text:
"La Bellasera - wspaniała kuchnia i wina Ecluse"Komentarz: Ewelina N - "Sopot, Pl", dnia lip 7, 2011
Swietne miejsce na skorzystanie ze spa, pokoje w najwyzszym standardzie, jedzenie wybitne... wina... az brak słów! Obsługa wzorowa. Minusem jest spora odległość od centrum miasteczka, bez samochodu ani rusz, no i bliskość autostrady. Co może być plusem jako punkt dojazdowy.
Za dodatkową osobę może być wymagana dopłata, której wysokość zależy od obiektu.
Przy zameldowaniu wymaga się przedstawienia ważnego, oficjalnego dowodu tożsamości z fotografią oraz wpłacenia kaucji kartą kredytową lub w gotówce na wypadek nieprzewidzianych kosztów.
Spełnienie specjalnych wymagań zależy od możliwości ich realizacji w dniu przybycia klienta i może podlegać dodatkowej opłacie. Realizacja specjalnych wymagań nie jest zapewniona.
Ten hotel nie oferuje udogodnień dla osób niepełnosprawnych. Jeśli chcesz zarezerwować pokój oferujący udogodnienia dla osób niepełnosprawnych, wybierz inny hotel.
Hotel pobiera następujące opłaty i kaucje w momencie korzystania z usługi, zameldowania lub wymeldowania:
Powyższa lista może być niepełna. Opłaty i kaucje mogą nie zawierać podatku i podlegać zmianom.
Za dodatkową osobę może być wymagana dopłata, której wysokość zależy od obiektu.
Przy zameldowaniu wymaga się przedstawienia ważnego, oficjalnego dowodu tożsamości z fotografią oraz wpłacenia kaucji kartą kredytową lub w gotówce na wypadek nieprzewidzianych kosztów.
Spełnienie specjalnych wymagań zależy od możliwości ich realizacji w dniu przybycia klienta i może podlegać dodatkowej opłacie. Realizacja specjalnych wymagań nie jest zapewniona.
Grubby motel. Do not waste your money. Disgusting, run down, dirty. Yuk.Prawdziwa opinia gościa Hotels.com
"Close to Cal Poly"
The hotel was a bit pricey for the quality, but we did not expect wonders for the prince we paid. The room was clean and comfy, and the owners were nice. We called ahead and told them we would check in really late, and that was not a problem.Prawdziwa opinia gościa Hotels.com
"Perfect for a small budget trip"
This place had terrible reviews but I think it was perfect for the price we paid. Everything is old but not dirty. The bed was comfy and there was an extra fan in the room aside from the ceiling fan(definitely need for Summer time). Extremely close to all the dt attractions.Prawdziwa opinia gościa Hotels.com
"OK for older motel"
An older facility that has been remodeled. The room was clean and bed was ok with a good nights sleep. Parking is limited and spaces are small for SUV, but manageable. Price was half of most motels and was ok for the price.Prawdziwa opinia gościa Hotels.com
"Nice Location, however not clean"
The outside of the hotel was clean, but inside the room was filthy. There were stains all over the carpet and the shower was old and dirty. The mattress was as hard as a rock! The location was great, but I would never stay at this hotel again.Prawdziwa opinia gościa Hotels.com
i have never seen such filthy carpets. The walls were bad too. Never will I come to this hotel.Prawdziwa opinia gościa Hotels.com
"Los Padres"
Really friendly staff. Great looking outside. Rooms are tired and old. In bad need of updating. Site is very small - parking very, very tight. There are better values around town. Keep looking.Prawdziwa opinia gościa Hotels.com
"Only as a last resort!!!"
This place feels like someone's backyard. the office was not even open after 8am on a weekday to check out TV didn't work, dirty carpets, everything was old and in need of upgrades. High priced without cause. Stay somewhere else!!Prawdziwa opinia gościa Hotels.com
"Cute room uncomfortable bed"
We were really charmed by Los Padres. We enjoyed the location, the cleanliness of the room and the creativity to create a mission feel. We would put this on our list of must visit again favorite places, but the bed was poor quality and uncomfortable. In spite of this, I might stay again.Prawdziwa opinia gościa Hotels.com
"not worth the money"
the hotel is lost in the 90's. Sparse accomodations and very dated. Really a 100 dollar rooms at best, not 260Prawdziwa opinia gościa Hotels.com
"great location"
tacky decore in our room, filthy rug, not so nice bathroom....great hot water and very nice people who seem to run it.Prawdziwa opinia gościa Hotels.com
"just good for one night"
Book using just Hotel.com not phone or in personPrawdziwa opinia gościa Hotels.com
"Amgen Tour of California"
Charming clean rooms with good sound insulation; no noise from adjacent rooms. Comfy beds with clean linens. Close to all, great location on Monterey St. Friendly service. Stopped in again for another night on the return trip from Santa Rosa. Best value in town, a hidden gem!Prawdziwa opinia gościa Hotels.com
Los Padres Inn needs a significant overhaul and maintenance upgrade. Much peeling paint on door and tub. Few amenities for the price. Staff were friendly and location fine. ThanksPrawdziwa opinia gościa Hotels.com
"Very friendly hotel keeper"
I had a special request to leave my bike at the hotel for the rest of the day after I had checked out. The owner was very courteous and let me store it in the garage. I think a lot of hotels would have made an issue for fear of being liable had it been stolen. Thanks again Los Padres!Prawdziwa opinia gościa Hotels.com
It was acceptable, but I am glad my wife couldn't come along this time. I would still be hearing about it. The room was musty, the furniture old and too used. For the price I expected more. The neighborhood was nice.Prawdziwa opinia gościa Hotels.com
"Wounderful Location"
Love the location the room really is not worth the price when you have others so close and cheaper with more Hotel amenities. Room was small out dated TV and not even a coffee maker, even MOTEL 6 has a coffee maker. The staff was nice and very respectful, so again for the money no not it.Prawdziwa opinia gościa Hotels.com
"not good value"
friendly service but that's about it. a coffee maker would have been helpfulPrawdziwa opinia gościa Hotels.com
"Terrible experience"
It was awful... Horrible conditions of the Hotel. They need a lot of upgrades & improvements. It was worth a lot less than we paid...Broken furnitures, bad heating and dirty room, etc.Prawdziwa opinia gościa Hotels.com
"Watch for mildew"
Owners were helpful, but there was a lot of gross mildew and mold on the inside of the shower curtain and the maid said they did not allow her enough time to clean properly. However, the owners of the hotel went out of their way to help me with notifying Expedia. I may give them another try just because they were nice. The curtain did not block out […] enough light from the outside and I could not sleep well because of that Przeczytaj więcejPrawdziwa opinia gościa Expedia
Not quite what was advertised. Management was very helpful.Prawdziwa opinia gościa Hotels.com
"close to town/close to cal poly/easy freeway acces"
although the location was convenient for us, and we liked being able to park close to our room, our first indication that things might be sketchy were the filthy pieces of carpet that were cut into rectangles and used as door matts. the fake plants and railings were coated with thick dirt/dust, as were some of the things in the room. the curtains were […] icky/dingy and didn't quite cover the windows. we did have a couple of problems with the sink, etc. that they attended to quickly, but who even needs those problems when staying somewhere for 2 nights? shower walls were not tiled, but painted, and the paint was peeling. presumably, to save on electrical bills, only half of the sockets had light bulbs in them....you get the picture....keep looking--there are plenty of other motels in the area!!! Przeczytaj więcejPrawdziwa opinia gościa Expedia
"Not sure why the high reviews"
We arrived late and were scolded for not calling ahead–nobody told us. I felt bad for waking up the staff and really would have called, but I didn't think it would be an issue as I've never had this issue in my life. I suppose there's a first for everything.... The room was kind of dirty and had stains on the carpets and cracks on the walls. My wife […] didn't want to take a shower fearing she would catch something. Other than that, the location of the hotel is great and we love SLO! We've been coming for 20 years now! Przeczytaj więcejPrawdziwa opinia gościa Hotels.com
"Los Padres poopie"
Central location the only redeeming quality, parking realy tight. The location appears to be like converted apartments into, motel rooms. Great if you looking for a place to flop out at, little or no ammenitiesPrawdziwa opinia gościa Expedia
Room not very clean. Hot, no A/C. Two fans in room but both very dusty. Housekeeper left my door ajar one day and turned off the (dusty) ceiling fan I left on to try and make room temp comfortable.Prawdziwa opinia gościa Hotels.com
It's an old school room which was fine. Friendly staff, however I gave Tia low rating due to their air conditioning not working. It was 85 degrees inside and above, so hot.Prawdziwa opinia gościa Hotels.com
First room, stained carpet and peeling paint in shower. Moved to better room but no fridge in this one, bedside lamp shorted out, bathroom sink faucet top fell off, clock didn't work. Will not return.Prawdziwa opinia gościa Hotels.com
"You Get What You Pay For"
Kind of cute on the outside, a little run down on the inside. For the price not bad. The room was clean an the night clerk was friendly.Prawdziwa opinia gościa Hotels.com
"Comment on Los Padres Motel"
The outside of this motel looked much nicer than what inside the room was actually like. The room could use updating and repairs but for our 1 night stay it was okay.Prawdziwa opinia gościa Expedia
Comfortable, no problems. Got a good night of sleep; right in town near shops and restaurants.Prawdziwa opinia gościa Hotels.com
"You get what you pay for."
Good location and close to downtown. Room had a musty smell. Stains on the chair so I didn't use it. I was passing through so I just needed a place to crash for the night. It was OK in that sense, but not a place I would take my wife to relax.Prawdziwa opinia gościa Hotels.com
"Decent spot"
The room was clean and everything was in order. Good location on Monterey Street. No problems.Prawdziwa opinia gościa Hotels.com
This is a good 2-star hotel, with a friendly and helpful staff. The room was fine for a 2*, and (despite a review to the contrary) the wireless internet worked just fine. Perhaps a touch pricey when compared to other 2*s on the Monterey strip, that offer breakfast and/or a bathtub.Prawdziwa opinia gościa Hotels.com
Shotty remodel work. We stayed on the ground floor. It was a large rm but lights didn't work and questionable remodeling in the bath. Only worth a cheap price. Also there's no breakfast.Prawdziwa opinia gościa Hotels.com
"Sweet place, wonderful location"
The kindness of the staff, and easy walking distance to downtown SLO make this little hotel a winner for me.Prawdziwa opinia gościa Hotels.com
"Los Padres Inn in SLO"
Great location, easy walking access to downtown SLO but brrrr only an electric plug in heater!Prawdziwa opinia gościa Hotels.com
"I won't stay here again."
No working internet, no thermostat (just an ancient radiator), no shelves in bathroom (used toilet tank lid for toothpaste, etc.), no lamps, carpet stained and crunchy, tiny shower, loose plumbing fixtures and doorknob, no coffee pot, one thin blanket on bed (and spare blankets were dusty). Place seemed neglected and unsanitary. Pluses are free parking […] and downtown location. Przeczytaj więcejPrawdziwa opinia gościa Hotels.com
"Don't believe everything you see!"
A pretty picture on the outside, but don't look to close. The room was shabby, the carpet was utterly disgusting. It was filthy and had not been cleaned in months. The rest of the room was pretty clean, but very, very worn. There was no light beside the bed to read. The curtain drug the floor and was a tripping hazard. The toilet was not securely bolted […] to the floor and wobbled haphazardly. Those lovely photos on the website, were not at all representative of the room in any way. Przeczytaj więcejPrawdziwa opinia gościa Hotels.com
"Hotel Los Padres Inn in Monterey"
It was clean but tired. Ok for the value.Prawdziwa opinia gościa Hotels.com
"Rustic, but comfortable"
The rooms are not updated, but comfortable. These rooms are not the pampered traveler. If you don't mind rustic, outdated, and prefer inexpensive, this place is great. Great location.Prawdziwa opinia gościa Hotels.com
"Not recommended"
A place to crash...not much else good to say about it. Carpet in room was soiled. Tiny TV could barely be seen from beds. Plastic flowers on walls that were painted a variety of non-harmonious colors. Pretty tacky overall.Prawdziwa opinia gościa Hotels.com
"Good Value."
It's a good value. The rooms are small.Prawdziwa opinia gościa Expedia
"Great Location"
The location is perfect. It was in walking distance of down town SLO, right down the street from the famous Splash Cafe (try their clam chowder!) and close to other great restaurants and shops. The Los Padres Inn is old, small and quaint, which adds to the experinece of the area. Enjoyed my stay and, if in the area, will return.Prawdziwa opinia gościa Hotels.com
"Would not stay again"
Although the motel was in a fairly good location, there were newer accomodations available within blocks. There was a motor running beneath my room the entire night. The room was clean and everything worked, but it seemed to be on the verge of total decay. It would be nice to have morning coffee in the lobby.Prawdziwa opinia gościa Expedia
"good for the price"
We stayed two nights here; the hotel was very clean and I appreciated that it had a microwave and refrig in the room. It was quiet and the woman that checked us in was very nice.Prawdziwa opinia gościa Expedia
"Good, cheap hotel."
Good, cheap hotel within walking distance from the city center.Prawdziwa opinia gościa Expedia
"Don't go there if it's cold !!"
The location is good, close to SLO downtown. Overall, it's okay, but if it's below 50°F outside, forget it they don't have a decent heater, so the room gets really cold !! The bathroom looks like 30 yeats old, but we could shower and got hot water.Prawdziwa opinia gościa Expedia
This hotel is a serious dump. Old matresses in the parking lot, banged up furniture, old nasty carpet, horrible bathroom with a tiny shower you could barely move in. We didn't even stay there on night #2 it was so gross, even though we paid money for it.Prawdziwa opinia gościa Hotels.com
Cet hôtel a proposé une chambre certes plutôt petite, mais propre, confortable, disposant de ce qui est nécessaire pour un séjour court, en l'occurence une nuit. Un parking gratuit, voisin de la chambre, est également appréciable. L'absence de la possibilité d'un breakfast sur place peut être considéré comme un point négatif. Toutefois, plusieurs établissements […] très proches servant des petits déjeuners et autres repas peuvent compenser cette absence. Premier bémol : la personne m'ayant accueilli s'est montrée sous un jour essentiellement " administratif ", n'esquissant absolument aucun sourire ( la seule et unique fois sur les 7 hôtels fréquentés lors demon séjour en Californie ). Second bémol, proximité d'une voie ferrée avec plusieurs klaxons de locomotives pendant la nuit. Przeczytaj więcejPrawdziwa opinia gościa Hotels.com
Juste pratique pour un arrêt d'une nuit! salle de bain pas tres propre et à refaire, pas de service ni petit-déjeuner.Prawdziwa opinia gościa Hotels.com
Opinie i oceny umieszczone w niniejszej witrynie internetowej wyrażają subiektywne poglądy klientów oraz dostawców i nie przedstawiają stanowiska Hotels.com. Ani Hotels.com, ani osoby, które wyraziły opinię nie ponoszą odpowiedzialności za ewentualne szkody wynikłe z użycia opinii w niniejszej witrynie.


text:
"Dear Student,
Hello! I am Saren. I have no last name, so please call me Mrs. Saren. Anywho, I know what you are and I know how scary it can be to be in the normal world right now. This is a letter of acception to Saren's Academy for Young Psychics. It is a newly opened school for people, like you, who cannot control their... abilities. Please come to our school and realize that this is a great oppertunity for not only you, but all of us here at Saren's Academy for Young Psychics. Thank you and I cannot wait to see you!"
You get this letter and decide to go, whatever your true reason may be. You meet students like you and go on little "missions" to help the people who need it. Missing people, deaths, interesting pasts, and much more! Finding a way to control your powers can give you the oppertunity to help people outside of the boarding school.
No God-modding
No auto-hitting, kicking, touching period
No fighting in OOC
No posting then disappearing
No disrespecting mine or my Co-Gms' decision
Keep it PG-16. NO SEX!
Please tell me if you want to do something durastic to the plot
If you read this, put "Psychic Kids" in two different colors on your cs
If you get kicked out of my rp, then it is the group's vote to add you back in
Please keep the genders BALANCED. I will not accept people if genders are not balanced.
⭐Powers taken⭐
Animal Telepathy- Savi
Telepathy- Lyra
Telekinesis- Skylily
Astral Projection- Reality

subset: commoncrawl


text:
Mr. and Mrs. David Adamson of Grand Rapids Mich., announce the engagement of their daughter, Mallory Lynn Adamson, to Cody Allen Satterwhite, son of Mr. and Mrs. Walker Satterwhite of Byram.
The bride-elect attended Forest Hills Central High School, Michigan State University, and Michigan State University Graduate School. She was a member of Chi Omega sorority and studied abroad in Spain while attending Michigan State. Mallory is a first-grade teacher with Madison County Schools.
[1] mailto:firstname.lastname@example.com
[2] http://www.northsidesun.com/content/subscribe
[3] http://www.northsidesun.com/category/tags/cody-allen-satterwhite
[4] http://www.northsidesun.com/category/featured/featured
[5] http://www.northsidesun.com/category/tags/mallory-lynn-adamson
[6] http://www.northsidesun.com/category/section/news/engagements


text:
Friendsville Elementary School kindergarten student Brooklyn Bowman uses 1-inch squares to measure a green bean plant Wednesday. Students are working with the Maryland Extension Service to grow an indoor garden this winter.
Local News
- Local News
- Santa Claus comes to town
Police not dispatched during murder
A neighbor's report of "loud banging" and "screaming" at 27 Browning St. the night of Sept. 5 made it to the Allegany County 911 center — but not to the Cumberland Police Department that routinely handles such calls.
Cumberland Police were first sent to 27 Browning on Sept. 8 — at killer's request
The first time Cumberland Police were called to 27 Browning St. was on Sept. 8 at 12:35 a.m., when Stephen Schleuniger requested police to come to his home.
Fair Wind project approved — but with conditions
During an administrative meeting Wednesday, the Maryland Public Service Commission approved Fair Wind Power Partners LLC's application to construct up to 15 wind turbines on Backbone Mountain — but with conditions.
Service club's donations take tax hit, delegation asked to help
Money raised for charity by a student service club at Allegany College of Maryland is taxed by the state of Maryland, depriving worthy causes of hundreds of dollars each year raised by the membership's hard work.
Rocky Gap casino reports slight revenue drop
Rocky Gap Casino Resort's income had reduced revenue from gaming operations last month, but money coming into the county from the casino is already having an impact on the county budget.
Resort opens Allegheny Event Center
Rocky Gap Casino Resort has opened its 5,000-square-foot Allegheny Event Center that can accommodate groups of up to 300 people in a variety of configurations including banquet, theater or classroom style.
- Story time
Governor sure health exchange will meet goal
Despite a rocky start with health care reform, Gov. Martin O'Malley said Thursday he is still aiming to meet the goal of enrolling 260,000 people in private insurance and Medicaid through the state's health care exchange by the end of March.
O'Malley named chairman of bay council
Maryland Gov. Martin O'Malley on Thursday was named the chairman of the Chesapeake Executive Council, saying he hoped to have a new Chesapeake Bay Watershed agreement signed next year.
- More Local News Headlines


text:
Last night, I had the honor to share the stage with Jessica Kirson (above), literally one of the best comics on Earth. The show was at Broadway Comedy Club in New York, and Jessica stopped by as a personal favor to me. You see, I was one of the organizers of a fundraiser for the Leukemia and Lymphoma Society, and I needed a fantastic headliner to round out the show lineup..
Jessica fits the bill, and then some. I have known her for ten years and I've always considered her a very special talent. The way she draws on her personal


text:
Saturday, December 7, 2013
FREE SATURDAY STAR with a DIGITAL ACCESS SUBSCRIPTION
JUST 99¢ + TAX FOR 1 MONTH OF UNLIMITED ACCESS to thestar.com
GET thestar.com DIGITAL ACCESS JUST 99¢ + TAX FOR 1 MONTH
Special Report: Cost of Gridlock
Speech from the dock
Read by South African children.
Mandela in one word
Nelson Mandela described in a single word by South Africans.
Nelson Mandela and Canada's crude view of terror: Walkomcomments
Nelson Mandela's family makes first statement since his death
Photos Some tributes to Mandela a bit of a stretch — cue Syria's Assadcomments
How Canada helped lead international fight against apartheidcomments
Apartheid, the 'absurd' system Mandela battledcomments
Conrad Black interviews Rob Ford, says he might endorse him
Holy Door opens in Quebec, the first outside of Europe comments
She has a hurricane of a reputationcomments
Flooded Ferrari owner inspires Squirrel Pie shortbreadcomments
Glen Murray's High-Occupancy Toll Cookiescomments
Tessa Virtue, Scott Moir win silver at Grand Prix Final
One sure thing in game against Senators — Leafs' goalies are bettercomments
Lack of toughness another big issue facing the Raptorscomments
What Quebecers think about the rest of Canadacomments
How we lost count of some of our most marginalized citizenscomments
Happiness an elusive pursuit for 'racialized worker' comments
What you should know before moving to Canada
Video North Korea deports elderly U.S. tourist who advised South Korean guerrillascomments
Egypt cuts sentences against teen-girl protesterscomments
Snow storms make for dangerous day in U.S. states not used to wintercomments
Grammy nominations: Jay Z leads with 9 nominationscomments
Alejandro Gonzalez Inarritu in Jungle Book talks
B.C. Tim Hortons shop faces labour probe over allegations it exploited Filipino workerscomments
Students learn to shoot for the stars
The rising star of the entrepreneur
Preventive mastectomies are not for everyone
MasterGlass 25: UV Filter
The 5 most influential buildings in Toronto
Fresh style for the holiday table
In honour of Nelson Mandela
Pictures of the Day for December 06, 2013
How employers are trying to ease the commutecomments
Can smart signals and crowd sourcing clear the roads?comments
When your business is in a construction zonecomments
The 'dancing crossing guard' debate in 9 reader commentscomments
Travel photography: Sharing your photos in many wayscomments
North York's Congee Phoenix a taste adventurecomments
Daytona Beach: Daytona Shores features quiet pleasures in laid-back part of towncomments
Rotorua, New Zealand: Zorbing is zany fun comments
Monument Valley grandeur in Navajo countrycomments
Rob Ford greets supporters at Etobicoke Lakeshore Christmas Parade
Get pedestrians off Toronto roads to keep them safe for drivers: Humecomments
On the Rhodes to Success: Toronto's Joseph Singhcomments
Christopher Walken hitches a ride, poses for selfie with surprised fans
Are You the One? My blind date with the muscular, metrosexual BMW X5
Teen arrested, allegedly stole item from Paul Walker crash scene
How $60M will be spent to rebuild Lac-Méganticcomments
Ottawa's bill for extra legal services has soared over seven yearscomments
Bill would give Ottawa power to recall bad drugscomments
11 to watch: Tell us who will have a breakout year in 2014comments
Choir Challenge: send us videos of your choir
Dec. 9 @1 p.m.: GTA gridlock live chat
Santa Claus Fund: Children helping children
Santa Claus Fund: A home for more than the holidays
Get children hooked on reading at an early age: Roseman
Santa Claus Fund: Flying high with a toy plane
Mandela: The Last Great Statesmancomments
My Never-Ending Acid Trip: Why I Still Hallucinatecomments
Hemingway to Atwood: An Anthology of Great Writers in the Toronto Star
JFK and Why Camelot Was a Living Nightmare for Canada
John Michael Siscoe: 'Sick and deviant' abuser's dark, cruel history revealed in court
Internships: educational opportunity or opportunistic scamcomments
Ford scandal: There should be a way to get rid of this bozo: DiMannocomments


text:
Friday, January 28, 2011
Sale-a-brate with Stampin Addicts Blog Hop!
37 comments:
- MaryJo said...
your projects are sooo cute - I love how you used the hello like it was pouring out of the cup. The soup cup is just too cute and I just LOVE the tiny tea bag you made from vellum!! GREAT JOB!!! Thanks!
- January 28, 2011 at 11:34 AM
- Holly / InkPaperStamps said...
Cute, cute, cute, Lisa! I love that pouring hello--and the chicken soup mug is just precious. . . .
- January 28, 2011 at 12:17 PM
- Diane - email@example.com said...
LOVE your projects and cutting the sentiment off is so clever! I have that stamp and will do the same with mine.
Each project has it's own charm I will try to use all of them to recreate your genious! TFS - January 28, 2011 at 12:36 PM
- Tanya Boser said...
Lisa, yet again you inspire me! I love the hellos spilling out of the first cup, the way you added the teacup to the word soup with your bright cheery yellow cup, and the little vellum teabag on the 3rd project! You are gifted with amazing details!!!
- January 28, 2011 at 12:49 PM
- Amy said...
I've been trying to resist this set, and now I can't! I lovelovelove the soup "mug"!! Amazing work, as always.
- January 28, 2011 at 1:23 PM
- lisa808 said...
Love that soup cup idea!
- January 28, 2011 at 1:46 PM
- Linda said...
Seriously!!! These projects are awesome! Love what you came up with for one simple stamp! Great ideas all around!
- January 28, 2011 at 2:18 PM
- Yapha said...
These are fantastic!! I love the hello pouring out, using the cup for the U in soup is brilliant, and your tiny tea bag is just too cute!
- January 28, 2011 at 2:32 PM
Your projects are oh so cute and practical right now! That pouring out hello was genius! Thanks for sharing your creativity, Penny
- January 28, 2011 at 4:52 PM
- Adriana Benitez said...
Lisa, these are all such great "out of the box" ideas. I love them all but the soup idea is such a special one - what a blessing to someone who is sick!
- January 28, 2011 at 4:53 PM
- Betty said...
Oh the details! I especially love the tiny tea bag and the "U" is soup is SO cute!
- January 28, 2011 at 5:09 PM
- Cindy said...
Ahhhhh *thud*! Your cleverness makes me swoon! These are absolutely the most ingenious ideas ever! And THAT, my dear, is why I gave you the Stylish Blogger award! (Okay, seriously, that teabag pushed me over the edge.) :)
- January 28, 2011 at 6:20 PM
- Carmen said...
How stinkin' cute are each of those projects??? They are perfect ideas for SS gifts!! This stamp sure moved further up my list!!
- January 28, 2011 at 8:06 PM
- Kandi said...
I love that mug and using the teacup as the U. You must have been hungry when you were designing ;)
- January 28, 2011 at 8:09 PM
- Kate Stockman said...
Love your projects, especially the Tea Cup card.
- January 28, 2011 at 8:27 PM
Soooooooo super cute. I especially love the chicken soup mug. Love this stamp and love what you did with it.
- January 28, 2011 at 8:48 PM
- Sunflower Stamper said...
Awesome! So much inspiration from one little stamp! Love it!!
- January 28, 2011 at 9:30 PM
- Kim said...
Oh how cute! I just love the soup cup. You did a fantastic jop! Now I have to buy this stamp. Why did I put my order in yesterday? Oh yeah, so I wouldn't add to it after today! lol
- January 28, 2011 at 9:39 PM
- Krystal (skdeleeuw) said...
Fabulous job Lisa!!! Great idea about cutting apart the sentiment. That soup mug is adorable!! So creative. "Souper" cute!! :)
- January 28, 2011 at 9:46 PM
- RhondaG -the stampin' bunny said...
Amazing Cuteness!! I love your Chicken Soup with the cup as the U....WOW! They are all wonderful though!
- January 29, 2011 at 12:33 AM
- Jean Fitch from jlfstudio said...
Very Cool Miss Lisa! I've had my eye on this tiny tea cup and now you've clinched it. The idea of using it for the U in soup is too too cool and it fits perfectly with the style of the Lovely letters. Flipped over the basket too with its tiny, tiny tea bag. And one should definitely not check out a hop late at night...I would have sworn the hello tea was pouring up into the cup! Ah..perspective.....
Thanks for the inspiration...now to plan some serious CASEing. - January 29, 2011 at 3:22 AM
- susies1955 said...
Love the dark colors on the card and the other great projects.
email@example.com - January 29, 2011 at 3:44 AM
- Susan said...
wonderful creations, i love that soup container :)
Susan - January 29, 2011 at 8:14 AM
- Welcome said...
Wow, this is truly the cutest thing ever you could have done with this set of cuppy creations.. LOVE IT. Thanks for sharing. I feel a case coming up.
Inky hugs, Pauline - January 29, 2011 at 11:22 AM
- Jen Timko said...
Love the little soup cut and your basket is wonderful! So clever with the little tea bag!
- January 29, 2011 at 11:26 AM
- Sara Mattson-Blume said...
My golly. I love them all! The details are what make the projects amazing. I am in awe!
- January 29, 2011 at 6:55 PM
- Heidi Baks said...
How cute is that soup cup??? Great idea to use the cup for a "U". Love the tea and cookies basket too!
- January 29, 2011 at 7:24 PM
- Twila said...
Lisa, your projects are wonderful! My favorite has got to be the basket with that cute little tag. Great work!
- January 30, 2011 at 10:11 AM
- Gail said...
Great projects!
Might have to rethink the tiny teacup!
Love the mini teabag! - January 30, 2011 at 11:22 AM
- Melissa said...
Wonderful projects, Lisa! Love that little tea bag!
- January 30, 2011 at 2:27 PM
- Sarah said...
Lisa - they are all WOW ideas - my favorite is that soup cup - how cool is that? :-)
- January 30, 2011 at 4:44 PM
- Holly/Rubber Redneck said...
Very Wow ideas and all supper cute!
- January 30, 2011 at 7:14 PM
- Barbara Welch said...
I love all the different ways you showed using this adorable stamp. Your projects are so cute.
- January 30, 2011 at 8:54 PM
- JulieA said...
What fun projects, Lisa! And I have to admit that I've never noticed that stamp...quite silly when you consider how often I've looked through that catalog! Thanks for sharing.
- January 30, 2011 at 9:42 PM
- Connie Babbert said...
DARLING projects (as usual!), Lisa! Love all of them!!!
- January 31, 2011 at 9:35 AM
- Judy May said...
Love all your projects, Lisa. The basket is so cute. Can't wait to try out this die.
- February 3, 2011 at 7:30 AM
- Kath said...
The card I posted today was inspired by you Tiny Teacup card. Thanks for sharing
http://kath-allthatscrap.blogspot.com/2011/02/punch-bunch-sale-bration.html - February 26, 2011 at 10:02 AM


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BenchCuffed Jeans
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Stroke (Encyclopedia of Medicine)
A stroke is the sudden death of brain cells in a localized area due to inadequate blood flow.
A stroke occurs when blood flow is interrupted to part of the brain. Without blood to supply oxygen and nutrients and to remove waste products, brain cells quickly begin to die. Depending on the region of the brain affected, a stroke may cause paralysis, speech impairment, loss of memory and reasoning ability, coma, or death. A stroke is also sometimes called a brain attack or a cerebrovascular accident (CVA).
Some important stroke statistics:
- more than half a million people in the United States experience a new or recurrent stroke each year
- stroke is the third leading cause of death in the United States and the leading cause of disability
- stroke kills about 150, 000 Americans each year, or almost one out of three stroke victims
- three million Americans are currently permanently disabled from stroke
- in the United States, stroke costs about $30 billion per year in direct costs and loss of productivity
- two-thirds of strokes occur in people over age 65
- strokes affect men more often than women, although women are more likely...
(The entire section is 2726 words.)
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Stroke (Encyclopedia of Neurological Disorders)
A stroke is the sudden death of brain cells in a localized area due to inadequate blood flow.
A stroke occurs when blood flow is interrupted to part of the brain. Without blood to supply oxygen and nutrients and to remove waste products, brain cells quickly begin to die. Depending on the region of the brain affected, a stroke may cause paralysis, speech impairment, a loss of memory and reasoning ability, coma, or death. A stroke is also sometimes called a brain attack or a cerebrovascular accident (CVA).
Some important stroke statistics include:
- More than half a million people in the United States experience a new or recurrent stroke each year.
- Stroke is the third leading cause of death in the United States and the leading cause of disability.
- Stroke kills about 150,000 Americans each year, or almost one out of three stroke victims.
- Three million Americans are currently permanently disabled from stroke.
- In the United States, stroke costs about $30 billion per year in direct costs and loss of productivity.
- Two-thirds of strokes occur in people over age 65.
- Strokes affect men more often than women, although women are more likely to die...
(The entire section is 2795 words.)
Stroke (Encyclopedia of Mental Disorders)
A stroke, also called a cerebral vascular accident (CVA), is the sudden death of cells in a specific area of the braindue to inadequate blood flow.
A stroke occurs when blood flow is interrupted to a part of the brain, either when an artery bursts or becomes closed when a blood clot lodges in it. Blood circulation to the area of the brain served by that artery stops at the point of disturbance, and the brain tissue beyond that is damaged or dies. (Brain cells need blood to supply oxygen and nutrients and to remove waste products.) Depending on the region of the brain affected, a stroke can cause paralysis, loss of vision, speech impairment, memory loss and reasoning ability, coma, or death. The effects of a stroke are determined by how much damage occurs, and which portion of the brain is affected.
About a third of all strokes are preceded by transient ischemic attacks (TIAs), or mini-strokes, that temporarily interrupt blood flow to the brain. While TIAs cause similar symptoms (such as sudden vision loss or temporary weakness in a limb), they abate much more quickly than full-fledged strokes, usually within a few hours- sometimes as quickly as a few minutes.
Stroke is a medical...
(The entire section is 2737 words.)
Stroke (Encyclopedia of Children's Health)
A stroke, also called a cerebral infarction, is a life-threatening condition marked by a sudden disruption in the blood supply to the brain.
A disruption in the blood supply to the brain starves the brain of oxygen-rich blood and causes the nerve cells in that area to become damaged and die within minutes. The body parts controlled by those damaged brain cells lose their ability to function.
Depending on the area of the brain that is affected, a stroke can alter many aspects of a child's functioning such as speech, movement, behavior and learning. A stroke also may cause weakness or paralysis on one side of the body. The loss of function may be mild or severe, temporary or permanent.
If medical treatment begins within hours after symptoms are recognized, brain damage can be limited and the risk of permanent medical effects can be decreased.
Types of stroke
An ischemic strokehe most common form of stroke in children under age 15s caused by a blocked or narrowed artery. In children, blockages may be caused by a blood clot, injury to the artery, or rarely in children, atherosclerosis (build-up...
(The entire section is 6646 words.)
Stroke (Encyclopedia of Alternative Medicine)
Stroke is the common name for the injury to the brain that occurs when the flow of blood to brain tissue is interrupted by a clogged or burst artery. Arterial blood carries oxygen and nutrition to the cells of the body. When arteries are unable to carry out this function due to rupture, constriction, or obstruction, the cells nourished by these arteries die. The medical term for stroke is the acronym CVA, or cerebral vascular accident. It is estimated that four of every five families in the United States will be affected by stroke in their lifetime, and it is the top cause of adult disability worldwide. Stroke is ranked third in the leading causes of death in the United States, has left three million Americans permanently disabled, and costs the United States 30 billion dollars each year in terms of health care costs and lost productivity.
The most common type of stroke is classified as ischemic, or occurring because the blood supply to a portion of the brain has been cut off. Ischemic strokes account for approximately 80% of all strokes, and can be further broken down into two subtypes: thrombotic, also called cerebral thrombosis; and embolic, termed cerebral embolism.
Thrombotic strokes are by far the more prevalent, and can be seen in nearly all aging populations worldwide. As people grow older,...
(The entire section is 2514 words.)
Cerebrovascular Accident (Encyclopedia of Nursing & Allied Health)
Cerebrovascular accident (CVA) is the medical term for what is commonly termed a stroke. It refers to the injury to the brain that occurs when flow of blood to brain tissue is interrupted by a clogged or ruptured artery, causing brain tissue to die because of lack of nutrients and oxygen.
The severity associated with cerebrovascular accident can best be demonstrated by the following facts:
- CVA is the leading cause of adult disability in the world.
- Worldwide, one-quarter of all strokes are fatal.
- Stroke is the third leading cause of death in the United States and the leading cause of disability.
- It is estimated that four of every five families in the United States will be affected by stroke in their lifetime,
- More than half a million people in the United States experience a new or recurrent stroke each year.
- Stroke kills about 150,000 Americans each year, or almost one out of three stroke victims.
- Three million Americans are currently permanently disabled from stroke.
- In the United States, stroke costs about $43 billion per year in direct costs and loss of productivity.
- Two-thirds of strokes occur in people over the age of 65.
- Strokes affect men more often than women, although women are more likely to die from a stroke.
- Strokes affect African Americans more often than Caucasians, and are more likely to be fatal among African Americans.
- The incidence of strokes among people ages 30 to 60 is less than 1%. This figure triples by the age of 80.
- The rate of occurrence for strokes in the United States fell by 15.52% between 1988 and 1998. But the number of deaths from stroke actually rose by 5%.
Causes and symptoms
Arterial blood carries oxygen and nutrients to the cells of the body. When arteries are unable to carry out this function due to rupture, constriction, or obstruction, the cells nourished by these arteries die. There are two forms of stroke, ischemic, which is caused by a blocked blood vessel that supplies blood to the brain, and hemorrhagic, which is bleeding into or around the brain.
The most common type of stroke is ischemic, which refers to the loss of oxygen and nutrients for brain cells that occurs because the blood supply to a portion of the brain has been cut off. Ischemic strokes account for approximately 80% of all strokes, and can be further broken down into two subtypes: thrombotic, also called cerebral thrombosis, and embolic, also termed cerebral embolism.
Thrombotic strokes are by far the more prevalent of ischemic strokes, and can be seen in nearly all aging populations worldwide. As people grow older, atherosclerosis, or hardening of the arteries, occurs. This results in a buildup of a waxy, cholesterol-laden substance in the arteries, which eventually narrows the interior space, or lumen, of the artery. This arterial narrowing occurs in all parts of the body, including the brain. As the process continues, the occlusion, or shutting off, of the artery eventually becomes complete so that no blood supply can pass through. Usually the occurrence of the symptoms of a thrombotic stroke are much more gradual and less dramatic than other strokes due to the slow, ongoing process that produces it.
Transient ischemic attacks (TIAs) are one form of thrombotic stroke, and usually the least serious. TIAs represent the occlusion of a very small artery, or arteriole. This blockage affects only a small portion of brain tissue and does not leave noticeable permanent ill effects. These transient ischemic attacks last only a matter of minutes, but are a forewarning that part of the brain is not receiving its necessary supply of blood, and, consequently, an insufficient amount of oxygen and nutrients.
Embolic strokes are usually a more spectacular, emergency event. They take place when the heart's rhythm is changed for a number of reasons, and blood clot formation takes place. Such a blood clot can move through the circulatory system until it blocks a blood vessel and stops the blood supply to cells in a specific portion of the body. If the blood clot occludes an artery that nourishes heart muscle, it causes myocardial infarction, or heart attack. If it blocks off a vessel that feeds brain tissue, it is termed an embolic stroke. Normally, these blockages occur in the brain itself, as when arteries directly feeding portions of brain tissue are blocked by a clot. But occasionally, the obstruction is found in the arteries of the neck, especially the carotid artery.
Approximately 20% of cerebrovascular accidents are termed hemorrhagic strokes, and are generally classified as subarachnoid hemorrhage or intracerebral hemorrhage, depending upon the location of the hemorrhage. Hemorrhagic strokes occur when an artery to the brain has a weakness and balloons outward, producing an aneurysm. Such an aneurysm often ruptures due to this inflation and thinning of the arterial wall, causing a hemorrhage in the affected portion of the brain.
Both ischemic and hemorrhagic strokes display similar symptoms. However, which symptoms appear depends upon which portion of the brain is cut off from its supply of oxygen and nourishment. The brain is divided into left and right hemispheres, which control bodily movement on opposing sides of the body. For example, the left hemisphere of the brain is responsible for both motor control of the right side of the body, and its sensory discrimination, just as the right hemisphere is responsible for body movements and feeling on the left side. Deeper brain tissue in the left hemisphere of the brain directs muscle tone and coordination for both the right arm and leg. As the communication and speech centers for the brain are also located in the left hemisphere of the brain, interruption of blood supply to that area can also affect the person's ability to speak.
Besides age, high blood pressure (hypertension) is one of the foremost causes of thrombotic stroke. Heart disease, obesity, diabetes, smoking, oral contraceptives in women, polycythemia (an increased number of red blood cells), and sleep apnea are also risk factors for thrombotic stroke, as is a diet high in cholesterol-producing, or fatty, foods.
The risk factors for hemorrhagic stroke include high blood pressure that can, over a period of time, cause the ballooning out of arteries known as aneurysm, and also causes the hereditary malformation that produces defective and weakened veins and arteries. Substance abuse is another major cause of hemorrhagic stroke. Cocaine, stimulants such as amphetamine drugs, and chronic alcoholism can cause a weakening of blood vessels that can result in hemorrhagic stroke.
The symptoms of stroke depend upon the part of the brain that is affected, and how large a portion of brain tissue has been damaged by the CVA. Unconsciousness and even seizures can be initial components of a stroke. Other effects materialize over a time period ranging from minutes to hours, and even, in some rare instances, over several days. Headache, mental confusion, vertigo, vision problems, difficulty speaking and communicating, including slurring of words (aphasia), and weakness or paralysis of one side of the body (hemiplegia) are all symptoms of stroke that are frequently observed. Stroke victims often have facial drooping, or slackness of the facial muscles, on the affected side, as well as difficulty swallowing. The severity of these symptoms will depend upon the amount of brain tissue that has been damaged and its location in the brain.
Normally, initial diagnosis will be made based upon observation by health care professionals, and usually a complete neurological examination. Once stroke is suspected, a computed tomography (CT) scan or magnetic resonance imaging (MRI) scan is performed to distinguish a stroke caused by blood clot from one caused by hemorrhage, a critical distinction that guides therapy. Blood and urine tests are done routinely to look for possible abnormalities associated with ischemic activity within the body. Electrocardiogram (EKG), angiography, and lumbar puncture are all used to rule out any other possible causes of the symptoms.
Emergency treatment
Strokes are always considered a medical emergency, and every minute is important in initiating treatment. With the possible exception of TIAs, all other types of stroke are a life-threatening event. A severe CVA that results in coma or unconsciousness will require medical monitoring and support, including oxygen and possibly intubation to ensure an adequate airway and to facilitate the patient's breathing. Providing fluids that the person may not be able to take by mouth due to swallowing difficulties may also be necessary.
Emergency treatment of stroke caused by a blood clot is directed at dissolving the clot. This thrombolytic therapy is currently performed most often with tissue plasminogen activator, or t-PA. As t-PA must be administered within three hours of the stroke event, people that awaken with stroke symptoms are usually considered beyond the time limit for t-PA therapy. A five-year clinical trial completed in 1995, and reported by the New England Journal of Medicine, showed that stroke patients treated with t-PA within three hours of the stroke were one-third more likely to be left with no permanent residual difficulty.
T-PA therapy carries a 6.4% risk of inducing a cerebral hemorrhage, and is not appropriate for patients with bleeding disorders, very high blood pressure, known aneurysms, any evidence of intracranial hemorrhage, or incidence of stroke, head trauma, or intracranial surgery within the past three months. Patients with clot-related (thrombotic or embolic) stroke who are ineligible for t- PA treatment may be treated with heparin or other blood thinners, or, in some cases, with aspirin or other anti-clotting agents.
Emergency treatment of hemorrhagic stroke is aimed at controlling intracranial pressure. Intravenous urea, or mannitol, plus hyperventilation are the most common treatment. Corticosteroids may also be used. Patients with bleeding disorders such as those due to anti- coagulant treatment should have these disorders reversed, if possible.
Sometimes surgical removal of a clot obstructing an artery is necessary. Hemorrhagic stroke can cause a buildup of pressure on the brain that must be relieved as quickly as possible to prevent further brain damage. In extreme cases, this may require an incision through the skull to relieve the pressure. Surgery for hemorrhage due to aneurysm may be performed if the aneurysm is close enough to the cranial surface to allow access. Ruptured vessels are closed off to prevent bleeding. For aneurysms that are difficult to reach surgically, endovascular treatment may be used. In this procedure, a catheter is guided from a larger artery up into the brain to reach the aneurysm. Small coils of wire are discharged into the aneurysm.
Longer term or rehabilitative treatment
Rehabilitation refers to a comprehensive program designed to regain function as much as possible and to compensate for permanent losses. It is based on the patient's individual deficits and strengths. Strokes on the left side of the brain primarily affect the right half of the body, and vice versa. In addition, in left-brain-dominant people, who constitute a significant majority of the population, left brain strokes usually lead to speech and language deficits. Right brain strokes may affect spatial perception, and patients with right brain strokes may also deny their illness, neglect the affected side of their body, and behave impulsively.
Much of the needed care in the days and weeks following a stroke will be to prevent further damage than what has already occurred. The severely ill stroke patient will require frequent repositioning to prevent complications such as pneumonia and venous or pulmonary embolism. Deep venous thrombosis, in which a clot forms within a limb immobilized by paralysis, is one of the most common medical complications following stroke. Clots that break free often become lodged in an artery feeding the lungs. This type of pulmonary embolism often causes death in the weeks following a stroke. Resuming activity within a day or two after the stroke is an important preventive measure, along with use of elastic stockings on the lower limbs. Drugs that prevent clotting may be given, including intravenous heparin and oral warfarin.
Weakness and loss of coordination of the swallowing muscles may impair swallowing (dysphasia), and allow food to enter the lower airway. This may lead to aspiration pneumonia, another common cause of death shortly after a stroke. Because of the difficulty swallowing, the person who has suffered a stroke may need a temporary or permanent feeding tube inserted into the stomach to ensure adequate nutrition. Such tubes can be either nasogastric, a thin tube that is inserted through the nose, into the esophagus, and then into the stomach, or a gastric one, which is a wider-lumen tube surgically implanted into the stomach. Less extreme dysphasia may be treated with retraining exercises and temporary use of pureed foods.
Other possible medical complications can include urinary tract infections, pressure ulcers, and falls. Urinary catheters are often inserted into the bladder to prevent the skin damage that can be caused by incontinence, but the presence of a catheter may also contribute to infections and loss of bladder tone. Bladder training, which consists of regular interval exercises to regain bladder tone, should begin as soon as possible. Frequent repositioning and good skin care will prevent the development of pressure ulcers, or decubitus ulcers.
Paralysis requires prevention of contractures (the tightening up of paralyzed limbs). Contractures and spasticity may be treated with a combination of stretching and splinting and, besides exercise, may include the use of supportive braces for arms or hands, or using footboards or wearing sneakers when in bed to prevent foot drop.
Occupational therapy improves self-care skills such as feeding, bathing, and dressing, and helps develop effective compensatory strategies and devices for activities of daily living. A speech-language pathologist focuses on communication and swallowing skills. When dysphasia is a problem, a nutritionist can advise alternative meals that provide adequate nutrition.
Rehabilitation may be complicated by cognitive losses, including diminished ability to understand and follow directions. Poor results are more likely in patients with significant or prolonged cognitive changes, sensory losses, language deficits, or incontinence. Depression occurs in an estimated 300% of all stroke patients, which is not surprising as they are typically dealing with a tremendous loss of abilities and independence. As such depression will impact upon the person's rehabilitation and recovery, it needs to be addressed, and may require the services of a psychiatrist and psychiatric nurse or mental health assistant. Antidepressants and psychotherapy may be used in combination.
The National Institute of Neurological Disorders and Stroke reports that 25% of people who suffer a stroke recover completely, while 20% die within three months after the stroke. Stroke is fatal for nearly twice as many people of African-American heritage as it is for European-Americans. Of the remaining 55% of people who have strokes, 5% will require long-term (nursing home) care. For the rest, rehabilitative and restorative services will be necessary in order for them to regain as much of their former capabilities as possible.
Brain tissue that dies in a stroke cannot regenerate, and stroke survivors may be left with significant deficits. It has been estimated that the most common irreversible damage from stroke is that done to intellectual functions. But as is increasingly shown, emergency treatment and comprehensive rehabilitation can significantly improve both survival and recovery. In some cases, many functions that are lost due to stroke may be performed by other brain regions after a training period, or compensatory actions may be developed to replace lost abilities.
Health care team roles
Rehabilitation is provided by a team of medical professionals, including the services of a neurologist, a physician who specializes in rehabilitation medicine, nurses to both provide care and assist the physician in coordinating the necessary services the stroke patient needs, a physical therapist, an occupational therapist, a speech-language pathologist, a nutritionist, and a social worker. Rehabilitation services may be provided in an acute care hospital, rehabilitation hospital, long-term- care facility, outpatient clinic, or at home.
Several different physicians may be involved, at one time or another, in the care of the stroke patient:
- A primary care physician (PCP) provides basic medical care to patients.
- A physical medicine and rehabilitation specialist assists patients to recover from or overcome disability or impairment. Often physical therapists work under their supervision.
- A neurologist specializes in disease conditions of the nervous system, and may be consulted to evaluate the extent of actual damage from a stroke.
- In the case of cerebral hemorrhage, a neurosurgeon, a specialist in both neurology and the surgical correction of nervous system damage, may be called upon to do surgery.
- Psychiatrists are licensed medical doctors that are often called upon to evaluate cognitive ability and to treat depression.
- Registered nurses (RNs) or licensed practical nurses (LPNs) are the health care provider that deal most often with the person who has had a CVA. Their duties include taking vital signs and monitoring the patient for complications of the stroke. They also educate the patient and family about the nature of strokes, the importance of preventing contractures and maintaining good range of motion, and about adequate nutrition and fluid intake.
- Physical therapists work with disabled stroke patients to maintain and restore range of motion and strength in affected limbs, and to maximize mobility in walking, wheelchair use, and transferring (for instance, from wheelchair to toilet or from standing to sitting). The physical therapist advises on mobility aids such as wheelchairs, braces, and canes.
- A social worker may help coordinate services and ease the transition out of the hospital back into the home, or into an extended care facility, if necessary. Social workers may help counsel the patient and family during the difficult rehabilitation period.
- Nutritionists educate stroke patients about eating nutritious foods and following through on a therapeutic diet as ordered by the physician.
- Occupational therapists help stroke patients to relearn muscular control and coordination in order to carry out normal activities of daily living such as bathing, dressing, and preparing meals.
- Speech-language therapists assist stroke patients who have damage to the speech center in the brain.
- Clinical laboratory scientists draw blood samples or test urine or sputum specimens that are ordered by the physician.
- Radiologic technologists take x rays, CT scans, and MRIs to visualize and monitor the brain or other affected organs after a stroke.
All health care team members are aware that the person who has suffered a stroke and the family members who may care for the person at home will need to learn entirely new sets of skills and adaptations. Both the patient and family often experience stress, anxiety, and depression. They may need to learn about physical and mental symptoms that are common in stroke patients, and the family may even need to learn how to deliver necessary care. Support groups can provide an important source of information, advice, and comfort for stroke patients and for caregivers. For the stroke patient, joining a support group can be one of the most important steps in the rehabilitation process.
An important facet of rehabilitation is preventing the recurrence of stroke. Control of blood pressure is the single most important factor in the prevention of strokes. People should regularly have their blood pressure checked, and if it is found to be consistently elevated (diastolic, or lower blood pressure beat above 90 to 100, systolic or top beat above 140 to 150), a physician should be consulted.
Diet, including the reduction of sodium (salt) intake, exercise, and weight loss, if necessary, are all non-drug treatments for lowering blood pressure. Other natural remedies include the consumption of artichoke, which lowers the fat content of the blood, garlic, now believed to lower cholesterol and blood pressure as well as reduce blood's clotting ability, and ginkgo, which improves circulation and strengthens arteries and veins. The use of folic acid, lecithin, and vitamins B6, B12, C, and E is recommended as supportive measures in reducing blood pressure.
Multiple studies have found that aspirin acts as a blood-thinning, or clot-reducing, medication when taken
in small doses. One aspirin tablet per day provides this anti-coagulant prevention.
If necessary, a physician may also order medication to lower blood pressure. These medications include the following categories of drugs:
- Beta blockers are used to reduce the force and speed of the heart-beat.
- Vasodilators are used to dilate the blood vessels.
- Diuretics reduce the total volume of circulating blood and thus the heart's work by removing fluid from the body.
- Lipid-lowering drugs increase the loss of cholesterol from the body or prevent the conversion of fatty acids to cholesterol. This lowers fat levels in the bloodstream.
Aneurysm pouch-like bulging of a blood vessel.
Angiographyhe procedure that enables blood vessels to be seen on film after the vessels have been filled with a substance that shows up opaque on x rays.
Arrhythmian abnormality of the rhythm or rate of the heartbeat.
Arteriolehe tiny extensions that arteries eventually break down into as they circulate blood.
Arteryliable, three-layered vessels that carry the blood away from the heart.
Atherosclerosisisease of the arterial wall in which the inner layer thickens, causing narrowing of the channel and thus impairing blood flow.
Computerized tomography (CT) scanhe diagnostic technique in which the combined use of a computer and x rays passed through the body at different angles produces clear, cross-sectional images of the tissue being examined.
Ischemicnsufficient blood supply to a specific organ or tissue.
Lumbar puncture procedure in which a hollow needle is inserted into the lower part of the spinal canal to withdraw cerebrospinal fluid (the clear liquid which surrounds the brain and spinal cord), or to inject drugs or other substances.
Magnetic resonance imaging (MRI)he diagnostic technique that provides high quality cross-sectional images of organs or structures within the body without x rays or other radiation.
Myocardial infarctioneart attack; sudden death of part of the heart muscle characterized in most cases by severe, unremitting chest pain.
Polycythemiancreased number of red cells in the blood.
Sleep apnea condition in which a person experiences episodes of cessation of breathing lasting 10 seconds or longer during sleep.
Thromboticertaining to a blood clot formed within an intact blood vessel as opposed to a clot formed to seal the wall of a blood vessel after an injury.
Transient ischemic attack (TIA)cclusion of smaller blood vessels to the brain that can produce stroke-like symptoms for anywhere from a few minutes to 24 hours, but leaves no permanent damage.
Caplan, L. R., M. L. Dyken, and J. D. Easton. American Heart Association Family Guide to Stroke Treatment, Recovery, and Prevention. New York, NY: Times Books, 1996.
Sammons, James H., John T. Baker, Frank D. Campion, Heidi Hough, James Ferris, and Brenda A. Clark. The American Medical Association Guide to Prescription and Over-the-Counter Drugs. New York, NY: Random House, 1988.
American Heart Association. <<a href="http://www.americanheart.org">http://www.americanheart.org>.
American Stroke Association. <<a href="http://www.strokeassociation.org">http://www.strokeassociation.org>.
National Institute of Neurological Disorders and Stroke, U.S. Department of Health and Human Services, National Institutes of Health. <<a href="http://www.ninds.nih.gov">http://www.ninds.nih.gov>.
Joan Schonbeck
Stroke (Encyclopedia of Public Health)
Stroke, or cerebrovascular accident (CVA), is the third leading cause of death (after heart disease and cancer) in the United States and the industrialized countries of the world. The term "stroke," which comes from subjects being suddenly "struck down" with neurological deficits, is commonly used by both professional and lay groups. Efforts are being made to replace the term with "brain attack" to dramatize its analogous effects to a "heart attack," the term used for myocardial infarction. The term "cerebrovascular accident" is used interchangeably with stroke ("accident" indicates the catastrophic nature of strokes, not a traumatic origin as the term implies). More than 600,000 strokes occur annually in the United States, according to the American Heart Association, and stroke prevalence (number of living stroke victims) is approximately 4.5 million with an annual cost in 1997, both direct and indirect, of over $40 billion.
Stroke refers to the usually sudden onset of a neurological deficit, such as hemiparesis (weakness on one side of the body), or aphasia (impairment of language comprehension and production), which can be attributed to either the occlusion or rupture of a cerebral vessel. Resulting specific neurological symptoms and signs are determined by the area of the brain that is affected, and since the complex functions of the brain are either localized in specialized areas or diffusely distributed, stroke symptoms may similarly be localized or generalized in nature. For example, the long pathway of motor fibers can be interrupted, with resulting hemiparesis involving various cerebral arteries or their branches, such as the anterior, middle, or vertebrobasilar arteries. Occlusion of smaller arterioles which feed smaller areas of brain may result in more isolated effects, such as pure sensory or motor hemiparesis. On the other hand, occlusion or rupture of vessels in "silent" areas of the brain, as in the frontal or parietal cortex, can lead to subtle nonfocal symptoms reflected in impaired cognition, executive function, or memory. Other symptoms of impaired specialized brain functions from strokes include apraxia (impairment in the execution of motor actions), and agnosia (loss of ability to recognize familiar objects). Leukoaraiosis, or increased T2-signal intensity, on magnetic resonance imaging (MRI) of brain white matter results predominantly from small-vessel disease, and this syndrome is associated with increased risks for strokes and dementia.
The causes of arterial occlusion, or ischemic strokes, are multiple. The most frequent is atherosclerotic disease of extracranial and/or intracranial arteries; the former is more common in Caucasians, while the latter is more frequent among African Americans and Asians. A thrombus (stationary blood clot) formed on atherosclerotic plaques in these locations, as well as on the aorta, can dislodge and embolize to occlude a distal artery. Strokes due to atherosclerosis account for approximately two-thirds of all strokes. If seen within three hours of stroke onset, treatment with tissue plasminogen activator (tPA), a thrombolytic agent, may substantially improve a patient's neurological outcome. Otherwise, therapeutic efforts are aimed at optimizing cerebral blood flow to ischemically impaired brain tissue, providing neural protection to avert brain damage, and maximizing neurorehabilitation. Research on stem cell and neural progenitor cell implantation into an ischemically damaged brain to promote recovery is a recently promising area of stroke research.
Transient Ischemic Attacks (TIAs). Strokes may be heralded by transient neurological deficits, called transient ischemic attacks (TIAs), such as temporary blindness of one eye (amaurosis fugax), hemiparesis, or aphasia. Most frequently, TIAs occur with significant atherosclerotic disease of the extracranial carotid arteries. Control of risk factors for atherosclerosis, such as hypertension, smoking, diabetes mellitus, elevated cholesterol, stress, and, perhaps, sedentary lifestyle, will hopefully minimize strokes from this cause to an irreducible minimum. For significant extracranial disease (>70% diameter stenosis [constriction] at the carotid bifurcation), carotid endarterectomy in competent surgical hands has been shown to reduce stroke recurrence significantly. Aspirin and other antiplatelet drugs in nonsurgical candidates can prevent subsequent strokes.
Cardiogenic strokes. Ischemic strokes can be caused by emboli from the heart as a result of more than a dozen cardiac disorders, the most common being arrhythmias, particularly atrial fibrillation (AF). Suspected cardiogenic strokes require workup, including transthoracic and transesophageal echocardiography (TTE and TEE), which can detect valvular pathologies, wall-motion abnormalities, thrombi, and patent foramen ovale (PFO). This group, in aggregate, may account for up to a quarter or more of all ischemic strokes. For AF, the treatment of choice to prevent embolic strokes is long-term anticoagulation. Patients who are not anticoagulation candidates should be treated with antiplatelet drugs. Conditions such as PFO can be treated medically with anticoagulation; surgical and percutaneous options are also available for PFO closure.
Lacunar Strokes. These strokes refer to small branch occlusions (noted previously), and include discrete syndromes such as pure sensory and motor hemiparesis. Lacunar strokes result primarily from chronic sustained hypertension, and the pathological change is "lipohyalinosis" of arterioles. This syndrome may account for 10 to 15 percent of all strokes. Adequate control of hypertension should prevent this condition.
Two final categories of diseases-causing ischemic strokes are more frequently considered in younger persons, especially those under fifty-five years of age, and involve arteries and blood elements. For the former, vessel diseases other than atherosclerosis include inflammatory processes, such as the arteritides; migraine; dissectionither spontaneous or traumatic; moyamoya syndrome; fibromuscular disorders; MELAS syndrome (mitochondrial encephalopathy, lactic acidosis, and stroke-like symptoms) and a few others. For the latter, blood-element disorders include clotting, and platelets and erythrocyte abnormalities. The most common clotting disorders are resistance to protein C activationost frequently due to Factor V Leiden mutation (506Q); antiphospholipid syndrome, which includes the lupus anticoagulant and anticardiolipin antibodies; reduced antithrombin III; protein C & S deficiencies; plus a few others. Treatment of vascular disorders is tailored to the individual condition; for example, migraine is treated with prophylactic agents, which prevent vasospasm; arteritides with steroids and immunosuppressive agents; and moyamoya syndrome with a variety of bypass surgical procedures. Many of the hypercoagulable or prothrombotic conditions are treated with long-term anticoagulation.
Rupture of vessels include two large categories. The more common is intracerebral hemorrhage (ICH), which results from chronic sustained hypertension and accounts for approximately 10 percent of all strokes. An infrequent cause of ICH is amyloid angiopathy; its cause (and cure) is unknown. A second category of vessel rupture is subarachnoid hemorrhage (SAH), most frequently due to aneurysmal rupture, but occasionally from arteriovenous malformations. SAH accounts for about 5 percent of all strokes. Gene and molecular pathological markers to identify persons at risk will hopefully provide interventional tools to both prevent and treat subjects at risk before aneurysmal rupture.
ICH occurs in five brain sites, most commonly in the putamen. With substantial cerebellar ICH in a noncomatose patient, surgical evacuation can be life-saving. The only other site that may benefit from surgery is polar or white matter ICH. In neurologically viable patients, SAH can be treated successfully with surgical extirpation of the aneurysm, or with a variety of endovascular procedures, such as aneurysmal obliteration.
As the third leading cause of death and disability, there are important public health implications for strokes, especially since many of the stroke syndromes are preventable. This is particularly true for those due to atherosclerosis, which is the most common cause of strokes. Except for increasing age, all of the risk factors for atherosclerosis can be either controlled or eliminated. To accomplish this goal, better strategies to educate and motivate the general public are vital.
In addition to controlling risk factors, a better understanding of the nature of stroke symptoms by the public is required for expeditious corrective and therapeutic measures, much as has happened with the public's general awareness of chest pain as a symptom of a potential heart attack. Investigations on proteomic and gene expression profiles for strokes to identify individuals at increased risk for strokes will hopefully provide public health planners with an even more powerful tool to intervene effectively for stroke prevention, the ultimate best treatment of strokes.
(SEE ALSO: American Heart Association; Atherosclerosis; Cardiovascular Diseases; Transient Ischemic Attacks)
Barnett, H. J. M.; Mohr, J. P.; Stein, B.; and Yatsu, F. M., eds. (1998). Stroke: Pathophysiology, Diagnosis & Management. Philadelphia, PA: Churchill-Livingstone.
Source: Encyclopedia of Medicine, ©2002 Gale Cengage. All Rights Reserved. Full copyright.
Source: Encyclopedia of Neurological Disorders, ©2005 Gale Cengage. All Rights Reserved. Full copyright.
Source: Encyclopedia of Mental Disorders, ©2003 Gale Cengage. All Rights Reserved. Full copyright.
Source: Encyclopedia of Children's Health, ©2005 Gale Cengage. All Rights Reserved. Full copyright.
Source: Encyclopedia of Alternative Medicine, ©2006 Gale Cengage. All Rights Reserved. Full copyright.
Source: Encyclopedia of Nursing & Allied Health, ©2002 Gale Cengage. All Rights Reserved. Full copyright.
Source: Encyclopedia of Public Health, ©2002 Gale Cengage. All Rights Reserved. Full copyright.


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Catherine Pritchard
Q: Could you give some history about the cemetery by Westover High School? - L.M., Fayetteville
A: It was there long before Westover High School and Ponderosa Elementary School were built on either side of it.
When 75-year-old Lorese Hill was a girl, the cemetery sat amid farmland on a dirt road that was simply called "the lane."
"It was country then," she said.
Back then, the cemetery seemed a long way from the church that owns it - Simon Temple A.M.E. Zion, once called Beaver Creek Chapel, which is about a half-mile away on Yadkin Road.
Hill remembers when the Ponderosa housing area was developed, when the schools were built on either side of the cemetery and when the dirt road gave way to a paved road called Bonanza Drive. She said it was fascinating to watch the landscape change. Now, she said, it's like everything has always been there.
Church officials weren't sure of the cemetery's age.
It's still used. Hill's brother was buried there in December. She said many other relatives are buried there, including her mother and father.
But it's no longer as accessible as it once was. The church built a fence around the cemetery in 1997 to preserve it from vandals and thoughtless kids. There's now a locked gate to keep out all but the invited.
Many in the area may not be aware of the cemetery's presence. It's behind the bus parking lot at Ponderosa Elementary and stretches along the access road to Westover.
Hill was born and raised in Fayetteville and has attended her church since babyhood. The cemetery, she said, was always there.
Q: Is Franklin Graham married? I've never seen any mention of him having a wife or any children. - F.H., Fayetteville
A: Graham, who's 60, has been married to Jane Austin Cunningham Graham since 1974. The couple has four children - Will, Edward, Roy and Cissie.
Will Graham - William Franklin Graham IV - is an associate evangelist for the Billy Graham Evangelistic Association, where he's also vice president.
Roy Graham and Cissie Graham Lynch both work with BGEA and Samaritan's Purse, the Christian humanitarian group headed by their father. Lynch is married to Corey Lynch of the San Diego Chargers.
Edward Graham, a West Point graduate, was listed as an Army major in a news article last year. He has served in Afghanistan and Iraq and sustained shrapnel wounds in Iraq in 2007.
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Slim Drops KPN Bid, Twitter Hires Google Exec (Video)
Oct. 17 (Bloomberg) -- Scarlet Fu reports on today's top tech stories on Bloomberg Television's "Bloomberg Surveillance." (Source: Bloomberg)
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October 3, 2011
John Talman HuskerOnline.com
Five-star defensive end Jonathan Bullard and friend Carlos Watkins won't visit Nebraska this weekend, but have a new date set. ...More... To continue reading this article you must be a member. Sign Up Now for a FREE Trial
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