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- Author or Editor: Daniel Sciubba x
Paul M. Arnold
Metastatic spinal cord tumors
Mark N. Hadley
Ming-Xiang Zou, Jing Li, Xiao-Bin Wang and Guo-Hua Lv
Kuniaki Nakahara and Satoru Shimizu
The majority of shunt infections occur within 6 months of shunt placement and chiefly result from perioperative colonization of shunt components by skin flora. Antibiotic-impregnated shunt (AIS) systems have been designed to prevent such colonization. In this study, the authors evaluate the incidence of shunt infection after introduction of an AIS system in a population of children with hydrocephalus.
The authors retrospectively reviewed all pediatric patients who had undergone cerebrospinal fluid (CSF) shunt insertion at their institution over a 3-year period between April 2001 and March 2004. During the 18 months prior to October 2002, all CSF shunts included standard, nonimpregnated catheters. During the 18 months after October 2002, all CSF shunts included antibiotic-impregnated catheters. All patients were followed up for 6 months after shunt surgery, and all shunt-related complications, including shunt infection, were evaluated. The independent association of AIS catheter use with subsequent shunt infection was assessed via multivariate proportional hazards regression analysis.
A total of 211 pediatric patients underwent 353 shunt placement procedures. In the 18 months prior to October 2002, 208 (59%) shunts were placed with nonimpregnated catheters; 145 (41%) shunts were placed with AIS catheters in the 18 months after October 2002. Of patients with nonimpregnated catheters, 25 (12%) experienced shunt infection, whereas only two patients (1.4%) with antibiotic-impregnated catheters experienced shunt infection within the 6-month follow-up period (p < 0.01). Adjusting for intercohort differences via multivariate analysis, AIS catheters were independently associated with a 2.4-fold decreased likelihood of shunt infection.
The AIS catheter significantly reduced incidence of CSF shunt infection in children with hydrocephalus during the early postoperative period (< 6 months). The AIS system used is an effective instrument to prevent perioperative colonization of CSF shunt components.
Surgical management of giant presacral schwannoma: systematic review of published cases and meta-analysis
Presented at the 2019 AANS/CNS Joint Section on Disorders of the Spine and Peripheral Nerves
Zach Pennington, Erick M. Westbroek, A. Karim Ahmed, Ethan Cottrill, Daniel Lubelski, Matthew L. Goodwin and Daniel M. Sciubba
Giant presacral schwannomas are rare sacral tumors found in less than 1 of every 40,000 hospitalizations. Current management of these tumors is based solely upon case reports and small case series. In this paper the authors report the results of a systematic review of the available English literature on presacral schwannoma, focused on identifying the influence of tumor size, tumor morphology, surgical approach, and extent of resection (EOR) on recurrence-free survival and postoperative complications.
The medical literature (PubMed and EMBASE) was queried for reports of surgically managed sacral schwannoma, either involving 2 or more contiguous vertebral levels or with a diameter ≥ 5 cm. Tumor size and morphology, surgical approach, EOR, intraoperative and postoperative complications, and survival data were recorded.
Seventy-six articles were included, covering 123 unique patients (mean age 44.1 ± 1.4 years, 50.4% male). The most common presenting symptoms were leg pain (28.7%), lower back pain (21.3%), and constipation (15.7%). Most surgeries used an open anterior-only (40.0%) or posterior-only (30%) approach. Postoperative complications occurred in 25.6% of patients and local recurrence was noted in 5.4%. En bloc resection significantly improved progression-free survival relative to subtotal resection (p = 0.03). No difference existed between en bloc and gross-total resection (GTR; p = 0.25) or among the surgical approaches (p = 0.66). Postoperative complications were more common following anterior versus posterior approaches (p = 0.04). Surgical blood loss was significantly correlated with operative duration and tumor volume on multiple linear regression (both p < 0.001).
Presacral schwannoma can reasonably be treated with either en bloc or piecemeal GTR. The approach should be dictated by lesion morphology, and recurrence is infrequent. Anterior approaches may increase the risk of postoperative complications.
Camilo Molina, C. Rory Goodwin, Nancy Abu-Bonsrah, Benjamin D. Elder, Rafael De la Garza Ramos and Daniel M. Sciubba
Surgical interventions for spinal metastasis are commonly performed for mechanical stabilization, pain relief, preservation of neurological function, and local tumor reduction. Although multiple surgical approaches can be used for the treatment of metastatic spinal lesions, posterior approaches are commonly performed. In this study, the role of posterior surgical procedures in the treatment of spinal metastases was reviewed, including posterior laminectomy with and without instrumentation for stabilization, transpedicular corpectomy, and costotransversectomy. A review of the literature from 1980 to 2015 was performed using Medline, as was a review of the bibliographies of articles meeting preset inclusion criteria, to identify studies on the role of these posterior approaches among adults with spinal metastasis. Thirty-four articles were ultimately analyzed, including 1 randomized controlled trial, 6 prospective cohort studies, and 27 retrospective case reports and/or series. Some of the reviewed articles had Level II evidence indicating that laminectomy with stabilization can be recommended for improvement in neurological outcome and reduction of pain in selected patients. However, the use of laminectomy alone should be carefully considered. Additionally, transpedicular corpectomy and costotransversectomy can be recommended with the expectation of improving neurological outcomes and reducing pain in properly selected patients with spinal metastases. With improvements in the treatment paradigms for patients with spinal metastasis, as well as survival, surgical therapy will continue to play an important role in the management of spinal metastasis. While this review presents a window into determining the utility of posterior approaches, future prospective studies will provide essential data to better define the roles of the various options now available to surgeons in treating spinal metastases.
Jean-Paul Wolinsky, Daniel M. Sciubba, Ian Suk and Ziya L. Gokaslan
✓Symptomatic irreducible basilar invagination has traditionally been approached through a transoral–transpharyngeal route with resection of the anterior portion of C-1 and the odontoid. Modification of this exposure with either a Le Fort osteotomy or a transmandibular osteotomy and circumglossal approach has increased the access to pathological conditions in this region. These traditional routes all require traversing the oral cavity and accepting the associated potential complications. The authors have developed a novel surgical approach, an endoscopic transcervical odontoidectomy, which allows access for resection of the odontoid and for brainstem and spinal cord decompression without traversing the oral cavity. In this paper they describe the technique and its advantages and present three cases in which patients underwent the endoscopic transcervical odontoidectomy for basilar invagination.
Three consecutive patients (age range 42–74 years) who had irreducible basilar invagination underwent the endoscopic transcervical odontoidectomy. All were symptomatic and had neck pain and myelopathy. All were evaluated preoperatively and postoperatively with computed tomography and magnetic resonance imaging. In all cases the procedure resulted in complete decompression. There were no serious complications. No patient required prolonged intubation, tracheostomy, or enteral tube feeding. One patient had an intraoperative cerebrospinal fluid leak, which had no postoperative sequelae.
The authors present an alternative surgical approach for treating ventral compression of the brainstem and spinal cord. The technique is safe and effective for decompression and provides a surgical route that can be added to the armamentarium of treatments for pathological conditions in this region.
Seba Ramhmdani, Marc Comair, Camilo A. Molina, Daniel M. Sciubba and Ali Bydon
Interspinous process devices (IPDs) have been developed as less-invasive alternatives to spinal fusion with the goal of decompressing the spinal canal and preserving segmental motion. IPD implantation is proposed to treat symptoms of lumbar spinal stenosis that improve during flexion. Recent indications of IPD include lumbar facet joint syndrome, which is seen in patients with mainly low-back pain. Long-term outcomes in this subset of patients are largely unknown. The authors present a previously unreported complication of coflex (IPD) placement: the development of a large compressive lumbar synovial cyst. A 64-year-old woman underwent IPD implantation (coflex) at L4–5 at an outside hospital for low-back pain that occasionally radiates to the right leg. Postoperatively, her back and right leg pain persisted and worsened. MRI was repeated and showed a new, large synovial cyst at the previously treated level, severely compressing the patient's cauda equina. Four months later, she underwent removal of the interspinous process implant, bilateral laminectomy, facetectomy, synovial cyst resection, interbody fusion, and stabilization. At the 3-month follow-up, she reported significant back pain improvement with some residual leg pain. This case suggests that facet arthrosis may not be an appropriate indication for placement of coflex.
Rafael De la Garza Ramos, Jonathan Nakhla, Daniel M. Sciubba and Reza Yassari
In a meta-analysis, the authors sought to compare outcomes after iliac screw (IS) versus S2 alar-iliac (S2AI) screw fixation in adult patients.
A PubMed/MEDLINE database search was performed for studies comparing IS and S2AI screw fixation techniques in adults. Levels of evidence were assigned based on the North American Spine Society guidelines. Three outcomes were examined: 1) revision surgery rate secondary to mechanical failure or wound complications, 2) surgical site infection rate, and 3) screw prominence/pain. Data were pooled and outcomes compared between techniques. Absolute risk reductions (ARRs) were also calculated for outcome measures.
Five retrospective cohort studies (all level III evidence) were included in our analysis. A total of 323 adult patients were included—147 in the IS group (45.5%) and 176 in the S2AI group (54.5%). Overall, revision surgery due to mechanical failure or wound complications was needed in 66 of 323 patients (revision surgery rate 20.4%)—27.9% in the IS group and 14.2% in the S2AI group (13.7% ARR; p < 0.001). Four studies reported wound infections among 278 total patients, with an infection rate of 12.6% (35/278)—25.4% in the IS group and 2.6% in the S2AI group (22.8% ARR; p < 0.001). Three studies examined development of screw prominence/pain; combined, these studies reported screw prominence/pain in 21 of 215 cases (9.8%)—18.1% in the IS group and 1.8% in the S2AI group (16.3% ARR; p < 0.001).
S2AI screw fixation in adults has a significantly lower mechanical failure and complication rate than IS fixation based on the current best available evidence.


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Asin: B07TDGP459
Brand: REEHUT
See Amazon Reviews | Add to your Amazon Wishlist
Model: D9YB-SA-P | Mpn: D9YB-SA-P | PartNumber: D9YB-SA-P | Asin: B0746WY9JR
TONED ARMS, FLAT ABS AND NICE THIGHS WITHIN 90 DAYS!Yes4All Weighted Workout Bar is excellent for home training, commercial gyms and fitness centers. This weighted workout bar is one of the most effective ways to add weight and resistance for your exercise to increase balance, flexibility, build core stabilization, burn more fat and firm your muscle mass quickly and safely. This weight bar can be incorporated into many exercises like leg extensions, over press head, squats, lunges and many more to sculpt the whole body. All your body from arms, chest, shoulder, legs, abs, thighs to butt will be engaged. WHY ARE YES4ALL WEIGHTED BARS DIFFERENT AND EFFECTIVE?Solid heavy-gauge steel one-piece construction: Made of solid high-quality steel for added toughness, durability and stability during your heavy workout. Sturdy construction will not bend or break after repeated useAnti-rolling square end cap: The square ends are especially designed to protect the floor and prevent the bar from rolling when put on the ground.Color-coded cap: Color-coded according to weight for easy identification.Various weight options: Yes4All Weighted Workout Bars come with different sizes for you to vary your daily routine workout ranging from 5, 8, 10, 12, 15, 20, 25 to 30 lbs to fit your desire fitness levels.PRODUCT SPECIFICATIONSDimensions: 48 or 60.25 inch x 2 inch (LxW)Weights available: 5 lbs, 8 lbs, 10 lbs, 12 lbs, 15 lbs, 20 lbs, 25 lbs, 30 lbsGreat for Strength Training, Resistance Training, Pilates, Balance and Flexibility TrainingIdeal to strengthen core, tone arms and legs, increase balance and burn more caloriesWARRANTY5-year warranty and 60-day satisfaction warranty
Brand: Yes4All | Manufacturer: Yes4All
Asin: B07CG9M6KC
REAP ALL BENEFITS WITH YES4LL BAR PAD WHILE KEEPING YOUR WORKOUTS SAFE Yes4All Nylon Bar Pad Yes4All is proud to offer this Nylon Bar Pad with 1.25" thick tough foam construction & non-slip breathable nylon surface to enhance your workout performance. With an ideal design in size, Yes4All Nylon Bar Pad fits barbells from 1 to 1.125 inches. Yes4All PVC Bar Pad Constructed of high-quality synthetic leather, Yes4All PVC Bar Pad is waterproof, lightweight, and can be dry-cleaned. Our PVC Bar Pad does not crack or fade under sunlight, making it particularly ideal for outdoor workouts. Our squat pad comes with a universal design to fit all sizes of standard & Olympic barbells and Smith machines. Yes4All NBR Bar Pad Thick NBR Foam Bar Pad does not deform or lose shape after repeated use. The Full package comes with 2 Velcro straps to increase safety during heavy exercises. High-density foam barbell pad easily absorbs impacts, thus reducing the pressure on your back & shoulders when performing heavy squat sets. GRIP IT LIKE YOU MEAN IT WITH WEIGHT LIFTING WRIST STRAPS Neoprene-padded wrist lifting straps to protect your wrists, prevent bruising, callouses and provide a non-slip grip when lifting. Ideal length allows for multiple wraps around kettlebell, dumbbell and barbell handles, making it the perfect tools to accompany your dumbbell workouts. WARRANTY 1-year Warranty & 60-day Return
Model: STBB-60 | Mpn: STBB-60 | Ean: 0751738632222 | PartNumber: STBB-60 | Asin: B004EFYPBC
Start building strength and stamina with the STBB60 60 Barbell by Sunny Health and Fitness. This weightlifting bar can be used for isolated upper and lower body strength training. Perform bicep curls, triceps extensions, chest press, shoulder press, and upright rows and start building your ideal body. Perform dead lifts, and squats for the lower body and engage muscles in your lower back and glutes. The chromed bar has threads with collars to secure weight plates in place for added safety. Knurled handles allows for secure grip and added efficiency when performing exercises. The barbell accommodates weight plates with 1 inch holes. Start training today with STBB60 60 Barbell by Sunny Health and Fitness
Brand: Sunny Health & Fitness | Manufacturer: Sunny Health & Fitness
Item Dimensions: 0.39 x 0.39 x 60 inches (1.0 x 1.0 x 152.4 cm) | Package Dimensions: 4 x 4.25 x 60.5 inches (10.2 x 10.8 x 153.7 cm)
First Available: 2011-09-22
Asin: B07Q792BJH
Barbell Squat Pad for Standard & Pair of Gym Ankle Straps for Cable Machines & Hip Exercise Bands for Weightlifting Squats and Lunges , Fitness Gift Safety Straps & Carry Bag What's Included 1 Barbell Squat Pad 1 Hip Exercise Bands . 1 Thick Gym Ankle Straps 2 Safety Straps 1 Carrying/Storage Bag. PREMIUM SUPPORT 24-Hour Response, 30-Day Money Back, 12-Month Replacement, Lifetime Support, 100% Satisfied
Brand: Gymletics | Manufacturer: DEERFEI
Model: 87453400526-Parent | Asin: B00I3FQIAA
TheraBand Hand Exercisers are a product for hands, fingers or forearms. They are available in two shapes (standard and elongated) and in five progression levels. Their unique soft feel enables users to complete a variety of movements to strengthen grip, increase dexterity and mobility, and improve fine and gross motor skills through a system of progressive compression while offering the added benefit of hot and cold therapy. The XL, elongated hand exerciser is one-third larger than the standard size and is designed for patients with arthritis or large hands. Each Exerciser is individually packaged with exercise illustrations. Lightly dust with corn starch or baby powder to achieve desired texture.
Brand: TheraBand | Manufacturer: Thera-Band
Model: OB86B | Mpn: OB86B | Ean: 0783847216321 | PartNumber: OB86B | Asin: B005PGBFQW
A favorite of bodybuilders everywhere and a staple of championship lifts, the Body-Solid Tools Olympic Straight Bar is designed to help take your free weight workouts to the next level. Precision-engineered from the highest-quality components, this Olympic weight bar can support up to 600 pounds of plates, letting you take on incredibly heavy workloads. The Body-Solid Olympic Straight Bar weighs 44 pounds and has knurled grips along the length of the bar for a secure hold. It measures 86 inches long with an 15.5-inch collar length and a 51-inch inside sleeve. Use this straight barbell with Body-Solid Olympic Weight Plates (OPB) and Olympic Spring Collars (OC06).
Brand: Body-Solid | Manufacturer: Body Solid
Ean: 0049008266926 | PartNumber: OBHEX | Asin: B071WDDV5W
Real muscle growth happens when you combine proper form with lifting progressively heavier weights. Unfortunately, it can be difficult to achieve the right form when you're alone or don't have a trainer to guide you. At Titan Fitness, we want to help you safely get your dream body. Our hex bar is designed to correct your form as you perform deadlifts, bent over rows, squat jumps, and more. Plus, the hex bar gives you the opportunity to do a wider range of exercises. For instance, you can do trap bar push-ups, helping you build your core. With proper form, you reduce the risk of straining, pulling, or hurting your muscles, so you can enjoy optimal health.Part of what makes our trap bar so effective is its dual-knurled handles. The knurled texture of the handles gives you a firm, sturdy grip as you lift your weights. Your hands may get sweaty as you're lifting, but the grooves of the knurling will help you hold tight to the bar. The handles also have an easy flip design. To switch grips, just turn the bar over. It's that simple! This hex bar is crafted from an all-steel construction, so it should last you for years to come. It also has a chrome finish for an attractive appearance. This bar has an overall length of 56" with the handles having a distance of 24.5" between them. Each sleeve will have a loadable length of 9.75". The bar weighs approximately 44 lbs. It supports 2-inch Olympic plates and has a weight capacity of 500 lbs. This hex bar will make the perfect addition to your home gym, so you can get swole in the comfort of your own house. Add it to your fitness gear today.Specifications:- Overall length: 56"- Sleeve Length: 9.75"- Handle to Handle: 24.5"- Weight Capacity: 500 LB- Weight: 44 LB***Does not come with spring collars as shown in photo.***
Brand: TITAN FITNESS | Manufacturer: Titan Fitness
Model: OB-89HZ | Mpn: OB-89HZ | Ean: 0702556318881 | PartNumber: OB-89HZ | Asin: B004X1674A
Build mass and strength in legs, traps, back and core with the CAP Olympic Trap, Shrug, Hex Bar with Combo Neutral Grips and Zinc Finish. Made with heavy duty alloy steel and sealed with a durable zinc finish, CAP's Olympic trap / hex bar is sturdy and dependable to withstand daily wear and tear regardless of intensity. Featuring 25 inches between the grip handles and 9 inches of loadable sleeves, this bar offers lots of room to perform deadlifts, shrugs, farmer's walks, and more.
Brand: Cap | Manufacturer: CAP Barbell
First Available: 2011-04-15
Warranty: 30-Day
Ean: 0738944716670 | PartNumber: YT-00081625 | Asin: B07CZLBDYF
25Kg High Quality Barbell Dumbbell Weightlifting Set Gym Lifting Exercise Curl Barthes barbell dumbbell is designed to strengthen your leg, hip and back power. It is an ideal addition to any home and gym. W-shaped handle prevent our hands from skidding effectively. You can arrange your workout sessions for it fit any season. Features: Made of high quality material, sturdy and durable to use Ideal addition to any home and gym, very practical Suitable for strength exercises to develop your leg, hip & back power The detachable bar is built with W shape for a comfortable and steady hold Easy to store and transport, convenient to use2 Spinlock collars keep the plates securely in place while in use Adjust barbell weight from 5Kg (11 lb. ) to 20Kg (44 lb. )Specifications: Material: Iron & Plastic Assembled Length: 47. 2 (L x Dia. )Plates: 4pcs x 2. 5 Kg & 2pcs x 5 Kg2. 5 Kg Plate Size: 8. 2x1. 6 ( Dia. x Thickness)5 Kg Plate Size: 10. 2x2. 2 ( Dia. x Thickness)G. W. : 56. 9 Color: Black Package included: 1 x 55lb Barbell Set
Brand: Yaheetech | Manufacturer: Yaheetech
Item Dimensions: 10.24 x 10.24 x 47.17 inches (26.0 x 26.0 x 119.8 cm) | Package Dimensions: 4.92 x 9.84 x 26.18 inches (12.5 x 25.0 x 66.5 cm)
Warranty: Not Applicable
Ean: 6902015102400 | PartNumber: YT-5001 | Asin: B0172TDYK4
Specifications: Materials: Iron Total Length:86inch Grip Length:17.5inch Sleeve Length:13.6inch Diameter:1.18inch Sleeve Diameter:1.9inch G.W.: 39.38 Lb / 17.9 Kg Weight capacity: 330 Lb / 150 Kg Color: Silver Descriptions: Brand new weight lifting barbell bar of Olympic standard Ideal for use in home, gym or for professionals, light commercial use etc Great for muscle exercise, bone health, muscularity building etc Especially for upper body exercise to improve snatch and jerk skills High grade metal construction, coated with anti-rust silver finish Body with 1.2inch diameter grips fits 2-inch weight plates Performs great balance and durability Comes with 1 sturdy spring collar at each end Knurled sections with medium depth for more secured grip Smooth swiveling sleeves that prevent warping or deformation And reduce excessive pressure on the wrists Package included: 1 x Olympic Weight lifting Bar warm prompt the plates are not included in the package,thx. Choose Yaheetech barbell bar only 7ft olympic barbell bar barbell bar clips barbell bar mount weight bar weight bar clamps weight lifting bar barbell weight set,you will win high quality, fast delivery and best price you will hardly find on the market! Order now!
Item Dimensions: 3.74 x 3.74 x 86 inches (9.5 x 9.5 x 218.4 cm) | Package Dimensions: 3.54 x 3.54 x 88.78 inches (9.0 x 9.0 x 225.5 cm)
Asin: B07W1VXXT6
Achieve your exercise and fitness goals with this Weighted Workout Bar by Day 1 Fitness! This fitness bar is made with heavy-duty, solid steel, and an exclusive one-piece core construction, which prevents any bending or cracking. Plus, it features a high-density, padded foam surface, which is extremely durable, and reduces tears and indents associated with repeated use. This surface decreases slipping, and you will be able to comfortably exercise. Our aerobic bar is available in 5, 8, 10, 15, 20, 25 and 30 pounds and includes sturdy end caps that prevent rolling. These caps are color-coded for easy weight identification, to ensure you quickly and conveniently pick out the fitness equipment that s perfect for your exercise routine and fitness level. By adding a weighted bar to standard exercises, you will be able to increase strength and tone all areas of the body. This makes it perfect for physical therapy, aerobics, yoga, and Pilates. Beginners will be able to increase the effectiveness of their workouts, and professional athletes can add an extra challenge! Our multipurpose aerobic bar is ideal for strengthening and conditioning muscles, and improving balance, alignment and flexibility. It is a great addition to any personal home gym, and can be easily taken to professional sports and fitness clubs. At Day 1 Fitness, we believe in providing the best products that will allow you meet your weightlifting, weight loss, and exercise goals! Product Details: (1) Weighted Workout Bar, Materials: Solid Steel with Rubber Padding, Plastic End Caps, Size: 48 inches long for 5, 8, 10, 15, 20 pound bars, 50 inches long for 25 pound bar, 60 inches long for 30 pound bar, Available in 5, 8, 10, 15, 20, 25 and 30 pounds
Asin: B073ZNY3Q8
EXOUS Bodygear Barbell Pad Squat Bar Thick Foam Cushion - Protector for Neck & Shoulders - Fits Olympic Weight Lifting Bar - Fixing Straps for Non Slip Fit
Brand: EXOUS Bodygear | Manufacturer: EXOUS
Ean: 0846291020422 | PartNumber: CROWBAR | Asin: B07T6C2ZWL
The XMark CROWBAR is built like a tank. With a solid, heat-treated alloy steel construction, a tensile strength rating of 185,000 PSI, and a 1500 lb weight capacity the CROWBAR stands strong and ready for your most demanding lifts. The 28.5 mm grip shaft has center knurling and a hard black manganese phosphate coating for a unique grip that feels glued to your hands but soft enough to not tear into them. All it takes to protect your investment is wiping down your bar regularly with a light coat of WD-40 or a 3-in-1 oil. The CROWBAR's sleeves are snuggly secured with a maintenance-free snap-ring lock system and brass bushings. They also sport microgrooves which you can rely on to keep your plates tightly in place without shifting during lifting routines. This commercial Olympic bar has been carefully crafted with both function and form in mind and it stands out from its competition. Attention to detail is evident from the hard chrome finish on the sleeves to the black manganese-coated bar with precise knurling for an eye-catching appearance that looks as good as it feels to use. Experience strength training with a comfortable, consistent feel that you can expect each and every time you lift. Use our XMark CROWBAR and "break in" to superior quality, performance, and value that's simply a steal!
Brand: XMark | Manufacturer: XMark
PartNumber: VBSP01 | Asin: B07THH17SX
Barbell Squat Pad Is A Must - have For Home Gyms Or Professional Training Centers ! The Advanced Squat Pad provided by Virtee is an is ideal for men and women because it will help protect your shoulders and neck during lifting progressively heavy weights ,squats, hip thrusts and lunges. Features: Advanced workout bar pad can fit most standard or Olympic style bars. Enough length and diameter, effectively protect the neck and shoulders. 2 velcro straps keeps squat pad in place & prevent slip off. Groove part in the middle of the gym pad helps position the bar perfectly on your back. Right level of 1.3 thick padding ,soft for comfort but also feel sturdy. Comes in red,pink,black and blue with Virtee logo on its side. Anti-slip matte surface to reduce the risk of slippage . Thick padding to provide cushioning, reduce pain and pressure on your shoulders and neck . Lightweight and portable pad is designed to store in your gym bag or locker for on-the-go or at home use. Pink/Red color is adorable and perfect for women, identifies squat bar pad as you and help you remember to bring it. Package Included: 1 x Foam Pad Barbell Squat Pad 2 x Velcro Straps Color: Blue or Red or Black or Pink Material:Sponge Size: Approx. 17.4"x 3.74"
Brand: Virtee | Manufacturer: Virtee
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In: Report on International Public Hearing on Crimes Against Women Related to Population Policies, Cairo, Egypt, September, 1994, organised by: UBINIG and Asian Women Human Rights Council [AWHRC]. Manila, Philippines, AWHRC, 1994. 33-4.The story is told of a government family planning worker who persuaded a Bangladeshi woman to accept sterilization in exchange for food, housing material, and US$4.50. A conference of nongovernmental organizations (NGOs) was held parallel to the 1994 International Conference on Population and Development (ICPD) during which participants argued that family planning programs have simply promoted unsafe contraceptive methods for women. The director of UBINIG, a Dhaka-based radical feminist group, argued at the meeting that aid agencies and governments allow women to suffer serious side effects in the name of stabilizing world population growth, while men are asked to do nothing to reduce fertility. Aid donors who support Bangladesh's family planning program counter that acceptance is voluntary and that it has sharply reduced birth rates, while many development agencies argue that contraceptives help millions of women by preventing them from bearing too many children. Many feminist NGOs nonetheless believe that women have little choice against government targets and incentive programs for health care workers. Several instances were cited at the NGO forum of what were described as unsafe contraception measures.


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Instead, Bishop was parcelled between aunts, an anxious child who, as a student at the liberal women-only Smith College, in Massachusetts, gratefully discovered the use of alcohol as a social lubricant, not realising until too late that it was also a potent source of shame, isolating in its own right.
The novel is about a deaf man in the deep South and the people he interacts with. Nonetheless, she performed to positive reviews. Similar scenarios can be found in the lives of almost any 20th-century woman writer of note. But he sympathised with the Russian peasantry, for whom vodka was nectar.
Unsurprisingly, several of the following alcoholic authors wrote about drinking and alcohol abuse in their books. Kerouac died on October 21, at St. However, his binge drinking apparently often led to bar fights. Throughout his life, Hemingway had been a heavy drinker, succumbing to alcoholism in his later years during which time he suffered from increasing physical and mental problems.
He once bragged that he had drunk 40 pints of beer, and a character in his Adventures in the Skin Trade claims to have drunk 49 pints of Guinness straight off. In her writing about Rhys, Athill puzzles over what might be the central question of the women authors writing about their alcohol writer, which is how someone so very bad at living, so incapable of facing up to trouble and taking responsibility for their own mess might be so very good at writing about it, at peering directly into what are otherwise total blind spots.
Instead, readers and historians have had to guess about her mental health from the tone of her work and how she lived. Rhys was born Gwen Williams on the island of Dominica into a British father and Creole mother.
Elizabeth Bishop Elizabeth Bishop was a Pulitzer Prize-winning American poet and short-story writer often considered one of the finest poets of the 20th century. His father was in and out of work during the Depression years and was a reputed tyrant, verbally and physically abusing his son throughout his childhood.
In this dismal period, Rhys was tormented by extremes of poverty and depression and also by her neighbours, who believed she was a witch. Share16 Shares 35K Many great writers of the 20th century especially American writers struggled with addictions to alcohol.
Reports indicate she drank a morning beer, followed by a steady stream of sherry. Then the aftermath of her binge drinking brought more shame, which she drank to escape. You should have stuck to spewing beer, not ink. The writing life is of necessity isolated, stressful, and full of rumination over the mystery of human behavior, as Mark Twain, F.
Over a span of four years, he went to the hospital for alcoholism eight times. The man takes a drink, then the drink takes the man.
At one point she was quoted saying: Substance abuse and alcohol use often play roles as people struggling with depression attempt to self-medicate.
In fact, "for writers there was an increase in most psychiatric disorders, not seen in relatives," explained researcher and study author Simon Kyaga, MD, of the department for medical epidemiology and biostatistics at the Karolinska Institute in Stockholm, Sweden.
Raymond Chandler Raymond Thornton Chandler July 23, — March 26, was an author of crime stories and novels of immense stylistic influence upon modern crime fiction, especially in the style of the writing and the attitudes now characteristic of the genre. According to the bartender who served him that fateful night, Thomas drank only six or at most eight whiskies, not Her mother had drunk turpentine at four months pregnant in an attempt to abort the pregnancy, and she remembers he mother making jokes about it when she was a child.
He is best known for his landmark novel Ulysses and its highly controversial successor Finnegans Wake The drinking continued unabated, worse than before.
His death, at the age of 47, resulted from an internal hemorrhage bleeding esophageal varices caused by cirrhosis of the liver, the result of a lifetime of heavy drinking.
Tennessee Williams Thomas Lanier Williams III March 26, — February 25,better known by the nickname Tennessee Williams, was a major American playwright of the twentieth century who received many of the top theatrical awards for his work.Jul 30, · In fact, the authors' conclusion that "exposing infants to alcohol through breastmilk may cause dose-dependent reductions in their cognitive abilities" is so deeply misleading and.
6 Women Who Wrote Their Own Way Into History. Here are just a few authors of color who made their marks on the literary world. "I love writing about women. I feel a great need to write.
Some Books About Women and Their Relationship to Alcohol by Leah on January 13, Recently, there has been a spate of novels, short stories, memoirs and non-fiction books published that touch on the topic of women and alcohol–Here is just a sampling.
In fact, some of the most inspired and brilliant women in the writing world experienced issues with alcohol in some form or another. 7 Famous Female Alcoholic Authors Many of the most influential female voices in literature have suffered the same controversies and catastrophes as their male counterparts.
Alcohol not only makes you less self-critical, it reduces fear." readers tend to equate authors with their protagonists, Why do writers drink? Why does anyone drink? From boredom. And it's important to bring these authors forward and celebrate them for their voices, their writing, and their participation in literature.
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Question: You marched in the Chicago Gay Pride Parade. Was this your first time? What did you think of it?
Answer: Yes, this was the first time I marched in a gay pride parade. It's the first time I even attended one.
As a student of ritual I should have attended one years ago. Gay pride festivals and parades are mounted around the world today, especially in North America and Western Europe. But I've seen pictures of Gay Pride festivals and parades also in Australia and Singapore. Gay pride restores the word "gay" to its original meaning as "festive." Gay Pride activities have become a new form of carnival or festival. And, like all carnivals and festivals (think Mardi Gras) it is, as anthropologist Edward Muir says, about "the lower body" (see his Rituals in Early Modern Europe). This means that there will be a strong element of blatant displays of sexuality. In pride festivals around the world you see a lot of men and older youth parading in or attending parades in briefs and flip-flops and women marching bare-breasted except for tape over their nipples (because of local ordinances that prohibit exposing breasts) as well as cross-dressers and gender-benders.
We arrived at the designated line-up areas. The religious groups were all together on the east side of one block. This float was across from us on the west side. (My photo)
(my photo)
The waiting time as we lined up gave us a chance to meet one another in the Episcopal and other religious groups as well as marchers in some of the other floats and contingents, including fro the float across the street.
(my photo)
Of course, I marched in response to the tragic murders in the Pulse Night Club, about which I have offered reflections on this blog. I marched with a contingent of Episcopalians (although I'm Lutheran) and, as advised by the Episcopal organizers, I wore a clergy shirt and collar (black, of course). There were several church or religious groups among the parade contingents. The only clergy identifiable by "uniform" that I saw were about six of us in the Episcopal contingent of about 60 persons.
(photo from my iphone)
With members of St. Augustine's Episcopal Church, Wilmette, the Rev. Kristin White, rector (next to me under my hat – protection from sun or rain, depending on the weather)
As we marched along I started getting into the spirit of the parade by slapping or grasping the hands of those attending (a million along the parade route in Chicago). Parade goers like interaction with those parading. Sometimes it was just for fun, but a few along the route held my hand a little longer and said things like "thank you, Father." There were a few huggers along the route, and as I accepted their hugs I started getting behind. I found myself marching with the Catholic Dignity contingent. There was no Catholic priest with them, which I thought was too bad since Pope Francis has encouraged the posture of "accompanying" gay brothers and sisters in the faith. On the very day of the Gay Pride parades in many cities around the world, the pope said to reporters on board his return flight to Rome from Armenia, "I repeat what the Catechism of the Catholic Church says: that they must not be discriminated against, that they must be respected and accompanied pastorally."
After a couple of blocks I caught up with the Episcopalians. Around a bend toward the end of the parade route there was a group of "Christian" anti-gay protesters exercising their right of free speech. Some of our group countered their shouts of "God hates fags" with counter shouts of "God is love." (My photo)
(my photo)
This kind of witness is not likely to result in any dialogue, much less the repentance these Christians undoubtedly want from homosexuals. The attitude of newly empowered gays is more likely, "I'm gay, get over it."
There were also those along the parade route who held signs that expressed sorrow for Christian hate. Some of these anti-anti-gay protesters received hugs from marchers (see also the photo below this post).
(my photo)
As I completed the parade and made my way back along the crowded sidewalks I came upon those anti-gay Christians. They were shouting insults against marchers and their floats. One that struck me as especially hurtful was when PFLAG marched by (Parents, Family, and Friends of Lesbians and Gays). They called out through their bullhorn, "You haven't raised your children right. You're sending them to hell." I can attest that parents of gay children have searched their souls about why their children are gay. We don't know why some people have same-sex attractions. We do know that it is our God-given responsibility to love and support the children God has given to us.
A large sign above the anti-gay protesters' stand quoted 1 Corinthians 6:9. I don't know which version of the Bible they were using. In their version, among those who will not inherit the kingdom of God were "the effeminate" and "homosexuals." When I got back home I checked eight versions and none of them used both of these terms, although the Living Bible is the worst by joining St. Paul's two Greek words together as "homosexuals." Here's how the New International Version renders the text: "Or do you not know that wrongdoers will not inherit the kingdom of God? Do not be deceived: Neither the sexually immoral nor idolaters nor adulterers nor men who have sex with men…"
The Greek New Testament doesn't use the word "homosexual" because it is a modern term developed in the social sciences to contrast with heterosexual. The translation "men who have sex with men" is too general. Paul uses the specific words malakoi, which suggests someone taking the submissive role in sex, and arsenokoitai, which suggests someone taking the dominant role. Arsenokoitai is a neologism, which means it is a unique word. One issue in interpretation is why Paul would use a made-up word when Greek terms referring to male-on-male sex were generally available.
Some commentators have suggested that Paul is trying to find a Greek equivalent for the Hebrew term in Leviticus 18:22, which refers to male-on-male sex as an "abomination." The term "abomination" in the Old Testament is usually reserved for idolatrous practices, such as cult prostitution. Paul could have been referring to cult prostitution in one of the Corinthian temples since "idolaters" are mentioned in the list of those who won't enter the kingdom of God. The city of Corinth had a huge temple to Aphrodite in which sacred sex was practiced. Others have suggested that he is referring to male prostitution in general in which the submissive (bottom) person is the male prostitute and the dominant (top) person is the paying customer. A port city like Corinth had many brothels. Boys and young men would be desirable sex objects for men. These call boys would be malakoi, "soft ones," i.e. boys or youth. A further issue, especially with regard to temple prostitutes, is that slave boys were given to the temple for this purpose as a contribution.
This etching shows a man bartering with a young man for his services.
Pederasty was widely practiced in ancient Greece and was socially accepted. It would also cover both terms (both submissive and dominant roles). It had been a cultural practice for centuries in ancient Greece for men to become mentors to boys and initiate boys into adult sexuality. But the expectation was that boys would marry and assume their expected roles in society. There are explicit drawings of pederastic relationships on ancient Greek urns.
Cult prostitution, regular prostitution, pederasty — yes, these sorts of activities can't come into the kingdom of God. But this text is not equivalent to saying that "all homosexuals are going to hell." In fact, there is no reason to believe that these kinds of male-on-male sex is "homosexual," as we understand the term. Pederasty in particular was pervasive in the ancient Greek culture as a rite of passage. Neither the "students" nor their "mentors" were necessarily homosexual, as we understand the term.
The terms St. Paul uses certainly don't cover young men and women exploring their gender identities and sexual orientations. As the father of two gay sons I have no idea why someone is gay. Genes? Environment? Nature? Nurture? We know why persons of opposite sex are attracted to each other. Why are persons of the same sex attracted to each other and not to persons of the opposite sex? Human sexuality is still a mystery that we haven't totally unraveled with all the studies of same-sex attraction in biology, psychology, sociology, anthropology.
The Bible isn't as helpful in dealing with these issues as we might think. Every reference which suggests same-sex activities deals with specific situations. In fact, none of the biblical references to male-on-male sex describe homosexuality as we understand it today.
The Sodomites in Genesis 19 who wanted to gang rape the two angels, the "abominations" condemned in Leviticus 18 which may have referred to cult prostitution, the debaucheries of Roman high society in Romans 1:26-27 in which both women and men here "exchanged their nature" to have sex with persons of the same sex, or worse, don't refer to those who have a same-sex attraction. In fact, the problem in Romans of "exchanging natures" was that free men should not take a submissive role and women should not take a dominant role in the sex act. These sexual positions for men (dominant) and women (submissive) continued to be taught by the medieval church as the proper sexual roles for husbands and wives!
When I review all these biblical passages, I find no clear biblical condemnation of homosexuality in the Bible in terms of our modern understanding of it as a same-sex orientation and attraction. This doesn't mean it didn't exist in the ancient world, but the Bible is silent about it. We can't just read stuff into the Bible.
After a long list of "every kind of wickedness" in Romans 1:29-30, in addition to the sexual aberrations mentioned in 1:26-27, St. Paul goes on to say in 2:1, "…you have no excuse, whoever you are, when you judge others; for in passing judgment on another you condemn yourself, because you, the judge, are doing the very same things." The apostle is leading up to his main point in 3:23 that "Since all have sinned and fallen short of the glory of God; they are now justified by his grace as a gift, through the redemption that is in Christ Jesus." Homosexuals are sinners like everyone else, but not because they are homosexuals. And they are justified by grace, like all who "fall short of the glory of God".
Of course, we do not sin that grace may abound. Homosexuals, like all sinners, commit sins, including sins of the flesh, that are in need of repentance, confession, forgiveness and reconciliation. We need a moral theology that helps us to sort out these transgressions. I think such sins would turn out to be not unlike heterosexual sins of the flesh — i.e. having more to do with relationships than biology, such as being insensitive to the sexual needs of others, demeaning others for their physical attributes, rape, and taking unfair advantage of others in sexual matters.
In any event, I'm glad I went to the Gay Pride Parade. I'm glad I made a witness to the God of love made known to us in Jesus Christ, at least by my presence as a Christian pastor accompanying gay, lesbian, bi-sexual, transgendered, and queer brothers and sisters and providing comfort to their parents and families just by participating.
Many clergy and churches have yet to figure out how to provide appropriate pastoral care to GLBTQ church members. The Gay Pride celebrations in 2016 have also been celebrating the U.S. Supreme Court's ruling that same-sex marriage is a civil right and therefore should be legally recognized. This is a separate issue because the Bible is clear about marriage as the conjugal union of a man and a woman. It says nothing about same-sex marriage, even though it was practiced in the Greco-Roman world. Maybe that is our clue. The Bible doesn't help us on that issue. So the church has to figure out how to respond pastorally to this new legal right available to its members.
The starting point for many is overcoming homophobia. How do we accompany those whose sexuality makes us uncomfortable? We might begin by becoming comfortable with hugging gays and lesbians. For me I had to become comfortable hugging anyone since there wasn't any hugging in my family of origin. But besides my wife and my daughter, I also had two gay sons to practice on.
Pastor Frank Senn


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