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Effects of epidural lidocaine analgesia on labor and delivery: A randomized, prospective, controlled trial
Whether epidural analgesia for labor prolongs the active-first and second labor stages and increases the risk of vacuum-assisted delivery is a controversial topic. Our study was conducted to answer the question: does lumbar epidural analgesia with lidocaine affect the progress of labor in our obstetric population?
395 healthy, nulliparous women, at term, presented in spontaneous labor with a singleton vertex presentation. These patients were randomized to receive analgesia either, epidural with bolus doses of 1% lidocaine or intravenous, with meperidine 25 to 50 mg when their cervix was dilated to 4 centimeters. The duration of the active-first and second stages of labor and the neonatal apgar scores were recorded, in each patient. The total number of vacuum-assisted and cesarean deliveries were also measured.
197 women were randomized to the epidural group. 198 women were randomized to the single-dose intravenous meperidine group. There was no statistical difference in rates of vacuum-assisted delivery rate. Cesarean deliveries, as a consequence of fetal bradycardia or dystocia, did not differ significantly between the groups. Differences in the duration of the active-first and the second stages of labor were not statistically significant. The number of newborns with 1-min and 5-min Apgar scores less than 7, did not differ significantly between both analgesia groups.
Epidural analgesia with 1% lidocaine does not prolong the active-first and second stages of labor and does not increase vacuum-assisted or cesarean delivery rate.
Labor pain is a common phenomenon that can be mitigated by pharmacological and non-pharmacological methods. Epidural techniques can be used to provide complete analgesia during labor
We performed a controlled trial of 395 nulliparous women who were randomized to either epidural analgesia or single dose intravenous meperidine for pain relief during labor. Our primary purpose was to determine whether the use of 1% lidocaine for epidural analgesia during labor affects duration of second labor stage. Our secondary purposes were the rate of cesarean delivery and neonatal apgar score, vacuum-assisted delivery rate, and duration of active-first stage of labor.
The study protocol was developed in collaboration with obstetricians at Kashan University of Medical Sciences (KAUMS) and approved by Kashan University of Medical Sciences ethics commitee. Between June 2004 and February 2005, an independent research assistant approched all nulliparous women that met our study inclusion criteria, when these patients were admitted to the maternity unit in Shabih-Khani Hospital, Kashan, Iran. Eligible patients were provided with written and verbal information about the study. Those patients that did not express interest in a particular form of analgesia were enrolled into the study, after they signed witnessed informed consent.
The inclusion criteria included nulliparity, active labor, cervical dilatation < or = 4 centimeters, single fetus with vertex presentation, ASA Status = 1, and request for analgesia. Exclusion criteria included ASA status ≥2, age <19 years-old, receiving analgesia prior to enrollment, multiparity, probable cephalopelvic disproportion on pelvic examination, and cervical dilatation to >4 centimeters.
Enrolled patients were randomly assigned to receive either epidural or single dose meperidine analgesia during labor. Odd and even numbers were used to allocate patients to either group. All parturients were managed by a nurse anesthetist, under the direct supervision of an anesthesiologist according to the study protocol.
Midwives conducted the obstetric management of all parturients during labor, under the direct supervision of an obstetrician according to the study protocol. Routine intrapartum management of all women included intravenous fluid management and auscultation of the fetal heart with fetal stethoscope or ultrasound fetal heart detector (SONICAID©) after each uterine contraction. The frequency and duration of uterine contractions were assessed with the palm of the hand on the uterus. Pelvic examination was performed every hour to evaluate the progress of labor. The aim was to produce a rate of cervical dilation of at least 1 cm/h. When the rate of dilation fell below this, coincidental with hypotonic uterine contractions, oxytocin in a concentration of 10 unit/liter was started at a rate of 6 milliunits/min, increased by 3 milliunits/min at 15-min intervals up to a maximum of 32 milliunits/min and titrated to allow no more than 3 uterine contractions with an acceptable resting duration every 10 minutes.
A Modified Bromage score(1 = complete block, unable to move feet or knee; 2 = almost complete block, able to move feet only; 3 = partial block, just able to move knee; 4 = detectable weakness of hip flexion; 5 = no detectable weakness of hip flexion while supine with full flexion of knees) was obtained before and epidural insertion and again at hourly intervals.
Dystocia was diagnosed when adequate uterine activity did not result in progressive cervical dilation or descent of the fetal head. Indications for the use of vacuum were limited to inadequate voluntary pushing or fetal bradycardia. Inadequate voluntary pushing was determined at the bedside when lack of fetal descent due to inadequate maternal expulsive efforts was observed. In the presence of fetal bradycardia, delivery was expedited when the leading point of the fetal skull was at +2 station.
In the epidural group, once cervical dilatation reached 4 cm, 500 ml of Ringer solution was administered intravenously, and the parturient was seated in the upright position for epidural placement. The low back was prepared and draped in a sterile fashion. An 18-gauge Tuohy needle was inserted at the L3–L4 or L4–L5 interspace with the loss of resistance to air and an epidural catheter (SIMS Portex LTD, UK) was advanced. A 3-ml test dose of 1.5% lidocaine containing epinephrine 15 μg was used to exclude intravascular or subarachnoid placement. A 10-ml bolus of 1% lidocaine was administered via the epidural catheter as a loading dose. Mini-doses of 1% lidocaine were then administered at a rate of 1 ml every 6 min. Additional boluses of 2-ml 1% lidocaine were injected to overcome inadequate analgesia and to achieve a bilateral block between the T-10 and T-8 sensory level. The study ended at the time of vaginal delivery, spontaneous or with vacuum extraction, or when the decision was made to perform a cesarean delivery for any reason. If additional analgesia was needed during labor, 2 ml of 1% lidocaine solution were administered epidurally. If anesthesia was needed for assisted delivery or episiotomy, 5 ml of 2% lidocaine was given. Hypotension, defined as a decrease in systolic arterial blood pressure below 110 mm/Hg, was managed with left uterine displacement, increased intravenous fluid replacement, or 5 mg ephedrine boluses. Following the induction and bolus doses of epidural lidocaine, blood pressures and sensory blockade levels were assessed every minute for 15 minutes and every 10 minutes, thereafter. Maternal oxyhemoglobin saturation and heart rate were monitored with pulse oximetry.
In the single dose meperidine group, meperidine 25–50 mg (~0.5 mg/kg) was given intravenously at 4 cm uterine cervical dilatation.
The mode of delivery (spontaneous, vacuum, cesarean) was recorded. Forceps delivery is not a common procedure in our center.
Statistical analysis
A power analysis was performed for the primary outcome of interest on the basis of our patients, ie, duration of the second labor stage. On the basis of institutional data, I estimated a sample size of 197 women by group with an assumed standard deviation of 100 minutes, based on my experience significant difference between mean of the groups at least 28 minutes, gives power of 80%, and a 2-tailed alpha error of 0.05. Demographic variables were assessed using descriptive statistics. The Mann-Whitney
A total of 395 healthy, nulliparous parturients with a single gestation and an uneventful pregnancy in spontaneous labor were randomized in this investigation. All women completed the study as allocated. None of these patients crossed over to the epidural analgesia group. Women in both groups were similar in both obstetric and demographic characteristics as demonstrated in table
Table 1
Maternal Demographics Characteristics
Epidural Analgesia N = 197
Meperidine Analgesia N = 198
P value
23.2 ± 2
22.03 ± 3
154 ± 9
155 ± 9
74 ± 12
74 ± 13
Gestational Age (wk)
38 ± 2
39 ± 1
Data are Mean ± SD Standard Deviation
NS = Not Significant
Table 2
Progress of labor
Labor progress
Epidural N = 197
Meperidine N = 198
P value
Active phase of first Stage of labor (h)
2.49 ± 1.40
2.40 ± 1.55
Second stage (h)
1.04 ± 0.69
0.86 ± 0.71
Oxytocin augmentation After initiation of Analgesia
Rate of cervical dilatation (cm/h)
0.53 ± 0.2
0.54 ± 0.2
Fever ≥ 38°C
Data are Mean ± SD Standard Deviation
Or N (%)
NS = Not Significant
There was no difference between groups in the incidence of vacuum-assisted or cesarean deliveries(table
Table 3
Method of Delivery
Epidural Analgesia N = 197
Meperidine Analgesia N = 198
P value
169 (85)
175 (88)
4 (2)
4 (2)
C/S (dystocia)
8 (4)
8 (4)
16 (8)
11 (5)
Data are N (%)
NS = Not Significant
As shown in table
Table 4
Apgar Score of Neonates
Epidural N = 197
Meperidine N = 198
First minute <7
Fifth minute <7
Data are N
NS = Not Significant
We had no crossover from meperidine to epidural analgesia group.
No patient in meperidine group had lower extremity motor weakness at any time as measured by modified Bromage score. All patients from epidural group had a modified Bromage score of 2 throughout labor and delivery.
The preanalgesic visual analog pain scale scores were similar between the two study groups (epidural, 9 ± 1.2
This investigation shows that the well-known muscle relaxant effect of epidural lidocaine did not affect the length of labor in a woman who receives epidural rather than single dose meperidine analgesia. Also, lumbar epidural analgesia using lidocaine was not associated with an increased number of vacuum-assisted or cesarean deliveries in our patient population: an academic hospital setting, in a developing nation.
Since the introduction of inhalational analgesia into obstetric practice in 1847, anesthesia for childbirth has undergone constant change. The popularity of epidural analgesia for childbirth is a recent phenomenon
Some practitioners will not continue epidural analgesia into the second stage of labor or during childbirth
Lidocaine is abandoned from epidural labor analgesia because of its motor blocking properties. Epidural analgesia has been said to worsen obstetric outcome because of motor block, and it is thus intuitively clear that lidocaine is not the best drug to use in this situation. However, the evidence linking motor block and obstetric outcome is not as strong as often thought. For example, Evron et al.
Despite the belief that links motor blocking properties of epidural analgesia to increased instrumental delivery rate, I did not find such correlation. Also there are some studies, in which least concentrated doses of local anesthetic are used for epidural labor analgesia, and patients were able to walk, but instrumentation rate was increased
Even though forceps delivery is not a common procedure at our center, our results suggest that the rate of instrumental delivery should not increase with epidural analgesia.
In contrast to my study, Zhang
Because cesarean delivery carries greater anesthetic and surgical risks than normal vaginal delivery, an increased cesarean section rate secondary to epidural analgesia could adversely affect the opinion of anesthesiologists and obstetricians. Our investigation demonstrated that the rate of cesarean delivery for dystocia or fetal bradycardia is not increased as a result of labor epidural analgesia. Many studies support this conclusion
A recent systematic review found that epidural analgesia, using low concentraton infusions of bupivacaine, is unlikely to increase the risk of cesarean section
A few reports, prior to 2000 found that epidural analgesia was associated with an increased frequency of cesarean delivery compared with systemic opioid analgesia
In a recent prospective study, Illuzzi et al.
Conversely, some women believe that labor pain is essential to the birthing experience – these patients will forego any analgesic intervention in order to have a completely 'natural' childbirth. They believe that labor pain is God's favor; they would like to acquire spiritual reward, so they are unwilling to receive any analgesic intervention.
The incidence of the cesarean sections in this study is low in both study groups. This may be due to the fact that we initiated analgesia at exact 4 centimeters of uterine cervical dilatation.
Also lidocaine is not as expensive as bupivacaine, the chances of severe complications are less than bupivacaine. Though in cases of delay placement of epidural analgesia, its rapid onset of action compared with bupivacaine is beneficial. Perhaps, for epidural labor analgesia, lidocaine is disproportionately criticized.
There are some limitations to this study: physician assisted delivery of mini-doses of epidural lidocaine may not be practical in developed countries. Nonetheless, in developing countries certain drugs and infusion pumps may not be readily available. A characteristics of this study is the disparity in the quality of pain relief between epidural analgesia and single dose meperidine analgesia groups, which would have been made blinding of clinicians impossible. Additionally, we cannot quantify the impact of a placebo response, engendered by having a physician standing continuously alongside a parturient.
Epidural analgesia for labor is not widely practiced in developing countries and is often not offered to immigrants from the developing world
In our experience, patients were reluctant to have epidural analgesia because of their desire to have a natural childbirth and their fears about developing back pain and paralysis. Once epidural analgesia was initiated, we used our method of delivery because (1) patients did not want the physician to leave their bedside; (2) epidural pumps were not available; (3) bupivacaine was not available, when the study was initiated; and (4) obstetric co-workers lacked experience with epidurals.
There are some points that make this study stand out from the other trials randomizing laboring women to epidural vs. opioid analgesia: The meperidine dose was quite small. In contrast, most of the randomized trials from the developed world use very large opioid dosage. The cervix was examined hourly. In the developed world, cervical exams are now infrequent. The reported first stage labor lengths therefore are quite accurate. Analgesia was initiated at a uniform cervical dilation. This is unusual in trials from the developed world. While crossovers confound many studies, this study was free from crossover.
Even in those views, which in contrary to mine, insist that epidurals prolong the second stage of labor, it is stated that the length of the second stage, even in those lasting up to 6 hours or more, was not related to infant outcome
In summary, lumbar epidural analgesia with 1% lidocaine does not prolong the active-first and second stages of labor and does not increase the vacuum-assisted or cesarean delivery rate, when compared with intravenous meperidine. Epidural labor analgesia can be delivered, even in communities with significant economic, cultural and religious barriers to this technique. The higher intensity of the motor block of lidocaine was not associated with any harm in terms of obstetric outcome, duration of the second stage of labor, obstetric intervention or neonatal outcome.
Several studies have helped to confirm the opinion of most anesthesiologists and obstetricians that epidural analgesia only minimally lengthens labor and does not increase the risk of cesarean section.
Competing interests
The author(s) declare that they have no competing interests.
Authors' contributions
SN designed and performed the study.
Thanks Dr. ZS Majidi for assistance in data collection, Dr. N Momtazmanesh for his friendly cooperation during the conduct of the study, and Dr. RV Shah for his writing assistance. Kashan University of Medical Sciences funding supported this research.
Regional Analgesia and Progress of Labor
Does epidural analgesia prolong labor and increase risk of cesarean delivery? A natural experiment
Labor Analgesia and Cesarean Delivery: An Individual Patient Meta-Analysis of Nulliparous Women
Analgesia and Anesthesia
The effect of intrapartum epidural analgesia on nulliparous labor: A randomized, controlled, prospective trial
Randomized trial of epidural versus intravenous analgesia during labor
The impact of Epidural Analgesia on the Rotation of the Fetal Head During Labor: A Prospective Study
Assosiation of epidural analgesia with cesarean delivery in nulliparas
Anesthesia for childbirth: Controversy and change
Unintended effects of epidural analgesia during labor: A systematic review
Discontinuation of epidural analgesia late in labour for reducing the adverse delivery outcomes associated with epidural analgesia
Patient-controlled epidural analgesia for labor pain: effect on labor, Delivery and neonatal outcome of 0.125% bupivacaine vs 0.2% ropivacaine
Continuous infusion epidural analgesia with lidocaine: efficacy and influence during the second stage of labor
Rates of caesarean section and instrumental vaginal delivery in nulliparous women after low concentran epidural infusions or opioid analgesia: systematic review
Nulliparous active labor, epidural analgesia, and cesarean delivery for dystocia
Cesarean Delivery: A Randomized Trial of Epidural versus Patient-controlled Meperidine Analgesia during Labor
An Association Between Severe Labor Pain and Cesarean Delivery
Intensity of Labor Pain and Cesarean Delivery
Private health insurance and a healthy personality: new risk factors for obstetric intervention
Rates for obstetric intervention among private and public patients in Australia: population based descriptive study
Evidence-based obstetrics in four hospitals in China: An observational study to explore clinical practice, women's preferences and provider's views
Attitudes of patients to obstetric analgesia at the University College Hospital, Ibadan, Nigeria
Ethnicity and use of obstetrical analgesia: do Pakistani women receive inadequate pain relief in labour?
Acceptability of epidural analgesia for pain relief during labour among Kelantanese women
Perinatal outcomes in relation to second-stage duration
Pre-publication history
The pre-publication history for this paper can be accessed here:


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Here it is in glorious WideScreen. A real work-horse.
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The Australian government accepted sponsorship totalling at least $US300,000 from three global accounting firms in exchange for seats at a high-powered G20 summit on countering corporate tax dodging.
A letter from the Treasury shows the government offered organisations sponsorship deals worth $US100,000 and $US50,000 in return for registered places and speaking roles at the G20 International Tax Symposium in Tokyo on May 8 and 9. A Treasury spokeswoman said the event, hosted by Australia as president of the G20, was ultimately sponsored by Deloitte, PricewaterhouseCoopers, KPMG and the Institute of Chartered Accountants Australia.
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The deals have angered civil society groups who say they were outnumbered at the forum by representatives of the big firms.
They also said it was unfair that the firms, which advise corporations on how to structure their tax affairs, had greater access to an event on countering tax avoidance by companies such as Google and Apple.
''It is inappropriate that Treasury has sold speaking spots and extra representation to companies that advise corporations on tax minimising - to a conference on tax reform,'' said Mark Zirnsak, of the Tax Justice Network, which had two representatives at the event.
''It gave those firms over-representation in the consultation while there were only around five community representatives and, as far as we are aware, only 12 government officials from developing countries.''
A Treasury spokeswoman confirmed it received $US100,000 from each of the three accounting firms, as well as the ICAA, to run the event. She said these organisations sent 50 delegates in total, out of the 230 that attended the forum.
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According to the letter, Treasury gave the firms the option of becoming ''major supporters'' or ''valued supporters'' for $US100,000 or $US50,000. The ''major supporter'' package included six registrations, two speaking roles, an exclusive event such as a dinner, lunch or cocktail party, and the ability to make suggestions on panellist speakers. The ''valued supporter'' package included three registrations and one speaking role.
World Vision chief executive Tim Costello, who attended the event through the organisation's own funding, said civil society groups were ''thin on the ground''.
''It was very clearly a business conference,'' he said.
KPMG spokesman Ian Welch said the event would not have been possible without sponsorship.
''It's a bit disappointing if groups are effectively criticising the people who made sure the conference was put on at all,'' he said.
''We certainly feel very strongly that we are a key part of this whole agenda and we've got insights to give and expertise to provide.''
Deloitte and PwC declined to comment.


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Discussion in 'Fan Zone' started by Nors, Oct 22, 2005.
Don't hold your breff.
A lot of you are such Homers.
You don't think Miami has better RB depth?
Sammy Morris and Minor are both better than A-Train and Barber.
Then you have Williams and Brown.
Nors is right on the rest of them but the Miami thing points out the homerism at play here.
No but you know every team's goal every year is to draft at 32.:lombardi:
But, but, but, blue is my favorite color.
Though not in skin.
Good analysis. I agree with almost all of what you wrote...
Draft projection right now is a precarious topic. With no draft order set and the college football season still going on, it's a tossup at this point.
I agree with most in here that we have some needs to address. Drafting a FS in round one would surprise me though first day is not out of the question. DT is a real chance since Glover and Ferguson aren't getting any younger. Ngati is a monster among men.
Really like the Ohio St. LB's, but we have some decent depth there.
OL possibly. Still waiting for Peterman to make a move but it might never happen. Jacob Rogers never happened.
RB in the 1st? You never know. Stranger things have happened.
I think we're fine at RB.
I really like TT and I think he'll only improve as he plays...if Parcells gives him the chance.
isn't it funny that the blatantly obvious is so obscure to some??
If TT earns the chance
How about KC? Holmes, Johnson, Richardson at FB. Third and (if a team even has one) 4th string aren't really an issue. We have JJ and a couple guys that might have some potential. I'm sure 31 other teams can say they have a guy or 2 that might have some potential.
1st rd BPA LB, OL, WR
2nd rd BPA DT, LB, OL, WR, safety, CB
Positions of need:
1. LB, inside or outside depending on Burnett, likely one of each.
2. OL, G, OT are both needed.
3. FS, even with Beriault returning we will hedge our bets.
4. WR, too much age and uncertainty to not bring in a young WR.
5. DT, we need another young big body to compete with Pepper and Van Hoy.
6. CB, not 100% sold on the young guys behind the top 3 to offset Glenn's age.
Right now I'd say 2 LBs, OT, OG, safety, WR, DT, and CB.
I could see us waiting a year on a WR, depending on what key and Glenn do health-wise the rest of the way. We've got Crayton, who looks like he can develop into a good #2 and we still could re-sign Peerless. What we need at that spot, is a guy that can develop into a top flight receiver to eventually replace Glenn and key, not sure we'll find that this year, with our other needs.
Offensive line, I think, could be two of our day one picks.
Young WRs normally don't make a huge impact as rookies, it is better to have Key or Glenn's replacement in place before you need them.
I agree - now is the time to draft a WR especially when Glenn can go down at any given moment.
Get one in place and ready to go.
about julius jones, he was injuried and came back and ran like crazy, maybe history will repeat
True, but our cup runneth over right now. Not saying it would be a foolish idea at all, but when we get to draft day some other needs may be more glaring. some seem to be right now.
If it means taking a WR in the fourth round, and then coming back and having to spend a second-rounder next year, I'd just as soon wait.
I hope Tucker plays incredible the rest of the way, and Petitti gets better and our older guards stay healthy, but offensive line seems like the place to focus at the top of the draft right now, IMO.
Well, thats top 5 NFL runningback depth if I've ever seen it.
JJ health not an issue I guess.
Solid OL can be had in any round, and while I do think we spend a first day pick on OL, we are still a couple of LBs away from being a great 3-4, and we are old at WR.
That is why I think that we go with whoever is highest on our board from those 3 positions...actually 5 with ILB, OLB, OT, G or WR...when we draft in rounds 1-3.
I dunno honestly my friend was saying the same exact thing, and i wasnt ready to concede just yet. but if we got lendale white in the first, imagine how ridiculous of a run game with thunder and lightning we would have. It just sucks that he always has to miss a bunch of games every year.
If we get another NT who are we going to cut, glover or ferg? both of them are playing well and both make a decent salary. why draft another nt already?


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After the launch of their Spring/Summer 2017 Shoe collection, Belle Bridal feature images of the Terry de Havilland range.
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Bury waltzed in with 14 tries and eight conversions in their North Lancashire Division Two encounter with Crosby.
The Radcliffe Road men opened their account on three minutes with a try by captain Jon Allen. This was followed 12 minutes later when winger Sam Ware scored the first of his two tries, followed by a try from lock forward Tom Jones.
Ware added to his score four minutes later and Alex English, celebrating his 21st birthday, went over for the first of his two tries.
Number eight forward Chris Potts scored the first of his two tries, followed almost immediately by Dan Scanlon, and Potts rounded off the half with a try in the 36th minute.
Stand-off Lawrence Shedwick converted five of the tries and Bury went in at the interval with a winning margin of 50-0.
Lock forward James Swinburn scored the first try of the second period. He then followed up with two more tries in the 52nd and 55th minute. Centre Leo Frescini, who had an excellent game, sneaked over for a try. Shedwick added to the tally before English rounded off the game with a try in the dying moments.
On Saturday, Bury play leaders North Manchester at the Radcliffe Road ground, kick off 3pm.


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When one bottle is just not enough, this neoprene wine tote insulates two bottles up to four hours, and stores flat. Red or white, sparkling or still - the tote is the carrying method of choice when you next head out.
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I'm using this account just to post my regular thoughts as I make my way through the autobiography of Mark Twain, recently published for the first time in its entirety (It's also available online at http://www.marktwainproject.org). The book I've got is quite a tome, over 600 pages long, with dense text and extensive paratexts and footnotes. It seemed like the perfect book for a project I've had in mind for a while, a book blog that takes a book slowly and at its own pace… in a way I just want to re-learn how to really read in an era of micro-content and multitasking. I'm not setting a schedule or a deadline for this, though I hope to keep up the enterprise.
Like most people I admire Mark Twain, but I don't pretend to have any special scholarship or advantage on anyone else with his work. I've read Huckleberry Finn many times and consider it to be the great American Novel, but I've only dipped into the rest of his considerable oeuvre. However, I've often felt like I would eventually have to get to know him better. I guess that time has come, especially because I seem to be up for something called The Mark Twain award.
I will be posting all of my observations here, sometimes via email, and might even do some podcasts. Everything will be re-published to my blog (https://kurtisscaletta.wordpress.com) and Facebook (http://facebook.com/mudmamba) and linked on Twitter (http://twitter.com/mudmamba).
Reposted from Two Fathoms


text: Billy Walters, revered sports gambler, charged with insider trading By SBR Lou Moretti Thursday, May 19, 2016 Share with: Revered sports gambler Billy Walters was arrested by the FBI last night in Las Vegas. Walters is facing criminal charges of insider trading for trading activity with Deans Foods from 2008-2014. Walters was previously chairman of Dean Foods, which an American food and beverage company specializing in dairy products. The US Attorney at the helm of the case against Walters is Preet Bhara, who many gamblers remember led the charge against poker sites in the infamous Black Friday poker crackdown in April 2011, which led to PokerStars and Full Tilt Poker leaving the US market and the shutdown of Absolute Poker. Bhara has made a name for himself going after big Wall Street targets. In the sports gambler arena, there is no bigger target than Billy Walters, whose fame had him profiled and interviewed by CBS' 60 Minutes program back in 2011. According to an official news release from the US Attorney's office, Thomas C. Davis, former Chairman of the Board of Directors of Dean Foods, has pled guilty and is cooperating with prosecutors to establish their assertion that Billy Walters committed securities fraud. Walters' attorney meanwhile has adamantly denied wrongdoing on his client's behalf: "Bill Walters is a true American success story, whose extraordinary accomplishments as a lawful sports gambler have been widely recognized and lauded," according to a report by the NY Times. Phil Mickelson investigated Billy Walters has a number of high-profile celebrity friends including athletes: golfer Phil Mickelson had his trading activity analyzed during the course of Bhara's investigation and was even contacted by the FBI on at least two occasions according to the NY Times report, though he is not expected to be charged with a crime. Sportsbook Review will keep readers posted on the status of the case against Billy Walters. Readers interested in chatting about this news can join the Billy Walters insider trading discussion thread at SBR Forum.


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Phenotypic characterisation of multiple sclerosis
Project LeadDr Tomas Kalincik
E: email@example.com
W: Personal web page
Location: Melbourne Brain Centre, Royal Melbourne Hospital
Project Details
Multiple sclerosis is a disease with a broad spectrum of clinical and subclinical presentations. Our understanding of their patterns (such as frequency and topography of clinical relapses, radiologically apparent brain damage, neurological disability and cognitive impairment) is limited. New metrics enabling more detailed, in-depth phenotypisation of the disease (such as volumetric MRI or accessible instruments for screening of cognitive function) are now becoming available for use in clinical practice.
This project broadens our understanding of multiple sclerosis phenotypes. It studies the patterns and impact of clinical relapses, disability trajectories, quantitative (volumetric) MRI changes and cognitive function, with emphasis on the prognostic value of the identified patterns. It also implements volumetric MRI in clinical practice and establishes its translational value at the individual patient level.
- Dr Tomas Kalincik, project leader
- Dr Bernd Merkel, postdoctoral fellow
- MSBase collaborators (117 MS centre in 35 countries)
- NHMRC project grant 108353, Treating progressive MS.
- University of Melbourne Research Fellowship.
Research Opportunities
This research project is available to PhD students to join as part of their thesis.
Please contact the Research Group Leader to discuss your options.
Research Outcomes
- Stewart T, Spelman T, Havrdova E… Kalincik T, on behalf of the MSBase Study Group (in press) Contribution of different relapse phenotypes to disability in multiple sclerosis. Mult Scler
- Kalincik T, Cutter G, Spelman T, Jokubaitis V, Havrdova E, Horakova D, et al., on behalf of the MSBase Study Group (2015) Defining reliable disability outcomes in multiple sclerosis. Brain 138:3287-98
- Kalincik T (2015) Multiple sclerosis relapses: epidemiology, outcomes and management. A systematic review. Neuroepidemiology 44(4):199-214
- Uher T, Vaneckova M, Sobisek L. . . Kalincik T and Horakova D (in press) Combining clinical and MRI predictors enhances prediction of 12-year disability in multiple sclerosis. Mult Scler
- Uher T, Blahova Dusankova J, Horakova D, Bergsland N, Tyblova M, Benedict RHB, Kalincik T, Ramasamy DP, Seidl Z, Hagemeier J, Vaneckova M, Krasensky J, Havrdova E, Zivadinov R (2014). Longitudinal MRI and neuropsychological assessment of patients with clinically isolated syndrome. J Neruol 261(9):1735-44
- Kalincik T, Buzzard K, Jokubaitis V, Trojano M, Izquierdo G, Duquette P, et al., on behalf of the MSBase Study Group (2014) Risk of relapse phenotype recurrence in multiple sclerosis. Mult Scler 20:1511-22
- Kalincik T, Vivek V, Jokubaitis VG, Lechner Scott J, Trojano M, Izquierdo G et al., on behalf of the MSBase Study Group (2013) Sex as a determinant of relapse incidence and progressive course of multiple sclerosis. Brain 136:3609-3617
Research Group
Multiple Sclerosis Outcomes and Prognostics Team
Faculty Research Themes
School Research Themes
Key Contact
For further information about this research, please contact the research group leader.


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It's almost scary when you realize that every destination starts with a thought.Every positive dream that I have ever had started out with a single thought.When I saw the National Geographic article that featured the voyage of Robin Lee Graham sailing around the world on Dove, an idea was planted in my mind, and it determined the course of my life. I knew that someday I would sail around the world on my own yacht.
Every thought that I think is a seed that grows into my life as long as I water and nurture it after it springs to life. I can go anywhere I want as long as I am willing to think the thoughts that take me there.
We ended up cruising among the islands of Thailand because we thought those islands into our life. When we were in Australia, we had to decide whether we would sail to Christmas Island and across the Indian Ocean, or if we would sail through Indonesia, Borneo, Singapore, Malaysia, and Thailand before we crossed the Indian Ocean. That single decision to sail north changed our destiny.
Because our thoughts took us north, we visited exotic Bali and remote Borneo. We communed with the Orangutans of Kalimantan and dodged fishing nets at night in the Java Sea. We experienced the thunderstorms of the Singapore monsoon while five of our fellow cruisers had their yachts struck by lightning in the same area within a period of one week. We visited stilt villages over the water along the Malaysian coast. We snorkeled in caves at the base of limestone cliffs. We even survived a global tsunami in Thailand without a scratch.
All of those things happened because of the thought:: "Lets head north and visit Thailand." You have to be careful about the thoughts you think, because they determine the outcome of your life. Your thoughts determine whether you live your nightmares or your dreams.
Right now, I'm thinking new thoughts about the adventures that I want to have during the remainder of my life. I'm working on a bunch of new dreams, and my dilemma is that I have too many dreams and not enough time.
Since every destination starts with a thought, it's time to select some new thoughts and build my life around them. How does a driving trip around the world in a Land Rover Defender sound? A sailing voyage across the Pacific to Australia sounds pretty good as well.
What kind of thoughts are you thinking, and where are those thoughts taking you?
1. Repeat positive self-talk until your mind repeats it back to you. Visit Positive Self Talk.com.
2. Set sail on the ocean of your dreams at That's Affirmative.com.
3. Check out all things positive on the World Wide Web at PositiveURL.com.
4. Visit every country in the world at PositiveWWW.com.
5. Visit every state in the United States at Positive US.com.
6. Travel on the road to greatness with Mobile Self Talk.com.
7. Experience the power of positive faith at Power of Positive Faith.com.
8. Turn your back on fear at Positive Faith Not Fear.com.
9. Discover the miraculous in your life at Everything Is A Miracle.com.
10. Adopt five great committments that can change your life at Everyone Anonymous.com
11. Develop positive expectations at Power of Positive Expectations.com.
12. Read the handwriting on the wall at Handwriting On Wall.com.
13. Experience the power of Positive PTSD at Positive PTSD.com
14. Win the battle for a positive mind at Wounded Warrior PTSD.com.
15. Change your mental focus at Post Traumatic Stress Disorder Recovery.com.
16. Convert disasters into victories using positive reframes at Positive Reframes.com and Positive Reframing.com.
17. Subscribe to our positive newsletters and recieve positive messages in your inbox at Positive Newsletter.com and Positive Christian Newsletter.com.
Dr. Dave is the Encourager In Chief of the Positive Thinking Network. He believes there are no limits. There are only limiting beliefs. Dr. Dave is committed to make a positive difference in your life. The wheel of change always turns in the direction of what you put into your mind, and Dr. Dave and the Positive Thinking Network have the resources to turn your life in a positive direction. It's time to develop a persistently positive focus so that you can have a consistently positive mind. It's time to change your world.
The best place to go to get your daily dose of positive thinking is The Positive Channel. With more than 500 websites, there is something positive for everyone. The Positive Channel is your definitive source for positive thinking on the World Wide Web. It's where you come to learn everything you want to know about positive thinking. Hundreds of family safe websites are ready to fill your mind with positive things. Thousands of positive graphics and affirmations change the way you think and feel about who you are and what you can do with your life. Positive music lets you hear the sound of your dreams, and positive videos help you visualize your dreams.
MAKE YOUR LIFE BETTER TODAY WITH MAXIMUM STRENGTH POSITIVE THINKING. You have a lot of things to discuss with your mind, and Maximum Strength Positive Thinking tells you what you should be talking about. If you don't like what you hear when your mind talks to you, you have the power to change the message. Although the wheel of change turns slowly, it always turns in the direction of what you put into your mind. Maximum Strength Positive Thinking is now available in eBook Format at Amazon, iTunes, Kobo and Barnes and Noble. INVEST IN A NEW LIFE TODAY AND PUT MAXIMUM STRENGTH POSITIVE THINKING INTO YOUR MIND.
If you don't like what you hear when your mind talks to you, you can use positive self-talk to change the message and push your inner voice in a positive direction. You can make your life as positive as you want. What you say to your mind is your roadmap to the future. Each word takes you to a specific destination. Make sure you self-talk is positive so it takes you where you want to go.
Sometimes a simple yes or no is not good enough. You want to make sure the message is clearly understood. In times like that you say, "That's affirmative, or that's negative." Such was the case when we sailed our catamaran into Israel after sailing up the Red Sea and navigating the Suez Canal. We needed to be understood the first time.
There is no need to wade through the muck and mire in Google and other search engines to find positive things to put into your mind. It's all here at Positive URL. You are only a few clicks away from a positive mind.
Positive WWW contains a positive website for every country in the world. If you visit all 196 websites, you will make a photographic tour of the world and visit more than a hundred positive destinations. This is the only world tour you will ever take that is totally free. Don't pass up this opportunity to make your life better. It's time to develop a persistently positive focus in order to create a consistently positive mind.
Positive US contains positive websites for every state in the USA. You can visit 50 positive websites that push your life in a positive direction. Tour the USA with your tablet, smartphone, and computer from any place on planet earth. You don't need a passport or a visa to visit Positive US. A few clicks of the mouse and you are on your way to a positive adventure.
I am a hard core expatriate who lived outside the United States for twenty-eight years. During all of those years of travel, I became an expert at packing my bags to the hilt. I was allowed two eighty pound bags, and everytime I went overseas, I carried one-hundred and sixty pounds of luggage. Half of that weight was in books. Now things have changed. I carry nearly all my books on my tablets and smart phone. I easily carry ten tons of eBooks on my electronic devices without a problem.
You already have enough faith to set sail on the ocean of your dreams. You don't need to see far into the distance. You only need to see far enough to take the next step. It doesn't matter what your dream is, today is the best day to work on your dreams. Conditions will never be more perfect than they are today. If you are still breathing, and if you have a dream, then now is the time to set sail.
We have a saying in our family, "Abbotts always come through." We have a solid conviction that no matter what happens, God can take our challenges and turn them into something good. We have no reason to fear.
In this great adventure called life, you have a choice. You can choose to live in your digital world with a 55-inch wide screen existence and cheer others on who are living their dreams, or you can have a real life. You can totally immerse yourself in the natural world and experience the truly miraculous. That natural world is free, and you can touch it, breathe it, embrace it, and love it. And if you do immerse yourself in it, you will discover that everything is a miracle.
Imagine what you life would be like if your didn't do the same things as everyone else. Discover five great committments that can change your life.
When most people say the handwriting is on the wall, they are giving an ominous warning about a future filled with doom and gloom. When I say the handwriting is on the wall, it means exactly the opposite. It indicates that you finally understand what it takes to make your dreams come true. If you are waiting for a sign, this is it.
You aren't going to have to pull yourself up by your own bootstraps as you live God's dream for your life. God will be with you every step of the way. God is on your side and has your back. His plan for your life is good for you and is perfect for the type of person that you are. That is why you have positive expectations.
If you want to deal with PTSD, you need to understand positive thinking for what it is and what it is not. You need to understand what it can and cannot do. You need to understand how it can help you, and how it can get you into trouble. You need to learn how to use positive thinking to make your life better rather than make it worse.
The war for a positive mind is fought on the battlefield of focus. Until you learn how to control your mental focus, you cannot win the battle for a positive mind. A persistently positive focus creates a consistently positive mind.
The Law of Positive Change states, "When you change the things you look at, the way you look at things changes. When you change the things you talk about, the way you talk about things changes. When you change the things you think about, the way you think about things changes."
You have the privilege of deciding the meaning of every event in your life. You can choose a meaning that empowers you, or you can interpret it in a negative fashion so that it becomes a weapon of self-destruction. The frame you place around an event makes all the difference.
Every major adventure in my life has involved positive reframing. Life threatening challenges may have higher stakes, but the reframing is the same. You get to choose the meaning of every event of your life.
Maximum Strength Positive Thinking tells you what to say when you talk to your mind, and what to say when your mind talks to you. You have a lot of things to discuss with your mind, and Maximum Strength Positive Thinking tells you what you should be talking about. You don't need to spend years searching for empowering ideas that make it possible to live your dreams. It's already right here in a self-talk format. The Law of Positive Self-Talk states, "You can change who you are by changing what you say when you talk to your mind." If you don't like what you hear when your mind talks to you, you have the power to change the message. Although the wheel of change turns slowly, it always turns in the direction of what you put into your mind. When you fill your mind with positive self-talk and more than one-hundred Power Graphics, your life improves by leaps and bounds. Maximum Strength Positive Thinking is now available in eBook Format at Amazon, iTunes, Kobo and Barnes and Noble. Make your life better today by putting Maximum Strength Positive Thinking into your mind.
The Programmer's Manual for Your Mind contains the tools you need to reprogram your mind with a positive operating system. It's your Personal Tool Kit that shows you how to change the way you think and feel. Your mind is actually being programmed all the time without you being aware that it's happening. The problem is that someone else is doing the programming. Make no mistake about it. If you don't program your mind, other people will. Whether you like it or not, you are engaged in mortal mental combat, and your mind is ground zero. If you let your culture, the media, the government, and politicians do the programming, you will be in real trouble. You will not be running your own mind. They will be running it. You will not be living your dreams. You will be living theirs.The Programmer's Manual for Your Mind is now available in ebook format at Amazon, iTunes, Kobo and Barnes and Noble. Start reprogramming your mind today using the tools found in the Programmer's Manual for Your Mind. Remember, if you want to have a positive mind, nobody can stop you.
The Owner's Manual for Your Mind contains thirty-one Change Principles that empower you to make a life. You no longer worship at the altar of security, content to only make a living. The Change Principles show you how to make a life. Don't timidly tiptoe through life waiting to go for your dreams. You have only one life. The clock is ticking, there are no timeouts, and there is nothing to wait for. Today is the only day you can make your dreams happen. Seize the day. Live as if you are a great person. Renew you mind with positive and empowering thoughts. Achieve excellence in at least one area of your life. Adopt zero tolerance to negative thinking. Don't accept any limitations. Never quit working on your dreams. The Owner's Manual for your mind is now available in ebook format at Amazon, iTunes, Kobo and Barnes and Noble. Don't just make a living. Instead make a life using the thirty-one Change Principles found in Owner's Manual for Your Mind. There are no limitations. There are only limiting beliefs.
Overcoming depression is hard, perhaps the hardest thing you will ever do. But if you want to have a mind free from depression, nobody can stop you. Your emotions are a reflection of your thoughts. When you change your thoughts, your emotions automatically follow. You don't have to battle the negative and twisted emotions echoing in your mind. Instead you need to learn how to change the way you think, and your emotions will naturally take care of themselves. The challenge you face in depression is to change the way you think. If you want to change the way you think and feel, you are going to have to change your inner dialogue. You are going to have to talk to your mind in a different manner. A persistently positive focus creates a consistently positive mind. The battle for a positive mind is fought on the battlefield of focus. In order to break the back of depression, you will have to learn how to persistently and consistently control your mental focus. Zero Tolerance to Negative Thinking is now available in ebook format at Amazon, iTunes, Kobo and Barnes and Noble.
God is love and works by love. The power and presence of God in my life is love. Every time I see love, I see God's hand at work. Every time I feel love, I experience God's presence and power. When my mind is full of thoughts consistent with God's love, my thoughts are healthy, and my mind is exactly the way God means for it to be. When my heart is full of emotions consistent with God's love, my emotions are healthy, and they are exactly the way God means for them to be. There is no limit to how good my life can become when I open my heart and mind to the power of His love. God loves and accepts me the way I am, but He loves me to much to let me stay that way. He loves me from the top of my head to the tip of my toes, and it does not get any better than that. For the rest of my life I will max out on God's love. Real Power: Maxing Out on God's Love is now available in ebook format at Amazon, iTunes, Kobo and Barnes and Noble.
Positive Christian Self-Talk is as much about God as it is about you. The self-talk contained in this book is designed to change your life. You learn to think the way that God thinks and speak the way that God speaks so that your self-talk has real power. It's time to get in agreement with God about who you are and what you can do with your life. It's time to speak your new life into existence. Jesus said, "As you believe, so shall it be done unto you." Jesus was talking about positive expectations. You don't get what you want, you get what you expect. It doesn't matter if your expectations are positive or negative, you still get what you expect. If you want positive self-talk to work in your life, all of your self-talk must be forged in the fires of positive expectations. It's time to jump into God's ocean of love and have a life changing experience. Positive Christian Self-Talk points your life in the right direction and gives you the power to make the trip. Positive Christian Self-Talk is now available in ebook format at Amazon, iTunes, Kobo and Barnes and Noble.
Too many people have a false model for change. They try to change their life by trying to change their life, and that is the recipe for failure. They are skipping all the steps that make change possible. Big changes don't involve tweaks. They involve jumps. This book contains quantum self-talk that you need to have in your mind so that you can make a quantum leap to the next level. One hundred Power Graphics make it easy to put positive self-talk into your mind. The power of positive repetition is immense, and when your mind starts repeating quantum self-talk back to you, hang on tight, because you are ready to make a quantum leap to the next level. You have thousands of quantum leaps to make in your life, and quantum self-talk is a great place to start. Happy quantum leaping. Quantum Self-Talk is now available in ebook format at Amazon, iTunes, Kobo and Barnes and Noble.
Many people believe change is impossible. Most of the time they are confusing personality with personal behavior. The basic human personality is relatively constant over time, but human behavior can and does change. Personal change happens when people change the way they think. I have numerous patients formerly addicted to meth, cocaine, heroine, and alcohol, who escaped their addictions without ever going to rehab for treatment. They simply arrived at a point in their life where they no longer wanted to be prisoners of their addictions. They had experienced enough misery to last ten lifetimes, and they said no more. They changed their belief about who they are and what they can do with their life, and they became a different person who was chemical free. I am grateful to those patients, because they proved beyond a shadow of a doubt that people in the worst circumstances can and do change. Because of them, I am committed to helping people change their lives one belief at a time using positve self-talk. Positive Self-Talk Yellow Book is now available in ebook format at Amazon, iTunes, Kobo and Barnes and Noble.
Mark Twain wrote, "Life does not consist mainly, or even largely, of facts or happenings. It consists mainly of the storm of thoughts that is forever blowing though one's head." Mark Twain was right. Life consists mainly of the storm of thoughts that blow through your mind. The events of life can be trivial, tragic, and even monumental in nature, but the events themselves have little power. It's the storm of thoughts about those events that controls our lives. Surviving the storm of thoughts is how we spend most of our time. No matter what we do, the storm still blows, and to a significant degree shapes our lives. Surviving the storm is something we do every day all day long. An entourage of thoughts accompanies each event in our lives. Those thoughts can be positive, negative, or most likely, something in between. Those thoughts are the battleground where we come to our agreement with life. Those thoughts define who we are and what we can do. You need to learn how to control the storm of thoughts blowing through your mind. Positive Self-Talk Gold Book is now available in ebook format at Amazon, iTunes, Kobo and Barnes and Noble.
You can change who you are by changing what you say when you talk to your mind. Just be sure you are speaking a language your mind understands. Your brain speaks to you in its own language, and if you speak to it in the same way, it immediately responds in a powerful fashion. That's why change proceeds most rapidly when you talk to yourself using the language of the mind. If you don't speak the language of the mind, you may as well stop talking until you learn it. The three most powerful components of the language of the mind are images, sounds, and emotions. When my brain wants to get my attention, it does not send a text or an email. It blows me away with sights, sounds, and emotions. If you want to get your brain's attention, you need to do the same thing. Send a message full of sights, sounds, and emotions. Start speaking the language that your mind understands. Positive Self-Talk Silver Book is now available in ebook format at Amazon, iTunes, Kobo and Barnes and Noble.
Living small serves no great purpose. Living as if you are a great person is a powerful idea that changes lives, and those who take it seriously change their world. Living as if you are great means you live as if your dreams are possible and work each day to make them happen. You act as if you cannot fail. In order to live as if you are great, you have to think the way great people think, talk the way great people talk, and act the way great people act. Great people think, talk, and act their dreams into existence. If you ever become great, it will be because you think great thoughts, repeat great self-talk, have great expectations, and act as if you cannot fail. Some people wrongly believe that change is impossible. Leopards don't change their spots, and zebra stripes are forever. But people are different. People change their stars. They change their stripes, and their spots disappear in an instant of time. That instant happens the moment they develop positive expectations and believe they have the power to change. Positive self-talk and positive expectations can take you anywhere you want to go. Positive Self-Talk Purple Book is now available in ebook format at Amazon, iTunes, Kobo and Barnes and Noble.
A persistently positive focus creates a consistently positive mind. The same is true of your self-talk. It must be persistent, positive, and specific to have maximum impact. Lack of persistentce has laid more dreams to rest in the cemetery of failure than any other cause. There is zero chance that you will succeed on your first attempt. If your dreams are great, You will fail again and again on your way to the top. Before you can be great, you have to be good. Before you can be good, you have to be bad. Before you can be bad, you have to try. Millions of people stop at try. Thousands get stuck at bad. Hundreds quit at good. A few go all the way to great. If you don't have persistence, you willl never make the trip from try to bad to good to great. Positive Self-Talk Red Book helps you develop a persistently positive focus so that you can develop a consistently positive mind. More than one-hundred Power Graphics contain powerful thoughts that you need to have in your mind. Positive Self-Talk Red Book is now available at Amazon, iTunes, Kobo and Barnes and Noble.
The Positive Newsletter is straight up positive thinking. Each newsletter contains at least one powerful idea that you need to put into your mind and make a part of your life. The newsletter is short and sweet so you won't have to waste valuable time trying to find the good stuff. The wheel of change always turns in the direction of your mind, and it's time to turn your life in a new direction. Your mind is waiting to hear from you, and you need to send it a positive message.
When it comes to newsletters, one size does not fit all. Some individuals want a newsletter with a Christian flavor, while others want one with a secular flavor. The Positive Christian Newsletter is for those who want to organize their lives around positive Christian principles. If you want to get in agreement with God about who you are and what you can do with God's help, this newsletter is for you. It's time to jump into God's ocean of love and have a life transforming experience. For your entire life, you will sink or swim in God's ocean of love.


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Quick Look
Property brokered by
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Additional Property InformationThis single family listing located at 11339 Ventura Drive, St. John, IN has two bedrooms and two bathrooms. A bungalow style property, it is currently priced at $142,500.
Highlights include patio.
This property is listed by Deborah Hall of McColly Real Estate based in Indiana.


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No Bad Bears: Ophelia's Book of Manners (Picture Puffins)
Ophelia is a sophisticated and elegant bear whose impeccable manners are the key to her success. Ophelia knows that "please" and "thank you" are very helpful in getting what she wants, and that one should not throw food at dinner parties, even if someone else has thrown it first. Join Ophelia and her friends for an engaging lesson in manners. Full color.
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Due to some time constraints, this presentation won't be filled to the brim with info like some others.
Day 1: Beaconrise
There are two little things I'd like to discuss today.
Charms are equippable object that bestow effects on the user. They can alter stats or grant new abailities. Each party member has 5 charm points. Each charm will consume a certain amount of these points. When you run out, you can't equip any more charms.
It's that simple.
You can help!
Near the beginning of your journey, Unten will run into Beck and join the party. While the game will focus on a mostly new cast, and Unten is the only required Fantendoverse party member, this doesn't mean other recongizable characters won't appear.
That's right! You can sign up your characters here! The characters you sign up can appear in Beaconrise as optional party members. Optional party members can be found throughout the world and can be brought onto your team by various methods. Can you find them all?
Oh, and Beaconrise will be coming to the V2.
That's all for today. Don't worry, there will be more tomorrow.
Day 2: Smash Cross
Today, we'll be unvailing and explaining a few fighters in Super Smash Bros. Cross.
Before we begin, however, I'd like to discuss clones for a second. Due to various reasons, Dark Pit, Lucina and Dr. Mario wil be converted to costumes for their respective characters; proper accomodations will be made, such as rebalancing. Other clones, however, like Ganondorf, will be largely reworked.
Now, let's get to the good stuff.
Ravio is the mysterious shopkeep from A Link Between Worlds. He holds in his possession many items, which Link could rent if he weren't on the battlefield. What lies under the mask? Well, that's a spoiler.
In Smash Cross, Ravio's stats are pretty similar to Link's, though a bit slower. However, the way they play is pretty different. Instead of having a sword of decent range, Ravio uses his closer-ranged Hammer for most of his normal attacks. What it lacks in range, it makes up for in power. Ravio is best at capitalizing on the flaws of enemies and punishing them. His buddy Sheerow also accompanies him.
For his specials, Ravio relies on a Magic Meter. The Magic Meter can be clearly seen near his damage counter, but how does it work? Well, it's quite simple. Depending on the usage of his specials, it drains, and when specials are not in use, it fills. For a better understanding, let's see his specials:
- Neutral - Merge: Ravio uses the power of his bracelet to merge into the background, becoming flat. While merged, Ravio can shimmy past anything without a scratch. As long as he's merged, the Magic Meter drains.
- Side - Ice Rod: Ravio pulls our his Ice Rod, and summons a chunk of ice. The ice chunk floats in the air, in front and above Ravio, for as long as the button is held. While holding, Ravio can move, the ice chunk traveling with him, and when the button is released, he drops it. The chunk can freeze opponents.
By inputting this attack like a Smash Attack, Ravio uses the Nice Ice Rod, which creates a large clump of ice which can break into four. By holding the ice chunk, the Magic Meter drians, and it drains more during the Nice variant.
- Up - Tornado Rod: Ravio holds his Tornado Rod aloft, which creates a tornado to lift him skyward. If used right on an opponent, or if you manage to catch one atop, the blades or the rod deal multiple hits. However, if opponents are nearby or trying to approach, the gusts will blow them away. This is both useful for recovery and gimping!
When input like a Smash, the Nice Tornado Rod lifts higher and produces greater winds, but costs some of the Magic Meter.
- Down - Sand Rod: Ravio points his Sand Rod at his feet, and then lifts it to build a sand wall in front of him. The sand wall will crumble after some time (or after it takes some damage), and blocks all attacks. When rising, it can even works as an attack, whacking opponents in its way. Once another is summoned, the first will crumble.
When input like a Smash Attack, the Nice Sand Rod produces what seems to be the same wall. However, this sand wall will not crumble after a set time, and is a bit more durable, providing reliable defense from enemy fire and approach.
Both variants drain the Magic Meter, with the Nice variant draining more.
Ravio's Final Smash is rather potent, too. Once Ravio activates Big Bomb Bag, his Magic Meter fills all the way up. During this time, Ravio can toss Bombs at opponents, or charge up Nice Bombs, which have a greater explosion and deal more damage, but take a chunk our of his Magic Meter. Once the Final Smash finishes, his Magic Meter stays right where it's at, so use Nice Bombs wisely.
Nice items don't stop there. They're also used in his fully charged Smash Attacks.
Overall, Ravio is a potent and capable fighter in the right hands. While he takes time to learn, he can be great, with his variety of punishing tools.
Waluigi is Wario's strange and lanky companion. No one seems to know his true origins, but he sure loves sports.
In Smash Cross, Waluigi can be considered a glass canon. He's decently fast and strong, but he's easy to knock around. He can jump high, but can't move to well in the air.
To compensate, Waluigi loves to cheat, and it's evident in his gameplay. Waluigi breaks a fundamental part of Smash's gameplay by being able to Dash-cancel his Smash Attacks. There's many other ways he can fake out foes, however:
- Neutral - Serve: Waluigi toses a ball up. By pressing the B button again, Waluigi will hit it with his racket; you can also not hit B (or even Dash-cancel) to let it fall harmlessly to the ground. The timing of your hit will not only force your opponent to be on their toes, but it will also slightly alter the trajectory.
- Side - Swimming Return: Waluigi swims forward, with odd watery effects around him. By holding B, Waluigi can stroke up to three times, with a racket swing at the end of the final stroke.
- Up - Twist Dunk: Surrounded in a whirlpool, Waluigi rises into the air, dragging opponenets with him. At the end, Waluigi will try to dunk them downward.
- Down - Whirluigi: Waluigi takes a strange pose and spins quickly. This can reflect projectiles.
- Final Smash - Wall-Luigi: During this state, Waluigi is quicker, but he cannot perform Specials or Smashes. He can, however, hold B to create thorny walls where he runs. These thorns can trap opponents, allowing Waluigi to attack them easily.
Waluigi continues to strangely defy expectation. He's not like Wario or Luigi, like many may think. Take advantage of Waluigi's oddness to catch foes off guard!
Inkling are mysterious human-squid hybrids. They often compete in battles called Turf Wars, in which two teams of four cover area with ink.
In Smash Cross, their playstyle directly correlates with this. Many of Inkling's attacks will cover the stage with ink, which will stick around for a while. The ink on the ground will not effect opponents excluding a slight chance to trip. While this may not seem all that useful, Inkling's play relies on this.
Inkling's Down Special is Squid Change. This move, obviously, transforms inkling into their squid form. In this form, they are smaller, but much more vulnerable. However, when over ink, they will sink in, allowing quick movements under the feet of your foes. You can even jump out and swim up walls! Since Inkling is very range-heavy, this move provides a proper way to gain quick room.
- Neutral - Splattershot: Inkling sprays ink rapidly. It deals no flinch, but covers a ton of turf and can rack up decent damage.
- Side - Splat Bomb: Inkling tosses a bomb, which explodes into ink after a time.
- Up - Super Jump: Inkling turns into a squid, then rockets upward. Has great vertical reach, but little horizontal reach.
- Down - Squid Change: Inkling changes into their squid form.
- Final Smash - Inkstrike: Inkling prepares an Inkstrike. A cursor then appears, allowing the Inkling to direct the Inkstrike. When it lands, it creates an intense pillar of ink, which creates an expanding blast.
In order to help Inklings tell each other apart, their color is determined by the player's slot (red for P1, etc.), while the costumes choose between male and female inkling with other outfits.
The page for Smash Cross is getting a makeover, now with fighter icons. Check it out!
Day 3: The return of Super Scrappers! and Api pulls a Sakurai
This was delayed. Oops.
Smash Cross
So, I'm pulling a Sakurai in two ways. The main way will be revealed at the end, but I've also decided to do more Smash Cross today.
Isaac is a Venus adept, or one who can control earth, nature, and other related things. Not only is he skilled with Psynergy, but he's great at swordplay.
In Smash Cross, Isaac has good attack, and decent speed, but he lacks in defense. As such, Isaac focuses on rushing down on your opponents, striking at any chance you get. However, Isaac must also remain slight defense, as if he's hit, it's hard to recover.
- Neutral - Move: Isaac summons a Psynergy hand that will push objects and opponents away. However, acting as a wall, opponents can jump off of or cling to the hand, which will assist recovery if Isaac is not careful.
- Side - Growth: Small vines grow from the ground a slight distance away. If an opponent touches these, they are pulled into the ground and buried.
- Up - Spire: When used on the ground, Isaac enters a stance, then drops a large stalactite in front of him. This move, similar to Falcon Punch, is strong, but has high starting lag.
When used in the air, a stalactite juts up under Isaac, providing a small boost.
- Down - Cure: This move requires a charge. With a small charge, Cure is used; with medium charge, Cure Well; and with full charge, Potent Cure. Each charge heals Isaac better than the last.
- Final - Judgement: Isaac summons Judgement, a large knight-like being. Judgement flies to the top of the stage and begins charging. Once charged, it will fire a massive blue blast down onto the stage, which Isaac can knock opponents into.
While we're on the topic of Isaac, let's briefly discuss a brand new item.
Djinn are small creatures from Golden Sun which represent the main elements of earth, water, wind and electricity, and fire. They can be equipped to modify your character or perform elemental attacks.
In Smash Cross, Djinn randomly appear as items. When you collect a Djinn, a certain stat is boosted, depending on the Djinn, and the player will sport a colored aura. Alongside this, you will be able to use a special attack depending on the Djinn. This state is temporary, and will be cut short if you take too much damage.
Keep in mind that Djinn and Smash Balls override each other. You wouldn't want to lose something you've worked so hard for, would you?
Challenger Approaching!
A trailer plays:
- - -
We see Kirby running through Castle Dedede, avoiding enemies, canonballs and the occasional Gordo. As Kirby reaches the throne room, we spot none other than King Dedede atop the gilded seat. But he doesn't get up to battle. No, he instead thrusts his hammer forward, and a little minion of his waddles forth from behind the throne...
The trailer then cuts to gameplay.
Waddle Dee is seen using many simple attacks with his spear, such as quick rapid jabs, or aerial strikes onto opponents, and is shown to generally be quick. After being knocked down by Kirby, he recovers by twirling the spear around like a helicopter blade.
Upon landing, Waddle Dee dashes forward and stumbles into a dash attack, knocking Kirby down. Waddle Dee takes this opportunity, and then mounts a Nruff to trample his opponent.
Waddle Dee is then shown to be fending off approaching Kirbies by tossing spears, but one eats him, gaining this bandana. The Kirby then tosses a spear at an approaching Dedede.
We then see a bit more of Waddle Dee's air game; pursuing a Kirby offstage, Waddle Dee swings a parasol forward, then thrusts it above while below Kirby; the parasol pops open at the end of the thrust, providing slight lift.
Waddle Dee catches Kirby with his parasol, and bumps him forward; King Dedede slams the flying Kirby back with his hammer, and Waddle Dee
Finally, Waddle Dee grabs a Smash Ball, and performs the deadly Megaton Punch, accedentally burying an angry Dedede.
- - -
Waddle Dees are seen all over Dreamland as weak little minions. However, this Waddle Dee is different; he's far more skilled, and is Dedede's right-hand man.
In Smash Cross, as you'd expect, Waddle Dee controls rather similarly to Kirby. However, he's not quite the airy pink-puff we know. Waddle Dee is nowhere near as floaty, and lacks the extra jumps, but is swifter on the ground than Kirby while running. He also focuses more on standard, close-range combat, and can take more of a hit.
Of course, he's still a bit weak, so to compensate, Waddle Dee has some decent recovery tools. His Side Special can provide decent horizontal recovery, and can be jumped out of, while is Up Special can provide good vertical range (yet it also lacks horizontal recovery). His Up Aerial even grants him a slight boost when the parasol opens up, but the lag makes it a bit unreliable.
- Neutral - Spear Throw: Waddle Dee tosses a spear in and arc. This can be decently spammed.
- Side - Nruff Charge: Waddle Dee mounts a Nruff and rushes forward. Waddle Dee can then ram into opponents, or simple close up space. He can also jump off the Nruff and let it run towards the opponent. However, if damaged, Waddle Dee will be knocked off, and the Nruff itself can only endure so much.
- Up - Spear Copter: Waddle Dee spins his spear above his head, gaining good lift. The spear will deal multiple hits to opponents. It's a bit lacking in horizontal recovery, though.
- Down - Parasol Guard: Waddle Dee swing out his parasol, bumping away opponents and projectiles. You can then hold the button to keep the parasol covering his face, though it will only block projectiles.
Waddle Dee's Final Smash is Megaton Punch. With this move, Waddle Dee charges up his strength, then hops and strikes the ground. Opponents within a certain range will be buried on the ground and spiked in the air. By inputting the initial button events properly, the power and range increases.
- - -
We see a familiar scene, in a shadow world... a familiar figure appears...
- - -
Super Scrappers!
This project is still early in development, but it's time to unveil some info.
Super Scrappers! is a 2D traditional fighting game featuring an original and varied cast. While this game is traditional, it still features mechanics to set it apart from other games of the genre.
Desperation Attack
Near the Power Meter, there is a Rage Meter. When this meter fills only by taking damage. When full, and the opponent has more health than you, you can unleash a risky, but powerful Desperation Attack in order to turn the tables on your foe.
At the beginning of battle, you select a second fighter from the roster, which acts as your assist. Each fighter has two assist moves, a Constant Assist and a Variable Assist. Constant Assists are always present on a fighter, while a Variable Assist is chosen out of a set of 3 before battle. Use different combinations of Fighters and Variable Assists and see which fit you best.
Character Reveal
We'll be discussing briefly one of the fighters today. His name is Jet.
Jet is a cocky young man, who has booster technology equipped to hes clothes, around his feet and wrists. His playstyle is reminiscent of a standard shoto character, though a bit more agile.
Don't worry, we'll have much more info coming soon.


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Fine athlete who starred on the football field and in track and field for the Boilermakers...Two-year starter at weak-side cornerback who saw his collegiate career come to an abrupt end when he was ruled academically ineligible for the Capital One Citrus Bowl...Finished his career with 140 tackles (101 solos), a pair of stops behind the line of scrimmage, two fumble recoveries, four forced fumbles, 17 pass deflections and five interceptions while starting 28 of 48 contests.
Analysis: Positives...Shows quickness and a good burst turning out of his backpedal...Effective making plays in front of him...Has good range and overall speed, evident by his success on the school's track team...Has the leaping ability to go up and get to the ball in flight...Shows natural hands for the interception, extending for the ball away from the body's frame...Adequate open field tackler...Has good ability to plant and drive.
Negatives...Will take time to register and digest plays, negating his speed, at times...Spends too much time peeking into the backfield...Slow to react to what he sees, but has the burst to recover when attacking plays in front of him (loses contact with receivers on deep routes though)...Question his willingness in run support, as he will show up on the play, but do nothing more than stand around (does not have the power to take on the bigger blockers)...Gives up separation on deep routes due to poor hand placement.
Agility tests:
4.61 in the 40-yard dash...18/41 Wonderlic score.
High school:
Attended Lancaster (Tex.) High, playing football for coach Doug Black...Finished with four interceptions, including two for touchdowns, and five fumble recoveries as a senior en route to being named to the Dallas Morning News top 100 All-Area team...Also lettered in track and field.
Personal: Law and Society major...Born Jacques Dimitri Reeves on 10/08/82...Resides in Lancaster, Texas.
Information provided by NFLDraftscout.com, powered by The Sports Xchange


text:
The coach's exit looks set to be announced on Monday, but the Brazil boss retains the support of the 32-year-old, who has praised him and his staff
Maicon has leapt to the defence of Luiz Felipe Scolari amid reports the Brazil coach has handed his resignation letter to the Brazilian FA.
The World Cup hosts suffered a humiliating 7-1 defeat to eventual champions Germany in the semi-finals, before falling to a 3-0 reverse at the hands of the Netherlands in the third-place play-off.
But Roma full-back Maicon, who made three appearances at the tournament, defended the team's performance, as well as Scolari's work as coach.
"Maybe Brazil did not have the tournament that was expected, but the Brazilians have to remember that this is a team built over a year-and-a-half," he is quoted as telling Gazzetta dello Sport.
"The Germany project has been going on for eight years, the Argentines [runners-up] have been together for six. It takes time.
"I believe Scolari and his entire staff have done a good job - this squad has a good mix of experience and youth and has a future.
"After what happened in this World Cup, even those who are less experienced will now have the right mindset to win.
"I do not think that the wound of the 7-1 defeat to Germany will weaken them, in fact, after that night I saw straight away the will to get up, and the defeat in the last game for third place is a chapter we will close quickly."
Scolari previously led Brazil to victory at the 2002 World Cup in Japan and South Korea.


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|29 Mar 2012
64 bit
World of Warcraft Installation Problems. Installer quits working at 4%
I've just recently purchased World of Warcraft for my computer. I have tried installing it numerous times. I have been back and forth with battlenet support and they basically told me it was either my computer or programming that was stopping the installation. I have changed my settings on my firewall, tried to install it from my disc and the website, deleted every program associated with WOW that downloads every time I try it, and I'm on the administrator account to my computer. I was wondering if anyone could help me out. I have tried Time Warner and A&TT WIFI and it doesn't make a difference. The error always occurs at 4% data/enUS/3expansion, on the blizzard installer. Any suggestioins???
|My System Specs
|01 Apr 2012
Please post your pc specifications. We can't help you if we don't know nothing of your pc configuration..
Try running the setup of the game on Windows XP compatibility mode, if you have Windows 7.
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