. For some reason, our property was valued much higher value than expected. Since we were also in the process of refinancing our mortgage for a lower interest rate and a shorter time period, we had scheduled an appraisal.
The appraiser selected by the financial organization was a very experienced and respected real estate broker who had also appraised our property in 2006 and 2009. His appraisal showed a value of the property $16,100 less than that of the reassessment notice; with our real estate taxes increasing almost 10 percent.
Before the hearing, we assembled the three appraisals and agreed that solely I should represent us at the hearing. I prepared my case for the hearing. Utilizing my life experiences with boards (28 years in the military), I eagerly expected to be able to present a convincing explanation as to in inappropriateness of the value. The morning of the hearing, I dressed in business attire and carried my attaché with the 3 appraisals as handouts and my other evidence. Arriving at the location about 10 minutes early, I signed in and went to wait to the waiting area. This area was next to a simple partition. It was not soundproof, and as I waited I heard the appeal of a local motorcycle club.
Approximately 15 minutes after my scheduled time, I was summoned and taken to a similar partitioned area on the other side of the building. I walked in and was introduced to the board. The leader, wearing business attire, was seated at the center of the table. The other two men were wearing coveralls with suspenders (hardly the expected appropriate attire for hearing officers).
In the far corner, in professional attire, was a woman whose function I was told but can no longer recall (I assume the recorder). The only documentation that I saw was the yellow legal pad in front of the leader. Photos taken by the contractor were projected on the side wall in the crowded space.
I was sworn in that my testimony was truthful. The president asked me to state my business, so I produced all three appraisals and again requested that the tax assessment equal the value of the 2012 appraisal.
My handouts were briefly looked at by the members of the board, and a copy of the most current appraisal was given to the recorder. She questioned the validity of the material in the real estate appraisal. To the best of my recollection, there were only a few questions from the leader, who also stated that he knew the real estate broker who had generated the reports.
Then the leader asked me my occupation, to which I truthfully responded. I am a teacher in Harrisburg. The next question came from one of the members - whether I knew a sports hero that plays for a professional football team. When I replied that he had been a prior student, the whole conversation turned to the subject of the athlete and the football team.
I was not there to discuss football, but I also was asking for a favorable decision from the board, so I felt that I had no choice but to let it continue. Shortly thereafter, the leader adjourned the hearing. I was told that I would get the result via a revision notice and that if we still disagreed, we would have to file an appeal with the Lebanon County court.
The only notations I saw were some brief notes on the legal pad taken by the leader.
I left the hearing site hopeful of a positive result. The board did not request to keep the copies of the appraisals, so I left with them also.
On Oct. 9, we received our result; our home's tax assessment was reduced only $3,000, meaning that for tax purposes the property is worth $13,100 more than the appraisal done by a well-respected real estate broker.
According to the county, if I were to sell it I would be able to get more than its value.
Well, Lebanon County commissioners, you have won! We do not have the money to file a suit in county court, so we shall "pay the king his due."
Of course, the members of the wonderful panel can now say they know someone who taught a famous football player.
The writer lives in Lebanon.


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TRANSITIONSInterim Chancellor Steven Olswang returned to his faculty appointments at UW Seattle as Professor of Higher Education and Adjunct Professor of Law. He will be on sabbatical for the 2007-08 academic year, during which time he will complete a new book on higher education administration. UW Bothell thanks Dr. Olswang for two terrific years. ...
Vice Chancellor for Academic Affairs Tom Bellamy stepped down from his post to return to the faculty with plans to continue his research in educational leadership. Susan Jeffords joins UW Bothell as Interim Vice Chancellor for Academic Affairs coming from UW Seattle where she was the Vice Provost for Global Affairs and a Professor of English and Women Studies. Her previous positions at UW include Vice Provost for Academic Planning, Divisional Dean for Social Sciences, and Chair of the Women Studies Department. "We are excited to have this renowned educational leader join our campus," said Chancellor Kenyon Chan. "Susan brings a great energy coupled with years of experience and creative ideas for working with our talented faculty. This partnership will serve UW Bothell well in its next stage of development." As Interim Vice Chancellor for Academic Affairs, Jeffords will provide leadership to the campus' academic programs and administrative structures. Her work will be instrumental in strengthening the connections amongst UW Bothell's academic programs and between the campus, local community colleges, and the surrounding communities. ...
After seven
years as Director of IAS, JoLynn Edwards
passed the mantle of leadership to Bruce
Burgett. Burgett begins a two-year appointment as Interim Director. Edwards
embarks on a well-earned sabbatical for 2007-08 and looks forward to getting
reacquainted with eighteenth-century art and cultural history. ...
Gray Kochhar-Lindgren has been named the Coordinator of the Center for University Studies and Programs (CUSP), which is the locus of the freshman experience. He successfully guided the CUSP program through its first year as the program's Interim Coordinator.
2007 Distinguished
Teaching Award - Dr. David Goldstein
Recognizes a faculty member based on the recommendations of students and colleagues.
Dr. Goldstein is a Lecturer in the Interdisciplinary Arts & Sciences program and has been at UW Bothell for 10 years, teaching nearly 60 courses, many focused on the different facets of American culture.
2007 Worthington Distinguished Faculty Scholarship
Award - Dr. Suzanne Sikma
For extraordinary accomplishment in research, scholarship or creative works.
Dr. Sikma, an Associate Professor in the Nursing Program, has been a member of the faculty since 1996 and is best known for her research in the arena of public policy related to long-term care, consumer self-direction and commitment to geriatric nursing education.
2007 Rose
Distinguished Academic Service Award - Dr. Carol Leppa
For sustained outstanding academic service making an important difference to campus, University, region or discipline.
Leppa, an Associate Professor in the Nursing Program, is a member of the
founding faculty. She has taught 17 different courses and is highly regarded as a
master teacher by students and colleagues alike.


text: 27 Jul {PLANNING} Introducing Our New Series: ASK THE EXPERTS! Is Low Stress Decision-Making Possible? We're proud to introduce our new monthly blogging series "Ask the Experts" which will showcase the incredible experience, creativity and knowledge from our amazing team of Creative Partners. 0 Comments Facebook Tumblr Twitter Pinterest Click here to cancel reply. *Indicates requred field. Submit


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Scarves - Pink
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Fine knit scarf by RIVER ISLAND. Frayed ends. Dry cleaning recommended.
Length 206 cm. Width 103 cm.
Made of 100% Acrylic.
The British brand River Island creates street-inspired, on trend fashion. Check out their collections below. And do not miss their accessories - we're talking absolutely perfect bags. Shop River Island here at Nelly.com UK.
Free delivery when you spend over £75. Standard shipping £3.95. Delivery time: 3-6 days. We deliver with UPS.
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Meet a University of Texas at Tyler Graduate
From a Good Job to a Great Career
"I earned my associate degree in 1993, got married and started a family. I guess you could say that 'life' got in the way of continuing my education. After working eight years in the Texas Department of Human Services, I came to UT Tyler as an administrative assistant in the chemistry department. I loved working in the chemistry department and the family atmosphere and bonds formed there.
"Dr. Don McClaugherty, my boss, was the epitome of what UT Tyler is all about. He has a passion for teaching and he pushed me to continue my education. He was the driving force behind me working on my degree. After four great years, I transferred to the College of Arts and Sciences where I became administrative associate to the dean and held that position for 2 ½ years. All during the time I was employed at UT Tyler, I took two courses per semester to work toward my degree.
"It was always my personal goal to show my four children how important it is to obtain a college degree. There was no better way to show them than to earn a degree myself. With the support of my family and co-workers, I graduated magna cum laude in fall 2010 with a BS in computer information systems.
"Just a month after completing my bachelor's degree, I was hired in UT Tyler's IT department as a business intelligence specialist. Now I spend my days working with the Oracle Business Intelligence Enterprise edition (OBIE) creating dashboards that allow users to work more easily with reports, graphs and charts. It is challenging, stimulating work that I enjoy very much.''
Cindy Rutledge, Canton, TX
BS Computer Information Systems, 2010
For more information, check out the UT Tyler Department of Computer Science.
Computer Information Systems BS Degree
Be a Leader in CIS Design and Business Solutions
Over the past 20 years, advancements in information technology have exploded. A college degree in computer information systems from The University of Texas at Tyler will put you at the forefront of this dynamic field. You will gain both sound skills in business analysis and expert training that will yield solid solutions across the spectrum of technology.
- Be prepared for such in-demand positions as computer information manager, software analyst or software technician.
- Get hands-on experience with significant individual and team-oriented design projects in every course.
- Earn CNSS 4011 and 4012 computer security certifications, which meet federal employment requirements. UT Tyler's Department of Computer Science meets federal security standards and has been approved to award certifications by the Committee on National Security Systems (CNSS) and the National Security Agency (NSA).
Graduates of our computer information systems degree program hold positions in such organizations as: American Standard, Brookshire Grocery Co., city of Tyler, Trinity Mother Frances Health System, East Texas Medical Center, NASA, Carrier Corp. and Genesis World.
Bachelor's in CIS: Results-Oriented.
- Complete a 150-hour internship that can lead to post-graduation employment. CIS students have interned with such employers as: The Trane Corp., Carrier Corp., Genesis World, PersonalWeb, city of Tyler and Trinity Mother Frances Health System.
- Specialize in vital areas such as e-commerce, advanced information systems, Internet applications or data communications and networks.
- Complete a capstone CIS project that enables you to demonstrate your expertise in computing and its application.
- Network with IT and computing professionals through student membership in the Association for Computing Machinery (ACM).
Learn more from the Department of Computer Science
CIS Faculty: Front-Line. Student-Focused.
- Study in small classes--typically 15 students--that promote student interaction and support one-on-one mentoring with professors.
- Learn from professors who have had extensive industry experience in telecommunications, systems networking, security and other aspects of IT at such employers as Lucent Technologies, National Remote Sensing Agency, Brown and Root and Anritsu Co.
- Work side-by-side with professors on exciting IT research projects to learn new skills and prepare for graduate studies in the field.
Learn more about UT Tyler's CIS faculty
IT Courses: Hands-on. Innovative.
Advanced Information Systems Software – Builds student skills as knowledge workers. The emphasis is on personal productivity concepts through the use of advanced features in computer software such as spreadsheets, databases and presentation graphics.
E-Commerce Programming – Explore the technical aspects of e-commerce. Students learn to design, build and maintain a complete e-commerce website. Topics include: e-commerce modeling, designing and implementing a website that meets user requirements, maintaining and setting web servers, multi-tiered web architecture, database servers, accessing remote databases, shopping cart fundamentals, commerce server, advertising on the web, e-cash and electronic payments, and Internet security and encryption.
Database Design – Delve into information systems design and implementation within a database management system environment. Students design and construct a system using database software to implement the logical design.
Computer Security Management – Examine the techniques used to secure and manage computers, computer networks and enterprise computer systems. Topics covered will include security policies, computer network management and disaster recovery. Special emphasis will be given to designing, deploying and managing complete security systems.
More about UT Tyler's CIS program of study
Also see The University of Texas at Tyler master's degree in computer science
Career Outlook for Computer Information Systems
New and continually changing applications of technology in business have created above average job growth for those employed in computer information systems. The U.S. Bureau of Labor Statistics estimates job growth to be around 15% through 2022.
A significant portion of growth will come in the computer security field. Highest growth is expected in computer systems design companies, health care organizations, software publishing firms, data processing and hosting companies, and scientific, technical and management consulting firms. For more, visit Occupational Outlook Handbook - Computer and Information Systems Managers.
Find Out More: 800 UT Tyler