text:
Randy Wolf (2-1, 2.72) vs. John Lackey (1-0, 9.00).
Tonight's press box "Blog Spot" occupant is Eric Stephen from True Blue LA. Looking forward to your report, Eric!
original Hunter photo by Chris Carlson/AP
Random rantings and ravings about the Los Angeles Dodgers, written by a small consortium of rabid Dodger fans. With occasional comments on baseball, entertainment, pop culture, and life in general.
Randy Wolf (2-1, 2.72) vs. John Lackey (1-0, 9.00).
Tonight's press box "Blog Spot" occupant is Eric Stephen from True Blue LA. Looking forward to your report, Eric!
original Hunter photo by Chris Carlson/AP
Pierre, LF
Furcal, SS
Hudson, 2B
Ethier, RF
Martin, C
Loney, 1B
Kemp, CF
Blake, 3B
Wolf, P
Ethier batting 4th and Martin batting 5th again? Wow.
I don't think Torre wants to rattle Ethier by moving him around in the order.
Ethier walked a couple of times last night. It was good to see some patience at the plate, but he needs to knock in some runs. Martin was just plain awful last night.
Here's hoping the power shots make it past the track today.
If we have to watch Hunter snag one more...
Or not, I suck at linking :(
PC, I agree with you; Ethier looked more at ease from the plate yesterday. Whether that can translate to slump-busting behavior, we'll see (and I hope!).
Martin's last K was horrible, though.
Very nice. Kirk Gibson should fine him.
Steve Sax - Yeah, I think if Ethier can find some comfort, even in drawing walks, he'll get out of this slump.
Russell Martin could have had a huge night at the plate. He blew too many opportunities.
I thought Torre might shuffle the line-up a little.
Alright ladies and gentlemen, I've gotta close shop.
Lakers/Nuggets starting real soon.
I'll be off the thread through most of the game this evening. Catch you later.
Hey, who's running the marathon this year?
Orel, do you happen to know our record wince the Manny suspension?
1. Ethier should sit one game and get his head on straight.
2. Sax, the book came today. Way to pull strings with UPS. And the Leinie postcard was a nice touch.
Photo to follow.
Going to dinner and catch the first few innings.
a joint pregame show?
Tonight, Hunter becomes the hunted.
Denver up on the Lakers 52-48, but it could be much worse. I'd say it's manageable.
schmidt just left the 3rd inning with an injury, he started for the isotopes tonight.
im not sure of the injury.
Nic, Schmidt most likely took a ball to the body.
it that what it seems like on gameday. hopefully it wasnt the face.
honestly, i cant see the lakers winning this series any longer. There hasnt been one game where they have looked like the better team.
rex hudler makes me love the dodgers even more.
Wolf in trouble here.
come on Randy. He can never get past the 1st.
Good throw by Ethier, he almost nailed Rivera at 3rd.
Sweet avatar, Nic!
thanks Orel, after last night i felt like a blue man.
Tobias, FTW
good job getting out of the jam!
The offense needs to wake up.
Lackey lasted longer than two pitches!
bah, that was close!
Lackey bare-handed that cleanly.
i have a feeling lackey is gonna tear us up tonight.
Nic J - I hope you are wrong.
Two outs by inches.
man, the angels always get the better brother player.
what happened to ariza?
its a little weird that the angels dont have a primary catcher. but i guess it works as far as not wearing your backstop out.
Nice hit by Andre!
I agree on the catcher thing Nic, especially since Soscia was a catcher himself.
the lakers just look burned out.
Russell is getting hot.
1st HR can't be far off.
man where the Eff was Hunter. he was almost in right field.
I'm gonna put a whole Ticonderoga factory into J.R. Smith's neck.
alright i have to stop watching the laker game, everytime i put it on the nuggets go on a run. I have to have a +/- of -20
Ethier looks good today. This should help his confidence, especially since it's against Lackey.
Aflac: Who is the Dodgers' alltime leader in games & hits? (Hint: He was born on this date in 1888)
Juan Rivera ties it up with one swing.
Lakers by 1!
Orel, Abraham Lincoln was a Dodger?
Oh wait, 1888.
FDR was a Dodger?
Ouch, Billups 4-point play.
its sad when the angels are hitting more HR's than the dodgers.
pau is on FIRE!!
Pau workin' it. Lakers back up by 1.
I think it's sadder when they have a lot of LOB.
Epale guys! just coming back from home, thanks for the coverage, plus gameday i feel like i haven't missed anything.
wow, fish is making me sad.
I'm gonna run out of hair by the end of the Laker game.
Epale, Karina! The Lakers are making us nervous.
you might look like my avatar MLSF
Love it, though one with George Sr. would have been just as nice, if not nicer.
"And at the end of two-and-a-half, Rivera one, the Dodgers one." —Vin
fisher is a liability out there.
The Lakers are killing themselves at the free-throw line.
The Lakers game is a see-saw!
wow, kobe. wow.
1-1. Are they smashing the Lakers?
What kind of pitch did Kemp strike out on? How can you not at least try to foul off something that fat?
denver has definately looked like the better team in the series. I think the lakers are just out of gas.
14 missed free throws.
The missed free-throws are killing me and the Lakers.
kobe misses a FT
The Lakers are shooting themselves in the foot by missing all those free throws
This game would be over if they could just convert at the charity stripe.
Can they play some defense?
Good job by Odom to force Denver to use a TO.
Nervous time
Missing free throws? that's awful. I'm glad that i'm not a basketball-Lakers fan.
However, i share your pain.
ariza with the steal again!!!!!!!
Holy cow, how many game-changers will Ariza have?
melo's out of the game.
No more 'Melo!
Odom and Ariza playing some good defense.
Hit youre free throws Trevor.
Is it too late to nominate Lackey for sexiest baseball player?
Bogus call on Odom.
The officiating seems so one sided.
Very ticky tack call on Odom.
LAL 101, DEN 97, 22.2 left
man kobe is so clutch, can he play left field for the dodgers?
Thats the game.
Why do you nominate Lackey?
watching the Giants-Mariners game, Matt Cain pitching. That team doesn't deserve Cain or Lincecum, in the other side, they have Brian Wilson.
Kobe can put this away.
Re-gain home court advantage.
kobe is the most clutch player in the universe.
Lakers win!
(passes out)
I love it.
Now I can concentrate on the Dodgers!!
That had to be one of the greatest Laker comebacks I've ever seen.
Kobe is an absolute stud.
/kobe looked ready to combust out there. denver hotel concierges - watch your backs!
Kobe looks EXHAUSTED.
Why does Rivera have to be good when he plays the Dodgers?
aybar very daring to challenge the bison.
Come on Wolf!
Guess I have to make another WANTED poster. 4-1 Angels.
Hunter is killing LA.
6 HRs for Wolf on the year. Most of any pitcher.
It's sad when every run has been driven in by a home run. Hopefully next inning the Dodgers got Pierre, Furcal and Hudson.
DeBaby Delino literally just tried to gouge out my eyes. Time to get out of the house - go Dodgers.
And I just got caught up with the game... brutal. Torii's earning his superfluous "i"
Now would be a great time for Ethier to hit a homer.
Why do we bring out the best in a mediocre team? This is very frustrating.
Patience, Mr LASF. Last night he took a couple of walks and have had a good night at the plate.
One more wild pitch for the cycle.
There ya go, Russell! 4-2 Angels.
Damn, Gameday is taking forever.
A two-out rally! This hasn't happened in a long time. 4-3 Angels.
I'll take runs anyway we get them.
The great thing is that Ethier is contributing, albeit with an HBP, but still.
3-run ding would be sweet right now.
Kemp is starting to slide back into bad old habits.
and King James is in contact mode again. Martin is getting better and better too.
"Kemp is starting to slide back into bad old habits."
so he can be patient.
Wait for it Kemp.
I said wait, not watch. crap.
Crap Bison!
Again, why don't you at least try to foul that off?
If you're gonna go down, go down looking.
Wait, that's not the phrase.
I have to admit, that was a beauty of a pitch by Lackey.
At least they're back in the game and the home team.
yep. good 2 out rally.
Good inning by Wolf. Let's get back to tagging Lackey.
wow i leave and offense happens.
When was the last time the Dodgers hit a home run?
Beard HBP
man thats the third batter he has hit.
Good bunt. Pierre RBI opportunity.
Wasn't Blake the last one who hit a homer?
yup, a three run jack against the mets.
wow jp, wow.
Does Pierre need a night off>?
that was ugly
Is anyone else worried the Beast is becoming Slappy again?
nice raffy. at least shields is warming up in the angels pen.
You know the story about women living together and how their menstrual cycles start to coincide? The Dodger bats need to do that. Furcal, Ethier and Martin are getting hot, Kemp and Pierre are cooling off.
they say hitting is contagious. good and bad
Belly facing Rivera. Those two guys know each other a lot and suddenly, i'm getting nervous.
He made Rivera ground out. Nice Belly.
I'm at the game with my lucky SpongeBob boxeers. I ate a dodger dog even though I'm not hungry. They have to win.
Good job, Belly!
Giants 3-Mariners 1, 8th inning.
Nice pitching by Belly.
she sounded like an angel fan.
the padres are actually closer to us than the giants are now.
Are you talking about me, Nic j?
Don't look now, but the Padres are on the verge of winning their eighth straight.
I think Nic was referring to the "God Bless America" singer.
No one would ever confuse you for an Angel fan, Karina.
Even if the Dodgers don't score here, I like the idea of them facing Arradondo and Fuentes on no rest.
I know the Pads are closer, but i don't like the Giants to win, specially when they were losing in the 8th inning.
andre's going the other way now - i like it
and hello everybody
One inning of magic and the bats go silent again.
Hey FB. Try again.
no i wasnt talking about you karina, im not that cruel.
ARI 5, OAK 5, top 11
SD 3, CHI 1, bot 8
SF 5, SEA 1, top 8
Man I'm tired. That Laker game really drained me.
i hope Andre is OK
i was at the game yesterday and i noticed that there were alot of mixed couples, but the guy was always the dodger fan the the girl was always the angel fan.
his first major league catch.
try again? not sure what you mean. it looked like he had a good swing last inning, even though it was an out
and now he's out of the game - hmm
seriously how do angel fans listen to Rex Hudler for every game.
I can't stand the Angels broadcasters. Once they spent about three minutes talking about the food in the dugout.
Sorry FB, I thought you were making a prediction.
Belly limits the damage. On to the eighth.
OK Belly - you're gonna get yourself a win tonight
Shields is eminently touchable.
Fred's Brim: love how you're talking.
take pitches
Padres win. Eight in a row.
Giambi hit his 400th career HR.
the pad's are quite the streaky team this year.
Safe by a hair! Beautiful, Loney!
wow just barely made it.
Loney looked like he was out for sure.
alright Karina. James deserves a King for that one.
Loney has no power and no speed.
wow what a crazy slide! i hope his fingers are ok
now lets get him home!
D'backs take a three-run lead in the 11th.
Loney got really, really lucky.
Remember he's a King. Did he stretch a single for a double?
why is kemp looking at strikes go by? i bet he chases one now.
Loney touched Kendrick before he touched the bag.
Kemp advances Loney.
4/3 vs. SF (W, 5-4): Sax
4/15 vs. WSH (L, 4-6): Dusty, Orel, Sax
5/6 vs. MIA (W, 6-3): AC, Sax
5/16 vs. CIN (L, 2-7): AC, Sax
6/12 vs. TEX (L,2-3): Sax


text:
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subset: commoncrawl


text:
Dollar General Cherry Cough Drops
Dosage form: lozenge
Ingredients: MENTHOL 5.8mg
Labeler: Dolgencorp, LLC
NDC code: 55910-095
Medically reviewed by Drugs.com. Last updated on Jun 3, 2024.
Active ingredient (in each drop)
Menthol 5.8 mg
Cough suppressant / Oral anesthetic
Uses temporarily relieves:
- cough as may occur with a cold
- occasional minor irritation and sore throat
Sore throat warning: if sore throat is severe, persists for more than 2 days, is accompanied or followed by fever, headache, rash, swelling, nausea, or vomiting, consult a doctor promptly. If sore mouth symptoms do not improve in 7days, see youe dentist or doctor promptly. These symptoms may be serious.
Ask a doctor before use if you have:
- persistent or chronic cough such as occurs with smoking, asthma, or emphysema
- cough accompanied by excessive phlegm (mucus)
Stop use and ask doctor if
- cough persists for more than 7 days, tends to recur, or is accompanied by fever, rash, or persistent headache. These could be signs of a serious condition.
- sore throat is severe, or irritation, pain or redness lasts or worsens
- sore mouth does not improve in 7 days
If pregnant or breast-feeding, ask a health professional before use.
Keep out of reach of children.
adults and children 5 years and over - dissolve 1 lozenge slowly in mouth. Repeat every 2 hours as needed or as directed by a doctor.
children under 5 years - ask a doctor
Other information
- 10 calories per drop
- Do not use if bag is torn or open
Inactive ingredients: Corn starch, corn syrup, eucalyptus oil, FD&C red no. 40, glycerin, medium chain triglycerides, natural and artificial flavors, soybean oil, sucrose and water.
Questions? Call (888) 309-9030
Labeler - Dolgencorp, LLC (068331990) |
Registrant - Bestco Inc. (002149136) |
Establishment | |||
Name | Address | ID/FEI | Operations |
Bestco Inc. | 002149136 | manufacture(55910-095) |
Further information
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.


text:
SICK WT12-N4481 available from Mizen Automation in new and refurbished condition.
At Mizen Automation, we stock thousands of new and refurbished industrial automation parts and control equipment from leading brands like SICK. If what you require is not in stock, get in touch with our friendly team, who will be happy to locate the part you're after.
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text:
Is this "full-nigga" Mr. Jackson? |
Barack Obama's politics meant nothing to Samuel L. Jackson because the "Pulp Fiction" star only voted for the president for one reason and one reason only ... because he's black.Samuel L. Jackson just proving - once again - that "The Standard" is real. Damn real. Obama going full nigga, is that really what Black people want? Coleman Young bragged about being The Mother Fucker in Charge (MFIC) of Detroit, which eventually gave us the Hip Hop mayor of that same city, Kwame Kilpatrick.
In an interview with Ebony magazine, Jackson explained, "I voted for Barack because he was black. 'Cuz that's why other folks vote for other people — because they look like them ... That's American politics, pure and simple. [Obama's] message didn't mean [bleep] to me."
Jackson then went on to drop the N-word several times when discussing Obama, telling the mag, "When it comes down to it, they wouldn't have elected a [bleep]. Because, what's a [bleep]? A [bleep] is scary. Obama ain't scary at all. [Bleeps] don't have beers at the White House. [Bleeps] don't let some white dude, while you in the middle of a speech, call [him] a liar. A [bleep] would have stopped the meeting right there and said, 'Who the [bleep] said that?' I hope Obama gets scary in the next four years, 'cuz he ain't gotta worry about getting re-elected."
Smacks of ... Obama needs to Black it up. So, we gotta ask ...
Obama getting the chance to go full-nigga, full-gangsta? We've seen what happens when a city (think Detroit, Baltimore, Newark, New Orleans, Atlanta, etc.) goes that way. The results aren't pretty.
So, if you are an elected official out there or someone considering running for public office, please, please see what happened when Gov. Jan Brewer dared pull out the finger point of doom:
This may turn out to be one of the symbolic images of the Obama years.
The governor of a major state pointing her finger at the president of the United States.
Republican Arizona Gov. Jan Brewer said President Obama objected to her description of an earlier meeting in the Oval Office over immigration policy. The White House said Brewer distorted the details of that meeting in her book.
In some ways, the point reflects the political divisions of our time.
What happened next? Her book became an instant best-seller:
That little dust-up with President Obama has done wonders for sales of Arizona Gov. Jan Brewer's book Scorpions for Breakfast. It's now the 21st bestselling title on Amazon, up from number 285,568 a day ago. That's a post-finger wag sales bounce of more than 1.3 million percent.All of America can't be saved. Not yet. But to instantly make a name for yourself, don't back down when confronted by purported MFIC's. Full-nigga, Mr. Jackson? Knowing that white America flees any area that goes quasi-nigga, it should be obvious to an enterprising leader that just utilizing the finger point of doom against those who are being implored to go any variation of "nigga" must be greeted with a simple word: No.
That's the power of the finger point of doom. Instantly, the person who stands up to Organized Blackness becomes a hero.


text:
Homes being built in a New York Hudson Valley cul-de-sac offer prospective buyers wooded lots, pretty views and — oh yes — the promise of thumbing your nose at the power utility.
These \"zero-net energy\" homes will feature thick walls, solar panels and geothermal heating and cooling systems, meaning families should be able to generate more energy over a year than they consume. These homes under construction 70 miles north of New York City have costly green features. But the builders believe they are in tune with consumers increasingly concerned about the environment and fuel costs.
And there are homebuyers here and around the nation who are willing to pay more for savings down the line. \"I don\'t have to worry about $6,000 worth of utilities to run a house,\" said Gil Lobell, a current zero-net home dweller moving his family into a larger house in the new development. \"I can use that money for other things, so we go on vacations because I\'m not spending money on utilities. I don\'t worry about oil bills. I don\'t worry about electric bills. I don\'t worry about gas bills.\"
Zero-net homes require two things. They generate energy, typically solar, and they are designed in a way to reduce energy consumption through the use of energy-efficient appliances and insulation. Lots of insulation, in the case of these homes. Exterior walls of the nine homes being constructed here by Greenhill Contracting Inc. include a 6-inch layer of poured, reinforced concrete sandwiched by about 2½ inches of polystyrene (the stuff from which coffee cups are made). The castle-thick walls, combined with heavily insulated rafters above, an insulated concrete slab below and triple-paned windows create a \"building envelope\" that makes each house practically as airtight as a thermos — albeit with ventilation.
\"The building envelope is the most important part of the puzzle,\" said John Wright of Hudson Solar, which is working with Greenhill. \"By sealing the envelope and controlling the ventilation, we can control the heating and cooling costs.\" Interior temperatures are kept comfortable year-round with a geothermal heating and cooling system that takes advantage of the steady temperature deep below ground. This is the same set-up installed in Lobell\'s current home in New Paltz. In the middle of a recent sweltering summer day, the home was comfortably cool.
Zero-net homes are not new, but zero-net developments remain a niche. A big reason is the upfront costs. Three-bedroom houses in this development start at $399,000. Each house has a $39,000 geothermal system and $29,000 solar system. Wright said the upfront costs are mitigated in New York by federal and state tax credits and rebates that bring combined costs down to $32,600. But just as it is for car buyers who pony up more for a hybrid, the real selling point is the long-term savings in energy costs.
\"Any homeowner that goes out and spends $100,000 less than my zero-energy homes … is going to be spending more at the end of the year,\" said Greenhill president Anthony Aebi, who says his homes are competitively priced with new construction. Lobell\'s latest electric bill reads \"Electricity Used (kWh) 0.\" Basic service charges and taxes made up the entire two-month bill of $49.51. The connection to the grid is necessary for those gray days when the juice is needed. But he pushes electricity back on the grid when it\'s sunny, earning credit for what he consumes later. He figures he saves about $5,500 a year in utility costs compared to his previous house.
The University of California, Davis broke ground in 2009 on what officials there believe will be the largest zero-net energy community in the nation. They have completed 507 apartment units for students and faculty and more are being built. Eventually, private development on university land will include single-family homes.
Top home builders like Arizona-based Meritage Homes Corp. and California-based Shea Homes both market zero-net homes. Meritage has a net-zero option — adding solar systems to already tightly-built homes — at all its communities from Orlando to San Francisco, said C.R. Herro, the company\'s vice president for environmental affairs. Shea Homes has sold more than 1,000 \"SheaXero\" homes in four western states and Florida. Marketed to baby boomers, they are only net-zero for electric since they have gas heat, but it works for Sandy Van Emmerik, who moved into a Shea home in San Tan Valley, Ariz., last October. She said she still gets to run the air conditioner around the clock. \"And I still have never paid more than $18 and some change,\" Van Emmerik said. \"Actually, the last couple of months I had a credit.\"
Source: DBR


text:
Size-dependent ultrafast electronic energy relaxation and enhanced fluorescence of copper nanoparticles. Journal of Physical Chemistry B. 2006 ;110:143-149.
. Ultrafast cooling of photoexcited electrons in gold nanoparticle-thiolated DNA conjugates involves the dissociation of the gold-thiol bond. Journal of the American Chemical Society. 2006 ;128:2426-2433.
. Ultrafast electron relaxation dynamics in coupled metal nanoparticles in aggregates. Journal of Physical Chemistry B. 2006 ;110:136-142.
. Ultrafast electronic relaxation and charge-carrier localization in CdS/CdSe/CdS quantum-dot quantum-well heterostructures. Nano Letters. 2006 ;6:1940-1949.


text:
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Sunshine Paradise Spun Bamboo® Men's Bamboo Viscose/Organic Cotton Short Sleeve Graphic T-Shirt
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Cerebral Palsy
Topic Overview
What is cerebral palsy?
Cerebral palsy is a group of problems that affect body movement and posture. It is related to a brain injury or to problems with brain development. It is one of the most common causes of lasting disability in children.
Cerebral palsy causes reflex movements that a person can't control and muscle tightness that may affect parts or all of the body. These problems can range from mild to severe. Intellectual disability, seizures, and vision and hearing problems can occur.
What causes cerebral palsy?
Cerebral palsy is caused by a brain injury or problem that occurs during pregnancy or birth or within the first 2 to 3 years of a child's life. It can be caused by:
- Problems from being born too early (premature birth).
- Not getting enough blood, oxygen, or other nutrients before or during birth.
- A serious head injury.
- A serious infection that can affect the brain, such as meningitis.
- Some problems passed from parent to child (genetic conditions) that affect brain development.
In many cases, the exact cause of cerebral palsy is not known.
What are the symptoms?
Everyone with cerebral palsy has problems with body movement and posture. But the physical problems are worse for some people than for others.
Some people who have cerebral palsy have a slight limp or a hard time walking. Other people have little or no control over their arms and legs or other parts of the body, such as the mouth and tongue, which can cause problems with eating and speaking. People who have severe forms of cerebral palsy are more likely to have other problems, such as seizures or intellectual disability.
Babies with severe cerebral palsy often have problems with their posture. Their bodies may be either very floppy or very stiff. Birth defects sometimes occur along with cerebral palsy. Examples of birth defects include a spine that doesn't have the normal shape, a small jawbone, or a small head.
The brain injury or problem that causes cerebral palsy doesn't get worse over time. But new symptoms may appear, or symptoms may change or get worse as your child gets older. This is why some babies born with cerebral palsy don't show clear signs of it right away.
How is cerebral palsy diagnosed?
Your child's doctor will do a physical exam and ask you about your child's medical history. He or she will ask about your child's growth and about any problems you may have noticed. The doctor may also ask about your child's development.
Tests, such as a CT scan or an MRI of your child's head, may also be done. Or the doctor may look at ultrasound pictures of the brain. These tests can sometimes help the doctor find the cause of cerebral palsy.
If your child has a severe form of cerebral palsy, a doctor may be able to pinpoint the problem within the first few weeks of your child's life. But parents are often the first to notice that their baby does not have the abilities and skills that are common in other children in the same age group. These developmental delays can be early signs of cerebral palsy.
Even when the condition is present at birth, the signs of cerebral palsy may not be noticed until a child is 1 to 3 years old.
How is it treated?
Even though cerebral palsy can't be cured, you and your child can do things to help deal with symptoms, prevent problems, and make the most of your child's abilities. Physical therapy is one of the most important treatments. Medicines, surgery, and special equipment such as a walker can also help.
What can you do to cope?
Meeting the daily needs of a family member with cerebral palsy isn't easy. If your child has cerebral palsy, seek family and community support. It may help to join a support group or talk with other parents who have a child with special needs, so you don't feel alone.
You may also find counseling useful. It may help you understand and deal with the wide range of emotions you may feel. Your child will need help too. Providing emotional support for your child can help him or her cope with having cerebral palsy.
Learning that your child has cerebral palsy isn't easy, and raising a child who has it can be hard. But the more you know, the better you can care for and provide for your child.
Health Tools
Health Tools help you make wise health decisions or take action to improve your health.
Cerebral palsy (CP) is a result of an injury to the brain or abnormal development of the brain. In many cases, the exact cause isn't known. The damage or abnormality may occur during pregnancy or birth or within the first 2 to 3 years of life.
- Possible causes of CP during pregnancy or birth can include genetic problems, infections or health problems in the mother or baby during pregnancy, or problems related to labor and delivery. Health problems in a newborn, such as untreated low blood sugar, can also cause brain damage that leads to CP.
- Possible causes of CP related to an early birth (premature birth) are related to the brain's development. For example, babies born too early are at risk for bleeding in the brain.
- Possible causes of CP within the first 2 or 3 years of life are usually related to brain damage from a serious illness, injury, or lack of oxygen to the brain.
When cerebral palsy (CP) is severe, signs are often noticed at birth or shortly after birth. But some early signs of severe CP vary depending on the specific type of CP.
Common signs of severe CP that may be noticed shortly after birth include:
- Problems sucking and swallowing.
- A weak or shrill cry.
- Seizures.
- Unusual positions. Often the baby's body is either very relaxed and floppy or very stiff.
Even when the condition is present at birth, the signs of cerebral palsy may not be noticed until a child is 1 to 3 years old. Doctors and parents may not see that a baby's movements are unusual until the movements become more obvious as the baby grows.
Signs that occur over time
Some problems related to CP become more clear over time. Or they may develop as a child grows. These may include:
- Smaller muscles in the affected arms or legs. Nervous system problems prevent movement in the affected arms and legs. Not being active affects how the muscles grow.
- Abnormal sensations. Some people who have CP feel pain when touched lightly. Even everyday activities, such as brushing teeth, may hurt. Abnormal sensations can also make it hard to identify common objects by touch.
- Skin irritation. Drooling is common when facial and throat muscles are affected. Drooling irritates the skin, particularly around the mouth, chin, and chest.
- Dental problems. Children who have trouble brushing their teeth have a greater risk of getting cavities and gum disease (gingivitis). Seizure medicines may also lead to gum disease.
- Accidents. Falls and other accidents are a risk, depending on muscle control, joint stiffness, and general physical strength. And CP-related seizures can cause injuries.
What Happens
All people who have cerebral palsy (CP) have some problems with body movement and posture. But many babies don't show signs of CP at birth. Parents and caregivers may notice the first signs of CP. For example, the baby may not roll over, sit, crawl, or walk at the expected ages.
Signs of CP may become more obvious as the child grows. Some developmental problems may not appear until after a baby's first year. The brain injury that causes CP doesn't get worse over time. But its effects can appear, change, or become more severe as the child gets older.
How CP may affect your child
How much a child is able to move around and do things depends on the type of CP the child has and how much of his or her body is affected. The way CP affects a child also depends on the child's level of intellectual disability, if any, and whether he or she has other complications or other medical conditions.
Most people who have CP have a type of spastic cerebral palsy. This can affect the whole body but may only affect parts of the body in some children. For example, a child with spastic cerebral palsy may have symptoms mostly in one leg or on one side of the body. Most children usually learn ways to adapt to their movement problems, like using special devices and equipment to move around.
Total body cerebral palsy causes the most severe problems. Many of those affected are not able to take care of themselves, either because of severe physical disabilities or intellectual disability. But some people can live on their own with the help of family members, health care aides, or both.
Complications of CP
Some children with CP may have complications, such as seizures. Other medical conditions, such as vision or hearing problems, are often associated with CP. Sometimes these conditions are known right away. In other cases, they aren't found until a child gets older.
Adults with CP are at risk for heart and lung disease. For example, severe CP causes problems with eating. If food is inhaled into the lungs, the risk of lung infection (pneumonia) increases.
Living with CP
Just like people who have normal physical development, people who have CP have social and emotional concerns throughout their lives. Because their physical limitations may add to these concerns, people who have CP need the awareness and consideration of others.
Most adults with the mild or moderate form—and some with the severe form—live independently and have jobs. Others live and work with some level of assistance. Opportunities for independent living and employment for adults with CP have improved, thanks to better home support services and advances in technology, such as computers to assist with speech, powered wheelchairs, and other devices.
What Increases Your Risk
Risk factors before birth
Babies born to teen mothers or to mothers age 35 and older have a higher risk for cerebral palsy (CP).
Also, a baby's risk for developing a brain abnormality or injury that leads to CP increases when the mother has certain problems during her pregnancy. These problems may include:
- Infections, such as rubella, cytomegalovirus infection (CMV), chorioamnionitis, and toxoplasmosis.
- Exposure to certain medicines, such as thyroid hormones, estrogen, or methotrexate.
- Use of alcohol or illegal drugs.
- Other problems, such as bleeding in the uterus during the sixth to ninth month of pregnancy, large amounts of protein in the urine (proteinuria), or high blood sugar levels.
Premature birth and low birth weight
About half of all children who have cerebral palsy (CP) are born prematurely.footnote 1 The risk of a baby having CP increases as the birth weight decreases.
A baby who is born prematurely usually has a low birth weight, less than 5.5 lb (2.5 kg). But full-term babies can also have low birth weights. Multiple-birth babies are more likely than single-birth babies to be born early or with a low birth weight.
Most children with CP had a disruption in the normal development of parts of their brain during fetal growth. Low-birth-weight, premature babies are more likely than full-term, normal-weight babies to have had developmental problems during fetal growth that can injure the brain. For example, a condition called periventricular leukomalacia, or PVL, which reflects injury to the white matter of the brain, is more likely in babies born prematurely than in those born at full term.
Risk factors for cerebral palsy at birth
In rare cases, some babies develop CP as a result of complications during the mother's pregnancy or at birth. Risk factors include:
- Premature birth. Premature babies are more likely to have bleeding in the brain (intraventricular hemorrhage, or IVH) or a brain injury called periventricular leukomalacia (PVL). Either of these problems may cause CP.
- Difficult or prolonged labor.
- Brain infection or physical trauma can increase a baby's risk of getting CP.
- A lack of oxygen also increases a baby's risk. This isn't common.
- CP can itself cause a baby to have a difficult birth because of body movement and posture problems related to the condition.
- Placenta abruptio. The placenta usually separates from the wall of the uterus several minutes after the birth of the baby. But if it separates before the baby is born, the baby loses the blood and oxygen supply from the mother.
- Infections in the mother's uterus or vagina, such as strep infections, that transfer to the baby during birth.
Risk factors after birth
Risk factors for developing CP just after birth or within the first 2 or 3 years of life are related to brain damage. They include:
- A serious illness, such as severe jaundice, meningitis, or lead poisoning (very rare).
- A serious head injury from an accident or fall. This includes injury to a baby from shaking, throwing, or other force (shaken baby syndrome).
- Lack of oxygen to brain tissues, such as the result of a brain tumor or a near-drowning incident.
- Having some kinds of blood-clotting or genetic problems.
When should you call your doctor?
Call 911 or other emergency services if your child with cerebral palsy (CP):
- Is having problems breathing.
- Chokes during feeding and you are not able to dislodge the food.
Call a doctor right away if:
- Your child has a seizure for the first time.
If you have a child diagnosed with CP, call your doctor if your child has:
- A seizure (if it is the first time, call your doctor or seek care right away).
- Constipation that isn't relieved by home treatment.
- Skin irritation that isn't getting better, starts to bleed or weep fluid, or causes pain.
- Feeding problems that aren't relieved by home treatment, such as:
- A pattern of coughing and choking during feeding. If food is inhaled into the lungs, it increases the risk of pneumonia.
- Trouble chewing, along with weight loss or complaints of being hungry.
- Frequent accidents that threaten your child's safety.
- Other signs of complications. These may include bladder control problems, bleeding gums, or an increase in joint stiffness.
If you have cerebral palsy and you are pregnant, talk with a doctor about how CP can affect your pregnancy and delivery.
Who to see
A team of health care providers will be involved in your child's care. Health professionals who can diagnose and treat people who have cerebral palsy include:
- Pediatricians (some pediatricians specialize in developmental disabilities).
- Family medicine doctors.
- Nurse practitioners.
- Physician assistants.
- Internists.
- Neurologists.
- Neurological surgeons.
- Physiatrists, physical medicine and rehabilitative physicians, and other doctors who specialize in therapeutic and long-term treatment issues.
Other specialists who may be involved in the care of people who have CP include:
- Gastroenterologists.
- Ophthalmologists.
- Orthopedic surgeons.
- Pulmonologists.
- Ear, nose, and throat specialists (otolaryngologists).
- Psychiatrists, psychologists, social workers, and psychiatric nurses.
Other health professionals who may be involved in the care of people who have CP include:
- Occupational therapists.
- Physical therapists.
- Dentists or orthodontists.
- Hearing specialists (audiologists).
- Speech therapists (speech-language pathologists).
- Registered dietitians.
Some health care clinics specialize in treating children with CP. Call your local health department for the nearest clinic in your area.
Exams and Tests
Diagnosing cerebral palsy
Developmental delays are often reported by parents or observed by a doctor during routine well-baby checks.
A doctor diagnoses CP based on:
- Questions about the child's medical history, including details about the mother's pregnancy.
- A physical exam to look for signs of CP. The doctor will look to see if the child retains newborn reflexes longer than normal. This can be a sign of CP. Postures and basic muscle function, hearing, and vision are usually checked.
- Screening tests. Developmental questionnaires and other tests may be done.
- MRI of the head. This test can find brain abnormalities.
If the diagnosis is unclear, more tests may be done. Sometimes these tests can help find out the severity of CP.
A doctor may closely monitor a newborn or child for signs of CP if he or she has known risk factors. These factors may be related to problems during pregnancy or birth, being born early (premature birth), or problems that occur within the first 2 or 3 years of life.
Doctors are careful not to diagnose CP too early, because some babies who have motor skill problems soon after birth never get CP.
Sometimes symptoms may not appear until the nervous system matures. It can take up to a few years before doctors can tell if a baby with body movement and posture (motor) problems has CP.
Evaluating and monitoring cerebral palsy
After CP is diagnosed, a child will also be checked for other medical conditions that can occur with cerebral palsy, such as:
- Other developmental delays in addition to ones already found. Developmental abilities will be checked to find out if new symptoms, such as speech and language delay, appear as a child's nervous system matures.
- Intellectual disability. This can be checked by intelligence testing.
- Seizures. An electroencephalography (EEG) is used to check for abnormal activity in the brain if a child has a history of seizures.
- Problems with feeding and swallowing.
- Vision or hearing problems.
- Behavioral problems.
Most of the time, a doctor can predict many of the long-term physical effects of CP when a child is 1 to 3 years old. But sometimes such predictions aren't possible until a child reaches school age. That's when learning, communication skills, and other abilities can be checked.
Some children need repeated testing that may include:
- X-rays, to check for loose or dislocated hips. Children with CP are usually X-rayed several times during ages 2 to 5. Spinal X-rays also are done to look for curves in the child's spine (scoliosis).
- Gait analysis. This helps identify problems and guide treatment decisions.
Other tests may be needed, depending on a child's symptoms, other conditions, or medicines he or she takes.
Treatment Overview
Even though CP can't be cured, a variety of treatments can help people who have CP to make the most of their abilities and physical strength, prevent complications, and improve their quality of life.
Specific treatment varies by individual and changes as needed if new issues develop. In general, treatment focuses on ways to maintain or improve a person's quality of life and overall health.
Regular visits with your child's doctor and specialists are important for monitoring your child's condition.
Treatment for CP includes:
- Physical therapy, which can help your child become as mobile as possible.
- Medicines, which can help control some of the symptoms of CP and prevent complications. For more information, see Medications.
- Certain kinds of surgery, which may sometimes be used for a child with severe problems. For more information, see Surgery.
- Devices and equipment, such as braces, casts, and splints.
- Pain management. For more information, see the topics Pain Management and Chronic Pain.
Physical therapy and special equipment may be used together, such as for constraint-induced movement therapy, also called shaping. This encourages a child to increase movements by presenting interesting activities or objects and giving praise and rewards when a child attempts to use the less-functioning muscles.
Ongoing treatment for cerebral palsy (CP) focuses on continuing and adjusting existing treatments and adding new treatments as needed.
Working with others involved with your child's care, understanding your child's needs and rights, and taking care of yourself and other family members are all important parts of treatment. For more information, see Home Treatment.
Physical therapy
Physical therapy is an important treatment that begins soon after a child is diagnosed. It often continues throughout the child's life. It may begin before a definite diagnosis is made, depending on the child's symptoms.
Physical therapy may help prevent the need for surgery. But its focus may change after surgery or for problems that are new or getting worse. After surgery, specialized physical therapy may be needed for 6 months or longer.
Devices and equipment
Many people who have CP benefit from using something to maintain or improve joint mobility, help strengthen muscles and relax overactive (spastic) muscles, and assist with daily activities. These devices and equipment may include special crutches, orthotics, casts, standers, special seats, walkers, wheelchairs, special shoes, and other methods to help with specific problems.
The specific types of devices used depend on a child's needs. For example, a child may get a cast after surgery or to restrict movement in one area to strengthen muscles and tendons in another part of the body. If both legs are affected by CP, a child can learn to move around with the help of a scooter board (a device used to self-propel while lying down), a modified stroller, a wheelchair, or other special equipment.
Other treatments
Other therapies may also be needed, depending on specific needs.
- Occupational therapy helps teens and adults adapt to their limitations and live as independently as possible.
- Speech therapy helps control the mouth muscles. This therapy can be of great help to children with speech or eating problems. Speech therapy often starts before the child begins school and continues throughout the school years.
- A registered dietitian can provide nutritional counseling when a child has problems eating or is not gaining weight.
- Both massage therapy and hatha yoga are designed to help relax tense muscles, strengthen muscles, and keep joints flexible. Hatha yoga breathing exercises are sometimes used to try to prevent lung infections. More research is needed to find out the health benefits of these therapies for people who have CP.
- Therapies to stimulate learning and sensory development may benefit babies and young children. Some also help people of other ages. These therapies cannot repair damaged parts of the brain. But they may be able to stimulate undamaged parts of the brain.
- Behavioral therapy may help some school-age children with CP learn better ways to communicate with others.
- Biofeedback may be useful as part of physical therapy or on its own. Although it doesn't help everyone with CP, some people who use the technique learn how to control their affected muscles or reduce muscle tension.
You may hear about a wide range of controversial treatments, some of which may cause harm. Several controversial treatments exist for CP, such as electrical stimulation and special diets. Be sure to talk to your doctor about any type of treatment you are considering for your child.
Preparing for independent living
Many adults with CP get jobs if they have good support from their family and community. You can enroll your teen in occupational therapy as part of a gradual preparation for independent living. Your child may need extra help and encouragement to prepare for added expectations and responsibilities.
The cause of cerebral palsy (CP) sometimes isn't known. But links have been identified between CP and certain conditions during pregnancy, birth, and early childhood. Some of these can be prevented. Some cannot.
Before and during pregnancy
Doing all you can before and during pregnancy can help lower the risk that a brain injury will occur in a developing baby. Here are some tips for healthy habits before and during pregnancy.
- Eat nutritious foods.
- Don't smoke.
- Avoid exposure to harmful substances.
- See your doctor regularly.
For babies and young children
Help prevent CP in your young child by minimizing your child's risk for getting a brain injury.
- Take steps to prevent accidents.
- Make sure you are familiar with the signs of jaundice in newborns.
- Know how to prevent lead poisoning.
- Keep your child away from people who have serious contagious illnesses, such as meningitis.
- Make sure your child's immunizations are up-to-date. For more information, see the topic Immunizations.
If your child has not been diagnosed with CP, pay attention to whether your child is reaching early developmental milestones. Report anything you notice to your doctor at regularly scheduled well-child visits or anytime you have concerns.
Home Treatment
Family members working together with doctors can use home treatment to provide the best possible care for a child with cerebral palsy (CP).
Tips for parents and family members
- Learn about the condition. Being informed can help you understand how best to help your child. Local or national cerebral palsy organizations can help, especially in dealing with the impact of daily emotional and lifestyle issues. Talk with your doctor or call your local hospital for suggestions. For more information, see the Other Places to Get Help section of this topic.
- Learn about your child's educational rights. Laws in the United States give children with special needs access to free public school services and some free treatments. These educational rights also include protection of the parents' rights to be fully informed about or disagree with educational decisions concerning their child. Contact your state and local education departments for specific information about these accommodations. Also, vocational training may benefit some teens and young adults.
- Work with teachers and school officials. Work with your child's teachers, school administrators, special learning consultants, and school boards to develop the best educational plan for your child. A cooperative team approach helps your child realize his or her potential.
- Provide emotional support. The needs of a child with CP change over time. As children grow and become more aware of their physical limitations, they need to be able to talk about their feelings and how they are treated. It is sometimes easier for them to talk with someone who isn't a family member. Ask your doctor about whether emotional counseling would benefit your child. Also, include your child when making decisions about his or her health care.
- Take care of yourself. Get proper rest, eat well, exercise, and learn ways to cope with the challenges of raising a child with CP. You will be better equipped to help your child when you have physical energy and emotional strength.
- Help each other. The entire family is affected when one member has CP. Helping family members cope with this situation is important, especially for siblings. You can help prevent other children from having unrealistic fears and concerns, feeling left out, or becoming overwhelmed.
You and your family and friends can help your child reach his or her highest potential. Focus on your child's strengths. And build self-esteem by helping your child learn to do things by himself or herself.
Helping with daily routines
Each person with CP has unique strengths and areas of difficulty. But most people who have CP need ongoing help with:
- Using the toilet. Some people who have CP have poor bladder control or problems that make using a toilet difficult. Special undergarments and training by an occupational therapist may help.
- Bowel elimination. People who have CP often become constipated, making stools difficult to pass. For information about preventing and treating constipation, see the topic Constipation, Age 11 and Younger or Constipation, Age 12 and Older.
- Dressing. Provide clothing and shoes that are easy to put on and take off, such as those that zip or button in the front or that have large buttons, ties, or Velcro fasteners.
- Speaking. Problems with jaw and mouth muscles, and also hearing loss, can make it difficult to form words. Speaking slowly and reading with your child often are examples of ways to help your child communicate.
- Keeping active. Your child needs to move his or her limbs to help keep muscles strong and joints flexible. Have him or her move and play as much as possible. Involve other family members too. Ask the doctor, physical therapist, or other parents for ideas.
- Safety. People who have CP are prone to falls and other accidents, especially if they have seizures. You can take safety measures at home—such as having sturdy furniture—to help your child avoid accidents. Use common sense and care around sharp objects. And never leave a person who has CP alone while he or she is bathing.
Feeding and grooming
- Feeding and eating. Children with CP may have problems being able to chew, suck, and swallow. Using special utensils and serving soft foods may help. A registered dietitian can suggest ways to help your child eat healthy foods and make food easier to chew and swallow. A person with severe CP may need a feeding tube in order to eat.
- Bathing and grooming. People who have CP who do not have control of their hands or arms usually cannot groom themselves. Some children can be taught some self-grooming with practice.
Dental and skin care
- Dental care. CP can cause problems with the jaw muscles, teeth, mouth, and tongue. And it can make it hard to use a toothbrush. Regular cleanings and special equipment, such as a teeth-cleaning water spray, can help.
- Skin care. Drooling can cause skin irritation around the chin, mouth, and chest. You can help protect your child's skin by blotting rather than wiping drool, using cloths to cover the chest, and applying lotions or cornstarch to areas that get irritated.
Teen years
As your child approaches the teen years and young adulthood, be aware of his or her changing needs.
- Give teens and adults with CP plenty of emotional support and understanding. Family members and friends can help them deal with the daily challenges of having CP.
- Gradually prepare your child for independent living. Usually teens have learned to use their talents and strengths. But they may need extra help and encouragement to prepare for added expectations and responsibilities.
- Talk to your teen about intimate relationships. Teens and young adults with CP may need more guidance than other people their age in developing these relationships.
Learn to change your routines as your child with CP grows and develops. For example, you may not be able to continue caring for a severely affected child who is growing tall and heavy. Try to plan ahead for the time when your grown child with CP is not under your care.
Planning for adulthood
Preparing your child for adulthood takes careful planning. It also requires patience and resourcefulness on your part.
- Encourage independent living skills. A time may come when you or other family members can no longer assist your child in all areas.
- Plan for an adult's current and future health care needs. Complications of cerebral palsy may develop and affect quality of life. Also, some forms of CP are more severe and require special assistance.
- Use occupational therapy and similar programs that may be helpful. Most adults with CP are employed, despite moderate to severe physical disability. Laws protect the rights of disabled people to find and hold employment (among other rights). Learn about the Americans with Disabilities Act (ADA) of 1990 at www.ada.gov.
Older adults with CP may need extra help preparing for retirement.
Medicines can help control some of the symptoms of cerebral palsy (CP), prevent or minimize complications, and treat other medical conditions related to CP.
Medicine choices
Muscle relaxants (antispasmodics) are the most common medicines used for people who have CP. They can help relax tight muscles and reduce muscle spasms. Most antispasmodics are taken by mouth. Some are injected directly into stiff or spastic muscles. Examples include:
- Baclofen (such as Gablofen).
- Botulinum toxin (such as Botox).
- Diazepam (such as Valium).
Anticonvulsants help prevent or control seizures. These include:
- Lamotrigine (Lamictal).
- Oxcarbazepine (Trileptal).
Anticholinergics help some people who have CP who have uncontrollable body movements (dystonic cerebral palsy) or who drool often. These include:
- Benztropine (Cogentin).
- Glycopyrrolate (Robinul).
Stool softeners and mild laxatives may help treat constipation, which is a common complaint of people who have CP.
What to think about
Some doctors believe that oral antispasmodic medicines should not be given to growing children. They are concerned that side effects from these medicines can cause problems for children that are worse than the tight muscles and muscle spasms related to CP. For example, drowsiness is a side effect that may interfere with a child's ability to concentrate and learn in school. Other doctors believe that the benefits of these medicines outweigh the risk of side effects.
Ask your doctor the following questions about any medicine prescribed for your child:
- How successful is it in treating my child's problem?
- What are the short-term and long-term side effects?
- What are the chances that the medicine will stop working? What options are available if this happens?
- How might it affect my child's growth and development?
See the new medicine information form( What is a PDF document? ) for more questions to ask.
Surgery for people who have cerebral palsy (CP) may help reduce muscle stiffness or spasms and allow more flexibility and control of the affected limbs and joints.
Surgery choices
The main surgery choices are:
- Orthopedic surgery (for muscles, tendons, and joints). It's done to increase range of motion. For example, the surgeon may lengthen a tendon, cut through muscles or tendons, or attach a tendon to a different part of the bone.footnote 2 Surgery to treat spinal curves (scoliosis) or to prevent or treat hip dislocation is also done.
- Selective dorsal rhizotomy (cutting nerves of affected limbs) for contracture or other mobility problems. This procedure is usually considered only for children who have severe muscle tightness in the legs.
Other surgeries related to cerebral palsy
- Surgery for various orthopedic problems. Surgery for other problems is sometimes needed for children with CP. These surgeries vary depending on the specific problems involved. For example, some children may need surgery to correct uneven leg length.
- Medicine-related surgery. A small pump is surgically implanted under the skin in the belly for some people who have CP. This pump can deliver medicines, such as baclofen, directly into the fluid surrounding the spinal cord.
When surgery may be used
A thorough checkup is needed to help the doctor find out which muscles and nerves are affected and what type of surgery would best treat the condition. A gait analysis may be part of the exam.
Doctors don't agree about the best age for children to have surgery for cerebral palsy. Some may suggest surgery at a young age, while others may suggest other treatments before surgery. Use this surgery information form( What is a PDF document? ) to help you decide what's right for your child.
Surgery isn't used nearly as often for the arms as for the legs. Surgery on arm deformities carries more risks related to sensory damage.
Sometimes medicine or physical therapy is used to postpone or prevent the need for surgery.
Physical therapy after surgery
The type of therapy and special equipment needed after surgery (such as braces, casts, and splints) depends on the child's specific needs. Most children need physical therapy after surgery. In general, post-surgical physical therapy usually starts as soon as possible and may continue for as long as 6 months.
- Palmer FB, Hoon AH (2011). Cerebral palsy. In M Augustyn et al., eds., Zuckerman Parker Handbook of Developmental and Behavioral Pediatrics for Primary Care, 3rd ed., pp. 164–171. Philadelphia: Lippincott Williams and Wilkins.
- Hoon AH Jr, Tolley F (2013). Cerebral palsy. In ML Batshaw et al., eds., Children With Disabilities, 7th ed., pp. 423–450. Baltimore: Paul H Brookes Publishing.
Other Works Consulted
- Ade-Hall RA, Moore AP (2000). Botulinum toxin type A in the treatment of lower limb spasticity in cerebral palsy. Cochrane Database of Systematic Reviews (1). Oxford: Update Software.
- Anttila H, et al. (2008). Effectiveness of physical therapy interventions for children with cerebral palsy: A systematic review. BMC Pediatrics, 8(14): 1–10.
- Ashwal S, et al. (2004). Practice parameter: Diagnostic assessment of the child with cerebral palsy. Neurology, 62(6): 851–863.
- Committee on Children with Disabilities, American Academy of Pediatrics (1999, reaffirmed 2010). The treatment of neurologically impaired children using patterning. Pediatrics, 104(5): 1149–1151.
- Delgado MR, et al. (2010). Practice parameter: Pharmacologic treatment of spasticity in children and adolescents with cerebral palsy (an evidence-based review). Report of the Quality Standards Subcommittee of the American Academy of Neurology and the Practice Committee of the Child Neurology Society. Neurology, 74(4): 336–343.
- Desch LW (2013). Assistive technology. In ML Batshaw et al., eds., Children With Disabilities, 7th ed., pp. 641–656. Baltimore: Paul H Brookes Publishing.
- Diamond M, Armento M (2010). Children with disabilities. In WR Frontera, ed., DeLisa's Physical Medicine and Rehabilitation, vol. 2, pp. 1475–1502. Philadelphia: Lippincott Williams and Wilkins.
- Glader L, Tilton A (2009). Cerebral palsy. In WB Carey et al., eds., Developmental-Behavioral Pediatrics, 4th ed., pp. 653–662. Philadelphia: Saunders Elsevier.
- Hoare BJ, et al. (2010). Botulinum toxin A as an adjunct to treatment in the management of the upper limb in children with spastic cerebral palsy (Update). Cochrane Database of Systematic Reviews (1).
- Kedia S, et al. (2014). Neurologic and muscular disorders. In WW Hay Jr et al., eds., Current Diagnosis and Treatment: Pediatrics, 21st ed., pp. 776–861. New York: McGraw-Hill.
- Murphy NA, et al. (2008, reaffirmed 2012). American Academy of Pediatrics clinical report: Promoting the participation of children with disabilities in sports, recreation, and physical activities. Pediatrics, 121(5): 1057–1061.
- Rapin I (2010). Disorders of motor and mental development. In LP Rowland, TA Pedley, eds., Merritt's Neurology, 12th ed., pp. 568–574. Philadelphia: Lippincott Williams and Wilkins.
- Renshaw TS, Deluca PA (2006). Cerebral palsy. In RT Morrissy, SL Weinstein, eds., Lovell and Winter's Pediatric Orthopaedics, 6th ed., vol. 1, pp. 551–603. Philadelphia: Lippincott Williams and Wilkins.
- Simpson DM, et al. (2008). Assessment: Botulinum neurotoxin for the treatment of spasticity (and evidence-based review): Report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology. Neurology, 70(19): 1691–1698.
Current as of: December 12, 2018
Author: Healthwise Staff
Medical Review:Susan C. Kim, MD – Pediatrics & John Pope, MD, MPH – Pediatrics & Kathleen Romito, MD – Family Medicine & Louis Pellegrino, MD – Developmental Pediatrics
This information does not replace the advice of a doctor. Healthwise, Incorporated, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Learn how we develop our content.


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Please add your review about this phone number.
Write a long comment about your experience with phone number 07964359197. You can also use the buttons to describe calls. The last button clicked changes the rating. Here's what they mean:
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Woodland Rug | Granite
Indulge in the luxurious feel of our Woodland Rug. Hand-knotted with ethically sourced wool and cotton, the dimensional texture adds a touch of sophistication to any room. Elevate your space with this exclusive statement piece, made with care and precision.
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Care Instructions | Clean spills immediately by blotting with a clean, white sponge or cloth. Professional cleaning recommended. Appropriate rug pad is highly recommended on all surfaces to prevent slipping, add cushion, and improve durability. Expect shedding. For vacuuming, use a vacuum cleaner without a beater bar or one where you can set the bar to the highest pile setting. If your vacuum has variable power settings, set on low. Vacuum full length of the rug, turn and repeat to the next area, rather than back and forth motion.


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WINNEY Family Tree and WINNEY Genealogy Records
WINNEY wiki
This is the surname research page for WINNEY. This section is designed to contain general information about WINNEY genealogy research. Please consider adding some of your own research, either as an editor or with journals below.
2010 US Census data for WINNEY
This surname is in the top 162,000 names in the US Census from 2010. (There must be at least 100 to make the list).
There are 473 WINNEY records listed in the 2010 US Census, and it is the Number 45253 ranked name. A WINNEY makes up 0.16 of every 100k people in the population.
Other US Census data for WINNEY
89.43% are White Alone (Non-Hispanic)
2.96% are Black Alone (Non-Hispanic Black or African American Alone)
2.54% are Hispanic or Latino origin
~0% are Asian Alone (Non-Hispanic Asian and Native Hawaiian and Other Pacific Islander Alone)
4.23% are American Indian (Non-Hispanic American Indian and Alaska Native Alone)
~0% Non-Hispanic Two or More Races
WINNEY Family History and WINNEY Family Genealogy Journals
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WebScarab is a framework for analysing applications that communicate using the HTTP and HTTPS protocols. It is written in Java, and is thus portable to many platforms. WebScarab has several modes of operation, implemented by a number of plugins. In its most common usage, WebScarab operates as an intercepting proxy, allowing the operator to review and modify requests created by the browser before they are sent to the server, and to review and modify responses returned from the server before they are received by the browser. WebScarab is able to intercept both HTTP and HTTPS communication. The operator can also review the conversations (requests and responses) that have passed through WebScarab.
There is no shiny red button on WebScarab, it is a tool primarily designed to be used by people who can write code themselves, or at least have a pretty good understanding of the HTTP protocol. If that sounds like you, welcome! Download WebScarab, sign up for the mailing list on the OWASP subscription page, and enjoy! You can read a Brief tutorial to explain the basic workings.
WebScarab is designed to be a tool for anyone who needs to expose the workings of an HTTP(S) based application, whether to allow the developer to debug otherwise difficult problems, or to allow a security specialist to identify vulnerabilities in the way that the application has been designed or implemented.
A framework without any functions is worthless, of course, and so WebScarab provides a number of plugins, mainly aimed at the security functionality for the moment. Those plugins include:
Fragments - extracts Scripts and HTML comments from HTML pages as they are seen via the proxy, or other plugins.
Proxy - observes traffic between the browser and the web server. The WebScarab proxy is able to observe both HTTP and encrypted HTTPS traffic, by negotiating an SSL connection between WebScarab and the browser instead of simply connecting the browser to the server and allowing an encrypted stream to pass through it. Various proxy plugins have also been developed to allow the operator to control the requests and responses that pass through the proxy.
Manual intercept - allows the user to modify HTTP and HTTPS requests and responses on the fly, before they reach the server or browser.
Beanshell - allows for the execution of arbitrarily complex operations on requests and responses. Anything that can be expressed in Java can be executed.
Reveal hidden fields - sometimes it is easier to modify a hidden field in the page itself, rather than intercepting the request after it has been sent. This plugin simply changes all hidden fields found in HTML pages to text fields, making them visible, and editable.
Bandwidth simulator - allows the user to emulate a slower network, in order to observe how their website would perform when accessed over, say, a modem.
Spider - identifies new URLs on the target site, and fetches them on command.
Manual request - Allows editing and replay of previous requests, or creation of entirely new requests.
SessionID analysis - collects and analyzes a number of cookies to visually determine the degree of randomness and unpredictability. Note that this analysis is rather trivial, and does not do any serious checks, such as FIPS, etc.
Scripted - operators can use BeanShell (or any other BSF supported language found on the classpath) to write a script to create requests and fetch them from the server. The script can then perform some analysis on the responses, with all the power of the WebScarab Request and Response object model to simplify things.
Parameter fuzzer - performs automated substitution of parameter values that are likely to expose incomplete parameter validation, leading to vulnerabilities like Cross Site Scripting (XSS) and SQL Injection.
Search - allows the user to craft arbitrary BeanShell expressions to identify conversations that should be shown in the list.
Compare - calculates the edit distance between the response bodies of the conversations observed, and a selected baseline conversation. The edit distance is "the number of edits required to transform one document into another". For performance reasons, edits are calculated using word tokens, rather than byte by byte.
SOAP - There is a plugin that parses WSDL, and presents the various functions and the required parameters, allowing them to be edited before being sent to the server. NOTE: This plugin is deprecated, and may be removed in the future. SOAPUI is streets beyond anything that Webscarab can do, or will ever do, and is also a free tool.
Extensions - automates checks for files that were mistakenly left in web server's root directory (e.g. .bak, ~, etc). Checks are performed for both, files and directories (e.g. /app/login.jsp will be checked for /app/login.jsp.bak, /app/login.jsp~, /app.zip, /app.tar.gz, etc). Extensions for files and directories can be edited by user.
XSS/CRLF - passive analysis plugin that searches for user-controlled data in HTTP response headers and body to identify potential CRLF injection (HTTP response splitting) and reflected cross-site scripting (XSS) vulnerabilities.


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As a first-generation college student from a low-income family, I was worried about how I was going to pay for books and supplies. This scholarship will allow me to focus more on my studies instead of worrying about how to afford college. I am working to not only create opportunities for myself but to motivate future generations. Thank you so much for helping me along this journey!
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With college hoops behind us, I'm thrilled to transition back to the usual shallow analysis -- and to the start of the baseball season this week.
(Yesterday's MLB "Studs and Duds" in the Comments showed everyone is back in Morning Quickie form. Hope to see everyone chime in daily on that topic.)
UPDATE: Speaking of baseball, that's the theme of the next Varsity Letters Reading Series TONIGHT at Happy Ending in NYC (302 Broome on the L.E.S.). Great lineup: BP folks, Jonah Keri and more, including haiku(!) After March's wild event, it's THE must-attend event of the month.
Since I have completely blown any shot at a reasonable MLB preview, I'm going to limit it to three specific topics over the next three days. (Today: Top Storylines. Thursday: Awards Picks. Friday: Playoff Picks.)
So let's start with the season's Top MLB Storylines. Feel free to offer up your own in the Comments section. These happen to be the ones that I personally think will be most fascinating or intriguing:
1. Bonds passes Aaron. Yes, everyone hates Bonds and half the fans don't even want to see him do it. But it's so momentous that it commands our attention.
2. New Cubs ownership. Technically, this won't really become an issue until AFTER the 2007 season, but expect rumors to run wild over the next six months. It is, after all, the biggest brand name in the National League (and probably Top 2 in MLB, behind the Yankees).
3. Curt Schilling's blog. Have you been following 38Pitches? It's quite ground-breaking, in terms of the real-time self-analysis he's willing to engage in. It's sort of like Cuban's BlogMaverick, but to get the unfiltered p.o.v. of a star PLAYER in mid-season seems unprecedented. Disintermediating the mainstream media? Advantage: Schilling. (And keep in mind: I used to really dislike Schilling. But this feels different from his usual media whoredom. He has reinvented himself as baseball's leading independent voice.)
4. Yankees-Red Sox rivalry. Wow, how I wish this wasn't the dominant rivalry in baseball. But it is. Suddenly, the Yankees are thrifty and the Red Sox are panic-spending. All the while, the Mets are about to eclipse the Yankees as the city's best team (if it hasn't happened already).
5. Surprises. The REAL intrigue of any season are the things you can't possibly predict. The breakouts. The sensations. The unexpected successes (or failures). And, of course, the steroid allegations.
Women's NCAA Tournament: Vols crush
CBB Coaching Carousel: Dana Altman humiliates
Billy Packer is a Jackass, Cont'd: "You always fag out." Caught on tape, no less. On Charlie Rose, no less.
Look: Either Packer intentionally used the word "fag" or didn't realize that using the word "fag" is wrong. Either way, it's a pretty good pretense to dump him. Who wouldn't want to see, say, Bill Raftery calling the Final Four? Bring a little joy back to the game, that's for sure.
(This isn't Packer's first pejorative. There was that "tough monkey" comment a decade ago. If that had happened in 2007, I guarantee you he would have been fired the next day. Hopefully, this latest slur will remind people of that other one; no statute of limitations on his stupidity.)
More: Gail Goestenkors leaves Duke for
(In the middle of this Billy Donovan-Kentucky discussion, I'd love to hear what people would have told Coach K to do in April 1992 if he had been offered the job at, say, Kentucky or Indiana or UCLA. At that point, he would have been at Duke roughly the same amount of time as Donovan has been at
MLB Wrap: The Pirates (and Xavier Nady!) continue to baffle the Astros in the late innings. Lidge, Wheeler: It doesn't matter... Marlins Mania:
NBA Wrap: Heat beat the Raptors. As
NFL: Will Roger Goodell be able to ban players for life for off-field criminal offenses that are bad enough? That's what he wants. And I'm not sure fans will mind he has that power, though "for life" is a hell of a punishment to wield. I thought "banned for the season" is pretty rough. Hell, even the Soup Nazi only banned Elaine for one year.
WNBA: Rare mention for the WNBA! But I'd say that if you're going to have league intrigue, why not have it be that your draft is the day after the college national title game, where the star player – sophomore Candace Parker – had roughly 12 hours to figure out if she wanted to go pro early through a draft-rules loophole and set a milestone in her sport. She would be the No. 1 overall pick. Her decision comes at 10; the draft is at 1. Talk about "on the clock!"
Wish I Thought of It: Rookiepedia, an all-in-one reference for NFL Draft prospects. Kudos to creator Brian Bassett. Definitely something not only to check out throughout the month, but to contribute to.
Rest in peace, Eddie Robinson. One of the greatest college football coaches of all time. Would he go in the All-Time Top 5? (Wow, what a great question. Who's in contention? Paterno, Bryant, Osborne, Wilkinson, Bowden? I'd put Robinson up with any of those guys.)
Here are a bunch of great supporting stats about Robinson (via Cold Hard Football Facts). Win that argument!


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