text:
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Complementary &
Alternative Medicine
AIDS (acquired immune deficiency syndrome) is the final stage of HIV disease, which causes severe damage to the immune system.
Alternative Names
Acquired immune deficiency syndrome
Causes, incidence, and risk factors
AIDS is the sixth leading cause of death among people ages 25 - 44 in the United States, down from number one in 1995. Millions of people around the world are living with HIV/AIDS, including many children under age 15. Human immunodeficiency virus (HIV) causes AIDS. The virus attacks the immune system and leaves the body vulnerable to a variety of life-threatening infections and cancers.Common bacteria, yeast, parasites, and viruses that usually do not cause serious disease in people with healthy immune systems can cause fatal illnesses in people with AIDS.HIV has been found in saliva, tears, nervous system tissue and spinal fluid, blood, semen (including pre-seminal fluid, which is the liquid that comes out before ejaculation), vaginal fluid, and breast milk. However, only blood, semen, vaginal secretions, and breast milk have been shown to transmit infection to others.The virus can be spread (transmitted):Through sexual contact -- including oral, vaginal, and anal sexThrough blood -- via blood transfusions (now extremely rare in the U.S.) or needle sharingFrom mother to child -- a pregnant woman can transmit the virus to her fetus through their shared blood circulation, or a nursing mother can transmit it to her baby in her breast milkOther methods of spreading the virus are rare and include accidental needle injury, artificial insemination with infected donated semen, and organ transplantation with infected organs.HIV infection is NOT spread by:Casual contact such as huggingMosquitoesParticipation in sportsTouching items that were touched by a person infected with the virusAIDS and blood or organ donation:AIDS is NOT transmitted to a person who DONATES blood or organs. People who donate organs are never in direct contact with people who receive them. Likewise, a person who donates blood is never in contact with the person receiving it. In all these procedures, sterile needles and instruments are used.However, HIV can be transmitted to a person RECEIVING blood or organs from an infected donor. To reduce this risk, blood banks and organ donor programs screen donors, blood, and tissues thoroughly.People at highest risk for getting HIV include:Injection drug users who share needlesInfants born to mothers with HIV who didn't receive HIV therapy during pregnancyPeople engaging in unprotected sex, especially with people who have other high-risk behaviors, are HIV-positive, or have AIDSPeople who received blood transfusions or clotting products between 1977 and 1985 (before screening for the virus became standard practice)Sexual partners of those who participate in high-risk activities (such as injection drug use or anal sex)
AIDS begins with HIV infection. People who are infected with HIV may have no symptoms for 10 years or longer, but they can still transmit the infection to others during this symptom-free period. If the infection is not detected and treated, the immune system gradually weakens and AIDS develops.Acute HIV infection progresses over time (usually a few weeks to months) to asymptomatic HIV infection (no symptoms) and then to early symptomatic HIV infection. Later, it progresses to AIDS (advanced HIV infection with CD4 T-cell count below 200 cells/mm3 ).Almost all people infected with HIV, if they are not treated, will develop AIDS. There is a small group of patients who develop AIDS very slowly, or never at all. These patients are called nonprogressors, and many seem to have a genetic difference that prevents the virus from significantly damaging their immune system.The symptoms of AIDS are mainly the result of infections that do not normally develop in people with a healthy immune system. These are called opportunistic infections.People with AIDS have had their immune system damaged by HIV and are very susceptible to these opportunistic infections. Common symptoms are:ChillsFeverRashSweats (particularly at night)Swollen lymph glandsWeaknessWeight lossNote: At first, infection with HIV may produce no symptoms. Some people, however, do experience flu-like symptoms with fever, rash, sore throat, and swollen lymph nodes, usually 2 - 4 weeks after contracting the virus. This is called the acute retroviral syndrome. Some people with HIV infection stay symptom-free for years between the time when they are exposed to the virus and when they develop AIDS.
Signs and tests
CD4 cells are a type of T cell. T cells are cells of the immune system. They are also called "helper cells."The following is a list of AIDS-related infections and cancers that people with AIDS may get as their CD4 count decreases. In the past, having AIDS was defined as having HIV infection and getting one of these other diseases. Today, according to the Centers for Disease Control and Prevention, a person may also be diagnosed with AIDS if they are HIV-positive and have a CD4 cell count below 200 cells/mm3, even if they don't have an opportunistic infection.AIDS may also be diagnosed if a person develops one of the opportunistic infections and cancers that occur more commonly in people with HIV infection. These infections are unusual in people with a healthy immune system.Many other illnesses and their symptoms may develop, in addition to those listed here.The following illnesses are common with a CD4 count below 350 cells/mm3:Herpes simplex virus -- causes ulcers/small blisters in the mouth or genitals, happens more often and usually much more severely in an HIV-infected person than in someone without HIV infectionHerpes zoster (shingles) -- ulcers/small blisters over a patch of skin, caused by reactivation of the varicella zoster virus, the same virus that causes chickenpoxKaposi's sarcoma -- cancer of the skin, lungs, and bowel due to a herpes virus (HHV-8). It can happen at any CD4 count, but is more likely to happen at lower CD4 counts, and is much more common in men than in women.Non-Hodgkin's lymphoma -- cancer of the lymph nodesOral or vaginal thrush -- yeast (typically Candida albicans) infection of the mouth or vaginaTuberculosis -- infection by tuberculosis bacteria mostly affects the lungs, but can also affect other organs such as the bowel, lining of the heart or lungs, brain, or lining of the central nervous system (brain and spinal cord)Common with CD4 count below 200 cells/mm3:Bacillary angiomatosis -- skin sores caused by a bacteria called Bartonella, which may be caused by cat scratchesCandida esophagitis -- painful yeast infection of the tube through which food travels, called the esophagusPneumocystis jiroveci pneumonia, "PCP pneumonia," previously called Pneumocystis carinii pneumonia, caused by a fungusCommon with CD4 count below 100 cells/mm3:AIDS dementia -- worsening and slowing of mental function, caused by HIVCryptococcal meningitis -- fungal infection of the lining of the brainCryptosporidium diarrhea -- extreme diarrhea caused by a parasite that affects the gastrointestinal tractProgressive multifocal leukoencephalopathy -- a disease of the brain caused by a virus (called the JC virus) that results in a severe decline in mental and physical functionsToxoplasma encephalitis -- infection of the brain by a parasite, called Toxoplasma gondii, which is often found in cat feces; causes lesions (sores) in the brainWasting syndrome -- extreme weight loss and loss of appetite, caused by HIV itselfCommon with CD4 count below 50/mm3:Cytomegalovirus infection -- a viral infection that can affect almost any organ system, especially the large bowel and the eyesMycobacterium avium -- a blood infection by a bacterium related to tuberculosisIn addition to the CD4 count, a test called HIV RNA level (or viral load) may be used to monitor patients. Basic screening lab tests and regular cervical Pap smears are important to monitor in HIV infection, due to the increased risk of cervical cancer in women with a compromised immune system. Anal Pap smears to detect potential cancers may also be important in both HIV-infected men and women.
There is no cure for AIDS at this time. However, a variety of treatments are available that can help keep symptoms at bay and improve the quality and length of life for those who have already developed symptoms.Antiretroviral therapy suppresses the replication of the HIV virus in the body. A combination of several antiretroviral drugs, called highly active antiretroviral therapy (HAART), has been very effective in reducing the number of HIV particles in the bloodstream. This is measured by the viral load (how much free virus is found in the blood). Preventing the virus from replicating can improve T-cell counts and help the immune system recover from the HIV infection.HAART is not a cure for HIV, but it has been very effective for the past 12 years. People on HAART with suppressed levels of HIV can still transmit the virus to others through sex or by sharing needles. There is good evidence that if the levels of HIV remain suppressed and the CD4 count remains high (above 200 cells/mm3), life can be significantly prolonged and improved.However, HIV may become resistant to one combination of HAART, especially in patients who do not take their medications on schedule every day. Genetic tests are now available to determine whether an HIV strain is resistant to a particular drug. This information may be useful in determining the best drug combination for each person, and adjusting the drug regimen if it starts to fail. These tests should be performed any time a treatment strategy begins to fail, and before starting therapy.When HIV becomes resistant to HAART, other drug combinations must be used to try to suppress the resistant strain of HIV. There are a variety of new drugs on the market for treating drug-resistant HIV.Treatment with HAART has complications. HAART is a collection of different medications, each with its own side effects. Some common side effects are:Collection of fat on the back ("buffalo hump") and abdomenDiarrheaGeneral sick feeling (malaise)HeadacheNauseaWeaknessWhen used for a long time, these medications increase the risk of heart attack, perhaps by increasing the levels of cholesterol and glucose (sugar) in the blood.Any doctor prescribing HAART should carefully watch the patient for possible side effects. In addition, blood tests measuring CD4 counts and HIV viral load should be taken every 3 months. The goal is to get the CD4 count as close to normal as possible, and to suppress the amount of HIV virus in the blood to a level where it cannot be detected.Other antiviral medications are being investigated. In addition, growth factors that stimulate cell growth, such as erthythropoetin (Epogen, Procrit, and Recomon) and filgrastim (G-CSF or Neupogen) are sometimes used to treat AIDS-associated anemia and low white blood cell counts.Medications are also used to prevent opportunistic infections (such as Pneumocystis jiroveci pneumonia) if the CD4 count is low enough. This keeps AIDS patients healthier for longer periods of time. Opportunistic infections are treated when they happen.
Support Groups
Joining support groups where members share common experiences and problems can often help the emotional stress of devastating illnesses. See AIDS - support group.
Expectations (prognosis)
Right now, there is no cure for AIDS. It is always fatal without treatment. In the U.S., most patients survive many years after diagnosis because of the availability of HAART. HAART has dramatically increased the amount of time people with HIV remain alive.Research on drug treatments and vaccine development continues. However, HIV medications are not always available in the developing world, where most of the epidemic is raging.
When a person is infected with HIV, the virus slowly begins to destroy that person's immune system. How fast this occurs differs in each individual. Treatment with HAART can help slow or halt the destruction of the immune system.Once the immune system is severely damaged, that person has AIDS, and is now susceptible to infections and cancers that most healthy adults would not get. However, antiretroviral treatment can still be very effective, even at that stage of illness.
Calling your health care provider
Call for an appointment with your health care provider if you have any of the risk factors for HIV infection, or if you develop symptoms of AIDS. By law, the results of HIV testing must be kept confidential. Your health care provider will review results of your testing with you.
See: Safe sex to learn how to reduce the chance of catching or spreading HIV and other sexually transmitted illnesses (STIs) Tips for preventing HIV/AIDS:Do not use illicit drugs and do not share needles or syringes. Many communities now have needle exchange programs, where you can get rid of used syringes and get new, sterile ones. These programs can also provide referrals for addiction treatment.Avoid contact with another person's blood. You may need to wear protective clothing, masks, and goggles when caring for people who are injured.Anyone who tests positive for HIV can pass the disease to others and should not donate blood, plasma, body organs, or sperm. Infected people should tell any sexual partner about their HIV-positive status. They should not exchange body fluids during sexual activity, and should use preventive measures (such as condoms) to reduce the rate of transmission.HIV-positive women who wish to become pregnant should seek counseling about the risk to their unborn child, and methods to help prevent their baby from becoming infected. The use of certain medications dramatically reduces the chances that the baby will become infected during pregnancy.The Public Health Service recommends that HIV-infected women in the United States avoid breastfeeding to prevent transmitting HIV to their infants through breast milk.Safer sex practices, such as latex condoms, are highly effective in preventing HIV transmission. HOWEVER, there is a risk of acquiring the infection even with the use of condoms. Abstinence is the only sure way to prevent sexual transmission of HIV.The riskiest sexual behavior is receiving unprotected anal intercourse. The least risky sexual behavior is receiving oral sex. There is some risk of HIV transmission when performing oral sex on a man, but this is less risky than unprotected vaginal intercourse. Female-to-male transmission of the virus is much less likely than male-to-female transmission. Performing oral sex on a woman who does not have her period has a low risk of transmission.HIV-positive patients who are taking antiretroviral medications are less likely to transmit the virus. For example, pregnant women who are on effective treatment at the time of delivery, and who have undetectable viral loads, give HIV to their baby less than 1% of the time, compared with 13% to 40% of the time if medications are not used.The U.S. blood supply is among the safest in the world. Nearly all people infected with HIV through blood transfusions received those transfusions before 1985, the year HIV testing began for all donated blood.If you believe you have been exposed to HIV, seek medical attention IMMEDIATELY. There is some evidence that an immediate course of antiviral drugs can reduce the chances that you will be infected. This is called post-exposure prophylaxis (PEP), and it has been used to prevent transmission in health care workers injured by needlesticks.There is less information available about how effective PEP is for people exposed to HIV through sexual activity or injection drug use, but it appears to be effective. If you believe you have been exposed, discuss the possibility with a knowledgeable specialist (check local AIDS organizations for the latest information) as soon as possible. Anyone who has been sexually assaulted should consider the potential risks and benefits of PEP.
Quinn TC. Epidemiology of human immunodeficiency virus infection and acquired immunodeficiency syndrome. In: Goldman L, Schafer AI,eds. Cecil Medicine. 24th ed. Philadelphia, PA: Saunders Elsevier; 2011:chap392. Sterling TR, Chaisson RE. General clinical manifestations of human immunodeficiency virus infection (including the acute retroviral syndrome and oral, cutaneous, renal, ocular, metabolic, and cardiac diseases). In: Mandell GL, Bennett JE, Dolin R, eds. Principles and Practice of Infectious Diseases. 7th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2009:chap 121.
Review Date: 4/30/2012
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Jatin M. Vyas, MD, PhD, Assistant Professor in Medicine, Harvard Medical School; Assistant in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997-
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text:
Municipalities, Unions Need To Find Middle Ground
September 27, 2013
It is pretty obvious —given the fact that 44 Chautauqua County municipalities are eligible to participate — that a Financial Restructuring Board is necessary in New York state....
Detroit, D.C. and the White House...all failures. Interesting.
3 Agrees | 2 Disagrees | Report Abuse »
Laughed to see it acknowledged as a "crisis-like atmosphere" meaning not an actual crisis (NY Teachers Pension fund healthy and almost completely funded by employee contributions) but an artificial one designed to get the base drooling. How funny it must be to be able to get your working drones to completely renounce traditional property and contract law, which normally occupies a hallowed place just ahead of the baby Jesus, whenever it suits you.
1 Agrees | 4 Disagrees | Report Abuse »
FedUp, how did we know the fall of Detroit would be this president's fault. Laughable. So you would have him do nothing for one of the largest cities in the country? And through out all of these years, it was all dems who ran Detroit into the ground. Lets see, a mintority president, a city with one of the largest minority populations, and you say f them both. Interesting
2 Agrees | 4 Disagrees | Report Abuse »
State mandates are driving people and business out of state and causing the problems local governments incur in the first place. Start by getting rid of state mandates.
6 Agrees | 2 Disagrees | Report Abuse »
Everybody in NY who voted for Obama should be upset that Obama just sent $300 Million of your tax dollars to Detroit with his promise of more to come their way. If you're not ticked off, you're a fool. If you keep sending people to D.C. who support this outrage, you're a fool. Democratic politicians have stolen millions from Detroit, some have been convicted and are in prison but the city's residents keep electing Democrats and they have only themselves to blame. Now, for giving 95% of their vote to Obama, they publicly said they expect "payback" from the rest of the country. Nothing will destroy the fabric of national unity more than this type of corruption. Well, Obama promised to fundamentally change America and this will be one of the few promises he'll keep.
4 Agrees | 3 Disagrees | Report Abuse »
The only people unions hire is their lawyers and hierarchy, The company isn't theirs. They're raiding it. Worse in a government job. They rob us all.
2 Agrees | 4 Disagrees | Report Abuse »
oops...texting and typing at same time...
1 Agrees | 1 Disagrees | Report Abuse »
Put all of lyour savings and seven dayhs a week 20 her days into a business, borrow up to your ears, sweat it out, then have people you gave a job when they came begging so they could put in 8hr hr days tell you how much you have to give them..
2 Agrees | 3 Disagrees | Report Abuse »
If a bunch of people form a gang and threaten to shut down somebody's business unless they pay up,it's either a mafia mob extortion protection racket, or government sanctioned union. Same difference.
3 Agrees | 3 Disagrees | Report Abuse »
I have to believe that all of the folks who hate unions so couldn't get a job with one.
3 Agrees | 3 Disagrees | Report Abuse »
ho hum..another idea to control cost that the voters will forget about after November... don't worry.. nothing bad will happen... just ask anybody in Stockton California.
0 Agrees | 2 Disagrees | Report Abuse »
Let's not forget that government must pay union prevailing rate when hiring contractors for public projects. This along with the more stringent requirements usually doubles the cost of any project.
6 Agrees | 2 Disagrees | Report Abuse »
1Diablo, I am sure the fall of the auto industry had nothing to do with it. But I agree with the editorial, these legacy pension costs cannot continue as most municipalities can no longer pay. These were bad deals then, and they are bad deals now.
4 Agrees | 2 Disagrees | Report Abuse »
Public sector unions are destroying communities all across America look at Detroit after sixty years of Democrats this is New York's future then all the promises to the union go unpaid. Thanx Detroit to bad nobody else see how your people are broke and city died. No pension money , taxes to pay for schools or any public worker.
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QUEENSBURY - The Johnstown golf team finished fifth Monday at the Foothills Council Tournament at Glens Falls Country Club.
Queensbury won the team title with a total of 325, while Scotia-Glenville (337) was second and Glens Falls (345) was third. South Glens Falls (354) was fourth, Johnstown (362) was fifth, Broadalbin-Perth (365) was sixth and Gloversville (378) was seventh.
Glens Falls' Alex Gibson won the individual title in a tiebreaker over Gloversville's Josh Fonda after both finished with rounds of 73.
South Glens Falls' Clark Leonelli was third with a 75, while Hudson Falls' Wyatt Gorham and Queensbury's Josh Bonn tied for fourth with rounds of 79.
Broadalbin-Perth's Alex Bond was seventh with an 81, while Johnstown's Chris Geleta was 11th with an 84.
Alex Hornidge added a 92 for the Sir Bills, while Richie Lee and Chris Renda each finished with rounds of 93.
Brett Getman finished with a 93 for Broadalbin-Perth, while Noah Scott had a 94 and Mike Schebel had a 97.
Kyle Johnston posted a 98 for Gloversville, Justin Putnam had a 101 and Anthony Ponticello added a 107.
Gibson, Fonda, Gorham, Bond, Geleta and Leonelli were all named to the all-league team.
Also named to the all-league team were Queenbury's Colin Gaunt, Scotia-Glenville's David Renko and Scotia-Glenville's Dan Omicinski.
Colonial Council
Fonda-Fultonville 176, Voorheesville 180
FONDA - Luke Calkins, Adam DeSorbo, Tony Angioli and Justin Galusha all finished with rounds of 44 to lead Fonda-Fultonville to a win over Voorheesville.
Dom Mancini added a 48 for the Braves, while Jack Mulyca posted a 53.
Dennis Ziamandanis led Voorheesville with a 35, while Frankie Tedesco posted a 40. Tom Gallahder had a 45 for the Blackbirds, Willie Gallagher carded a 47, Kristian Singh finished with a 53 and Ronny Hoogkamp added a 58.
Canajoharie fourth at tourney
RAVENA?- The Canajoharie golf team finished fourth at the Western Athletic Conference Tournament at Sycamore Country Club.
Saratoga Catholic won the team title with a total of 355. Berne-Knox-Westerlo (395) was second,?Duanesburg (397) was third, Canajoharie (405) was fourth and Schoharie (412) was fifth. Fort Plain was eighth with a total of 485 and Northville-Mayfield was ninth with a total of 494.
Northville-Mayfield's Jordon?Fordyce won the individual title with a round of 80.
Saratoga Catholic's Dylan?Seeber was second with an 83.
Canajoharie's Sam?Shostek was sixth with a round of 95.
Fordyce also was named the league's MVP.
Seeber, Welcome and?Szekely were named first-team?WAC all-stars.
Also named first-team all-stars were Duanesburg's Pat McGarry, Berne-Knox-Westerlo's Cory?Depeaux and Northville-Mayfield's Gavon?Winn.
Canajoharie's Austin?Countryman and Michael Balfe were named second-team all-stars. Also named to the second team were Berne-Knox-Westerlo's C.J.?North, Saratoga Catholic's Colin Bradley and Northville-Mayfield's Frank?Coulter.


text:
Browsing by Subject "Fuzzy Inductive Reasoning"
Now showing items 1-2 of 2
Rule-based assistance to brain tumour diagnosis using LR-FIR (Future Technology Press, 2009-01-31)
Part of book or chapter of book
Restricted access - publisher's policyThis paper describes a process of rule-extraction from a multi-centre brain tumour database consisting of nuclear magnetic res- onance spectroscopic signals. The expert diagnosis of human brain tumours can benefit from ...
Using the Fuzzy Inductive Reasoning methodology to improve coherence in algorithmic musical beat patterns (IOS Press, 2014-10-23)
Part of book or chapter of book
Open AccessIn the present work, the Fuzzy Inductive Reasoning methodology (FIR) is used to improve coherence among beat patterns, structured in a musical A-B form. Patterns were generated based on a probability matrix, encoding a ...


text:
New York Mets shortstop Jose Reyes is heading back to New York. Concerns over the 26-year-old's thyroid levels following Thursday's second round of blood work are the reason for his leaving Mets camp in Port St. Lucie, Fla.
According to the Newark Star-Ledger, Reyes insists that he feels fine and was surprised by the news.
More from the S-L's Brian Costa:
Nonetheless, he'll be examined Monday at the Hospital for Special Surgery in Manhattan. The test results could take 48 hours to come back, which would delay Reyes' Grapefruit League debut until Wednesday at the earliest."I have to be concerned about it and find out what's going on," Reyes told the New York Daily News. "... This is important. We're not talking about my leg. We're talking about my health, so I have to be concerned about it."
Reyes was held out of the team's lineup on Thursday when physicians wanted to take another blood specimen following his team-ordered physical.


text:
|[TowerTalk] Rising SWR Update
|email@example.com (w4lc)
|Wed Jan 29 21:22:57 2003
Hi Tom, You may want to try opening the RCS-8V remote box and cleaning the contacts. I recommend a business card sprayed with a contact cleaning solution on both sides. Just run it beween the contacts a couple times. I have the RCS-4, and have had to do this about once a year. The symptoms telling me this is due are just what you describe. Jim W4LC ----- Original Message ----- From: "Tom Branch" <email@example.com> To: <email@example.com> Sent: Wednesday, January 29, 2003 02:55 Subject: [TowerTalk] Rising SWR Update > Greetings, > > I ran a few more tests tonight. I put the dummy load at the base of the > tower. No problems. That rules out everything between the tower and the > shack. I ran 1 kw into the antenna and waited for the SWR to climb. As soon > as it reached 2:1, I switch to one of the other sloper legs and the SWR > continues to climb off the meter. That rules out the baluns. The only two > things left are the Ameritron antenna switch and the coax running up the > tower. I guess I'm going to climb the tower and bypass the antenna switch > and try it again. Too late to climb tonight. Anyone have issues with the > Ameritron RCS-8V? > > Tom > > firstname.lastname@example.com > http://www.k4nr.org > > _______________________________________________ > TowerTalk mailing list > email@example.com > http://lists.contesting.com/mailman/listinfo/towertalk
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Live Blogging the 2013 Billboard Music Awards
7:55 p.m.: It's time for the Billboard Music Awards. When I was West Coast Bureau Chief at Billboard, the BMAs were one of my favorite events. Back then, they were in December and they were based on the year-end Soundscan/BDS numbers. Two years ago, after a four-year hiatus, the BMAs were resurrected for May sweeps, so now they are awarded based on the top sellers between that well-recognized March-to-March period. In other words, ABC gave Billboard the slot and Billboard had to come up with awards that somehow made sense. Of course, they aren't the only awards that don't follow a calendar year: the Grammys cover October to September.
Among the performers on tonight's show are Taylor Swift, Bruno Mars, Pitbull with Christina Aguilera (and with Jennifer Lopez), Justin Bieber, Chris Brown, Macklemore & Ryan Lewis, and Prince. Here we go, into the breach...
8 p.m.: The evening opens with Bruno Mars performing on what looks like a "Soul Train" set from the '70s, full of disco balls. Performing the retro-sounding "Treasure," Mars and his band are all dressed in similar red suits and have the same dance moves. It's delicious. He ends with a bit of the medley of "Locked Out of Heaven." I say this every time I write about Mars, he is a stone-cold star.
8:06: Tracy Morgan is hosting. He comes out behind a shroud of scantily-clad Vegas show girls because that's never been done before...yawn. I won't be doing this all night, but when I was at Billboard, I'd say the best hosts were Kathy Griffin, who was hilarious, and Bernie Mac, may he rest in peace. Morgan gets through his monologue with some tired jokes, such as how you don't want to date Taylor Swift because she'll write a song about you, but he lands his joke about Mr. Vegas, Wayne Newton being his long-lost father.
8:09: Shania Twain, who has a residency at Caesars Palace in Vegas, presents top rap artist to Nicki Minaj, who has on a beautiful red dress. She first exclaims that she didn't expect this. I will say that when I was aware of how the awards were handled, the winners really didn't know in advance. They knew they were finalists, but that was it (although given that the awards are based on SoundScan and BDS data, in some cases, it's not too hard to figure out who will win). Minaj gives a restrained, fairly generic thank you speech with no mention of Mariah Carey at all...
8:17: That's some fine lipsyncing by Selena Gomez on "Come and Get It," her first top 10 hit. I've seen her do a variation of this performance about four times now with different costumes and slightly different motifs, but it's all been pretty much the same. She looks beautiful, but this is nothing more than a girls revue performed to an extremely mediocre song that sounds like a Rihanna cast-off.
8:21: The Band Perry, or Kimberly Perry and her two back-up brothers, are performing "Better Dig Two," the first single off their current album, "Pioneer." I wonder why they're doing that instead of current single, "Done." Now the three siblings are banging on drums in front of them. I've seen Blue Man Group do the exact same thing, but they do it with lots and lots of groovy-colored paint splashing everywhere. But they don't have to sing while they're doing it. Advantage: The Band Perry.
8:30: Carly Rae Jepsen introduces Icona Pop who are performing their hit "I Love It." Two thoughts: Jepsen has sadly become a one-hit wonder. There's still, of course, time for that to change, but it makes me a little sad that she hadn't had more success. Second thought: "I Love It" took a tremendously long time to catch on at top 40-- after tunneling through countless commercial placements. So far, all of the performances have been uptempo, which is a smart move. Oh my, we're going straight from synthetic (albeit catchy) Icona Pop to Psy. Psy and Tracy Morgan are having a dance off and Morgan is calling Psy fat, which I wouldn't say. But they use it as a way to segue into Chris Brown's performance of "Fine China." Based on some of the clams he's hitting, he is definitely singing live when he's singing, although most of the singing is taped. At least he's not even pretending to be singing when he's not. My God, the man can dance. Working off the China motif, he goes into a ninja routine (I googled, yes, ninjas are Japanese, but apparently some of the moves originated in China-- entertaining AND informative... ) Orianthi comes on and adds some guitar shredding. Michael Jackson had tagged her as the guitarist for the "This Is It," so maybe she'll now sign on with Brown since he so badly wants to be Jackson.
8:40: Macklemore & Ryan Lewis are performing "Thrift Song," which I'm still loving, probably because of the horns and Wanz's poppin' tags. They may be lip syncing, but it's a very entertaining performance.This was pre-taped at Tryst at the Wynn.
8:54: Huh? Why is Tracy Morgan giving a shout out to Michael Jackson and wearing a silver MJ jacket. TI thought he was going to give a shout out to the new Cirque du Soleil show , "Immortal," that's coming to Mandalay Bay, but no, it's just some random thing. Now Kid Rock, who seems inebriated, comes out and lambasts the folks who are lip synching. He presents Top Rap Song to Macklemore & Ryan Lewis for "Thrift Shop." They accept from The Wynn, so maybe their performance wasn't pre-taped.
9:02: Don't you think Jabbawockeez dance crew when you think Taylor Swift? Well, you might not, but she does. They, and a league of other dancers, join her on a fun-filled "22." As usual, she hits some notes that sound a little flat, but it's a lively performance that starts in her dressing room and runs through the backstage of the arena. Tracy Morgan comes back, still in his MJ jacket, to make a bad joke about how the show is so hot by the time it ends, Elvis Presley, TuPac and Notorious B.I.G. will have come back to life.
9:09: Kacey Musgraves is performing her country top-10 hit, "Merry-Go-Round." This needed more of a set-up than Florida Georgia Line since about 98% of the people watching have never heard of her. It's a very restrained, low-key performance, which means people could hear the words, including one of my favorite lines from this year, "Mama's hooked on Mary Kay/Brother's hooked on Mary Jane/Daddy's hooked on Mary two doors down. Her album, "Same Trailer, Different Park" is one of my favorites so far this album, but this reeks of her label saying they wanted her on the show if Billboard was going to get some other big names.
9:15: Will.I.Am is presenting Madonna with the top touring artist. Oh, Madge, she's a BDSM Jackie O from the top up with her fur coat and sunglasses and chain lock around her neck, and hooker from the waist down since she forgot to wear pants and is in a garter and thigh highs. She's giving a very boring speech thanking the folks who put her tour together, including the music director and set designers. Oh, yeah, she just remembered to thank her four children, two of them who worked on the show. Go child labor! She finally gets around to thanking her fan. "Without you, I wouldn't have a show to do and a show girl needs her fans. Thank you for supporting me for three decades." I don't even know what to say. Madonna had a chance to give a really heartfelt speech about her fans and about being able to have this amazing career for 3 decades. A chance to actually show some emotion. Most disappointing performance of the night. What's the matter with her (m)DNA? Thighs: 10, Heart: 0.
9: 25: Justin Bieber wants to take us home in his baggy black leather pants... they're so loose, there's room for all of us in there. I am not in the Bieber-Hater club, but what a wretched song and performance. Did he sing a word of that? The global graphics were cool, but does he think he's a reject from "The Matrix" or something? He climbs into a pod at the end. Time for the mothership to beam him back to Canada.
9:33: Taylor Swift's "Red" wins Top Billboard 200 album, again, thanks to the timetable of the awards. She runs through her laundry list, but comes back thanks her fans and calls their support "magical." Madonna could learn from Swift. A classy looking Ke$ha (I know, I know, that sounds like a oxymoron) introduces Pitbull and Christina Aguilera, who are performing "Feel This Moment." Aguilera, who can really, really sing, is lipsyncing for some reason along to some super-enhanced vocals, but it doesn't matter, because all the press will talk about is how great she looks now that she's dropped some weight. And she does. I'm a sucker for this song and for a lot of Pitbull songs. Maybe in this case, it's the interpolation of the melody from A-ha's "Take On Me," but in general, he's just good time dance pop that isn't meant to be anything more than that. They're supposed to be joined by a special guest. And it's A-ha's Morten Harket, who looks great! He's also lipsyncing and no one over 30 will know who he is, but it's a nice little homage.
9:42: When did Miley Cyrus become, as Morgan calls her, is one of the biggest stars on the planet? Really? Maybe one of the biggest tabloid sensations. She's supposed to perform her new single tonight. We'll see. Now she's presenting top male artist, which goes to Justin Bieber. He redeems that performance by thanking his fans, the Beleibers. However, the camera is much more concerned with how his once and possibly current girlfriend Selena Gomez is reacting...which is not much. All I can think of is how sad I feel for Mally, the monkey he abandoned in Germany.
9:47: Miguel's performing "Adorn." His Grammy performance was one of the highlights of the Grammys and, like Bruno Mars, I think he's a really strong new talent, but there's something off about this performance... or is it just me? He and his band don't seem to by in sync, but at least he's singing.
9:52: We've got a little more than an hour left and the show has been very fast paced. Like most award shows, the awards are a complete afterthought and most aren't being given out on TV. I really hate how much people are lipsyncing. I wonder when it became totally acceptable to do that on a live TV show, even when you're not dancing around? I have to think that Kid Rock's comment about it was ad libbed because there's no way that someone would have written that in... guess he won't be back. Hell, I think he should host next time.
9:56 I could cry with relief. Ed Sheeran is actually singing live. He's singing "Lego House," but if I close my eyes and ignore the accent, I swear I hear Tracy Chapman's "Fast Car." Is it just me?
10:00: The third hour opens with Pitbull and "global superstar," Jennifer Lopez performing "Live It Up." Like Madonna, Lopez forgot her pants. In truth, I am in awe of their bodies, but that doesn't mean their outfits look great. "Live It Up" is much less catchy than Pitbull's number with Aguilera and I can't enjoy it because I'm too afraid Lopez's heel is going to get caught on the grate. Wow. We just got a full Lopez crotch shot. She is very well groomed. The gifs of that slide will start in 3...2...1. Is that Lopez screaming "Put me down!" at the end?
10:07: Billboard, I hope you feel good about totally just selling out with this horrible O.D.I.V (One Day In Vegas) spot with Sky Blu that's part of the programming. I hope the tourism board paid you buckets. I know sponsorship and placement within shows has become acceptable, but they will never seems unclunky to me. Rest easy, Madonna... you're off the hook with your acceptance speech. There's a new low.
10:12: David Guetta wins top EDM artist. The award was co-presented by Kelly Rowland. If you aren't familiar with his and Rowland's song "When Love Takes Over" from a few years ago, as soon as the show is over, go listen. It's fantastic. I also still love "Without You" featuring Usher. He gives a very sweet acceptance speech about how he thought Billboard was crazy when they put him on the cover a few years ago, heralding EDM as the next big thing.
10:14: Bieber and his baggy leather pants are back to perform "That Power" with will.i.am. I know this is absolutely nothing new, but I'm so bored with performances that double at aerobics routines. A real song, as Ed Sheeran showed earlier, doesn't need that and great dance moves can't redeem a boring song.
10: 24: David Guetta, Akon and Ne-Yo are performing "Play Hard." Guetta, who probably makes hundreds of thousands of dollars per appearance now, has the easiest job in the world. He gets to hang out in the DJ booth, spin, and play with hair or raise his hand as an emphasis point every now and then and/or clap. No wonder he can't get that grin off his face. Props that his green headphones match the green laser. What's it say when the EDM guys are among the few not lipsyncing?
10: 28: Did Tracy Morgan just call Cee-Lo his favorite poop stain? Anyway, Cee-Lo and a lucky winner, who's much more poised than Morgan, is presenting the fan-voted Milestone Award. It's supposedly for innovation, but it's just a popularity contest. Swift is forced to look happy for him as he stands there holding the award with his sunglasses on, looking like a douchebag. Seriously, unless you have pink eye, take off the damn sunglasses inside. "I'm 19 years old, I think I'm doing a pretty good job," Bieber says, before he starts talking about his "craft" and being taken "seriously" and not all the other "bull." My hat is off to you, Billboard... tonight I have experienced two things I never thought I would: Taylor Swift performing with Jabbawockeez and Beiber using the word "craft" in a sentence to express his career.
10:38: Taylor Swift wins artist of the year. Sounding perfectly rational she's talking about how her music covers an"extreme emotional spectrum.. Those are the crazy emotions and I want to thank you for making it the soundtrack to your crazy emotions. You are the longest and best relationship I ever had." Aah... Are you listening Madonna?
10: 44: Nicki Minaj is now giving Lil Wayne a lap dance as they perform "High School." Now she's shaking her booty in the camera. Between that and the shot of Jennifer Lopez's lady business, I'm good... I feel very safe in saying that they don't deserve to be taken seriously. I'm all for women (and men) expressing their sexuality, but Jesus, when did flashing your crotch or shaking your ass become some indicator of your talent?
10:49: Erykah Badu and Janelle Monae, wearing the outfits they sport in their "Q.U.E.E.N." video, are introducing Prince, who's won the Icon Award. They can say all they want about Prince, but I really want to ask them how they feel about Nicki Minaj's performance. I think it's safe to say that we'll never see these two wonderfully talented women giving someone a lap dance on stage.
10: 52: I guarantee you with every dollar I have in my bank account, Prince made them put the line about his being a champion for performers' rights in this taped piece.
10:53: Prince, with a full afro, is doing a slow-down, funkified "Let's Go Crazy." I bet he's never lipsynced in his life.He's got what looks like an all-female band. Here's a thought: he and Jack White should take their all-girl bands out on the road together. Or he and Beyonce. I would pay lots of money for that. Now he's gone into ferocious version of a relatively new song, "FixUrLifeUp," before he goes back into "Let's Go Crazy" with some incredibly shredding, Hendrix-style. Game, set, match. Prince, thank you for getting the taste of Nicki Minaj out of my mouth. For the kids watching, go pull out every single one of your parents' Prince CDs and listen to them over and over and over again so you actually understand what real music is.
11:02: So the BMAs started very strong with a great performance by Bruno Mars and ended with a strong, electrifying performance by Prince. There were certainly some good moments inbetween, but not enough. My favorite performances were Mars, Prince, Macklemore & Ryan Lewis, Ed Sheeran and Pitbull/Christina Aguilera. Tracy Morgan was a dud of a host (even though I know it's a really thankless job).
What did you think?


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I love it when something stupid I do or have done ends up on one of these posts. Just sayin'. Haha, either way, its another edition of "Things You Hate To Happen To You!"
#6 – The Bowling Alley
I like bowling. I think it is a lot of fun, even if I stink at it (don't tell that to my college professor from whom I took Bowling 130 back in the day). But here is the fact of the matter. No matter how many times I look good when it comes to my bowling technique, I am either going to horribly launch the ball into the other lane or totally fall flat on my face thanks to the oily surface.
I was totally going to make a video for all of you about my real-life experiences with it, but this video that I found was in much more detail and a lot less painful for yours truly:
Haha, at least I am not on the Pro Tour like this guy is.
Anyways, think about it this way. I grew up in Canada, and in Canada bowling is a lot different. Instead of 10-pins and bowling balls with finger-holes in them, Canadians play with 5-pins and bowling balls the size of your hand. It looks something like this:
Am I blaming my horrible bowling skills on 5-Pin bowling? Maybe a little bit, but either way, I should be able to let go of the ball at the right time and not look like an idiot at the same time, right? But I will tell you, it's pretty cool to be able to launch those 4-pound palm sized bowling balls down the lane at 90 MPH. It makes you feel sort of more manly… haha.
But regardless, I am sure that something like that which was shown in the first video has happened to everyone at some point in time. It's just another one of those things that you can't always control, but it always happens to you!