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Quilt Scrap Backpack
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Fabric scrap crafts don't get much cooler than this. Learn how to make a Quilt Scrap Backpack and use it to carry all of your valuables. Use an old quilt and save yourself a trip to the fabric store. The exposed seams on this rustic backpack will give your bag an unexpected feel and look. The charming and fun design of this bag is unlike anything you've seen before, so be sure to wear your new creation with pride. Just be prepared - everyone will want to know where you picked up your amazing tote.
- Old worn quilt
- 1/8 yard muslin
- Measuring tape
- Scissors
- Sewing machine
- Straight pins
- 40" cord of your choice
- Bodkin or large safety pin
- Button, Velcro or snap
- Cut knapsack pieces from an old cutter quilt:
- Body -(2) 15" tall by 17" wide
- Pocket and Flap - (1 each) 7" square
- Handle Loop - 2" wide by 8" long
- Straps-(2) 2" wide by 36" long
- From muslin, cut one 4-inch-wide by 32" long strip for the drawstring casing.
- Top stitch around all the cutter quilt pieces 1/4 inch from the edges. This will secure the layers of the quilt together.
- Lay one body rectangle on your work surface with the right side facing up and the long edges running horizontal. This rectangle will be the front of the knapsack. The long edges are the top and bottom edges of your knapsack. Place the pocket square on the rectangle with the right side facing up. Position the bottom edge of the pocket 2-1/2" above the bottom edge of the rectangle. Center the sides of the pocket between the sides of the rectangle. Top stitch the sides and bottom of the pocket, 1/4" from the edge, connecting it to the rectangle. Note: The edges will be exposed throughout the project unless otherwise instructed.
- Place the two body rectangles together with the right sides facing out. Align the edges. Cut a 3-" square from both bottom corners, through all thicknesses. Pin the side and bottom edges. Do not pin the cut out square corners. Sew the pinned edges using a 1/4" seam allowance.
- Open a corner and diagonally squeeze the opening. Match the side seam with the bottom seam, with the right sides facing out. Pin the edges together. Sew the pinned edge using a 1/4" seam allowance. This creates a boxed corner. Repeat on the remaining bottom corner of the knapsack.
- Lay the knapsack body on your work surface with the back facing up. Measure in 3/4" from one bottom corner. Place one end of a strap on the bottom seam at this measurement. Pin to hold. Pin an end of the remaining strap 3/4" in from the other bottom corner. Sew over the pinned ends using a 1/4" seam allowance.
- Lay the knapsack body on your work surface with the back facing up once again. Find the center of the top edge. Stack the unsecured ends of the straps together and pin to the top edge of the body back. Pin an end of the handle loop on each side of the stacked straps. Center one edge of the flap square over the pinned loop and straps with the flap facing wrong side up. Fold the muslin casing strip in half with the long edges matching. Find the center of the casing length and pin the raw edges to the top edge of the knapsack's back through all thicknesses. Continue to pin the raw edges of the casing around the top edge of the knapsack. You will have a gap between the ends of the casing on the front of the knapsack. Sew the pinned edge using a 1/4" seam allowance. Yes, all the layers make the back section quite thick, but it can be sewn through. A heavy-duty (jean) needle is recommended.
- Attach a bodkin or large safety pin to one end of a 40" length of cording. Thread the cording through the casing. Adjust the cording with an equal amount exposed from each opening of the casing. This is the drawstring closure for the knapsack.
- Flip the flap over the top and to the front of the knapsack. Attach a button, Velcro or snap to the front and flap of the knapsack to close.
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Dec 31, 2014
Not being a fan of exposed seams, I would not make this project as directed. However, I do like the idea of up-cycling an old quilt.
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In this week's edition of our open source news roundup, we take a look at a million lines of code for Linux, more open source software from Google and Microsoft, a new tiny computer for education, and more! Open source news: July 4 to July 10, 2015
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subset: commoncrawl


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Real estate is one of the most fundamental long term investments for a family or individual. It would take years to pay for the full amount, in addition to interests and other fees involved. Hence, it is important to transact and buy your dream house, through a legitimate agent who will hand you your most awaited output of your hard earned money.
1. Through online sites and portfolio.Most houses for sale in Coventry can be found through online real estate sites. This is the best way since you can also go through the model units they are selling, and more importantly, the availability of your preferred units and specific neighbourhood. They usually have an interactive site where you can easily go through each available unit and its value. These official sites are often updated, and are credible sources of real estate properties up on the market.
2. In some cases, you can also easily browse through buy and sell websites, where prices and photos of the unit are posted. You just have to be wary about the identity of the person you're transacting with. Make sure to arrange a face to face transaction and ocular visits before giving out your payments.
3. Recommendations. The most suggested and safest way to locate estate agents Coventry is through recommendations of friends and relatives. This way, you can ensure that the person is certified, and has satisfied previous clients with her units. You can also try to negotiate with the payment terms, given that he or she has previously worked with a friend or relative.


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Sometimes it's stinky, sometimes it's oozy, but it's your body! Come to this interesting program for facts, stories, experiments, and trivia about all things disgusting. This program is not for those with a high "Ewww!" factor! Classes are open to all tweens and teens and every program is free. See you there!
Central Ridge branch
Wednesday, June 18, 3:30 - 5:00 pm
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Whether or not the front office will admit to it, Danny Ainge is working the phones in an attempt to improve the current Boston Celtics roster.
We know that Rajon Rondo can be had in the right deal, but how about some other members of the team who could be moved as well?
With the Celtics competing for a low seed in the postseason and the team looking like its championship window has closed, there will be some important decisions


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- Overview
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So far, we've written inline and embedded styles to format page content. Now, both of these methods are good for targeting local content, but they're not that efficient in controlling styles over a large number of pages, or an entire site. For that, we typically use external style sheets, so let's take a look at how those work. So, I'm going to go over to the Chapter_01 directory and look in the 01_09 folder, and I'm just going to open up all three of these pages: pages 1, 2, and 3. I'm just going to go ahead and open those guys up.
Whenever you're creating styles for an entire site, or a section of pages for example, you really need to understand how the structure of those pages work. So if I go to page 1, for example, I can see the structure that we've been using in the past couple of exercise files. We have a heading 1, a paragraph. Below that is a div tag with an h2 and a couple of paragraphs in it. But if I go to page 2, I can see that I have an h2 here that is not in the other pages, and on page 3, I have a heading 3 in the div tag, which the other two pages don't have as well.
So now when I write styles I have to really consider all of those elements and how they're going to work together as I write the styles. So that's one of the challenges that you face in writing styles for an entire site or grouping of pages rather than just a single page. An external style sheet is a totally separate file, so I need to go ahead and create that. I'm just going to go up here to File and choose New, and I'm going to do a new file. So it doesn't matter what program you're using, whether it's Aptana Studio or some other program, there should be a way to go ahead and create a new file.
Now if it's offering you the option of creating a new CSS file, just go ahead and choose that. Otherwise it's really just a text file with a .css extension. So in the 01_09 folder, I'm going to go ahead and just call this styles.css and go ahead and save the file. So now I have the styles.css file opened as well, and I'm just going to go up to line number one and write our first selector. So I'm going to write a body selector and inside that, I'm just going to do font-family, and we're going to make that Arial.
So nothing really new here, other than what we've done before. I'm going to go on the next line, however, and type in a second property. This time I'm going to do color, and I'm going to do gray. Really interesting here, I'm using some of the reserved keywords for colors right off the bat. We have an entire chapter on color a little bit later in the title, but there's actually a difference between gray spelled with an A and gray spelled with an E; one is darker than the other. So if I save this file and let's just say I go back to page 1, for example, and I preview this in one of my browsers, I see absolutely no formatting whatsoever.
Well, that's because currently there is nothing linking that style.css file to any of these individual files. So that's sort of a two-step process. We have to create our external style sheet, then we have to link the pages that we want to be controlled by that style sheet to it, and we do that in the HTML document. We have a couple of ways of doing it. The first way that we're going to take a look at is using a link tag. So on page number 1, directly after the title tag but still in the head of my document, I'm going to go ahead and create a link tag.
Now, this link element has a couple of different attributes that we're going to need to use in order to link it to an external style sheet. The first one is going to be an href attribute. So we're going to do an href attribute, and href is really just, where is this file located that we want to link to? And since they're both in same folder, we're just going to type in styles.css. If this was in a separate directory like a subdirectory, such as _css or something like that, I have to make sure that that path was properly written within here; otherwise, it's not going to know where to find those styles.
After that, I'm going to use another attribute, and this is going to be the type attribute. And for type, we're going to do text/css. So that's really just the MIME type for this file. In HTML5, it's not specifically required. I'm just going to place it here for older legacy devices. And then after that, there's another attribute that we really do need, and that is the rel, or relationship, attribute, and for that, we have to describe its relationship as a style sheet. After that, I'm going to make sure I'm outside of the quotation marks and then just go ahead and close my angle bracket there.
So link tags don't need to be closed. There's no closing link tag. If you're using XHTML, you can feel free to self-close it, but this syntax right here is just fine. I want every single page to be linked to this external style sheet, so one way to do that would be to go ahead and copy this. And let's go to page 2 and just paste it in. But there is an alternate way of linking to external style sheets and on page 3, I want to show that to you. So I'm going to save that, go over to page 3, and now I'm just going to go ahead and do what we did earlier with embedded styles: I'm going to create a style tag.
So I have an opening and closing style tag. Inside these opening and closing style tags, I can use an inline style rule called @import. So if I type in @import and then a space, I can type in URL, and then I can point that to the page that I want. In this case, it's going to be styles.css. So the same thing here: I would have to type in the full path to that page-- so if this was on a subdirectory, I'd have to make sure that that was in there-- and then just go ahead and close out that line.
If you're going to use @import, this has to be done above any of the other rules. So if these embedded cells had additional rules, I'd have to make sure that @import was at the very top of this. And @import is really interesting because you can use it in a lot of different places: you can use it within a style sheet to link several style sheets together, sort of daisy-chain them together if you will; you can use it here within the head of the document, within the style tag. So there are a couple of different places that you can use that. Save that, preview page number 3, and for this one, I'll just use Firefox. So there is page 3. There's the styling that we're looking for.
We're getting the font, we're getting the font sizing, we're getting the color gray that we're looking for, and if I go back and preview the other two pages as well--so let me go in each one of these and just preview it-- I can see that every single one of these guys is giving me the exact same styling. So those styles are being used across all three of those pages. So this makes it a lot easier to update and change and maintain styles across an entire site. Now, before we try that, I want to do one thing here.
I'm going to go back into Aptana Studio, and I want to talk about using @import just a little bit more. This is not a best practice. @import was great when there were certain browsers around that didn't understand styles because you could, say, encase it within an HTML comment, and if the browser or user agent didn't understand style sheets, it just simply wouldn't import them. It's not as efficient as using the link tag, and overall, it's just not used as widely. So what I'm going to do is I'm going to replace this with a link tag instead.
So now all three pages are linking to the style sheet the exact same way. So let's go back into styles.css and let's continue to add to our existing styles. Now the first thing I'm going to do is, just below body, I'm going to write a group selector for h1, h2, and h3. So, notice that we have the commas between each of those: h1, h2, h3. I'm going to go ahead and open and close my curly brace at the same time, and I'm just going to set their color to black. So I'm going to go ahead and save that and I'm going to go back to my browser and I'm just going to update my styles in each of these. Cool! Looking great! Now, one of the things I would like to do is this heading 2 that's inside of the div tag here, I really would like that to be maroon instead of black.
So going back and modifying my styles, I'm just going to take the h2, and I'm just going to change its color to maroon. And I'll just remove the h2 from this selector, so now that's just going to say h1, h3. So that sounds right. So I'm going to go ahead and save that, go back out to my browser, and I'm just going to preview those. So now you can see that heading 2 turns maroon, that heading 2 turns maroon, that heading 2 turns maroon, but there was a problem.
If I go back to page 2, I notice that that one has two heading 2s on it, and this extra heading 2 that the other pages don't have, I don't want that to be maroon; I want that to be black. I just wanted the heading 2 inside the div tag to be maroon. And this is what I talked about earlier. It's really important when you write sort of global, site-wide styles to really understand your page structure, because we only have three pages here. That's pretty simple, right? But what if you had 500 pages? You need to understand the structure of your pages as you write your styles so that little things like that don't just sort of crop up and surprise you.
So, a much more efficient way to write the selector--I'll go back into my code-- would be to just go ahead and say, okay, h1, h2, h3 all those are black, except for when h2s are found inside of a div. So when rewriting the selector here, say any h2s inside of a div--this is a descendant selector-- I know in order to efficiently write this, you really have to understand selectors, and we have a whole chapter on selectors a little later on. So right now just focus on the concept of this one particular page controlling all the styling on our site, or these three pages.
So if I save this, go back into my browser and refresh my styles, I can see that now it's doing what I want. Every single page that has the h2 inside of a div, it's maroon, but when the h2 is outside of the div tag, it's now black. So understanding the structure of my pages was crucial in order to have my external styles.css style sheet apply the formatting the way that I want it to. When we talk about external style sheets, they are by far the most efficient way to control your sites. And actually, I'm guessing that you're going to find yourself using them the majority of the time.
It is important to keep in mind though, just as we've talked about here, how changes made to one page often have unintended consequences because it just sort of effects everybody that has similar content, and that's why it's so important to write well-structured, consistent HTML. Now, we're going to explore that relationship in a little bit more detail a little bit later on. For now, just understand that in order to write effective external style sheets, you're going to need to be familiar with how your pages are structured and then take the time to properly plan your styles before you begin to write them.
- Exploring default styling
- Writing a selector
- Setting properties
- Working with common units of measurement, including ems and pixels
- Structuring HTML correctly
- Understanding the cascade and inheritance
- Setting a font family, font size, text color, and more
- Understanding the box model
- Styling container elements
- Working with RGB vs. HSL values
- Styling drop shadows


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question about +p loads....
Ammunition, Gear, and Firearm Help
Handloading and Reloading
> question about +p loads....
SSN Vet
January 28, 2007, 07:05 PM
would the max. 'do not exceed' loads from modern re-loading manuals be considered "+P" loads?
or do +P loads exceed the SAMMI pressure specs.?
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January 28, 2007, 09:31 PM
"...exceed the SAMMI pressure specs..." Nope. There's a SAAMI spec for them too. Max loads are for the specific cartridge and bullet using a particular powder.
Steve C
January 28, 2007, 09:34 PM
Most manuals list +P loads for the .38 spl generally because of the variable types of firearms chambered for the round. Some of these definitely should not be shooting +P ammo.
You can achieve +P velocities in the 9mm with listed loads. Just compare the factory balistics with the manuals or your own results over the chrono.
January 29, 2007, 02:27 AM
There are +P pressures registered with SAAMI:
.257 Roberts +P 58,000 psi
257 Roberts +P 50,000 cup
9.mm Luger +P 38,500 psi
38 Super Auto +P 36,500 psi
38 Super (+P) 33000 CUP
.38 Special +P 18,500 psi
In all cases it seems to be a 10% boost in maximum average pressure over non +P.
The term "+P+" on commercial 9mm Luger ammo is undefined by SAAMI.
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Stephanie Zak
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Articles citations with the tag: JEROME, Stephanie Zak
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Fundamentals of Genetics - Share and …
26.07.2010 · Fundamentals of Genetics 1. Fundamentals of Genetics Teacher's Guide Middle School Editors: Brian A. Jerome, Ph.D. Stephanie Zak Jerome ...
Bowland High School
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What are plants? (DVD video, 2004) [WorldCat.org]
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Ecology fundamentals elementary science : Jerome, Brian A ...
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People on the move: The Journal Online
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Reviews - Clovefield Villa
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In der 99. Minute erhöhte Stephanie Zak auf 2:1. Mehr als ein Ausgleich durch Magdalena Klein war für den PSV Freiburg nicht mehr möglich.
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text:
All quotes by O. Henry
(5064 quotes found)
"Every man is thoroughly happy twice in his life: just after he has met his first love, and just after he has left his last one"
"When we become aware that we do not have to escape our pains, but that we can mobilize them into a common search for life, those very pains are transformed from expressions of despair into signs of hope"
"Loneliness adds beauty to life. It puts a special burn on sunsets and makes night air smell better."
"The most I can do for my friend is simply to be his friend. I have no wealth to bestow on him. If he knows that I am happy in loving him, he will want no other reward. Is not friendship divine in this?"
"Time is too slow for those who wait, too swift for those who fear, too long for those who grieve, too short for those who rejoice, but for those who love, time is eternity."
"Kind hearts are the gardens, Kind thoughts are the roots, Kind words are the flowers, Kind deeds are the fruits, Take care of your garden And keep out the weeds, Fill it with sunshine Kind words and kind deeds"


text:
A look at which owner-operator segments are earning the most so far in 2015.Read More
In a podcast, Gordon Klemp, head of the National Transportation Institute, discusses fuel surcharges, sign-on bonuses, demand for owner-operators, and compensation trends for flatbedders and independents.Read More
Net income for independents and flatbedders topped $60,000. Independents' income showed the biggest gain over the year, 8.7 percent.Read More
A letter from Robert W. Walker Jr. of Ohio, commentary from owner-operator Tilden Curl. Curl believes removal of the self-insurance option for motor carriers is key to driver value and long-term health of the industry.Read More
Todd Amen presented the latest in revenue/income averages and trends from ATBS' owner-operator clients, which continue to follow what's been happening over a decade now. Better income on fewer miles.Read More
Always a hot topic this time of year, share your thoughts on 2014 predictions for your own business under this poll probing the coming year. Will you be able to negotiate rate increases/acquire new freight? Or will regulatory and other cost pressures push profit down?Read More
With the first quarter following the July 1 change in the hours of service rules well over and done, what has been the economic impact for your operation?Read More
In the final installment of this series, longtime drivers Kenny Frye, Jim Hoskins, John Minders and Mike Hogan offer views on the quality of professional entering the industry today.Read More
Part 2 in this series examines carrier management and driver views on solutions to improved conditions to attract people to the trucking industry.Read More
Prime Inc. increased pay for its OTR company drivers, independent contractors and associates. OTR company drivers (paid on the per-mile basis) started receiving a one cent per mile increase for any loads dispatched after August 3, 2013. Line haul revenue for independent contractors increased four cents per mile during the last year. According to the Bureau of Labor Statistics, there were an estimated 793,470 truck drivers employed at the end of 2012. Median pay for these ...Read More


text:
Exploring with Minch Adventures
Charter boat concierge service; experience the Knoydart Peninsula, Skye and the Small Isles aboard our vessel Reel One. Making it personal, we lead the way. We deliver highly professional, individualised private charters for groups of up to 9 seeking challenging outdoor activities and families who want a nature-rich experience of 'Britain's last wilderness'.


text:
Chiari I malformation
Chiari I malformation is a condition in which the bony space enclosing the lower part of the brain is smaller than normal. Crowding causes the cerebellar tonsils to push through the skull and down into the spinal canal. The herniated tonsils block the normal flow of cerebrospinal fluid (CSF). Instead of moving in an easy, pulsating movement through this opening, the fluid begins to force its way through – like a water hammer – pushing the tonsils down even farther and exerting pressure on the brainstem and spinal cord. Symptoms may not appear until late childhood or adulthood, causing severe headache, neck pain, dizziness, numbness in the hands, and sleep problems.
Treatment options depend on the type of malformation and severity of symptoms. If symptoms are mild, regular monitoring and medications can be effective. If symptoms are severe or worsening, surgery may be recommended to remove a part of the skull bone and create space for the cerebellum and brainstem.
Of the several types of Chiari malformations, Chiari I is the most common and affects both children and adults. Chiari II occurs with the birth defect myelomeningocele. Chiari types III and IV are rare but severe herniations that affect infants.
Anatomy of Chiari & CSF system
Cerebrospinal fluid (CSF) is a clear, watery substance that flows within and around the brain and spinal cord to help cushion it from injury. This fluid is produced inside the ventricles by the choroid plexus and is constantly being absorbed and replenished. The CSF flows through the ventricles and out into the space between the brain and skull (subarachnoid space) and down into the spinal canal (Fig. 1). As the heart beats, CSF flows into the brain. This is normally balanced by CSF then flowing from the brain into the spinal compartment. In a Chiari malformation, this balanced flow is disrupted. The obstructed CSF begins to force its way like a water hammer through the foramen magnum. Pushing the tonsils down even farther, it exerts pressure on the brainstem. The increasing pressure compromises normal functions of the brain and/or spinal cord and a myriad of symptoms occur. Excess CSF can collect and enlarge either the ventricles in the brain (hydrocephalus), or form a cyst in the spinal cord (syringomyelia).
The cerebellum is located under the brain in the posterior fossa. Its function is to coordinate muscle movements, maintain posture, and balance. The cerebellum is also involved in cognitive functions (e.g., attention, language), memory, and learning. In people with Chiari, the cerebellar tonsils are stretched as they push through the foramen magnum.
What is a Chiari I malformation?
The condition begins with the underdevelopment of the fetal skull forming during pregnancy. During childhood, the brain continues to grow and the skull hardens. However, the small size or shape of the Chiari skull is mismatched to the size of the brain. Thus, a crowding of the brainstem, cerebellum, and tonsils occurs. Crowding pushes the tonsils out of the skull through the opening (foramen magnum) where the spinal cord exits (Fig. 2). Herniation of the cerebellar tonsils can extend several millimeters below the foramen magnum. The tonsils put pressure on the brainstem and spinal cord, block CSF flow, and result in the Chiari signs and symptoms. Sometimes a fluid-filled cyst (syrinx) develops within the spinal cord.
Syringomyelia, hydrocephalus, and other complications. When cerebrospinal fluid (CSF) flow is obstructed and collects within the spinal canal, it can eventually form a syrinx. This condition, called syringomyelia, damages the spinal cord. The compressed nerve fibers inside the cord cause a wide variety of symptoms. Problems affect the arms or legs, or affect feeling, strength, or balance. Syringomyelia affects about 65% of patients with Chiari I malformation [1].
In some cases, the CSF collects within the ventricles of the brain (hydrocephalus); this condition may require placement of a shunt to divert this excess fluid. Bony abnormalities, which affect about 25% of patients, can include basilar invagination, scoliosis, and cranial cervical instability.
What are the symptoms?
Chiari I symptoms vary from person to person and are not necessarily related to the size of tonsillar herniation. Some people with large herniations have no symptoms (asymptomatic). Yet others with small herniations have severe symptoms. When symptoms are present, they are often vague or nonspecific. As a result, the diagnosis of Chiari is often delayed until more severe symptoms occur or after current symptoms persist for some time. Symptoms are caused by disruption of the CSF flow and compression of nervous tissues.
Because the brainstem is responsible for most body functions, Chiari causes all kinds of strange symptoms. People may experience symptoms that range from headache to irritable bowel. The five most common symptoms are:
1. Pressure-like headaches at the back of the skull that worsen with physical strain or coughing; often with neck pain
2. Hoarseness or swallowing problems
3. Sleep apnea
4. Weakness or numbness in an extremity
5. Balance problems
People with Chiari I often develop symptoms during their teen or early adult years. The disorder is also seen in young children and older adults. In some cases, a head or neck injury from a car accident or sports injury triggers the onset of symptoms.
Table 1. Common symptoms of Chiari I and syringomyelia.
Chiari I
Pressure-like headaches at back of skull
Headaches worsen with coughing, sneezing
Neck and shoulder pain
Ringing or buzzing in the ear (tinnitus)
Dizziness, vertigo
Trouble walking (gait), imbalance
Difficulty swallowing, gagging
Facial pain, numbness, or tingling
Hoarseness, change in voice
Snoring / sleep apnea
Fatigue / insomnia
Problems with memory / concentration
Nervousness / anxiety / depression
Trouble speaking, word finding
Blurred or double vision
Jerking eye movements (nystagmus)
Difficulty tracking or following objects
Irregular heart beat
Black out spells / syncope
Headaches (due to Chiari malformation)
Loss of sensitivity, especially to hot and cold
Muscle weakness and spasticity
Numbness in hands and feet
Pain in neck, arms and back
Loss of bowel and bladder control
Patients with Chiari I malformations often develop symptoms during their teen or early adult years. Less often, the disorder is seen in young children and older adults. In some cases, trauma triggers the onset of symptoms.
The symptoms are complex, progressing over time. Because of this complexity, the condition is often misdiagnosed. At times, Chiari I malformation is mistaken for fibromyalgia, migraine headaches, sinus disease, multiple sclerosis, and other complex disorders of the nervous system. Some patients have waited for years before an accurate diagnosis is made. Accurate diagnosis and plan of treatment is important before the patient's nervous system suffers permanent injury.
What are the causes?
Bony abnormalities occur during embryonic development in patients affected by Chiari. In Chiari I, the posterior fossa may be smaller than normal. If too small, the effects can be crowding of the brainstem and cerebellum, as well as herniation of the tonsils through the foramen magnum.
Ehlers-Danlos syndrome (EDS) is a connective tissue disorder that may increase the incidence and severity of Chiari. EDS causes joint hypermobility and loose/unstable joints.
Scoliosis is a curvature of the spine. There is a high rate of scoliosis associated with Chiari and syringomyelia, especially in children.
Who is affected?
Chiari I is seen on MRI scans in people of all ages. Its incidence was earlier estimated to affect 1 in every 1,000 births. Now with increasing use of diagnostic imaging, physicians note that Chiari may be far more common. Patients typically seek medical attention in their 20s and 30s. Three times more women than men are affected. Genetic studies show that Chiari may cluster in some families.
How is a diagnosis made?
The complex symptoms of Chiari I malformation can mimic other diseases – often leading to misdiagnosis and delay in treatment. At times, Chiari I is mistaken for fibromyalgia, chronic fatigue syndrome, migraine, multiple sclerosis, mental disorder, depression, sinus disease, trigeminal neuralgia, or other neurologic disorders.
There is no specific test to confirm Chiari. Rather, a diagnosis is made by assessment of the patient's symptoms, neurological exam, and MRI findings (i.e., tonsillar herniation, bone deformity, CSF blockage, syrinx). A complete medical history and physical exam can determine if your symptoms are related to Chiari or another problem.
A neurological exam detects problems with cranial nerves such as gag reflex, facial numbness, hoarseness, double vision, tremors, and vision problems. You may be asked to see an eye (ophthalmologist) or ear (otolaryngologist) specialist, or to undergo a sleep evaluation. Your doctor will order one or more imaging studies to confirm the diagnosis. These include:
Your doctor will order one or more imaging studies to confirm the diagnosis. These include:
Magnetic resonance imaging (MRI) scan is a noninvasive test used to evaluate the brain, spinal cord, and surrounding CSF. MRI can identify the extent of cerebellar herniation (Fig. 3). The herniation may reach to the level of the first two vertebra (C1 or C2) of the cervical spine. Herniation of the tonsils is often measured in millimeters (mm) below the foramen magnum. The classic definition of Chiari I is herniation greater than 5mm below the foramen magnum. However, the size of herniation seen on MRI does not closely correlate with symptoms. Someone without herniation may have severe symptoms while another with 20-mm herniation may have no symptoms. MRI of the spine can detect abnormal accumulations of CSF within the spinal cord (Fig 4). This fluid-filled cavity (syrinx) is surrounded by stretched tissues of the spinal cord.
Figure 3. An MRI of the brain shows the cerebellar tonsils (arrow) herniating through the foramen magnum (yellow line). Figure 4. An MRI of the neck shows a collection of CSF in the spinal cord (yellow arrows) called a syrinx.
Cine MRI is a special MRI study used to observe cerebrospinal fluid (CSF) flow. With each heartbeat, CSF is forced out of the ventricle of the brain, into the cisterna magna, and down the spinal canal. When the heart relaxes, the CSF flow reverses. The movie-like cine MRI captures the fluid movement (Fig. 5). The test can determine if, and by how much, a Chiari is blocking the back-and-forth flow of CSF between the brain and spine.
Computed tomography (CT) scan is used to view the bony skull base and spinal column. It can detect thickened bone or previous trauma.
X-rays of the neck may be taken in flexion and extension to view the bony vertebrae. These images can help your doctor identify any instability at the craniocervical area.
What treatments are available?
Treatment options vary depending on the severity of symptoms, the extent of tonsillar herniation, and the presence of other conditions such as syringomyelia.
Observation (watch and wait)
Monitoring by regular check-ups and periodic MRI scans may be recommended for those with mild or no symptoms. Headache can be relieved with anti-inflammatory or pain-relieving drugs. Minimize neck strain in daily activities and while sleeping; use a good pillow. Avoid injury or manipulation of the neck as it can make the herniation worse or aggravate the spinal cord. Patients should closely monitor their symptoms. If symptoms worsen or if new ones develop, consult with a neurosurgeon who is a Chiari expert.
Surgery is advised for those with moderate to severe symptoms or with a syrinx. The goals of surgery are to stop or control the progression of symptoms caused by herniation of the cerebellar tonsils, and relieve compression of the brainstem. The surgery takes about 2 to 3 hours. Recovery in the hospital usually lasts 2 to 4 days. During posterior fossa decompression surgery, removal of bone (craniectomy) at the back of the skull and spine widens the foramen magnum. The surgeon opens the dura overlying the tonsils and sews a dura patch to expand the space, similar to letting out the waistband on a pair of pants (Fig. 5). After surgery, symptoms related to the blockage of CSF should decrease as flow normalizes.
Clinical trials
Clinical trials are research studies in which new treatments—drugs, diagnostics, procedures, and other therapies—are tested in people to see if they are safe and effective. Research is always being conducted to improve the standard of medical care. Information about current clinical trials, including eligibility, protocol, and locations, are found on the Web. Studies can be sponsored by the National Institutes of Health (see clinicaltrials.gov) as well as private industry and pharmaceutical companies (see www.centerwatch.com).
Sources & links
If you have questions, please contact the Mayfield Chiari Center at 800-325-7787 or 513-221-1100.
- Milhorat TH, Chou MW, Trinidad EM, Kula RW, Mandell M, Wolpert C, Speer MC. Chiari I malformation redefined: clinical and radiographic findings for 364 symptomatic patients. Neurosurgery 44(5):1005-17, 1999
- Bindal AK, Dunsker SB, Tew JM Jr. Chiari I malformation: classification and management. Neurosurgery 37(6):1069-74, 19
American Syringomyelia Alliance Project
cerebrospinal fluid (CSF): a clear fluid produced by the choroid plexus in the ventricles of the brain. CSF bathes the brain and spinal cord, giving them support and buoyancy to protect from injury.
craniectomy: surgical removal of a portion of the skull.
dura mater: the outer protective covering of the brain.
hydrocephalus: an abnormal build-up of cerebrospinal fluid usually caused by a blockage of the ventricular system of the brain. Increased intracranial pressure can compress and damage brain tissue.
syringomyelia: a chronic progressive disease of the spinal cord caused by an obstruction of normal cerebrospinal fluid (CSF) flow that redirects the fluid into the spinal cord to form a syrinx.
syrinx: a cavity filled with cerebrospinal fluid (CSF) that expands and elongates over time, destroying the center of the spinal cord.
updated > 4.2016
reviewed by > Andrew Ringer, MD, John M. Tew, MD and Nancy McMahon, RN, Mayfield Clinic / University of Cincinnati Department of Neurosurgery, Ohio
Mayfield services
Each year the Mayfield Clinic evaluates more than 80 people affected with the condition known as Chiari malformation. Some patients only require monitoring, but most need decompression surgery to enlarge the bony opening, restore normal fluid circulation around the brain, and prevent a syrinx.
Chiari is often misdiagnosed, which is why patients need to be evaluated and treated by experts who can decipher the confusing or ambiguous symptoms. We are one of the few treatment and research centers in the U.S. that specializes in Chiari malformation and syringomyelia.
To make an appointment call 513-221-1100.


text:
Brief Summary
Official Title: "Multisensor Chronic Evaluations in Ambulatory Heart Failure Patients"
The goal of the MultiSENSE study is to collect chronic information from multiple sensors in an implanted device for evaluation in heart failure patients.
- Study Type: Observational
- Study Design: Observational Model: Case-Only, Time Perspective: Prospective
- Study Primary Completion Date: December 2014
Detailed Clinical Trial Description
The purpose of MultiSENSE study is to collect data about patient events during worsening heart failure, determine how sensor measurements vary during patient daily activities and during the development and recovery from events of worsening heart failure, develop algorithms capable of detecting the onset of worsening heart failure prior to the overt presentation of patient symptoms using reference measurements: thoracic impedance, heart sounds, physiologic responses to activities and respiration.
Interventions Used in this Clinical Trial
- Device: COGNIS CRT-D
- Patients with existing or newly implanted COGNIS® CRT-D pulse generators (PG)are enrolled in the study. PG is modified by the download of investigational software called Sensor Research Device-1™ (SRD-1). The goal of the SRD-1 system is to collect sensor data without affecting the delivered CRT-D therapy. This is accomplished through the "conversion" of an implanted COGNIS PG into a SRD-1 PG by downloading investigational software. Only a market approved COGNIS model N119/N120/P107/P108 device may be converted to a SRD-1 investigational device. There will be no PG hardware changes resulting from the conversion.
Arms, Groups and Cohorts in this Clinical Trial
- Patients implanted with a CRT-D (Cardiac Resynch. Therapy)
Outcome Measures for this Clinical Trial
Primary Measures
- Heart Failure (HF) events
- Time Frame: 12 Months
Safety Issue?: No
- Time Frame: 12 Months
Criteria for Participation in this Clinical Trial
Inclusion Criteria
- Age 18 or above, or of legal age to give informed consent specific to state and national law
- Willing and capable of returning for all follow-up visits and emergency care at the investigational center as medically appropriate
- Willing to participate in all testing associated with this clinical investigation at an approved clinical investigational center
- Currently implanted with a COGNIS device (Model N119 or N120, P107, P108)
- Classified as NYHA Class II, III or IV within the last six months
Exclusion Criteria
- Inability or refusal to sign the Subject Informed Consent
- Inability of refusal to comply with the follow-up schedule
- Documented as pacemaker dependent
- Unable to rest comfortably in a semi-recumbent position for up to 20 minutes
- Implanted with active Medtronic Fidelis lead models: 6930, 6931, 6948 or 6949
- Currently implanted with unipolar RA, RV, or LV leads
- LV sensitivity programmed to less than 0.7 mV AGC
- History of appropriate tachycardia therapy (external or implanted) for rates < 165 bpm within 1 week prior to enrollment
- Device battery status indicates approximate time to explant < 2 years
- Likely to undergo lead or PG revision during the course of the study as determined by the investigator
- Receiving regularly scheduled intravenous (IV) inotropic therapy as part of their drug regimen
- Have received heart or lung transplant
- Receiving mechanical circulatory support
- Patients who have been referred or admitted for Hospice care
- A life expectancy of less than 12 months per physician discretion
- Enrolled in any concurrent study without Boston Scientific written approval
- Devices previously converted to the SRD-1 and withdrawn from the study
- Received a sub-pectoral COGNIS implant prior to February 1, 2011 with a dash number listed in Appendix K of the study protocol
- Known pregnancy or plan to become pregnant within the course of the study
- LV offset is programmed to a value greater than zero
Gender Eligibility for this Clinical Trial: Both
Minimum Age for this Clinical Trial: 18 Years
Maximum Age for this Clinical Trial: N/A
Are Healthy Volunteers Accepted for this Clinical Trial: No
Clinical Trial Investigator Information
- Lead Sponsor
- Boston Scientific Corporation
- Collaborator
- Milton S. Hershey Medical Center
- Provider of Information About this Clinical Study
- Sponsor
- Overall Official(s)
- John P Boehmer, M.D., Principal Investigator, Milton S Hershey Medical Center, Hershey, Pennsylvania, United States
J. P. Boehmer, Q. An, Y. Zhang, A. Shih, Variation in daily median respiratory rate identifies patients at higher risk of worsening HF in 30 days, Heart Rhythm, 2013;10(5):S66
J. P. Boehmer, Q. An, Y. Zhang, A. Shih, Patients with higher standard deviation in daily median respiratory rate are at higher risk of worsening HF in 30 days, Europace, 2013;15(Suppl 2):ii96
J. P. Boehmer, Y. Zhang, K. C. Beck, R. J. Sweeny, Physiologic sensor response to activity level in the MultiSENSE Study, European Journal of Heart Failure, 2013:12 (suppl 1), S194-5
J. Hatlestad, S. Mehta, J. Whelan-Schwartz, R. Shankar and J.P. Boehmer, M.D..Night-time Elevation Angles In MultiSENSE Study Are Related To Symptoms of Orthopnea & Paroxysmal Nocturnal Dyspnea, Journal of Cardiac Failure, Vol. 18 No. 8S, Aug 2012, pp. S8
J. P. Boehmer, V. Averina, P. Thakur, Y. Zhang, R. J. Sweeny, J. Thompson, Device-based sensors in the MultiSENSE Study: a preliminary view, Journal of Cardiac Failure, Vol. 18 No. 8S, Aug 2012, pp. S18
J. P. Boehmer, Y. Zhang, R. J. Sweeny, R. Wariar, Q. An, P. Thakur, V. Averina, J. Thompson, Quantifying circadian variation of multiple physiologic signals in ambulatory heart failure patients, Journal of Cardiac Failure, Vol. 18 No. 8S, Aug 2012, pp. S90
J. P. Boehmer, Y. Zhang, K. C. Beck, R. J. Sweeny, Physiologic sensor response to activity level in the MultiSENSE Study, Journal of Cardiac Failure, Vol. 17 No. 8S, Aug 2011, pp. S105
J. P. Boehmer, Y. Zhang, R. J. Sweeny, R. Wariar, Q. An, P. Thakur, V. Averina, J. Thompson, Quantifying circadian variation of multiple physiologic signals in ambulatory heart failure patients, European Heart Journal, Vol. 33 Suppl 1, Aug 2012, pp. 162
G. Molon, A. Capucci, Y. Zhang, Nicholas Wold, Qi An, Scott Wehrenberg, Existing device diagnostics identify patients at higher risk of worsening heart failure in 30 days, Europace, 2014; 16(Suppl 2):ii123
J. Boehmer, Q. An, Y. Zhang, Variation in daily median respiratory rate identifies patients at higher risk of worsening HF in 30 days, Heart & Lung: The Journal of Acute and Critical Care, July 2014; 43(4), pp. 381
Michael Cao, Michael Gold, Yi Zhang, Nicholas Wold, Scott Wehrenberg, Qi An, John Boehmer , Implantable device diagnostics identify patients at higher risk of heart failure events in 30 days, Heart & Lung: The Journal of Acute and Critical Care, July 2014; 43(4), pp. 381-2
A. Capucci, G. Molon, M R. Gold, Y. Zhang, R. Sweeney, V. Averina, J P. Boehmer, Rapid shallow breathing worsens prior to heart failure decompensation, European Heart Journal, Vol. 35, Suppl 1, Sept. 2014, pp. 678
Alessandro Capucci, Giulio Molon, Michael R. Gold, Yi Zhang, Robert Sweeney, Viktoria Averina, John P. Boehmer, Rapid Shallow Breathing Worsens Prior to Heart Failure Decompensation, Journal of Cardiac Failure, Aug. 2014; 20 (8), S14
Devi Nair, Roy Gardner, Roy Small, Ramesh Hariharan, Qi An, Pramodsingh H. Thakur, John Boehmer, Baseline S3 Measured using Implanted Accelerometer is more Prominent in Patients with Heart Failure Decompensations, Heart Rhythm, 2015;12(5):S419-420, PO05-45
Additional Information on this Clinical Trial
ClinicalTrials.gov processed this data on September 30, 2016
Link to the current ClinicalTrials.gov record. – https://clinicaltrials.gov/show/NCT01128166
Study ID Number: MultiSENSE
ClinicalTrials.gov Identifier: NCT01128166
Health Authority: United States: Food and Drug Administration


text:
Family Practitioner, Primary Care Doctor
16 years of experience
Accepting new patients
16 years of experience
Accepting new patients
606 N College St
Albany, MO 64402 Phone number & directions
Albany, MO 64402 Phone number & directions
License & Identifications
A medical license is required for a doctor to practice medicine in a particular state. Requirements vary by state but most require, at a minimum, post-graduate training in the doctor's specific specialty. An NPI number is a national identifier unique to an individual health care provider and is managed by the Center for Medicare & Medicaid Services (CMS).
Learn more about Dr. Michael Coleman:
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Dr. Coleman graduated from University of Missouri at Kansas City.
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- Additional Information
- Dr. Michael Wayne Coleman DO is a male Family Practitioner, has 16 years of experience and practices in Family Medicine.
- Where does Dr. Michael W. Coleman practice?
- Dr. Michael Coleman has 1 office location.
Dr. Michael Coleman practices Family Medicine near Albany, MO.
See Albany Family Physicians.


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All | Editorial | General Tech | Graphics Cards | Networking | Motherboards | Cases and Cooling | Processors | Chipsets | Memory | Displays | Systems | Storage | Mobile | Shows and Expos
AMD, uncomfortable under the spotlight
Subject: Processors | November 28, 2007 - 01:30 PM | Jeremy Hellstrom
You can catch Josh Walrath's take on the X2 5000+ Black Box, the last of the Athlons at PenStar Systems. It is still a relevant chip, as desktop Phenom's aren't exactly available, and it's overclocking ability will let you build a system that you can upgrade to a Phenom when they are available, and only have to drop ~$100 on the CPU.
Intel Upgrades Software Tools to Support Mac OS X Leopard
Subject: Processors | November 28, 2007 - 11:59 AM | Jeremy Hellstrom
SAN FRANCISCO, Nov. 28, 2007 - Intel Corporation today announced an upgrade of its popular software tools suite for Mac OS X Leopard, the sixth major version of Apple's advanced operating system. The latest 10.1 version of the Intel C++ Compiler and Intel Fortran Compiler, as well as the Intel Threading Building Blocks, Intel Math Kernel Libraries and Intel Performance Primitives, have been optimized for Apple's Leopard and Xcode 3.0 development environment launched last month.
SuperSpeed USB 3.0 Promoter Group Enlists Contributors for First Industry-Wide Specification Review
Subject: General Tech | November 28, 2007 - 11:58 AM | Jeremy Hellstrom
BEAVERTON, Ore., Nov. 28, 2007 - The Universal Serial Bus (USB) 3.0 Promoter Group is looking for additional contributors to its initial draft of the group's proposed specification with a goal to have it completed by the first half of 2008.
DX10 comes to MMORPG
Subject: General Tech | November 28, 2007 - 11:56 AM | Jeremy Hellstrom
Hellgate London is the first MMO designed with DX10 in mind, which gives them some benefits and some problems. While the DX9 demo showed that many cards can reach over 100+ fps in this game, we were missing out on smoke effects, motion blurring and DX10 shaders. As [H]ard|OCP's test show, you can see the differences between the quality of DX10 and DX9, which is rather nice considering how hard you had to squint to see differences in previous titles. On the other hand you
Better to wish for a Red Ryder BB Gun than an 8880GT or HD3870
Subject: General Tech | November 28, 2007 - 11:42 AM | Jeremy Hellstrom
If you are shopping for a <$250 video card you may have found your plans frustrated. Both the 8800GT and the HD3870 disappeared within hours of their release and there has been no sign of them at all. The Tech Report can comment on why the AMD cards are so rare, although we still don't know what nVIDIA's problem is ... maybe retailers are snubbing them by continuing to sell GTS models? Follow the link to see what has been holding AMD back.
X rated audio
Subject: General Tech | November 27, 2007 - 05:33 PM | Jeremy Hellstrom
The ASUS Xonar D2 not only sports more LEDs than your average modded case, it also handle digital and analog sounds almost totally lossless. The Audio Station U1
will improve the quality of sound comping out of any laptop, but probably won't win the hearts of people using desktop PCs. You can tune into Bjorn3Ds' notes to see if either of these sound like something that resonates with you.
Cooling for the laptops that need it
Subject: Mobile | November 27, 2007 - 03:03 PM | Jeremy Hellstrom
Tiny notebooks can produce some heat with their 14.1" screens, but they are nothing compared to the larger gaming style laptops with their 17" displays and more powerful components. Evercool's widescreen laptop cooler, called the Space Station for reasons best known to their marketers, will keep your large laptop nice and cool, although Virtual-Hideout recommends picking up Micro QuietFeet Sticky Feet to help with airflow.
ASUS Xonar Series Revolutionizes the PC Audio SoundscapeASUS Xonar Series Revolutionizes the PC Audi
Subject: General Tech | November 27, 2007 - 02:05 PM | Jeremy Hellstrom
FREMONT, CALIFORNIA (November 27, 2007) - Adding to the success of the company's entry into PC audio, ASUS, worldwide leader in component and notebook design and manufacturing, today extended its product offerings by introducing the world's first PCI-Express (PCI-E) interface audio card Xonar D2X; and the stylish USB based audio station Xonar U1.
The word on tera
Subject: Storage | November 27, 2007 - 01:39 PM | Jeremy Hellstrom
Seagate and Western Digital have both been taking enhancement products, and now they each sport a hard drive with 1000 GB of storage. Seagate's 1TB Barracuda 7200.11 ES.2 is aimed at the desktop crowd, and sports a possibly performance enhancing 32MB cache and 4 250GB platters and will run you about 27 cents per gig. The Western Digital takes a more responsible approach with their Green Power 1TB Caviar, the usual 16MB cache and a spin rate that varies betwe
This midsized monitor is making it's mark
Subject: Displays | November 27, 2007 - 12:32 PM | Jeremy Hellstrom
LG's L204LT 20.4-inch widescreen LCD monitor seems perfect for gamers with some rather nice stats, 1680 x 1050 native resolution, 2000:1 contrast ratio and a 5ms response time. Think Computers was rather impressed by this monitor, although they did take marks away because it doesn't come festooned with dozens of USB ports.
How to lose friends and infuriate people
Subject: General Tech | November 27, 2007 - 12:07 PM | Jeremy Hellstrom
The release of the Spider platform from AMD has generated a lot of reviews and speculation as to AMD's long term quad core plans. We've seen the numbers, heard how lovely Lake Tahoe is and how two out of three ain't bad. There was another side to this launch, which a lot of the sites haven't really expressed, but The Tech Report has broken the silence. AMD made some rather questionable moves in the lead up to this launch, from the obvious that you may have figured out, free tickets to Lake Tahoe, to serio
Performance for the rest of us
Subject: Processors | November 26, 2007 - 05:28 PM | Jeremy Hellstrom
The refresh of the E6550, the E6450 offers a great way to chart the performance differences between the Conroe and Wolfdale as they are essentially the same chip. If you check out the full review at t-break, you can see that the various optimizations and the extra 2MB cache help in many applications, but don't really impact game performance that much.
New mouse in the house
Subject: General Tech | November 26, 2007 - 02:53 PM | Jeremy Hellstrom
Hades is a new company that has released a gaming mouse as well as a mouse pad. The specs that they quote sound good, putting it in the realm of Logitech and Microsoft's high quality gaming mice, but at about half the price. BCCHardware tried it out, and it quickly became the second favourite, just behind the G5.
Getting better and better
Subject: Graphics Cards | November 26, 2007 - 01:35 PM | Jeremy Hellstrom
XFX's 8800GT Alpha Dog XXX Edition sports a rather lengthy name, and some rather impressive performance. In the testing Bjorn3D put the card through, it destroyed the GTX and used less power and produced less heat while it was doing it. The 8800GT in general, and this card in particular, really do offer great value for the money they cost.
Unlikely inspiration
Subject: Cases and Cooling | November 26, 2007 - 12:26 PM | Jeremy Hellstrom
Where most of us finished Doom 3 and relegated it to the pile of games that we wouldn't touch again, and others proclaimed it a shiny example of perfection, one fellow went a different path. MAKE:blog has a link to an insanely detailed case mod, called Doom3: Project Mars City, which looks better than anything the UAD made. Check out the worklog and detailed pictures of every piece that went into this amazing case.
Get them quick, they'll disappear for over a month soon
Subject: General Tech | November 26, 2007 - 11:57 AM | Jeremy Hellstrom
Who needs an official launch date when you can just buy something beforehand? The Inquirer has a link to an Austrian retailer who will sell you an ASUS Striker II Formula. Order early and avoid the rush.
Forum stuffing
Subject: General Tech | November 23, 2007 - 05:20 PM | Jeremy Hellstrom
Part of the lukewarm reception that AMD has received from their introduction of the Phenom processor was the fact that you couldn't buy one. We all know the other reason. The good news is that it is slowly starting to appear, so if you do have an AM2(+) system that needs an upgrade,
Subject: General Tech | November 23, 2007 - 02:43 PM | Jeremy Hellstrom
The wait is over, Unreal Tournament 3 servers are being set up and populated as you are reading this. Timed perfectly for the US Turkey day holiday, most gamers seem to be fragging each other with one hand while the other holds a drumstick. The new type of game, Warfare blends Assault and Onslaught very well and the Torlan makes an appearance (in 2 different forms), so don't pine too hard for your favourite Onslaught maps. New vehicles will shock you the first time they land on your head, or chase you with their persistent beam weapons, and the old vehicle have undergone an o
Bye bye 680i
Subject: Motherboards | November 23, 2007 - 01:29 PM | Jeremy Hellstrom
With what seems like confirmation of the inability of the 680i chipset to support 45nm processors, it's time to take a peek at the 780i. HardwareXL steps up, and provides us with a look at a pre-retail ASUS P5N-T Deluxe nForce 780i motherboard. It seems most a refresh of the 680i, with the major difference being PCI Express 2.0 support and Triple-SL
Silverstone's new HTPC offerings
Subject: Systems | November 23, 2007 - 12:09 PM | Jeremy Hellstrom
Silverstone has two new HTPC enclosures out the cheaper LC17 which lacks an LCD and the GD01 which does sport a display, as well as some other extras*. Either choice offers enough space inside to fit a full ATX board, and the cooling will keep your rig cool, which becomes
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25 years of experience
Accepting new patients
Video profile
4375 Booth Calloway Rd
North Richland Hills, TX 76180 Phone number & directions
Video: Dr. Rhodesia LaStrap, DO
Obstetrician & Gynecologist (OB/GYN) in North Richland Hills, TXTake a minute to learn about Dr. Rhodesia LaStrap in this video. If you'd like to learn more, click on one of the links below.
Meet Doctor Rhodesia Lastrup. Here are her vitals: She specializes in Obstetrics & Gynecology. Doctor Lastrup is a highly experienced doctor, with 21 years of practice in the field Highly regarded by her patients they rate her 4 out of 4 stars. They point out her bedside manners. She has won a number of awards, including Patients' Choice Award 2008 and Compassionate Doctor Recognition 2010. Graduated from highly rated University of North Texas. Her average waiting time is 19 minutes. She accepts new patients. She has a number of insurance plans accepted. Use Vitals.com to examine Doctor Rhodesia N Lastrup from North Richland Hills, Texas. See patient comments make an appointment or even let us help you to prepare for your visit. Vitals .com where doctors are examined.