text:
- Description
The amazing Basket Swring is constructed of 3 strong wooden-plastic rings plus the platform that kids can sit on, stand on, or hang from, and it swings, spins and revolves all at the same time!
There is more to the Basket Swring than meets the eye: it also helps children develop balance, poise, strength and equilibrium.
Basket Swring Features:
- Precise, durable heat treated bearing spins on a lifetime nylon
- Collapses for easy storage
- High quality non-toxic paint protects it from the weather and the constant use
- Platform contains a non-slip surface
Benefits of SWRING-ing noted in therapy:
- Fun to ride - Accommodates 18 month+ users, fostering group cooperation, problem solving, turn-taking, fostering flexibility in typical playmate roles. Creative play ideas emerge during use of the SWRING - astronauts flying in space ships, Group activities on the SWRING also encourage coordination and body awareness related to moving one's body near/next to a peer's body.
- Improves balance and core strength - stand to squat balance [ski pose or quad strengthening], promotes head inversion/ vestibular activation when reaching down to the floor and returning up to standing.
- Supports integration of the body moving in space for kids with gravitational insecurity
- Supports bilateral coordination of arms/legs for climbing and transitioning body in/out of the SWRING
- Supports neck/arm/trunk righting reactions which all translate to improving body position in space sensation, and increasing graded, controlled muscle responses, and appropriate timing with muscle responses
- Vestibular/Spinning input increases alertness levels with great social emotional outcomes (improved eye contact, increased vocalizations, increased spontaneous speech, increased affect/expressions and engagement)
- Improves postural control and alignment - orthopedically-challenged kiddos, and kids with limited movement experiences quickly learn how to orient their bodies and align the spine vertically for more optimal posturing during face to face interactions and during UE/upper extremity functional tasks.
- Basket frame provides a sense of security for short sitting and scooting around while seated on the bottom platform.
- Specs
SKU# swring1
Basket Swring Specifications:
- Dimensions: 90" x 48"
- Age: 18 month+
- Weight Capacity: 250 lbs.
- Info
Additional InformationThere is no additional info available.
- Videos
VideosThere are no videos available.
- Reviews
Customer Reviews 5 item(s)
- What we do is teach parents to do these things at home. We had a parent see the Swring and she ordered one for her child
- My son, Grant, was diagnosed with autism 6 years ago. For the past couple years he has had access to a SWRING at his speech/OT clinic. When Grant uses the SWRING we noticed an increase in focus and attention. He is also very well regulated when using the SWRING.
- I will sit on one side and have the child sit on the other side, so they can learn how to feel their bodies. Just getting the kids to invert their heads gets their balance system to activate.
- It is very effective with high functioning autism or aspergers syndrome children. I get four kids on it [the Swring] at a time. It
- Look at how tire swings are constructed they have defined frame. They can


text:
Get notified when new sales are live
Subscribe to our notifications so you don't miss out on our new sales!
Emerica Men's Triangle Snapback Cap - Brown/Red
$19.99 for this edgy street-wise brand!
Available in men's sizes - one size fits most!
Made by skaters for skaters, the Emerica brand exudes comfort, functionality and effortless street style. With a range of apparel, shoes and accessories to suit your flavour, gear up with the latest trends here at rock bottom prices.
- Emerica headwear
- For men
- One size fits most
- Style: Triangle Snapback Cap
- Colour: Brown/Red
- Functional streetwear style
- Embroidered logo on front
- Adjustable snap closure
- Materials: 100% cotton twill
- Country of origin: Bangladesh

subset: commoncrawl


text:
Libraries are a central part of the university experience. They are learning spaces created to enable and inspire generations of thinkers. But as higher education expands to meet the new and growing demands of today's student, we're seeing a shift in the way university libraries are being used, designed and built the world over.
From the so-called "Berlin Brain" at the Free University of Berlin to the forest-like interior of the University of Queensland Ipswich Library, library buildings no longer look like libraries.
Whether you're a student, academic or librarian yourself, we want to see the libraries you work and study in – and how you use them. From the traditional to the quirky, share your photos on GuardianWitness to help us document the university library of the present and future. To take part, click on the blue 'contribute' button.
Closes Sunday 18 August 2013 at 5pm
- GuardianWitness is the home of user-generated content on the Guardian. Contribute your video, pictures and stories, and browse news, reviews and creations submitted by others. Posts will be reviewed prior to publication on GuardianWitness, and the best pieces will feature on the Guardian site.


text:
Smith declined to discuss the book further, but he is not alone in taking the throwback gothic tale seriously.
Red Spectres Translated by Muireann Maguire Forgotten gothic tales from a tumultuous chapter of Russian history.
From a reissue of a violent 1972 classic to a macabre odyssey across a gothic Southern landscape.
The worst of the bunch was Mary Reilly, a gothic take on Dr. Jekyll and Mr. Hyde.
What made you think of Princeton as the setting for a gothic novel?
It occurs in each and all of the Germanic languages of the gothic stock.
Classic countries of Europe, (gothic, and Arab,) 62 sq. iii.
The Roman and the gothic have placed in their monument (the church) that other monument (the portal).
Some alumni might be nostalgic for the gothic structures of their university days.
The most original and effective feature of ornament, however, which was introduced by gothic architects is that of painted glass.
"of the Goths," Germanic people who lived in Eastern Europe c.100 C.E., "pertaining to the Goths or their language," 1610s, from Late Latin Gothicus, from Gothi, Greek Gothoi, all from Gothic gutþiuda "Gothic people," the first element cognate with Old Norse gotar "men." "The sense 'men' is usually taken to be the secondary one, but as the etymology of the word is unknown, this is uncertain" [Gordon]. The unhistorical -th- in English is from Late Latin.
Used in sense of "savage despoiler" (1660s) in reference to their fifth-century sacking of Roman cities (cf. vandal, and French gothique, still with a sense of "barbarous, rude, cruel"). Gothic also was used by scholars to mean "Germanic, Teutonic" (1640s), hence its evolution as a 17c. term for the art style that emerged in northern Europe in the Middle Ages, and the early 19c. literary style that used northern European medieval settings to suggest horror and mystery. The word was revived 1983 as the name for a style of music and the associated youth culture; abbreviated form goth is attested from 1986. Gothic revival in reference to architecture and decorating first recorded 1869 in writing of C.L. Eastlake.
In European architecture, the dominant style during the late Middle Ages, characterized by slender towers, pointed arches, soaring ceilings, and flying buttresses. Many great cathedrals, including Chartres and Notre Dame de Paris, were built in this style.


text:
Books for Adults
Running Barefoot on Holy Ground
Childlike Intimacy with God
Are you missing something in your faith walk? A life filled with Jesus is a life of joyous abandon when we give ourselves permission to experience it like a child, but this type of relationship can happen only as we grow in our understanding of the awesome holiness of God. Running Barefoot on Holy Ground can help you rediscover the joy of loving God with the abandon and innocence of a child.
This book is a balm to the spirit of anyone hungering to know God intimately as their heavenly Daddy. Through literature, Scripture, story, and practical exercises, Jeanne helps us assume that childlikeness that pleases God and draws us near to his heart.
Mary Beth Lagerborg, Author of Dwelling: Living Fully from the Space You Call Home
Former Communications Manager for MOPS International
Marta's Promise
A Novel by Jeanne Dennis and Sheila Seifert
As Marta Ebel leaves her German homeland illegally in 1766 to seek a new life in Russia, a five-year-old boy is unexpectedly left in her care. To save them both, she must put her trust in a handsome French rogue who passes himself off as a fellow emigrant. On her perilous journey, Marta discovers the real meaning of faith and the true cost of love.
Brimming with the spirit of new hope amid dramatic uncertainties and physical hardships, the story of German relocation in the 1700s comes to life in these remarkable pages. It's not a story of the past as much as a story of human endeavor, challenges, dangers, and faith.
Gerald Perschbacher, Editor, historian, and author
Homeschooling High School
Planning Ahead for College Admission
by Jeanne Gowen Dennis
Foreword by Michael Farris
In its second edition, this book is a complete guide for families planning to or thinking about homeschooling their teens during high school. This 8 1/2 x 11, 320-page book covers topics like: deciding on the best type of education for your teens, building education on a firm moral and spiritual foundation, understanding worldview, setting goals, doing high school coursework, meeting requirements, getting help with difficult courses, choosing a college, navigating the college application process, preparing transcripts, writing college essays, and more.
Wise counsel and realistic suggestions . . . from someone who has already faced the challenges, learned from her successes and failures, and developed a strong desire to impart what she has learned.
Michael Farris
Founder and President, Patrick Henry College, Chairman and General Counsel, Home School Legal Defense Association


text:
July 23, 2017 Disclaimer: Please read.
Statements and opinions expressed in articles are those of the authors, not Truthdig. Truthdig takes no responsibility for such statements or opinions.
3 Reasons Eliot Spitzer Should Run Again
Posted on Sep 1, 2009
This is coming from the New York Post, so take it with a metric ton of salt, but the rag says former New York governor and "Client 9" Eliot Spitzer is thinking about getting back into politics, possibly challenging conservative Democratic Sen. Kirsten Gillibrand. Spitzer has repeatedly denied any interest in running again, but if the polling pans out he should. Here's why:
1. As New York's attorney general, Eliot Spitzer was the scourge of Wall Street while other regulators and officials were busy cheerleading. He knows the rot at the heart of the American economy better than most and could be a powerful force against it. With Obama expanding the Bush bailout and other Democrats on the banks' payroll, we could use a voice like Spitzer's in the Senate.
2. Speaking of that body, the passing of Ted Kennedy underlined a disturbing trend: There just aren't that many liberals left in the Senate. We've got a socialist in Bernie Sanders. Russ Feingold, Barbara Boxer and Sheldon Whitehouse make a nice trio. Anyone else? Kirsten Gillibrand has moved to the left since she took over Hillary Clinton's Senate seat, but she's a former Blue Dog and a conservative at heart. As in she's got a perfect record with the NRA and wants to make English the official language. Can we get an upgrade?
3. Making it with a prostitute is grounds for divorce. It shouldn't kill your political career and it's certainly not our business. What is it about Americans that they want to be kings of their castles but live in everyone else's bedroom? A majority of New Yorkers would rather have Spitzer in office than his successor, according to a recent poll. Maybe he could have weathered the storm. Maybe we're evolving. Maybe not.
Spitzer probably won't run. If he did, he would delight Republicans. Why risk a safe seat? Because not risking anything hasn't gotten us very far with this Congress. If he doesn't run—a near certainty, whatever the Post says—he should find another way to re-enter the political realm as the rebel we so desperately need to fight the Wall Street junta. Working in his dad's real estate business is a waste of Eliot Spitzer's talents. —PS
Banner, End of Story, Desktop
Banner, End of Story, Mobile
Watch a selection of Wibbitz videos based on Truthdig stories:
Related Entries
New and Improved Comments
If you have trouble leaving a comment, review this help page. Still having problems? Let us know. If you find yourself moderated, take a moment to review our comment policy.
Join the conversation
Load Comments
By ChicagoGirl, September 2, 2009 at 2:55 pm Link to this comment
Being from Chicago, scandal is something I'm used to. I care little about Spitzer's personal life, and if he wants to give it a go then let him try! Found this video reflective of the conversation going on.
By Nelson Lee Walker, September 2, 2009 at 2:13 pm Link to this comment
The best answer to this question and any other question is to throw all of Congress OUT!
The only infallible, unstoppable, guaranteed way to get a truly new Congress is : NEVER REELECT ANY INCUMBENT! AND DO IT EVERY ELECTION!
Most folks think I am too unreasonable in asking everyone to NEVER REELECT ANYONE IN CONGRESS. They think it's an 'extremist' position. But that's the whole point! Congress will never listen to us UNLESS we scare the bejesus out of them! To drive the point home, NEVER REELECT ANYONE IN CONGRESS, AND DO IT EVERY ELECTION!
The closer we get to a "Voter's One-Term Congress", the closer we'll get to a "Citizen's Congress".
There is only one way to make this happen : The American voter must IMPOSE term limits on Congress by NEVER REELECTING ANYONE IN CONGRESS, AND DO IT EVERY ELECTION! In other words, don't let anyone serve more than one term. That's the only way to teach them that the voter is the boss! The "one term limit" can be eased AFTER citizens get control of Congress.
Congress will never allow us to constitutionally term limit them by an amendment. Our only choice is to NEVER REELECT them. All of them!
Remember too, it makes no difference who you vote for, as long as it is NEVER any incumbent.
I believe that even a little success in a campaign to NEVER REELECT ANYONE IN CONGRESS would move us a long way toward a revolutionary change in American politics, much like 1776. Some of the reasons in favor of this approach:
• It gives us a one-term, term limited Congress without using amendments
Nelson Lee Walker of tenurecorrupts.com Saratoga, CA
By grumpynyker, September 2, 2009 at 11:03 am Link to this comment
Sorry. Until Elliot apologizes to Kermit Eady and
By grace odoreida, September 1, 2009 at 1:32 pm Link to this comment
If Kirsten Gillibrand is—as you incorrectly claim
That NRA rating you rabbit on about was based on only
There's no way New York voters will allow a
Right Skyscraper, Site Wide
Right Internal Skyscraper, Site wide


text: Sheridan Smith to play "The C Word" cancer blogger Lisa Lynch in new BBC1 film Smith - chosen by Lynch to play her just before the writer died last year - hails the courage of the cancer patient whose life she will recreate on the small screen Comments Written By Ben Dowell 12:01 AM, 28 February 2014 Sheridan Smith is to play cancer blogger Lisa Lynch in a BBC1 film based on her hit book The C Word. The 90-minute adaptation of Lynch's account of her experience of cancer - based on her popular blog which was launched shortly after her diagnosis in 2008 - will air next year. Lynch was also involved in choosing Smith to play her shortly before she died in 2013 aged just 33. Adapted by Nicole Taylor, whose work on the film was also done in close consultation with Lynch, the film has been described by the BBC as a "defiant, ballsy account which captures the no-nonsense and witty style of Lisa's writing and personality". The film begins when Lynch is first diagnosed with breast cancer aged just 28 and newly married to Pete. Sheridan Smith added: "Lisa first contacted me via Twitter, and we quickly became friends. She called me SS and I called her LL. Her zest for life was infectious and I was moved and inspired by her courage and bravery. I couldn't help but love her. That's why I want to tell her story. For Pete, for her family and for everyone who's lives are touched by cancer. I'm so sad that Lisa won't get to see the finished drama, having been so involved in the development of it. I'm honoured and humbled that she wanted me to play her on screen, and I hope that I will make her proud." Susan Hogg, executive producer, BBC Drama Production said: "One in three of us will receive a cancer diagnosis in our life time - everyone will be touched by it. Sometimes a voice makes itself heard which manages to encapsulate our universal experience. Lisa Lynch is one of those; accessible, irreverent, hilarious voices which can help us to find the energy to cope when it seems impossible. The C Word is a magical love story of a young couple, their families, and life itself. " Follow @RadioTimes Like this? Share it. Facebook Twitter Google Tumblr Pinterest Blogger Reddit VKontakt Print Email


text:
In a deep bronze finish, this wall lantern has an eye-catching design. Beautify your home while adding light and safety. From the Fairbanks Collection.
Our team has over 100 years combined experience with contemporary lighting.
Every EuroStyleLighting.com order is backed by our 100% Satisfaction Pledge.
Shipping and Delivery Information - For item EUJ7573 if ordered by 1 pm Pacific Time


text:
There's been much talk about Labour's summer campaign and whether, as Andy Burnham said, it needs to "shout louder".
The Tories worked hard to put together a planned communication grid of issues and activity, fronted by their Cabinet ministers and led by the PM.
But Labour put out a second team of junior spokespeople with most of Ed's Shadow Cabinet on holiday at the same time.
Bar a push on the cost of living, we didn't set agendas, we followed the news and got nowhere.
Even Shadow Cabinet ministers stopped tweeting at the end of July. I don't begrudge people having holidays, certainly not Ed, who is Labour's manager.
But you've still got to put out an effective team and have a good captain. I was Tony's when he managed Labour United.
Unlike football, the season is constant and there are no friendlies.
When I was deputy leader, I led all the Labour summer campaigns.
It needed the commitment of all Shadow and subsequent Cabinet members and their teams to be actively involved, nationally and regionally, in projecting Labour's policies and ideas.
We always planned well ahead with our news grid and during summer I met every day with my team looking at the stories and messages we were going to deliver.
When one senior minister on duty said he could be contacted on the beach in Cornwall I told him if he wanted to stay in Government he'd better get his arse back to London!
I joked with Tony that our poll rating always went up by the time I finished summer watch.
Our campaigning was guided by the essential principle that the politics of organisation were just as important as the politics of ideas.
A good example was our famous pledge card of 1996 which spelled out clearly what we promised to do if elected. We constantly referred to it in the run-up to the election.
The card stated our principles and policies – get 250,000 young people back in work, smaller class sizes, cut NHS waiting lists, no rise in income tax and fast-track punishment for persistent young offenders.
I continued the same approach when I retired as deputy leader and started the Go 4th campaign in 2009 to try to secure a fourth Labour term.
Our four aims were to defend Labour's record, support the Labour leadership, encourage greater participation in the party and highlight the damage a Conservative government would do to Britain. Those aims are still relevant today!
But what's happened since 2010?
The first summer was taken up by the leadership election, where some of the candidates criticised Labour's record in Government. At the same time, the Tories kept saying the financial problems were our mess.
And we never rebutted it.
The second summer, Cameron and his ministers were all away on holiday during the riots. They never made that mistake again!
The third was dominated by the Olympics. But this summer, we massively failed to get our case over to the public and hold the Tories to account. We missed open goals!
Next summer will be the last before the General Election.
There'll be elections for local councils, the European Parliament and the Scottish independence referendum. Every party will use this as a dress rehearsal for the General Election.
Radical change is now required to shape up the policy of organisation and delivery alongside a clear set of policies and principles so people know what we stand for.
There are millions of people looking to us as the only alternative to this heartless Coalition.
So my message to Ed is this: You're our Alex Ferguson.
If Shadow Cabinet members aren't pulling their weight, give them the hairdryer treatment and kick 'em out.
We need the political equivalents of Rickie Lambert – the hungry England player who worked in a beetroot factory to raise money to pay for his training.
Ed's never had a good captain and he needs one now. His last one, campaign co-ordinator Tom Watson, was more obsessed with the media than campaigning for Labour.
A good captain can ensure the team works together on the pitch, providing a stronger attack and a rock hard defence.
Time is running out. We can still turn it around and win in the second half. But we need the very best team, week in, week out.


text:
Once again, a new year is upon us. What makes this year special is the fact that many thought we wouldn't live the day to see the year "2013." Well, it's here and for the sake of how precious time is, I hope you make it your best year yet. We all have new years resolutions and hope that we can transition into these new lifestyle changes with ease. For me, I hope to eat cleaner and take better care of myself. When it comes to fashion I want to take more risks and more bold with my style choices. I've learned quite a bit this past year and hope to continue to grow experience life as it comes. Over the past six months my hair has changed from dirty blonde, to lilac, pink, blue, white, and just recently a warm ombre inspired by Alexa Chung. While having cotton candy hair was fun and grabbed everyone's attention I wanted to make a statement without having pastel hair. I plan on keeping it in a natural state for quite a while. I took a break from blogging but will pick back up on it now that the new year is upon us. It's a personal style blog called Peacher Not Preacher to track how my style has and will change over the coming year. With a graduation date coming up sooner then later I hope to move from New Mexico to the big apple sometime next year and can't wait to see what endeavors may accompany me there. If anything take this year to better yourself, take time to find who you really are and the goals you want to accomplish in life.
Lauren Peacher
Style Guru Bio
Lauren Peacher
Jan. 09, 2013
Style On®,
from Lauren
Jul. 01, 2013
from New Mexico State University
Aug. 20, 2013


text:
MELBOURNE families could save hundreds of dollars a year on water bills by harvesting rain off their rooftops.
New analysis by the Office of Living Victoria shows the amount of rain that hit some homes last year was the equivalent of almost $400 in drinking water if it had come out of the tap.
While not all the water would be able to be recycled, a new campaign to be launched today will show households ways to use as much as possible.
The campaign, which will include advertising and use the title "right water", will provide tips on how to use downpipe converters and tanks to harvest rain water.
A display house will be set up in Southern Cross Station next week to show water-harvesting techniques to consumers.
Water Minister Peter Walsh said the government was committed to sustainable water use.
"Right Water is a new household-focused initiative to help Victorian families make greater use of alternative water sources around their home and garden, helping to reduce the use of drinking water supplies for nondrinking purposes," Mr Walsh said.
"Right Water will encourage Victorians to continue using drinking water wisely, while also showing how easy it can be to capture rainwater from the roof to keep your garden green and healthy."
Figures provided to the Herald Sun show that the amount of rain that fell in Cranbourne last year meant families would have had 172,000 litres hit their rooftops.
Office of Living Victoria analysis, using typical water costs, shows this would be the equivalent of $385 in potable drinking water if it came out of the tap.
Other suburbs were less wet in 2013, but in Essendon there was still 113,000 litres of rain water that would have hit homes, or about $234 worth of drinking water.
The analysis is based on a typical single-storey, three bedroom house in 2013.
"Right Water will show how the same principles can apply at homes, where downpipe diverters connected to drip irrigation hoses or rainwater tanks, for example, can help households secure a useful alternative water supply for their garden," Mr Walsh said.
"Every year, even in a drought year, more rain falls on Melbourne than households use from the city's drinking water dams."
Originally published as Rainwater can save dollars


text: First Lieutenant Clover was the pilot of a F-84E Thunderjet fighter with the 9th Fighter Bomber Squadron, 49th Fighter Bomber Wing. On October 14, 1952, while on a combat mission, his engine flamed out and the aircraft crashed and demolished. He was listed as Missing in Action and was presumed dead on December 31, 1953. His name is inscribed on the Courts of the Missing at the Honolulu Memorial. First Lieutenant Clover was awarded the Air Medal, the Purple Heart, the Korean Service Medal, the United Nations Service Medal, the National Defense Service Medal, the Korean Presidential Unit Citation and the Republic of Korea War Service Medal.


text:
SMYRNA, Del. (AP) — A man convicted of killing a woman with an ax during a botched home burglary has become Delaware's first inmate to be executed since 2005.
Gov. Jack Markell said Robert Jackson III was put to death by lethal injection at the James T. Vaughn Correctional Center in Smyrna early Friday.
Jackson was sentenced to death for the murder of 47-year-old Elizabeth Girardi. According to trial testimony, Girardi was killed after she returned to her home in Hockessin in April 1992 and found Jackson and an accomplice leaving her home with stolen jewelry and other items. While the accomplice ran, Jackson used an ax he found in a woodshed to strike Girardi repeatedly in the head.
Markell denied Jackson's request for a reprieve late Thursday.
Jackson became the 15th person put to death by Delaware since 1992.


text:
Norma Norris has been working the land for decades. She grew up on a dairy farm, but what she does with the land has evolved over the years.
"I've been here 40 years, my husband and I as dairy farmers for 23 years, and then in 1985 we started the strawberries," she said.
Norma's husband passed away nine years ago, but she continued on working the land. She told me when she was a kid she was always picking berries in the summer, any kind of berries. And when she got older she thought, if I could grow berries, that would be heaven!
I've picked berries for years as well, but I still had plenty to learn from a pro.
Sharon Meyer: Now do you want to pick the absolute reddest?
Norma Norris: Yes, and you want to get a little bit of the stem. Use your thumbnail to snap it and keep your quart next to you.
Sharon: Now if I pull one off, I should just eat that one?
Norma: Yes, you should. Those won't keep as well as the ones with the hull, ha ha. But it will be fine.
But I didn't know there was also a better technique for washing them.
"You've got to wash them, but wash them right before you eat them," Norma said. "So put them in the fridge, keep them cold, and then right before you use them, wash them, dry them, and then hull them. They'll absorb less water."
And also for freezing them.
"The best thing to do is to slice them and add some sugar," Norma said. "That way they'll keep their shape and color better."
The Norris Berry Farm sells pick-your-own berries from the farm, they sell them at their stand, and they sell them to area retailers. But a growing part of the business is Norma's Summer in Vermont preserves. Norma stays busy in the winter, making 15 varieties of the preserves, and all of the fruits are grown on this farm. These jars have won first place honors at the Champlain Valley Fair.
Anybody who works off the land knows that Mother Nature and the weather have the last word. This year, a dry spring, followed by a cold snap, and then warm weather lead to an early season with small, but sweet berries.
"It was really early. June 6 to open is really early. Typically, we don't start until mid June," Norma said.
And word has gotten out that this strawberry season will be ending early.
"I just bought 4 quarts but we ate them all already so I had to come back today," Gail LaPlant said.
But if you want more fresh, sweet, local strawberries-- that little bit of heaven-- you'd better get them soon.
"I don't think we're going into July much at all. A week, 10 days at the most," Norma said.
Quick Links
PO Box 4508
All content © Copyright 2000 - 2017 WCAX. All Rights Reserved. For more information on this site, please read our Privacy Policy, and Terms of Service, and Ad Choices.


text:
Phoenix Gold QX500.5 5-Channel Amplifier
Designed and engineered by the same maniacal engineers that brought you the acclaimed Titanium Series, the completely rebuilt QX Series shatters the barrier of price vs. performance. These amplifiers are simply the best technology and build quality available at these prices.
The QX Series includes many features and technological advances only
high priced amplifiers offer - certainly not available at this price range
- UNTIL NOW! Things that make a difference like huge rail voltage capacitance
(double the amount of the closest competitor), double-sided circuit board
(unlike the unreliable single-sided boards most companies use at this
price point), fully complimentary output stage and bi-polar technology.
All of this leads to high-fidelity signal reproduction, increased dynamics
and better reliability.
QX500.5 Features
QX500.5 Specifications
Click Here to buy a Phoenix Gold QX500.5 at Parts Express
Click here to bookmark this page
Do you have a question? Click here to ask at deCAF: Car Audio Forum!


text:
MELBOURNE Victory will be boosted by the return of key midfielder Billy Celeski from suspension, but Sydney could be without star striker Joel Griffiths for Saturday night's Australia Day clash.
The Sky Blues could also be missing one of their most consistent performers this season, Rhyan Grant, with a calf injury.
Celeski missed the 1-0 win over Perth through an accumulation of yellow cards, but he is set to slot into the midfield berth in which he has impressed so much this season.
Victory is also likely to be strengthened by the return from injury of teenage centre back Nick Ansell, another absentee from the win in the west last weekend.
Griffiths made an impressive debut for Sydney in the 7-1 rout of Wellington last week, ending his five-year absence from the A-League with a goal after just 11 minutes.
But the 33-year-old is trying to overcome a hip flexor injury and on Thursday was described as ''touch-and-go'' for the fixture.
Victory will be without midfielder Spase Dilevski, who has filled the gap left by Gui Finkler, who is out for the season.
It is likely Leigh Broxham will step into that role in Dilevski's absence - unless Ansell doesn't come up.
■Victory on Thursday released midfielder Isaka Cernak, who is expected to join Wellington Phoenix.


text:
Father: Grant LATHROP b: 25 JAN 1782 in Tolland, Tolland, Connecticut
Mother: Sybil BLISS b: 6 DEC 1790 in Coventry, Orleans, Vermont
Marriage 1 Cynthia JACKSON b: 1814 in , , Connecticut
Marriage 2 Jane PEACOCK b: 12 NOV 1820 in Lastingham, Yorkshire, England
RootsWeb.com, Inc. is NOT responsible for the content of the GEDCOMs uploaded through the WorldConnect Program. If you have a problem with a particular entry, please contact the submitter of said entry. You have full control over your GEDCOM. You can change or remove it at any time.


text:
In perfect dramatic expression the personal equation is wholly eliminated.
We know that an observer of nature always has to know his own personal equation.
That is quite sufficient in regard to the personal equation.
The personal equation should count appreciably at such examinations.
Very generally this personal equation has been looked upon as a certain indefinable possession enjoyed by the favored few.
She was disappointed that the personal equation had had so little prominence.
The 'personal equation' is, in the ballad, a quantity at once immense and unknown.
It was the personal equation as supplied by her that made the thing impossible.
Allowance has to be made too for the personal equation of the observer, which is by no means inconsiderable.
They work out these things in the personal equation largely.
personal equation n.
A constant but slight error in judgment, perceptual response, or action that is specific to an individual and is so constant that it is usually possible to allow for it when assessing that person's statements or conclusions, thus arriving at approximate exactness.


text:
The natural pool, which is the image of a natural lake, provides a living space for people, animals and plants and creates the incomparable feeling of swimming in natural water.
BIOTOP was founded 30 years ago and since then, together with its partners in Europe and abroad, has built more than 5,000 pools, which are operated without any chemicals. A quarter of these are Living Pools – bio-pools that look like conventional swimming pools, but otherwise have nothing in common with the traditional chlorinated pool.
A pool in the classical design will have a strong architectural impact throughout the year, and is especially effective at enhancing the winter garden. Plants and wildlife bring a new and vibrant dimension into the garden and the pool complements and enhances existing architecture.
The Living Pool looks like a conventional pool but is in fact a fully-fledged biological pool. The Biotop Living Pool requires absolutely no chlorine or other chemicals and offers the ultimate in swimming enjoyment in crystal clear water.
The converter system is particularly suited for natural pools which have not yet had any technology installed or those where the water quality is not satisfactory. It also enables the simple conversion of an existing swimming pool into a biologically operated one.
We are delighted to announce that Phil Meads from Elements of Nature has joined our BIOTOP team of specialist pool partners in the UK.
Read more
BIOTOP partner Ensata will be opening Ellicar Gardens to raise money for the National Garden Scheme charities.
Read more
A new luxury £4 million touring and glamping resort which is being built near Shrewsbury, is to feature a stunning, state-of-the-art natural, chemical free, swimming pool at the heart of the development.
Read more


text:
But that's why Leewright, a nurse, was fired last summer by Good Shepherd Medical Center in the East Texas city of Longview. In dismissing her, hospital officials praised her nursing skills as "fantastic." But they told her that because her husband, Marty, worked at a law firm that does medical-malpractice litigation, the hospital could not continue to employ her. "I was dumbfounded," Leewright says. "They just assumed that my husband does medical malpractice, which he doesn't at all."
Leewright's firing was a measure of how toxic the battle over medical-malpractice lawsuits has become. Hospital administrators and doctors across the nation, furious over what they see as waves of frivolous lawsuits that have driven up malpractice insurance costs, are striking back against lawyers with hardball tactics that, in some cases, are raising ethical questions.
Some doctors are refusing medical treatment to lawyers, their families and their employees except in emergencies, and the doctors are urging the American Medical Association to endorse that view. Professional medical societies are trying to silence their peers by discouraging doctors from testifying as expert witnesses on behalf of plaintiffs. And a New Jersey doctor who supported malpractice legislation that his colleagues opposed was ousted from his hospital post.
While sharing their peers' anger over malpractice lawsuits, some doctors see such tactics — particularly the refusal of treatment — as contrary to the Hippocratic oath, in which new doctors acknowledge "special obligations to all my fellow human beings."
But Chris Hawk, a surgeon in Charleston, S.C., says the notion of refusing treatment to malpractice lawyers, their family members and associates not only is justified, it's necessary. "This idea may be repulsive," Hawk says. "It's hardball. But it's ethical."
Hawk, 57, says that a doctor's ethical obligation to treat patients applies only to emergency care. "Physicians are not bound to treat everybody who walks through their door," he says.
Doctors and lawyers long have been at odds over malpractice litigation. But soaring malpractice-insurance premiums, which hit doctors in high-risk specialties such as neurosurgery and obstetrics particularly hard, have fueled the debate. For doctors who blame the increases in their premiums on unwarranted lawsuits and large jury awards, the solution is clear: Overhaul the nation's civil litigation system, starting with limits on what jurors can award in damages.
Malpractice lawyers, led by the Association of Trial Lawyers of America, counter that rising premiums have more to do with the insurance industry than jury awards. They say tighter regulation of the industry is needed.
The lawyers say that stifling malpractice litigation could deny Americans some of their rights to seek redress in court when doctors make mistakes.
The AMA is backing federal legislation, now stalled in the U.S. Senate, that would cap pain-and-suffering awards against obstetricians and emergency room doctors at $250,000. Meanwhile, the battles continue in state legislatures. All but nine states have restricted medical-malpractice lawsuits in recent years. But the AMA contends that only six states have passed "effective" legislation, meaning laws that cap money awards.
This month in Mississippi, where lawmakers have been at odds over the issue for years, the legislature limited medical-malpractice awards for pain and suffering — as opposed to actual medical bills — to $500,000. The measure was approved amid acrimony that Percy Watson, a lawyer and legislator from Hattiesburg, says was unlike anything he had seen in his 25 years in the state House.
Watson says that at one point he got a letter from an angry doctor he doesn't know, and that the doctor told Watson he would refuse to treat the lawmaker because of his opposition to limiting malpractice awards against doctors.
"But it's not only with this doctor, it's prevalent in other areas in the state," Watson says. "Some of my colleagues in Hattiesburg who were not involved in (malpractice issues) have been refused the services of doctors just because they are lawyers."
In South Carolina, Hawk says he first urged fellow doctors to refuse non-emergency treatment to lawyers, their families and employees in a speech at the state medical association's convention in March.
The state association declined to endorse his proposal. Patricia Westmoreland, a dermatologist and member of the association's board of trustees, says she supports limits on awards and sympathizes with Hawk's frustration. But she disagrees with his approach.
"It flies in the face of just basic honesty and goodness," she says. "It's prejudiced. As a physician, I take an oath to see people and take care of people, and to refuse to take care of a sick person is just anathema to me."
But Hawk wants the AMA to adopt his view as its policy. That seems unlikely — AMA leaders have been silent on the issue — but Hawk plans to argue his case in Chicago this week during the AMA's annual meeting. Hawk says his tactic is "analogous to hitting the lawyers with a 2-by-4. Now we have their attention. Now maybe we can make some progress."
Plaintiffs allegedly blacklisted
The bitter divide between doctors and lawyers has been exposed in a range of ways recently.
Earlier this spring, a Texas radiologist's Web site, DoctorsKnow.Us, set up a national database of patients and their attorneys who have sued for malpractice. The site's stated purpose was to discourage frivolous lawsuits. But patients and their attorneys suggested the site essentially blacklisted some patients from receiving doctors' services.
The site was shut down in March, after news reports detailed difficulties people listed on the site had in getting medical care.
In New Hampshire, Tim Coughlin, president of the New Hampshire Trial Lawyers Association, recalls an angry confrontation last fall with RickMiller, a neurosurgeon from Portsmouth, N.H. Miller told Coughlin, 40, that because Coughlin lobbied against limits on malpractice suits, Miller would refuse him treatment.
"I don't do medical-malpractice work. I'm just a basic urban lawyer," Coughlin says. "He told me he had made a decision. I told him I thought that was uncalled for. He and I disagree on political matters.
"He's known as the best neurosurgeon on the Sea Coast. If I had a brain situation, I would hope he would operate on me regardless of my position" on malpractice suits. "But he's told me he wouldn't."
Miller describes his position as "firing a shot across (the) bow" of the trial lawyers group. "If Tim Coughlin came into the emergency room with some life-threatening emergency, I wouldn't hesitate to treat him. But if he came into my office because he had a herniated disk and wanted me to take care of him as an elective patient, I would decline to see him."
Miller, who says he has not been sued for malpractice, says he pays $84,151 a year for malpractice insurance. He says that after he paid business costs and taxes last year, his take-home pay was $64,000.
"That's less than my malpractice premium," Miller says. "This puts in perspective how desperate the situation is. Attorneys who choose to speak out and try to derail efforts at meaningful tort reform do so at some risk — that they will not be able to come to the best neurosurgeon in New Hampshire. They'll have to go elsewhere, the same way that patients will have to go elsewhere if neurosurgery is no longer available on the Sea Coast."
The refusal-to-treat tactic has generated the most controversy in the conflict over medical malpractice. But more disturbing to many lawyers are the efforts to silence doctors from testifying as expert witnesses on behalf of plaintiffs:
• In Florida, Tampa General Hospital announced plans in February to revise its employee "code of conduct" by prohibiting staff from testifying on behalf of plaintiffs. (They may testify as witnesses for hospitals and doctors.)
• Also in Florida, three doctors who were sued unsuccessfully for malpractice urged the Florida Medical Association to investigate a California doctor's testimony on behalf of the plaintiffs to "prevent the medical profession from being terrorized ... by similar 'experts.' "
John Fullerton, a San Francisco internist, has responded by suing the Tampa doctors for libel. He claims that he was defamed by statements the trio made in urging a review of his testimony. His lawsuit also alleges conspiracy, witness intimidation and violation of state racketeering laws.
• In Jersey City, the medical staff at Christ Hospital voted to remove George Ciechanowski as chief of staff, according to news accounts, because he backed malpractice legislation that many of his colleagues opposed.
Lawyers decry the refusal to treat lawyers and the efforts to silence physicians. The lawyers say doctors want it both ways: They want the legal limits on malpractice lawsuits, yet have no qualms about filing suits themselves.
When Hawk began his campaign against lawsuits, critics noted that he had filed one after his wife was in a car accident during the mid-1980s. Hawk's insurance company refused to pay the claim because he filed it three days after the legal deadline for doing so had expired, so he sued. A jury awarded his wife $525,000. But an appeals court threw out the case. It said Hawk's suit was moot because he had missed the filing deadline.
"I'm not saying somebody shouldn't have the right to sue," Hawk says. "I'm saying we should ... limit the awards, and in some way make the loser pay so that we don't have a lot of frivolous suits. An automobile accident is rarely a frivolous suit."
'I didn't do anything wrong'
In Texas, Leewright is considering whether to sue the Longview hospital for wrongful termination.
Leewright, 30, was hired on May 29, 2003, and assigned to work in the hospital's nursery. Leewright, whose fluent Spanish helped with Spanish-speaking patients, says she often was called to work extra shifts. "There was a nursing shortage. I wanted them to know I was a team player."
Leewright says she thought the job was going well. Then, on July 16, she was called in to meet with her bosses. She says they praised her nursing skills, but then told her that because her husband is a lawyer, she was being terminated.
A hospital spokeswoman, Victoria Ashworth, citing confidentiality, says "all personnel matters are private and not discussed with outside parties."
Leewright filed a complaint with the Texas Equal Employment Opportunity Commission, which did not make a finding on the merits of her case but issued a notice of her right to sue. Documents filed in that case outline the hospital's practices regarding spouses of lawyers.
The hospital, according to one document submitted by its attorney, has an "unwritten practice" not to employ spouses of lawyers who represent plaintiffs in medical malpractice or personal injury lawsuits "because of the perceived likelihood of a conflict of interest."
The profitability of Marty Leewright's law firm provides a financial benefit to his wife, the document says. "That gives her an incentive to pass on confidential information that she obtains as a Good Shepherd employee."
Leewright says the hospital never mentioned its unwritten practice regarding spouses when it interviewed her for the job. She says she did not violate hospital ethics.
"I didn't do anything wrong," she says. "They assume I'm going to be unethical. They assume that I'm kind of sneaky and will try to refer cases. That's absurd."
It took her until November to find work at Longview's only other hospital. Marty Leewright says his wife's experience has been difficult. "All the nursing students know about what's happened to her," he says. "It's just like a cloud that follows her around."


text: Updated from Tuesday, Oct. 28The top executive at a midsize bank holding company is retiring with a more than $12 million payday, even as the company is applying for a government investment that could restrict such windfalls. The South Financial Group ( TSFG) on Tuesday said Chairman, President and CEO Mack Whittle had left his post, effective Monday. Whittle had earlier said he would leave by the end of the year, and during a conference call to discuss the company financial results last week he made no indication the timing had changed. The unexpectedly sudden departure comes just days after the bank announced it plans to apply for a federal investment through the Troubled Asset Relief Program, or TARP, which contains provisions that void existing compensation agreements in order to prevent "golden parachutes." "The timing is precarious as hell," says Adam Barkstrom, analyst with Sterne Agee. Barkstrom wonders whether regulators insisted that Whittle be relieved of his responsibilities as a condition of participation in TARP. Another possibility, he suggested, is that the decision was driven by the company to protect Whittle's compensation from TARP. Asked about the timing of Whittle's departure, the South Financial Group spokeswoman Mary Gentry said only the management transition is "moving smoothly." She downplayed any connection between Whittle's departure and the company's TARP application. "The company is living up to the terms of an agreement entered into prior to the creation of TARP and we had no choice but to honor our obligations. Mack's the founder of the company and this contract reflects his years of service," Gentry says.


text:
By Anthony Scott
Killeen Daily Herald
FORT HOOD - Fort Hood is set to receive three new medical clinics, the most out of 11 Army installations picked to get the new facilities.
The reason for the high number of clinics stems partially from its high population, and also from the post's geographic location near Copperas Cove, Harker Heights and Killeen.
"Basically, it's based on the population, the size of our installations and how many family members and soldiers we support," said Christie Vanover, a public affairs specialist at Darnall Army Medical Center. "Because we have three major cities outside of our installations, (including) Copperas Cove and Harker Heights, that was taken into account as well."
The clinics will serve the family members of active-duty soldiers and give closer locations for those seeking medical care. The changes could have a positive impact on as many as 8,000 beneficiaries per clinic.
"We're looking at providing services that are most convenient for our soldiers' families by having off-post, community-based clinics," Vanover said. "We'll give our patients the option to receive care at locations closer to their homes."
According to a news release, construction will begin on the first clinic in January in Harker Heights. All three facilities are expected to be completed some time next year.
While Fort Hood is set to receive a larger share of the new clinics, three other installations - Fort Campbell, Ky., Fort Bragg, N.C., and Joint Base Lewis-McChord in Washington - will each get two clinics for their surrounding communities.
Vanover said seven other installations are set to receive one clinic, and that letters will be sent to family members of active-duty soldiers to let them know about the changes.
The clinics will be leased space operated with civilian medical staff. Each location will have six primary-care providers and one behavioral health provider. Pharmacy and limited laboratory services will be made available to patients at the clinics.
Contact Anthony Scott at (254) 501-7568. Follow him on Twitter at KDHcity.


text:
Adidas Free Emotion Perfume
By Adidas for Women
Adidas Free Emotion Perfume by Adidas, Adidas has made this fragrance for women who are modern and independent; the floral perfume has an oriental influence . Free emotion has a carefree and dynamic vibe to it, which the wearer is bound to adore. It is a summer fragrance and is perfect for casual wear. The top notes are raspberry, black currant, lemon and canadian apples; the middle notes include melon, banana, freesia, hibiscus, delicate rose petals and subtle aromas of fresh lily. The base ... Read More ... Read More notes are musk, cotton and unfold cedar. Adidas launched it in 2009 and markets it in an attractive glass bottle that has a yellowish tinge. All products are original, authentic name brands. We do not sell knockoffs or imitations.
- U By Adolfo Dominguez
- U2 Brands
- Udv Chic Issime
- Udv Divine Issime
- Udv Gold Issime
- Udv Pour Elle
- Udv Sensuelle
- Udv Sublime
- Ulric De Varens
- Ulrich Lang New York
- Ultima II
- Ultimate Seduction
- Ultrared
- Ultraviolet
- Ultraviolet Aquatic
- Ultraviolet Aurora Borealis
- Ultraviolet Fluoressence
- Ultraviolet Intense
- Un Air D'amour Pour Madame
- Un Air De Arabie
- Un Air De Damas
- Un Air De Damas Tubereuse
- Un Air De Molinard
- Un Air De Paris
- Un Air De Samsara
- Un Bois Sepia
- Un Bois Vanille
- Un Jardin Apres La Mousson
- Un Jardin En Mediterranee
- Un Jardin Sur Le Nil
- Un Jardin Sur Le Toit
- Un Matin D'orage
- Un Parfum Des Sens Et Bois
- Un Zest De Rose
- Unbelievable
- Unbound
- Unbreakable Bond
- Unbreakable Joy
- Unbreakable Love
- Unconditional Love
- Une Nuit Magnetique
- Unforgettable
- Unforgivable
- Unforgivable Black
- Ungaro
- Ungaro For Her
- Ungaro Party
- Uninhibited
- United Colors Of Benetton
- United Colors Of Benetton Gold
- United Dreams Live Free
- United Dreams Love Yourself
- United Dreams Stay Positive
- Universal Studios
- Unknown
- Unmistakably Mackie
- Unpredictable Desire
- Unpredictable Girl
- Unpredictable Lady
- Unruly
- Untold
- Untold Absolu
- Untold Eau Legere
- Urban Motion
- Usher
- Usher For Women
- Usher Ur
1.7 oz Eau De Toilette Spray
Item #483392
In Stock, Ships within 3 hours
Price with Coupon
$ 15.29Add To Cart
Customers Who Bought This Item Also Bought
About Adidas
History and background of Adidas. In 1925, in a small German village, the world got it's first taste of Adidas. It was there, in a village by the name of Herzogenaurach, located 12 miles to the north and the west of Nuremberg, that those simple three stripes were brought to life by adidas' founder, Adolf "Adi" Dassler. Adi created adidas after realizing the need for performance athletic shoes. Read more about Adidas
More Adidas fragrancesfor Women: Adidas Moves , Adidas Floral Dream , Adidas Pure Lightness , Adidas Natural Vitality , Adidas Moves Pulse , more
for Men: Adidas Ice Dive , Adidas Dynamic Pulse , Adidas Deep Energy , Adidas Moves , Adidas Team Force , more
See all Adidas products
Customer Comments
I was so satisfied with your service. I will definately be shopping with you again. Thank you
Z. Vasic (Oak Creek, WI)


text:
Burberry Prorsum Pre-Fall 2012
There's a distinct atmosphere of something softer and more romantically English country house–like around Christopher Bailey's pre-fall Burberry collection. It's not that he's plunged completely into a vintage narrative, but there's a feel of a thirties aristocratic house party in the long, slim, langorous crêpe evening dresses with their puffed sleeves, the smart tailored coats with fitted, seamed waists, the corduroy jackets and narrow skirts with peplumed pockets, the muted colors and vaguely chintzy chrysanthemum prints. Agreed, the narrow flares, military bomber jackets, and sweaters with an owl cartoon on the front are hardly "period" dress—these are the expected continuations of Burberry's young, contemporary pieces. Still, despite the stylized way Burberry photographs its lookbooks, there's enough of the Nancy Mitford heroine (or is it Wallis Simpson?) about this collection to hazard a guess at what the main Burberry collection might look like by the time it's fully fledged for the runway show in London in February. Even the accessories that are on exhibit at Burberry's giant headquarters on Horseferry Road offer a hint about the thirties research that must have been done by the design teams. On display: modernized cloches, felt hats that wouldn't look out of place walking the moors at Balmoral, and new, box-shaped evening bags whose ancestry clearly goes back to Art Deco Bakelite minaudières.
All of this adds up to a Burberry proposition which feels nicely at ease with itself this season—simultaneously at home with that hint of nostalgic Britishness and the sharp technical modernity Bailey brings to the brand. What's really clever is the way those two strands fuse in the fabric and cut of this collection's outerwear. Here, Bailey updates salt-and-pepper tweed and twill (lovely to look at in their traditional form, but too bulky and scratchy to wear these days) in coat shapes in soft, lightened-up material that can be close-cut into seamed torsos and narrow sleeves, and then gives a springy volume to a belled skirt below. The effect? Feminine and vaguely princess-like, but lithe and unforced. Hard not to imagine this isn't a direct appeal to a certain new member of the British royal family. Those coats look just like something the Duchess of Cambridge will want for all those outdoor public engagements she'll be attending in 2012.
Learn more about Christopher Bailey in Voguepedia.


text:
It's doubtful I'm going to be able to catch any of this game. If any of you guys find a link to an online broadcast, leave it in the comments along with your thoughts on the game. For those of you in the official Depressed Fan fantasy hoops league, the draft room opens at 8:00 p.m., Eastern. Feel free to use the comments to mock any/all ridiculous draft picks, mine included.
Sixers Starters
- PG: Turner
- SG: Kapono
- SF: Iguodala
- PF: Brand
- C: Battie
Sounds like...well, who knows. The Cavs are horrible.
by Brian on Oct 19 2010
Tags: Basketball | Cavaliers | Game Thread | Preseason | Sixers |
Tags: Basketball | Cavaliers | Game Thread | Preseason | Sixers |


text:
Basal ganglia hemorrhagic transformation (HT) associated with low apparent diffusion coefficient (ADC). A, The ADC map of acute infarct 4 hours after symptom onset. Note lower (darker) ADC value in left basal ganglia in region of subsequent hemorrhagic change (arrow). B, Hemorrhagic transformation of the same region of initial low ADC 7 days after symptom onset (arrow). C, Color-enhanced ADC map depicting the same low ADC region on initial magnetic resonance image scan (arrow). Darker colors indicate lower ADC values. D, Color-enhanced map of basal ganglia hemorrhage depicted in B (arrow). Low signal indicates hemorrhagic change. The hemorrhage was asymptomatic (ie, no change in National Institutes of Health Stroke Scale score).
Hemorrhagic transformation (HT) region apparent diffusion coefficient (ADC) compared with total lesion ADC.
Perfusion-weighted magnetic resonance imaging (PWI) and subsequent hemorrhagic transformation. A, Acute PWI (time-to-peak) map illustrating delayed perfusion throughout the left middle cerebral artery territory. Increasing cerebral perfusion delay results in brighter signal with this technique (arrow). B, Fluid-attenuated inversion recovery (FLAIR) image at 7 days after stroke onset. Note the low signal (ie, hemorrhage) present in basal ganglia in area of perfusion delay (arrow).
Delayed perfusion with more extensive secondary hemorrhagic transformation. A, Perfusion delay evident at 4 hours after symptom onset. B, Hemorrhagic transformation at 7 days on fluid-attenuated inversion recovery (FLAIR) imaging in the area of initial marked perfusion delay (arrows). PWI indicates perfusion-weighted image.
Tong DC, Adami A, Moseley ME, Marks MP. Prediction of Hemorrhagic Transformation Following Acute StrokeRole of Diffusion- and Perfusion-Weighted Magnetic Resonance Imaging. Arch Neurol. 2001;58(4):587-593. doi:10.1001/archneur.58.4.587
© 2017
Acute diffusion-weighted (DWI) and perfusion-weighted (PWI) magnetic resonance imaging (MRI) findings may correlate with secondary hemorrhagic transformation (HT) risk in patients with stroke. This information could be of value, particularly in individuals being considered for thrombolytic therapy.
To determine the relationship between DWI and PWI findings and the risk of secondary HT in patients with acute stroke.
Retrospective case series.
Academic medical center.
Twenty-seven patients with acute stroke capable of being evaluated with DWI/PWI 8 hours or less after symptom onset.
Main Outcome Measures
Apparent diffusion coefficient values, perfusion delay measurements, and subsequent MRI or computed tomographic scans detected HT.
The mean ± SD apparent diffusion coefficient of ischemic regions that experienced HT was significantly lower than the overall mean ± SD apparent diffusion coefficient of all ischemic areas analyzed (0.510 ± 0.140 × 10−3 mm2/s vs 623 ± 0.113 × 10−3 mm2/s; P = .004). This difference remained significant when comparing the HT-destined ischemic areas with the non-HT–destined areas within the same ischemic lesion (P = .02). Patients receiving recombinant tissue-type plasminogen activator (rt-PA) experienced HT significantly earlier than patients not receiving rt-PA (P = .002). Moreover, a persistent perfusion deficit in the area of subsequent hemorrhage at 3 to 6 hours after the initial MRI scan was identified in significantly more patients who experienced HT than in those who did not (83% vs 30%; P = .03).
Both DWI and PWI scans detect abnormalities that are associated with HT. These findings support a role for MRI in identifying patients who are at increased risk for secondary HT following acute ischemic stroke.
RECENT EVIDENCE suggests that early use of thrombolytic agents can have a substantial positive impact on neurological outcome following acute ischemic stroke.1,2 However, there remains significant controversy regarding the relative risks and benefits of thrombolytic therapy.3,4 Although some clinical5,6 and radiographic characteristics7- 10 have retrospectively been associated with subsequent neurological outcome, it remains difficult to determine which patients will benefit most from treatment.3 One of the most significant problems impeding the general use of thrombolytic therapy is concern over the risk of secondary intracranial hemorrhage. Thus, a method that could identify patients at higher risk for intracerebral hemorrhage might be helpful in improving the risk-benefit ratio of thrombolytic therapy.
In the past few years, both diffusion-weighted (DWI) and perfusion-weighted (PWI) magnetic resonance imaging (MRI) have been used to detect ischemic tissue injury earlier than conventional neuroimaging modalities in both experimental11 and clinical12 settings. In addition, DWI and PWI lesion volumes correlate with early functional outcome13- 15 and are influenced by thrombolytic administration.16- 18 If DWI and PWI could also identify patients at increased risk of subsequent intracranial hemorrhage, this could further add to the utility of MRI in acute stroke.
In this study, the relationship between DWI, PWI, and secondary hemorrhagic transformation (HT) was assessed. We hypothesized that persistently delayed perfusion on PWI or a low apparent diffusion coefficient (ADC) on DWI would be associated with an increased probability of secondary HT following acute stroke.
Patients receiving a DWI/PWI scan within 8 hours and another computed tomographic (CT) or MRI scan within 1 week after symptom onset were candidates for study. Some patients were participants in previous studies of DWI and PWI reported from this institution.13,16,19- 21 Patients treated with recombinant tissue-type plasminogen activator (rt-PA) (n = 16) or putative neuroprotective agents (n = 14) were eligible. Informed consent was obtained in all cases, and the protocol was fully approved by the local ethics committee.
Data regarding clinical characteristics of patients were obtained from review of the patients' medical records. Patients received serial follow-up CT or MRI scans for up to 1 week after symptom onset to detect HT unless the patient died before that time or experienced neurological deterioration requiring an urgent CT scan (patients 12, 13, 14, and 16). Scans were performed at 3 to 6 hours (T2), 24 to 36 hours (T3), and 5 to 7 days (T4) after presentation (T1).
Diffusion-weighted imaging and PWI were performed using echo planar imaging on a 1.5-T General Electric Signa system (General Electric Company, Fairfield, Conn).13,16,21 Areas of ischemia were identified as regions of hyperintensity on the initial DWI images. A region of interest was hand drawn to encompass the area of abnormal DWI using specialized software (MRVision, Menlo Park, Calif).13,16,20 Each region of interest was then transferred to its corresponding ADC map. The average ADC value of the region of interest was then calculated. The ADC value of the entire lesion was then determined by taking the weighted average of the ADC values for each individual MRI slice containing an ischemic region and accounting for the area of each slice involved. The ADC values of the regions that subsequently experienced HT were generated by identifying areas of hemorrhage on each slice of the follow-up MRI or CT scan and using these regions of interest on the initial ADC maps.
Perfusion-weighted imaging was performed using dynamic susceptibility contrast-enhanced MRI. Gradient echo single-shot echo planar imaging was performed using gadolinium (0.1 mmol/kg) with 35 to 40 time points obtained over 12 slices with a 5-mm slice thickness and a 2.5-mm gap between slices. Other parameters were the same as those for DWI. Perfusion images were processed to generate time-to-peak maps. Regions of interest were determined visually and then handtraced. The magnitude of the perfusion delay was determined using the method of Neumann-Haefelin et al.22
Hemorrhagic transformation was identified using previously described criteria (Figure 1).23,24 In general, any area of heterogeneous or homogenous hypointense (dark) signal within the area of ischemia on a T2-weighted (b = 0) or DWI slice more than 1 cm2 in size was considered hemorrhagic. The abnormal signal could not solely include regions of MRI susceptibility artifact and had to be present on at least 2 different MRI sequences. The presence of an abnormal signal on more than 1 slice was preferred, but not essential. In cases in which a susceptibility-weighted sequence (ie, gradient recall echo [GRE]) was available (n = 8), the hemorrhagic region had to be detected on that sequence. Computed tomographic–detected hemorrhage was defined as a heterogeneous or homogenous high signal on a noncontrast CT scan within the area of infarction not associated with artifact or calcification. Symptomatic hemorrhage transformation (SHT) was defined as bleeding associated with an increase in National Institutes of Health Stroke Scale (NIHSS) score of 1 point or higher. Asymptomatic hemorrhagic transformation (AHT) was defined as evidence of bleeding on MRI or CT scan without clinical evidence of neurological deterioration. Patients experiencing HT at the initial time point (patients 14 and 16, Table 1) were excluded from this ADC analysis since in these cases the presence of HT could contaminate the ADC measurements. In addition, because the purpose of this study was to predict subsequent hemorrhage, measurement of ADC in these individuals with early HT was not felt to be helpful because the hemorrhage had already occurred. All MRI measurements were performed in a blinded manner.
Early reperfusion was defined as complete resolution of the PWI abnormality in 36 hours or less after initial MRI scan.16 The presence or absence of PWI abnormality and the time to resolution were recorded and compared with the rate of subsequent hemorrhagic change. Perfusion delay was defined as a delay of 1 second or more compared with that of the contralateral hemisphere.
All patients had their neurological deficit scored initially and 30 days after symptom onset by a stroke neurologist certified in the use of NIHSS. Patients who died before 30 days were assigned a final maximum NIHSS score of 42.
Statistical analyses were performed using computerized software (SigmaStat; Jandel Scientific, San Rafael, Calif). χ2 Analysis and the Fisher exact test were used for analysis of contingency tables as appropriate. Significance was determined at the P<.05 level.
Between August 1996 and January 1999, 455 patients with a final diagnosis of ischemic stroke were admitted to the Stanford Stroke Center's inpatient Stroke Service, Palo Alto, Calif. Of these, 27 patients (6%) were identified who fulfilled inclusion criteria (Table 1). There were 16 men and 11 women. The mean ± SD age for all participants was 70 ± 13 years. The mean ± SD initial NIHSS score was 11 ± 7, and the mean ± SD time to MRI scan was 5 hours 5 minutes ± 1 hour 16 minutes.
In most patients (n = 22), MRI was performed serially between T2, T3, and T4 after T1. In 3 cases (patients 13, 14, and 16; Table 1), a follow-up CT scan was performed instead of MRI owing to neurological deterioration. One patient (patient 12) died before the second cerebral scanning was performed.
Sixteen subjects received rt-PA and 11 did not (Table 1). There was no significant difference in initial or final NIHSS score, age, or time to initial MRI scan between the rt-PA–treated and non–rt-PA–treated patients. In addition, 14 (52%) of 27 patients also participated in placebo-controlled neuroprotective agent trials (nalmafene [Cervene; Baker Norton, Miami, Fla], n = 7; lubeluzole [Prosnap; Janssen Reseach Foundation, Beerse, Belgium], n = 4; fibroblast growth factor [Fiblast; Scios Nova, Mountain View, Calif], n = 2; or aptiganel [Cerestat; Bowhringer, Ingleheim, Ridgefield, Conn], n = 1). The mean ± SD time to rt-PA treatment was 2 hours 6 minutes ± 43 minutes after symptom onset. There was no significant difference in time to treatment, age, sex, or NIHSS scores between patients treated with intravenous (n = 14) or intra-arterial (n = 2) therapy. In all cases, rt-PA was administered before the MRI scan was performed.
Magnetic resonance imaging or CT evidence of intracranial blood was detected on follow-up scans in 16 of 27 patients: 9 (56%) of 16 treated with rt-PA and 7 (63%) of 11 not treated with rt-PA. A susceptibility-weighted sequence (GRE) was performed in 8 (30%) of 27 patients. In all GRE-evaluated cases, the hemorrhage detected on DWI or T2-weighted imaging (b = 0) was apparent on GRE.
Three patients (19%) in the rt-PA–treated group experienced SHT compared with none in the non–rt-PA–treated group (P = .24). Hemorrhagic transformation was detected by T3 after symptom onset in 1 (16%) of 6 non–rt-PA–treated patients compared with 9 (100%) of 9 in the rt-PA–treated group (P = .002). Patients experiencing SHT had significantly worse outcomes than patients experiencing AHT (final respective NIHSS score, 31 vs 9; P = .04). However, between patients with and without HT there was no significant difference in initial NIHSS scores (10 in both groups; P = .52) or final scores (11 vs 9; P = .27).
Apparent diffusion coefficient values were successfully obtained in 26 (96%) of 27 patients between T1 and T4. In 1 patient (patient 26, Table 1), an ADC measurement at T1 was not interpretable, and this patient was therefore excluded from the ADC analysis. Two patients had HT detected on their initial MRI scan (patients 14 and 16, Table 1) and were also excluded from this analysis. Fifteen separate hemorrhagic subregions were subsequently identified in the 13 remaining HT-destined patients with available ADC data.
The mean ± SD ADC for all ischemic lesions was 0.623 ± 0.114 × 10−3 mm2/s. The mean ADC was lower in lesions experiencing secondary hemorrhage compared with those that did not, though this did not reach statistical significance (0.606 ± 0.119 × 10−3 mm2/s for HT vs 0.640 ± 0.114 × 10−3 mm2/s for non-HT–destined lesions; P = .15). However, the ADC of the ischemic subregions that subsequently demonstrated hemorrhage change was significantly lower than the average ADC of all ischemic regions in the study (0.510 ± 0.140 × 10−3 mm2/s vs 623 ± 0.113 × 10−3 mm2/s; P = .004). Similarly, the mean ± SD ADC of HT-destined subregions on the initial DWI scan was significantly lower than the mean ± SD ADC of the HT-destined ischemic areas as a whole (0.510 ± 0.140 × 10−3 mm2/s vs 0.606 ± 0.120 × 10−3 mm2/s; P = .02). In all but 1 case, the ADC of the HT-destined subregion was lower than the ADC for the entire ischemic lesion in the same patient (Figure 2).
The mean ± SD initial ADC of the rt-PA–treated lesions was significantly greater than the mean ± SD ADC of the non–rt-PA–treated lesions (0.650 ± 0.116 × 10−3 mm2/s vs 0.538 ± 0.042 × 10−3 mm2/s; P = .002). Similarly, the ADC of the rt-PA–treated patients who developed hemorrhage was nonsignificantly greater than the ADC of the non–rt-PA–treated patients who developed hemorrhage (0.546 ± 0.141 × 10−3 mm2/s vs 0.409 ± 0.070 × 10−3 mm2/s; P = .10). The ADC of patients receiving rt-PA and experiencing HT was also nonsignificantly greater than the ADC of patients not receiving rt-PA and experiencing HT (0.610 ± 0.125 × 10−3 mm2/s vs 0.542 ± 0.049 × 10−3 mm2/s; P = .37).
The mean lesion volume was greater in the non–rt-PA–treated patients than the rt-PA–treated patients, although this was not statistically significant (47.6 cm3 vs 27.5 cm3; P = .18). In addition, the mean volume of the HT-destined lesions was greater than the non-HT–destined lesions (49 cm3 vs 18 cm3; P = .06).
Perfusion-weighted imaging was successfully performed between T1 and T3 in 22 (81%) of 27 patients: 12 (69%) of 16 rt-PA–treated and 10 (91%) of 11 non–rt-PA–treated. Of these patients, 12 (6 rt-PA–treated, 6 non–rt-PA–treated) experienced secondary HT, and 10 did not. Delayed perfusion was identified initially (T1) in 11 of 12 patients that subsequently experienced HT compared with 6 of 10 patients that did not subsequently experience HT (P = .14, Figure 3 and Figure 4). By T2, delayed perfusion was still present within the area of subsequent HT in 10 (83%) of 12 HT-destined patients. In contrast, PWI delay at T2 was detected in only 3 (30%) of 10 patients that did not experience subsequent HT (P = .03).
Early resolution of PWI deficit (ie, by T3) was identified in 12 (67%) of 18 patients. There was no significant difference between rt-PA–treated (8 [80%] of 10) and non–rt-PA–treated (4 [50%] of 8) patients (P = .32). Of these patients, 8 (75%) of 12 developed hemorrhagic change compared with 4 (66%) of 6 patients who did not have early resolution of their PWI deficit (P>.99). There was no significant relationship between time to PWI resolution and NIHSS score at either T1 or at 30 days. In addition, there was no relationship between early PWI resolution and initial ADC values (P = .59).
To most clinicians, one of the most important concerns regarding the use of rt-PA in acute ischemic stroke is the risk of intracranial hemorrhage. If symptomatic, such hemorrhage may be associated with increased morbidity and mortality.6- 8,25- 28 Therefore, a method that might identify individuals at increased risk for intracranial hemorrhage could potentially be of substantial aid in clinical management.
In this study, ischemic subregions destined for HT initially registered significantly lower ADC values than non-HT–destined regions. This finding supports our previous observations using a frequency-based ADC analysis.19 However, in that study the individual subregions experiencing HT were not directly assessed. Instead, the percentages of pixels with ADC values below a specific threshold were compared. In contrast, this study directly compared the ADC values of the HT and non-HT–bound subregions. By performing such a direct analysis, the relationship between low ADC values and secondary HT can be established more definitively.
This relationship was not due to a greater volume of ischemic tissue in the rt-PA–treated patients; the volume of ischemic tissue was greater in the non–rt-PA–treated patients. Similarly, it was not due to a lower baseline ADC in the rt-PA-treated patients because the mean ADC of the rt-PA–treated patients was actually greater than the mean ADC of the non–rt-PA–treated patients. In addition, although larger ischemic lesions are associated with HT, we have previously reported that both large and small lesions may experience HT, indicating that size alone is an imperfect measure of HT risk.19 Larger lesions generally have a greater area of low ADC, which makes them more susceptible to hemorrhage, but smaller lesions can also experience HT, and large lesions may not.
Lower ADC values have previously been hypothesized to represent tissue that is more ischemic and therefore more severely injured.29- 32 More severely injured tissue may be at greater risk for bleeding due to a variety of factors, particularly disruption of the blood-brain barrier.33 Such early evidence of blood-brain barrier breakdown has been reported in both animals34- 37 and humans.38,39
The ADC findings also suggest the need for more detailed analysis of ischemic lesions. Obtaining average ADC values for the entire ischemic lesion may be insufficient to accurately identify important variations among different regions of the ischemic lesion. Such variations may need to be accounted for in future investigations using DWI. Although there are statistically significant differences in the ADC values between hemorrhagic areas and the ischemic lesion as a whole, it is difficult to identify these variations in ADC by visual inspection alone. Color maps or other visual aids may be more effective at identifying these regions of low ADC values in the future (Figure 1).
Patients receiving rt-PA initially had significantly greater ADC values than patients not receiving rt-PA, which is consistent with prior observations.20 The cause of this early ADC increase is unclear, but it may be due to early reperfusion or perhaps a specific effect of rt-PA treatment itself. However, there was no significant relationship between initial ADC values and subsequent normalization of PWI (P = .59), although the small numbers make definitive conclusions problematic. Thus, it remains unclear what accounts for this early ADC rise. Only studies in which ADC levels are measured both before and after rt-PA treatment might help answer this question.
A relationship between HT and persistent delayed perfusion was also identified. Significantly more patients with persistent delayed perfusion identified at T2 experienced HT compared with those who did not experience delayed perfusion on initial scan (83% vs 30%; P = .03). These findings are consistent with previous positron emission tomography and single-photon emission computed tomography studies that have found a relationship between delayed perfusion and secondary hemorrhage.40- 42 This relationship may be related to increased blood-brain barrier breakdown due to more severe ischemia in areas of very low perfusion.33,34,38,39 In addition, these functional studies have suggested that perfusion findings may potentially aid in predicting the outcome of thrombolytic therapy. Ueda et al,40 for example, recently reported that a residual cerebral blood flow greater than 55% of normal was associated with good outcome from rt-PA treatment, while cerebral blood flow less than 35% of normal was associated with poor outcome.
Several previous studies have also shown that early reperfusion with thrombolytic therapy can rescue ischemic tissue from permanent infarction,1,17,43 even if below the usual threshold for tissue viability.44,45 This reduction in lesion volume would be expected to reduce the risk of HT. Therefore, in theory, very early reperfusion could be associated with a decreased risk of HT. Reperfusion after this hyperacute period, however, may be more likely to cause HT owing to reperfusion of ischemic tissue with blood-brain barrier breakdown.33 It follows that the more persistent the perfusion deficit, the greater the likelihood of blood-brain barrier breakdown and the higher the chance of secondary HT.
Because all rt-PA–treated patients underwent MRI after treatment, we cannot be sure if a pretreatment DWI/PWI study would have altered the observed findings. Only studies in which both pretreatment and posttreatment DWI/PWI are performed may adequately address this question. Nevertheless, these findings do suggest that failure to adequately reperfuse ischemic tissue early on may lead to an increased risk of HT. The findings in this study also suggest that rt-PA treatment may exacerbate the tendency toward hemorrhage because rt-PA–treated patients experienced significantly earlier HT than non–rt-PA–treated patients (P = .002).
The relationship between AST and SHT is controversial. Some authors have suggested less clinical relevance for AHT vs SHT.46 Moreover, recent studies of the natural history of HT following thrombolytic therapy suggest that prognosis is worse in patients with SHT than in patients with AHT.6,8,10,25 However, this may be a semantic point, since by definition AHT does not cause neurological decline, while SHT must result in neurological worsening. It seems more likely that the difference between symptomatic and asymptomatic hemorrhage would be related to the degree of bleeding rather than differences in pathophysiology.33,47 In this study, only 3 patients experience SHT, and PWI was completed successfully in only 1 of these patients. Although a perfusion delay was detected in the area of subsequent hemorrhage, it is not possible to draw any firm conclusions on the applicability of these findings to patients with SHT in general, based on only a single patient. Further studies evaluating more patients with SHT alone will be necessary to clarify this issue. However, such studies may be limited by the relatively low frequency of symptomatic hemorrhage in patients treated with thrombolytics. Pooled or multicenter observational studies may be necessary to provide adequate numbers to derive any more definitive conclusions.
We conclude that secondary HT following acute ischemic stroke is associated with distinctive DWI and PWI characteristics. Regions experiencing secondary HT possess a significantly lower initial ADC than areas not destined to hemorrhage. Moreover, ischemic areas destined to HT are associated with persistent hypoperfusion on PWI. Thrombolytic treatment may enhance HT because patients receiving rt-PA treatment experience hemorrhage significantly earlier than patients not receiving thrombolytics. These findings suggest a potential role of DWI and PWI not only in the identification of cerebral tissue at risk for ischemic infarction, but also for hemorrhagic change.
Accepted for publication September 6, 2000.
This study was supported in part by grants NS 34088-03 and 1R01NS35959 from the National Institutes of Health, Bethesda, Md.
Reprints: David C. Tong, MD, Stanford Stroke Center, 701 Welch Rd, Suite 325B, Palo Alto, CA 94304 (email: email@example.com).


text:
Save up to 50% off Paid TEFL Internships!
Offer ends July 24th
Learn More
HALF PRICE Paid China Internship
Home / Call back request / Call back request for China Supported TEFL Job
Leave your details below and one of our TEFL experts will be glad to get in touch soon.
Full Name:
Your country:
Telephone (including prefix):
Best Time To Call: ASAPMorningAfternoon
Sign me up for the newsletter!
First Name*
Last Name*
Email address*
Phone Number
70+ pages jam-packed with warmer, filler and cooler activities for your TEFL classroom
Regular price: £14.95
Grab this ebook and get a promo code too! Unsubscribe from offers at any time.
Course login Scholarship login Affiliate login


text:
|From: Matthias Felleisen (matthias at ccs.neu.edu)
Date: Tue Oct 14 14:25:08 EDT 2008
Two comments: 1. On the false dichotomy: HtDP's first three teaching languages are basically mathematics, ignoring the parentheses. We use -- arithmetic, for many different forms of data -- algebra, for (potentially conditional) function definitions -- pre-calculus, for induction and recursion (these things converge, like series) Forgive me if I got the American names wrong for these subjects. In short, when you 'program' HtDP reactive worlds and soon distributed worlds, you are solving mathematical problems and you are learning mathematics. 2. On learning a second language: I recently exchanged email with a mathematics professor at BYU who studies education. He had dug out large-scale studies (involving an entire school district in Indianapolis and part of a second school district elsewhere) that compared high school students who took course in English plus Latin with those who took only English courses. In several standard tests on English, the English+Latin students outscored the English-only students by leaps and bounds. -- The effect carries over to other __formal__ instruction on second languages, but it isn't as large. (I felt pretty good after reading his write-up, because I had defended the study of a second language in the Houston school district many times on this basis, but had always been rejected.) -- If given the chance, I'd love to prove this conjecture for TeachScheme! at the same scale. -- Matthias On Oct 14, 2008, at 1:16 PM, Bruce Boyes wrote: > At 09:21 10/14/2008, arkppp at comcast.net wrote: >> Some food for thought.... >> >> http://weblog.infoworld.com/fatalexception/archives/2008/10/ >> mandatory_compu.html > > Interesting... yes I agree with the early statement in the HtDP > text that 'programming' (as defined in HtDP) should be a part of > every liberal arts education... not just for techies. > > Everyone should learn to think critically and apply algebra to > everyday problems. > > It's interesting reading some of the comments too. For example one > ready bemoans studying Latin, never "using" it later, and thus > "losing" it. I don't agree with that statement... no one speaks > Latin, or has for a few centuries, but it it's still the basis for > all the Romance languages - http://en.wikipedia.org/wiki/ > Romance_languages - so you don't ever lose it or stop using it, > really. > > I actually enjoyed taking two years of Latin in high school (it was > not mandatory and in fact these were the last two years it was > offered...), which brings to mind this doggerel: > > Latin is a dead language > Dead as dead can be! > It killed off all the Romans > And now it's killing me! > > Bruce > > ------- WWW.SYSTRONIX.COM ---------- > Real embedded Java and much more > +1-801-534-1017 Salt Lake City, USA > > _________________________________________________ > PLT Educators mailing list > plt-edu at list.cs.brown.edu > http://list.cs.brown.edu/mailman/listinfo/plt-edu
|Posted on the users mailing list.


text:
MandM Direct is one of the UK's leading fashion and sports retailers selling your favourite top brands - Bench, Firetrap, Timberland, Fred Perry, adidas, Nike, Puma, Henleys, Berghaus and loads more, all with savings of up to 75% off UK recommended retail prices.
Ratings guide
All Feefo reviews are gathered anonymously from genuine customers. Read more about how our review system works.
Great service and products at a very affordable price. Will definitely use again.
As expected
usual deisel quality.
I have used MandM Direct many times and will continue to do so
overall the service is very good
Very nice
Mand m direct is good, but the courier is not, I ordered next day delivery on20/12/14 and my items only arrived on 28/12/14. Very poor
Excellent service. Very quick delivery and pick up
Excellent service. Speedy delivery too.
as usual great
Very quick delivery
Great product great price
Great value.
always good service
Very good service thanks.
Value for money
Great service and quality and value


text:
IRVING, Texas (AP) — DeMarcus Ware's first game as a defensive end for Dallas started with an interception and ended without a tackle — or a sack.
There's little question the star pass rusher for the Cowboys had a presence in a 36-31 victory over the New York Giants. And the Kansas City Chiefs will always know where Ware is when they come to the line of scrimmage Sunday.
It's just weird to see a blank under tackles next to Ware's name. It's only happened one other time in his career — eight years ago, in the fifth game of his rookie season.
Cowboys coach Jason Garrett says he's sure of one thing: Ware won't be a "sacks or nothing" guy on the outside of the new four-man front in first-year defensive coordinator Monte Kiffin's scheme.
"He'll make tackles," Garrett said. "There's no question about that. He's always been a very good run player, an underappreciated run player."
There were some other numbers on that stat sheet. The biggest was the interception, which came when Ware read a screen and stepped in front of Eli Manning's first pass.
It triggered a spurt of turnovers on New York's first three possessions and was one of three interceptions for Dallas. Garrett credits Ware's pressure for that.
Plus, the Cowboys had so many takeaways — six when a muffed punt is included — that the Giants were forced to throw 42 times and had only had 14 running plays because they were behind all night.
"I think it just depends on the running scheme, how many times they run the ball," Ware said. "But you got to find a way to get your head in there and get some tackles."
Ware's top priorities are sacks and quarterback pressures, even more so than when he was an outside linebacker in the 3-4 defense and had more chances for tackles because he wasn't a full-time pass rusher.
By the measure of pestering a quarterback, Ware was fine against the Giants. He was credited with six pressures — and gave himself 10 because he says he hit Manning "probably about four times if you really want to talk about that."
But there is this bottom line: Ware went his third straight game without a sack going back to last season. It's the longest drought since the end of 2011.
Ware has just 1.5 sacks in his past seven games, a significant dip considering he leads the NFL with 111 sacks since the start of 2005 and is three shy of tying Harvey Martin's 30-year-old franchise record.
"With me, it's all about getting even more pressure, getting there a little bit faster," Ware said. "We got there, but me consistently I got to get there a little bit better."
Not that he needed it, but Ware has a little more incentive to get there against the Chiefs. Maybe then he can pull down the cigar taped to the back of his locker, courtesy of Rod Marinelli. Ware's new defensive line coach wrote "Close but no cigar" and signed it, "Your loving coach."
"I've got to figure out some way to get him to take that cigar out of my locker," Ware said.
Garrett doesn't doubt that he will — and doesn't think Ware has to get to the quarterback all the time to make a difference.
"He gets a lot of attention, has gotten a lot of attention his whole life," Garrett said. "I thought he did a real good job impacting the game."
Even with a rare shutout on tackles.
NOTES: DE Anthony Spencer says he plans to play as a backup against the Chiefs. He practiced this week for the first time since left knee surgery July 25. He missed all of training camp. He's listed as questionable. ... WR Dez Bryant (sprained foot) looked stronger in practice as the week went on and is listed as probable along with QB Tony Romo (bruised ribs), CB Morris Claiborne (shoulder), RB Lance Dunbar (sprained foot) and safety Danny McCray (hamstring). Dunbar and McCray didn't play in the opener. ... LB Ernie Sims is out with a groin injury.
AP NFL website: www.pro32.ap.org
|< Prev
|Next >


text:
Sound it Out # 56: Small Black - "Free at Dawn" (free MP3)
Small Black's new album Limits of Desire is seemingly at odds with itself. It's bombastic yet intimate. The songs are slick-sounding but minimally-produced. Parts of the record feel like they could be inspirational theme songs from a 1980s John Hughes film, while others are much more quiet and mysterious. Yet this bashing-together of disparate styles somehow works; get past the Brooklyn indie-rock exterior and you have a bunch of anthemic, hit-worthy songs.
I find myself singing along the title phrase of "Free at Dawn" even though I have no idea what it means. Maybe you will too. Free download below for two days only!


text:
Cape Grim Observatory, Australia - CGO
Station Information
Latitude: 40.41° S Longitude: 144.69° E
Elevation: 94 m (roof deck) Time zone: UT + 10 hours
Air intake elevations: 97 m (ground), 104 m (10 m), and 164 m (70 m)
Telephone: +61 4 521629 (Smithton Office)
Telephone: +61 4 522 181 (Station)
Fax: +61 4 522 600
Email: email@example.com
Office hours: 8:45 - 17:00 local time (+1 h in summer)
Cape Grim Baseline Air Pollution Station
P.O. Box 346
Smithton, Tasmania 7330
159 Nelson Street
Smithton, Tasmania 7330
The observatory as seen from the air, showing the station buildings and the sampling tower.
The site:
Cape Grim Observatory is an internationally reknown baseline station with many ongoing local and international cooperating programs. The site is located at the north-west corner of Tasmania, Australia and has predominant westerly winds that make it ideal for sampling of unpolluted air. The station is permanently staffed with about eight officers plus temporary staff, and has about 14 lead scientists for the local projects.
Non- HATS research is being conducted for many trace gases such as CO, CO2, CH4, ozone, radon, as well as for radiation and meteorological information. For HATS, the observatory is one of seven cooperating sites where we have flask samples collected by station personnel on a regular basis. Those samples are being shipped back to our Boulder laboratory, where they are analyzed on at least 3 GC systems.
Contact for HATS activities:
Dr. James W. Elkins (principal investigator , NOAA)


text:
U.S.S. Oklahoma
Hesler, Henry
Austin Henry Hesler was 21 years of age last February. He had graduated from Phillipsburg high school with the class of 1939, and he enlisted in the navy August 8, 1939. He was a fine, clean young man who had many friends throughout his home community.
His last letter home reached his mother November 25.
-Newspaper clipping
Oklahoma Historical Society
Oklahoma History Center | 800 Nazih Zuhdi Dr. | Oklahoma City, OK 73105


text:
Melting points are characteristic of a particular compound, and in fact are often used to help identify an unknown.
Of course with so many thousands of known organic compounds, melting points alone cannot provide proof of an unknown's identity, but rather provide corroborative evidence of identity. For example, if you have have just completed the synthesis of Aspirin from Salicylic Acid (mp = 160°C) and you find that your product melts at 131-134°C, when the literature melting point of aspirin is 136°C, you can be fairly certain that your product is indeed aspirin.
Melting points are sensitive to the purity of the organic compound, since the crystal lattice of the compound is disrupted by the prescence of an impurity.
Figure One (right) shows a hypothetic binary phase diagram depicting the compostion of a liquid mixture as a function of temperature. This diagram is generated by studying the freezing point (equivalent to melting point here) as the composition of a binary mixture of A and B is changed from pure A to pure B.
As the temperature of a mixture of composition X is increased, it will reach a phase transition point at the eutectic point (point E on the curve), whereupon the solid will begin to melt, and the liquid formed will be comprised of A and B in the composition shown for the "eutectic mixture" (approximately 50:50 in this diagram). As the temperature rises, the eutectic mixture will continue to melt until all of the minor component is used up. At that point, the solid will begin to become enriched in the major component and the melting point will move up the curve. If the mixture is mostly A, then the melting point will follow the left side of the diagram beginning at the "Eutectic Point" and ending at the temperature corresponding to the initial composition of the mixture. If it is mostly B, it will follow the right side of the diagram, but either way, the mp of the mixture is Lower than that of either pure component. In addition, as long as the mixture does not begin with the eutectic composition, the mp of the mixture will have a Broader range than that of the pure compound.
Mixed Melting Points:
When two different compounds have the same melting point, how can they be distinguished from one another? The answer is to take a mixed melting point. Say for example that an unknown is either A or B, both of which have a mp of 110°. If one were to mix the unknown with first A and then B, and take a mp of each mixture, only one of them would maintain the mp of 110°C. Since different molecules do not fit into eacother's crystal lattices in exactly the same way, the presence of even a small amount of unknown in a sample of A will lower the mp of A unless of course the unknown is A.
The Mel-Temp apparatus
Taking a melting point is very simple using a mel-temp apparatus. The solid is packed into the end of a small capillary tube, then inserted into the apparatus, where the melting can easily be viewed along with the temperature through a lighted, magnification lens.
The melting point is recorded as a range. The first temperature recorded is the temperature at which the first liquid droplet can be seen (not the temperature at which the first change is noticed). The second temperature recorded is the temperature at which all of the solid has melted. When comparing an experimental melting point to a literature melting point, always compare the top number, since literature values are typically obtained from highly purified crystalline compounds, and so their melting points will typically be somewhat higher than those obtained in an undergraduate laboratory.
It is very important that the rate of heating be kept slow when measuring a melting point. Once the approximate mp has been ascertained, aim for a rate of 1° C per minute. Any faster will lead to erroneous results, and point deductions.
For a video presentation on the melting point technique, click here.
|©Kathleen Armstrong
|March, 2009


text:
Open Cathedral Lr, Frl Dr, Doors To Dining Deck + Patios, Gourmet -Wolf, Sub Zero, Granite -Kitchen, Spacious Den, Great Room With Giant Tv, Billiard/Media Room, Master Suite With Fpl + Veranda, Close Assoc. Dock Access, Private Community, Landscaped Garden. Heated Fenced Private Pool, Gym. Landscaped. Close To Beaches, Shops + Town. Aug-Ld $35K.
The Hamptons may be internationally renowned as a playground for the rich and famous, but there's so much more to this striking region on the eastern end of Long Island, New York than parties and polo within Gatsby-esque luxury homes. For starters, while the sidewalks of the hamlets and villages that make up the area collectively known as The Hamptons are often teeming with a who's who of bold-face names and C-suite executives, the beaches are the real stars here.進一步了解The Hamptons And Northfork的豪宅