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April 27, 1995
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Thursday, April 27, 1995
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New Braunfels Herald Zeitung
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New Braunfels Herald Zeitung
New Braunfels, Texas
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New Braunfels Herald Zeitung (Newspaper) - April 27, 1995, New Braunfels, Texas THURSDAYWhy bad calls plague high school tennis. SportsDay, Page 8 60 CENTS New Braunfels The Plaza bandstandHerald-Ze SO-WEST PllCROPUBLl^-U.-u ,,Ar7 e YANDELL DK 14 Pages in one section ■ Thursday, April 27,1995 Serving Comal County for more than 143 years ■ Home of PAUL NEILSON I Vol 143, No 119 is?"* J Suspect killed in car chase Class of the Week..........................7 ' Sports..............................................8'I By SHERYL SMITH-RODGERS the man for driving an allegedly stolen speed chase west on RR 3159 that con- northbound minivan on U.S. 28 I, didnlt want an incident to happen." Comics.......................................^..10 I Special to the Herald-Zeitung vehicle. tinucd onto Texas 46 and then north on approximately five miles south of Blan- Shortly after his mad dash through Marketplace............................11-14 I ______________________ Department of Public Safety troop- U.S. 281. * co. town, the mini van driver veered into er Duane Zurovec identified the injured "This guy apparently had a death "He almost killed mc," Garcia said, the path of Pack's Ford pickup one-half man as James Pack, 30, of San Anto- wish because he would literally swerve "I saw him heading for mc so I went mile north of Blanco. The 22-ycar-old nio. He was transported by ambulance toward oncoming cars," said Sumner off the road and ran into some tree man, who was ejected from the van in to a San Antonio hospital with Brown, executive officer with the limbs. It was like he was not going to the collision, was pronounced dead at unknown injuries. Comal County Sheriff's Department, go by himself. He was going to take 4:42 p.m. by Justice of the Peace John The chase began in Comal County at Bowen also said that a Smithson Val- someone with him." Wood of Blanco, approximately 3:45 p.m. when a Comal Icy school bus filled with students nar- Blanco County law officials cleared A wallet found on the dead man con- County sheriff's deputy in an unmarked rowly missed being struck by the Blanco's Main Street in advance of tamed a substance that field-tested for vehicle spotted a 1991 GMC minivan speeding van. the coming chase that reached speeds heroin and cocaine, Zurovec said. An reportedly stolen from a Startzville Guadalupe Garcia, of San Antonio, up to I IO mph. autopsy on the body is being conduct- daycare center. Joined by a marked was headed home from work in John- "We wanted to give him free passage cd by the Travis County medical cxam-unit, the two patrol cars began a high- son City when he encountered the through town," Zurovec said. "We iner, he said. M.immlisch Birthday wishes from Ilia Harald-Zaltungl The New Braunfels Herald-Zeitung extends birthday wishes to; Jim Ted Wood, Frank III and Erie James V iUanueva (eight years), Paid Neilson, and Chrissy Wright Happy anniversary to Oscar and Liz Barboza. A high-speed chase Wednesday that led Comal County sheriff's deputies into Blanco County ended in a two-vehicle collision that left one man dead and another man injured one-half mile north of Blanco. Killed in the collision was a 22-year-old man believed to be from the Dallas-Fort Worth area, although positive identification was still pending Thursday morning. Authorities said they were chasing St. JiMto's Ranch for Children hosts yard sale Saturday St. Jude's Ranch for Children will host its second annual yard sale this Saturday, April 29 from 9 a.m. to 5 p.m. at the corner of Union and Common streets in New Braunfels. Rain date is May 6. Proceeds from the event will help to provide a summer trip for the residents. Now Braunfels Firs Department Auxiliary meets Monday The New Braunfels Fire Department Auxiliary will hold its regular business and social meeting at Fire Station #2 on Loop 337 at 7 p.m. Monday, May 1. Multiple Sclerosis group meets today The New Braunfels Multiple Sclerosis group will meet Thursday, April 27 at noon at Ryan's Restaurant. Oarage sale at Wal-Mart The seventh annual Children's Miracle Network garage sale will be held at the New Braunfels Wal-Mart store April 29 from 7:30 a m. to 4 p.m. Free bag of soil with every purchase of $3 or more, limit one free, or 50 cents a bag while supply lasts. Barbecue, bake sale and sno cups will be for sale also. Twenty-five cent shoes, clothing, belts and more. American Legion hosts barbecue American Legion Post and Unit 35 fund-raiser for 1995 will be a barbecue served from 11 a.m. to 4 p.m. Saturday, April 29. Auction at 2 p.m., Rep. Edmund Kuempel, auctioneer. Raffle drawing at 4 p.m. At the National Guard Armory. Order of the Eastern Star to meet The Order of the Eastern Star, Chapter 771 will have its regular stated meeting May 1 at 7:30 p m at the Masonic Hall, 1157 W. San Antonio St. Betty Friend will give the Memorial Services. Project K.I.S.S. carnival The second annual Project K.I.S.S carnival will be held at Mountain Valley Elementary School Saturday, May 6 from 10 a rn. to 6 p.m. The winning numbers Lotto Toxat 7,10, 15, 34, 39,40 $18 million jackpot Big Sesquicentennial week was a huge success By CRAIG HAMMETT Staff Writer Sesquicentennial Fever last week produced good results according to organizers of the heavy week of events. "It was very successful" said Committee Chair Herb Skoog. "I thought the people seemed to enjoy themselves " Saturday was the big day with a parade that morning. Although a cool front blew in later that afternoon, attendance at the Wurstfest grounds for the cookoff and dance was still good. Jim Scheele of the Chamber of Commerce said they served about 4.000 people with barbecue plates during the day. The Quilt Committee even raised around $800 for their efforts. Other Sesquicentennial items were sold at booths and can still be found at the Chamber office. The money raised went toward Sesquicentennial Committee projects such as the large fireworks show Saturday evening, which cost around $14,000 and the historic plaques, including a large one dedicated at the Civic Center following Wednesday's Trail Ride arrival and ceremonies. At the Wurstfest grounds, many people including German tourists came to hear various bands and enjoy samples from the Wurstfest Barbecue Cook-Off which coincided with the event. "Everything was great and went real smooth. We had fewer entries this year but that was OK because we needed the room for all the people," said the Wurstfest's Suzanne Herbelin. The cool front blew in through town in the late afternoon, but an estimated 1.000 people attended the evening's dance at the Wursthalle. Proceeds from the dance and cookoff go the Wurstfest Association. Skoog said many of the German tourists enjoyed New Braunfels and asked that people come to Germany next year for Braunfels' 750th celebration. Skoog said he would be organizing a group to go over there next July. For those locals who missed the parade Saturday, the parade will be shown in its entirety on local cable Ch. IO 'thursday, beginning with the Sesquicentennial report at 7 p.m. and the parade from 7:30 to 9:30 p.m. The show will also air on Saturday and Sunday, same channel, at 5 p.m. People can order a tape of the parade for $20 by contacting the Chamber office. Winners of the three divisions included: Division I (1845-1894) School - I. Carl Schurz Elementary 2. NBISD City Council PTA 3. Frazier Elementary. Organizations - I. VFW and Auxiliary 2. Christina Hanz Family 3. Four Seasons/ NB Garden Club. Commercial - I. Texas Commerce Bank 2. Guadalupe Valley Telephone Cooperative 3. Gene Hitzfelder Moving. Division 11(1895-1944) School - I. Goodwin and Frazier Elementaries 2. Canyon High Student Council. Organization - I. New Braunfels Historical Museums Association 2. New Braunfels Music Study Club 3. First Protestant Church. Commercial -1. Hummel Museum 2. Kirkwood Manor 3. Eden Home Division III (1945-1995) School -1. Smithson Valley Middle School PTA 2. NBHS Class of 1951 Organization - I. Wiedenfeld Family 2. New Braunfels Girl Scouts 3. Bulverde Volunteer Fire Dept. Commercial - I. TXI Cement 2. New Braunfels General Store 3. Century 21 Real Estate (A special judges award for authenticity went to Doeppenschmidt Funeral Home and participation award went to the Comal County Genealogy Society.) Judges were Linda Mayfield, Texas Adventure, Mary West Trailor, Battle of Flowers Parade, Sue McClane, past chairman of the Battle of Flowers Parade, and Joe Kamiah, Fredericksburg Chamber of Commerce. Glad it wasn't a Cadillac Guadalupe Landin was injured yesterday when an M.G. Midget rolled over his right leg. The car rolled off a tow truck when Landin and another worker were unloading it. Police reports state the car's emergency brake was not properly set or did not work. Landin was taken to McKenna Memorial Hospital. A representative of Randy Adams Inc., the car lot where the accident occurred, said Landin was doing fine, had no broken bones and was released about two hours after he was taken to the hospital. Pictured are emergency workers treating Landin after the accident. Herald-Zeitung photos by MICHAEL DARNALL New tuber exit behind schedule Herald-Zeitung photo by MICHAEL DARNALL Sesquicentennial quilt Susan Derkacz, Brenda DeStefano, Fran Hodges, Audrey Cobb and Hazel Turner work on a quilt that will commemorate New Braunfels' Sesquicentennial at the Chamber of Commerce building Tuesday. When completed, the quilt will become a permanent exhibit at a local museum. LOTTERY By SUSAN FLYNT ENGLAND Staff Writer The new Union Street tuber exit on the Comal River should be complete by mid-May, City Engineer William Dobrowolski said. D & M Construction Services have been delayed by rain, relocation of utilities and problems at the factory. The project contract called for tile project to be completed April IO. They are now shooting for mid-May, well after the start of the tubing season, but before the Memorial Day weekend. The final cost will come in around the $200,000 mark, which was bid by D Sc M, Dobrowolski said. "It's in the same range of cost," he said. "I think we're past all the big surprises." "No trespassing signs will be posted for liability reasons until the project is complete," Dobrowolski said, but the exit will at least be passable for those who miss the Garden Street exit. The city is not encouraging use of the exit, though. The Ole Mill Stream tuber entrance near Lamia Park has already seen some business, owner Clinton Brandt said. "We've had a few people in the water and they've had no complaints," he said. The only possible problem Brandt sees is that the tube trip will be shortened by one-half hour. "But then some people prefer that and they want to go again," lie said. Tile larger size of tile new exit will make it accessible to more than just tubes. "We might start seeing larger craft on the Comal now that we have that improved exit," he said. "It took a pretty athletic effort just to get a tube up those old stairs." A larger variety of craft on the river with the new exit is a possibility, Dobrowolski said. "It will open up that avenue, plus the fact that the physically challenged person will be able to use it," he said. The city has already had sonic inquiries from physical ly challenged individuals, Dobrowolski said Having tubers temporarily exit at Garden Street could have pluses and minuses, Rivers said. The Garden Street exit does not have as large an area for tubers to stand and1 wait for shuttles to pick them up, he said. "The people who have Schhtterbahn passes can just walk straight back to Schlit-terbahn instead of waiting for a shuttle," New Braunfels Police Lieutenant John Wommack said Added tubers exiting at Garden Street should not pose any traffic problems, Wommack said. This summer should be good for tubers, Rivers said. "The water is nice and high," he said, "and we've had good enough weather for people to scratch that itch to improve their yards already," he said. "The new exit is going to be a tremendous asset to all the outfitters on the river, because the tubers are going to have an enjoyable float," Brandt said.Supreme Court strikes down gun-free zones around schools. Page 4 ;
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A couple weeks ago, I went to the Brimfield Flea Market which is only about an hour from our farm. I have been going to this flea market for years and I look forward to it. I go by myself so I can shop as fast or slow as I like. I usually go on Friday because that is the day the J&J Show opens. This show used to be the high end field of all the different fields that open during the week. Unfortunately it has gone a bit down hill and the quality isn't as great. But it is still a fun and inspiring day. After I run through J & J, I head over to a few of the other fields that opened earlier in the week but still have vendors present.
Here are some photos I snapped of things I liked - but didn't buy. Do you see a theme? I do - pattern, ceramics, and sheep. It's what I am into at this moment in time.
When I got home that afternoon, I found the newest copy of Best of Flea Market Style Magazine in my mailbox.
And you guessed it - there was our house!
This is a publication by Meredith and is a twice yearly magazine that is only available at newstands or at Barnes and Noble, possibly Walmart and Target and places they sell magazines. The pictures were taken by Rikki Snyder for Country Home but since Meredith owns Country Home and owns the photos outright, they could write another article about our farmhouse.
I'd say this house is getting a bit too much exposure! Oh well - I guess I'll take it and be thankful for it. Here is the end page of the magazine with a photo of our porch with my oil paintings. I like the quote from Thomas Edison.
"To invent you need a good imagination and a pile of junk."
The next Brimfield Antique Show/Flea Market is July 11 to 16. Information here. People travel from all over the world to visit this show. I'm so lucky to live close.
Hope you all are having a good week.
Hope you all are having a good week.


text:
Until you've been where those kids are, bullied day in day out, made to feel worthless, don't try to give insight. I know from experience. Yes, it does often get better, but how long can you keep on waiting? Every person has a limit to what they can take. If you haven't had it happen to you, being bullied relentlessly, you can't have a fully rounded opinion on the subject. I had thoughts of doing it while being bullied at school, but I'm glad not to have gotten to that point to have acted on those thoughts. Don't misunderstand me, I don't believe people should kill, but those bullies definitely deserve to be shot.
Before Columbine, many kids were bullied countless times and many adults had paid no attention whatsoever. After Columbine many schools stepped their level of security and toughened consequences on bullying. Today, less kids have to worry about getting beat up and picked on as many schools understand the potential of what bullying may do to a kid.
Killing bullies may be the only real what to prevent future bullying. Bullying can be torture, and has resulted in peoples deaths before. That you should have a right to defend yourself against threats to your life with deadly force should go without question. The problem is when those not involved are targeted.
They may be justified - but only against habitual harassers. Let's face it: Our schools are not interested in protecting students from harassment. I think most of those who say it's not justified have never been terrorized at school themselves. It's hard to see how anyone who was harassed repeatedly don't think that some severe action must be taken.
School shootings are justified if it is specific victims who continually bully innocent people for no reason, and yet receive no punishment. Post Columbine physical bullying was extremely high, nowadays it is more calmed down.
Although this has calmed down emotional bullying hasn't, in fact people in modern day schools are horrible verbally and online, this sent me into severe depression in Middle school and high school as the people were continually bullying me.
I often envisioned myself attacking SOME of the bullies at my school in some kind of revenge, but would never consider doing it. I understand when put under severe psychological pressure from bullying it can cause you to do extreme actions.
If it is a case of just shooting everyone, even if they have done nothing to you, i disagree with this, but if it is a case of hunting down bullies (which at my school was approximately 50%) then fair enough this is revenge for years of torment and stress.
With the amount of failures and bullies in today's society yes they were justified. But it doesn't help much because them killing the bullies just makes society coddle them even more. 89% of all high school kids should just drop out sooner. They're gonna fail anyway might as well leave before someone shoots up a schools because of them or the get pregnant and drop out anyway.
I say this because some people are so bullied that their own life has been consumed by it. Bullies should need to suffer the result of their actions. I ask the "no" side: have you been bullied to a point when your life is beyond healing and living is only pain, with none that gives a shit? It is better instead to kill your oppressor than committing simple suicide.
For the bullies: "som du bäddar får du ligga".
I say this because some people are so bullied that their own life has been consumed by it. Bullies should need to suffer the result of their actions. I ask the "no" side: have you been bullied to a point when your life is beyond healing and living is only pain, with none that gives a shit? It is better instead to kill your oppressor than committing simple suicide.
For the bullies: "som du bäddar får du ligga".
I say this because some people are so bullied that their own life has been consumed by it. Bullies should need to suffer the result of their actions. I ask the "no" side: have you been bullied to a point when your life is beyond healing and living is only pain, with none that gives a shit? It is better instead to kill your oppressor than committing simple suicide.
For the bullies: "som du bäddar får du ligga".
It is mmerely her divine holy will, to bring heroes down from the promise lands to save those from having to live through the tragic and long suffering of life. Rejoice in the fact these very people do not walk this damned place no more, but are saved and held tight in her divine being in safety and love. May the Goddess bless you all.
Someone who is "bullied" does not have the right to exact a death sentence upon his aggressors. To think that so many condone this most extreme form of violence is unfathomable. Schools have been around for thousands of years, but only in the past couple hundred have a select number of students decided that the only way they could "cope" with the daily "torments" of regular school life was by ending the lives of their tormentors and countless innocents, besides. It is juvenile. It is weak. It is reprehensible.
School shootings are never justified. No matter what has happened to someone in the past, no matter how bad it was, cannot justify going to a school and killing people. Anyone who thinks that there is a good reason to shoot up a school is crazy and needs to be checked out.
It doesn't matter whether they were bullied, there is no excuse for bringing a gun to school and shooting it up. And more often then not, there were severe psychological problems with the kids. The main problem is the bullying. A lot of kids are just told to suck it up and take it. This anger can be bottled up, then exploded out. But still, there is no excuse for these shootings.
I believe that shootings are unjustified. When it comes down to it, you are taking the lives of people who bullied you. While they are indeed entitled to some form of punishment, it should not be a death sentence. In a perfect world where all is fair and dandy, people who insult you or beat you would receive the same treatment as punishment. The only justification for doing something harmfull unto someone else is if they did the exact same thing unto you, which will almost never happen because you would have to replicate the exact emotional turmoil that the action caused to the victim and apply it to the evildoer, which is near impossible because each person is affected differently when insulted. (some take it more heavily than others, etc.)
This is assuming only the bullies are the ones to be harmed. In most cases, the shooter simply vents his anger by unloading rounds into everyone, which is never, ever justified.
How can you say school shootings are justified it against the law!! It causes pain for the innocent families that have suffered because of these idiots who have nothing to do with them. What right do they think to take someones' life. These idiots should be locked away and never ever come out in their entire life time. How could someone be so evil and horrible and not nice???
It is offensive to even ask something like that. Even in cases of extreme bullying, this doesn't justify someone coming into a school and shooting anyone in sight, many of whom are likely innocent. Nothing can justify mindless killing. Two wrongs will never make a right, and the trauma caused by school shootings lives on for years after the shootings occur, haunting all of those who have been affected by it.
School shootings, as well as any form of shooting or mass murder, is and never will be justified. Usually, those who initiate such crimes are victims of torment and bullying, and with external influences, they decide to execute vengeance in the form of murder. However, revenge is never equal to justice, and this form of retaliation is too extreme.
School shootings are not justified. As a matter of fact, no shootings like that are justified. There is no reason to bring a gun on a school campus and killing innocent people is probably the worst thing a person can do. It is absolutely terrible and those that do it deserve the death penalty.
Shooting people is never okay that's it f f f f f ft f f. Ft. Ft. Ft f f. Ft. F f ft f. Ft. Ft. F f ft. F go. G go. G he. H h h he h. He h h h. H h h. H h
However, if you check the records, you will find a large portion of the shooters were on antidepressants or other mind-altering pharmaceuticals. This isn't big pharma's direct fault, though. It's the overworked and underpaid teacher in the classroom who advocates the meds for that one student, so he or she can focus on teaching the class. In short, those kids needed help, and none was given, so they lashed out.


text: Dementia Medical Aspects of Disability October 17, 2006 DEMENTIA • DEFINITION: – Group of symptoms that can be caused by over 60-70 disorders. – Syndrome which refers to progressive decline in intellectual functioning severe enough to interfere with person's normal daily activities and social relationships. (National Institute on Aging1995 No. 95-3782) Dementia – Marked by progressive declines in • memory. • visual-spatial relationships • performance of routine tasks • language and communication skills • abstract thinking • ability to learn and carry out mathematical calculations. Dementia • Two Types: – Reversible – Irreversible • Individuals must have intensive medical physical to rule out reversible types of dementia. Delirium vs. Dementia • Delirium defined--- characterized by a disturbance of consciousness and a change in cognition that develop over a short period of time • About 10-15% of surgical patients experience delirium, and 15-25% of medicine inpatients will experience delirium • 30% Surgical Intensive Care Unit patients develop delirium, and up to 30% of AIDS patients while inpatient, will develop delirium Delirium vs. Dementia • A major risk factor is advanced age Other factors include very young people (children), organic brain damage including stroke, MVA, etc, substance use, previous delirium, malnutrition, sensory deprivation (hearing or visual loss), diabetes, cancer Having an episode of delirium is more than just inconvenience 3 month mortality following an episode of delirium is 25-30%. 1 year mortality after an episode of delirium may be as high as 50%. Delirium vs. Dementia • Many causes of delirium: Some examples… epilepsy, CNS trauma, CNS infection, CNS neoplasm, endocrine dysfunction (pituitary, thyroid, adrenal, parathyroid, pancreas), liver failure, UTI, cardiac dysrhythmias, hypotension, vitamin deficiency, sepsis, electrolyte imbalance, iatrogenic- any medication, substance withdrawal Delirium vs. Dementia • Could be psychiatric disorder, i.e. major depression or generalized anxiety disorder, in which case need to initiate treatment for this disorder, i.e. get a psych consult • Or is the cause a delirium from other meds or an infection, in which case should look at labs and med list. • Or is cause alcohol withdrawal, in which case need to treat w/d with benzodiazepines • If patient is having chronic trouble sleeping, a good choice to help them is Ambien/zolpidem or Sonata/zaleplon Delirium vs. Dementia • Watch for alcohol withdrawal as cause of delirium. If elevated pulse and blood pressure, see elevated MCV, and patient begins to act bizarre, talk to family if at all possible, about substance use. If patient enters delirium tremens (DT's), untreated has a mortality rate of 20%. Delirium vs. Dementia • How is delirium treated? First line treatment for delirium is to treat underlying cause. Often will need many labs- Complete Metabolic Panel, Complete Blood Count, TFT, EEG if indicated, CT/MRI of head, sometimes LP, etc. A psychiatric or psychological consult might be needed for agitation. Meds- Haldol 2.5-5 mg (less for geriatric) or now, Geodon 10-20 mg IM or Ativan IM Delirium vs. Dementia • A common problem in the US – 5% of those over 65 have severe dementia, 15% have mild dementia – 20% those over 80 have severe dementia – One of first distinctions you must make is reversible from nonreversible. – Only about 10-15% are reversible Delirium vs. Dementia • Nonreversible does not mean non treatable! • Non reversible dementias– Alzheimer's is most common by far, accounting for about 70% of dementias. – See a tempero-parietal wasting at first, leading you to see the memory loss and speech problems first. The "lost keys"sign. – Then will progress to global atrophy of brain. – Genetics a risk factor (up to 35-40% patients have a family history of Alzheimer's Dementia • Reversible: – D= – E= – – – – – – M= E= N= T= I= A= Drugs, Delirium Emotions (such as depression) and Endocrine Disorders Metabolic Disturbances Eye and Ear Impairments Nutritional Disorders Tumors, Toxicity, Trauma to Head Infectious Disorders Alcohol, Arteriosclerosis Dementia • Irreversible: – – – – – – – Alzheimer's Lewy Body Dementia Pick's Disease (Frontotemperal Dementia) Parkinson's Heady Injury Huntington's Disease Jacob-Cruzefeldt Disease Dementia • Irreversible: – – Alzheimer's most common type of irreversible dementia Multi-Infarct dementia second most common type of irreversible dementia • Death of cerebral cells • Blockages of larger cerebral vessels, arteries • More abrupt in onset • Associated with previous strokes, hypertension • Can be traced through diagnostic procedures Dementia – Lewy Body Dementia • Episodic confusion with intervals of lucidity with at least one of the following: 1. Visual or auditory hallucinations 2. Mild extrapyramidal symptoms (muscle rigidity, slow movements 3. Repeated unexplained falls • Progresses to severe dementia—found at autopsy. Dementia Diagnosis of Frontemporal Dementia (Pick's Disease) Pick's bodies in cells. Personality changes Behavioral dis-inhibition. Loss of social or personal awareness. Disengagement with apathy Maintain ability to draw and calculate well into later stages Alzheimer's Disease • Estimated that 4,000,000 people in U.S. have Alzheimer's disease. • Estimated that 25-35% of people over age 85 have some time of dementia. • After age 65 the percentage of affected people, doubles with every decade of life. • Caring for patient with Alzheimer's disease can cost $47,000 per year (NIH). Changes Caused by Alzheimer's • • • • Diminished blood flow Neurofibrillary Tangles Neuritic Plaques Degeneration of hippocampus, cerebral cortex, hypothalamus, and brain stem Atrophic hippocampus in AD Compare central sulcus of Alzheimer's patient with normal 81 year old woman From Whole Brain Atlas at http://www.med.harvard.edu/AANLIB/home.html 74 year old AD patient: reduced blood flow on SPECT in temporal areas Normal vs AD Brain Normal brain Alzheimer's brain AD Prognosis • Alzheimer's has a slowly progressive decline. These meds can slow the progression, NOT halt it. Function Time Pick's disease • • • • 25 times rarer than Alzheimer's dementia Frontal lobe clinical features Assymetrical frontal or temporal atrophy Has been connected with semantic dementia, but evidence is not conclusive yet Case history: Pick's Disease This 59 year old woman had a three year history of a progressive alteration in social behavior which included apathy and occasional disinhibition. Images reveal severe focal shrinkage of temporal and frontal lobes bilaterally. Degeneration of the basal ganglia • Huntington's disease – Rare: 5 in 100,000 – abnormal 'exaggerated movements • Parkinson's disease – Common: 1 in 100 over age 65 – General slowing of voluntary movements • Both diseases involve the basal ganglia, but in large opposite ways Basal ganglia • • • • • Caudate Striatum Putamen Globus pallidus Subthalamic nuclei Substantia nigra Multi-infarct dementia (MID) • Many small strokes • Often mixed with Alzheimer's dementia Viral dementia: HIV • 20-60% of HIV patients suffers from dementia • Cerebral atrophy may be caused by microglial nodules Vocational Rehabilitation and Dementia • Can dementia occur while an individual is • • • • employed? Is dementia covered under the American's with Disabilities Act? Can jobs and tasks be modified to assist individuals with mild forms of dementia? Can job discrimination occur for these individuals? What types of job modifications and/or assistive technology can you think of for an individual with dementia? End-stage Dementia Prognosis < 6 mos: • Severe dementia with need for total assistance in ADLs (dressing, bathing, continence), unable to walk, only able to speak a few words • Comorbid conditions – aspiration pneumonia, urosepsis, decubiti, sepsis • *Unable to maintain caloric intake with weight loss of 10% or more in 6 months (and no feeding tubes) Complications from dementia • • • • Delusions in up to 50%, most with paranoia Hallucinations in up to 25% Depression, social isolation may also occur Aggressive behavior in 20-40% (may be related to above problems, misinterpretation) • Dangerous behavior – driving, creating fires, getting lost, unsafe use of firearms, neglect • Sundowning – nocturnal episodes of confusion with agitation, restlessness Treatment of complications • Hallucinations, delusions, agitation, sun-downing may be • • • • • • improved with anti-psychotics like haloperidol, risperdal, mellaril… If any signs of depression, may be beneficial to treat Anxiety may respond to benzodiazepines Behavioral mod – reinforce good behavior, DON'T fight aggressive behavior Familiarity (change in environments make things worse) Safety – key locks, knobs off stoves, take away car keys/cigarettes/firearms…, lights, watch stairs Avoid restraints, use human contact/music/pets/ distraction Artificial Nutrition in Dementia • Many excellent reviews demonstrate no • • • • improvement in quality of life and quantity of life with G-tubes. 5% morbidity and mortality with the procedure itself No decrease in aspiration with them Risk of infection Can keep patient comfortable without it Complications from dementia • • • • Delusions in up to 50%, most with paranoia Hallucinations in up to 25% Depression, social isolation may also occur Aggressive behavior in 20-40% (may be related to above problems, misinterpretation) • Dangerous behavior – driving, creating fires, getting lost, unsafe use of firearms, neglect • Sundowning – nocturnal episodes of confusion with agitation, restlessness Drug treatment in Alzheimer's disease • Many drugs aim to stimulate the cholinergic system • These drugs have limited positive effects and do not reverse the causes of AD Dementia patients are very sensitive to additional disabilities • • • • • Illness Pain Medications Poor hearing Poor vision Management of depression at end of life • Psychotherapy – behavioral, cognitive, and other supportive approaches by psychologists, licensed social workers, chaplains, even bereavement counselors may help • New coping strategies like meditation, relaxation, guided imagery, hypnosis may help • Medications Suicide • Women attempt it twice as much, but men are 4x more likely to succeed • White men over 85 are at highest risk to do it • All patients with depressive symptoms should be assessed for it • Talking about it can decrease risks • High risk of attempt if thoughts are recurring or if have thought out the plan ONE OTHER POTENTIAL EMERGENCY: • If risk high – DON'T leave client alone, immediately consult a psychiatrist – may need in-patient care or involvement of authorities Anxiety • May be a normal response to the situation – fears, uncertainty, reaction to physical condition, social or spiritual needs • Usually with 1 or more of the following signs – agitation, restless, sweating, tachycardia, hyperventilation, insomnia, excessive worry, tension • Look for signs of depression, delirium, alcohol/drug abuse, caffeine abuse • About 5% are affected by agoraphobia Related anxiety conditions • Panic attacks – acute onset of palpitations, sweating, hot, shaking, chest pain, nausea, dizzy, derealization, fear, numbness; usually short lived • Phobias – fears with avoidance, feelings of being trapped, exposed • Post-traumatic Stress Syndrome – in response to severe trauma, get more intense fear, terror, dreams, feelings of helplessness, detachment that can occur later on Other EOL care needs for dementia • In bedbound, watch out for and prevent decubiti • Feeding instructions to prevent aspiration – head up, chin tucked, thick consistency foods like pudding/jello/ice cream… • Caregiver stress – difficult care, poor sleep, education to prevent aggressive behavior, early bereavement losing loved one before they are gone, need for support/respite Summary • A change in mental or emotional status of the patient is not uncommon with a life-threatening illness • Need to be aware of conditions that may be normal reactions or have causes that are potentially reversible, but at the end of life, may need to focus on acute management of these conditions • Need compassionate, supportive care for patient and caregiver, always addressing safety Links • Alzheimer's Association: http://www.alz.org/ • National Institute of Neurological Disorders and Stroke's page on dementia: http://www.ninds.nih.gov/disorders/dementias/de mentia.htm • How to manage difficult behaviors from the Association for Frontotemporal Disorders: http://www.ftd-picks.org/?p=caregiver.managing


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The Kappa Sigma Endowment Fund (ef.kappasigma.org) was established in 1919 "to support the charitable and beneficent purposes of the Kappa Sigma Fraternity." The Mission of the Kappa Sigma Endowment Fund is to support the Educational, Scholastic, and Leadership activities of the Kappa Sigma Fraternity. It is the oldest college fraternity foundation.
The Fund's main funding priority has been the Scholarship-Leadership Awards Program, which makes cash awards to outstanding undergraduate student-leaders. More than $5 million has been awarded to thousands of brothers since 1948.
In addition, the Endowment Fund makes grants to the Kappa Sigma Fraternity to fund their educational programs, and the annual Leadership Conferences.
The Fund was historically based in Denver and Chicago. In 1985, it was moved to the Kappa Sigma headquarters in Charlottesville, Va.
The Kappa Sigma Endowment Fund benefits Kappa Sigma Brothers across the United States and Canada.
Mr. Mitchell B. Wilson
scholarship, leadership, awards, leadership development, alcohol/drug education, Kappa Sigma Endowment Fund
Also Known As
Physical Address
1610 Scottsville Road
Charlottesville, 22902
See more addresses
Main Address
1610 Scottsville Road
Charlottesville, VA 22902 USA
Physical Address
1610 Scottsville Road
Charlottesville, 22902
Student Sororities, Fraternities (B83)
IRS Filing Requirement
This organization is required to file an IRS Form 990 or 990-EZ.
How does this organization make a difference?
Self-reported by organization
Our Mission:
• We will reach out to 200,000 Brothers and raise funds to:
• Aid worthy undergraduates with the best scholarship program in the Greek community;
• Provide financial support for innovative learning opportunities for Brothers and Chapters; and
• Complete, maintain and preserve our heritage, Kappa Sigma's permanent home in Charlottesville.
Our Values:
• We support the educational mission of Kappa Sigma Fraternity.
• We will be faithful stewards of our Brother's gifts.
• We will build and restore relationships with our alumni Brothers.
• We will be role models for the importance of lifelong service and sustained giving to our undergraduate Brothers.
• We strive for excellence in all our actions.
Our Strategic Goals:
• By the 150th Anniversary of the Founding, we will:
• Raise the funds to finish the Charlottesville campus
• Increase the corpus by several million dollars
• Raise the annual scholarship program by thousands of dollars
• Reach 5,555 Jackson's Men
Our Operational Goals:
• Financial integrity and stability
• Accurate record keeping
• Prompt and courteous acknowledgement of every gift
• Obtain positive reviews from one or more charitable ranking/rating programs
• Produce timely metrics and status reports
Self-reported by organization
What are the organization's current programs, how do they measure success, and who do the programs serve?
Program 1
Scholarship-Leadership Awards Program
The Kappa Sigma Endowment Fund's Scholarship-Leadership Awards Program (SLA) annually recognizes 300+ Kappa Sigma Brothers for their achievements in Kappa Sigma as well as on their respective campuses.
Program long term success
More than $4.5m has been awarded since the program's inception.
Program success monitored by
Kappa Sigma is the leading men's college fraternity in the United States.
Program success examples
The Kappa Sigma Endowment Fund has made college affordable for countless Kappa Sigma Brothers across the United States and Canada.
Student Financial Aid
Population(s) Served
Self-reported by organization
Five powerful questions that require reflection about what really matters - results.
The Kappa Sigma Endowment Fund benefits Kappa Sigma Brothers across the United States and Canada.
External Reviews
Source: greatnonprofits.org
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Financial information is an important part of gauging the short- and long-term health of the organization.
Sign In or Create Account to view Revenue and Expenses information
The people, governance practices, and partners that make the organization tick.
Mr. Mitchell B. Wilson
Thomas P. Bishop Esq.
GuideStar worked with BoardSource, the national leader in nonprofit board leadership and governance, to create this section, which enables organizations and donors to transparently share information about essential board leadership practices. Self-reported by organization
Does the board conduct a formal orientation for new board members and require all board members to sign a written agreement regarding their roles, responsibilities, and expectations?
Has the board conducted a formal, written assessment of the chief executive within the past year?
Have the board and senior staff reviewed the conflict-of-interest policy and completed and signed disclosure statements in the past year?
Does the board ensure an inclusive board member recruitment process that results in diversity of thought and leadership?
Has the board conducted a formal, written self-assessment of its performance within the past three years?


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At the time of the T-Mobile G1's introduction, the feeling was that anything missing from the phone, like a video player, could be found in the Android Market. The phone was equipped with a 3.2 inch screen with resolution of 320 x 480 and had a single-core Qualcomm MSM 7201A clocked at 528 MHz under the hood. 192MB of RAM was on board and a 3.2MP camera with AF was on back. A side sliding QWERTY keyboard gave the G1 a one-up on the Apple iPhone.
By April 2009, 1 million units of the T-Mobile G1 had been sold in the U.S, as we told you. That trailed behind the Apple iPhone 3G which had sales of 1.6 million during the prior three month quarter alone. Of course, T-Mobile had restricted G1 sales in the beginning to the 21 markets where it offered 3G service at the time, constraining sales of the first Android model. Soon, the Android Cupcake update appeared to bring a virtual QWERTY to the device along with stereo Bluetooth support and the ability to save MMS messages.
Today, Android is a household name and the newer devices sporting the OS have dual core processors, 1GB of RAM, front facing cameras and rear cameras that capture video in HD. The handsets run over 4G pipelines and have huge 4.5 inch screens with amazing resolution. The Android Market is expected to surpass the App Store in number of apps soon. The price of the Samsung Galaxy S II, Sprint Epic 4G Touch is only $20 more with a signed 2-year pact than the T-Mobile G1 was almost 3 years ago. And the former is considered by some to be the best Android phone of all time.
Things have come a long way in the last 3 years. Who can even take a stab at guessing where Android will be 3 years from now?
source: T-Mobile


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ED Magedson – Founder
Ripoff Report
Snap Modeling And Talent Agency - Arthur- Arthur Talent Agency5120 Heaterstone Court Kissimmee, Florida 34758 Nationwide U.S.A.
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KBK necessitava di un nuovo design di logo e ha lanciato un contest su 99designs.
È stato scelto un vincitore tra 136 design presentati da 42 designer.
Need great quality logo for Photography site,specializing in Fashion Style Wedding Photography..
Fashion Style Pros
a LOGO which must be creative and modern yet not over done.This is for a new web based Commerical FASHION STYLE wedding photography company.
The company name is; Fashion Style Pros.
logo can have complete name or just use FSP
To see my own personal photography site go to http://www.advantagephoto.com(this is only to show creatively) see "what I want" below for link to commercial site and color scheme.
- Item 1...
- follow this link to view color scheme;
- http://advantagephoto.eyepartner.ne…ortal.html Advantage Photo is not the NAMEFashion Style Pros is real name.
- Item 1... nice modern design, nothing cartoonish! no cut out art.


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Memory, Melancholy and Nostalgia
4th International Interdisciplinary Memory Conference in Gdańsk, Poland
The Programme is now announced!
17th-18th September 2015
Deadline for proposals: 15th June 2015
Contact e-mail addresses:
Professor Wojciech Owczarski – University of Gdańsk (Poland)
Professor Paulo Endo - University of Sao Paulo (Brazil)
Amanda Chalupa – McGill University (Canada)
Co-organizer: InMind Support
Human memory has a saving power and constitutes the fundament of identity, yet at the same time it can cause concerns and anxiety.
In the three previous editions of our Gdańsk conference, which brought together more than three hundred scholars from around the world, we looked at the relationship between memory and solidarity ("Solidarity, Memory and Identity", 2012), memory and dreams ("Dreams, Phantasms and Memories", 2013), as well as memory and forgetting ("Memory: Forgetting and Creating", 2014).
This year, we would like to concentrate on the phenomena of nostalgia and melancholy. We are interested in all expressions of longing for the past, from the reassuring and action-propelling ones to those which paralyze us, bringing despair and utter dejection. In our modern world, which some have argued to be disjointed while immersing itself ever deeper in crisis, the turning back towards "the olden days" and the ensuing nostalgia constitute a noticeable phenomenon, both individually (the memory of biography) and collectively (the memory of History). Another important – and seemingly also quite noticeable – phenomenon is the longing for something vague, indefinite or never existent.
We want to describe the experience of nostalgia and melancholy in its multifarious manifestations: psychological, social, historical, cultural, philosophical, religious, economic, political, artistic, and many others. That is why we invite researchers representing various academic disciplines: anthropology, history, psychology, psychoanalysis, sociology, politics, philosophy, economics, law, design, project management, history of literature, theatre studies, film studies, memory studies, migration studies, consciousness studies, dream studies, gender studies, postcolonial studies, medical sciences, psychiatry, cognitive sciences et al.
Different forms of presentations are encouraged, including case studies, theoretical investigations, problem-oriented arguments, and comparative analyses.
We will be happy to hear from both experienced scholars and young academics at the start of their careers, as well as doctoral students. We also invite all persons interested in participating in the conference as listeners, without giving a presentation.
We hope that due to its interdisciplinary nature, the conference will bring many interesting observations on and discussions about the role of memory, melancholy and nostalgia in the past and in the present-day world.
Our repertoire of suggested topics includes but is not restricted to:
I. Memory and Affects
- unwanted memory
- nostalgia or melancholy?
- non-melancholic nostalgia
- nostalgia and longing
- the healing power of nostalgia
- nostalgia as an illness
- nostalgia and depression
- nostalgia and psychoanalysis
II. Common Experiences
- nostalgic epochs
- nostalgic nations
- nostalgic generations
- nostalgia and the myth of eternal return
- nostalgia, melancholy and totalitarianisms
- nostalgia and war
- nostalgia and melancholy of the expelled
- nostalgic patriotism
- nostalgia and nationalism
- nostalgia and gender
- nostalgia and religion
- nostalgia and language
- nostalgia and melancholy in the postmodern world
- nostalgia and post-memory
III. Individual Experiences
- return to childhood
- nostalgia for something indefinite
- nostalgia for the future
- nostalgia for a traumatic experience
- nostalgia and old age
- nostalgia and death
- nostalgia, melancholy and mourning
- nostalgia and love
- nostalgia and imagination
- nostalgic phantasms
- nostalgic dreams
IV. The Arts
- nostalgia and melancholy as a theme in literature, film, and theatre
- nostalgic literature
- nostalgic cinema
- literature and the arts as a vehicle of memory
- literature, theatre and film in search of lost time
- nostalgic literary genres
- melancholic artists
V. Society
- nostalgia and political movements
- nostalgia, melancholy and memory places
- nostalgia, melancholy and memorials
- nostalgia, melancholy and incentives
- nostalgia, melancholy and community development
- nostalgia, melancholy and migration
- nostalgia, melancholy and meaning-making
- nostalgia, melancholy and drive to change
- nostalgia and product development
- nostalgia and melancholy in the work environment
- nostalgia and melancholy in international development
- nostalgia and melancholy in leadership
- nostalgia and melancholy in policy
Please submit abstracts (no longer than 300 words) of your proposed 20-minute presentations, together with a short biographical note, by 15th June 2015 both to prof. Wojciech Owczarski, University of Gdańsk:
The confirmation of acceptance will be sent by 30th June 2015. The conference language is English. A selection of papers will be published in a post-conference volume.
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Cave Dwellingon January 16, 2012 at 5:06 pm
Hey gang. Remember when I used to do things like update my comics? Me neither.
Pretty much came back from Christmas and hit the ground running. The wedding's only a few months away now, so there's a giant pile of "HOLY SHIT, WE NEED TO GET THIS DONE!" to do. Not to mention the cards I have to do for The Avengers movie (which got off to a late start due to a printing delay, so it's crunch time on that) and Marvel Beginnings. The picture above is pretty much where I spend most of my time these days: chained to the table in my office/cave, spending way too long on each card because I'm making myself crazy (and because I would like to keep getting work doing this) and barely keeping ahead of deadlines for contract work. Sorry for the blurry bits, but I'm not allowed to show any of the cards I've done until they're approved by Marvel…so I just played it safe and assumed that went for the printed sides of them as well.
This whole, "Oh, right. Paid work is necessary to keep the lights on and the beer cold" thing has left me almost no time for my webcomics. I'll be honest guys, updates on my end are going to be pretty sporadic for a while. It'll easily be February before I'm able to update The Path or Bastard Who any more than once a week.
BUT, there are still plenty of comics to read here at Old Dying Kitty! William Feist and Phineus: Magician for Hire are still updating on their regular schedules, so get to readin'! Plus a NEW title, "Cutters Field" by Chris Waterman, will be joining the ODK family VERY soon! Keep an eye out!
'Till February, gang!


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Russian Rocket Explodes Shockwave Blows Out Window !
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Micro Pave Monogram Letter Charm Necklace
The Micro Pave Monogram Letter Charm Necklace is handmade in our NYC jewelry studio and features custom monogram letter(s) in a Wendy Nichol Gothic Font.
Each Letter Charm measures approximately 3/8" long and 3/8" wide and features round cut, certified conflict free .9mm Diamonds of the highest quality. The White Diamonds are all VS1 Clarity, F color stones. The Black Diamond is the toughest form of a natural diamond and consists of diamond, graphite, and amorphous carbon. It is found only in Brazil and the Central African Republic. Therefore, it is theorized to have formed inside an earlier generation giant star that exploded as a supernova and the remnants fell to Earth in those two regions.
The delicate chain measures 15" long in total. Custom chain length is available. Please specify in the Notes section at Checkout the Custom Letter(s) and the order you want them displayed.
Please note that all orders are insured during the shipping process and thus, require a direct signature upon delivery. If you would like to bypass the required signature, please make a note in the "Notes" section during checkout.


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Day Care
"I'm there when you cant be"
Home Boarding
Individual & Group Dog Walking
Precious Paws is based in Beckenham, Kent and provides a home from home for your dog. We all love our pets and they become precious members of our families. When you cant be at home for them, due to work commitments or other obligations you want them to be cared for with the same love and devotion that you give them. Well that's exactly what I provide at Precious Paws! My aim is to provide you with a quality, professional, caring, service. All dogs I care for will be welcomed into my home and treated as if they were my own.
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text: Edited by PupGilder: 8/18/2014 2:32:19 AM 14 4 PupGilder Happy birthday Deej! Have a blast. English #Bungie #Deej #birthday Comment Reply Start Topic Report Add more answer options Posting in language: English Français Español Deutsch Italiano 日本語 Português (Brasil) B I U Quote Link Named Link Spoiler Armory Forum Category Destiny Feedback Help Community Recruitment Gaming OffTopic Forum Sub-Category Post a Poll Question Post Cancel Edit Create Fireteam Post Play nice. Take a minute to review our Code of Conduct before submitting your post. View Entire Topic


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The Westin Grand Cape Town Arabella Quays has a beauty and fitness centre on the 19th floor with a gym, swimming pool, sauna, steam bath and jacuzzi. The hotel also has a Jazz bar called 'Louis B's' overlooking the canal. The hotel's guest facilities are excellent and restaurant serves good food all day. One of South Africa's best 5 star hotels.
A ten minute walk to the popular Victoria & Albert waterfront, the is situated in the southern end of central Cape Town and within walking distance of the best shops, restaurants and bars. The hotel is 22 km from Cape Town international airport. The hotel is attached to the city's main and biggest conference space, the Cape Town International Conference Centre.
A 19-storey modern glass block building connected to the Cape Town International Convention Centre.
A wide sleek reception desk greets guests in this very large lobby. The reception area has a calming water feature, white tiled floor and modern comfortable leather seating. There is art on display and a row of concierge desks.
Pets are not allowed


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|Message view
|« Date » · « Thread »
|« Date » · « Thread »
|Jon Stevens <...@latchkey.com>
|Re: HTML filtering on tomcat-dev
|Tue, 17 Jul 2001 06:16:02 GMT
on 7/16/01 5:44 PM, "Christopher Cain" <email@example.com> wrote: > In addition to leaving my inbox blissfully free of such abominations, I > have a feeling it will also reduce the amount of user questions on the > dev list. I've noticed that a good percentage of the HTML-formatted > posts, the vast majority of which almost assuredly from a Win box, are > also user-level questions ... gee, I wonder what the correlation is ;-) Those posts will still go through, it is just that only the plaintext portion of the message will survive. That is the most shitty thing about HTML email. It actually sends TWO copies of the body. One marked up with a bunch of crap and then the plain text version as well. Some clients go as far as encoding the plaintext version in base64 so that you can't read it even if you wanted to. :-( -jon
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|Reviews for Close Your Eyes
| Moon6Shadow chapter 1 . 11/30/2012
Heart-breaking, I really like the ending it's the little things that make or break you after all.
| Silver Sailor Ganymede chapter 1 . 11/14/2006
Very sad, a powerful piece of writing.
| MilesTailsPrower-007 chapter 1 . 8/29/2006
I can see why you'f feel sad after this. I almost teared up. Poor Al. You did a nice job mentioning the lack of feeling and encorportating it into this. Beautiful job.
| chibiazn3 chapter 1 . 1/24/2006
its...too...sad...sniff...poor ed...
| Phoenix Hoshika chapter 1 . 11/10/2005
My goodness… That was sad, but well written; good job. Yes, that song does have a rather lonesome feeling to it. The heart put into it is evident and even though it's sad still makes it song you want to listen to over and over again, so I'm really not that surprised it inspired such a good piece of fan fiction. Keep up the good work.
| LuckyLadybug chapter 1 . 8/24/2005
Wow. Very short, but it still manages to convey a lot of emotion. And it makes perfect sense that Al would have trouble getting used to his new form at first. I think you captured brilliantly what could have been his thoughts and feelings at that time in his life. The last lines are especially profound and sad.
| Jezunya chapter 1 . 8/22/2005
Wow. I only just discovered FMA, but this is a wonderful illustration of that terrible night in Ed & Al's childhood. Poor Al...
| crazyanimefreak15 chapter 1 . 8/22/2005
Ok...I'm kinda loss. Is this what happened right after they tried to bring thier mother back? It was well written, I'm just confused on the timeline.
| K. A. Maples chapter 1 . 8/21/2005
*hugs Al and drags him home to feed him*
Scar: ... you know he can't eat...
Shut up.


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Speed up your debug routine!
Automated exception search integrated into your IDE
System memory 259522560 must be at least 4.718592E8. Please use a larger heap size.
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329 yards and 2 TD's in his first start is pretty impressive.
Printable View
329 yards and 2 TD's in his first start is pretty impressive.
You're right.Quote:
Originally Posted by RavenMan;537996[B
I do think they have to do something in this draft. They don't have the space to get a QB in free agency. There is no way they are going to pay Flacco what he wants and might even pull the offer the made before the season. They need an option at the position and I doubt TT is it.
Do you think kirk cousins gonna last in arc north? Very doubtful. Face it people Flacco staying in Baltimore whether we like it or.not.
How can anyone make a case for paying joe a lot?
Sent from my iPhone using Tapatalk
This team needs to get better in the trenches both offensively and defensively. That is the #1 priority period. QB should be low on our priority list. First off there not really any great ones out there to be had, secondly I don't care how good a QB you get, they will not win with the Dline and Oline we currently are trotting out there.
Fix the trenches...thats my Mantra. Even if you have to franchise Joe and make a call on him the following season. We at least know that with Joe, if surrounded with the right personnel he can win. We know without decent line personnel we will not....that makes the decision a no brainer.
To think that all the issues would be fixed in one week was just dumb. It is going to take the offseason to really fix this, all they can do here is throw some wrinkles in and try and execute which was always part of the problem. I will at least give Jim and Joe the rest of the games this season to make any real judgement.
I really think some of you thought the Offense was goign to come out and not miss any beats and Joe would throw for 6 TDs. Before you think otherwise I am dissapointed in what I saw but there were also some good things just too few.
If Joe fails with a new coordinator then you can move on. At least in this scenario whatever rookie QB or FA you bring in might have the personnel around them to be successful. Right now that highly doubtful unless they address it.
maybe we can lure Bulger out of retirement
There are too many huge holes on this team for us to even think about drafting a QB early.
Joe's inconsistency is a massive problem, but unfortunately it's the least of our worries.


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As noted at RI Future, the latest name to surface in the Congressional sweepstakes is lawyer Donna Nesselbush, known for her work to combat domestic violence, among other things.
She joins higher profile women Elizabeth Roberts, Betsy Dennigan, and Myrth York in the rumor mill. If one woman emerges, here, she'll be in solid position in a field that could be crowded and largely male.
Indeed, the bigger the field, the greater her chances.


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Do I have symmastia? And if so, is my condition bad? (Photo)
Doctor Answers 10
Low positioned breasts
Breast implants
All the best,
Dr. Results
Miami, FL
Smaller implants and a lift
Think you for your question. You do not appear to have symmastia, however you have extremely large implants for your size and very little support in the lower pole which is causing the bottoming out further. With your pocket dissected so far medial although without symmastia and with bottoming out this has caused her nipple to be positioned upward and outward. You should consult with a board certified plastic surgeon articulating your desired look and possibly showing photographs of the desired look you seek. Many patients imply closely set implants to accentuate cleavage however this can cause the nipples appear artificially laterally displaced in the frontal view.
Web reference: http://www.santabarbarabreast.com/breast/implant-replacement-santa-barbara-ca/
You might also like...
Does Patient Have Synmastia?
For more information on breast revision, click on the link below.
Web reference: http://www.enhanceyourimage.com/procedures/breast-revision.cfm
Problems with breast implants
Dr Corbin
Web reference: http://www.thebreastexpert.com
Do I have symmastia? And if so, is my condition bad?
I am sorry to hear about the complication you have experienced. From the photo, it looks like you may have implant malposition; both inferiorly (bottoming out) and medially (not necessarily symmastia).
Successful correction of implant malposition, in my opinion does require some experience; I would suggest that you do your due diligence when it comes to selecting your surgeon for this type of revisionary breast surgery.
In my practice, having used a variety of "techniques" for correction; I find that the most reliable technique involves capsulorrhaphy ( internal suture repair of the breast implant pockets along the cleavage area). Sometimes, the use of acellular dermal matrix is helpful also. Often, it is necessary to "open" the breast implant pocket laterally (outer breast fold) to allow for positioning of the implant centrally behind the breast mound. This maneuver may also decrease the amount of implant pressure against the medial suture line.
You may find the attached link helpful to you as you learn more about the options available. Best wishes.
Web reference: http://www.poustiplasticsurgery.com/Procedures/Procedure_symmastia.htm
Is your ideal cleavage 1 or 2 fingerbreadth?
Symastia in big implant breast reagmentation... What to do next?
Your cleavage line seems well defined, making the communication between your 2 breasts (symmastia) unlikely.
I gather that your ideal breast is higher and perkier. Then the solution is going to be to reduce the implant size, reinforce the bottom of the breast with a sling, and do a lift to readjust the breast to the new implant position.
Finally, make sure that you have a consultation with a board certified plastic surgeon that specializes in breast revisions.
Wishing you the best in your journey
Web reference: http://www.renova-plasticsurgery.com/breast-revision-pittsburgh/
Not symmastia but malposition
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.


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From the Department of General and Cardiothoracic Surgery, Duke University Medical Center, Durham, NC.
1997 by the American College of Chest Physicians
Right ventricular (RV) failure, which is a leading cause of early morbidity and mortality following cardiac transplantation, is attributed to the inability of the donor RV to acutely compensate for the recipient's elevated pulmonary vascular resistance (PVR). Furthermore, the effect of donor brain death (BD) on RV function is unclear. The purpose of this study was to investigate the effects of donor BD on RV function in the setting of elevated PVR. The interactions of the RV and its afterload, the pulmonary vasculature, and left atrial pressure were assessed by measurements of pulmonary vascular energetics and their oscillatory nature using proximal ultrasonic pulmonary artery (PA) flow probe and micromanometers in the proximal and distal PA in 20 mongrel dogs (25.8±0.4 kg, five control animals). A band was placed around the distal PA (PA-systolic gradient >15 mm Hg). BD was induced by rising intracranial pressure and was validated neuropathologically. Data were collected at 0, 2, 4, and 6 h after BD in both banded and control animals. Fourier analysis was used to calculate RV oscillatory power, mean power, and total power (TP). Comparison of changes due to banding were made to baseline measurements using multivariate analysis and paired Student's t test (p<0.05). A significant twofold to fourfold increase in pulmonary impedance and PVR occurred with an acute rise in PA gradient. Control animals tolerated acute increases in PVR without significant changes in TP. There was a significant increase of RV TP from 73 (±11) to 98 (±10) mW at baseline after the acute rise in PVR and impedance. After BD, the response to increased PVR and impedance was abolished significantly compared with baseline and control animals, suggesting a significant loss of compensatory TP to sustain pulmonary vascular blood flow. The data indicate that BD is detrimental to RV mechanical function.
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Chat with James Walker
Welcome to SportsNation! On Tuesday, ESPN.com AFC East blogger James Walker will stop by to chat about the NFL and what to expect from your team.
Walker joined ESPN.com in 2008 after three seasons covering the Cleveland Browns for the Columbus Dispatch.
Send your questions now and join Walker Tuesday at 3 p.m. ET!
More James Walker: AFC East blog | Chats | NFL index
James Walker (3:00 PM)
Welcome to our latest chat. There's plenty to talk about, so let's begin.
Peter (New Jersey)
What is your take on the next three games for the Dolphins? (@NO,vsBAL,vsBUF)
James Walker (3:02 PM)
Good question, Peter. In the preseason I talked a lot about the first five games and how that should be Miami's focus. The Dolphins have done a terrific job at 3-0. The worst they can finish is 3-2 before the bye, and I think that's very good for Miami. The Dolphins are playing with house money right now. If they beat New Orleans and/or the Ravens, I would consider that a bonus.
Brendo (Albany)
Do you think the Miami o line can improve this season or will it need an offseason overhaul?
James Walker (3:03 PM)
ESPN.com readers know I'm not high on Miami's offensive line. I've been pointing this out as a weakness since OTAs, and it still baffles me why the Dolphins didn't do anything significant this offseason to that unit. To some degree the offensive line can play better. But this is an average group, and I think you're going to get average results most weeks.
Rich (New Jersey)
Hi Jim, Dolphins 3-0 start given Miami enough confidence to carry them to an 8-8 or better season with possible playoff berth?
James Walker (3:07 PM)
I think it's a shoe-in Miami can finish at least 8-8. That's probably the floor at this point after a 3-0 start. The key will be reaching their ceiling, which is probably 10 wins and a playoff berth. The Dolphins have potential if things go right for them.
Candy (Slippery Rock)
James, do you think Charles Clay will remain a big part of the Dolphins O for the rest of the season or will Sims start playing more?
James Walker (3:08 PM)
I expect both players to remain in their roles, Candy. Clay is the most experienced and the TE the coaching staff trusts the most. Dion Sims has the most potential as a dual receiving and blocking tight end. But he needs more time to get used to the NFL game.
Adrian Carlsbad Ca [via mobile]
James do you think there will be more emphasis on running the ball this week to try and keep Brees and a wounded Dolphin defense off the field?
James Walker (3:12 PM)
Yes, Adrian. The running game needs to be fixed, and this has been a weakness for the Dolphins. Miami is ranked 28th in rushing, which is not the kind of results the team wants. The Dolphins expected to be a better rushing team, but it's a long team. Fortunately for the Dolphins, quarterback Ryan Tannehill has been ready to step up in the passing game.
Michael (Virginia beach)
do you think the dolphins can keep up this undefeated record? or who do you think they'll fall too?
James Walker (3:13 PM)
I make game-by-game predictions on the Dolphins later in the week, Michael. So stay tuned. I'm 3-0 so far picking games. I know where I'm leaning this week. But I'm going to wait a few more days to get clarity on injuries.
Steve (CA)
L. Miller gonna hold/take the job especially with his potential in the passing game or RBBC all year long?
James Walker (3:16 PM)
Lamar Miller has been the starting running back for the Dolphins. But when you look at snaps, Miller and Daniel Thomas have been used equally. Each player has different traits and neither really has the hot hand. So Miami's coaches are splitting up the opportunities.
Greg (NJ)
Tannehill pretty legit huh? I'm not saying Marino, but safe to say at this point they finally found a franchise QB? I loved that last drive against the Falcons, showed a lot there. What do you make of his poise?
James Walker (3:17 PM)
Ryan Tannehill is showing more and more each week. I always liked his potential, but I'm starting to see it all come together on the field. The Dolphins haven't had this kind of potential at quarterback since Dan Marino. Barring injury, I expect Tannehill to only get better.
mike (MA)
do the dolphins regret letting jake long go? could have used him this year.
James Walker (3:18 PM)
Jake Long's body was breaking down and he wasn't worth the price tag he commanded in free agency. I don't have a problem with Miami not re-signing him from a business standpoint.
Will [via mobile]
Will we start seeing more double tight end sets to protect tannehill or is egbew and sims blocking too weak for this? Sims on the tannehill fumble was pathetic
James Walker (3:20 PM)
The Dolphins need to do more in pass protection, no doubt about it. It's not just the offensive line or tight ends or running backs. Everyone needs to get on the same page.
Will [via mobile]
One of Ireland's most underrated moves... Caleb sturgis. Where would you rank him among kickers in the league?
James Walker (3:21 PM)
Ranking kickers is not something I spend time thinking about during the week, Will. But Sturgis has been money. He hasn't missed a kick yet and most of them have been from 40 yards or more. His kickoffs are also strong. He's a good weapon for the Dolphins.
Alex (Anaheim)
Do you give the Jets any shot at the playoffs?
James Walker (3:24 PM)
I don't see it, Alex. The Jets beat the Buffalo Bills and Tampa Bay Buccaneers. Those are bottom-feeder teams. Let's see if the Jets can beat some of the good teams on their schedule before predicting the playoffs.
tony (ocoee)
Hello James, I'm sure your tune is changing about the dolphins. They are 3-0 and I don't even think they have looked sharp yet. How good can this team be? I don't think the Pats will be a problem for them.
James Walker (3:25 PM)
The Dolphins and Patriots are the best two teams in the division. However, New England remains the favorite until proven otherwise. I said before the season that Miami's ceiling is 10-6. I still stand by that if most things go well.
jordan fl [via mobile]
where would you rank brent grimes play thus far? also how will he match up against colston this week.
James Walker (3:28 PM)
Brent Grimes is playing terrific football. One of the things that stood out to me was how little Atlanta threw his way. That is respect. It also means Nolan Carroll must step up his game. There's a big drop off from one cornerback to the other.
Greg (NJ)
What the status of Miami CBs for this week? Things didn't look great vs Atlanta last week. Need to step up vs Drew Brees.
James Walker (3:30 PM)
The Dolphins worked out six defensive backs this week, which is very telling. The Dolphins won't say, but it doesn't appear Dimitri Patterson is healing as fast as the team thought. Nolan Carroll plays hard, but he's not a stud at CB.
mike, orlando [via mobile]
Do you think with Cameron wake will get an extension on his contract? Or do you think jordan and vernon are the pass rushers of the future?
James Walker (3:33 PM)
Cameron Wake just got an extension last year, Mike. He's there for the next few years.
Jeremy (NJ)
do you only cover the dolphins now? also, why doesn't each team's reporter have chats?
James Walker (3:38 PM)
Yes, Jeremy. I only cover the Dolphins. ESPN.com has expanded to cover all 32 teams to bring the most comprehensive coverage anywhere. I am based in Miami. Check out all the team pages, Jeremy.
michael (virginia beach)
what are thoughts on mike wallace with miami? seeing how he barely did anything this past game
James Walker (3:39 PM)
Mike Wallace had a great Week 2 against the Colts. But he didn't get many targets in Week 1 and Week 3. I think this is more on the coaching staff than anything. It's up to them to find creative ways to get Wallace the football. The Indy game was a good example of that.
Jeremy NC [via mobile]
Offensive line is average at very best. Poor pass protection needs to be blamed on several people but the line REALLY needs help. Are there some free agents available that would upgrade us? If so why are we not moving for them?
James Walker (3:41 PM)
The Dolphins can't sign everybody, Jeremy. This isn't fantasy football. Miami already spent more than $200 million in total value of contracts in free agency. There aren't just big-name guys on the street waiting for the phone to ring.
Greg (via mobile) [via mobile]
So far the Dolphins have dominated the forth quarter. How much do you credit this to Philbins policy of Thursdays off, and do you think other teams will start doing the same if the Dolphins continue to win the late game?
James Walker (3:43 PM)
It has something to do with it, at least that's what players told me. I'm not sure if other teams will copy. Coaches like their routines.
jason miami [via mobile]
When do you think miami is going to take some shots deep with wallace and take advantage of his 4.3 speed?
James Walker (3:45 PM)
This week would be a good time. But the pass protection isn't very good. The offensive line, running backs, etc. are doing enough to allow Mike Wallace to run deep.
Alex (Sanibel, FL)
I know in your early articles you worried about injuries and the dolphins depth and ability to sustain a level of play without key pieces. Well three games in, Wake, Solia, Patterson, Ellerbe and Misi are already injured. How can the Dolphins plug these holes moving forward and how big of a concern should it be?
James Walker (3:47 PM)
I have another post coming up on the topic later today, Alex. It is a big concern, especially playing against the high-powered offense of the Saints. This would be a good week to have all your players healthy.
mike (MA)
after 3 games, how has jonathan martin looked at LT relative to your preseason expectatons?
James Walker (3:48 PM)
In relative to my expectations, I think he's been fine. Not great, but also not bad.
Harry (Babylon, NY)
Do you think it will be helpful or hurtful for Miami to play 4 of their last 5 games against divisional opponents?
James Walker (3:52 PM)
I always prefer division games spread out. But Miami may need these games late in the year for tiebreakers, etc. The Dolphins have to play well and win them either way.
Tim (AZ)
Is it possible the RB are making the OL look worse than they are? Have seen MANY missed blocks by the RB's. I like that penalties are not hurting the OL.
James Walker (3:55 PM)
It's both, Tim. Miami's offensive line isn't getting a lot of push on running plays. Personally, I don't think the zone-blocking scheme fits their personnel, especially at guard. But the running backs also aren't running through tackles often. Plenty needs to be fixed. That's why Miami is 28th in rushing.
Alex (Chicago, IL)
Hey James! After the first three games, what or who has surprised you most about this team?
James Walker (3:57 PM)
I think Miami's performances in the second half. The Dolphins are outscoring opponents 41-16 in the third and fourth quarters, which is a big reason why they are 3-0.
Orlando (Miami)
Hey James,What did you think about Simms' reaction to catching that go-ahead TD? He seemed very cool and collect like if he had done this 100 times before.
James Walker (3:59 PM)
Dion Sims was cool about it. But in the locker room after the game you could still see he was in awe of the moment. His first NFL catch is a game-winning touchdown. On top of that, it was one-handed. It doesn't get much better than that for a rookie.
James Walker (4:00 PM)
Thanks again for the great questions, everyone. Remember to check out the Dolphins team page on ESPN.com throughout the week for all the latest. You can also talk to me via Twitter @JamesWalkerNFL.
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text: Volume 2 of Warner Home Video's new release of the Errol Flynn Signature Collection is one of the most important classic releases thus far this year. Having been brought up on the Warner classics, and having favored the Flynn productions, this second volume is a welcome gift. With a career that went into gear in 1935 with Captain Blood, and ran into the late 1950s, one will find the important Flynn films between Captain Blood and Master of Ballantrae in 1953. Between them are 20 or so fine films, most for Warner, with a couple for M-G-M around 1950. The first volume of Flynn productions brought us five wonderful classic films, Captain Blood (1935), Dodge City (1939), The Private Lives of Elizabeth and Essex (1939), The Sea Hawk (1940) and They Died with Their Boots On (1941). Volume two adds four great Flynn vehicles, Adventures of Don Juan (1949), The Charge of the Light Brigade (1936), The Dawn Patrol (1938), Gentleman Jim (1942) all in top shape and with beautiful transfers plus an "also ran," the 1941 Technicolor Dive Bomber, which is less than stellar shape, with a less than stellar transfer, and not a personal favorite. The good news is that there are still enough quality Flynn films at Warner for a third volume, which is sure to some in the future. Some of the greatest talent of the era went into the production of these films, which are a true treat for the cinephile. The street price for volume one stands at around $45, while volume 2 arrives at under $35 5 films. This is a bargain price for a quality product. Especially at under $6 per film, Volume 2 of the Errol Flynn Signature Collection wins highest honors from these quarters. If one film stands out from the pack in terms of quality, it would be the newest of the group, the Technicolor Adventures of Don Juan, which I'd love to see arrive on HD in the near future. It would be magnificent. I'm thrilled that they've arrived, and come Extremely Highly Recommended. RAH