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- Paperback: 264 pages
- Publisher: Rowman & Littlefield Publishers (May 16, 2012)
- Language: English
- Product Dimensions: 6 x 0.8 x 9 inches
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Becoming a True Champion: Achieving Athletic Excellence from the Inside Out Paperback – May 16, 2012
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"Becoming a True Champion is more than an expert lecture on the keys to sports success, it is a hands-on manual which gives readers practical exercises to help them become the best they can be. Mango has 'nailed it' with this book." (Bart Conner, Two-time Olympic Gold medalist)
"I read it, I loved it, I live it. As a professional athlete in the NFL, I've made many sacrifices in my personal and athletic life. Becoming a True Champion is an inspiration even to me now. It's a great reference for the passionate athlete willing to make sacrifices to achieve true greatness." (Steve Weatherford, NY Giants punter)
"This is a very insightful book that is extremely beneficial for an athlete of any level. I found this book to really encompass the trials and dedication it takes to give yourself that best opportunity to be successful, not only in sports, but in life. It is definitely a must-have for any young athlete." (Rob Scahill, Major League pitcher for the Colorado Rockies)
"Becoming a True Champion is an excellent book that relays the perfect message for any athlete. It is a great book for the elite athlete in that it conveys that you can never work too hard and that any goal you want to reach is attainable. This book will inspire even average athletes who have a true passion for their sport but haven't quite achieved the success they want. It encourages them to ignore their critics and doubters as well as to work harder than they ever have. They will see that they are in control of their own success." (Phil Wunderlich, Minor League infielder for the Tampa Bay Rays)
"Becoming a True Champion is not only [Kirk Mango's] story of success in gymnastics, but it is a guide for all athletes in any sport to fully understand what it takes to become a premier athlete. Wonderfully written, this book is a step-by-step process to success in sports. Kirk is careful to explain the hard work, effort and dedication that it takes to become a "true champion." I highly recommend that any athlete who wants to succeed in his sport must read Becoming a True Champion. Kirk, you have done it again!" (Lloyd Bachrach, Former USA Paralympic sitting volleyball player and nationally recognized motivational speaker)
"Kirk Mango's thoughts, ideas, and concepts are good examples of what's positive in youth athletics. From their important emphasis on character and responsibility as a young athlete, to their razor sharp focus on what it takes to be successful and how to get there, all are right on. Parents and coaches, as well as the kids themselves, will really benefit from his message." (Robert A. Weil, DPM, Sports podiatrist and host of The Sports Doctor Radio Show)
"After working with great teenage athletes over two decades, I have found a must-read book, Becoming a True Champion by Kirk M. Mango. This book accurately describes a path that teenagers and their parents can follow to achieve greatness in the teen's personal and athletic life." (Ken Braid, Co-founder of the J. Kyle Braid Leadership Foundation)
"As young men and women set their sights on a championship, they ask themselves what it will take to become a champion. Kirk Mango provides a clear answer to that question and at the same time takes the concept of 'champion' and extends its meaning into life beyond the athletic arena. . . . Kirk Mango's book should be in school libraries everywhere. His actual experiences as a championship athlete and first-hand knowledge of today's teens as a coach make his advice especially relevant." (Mindy Null, ALA Member and high school library department chair)
Kirk Mango knows what it takes to be a champion. Now he has written a book to advise others. (Champion! Magazine)
Mango focuses on empowering individuals to believe in themselves enough to set a course of action and develop the CDSPH –Commitment, Discipline, Sacrifice, Priorities, Heart – to complete the task….With an emphasis on character and integrity, Mango's book is both relevant and timeless. And its message is not only for athletes. (International Gymnast)
A great advantage of the book is that the authors consistently relate their thoughts and ideas into good practical examples, making it easy for the reader to keep up with the reasoning presented... This book is recommended mainly for young people who want to be inspired and gain a greater understanding of what it takes to be really good at their sport and who want to get hands-on practical tips for how to go approach to optimize the chances of reaching as their full potential and hopefully become a " true champion ". (Idrottsforum.org)
About the Author
Kirk Mango was a collegiate Division I national champion and gold medalist on the still rings in 1979; he defeated several Olympians to earn this honor. The previous year Kirk had won the silver medal on this event in the 1978 Division I National Championships. He was selected as a collegiate All-American in both 1978 and 1979, and to the present day he still holds the Northern Illinois University school record for the still rings event. Kirk is also a three-time Hall of Fame athlete and was selected in 2009 as Number 8 on the list of "Top 50 Huskies of All Time" by the NIU Northern Star. He has been a high school teacher for thirty-two years, coaching for seventeen of them. He has coached girls' gymnastics teams to three conference championships, four regional championships, one sectional championship, and three Elite-Eight IHSA (Illinois High School Association) state championship competitions. In addition, Kirk writes and manages a popular blog, The Athlete's Sports Experience: Making a Difference, on the ChicagoNow blog network. His articles have also appeared on the Gatorade Moms and Weplay Moms sports websites.
Daveda Lamont is an author, ghostwriter and developmental editor with many books to her credit. This is her fourth book and third as co-author. In 2000-2001, Daveda served as a contract editor for Powered, Inc., editing and co-writing courses for the corporate online universities of clients such as Barnes & Noble, Dell, VISA, and Bloomberg.com. Her developmental editing experience includes fine art appreciation, film and music instruction, artist memoirs, creative nonfiction, nutrition, alternative healthcare, family financial planning, consumer investing and finance, investment risk and reward, online commerce, and various self-improvement subjects.
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"Becoming a True Champion" not only gives athletes a path in which to gain athletic success, it give them a path of personal responsibility and accountability...which will serve them their whole life...long after they stop competing. This book helps bring out the real reasons for kids sports...not trophies, newspaper articles, money, fame...but work ethic, integrity, character building and personal accountability. It also allows all of us parents that didn't end up on the top of the awards stand to understand what should be taught to kids in sports today. I highly recommend anyone with kids or athletic dreams to read this book.
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text:
Behavioral manifestations of processing deficits associated with auditory processing disorder (APD) have been well documented. However, little is known about their anatomical underpinnings, especially cochlear processing. Cochlear delays, a proxy for cochlear tuning, measured using stimulus frequency otoacoustic emission (SFOAE) group delay, and the influence of the medial olivocochlear (MOC) system activation at the auditory periphery was studied in 23 children suspected with APD (sAPD) and 22 typically developing (TD) children. Results suggest that children suspected with APD have longer SFOAE group delays (possibly due to sharper cochlear tuning) and reduced MOC function compared to TD children. Other differences between the groups include correlation between MOC function and SFOAE delay in quiet in the TD group, and lack thereof in the sAPD group. MOC-mediated changes in SFOAE delay were in opposite directions between groups: increase in delay in TD vs. reduction in delay in the sAPD group. Longer SFOAE group delays in the sAPD group may lead to longer cochlear filter ringing, and potential increase in forward masking. These results indicate differences in cochlear and MOC function between sAPD and TD groups. Further studies are warranted to explore the possibility of cochlea as a potential site for processing deficits in APD.
Citation: Boothalingam S, Allan C, Allen P, Purcell D (2015) Cochlear Delay and Medial Olivocochlear Functioning in Children with Suspected Auditory Processing Disorder. PLoS ONE 10(8): e0136906. https://doi.org/10.1371/journal.pone.0136906
Editor: Hanjun Liu, Sun Yat-sen University, CHINA
Received: May 14, 2015; Accepted: August 9, 2015; Published: August 28, 2015
Copyright: © 2015 Boothalingam et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Data Availability: All relevant data are within the paper and its Supporting Information files.
Funding: This work was supported by Western Graduate Research Scholarship (S.B.); Natural Sciences and Engineering Research Council of Canada (RGPIN-05320-2007) (D.P.); Ontario Research Fund (LEF#RE-03009) (National Centre for Audiology); and Canada Foundation for Innovation (CFI#11419) (National Centre for Audiology).
Competing interests: The authors have declared that no competing interests exist.
"Auditory Processing Disorder (APD) refers to difficulties in the perceptual processing of auditory information in the central nervous system and the neurobiological activity that underlies the processing" [1]. Difficulty hearing speech in noise despite normal hearing thresholds is the hallmark of APD [2]. APD is a heterogeneous disorder involving a breakdown of various aspects of auditory processing, resulting in complaints and symptoms that vary remarkably across the population [3]. Problems at various levels of the auditory neural system in both the afferent (bottom-up) pathway and in the higher level processing that fine-tunes afferent pathways via efferent connections (top-down) have been reported in APD [1]. For example, studies have shown atypical signal encoding at the brainstem (e.g., Hornickel et al. [4] and Allen and Allan [5]), midbrain (e.g., Purdy et al. [6]), and the cortex (e.g., Abrams et al. [7]) in children with listening problems. However, cochlear functioning remains relatively unexamined in these children.
Peripheral auditory mechanisms are not typically included in the diagnosis of APD, rather, they are only screened for the presence of an overt hearing loss. However, the cochlea performs substantial signal processing that is crucial for speech perception. Cochlear tuning is directly related to frequency selectivity and temporal processing ability [8], and therefore is important for good speech discrimination, especially in noise [9]. Impaired cochlear tuning causes increase in masking and reduces suppression, which can in turn reduce contrasts between speech sounds and affect speech perception [10]. Although cochlear tuning impairments are typically seen in individuals with cochlear hearing loss, Badri et al. [11] reported broader tuning in normal hearing adults who complained of poor speech discrimination in noise. Patterson et al. [12] previously showed that cochlear tuning deteriorated with age, despite clinically normal hearing sensitivity. Findings from these studies suggest that conventional audiograms and speech tests in quiet do not capture subtle deficits in cochlear functioning that can impact speech perception in noise, which is typical of APD. Although reduced tuning is certainly linked to impaired speech perception, it has also been shown that sharper tuning impacts temporal aspects of speech perception [13]. As such, there appears to be a range of optimal cochlear filter widths for auditory processing. To explore this range in tuning and better understand cochlear processing in children with listening problems, an objective physiological measure of cochlear tuning, stimulus frequency otoacoustic emission (SFOAE) group delay [14, 15], was used in the present study.
Cochlear processing does not happen in isolation, it is influenced by corticofugal connections (top-down) via the medial olivocochlear system (MOC) (e.g., Dragicevic et al. [16]). MOC axons innervate outer hair-cells (OHCs) directly, and inhibit OHC electromotility via cholinergic synapses. This action causes a reduction in cochlear amplification, and can be quantified by measuring changes in otoacoustic emission (OAE) level in the earcanal (review: Guinan [17]). OAEs are byproducts of the cochlear amplification process and thus are thought to reflect cochlear activity at their generation site. Reduction in cochlear amplification also alters cochlear filter tuning [18]. Such subtle changes have been hypothesized to affect pitch perception and localization abilities [18].
MOC activity is of particular interest in the APD population because it is thought to aid in unmasking signals from noise [17]. Some studies have reported that the MOC unmasking function is reduced in individuals with listening difficulties [19, 20], while others do not [21, 22]. Thus, there is no clear consensus on MOC function in individuals with listening difficulties possibly associated with APD. However, previous MOC assays have only investigated gross changes in OAE level. MOC mediated change in other attributes such as cochlear filter delay remain unrecognized. Subtle discrepancies in cochlear processing due to MOC activation may be reflected better in a filter-delay metric, and thus may augment findings of OAE level changes. Therefore, we chose to measure MOC inhibition of SFOAE level and delay to characterize MOC functioning in children suspected with APD in the present study. SFOAEs are generated from a narrow site on the basilar membrane at low stimulus levels [23]. Frequency specificity of the SFOAEs aid in understanding the changes that the MOC produces in the cochlea.
Sixty three children in the age range 7-17 years took part in the study. Thirty eight children were referred to our in-house Audiology clinic with listening problems (suspected APD group: sAPD, mean age: 9.13 years, standard deviation [SD]: 2.39 years, 8 females) and twenty five were typically developing children with no complaints in listening (TD group, mean age: 11.59 years, SD: 2.46 years, 13 females). All children had normal middle ear function as determined by clinical tympanometry (GSI-TympStar, Grason-Stadler Inc., MN) and hearing thresholds of 20 dB HL or better at octave intervals between 0.25 and 8 kHz measured using a clinical audiometer (GSI-61, Grason-Stadler Inc., MN). All children had contralateral acoustic reflex thresholds >70 dB HL for steady state broadband noise (BBN). Children also underwent a screening distortion product OAE (DPOAE) measurement (Integrity v-500, Vivosonic Inc., ON) to confirm the presence of OAEs.
Children in the sAPD group underwent a test battery similar to that used by Allen and Allan [5] that included three standard clinical tests: the Staggered Spondaic Word Test (SSW; Katz [24]), Words in Ipsilateral Competition (WIC; Ivey [25]) and Pitch Pattern Sequence test (PPS; Pinheiro [26]), and two psychoacoustic tests that use adaptive procedures developed in-house for use with children: Gap Detection (GD), and Difference Limen for Frequency (DLF) as well as the click evoked auditory brainstem response (ABR). Tests were administered in accordance with their respective manuals and were interpreted according to published age-specific normative data. Of the 38 children in the sAPD group, 27 were diagnosed as having APD based on American Speech-Language Hearing Association (ASHA) guidelines [27], i.e., scored 2 SDs below the normative expectation in at least two tests. Seven children failed in one test, and four children passed all tests. Of the 11 children who passed all or all-but-one behavioral measures, all had atypical ABR in the form of prolonged peak latencies, prolonged inter-peak latencies, or abnormal wave I-V amplitude ratio. Abnormalities in ABR have been reported in children suspected with APD. A recent study [5] showed that behavioral tests alone may not be adequate in diagnosis of APD, which supports recommendations by professional bodies (e.g., American Academy of Audioligy (AAA) [1]). Allen and Allan [5] found several children who passed these behavioral tests had abnormal neural encoding of sound measured using ABR and/or absent/elevated acoustic reflex thresholds. Therefore, children who passed the behavioral test battery but who had abnormal ABR were also included in the study group (sAPD) along with children diagnosed as APD using the behavioral test battery.
Participants sat in a comfortable chair in a double-walled sound attenuated booth (Eckel Industries, ON) and watched a silent closed captioned movie. They were encouraged to relax, and swallow as few times as comfortable. SFOAEs were recorded from only one ear per participant. The ear being tested was chosen based on (larger) DPOAE amplitude obtained during the screening process. Study methods were approved by the Health Sciences Research Ethics Board of Western University, Canada (approval #17731E). The nature of the study was explained prior to obtaining written informed assent from every participant, and a written informed consent from participants' parent/caregiver. Participants were compensated for their time with gift cards towards books or school supplies.
SFOAE measurement
Stimulus and instrumentation.
All signals were generated digitally in Matlab (Mathworks, MA) at a sampling rate of 32 kHz and at a bit depth of 24. SFOAEs were evoked by 2.048 s probe tones presented at 40 dB SPL, with probe frequencies (fP) ranging from 0.928 to 1.248 kHz at 16 Hz intervals. Measurements focused on the 1 kHz region because this is where MOC effects are reported to be the strongest [28]. Suppressor tones (fS) corresponding to each fP (where, fS = fP + 16 Hz) of 2.048 s with linear rise/fall ramps of 50 ms duration and 60 dB SPL in level were used according to the suppression method [29] to extract SFOAEs using discrete Fourier transforms (explained below). Frequencies of all tones were adjusted to have an integer number of cycles in the analysis window. The MOC elicitor was uniform random unfiltered broadband noise (BBN), which had a flat spectrum from 0 to 10 kHz. BBN was presented at 60 dB SPL, which was at least 10 dB below the ART of all participants.
Signals were presented through a digital-to-analog converter (6289 m-series; National Instruments, TX) at a sampling rate of 32 kHz to three individual programmable attenuators (PA5; Tucker-Davis Technologies, FL) that controlled the output signal levels of the probes, suppressors and elicitors. Signals were then power amplified (SA1; Tucker-Davis Technologies, FL) and fed to ER2 transducers (Etymotic Research, IL) connected to an ER-10B+ otoacoustic emission probe system (Etymotic Research, IL) that delivered the signals in the ear-canal.
The ear-canal pressure was recorded using the ER-10B+ probe system with a pre-amplifier gain of +40 dB. The recorded signal was bandpass filtered (Frequency Devices Inc., IL) between 0.4 and 10 kHz and a gain of 20 dB was applied. The filtered signal was then digitized by an analog-to-digital converter (6289 m-series; National Instruments, TX) which applied another 6 dB of gain prior to conversion. Stimulus delivery and response acquisition were controlled using custom programs developed in LabView (National Instruments, TX). All stimuli were calibrated using a Type-2250 sound level meter (Brüel and Kjær, Denmark), and an ear simulator Type-4157 (IEC 711; Brüel and Kjær, Denmark).
SFOAE recording.
To describe each stimulus, we will use the terms 'epoch', 'sweep-block' and 'sweep' (see Fig 1). An epoch was 1.024 s in duration and sweep-blocks were made of two consecutive epochs of the same stimulus. Multiple sweep-blocks were concatenated to create a sweep of 7.168 s in duration. One complete sweep had three sweep-blocks: 1. fP in isolation, 2. fP with fS, and 3. fP with elicitor. A 1.024 s inter-sweep interval was used between sweeps to ensure that the MOC reverted to its baseline activity [30]. An in-the-ear calibration of the tones was carried out before every measurement to produce the desired (fP) SPL in the ear-canal. Each frequency fP was repeated for at least five sweeps to obtain reliable SFOAEs. Additional sweeps were recorded: if noisy epochs (if the epoch root-mean-square [RMS] amplitude exceeded 0 dB SPL in a 0.5 to 0.9 kHz band) were detected, for clipped epochs, or if the SNR (SFOAE vs. noise floor) was lower than 10 dB. A maximum of 5 additional sweeps could be collected in a noisy participant.
Schematic representation and temporal sequence of events for SFOAE recorded with and without MOC elicitors. Channels in the left most column indicate separate physical transducers. Duration of each sweep-block are mentioned in the last row. fP was presented continuously while the suppressor fS was turned on in the second sweep-block. MOC elicitor was turned on in the third sweep-block to obtain MOC inhibited fP. Note that size of each element in the figure is made disproportionate to their duration to show shorter events clearly.
SFOAE extraction.
Total ear canal pressure (PECtot) in the first sweep-block contained both the probe stimulus, fP, and the SFOAE as a composite mixture. The intracochlear suppressor, fS, was then presented in the second sweep-block, in addition to the fP, to maximally suppress the generated SFOAE (PECms) [29]. A vector subtraction of the average ear canal pressure (at fP) in sweep-blocks 1 and 2 yielded the baseline SFOAE (PSF), i.e., SFOAE in elicitor-off condition: (1)
Similarly, vector subtraction of the sweep-blocks 2 and 3 yielded SFOAE with MOC inhibition, i.e., elicitor-on condition: (2)
MOC strength was defined as the difference in SFOAE level between baseline (elicitor-off) and elicitor-on conditions. The difference is calculated in a linear scale (Pascal) and converted to (1) a dB change metric, and (2) as a percentage change in elicitor-on condition from baseline. Where, percent change is the difference in SFOAE level between the two conditions normalized by the baseline SFOAE level (all in Pascals) and multiplied by 100. SFOAE stimulus levels were chosen based on previous studies [31, 32] to obtain good signal-to-noise ratio (SNR) while avoiding the SFOAE stimulus from evoking any ipsilateral MOC activity. The first and last 128 ms of every response were discarded to avoid transients that may have occurred due to stimulus onset/offset. Following online SFOAE extraction, all epochs were again evaluated offline using a discrete Fourier transform to obtain noise metrics in a 20 Hz band just below fP. Epochs with noise metrics that exceeded the mean plus two SDs were not included in the average response sweep. Also, SFOAE level enhancements due to MOC activation were not considered. Such enhancements may not be true MOC effects, they may occur due to change in phase relationship between the reverse traveling evoked-OAE and forward traveling OAE reflected from the middle-ear boundary [33]. Spontaneous OAEs (SOAEs) were recorded to allow rejection of SFOAEs within 50 Hz of an SOAE to avoid phase related complexities.
An SFOAE-based measure of cochlear delay.
A measure of cochlear delay, τ, was obtained from the negative slope of the SFOAE phase gradient (rate of change of SFOAE phase as a function of frequency). This has been shown to reflect the round-trip propagation time: the time taken for fP to reach its characteristic frequency (CF) place on the basilar membrane, and for the generated emission to return to the ear-canal [15]. The traveling wave build-up near the CF however accounts for the bulk of time during this round-trip propagation, while the ear-canal, middle-ear and basilar membrane transmission times are negligible [34]. For these reasons, τ, which is roughly half of the total time taken, serves as an indirect measure of cochlear delay. Based on the filter theory [35] and coherent reflection filtering theory [14], SFOAE delay is an analogue of the cochlear filter delay. Sharper filters ring longer and produce delayed outputs compared to broader filters. Therefore, if cochlear tuning is sharp, one would expect longer SFOAE delay, as SFOAEs are generated by coherent reflection of random irregularities close to the peak of the traveling wave [14].
The phase slope of SFOAEs and the bandwidth (BW) of the cochlear filter at a given frequency are thus inversely related, with steeper phase slopes corresponding to sharper cochlear tuning [15]. This method of calculation of cochlear delay has been implemented in several animal models (e.g., Bergevin et al. [36]) and humans (e.g., Bhagat and Kilgore [37], Boothalingam and Lineton [38], and Guinan et al. [32]). The τ in the present study was measured in a similar fashion to Boothalingam and Lineton [38]. Only frequency regions that had SNRs better than 10 dB were considered for obtaining the group delay. This was achieved by the first author manually picking only the best SNR region (>10 dB); a linear regression line was then fit in that band to obtain τ. At least 5 consecutive frequency points were required to obtain a line fit.
It should be noted that for a given sharpness of a filter, SFOAE delays generated within this region will differ based on the distribution of reflecting elements [39]. Distribution of such reflecting elements are thought to be random along the basilar membrane, leading to inherent variability in τ across individuals. There is also some debate around the validity of deriving tuning from OAE delays, for example, due to uncertainties in SFOAE delays measured at low frequencies [40]. Nonetheless, the current study is comparative, involving one method to compare tuning between sAPD and TD groups. Therefore statistically significant differences in τ between the groups could indeed mean differences in their cochlear function.
Test for Middle-Ear Muscle Reflex (MEMR)
Activation of MEMR also causes reduction in SFOAE level, similar to MOC, albeit at slightly higher stimulus levels. It is prudent to avoid activating this reflex in order to establish a causal relationship between MOC activation and corresponding reduction in SFOAE level in the contralateral ear. In addition to confirming that ARTs for all children were >70 dB HL using a clinical immitance meter, additional analyses were performed to rule out MEMR. This additional check was performed in light of several recent studies showing that MEMR can be activated at levels much lower than what is typically obtained with a clinical immitance meter [32]. The present test is based on the hypothesis that a significant MEMR would consistently increase probe-tip stimulus levels. This is because, MEMR activation will stiffen the ossicular chain and retract the tympanic membrane, resulting in increased reflection of stimulus energy back to the ear-canal. A cut-off value of 1.4% (0.12 dB) increase in stimulus level during elicitor-on condition compared to no-elicitor condition has been suggested as an indication of MEMR activation [41, 42].
To test for such changes in level, 55 dB peSPL clicks presented at 41.67 Hz were used as probe stimuli. Clicks are more potent elicitors of the MEMR [32], therefore if MEMR was not evoked for clicks, it can be assumed that MEMR will not be evoked by the SFOAE evoking puretones. Clicks were recorded in the ear-canal in two conditions, one without any contralateral elicitor and one with the same contralateral elicitor used in the study to elicit MOC reflex. RMS levels of the ear-canal recorded clicks were obtained for every participant in a time-window (125 μs long) near the first trough of the click waveform for elicitor-on/off conditions. The first trough is the first, and the largest, deviation in sound pressure that was measured in the earcanal that occurs due to ringing of the click stimulus. The trough lasts roughly for 125 μs, and this response was windowed for observing changes that may have occurred due to MEMR. As seen in Fig 2, changes in the presence of MOC elicitors were on average −0.0019 dB ±0.008 (re: baseline no-elicitor). Observed stimulus level deviations occur in both directions, i.e., increase and decrease in level with the largest change being <0.08 dB. The observed changes are small compared to level changes that would be expected if the MEMR was activated, i.e., >1.4% (0.12 dB) [41]. These changes probably arise due to random fluctuations in background noise. Note that five children (1 from TD, and 4 from sAPD group) did not undergo this secondary MEMR test due to time constraints. Therefore, in these children, their ART thresholds alone were used for the evaluation of MEMR activation.
Means and their corresponding individual data for the change in stimulus level with reference to baseline no-elicitor condition (dB) is plotted (Y-axis). Black straight line at 0 dB represents normalized baseline stimulus level (in no-elicitor condition). Black symbols are group means with their corresponding 95% confidence intervals represented by error bars. Grey symbols are individual means of RMS amplitude near the stimulus trough. Circles represent TD and boxes represent sAPD groups, respectively.
It should be noted that energy reflectance due to MEMR can increase or decrease beyond ∼ 1.2 kHz [43]. However, Boothalingam et al. [44] used a similar test for 1 and 2 kHz tonebursts (presented at 55 dB peSPL) and reported similar stimulus changes across participants for both frequencies. Considering the bandwidth of the clicks in the current test (∼ 2.5 kHz [3 dB down rule], and ∼ 6 kHz [10 dB down rule]), most click energy can be expected to be concentrated within this (0–2.5 kHz) frequency range. Therefore, difference in reflectance change with frequency may not have had a substantial effect on the stimulus-level-change values reported for the MEMR test. Therefore, all frequencies (0.5 to 6 kHz) were considered in the current method in order to conserve SNR.
Data inclusion criteria
For data to be considered for statistical analyses the following criteria had to be met: (1) <10% epoch rejection, (2) minimum SNR of 10 dB, and (3) no MEMR activation. Based on the inclusion criteria, 18 participants (15 from the sAPD group and 3 from the TD group) were rejected from the study mainly due to excessive participant-related artifacts leading to poor SNR. This led to inclusion of 22 participants in the TD and 23 in the sAPD group. Noise floor analysis was performed with the rejected data to explore the reasons for rejection in detail.
Prior to any data analysis, group difference in age was probed for included participants. Independent sample t-test indicated a significant difference (Mean difference [MD] = 1.98, 95% confidence interval (CI95%) = ±1.59 years, t[43] = 2.52, p = 0.02) in age between TD and sAPD groups (TD>sAPD). However, univariate analysis of variance results show that age is not a significant predictor of both SFOAE level (F[1, 43] = 1.16, p = 0.29) and τ (F[1, 43] = 1.29, p = 0.26). In addition, previous studies have indicated that both cochlear and MOC function are mature at full-term birth [41, 45]. Therefore, the observed difference in age between the two groups should not have a bearing on any group differences reported below.
There were also no significant differences in puretone thresholds between TD and sAPD groups (MD = 1.94, CI95% = ±2.66 dB HL (TD>sAPD) t[39] = 1.47, p = 0.149). Note that puretone averages of four children in the TD group were unavailable, as they were only screened for thresholds <20 dB HL.
MOC-mediated change in SFOAE level
Mean SFOAE level for MOC elicitor-on and elicitor-off conditions across groups are plotted in Fig 3A. Examples of phase slopes, steep and shallow, one from each group, are presented in Fig 3B. Visual examination of Fig 3A shows that SFOAE level is reduced in both groups with elicitor-on. To examine if the magnitude of inhibition is different between the two groups, statistical analyses were carried out. One-way repeated measures analysis of variance (RM-ANOVA) with 'elicitor condition' (elicitor-on/off) as the independent variable and 'measure' (SFOAE level or τ) as the dependent variables were performed with group (TD and sAPD) as the grouping variable. Results show a significant interaction between elicitor condition and group for both SFOAE level (F[1, 43] = 6.76, p = 0.013, η2Partial = 0.14), and τ (F[1, 43] = 5.05, p = 0.030, η2Partial = 0.11).
Panel-A shows mean (averaged across participants) SFOAE level as a function of frequency. Groups are indicated by colors (black for TD and grey for sAPD). In panel-B, SFOAE phase slopes for two children, one from TD and one from sAPD group, for elicitor-off and elicitor-on conditions are shown. The two phase gradient examples illustrate differences in the obtained τ. In both plots, solid lines indicate elicitor-off, and dashed lines indicate elicitor-on condition.
Post-hoc analyses with correction for multiple comparisons using the false discovery rate (FDR [46]) indicate significant inhibition of SFOAE level by elicitor in both TD (MD = 2.19 dB (21.71% change), CI95% = ±0.51 dB, t[21] = 9.01, p<0.001), and sAPD groups (MD = 1.49 dB (15% change), CI95% = ±0.40 dB, t[22] = 11.83, p<0.001). However, as illustrated in the top panels of Fig 4A and 4B, SFOAE level change was significantly higher in the TD group compared to the sAPD group (MD = 0.70 dB (6.13%), CI95% = ±0.55 dB, t[43] = 2.60, p = 0.013). This may suggest weaker MOC functioning in the sAPD group.
Panels A and B show mean SFOAE level (averaged across participants and frequencies) for TD and sAPD groups, respectively. Error bars around the mean are 95% confidence intervals. Matching grey symbols are raw data. Panels C and D show mean τ for both TD and sAPD groups respectively. In both panels open circles represent elicitor-off condition and open boxes represent elicitor-on condition. Significant mean differences are marked with asterisks.
SFOAE delay with- and without- MOC inhibition
The bottom panels of Fig 4C and 4D illustrate significantly longer τ in the sAPD group as compared to the TD group (MD = −1.38 ms, CI95% = ±0.95 ms; t[43] = −2.92, p = 0.006), possibly suggesting sharper tuning or difference in average filter shape (from TD group) in the sAPD group. Mean τ was 11.27 ms in the TD group and 12.64 ms in the sAPD group. τ in elicitor-on condition was also significantly different between groups, i.e., longer in the sAPD group (MD = −1.21 ms, CI95% = ±1.02 ms, t[43] = −2.40, p = 0.021). Change in τ was observed in both directions, i.e., both increase, and decrease in delay from elicitor-off condition across participants.
Mean τ of 11.27 ms (in quiet) and 11.40 ms (with MOC activation) equate to filter bandwidths of 78.71 and 78.16 Hz, in elicitor-off and elicitor-on conditions, respectively in the TD group. In the sAPD group, mean τ of 12.64 ms (in quiet) and 12.60 ms (with MOC activation) equate to bandwidths of 70.37 and 70.74 Hz in elicitor-off and elicitor-on conditions. Group delay was converted to filter bandwidths using the method of Shera et al. [15].
To investigate relationships between cochlear tuning and MOC functioning, a percent change measure of MOC strength (ΔSF) was subjected to correlation analysis with tuning measures (see Fig 5). ΔSF is the percent change in SFOAE level from elicitor-off condition to elicitor-on condition (re: elicitor-off) at each frequency in a linear scale (Pascal).
Panels A and B show correlation between ΔSF and τ for TD and sAPD groups, respectively. Note that the correlation was significant only in the TD group. Panels C and D show correlation between ΔSF and Δτ for TD and sAPD groups, respectively. In panels A, C, and D, dashed diagonal lines represent the relationship between variables in x- and y- axes and their corresponding equations are shown on the top right corner in each panel. In panels C and D, a dotted horizontal line at 0 represents no change in τ due to MOC inhibition. Data points above the line represent increase in SFOAE delay, and data points below the line represent decrease in SFOAE delay due to MOC activation. Notice that most children in TD group are above the 0 change line and the opposite is true in the sAPD group.
As illustrated in Fig 5A and 5B, correlation between ΔSF and τ (in quiet) was significant in the TD group (Pearson r[20] = 0.56, p = 0.006) but not in the sAPD group (Pearson r[21] = −0.14, p = 0.52). However, with elicitor-on, correlations between ΔSF and Δτ were significant for both TD (Pearson r[20] = 0.46, p = 0.031), and sAPD groups (Pearson r[21] = −0.44, p = 0.035), albeit in opposite directions (Fig 5C and 5D).
Additionally, to investigate if audiometric hearing thresholds have any bearing on the SFOAE delay measures, children's puretone average and τ were subjected to correlation separately for the two groups despite no significant difference between groups in their hearing thresholds. Results indicated no correlation between the two measures for both TD (Pearson r[16] = 0.105, p = 0.67), and sAPD (Pearson r[21] = −0.109, p = 0.62) suggesting that hearing thresholds probably does not have any bearing on SFOAE τ in both groups in the current sample.
Noise-floor comparison
To understand reasons for higher participant rejection rate in the sAPD group, their noise-floors were compared with TD group. Mean noise-floor level in 13 of 15 children (data from two children could not be used due to excessive artifacts) that were rejected was −11.78 (SD: 5.2) dB SPL, with some as high as −3.5 dB SPL, compared to −17.21 (SD: 2.4) dB SPL in TD children who were included in the study. Pairwise comparison of noise levels between children rejected from the sAPD group and TD children revealed a significant difference (t[15.06] = −3.54, p = 0.003). Noise-floor levels were also higher in the sAPD children included in the study (Mean: −15.25, SD: 3.9 dB SPL) but were not significantly different from TD after FDR correction for multiple comparisons (MD = −1.97, CI96% = ±1.96 dB SPL; t[36.84] = −2.05, p = 0.048). Note that degrees of freedom were corrected for unequal variance between groups. These differences suggest that children in the sAPD group may tend to have higher resting noise-floor compared to TD children.
The objective of this study was to: (1) investigate cochlear tuning, (2) reconcile MOC functioning differences between sAPD and TD children, and (3) explore the relationship between cochlear tuning and MOC functioning in children with sAPD.
Cochlear delay and tuning
The τ obtained for the TD group in the current study (11.27 ms) is consistent with adult data reported in a previous study for the same frequency (1 kHz) region [40]. However, children in the sAPD group have significantly longer SFOAE delay (12.64 ms). Longer group delay may either suggest sharper cochlear tuning, or a difference in average filter shape between the two groups. In either case, the difference in delay might suggest differences in cochlear processing. The interpretation of sharper tuning may appear counterintuitive at first, because individuals with sharper cochlear tuning would typically be expected to demonstrate good listening [15, 47]. However, it should be noted that fine frequency resolution comes at the cost of temporal resolution. If a significantly longer τ translates to sharper tuning in the sAPD group, it could potentially affect their auditory processing in many ways. First, filter theory dictates that a sharper filter will ring longer [35]. Consequently, filter ringing in the sAPD group (2.29 ms) is 12.2% longer than the TD group (2.02 ms), where ringing duration is obtained from the bandwidth of the filter using the formula: 1/(2*π*BW) [48]. Shailer and Moore [13] reported an inverse relationship between filter bandwidth and gap detection threshold for frequencies 1 kHz and below in adult listeners. These authors suggested that ringing of the auditory filter would partially fill in the gaps in a gap detection task, limiting temporal acuity. Therefore, a 12.2% increase in ringing may lead to 12.2% poorer gap detection, and 12.2% more masking in children with sAPD. However, it is unknown if a 12.2% increase in ringing could produce noticeable effects in their speech perception. Sharper filters are a normal phenomena at lower frequencies, whereas in the sAPD group sharpness might be present even for a relatively high (1 kHz) frequency range. If longer τ translates to a difference in filter shapes, how this difference might impact auditory processing in the sAPD group is uncertain.
A sharper cochlear filter that rings longer may cause an increase in forward masking. In a typical speech discourse, speech sounds occur in rapid succession, and an increase in forward masking may mask speech contrasts, potentially affecting overall speech perception [49], especially for lower frequencies where filter ringing is more prominent. It may thus be speculated that longer τ in children with sAPD may affect their auditory temporal acuity, and in turn, speech perception and other related auditory processes. A closer look at the results of our APD test battery shows that 12 out of 23 children (sAPD group) failed the Gap Detection Test, suggesting difficulties in temporal processing in half the sample. However, there was no correlation between gap detection thresholds and τ (data not shown). This is not surprising given the restricted range in τ (9.55 to 15.7 ms) in comparison to a much larger range in gap detection thresholds (4.55 to 60.44 ms). Also, behavioral measures of temporal acuity involve coordination of several neural mechanisms and may be influenced by non-auditory factors [5].
Further, it can be hypothesized that processing aberrations at the periphery may cause a cumulative effect that could alter signal integrity at higher levels of the auditory system. For instance, given cochlear influences on auditory brainstem responses [50], atypical cochlear processing might have a bearing on some of the timing deficits reported at the brainstem level in children with listening problems (e.g., Hornickel et al. [4]). However, it should be noted that there is considerable overlap in the delay metric between the two groups. This means that not all children with listening difficulties will have longer τ, but perhaps a subset of APD may have listening difficulties arising due to atypical cochlear processing. Identifying children with known physiological processing differences, such as in cochlear processing, and profiling their auditory behavior may shed more light on the influence of subtle physiological differences in children with APD.
Some potential caveats to consider are middle-ear transmission differences across the age group tested in this study. However, considering there was no age effect in the delay metric obtained, this middle-ear effect can be largely ruled out. Potential stimulus level differences across individuals were accounted for with the use of individualized in-ear calibration at every frequency. Thus, even if there were ear-canal size differences or probe insertion depth differences, they were accounted for. In addition, a 10 dB SNR criterion was used in this study to avoid contamination of phase responses due to noise. Although this high SNR criterion led to rejection of many children, the remaining sample can be considered with confidence. The observed difference in delay metric observed may therefore be attributed to a difference in cochlear filter delay as implied by the coherent reflection theory [14], or differences in average filter shapes across groups.
MOC function and cochlear processing
Significantly lower MOC strength in the sAPD group is consistent with previous studies (e.g., Muchnik et al. [19]), and is probably suggestive of reduced MOC functioning. It is enticing to interpret reduced MOC control on the cochlea in the sAPD group as responsible for their sharper cochlear tuning. This is because, reduced background MOC activity, i.e., reduced inhibitory action on the OHC function may lead to increased cochlear amplification leading to sharper tuning. However, as seen in Fig 5A, the direction of correlation in the TD group may appear to suggest otherwise: stronger MOC reflex was associated with sharper cochlear tuning. Although this interpretation appears counterintuitive, the direction of change in τ in the TD group seems to align well with this hypothesis. That is, at least at 1 kHz, increasing MOC strength seem to correlate with increase in Δτ, suggesting a prolongation of τ with increasing MOC strength. Therefore, in TD group, longer τ in quiet may potentially be related to their stronger MOC reflex in general.
Other speculations for this relationship could be drawn from a developmental perspective. One possible reason could possibly be a pre-natal relationship between the MOC and the developing cochlea. Transient MOC innervation on the inner hair-cells has been shown to be critical for proper development of the auditory system [51]. Walsh et al. [51] reported broader tuning curves resulting from improper development of the cochlear amplifier in neonatally de-efferented cats. These investigators also suggested that the de-efferentation could lead to either over- or under- expression of a key component of the OHC amplification process. However, it is unknown if 'reduced', as opposed to complete loss of, MOC activity during developmental stages could lead to subtle irregularities in cochlear processing.
Another related speculation could be based on the maturity of non-linear cochlear processing. OAE-based studies report adult like intra-cochlear suppression tuning curves in full-term neonates (e.g., Abdala et al. [45]), providing support for cochlear maturity at birth. However, pre-term neonates show sharper cochlear (suppression) tuning than full-term neonates and adults for frequencies below 1.5 kHz [45]. This unusually sharp tuning has been unexplained by middle-ear transmission differences across age groups [52]. In addition, Abdala and Chatterjee [53] reported that the DPOAE input/output function in immature cochleae shows saturation at very high levels compared to adults, suggesting an extended range and 'over-activity' in cochlear amplification. Basilar membrane immaturity in the apical half of the cochlea [52] and immature MOC [54] have been suggested as possible causes for such atypical processing in pre-term neonates. Evidence for immature MOC activity has also been reported by Abdala et al. [41], where pre-term neonates showed persistent DPOAE level enhancements that are unrelated to DPOAE source mixing. Sharper tuning observed in the sAPD group in the current study appear similar to the sharper-than-normal tuning observed in cochleae that are thought to be immature. Reduced MOC control on cochlear amplification, and the lack of correlation between τ and ΔSF are congruent with the hypothesis that cochlear processing discrepancies observed in the sAPD group could stem from reduced MOC functioning with potential developmental links.
Other possible speculations that are unrelated to cochlear and MOC physiology and their maturation may also be considered. For instance, if the resting level of background MOC activity is lower in a given individual, elicitor induced MOC effect may appear to cause a larger MOC effect. While this may be unrelated to τ, such differences in MOC strength "headroom" may affect correlation analyses. Another consideration could be a corticofugal influence on the MOC [16] activated by the visual task (watching a silent movie). If attentional resources that influence MOC were allocated differently by children in the two groups, it may be possible that differential corticofugal effects cause differences in MOC inhibition of cochlear activity. Such potential differences could lead to different background MOC activation levels.
An intriguing result from the current study is the opposing correlation between ΔSF and Δτ between groups. While MOC activation appears to prolong cochlear delay in the control group, it appears to reduce the same in the sAPD group. Considering MOC activation reduces cochlear gain, a reduction in delay can be expected due to broadening of the cochlear filter according to filter theory [18]. However, the increase in tuning found in the control group is consistent with previous studies for the 1 kHz region [37]. Using afferent fiber tuning curves in cats, Guinan and Gifford [55] showed increase in tuning upon MOC activation at low frequencies (<2 kHz). This is due to an increase in the threshold of the low frequency side of the tuning curve. At frequencies above 2 kHz, broadened tuning occurred due to an increase in threshold at the CF, i.e., at the tip of the tuning curve. This difference in MOC activation is suggestive of differential cochlear amplification between low and high frequency regions on the basilar membrane [56]. Similar results have also been reported for psychoacoustic tuning curves (e.g., Quaranta et al. [57]). It is possible that MOC inhibition of SFOAEs may have revealed a difference in the cochlear amplification process for the sAPD group, in addition to their sharper-than-typical tuning.
Δτ in the TD group may suggest that the MOC may aid in maintaining broad tuning in quiet which promotes better temporal resolution. It can be speculated based on these findings, that in the presence of background noise, MOC inhibition of OHC activity increases cochlear delay, promoting better spectral resolution, at least at 1 kHz. Both frequency and temporal resolution are critical for optimal auditory processing. However, it is unclear how MOC inhibition for higher frequencies (>2 kHz) may produce a synchronized improvement in auditory processing upstream. Nonetheless, with these conjectures, it can be hypothesized that reduced MOC functioning in the sAPD group may potentially lead to difficulties in auditory processing, due to forward masking, and reduced signal unmasking in noise. Further studies that investigate other auditory processes in conjunction with the MOC and cochlear functioning may provide additional insights into the MOC and cochlear role in the difficulties presented by children with sAPD.
What about rejected data?
Considering many of the children whose data were rejected belonged to the sAPD group (15 out of 18), rejected data were examined for common factors for rejection among sAPD children. All children whose data were rejected had passed the screening DPOAE test, therefore were expected to have SFOAEs at reasonably high SNRs. Indeed, many children did have such SFOAEs. However, SFOAE group delay calculation is derived from measures at multiple discrete frequencies. Therefore, if some frequencies are affected by noise or artifacts, the SFOAE group delay calculation will be unreliable. This is because the group delay calculation requires a reliable estimate of the slope of the regression line fitted to the phase data. If some frequencies are affected by large artifacts, it will render the resulting slope unreliable. This happened in 7 of 15 sAPD children who were rejected.
Comparison of noise-floor levels suggests that children with listening problems may also be quite noisy. Sources of this noise may be due to an inability to follow instruction to sit quietly, causing artifacts. Some children were unable to sit quietly even if they understood instructions. These factors point towards distractibility in sAPD children, and may have implications in an academic setting. A few children who were able to sit quietly had excessive physiological noise such as breathing and circulatory sounds. Walsh et al. [58] suggested that MOC activity mediated by attention may be involved in reducing ear-canal physiological noise. It may be possible that stronger MOC function in the TD group contributed to their lower noise-floor. Together, reduced MOC activity and co-morbidities that may be related to inattention [59] may also contribute to excessive noise in the sAPD group. Higher rejection in the sAPD group thus calls for two actions: (1) further examination of aspects such as internal physiological noise that may or may not be associated with the auditory system, (2) development of tools that are resilient to physiological noise and participant related artifacts to measure cochlear delays and MOC inhibition of OAEs.
Results from the current study show atypically long SFOAE delay and reduced MOC functioning in children with listening difficulties. Increased delay may cause longer cochlear filter ringing times that can potentially affect temporal processing ability, or may point towards a general difference in auditory filter shapes. However, there were overlaps in data between the two groups, suggesting that not all children in the sAPD group will have increased cochlear delays, but perhaps a subset of sAPD may have listening difficulties arising due to longer-than-optimal cochlear delays. Correlation between SFOAE delay in quiet and MOC reflex strength in the TD group, and the lack thereof in the suspected APD group may suggest that MOC is important for normal functioning of the cochlea, even in quiet. Change in SFOAE delay in opposite directions (increase in TD, and reduction in sAPD) due to MOC activation suggests contrastive cochlear function between the two groups. Collectively, differential cochlear amplification, reduced MOC function, and significantly longer SFOAE delay may be interlinked in the findings of the sAPD group. Further studies, including with larger sample size, are required to explore auditory processes (such as speech perception) that could be influenced by such subtle differences in cochlear processing and MOC functioning in children with sAPD.
Supporting Information
S1 Table. Raw data.
The authors would like to thank all children who participated in the study, James Dewey for his comments on an earlier version of this manuscript, and the two anonymous reviewers for their insightful comments and suggestions.
Author Contributions
Conceived and designed the experiments: SB DP. Performed the experiments: SB CA. Analyzed the data: SB DP. Contributed reagents/materials/analysis tools: SB DP CA PA. Wrote the paper: SB DP CA PA.
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- 54. Abdala C. Distortion product otoacoustic emission (2f1-f2) amplitude growth in human adults and neonates. The Journal of the Acoustical Society of America. 2000;107(1):446–456. pmid:10641653
- 55. Guinan JJ, Gifford ML. Effects of electrical stimulation of efferent olivocochlear neurons on cat auditory-nerve fibers. I. Rate-level functions. Hearing Research. 1988;33(2):97–113. pmid:3397330
- 56. Ruggero MA, Rich NC, Recio A, Narayan SS, Robles L. Basilar-membrane responses to tones at the base of the chinchilla cochlea. The Journal of the Acoustical Society of America. 1997;101(4):2151–2163. pmid:9104018
- 57. Quaranta N, Scaringi A, Nahum S, Quaranta A. Effects of efferent acoustic reflex activation on psychoacoustical tuning curves in humans. Acta Oto-laryngologica. 2005;125(5):520–523. pmid:16092544
- 58. Walsh KP, Pasanen EG, McFadden D. Selective attention reduces physiological noise in the external ear canals of humans. I: Auditory attention. Hearing Research. 2014;312:143–159. pmid:24732069
- 59. Moore DR, Ferguson MA, Edmondson-Jones AM, Ratib S, Riley A. Nature of Auditory Processing Disorder in Children. Pediatrics. 2010;126(2):e382–e390. pmid:20660546

subset: commoncrawl


text:
Trustees should be required to have a minimum level of education to operate an SMSF, according to one financial services analyst.
WealthWithin investment analyst Janice Cox told SMSF Adviser that SMSF practitioners should be more concerned about the financial literacy of trustees than about recent talk of changes to FOFA.
"If you asked me what the [FOFA changes'] impact is on the general population, I would have concerns, but not with the SMSF space," she said.
"In terms of the SMSF space, I think a lot more could be done in lifting the level of education standard that SMSF trustees are required to possess.
"I don't think it should just be up to them to do it themselves; I think there should be some sort of control in the area about the minimum standards that are set."
Wealth Within chief analyst Dale Gilham previously told SMSF Adviser education for prospective SMSF trustees should be compulsory, to ensure suitability of the fund for their circumstances.
"When you [see] at least half of the investments in SMSFs on average are in shares, that says to me that people need to be educated," he said.
"Now that property has become bigger in terms of buying for SMSFs, [education] has become more critical, because that's a huge mistake if you get that wrong."
08:00CEO warns on threat of super fund start-upsBy Miranda Brownlee
08:00SMSF firms cautioned on unpredictability of superBy Miranda Brownlee
27 Jul 2017Pressure on ATO to fix portals saga continuesBy Katarina Taurian
27 Jul 2017Lawyer flags identification traps with CGT reliefBy Miranda Brownlee
26 Jul 2017Submissions closing soon for industry-first awards programBy Staff Reporter
26 Jul 2017Labor calls for further action on ATO outagesBy Katarina Taurian
- view all
CEO warns on threat of super fund start-ups
SMSF firms have been warned that the emergence of APRA-regulated super fund start-ups is transforming the expectations of their future SMSF ...read more
SMSF firms cautioned on unpredictability of super
The impact of technology on the nature of work and the rise of contract and freelance work may impact the amount of superannuation accumulat...read more
Pressure on ATO to fix portals saga continues
Two key accounting associations have vowed to continue their lobbying efforts with the government to stabilise the ATO's portals, as promine...read more
Lawyer flags identification traps with CGT relief
SMSF trustees who are unable to distinguish between the different tranches of shares they own in one company may face limitations with how t...read more
- view all


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Mystika 3: Awakening of the Dragons
Defeat your enemies with powerful spells and find enough gold to restore the world of Lumina.
Mystika 2: The Sanctuary
The village of Lumina is in trouble! Will you be the to restore the sanctuary?
Mystika: Between Light and Shadow
Explore the mystical world and defeat the Evil Queen in new Match-3 game!
Brick Quest 2
Discover colorful new worlds!
A new breakout experience with 8 amazing worlds and over 70 "Gwamos"!
This fantastic original puzzle game is ready to invade your world.
1 →
Premium Games
Dark Parables: The Little Mermaid and the Purple Tide
Expires in 1501052400
Riddles of Fate: Memento Mori
Expires in 31 Jul 2017


text:
The Chattanooga Zoo partnered with students and faculty in the UTC Department of Biological and Environmental Sciences and College of Engineering to renovate the Zoo's existing prairie dog exhibit.
The original prairie dog exhibit, home to five prairie dogs, was built in 1998. This exhibit is approximately 400 square feet in size and contains two chest-high observation windows. UTC Engineering students have redesigned the exhibit to incorporate a children's viewing tunnel which will allows children to get eye level with their prairie dog counterparts through the creation of a viewing space within the actual exhibit.
Funding for the renovations was provided by the Community Foundation of Greater Chattanooga as part of a larger collaboration between UTC, the Chattanooga Girls Leadership Academy and the Chattanooga Zoo to study animal behaviors in their habitats.
"This exhibit is the product of a lot of hard work by UTC students and faculty and the staff at the Chattanooga Zoo," notes Dr. Loren Hayes, assistant professor of Biological and Environmental Sciences at UTC and animal behaviors study program coordinator. "Personally, I am really impressed by the creativity and dedication of the UTC Engineering students who designed and constructed the exhibit. This represents the beginning of what we all hope is a long-term collaboration between UTC, the Zoo, and CGLA. With support from the Community Foundation of Greater Chattanooga and the National Science Foundation, we are already engaged in additional collaborations, including studies of animal behavior by UTC Biology and CGLA students and the planning of new exhibits for other animals at the Zoo. This is a win-win situation for all of the students and Chattanooga."
Zoo CEO, Dardenelle Long seconds Dr. Hayes sentiments in stating that, "The Chattanooga Zoo is thrilled to serve as an educational resource for local students. We sincerely hope that this partnership becomes a model for many future collaborations with local education institutions."
An official unveiling for the new, renovated exhibit is scheduled to take place on Friday, Feb. 7, at 9 a.m. at the Chattanooga Zoo. The ceremony is open to the public.
July 20, 2017
July 19, 2017
Dr. Loren Gresham will address Lee University students at the summer commencement ceremony on Saturday, July 29, at 10:30 a.m. in the Conn Center. Dr. Gresham is the president of Southern ... (click for more)
Virginia College in Chattanooga will host a Back to School Event Saturday, Aug. 5, from 10 a.m.-noon at the campus at 721 Eastgate Loop. The event is free and open to the public, as the community ... (click for more)
Chattanooga State Community College plans to hold TN Reconnect Information Sessions at the Kimball and Dayton sites. No reservations are required. "When Governor Haslam signed The Tennessee ... (click for more)
Dr. Loren Gresham will address Lee University students at the summer commencement ceremony on Saturday, July 29, at 10:30 a.m. in the Conn Center. Dr. Gresham is the president of Southern Nazarene University in Bethany, Oklahoma. As he concludes his 28th year, he is the longest tenured president currently serving at any college or university in Oklahoma. Dr. Gresham ... (click for more)
Virginia College in Chattanooga will host a Back to School Event Saturday, Aug. 5, from 10 a.m.-noon at the campus at 721 Eastgate Loop. The event is free and open to the public, as the community is invited to kick off the new school year with Virginia College. The event will feature refreshments, lotion and lip gloss demonstrations, health screenings, games, a scavenger hunt, ... (click for more)
County School Board members at a Thursday work session took turns rapping a state take-over plan for low performing schools. New Supt. Bryan Johnson said he will work over the next 30-45 days to come up with a community proposal for strengthening the iZone schools. He said, "I'm not sold myself" on some of the aspects of a proposed state partnership with the school district. ... (click for more)
A woman and her boyfriend have been arrested after her three-year-old son was taken to the hospital with serious injuries. Police said the child had a broken left arm, fractured ribs, a lacerated kidney and a skull fracture with bleeding on the brain. Doctors also noticed injuries healing in different stages, "which would indicate different times of injuries." The boy's ... (click for more)
It is unconscionable in this day and age that these children had to exist in such deplorable conditions and that an innocent baby suffered and died alone in a locked car. Yes, there is blame and accountability considering this family had child neglect charges filed a few years ago (that were apparently dropped and expunged) and a large part of the responsibility should ... (click for more)
The Hamilton County School Board, told that 'no' was not an option three months ago when state Education Commissioner Candice McQueen arrived to take over five floundering public schools, may have to ask the Governor to call out the Tennessee Guard. A very vocal School Board shoved a bitter ultimatum right back into McQueen's lap during a work session Thursday night and showed it ... (click for more)


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Friends of Couture Cardigan size 8This cardigan by Friends of Couture is in pristine condition with little evidence of past wear. THE BOTTOM BUTTON IS LOOSE. It is labeled size 8. Under arm to under arm measures 48.5 cm, length is 56 cm.AU $16.79or Best Offer
ALDOMARTINS DESIGNER CARDIGAN JACKET,GARDEN KEEPER,S,FLORAL,ANTHROPOLOGIE,$290Fabulous aldomartins knit jacket/cardigan in floral tones of apricot, green, navy. Garden Keeper Cardi. A touch of spring in the winter months never hurt anyone. Bamboo-cotton-polyamide knit. Small front pockets.AU $125.00
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Autograph XL (uk 14) Womens Cardigan Floral Waterfall Kimono Sleeve Jacket #D126Size : UK 14 - fits AU sz 14 or XL. - Sleeve (armpit to cuff) : cm. - Length (shoulder to hem) : cm. Open front, no fastening.AU $24.95
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BLUE ILLUSION Cotton And Linen Cardigan - Size XLFloral cardigan from Blue Illusion, size XL. A few loose threads here and there (see photos) but otherwise in decent condition. Any questions please ask before purchase. Happy shopping! Please check out my eBay store, hundreds items to choose from :)AU $13.99
CUSTO BARCELONA cardigan, floral & beaded, sz. 10-12, wool blend $178.00Custo Barcelona cardigan. Yarn: Wool blend. Split seams: no. Weight: 450gr. Length: 58cm. Bust: 98 - 100cm. Jeans and necklace are not included. Beading: none missing that we can see.AU $22.99
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Mazi Ladies Floral Print Cardigan Size S - Barely UsedMazi floral cardigan with lace edging. Size S. Worn only a couple of times (always washed in a wash bag). Note I have removed the ribbon that ties the cardigan together. Please see photos for condition. Pick up is unavailable for this item.AU $7.500 bidsEnding Thursday at 20:37 AEST1d 6h
CAPTURE FLORAL CARDIGAN SIZE SPretty cream round neck cardigan has an all over brown floral pattern,it has buttons down the front an cream ribbed bands.Underarm to underarm measures 44cms.AU $10.000 bidsEnding Today at 22:03 AEST7h 45m
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AU Women Beach Sheer Floral Lace Crochet Loose Long T-Shirt Tops Blouse CardiganAU $10.44Was: Previous priceAU $10.99
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Corsair Releases the Hydro Series H5 SF Low-Profile Liquid CPU Cooler
Corsair, a world leader in closed-loop liquid cooling systems, today announced the release of its first low-profile liquid CPU cooler, the Hydro Series H5 SF, bringing the quiet and efficient benefits of liquid cooling to the smallest of PCs. Mounting to any Mini-ITX motherboard and equipped with a specially tuned low-noise blower fan, the H5 SF is able to cool even an overclocked CPU within the confines of the most compact small form factor cases.
Further expanding Corsair's best-selling Hydro series line of liquid CPU coolers, the H5 SF is Corsair's first liquid cooler designed specifically to meet the thermal demands of small form factor PCs. Easy to install and just 84mm tall, the H5 SF is compact enough to fit inside the most confined PC case , yet still offers up to 150 W of heat dissipation, enough to cool today's demanding high-end CPUs with overclocking headroom to spare.
The all-new design fits directly on top of any Mini-ITX motherboard with no need to attach the H5 SF to any external fan mounts or brackets, maximizing compatibility across a wide range of Mini-ITX and small form factor cases. A high-performance copper cold plate efficiently draws heat away from the CPU, where it's then transferred into the integrated 120 mm x 40 mm radiator and exhausted by the H5 SF's low-noise tuned 120 mm blower fan. What's more, the H5 SF's blower fan also draws air over other heat producing motherboard components such as VRMs and chipset heat sinks, helping to keep your whole system cool.
Fully compatible with Corsair's Obsidian Series 250D, Carbide Series Air 240, and Graphite Series 380T cases, the H5 SF is also critical to Corsair's upcoming Bulldog chassis, allowing the new case to deliver low-noise, 4K living room gaming without compromising CPU choice. Now enthusiasts can take advantage of Bulldog's H5 SF cooling for themselves and fit even the most demanding of CPUs, into the smallest of cases.
Available immediately from Corsair's world-wide network of retailers and distributors, the H5 SF is backed by a comprehensive five year warranty and Corsair's world-wide customer support network.
- Low profile liquid CPU Cooling - Provides efficient cooling for small form factor cases
- High-pressure, low-noise 120 mm PWM blower fan - Powerful and quiet liquid cooling
- Ultimate SFF compatibility - Mounts to any Mini-ITX motherboard with no external fan mounts.
- Low permeability tubing - Ensures long life, and the flexible design makes installation easier in tight spaces
- Copper cold plate with pre-applied thermal compound - Pre-applied thermal compound saves you time and mess when installing
- MSRP: $79.99 exc. Tax
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text:
TRADOC Leader Describes Lessons Learned, Future of Warfare
The keynote speaker at the East: Joint Warfighting 2013 Wednesday lunch, Gen. Robert W. Cone, USA, commanding general, U.S. Army Training and Doctrine Command, highlighted the progression from network-centric warfare to the Army's digital divisions and rapid decisive operations in Iraq. In addition, the general discussed lessons learned, pointing to the conclusion that the nature of war remains a clash of wills and is inherently human.
The military also learned that it is impossible to predict the level to which humans can adapt. Gen. Cone said that coalition fighting in Southwest Asia showed a lack of understanding of this human equation of war. "Unless we pick this up as a key lesson, we're going to come apart. We need to prepare the land forces so they have a good understanding of the human domain. The lesson was that we weren't prepared for the human dimension [of the conflict]," the general said.
These are not criticisms of operations but rather lessons that will help the military—in particular the Army—prepare for future conflicts. For example, everything the military does must be linked to national security objectives the general said. If a tactic or idea works, the adversary will continue to use it, including kinetic and cyber. The range of military operations must extend from support to influencing human behavior, Gen. Cone said. To support these kinds of missions, the Army is aligning its force structure with the combatant commands' needs.


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The Canon EOS 5D Mark III with printer bundle deal is back again. Canon USA authorized dealer Adorama Camera currently has a hot bundle deal on Canon EOS 5D Mark III w printer and free accessories bundles. Never Miss a Singe Deal ! Enter your email address to receive notifications of new deals by email. […]READ MORE »
Monthly archives for July, 2017
Deal Back – 5D Mark III w/ Printer + Zoom H4n Pro Recorder + Audio-Technica Microphone for $2,299 AR at Adorama !
5D Mark IV with Canon Log now Available for Pre-order for $3,599 !
The recently announced Canon EOS 5D Mark IV with Canon log feature now available for pre-order at B&H Photo Video and Adorama. The US price for this item is $3,599.00. Currently already in stock at Canon Direct Store.READ MORE »
Refurbished 5D Mark IV for $2,799 Still Live !
The refurbished 5D Mark IV deal is still live, you can get refurbished 5D Mark IV body at Canon Direct Store for $2,799.20.READ MORE »
Hot Rokinon Deals – 8mm f/3.5 w/ Removeable Hood for $175, 85mm f/1.4 for $232 and More at Amazon !
Rokinon USA authorized dealer Amazon US currently has several great deals on Rokinon lenses for Canon EF mount, after 20% off coupon, most of these lenses are lowest price online ever.READ MORE »
Hot Printer Bundles Back – 24-70mm f/2.8L II for $1,499, 70-200mm f/2.8L II for $1,699, 100-400 L II for $1,799 at BuyDig !
The super hot Canon EF lens with printer bundle deals are back again ! Canon USA authorized dealer BuyDig currently has a very hot free Pixma PRO-100 printer bundles on Canon EF Zoom lenses. After added to cart and checkout, use promo code, you can get another $200 price drop on these bundles.READ MORE »
Hot Deal – 5D Mark III w/ Printer + Tascam Shotgun Mic + Audio Recorder for $2,299 AR at Adorama !
Canon USA authorized dealer Adorama Camera currently has a hot bundle deal on Canon EOS 5D Mark III w printer and free accessories bundles.READ MORE »
$200 Price Raise on Canon 5D Mark IV Coming July 8 !
The current instant rebate on Canon EOS 5D Mark IV will be expired on July 8th, 2017. This means Canon EOS 5D Mark IV price will going up by $200. So this is last week to get Canon EOS 5D Mark IV deal by $200 off. Order ASAP before deals expired !READ MORE »
Hot Deal – Refurbished Canon 5D Mark IV for $2,799 at Canon Direct Store !
Canon USA direct store has refurbished Canon EOS 5D Mark IV body for $2,799.20. This is first time we see refurbished Canon EOS 5D Mark IV at Canon Direct Store. This item also coming with full 1-year warranty from Canon USA.READ MORE »


text:
Rufus and Martha Wainwright
Martha Wainwright
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Rufus and Martha Wainwright
Martha Wainwright
Thursday, July 17th, 2014 at 8:30pm
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Home Trampoline Club
Trampoline Club
Terms 3 & 4
Trampoline Club
Tuesdays with Mrs Kilner
The children will learn how to develop numerous moves and skills which will enable them to perform a set routine.
Working alongside the Skegness Academy, this is a great opportunity for your child to access and participate in a fun and unique sport.
Terms 1 & 2
Ball Skills
Thursdays with Mrs Kilner
A great way for your child to improve their hand/eye coordination in a fun environment.
Whilst the main focus is on learning and improving their ball skills, the children will also explore different ways to exercise and stay fit and healthy.


text:
The system saves visitor information so it can report on every keyword that generates telephone enquiries. This way you are able to get complete accuracy with your call tracking and drive further improvements to your ROI
Ghostery Analysis of Tynt SpeedSearch. See which sites Tynt SpeedSearch was found on and learn what Tynt Multimedia is doing with your data.
In terms of market share, AdInsight Clarity is clearly lagging behind, losing to Tynt SpeedSearch in all segments.
AdInsight Clarity has better usage coverage in more websites categories. Including Business & Industry, Travel, Furniture, Shopping and 12 other categories.
Tynt SpeedSearch is leading in Search Engine and Government.
AdInsight Clarity is leading in most countries, including United Kingdom, Saint Lucia and Netherlands.
Tynt SpeedSearch is leading in United States.


text:
Login | Create Account | View Saved Listings
Save your favorite homes and searches and receive new listings via email.
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Missouri MULTI-LIST
Homes, Land, Farms and Commercial Properties for Sale
15 MagnoliaMore Photos
Salem MO 65560
Salem MO 65560
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Property Details
Great location and neighborhood features this well maintained ranch style home! This 3 Bedroom and 2 full bath home sits on a large 182X141 beautiful landscaped yard. Many updates include extra blown-in insulation, all new laminate flooring in the living room, hallway and dining room in 2009, newer laminate flooring and tile in the master bedroom and bathroom in 2011, newer master bathroom counter tops, and living room ceiling fan. Tilt-in windows through out the home. Master bedroom features garden tub, separate shower, double sinks, and a large walk-in closet. Central air and natural gas heat. Home could be converted back to propane heat if someone chooses. Over sized 29X24, 2 car garage with pull down attic access. Attic access is complete with lighting and flooring for lots of extra storage space! This is the perfect home for someone looking for a ranch style home that is all one level! Priced to sell, this home is a great buy at $144,900.00!
Room Dimensions / Floor Coverings / Location
Dining Room
11' " x 10' "
Living Room
19' " x 15' "
Master Bedroom
12' " x 15' "
Bedroom 2
12' " x 12' "
Bedroom 3
16' " x 13' "
Subdivision: Southland Estate
School District: Salem R-80
Taxes: 1053.00
Garage Capacity: 2.00
Exterior: Traditional
Listed by: Broker - United Country Salem Realty - Babette Wells (Joan Sample, Broker)
United Country Salem Realty - Babette Wells
605 S Main Street
Salem, MO 65560
United Country Salem Realty - Babette Wells
605 S Main Street
Salem, MO 65560
Call Broker Today!


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Forum indexCanon Rebel (EOS 300D-800D) TalkChange forum
Cherry tomato splash
Started Jun 7, 2010 | Discussions thread
englishman • Contributing Member • Posts: 944
Re: Cherry tomato splash
In reply to klassenl • Jun 7, 2010
Hey, that's pretty cool.
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Discover beautiful and soft skin
Vama Cream is an Ayurvedic formulation aimed to prevent the unwanted wear and tear of the skin in different seasons; to provide fast relief to minor household injuries while performing household chores like cutting vegetables – cooking food - repairing an instrument – shaving – playing etc.; and to work as a natural moisturizer to be used throughout the year. Vama Cream makes a protective layer on the affected part which prevents the exposure from dust and other foreign pollutants. Then the high action formula penetrates into the skin to start the curative action. This helps in speedy growth of fresh skin tissues to replace the damaged ones. The ever pleasant fragrance of Sandalwood (Chandan) helps the recovery and acts as protection against further infection. Apart from its curative action, regular use of Vama Cream keeps away the seasonal cracks in hands and feet. It can also be used as daily after bathe cream to keep the skin moist and soft which enhances glow.
Cracked Foot (फटी एड़ियां): Often it is found that due to exposure to cement floor, working in fields, construction related work or due to lack of hygiene of feet they get cracked. Due to the presence of Kokam Butter and Lead Oxide, Vama Cream prevents the feet from damage and at the same time keeps it smooth. Hence, apply Vama Cream after cleansing the feet by water. Apply Vama Cream for 3 – 4 times a day to get immediate relief.
Cracked Foot
Kokam Butter (Garcina Indica): It is a very strong healing solution and hence is widely used for skin care purposes. It helps regenerate the worn out skin cells and enhances elasticity and flexibility of the skin wall. It is useful in Cell Oxygenation and make nutrients more readily available for use by skin tissues. It is also a source of Vitamin E – a vital vitamin for healthy skin.
Boric Acid (Tankan Amla): It has very effective results when used as mild antiseptic, especially on yeast and fungal infections. Hence, it shows results when used for mild rashes.
Lead Oxide (Sindur): A very good antiseptic widely used by Indian women to symbolize their marital status.
Zinc Oxide (Jasat Pushp): It finds its mention in Charak Samhita, has very good anti-bacterial properties required for healthy skin. So, it is useful in providing relief in skin irritation. It also has cosmetic properties of absorbing UV radiations thereby preventing damages to skin due to sun burn/exposure and acts as a sunscreen film on the skin.
Divel/Castor Oil (Ricinus Communis): Works as an absorbent and helps other ingredients percolate into the skin easily. It has moisturizing and nourishing effects. It has properties of being disinfectant and hence is perfect as a first aid treatment for the damaged skin cells.
Sandalwood Perfume: Gives a soothing fragrance that is pleasant in use. ×


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SPOILERS: Nightwing #25
Nightwing stories end up in two categories: 1. Dick has a new girlfriend or 2. Oh no, they broke up!
SPOILERS: Dark Days: The Casting #1
Oh don't mind me, just a retcon to the entire fabric of the DC Universe passing through.
Friday, November 16, 2012
Batman: The Dark Knight Art Teaser
David Finch recently joined twitter, and with it, he brought a sneak peak of one of the last two issues of Batman: The Dark Knight he'll be illustrating.
HEY ALFRED! What the hell are you doing there?!
(Source: David Finch's Twitter)
Posted by Gotham Spoilers at 10:18 AM
Labels: art , Batman: The Dark Knight
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text: Next Story > Indonesia Real Time When Will Jakarta's MRT Be Finished? New Answer Coming in September By Ben Otto Ben Otto The Wall Street Journal BiographyBen Otto @BenOttoWSJ email@example.com Jul 20, 2014 SGT Ben Otto/The Wall Street Journal Jakarta's $1.4 billion urban railway is being built, much to the delight of residents awaiting solutions to the capital's crippling gridlock. They just might have to wait a little longer. To Read the Full Story Subscribe Sign In Previous Video: World Leaders Speak Out on MH17 Shootdown Next Q&A: Putting Together the Pieces of MH17 Most Popular Videos USS Thunderbolt Fires Warning Shots at Iranian Vessel in Gulf McCain Returns to Senate With Strong Comments on Health Care WSJ Interview: Trump Doesn't Rule Out Firing Sessions Lego Boost: The Ultimate Kid Review China's New Nationalists Most Popular Articles Trump Won't Say if He Will Fire Attorney General Sessions China Prepares for a Crisis Along North Korea Border Working From Home? The Boss Wants You Back in the Office Opinion: Mueller Is Trumping Congress Michael Kors Shops for Glamour, Buys Jimmy Choo for $1.2 Billion