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Why the West Loves Lying to Itself About Islam
Most insidiously, the left likes the imaginary world that that it has created. The multicultural utopia with jolly Pakistanis adding spice to London, Saudis putting up little mosques on the Canadian prairie and sassy Shiites bringing diversity to Dearborn, isn't just propaganda—it's the imaginary world that they want to live in. Just as The Newsroom created an imaginary world in which the left won every debate in the last two years, the new world order that they have imagined of a friendly multicultural democratic Islam, is their imaginary world, created and maintained at our expense, and in the face of all reality and reason.
The illusion of Islam has, like the banking system, become too big to fail. It cannot fail because it would take too much else down with it, leaving behind a harder world. No matter how unintegrated Muslims in Europe are, the Eurocrats must insist that, aside from a few exploding bumps in the road, everything is going according to plan. Any day now a lesbian Imam will be preaching the virtues of secularism in Finsbury Park. It must be that way because the alternative is unthinkable.
In Israel, the Two-State Solution must still be the solution, because the alternative is eternal conflict. In the rest of the region, Arab Democracy must be viable, because otherwise there is nothing left but despair over an irredeemable barbarism.
We gotta have faith, not in any deity, including the chief deity of Islam, but in our leaders. Muslims believe that Allah is infallible, while we are expected to believe that the politicians and professors, the diplomats and journalists, are. That they are right, even when the continuing violence proves that they are wrong.
The people who shape our half of the world have fallen for the Nigerian Prince scam of Islam and they need to believe that they know what they are doing and they need us to believe it too. And when the check from Lagos doesn't clear, when the bombs go off, the cars burn, the children are murdered in schools and the rockets fly, then they don't blame Prince Hussein Ngobo, the car bombers, terrorists and throatslitters—they blame us for ruining the illusion by not believing in it too.Daniel Greenfield
About the Author: Daniel Greenfield is an Israeli born blogger and columnist, and a Shillman Fellow at the David Horowitz Freedom Center. His work covers American, European and Israeli politics as well as the War on Terror. His writing can be found at http://sultanknish.blogspot.com/ These opinions do not necessarily reflect the opinion of The Jewish Press.The author's opinion does not necessarily reflect the opinion of The Jewish Press.
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Matt Wigler
Matt Wigler is a jazz pianist, organist, singer, and composer from Baltimore, Maryland. Born in 1994, he began playing piano at age 5, and even then revealed his talent for improvisation. At age 8, Matt met a musician at a camp who introduced him to jazz and blues, and that is when he discovered his passion. This gifted, young artist has maturity, skill and versatility well beyond his years.
Matt has performed at notable venues in the Washington DC area including the Kennedy Center, Strathmore Music Center and Blues Alley. He has also played at festivals throughout the US and Canada, including the Monterey Bay Blues Festival (CA), Beaches International Jazz Festival (Toronto), Telluride Jazz Festival (CO), DC Jazz Festival (DC), and Artscape (MD).Read more
"Matt's music is far beyond his youthful years, very sophisticated, and complex, yet extremely accessible. Look for a very bright future for Mr. Wigler. Bob Putignano, President, New York Jazz and Blues Society and WFDU host
"Matt has a maturity of phrasing and a depth of ideas well beyond his age. There is an old soul in there; one that is a really great piano player." Scott Ambush, Spyro Gyra bassist and bassist on both of Matt's CDs
"Exceptional CD…not only the quality of music but the CD as a package shows Matt's talent and versatility." Charles Boyer, Publisher, Jazz Blues Florida

subset: commoncrawl


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October 12, 2011 to October 31, 2011 – Memorial Coliseum The three most horrifying haunted houses in the whole Pacific Northwest, FrightTown returns to the Veterans Memorial Coliseum on Friday, October 7th! A festival of fear awaits you at every turn! Last… Organized by | Type: haunted, houses!
October 26, 2012 from 7pm to 9pm – The Gallery at Port City On Friday, October 26, Project Grow at Port City is hosting its third annual, critically acclaimed Haunted Studio from 7-9 p.m. Born from the creative minds of the artists at Project Grow, this yea… Organized by Project Grow | Type: haunted, house
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The Good Mom Checklist: Are You Doing It Right? (VIDEO)Danielle Smith
Last Thursday my son developed a bit of a cough. He also had a low-grade fever. Low….like 99. Most schools don't even consider that a fever. No big deal, right? Friday, same thing. Saturday, he seems fine. Sunday, it is back again. The fever disappears with Tylenol, but the cough is keeping him up at night. Since we had a family vacation coming up, we figured a visit to the doctor 'JUST IN CASE' is probably a good idea. But I really didn't think it was a big deal. Because I am a good mom and I KNOW when something is wrong with my small dude, right? Wrong. He had pneumonia. PNEUMONIA. *sigh* There goes my 'good mom' badge. Or so I thought until I read this beautiful post….. A Good Mom Checklist by Alex Iwashyna. Taking me one by one through the many things I HAVE done right (and often) from loving my kids to carrying them when their legs worked perfectly fine to mastering the ability to quote from their favorite books to, as you see in this fabulous picture of Alex – allowing our kids to dress us up in their version of Fancy Nancy and not complained.
What would you add to the list?
Read more from Danielle on Strollerderby and her personal sites ExtraordinaryMommy and DanielleSmithMedia.
You can also follow her on Twitter.
More from Danielle on Strollerderby:
Pinterest Is Making Money From Your Posts: Sneaky Or Genius?
Will You Teach Your Kids To Give Like The Anonymous Kmart Donors?
McDonalds Outsmarts San Francisco Happy Meal Ban
Sticks and Stones: My Son Cut His Hair So Another Child Would Stop Calling Him A Girl
Photo Credit with permission: Alex Iwashyna, LateEnough.com


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The Kansas City Kansas Police Department is looking to hire new officers and said it offers good starting pay and many opportunities to advance.
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These midwest lighthouses stand as proud sentinels of a storied past.
Story and photography by Darryl Beers
I photographed my first lighthouse in the late 1980s. I didn't seek it out; the lure was simply the Great Lakes, as it has been since my childhood in St. Ignace, Michigan, near the shore of Lake Huron. This youthful fascination grew into a career as a landscape photographer, with a special emphasis on the "lights," as fans call them, of the Great Lakes. I'm now blessed to be living just minutes away from Door County, home to 12 lighthouses, among the most of any county in the United States.
An incredible 10,000 miles of shoreline, dotted with more than 330 lighthouses, surround the five Great Lakes. In the two decades that I've been photographing the lights, my travels have taken me to some of the most pristine and beautiful places in North America. I have kayaked on water so still that the eye could not differentiate between sky and lake. That same kayak has been tossed about by rough lake swells that put fear in my heart.
I have witnessed displays of the northern lights where their glow danced across the horizon as far as the eye could see. And I have experienced firsthand the perils of life on the Great Lakes by falling through the ice after photographing a lighthouse in Michigan City, Indiana, on a bitterly cold January night.
The more I study these beacons, the more fascinated I become. Many have captivating stories—not only about the lights themselves, but about the keepers who have tended them. The earliest recorded Great Lakes light was built in 1823 as a tower attached to the mess hall at Fort Niagara, where the Niagara River flows into Lake Ontario. Ohio's Marblehead Lighthouse on Lake Erie, built in 1821, is the oldest continuously operated light on the Great Lakes. And the opening of the Erie Canal in 1825 sparked a tremendous shipping boom, which dramatically increased the need for lighthouses.
There are tales of daring rescues related to some of the lights; others are believed to be haunted by long-dead keepers. I've often felt the presence of those who lived and worked in these historic places. Some keepers assigned to more desirable light stations raised families and helped support them through farming, fishing or other jobs.
But the lights on isolated shoals or reefs offered few options for entertainment, socializing or even the simplest shopping trip. When photographing those lonely lighthouses, with the closest land appearing as a tiny bump on the horizon, I've often wondered how their keepers managed to stay sane.
Today, technological devices assist travelers with navigation, and lighthouses are being decommissioned at a rapid rate. But through the considerable efforts of local preservation groups, many lights have been saved, renovated and made accessible to the public. Thanks to the foresight and diligence of these modern keepers of the flame, Great Lakes lighthouses continue to stand tall and proud as symbols of our maritime heritage.


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Mimo Magic Touch
Now offering Automatic no cost Upgrade to the Magic Touch Deluxe
For customer that do not want this upgrade, please contact us at firstname.lastname@example.com
Mimo Monitors once again delivers an industry-first with the release of the Magic Touch 10"secondary monitor with the amazing responsiveness of capacitive touch! Capacitive sensing technology has revolutionized the smart phone and tablet market, now it is available as an interface for your computer, far surpassing the responsiveness and overall user experience of traditional resistive touchscreens.
Multi-touch capacitive touchscreen
Fully compatible with Windows 7/8/8.1/10, Linux and Mac OS X (with purchase of Mac touchscreen driver). Display-only mode with Windows 2000/XP/Vista. Additional cost 3rd party driver available to enable touch control in Win XP
1024x600 resolution
10.1" screen
Sturdy, adjustable dock/base
Screen can also be removed and used independently, as a tethered tablet or mounted (VESA 75) screen
USB cord included
USB Extender
If a USB display is perfect for your installation, whether it is desk mounted or wall mounted, but you need the display a long distance from your computing device, check out our USB extender. (http://www.mimomonitors.com/products/mimo-usb-extender-102). The major advantage to this extender versus the competition, is that this extender uses Power over Twisted Pair to power the remote side from the source side. No longer do you need to route AC power at your table or wall installation.
Raspberry Pi Support
Please visit this page for the 10" Monitors: http://www.mimomonitors.com/pages/instructions-for-using-the-mimo-magic-touch-with-the-raspberry-pi
Mac OS X Touchscreen Support
This driver is required for using the Mimo Magic Touch with a Macintosh computer (Intel-based only) to support touchscreen functions.
Product Specs
- Display size
- 10.1 inches
- Display Resolution
- 1024x600
- Brightness
- 200cd/m2
- Contrast Ratio
- 300:1
- Response time
- 16ms
- Connections
- Dimensions
- 10.4" wide (264.2mm) x 8.3" tall (211.92mm) x 5.8" deep (147.5mm) [including Base Dock]
- Features
- Capacitance Sensing Multi-Touch Touch Screen
- Fully compatible with Windows 7/8/8.1/10, Linux and Mac OS X (with purchase of Mac touchscreen driver). Display-only mode with Windows 2000/XP/Vista. Additional cost 3rd party driver available to enable touch control in Win XP


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Single Article Purchase:
Selective Serotonin Reuptake Inhibitors During Pregnancy and Risk of Stillbirth and Infant Mortality
Stephansson O, Kieler H, Haglund B, et al.
Published online January 2, 2013
Choose criteria for pricing info
Want online access for an institution? Learn More/Request Quote >
Obtain AMA PRA Category 1 Credit™ by reading an article and completing an online quiz. Quizzes are available to AMA Members, subscribers, and those who have purchased tokens.


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by Valerie
May 26, 2011
This dress is super cute but super small! My preemie 4 month old is wearing the 6-12m size and it fits a little snug.
4 out of 5 people
found this review helpful.
by Jessica
April 5, 2011
I love this dress its adorable!!! The only issue is that it does run small. Mt daughter is 6 months and it the 6-12 month is small on her.
2 out of 3 people
found this review helpful.
by Lindsey
February 3, 2011
Love this dress. Does run small, but I hand wash it, so it doesn't shrink. Wish there were more colors!!!
by Gina
October 30, 2010
Perfect adorable little model make this simple dress stand out. I wish it was available in navy blue. :)
1 out of 2 people
found this review helpful.
by Ani
July 21, 2010
Cute! I wish it would be available in black and galaxy, too!


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If you travel abroad, you'll often come home thinking Britain is rubbish. Our airports are overcrowded, as are our trains, and the bits of road that aren't jammed solid have potholes deep enough to swallow school buses.
The very worst thing, though, is the mobile phone network. Where some other countries have super-speedy 4G connections, I sometimes struggle to get a data signal in major cities or on major transport routes.
People in the 1950s were famously promised jetpacks in the not too distant future; in the UK, 4G's beginning to look like a similarly empty promise. According to Ofcom, the auction for 4G networks might happen before the end of June. Maybe. If the weather's nice and nothing bad happens.
The auction was supposed to be in early 2012, but Ofcom has had to put it back, largely because the networks are arguing with one another.
Country feedback
Want to know why the US, much of Scandinavia, much of Europe and a whole bunch of Asian countries have 4G and we don't? Blame the networks.
As Ofcom's Ed Richards told The Guardian, the UK will be the last major European economy to hold a 4G auction - Germany started its rollout in 2010. The best case scenario is a rollout that runs from 2013 onwards, but even then that means much of the country will be on 3G in 2015.
As ever, the rollout will focus on the most densely populated areas first, which isn't much cop for the Scots, Irish and Welsh or anyone in a rural area.
"I think some major companies will have to reflect upon whether they have inadvertently jeopardised the benefits of objective, independent regulation in this area by virtue of their willingness to game the system," Richards says, making it clear that the networks' bickering is the main problem here: they're "holding back innovation and hampering growth" with litigation that is "essentially strategic rather than based on objective grounds."
4G isn't just about speed: it's also about providing connectivity to the bits of the country where wired broadband isn't economic.
As the Federation of Small Businesses puts it, "businesses in rural areas need broadband now." Meanwhile the National Farmers Union's chief economist Phil Bicknell told the BBC: "We're seeing that widening gap between those people in rural areas, in terms of the speed of their connection with broadband, and those superfast connections that are increasingly emerging in urban areas."
According to policy organisation Open Digital, the lack of 4G is costing UK businesses £732 million per year in lost productivity and limiting businesses' use of cloud computing.
It's not surprising that the networks are putting their own narrow commercial interests ahead of the national interest - but it's surprising that they're getting away with it. However, the networks should be careful: if Ofcom can't persuade them to play nice, the Government may decide to regulate the sector directly.
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U.K. Stocks Rally to One-Month High; Tesco, RBS Climb
The U.K.'s FTSE 100 Index climbed to a one-month high after an unexpected drop in the country's unemployment and a surge in U.S. new-house construction.
Tesco Plc increased 2.7 percent after UBS AG recommended investors buy shares of Britain's largest retailer. Royal Bank of Scotland Group Plc rose more 2.2 percent after the lender agreed to leave the U.K.'s Asset Protection Scheme. Rio Tinto Group led mining shares higher, advancing 4 percent.
The FTSE 100 Index rose 40.37 points, or 0.7 percent, to 5,910.91 at the close in London, the highest since Sept. 14. The gauge has rallied 2 percent so far this week bolstered by better-than-forecast U.S. retail and industrial-output data. The FTSE All-Share Index added 0.7 percent today, while Ireland's ISEQ Index gained 0.2 percent.
"Economic data has helped to limit the downward pressure in the U.S. and Europe," said Ishaq Siddiqi, market strategist at ETX Capital in London. The U.K. jobs data "is very encouraging and will undoubtedly raise questions about the need for more quantitative easing, but importantly, suggests the U.K. economy is back on track to growth."
The Office for National Statistics showed jobless claims in the U.K. fell 4,000 in September from the previous month to 1.57 million, boosted by the London Olympics. The median economist estimate in a Bloomberg News Survey called for no change in claims.
A wider measure of unemployment, measured by International Labor Organization methods, declined to 7.9 percent between June and August. Employment surged 212,000 to 29.6 million, the highest since records began in 1971.
Stimulus Debate
The Bank of England said in minutes from its Oct. 3-4 meeting that policy makers were split on the need for more stimulus before next month's decision on whether to extend their asset-purchase program or end it.
The Monetary Policy Committee had voted 9-0 to keep its bond-purchase target at 375 billion pounds ($605 billion), according to the minutes released today. It was also unanimous in holding the benchmark interest rate at 0.5 percent.
In the U.S., Commerce Department data today showed new-home construction jumped 15 percent in September to an 872,000 annual rate, the most since July 2008 and exceeding all forecasts in a Bloomberg survey of economists.
Tesco, RBS
Tesco gained 2.7 percent to 316.3 pence after UBS raised its recommendation for the retailer to buy from neutral and added the shares to its most preferred list.
UBS analysts Mike Tarrersall and Benjamin Peters cited the company's "cash-focused" strategy that could see Tesco buy back almost 8 billion pounds of equity and return about 60 percent of market capitalization to investors in cash, including dividends by February 2018.
RBS rose 2.2 percent to 286.1 pence after the lender agreed to leave the Asset Protection Scheme, removing another obstacle for its return to private ownership.
Britain's biggest taxpayer-owned bank agreed to paid 2.5 billion pounds to the government to insure its most risky assets. RBS was the the only lender in 2009 to join the program which covered potential losses on 282 billion pounds of loans and derivatives.
A gauge of U.K.-listed mining companies climbed 3.5 percent as base metals advanced on the London Metal Exchange.
Rio Tinto rallied 4 percent to 3,184 pence after Agence France Presse reported that the company is planning to cut 30 percent of its workforce in Europe by the end of 2013, citing union official Veronique Roche.
The world's third-largest mining company employs about 2,700 people in Europe, AFP reported, citing Roche.
BHP Output
BHP Billiton Ltd gained 3.3 percent to 2,014 pence. The world's largest mining company today said first-quarter iron-ore production was little changed from the previous year at 39.77 million metric tons.
BHP also said it expects China's growth to fall to about 7 to 8 percent this year and remain at that level for the next decade as the nation becomes a consumer-led economy.
BP Plc rose 3 percent to 448.35 pence after people with knowledge of the matter said the company and its Russian billionaire partners are in talks to sell control of their TNK-BP venture to OAO Rosneft.
The billionaires, represented by the AAR group, are seeking to sell their 50 percent holding to Rosneft for $28 billion, one person said, declining to be identified before a deal is completed. BP is also negotiating to sell at least some of its shares, another person said.
Officials from AAR, Rosneft and BP declined to comment.
Ashtead, 888
Ashtead Group Plc, a U.K. construction-equipment rental company, climbed 3.2 percent to 356.4 pence after U.S. peer United Rentals Inc. reported third-quarter earnings that beat estimates. Analysts at Jefferies Inc. and Seymour Pierce Ltd. also raised their price estimates for Ashtead's shares by more than 10 percent to 400 pence.
888 Holdings Plc advanced 18 percent to 109 pence, the highest since March 2010, after the online-gambling company said full-year earnings will "significantly" beat market expectations.


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Jerrios talking about LNG...the 9.5 Million shares accumulated up to .05 cents the other, has not been given back by the houses that were accumulating them....something to watch...for sure!
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|Clinical Science-Medicine/Surgery
Pages: 24 - 30
Hyperinsulinemia and Tinnitus: A Historical Cohort
Keywords: glycemic disorders; hyperinsulinemia; metabolic disorders; tinnitus
Tinnitus affects millions of individuals around the world. Statistics from North America show that 10-15% of the population presents with tinnitus; the direct and indirect social and economic consequences of tinnitus render it a public health issue [1-3]. Tinnitus is a symptom, not a disease, although it reflects an underlying abnormality. A range of clinical entities may be associated with tinnitus, including diseases of an otological, neurological, endocrinological - metabolic, vascular, dental, and even psychological nature [4,5]. As a result, the determination of its etiology requires detailed and careful investigation.
The inner ear is virtually without energy reserves. Its metabolism depends directly on its supply of oxygen and glucose from perfusion. Alterations in blood flow or metabolism, therefore, have great potential for disturbing the homeostasis of the inner ear [6]. Several clinical studies show a relationship between metabolic disorders-especially those involving carbohydrates, lipids, and thyroid hormones - and potential involvement of the inner ear [7-9]. In fact, Mangabeira Albernaz and Fukuda [10] have demonstrated that 82% of patients with tinnitus and a clinical history suggestive of dysglycemia presented abnormal 5-hour glycemic or insulinemic curves. Spencer showed that patients with tinnitus and metabolic disorders experienced improvement of symptoms after a high - fiber diet, a finding also described by Kraft [11].
Hyperinsulinemia is defined in the presence of fasting insulin levels greater than 30 µU/ml or when the sum of insulinemic values at the second and third hours of the glycemic curve is greater than 60 µU/ml. It is one of the most prevalent etiologies for cochleovestibular disorders: Between 84 and 92% of patients with idiopathic tinnitus present with hyperinsulinemia. Type II and IIIA insulinemic curves are the most frequent curves observed in these patients [10,12]. A logical result of this close, clinically demonstrated relationship between tinnitus and hyperinsulinemia is that the dietary treatment results in decrease of tinnitus symptoms in a significant percentage of patients [12].
The development of hyperinsulinemia is a direct consequence of a metabolic disorder known as insulin resistance, characterized by a reduced biological response to insulin at the cellular level. Patients with noninsulin- dependent diabetes mellitus (NIDDM) show reductions in whole-body functional insulin levels greater than 35-40% [13].
Demonstrably, the earlier the identification of a metabolic disorder, the better the clinical response, not merely as regards tinnitus but in relation to vertigo and prevention of hearing loss. The presence of underlying metabolic disease should thus be examined in every patient presenting with cochlear or vestibular disorders (or both), by means of the 5-hour insulinemic and glycemic curves. These curves allow the diagnosis of abnormal carbohydrate metabolism much earlier than do the tests traditionally used for this purpose (fasting glycemia and 2-hour glucose tolerance).
The 5-hour insulinemic and glycemic curves, using 100 mg glucose, are the most sensitive tests for the diagnosis of patients with abnormal carbohydrate metabolism. Combined, these curves are able to detect abnormal carbohydrate metabolism before the development of reduced tolerance to glucose or glucose intolerance. The isolated evaluation of fasting insulinemia, using the criterion of a value greater than 30 µU/ml, has been shown to have a sensitivity of only 10% for diagnosing hyperinsulinemia, which demonstrates the need for the systematic calculation of the insulinemic curve in case of suspected hyperinsulinemia. A finding of insulin levels greater than 40 mg/dl in the second hour of the insulinemic curve has a sensitivity and specificity of 89% for diagnosing hyperinsulinemia. A sum of insulin levels at the second and third hours greater than 60 mg/dl has a sensitivity and specificity of 99% for diagnosing hyperinsulinemia.
Hyperinsulinemia is believed to precede the development of NIDDM by some years; this concept suggests that hyperinsulinemia and NIDDM are extremes in the continuum of abnormal carbohydrate homeostasis. The development of abnormal carbohydrate metabolism homeostasis seems to occur in three stages: (1) isolated hyperinsulinemia or hyperinsulinemia with euglycemia (normal glucose tolerance), known as diabetes mellitus (DM) in situ or occult DM [14,15]; (2) hyperinsulinemia with reduced glucose tolerance; and (3) hyperinsulinemia with hyperglycemia (NIDDM). This sequence shows that hyperinsulinemia undoubtedly precedes hyperglycemia [13]. Hyperglycemia, especially in fasting, is thus a late marker of the complex process of metabolic disorder that has hyperinsulinemia as its earliest marker, and its occurrence is suggestive of pancreatic β-cell dysfunction [16]. Hyperinsulinemia is thus an essential condition for the development of NIDDM [13,15].
Hyperinsulinemic patients in whom the inner ear is compromised frequently present with insulin-reactive hypoglycemia. In these patients, hypoglycemia almost always results from excessive production of insulin and is not, in general, a primary metabolic disorder [13]. Hyperinsulinemia has been shown to represent an earlier, more consistent change in the diagnosis of this type of metabolic disorder than does hypoglycemia, because of the greater sensitivity of the insulinemic curve in comparison with the glycemic curve. The main limitation of the glycemic curve in isolation is the possible occurrence of hypoglycemic peaks in the intervals between sample collection, yielding false-negative results [8]. Also known is that most hypoglycemic episodes occur more than 3 hours after the administration of oral glucose. This explains the low sensitivity of the traditional glucose tolerance test, consisting of only two samples (fasting and 2 hours after the administration of 75 mg glucose), in diagnosing this condition.
For insulin-reactive hypoglycemia, the diagnostic criterion has been the occurrence of at least one value equal to or below 55 mg/dl. As has been shown, however, in patients presenting with significant hyperglycemic peaks that exceed the 175-mg/dl renal threshold, both the individual glycemic values and the rate of change should be observed. In these patients, a rate of fall in glycemic values of more than 1 mg/dl/min, manifesting as a difference greater than 60 mg/dl between two consecutive samples, should be regarded as indicating a diagnosis of insulin-reactive hypoglycemia.
The finding that occult DM precedes the development of reduced glucose tolerance and of NIDDM has led to the progressive recognition of the importance of hyperinsulinemia as the key metabolic change to be examined when NIDDM is suspected. In fact, the progressive increase in insulinemic levels is known to occur long before any demonstrable change to glycemic levels, whether in fasting, in the 2-hour test, or even in the glycemic curve. Thus, some have suggested that the diabetic state - whether it be occult, reduced glucose tolerance, or NIDDM - be defined on the basis of insulinemic status, with a secondary glycemic designation given by fasting glycemia and 2-hour glucose tolerance. This represents a change from the criteria used today, centered almost exclusively on glycemic levels. This presumably results from the fact that euglycemic hyperinsulinemia (occult DM) is not yet recognized as a clinical entity forming part of a spectrum of abnormalities that reaches its other extreme in NIDDM. For this reason, especially outside the otorhinolaryngological community, early diagnoses of this type of carbohydrate metabolic disorder will continue to be ignored, despite the fact that the early identification of NIDDM would allow the prevention not only of the cochlear and vestibular damage associated with this dysmetabolic stage but of the progress of the disorder to the stages of reduced glucose tolerance and hyperglycemia, with their known potential for damage. What should also be emphasized is that hyperinsulinemia is now understood to be a risk factor for other comorbidities, further reinforcing the need for early recognition and correction of the disorder.
The aim of this study was to evaluate efficacy of dietary treatment to improve tinnitus in patients with hyperinsulinemia.
Patient Selection
All patients from the Lavinsky Clinic in Porto Alegre, Brazil, presenting with complaints of tinnitus were assessed by means of 5-hour glycemic and insulinemic curves, using 100 mg glucose. Hyperinsulinemia was defined in the presence of one or more of the following [13]: (1) fasting insulinemia greater than 30 |jLU/ml; (2) insulinemia greater than 50 |jiU/ml at 120 minutes; and (3) sum of insulinemic values greater than 60 ixU/ml at 120 and 180 minutes.
The diagnosis of insulin-reactive hypoglycemia was based on the occurrence of at least one value equal to or below 55 mg/dl. In patients presenting significant hyperglycemic peaks in the glycemic curve (exceeding the 175-mg/dl renal threshold), both the individual glycemic values and the rate of fall were considered. Therefore, in these patients, a rate of fall of more than 1 mg/dl/min, manifesting as a difference greater than 60 mg/dl between two consecutive samples, was also regarded as a diagnostic criterion for insulin-reactive hypoglycemia.
Thus, according to the aforementioned criteria, patients with diagnosed hyperinsulinemia, regardless of association with insulin-reactive hypoglycemia, were submitted to dietary therapy based on the Updegraff diet for a minimum of 2 years and under the supervision of a nutritionist. Patients were asked to eat every 3 hours to prevent hypoglycemia, even if transient; to avoid refined sugar (or to use artificial sweeteners if necessary); to restrict their intake of fatty foods; to take no more than two cups of coffee a day; to limit their intake of alcoholic beverages; and to drink four to six glasses of water a day.
Study Methods
On presentation, the patients underwent a diagnostic protocol, including completion of a multiple-choice history examination, otorhinolaryngological examination, examination of the temporomandibular joint and cervical column, and auscultation of the large vessels of the neck. Tonal and vocal audiometry, impedance testing, and tinnitus parameter testing were also performed, as were the following laboratory examinations: antinuclear factor (ANF) levels; VDRL test; fluorescent treponemal absorption antibody test; cholesterol (total and fractions) and triglyceride levels; toxoplasmosis serological screen; urea and creatinine levels; hemogram; variant surface glycoprotein levels; fasting glycemia; 5-hour glycemic and insulinemic curves; and thyroxine and thyroid-stimulating hormone levels. Depending on the specific indications pertinent to each case, the following tests were also performed: otoacoustic emissions, evoked potential audiometry, electronystagmography, computed tomography, and nuclear magnetic resonance imaging.
Patients were questioned about the type, intensity, frequency, and masking of tinnitus and about the presence of associated symptoms before, during, and after dietary treatment. Our questionnaire included the following inquiries:
The same questions were asked about symptoms during and after the diet.
After a minimum of 4 years, 80 patients were contacted by telephone. The patients were divided into two groups: the study group, consisting of those patients who followed the diet, and the control group, consisting of those who did not follow it.
The following criteria were used to classify the results: patients who described no improvement in symptoms, classified as "no improvement"; those who described improvement but were still bothered by the tinnitus, classified as "some improvement"; those who stated that the tinnitus continued but no longer bothered them or interfered with regular activities, classified as "significant improvement"; and those who stated that the tinnitus had disappeared, classified as "disappeared." Low intensity was defined as tinnitus that did not interfere with regular activities; high intensity was defined as tinnitus that interfered with regular activities, including sleep; and medium intensity was defined as tinnitus that interfered with activities on some occasions, irrespective of details.
On the basis of 5-hour insulinemic curves, patients were classified using Kraft's criteria [13] and analyzed according to decrease of symptoms using residual analysis and the chi-square test. The same analysis was performed with Kraft classifications and dyslipidemic changes in patients. Both analyses were performed using the SPSS software with the assistance of a statistician not otherwise involved in the study.
All patients were interviewed by two interviewers using the same script. The interviewers were not involved in the diagnosis or treatment of the patients. Statistical analysis of other data was performed using Fisher's exact test and the EPI-INFO 6.0 software, with a significance level set at 95%.
Of the 80 patients interviewed, 59 (73.7%) had followed the diet. The mean interval between the start of the diet (consultation) and the interview was 5.65 years. Type and frequency of tinnitus are described in Tables 1 and 2.
Table 3 describes the lessening of symptoms in terms of tinnitus intensity. No relation was found between decrease of symptoms and intensity category (p = 0.3; i.e., the abatement of tinnitus symptoms was not associated with the intensity of tinnitus). Of the patients included in the study, 46 (57.5%) presented paroxysmal tinnitus, 33 (41.2%) reported constant tinnitus, and only 1 reported sporadic tinnitus. Most patients (41.2%) reported medium-intensity tinnitus, with high-intensity tinnitus being the second most frequently reported type. Variable-intensity tinnitus was reported by 10 (12.5%) of the patients. Other symptoms, including headache, fainting sensation, and nausea, were reported by 52 (65%) of the patients. Figure 1 shows the results concerning decrease in tinnitus symptoms during the diet.
Figure 1. Reduction of tinnitus symptoms during the diet.
Among the patients (n = 59) who followed the diet (study group), 14 (24%) reported no lessening of tinnitus symptoms with the diet. Among the patients (n = 21) who did not follow the diet (control group), 18 (86%) did not present any decrease of tinnitus symptoms (Table 4). The likelihood of presenting with decreased tinnitus symptoms was five times greater in patients who had tinnitus and abnormal carbohydrate metabolism and adequately followed the prescribed diet than in those who did not follow the diet (RR, 5.34; 95% CI, 1.85-15.37; p = .000003 [Fisher's exact test]). After control for tinnitus intensity, the likelihood of presenting improvement remained very similar (RR, 5.6; 95% CI, 1.92-16.30), which means that tinnitus intensity does not interfere with the response to the diet.
After classification according to Kraft's criteria and evaluation in terms of decreased symptoms during the diet, no significant difference was found for any specific type of tinnitus (p = .56). On evaluation in terms of dyslipidemic changes, no difference was found between the types of tinnitus (p = .47).
Abnormal carbohydrate metabolism appears to be the most prevalent metabolic disorder associated with tinnitus with or without dysacusis and vertigo. The investigation of abnormal carbohydrate metabolism should be an obligatory step in the diagnosis and therapy of tinnitus patients. Carbohydrate metabolism disorders include a wide range of manifestations, each of which has its peculiarities of presentation, diagnosis, and management, although they may represent different stages in the same physiopathogenic process.
Hyperglycemic states are characterized by fasting hyperglycemia and glucose intolerance resulting from deficient insulin action, with or without the presence of hyperinsulinemia. These states have the potential to compromise the inner ear owing to its close association with carbohydrate metabolism. Hyperglycemic states include DM and reduced glucose tolerance, conditions that should be understood within a continuum of abnormalities in the mechanisms of production, use, and regulation of the metabolism of carbohydrates. The diseases in the hyperglycemic group are prevalent pathologies associated with high morbidity but are largely preventable.
Hyperglycemic patients may present with cochleovestibular disorders through three main mechanisms, which may act in isolation or in association: neuropathy of the eighth cranial pair, vasculopathy of the smaller vessels, and interference in the action of the sodiumpotassium ATPase pump at the level of the inner ear (and especially at the vascular stria). The first two mechanisms are more significant for diabetic patients, especially those with severe, difficult-to-manage insulindependent diabetes mellitus (IDDM) or NIDDM, which are the main sources of cochleovestibular lesion.
The basic etiopathogenic feature of the less severe hyperglycemic states not defined as DM - including reduced glucose tolerance-is the interference with the sodium - potassium ATPase pump. The physiopathogenic mechanism for cochleovestibular change in patients thus affected is complex, with insulin playing an important part, as occurs in patients with occult DM.
The metabolism of the inner ear is intense, depending on oxygen supply and showing no accumulated energy reserves [17-19]. The double function of insulin at the cellular level is well known: it carries glucose into the cell and regulates ion transport through the cell membrane. Situations associated with hyperinsulinemia tamper not only with glycemic levels but, more important, with the sodium-potassium ATPase pump. This pump is responsible for maintaining high potassium concentrations and a low concentration of sodium in the endolymph, as occurs in the intracellular space. Much energy is expended to maintain this ionic balance, because the transport of sodium through the cellular membrane toward the extracellular space goes against a concentration gradient. Patients with hyperinsulinemia, as those with NIDDM or with hypoinsulinemia (IDDM), have an increased concentration of sodium and reduced concentration of potassium at the endolymph level, which therefore alters the endocochlear potential and, consequently, the cochlear microphonic response. The persistence of this metabolic disorder results in injury to the external ciliated cells and to the efferent pathways of the auditory system.
This type of disorder is clinically expressed by the occurrence of tinnitus, which, not rarely, is associated with bilateral, often symmetrical, progressive neurosensory dysacusis. The administration of insulin probably reduces the oxygen level in the inner ear. The increase in the osmotic pressure of the endolymph, as a result of the increased concentration of sodium, is another predictable consequence of these ionic disorders, causing endolymphatic hydrops. Notably, carbohydrate metabolism disorders are one of the possible etiologies of Ménière's syndrome.
In patients with Ménière's disease, tinnitus may occur either alone or in association with dysacusis, aural fullness, or vertigo. Unlike other DM complications, it may present as acute and usually reversible (at least in part) or as a chronic situation, in which at least some level of involvement is irreversible. The acute development of one or more of these symptoms usually occurs in the presence of an important hypoglycemic or hyperglycemic episode, resulting in temporary imbalance of the inner ear. As diabetic patients present with persistent or recurrent disorders that can hinder cochleovestibular function, their sensory organs are gradually injured, producing irreversible disorders [20,21].
DM in situ may result in involvement of the inner ear by the same physiopathogenic mechanisms of glucose intolerance and DM. This is perfectly understandable, since DM and glucose intolerance are different degrees of the same group of metabolic disorders. Although the disorders of the inner ear are a weaker expression of carbohydrate metabolism disorders, they are the same as those presented by patients with frank DM or reduced glucose tolerance. This may be explained by the fact that the sodium-potassium ATPase pump, the function of which is altered in these patients, has one of the highest levels of activity at the level of vascular stria, in such a way that cochleovestibular involvement may be observed even at incipient stages of metabolic disorders involving carbohydrates and insulin.
In the treatment of patients with NIDDM and cochleovestibular disease, special attention should be paid to some peculiarities. The presence of other metabolic disorders, especially those involving lipids, should be ruled out, as their presence requires changes in treatment and represents an additional cochleovestibular and cardiovascular risk factor.
Two treatment approaches are recommended: one approach that focuses on cochlear or vestibular disease (or both) and another that concerns DM. The management of cochleovestibular disease consists of the management of the underlying disease, because eliminating the functional deterioration of the inner ear is possible only by controlling the underlying cause. Neurosensory dysacusis may exhibit different levels of improvement after control of the metabolic problem. Tinnitus, as occurs with hearing loss, may have various levels of attenuation and is usually persistent even after the stabilization of blood glucose levels [22]. Dizziness, often rotational and paroxysmal, is the symptom that diminishes the most with metabolic control. Initially, the patients require vertigo treatment combined with the treatment of metabolic disorders. After DM is stabilized, most patients are free of vestibular symptoms without vertigo treatment [20]. Patients with Ménière's syndrome associated with DM may require continued treatment of the syndrome for a longer period, as a way to control DM-induced endolymphatic hydrops.
The reduction in glycemic supply to the inner ear at levels below a critical threshold results in the involvement (initially transient) of the sodium-potassium ATPase pump in charge of maintaining the ionic-osmotic balance of the membranous labyrinth. A critical level of glycemic supply should be understood as that below which dysfunction of the sodium-potassium ATPase pump and reduction of the cochlear microphonic response occur. The intense metabolic activity of the inner ear, without accumulated energy reserves, renders it susceptible in case of reduced glucose supply. The mechanism of inner-ear injury is the same, regardless of the etiology of the hypoglycemic state, although in some hypoglycemia-related diseases, such as insulinproducing tumors, an additional mechanism might be involved [23]. The severity of injury to the inner ear is directly related to the intensity, duration, and frequency of hypoglycemic bouts, which are closely related to the etiology of hypoglycemia.
Patients with cochleovestibular disease associated with insulin-reaction hypoglycemia, with or without association of hyperinsulinemia, should be asked to follow a specific diet to control metabolic disorders (characterized by the reduction of carbohydrates, especially those that are quickly absorbed), increase the frequency of meals (ideally at 3-hour intervals), and reduce the food intake in each of these meals. In the presence of obesity, which is commonly associated with late insulinreaction hypoglycemia, patients should be asked to reduce their calorie intake, with the aim of achieving the ideal weight.
The management of hyperinsulinemic patients with metabolic disorders, in its euglycemic form and with reduced glucose tolerance, focuses on diet and regular physical exercise, which implies a change in lifestyle. An appropriate diet can delay or interrupt the progression of euglycemia to hypoglycemia, in addition to improving or normalizing hyperinsulinemia, regarded as the key disorder in this group of patients. Practicing physical exercise regularly also has a direct impact on the improvement of insulin resistance [13].
Those patients in whom management based on diet and physical exercise allows the maintenance of euglycemia, albeit without reversion of hyperinsulinemia, are at increased risk of developing some disorders that are probably associated with hyperinsulinemia (Table 5). The dietary changes recommended in the clinical treatment of patients with metabolic disorders as far as tinnitus is concerned are believed to attenuate potentially the importance of tinnitus, which results in increased tolerance. As observed in our study, improvement is observed after dietary treatment, regardless of the intensity of tinnitus. The reduction of tinnitus intensity allows its limbic expression to stand out partially, with consequently lower cortical repercussion.
The results of our study show the great potential of dietary management to improve tinnitus in patients with carbohydrate metabolism disorder, independently of tinnitus intensity. Dietary management alone was associated with a fivefold increase in the probability of significant reduction in tinnitus. The fact that 76% of the patients who followed a specific diet achieved at least partial decrease of tinnitus symptoms reinforces the need for considering this metabolic disorder as a possible etiological diagnosis in the presence of tinnitus. As far as we know, the significant lessening of tinnitus symptoms observed in this study (with resolution in 15% of cases) has not been observed with any other types of treatment (drug therapy, for example).
The difficulty of treating tinnitus patients (who frequently present with associated depressive or anxiety disorders) is well-known. Therefore, a thorough investigation of associated metabolic alterations using the 5-hour glycemic and insulinemic curves, as performed in this study, should be part of the routine evaluation of patients with tinnitus and may result in significant easing in symptoms and quality of life. Only with the optimization of the diagnosis of metabolic alterations will we be able to correct or at least attenuate those disorders, which may have an extremely relevant impact on tinnitus.
1. McFadden D. Tinnitus: Facts, Theories and Treatments. Washington, DC: National Academy Press, 1982:1-150.
2. Dobie RA. A review of randomized trials in tinnitus. Laryngoscope 109:1202-1211,1999.
3. Shulman A. Epidemiology of Tinnitus. In: A Shulman, J Tonndorf, H Feldmann, et al. (eds), Tinnitus: Diagnosis/Treatment. Philadelphia: Lea & Febiger, 1991:237-248.
4. Sanchez TG. Zumbido: estudo da correlacao entre limiar tonal e eletrofisiológico e das respostas eletricas do tronco cerebral [dissertation]. Sao Paulo: Universidade de Sao Paulo, 1997.
5. Sanchez TG, Bento RF, Miniti A, Camara J. Zumbido: caracteristicas e epidemiologia. experiencia do Hospital das Clinicas da Faculdade de Medicina da USP. Revista Bras Otorrinolaringol 63(3):229-235,1997.
6. Shulman A. Diet. In A Shulman, J Tonndorf, H Feldmann, et al. (eds), Tinnitus: Diagnosis/Treatment. Philadelphia: Lea & Febiger, 1991:490-493.
7. Fukuda Y. Glicemia, insulinemia e patologia da orelha interna [dissertation]. Sao Paulo: Escola Paulista de Medicina, 1982.
8. Mangabeira Albernaz PL. Doencas metabolicas da orelha interna. Rev Bras Med 2(l):18-22,1995.
9. Sanchez TG, et al. Freqiiencia de alteracoes da glicose, lipideos e hormonios tireoidianos em pacientes com zumbido. Arq Fund Otorrinolaringol 5(1):16-20,2001.
10. Mangabeira Albernaz PL, Fukuda Y. Glucose, insulin and inner ear pathology. Acta Otolaryngol 97(5-6):496-501,1984.
11. Kraft JR. Hyperinsulinemia: A merging history with idiopathic tinnitus, vertigo and hearing loss. Int Tinnitus J 4(2):127-130,1998.
12. Gananca MM, Caovilla HH, Gananca FF, Serafini F. Dietary management for tinnitus control in patients with hyperinsulinemia-a retrospective study. Clin Chim Acta 284(1):1-13,1999.
13. Kraft JR. Hyperinsulinemia: The common denominator of subjective idiopathic tinnitus and other idiopathic central and peripheral neurootologic disorders. Int Tinnitus J 1(1):46-52,1995.
14. Kraft JR. Detection of diabetes mellitus in situ (occult diabetes). Lab Med 6:10-22,1975.
15. Kraft JR. Hyperinsulinemia, a Defined Marker of in Situ NIDDM and Associated Metabolic Disorders: A Review of 15,000 Glucose/Insulin Tolerance Examinations. In CF Claussen, MV Kirtane, D Schneider (eds), Proceedings of the Neurootological and Equilibriometric Society: 20. Vertigo, Nausea, Tinnitus and Hypoacusia Due to Central Disequilibrium. Hamburg: Werner Rudat, 1994:569-576.
16. Davies MJ, Raymond NT, Day JL, et al. Impaired glucose tolerance and fasting hyperglycaemia have different characteristics. Diabetes Med 17:433-440,2000.
17. Fernandez C. The effect of oxygen lack on cochlear potentials. Ann Otol Rhinol Laryngol 64:1193-1203,1955.
18. Tsunoo M, Perlman HB. Respiration of the cochlea and function. Acta Otolaryngol (Stockh) 67:17-23,1969.
19. Kraft JR. Insulin assay diabetic state identification. A specific diagnostic tool of the non-insulin dependent diabetic state, a metabolic disorder. Excerpta Medica Int Congr Series 791:503-506,1988.
20. Proctor CA. Abnormal insulin levels and vertigo. Laryngoscope 91(10):1657-1662,1981.
21. The Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Report of the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Diabetes Care 22(Suppl. 1):5-19,1999.
22. Wackym PA, Linthicum FHJ. Diabetes mellitus and hearing loss: Clinical and histological relationships. Am J Otol 7(3):176-182,1986.
23. Johnson DD, Dorr KE, Swenson WM, Service FJ. Reactive hypoglycemia. JAMA 243(1):1151-1155,1980.
1. Research Center, Hospital de Clinicas de Porto Alegre.
2. School of Medicine, Universidade Federal do Rio Grande do Sul.
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Open house at Humane Society
The Humane Society of Seneca Count is hosting an open house noon-4 p.m. today.
Many veterinarians are to be present with Tony Maraldo on the grill.
Museum foundation meeting scheduled
The annual membership meeting of the Barnes-Deinzer Seneca County Museum Foundation Inc. is at 7 p.m. Monday at the Tiffin-Seneca Public Library in the Frost-Kalnow Room.
For more information, contact Suzie Feasel, board secretary, at (567) 230-6464 or Jim Supance, board treasurer, about dues.
General Electric club to meet
General Electric Quarter Century Club is to have its annual luncheon at noon May 4 at the VFW, Tiffin.
The cost is $11. For more information, call Ron Bly at (419) 447-9524.
MOPS to host events
Mothers of Preschoolers is to host an alumni meeting May 9 to celebrate its 10th anniversary. Janet Del Turco is to be the guest speaker. Breakfast and child are provided.
Registration for next year has begun. Moms-Next, a group for mothers of school-aged children, is to join Mops at the Y next year. This group will meet the same time as Classic MOPS until membership is established and meeting dates scheduled.
For more information, contact Brittany at (429) 618-1239. For information on Teen MOPS, contact Crystal at (740) 361-0320.
Chicken BBQ benefit set
Old Fort Fire Station No. 1 is hosting a chicken BBQ starting at 11 a.m. May 19.
Proceeds are to benefit the family of Asst. Chief Joe Shock. The meal includes half a chicken, beans, cole slaw, baked potato, dinner roll and ice cream. Dine in or carry out available. Tickets can be purchased from any firefighter or at the door.
For more information or tickets, call (567) 201-3907 after 4 p.m.
Group to celebrate 'Mom and me'
Fremont Area Women's Connection is to celebrate "Mom and Me" 11 a.m.-12:30 p.m. May 14 at Anjulina's Catering, 2270 W. Hayes Ave., Fremont.
Attendees are encourged to bring a picture, write a story and share memories.
The cost is $12, and a complimentary nursery is available by reservation.
Lori Peters is to celebrate memories of attendees mothers, and speaker Lisa Haley of West Salem is to present "How to stay afloat when life capsizes you," as she compares a rafting accident to life's struggles." Donna Miller is to sing "Precious Memories."
For more information or reservations, call Donna at (419) 680-2251 or email Carrol at email@example.com by May 9.
Next selection for book group
Tiffin Seneca Public Library is to host "Coffee by the Book: Book Group at the Wick" 6-7 p.m. May 16 at Bailiwicks Coffee Co., 62 S. Washington St.
The next selection is "Hope: A Tragedy: A Novel" by Shalom Auslander. The book is available for check out.
For more information, call (419) 447-3751.
Next date for babies and books
The next "Babies & Books" is at 10 a.m. and 6:30 p.m. May 7 in the junior home room at Tiffin-Seneca Public Library.
Registration begins Tuesday. The event is free.
For more information or to register, call (419) 447-3751.
eReader program at GS library
GREEN SPRINGS - The Green Springs branch of the Birchard Library is to host an eReader eSsentials program at 2 p.m. Friday.
Attendees are invited to bring their own device or watch demonstrations on library equipment.
The program is free and registration is not required.
For more information, call the Green Springs Library, at (419) 639-2014.
HL board to meet
The Hopewell-Loudon Board of Education is to have special meeting at 5:30 p.m. April 29 in the school's distance learning lab.
Mock trial at Columbian
Columbian High School You & the Law students will be participating in a mock trial this May.
Two trials will occur, one for each of the two sections of students. The mock trials will be on May 1 and 6 with Judge Jay Meyer presiding at the trials.
Students are to demonstrate their understanding of legal concepts through role-play, serving as witnesses and legal counsel.
Lakota offers open enrollment
KANSAS -Lakota Local School District is to participate in open enrollment.
Applications can be picked up at Lakota Local Schools District office. Completed applications are to be accepted May 1-31.
For more questions, contact Kathy Lee at (419) 986-6650 ext. 4302.
TMS students head to Power of the Pen
Tiffin Middle School participated in the regional Power of the Pen competition March 7 at Lourdes University.
Seven students qualified to write in the regional competition. Those going on to the state competition are 7th-grader Kate Burkes, who placed 13th; eighth graders Hannah Treadway, who placed 23rd, and Eden Stephey, who placed 2nd.
The state competition will take place May 23-24 at the College of Wooster.
Calvert students qualify for finals
Calvert junior high participated in the Power of the Pen regional tournament on March 7.
Students Cecilia Brodman, Christina Park and Alexandria Beckley will move on to compete at the state finals May 23-24. Brodman placed 1st for the 7th grade.
Columbian has a new addition
Columbian High School will have an addition of a digital sign above the pop machines. This new marketing tool has been donated by graduating classes of Columbian and will be used to post important information about district happenings.
The new sign is a 42" LED TV. Different media can be displayed, including pictures, movies, or slide shows.
TCS transportation department update
During the month of March, 23 automobiles passed stopped school buses with their flashing red lights on, making a yearly total of 127.
The district has accepted delivery of one new 30-passenger and one new 72-passenger school buses. Both have been placed into daily route service.
The transportation department is in the process of sending home forms to students eligible for transportation next school year. Walk zone maps and the Student Transportation Information forms also are available on the transportation page of the districts web site, at www.tiffin.k12.oh.us.
Terra State offers non-credit healthcare courses
FREMONT -The Kern Center for Community and Industrial Development at Terra State Community College is offering several non-credit healthcare courses.
Pharmacy Technician Training 6-9 p.m. Mondays and Wednesdays, June 3-Aug. 5. Cost is $899, including all books and materials.
STNA Training 75-hour course. Two sessions are available in June during the day, and in August, in the evenings. Cost is $549, including course packet
ICD-10 Training To begin in September. Cost is $299, including textbooks.
To register or for more information, call (419) 559-2255.
Terra to fast-track welding program
FREMONT -Terra State Community College is announcing a new 11-week fast-track welding certificate that will begin in May.
Students are to take three classes materials, safety and blueprint reading online. Upon successful completion, the students are to receive a welding certificate.
Classes begin May 20 and end Aug. 5. Students who wish to pursue an associate degree in welding later can apply these credits toward a degree.
For more information, call the admissions office at (419) 559-2349.
Terra State board welcomes members
FREMONT -The Terra State Community College Board of Trustees added two new members during its regular April meeting.
Matt Montowski, of Catawba Island, and Kay E. Reiter, of Fremont, were sworn in by Board Chair Carl Koebel.
Montowski has been a self-employed independent insurance agent in Ottawa County for 23 years. He also has been a Catawba Island Township trustee for about four years.
Reiter is the executive director for the Sandusky County Economic Development Corp. She is a graduate of Fremont Ross High School and Bowling Green School of Nursing, and completed an economic development regional course at Lakeland Community College.
TU senior presents project
Tiffin University graduating senior Shanna Litton presented a senior project for her Arts Administration and Music Industry degree April 26, in Chisholm Auditorium located inside of Franks Hall.
Native honored as UF employee
FINDLAY Mariah Hohman, 2009 graduate of New Riegel High School, was honored by the University of Findlay for her dedication to working as a UF student employee during the university's annual student employee recognition luncheon.
Hohman is a senior intervention specialist education major. She is the daughter of Valerie and John Hohman of Tiffin.
Owens commencement
FINDLAY - Seven hundred-forty candidates for graduation, including 133 from the Findlay-area campus, are to receive degrees during the 47th annual Owens Community College Spring commencement at 7 p.m. May 3 in the Student Health and Activities Center on the Toledo campus.
State gives Ruffing clean bill of health
During the annual survey from the Ohio Department of Health, Ruffing Family Care Center of Tiffin received a perfect survey.
During the weeklong process, surveyors looked over every aspect of the health and well being of the residents. At the end of their survey, Ruffing Family Care Center of Tiffin was found to be deficiency free.
"This would not have been possible without the caliber of staff that we have. Their continued dedication to our residents combined with the longevity our staff has makes us what we are" said owner Diana Ruffing.
For more information or to arrange a tour, call (419) 447-4662.
Fostoria Kiwanis to support hunger program
FOSTORIA - Monday through Friday, the Fostoria Kiwanis Club is to launch a skip-a-meal program in the Fostoria community.
Every April, Kiwanians and their families, friends and coworkers "skip" a meal (eat at home or bring your lunch to work/school) instead of dining out. They then give the cost equivalent of that meal to the Kiwanis Club, extending their impact to children in the communities they serve.
Local businesses, churches and schools are to have a donation box available for community members to participate in this year's program.
Proceeds from this year's fundraiser are to support the Feed My Kids program, a 10-week free summer lunch Tuesdays and Thursdays for local families. The program is located at the First Presbyterian Church.
For more information, contact a member of the Fostoria Kiwanis Club or Club President Julie Reinhart at (419) 436-6621 or email@example.com.
Gala benefits Mercy foundation
Supporters of the Mercy Tiffin Foundation enjoyed the "Ragtime Ball: A Mercy Centennial Celebration" festivities at the annual fundraiser, which was at Wickham Great Hall on the campus of Heidelberg University April 6. The Foundation raised over $29,000 in gross revenue from the event.
"We sincerely thank all who contributed and attended the Gala," said Marsha Danhoff, president and CEO of the Mercy Tiffin Foundation. "I would especially like to recognize our sponsors, 'The Godfather' sponsor, Clouse Construction Corp.; our 'Goodfellas' sponsors, Aris Teleradiology, Coppus Motors and Dunbar Mechanical; 'The Untouchables' sponsors, Heidelberg University, Heidelberg University Excelsior Men's Society, Integrated Orthopaedics & Sports Rehab, JDRM Engineering, Laminate Technologies Inc., The Lathrop Company, Lind Media Company, Dr. and Mrs. Anthony S. Lupica, Chef Angel Moreno and Dr. Randy Niederkohr, Tiffin University and Webster Foundation. We truly appreciate all who helped make this event such a success."
"We are truly grateful for our sponsors and all who played a role in making this year's gala a great success," said Bernie Steinmetz, manager of development, donor relations and volunteers. "Our committee members worked hard to be creative and plan a fun theme that everyone enjoyed."
Planning Committee Members included Jyl Clouse, Lynn Clouse, Marsha Danhoff, Angie Depinet, Cyndi Durham, Lisa Felton, Laurie Kaple, Bernie Steinmetz and Frazene Thornton.


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Area briefs: SU men top Marymount
ARLINGTON — Shenandoah University snapped a two-game men's basketball losing streak Wednesday evening with a 68-55 non-conference victory at Marymount University.
Shenandoah (3-4) held a…
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The (Wealth) Doctor Is In
Wealth psychologists tug at a host of money issues typically avoided by financial advisers. Does it work?
ON A RAINY afternoon in an affluent neighborhood in San Francisco, a small klatch of baby boomers is gathered in a comfortably elegant living room, deep-breathing in unison and wiggling their fingers and toes. For nearly two days, they've been immersed in a workshop run by two veteran therapists—and emotions have been getting intense. One participant, overwhelmed by the discussions, slumps in her chair, complaining of a headache and focusing problems (hence the group's breathing exercise). When a former CEO is guided through a family-history exercise, she discovers a long line of ancestors who were made to feel—cue the aha moment—less than adequate.
The focus of this particular workshop is Money—yes, as in capital M—and the field responsible for it is called wealth psychology. With few traditional financial advisers trained to manage the meltdowns and dysfunction they often witness, these therapists and coaches say they're taking on a larger, more nuanced role in wealth management. "In a family office, executives don't want to get in the center of family-conflict conversations," says Vic Preisser, founding director of the Pasadena, Calif.-based Institute for Preparing Heirs. Instead, he says, they will reach out to skilled specialists in law, insurance or, lately, wealth psychology.
As increasingly frequent collaborators with money pros at family offices, private banks and big firms like Merrill Lynch, U.S. Bank and Wells Fargo's Abbot Downing, these counselors help the high-net-worth set sort through the complex emotions surrounding affluence. "In a world often biased against the wealthy, where not having to work can gnaw at an inheritor's self-worth, it's easy to get tripped up by substance abuse, eating disorders and shopping addictions," says Kathleen Burns Kingsbury, a Massachusetts-based wealth-psychology expert. "Heirs need emotional intelligence." The goal, money shrinks say, is to root out everything from individual self-defeating attitudes to broader family trust and communication breakdowns.
When Wealth Transfers Get Tense
Heirs with "incentive" trusts often feel powerless and angry for having to jump through education or salary hoops to unlock money. New "financial-skills" trusts ask only for proof of prudent money management.
In many cultures, wealth creators still tap first-born sons to run the family firm, which can leave accomplished siblings stewing. In Japan, if there's no qualified son, the family often adopts a nephew to fill the role as successor.
Wealth creators often focus so much on protecting assets that their estate documents can leave heirs anxiously guessing about a benefactor's hopes or values. New "purposeful" trusts convey them.
At the San Francisco workshop, run by a coaching practice called the Wealth Legacy Group, the group's co-leader Jamie Traeger-Muney, a clinical psychologist and former family-wealth adviser at Wells Fargo bank, calls money "one of the only taboo subjects in our culture." But that hasn't stopped her field from taking off: Service fees for some practitioners now run as high as $10,000 a day for a coach-facilitated event that might subject extended families to team-building exercises torn straight from a corporate-retreat playbook.
For some wealth psychologists, their role is as simple as sitting in a meeting to observe clients. Marty Martin, a psychologist and financial coach partnering with Aequus Wealth Management in Chicago, watches clients for things they're not likely to admit out loud. A squinched brow may mean they're not understanding an investment concept, for example, while a quietly drawn breath may signal that a recommended saving regimen is unrealistic. Others facilitate family retreats where team-building games might include rope obstacles and blindfolds, says Richard Orlando, a family-wealth coach who founded New Hope, Pa.-based Legacy Capitals after 15 years counseling affluent families at Merrill Lynch. "We work heavily on preparing people for family leadership roles," he says.
Money therapists employ a diverse range of tools. Some try and remove clients' emotional blockages by linking money-related behavior to universal psychological types. (Message: You're not the only person to feel like "the victim" of a prenup, but it's also possible to approach the document as a resourceful "creator" or strong "warrior.") Others draw genograms, a sort of family tree that reveals a client's inherited attitudes and patterns about money. A handful of practitioners even strap clients to a biofeedback monitor—think brainwaves or heart rate—which might reflect fleeting thoughts or subconscious emotions during money discussions.
Kathleen Thurmond had her genogram done after being drawn to the San Francisco "RichLife Portfolio" workshop, in part because she was feeling adrift and struggling to find new purpose after selling her family's uniform-rental and -leasing firm. After the 61-year-old trained social worker and former CEO shared intimate family history, Traeger-Muney diagrammed the emerging patterns. On the positive side, there had been a string of strong, charismatic women; and on the negative, a narrow definition of success. (Pity the poor grandfather who had the musical prowess to tour with John Philip Sousa's band, but was pulled home, miserable, into business.) Walking through her past, Thurmond stumbled into a revelation: Despite her many accomplishments—including taking the business reins after her father suddenly fell ill, pioneering several award-winning environmental initiatives and selling the company for a pretty profit—she never felt what she did was ever enough. The workshop's insights, she says, were a huge relief and helped her re-evaluate "my whole relationship with money. I'm trying to get clarity on how to give it away."
In family-retreat settings, clients sometimes sit through standardized personality tests like Myers-Briggs, or use color-coded labels or cards that display to gathered kin their priority values. (Blue, for example, might signify a reverence for tradition.) The goal of such exercises, say experts, is to identify common values that will guide joint business and philanthropic decisions. It also helps relatives let go of old, negative family labels and see the intangible "assets"—leadership abilities, communication styles—each brings to the family team.
Not surprisingly, money pros who hire psychologists aren't doing it just for the sake of peace, love and understanding. Research shows that more than half of inheritors ditch their parents' financial advisers, making wealth-therapy services crucial to cementing a relationship with heirs. Yet in the quantitative world of currency, money therapy strikes some as a bit too touchy-feely. Why, some critics ask, would anyone see a psychologist their banker recommended? And in a newish field where required certifications are nonexistent and professional training ranges from graduate-level psychology study to a two-day diploma workshop, some say clients should vet coaches as rigorously as they would a financial adviser. "Awareness has grown much faster than training or competence in the field," says Preisser.
Of course, which type of help families choose will depend, to a degree, on whether they see themselves as immobilized by wealth-related, emotional conflict. "Many families don't want to know you're bringing in a shrink—they want to know you're bringing in an experienced business adviser who happens to be a trained therapist," says Sara Hamilton, CEO of Family Office Exchange, a global community for wealthy families and their advisers. "Sometimes they're not ready."


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Dr. Janet L. Holmgren served as the President of Mills College from 1991 to June 2011. Dr. Holmgren came to Mills as one of the highest-ranking women administrators at Princeton University where she was Vice Provost from 1988 to 1991. Instrumental in shaping the national agenda for women and higher education through her leadership roles with Mills and prominent boards, she is currently on the Boards of Princeton University, the Carnegie Foundation for the Advancement ...
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News & Trends in Management
CEOs Feel Job Jitters
It turns out that many CEOs are feeling insecure about their jobs, too.
The recent spate of high-profile corner-office departures—such as the ousting of Avon Products Inc. AVP 2.54 % 's Andrea Jung—appears to be taking a psychological toll on sitting chief executives, according to a report scheduled for release Tuesday. Nearly half of the CEOs polled said they feel more pressure to deliver better financial results in a shorter period of time, according to the study by RHR International, a Chicago-based consulting company specializing in management psychology.
The study, which polled 83 heads of publicly traded companies, also found that CEOs view the economic environment as the biggest threat to their tenure (39%), followed by the rate of change in their respective industries (22%) and strategy disagreements with their boards (17%). Half of respondents admitted that the top job can lead to feelings of isolation.
The results suggest that the highly publicized firings of 2011—including Yahoo Inc. YHOO 1.25 % 's Carol Bartz and Hewlett-Packard Co. HPQ 0.91 % 's Leo Apotheker—have heightened anxiety among CEOs. Many top bosses were already struggling with ways to lead companies out of the downturn and appease increasingly restive shareholders, says Tom Saporito, CEO of RHR International.
"The pressure to perform in an environment that's clearly more difficult makes it much more of a high-wire act," Mr. Saporito says.
The process of tapping a successor also remains a touchy subject for many CEOs. Three-quarters said they felt that the board should include them more in the planning process. Even so, one in five CEOs said they hadn't yet begun choosing a successor. Many executives have trouble ceding control, says Mr. Saporito. "It's a psychological issue for CEOs," he says. "It's about letting go of your legacy—giving up your perch and perks and all that goes with it."
Meanwhile, when asked to name their No. 1 priority for the coming three quarters, many CEOs stressed the bottom-line, but few mentioned hiring. Nearly one-third cited profitability as a top priority, followed by innovation and product development (18%), succession planning (8%) and talent acquisition (5%).
—Leslie Kwoh
Gen Y Touts School, Not Work
Young adults have more school spirit than corporate pride, suggests a report expected to be released Monday.
Individuals ages 18 to 29—also known as Generation Y—are more than twice as likely to list a school they attended on their Facebook profiles than a company they work or worked for, according to Millennial Branding LLC, which helps companies and individuals market themselves online, and Identified.com, an analytics firm that mines social-media websites.
While 80% of the Facebook profiles reviewed named at least one high school or college, only 36% listed one employer or more. The results are based on approximately four million profiles, primarily in the U.S.
On average, young adults stay at firms for fewer than two years, said Dan Schawbel, founder of Millennial Branding. As a result, they don't identify strongly with their employers and don't necessarily tout those affiliations. The ubiquity of school ties also might stem from Facebook's beginnings as a tool for connecting college students, he added.
Millennial also found that the most common industries for Gen Yers who named employers in their profiles were travel and hospitality, consumer products, and government or military. The largest employers in the study were the U.S. military, Wal-Mart Stores Inc. WMT 1.97 % and Starbucks Corp. SBUX 1.29 % Only 7% of the young adults studied worked at Fortune 500 companies.
—Lauren Weber


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Police search for 4th man connected to incidents
Police in DeLand said three Sanford men are accused in a string of weekend robberies there and investigators are still looking for a fourth man.
Troy Encarnacion, 18, was arrested Sunday, just after midnight.
Investigators said he jumped from a vehicle and ran, but was caught after police used a stun gun. Encarnacion allegedly robbed a 16-year-old at gunpoint.
Police arrested 18-year-old Trevon Armstrong and 20-year-old Freddie Martin III on Monday.
Authorities said they are connected to the robbery of the teen and another robbery with a handgun.
The group is suspected in several others crimes during that time period, according to police.
Related: Florida mug shots
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If anyone thinks Amarillo High's girls track team doesn't want to win its sixth consecutive Amarillo Relays Meet of Champions this weekend, think again.
Up Next
Divisions: Eighth grade boys and girls, JV boys and girls, varsity boys and girls.
Defending Varsity Champions: Amarillo High girls, Amarillo High boys.
Lady Sandies head coach Jay Hufstedler says that is the goal of his team, and by the way the season has started, don't bet against AHS.
AHS has competed in four meets, and have won each, beginning with the city meet and continuing at Lubbock, Abilene and San Angelo.
Twenty-three girls teams are entered in the meet that begins at noon Friday at Dick Bivins Stadium. District 2-5A teams Tascosa, Lubbock Coronado, Monterey and Lubbock High are entered, as well as District 3-4A's Canyon, Hereford, Randall, Dumas, Palo Duro and Caprock.
AHS was favored to win last year but the meet was snowed out. And, like last year, the reasons are the same.
AHS boasts excellent depth that gives it good scoring opportunities in most of the 17 events.
''We are getting closer to being a very balanced team and we expect great performances this weekend from our girls in all of the events,'' said Hufstedler.
''In our four previous meets this year we have had great production from Allison Martinez in the 100 meters, long jump and two relays; Madilyn Newsome in the 200 and 400 meters, as well as the 400 and 1,600 relays; Micah Nolan in the 100, two relays and high jump and Leslie White in the two hurdles and two relays.
''We have the most depth in our sprints, the relays and hurdles, and we have quality individuals in all of the field events and distance races that are capable of getting points.''
Hereford, which has the ability to score well in distance events, plus the shot put and discus, and Canyon, which figures to give AHS a battle in the relay events and the two hurdles, appear to be the two teams most likely to challenge the Lady Sandies for the team title.
But don't count out Coronado, which Hufstedler says should be a solid contender at the district meet.
Five events to watch
400 meters: Madilyn Newsome of AHS has the area's top time of 58.38, but five other competitors who could make the final on Saturday might be capable of winning. They include teammates Mattie Pugh (1:00.96) and Tsola Omamogho (1:02.15), Hereford's Karissa Kinsey (1:01.84), Spearman's Sarah Snider (1:02.30) and Arin Rice of Canyon (1:02.49).
800 meters: Hereford's Ana Lopez might have to improve on her area-best time of 2:23.90 to beat a talented field that includes Tylo Farrar of Spearman, Rice of Canyon, Halie Herbert of Perryton and Lady Whiteface teammates Janelle Brown and Megan Marquez.
100 hurdles: If Sanford-Fritch's Courtney Cunningham (15.84) and Leslie White of AHS (15.85) can improve on their area-best times, this could be a dandy race.
Shot put: Shelby Jameson of Sanford-Fritch has the area's best throw at 40-2, while Tascosa's Talore Kelly is next at 40-1. If they are up to the task the competition here could be outstanding, and you can't count out Alexi Davis of Dumas and Jacy Butler of Hereford, who have gone over 38-feet.
High jump: AHS' Micah Nolan has already achieved her personal best this year at 5-8, which is the meet's all-time record.The question here is can Nolan break the record and set a new personal best.
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Erie woman jailed on theft charges
An Erie woman is facing theft charges after police accused her of taking two rings and a set of earrings from an Erie woman's residence in March.
Erie police arrested Jill L. Bartlett, of the 500 block of E. 27th St.
Bartlett was placed in Erie County Prison Thursday on $25,000 bond following her arraignment before Erie 6th Ward District Judge Dominick DiPaolo on charges of theft, receiving stolen property and criminal conspiracy to receiving stolen property.
On Feb. 12, when police interviewed Bartlett, she admitted to police that she took the items from the woman's home on March 26, 2012, according to the criminal complaint filed in the case.
The victim told police that on March 26, 2012, an independent painter, accompanied by a woman, entered her home to give her an estimate, according to the criminal complaint.
The victim told police that when they went outside, the woman re-entered her home briefly.
The next day, the victim told police she discovered three items missing from a bedroom: a ring valued at $2,500; a ring valued at $2,000 and a set of earrings valued at $440, according to the criminal complaint.


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Part 11 of a 32 part series, a running back position analysis of each franchise. The New Orleans Saints were tied for 2nd place in the NFC South division with a 7-9 record. This is the team that sent shockwaves through the league in 2006, and then turned into one of its biggest underachievers in 2007. New Orleans started the season 0-4 but finished the season strong and were finally eliminated from playoff contention in week 17. Drew Brees has continued to be stellar in leading the Saints & broke the NFL record for completions in a season. Brees passed for 4,423 yards 28 TD's, and an NFL record-440 completions. Injuries and poor play on defense really set back the Saints in 2007. The Saints lost Deuce McAllister in week 3 with a torn ACL in his left knee. One of the most hyped and talked about draft picks in recent history, Reggie Bush really struggled in his second season and was slowed by a partially torn PCL. To his defense once McAllister went down Bush became a marked man when defenses loaded up to stop him. The Saints wound up averaging just 91.6 yards rushing per game.
New Orleans Saints
Reggie Bush 6' 0' 203 lbs. 157 Att. 581 Yards 3.7 YPC Avg. 4 TD's
Aaron Stecker 5'10" 213 lbs. 115 Att. 448 Yards 3.9 YPC Avg. 5 TD's
Deuce McAllister 6' 1" 232 lbs 24 Att. 92 Yards 3.9 YPC Avg.
Pierre Thomas 5' 11"210 lbs. 52 Att. 252 Yards 4.8 YPC Avg. 1 TD
Antonio Pittman 5' 11" 207 lbs.
Jamaal Branch 5' 11" 230 lbs. Rookie Free Agent from Colgate
Chris Barclay 5' 10" 180 lbs. Rookie free Agent from Wake Forest
When healthy, Deuce McAllister & Reggie Bush can be a dynamic thunder and lightning combination. Aaron Stecker & Pierre Thomas filled in well when Bush missed the final four games with the knee injury. Thomas, an undrafted rookie, opened some eyes when he became the first player in club history to have 100 yards rushing & 100 yards receiving in the same game, doing so in the season finale. He finished the game with 226 total yards that day, the third highest total in franchise history. Jamaal Branch will provide depth for the position. Antonio Pittman was cut, rushed for 139 yards as a Ram. The Saints have a lot of youth at the position & don't have a need to draft a runner this year. The Saints defense is in need of a major overhaul, specifically their defensive secondary, I hate to put them on blast but this is the group that held the team back. The secondary allowed 15 plays of 40 yards or more, this tied with Baltimore for the highest total in the league. The Saints allowed 54 pass plays of 20-yards or longer, with 12 producing touchdowns. The Saints will draft a CB Leodis McKelvin is a good fit; the Saints need youth in the secondary. New Orleans overpaid on Jason David in 2007 that was consistently burned by opposing receivers in his first season away from the comfort he had with the Colts in the cover-2. The Saints spent a 3rd round pick on CB Usama Young, but he battled injuries and couldn't crack the starting lineup in an awful secondary. The other CB drafted in the 5th round David Jones didn't make the team and was picked up by the Bengals. This unit will look a lot different in 2008.The Saints signed LB's Jonathan Vilma, Dan Morgan this offseason.
The question for the Saints: Can the off-season additions stay healthy and with the players drafted will the group be enough to turn around the defense?


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Prime Minister Stephen Harper says Russian President Vladimir Putin is an ``extreme nationalist'' and an ``imperialist'' who is threatening global peace and security.
In an interview with Global News' The West Block, the prime minister says Putin believes he has the right to invade other countries and alter borders through military force, as Russia's effective annexation of Crimea from Ukraine proves.
In France to mark the 70th anniversary of D-Day last week, Harper shunned Putin while other G7 leaders met with the Russian president.
But Harper says he's not afraid to take stands that put Canada offside from other allies, from time to time.
While he's backing off previous comments comparing Putin to Adolph Hitler, Harper says the Second World War could have been avoided if other nations hadn't turned a blind eye to Nazi Germany's aggression, a lesson he believes applies to Russia today.
He says his government is considering permanently stationing troops in Eastern Europe, as part of a possible NATO bid to reassure allies in the region who are ``beside themselves'' over Putin's apparent expansionist agenda.
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On the Main Principles of the Fine Arts and Sciences: Portrait and tribute to Moses Mendelssohn (Germany, 1781-1782)
Über die Haupgrundsätze der schönen Künste un Wissenschaften (On the Main Principles of the Fine Arts and Sciences)
Germany, [1781-82]
Amulet for the protection of newborn children (Iran, 18th cent.)
Amulet for newborn children depicting Lilith, inscribed with biblical quotations and kabbalistic form
Amulet for the protection of pregnant women and newborn children [Kochi, Kerala, India, 18th century)
Amulet for the protection of pregnant women and newborn children
Collected in India (before 1976)
Etrog Containers
The etrog (Heb.
Illustrated Judeo-Persian Manuscripts
Two illustrated Judeo-Persian manuscripts depicting biblical scenes.
85.46.1 and 85.46.2
Gift of Chimon Mayeri and Family
Painted Esther Scroll (Northern Italy, 18th century)
Painted manuscript of the Book of Esther, rolled for use on the holiday of Purim.
Paul Christian Kirchner, Jüdisches Ceremoniel (1724)
Keren T. Friedman collection on Jewish life in Djerba, Tunisia
The collection, which was donated to The Magnes in 2011, includes objects collected and photographs taken in Djerba, Tunisia by Keren T. Friedman.
Portrait of Theresa Ehrman, aka Thérèse Jelenko (1884-1967), by Sarah Samuels Stein
Art collector and artist Sarah Samuels Stein (1870-1953), of San Francisco, married Michael Stein, the older brother of Leo Stein and Gertrude Stein, in 1894.


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A.J. White scored goals in each of the first two periods to help give the Warriors a 3-2 lead over the Kalamazoo Jr. Wings heading to the third period at Perani Arena.
The Warriors are in an 0-6-1 slump.
White made it 3-1 less than five minutes into the second with his 11th goal of the second but Kalamazoo cut the deficit in half with 10:57 left on a goal by Andrew Graves
White and C.J. Murray (1) scored in the first period for Michigan (10-8-2) while Kyle Gattelaro tallied for Kalamazoo (12-7).
The Warriors hold a 30-22 edge in shots on goal but were outshot 16-8 in the second.
Follow Brendan Savage on Twitter or email him at email@example.com


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Why Talk About Manny, Who Brings US Money To Phillipines, Floyd Asks...WOODS
Written by Michael Woods
Floyd Mayweather helped himself stay relevant with an interview with DJ Whoo Kid. He took aim at Manny Pacquiao, and chided the interviewer for bringing up Pacquiao, implying that doing so is unpatriotic, because Pacquiao makes money in the US, but then brings it back to the Philipines.
Mayweather told Kid when asked if he'd be watching Manny Pacquiao meet Juan Manuel Marquez on Nov. 12, "I'm not really concerned with him, a guy got somethin' to hide, you know what I'm saying I do what I do, he do what he do. I beat fighters when they're undefeated, when they're at the top, and he beat my leftovers, he fights my leftovers. We say be the best, take the test, that's the only thing we're saying, be the best take the test."
DJ then asked why Larry Merchant always hates on him. Floyd reiterated that he believes Merchant doesn't know boxing.
The fighter said he doesn't know who he'll fight next, and then said that Marquez has won the most rounds against Pacquiao, and boasted that he beat JMM easily.
He joked that he is introducing a meal at Popeyes, "The Two Piece and a Biscuit," referencing his one-two KO of Victor Ortiz.
Another questioner, who must've been in the restroom before, then asked about Merchant again. Floyd said Merchant, Jim Lampley and Manny Steward all wish for him to lose. Floyd said a robot will need to be built to defeat him.
The guys baited Floyd into talking trash about Merchant. "It comes with the territory," Floyd said.
"He tried to threaten you... what you think about that, Floyd?"
"I'm not worried about that," Floyd said.
Floyd said Max Kellerman really isn't any better, when asked if he preferred Max over Larry. "They don't ever want to give me my just due," he said.
It was suggested that Lennox Lewis be a better option than Larry and Max. Floyd said Lewis or the Boxing After Dark team are better options.
He next said he made Victor Ortiz relevant, and that Victor had his time in the sun, as though he had no interest in a rematch. Is Pacman next? Floyd didn't bite at that. He then asked again why Manny is scared to take the test, and wondered why people are talking about Manny, implying that doing so makes one unpatriotic. "It's all about the red, white and blue," Mayweather said. "Pacquiao comes to this country he makes money and he takes it back to his country, to feed his people. So why we even speaking on the man, he's irrelevant. If he really wanted to fight it would have been happening."
He then said Oscar De La Hoya is jealous of him, made a Golden Girls crack, and the questioners laughed heartily.
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au contraire Floyd, Manny fighting in Vegas is good for the local economy, hotels, casinos, restaurants all get a boom in business when Manny fights.
and Manny cannot possibly affect poverty in his country by handing out money, the same way poverty in America cant be help by government handouts
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It's just killing him that Pacquaio's more beloved in America than he is. He knows American's pay, not to root him on, but to watch him lose. What a sad little man.
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How many excuses Floyd gonna use?
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Sad Floyd. I think, he knew he didnt deliver the PPV numbers that was expected of him during the May vs Ortiz fight.
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The mere mention of Pacquiao sets him off. And I don't know why they keep asking him about Pacquiao when he keeps insisting that Pac will not take his stupid test. These reporters don't even have follow-up questions like if not Pacquiao, who are you going to fight next? Pac/Arum are on record saying Pac will take his stupid test why aren't you even interested in opening new negotiations? Why are you mad? Why aren't you interested in beating Pac in the ring?
Everyone wants to fight Pac except Floyd.
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Look who's talking?
He is the one talking about Manny!
Before and after his fight with Ortiz he can't stop himself mentioning Pacman!
Floydie and Pacman should settle the issue inside the Ring!
SETTLE THE ISSUE inside the ring!
enough of this bloated EGO talks.
In the NBA there are Star Basketball players that are NON-American,
Where did they put their MONEY?
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keeps on saying "take the test" yet he doesn't know who his next opponent is... why ask pac to take the test if he doesn't fight pac....
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Manny: Ill take the test. I will fight Floyd in 2012.
Floyd: Ill fight Manny next... ooops....I never said that.. *mumbles* take the test. Take the Test! TAKE THE TEST!
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(a) When heat Q is added to an object, which expressionbelow gives the object's change in temperature ΔT,assuming there is no phase change? In these expressions, cand m are, respectively, the specific heat capacity andmass of the object.
(b) Suppose the same amount of heat is applied to two bars withoutthem changing phase. They have the same mass, but experiencedifferent changes in temperature. Are the specific heat capacitiesthe same or different for each bar?
(c) Two bars of identical mass are at the same initial temperatureT0. One is made from glass and the other from asubstance whose specific heat capacity is cS.When identical amounts of heat Q are supplied to each, theglass bar reaches a final temperature of TG,while the bar made from the other substance reaches a finaltemperature of TS. What is the algebraicexpression for the specific heat capacity cS ofthe other substance?
(d) Two bars of identical mass are at 24°C. One is made from glass and the other from anothersubstance. The specific heat capacity of glass is 840J/(kg·C°). When identical amounts ofheat are supplied to each, the glass bar reaches a temperature of78 °C, while the other reaches240.0 °C. What is the specific heatcapacity cS of the other substance?