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welcome our new contributor!
Below she shares a bit about herself and her lovely bedroom.
Hi, I'm Deborah and you might know me from my Instagram and very soon a new blog! I feel honoured that Jennifer has asked me to guest post on AMM. This is very exciting for me as I have followed Jennifer for a long time and have nothing but admiration for her! We have became instant friends! I must say though who wouldn't? She has great taste and a eye for beautiful interiors, all around she is a very talented lady. As our friendship has grown we have quickly realized we have a lot in common which is quite funny when we live so far apart (one day Jen we will finally meet up for that coffee)...
Ok, so I stay in a beautiful tenement flat with my husband and my two boys Oliver who is four & Sebastian is 9 months, in the city of Glasgow. It's a small flat but with large rooms and large windows, it feels spacious and open especially with the newly painted white floors. We enjoy family life here but do miss having a garden but we are lucky enough to have a grassy park right across the road. I have a real love for Scandinavian Design and its aesthetics. It has taught me to declutter my home and keep a neutral colour palette throughout, meaning a happier relaxed home for my family! It has been a slow process but I'm getting there. It is not always easy with two boisterous young boys!
In the next couple of weeks you will be seeing a little more of me on AMM, where I will enjoy sharing my passions and getting to know you all a little better, until then hope you are all having a great day!
Other Stories
22 comments:
welcome! love the room -- so fresh :)ReplyDelete
looking forward to your posts already!!! great bedroom!!!!ReplyDelete
Wonderful!!! So excited to see you on Jennifer's blog!ReplyDelete
Hi Deborah! So nice to see you here - you know I totally love your style - looking forward to seeing more of you here :) xReplyDelete
p.s. Hi Jen - have a lovely weekend! x
this might just be my favourite bedroom ever. i've been devouring inspirational images like this lately, as i attempt to squeeze a little more style into our tiny boudoir. this, deborah, is perfection!ReplyDelete
First of all I have to say that I love both your styles. Your pictures give me peace to my mind. These photos no exception. And second: Thumbs up for Deborahs new blog!! Can't wait! :)ReplyDelete
- AnonymousAugust 17, 2012
Gorgeous. So happy to have two great minds in one place:)ReplyDelete
Ever since I found you both on Instagram and then started reading your blog, I have been so inspired to change up our home. Thank you so much for sharing. Looking forward to more posts from Deb and her own blog. Both of your styles are amazing.ReplyDelete
What a good idea. I am really looking forward to these contributions and the new blog!ReplyDelete
so glad to see more of your spaces. i love what you 've done to this space.ReplyDelete
- AnonymousAugust 17, 2012
Both you and Deborah have amazing homes. You inspire me daily!ReplyDelete
Its interior is superb, this mom is very talented! I can not wait to find her new blog!ReplyDelete
I love to hear about others experiences with blog friendships, they are special and I value mine too! I love both your work, so more the better with this new collaboration! :)ReplyDelete
This is a match made in interior heaven. I'm so inspired by both of you, and I cannot wait to follow your new blog as well Deborah. Thanks Jennifer for picking such an inspiring new contributor.ReplyDelete
oh uau, you two seem like twin sisters in design taste!!! congratulations for joining such an inspirational space deborah!ReplyDelete
This is going to be so addictive.. so excited!ReplyDelete
- danielleAugust 20, 2012
may i ask where dog print is from and where you got the black dots?ReplyDelete
thanks so much!
I will be following your blog daily Deborah! You are inspiring and so kind I wish you will be inspiring many people not only with your lovely home and boys, but with your kind words! All the best!ReplyDelete
So excited!! your home is amazing and your blog too!ReplyDelete
- AnonymousAugust 22, 2012
Can't wait for your blog! My sister lived across from Tollcross park in Glasgow (my home town, I live in Paris)The layout of her flat was very similar - but not her style unfortunately :)ReplyDelete
Hello Deborah! Very happy to hear you will be starting your own blog. I found you through amerrymishap on Instagram and always get confused at whose photos I am looking at, yours or hers. You both have such nice style and I can't wait to see what your blog will have in store. Also great to hear you are in Glasgow, I went to university there. It's a great city. Good luck with the new venture!ReplyDelete
I love this! your home is gorgeous!ReplyDelete
Thank you for your comments, I love hearing from you!
Questions, comments or sponsorship inquires, please contact me via the 'contact' link.


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Hundreds of packages never delivered
Postal inspector: Driver kicked packages into street
Postal inspectors said hundreds of packages were never delivered to homes in the city.
On Nov. 27, a man privately contracted through FedEx to deliver packages stopped his truck in a neighborhood near 15th and Corby streets, inspectors said.
Neighbors, who called 911, said they saw a man jump in the back of his truck and kick the packages onto the street.
"There were a lot of packages in the street, alongside the road, some intact, some empty boxes and some had already been taken away by people in the area," said Dave Margritz, postal inspector.
Margritz said of the 435 packages on the truck only 31 were intact and delivered. They found 90 empty packages, leaving 314 unaccounted for.
"On this scale, it's very disruptive. We all buy holiday gifts for loved ones. It's a very sad thing to have to deal with that," Margritz said.
The packages were in transit from the Kansas City FedEx terminal to Papillion's Post Office. Maritz said if you have not received a package ordered around Thanksgiving and see "in transit" to Papillion, there is a good chance it was on the truck.
"Contact FedEx or the company you bought the item from," Margritz said.
Margritz said the truck driver confessed and has been removed from the company.
"He thinks he left the door open to the truck and some had fallen out. He stopped to look and he panicked, and he pushed the rest of the packages out of the back of the truck," Margritz said.

subset: commoncrawl


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Jose Luis da Silva couldn't believe what he was seeing scrolling across the television screen.
The retired Portuguese-language teacher in the San Jose Unified School District was visiting Portugal in March when the announcement came: "Djalo has signed with the Earthquakes."
"Wow. That was exciting to hear," da Silva recalled this week, a few days after Yannick Djalo, on loan from world power SL Benfica, scored in the Earthquakes' first victory of the season, 1-0 over Chivas USA.
The Portuguese community has practically been doing back-flips ever since the speedy Djalo was brought to San Jose. His big finish only heightened their belief in his star potential.
A lifelong Benfica fan, da Silva is on the board of directors for the Portuguese Heritage Publications of America. He remembers when Benfica legend Tony Simoes was an Earthquakes midfielder in 1976 and '77. Simoes helped Portugal to a third-place finish in the 1966 World Cup in England.
Thus, Da Silva has been waiting nearly 40 years for another Benfica player to hit town.
"It's wonderful to have him here with the Earthquakes," da Silva said of Djalo. "The Portuguese community really follows what happens with soccer players, particularly ones from Benfica. … He's a player I've followed for awhile."
Djalo created a flurry of offense against Chivas USA after coming on as a substitute. It was just what the team needed.
"Right from the start of the second half, Yannick gave us that spark," Quakes coach Mark Watson said. "Whether it was running at defenders or supporting the play with his runs, he's a dangerous player. The thing with him is he has a great technical base and can get out of pressure with his feet, but he's most dangerous when he can get his legs out and run. He made a great run to the back post and polished off a solid ball from Shea (Salinas) to give us the win."
Of his first goal in four appearances, Djalo, born in the Republic of Guinea-Bissau in West Africa, dished off praise to Salinas.
"It was a great build up to the goal," he said. "Salinas got his space and crossed it in from the left side. My defender shifted toward the center, which gave me time. I didn't hit it perfectly, but it was enough to beat the keeper. I couldn't have dreamt of a better scenario to score my first goal with the club."
Djalo, who did not make an appearance with Benfica's first team in 2013-14, played on loan with Toulouse in the French Ligue 1 in 2012-13. Previously, he played extensively with Benfica's arch-rival Sporting Lisbon, making numerous appearances in league play, UEFA Champions League and Europa League.
He also played with the Portugal senior team in 2010 after competing numerous times with youth national teams.
Consider Djalo to be a very good get for the Quakes.
After signing with San Jose, Djalo seemed charmed by the team's welcoming nature. But it took him a little time to adjust to the time change and the fact that they eat dinner around 6 or 7 p.m. in the South Bay, not late at night as they do in Portugal.
Djalo also embraced the Earthquakes' fight-to-the-finish resilience.
"They have a great mentality," he said at the time. "That's the key thing, mentality: Never throw in the towel early. Never give up until the end. You keep on pushing forward. They have a great spirit here, and that's easy to adapt to."
The question about Djalo among Benfica supporters was always: Where would he end up? They know he had the tools for stardom.
"Benfica does that a lot," da Silva said of loaning out players. "They get top players, young players, and because they are so loaded with talent and more experienced players, they'll put them on loan in different places in the world, mostly in Europe. It's very rare in America. In fact, I can't think of any that was put on loan in America.
"But to have one that comes here is special, particularly in San Jose."
- Richter Media


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1983 GMC C1500 Tires, Size and Price
1983 GMC C1500 Tires, Size and Price – This tire offers a great blend of versatile traction and sport style performance, making it a great choice for your high-horsepower coupe, sedan, or crossover. This 1983 GMC C1500 Tires all-season tread pattern features copious siping and water-evacuating traction grooves to provide dependable traction in varied weather, including rain and snow. It also delivers improved treadlife and fuel efficiency, thanks to Dynamic Temperature Distribution technology that reduces tire distortion and improves rolling resistance. And for great performance, the GMC C1500 Tires features technology that promotes enhanced handling.


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I love Springtime. It's time to get out and work in the garden, watch baseball games and track meets. It's time for more bbq's with friends and family, and wearing my sandles all the time!
Springtime also means cleaning to me, starting fresh. Taxes are done… so all that paperwork that I had pulled out for my tax lady can now be filed away for those 7 years (or maybe it's only 5 years?). And, I can start fresh with this year's files. Spring cleaning for your household and/or business paperwork means that you need to organize.
Let's Get Started… As I set up my new files for the year, this is what I do.
For my files:
1. Alphabetically
2. By subject/topic
3. By date
For my business job book:
1. Phone numbers, addresses, contact information
2. Job task descriptions
3. Any details for specific tasks
4. Correspondence and other samples
5. Helpful information
My cleaning checklist:
1. Check in-baskets and piles every day (Household & Business)
2. At the end of every week, I review each client's files and emails (Business)
3. At the end of every week, I make my to-do list for the next week (Household & Business)
Try not to be a pack rat and let the paperwork pile up. Set up a specific day to do your filing (hardcopy & electronic) every week, and make sure you do it. And, set up a specific day to review your to-do lists. And, always, keep it simple.


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The Children's After School Achievement (CASA) program at Hope College is holding an open house on Thursday, April 22, to celebrate both the recent restoration of Graves Hall and the children and tutors who are a part of CASA.
The Children's After School Achievement (CASA) program at Hope College is holding an open house on Thursday, April 22, to celebrate both the recent restoration of Graves Hall and the children and tutors who are a part of CASA.
The event will take place from 4 p.m. to 6 p.m. throughout Graves Hall, which opened in the fall after a year-long adaptive restoration. The elementary children that CASA serves and their Hope-student tutors will be on-site from 4 p.m. to 5 p.m. to help guide visitors through the building and answer questions about CASA. Brief overviews of the building's history and restoration will be presented by Dr. Elton Bruins at 4:30 p.m. and 5:15 p.m.
Both CASA and Upward Bound have their offices in the lower level of Graves Hall. CASA's elementary-age students meet with their tutors after school in nearby Lubbers Hall, which was also recently renovated, in 2006, while Upward Bound hosts a variety of its activities with high school students in Graves Hall.
"Hope held a rededication celebration in the fall, but with two community programs housed in the building we wanted to offer an additional opportunity for the public to enjoy what the college has done with the restoration," said Fonda Green, who is executive director of CASA. "We also want to showcase and celebrate the work that CASA has done for more than 20 years by providing an opportunity to talk with the kids and tutors and ask them about the program and what they do while they're here."
In addition to the CASA students and tutors, the event's hosts include community members Roger and Connie Brummel, and Robert and Deb Sterken, who have been long-time CASA supporters. Connie Brummel was the program's executive director from 1994 until retiring in 1998.
CASA, a community organization housed at Hope, provides academic and cultural enrichment for at-risk first- through fifth-grade students. The program, which runs year-round, is intended to improve the students' academic performance by providing the tools they need to succeed in school.
The students meet after school twice per week in one-on-one sessions with volunteer tutors, most of whom are Hope students, throughout the school year, and in the mornings during a six-week summer session. The academic-year and summer programs serve Holland and West Ottawa students. A total of 123 elementary-age students are participating in CASA during the current school year.
CASA was established in 1987 by Marge Rivera Bermann and Latin Americans United for Progress (LAUP) and originally housed at First United Methodist Church. CASA moved to Hope College in 1989.
Dedicated in 1894, Graves Hall re-opened at the beginning of the school year in August after a year-long, $5.7 million, adaptive restoration that emphasized a return to the building's original character while updating the 19th-century landmark for use in the 21st. In addition to the CASA and Upward Bound offices, the building houses five classrooms, Winants Auditorium, the "Presidents' Room" conference room and the Schoon Meditation Chapel.
Speaker Dr. Elton Bruins, who is former director of the college's A.C. Van Raalte Institute and the Evert J. and Hattie E. Blekkink Professor Emeritus of Religion at Hope, played a role in the restoration planning as a scholar of the building's history.
Graves Hall is located at 263 College Ave., between 10th and 12th streets.


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Dwayne Gross
Muslims gather for outdoor "Jumah" prayers at Marshall Park in Charlotte, N.C., on Friday, the first of several events planned by the Bureau of Indigenous Muslim Affairs in the run up to the Democratic National Convention in the city.
A flier for Muslim events timed for the run-up to the Democratic National Convention in Charlotte.
In the run-up to the Democratic National Convention, several hundred Muslims attended "Jumah," or Friday prayer, in a park in Charlotte, N.C., as part of an effort to mobilize Muslims and get them engaged in political discourse. But the event sparked some of the same negative reaction that the organizers were hoping to combat.
Organizers said they hoped to use the prayers, a town hall meeting planned for Saturday and cultural festival to open events to non-Muslims and bring attention to problems that they believe disproportionately affect Muslims but are ignored by both political parties.
They cite what they consider invasive practices under the Patriot Act, discrimination against mosque construction through the use of zoning laws, "anti-shariah" bills being passed by state and local governments and more generally a climate of Islamophobia.
"One of the reasons for pulling folks together is to stay focused," said Jibril Hough, one of the organizers from the nonprofit Bureau of Indigenous Muslim Affairs, or BIMA. "A lot of our issues that we are going to be bringing up will not be discussed by RNC or DNC. Both parties have supported deals that are eroding our civil liberties."
While about 300 Muslims prayed in Marshall Park in downtown Charlotte, the Christian group Operation Save America showed up to protest. Islam is one of the three main targets of its protests, along with abortion clinics and gay rights events. A news release from the organization on Thursday explained its reasoning.
"Hatred toward the God of the Bible (Jesus) is the great unifier of abortion, homosexuality, and Islam," said the release. "Hatred toward God and the nation He made great – America, is the platform of the DNC."
That protest had a permit and was anticipated, said Hough, and the police were poised to protect Operation Save America's right to protest without allowing them to disrupt the Muslim prayer.
"I told (the leader of the protest) I support his First Amendment right," said Hough. "But just because you have the right to do something doesn't mean you should do it."
The BIMA events were posted alongside hundreds of others on the official web site of the DNC host committee, none of which is sanctioned or supported by the committee, to let people attending the convention know what else is going on in town.
But the BIMA events were removed from the calender after negative publicity.
Some critics of Islam described both Hough and the headline speaker, Imam Siraj Wahhaj, as Islamic radicals.
In an interview on Fox television on Thursday, Zudhi Jasser, a controversial figure within the Muslim community who calls out "extremists" within his own faith, compared the views of BIMA to the KKK or the Nazi party, urging the DNC to distance itself from the event.
"They clearly are part of the global Islamist movement and really are an insurgency within this country," said Jasser, an Arizona physician who says many American Muslim leaders hope to replace American democracy with rule by Islamic law.
Meanwhile, in articles like this one in Frontpage.com, the right-wing blogosphere dissected Wahhaj's sermons and history, intimating that his conservative views were dangerous and embraced by the Democratic Party.
A senior DNC host committee official confirmed that the BIMA events had been removed from the website's "upcoming events" page.
"This event, like many others on the page, was user generated," a senior Host Committee official told NBC News on Friday. "Upon further review, and because speakers for the event and statements and positions from event organizers were not appropriate and relevant to the Host Committee, Charlotte in 2012 has decided to remove the event from our events calendar."
"This is about caving in to fear and ignorance," said Hough. On the other hand, he said, the prayer event "was very open, open to all, in the public square. Thousands will read about it and further understanding of Muslims and what is important to us."
More content from NBCNews.com:
- Clint Eastwood's empty chair at RNC sparks Internet buzz
- Lawyer: Ex-Navy SEAL sought advice before publishing book about bin Laden raid
- Romney tours Isaac damage in New Orleans area
- For military members, early retirement is costly
- Video: Large parts of Gulf Coast submerged
- Obama orders VA to expand suicide prevention services
Follow US News from NBCNews.com on Twitter and Facebook


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Herbal and homeopathic products and other similar remedies such as Ayurvedic and traditional Chinese medicines etc., cannot be identified as to their content (no federal standards exist and adulteration and misbranding are concerns). Because they are not classified as drugs by the FDA, these products cannot be administered to patients at Memorial Sloan Kettering Cancer Center except in Institutional Review Board approved protocols (clinical trials).
In addition healthcare providers should always inquire and document the use of herbs and other dietary supplements with all patients. On admission or during perioperative assessment, patients identified as using these agents should be advised about this policy. The concerns about safety and effectiveness should be explained and patients are to be asked to comply with this policy.


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Follow RFF News on your cell phone. Text follow rff to 40404 you will receive txt messages with RFF News
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I am a little skepical about all this. My first thought,1. I do not see any yellow or red anywhere.2. I do not see any fanny packs ( or whatever you call them) with red and yellow.3. What amazes me is that they are not in a rush. They are very calm, especially in the cars.If these pictures are in fact of AR10. WHow. Its been a long time. I am so happy, Cannot wait till Sept.One more thing, 7 cars, does not mean 7 teams, Maybe 2 teams where ahead, and this guy did not take pictures of them.
Teams ? ? ?An Asian team #7 ? a black team #6 ? OK I'm just guessing here so don't hurt me too much Asian Team #7 ? along with the f/f team Team #4
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When you use a Bright Health plan in-network doctor, clinic, hospital or pharmacy you save even more money on your healthcare. Most of our in-network providers participate through Southeastern Health Partners , but some Southeastern Health Partners providers are not in-network and other in-network providers may also available. To be sure that your provider is in-network, search below to find Bright Health in-network options for your care.
Questions about our Medicare Advantage plans? Call our Bright Health Certified Agents at: 844-667-5502
Download directory
Download a PDF list of all of our doctors, providers, and facilities in English or Spanish
This directory is for Anderson County, Greenville County, Pickens County in South Carolina.
Directory last updated 02/19/2020
Last Updated: Tues Oct 1 2019
Bright Health plans are HMOs and PPOs with a Medicare contract. Bright Health's New York D-SNP plan is an HMO with a Medicare contract and a Coordination of Benefits Agreement with New York State Department of Health. Our plans are issued through Bright Health Insurance Company or one of its affiliates. Bright Health Insurance Company is a Colorado Life and Health company that issues indemnity products, including EPOs offered through Medicare Advantage. An EPO is an exclusive provider organization plan that may be written on an HMO license in some states and on a Life and Health license in some states, including Colorado. Enrollment in our plans depends on contract renewal.
This information is not a complete description of benefits. Call 844-667-5502 | TTY:711 for more information.
The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.
You must continue to pay your Medicare Part B premium.
Every year, Medicare evaluates plans based on a 5-star rating system.
Medicare beneficiaries may also enroll in Bright Health Medicare Advantage plans through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov
Bright Health Medicare Advantage plans are plans with a network of doctors, hospitals, pharmacies, and other providers. Out-of-network/noncontracted providers are under no obligation to treat Bright Health members, except in emergency situations.
Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. You must generally use network pharmacies to fill your prescriptions for covered Part D drugs.
Other providers are available in our network. Most network providers participate through our Care Partner.
Bright Advantage Special Care (HMO SNP) has been approved by the National Committee for Quality Assurance (NCQA) to operate as a Special Needs Plan (SNP) through 2021 based on a review of Bright Advantage Special Care (HMO SNP) Model of Care.
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Deep Quotes About Love DefinitionSource(google.com.pk)
These are poems about sadness in all its varied forms. There is much sadness in the world and many reasons to be sad.
Writing a poem about your feelings is a good way to bring healing to yourself. Additionally, many people find that reading poems when they are sad is a wonderful way to find comfort and give words to their unspoken sad feelings.
When someone in the family is depressed, the whole family is affected. Depression is a silent disease that sucks the energy and joy out of a person's life. If is very difficult for one has not experienced depression to understand its significance. It is important to get the individual into treatment and be sensitive and empathetic during their treatment. Depending on the type and degree of depression the individual may have to struggle with their illness their entire life. Depression must be accepted as an illness and not a lousy character trait.
Sadness and darkness are natural cousins. Since ancient times, people have worn black to express their grief. Happiness is attracted to sunshine and depression to darkness. There is a certain romance in darkness and melancholy. There is something mysterious about that which is hidden and unknown. Dark poems may seek to romanticize sadness and depression. Other dark poems are simply poems about sad subjects. The poem "The Raven" by Edgar Allen Poe is an example of a delightfully spooky dark poem. There is much room for creativity in this genre.
Hatred is a poison that fills your body. It becomes impossible to think of anything else but the object of your hatred. Sometimes if you don't encounter the object of your hatred for a length of time, the hatred may dissipate throughout your body. You may be under the impression that the feeling is gone. The truth is that is has spread like a cancer. It is very important if possible to tell the person who you are angry with how you feel. If this is not possible it might be helpful to discuss your feelings with others. In any case do not let this hatred sit and poison your body.
I should wash these pills down the drain,
But it seems easier to prolong my pain,
Because I know going through withdrawal will just about kill me.
It seems easier just to go on,
Smoking crack and popping pills until dawn,
Knowing in the end what will be, will be.
Yet somewhere deep inside,
There's a little bit of pride,
A tiny shaft of light that still reminds me.
Of the girl I used to be,
When my brain was clear and free,
I'm not sure that I can be that girl again.
Kehnay Ko Muhabbat hai lakin.
Ab esi muhabbat kia kerni….
Jo neend chura le ankhon se.
Jo khawab dikha k pholon k.
Tabeer main kantay de jai.
Jo gham ke kali raaton se.
Her aas ka jugnu le jai.
Jo khawab sajati ankhon ko.
Aansu he aansu de jai.
Jo mushkil ker de jeenay ko.
Jo marnay ko asaan keray.
Woh dil jo Pyar ka mandir ho.
Wo yadoon ko mehman kare.
Ab Aisi Muhabbat kaya karni….
Jo umer ki naqdi le jaey.
'When the heart breaks... the love can spill out, through, and... healing can begin.'
The following haiku is about disconnection in a relationship:
Like rock and water
Leaf and stone ~ face each other
Together alone.
Oh even though
We aren't speaking so much
I can't help but
Stare at you all the time
I find you so beautiful
Even though
We both said harsh things
To the heart of the other
The heart most dear
I forgave you
The moment I met you
And even though
We don't touch
It's all I think about
And hope for
How could I not?
I absolutely adore you
If I am to be what is measured and found to be
a world away from you
then my closed eyes shall traverse that distance
and carry within their dark journey
the knowledge that only individuals love.
And in my struggle with loneliness which bears
no smell but the smell of you
and the shape of you my imagination would
sculpt if its hands fell into clay
I will arrive still and silent and fully into your heart.
It does not matter if we sleep and wake
and share no daylight or stars
for all seeds planted in the furrows of darkness
grow their own mornings which stir
on feet ready to overtake what is only memory.
'What love promises
Is not a happy ending
But a sad farewell.'
'You think you hurt me
By building walls between us:
Fortress or prison?'
'My blood boils away
Flesh, muscle, sinew, all gone
If you say goodbye'
'The venom you used
To say Goodbye, I now use
To kill loneliness.'
Sometimes we get melancholy. It is just a part of life. Our Sad Poems collection expresses, in shades of blue, just what we feel when we are down. Sometimes it is despair, hopelessness, or just a sense that we are all alone. The good news is, we all feel that way from time to time, so in that sense we are never really alone.
Things may look bleak now, but they will get better. We think you will identify and perhaps find some comfort in our special words. Remember, if you are feeling down, speak to someone; a friend, a family member, maybe a professional. There is no need to shoulder the burden alone.
We are all in the same boat, together.
I'm walking the sidewalk,
in the middle of town.
My head is quite heavy,
it's pointing straight down.
I do not wish,
to look straight ahead.
My body and mind,
just feels beyond dead.
An intersection,
I finally reach,
Where I'm welcomed,
with a horrible screech.
Right or left,
I'm asked to choose.
But I continue along the sidewalk,
change I refuse.
My sidewalk is covered,
with sorrow an dirt.
I'm loyal to this street,
it's simply called hurt.
As I continue,
my pain sadly grows.
The shoes I'm wearing,
are called blue woes.
There seems like there's no end,
or slight hope in sight.
This lonely town,
forever has night.
It's just so difficult,
for me to leave.
As I raise my head,
I cannot believe.
A rusty sign,
with the name of the town.
It reads, "Sad",
and it's pointing straight down.
My sadness and sorrow,
I cannot explain.
I'd gladly exchange it,
for physical pain.
My heart has been crushed,
thrown casually away.
I'm struggling to cope,
with each passing day.
The love that we shared,
you can never deny.
Just thinking about it,
leads me to cry.
Why did it have to,
happen this way?
I'm so sad and confused,
right here where I lay.
I cannot change,
the way that I feel.
I wish I could do,
something to heal.
For now, I must accept,
and sit in my sorrow.
Hoping to improve,
with every tomorrow.
Like a flower,
with gentle care I planted,
But with time,
I did take this love for granted.
Our bond dissolved,
became like sand.
The wind no longer,
it could withstand.
Infinite sadness,
my brittle heart feels,
My foolishness,
each morning reveals.
Our love was like,
a beautiful wave,
I'd do anything to
hold and save.
But was it meant to,
reach its end,
Engulfed by the shore,
I could not defend.
If our love was like,
the sun,
then the darkness of night,
has clearly won.
I do not wish to be,
sadnesses slave,
When the sun rises,
I'll seek a new wave.
I'm so sorry,
for making you sad.
You deserve to be,
very mad.
Words cannot explain,
my guilt.
I know the damage
that my actions have built.
I know things between us,
are a bit tense,
But please believe,
that my regret is immense.
Since I hurt you,
I've really thought,
About the sorrow,
that I have brought.
I'm so sorry,
for being so blind.
In your heart to forgive me,
I hope you could find.
We must savour,
every breath,
We'll never predict,
our eventual death.
Thinking about it,
shall do no good,
Enjoy life and love,
we definitely should.
How will death,
seduce or greet,
There's no way,
we'll ever cheat.
It may seem,
all very sad,
Use your time,
good deeds add.
Death is a way,
to say goodbye,
If we live and love,
many will cry.
Deep Quotes About Love
|Deep Quotes About Love
|Deep Quotes About Love
|Deep Quotes About Love
|Deep Quotes About Love
|Deep Quotes About Love
|Deep Quotes About Love
|Deep Quotes About Love
|Deep Quotes About Love
|Deep Quotes About Love
|Deep Quotes About Love


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The search found 450 results in 0.01 seconds.
Non-heterosexual women who feel a disconnect between who they are attracted to and how they identify themselves may have a higher risk of alcohol abuse, according to a new study led by Amelia E. Talley, an assistant professor in Texas Tech University's Department of Psychological Sciences.
The American Sociological Association (ASA) filed an amicus brief with the U.S. Court of Appeals for the 10th Circuit today supporting the fight to overturn gay marriage bans in Utah and Oklahoma and continuing its now 13-month effort to highlight the overwhelming body of social science research that confirms "children fare just as well" when same-sex or heterosexual parents raise them. The 10th Circuit is scheduled to consider the lawsuits challenging the bans in the next several months.
Children of undocumented Mexican immigrants have a significantly higher risk of behavior problems than their co-ethnic counterparts with documented or naturalized citizen mothers, according to a new study.
The difficulties come in two forms: sadness or social withdrawal — what the authors refer to as internalizing behavior problems — and issues such as aggressiveness towards others — which the authors call externalizing behavior problems.
The majority of young women and men today would prefer an egalitarian relationship in which work and family responsibilities are shared equally between partners if that possibility were available to them, according to a new study from the University of Texas at Austin and the University of California-Santa Barbara.
People whose sexual identities changed toward same-sex attraction in early adulthood reported more symptoms of depression in a nationwide survey than those whose sexual orientations did not change or changed in the opposite direction, according to a new study by a University of Illinois at Chicago (UIC) sociologist.
A new study reveals that while homicide victimization rates declined for whites, blacks, and Hispanics in the United States from 1990-2010, the drop was much more precipitous for the two minority groups.
Romantic opportunities appear to influence women's sexual identities — but not men's, suggests a new study that will be presented at the 110th Annual Meeting of the American Sociological Association (ASA).
"This indicates that women's sexuality may be more flexible and adaptive than men's," said study author Elizabeth Aura McClintock, an assistant professor of sociology at the University of Notre Dame.
Skin color is a significant factor in the probability of employment for male immigrants to the United States, according to a new study by two University of Kansas (KU) researchers.
Why do unmarried women tend to be more liberal and Democratic than their married counterparts? A key reason is because unmarried women — those who have never been married and those who are divorced — are more concerned about the status of women as a collective group, suggests a new study that will be presented at the 110th Annual Meeting of the American Sociological Association (ASA).
A new study of young people finds that, with one exception, whites are more optimistic — sometimes drastically so — than their minority peers about their likelihood of living to 35.


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SA Orthopaedic Journal
On-line version ISSN 2309-8309
Print version ISSN 1681-150X
SA orthop. j. vol.10 n.1 Centurion Jan. 2011
Acute traumatic cervical spinal cord injuries: correlating MRI findings with neurological outcome
M ter Haar; SM Naidoo; S Govender; P Parag; TM Esterhuizen
STUDY DESIGN: Retrospective, observational, cohort study.
OBJECTIVES: To evaluate whether quantitative and qualitative magnetic resonance imaging (MRI) assessments after acute traumatic cervical spinal cord injuries (SCI) correlate with the patient's neurological status and if they are predictive of outcome at long-term follow-up.
MATERIALS AND METHODS: Eighty-eight patients (77 male, 11 female) with traumatic cervical spinal cord injuries who were admitted to the spinal unit, were evaluated over a period of five years (Jan 2004-Dec 2008). Neurological impairment was classified using the Frankel classification both on admission and discharge. MR imaging was done on all patients using both T1-and T2-weighted sagittal scans, axial T2-weighted scans and axial gradient recalled echo imaging (for evaluation of haemorrhage). Three quantitative imaging parameters (maximum spinal cord compression [MSCC], maximum canal compromise [MCC], and length of lesion) as well as five qualitative parameters (intramedullary haemorrhage, cord oedema, cord swelling, disc herniation and soft tissue injury) were evaluated and correlated to the patients' neurological outcome.
RESULTS: Patients with a complete motor and sensory SCI (Frankel A) had higher frequencies of intramedullary haemorrhage (p<0.001), cord swelling (p=0.002) and cord oedema (p<0.001) compared to the incomplete SCI (Frankel grade B, C and D) and those without any neurology (Frankel grade E). Patients with complete SCI also had a more substantial MSCC (p=0.008), MCC (p=0.009) and lesion length (p=0.001) compared to the other two groups. The length of lesion (p=0.019) and intramedullary haemorrhage (p=0.001) correlate with baseline neurology. MSCC (p=0.063), length of lesion (p=0.011) and intramedullary haemorrhage (p=0.036) were predictive of a poor neurological outcome.
CONCLUSION: The study demonstrated MR imaging to be a useful tool in prognosticating a patient's potential for neurological recovery. It indicated that MSCC, length of lesion and intramedullary haemorrhage are associated with a poor prognosis for neurological recovery.
Injuries of the cervical spine are commonly associated with devastating trauma to the spinal cord with consequential neurological impairment. Prior to the use of magnetic resonance imaging (MRI) as a diagnostic and prognostic modality, neurological recovery according to the Frankel classification9 has been the only predictive value in SCI.15 Currently MRI is the radiological modality of choice in spinal cord injuries (SCI) to assess the degree of spinal cord damage and possible neurological recovery.
Several studies have been done on qualitative findings such as cord haemorrhage, cord oedema, cord contusion, soft tissue injuries and herniated disc, correlating them with the degree of neurology deficit and neurological recovery in cervical SCI.2-8,10,15,16,19 A few studies have focused on quantitative MRI values in patients with acute cervical SCI.8,20 Fehlings et al21 developed a reliable quantitative radiological method for assessing spinal cord compression and spinal canal compromise. In a study by Miyanji et al8 both quantitative and qualitative MRI parameters were combined for the prediction of the patient's neurological recovery.
The purpose of our study was to correlate both quantitative and qualitative MRI parameters to the patients' neurological status and assess them as possible predictors of long-term neurological outcome.
Materials and methods
Population group
A retrospective cohort analysis was performed on 88 consecutive patients with acute cervical SCI due to trauma in the KwaZulu-Natal province, South Africa. All the patients were initially treated and stabilised in the referral hospitals and then referred to the spinal unit at King George V hospital in Durban for assessment and definitive treatment. None of the patients in the study received any methylprednisolone as part of the initial and subsequent management. The study was over a five-year period extending from January 2004 to December 2008. Our patient selection criteria were as follows: Inclusion criteria - 1) All adult patients who had acute cervical spinal cord injuries between 1 January 2004 and 31 December 2008 who had an MRI done of their cervical spine. 2) Only patients who had been treated in the spinal unit. Exclusion criterion - 1) Patients who had acute cervical spinal cord injuries during this period but who did not have an MRI done.
Neurological assessment
A total of 88 patients, (77 male, 11 female) were examined and recorded. The Frankel classification system9 for motor and sensory score was used as the neurological assessment on admission and on last visit. The patients were then divided into three groups according to the severity of their SCI: Group A were complete spinal cord injuries (Frankel grade A); Group B were incomplete spinal cord injuries (Frankel grade B, C or D); and Group C were those with no neurology (Frankel grade E). The initial Frankel grading on admission was compared to the Frankel grading on discharge from the hospital as well as the Frankel grading on the last follow-up visit to determine any neurological improvement or deterioration.
MR imaging
An MRI scan of the C-spine was done on all the hospital patients. The average time to scan was eight days.
MRI was obtained using a 1.5 Tesla superconducting MR scanner (Siemens Symphony 1.5T) with a surface coil. T1-weighted images were obtained with an echo time of 14 milliseconds and a pulse repetition time of 525 milliseconds, while T2-weighted images were obtained with an echo time of 110 milliseconds and a repetition time of 3 400 milliseconds. The slice thickness was 3 mm for T1-weighted sequences and 2 mm for the T2-weighted sequences.
Both a T1- and T2-weighted sagittal and T2-weighted axial imaging were done on all the patients. Gradient recalled echo sequence to determine the presence of cord haemorrhage was also performed. These images were then examined by a radiologist. The radiologist was blinded to the patients' clinical and neurological data. The assessment and interpretation of the MRI images were divided into quantitative and qualitative measures.
Three quantitative measures were used: maximum canal compromise (MCC), maximum spinal cord compression (MSCC) and length of lesion. Mid-sagittal T1- and T2-weighted imaging were used to determine the MCC and MSCC respectively as described by Fehlings et al.21 This value was determined by measuring the distance of the canal or spinal cord one segment above and below the lesion respectively to calculate the average distance. The distance was then measured at the site of the lesion and expressed as a percentage of the average (see Figure 1).
The length of the lesion was determined on T2-weighted images. This length was determined as the distance between the most cephalic and most caudal extent of the cord signal (Figure 1).
The qualitative MRI findings that were used in addition to the quantitative variables, as determined by T2-weighted imaging, included cord haemorrhage, cord oedema, cord swelling, disc herniation and soft tissue injury (STI).
The level of the SCI was determined by the radiological assessment of the osseous injury on a lateral C-spine X-rays as well as the level of maximum cord compression as seen on MRI.
Statistical analysis
Univariate and multivariable analysis was used to assess quantitative and qualitative factors associated with neurological outcome. Quantitative MRI findings were non-normally distributed, thus non-parametric Kruskal-Wallis tests were used to compare their distributions between the three neurological groups. Pearson's Chi-square tests were used to compare the proportions of the qualitative variables between the three groups. Two multivariable linear regression models were created to assess the independent roles of the various factors in predicting neurological status at admission and discharge. The dependent variables were scored between 1 and 3, with 1 being Group A and 3 being Group C. A backwards modelling approach was used, with probability of removal set at p>0.10. Step one included all variables which were found to be significantly associated with the dependent variables on univariate analysis. The model to predict follow-up Frankel score was not adjusted for baseline Frankel score due to extensive co-linearity between the baseline Frankel score and some of the predictors. SPSS version 15.0 (SPSS Inc., Chicago, Illinois) was used to analyse the data. A p-value <0.05 was considered as statistically significant.
From the total of 88 patients that had SCI, 77 (87%) were male and 11 (13%) were female (see Table I). The average age was 37 years (range 18-87). The most common mechanism of injury was motor vehicle accidents (MVA) (65%), and the most frequently involved level was C5 through C6 (33%).
Most of the patients had an incomplete lesion on admission - 39 (44%). follow-up of the patients was 12.4 months. Of the total of 88 patients, four were lost to follow-up. On discharge from the hospital 42 (48%) patients had no neurology.
The most common type of surgery performed on the patients was anterior spinal fusion (ASF). Median time to surgery was 32 days. The reason for the delay in surgical treatment was mainly due to the time lost during the referral from other hospitals as well as the difficulty in obtaining an MRI scan.
Analysis of quantitative MRI variables (see Figure 2)
The mean extent of MCC was significantly different between the patients with complete SCI and incomplete SCI (p=0.009). A more substantial degree of MCC was seen in the complete group. There was very little difference in the MCC between the incomplete group and those without neurology.
The mean extent of the MSCC was also significantly different between the groups (p=0.008). A more substantial MSCC was found in the patients with a complete lesion compared to the other two groups. Similar to the findings with MCC there was little difference in the MSCC between the incomplete group and those without neurology.
There was a significant difference in the length of the lesion among the three groups (p=0.001). The complete SCI had a median length of 47.8 mm, followed by the incomplete SCI with a median length of 22.6 mm and the SCI without neurology with a median length of 8.2 mm.
Analysis of qualitative MRI variables (see Figure 3)
The frequencies of intramedullary haemorrhage (p<0.001), cord oedema (p<0.001) and cord swelling (p=0.002) differed significantly among the three neurological groups. These variables were directly associated with the severity of the injury. There was, however, no significant difference in the frequencies between the three groups for STI (p=0.54) and disc herniation (p=0.87). The complete SCI had the highest frequencies in all five variables, followed by the incomplete SCI and the SCI without any neurology. The SCI without any neurology did not show any haemorrhage on MRI.
The total number of patients with spinal cord lesions (quantitative or qualitative variables) on MRI differed among the three groups. All (100%) with complete SCI had MRI lesions, while only 82% of the incomplete SCI had MRI lesions compared to only 35% of SCI without neurology that had MRI lesions.
Analysis of possible predictors of outcome (see Table II)
Multivariable linear regression was used to assess both the qualitative and quantitative variables as potential predictors of Frankel grading on admission and discharge.
The best predictors of baseline Frankel grading were the length of lesion (p=0.019) and presence of intramedullary haemorrhage (p=0.001). Both were negatively associated with the Frankel grading score, thus they were associated with poorer Frankel grading scores.
The best model for predicting Frankel grading at follow-up was MSCC (p=0.063), length of lesion (p=0.011) and intramedullary haemorrhage (p=0.036). These variables also predicted poorer Frankel scores at discharge as they were negatively associated with the outcome.
Previously the Frankel classification has been the only method to determine the neurological status and possible recovery of patients after SCI. The use of MRI is now well established as the method of choice in examining patients with SCI, and correlating it with their neurological status and using it as a possible predictor of neurological recovery.2-8,10,11,13,19 Although CT scan is superior in detecting precise bony injuries MRI is the most sensitive modality for detecting spinal cord damage, disc protrusions and paraspinal soft tissue injuries.1,2,10,11,14,17 The diagnosis of the initial injury is critical in order to predict an accurate functional prognosis. The best time for prognostic imaging appears to be within the first 24-72 h of the injury and 2-3 weeks later.3,4,11,12,17 In our study the mean time to MRI scanning was eight days. This delay was due to the difficulty in obtaining an MRI scan at the Radiology department within such a short period of time.
The results of our study show that after using multivariable regression analysis, intra-medullary haemorrhage and length of lesion correlated significantly with baseline neurological status. Only intramedullary haemorrhage, MSCC and length of lesion were key predictors of neurological recovery after an SCI.
The fact that cord oedema and cord swelling was not statistically significant in correlating with baseline neurology, or as a predictor of outcome, was most probably due to the confounding effect of cord haemorrhage. Patients with a more substantial MSCC, length of lesion, cord haemorrhage, cord oedema and cord swelling, had lower Frankel gradings. The patients with complete SCI had a more substantial MCC, MSCC and length of lesion as well as a higher frequency of intramedullary haemorrhage, cord oedema, cord swelling, disc herniation and soft tissue injury compared to the incomplete injuries and neurologically healthy patients. The results of our study were very similar to those of Miyanji et al,8 but we did not analyse for pre-injury stenosis in our qualitative variables. In addition they differed from our study in that they found a lower frequency of disc herniations in the complete SCI compared to the other two groups. Their study was a prospective, multicentre study while ours was a retrospective study done at one centre.
Quantitative MRI variables
Miyanji et al8 and Rao and Fehlings,20 noted that in most studies to date the qualitative parameters have been used to examine the association between imaging parameters and neurological outcome in SCI, but that there was a lack of studies in which the quantitative parameters (degree of spinal canal compromise, cord compression and length of lesion), are quantified. Kang et al23 however attempted to quantify canal compromise by using lateral cervical radiographs. Hayashi et al18 quantified cord compression at the level of maximum compression by using MR imaging and dividing it into mild (cord diameter of more than two-thirds) and severe cord compression (cord diameter of less than two-thirds). We used an objective method, which has previously been approved to be reliable, standardised and objective, to quantify MR images obtained from patients with SCI.20,21
In our study there was a significant difference in all three parameters assessed among patients with a complete SCI, those with incomplete SCI and neurologically healthy patients. In particular, it was much greater in the complete injuries for MSCC, MCC and length of lesion compared to the other two groups.
The relation between bone and soft tissue injury and underlying cord damage has not yet been fully clarified. Although Miyanji et al8 in their study found that there was a correlation between old age and more substantial cord compression most probably due to underlying pre-existing degenerative changes, Flanders et al1 found that preexisting cervical spondylosis did not directly relate to the degree of injury.
In theory, patients with pre-existing spinal stenosis and degenerative spondylosis should be predisposed to a more severe spinal cord injury during hyperflexion and hyper-extension of the cervical spine. Their explanation for this is the possibility that spinal cord injuries in elderly people, who usually have underlying cervical spondylosis, are less likely to be caused by sport-related activities or high speed motor vehicle accidents as in the younger population.
Their study also supports the perception that the degree of bone and soft tissue injury does not predict the resultant spinal cord injury.
Qualitative MRI variables
Although the cord is subjected to secondary insults following the initial trauma, it is generally accepted that the extent of cord damage is mainly caused by the amount of force at the initial impact.24,25 Although the cord is fairly resistant to direct physical (structural) disruption, a very minor injury can cause significant cord malfunction. Several authors have described the most common MRI patterns of the cord following SCI, haemorrhage (Type I pattern), cord oedema (Type II pattern) and cord contusion (Type III pattern).2,7,11,17 The presence of spinal cord haemorrhage on MRI represents the most severe form of spinal cord damage and is associated with very poor neurological function. These patients are more likely to have complete neurology.2,6,7,10,11,15,16,19 Several authors2,10,11 showed that cord haemorrhage was associated with a complete neurology which was irreversible with no chance of any neurological recovery. Other authors differ in this regard and showed that although the presence of cord haemorrhage was associated with a high degree of complete neurology and a poor prognosis in terms of neurological recovery, the presence of haemorrhage does not always imply complete neurology without the possibility of any recovery.7,15,16,19 These authors agree that the size of the haemorrhage influences the severity of neurology. The presence of a small area of haemorrhage is often associated with incomplete neurology.
In a study by Boldin et al7 the presence of haemorrhage of less than 4 mm was not associated with a complete SCI and showed a good prognosis compared to the patients with complete SCI who had a median haematoma length of 10.5 mm. Flanders et al16 showed that patients with cord haemorrhage had better motor recovery of the upper extremities with very little improvement of the lower extremities. All authors agree that the absence of cord haemorrhage after SCI is associated with less neurological impairment and has a much better prognosis for neurological recovery.
The presence of cord oedema represents a less severe form of cord damage and is often associated with incomplete injuries and a favourable prognosis.2,6,8,10,11,15,16
Evidence of extensive cord oedema was associated with complete injuries1,15,19 and a poor outcome. This has been confirmed in a study by Boldin et al, who found that patients with complete injuries had significantly longer oedema (40-150 mm) and a worse outcome than patients with incomplete injuries (0-54 mm). According to Shepard and Bracken,19 MRI evidence of cord oedema was the strongest predictor of reduced improvement in motor function. Patients with minimal or no cord changes on MRI are often associated with minimal neurological deficit and have the best prognosis, followed by those with cord oedema.2,6,7,10,11
Our study found similar results in our qualitative assessment to that of the literature. Cord haemorrhage, cord oedema and cord swelling were significantly more frequently associated with complete injuries. Although cord haemorrhage had a high association with complete neurology and is a predictor of poor neurological recovery, the possibility of neurological recovery was not excluded. Cord oedema and cord swelling had a high association with incomplete neurology but multivariable regression analysis showed it is not a predictor of neurological recovery.
Further studies, however, are needed, looking more specifically at the length of lesions for both cord haemorrhage and cord oedema in order to find a more precise correlation between MRI findings and neurological outcome.
As mentioned in the literature, it is very difficult to make an exact correlation between the static findings on MRI, which is an underestimation of the dynamic events of the spinal cord at the time of injury, and the severity of neurology. One can however correlate these quantitative and qualitative variables to the neurological status of the patient and, more importantly, it can be used in prognosticating a patient's potential for neurological recovery.
The study has shown that patients with complete injuries have a small chance of neurological recovery compared to those with incomplete neurology who have a much more optimistic prognosis. One should always remember that some patients recover far beyond the anticipated prediction and, conversely, others have minimal improvement from what initially appeared to be a minor injury.
In our study we found MRI to be a very useful tool in evaluating the patient with an SCI and that MRI findings can be correlated to the neurological status of the patient. It can also be used as a prognosticator for possible neurological recovery. We demonstrated that the presence of a more substantial MSCC, length of lesion and intramedullary haemorrhage are associated with a poor prognosis for neurological recovery.
1. Flanders AE, Schaefer DM, Doan HT, Gonzalez FC, Northrup BE. Acute cervical spine trauma: Correlation of MR Imaging findings with degree of neurological deficit. Radiology 1990;177(1):25-33. [ Links ]
2. Ramon S, Dominquez R, Ramirez L, et al. Clinical and magnetic resonance imaging correlation in acute spinal cord injury. Spinal Cord 1997;35:664-73. [ Links ]
3. Shimada K, Tokioka T. Sequential MR studies of cervical cord injury: correlation with neurological damage and clinical outcome. Spinal Cord 1999;37:410-5. [ Links ]
4. Takahashi M, Harada Y, Inoue H, Shimada K. Traumatic cervical cord injury at C3-4 without radiographic abnormalities: correlation of magnetic resonance findings with clinical features and outcome. J. Orthopaedic Surgery 2002;10(2):129-35. [ Links ]
5. Ishida Y, Tominaga T. Predictors of neurological recovery in acute central cervical cord injury with only upper extremity impairment. Spine 2002;27:1652-8. [ Links ]
6. Tewari MK, Gifti DS, Singh P, et al. Diagnosis and prognostication of adult spinal cord injury without radiographic abnormality using magnetic resonance imaging: analysis of 40 patients. Surgical Neurology 2005;63:204-9. [ Links ]
7. Boldin C, Raith J, Frankhauser F, et al. Predicting neurological recovery in cervical spinal cord injury with postoperative MR imaging. Spine 2006;31(5):554-9. [ Links ]
8. Miyanji F, Furlan JC, Aarabi B, et al. Acute cervical traumatic spinal cord injury: MR imaging findings correlated with neurological outcome. Radiology 2007;24(3):820-9. [ Links ]
9. Frankel HL, Hancock DO, Hyslop G, et al. The value of postural reduction in the initial management of closed injuries of the spine with paraplegia and tetraplegia. Part 1. Paraplegia 1969;7:179-92. [ Links ]
10. Schaefer DM, Flanders A, Northrup BE, et al. Magnetic resonance imaging of acute cervical spine trauma. Correlation with severity of neurological injury. Spine 1989;14(10):1090-5. [ Links ]
11. Bondurant FJ, Cotler HB, Kulkarni MV, et al. Acute spinal cord injury: a study using physical examination and magnetic resonance imaging. Spine 1990;15(3):161-8. [ Links ]
12. Weirich SD, Cotler HB, Narayana PA, et al; Histopathological correlation of magnetic resonance imaging signal patterns in a spinal cord injury model. Spine 1990;15:630-8. [ Links ]
13. Folman Y, El Masri W, et al; Spinal cord injury: prognostic indicators. Injury 1989;20(2):92-3. [ Links ]
14. Kalfas I, Wilberger J, Goldberg A, et al; Magnetic resonance imaging in acute spinal cord trauma. Neurosurgery 1988;25:295-9. [ Links ]
15. Schaefer DM, Flanders AE, Osterholm NL, et al. Prognostic significance of magnetic resonance imaging in the acute phase of cervical injury. J Neurosurgery 1992;76:218-23. [ Links ]
16. Flanders AE, Spettell CM, Tartaglino LM, et al. Forecasting motor recovery after cervical spinal cord injury: value of MR imaging. Radiology 1996;210;649-55. [ Links ]
17. Flanders AE, Croul SE. Magnetic resonance imaging of the brain and spine. Third edition 2002. Chapter 30;1769-806. [ Links ]
18. Hayashi K, Yone K, Ito H, et al. MRI findings in patients with cervical spinal cord injury who do not show radiological evidence of a fracture or dislocation. Paraplegia 1995;33(4):212-5. [ Links ]
19. Shepherd MJ, Bracken MB. Magnetic resonance imaging and neurological recovery in acute spinal cord injury: observations from the National Acute Spinal Cord Injury Study 3. Spinal Cord 1999;37:833-7. [ Links ]
20. Rao SC, Fehlings MG. The optimal radiological method for assessing spinal canal compromise and cord compression in patients with cervical spinal cord injury. 1. An evidence based analysis of the published literature. Spine 1999;24(6):598-604. [ Links ]
21. Fehlings MG, Rao SC, Tator CH, et al. The optimal radiological method for assessing spinal canal compromise and cord compression in patients with cervical spinal cord injury. Results of a multicenter study. Spine 1999;24(6):605-13. [ Links ]
22. Fehlings MG, Furban JC, Massicote EM, et al. Interobserver and intraobserver reliability of maximum canal compression and spinal cord compression for evaluation of acute traumatic cervical spinal cord injury. Spine 2006;31(15):1719-25. [ Links ]
23. Kang JD, Figgie MP, Boldmann HH. Sagittal measurements of the cervical spine in subaxial fractures and dislocations: an analysis of two hundred and eighty-eight patients with and without neurological deficits. J. Bone Joint Surg Am 1994;76(11):1617-18. [ Links ]
24. Ikata T, Iwasa K, Morimoto K, Tonai T, Taoka Y. Clinical considerations and biochemical basis of prognosis of cervical spinal cord injury. Spine 1989;14(10):1096-101. [ Links ]
25. Walker MD. Acute spinal cord injury. N Engl J Med 1991;324(26):1885-7. [ Links ]
Winner of the Char Publications Registrars' Writing Competition 2010
First published in The Specialist Forum, September 2010 another Char Publications journal.


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(Video) Ballpark Figures: Headlines
by Jonah Keri //
Ballpark Figures: Headlines — Bloomberg Television's Michele Steele talks with Bloomberg Sports Fantasy Analyst Rob Shaw to discuss the latest headlines from the diamond this past weekend. Shaw tells us to pick up the recently perfect Dallas Braden for his starts at Oakland Coliseum. That Bobby Jenks is on the verge of losing the White Sox closer's gig, while Matt Thornton is a hot pick up. Plus, Shaw tells us that the Phillies and Pirates are cautiously optimistic about the performance of closers Brad Lidge and Octavio Dotel.


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Born: April 20, 1916, Chelm, Poland
Chava's mother died when she was 2, and Chava went to live with her grandfather, who was a rabbi in the village of Matsiov. Her grandfather's second wife welcomed Chava. After first studying at a Polish public school, Chava attended a Jewish day school. When Chava was a teenager her adopted grandmother died, and Chava took over managing her grandfather's household until he remarried.
1933-39: My grandfather's third wife was an unsympathetic woman. After she came to our home, I wanted to be independent and learn a trade, but my grandfather opposed this. I immersed myself in activities of the Young Pioneers, a Zionist organization, where I met Yakov Biber, whom I married in 1939. Our plans for the future were destroyed that year in the fall when the Soviets occupied eastern Poland.
1940-44: By 1941 the Germans had occupied the region [German-Soviet Pact] and, aided by the Ukrainian militia, began murdering the Jews. For several months Yakov and I and our 2-year-old son, Shalom, hid with the help of some local peasants. One Saturday afternoon, as we were hiding in the woods, we suddenly heard: "Run! Militia!" Bullets rained. Yakov picked up Shalom, grabbed me, and started to run. Shalom screamed and when Yakov tried to cover his mouth, he lost hold of me. As he turned to grab me again, a bullet hit Shalom, and our son fell.
Shalom was killed. For the next three years, Chava and Yakov remained in hiding. After the war, they started a new family. The Bibers emigrated to the United States in 1947.
Copyright © United States Holocaust Memorial Museum, Washington, DC


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Car sales are up in the UK, but down 10% on average in the EU. Overall sales, including the UK, are down for the 14th consecutive month.
From Google Translate Car sales plunge another 10% in Europe and UK only grows.
In the markets of the European Union, in November, with the same computation of working days in November 2011, highlights the sharp rise of 11.3% for the UK, while other high-volume markets have reduced their records: 3.5% in Germany, 19.2% in France, 20.1% in Italy, and 20.3% in Spain.
From January to November, the scenario is similar, with the UK as the only major market expansion (+5.4%) and Germany (-1.7%), Spain (-12.6%), France (-13.8%) and Italy (-19.7%) in contraction.
The used passenger car market declined 5.6%
These are dismal numbers with pronounced deterioration in Spain, France, and Germany.
Mike "Mish" Shedlock


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This is really cool. You can now find out where the bus you're waiting for has got to. The "Now & Next" displays for buses are now available online. So even if your bus stop doesn't have a display, you can use your phone to find out where your errant 202 has got to.
TfL's Countdown page: http://countdown.tfl.gov.uk/
It's only in testing at the moment, but I used it today, and it makes such a difference. Lying on the heath in the sun, check your phone to see when the bus is due, then saunter over to the bus stop two minutes beforehand, and sure enough the bus appears by magic!
You can bookmark your favourite stops – each one has a unique URL, so for example the bus stop next to Shepherds Foods is:
Or the accesible text only version would be:
There's also a version formatted for mobiles (thanks for the tip Methers)
So you can save separate bookmarks on your phone for your frequently used bus stops.
This is such a great system, and it's been a long time coming. It opens up so many more possibilites for fun things to do with data & travel. Which are the best/worst performing routes? Which timetables need tweaking for accuracy? iPhone apps that beep when it's time to run for your bus, and enhanced apps (like the brilliant London Travel Deluxe that no commuter should be without) that can now show real time updates.
Hooray for TfL, and I don't say that very often…
(Spotted on the excellent Diamond Geezer blog).
Stunning photo of Blackheath Bus Stop in the sun by twitter user Neil Clasper


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Listings in Search, Blockchain, Taxonomy and Metadata, Change Management and Document Management in United Kingdom
in Text Analytics, Taxonomy and Metadata, Security, Search, Records Management, Process Services, Process Automation, Multi-channel Capture, Low Code Development Platforms, Information Governance, Document Management, Data Recognition and Extraction, Content Services, Content Integration and Migration, Collaboration, Case Management, Blockchain, Artificial Intelligence, Archiving/Preservation, Analytics Services
OpenText provides Enterprise Information Management software that enables companies of all sizes and industries to manage, secure and leverage their unstructured business information, either in their data center or in the cloud.
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A globally trusted company and partner for all physical and digital document and information management needs. Canon's Digital Content and Information Ecosystem is designed around Content Capture, Processing & Distribution capabilities.
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We offer more services than the listed categories, but these serve as a representative sample of our skills and capabilities
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Workflow Automation has over 30 years experience in Workflow, Case Management, BPM, ECM, & ERM solution design and project troubleshooting.
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Beirut Farmers' Market to help local produce
Those working off the land in Lebanon face stiff competition for international trade, as they do not benefit from subsidies like many farmers abroad. But as Katy Watson from BBC reports, one man has now set up Beirut's first farmers' market to help local producers reap rewards closer to home.
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Posted: August 15th, 2010 under Cultural.
Tags: Beirut Farmers Market, Competition, Lebanese, Lebanese Farmers, Lebanon, Produce
Comment from Kio
Time September 14, 2010 at 2:20 PM
Interesting as always Rabih