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Separate names with a comma.
Discussion in 'Battle Scooters' started by Hammerspur, Nov 4, 2011.
This thread needs more PICS.
If anything, the BV is a joy to watch, in any version
(the 500 cruiser still being my favorite).
This scoot is now on my radar. Hand surgery has left me with a weakened left hand. I can still ride my Triumph Tiger 800 but my left hand tires quickly and then I'm having less fun, understatement. So I have been looking at scooters. I am confused about the wet clutch on the BV 350, how does it work? Is there a clutch lever?
My dealer shows a price of $6K, has there been a price increase?
It's just different internals to the usual dry clutch that most scooters have,
nothing to think twice about, it's just smoother operating then most
others (and nothing new, it's been around in Tmax for years).
There's no clutch lever!
Its a centri clutch bathed in oil. Still no lever.
US MSRP increased to 5695. from 5495. in January.
Ok, so I am close to pulling the trigger on one of these. I need more info before I negotiate. First let me give some more information on me. I have a Triumph Tiger 800 Roadie that I love. Left hand surgery has weakened my hand enough that clutch lever operation is causing pain. Oddly enough long trips are not the problem because most of my long distance trips include highway miles, some interstate, some secondary roads, but not a lot of shifting so my left hand gets enough rest between twisties so I'm ok. My problem is day rides, mostly with my Harley friends, where we seldom go over 70 and usually ride between 60 and 65. These rides include a lot of shifting and my left hand is killing me after 30 minutes. Some of these guys have 6 gallon tanks. I have no problem showing up on a scooter, in fact I like the idea, but I really don't want to ALWAYS be the guy who needs to stop for gas first. So I really need a range of 220 miles to make sure that does not happen. My T800 has the range, but its killing me on the day rides. I want something like the BV 350 that has no clutch, enough speed, range, day trip comfort, priced right because I'm keeping the Triumph and have limited funds for a second bike. So my main concern is range at Harley speeds?
Simple. Sell the Triumph and get a Honda NC700X with the DCT. No clutch and it will do everything that your Truimph does.
Agreed, there are plenty of automatic motorcycles out there. I think the NC500X is even going to come with that option
"Plenty" is kinda pushing it....
Wow, didn't expect that from the scooter crowd. That is of course an option and I have thought about it. I have talked to my local Honda dealer and they have no plans to put the DCT model on the floor, they will order one if the customer pays up front. I don't really like that dealership and their service dept. On the other hand I have a great relationship with my local BMW, Aprilia, Moto Guzzi, Piaggio dealership. I test rode the C650GT and really liked it and if I was to go the sell the Tiger rout I would consider the BMW but I've read some over at the BMWMOA forum and those owners are talking 45 mpg. Hell my Triumph gets that with 94 hp and a five gallon tank. My darn T800 is farkled up the wazoo, I'd take a hell of a beating if I sold it and I really like it anyway. The dealer I like has an open house on Saturday, may try to wrangle a test ride on a Beverly.
I know there are not a lot of owners yet in this thread, but I still would like to know if the big BV can comfortably manage 200 plus miles on a tank. I'm thinking 70 mpg, 3.4 gallon tank, the numbers are there on paper, not sure about the real world.
Pop over to www.Modernvespa.com. There are lots of BV350 owners, and quite a few threads about these. You should be able to get any question you want answered just by searching.
Here's one just on fuel range- hope this helps. Scanning the thread it doesn't appear anybody is getting 200 miles from a tank. That's a pretty good range for any motorcycle. About where I fill my R1200gs up...
Thanks Dabears, just the info I was looking for. I see a number of people that fill up at 150 to 160 miles and put 2.4 gallons in. The gallon left in the tank would take them a little over 200 miles. I don't think I would be comfortable with that. One thing I really like about my Triumph is the trip computer and it's miles to empty function, which by most accounts is pretty darn accurate as is the average mpg function. When I have checked that reading on my bike it too is accurate. Anyway back to the BV 350. I read some that pushed it to 180 to 190 miles and put something like 2.8 or 2.9 gallons. That again is around 210 to empty. That is very impressive and close to what I want. I don't like pushing past the point that I am comfortable though. I'm still going to try for the demo ride tomorrow.
I went from owning a Kawi 650R.. considering it to be a pain around town
and 2 up in town, getting a 50cc scooter, then a 125cc scooter (along with
the Kawi) to selling everything and buying one, 300cc scooter.
I do miss the shifting (outside of town) and the power, and I figured the
NC700X with DCT would be a perfect mix of everything that I like.
I love the NC700X, but I still feel I'd want at least 10-15hp more.
The Aprilia Mana would be a great choice if it was a bit more reliable
(and cheaper).
Before you buy a machine that you do not really want, have you considered the possibility if eliminating the clutch lever?
For example, these folks do a twisting clutch modification http://www.exilecycles.com/index.php?section=37 or you can move the lever to the right bar.
This might work for you http://www.mooseracing.com/products/?productGroupId=1259&productId=114640
Hope this helps,
I have always been a pro choice motorcyclist ! here in Mexico we don't have anything (scooters) above 125 cc not anymore since Suzuki drop the Burg 400 and HOnda the silverwing many years ago.
So I am looking at importing one of these Vespa 300, Kymco GT300 or this BV350. I would like the Burgman 400 but it is over my price. Since I have only had HOndas and a Kawasaki I wonder about the cost of ownership about the Piaggios and Vespas, since I will use it pretty much as my commuter and every other week ride (for solo rides). My bikes have need it nothing (only consumables) and I wonder if these are labor intensive (valves every 2000 milles) or something like that.
Since this will not be my only bike/scooter I will not be in trouble for parts to come in (if that was a problem, like some of you have mention with Piagio).
Latter I will go to the dealer that is willing to give me a test drive and funny he is a piaggio/vespa/kymko dealer so maybe all 3 in the same day.
Thanks for the info
Vespa Motorsports in San Diego can help you out as well, and have more parts IN-Stock than just about anyone else, if you can't source locally. They ship worldwide.
yes this is the dealer i have been talking to and they are willing to give me a test drive even without a California licenses!
Great guys. Ive dealt with them since the '90's.
Yes...the '90's.
I'm warning you about the test drive though....


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Robotics Industries Association to introduce robot safety standard draft at annual conference
Attendees at RIA's National Robot Safety Conference XXII will get a first look on how coming changes will affect companies.
in the NewsThe State of the DC Voice Market System Report: Automation from receiving to shipping Preferred Freezer's New Take on Automation Automated Storage: How to grow operations?...Make them smaller DHL launches Global Trade Barometer More News
The Robotics Industries Association (RIA) and a group of industry-leading sponsor companies will host the National Robot Safety Conference XXII, September 27-29 at the Indianapolis Marriott East. Attendees at RIA's 22nd annual event will prepare for the new R15.06 (2011) Robot Safety Standard by previewing the draft during its first public release at the conference. In addition to discussing the draft standard, many new sessions will satisfy experienced users. Those new to safety will benefit from a wide variety of topics presented during the three-day event, including introductory sessions and standards updates.
According to RIA's director of Standards Development, Jeff Fryman, the R15.06 Robot Safety Committee will complete the first draft and unveil it at September's Conference. "There is much yet to do, but the end game is coming into sight. We are looking forward to this culmination of work," said Fryman. The revised edition of the R15.06 robot safety standard is based on the new ISO 10218 standard, which is in its final stages of completion.
The conference will feature new sessions introducing the New R15.06 Robot Safety Standard (Part 1 – The Manufacturer's Perspective, Part 2 – The User's Perspective), Using Robots to Improve Safety and Market Position and Contextual Risk Assessment.
Additional sessions include, an OSHA View on Robot Safety, Safeguarding and Safety Controls. Case studies, a standards committee panel discussion and a safety primer will also be highlights of the conference.
Jim Adams, RIA's marketing and public relations manager, said, "No other program offers this kind of in-depth coverage on new and practical safety topics. And the tabletop trade fair (September 28) provides attendees with an up close comparison of the latest robots, accessories, safety products and vendors at one time, under one roof."
"RIA is sensitive to the need for training on a restricted budget," Adams added. "We have created a number of registration offerings which provide attendees affordable options for all three days, the main conference, workshops or just the trade fair."
Click here for complete conference information. The discounted early-registration period ends, September 7.
The robots are coming
In the August issue of Modern, executive editor Bob Trebilcock took a look at how robotic materials handling technology is changing the way we move products in the plant and the distribution center. Click here to read more…
Subscribe to Modern Materials Handling Magazine!Subscribe today. It's FREE!
Find out what the world's most innovative companies are doing to improve productivity in their plants and distribution centers.
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Article TopicsRIA · Robotic Industries Association · Robotics · Safety · ·
The Big Picture: Navigation Gets a Reboot for Automatic Vehicles Top 20 3PL Warehouses 2017: Growth amid change View More From this Issue

subset: commoncrawl


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[rl]As the entire field got on the court during Saturday's action at the Adidas Best Buy Classic in Chicago, Rivals.com saw some great performances from elite prospects while some new faces emerged as future stars as well.
Kasey HillClick Here to view this Link. - 6-foot-1, PG, Clermont (Fla.) Montverde Academy, 2013: Hill gets to the rim with a smooth handle and can break down his defender with the bounce whenever he feels like it. A gifted passer in transition, he is a sneaky athlete who also can rise up and score from short or mid range. Hill surprised scouts some on Saturday with his ability to dish the ball off in half-court sets in the pick and roll with teammate and fellow five-star Chris WalkerClick Here to view this Link.. The point guard, who runs with the Florida Rams, is committed to head coach Billy Donovan and Florida.
Robert HubbsClick Here to view this Link. - 6-foor-5, SG, Newbern (Tenn.) Dyer County, 2013: An explosive scorer with big-time leaping ability and feathery touch on his jumper out to the three-point line, the wing from M33M Elite went for big numbers on Saturday. Hubbs is an aggressive slasher who can jump over defenders and adjust his body through contact to score the basketball in the paint. He has a high-arcing jumper, which he has great confidence in, and is a true triple threat with the ball. Hubbs needs to continue to improve his handle and off-ball play, but the four-star guard is one of the top pure scoring talents in the class of 2013. Hubbs lists Memphis, Missouri, Florida, Kentucky and Duke as the top schools recruiting him.
Austin NicholsClick Here to view this Link. - 6-foot-8, PF, Eads (Tenn.) Briarcrest Christian, 2013: Nichols is a great athlete who plays with a high-running non-stop motor. He's deceptively skilled out of the low or mid post, can play in the pick and roll and finishes at a high rate around the rim. While he's still somewhat raw with his skill game, he makes plays as a rebounder and a defender, where he can block shots as a high leaper who gets off the floor quickly. The forward from M33M Elite also shows a good feel for the game and has a high ceiling as he continues to improve. Nichols recently added offers from Duke and North Carolina, and he also is being recruited by Florida, Louisville, Kansas, Memphis and Tennessee.
Devin WilliamsClick Here to view this Link. - 6-foot-8, PF, Cincinnati (Ohio) Withrow, 2013: Williams, one of the top rebounders in the 2013 class, is a forward from Ohio Basketball Club who has overwhelming strength and good toughness around the basket. When Williams operates out of the low post offensively, he is skilled and strong enough to score consistently. He also is able to efficiently convert from the foul line. Good footwork and an aggressive mentality allow him to face up and attack from the short wing, and he has improved his mid-range jumper as well. Williams lists Xavier and UCLA as his favorites as of now.
Derrick WaltonClick Here to view this Link. - 6-foot-1, PG, Detroit (Mich.) Chandler Park Academy, 2013: One of 2013's top pure point men, Walton is a skilled ball handler with a strong build and tremendous quickness on the break. A pass-first guard who always is looking to make his teammates better, Walton affects the game in a variety of ways. When you add in his scoring, which he can do from long-range or around the basket, as well as his on-ball defense, you can see why Rivals.com has him ranked as a four-star prospect. Since last August, the guard from the Michigan Mustangs has been committed to Michigan.
Zakarie IrvinClick Here to view this Link. - 6-foot-6, SF, Fishers (Ind.) Hamilton Southeastern, 2013: A pure scoring wing who just keeps getting better, Irvin is deadly from long range off of the bounce. A long and athletic wing who can use the dribble to score in transition, he can alter the game with his physical tools, but it's his skill-set that stands out. Irvin has a smooth jumper that he's always looking to get off over defenders who sag off of him. Once he hits one shot, the Eric Gordon All-Stars forward can heat up with the best of them. Like Walton, Irvin has been committed to Michigan since last summer.
Reid TravisClick Here to view this Link. - 6-foot-8, SF/PF, Minneapolis (Minn.) De LaSalle, 2014: A somewhat under the radar forward who plays with Minnesota Pump-N-Run, Travis is a star on the basketball court as well as the football field. He's a powerful and bouncy post prospect who plays with relentless intensity as a rebounder, scorer and defender near the basket. Travis also showed the ability to face up and attack defenders with spin moves out of the high post and nice touch from the foul line.
Bryant McIntoshClick Here to view this Link. - 6-foot-2, PG/SG, Greensburg (Ind.) Greensburg, 2014: The top underclassmen performer of the day was McIntosh, a combo guard from the Eric Gordon All-Stars. McIntosh is a skilled and streaky scorer with an aggressive mentality and no conscience when letting it fly. He can shoot the ball from deep, handle it and is adept at finishing with floaters over taller defenders. What he lacks in physical ability, he makes up for with a strong basketball IQ and deep range that keeps the defense on its toes. McIntosh has interest from Michigan, Indiana, Purdue, Louisville and Xavier.
Ray Kasongo - 6-foot-8, PF, Mouth of Wilson (Va.) Oak Hill Academy, 2014: Kasongo is a native of the Toronto area who is relatively unknown in the United States. Currently staying in Kentucky and enrolled at Oak Hill Academy for next school year, the powerful forward is a standout for Ohio Basketball Club. Kasongo is a high-level athlete who can attack defenders off the bounce from the wing or score in traffic with physicality. He displayed toughness, a high motor and some serious raw potential in two Saturday outings. Right now he has interest from DePaul, Cincinnati, West Virginia, Indiana, UCLA and Kentucky, while his AAU coaches expect him to really raise his stock during the July period.
Daniel GiddensClick Here to view this Link. - 6-foot-10, C, Marietta (Ga.) Wheeler, 2015: He's extremely raw in his development, but the massive 14 year old from the Worldwide Renegades has the potential to be one of the top big men in his 2015 class. The freshman center has freakish athleticism, long arms and plays with great focus on the court. Giddens is most effective as a shot-blocker and post defender who can rebound the ball on both ends of the court. Offensively he tries to dunk everything with strength, and he finishes well for a young big man with his size. Giddens already is hearing from Georgia, Georgia Tech and Maryland.
Jaylen BrownClick Here to view this Link. - 6-foot-5, SF, Marietta (Ga.) Wheeler, 2015: Brown is a smooth athlete who can handle the ball on the wing and make plays attacking the rim. Playing against competition a year older, the freshman forward from the Worldwide Renegades is efficient offensively as a scorer who is best around the basket but can knock down open shots out to about 17 feet. While he's still learning how to play as a true wing, Brown has great potential as a slashing scorer who can impact the game with his physical and athletic tools. Like Giddens, Brown is hearing from Georgia, Georgia Tech and Maryland.


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major macro economic indicators
|2016 (f)
|2017 (f)
|GDP growth (%)
|Inflation (yearly average) (%)
|Budget balance (% GDP)
|Current account balance (% GDP)
|Public debt (% GDP)
(e) Estimate (f) Forecast
- Exploitation of new oilfields
- Development potential of agricultural sector
- Return of internal political climate more conducive to reforms
- Excessive reliance on oil
- Business climate not conducive to thriving private sector and high level of corruption
- Geographic isolation
- Worsening security conditions at both national and regional level (role of Boko Haram)
Weak oil prices and insecurity will hamper activity
After a sharp recession in 2016, activity is expected to stabilize progressively in 2017. Admittedly, oil exploitation will remain dominant (one fifth of GDP) and face persistent difficulties associated with oil price weakness. Nonetheless, even a moderate price increase and the exploitation of new oilfields in the south of the country, especially the one in Bongor, would help give activity a leg up. Meanwhile, growth is likely to be driven by the non-oil sector. Trade and transport (22% of GDP), still hampered by the worsening security conditions in the country's and on its borders, will pick up. The agricultural sector (12% of GDP) is expected to drive growth, given the government's desire to support cotton production as a way of diversifying the economy, despite low world prices. With its five-year development plan (2016-2020), the government is demonstrating its resolve to rebalance the economy by taking full account of the country's agricultural potential. This plan also includes components designed to improve human capital, governance and social protection. However, public investment projects will continue to be constrained by weak government resources.
Finally the rising commodity prices and the disruption of trade with neighbouring countries (Cameroon and Nigeria) in connection with the difficult security context could bring inflation back.
Twin deficits will improve in 2017
The public deficit is expected to decrease in 2017. The end to 2016 election spending will relieve the burden on the public accounts. Oil tax revenues will increase thanks to revenues from the exploitation of the new oilfields, but will still not be enough to finance the economy. Fiscal assistance from the various financial donors will, moreover, continue to be a significant income item. Specifically, in November 2016, the IMF scheduled the transfer of USD 61 million under its Extended Credit Facility due to expire in November 2017. The budget restructuring will thus also be carried by spending cuts.
The increase in the issuance of securities on the regional market and payment arrears due to the contraction in oil revenues explain the rise in the debt in the past few years. On the other hand, Chad reached completion point under the HIPC initiative in April 2015. However, given the depreciation of the CFA franc in 2015, the debt cancellation related to this initiative had only a limited impact on the debt ratios.
The current account deficit is expected to decline in 2017, but will remain high. The trade surplus will increase on account of the increase in exports, primarily of oil, and the relative stability in the past of the currency against the US dollar (key trading partner).
The central bank's foreign exchange reserves will remain stable, at a worrying level of less than one month of imports.
High degree of insecurity persists amidst famine in the Lake Chad region
The parliamentary elections, initially planned for June 2015, were postponed indefinitely. The presidential elections were held in April 2016 in a tense atmosphere. Idriss Déby, president since 1991, was re-elected with almost 60% of the votes cast for a fifth five-year term. The results of this poll, together with the unstable economic, social and security climate of recent years, are starting to trigger tensions between the opposition and the government.
The main risks come from the armed conflict with the terrorist Boko Haram sect. Established mainly in northern Nigeria and the Lake Chad area, Boko Haram has conducted a growing number of suicide attacks in this region since 2015. In order to eradicate its influence in the region, the military cooperation between the four countries bordering the Lake Chad region (Cameroon, Niger, Nigeria, and Chad) and France remains strong. Chad is very active in fighting this terrorist group.
In addition, the security problems derive also from the increase in poverty and the emergence of famine associated with the loss of 90% of Lake Chad's water area in a few decades, pushing some young people to join Boko Haram. The lake around which live over 50 million people is key for the agriculture and fishing. To prevent the lake from drying out completely, an infrastructure plan is being discussed and some countries have increased their bilateral commitments, in particular France, which has committed to tripling its financial aid by 2020.
Governance remains worrying to the extent that Chad is among the countries with the most difficult business climate (183rd out of 189 countries in the World Bank's latest Doing Business Index). Corruption in Chad is also endemic.
Last update : March 2017


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If you're not yet trading with Korea, it may be time to start.
According to Cal State Fullerton's 2013 International Trade Forecast, Orange County exports to South Korea are expected to grow 29 percent from 2011-14, the most among Seoul's major trading partners. Released last month, the report credits the U.S.-Korea Free Trade Agreement – KORUS FTA – with catalyzing a surge in Orange County exports to the county's fifth-largest trading partner.
With about a quarter of U.S. exports to Korea originating from the Los Angeles-Metro region, Orange County could benefit significantly from the $11 billion in U.S. export growth expected to result from the KORUS FTA over the next few years. Since its implementation in March 2012, the KORUS FTA has already proven its importance in supporting economic growth here, helping local businesses succeed in the global marketplace where there are significant opportunities to reach new customers, grow market share and create local jobs.
In 2011, Orange County exported $1 billion in goods to Korea, up $75 million from the year before. In fact, Seoul imported more goods from Orange County in 2011 than from all but five U.S. states. By 2014, Orange County's exports to South Korea are expected to grow to nearly $1.3 billion.
Increased international trade with South Korea could be one of the largest economic drivers for Orange County. The KORUS FTA more closely connects Orange County with one its most devoted international trading partners. South Korea has 50 million potential consumers, a genuine interest in American products, a vibrant $1 trillion economy and a position as a regional hub for trade throughout Asia. With strong brands, a robust infrastructure and proximity to mainland Asia, local businesses are especially well-positioned to capitalize on opportunities in Korea.
In addition to opening up the Korean market for our businesses, the agreement also provides growth opportunities for communities in Orange County. Since the KORUS FTA took effect, Orange County has received inquiries from several Korean companies interested in establishing local facilities.
For example, CJ Foods, one of the largest Korean food companies, is building a manufacturing plant in Fullerton and actively recruiting in the area. There has also been interest from Korean manufacturing, distribution and warehousing companies. These businesses will help revitalize our communities, bringing new jobs, consumers and revenue to the region.
To support these growth opportunities, the Fullerton Chamber of Commerce is creating programs to help Orange County businesses interested in exporting goods and services to South Korea, as well as Korean companies looking at setting up facilities here in Orange County. The Chamber is also working with partners including the Korea Trade-Investment Promotion Agency and the U.S. Korea Connect program to provide information and guidance around the KORUS FTA.
This two-way trade can be a catalyst for significant and sustained growth for Orange County. To move forward, companies need to educate themselves about international trade, take advantage of available resources, and start to take concrete steps to capitalize on the opportunities resulting from the U.S.-Korea Free Trade Agreement.
Theresa Harvey is president, CEO, of the Fullerton Chamber of Commerce.


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Malta Yacht Management Agency providing berths, yard works, yacht products, yacht registration with VAT Savings and Tax Advantages.
Malta Yacht Services provider Boatcare Trading Ltd is a leading independent yacht management company offering unparalleled services to local and international clientele.+read more
We are based in Malta in the luxurious Portomaso Marina, St Julian's. We have built a solid reputation in yacht management services and yacht brokerage in Malta by offering a holistic range of services for all types of sailing yachts, motor yachts and luxury yachts, including:
and much more...
Boatcare is Malta's official representative for many top-notch international yachting brands, including:
Sail the serene Mediterranean Sea and relish the beautiful crystal-clear seas of Comino's Blue Lagoon, or the wonderful beaches that dot the islands of Malta and Gozo. Relax and wind down while sunbathing on the deck of a beautiful yacht.
You may choose to charter a yacht for a quick day trip around the Maltese coast or you may charter a yacht for a week-long trip to Sicily, Tunisia, Cyprus or Greece. And if you select your yacht wisely it will not cost you an arm and a leg: we offer great charter deals at very attractive rates.
With our offices in the heart of Malta, Boatcare is uniquely placed to help you put together the boat experience of a lifetime: we have a wide range of motor boats, sailing yachts and catamarans from approximately 40ft upwards on our books.
However, if you have a different yacht in mind, we are in a position to find it for you.
Please follow the link to view our Malta Yacht Charters webpage.
Our offices are centrally located to offer a one-stop, comprehensive service to all yachting enthusiasts who visit Malta while sailing the serene Mediterranean Seas
Malta has always been acclaimed as a dream yachting destination at the centre of the Mediterranean, and we can make sure your visit to our islands is very relaxing and rewarding.
Let us devise your itinerary plan, provide you with mooring facilities, yacht detailing, yacht services or yacht repairs while you enjoy the idyllic beaches of the exotic Maltese coast.


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COURSE: 05-340 Methods of Teaching Science and Health, K-9 (3)
This course focuses on instructional strategies, resources, national curriculum guidelines and the Illinois Learning Standards for teaching science and health education. Emphasis is placed on developing instruction that ensures understanding of fundamental concepts of life, physical, environmental, earth and space sciences, as well as physical development and the promotion of a healthy lifestyle in elementary students. Methods of differentiating instruction and assessment to meet the individual needs of students are explored. Prerequisite: 2.75 GPA; Consent of Education Advisor; 05-240. Offered: Every semester.


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Jungmann wins fourth straight decision
Brewers' No. 10 prospect throws six scoreless innings
By Teddy Cahill / MLB.com
Right-hander Taylor Jungmann, the Brewers' No. 10 prospect, threw six scoreless innings Thursday, helping Triple-A Nashville defeat Fresno at home, 7-0, in Game 2 of a doubleheader. The Grizzlies took the first game, 8-4, splitting the twin bill.
Jungmann struck out seven batters, walked one and held Fresno to two hits. He threw 77 pitches and won his fourth straight decision.
Jungmann began the season with Double-A Huntsville before earning a promotion in May. He has made 17 starts with the Sounds and is 8-5 with a 4.22 ERA after Thursday's victory. He has struck out 86 batters and walked 38 in 89 2/3 innings.
Thursday also marked first baseman Hunter Morris' return to the Sounds. The Brewers' No. 17 prospect suffered a broken arm in late June and spent more than a month on the disabled list before going to the Arizona League and Huntsville for rehab.
Morris appeared as a pinch-hitter in the first game Thursday, grounding out in his lone plate appearance. He started the nightcap at first base and went 2-for-3 with a run and a double before being removed for a pinch runner in the fifth inning.
Teddy Cahill is a reporter for MLB.com. Follow him on Twitter at @tedcahill This story was not subject to the approval of Major League Baseball or its clubs.


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Why Soda is the Great American Beverage
With the recent court ruling overturning New York City's ban on super-sized soda, it might seem to many as if Mayor Michael Bloomberg's problem is that he's got too much moxie. That is, he made this "nanny state" edict a personal mission without taking into consideration that American ideal known as civil liberty.
But if you ask me, the mayor's real problem is that he hasn't had enough Moxie – as in with a capital M.
I'm referring to that classic New England soda – it dates back to 1885 — that's a flavor category unto itself.
You can't quite compare Moxie to anything – it's a little bitter and a little sweet, but it's never quite bittersweet. And while it's refreshing, it's hardly what I'd call a thirst-quencher. If anything, it reminds me of a good – and decidedly bitter – Italian aperitif like Campari: a drink that's almost consciously designed to wake up your taste buds and prep them for a bite or two – or perhaps just another sip.


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OCEAN CITY – The results of the National Citizen Survey, sent out to a random sampling of Ocean City residents, were released this week, giving town officials insight into some of the thoughts and opinions of residents.
Dr. Thomas Miller of the National Research Center presented the Mayor and Council with the results of the surveys at Monday night's council meeting.
Random samples of 3,000 households were sent surveys. Although some of the surveys were sent back after failing to reach appropriate addresses, 839 surveys were completed and returned. In total, the survey maintained a survey rate of 39 percent, which, according to Dr. Miller, is on the high end. Average survey rate results typically lie between 25 and 40 percent.
Miller pointed out that only 23 percent of those who filled out the surveys have attended a public meeting of the Mayor and Council or public hearing.
The survey presented a profile of the residents in Ocean City, revealing some geographic and demographic facts about residents. Of those who completed the survey, 26 percent have lived in Ocean City over 20 years. Ninety-six percent reported to be over the age of 34 with an additional 39 percent over the age of 64. Forty-eight percent are currently employed. Seventy-five percent claimed to live north of the Route 90 Bridge with 93 percent of survey participants owning their home and 7 percent renting.
Councilman Jay Hancock pointed out the survey was lacking in the voice of the younger generation, noting that those over the age of 55 are more likely to fill out the survey.
The overall quality of life fared well in the survey with 60 percent of participants rating the quality of life as "good" and 18 percent rating it as "excellent".
The three highest rated characteristics in Ocean City were, recreation opportunities, air quality, and overall appearance. The characteristics causing the most concern to citizens were reported as, too much growth, taxes, and traffic congestion. Miller pointed out the major problems citizens reported Ocean City to be facing were, in comparison, good problems to have. The problems rated as the lowest of citizens concerns were crime, homelessness and graffiti.
To see the complete survey results, see The Dispatch on Friday.


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Mariana Toma-Drane, MPH, MIS, PhD
Associate Faculty
University Of Phoenix
School of Business
Columbia, SC, 29250
Mariana Toma-Drane is a graduate of the University of South Carolina from which she holds an MPH and a Master's of Industrial Statistics. She continued her graduate education by completing a Ph.D. at the University of South Carolina's Arnold School of Public Health. Her work experience extends in the United States as well as in Europe; she is fluent in several languages.
During her master's years, through a Fulbright Alumni Initiated Award, Dr. Toma-Drane started her work within communities affected by the Chernobyl nuclear accident in the town of Narodichi, Zhytomyr district, Ukraine. She assessed Ukrainian children exposed to internal nuclear radiation through radioactively contaminated food. This research brought her the first "New Investigator Award" from the American Statistical Association in 2006.
During her doctoral years, Dr. Toma-Drane expanded her work among residents of two Belarusian counties, Mogilev and Gomel by assessing long-term effects of post Chernobyl evacuation on Belarusian's health risk perceptions. This research brought her the second "New Investigator Award" from the American Statistical Association in 2008. Her work would not have been possible without the assistance of a multidisciplinary team of Americans, Ukrainian and Belarusian scientists, and myriad of innocent individuals affected by the Chernobyl nuclear accident, who volunteered to be part of international projects. In 2008, Dr. Toma-Drane becomes a Visiting Research Scholar at the Hazard & Vulnerability Institute at the University of South Carolina.
In 2009, she joined Veteran Medical Center, West Haven Connecticut Division, one of the fifth coordinating research center of the Department of Veterans Affairs, as member of a research team on a clinical trial – "Neuropsychological and Mental Outcomes or Operation Iraqi Freedom (OIF): a longitudinal cohort study." She then returned to South Carolina, her home state and worked of Research and Statistics, Health and Demographic Statistics for the South Carolina Budget and Control Board, Office. During this time she acted briefly as Information Resource Consultant for the South Carolina Department of Social Services, Division of Information System. She is an Associate Faculty at the University Of Phoenix, School of Business since January 2009.
Leadership Development Opportunities
The Environmental Public Health Leadership Institute (EPHLI) come at a time when I thought there was not much that I did not know in the field of public health. EPHLI give me the opportunity to transition my public health approach from micro to a macro, and it provided me the specific tools through the Systems Thinking, an approach to problem solving. It gives me insights about the mechanisms behind organizational approach, where society, regarded as an ecosystem, it has its own dynamic and survival laws whether individuals are aware of it or not.
Additionally, it provided me with the opportunity to interact with environmental health practitioners from various areas and learn from them.
I cannot emphasize the valuable lessons learned from each and every one of the presenters during our sessions and most of all the coach that I was assigned to that helped me to develop the fourth dimension in a 3D world.


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Terrence Malick, whose "Tree of Life" awaits a release date, has already put together an impressive cast for his next film.
Stars Christian Bale, Javier Bardem, Rachel McAdams and Olga Kurylenko have all reportedly signed on to join Malick for what promises to be a romantic love story," reported Deadline Hollywood. That's about all that is known, other than the fact that Malick wrote the script and is hoping to start filming this fall.
"Life" stars Brad Pitt and Sean Penn in a story about an 11-year-old boy who "has his first glimpses of sickness, suffering and death. The world, once a thing of glory, becomes a labyrinth," according to Summit Entertainment's website.
Malick had previously been considering helming "Held by the Taliban," based on the account by The New York Times reporter David Rhode of his 2008 capture, along with two Afghan colleagues. Considering his ramped up prductivity -- he waited 20 years between "Days of Heaven" and "Thin Red Line" -- he may yet do both.


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Bengals' Mike Zimmer: Dez Bryant reminds me of Michael Irvin
Cincinnati Bengals defensive coordinator Mike Zimmer joined Galloway and Company on KESN-FM 103.3 to talk about the Cowboys. Here are some highlights.
On Dez Bryant:
"He really reminds me in a lot of ways of Michael Irvin. The way he can go get the football, his acceleration, his run after catch, his strength, you know Michael was great. He used to push guys off. Dez seems like he has great strength when running routes in press. He's made some unbelievable catches on back shoulder fades that (Tony) Romo has thrown to him. In the Redskins game, he caught that ball and ran about 65 yards. He turned on the jets on that one. I think he's a tremendous football player. They have a lot of talent there."
On former Cowboys CB Terence Newman:
"Terence has played really well all year. He didn't play as good against San Diego last week. He was a little nicked up, but he's had a good year. He has great heart, and he's a competitor, and he can still run. When we brought him in, we just worked with some technique stuff. I think his confidence was a little bit down. During a preseason game, I told him you have to go challenge that guy. Since then, he's been playing great."


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Clinical Experience
Geriatric Psychiatry Specialty Clinic
This rotation is designed as a 9 month, half-time assignment in collaboration with Geriatric Medicine for the care of older patients suffering from concomitant medical and psychiatric illnesses. Geriatric psychiatry fellows work with physicians from geriatrics and primary care to co-manage complex patients. Fellows have the opportunity for formal and informal consultations with on-site faculty from psychiatry and medicine. The clinic serves as a training site for students from the Yale University School of Medicine, and PharmD students from the University of Connecticut School of Pharmacy. It also serves as a training site for PGY2 -PGY4 residents from the Department of Psychiatry. Fellows play an active role in the education of students and residents from these diverse disciplines. Case based teaching includes interdisciplinary perspectives and review of pertinent evidence based literature.
Geriatric Psychiatry Inpatient Program
This rotation is designed as a 3 month, part-time rotation. Fellows will develop clinical expertise in the diagnosis and management of complex psychiatric and medical disorders in older patients, and learn sophisticated strategies for pharmacologic and behavioral treatment of geriatric disorders in the inpatient setting.
Fellows serve as a "junior attending" taking leadership of the interdisciplinary treatment team. In that capacity they learn management and decision making skills necessary to run an inpatient unit. Fellows have the opportunity to further develop educational expertise providing direct supervision of PGY-2 psychiatry residents and Yale medical students.
The training experience is enhanced for the fellows by daily interdisciplinary teaching rounds and individual faculty supervision. Case based teaching includes interdisciplinary perspectives and review of the pertinent current literature.
The Yale-Alzheimer's Disease Research Unit (ADRU)
This rotation is designed as a yearlong clinical experience in which fellows rotate through half-day clinics. Fellows join an interdisciplinary clinical and research team that provides clinical care, caregiver support, and conducts research trials. Fellows learn state-of-the-art methods for assessment of dementia, are exposed to the latest developments in neuroimaging and treatment for Alzheimer's disease, and have the opportunity to learn about current theories of the pathophysiology of dementia and the rationale for investigational therapies.
Fellows serve as an integral part of this treatment/research team and have supervisory and teaching opportunities with Department residents and Yale medical students rotating through the Unit.
The training is enhanced by individual faculty supervision and research meetings where fellows learn skills necessary to critically evaluate both research methodology and current findings in the literature. ADRU faculty provide a monthly didactic session for fellows and trainees from multiple disciplines to enhance their understanding of the neurobiology of cognitive disorders and to review current research in the field.
Nursing Home Consultation
This rotation is a continuous year long, half-day assignment, where fellows learn the comprehensive assessment and consultation skills of a geriatric psychiatrist in the nursing home setting. Fellows gain expertise in the evaluation and management of residents with co-morbid psychiatric and medical illnesses. Management of behavioral disturbances associated with dementia is a fundamental task in the nursing home setting. Fellows work closely with nursing home staff to evaluate behavioral problems and develop management strategies. They also collaborate with the patient's medical physician to investigate possible medical causes of delirium or behavioral change. Fellows have the opportunity to learn about the significant psychological and social impact of nursing home placement on an older individual and his/her family, and to gain an understanding of the financing of such care.
Supervision is provided on-site by geriatric psychiatry faculty. Opportunity also exists for fellows to assist in the in-service training of nursing home staff.
Geriatric Psychiatry Case Management Service
This rotation is designed to provide fellows with consultation experience for home-bound elder patients with neuropsychiatric illnesses. Fellows develop an understanding of the array of complex issues facing both the patient and caregiver as they attempt to manage and maintain the optimal quality of life at home. Fellows develop skills in functional home assessment, and working with the non-physician team. At times they are called upon to assess decision making capacity and/or safety concerns around the home.
This rotation is designed to provide in depth training for the indications and application of ECT.
Neurology Movement Disorders Clinic
Fellows rotate through the Neurology Movement Disorders Clinic to gain experience in the diagnosis and treatment of the variety of movement disorders common in later life.
Palliative Care Service
This rotation is designed to provide Fellows with experience with the biomedical, social, psychological and ethical issues confronting patients and care givers at the end of life.
Community Based Outpatient Clinic
This rotation provides Fellows experience in the care of older adults in an outpatient setting providing care to a largely underserved population.


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Sunday 25th November 2012
First House
£15.00 - £18.00
Allan Harris - vocals & guitar, Robin Aspland - piano, Larry Bartley - double bass, Dave Ohm – drums
Allan Harris is a world-class singer, guitarist and songwriter. Perhaps best known for his interpretations of jazz standards, Allan's smooth vocals and guitar-styling easily cross genres, from jazz to rock to blues. Tony Bennett calls Allan "my favorite singer" and The New York Times' Stephen Holden raves about "the protean talent that is Allan Harris."
Allan has cultivated a global following, playing for packed audiences and receiving outstanding reviews throughout the United States, Europe, Russia and the Far East. A three-time winner of the New York Nightlife Award for "Outstanding Jazz Vocalist," Allan is regularly featured at the world's great music festivals, e.g. Jazz Aspen, Wien Jazz Festival in Austria and the Umbria Jazz Festival in Italy. Allan's artistry transcends his diverse vocal performances. He has composed "Cross That River," a full-scale musical celebrating the Old West as told through the words and music of a black cowboy, and has received a prestigious Chamber Music America Grant for that work. The theatrical production of "Cross That River" played to rave reviews during the 2009 New York Musical Theater Festival and is currently in pre-production for a long-term run in 2013. Several original songs from "Cross That River" are also frequently featured in The Allan Harris Band's concert performances. In addition to music, Allan is passionate about giving back. He is a long-time supporter of the St. Mary's Children's Hospital, Musicians On Call, and Challenge Aspen/America where he donates a performance every year, along with Vince Gill and Amy Grant, to benefit military service people who have sustained disabilities. As a Gibson Guitar featured artist, Allan and Ruby (his constant 5 lb. canine companion and the first dog music critic) can frequently be found rehearsing at the Gibson Hit Factory, and along with The Allan Harris Band, enjoy playing the top music clubs in his hometown of New York City.
Tell us what you think of Allan Harris: Long Live the King (Nat King Cole) below..


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Guitar Hero: Metallica Cheats
Additional Songs
Beat "The Thing That Should Not Be" in Career Mode for Death Magnetic songs: "Broken, Finish & Scarred", "Cyanide", and "My Apocalypse."
At the Cheats Menu:
Air Instruments - Red, Red, Blue, Yellow, Green, Green, Green, Yellow
Always Drum Fill - Red, Red, Red, Blue, Blue, Green, Green, Yellow
Always Slide - Green, Green, Red, Red, Yellow, Red, Yellow, Blue
Auto Kick - Yellow, Green, Red, Blue, Blue, Blue, Blue, Red
Black Highway - Yellow, Red, Green, Red, Green, Red, Red, Blue
Flame Color - Green, Red, Green, Blue, Red, Red, Yellow, Blue
Gem Color - Blue, Red, Red, Green, Red, Green, Red, Yellow
Hyperspeed (all instruments) - Green, Blue, Red, Yellow, Yellow, Red, Green, Green
Invisible Rocker - Green, Red, Yellow, Yellow, Yellow, Blue, Blue, Green
Performance Mode - Yellow, Yellow, Blue, Red, Blue, Green
Star Color - Red, Red, Yellow, Red, Blue, Red, Red, Blue
Vocal Fireball - Red, Green, Green, Yellow, Blue, Green, Yellow, Green
Additional Line 6 effects (Music Studio) - Green, Red, Yellow, Blue, Red, Yellow, Blue, Green
Metallica Costumes
Green, Red, Yellow, Blue, Blue, Yellow, Red, Green
Beat Ace of Spades in career mode.
Kirk Hammett - Get 100 stars in Guitar Career
James Hetfield - Get 100 stars in Vocalist Career
Lars Ulrich - Get 100 stars in Drum Career
Robert Trujillo - Get 100 stars in Bass Career
King Diamond - Beat King Diamond's "Evil"
Additional Costumes
Classic James - 150 Stars Vocals
Classic Lars - 150 Stars Drums
Classic Kirk - 150 Stars Guitar
Classic Robert - 150 Stars Bass
Zombie James - 200 Stars Vocals
Zombie Lars - 200 Stars Drums
Zombie Kirk - 200 Stars Guitar
Zombie Robert - 200 Stars Bass
Add cheats for this gameRate these cheats:


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This study is provided by ICPSR. ICPSR provides leadership and training in data access, curation, and methods of analysis for a diverse and expanding social science research community.
High School Seniors Cohort Study, 1965 and 1973 (ICPSR 7575)
Principal Investigator(s): Jennings, M. Kent, University of Michigan. Center for Political Studies
This data collection contains information gathered from questionnaires administered to high school seniors on two separate occasions. Part 1 contains data gathered in 1965 in order to provide information about the social and political climate of the peer groups and the entire senior classes of the student interviewees who were the subjects of the STUDENT-PARENT SOCIALIZATION STUDY, 1965 (ICPSR 7286). Part 2 contains similar data gathered in 1973 to provide a trend line and to cover slightly different topics. The schools used were defined by the 97 included in the socialization study, in which all members of the senior class were potential respondents. In the cohort study, several key political measures (especially trust, efficacy, tolerance, cosmopolitanism, salience, and partisanship) and personal measures were developed paralleling those used in the socialization study. Data include respondent's attitudes toward politics, things the respondent was least proud of (e.g., discrimination against minorities or dirty politics in government), concept of a good citizen, faith in government, political interest, attitudes toward federal government, party identification, academic courses, interest in public affairs, attitudes toward school and students, school activities, respondent's personality, academic background and plans, occupational plans, and family background. The 1965 and 1973 interviews differed in some respects: Part 1 included more attention to the social studies curriculum and the social climate, and Part 2 devoted more attention to political data and ethnic and racial composition. Additional information about the schools attended by the students was collected from school officials through a school characteristics form, e.g., percentages of various ethnic groups making up the student population, percentage of graduating seniors entering college, and whether the school had a formal social studies curriculum guide. These data are located at the end of each file.
Series: Youth Studies Series
Access Notes
Data in this collection are available only to users at ICPSR member institutions. Please log in so we can determine if you are with a member institution and have access to these data files.
ASCII + SAS Setup SPSS Setup
ASCII + SAS Setup SPSS Setup
Study Description
Jennings, M. Kent. High School Seniors Cohort Study, 1965 and 1973. ICPSR07575-v1. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 1979. https://doi.org/10.3886/ICPSR07575.v1
Persistent URL: https://doi.org/10.3886/ICPSR07575.v1
Export Citation:
- RIS (generic format for RefWorks, EndNote, etc.)
- EndNote XML (EndNote X4.0.1 or higher)
This study was funded by:
- Danforth Foundation
- National Science Foundation
Scope of Study
Subject Terms: academic achievement, adolescents, career goals, citizenship, high school students, high schools, peer groups, personality, political attitudes, political behavior, political corruption, political partisanship, political socialization, public policy, social problems, social attitudes, social behavior, social change, social studies, student attitudes, tolerance, trust in government
Geographic Coverage: United States
- 1965
- 1973
- 1965 (spring)
- 1973 (spring)
Sample: The number of cooperating schools was 77 in 1965 and 85 in 1973. The number of respondents in the 1965 study was 20,682 (85 percent response rate) and 16,929 respondents in 1973 (approximately 80 percent response rate). The weighted data provide a sample that can be considered a nationally representative sample of high school seniors based on population distributions as of the mid-1960s.
self-enumerated questionnaires and school characteristics forms
Extent of Processing: ICPSR data undergo a confidentiality review and are altered when necessary to limit the risk of disclosure. ICPSR also routinely creates ready-to-go data files along with setups in the major statistical software formats as well as standard codebooks to accompany the data. In addition to these procedures, ICPSR performed the following processing steps for this data collection:
- Standardized missing values.
- Checked for undocumented or out-of-range codes.
Original ICPSR Release: 1984-03-18
Related Publications
Export Options: RIS/EndNote
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- Citations exports are provided above.
Export Study-level metadata (does not include variable-level metadata)
If you're looking for collection-level metadata rather than an individual metadata record, please visit our Metadata Records page.


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Foster City police are looking for witnesses to a collision and dispute that blocked lanes on the San Mateo-Hayward Bridge Friday afternoon and ended with one person in the water.
The collision, reported at 2:25 p.m. Friday, involved a white Honda SUV and possibly another vehicle, according to CHP Officer Peter Van Eckert.
Two people in one of the vehicles got into a disagreement and one person ended up in the water at a point where the bridge is only about 15 feet above the water, officials said.
The person was pulled from the water by the U.S. Coast Guard and fire officials.
Anyone who witnessed the incident is asked to contact Foster City police at (650) 286-3300 and ask for Detective Bill Beck.
Copyright © 2013 by Bay City News, Inc. Republication, re-transmission or reuse without the express written consent of Bay City News, Inc. is prohibited.


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Global Thermonuclear Litigation
Oh Apple, what have you started?
LG Display filed a retaliatory patent lawsuit against Samsung today over OLED tech used in Sammy's smartphones and tablets. LG told a press conference that it was claiming that Sammy had infringed on seven of its display patents, just a few weeks after Samsung filed in Seoul claiming more or less the same thing about LG, the …
Oh Apple, what have you started?
Icon says it all.
I think it would be better if they just all sued each other into oblivion. Then maybe the lawyers would wither on the vine, too.
Yet here we have Samsung using stolen code on stolen technology
"Yet here we have Samsung using stolen code on stolen technology"
When you put it like that it makes me realise that they are copying Apple after all. Damn...
On Tursday 27th September at 13:10 an Anonymous Coward said, "Yet here we have Samsung using stolen code on stolen technology"
Ah yes*, the 'Matthew Hopkins Principle' at work, where accusation alone is enough to constitute the desired proof of malefactory and otherwise villainous deeds. Splendid! 1645 here we come again. Isn't progress great?
*Assuming your comment is addressing the article itself and not other recent events.
"Yet here we have Samsung using stolen code on stolen technology"
This is just begging for Samsung to sue you for libel, be more smart.
It's an LG joke people, don't get too angry. :P
"It's an LG joke people, don't get too angry"
LG, litigations great!
Or, perhaps it could be Lawyer's Gold or Legal Grasping.
Or "Suing And More Suing Until No Good"...
Tails the consumer loses.
Time for WIPO to step in and stop this nonsense.
LG is talking about patents.
Samsung is talking about trade secrets.
I wonder what happens if you obtain a trade secret from somebody, and then file a patent on it. Because the original was a trade secret, the originator could not claim prior art because there is a real possibility that someone else could have developed the technology in isolation. They would have to prove some form of industrial espionage and get the patent re-assigned, but I'm not even sure whether industrial espionage is a chargeable offence.
That is the risk of going with trade secrets rather than patents. Patents are protected in return for releasing the information about it to the world. A trade secret isn't released to the world, so the inventor keeps it to themselves - but only as long as whatever it is isn't leaked.
Regarding the question about what the legal position of the trade (ex-) secret holder is vis-a-vis a patent holder who got hold of the secret, in general, they are screwed, though, as long as the evidence is there that they did indeed invent it but chose to keep it secret, it is unlikely that they will be liable for damages. It effectively puts the tech into the public domain, since prior art can be demonstrated, so the patent isn't valid.
Strange, I thought LG's phones always had IPS screens, their latest flagship is IPS.
Wikipedia lists only 2 LG phones with OLED screens, vs Samsung's legion.
Gagagg'hava'o"£! of the Grey Alliance is suing the Planet Earth for 500 billion dollars in damages for copying the technology on the Roswell craft that crashed in New Mexico in 1947.
This farce is becoming so bad that even Brian Rix (R.I.P.) wouldn't have accepted the script!
Being sued once for the theft of intellectual property is unfortunate, being sued multiple times indicates a pathology.
I thought LG's biggest invention was creating a LCD price fixing cartel


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Hyperaldosteronism - primary and secondary
Hyperaldosteronism is a disorder in which the adrenal gland releases too much of the hormone aldosterone into the blood.
Hyperaldosteronism can be primary or secondary.
Causes of Hyperaldosteronism - primary and secondary
Primary hyperaldosteronism is due to a problem of the adrenal glands themselves, causing them to release too much aldosterone. In contrast, with secondary hyperaldosteronism, the adrenal glands release too much aldosterone as a result of a problem elsewhere in the body. These problems can be with genes, diet, or a medical disorder such as with the heart, liver, kidneys, or high blood pressure.
Most cases of primary hyperaldosteronism are caused by a noncancerous (benign) tumor of the adrenal gland. The condition is most common in people 30 to 50 years old.
Hyperaldosteronism - primary and secondary Symptoms
Primary and secondary hyperaldosteronism have common symptoms, including:
- Fatigue
- Headache
- Muscle weakness
- Numbness
- Paralysis that comes and goes
Tests and Exams
Tests that may be ordered to diagnose hyperaldosteronism include:
- Abdominal CT scan
- Plasma aldosterone level
- Plasma renin activity
- Serum potassium level
- Urinary aldosterone
A procedure to insert a catheter into the veins of the adrenal glands may need to be done. This helps check which of the two adrenal glands is making too much aldosterone.
This disease may also affect the results of the following tests:
Treatment of Hyperaldosteronism - primary and secondary
Primary hyperaldosteronism caused by an adrenal gland tumor is usually treated with surgery. It can sometimes be treated with medicines. Removing the adrenal tumor may control the symptoms. Even after surgery, some people still have high blood pressure and need to take medicine. But often, the number of medicines or doses can be lowered.
Limiting how much salt intake and taking medicine may control the symptoms without surgery. Medicines to treat hyperaldosteronism include:
- Drugs that block the action of aldosterone
- Diuretics (water pills), which help manage fluid buildup in the body
Secondary hyperaldosteronism is treated with medicines (as described above) and limiting salt intake. Surgery is not used.
Prognosis (Outlook)
The outlook for primary hyperaldosteronism is good with early diagnosis and treatment.
The outlook for secondary hyperaldosteronism depends on the cause of the condition.
Potential Complications
Impotence and gynecomastia (enlarged breasts in men) may occur with long-term use of medicines. But this is uncommon.
When to Contact a Health Professional
Call for an appointment with your health care provider if you develop symptoms of hyperaldosteronism.
Ioachimescu AG, Hamrahian AH. Diseases of the adrenal gland. In: Cleveland Clinic: Current Clinical Medicine. 2nd ed. Elsevier Saunders; 2010:sec 4.
Nieman LK. Adrenal cortex. In: In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine. 24th ed. Philadelphia, Pa: Elsevier Saunders; 2011:chap 234.
Related Images
|Review Date: 8/1/2013
Reviewed By: Brent Wisse, MD, Associate Professor of Medicine, Division of Metabolism, Endocrinology & Nutrition, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Bethanne Black, and the A.D.A.M. Editorial team.


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Yo Gabba Gabba
Yo Gabba Gabba is a brand new children's program that will be airing on Nick Jr. and Noggin in August. You can watch a sample of the show on you tube or visit their site at http://www.yogabbagabba.com. I'm really excited about this show and very honored that I got the opportunity to be apart of their first season!


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Hi all,
I'm pretty decent with excel, but I'm running into a problem that is stumping me right now.
I am trying to determine bug fix rates for my team. I've got two sets of data, Set A= count of bugs opened per day, Set B= count of bugs closed per day
I want a chart showing for a given day, the number of bugs opened and closed for a given team member.
I'm trying to use a Pivot table, but the problem is that unless I manually group the dates, I don't see the counts correctly. Right now, I can easily see the breakdown for either open or close, but not both for the same day.
I've got the sets laid out side by side (columns A-C is set A, columns D-F is set B). The pivot table reads across the entire row, so if I select a date from Set A, then it will only count Set B if it is on the same row, but it ignores the date in set B. If I try and filter by set B, it shows the date in Set B, but still counts it for the date on set A.
I guess what I'm trying to do is align the number of bugs opened and closed for a given date, and then break it out by team member. I can do it in two pivot tables, but then how do I chart it on the same graph?


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Being British, I don't get it when I speak English, but I am struggling with some of the sounds in Khmer, which can be difficult as I am living in Cambodia.
Since Chinese is my native language, so everytime I speak English, I have some kind of Chinese accents in it? In another word, my Chinese accents make the other people hard to understand my English!
So, how do you think of your own accents? Did you ever hated it? Or do you feel embarrass when someone make fun of your accents?
Being British, I don't get it when I speak English, but I am struggling with some of the sounds in Khmer, which can be difficult as I am living in Cambodia.
Wow, I just saw that Phoenixtree already posted a similar thread. Anyway, does anyone still wanna share their accents experience?
I seem to pick up local color quickly. It really started when I quit counting native.
My american accent is not that perfect yet since i've only been in the US for 2 years.
Trust me - there is no such thing as an American accent. Every region has its own peculiar quirks. It would be rather boring otherwise.
Well, I don't expect myself to speak like a native. I just wanna take my accent out of my English...Seens like really hard to me.
Please - no "wanna". Keep your vocabulary clean, use only words you are comfortable with, ignore the "US movie language". Your accent may dimish over time but it is part of you and your origin. I feel almost insultet when people think I am Australian. I am not!Originally Posted by Ramid
"wanna" is the one that I most comfortable with, and I dont think it's only use in the American movies.
Anyway, I only wanna separate my Chinese accent from English, because it's two different different languages, and I wanna be perfect on both...
Um~~you made me feel like I dont appreciate my own heritage, indeed I do, I really do.
It sounds like a contradiction to me - you want to loose your acent but you insist on using basic words incorrectly. yoyo - you are on your own.Originally Posted by Ramid


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ORLANDO, Fla. - Central Florida residents are reacting to the news of a new pope being chosen on Wednesday afternoon, as the diocese puts up a white and gold bunting around the doors and on the cathedral in celebration.
Pope Francis I, the first non-European pontiff of the modern era, revealed himself to the world from a balcony at the Vatican on Wednesday.
"We offer praise and thanksgiving to God and for the intervention of the Holy Spirit with the Cardinals as they deliberated on the election of the Holy Father," Bishop John Noonan of Orlando. "With the entire Church, the Diocese of Orlando is joyous at the election of Pope Francis."
Jorge Bergogolio, who served as archbishop of Buenos Aires was elected by cardinals in the fifth round of voting on the second day of the conclave.
Many Catholics say they're excited over the election of Pope Francis and that he is what the faith needs to bring the youth back in the church.
"As far as what I hope to see, just a continuing growing of the church, maybe reaching out to a lot of different people, or what have you, that haven't been touched in the past," said Drew Bolger.
Father Jorge Torres, director of vocations at the diocese said he noticed how comfortable and freely Pope Francis addressed the crowd.
"He seeks to make it a part of our gospel message- that we need to take care of the poor, we need to take care of the disenfranchised, people in prison, the homeless," said Torres.
Copyright 2013 by ClickOrlando.com. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


text: NAME feq - Full EQuations Model fequtl - Full EQuations UTiLity ABSTRACT FEQ simulates flow in a stream system by solving the full, dynamic equations of motion for one-dimensional unsteady flow in open channels and through control structures. The structure of the program is designed to follow the structure of a stream system while providing maximum generality and flexibility of description. A stream system that is simulated with FEQ is subdivided into three broad classes of flow paths: (1) stream reaches (branches), (2) parts of the stream system for which complete information on flow and depth are not required (dummy branches), and (3) level-pool reservoirs. These components are connected by special features or hydraulic control structures, such as junctions, bridges, culverts, dams, waterfalls, spillways, weirs, side weirs, pumps, and others. The hydraulic characteristics of channel cross sections and special features are stored in function tables calculated by the companion program FEQUTL. FEQ can interpolate hydraulic properties of cross sections between measured sections. FEQ can be applied in the simulation of a wide range of stream configurations (including loops), lateral-inflow conditions, and special features. Boundary conditions can be water-surface stage, discharge, or the stage- discharge relationship at a node. Wind stress terms are supported. The effects of lateral inflows can also be simulated in FEQ when given local runoff intensity data. METHOD In FEQ, the principles of conservation of mass and conservation of momentum are used to calculate the flow and depth throughout the stream system resulting from known initial and boundary conditions with an implicit finite-difference approximation. FEQUTL is used to compute the hydraulic properties of various structures, each with its own computational theory. Thorough discussion of computational theory is given in the sources listed under DOCUMENTATION. HISTORY The Full Equations (FEQ) model for the simulation of one-dimensional unsteady flow in open channels and through control structures was first developed in 1976 to model the Sanitary and Ship Canal, Chicago, Ill., as part of the 208 Water Quality Management Studies conducted by the Northeastern Illinois Planning Commission with principal support from the U.S. Environmental Protection Agency. This original version was then expanded over the next several years. The first numbered version, 2.0, appeared in March 1986 when a version for personal computers was prepared. In subsequent years, the capabilities of the software were expanded at frequent intervals to meet the needs of the expanding user base. The USGS published documentation for version 8.10 in 1997. The later features of FEQ are documented below. Refer to the file RELEASE.TXT distributed with the software for additional information on these enhancements and code corrections. Version 9.98, posted 2005/05/31 - (A) Generalized effect of detention of flow within reservoirs and delay of flow from tributary areas enabled. (B) Control of gate operations as a function of 3 exterior nodes. (C) Irrigation runoff and withdrawal effects from near-surface and imported water. (D) Table numbers changed to labels resulting in heading-dependent formats for many blocks. Convertfeq utility available for conversion. (E)Rainfall and evaporation from open surfaces. (F) Adjustment factor for conveyance in a branch. (G) Crest and flow adjustment for side weirs. (H) Master files and scenario-selector variable option for complex project management. (I) Automatic counting of nodes and branches, disabling of weirs with datum errors. (J) Formats to facilitate conversion between linux and dos operating systems incorporated. Version 8.92, posted 1999/04/07 - (A) The negative constant-flow boundary was corrected from an applied constant value of 0. Positive constant flow boundaries into and out of the system were unaffected. (B) An undefined variable was defined to end potential error in the interpolation between weir and orifice flow for underflow gates. (C) An undefined variable that caused potential error in checking for overflow in side-weir 2-D tables was defined. Version 8.92, posted 1997/06/18 - (A) Blank lines are now allowed anywhere in the input except in the Branch Description Block where they indicate repeated cross sections. The blank lines are echoed to the output. (B) FORTRAN I/O numbers are no longer needed. They can be left in old inputs however. (C) Space-delimited format is allowed for the Network Matrix Control Input Block, when the block is specified as NEW Network Matrix Control Input Block. A asterisk is used as a place holder for optional items. (D) The Special Output Block has been modified to allow user-customized specification of output variables or single-line output. The new values are given in an OPTIONS line following the UNIT line. The variables that may be output include mean velocity (V), cross- sectional area (A), main channel area (MCA), flow (MCQ), and velocity (MCV), flood plain flow area (FPA), flow (FPQ), and velocity (FPV). In order to have single-line special output, the Special Output Block is specified as "Special" rather than "SPECIAL." Only flow and velocity will be output. (E) Access to HECDSS time series is supported for the input of flow or elevation at a boundary node, for output of flow or elevation from any node, and for the unit-area runoff intensity used to compute lateral inflow from a tributary area. (F) Explicit specification of side nodes (Code 13) is allowed to provide for conservation of momentum for inflows. The angle of entry is also specified. (G) The difference in elevation between two exterior nodes can be used as the argument for control structures in the Operations Control Block. The difference from the NODE elevation is specified by identifying the second node in the KEY variable field. (H) An optional Define Macros and Instructions Block has been added to streamline the definition of the Network Control Matrix. (I) Two-way pumps have been added. (J) An argument scale factor has been added for function tables type 2,3, and 4 to allow for variable unit systems. (K) A linear reservoir delay factor for tributary runoff areas can be specified by the variable KLR added at the end of the branch specification line. KLR has the units of minutes delay time for a linear reservoir interposed between the branch and the tributary area. The Full Equations Utilities (FEQUTL) model for the approximation of hydraulic characteristics of open channels and control structures during unsteady flow was first developed in early 1984-85 using some ideas from earlier piecemeal utility programs. The first numbered versions appeared in early 1988 as the user base expanded. The software has been expanded at frequent intervals to meet the needs of the user base. The U.S. Geological Survey published the documentation for FEQUTL Version 4.15 in 1997. Many additional capabilities have been added to FEQ and FEQUTL during the time the documentation was prepared. The capabilities added to FEQUTL are described below. Refer to the file RELEASE.TXT distributed with the software for additional information on these enhancements and code corrections. Version 5.46, posted 2005/05/31 - (A) Gate control table development from underflow-gate rating partly supported in routine--INV_GATE. (B) Sluice gate on upstream face of box culvert routine--UFGCULV. (C) Support for function-table labels rather than function-table numbers, requires conversion to heading-dependent formats in many routines, see release.txt for details. Conversion program, convertutl, available. (D) Exact specification of conversion factors for Manning's n and the acceleration due to gravity available. (E) Cross-section conversion from FEQUTL to WSPRO format. (F) Estimate of surface area for level-pool reservoirs where only elevation-storage capacity relation is know. (G) Formats to facilitate conversion between linux and Dos operating systems incorporated. Version 4.68, posted 1997/05/29 - (A) SI units are now supported. The subdirectory METRIC under the test directory in FEQUTL contains the SI version of the standard example file and the SI version of the weir coefficients for embankment-shaped weirs. (B) Added another global convergence tolerance to the header block for FEQUTL. The new convergence tolerance, EPSABS, is to be used in those cases in which the residual function returns a length value. Thus when switching to using meters for the length unit, EPSF will remain unchanged but EPSABS must be changed to reflect the larger length unit. In the US standard unit system, EPSABS has the same numeric value as EPSF but has a different meaning. EPSABS is located in the next field from EPSF. If omitted, the value of EPSF is used. (C) Modified the Preissman slot for closed conduits to reflect the unit system. The maximum slot level is 150 meters, which is not exactly equal to 500 feet used in the US unit system. However, the round number is indicative of an arbitrary selected value. The slot detection code was modified also to find the vertical diameter of closed conduits. The slot width used for detection of closed conduits remains at 0.07 feet or 0.021336 meters. A slot width larger than this will not be detected and FEQUTL will treat the cross-section function table as being a normal open channel and not a closed conduit in any context in which a closed conduit must be detected. (D) Changed the means for eliminating close values of depth in computing cross section tables. Previous versions had used an absolute tolerance for the minimum difference between adjacent depths. This has been changed to a relative tolerance to be scale independent. (E) HEC2X command has been modified to convert units from SI to English or from English to SI under user control. The default action is no conversion of the elevations and offsets on the cross section. Adding the word CONVERT after the MODE response will cause conversion of units. The conversion of station values is governed by SFAC only and is set by the user. (F) Provided additional options following the unit system selection in the standard header to force FEQUTL to use the more exact value for the factor in Manning's equation. The factor is technically the cubic root of the number of feet in a meter, which to single precision in a 32-bit IEEE floating point representation is about 1.485919. For nearly all practical purposes this can be taken as 1.49. (G) Provided the option to use an equation to compute the value of g given a latitude and an elevation. This happens whenever the exact value for the factor in Manning's equation is requested. The usual value of g is 32.2 f/s^2 or 9.815 m/s^2 with an error less than 0.2 percent across the United States. Using more than one value of GRAV may result in slight differences between SI and US standard units. (H) Added vertical scale factor (VSCALE), and horizontal shift amount (HSHIFT), to FEQX cross sections. (I) Added vertical scale factor (VSCALE), vertical shift (CSHIFT), horizontal scale factor (HSCALE) to EMBANKQ. (J) Added an argument scale factor to the input of function tables of type 2, 3,and 4. The argument scale factor is placed after the function scale factor. This moves the SHIFT input item to the right. The SHIFT item is little used and may be discontinued. In any case if you are using it you will have to move the SHIFT item to the right by 16 columns to leave space for the reading of the argument scale factor. (K) Added two new commands to create a bottom slot in a cross section. The commands are SETSLOT and CLRSLOT. The first command defines a bottom slot and this slot is add to all cross sections that FEQUTL encounters until the command CLRSLOT is found. Thus the addition of a bottom slot to a cross section is like a switch: either on or off. When it is on it will appear in all cross sections processed. (L) Flapgate losses from submerged culvert flow are supported. Culverts with risers and flow through orifices are also supported. (M) CHANRAT and EMBANKQ have optional variables LIPREC and MINPFD to request optimization of interpolation of two-dimensional tables of type 6 or 13. LIPREC is the Linear Interpolation Precision specification in terms of relative error. MIPFD is the minimum partial free drop to be computed. (N) Computation of pump rating curves and pump loss tables supported. DATA REQUIREMENTS FEQ reads an input file that contains specifications of run control parameters, an encoding of the stream schematic, and initial conditions. This file can contain boundary-condition tables and function tables for special features, or it can identify additional files that contain the information. FEQUTL computes function tables from specifications and data provided in input files. FEQUTL can read HEC-2 and WSPRO cross- section input data and calculate cross-section function tables for use in FEQ simulation. Function tables for bridges are computed using the program WSPRO to compute a suite of upstream and downstream water-surface elevations. FEQUTL can create input files for WSPRO and convert tables output by WSPRO into a format suitable for FEQ. OUTPUT OPTIONS The FEQ simulation process is documented in an output file. In addition, the results of simulation at nodes selected by the modeler can be sent to data output files, special output files, or files readable by the USGS program GenScn. FEQUTL creates two output files, one which documents the computation processes in detail, and the other which contains only function tables. The latter file can be identified in an FEQ input file to be read directly by FEQ. SYSTEM REQUIREMENTS The program was written in Fortran 77 for PC. The code is easily ported to Unix and linux systems. Both PC and UNIX versions are available. APPLICATIONS Snohomish County Department of Public Works, Surface Water Management Division, 1989, Snohomish River Unsteady Flow Model (FEQ): Report submitted to the U.S. Army Corps of Engineers, Seattle District. The model developed for the Snohomish River has been extended to include the lower portions of the Skykomish and Snoqualmie Rivers. This model will eventually become part of a flood-forecasting system. Northwest Hydraulic Consultants Inc., 1993, Mill Creek (Auburn) Hydraulic Modeling, Report to King County, Division of Surface Water Management, Seattle, Washington. Model of Mississippi River from Keokuk, Iowa, to Thebes, Illinois, including its major tributaries as well as most of its minor tributaries. About 600 miles of stream are represented. Seven dams and six sets of operable gates, under automatic program control, are included. A report is in progress. Johnstown Flood of 1977. FEQ was applied to this flood as part of a legal action stemming from this flood. The lower reaches of the Little Conemaugh and Stony Brook as well as the upper reaches of the Conemaugh River are simulated. DuPage County, Illinois Stormwater Management Plan. As part of their overall planning and regulation effort, DuPage County has applied FEQ/FEQUTL to a wide variety of streams in DuPage County. These streams include Winfield Creek, Waubaunsee Creek, Salt Creek, East Branch DuPage River, Klein Creek, Black Partridge Creek, Willoway Brook, and numerous other streams. Illinois Department of Transportation, Division of Water Resources. The Bureau of Planning has developed models used for planning and regulation for the Fox River, Farmer-Prairie Creek, Midlothian Creek, and the Skokie Lagoons. The Fox River model includes dynamic modeling of alternative dam-gate control operations. DOCUMENTATION Franz, D.D., and Melching, C.S., 1997, Full Equations (FEQ) model for the solution of the full, dynamic equations of motion for one-dimensional unsteady flow in open channels and through control structures: U.S. Geological Survey Water-Resources Investigations Report 96-4240, 258 p. Franz, D.D., and Melching, C.S., 1997, Full Equations Utilities (FEQUTL) model for the approximation of hydraulic characteristics of open channels and control structures during unsteady flow: U.S. Geological Survey Water-Resources Investigations Report 97-4037, 205 p. REFERENCES Franz, D.D., 1982, Tabular representation of cross-sectional elements: Journal of the Hydraulics Division, American Society of Civil Engineers, v. 108, no. 10, p. 1070-1081. Ishii, A.L., and Turner, M.J., 1997, Verification of a one- dimensional, unsteady flow model for the Fox River in Illinois: U.S. Geological Survey Water-Supply Paper 2477, 65 p. Ishii, A.L., and Wilder, J.E., 1993, Effect of boundary condition selection on unsteady-flow model calibration, in Proceedings of the XXV Congress of International Association for Hydraulic Research, Tokyo, p. 193-200. Knapp, H.V., and Ortel, T.W., 1992, Effect of Stratton Dam operation on flood control along the Fox River and Fox Chain of Lakes: Illinois State Water Survey Contract Report 533, 79 p. Turner, M.J., 1994, Data-collection methods and data summary for verification of a one-dimensional, unsteady-flow model of the Fox River in Illinois: U.S. Geological Survey Open-File Report 93-483, 40 p. Turner, M.J., Pulokas, A.P., and Ishii, A.L., 1996, Implementation and verification of a one-dimensional, unsteady-flow model for Spring Brook near Warrenville, Illinois: U.S. Geological Survey Water-Supply Paper 2455, 35 p. TRAINING One-week courses in FEQ modeling are offered about once a year in DuPage County as demand dictates. Contact the local American Society of Civil Engineers section or: Department of Environmental Concerns DuPage County Center 421 N. County Farm Road Wheaton, IL 60187 Additional courses at other locations are offered but only as demand dictates. CONTACTS Operation: U.S. Geological Survey Illinois Water Science Center Watershed and River Modeling Support 1201 W. University Avenue Urbana, IL 61801 email@example.com Official versions of U.S. Geological Survey water-resources analysis software are available for electronic retrieval via the World Wide Web (WWW) at: http://il.water.usgs.gov/proj/feq/ and via anonymous File Transfer Protocol (FTP) from: ftpdilurb.eru.usgs.gov (path: /pub/feq). The WWW page and anonymous FTP directory from which the FEQ software can be retrieved are, respectively: http://il.water.usgs.gov/proj/feq/software/feq --and-- /pub/feq SEE ALSO bltm(1) - Branched Lagrangian Transport Model branch(1) - One-dimensional Branch-network flow model daflow(1) - Streamflow routine in upland channels of channel networks wspro88(1) - A computer model for Water-Surface PROfile computations GenScn(1) - GENeration and analysis of model simulation SCeNarios


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Jenna have I ever told you how much I love your avatar? If Not I really love your avatar.
*snaps more pictures of HM in all her messiness*
*waves to Narnia*
Bye Theresa
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Goulding: Poynter is my boyfriend
Ellie Goulding has admitted for the first time that she is dating Dougie Poynter during an appearance on Alan Carr's Chatty Man chat show.
The Burn singer has been rumoured to be in a relationship with McFly star Dougie for a while, but had never confirmed the romance before.
Asked by comedian Alan what was going on between them, she said: "Er, he's my man friend. Boyfriend traditionally."
She added: "He's a very lovely human being."
On how long they'd been together, she explained: " Well, I don't know. We were sort of friends for quite a long time..." Alan supplied: "... and it just blossomed," to which she said: " Yeah. He is lovely."
However, not all of Alan's guests on the show were so full of love - John Cleese threw two drinks over his host in a mock-disagreement over his fame.
Alan joked that he was unable to take the Tube like Rihanna has done as it would shatter the illusion, which made the Monty Python star question whether anyone had an illusion about him.
The host shouted: "I have got an illusion! Get off my chat show!," leading John to throw a glass of water at him.
Alan then pleaded with him not to throw anything red, but John tipped some Taboo over him and then continued to throw Bombay mix throughout the interview until Alan, losing his rag, poured a bottle of green liquid from his drinks globe over his guest.
He quickly apologised: "Oh, I can't believe I just did that to John Cleese. I'm so sorry...," while John pretended to storm: " What a way to treat a guest."
Chatty Man airs Friday evenings on Channel 4 at 10pm.


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LOST AND FOUND ART ... Palo Alto Parks and Recreation officials uncovered an obscured work of art while renovating Greer Park. The sculpture, "From Sea to Shining Sea," a flat, 21-foot square concrete sculpture using pavement markers and retread tires in abstract designs, was created by artist Joan Zalenski for a sculpture fair in the East Bay in 1982. The piece was loaned to the City of Palo Alto for the park. The city later purchased the work, but it was concealed over time by a eucalyptus grove, according to Midtown Residents Association Vice-Chair Annette Ashton. Art commissioners voted in February to approve funding for a plaque for the artwork.
CIVIC DUTIES, ANYONE? ... A seat on Palo Alto's Library Advisory Commission is available for a term ending on Jan. 31, 2014. The commission meets once a month and is responsible for advising the City Council on a range of matters relating to Palo Alto libraries. Commissioners must be city residents. The application deadline is Aug. 4 at 5:30 p.m. Residents interested in serving on the commission can contact Ronna Jojola Gonsalves at 650-329-2267 or firstname.lastname@example.com.
TREE-CARE SURVEYS ... Throughout Palo Alto neighborhoods, Canopy is offering free classes on young tree-care surveying and care. Trainings and tours of recently planted trees have occurred in Old Palo Alto, Midtown, Palo Verde and Downtown neighborhoods. A tree-pruning workshop will take place Aug. 6 from 9 a.m. to 12:30 p.m. A tree walk of the Community Center neighborhood will take place Aug. 13 at 10 a.m. starting at the Children's Library, 1276 Harriet St. More information is available from Michael Hawkins, firstname.lastname@example.com or 650-964-6110, ext. 1.
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Find a Doctor
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By Marge Dwyer
Beth Israel Deaconess Medical Center correspondent
When orthopaedic spine surgeon Dr. Andrew P. White sees an older person in a store leaning on a shopping cart as they shop, he knows there's a good chance the shopper has spinal stenosis.
With America's aging population, Dr. White is seeing an increasing number of people with spinal stenosis in the Spine Center and Department of Orthopaedics at Beth Israel Deaconess Medical Center.
"Many people with spinal stenosis find it feels better to lean forward onto a shopping cart in a store or to sit down. Leaning forward stretches open the spine to relieve some of the stenosis. Leaning back or standing hurts because the spine is compressed," explains Dr. White.
What is spinal stenosis? It's when one or more parts of your spine narrow, compressing the spinal cord or the nerves within the spinal canal. The cause usually is problematic bone and ligament growth within the spinal canal triggered by osteoarthritis, the wear-and-tear form of arthritis that often accompanies aging.
Other causes of spinal stenosis include disc problems, such as herniated or slipped discs (when a disc protrudes into the spinal canal); as well as lack of flexibility in the spine, tumors and injuries.
While some people have mild symptoms of spinal stenosis, others have debilitating symptoms that affect everyday life. Usually symptoms begin gradually and worsen with time. The main symptom is leg pain or cramping when you walk or stand for a period of time. Sometimes the discomfort is worse when walking uphill or standing.
In other cases, the pain is worse when you walk down a hill but improves when you sit. Symptoms also can include numbness in the feet, incontinence, or pain in the back, shoulders, neck or arms.
"It can be really disabling. People walk shorter and shorter distances until they can hardly walk at all," Dr. White says.
Most of Dr. White's patients with the condition are in their 60s and older, though spinal stenosis can occur at a younger age if you have a small spine, certain congenital abnormalities, or conditions like dwarfism.
"Getting aches and pains from wear and tear on the joints is like getting gray hair and wrinkles," Dr. White says. "The only way to rid oneself of osteoarthritis is to turn back the clock."
You also can protect your spine by exercising regularly, maintaining good posture, picking up heavy items correctly, making sure your back is properly supported when you sleep, and watching your weight.
Baby Boomers represent a large number of Dr. White's patients.
"Baby Boomers want to do sports, hike and take long, active vacations. The demand for spinal stenosis treatment is going up because the Boomers want to stay active," he says.
Spinal stenosis happens gradually. "It creeps up on you," Dr. White says.
That's what happened to David Ganz, 75, of Belmont, MA. The semi-retired tire company executive had back problems due to spinal stenosis for 40 years. Over the years he had undergone two unsuccessful disc operations and received several steroid injections in the spine to manage the pain.
More than a year ago, Ganz began experiencing severe ankle pain after getting out bed in the morning. Once he got moving, however, things seemed fine. Over time, the pain became worse and involved his other ankle and lower leg. This past April the pain was so severe that he could barely walk.
"I had severe pain just standing up," he recalls.
The grandfather of five made an appointment with Dr. White hoping he could help. Among the nonsurgical treatment methods Dr. White discussed were:
In Ganz's particular case, however, the choice was between physical therapy and surgery. Wanting to avoid surgery, he opted for physical therapy first. When that didn't produce results he wanted, he decided on surgery.
"I made up my mind and called Dr. White and asked him to do the operation," he says. "I was so impressed with Dr. White. He was very comforting, reassuring, and even encouraged me to get a second opinion."
For patients like Ganz, who continue to get worse, surgery may be an option to decompress the spinal nerves and relieve the pressure. Fortunately there are a number of procedures, including newer, less invasive procedures. Less invasive surgeries can be done if the narrowing is in particular areas of the spine-not spread throughout. These newer options involve smaller incisions, sometimes working through a tube that is inserted into the spinal column.
"These smaller procedure promise a quicker recovery but they are not for everyone," Dr. White says.
Decompressive laminectomy is one of the more common procedures, generally done as an open surgery. Bone covering the spinal canal is removed to create more space for the nerves and permit access for other spine repairs. Sometimes this is done through minimally invasive tubes and with a small incision.
Fusion surgery is when the surgeon joins two or more vertebrae in the spine using pieces of bone usually from other bones in your body. Bone screws and rods may be used to restore stability and aid in the healing of the bone fusion.
One of the newest surgical methods uses an inter-spinous process device. This metal device fits between the spinous process bones in the lower back to give the nerves more space.
"These procedures help people get their lives back," Dr. White says.
When Dr. White operated on Ganz, he had to perform a traditional open spine surgery.
"After the surgery when I was in the recovery room, I said to my wife Judith, 'I feel great. Let's take a walk,'" says Ganz. "The next day I took a walk and had no pain. And I haven't had a twinge of pain since. It was 100 percent successful. I'm feeling great."
While some patients have longer recovery times, Ganz hardly missed a beat since his operation. He's traveled to Virginia on business, regularly goes into work and does gardening. "I'm going to play golf. I'm going on an extended overseas trip and keep doing 100 push ups a day."
To schedule a consultation with the specialists at Beth Israel Deaconess Medical Center's Spine Center, call 617-754-9000.
Above content provided by Beth Israel Deaconess Medical Center. For advice about your medical care, consult your doctor.
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330 Brookline Avenue
Boston, MA 02215
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