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Perspectives in vestibular diagnostics and therapy
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|April 26, 2012
Vestibular diagnostics and therapy ist the mirror of technological, scientific and socio-economics trends as are other fields of clinical medicine. These trends have led to a substantial diversification of the field of neurotology.
The improvements in diagnostics have been characterized by the introduction of new receptor testing tools (e.g., VEMPs), progress in imaging (e.g., the endolymphatic hydrops) and in the description of central-vestibular neuroplasticity.
The etiopathology of vestibular disorders has been updated by geneticists (e.g., the description of the COCH gene mutations), the detection of structural abnormalities (e.g., dehiscence syndromes) and related disorders (e.g. migraine-associated vertigo).
The therapeutic options were extended by re-evaluation of techniques known a long time ago (e.g., saccus exposure), the development of new approaches (e.g., dehiscence repair) and the introduction of new drug therapy concepts (e.g., local drug delivery).
Implantable, neuroprosthetic solutions have not yet reached experimental safety and validity and are still far away. However, externally worn neuroprosthetic solution were introduced in the rehab of vestibular disorders (e.g., VertiGuard system).
These and related trends point into a medical future which is characterized by presbyvertigo as classical sign of the demographic changes ahead, by shortage of financial resources and a medico-legally over-regulated, even hostile environment for physicians in clinical medicine.
1. Socio-economic background for neurotology in Germany today
The modern Western society creates the framework for clinical medicine. The society defines the ethical and legal standards, science and technology contribute to its progress and the health economy has to take care that the political decision makers and the insurance system are willing to cover the costs. So far in theory, but how does the German social and health care system impact neurotology? The following theses should be discussed and considered in more detail:
- New diagnostic tools enable a precise diagnostics of each vestibular receptor and individualize therapy.
- Recent progress in imaging and neurogenetics reveal the background of complex vestibular disorders, improve the understanding of central-vestibular one and describe new disease entities.
- Non-invasive therapeutic approaches have been refined and improved and will dominate vestibular therapy despite a re-evaluation of surgical measures.
- The rehabilitation of vestibular disorders and the prevention of falls are major topics in health politics due to a strong demand from the ongoing changes in the epidemiology of the ageing Western societies (the "turning age pyramid").
- The individualization of our societies with strong demands from single patients is in sharp contrast to the real fiscal expenses for the health economy and will reinforce the "prioritization debate". This conflict is overshadowed by legal decisions [1] which demand a thorough consideration of all aspects of the patient's daily life when making treatment decisions
The following chapters are to explicitly outline these theses. Established therapy standards (e.g., repositioning maneouvers in BPPV) will not be specifically mentioned (this not a textbook), but the developmental lines of neurotology into the future will be pointed out.
2. Recent trends in vestibular diagnostics
2.1. Diagnostics of vestibular diagnostics
The vestibular end organ consists of three semicircular canals (SCC), the otolith organs (maculae sacculi and utriculi) and the endolymphatic sac (ES). Within the last few years, each of those receptors could have been diagnosed separately apart from the formerly well-known, usual tests (e.g., caloric VOR testing, Romberg's, Unterberger's test) [2], [3], [4].
The head thrust test (HTT) was described for the first time by Halmagyi and Curthoys [5] for the lateral SCC, but can be applied in a modified version for the superior and posterior SCC as well [6]. The saccadic eye bulb movement on the diseases side is registered nowadays with the search coil technique [7], [8], but can be used as bed-side test as well [9].
While the SCC are largely affected in vestibular neuritis [10], in canal paresis [4], [11], the otolith organs have been described to be affected separately for the first time just recently [3]. These disorders can be accompanying in Meniere's disease (MM), in case of canalolithiasis, in vestibular neuritis, in posttraumatic disorders after blunt head trauma or microsurgery of the ear (e.g., cochlear implantation, CI) [12], [13], [14], [15].
Utricular disorders have the more severe clinical picture with difficulties in walking and continuous dizziness (an increase in body sway in the roll plane) [16], [17]. Those disorders can be screened for with the subjective, haptic vertical test (SHV), but a unilateral, quantitative testing has to perform eccentric rotation (with adjustment of the subjective, visual vertical) [18].
Saccular disorders (Figure 1 [Fig. 1]) are tested for with vestibular evoked mygenic potentials (VEMP) [19], [20]. The saccule is derived phylogenetically from the hearing organ so that it reacts to tonal stimuli which also works in those patients who have a SNHL or deafness even (Table 1 [Tab. 1]). In addition to acoustic stimuli, galvanic, vibratory ones can also be applied [20], [21] and the VCR can also be registered from the SCM (oVEMP) [3].
The VCR arch goes along the superior (utricle) and inferior (saccule) vestibular nerve and is synaptically connected to other nuclei of the CNS, so that central vestibular impairments can lead to a negative test result (e.g. in acoustic neuroma, in neurovascular conflicts within the CPA). This phenomenon can be used as tool in intraoperative, neurophysiological monitoring in otoneurosurgery [19], [22] and in CI surgery [13], [15], [23].
While the postural stability was frequently assessed by dynamic posturography in former times [24], mobile systems are now underway (e.g., VertiGuard® D) to better assess body sway in stance and gait tasks [2], [25]. This is a great advantage since those systems away from the lab situation can better assess the risks of everyday life (e.g., walking over stairs, moving while turning the head) in the prevention of falls and falls-related injuries [26].
For more details on testing the ES see chapter 2.3 and for review [27], [28].
2.2. Diagnostics of central-vestibular disorders
Central vestibular structures have rceived more attention within the scientific community after the description of the parieto-insular, vestibular cortex (PIVC) in the 1990s by PET/fMRI [29]. The results of healthy volunteers could subsequently be transferred to specific vestibular disorders [30], [31]. In this way, mechanisms of neural plasticity underlying the central compensation after vestibular neuritis were described and their interaction with the visual and somatosensory cortex [29], [31]. Moreover, the consequences of isolated CNS deficits (e.g., cerebral infarction, tumours, hemispheric degeneration) on the vestibular system were elucidated [32], [31] and spezial imaging techniques (e.g., "voxel-based morphometry") became a clinical mainstay [33].
2.3. Neuroimaging
The following lines will not cover functional imaging techniques as described in 2.2, but the recent progress in imaging of the petrous bones and surrounding structures.
Those bony structures are examined by thin-sliced CT scans at 1 mm [34], so that minor malformations – e.g., dehiscence syndromes of the SCC (SCDS) [35] – can be exactly localized and categorized [36] (Figure 2 [Fig. 2]). The same holds true for multiple labyrinthine malformations [34] so that the dehiscence syndromes might be hereditary (e.g., mutations of the COCH gene) [37]. Koo demonstrated recently that a prominent Sinus petrosus superior can also induce a SCDS [38].
Another new application for bony structures is rotational volume tomography (RVT) which is particulaerly helpful in localizing CI electrodes and to reduce the X ray load in children [39].
When using MRI technology to evaluate fluid-filled spaces (e.g., the cochlea), the FLAIR sequences (in T1/T2 weighted pictures) have become most important [40]. The same holds true for the internal auditory canal (IAC) to differentiate cholesterol granulomas [41], to detect an endolymphatic hydrops [42], [43] or to localize tumours of the ES [44]. For years, ECoG has been the neurophysiological method-of-choice before those MRI techniques became available [45], [46]. When the IAC and the CPA are affected by haemangiomas, a neuritis which has to be differentiated against a neurovascular conflict or a small acoustic neuroma, FLAIR sequences are evenly helpful [40].
3. Recent trends in vestibular research
The refined diagnostic techniques have contributed to a large extent to deeper insights into the pathophysiology of the vestibular system. New, hitherto unclassified disorders were defined (e.g., migraine-associated vertigo, MAV). Those patients complain of dizziness and vertiginous spells [47] without a pathological profile upon neurotological testing [48]. MAV is frequently associated with classical migraine due to the HIS classification and visual and vestibular disorders can occur without headache [47]. A hereditary background seems to be likely, but the genes responsible have not yet been identified [49]. The medical therapy of MAV corresponds to the guidelines of migraine treatment [50], [51].
In contrast to MAV, genetic studies have revealed that SCDS is linked to a mutation of the COCH gene [37]. Additional genetic studies could evidence that connexion-26 mutations can be responsible for an otolith dysfunction [52] and are associated to the HID/KID syndrome [53]. A close correlation between the geno- and phenotype in NF-2 patients could also be established [54]. Those findings were the most important contributions to the genetics of vestibular disorders since the small number of diseased people make linkage studies hardly feasible (with the exception of ataxia) [55].
Prebyvertigo is a well-known, but not yet epidemiologically fully characterized entity. In contrast to presbycusis which has been investigated in detail, presbyvertigo should become a mainstay in vestibular research over the next decade. The prevention of falls [56] is one global task of the health care systems in the Western world. Several features are associated with presbyvertigo, e.g., ageing of the vestibular receptors and the visual system [57], the reduced strength of the musculo-skeletal system, declining speed of neuronal processing, cardiovascular co-morbidity [58].
The extended diagnostic tools described above have accumulated knowledge about the nature of posttraumatic vertigo (e.g., after blunt head trauma, due to microsurgery of the middle ear or cochlear implantation). It was shown that the dizziness or rotational vertigo complaints can be based on separate otolith disorders, SCC paresis, delayed EL hydrops and can occur parallel (e.g., utricular loss and BPPV) or subsequently (e.g., UVL and delayed EL hydrops after 6 months) [12], [14], [59], [16], [17], [23].
4. Recent trends in the therapy of vestibular disorders
4.1. Surgical therapy
The description of dehiscence syndromes of the SCC has led to the development of surgical techniques to close those "third windows" [60]. The direct, transmastoidal approach will lead to a complete remission of the vertiginous complaints [61] with preserved hearing [62], [63]. These "canal plugging" techniques are based on the occlusion of a longer distanced segment of the SCC affected. This surgical approach can also be applied in cupulolithiasis as sequaelae of a re-occuring canalolithiasis [62]. An alternative, middle fossa approach has been described, particularly for SCDS [64].
A recently published paper suggests the occlusion of the lateral SCC for Meniere's disease and reports good hearing preservation with relief of vertiginous spells [65].
In general, the scientific community has re-evaluated the benefits of endolymphatic sac surgery in Meniere's disease (or in delayed EL hydrops) over the last decade [66]. The recently published COCHRANE review on this topic [67] does not yet cover this development [68], [69] which was initiated by a statistical re-evaluation of old, previously published data [70], [71], [72]. This was lately confirmed by a series from the House Ear Institute which reports the long-term benefits of endolymphatic sac surgery and the advantages against local gentamycin therapy with respect to vertigo relief and preservation of hearing [72].
This confirms also the classical Tübingen concept of Meniere's treatment (Figure 3 [Fig. 3]) as published by Klaus Jahnke as early as 1984 in Germany [73]. The surgical concepts can be modified and transferred to the treatment of EL sac tumours.
The microsurgical removal of an acoustic neuroma was the most reasonable suggestion to a patient when she/he was counselled in the 80s and 90s. Nowadays, stereotactic radiotherapy on one hand [74] and the knowledge about the growth patterns of small, intracanalicular tumours have to be taken into account on the other hand [75]. Moreover, medicolegal experts demand that the whole range of possible treatment alternatives (e.g., including herbal medicine) have to be explained [75], [76]. The great expectations of the patients nowadays (no surgery, full preservation of all cranial nerves, minimal therapy, no surgery) are in sharp contrast to the real clinical outcome, regardless of the therapy [74]. The litigation risk for the MD who has to counsel the patient is greatly increased when the patient denies any therapy (and was not fully counselled about the consequences) [76]. A careful "watch & scan" approach in small tumours can be an alternative for those patients [75].
If it comes to implantable neuroprosthetics of the vestibular system as known from the auditory system, a clinical application is not within sight because of the complexicity of the stimuli to be applied [77], [78].
4.2. Drug therapy
Drug therapy of vestibular disorders has considered a number of substance classes which have not dramatically changed over the last few years. However, the local application of drugs into the middle ear (via the tympanic membrane or drug delivery system) [79] is an extension of the therapeutic applications and can be easily combined with surgery, e.g., in bilateral Meniere's disease [80], [81], [82].
The application of intravenous corticosteroids in vestibular neuritis should begin as soon as possible after the onset of the disease since this should lead to a complete remission in 62% of the patients [10].
In Meniere's disease, the local application of corticosteroids and/or genatmycin is an integral part of drug therapy [82], but off-label use of betahistidin has proven effectiveness as well [66].
In MAV, the prophylaxis is of vital importance (done as in classical migraine) with the additional application of triptanes in the acute attack [51].
Experimental studies with isolated vestibular hair cells have confirmed that the antivertiginous effect of calcium antagonists (cinnaricine) is also based on a modulation of the transmitter output within the labyrinth [83].
5. Recent trends in vestibular rehabilitation
Uncompensated vestibular disorders (e.g., after vestibular neritis or removal of an acoustic neuroma) [4], patients with multiple lesions or after stroke have undergone so-called vestibular exercises for decades [11], [84], which is done alone or under supervision [85]. The main targets of those approaches are to improve central compensation and to activate the vestibulo-spinal and opto-vestibular pathways [86]. The exercises should be preceded by intense counselling without drug therapy in parallel [84]. In the elderly, home exercises can improve postural stability and reduce the risk to fall [87].
A new trend in vestibular rehab is the introduction of neurofeedback-based systems [25]. The stance and gait exercises of the patient are accompanied by a second sensory stimulus which provides additional information on the spatio-temporal movements and the body sway (Figure 4 [Fig. 4]). This sensory stimulus can be viobrotactile, but acoustic feedback has also been introduced (with the problem of SNHL in the elderly) [88], [89]. Acoustic feedback, however, is lab-based which limits its applications. The galvanic feedback has no proven efficacy so that this approach seems to be ineffective [90].
The presently available vibrotactile system (VertiGuard®) has proven efficency (Figure 5 [Fig. 5]) with proven long-term stability as demonstrated in patients after acoustic neuroma removal, in presbyvertigo and Parkinson's disease [26], [91].
6. Future perspectives. Quo vadis neurotology?
The socio-economic background of clinical medicine in general and of neurotology in particular – as outline in the introduction – has led to the situation in Germany that:
- despite remarkable progress in diagnostisc, these new tools are mainly lab tools as yet (e.g., otolith diagnostics) since they are not at all reimbursed,
- modern neuroimaging (MRA, CT of the petrous bones) has a strictly limited budget so that it is not always applied if required,
- modern vestibular microsurgery is limited to very few neurotological centers since the surgical procedures are not very cost-efefctive under the newly implement DRG rules,
- prevention of falls is a major topic of the health economy, but its practical management (e.g., vestibular exercises or similar approaches) has to be covered by the individual elderly,
- even neurological departments suffer from this low-budget approach to neurotology by the health care system (e.g., stroke unit are much more cost-effective under DRG rules).
- the frequently demanded gold standard of evidence-based medicine (double-blind, placebo-controlled) [67] will be hard to fulfil in neurotology – also in the future – due to the small number of patients for the single disorders (apart from BPPV) and for ethical concerns.
- quality control can be easily demanded, but is not easy to implement under the current constraints.
The strong and egocentric demands of some young patients could be best channelled into a service culture of medical care where you get what you pay for, worst-case scenario is a decline of neurotological service down to the level of GPs. We should go for the first and fight against the latter.
Supported by BMWiT (FKz. KF2227701), BMBF (FKz. 01EZ0754), the Sonnenfeld Foundation (Berlin) and ZNS Foundation (Bonn).
- 1.
- Andreas M, Debong B, Bruns W. Handbuch Arztrecht. Nomos, Baden-Baden.
- 2.
- Allum JHJ, Carpenter MG. A speedy solution for balance and gait analysis: angular velocity measured at the centre of body mass. Current opinion in Neurology. 2005;18:15-21. DOI:Â 10.1097/00019052-200502000-00005
- 3.
- Helling K. Funktionsstörungen der Otolithenorgane: Klinische Aspekte und Therapieoptionen. HNO. 2008;56:996-1002. DOI:Â 10.1007/s00106-008-1806-y
- 4.
- Halmagyi GM, Weber KP, Curthoys IS. Vestibular function after acute vestibular neuritis. Restor Neurol Neurosci. 2010;28:37-46.
- 5.
- Halmagyi GM, Curthoys IS. A clinical sign of canal paresis. Arch Neurol. 1998;45:737-739. DOI:Â 10.1001/archneur.1988.00520310043015
- 6.
- Viciana D, Ferrer J, Palma MJ, Zapata C, Lopez-Escamez JA. Dynamic visual acuity during head-thrust test in canal planes in healthy subjects and patients with vestibular neuritis. Acta Otolaryngol. 2010;130(11):1260-6.
- 7.
- Lehnen N, Aw ST, Todd MJ, Halmagyi GM. Head impulse test reveals residual semicircular canal function after vestibular neurectomy. Neurology. 2004;62:2294-2296.
- 8.
- MacDougall HG, Weber KP, McGarvie LA, Halmagyi GM, Curthoys IS. The video head impulse test: diagnostic accuracy in peripheral vestibulopathy. Neurology. 2009;73:1134-41. DOI:Â 10.1212/WNL.0b013e3181bacf85
- 9.
- Jorns-Häderli M, Straumann D, Palla A. Accuracy of the bedside head impulse test in detecting vestibular hypofunction. J Neurol Neurosurg Psychiatry. 2007;78:1113-1118. DOI: 10.1136/jnnp.2006.109512
- 10.
- Strupp M, Brandt T. Vestibular neuritis. Semin Neurol. 2009;29:509-519. DOI: 10.1055/s-0029-1241040
- 11.
- Brandt T, Huppert T, Hüfner K, Zingler VC, Dieterich M, Strupp M. Long-term course and relapses of vestibular balance disorders. Restor Neurol Neurosci. 2010;28:69-82.
- 12.
- Basta D, Clarke A, Ernst A, Todt I. Stance performance under different sensorimotor conditions in patients with post-traumatic otolith disorders. J Vest Res. 2007;17:25-32.
- 13.
- Basta D, Singbartl F, Todt I, Clarke A, Ernst A. Vestibular rehabilitation by auditory feedback in otolith disorders. Gait & Posture. 2008. DOI: 10.1016/j.gaitpost.2008.01.006 DOI: 10.1016/j.gaitpost.2008.01.006
- 14.
- Basta D, Todt I, Ernst A. Postural control in otolith disorders. Human Movement Sciences. 2005;24:268-279. DOI: 10.1016/j.humov.2005.04.002
- 15.
- Jacot E, Van Den Abbeele T, Debre HR, Wiener-Vacher SR. Vestibular impairments pre- and post-cochlear implant in children. Int J Pediatr Otorhinolaryngol. 2009;73:209-217. DOI: 10.1016/j.ijporl.2008.10.024
- 16.
- Ernst A, Basta D, Seidl RO, Todt I, Scherer H, Clarke A. Management of posttraumatic vertigo. Otolaryngol Head & Neck Surg. 2005;132:554-558. DOI: 10.1016/j.otohns.2004.09.034
- 17.
- Ernst A, Seidl RO, Nölle C, Pudszuhn A, Ganslmeier A, Ekkernkamp A, Mutze A. Hör- und Gleichgewichtsstörungen nach Kopfanpralltraumen. Trauma Berufskrankheit. 2001;3:27-31. DOI: 10.1007/s100390000343
- 18.
- Helling K, Schönfeld U, Scherer H, Clarke AH. Testing utricular function by means of on-axis rotation. Acta oto-laryngol (Stockh). 2006;126:587-593. DOI:Â 10.1080/00016480500450008
- 19.
- Basta D, Todt I, Ernst A. Normative data for: P1./N1 latencies of VEMP induced by air- or bone conducted tone burst. Clin Neurophysiol. 2005;116:2216-2219. DOI: 10.1016/j.clinph.2005.06.010
- 20.
- Basta D, Todt I, Ernst A. Characterization of age-related changes in VEMPs. J Vest Res. 2007;17:93-98.
- 21.
- Ernst A, Todt I, Basta D. The application of VEMP in otoneurosurgery. Otolaryngol Head & Neck Surg. 2006;135:286-290. DOI: 10.1016/j.otohns.2006.03.006
- 22.
- Ernst, A. Chirurgische Behandlung von Gleichgewichtserkrankungen. HNO Praxis heute. 2007;27:79-85.
- 23.
- Todt I, Basta D, Ernst A. Does the surgical approach in cochlear implantation influence the occurrence of postoperative vertigo? Otolaryngol Head & Neck Surg. 2008;138:8-12. DOI: 10.1016/j.otohns.2007.09.003
- 24.
- Allum JHJ, Zamani F, Aitkin AL, Ernst A. Differences between trunk sway characteristics foam support surface and on the Equitest ankle-sway-referenced support surface. Gait & Posture. 2002;16:264-270. DOI: 10.1016/S0966-6362(02)00011-5
- 25.
- Basta D, Ernst A. Moderne Rehabilitation von Gleichgewichtsstörungen mit Hilfe von Neurofeedback-Trainingsverfahren. HNO. 2008;56:990-995. DOI: 10.1007/s00106-008-1805-z
- 26.
- Basta D, Ernst A. Neurofeedback-based vestibular rehab in vestibular disorders. J Vest Res. 2010; (submitted).
- 27.
- Yamamoto M, Teranishi M, Naganama S, Otake H, Sugiura M, Iwata T, Yoshida T, Katayama N, Nakata S, Sone M, Nakashima T. Relationship between the degree of endolymphatic hydrops and electrocochleography. Audiol Neurootol. 2010;15:254-260. DOI: 10.1159/000258681
- 28.
- Perez-Fernandez N, Montes-Jovellar L, Cervera-Paz J, Domenech-Vadillo E. Auditory and Vestibular Assessment of Patients with Ménière's Disease Who Suffer Tumarkin Attacks. Audiol Neurootol. 2010;15:399-406. DOI: 10.1159/000310899
- 29.
- Brandt T, Dieterich M. The vestibular cortex. Its locations, functions, and disorders. Ann N Y Acad Sci. 1999;871:293-312. DOI: 10.1111/j.1749-6632.1999.tb09193.x
- 30.
- Dieterich M. Functional brain imaging. A window into the visio-vestibular systems. Curr Opin Neurol. 2007;20:12-18. DOI: 10.1097/WCO.0b013e328013f854
- 31.
- Dieterich M, Brandt T. Funtional imaging of peripheral and central vestibular disorders. Brain. 2008;131:2538-2552. DOI: 10.1093/brain/awn042
- 32.
- Kim HA, Lee H. Isolated vestibular nucleus infarction mimicking acute peripheral vestibulopathy. Stroke. 2010;41:1558-1560. DOI: 10.1161/STROKEAHA.110.582783
- 33.
- Zu Eulenburg P, Stoeter P, Dieterich M. Voxel-based morphometry depicts central compensation after vestibular neuritis. Ann Neurol. 2010;68:241-249. DOI: 10.1002/ana.22063
- 34.
- Wang JR, Parmes LS. Superior semicircular canal dehiscence associated with external, middle, and inner ear abnormalities. Laryngoscope. 2010;120:390-393. DOI: 10.1002/lary.20726
- 35.
- Minor LB, Solomon D, Zinreich JS, Zee DS. Sound- and/or pressure-induced vertigo due to bone dehiscence of the superior semicircular canal. Arch Otolaryngol Head neck Surch. 1998;124:249-258.
- 36.
- Chi FL, Ren DD, Dai CF. Variety of audiologic manifestations in patients with superior semicircular canal dehiscence. Otol Neurotol. 2010;31:2-10. DOI: 10.1097/MAO.0b013e3181bc35ce
- 37.
- Hildebrand MS, Tack D, Deluca A, Hur IA, Van Rybroek JM, McMordie SJ, Muilenburg A, Hoskinson DP, Van Camp G, Pensak ML, Stoper IS, Huygen PL, Casavant TL, Smith RJ. Mutation in the COCH gene is associated with superior semicircular canal dehiscence. Am J Med Genet. 2009;149A:280-285. DOI: 10.1002/ajmg.a.32618
- 38.
- Koo JW, Hong SK, Kim DK, Kim JS. Superior semicircular canal dehiscence syndrome by the superior petrosal sinus. J Neurol Neurosurg Psychiatry. 2010;81:465-467. DOI: 10.1136/jnnp.2008.155564
- 39.
- Kurzweg T, Dalchow CV, Bremke M, Majdani O, Kureck I, Knecht R, Werner JA, Teymoortash A. The value of digital volume tomography in assessing the position of cochlear implant arrays in temporal bone specimens. Ear Hear. 2010;1:413-419. DOI: 10.1097/AUD.0b013e3181d3d6b6
- 40.
- Petrovic BD, Futterer SF, Hijaz T, Russell EJ, Karagianis AG. Frequency and diagnostic utility of intralabyrinthine FLAIR hyperintensitiy in the evaluation of internal auditory canal and inner ear pathology. Acad Radiol. 2010;17:992-1000. DOI: 10.1016/j.acra.2010.04.002
- 41.
- Kim HC, An YS, Ahn JH. Petrous apex cholesterol granuloma presenting as endolymphatic hydrops: a case report. Clin Exp Otorhinolaryngol. 2009;2:151-154. DOI: 10.3342/ceo.2009.2.3.151
- 42.
- Kasai S, Teranishi M, Katayama N, Sugiura M, Nakata S, Sone M, Naganawa S, Nakashima T. Endolymphatic space imaging in patients with delayed endolymphatic hydrops. Acta Otolaryngol. 2009;129:1169-1174. DOI: 10.3109/00016480802691143
- 43.
- Naganawa S, Ishihara S, Iwano A, Sone M, Nakashima T. Three-dimensional (3D) visualization of endolymphatic hydrops after intratympanic injection of Gd-DTPA: optimization of a 3D-real inversion-recovery turbo spin-echo (TSE) sequence and application of a 32-channel head coil at 3T. J Magn Reson Imaging. 2010;31:210-214. DOI: 10.1002/jmri.22012
- 44.
- Diaz RC, Amjad EH, Sargent EW, Larouere MJ, Shaia WT. Tumors and pseudotumors of the endolymphatic sac. Skull Base. 2007;17:379-393. DOI: 10.1055/s-2007-991116
- 45.
- Ge X, Shea JJ. Transtympanic electrocochleography: a 10-year experience. Otol Neurotol. 2001;22:465-470.
- 46.
- Katayama N, Yamamoto M, Teranishi M, Naganawa S, Nakata S, Sone M, Nakashima T. Relationship between endolymphatic hydrops and vestibular-evoked myogenic potential. Acta Otolaryngol. 2010;130:917-923. DOI: 10.3109/00016480903573187
- 47.
- Neuhauser H, Leopold M, von Brevern M, Arnold G, Lempert T. The interrelations of migraine, vertigo, and migrainous vertigo. Neurology. 2001;56:436-441.
- 48.
- Cha YH. Migraine-associated vertigo: diagnosis and treatment. Semin Neurol. 2010;30:167-174. DOI: 10.1055/s-0030-1249225
- 49.
- Cha YH, Kane MJ, Baloh RW. Familial clustering of migraine, episodic vertigo, and Ménière's disease. Otol Neurotol. 2008;29:93-96. DOI: 10.1097/mao.0b013e31815c2abb
- 50.
- Baier B, Winkenwerder E, Dietrich M. "Vestibular migraine": effects of prophylactic therapy with various drugs. A retrospective study. J Neurol. 2009;256:436-442. DOI: 10.1007/s00415-009-0111-3
- 51.
- Brandt T, Zwergal A, Strupp M. Medical treatment of vestibular disorders. Expert Opin Pharmacother. 2009.
- 52.
- Todt I, Hennies HC, Basta D, Ernst A. Vestibular dysfunction in patients with mutations of connexin 26. Neuroreport. 2005;16:1179-1181. DOI: 10.1097/00001756-200508010-00009
- 53.
- Todt I, Hennies HC, Küster W, Smolle J, Rademacher G, Mutze S, Basta D, Seidl RO, Ernst E. Neurotological and neuroanatomical changes in the Connexin-26 related HID/KID syndrome. Audiol Neuotol. 2006;11:242-248. DOI: 10.1159/000093110
- 54.
- Selvanathan SK, Shenton A, Ferner R, Wallace AJ, Huson SM, Ramsden RT, Evans DG. Further genotype-phenotype correlations in neurofibromatosis 2. Clin Genet. 2010;77:163-170. DOI: 10.1111/j.1399-0004.2009.01315.x
- 55.
- Jen JC. Recent advances in the genetics of recurrent vertigo and vestibulopathy. Curr Opin Neurol. 2008;21:3-7. DOI: 10.1097/WCO.0b013e3282f41ca0
- 56.
- Furman JM, Raz Y, Whitney SL. Geriatric vestibulopathy assessment and management. Curr Opin Otolaryngol Head Neck Surg. 2010;18(5):386-91. DOI: 10.1097/MOO.0b013e32833ce5a6
- 57.
- Walther LE, Westhofen M. Presbyvertigo-aging of otoconia and vestibular sensory cells. J Vestib Res. 2007;17:89-92.
- 58.
- Katsarkas A. Dizziness in aging: the clinical experience. Geriatrics. 2008;63:18-20.
- 59.
- Basta D, Todt I, Göpel F, Ernst A. Loss of saccular function after cochlear implantation. Audiology & Neurotology. 2008;13:187-192. DOI: 10.1159/000113509
- 60.
- Agrawal SK, Parnes LS. Human experience with canal plugging. Ann N Y Acad Sci. 2001;942:300-305. DOI: 10.1111/j.1749-6632.2001.tb03754.x
- 61.
- Crane BT, Lin FR, Minor LB, Carey JP. Improvement in autophony symptoms after superior canal dehiscence repair. Otol Neurotol. 2010;31:140-146. DOI: 10.1097/MAO.0b013e3181bc39ab
- 62.
- Seo T, Hashimoto M, Saka N, Sakagami M. Hearing and vestibular functions after plugging surgery for the posterior semicircular canal. Acta Otolaryngol. 2009;129:1148-1152. DOI: 10.3109/00016480802609582
- 63.
- Fiorino F, Barbieri F, Pizzini FB, Beltramello A. A dehiscent superior semicircular canal may be plugged and resurfaced via the transmastoid route. Otol Neurotol. 2010;31:136-139. DOI: 10.1097/MAO.0b013e3181b76b9e
- 64.
- Westhofen M. Surgical treatment of vestibular vertigo: methods and indications. HNO. 2008;56:1003-1010. DOI: 10.1007/s00106-008-1807-x
- 65.
- Charpiot A, Rohmer D, Gentine A. Lateral semicircular canal plugging in servere Ménière's disease: a clinical prospective study about 28 patients. Otol Neurotol. 2010;31:237-240. DOI: 10.1097/MAO.0b013e3181ca85a2
- 66.
- Westhofen M. Menière's disease: evidence and controversies. HNO. 2009;57:446-454. DOI: 10.1007/s00106-009-1915-2
- 67.
- Pullens B, Giard JL, Verschuur HP, van Benthem PP. Surgery for Ménière's disease. Cochrane Database Syst Rev. 2010;20: CD005395.
- 68.
- Park JJ, Chen YS, Westhofen M. Impact of endolymphatic mastoid shunt surgery on saccule and lateral semicircular canal function. Eur Arch Otorhinolaryngol. 2010;267(1):21-6. DOI: 10.1007/s00405-009-0998-4
- 69.
- Hu A, Parnes LS. 10-year review of endolymphatic sac surgery for intractable meniere disease. J Otolaryngol Head Neck Surg. 2010;39:415-421.
- 70.
- Durland WF Jr, Pyle GM, Connor NP. Endolymphatic sac decompression as a treatment for Meniere's disease. Laryngoscope. 2005;115:1454-1457. DOI: 10.1097/01.mlg.0000171017.41592.d0
- 71.
- Ghossaini SN, Wazen JJ. An update on the surgical treatment of Meniere's disease. J Am Acad Audiol. 2006;17:38-44. DOI: 10.3766/jaaa.17.1.5
- 72.
- Lee L, Pensak ML. Contemporary role of endolymphatic mastoid shunt surgery in the era of transtympanic perfusion strategies. Ann Otol Rhinol Laryngol. 2008;117(12):871-5.
- 73.
- Cohen JE, Spektor S, Valarezo J, Felling Y, Umansky F. Endolymphatic sac tumor: staged endovascular-neurosurgical approach. Neurol Res. 2003;25:237-240. DOI: 10.1179/016164103101201436
- 74.
- Bassim MK, Berliner KI, Fisher LM, Brackmann DE, Friedman RA. Radiation therapy for the treatment of vestibular schwannoma: a critical evaluation of the state of the literature. Otol Neurotol. 2010;31:567-573.
- 75.
- Cheung SW, Aranda D, Driscoll CL, Parsa AT. Mapping clinical outsomes expectations to treatment decisions: an application to vestibular schwannoma management. Otol Neurotol. 2010;31:284-293. DOI: 10.1097/MAO.0b013e3181cc06cb
- 76.
- Bruns W. Der Patient muss über das Risiko der Nichtbehandlung ausreichend aufgeklärt werden. ArztRecht. 2010;45:183-187.
- 77.
- Wall C, Weinberg MS. Balance prosthesis for postural control. IEEE BME. 2001;22:84-90.
- 78.
- Merfeld DM, Priesol A, Lee D, Lewis RF. Potential solution to several vestibular changes facing clinicians. J Vestib Res. 2010;20:71-77.
- 79.
- Salt AN, Plontke SK. Principles of local drug delivery to the inner ear. Audiol Neurootol. 2009;14:350-360. DOI: 10.1159/000241892
- 80.
- Gouveris H, Lange G, Mann WJ. Intratympanic gentamicin treatment after endolymphatic sac surgery. Acta Otolaryngol. 2005;125:1180-1183. DOI: 10.1080/00016480510043909
- 81.
- Nabi S, Parnes LS. Bilateral Ménière's disease. Curr Opin Otolaryngol Head Neck Surg. 2009;17:356-362. DOI: 10.1097/MOO.0b013e3283304cb3
- 82.
- Nguyen KD, Minor LB, Della Santina CC, Carey JP. Vestibular function and vertigo control after intratympanic gentamicin for Ménière's disease. Audiol Neurootol. 2009;14:361-372. DOI: 10.1159/000241893
- 83.
- Hassler T, Homann G, Duong Dinh TA, Jüngling E, Westhofen M, Lückhoff A. Pharmacological modulation of transmitter release by inhibition of pressure-dependent potassium currents in vestibular hair cells. Naunyn Schmiedebergs Arch Pharmacol. 2000;380:531-538. DOI: 10.1007/s00210-009-0463-3
- 84.
- Bronstein AM, Lempert T. Management of the patient with chronic dizziness. Restor Neurol Neurosci. 2010;28:83-90.
- 85.
- Szturm T, Ireland DJ, Lessing-Turner M. Comparison of different exercise programs in the rehabilitation of patients with chronic peripheral vestibular dysfunction. J Vest Res. 1994;4(6):461-479.
- 86.
- Horak FB. Postural compensation for vestibular loss and implications for rehabilitation. Restor Neurol Neurosci. 2010;28:57-68.
- 87.
- Kamide N, Shiba Y, Shibata H. Effects on balance, falls, and bone mineral density of a home-based exercise program without home visits in community-dwelling elderly women: a randomized controlled trial. J Physiol Anthropol. 2009;28:115-122. DOI: 10.2114/jpa2.28.115
- 88.
- Hegemann J, Honegger F, Kupper M, Allum JHJ. The balance control of bilateral peripheral vestibular loss subjects and its improvement with auditory prosthetic feedback. J Vest Res. 2005;15:1-8.
- 89.
- Ernst A, Singbartl F, Basta D, Seidl RO, Todt I, Eisenschenk A. Postural stabilization through auditory feedback training in patients with posttraumatic otolith disorders: a pilot study. J Vest Res. 2008;17:137-147.
- 90.
- Danilov YP, Tyler ME, Skinner KL, Hogle RA, Bach-Y-Rita P. Efficacy of electrotactile vestibular substitution in patients with peripheral and central vestibular loss. J Vest Res. 2007;17:119-130.
- 91.
- Basta D, Steinhagen-Thiessen E, Gövercin M, Ernst A. Ageing effects in human postural control: Normative data to predict falls. Gait & Posture. 2010; (in press).


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Experiment with a few simple meal ideas and snacking tricks to trim sugar and fat in your diet. The 6 fun weight loss tricks to cut calories offer you the chance to preserve the versatility of your nutritional regime and get rid of extra pounds. Avoid the worst foods which load your system with unhealthy sugar and fat and discover natural resources of vitamins and antioxidants to embrace a healthy lifestyle.1. Opt for Chicken Taco and Veggies Skip the regular Taco and limit yourself to the consumption of chicken Taco packed with vegetables. ... Read More

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Removing the info share
- 1 Why this article?
- 2 LS1/LS2/HG/HS with Openlink
- 3 LSPro/LSLive with stock or modified stock firmware
Why this article?
On the original and modified stockfirmwares we always have a some default shares. The normal "share" is not the problem, but "info" is as you cannot get rid of it. This article describes how to deal with that problem.
LS1/LS2/HG/HS with Openlink
Description of the mechanism
Disabling updating of smb.conf
See How to disable the automatic update of smb.conf Linkstation (LS1/LS2) section.
LSPro/LSLive with stock or modified stock firmware
Description of the mechanism
nas_configgen!! (/usr/local/sbin/nas_configgen)
This is called by /etc/init.d/smb.sh in the configure() section.
/usr/local/sbin/nas_configgen -c samba
This file with the correct arguments, will parse /etc/melco/shareinfo & /etc/melco/info to obtain the info required to create the smb.conf.
When you create/edit the shares/basic with the WebUi, shareinfo, info & the smb.conf are rewritten & the samba service is restarted by smb.sh
Within nas_configgen, Buffalo have included a default [Global] section which requires a minimal amount of information taken from /etc/melco/info. Such as 'dos charset', 'netbios name', 'server string', 'wins server' & 'workgroup'. The default [info] share is also added at this point.
The shares sections added by the user in the WebUi, are then added at the bottom of the smb.conf. These are taken from /etc/melco/shareinfo, in the following format.
share<>disk1<>LinkStation folder<>all<>all<>all<>all<>1<>1<>0<>0<><>0<>0<>0<>0;
Share Name<>Disk<>Comment<>RW Users<>RW Groups<>RO Users<>RO Groups<>Windows<>Mac<>FTP<>Backup<>Backup Pass<>RO<>Trash<>Quota Status<>Quota Size;
If you have telnet/ssh access to your box & happy with editing files read on, else read How to enable telnet w/ ACP Commander (both hddrootfs in EM Mode) & Vi text editor tutorial
With sed
cp -a /etc/samba/smb.conf /etc/samba/smb.orig sed '/^\[info\]/,/guest ok = yes/d ; /^###info###/d' /etc/samba/smb.orig > /etc/samba/smb.conf
Paste that after line 20 in the /etc/init.d/smb.sh - info share is removed on restart, and every restart thereafter.
Warning: It's possible that the above sed line will not clean out the entire [info] stanza. In my case (LS-GL v2), the last line is not guest ok = yes but csc policy = disable. Also, if there's a problem with the sed command (eg sed gets corrupted) then smb.conf can end up empty. So perhaps this scriptlet will work more reliably:
sed '/^\[info\]$/,/^\[/{/^ /d;/^\[info\]$/d}' /etc/samba/smb.conf > /etc/samba/smb.conf.new && mv /etc/samba/smb.conf.new /etc/samba/smb.conf
The conditional ensures that the new config file is not copied into place unless sed returns with no error.
With a perl script
Extract tarball ([1]) to /
cd /tmp wget http://downloads.nas-central.org/Users/kaiten/removeinfoshare.tgz tar -C / -xzvf removeinfoshare.tgz
Add the following line to "/etc/init.d/smb.sh" after "/usr/local/sbin/nas_configgen -c samba":
Configure SMB through the WebUI as normal.
Tarball Contents:


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Hunting for dark matter and dark energy might seem like a losing game to the layperson. Why look for such strange, mysterious stuff, given the heavy costs to build instruments to find them and the seemingly slim chances of discovery?
Turns out scientists wonder that about one another too.
"Philosophically, what gets you putting so much time and effort … into such a low-probability game?" said Jay Pasachoff, a Williams College astronomer, to a panel of physicists Wednesday at the American Astronomical Society meeting in Long Beach.
Judging by the torrent of research discussed at the conference, discoveries of alien worlds -- particularly from the planet-hunting Kepler mission -- seem to be booming, said Pasachoff, who had presented his work on Venus earlier this week.
Finding clues about the nature of dark matter or dark energy, on the other hand, seems less likely by comparison, rather like looking for the shadow of an invisible needle in a haystack the size of a skyscraper.


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Search America's historic newspaper pages from 1789-1963 or use the U.S. Newspaper Directory to find information about American newspapers published between 1690-present. Chronicling America is sponsored jointly by the National Endowment for the Humanities external link and the Library of Congress. Learn more
Scott County kicker., November 02, 1912, Image 2
About Scott County kicker. (Benton, Mo.) 1901-1917
Image provided by: State Historical Society of Missouri; Columbia, MO


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London: The ex-Blues` midfielder struck against his former side to earn the spoils for the Black Cats and secure a second consecutive home win over the champions after success last season.
Adam Johnson upset his former employers by scoring the only goal in Sunderland`s surprise win over Manchester City.
Johnson's goal earned the Black Cats a deserved victory, but City goalkeeper Joe Hart will be bitterly disappointed that he was unable to keep the near-post shot out, as his side slipped up in their duel with Manchester United at the top of the table.
Both teams made just one change, as fit-again captain Vincent Kompany replaced Karim Rekik, while Matthew Kilgallon chosen over the absent John O`Shea.
The visitors would have felt slightly aggrieved to be going into the half-time break with the game deadlocked, having created the better chances in the opening 45 minutes.
Indeed, they had the first real chance of the game after 10 minutes, when fit-again captain Vincent Kompany headed against the crossbar from a David Silva corner, with Yaya Toure's subsequent effort being scrambled clear by the home defence.
Sunderland were then grateful to their in-form goalkeeper Simon Mingolet for denying Spain attacker David Silva after excellent build-up play from Argentine pair Carlos Tevez and Sergio Aguero.
The former freed Aguero down the left flank, and the ex-Atletico Madrid man reached the byline before finding Silva who connected well on the edge of the six yard box, but he was denied by a superb reflex save from the on-rushing Mingolet.
Next up it was the turn for City keeper Hart to be the hero, as he denied Steven Fletcher as he flew full stretch to his bottom right to deny the Scotland striker an opening goal.
A couple of wasted free kicks aside, that was the nearest the hosts' came to scoring in the first half, but just 10 minutes into the second period, they took the lead.
Ex-City midfielder Johnson picked up the ball on the right-hand side of the penalty area and drilled a shot low towards Hart's near post which the England man let slip under his out-stretched hand and into the corner of the net.
It was terrible mistake from the usually reliable Hart, but his manager and team-mates were furious that a foul on Pablo Zabalata seconds before was not punished by referee Kevin Friend.
That goal sparked the contest into life, and minutes later Sunderland almost doubled their lead when the lively Stephane Sessegnon wriggled himself into some room, before dragging his shot wide from the edge of the area.
From that point on, however, all the pressure was coming from the away side, and it took a fine save from Mingolet from an Aguero drive on the right-side of the area to keep the Black Cats in front.


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Hand with Abstract Lights
This Cover is Listed in Abstract Facebook Covers Gallery
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The design team for the 2011 F-Series Super Duty knows what customers demand of Ford's hard-working pickup truck. The challenge is to deliver in new and exciting ways.
"Built Ford Tough is the most important and enduring attribute of the F-Series Super Duty truck," said Ed Golden, chief designer. "For 2011, we've continued in that direction, evolving the Super Duty line with more boldness. Our customers demand a well-engineered truck, one that will perform the maximum duty they expect from it. Our design has to reflect that."
Bigger and bolder defines the front end. With the addition of the all-new, more powerful 6.7-liter Power Stroke® V-8 turbocharged diesel as well as a new 6.2-liter V-8 gasoline engine, the hood was redesigned with a prominent inverted power dome that gives an indication of the best-in-class torque and horsepower each engine will deliver.
"The Super Duty is all about power and capability, and we wanted to make that obvious," said Brad Richards, exterior design manager.
The grille surrounds especially emphasize the bigger and bolder look, with "Super Duty" stamped onto the upper grille. Combinations of chrome, black and body color are available on the multi-piece grille, depending on the series.
"One of the unique visual aspects of the Super Duty is the inlets at the outboard edges of the grille," said Golden. "The center grille bars wrap in aerodynamically at the ends. From one side you see the bars, and from the other you see the openings "" almost like a jet engine's air intake."
Bigger, stronger than ever
The theme of interlocking parts is echoed throughout the exterior, emphasizing the 2011 Ford F-Series Super Duty's enduring strength.
The iconic Ford oval is bigger "" by approximately 50 percent, to about 13 inches across "" and bolder as well to complement the new front end. "It's the biggest Ford oval anywhere except at the top of World Headquarters," Richards quipped. "The owners of these trucks are very proud of their vehicles and like what the Super Duty says about them and their lifestyle. It's not a bashful vehicle by any means."
The grille openings have been optimized for maximum cooling efficiency and minimum drag. A deeper air dam "" extended to about six inches "" has been added to the front to deflect air away from the underpinnings for better aerodynamics, which also adds to fuel efficiency. A shorter air dam is available for off-road customers. The headlamps are the largest ever for a Super Duty.
The larger wheel lips and new wheel and tire lineup help emphasize Super Duty's bolder look and stronger appearance, especially on two-tone models. Wheels range from 17-inch steel up to 20-inch polished units, depending on series: XL, XLT, Lariat and King Ranch®.
Exterior trim highlights
- XL Décor package features chrome bumpers and chrome center caps on the wheels
- XLT adds a chrome grille, fog lamps and chrome surrounds on the side vent badging
- Lariat adds two-tone on wheel lip
- King Ranch adds unique painted grille surround, wheels, Pale Adobe box top moldings and running board, and King Ranch badging
Available Tough Bed
Ford also offers Tough Bed®, a unique, military-grade, factory-installed spray-in bedliner. The polyol-based elastomeric film and isocyanate hardener are applied to the pickup box by a precision high-pressure automated sprayer to ensure one thin, smooth, even coat "" unlike the traditional hand-spray application of aftermarket bedliners.
The finer application ensures the bedliner materials won't run or sag on the inside walls of the box, and also minimizes unnecessary weight. Its uniformly textured surface also helps minimize load slippage while delivering a premium appearance.
All-new flow-through console heads interior upgrades
Leading the list of increased interior functionality is the flow-through console. The design team took advantage of Super Duty's steering wheel-mounted gearshift to create a console that flows from the instrument panel to the backseat, brimming with large, customizable and versatile storage space. The larger space also provides room for two HVAC ducts to the backseat.
Highlights of the new flow-through console include:
- The main storage bin, which is lockable, encompasses many attributes to help make the 2011 Ford Super Duty the perfect office on wheels. The base includes a rubber mat with a lip that aids storage of items such as laptops, notebooks or binders.
- Customers can use the hanging tray for change "" slots for pennies through quarters are provided "" or to store other items such as screwdrivers or other tools. At least $7.53 in change can be held in the slots "" $4.25 in quarters, $2.30 in dimes, 80 cents in nickels and 18 cents in pennies.
- The hanging tray can be removed to create file storage with the available file hangers.
- The underside of the console bin lid includes storage options for pens, pencils, highlighters, business cards, tire gauges, small flashlights and tissue, among other items.
- Map pockets are provided on both driver and passenger sides.
- A two-level front storage compartment accommodates four cupholders, which are in two identical, removable modules. Each module can be individually removed to create larger storage tray spaces, or both can be removed and easily stowed for even more open space. A false-bottom tray, sitting just below the cupholder modules, creates an additional storage compartment that also can be removed to create one deep tub of storage space.
- Standard 110-volt inverter and socket at the rear of the console.
- 12-volt powerpoints at the rear of the console and inside the main bin; the powerpoint in the main bin is raised for easier access and a cord pass-through notch allows coiled cords or multiple cords to pass through the console with the armrest lid closed.
The cupholders "" four in front and two in the rear "" are modular and configurable. Each contains a rubber insert that can be removed for larger beverages. For a thermos "" or a really big thirst "" the front storage compartment contains a footprint for a 64-ounce beverage, which is accessible by removing the false-bottom tray and one cupholder module.
Enhanced seats provide more comfort
The seats of the new Super Duty are based off the well-received seats from the Ford F-150 and feature improved comfort and support, upgraded cloth and leather, and have available 10-way power adjustments. The front seats can be heated and cooled, and the driver's seat has manual lumbar support standard. Lockable, underseat storage also is available.
# # #
About Ford Motor Company
Ford Motor Company, a global automotive industry leader based in Dearborn, Mich., manufactures or distributes automobiles across six continents. With about 198,000 employees and about 90 plants worldwide, the company's automotive brands include Ford, Lincoln, Mercury and Volvo. The company provides financial services through Ford Motor Credit Company. For more information regarding Ford's products, please visit www.ford.com.


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Growing Chefs!
Growing Chefs! Chefs for Children's Urban Agriculture gets kids excited about good, healthy food.
In our Classroom Gardening and Cooking Program, chef and community volunteers are paired with elementary school classrooms (grades 1-3 for the primary program, 4-6 for the intermediate) to give students hands-on experience growing and cooking their own food.
How it works:
Over the course of three and a half months, the chefs visit the classroom every two weeks, helping the students plant and tend to indoor vegetable gardens.
The chefs engage the students in games, lessons, and activities focusing on plant growth, local and urban agriculture, sustainability, and nutrition.
The students harvest their vegetables, and the chefs teach them to cook delicious, healthy meals with what they have grown.
The Growing Chefs! Classroom Gardening and Cooking Program runs the Primary Program (Grades 1-3) from March to June and Intermediate Program (Grades 4-6) from September to December. To volunteer, get Growing Chefs! in your classroom, or to learn how to get involved, click here!


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Season Of The Witch
One of acclaimed horror director George A. Romero's earliest works comes out on Blu-ray for the first time, in a Special Edition disc featuring a crisp 4K scan restoration. "Season of the Witch" may not be one of Romero's better-known titles. One of his follow-ups to the hugely successful "Night of the Living Dead," this movie saw the famed director dealing with witchcraft instead of zombies.
Long before "Halloween III" used it as its subtitle, "Season of the Witch" was George Romero's return to the horror genre after a few years away. It's a hard film to categorize, and from the get-go, Romero uses lots of close-ups and bizarre camera angles to get his point across. And that point was that several housewives were bored and fed up in the early '70s, which leads Joan (Jan White) to delve into witchcraft after a neighbor introduces her to the practice.
It isn't long before Joan starts conjuring men to fall at her feet, including a man whom she scorned several times in the past. Featuring dazzling color instead of black and white this time around, "Season of the Witch" is one of Romero's oddest films, but it's oh so enjoyable to watch in a most '70s kitschy way.
Not only is the original 90-minute theatrical edition available to watch (the much-preferred version), Arrow includes the alternate extended version which clocks in at 104 minutes. The 14 minutes of extra footage gets presented in standard definition, making this extended cut a bit inconsistent.
A brief interview with actress Jan White gets archived from the Anchor Bay DVD release from a few years back. She talks about "Season of the Witch" and why she quit acting after only a few years in the business. And a brand new featurette called "When Romero Met (Guillermo) Del Toro" shows the two popular directors as they interview each other in Romero's NYC apartment in 2016.
A limited edition poster and trailers featuring all three separate movie titles ("Hungry Wives," "Jack's Wife," and "Season of the Witch") only makes this Blu-ray set all the more enticing.
"Season of the Witch"


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Sunday, July 19, 2009
Divine Mercy Shrine
Posted by Missionaries of the Eucharist at 9:43 AM
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Who we are?
Every summer we, the Missionaries of the Eucharist, are walking from Lewiston, Maine to Washington, DC to proclaim the beauty of the Catholic faith to everyone we meet, specifically through the Theology of the Body.
Conversion begins in our own hearts,which is why prayer is so important to our ministry. For this reason, everyday of our ten week walk begins with daily Mass. By receiving Christ in the Eucharist, we are given the grace to be the Love of Christ not only to those in our community but also to those we meet in the streets.
We walk throughout the day to be a witness of love. We are grounded in prayer-we pray with our lips, our hearts, and our bodies. In walking an average of twenty-five miles per day, we offer our fatigue as a gift of love to Christ and the people we meet. Our walking is both sacrifice and prayer.


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Find hotels & motels in South Hamilton using the list below. Find discounted hotel accommodations in or close to South Hamilton, MA for your business or personal leisure travel. Discover the best South Hamilton Massachusetts hotel rooms. Review the South Hamilton hotel list below to find the perfect lodging. We also have a map of the South Hamilton hotels. Need 5+ Rooms? Secure South Hamilton Group Hotel Deals
The South Hamilton center point is approximately 7 miles northeast of Lahey Clinic and 7 miles east of Boxford State Forest.
How should we direct your call?


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It's one thing to nurse a beer, but for three decades?
It's one thing to nurse a beer, but for three decades?
While most people are familiar with the age-old tradition of handing out cigars upon the birth of a child, Brian Grossman — co-manager of Sierra Nevada Brewing Co.'s budding Mills River facility who became a father for the first time Dec. 18 — can boast of a different celebratory indulgence.
For years Grossman planned to crack a bottle of Sierra Nevada's Bigfoot Barleywine Style Ale circa 1985, the year Grossman was born, and share it with his father, Ken, who started the company in 1980, upon the birth of Brian Grossman's first child.
Much like many red wines, some beers continue to mature and grow more complex over time, such as barleywines, which have a high alcohol content that limits the deterioration and eventual spoilage of an otherwise ultra-perishable product. The beer was first cellar-stored to promote maturity, then cold-stored to better preserve it.
"Growing up, my dad always used to keep old barleywines underneath the house in the cellar to have and to age, and I grabbed a bottle of '85 and I electrical-taped the crown so no one would drink it," Brian Grossman said during an interview with the Times-News in September.
While the younger Grossman's home in Chico, Calif., is a revolving door of friends and neighbors who are welcome to come over to enjoy a beer or two, he does have a rule that some beers are off-limits, such as the 1985 Bigfoot.
"Actually, on that one, I think I put a note, 'Do not drink,' on a sticky pad or something, and I just decided that's what I was going to open it for," said Grossman, 28. "I must have been 21 at the time, and I just decided that the one (Bigfoot) on the year I was born would be a good one to open when my first kid was born to share with my dad."
And now, Grossman's son, Jaxon Kenneth Grossman, has a chance to continue his own father's tradition: Brian Grossman has already set aside two cases of 2012 Bigfoot and two cases of Brux — a collaborative Belgian-style sour beer with Russian River Brewing Co. released in June — for Jaxon.
Brian Grossman has written notes, "Save for Jax," on both cases of each: one for Jaxon to pop open for his 21st birthday and the other for his own first-born child.
As for the '85 Bigfoot, no one was quite sure whether father time would have finally gotten to the epic brew by the time Brian and Ken shared it last weekend after nearly three decades in the bottle.
As Brian Grossman said, "Hopefully it's good, right?"


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In the last few years, scientific research and knowledge on climate change have progressed substantially, confirming that the current warming of the Earth's climate is very likely to be due to human activities such as the burning of fossil fuels. The Earths warming is already having measurable consequences and future impacts are expected to be wide-ranging and costly.
How can we adapt to those changes? Is it possible to limit the extent of climate change and its impacts through mitigation efforts?


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Local Get Smart Schools lauded in D.C. this week
Charter incubation — the idea of fostering, supporting and training leaders to start charter schools — got attention in Washington D.C. yesterday following a report that highlighted six existing organizations already working on it.
The report released yesterday, published by Public Impact for the Cities for Education Entrepreneurship Trust, and the Thomas B. Fordham Institute, highlighted the local Get Smart Schools as one of six charter incubators.
The report finds that early indicators show incubators are helping charter schools become successful.
This is what they found specifically about Get Smart Schools:
"GSS-affiliated schools currently enroll 4,056 students, 73 percent of whom qualify for free or reduced-price lunch. Of the 12 GSS schools for which there is performance data, 11 outperform the state in student growth and eight have higher student proficiency rates than their local districts."
The conversation in D.C. where the report was presented, focused largely on funding. The report finds that incubation in part helps foster successful charters because it assists in a time when schools don't have a lot of resources.
Amy Slothower, executive director of Get Smart Schools said that many new charter leaders lament that start up grants and a large portion of the initial funding is not received early enough to start planning much ahead of a school's opening.
Currently the existing incubators in the U.S. also don't have a consistent form of sustainable funding to help them continue their front-end work with charter schools.
"Right now we are entirely funded by private grants," Slothower said. "We recognize that we can't grow very much that way."
The conversations the report generated in the area of funding could eventually lead to new solutions that create more willingness to fund incubators or make more funds available to new schools upfront, she said.
"Starting new schools is a really risky business anyway," Slothower said. "Making a small investment upfront and making sure that leaders have the skills and capacity to open a school is really important."
Earlier in the year, Get Smart Schools also was recognized by former President George W. Bush when Get Smart Schools signed a partnership with Bush's organization, George W. Bush Institute's Alliance to Reform Education Leadership.


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This week on Sunday With Sarah I share my thoughts on a few well-established curriculum resources for homeschoolers wishing to incorporate Waldorf methods.
Oak Meadow – A more mainstream homeschool curriculum with a Waldorf flavor.
Live Education – A curriculum developed by Waldorf class teachers. Waldorf school at home.
Christopherus Homeschool Resources – Developed by a Waldorf-educated, Waldorf-trained, homeschooling mother of two, who knows what it's like to juggle being a mom, running a household, and educating one's children. Highly recommended.
LifeWays North America – A wonderful resource for parents of children birth to age six. Offers a training program for parents and home caregivers, and a wonderful newsletter full of information.
Are you a homeschooler? An Unschooler? Do you use a curriculum? What's working for you? Share your thoughts, suggestions, and questions here!


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Lancaster New Era
Lancaster New Era
LANCASTER — On April 4, 1865, just one day after Confederate soldiers abandoned their capitol city, Richmond, Va., President Abraham Lincoln arrived at nearby City Point.
As Lincoln debarked from the sidewheeler River Queen, he passed silent rows of cannons, some owned by the U.S. Army, others captured from the rebels.
That event is a historic fact.
In the Steven Spielberg movie "Lincoln," which opened nationwide on Friday, many of the cannons on display during the re-creation of that scene are the property of former Lancaster Mayor Charlie Smithgall.
Smithgall, who has perhaps the most extensive privately owned collection of antique cannons in the country, furnished 12 guns for use in the movie. These included his huge 30-pound Parrott gun and massive 4 1/2-inch rifle. Mounted on heavy wooden carriages, each weighs about six tons.
Smithgall said he was contacted last fall by Dreamworks about supplying cannons for the movie.
"The art director came here and picked out what he wanted," Smithgall said. "We went through the garage and I explained to him what the guns were."
The art director selected a 24-pound howitzer, a 12-pound howitzer, two 12-pound Napoleons and a 10-pound Parrot. Five 3-inch Ordnance Guns, with inch referring to the diameter of the bore, also were chosen.
Filming took place between Oct. 17 and Dec. 19, 2011. About two weeks before Thanksgiving, Smithgall, assisted by Barry Reynolds, Jimmy Murray and Billy Bertz, loaded two leased flatbed tractor-trailers with five guns each, placing two more guns on Smithgall's small trailer.
Smithgall said hauling 12 Civil War cannons along I-95 caused "quite a stir." Truckers on CB radios were "going nuts," he said.
Principal filming was done near State Farm, Va., about 30 miles west of Richmond. The property consists of thousands of acres of open ground.
Smithgall's guns were involved in three scenes. The first was Lincoln's arrival at City Point, Va., where the guns were lined up hub-to-hub.
"They had an original photograph and they were trying to duplicate it," Smithgall said.
Another part of the set represented the Petersburg, Va., battlefield, which Lincoln toured on horseback.
The third scene was in Richmond, where the original Confederate White House was given a temporary portico to make it resemble the White House in Washington, D.C. His guns were used as background.
At no time during the six weeks were the guns fired.
Smithgall supplied some of his historical knowledge as well. When they finished filming the scene at the White House, Smithgall pulled his Napoleons and howitzers.
"I told them they wanted to use only Ordnance Rifles," Smithgall said. "Grant, after the Battle of the Wilderness (May 5-7, 1864), sent back all the cannons except for the Ordnance Rifles."


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Roadrunners finish the job
UTSA earns first NCAA bid since '04
KATY — Scissors poised, UTSA senior Devin Gibson paused for a split second before snipping the last strand of net Saturday at the Merrell Center.
Thoughts raced through his mind, about God, his deceased grandmother and all the work he had put in over the previous four seasons.
More than anything, however, Gibson just needed to collect himself as reality sunk in.
He had finally achieved his ultimate goal — the Roadrunners are heading to their first NCAA tournament since 2004 after beating McNeese State 75-72 in the Southland Conference title game.
"It was just like, 'Wow, it finally happened,'" said Gibson, a four-year starter whose teams had been ousted from the Southland tournament in each of the past three seasons, including the 2009 final.
As has been the case so often with the Roadrunners (19-13), it didn't come easy.
Their 69-60 lead with 1:21 remaining melted to just two in the face of a withering barrage from McNeese, which drilled four straight 3-pointers in the span of 41 seconds.
"They made it interesting," said UTSA coach Brooks Thompson. "It took everything we had to get out of here with a win."
The Cowboys (21-11) could have tied the game after Melvin Johnson III missed the second of two free throws, but Patrick Richard missed under pressure from Stephen Franklin just before the buzzer.
"When they were dribbling down, I was just thinking, 'Somebody's got to contest; somebody's got to contest,'" Gibson said. "Stephen did a great job."
McNeese also had three chances to tie it at 74 on the previous possession, but Gibson blocked C.J. Collins' layup attempt, and Collins missed a 3-pointer before stepping out of bounds while driving baseline with the offensive rebound.
So the Roadrunners survived, completing a stretch of five must-win victories in 11 days, the last four of which weren't decided until late, to reach the Southland and now the NCAA tournament.
Though the field won't be announced until today, UTSA, at No. 202 in the latest RPI rankings, will almost certainly be assigned to one of the First Four first-round games, scheduled for Tuesday and Wednesday in Dayton, Ohio.
They'll have the chance thanks, in large part, to freshman forward Jeromie Hill, who had one of the best — and certainly most timely — games of his young career with a game-high 25 points.
"Once I hit that first one, I got confidence," said Hill, who made 10 of 14 shots, including all four 3-point attempts. "I knew if I saw daylight, it was going up. And they kept going in."
The Roadrunners also received critical contributions from role players such as Franklin (10 points, 10 rebounds, three assists) and little-used walk-on Kalif Bakare, who had two points and three assists in the first half as Gibson shook off a blow to the head.
But as usual, Gibson was there at the end, scoring 13 in the second half to secure tournament MVP honors. More important, he has at least one more game to play.
"He's got what he's been after for four years," Thompson said. "For that to finally happen, it's special."


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Lol ok then. Will nog go old on yaKYLakeKiter wrote:Since I asked the original question, I have to agree with what Oldnbroken said. When asking about specific brands of kites, I would expect people to pimp their brand. I wanted to hear from the people who like their kites and the people who make them.
Dimitri is sending me a V2 to demo later in December (based on when I can take it to some warm water to try out) I have to say that "pimpin' kites like that is alright by me. It is one thing to talk on the forum and hear opinions, but you can't beat getting your hands on the kite and trying it out for yourself (even better trying it out on your own schedule).
I fully admit that this will probably make my opinion completely biased, but Naish is welcomed to send me a kite as well if you want to even things up
Just kidding Taut. I have no opinion yet on Naish, so don't go all frusterated Jackie Chan on me.
I think there are many different business models and strategies. I'm sure some naish shop would let you demo a kite...would probably be good to get a comparison.
I must say if I had a company I would certainly consider the epic model since getting someone to actually touch the product usually leads to sales. You definitely take ownership once you sit In the pilot seat. Pretty good model.
..and people hesitate since sending the kite back will cost
Now when that is said


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The Warwick West Side senior softball all-star team wasn't supposed to make any noise at the state tournament this past week.
But West Side wasn't paying any attention to that.
After hearing whispers that it didn't necessarily belong the state's elite teams, West Side – representing District 3 – won its second game of the tournament 17-4 over Riverside, validating its inclusion in the tournament.
Though it lost the first game 17-1 to Elmwood and was officially eliminated on Tuesday with a 19-6 loss to Burrillville, West Side had no real complaints about its time at states.
"A lot of people thought we were going to be two-and-out in the tournament," West Side manager Hughie Cabana said. "There were rumors of us not being strong enough to compete down there. I thought the performance was good."
It didn't start out great, as West Side lost that first game to Elmwood on Saturday. It was forced use both its pitchers – Tayla Ferreira and Lucy Stringfellow, but it was to no avail.
On Sunday, though, facing elimination, West Side bounced back.
It jumped on top of Riverside early, and cruised to a dominating victory.
"It was a team effort," Cabana said. "They did what they had to do. They ran the bases smart."
Ferreira pitched the entire game, which was shortened to five innings because of the 10-run mercy rule.
"We scored a lot of runs," Cabana said. "There were a lot of key hits. We made the plays when we had to. We made the defensive plays. The girls got key hits to drive in runs."
On Tuesday, West Side squared off against three-time defending champion Burrillville and hung in the game most of the way.
Though the 19-6 score sounds like a blowout, West Side was ahead 6-4 in the third inning before Burrillville went on top 9-6 in the fourth.
From there, the floodgates opened. Stringfellow and Ferreira both pitched, and though 19 runs were scored, there was a lot of tough luck involved.
"Lucy pitched well enough to deserve a better outcome," Cabana said. "She really did pitch well. She only walked two batters. They weren't smashing the ball, they were just getting key hits off her."
Offensively, West Side continued to hit the ball the way it had been earlier in the game, it just couldn't seem to find a hole in the Burrillville defense.
"We stopped hitting," Cabana said. "Well, we hit but they made the plays."
And even though Cabana would have liked his team to still be playing, he was happy with the general outcome, and happy to prove some people wrong.
"We put in a good effort I believe," Cabana said. "We just came up a little short at the end."
The team, comprised of girls 13-16 year olds, was made up of players from the West Side senior softball league, which had three teams. Only two of the girls – Abigal McCormick and McKenzie Avedisian – were 16, meaning that just about everybody should be back next year for another run.
If this season was a learning experience, next year could be even better.
The future should be bright.
"I'm satisfied with the performance," Cabana said. "They definitely have a good future, with 10 players coming back to be eligible for all-stars."


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Linked by Thom Holwerda on Wed 9th Feb 2011 00:04 UTC
Speaking of Nokia - Engadget got their hands on what is supposedly an internal memo sent to Nokia employees by the company's new CEO. It's... Brutal. As in, brutally honest. There's no sugar-coating here, no unicorns, no glitter. "Nokia, our platform is burning." Update: Android is probably out of the question. Will it be Windows Phone 7, after all? Damn; Palm tonight, Nokia Friday - what a week for mobile! Update: The "Communities Dominate Brands" blog published an in-depth analysis of the memo, which claims with sound arguments that it might well be a hoax.
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meego + dalvik vm
by collinm on Wed 9th Feb 2011 11:29 UTC


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- Inside Athletics
- Tickets
- Fan Zone
- Media Zone
- Social
- Shop
- Donate Now
RADFORD, Va. (April 22, 2013) – The ETSU baseball team plays a pair of midweek games starting Tuesday night when the Bucs wrap up their five-game road trip at Radford. First pitch with the Highlanders is set for 6 p.m., at Radford Baseball Stadium.
Following Tuesday night's game, the Blue and Gold return home to open a four-game homestand when ETSU hosts Appalachian State Wednesday night at 7:05 p.m., at Thomas Stadium. Wednesday's game versus the Mountaineers was originally scheduled for March 5, but inclement weather postponed the game to April 24.
- ETSU dropped two of three at Stetson this past weekend in DeLand, Fla., and the Bucs saw their record move to 22-15, 11-7 in A-Sun play.
- Senior right-hander Kerry Doane (Ft. Lauderdale, Fla.) pitched the Blue and Gold to their lone win on the weekend as he tossed his NCAA-leading eighth complete game in Friday's 3-2 win over the Hatters. Unfortunately, despite being tied at three in the eighth inning of Saturday's game, Stetson struck for four runs in the bottom of the inning to take game two, 7-3, while the Hatters handed ETSU its first shutout in 2013 with a 2-0 setback on Sunday.
- Juniors Clinton Freeman (Jonesborough, Tenn.) and Jared Burton (Knoxville, Tenn.) were stellar out of the bullpen for the Bucs as they combined for 6.2 innings of scoreless ball. Burton extended his consecutive scoreless streak to 9.1 innings pitched after registering 2.1 frames of one-hit ball on Saturday, while Freeman pitched four scoreless innings on Sunday to lower his ERA to 0.40 (1 ER/22.1 IP) as a reliever in 13 appearances in 2013.
- However, the Buccaneer offense was held to six total runs in 27 innings and hit a disappointing .221 (21-95) for the series, while going 4-for-23 (.174) with runners in scoring position. On the flip side, ETSU's pitchers held the Hatters offense to 11 runs (nine earned) and a .245 batting average (23-94), but 10 walks, four errors and four hit batters haunted the Blue and Gold staff.
- The Highlanders (22-16) snapped a five-game losing streak over the weekend as Radford took the final two of a three-game series at Coastal Carolina. After dropping a 1-0 game in 15 innings Friday night, Radford bounced back by taking the second game, 4-3, and won Sunday's rubber match, 5-2.
- Radford has a pair of players hitting over .300, but as a team, the Highlanders rank ninth in the Big South Conference with a .263 clip. Junior catcher Josh Reavis has hit safely in 21 of his last 22 starts and leads the team with a .316 batting average, while red-shirt senior Jeff Kemp is hitting .310. Kemp has started in 37 of the Highlanders' 38 games and leads the team in doubles (12), home runs (10), and RBI (32).
- The Highlanders boast the second-highest fielding percentage in the Big South (.976), but Radford has committed 11 of its 36 errors in its last seven games play.
- Of is 22 wins, 10 have come at home, but Radford has dropped its last four at Radford Baseball Stadium.
- Radford defeated the Bucs, 4-2, back on April 1 at Thomas Stadium, but ETSU has still won four of the last seven meetings and lead the all-time series, 21-15.
- Despite scoring two runs in the second inning and freshman right-hander Peyton Taylor (Kingsport, Tenn.) taking a no-hitter into the fifth inning, the Highlanders scored four unanswered runs to defeat the Blue and Gold 23 days ago. Jeremy Taylor (Fayetteville, Ga.) and sophomore Chris Riopedre (Miami, Fla.) combined for four of ETSU's nine hits on the night.
- Following his two-hit game on April 1, Riopedre is hitting .556 (5-9) with three doubles in three games (two starts) against Radford. Meanwhile, senior Derek Niesman (Wellington, Fla.) is hitting .313 (5-16) with one double, six walks and four runs scored in six career games versus Highlander pitching.
- Last year, ETSU defeated Radford, 8-4, on the road as Riopedre, Freeman, Andrew Green (Powell, Tenn.) and Zach Thompson (Johnson City, Tenn.) accounted for eight of the Bucs' 13 hits in the winning effort.
- Freshman righty Griffin Krieg (Nashville, Tenn.) will go to the hill for the Blue and Gold, while Radford counters with fellow freshman right-hander Dylan Nelson.
- Krieg is making his 10th start of the season Tuesday night and is searching for his first win since tossing eight shutout innings at USC Upstate back on March 15. The Nashville, Tenn. native is 2-4 with a 7.16 ERA (35 ER/44.0 IP).
- Nelson is 4-2 with a 7.15 ERA (27 ER/34.0 IP) in nine appearances (six starts) and has won his last two decisions – including a 9-8 victory over then-No. 4 Virginia on April 10 in Charlottesville.
- Appalachian State (21-15) has dropped four straight after being swept at The Citadel this past weekend, and the Mountaineers take on North Carolina A&T Tuesday night in Boone, N.C.
- Senior infielder Hector Crispo leads the team in batting average (.346), hits (55), and stolen bases (17), while fellow senior infielder Will Callaway is hitting .345 (50-145) with 11 doubles, four home runs and 29 RBI in 35 games.
- The Mountaineers lead the SoCon in fielding percentage (.969), rank fourth in ERA (4.42), and are tied for sixth in hitting (.283). In addition, Appalachian State ranks second in the conference with 71 stolen bases, while its 350 hits allowed are the fewest by any team in the SoCon.
- Appalachian State – who posted a 41-18 record in 2012 – won the Southern Conference Championship and went to the NCAA Regional for the first time since 1986.
- Wednesday marks the 126th all-time meeting between the two programs, with Appalachian State leading the series, 71-54, but the Bucs have won three straight and seven of the last 10 versus the Mountaineers.
- Last season, Chris Riopedre's two-run scoring single in the bottom of the seventh brought home the eventual game-winning runs, lifting the Blue and Gold to a 7-4 victory at Thomas Stadium. Clinton Freeman went 3-for-4 with two doubles, two runs scored and two RBI in the three-run victory, while Logan Rice (Erwin, Tenn.) tossed two scoreless innings in relief.
- Neither team has announced its starter.
- Live stats will be available for both games via StatBroadcast by visiting ETSUBucs.com. Fans can access live stats on their computers, mobile devices or tablets.
- Live audio is also provided for the games on Tuesday and Wednesday via ETSUBucs.com, while Wednesday's game against Appalachian State will offer live video for free on ASun.TV.
- Live updates will also be posted on Twitter by following @ETSUAthletics and @ETSU_Baseball.
- Single game tickets to ETSU baseball games are $10 for seats behind home plate and $5 for seats along the baselines. Tickets can be purchased at the stadium, online at ETSUBucs.com, or by calling (423) 439-3878.
- Come out to Thomas Stadium early and tailgate prior to ETSU baseball games this season. A designated tailgating area will be roped off in the parking lot where fans can enjoy a festive environment before the Bucs take the field.
- Click here for tailgating guidelines.
ETSU fans wanting to receive Buccaneer news, score updates, in-game promotions and much more sent to their mobile device can do so by signing up for "Buc Updates." Click here to sign up today!
For more information on Buccaneer baseball, visit ETSUBucs.com and click on the baseball link.


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State Landmark Getting Fixed
The Harney Peak Lookout Tower in the Black Hills is receiving much needed "tender loving care."
Volunteers are installing 19 replica windows and three replica doors. The Forest Service is repairing the mortared stone stairs attached to the tower. Materials were transported to the tower by a mule pack string. All maintenance work will be done the old fashioned way, meaning no motorized equipment or wheeled tools will be used.
The Harney Peak Lookout tower was constructed by the Civil Conservation Corp. It is a National Historic, and is renowned by South Dakotans and visitors for its landscape views of the Black Hills and beyond.
The lookout tower is located on United States Forest Service Land, within the Black Elk Wilderness. It is not in Custer State Park, although the hike to get to it starts at Sylvan Lake.
Sherri Schwenke is the Federal District Ranger for the area, "The Harney Peak Project, is a great kick-off for the year-long countdown to the 50th anniversary of America's Wilderness Act, which was signed into law on September 3, 1964."
An interesting side note or two:
. The Black Hills Backcountry Horseman are volunteering their time and stock to assist in movement of materials to the worksite. The National Trust for Historic Preservation through the Historic Preservation Fund provided financial support to the Forest Service for this project. The Region 1 Historic Building Preservation Team from the Forest Service office in Missoula, MT constructed the windows and doors during the past year and will have specialists on site supervising the installation. A number of local individuals are also volunteering their time for this project.


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Here's your look at highlights from the weekly AP photo report, a gallery featuring a mix of front-page photography, the odd image you might have missed and lasting moments our editors think you should see.
This week's collection includes a man standing by tombstones outside Bucharest, Romania; Shiite faithful pilgrims gathering for Arbaeen in Karbala, Iraq; a panda mother playing with her triplet cubs in south China's Guangdong province; and a hostage running for safety in Sydney, Australia.
This gallery contains photos published Dec. 11-17, 2014.
See the latest AP photo galleries: http://apne.ws/TXeCBN
The Archive: Previous "10 Things to See" galleries: http://apne.ws/13QUFKJ
Follow AP photographers on Twitter: http://twitter.com/AP/lists/ap-photographers
Follow AP Images on Twitter: http://twitter.com/AP_Images
Visit AP Images online: http://www.apimages.com
This gallery was produced by Jenny Kane in New York. Follow her on Twitter (http://twitter.com/JennyKanePhoto ) and Instagram (http://instagram.com/jennykanephoto ).


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Think your town has been down on its sports luck this year? Not compared to these cities. Using some brutal methodology, Forbes has narrowed down sports misery to 10 urban locales that can rightly lay claim to having suffered the most acute sports losses.
Special statistical consideration was made for, as writer Tom Van Riper notes, "misery as defined by heartbreak — teams good enough to win a lot of games and advance through the post-season, only to disappoint fans in the end by falling short of a championship."
(LIST: Top 10 NYC vs. Boston Showdowns)
And, this year, Atlanta — home of the Hawks, the Braves, and the now-departed hockey team, the Thrashers — took home the dubious honor. The city edged out Seattle, which is still recovering from its NBA franchise, the SuperSonics, being stripped away only to be resurrected as the Oklahoma City Thunder (aka the "Zombie Sonics"). The Thunder currently stand at #1 in the league's Western Conference standings.
Before you peruse the full list and argue about it, we'd recommend that any sports fan (miserable or otherwise) read this recent essay by Dan Barry. In it, he recalls a childhood spent obsessing over 11 consecutive seasons of an mediocre underdog baseball team that only showed frustrating "occasional competitive flashes." Of course, the team Barry was rooting for was the New York Yankees circa 1965.
Here's to hoping it can get better for these cities, the full Forbes 2012 "miserable" list:
- Atlanta
- Seattle
- Phoenix
- Buffalo
- San Diego
- Houston
- Denver
- Cleveland
- Kansas City
- Cincinnati


text:
Linked by Thom Holwerda on Sun 21st Oct 2012 15:11 UTC
The Next Web: "Google has also been working with Samsung to launch a 10-inch tablet, confirming leaks which suggested Google had teamed up with the Korean manufacturer for another device. Our source tells us that internally the tablet goes under the name 'Codename Manta', runs Google's new Android 4.2 operating system (previously referred to as Key Lime Pie, but is set to retain the Jelly Bean branding), and will offer a 2560x1600 pixel (10:16) resolution, which we believe will offer around 300 pixels per inch compared to the new iPad's 264 PPI." Between the iPad and this supposed Android tablet... Poor Surface. Poor, poor Surface.
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RE[2]: Only in OSNews bizarro land
by Nelson on Sun 21st Oct 2012 19:40 UTC in reply to "RE: Only in OSNews bizarro land"
True. They need good luck, but Android doesn't necessarily present bad luck for Surface.
The same vacuum that existed in the phone space when Android was launched, exists now in the tablet space for Windows 8/RT.
It is the perfect storm for Microsoft. I will bet that a year from now, Microsoft will have a significant hold of the tablet market.
RE[3]: Only in OSNews bizarro land
by some1 on Sun 21st Oct 2012 19:49 in reply to "RE[2]: Only in OSNews bizarro land"


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Louis Vuitton Ala Moana introduces 'Haute Maroquinerie'
The newly renovated Louis Vuitton store at Ala Moana Center made room for its Haute Maroquinerie bespoke handbags for those who want a hand in creating their own signature purse. — David Franzen Photography
Louis Vuitton reopened its expanded Ala Moana Center store with an early morning blessing April 19, before the center opened.
The expansion allowed the arrival of LV's Haute Maroquinerie, with a special salon for afficionados of made-to-order leather goods, one of the few select LV boutiques offering the bespoke service worldwide.
The one-of-a-kind handbag personalization service offers clients the ability to select one of five shapes in two different sizes, with a palette of 26 colors in eight different types of leather, as well as hardware.
Nadine Kam photos
This little pom, Diva, loves being toted around in LV.
Those seeking a personalized 'Haute Maroquinerie' handbag start by selecting one of five designs, available in two sizes, then has a choice of 26 colors and eight different styles of leather.
Then comes hardware selection.
The shapes available are:
>> Noé: Designed by Gaston Louis Vuitton in 1932 to carry champagne bottles.
>> Triangle: Created in 1934 to carry knit works.
>> Lock-it: A 1958 design that owes its name to the expression used when protecting ones' precious belongings.
>> Milaris: One of two contemporary designs.
>> Neo Steamer: Trapeze-shaped original introduced in 2011.
Louis Vuitton's relationship with Hawaii dates back 32 years, when Ala Moana Center became home to its first freestanding store in Hawaii.
Valérie Chapoulaud-Floquet, President and Chief Executive Officer of Louis Vuitton Americas, noted, "Louis Vuitton has accompanied travelers to Hawaii since early 1880. Hawaii is one of our most vibrant markets with sophisticated global clients who appreciate the value of luxury."
To commemorate the grand reopening, LV partnered with Hawaiian artist, dancer and cultural expert Sig Zane, to design artwork for the store's vestibules. The hand-carved ilima design—honoring the history of the area—is accompanied by Zane's original Hawaiian chant, "Ka Lanakila Pio," expressing a love story between Louis Vuitton and Hawaii. The poem is written on kapa that resembles the Louis Vuitton damier pattern, with Hawaiian symbols of spear, pathway, waves and mountains.
In addition to women's leather goods, ready-to-wear, shoes, accessories and jewelry, the expanded store carries a greater assortment of menwear and accessories.
For the opening, Louis Vuitton also created a limited edition Monogram Idylle pendant necklace, in 18k white gold necklace with sapphire pendant.
From left, Brandy Serikaku, Kuhao Zane and Sig Zane in one of the vestibules bearing the artwork they created in collaboration with Paris artisans.
The store is blessed before employees and guests enter.
Employees hands-on involvement with blessing the store.
Picture This! Photography
Part of the new menswear department.
The reoriented staircase to the store's second floor.
Louis Vuitton Hawaii regional vice president Dale Ruff is flanked by Oahu Publications' Jennifer Sojot, Linda Woo, Sarah Honda and Lianne Bidal Thompson.
On the day before Easter, a pastel vision. I love the fresh lilac and periwinkle colors.
Plenty of scarves to choose from.
Joe Bright uses oil paint and handmade stencils to personalize small to large leather goods with monograms.


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Orlando Bloom Receives Star on the Hollywood Walk of Fame!
Orlando Bloom gets a huge honor while attending his Hollywood Walk of Fame ceremony on Wednesday (April 2) in Hollywood, Calif.
The 37-year-old actor's son Flynn, 3, was on hand to support his dad!
Orly recently discussed his future with Variety after news broke about his star.
"I am currently reading a lot of different material," Orly said. "There are a couple of things coming into shape, but nothing I want to talk about just yet. At the moment it's just a process of developing and bringing the characters into place in my mind, so that once the project falls into place I know exactly what to do with it."
Congratulations, Orlando!
FYI: Orlando is wearing Lanvin.
FYI: Orlando is wearing Christian Louboutin shoes.


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Project Pat & Bo Deal w/ The Icy Girls Live At Bobby McGees
Mesha Chase Presents The Icy Girls Live in concert with rappers Project Pat from 3-6 Mafia and Bo Deal from Bricksquad Monopoly. Be on the lookout for The Icy Girls:Welcome To Chicago DVD coming soon
Brought to you by Icy Girls Entertainment, Chase N Moneey films and Smashcash Ent. Book your Parties. Events, Videos, and more. Contact Mesha Chase on twitter @MeshaChase
Donnica Onyx @DonnicaOnyx
Chase N Moneey Films @Chasenmoneey
Smash Cash Ent. @Smashcashent
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- Inside Athletics
- Tickets
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ETSU's new playing surface highlights the Buccaneers' logo, combines design elements from the NBA and major NCAA programs
The Bucs, who have played on the same court for the last 20-plus years, will have an all-new floor this season with a completely new paint scheme. With the Buc head logo prominently displayed at center court, the logo's eyes have also been used on the baselines to provide an even more menacing look for opposing teams. Sporting a lighter stain for the area inside the 3-point line and a faded black to blue out-of-bounds area, the floor is a nice improvement over the one many fans have seen in the past.
"We're very pleased with the look of this new floor and think our fans will find it to be a nice change," said ETSU Director of Intercollegiate Athletics Dave Mullins. "We looked at a lot of floors in the NBA and at other major universities throughout the nation, and we tried to get some of the best ideas out there and incorporate those styles into this floor. Staff members such as ticket manager Brandon Hudson, assistant basketball coach Scott Wagers, and our facilities director Tom Trent were heavily involved in the design process and they all did a great job.
"What we think we have designed is a floor that has a modern, up-to-date look, but one that also has an appearance that can be used for many years to come."
The floor was manufactured by Robbins Sports in Ishpeming, Mich., and it takes approximately three hours to install the floor or remove it for other events inside Memorial Center. The floor replaces one which had been refurbished twice and was in service for 23 years. The average lifespan of a collegiate basketball floor is typically 15 years.
For more on ETSU basketball as the season approaches, visit ETSUBucs.com and click on the men's or women's basketball links.


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finally finished UFO
Added Jun 22, 2009
by lauriana
Den Haag, Nether...
When the UFO-sew-along started, I got the nagging feeling that really, I should be joining in. I never officially did, but this was my UFO that needed finishing. I knit this cardigan late in last summer (small needles argh!) in two stages and put off putting the pieces together endlessly. I joined together the main pieces in winter but really didn't feel like adding the collar on one stitch at a time. Now, it's finally finished. I'm not sure I like that much, but I'll decide on that in autumn. I lightened the picture of the front to show the collar.
Material Notes
black acrylic/wool blend yarn (for nr. 3,5 needles)
two buttons
1 Comment Sign in to add a post
Jun 23, 2009, 04.26 AMby emilykate
Oh wow, that looks like a very fine knit, they MUST have been super-tiny needles! Definitely worth all your time and efforts though, it looks great!
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