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Shaler girls volleyball team primed for playoffs
Two years ago, the Shaler Lady Titans were a team in transition. It was a team that was used to success, but due to heavy graduation loss, it was in rebuilding mode.
Shaler took its lumps, but at the heart of that team was a core of freshmen who are now juniors. The experience and skill level of the players has meshed, and Shaler once again is a WPIAL title contender.
Setters Annie Bozzo and Natilie Pilewski are joined by outside hitter Nicole Pilewski outside hitter Liz Klein and Hannah Bradford as a strong junior class that anchors the team.
In a tuneup for the playoffs, Shaler shut down Woodland Hills, 3-0.
Shaler played tough at the net and chased down errant hits, turning them into points.
This never-give-up style of play will serve the Lady Titans well in the playoffs.
"You never know what your seed will be," Shaler coach Kris Ruppert said. "We will keep working on our game and improve on our weaknesses and hope for a strong showing."
Ruppert said the team is strong in the serving game and has worked on playing well at the net.
"We did some jump training because of our size," Ruppert said.
Only Bozzo, sophomore Julia Bernesser and freshman Sydney Schmitt stand taller than 5-foot-9.
Despite a lack of overall size, the Lady Titans still give opponents matchup problems.
"We are a strong team, and we get along on and off the court," Bozzo said. "The key to winning in the playoffs will be playing disciplined in practice and games.
"Coach Ruppert has drilled into us that we have to finish games. We condition hard, and (that and) staying disciplined are the two most important things."
Fellow setter Natalie Pilewski said playing at their own tempo is another factor that will help Shaler play well when it matters most.
"If we are in the right place, stay consistent and don't play (down) to the competition (we will be OK)," Pilewski said.
"It is hard to play a perfect game, but to win our coach told us we have to play perfect. Mistakes will cost you (in the playoffs)."
Jerry Clark is a sports editor for Trib Total Media. He can be reached at 724-779-6979 or email@example.com .


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New cubs at the Oregon Zoo are girls
Veterinarians and animal-care staff conducted their first examination of Neka's 12-day-old lion cubs at the Oregon Zoo, and answered a question that's been on a lot of people's minds: All three cubs are girls.
The neonatal checkup took place a day earlier than planned after keepers — who had been monitoring the young lions via surveillance camera — noticed one of the cubs wasn't interacting with the other two.
"We had planned on doing our first exam tomorrow," said curator Jennifer Davis, who oversees the zoo's Africa and primate areas. "But this morning keepers noticed one cub seemed lethargic and wasn't active with the other two. We reviewed our surveillance tapes, and saw that she hadn't nursed at any of the overnight feedings, so we decided to move the exam to today."
Davis said animal-care staffers first separated Neka from the cubs by offering a treat.
"We gave her a nice hearty bone to enjoy while we conducted the exam," Davis said. "Neka did great and didn't seem upset at all that we were in there with her babies — it really shows the great relationship and trust she has with her care team."
With mom thus occupied, the zoo's animal-care staff entered the private maternity den and conducted a complete physical exam on all three cubs, confirming that all are female, with weights ranging from about 2½ to 4½ pounds.
"The one we are concerned about was dehydrated and had low body temperature and blood-sugar levels," Davis said. "We warmed her up and gave her some supplemental food and fluids. The other two appear to be robust and healthy. They've been nursing regularly, and they're moving around a lot and vocalizing. One is definitely larger and more 'outspoken' than the others — we've nicknamed her Feisty."
Animal-care staff provided an additional supplemental feeding for the smallest cub this afternoon, and they will continue monitoring the lions.
"We're still very concerned about her," Davis said. "We're just trying to give her every chance possible, and we're all hopeful that she just needs a little boost and can soon get back to nursing alongside her sisters."
Keepers report that Neka continues to be an excellent mom, which they consider especially good news since this is her first experience raising a litter.
"After the exams, we put all the cubs back together and allowed Neka back in with them," Davis said. "She checked on her babies like a good mom, but then she went right back to her bone."
For the time being, Neka and her cubs will remain off exhibit in their private maternity den to allow the new family a comfortable place to bond. In another month or two, if the cubs are healthy and the weather is warm enough, animal-care staff will evaluate whether they are ready for a public debut.
"We will continue to take a hands-off approach as much as possible," Davis said. "But we'll be watching them closely over the next several weeks to assess their development."
Neka, a 6-year-old African lion at the Oregon Zoo, gave birth to cubs Sept. 7. The litter represents the first offspring for Neka and Zawadi Mungu, the cubs' 5-year-old father.
The zoo's three adult lions — Zawadi, Neka and Kya — came to the Oregon Zoo in 2009 based on a breeding recommendation by the Association of Zoos and Aquariums' Species Survival Plan for African lions. Zawadi, the male, came from the San Diego Wild Animal Park, and the females, Neka and Kya, came from the Virginia Zoo and Wisconsin's Racine Zoo respectively.
The AZA has established Species Survival Plans for many threatened or endangered species — cooperative breeding programs that help create genetically diverse, self-sustaining populations to guarantee the long-term future of animals. These SSPs also support relevant field projects, research and public education to help prevent animal endangerment and extinction.
"Fifteen years ago, lions were abundant in much of Africa," Davis said. "But now they are disappearing at alarming rates. Every time a person visits the zoo, part of the admission goes toward helping protect lions and other African predators. A litter of cubs will be a great way to inspire people to act for wildlife. Hopefully, we can start a new chapter in the conservation of a species that is sharply declining in the wild."


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[VIDEO] 'The Daily Show' Mocks Eliot Spitzer, Anthony Weiner
"The Daily Show's" summer fill-in host John Oliver had some fun at the expense of New York City's political candidates Wednesday night. Oliver made fun of both Eliot Spitzer and Anthony Weiner for over six minutes during a segment titled "Comptrol Freak." Watch the hilarious video below.
According to Gothamist, Eliot Spitzer will be a guest on "The Colbert Report" Thursday night (July 18th). The show airs on Comedy Central at 11:30pm.
Photo Credit: Getty Images/Neilson Barnard


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The Hiker Backpack Camera Cases help you comfortably carry a large field camera set up. There is a padded, rigid-frame interior with adjustable camera tie-down strap that secures your camera in place. A padded divider-kit system organizes and protects camera & accessories. There are comfortable padded straps for with lumbar support for long-haul carrying and plenty of pockets for accessories and gear.
Product Benefits:
• Full perimeter Honey-comb Armored Frame
• Full system backpack harness with lumbar support
• Harness Hide-away system for hand carry
• Large External Pockets
• Velcro Handle Lock
Equipment Covered:
• Canon DSLR Cameras
• Nikon DSLR Cameras
|12 lb / 5.44 kg
|Exterior Dimensions
|L - 13" / 33.02cm W - 8" / 20.32cm H - 30" / 76.2cm
|Interior Dimensions
|L - 11.5" / 29.21cm W - 6" / 15.24cm H - 28" / 71.12cm


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Ventura Flats
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Are you the property manager?
Ventura Flats is more than just a place to live... it's and attitude. A modern outlook on the everyday... it's a style of living. Unique design features set the tone, it's in the center of it all, close to everywhere you want to be... it's a way of life. With amenities and features designed for you... it's life+style.
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WASHINGTON (AP) — Renewed Republican control of the House has moved into view as Election Day's initial returns show Democrats failing to make inroads into the GOP's current majority in the chamber.
With more than a third of all 435 House races called by The Associated Press, Republicans had won 103 and were leading in 87 others.
To control the chamber, a party must have 218 seats.
Democrats had won 62 seats and were ahead in 57 other races.
The only incumbent to lose in the early going was Rep. Ben Chandler, D-Ky. Republicans have also picked up two open seats in North Carolina and another in Oklahoma.
Democrats had initially hoped to win the 25 additional seats they would need to control the House, but that size gain now seems beyond reach.


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The New York Mets have made no secret of the fact that they are looking to upgrade at the shortstop position. After Ruben Tejada had a major regression in 2013, the Mets looked towards the free agent market in hopes of an upgrade. The Mets were interested in Jhonny Peralta before the St. Louis Cardinals stunned baseball and gave him a four year, 53 million dollar deal. That move took the best shortstop candidate off the market, and with Stephen Drew likely to return to the Boston Red Sox the Mets' options to improve at short are diminishing.
ESPN New York's Adam Rubin reports that Mets GM Sandy Alderson indicated that the team is far more likely to trade for a shortstop if they upgrade. Alderson told reporters that two to three teams are willing to deal shortstops, but conceded that it is more likely that Tejada would claim the job than it was two months ago. The Mets have reportedly talked with the Arizona Diamondbacks about shortstops, but talks have made little progress. Texas has Elvis Andrus on the trade block, but he has a massive contract and the Rangers also are seeking a haul for their young shortstop. The Chicago White Sox are also dangling the enigmatic Alexei Ramirez, but they haven't received an offer they like yet.
Unless the Mets surprise everyone and pull off a deal or sign Drew, it looks as if shortstop will be Tejada's job to lose in 2014. Tejada deserves credit for looking to improve following his miserable 2013 season. Tejada is one of several players who is attending a team run fitness camp to get into better shape, and it is important to realize that he is only one season removed from a strong 2012 campaign where he hit .280.
Tejada is only 24 years old, so there is a chance he can turn things around and recapture his 2012 form. Tejada is a strong defender at his best, and if he can hit line drives instead of worrying about power his batting average should come back up. The major concern for Tejada last season was his defense, which was very subpar. Tejada committed eight errors in 55 games last season after only committing 12 in the entire 2012 season. Tejada also looked noticeably slower after showing up out of shape, so hopefully this fitness camp will help improve his range.
If the Mets commit to Tejada in 2014, they will need to bring in a veteran backup to complement him. The Mets only have Wilfredo Tovar on their 40 man roster after non-tendering Omar Quintanilla and Justin Turner last month. The Mets have reached out to the likes of Cesar Izturis so far, and it looks as if someone of that quality could be added later in the winter. There is still a lot of time left before spring training, but the longer the Mets go without making a move is a great sign for Tejada's job security.Tags: Baseball, MLB, New York, New York Mets, Ruben Tejada


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Transportation on Campus
Bard encourages our community to avoid travel by single-occupancy cars. If you do drive, try electric! There is a limited time offer this summer from Nissan for Bard faculty, staff, students and alum to get $10,000 discount on the 2017 Nissan Leaf. Contact Keith Roscoe for details (email@example.com).
Bard is a walkable campus—most buildings are within half a mile, or 10 New York City blocks, of Kline Commons. The Village of Red Hook is 3.5 miles to the southeast of campus, making it a quick bike ride through residential streets. The Village of Tivoli is three miles to the north, through a state park.
A free campus shuttle circulates from campus to the villages hourly. The county LOOP bus allows some commuters access to campus twice daily. Bard participates in a car rental service called Zipcar, providing the opportunity for drivers ages 18 years and older to avoid car ownership, and reserve a vehicle for short-term needs. Plan ahead - it takes time to get your membership card in the mail. The offer for students: all students $10.00 off the normal annual fee making it a $25 membership.
Introducing Ride Share–can you share a ride one day a week? Qualify for prime parking in Olin and Main parking lots when you share a ride - be sure to get your RideShare dashboard sign from Security.
VehiclesBard operates a fleet of approximately 100 vehicles for use by Buildings and Grounds, Safety and Security, Transportation, and others.
Car AlternativesYou can be healthier, bulid community and prevent the release of 19 pounds of carbon dioxide for every gallon of gasoline you save by walking, biking, or riding the Bard shuttle.
BikesBike riding has a long tradition at Bard and there are many resources available for those interested in using bicycle transport.
Community and EngagementThroughout the year the Bard Office of Sustainability (BOS) engages our community about issues relevant to transportation and sustainability.
Guidelines and Policies
- $100 Car Registration Fee
- Policy No. F-BERD-003: Vehicle Idling
Actions and Materials
- Walkable Bard Map | Bard is walkable—most campus buildings are within half a mile of Kline Commons.
- Residential Ride to Red Hook and Tivoli | Bike map with safe routes to both Red Hook and Tivoli, away from Route 9G.
- Farms of Red Hook Map | Detailed map and information about the Red Hook farms.
- Bard to Farms Map | Nearby pick-your-own farms and farmer's markets with distances to Bard.
- Hike Tivoli Bays Map | There is a New York State Department of Environmental Conservation bike and walking path to Tivoli with a trailhead in the Performing Arts Center parking lot (lot farthest to left/west). Here is the website with their updated map (look under What You Can Do)
- 511NY Information | Dial 511 any time of the day or night for free transportation services.


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Engine malfunction, reduced power e60 m5
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Join Date: Oct 2012
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Mein Auto: 2008 BMW E60 M5
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Engine malfunction, reduced power e60 m5
Hello Guys, I just recently got my 2008 M5 it has 76k miles
Had it for a couple of months and its been perfect. I was driving all day today and not beating on it either and I don't really beat on it nowhere close to what some other people do. All day was perfect but I decided to take a little cruise from my house and 2 miles away I got on the highway that's when it said ENGINE MALFUNCTION REDUCED POWER....& THE ENGINE LIGHT It was driving very rough, and not all the power was there.. so I stopped on the emergency lane shut it off then turned it back on but nothing changed. So I drove it back home. Once I got on my garage it smelled like gas and like its running very rich. Turned it off for about 15 minutes. Then I turned it back on again to see if its gonna do it again and that's when bunch of smoke started coming from the exhaust, and the warnings were still there. Then I shut it off. And didn't bother anymore. The car is bone stock. I see some people had this problem but seems to go away with then after the shut it off and turned it back on. Mine won't go away.
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American Gothic by Kieran Foley
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American Gothic
This pattern is available for $4.75 USD
buy it now or visit pattern website
buy it now or visit pattern website
Knit on US6/4mm needles with 5 balls of Ístex Loðband Einband
Icelandic laceweight yarn, col 9178 black.
Total approximately 1200yds/1100m.
Finished dimensions after blocking: 50in/127cm square.
The charts are quite complex and the instructions are minimal - good chart interpretation skills are required. Please read the instructions before the transition from chart B to chart C!
Approximately 525 black glass beads were added to the outer borders using a 1mm crochet hook.
Please read the Terms and Conditions applicable to knit/lab pattern purchases before purchasing this pattern. The T&C can be viewed here.
For more information, see: http://www.kieranfoley.com/knit_lab_american_gothic....


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WELLINGTON'S home match with Portishead Town in division one of the Toolstation Western League was postponed yesterday because of a waterlogged pitch.
The reserves' match at Culm United in division one of the Devon and Exeter League suffered a similar fate.
The 1st XI's game will now take place on Wednesday, February 27 at 7.30pm.
The reserves now have five games to re-arrange, two of them because of clashes with first team home matches on Saturday, February 9 and Saturday, March 16.


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The Invention of SerendipityBy Horace Walpole
Horace Walpole coined the word serendipity in a letter to another Horace—Mann—dated January 28, 1754. The occasion was pretty unremarkable—it was a happy accident, after all—and almost archetypally British: Walpole had used a talisman to discover a link between two families by investigating their coats of arms in an old book. At least Walpole was aware of the dullness of his eureka moment: "I have nothing better to tell you," he writes, before launching into the fascinating etymology of his new word. It would take nearly two centuries for the adjective form, serendipitous, to come on the scene—its first recorded usage was in 1943. —D. P. Read More


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Meet Information
PHILADELPHIA - With the 2013 Heptagonal Championships fast approaching, the University of Pennsylvania men's track & field team heads across the Keystone State to Penn State's Sykes & Sabock Challenge in State College, Pa., on Saturday.
The pentathlon and weight throw begin at 9 a.m., while the track events begin at 10:15 a.m. and the remainder of the field events are kicked off by the start of the pole vault at 12:30 p.m. The meet is set to conclude with the 4x400-meter relay at 6:45 p.m.
Last week, four Quakers - Kirk Webb, Semi Ibikunle, Tim Carey and Thomas Pitt - won individual titles to help lead Penn to a first-place finish at the Armory on Saturday. Penn won the nine-team meet with 164 points. Webb posted his first individual collegiate victory with a narrow in the 800 meters, while Pitt won the high jump for the second straight week. Ibikunle won his first event as a Quaker with a victory in the long jump and Carey was victorious in the 500 meters.
In the last visit to State College on Jan. 28 of last year, then-senior Brian Fulton highlighted the weekend for the Quakers. Fulton posted the fourth-fastest time in school history in the 1,000 meters at the Penn State National meet. Fulton was the top collegian and finished second in a fast field with a time of 2:25.84. Other than Tim Kaijala's school-record performance of 2:23.12 in 2007, Fulton's effort was the fastest at Penn in 14 years - when current men's head coach Robin Martin finished with a then-school record time of 2:24.17.
A full recap will be available at PennAthletics.com shortly after the conclusion of the meet.


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His predecessor,
Lend Lease gained control of the $6 billion Barangaroo South Project in Sydney, the $2.9 billion RNA Showgrounds in Brisbane, and the Alkimos regional centre in Perth.
Now Menhinnitt has to make that "great platform'' work.
"Knowing the organisation, the people, what we do and what we stand for . . . [it] makes things a lot easier," he says.
Menhinnitt joined Lend Lease as an engineer in his early 20s, holding unit management roles early before moving to the US at 35 to head the successful military housing business, Actus Lend Lease.
Six years later he brought the family back to Australia to head the infrastructure and public-private partnership businesses worldwide.
"I've had good all-round exposure to all the different businesses . . . across different sectors,'' he says.
Menhinnitt stresses the importance of being given "profit and loss responsibility" from day one of working with Lend Lease.
"When you step up it's not a big shock because you're exposed to that as a graduate," he says.
"The first job I did, in short pants, I had a lot of responsibility. But if I got it wrong the company, or project, didn't die."
He also stresses decisiveness, in an industry fraught with "noise".
"That noise can overwhelm you . . . By having a view that 'these are the deliverables, the outcomes, how do we plan to get there?', you need to be decisive," he says, crediting the "project management culture" at Lend Lease. Menhinnitt says Lend Lease has had "a very clear view" in recent years about the platform required and where to spend capital.
"Now there's much more of a focus on flawless execution. We are operating from a position of strength," he says.
Lend Lease's Australian operation produced 50 per cent of the group's $220 million first-half profit.
Add in the new Lend Lease infrastructure business (the old Valemus, and not part of Menhinnitt's bailiwick) and the figure is 66 per cent.
Menhinnitt is responsible for some of the nation's largest urban regeneration projects, housing land banks, and retirement village businesses, as well as a $7 billion funds management operation and a major commercial builder.
He says there had been "significant growth" in assets and funds under management, particularly from the ING portfolio acquisition, and the group "sees good opportunities to grow the scale of that business".
The huge increase in sovereign wealth funds looking to invest from offshore has also placed Lend Lease in a favourable position, being a "highly trusted manager of third party capital", Menhinnitt says.
Social infrastructure projects peaked in recent years, thanks to government initiatives like the $14.6 billion Building the Education Revolution.
"We're back to more trend growth," Menhinnit says, "but we still see big opportunities in the social infrastructure space," particularly in health care and higher education.
He concedes that Lend Lease has previously been "under-represented" in Australia in the infrastructure market.
But the $960 million acquisition of Valemus has bolstered the group's position, with integration of the construction and infrastructure company to be complete by August.
Menhinnitt says Lend Lease has safeguarded itself with "opportunities that ride through cycles" like Barangaroo and the Melbourne Docklands project Victoria Harbour – both 10-year projects. "It's always incumbent on us to look at opportunities to grow the platform organically, and then opportunities like ING Retail Property Fund will come from time to time. So those opportunities are always of interest," he says.
Will Lend Lease pursue Centro Properties' Australian business?
"I can't give you anything other than what S
At an investor meeting in May, McCann described reports of a potential Centro buyout as "woefully badly researched and inaccurate".
Menhinnitt says further opportunities lie in long-term themes, like the ageing population, the need for more hospital beds or increasing urbanisation.
"The focus we've had over the last few years is understanding those themes," he says.
The Australian Financial Review


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You may think, passer-by, that Fate
Is a pit-fall outside of yourself,
Around which you may walk by the use of foresight
And wisdom.
Thus you believe, viewing the lives of other men,
As one who in God-like fashion bends over an anthill,
Seeing how their difficulties could be avoided.
But pass on into life:
In time you shall see Fate approach you
In the shape of your own image in the mirror;
Or you shall sit alone by your own hearth,
And suddenly the chair by you shall hold a guest,
And you shall know that guest,
And read the authentic message of his eyes.
Poet: Edgar Lee Masters
Poem: Lyman King
Poem of the Day:
Mar 17 2006
Are you looking for more information on this poem? Perhaps you are trying to analyze it? The poem, Lyman King, has received 2 comments. Click here to read them, and perhaps post a comment of your own.
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17. The Cincinnati Bengals Select CB Stephon Gilmore, South Carolina
The Bengals need some extra help on the other side of Leon Hall. Nate Clements wasn't great and Terrance Newman isn't going to be the long term answer either. Gilmore was shooting up draft boards at a breakneck speed, but he'll end up in the teens. He could definitely help shore up that secondary for the next 5-10 years.
18. The San Diego Chargers Select DE/OLB Courtney Upshaw, Alabama
The Chargers are in need of a rushing outside linebacker. and Upshaw would be the best pass rusher available. Plus, his experience with Nick Saban at Alabama probably helps him transition a bit faster to the NFL.
19. The Chicago Bears Select WR Kendall Wright, Baylor
Yeah, we know.The Bears just picked up Brandon Marshall from the Miami Dolphins, but I'm sure that Jay Cutler would appreciate some extra speed on the field to vertically stretch the coverage and help Marshall get open. That whole Devin Hester as a wide receiver thing just isn't working out.
20. The Tennessee Titans Select DT Michael Brockers, LSU
The Titans have loaded up on defensive ends in free agency, but in order for them to be effective, they need defensive tackles to eat up blockers and allow the ends to get one-on-one matchups.Michael Brockers is a bit raw, but he has been disruptive in his time with LSU.
Tags: Brandon Marshall, Chicago Bears, Cincinnati Bengals, Courtney Upshaw, Football, Jacksonville, Jacksonville Jaguars, Kendall Wright, Leon Hall, Miami Dolphins, Nate Clements, NFL, San Diego Chargers, Stephon Gilmore, Terrance Newman


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Prince Charles' wife pulled a gun Monday -- prompting Crown Princess Mary of Denmark to duck.
But the royal was just trying out a prop on the set of The Killing. Actress Sofie Grabol lent it to her. The Duchess of Cornwall is a fan of the show, reports the U.K. Press Association.
Camilla specifically requested the trip to the film set -- a rundown car scrapyard in the middle of nowhere where detectives are looking for a boy who may be a witness -- as part of her tour of Scandinavia.
Grabol, who plays lead detective Sarah Lund, told UKPA: "I think it is really surreal. But it's lovely that she wanted to come here. I told her last night to wear flat shoes. This is not really an inviting place for a royal visit."
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text: As you probably have heard by now, Ray Bradbury, author of Fahrenheit 451 and other novels passed away yesterday. (NY TIMES obit)My friend Chase Roden, sent me the following reflection this morning, which I share here, since a key part of what we are calling Slow Church is vigilance and attentiveness to discerning together what is faithfulness and what is distraction. Thank you, Chase. And R.I.P., Ray BradburyRay Bradbury died on Tuesday. I loved his books as a kid and never really returned to them after high school, but there's one scene -- from Fahrenheit 451 -- that has … [Read more...]


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Baastrup Syndrome
Original Editors - Fien Selderslaghs, Mirabella Smolders, Matthias Steenwerckx, Wout Theys
Top Contributors - Sofie Bourdinon, Nikki Rommers, Arno Vrambout, Fien Selderslaghs and Ceulemans Lisa
- 1 Search Strategy
- 2 Definition/Description
- 3 Clinically Relevant Anatomy
- 4 Epidemiology /Etiology
- 5 Characteristics/Clinical Presentation
- 6 Differential Diagnosis
- 7 Diagnostic Procedures
- 8 Outcome Measures
- 9 Examination
- 10 Medical Management
- 11 Physical Therapy Management
- 12 Key Research
- 13 Resources
- 14 Clinical Bottom Line
- 15 Recent Related Research (from Pubmed)
- 16 References
Search Strategy
Search engines: Pubmed, Web of knowledge. Google Scholar and Google Books are practical too.
Keywords: Baastrup syndrome, Baastrup AND etiology, Baastrup disease, kissing spines, Baastrup's sign, Baastrup syndrome AND physical therapy, Baastrup syndrome AND exercise, Kissing spines AND conservative therapy, Baastrup disease AND surgical management, hyperlordosis AND physical therapy.
Baastrup's Disease, generally known as Kissing Spine, is characterized by degenerative changes of both spinous processes and interspinous soft tissues of two neighbouring vertebrae. This syndrome was firstly characterized by Baastrup back in 1933. On the present-day, it has a worldwide recognition by other authors.[2], [4] The original author describes it as a condition where adjoining lumbar spinous processes become closely approximated to one another, which results in the formation of a new joint between them.[1], [2], [3], [4] The Kissing Spine mainly affects the lumbar area of the spine, with L4-L5 being the most frequently affected level. [5] Nonetheless, in several cases it has also been reported to occur in the cervical spine.[6]
The Kissing Spine has a few consequences such as the formation of hypertrophic spinous processes, which leads to mechanical back pain in combination with degenerative disc disease.[1], [4] In some casereposrts, the syndrome can provoke neuromuscular damage.[6]
Clinically Relevant Anatomy
The lumbar spine, consisting of 5 separated vertebrae, is located between the thoracic spine and the sacrum. Those five vertebrae are the largest of the spine and increase in size from superior to inferior.[7]
The lumbar vertebrae consist of various parts, in particular the vertebral body, the posterior elements (one process spinous and two processes transversus) and two pedicles.[8] Because of the weight-bearing function of the lumbar spine, the lumbar vertebral bodies are larger than the other vertebral bodies of the spine.[8] The processes spinous are thick and broad, and are dorsally and caudally orientated.[9] The pedicles are the junction between the vertebral body and the neural arch.[11]
Figure 1: Aspects of the Lumbar vertebrae [11]
Stability of the lumbar spine is necessary during functional activities. This is primarily obtained by the muscles, which are attached to the posterior elements of the vertebrae. Therefore the spinous processes are subjected to major forces during movements.[9] Besides the muscles, the ligaments also provide a stabilization function. These ligaments can likewise sustain a large compressive load during movements.[10]
Because of the large load on the lumbar part of the spine, there is a higher incidence of pain compared to other regions.[7] The baastrup syndrome affects two adjacent vertebrae, with L4-L5 being the most commonly corroded level. Sometimes it can even result in formation of a bursa in the intermediary interspinous soft tissues [5], [12]
Figure 2: Vertebral Ligaments [11]
The interspinous ligament connects two adjacent processes spinous. It primarily prevents excessive spinal flexion by limiting separation of two adjacent spinous processes. It has also been proven that the interspinous ligament controls vertebral rotation during flexion, helping the facet joints remain in contact while gliding. The supraspinous ligament is attached to the posterior tips of the processes spinous from approximately C7 to L4-L5. It limits spinal flexion and resists separation of two neighboring spinous processes. The posterior part of the interspinous and supraspinous ligaments is sensory innervated. The role of this input is to give proprioceptive information and protect against excessive forces. [9]
Epidemiology /Etiology
Just a few studies investigated the influence of the aging process on Baastrup Syndrome, including the study of DePalma M.J. et al.[15] which showed that the average age of patients with Baastrup's disease is 75.[15] Furthermore, the study of Maes R. et al.[14] confirms that Baastrup Syndrome is more common amongst elderly persons.This does not mean that it cannot occur in younger age groups. The effect of gender is still unknown, so further research is necessary. [14]
Age is not the only factor that is responsible for the evolution of Baastrup Syndrome. Other risk factors are mentioned below: [4], [5]
- Excessive lordosis which results in mechanical pressure;
- Repetitive strains of the interspinous ligament with subsequent degeneration and collapse;
- Incorrect posture;
- Traumatic injuries;
- Tuberculous spondylitis;
- Bilateral forms of congenital hip dislocation;
- Stiffening of the thoracic spine or the thoracolumbar transition;
- Obesity.
The cause of pain has been described to be mainly mechanical because of the neighboring spinous processes coming into contact. Pain worsens with hyperextension or increased lordosis which can been seen in patients with obesity, limitation of hip movements and champion swimmers.[6], [14]
Baastrup syndrome can occur independently or together with symptoms of other disorders, such as spondylolisthesis and spondylosis with osteophyte formation, and loss of disc height. However, there are patients with Baastrup disease without developing the abovementioned factors.[5]
The precise prevalence in the population remains still uncertain, but considering the autopsy of Kacki S. et al.[4] this disease however occurs frequently according to the relatively frequent abnormal changes of the interspinous spaces.[4]
Characteristics/Clinical Presentation
Patients with Baastrup syndrome show a typical excessive lordosis. This results in the mechanical pressure that can cause pain and repetitive strains combined with subsequent degeneration and collapse.[5], [13] Patients with the Kissing Spine often complain about back pain, specifically midline pain that radiates cephalad and caudal. Furthermore, it is mostly increased in combination with extension and less painfull in combination with flexion.[1], [5] The abnormal contact between adjacent spinous processes can lead to neoarthrosis and formation of an adventitious bursa. This can be seen pathologically as well as on MRI (referring to diagnostic procedures). [2], [14], [16]
Other characteristics can be pain upon finger pressure at the level of pathologic interspinous ligament, oedema, cystic lesions, sclerosis, flattening and enlargement of the articulating surfaces and bursitis. Occasionally epidural cysts or midline epidural fibrotic masse scan occur as well regarding to the article of Dimitrios K. Filippiadis et al. [5]
When the rotation and lateral flexion is examined, it will be painful. Flexion is the least painful of all lumbar movements.[17] Baastrup's disease can result in intraspinal cysts secondary to interspinous bursitis that may rarely which can cause symptomatic spinal stenosis and neurogenic claudation.[2]
Generally, Baastrup syndrome occurs in the lumbar spine with L4-L5 being the most affected region.[5] People who are most likely to suffer from the Kissing Spine are particularly elderly patients with a degenerative disc disease or hyperlordosis. Both of these conditions may lead to chronic contact between adjacent spinous processes. [18]
Differential Diagnosis
The differential diagnosis includes the direct effects of: [1], [19]
- Lumbar Spondylosis
- Muscle Strain
- Spondylolisthesis
- Fracture of the spinous process
- Vertebral (e.g. lumbar) compression fractures
- Infectious etiologies of the spine
- Proliferative hyperostosis of the lumbar spinous processes
- Degenerative disease of the spine
- Cysts
- Ossification of the posterior longitudinal ligament
- Sclerotic bone metastases to spine
Diagnostic Procedures
Baastrup Syndrome cannot be diagnosed by inspecting the lumbar spine (see clinical examination). When identifying the Kissing Spine using imaging studies, physicians will have a clearer image of the specific area and can thus prevent misdiagnosis. There are many radiographic methods to determine Baastrup Syndrome. If necessary different methods can becombined in order to gather detailed information of the degenerative and inflammatory signs at the level of interspinous ligament:[5]
Computed Tomography CT-scan
The Kissing Spine can be determined if three radiographic criteria were shown on CT-scans: the close approximation and contact between touching lumbar spinous processes followed by flattening and enlargement of the articulating surfaces and ending with reactive sclerosis of the superior and inferior fragments of adjacent processes.[2], [5], [20] CT- scans can also report detailed degenerative changes (e.g. facet joints hypertrophy, intervertebral disc herniation or spondylolisthesis).[5],[20]
However, this type of diagnostic procedure has soft tissues limited assessment of disc degeneration, thus interspinous bursae cannot be visualized.[2] CT-scans are also more expensive than radiographic imaging.
Figure 3: CT-scan of Baastrup Syndrome ('Kissing Spines') Th12-L1-L2-L3[2]
Radiography (X-rays)
X-rays are analogous to ST-cans, which show[5]:
- Radiographic findings of the close approximation and contact of opposed spinous processes with sclerosis of the articulating surfaces;
- An expansion of the articulating surfaces or articulation of the two affected spinous processes;
- General degenerative changes in the spine.
Advantages of X-rays contain the reasonable cost, availability and a relatively low ionising radiation dose. Nonetheless, radiographic imaging have poor imaging quality in particular at the lower lumbar fragments.
Magnetic Resonance Imaging MRI
In contrary to CT-scans, MRI findings of Baastrup Syndrome may contain interspinous bursal fluid and a postero-central epidural cyst(s) at the opposing spinous processes.[22] When bursal fluid is present between and opposing two affected spinous processes - illustrated as bright and/or high-signal-intensity areas on imaging findings -, lumbar interspinous bursitis will be diagnosed.[14],[21]
Similar to CT scan it includes flattening, sclerosis, enlargement, cystic lesions and bone oedema and at the articulating surfaces of the spinous processes. This type of diagnostic procedure is extremely beneficial in defining whether there is a compression of the posterior thecal sac as an outcome of this contact of the interspinous processes.[21]
Advantages of MRI scan include the lack of ionising radiation and the extremely detailed imaging in various levels (axial, coronal and sagittal).[5]
Figure 4: MRI-scan of Baastrup Syndrome ('Kissing Spines') L3-L4[2]
Baastrup's Syndrome is regularly misdiagnosed and therefore wrongfully treated. Thorough clinically evaluation and analyzing radiographic findings are vital for an accurate diagnosis and to prevent mismanagement.[1]
Outcome Measures
The following tests can be used to objectively determine the progress of a patiënt and treatment efficacy:
- Quebec Back Pain Disability Scale
- Visual Analogue Scale
- Oswestry
- Roland‐Morris Disability Questionnaire
- Measurements of spinal mobility:
- Fingertip-to-Floor (FTF) Test
- Modified Schober Test [24, level 4]
Diagnosis of Baastrup's disease is verified with clinical examination as well as imaging studies. [5] Symptoms include low back pain with midline distribution that exacerbates when performing extension, relieved during flexion and is exaggerated upon finger pressure at the level of the pathologic interspinous ligament. Rotation and lateral flexion are also very painful. [5] The pain can be described as a sharp or deep ache, often worse during physical activities that increase lumbar lordosis or compression of these structures. [9]
Throughout physical examination, the physiotherapist manipulates active/passive techniques with the intention of evoking complaints. Active spinal extension can reproduce the symptoms. The 'stork test' (standing on one leg with passive extension of the lumbar spine) is very beneficial in the examination of this disease. [9] When the patient bends forward, relief is also gained. [17]
Figure 5: Stork Test [24]
Medical Management
The main goal of any therapy for patients with Baastrup syndrome is to reduce in low back pain as well as resume the normal daily activities. The medical treatment can vary between a conservative and a surgical intervention. The diagnosis of the disease is necessary when determining the treatment, which depends on the findings of MRI. When MRI demonstrates active inflammatory changes or edema, local injections will be implemented. When those injections don't improve the situation of the patient, a surgical treatment will be recommended. [25] (Level of Evidence: 4)
The non-surgical treatment consists of local injections of analgesics or nonsteroidal anti-inflammatory drugs (NSAID's).[5] (Level of Evidence: 3B) When the complaints are of a single trauma, an injection with a corticosteroid can be effective, but when the condition is the cause of a chronic micro trauma, two to four infiltrations are indicated. The injection is given once every two weeks. During the treatment period, extension movements of the lumbar spine should be avoided. [25] (Level of Evidence: 4), [26] (Level of Evidence: 4)After local anesthesia of the skin and subcutaneous tissues, the injection will be implemented by a 24-gauge styletted needle between the affected processes spinous into the painful interspinous ligaments under fluoroscopic control.[26] (Level of Evidence: 4)Okada K. et al. investigated "the long-term effects of injections of steroid and local anesthetics into interspinous ligaments for the treatment of Baastrup's disease" (Okada K. et al., 2014). An evaluation 30 minutes after the injection represented positive results. The pain was measured by the VAS-scale before and after the treatment. The score of this scale after the treatment indicated less than 60% of their initial score. Therefore, the injection is effective in short-term. The follow-up 1,4 years after the injection indicated also that this intervention is effective for the treatment of Baastrup syndrome.[26] (Level of Evidence: 4)
As mentioned before, in case of no response to non-surgical treatment, medical intervention has to be performed. Suggested surgical therapies contain excision of the bursa, partial or total removal of the process spinous, or osteotomy.[5] (Level of Evidence: 3B) According to Franok S., the average duration of the stay in hospital is up to 31 days, the patients may therefore leave the clinic after ca. 3-5 weeks.[28] (Level of Evidence: 4) However, such invasive therapies occasionally have unsatisfactory outcomes. In fact, it has been confirmed by several studies that numerous patients have developed pain post-surgery.[5] (Level of Evidence: 3B) It is also unclear whether surgery indicates better results. In only 15 to 40 % surgery resulted in remarkably effective outcomes.[27] (Level of Evidence: 1A)
A newer, alternative technique used for the treatment of Baastrup Syndrome are interspinous spacer devices such as a X-STOP. [30] (Level of Evidence: 5) Zhou et al. describes it as "a 'floating' device was formed in the interspinous process to increase the distance between spinous processes and the intervertebral foramen" (Zhou D. et al., 2013). Essentially, these contraptions are appropriately implanted between two process spinous of the lumbar spine, therefore the surgical procedure is quite easy and less invasive than the above-mentioned therapies.[29] (Level of Evidence: 2C)
The patients who are undergoing surgery are retrospectively reviewed and were asked to fill in the VAS-scale as well as the Oswestry Disability Index (ODI), pre- and post-surgery. Both of the outcomes show improvement post-operatively in comparison to pre-operatively. Thus, the in-space interspinous methods in the treatment of Baastrup Syndrome are effortless and safe therapies, with remedial results obtained in the initial follow-up.[29] (Level of Evidence: 2C)Despite the short term beneficial results, long-term outcomes regarding the durability of symptomatic relief and the long-term complications specific to the implanted device are yet lacking and need further investigation. [31] (Level of Evidence: 2C)
Physical Therapy Management
The main goal of physical therapy for patients with Baastrup Syndrome is to reduce low back pain as well as hyperlodosis and to improve the physical functioning of the spine. Once pain is diminished – either with the help of over-the-counter drugs or conservative therapy –, physical therapy management is very much needed and therefore based on education along with strengthening and stretching of the abdominal plus spinal muscles.[2] (Level of Evidence: 2C), [27] (Level of Evidence: 1A)
As mentioned previously, the treatment of hyperlordosis - among other factors -, is of crucial importance. Hence, the conservative therapy which consists of re-education and correction of core muscles exercises, posture in a flexion bias and stretching of the hip flexor groups. In order to succeed the exercises, they have to be guided by a physiotherapist. [2] (Level of Evidence: 2C) Additionally, these exercises can be performed at home when properly instructed.[32] (Level of Evidence: 2B) Below a few exercises are mentioned with the intention of decreasing the hyperlordosis:
- Stretching of hip flexors;
- Lower back muscle stretchers;
- Abdominal crunch;
- Oblique crunch;
- Hip extensions in supine position. [2] (Level of Evidence: 2C), [33] (Level of Evidence: 5), [34] (Level of Evidence: 5)
When the abdominal muscles are weak, hip flexors, particularly M. Iliopsoas, are meanly responsible in shaping the lumbar spine.[35] (Level of Evidence: 5)Furthermore the rectus femoris muscle is also a part of the hip flexors. In order to avoid other injuries of the lower-back region, it's important that a patient with Baastrup syndrome stretches these muscles. The hip flexors can shorten by long-term sitting or resting. When these muscles are too short, it can affect the gluteal muscles and the spinal muscles.[36] (Level of Evidence: 5)The starting position is a lunge position with resting the weight on the knee and the front foot, both resting on the ground. While pushing the hips forward, it's important that the torso remains straight. Maintain this position for at least 10 seconds, and repeat this three times on each side.[35] (Level of Evidence: 5)
Figure 6: Stretching of hip flexors [35] (Level of Evidence: 5)
It is proven that the motion of the gluteus maximus muscle during the flexion-extension cycle is decreased in patients with chronic low back pain. Thus, training of this muscle should be a part of the physical management program in the rehabilitation of these kind of patients. [37] (Level of Evidence: 3A)
Physical therapy is also said to be helpful for reducing the neuromuscular damage that is provoked by the disease. Neuromuscular education is then needed. Futhermore, other treatment for patients with Baastrup Syndrome such as heat therapy, ergotherapy, muscle strengthening and muscle relaxation can be helpful. [2] (Level of Evidence: 2C)
Nonetheless, due to the beneficial outcomes of physical therapy management, conservative therapies must be attempted by a physiotherapist before using invasive methods such as surgical management as mentioned earlier. [27] (Level of Evidence: 1A)
Key Research
add links and reviews of high quality evidence here (case studies should be added on new pages using the case study template)
Clinical Bottom Line
Kissing spines is characterized by close approximation and contact of the spinous processes. Often injections are used to relief the pain. Physical therapy should include stretching and strengthening exercises to reduce the pressure and the lordosis.
Baastrup's syndrome is still relatively unkown and is often misdiagnosed and treateded incorrectly. [22, level 4]
Recent Related Research (from Pubmed)
see tutorial on Adding PubMed Feed
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1. Singla A. et al., Baastrup's disease: the kissing spine, World Journal of Clinical Cases, 2014, 2(2): 45-47. (Level of Evidence: 3B)
2. Kwong Y. et al., MDCT Findings in Baastrup Disease: Disease or Normal Feature of the Aging Spine?,American Journal of Roentgenology, 2011, 196(5):1156-9. (Level of Evidence: 2C)
3. Yang A. et al., Kissing Spine and the Retrodural Space of Okada: More Than Just a Kiss?, University of Colorado, 2014, 6(3): 287-9. (Level of Evidence: 3B)
4. KackiS. et al., Baastrup's Sign (Kissing Spines): A neglected condition in paleopathology, International Journal of Paleopathology, 2011, 1(2): 104-110. (Level of Evidence: 4)
5. Filippiadis D.K. et al., Baastrup's disease (kissing spines syndrome): a pictorial review, Springer, 2015, 6(1): 123–128. (Level of Evidence: 3B)
6. Rajasekaran S. et al., Baastrup's Disease as a Cause of Neurogenic Claudication: a case report, Lippincott Williams & Wilkins, 2003, 28(14): 273-275. (Level of Evidence: 3B)
7. Herkowitz H.N. et al., The Lumbar Spine, Lippincott Williams & Wilkins, 2004, 85-87. (Level of Evidence: 5)
8. Bogduk N., Clinical and Radiological Anatomy of the Lumbar Spine, Churchill Livingstone, Elsevier, 2012, 85-98. (Level of Evidence: 5)
9. DePalma M.J., iSPINE Evidence Based Interventional Spine Care, Demos Medical, 2011, 4-8. (Level of Evidence: 5)
10. Han K-S., Biomechanical roles of spinal muscles in stabilizing the lumbar spine via follower load mechanism, ProQuest, 2008, 92-95. (Level of Evidence: 5)
11. Masaracchio M. et al., Clinical Guide to Musculoskeletal Palpation, Human Kinetics, 2014, 203-208. (Level of Evidence: 5)
12. Jang E-C. et al., Posterior epidural fibrotic mass associated with Baastrup's disease, Springer, 2010; 19(2): 165-168. (Level of Evidence: 3B)
13. Bywaters E.G.L. et al.,The lumbar interspinous bursae and Baastrup's syndrome,RheumatolInt, 1982, 2:87-96. (Level of Evidence: 3B)
14. Maes R. et al., Lumbar Interspinous Bursitis (Baastrup Disease) in a Symptomatic Population: Prevalence on Magnetic Resonance Imaging, The Spine Journal, 2008, 33(7): 211-215. (Level of Evidence: 4)
15. DePalma M.J. et al., What is the source of Chronic Low Back Pain and does age play a role?, Pain Medicine, 2011, 12: 224-233. (Level of Evidence: 2C)
16. FarinhaF. et al., Baastrup's disease: a poorly recognized cause of back pain, ActaReumatol Port, 2015, 40:302-303. (Level of Evidence: 3B)
17. Hertling D. et al., Management of common musculoskeletal disorders: Physical Therapy Principles and Methods, Lippincott Williams & Wilkins, 2006, 4th edition. (Level of Evidence: 5)
18. Pinto P.S. et al., Spinous Process Fractures associated with Baastrup disease, Clinical Imaging, 2004, 28(3): 219-222. (Level of Evidence: 4)
19. Kaye A.D. et al., Pain Management, Cambridge University Press, 2015,
20. DePalma M.J. et al., Interspinous Bursitis in an Athlete, The Journal of Bone and Joint Surgery, 2004, 86: 1062-1064. (Level of Evidence: 3B)
21. Clifford P.D. et al., Baastrup Disease: Imaging Series, The American Journal of Orthopedics, 2007, 36(10): 560-561. (Level of Evidence: 4)
22. Chen C.K.H. et al., Intraspinal Posterior Epidural Cysts Associated with Baastrup's Disease: Report of 10 patients, American Journal of Roentgenology, 2004, 182(1): 191-194. (Level of Evidence: 4)
23. Tousignant M. et al., The Modified-Modified Schober Test for range of motion assessment of lumbar flexion in patients with low back pain: a study of criterion validity, intra- and inter-rater reliability and minimum metrically detectable change, Disability and Rehabilitation, 2005, 27(10): 553-559. (Level of Evidence: 4)
24. Afbeelding : http://www.physio-pedia.com/Stork_test
25. Lamer T.J. et al., Fluoroscopically-Guided Injections to Treat "Kissing Spine" Disease, Pain Physician, 2008; 11: 549-554. (Level of Evidence: 4)
26. Okada K. et al., Interspinous Ligament Lidocaine and Steroid Injections for the Management of Baastrup's Disease : A case Series, Asian Spine Journal, 2014 ; 8(3) : 260-266. (Level of Evidence: 4)
27. Cohen S.T. et al., Management of Low Back Pain, British Medical Journal, 2008, 338: 100-106. (Level of Evidence: 1A)
28. Franok S., Surgical Treatment of Interspinal Osteoarthrosis ("Kissing Spine"), ActaOrthopaedicaScandinavica, 1943, 14(1-4): 127-152. (Level of Evidence: 4)
29. Zhou D. et al., Effects of Interspinous Spacers on Lumbar Degenerative Disease, Experimental and Therapeutic Medicine, 2013, 5: 952-956. (Level of Evidence: 2C)
30. Yue J.J. et al., Motion Preservation Surgery of the Spine, Elsevier - Health Sciences Division, 2008, 816 pagina's. (Level of Evidence: 5)
31. Chao S. et al., Interspinous Process Spacer Technology, Techniques in Orthopaedics, 2011, 26(3): 141-145. (Level of Evidence: 2C)
32.Scannell J.P. et al., Lumbar posture--should it, and can it, be modified? A study of passive tissue stiffness and lumbar position during activities of daily living, 2003, 83(10): 907-917. (Level of Evidence: 2B)
33. Buschbacher R. et al., Spine: Rehabilitation Medicine Quick Reference, Demos Medical, 2009. (Level of Evidence: 5)
34. Kerkar P., Baastrup Syndrome or Kissing Spine Syndrome in Humans: Causes, Symptoms, Treatment, Epainassist, 2012. (Level of Evidence: 5)
35. Laughlin K., Overcome Neck and Back Pain, Simon & Schuster, 1998, 58-61. (Level of Evidence: 5)
36. Ross M., Stretching the Hip Flexors, National Strength & Conditioning Association, 1999, 21(3): 71-72. (Level of Evidence: 5)
37. Leinonen V. et al., Back an Hip Extensor Activities During Trunk Flexion/Extension: Effects of Low Back Pain and Rehabilitation, American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation, 200, 81: 32-37. (Level of Evidence: 3A)


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11 Mugshots Of Celebrities If They Were 1920's Gangsters [PHOTOS]
Khloe Kardashian's mugshot would have looked like if she had been around and arrested in the 1920's?Have you ever wondered what
Well, artist Michael Jason Enriquez has melded a series of celebrity mugshots with snaps of 1920s crooks to create an eerily fascinating rogues' gallery.
So how did he do it?
He created the celebrities' 1920 doppelgangers by combining vintage photographs of criminals from a century ago with snaps of modern stars.
Included in the 'Mugshot Doppelganger' gallery is Robert Downey Jr's mugshot from his 2000 arrest from drug possession and one of Lindsay Lohan's many mugshots.
Check them out by launching the gallery.


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Spaghetti Delight
Barb Janisse
This is my son's favorite dinner that he requests with all of his friends over on his birthday. It's really good and simple!
- 1 lb
- ground beef or turkey
- 2 can(s)
- tomato sauce, italian seasoned
- 1 large
- onion
- 1 tsp
- salt
- garlic salt, to taste
- 3 oz
- pkg. cream cheese
- 1 c
- sour cream
- 1/2 c
- grated cheddar cheese
- 8 oz
- pkg. cooked spaghetti
How to Make Spaghetti Delight
- 1Brown meat and onion. Drain grease.
- 2Add salt, pepper, and garlic salt.
- 3Add tomato sauce (or spaghetti sauce can be used). Simmer for 15 minutes.
- 4Cook spaghetti according to directions and drain.
- 5Blend cream cheese and sour cream together.
- 6Grease 9 x 13 baking dish. Layer ingredients: spaghetti first, then meat sauce, cream cheese mixture, and finally sprinkle with grated cheese on top.
- 7Bake at 350* for 20 minutes. Leftovers are great also!
About Spaghetti Delight
Main Ingredient: Pasta
Regional Style: Italian
Other Tags: Quick & Easy, For Kids
Hashtags: #easy, #pasta casserole


text:
X3 3.0 CEL and codes P0171 & P0174
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If you're going to clean the MAF, you might as well replace the air filter; at almost a year and 25k due for replacement anyway.
The urgency of this is up to you of course, but I wasn't in a huge hurry to get mine taken care of. I reasoned that if the engine was running smoothly and fuel mileage didn't change, that was a pretty good indication that the engine management system was continuing to meter fuel properly despite the condition.
If it's just an intake leak, the engine is going to trim the fuel metering according to the O2 sensors, so the mixture will wind up right in the end; it's just that the engine's MAF data doesn't match the O2 data and that makes the code.
Like you said, it's unlikely that both O2 sensors would fail simultaneously, so I think these codes generally indicate an intake leak. It's easy and cheap to pull the MAF out and clean it though, so that's a good place to start.
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Weekend Outlook: Labor Day Edition
The last days of summer are here. But since we barely had a summer, let's just get this weekend over with already. Then we can have Halloween, Thanksgiving, Christmas, HAPPY NEW YEAR!, Valentine's Day, St Patrick's Day, and Oooo summer 2015 is here!
Now since most people escape the NYC area on the long holiday weekend, I want to give those "left behind" something to do.
It's still outdoor movie season at the South Street Seaport. On Saturday they're showing the Ryan Gosling film "Crazy, Stupid, Love" and 007's "Skyfall" on Sunday.
If electronic music is your thing, PS1 in LIC has an afternoon party featuring music talent from Berlin, London, and here.
But if electronic music, dropping Molly, and trying not to die is more your thing (EXTREME!!), The Electric Zoo Festival is all weekend at Randall's Island.
Can't dance? Check out Max Power's Silly Dance Contest. You can win a bar tab! Saturday 6pm at the Rockaway Beach Surf Club.
Brooklyn Bowl is throwing a birthday party for the late Michael Jackson. That's tonight at 11pm.
Or just be a tourist in your own city. With all the NYers out of town, you'll fit right in with the regular tourists.


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10th Annual General Meeting
Date : 28th December 2014 (Sunday)
Time : 9.30 am
Venue : Meeting Room - Block D, Ocean View Resort
Note: Kindly ensure that a copy of the strata title duly registered in your favour has been submitted to the Management Office and your maintenance fees are up to date so that you will be entitled to vote.
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text: I've never worn a nightgown in my life. The word alone makes me cringe, and the suggestion that I invest in one even more so. I've always been under the impression that nightgowns are firmly in the "not sexy"camp. My mother wears nightgowns! What's sexy about that? (Sorry, Mom.) But a T-shirt and boxers are not that sexy, either, and it might be nice to have something cute to wear to bed when my boyfriend sleeps over. I'm looking to trade in my old decaying sweatpants ("lounge pants," they prefer to be called) for something a little more romantic that will still keep me sleepin' comfy.


text:
Ask an Eye Doctor and Get an Answer ASAP
Hi. I'm online and happy to answer your question today.
Is the area tender?
Do you have any other symptoms?
does the swelling stay the same all the time or does it change during the day or day to day?
Is is possible for you to upload a picture of the swollen eyelid?
Do you wear contacts?
It isn't tender. It's always the same amount of swollen. I don't wear contacts. Let me get a picture for you.
Ok. You can use the paperclip on your screen to upload. Having the picture in focus is more important then it being real close..
ok. it's just taking a while to upload.
I give it some time....large files can take a bit
Is it possible to set your camera to a lower resolution or use a program on your computer to decrease the file size? It doesn't seem like your picture is going to make it ;(
let me try that
got it. Let me take a look. BRB
Have you had any trauma on that side?
If someone were to look closely at your eyes when you were relaxed, would they think that the pupil on your right eye was smaller then the pupil on the left?
I think it came about slowly because I didn't even notice it for a while til I noticed all my pictures were coming out with that eye looking like it was half shut. About 6 months ago.
I don't think so.
Have you ever noticed when you sweat hard, like in a sauna or exercising hard, that the right side of your face doesn't sweat, or it sweats less then the left side?
Can you feel any sort of lump or mass under or around that upper lid?
I haven't noticed that.
there is no mass that I can feel.
Ok. Sorry for all the questions.....
No problem.
What you have is called ptosis. That is just doctor-speak for a droopy eyelid. The questions I've just asked you pertain to a common cause of a droopy lid....
So. Since you already knew your eyelid was droopy before chatting with me, let me give you some advice on what to do.
There are a number of things that can cause a painless droopy upper eyelid. Some of them are nothing to worry about and can be easily fixed, and some of them can be a sign of a underlying systemic disease or physical problem.
Using the internet, even with the excellent picture you uploaded, it would be impossible for me to say which of these many issues is at work with your eyelid.
The good news? A complete eye exam by an ophthalmologist (eye MD) should be easilyi be able to figure out what is going on, rule out (or in) any of the concerning problems and then fix the problem.
What should you not do? Ignore this any longer.
I'm glad you took the time to research your eye problem so you can get the help you need.
Does this make sense to you?
I did go to an optometrist back in October because it was covered by insurance and she checked my retinas with a machine and said they were both okay. She wasn't an ophthalmologist though. What will an ophthalmologist do?
It sounds like you were examined by an optometrist and not an eye surgeon (ophthalmologist). Your problem is way beyond the training and ability of an optometrist to deal with...
Yes. You should consult an ophthalmologist...and eye MD who does surgery.
not that you will need surgery....just trying to make the difference between the two types of eye doctors clear :)
Okay. How much do you think an ophthalmologist charges for a consultation?
I am a retina specialist so charge a lot :( But a general ophthalmologist, for a complete eye exam, might charge around $125. But I can tell you from personal experience that the majority of eye MDs will work with you on billing and give you a discount rather then have you go without care.
Okay. Thank you very much.
My pleasure.
I hope this information was helpful for you. But I do work for tips so I want to make sure you are happy with me before rating me. If you have another question on this or a related issue feel free to fire away. You may also receive an email survey after our chat, if you don't feel that I have earned a "10" rating in all areas, please let me know what I can do to meet your expectations. Thanks in advance, Dr. Rick MD FACS
Have a good evening.


text:
|Green, relay set more school records
|From Staff Reports
April 26, 2004 -- MESQUITE -- Another meet, two more school records for the Sulphur Springs High School sprinters.
Junior Keelan Green broke the school record he set just a week ago when he blazed a 10.53 time in the 100 meters at the regional qualifiers meet Friday at Hanby Stadium.
Green established the old mark at the 11-4A meet when he ran a 10.62 to break Chris Wright's 12-year-old record of 10.64. Then, on Saturday, he rewrote his name atop the record book with a fully automated time almost a full tenth of a second better than the previous week.
He placed second in the race behind Tyler Lee's Ravyn Hayward, who clocked a 10.49.
"Keelan continues to run well," said SSHS coach Robert Wallace. "He and the runner from Tyler Lee were right together at the tape."
The Wildcats' 4x100 relay team, composed of John Hall, Keenan Clayton, Green and Kendall Wright, also smashed the previous school record by running a 42.03, breaking the 14-year-old record of 42.5. The team placed fifth in the race, which was won by Mesquite Poteet.
Kendall Wright ran his best time of the season in the 300-meter intermediate hurdles -- and the second best time in school history -- with a 38.08 clocking. Only Jeremy Donahoe's time of 37.75, ran last season, is faster. Wright outsprinted a Poteet runner over the last two hurdles to win the race.
"That was Kendall's best time to the first hurdle," Wallace said. "Then, he and the Poteet guy were right together with two hurdles to go, and Kendall just took off and left him."
He also ran in the 110 hurdles, but finished fifth in a time of 15.40. He was leading after the first two hurdles, but hit the next three barriers to fall back, Wallace said.
Shot putter Jordan Jones also placed at the meet, taking fourth with a heave of 51 feet, 11 1/4 inches. Triple jumper Jonathan Lindley, who pulled a hamstring at the district meet, did not jump but will likely be ready for Friday's regional meet.
The meet was the final one for the Wildcats before the Class 4A, Region II contest Friday at Saturday at the University of North Texas.
Also participating in the regional meet will be Jayden Spencer and Zack Wilhite in the pole vault, and high jumper Sara Barrett and shot putter Bridgette Nash in the girls' division.
Older Archives
Looking for News-Telegram Sports and News Archives for January 2004 - November 2008


text:
Video Conferencing
High-end, secure video conferencing can be conducted at the School of Law through the use of portable video conferencing units which can be setup in conference rooms and classrooms. These Polycom systems can be connected to a classroom's projector and sound system and connect to remote locations through IP connections.
We have conducted numerous VTC connections with other countries including: Russia, China, UK, Canada, and multiple locations in the US.
However, there are some caveats to using this high-end technology that you'll want to be aware of
- Compatibility - remote locations must have access to the same type of equipment
- Firewalls - remote locations will need to have their firewall open for conferencing
- Buffering & Pixelation - Internet traffic is prone to fluctuations in quality based on network activity.
- Connectivity - Satelite and ISDN connections are not supported at this time. Only IP-based connections.
- Setup Time - We need access to your classroom for 15-minutes before and after each video conference. During that time, we will be making lots of noise to setup the connection, so plan accordingly.
- Lead Time - for best success, please give us several weeks notice and all the contact information for your remote location so we can setup end-to-end tests prior to your event.
- Pre-Event Test - We require an end-to-end test of the video conference connection with the remote location days/weeks prior to the event so we have time to troubleshoot any problems. This means we will need the direct contact information for the conferencing technical support personal at the remote location(s).
If you have any questions regarding video conferencing (or web conferencing and telephone conferencing alternatives) please e-mail email@example.com.
Getting Started
To start this process, contact Media Services via email (firstname.lastname@example.com) and or stop by and talk to us in Sullivan 311. We will want to get your support needs on our calendar as soon as possible, even if all of your contact information is incomplete. Eventually, once you do have remote contact information, we'll fill out this form to support the connection with: Video Conference Request Form.


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Money for litter pickup?
PennDOT will be embarking on more than $500 million in road and bridge projects. I wonder if even a small fraction of that money could be devoted to maybe, you know, periodically cleaning up the litter that lines PennDOT-maintained roads. Not only is this an eyesore, but does anyone think all this trash enhances outsiders' impressions of Pittsburgh?
Obviously, some of this litter is intentional, and shame on those who do this. Much of the rest is debris from wind-blown recyclables (and no, the litter hasn't just accumulated since the cold weather hit). I figure there are four potential reasons why PennDOT leaves litter along the roads:
• Minimum-wage temporary employees or low-risk prisoners can't be utilized to pick up litter, since this would be perceived as a job threat by higher-paid PennDOT workers. Therefore, the litter must stay.
• PennDOT can't overspend for litter pickup because it already overspends for everything else.
• The litter is used on-site by PennDOT to fill potholes.
• Barry Schoch, secretary of Transportation, has decreed that the PennDOT flag (a plastic grocery bag caught up in a tree branch) must be displayed along all roadways in the commonwealth.
Jack Ishnetti


text:
This rat is common in the Joshua tree and juniper belts, and locally penetrates the pinyon belt at about 5000 feet elevation.
I've been down to pinyon's to-day, with my croshy-work, for a change.
Shrubs become more abundant and pinyon and juniper trees become less abundant as one approaches the drainage.
Many of the flats of the pinyon belt are grown to basin sagebrush.
pinyon pine trees tend to decay from the outside and were not used as nesting sites by P. truei.
Many a time before had they rounded up their herds and stalked the deer among the thin cedar and pinyon forests.
Cedar and pinyon trees lined the trail, and there were no more firs.
On that slope anything that started rolling never stopped unless it went against one of the rare pine or pinyon trees.
It was a dry region, but with plenty of grama-grass, and much of it covered with an open forest of pinyon and cedar.
Another species of the same genus, the pinyon mouse, P. truei, also lives on the Mesa Verde.


text:
Results 1 to 12 of 303
Threaded View
12-05-2012, 12:01 PM #15Veteran Poster
- Join Date
- Oct 2011
- Posts
- 4,535
Re: I'm losing my faith in Joe Flacco
We played better defenses overall in 2011 so that could be part of it along with Zorn getting fired as you said, but I think the going pass happy (relatively) might have been by design to see if it could be handled. Obviously with Cameron, no Zorn, different supporting cast, tougher defenses, it didn't pan out.
And this year he is on pace for a further increase to 568 attempts. I have no idea why we are throwing so much more, but it could be to evaluate Flacco before the big contract committment. But as you and others have mentioned, the coaching may (probably does) prevent any fair assessment of his abilities. Simply passing more in a flawed scheme is not a good test. In this case it has lead to more incompletions (lower completion percentage) and therefore a lower QBR, but what does that really tell us considering our scheme/coaching?


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|Site Info Whois Traceroute RBL Check
The Laurinburg Exchange - Laurinburg, NC - News, Sports, Classifieds, Businesses, Events, Scotland CountyDescription: Scotland County's source for local news, sports, classifieds, and more. In print, on the web, and in touch.
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text: Title. Bit of context - I bought a denim shirt and realised a couple of months down the line that I didn't really like it (after I noticed I'd only worn it like twice). Its quite thick (not one of those 'denim look' shirts you find these days), so I wore it last night with the buttons open and it was pretty much a denim jacket. But, throughout the night I kept on flicking the collar up and down because i couldn't decide which way to wear it. To me, collar up looked best but opinions from other people on the night were quite polarised. Being the adventurous guy that I am, I decided to stick with collar up. Was just wondering what opinions were on here about the collar up on a den jacket?


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Arrive by (flt no) at (00hrs). Please clear immigration & visa formalities, collect your baggage and proceed to the arrival lounge through the green channel if you do not have goods to be declared to customs.The Green Holiday Centre Representative will page you by your name. Thereafter you will be assisted to the Car park / Coach Park to begin you journey as per the booked itinerary.
Proceed to Kandy via Pinnawala elephant orphanage.
Pinnawala elephant orphanage :App. 55 miles from Colombo, off the Colombo – Kandy road is Pinnawela, where an orphanage was started in 1975 to house the abandoned and the wounded elephants. The number of elephants has increased to more than 65 now; including Baby Elephants brought from various parts, as well as some of the more than 25 babies born, as a result of the captive breeding programme. The best time to visit is the feeding time from 0930-1000 hrs and 1330-1400 hrs and the bathing time from 1000-1030 hrs and 1400-1430 hrs when all the elephants are taken to the river close by.Arrive in Kandy and enjoy a city tour of Kandy.
Royal Botanical Gardens:147 acres in extent: started in 1374 as a pleasure garden of the King's of Kandy. There are more than 5000 species of tree and plants. Some and endemic as well as flora from the tropical world. Spice garden and Orchid House are popular with Tourists.
Kandy:The hill capital, venue of the annual Perahera. The last stronghold of the Sinhala Kings was finally ceded to the British in 1815. Kandy is an example of the Buddhism's influence in Sri Lanka today. Temple's shrines and monasteries keeping alive Buddhist traditions are everywhere.Temple of the Sacred Tooth Relic Ever since 4th Century A.D, when the Buddha's Tooth was brought to Sri Lanka hidden from sacrilegious hands in an Orissan princess' hair, the Relic has grown in repute and holiness in Sri Lanka and throughout the Buddhist world. It is considered Sri Lanka's most prized possession.Evening witness the Kandy Cultural Dance Performance,Overnight stay at a Kandy hotel.
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After breakfast at the hotel proceed to Nuwara Eliya. Visit a tea factory plantation on the way.
Nuwara Eliya:The 'Little England' of Sri Lanka, is set against beautiful backdrops of Mountains,Valleys, Waterfalls and Tea Plantations. It is supposed to be one of the coldest places on the island, but is really just like an England spring day although the temperature does drop at night.All around Nuwara Eliya you will see evidence of the British influence. Houses are like country cottages or Queen Ann style mansions.Spend the rest of the day at leisure.Overnight stay at a Nuwara Eliya hotel.
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After breakfast at the hotel, proceed to Yala. Arrive in Yala and enjoy an evening safari.
YALA (RUHUNA) NATIONAL PARK: the Ruhunu National Park covers 126,786 hectares including the Strict Natural Reserve (Block II). The most familiar is Block I (14,101 hectares) and this were established in 1938.Yala is famous for its big herds and large number of Elephants, Leopards, Spotted Deer, Sambhur, Crocodiles, Mongoose, Wild Boar, Wild Buffalo, and many other animals.More than 130 bird species are recorded which includes the resident and winter visitors.Overnight stay at a Yala hotel.
Description :
After breakfast at the hotel proceed to Bentota. Visit a turtle hatchery and enjoy a mangrove boat ride in Madu River.
Turtle Hatchery:The "Sea Turtle Farm & Hatchery" is a non - profitable organization which is maintained for the survival of Sea Turtles for the next generation. From the past, due to the cruel activities of humans, there is a danger that turtles are facing extinction. These rare varieties of Sea Turtles are destroyed by man day by day. It is the duty of each and every one to take action to save these turtles from extinction for the sake of our future generation. Regarding this we started to save Sea Turtles in 1986 and up to now we have succeeded to attain the goal gradually.
Mangrove Boat ride in Madu River:Madu River or the Madu Ganga is one of the natures fascinating creations off South West coast in Balapitiya. Madu Ganga is a lagoon with hundreds of islands providing an idyllic setting for a well spent holiday and loads of authentic traditional settings. It may be one of the last remaining tracts of pristine mangrove forests in Sri Lanka.Spend the day at leisure.Overnight stay at a Bentota hotel.
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After breakfast at the hotel proceed to Airport. If time permits enjoy a city tour of Colombo.
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text:
Contents of this Issue
Vol.63 No.1 Winter 2012
Some Teachings of Meister Eckhart
If we are to pay reverence to all teachers of truth, we should certainly include Meister Eckhart in that category. Not that his world-view would measure up to those of modern science, but his writings, and his spoken words, as copied down from his sermons by his hearers, bear the unmistakable stamp of a mind that has broken through bondage to the finite objects of the world and discovered its identity with the principle of infinity that is their support. In this sense they are a confirmation, if any were needed, of the truth of the central teachings of the Upanishads, and, even more interestingly, an example to show that a Christian theologian living on European soil, and concerned primarily to convey the full weight of his own Christian tradition, can break through the crust of traditional Church dogma, without abandoning it, and find himself in company with the most honoured mystical teachers of Islam and Asia.
continue reading
© Shanti Sadan 2017 all rights reserved. UK reg. charity 284076


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"It was really hard to find any kind of information about VADs five years ago," Denny said.
"My big concern is that we get him in and out of there without someone shooting him," Sheriff Denny Nau told The Daily Beast.
At that same scene at Denny's, Walt arranges his bacon into his new age.
Has anybody asked Denny Hastert, does he think the Hastert Rule should be applied in this case?
After being dragged from his truck, Denny was pelted with bricks and beaten within an inch of his life by a crowd of black men.
Denny was still holding the oar, but he must have gotten up, for the window was now partly open, and it had not been so at first.
She had not realized how heavy her burden was until Uncle Denny had come to share it.
"Allow me to take your glass, cousin Franklin," said Mr. Denny.
He took a step toward her, then looked pitifully at Uncle Denny.
Now at this moment Denny, refreshed by meat and drink, and in the highest of spirits, bounded into the hall.


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Reverb: New Art from Greece
September 9–October 18, 2014
Press inquiries, contact Brooke Daniels
Greece's recent political and social turmoil has had profound effects on the country's cultural landscape, creating shifting notions about its identity. September 9–October 18, 2014, the School of the Museum of Fine Arts, Boston (SMFA), will showcase eleven emerging and mid-career Greek artists who illustrate the way artists are interpreting the reverberations of social, political, and economic conditions during this crucial time in Greece's history.
Guest curated by SMFA alumna Eirene Efstathiou and independent curator Evita Tsokanta, "Reverb" will present an authentic view of the way citizens of Greece have experienced recent history, in stark contrast to the way the media and political leaders have depicted the situation. The eleven artists, many of whom live and work in Athens, will exhibit both existing work and pieces specially commissioned, including photography, video, painting, and mixed media installations.
Loukia Alavanou, Anastasia Douka, Eirene Efstatiou, Andreas Kassapis, Dimitris Papoutsakis, Eftihis Patsourakis, Nana Sachini, Yorgos Sapountzis, Vangelis Vlahos, Paky Vlassopoulou, and Myrto Xanthopoulou
Tuesday, September 9, 5–7 pm
Opening Reception
Wednesday, September 10, 12–12:30 pm
For All the Reasons in the World, performance by Eirene Efstathiou
In this investigation of theatricality of dissent and the legibility of civil unrest, Efstathiou will walk along Newbury Street in Boston reciting slogans in Greek with an antiquated megaphone. Begins at Mass Ave intersection (*Not at SMFA).
Thursday, September 11, 12:30–2 pm
Curatorial presentation and tour of the exhibition with curators Eirene Efstatiou and Evita Tsokanta
Mrs. E. Ross Anderson Auditorium
Thursday, October 9, 7:30 pm
Film screening and conversation, "History Zero" by Stefanos Tsivopoulos
Mrs. E. Ross Anderson Auditorium
A film screening of "History Zero," and conversation between Stefanos Tsivopoulos and SMFA faculty members Jane Gillooly and Tina Wasserman. "History Zero," which represented Greece at the 2013 Venice Biennial, takes as its starting point the multi-layered contemporary crisis in Greece, which Tsivopoulos sees as an opportunity to interpret an alternative visualization of the future. The film depicts three human experiences relating to notions of value systems and in so doing explores the role of money in the formation of human relationships and political and social elements relating to the ownership of money.
September 9–October 18, 2014
"Reverb: New Art from Greece"
Barbara and Steven Grossman Gallery
School of the Museum of Fine Arts, Boston
230 The Fenway, Boston, MA 02115
Exhibition hours: Monday–Saturday, 10 am–5 pm; Thursday, 10 am–8 pm; closed Sundays and holidays.
Admission to the exhibition and related events is free.
Generously funded by Fotene Demoulas and Tom Cote, FAGE USA, David and Nicole Kokolakis Borden, and the Leo and Eve Condakes Charitable Foundation.