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Most Cited American Journal of Otolaryngology Articles
The most cited articles published since 2011, extracted from Scopus.
Human papillomavirus, smoking, and head and neck cancerParul Sinha | Henrietta L. Logan | William M. Mendenhall
Volume 33, Issue 1, January 2012, Pages 130-136
Aims: Smoking and human papillomavirus (HPV) are both distinct risk factors for head and neck cancer, but the nature of interaction between these 2 risk factors in the development of head and neck cancer remains unclear. The purpose of this review is to determine the potential effect of smoking in causation of HPV-related head and neck carcinoma. Method: A literature search was carried out using the keywords human papillomavirus, head and neck cancer, smoking, tobacco, and cervical cancer. The English-language articles, references, and other relevant studies evaluating the association of smoking, HPV, and risk of head and neck cancer were collected and analyzed. Conclusion: Overall, our review points to smoking tobacco posing an additional risk for development of head and neck cancer in the presence of HPV infection. This is consistent with available laboratory data that show evidence of biological plausibility for interaction between smoking and progression of HPV infection to carcinogenesis. It is therefore important that cessation of smoking is promoted in smokers with HPV infection. © 2012 Elsevier Inc. All rights reserved.
Readability assessment of online patient education materials from academic otolaryngology-head and neck surgery departmentsPeter F. Svider | Nitin Agarwal | Osamah J. Choudhry | Aaron F. Hajart | Soly Baredes | James K. Liu | Jean Anderson Eloy
Volume 34, Issue 1, January 2013, Pages 31-35
Purpose: The aim of this study was to compare the readability of online patient education materials among academic otolaryngology departments in the mid-Atlantic region, with the purpose of determining whether these commonly used online resources were written at a level readily understood by the average American. Methods: A readability analysis of online patient education materials was performed using several commonly used readability assessments including the Flesch Reading Ease Score, the Flesch-Kincaid Grade Level, Simple Measure of Gobbledygook, Gunning Frequency of Gobbledygook, the New Dale-Chall Test, the Coleman-Liau Index, the New Fog Count, the Raygor Readability Estimate, the FORCAST test, and the Fry Graph. Results: Most patient education materials from these programs were written at or above an 11th grade reading level, considerably above National Institutes of Health guidelines for recommended difficulty. Conclusions: Patient educational materials from academic otolaryngology Web sites are written at too difficult a reading level for a significant portion of patients and can be simplified. © 2013 Elsevier Inc.
Adenoid cystic carcinoma of the head and neckChristopher J. Balamucki | Robert J. Amdur | John W. Werning | Mikhail Vaysberg | Christopher G. Morris | Jessica M. Kirwan | William M. Mendenhall
Volume 33, Issue 5, September 2012, Pages 510-518
Purpose: To report our experience using radiotherapy alone or combined with surgery to treat adenoid cystic carcinoma of the head and neck. Materials and methods: Radiotherapy alone or combined with surgery was used to treat 120 previously untreated patients with adenoid cystic carcinoma (ACC) of the head and neck from August 1966 to March 2008. Patients were treated with curative intent. American Joint Committee on Cancer stage distribution was,T0 (n = 1), T1 (n = 26), T2 (n = 25), T3 (n = 14), T4 (n = 54), N0 (n = 113), N1 (n = 2), N2a (n = 1), N2b (n = 2), and N2c (n = 2). Treatment included surgery with postoperative radiotherapy (n = 71), radiotherapy alone (n = 46), and preoperative radiotherapy and surgery (n = 3). Incidental and clinical perineural invasion was found in 41 (34%) and 35 (29%) patients, respectively. Median follow-up was 8.6 and 11.6 years overall and among living patients, respectively. Results: The10-year overall, cause-specific, and distant metastasis-free survival rates, respectively, were as follows: radiotherapy alone, 37%, 46%, and 76%; surgery and radiotherapy, 57%, 71%, and 62%; and overall, 50%. The10-year local control rates were as follows: radiotherapy alone, 36%; surgery and radiotherapy, 84%; and overall, 65%. The 10-year neck control rates were as follows: elective nodal irradiation (ENI), 98%; no ENI, 89%; and overall, 95%. Conclusions: Surgery and adjuvant radiotherapy offer the best chance for cure for patients with resectable adenoid cystic carcinomas of the head and neck. Some patients with advanced, incompletely resectable disease can be cured with radiotherapy alone. ENI should be considered for primary sites located in lymphatic-rich regions. © 2012 Elsevier Inc.
Geographic differences in academic promotion practices, fellowship training, and scholarly impactPeter F. Svider | Leila J. Mady | Qasim Husain | Andrew G. Sikora | Michael Setzen | Soly Baredes | Jean Anderson Eloy
Volume 34, Issue 5, September 2013, Pages 464-470
Purpose Previous literature described how clinical fellowship training impacts scholarly production among academic otolaryngologists, finding that fellowship-trained practitioners had higher research productivity than their non-fellowship-trained peers, and head and neck (H&N) surgeons and otologists had the highest scholarly impact. In this analysis we investigate whether geographic differences in academic promotion and scholarly impact exist, and whether such differences are associated with emphasis on regional fellowship training patterns. Methods The Scopus database was used to determine scholarly impact (as measured by the h-index) of 1109 academic otolaryngologists from 97 departments. Online faculty listings were organized by fellowship training, academic rank, and location. Results Fellowship-trained practitioners had greater research productivity than non-fellowship-trained otolaryngologists (H = 9.5 ± 0.26 SEM vs. 6.5 ± 0.43, p < 0.001), a finding that persisted throughout except in the Mountain and East South Central Regions. H&N surgeons and otologists had the highest h-indices. Practitioners in the West had the highest h-index, with differences persisting upon examination of junior faculty. The West (62.1%) and Midwest (60.5%) had the highest proportions of senior faculty. Regional differences in scholarly impact and academic promotion were further noted upon organizing faculty by subspecialty fellowship training. Conclusions Geographic differences in academic promotion and scholarly impact exist, most markedly among junior faculty. Practitioners in the West had high impact and were more represented at senior ranks. Upon examination by fellowship training status, fellowship-trained otolaryngologists had higher impact in most, but not all, geographic regions. Regional variations in promotion were noted upon organizing faculty by subspecialty, although association with scholarly impact differs by region. © 2013 Elsevier Inc.
Skin carcinoma of the head and neck with perineural invasionChristopher J. Balamucki | Anthony A. Mancuso | Robert J. Amdur | Jessica M. Kirwan | Christopher G. Morris | Franklin P. Flowers | Charles B. Stoer | Armand B. Cognetta | William M. Mendenhall
Volume 33, Issue 4, July 2012, Pages 447-454
Purpose: The aim of the study was to update the experience treating cutaneous squamous cell and basal cell carcinomas of the head and neck with incidental or clinical perineural invasion (PNI) with radiotherapy (RT). Materials and methods: From 1965 to 2007, 216 patients received RT alone or with surgery and/or chemotherapy. Results: The 5-year overall, cause-specific, and disease-free survivals for incidental and clinical PNIs were 55% vs 54%, 73% vs 64%, and 67% vs 51%. The 5-year local control, local-regional control, and freedom from distant metastases for incidental and clinical PNIs were 80% vs 54%, 70% vs 51%, and 90% vs 94%. On univariate and multivariate (P =.0038 and.0047) analyses, clinical PNI was a poor prognostic factor for local control. The rates of grade 3 or higher complication in the incidental and clinical PNI groups were 16% and 36%, respectively. Conclusions: Radiotherapy plays a critical role in the treatment of this disease. Clinical PNI should be adequately irradiated to include the involved nerves to the skull base. © 2012 Elsevier Inc. All rights reserved.
Operating room fires in otolaryngology: Risk factors and preventionLee P. Smith | Soham Roy
Volume 32, Issue 2, March 2011, Pages 109-114
Purpose: The aim of the study was to characterize the causes of operating room (OR) fires in otolaryngology. Materials and methods: A questionnaire was designed to elicit the characteristics of OR fires experienced by otolaryngologists. The survey was advertised to 8523 members of the American Academy of Otolaryngology-Head and Neck Surgery. Results: Three hundred forty-nine questionnaires were completed. Eighty-eight surgeons (25.2%) witnessed at least one OR fire in their career, 10 experienced 2 fires each, and 2 reported 5 fires each. Of 106 reported fires, details were available for 100. The most common ignition sources were an electrosurgical unit (59%), a laser (32%), and a light cord (7%). Twenty-seven percent of fires occurred during endoscopic airway surgery, 24% during oropharyngeal surgery, 23% during cutaneous or transcutaneous surgery of the head and neck, and 18% during tracheostomy; 7% were related to a light cord, and 1% was related to an anesthesia machine. Eighty-one percent of fires occurred while supplemental oxygen was in use. Common fuels included an endotracheal tube (31%), OR drapes/towels (18%), and flash fire (where no substrate burned) (11%). Less common fuels included alcohol-based preparation solution, gauze sponges, patient's hair or skin, electrosurgical unit with retrofitted insulation over the tip, tracheostomy tube, tonsil sponge, suction tubing, a cottonoid pledget, and a red rubber catheter. Conclusions: OR fire may occur in a wide variety of clinical settings; endoscopic airway surgery, oropharyngeal surgery, cutaneous surgery, and tracheostomy present the highest risk for otolaryngologists. Electrosurgical devices and lasers are the most likely to produce ignition. © 2011 Elsevier Inc. All rights reserved.
Imaging techniques in parathyroid surgery for primary hyperparathyroidismArash Mohebati | Ashok R. Shaha
Volume 33, Issue 4, July 2012, Pages 457-468
As more patients present with the incidental diagnosis of primary hyperparathyroidism due to biochemical screening, treatment guidelines have been developed for the treatment of hyperparathyroidism. Management of primary hyperparathyroidism has evolved in recent years, with considerable interest in minimally invasive approaches. Successful localization of the diseased gland(s) by nuclear imaging and anatomical studies, along with rapid intraoperative parathyroid hormone assay, has allowed for focused and minimally invasive surgical approaches. Patients in whom the localization studies have identified single-gland adenoma or unilateral disease are candidates for such focused approaches instead of the traditional approach of bilateral exploration. These imaging techniques have also been critical in the successful management of patients with persistent or recurrent disease. © 2012 Elsevier Inc. All rights reserved.
Balloon dilation of the cartilaginous portion of the eustachian tube: Initial safety and feasibility analysis in a cadaver modelDennis S. Poe | Bassem Matta Nashed Hanna
Volume 32, Issue 2, March 2011, Pages 115-123
Background: Balloon catheter dilation of diseased sinus ostia has recently demonstrated efficacy and safety in the treatment of chronic sinus disease with 2 years of follow-up. Similar to sinus surgery, initial studies of partial resection of inflamed mucosa from within the cartilaginous eustachian tube (ET) have demonstrated efficacy and safety in the treatment of medically refractory otitis media with effusion. Therefore, balloon dilation of the cartilaginous ET was investigated as a possible treatment modality for otitis media. Methods: A protocol for sinus balloon catheter dilation was evaluated in each of the cartilaginous ETs in 8 fresh human cadaver heads. Computed tomographic scans and detailed endoscopic inspections with video or photographic documentation were performed pre- and posttreatment, and gross anatomical dissections were done to analyze the effects of treatment and to look for evidence of undesired injury. Results: Catheters successfully dilated all cartilaginous ETs without any significant injuries. There were no bony or cartilaginous fractures, and 3 specimens showed minor mucosal tears in the anterolateral or inferior walls. Volumetric measurements of the cartilaginous ET lumens showed a change from an average of 0.16 to 0.49 cm 3 (SD, 0.12), representing an average increase of 357% (range, 20-965%). Conclusions: Balloon catheter dilation of the nasopharyngeal orifice of the ET was shown to be feasible and without evidence of untoward injury. A significant increase in volume of the cartilaginous ET was achieved. A clinical study is now indicated to determine whether balloon dilation will demonstrate lasting benefits and safety in the treatment of otitis media. © 2011 Elsevier Inc. All rights reserved.
Deep neck space infections: A retrospective review of 173 casesSalih Bakir | M. Halis Tanriverdi | Ramazan Gün | A. Ediz Yorgancilar | Müzeyyen Yildirim | Güven Tekbaş | Yilmaz Palanci | Kaan Meriç | Ismail Topçu
Volume 33, Issue 1, January 2012, Pages 56-63
Purpose: The purpose of this study is to review our recent experience with deep neck infections and emphasize the importance of radiologic evaluation and appropriate treatment selection in those patients. Materials and Methods: The records of 173 patients treated for deep neck infection at the Department of Otolaryngology and Head and Neck Surgery of Dicle University Hospital during the period from 2003 to 2010 were retrospectively reviewed. Their demography, symptoms, etiology, seasonal distribution, bacteriology, radiology, site of deep neck infection, durations of the hospital admission and hospital stay, treatment, complications, and outcomes were evaluated. The findings were compared to those in the available literature. Results: Dental infection was the most common cause of deep neck infection (48.6%). Peritonsillar infections (19.7%) and tuberculosis (6.9%) were the other most common cause. Pain, odynophagia, dysphagia, and fever were the most common presenting symptoms. Radiologic evaluation was performed on almost all of the patients (98.3%) to identify the location, extent, and character (cellulitis or abscesses) of the infections. Computed tomography was performed in 85.3% of patients. The most common involved site was the submandibular space (26.1%). In 29.5% of cases, the infection involved more than one space. All the patients were taken to intravenous antibiotic therapy. Surgical intervention was required in 95 patients (59.5%), whereas 78 patients (40.5%) were treated with intravenous antibiotic therapy alone. Life-threatening complications were developed in 13.8% of cases; 170 patients (98.3%) were discharged in stable condition. Conclusion: Despite the wide use of antibiotics, deep neck space infections are commonly seen. Today, complications of deep neck infections are often life threatening. Although surgical drainage remains the main method of treating deep neck abscesses, conservative medical treatment are effective in selective cases. © 2012 Elsevier Inc. All rights reserved.
Head and neck squamous cell carcinoma from an unknown primary siteAudrey Wallace | Greg M. Richards | Paul M. Harari | Jessica M. Kirwan | Christopher G. Morris | Haritha Katakam | William M. Mendenhall
Volume 32, Issue 4, July 2011, Pages 286-290
Background: The purpose of this study is to present our experience treating patients with squamous cell carcinoma (SCC) from an unknown head and neck primary site and to determine whether a policy change eliminating the larynx and hypopharynx from the radiotherapy (RT) portals has impacted outcome. Methods: One hundred seventy-nine patients received definitive RT with or without a neck dissection for SCC from an unknown head and neck primary site. RT was delivered to the ipsilateral neck alone or both sides of the neck and, usually, the potential mucosal primary sites. The median mucosal dose was 5670 cGy. The median neck dose was 6500 cGy. One hundred nine patients (61%) received a planned neck dissection. Results: Mucosal control at 5 years was 92%. The mucosal control rate in patients with RT limited to the nasopharynx and oropharynx was 100%. The 5-year neck-control rates were as follows: N 1, 94%; N 2a, 98%; N 2b, 86%; N 2c, 86%; N 3, 57%; and overall, 81%. The 5-year cause-specific survival rates were as follows: N 1, 94%; N 2a, 88%; N 2b, 82%; N 2c, 71%; N 3, 48%; and overall, 73%. The 5-year overall survival rates were as follows: N 1, 50%; N 2a, 70%; N 2b, 59%; N 2c, 45%; N 3, 34%; and overall, 52%. Eleven patients (7%) developed severe complications. Conclusion: RT alone or combined with neck dissection results in a high probability of cure with a low risk of severe complications. Eliminating the larynx and hypopharynx from the RT portals did not compromise outcome and likely reduces treatment toxicity. © 2011 Elsevier Inc. All rights reserved.
The role of CD44 and matrix metalloproteinase-9 expression in predicting neck metastasis of supraglottic laryngeal carcinomaImdat Yüce | Ali Bayram | Sedat Çaǧli | Özlem Canöz | Sevgi Bayram | Ercihan Güney
Volume 32, Issue 2, March 2011, Pages 141-146
Aim: The aim of this study is to evaluate the role of CD44 and matrix metalloproteinase (MMP)-9 expression in predicting neck metastasis of supraglottic laryngeal carcinoma. Materials and methods: Two hundred ninety-four supraglottic laryngeal cancers were treated surgically from 1991 to 2005. Ninety-four of the 294 patients had pathologically metastatic lymph node (pN+). Among the 94 patients, 30 pN+ patients were selected via random sampling. Sex-, T value-, and differentiation-matched 30 patients who had pathologically negative neck were also selected. CD44 and MMP-9 antibodies were applied to the tumor representative sections that were derived from paraffin sections by using the streptavidin-biotin method. The association between immunohistochemical results and histopathologic lymph node metastasis was analyzed statistically. The association between immunostaining of CD44 and MMP-9 was also analyzed. Results: Overexpression of CD44 and MMP-9 was found to be significantly higher in pN+ patients. There was fair concordance between immunostaining of CD44 and MMP-9. Conclusion: Although wider multiinstitutional and multidisciplinary studies are needed to draw specific conclusions, CD44 and MMP-9 can be useful in the prediction of neck metastasis in the supraglottic laryngeal carcinoma. © 2011 Elsevier Inc. All rights reserved.
Otitis media with effusion with or without atopy: Audiological findings on primary schoolchildrenFrancesco Martines | Enrico Martines | Vincenzo Sciacca | Daniela Bentivegna
Volume 32, Issue 6, November 2011, Pages 601-606
Objective: The objective of the study was to evaluate the role of atopy in otitis media with effusion (OME) in children attending primary school, focusing on the audiometric and tympanometric measurements among atopic and nonatopic subjects suffering from OME. Materials and Methods: Three hundred ten children (5-6 years old) were screened in Western Sicily by skin tests and divided into atopics (G1) and nonatopics (G2). The samples were evaluated for OME by pneumatic otoscopy, tympanogram, and acoustic reflex tests. The parameters considered were as follows: documented persistent middle ear effusion by otoscopic examination for a minimum of 3 months, presence of B or C tympanogram, absence of ipsilateral acoustic reflex, and a conductive hearing loss greater than 25 dB at any one of the frequencies from 250 Hz through 4 kHz. Results: The overall prevalence rate of OME was 12.9% (42.85% for G1 and 6.30% for G2, odds ratio = 11.16); OME was bilateral in 28 children (70%). B tympanogram was evidenced in 48 ears (70.59%), with a significative difference between G1 and G2 (P <.001). The analysis of mean air conduction pure tone (31.97 dB for G1 and 29.8 dB for G2) and of tympanometric measurements such as ear canal volume, tympanometric peak pressure, and static compliance by analysis of variance test showed a significative difference between G1 and G2 (P <.05). Conclusions: The higher prevalence of OME in atopic children and the statistically significant differences in audiometric and tympanometric measurements among atopic and nonatopic subjects suffering from OME suggest the important role of allergy in the genesis and recurrence of OME. © 2011 Elsevier Inc. All rights reserved.
Significance of adjunctive mitomycin C in endoscopic dacryocystorhinostomyThomas Prasannaraj | B. Y Praveen Kumar | Indira Narasimhan | K. V. Shivaprakash
Volume 33, Issue 1, January 2012, Pages 47-50
Purpose: The purpose of this study is to observe the effect of intraoperative topical application of mitomycin C (MMC) on the results of endoscopic dacryocystorhinostomy. Design: This is a prospective, randomized, controlled, single-blind study. Settings: Hospitalized treatment was done in a tertiary medical college hospital and research center that deals with a predominantly rural population. Patients: Patients with primary acquired postsaccal obstruction causing chronic dacryocystitis were considered. Methods: A total of 38 patients were randomized into either a mitomycin group or a control group. Both of these groups were subjected to an identical surgical procedure, except that 0.2 mg/dL of MMC was used in the mitomycin group, whereas normal saline was used in the control group. The follow-up period was at least 6 months. An asymptomatic patient with a visible stoma at nasendoscopy and free flow of saline into the nose with lacrimal syringing after 6 months after surgery was used as criteria for defining a successful result. Results: The success rate was 82.3% when MMC was used and 85.7% among the controls (P >.05). Granulations, adhesions, and obliterative sclerosis occurred in a similar number of patients of both groups. However, granulations and adhesions did not have a bearing on the success rate in either group. Conclusion: Mitomycin C did not appear to influence the occurrence of granulations, synechiae, or obliterative sclerosis, nor did it alter the success rate significantly. © 2012 Elsevier Inc. All rights reserved.
Taste and smell function in chronic disease:: A review of clinical and biochemical evaluations of taste and smell dysfunction in over 5000 patients at the Taste and Smell Clinic in Washington, DCRobert I. Henkin | Lucien M. Levy | April Fordyce
Volume 34, Issue 5, September 2013, Pages 477-489
Purpose To describe systematic methods developed over 40 years among over 5000 patients at The Taste and Smell Clinic in Washington, DC to evaluate taste and smell dysfunction. Materials and Methods A tripartite methodology was developed. First, methods to determine clinical pathology underlying the multiple disease processes responsible for taste and smell dysfunction were developed. Second, methods to determine biochemical parameters responsible for these pathologies were developed. Third, methods to implement these techniques were developed to form a unified basis upon which treatment strategies can be developed to treat these patients. Results Studies were performed in 5183 patients. Taste loss was present in 62% of patients, smell loss in 87%. Most patients with taste loss (52%) exhibited Type II hypogeusia; most patients with smell loss (56%) exhibited Type II hyposmia. Sensory distortions were present in 60%. Four common diagnostic entities were found: post influenza-type hyposmia and hypogeusia (27% of patients), idiopathic causes (16%), allergic rhinitis (15%) and post head injury (14%). Regardless of clinical diagnosis the major biochemical abnormality found in most patients (~ 70%) was diminished parotid salivary and nasal mucus secretion of cAMP and cGMP. Conclusions Taste and smell dysfunctions are common clinical problems associated with chronic disease processes. These symptoms require a systematic, integrated approach to understand their multiple and complex components. The approach presented here can and has led to effective treatment. © 2013 Elsevier Inc.
Chronic rhinosinusitis in the setting of other chronic inflammatory diseasesRakesh K. Chandra | David Lin | Bruce Tan | Robin Smolak Tudor | David B. Conley | Anju T. Peters | Leslie C. Grammer | Robert P. Schleimer | Robert C. Kern
Volume 32, Issue 5, September 2011, Pages 388-391
Objectives: The objectives of the study were to determine the prevalence of chronic rhinosinusitis (CRS) overall and its 2 phenotypic variants, CRS with and without polyposis (NP), in patients with chronic inflammatory comorbidities including autoimmune disorders, inflammatory bowel disease, and atopic dermatitis. These findings were compared with data in patients with asthma. Patients with hypertension were also used as a reference group to estimate the incidence of CRS in a group with regular medical follow-up. Study design: A retrospective, cross-sectional query of a large tertiary care electronic medical record database was performed. Results: Electronic medical record database prevalence of CRS in patients with hypertension was 4.4%. The prevalence of CRS was 18% in asthma (P <.0001), 7% in atopic dermatitis, 3.5% in inflammatory bowel disease, and ranged from 1.4% to 5.9% in autoimmune disorders. The frequency of CRS patients exhibiting the NP phenotype was similarly low in patients with autoimmune disease and hypertension, but was significantly greater in patients with asthma (P <.0001), inflammatory bowel disease (P =.033), and atopic dermatitis (P =.049), Conclusions: These findings suggest similar prevalence of overall CRS in patients with autoimmune disease and inflammatory bowel disease, and background rates as estimated by observations in hypertension patients. Inflammatory bowel disease and atopic dermatitis patients with CRS exhibit some skewing toward the NP phenotype, as do asthmatics, where this association is well known. © 2011 Elsevier Inc.
Adenoid cystic carcinoma of the airway: A 30-year review at one institutionAudrey P. Calzada | Mia Miller | Chi K. Lai | David A. Elashoff | Elliot Abemayor | Maie A. St. John
Volume 33, Issue 2, March 2012, Pages 226-231
Purpose: The purpose of the study was to evaluate the treatment results of adenoid cystic carcinoma (ACC) of the airway at a single institution during a 30-year period. Materials and methods: All cases of ACC of the airway over a 30-year period at one tertiary care institution were reviewed retrospectively. The demographics, treatment modalities, pathologic characteristics, and outcomes were evaluated. Results: Eleven patients were treated for ACC of the airway with an age range of 25 to 72 years (median, 48 years). Six patients presented with ACC in the larynx, and 5 patients had ACC of the trachea. All patients underwent surgical excision and radiation; 9 of 11 patients had postoperative external beam radiation, 1 patient had preoperative external beam radiation, and the remaining patient had postoperative neutron beam therapy. Four patients with tracheal ACC and none with laryngeal ACC had microscopic or grossly positive margins after surgery (P =.048). Eighty percent of patients had perineural invasion on pathology. Two patients with tracheal ACC had local recurrence of disease, which occurred at 1 and 10 months postoperatively. One patient with laryngeal ACC died of distant metastatic disease at 16 months. Follow-up varied from 4 to 168 months (median, 31 months). Conclusions: We report high disease-free survival rates for ACC of the airway in patients who underwent definitive surgical resection followed by postoperative radiation. There is a higher risk for local recurrence and positive surgical margins with distal tracheal location. Distant disease ultimately determines survival. © 2012 Elsevier Inc. All rights reserved.
Esophageal fish bone migration induced thyroid abscess: Case report and review of the literatureChing Yuan Chen | Jyh Ping Peng
Volume 32, Issue 3, May 2011, Pages 253-255
A thyroid abscess is a rare condition, and it is so infrequently encountered. A migrated fish bone is a rare otolaryngologic emergency indicated when the foreign body penetrates through the esophageal mucosa into the thyroid gland space of the neck after several weeks of swallowing. We present the case of a 50-year-old woman who had fever and anterior neck painful mass. An intrathyroid abscess was diagnosed; and she underwent thyrotomy with transcervical approach. A foreign body, which proved to be a fish bone and which fortunately did not cause any adverse effects, was removed. © 2011 Elsevier Inc.
Determining legal responsibility in otolaryngology: A review of 44 trials since 2008Peter F. Svider | Qasim Husain | Olga Kovalerchik | Andrew C. Mauro | Michael Setzen | Soly Baredes | Jean Anderson Eloy
Volume 34, Issue 6, November 2013, Pages 699-705
Purpose: Medicolegal factors contribute to increasing healthcare costs through the direct costs of malpractice litigation, malpractice insurance premiums, and defensive medicine. Malpractice litigation trends are constantly changing as a result of technological innovations and changes in laws. In this study, we examine the most recent legal decisions related to Otolaryngology and characterize the factors responsible for determining legal responsibility. Methods: The Westlaw legal database (Thomson Reuters, New York, NY) was used to search for jury verdicts since 2008 in Otolaryngology malpractice cases. The 44 cases included in this analysis were studied to determine the procedures most commonly litigated and progressing to trial, as well as the year, location, alleged cause of malpractice, specialty of co-defendants, and case outcomes. Results: Out of the 44 cases included in this analysis, physicians were not found liable in 36 (81.8%) cases. Rhinologic procedures comprised 38.6% of cases litigated, and rulings were in physicians' favor in 66.7% of endoscopic sinus surgery (ESS) cases and all non-ESS rhinologic cases. A perceived lack of informed consent was noted in 34.1% of cases. The 8 jury awards averaged $940,000 (range, $148,000-$3,600,000). Conclusion: Otolaryngologists were not found liable in the majority of cases reviewed. Rhinologic surgeries were the most common procedures resulting in litigation. Adenotonsillectomies, thyroidectomies, and airway management are also well-represented. Perceived deficits in informed consent and misdiagnosis were noted in a considerable proportion of otolaryngologic malpractice cases resulting in jury decisions. © 2013 Elsevier Inc. All rights reserved.
Effects of sulfurous, salty, bromic, iodic thermal water nasal irrigations in nonallergic chronic rhinosinusitis: A prospective, randomized, double-blind, clinical, and cytological studyGiancarlo Ottaviano | Gino Marioni | Claudia Staffieri | Luciano Giacomelli | Rosario Marchese-Ragona | Andy Bertolin | Alberto Staffieri
Volume 32, Issue 3, May 2011, Pages 235-239
Objectives: Nasal irrigations are mentioned among the adjunctive measures for treating several sinonasal conditions. Hyperchromatic supranuclear stria (HSS) in the ciliated cells (CCs) has recently been suggested as a potential cytological marker of the anatomofunctional integrity of nasal mucosa. The aim of this study was to compare the effects of nasal irrigations with sulfurous, salty, bromic, iodic (SSBI) thermal water or isotonic sodium chloride solution (ISCS) in patients with nonallergic chronic rhinosinusitis, considering the endoscopic, functional, microbiological, and cytological evidence (including the ratio of HSS-positive CCs to total CCs [the HSS+ rate]). Methods: In a prospective, randomized, double-blind setting, 80 patients were recruited for nasal irrigations with SSBI water or ISCS for 1 month. Results: An endoscopically assessed significant clinical improvement was seen after both SSBI thermal water and ISCS irrigations. Before treatment, Staphylococcus aureus was isolated in 5 patients in the SSBI thermal water group and 4 in the ISCS group. After the nasal irrigations, there was no sign of the bacteria in either group. Only the SSBI water irrigations significantly reduced total nasal resistance, as determined by rhinomanometry. Mild nasal irritation (6 cases) and episodes of extremely limited epistaxis (5 cases) were only reported after SSBI thermal water irrigations. Neither type of nasal irrigation significantly increased the mean HSS+ rate at cytological control after 1 month. Conclusions: Both types of nasal irrigation improved the endoscopic and microbiological features of patients with nonallergic chronic rhinosinusitis, whereas only SSBI irrigations significantly reduced total nasal resistance. Further investigations are needed based on longer treatments and follow-up periods to establish whether the HSS+ rate is useful for monitoring clinical improvements in chronic rhinosinusitis treated with nasal irrigations. © 2011 Published by Elsevier Inc.
A systematic algorithm for the management of lower lip asymmetryRobin W. Lindsay | Colin Edwards | Chris Smitson | MacK L. Cheney | Tessa A. Hadlock
Volume 32, Issue 1, January 2011, Pages 1-7
Purpose: An asymmetric smile, caused by loss of function of the lip depressors, can be functionally and cosmetically debilitating. Although some surgeons report excellent results with muscle transfer to the lower lip, many facial reanimation surgeons find that dynamic techniques do not consistently address the lower lip. Our objectives were to retrospectively review our outcomes after treatment of the asymmetric lower lip, and to propose a progressive, stepwise algorithm for the management of lower lip asymmetry in facial paralysis. Material/Methods: Retrospective chart review was performed on all patients treated in a multidisciplinary facial nerve center with lower lip asymmetry over an eighteen month period. Treatment ranged from a temporary trial of lidocaine, to chemodenervation with botulinum toxin, to pedicled digastric muscle transfer, and/or resection of the nonparetic depressor labii inferioris (DLI). Results: Fifty-seven patients were treated with chemodenervation with botulinum toxin, four with anterior belly of the digastric transfer, and 3 with DLI resection. All patients with DLI resection had undergone chemodenervation to the contralateral lower lip with botulinum toxin and were pleased with the appearance of their smile. Conclusions: We have found that lower lip asymmetry is optimally managed by adherence to a standardized protocol that offers patients insight into the likely outcome of chemodenervation or surgery and progresses systematically from the reversible to the irreversible. We present our algorithm for the management of the asymmetric lower lip, which reflects this graduated approach and has resulted in high patient satisfaction. © 2011 Elsevier Inc.
Spontaneous nystagmus in benign paroxysmal positional vertigoAlessandro De Stefano | Gautham Kulamarva | Leonardo Citraro | Giampiero Neri | Adelchi Croce
Volume 32, Issue 3, May 2011, Pages 185-189
Objective: The purpose of this study was to evaluate the presence and eventually to study the features of spontaneous nystagmus (Ny) in our patients with diagnosis of benign paroxysmal positional vertigo (BPPV). Patients and methods: We retrospectively reviewed the clinical records of patients who presented with vertigo spells and were managed at our tertiary care referral center. Patients with only idiopathic BPPV presenting with typical vertigo spells and positioning Ny characteristic of the disease were included in this study. To investigate the positioning Ny, we studied the patients in the sitting position, during the head shaking test, and during the Dix-Hallpike test and the McClure-Pagnini test (Ny provoked by rotation of the head in a supine patient). Ny responses in all patients were observed using infrared videoscopy. Results: We managed 412 patients affected by BPPV. Of the 412 patients, 292 (70.87%) were diagnosed to be having posterior canal-BPPV and 110 (26.99%) patients had horizontal canal-BPPV (HC-BPPV). The remaining 10 patients (2.44%) were identified to have anterior canal-BPPV. Spontaneous Ny in sitting position was observed, by infrared videoscopy, only in the patients affected by HC-BPPV. Conclusion: Spontaneous Ny in BPPV can be observed with infrared videoscopy in patients affected by HC-BPPV. The origin of this Ny is most likely due to a natural inclination of horizontal semicircular canal with respect to the horizontal plane. This Ny stops after flexion of the head in neutral position, and for this reason, it should be considered as a seemingly spontaneous Ny. This Ny, in our experience, is observed in most HC-BPPV patients but does not indicate the need for a different management protocol or any different prognostic value of HC-BPPV. © 2011 Elsevier Inc.
Diagnostic efficacy of different methods in the assessment of adenoid hypertrophyBabak Saedi | Mohammad Sadeghi | Mohammad Mojtahed | Hossein Mahboubi
Volume 32, Issue 2, March 2011, Pages 147-151
Objective: This study was designed for better understanding of the role of different methods of nasal endoscopy in the assessment of adenoid hypertrophy and comparing them with lateral neck radiography and patients' symptoms. Subjects and method: From August 2007 until January 2009, in the otolaryngology ward of a tertiary referral center, 89 patients who had symptoms related to chronic mouth breathing participated in this study. History of the symptoms related to adenoid hypertrophy was obtained from them. In addition, all patients underwent nasal endoscopy and lateral nasopharynx x-ray. The clinician who did nasal endoscopy was blinded to information about clinical data and x-ray and vice versa. Afterward, the relationship between symptoms and each diagnostic procedure was evaluated. Results: Patients had a mean age of 9.47 ± 4.68 years. In the evaluation of the relationship between symptoms grading and grading in lateral neck radiography, this relationship was significant about snoring. Furthermore, there was a significant relationship between the endoscopic size of adenoid and number of the episodes of acute otitis media. The sum of symptoms grading had a significant relationship with the size of adenoid in lateral neck x-ray, but not in nasal endoscopy. Conclusion: The results of the present study indicated that both radiography and nasal endoscopy could define the relationship between adenoid hypertrophy and associated symptoms and therefore are complementary. Between them, despite the popularity of nasal endoscopy, radiography can serve as a better planning tool. © 2011 Elsevier Inc. All rights reserved.
Pediatric subperiosteal orbital abscess secondary to acute sinusitis: A 5-year reviewV. T E Soon
Volume 32, Issue 1, January 2011, Pages 62-68
Objective: Subperiosteal orbital abscesses (SPOAs) secondary to acute sinusitis are rare occurrences in the pediatric age group, more so in the neonatal period. Here, a rare case of SPOA in a 38-day-old newborn later drained via endoscopic sinus surgery is included also. This review describes the demographic data, clinical history, treatment, microbiology results, complications, and outcome. Methods: The admission records for all the patients who were admitted to the Pediatric Surgical Ward in Sarawak General Hospital, Kuching, Malaysia, between January 2004 and May 2009 were retrospectively reviewed. Records of patients who presented with preseptal cellulitis, orbital cellulitis, subperiosteal abscess (extraconal), orbital abscess (intraconal), and cavernous sinus thrombosis were closely studied. Ophthalmology consultations were obtained in all these cases. Ultimately, 3 patients having SPOA secondary to acute sinusitis were selected for this review. Results: All patients were male with rapid onset of periorbital signs, absence of purulent rhinorrhea, and presence of significant thrombocytosis (exceeding 500 × 109/L). The 38-day-old newborn had mixed infection of methicillin-resistant coagulase-negative Staphylococcus bacteremia and local Acinetobacter eye infection with Staphylococcus aureus in the SPOA. All had medially located SPOA that was adequately drained via endoscopic sinus surgery, resulting in full recovery. Conclusion: Newborns with preexisting risk factors and immature immunity are at risk of severe and rare infections. Contrast-enhanced paranasal sinus computed tomographic scan is mandatory and reliable to differentiate preseptal and postseptal orbital infection, as both conditions can present similarly and rapidly deteriorate. In the contrast-enhanced computed tomography-demonstrable SPOA, endoscopic sinus surgery drainage of the abscess proved to be safe and reliable as the main treatment modality. All patients recovered well without complications. © 2011 Elsevier Inc.
Detecting and identifying nonrecurrent laryngeal nerve with the application of intraoperative neuromonitoring during thyroid and parathyroid operationFeng Yu Chiang | I. Cheng Lu | Cheng Jing Tsai | Pi Jung Hsiao | Ka Wo Lee | Che Wei Wu
Volume 33, Issue 1, January 2012, Pages 1-5
Purpose: The nonrecurrent laryngeal nerve (NRLN) is a rare anatomical variant but associated with high risk of nerve injury during thyroid and parathyroid operations. Therefore, intraoperative detection and verification of NRLN are necessary. Method: A total of 390 consecutive patients who underwent thyroid and parathyroid operations (310 RLNs dissected on the right side and 293 nerves on the left side) were enrolled. Electrically evoked electromyography was recorded from the vocalis muscles via an endotracheal tube with glottis surface recording electrodes. At an early stage of operation, vagal nerve was routinely stimulated at the level of inferior thyroid pole to ensure normal path of RLN. If there is a negative response from lower position but positive response from upper vagal stimulation, it indicates the occurrence of a NRLN, and we localize its separation point and path. Results: Four right NRLNs (1.3%) without preoperative recognition were successfully detected at an early stage of operation. Three patients were operated on for thyroid disease, one for parathyroid adenoma and all were associated with right aberrant subclavian artery. All NRLNs were localized and identified precisely with intraoperative neuromonitoring. Functional integrity of all nerves was confirmed by the intraoperative neuromonitoring and postoperative laryngeal examination. Conclusions: Vagal stimulation at the early stage of operation is a simple, useful, and reliable procedure to detect and identify the NRLN. © 2012 Elsevier Inc. All rights reserved.
Etiology of unilateral hearing loss in a national hereditary deafness repositoryKelley M. Dodson | Alexandros Georgolios | Noelle Barr | Bich Nguyen | Aristides Sismanis | Kathleen S. Arnos | Virginia W. Norris | Derek Chapman | Walter E. Nance | Arti Pandya
Volume 33, Issue 5, September 2012, Pages 590-594
Purpose: The aim of this study was to characterize the genetic, audiologic, and epidemiologic characteristics of unilateral hearing loss (HL) in a national hereditary deafness repository. Materials and Methods: This is a prospective clinical study involving 34 subjects identified in a national hereditary deafness repository. Clinical data and family history of HL were obtained on enrollment. Candidate deafness genes were screened by single-stranded conformation polymorphism, and mutations were confirmed with sequencing. Results: Thirty-four subjects (19 males, 15 females) with unilateral HL were identified, ranging in age from 2 months to 36 years. The mean age at diagnosis was 7 years, and the left ear was affected in 62% of the cases. The racial distribution of our sample was 62% white, 23% African American, and 15% Hispanic. Imaging results were available in 47%, and most (69%) were considered normal. Nineteen percent had enlarged vestibular aqueducts, 2 had ipsilateral Mondini dysplasia, and 1 had a common cavity deformity. Twenty subjects (59%) had a family history of HL, with 26% specifically reporting familial unilateral HL. Mutational screening revealed sequence variants in the GJB2 (connexin 26), GJB3 (connexin 31), TECTA, and COCH genes. Two novel mutations were detected in COCH and TECTA. Conclusions: Sequence variants in known deafness genes were detected in more than one-third of our study population, suggesting that gene/gene or gene/environmental interactions may indeed play a role in the etiology of some cases of unilateral deafness. Further prospective studies including congenital cytomegalovirus screening at birth and molecular screening of deafness genes in children with congenital unilateral HL will be required to establish the etiology of unilateral deafness with certainty. © 2012 Elsevier Inc.


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Funding Unsuccessful
This project's funding goal was not reached on July 18, 2014.
Keep your MacBook AC power adapter plug from getting lost.
This project's funding goal was not reached on July 18, 2014.
If you have an Apple MacBook or iPad, you have a power brick with detachable AC adapter plug. The plug (affectionately referred to as a "duck head") is easily forgotten or lost when not being used. Like when you've been using the extension cable.
Your backing of this project will allow us to:
I originally created a rough model in Sketchup and had it 3D printed to prove out the basic design. I'm not an industrial designer, so it's functional but the plug could be accidentally dislodged, and it's not as polished as I'd like.
Since then, I've been working with a product designer to improve the retention, make it more aesthetically pleasing, and insure that the tolerances are appropriate for the injection mold process. The final version will be made of gloss white ABS plastic, to match the Apple power brick. It will include a self-adhesive foam piece to quickly and easily attach to your power supply.
The holder fits pretty much any Apple AC power adapter that utilizes the duck head style adapter plug. This includes:
Why do we need your help? Simply put, manufacturing is expensive. We want to use a process called "injection molding" to create a product that is as close to Apple quality as we can get. Unfortunately this requires a hefty set up cost. There are also quite a few steps involved with mass producing even a very simple plastic part. Our baseline goal should be just enough to cover the design and manufacturing costs to get this into production. A somewhat simplified view of the steps:
Thank you for taking time to review our project. And it really is "our" project, as your backing helps independent Makers and entrepreneurs take ideas like this one from a napkin sketch to a real product that everyday people can use. Make your pledge and share on social media so that we can bring this to life!
U.S. Patent Pending
Taking any product from prototype to mass production comes with its own set of hurdles. I've chosen to partner with a industrial designer and manufacturer experienced in developing this type of product as a way to help mitigate risks as much as possible. This includes good faith estimates covering both costs and schedule.
I have several years experience as a product manager for high-tech hardware products, and have a firm grasp of what is required for successful New Product Introduction (NPI).
This is my second Kickstarter project. My first was fully funded, and delivered on time.Learn about accountability on Kickstarter
Have a question? If the info above doesn't help, you can ask the project creator directly.
- (30 days)

subset: commoncrawl


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I have a 4 year old daughter and was wondering if anyone would like to hang out and would like to by my workout buddy as well. It sucks doing the same thing over and over again. I live in the south side of san jose about 10 min away from oakridge mall. If anyone would like to hang out let me know. I would like to meet new people it seems like I've lost all my friends because I have kids and they don't. We are not on the same page anymore and it's sad but it's life..
workout buddy/ play dates
Posted 03/30/2010
Comments (2)
Posted 03/31/2010
I saw your post, and although South SJ is too far for me to work out and all that, I just wanted to say that you can definitely make new friends with kids. Have you thought about joining a moms' group?
Posted 04/02/2010
I live near you, but I don't work out. :) I probably should though. I'm a little busy right now (I'm having a baby on Tuesday), but my son *always* likes to meet new girls. He's 5 (6 this summer). Maybe we could meet up at a park or the mall or something. I live over near WalMart/Bernal/Blossom Hill Rd. PAN if you want to set something up. Like I said, the immediate future is a little crazy, but it'd be nice to make some more friends around here. :)
Rachel (5/3/76)
DH Paul (8/6/75),
DS Thomas (8/19/04),�DD Julia�(4/6/10)


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Mark your calendars for October 15th, 2016 at Norco College for this great event!
This Friday, September 16th, CNUSD will have its first 100% Attendance Day Challenge!
Results reveal that CNUSD achieved significant gains in ELA and Math compared to other districts in the county and state!
Join us for a fun and informative Open House on Wednesday, September 7th from 3-6 pm.
Learn more about your child's CAASPP results!
The first of a series of community updates regarding Measure GG.
CNUSD's "Literacy is Everywhere" annual conference kicked off with the signature literacy quote "No skill is more crucial to the future of a child–or to a democratic and prosperous society—than literacy," Michael Parks.
at Village Loop Park on the second Tuesday of every month from 5-6 PM.
Our date to turn in art is Tuesday, October 7th.
10:00 AM - 11:00 AM Absentee picture day
8:00 AM - 9:00 AM Sports Day!
8:00 AM - 9:00 AM Box top collection begins
8:00 AM - 9:00 AM Early release
8:00 AM - 9:00 AM Last day for sweatshirt reorders accepted
We welcome the community to join us at the upcoming eSTEM Community Information Meeting.
Stay connected to what's going on in CNUSD!
The project is divided into 10 key segments along the 91 and south on Interstate 15. Construction began in early 2014 and new lanes are expected to open in 2017.


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Category:Action games
Revision as of 18:53, 13 June 2012 by KingAragorn Bot (Talk | contribs)
This category lists all action games related to J.R.R. Tolkien's works.
This category has only the following subcategory.
Pages in category "Action games"
The following 16 pages are in this category, out of 16 total.


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Apparently there was a miscommunication somewhere; the alternator wasn't new. He replaced that and the battery and is having no issues now.
Type: Posts; User: 1.8t rado
Apparently there was a miscommunication somewhere; the alternator wasn't new. He replaced that and the battery and is having no issues now.
It's a 2L Mk3 cabby. Not sure on the exact year. I'll have my friend check your suggestions.
Edit: It's a '97 and has an aftermarket head unit. My friend is gonna create a new account and hop on...
Posting for a friend on the other side of the country, so pardon the vague second hand information.
The fuel and oil pressure gauges are sweeping erratically with no key in the ignition, and...
Bump for a good guy and a solid GTI. It's been maintained and modified by a guy that cares about his car. There's no hacked wiring or sketchy changes. I've spent a lot of time in and around it, and...
Nice. :laugh:
Makes since, considering that cross trainers are designed for aerobic exercises in a gym, not hiking. Or even large amounts of running on pavement for that mater.
"5 Reasons to ditch your hiking boots"
Awesome piece of gear! I own the older version (bottom one), and it's my absolute favorite camera accessory. Keeps your camera readily accessible while hiking without the annoyance of it swinging...
Mance Rayder. Red-haired dude is Tormund Giantsbane, who Jon actually briefly mistook for Mance when he went to meet the wildling leader for the first time at the beginning of season 3....
Two more episodes left! They always skip the holiday weekend.
He had several brief appearances at Harrenhall in season two. Though he was portrayed by a much thinner actor.
Season 1:...
No, he created a bounty of 100 silver stags (coins) to whoever finds/kills the hound.
haha, where you serious or was this a joke? I don't mean any offense, it's just hard to tell sometimes in text. The show is based off a series called A Song Of Ice And Fire, the first book of which...
The actor that plays Ilyn Payne was diagnosed with terminal pancreatic cancer and won't be returning to the show; they had to replace Jaime's trainer. Though as far as using Bronn as opposed to...
That theory has been around for like 12 years man.
Trailer 4
Trailer 3!


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Welcome to the Alameda Civic Ballet's
Saturday, December 17, 2016 at 2 PM
This holiday season prepare to be transported on a magical journey with Clara and the Nutcracker Prince. From the heroic battle against the Mouse King, travel through the Land of the Snowflakes and on to the Kingdom of the Sweets. There you will meet the Sugar Plum Fairy and be entertained by the wonders of the Land of Enchantment. Choreographed by Artistic Director Abra Rudisill with gorgeous costumes and beautiful sets - all to the classic Tchaikovsky score - this is a production sure to bring out the child in all of us. Whether this is your first time seeing a Nutcracker production or it is a time honored holiday tradition, make Alameda Civic Ballet's Nutcracker part of your holiday festivities.
Families are welcome to these performances, but everyone will need a ticket. Babies on laps are not permitted. Please use your best judgement as to whether your child can sit quietly through a 2 hour performance. Thank you.
2016 Nutcracker Auditions will be held on Saturday & Sunday, September 24th and 25th, 2016, at the ABA Studios, 1402 Park Street in Alameda. Auditions are open to all dancers ages 4 and up. Please click here to download our flyer with more information about the auditions.
Volunteer Opportunities
If you have a child or family member in the performance and/or would like to volunteer, please click here to see a list of various volunteer opportunities with Alameda Civic Ballet.
Find Out What Goes on Behind the Scenes
Local blogsite, The Alamedan, features an article on ACB's 2012 The Nutcracker. Read about the cast and view the slideshow as the dancers prepare for performances.
ACB's The Nutcracker 2012 Featured in the Oakland Tribune
Sally Hogarty of the Oakland Tribune highlights the diverse group of dancers in her December 6, 2012 article on ACB's The Nutcracker. Read it here.


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Eli Young Band gets up to speed for Kenny Chesney opener
Opening up stadiums for Kenny Chesney's No Shoes Nation tour was a bit of an adjustment, said James Young, guitarist for the Texas-based Eli Young Band.
"It would have been nice if we could have actually warmed up with an arena or amphitheater," Young said of playing the tour kick-off at Raymond James Stadium in Tampa, Fla., in March. »Read Full Article
LeAnn Rimes; Cody Simpson; MGMT; Alex Clare; the Go-Go's; LEAGUES
LeAnn Rimes
When LeAnn Rimes appeared at the Miller Lite Oasis on Wednesday night, she was some distance — both in years and in miles — from the proto-Taylor Swift she might've been in the middle to late 1990s. »Read Full Article(8)
Luke Bryan dances up a party
Anyone wondering where Milwaukee's loudest party was Wednesday night only needed to listen for the deafening screams that emerged from the Marcus Amphitheater every time Luke Bryan swiveled his hips.
As the silhouette of country music's southern-fried frat boy appeared above the stage, the capacity crowd erupted. With fists pumping and beers and voices raised, this audience was primed to celebrate. Across a ready-made set of summer melodies and feel-good vibes, the Georgia native was happy to oblige. »Read Full Article
Weekly Entertainment Calendar
Cafe Centraal: Bay View Metro Acoustic Music Series, 5-8 p.m. July 7, 2306 S. Kinnickinnic Ave. »Read Full Article
Exclusive Video: Alex Clare performs 'Three Hearts,' 'Too Close' on a paddleboat at Summerfest
British singer-songwriter Alex Clare took a few minutes before his headlining show at Summerfest tonight to give an acoustic performance for Tap Pre-Show. Instead of cramming into a noisy room backstage, Clare wanted to do something fun. Looking for some nice scenery and a quiet location, he recommended the paddleboats right near the U.S. Cellular Connection Stage, where he will perform at 10 p.m.
After signing some waivers and snapping a few photos with fans passing by, we went out in paddleboats and recorded in the middle of the lagoon. This is the second take, where he performs "Three Hearts." »Read Full Blog Post
Exclusive Video: Ryan Beatty defines his perfect date in Summerfest interview
He may be young, but his following his powerful. Meet Ryan Beatty, an on-the-rise pop artist whose journey started on YouTube. Today he answered 10 questions for Tap Milwaukee music writer, Piet Levy, before taking the stage as an opener for Cody Simpson at 2 p.m. at the BMO Harris Pavillion. »Read Full Blog Post
'American Made Movie' tours country, stopping in Milwaukee
"American Made Movie" chronicles the decline of American manufacturing — and the efforts of some companies that could signal strategies for reversing the decline.
Before its theatrical release in August, the documentary is hitting the road on a "national economic bus tour" with visits to more than 30 states, including one to Milwaukee on Thursday with a 4:15 p.m. screening at the Landmark Oriental Theatre, 2230 N. Farwell Ave. »Read Full Article
Exclusive Video: Cody Simpson shares hair styling secrets and more at Summerfest
Backstage of the BMO Harris Pavillion, pop star Cody Simpson caught up with Tap Milwaukee music writer, Piet Levy, to answer 10 somewhat personal questions. He performed today at 2 p.m. with Ryan Beatty. »Read Full Blog Post
Mayura owners to open a new Indian restaurant downtown, Bollywood Grill
The owners of Mayura Indian restaurant on the east side will open Bollywood Grill at 1028 N. Jackson St., a new restaurant that will have both a dining room and a fast-casual element for snacks. »Read Full Blog Post(2)
Milwaukee music stalwarts join forces on 'Plays Well With Others'
Local electric guitar whiz Greg Koch called in a bunch of favors for the Greg Koch Band's latest album, "Plays Well With Others." Guest contributors range from New Orleans funk musician Jon Cleary to Paul Barrere from acclaimed genre-blending rock band Little Feat to Leonard Cohen's musical director, Roscoe Beck. There's also an appearance from blues guitarist and singer Joe Bonamassa, who is so popular he sold out the 2,500-seat Riverside Theater this year.
But the most important friend on Koch's new album is closer to home: John Sieger, frontman for local Americana band Semi-Twang. "Plays Well With Others" marks the first time these two local music heavyweights, who have 24 albums between them, have joined forces. Koch wrote the bulk of the music, while Sieger handled the lyrics and sang on all the tracks except one. "I got possessive," Sieger said, half-jokingly. They talked about the collaboration in advance of their show Friday night at Summerfest. »Read Full Article
On Tap Today: Summerfest rundown for July 3
Journal Sentinel music writer Piet Levy gives you the rundown of what to look forward to today at Summerfest. »Read Full Blog Post(1)
My Summerfest: Graham Hunt, singer-guitarist for Midnight Reruns
When to see him: 8:30 p.m. Wednesday, K-Nation / Cascio Interstate Music Stage
Fest experience: Hunt, 21, went to his first Summerfest when he was 4 or 5 and has played there five times since 2007 with different bands, including Trapper Schoepp and the Shades. »Read Full Article
Emilie Clark at the Lynden Sculpture Garden
Like a Victorian naturalist, Emilie Clark has made a careful study of her subject, complete with field notes, writing, drawings and paintings. Her subject? Her own life, as a woman, an organism and a thinker.
Inspired by the life and works of Ellen Henrietta Richards, who introduced the term "ecology" into the English language and who was the first female student and instructor at the Massachusetts Institute of Technology, Clark has embodied Richards' century-old research methods and practices during the last year or so. »Read Full Blog Post
Three to See: Suggestions for July 3
Something known: Brandi Carlile (10 p.m. Briggs & Stratton Big Backyard). Carlile's emotional vocals can inspire chills, but her down-to-earth humility makes her an endearingly warm stage presence. »Read Full Article
Have a question for Cody Simpson?
Cody Simpson's "Paradise Tour" is making a stop at Summerfest's BMO Harris Pavilion at 2 p.m. July 3. Photo by Aaron Vincent Elkaim. »Read Full Blog Post
Summerfest headliners Pretty Lights, Phil Vassar returning to Milwaukee
Pretty Lights was one of the core reasons Summerfest was so incredibly packed Saturday.
Clearly there's huge demand for the hip hop-influenced electronic music artist--and fulfilling that demand, Pretty Lights is coming back to Milwaukee, headlining the Rave Nov. 14, the venue has announced. »Read Full Article
For the Makers Inc.
Here is a brilliant idea for the Pinterest age.
I don't know about you, but I am routinely inundated with ideas for tempting do-it-yourself projects. Let's just take a quick peek at my Pinterest page. Yep, there's a project to turn a small toddler T-shirt into a dress, to turn an old dresser into a "signature" piece of furniture, to turn old furniture into garden ornaments, or turn chipped teacups into bird feeders. And that's not to mention the endless macrame, quilting, painting, antiquing, jewelry-making and paper-making efforts that look so simple and fun. »Read Full Blog Post
On Tap Today: Fireworks! (part 1)
There aren't many things in this life that you can count on, but you can always count on this: If it's Fourth of July Eve, there's a big boom in Milwaukee. The U.S. Bank Fireworks bring the ooohs and aaahs starting at 9:30 tonight off Veterans Park over Lake Michigan. You'll be able to see them all over town, even if you didn't camp out to get a front-row seat.
There's lots more where that came from; most of the Milwaukee area's municipal fireworks shows are tomorrow night. »Read Full Blog Post


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At KOA, we love having fun and inviting new folks to join us online as well as at our campgrounds. Share your camping experiences, stories, photos and videos!
Each month, direct to your email inbox, we'll send the best camping news, tips, recipes and more, to enhance the camping lifestyle that you love so much.
Learn More
"The greatest meeting of land and water," a coastal California dream trip p...
Delicious homemade pizza meets camping in this easy grilling recipe.
Learn tips for proper RV lubrication in our latest RV maintenance video.
Plan the perfect trip from home or on the road with the official KOA app. Learn More
Open April 29 - October 17
Reserve: 800-562-0906
Info: 613-475-2186
Exit 509, 15051 Telephone Road
Brighton, ON K0K 1H0 Canada
From Hwy 401 Westbound: Exit 509, straight across onto Telephone Rd. From Hwy 401 Eastbound: Exit 509, turn left, over bridge, immediate left on Telephone Rd. From Hwy 2: North on Hwy 30, over 401, immediate left on Telephone Rd. GPS: N44.068834, W77.786722
Camper Rating 4.5 out of 5
Based on 1000 Reviews
Download PDF
Do not include the length of your tow or pull vehicle.


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Learn how to change directionRead More »
Tag Archives: beginner
Riding Upwind
A selection from Tkb's Beginner Instructional GuideRead More »
Learn the Basics
Tkb's Beginner Instructional GuideRead More »
Erin Swain: Turks and Caicos Kiteboarding Report
With the wind forecast in the 20s, what we got was a dream come true.Read More »
New DVD for Beginners: The Way to Fly
As the title states, this is truly the most comprehensive beginner instructional video I have seen since I started kiting in 1999.Read More »
TKB Beginner Instructional Guide: The Perfect Companion to Your Kiteboarding Lesson
Full of helpful information tailored specifically for the beginning kiteboarder, the TKB Beginner Instructional Guide is the perfect compliment to your first kiteboarding lessons.Read More »
Erin Swain: La Parguera Session
Since my last post, I've had a few sessions at Shacks and Montones. I have been doing okay, but not really progressing. I realized that the deep ocean at Montones and shallow reef at Shacks were making me nervous and keeping me from working on anything that would make me lose my board.Read More »
Erin Swain: Montones
After two great days at Shacks, I went over to Montones to kite with two new guys I met. I had a leak in my 9m, and they were waiting on their boards from a buddy who was held up at the dentist. It was perfect: I had a board, they had kites.Read More »
Erin Swain: Winter Sessions in Puerto Rico
Merry Christmas to me! I got to kite three days in a row in PR! I honestly didn't think I'd be having my third ocean session at Shacks Beach. It's a spot that is coveted by kiters, but it can be a more advanced spot. Lucky for me, I have a number of people looking out for and encouraging me.Read More »
Erin Swain: First Ocean Session
OK, so today was THE DAY! My first Ocean Kiting experience! I have been waiting for this day for what feels like an eternity! I went to a spot on the north coast of Puerto Rico called Montones. It's a cove that has a huge rock on one side where sets of waves wrap around and break. The beach is beautiful and there is a mix of sand and reef bottom. The water gets shallow in spots but mostly its pretty deep. Luckily, it's sandy by the shore so its easy to get in and out of the water.Read More »
Erin Swain: Cold Hatteras Session!
The sun was out, but it was about 50 degrees and blowing strong. I had been out the day before in the clouds and wind and was cold but I figured the sun would warm everything up. I had a posse of 9 people ready to do a downwinder. The weathervane on top of the building was going nuts when we arrived at Kitty Hawk Kites. One minute it was south west, the next it was turning east.Read More »
Erin Swain: Glorious Ocracoke Evening Session!
I was on a staycation - That's a term I adopted from my friend Billy. It's when you take time off work and enjoy everything your home has to offer. In my case, surfing and kiting! So I woke up early and headed over to Kite Point down near Buxton.Read More »
Erin Swain: Planet of the Apes
After my day of light wind and a lesson with Kite Club Hatteras, I was able to go on a downwinder known as Planet of the Apes. I started at MP 46 and was going to the Kitty Hawk Kites location in Waves.Read More »
Erin Swain: Lessons for Self-Sufficient Riders?
With a new 9M Epic Renegade and a borrowed Aggression kiteboard, I was curious to see what a lesson could do for my progress. I headed down to Avon to meet up with a Bulgarian and his girlfriend. They run a kite school and I had met them up at Jockeys Ridge a couple weeks prior to this meeting.Read More »
Erin Swain: Lost Board
The last time I kited, I started to realize that I needed a smaller board. I finally decided to buy a used one, and Dimitiri Maramenides happened to have one great for me. It was 129 cm long which was perfect for me. I was stoked. Not only did I grab the board just in time for a session, but Dimitri had a 10M screamer for me to demo.Read More »


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OSHA News Release - (Archived) Table of Contents
OSHA National News Release
U.S. Department of Labor
News Release USDL: 95.309
Wednesday, August 9, 1995
Contact: Frank Kane, (202) 219-8151
OSHA Extends Stay Of 12 Provisions In Final Logging Rule Until Sept. 8, 1995
The Occupational Safety and Health Administration (OSHA) announced today that it is extending a partial stay of enforcement of 12 provisions of the new final rule on logging operations for an additional 30 days, until Sept. 8.
The partial stay for six months had been due to end Aug. OSHA is extending the partial stay in order to complete its reconsideration of issues raised about some provisions of the standard, complete corrections and clarifications in the regulatory text and preamble, and revise its compliance directive to reflect those changes.
Other provisions of the final rule were not affected by the partial stay and became effective on Feb. 9.
On Oct. 12, 1994, OSHA issued the final logging rule, which included, among other things, requirements for the use of personal protective equipment; first-aid kits at logging work sites; machine stability and slope limitations; discharge of hydraulic and pneumatic storage devices on forestry machines; machine braking systems; vehicle inspection and maintenance; and tree harvesting.
Several parties raised questions about some of these requirements.
The provisions included in the partial stay involve requirements relating to logging boots that protect against penetration by chain saws; face protection [eye protection became effective Feb. 9, 1995]; health-care provider approval of first- aid kits; prohibition of machine operation on slopes greater than recommended by the manufacturer; discharge of stored energy from hydraulic and pneumatic storage; machine rollover protective structures (ROPS); machine operator cab protective material for the lower portion; the capability of the parking brakes to stop a moving braking system; the employer's obligation to assure that employee-owned vehicles for use off public roads are inspected and maintained in serviceable condition; and backcuts for loggers employing the Humboldt cutting method.
Notice of the extension of the partial stay for the 12 provisions is included in the Wednesday, Aug. 9 Federal Register.
|OSHA News Release - (Archived) Table of Contents


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After years of public school education the association between September and that back-to-school anticipation has been burnt onto our synapses. This antsy feeling often results in a strong compulsion to get prepared for the changes autumn brings, in other words, binge-shopping. The women on the Denim Therapy team always turn first to ASOS to satisfy this urge. The UK online retailer started in 2000 and launched ASOS Marketplace in 2010. This new expansion to their site serves as a platform for independent boutiques to sell their goods. We try to support our fellow small businesses whenever we can and ASOS Marketplace is a pretty good place to start if you like the styles the online giant sells. Check out our favorite denim pieces for fall sold on the Marketplace below.
Left: Denim Crop Top by Mint Vintage, Right: Denim Crop Top by House of Jam
Left: Reworked Denim Jacket by Avelinas Vintage, Right: Dark Denim BF Shirt by Cherry Cameto
Left: Buckle Pinafore Dress by Re:Dream, Right: Button Down Mini Dress by Vulgar
—Emily B. McIntosh
Tags: 70s denim, 90s denim, ASOS, DENIM, denim boutique, denim crop top, denim dress, denim jacket, denim jumper, denim patch, denim pinafore, denim shirt, independent boutique, marketplace, reworked denim, UK, vintage denim, western dress, womens denim
It's no secret: we love spring and summer denim! This printed denim jumper by Ace & Jig has everything we're looking for in a cute summer denim look: a sweet print, a chic high waist, and the versatility to pair with everything from a basic white tee to a pair of gladiator sandals.
—DT Staff
Tags: Boho style, boho-chic, buy denim online, denim jumper, denim playsuit, free people denim, summer denim trends
Summer denim is definitely playful, and we love when celebs show just how fun this season's style can be. Beyoncé's instagram shows her posing playfully against a beachy backdrop in the Stella McCartney Cut-out denim playsuit. She must really love this number, to post three photos of herself wearing it! For less than 1k, this one piece can be all yours, and we'd encourage similar beach babe photo-taking. Scroll to see this suit in action.
Photos via Beyoncé on Instagram.
—DT Staff
Tags: beyonce instagram, beyonce style, cut-out, denim jumper, denim jumpsuit, denim romper, Stella McCartney denim, summer denim
In the market for a jumper? How about this hot little number, newly arrived at Hudson Jeans? The strapless draw-string waisted one piece features thick cuffed shorts and great contour seaming on the lower half, keeping the top simple and clean. A definite transitional piece from day to night (switch out your flip flops & beach hat for some knock-out jewelry and black wedge sandals), you basically won't have to take it off until August! Juuust kidding (kind of).
Hudson Jeans Cabrillo Jumpsuit ($198) – buy it at Hudson Jeans.
—Michelle Christina Larsen
Tags: day to night fashion, denim jumper, denim one-piece, Hudson Jeans, summer fashion
While most of this is borderline slutty, we can't help but admire the long limbs and awesome denim separates featured in this editorial from Vanity Fair Italia May 2011. Shot by Sergi Pons, model Jules Mordovets seduces the lens from every angle in tied-up cropped denim work shirts, denim shorts with thigh-highs, and super-high heels. We love the ruffled one-piece jumper in the opening image below—a super cute, feminine take on traditional denim styles.
[nggallery id=263]
Images via Denimology.
—Michelle Christina Larsen
Tags: denim jumper, Denim Work Shirt, italia, jules mordovets, may 2011, sergi pons, sexy denim, vanity fair
We couldn't be more thrilled to present three incredible denim-infused looks from the Mike Gonzalez spring 2011 collection (which is, in short, a bohemian dream). The line is characteristic in its well-played head wraps, organic bangles, cut-outs, and ethnic prints, but the star of this show is all-blue, baby! We're beyond obsessed with this round up of braid-rope belted denim jumper, versatile cropped drawstring pants, and stylized denim jacket. This is one example of boho-denim that needn't even graze the surface of western. If you thought the West was wild, scroll down and think again.
Mike Gonzalez is available at Pink Mascara, Revolve Clothing, Shopbop, Tobi and more… for a complete list of retailers, visit the the official site.
—Michelle Christina Larsen
Tags: Bohemian, denim jumper, denim trends, drawstring pants, head wraps, Mike Gonzalez, spring 2011 collection, turbans


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Valley Forge-based pharmaceutical wholesaler AmerisourceBergen Corp. said Thursday that its net income increased four percent in its first quarter, which ended Dec. 31, compared to the same period in 2011. Net income rose from $162.1 million to $168.6 million in 2012.
AmerisourceBergen also said quarterly revenue rose 5.7 percent from the same period in 2011. The company is one of the three biggest drug wholesalers in the nation and the biggest Pennsylvania company as measured by revenue.
The company said quarterly revenue increased from $20.3 billion a year earlier to $21.5 billion. In a conference call with stock market analysts, chief executive officer Steven Collis said fewer introductions of new generic drugs and lower reimbursements in its Canadian subsidiary hurt revenue. - David Sell


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Aiken 67, Spring Valley 57
The Hornets avenged their lone loss of the season and beat the Vikings on their home court. Shawn Moore had 36 points to lead Aiken to a win, and Dramel Coleman also contributed 10. Stacy Toole scored seven points and had a strong game defensively, according to head coach Tony Harrell.
Aiken pushed its record to 5-1 and will play on Tuesday at home against Westside.
Silver Bluff 57, Bamberg-Ehrhardt 40
The Bulldogs picked up a win in their Region 5-AA opener to move their record to 3-4. Donte Wright had 22 in the win, followed by Brian Hickson, who had 11, and Gyasi Yeldell, who had nine.
Sliver Bluff will play again on Tuesday at home against Midland Valley.
Strom Thurmond 45, Saluda 41
Daquarius Johnson led the Rebels with 14 points, and Strom Thurmond picked up a win over Saluda. The win pushed the Rebels to 4-3 on the year, and their next game will come on Tuesday at Butler (Ga.) at 7:30 p.m.
North 63, Williston-Elko 56
The Blue Devils got a strong game from Justice Wallace, who had 18 points and eight rebounds, and Kalief Freeman, who had 12 points and 10 rebounds, but fell short in their region opener. The loss dropped Williston-Elko to 2-3 on the year. The Blue Devils will be back in action on Monday at Barnwell and Tuesday at Wagener-Salley.
Northside Christian MS 30, Mead Hall 26
Turner Neal had 17 points, and Zac Hoyt added in nine for Northside in its win over Mead Hall. The Panthers pulled within two points in the last minute of the game before falling short. Ben Gilligan scored 13 points to lead the Panthers, followed by Chris Brinkley with six points. Other scorers included Dimitri Martin with three points, and both Zion Glover and Griffith James scored two points each.
Curtis Baptist MS 43, Mead Hall 19
After a tight first half, Curtis Baptist pulled away in the second half to beat Mead Hall. Chapman Hamron was the leading scorer for Curtis Baptist with 14 points. Chris Brinkley led the Panthers with six points, followed by Ben Gilligan with five. Zion Glover and Griffith James both scored four points each.
Aiken 67, Spring Valley 58
The Lady Hornets (6-2) picked up a win on the road against Spring Valley. Erin Gilmore led the team with 19 points, while Monique Tyler had 14 and Alexis Odom contributed 12 of her own. Aiken will be back in action on Tuesday at home against Westside.
Silver Bluff 58, Bamberg-Ehrhardt 22
Ashanti Brown had 27 points and led Silver Bluff to a win over Bamberg-Ehrhardt. Kippen Wallace had nine points as well. The Bulldogs girls are now 5-2, 1-0 in Region 5-AA, and their next game will come on Tuesday at home against Midland Valley at 6 p.m.
Strom Thurmond 38, Saluda 32
Ridge Spring-Monetta 44, Hunter-Kinard-Tyler 29
Williston-Elko 37, North 36
Mead Hall MS 28, Northside Christian 15
The Lady Panthers continued their undefeated season with a win over Northside Christian. Sydney Toole scored eight points, followed by Caroline Wolcott with six points. Malia Bryan and Kendall Johnson scored four points each, and Catherine Orlowsky, Donna Andres and Lauren Guillabeau each scored two points each.
A.L. Corbett MS 33, Ridge Spring-Monetta 13
Ta'Nauzaih Corley lead the the ALC Lions with 12 points, and Wyneshia Williams added eight of her own. The win bumped their record to 2-2, and they will play again on Thursday against Kennedy Middle School.
Mead Hall MS 36, Curtis Baptist 24
The Mead Hall Middle School girls picked up a win on Monday as well over Curtis Baptist. Faith Kneece was the high scorer for the Lady Panthers with 28 points. Ansleigh Eaves scored four points followed by Isabel Igoe and Catherine Orlowsky both scored two points each.
Aiken Tech 101, S.C. Sports Academy 71
The Knights picked up a win to push their record to 4-6. They will be back in action today at 4 p.m.


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Audience: Marriage, Heart Of God's Loving Plan For Humanity
2014-04-02 Vatican Radio
2014-04-02 Vatican Radio
Fresh from announcing a list of pro-life leaders who are advising him on issues that matter to pro-life voters, Donald Trump has named a group of pro-life Catholic leaders as additional key advisers, including pro-life former presidential candidate Rick Santorum.…Continue Reading
September 20, 2016 (LifeSiteNews) – The Catholic archbishop of the Argentinean city of La Plata is under investigation by the country's "discrimination" police for condemning the modern acceptance of sexual promiscuity and "unnatural" unions, according to local media sources. Archbishop…Continue Reading
BELGIUM, September 19, 2016 (LifeSiteNews) — Belgium's federal euthanasia commission confirmed Saturday the country's first instance of child euthanasia, which became legal in 2014. Belgian media suggested the minor killed via lethal injection was 17. Some media also suggested the…Continue Reading
WASHINGTON, D.C., September 16, 2016 (LifeSiteNews) – Donald Trump has pledged to end taxpayer funding of abortion in the United States and to defund the nation's leading abortion provider. In a new, personally signed letter, Mr. Trump attacked "Hillary Clinton's…Continue Reading
(Vatican Radio) Pope Francis issued an Apostolic Letter motu proprio on Thursday, in which he brings the basic legal instruments that govern the Latin Church and the Eastern Churches in communion with Rome more closely into accord with one another…Continue Reading
Tim Kaine has officially joined the ranks of Devout Catholic™. How do we know? Because he says he's Catholic, yet criticizes the church. The Democratic vice presidential nominee played weekend prophet and theologian when he told activists in the Human…Continue Reading
This past weekend the Most Reverend Robert Morlino, Bishop of the Diocese of Madison, Wisconsin made an announcement of great liturgical importance. Going forward His Excellency will be offering all of his Masses at the Cathedral ad orientem. Make no…Continue Reading
Phyllis Schlafly, the iconic pro-family activist who rose to fame in the 1970s when she campaigned against the Equal Rights Amendment, has died at age 92, according to the Eagle Forum, the conservative organization she founded. Schlafly had been an…Continue Reading
By Robert A. Sirico – – Tuesday, August 30, 2016 A most remarkable set of documents was coughed up recently by WikiLeaks. George Soros' Open Society Policy Center, it turns out, made donations to two faith-based organizations to the tune…Continue Reading
Pope Francis has said that he is "gratified" by UN goals that call on member states to "ensure universal access to sexual and reproductive health" by 2030. The term "sexual and reproductive health", as generally defined, includes access to contraception, including abortifacient methods, and,…Continue Reading
September 2, 2016 (LifeSiteNews) — In recent years, the Catholic Church has been going through one of her most severe crises as a result of the priestly abuse of youth. The primary victims have been adolescent males.1 This worldwide scandal was…Continue Reading
RICHMOND, Virginia, August 29, 2016 (LifeSiteNews) — Roughly a dozen pro-life activists protested Sunday outside of pro-abortion, pro-homosexual Democratic Vice Presidential candidate Sen. Tim Kaine's Catholic parish. "Sen. Kaine has failed in his duty as a Catholic public servant to…Continue Reading
Attention Readers:
Welcome to our new website. Readers who are familiar with The Wanderer know we have been providing Catholic news and orthodox commentary for over 145 years in our weekly print edition. Now we are introducing the online daily version of our print journal.
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We encourage you to become a daily visitor to our site. If you appreciate our site, tell your friends. As Catholics we must band together to rediscover our faith and share it with the world if we are to effectively counter a society whose moral culture seems to have no boundaries and a government whose rapidly extending reach threatens to extinguish the rights of people of faith to practice their religion (witness the HHS mandate). Now more than ever, vehicles like The Wanderer are needed for clarification and guidance on the issues of the day.
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This Weeks Comments And Letters . . .
By BRIAN CLOWES Part 2 (Editor's Note: Brian Clowes has been director of research and training at Human Life International since 1995. For an electronic copy of chapter 23 of The Facts of Life, a 150-page treatise on all of the aspects of euthanasia, e-mail him at email@example.com.) + + + We have covered the definitions of the varieties of…Continue Reading
After the German publisher Droemer Verlag first released it on 9 September 2016, much has already been deeply discussed and variously reported about Benedict XVI's new interview-book, Benedikt XVI. Letzte Gespräche (Benedict XVI – Last Conversations) which so far has only been published in the German language. It has been shown, for example, how the former pope supports whole-heartedly Pope Francis' papacy and how he still defends his decision to leave his Petrine office, not…Continue Reading
Calling hours will at Vedder And Scott Funeral home on Tuesday September 27th from 4pm to 7pm. 122 N Genesee Street Montour Falls NY 14865 A Mass of Christian Burial Will Be held at 11am on Wednesday September 28 with a reception to be held immediately following at St. Mary's of the Lake Church. 905 N. Decatur Street Watkins Glen NY 14891 Dear Friends, Paul Augustine Likoudis, age 61 of Caywood, NY, passed away due…Continue Reading
Washington D.C., Sep 20, 2016 / 03:53 pm (CNA/EWTN News).- Nearly 50 years after the "prophetic" papal document Humanae Vitae, the Catholic Church's longstanding teaching against contraception continues to promote the human good, said a group of Catholic thinkers on Tuesday. "We hold that Catholic teaching respects the true dignity of the human person and is conducive to happiness," said hundreds of Catholic scholars in a Sept. 20 document. "Humanae Vitae speaks against the distorted…Continue Reading
Yesterday on Meet the Press, Democratic Vice Presidential pick Tim Kaine, attempted to make his pitch to Millennials by saying that they agree with Hillary Clinton and the Democratic platform on the big issues. One of the big issues is obviously abortion. Part of what he said was: "Do you believe women should be able to make their own health care decisions, or don't you? Millennials do, Hillary Clinton and I do, Donald Trump doesn't."…Continue Reading
By TERENCE P. JEFFREY President Barack Obama affirmed this week that the Declaration of Independence recognizes that "individual human beings" have "God-given rights." Yet, he insisted this was a "radical idea" at the time of the founding. Were he right — which he is not — history would see it as one radical idea Obama…Continue Reading
By BRIAN CLOWES Conclusion (Editor's Note: To receive an electronic copy of this four-part article with footnotes, e-mail Brian Clowes at email@example.com.) + + + "When you have a binary choice, you must make a decision. It's frankly irresponsible to stay on the sidelines right now, given where the republic is heading" — Marjorie Dannenfelser,…Continue Reading
By PATRICK J. BUCHANAN Since Donald Trump said that if Vladimir Putin praises him, he would return the compliment, Republican outrage has not abated. Arriving on Capitol Hill to repair ties between Trump and party elites, Gov. Mike Pence was taken straight to the woodshed. John McCain told Pence that Putin was a "thug and…Continue Reading
By DONALD DeMARCO The late Malcolm Muggeridge, who, in his later years, had some sensible things to say about human sexuality, lamented that people "have sex on the brain, and that's an unhealthy place for it to be." What he meant by this remark was based on his observation that sex, which is a natural…Continue Reading
By BRIAN CLOWES Part 1 (Editor's Note: Brian Clowes has been director of research and training at Human Life International since 1995. For an electronic copy of chapter 23 of The Facts of Life, "Euthanasia," e-mail him at firstname.lastname@example.com.) + + + Speaking at a conference of the Hemlock Society — an organization whose primary…Continue Reading
By FRANCIS CARDINAL ARINZE Part 2 (Editor's Note: Francis Cardinal Arinze of Nigeria, prefect emeritus of the Congregation for Divine Worship and the Discipline of the Sacraments, delivered this lecture at The Church Teaches Forum in Louisville, Ky., July 16, 2016. (The lecture is reprinted here with permission; all rights reserved. We are presenting it in two parts because of…Continue Reading
By FR. KEVIN M. CUSICK The Church is in the business of making Catholics, of proclaiming and calling all to the fullness of saving truth in Jesus Christ our Lord. Our mission to those who doubt or refuse some of our teachings is to call them to that fullness, whether Catholics already in our pews or Protestant brothers and sisters…Continue Reading
By RAYMOND DE SOUZA, KM For most of us who are cradle Catholics, it is not difficult to believe, since we received the theological virtue of faith in Baptism and grew up with it. Our parents and/or teachers taught us all about the Bible stories, the catechism, the sacraments. We learned to pray the Creed from an early age, and…Continue Reading
By DON FIER The Church's immemorial tradition of baptizing infants demonstrates in a particular way one of the great truths of our Catholic faith — that every human person is in need of salvation. Born into this world afflicted with original sin, "a sin which is the death of the soul" (Catechism of the Catholic Church [CCC], n. 403), even…Continue Reading
Editor's Note: Following up on a recent question about how much money the U.S. bishops get from the federal government, an article in LifeSiteNews reported that the Obama Administration is pouring hundreds of million of dollars into Catholic institutions and charities. "We've got the most virulently anti-life administration in the history of the United States," said international child rights advocate…Continue Reading
By CAROLE BRESLIN In Texas there is an old building that is part of the Missions National Historical Park of the National Park Service near San Antonio, Texas. This restored mission was founded in 1731 on the San Antonio River by the Franciscans and named after the soldier saint, St. John of Capistrano. In San Juan Capistrano, Calif., the Franciscans…Continue Reading
By CAROLE BRESLIN Some people look back on their lives and see how differently things turned out from what they had planned. A professor once told his business students that very few students work in the field they studied in college. If someone had told the young Bernardina Maria Jablonska that she would be the superior of a religious order…Continue Reading


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Top Definition
(v) To have sexual intercourse. The knock refers to the man's hips hitting the woman's ass, which produces a slapping sound. The motion literally knocks her boots (buttocks).
"Bring your friend, I likes you two's I'll knock the boots, the sneakers and the house shoes." - Digital Underground (Flowing on the D-line)
بواسطة Stoic Seraph إبريل/نَيْسان 14, 2003
Trending Now
Can you define these popular missing words?
Knockin' boots is an old western term for having sex. Derived from both he and she stripping down and slipping their boots under the bed which sometimes made a "knocking" noise. Sometimes the boots are/were left on during sex and the boots would knock during all the action.
I think I got drip dick from knocking boots with that hussie Ellie May.
بواسطة Bill Dailey سبتمبر/أيلول 22, 2006
i was knocking boots with your mom
بواسطة Sean أكتوبر/تشرين الأوّل 15, 2003
doing the nasty
بواسطة jlapplepie يناير/كانون الثّاني 30, 2003
Clashing clogs, Bashing birkenstocks, lashing laces, hitting heels, etc.
There are many ways to say smashing shoes, but knocking boots is the most popular by far.
Also unrelated is the topic of fucking.
There are many ways to say smashing shoes, but knocking boots is the most popular by far.
Also unrelated is the topic of fucking.
"The surest way to prove we're still alive
Knocking boots till we die"
- Devo
Knocking boots till we die"
- Devo
بواسطة Fatty wob فبراير/شباط 5, 2016
The act of knocking two boots together, usually leather, for cleaning purposes or to test the strength
Why are you knocking boots?
They have mud on them.
They have mud on them.
بواسطة F. Roy. Dean Schlipps أكتوبر/تشرين الأوّل 9, 2011


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The Woodlands most fabulous lifestyles deserve to have their home beautifully decorated with fabulous portraits of their family. A house is truly not a home until you can be proud of the family legacy displayed on the walls.
At Mindy Harmon Photography we specialize in decorating distinctive homes with artistic and timeless portraits. We pride ourselves on top notch customer service and the finest archival quality products so you can always expect that your experience with our studio will be fantastic from the time you schedule your session until your portraits are displayed in your home.
Mindy Harmon Photography has been voted Best of The Woodlands for the past four years and received Living Magazine's Readers' Choice Award for 2015…..come find out why our studio has such high accolades in our community!
01 // Grand Re-Opening Special!
Mindy Harmon Photography has expanded in order to better serve our clients, Come and check out our brand new space, located at 25166 Grogans Park Drive. In honor of our studio upgrade, all session fees are complimentary through April 15th! Call today or book online to take advantage of this fantastic offer!
Seniors, beat the heat and take care of your portraits! There are still openings for studio and outdoor spring senior portrait, and we can design custom invitations and announcements for your upcoming graduation parties. Let us capture your memories before the heat sets in!
With the text: Springtime in Texas means barbeques, fresh flowers, and most of all beautiful weather! There are still openings for studio and outdoor spring family portraits. Let us capture your family memories while the weather is mild and cool.


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AJKO dont say AJCANVAS. give it up! thats like saying oh the jordan 5 is not a jordan 5 because it doesnt have 3M. 3M was on some classics but its not called Jordan 5-3M
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October 27, 2011 BY Aaron Hope / 17
Among the most heavily debated uses of an oxidized, pre-yellowed sole to convey a vintage look very well might have been with the release of last year's Air Jordan 1 AJKO retros. The original colorways returned with just a little something extra, and enough sneakerheads were interested in seeing them in their pristine 'natural' state that many traded secrets on how best to remove the antique look. No such effort will be necessary on the latest round of AJKOs and might even be a detriment to the blackout pair. The grey and brown joints stick with the classic white midsole but tonal uppers helps the whole pack feel fresh, and you can see photos of all of them after the jump. Will the AJKO thrive in this new role as a lifestyle look, or will you vote with your dollars for another from Jordan Brand's ever expanding catalog during this heavily populated holiday season? via IST
Air Jordan 1 Retro KO Hi Quickstrike
Velvet Brown/Dark Copper-Varsity Red
Stealth/White-Varsity Red
Black/Varsity Red
Filed under: Air Jordan Upcoming Sneakers
Tags: Air Jordan 1 AJKO
AJKO dont say AJCANVAS. give it up! thats like saying oh the jordan 5 is not a jordan 5 because it doesnt have 3M. 3M was on some classics but its not called Jordan 5-3M
these just remind me of the Nike Vandals since they're all leather and no canvas.
How is this an AJKO if it's not on canvas? Thats the whole point of an AJKO
The Blackout pairs aren't too bad.
Hmmm, where's the canvas?
@LCHolland...Save your pointless words, what do you think made it a "classic" in the first place?? It's the OG colorways we crave..
I dig the all black. But you can never go wrong with the OG colorways.
where's the bred colorway!?!?!?!?!
These are ok, but canvas wouldve made these great. JB is taking away the most important thing that made KO's the KO's, and thats the CANVAS. Nike outlet and sale rack pick up these will be.
im likin dat brown pair fa sum reason
bad enough that they eliminated the Nike Air from the tongue, but now they are disgracing the og colorways with this tonal shit? i do not approve JB...smh
Some people just need to STFU with all these old colors. Its time for something new. Stop complaining about JB messing up a classic, STFU!!! Living in the past. These are some nice colors for the KO's.
Nice clean looking...i like em.
I really hope they don't kill this model..
BOOO...they could'nt make enuff of the OG colorway AJKO for everyone to cop at a reasonable aftermarket price, but they have plenty of steam left to release these never seen before bad lifestyle colorways. OMG never thought I would see the day the AJKO became a "Lifestyle" release shoe, OUCH!!
so a brand shouldn't try and profit off of a profitable model? GOD FORBID!!! I would also like to voice my anger Ferrari should only make red cars!!!
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