text:
The NI LabVIEW Real-Time Module is a complete solution for creating reliable, stand-alone embedded systems with a graphical programming approach. As an add-on to the LabVIEW development environment, the LabVIEW Real-Time Module helps you develop and debug graphical applications that can be downloaded to and executed on embedded hardware devices such as NI CompactRIO, NI Single-Board RIO, PXI, vision systems, or even third-party PCs.
Programming graphically in LabVIEW can greatly improve your programming efficiency, and you can use this same graphical approach with the LabVIEW Real-Time Module to create stand-alone systems that run for extended periods of time. If you are new to LabVIEW or LabVIEW Real-Time, NI offers both self-paced training and instructor-led courses online to help you ramp up quickly.
While LabVIEW is commonly used to develop applications that run on desktop OSs such as Windows, these OSs are not optimized for running critical applications for an extended period of time. The LabVIEW Real-Time Module features real-time OS (RTOS) software that runs on NI embedded hardware devices and select third-party PCs.
With the LabVIEW Real-Time Module, you can take advantage of hundreds of prewritten LabVIEW libraries – including proportional integral derivative (PID) control and fast Fourier transforms (FFTs) – in your stand-alone systems. Real-time hardware drivers are also available with most NI I/O modules, so you can acquire data deterministically using the same API calls (for example, DAQmx) as in LabVIEW for the desktop.
Explore how RTOSs differ from general-purpose OSs like Windows.
Learn what a real-time system is and when to consider using one for your applications.
Walk through the software and hardware options for building a complete real-time system with NI products.
Learn how the LabVIEW 2013 Real-Time Module gives you the ability to use the latest technologies today, including the Linux real-time OS on the new NI cRIO-9068.
Buy the LabVIEW Real-Time Module and choose from several options for ongoing support and upgrades.
Save Money with NI Developer Suite Bundles: NI Developer Suite bundles include a variety of NI software at a discounted price. Start with the Real-Time Deployment Option and add more software from there.
Test your embedded design using Reconfigurable I/O hardware with the LabVIEW development environment.
You can enroll in classroom training or online training, or you can schedule an on-site course at your workplace.
This rugged, stand-alone hardware target features an onboard processor, disk storage, an FPGA, and room for C Series I/O modules.
This board-only hardware target for larger deployments incorporates the same architecture as CompactRIO.
These high-performance systems are based on x86 processors and CompactPCI hardware modules.
These hardware devices feature built-in or external camera connectivity.


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This week I promised I'd bring you an app that saves you money. The app is called RedLaser Barcode Scanner. I've been using this app for over a year now, and when I remember that I have it, I really do save money. Basically what it does is, you scan the barcode of say, a book or a box of cereal, RedLaser then searches for a cheaper deal available locally or through the Internet. It doesn't just work in the big name superstores. It works at grocery stores and even pharmacies. I use it mostly for finding the best price on books or magazines. The biggest problem I have with the app is that I always forget I have it. The best way to remember you have it, is to write RedLaser at the top of your grocery list. Then let your kids scan the barcodes, it will keep them entertained and it will keep a little more money in your pocket. That is unless they drop your phone… then you might have a little less money in your pocket.
Until next week,
Ali Strickland

subset: commoncrawl


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Read live coverage of conference speakers and check out daily exhibit highlights.
September Issue: Lagniappe RevisitedDigital/NXTbook | PDF
In This Issue:Editorial: Lagniappe RevisitedJoseph Zenel, MD, FAAP
Enticing areas of interest include sickle cell disease and advances in therapy, ongoing clinical trials, and new thoughts about the sickle cell trait; becoming media savvy and in control of the camera and the interview; and improving patient outcomes in the hospital and after discharge by communicating better and signing-off properly to the primary care doctor. Also take a first look at the Onsite Program.
August Issue: Pass a Good TimeDigital/NXTbook | PDF
In This Issue:Editorial: Pass a Good TimeJoseph Zenel, MD, FAAPRead about the impact of clinical trials, how video technology plays a role in diagnosing seizure disorders, honing surgical procedure techniques, new insights on racial disparities in birth outcomes, trends in medical marijuana, and practical application of mind-body medicine skills.
July Issue: Pro Bono PublicoDigital/NXTbook | PDF
In This Issue:Editorial: Pro Bono Publico (For the Common Good)Joseph Zenel, MD, FAAPOn the day before Mardi Gras, Rex, King of Carnival proudly proclaims his code of law, "pro bono publico" or, in English, "for the common good." We convene at the AAP conference because of the desire to do something good for children. …MORE Andrew Adesman discusses options for ADHD stimulant, non-stimulant treatments | Ellen Wald addresses management of Urinary Tract Infections in the very young | Steven Lichtenstein and Robert Gross Approach 25-Year Teaching Milestone | Joint Program featuring Critical and Emergency Medicine: Trauma in the ER, ICU, and Beyond
In This Issue:Editorial: Pirogue: Learning the NOLA Lingo
Keynote Address | Walt Handelsman, two-time Pulitzer Prize-winning editorial cartoonist for Newsday, offers a lively and different presentation All's Fair: Love, War and Politics | Staunchly opposed political pundits, James Carville and Mary Matalin, give weight to the argument that opposites attract Pediatricians need to blend old, new when marketing their practices Advocacy and Education Go Hand in Hand: Session and Event Highlights AAP Community Cares Project helps prepare inner-city school children for college
May Issue: Let the Good Times RollDigital/NXTbook | PDF
We're pleased to present a new name and look for AAP conference news. AAP Today includes monthly conference previews, daily, and post-event coverage May through October 2012. Content includes pediatrician commentary, in-depth reporting on hot topics and faculty experts, current recommendations and best practices for pediatricians and surgical and medical subspcialists, and i-Report social media posts from conference attendees.
Interested in advertising in this publication? Visit www.aapexperience.org/advertise
AAP Experience executive committee planning group member Joseph A. Zenel, MD, FAAP is a professor in pediatrics at the University of South Dakota Sanford School of Medicine. Dr Zenel received his medical degree from Georgetown University, completed residency at St. Christopher's Hospital for Children and is board certified in general pediatrics. Career highlights include the National Health Service, private practice and switching to academic medicine at Oregon Health & Science University. In 2008 he moved to South Dakota to start the Dakota's first pediatric residency program. Academic pursuits include practice, teaching, authoring, lecturing, working with the National Board of Medical Examiners and serving as deputy editor for Pediatrics in Review.


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Older than today
Male & Female models required for portrait photographs
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Seamstress Required
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Christmas themed Arts & Crafts event staff needed in Leith, Edinburgh
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Two Presenters Needed for Web Series Pilot
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Clown/Actor wanted for Student Film Shoot- shooting this TUESDAY in Edinburgh
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specialist or historian who knows about St Margaret's well in Holyrood for Student Documentary
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Male Model Needed
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Actor Español- Spanish Actor
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Urgent extra staff wanted for grotto in Kirkcaldy
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Opportunity to write for a new online journal
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Content writers / Site design tweakers! for new Edinburgh online publication - Work from HOME?
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Model needed for Photoshoot
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Underwater Photographer Needed
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Models Wanted for Black and White shoot Edinburgh
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Photographer for fashion shoot
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Student Graphic for Clothing Company
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Graphic Designer for Startup Clothing Company
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Stenhouse, Media, Design & Creative Jobs (68 ads posted)


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July 21, 2013
Austin Price VolQuest.com
Norcross, Ga. linebacker Kevin Mouhon had a unique insight to head coach Butch Jones. That insight plus his own personal relationship with Jones over the last few months brought Mouhon's recruitment to an end on Sunday with the four-star linebacker becoming the newest Vol. ...More... To continue reading this article you must be a member. Sign Up Now for a FREE Trial
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Nike 6.0 Dunk SE Shoe
$75.00 Item #61200407609101- Leather and suede lace-up shoe
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Nike 6.0 Dunk SE Shoe 1 1
Good looking, well made Nice leather shoe that is comfortable and good looking August 28, 2012
1-1 of 1


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Health care
Implementing Obamacare
Obamacare, the biggest change in the nation's health-care system in decades, is upon us.
With the health-insurance marketplaces scheduled to open for enrollment Oct. 1, millions of Americans, and officials at all levels of government, are trying to figure out what the sweeping Affordable Care Act means for them. On Jan. 1, the law goes into full effect.
Over the coming months and years, The Washington Post will follow the administration's efforts to promote the legislation and examine the implementation of the law at the federal and state levels, as well as the continued political fight in Congress.
Check back regularly for the latest news on the health-care overhaul.
Tighter fraud filter needed for Obamacare tax credits: IRS watchdog via Reuters
Few uninsured young people say they'll sign up for Obamacare
Obamacare needs young people to sign up, but fewer than three and 10 say they are likely to do so.
Insurers warn of problems with Obamacare enrollment surge via Reuters
These Congressional Doctors' Medical Opinions Are Trumped by Their Congressional Opinions via The Atlantic
Remember all those Obamacare horror stories? Not looking so bad now | Ana Marie Cox via The Guardian
Read In
The Post Most: PoliticsMost-viewed stories, videos and galleries int he past two hours


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Flint Opinion headlines
• Editorial: Unify police agencies in Flint, under one commander 3:31 PMWhy two law enforcement chiefs and not just one? It's a question that comes to mind as new leaders were named in recent days to head up both the Flint Police Department and the Flint State Police Post.
• Come Heller high water: Bring back inspirational Obama 12:13 PM
President Obama's speech at Nelson Mandela's memorial service in Soweto, South Africa, was his best and most inspiring since the 2004 Democratic Convention. I've missed that guy.
• How to discuss racial issues on MLive without violating the Community Rules 10:19 AM
When moderating comments on stories that touch on racial issues, we strive to balance our desire to allow people to discuss important problems in their communities with the equally strong desire to not give people a platform to promote hate or inflame racial tensions.
• Letter: Local governments need to pursue consolidation 11:32 PM
With all of the local governments' budgets being squeezed, I would like to see all local leaders pressed to pursue consolidating services.
• Guest view: Flint making progress in becoming more accessible for people with disabilities 9:01 AM
Should Kearsley Park and the City of Flint become even more accessible? Absolutely. Everyone wants a city that is welcoming to all citizens.
Come Heller High Water
by Andy Heller


text:
While Disney and Marvel's The Avengers continues to smash box office records domestically ($200.3 million) and overseas ($440 million), there are still nine other features jockeying for dominance on the box office charts:
Ensemble comedy Think Like a Man, adapted from Steve Harvey's best-selling advice book Act Like a Lady, came in second this weekend, bringing in $8 million for a total of $73 million.
Lionsgate's blockbuster The Hunger Games held on at number three in its seventh week out, earning $5.7 million for a total of $380.7 million.
At number four, the Warner Bros. film adaptation of Nicholas Sparks' The Lucky One, starring Zac Efron, brought in $5.5 million for a total of $40 million.
The stop-motion animated The Pirates! Band of Misfits, from Sony and Aardman, came in fifth, bringing in $5.4 million for a total of $18.6 million.
Universal's Five Year Engagement, starring Jason Segel and Emily Blunt, slid down to sixth place on its second weekend out, earning $5.1 million for a total of $19.3 million.
Relativity's The Raven, directed by James McTeigue (V for Vendetta) and starring John Cusack as Edgar Allen Poe, came in seventh place for the second week in a row, making $2.5 million for a total of $12 million.
Lionsgate's Safe moved down to eighth place this weekend, the film's second week out, bringing in $2.5 million for a total of $12.9 million.
In ninth place, Disney's nature documentary The Chimpanzee brought in $2.4 million for a total of $23 million.
Rounding out the list at number 10, the Farrelly Brothers adaptation of The Three Stooges earned $1.8 million for a total of $39.6 million.
Box office numbers were obtained on boxofficemojo.com [1].
[1] http://boxofficemojo.com/


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Everyday, a variety of intracranial lesions are evaluated and abnormal imaging characteristics, including location, size, enhancement, associated hemorrhage and mass effect, are described. One important complication of mass effect is brain herniation, which is the displacement of brain from one cranial compartment to another. The most common causes of brain herniation are tumors, intraparenchymal hematomas, cerebral infarctions and subdural or epidural hemorrhages.
The effects of brain herniations are most severe in children and adults of less than 50 years of age. Patients over 50 usually have more cerebrospinal fluid (CSF) both surrounding the brain and within the ventricular system due to atrophy, and this increased CSF content, in combination with larger ventricles, allows for greater insult from mass effect and less compression of brain tissue. Younger individuals have small, closely apposed basilar cisterns and ventricles, allowing less compensation for increasing intracranial pressure and mass effect. Herniation can occur slowly from non-acute pathology such as tumors, or may occur rapidly due to acute events like traumatic hemorrhage.1
Many aspects contribute to the formation of mass effect with subsequent herniation. Mass effect is produced when there is alteration of the normal equilibrium between blood flow, CSF production, and existing brain tissue. The arteries provide a constant supply of fluid with oxygen and nutrients to the neural tissue, while veins simultaneously remove the fluid. CSF is produced in the choroid plexuses of the ventricles and then travels into the subarachnoid space where it is eventually resorbed by the arachnoid villi. Any insult involving the vascular supply or the ventricular system can result in mass effect.
The fact that the brain is confined to the skull makes the problem worse, as there is no room for expansion. Venous occlusion, either due to thrombosis or compression, will compromise the removal of fluid that is constantly reintroduced by the arteries. Elevated production or the inadequate resorption of CSF causes increased fluid within the intracranial cavity. The increase in fluid volume within the CNS is effectively increased "mass", with associated "mass effect" upon adjacent structures.
There are four major types of cerebral herniations: subfalcine, transtentorial, uncal, and tonsillar (figures 1,2).2-4 A fifth type, transphenoidal herniation, will be discussed briefly, but is less frequently seen than the other types. The key to understanding herniations and their sequelae is a complete anatomical knowledge of the brain, skull, and dural reflections. It is a thorough understanding of this anatomic relationship which can help define the cause, appearance, and complications of the various herniations.
Anatomy of the falx cerebri and tentorium cerebelli
The skull is a fixed structure that allows no compensation for expansion of brain tissue. The cranial cavity within the skull is functionally divided into compartments by combinations of bony ridges and dural folds (figure 3). The base of the skull provides a floor for the frontal and temporal lobes to rest on, as well as to allow passage of peripheral neural structures. Inward reflections of the dura mater are present which stabilize and protect the brain against excessive movement. These dural reflections are formed by the visceral layer of the dura mater and divide the intracranial cavity into various compartments, known as the falx cerebri, the tentorium cerebelli, and the falx cerebelli.
Anteriorly, the falx cerebri is attached to the crista galli, from where it extends midline along the skull's inner table to the confluence of sinuses (torcular herophili) posteriorly. It is narrow anteriorly and broad posteriorly, where it connects with the upper surface of the tentorium cerebelli.5 The falx cerebri contains the superior sagittal sinus along its upper margin and the inferior sagittal sinus along its inferior margin.5 The superior sagittal sinus drains directly into the sinus confluence, the inferior sagittal sinus drains into the straight sinus. As the falx cerebri courses posteriorly, it elongates in its craniocaudad dimension and forms a larger barrier between the hemispheres (figure 3). The increased size of the posterior portion of the falx cerebri makes it more resistant to movement than the anterior falx cerebri. It is for this reason that subfalcine herniations more commonly occur anteriorly.
The tentorium cerebelli creates a compartment between the posterior fossa and the cerebral hemispheres. It is attached to the occipital bone posteriorly, the petrous portions of the temporal bones laterally, and the clinoid processes anteriorly; it courses superomedially from its bony attachments to join the falx cerebri. The tentorium cerebelli contains the transverse sinuses, which eventually course through the skull base, and the straight sinus, which empties into the sinus confluence.5
The tentorium cerebelli contains an opening anteriorly that allows passage of the brain stem and cerebral peduncles (figure 3). This opening is known as the tentorial hiatus, tentorial notch, or incisura and measures approximately 5.5 cm in the fronto-occipital axis and
3 cm in the interparietal axis.6 The tentorial notch is semiovular in shape and its only bony attachment is at the clinoid processes anteriorly.5 The remaining lateral and posterior borders of the tentorial notch are the "free edges." These are without direct attachment, but are taut and firm nonetheless.
Obviously, a herniation is a critical finding that reflects evidence of a pathologic process and the need for possible emergent intervention. It is imperative to not only report the presence of a herniation, but to also evaluate for possible complications. Such complications
may result from compression upon adjacent arteries, veins, nerves and brain parenchyma.
Subfalcine herniation
A subfalcine herniation, or midline shift, occurs when mass effect causes displacement of the falx cerebri laterally (figure 4). It is the most common type of brain herniation and is often associated with herniation of the cingulate gyrus below the falx cerebri. The cingulate gyrus of each cerebral hemisphere normally lies medial to the inferior aspect of the falx cerebri (figure 1).
The degree of herniation can be mild with minimal midline shift or can be severe, exhibiting complete herniation of the cingulate gyrus and adjacent white matter. Due to the tough fibrous structure of the falx and its resistance to movement, a few millimeters of midline shift is considered significant. With increasing mass effect, the ipsilateral lateral ventricle and both foramina of Monro become compressed. This compression results in a slit-like appearance of the ipsilateral ventricle and an enlarged contralateral ventricle. This enlargement is due to continued production of CSF that cannot escape into the third ventricle.7 Chronic compression upon the cingulate gyrus may cause necrosis.1
The anterior cerebral arteries and their branches (the callosomarginal, pericallosal, and frontopolar arteries) are located between the falx cerebri and the adjacent gyri of the frontal and parietal lobes. When subfalcine herniation is
present there is the possibility of anterior cerebral artery compression,8,9 especially when an anterior lesion also is present. If these vessels become trapped against the falx, the patient may be at risk of infarction.10 Formation of an aneurysm due to vascular damage is another unusual complication of compression of the anterior cerebral arteries by the falx cerebri that may be present.11
When the lesion is located posteriorly in the hemisphere, there may be compression of the internal cerebral veins,9 vein of Galen, or the deep subependymal veins. Compression of these veins raises the pressure of the entire deep venous system, which further aggravates parenchymal congestion and increases intracranial pressure (ICP).12 When a subfalcine herniation is present, the concomitant presence of a transtentorial or uncal herniation also should be evaluated.1
Transtentorial herniation
Transtentorial herniation is due to mass effect that causes shift of neural components into the tentorial notch. There are three separate types of herniations which cross the tentorium
cerebelli. Descending and ascending transtentorial herniation will be discussed here, and uncal herniation, a subtype of a transtentorial herniation, will be discussed separately.
There is limited space within the tentorial notch, which contains the brain stem and its surrounding subarachnoid cisterns. Only a few millimeters of space are present between the midbrain and the rigid tentorial edge.13 Therefore, much lateral displacement of the brainstem cannot be tolerated, and a shift from the midline of a few millimeters will result in compression.14-16 Both ascending and descending herniation can produce enough pressure on the brainstem to produce cerebral aqueduct occlusion (figure 2).1 When this occurs, it results in obstructive hydrocephalus supratentorially, which compounds the problem by increasing ICP.14 Eventually, the increasing compression upon the brainstem compromises the cardiorespiratory centers, which can be fatal.
Descending transtentorial herniation occurs when mass effect displaces the medial part of the temporal lobe through the tentorial notch. Specifically, it is the middle and posterior
portions of the parahippocampal gyrus that herniate and compress the brainstem.17 Descending transtentorial herniation is commonly seen with masses involving the inferior portion of a hemisphere. This increase in mass effect forces the diencephalon and midbrain inferiorly through the tentorial notch (figure 5).3 The herniated parahippocampal gyrus generally is unilateral, but has also been found to be bilateral.1 Bilateral herniation is commonly produced by a midline mass, bilateral mass, or supratentorial hydrocephalus whose vector forces are directed inferiorly and medially (figure 6).18 Transtentorial herniation commonly is associated with a concomitant subfalcine herniation.1
In severe cases of descending transtentorial herniation, there is obliteration of all basilar cisterns. When displaced inferiorly, the parahippocampal gyrus compresses regions of the midbrain, including the cerebral aqueduct. Increasing herniation will then sequentially compress the pons and, subsequently, the medulla.19 Often, acute compression of the entire brain stem occurs simultaneously due to the acute and catastrophic nature of the lesion.
The midbrain is surrounded laterally by the ambient cisterns, posteriorly by the quadrigeminal cistern, and anteriorly by the interpeduncular and suprasellar cisterns (figure 7). These cisterns serve as corridors for the passage of the posterior cerebral arteries and the third cranial nerves. Each third cranial nerve courses through the interpeduncular cistern below the posterior cerebral artery.
To a variable extent, the herniated temporal lobe can compress the oculomotor nerve, the posterior cerebral artery, the anterior choroidal artery, and the superior cerebellar artery.20 Compression of the oculomotor nerve produces ipsilateral pupillary dilatation. Compression of the posterior cerebral artery between the temporal lobe and tentorial edge results in infarction. Both posterior cerebral arteries may become compressed if bilateral herniation is present.21 Occlusion of the anterior choroidal artery results in infarction of the structures in its vascular supply, which include the optic tract, temporal lobe, basal ganglia, cerebral peduncles, and midbrain.22 Cerebellar infarction will occur if the superior cerebellar artery is compressed.
In severe cases of transtentorial herniation, a Duret hemorrhage may occur. This is a brainstem hemorrhage caused by mechanical shearing of the pontine and mesencephalic perforating vessels, especially the arterials, by the herniating tissue.23,24 Compression related to Duret hemorrhage may compromise the cardiorespiratory centers, resulting in death.3,25
Transtentorial herniation is a grim finding as it usually is an acute process which is lethal in a very short time. In unilateral descending transtentorial herniation, the brainstem is shifted away from the herniating temporal lobe, resulting in enlargement of the ipsilateral cerebellopontine angle cistern.7 In this instance, the brainstem will appear flattened and elongated, with compressed or obliterated perimesencephalic cisterns.
Ascending transtentorial herniation is due to increased pressure in the posterior fossa. This increase in pressure projects the central lobule, culmen, and superior surface of the cerebellum upward through the tentorial notch, resulting in compression of the brain stem (figure 2).7 This brainstem displacement is well visualized on multiplanar magnetic resonance images.
In ascending transtentorial herniation, the superior vermian cistern is effaced and the fourth ventricle is compressed and displaced anteriorly (figures 8,9).7 With increasing upward herniation, the quadrigeminal cistern becomes effaced and the midbrain displaced anteriorly against the clivus.26,27 Increasing mass effect may occlude the cerebral aqueduct, resulting in increased intracranial pressure.14 An ascending transtentorial herniation also is likely to obstruct venous outflow through direct compression of the vein of Galen and the basal vein of Rosenthal, which further aggravates parenchymal congestion and increases the ICP.12 Midbrain compression also may be complicated by periaqueductal necrosis of the brain stem.
Uncal herniation
Uncal herniation occurs when the uncus is displaced medially and inferiorly over the free edge of the tentorium cerebelli.2 The uncus is the hooked, anterior extension of the parahippocampal formation of the medial temporal lobe (figure 7). Normally it is located 3 to 4 mm medial to the free edge of the tentorium, which is adjacent to the suprasellar cistern.28 In herniation, the uncal gyrus is displaced into the suprasellar cistern between the free edge of the tentorium and the anterior edge of the midbrain (figures 10,11,12).14 This type of herniation usually is secondary to a mass located more inferiorly in the cerebral hemisphere, such as in the temporal lobe.
Uncal herniation often exhibits compression of one or both of the cerebral peduncles, as well as the adjacent oculomotor nerve. The oculomotor nerve is located medial to the uncus and passes between the superior cerebellar artery and the posterior cerebral artery.29 Mass effect upon the third cranial nerve and compression of the ipsilateral cerebral peduncle causes a recognizable clinical syndrome, characterized by a blown pupil with contralateral hemiparesis.10 Alternatively, the uncus can displace the brain stem against the opposite tentorial edge and cause an indentation of the contralateral cerebral peduncle, known as Kernohan's notch.28,29 This contralateral compression causes ipsilateral hemiparesis, which falsely localizes the symptoms to the other side.22
Uncal herniation can compress the posterior cerebral artery as it encircles the cerebral peduncle anterolaterally; however, the risk of infarction is greater with transtentorial herniation due to a closer anatomic relationship between the parahippocampal gyrus and the
posterior cerebral artery (figure 3). Additionally, there also can be compression upon the anterior choroidal artery and superior cerebellar artery, with resultant infarction.
Imaging features of uncal herniation include distortion of the suprasellar cistern due to the medial and inferior position of the uncus. The normal suprasellar cistern has a "star"" configuration, but in uncal herniation the lateral aspect of the star is obliterated by the uncus.30 The cerebral peduncle will appear flattened and the midbrain can be rotated or tilted.1 The ipsilateral cerebellopontine angle cistern may be widened due to shift of the brainstem (figure 11).
Tonsillar herniation
Tonsillar herniation occurs when mass effect in the posterior fossa causes inferior displacement of the cerebellar tonsils into or beyond the foramen magnum (figures 1,2).31 Two-thirds of patients with ascending transtentorial and one-half of those with descending transtentorial shift have concurrent tonsillar herniation (figures 8,13).4
Tonsillar herniation usually is not fatal; however, in rare cases, there can be significant compression upon the medulla which can be fatal.1 Additionally, compression upon the posterior inferior cerebellar arteries can produce infarction.10 The presence of a concomitant ascending transtentorial herniation must be evaluated because of its common association and clinical importance. Tonsillar herniation can obstruct CSF outflow from the fourth ventricle, resulting in hydrocephalus.1
Tonsillar herniation is difficult to accurately characterize on axial CT images. However, the demonstration of brain parenchyma around the medulla in the foramen magnum and a less than adequate amount of CSF in the foramen magnum (figure 13) may provide clues to its presence.22 Although sagittal MR images have been found to be the best method for evaluating tonsillar herniation, direct or reconstructed coronal CT images also will demonstrate an abnormal inferior location of the cerebellar tonsils.
It is important to know not to perform a lumbar puncture in the presence of significant herniation, especially a transtentorial or tonsillar herniation. The withdrawal of CSF will decrease the pressure below the foramen magnum, allowing further herniation inferiorly. This can increase compression upon the brain stem suddenly, often resulting
in death due to cardiorespiratory center compromise.32
Transphenoidal (transalar) herniation
Transphenoidal herniation is found when mass effect displaces brain tissue across the sphenoid wing. There are two types of transphenoidal herniation, ascending and descending, which involve the temporal lobe and frontal lobe, respectively. Descending herniation occurs when the frontal lobe is forced posteriorly over the greater sphenoid wing, causing backward displacement of the sylvian fissure, the horizontal middle cerebral artery, and the temporal lobe. This type of herniation, caused by a lesion in the anterior frontal lobe, can lead to ischemic changes in the inferior frontal lobe.1 Ascending herniation occurs when the temporal lobe, sylvian fissure, and middle cerebral artery are displaced anterosuperiorly over the sphenoid ridge by all adjacent mass.
Complications due to mass effect are commonly seen. It is extremely important to not only describe an inciting mass lesion, but also to comment on any associated complications such as cerebral herniation. The type of herniation and any associated complications are important to the clinician to help assess therapeutic options and the possible need for emergent intervention. AR
1. Taveras JM: Neuroradiology, ed 3, pp 111-115. Baltimore, Williams & Wilkins, 1996.
2. Meyer A: Herniation of the brain. Arch Neurol Psychiatr 4:387-400, 1920.
3. Scheinker IM: Transtentorial herniation of the brainstem; A characteristic clinicopathologic syndrome; Pathogenesis of hemorrhages in the brainstem. Arch Neurol Psychiatr 53:289-298, 1945.
4. Reich JB, Sierra J, Camp W, et al: Magnetic resonance imaging measurements and clinical changes accompanying transtentorial and foramen magnum brain herniation. Ann Neurol 33:159-170, 1993.
5. Gray H: Gray's Anatomy, pp 512-523. Philadelphia, Running Press, 1974.
6. Sunderland S: The tentorial notch and complications produced by herniations of the brain through that aperture. Br J Surg 455:422-438, 1958.
7. Osborn AG: Handbook of Neuroradiology: Brain and Skull, ed 2, pp 222-230. St. Louis, Mosby, 1996.
8. Hassler O: Arterial pattern of human brainstem: Normal appearance and deformation in expanding supratentorial conditions. Neurology 17:1-6, 1967.
9. Sohn D, Levine S: Frontal lobe infarcts caused by brain herniation: Compression of anterior cerebral artery branches. Arch Pathol Lab Med 84:509-512, 1967.
10. Barr R, Gean AD: Trauma. In: Brandt WE, Helms CA: Fundamentals of Diagnostic Radiology, pp 65-68. Baltimore, Williams & Wilkins, 1994.
11. Nakstad P, Nornes H, Hauge HN: Traumatic aneurysms of the pericallosal arteries. Neuroradiology 28:335-338, 1986.
12. Ecker A: Upward transtentorial herniation of the brainstem and cerebellum due to tumor of the posterior fossa: With a special note on tumors of acoustic nerve. J Neurosurg 5:51-61, 1948.
13. Elguera M: Transtentorial Herniation, Finney LA, Walker AE (eds). Springfield, IL, Charles C. Thomas, 1962.
14. Schwarz GA, Rosner AA: Displacement and herniation of the hippocampal gyrus through the incisura tentorii. Arch Neurol Psychiatry 46:297-321, 1941.
15. Jefferson G: The tentorial pressure cone. Arch Neurol Psychiatr 40:857-876, 1938.
16. Smyth GE, Henderson WR: Observations on the cerebrospinal fluid pressure on simultaneous ventricular and lumbar punctures. J Neurol Psychiatr 1:226-238, 1938.
17. Stovring J: Descending tentorial herniations: Findings on computed tomography. Neuroradiology 14:101-106, 1977.
18. Hahn F, Gurney J: CT signs of central descending transtentorial herniation. AJNR 6:844-845, 1985.
19. Feldmann E, Gandy SE, Becker R, et al: MRI demonstrates descending transtentorial herniation. Neurology 38:697-701, 1988.
20. Blinkov SM, Gabibov GA, Tanyashin SV: Variations in location of the arteries coursing between the brain stem and the free edge of the tentorium. J Neurosurg 76:973-978, 1992.
21. Komaki S, Handel S: Molding of the posterior communicating artery in downward transtentorial herniation. Radiology 113:107-119, 1974.
22. Grossman RI, Yousem DM: Trauma. In: Neuroradiology - The Requisites, pp 161-162. St. Louis, Mosby-Year Book, Inc., 1994.
23. Fisher CM: The arterial source of secondary brain stem hemorrhages (abstr). J Pathol 66:9a, 1972.
24. Thompson RK, Salcman M: Brain stem hemorrhages: historical perspective. Neurosurgery 22: 623-628, 1988.
25. Howell DA: Longitudinal brain stem compression with buckling. Arch Neurol 4:572-579, 1961.
26. Osborn AG: Secondary effects of intracranial trauma. Neurosurg Clin N Am 1:461-474, 1991.
27. Speigelman R, Hadani M, Ram Z, et al: Upward transtentorial herniation: A complication of postoperative edema at the cervicomedullary junction. Neurosurg 24:284-288, 1989.
28. Cohen D, Quest D: Increased intracranial pressure, brain herniation. In: Wilkins RH, Rengachary SS (eds): Neurosurgery, ed 2, pp 349-350. New York, McGraw-Hill, 1996.
29. Kernohan JW, Woltman HW: Incisura of the crus due to contralateral brain tumor. Arch Neurol Psychiatry 21:274-287, 1929.
30. Osborn, AG: Diagnosis of descending transtentorial herniation by cranial computed tomography. Radiology 123:93-96, 1976.
31. Ishikawa M, Kikuchi H, Fujisawa I, Yonekawa Y: Tonsillar herniation on magnetic resonance imaging. Neurosurgery 22:77-81, 1988.
32. Ramsey RG: Disorders of the spine. In: Neuroradiology, ed 3, pp 42-43, 496. Philadelphia, WB Saunders, 1994.
Dr. Coburn and Dr. Rodriguez are in the Department of Radiology at the University of Missouri Hospital and Clinics in Columbia, MO.


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How Did The EU Get the Nobel Peace Prize?
FBN's David Asman on the European Union receiving the Nobel Peace Prize and politicians' praise for FEMA's response to Hurricane Sandy.
Dec 10, 2012
You're watching...
FBN's David Asman on the European Union receiving the Nobel Peace Prize and politicians' praise for FEMA's response to Hurricane Sandy.
Dec 10, 2012
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Pastime finally a politician any -- and actually on this entire planet to throttle.
It could be the ones in Europe today collectively patted themselves on the back and accepting a Nobel Peace Prize for key being.
The peace.
Even as you're breaks out into financial and all but civil war.
-- -- -- -- European Union can be.
And indeed he's.
That powerful -- durations for many around the world.
You announces they always take them at a distance.
Anyway it could -- these politicians here hot fighting each other in singing the praises of FEMA even as the folks are supposed to be rescued and so learning like that's.
We are very pleased.
Under the leadership initially Jett Travolta or FEMA is FEMA has been fantastic.
Today you hear nothing but good things about -- everybody's sitting on the table.
Maybe that's number one priority in this continues to be.
My number one priority.
Continuing now our hat trick of helplessness it could be their finger pointing counterparts installing the urgent need.
To get a deal done to avoid this cliff even as they spend more time.
Blaming the other side -- not getting serious about this.
-- -- -- this -- a progress report because there is no progress to report the White House was wasted another week.
This is the same Republican leadership that had the house and -- it and -- and session barely a day.
-- a full day at this week.
So many -- that it's like bureaucrats so little time visit mirror -- the whole world not only run at a time.
But its leaders have collectively run out of their minds my dad.
We have only seen our leaders lose their resolve we're getting a two for 13 be witnessing losing their marbles is well.
How else could you explain -- -- union members statement valves and Oslo today.
-- Nobel Peace Prize it takes the prize for hot spot.
-- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- The issue is of politicians out the launch of my friends the issue is politicians his.
Out period -- busy patting themselves on the back.
To realize what they really deserve is a good swift kick in the ass to David -- -- not a big surprise.
And -- today it's hard to say -- start -- isn't this is such a target rich environment thank you for giving me a -- -- targets extra let's start with the Nobel Peace Prize.
-- organizer Barack Obama getting the peace prize before he'd done anything except when an election or Yasser Arafat you know he's another when it got -- Nobel peach or Al Gore.
These are all people.
Who say.
Live as I say not as I live the -- -- the royal life and then they sprinkle little little bread crumbs or or cake crumbs for the rest I don't need this.
How does the -- -- your within the whole European Union but of which should know Oslo -- but the officials at all apart and they.
To shady you review your problem we're getting ourselves surprise is that the winning the Nobel Peace Prize no longer has -- do with peace -- prosperity for that matter depends.
It all depends on how much you wanna beat.
Beat up on the United States in particular or our lifestyle the values that we have if you if you're willing to do that -- You deserve a Nobel peace price again it's not so much.
Weighed the way they live because these folks are all of their living the royal life these these are bureaucrats.
Like Bloomberg gauges showed him talking about FEMA but what does he know about what's actually happening Rockville Centre with regard -- -- I was just out their last weekend for something with was McDonald.
And the people there are still say where's -- out.
And I think they just don't have a clue they want to regulate our lives for us always bureaucrats whether -- European bureaucrats.
Or the mayor Bloomberg's telling us what kinda how much salt the validity but -- -- don't live that way and honest so we noted -- them.
If is George this bushel guilty of of the same sort of -- -- -- over in fact they work.
Not now not here don't know of course not because they have all of their friends in the media -- mean again who's who's doing attacking most of the time it was it was the the liberals in the media that were attacking bush and it's -- liberals in the media who were not attacking Obama or any of the any of these -- how can analysts straight days look at Europe commending itself for a prize.
Keeping the union together when you and I know.
It is falling apart as we speak how could anybody look at the Nobel Peace Prize with a straight face when it goes to Yasser Arafat.
I think of -- it's and it's a pure work joke it's almost it's almost a dis credit to be given the Nobel peace.
There were times when people like Mother Teresa and Albert Schweitzer in the decent people got.
But that's when it stood for peace and prosperity now we're just stands for a hit against the United States -- hit against the values that we hold the if it's if it's politically correct their fine but if it's not forget it.
All right well off somewhat true that Nobel Prize for me I -- -- out of the car a lot of us are gonna get enough time soon meanwhile American.
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Spaz Jam turned the tides.
by Rachel Stern
Turnovers, turnovers, turnovers.
On Wednesday night, turnovers were the story of the game, as Syracuse and Memphis combined for 30 giveaways in route to a 74-57 Syracuse victory in front of 17,805 at the Carrier Dome.
But no one turnover ended up being as costly as Andy Routins' throwaway with 14:01 remaining in the ball game.
Only this turnover ended up helping the Orange.
With the Orange up 42-39, Rautins threw the ball away and Duke transfer and Memphis leading scorer Elliot Williams corralled the ball and appeared to have an easy 2 points. It was only a question of how Williams would finish the play, and as Jim Boeheim threw his jacket and turned toward his bench in disgust, Williams soared in the air and opted with the two-handed throw down as he yelled in midair.
The ball, however, hit the back of the rim and sent the Dome crowd into a frenzy.
Kris Joseph, who scored 15 points, all coming in the second half, was fouled on the other end and connected on both free throws. Memphis coach Josh Pastner called a timeout, pulled Williams and the Tigers were never able to recover.
"That was freakish. How many times does that happen?" Pastner said. "A wide open dunk, that was a big turning point. Syracuse was up three, we get that and they're up only one and we have momentum. That really was a big play, it was a freak thing."
Syracuse scored 9 of the next 10 points and Memphis turned the ball over four times in their next seven possessions, as the Orange extended their lead to 11 with just over 11 minutes remaining in the ballgame.
Though a frustrated Boeheim stated he was "not happy about anything" after the game, Memphis never got closer than 8 after the missed dunk.
– Ninety minutes before tip off Wes Johnson is the only Orange player on the court putting up shot after shot. After Boeheim touted Johnson as a "top-5 pick," it is clear Johnson wants to live up to that praise as he takes an array of catch and shoot shots, one dribble pull-ups and shots off imaginary screens.
– Memphis big man Pierre Henderson-Niles is all of the 278 pounds he is listed at. He is a big boy, period. A few of his pre-game dunks leave the hoop shaking.
– Memphis first-year head coach Josh Pastner is relaxed before the game. He scrolls through his cell phone, poses with a kid in a Memphis t-shirt and chats it up with assistant coach Glynn Cyprien.
– Pastner is talking to graduate assistant manager Dan Connelly. Guess what the two are talking about 35 minutes before tip-off? Gilbert Arenas and their belief that he is done for the year, just as the news breaks that Gil is suspended indefinitely. I also overhear talk of former Syracuse stud, Carmelo Anthony. I know our readers will appreciate the NBA-shout outs.
– Syracuse has three starters over 6-5, Memphis has one. This would end up being a huge advantage, as Syracuse pounded it inside all night.
– After a Wes Johnson three from the left corner, Elliot Williams throws down a powerful two-handed slam. This one would go in, however, as Syracuse is out to an early 3-2 lead.
– Off to a sloppy start, the Orange have a couple turnovers and fouls. Boeheim inserts Scoop Jardine and Kris Joseph at the 15:34 mark with Memphis up 10-4.
– At the 10:34 mark, the Orange is up 15-14 and has strung together an 11-4 run since the crowd yelled, "Scooop." Jardine has forced an offensive foul, given his big men easy shots, hit a three, stole the ball and fed Rautins for a three from the right wing.
– As Syracuse keeps feeding the bigs, Memphis is in the game because of their outside shooting. Roburt Sallie, fresh off a game in which he hit 10 from beyond the arc, is lighting up the Orange, connecting on 3-3 from three-point land.
– Arinze Onuaku and Rick Jackson have gotten lay-up after lay-up, but failed to connect on several easy bunnies. They have missed free throws and turned the ball over. Boeheim is irate at his bigs for giving up easy points and gets in Jackson's face during a timeout with 3:26 left in the half and Memphis up two.
– After another Sallie three off a drive and dish from Williams, Jardine hits Onuaku on the block. One power dribble and an easy two-handed slam for the big man.
– With Memphis up three, Syracuse holds for the final shot of the half. The ball is in who else's hands but Jardine's. He dishes to Rautins who hits a deep, deep three from the left wing right in front of the Memphis bench.
– Things are all tied up at 32 at the half.
– Despite Syracuse's huge advantage inside, Memphis has shot the lights out from beyond the arc, going 7-15. Sallie is 4-4 from three-point range, tallying 13 points. Williams has 8 for Memphis, who is shooting 42.3 percent from the floor.
– Syracuse can get it inside any time they want. Jackson and Onuaku have struggled to finish, however. Jackson has 9 points and Onuaku has 6 points and 6 boards.
– Jardine was the difference maker for the Orange. He never left the court since the 15:34 mark and has six points, three assists and a steal. He constantly fed the big men, who went to the line 10 times, but only connected on five of them.
– In the first 40 seconds, Rautins comes out and cans a three, only to be followed up by Sallie, who is now 5-5 from beyond the arc.
– After Syracuse gathers a couple 50-50 balls, Pastner is fuming and storms onto the court, hands in the air and stomps his foot after calling a timeout. His Tigers are failing to get the loose balls and the Orange are up by three with just under 17 minutes to go.
– The timeout has inspired the Tigers as Williams finishes an easy lay up and Wesley Witherspoon gets a put back. The Orange miss a couple lay ups, but after a Memphis offensive foul, Pastner needs to be held back by assistants Cyprien and Jack Murphy, as he goes after the refs. Syracuse is up one with 14:53 to play.
– The Rautins turnover and Williams' missed dunk turns into a 4-point turnaround and a huge momentum swing. Joseph heats up for the Orange, while Memphis is plagued by turnovers. Willie Kemp commits 2 turnovers, as Rautins and Joseph each connect on jumpers from the left corner. With 8:30 left to play the Orange are up by 11.
– Kris Joseph is everywhere for the Orange. After going scoreless in the first half, he is driving aggressively, hitting jumpers and getting to the foul line. He even has time to wave his arms and pump up the crowd with five minutes to play and his team up 10.
– There has been no sign of Jardine after his impressive first half. Instead, he is standing on the sideline, making hand signals, yelling to his guys.
– As the Dome empties out with under two minutes to play, Joseph hits another bucket and smiles as he runs back on defense. Joseph finishes with 15 points and nine boards, going 7-8 from the free throw line.
Final Score: Syracuse 74, Memphis 57
– After going 7-15 from three-point range in the first half, the Tigers shot a dismal 2-13 from beyond the arc in the second half.
– Sallie only scored 4 points in the second half and fouled out with 2:17 remaining.
– Boeheim on sitting Jardine the entire second half- "Scoop should have been back in there within five or six minutes, but I really felt that Brandon had to get some game time, had to do something to get himself back going. I told Scoop he is the only guy that has a case, he should be upset for not getting in there because he really played well in the first half."


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In the second half of the 20th century, Shawnee emerged as a rapidly growing city with an ethnic population and stimulating community involvement. Although Shawnee is a suburb of Kansas City, many people identify Monrovia and Zarah as suburbs of Shawnee. Residents fuel the local landscape with a larger range of activities and opportunities than most suburbs, allowing Shawnee to become a self-contained community and keeping Shawnee apartments in high demand.
The Central Baptist Theological Seminary may be the only school in town, but there are a number of traditional college opportunities located in the Kansas City metropolitan area. MidAmerica Nazarene University, Johnson County Community College and the Art Institutes International Kansas City join Avila University, the University of Missouri at Kansas City and Rockhurst University downtown in offering students a well-rounded college experience.
For those seeking work, Shawnee is home to a number of lucrative business industries. Professional and business services, retail, manufacturing and healthcare and social services are the dominant sectors in the area, joined by education, F.I.R.E, construction and natural resources, information and transportation and warehousing to make up most of the Shawnee workforce. The Shawnee Mission Medical Center is one of the largest employers in town with approximately 2,800 people working in medical, administrative and other support positions. Quest Diagnostics, Ivy Investment Management Company and the JCPenney Distribution Center are other top employers here, each providing jobs for more than 1,200 local residents.
With all of the perks of the Midwestern lifestyle, residents in Shawnee pay very reasonable rent prices. According to U.S. Census Bureau statistics, the standard apartment in Shawnee costs $770 a month. That's $100 less than the national average. Everyday living expenses are also very affordable in Shawnee. The city received a cost of living index of 88.1, which is well below the United States average of 100.
Shawnee has many must-see attractions. The 1950s All-Electric House at the Johnson County Museum of History offers an eye-opening look at the technology of the era, with "futuristic" features like electric curtain openers, trendy appliances, moon glow lighting and hidden televisions. Visitors can take a guided tour and understand why a home in the suburbs was part of the American dream in the 1950s. Residents can also get a taste of the past on the Historical Walking Tour, which showcases 18 points of interest around Shawnee for historians and trail enthusiasts.
Shawnee is home to the annual Scarecrow Festival, where kids can paint pumpkins and build scarecrows, and local businesses can participate in the Scarecrow Contest. The festival also features a farmers market and a baking contest with pumpkin pie, fruit pie and pumpkin bread categories. The Shawnee Great Grillers Blues and Barbeque State Championship also takes place annually in town, featuring the best of Midwestern barbeque. More than 100 teams compete for cash prizes and bragging rights in many different barbeque categories including a "People's Choice" that is voted on by public judges. Other local favorite events include Oktoberfest, the John Glaser Memorial 5K and Holiday Treasures Craft Festival.
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SIZE FIVE is a BAFTA-winning indie video game developer.
You can check out the games we've made below, find out a little more about us here, or join in our snazzy forums here.
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- Photos: 14
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£1,500 pcm
3 bedroom apartment to rent Bycullah Road, Enfield, EN2
Very large three bedroom ground floor conversion in sought after location in West Enfield within walking distance of the station, modern oak kitchen, period bathroom suite with roll top bath, ensuite bathroom to master bedroom. Sorry, no DSS/benefits. More details ›
Marketed by Atkinsons Residential, The Letting Line.Telephone: 020 3324 6013 Local call rate
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£1,375 pcm
3 bedroom flat to rent Culloden Road, Enfield, Middlesex
Peter Barry are offering this 3 double bedroom first floor flat to let that is available immediately. The property consists a spacious reception room with juliet balcony, a fitted kitchen with appliances, tiled bathroom with shower and separate w/c. Wooden flooring throughout, large communal gard... More details ›
£312 pw
2 bedroom flat to rent Woodridge Close, Enfield, EN2
This bright and spacious two bedroom second floor flat is in excellent condition with a superb semi-open plan reception room/kitchen with space to dine. More details ›
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£1,350 pcm
2 bedroom apartment to rent The Ridgeway, Enfield, EN2
Situated on the sought after Ridgeway in Enfield, Range Homes offer to rent this luxurious two bedroom two bathroom first floor flat in a private development with 2 secure underground parking spaces. More details ›
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£1,300 pcm
2 bedroom flat to rent ENDERS CLOSE, Enfield
An unfurnished 2 double bedroomed luxury ground floor apartment situated in this gated development on The Ridgeway. Property comprises bright lounge, open plan fitted kitchen. Modern family bathroom, en suite to master bedroom, video entry, allocated parking. Easy access to M25 motorway & Gordon ... More details ›
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£1,300 pcm
2 bedroom flat to rent Bycullah Road, Enfield, EN2
John Grants are pleased to present this two bedroom flat, situated on Bycullah Road Enfield, EN2. The property benefits from Ensuite to master bedroom, spacious reception and easy access to Enfield Chase train station. The property is only a short walk away from Enfield Town shopping centre. More details ›
£1,300 pcm
2 bedroom apartment to rent Drapers Road, Enfield, EN2
First floor flat with 2 bedrooms, ensuite, shower room, kitchen, lounge. parking. More details ›
Marketed by Mortemore Mackay, London. Telephone: 020 3324 5018 Local call rate
£1,250 pcm
2 bedroom ground floor flat to rent Chase Green Avenue, ENFIELD, Middlesex
Situated within easy walking distance of Enfield Chase Station and local shops and restaurants on Windmill Hill, is this delightful ground floor 2 double bedroom flat presented in excellent order throughout. The property boasts a superb modern fitted kitchen/breakfast room and a lovely lounge. Th... More details ›
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£1,250 pcm
2 bedroom flat to rent Enders Close, The Ridgeway, Enfield, EN2
A first floor two bedroom apartment situated in a gated development off The Ridgeway and easy reach of Enfield town. Benefits include gas central heating, double bedrooms, EN-SUITE, modern kitchen, OFF STREET PARKING and OWN REAR GARDEN. OFFERED IN VERY GOOD CONDITION. More details ›
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£1,250 pcm
2 bedroom apartment to rent Chase Green Avenue, Enfield, EN2
A two bedroom ground floor apartment located near Gordon Hill and Enfield Chase BR Stations. Benefits included good size lounge, double bedrooms, gas central heating and modern kitchen. PRIVATE TENANT ONLY. More details ›


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Global warming was hot news this year, literally.
Perhaps the most unavoidable climate story of 2012 was the warmth that gripped much of the United States, and to a lesser degree, the planet, throughout the entire year. Heat waves brought "spring in March" to parts of the country, and broke all-time high-temperature records in a number of places. This, inevitably, led to a discussion of global warming and the degree to which it contributes to some types of extreme weather, in this case heat waves.
In fact, prominent climate scientist James Hansen, of NASA's Goddard Institute for Space Studies, and colleagues published research saying recent heat waves "were a consequence of global warming, because their likelihood in the absence of global warming was exceedingly small." Some other climate scientists, however, disagreed about the degree to which heat waves can be attributed to climate change.
Meanwhile, many of the top climate stories this year have become something like annual rites recently, as people around the world grapple with human-caused climate change, and attempt to address it and its effects. [7 Hottest Climate Change Stories of 2012]
Natural disasters, such as Hurricane Sandy (actually a hybrid storm) this year like others last year, have sparked discussion of the connection between climate change and increased risk for some extreme weather events. A majority of Americans also seem to be making the connection between extreme weather and climate change, according to surveys by the Yale Project on Climate Change Communication and the George Mason University Center for Climate Change Communication.
In reality, attributing any single weather event to global warming is tricky, though some scientists said the planet's increasing temperatures may have worsened Sandy. "The climate influences on this are what we might call the 'new normal,' the changed environment this storm is operating in," Kevin Trenberth, who heads the climate analysis section of the National Center for Atmospheric Research, told LiveScience at the end of October. For instance, the warmer ocean surfaces — which fuel hurricanes — may increase the risk that a storm will become more intense, Trenberth said. In addition, rising sea levels worsen the risk of flooding, the cause of much of the devastation Sandy wrought.
Likewise, global climate talks moved forward slowly, as they have in the last few years, against warnings that nations must curb the planet's rising greenhouse gas emissions or face dramatic consequences.
This year also brought some milestones. Arctic sea-ice cover retreated to a record low in September. As with unusually warming temperatures, the record sea-ice retreat did not come out of the blue. In recent years, the sea-ice cover has fallen below the average extent for 1979 to 2000, and, likewise, the first decade of this century was the warmest decade ever recorded in all continents of the globe, according to the World Meteorological Organization.
Scientists who study sea ice have blamed a combination of natural fluctuations and human-caused warming for the increased loss of ice, although some differ as to how much humans have contributed, Claire Parkinson, a senior scientist who studies climate at NASA's Goddard Space Flight Center, said in September.


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Slicksync Safari Synchronizer Basic is an application designed to help automate the synchronization of your Safari bookmarks and settings. Slicksync provides an easy to use wizard interface which will guide you through synchronizing your data to a local, network or removable drive. Synchronizations are performed one-way and will update your destination files when needed but will not modify your source files. This program has a variety of
Platform:Win 95/98/Me/NT/2000/XP
System Requirements: n/a


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Reflect on the love and sympathy you have in your heart with this seasonal casket pillow arrangement. Elegant red roses, holly and seeded eucalyptus are hand-designed on a white satin cross to create a lovely and personal tribute to close family members.
, we have connected these accounts. You can now sign into 1-800Flowers.com anytime using Facebook Connect.


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Research Overview
Rainu Kaushal, MD MPH is the Chief of the Division of Quality and Medical Informatics at Weill Cornell Medical College, Director of Pediatric Quality and Safety for the Phyllis and David Komansky Center for Children's Health at NewYork-Presbyterian Hospital, and the Executive Director of the Health Information Technology Evaluation Collaborative (HITEC). She is currently a Professor in the Departments of Pediatrics, Medicine and Public Health.
Dr. Kaushal is an expert in quality, patient safety and health information technology (health IT). She has particular expertise in pediatric medication safety and in measuring the effects of health IT on health care quality and costs. Dr. Kaushal is engaged in research, patient care, management and operations activities at Weill Cornell Medical College and New York-Presbyterian Hospital, all geared toward using health IT to optimize the value of health care today.
Dr. Kaushal holds multiple leadership positions. In 2005, Dr. Kaushal founded and became the Executive Director of HITEC, a consortium of four universities in New York State. Its mission is to conduct rigorous evaluations of initiatives being undertaken as part of a novel and ambitious $250 million New York State program called "HEAL NY." HITEC has been recognized as the New York State-designated entity for HEAL NY evaluation.
In 2007, Dr. Kaushal became the first Chief of the Division of Quality and Medical Informatics at Weill Cornell, a dynamic new Division established by the Medical College to address the importance of health IT as a cornerstone of health care reform. In this role, she has assembled an extensive team of faculty members, including health service researchers, biostatisticians, and policy experts, supported by multiple project mangers and research coordinators. The Division recently created a formal training program in quality and medical informatics.
In addition, Dr. Kaushal serves as the Director of Pediatric Quality and Safety at the Komansky Center, striving to translate research learning into operational improvements. She also continues to clinically attend on the inpatient pediatric service at the Komansky Center.
Dr. Kaushal has published more than 80 scholarly publications and is a frequent invited speaker. She has served on numerous national advisory committees focused on health information technology and/or patient safety. Dr. Kaushal has formally consulted with other researchers on methodological issues as well as with policy makers on state and federal issues. Finally, Dr. Kaushal has served on editorial boards for health care journals and on several study sections for the Agency for Healthcare Research and Quality.
Dr. Kaushal attended Harvard Medical School, and then completed her residency at Brigham and Women's Hospital and Children's Hospital in Boston, attaining double board certification in Internal Medicine and Pediatrics. She then completed the Harvard Clinical Effectiveness Fellowship while obtaining a Masters in Public Health from Harvard School of Public Health. She joined and remained on faculty at Harvard Medical School until 2006 when she joined the faculty of Weill Cornell Medical College.


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TVA To Close One Lane of U.S. Highway 321 Across Fort Loudoun Dam
Sept. 18, 2009
LENOIR CITY, Tenn. – Traffic crossing Fort Loudoun Dam on U.S. Highway 321 and State Route 73 will be restricted to one lane, from 8:30 a.m. to 3 p.m. on Wednesday and Thursday, Sept. 23 and 24, for a scheduled bridge inspection.
Traffic also will be reduced to one lane on the bridge downstream of Tellico Dam on State Route 444 for a scheduled inspection Sept 24.
In the event of inclement weather, the schedule may be extended.
TVA is the nation's largest public power provider and is completely self-financing. TVA provides power to large industries and 158 power distributors that serve approximately 9 million consumers in seven southeastern states. TVA also creates economic development opportunities and manages the Tennessee River and its tributaries to provide multiple benefits, including flood damage reduction, navigation, water quality and recreation.
Media Contact
Jim Allen, Knoxville, (865) 632-7453
TVA News Bureau, Knoxville, (865) 632-6000


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Johnny Depp is Hollywood. He was brought up in the culture and the business, so he is not off the hook here. You have much experience, but I think the opportunity for Depp to influence a role he picked to play, and actually had resurrected the story to a movie is all him. Also this story comes from he's character's eyes. This also is his doing.
It was an opportunity sadly missed out on. Maybe this kind of press may invite a new project that Depp could do and turn the tides.. It's the controversy that brings about major change. This would be a great thing.
There is more money floating around in that industry then any other, other then diamonds and oil. So many opportunities for opening doors, not closing them, and tossing the key..