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When his team had a chance to put USC away, Ohio State Head Coach Jim Tressel opted to poke and run. It was enough to annoy the Trojans, but not put them away.
When Ohio State players arrived at their lockers before Saturday night's defining moment against No. 3 USC, each player found a sheet of paper in his locker. On it was that player's number and a list of former great Buckeyes who wore it.
That wasn't what got their attention. It was the question at the end.
"Can you contribute to the legacy of this number?"
Terrelle Pryor, wearing No. 2 the same as three-time All American Mike Doss and Cris Carter, almost did his part. Brian Rolle, wearing No. 36 just as Chris Spielman did, almost did his part.
One by one all the way down Ohio State's roster, the Buckeyes almost did their parts to add to the legacy of their individual numbers. In one of the biggest games in Ohio Stadium history — a game to regain respect or lose what little the Buckeyes had left — Ohio State had a chance to slay the beast.
Instead, Jim Tressel opted to poke it and run, doing just enough to annoy USC, but not put it down. In the end, he left the door open — and the Trojans marched through for an 18-15 win.
Ohio State didn't get blown out, but moral victories don't make anyone feel better. Not Saturday night, when the Buckeyes were so close to being perched where it once stood.
Tressel challenged his players to add to the Ohio State legacy and then seemed to coach scared with a lead. The Buckeyes weren't outplayed on the biggest stage as much as they were outsmarted and outcoached.
Pete Carroll coached like he believed all along the Trojans would win.
"We just didn't come up with enough of the things you need to do to win a ballgame like that," Tressel said. "You need to score more than five points in the second half, and they came up with plays on that last drive when they needed to, and so they go home with the spoils."
Tressel coached like he was playing with house money.
"They have an arsenal of everything," defensive tackle and co-captain Doug Worthington said. "They have offensive linemen that come in and play right away. They have quarterbacks who are freshmen. Pete Carroll reloads all the time."
Then Worthington uttered the phrase that would stick with the Buckeyes all week. He remembered the movie "Gladiator."
"Whatever they bring at us, we have to stick together," Worthington said. "Like the gladiator said, whatever comes at us out of those gates we stick together."
The actual line from the movie came when Maximus said, "Whatever comes out of these gates, we have a better chance of survival if we work together. Do you understand? We stay together, we survive."
Page 2 of 2 - Tressel coached like he was the hunted rather than the hunter. Tressel nursed a five-point lead like a newborn infant.
He'll be haunted by a decision he made in the fourth quarter. Tressel never went for the knockout.
In the middle of that quarter, he turned his nose at a 53-yard field goal that would have given the Buckeyes an 8-point lead and placed another chip on Carroll's shoulder.
Kicker Aaron Pettrey has drilled five field goals in his career of 50 yards or more and the 53-yarder was a yard shy of his career best.
Tressel punted. He coached safe. Carroll gambled. His offense converted 3-of-4 fourth-down plays.
"I suppose in hindsight ... we could have taken a shot at the long field goal there at the end to put it to eight," Tressel said, the look on his face saying he, too, second-guessed the decision. "The thinking there was if we didn't make it, we didn't want to put our defense in that situation, and we thought we'd be better served to punt it way down there, which (Jon) Thoma did a great job all night down there. We didn't finish the job."
Carroll practically dared Tressel to kick the field. Ohio State took a delay of game penalty on purpose to give Thoma more room. Carroll declined it.
Tressel had a brief conversation with Pettrey. He still declined to kick the field goal. Carroll declined the penalty because he knew Tressel is Fox News and USC coaches like MSNBC.
In the end, Tressel wanted to save his defense from being a tough spot — like 21 yards of field position would have made a difference — when that's the unit he could afford most to be put in a tough spot. Ohio State's defense nearly won that game.
The offense looked confused with 61 ticks left and about 35 yards needs for a game-tying field goal.
"We have a long way to go," running back Dan "Boom" Herron said.
USC had the ball 86 yards away from the end zone and needed a touchdown with 7:15 left in the game.
Carroll never flinched. He knew all along how it would end.
Painfully, predictably, so did Ohio State.
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HOME Northwestern Wildcats Gear Northwestern Wildcats Ladies Northwestern Wildcats Ladies Kitchen & Bar (1 items) Product ID: 1426747
Main Content
- Antiqued for a vintage look
- Approximately 2.5" x 4.5" x 1.5"
- Embossed graphics
- Fits most bottles
- Football made out of resin
- Imported
- Metal stopper with rubber bands at top
- Officially licensed
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Special event items are produced by manufacturers only after the outcome of a game or event. These are advanced sale items and will ship immediately after they are received in our warehouse.
Manufacturer direct items are shipped directly from the manufacturer. These items are not available for international or expedited shipping.
Customized items can be personalized with options such as your name, your favorite number, and/or designs. Some options may be limited by league rules.

subset: commoncrawl


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The other thread about the pooping toddler and all the other horror-stories about how bad the terrible 2s and 3s and 4s are going to be, has me a little nervous. And I'm sure other moms are probably freaking out too. So for those of you with older kids and toddlers, please share some of your good, funny, or heart-warming stories for us first-timers. Please!!!!
Good toddler stories... please!
FTM at 40. Lucas Henry born 13 Feb 2012.
Plenty of melt-your-heart moments :)
Ben and Nicole - June 2005
Tyler - Jan 09
Allison - Feb 12
I would have to give it some time to think of one, but in the mean time, head over to this website for a good laugh: http://thehonesttoddler.com/
I think the most recent post about how to get kicked out of preschool is a little strange, but most of the other posts were probably written by my two year old! The facebook and twitter updates are pretty amusing as well.....
~Krista ♥ wife to Darrel 6.20.08
SAHM to
Clayton 10.10.10 & Reese 2.5.12
M/C @ 9 weeks 4.3.14
RAINBOW ~ Wyatt Daniel 2.10.15 induced @ 37 weeks ICP
Naomi, happily married to Jason
Loving being a mommy to K (10/21/10) & K (02/03/12). Excited for Kaezli to join us. (06/26/2014).
My little brother is much younger than I am, so I can remember a lot of him as a baby and toddler.
He used to wait at the lounge window for each of us to get home from work/college/school and when we eventually came home he'd run to the door and shout your name and say he missed you and he loves you :-)
As you can imagine, none of us could wait to get home and see that cutie pie ;-)
Married my love: May 2008
*Sienna Margaret Susanne* 03/2012
My 2 1/2 yo is a sweetheart! She brings LO toys, is constantly hugging and kissing him, and tells him how much she loves him. And she constantly has us laughing. I have too many wonderful stories of this age to even begin telling them, but I don't think this age is terrible at all. There are trials as they learn how to assert themselves, often before they're adept at communicating, but it can also be a LOT of fun. You just have to have a sense of humor about the difficult moments.
DD (March, 2010)
DS (February, 2012)
I have a newly minted five year old who wrapped her arms around me this morning and said, "You are the best mommy in the world."
I have a three year old who, yesterday, put his arms around my neck while I sat on teh couch so we could dance together.
I have a 20 month old who, whenever he hears his 9 month old sister cry, goes running on his chubby little baby legs to find out what is wrong. He then lays down next to her, puts his head in her lap and pats her until I get there.
Camden (11/2/07), Zach (3/11/09), Ryan (2/17/11) and Harper (2/10/12)
Gold ( . )( . )
The good things that come with parenting definitely outweigh the bad, trust me. It's just easy to cent when they've done wrong, so you tend to hear more of that then when they say or do nice cute things during the day.
I wouldn't trade my kids for anything in the world. I'm truly happy. I may need more caffeine some days than others, but still truly happy!
Julia, wife to Erik
Mommy to Ian Avery (4/24/2010) and...
Elijah "Eli" Jonathan (2/28/2012)
Ok, I can think of a two semi-interesting ones -
The other day in WalMart, ODS was helping me push the cart (he usually rides but I thought I would try this out) and when we went back to the diaper area, he saw the big shelves with all the different heights of stacks of diaper boxes and decided it would be a good place to crawl in and hide. So he says "in there" which is what he says when he wants to hide in our bathroom cupboard ("Are you gonna hide in there?" we say). So he climbs in there so fast I can't stop him, and all the way to the back of the shelving and behind a stack of boxes! I had to move several and climb half in myself to get him out and he started screeching at the top of his lungs. I was one of "those moms" that day! EEEK!
The other day in the bath tub, ODS grabbed YDS's penis and said "butt." I'm just glad DH was in there and not me....
~Krista ♥ wife to Darrel 6.20.08
SAHM to
Clayton 10.10.10 & Reese 2.5.12
M/C @ 9 weeks 4.3.14
RAINBOW ~ Wyatt Daniel 2.10.15 induced @ 37 weeks ICP


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Junior Achievement of Southern Massachusetts raised $70,000 at its 16th annual Ironman Golf Tournament on May 28 at the Tournament Players Club golf course in Norton.
Junior Achievement of Southern Massachusetts raised $70,000 at its 16th annual Ironman Golf Tournament on May 28 at the Tournament Players Club golf course in Norton.
"This event is such a fun day for avid golfers," said Caroline Paradis of Junior Achievement. "Participation means exclusive access to this exceptional course and its facilities, with 36 holes of no-waiting golf."
The 60 participating golfers raised funds to participate in the Ryder Cup-style tournament, with all proceeds benefitting local Junior Achievement programs that provide local students, kindergarten to Grade 12, with essential financial literacy, work readiness and entrepreneurship skills. Since its inception, the Ironman has raised more than $1 million, affecting 35,000 students throughout Bristol and Plymouth counties.
Paradis said sponsor support was instrumental in the success of the event, specifically Rockland Trust as the Silver Sponsor and Webster Bank as the Lunch and Dinner sponsor, as well as the many companies and individuals that contributed in-kind support.
In addition to two rounds of golf, participation in the event included breakfast, lunch and a dinner reception, where prizes were awarded for fundraising excellence, golf performance (such as closest to the pin, longest drive and most total golf points), and to the overall Ironman Champion. Prizes included items such as seats to Boston Red Sox and New England Patriots games, tickets to the Deutsche Bank Championship tournament, FootJoy's MyJoy golf shoes and much more, in addition to a complimentary golf bag for all participants.
"While the location and format of this event create a unique and highly enjoyable experience for golfers, at the end of the day it's all about the JA mission which is to provide local students with the tools they need to attain success," said Paradis.
During the reception, Ironman golfer, Acushnet Co. employee, and JA volunteer teacher, Rob Schoening, presented the Harry Schoening Ironman Award, named after his father who was involved in JA for more than 35 years. This year's plaque was awarded to Linda Bodenmann from Southcoast Hospitals Group for her top fundraising efforts and golf performance points. Eric Carlson from Rockland Trust and Bob Lee from Taco Inc. took home the second and third place prizes, respectively.
Junior Achievement is the world's largest organization dedicated to inspiring and preparing young people to succeed in a global economy. Through a committed volunteer network, JA of Southern Massachusetts affected 4,100 students in 185 classrooms. To receive information on participating in next year's Ironman or to learn more about Junior Achievement of Southern Massachusetts, contact Paradis at firstname.lastname@example.com or call 508-997-6536.
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Ristorante Tosca
1112 F St., NW
Washington, DC 20004
Neighborhood: Penn Quarter/Chinatown, Downtown
Cuisines: Italian
Opening Hours:
Open for lunch Monday through Friday 11:30 to 2:30. Open for dinner Monday through Thursday 5:30 to 10:30, Friday and Saturday 5:30 to 11.
Nearby Metro Stops: Metro Center, Gallery Place-Chinatown
Price Range: Very expensive
Dress: Business Attire
Noise Level: Chatty
Reservations: Recommended
Website: http://www.toscadc.com/
Best Dishes:
Salads, including one with shaved radicchio, poached pears, and a square of Gorgonzola or soft buffalo mozzarella with a mosaic of beets; carrot pappardelle sauced with rabbit ragu; ravioli concealing veal, prosciutto, and mortadella in a rich wine reduct
Price Details:
Lunch appetizers, $7 to $12; entrees, $14 to $23. Three-course prix fixe menu, $30. Dinner appetizers, $9 to $16; entrees, $24 to $38. Three-course pre-theater menu (available from 5:30 to 7 PM), $35. Tasting menus, $65 to $95.
Cuisine: Rich, luxurious northern Italian—house-made pastas, intensely flavored game—with lofty aspirations and prices. You'll wish you had a fatter wallet along with a bigger belt.
Mood: Clubby, with affable Italian-accented waiters in cream-colored jackets assuring diners they've chosen the best dish. With many of the city's top law firms nearby, someone's surely treating a client to dinner and billing him for the pleasure.
Best for: Power lunches and dinners, dinner before a show at the Warner or National, a special dinner out.
Best dishes: Silken carrot pappardelle in a rabbit ragu; kabocha-squash tortelli floating in a truffled Parmesan sauce; roasted veal tenderloin with porcini mushrooms and farro; rack of venison with beet tartare and currant sauce; a fascinating Gorgonzola ice cream served three ways, including with a delicious slaw of celery, fennel, and pear.
Insider tips: Chef Massimo Fabbri's menu offers so much variety that it can spark arguments among couples intending to share. Don't ignore the tasting menus—each item can be ordered à la carte. Pastas can be ordered by the half portion, which is advisable for a second course—or if you want to try more than one. Early diners can take advantage of the $35 three-course pretheater menu. Groups of four to eight can make an evening of dinner by reserving the chef's table in the kitchen, where Fabbri cooks a seven-to-nine-course meal for $105 a person—a relative bargain.
Service: ••½


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Patrece Robinson
Adjunct Professor of Music
Involved in the performing arts administration industry since 1980, Patrece Robinson teaches Career Skills for the Entrepreneurial Musician. An adjunct faculty member at Stetson University since 2002, she was named a Fellow in the Coleman Foundation Entrepreneurship Program in 2014, and is also executive director for Lakeside Productions.
A frequent guest presenter, Robinson (together with Stephen Robinson) served as keynote speaker at the Southern Entrepreneurship in the Arts Conference at the University of North Carolina - Greensboro, and as guest presenter at the Guitar Foundation of America's Annual International Convention at the University of Louisville.
Robinson served as administrative director for the 2014 Sorrento, Italy GuitarFest, as assistant director of Stetson University's Office of Career Development from 2008 to 2013, as administrative director for the Stetson University International Guitar Workshop from 1991 to 2005, as director of the Stetson University Community School of the Arts (now called the Community School of Music) from 1993 to 1997 and as business manager for Central Florida Cultural Endeavors, Inc. and the Florida International Festival, featuring the London Symphony Orchestra from 2006 to 2007.
A native of Miami, Fla., Robinson graduated summa cum laude from Florida State University with bachelor and master of music degrees in piano performance where she was a student of the great American/Hungarian pianist, Edward Kilenyi. Committed to service in the Central Florida community, Robinson regularly volunteered in the Volusia County schools and managed competitive youth soccer teams for 15 years. She resides in DeLand with her husband, Stephen, and together they have raised four sons.
- M.M., piano performance, Florida State University
- B.M., piano performance, Florida State University
Course Topics
Career Skills for the Entrepreneurial Musician
Research Interests
Music Entrepreneurship | Performing Arts Industry
Higher Education Career Development
Faculty Expert
- Higher Education Career Development
- Music Entrepreneurship
- Performing Arts Industry
Contact Information
- email@example.com
- Phone: 386-822-8950


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Are you a startup?
Get BizSpark cloud access
Got MSDN?
Get up to $3,700 of cloud benefits
Don't have MSDN?
Here's cloud access
Three Windows identity Foundation samples have been published to Code Gallery. The identity team published the release in its blog posting, Identity Samples available on Code Gallery:
All examples come with a handy installer which verifies if your system complies with the necessary prerequisites, and helps you to download & configure what you are missing.
Bruce D. Kyle ISV Architect Evangelist | Microsoft Corporation


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Book your room at Hôtel Alt Québec
Get an overview of this hotel3-star Quebec hotel in Ste. Foy, near Laval University
Located in Ste. Foy, this hotel is 0.1 mi (0.1 km) from Laurier Quebec and 1.3 mi (2.1 km) from Laval University. PEPS and Quebec Aquarium Park are also within 2 mi (3 km).
Hotel Features
This smoke-free hotel features a restaurant, conference rooms, and meeting rooms. Free WiFi in public areas and free self parking are also provided. Additionally, concierge services, dry cleaning, and a 24-hour front desk are onsite.
Room Amenities
All 126 individually decorated rooms feature free WiFi and minibars. Comforts include Egyptian cotton sheets and down comforters, and guests will also find conveniences like refrigerators and coffee makers.Information missing or incorrect? Tell us!
Hotel Amenities
Hotel Amenities
The hotel offers a restaurant. High-speed wireless Internet access is complimentary. Event facilities include conference space and meeting rooms. This Quebec hotel also offers tour/ticket assistance, multilingual staff, and concierge services. Complimentary self parking is available on site.
Hôtel Alt Québec is a smoke-free property.
- Babysitting or childcare (surcharge)
- Restaurant
- 24-hour front desk
- Shopping on site
- Free newspapers in lobby
- Concierge services
- Conference space
- Dry cleaning/laundry service
- Free WiFi
- Total number of rooms - 126
- Number of floors - 8
- Meeting rooms
- Free self parking
- Breakfast available (surcharge)
- Elevator/lift
- Hair salon
- Tours/ticket assistance
- Multilingual staff
- Porter/bellhop
- Safe-deposit box at front desk
- Year Built 1988
- Number of meeting rooms - 6
- Smoke-free property
- Number of buildings/towers - 1
Family Friendly Amenities
- Family Hotel
- Free Wi-Fi
- Babysitting or childcare (surcharge)
- Refrigerator
- Cribs/infant beds (complimentary)
Available in all rooms: Free WiFi
Available in some public areas: Free WiFi
Free self parking
Room Amenities
- Free cribs/infant beds
- Bathtub or shower
- Minibar
- Room service (limited hours)
- Hypo-allergenic bedding available
- Free newspaper
- Climate control
- Phone
- Free local calls
- Refrigerator
- Coffee/tea maker
- Daily housekeeping
- Private bathroom
- Bathrobes
- Hair dryer
- Iron/ironing board
- Desk
- Cable TV service
- Free WiFi
- Down comforter
- Egyptian-cotton sheets
- Individually decorated
Where to Eat
Cooked-to-order breakfasts are available for a surcharge and are served each morning.
Le Bistango Restaurant - This restaurant serves breakfast, brunch, lunch, and dinner.
Room service (during limited hours) is available.
Hotel Policies
Check-in time starts at 3 PM
Check-out time is noon
Payment types
Pets allowed, Only dogs are allowed
You need to know
Extra-person charges may apply and vary depending on hotel policy.
Government-issued photo identification and a credit card are required at check-in for incidental charges.
Special requests are subject to availability upon check-in and may incur additional charges. Special requests cannot be guaranteed.
No rollaway/extra beds available
- Resort fee
Hotel Name
We should mention
A resort fee is included in the total price displayed.


text:
Changing the future — or past, as it were — isn't a piece of cake. Future Nick and young Nick want to stop the timeline where Nick destroys everything he cares about, but it won't be easy. Nick Gautier has fast become Kenyon's most intriguing character, and her ability to interweave her various series and make believable changes to the canon is truly impressive.
When Grim (aka Death) told Nick that his girlfriend Nekoda Kennedy is supposed to kill him, Nick didn't want to believe him. But once confronted, Nekoda has to admit she was there to stop Nick from becoming the Malachai and destroying the world. Hurt, Nick breaks off their relationship and suddenly finds himself pursued by popular cheerleader Casey Woods. There are many players wanting to destroy both Nick and his Malachai father, and their machinations are getting deadlier by the minute. (ST. MARTIN'S GRIFFIN, Mar., 464 pp., $18.99)


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Album / Collection: Usagi Mashimaro
Track # 2
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[1] In Japan, a "akanbee" or "akkanbee" is a facial gesture where someone pulls down one of his/her lower eyelids and simultaneously sticks out his/her tongue. It can be either taunting or endearing or both.
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Alberto Ciurana
President, Programming & Content, Univision Networks
: Univision, Univision, Univision
Access the industry's most accurate development and production listings,credits,contact info, org charts, box office, TV ratings and more.
Want to see projects Alberto Ciurana is developing? Visit Variety Insight .
Latest Headlines: Alberto Ciurana
For the past several months, a number of prominent former NBCUniversal executives have quietly taken the reins of many major jobs at Spanish-language media outlet Univision Communications, all the…
Buoyed by strong ratings, Univision saw a 17.6% year-over-year jump in operating income in the second quarter. Net revenue grew 10.4% to $676.5 million. Good news comes in the wake of a July sweep…
If it wasn't already apparent, Univision is one of the big boys on the broadcast block. The Spanish-language network on Wednesday put a bow on an historic February, which saw it finish ahead of one…
MEXICO CITY -- The world's largest producer of Spanish-language TV content Televisa is sending one of its own, Alberto Ciurana, to take over programming and content at Univision.
International buyers are determined to get the best shows available, but only at a price.
The powers that be still rule Mexico's TV market, with Televisa claiming nearly 70% of broadcast auds and its only significant commercial rival, TV Azteca, picking up the slack.
Latin American nets will be descending on the National Assn. of Television Program Executives confab with full battalions of up to a dozen execs each. With the worst of their economic crises behind…
Nobody here makes any secret about what will be the hottest property up for grabs at Mipcom -- a little movie about a wall-crawling young man.


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- Forum: iPod + iTunes + AppleTV
Want access to the EU common market? You need to play by their rules. The difference between the UK and countries like Norway and Switzerland is that at least the UK gets a say in what those rules are. Oslo and Bern get the rules by Fax, and still have to pay for the privilege.


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Fri 26th Apr at 9:00pm
Sundance London
@ indigo at The O2, London
Featuring: DJ Peaches
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Sundance London: DJ Peaches
Sundance London is a partnership between Robert Redford, Sundance Enterprises, Sundance Institute and AEG Europe.
Running from 25-28 April 2013, the second Sundance London is set to present four exciting days of live music, the UK premieres of American independent films fresh from the 2013 Sundance Film Festival, plus panel discussions, filmmaker Q&As and exclusive events.
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Website: theo2.co.uk/do-more-at-the-o2/indigo-at-the-o2
Bookings: 0844 856 0202
Seating Plan: View the Seating Plan
→ North Greenwich 2 min walk


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New Ritual Monster & Spell Cards
Dig up your old copies of "Manju of the Ten Thousand Hands," because Ritual Monsters are about to get a lot better.
Stardust Overdrive brings 6 powerful new support cards for Ritual Monsters. Ritual Monsters have always required lots of cards and combos in order to perform a Ritual Summon. Now, thanks to "Djinn Releaser of Rituals" and "Djinn Presider of Rituals," that's changing.
Ritual Summon Using Your Graveyard
"Djinn Releaser of Rituals" is a Level 3 DARK monster that you can remove from the Graveyard to pay for a Ritual Summon. As a bonus, if you use "Djinn Releaser of Rituals" for a Ritual Summon, your opponent can't Special Summon any monsters as long as your new Ritual Monster stays on the field! This shuts off some of your opponent's biggest threats, like "Chaos Sorcerer," "Dark Armed Dragon," and "Judgment Dragon."
"Djinn Presider of Rituals" is a Level 4 DARK monster. Like "Djinn Releaser of Rituals," you can use Presider for a Ritual Summon while it's in the Graveyard. But instead of stopping your opponent from Special Summoning, any Ritual Monster you Summon using Presider lets you draw a card each time it destroys an opponent's monster by battle.
Since both "Djinn Releaser of Rituals" and "Djinn Presider of Rituals" are DARK monsters, you can easily get them into the Graveyard with cards like "Armageddon Knight" and "Dark Grepher." Once they're in your Graveyard, you just need a Ritual Monster to Summon and the right Ritual Spell Card.
Use "Armageddon Knight" to send your Djinns to the Graveyard.
Divine Grace – Northwemko
Since "Djinn Releaser of Rituals" is a Level 3 monster and "Djinn Presider of Rituals" is a Level 4 monster, you can remove them both from your Graveyard to pay the cost for Summoning a Level 7 Ritual monster. That Ritual Monster will also get BOTH bonus effects from the Djinns you used to Summon it.
To Summon "Divine Grace – Northwemko," you'll need to activate the Ritual Spell Card "Ritual of Grace." This requires a Tribute that totals 7 or more monster Levels. With Releaser and Presider in your Graveyard, you can use your Djinns for this Tribute.
When "Divine Grace – Northwemko" is Ritual Summoned, you select a number of face-up cards on the field (other than itself), up to the number of monsters you used to Ritual Summon it. And while any of the cards you picked are face-up on the field, Northwemko can't be destroyed by card effects.
This means that if you remove both of your Djinns to Ritual Summon Northwemko, you get to choose two face-up cards on the field. If you choose one of your opponent's Continuous Spell or Trap cards, they'll have to destroy their own card if they want to make your Northwemko vulnerable to card effects.
Don't forget that Summoning Northwemko with both Djinns also stops your opponent from Special Summoning, and every time Northwemko destroys a monster, you will draw a card.
You can also use the new Normal Trap Card "Ritual Buster" to protect Northwemko even more. "Ritual Buster" is used when a Ritual Monster is Ritual Summoned. It stops your opponent from activating Spell or Trap Cards until your next Standby Phase.
Combine these cards to create a monster that's almost invincible!
Preparation of Rites
Ritual Monsters are sometimes difficult to Summon because you need to be holding both the Ritual Monster Card and the Ritual Spell Card at the same. The new "Preparation of Rites" Spell Card makes this a breeze.
"Preparation of Rites" lets you add to your hand 1 Level 7 or lower Ritual Monster Card from your Deck. Then, you can get 1 Ritual Spell Card from your Graveyard. This one Spell Card lets you get a Ritual Monster Card and the Ritual Spell Card that goes with it. You can use "Preparation of Rites" to search your Deck for "Divine Grace – Northwemko" and add it to your hand, then recover "Ritual of Grace" from your Graveyard. You can also use it to retrieve old favorites like "Relinquished" and "Black Illusion Ritual."
Up until now, it was rare to see a Ritual Deck competing in a tournament. Stardust Overdrive is going to change that, since it's easier than ever to build competitive Decks using Ritual Monsters.


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The PCA Traffic Committee is involved with traffic, pedestrian and transit issues in the Parkside area. Our goal is to work for a safe and accessible neighborhood for walkers, bikers, drivers and riders. The committee meets on the first Tuesday of each month. If you are interested in joining the committee or have an issue you think the committee needs to address, please email us at email@example.com or call the PCA office.
Parkside and Florence Planned Work
Parkside Traffic Study Final Report
Appendix A & B
Appendix C
Appendix D
PCA Traffic Committee Update
Like everyone else at the end of a year, the PCA Traffic Committee is looking back on the accomplishments and hopes of an eventful year, considering what we've done and what is yet to do.
In 2014…
1.) We worked with the city on the Parkside Traffic Study including attending and responding to three stakeholder meetings as well as the City's public meetings at St Mary's
2.) We met many times with the Zoo and Olmsted to coordinate our efforts for Parkside Avenue and throughout the community
3.) We met with the Greenfield Block Club and members of the Humbolt Parkway community to review their proposals for their parts of the neighborhood
4.) We saw adjudication passed at the State level that will allow for parking enforcement monies to remain in Buffalo rather than going to Albany
5.) We met with the community police representatives to convey our community concerns
6.) We issued response to the NY Department of Transportation regarding the Elmwood Bridge and saw them change their approach to be more in line with community goals
7.) We issued a letter to the NYSDOT for studying the removal of the 198 and worked with Assemblyman Ryan's office to address the NYSDOT's approach to the 198.
It was an eventful year, and 2015 will see many changes-beginning with the changes to the Florence Avenue intersection this summer, revisions to Parkside Avenue to become a 3-lane configuration, as well as the significant changes that will be coming to the Amherst Street and Linden Avenue intersections.
If you have a traffic concern or suggestion, please join in our efforts! You can contact the Traffic Committee by emailing firstname.lastname@example.com or you can attend our meetings on the first Tuesday of every month at the
PCA's Main Street office.


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Hero at Large (Compact Disc)
Usually Ships in 1-5 Days
Dear Reader:
In a previous life, before the time of Plum, I wrote twelve short romance novels. Red-hot screwball comedies, each and every one of them. The romances were originally published between the years 1988 and 1992. All immediately went out of print and could be found only at used bookstores and yard sales.
I'm happy to tell you that those stories have now been re-released by HarperCollins, presented in almost original form. I've done only minor editing to correct some embarrassing bloopers missed the first time around.
Hero at Large was the very first book published. It's about a sexy guy who cooks a potholder in spaghetti sauce and charms a single mom and former world-class ice skater with the promise of a ride on his Zamboni. It's got broken bones, giant turkeys, cantankerous cars, and Aunt Edna.
This was the book that changed my life forever and made me a published author. When Hero finally reached the bookstores, I was almost arrested for loitering in Walden's. I stationed myself in the romance section and wouldn't leave until I saw someone buy my book. It took three days!
About the Author
Janet Evanovich is the author of the Stephanie Plum books, including "One for the Money" and "Sizzling Sixteen", and the Diesel & Tucker series, including "Wicked Appetite". Janet studied painting at Douglass College, but that art form never quite fit, and she soon moved on to writing stories. She didn t have instant success: she collected a big box of rejection letters. As she puts it, When the box was full I burned the whole damn thing, crammed myself into pantyhose and went to work for a temp agency. But after a few months of secretarial work, she managed to sell her first novel for $2,000. She immediately quit her job and started working full-time as a writer. After 12 romance novels, she switched to mystery, and created Stephanie Plum. The rest is history. Janet s favorite exercise is shopping, and her drug of choice is Cheeze Doodles.
C.J. Critt is a much-admired audiobook performer who has appeared on and Off-Broadway, in stand-up comedy, solo performance, and poetry slams. She is a Cable Ace winner and staff writer for Radio Disney.


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Many of today's college grads have shunned the traditional majors for things a bit more unique.
Odd college degrees you've never heard of
Published On: Apr 22 2013 08:22:26 AM EDT Updated On: Apr 22 2013 08:22:59 AM EDT
Copyright 2013 by WMUR.com. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.
The views expressed are not those of this site, this station or its affiliated companies. By posting your comments you agree to accept our terms of use.blog comments powered by Disqus


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Agden is a small civil parish which, since 2009, has been located in the unitary authority of Cheshire West and Chester and the ceremonial county of Cheshire, England. It is the site of Agden Hall. The parish has a parish meeting rather than a parish council. It had a population of 42 as of the 2001 UK census.
Until 1866 Agden was a township in the ancient parish of Malpas.
NOTE: Agden (near Malpas) was once titled Agden (near Whitchurch). Although this is geographically correct, Whitchurch has always been in Shropshire, never in Cheshire. For a time, however, Agden was part of the Whitchurch Registration District.
Research Tips
Categories: Cheshire, England | Broxton (hundred), Cheshire, England | Wrexham Registration District, Denbighshire, Wales | Whitchurch Registration District, Shropshire, England | Nantwich Registration District, Cheshire, England | West Cheshire Registration District, Cheshire, England | Malpas Rural, Cheshire, England | Tarvin Rural, Cheshire, England | Cheshire West and Chester, Cheshire, England | Agden (near Malpas), Cheshire, England | Malpas, Cheshire, England


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▍simpleR source code
This is the simpleR source code that can be used to calculate two-dimensional incompressible flow and heat transfer problems, very easy to use....Assembly Language Fortran
This is the simpleR source code that can be used to calculate two-dimensional incompressible flow and heat transfer problems, very easy to use....Assembly Language Fortran
simpleAPI can run on Windows, Linux, FreeBSD, Solaris, AIX, and other support JVM OS; operating environment require JDK 1.4.x or later (including JDK 1.4.x). You can click here to download the simpleAPI Development Kit simpleAPI.jar; used to tie in with the development gateway Simulator parts Gatewa...Linux programming Java
Use script simple_html_dom.php crawl and parse a Web page, the program through the PHP grab score football website, data such as Asia and Europe lost; capture data covering all leagues worldwide, national team competitions. After crawling down the page, according to the League, seasons, game species...Linux programming PHP
Leveraging Microsoft's kinect for gesture recognition, using gestures to control playback ppt, this procedure is implemented using c #, is a WPF project, functionality that you implement is to identify the nearest sensor by the presenter, when its left hand, swinging to the left, away from the head...software C#
Play ppt VB code, can be used as examples. Reflected in part how the VBA code used is the best learning VBA program code....Document VB
this is cbrp ppt for introduction zA cluster head must have bi-directional links to all its member nodes. z A node will be a member of all those clusters for which it has a bi-directional link to the cluster heads. z These are called host clusters for the node. ...Linux programming PPT
simple Ras dial Project from DELPHI software, create pptP connection., simple create and manage New pptP connection on Windows OS. simple and work on windows Older or newer....Windows Delphi
Email sent simple notes, use send such features to send SMTP mail, attached to the attachment feature is suitable for beginners to make...Windows C#
@Override public void oncreate(Bundle savedInstanceState) { super.oncreate(savedInstanceState); setcontentView(R.layout.main); try { //sock = new Socket(InetAddress.getByName("188.8.131.52"),2011); sock = new Socket(InetAddress.getByName("192.168.11.254"),8080); fromclient = new Objec...Java Development Java
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Welcome to WebmasterWorld Guest from 220.127.116.11
Forum Moderators: Robert Charlton & aakk9999 & brotherhood of lan & goodroi
Question: How does it, if at all, effect link popularity and positioning on SERP's?
you are talking about scrapper sites. these sites are auto generated. search engine results for targetted keywords are scrapped and the serp's sites are linked to automatically to create keyword specific content.you may sometimes see a thumbnail of your site next to your link too :)
This has been rampantly done lately and the scrapping is usually done from diffrent IPs and difficult to block


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December 1, 2015
The Sierra Front Interagency Dispatch Center says between 75 acres and 100 acres of grass and brush has burned so far.
No buildings are threatened at this time. But fire officials warn that some structures could be threatened if the wind shifts.
Winds in the area about 15 miles southeast of Reno currently are out of the southwest at 30 miles per hour. Gusts up to 80 miles per hour have been recorded on the mountain tops near Mount Rose this afternoon.
Fire officials say they are making good progress on the south and east flanks of the fire. Two airtankers, a helicopter and at least 15 fire engines are helping douse the flames.
Click Here to access the online Public Inspection File
Viewers with disabilities can get assistance accessing this station's FCC Public Inspection File by contacting the station with the information listed below. Questions or concerns relating to the accessibility of the FCC's online public file system should be directed to the FCC at 888-225-5322, 888-835-5322 (TTY), or firstname.lastname@example.com.


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Prices and availability are subject to change from the time and date that you print this page.
11/29/2015 4:28:20 PM. For Customer Service, please call 800.933.9904
Featuring a beautiful white and gold finish and a sturdy construction, this wooden wall shelf is the gold standard for great shelving. That's probably why we named it that.
Gold Standard Wall Shelf 36"Wx6.5"Dx7"H
Details, details
- Nod exclusive
- Includes white shelf and two gold triangular brackets
- Holds up to 60 lbs.
- Hanging hardware and instructions included
Show 'em what you're made of
- Painted low emission engineered wood shelf
- Steel brackets
- For indoor use only.
- Avoid direct sunlight.
- Do not leave newspaper or other printed material lying on surface.
- For soil build-up, wipe with damp cloth and dry.
- Dust with soft dry cloth.
- Do not use abrasive cleaners.
- Protect from heat and liquids.
- To prevent a chemical reaction (marking) with finish, do not place
- any rubber, vinyl or other synthetic materials on the surface.
At The Land of Nod, nothing is more important to us than providing safe, high-quality products to you and your family. We believe that kids' products should be able to handle everything kids throw their way (literally and figuratively). That's why all of our products have an 18-year quality guarantee. And, hopefully, your kids will no longer be sleeping in bunk beds by then.
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Gwyneth Paltrow in Stella McCartney at the 2011 Met Gala
Met Gala: Gwyneth Paltrow
by Fashion
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Queen of GOOP, Gwyneth Paltrow, just walked the red carpet in a sequined Stella McCartney column gown and nude peep-toe pumps. She carried a tiny gold clutch, and kept her hair sleek at the top, with loose curls at the ends. I love her pale pink lips and big black lashes; what do you think of her look?
Vote on all of our Met Gala polls here!
Image Source: Film Magic
Read More 2011 Costume Institute Gala Red Carpet Poll2011 Costume Institute GalaRed CarpetLove It Or Hate ItStella McCartneyGwyneth Paltrow
Stella McCartney
POPSUGAR, the #1 independent media and technology company for women. Where more than 75 million women go for original, inspirational content that feeds their passions and interests.
ElsaBeK 4 years
Exquisite. THAT is a tribute to mcqueen!
littlemunchkin 4 years
littlemunchkin 4 years
littlemunchkin 4 years
littlemunchkin 4 years
arcticpuppet 4 years
arcticpuppet 4 years
Louie 4 years
Gwyneth: Love it. Her hair looks amazing.
lmf8899 4 years
Stunning dress, stunning woman. A true MET appearance!
catita85 4 years
Boring, it resembles her Oscar dress too much. Hate, hate nude on fair skinned blondes. She looks as compelling as a bowl of oatmeal.


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After spending more than $30 million to help mostly Republicans in the midterm elections, U.S. Chamber of Commerce President Tom Donohue says there are no hard feelings between his group, the White House and the incoming House minority.
Im proud of the role that the chamber played in educating voters about the serious issues facing our economy, Donohue told the chambers board of directors in a prepared speech Wednesday morning. Since the elections, weve been asked whether the chamber will be able to work with the administration and those in Congress who criticize us.
The answer is, of course we can, Donohue said. Its already happening.
Although details were vague, Donohue on Wednesday also identified the latest anti-business boogeyman that the chamber will do combat with in the coming year: scores of new rules that must be written to implement Democratic-backed overhauls of the nations financial and health care systems.
The single biggest threat to job creation facing us today is the regulatory tsunami of unprecedented force, Donohue said. We will stand up a new group that will engage a national advocate of stature and experience in the regulatory arena. The group will continually tell the story to the American people about the massive costs of excessive regulation a tax, if you will on jobs and on their personal and economic freedom.
We cannot allow this nation to move forward from a government of the people to a government of the regulators, he continued. And were going to be engaged in this fight for years to come.
Following Donohues speech, the chambers board was expected to meet with presumptive Speaker John Boehner (Ohio) and Senate Republican Policy Committee Chairman John Thune (S.D.), a possible 2012 presidential contender. Donohue also later told reporters that the chamber has no plans to get involved in the 2012 presidential contest.
The chamber has not, does not and will not participate in presidential politics. We work with the president globally all the time on geopolitics, national security and expanding trade agreements, Donohue said. Its not in our interest to get involved in presidential politics, and its not in our interest to get involved in any activity that would weaken the president for his re-election.
Donohue also told the chambers board that he will continue to aggressively lobby against a Democratic-led campaign finance bill, as well as legislation that would make it easier for workers to unionize. Ahead of the 2010 elections, Democratic Congressional Campaign Committee Chairman Chris Van Hollen (Md.) attempted to pass the DISCLOSE Act, a now-doomed bill aimed at discouraging the chamber and other organizations from running political television ads.


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Ottawa Senators
News about the Ottawa Senators, including commentary and archival articles published in The New York Times.
Badly Outshot, Senators Top Stars
Jean-Gabriel Pageau scored two third-period goals as Ottawa held off host Dallas.
November 25, 2015, Wednesday
Dan Boyle's Shootout Winner Lifts Rangers Over Senators
The Rangers have won eight in a row, and Henrik Lundqvist recorded his 10th victory of the season.
November 15, 2015, Sunday
Devils Dominate Penguins as Cory Schneider Earns Shutout
Schneider made 21 saves for his first shutout of the season, and Mike Cammalleri had a goal and two assists to lead the Devils to their 10th win.
November 15, 2015, Sunday
Senators Rout Blue Jackets
Bobby Ryan, Mika Zibanejad and Kyle Turris each had a goal and an assist, Erik Karlsson added a career-high four assists, and the Ottawa Senators beat the Blue Jackets, 7-3, in Columbus, Ohio.
October 15, 2015, Thursday
New Star Rallies Sabres; New Rule Dooms Them
Jack Eichel, the Sabres' 18-year-old rookie center, scored a power-play goal to bring a 3-1 victory over the Senators, after his teammate's goal was disallowed.
October 9, 2015, Friday
Rangers Are Often at Their Best When Facing Elimination
The Rangers are trailing Washington, three games to one, but since the 2011-12 season, they are 11-3 when on the verge of being ousted from the playoffs.
May 9, 2015, Saturday
Canadiens Advance Past Senators; Parise Scores Twice as Wild Oust Blues
Montreal won its series against Ottawa in six games as goaltender Carey Price made 43 saves.
April 27, 2015, Monday
Senators Avoid Elimination With Win Over Canadiens
Craig Anderson made 45 saves, and Ottawa avoided elimination with a road victory over Montreal in Game 5 of their first-round Eastern Conference series.
April 25, 2015, Saturday
Senators Stay Alive With a Third-Period Goal
Mike Hoffman scored and Craig Anderson made 28 saves as Ottawa edged Montreal to cut its deficit to 3-1 in the first-round series.
April 23, 2015, Thursday
Montreal Defeats Ottawa in Overtime
Alex Galchenyuk scored 3 minutes 40 seconds into overtime in a win that gave the Canadiens a two-games-to-none lead in their first-round playoff series.
April 18, 2015, Saturday
Rangers-Senators Replay: Game 6
The top-seeded Rangers staved off elimination with a 3-2 victory in Ottawa.
Rangers-Senators Replay: Game 5
The Ottawa Senators pushed the top-seeded New York Rangers to the brink of elimination with a 2-0 victory Saturday night.
Rangers-Senators Replay: Game 4
Henrik Lundqvist made 28 saves, but Ottawa rallied from a two-goal deficit to win.
Rangers-Senators Replay: Game 3
A look at the Rangers' win against the Ottawa Senators in Game 3 of the teams' first-round playoff series.
Rangers-Senators Replay: Game 2
A look at the Ottawa Senators' overtime victory over the Rangers at Madison Square Garden in Game 2 of the teams' first-round playoff series.
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text: I've got the CM11 Android L Theme that just came out. It's got the notifications and keyboard for CM11, but it doesn't have Android L icons yet. I was wondering if there was an Android L icon pack that I could use with CM11 Treb. I couldn't find any on the play store, but it's impossible to find **** there, so I figured I'd ask here


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Food Sacrificed to Idols
1Now regarding your question about food that has been offered to idols. Yes, we know that "we all have knowledge" about this issue. But while knowledge makes us feel important, it is love that strengthens the church. 2Anyone who claims to know all the answers doesn't really know very much. 3But the person who loves God is the one whom God recognizes.# Some manuscripts read the person who loves has full knowledge.
4So, what about eating meat that has been offered to idols? Well, we all know that an idol is not really a god and that there is only one God. 5There may be so-called gods both in heaven and on earth, and some people actually worship many gods and many lords. 6But for us,
There is one God, the Father,
by whom all things were created,
and for whom we live.
And there is one Lord, Jesus Christ,
through whom all things were created,
and through whom we live.
7However, not all believers know this. Some are accustomed to thinking of idols as being real, so when they eat food that has been offered to idols, they think of it as the worship of real gods, and their weak consciences are violated. 8It's true that we can't win God's approval by what we eat. We don't lose anything if we don't eat it, and we don't gain anything if we do.
9But you must be careful so that your freedom does not cause others with a weaker conscience to stumble. 10For if others see you—with your "superior knowledge"—eating in the temple of an idol, won't they be encouraged to violate their conscience by eating food that has been offered to an idol? 11So because of your superior knowledge, a weak believer# Greek brother; also in 8:13. for whom Christ died will be destroyed. 12And when you sin against other believers# Greek brothers. by encouraging them to do something they believe is wrong, you are sinning against Christ. 13So if what I eat causes another believer to sin, I will never eat meat again as long as I live—for I don't want to cause another believer to stumble.
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2013 College Football Schedule: 10 Teams With Easiest Path to National Championship
Easiest Road to the 2013 National Championship
One of the best things to do since the 2012 college football season is over is to immediately look towards 2013. A lot of factors go into predicting a team's success the next season including: players graduating or leaving early, incoming recruiting classes, injuries, coaching changes and their schedule.
What makes this list even more difficult is not knowing how much teams will improve from the previous year. So for instance, take Oregon State this year and look at how they performed the previous season. Not many people thought that they would be contenders but they overachieved and had a solid year.
The point of this article is to examine the top 10 easiest schedules for teams on the road to the national championship. I'll start out by saying that this list is not predicting that any of these teams will win the national title or even make it there, the point is to just look at their road to the championship game.
Most of the teams on this list are coming off stellar years and are looking to take that next step and prevent Alabama from claiming a third straight national championship. The SEC schedule will always be a tough obstacle to overcome on the way to the postseason but some of the teams lucked out and will have a lighter schedule than usual. The Big East is always a joke and one team will likely take advantage of it once again. The Pac 12 is top heavy so avoiding upsets is key and the Big 12 and Big Ten is mostly mediocre.
So without further ado, here are the top 10 teams with the easiest schedule on the way to the 2013 national championship.
10. South Carolina Gamecocks
Home Games: North Carolina, Vanderbilt, Kentucky, Mississippi State, Florida, Coastal Carolina, Clemson
Away Games: Georgia, UCF, Arkansas, Tennessee, Missouri
Analysis: Luckily for South Carolina they avoid playing the two top teams from the SEC West next season. They avoid Alabama and LSU but they still have to play Florida, Georgia and Clemson. An SEC schedule is never easy but their road games should be relatively easy wins besides the game at Georgia. Winning their home games will be of vital importance for the Gamecocks in 2013 if they want to take that next step and win a conference title, possibly even a national title.
9. Texas A&M Aggies
Home Games: Rice, Sam Houston State, Alabama, SMU, Auburn, Vanderbilt, UTEP, Mississippi State
Away Games: Arkansas, Ole Miss, LSU, Missouri
Analysis: The Aggies will be one of the trendy picks once the 2013 season rolls around in August and for good reason. They had a phenomenal 2012 season and they are returning the defending Heisman trophy winner in Johnny Manziel. Their schedule favors them as well as they only have four road games and they get Alabama at Kyle Field. The game at LSU figures to be their one road test so the Aggies are in good shape to make a legitimate run at a national championship.
8. Clemson Tigers
Home Games: Georgia, South Carolina State, Citadel, Boston College, Florida State, Wake Forest, Georgia Tech
Away Games: Maryland, NC State, Syracuse, Virginia, South Carolina
Analysis: When QB Tajh Boyd announced that he will be returning for his senior season Clemson fans rejoiced because it gives them a real shot to possibly win a national title. Their first and last games of the season are extremely difficult but in between those two games they won't be tested much. Yes they still play Florida State but it's in Clemson in 2013, a place where the Tigers play extremely well. If they can manage to beat the two SEC teams the Tigers could find themselves in a very nice spot come January.
7. Florida State Seminoles
Home Games: Wofford, Nevada, Idaho, Maryland, NC State, Syracuse, Miami
Away Games: Boston College, Clemson, Wake Forest, Pittsburgh, Florida
Analysis: Just glancing at Florida State's schedule, although the set dates haven't been announced yet, it seems like the Seminoles will only have two major tests, both coming on the road. Clemson and Florida will pose the biggest threats but other than those two game the rest of their schedule is painfully weak. There is not one single home game that the Seminoles should lose, I mean just look at their opponents. This is the reason why college football fans never take the ACC seriously.
6. Oregon Ducks
Home Games: Nicholls State, Tennessee, Cal, Washington State, UCLA, Utah, Oregon State
Away Games: Nevada, Colorado, Washington, Stanford, Arizona
Analysis: Oregon was one play away from playing for the national championship in 2012 and they figure to be right in the mix in 2013. Their schedule doesn't pose many challenges, especially their home games. However, they do have two tough road games at Washington and more importantly at Stanford. If the Ducks can survive those road tests I think they will be playing for the National Championship in the Rose Bowl.
5. Oklahoma Sooners
Home Games: Louisiana-Monroe, West Virginia, Tulsa, TCU, Texas Tech, Iowa State
Away Games: Notre Dame, Kansas, Baylor, Kansas State, Oklahoma State, Texas (Cotton Bowl)
Analysis: The Sooners do have some tough road games at Notre Dame and Kansas State but they should not lose a home game at all in 2013. Oklahoma will have to play well on the road if they want another chance at a national title because those will be the wins that they need. The Red River rivalry is always a crap-shoot because rivalry games are tough no matter how good either team is. I don't think the Sooners will beat the Irish in South Bend but I can see them winning the rest of their games handily.
4. Virginia Tech Hokies
Home Games: Western Carolina, Marshall, Duke, North Carolina, Pittsburgh, Maryland
Away Games: East Carolina, Georgia Tech, Miami, Virginia, Boston College, Alabama (Georgia Dome)
Analysis: If you thought Florida State's ACC schedule was weak just take a look at the Hokies'. Besides the Alabama game to open the 2013 season there is absolutely no challenges on their schedule. They avoid the two best teams in the ACC as they don't have to play either Clemson or FSU and they get all of the bottom feeders. The ACC is not taken seriously and with schedules like this why should they. At least the Hokies play one tough non-conference game each year, mostly because they have to challenge themselves somehow.
3. Louisville Cardinals
Home Games: Ohio, Eastern Kentucky, Florida International, Memphis Rutgers, San Diego State, UCF
Away Games: Kentucky, Cincinnati, Connecticut, USF
Analysis: You can't really ask for a much easier schedule for a team coming off of a BCS bowl win. They were big underdogs to Florida but they ended up blowing them out and gained a ton of confidence heading into 2013. Their schedule sets up nicely with their toughest Big East conference game coming at home against Rutgers. I don't really see any way Louisville drops any of these games to be perfectly honest. However it is the Big East so who knows.
2. Kansas State Wildcats
Home Games: North Dakota State, Louisiana, UMass, Baylor, West Virginia, Iowa State, TCU, Oklahoma
Away Games: Texas, Oklahoma State, Texas Tech, Kansas
Analysis: Bill Snyder and the Wildcats have a pretty easy road in 2013. They really only have two major tests (Oklahoma and at Texas) but besides that their schedule seems like a cakewalk. They can get revenge over Baylor at home, a place where I don't think they will drop a game. Granted things change but for the most part I think K-State has it easy in 2013.
1. Ohio State Buckeyes
Home Games: Buffalo, San Diego State, Florida A&M, Wisconsin, Iowa, Penn State, Indiana
Away Games: Cal, Northwestern, Purdue, Illinois, Michigan
Analysis: Out of all the contenders from a season ago the Buckeyes easily have the lightest schedule in 2013. It would not surprise me one bit if Ohio State runs the table again and is playing for the national championship. None of their home games are particularly tough with Wisconsin going through a coaching change and Penn State starting to feel the effects from the NCAA sanctions. The game at Cal could be interesting but the Golden Bears don't figure to be too tough next year. Of course there is the Michigan game and rivalry games are always a bit tricky but I don't think it will be much of a contest in the end. Urban Meyer didn't have a lot of stress last season and he doesn't figure to have much in 2013 either with this easy schedule.
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Oklahoma Jumping Into CFB Playoff Top 4 Is Crazy
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The winner of this Big 12 game could end up making the playoff. Read More
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For once, the Iron Bowl might not even be close in 2015. Read More
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It's Missouri's last game with their beloved head coach, but Arkansas knows how to win in November. Read More
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Cleaning up: Linda Tincher (left), wife of Rep. Vern Tincher, watched as Balbina Hernandez bathed her daughter, Angelina, after the baby dug into some chocolate cake Wednesday at the Indiana Women's Prison.
- Filed Under
Several Indiana lawmakers took time from the Statehouse on Wednesday for a baby shower.
But this was an unusual shower. These babies are in a prison, where their mothers are learning how to care for the newborns and how to get support after their release.
The legislators' aim was to celebrate the Indiana Women's Prison's Wee Ones Nursery, a program to make sure mother and child never go behind bars again. ...


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Publications (157)593.5 Total impact
- 10/2015; 3(Suppl 1):A309. DOI:10.1186/2197-425X-3-S1-A309
Article: Anaesthetic conserving device AnaConDa®: Dead space effect and significance for lung protective ventilation[Show abstract] [Hide abstract]
ABSTRACT: Background. The anaesthetic conserving device AnaConDa® (ACD) reflects exhaled anaesthetic agents thereby facilitating the use of inhaled anaesthetic agents outside operating theatres. Expired CO2 is, however, also reflected causing a dead space effect in excess of the ACD internal volume. CO2 reflection from the ACD is attenuated by humidity. This study tests the hypothesis that sevoflurane further attenuates reflection of CO 2. An analysis of clinical implications of our findings was performed. Methods. Twelve postoperative patients received mechanical ventilation using a conventional heat and moisture exchanger (HME, internal volume 50ml) and an ACD (100 ml), the latter with or without administration of sevoflurane. The ACD was also studied with a test lung at high sevoflurane concentrations. Reflection of CO2 and dead space effects were evaluated with the single-breath test for CO2. Results. Sevoflurane reduced but did not abolish CO2 reflection. In patients, the mean dead space effect with 0.8% sevoflurane was 88 ml larger using the ACD compared with the HME (P<0.001), of which 38 ml was due to CO2 reflection. Our calculations show that with the use of the ACD, normocapnia cannot be achieved with tidal volume <6 ml kg-1 even when respiratory rate is increased. Conclusions. An ACD causes a dead space effect larger than its internal volume due to reflection of CO2, which is attenuated but not abolished by sevoflurane administration. CO2 reflection from the ACD limits its use with low tidal volume ventilation, such as with lung protection ventilation strategies.BJA British Journal of Anaesthesia 05/2014; 113(3). DOI:10.1093/bja/aeu102 · 4.85 Impact Factor
Article: Apparent Dead Space with the Anesthetic Conserving Device, AnaConDa (R): A Clinical and Laboratory Investigation[Show abstract] [Hide abstract]
ABSTRACT: The anesthetic conserving device (ACD) reduces consumption of volatile anesthetic drug by a conserving medium adsorbing exhaled drug during expiration and releasing it during inspiration. Elevated arterial CO2 tension (PaCO2) has been observed in patients using the ACD, despite tidal volume increase to compensate for larger apparatus dead space. In a test lung using room temperature dry gas, this was shown to be due to adsorption of CO2 in the ACD during expiration and release of CO2 during the following inspiration. The effect in the test lung was higher than in patients. We tested the hypothesis that a lesser dead space effect in patients is due to higher temperature and/or moisture attenuating rebreathing of CO2. The lungs of 6 postoperative cardiac surgery patients were ventilated using a conventional heat and moisture exchanger (HME) or an ACD. The ACD was studied with a test lung at varying temperatures and moistures. Infrared spectrometry was used to measure apparent dead space by the single-breath test for CO2 as well as rebreathing of CO2. In patients, the median apparent dead space was 136 mL (95% confidence interval [CI,] 120-167) larger using the ACD compared with an HME (after correction for difference in internal volume 100 and 50 mL, respectively). Median rebreathing of CO2 using the ACD was 53% (range 48-58) of exhaled CO2 compared with 29% (range 27-32) with an HME. The median difference in CO2 rebreathing was 23% (95% CI, 18-27). In the test lung apparent dead space using ACD was unaffected by body temperature but decreased from 360 to 260 mL when moisture was added. This decreased rebreathing of CO2 from 62% to 48%. The use of an ACD increases apparent dead space to a greater extent than can be explained by its internal volume. This is caused by adsorption of CO2 in the ACD during expiration and release of CO2 during inspiration. Rebreathing of CO2 was attenuated by moisture. The dead space effect of the ACD could be clinically relevant in acute respiratory distress syndrome and other diseases associated with ventilation difficulties, but investigations with larger sample sizes would be needed to determine the clinical importance.Anesthesia and analgesia 12/2013; 117(6):1319-1324. DOI:10.1213/ANE.0b013e3182a7778e · 3.47 Impact Factor
Article: Protective ventilation in experimental acute respiratory distress syndrome after ventilator-induced lung injury: A randomized controlled trial[Show abstract] [Hide abstract]
ABSTRACT: /st> Low tidal volume (V(T)), PEEP, and low plateau pressure (P(PLAT)) are lung protective during acute respiratory distress syndrome (ARDS). This study tested the hypothesis that the aspiration of dead space (ASPIDS) together with computer simulation can help maintain gas exchange at these settings, thus promoting protection of the lungs. /st> ARDS was induced in pigs using surfactant perturbation plus an injurious ventilation strategy. One group then underwent 24 h protective ventilation, while control groups were ventilated using a conventional ventilation strategy at either high or low pressure. Pressure-volume curves (P(el)/V), blood gases, and haemodynamics were studied at 0, 4, 8, 16, and 24 h after the induction of ARDS and lung histology was evaluated. /st> The P(el)/V curves showed improvements in the protective strategy group and deterioration in both control groups. In the protective group, when respiratory rate (RR) was ≈60 bpm, better oxygenation and reduced shunt were found. Histological damage was significantly more severe in the high-pressure group. There were no differences in venous oxygen saturation and pulmonary vascular resistance between the groups. /st> The protective ventilation strategy of adequate pH or with minimal V(T), and high/safe P(PLAT) resulting in high PEEP was based on the avoidance of known lung-damaging phenomena. The approach is based upon the optimization of V(T), RR, PEEP, I/E, and dead space. This study does not lend itself to conclusions about the independent role of each of these features. However, dead space reduction is fundamental for achieving minimal V(T) at high RR. Classical physiology is applicable at high RR. Computer simulation optimizes ventilation and limiting of dead space using ASPIDS. Inspiratory P(el)/V curves recorded from PEEP or, even better, expiratory P(el)/V curves allow monitoring in ARDS.BJA British Journal of Anaesthesia 07/2012; 109(4):584-94. DOI:10.1093/bja/aes230 · 4.85 Impact Factor
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ABSTRACT: The anaesthetic conserving device (ACD) AnaConDa(®) was developed to allow the reduced use of inhaled agents by conserving exhaled agent and allowing rebreathing. Elevated has been observed in patients when using this ACD, despite tidal volume compensation for the larger apparatus dead space. The aim of the present study was to determine whether CO(2), like inhaled anaesthetics, adsorbs to the ACD during expiration and returns to a test lung during the following inspiration. The ACD was attached to an experimental test lung. Apparent dead space by the single-breath test for CO(2) and the amount of CO(2) adsorbed to the carbon filter of the ACD was measured with infrared spectrometry. Apparent dead space was 230 ml larger using the ACD compared with a conventional heat and moisture exchanger (internal volumes 100 and 50 ml, respectively). Varying CO(2) flux to the test lung (85-375 ml min(-1)) did not change the measured dead space nor did varying respiratory rate (12-24 bpm). The ACD contained 3.3 times more CO(2) than the predicted amount present in its internal volume of 100 ml. Our measurements show a CO(2) reservoir effect of 180 ml in excess of the ACD internal volume. This is due to adsorption of CO(2) in the ACD during expiration and return of CO(2) during the following inspiration.BJA British Journal of Anaesthesia 04/2012; 109(2):279-83. DOI:10.1093/bja/aes102 · 4.85 Impact Factor
Article: Dead space and CO2 elimination related to pattern of inspiratory gas delivery in ARDS patients[Show abstract] [Hide abstract]
ABSTRACT: Introduction The inspiratory flow pattern influences CO2 elimination by affecting the time the tidal volume remains resident in alveoli. This time is expressed in terms of mean distribution time (MDT), which is the time available for distribution and diffusion of inspired tidal gas within resident alveolar gas. In healthy and sick pigs, abrupt cessation of inspiratory flow (that is, high end-inspiratory flow (EIF)), enhances CO2 elimination. The objective was to test the hypothesis that effects of inspiratory gas delivery pattern on CO2 exchange can be comprehensively described from the effects of MDT and EIF in patients with acute respiratory distress syndrome (ARDS). Methods In a medical intensive care unit of a university hospital, ARDS patients were studied during sequences of breaths with varying inspiratory flow patterns. Patients were ventilated with a computer-controlled ventilator allowing single breaths to be modified with respect to durations of inspiratory flow and postinspiratory pause (TP), as well as the shape of the inspiratory flow wave. From the single-breath test for CO2, the volume of CO2 eliminated by each tidal breath was derived. Results A long MDT, caused primarily by a long TP, led to importantly enhanced CO2 elimination. So did a high EIF. Effects of MDT and EIF were comprehensively described with a simple equation. Typically, an efficient and a less-efficient pattern of inspiration could result in ± 10% variation of CO2 elimination, and in individuals, up to 35%. Conclusions In ARDS, CO2 elimination is importantly enhanced by an inspiratory flow pattern with long MDT and high EIF. An optimal inspiratory pattern allows a reduction of tidal volume and may be part of lung-protective ventilation.Critical care (London, England) 03/2012; 16(2):R39. DOI:10.1186/cc11232 · 4.48 Impact Factor
Article: Ventilation/perfusion SPECT in chronic obstructive pulmonary disease: An evaluation by reference to symptoms, spirometric lung function and emphysema, as assessed with HRCT[Show abstract] [Hide abstract]
ABSTRACT: Purpose Chronic obstructive pulmonary disease (COPD) is characterized by airflow limitation which is not fully reversible. Despite the heterogeneity of COPD, its diagnosis and staging is currently based solely on forced expiratory volume in 1 s (FEV1). FEV1 does not explain the underlying pathophysiology of airflow limitation. The relationship between FEV1, symptoms and emphysema extent is weak. Better diagnostic tools are needed to define COPD. Tomographic lung scintigraphy [ventilation/perfusion single photon emission tomography (V/P SPECT)] visualizes regional V and P. In COPD, relations between V/P SPECT, spirometry, high-resolution computed tomography (HRCT) and symptoms have been insufficiently studied. The aim of this study was to investigate how lung function imaging and obstructive disease grading undertaken using V/P SPECT correlate with symptoms, spirometric lung function and degree of emphysema assessed with HRCT in patients with COPD. Methods Thirty patients with stable COPD were evaluated with the Medical Research Council dyspnoea questionnaire (MRC) and the clinical COPD questionnaire (CCQ). Spirometry was performed. The extent of emphysema was assessed using HRCT. V/P SPECT was used to assess V/P patterns, total reduction in lung function and degree of obstructive disease. Results The total reduction in lung function and degree of obstructive disease, assessed with V/P SPECT, significantly correlated with emphysema extent (r = 0.66–0.69, p r = 0.62–0.74, p Conclusion V/P SPECT is sensitive to early changes in COPD. V/P SPECT also has the possibility to identify comorbid disease. V/P SPECT findings show a significant correlation with emphysema extent and spirometric lung function. We therefore recommend that scintigraphic signs of COPD, whenever found, should be reported. V/P SPECT can also be used to categorize the severity of functional changes in COPD as mild, moderate or severe.European Journal of Nuclear Medicine 03/2011; 38(7):1344-52. DOI:10.1007/s00259-011-1757-5 · 5.38 Impact Factor
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ABSTRACT: V/PSPECT has the potential to become a first hand tool for diagnosis of pulmonary embolism based on standardized technology and new holistic interpretation criteria. Pretest probability helps clinicians choose the most appropriate objective test for diagnosis or exclusion of PE. Interpretation should also take into account all ventilation and perfusion patterns allowing diagnosis of other cardiopulmonary diseases than PE. In such contexts, V/PSPECT has excellent sensitivity and specificity. Nondiagnostic reports are ≤3%. V/PSPECT has no contraindication; it is noninvasive and has very low radiation exposure. Moreover, acquisition time for V/PSPECT is only 20 minutes. It allows quantification of PE extension which has an impact on individual treatment. It is uniquely useful for followup and research.01/2011; 2011:682949. DOI:10.1155/2011/682949
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ABSTRACT: Ventilation/perfusion single-photon emission computed tomography (V/Q SPECT) is the scintigraphic technique of choice for the diagnosis of pulmonary embolism and many other disorders that affect lung function. Data from recent ventilation studies show that the theoretic advantages of Technegas over radiolabeled liquid aerosols are not restricted to the presence of obstructive lung disease. Radiolabeled macroaggregated human albumin is the imaging agent of choice for perfusion scintigraphy. An optimal combination of nuclide activities and acquisition times for ventilation and perfusion, collimators, and imaging matrix yields an adequate V/Q SPECT study in approximately 20 minutes of imaging time. The recommended protocol based on the patient remaining in an unchanged position during the initial ventilation study and the perfusion study allows presentation of matching ventilation and perfusion slices in all projections as well as in rotating volume images based upon maximum intensity projections. Probabilistic interpretation of V/Q SPECT should be replaced by a holistic interpretation strategy on the basis of all relevant information about the patient and all ventilation/perfusion patterns. PE is diagnosed when there is more than one subsegment showing a V/Q mismatch representing an anatomic lung unit. Apart from pulmonary embolism, other pathologies should be identified and reported, for example, obstructive disease, heart failure, and pneumonia. Pitfalls exist both with respect to imaging technique and scan interpretation.Seminars in nuclear medicine 11/2010; 40(6):415-25. DOI:10.1053/j.semnuclmed.2010.07.002 · 3.34 Impact Factor
Article: Measurement and mathematical modelling of elastic and resistive lung mechanical properties studied at sinusoidal expiratory flow[Show abstract] [Hide abstract]
ABSTRACT: Elastic pressure/volume (P(el) /V) and elastic pressure/resistance (P(el) /R) diagrams reflect parenchymal and bronchial properties, respectively. The objective was to develop a method for determination and mathematical characterization of P(el) /V and P(el) /R relationships, simultaneously studied at sinusoidal flow-modulated vital capacity expirations in a body plethysmograph. Analysis was carried out by iterative parameter estimation based on a composite mathematical model describing a three-segment P(el) /V curve and a hyperbolic P(el) /R curve. The hypothesis was tested that the sigmoid P(el) /V curve is non-symmetric. Thirty healthy subjects were studied. The hypothesis of a non-symmetric P(el) /V curve was verified. Its upper volume asymptote was nearly equal to total lung capacity (TLC), indicating lung stiffness increasing at high lung volume as the main factor limiting TLC at health. The asymptotic minimal resistance of the hyperbolic P(el) /R relationship reflected lung size. A detailed description of both P(el) /V and P(el) /R relationships was simultaneously derived from sinusoidal flow-modulated vital capacity expirations. The nature of the P(el) /V curve merits the use of a non-symmetric P(el) /V model.Clinical Physiology and Functional Imaging 11/2010; 30(6):439-46. DOI:10.1111/j.1475-097X.2010.00963.x · 1.44 Impact Factor
Article: Ventilation-Perfusion SPECT with 99mTc-DTPA Versus Technegas: A Head-to-Head Study in Obstructive and Nonobstructive Disease[Show abstract] [Hide abstract]
ABSTRACT: Lung scintigraphy is primarily used to diagnose pulmonary embolism. Ventilation imaging is often performed using (99m)Tc-DTPA or Technegas, an ultrafine dispersion of (99m)Tc-labeled carbon. Despite the common use of these radioaerosols, they have not been compared in an intraindividual study, and not with ventilation-perfusion (V/P) SPECT. The aim of the present head-to-head study was to systematically investigate differences in ventilation studies performed with (99m)Tc-diethylenetriaminepentaacetate (DTPA) and Technegas. Sixty-three patients, 28 without and 35 with obstructive lung disease, were examined with V/P SPECT using both (99m)Tc-DTPA and Technegas. V/P SPECT images were randomized and assessed independently by 2 masked physicians according to a predefined scoring system. A paired comparison was performed using the Wilcoxon signed-rank test. In both obstructive and nonobstructive disease, the overall unevenness of radiotracer deposition and the degree of central deposition were more pronounced in (99m)Tc-DTPA than Technegas studies. Because of better peripheral penetration, the extent of reverse mismatch was less when Technegas was used. Additionally, in obstructive disease, the degree of focal deposition in distal airways was more pronounced with (99m)Tc-DTPA. Mismatched perfusion defects were more frequently found with Technegas in obstructive disease. This intraindividual comparative study shows that Technegas is the preferred radioaerosol, particularly in obstructive disease.Journal of Nuclear Medicine 05/2010; 51(5):735-41. DOI:10.2967/jnumed.109.073957 · 6.16 Impact Factor
Article: Re-inspiration of CO2 from ventilator circuit: Effects of circuit flushing and aspiration of dead space up to high respiratory rate[Show abstract] [Hide abstract]
ABSTRACT: Dead space negatively influences carbon dioxide (CO(2)) elimination, particularly at high respiratory rates (RR) used at low tidal volume ventilation in acute respiratory distress syndrome (ARDS). Aspiration of dead space (ASPIDS), a known method for dead space reduction, comprises two mechanisms activated during late expiration: aspiration of gas from the tip of the tracheal tube and gas injection through the inspiratory line - circuit flushing. The objective was to study the efficiency of circuit flushing alone and of ASPIDS at wide combinations of RR and tidal volume (V(T)) in anaesthetized pigs. The hypothesis was tested that circuit flushing and ASPIDS are particularly efficient at high RR. In Part 1 of the study, RR and V(T) were, with a computer-controlled ventilator, modified for one breath at a time without changing minute ventilation. Proximal dead space in a y-piece and ventilator tubing (VD(aw, prox)) was measured. In part two, changes in CO(2) partial pressure (PaCO(2)) during prolonged periods of circuit flushing and ASPIDS were studied at RR 20, 40 and 60 minutes(-1). In Part 1, VDaw, prox was 7.6 +/- 0.5% of V(T) at RR 10 minutes(-1) and 16 +/- 2.5% at RR 60 minutes(-1). In Part 2, circuit flushing reduced PaCO(2) by 20% at RR 40 minutes(-1) and by 26% at RR 60 minutes(-1). ASPIDS reduced PaCO(2) by 33% at RR 40 minutes(-1) and by 41% at RR 60 minutes(-1). At high RR, re-breathing of CO(2) from the y-piece and tubing becomes important. Circuit flushing and ASPIDS, which significantly reduce tubing dead space and PaCO2, merit further clinical studies.Critical care (London, England) 04/2010; 14(2):R73. DOI:10.1186/cc8986 · 4.48 Impact Factor
Article: EANM guidelines for ventilation/perfusion scintigraphy : PPart 2. Algorithms and clinical considerations for diagnosis of pulmonary emboli with V/PSPECT and MDCT[Show abstract] [Hide abstract]
ABSTRACT: As emphasized in Part 1 of these guidelines, the diagnosis of pulmonary embolism (PE) is confirmed or refuted using ventilation/perfusion scintigraphy (V/P(SCAN)) or multidetector computed tomography of the pulmonary arteries (MDCT). To reduce the costs, the risks associated with false-negative and false-positive diagnoses, and unnecessary radiation exposure, preimaging assessment of clinical probability is recommended. Diagnostic accuracy is approximately equal for MDCT and planar V/P(SCAN) and better for tomography (V/P(SPECT)). V/P(SPECT) is feasible in about 99% of patients, while MDCT is often contraindicated. As MDCT is more readily available, access to both techniques is vital for the diagnosis of PE. V/P(SPECT) gives an effective radiation dose of 1.2-2 mSv. For V/P(SPECT), the effective dose is about 35-40% and the absorbed dose to the female breast 4% of the dose from MDCT performed with a dose-saving protocol. V/P(SPECT) is recommended as a first-line procedure in patients with suspected PE. It is particularly favoured in young patients, especially females, during pregnancy, and for follow-up and research.European Journal of Nuclear Medicine 08/2009; 36(9):1528-38. DOI:10.1007/s00259-009-1169-y · 5.38 Impact Factor
Article: Diagnostics of pulmonary embolism with emphasis on ventilation/perfusion scintigraphy and dead-space analysis[Show abstract] [Hide abstract]
ABSTRACT: Ventilation/perfusion scintigraphy, a first hand method for diagnosis of pulmonary embolism, PE, is challenged by tomography of the pulmonary arteries, CT. An additional method is based upon dead space analysis. Tomographic ventilation/perfusion scintigraphy, V/PSPECT is superior to planar technique. Important is interpretation criteria based upon pattern recognition and clinical information. With optimal strategy, the rate of non-diagnostic findings is only about 1%. The sensitivity of CT is too low to exclude subsegmental PE,. The radiation dose is for CT is several times higher than for V/PSPECT. Quantification of PE, only offered by V/PSPECT has impact on therapy and is vital for follow up. Limited availability of V/PSPECT makes CT an essential element in a strategy for diagnosis of PE. The single breath test for CO2 offers an alternative when imaging techniques are not available or when radiation is a particular problem in early pregnancy.Journal of Organ Dysfunction 07/2009; 2(4):237-243. DOI:10.1080/17471060600580649
Article: EANM guidelines for ventilation/perfusion scintigraphy: Part 1. Pulmonary imaging with ventilation/perfusion single photon emission tomography. Eur J Nucl Med Mol Imaging[Show abstract] [Hide abstract]
ABSTRACT: Pulmonary embolism (PE) can only be diagnosed with imaging techniques, which in practice is performed using ventilation/perfusion scintigraphy (V/P(SCAN)) or multidetector computed tomography of the pulmonary arteries (MDCT). The epidemiology, natural history, pathophysiology and clinical presentation of PE are briefly reviewed. The primary objective of Part 1 of the Task Group's report was to develop a methodological approach to and interpretation criteria for PE. The basic principle for the diagnosis of PE based upon V/P(SCAN) is to recognize lung segments or subsegments without perfusion but preserved ventilation, i.e. mismatch. Ventilation studies are in general performed after inhalation of Krypton or technetium-labelled aerosol of diethylene triamine pentaacetic acid (DTPA) or Technegas. Perfusion studies are performed after intravenous injection of macroaggregated human albumin. Radiation exposure using documented isotope doses is 1.2-2 mSv. Planar and tomographic techniques (V/P(PLANAR) and V/P(SPECT)) are analysed. V/P(SPECT) has higher sensitivity and specificity than V/P(PLANAR). The interpretation of either V/P(PLANAR) or V/P(SPECT) should follow holistic principles rather than obsolete probabilistic rules. PE should be reported when mismatch of more than one subsegment is found. For the diagnosis of chronic PE, V/P(SCAN) is of value. The additional diagnostic yield from V/P(SCAN) includes chronic obstructive lung disease (COPD), heart failure and pneumonia. Pitfalls in V/P(SCAN) interpretation are considered. V/P(SPECT) is strongly preferred to V/P(PLANAR) as the former permits the accurate diagnosis of PE even in the presence of comorbid diseases such as COPD and pneumonia. Technegas is preferred to DTPA in patients with COPD.European Journal of Nuclear Medicine 07/2009; 36(8):1356-70. DOI:10.1007/s00259-009-1170-5 · 5.38 Impact Factor
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ABSTRACT: Cyclofenil was evaluated versus placebo in the treatment of progressive systemic sclerosis (PSS, scleroderma) in a 2times6-month double-blind crossover study. The mean duration of disease was six years. Of 38 patients entering the study, 27 completed both periods. Reasons for drop-outs were very high liver transaminases in three cases, cardiac death in two, and drug allergy, alcoholic problems, suspected congestive heart failure, reactivation of tuberculosis, arteriosclerotic heart disease, and lethal progression of PSS in one case each. No fatality was attributed to cyclofenil. Liver enzyme abnormalities were seen in 13 of 35 active drug periods and in 5 of 30 placebo periods. Cutaneous and visceral involvement were assessed by a large battery of subjective parameters and objective tests. Overall improvement was seen during 17 drug periods and nine placebo periods (N.S.), but a paired comparison of the status at the end of each treatment period resulted in the following distribution: 15 were improved at the end of the drug period, four at the end of placebo period (p<0.01) and eight were unchanged. In patients with a disease duration of five years or less, joint stiffness and pain were less on drug than on placebo treatment (p<0.05). In the whole group, oesophageal peristalsis improved (p<0.05). Blood folate increased (p<0.01). Working capacity was lower after the drug period than after the placebo period (p<0.05). Several other parameters, however, did not change significantly. Cyclofenil appears to be a promising drug in the treatment of PSS and should be tested further in controlled long-term studies.Journal of Internal Medicine 04/2009; 210(1‐6):419 - 428. DOI:10.1111/j.0954-6820.1981.tb09842.x · 6.06 Impact Factor
Article: Ventilation/perfusion SPECT - An essential but underrated method for diagnosis of pulmonary embolism and other diseasesEuropean Journal of Nuclear Medicine 04/2009; 36(5):875-8. DOI:10.1007/s00259-009-1125-x · 5.38 Impact Factor
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ABSTRACT: The aim of this retrospective study is to illustrate clinical utility and impact of pulmonary embolism (PE) diagnostics of up to date Ventilation/Perfusion SPECT (V/P (SPECT)) applying holistic interpretation criteria. During a 2-year period 2328 consecutive patients referred to V/P(SPECT) for clinically suspected PE were examined. Final diagnosis was established by physicians clinically responsible for patient care. To establish the performance of V/P(SPECT) negative for PE, patients were followed up by medical records for 6 months. Ventilation/Perfusion SPECT was feasible in 99% of the patients. Data for follow-up were available in 1785 patients (77%). PE was reported in 607 patients (34%). Normal pattern was described in 420 patients (25%). Pathology other than PE such as a pneumonia, left heart failure, obstructive lung disease, tumour was described in 724 patients (41%). Report was nondiagnostic in 19 patients (1%). Six cases were classified as falsely negative because PE was diagnosed at follow-up and was fatal in one case. Six cases were classified as falsely positive because the clinician decided not to treat. In 608 patients with final PE diagnosis, 601 patients had positive V/P(SPECT) (99%). In 1177 patients without final PE diagnosis 1153 patients had negative V/P(SPECT) (98%). Holistic interpretation of V/P(SPECT,) yields high negative and positive predictive values and only 1% of nondiagnostic findings and was feasible in 99% of patients. It is a responsibility and a challenge of nuclear medicine to provide optimal care of patients with suspected PE by making V/P(SPECT) available.Journal of Internal Medicine 11/2008; 264(4):379-87. DOI:10.1111/j.1365-2796.2008.01980.x · 6.06 Impact Factor
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ABSTRACT: A high respiratory rate associated with the use of small tidal volumes, recommended for acute lung injury (ALI), shortens time for gas diffusion in the alveoli. This may decrease CO(2) elimination. We hypothesized that a postinspiratory pause could enhance CO(2) elimination and reduce Pa(CO(2)) by reducing dead space in ALI. In 15 mechanically ventilated patients with ALI and hypercapnia, a 20% postinspiratory pause (Tp20) was applied during a period of 30 min between two ventilation periods without postinspiratory pause (Tp0). Other parameters were kept unchanged. The single breath test for CO(2) was recorded every 5 min to measure tidal CO(2) elimination (VtCO(2)), airway dead space (V(Daw)), and slope of the alveolar plateau. Pa(O(2)), Pa(CO(2)), and physiological and alveolar dead space (V(Dphys), V(Dalv)) were determined at the end of each 30-min period. The postinspiratory pause, 0.7 +/- 0.2 s, induced on average <0.5 cmH(2)O of intrinsic positive end-expiratory pressure (PEEP). During Tp20, VtCO(2) increased immediately by 28 +/- 10% (14 +/- 5 ml per breath compared with 11 +/- 4 for Tp0) and then decreased without reaching the initial value within 30 min. The addition of a postinspiratory pause significantly decreased V(Daw) by 14% and V(Dphys) by 11% with no change in V(Dalv). During Tp20, the slope of the alveolar plateau initially fell to 65 +/- 10% of baseline value and continued to decrease. Tp20 induced a 10 +/- 3% decrease in Pa(CO(2)) at 30 min (from 55 +/- 10 to 49 +/- 9 mmHg, P < 0.001) with no significant variation in Pa(O(2)). Postinspiratory pause has a significant influence on CO(2) elimination when small tidal volumes are used during mechanical ventilation for ALI.Journal of Applied Physiology 10/2008; 105(6):1944-9. DOI:10.1152/japplphysiol.90682.2008 · 3.06 Impact Factor
Article: Heart failure diagnostics based on ventilation/perfusion single photon emission computed tomography pattern and quantitative perfusion gradients[Show abstract] [Hide abstract]
ABSTRACT: Left heart failure (LHF) is a common and frequently overlooked condition owing to insufficient diagnostic methods. This can potentially delay onset of treatment. Our clinical experience with ventilation/perfusion single photon emission computed tomography (V/P SPECT) indicates that perfusion shows an antigravitational distribution pattern in LHF. The aim of the study was to test the hypothesis that LHF diagnosis can be made on the basis of V/P SPECT, and to develop and perform a first evaluation of objective parameters for LHF diagnostics in terms of perfusion gradients. This retrospective study included 247 consecutive patients with clinical suspicion of pulmonary embolism (PE), who were examined with V/P SPECT. Perfusion gradients were developed and quantified in dorso-ventral and cranio-caudal directions. Quantitative results were compared with visual interpretation of patients with normal and heart failure patterns. Patients with LHF pattern were retrospectively followed up by review of medical records to confirm or discard heart failure diagnosis at the time of V/P SPECT examination. LHF pattern on V/P SPECT was identified in 36 patients (15%), normal ventilation/perfusion pattern was found in 67 patients (27%), and PE in 62 patients (25%). The follow-up confirmed heart failure diagnosis in 32 of the 36 cases with LHF pattern, leading to a positive predictive value of 88% for LHF diagnosis based on V/P SPECT. Dorso-ventral perfusion gradients discriminated normal from LHF patients. In patients with suspected PE, LHF is common. Appropriate V/P SPECT pattern recognition, supported by objectively determined dorso-ventral perfusion gradients, allows the diagnosis of LHF. A positive perfusion gradient in the dorso-ventral direction should lead to consideration of heart failure as a possible explanation for the symptoms in these patients.Nuclear Medicine Communications 09/2008; 29(8):666-73. DOI:10.1097/MNM.0b013e328302cd26 · 1.67 Impact Factor
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Lund University
Lund, Skåne, Sweden
- • Department of Clinical Physiology
- • Department of Paediatrics
- • Department of Rheumatology
Malmö UniversityMalmö, Skåne, Sweden


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