text:
- Sold for: Start Free Trial or Sign In to see what it's worth.
- Item Category: Toys, Dolls, Games & Puzzles
- Source: eBay
- Sold Date: Apr 08, 2012
- Channel: Auction House
I AM MOVING AND WILL NOT SHIP INTERNATIONALLY - I DO NOT HAVE ACCESS TO BOXES. IF INTERNATIONAL BIDDER BID, I CAN ONLY SEND PRIORITY MAIL WHICH STARTS AT $17 AND GOES UP.Item(s) is in very good condition with flaws as seen in the picture. I do not list every minor scratch, minor paint chip, minor box tears, minor worn spots, unglued flap tabs, and other things that are typical of an item in very good condition for the age of that item. Look at the picture and email me if unsure of something you see. Major Flaws that cannot be seen are listed in the below description. I don't clean the pieces - You get old dirt with the old pieces. Sometimes white glued is not removed – this is easily flicked off or soaked off. Think of it as an artifact. Don't get spastic when you see the dirt like one guy did. MODEL RR STUFF LITTLETOWN SOLD for O AND S SCALE - COMPLETE - HAS MINOR SNOW RESIDUE ON THE ROOF......
Do to eBay's listing policy change - I am now listing higher initial price bid items the first week of each month . I will then follow with more layout items with lower starting bids.I list items individually or small groups so that people can combine whatever and not get stuck with things they do not need. I COMBINE SHIPPING. My shipping cost is the post office charge plus about $.50 to 1.25 handling. Normal shipping cost is about $6 for one PV building or a bunch of figures or other small items that fit in a beta tape size flat rate box. Larger and boxes over 1# cost more. My trips to the Post Office will only be 3 times a week – Monday, Wednesday, and Saturday. I will hold items so that bidders can combine multiple items from different auctions. Do not pay if you are bidding on the next auction. I ship US Priority Mail in the USA with very few exceptions. I do not ship First Class because it costs me extra for boxes and delivery confirmation. Wait for my bill on combined shipments – the eBay calculation program is not accurate. APO and Overseas shipping costs more and needs to be quoted – I bill at an estimated rate and then refund the amount in excess of the handling fee. For items over $30, I will send the item Priority Mail due to tacking issues. For items under $30, I send First Class which is much cheaper. For First Class shipping outside the USA, then the post office receipt that I get from the post office is " undamaged delivery into your hands." If you don't understand Plasticville scale O/S which was sold for O or S scale, then do not bid. I have 3 negatives from people who do not understand the difference between HO and O/S scales and that Plasticville is a toy made to an approximate scale. I will correct any errors that I make in shipping or in listing errors. For shipments to Canada, the post office receipt is considered proof of "delivery into your hands."


text:
Welcome to the BeavertonHomesForSale.com Blog
Currently Under Construction
We're in the process of building our Blog, please check back later.
Take us Along
All Home Listings in your Pocket!
What's Your Home Worth?
Find out where you stand in your market.
Google® Map Search
Use Google® Maps to find your next home.

subset: commoncrawl


text:
DC Glow Discharge
Application ID: 8640
DC glow discharges in the low-pressure regime have long been used for gas lasers and fluorescent lamps. DC discharges are attractive to study because the solution is time independent. The 1D and 2D models show how to use the DC Discharge interface to set up an analysis of a positive column. The discharge is sustained by emission of secondary electrons at the cathode.


text:
GEIGERRIG Rig 1600 100 oz. Hydration Pack
Product Information:
The GEIGERRIG® Rig 1600 100 oz. Hydration Pack works as hard as you do so it can handle whatever your day has in store. With 100 ounces of hydration capacity, the hard-wearing, heavy duty Rig 1600 features ergonomic shoulder straps, ventilating Eco Rig back pads and industrial load dispersal cut and padding. The padded and removable hip belt has pockets for convenience and is configured for holding a power bulb if desired.
Black Ballistic pack specs:
Gunmetal pack specs:
- 100 oz. hydration capacity with quick-release valves for drinking tube and pressurization tube for easy filling and removal
- Hydration engine sprays for easy cooling, cleaning and drinking
- Slide top allows you to easily refill, clean and dry the hydration bladder
- Ergonomic shoulder straps feature terraced overlay for adjustable tube configuration and power bulb configuration
- Eco rig back pads provide ventilation
- Industrial load dispersal cut and padding
- Integrated chest slider strap
- Plug & Play reservoir tube connector
- Padded, removable & stowable hip belt with pockets are configured for holding a power bulb if desired
- Industrial #10 coiled zippers are extremely durable
- I-Pod® ready compartment with waterproof zipper garage
- Compression straps are reinforced with PVC for durability
- Exterior side storage pockets provide organization
- Reflective zippers for safety
- Internal storage compartments and organizer
- Heavy-duty nylon handle
Black Ballistic pack specs:
- Black version features a more robust waist belt
- Fluid capacity: 100 oz
- Fabric: 100% heavy-duty 1680 ballistic nylon
- Weight: 3.2 lbs
Gunmetal pack specs:
- Fluid capacity: 100 oz
- Fabric: 100% heavy-duty 840 ballistic nylon
- Weight: 3.2 lbs
- Model #s: RIG 1600
Country of Origin: ChinaWeb ID: 18455696
Customer Reviews:
Rated 5 out of 5�by 1 reviewer.
Rated 5 out of 5�by Sixstringsteve Bigger than I anticipated I'm a police officer and carry a firarm off-duty everywhere I go. I typically carry my pistol in the main compartment of my Camelbak Mule. By doing so, I have hydration, storage (wallet, keys, etc) and my weapon at all times. My Camel was getting pretty beat up after 2-years of hard service and I was going to replace it with the Geigerrig pack. I anticipated it being about the same size as my Camel (purchased online), but it was quite a bit bigger - too big for everyday carry (in the way I carry a pack). Although I sent it back, I checked it out thoroughly before mailing off. This pack is nice! Very robust construction and I'm sure for packpacking and other non-urban activities it'd be a great pack. April 1, 2013
1-1 of 1


text:
OLYMPIA — A seemingly noncontroversial bill aimed at making schools safer for students with food allergies has stalled in the Legislature after facing opposition from a state school-nurses group.
Senate Bill 5104 sailed through the Senate on a unanimous vote but got pulled from a scheduled hearing in the House amid an opposition campaign by the School Nurse Organization of Washington.
"I was totally blindsided," said the bill sponsor, state Sen. Mark Mullet, D-Issaquah, adding that "the bill was literally drafted by listening to (individual) school nurses as a way to save lives."
Mullet said he plans to meet Thursday with leaders of the group, a professional organization.
- Seattle's vanishing black community
- Bellevue School District seeks to fire football coach Goncharoff over scandal
- Designed in Seattle, this $1 cup could save millions of babies
- Infections are the culprit in Alzheimer's disease, Harvard study suggests
- 1,000 fraternity, sorority members trash Lake Shasta campsite
Most Read Stories
In its current form, the bill would allow any trained school employee to administer EpiPen shots to students experiencing what appear to be life-threatening allergic reactions — even to those who may not have been diagnosed with an allergy.
The shots — which contain epinephrine, come in small cylinders and are meant to be stuck into the outer thigh — can prevent or stop the most severe reactions, which can kill within minutes. The shots rarely cause harm if used when not needed, health officials say.
Mullet compares the treatment to CPR.
But currently, only school nurses and other medical professionals are allowed to administer the shots, and only to students known to have been diagnosed with an allergy.
In a letter to its members, leaders of the nurses group said they would support allowing nurses to administer the shots to undiagnosed students or allowing all trained school employees to administer the shots to diagnosed students — but not allowing all trained employees to administer the shots to undiagnosed students.
Mullet says that doesn't go far enough because many schools do not employ a nurse full time and many allergies are undiagnosed.
About a quarter of first-time allergic reactions occur at school, according to the Food Allergy Initiative Northwest, which supports the bill.
One in 13 children is diagnosed with a food allergy, according to the initiative. Nearly half of those may be at risk for the most severe type of reaction.
James Apa, a spokesman for the Seattle-King County health department, said it is better for a trained, nonmedical professional to administer the shot than for a child to go without the shot — as long as 911 is called immediately.
The most important thing is that the administrator of the EpiPen shot — whoever it is — be trained in how to use it, said Apa, noting many parents give it to their kids.
Apa said his department has not taken an official position on the bill.
A lobbyist representing the school-nurses group declined to comment on the bill or expand on the reasons for opposing it, saying only, "we are in negotiations."
In its letter, the leadership asked members to contact their representatives in the Legislature, and said the organization would be contacting all members of the House Education Committee.
The chairwoman of that committee, Seattle Democrat Sharon Tomiko Santos, said a decision to reschedule the bill's hearing was not due to concerns with the proposal.
Still, supporters said the opposition from the nurses group could be a significant obstacle.
Mullet said he's ultimately willing to consider the group's version of the bill.
"I'd rather get something than nothing," he said.
Brian M. Rosenthal: 360-235-2867 or firstname.lastname@example.com. On Twitter @brianmrosenthal


text:
Man charged with robbery
Published: Wednesday, April 3, 2013 at 6:09 p.m.
Last Modified: Wednesday, April 3, 2013 at 6:09 p.m.
Members of the Sheriff's Office Tactical Investigations Unit arrested a 23-year-old man Tuesday and charged him with two counts of robbery with a weapon.
Early Tuesday, deputies received a call about a man wrapping a chain around the neck of another man and holding him on the ground while a second man hit the victim in the head with a metal pipe while a third man searched his pockets.
The incident was reported at 1:45 a.m. The injured man was treated at the scene by paramedics.
The specialized unit got a tip that Michael Brett "Mike" McGirth Jr. was one of the men involved in the incident and they also had already identified him as a suspect. He was interviewed at the Sheriff's Office and arrested.
The investigation is continuing, officials said.
Anyone with information about the other two suspects can call the Marion County Sheriff's Office at 732-9111 or Crime Stoppers at 368-STOP, or visit www.ocalacrimestoppers.com.
Reader comments posted to this article may be published in our print edition. All rights reserved. This copyrighted material may not be re-published without permission. Links are encouraged.


text:
Priced £3.50, the 84-page publication is available from various sellers on Stevenage Road from two hours before kick-off. Fans can also save money by taking out a season subscription for just £55 for the campaign - that's a saving of £11.50 if you were to purchase each edition individually. Head to www.programmemaster.com for more details.
The programme is also available as an app with added video content, so whether you're at home or away, you need never be without it on your iPad, iPhone, iPod Touch, PC or Mac via Apple's Newsstand. The programme is also available via the Pocketmags app on Kindle Fire and Blackberry Playbook. You can subscribe for the whole season for the digital edition for just £24.99 or buy a single issue for £1.99.


text:
Droppers & Sprayer Lids
3 Item(s)
Grid List
1 oz Black Dropper LidSKU: 800200Size: 12/case$10.67
4 oz Black Dropper LidSKU: 800205Size: 12/case$13.33
White Sprayer Cap for 1 and 2 oz BottlesSKU: 800235Size: 12/case$12.17
3 Item(s)
Grid List
Please enter your email address and we will notify you as soon as is back in-stock.
Your request has been submitted successfully.As soon as
the item is back in-stock we will notify you via email.
Thank you for your patience.


text:
WASHINGTON (WUSA) -- Outside of the Broncos game, Sunday's week six game against the Packers is the Ravens biggest test of the season.
First quarter
On their opening possession, the Packers scored on a 45-yard field goal. Rookie running back Eddie Lacy had the key play on the drive for Green Bay, gashing the Ravens defense on a 37-yard run. The Ravens were unable to assert offense on their first drive, which ended in a Joe Flacco sack.
There is some good news for Baltimore early on. Receiver Jacoby Jones is back and has a 31-yard reception. Other than the two plays listed,the first quarter was pretty much a stalemate.
Packers 3, Ravens 0
Second quarter
The Ravens have found momentum in an unusual way: their own blocked punt. After the Packers blocked it, fullback John Kuhn mistakenly touched the ball without recovering it. The Ravens recovered and marched down the field.
But alas, more momentum changes. The Ravens went for it on fourth and goal from their own one yardline. Bernard Pierce was stuffed for a loss and the Green Bay defense ran off the field with excitement. The Ravens might look back on this call if they lose the game.
The miscues continued for Baltimore at the end of the half. Flacco attempted a Hail Mary with 10 seconds left but was stripped of the ball. Green Bay recovered and converted a field goal at the end of the half.
Packers 6, Ravens 0
Third quarter
Let's give the Ravens some credit here: it's the third quarter and they've kept Aaron Rodgers out of the end zone. Jimmy Smith just picked off Rodgers early in the third quarter.
Later in the third quarter, the Packers and Ravens have traded field goals as the Packers continue to maintain their six point lead.
We finally have a touchdown. Aaron Rodgers hit Jordy Nelson with a 64-yard touchdown pass as the Packers find the end zone for the first time today.
Packers 16, Ravens 3
Fourth quarter
After the Packers finally found the end zone, the Ravens' offense finally gets going. Baltimore capped off a 10-play 80-yard drive with an 11-yard touchdown pass from Flacco to Jacoby Jones to pull the Ravens within a score.
After another Packers field goal, the Ravens have clawed their way back into the game. Dallas Clark caught a gorgeous one-handed touchdown just before the two minute warning to make cut Green Bay's lead to 19-17.
Packers running back Eddie Lacey ran out the clock smartly at the end, not giving the Ravens a chance.
Final score: Packers 19, Ravens 17


text:
Neuer cambioLogin: Einloggen mit Passwort
Mobility solutions for your company.More info
Mobility solutions for your company always as much car as you need.Request more Infos
cambio is the inexpensive alternative to buying or leasing a car for companies that want efficient and flexible mobility.
Real estate agencies can offer their tenants a reliable concept of mobility right by their doorstep. The first step is a partnership with cambio.
Prices are composed of a time and a kilometre component. cambio offers tariffs for both frequent and occasional users.


text:
dust collection system Companies in India
Aircon Systems
based in Delhi, INDIA
Established in the year 1987, at Delhi (India), we, "Aircon Systems", are one of the renowned manufacturers, exporters and suppliers of a qualitative range of Pulse Jet Bag Filters, Industrial Dust Collectors, Industrial Scrubbers, Flash Dryers, Centralized Industrial Dust Collection Systems, Pneumatic Conveying Systems, Ash Conveying Systems.Being a quality conscious ...
Airex Industries Inc
based in Laval, QUEBEC (CANADA)
Since 1975, Airex Industries has been committed to the development of quaity commercial and industrial dust collection, filtration and air cleaning equipment. Airex will perform the initial evaluation and will then execute the design, the implementation, as well as the maintenance of its enginered systems. Our experienced and knowledgeable personnel can manage any ...
based in Irvine, UNITED KINGDOM
TES-AMM is a leading electronics waste recycler, currently serving clients on a global basis and working with a variety of clients, ranging from OEMs, CEMs, repair and servicing companies to logistics providers, electronics waste brokers, Local Authorities and National Environmental Agencies.
Tri-Mer Corporation
based in Owosso, MICHIGAN (USA)
Tri-Mer Corporation is a technology leader in air pollution control. The UltraTemp Filtration System controls particulate PM, HCl, SO2 and NOx. This hot gas filtration (operation is up to 1650°F) system captures particulate to extremely low levels, including submicron and ultrafine PM. Typical PM removal to less than 0.001 grains/dscf (2 mg/Nm3). For acid gas removal, the ...
SOLAFT Filtration Solutions
based in Tuggerah, AUSTRALIA
SOLAFT Filtration Solutions is a vertically integrated supplier of industrial filtration solutions across Asia, Australia and the Americas.Working closely with our customers, we specialise in the development and manufacture of high performance industrial filtration media for a wide range of applications. From filter bags for power generation to pressure leaf filters for ...
Martin Engineering
based in Neponset, ILLINOIS (USA)
Martin Engineering has the experience and expertise to produce and manufacture the highest quality vibration products. Martin is the clear choice in electric vibrators for all industrial and OEM vibration applications.Martin Engineering has been committed to safety, excellence and innovation in bulk-materials handling. Over the years, Martin has developed hundreds of ...
Shelron Enterprises
based in Mississauga, ONTARIO (CANADA)
We represent a Canadian Company which specializes in the design, engineering and manufacture of world leading Emission Control technologies. The technology is effective for any type of engine whether it is spark, rotary or compression, and works with all commercial fuels including gasoline, propane, natural gas, diesel, bio-diesel, landfill methane, and synthetic gas. The ...
based in Binjiang, CHINA
Grace Filter MFG, based in U.K, developed in China, Grace Filter, stands for high efficiency filtration solutions and expertise service for filtration industry. Grace Filter always dedicating in filtration solutions in past ten years, and get success in all dust emission control and purifying projects in Coal Fired Boiler power plant, Blast-Furnace in steel plant, Asphalt ...
Advanced Cyclone Systems, S. A.
based in Porto, PORTUGAL
Advanced Cyclone Systems, S.A. (ACS) is a company exclusively dedicated to the development and commercialization of high efficiency cyclone systems, worldwide. The company works in a very close cooperation with its clients in order to design custom made cyclone systems that really solve their unmet needs.
microLAN On-line Biomonitoring Systems
based in Waalwijk, NETHERLANDS
microLAN, based in Waalwijk, the Netherlands, is a company specialized in early warning systems for water quality monitoring, based on optical measurements. The company started in 2003 as a trade agency for water quality measuring equipment, including lab and online testing for aquatic toxicity and algae monitoring. In 2014 microLAN took over a patent for automated ...


text:
What would be the steps and considerations to adding a new MTA to a multiserver install? (MTA, LDAP, zimbra store)?
how about the backups ? what should I consider when backing up the MTA in a multiserver instance ? is it even worth it if I can add one easily ?


text:
Philadelphia, PA (Sports Network) - Perhaps the most stunning day of FCS
regular-season action ever wasn't quite that with a closer look.
That might sound hard to believe after four of the top five ranked teams lost
for the first time this season and the FCS went from nine unbeaten teams to
four on Saturday.
But the strength of schedule may not lie. The NCAA puts out a weekly list for
FCS teams and Week 7 - the first week of the second half of the regular season
- might have exposed how some fast-starting teams had gotten a little fat on
their schedules.
Not to pick on only the unbeaten teams, but four of the five to fall on
Saturday - top-ranked North Dakota State, No. 2 Montana State, No. 5 Wofford
and SWAC leader Alabama A&M - each had one of the 25 easiest schedules in the
first half of the season (out of 121 FCS teams - Georgia State isn't
recognized in the strength of schedule rankings as an FBS-bound program which
is over the FCS limit for football scholarships). At least they were among the
easiest according to their opponents' cumulative record.
The biggest alarm may have sounded for Wofford last week. The Terriers had the
fifth-easiest schedule in the first half of the season and were set to face
the second-toughest schedule in the second half (keep in mind the strength of
schedule list is fluid from week to week and changes this week).
In addition to Wofford's game against Georgia Southern on Saturday (a 17-9
loss), the Terriers still go to Appalachian State next Saturday and have road
games at Samford and South Carolina later this season. They also face The
Citadel and Chattanooga at home, so the schedule is daunting enough to think
they could fall apart and miss the FCS playoffs - one of their five wins was
against Division II Lincoln (Pa.) and doesn't count toward the seven Division
I wins certainly needed for an at-large playoff bid.
Conversely, the strength of schedule suggests brighter days for some teams.
For example, Eastern Kentucky was ranked as having the 12th-toughest schedule
in the first half of the season, but moved into the 12th-easiest schedule for
the second half.
EKU went out and routed Austin Peay to improve to 5-2 - which wasn't
surprising - and still boasts a manageable schedule the rest of the way.
Some teams get little break. Defending CAA Football champion Towson faced
tough teams in the first half of its schedule (Kent State, LSU and James
Madison) and still have plenty more in the second half (Old Dominion,
Villanova, Delaware and New Hampshire).
A recap of games in The Sports Network FCS Top 25 can be found at
Who's No. 1? Opinions should vary when the new Top 25 is released Monday
Defending national champion North Dakota State might hold onto the top spot
considering it lost by only a field goal to Indiana State on Saturday.
James Madison, No. 4 this past week, was the highest-ranked team to survive
Saturday's rash of upsets, and seemingly has a shot at reaching the top spot.
Eastern Washington could even leap from No. 6 to No. 1, having now beaten FBS
Idaho and defending Big Sky co-champions Montana and Montana State (27-24 on
Saturday), and has only lost by four points to FBS Washington State.
Rising: Stony Brook senior running back Miguel Maysonet may have moved into
the favorite's role for the Walter Payton Award with Old Dominion quarterback
Taylor Heinicke recently posting pedestrian numbers for his high standard.
Maysonet has set a career high for rushing yards in three of his last four
games, lifting himself to 1,121 yards and 11 touchdowns on the ground in Stony
Brook's seven games.
Falling: Montana might have played itself out of the FCS playoffs for a
second time in three seasons with a 30-20 loss at home to Southern Utah. The
Grizzlies (3-4, 1-3 Big Sky) made an FCS-record 17 straight playoff
appearances from 1993-2009.
Big Sky: Sacramento State enjoyed a big defensive effort in topping Weber
State, 19-14, to improve to 5-2. The Hornets collected five sacks and forced
three turnovers, while Todd Davis (11), Jeff Badger (11) and Ryan McMahon (10)
all reached double figures in tackles ... UC Davis had 647 yards of total
offense in its 52-45 win over Idaho State. Randy Wright threw for three
touchdowns and Courtney Williams rushed for three TDs.
Big South: Maybe there will be a title race after all. Liberty improved to 2-0
in conference play by throttling Presbyterian, 56-7, behind Aldreakis Allen's
183 yards and four touchdowns on the ground ... Defending champion Stony Brook
also is 2-0 in conference play after escaping from Coastal Carolina, 27-21.
The No. 11 Seawolves have to go to Liberty on Nov. 10.
CAA Football: In all five of Villanova's wins, including 38-14 at Old Dominion
on Saturday, the Wildcats have held opponents to 14 or fewer points, verifying
the type of defense that coach Andy Talley thought he had this season. The
balanced unit features 11 players who have between 20 and 46 tackles, led by
Ronnie Akins ... It doesn't get easier for ODU and Heinicke. Next Saturday,
they travel to Towson (3-3), which is in survival mode ... Georgia State (1-6)
won a battle of winless teams by dominating Rhode Island, 41-7. Donald Russell
rushed for a school-record 201 yards on 21 carries, scoring two touchdowns.
Does URI (0-6) really want to stay in the CAA?
Ivy: Nobody came from nowhere on Saturday as much as Cornell's Chris Amrhein.
The senior stepped in for injured Jeff Mathews (neck injury) and threw for 523
yards - the second-highest total in Big Red history - in a 41-38 win over
Monmouth. Luke Tasker caught 11 passes for a school-record 280 yards and a
touchdown and Silas Nacita rushed for four touchdowns, offsetting Kyle
Frazier's 451 yards and four touchdowns through the air for Monmouth ...
Princeton shut out Brown, 19-0, to end the Bears' Ivy League record 162-game
scoring streak. Caraun Reid had a safety, four tackles for loss and 2 1/2
sacks, and Princeton's defense had two interceptions and six sacks against
Brown quarterback Patrick Donnelly. The surging Tigers won a combined two
games in coach Bob Surace's first two seasons, but are 3-2 this season ... In
Penn's 24-20 win over Columbia, quarterback Billy Ragone engineered his sixth
career comeback in the fourth quarter or overtime.
MEAC: Surprising North Carolina Central (4-2, 3-0) moved atop the conference
standings with idle Bethune-Cookman after defeating Morgan State, 24-20. Tight
end Detwan Robinson's 26-yard catch-and-run for a touchdown with 25 seconds
left provided the game-winning score ... Hampton earned its first win by
topping Norfolk State, 28-14, in the Battle of the Bay. Jeremi Schwartz rushed
for 116 yards and two touchdowns, and Lyndell Gibson had two interceptions and
four pass breakups.
Missouri Valley: Linebacker Bryan Presume had a 100-yard fumble return
for a touchdown in Southern Illinois' 34-31 triumph over Northern Iowa, which
at 1-5 has to win out to avoid a losing season ... Austin Witmer's 33-yard
field goal as time expired gave Missouri State its first win, 27-24 over South
Dakota ... FCS rushing leader Zach Zenner of South Dakota State has rushed for
at least 171 yards and a touchdown in each of the Jackrabbits' six games. He
is on pace for 2,288 yards this season.
Northeast: In one of the day's more stunning scores - on a day with many of
them - Duquesne fell at winless Central Connecticut State, 38-31. The Blue
Devils' Andrew Clements had three total touchdowns (two rushing, one passing)
... In Albany's 36-13 win over St. Francis (Pa.), running back Drew Smith
scored three touchdowns to raise his FCS-best total to 15.
Ohio Valley: UT Martin's Derek Carr completed an incredible 42-of-46 passes
for 560 yards and seven touchdowns in a 66-59 win over Murray State. How many
quarterbacks can say they threw for eight touchdowns and lose? Murray State's
Casey Brockman did, going 45-for-67 for 537 yards. The two teams combined for
1,440 yards ... On Separation Saturday in the OVC, Eastern Illinois (4-3, 3-1)
kept pace in the race by edging Jacksonville State, 31-28. The Panthers picked
off three passes ... Tennessee State (7-0, 3-0) leads the race by one-half
game over Eastern Illinois, Eastern Kentucky and UT Martin - each 3-1.
Patriot: They call it the "Double-Mac Attack" at Colgate. The Raiders' duo of
quarterback Gavin McCarney and tailback Jordan McCord combined on 367 rushing
yards and seven total touchdowns in a 51-35 victory over Holy Cross. The
Raiders have won three of their last four games ... When a team wins 16
straight regular-season wins, it finds ways to capture games. Tenth-ranked
Lehigh (7-0) has won four of its last five games by two or three points,
including 17-14 at Georgetown on Saturday.
Pioneer: Butler, Dayton and Jacksonville all won on the road to stay atop the
league race at 4-0 ... Davidson fell to Jacksonville, 34-24, but Lanny Funsten
caught a PFL- record 17 passes for 246 yards and broke Davidson's all-time
reception and receiving yardage records ... Dayton used a 39-yard hook-and-
lateral - wide receiver Ross Smith to a streaking Robert Washington out of the
backfield - to close the first half of its 41-27 win over Morehead State.
SoCon: In its 200th game at Paulson Stadium, Georgia Southern improved to
169-31 by beating Wofford, 17-9. Having set the FCS single-game record by not
attempting a pass, the Eagles have put the ball in the air only 33 times in
six games ... At 378 yards, Western Carolina "held" The Citadel's triple
option in check in a 45-31 loss. Earlier this season, Wofford (590 yards) and
Georgia Southern (614) completely shredded the Catamounts' defense with their
triple options.
Southland: After a 27-22 win over Northwestern State, Southeastern Louisiana
is 3-0 in conference play for the first time since 1974, and for the first
time in the Southland Conference. Freshman Xavier Roberson carried the ball 15
times for 85 yards and two touchdowns before the Lions headed into their bye
week ... Late-game meltdowns have led to two one-point losses for McNeese
State in conference play. Next up: a visit to Sam Houston State. Gulp.
SWAC: There are no unbeaten SWAC teams after Alabama A&M fell to Alcorn State,
27-24. The Braves only had 211 yards in their win, but slowed A&M quarterback
Deaunte Mason just enough ... Alabama State failed to take advantage of A&M's
loss in the East Division race, falling at home to Jackson State, 37-34 ...
Mississippi Valley State routed Grambling State, 45-21, for its first victory
over the winless Tigers since 1996. Sophomore Julian Stafford had seven
catches for 162 yards and two touchdowns along with an 88-yard kickoff return
for a score. He finished with 263 all-purpose yards.
Extra Point: Lehigh (7-0), Tennessee State (7-0), Cal Poly (6-0) and Harvard
(5-0) are the only unbeaten teams in the FCS after Alabama A&M, Montana State,
North Dakota State, Old Dominion and Wofford all fell on Saturday.
No rest for the weary: Some of next Saturday's big conference games are
Wofford at Appalachian State in the SoCon, Old Dominion at Towson in the CAA
and McNeese State at Sam Houston State in the Southland.
Other key conference games: Big Sky, Portland State at Cal Poly, UC Davis at
Northern Arizona and Sacramento State at Eastern Washington; CAA, New
Hampshire at Maine in their 100th meeting and James Madison at Richmond; Ivy,
Harvard at Princeton; Missouri Valley, Southern Illinois at Youngstown State,
South Dakota State at Northern Iowa, Indiana State at Western Illinois and
North Dakota State at South Dakota in Sioux Falls; OVC, Tennessee State at
Jacksonville State, UT Martin at Southeast Missouri State and Eastern Kentucky
at Tennessee Tech; Patriot, Georgetown at Colgate and Holy Cross at Lafayette;
Pioneer, San Diego at Jacksonville; SoCon, Georgia Southern at Furman, Samford
at Chattanooga; and SWAC, Arkansas Pine-Bluff at Southern.
The Sports Network


text:
Currently in beta, Flipjar encourages regular/repeat Web site visitors to "do things" that directly benefit their favorite sites.
Turn your MP3 collection into an MP3 server. Simply add a single PHP or ASP script to any folder within your site. Now you can browse and play the contents of that folder — over the Web, or over your local network.
Bitty Browser
Keep track of your favorite Web stuff by enabling navigable windows directly within your favorite sites — it's like Picture-in-Picture for the Web.
About Scott Matthews...
Bitty Browser
Building Blocks for the Web
Our goal is simple and smart software that you can use in combination, or independently. For example, the demo over to the left shows Andromeda running within Bitty Browser.
turns an MP3 collection into a navigable Web site, and
Bitty Browser
enables navigable windows directly within Web sites/blogs, and personal start pages like Google, Microsoft Live.com, Netvibes, etc.
Learn more:
Bitty Browser


text:
Division of Rehabilitation and Liquidation
The information provided to the Department of Financial Services becomes a public record and is subject to a public record request. The information provided is limited to your name, address, telephone number, email address and insurance company name. Personal information (social security numbers, policy numbers, and health and financial information) is removed before the record leaves the department. For additional information on the Department's Privacy policy, click here.
Complete the form below! You can still write a letter or call, at the
address and phone number listed below.
Florida Department of Financial Services Phone: #800-882-3054
Division of Rehabilitation and Liquidation
2020 Capital Circle SE, Ste 310
Tallahassee, Florida 32301


text:
Denver, CO (Sports Network) - Corey Brewer poured in 19 points to lead six
Denver players in double figures on Monday, as the Nuggets survived a late
rally from the Toronto Raptors to take a 113-110 victory at Pepsi Center.
Kenneth Faried followed with 18 points and 10 rebounds, JaVale McGee netted 17
points and Ty Lawson donated 16 points to help Denver put the brakes on a
three-game skid.
Danilo Gallinari chipped in 13 points and Kosta Koufos added 10 points and 10
boards in the victory.
Kyle Lowry led Toronto with a game-high 24 points to go with seven assists,
while Andrea Bargnani tallied 23 points and DeMar DeRozan finished with 18
points and seven boards for the Raptors, who haven't won in Denver since Dec.
30, 2003.
The Sports Network


text:
Once again we've set out with "The Kids" to do some sightseeing in a place they've never been: Washington D.C.
Not only is this city home to the President of the United States and some great craft beer, but the history here is rich with monuments, museums and statues galore.
We were in town for the Craft Brewers Conference and got a small break in the day to check out the city. Our first stop was the White House. The White House is the official residence and workplace of the President of the United States, located at 1600 Pennsylvania Avenue Northwest. It has been the residence of every U.S. president since John Adams in 1800. We learned that the house was designed by James Hoban, and built between 1792 and 1800. Once a year the white-painted Aquia Creek sandstone facade requires about 570 gallons of white paint to cover the entire house. While we were there, Black Butte Porter wanted to trade a sample of his own tastiness for some of the White House Honey Porter but we didn't have enough time to track down President Obama.
Next we went to check out the Washington Monument. The Washington Monument is an obelisk on the National Mall in Washington, D.C., built to commemorate George Washington, commander-in-chief of the Continental Army and the first American president.
The monument is made of marble, granite, and bluestone gneiss. We found out that this pointy monument is both the world's tallest stone structure and the world's tallest obelisk, standing 555 feet 51⁄8 inches. Black Butte Porter and Mirror Pond Pale Ale thought they could traverse the scaffolding to reach the top but the security guards didn't like that idea so we grabbed a photo instead.
"The Kids" had recently seen the movie "Lincoln" so they really wanted to get a glimpse of the Lincoln Memorial. This monument was built to honor the 16th President of the United States, Abraham Lincoln. The architect was Henry Bacon, the sculptor of the primary statue in 1920 was Daniel Chester French, and the painter was Jules Guerin. The statue was dedicated in 1922, and has more than 6 million visitors annually. We tried to get Lincoln to hold up one of "The Kids" for a photo but his strong hands wouldn't budge. The lifelike statue also faces the reflection pool which is a magnificent sight, especially when the sun is shining.
Overall, the short trip to Washington DC was an amazing adventure. We met all kinds of great brewery folks with tasty "Kids" of their own. Unfortunately we can't stay this time as the east coast is not home for us yet. We hope to bring "The Kids" back in the future for all to enjoy but for now, you can find them in 20 US states where we distribute our beer and online at www.brewforia.com.
If you have any photos of you "Taking the Kids Sightseeing" to your favorite local, national or international monuments, please send them to firstname.lastname@example.com with a brief story. Cheers!


text:
See All
My Communities
My Discussions
My Email Digests
Spotlight: Member Stories
20 years old. Happily married to a United States Airman. History major. Loves cats. TTC.
More Members
Helpful Tips
Vitamin Deficiencies Lead to infertility
Having trouble concieveing?? Next time you are st your doctors office ask for a blood draw to check your vitamin levels. Low amounts of ... More
Thank you for voting!
2 of 2 found this helpful
Related News
Related Drug Reviews
- Drug Name User Reviews
Report Problems With Your Medications to the FDA
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.


text:
Covington City Commissioner Steve Frank is getting a little bit of local coverage after posting the following to his Facebook account on Sunday: "Turn out the lights on the Occupiers, I feel like going Taliban on them!!!" Frank yesterday explained in a grammatically challenged response the wildly circular logic behind his statement: "The taliban, through there (sic) eyes are resisting occupation. I'm resisting the Occupiers. I figured that the irony would be lost on most of the dummies in Occupation Nation that oppose the war because they see us as occupiers. I happen to oppose the war too but for highly different grounds."
Cincinnati has the third-highest rate of childhood poverty in the country, and The Enquirer's Mark Curnutte tells the story of an East Price Hill family and school system struggling to keep up.
Hamilton County for the fourth straight year dipped into its rainy day fund instead of instituting major cuts or raising taxes.
National non-profit teacher training program Teach For America has offered to work in Cincinnati Public Schools, possibly as early as next year. CPS has yet to commit to the partnership, noting that there are laid-off veteran teachers in the region.
Cincinnati police didn't give out any citations in Piatt Park last night, saving the people in the Justice Center a lot of paperwork and wasted time. Some occupiers and local homeless activists have planned a march on Saturday to highlight causes of homelessness.
New York officials delayed a monthly park cleaning that would have meant having to clean lots of protesters too. The movement is spreading to Canada, where occupy protests are scheduled to begin this weekend in Toronto, Montreal, Ottawa, Calgary, Vancouver and Halifax.


text:
KLEM News PM, July 18, 2011
(LeMars) -- The LeMars Area Chamber of Commerce along with the LeMars Convention and Visitors Bureau will hold an informational meeting Tuesday at 5:30 p.m. at the lower level of Primebank regarding a permanent outdoor LED lighting system for downtown. Mainstreet manager, Mary Reynolds says Clarion, Iowa and other Iowa communities have installed similar the lighting systems. She says the proposed project has already received community support and they believe it would help call attention to downtown.
Listen here
The LED lighting would outline the tops of buildings in a five block area in the first phase of the project. Reynolds says LeMars is looking at the color combination of red, green, and amber.
Listen here
Representatives from Channel Brite Lighting of Dakota Dunes, South Dakota will be on hand for the meeting to answer questions from the public. The cost of the project is expected to be 50-thousand dollars. Fundraiser projects are already being planned including a dinner theater production scheduled for September 22nd.
LE MARS, Iowa LeMars Fire Authorities say it was so hot inside at least two homes this weekend that their smoke detectors went off.
Authorities say the house walls were hot, but there wasn't any smoke or fire inside.
Le Mars Fire Chief David Schipper says it wasn't just the heat collected in the homes, but the humidity as well that set off the alarms.
Schipper says he anticipates more such alarms this week. To avoid such false alarms, residents should keep the air moving inside their homes and regulate the inside temperature.
Schipper says any smoke detector is susceptible to such false alarms, no matter how old or new it is. He also says alarms should be kept free of cobwebs and dust.
(Sioux City) -- Mercy Medical Center in Sioux City has again initiated "Operation Heat Relief" an effort that seeks to safeguard Siouxland residents who need to escape the extreme hot temperatures.
Those who need to cool down are invited to come to the Mercy cafeteria or south lobby. Mercy will provide cool drinks to those who come to the hospital to escape the heat and humidity. The free service will be available today, tomorrow, and Wednesday from 7 a.m. to 7 p.m.
(LeMars) -- The LeMars City Council will hold its regular meeting on Tuesday beginning at noon. It is expected the Council will again discuss and take action on the proposal involving abandoning the separate wards of the city and instead have each council member elected as an at-large member, there by having council members from any part of the city. People wishing to see the current system remain need to submit a petition requiring at least 15 signatures which would place the question on the November ballot.
(LeMars) -- Plymouth County Board of Supervisors will meet on Tuesday for their regular meeting. It is expected the Board will appoint Alan Luken to a 3-year term of the Joint Urban Renewal Board.
(LeMars) -- The Plymouth County Historical Museum has scheduled today as "Cherry Cliff Day." Although the museum is normally closed on Mondays, People are urged to visit the museum between three and five p.m. and enjoy cherry tea, cherry floats, and other cherry refreshments. Its all part of a way to honor the late Cherry Cliff who passed away this last May. Cherry Cliff was a devoted volunteer to the Plymouth county Historical Museum.
(Washington) -- As the August 2nd deadline for settling the debt ceiling gets closer, more and more people are concerned over what may happen if an agreement is not reached. Iowa Fifth District Congressman Steve King told KLEM news he believes some type of settlement may occur, but he admits he is also a bit concerned.
President Obama and Congressional leaders did not meet over the weekend to negotiate an agreement on the debt ceiling level, and last week King introduced the "Promises" bill which would give priority to our military as being first in line for paychecks without any interruption.
(Orange City) -- Preventing and responding to animal diseases such as hoof and mouth disease will be discussed at a seminar scheduled for Thursday. The seminar is sponsored by Western Iowa Tech Community College and Iowa State University extension. Beth Doran, ISU livestock specialist says the seminar will be primarily for first responders and others dealing with bio-security.
The seminar will begin at 10 a.m. at the Plymouth Dairy located at 23505 on county highway K-49, south of LeMars.
|< Prev
|Next >


text:
Town clerk Beth Hamrick retiring after 32 years
November 30 will mark the end of Beth Hamrick's 32-year career with the Town of Mint Hill. Hired in 1980 as a receptionist, Hamrick's role has changed over the years. She has served as the secretary to the town administrator, the Planning Board coordinator, secretary to the Board of Adjustment, and the deputy clerk. In 1985 she became the town clerk, the position from which she is retiring.
Throughout the years, Hamrick has seen Mint Hill grow, tripling in population. She has served with numerous commissioners and four mayors. She has served in the town's last three town hall locations: the McEwen Shopping Center, the building on Matthews-Mint Hill Road, and the newest building on Mint Hill Village Lane. Hamrick took classes for various certifications, including the certificate of municipal clerk and master municipal clerk.


text:
SHOT Show buzzing about new gun control measures
LAS VEGAS On the day when President Barrack Obama announced 23 executive orders, many dealing with gun control to attack gun violence in America, membership sign-ups at the National Rifle Association booth here at the gun industry's annual convention were brisk.
One NRA employee refused to comment on whether the amount of sign-ups were more than normal, but hardly a minute passed without someone stopping by to either become a new NRA member or renew.
It was as if the attendees were taking very seriously a warning issued the previous night by a former U.S. Governor. On the eve of President Obama's announcement, former Mississippi Gov. Hayley Barbour warned the shooting industry that the worst is yet to come from our political leaders.
"Make no mistake about it, you are under siege . . . you are under attack," Hayley said, speaking Tuesday night at the SHOT Show's annual State of the Industry Dinner.
But it was clear that Obama's announcement shook many members of the gun industry who are here for the 35th annual SHOT Show, a gathering of more than 60,000 men and women connected to the gun industry. That includes 2,000 media.
Gun dealers and manufacturers who readily talked Tuesday about their guns refused to comment on Wednesday after Obama's announcement. It was especially true at booths here that are offering what some label "military-style weapons," at least by Obama's definition. It was the second day of the SHOT Show. SHOT stands for Shooting Hunting Outdoor Trade Show.
At Remington Arms Co. booth, company representatives referred all questions about gun issues to Teddy Novin, the company spokesman. He passed through the booth, but said he was swamped with requests and would get back. He didn't.
Over at NRA News booth Wednesday, radio talk show host Cam Edwards spoke out against Obama's proposals. One of his guests, Oliver North, a combat-decorated Marine Lt. Colonel and conservative columnist and author, took a strong stance against Obama.
"I don't see how some of these measures are going to help him do what he says he wants to do," North said shortly after being a guest on Edwards' show. "I don't see how the appearance of a firearm is going to change a thing in terms of protecting kids. I don't see how you could constitutionally say that in order to purchase ammunition for a firearm that you have to now get a background check. I don't see how some of these things are going to be effective in accomplishing anything except an infringement on what is supposed to be an uninfringeable Second Amendment."
Outside the NRA booth, Molly Smith, a 16-year-old member of the Smith & Wesson shooting team from Cambria, Calif., and a junior team captain, said she shoots an eight-shot 627 Smith & Wesson revolver in competitions. New York's new tough gun laws passed late Monday night in Albany actually outlaw any gun clips that hold more than seven shots. President Obama is calling for a ban on any clips with more than 10 shots.
"My focus is to make sure there is gun safety," Smith said. "That's why I'm here. I do action shooting, so that means shooting on the move, shooting at moving targets. That's what I love. But I believe in safety first."
Randy Johnson of Ultimate Firearms out of Howell, Mich., was at the NRA booth to renew his membership in the gun advocacy group. He said he does it every year at the SHOT Show or some other gun-related show. He said Obama's new gun laws, if passed by Congress, won't affect his company's biggest seller, muzzleloaders, but it will impact some of the company's guns and many manufactured by others.


text:
Browse Items (185 total)
North Carolina Scholastic Media Association
The North Carolina Scholastic Media Association (NCSMA) serves scholastic journalism and works for its advancement. Member schools include junior high and high schools from across the state. A few elementary schools are also members.
Nite Grub
Chapel Hill's guide to late night eating -online menus, multimedia interviews, and reviews
Fine Dining
Guide to Chapel Hill's best restaurants -online menus (for lunch and dinner), winelists, reviews, photos of the restaurants and the meals. Real Video interviews take you into the kitchen to meet the chefs.
White House 2001 Project
The White House 2001 Project is a two-part program designed to provide new staff members with information necessary to get off to a good start. WH2001 is a product of longtime ibiblio contributor Terry Sullivan of UNC Chapel Hill, Martha J. Kumar, an…
Starr Report
The, unedited report by independent counsel Kenneth Starr's report to the House on President Clinton. WARNING: The report contains sexually explicit language. The following text was delivered by the Office of the Independent Counsel to the U.S.…
PRGNet - Presidency Research Group Network. Information resources for the community of scholars studying the American Presidency.
Presidential Sites Network
Connecting all of the presidential sites into a world wide information resource.
Like A Family: Making of A Southern Cotton Mill World
This site, created by Dr. James Leloudis and Dr. Kathryn Walbert as a part of the American Historical Association's program Teaching and Learning in the Digital Age, funded by the National Endowment for the Humanities, makes available some of the…
Leadership Information Archives
Leadership Information Archives -- Building communities along America's Information Highway.
Tags: Biography, Geography, Historic, History, History - American
Hyperwar - a collection of the Second World War
A multimedia collection of material related to the history of the Second World War, completely cross-referenced via hypertext links. Topics include: Diplomatic & Political Documents of WWII Military/Service Histories Pacific Theater of Operations…


text:
The Leader in PLM Education, Research & Strategic Management Consulting
PLM Road Map™ 2016 for A&D in collaboration with PDT Europe
8-10 November | Paris, France
PLM Road Map™ 2016 for the High Tech & Medical Device Industries
May 24, 2016 | The Biltmore Inn & Suites, Santa Clara, CA
PLM Leadership Programs
Providing Unbiased Education & Training for Tomorrow's PLM Leaders TODAY
PLM Certificate Program for Industrial Organizations & PLM Solution Providers
New! PLM Executive Short Course | New! PLM Fundamentals for Solution Providers Short Course
Complimentary Educational Webinars
Technology Impact on Ideation and Idea Management - May 12 | 11:00 EDT | 08:00 PDT | 17:00 CDT
Materials Engineering & PLM for the Automotive Industry - June 9 | 11:00 EDT | 08:00 PDT | 17:00 CDT
PLM Road Map™ 2016 for the Automotive Industry
November 3, 2016 | The Inn at St. John's, Plymouth, MI
Knowledge Council Workshops
Innovation Engagement & Governance | Santa Clara, California – May 25
Free PLM Reports
Industry Summary - Free!
How we can help you?
Call us at +1 734.668.9922 Email Us
Featured Poll
CIMdata understands how important it is for you to keep up with PLM industry trends and information. Make CIMdata Resources your first and last stop for all things PLM. From whitepapers to commentaries; from news to events, CIMdata has everything you need.
Learn More.
CIMdata offers a wide range of PLM education and learning resources to enable PLM professionals to fully realize the highest possible return on their PLM investments.
Learn More.
By leveraging its ecosystem of contacts and over 30 years of experience in the PLM market CIMdata is regarded by PLM professionals as the most complete source for PLM market- and technology-related research. Learn More.
CIMdata is the leading independent global strategic management consulting authority focused exclusively on the PLM market. CIMdata is dedicated to maximizing our clients' ability to design and deliver innovative products and services through the application of PLM. Learn More.
CIMdata's PLM Benefits Appraisal Guide is designed to help potential PLM users evaluate the applicability and payoffs of PLM in their enterprise, and to help existing users of PLM monitor the impact it is having on their product programs.
2015 edition now available. The PLM MAR Series provides detailed information and in-depth analysis on the worldwide PLM market. It contains analyses of major trends and issues, leading PLM providers, revenue analyses for geographical regions and industry sectors, and historical and projected data on market growth.
These reports offer country-specific analyses of the PLM market. Their focus is on PLM investment and use in industrial markets. Reports cover Brazil, Germany, India, Japan, Russia, South Korea, and the United States.
This report presents CIMdata's overview of the global simulation and analysis market, one of the fastest growing segments of the overall product lifecycle management market, including profiles of the leading S&A firms.
This report presents CIMdata's overview of the worldwide CAM software and services market. It also includes a discussion on the trends in the CAM industry and updates on the top CAM solution providers.


text:
Thursday Afternoon News, January 3
City To Pick Up Disposed Christmas Trees
(Le Mars) -- The City of Le Mars Public Works Department will be picking up live Christmas Trees beginning the week of January 7th. Steve Hanson, superintendent for the city's public works department says They will do one pass through of the entire town; therefore, he asks that residents please have your tree out next to the curb by Sunday January 6th.
Listen to
Hanson says the city will dispose of the trees. Depending upon the number of trees to be picked up will determine what may happen to the trees.
Listen to
Hanson wants to remind residents to remove all lights, plastic covers, tinsel, stands and garland.
E-mail Shows Harkins Worked Behind The Scenes for Institute
IOWA CITY, Iowa (AP) - An email shows an Iowa Board of Regents member worked behind the scenes to create a university institute honoring her husband, Democratic Sen. Tom Harkin.
The April 2011 email from then-Iowa State University Provost Elizabeth Hoffman says Ruth Harkin approached university officials a year earlier about creating the Harkin Institute of Public
Policy. The university provided the email to The Associated Press in an open records request.
Hoffman's email says Ruth Harkin "wanted it to be very private" until the institute was before the regents. Ruth Harkin abstained from the vote creating the institute, but the email says
she wanted the plan to pass before the terms of two allies on the
board expired.
The email also says the Harkins were aware of potential ethical problems.
Manly Bans Pitbulls
MANLY, Iowa (AP) - The city council in the northern Iowa city of Manly has voted to keep and enforce its ban on pit bulls.
The council made its decision Wednesday. Pit bull owners who had been sent letters about the ban have until Monday to move their dogs outside the city.
The ban was adopted in 2008 after a pit bull menaced two children in town. Council member Scott Heagel says Manly residents requested it then.
Mayor Kevin Isaacson says the ordinance has not been enforced since.
The council revisited the issue in April but decided against rescinding it. The issue resurfaced in November, after pit bull owners got the letters about removing their dogs.
Decorah Woman Accused of Stealing From Nursing Home
DECORAH, Iowa (AP) - A woman in northeast Iowa has been accused of stealing money from a nursing home where she worked for 36 years.
The Gazette reports Nancy Elsbernd was charged last week with first-degree theft and ongoing criminal conduct for taking money from the Aase Haugen Nursing Home in Decorah. A police affidavit
says the 64-year-old admitted to investigators that she issued checks to herself over the past five to six years.
Investigators say more than $55,000 is missing from the nursing home's finances. Auditors are still checking the records, which Elsband had access to.
Elsbernd is out on bail. A preliminary hearing is scheduled for Jan. 7. She faces up to 35 years in prison if convicted.
A message left for Elsbernd's attorney was not immediately returned Thursday.
Army Corps of Engineers To Release Less Water In Missouri River
OMAHA, Neb. (AP) - The amount of water released into the lower Missouri River will be decreased this month because warmer weather has reduced ice concerns.
The U.S. Army Corps of Engineers said Thursday it will gradually reduce the amount of water it releases out of Gavins Point dam on the South Dakota-Nebraska border to 14,000 cubic feet per second.
That's a decrease of 4,000 cubic feet per second from the releases being made over the past two weeks.
The change is not expected to make much difference in water levels downstream in the Missouri or Mississippi rivers.
Officials said last month that the water flow needed to be increased because ice forming on the river would reduce the flow. Now the weather has improved enough to alleviate the ice concerns.
Tax Collections Are Up For Iowa
DES MOINES, Iowa (AP) - Tax collections in Iowa are up compared to the same halfway point a year ago.
Net state receipts totaled more than $3.1 billion from July through December. That's
about $264 million, or about 9 percent, higher than the first six months of the previous fiscal year.
The Legislative Services Agency says the percentage growth rate will likely dip in January because of processing days in the calendar.
The Iowa Revenue Estimating Conference projected last month that the state treasury would end the current fiscal year with nearly $6.4 billion. That would be about a 3.3 percent increase over the
last fiscal year.
|< Prev
|Next >


text:
Cinematography: George Street Photo & Video
Photographer: Desiree Shuey
Venue: Twin Oaks Garden Estate
Hair: Bethaney Nelson of Hair by Bethaney
DJ: Deondre of My DJ's
Flowers: Jerri Disney
Shoe Designer: Badgley Mischka
Phot0 Booth: Flashbooth Photography
Candy Table, Banners & Table Design: Savvy Celebrations
Stationery: Custom Invitations by Cindy Matistic | Makeup: Yesenia Napoles
Read on to learn some of the things Yisel and Vicente splurged on as well as ways they saved and to hear what Yisel would have done differently.
From the Bride:
We found great deals on certain things, handmade many of the special details and decided to splurge on the things most important to us. While we feel that it was worth every penny, we are not proud of the fact that we went so over budget. Our budget was originally $25K, not including a honeymoon, which we are currently saving for. We went way over and are a little embarrassed to put it all out there.
One of my big splurges were my invitations. I love stationery, wrapping paper, etc., and this was important to me. I hired Custom Invitations by Cindy Matistic to make my invitations, menus, table names, bar menu and a few other signs. She was willing to work with me totally open to taking my ideas and requests. And the invitations? BEAUTIFUL!! The table names? Gorgeous! Definitely worth every penny.
Our other splurge? Our photo booth… this.was.a.blast!! Let me tell you, our photo booth was a hit! Even our aunties that we didn't imagine being silly, got in on the costume action at the booth.. We got copies of all the photo strips too and they are PRICELESS!
What the Bride would have done differently:
Our day turned out so beautiful that I almost don't want to admit that there were a few things I would have done differently.
First, in the beginning of our planning I really wanted to hire a wedding planner. I contacted her during the off-season and she offered an amazing deal, but we decided not go with her due to our budget. We also thought that since the venue offered us day-of-coordinators we may not need it. Wrong! The planner would have helped us so much leading up to the day of! We had no idea how much detail and planning would go into the wedding. The last two months were waaaay more stressful than they should have been. At one point during those last weeks, Vicente and I looked at each other, and almost at the same time said 'we should've gone with the planner'. We lucked out because our super creative sisters and friends helped us pull it together. However, I know if we had a planner we could've enjoyed those last couple of months before the wedding, instead of feeling so overwhelmed. It would have been the best money we spent!
Second, we worked hard on and were proud of the favors and details that we prepared for our guests - the Hankies/Thank You Cards, the candy table goodies, the Programs, photo booth pictures. I REALLY wish we had made it a point to separate some of these goodies for our court and parents. They didn't grab hankies, programs or candy. They were busy being in the wedding and didn't have a chance to enjoy that stuff. Specifically, I really wish we had made time to take pictures with our entire court at the Photo Booth. We received copies of all our guests' photo booth pics and they are hilarious! The photo booth was such a hit and our guests had so much fun with it, that we look back and wish we had taken 15 minutes on our own with our court to just be silly and have fun in that area.
The day was pretty perfect, but those are a couple of things I would change.


text:
Style #:
For further details regarding our pricavy policies including the use of cookies please click here. For instructions on how to enable cookies please click here. If you need assistance one of our customer service representatives at 1-800-850-7463 would be glad to help.
Price: $144.95
Sale Price: $0.00 Save 100%
Select Your Size
Then, Select Your Width
Additional Views
Comfort and style comes together in the Naot Atlanta. This beautiful women's flat sandal features high quality leather, this women's toe thong has a contrasting underlay decorated with rhinestones that enhances its unique look. Its cork and latex footbed is wrapped in suede with a gore centre strip to prevent slipping, while EVA outsole provides traction, support and stability for all time comfort.
No Customers Have Reviewed This Product Yet
Share your thoughts with other customers
Enter email address to join our mailing list


text:
Rethinking IT in terms of reinventing business might seem a daunting endeavor with so many factors impacting the organization:
- Technology
- Market
- Macro-economics
- Regulations
- Globalization
- Socioeconomics
- Environment
- Geopolitics
While all of these factors influence one another, technology has become the number one external factor impacting organizations according to IBM's latest CEO study. Over 60% of CIOs view cloud as critical to their plans to speed up service delivery. At the same time, organizations are increasingly leveraging mobile devices, further extended by BYOD policies. Over 700 million smart phones and tables will ship this year, a whopping 34% more than in 2011. Not to mention over 20B machine-centric devices already deployed that are essential to enabling business operations and business models.
The net? Efficient service delivery will generate 2.7 zetabytes of digital content in 2012 – an increase of 50% in one year.
Business and IT leaders must determine the impact of this data storm to their organization before mapping out a custom transition plan. You need a plan that will ensure the infrastructure is optimized to anticipate and react with agility to rapid changes, wherever they come from.
What won't change from organization to organization are the four major challenges required for transformation to continuous innovation:
- Speed up service delivery from months to minutes
- Increase sales and promotions
- Recognize and repair issues before impact
- Shrink time to secure critical data
IT Leaders: do you have a plan to transform the IT shop from a cost center into a strategic hub for identifying growth opportunities?
CxOs: are you confident that your business is engaged in continuous innovation as you address changing priorities to keep from being left behind?
If you missed PCTY London in person or the live broadcast of Jamie Thomas today, catch the replay available now and explore technology that can help make the bold moves your business needs to adapt to change, limit risk and standardize for greater efficiency in real time. Watch the keynote at http://ibm.co/JgmnZD from anywhere in the world, then register to attend a Pulse Comes to You or Business Without Limits event closest to you and get started with your roadmap to navigate the data storm with bold moves.
Jamie's keynote begins at approximately 6:30 in the following video.


text:
Fishdom: Seasons Under the Sea
5 Online
Log In to play with your friends
Hello Gamer!
You must sign in to play this game.Sign In
Your high score
Select a Chat Room
Select Room
Players (0)
Hello Gamer!Sign In
There's a bunch of players chatting here, and you're missing the party. Sign in to join the party.
The best way to handle abusive players is to 'Ignore' them.
User you are reporting:xxxxx
Please select the type of abuse:
Please include a comment to describe the incident:
22 Online
Shape Shifter
by Gamehouse
Ladies and Gentlemen! Children of all ages! Step right up everyone, for an one-of-a-kind puzzler that will amaze your brain and astound your senses. See amazing shapes. Place them into matching cutouts.
ObjectiveFill all the rows before time runs out.
Game ControlsUse the mouse to drag shapes into matching shape cutouts
ScoreTry to place as many identical shapes into the matching cutouts conescutively, without discarding or placing any shapes in between to receive bonus points.
Report an Issue
Shape Shifter
Related Games


text:
Response to Medicare cuts: HMA reduces benefits
Published: Friday, June 7, 2013 at 9:14 a.m.
Last Modified: Friday, June 7, 2013 at 9:14 a.m.
Health Management Associates, which is negotiating a lease to operate Munroe Regional Medical Center in Ocala, has announced benefit reductions for its 42,000 U.S. employees in response to cuts in Medicare payments.
For the story, click through to the Fort Myers News-Press: http://www.news-press.com/article/20130606/HEALTH/306060019/HMA-cuts-employee-benefits
Reader comments posted to this article may be published in our print edition. All rights reserved. This copyrighted material may not be re-published without permission. Links are encouraged.


text:
- Videos
Blending top-end performance with a price that won't bury your budget, the Atlas 11 Series Snowshoe will keep you on top of the snow and your finances. The 11 Series offers the reliable Atlas 6061 aluminum V-Frame, durable stainless steel toe crampons, and an easy-to-use binding system for convenience and comfort.
- Lightweight, strong 6061 aluminum frame stands up to abuse when you scramble across the occasional rock outcropping
- V-Frame construction allows the shoe to track straight in deeper snow; tapered tail pulls less snow as you step
- Spring Loaded Suspension system absorbs impact and lets your foot flex naturally, which means the crampon digs deeper on steep, icy ascents
- Wrapp Plus binding offers a customizable fit, extra arch support, and one-pull UniLoop buckle design allows for easy adjustments on trail
- Nytex decking wraps around frame for a taught fit and increased surface area
- Stainless steel, All-Trac toe crampons feature pointed prongs for superior grip; stainless steel aft traction provides lateral stability and edging
- Heel-lift bar relieves stress on calves during ascents by compensating for slope angle and loss of traction
- Reviews
What do you think about this product?
Have questions about this product?
All I can say is amazingly satisfied
- Familiarity: I've used it once or twice and have initial impressions
Just did my first snowshoeing backpacking trip and spent lots of time in these in wet slushy snow where post holing was a problem without the shoes. I am 170 lbs plus 40 lbs pack with these 1125 shoes. They were extremely comfortable and the boot attachments are superior to two of my backpacking buddies with MSR straps of two styles. I could put my shoes (size 13 OSLO boots) on and off in about 1 minute (without any further adjusting) while they were 5 minutes. I used them one day for 6 hours straight where heel lift was need going up and they were very comfortable with a pack. They do not lay on top of each other nearly as flat as the MSRs but I love the looks, shape, and storage of these on each side of my pack.
Great Product!
- Familiarity: I've used it several times
The first time i used them, kept looking down to see if they where still on - very light. Very easy to strap in and seem to work well with any footwear. I'm 5'8" and 170 lbs, went with 25". Used them yesterday for a 5k race with consistent elevation change. Never had to adjust once.
Atlas 11 Series Snowshoe
Great snowshoes
I really love these snowshoes. I've used Redfeather, Tubbs and US Army Mountain snowshoes and the Atlas are by far the easiest to adjust and have excellent build quality. Living in Montana (and 12 years in Alaska), I place a high premium on backcountry gear that is simple to use when you are tired and so cold that your fingers are stiff. These bindings pass that test very well, something I can not say about the design commonly found on MSR and Redfeather shoes (at least in my experience).
really light
When you strap these guys on it doesn't feel like you've added any weight to your feet. The straps work quickly and deliver a secure fit that is easily adjustable. The traction on these things is super burly and will give you sure footing and everything from fine powder to the occasional ice patch. The climbing bar is a nice feature but a steep sustained incline is needed for them to be worth pulling up. At least a few hundred yards of consistent up hill. Otherwise they push your weight too far forward putting unnecessary strain on you calves. All in all a great set of snow shoes.
I am 5'9" and weigh around 170. Should I...
I am 5'9" and weigh around 170. Should I go with the 25 in or 30 in?
The max load for the 25 inch is 200 lbs, take into factor all the gear you might be lugging around and you are getting towards the top of the max load. Considering the two sizes are less than a half pound difference in weight and the added float you will get out of the 30 inches I would suggest sizing up.
I am a avid fly fisherman, and I have...
I am a avid fly fisherman, and I have decided to keep doing it year round to improve my skills and area knowledge. We just got a helluva winter storm here in South Dakota, and I discovered today it is not easy to get to my "honey holes" with this deep snow. Will these work good for me while wearing wading boots (with cleats) in gnarly backcountry terrain?
I think they would handle the terrain well but if you are using cleats like the ones I have (Patagonia stud kit) then those will chew up the decking of the snowshoes and destroy them in quick order. Might be worth throwing the wading boots in the pack and then just using some sort of winter boot like a Sorel to get to the spot and then putting on the wading boots. Not ideal but it may keep the good times rolling through the winter and not completely destroy the snowshoes.
I want to purchase the Atlas 11 Series...
I want to purchase the Atlas 11 Series snowshoe for my son; he is 6'2 and weighs about 170. Should I get 25" or 30"
he's a big boy. i say go with the 30", which have more coverage for his size.
I currently have this snowshoe and need...
I currently have this snowshoe and need some warranty work on them, any ideas on addressing this problem...this is a fantastic snowshoe and had worked great.
If you bought them on BC initiate a chat with a BC rep. They are good with warranty issues. If purchased elsewhere you will probably want to contact them or go straight to the manufacturer.
Can you wear snowboard boots with this...
Can you wear snowboard boots with this shoe?
Yes they work just fine.
New to this. I'm looking for a versatile...
New to this. I'm looking for a versatile snowshoe that would be good for both groomed trails as well as lower pitch inclines. Would this snowshoe it the part?
Hey there, yeah this snowshoe would fit your needs well... if you are strictly recreation and just getting started, you might want to check out places like Costco, Walmart, etc for non name brand snow shoes for a lot cheaper...
I have a pair of Atlas 1130's and am looking...
I have a pair of Atlas 1130's and am looking for a backpack to haul them around. Without using a lot of awkward and clumsy straps and bungees, etc. is there any pack that is designed carry snowshoes vertically - don't want to carry them horizontally - they get caught in the branches, etc. Thanks in advance!!
Any of the larger Dakine packs will carry them just great... Try the Guide, Poacher or Blade...
I've carried mine vertically on my Dakine Heli Pack too.
Ive rigged them in my Black Diamond Covert too
Ya I have the poacher and its not bad.


text:
All About Medulloblastoma
Neha Vapiwala, MD and John P. Plastaras, MD, PhD
Updated by J. Taylor Whaley, MD
The Abramson Cancer Center of the University of Pennsylvania
Last Modified: August 24, 2011
Some Background
20% of all childhood cancers start in the central nervous system (CNS), which consists of the brain, the spinal cord, and the surrounding fluid (cerebrospinal fluid, or CSF), lining tissues (meninges) and bone (cranium and vertebrae). Brain tumors are the most common solid tumor of childhood with 24.5 cases per 1 million children, per year and about 20% of those brain tumors found in children less than 3 years old.
In the past several years, the incidence of pediatric CNS tumors has been increasing. This increase is partially explained by medical advances, including improved imaging, which has led to earlier detection and diagnosis of brain tumors.
There are many different types of pediatric CNS cancers, all of which have long and rather complicated names. Two things determine the diagnosis, or type of tumor: 1) where in the CNS the tumor starts, or the location, and 2) how the tumor looks under a microscope, also known as the histology. Primary brain tumors are tumors that arise in the brain, while primary spinal tumors grow in the spinal cord. However, some brain tumors can spread to involve parts of the spine, and vice versa. On occasion, certain types of tumors can even spread to areas outside of the CNS, such as distant bones or bone marrow.
This is where the concept of "staging" the tumor comes into play, and each tumor type has its own specific staging system. The purpose of assigning a cancer stage is to help predict outcome as well as to guide treatment by appropriately applying what has been learned in pediatric cancer clinical trials. Ultimately, every cancer treatment plan is individualized for every patient, and takes into account not only the stage and clinical data, but also the goals and desires of the patient and his or her family.
What is medulloblastoma?
Medulloblastoma is a type of brain tumor that occurs in infants and young children. It represents about 20% of all pediatric CNS cancers. By definition, medulloblastomas occur in the cerebellum, which is the back part of the brain that controls walking, balance and fine motor coordination, among other things.
Medulloblastoma is a long name made up of three smaller words: medulla= Latin for marrow, meaning inner substance or core; blastos = Greek word for germ, meaning young, primitive, not fully developed; and oma = Greek for tumor. In other words, this is a tumor of primitive, undeveloped cells located inside the cerebellum.
Who gets this tumor, and how?
Medulloblastoma almost always occurs in children less than 15 years old, and most commonly between the ages of 5-6 years. About 20% of the cases occur in infants less than two years old. There are approximately 400 cases diagnosed each year and the disease appears to be more common in boys than girls .
The exact cause(s) of medulloblastoma are not known. It does not appear to "run in families" or to be directly inherited from the parents. However, medulloblastoma is associated with certain chromosomal abnormalities that probably occur at some point during a child's development. This includes not only development after birth, but also the prenatal period before a baby is born, while it is still a growing embryo or fetus. One possible cause that has been suggested is exposure of the fetus to certain causative viruses or environmental agents, but this theory remains under investigation.
What are the signs of medulloblastoma?
The most common symptom of this tumor is frequent, severe vomiting. Less commonly seen are morning headaches, nausea, confusion, and visual changes, such as double vision. Typically, children with medulloblastoma come to the attention of parents and teachers because of unsteady walking and clumsiness with holding things. All of these symptoms are consistent with a problem in the cerebellar region of the brain. For example, constant vomiting results from excessive pressure in the brain due to tumor blockage of important pathways for cerebrospinal fluid flow.
Please note that the symptoms mentioned here do not necessarily or automatically mean a child has a brain tumor, but further medical evaluation is required to rule out the possibility of a cerebellar tumor, such as medulloblastoma.
How is medulloblastoma diagnosed?
A magnetic resonance imaging (MRI) scan of the brain with gadolinium contrast-enhancement is the gold standard for detecting medulloblastoma. It has a very characteristic appearance on MRI scan: a well-defined, solid-looking mass located in the cerebellum, with fairly uniform contrast enhancement.
Medulloblastoma is a tumor type that is classically associated with spread from the brain to the spine and/or cerebrospinal fluid (CSF) bathing the CNS. Thus, part of the diagnostic workup should also include a gadolinium-enhanced MRI of the spine. The search for disease spread to the spine can be supplemented with a lumbar puncture. This is a procedure in which a thin needle is inserted into the lower back in order to obtain a sample of the cerebrospinal fluid, looking for floating tumor cells (cytology).
Of course, the only way to know the diagnosis of a suspicious mass is to biopsy it, meaning to "cut out a piece of the mass". Although performing a biopsy on the brain may sound like a bad idea, it is actually pretty easy to do for tumors located towards the front or the top of the brain using modern neurosurgical techniques.
However, medulloblastomas, as mentioned before, occur in the cerebellar region, which is technically rather difficult to access for simple biopsy. Thus, diagnosis is typically made from radiology studies, with or without results from a lumbar puncture. Surgery is undertaken with the goal of complete mass removal (called gross total resection), rather than just biopsy. This is further explained below.
How is medulloblastoma staged?
As mentioned earlier, staging is a way of grouping cancer patients with similar diagnoses and similar extent of disease. Most CNS tumors remain where they started, (ie: in the brain or in the spine), often referred to as "localized disease". However, medulloblastomas are notorious for spreading from the cerebellum down to the spine, or "metastasizing". They typically invade the tissues that line the CNS (called meninges) before gaining access to the cerebrospinal fluid (CSF) which bathes both the brain and the spine. Once there, tumor cells can travel through the CSF and deposit themselves, or "seed", in any part of the spine, resulting in "metastatic disease". Approximately 30% of medulloblastomas have spread (metastatic) to the CSF at diagnosis. Rarely, these tumor cells can gain access outside of the CNS and metastasize to distant bone or bone marrow.
The original Chang staging system was devised in the late 1960's, before the widespread use of radiology scans, relying primarily on information about tumor size and spread that is obtained during actual surgery, with the naked eye. A modified version of this system is now used for medulloblastoma, incorporating the presence or absense of metastases. Based on what the surgeon sees at the time of the surgery, the tumor is placed in one of the following categories (T referring to tumor):
- T1: Tumor <3 cm in diameter
- T2: Tumor >3 cm in diameter
- T3a: Tumor >3 cm in diameter with spread to nearby structures
- T3b: Tumor >3 cm in diameter with definite spread into the brain stem (part of brain that controls breathing, hearing, seeing, and other important functions)
- T4: Tumor >3 cm in diameter with extension up past the aqueduct of Sylvius and/or down past the foramen magnum
In addition to "T" staging, medulloblastoma staging has been modified by including "M" staging, where the "M" stands for metastasis. Remember, this is a word that describes how far the tumor cells have spread from the original location, if at all. The M stage is determined not only by the surgeon's observations, but also in combination with MRI scans and lumbar cytology, and consists of 5 possible groups:
- M0: No evidence of metastasis
- M1: Tumor cells found in cerebrospinal fluid (by lumbar puncture and cytology study)
- M2: Tumor beyond primary site but still in brain
- M3: Tumor deposits ("seeds") in spine area that are easily seen on MRI
- M4: Tumor spread to areas outside the CNS (outside both brain and spine)
Each patient is assigned a combination of one T stage and one M stage. As mentioned in the introduction, one of the reasons staging is important is that it helps predict how a patient might do in the long run, or how "curable" their cancer is, in a way. For medulloblastomas, the M stage is considered far more important in determining ultimate patient outcome and survival than the T stage. In other words, regardless of what the T stage may be, children who are in the M0 group do far better than those in M1, who tend to fare better than M2 kids, who in turn do better than M3 or M4 children.
Generally, treatment regimens are tailored to treat two groups: those with average risk and those with high risk disease. Average risk patients are those that are older than 3 years, have no metastatic disease, and have less than 1.5 cc of residual tumor after surgery. If a child has any of these features, he or she is considered high risk.
Of course, each case of medulloblastoma is different, and while staging attempts to group patients by risk, any one individual patient may not follow the "rules", so to speak.
How is medulloblastoma treated?
Surgery is typically the first component of therapy, although it is no longer acceptable as the only component. Long-term results of patients treated as far back as the 1930's have taught us that surgery alone does not cure this tumor.
It is, however, very important to perform as complete a surgery as possible, with the goal being removal of all visible tumor while sparing as much surrounding brain tissue as possible. This is then confirmed with a post-operative MRI scan of the brain to look for any leftover, or residual tumor. Based on what the MRI shows, the surgery is classified as one of the following:
- Gross total resection = No evidence of any tumor left behind either at time of surgery or on post-surgery MRI
- Near-total resection = More than 90% of original tumor removed by surgery
- Subtotal resection = Anywhere from 51-90% of original tumor removed by surgery
- Partial resection = Anywhere from 10-50% of original tumor removed by surgery
- Any surgery that removed less than 10% of the original tumor is basically considered just a biopsy, or sampling, of the tumor.
The ideal situation is a gross total resection, but this is not always possible. For example, sometimes the tumor is invading into or stuck onto other parts of the brain, making safe surgery very difficult. Nonetheless, the overall goal is to take as much of the tumor out as possible without risking severe brain deficits, as the long-term survival of medulloblastoma patients is directly influenced by the degree of surgery. In other words, the more complete the surgery, the better the long-term outcome. This is also known as a maximal safe resection.
The surgeon attempts to balance the need to remove as much tumor as possible without damaging healthy brain tissue. Some children will develop a syndrome called as posterior fossa syndrome after brain surgery in the area of the cerebellum. This is associated with difficulty swallowing, balance dificits, mutism (a speech disorder leaves the child unable to speak), poor muscle tone and emotional lability. These neurologic deficits may remain for months, but often improve slowly. Although historically this was seen in up to 15% of children, the rate of this has been noted to occur less commonly at pediatric neurosurgical centers.
Radiation Therapy
After surgery, external radiation to the entire CNS (craniospinal irradiation, or CSI) is recommended to prevent the tumor from coming back in this area (recurrence, or relapse). Even if complete surgery is performed, low-dose radiation to the brain and spine is very important for local control, local meaning within the CNS. This is the region that is most at-risk for the tumor returning.
Data from old clinical studies of medulloblastoma patients clearly shows that as many as 60-70% of children who had good surgery and no other treatment had recurrence of the tumor. In contrast, patients who had good surgery followed by CSI had lower rates of tumor recurrence. The long-term disease-free survival (patient living without tumor) with the modern radiotherapy techniques of today is as high as 60-65%.
After radiation of the entire cranium (brain) and spine with a lower dose of radiation, the area of the original tumor, including where the surgeon operated, continues to receive radiation to a higher final dose (so-called radiation "tumor bed boost"). This is because the region in the brain where the tumor first started is the most likely place to still have some lingering, unseen, microscopic tumor cells. Historically, the entire cerebellum has been boosted to this higher radiation dose, putting normal structures including the inner ear and memory structures at risk for radiation damage. In recent studies, only the tumor bed has been boosted with similar success, which allows for protection of normal tissues. The development of intensity modulated radiation therapy (IMRT), a more precise form of radiation, also allows decreased radiation dose to important structures near the posterior fossa.
Much attention has understandably been paid to the possible long-term complications of radiation therapy to the brain and spine of a growing child. These can include deficits in memory, learning, social/emotional adjustment, hormone levels, hearing, and growth problems. The development of such side effects depend on many factors, including extent of pre-radiation surgery, amount and location of brain that is treated with radiation, age of the child at diagnosis, and how much radiation dose is given, among others. Because the side effects are very dependent on age (which is reflective of their stage of development), CSI is often deferred, or delayed by the use of chemotherapy, for children under the age of 3 years old.
However, modern radiotherapy techniques and proper attention to minimizing the radiation dose to important brain structures, whenever feasible, can allow for safe and effective treatment, even in younger children. While no therapy is without side effects, radiation therapy can be planned and delivered in such a way as to minimize potential long-term side-effects. This is best accomplished at a major radiation oncology center where physicians and staff are familiar with pediatric patients and technologically capable of treating childhood cancers.
Proton Radiotherapy
Even though the actual craniospinal volume that is irradiated is small, a large volume of normal tissue is exposed to radiation with photon radiotherapy (traditional radiation therapy), including the heart, lung, bowel, gonads, and vertebral bodies. Proton radiotherapy offers a major potential advantage over photons for the radiation of the spinal canal given its biologic properties. Photons (which are used in traditional radiation) enter the body, reach the tumor and continue through the body, exiting on the opposite side. This exposes the tissues in front and behind the tumor to radiation and, in turn, the risk for damage. Proton therapy works differently; entering the body and reaching it's peak dose at the tumor and stopping, exposing tissues in front of the tumor to lower doses of radiation and tissues behind the tumor to virtually no radiation. This translates into improved dose to the target volume while sparing normal tissues and reducing side effects and toxicity. Proton therapy can also prevent radiation dose to normal tissues for the cranial boost, especially for sensitive structures, such as the middle ear. Despite its theoretical advantages, proton therapy is very challenging, requires weeks of planning for CSI and is only available in limited areas.
Studies have begun evaluating survival and side effects after proton therapy compared to what is traditionally seen with radiation. Massachusetts General Hospital in Boston used proton therapy to treat 60 children with medulloblastoma from 2003 to 2009. This included both high risk and average risk children, with an average age of 6 years old (range 3-22 years old). At a median follow up of 16 months, the 3 year overall survival was 90% with a 3 year progression free survival of 80%. These results are promising with control rates similar to traditional photon radiation.
Several proton centers have reported on rates of hearing loss in pediatric medulloblastoma patients treated with proton therapy, as this is an important side effect given its ability to affect quality of life, communication skills and development. These centers found lower rates of hearing loss in patients treated with proton therapy when compared with what was historically seen with photon therapy.
At the present time, the role of chemotherapy in medulloblastoma is the standard of care as part of tri-modality therapy, along with surgery and radiation, to help increase long-term disease-free survival. Chemotherapy is standard adjuvant (after surgery) therapy for all patients, regardless of their risk stratification. Clinical trials for average risk medulloblastoma document disease-free survival at 5 years from diagnosis of about 85%. While this rate sounds good, it was achieved with chemotherapy drugs such as cisplatin, vincristine, and CCNU, all of which have associated side effects, both short and long term. The use of chemotherapy has allowed for decreased radiation dose to the brain and spinal cord. This is very important in the attempt to decrease the toxicity of radiation. In younger patients, chemotherapy has an even more critical role; delaying radiation until the child is older and their developmental level is less susceptible to radiation damage.
A series of clinical trials known as the Head Start trials were undertaken to evaluate delaying or avoiding radiation in very young patients. Head Start I and II showed promising results in the 1990's and early 2000's with all patients undergoing very high doses of chemotherapy followed by stem cell transplants. Head Start III was undertaken with the goal of further improving upon those results seen in the first two Head Start trials. The authors recently reported the results for 92 patients treated on Head Start III from 2003 to 2009. 52% of young patients under 6 years old were able to avoid radiation to the brain and spinal cord when treated on the Head Start III regimen. Although these results are early, preliminary conclusions are promising and suggestive that this using high doses of chemotherapy to avoid radiation is safe and effective for very young patients.
Other novel agents, including inhibitors of the Sonic hedgehog signaling pathwayare being studied and may be promising less toxic agents for the treatment of medulloblastoma.
References & Further Reading
Fangusaro J, Finlay J, Sposto R, Ji L, Saly M, Zacharoulis S, Asgharzadeh S, Abromowitch M, Olshefski R, Halpern S, Dubowy R,Comito M, Diez B, Kellie S, Hukin J, Rosenblum M, Dunkel I, Miller DC, Allen J, Gardner S. Intensive chemotherapy followed by consolidative myeloablative chemotherapy with autologous hematopoietic cell rescue (AuHCR) in young children with newly diagnosed supratentorial primitive neuroectodermal tumors (sPNETs): report of the Head Start I and II experience. Pediatr Blood Cancer. 2008 Feb;50(2):312-8.
Halperin EC, Constine LS, Tarbell NJ, Kun LE. Pediatric Radiation Oncology. 4th Edition. Lippincott Williams & Wilkins (2005).
Merchant TE, Kun LE, Krasin MJ, Wallace D, Chintagumpala MM, Woo SY, Ashley DM, Sexton M, Kellie SJ, Ahern V, Gajjar A.Multi-institution prospective trial of reduced-dose craniospinal irradiation (23.4 Gy) followed by conformal posterior fossa (36 Gy) and primary site irradiation (55.8 Gy) and dose-intensive chemotherapy for average-risk medulloblastoma. Int J Radiat Oncol Biol Phys. 2008
Merchant TE, Hua CH, Shukla H, Ying X, Nill S, Oelfke U.. Proton versus photon radiotherapy for common pediatric brain tumors: comparison of models of dose characteristics and their relationship to cognitive function. Pediatr Blood Cancer. 2008 Jul;51(1):110-7.
Polkinghorn WR, Dunkel IJ, Souweidane MM, Khakoo Y, Lyden DC, Gilheeney SW, Becher OJ, Budnick AS, Wolden SL.. Disease Control and Ototoxicity Using Intensity-Modulated Radiation Therapy Tumor-Bed Boost for Medulloblastoma. Int J Radiat Oncol Biol Phys. 2011 Apr 9.
Medulloblastoma Overview from Medscape.
KeywordsClick on any of these terms for more related articles
Symptom Management: Headaches and Seizures [Webinar]by OncoLink Editorial Team
September 01, 2014
Criticize Your Doctors at Your Own Risk: HIPAA Violations and Online Reviewsby Rodney Warner, JD
May 31, 2016


text:
Renovation Photos: Covering the terrain
Today was a beautiful today in Kansas City — sunny with temps topping 60 degrees. ATH joined Royals staff members on a tour of Kauffman Stadium. The renovations will bring more square footage, and that area has to be covered. We bring you pictures of concrete, the Little K, and the concourse flooring. We are just scratching the surface, so to speak, as we will have more pictures of the renovations tomorrow.
We start our photo tour near the right field gate (now known as Gate E, formerly known as Gate D). The new entryway is being built and fresh concrete was going in today in front of Rivals Sports Bar.
The warm weather allowed for concrete to be poured throughout the Outfield Experience.
These next two pictures are for the kids. Workers have begun the installation of turf at the new and expanded Little K!
We complete our 'surfaces' post with a walk to View Level. On the left, you can see the concrete work on the third base side (now Gate B, formerly Gate A). This will be complemented by landscaping and prairie grass. Our final picture shows the new flooring on View Level. This surface will be utilized on concourses throughout Kauffman Stadium.
RSS Feed (Subscribe to this blog)
4 Comments
Can't wait for opening day! Any clue when the new crown will be up?
We anticipate the installation will begin in late February or early March. ATH will bring you photos at that time.
When do you think that we will be able to see pics of the Exterior of the K? Noticed the web cam has been down for some time now.
Thanks for your post on the exterior webcam. We're looking into this matter. The exterior camera is mounted on Arrowhead Stadium, which is also undergoing major renovations. We'll try to take some pictures of the outside of the K in the near future.


text:
Just got back to the house after spending two weeks Chasing Elk Solo around in the High country. Never did get one of the two I was chasing but saw plenty of Elk drew back on the same bull 4 times ( Never a good Shot) and passed on some smaller bulls and lots of cows. Will be back to post some details later in the week. Got to go through some of the video diary to get everything in order. Now I have to get caught back up at work!!!!
Dont let me forget to tell you a good Mountain Lion story!!! Whew!


text:
Coming Soon!
The mission of Leader@SHIP is to engage students outside of
the classroom in a holistically empowering way and provide challenging
experiences that promote intellectual, social, ethical, and psychological
growth. Leader@SHIP is committed to fostering the development of student
leaders in their professions and communities through the Five Practices of
Exemplary Leadership from the Student Leadership Challenge. Through self-exploration
and experiential opportunities, we strive to cultivate the development of
leadership values and strengths, multiculturalism and activism, interpersonal
connections, and civic engagement that will complement the student's passion
and future aspirations.
Click here to explore involvement opportunities on and off campus! Join student clubs and organizations, find internship and volunteer opportunities, and get engaged with a small community service project! Don't forget to register your group/organization for the SIS Fair by Friday, August 12th!
Do you want to Make SHIP Happen? Become a Leader@SHIP and help develop the new leadership development program to kick off the fall semester 2016!
Kelsey RomanInterim Assistant Director for Student Group Services & Leadership Development University Union & Student Activities (CUB)Phone: (717) 477-1560Fax: (717) 477-4035Email: email@example.com


text:
Fathead Coupons, Sales & Deals
Looking to rejuvenate a boring office space or athletic facility? Fathead can transform any large space from ordinary to amazing. With an in-house design team, Fathead customizes interior and exterior graphics with capabilities across a variety of materials - from removable vinyl to aluminum and acrylic.