text:
Sydnee Michaels, Tiffany Joh join Fairways of Life
Look at all the, look at everyone you- They were willing participants. Throw some names at us, for the people- Beth Bader right there. Katy feature chipping. That's Allison Walls, Che Hailey. They're the true stars. Yeah, they all
Unplugged with Christina Kim and Michelle Wie
her and say, "You are bleeping weird." -Special. -You know, yeah- -She's special. -She weird. -I think Beth Bader 's dance also got the- a nod for hidden talent. We were at the Nike store yesterday and she's like trying on shoes
Beth Bader
Beth Bader
Thursday - April 19, 2012
old who has never won on the LPGA Tour is the first round leader in the LPGA LOTTE Championship presented by J Golf. Beth Bader shot a 4-under par 68 to take a one shot lead. - Star Chasers Meanwhile, World #1 Yani Tseng leads a pack of accomplished
Sorenstam Makes First Career Defense Against Top Field
Sheehan The seven rookies who are teeing it up are Louise Suggs Rolex Rookie of the Year points leader Heather Zakhar, Beth Bader , Tamie Durdin, Michelle Ellis, Nan Kyong Ha, Dodie Mazzuca and Angela Stanford. Last year, Annika Sorenstam and
Wie Pressel Trailing Ochoa
Miyazato, who won the LPGA Tour Qualifying School by 12 strokes, carded a 4-under-par 68. She was joined there by Beth Bader , Karin Sjodin, Liselotte Neumann, Nicole Castrale, Jeong Jang and Sae-Hee Son. Kim, last week's winner, stands
Kung Leads LPGA Qualifying Tournament
under-par 139 in Daytona Beach, Fla., two shots better than Smriti Mehra, and three better than Ashli Bunch and Beth Bader . She ' along with all 130 players in the field ' are seeking to finish the week in the top-18 and secure fully-exempt
Fischer Faces Full Field At Asahi
major winner Laura Davies, Rosie Jones, Lorie Kane, Cristie Kerr, Grace Park and Hall of Fame member Betsy King. Beth Bader , pupil of TGC's medical editor Dr. James Rippe is also in the field this week. Sorenstam, fresh off her win at
Gustafson Jones Share Lead
place at 4-under-par 68. Defending champion Janice Moodie, Nicole Dalkas, Catriona Matthew, Dorothy Delasin and Beth Bader are tied for eighth place at 3-under 69. Related Links Full-field scores from the Asahi Ryokuken International Full
Creamer Moves to the Top at Q-School
holes of the LPGA Final Qualifying Tournament. She stands at 9-under-par 279, three clear of former tour player Beth Bader and overnight leader Young Jo. Saturday's fourth round featured light rain and colder temperatures, but the marathon
Jangs Turn at the Top at Corning
tournament.' Morgan Pressel (68), Laura Diaz (67) and Kris Tamulis (69) are knotted in sixth place at minus-10. Beth Bader (67), Giulia Sergas (68), Meena Lee (70) and Mhairi McKay (70) share ninth place at 9-under-par 207. Defending
Inkster Leads Sorenstam at ShopRite
Harvey, Pat Hurst, last week's winner Jimin Kang, Heather Bowie, Silvia Cavalleri, Laura Davies, Natalie Gulbis, Beth Bader , Shi Hyun Ahn, Carin Koch, Marilyn Lovander, Catriona Matthew and Kris Tschetter. Defending champion Cristie Kerr
Robbins and Bader Share Giant Eagle Lead
7/19/02 -- Kelly Robbins and Beth Bader set the early pace in Friday's rain-interrupted opening round


text:
"Co-founder and president of Kitchology dedicated to helping consumers who care about what they eat a radically simple way to connect all of their food activities—mea..."
"Accounting background, Inventor of Autopilot® Lifestyle - the first-ever practical around-the-clock time-tracking system and chronic stress scale. http://youtu.be/..."
"General Manager at Azuma Izakaya"
"developer/entrepreneur. have 2 start-ups in development stage and 2 more in concept stage. I am the technical founder who has another technical partner.. we are..."
"Hello my name is Michael Johnson, and I'm working on setting up my startup 3.0 Nexus"
"QA Engineer for a healthcare IT firm"
"Hello, My name is Sreenath Nampally working as Technical Manager at SAIC."
"I am a web developer most of the day, and a budding entrepeneur the rest of the time."
"Have been actively building my investment company for the past 12 months. Business is good, and I look forward to connecting with some like-minded entrepreneurs!"
"I'm a self made entrepreneur, started my first business at age 17 doing IT consulting. I've been in the entertainment field for the last 20 years, running..."
"Founder of Instat Sports, looking for a hacker co-founder."
"I am working on a project in the digital publishing arena. (I am also a business lawyer working with tech start-ups and creative professionals to make dreams a reali..."
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Tiefe Stille herrscht im Wasser,
Ohne Regung ruht das Meer,
Und bekümmert sieht der Schiffer
Glatte Fläche ringsumher.
Keine Luft von keiner Seite!
Todesstille fürchterlich!
In der ungeheuern Weite
Reget keine Welle sich.
Glückliche Fahrt
Die Nebel zerreißen,
Der Himmel ist helle,
Und Äolus löset
Das ängstliche Band.
Es säuseln die Winde,
Es rührt sich der Schiffer.
Geschwinde! Geschwinde!
Es teilt sich die Welle,
Es naht sich die Ferne;
Schon seh' ich das Land!
Quiet Sea
Deep quiet rules the waters;
motionless, the sea reposes,
and the boatsman looks about with alarm
at the smooth surfaces about him.
No wind comes from any direction!
A deathly, terrible quiet!
In the vast expanse
not one wave stirs.
Fortunate Voyage
The mist is torn away,
The heavens turn bright,
And Aeolus unfastens
The bonds of fear.
There, the winds rustle,
the boatsman stirs.
Quickly! Quickly!
The waves rise up again.
The distant view draws close,
Land ho, I call!
–Johann Wolfgang Goethe, "Meeresstille" and "Glückliche Fahrt" (1795) in Sämtliche Werke vol. 4.1, p. 666 (K. Richter ed. 1988)(S.H. transl.)
These two short poems were composed at least as early as 1795, when Schiller published them, though perhaps a bit earlier. They were clearly intended as a pairing, and they consistently appeared published together during Goethe's lifetime. The image they present is an unusual one, but highly evocative of the thinking of the early Romantic period. Normally we would associate danger at sea with a violent storm. But Goethe points to just the opposite: complete quiet. For a ship stuck in a listless latitude, the absence of wind could be every bit as threatening as a storm, though also combined with a greater measure of mystery. The image that Goethe presents is a masterful study in contradictions: the utter peace of the motionless sea provokes fear and alarm. But the fear associated with the calm sea gives way to joy as a mist is dispelled and the wind kicks up. The tension is finally dispelled when land is sighted. The poem gives life to the ideas about nature that Edmund Burke brought to paper in A Philosophical Enquiry into the Origin of Our Ideas of the Sublime and Beautiful from 1757. Burke developed a distinction between the beautiful, something that flows from immediate sensory perceptions, and the sublime, forces of which we have little understanding though we recognize their ability to dominate or destroy us. Nature, for the post-Burkean Romanticists, encompasses these concepts, and no example is better than the one Goethe took: the ocean. A brisk wind and a bright sky bring prosperity and happiness. But a storm or a vacuum presented peril; the mirror like surface of the sea might be beautiful, but beneath that surface lurked untold and mysterious dangers.
Almost as soon as the poems were published, composers saw its thematic potential. Beethoven, Schubert and Mendelssohn are among those who drew inspiration from it. Beethoven sent Goethe a letter dedicating the work to the poet, but Goethe, suffering a serious heart ailment, never responded. Here is a performance of Ludwig van Beethoven's cantata "Meeresstille und Glückliche Fahrt" opus 112 (1815). The performance was recorded in Mexico City in June 2005 featuring the Symphony and Chorus of the Mexican Navy and the Symphony Orchestra of the Universidad Nacional Autónoma de México. Zuohuang Chen conducts.
More from Scott Horton:
Conversation — March 30, 2016, 3:44 pm
Joseph Hickman discusses his new book, The Burn Pits, which tells the story of thousands of U.S. soldiers who, after returning from Iraq and Afghanistan, have developed rare cancers and respiratory diseases.
Context, No Comment — August 28, 2015, 12:16 pm
In five easy lessons
From the April 2015 issue
In Havana, the past year has been marked by a parade of bold-faced names from the north — John Kerry reopening the United States Embassy; Andrew Cuomo bringing a delegation of American business leaders; celebrities ranging from Joe Torre, traveling on behalf of Major League Baseball to oversee an exhibition game between the Tampa Bay Rays and the Cuban national team, to Jimmy Buffett, said to be considering opening one of his Margaritaville restaurants there. All this culminated with a three-day trip in March by Barack Obama, the first American president to visit Cuba since Calvin Coolidge in 1928. But to those who know the city well, perhaps nothing said as much about the transformation of political relations between the United States and Cuba that began in December 2014 as a concert in the Tribuna Antiimperialista.
Estimated temperature of Hell, according to two Spanish physicists ' interpretation of the Bible:
Department of Applied Physics, University of Santiago (Santiago, Spain)
The ecosystems around Chernobyl, Ukraine, are now healthier than they were before the nuclear disaster, though radiation levels are still too high for human habitation.
A TSA agent in Seattle was arrested for taking up-skirt photos of women in the airport, a Maryland police officer was arrested for taking up-skirt photos of an off-duty colleague, and the Georgia Court of Appeals ruled that taking up-skirt photos is legal in the state.
Subscribe to the Weekly Review newsletter. Don't worry, we won't sell your email address!
"Matt was happy enough to sustain himself on the detritus of a world he saw as careening toward self-destruction, and equally happy to scam a government he despised. 'I'm glad everyone's so wasteful,' he told me. 'It supports my lifestyle.'"


text:
- Forum: Streetwear and Denim
@Epaulet Hey Mike, quick question on the New England EFF. Last round, both of my shirts (one indigo and one pale red) came with smoke colored buttons. Will this round be all smoke or cream colored, or vary from shirt to shirt depending on the fabric?


text:
Popular Diets
Popular Articles
How to Create Vibrant Health with a Raw Food Diet
A diet consisting of strictly uncooked fruits and raw foods.
A 3-week weight loss program to supercharge your health.
A complete diet and fitness program with a focus on raw foods.
Kathy Freston's mind, body and soul journey to a healthier life.
Put away those pot and pans... you won't need them anymore.


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An adjective used to describe someone of homosexuality
Evan Abrams,a jewish boy who loves the OC and Halo, is sort of bird.
di From Train 27 novembre 2005
fly girl, also a chickenhead
that bird know how to shake it
di sbritton50 07 luglio 2005
Kayleigh is such a bird
di Robert Nash 08 febbraio 2005
(n.)small winged creature that shits on my girlfriend's car to make her mad;
"Incoming! Ahh shit! *&!$ing bird!
di Chubbs 30 aprile 2004
a females vagina
i wanna treat her like its thanksgiving and stuff her bird.
di gee money 06 settembre 2003
The ability to draw like souls
I was minding my own business and then I was her Bird
di Derek Wohlust 17 maggio 2003


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Browse Journals and Peer-Reviewed Series
Journal of eScience Librarianship (Lamar Soutter Library)
The Journal of eScience Librarianship (JESLIB) is an open access, peer-reviewed journal that advances the theory and practice of librarianship with a special focus on services related to data-driven research in the physical, biological, social, and medical sciences, including public health. JESLIB explores the many roles of librarians in supporting eScience and welcomes articles by contributors from all areas of the globe related to education, outreach, collaborations, policy, tools, and best practices. The journal includes peer-reviewed articles discussing topics such as research data management, librarians embedded on research teams, data services, data curation, and data sharing and re-use. Submissions covering both theoretical and practical applications are welcomed.
Neurological Bulletin (Neurology)
Neurological Bulletin is not accepting new submissions at this time. For inquiries, please contact Dr. William Schwartz.
Neurological Bulletin is a journal to promote scientific inquiry and reasoning for trainees in neurology and neuroscience, and the academic neurology community at large. The Bulletin publishes original investigations, case reports and case series, therapeutic trials, and timely reviews, written by students, residents, or fellows, with faculty as possible co-authors or mentors. Manuscripts that explore novel initiatives pertaining to neurological education are also encouraged. Letters to the editor regarding previous articles and on topics of concern to academic neurology will also be considered.
Psychiatry Information in Brief (Psychiatry)
Psychiatry Information in Brief is a journal devoted to the dissemination of behavioral health information. This journal focuses on translating research findings into concise, user-friendly information that is accessible to all. It incorporates an array of dissemination products including:
- Psychiatry Issue Briefs: Concise research findings with real-world recommendations and action items for providers and consumers of mental health services
- Research in the Works: Brief one page descriptions of on-going research at the UMass Department of Psychiatry
- Research You Can Use: Research findings from literature reviews, white papers, and other research aimed at busy providers
- Transitions RTC: Publications aimed at improving supports for youth and young adults with serious mental health conditions
View the latest issue: Signs of Safety: A Deaf-Accessible Toolkit for Trauma and Addiction. Researchers at the University of Massachusetts Medical School's Systems and Psychosocial Advances Research Center (SPARC) assembled a team of Deaf and hearing researchers, clinicians, filmmakers, actors, artists, and Deaf people in recovery to develop Signs of Safety – a population-specific client toolkit and therapist companion guide that supplements Seeking Safety.
Is there a topic you would like to learn more about? We welcome suggestions to help us provide interesting and useful information to our diverse audience. Please enter your suggestion here.
The Journal of Global Radiology (Radiology)
The Journal of Global Radiology (JGR) is a peer-reviewed, open-access, specialized journal of radiology that documents and studies issues surrounding global access to and delivery of medical imaging services, with a focus on low-income or resource-poor regions. JGR explores the practical and technological challenges involved in expanding global access to radiology services, and their intersection with issues of medical education, economic and infrastructural development, public health and health policy. The journal seeks to facilitate dialogue, collaboration and exchange among the many medical and nonmedical professionals involved in radiology outreach efforts around the world, and welcomes submissions of a range of content, including original research, editorials and country reports.
The Journal of Global Radiology is now accepting submissions. JGR publishes articles as they become available for publication, following a thorough peer review process. JGR does not charge subscription, submission, or author fees, and authors retain ownership of the copyright for their content. The editors accept online submissions via the JGR website. See Guidelines for Authors or contact the journal editors for further information.
UMass Center for Clinical and Translational Science Newsletter (University of Massachusetts Center for Clinical and Translational Science)
The University of Massachusetts Center for Clinical and Translational Science (UMCCTS) was founded in 2006 to enhance clinical and translational research across the five University of Massachusetts campuses (Amherst, Boston, Dartmouth, Lowell, UMass Medical School) and our clinical partner, UMass Memorial Health Care. With the receipt of an NIH Clinical and Translational Science Award (CTSA) in 2010, and its successful renewal in 2015, the UMCCTS joined a network of 62 NIH-funded centers collaborating to transform the conduct of clinical and translational research across the U.S. The goals of the UMCCTS are to 1) To accelerate the translation of basic discoveries into practical, cost effective solutions that improve human health; and 2) To develop and support the next generation of leaders in clinical and translational research. The monthly UMCCTS Newsletter provides its members with the latest news and announcements about resources, funding opportunities, seminars, events, and educational training.


text:
Consistent, reliable, dependable service is Shawn Buryska's commitment to his clients. To maintain this commitment, Shawn has assembled a team of experienced individuals who work together to make sure that every detail of your real estate transaction is covered. They market properties utilizing sound planning, professional ethics, persuasive skills, and a strong company support system.
"My team and I are available to be sure you get the answers you need promptly. We work together to be sure that every client receives the follow-through and follow up necessary for an efficient, quick sale!"


text:
Reviews and ratings of local lawyers.
Post a review of your attorney.
Learn when to hire and how to choose the right attorney.
Browse articles and Q&A on different legal topics.
Starting from $39 - Local, qualified attorneys offer fixed-fee legal services.
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Create your legal document in minutes. Add your details, save your work, and invite others to add their electronic signature.
5.0 stars 45 reviews
Avvo Rating: 10.0
Licensed since 1979
My law firm of BAYER, WISHMAN & LEOTTA has handled 15,000 Los Angeles bankruptcy cases since 1989. I am a Los Angeles Bankruptcy lawyer with 34 years of experience. The Los Angeles Bankruptcy Attorneys in my firm are ready to help you. Please feel...
Practice areas & skills: Bankruptcy & Debt, Chapter 13 Bankruptcy, Chapter 7 Bankruptcy, Foreclosure, Debt Settlement
5.0 stars 11 reviews
Licensed since 1991
As a native Californian, I grew up skate-boarding and surfing with my brothers. At about the same time I stood up on a surf board, I decided I wanted to be a criminal lawyer when I grew up. I was an avid Perry Mason fan and knew that defense wo...
Practice areas & skills: White Collar Crime, Criminal Defense, DUI & DWI, Appeals
Licensed since 1976
Mr. Shwartz has been a Los Angeles criminal defense attorney for over 30 yrs. His ability, fluency and proficiency of criminal law is reflected by the respect he has garnered from his fellow criminal defense, prosecuting attorneys as well as judge...
Practice areas & skills: Criminal Defense
5.0 stars 7 reviews
Licensed since 2007
Jasmine Gevorkyan is a litigation attorney, who combines her talents and background in service to her clients. She worked as an insurance defense attorney for many years, and is an experienced attorney who is well-prepared to address what the in...
Practice areas & skills: Car Accidents, Motorcycle Accident, Trucking Accident, Wrongful Death, Personal Injury
5.0 stars 6 reviews
I am the supervising personal injury partner at the Law Offices of Steers & Associates. Our firm offers personal injury legal representation to protect your interests if you or a loved one has experienced a serious personal injury.
Our legal t...
Practice areas & skills: Car Accidents, Wrongful Death, Motorcycle Accident, Personal Injury
5.0 stars 1 review
Licensed since 1990
I specialize in employment litigation and counseling on behalf of employers and management. I assist clients with wage and hour issues, hiring and firing practices, wrongful termination, harassment, discrimination, leaves of absence and perform...
Practice areas & skills: Employment & Labor
5.0 stars 29 reviews
Licensed since 1994
Upon graduation from law school and becoming an attorney in 1994, Paul
Lee began working with an employment law firm specializing in
representing police officers. Later he worked for an insurance defense
firm representing various insurance comp...
Practice areas & skills: Personal Injury, Car Accidents, Animal & Dog Bites, Wrongful Death, Trucking Accident
5.0 stars 3 reviews
Licensed since 1996
Matthew Resnik received his Juris Doctorate in 1996. Matthew Resnik has dedicated his legal career exclusively to Consumer Bankruptcy, representing financially distressed individuals against their creditors. Dedicated to equalizing the playing f...
Practice areas & skills: Bankruptcy & Debt, Personal Injury, Car Accidents, Litigation
5.0 stars 2 reviews
Licensed since 1975
J. Clark Aristei is of counsel to Baum, Hedlund, Aristei & Goldman, where he focuses his practice on commercial transportation litigation. Clark has spent the better part of his 35 years in law representing victims in cases stemming from aviation,...
Practice areas & skills: Litigation, Wrongful Death, Personal Injury, Aviation, Trucking Accident
Licensed since 1963
Ronald Goldman is a senior partner and senior trial attorney for Baum, Hedlund, Aristei & Goldman. Over his 50-year career, he has litigated hundreds of wrongful death and personal injury cases, involving commercial transportation and drug product...
Practice areas & skills: Aviation, Defective and Dangerous Products, Trucking Accident, Personal Injury, Wrongful Death


text:
Correspondendo a: power7 X
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Local, Near & Far Memory part 4 - Aggressive Intelligent Threads
nagger Marcações: smt core powervm aix logical threads aggressive vp processor intelligent power7 power 2 Comentários 10.868 Visualizações
This is a follow on from yesterdays blog due to Chris Gibson highlighting a question/concern from one of his customers in Australia.They were comparing Power6 and Power7 and the utilisation numbers from the SMT Logical Processors and the graphs look different....
Local, Near & Far Memory part 8 - Dynamic LPAR changes can mess up your placement
nagger Marcações: ram placement processor power6 power7 dlpar powervm vm lpar entitlement virtual lmb cpu aix 2 Comentários 10.865 Visualizações
After you have started and used your virtual machine (VM) for a while, you may decide to change its size using a Dynamic LPAR (DLPAR) change from the HMC (or SDMC or IVM, of course). This has virtual machine placement implications. When shrinking your VM, the...
Warning: Check your machine is supported before installing Firmware level 770
I HAVE UPDATED THIS BLOG WITH BETTER, UP TO DATE AND CORRECTED INFORMATION FROM THE DEVELOPERS Read the comments for lots of useful information - Thanks Guys for the corrections WARNING: Advance Technology Support (ATS) Europe is getting reports today from...
Shared Storage Pools (SSP3) and Disaster Recovery in 30 seconds
nagger Marcações: disaster power7 pools storage crash power ssp3 vios shared recovery aix 2 Comentários 10.069 Visualizações
Shared Storage Pools - just got even more interesting ! SSP Clusters with disks pools and super fast disk allocation VIOS Shared Storage Pools (phase 3) allows 16 VIOS on different machines to operate as a VIOS cluster with a set of SAN LUNs in the pool -...
Whole Power Server + Virtual Server Monitoring - Part 1 via Systems Director
nagger Marcações: systems power monitoring lpar performance virtual power7 server aix 2 Comentários 9.934 Visualizações
I get email a few times a week like "Nigel, what do you recommend for getting a good view of what the whole Power Server is doing, what resources are free for reuse for further Virtual Machines and which Virtual Machines are busy" My detailed...
Sizing with rPerf but Don't Forget the Assumptions
POWER Relative Performance (rPerf) is often used as a way to approximate the expected difference in performance between two Power Systems servers. Although rPerf is a useful tool, it is important to understand the limitations of using rPerf to provide an...
VIOS upgrade to try Shared Storage Pools - hints and tips
Shared Storage Pools is the next big thing to owed systems admin time and boost flexibility for Power Systems, PowerVM and controlling SAN disks from the VIOS and HMC. I will not go on about SSP here but I particular like the fact Live Partition Mobility...
Local, Near & Far Memory part 7 - VM placement also needs RAM
nagger Marcações: entitlement lpar ram power7 vm placement virtual aix power6 cpu processor powervm lmb 1 Comentário 9.772 Visualizações
We all tend to concentrate on the CPU first and the memory second. CPUs, as the "brains" of the machine, does get a high focus and have a lot of extreme technology within it but the RAM is the "guts" of the machine to "feed" the...
Whole Power Server + Virtual Server Monitoring - Part 3 via topas CEC analyser
nagger Marcações: power virtual server aix systems lpar power7 monitoring topas performance 9.754 Visualizações
We have all probably seen or used the topas CEC on-screen view (topas -C command). This is started while logged into one AIX Virtual Server (LPAR) and shows all the other AIX or VIOS (as it is based on AIX) Virtual Servers of a single Power Server. Here is a...
Local, Nar & Far Memory part 5 - Low Entitlement has a Bad Side Effect
nagger Marcações: processor virtual powervm power7 aix low power6 entitlement 1 Comentário 9.721 Visualizações
The title should read "Local, Near & Far ..." - I will not correct it or links might fail. With a shared processor virtual machine (I am calling this "VM" but was called LPAR!) there are various suggestions of setting Entitlement...
Pictures of our ESP Power750/760 and EXP30 SSD Drawer
Our Advanced Technology Support, Europe team have had a few months secretly testing the Power 750/760 internally to IBM as part of the normal Early Ship Program which lets a few machine out of the development labs to be tested by others to gain feedback on the...
Systems Director - Can't get your HMC recognised ?
nagger Marcações: power7 aix powervm hmc director power6 systems 1 Comentário 9.593 Visualizações
So you have Discovered, given Access and run Inventory on your HMC and it is not finding the Servers and Virtual Servers that the HMC is connected too! What do you do next? Well here are a series of suggestions for you to try (this is not an official...
VIOS Shared Storage Pools - now two movies
nagger Marcações: virtualization aix virtualisation power6 systems power7 vios power 1 Comentário 9.533 Visualizações
I have just released a second VIOS Shares Storage Pools movie that you may like to go and watch. We now have two movies covering first an Introduction (the new movie) and then second movie covering a hands-on look at setting it up and running it. There are...
VIOS Shared Storage Pools (was called NextGen) = Simple
nagger Marcações: provioning power pool powervm shared power6 nextgen vios thin storage aix power7 9.473 Visualizações
Finally, I found the time to try this new exciting feature and it was really simple to create and operate. I captured movie footage of my first attempt and it all worked (once I removed my spelling mistakes in commands). It only took two commands. So the...
Versioned WPAR runs AIX 5.2 on POWER7
With AIX 7 and POWER7, you now have the option to run the old withdrawn AIX version 5.2 within a WPAR with this new offering - AIX 5.3 Workload Partitions for AIX 7, version 1.1 This will run the same AIX 5.2 OS, same middle-ware and same application but...


text:
A beautiful stainless steel stock pot and an even nicer Farberware skillet that I found in the trash.
Yes, I am a dumpster diver.
I scrubbed, disinfected, and polished these and put them into use.
This is actually the second skillet I found. I've already gotten a lot of use out of a larger model.
565 views
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0 comments
Taken on January 1, 2000


text:
Star Tracks
The singer tops off her look with a topknot in Miami. Plus: Pink, Halle & Nahla, Johnny Depp and more
Credit: Gustavo Caballero/Getty
Published: Monday Dec 10, 2012 | 05:00 PM EST
More from PEOPLE
Latest News!
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- Read the Cover Story: JFK Jr.: The John We Loved
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text:
Hotels in Bristol
- Hotel list
- Hotels on map
- Sort by:
- Hotels on page
- Other hotels
- Airports
- Underground stations
- Train stations
- Parks
- Tourist attractions
- Museums
- Convention centers
- Stadiums
- Food and meals
- General
Hover above the icons to see hotel photo and details.
Click the hotel to go to the main hotel page.
The Bristol Hotel4 star hotel
Doubletree By Hilton Cadbury House Hotel Bristol4 star hotel
Marriott Bristol Royal Hotel4 star hotel
Hilton Garden Inn Bristol City4 star hotel
Mercure Bristol Grand Hotel4 star hotel
Hilton Bristol Hotel4 star hotel
Doubletree By Hilton Hotel Bristol City Centre4 star hotel
Marriott Bristol City Centre Hotel4 star hotel
Mercure Bristol Holland House Hotel And Spa4 star hotel
Mercure Bristol North The Grange Hotel4 star hotel
Mercure Bristol Brigstow Hotel4 star hotel
Radisson Blu Hotel Bristol4 star hotel
Cbh Berkeley Square Hotel Bristol3 star hotel
Novotel Bristol Centre4 star hotel
Future Inn Bristol4 star hotel
Days Inn Bristol M53 star hotel
Aztec Hotel Bristol4 star hotel
Arnos Manor Hotel Bristol3 star hotel
Best Western Henbury Lodge Hotel Bristol3 star hotel
Lodge On The Park Bristol3 star hotel
Channings Hotel By Good Night Inns Bristol3 star hotel
Holiday Inn Express North Bristol3 star hotel
Alveston House Hotel Bristol3 star hotel
Hampton Bristol City Hotel4 star hotel
Holiday Inn City Centre Bristol4 star hotel
Hotels near Bristol
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City Guide: Bristol
Bristol oversteps its former glory.
The main medieval crossing in south-west England, Bristol long survived on the fortunes of its place as an industrial hub. Now, it has polished the city walls and cleaned the streets to prettify itself. Even though its edges are still rough, its heart is packed with world-class restaurants, night clubs and waterfront cafes.Read more
City Guide: Bristol
Bristol oversteps its former glory.
The main medieval crossing in south-west England, Bristol long survived on the fortunes of its place as an industrial hub. Now, it has polished the city walls and cleaned the streets to prettify itself. Even though its edges are still rough, its heart is packed with world-class restaurants, night clubs and waterfront cafes.
If you are tired of glossy destinations, you should experience a piece of real Great Britain in Bristol. Be it a room in cheap hotel in Bristol to luxury, we have them all at Booked.net. Check out all hotel offers with maps, photos and secure at our website.
Originally, Bristol served as a small settlement until foreign attacks made locals fortify the city. Since then it has become the last home to numerous prisoners held captive in the local castles. The first money the city earned on trade was with shipbuilding, manufacturing and the railways operating in the area. The Civil War converted it into a seat for government.
For a long time Bristol was a powerhouse of heavy business in Britain until London and Manchester became examples of offering a better life. They soon outclassed industrial Bristol, which was bypassed by travelers for more culturally diverse destinations. Bristol fought back, taking efforts to promote its image of cultural hub with music, media and pulsating nightlife on the local scene.
Today Londoners will eat their words if they pay a visit to modern Bristol. Its waterway is lined with restaurants, art galleries that share the space with he finest Victorian architecture. In addition, its Harbourside Festival held at the end of July is one the world's grandest events.
Other attractions include;
- Bristol Zoo Gardens, the fifth oldest zoo in the world
- Bristol's SS Great Britain, a liner built in the city in 1843
Clifton Suspension Bridge, Bristol's 19th century bridge and one of the best examples of Victorian architecture within the city
Bristol Museum and Art Gallery, a major museum and art gallery with a full range of magnificent art
Clifton Downs and Observatory with great views over the Avon Gorge
Even though its architecture reflects 400 years of history, Bristol always modernizes its cityscape. You are hardly going to find there a landmark without modern influences, while the 11th century remnants of Bristol didn't manage to recover after wartime attacks. The Georgian and Victorian buildings and strong maritime history lifted Bristol to the prominence of one of the top ten UK destinations.
Tourism in the city continues to expand with millions visitors allured to Bristol with its famous trip-hop music scene better known as the Bristol Sound. Like the singing of Homer's sirens, Bristol offers an experience impossible to refuse with Booked.net.
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text:
Dr. Harvey has received honoraria from Vindico Medical Education (less than $10,000).
Associations of varus thrust and alignment with pain in knee osteoarthritis†‡
Version of Record online: 26 JUN 2012
DOI: 10.1002/art.34422
Copyright © 2012 by the American College of Rheumatology
Arthritis & Rheumatism
Volume 64, Issue 7, pages 2252–2259, July 2012
Additional Information
How to Cite
Lo, G. H., Harvey, W. F. and McAlindon, T. E. (2012), Associations of varus thrust and alignment with pain in knee osteoarthritis. Arthritis & Rheumatism, 64: 2252–2259. doi: 10.1002/art.34422
- †
ClinicalTrials.gov identifier: NCT00306774.
- ‡
The views expressed herein are those of the authors and do not necessarily represent the views of the Department of Veterans Affairs.
Publication History
- Issue online: 26 JUN 2012
- Version of Record online: 26 JUN 2012
- Accepted manuscript online: 3 FEB 2012 11:24AM EST
- Manuscript Accepted: 31 JAN 2012
- Manuscript Received: 4 JAN 2011
Funded by
- Houston VA Health Services Research and Development Center of Excellence. Grant Number: HFP90-020
- Arthritis Investigator Award from the American College of Rheumatology Research and Education Foundation
- Arthritis Foundation
- NIH. Grant Number: M01-RR-00054
- National Institute of Arthritis and Musculoskeletal and Skin Diseases. Grant Number: R01-AR-051361
- Abstract
- Article
- References
- Cited By
To investigate associations of varus thrust and varus static alignment with pain in patients with knee osteoarthritis (OA).
This was a cross-sectional study of participants from a randomized controlled trial of vitamin D treatment for knee OA. Participants were video recorded while walking and scored for presence of varus thrust. Static alignment was measured on standard posteroanterior knee radiographs. Pain questions from the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) questionnaire were used to assess symptoms. We calculated means for total WOMAC pain in relation to varus thrust and static varus alignment (i.e., corrected anatomic alignment <178 degrees). Ordinal logistic regressions were performed, with responses on individual WOMAC pain questions as the outcomes and varus thrust and varus alignment as the predictors.
There were 82 participants, 60% of whom were female. The mean ± SD age was 65.1 ± 8.5 years, and the mean ± SD body mass index was 30.2 ± 5.4 kg/m2. The mean total WOMAC pain score was 6.3 versus 3.9, respectively, in those with versus without definite varus thrust (P = 0.007) and 5.0 versus 4.2 in those with versus without varus alignment (P = 0.36). Odds ratios for pain with walking and standing were 4.7 (95% confidence interval 1.8–11.9) and 5.5 (95% confidence interval 2.2–14.2), respectively, in those with and those without definite varus thrust. There were no significant associations between varus alignment and responses to individual WOMAC pain questions. Sensitivity analyses suggested that varus classified using a more stringent definition might have been associated with pain on walking and standing.
In patients with knee OA, varus thrust, and possibly varus static alignment, were associated with pain, specifically during weight-bearing activities. Treatment of varus thrust (e.g., via bracing or gait modification) may lead to improvement of symptoms.
Osteoarthritis (OA) is a major public health problem, being the most common form of arthritis. It occurs in 33% of people over the age of 60 years in the US (1) and is a leading cause of disability among the elderly (2). This is particularly problematic given that only limited therapies have proven effective in reducing symptoms, the mainstays of treatment being nonsteroidal antiinflammatory drugs, nonspecific physical therapy interventions, local corticosteroid injection, and ultimately, when these are ineffective, total joint replacement (3). The economic ramifications of OA are also substantial, with direct costs attributable to the disease in the US exceeding 185 billion dollars in 2007 (4).
In recent years, there has been a growing body of data supporting the notion that biomechanics are important in the pathophysiology of knee OA, with research showing that static and dynamic alignment are potent predictors of longitudinal progression (5–7). Static alignment, defined as the coronal plane assessment of the hip-knee-ankle angle, is an important determinant of load distribution within a knee (7). The load-bearing axis, a line drawn from the mid–femoral head to the mid-ankle, passes medial to the knee in a varus knee, which leads to increased forces across the medial compartment. Dynamic alignment is assessed during ambulation. Varus thrust is an easily assessed measure of dynamic alignment that has been defined as the first appearance of varus or abrupt worsening of existing varus while the limb is bearing weight during ambulation, with a return of the limb to a less varus alignment during the swing, or non–weight-bearing, phase of gait (5). This is a simple clinical assessment that does not require use of a sophisticated gait laboratory. Because knee pain in OA occurs predominantly with weight bearing, it is reasonable to expect that dynamic findings may be more predictive of knee pain than static measures.
The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain subscale is the sum of scores from 5 questions assessing knee symptoms (8). The WOMAC is a validated instrument that is widely used in studies of knee OA. However, there is growing evidence that the use of this summed score may not be appropriate. Findings of a study of the measurement properties of the WOMAC pain subscale suggested that the 5 WOMAC pain questions represent 2 separate domains, with the questions about pain when walking on a flat surface and on stairs representing one domain and the questions on nighttime and sitting activities representing a second domain (9); the question on standing loaded on both factors. Therefore, summation of the 5 questions may not be the optimal method for evaluating knee OA symptoms. It has been proposed that perhaps only the items that display homogeneity should be summed or that each question be evaluated individually. Because varus thrust is a measure of dynamic alignment that becomes evident with ambulation, the WOMAC questions that assess pain during weight-bearing activities were of particular interest to us.
The objective of this study was to evaluate the relationship of static alignment and varus thrust with pain in individuals with established knee OA. We hypothesized that there would be a relationship between varus thrust and pain, particularly with weight-bearing activities, but not between varus static alignment and pain.
Sample selection.
This was a cross-sectional study of a convenience sample selected from among participants in a randomized controlled trial (RCT) of vitamin D treatment for symptomatic radiographic knee OA. The trial was performed at Tufts Medical Center and took place from June 1, 2005 through September 30, 2010. All study activities were approved by the Tufts Medical Center Institutional Review Board. To be enrolled in the parent RCT, individuals had to have symptomatic radiographic tibiofemoral knee OA (Kellgren/Lawrence [K/L] grade [10] of ≥2) and had to have experienced pain in the same knee on most days of the month for at least 1 month in the last year. The study was not restricted to participants with medial tibiofemoral OA.
For enrollment in the present study, participants were recruited at the 2-year followup visit from the parent RCT and were required to consent to the additional assessment of varus thrust using a video recording as described below. Investigators were blinded with regard to the treatment allocation as well as to the pain assessment results at the time of enrollment into this study. We excluded participants who used any assistive device for ambulation. There was a period of a few months during which time was limited during the parent study clinic visits, and no participants were recruited into this ancillary study during that period.
Varus thrust assessments.
At the parent study 2-year followup visit, participants were video recorded walking 20 meters away from and toward a stationary camera at a self-selected speed. All evaluations were performed with the participants walking barefooted on the same walking course within the clinic. A standard digital video camera (60 Hz) was used.
The presence of varus thrust as described above, i.e., first appearance of varus or abrupt worsening of existing varus while the limb is bearing weight during ambulation, with a return of the limb to a less varus alignment during the swing, or non–weight-bearing, phase of gait, was assessed subjectively by 2 rheumatologists (GHL and WFH) trained to evaluate varus thrust. These individuals viewed the gait videos at separate reading sessions and were blinded with regard to the patients' pain assessments. Varus thrust was classified as being definitely present, possibly present, or definitely absent. On average, these assessments were based on the patients' first 5–6 strides taken while walking away from the camera and the last 5–6 strides taken while walking toward the camera that could be easily viewed on each video recording. Any disagreements were adjudicated by consensus of both evaluators. The varus thrust score subsequently was dichotomized into 2 groups, referred to below as "with definite varus thrust" (including only those with the designation of varus thrust being definitely present) and "without definite varus thrust" (those scored as having varus thrust possibly present and those scored as varus thrust being definitely absent).
Posteroanterior radiographs of the study knee in semiflexed position were obtained at the parent study screening visit and at the 2-year followup visit, on the same day the gait video recordings were obtained. Participants were asked to stand upright facing the anterior wall with their body weight distributed equally between the 2 legs. The great toes of both feet were verified to be in contact with the anterior wall. Both feet were fixed in 10 degrees external rotation by positioning on a foot map. Subsequently, the cassette holder was lowered so that the center of the film was located at the level of the participant's tibiofemoral joint line. The center line of the positioning frame was verified to be in the center of the cassette holder. Then the participant was asked to flex both knees until they touched the anterior wall of the frame, standardizing the extent of tibial flexion. With the great toes and knees still touching the anterior wall, both thighs were pressed directly against the wall, standardizing the extent of femoral flexion. The field of view was 14 × 17 inches for all radiographs. This was standardized by using a uniform cassette size for all knee radiographs, with all radiographs taken at a distance of 72 inches away from the joint of interest.
K/L scores (range 0–4) were obtained for the radiographs obtained at the screening visit. Static alignment measures were performed on the 2-year followup radiographs, using a previously validated method (11). Anatomic alignment measures were modified to better reflect mechanical alignment, subtracting a correction factor of 3.5 degrees for women and 6.4 degrees for men (11); knees with a corrected anatomic alignment of <178 degrees were categorized as being varus aligned, as similarly defined in other studies (12, 13).
Pain assessments.
The WOMAC pain questionnaire was administered to evaluate the study knee at the 2-year followup visit, on the same day as the gait video recordings. The questionnaire consists of 5 questions, each with a potential score of 0–4 (Likert scale), with 4 representing extreme pain. The questions related to weight bearing address pain on walking on a flat surface (question 1), pain on walking up and down stairs (question 2), and pain on standing upright (question 5). The questions related to non–weight bearing address pain at night while in bed (question 3) and pain on sitting or lying down (question 4). The scores from all 5 questions are summed to yield the total WOMAC pain score.
Participant covariates.
Age of the participants was ascertained based on self-reported date of birth at the time of study entry. Sex was self reported. Participants were weighed in kilograms wearing their street clothes without shoes, using a Seca 770 Alpha scale. Height in meters was measured using a Holtain Stadiometer. Walking speed was ascertained by asking the participant to ambulate 20 meters at a self-selected speed on the same date that the gait video, radiography, and WOMAC pain assessments were obtained. The faster result of 2 trials was recorded as the walking speed.
Statistical analysis.
In the present analyses, we included only the study knee identified for the parent RCT that met the definition of symptomatic radiographic OA at baseline. To compare the baseline demographic characteristics and radiographic OA scores of the group with and the group without definite varus thrust, we used chi-square and t-tests. The mean total WOMAC pain score was calculated, initially without adjustment, for each of the 2 groups, and the significance of differences was determined by t-test. We then calculated least square means with adjustment for age, sex, height, weight, and 20-meter walking speed.
We also performed ordinal logistic regressions with responses to individual WOMAC pain questions as the outcomes and varus thrust as the predictor, subsequently adjusting for age, sex, height, weight, and 20-meter walking speed. Because few of the individual pain scores were very high, scores of 2, 3, and 4 were collapsed into one level for the ordinal logistic regression models. The proportional odds assumption was checked for all models. If the finding on the test of assumptions for proportional odds was statistically significant (e.g., meaning that the assumptions were not met) we did not present the results of those models; this is a conservative approach (14). We repeated the ordinal logistic regression using varus static alignment as the predictor. To address the possibility that the cutoff of 178 degrees may not be optimal in the definition of varus static alignment, we performed a sensitivity analysis evaluating alternative cutoff values of 171–180 degrees. All analyses were performed using SAS, version 9.2.
There were a total of 82 participants in the present study. Forty-nine (60%) were female. The mean ± SD age was 65.1 ±8.5 years, body mass index was 30.2 ± 5.4 kg/m2, height was 1.66 ± 0.09 meters, and weight was 83.6 ± 17.1 kg. Twenty-five (30.5%) of the participants were classified as having definite varus thrust, 15 (18.3%) as having possible varus thrust, and 42 (51.2%) as having absent varus thrust. Thirty-nine percent of the varus thrust readings required adjudication.
Characteristics of the group with and the group without definite varus thrust are shown in Table 1. Radiographic OA was more severe in the group with definite varus thrust (P = 0.016), and the percentage of subjects who were male was higher in this group (P = 0.003). The difference in mean weight between the 2 groups nearly reached statistical significance, with weight being higher in the group with definite varus thrust. In addition, 84% of those with definite varus thrust had static varus corrected anatomic alignment, compared with only 33% of those without varus thrust (P < 0.0001).
|With definite varus thrust (n = 25)
|Without definite varus thrust (n = 57)
|Age, years
|65.2 ± 8.5
|65.1 ± 8.6
|Height, meters
|1.68 ± 0.09
|1.65 ± 0.09
|Weight, kg
|88.9 ± 17.2
|81.2 ± 16.7
|BMI, kg/m2
|31.4 ± 5.7
|29.7 ± 5.3
|Sex, % female
|K/L grade, no. (%)
|9 (36)
|38 (67)
|7 (28)
|12 (21)
|9 (36)
|7 (12)
|Varus static alignment, no. (%)
|21 (84)
|19 (33)
The mean total WOMAC pain score was 6.3 in the group with definite varus thrust, versus 3.9 in the group without (P = 0.007). After adjustment for age, sex, height, weight, and walking speed, the difference in means was less pronounced and no longer significant (5.7 versus 4.2, respectively; P = 0.09). The histogram of the distribution of total WOMAC pain scores in the 2 varus thrust subgroups shown in Figure 1 highlights the difference in total WOMAC pain score between the groups. The total WOMAC pain score did not differ significantly between subjects with and those without varus static alignment (mean 5.0 and 4.2, respectively; P = 0.36). After adjustment for the above-mentioned covariates, the difference in total WOMAC pain score according to varus static alignment status was further diminished (mean 4.8 and 4.5, respectively; P = 0.68).
Table 2 shows the proportional odds ratio for each individual pain question in the WOMAC calculated using definite varus thrust as the predictor. The proportional odds of having pain with walking and with standing upright among OA patients with definite varus thrust was ≥4 times that among those without definite varus thrust.
|Individual WOMAC pain question
|Level of pain
|Unadjusted proportional OR (95% CI) for pain with vs. without definite varus thrust
|Adjusted proportional OR (95% CI) for pain with vs. without definite varus thrust†
|Weight bearing–related questions
|Pain on walking
|With definite varus thrust
|4.7 (1.8–11.9)‡
|Without definite varus thrust
|Pain on standing upright
|With definite varus thrust
|5.5 (2.2–14.2)‡
|4.1 (1.5–11.6)‡
|Without definite varus thrust
|Pain on using stairs
|With definite varus thrust
|1.4 (0.6–3.4)
|1.0 (0.4–3.0)
|Without definite varus thrust
|Non–weight bearing–related questions
|Pain at night in bed
|With definite varus thrust
|2.1 (0.9–5.1)
|2.3 (0.8–6.8)
|Without definite varus thrust
|Pain on sitting or lying
|With definite varus thrust
|1.5 (0.6–3.8)
|1.3 (0.4–3.7)
|Without definite varus thrust
Table 3 presents the proportional odds ratio for each individual WOMAC pain question calculated using varus corrected anatomic alignment as the predictor. Pain was not more likely in the group with varus alignment compared to those without varus alignment, using any of the 5 individual questions in either unadjusted or adjusted analyses.
|Individual WOMAC pain question
|Level of pain
|Unadjusted proportional OR (95% CI) for pain with vs. without static varus corrected anatomic alignment
|Adjusted proportional OR (95% CI) for pain with vs. without static varus corrected anatomic alignment†
|Weight bearing–related questions
|Pain on walking
|Varus alignment
|1.6 (0.7–3.5)
|No varus alignment
|Pain on standing upright
|Varus alignment
|1.9 (0.8–4.3)
|1.5 (0.6–3.8)
|No varus alignment
|Pain on using stairs
|Varus alignment
|1.0 (0.4–2.2)
|0.8 (0.3–2.1)
|No varus alignment
|Non–weight bearing–related questions
|Pain at night in bed
|Varus alignment
|1.0 (0.4–2.4)
|1.2 (0.5–3.3)
|No varus alignment
|Pain on sitting or lying
|Varus alignment
|0.7 (0.3–1.6)
|0.6 (0.2–1.6)
|No varus alignment
To address the possibility that the choice of 178 degrees as a cutoff to define varus static alignment was not the most appropriate, we performed a sensitivity analysis by modifying the cutoff used for the definition of varus alignment, using cutoffs between 171 degrees and 180 degrees (Table 4). Using any of these definitions, the mean of the total WOMAC score was not significantly different between those with and those without varus alignment. For the individual WOMAC questions, the only analyses in which the differences were intermittently significant were unadjusted analyses evaluating pain with walking and standing and adjusted analyses evaluating pain with sitting or lying down.
|Cutoff for defining static varus corrected anatomic alignment, degrees
|Unadjusted proportional OR (95% CI) for pain on walking with vs. without static varus corrected anatomic alignment
|Unadjusted proportional OR (95% CI) for pain on standing with vs. without static varus corrected anatomic alignment
|Adjusted proportional OR (95% CI) for pain on sitting or lying with vs. without static varus corrected anatomic alignment†
|1.8 (0.8–4.2)
|2.6 (1.1–6.2)‡
|0.5 (0.2–1.4)
|1.4 (0.6–3.1)
|2.1 (0.9–4.7)
|0.4 (0.1–1.1)
|1.7 (0.7–3.8)
|1.9 (0.8–4.2)
|0.5 (0.2–1.5)
|1.7 (0.7–3.8)
|1.8 (0.8–4.2)
|0.5 (0.2–1.5)
|2.3 (1.0–5.4)‡
|2.4 (1.0–5.7)‡
|0.2 (0.1–0.7)‡
|3.0 (1.2–7.3)‡
|2.7 (1.1–6.6)‡
|0.2 (0.1–0.8)‡
|2.4 (1.0–5.9)‡
|0.2 (0.1–0.8)‡
|2.8 (1.1–7.2)‡
|0.3 (0.1–1.0)‡
|2.1 (0.7–6.0)
|0.2 (0.04–1.0)‡
This study is, to our knowledge, the first to show that in persons with symptomatic knee OA the presence of varus thrust, a measure of dynamic alignment known to be a predictor of structural progression (5, 15), is associated with greater overall knee pain, specifically during weight-bearing activities. We have also illustrated that varus static alignment, also a known predictor of structural progression (7), is possibly associated with pain on weight bearing, though with a much smaller effect estimate.
Of the study participants with definite varus thrust, 84% had varus static alignment, while only 33% of those without definite varus thrust had varus static alignment. Although definite varus thrust and varus static alignment are clearly closely related, they do not represent the exact same construct. Varus thrust is a measure of dynamic alignment visualized during gait, while varus static alignment is measured on a radiograph obtained while the patient is not moving. While both have been previously shown to be potent predictors of structural progression (5, 7, 15), highlighting the importance of biomechanics in knee OA pathophysiology, in this cross-sectional study we found that varus thrust was more convincingly associated with pain than was varus static alignment.
Understanding the differences between individuals with varus alignment who do have varus thrust and those with varus alignment who do not have varus thrust may provide important insights into sources of pain in knee OA. Intuitively, it is not surprising that a dynamic alignment measure would be predictive of symptoms in knee OA whereas the equivalent static alignment measure would be less so. Perhaps it is those who have greater laxity in the joint who have varus thrust, which can be best measured during gait. It could also be that varus thrust is a surrogate measure of the external adduction moment, another measure of dynamic alignment, which has been associated with excessive loading upon the medial compartment. In a study of 64 participants, Chang et al showed that those with varus thrust had a higher external adduction moment than those without varus thrust (5). Further, it was recently demonstrated that those with an elevated external adduction moment had a higher prevalence of medial compartment bone marrow lesions visualized on magnetic resonance imaging (16), a feature that has also been associated with knee pain (17–20).
Although the definition of varus static alignment used in this study was similar to those used in prior epidemiologic studies (12, 13), we addressed the possibility that other definitions could have been more appropriate by performing a sensitivity analysis in which the cutoff used for the definition of varus alignment was modified. Using any of the alternative definitions tested (171–180 degrees), the difference in the summed WOMAC between the 2 varus alignment groups was not statistically significant. For the individual WOMAC questions, the unadjusted analyses evaluating pain with walking and standing showed statistical significance in the direction we expected (Table 4). Surprisingly, the point estimates for the association of varus alignment with pain using the question on pain during non–weight bearing (sitting or lying down) were <1, suggesting that varus alignment was protective against pain with sitting or lying down. An interpretation of these findings could be that the cutoff of 178 is most appropriate, since this unexpected result was not evident with this definition. Alternatively, it could be that a lower cutoff definition is more appropriate and static alignment is associated with pain on standing but, for some as-yet-unexplained reason, participants are simultaneously less likely to develop pain with sitting or lying down. In any case, the relationship between varus static alignment and pain is substantially weaker than that between varus thrust and pain, as calculated using a variety of cutoff definitions for varus static alignment.
Notably, the severity of radiographic knee OA was greater in patients with definite varus thrust as compared to those without definite varus thrust. We did not enter K/L score as a potential covariate in our adjusted model, expecting that varus thrust could be a mediator of any association between higher K/L scores and knee pain. However, because there is a possibility that varus thrust may be associated with pain independently of K/L score, we did perform additional analyses adding K/L score to the unadjusted logistic regression models and found that varus thrust was still significantly associated with the total WOMAC pain score, in addition to scores on the individual standing and walking pain questions. These findings support the notion that varus thrust is associated with knee pain independent of the fact that varus thrust is associated with more severe radiographic OA.
Although there is some doubt regarding the measurement properties of the summed WOMAC pain subscale, it is still the outcome measure currently recommended by the Osteoarthritis Research Society International (21) and accepted by the Food and Drug Administration for assessment of symptoms in knee OA clinical trials. In this study, we evaluated pain by using the sum of the WOMAC pain questions as well as the individual WOMAC pain questions; use of both allowed for better characterization of the heterogeneous pain that occurs in knee OA.
Varus thrust is a clinical assessment of dynamic loading that can be performed inexpensively. We used a standard video camera to record participants ambulating, at a self-selected speed, 20 meters away from and then toward the camera. With the adjudication of the measure between 2 rheumatologists who were blinded with regard to pain assessments, we did find that this measure was strongly related to the summed WOMAC pain assessment and specifically, weight-bearing pain, i.e., pain with walking on a flat surface and pain with standing. Because the number of knees for which adjudication of this reading was required was substantial (39%), we performed a sensitivity analysis in which we restricted the analyses to only those knees for which adjudication was not required. In this analysis, the results were similar with the exception that the difference in total WOMAC pain score in participants with definite varus thrust versus those without definite varus thrust (mean 5.2 and 3.9, respectively) was no longer statistically significant (P = 0.20) (likely reflecting a loss of power with the lower number of observations), though the direction of the relationship was still similar. However, the unadjusted odds ratios for the individual pain questions remained unchanged, with the results of the analyses of pain on walking and standing being statistically significant, suggesting that the association between varus thrust and pain is real.
There are limitations to this study, an important one being the relatively small sample size. It will be important to replicate our findings in a larger cohort of OA patients. Also, this was a cross-sectional study, limiting our ability to draw conclusions regarding whether varus thrust causes pain; longitudinal studies will be needed to investigate this. Another important limitation is that for our measure of static alignment we used posteroanterior radiographs with the knee in semiflexion (available from the parent study) to assess a corrected anatomic alignment, as opposed to the accepted gold standard of using long-limb radiographs to measure mechanical alignment. Anatomic alignment is a valid and useful biomechanical parameter, but results could differ from those obtained using true mechanical alignment (11). Therefore, the possibility remains that static alignment assessed via mechanical alignment could be more strongly associated with knee OA pain.
Nonetheless, our study demonstrated a strong association between varus thrust and pain in individuals with knee OA, particularly with weight-bearing activities. This finding was not replicated with regard to an association of varus static alignment with pain, though there was a suggestion of this possibility from our sensitivity analyses using a more stringent definition of varus alignment. The potential clinical implications of the present findings include the notion that patients with varus thrust might represent a specific phenotype of OA, such that patients with this phenotype may selectively respond to customized biomechanical modifications. For instance, treatment of varus thrust with bracing or gait retraining may provide symptomatic relief for the patients with this particular finding. Because varus thrust has been demonstrated in other studies to be associated with structural progression (5, 16), biomechanical intervention to improve symptoms may also provide structural benefits. Identification of varus thrust in patients with knee OA may therefore bring us closer to finding an effective symptom- and structure-modifying treatment for this disease.
All authors were involved in drafting the article or revising it critically for important intellectual content, and all authors approved the final version to be published. Dr. Lo had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.
Study conception and design. Lo, Harvey, McAlindon.
Acquisition of data. Lo, Harvey, McAlindon.
Analysis and interpretation of data. Lo, Harvey, McAlindon.
- 1The prevalence of knee osteoarthritis in the elderly: the Framingham Osteoarthritis Study. Arthritis Rheum 1987; 30: 914–8., , , , , .
- 2The effects of specific medical conditions on the functional limitations of elders in the Framingham Study. Am J Public Health 1994; 84: 351–8., , , , , , et al.
- 3OARSI recommendations for the management of hip and knee osteoarthritis. Part III. Changes in evidence following systematic cumulative update of research published through January 2009. Osteoarthritis Cartilage 2010; 18: 476–99., , , , , , et al.
- 4Insurer and out-of-pocket costs of osteoarthritis in the US: evidence from national survey data. Arthritis Rheum 2009; 60: 3546–53., , , .
- 5Thrust during ambulation and the progression of knee osteoarthritis. Arthritis Rheum 2004; 50: 3897–903., , , , , , et al.
- 6Varus and valgus alignment and incident and progressive knee osteoarthritis. Ann Rheum Dis 2010; 69: 1940–5., , , , , , et al.
- 7The role of knee alignment in disease progression and functional decline in knee osteoarthritis. JAMA 2001; 286: 188–95., , , , , .
- 8Validatoin study of WOMAC: a health status instrument for measuring clinially important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol 1988; 15: 1833–40., , , , .
- 9Measurement properties of the WOMAC LK 3.1 pain scale. Osteoarthritis Cartilage 2007; 15: 266–72., , , .
- 10Kellgren JH, Lawrence JS, editors. The epidemiology of chronic rheumatism: atlas of standard radiographs. Oxford: Blackwell Scientific; 1963.
- 11A comparative assessment of alignment angle of the knee by radiographic and physical examination methods. Arthritis Rheum 2005; 52: 1730–5., , , .
- 12Meniscal tear in knees without surgery and the development of radiographic osteoarthritis among middle-aged and elderly persons: the Multicenter Osteoarthritis Study. Arthritis Rheum 2009; 60: 831–9., , , , , , et al.
- 13Subchondral bone attrition may be a reflection of compartment-specific mechanical load: the MOST Study. Ann Rheum Dis 2010; 69: 841–4., , , , , , et al.
- 142011 April 9–13; Philadelphia. URL: http://www2.sas.com/proceedings/sugi30/205-30.pdf.. Using the proportional odds model for health-related outcomes: why, when, and how with various SAS procedures. Presented at the SAS Users Group International Conference;
- 15Frequency of varus and valgus thrust and factors associated with thrust presence in persons with or at higher risk of developing knee osteoarthritis. Arthritis Rheum 2010; 62: 1403–11., , , , , , et al.
- 16Bone marrow lesions are related to dynamic knee loading in medial knee osteoarthritis. Ann Rheum Dis 2010; 69: 1151–4., , , , , , et al.
- 17The association of bone marrow lesions with pain in knee osteoarthritis. Ann Intern Med 2001; 134: 541–9., , , , , , et al.
- 18Correlation of the development of knee pain with enlarging bone marrow lesions on magnetic resonance imaging. Arthritis Rheum 2007; 56: 2986–92., , , , , , et al.
- 19The relationship between specific tissue lesions and pain severity in persons with knee osteoarthritis. Osteoarthritis Cartilage 2006; 14: 1033–40., , , , , , et al.
- 20Osteoarthritis Initiative Investigators Group. Bone marrow lesions and joint effusion are strongly and independently associated with weight-bearing pain in knee osteoarthritis: data from the Osteoarthritis Initiative. Osteoarthritis Cartilage 2009; 17: 1562–9., , , , , , et al, for the
- 21Design and conduct of clinical trials in patients with osteoarthritis: recomendations from a task force of the Osteoarthritis Research Society. Osteoarthritis Cartilage 1996; 4: 217–43., , , .


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6/17/2011 · Addis Through The Looking Glass (2011)Tour dates February 2015. The 5 piece Dub Colossus Soundystem will be heading out on a short tour of the UK in February 2015, we hope to see you at one of the ...8/8/2011 · Addis Throught the Looking Glass Genre: Dub/Reggae/Jazz Record Label: Real World Year : 2011 Country: EtiopiaAlthough Dub Colossus made their name fusing Ethiopian music with reggae and funk, in this, their fourth album, band leader Nick Page has rung a change in focus: a ...Invisible System return with another highly original eclectic fusion album. Following their internationally acclaimed and Songlines World Music Awards Best Newcomer ...Enjoy the new Beatport Pro all the time. Just click the link below and we'll automatically direct you to the new store whenever you return.Boomkat - A specialist music website selling VINYLs, CDs, DVDs and DIGITAL DOWNLOADS, brought to you by a dedicated team who have been operating in this …Lucie Lom: Les Rêveurs (The Dreamers) 18-27 July 2014 Some rather extraordinary and mysterious figures are popping up in Central Milton Keynes . . .The next two M.O.D. Technologies Digital releases arrive once again harken back to the Bill Laswell Residency in April 2014 at The Stone. Method of Defiance: Phantom ...??????? Various Artists mp3 ????????? ? ??? ???????????. ?????? mp3 - ????? ?????? ? ?????. ?????? ...
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Vehicle sales in China took a sizable dip for the first time in eight months, due largely to the fact that buyers in the country are turning away from Japanese brands. Automotive News China reports wholesale deliveries fell by .3 percent last month, while Toyota and Nissan saw sales figures fall to their lowest levels since 2008. Meanwhile, figures compiled by Bloomberg indicate Honda had its worst month since May of 2011.
Chinese Car Sales
1 / 1
38Chinese auto sales take unexpected September slide amidst anti-Japan sentiment
- Zach Bowman
- Oct 12, 2012
- 38
52REPORT: China passes U.S. in auto sales
- Chris Shunk
- Jul 9, 2009
- 52
Most of the world has been knee deep in a wicked recession for quite a while, and auto sales have been hit especially hard. Here in the U.S., the numbers have been abysmal, as the first half of the year saw only 4.8 million sales through June. China, on the other hand, is running away with the overall sales lead, as the emerging emerged market has added 6.1 million cars and trucks to its still developing roadways. According to The Associated Press, June sales were up 36% over the same period in
1 / 1
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Sue Lilley
Memorial # 65364786
The photo you added is not for this person, but his father. Please remove it and move it to #65364861 if you can. You already added a different to the father's memorial and I thank you for that.
Best regards,
Added by
Sue Lilley
on Mar 06, 2015 5:55 PM
Nancy Jane Faulk White Adams
Hi, you added the pictures to these two memorials.
Loid Cameron Find A Grave # 7632442
Floid Cameron Find A Grave # 7632439
Can you please readd them to my memorials.
Brown/Belobraydic gave me permision to remake their pages. Thanks so much.
Nancy Adams
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Nancy Jane Faulk White A...
on Apr 09, 2014 8:20 PM
Sonia ღNANCEღ Roberts
Mary A. Nance #62383311
Picture for Mary A. Nance Find A Grave Memorial# 62383311 is not her's - see dates
Added by
Sonia ღNANCEღ...
on Jun 03, 2013 4:14 PM
Sue Lilley
Tom King - Oak Hill Lampasas
You have added the wrong image to this memorial site. Please remove it.
Added by
Sue Lilley
on Oct 24, 2011 4:17 PM
RE: Sarah Timberlake photo
You are welcome.
Added by
on Jul 20, 2011 8:02 PM
Jimmie Catherine Shoulders Mills
I just wanted to send a note that the State Hospital grounds are limited to the public. They marked most graves with numbersn not with actual Headstones. I am sorry but you would need to show your relationship to this person for any info out there because of privacy issues.
Good Luck,
Added by
on Jul 09, 2011 10:39 AM
Lottie Treadwell
Thanks for trying to find Lottie's grave... it must be unmarked.
Thanks again for your efforts.
Added by
on Jul 07, 2011 1:58 PM
A. Hammond
Yes even if you are family you still have to go through the whole open records process and then get permission to come on grounds to look in cemetary and photograph. They wont let anyone come on the campus who doesnt already have permission.
Added by
A. Hammond
on Jul 07, 2011 8:34 AM
A. Hammond
I received word back on going out to our Cemetary here and apparently others have tried on behalf of the family and are all told the same thing. The family has to go through an "open records request" and then once that is done, permission has to be granted by the Public Information Officer and possibly the Superintendent. I am sure if they knew what we were doing this for they would not mind, but its just part of protecting patients rights. I have contacted someone at the state who apparently is in charge of open records requests and once i get some info from her, I can let you know what you need to do if you want to take it that far. I wish I could just go snap it myself! But they just make it so hard! Im sorry to have to tell you this news, but hopefully the open records process isnt that difficult. Hope you had a good holiday!
Added by
A. Hammond
on Jul 06, 2011 8:15 AM
Leslie P. Fowers
Patterson in Lampasas
Can you tell me where you find the published records for this county...are they on line? thanks
I looked at the county's published records, and this name was not on the list for this cemetery
Added by
Leslie P. Fowers
on Jul 05, 2011 5:47 PM
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Marvel Assembles an Official Title for Third "Avengers" Movie
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Apparently, 2000AD group editor Matt Smith has nixed this Judge Dredd cover by Jason Latour. The specter of Frank Miller's ill-fated cover commission was apparently raised. This must remain a sore subject with Tharg. Personally, I like this image, and can't see anything wrong with it, but then, I've berated Smith for playing it safe with his art choices before and probably will again. More problematic work below — Steve Rude takes a controversial gig; Gary Erskine risks a stay in the Tower for treason; Graeme Neil Reid illustrates the most violent, foulmouthed superheroes of them all; Jim Woodring takes my theme's title and makes it concrete, and more. And as usual, you may reckon some of this material is NSFW.
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text: Home > Nation SC defers ruling on DAP By Ina Reformina, ABS-CBN News Posted at Jun 10 2014 03:59 PM | Updated as of Jun 10 2014 11:59 PM Share Facebook Twitter GPlus LinkedIn Pinterest MANILA - The Supreme Court (SC) has deferred ruling on the 9 pending petitions challenging the constitutionality of the Aquino administration's Disbursement Acceleration Program (DAP) during Tuesday's en banc session. The consolidated petitions were calendared for deliberations, but no decision was arrived at. ABS-CBN News sources bared the DAP petitions will again be tackled on July 1. The consolidated petitions urge the high court to strike down the "stimulus program" as unconstitutional. Petitioners allege that no law was enacted by Congress to authorize the appropriation of funds under the DAP, which was created by Malacanan in October 2011. Petitioners also pointed out that the DAP is illegal for allowing transfer of funds from the Executive to the Legislative branches, again, in violation of the Constitution which only allows realignment of funds and savings within a particular agency or department. BAYAN DISMAYED AT DELAY The Bagong Alyansang Makabayan (Bayan), one of the petitioners, expressed dismay at the "delay" in the DAP ruling, and expressed fears there may be moves to influence the magistrates to rule in favor of the controversial measure. "Bilang petitioner, dismayado kami na hanggang ngayon ay wala pang desisyon sa DAP. Napapanahon nang resolbahin ang mga petisyon lalo't mainit na usapin ng pork barrel." "Habang tumatagal, nagkakaroon kami ng pangamba sa kung anong maaaring gawin ng Palasyo (Malacanang) para makaimpluwensiya sa korte. Patuloy kaming magbabantay. Isasama din ito sa panawagan sa June 12 (anti-pork barrel) rally," Bayan secretary-general Renato Reyes. Jr. said. Some P149 billion in public funds were released under the DAP until it was aborted in mid-2013. The DAP was reportedly used to secure the conviction of Chief Justice Renato Corona during his impeachment trial, an allegation Malacanang denies. Share Facebook Share on Twitter GPlus LinkedIn Pinterest Read More: Supreme Court dap Disbursement Acceleration Program /entertainment/07/31/16/sam-milby-admits-fil-british-model-is-his-gf/news/07/31/16/reds-to-declare-unilateral-truce-on-aug-20/trending/07/31/16/look-bb-gandanghari-gets-naked-on-the-beach/entertainment/07/31/16/look-jovit-baldivino-is-now-a-father/entertainment/07/31/16/jessy-reaches-out-to-pia-after-her-joke-went-viral


text:
Entries in '3ds' (257)
Nintendo 3DS sales jump as Pokemon Go craze enters its second week
Five Pokémon games were in the UK Top 50 All-Formats charts this week.
Video: Dragon Quest VII is finally coming to Europe
Nintendo announced a western release date for Dragon Quest VII: Fragments of the Forgotten Past during one of its livestream at E3.
Video: Nintendo announces new RPG Ever Oasis
Nintendo has revealed a brand new IP at E3 yesterday.
VVVVVV pulled from Nintendo eShop over 3DS hack exploit
Terry Cavanagh's popular indie platformer VVVVVV has been removed from the Nintendo eShop amid accusations that it can enable the use of homebrew software on the handheld.
Nintendo: NX will not be sold at a loss
Nintendo has reiterated that it will make money on each NX unit sold.
Nintendo launches #3DSAdventures marketing push
This year the 3DS is all about adventure games, Nintendo says.
Nintendo UK veteran James Honeywell departs after 21 years
Popular Nintendo UK marketing boss James Honeywell has left Nintendo after more than two decades at the platform holder.
Bigger than Star Wars: Is Yo-kai Watch about to conquer Europe?
Forget NX and smartphone games – the product that might just come to define Nintendo's 2016 is a 3DS title.
Monster Hunter X is coming to Europe as Monster Hunter Generations
The next Monster Hunter will reach 3DS this summer, Nintendo has announced.
Nintendo tries again to pitch Metroid Prime: Federation Force
Metroid Prime: Federation Force is perhaps the most ill-received Nintendo game of all time, but the company is having another stab at selling it to you.
New 3DS gets SNES downloads and special edition console
Nintendo has confirmed the long-awaited arrival of SNES games on the 3DS Virtual Console.
New Paper Mario for Wii U and Kirby for 3DS
The NX may hopefully only be a few months away, but Nintendo hasn't stopped announcing new titles for the Wii U.
Nintendo cuts earnings guidance, lowers 3DS sales forecasts
Revenues for fiscal 2016 are expected to be 12.3 per cent lower than originally predicted, Nintendo has told investors.
Yo-Kai Watch launching on 3DS this April
The Yo-Kai Watch video game has been confirmed to launch in Europe at the end of April.
Sega 3D Classics coming to retail, includes four new titles
Nine retro Sega titles are being bundled for a retail release on 3DS.
Yo-Kai Watch TV series confirmed for UK
The Yo-Kai Watch anime series will be broadcast in the UK this spring.
Nintendo cuts controversial 'gay conversion' plot from Fire Emblem: Fates
A plotline that sees a lesbian drugged and tricked into falling in love with a man – yes, really – will not be included in the Western version of 3DS ...
Shovel Knight Amiibo hitting Europe a month before US
Developer Yacht Club Games has announced a December 11th release for the Shovel Knight figure in Europe. However, it won't be hitting North America until January 8th. ...
SteamWorld Heist arrives next week on 3DS
Developer Image & Form has revealed its latest SteamWorld title will arrive on Nintendo 3DS next Thursday.
Can Yo-Kai Watch repeat Pokémon's success in the West?
A kids game for handhelds that involves capturing fantastical creatures, then battling them against rival monsters. Stop us if you've heard this one before.
Square Enix confirms Dragon Quest VII, VIII for western release
Nintendo has officially confirmed the upcoming western release for a pair of Dragon Quest titles.
Wii U sales slightly up as revenue increases
Nintendo has said that it sold 1.19m Wii U consoles in the first half of its financial year ending September.
Mario and Luigi: Paper Jam Bros joins Nintendo's 3DS line-up for December 2015
The fifth Mario role-playing game is coming to the UK earlier than you might have expected.
3DS gets a budget Nintendo Selects range
Six games are to receive a discounted re-release on 3DS.
Mighty No. 9 now set to launch in February
Mighty No. 9 has received new US and worldwide release dates, publisher Deep Silver has announced.


text:
|Connelly's Top Ten: David OverPriced, Sunday Bird, Complete Games (Or Not)
|Two Red Sox Players Considered Serious MVP Candidates
|Connelly's Top Ten: Holt Magic, Brady is Awesome, Exorcist Wicked Scary
|Sox Take Two From SF Giants
Here's the Celtics Four-Point Play to appear every Wednesday on Sports of Boston. This is where I will compile four (4) small and related Celtics facts and offer my own spin on a variety of Celtics news stories. The general format will be a short blurb about the story first, then my reaction tabbed underneath it.
1. The Heat and Suns are close on a deal that could send Shaquille O'Neal to Phoenix in exchange for Shawn Marion and former Celtic Marcus Banks.
2. Kevin Garnett is still injured with a strained abdominal muscle and will probably be out through the rest of the week's games, including a game at home against the Clippers (2/6) and a game on the road back in Minnesota (2/8).
3. Damon Stoudamire signed with the San Antonio Spurs earlier this week, so goodbye and good riddance. Rumors are swirling that Clippers point guard Sam Cassell would enjoy coming to the Celtics.
4. Speaking of Cassell, the Clippers come to the TD BankNorth Garden tonight to face the Celtics. Who are the Clippers?
Tags: Celtics, Four-Point Play, Kevin Garnett, Los Angeles Clippers, Marcus Banks, Sam Cassell, Shaquille O'Neal, Shawn Marion


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ROCKSTAR is an 8 year old Palomino Paint KID PONY Gelding who is as sweet and SAFE as he is good looking! Blue eyes outlined in black....looks like he…SOLD
BAILEYSSPLASHOFCOLOR aka SHATZE is a 9 year old Red Roan Tobiano Mare who stands just 13.1Hands and is registered with the American Paint Horse Association…SOLD
Hooey is a 9 year old Black Gelding who stands 10 hands (40 inches) tall. He has as much "want to" as you will ever find in a KID PONY! Good looking…SOLD
A-N-Y-O-N-E LOOKING FOR A GAITED HORSE FOR THEMSELVES OR THEIR LITTLE ONES SHOULD COME GIVE "RUSTY" A TRY!! He is as solid and SAFE as they come and an…SOLD
If a Black & White Paint Gelding is what you are dreaming of then RICOS APACHE PRINCE is The Right Horse 4 U!!!! If he has the color and build you are…SOLD
BOSS is a 10 year old Quarter Pony that stands 12.2 hands tall, Sorrel w/long flax mane and tail and a small star. He is broke to ride but doesn't neck…SOLD
Lollie is a 7 month old sorrel and white Paint Colt who stands just 7.1 (29 inches) tall!! He is halter broke and leading good, will stand tied with…SOLD
Happy IS that hard to find, perfect KID PONY capable of making any childs Christmas Wish and/or Horse Related Dreams a Reality....SAFELY!!! Outstanding…SOLD


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Thanks Orymus3. I am also looking for other bits of real world information. Such as how long teams take to create a game, their real world process, how long they spend in each phase etc.
jcsantiagoMember Since 18 Feb 2003
Offline Last Active Jun 04 2014 11:52 PM
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