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Association of hip pain with radiographic evidence of hip osteoarthritis: diagnostic test studyBMJ 2015; 351 doi: https://doi.org/10.1136/bmj.h5983 (Published 02 December 2015) Cite this as: BMJ 2015;351:h5983
- Chan Kim, instructor12,
- Michael C Nevitt, professor3,
- Jingbo Niu, research assistant professor1,
- Mary M Clancy, project manager1,
- Nancy E Lane, professor of medicine and rheumatology4,
- Thomas M Link, professor of radiology5,
- Steven Vlad, assistant professor of medicine and epidemiology6,
- Irina Tolstykh, data and statistical specialist3,
- Pia M. Jungmann, resident in radiology7,
- David T Felson, professor of medicine and epidemiology18,
- Ali Guermazi, professor of radiology9
- 1Clinical Epidemiology Research and Training Unit, Boston University School of Medicine, 650 Albany St, Room X200, Boston, MA 02116, USA
- 2Department of Rheumatology, Boston University School of Medicine, Boston, MA, USA
- 3Department of Epidemiology and Biostatistics, University of California, San Francisco, CA, USA
- 4Department of Rheumatology, University of California, Davis, CA, USA
- 5Department of Rheumatology, University of California, San Francisco, CA, USA
- 6Department of Rheumatology, Tufts Medical Center, Boston, MA, USA
- 7Department of Diagnostic and Interventional Radiology, Technische Universität München, Munich, Germany
- 8NIHR Manchester Biomedical Research Unit, Manchester, UK
- 9Department of Radiology, Boston University School of Medicine, Boston, MA, USA
- Correspondence to: C Kim bevochan{at}bu.edu
- Accepted 24 October 2015
Study question Is there concordance between hip pain and radiographic hip osteoarthritis?
Methods In this diagnostic test study, pelvic radiographs were assessed for hip osteoarthritis in two cohorts: the Framingham Osteoarthritis Study (community of Framingham, Massachusetts) and the Osteoarthritis Initiative (a multicenter longitudinal cohort study of osteoarthritis in the United States). Using visual representation of the hip joint, participants reported whether they had hip pain on most days and the location of the pain: anterior, groin, lateral, buttocks, or low back. In the Framingham study, participants with hip pain were also examined for hip pain with internal rotation. The authors analysed the agreement between radiographic hip osteoarthritis and hip pain, and for those with hip pain suggestive of hip osteoarthritis they calculated the sensitivity, specificity, positive predictive value, and negative predictive value of radiographs as the diagnostic test.
Study answer and limitations In the Framingham study (n=946), only 15.6% of hips in patients with frequent hip pain showed radiographic evidence of hip osteoarthritis, and 20.7% of hips with radiographic hip osteoarthritis were frequently painful. The sensitivity of radiographic hip osteoarthritis for hip pain localised to the groin was 36.7%, specificity 90.5%, positive predictive value 6.0%, and negative predictive value 98.9%. Results did not differ much for hip pain at other locations or for painful internal rotation. In the Osteoarthritis Initiative study (n=4366), only 9.1% of hips in patients with frequent pain showed radiographic hip osteoarthritis, and 23.8% of hips with radiographic hip osteoarthritis were frequently painful. The sensitivity of definite radiographic hip osteoarthritis for hip pain localised to the groin was 16.5%, specificity 94.0%, positive predictive value 7.1%, and negative predictive value 97.6%. Results also did not differ much for hip pain at other locations.
What this study adds Hip pain was not present in many hips with radiographic osteoarthritis, and many hips with pain did not show radiographic hip osteoarthritis. Most older participants with a high suspicion for clinical hip osteoarthritis (groin or anterior pain and/or painful internal rotation) did not have radiographic hip osteoarthritis, suggesting that in many cases, hip osteoarthritis might be missed if diagnosticians relied solely on hip radiographs.
Funding, competing interests, data sharing See the full paper on thebmj.com for funding. The authors have no competing interests. Additional data are available from bevochan{at}bu.edu.
Contributors: CK, MCN, DTF, and AG conceived and designed the study. CK, NEL, TL, PMJ, DTF, and AG acquired the data. CK, JN, SV, MMC, IT, MCN, DTF, and AG analysed and interpreted the data. CK drafted the article, and all authors were responsible for revision of critical important intellectual content. CK is the guarantor. DTF and AG contributed equally to this paper.
Funding: This study was Supported by the National Institutes of Health (NIH AR47785, AG18393, and AR47785), National Institute of Arthritis and Musculoskeletal and Skin Diseases (BAA-NHLBI-AR-10-06). The Osteoarthritis Initiative is a public-private partnership comprised of five contracts (N01-AR-2-2258; N01-AR-2-2259; N01-AR-2-2260; N01-AR-2-2261; N01-AR-2-2262) funded by the NIH, a branch of the Department of Health and Human Services, and conducted by the Osteoarthritis Initiative Study Investigators. Private funding partners include Merck Research Laboratories, Novartis Pharmaceuticals, GlaxoSmithKline, and Pfizer. Private sector funding for the Osteoarthritis Initiative is managed by the Foundation for the NIH. This project was also funded by the National Institute of Arthritis and Musculoskeletal and Skin Diseases, NIH, under Contract No HHSN268201000019C. This manuscript was prepared using, in part, an Osteoarthritis Initiative public use dataset and does not necessarily reflect the opinions or views of the Osteoarthritis Initiative investigators, the NIH, or the private funding partners.
Competing interests: All authors have completed the ICMJE uniform disclosure form at www.icmje.org/coi_disclosure.pdf and declare: no support from any organisation for the submitted work; no financial relationships with any organisations that might have an interest in the submitted work in the previous three years; no other relationships or activities that could appear to have influenced the submitted work.
Ethical approval: The Framingham study was approved by the institutional review board of Boston University Medical Center. The Osteoarthritis Initiative study was approved by the institutional review board of University of California, San Francisco.
Data sharing: For additional data from the study, contact the corresponding author (bevochan{at}bu.edu). Additional data from the Osteoarthritis Initiative study are available at https://oai.epi-ucsf.org/datarelease/.
Transparency: The manuscript's guarantor (CK) affirms that this manuscript is an honest, accurate, and transparent account of the study being reported; that no important aspects of the study have been omitted; and that any discrepancies from the study as planned (and, if relevant, registered) have been explained.
This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.


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Anderson, Harlene
Harlene Anderson is recognized internationally as a leader in the development of a postmodern collaborative-dialogic approach to psychotherapy, which she has applied to work in organizations, communities, education, research, and consultation. Her books, translated into several languages, include Conversations, Language and Possibilities: A Postmodern approach to Therapy; she coedited Appreciative Organizations, Collaborative Therapy: Relationships and Conversations that Make a Difference and Innovations in the Reflecting Process.
Harlene Anderson holds a doctorate in psychology and is a licensed professional counselor and family therapist. She is an advisor for the Taos Institute Doctoral Programs and a member of Silver Fox Advisors. She received the 2008 American Academy of Family Therapy Award for Distinguished Contribution to Family Therapy Theory and Practice, the 2000 American Association for Marriage and Family Therapy award for Outstanding Contributions to...
- Anderson, H. (1997). Conversation, language and possibilities: A postmodern approach to therapy. New York: Basic Books.Google Scholar
- Anderson, H. (2007). The heart and spirit of collaborative therapy: A way of being. In H. Anderson & D. Gehart (Eds.), Collaborative therapy: Relationships and conversations that make a difference. New York: Taylor & Francis Group 4.Google Scholar
- Anderson, H. (2009). Collaborative practice: Relationships and conversations that make a difference. In J. Bray & M. Stanton (Eds.), The Wiley handbook of family psychology (pp. 300–313). Malden: Blackwell Publishing Ltd.CrossRefGoogle Scholar
- Anderson, H., & Gehart, D. (2007). Collaborative therapy: Relationships and conversations that make a difference. New York: Taylor & Francis Group.Google Scholar
- Anderson, H., & Goolishian, H. (1988). Human systems as linguistic systems: Preliminary and evolving ideas about the implications for clinical theory. Family Process, 27(4), 371–393.CrossRefGoogle Scholar
- Anderson, H., Goolishian, H., Pulliam, G., & Winderman, L. (1986). The Galveston Family Institute: A personal and historical perspective. In D. Efron (Ed.), Journeys: Expansions of the strategic-systemic therapies (pp. 97–124). New York: Brunner/Mazel.Google Scholar
- Anderson, H., Goolishian, H., & Winderman, L. (1986). Problem determined systems: Towards transformation in family therapy. Journal of Strategic and Systemic Therapies, 5, 1–13.CrossRefGoogle Scholar

subset: commoncrawl


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2 December 2014
When you think of great customer service, is it always a flawless experience that comes to mind? Whilst it's great when this happens, even the most prepared teams can encounter hitches or make mistakes. That's the thing about being human, we all make mistakes from time to time; it's whether or not we learn from them that makes the difference.
Making a mistake doesn't necessarily guarantee your customers will walk away feeling dissatisfied. Have you ever had an experience at a restaurant or hotel when something hasn't quite gone to plan, but the staff have gone above and beyond to make it right? For me, this is the nature of great customer service.
If you are always striving to be better, criticism is something you can learn and grow from. It's often when you sit back on your laurels and think you are the finished article that you start to make mistakes. That being said, customer service is also about empowering people to make decisions. So, if something does go wrong, they are able to use their judgement and experience to make it right.
What is great customer service to you? Is it about achieving perfection, or is it about listening to customers and responding in a way that exceeds their expectations?


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Doors: 6:00 PM
Show: 7:00 PM
All Ages
The Milton Theatre is proud to announce another Sussex County milestone as we partner with CAMP Rehoboth Community Center for the first annual "Milton Pride Week" with various events held at the historic venue on June 6-9.
Milton Pride Week will feature several events that will host a pre-show dance party, a pride-themed photo booth, together with information booths manned by representatives from partner organizations. A portion of the ticket price to all events will be donated to CAMP Rehoboth Community Center. This year's theme is "Diversity, Love, Community"
6:00-7:00pm Dance Party w/Drink Specials and Drag Photo Booth
The historic Milton Theatre is a uniquely diverse venue where you will find the best local, regional, national, and international talent. Free municipal and on-street parking are available. Full bar and light food options available. This facility is fully accessible.
Event has ended.


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Snelling Acoustics is a small company with sincere dedication to product quality and customer satisfaction. We keep a modest inventory, but what we don't have in stock can quickly be built to order, usually within a few days. Please use the contact form to get honest input on the best options to fit your acoustic, esthetic, and budgetary needs. All inquiries are answered within a day. For special sizes, depths, or large orders, please allow a minimum 7-10 days production lead time.
View some of the popular COLORS in Guilford of Maine Fabrics.
Whether you already know what your needs are for your space, or you would like some guidance, please use the contact form to place an order, or ask any questions about materials, sizes, and construction. I'll get back to you promptly with a confirmation on what to expect in terms of completion.
Discounts are available for large orders.
What happens outside of the room falls into the category of SOUNDPROOFING, requiring much more complex solutions than acoustic panels can offer. But what happens INSIDE the room is a different matter and for that, Snelling Acoustics can definitely help. (See the "Dormer" and "Mondo Door Blocker" panels for stop-gap treatment of sound isolation issues.)
When selecting Snelling Acoustics panels, consider the following:
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Core Material
What CORE is best for your application? Are you looking to absorb a broad range of mid and high frequencies? In that case, OC703 (from Owens-Corning) is the more effective option. A 2" thickness is a good starter - as featured in the "Stealth" and "Stealth Plus" models. 4" of OC703 will provide similar hi to mid absorption, with a bit more low end absorption - around 125hz. If you are aiming to tame BASS frequencies below the 100-125Hz range, then 4" thickness, mounted 4-6" away from the wall (with an air gap behind the panel) works better. Better still is to mount the same panel diagonally in the corner - preferably floor to ceiling - as bass tends to "congregate" in corners. And for even more low end absorption - on the order of -20db in the 40-60HZ range - then using a facing on the room-side surface of a 4" panel is one very effective application. The surface membrane - bonded to the absorber - acts in concert with the fiberglass to increase the dampening of low end frequencies. This is the design of the "BassMaster" bass traps, intended for mounting diagonally across corners, either vertically between floor and ceiling, or horizontally at the ceiling-wall junctions.
Cost vs. Performance
At depths of 4", OC703 and 705 are so close in performance that for bass absorption, it is more cost-efficient to use the lower priced OC703 and aim for greater surface coverage. For this reason, Snelling Acoustics absorbers are primarily designed around OC703, with or without a bonded surface facing, depending on application.
WALL PANELS are generally best used for mid-range and high frequencies.
CEILING, CORNER PANELS, and "Super Chunk" style units do a better job handling BASS frequencies. Flat panels can work to absorb lower frequencies when spanning corners, or when extended at least 4" from the wall.
First Reflections
These are the areas where the sound waves from your primary speakers first collide with the wall or ceiling, then reflect to continue the path to your ears at the listening position. It is very important to mitigate the competition between the reflected signal and the original signal coming directly from the speakers. For this purpose, it is recommended to hang 2" or 4" UNFACED panels in the center of the first reflection zones. (The sympathetic membrane used in bass traps will reflect some of the mid-hi frequencies we wish to tame at these points.) OC703 works well in this role, absorbing more mid-hi frequencies than 705, and for added cost savings, 2" panels do a great job here, allotting more of your budget to corner or corner-ceiling traps.
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All Snelling Acoustics panels, bass traps, and custom pieces are made with wood frames—screwed and glued—receiving a light sanding for a safe, smooth finish. For panels intended to be mounted and left in place, no more finish than that is required. Free-Standing Gobo panels have stained and sealed frames to stand up to the extra wear, and provide a more attractive appearance for the exposed panel back. Edges and corners are clean and sharp.
My favorite covering is the very durable Guilford of Maine Fire Retardant (FR701) acoustically transparent fabric. It's tough, easy to clean (or lightly vacuum with a brush attachment), and is available in a wide variety of colors. For tighter budgets, black speaker cloth is a cost-effective option. (Or maybe you just like the black satiny sheen!) Made from 100% polyester, this speaker fabric performs nearly identically to the FR701, and is best suited for permanent, out of the way positions (ceilings, protected corners) rather than high traffic areas or mobile applications. Another option is a plain jute burlap covering. Burlap is still acoustically transparent, but less expensive and without the "bling" of Guilford of Maine fabrics, but it has its own Haight-Ashbury or rustic vibe.
Snelling Acoustics panels are "open" in the back, or wall side. This is a deliberate design feature to maximize the free flow of the wave as it passes through the absorber and back again as it bounces off the wall. Because of the intentional air gap between the wall and the panel core, it is not practical to leave the back completely exposed. Therefore, the fiberglass cores in all our wall panels are contained with either a fine 100% PVC coated fiberglass mesh screen or 100% cotton muslin. The muslin backing is more rugged than the mesh, providing greater containment of the fibers when moving gobo style panels, with only a very slightly increased acoustic opacity.
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The Extender
The acoustics of absorber-type panels indicates that leaving an air gap between the wall and the absorber increases the effectiveness of the panel. To facilitate this phenomenon, The Extender Panel has an adjustable feature on the back, allowing the panel to be positioned at either the 6" distance, or nearly flat against the wall. (Snelling Acoustics panels have a one-and-a-half inch rear air gap by default.)
Gobo Stands
Broadband absorbing panels are a cost-effect way to achieve significant reduction in problem acoustics. For those of us operating on less extravagant budgets, we want to maximize the use of our investments. Along these lines, I've created the Gobo Stand, a set of simple, sturdy and attractive foot stand for the 2" wall panels, allowing the panel to double as a free-standing gobo. These are ideal for studio apartments actually functioning as studios!
In home entertainment areas—particularly in more modestly scaled cribs— use the Gobo Stands to pull the panel closer to your favorite listening chair. Then just return it to the wall when done.
Another handy application is to take the panels with you on the gig! Positioned behind your rig, or spaced in an arc behind the band or ensemble, a set of attractive acoustic panels provide not only a tidy stage setting, but dramatically improves the "tightness" of the live mix. This is especially helpful when recording on location. It's like bringing a portable studio environment to the show! Once you've got your tracks, just return the panels to the wall in your home studio and you're ready to mix in an acoustically reliable environment.
Maybe you need to dampen the echoes in that long hallway at home, or in your dining room so you can hear the conversation. A set of thinner panels with 1" OC 703 and an attractive fabric—like Guilford of Maine FR701 (I like the Eggshell color)—mounted on a flatter profile frame would be a great option. You might want to exercise your creativity with a combination of shapes and sizes. Rectangles and squares ranging from 12" to 48" are available in a wide variety of colors for sound absorption with flair!
Cafes, restaurants and pubs can be clangorous environments without some acoustic treatment. The "Flatlander" panels excel at mellowing out noisy rooms, and are available in different sizes and colors. Your diners will better hear each other, and all will benefit from less "noise fatigue." Coffee houses will tame those clanging cups and improve the coziness with a set of the playful and effective "Coffee Bean Bag" panels.
Below are prices for some of my most popular items. When looking to treat your space, consider that for critical listening spaces (audio mixing, audiophile setups) recommended coverage for best results using absorbers ranges from 25-40% of the total surface area (walls, floor and ceiling). However, when placed most effectively, even 10-15% coverage can make a RADICAL improvement to your listening environment.
2'x4'x2" (3.5" total depth)
Our flagship model. With a core of Owens-Corning OC703, a plain wooden frame, and a super transparent mesh backing, this basic Stealth Panel offers great broadband absorption at an attractive price. The units shown here are covered with black polyester speaker fabric. Add $20 for Guilford of Maine fabric—check our swatches for color choices. (Gobo Foot Stands optional.)
Taller versions of the Stealth panel at lengths of 5' to 8', these panels really soak up the sound! Great for practice rooms, conversation areas, or recording spaces with taller ceilings. Wrapped in the durable and attractive Guilford of Maine FR701.
• 2'x5'x2" = $153
• 2'x6'x2" = $180
• 2'x8'x2" = $195
2'x4'x2" (3.5" total depth)
Start with the Stealth panel. Add a wood-stained frame and muslin backing to support relocation, and with the sturdy, handsome wood-stained Foot Stands, the Transformer doubles as a stand-alone gobo to relocate in your space or to take with you on the gig!
2'x4'x2" (3.5" total depth)
With the Extender feature you get an optional 6" air gap behind the panel, significantly improving the absorption of bass frequencies. The total protrusion in the extended position is 8.5"! Guilford of Maine fabric covers 2" of OC703. It takes only a few seconds to return the panel to its default resting position with a simple adjustment. Turn it into a Transformer-plus with a set of footer stands (add $50). CONTACT for Extender with other sizes and depths.
2'x4'x1" (1.75" total depth)
With a flatter profile than the "Stealth" the "Flatlander Panel" protrudes only 1.75" from the wall. Guilford of Maine FR701 fabric covers a 1" sheet of OC703, mounted on a simple frame, backed with the super transparent screen mesh. The low profile and Guilford of Maine fabrics provide stylish and effective acoustic treatments for meeting rooms, office workspaces, living rooms, hallways, and reverberant spaces of all sizes. Shown here hanging next to a standard 2" Stealth panel.
24"x72"x2" (2.75" total depth)
Inspired by the need to attenuate the rage streaming from our enthusiastic gaming housemate (it's a fun energy, for sure, but there's the whole peace-and-quiet thing), this panel is designed with more sound isolation in mind. Guilford of Maine fabric on a core of OC705FSK w/ 6' frame covers most of a standard household door. The film facing on the FSK helps block sound traveling through the panel. At twice the density of OC703, the Dormer core quiets things down in an instant! Perfect for dorms, gamers, and teens' bedrooms!
Playful and entertaining, this decorative panel is a fully functional broadband absorber. The authentic recycled coffee bean bag is 100% jute, and is wrapped around a 2" layer of OC703. An under-layer of jute burlap acts to camouflage the natural imperfections of the repurposed fabric. Perfect for kitchens, dens, game rooms, accent areas in your studio or hospitality areas, and —SURPRISE—coffee shops! Discounts available for bulk orders.
24"x36"x2" (3.5" total depth)
Earthy and minimalist, this jute burlap covered absorber is all business when it comes to broadband absorption. It quiets the din of a conversation area, or tightens up "that one area" that requires a smaller scale. 2" OC703 core with the standard 1.5" air gap in back. ALSO AVAILABLE in FLATLANDER PROFILE (2.75" total depth).
24"x36"x1" (1.75" total depth)
This low profile version of the "Haight" has a 1" OC703 core and the wall-hugging flat frame of the "Flatlander" series. Perfect for public spaces or tighter quarters needing some general flutter and echo control.
Easy as hanging a picture when mounted on the wall. Ceiling mounting usually requires some simple adjustments—clear instructions for suggested mounting are included. Assistance available in mounting/hanging for Bay Area installations at reasonable rates.
Designed for room corners and ceiling-wall corners, this panel provides a surprising amount of bass control. Shown here in "Vanilla" Guilford FR701, hanging over a custom Mondrian-moc panel array. The basic BassMaster is 2'x4'x4", with a core of OC703 and OC703FSK. Best practices suggest covering as much and as many of the room corners as possible. (10% discount kicks in at five panels or more.)
BassMaster Stealth, in black polyester speaker fabric. This is a great price point for reliable bass frequency control - especially with a 10% discount for sets of 5 or more panels.
At 3'x5'x4", these BassMaster ceiling panels are for serious listening environments. The face is fifteen square feet, with a 4 inch depth of OC703. The room facing side is FSK, with the membrane facing inward to optimize the absorption of lower frequencies. This set is installed at Mark Fuller Mastering in Sebastopol, CA, and is part of a complete mastering space makeover utilizing designs by Snelling Acoustics and Mark Fuller, with input from the master himself, Ethan Winer.
Custom Bass Traps, Decorative Absorbers, and special Use Panels
4'x4'x4" broad range absorbers. These were first built for a home theater setup in a challenging space—a loft area, open on one side. The "canyon" formed by the two panels provides balance of the Left-Right reflections, providing a tighter stereo image. A custom moc-Mondrian diptych is seen in the background.
This panel is designed to be moved, so the back is sealed with a muslin backing, and the frame is stained and sealed for a sharp look and durability.
Built for the 444 Canyon Walls. These stands work with any of the Snelling Acoustic 4" panels.
Built to order for your specific needs, this is an example of a custom bass trap to position above a piece of furniture in a dual-purpose mixing/living environment. The fabric is FR701 "Silver Papier."
This pattern is inspired by the iconic work of Dutch painter Piet Mondrian. It is a fully functional 1" thick acoustic absorber, with each color shape individually wrapped in bright polyester fabric. (Total area 4'x4')
This Mondrian-inspired design is a fully functional 1" thick acoustic absorber, with each color shape individually wrapped in bright polyester fabric. (Total area 24"x24") CUSTOM SHAPES AVAILABLE. Use the contact page to get a free quote on a specific piece to suit your needs
This versatile unit is 36x60x3.5" and features two different layers of absorption, separated by a 1/2" wooden barrier. One side is 2" of OC703 (here in FR701 "Eggshell"), the other is 1" of OC703 (shown here with Guilford Whisper fabric, "Cloud"). The internal plywood membrane both aids in absorbing low end, and provides extra isolation when placed between instruments in a recording session. The edges are stained and sealed for an attractive, durable finish. Gobo Foot Stands included.
Hand-built from solid pine, these durable stands provide stable support for 2" or 4" panels. Available in Summer Oak, Dark Walnut, or Cherry finish.
Gobo Foot Stands finishes in Cherry, Summer Oak, Dark Walnut.
Copyright © 2019 Snelling Acoustics - All Rights Reserved.


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Photo Credit: Yahoo
The main reason the Cubs are in a dogfight for first place in the NL Central is their bullpen. They have 8 blown saves in July and many relievers have struggled lately. They have acquired Craig Kimbrel and Derek Holland but need more help. Here are 3 bullpen arms that could help the Cubs Bullpen:
Will Smith
Smith has 24 saves on the years for the Giants and has a 2.44 ERA. Smith was an all-star this year. The price for Smith maybe a little too high for the Cubs but if they can pull it off it would be a great get for the Cubs.
Ken Giles
The right-hander is having a dominant year this year. He owns a 1.54 ERA and 58 strikeouts in 35 innings pitched. Giles also has World Series experience with the Astros
Tony Watson
The lefty has lots of postseason experience and has a 2.68 ERA this season. He only has 5 walks on the year and would provide a valuable strike-thrower out of the bullpen.


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TRAIL DUST OF A MAVERICK: Verses of the Cowboy Life, the Cattle Range and Desert.
Los Angeles: the Author, 1921. Second edition. 244 pp., photogravure frontispiece, tissue guard; octavo, original red pictorial cloth with gitl title, black and orange ornaments and inset oval photograph of a woman spinning a lariat. Slight fading to spine, minor foxing to first couple leaves, fore-edge of tissue guard darkened, near fine. Item #22626
Brininstool was born in New York but lived most of his life in Los Angeles. He never worked as a cowboy, but his cowboy verse was well regarded by the likes of Charles Russell and Will Rogers, with whom he fraternized.
Price: $75.00
See all items in California and the West


text: Your lab should meet your needs. PSA Laboratory Furniture designers can create the perfect lab for your applications. This lab needed dependable countertops and a ventilation system. We used a high performance fume hood to ventilate the lab during experiments. The lab counters are made of stainless steel and epoxy resin. Counters are custom cut to fit perfectly, even in corners. For a new laboratory facility, contact PSA for a CAD rendered design, furniture delivery, and installation.


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Start changing your life today with free hypnosis downloads!
Imagine how you'd feel if you felt more comfortable in your own body, exuded self-confidence, and had the belief in yourself to achieve the full potential you're capable of. You can harness the power of your mind starting today. Why not try some free hypnosis downloads? I can't promise that you'll be magically healed, but I can promise that you'll feel better.
To get started, find a calm environment for your hypnosis session so that you can shut out the rest of the world and focus on yourself.
During the hypnosis session, you'll begin to replace negative thoughts and doubts with positive thoughts and affirmations. I recommend listening to your free hypnosis downloads every day for 7 days and then as often as you like.
Hypnosis is kind of like brushing your teeth; your teeth will be nice and clean for a while, but you'll have to brush them again to keep up with that nice sparkle! The good news is that, just as brushing your teeth becomes a habit, so does hypnosis.
If you're thinking of trying self-hypnosis or any type of hypnosis, you're likely wondering if you can even be hypnotized, how safe it is and what areas should hypnosis not be used for.
There may be an area of your life with which you are dissatisfied with or that you need to change to enjoy better health and happier lifestyle. With hypnosis, you can rid yourself of fear, negative thoughts, habits and paranoia that can make your life miserable and greatly affect your enjoyment of living.
Hypnosis is a non-toxic and non-invasive method of using your mind to achieve your goals. It's using the power of your thoughts and certain words to reprogram actions, or reactions, that may have become habitual for you.
Hypnosis is safe. Hypnosis was approved as a practice that has no harmful side effects by the Council of Mental Health of the American Medical Association in 1958. Misconceptions surrounding hypnosis has led to the practice as sometimes being feared. When you understand how the subconscious protects us with its innate survival mechanism, it's easy to see that fear of hypnosis was a misguided.
When you gain control of your mind and
thoughts, all things are possible. Through hypnosis, you can rewire
your brain and deal with issues that have been plaguing you throughout
your life.
I urge you to give your free hypnosis downloads a try!
If you enjoy the Lunch Break Hypnosis Session, then you'll really enjoy the free hypnosis session you receive when you subscribe to The Know Stress Press.
When you subscribe, you'll gain immediate access to another great hypnosis download, as well as my stress management workbook!
Recent Articles
Your attempt may fail but never fail to make an attempt!
As my friend was passing the elephants, he suddenly stopped, confused by the fact that these huge creatures were being held by only a small rope tied to their front leg. No chains, no cages. It was obvious that the elephants could, at anytime, break away from the ropes they were tied to but for some reason, they did not. My friend saw a trainer nearby and asked why these beautiful, magnificent animals just stood there and made no attempt to get away.
"Well," he said, "when they are very young and much smaller we use the same size rope to tie them and, at that age, it's enough to hold them. As they grow up, they are conditioned to believe they cannot break away. They believe the rope can still hold them, so they never try to break free." My friend was amazed. These animals could at any time break free from their bonds but because they believed they couldn't, they were stuck right where they were.
Like the elephants, how many of us go through life hanging onto a belief that we cannot do something, simply because we failed at it once before?
How many of us are being held back by old, outdated beliefs that no longer serve us? How many of us have avoided trying something new because of a limiting belief? Worse, how many of us are being held back by someone else's limiting beliefs?
Whatever you can conceive and believe, you can achieve!


text: They've a double layer that is dazzling on the exterior, with the undercoat actually being downy, for warmth as well as weather resistance. Whereas they are able to be some colour the most popular are actually, brown, cream, and grey with grey, brown or black markings, these colours are able to diminish as the dog ages. These're big boned with a solid skeleton supporting a pretty amazing musculature.As the title indicates these canines originated in Poland, exactly where they're currently rather common. Whilst bred initially as a sheepdog the great majority now are maintained as pets, though in their native Poland some people are currently maintained as working dogs.These're usually happy dogs, that are very animated & boisterous, while simultaneously being intelligent and affectionate with a higher degree of obedience. Whilst that is annoying; you've to acknowledge it's rather amusing. in case being elevated in a family with children that are young, this particular trait might be rather convenient, in case you send out the dog of yours out they are going to be in a position the round of the children of yours and take them home (providing entertainment that is great to the friends of theirs, I'm ) that is sure.


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cleanAGEntry: removes stale state from sharedApp DDL related: increased size of varchars for names of chemistry stuff to handle big fat seed stuff SeedDataFactory turn off mapping of assignments to chemistry. KahCatAGCfgMgr remmoveKey() to support cleanAGEntry StringReaction: allow multiple : in strings being parsed to handle junk from seed with lots of colons. ONly the final is treated as deliminting the end of the enzyme name ModelEditor signal handling, but commentd back out. RXpanel duh
change stoichiometry to floats rathe than ints to accomodate flux analysis
Schema: o change size of Function column from 64 to 128. More reasonable size and avoids a crash. o RebuldDb...runs all the steps of rebuilding the database. o biuldNewBssCatalog: go to new BssFactory ctor CatalogServices: o remove setFoundryId from DataFactoryBase. Now expect that info to be in the DB itself and for ctor of derivative to set it. FaST: o Migrate to new DbManager from DBconnect. Includes moving to new nextSeqVal(). o Now get fid from database PyGui: o Changed to follow mods above. o
ExcelBasedECTables: remove uniqueness constraint (Rxid, MetabShortName) from RxInputs and RxOutputs. Some KEGG/Seed reactions do X + X rather than 2X. BssDataFactoryWrite.py BssFactory.py Get the writing to work for real. You can now read from Seed in ModelEditor and write to Bss. The Reaction_py parser now requires the + in a reaction to have spaces around it and changes all ' in a reaction to '' to escape them for writing to oracle. changed doCommit to commit in various placess. affects name of named arg RecoElemPanel match name change for docommit to commit SeedDataFactory: didn't think i changed it. hmmmm
sql: modify lenght of short name to 128chars loadBss.py modify so that metabolites names can have '-' in them. really this has to do with a hack of looking for "-" as meaning the reaction arrow. now look for "<->" "<-" and "->" explicitly
ExcelBasedECTables: remove a constraint loadBss.py: too much for words. :-)
loadBss.py two classes, bss and Reaction_py. bss() represents the biosimscratch schema and has methods to load data into it. the methods are guesses at basic operations on the database for building models and will stand behind a gui at some point. Reaction_py: a class that holds info for a reacction. its got this name to distinguish it from RecoReadout/Reaction.hh. they should probably be meged but that takes a language mix. this one knows how to parse a simple ascii rep of a reaction
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318770 Multiply or divide rational expressions. Here Ms Robichaudd guides you nicely that how to multiply or divide rational expressions. She starts with divide and simplify. In first step she shows you how she multiplied and flip. And then to simplify it more she took out the common factor from the bracket to cancel the same numbers from numerator and denominator. In next step she multiplied across and got the final answer. And then she gives other example, Multiply and Simplify. Here again she factorizes everything, then canceled the common factors. Next she explained how to change the sign to make the factors similar in order to simplify. Finally canceling everything she got the answer '1'.
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