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What a horrible in-bounds play, just awful. I, like many of you guys probably did, shouted numerous profanities at my television. Al Harrington ended up with the ball??? WTF???? Gotta get the ball to eitha Nate, Lee or Gallo, come on now.
What a horrible in-bounds play, just awful. I, like many of you guys probably did, shouted numerous profanities at my television. Al Harrington ended up with the ball??? WTF???? Gotta get the ball to eitha Nate, Lee or Gallo, come on now.
And I can't believe I'm saying this, but Jeffries was missed in that second half. Bosh was shredding us come clutch time.
And Chris DuDonkey is just horrible. How many more games do we gotta endure with this guy as our starting PG?
Duhon is only playing 30+ minutes a game right now because there is no other PG on the team and him playing creates more shots for everyone else just because he doesn't take shots himself except when wide open. Not a chance though you'll see him in a knicks uniform next season though.
This game proves Lee is no All-Star. He didn't come through down the stretch when it matters most. As good as Lee was, a REAL All-Star like Chris Bosh shows why he is 2 times as good as Lee. CB was MONEY, while Lee brought you to the dance, but in the end....didn't get the girl
now thats not to say i agree with Lee being snubbed. Stern better step in and get some of these undeserving clowns off the roster
I was mad and cracking up at that last play we ran.
d'antoni calls a time-out so we can set up a play. Yet all we do is (barely) get the ball in to harrington(?!?!), who commits a charging foul?!?!?
what did d'antoni say in the last huddle? "okay guys, I'm gonna make believe I'm setting up a play on my shiny board by scribbling squiggly lines on it. Now go out there and do whatever you feel like!!!"
FACT: When you are almost 10 games under .500, and haven't beat TOR in eons.... Hanging on the rim b/c you dunked it is assinine. Simple as that.
WOW, we lost by 2 points, so you forgive the giving away of one point? Please....
I SO LOOK FWD to next year when Duhon-N8-Harrington and the rest of these bums are gone.
Harrington shows again that he's not just a trashy shooter, but a trashy player. Dude is like an oversized N8; no clue how to use his abilities, let alone play winning basketball. And unlike N8, he has no future becoming something more.
N8 still showed a losing mentality. Or at least that of someone who beyond any reasonable doubt doesn't know what it takes to WIN when the clock strikes 0. Not that he "can't" learn it....and which is why I still maintain he should be starting PG and given a legit chance...at least that which Chris DuDonkey has been given....
Fitting that Gallo is floating with a 5ft cushion at the 3pt line as Al barrels through the court with the grace of an obese paraplegic.
Can we plz trade this trash before it becomes (even more) apparent that he utterly sucks?
And yes, Lee has his problems, but look at the fcking circus of a team he is playing around -- from top to bottom, coach to team masseuse this is a Frankenstein of a team.
Lee's numbers (might) be inflated some, but at the same time his game that doesn't show up in the numbers is utterly retarded by the donkeys he plays alongside.
lol at bosh.bosh is a known ***** league wide and yet he tried to intimidate lee.god how i missed the days when the knicks would put someone like him in their place.


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Hey! All Star Weekend just around the corner. Let's get behind our guys involved!
We have Jonas Valanciunas representing Team Hill in BBVA Rising Star Challenge
When: Friday, February 14, 2014 @ 9:00 PM
Then during All Star Saturday Night, we have DeMar DeRozan in the Taco Bell Skills Challenge followed by Terrence Ross in the Sprite Slam Dunk Competition:
When: Saturday, February 15, 2014 @ 8:30 PM
Finally, we will have DeMar once again representing us in the All Star game itself:
When: Sunday, February 16, 2014 @ 8:00 PM
So what are you waiting for? Let's support our Raptors as they go to NOLA!

subset: commoncrawl


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Ronnie Scott's proudly presents "Jook Joint"! A new monthly series featuring the Ronnie Scott's Jazz-Soul Orchestra! Expect an evening of smokin' Blue Note grooves, honking tenors and rip-roaring vocals from this 14-piece powerhouse ensemble, co-led by James Pearson (RS Musical... find out more Tap to see more
Doors open 6.30pm, £7 on the door Photo credit: Alfonso Ezquerra. Once a month at Ronnie's Bar, we get fired up with London's hottest night of flamenco inspired music and dancing with Espana on Fire. Sunday nights will never be the same. As ever,... find out more Tap to see more
"Their explosive live shows have become legendary" Montreux Jazz Festival "Absolutely Brilliant! That really put me in a good mood." – Simon Cowell "A Ray of Sunshine! I loved The Jive Aces." – Alesha Dixon... find out more Tap to see more


text: I just saw a post about Laver and Newcombe at Wimbledon, and who was better at his peak. Federer just won his 17th major there, tying Sampras with seven each. So I started thinking about the best grass-courters of all time playing there in the semis. Who would you pick? I'd take Fed, Sampras, Laver, and maybe Gonzales or Hoad. But Tilden was also a great grass-courter, and Borg.


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EAST RUTHERFORD, N. J.—The Jets tried a little more Tim Tebow, and a lot more tricks Monday night. Still, it was not enough.
The Texans (5-0) remained undefeated, holding off the Jets, 23-17, at Met Life Stadium. It was a more competitive contest than many expected, as the Jets (2-3) stayed close with strong special teams and solid defense. Joe McKnight had a 100-yard kickoff return for the Jets' third quarter touchdown, and coach Rex Ryan pulled out all stops — using a fake punt, an onside kick, and going for it multiple times on fourth-and-one.
However, the Texans did what was necessary to win, led by running back Arian Foster (26 carries, 152 yards, 1 TD) and a sensational game from defensive end J. J. Watt.
Here are three things we learned:
Watt is a dominant player
His stats don't tell the whole story. He saved a touchdown near the goal line when he deflected a pass by Mark Sanchez, who had Chaz Schilens wide open in the end zone. Watt caused another turnover when he tipped a Sanchez pass into the arms of teammate Brice McCain for an interception. That was a huge momentum swing in the game. The Jets trailed just 14-7 at the time, and were threatening to tie the game just before halftime. Instead, McCain returned the interception 86 yards to the Jets' nine yard line, setting up a field goal that gave Houston a 17-7 halftime lead.
Watt has been the NFL's best defensive player so far this season. Monday night, he showed why.
Jets' offense still makes too many mistakes
This was so much better than their 34-0 loss to the 49ers. But the Jets' offense still has no consistency, no identity to hang its hat on. Tebow (five carries, 19 yards) was more involved offensively, and should have completed his only pass, a beautiful long throw in the first half that was dropped by Jason Hill.
However, Ryan and offensive coordinator Tony Sparano still seem unsure how much to use Tebow, and when to use him. There were many occasions when the Jets took too long to make substitutions, and to call plays. On a fourth-quarter drive, Tebow had a 13-yard run to give the Jets a first-and-goal, but two plays later, he was out of the game, and the Jets settled for a field goal.
Then there is Sanchez, who remained inconsistent (14 for 31, 230 yards, one TD, two INT). You never know what to expect from Sanchez from play to play, from pass to pass. He makes a good throw. He makes a bad throw. In his fourth season, Sanchez's game has not taken a step forward, and Ryan has been clearly reluctant to turn things over to Tebow. It's hard to see the Jets sorting out this mess in time to be a factor in the AFC.
Brian Cushing's health a concern
The Texans' star inside linebacker left Monday night's game with a left knee injury and did not return. Cushing went down in the second quarter, and limped off the field and into the locker room under his own power. However, the extent of Cushing's injury was not immediately known.
Cushing entered the game leading the team in tackles, and losing him for an extended period would be a blow to the Texans' defense.


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FREE SHIPPING on orders of $85 or more
An excerpt from www.HouseOfNames.com archives copyright © 2000 - 2018
Witen Early Origins
Roxburghshire in the lands of Whitton, in Morebattle parish. The first on record was John Wytton, prior of St. Andrews in 1285 A.D. Michael and Adam Wytton both rendered homage to King Edward I of England in his brief conquest of Scotland in 1296. Michael was chief forester of the Forest of Selkirk. His seal showed a deer running. Richard Wyttone, a dignitary of the Church also rendered homage. [1]CITATION[CLOSE]
Black, George F., The Surnames of Scotland Their Origin, Meaning and History. New York: New York Public Library, 1946. Print. (ISBN 0-87104-172-3)
Further to the south, "there are parishes in Lincoln, Durham, Hereford, Northumberland, Salop (Shropshire) and Suffolk." [2]CITATION[CLOSE]
Witen Early History
Witen Early History
This web page shows only a small excerpt of our Witen research. Another 151 words (11 lines of text) covering the years 1165, 1400, 1370, 1303, 1635 and 1704 are included under the topic Early Witen History in all our PDF Extended History products and printed products wherever possible.
Witen Spelling Variations
Witen Spelling Variations
Spelling variations of this family name include: Whitton, Whitten, Whytten, Whytton, Wytton, Wytten, Witten, Witton, Wyton and many more.
Witen Early Notables (pre 1700)
Witen Early Notables (pre 1700)
Another 33 words (2 lines of text) are included under the topic Early Witen Notables in all our PDF Extended History products and printed products wherever possible.
Witen In Ireland
Witen In Ireland
Some of the Witen family moved to Ireland, but this topic is not covered in this excerpt. Another 168 words (12 lines of text) about their life in Ireland is included in all our PDF Extended History products and printed products wherever possible.
The Great Migration
The Great Migration
Some of the first settlers of this family name or some of its variants were: Thomas Whitton who settled in Hingham, Massachusetts in 1635; with his wife Audry and his sons Jeremy and James. The Whittons settled at Hingham, Massachusetts and became one of the distinguished families of the U.S.A. Later John Whitton settled in Maryland in 1731.
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It must have been in the December issue of the ON magazine. It was some gift guide anyways. They presented gloves, and I forgot the brand. They are supposedly designed by a neurologist and superior when it comes to handling vibrations and the effects of pressure on the hands.
If you still have this issue, would you be so kind to look up the brand and let me know.
Should someone actually own these gloves, could you share your experiences?
Thanks a bunch


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- Consider privacy, light control and operability
- Cellular shades insulate in changing climates
- Hold down brackets key for spaces on the move
- Go cordless to avoid tangles and small space clutter
- Best of both worlds privacy with top down/bottom up
When deciding on RV blinds consider your light and privacy preferences. Blinds have tiltable slats that allow precise light control during the day, but can allow for some light seepage when closed. Shades give more privacy and are available in blackout fabrics, however, to allow full sunlight they will need to be raised. The top down bottom up feature on shades allows for light control while still protecting privacy. Consider adding hold down brackets to your blinds they ensure that while your RV is moving, your blinds won't be.
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Transparency, Frugality Good for Goose and Gander: Editor's Column
A lot of the scuttlebutt around the industry over the last couple of weeks has been about transparency and fiscal responsibility. Take for instance, the NCUA's announcement that it's cutting back on spending for its examiner education conference in Florida.
Advances in technology have created invaluable savings to provide educational opportunities across all businesses. At the same time, it's also made education and business less personal. I can't think of a single company or government agency that isn't in the people business.
Dealing with other people is exactly what examiners do for a living so the NCUA bringing them all together in one place is a good thing. When examiners can gather face-to-face to discuss issues they're having or trends they're seeing—even if it's over free donuts or beers—is a good thing for them and for credit unions. It's not as if the NCUA is bringing everyone to St. Kitts or on an Alaskan cruise as credit unions often participate in.
In fact, credit unions should be excited that the agency is at least trying to address some of the issues that have boiled over during the last few years of financial crisis. Examiners have had extra workloads, taken intense and enormous scrutiny and public criticism for a variety of things most of them have no control over. A few credit unions fail for problems that were obvious so all the examiners get painted with a broad brush. It's enough to make anyone a bit cranky and defensive when they enter a credit union, not to mention the pressure they must be getting from above stemming from the economic problems and rush of new laws and regulations.
Likewise, credit union executives are experiencing their own problems with compliance burdens, loss of earnings on spread and net worth pressures. Combine both stressed out parties and you've mixed a Molotov cocktail. The natural tension between regulator and regulated snaps.
The cliché a few bad apples spoils the bunch comes to mind. Along that vein, it also brings to the forefront recent reports on credit union CEO compensation have drawn attention to themselves. Specifically we reported recently on the retirement compensation of David Maus at PSECU and Grace Mayo's income as she left Telesis, which have stirred up a hornet's nest. Maus' pay made news for the shear dollar amount, but Mayo's came during a time of very poor financial performance at her credit union.
I am all for individuals making what they feel they deserve, and assuming Maus lives beyond another 10 years, his retirement package will be considerably less than his base compensation. However, I'm also in favor of ensuring the board of directors educates itself regarding best practices in relevant executive compensation packages as well as not rewarding employees for screwing up royally.
Pay for performance is becoming more common among credit unions, which can be positive if it is in line with the credit unions' strategic goals. The leaders you want to hire are those that want to a good job that they are rewarded for, not those that chase the reward.
One CEO told me last week the tax exemption should go back to the members, not to the CEO. That is true in part, but hiring the right talent to create the best possible returns to the members carries a value, too.
Currently only state-chartered credit unions are required to file a Form 990 with the IRS, which publicly discloses executive compensation packages among other things. Federal credit unions should have to publicly disclose as well. Yes, some executives will be embarrassed releasing how little or how much they make. Certainly some credit unions aren't paying their top staff enough by today's financial industry standards.
Credit union executives are the unfortunate position of filling positions that started out that started out as nonprofessionals. A teachers' organization would start and credit union and one of the teachers would manage it. Some board members may have been around 40 years ago when that happened. The modern-day credit union is much more sophisticated—particularly so in the last 10 years—and so should their executive compensation packages be.
At the same time, federal credit unions are not-for-profits and should have to disclose executive compensation packages. The NCUA and other financial institution regulators have a proposal out under Dodd-Frank to disclose executive compensation to the respective agencies. While I disagree with the NCUA proposing a lower threshold than the other agencies, transparency is the way the world is moving. Besides credit unions make hay every year over what NCUA executives are paid.


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Purpose Statement
The purpose of Student Financial Aid is to provide a comprehensive program of financial assistance to qualified students who would find it difficult or impossible to attend Volunteer State Community College without financial assistance.
Financial Aid is administered in conjunction with the nationally established policy and philosophy that the student and his/her family have the primary responsibility for financing a college education. Financial assistance is designed only for filling in the gap between the family's potential resources and the student's expenses.
All applicants for financial aid must submit the Free Application for Federal Student Aid (FAFSA). This form is on-line at www.fafsa.ed.gov. April 15 is the priority date for applying for federal financial aid for the Fall semester. After this date, financial aid will be awarded on a first-come, first-serve basis until all funds have been exhausted.
Renewal of aid is not automatic; students must file a new FAFSA form each academic year. All first-time applicants must be fully accepted for admission by the College before aid will be awarded. For inquiries, email the Financial Aid Office at email@example.com.
VSCC Financial Aid Office
Ramer Administration Building 132
Office Hours - Monday through Friday - 8:00 am - 4:30 pm
Phone - (615) 230-3456
Fax Number - (615) 230-3487
Financial Aid
Check Your Vol State EMAIL Regularly
The Financial Aid Office will be sending information to your Vol State email account only. Be sure to check your email regularly so that you don't miss important updates.
Have you filed FAFSA yet?
In order to be considered for financial aid (grants and loans) you MUST complete the FAFSA at www.fafsa.gov. For spring or summer of 2018 you will need to complete the 17-18 FAFSA and for fall 2018 you will need to complete the 18-19 FAFSA. This application could take up to four weeks to process in the Financial Aid Office.
Beware of Possible "Financial Aid" Scams
The Tennessee Attorney General has issued a press release warning against scams targeting people looking for financial aid. You shouldn't have to pay anything to get help filling out financial aid forms, including the FAFSA.


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Mysterious 400 year-old slate tablet gets a closer look at MCI
MCI Director Dr. Robert Koestler, Mel Wachowiak (Senior Conservator), Jeff Speakman (Head of Technical Studies), and Dr. William Kelso (Historic Jamestowne Director Research & Interpretation) discuss upcoming analysis of the slate while Michael Lavin (Historic Jamestowne) cleans the surface. Photo: Charles Durfor
Staff at the Museum Conservation Institute (MCI) recently helped Jamestown researchers decipher inscriptions from a unique stone tablet. The slate tablet, about 8x10 inches, dates from the earliest days of Jamestown. The tablet was found in an ongoing excavation of a well and so can be dated to about 1610. The inscribed surfaces have writing as well as pictures of birds and trees, and still indecipherable markings.
Using a new method called Reflectance Transformation Imaging (RTI), MCI staff created a digital surrogate of the tablet's two surfaces. RTI is a non-contact way to digitize the surface qualities and apply non-destructive computational methods of enhancement. RTI allows the viewer to control the lighting angle and intensity in an intuitive and interactive way. One of the tremendous advantages to RTI is that it allows the user of the software to quickly become self-guided.
Soon after processing images, the Jamestown staff agreed that they had already seen more than was possible by other methods. MCI staff will process all the data for the Jamestown researchers and prepare it for them to assess back at their museum.
For more on the discovery:
Jamestown Slate RTI Detail Images


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Cano doesn't foresee power outage in Bronx
Despite loss of Granderson, Yanks second baseman confident guys will step up
By Bryan Hoch / MLB.com
TAMPA, Fla. -- There has been a general agreement around the Yankees' offices that their lineup is going to hit fewer home runs and won't score as often this season. In Robinson Cano's mind, however, the expectations have not changed one bit.
Cano said on Wednesday that even as the Yankees prepare to begin the season without outfielder Curtis Granderson, who paced the club with 43 homers in 2012, the sweet-swinging second baseman is trying to keep a level approach and just do his part.
"I don't want ... to put anything in my mind that I have to do more than what I'm capable of," Cano said. "I just have to go out there and play the game. We've got guys here who can step it up.
"It's hard to replace a guy like [Granderson], but other guys can hopefully step it up and do the job and help the team win some games. Sometimes you don't need a home run to win a game. There's a lot of ways you can win a game."
Criticized for being too homer-reliant last year as they slugged a franchise record 245 homers, getting away from the long ball was something the Yanks had been drilling home even before Granderson was lost for 10 weeks with a fractured right forearm.
Subtracting so much power from their lineup over the winter -- notably deleting Nick Swisher, Russell Martin, Raul Ibanez, Eric Chavez, Andruw Jones, as well as the injured Alex Rodriguez -- manager Joe Girardi has stressed that the team must find other ways to score runs.
"We've talked about, we're probably not going to hit as many home runs as we did last year," Girardi said. "We have more speed. We're going to have to rely on our speed more, no doubt about it."
Ichiro Suzuki and Brett Gardner can highlight the efforts of answering the call in that department, but no one has ever looked at Cano or fellow slugger Mark Teixeira as a burner on the basepaths.
That means they will still be leaned on to provide the majority of the power production in April. Girardi said he will have to make sure Cano and Teixeira do not try to put more pressure on themselves, and noted that the Yankees' persistent injury issues of '12 should have been good practice.
"These guys, hopefully, they've been through this injury bug enough that they understand," Girardi said. "I mean, we've lost Tex, we've lost Alex, we've lost Jeet for substantial time. They've had to fill in, and our guys have done a pretty good job of just staying within themselves. Hopefully that experience helps in this situation."
With Granderson absent, Girardi said it is also possible that opposing clubs will be tempted to pitch around Cano and Teixeira more often. Because of that, Girardi said it is also important that Kevin Youkilis and Travis Hafner show the ability to punish that decision.
"It's possible teams might do that," Girardi said. "We know that Youk has the ability to drive in runs; Hafner has the ability to drive in runs. If that's what they want to do and give us free baserunners, we'll take our chances."
As he prepares to join the Dominican Republic's squad for the World Baseball Classic on Sunday, Cano said that it is a good thing he will be thrown into game action so soon, since he does not want to receive too many early off-days because of the Yankees' thirst for power production.
But Cano also doesn't believe the Yankees will have as much trouble living up to their Bronx Bombers nickname as others might be forecasting.
"I'm gonna tell you one thing: this game can change. Anything can change in one second," Cano said. "There's a lot of guys here who have power. We have Hafner, we have [non-roster invitee Dan] Johnson, you have guys that have power.
"Curtis is a guy that is hard to replace. I mean, he's a guy who hits 42, 43 homers a year and drives in 100 [runs]. It's really hard, but we're going to do our best just to keep in the race until he gets back."
Bryan Hoch is a reporter for MLB.com. Follow him on Twitter @bryanhoch and read his MLBlog, Bombers Beat. This story was not subject to the approval of Major League Baseball or its clubs.


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An in-depth report on the causes, diagnosis, treatment, and prevention of urinary incontinence.
Types of Urinary Incontinence
Urinary incontinence is generally categorized into the following types:
Treatment of Urinary Incontinence
Treatment options for urinary incontinence depend on the type of incontinence and the severity of the condition. Treatments include:
The American Urological Association's 2012 guidelines for managing overactive bladder emphasize that behavioral therapies and lifestyle changes should be the first treatment approaches. According to a recent study, drugs for urge urinary incontinence only help about 20% of the women who take them and often have significant side effects.
Urinary incontinence is the inability to control urination. It may be temporary or permanent, and can result from a variety of problems in the urinary tract. Urinary incontinence is generally divided into four types:
Often, more than one type of incontinence is present. When this occurs, it is called mixed incontinence. Because incontinence is a symptom, rather than a disease, it is often hard to determine the cause. In addition, a variety of conditions may be the cause.
The urinary system helps to maintain proper water and salt balance throughout the body:
The Process of Urination
The process of urination depends on a combination of automatic and voluntary muscle actions. There are two phases: the emptying phase and the filling and storage phase.
The Filling and Storage Phase. When a person has completed urination, the bladder is empty. This triggers the filling and storage phase, which includes both automatic and voluntary actions.
When the need to urinate becomes greater than one's ability to control it, urination (the emptying phase) begins.
The Emptying Phase. This phase also involves automatic and conscious actions.
The primary symptom of stress incontinence is leakage due to activities that apply pressure to a full bladder. High-impact exercise poses the greatest risk for leaking. But stress incontinence can occur with even minor activities, such as:
Leakage stops when the stress ends. If the leakage persists, it is more likely to be urge incontinence.
Stress incontinence occurs because the internal sphincter does not close completely. In both men and women, the aging process causes a general weakening of the sphincter muscles and a decrease in bladder capacity. However, the causes of stress incontinence may be different in men and women.
In women, stress incontinence is nearly always due to one or more of the following:
Prostate treatments can impair the sphincter muscles and are major causes of stress incontinence in men.
Surgery or radiation for prostate cancer. Some degree of incontinence occurs in nearly all male patients for the first 3 - 6 months after radical prostatectomy. Within a year after the procedure, most men regain continence, although some leakage may still occur.
Surgery for benign prostatic hyperplasia. Stress incontinence can occur in some men after transurethral resection of the prostate (TURP), the standard treatment for severe benign prostatic hyperplasia (BPH).
Incontinence after prostate procedures is often a combination of urge and stress. Because studies often combine the two types of incontinence, it is not always clear which predominates.
Urge incontinence (also called hyperactive, irritable, or overactive bladder) is the need to urinate frequently. People with overactive bladder may go to the bathroom more than 8 times over 24 hours, including two or more times a night, and have subsequent leakage. In some cases, urge incontinence occurs only at night. This is called nocturnal enuresis.
All cases of urge incontinence involve an overactive bladder. This occurs when the detrusor muscle, which surrounds the bladder, contracts inappropriately during the filling stage. When this happens, the urge to urinate cannot be voluntarily suppressed, even temporarily.
Conditions that can cause urge incontinence include:
Benign prostatic hypertrophy (BPH) is a non-cancerous enlargement of the prostate gland, commonly found in men over the age of 50.
Overflow incontinence happens when the normal flow of urine is blocked and the bladder cannot empty completely. Overflow incontinence can be due to a number of conditions:
Causes of overflow incontinence include:
Patients with functional incontinence have mental or physical disabilities that keep them from urinating normally, although the urinary system itself is structurally intact. Conditions that can lead to functional incontinence include:
About 20 million American women and 6 million men have urinary incontinence or have experienced it at some time in their lives. The number, however, may actually be higher because many patients are often reluctant to discuss incontinence with their doctors.
Some of the main risk factors for urinary incontinence include:
Urinary incontinence is far more common among women than men. This is because pregnancy and childbirth, menopause, and the anatomical shape of the female urinary tract all increase the risk for incontinence. For men, enlarged prostate and surgery to correct prostate problems are the main risk factors for urinary incontinence.
As people age, the muscles in the bladder and urethrea weaken. For women, the loss of estrogen that occurs with menopause can also cause weakening of the pelvic and urinary tissues.
Pregnancy and childbirth increase the risk for stress incontinence. Vaginal birth can cause pelvic prolapse, a condition in which pelvic muscles weaken and the pelvic organs (bladder, uterus) slip into the vaginal canal. Pelvic prolapse, and the surgery used to correct it, can cause incontinence.
It is not clear if cesarean delivery helps prevent urinary incontinence. It's also not clear if episiotomy prevents urinary incontinence. (Episiotomy is a surgical incision that is made during childbirth to the perineum, the muscle between the vagina and the rectum. Doctors perform this procedure to help widen the vaginal opening and prevent tearing.)
Being overweight is a major risk factor for all types of incontinence. The more you weigh, the greater the risk.
Diet. Acidic foods (citrus fruits, tomatoes, chocolate) and beverages (alcohol, caffeine) that irritate or overstimulate the bladder can increase the risk for incontinence. Spicy foods are also a problem. Excessive consumption of any type of fluid can create problems with incontinence but it's also important not to cut back too much. Drinking insufficient amounts of healthy fluids (water) can lead to dehydration, which in turn causes bladder irritation and worsening of urinary incontinence.
Smoking. Smoking increases the risk for incontinence, especially in heavy smokers (more than a pack a day).
Exercise. High-impact exercise can trigger urinary leakage, particularly for women with a low foot arch. Shock to the pelvic area increases as the foot makes impact with hard surfaces. However, lack of physical exercise and movement can also increase the risk for incontinence.
Medical conditions associated with increased risk for urinary incontinence include:
Drugs are often a cause of temporary incontinence.
Urinary incontinence can have severe emotional effects. Patients may feel humiliated, isolated, and helpless about their condition. Incontinence can interfere with social and work activities. Depression is very common in women with incontinence. Incontinence also has emotional effects on men. A number of studies of patients with prostate cancer suggest that incontinence can be much more distressing side effect for men than erectile dysfunction (also a side effect of prostate cancer treatment).
To prevent wetness or odors, people with incontinence may alter their way of life. Running errands can become difficult and require advance planning for locating public bathrooms. This problem is particularly noticeable for those with urge incontinence who may need to quickly reach a bathroom in order to avoid large-volume spills.
Incontinence is particularly serious in older adults:
To diagnose urinary incontinence, your doctor will first ask about your medical history and lifestyle habits (including fluid intake). The doctor will conduct a physical examination to check for possible conditions that may be contributing to the problem. The doctor may collect a urine sample for analysis to check for infection.
If further evaluation is required, more specialized tests (urodynamic studies) may be performed. Urodynamic studies are used to test how well the bladder and urethra are performing. These tests include postvoid residual urine volume, cystometry, uroflowmetry, cystoscopy, and electromyography. Imaging tests (video urodynamic tests) may also be used.
The first step in the diagnosis of urinary incontinence is a detailed medical history. The doctor will ask questions about your present and past medical conditions and patterns of urination. Be sure to let your doctor know:
Another method of diagnosing incontinence uses a test that asks 3 questions, which helps a doctor distinguish between urge and stress urinary incontinence:
Voiding Diary. You may find it helpful to keep a diary for 3 - 4 days before the office visit. This diary, sometimes referred to as a voiding diary or log, should be a detailed record of:
For each incident of incontinence, the log should also detail:
Your doctor will do a thorough physical examination, checking for abnormalities or enlargements in the rectal, genital, and abdominal areas that may cause or contribute to the problem.
The postvoid residual (PVR) urine volume test measures the amount of urine left after urination. Normally, about 50 mL or less of urine is left. More than 200 mL is abnormal. Amounts between 50 - 200 ml may require additional tests for interpretation. The most common method for measuring PVR is with a catheter, a soft tube that is inserted into the urethra within a few minutes of urination. Ultrasound, which is non-invasive, may also be used.
Cystometry, also called filling cystometry, measures how much urine the bladder can hold and the amount of pressure that builds up inside the bladder as it fills. Cystometry can be performed at the same time as the PVR test. The procedure uses several small catheters:
The detrusor muscle of a normal bladder will not contract during bladder filling. Severe contractions at low amounts of administered fluid indicate urge incontinence. Stress incontinence is suspected when there is no significant increase in bladder pressure or detrusor muscle contractions during filling, but the patient experiences leakage if abdominal pressure increases.
To determine whether the bladder is obstructed, an electronic test called uroflowmetry measures the speed of urine flow. To perform this test, the patient urinates into a special measuring device.
Cystoscopy, also called urethrocystoscopy, is performed to check for problems in the lower urinary tract, including the urethra and bladder. The doctor can determine the presence of structural problems including enlargement of the prostate, obstruction of the urethra or neck of the bladder, anatomical abnormalities, or bladder stones. The test may also identify bladder cancer, and causes of blood in the urine and infection.
In this procedure, a thin tube with a light at the end (cytoscope) is inserted into the bladder through the urethra. The doctor may insert tiny instruments through the cytoscope to take small tissue samples (biopsies). Cytoscopy is typically performed as an outpatient procedure. The patient may be given local, spinal, or general anesthesia.
Electromyography, also called electrophysiologic sphincter testing, is performed if the doctor suspects that nerve or muscle problems may be causing urinary incontinence. The test uses special sensors to measure electrical activity in the nerves and muscles around the sphincter. The test evaluates the function of the nerves serving the sphincter and pelvic floor muscles as well as the patient's ability to control these muscles.
Video urodynamic testing combines urodynamic tests with imaging tests like ultrasound or a special type of x-ray procedure called fluoroscopy. Fluoroscopy involves filling the bladder with a contrast dye so that the doctor can examine what happens when the bladder is filled and emptied.
Ultrasound is a painless test that uses sound waves to produce images. With ultrasound, the bladder is filled with warm water and a sensor is placed on the abdomen or inside the vagina to look for structural problems or other abnormalities.
Treatment for temporary incontinence can be rapid, simple, and effective. If urinary tract infections are the cause, they can be treated with antibiotics. Any related incontinence will often clear up in a short time. Medications that cause incontinence can be discontinued or changed to halt episodes.
Chronic incontinence may require a variety of treatments, depending on the cause. Treatment options are listed below in the order in which they are usually tried, from least-to-most invasive:
Lifestyle techniques to improve quality of life and improve hygiene are part of all treatments.
Lifestyle measures, including dietary recommendations, bladder training, and continent aids, are useful for anyone with incontinence. Other treatments vary depending on whether the patient has stress or urge incontinence. In people who have both (mixed incontinence), the treatment usually is aimed at the predominant form.
Treating Stress Incontinence. The general goal for patients with stress incontinence is to strengthen the pelvic muscles. Typical steps for treating women with stress incontinence are:
Treating Urge Incontinence. The goal of most treatments for urge incontinence is to reduce the hyperactivity of the bladder. The following methods may be helpful:
With the exception of functional incontinence, most cases of incontinence will almost always improve with behavioral techniques. There are a variety of methods, but the focus is usually on strengthening or retraining the bladder. These exercises are very effective for women, and also for men recovering from surgery for prostate cancer.
Pelvic floor (Kegel) exercises and bladder training are often recommended as the first-line approach for treating all forms of urinary incontinence. They can help to substantially improve symptoms in many patients, including elderly people who have had the problem for years.
Pelvic Floor Muscle (Kegel) Exercises. Kegel exercises are designed to strengthen the muscles of the pelvic floor that support the bladder and close the sphincters.
Dr. Kegel first developed these exercises to assist women before and after childbirth, but they are very useful in helping to improve continence for both men and women.
The general approach for learning and practicing Kegel exercises is as follows:
Bladder Training. Bladder training involves a specific and graduated schedule for increasing the time between urinations:
This system uses a set of weights to improve pelvic floor muscle control:
As with standard Kegel exercises, frequent repetition is required, but most women will eventually be able to use the heavier weights and build up the ability to prevent stress and urge incontinence.
Women who are unable to learn Kegel muscle contraction and release with verbal instructions may be helped with the use of biofeedback:
As with any Kegel exercise regimen, biofeedback must be used for several months before it is effective. Biofeedback that teaches control of pelvic muscles may also be helpful for children who have daytime wetting, frequent urinary tract infections, or both.
Medications for treating urinary incontinence increase sphincter or pelvic muscle strength or relax the bladder, improving the ability to hold more urine. Medications may be prescribed for both urge and stress incontinence, but they are generally most helpful for urge incontinence (overactive bladder). Because these drugs can cause side effects, it's important to first try Kegel exercises, bladder training, and lifestyle modification methods.
Anticholinergics work by relaxing the bladder muscle and preventing bladder spasms that signal the urge to urinate. They also increase the amount of urine the bladder can hold.
These drugs can produce small but significant improvements in overactive bladder symptoms. Dry mouth and constipation are the most common side effects. Anticholinergics in pill form include:
Oxybutynin is also available as a skin patch (Oxytrol). In 2013, the FDA approved an over-the-counter (OTC) version of the skin patch for women. Men will continue to need a prescription for the oxybutynin skin patch. Oxytrol is approved only for adults.
Side effects of anticholinergic drugs include:
Alpha-blockers are drugs that relax smooth muscles and improve urine flow. They are useful for men with benign prostatic hyperplasia (BPH), also called enlarged prostate, who also have urge incontinence. The older alpha-blockers terazosin (Hytrin, generic) and doxazosin (Cardura, generic) are now prescribed less often than the newer selective alpha-blockers tamsulosin (Flomax, generic), alfuzosin (Uroxatral), and silodosin (Rapaflo). Alpha-blockers are sometimes combined with anticholinergics to treat men with moderate-to-severe lower urinary tract symptoms, including overactive bladder.
Both urge and stress incontinence are affected in part by chemical messengers in the brain (neurotransmitters) that affect pathways involved with urination. Antidepressants that target serotonin, norepinephrine, or noradrenaline neurotransmitters are sometimes used for urge incontinence and may also be helpful for some people with stress incontinence.
Mirabegron (Myrbetriq). Mirabegron is a new, first-in-class drug that was approved in 2012 for treatment of overactive bladder. It works in a different way than anticholinergics and other drugs used for urinary incontinence. This drug can increase blood pressure and may cause urinary retention in some patients especially those with bladder outlet obstruction.
Botox. In 2013, the FDA approved onabotulinumtoxinA (Botox) injections to treat overactive bladder in people who have not been helped by anticholinergic drugs. The FDA previously approved Botox injections for urinary incontinence that results from nerve damage associated with neurological conditions such as spinal cord injury and multiple sclerosis. Botox is injected into the bladder using a cystoscopy procedure. Increased risk for urinary tract infections is the most common side effect.
Topical Estrogen. For some women whose urinary incontinence is associated with menopause, topical estrogen may help improve urinary incontinence and overactive bladder symptoms. The estrogen is administered vaginally using a cream, tablet, or ring. Oral estrogen replacement should not be used to treat urinary incontinence because it can worsen the condition.
Alpha-Adrenergic Agonists. Alpha-adrenergic agonists, such as clonidine (Catapres, generic), may be helpful for select patients with mild stress incontinence but these drugs can have significant side effects and are only rarely prescribed.
There are nearly 200 surgical procedures for incontinence. Most are designed to restore the bladder neck and urethra to their anatomically correct positions in patients with stress incontinence. Injections of bulking materials are another option for women and men.
The choice of surgical procedure depends on a number of factors, including the presence of bladder or uterine prolapse, the severity of incontinence, and the surgeon's experience in performing specific types of surgery.
In general, patients should weigh all options carefully. They should discuss the situation with their doctor, and ask about their surgeon's experience. They should also be completely informed about the benefits and risks of the procedures and the materials used. Patients will need to have a complete diagnostic evaluation with urodynamic testing before any surgical procedure.
A sling procedure is usually the first-line surgical approach for stress incontinence in women. It may also be useful for managing female urge incontinence. Sling procedures are also used for men who experience incontinence after prostatectomy.
The purpose of a sling procedure is to create a sling or hammock around the neck of the bladder to help keep the urethra closed. There are different types of sling procedures. They include:
Suburethral Sling Procedure. The suburethral, also called pubovaginal, sling is the traditional sling procedure. It uses a sling made from the patient's own tissue (fascia), animal tissue, or a synthetic material. Suburethral means "beneath the urethra." The procedure may be performed with laparoscopic or conventional "open" surgery. The procedure generally works as follows:
Complications can include infection, bleeding, and the formation of fistulas (holes that form and are usually infected).
Midurethral Sling Procedures. Midurethral sling procedures use slings made from synthetic mesh materials that are placed midway along the urethra. This newer type of sling procedure has largely replaced the conventional suburethral procedure because it can be performed on an outpatient basis using minimally invasive surgical techniques and no abdominal incisions. Midurethral sling procedures have high success rates and patient satisfaction.
There are two types of midurethral slings:
Sling Procedures in Men. For some men who have prostatectomy-induced incontinence, sling procedures may be a good option. Researchers have reported success rates similar to those of the artificial urinary sphincter, which is the standard surgical treatment for such patients. The sling procedure may be less effective for men who have undergone radiation therapy for prostate cancer. Minimally invasive procedures are also being tested.
Effectiveness and Complications. The sling procedure and the Burch colposuspension seem to have similar success rates for treating stress incontinence. Post-operative urinary problems, such as voiding problems, common urinary tract infections, and urge incontinence may occur. The FDA has reported complications associated with some synthetic mesh slings.
Retropubic colposuspension aims to correct the position of the bladder and urethra by sewing the bladder neck and urethra directly to the surrounding pelvic bone or nearby structures. Colposuspension is a common surgical treatment for stress incontinence.
Burch colposuspension is the standard approach. [Marshall-Marchetti Krantz (MMK) is an alternative approach.] It is often performed during abdominal surgeries such as hysterectomy or hernia operations. It is also performed along with sacrocolpopexy, a surgical procedure used to repair pelvic organ prolapse. (Pelvic organ prolapse occurs when the uterus or bladder slips from the pelvic cavity into the vagina. It is often due to pelvic muscle weakness that develops after childbirth.) Prolapse can lead to stress incontinence. However, prolapse surgery itself sometimes causes incontinence.
The Burch colposuspension procedure may be performed using open surgery or laparoscopy using spinal or general anesthesia. The surgeon makes an abdominal incision and secures the urethra and bladder neck with lateral (sideways) sutures that pass through thick bands of muscle tissue running along the pubic bones.
Effectiveness and Complications. Patients may stay in the hospital for a few days and usually need to use a urinary catheter for about 10 days after surgery. Because colposuspension surgery involves an abdominal incision, it can take up to 6 weeks for full recovery. (Laparoscopic procedures have a faster recovery time than open surgery.)
Complications can include problems with wound healing and postoperative voiding function. Convalescence time is longer with retropubic colposuspension than with sling procedures.
In cases of sphincter incompetence, or complete lack of sphincter function, an artificial internal sphincter may be implanted. This procedure is generally used for men, such as those who have experienced incontinence following radical prostatectomy.
This device uses a balloon reservoir and a cuff around the urethra that is controlled with a pump. The patient opens the cuff manually by activating the pump. The urethra opens and the bladder empties. The cuff closes automatically several minutes later. The two major drawbacks of the internal sphincter implant are malfunction of the implant and risk of infection.
Injections of materials, such as collagen, that provide bulk to help support the urethra may help the following patients:
The Procedure.
Postoperative Care. People may experience immediate improvement followed by a temporary relapse after a week or so. Patients must be taught to use a catheter tube for withdrawing urine for a few days following the procedure. In general, it takes about a month for the full benefits to be apparent.
Complications. Bulking material injections pose a risk for infection and urinary retention, but these complications are usually temporary. This procedure may not be appropriate for patients with certain heart conditions.
Duration of Effectiveness. Collagen is absorbed over time, so injections generally need to be repeated every 6 - 18 months.
The sacral nerves, located near the sacrum ("tail bone"), appear to play an important role in regulating bladder control. A sacral nerve stimulation system (InterStim) may help some patients with urge incontinence. The system uses an implanted device to send electrical pulses to the sacral nerves to help retrain them. InterStim is reserved for the treatment of urinary retention and the symptoms of overactive bladder in patients who have failed or cannot tolerate less invasive treatments.
Complications include infection, lower back pain, and pain at the implant site. The system, however, does not cause nerve damage and can be removed at any time.
Patients have reported improvement in the frequency and volume of urination, as well as the intensity of urgency and their quality of life.
Keeping Skin Clean. Proper hygiene is essential for patients with incontinence.
To avoid skin irritation and infection associated with incontinence, keep the area around the urethra clean. The following tips may be helpful:
Preventing or Reducing Odor. Certain methods may help reduce odor from accidents. They include:
Diet and Weight Control. In women, pelvic floor muscle tone weakens with significant weight gain. Weight loss can help reduce the frequency of urinary incontinence episodes in overweight women. Women should eat healthy foods in moderation and exercise regularly. Constipation can worsen urinary incontinence, so diets should be high in fiber, fruits, and vegetables.
Fluid Intake. A common misconception among people with incontinence is that drinking less water will prevent accidents. In reality, limiting fluid intake has the following effects:
People with incontinence should, however, stop drinking beverages 2 - 4 hours before going to bed, particularly those who experience leakage or accidents during the night.
Fluid and Food Restrictions. A number of foods and beverages may increase incontinence. People who drink caffeinated or alcoholic beverages should try eliminating them to see if incontinence improves.
Sometimes otherwise healthy adults stop exercising because of leakage. There are a number of methods for preventing or stopping leakage during exercise. The following are some tips:
Many products are available to help patients avoid embarrassment and prevent leakage.
A variety of absorbent pads and undergarments are quite effective in catching spills and leaks. Newer types of pads are thin enough to be worn undetected, and a spare can be hidden in a purse or pocket. Many undergarments developed for incontinence are almost indistinguishable from regular briefs and underpants.
For men, drip collectors are available which can be worn under briefs and are not noticeable under normal clothing. Lined with absorbent material, the pouch-like collector surrounds the penis or scrotum and is fastened with a belt or pins.
All absorbent undergarments should be changed when wet to limit problems of chafing or infection.
Self-Adhesive Foam Pads. Foam pads with an adhesive coating are available for women with stress incontinence. They work as follows:
Adhesive pads should not be used by women with the following conditions:
Urethral Caps. Small silicone caps that use suction to adhere to the urethral opening are also an option for women. These caps may be uncomfortable for some women, and side effects can include irritation and urinary tract infections.
Penile Clamps. The penile clamp is a hinged V-shaped external device that has two foam rubber pads which fit over the penis. When it is locked in place, it helps prevent dribbling. To urinate, the man releases the clamp.
Vaginal Pessaries. Vaginal pessaries are devices inserted into the vagina that support the inside of the vaginal walls. Pessaries are usually made of silicon and come in various forms, including donut or cube-shapes. They must be fitted by a health professional and are effective for vaginal prolapse or other vaginal structural problems. Serious complications are rare but can occur if the pessary is not replaced periodically.
Urethral Inserts. Urethral inserts are tampon-like silicone tubes or sleeves that fit into the urethral opening. When the tube is inserted into the urethra, the sleeve conforms to its shape and creates a seal at the bladder neck, preventing leakage. The insert is intended for one-time use and is replaced after voiding.
A catheter is a slim flexible tube inserted into the urethra. They are mainly used for cases of severe urge incontinence.
Temporary Catheterization. For people who are still active, catheterization is often problematic. When appropriate, temporary (also called intermittent) catheterization is usually best. Patients insert the catheter tube into their urethras, generally every 3 - 4 hours. This type of catheterization carries few risks and empties the bladder completely. Some patients report that they can maintain an active life with no significantly increased risk for infection with some simple precautions:
Permanent Catheterization. People who are mentally or physically incapable of self-catheterization may need permanent catheterization.
Nonsurgical catheterization procedures are generally not painful, but there is a substantial increased risk for urinary tract infections. Many doctors feel that the catheter is overused, especially in the elderly.
External Collection Devices. External catheter and collection devices include:
Albo ME, Richter HE, Brubaker L, et al. Burch colposuspension versus fascial sling to reduce urinary stress incontinence. N Engl J Med. 2007 May 24;356(21):2143-2155. Epub 2007 May 21.
Boyle R, Hay-Smith EJ, Cody JD, Mørkved S. Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database Syst Rev. 2012 Oct 17;10:CD007471. .
Dmochowski RR, Blaivas JM, Gormley EA, Juma S, Karram MM, Lightner DJ, et al. Update of AUA guideline on the surgical management of female stress urinary incontinence. J Urol. 2010 May;183(5):1906-14. Epub 2010 Mar 29.
Fader M, Cottenden AM, Getliffe K. Absorbent products for moderate-heavy urinary and/or faecal incontinence in women and men. Cochrane Database Syst Rev. 2008 Oct 8;(4):CD007408.
Gormley EA, Lightner DJ, Burgio KL, Chai TC, Clemens JQ, Culkin DJ, et al. Diagnosis and treatment of overactive bladder (non-neurogenic) in adults: AUA/SUFU guideline. J Urol. 2012 Dec;188(6 Suppl):2455-63. Epub 2012 Oct 24.
Hersh L, Salzman B. Clinical management of urinary incontinence in women. Am Fam Physician. 2013 May 1;87(9):634-40.
Herbison GP, Arnold EP. Sacral neuromodulation with implanted devices for urinary storage and voiding dysfunction in adults. Cochrane Database Syst Rev. 2009 Apr 15;(2):CD004202
Herbison GP, Dean N. Weighted vaginal cones for urinary incontinence. Cochrane Database Syst Rev. 2013 Jul 8;7:CD002114. [Epub ahead of print]
Holroyd-Leduc JM, Tannenbaum C, Thorpe KE, Straus SE. What type of urinary incontinence does this woman have? JAMA. 2008 Mar 26;299(12):1446-56.
Imamura M, Abrams P, Bain C, Buckley B, Cardozo L, Cody J, et al. Systematic review and economic modelling of the effectiveness and cost-effectiveness of non-surgical treatments for women with stress urinary incontinence. Health Technol Assess. 2010 Aug;14(40):1-188, iii-iv.
Khandelwal C, Kistler C. Diagnosis of urinary incontinence. Am Fam Physician. 2013 Apr 15;87(8):543-50.
Landefeld CS, Bowers BJ, Feld AD, Hartmann KE, Hoffman E, Ingber MJ, et al. National Institutes of Health state-of-the-science conference statement: prevention of fecal and urinary incontinence in adults. Ann Intern Med. 2008 Mar 18;148(6):449-58. Epub 2008 Feb 11.
Lapitan MC, Cody JD. Open retropubic colposuspension for urinary incontinence in women. Cochrane Database Syst Rev. 2012 Jun 13;6:CD002912.
Marinkovic SP, Rovner ES, Moldwin RM, Stanton SL, Gillen LM, Marinkovic CM. The management of overactive bladder syndrome. BMJ. 2012 Apr 17;344:e2365. doi: 10.1136/bmj.e2365.
Nitti VW, Dmochowski R, Herschorn S, Sand P, Thompson C, Nardo C, et al. OnabotulinumtoxinA for the treatment of patients with overactive bladder and urinary incontinence: results of a phase 3, randomized, placebo controlled trial. J Urol. 2013 Jun;189(6):2186-93. Epub 2012 Dec 14.
North American Menopause Society. The 2012 hormone therapy position statement of: The North American Menopause Society. Menopause. 2012 Mar;19(3):257-71.
Nygaard I. Clinical practice. Idiopathic urgency urinary incontinence. N Engl J Med. 2010 Sep 16;363(12):1156-62.
Richter HE, Albo ME, Zyczynski HM, Kenton K, Norton PA, Sirls LT, et al. Retropubic versus transobturator midurethral slings for stress incontinence. N Engl J Med. 2010 Jun 3;362(22):2066-76. Epub 2010 May 17.
Rogers RG. Clinical practice. Urinary stress incontinence in women. N Engl J Med. 2008 Mar 6;358(10):1029-36.
Rogers RG. What's best in the treatment of stress urinary incontinence? N Engl J Med. 2010 Jun 3;362(22):2124-5. Epub 2010 May 17.
Shamliyan TA, Kane RL, Wyman J, Wilt TJ. Systematic review: randomized, controlled trials of nonsurgical treatments for urinary incontinence in women. Ann Intern Med. 2008 Mar 18;148(6):459-73. Epub 2008 Feb 11.
Shamliyan T, Wyman JF, Ramakrishnan R, Sainfort F, Kane RL. Benefits and harms of pharmacologic treatment for urinary incontinence in women: a systematic review. Ann Intern Med. 2012 Jun 19;156(12):861-74, W301-10.
Subak LL, Wing R, West DS, Franklin F, Vittinghoff E, Creasman JM, et al. Weight loss to treat urinary incontinence in overweight and obese women. N Engl J Med. 2009 Jan 29;360(5):481-90.
Thirugnanasothy S. Managing urinary incontinence in older people. BMJ. 2010 Aug 9;341:c3835. doi: 10.1136/bmj.c3835.
Visco AG, Brubaker L, Richter HE, Nygaard I, Paraiso MF, Menefee SA, et al. Anticholinergic therapy vs. onabotulinumtoxina for urgency urinary incontinence. N Engl J Med. 2012 Nov 8;367(19):1803-13. Epub 2012 Oct 4.
Wai CY, Curto TM, Zyczynski HM, Stoddard AM, Burgio KL, Brubaker L, et al. Patient satisfaction after midurethral sling surgery for stress urinary incontinence. Obstet Gynecol. 2013 May;121(5):1009-16.
Wing RR, Creasman JM, West DS, Richter HE, Myers D, Burgio KL, et al. Improving urinary incontinence in overweight and obese women through modest weight loss. Obstet Gynecol. 2010 Aug;116(2 Pt 1):284-92.
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Pending home sales slightly improved in November and are above year-over-year levels for the third straight month.
News Releases
After hitting their highest level of the year, existing-home sales slid in November as housing supply showed some tightening.
The Canadian Real Estate Association, in cooperation with the National Association of Realtors®, has secured the rights to the .MLS top-level domain. CREA has registered Canadian certification marks for the letters MLS and the term "multiple listing service" in Canada and is the exclusive licensee of the Realtor® mark in Canada.
The U.S. Senate's alarming failure to renew the federal terrorism risk insurance program before adjournment will stall commercial real estate development around the country.
The package of tax extensions approved by Congress includes important provisions that will help distressed homeowners and commercial property investors with transactions made during 2014.
Metro areas with a lower cost of living and sunnier weather are poised to see an increased number of baby boomers buying a home.
Congress and the administration must address key policy issues in order to facilitate a healthy real estate market that serves current and future homeowners and drives the national economy forward.
Pending home sales declined in October but remained at a healthy level of activity and are above year-over-year levels for the second straight month.
Despite a slowing global economy, forward economic momentum in the U.S. should keep commercial real estate activity on firmer footing.
Existing-home sales rose in October for the second straight month and are now above year-over-year levels for the first time in a year.


text: With the ever increasing capabilities of robots and artificial intelligences, I've been wondering. At what point does a robot stop being a device you can just turn off and dismantle and start being an entity that deserves rights? This issue was explored several times in Trek, such as "The Measure of a Man," but I'd like to look at it from a real world point of view. How will we be able to tell when a computer becomes a conscious entity, even if it is not self aware? Will they have any legal rights?


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The last game I played by Sonic the Hedgehog creator Yuji Naka was Ivy the Kiwi? for the Nintendo DS. That game was a fine on-rails 2D platformer that featured slick touchscreen controls, a wonderful soundtrack, storybook visuals, and all the appeal an indie game fan like myself could want in a game. Yuji Naka is back, but this time he's at the forefront of Fishing Resort, the latest family-friendly Wii exclusive.
I'll admit that I was terrified at the idea of playing a fishing game. I've never been a fan of fishing as an activity, and I've never actually gone fishing myself. When I started playing Fishing Resort, however, I was surprised at how much attention was put on the act of fishing.
You start out by selecting a character and editing him or her. There's no Mii support, which is odd, so you're stuck using Mii-like characters instead. Once you pick a character, it's off to the game's first tutorial. Thankfully, this is a short sequence that teaches you the basics of fishing. There's really nothing to it. Simply press the A button, tilt the Wii Remote back, and then launch forward to send your line into the water. After that you have to play the waiting game in the hopes that the fish will bite.
Reeling in your game is simple, too, but there are different layers that make it pretty fun. Once you see and hear that fish bite, you need to give the Wii Remote a quick upward flick. After you do that, you must rotate the Nunchuk rapidly to simulate the act of reeling in the fish. You'll see a tension meter at the top of the screen, and when it starts to enter the red, you have to ease up on the reeling so you won't break the line. Additionally, the game prompts you when you need to tilt the Wii Remote to maintain control of the rod and the fish.
There are certainly a few intricacies that keep the gameplay of Fishing Resort from being overly simplistic. That element carries over to the game's world. There's a surprising amount of things you can do. You can talk to other characters and fulfill certain tasks such as fetching their loved ones and delivering items. You can enter competitions and catch certain types of fish that are requested on bulletin boards. You can also get on a kayak and head out to deeper water to see what type of fish await you.
Additionally, you can visit different resorts such as beaches, lakes, and swamps. These different places make for a nice change of scenery, and there are different fish within every resort. Not every locale is open to you right away, so you'll have to be sure to catch plenty of fish and complete objectives to earn points and increase your rank. Points can be used to move to different resorts, rent kayaks, participate in bulletin board events, and upgrade to new fishing gear.
Unfortunately, despite these neat little nuances, Fishing Resort is exactly what its name implies: a fishing game. Chances are if you don't like fishing games, or don't care for fishing in general, you probably won't find much enjoyment in this title. Though it's definitely deep at a certain level, there are a bunch of moments where nothing is happening. You'll be waiting for that fish to bite, but you'll get nothing for long stretches of time, or you'll lose fish and realize you need to upgrade to a new tackle box with better equipment.
Fishing Resort has a nice, cheery look to it that's on par as far as what you would expect from a fishing game on the Wii. There are smooth visuals and nice colors, but there's nothing particularly outstanding about the game's graphics. The same can be said about the sound design. There's plenty of calming, natural sound, but nothing will blow you away. Then again, this is a fishing game that's actually kind of relaxing, so you can't really expect it to blow you away.
Ultimately, Fishing Resort does a good job of providing fishing fans with a slow-paced yet entertaining experience. There are online rankings for individuals who take digital fishing seriously, and about 200 fish for those who want to challenge themselves and collect every creature in the game. Fishing Resort is a niche game, and while it's certainly good at catering to its niche, it's a game that most Wii owners probably won't care for. I had some fun playing the game, but I can't say Fishing Resort was a memorable experience. It's simply a fishing game that works, and some people will probably like it.


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Craig,Matthew was able to produce some coal-fired looking pies in his SAGE countertop oven. I was thinking about buying one myself but a 240 V outlet is needed and there's no way in hell that my Apt management would let me install it.I might try the oil again but I know from past experiences that although it provides some degree of coloration on the outer crust, it won't go as dark as John's...or Totonno's for that matter.We'll see...time to get creative
I always buy them fresh, meaning they are displayed in bulk not packaged and wrapped with plastic foil as you might see in many supermarkets. Then they get sliced thin as you can see in the pics. Rarely do I have a problem with them flooding the pies with their liquid.
Bingo! When I switched from the packaged shrooms to the bulk shrooms on display, I noticed the bulk shrooms don't leak water like the packaged ones. I'm not sure if it's a different mushroom or having them out in the open allows them to rid of their excess moisture. Either way, that's all I buy now and just like Mike, slice thin.Mike I was also just thinking of recommending one of those handheld torches for creme brulee. You can probably get any color of rim you want with that thing.
Sorry, Mike, I should have told you that more water requires additional heat from below AND above. I had talked about using the broiler to replicate John's, but I failed to mention that you're going to need to use the broiler for a 64% hydration dough as well. As I've mentioned elsewhere, I find it helps to use the broiler towards the end of the bake.What was the fermentation time?
So, if I'm hearing you correctly, you baked the pizza on the stone for 5 minutes and then moved it to the top rack while it was broiling for 1 more minute?Even if it doesn't look as stunning as your previous bakes, it was still a pretty delicious pie, right?
That's correct.It was good, yes. But nowhere near where it could have been. I gotta rethink the approach, Scotty.
Mikey, I'm really hoping that you don't rethink it too much. The modified Fazzari formula produced stunning pizzas that were, imo, just a titch away from Avellino's. Modified Fazzari + enough additional water to give you a moister (creamier) crumb = win. The extra water is complicating things with the bake, but I'm certain you can dial it in. I might have steered you wrong by saying 63-65 and 62 might be a happier hydration, and maybe 585 is a tiny bit too high on the hearth (perhaps 575), but, with a tweak or two, you're going to nail it.You're close. Really close. You could make modified Fazzari's from here on out and be loved by all, but since you like the creaminess of the Avellino crumb, I really think it's worth a little extra tinkering.
Scotty,I won't rethink too much about a new approach. Like you said it's just a tweak or two away, nothing drastic. I'm glad I finally got a handle on the steel plate baking methods, though. That took a little time getting used to it.Regarding John's formula, it was a good one and produced good results but... and this is not to take anything away from his dough or insinuate that it's not worthy of a more in-depth exploration... I'd rather come up with my own than leaning on others' work and efforts. I hope he doesn't take offense... Anyway, to me it's just a matter of time, and tons of fun, to get the steel plate thing perfected with a dough that can rival those here in SF. That might be a tall order but I have my own 'perfect' crust visualized and won't rest until I get at least 75%-80% close because a 100% might not be realistic. A 100% would be icing on the cake and having Christmas, Easter and my B-day fall all on the same day.My comfort zone in the past, hydration-wise, was always between 61% - 63%, although I used a 66% hydro with the All Trumps. I think that if I can get the temps dialed in correctly for a 62% or 63% hydro dough, with the correct amount of oil and sugar, I should be able to get close to the Avellino, Marcello's and most other common NY-style doughs.With that said, I still have a 64% hydro dough ball in the fridge and might as well bake that one off tonight and see if there's any changes. I also might raise the temp by 5-10 degrees...More later...
For his own homemade NY-style pies he uses J. Kenji Lopez-Alt's recipe. I thought you'd get a kick out of that one.
6% oil, a 12 to 15 minute bake time and a cooked sauce. No wonder why Mr. Kover can't recognize a good pizza when it's right in front of him.
Just a 'tad' better, Mike? Really, a tad? That undercrust is gorgeous. That's probably in the top 10 undercrusts I've seen on this board. And, unlike your 60% hydration dough, the crumb looks nice and moist- creamy.
Just a 'tad' better, Mike? Really, a tad? That undercrust is gorgeous. That's probably in the top 10 undercrusts I've seen on this board. And, unlike your 60% hydration dough, the crumb looks nice and moist- creamy.Now it looks like you might be having boilover issues- but I think that's a topping issue or cheese/rim proximity thing. Where the oil from the pizza hasn't boiled over on the rim, the effect is stunning- maybe not a John's level of color, but certainly something Ray-ish.So what's bugging you? Is it the flop? Don't forget, in order to get Avellino's signature creamy crumb and crispy exterior, you've got to bake the pizza to the point you have here, let it sit and cool a few minutes, then return it to the plate for a minute. That should crisp up the bottom (and give it a little bit more char) while leaving the moist crumb intact. Obviously you don't have to do this, but if you want crispy creamy, I don't think any hydration is going to give it to you straight out of the oven.Another thing to consider is toppings. You've been doing this a long time and probably have a strong preference for a particular quantity of toppings, and I think many people across the nation feel similarly, but, it's good to keep in mind that toppings contain water and that, as discussed earlier, water takes a lot of energy to heat, so a lot of toppings will effect the way a pizza bakes. This is a big reason why pizzerias in NY and New Haven go so lightly with the toppings- that if you're a bit heavy handed, the crust can suffer. You're making pizza pretty frequently these days, so doing lots of plain pies would get old really quickly, but, just like the re-heat is a big part of the Avellino experience, so is the plain pie (and toppings on the re-heat, if desired).Just to be clear, I'm not saying 'Do a re-heat' or 'Nix the toppings.' What am saying is that these two approaches might take you in a more Avellino direction. At this point, your ideal pie may have Avellino-ish qualities, but it might not be a perfect clone. You're destined to make something better than Avellino.


text: Everything the developing player needs for a great successful solo experience is included in this fun and educational set: 15 medium-easy Classical melodies, beautifully arranged by Philip Sparke; a CD-ROM with full-performance recordings and accompaniment-only recordings for each piece; tempo-adjustment software for limitless practice options (requires a Windows or Mac computer) and piano accompaniment files in .pdf format. Includes: Largo from "Xerxes" (Handel); Songs My Mother Taught Me (Dvorak); La Cinquantaine (Gabriel-Marie); Sonatina, Op. 36, No. 1 (Clementi); Waltz from "Album for the Young" (Tchaikovsky) and more!


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Chaney Branch
Chaney Events
Saturday, January 20, 2018 - 10:30am
Tuesday, January 23, 2018 - 6:00pm
Saturday, January 20, 2018 - 2:00pm
Thursday, January 25, 2018 - 4:00pm
About Branch
The Chaney Branch was named in honor of the first Director of the Detroit Public Library, Henry Chaney. Professor Chaney served as Director from 1865 to 1878. The Chaney Branch opened to the public on June 28, 1955. The site was previously a bookmobile stop.
Educational and entertaining programming, including book discussion groups, computer classes, and story hours, is available for children and adults throughout the year.
Book Drop-off
Book drop is located at the front entrance of the building.
Parking lot in the back of the building and street parking available in the front and on the Mansfield Street side of the building.
Meeting Rooms/Space Rentals
There is a separate meeting room available for use by community organizations and tutors. This same room is used as a polling place for the many elections held in the City of Detroit.


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Personal computing discussed
Skrying wrote:Bit disappointed. Basically a massive iPod Touch. I like that they'll support a keyboard dock. I like the price (even the 64GB is lower than I expected for the base model). LOVE that they're doing a no contract data plan via AT&T (well, not really the AT&T part). iWork could be an awesome application depending on how far a redesign went, coupled with the keyboard dock could be impressive. Think the hardware could be limiting. I really don't like the massive bezel. No need to make an already massive device even bigger with a black bezel.
Overall... I think it will do ok. Won't revolutionize any markets like the iPod Touch and iPhone did though. I don't expect to see every person owning one like they do a iPod Touch or iPhone.
Will say... much rather have one of these than that awesomely boring HP slate. But that's not saying much as far as my desire.
Skrying wrote:No multitasking. That's a major issue for a device of this size as well.
lordT wrote:No multitasking is an absolute show stopper for me. Having a very capable phone without it is annoying enough.
Also, about the shipping in 60 days. I remember Apple having products for sale on the day of the announcement event all the time. Am I misremembering things?
thecoldanddarkone wrote:That just tipped it in the hp slate's favor for me
axeman wrote:Developers, developers, developers.
thecoldanddarkone wrote:A sd card reader would have been nice... I know I'm dreaming.
Skrying wrote:It's about the applications. That's the key part of any of these devices. Then comes the method of getting those applications. Then comes the hardware at the end.
tanker27 wrote:Ask and ye shall receive.....look at the bottom of the page
Skrying wrote:I think everyone is aware that there will be dock adapters for SD cards, USB, etc, etc. That's not what we want. Having to carry around adapters hurts the portability and kills the potential ubiquity of a device like the iPad.
Thresher wrote:thecoldanddarkone wrote:
I think it depends on what your using it for, if it's media consumption, then this would probably win out (except 16 gigs isn't a whole lot when you think that the resolution data need is probably 4x as much). If it's productivity, I'd go with a netbook. At 500 though it's skirting the lower end laptop range.
I think they priced it in a good range, I'm not going to buy one, but I still think they priced it in the right range. I also didn't realize how expensive the kindle was.
If you can stream from iTunes on your PC, then the capacity becomes a moot issue. To me, this would be awesome.
Big, Ugly Bezel
Have you seen the bezel on this thing?! It's huge! I know you don't want to accidentally input a command when your thumb is holding it, but come on.
No Multitasking
This is a backbreaker. If this is supposed to be a replacement for netbooks, how can it possibly not have multitasking? Are you saying I can't listen to Pandora while writing a document? I can't have my Twitter app open at the same time as my browser? I can't have AIM open at the same time as my email? Are you kidding me? This alone guarantees that I will not buy this product.
No Cameras
No front facing camera is one thing. But no back facing camera either? Why the hell not? I can't imagine what the downside was for including at least one camera. Could this thing not handle video iChat?
Touch Keyboard
So much for Apple revolutionizing tablet inputs; this is the same big, ugly touchscreen keyboard we've seen on other tablets, and unless you're lying on the couch with your knees propping it up, it'll be awkward to use.
No HDMI Out
Want to watch those nice HD videos you downloaded from iTunes on your TV? Too damned bad! If you were truly loyal, you'd just buy an AppleTV already.
The Name iPad
Get ready for Maxi pad jokes, and lots of 'em!
No Flash
No Flash is annoying but not a dealbreaker on the iPhone and iPod Touch. On something that's supposed to be closer to a netbook or laptop? It will leave huge, gaping holes in websites. I hope you don't care about streaming video! God knows not many casual internet users do. Oh wait, nevermind, they all do.
Adapters, Adapters, Adapters
So much for those smooth lines. If you want to plug anything into this, such as a digital camera, you need all sorts of ugly adapters. You need an adapter for USB for god's sake.
Update: Why stop at 8? Here are more things we are discovering that suck about the iPad.
It's Not Widescreen
Widescreen movies look lousy on this thing thanks to its 4:3 screen, according to Blam, who checked out some of Star Trek on one. It's like owning a 4:3 TV all over again!
Doesn't Support T-Mobile 3G
Sure, it's "unlocked." But it won't work on T-Mobile, and it uses microSIMs that literally no one else uses.
tanker27 wrote:Why is Flash such a deal breaker for everyone!? Seriously Flash needs to GO AWAY anyways.
I heard somewhere that they were working on a iPhone to HDMI cable? maybe I dreamed it....heh I use the component cables from my iPhone and it looks just fine broadcasting my iTunes movies.
the widescreen coupled by the bezel is really disappointing.
tanker27 wrote:which is why Flash should not be a deal breaker. Its a good thing. My guess is that those that cite Flash a a dealbreaker are huge Hulu users. /shrug
derFunkenstein wrote:...faux multitasking...
Krogoth wrote:Care to enlightenment me?


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What is the schedule?
Town Square
Is Duveneck School the next Mitchell Park Library?
Original post made by Bob , Community Center, on Jul 24, 2013
What is the schedule?
Comments (7)
a resident of Duveneck School
on Jul 24, 2013 at 3:33 pm
My son who will be in fourth grade this fall said they told him they would be the first 5th grade class to use the second level of the new building . . . he's looking forward to it . . .
a resident of Santa Rita (Los Altos)
on Jul 24, 2013 at 8:23 pm
If the buildings are not out gassed before school starts there could be obnoxious and possibly carcinogenic fumes that the kids have to breathe. I certainly hope that any building they do using solvents is done with enough lead time to allow for out gassing thereby creating a safe atmosphere for the kids to breathe in.
a resident of Adobe-Meadow
on Jul 24, 2013 at 9:53 pm
It actually looks like there's finally been some decent progress at the Mitchell Park Library the last couple of months. Believe it or not, I think they might actually be able to make their latest forecast and open it in November.
a resident of another community
on Jul 24, 2013 at 10:19 pm
Here's to another construction - Web Link
a resident of Barron Park
on Jul 24, 2013 at 10:50 pm
According to the monthly project report on the PAUSD web site, the Duveneck project just started in June and is expected to be completed in July 2014, a year from now. There is a new classroom building and "modernization." Not sure how much is supposed to be done by the time school starts.
Major projects are being delivered for the new school year at Gunn (new gym, giant new classroom building), Paly (football facility), Terman, JLS, Jordan, and Fairmeadow. The Paly classroom project appears to be a problem child, though still on track for completion next school year.
a resident of another community
on Jul 25, 2013 at 8:35 am
The following page is titled: District Responds to Construction Lawsuit. Link - Web Link
a resident of Jordan Middle School
on Jul 25, 2013 at 3:34 pm
My child went to elementary school in another city. The school had a horrible epidemic of head lice, and was supposed to be fumigated over Xmas vacation that year.
What they actually did was fumigate the school three days before it was supposed to reopen, and the tents came off the morning of the first day back! Some teachers and most of the kids were sickened by fumes.
Threats and lawsuits ensued, but the judge threw them all out, saying that you can't get blood from a turnip. The school district was role, and not even medical bills were reimbursed by the school or the district!
That could happen here!
This time we're not lying. HONEST! No, really!
By Douglas Moran | 12 comments | 965 views
Couples: When Wrong Admit It; When Right; Shut Up
By Chandrama Anderson | 0 comments | 850 views
One-on-one time
By Cheryl Bac | 0 comments | 605 views


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What are some general aspects of British schooling that American students might find weird? Come to think of it, what are some aspects of American education that you Brits find weird?
I know that I'm being horribly vague, but I'm at a standstill in my story and I need some insperation via this thread.


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Town closing in on new labor contract
Senior Staff Writer
BENNINGTON -- The town is nearing agreement on a new labor contract with public works employees and police, according to Town Manager Stuart A. Hurd.
Employees are currently working under a one-year labor agreement reached last April that expires on June 30. A five-year deal preceded it. Hurd said he hopes to finalize a new, two-year agreement soon.
"I'd like to think we're real close, but one never knows," Hurd said. "I'd like to believe sooner rather than later."
Under the current, one-year agreement, employees received a 3 percent pay increase. They also agreed to pay an additional $100 of their heath care plan deductible. That made employees responsible for covering $500 of the plan's $5,000 deductible.
The two sides are seeking no more than a two-year deal because of uncertainty in the implementation of the federal health care reform law, Hurd said.
The town decided during the last negotiation to separate contracted pay raises from the consumer price index. The CPI remained stagnant, and even declined, during the recent economic downturn.
About 60 town employees are covered under the labor agreement.
Contact Neal Goswami at firstname.lastname@example.com. Follow him on Twitter @nealgoswami
If you'd like to leave a comment (or a tip or a question) about this story with the editors, please email us. We also welcome letters to the editor for publication; you can do that by filling out our letters form and submitting it to the newsroom.


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The sizzling Vancouver Canucks will shoot for a sixth win in a row when they host the Minnesota Wild in Monday's Northwest Division battle at Rogers Arena.
With five consecutive victories, the Canucks are riding their longest winning streak of the season and the club is now 7-1-1 over its last nine contests. Vancouver has won its two most recent games by a combined score of 9-2 and one of those victories came against the Wild.
The Canucks posted a 4-1 decision at Minnesota on Thursday, two days before registering a 5-1 triumph over visiting Calgary. Vancouver has claimed four of five and nine of the last 12 meetings against the Wild
Vancouver rookie Jordan Schroeder scored the first two goals of his NHL career in Saturday's win against the Flames, who scored late in the first period to take a 1-0 lead before the Canucks rattled off five unanswered goals.
Schroeder, the 22nd overall pick in the 2009 NHL Draft, went scoreless with two assists in his first nine NHL games -- all this season -- before finally getting the monkey off his back on Saturday.
"Excitement. Relief. It's been eight games and it kind of feels like a weight lifted off your shoulders. You want to get that first one so bad," Schroeder said of his first NHL goal.
Alexandre Burrows and Kevin Bieksa each had a goal and an assist for the Canucks. Chris Higgins also lit the lamp and Cory Schneider stopped 33-of-34 shots in the victory.
The win over the Flames was a good way for Vancouver to begin a four-game homestand, which will continue Friday against Dallas before ending Sunday versus St. Louis.
The Canucks are 4-1-1 as the home team in 2013.
The Wild won their first game on the road this season Monday night in Calgary, but Minnesota has had little success recently as the guest in Vancouver. The Wild have lost 10 straight on the road in this series after beating the Canucks 4-3 in overtime on Jan. 31, 2009.
Minnesota improved to 1-3-1 on the road this season with its second straight victory, a 2-1 shootout win over the Flames. Mikko Koivu was credited with the winner in the second round of the shootout, lifting the Wild past Calgary at the Saddledome.
Kyle Brodziak netted a regulation score for the Wild, who lost three in a row before their recent wins over Nashville and Calgary.
"We didn't always make it easy on ourselves, but in order to win you need to do some good things and we did some good things tonight," said Minnesota head coach Mike Yeo.
Niklas Backstrom stopped 23 shots, including Alex Tanguay's last opportunity in the third round to preserve the victory.


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Hello. I've built a system or two, but never with an external CD/DVD for the install. I have a Zbox barebones plus memory. I have tried to install windows to both a 64GB SSD and a 320 HDD. Both had prior Win 7 installs. Neither started in the Zbox so I wiped them to an unformatted partition and tried again. This worked a bit better...
Despite the fact that windows starts to install from the external DVD drive, it balks a little way in saying it cant find a required CD/DVD driver. Browse options don't show the CD/DVD drive even though Windows is reading from it!. (It's a targus, no drivers came with it - in a rear of the box slot direct to mobo.)
I changed the bios and put both Win7 and the Zotac driver set on a USB drive and ran that - with no result at all (flashing cursor on black screen).
Any new approaches would be appreciated.


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Rain may end up playing a pivotal role in deciding who will win the 2013 Premier Division league competition.
Yesterday, showers washed out day one in four of the five matches that were scheduled for this weekend.
The only game that had any play was at Queen's Park Oval between defending champions Queen's Park Cricket Club and First Citizens Clarke Road United, and even that encounter was affected by adverse weather.
Wanderers forfeited their match against PowerGen, who got 24 points to take the lead with two rounds of matches left.
PowerGen are now in a good position to win the title with matches against the other top title contenders, Alescon Comets and Moosai Sports to come.
Elsewhere, rain threatened to keep the Parkites from another clean sweep of domestic titles.
Heading into this weekend's matches, the Parkites needed to win all their remaining matches and hope the other top contenders drop points.
Yesterday, they were sent in to bat and were 160 for five at stumps. Only 46 overs were possible on the first day of the contest with Akeal Hosein--called up to the national senior team this week--scoring an unbeaten 42 to keep the hosts in the game.
Queen's Park skipper Justin Guillen also chipped in with 38 while Marlon Barclay added 28.
All matches are scheduled to resume today from 9:30 p.m., weather permitting.
Summarised scores
At Queen's Park Oval
QPCC 160/5 (46 overs) (Akeal Hosein 42 n.o. Justin Guillen 38, Marlon Barclay 28, Clevon Kallawan 2/21, Shazan Babwah 2/63) vs Clarke Road
At Esmeralda Recreation Ground
Esmeralda Sports vs Moosai Sports
Day 1 abandoned
At Gilbert Park, California
Caldrac Club vs Hafeez Karamath Limited Aranjuez Sports
Day 1 abandoned
At Kennedy Park, Diamond
F&E Diamond United vs Seenath's Auto Bamboo Sports
Day 1 abandoned
At Diego Martin Recreation Ground
Merry Boys vs Alescon Comets
Day 1 abandoned
At Syne Village
PowerGen vs Wanderers
PowerGen won by default


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A Marathon man is facing assault and battery charges after he forced his way into a home and beat up his brother in a dispute over a woman, authorities said Monday.
Francis Dyer, 37, was arrested Sunday afternoon after the love triangle dispute at a home on 95th Street, according to the Monroe County Sheriff's Office.
Authorities said deputies were responding to reports of a fight at the home when they spotted Dyer walking away from the scene.
Man Tried to Get 'Freaky' With Passed-Out Woman: Report
When deputies got to the home, they found Dyer's brother with injuries to his face and the woman with bruises she said were a result of the altercation, authorities said.
The woman told deputies she used to live with Dyer but had recently left him and started dating his brother.
Dyer's brother and the woman said Dyer forced his way into the house and started the fight, telling his brother he was going to kill him. When the woman picked up a phone and said she'd call the police if Dyer didn't stop, Dyer threatened to kill her and she put the phone down, authorities said.
Thief Steals Chinese-Food Deliveryman's Car, Makes Deliveries
The brother and woman said Dyer started throwing things and broke a window, and caused considerable damage to the house, authorities said.
Dyer was arrested and charged with burglary, criminal mischief, assault and 2 counts of battery. He was booked into jail where he again became violent, kicking and banging on a cell door and causing an estimated $2,000 in damage, authorities said.
He was being held without bond Monday and more charges are pending against him. It was unknown whether he has an attorney.