text:
OBJECTIVE: To investigate the clinical effectiveness and safety of stand alone and blended internet based vestibular rehabilitation (VR) in the management of chronic vestibular syndromes in general practice. DESIGN: Pragmatic, three armed, parallel group, individually randomised controlled trial. SETTING: 59 general practices in the Netherlands. PARTICIPANTS: 322 adults aged 50 and older with a chronic vestibular syndrome. INTERVENTIONS: Stand alone VR comprising a six week, internet based intervention with weekly online sessions and daily exercises (10-20 minutes a day). In the blended VR group, the same internet based intervention was supplemented by face-to-face physiotherapy support (home visits in weeks 1 and 3). Participants in the usual care group received standard care from a general practitioner, without any restrictions. MAIN OUTCOME MEASURES: The primary outcome was vestibular symptoms after six months as measured by the vertigo symptom scale-short form (VSS-SF range 0-60, clinically relevant difference ≥3 points). Secondary outcomes were dizziness related impairment, anxiety, depressive symptoms, subjective improvement of vestibular symptoms after three and six months, and adverse events. RESULTS: In the intention-to-treat analysis, participants in the stand alone and blended VR groups had lower VSS-SF scores at six months than participants in the usual care group (adjusted mean difference -4.1 points, 95% confidence interval -5.8 to -2.5; and -3.5 points, -5.1 to -1.9, respectively). Similar differences in VSS-SF scores were seen at three months follow-up. Participants in the stand alone and blended VR groups also experienced less dizziness related impairment, less anxiety, and more subjective improvement of vestibular symptoms at three and six months. No serious adverse events related to online VR occurred during the trial. CONCLUSION: Stand alone and blended internet based VR are clinically effective and safe interventions to treat adults aged 50 and older with a chronic vestibular syndrome. Online VR is an easily accessible form of treatment, with the potential to improve care for an undertreated group of patients in general practice. TRIAL REGISTRATION: Netherlands Trial Register NTR5712.
AssuntosMedicina Geral/métodos , Modalidades de Fisioterapia , Qualidade de Vida , Telemedicina/métodos , Doenças Vestibulares/reabilitação , Idoso , Doença Crônica/psicologia , Doença Crônica/reabilitação , Feminino , Humanos , Internet , Masculino , Pessoa de Meia-Idade , Países Baixos , Síndrome , Resultado do Tratamento , Doenças Vestibulares/diagnóstico , Doenças Vestibulares/psicologia
OBJECTIVE: Dizziness is one of the most common symptoms in the general population. Patients with dizziness experience balance problems and anxiety, which can lead to decreased physical activity levels and participation in their daily activities. Moreover, recovery of vestibular function from vestibular injury requires physical activity. Although there are reports that decreased physical activity is associated with handicap, anxiety, postural instability and reduced recovery of vestibular function in patients with chronic dizziness, these data were collected by self-report questionnaires. Therefore, the objective data of physical activity and the relationships between physical activity, handicap, anxiety and postural stability in patients with chronic dizziness are not clear. The purpose of this research was to objectively measure the physical activity of patients with chronic dizziness in daily living as well as handicap, anxiety and postural stability compared to healthy adults. Additionally, we aimed to investigate the relationships between physical activity, handicap, anxiety and postural stability in patients with chronic dizziness. METHODS: Twenty-eight patients with chronic dizziness of more than 3 months caused by unilateral vestibular hypofunction (patient group) and twenty-eight age-matched community dwelling healthy adults (healthy group) participated in this study. The amount of physical activity including time of sedentary behavior, light physical activity, moderate to vigorous physical activity and total physical activity using tri-axial accelerometer, self-perceived handicap and anxiety using questionnaires, and postural stability were measured using computerized dynamic posturography. RESULTS: The results showed worse handicap, anxiety and postural stability in the patient group compared to the healthy group. Objective measures of physical activity revealed that the patient group had significantly longer time of sedentary behavior, shorter time of light physical activity, and shorter time of total physical activity compared to the healthy group; however, time of moderate to vigorous physical activity was not significantly different between groups. Moreover, there were correlations between physical activity and postural stability in the patient group, while there were no correlations between physical activity, handicap or anxiety in the patient group. CONCLUSION: These results suggest that objectively measured physical activity of the patients with chronic unilateral vestibular hypofunction is lower compared to the healthy adults, and less active patients showed decreased postural stability. However, the details of physical activity and causal effect between physical activity and postural stability were not clear and further investigation is needed.
AssuntosAnsiedade/complicações , Exercício , Equilíbrio Postural , Doenças Vestibulares/fisiopatologia , Acelerometria , Idoso , Tamanho Corporal , Estudos de Casos e Controles , Distribuição de Qui-Quadrado , Doença Crônica , Pessoas com Deficiência , Exercício/fisiologia , Exercício/psicologia , Humanos , Masculino , Pessoa de Meia-Idade , Autorrelato , Autoavaliação , Inquéritos e Questionários , Doenças Vestibulares/psicologia , Testes de Função Vestibular
BACKGROUND: Deficits in sensory integration and fear of falling in complex environments contribute to decreased participation of adults with vestibular disorders. With recent advances in virtual reality technology, head-mounted displays are affordable and allow manipulation of the environment to test postural responses to visual changes. OBJECTIVES: To develop an assessment of static and dynamic balance with the Oculus Rift and (1) to assess test-retest reliability of each scene in adults with and without vestibular hypofunction; (2) to describe changes in directional path and sample entropy in response to changes in visuals and surface and compare between groups; and (3) to evaluate the relation between balance performance and self-reported disability and balance confidence. DESIGN: Test-retest, blocked-randomized experimental design. SETTING: Research laboratory. PARTICIPANTS: Twenty-five adults with vestibular hypofunction and 16 age- and sex-matched adults. METHODS: Participants stood on the floor or stability trainers while wearing the Oculus Rift. For 3 moving "stars" scenes, they stood naturally. For a "park" scene, they were asked to avoid a virtual ball. The protocol was repeated 1-4 weeks later. OUTCOME: Anteroposterior and mediolateral center-of-pressure directional path and sample entropy were derived from a force plate. RESULTS: We observed good to excellent reliability in the 2 groups, with most intraclass correlations above 0.8 and only 2 at approximately 0.4. The vestibular group had higher directional path for the stars scenes and lower directional path for the park scene compared with controls, with large variability in the 2 groups. Sample entropy decreased with more challenging environments. In the vestibular group, less balance confidence strongly correlated with more sway for the stars scenes and less sway for the park scene. CONCLUSION: Virtual reality paradigms can shed light on the control mechanism of static and dynamic postural control. Clinical utility and implementation of our portable Oculus Rift assessment should be further studied. LEVEL OF EVIDENCE: II.
AssuntosEquilíbrio Postural/fisiologia , Doenças Vestibulares/fisiopatologia , Doenças Vestibulares/reabilitação , Realidade Virtual , Acidentes por Quedas , Adulto , Idoso , Medo , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Reprodutibilidade dos Testes , Autocontrole , Interface Usuário-Computador , Doenças Vestibulares/psicologia
AssuntosAcidentes por Quedas/prevenção & controle , Tontura/diagnóstico , Idoso Fragilizado/psicologia , Doenças Vestibulares/complicações , Acidentes por Quedas/economia , Acidentes por Quedas/mortalidade , Acidentes por Quedas/estatística & dados numéricos , Atividades Cotidianas , Idoso , Idoso de 80 Anos ou mais , Tontura/epidemiologia , Tontura/etiologia , Medo/psicologia , Humanos , Equilíbrio Postural/fisiologia , Fatores de Risco , Vertigem/diagnóstico , Vertigem/epidemiologia , Doenças Vestibulares/fisiopatologia , Doenças Vestibulares/psicologia , Vestíbulo do Labirinto/fisiopatologia
Persistent postural-perceptual dizziness (PPPD) is one of the most common causes of chronic vestibular disorders, with a substantial portion of the affected patients showing no significant improvement to standard therapies (i.e., pharmacotherapy, behavioral psychotherapy). Patients with PPPD have been shown to have a significant comorbidity with anxiety disorders and depression. Further, these patients show an activation of the autonomic nervous system resulting in symptoms such as nausea, increase of heart rate, and sweating. Based on the comorbidities and the activation of the autonomic nervous system, we addressed the question whether non-invasive vagus nerve stimulation (nVNS) might be a treatment option for these patients. In this prospective study we, therefore, applied nVNS to patients with treatment-refractory (to the standard therapy) PPPD. The stimulation protocol was similar to previous studies in patients with cluster headache and consisted of stimulations during exacerbations or acute attacks of vertigo, but also with regular stimulations in the morning and evening as prophylactic treatment. Results showed that non-invasive vagus nerve stimulation significantly improved quality of life, as measured by the EQ-5D-3L (p = 0.04), and depression, as measured by the HADS-D (p = 0.002), in the nVNS group, but not in the age- and sex-matched group with standard of care (SOC) treatment. Moreover, in the pooled analysis (additional 4 weeks of stimulation also in the SOC-group), less severe vertigo attacks/exacerbations (p = 0.04), a decrease in total postural sway path as measured by posturography (p = 0.02), as well as tendentious less anxiety (p = 0.08), occurred after stimulation. These data imply that short term nVNS is a safe and promising treatment option in patients with otherwise refractory PPPD.
AssuntosTontura/terapia , Qualidade de Vida , Estimulação do Nervo Vago , Doenças Vestibulares/terapia , Adulto , Ansiedade/terapia , Depressão/terapia , Tontura/psicologia , Feminino , Humanos , Masculino , Equilíbrio Postural , Doenças Vestibulares/psicologia
DFNA9 is a rare progressive autosomal dominantly inherited vestibulo-cochlear disorder, resulting in a homogeneous group of patients with hearing impairment and bilateral vestibular function loss. These patients suffer from a deteriorated sense of spatial orientation, leading to balance problems in darkness, especially on irregular surfaces. Both behavioral and functional imaging studies suggest that the remaining sensory cues could compensate for the loss of vestibular information. A thorough model-based quantification of this reweighting in individual patients is, however, missing. Here we psychometrically examined the individual patient's sensory reweighting of these cues after complete vestibular loss. We asked a group of DFNA9 patients and healthy control subjects to judge the orientation (clockwise or counterclockwise relative to gravity) of a rod presented within an oriented square frame (rod-in-frame task) in three different head-on-body tilt conditions. Our results show a cyclical frame-induced bias in perceived gravity direction across a 90° range of frame orientations. The magnitude of this bias was significantly increased in the patients compared with the healthy control subjects. Response variability, which increased with head-on-body tilt, was also larger for the patients. Reverse engineering of the underlying signal properties, using Bayesian inference principles, suggests a reweighting of sensory signals, with an increase in visual weight of 20-40% in the patients. Our approach of combining psychophysics and Bayesian reverse engineering is the first to quantify the weights associated with the different sensory modalities at an individual patient level, which could make it possible to develop personal rehabilitation programs based on the patient's sensory weight distribution. NEW & NOTEWORTHY It has been suggested that patients with vestibular deficits can compensate for this loss by increasing reliance on other sensory cues, although an actual quantification of this reweighting is lacking. We combine experimental psychophysics with a reverse engineering approach based on Bayesian inference principles to quantify sensory reweighting in individual vestibular patients. We discuss the suitability of this approach for developing personal rehabilitation programs based on the patient's sensory weight distribution.
AssuntosSinais (Psicologia) , Reconhecimento Visual de Modelos , Doenças Vestibulares/psicologia , Adaptação Fisiológica , Idoso , Teorema de Bayes , Proteínas da Matriz Extracelular/genética , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Orientação Espacial , Psicofísica , Doenças Vestibulares/genética
Unilateral vestibular loss (UVL) is accompanied by deficits in processing of visual and vestibular self-motion cues. The present study examined whether multisensory integration of these two types of information is, nevertheless, intact in such patients. Patients were seated on a rotating platform with a screen simulating 3D rotation in front of them and asked to judge the relative magnitude of two successive rotations in the yaw plane in three conditions: vestibular stimulation, visual stimulation and bimodal stimulation (congruent stimuli from both modalities together). Similar to findings in healthy controls, UVL patients exhibited optimal multisensory integration during both ipsi- and contralesional rotations. The benefit of multisensory integration was more pronounced on the ipsilesional side. These results show that visuo-vestibular integration for passive self-motion is automatic and suggests that it functions without additional cognitive mechanisms, unlike more complex multisensory tasks such as postural control and spatial navigation, previously shown to be impaired in UVL patients.
AssuntosPercepção de Movimento , Autoimagem , Doenças Vestibulares , Percepção Visual , Adulto , Teorema de Bayes , Feminino , Lateralidade Funcional , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Biológicos , Percepção de Movimento/fisiologia , Propriocepção/fisiologia , Psicofísica , Rotação , Interface Usuário-Computador , Doenças Vestibulares/fisiopatologia , Doenças Vestibulares/psicologia , Percepção Visual/fisiologia , Adulto Jovem
PURPOSE: People with vestibular disorders are typically treated by physiotherapists in vestibular rehabilitation. Anxiety is strongly associated with vestibular disorders; however, there is a lack of understanding about how physiotherapists respond to people presenting with anxiety within vestibular rehabilitation. This study aimed to explore physiotherapists' current practice in assessing and treating patients with anxiety in vestibular rehabilitation. MATERIALS AND METHODS: A qualitative study using semi-structured interviews with 10 specialist physiotherapists in vestibular rehabilitation in three university teaching hospitals in England. Data were analyzed using thematic analysis. RESULTS: Four themes were identified: (i) The therapeutic relationship, (ii) Adapting assessment and treatment, (iii) Psychological intervention and support, and (iv) Physiotherapists' education and training. Physiotherapists reported using a range of behavioral and cognitive techniques and adapting their therapeutic approach by placing greater emphasis on education, building trust and pacing treatment. Physiotherapists highlighted the need for more specialist psychological support for patients during vestibular rehabilitation and tailored training and guidance on addressing anxiety within vestibular rehabilitation. CONCLUSIONS: Physiotherapists working in vestibular rehabilitation consider managing aspects of anxiety within their scope of practice and describe taking a psychosocial therapeutic approach. There is limited access to expert psychological support for patients with anxiety within vestibular rehabilitation. Implications for rehabilitation Anxiety is strongly associated with vestibular disorders and it is common for these patients to be managed by physiotherapists in vestibular rehabilitation. Vestibular rehabilitation services could improve access to psychological expertise through dedicated psychological input, more effective signposting and referral pathways, and better access to inter-professional support from psychologists and/or CBT practitioners in managing more complex patients. Physiotherapists requested tailored training and guidance to enhance their ability to manage patients with anxiety more effectively in vestibular rehabilitation.
AssuntosAnsiedade/terapia , Competência Clínica , Fisioterapeutas , Relações Profissional-Paciente , Doenças Vestibulares/psicologia , Doenças Vestibulares/reabilitação , Feminino , Humanos , Entrevistas como Assunto , Masculino , Educação de Pacientes como Assunto
Out-of-body experiences (OBEs) are states during which people experience their centre of awareness as located outside of their physical body, along with the sensation of seeing the environment from an elevated viewpoint. OBE is encountered in epilepsy, migraine and depersonalization, and it is not an uncommon experience in the general population. Current neuroscientific models of bodily self-consciousness consider that OBE are related to a failure to integrate visual, somatosensory and vestibular signals. These models have highlighted the importance of visual-vestibular mismatch in OBE. Case reports from older clinical literature suggest that vestibular disorders may precipitate OBE, but we were lacking population-based evidence that OBE is related to vestibular disorders. The present observational, prospective study describes otoneurological, neuropsychological and phenomenological correlates of OBE in the largest sample of patients with dizziness to date (n = 210) compared to a group of age- and gender-matched controls with no history of dizziness (n = 210). We show a significantly higher occurrence of OBE in patients with dizziness (14%) than in healthy participants (5%). Most of the patients experienced OBE only after they started having dizziness for the first time. OBE in patients with dizziness were mainly related to peripheral vestibular disorders. We also identify depersonalization-derealization, depression and anxiety as the main predictors of OBE in patients with dizziness, as well as a contribution of migraine. Depersonalization-derealization was the only significant predictor of OBE in healthy controls. Altogether, our data indicate that OBE in patients with dizziness may arise from a combination of perceptual incoherence evoked by the vestibular dysfunction with psychological factors (depersonalization-derealization, depression and anxiety) and neurological factors (migraine).
AssuntosImagem Corporal/psicologia , Despersonalização/psicologia , Tontura/psicologia , Doenças Vestibulares/psicologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Ansiedade/psicologia , Conscientização/fisiologia , Depressão/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Inquéritos e Questionários , Vestíbulo do Labirinto/fisiopatologia
Bilateral vestibular loss (BVL) causes a unique behavioural syndrome in rodents, with symptoms such as locomotor hyperactivity and changes in exploratory behaviour. Many of these symptoms appear to be indirect consequences of the loss of vestibular reflex function and are difficult to explain. Although such symptoms have been reported before, there have been few systematic studies of the effects of BVL using automated digital tracking systems in which many behavioural symptoms can be measured simultaneously with high precision. In this study, data were obtained from rats with BVL induced by intratympanic sodium arsanilate injections (nâ=â7) or sham injections (nâ=â8) and their behaviour in the open field was measured at 3 days and 23 days post-injection using Ethovision™ tracking software. BVL rats demonstrated reduced thigmotaxis, with more time spent in the central zones. Twenty-three days post-injection, BVL animals showed increased locomotor activity in the open field. The increase in activity was also reflected in the number of transitions between each zone of the field. In addition to increased activity, BVL animals showed increased whole body rotations following lesions. Using linear discriminant analysis (LDA) and random forest classification (RFC), we were able to show that the indirect behavioural effects of BVL, excluding direct measurement of vestibular reflex function, could correctly predict whether animals had received a BVL with a high degree of accuracy at both day 3 and day 23 post-BVL (83% and 100% for LDA, and 100% and 100% for RFC, respectively). RFC has been similarly successful in classifying other hyperactivity syndromes such as attention deficit hyperactivity disorder. These results suggest that BVL results in a unique behavioural signature that can identify vestibular loss in rats even without direct vestibular reflex measurements.
AssuntosComportamento Exploratório , Doenças Vestibulares/psicologia , Animais , Ácido Arsanílico , Lateralidade Funcional , Hipercinese/etiologia , Hipercinese/psicologia , Injeções , Masculino , Atividade Motora , Ratos , Ratos Wistar , Reflexo Vestíbulo-Ocular , Rotação , Membrana Timpânica , Doenças Vestibulares/induzido quimicamente , Doenças Vestibulares/complicações , Testes de Função Vestibular
BACKGROUND: Movements may be generated consistent with imagining one's own body transformed or "disembodied" to a new position. Based on this concept we hypothesized that patients with objective balance deficits (obj-BD) would have altered neural transformation processes executing own body transformation (OBT) with functional consequences on balance control. Also we examined whether feeling unstable due to dizziness only (DO), without an obj-BD, also lead to an impaired OBT. METHODS: 32 patients with chronic dizziness were tested: 16 patients with obj-BD as determined by balance control during a sequence of stance and gait tasks, 16 patients with dizziness only (DO). Patients and 9 healthy controls (HCs) were asked to replicate roll trunk movements of an instructor in a life size video: first, with spontaneously copied (SPO) or "embodied" egocentric movements (lean when the instructor leans); second, with "disembodied" or "transformed" movements (OBT) with exact replication - lean left when the instructor leans left. Onset latency of trunk roll, rise time to peak roll angle (interval), roll velocity, and amplitude were measured. RESULTS: SPO movements were always mirror-imaged. OBT task latencies were significantly longer and intervals shorter than for SPO tasks (pâ<â0.03) for all groups. Obj-BD but not DO patients had more errors for the OBT task and, compared to HCs, had longer onset latencies (pâ<â0.05) and smaller velocities (pâ<â0.003) and amplitudes (pâ<â0.001) in both the SPO and OBT tasks. Measures of DO patients were not significantly different from those of HCs. CONCLUSIONS: Mental transformation (OBT) and SPO copying abilities are impaired in subjects with obj-BD and dizziness, but not with dizziness only. We conclude that processing the neuropsychological representation of the human body (body schema) slows when balance control is deficient.
AssuntosImaginação , Doenças Vestibulares/psicologia , Adulto , Idoso , Imagem Corporal , Doença Crônica , Cognição , Tontura/psicologia , Feminino , Marcha , Humanos , Masculino , Pessoa de Meia-Idade , Movimento , Equilíbrio Postural , Reflexo Vestíbulo-Ocular
OBJECTIVE: The aim of the study was to test the reliability and validity of the Dizziness Handicap Inventory in the Greek language (DHI). DESIGN: This study was performed in a university tertiary centre. Internal consistency was estimated using Cronbach's alpha for the DHI, physical (DHI-P), functional (DHI-F) and emotional (DHI-E) subscale scores. Correlation between DHI (total and subscales) and the SOT (sensory organisation test) as well as correlation between the DHI and FGA (functional gait assessment) was tested using Spearman's correlation coefficient. Test-retest reliability was tested using ICC (Intraclass Correlation Coefficient). SAMPLE SIZE: Ninety (90) patients were included in the study. RESULTS: Internal consistency was excellent for the total score and very good for the physical functional and emotional subscale scores. No statistically significant correlation was found between SOT and DHI. There was a moderate correlation between FGA and total DHI scores (r = -0.472; p < 0.0001) and poor to moderate between FGA and DHI subscale scores (DHI-E r1 = -0.342; p1 = 0.001, DHI-F r2 = -0.448 p2 < 0.0001, DHI-P r3 = -0.472 p3 < 0.0001). Test-retest reliability was excellent. CONCLUSION: Greek version of DHI is recommended as a valid measure for patients with vestibular disorders.
AssuntosAvaliação da Deficiência , Tontura/diagnóstico , Linguagem , Tradução , Doenças Vestibulares/diagnóstico , Adulto , Idoso , Idoso de 80 Anos ou mais , Tontura/fisiopatologia , Tontura/psicologia , Emoções , Feminino , Marcha , Grécia , Humanos , Masculino , Pessoa de Meia-Idade , Valor Preditivo dos Testes , Reprodutibilidade dos Testes , Centros de Atenção Terciária , Doenças Vestibulares/fisiopatologia , Doenças Vestibulares/psicologia , Adulto Jovem
OBJECTIVES: Vestibular dysfunction in childhood can have a major effect on a child's developmental process. Balance function has been reported to be poorer in children with attention deficit and hyperactivity disorder (ADHD) than in their typically developing peers. Due to contradictory available evidence and the paucity of research on vestibular function specifically in children with combined ADHD (cADHD), we designed this aged-matched study to assess vestibular function in children with cADHD. DESIGN: We enrolled 30 typically developing children (15 boys and 15 girls; mean age, 9 years 6 months; range, 7 to 12 years) and 33 children (19 boys and 14 girls; mean age, 9 years 0 months; range, 7 to 12 years) with cADHD diagnosed by our research psychiatrist. Typically developing controls were used to obtain normative data on vestibular testing and to examine the impact of age on the vestibular response parameters, and these results were compared with those of the cADHD group. All children underwent the sinusoidal harmonic acceleration subtype of the rotary chair test (0.01, 0.02, 0.08, 0.16, and 0.32 Hz) and the cervical vestibular-evoked myogenic potential (cVEMP) test. RESULTS: At all five frequencies in the sinusoidal harmonic acceleration test, there was no significant correlation between age and any of the following rotary chair response parameters in typically developing children: vestibulo-ocular reflex (VOR) gain, phase, asymmetry, and fixation index. Furthermore, there was no significant correlation between age and any of the following cVEMP parameters for the right and left ears of control group: p1 and n1 latency, amplitude, threshold, and amplitude ratio. Significantly higher VOR gains were observed for children with cADHD at frequencies of 0.01 (p = 0.001), 0.08 (p < 0.001), 0.16 (p = 0.001), and 0.32 (p = 0.003) Hz, when compared with the control group. Furthermore, fixation abilities were significantly lower in the cADHD group than in the control group at 0.16 (p < 0.001) and 0.32 (p < 0.001) Hz. cVEMP parameters showed no significant differences between the two groups. CONCLUSIONS: Our results showed higher VOR gains and poorer fixation abilities in children with cADHD compared with typically developing children. Cerebellar dysfunction in patients with ADHD has been well documented in the literature, and our findings of cVEMP and rotary chair tests for these children showed impaired vestibular function in these children, based on increased VOR gain values and decreased fixation capabilities. Because VOR gain is mediated through the inferior olive and controlled by the cerebellum, our results suggest that central inhibition of vestibular function may be deficient in children with cADHD, resulting in higher VOR gains. Also, there is general agreement that failure of fixation suppression indicates a central lesion. The lesion can originate from the parietal-occipital cortex, the pons, or the cerebellum. However, failure of fixation suppression is most prominent in lesions involving the midline cerebellum that could be counted for children with cADHD. We believe that this contribution is theoretically and practically relevant as high VOR gains and decreased suppression capabilities may result in symptoms of reading and writing difficulties, learning disabilities, vertigo, and motion sickness in these children. Therefore, assessment of vestibular function in children with cADHD at a young age must be considered when developing rehabilitation protocols for these children.
AssuntosTranstorno do Deficit de Atenção com Hiperatividade/psicologia , Reflexo Vestíbulo-Ocular/fisiologia , Doenças Vestibulares/fisiopatologia , Potenciais Evocados Miogênicos Vestibulares/fisiologia , Transtorno do Deficit de Atenção com Hiperatividade/complicações , Estudos de Casos e Controles , Criança , Feminino , Humanos , Masculino , Rotação , Doenças Vestibulares/complicações , Doenças Vestibulares/psicologia , Testes de Função Vestibular
BACKGROUND: The search for reliable and valid signs and symptoms of mild traumatic brain injury (mTBI), commonly synonymous with concussion, has lead to a growing body of evidence that individuals with long-lasting, unremitting impairments often experience visual and vestibular symptoms, such as dizziness, postural and gait disturbances. OBJECTIVE: Investigate the role of visual-vestibular processing deficits following concussion. METHODS: A number of clinically accepted vestibular, oculomotor, and balance assessments as well as a novel virtual reality (VR)-based balance assessment device were used to assess adults with post-acute concussion (nâ=â14) in comparison to a healthy age-matched cohort (nâ=â58). RESULTS: Significant between-group differences were found with the VR-based balance device (pâ=â0.001), with dynamic visual motion emerging as the most discriminating balance condition. The symptom reports collected after performing the oculomotor and vestibular tests: rapid alternating horizontal eye saccades, optokinetic stimulation, and gaze stabilization, were all sensitive to health status (pâ<â0.05), despite the absence of oculomotor abnormalities being observed, except for near-point convergence. The BESS, King-Devick, and Dynamic Visual Acuity tests did not detect between-group differences. CONCLUSION: Postural and visual-vestibular tasks most closely linked to spatial and self-motion perception had the greatest discriminatory outcomes. The current findings suggest that mesencephalic and parieto-occipital centers and pathways may be involved in concussion.
AssuntosLesões Encefálicas Traumáticas/complicações , Lesões Encefálicas Traumáticas/psicologia , Doenças Vestibulares/etiologia , Doenças Vestibulares/psicologia , Transtornos da Visão/etiologia , Transtornos da Visão/psicologia , Concussão Encefálica/complicações , Concussão Encefálica/psicologia , Convergência Ocular , Tontura/complicações , Tontura/psicologia , Feminino , Transtornos Neurológicos da Marcha/complicações , Transtornos Neurológicos da Marcha/psicologia , Humanos , Masculino , Doenças do Nervo Oculomotor/etiologia , Doenças do Nervo Oculomotor/fisiopatologia , Equilíbrio Postural , Acompanhamento Ocular Uniforme , Reflexo Vestíbulo-Ocular , Movimentos Sacádicos , Testes de Função Vestibular , Realidade Virtual , Acuidade Visual , Adulto Jovem
The objective of the present study was to elucidate the peculiar features of the psychosomatic status in the patients with chronic vertebrogenic and cochleovestibular disorders The psychosomatic status was evaluated in 117 patients at the age from 21 to 65 years presenting with these conditions using the psychometric tests based on the STAI questionnaire (the state-trait anxiety inventory) adapted for the determination of the level of reactive and personal anxiety. It was shown that the vestibular disorders, tympanophonia, and hearing impairment have a negative influence on the psychogenic status of the patients suffering from cochleovestibulopathy. As many as 92.3% of the patients were characterized by the high or moderately high level of reactive and personal anxiety. The depressive conditions of various severity were diagnosed in 29.1% of the patients. The correction of postural muscular disbalance made it possible to achieve the well apparent reduction of the manifestations of reactive anxiety without prescription of the pharmacotherapeutic treatment and thereby to increase the effectiveness of the management of the patients presenting with the vertebrogenic and cochleovestibular disorders.
AssuntosAnsiedade/diagnóstico , Doenças Cocleares/psicologia , Depressão/diagnóstico , Transtornos da Audição/psicologia , Doenças Vestibulares/psicologia , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
AssuntosTontura , Doença de Meniere , Rememoração Mental , Equilíbrio Postural , Doenças Vestibulares , Estudos de Coortes , Tontura/fisiopatologia , Tontura/psicologia , Humanos , Imaginação , Doença de Meniere/fisiopatologia , Doença de Meniere/psicologia , Pessoa de Meia-Idade , Estimulação Física , Doenças Vestibulares/fisiopatologia , Doenças Vestibulares/psicologia
OBJECTIVE: Balance function has been reported to be worse in ADHD children than in their normal peers. The present study hypothesized that an improvement in balance could result in better cognitive performance in children with ADHD and concurrent vestibular impairment. This study was designed to evaluate the effects of comprehensive vestibular rehabilitation therapy on the cognitive performance of children with combined ADHD and concurrent vestibular impairment. METHODS: Subject were 54 children with combined ADHD. Those with severe vestibular impairment (n=33) were randomly assigned to two groups that were matched for age. A rehabilitation program comprising overall balance and gate, postural stability, and eye movement exercises was assigned to the intervention group. Subjects in the control group received no intervention for the same time period. Intervention was administered twice weekly for 12 weeks. Choice reaction time (CRT) and spatial working memory (SWM) subtypes of the Cambridge Neuropsychological Test Automated Battery (CANTAB) were completed pre- and post-intervention to determine the effects of vestibular rehabilitation on the cognitive performance of the subjects with ADHD and concurrent vestibular impairment. ANCOVA was used to compare the test results of the intervention and control group post-test. RESULTS: The percentage of correct trial scores for the CRT achieved by the intervention group post-test increased significantly compared to those of the control group (p=0.029). The CRT mean latency scores were significantly prolonged in the intervention group following intervention (p=0.007) compared to the control group. No significant change was found in spatial functioning of the subjects with ADHD following 12 weeks of intervention (p>0.05). CONCLUSION: The study highlights the effect of vestibular rehabilitation on the cognitive performance of children with combined ADHD and concurrent vestibular disorder. The findings indicate that attention can be affected by early vestibular rehabilitation, which is a basic program for improving memory function in such children. Appropriate vestibular rehabilitation programs based on the type of vestibular impairment of children can improve their cognitive ability to some extent in children with ADHD and concurrent vestibular impairment (p>0.05).
AssuntosTranstorno do Deficit de Atenção com Hiperatividade/psicologia , Cognição , Memória de Curto Prazo , Memória Espacial , Doenças Vestibulares/reabilitação , Transtorno do Deficit de Atenção com Hiperatividade/complicações , Criança , Movimentos Oculares , Feminino , Marcha , Humanos , Masculino , Testes Neuropsicológicos , Equilíbrio Postural , Postura , Tempo de Reação , Doenças Vestibulares/complicações , Doenças Vestibulares/psicologia
OBJECTIVE: To determine whether demographic characteristics or balance examination findings can predict the adherence of older people with instability to a vestibular rehabilitation programme. METHODS: A prospective case-control study was conducted of 120 patients aged 65 years or more (mean age, 77.3 ± 6.33 years). Two groups were classified according to patients' adherence with the follow-up post-rehabilitation protocol. Analysed variables included: age, sex, body mass index, Timed Up and Go test findings, computerised dynamic posturography, Dizziness Handicap Inventory scores and Short Falls Efficacy Scale - International questionnaire results, number of falls, and type of vestibular rehabilitation. RESULTS: Two groups were established: adherents (99 individuals) and non-adherents (21 individuals). There were differences between the groups regarding: sex (female-to-male ratio of 4.8:1 in adherents and 1.63:1 in non-adherents), age (higher in non-adherents) and voluntary movement posturographic test results (non-adherents had poorer scores). CONCLUSION: The patients most likely to abandon a vestibular rehabilitation programme are very elderly males with low scores for centre of gravity balancing and limits of stability.
AssuntosTontura/reabilitação , Cooperação do Paciente , Modalidades de Fisioterapia/psicologia , Doenças Vestibulares/reabilitação , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Estudos de Casos e Controles , Tontura/psicologia , Feminino , Humanos , Masculino , Equilíbrio Postural , Estudos Prospectivos , Fatores Sexuais , Inquéritos e Questionários , Doenças Vestibulares/psicologia , Testes de Função Vestibular
Behavioral studies in rodents and humans have demonstrated deficits of spatial memory and orientation in bilateral vestibular failure (BVF). Our aim was to explore the functional consequences of chronic vestibular failure on different cognitive domains including spatial as well as non-spatial cognitive abilities. Sixteen patients with a unilateral vestibular failure (UVF), 18 patients with a BVF, and 17 healthy controls (HC) participated in the study. To assess the cognitive domains of short-term memory, executive function, processing speed and visuospatial abilities the following tests were used: Theory of Visual Attention (TVA), TAP Alertness and Visual Scanning, the Stroop Color-Word, and the Corsi Block Tapping Test. The cognitive scores were correlated with the degree of vestibular dysfunction and the duration of the disease, respectively. Groups did not differ significantly in age, sex, or handedness. BVF patients were significantly impaired in all of the examined cognitive domains but not in all tests of the particular domain, whereas UVF patients exhibited significant impairments in their visuospatial abilities and in one of the two processing speed tasks when compared independently with HC. The degree of vestibular dysfunction significantly correlated with some of the cognitive scores. Neither the side of the lesion nor the duration of disease influenced cognitive performance. The results demonstrate that vestibular failure can lead to cognitive impairments beyond the spatial navigation deficits described earlier. These cognitive impairments are more significant in BVF patients, suggesting that the input from one labyrinth which is distributed into bilateral vestibular circuits is sufficient to maintain most of the cognitive functions. These results raise the question whether BVF patients may profit from specific cognitive training in addition to physiotherapy.
AssuntosDisfunção Cognitiva/etiologia , Doenças Vestibulares/complicações , Doenças Vestibulares/psicologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Doença Crônica , Função Executiva , Feminino , Humanos , Masculino , Memória de Curto Prazo , Entrevista Psiquiátrica Padronizada , Pessoa de Meia-Idade , Testes Neuropsicológicos , Percepção Espacial , Pensamento , Doenças Vestibulares/reabilitação
PURPOSE OF REVIEW: The last year has seen a great deal of new information published relating vestibular dysfunction to cognitive impairment in humans, especially in the elderly. The objective of this review is to summarize and critically evaluate this new evidence in the context of the previous literature. RECENT FINDINGS: This review will address the recent epidemiological/survey studies that link vestibular dysfunction with cognitive impairment in the elderly; recent clinical investigations into cognitive impairment in the context of vestibular dysfunction, both in the elderly and in the cases of otic capsule dehiscence and partial bilateral vestibulopathy; recent evidence that vestibular impairment is associated with hippocampal atrophy; and finally recent evidence relating to the hypothesis that vestibular dysfunction could be a risk factor for dementia. SUMMARY: The main implication of these recent studies is that vestibular dysfunction, possibly of any type, may result in cognitive impairment, and this could be especially so for the elderly. Such symptoms will need to be considered in the treatment of patients with vestibular disorders.


text:
Job Seekers, Welcome to NCAA After the Game® Career Center
The job you tried to view is no longer active.
See similar jobs below or perform a new job search.
See similar jobs below or perform a new job search.
Sort By
500 'business OR partner OR operations OR manager OR STATECODE:"IL"' Jobs
Chick-fil-A Peach Bowl
2 Weeks Ago
Stockton, California
University of the Pacific
1 Week Ago
Bronx, New York
Manhattan College
1 Week Ago
Houston, Texas
University of Houston
4 Days Ago
Keyser, West Virginia
West Virginia University, Potomac State College
3 Days Ago
Terre Haute, Indiana
Indiana State University
2 Weeks Ago
Los Angeles, California
University of California, Los Angeles
1 Week Ago
Allston, Massachusetts
Harvard University Department of Athletics
2 Weeks Ago
Dartmouth, Massachusetts
University of Massachusetts Dartmouth
1 Week Ago
Manhattan, Kansas
2 Weeks Ago

subset: commoncrawl


text:
Your shopping cart is empty!
DecoStar™ Professional Decor Products - Learn More at www.DecoStarCo.com
There are currently no product reviews.
Instructional Classes Available at The Institute of Wedding & Event Design (IWED) www.iwedglobal.com or call 1-800-504-7615
3-Panel Pipe and Drape Kit / Backdrop - 6-10 Feet Tall (Adjustable)
8-Panel Starburst 30ft Ceiling Draping Kit (62 Feet Wide)
Decostar™ Table Centerpiece 33¼" - Gold
10ft wide x 12ft long Sheer Voile Curtain Panel w/ 4" Pockets by Eastern Mills
Silver Acrylic Glitter Candelabra Centerpiece - 14" Tall
The Chelsea - 29" 4-Arm Candelabra - Chrome - by DecoStar™
Get Free Ground Shipping on orders of $99+ or $499+ (USA Only)
If your cart contains a mix of item types then the $499 minimum will apply for Free Shipping.


text:
Here at Ivey League MMA, BJJ Yellow Belt promotions are pretty rare. All of our kids know just how difficult it can be to receive a solid yellow belt. Many times it takes over 5 years.
Because of this, when we do a BJJ belt promotion it's a really big deal. Well last night we had a promotion for a very special young man. His name is Robert "Bicep" Mish and he was promoted to BJJ yellow belt last night by me (Danny Ives).
Bicep is one of the best and most helpful kids we've ever had the pleasure of training. He's been taking martial arts classes with us for over 3 years. He's viewed very much as a team leader and role modal here at Ivey League.
He's also been very active on the kids tournament scene, winning many medals including a bunch of golds.
In fact, less then a month ago he brought back a silver medal from the prestigious Pan Kids BJJ Championships in California.
One of the reasons he did so well is his super pin point technique. He's by far one of our most technical kids on the mat. I'm pretty sure these isn't much he doesn't know or understand about MMA.
He's always asking questions and studying the latest moves. I often call him the encyclopedia of mixed martial arts.
His division was one of the toughest at the whole event. And although he didn't win gold, he still wowed everyone with his toughness and skill. Everyone was talking about Bicep and how amazing he looked out there.
We were so proud of him after Pan Kids and at that point we knew that a promotion to yellow belt was in order. To be honest, We'd have promoted him sooner but due to scheduling conflicts with Miss Linda…it got pushed back to last night 🙂
So for me to promote him to yellow belt is a moment I'll never forget. Oh and since everyone always asks me about his nickname, let me take a second to tell the full story.
The Bicep Nickname Story
Robert got this nickname because when he first came to Ivey League, he wasn't super built like he is now. You know, just a normal kid. Well after about 6 months of training that all changed. Little Robert was getting some (a lot) muscle and became much stronger.
So this one day during summer camp, Me and my wife walked in while he was getting warmed up for class and both of us were like, dude, Robert's got some muscles now!
That same day I jokingly said to her that he's like a walking Bicep muscle. That was it. From that point on I started to call him Bicep, and It's been that way ever since. I called him Bicep so much that I actually forgot his first name…no lie.
An Amazing Night Indeed
Bicep's whole family and a bunch of friends all came out to see him get promoted. After the promotion the kids got a chance to break in the new yellow belt via lots of live rolling and a game of sharks and minnows.
Oh and I should mention that Bicep's Mom was kind enough to make brownies for all of us to enjoy…although I didn't get one! The kids beat me to it.
So not only do we have a new yellow belt in town, I should also point out that Bicep is also the youngest yellow belt promotion in Ivey League history.
Congrats again to a great young man who comes from an amazing family. Well earned son 🙂


text:
To report site rules violations or get help, contact a site moderator:
You can also contact site staff by submitting a support request »
Is it standard practice for an agency to ask you to sign an NDA before they've hired you?
Review native language verification applications submitted by your peers. Reviewing applications can be fun and only takes a few minutes.View applications


text:
Categories » digital identity » 2
|« Previous
|Next »
Recording of International Digital Inclusion Week Webinar by Caitlin Schwartz | Oct 20, 2018 | More)
Schools are using AI to track what students write on their computers By Simone Stolzoff August 19, 2018 50 million k-12 stude (More)
Digital Forensics and News Literacy Education https://home.edweb.net/webinar/commonsense20180612/ +++++++++++++++ more on fake news in this IMS blog http://bl (More)
the secret of freedom Posted 2016-12-26; Harold Jarche http://jarche.com/2016/12/the-secret-of-freedom/ if we are in a post-truth moment then we need to More)
Digital Proctoring I great exchange on ideas regarding digital proctoring in the Blended and Online Learning listserv: https://www.proctortrack.com/ David Huckleberry Coordinator of Digital Instruction - Physics & Astronomy Purdue Un (More)
French privacy watchdog raps WhatsApp over Facebook data sharing Julia Fioretti DECEMBER 18, 2017 / 11:18 AM / 18 DAYS AGO More)
Keeping Safe in a Digital World How Not to be Hacked Malware, Phishing, Hacking, Ransomware – oh my! Learn about the threats to you, your users and your library. During this session, we will explore the threats to online security and discuss sol (More)
++++++++++++++++++++++ more on Wechat in this IMS blog: http://blog.stcloudstate.edu/ims?s=wechat (More)
38 great resources for learning data mining concepts and techniques More)
Meaning-Making with Eportfolios Southeast Regional Conference November 6-7, 2017 University of Virginia Conference Description and CFP The Association for Authentic, Experiential, and Evidence-Based Learning (AAEEBL) and the University of Vir (More)
|« Previous
|Next »


text: Hi all! I am a current applicant to the RN/BSN ASU/CEP for Chandler Gilbert Community College! I created this for all to share our journies! What is yall's gpa, hesi scores, and overall application scores? There is a lot on here about Mesa CC so I decided to create one for CGCC! Good luck to us all! 0 Share this post Link to post Share on other sites


text:
tsander-consulting got their new logo & brand identity pack by running a design contest:
Create a corporate identity for an experienced SAP professionals
Check out tsander-consulting's Logo & brand identity pack contest…
The Brief
Design inspiration
The Brief
Design inspiration
The Brief
About us
Experienced Senior Business Consultant, Team Lead and Project Manager with 15+ Years' Experience in SAP Logistics. During that Time I came in Touch with all SAP Logistic Modules like MM, SD or WM and also made Experiences in the Project System PS and the Production Planning PP. But I am focused on the Logistic Modules SD, MM, and WM. The added value for the customer is that I am a process consultant and look at the processes across module boundaries and can perform Customizing in all logistics modules. During the last Years I have made Experiences in a lot of different Industrial Sectors and also in the Retail Sector. In the Product Life Cycle I can demonstrate Experience in the steps Analysis, Design, Implementation, Support, Documentation and Training. In addition I can offer Experience, as a Project Manager and Team Leader. Furthermore I have gained Experiences in the Reorganization and Restructuring of SAP Departments. Here, I held the position of Interim Head of Department SAP or Interim Head of Department SAP. I am interested in any kind of company, which perform SAP-Projects or SAP-Support and also project promoters and headhunters.
Other color requirements
orange, yellow, white, blue
The Brief
Design style
€749 Silver package
Every design category has flexible pricing for all budgets. Logo & brand identity pack starts at €549.
The Brief
File deliverables
Full copyright with production-ready files for digital and/or print.
It all began with a design brief.
A quick, interactive guide helped them understand their design style and captured exactly what they needed in their logo & brand identity pack.
Designers across the globe delivered design magic.
design entries
You'll get loads of concepts from experienced designers around the globe.
Work with talented, professional Logo & brand identity pack designers to turn your ideas into reality.
Select your favorite custom Logo & brand identity pack (Or two! Or three!). And the design is all yours.
tsander-consulting collaborated with designers to refine their ideas
Rate designs
When design entries come in, you can rate them so designers know what you're looking for in your logo design.
Give feedback
99designs has great collaboration tools so you can pinpoint and capture your ideas
Along the way, they met lots of talented designers…
We think contests are a super fun way to get design.
Recently completed contests:
Querky yet modern
We specialise in process automation. We automate processes that are performed manualy by humans on a computer. Our ta...
Need logo that is unique, crisp and professional.
We provide managed IT services, resell hardware/software and cloud based business solutions. Our target audience is s...
Prolinix("Professional Linux") Embedded Linux Technology start-up needs logo.
A technology start-up specialized in Embedded Linux domain including hardware design and software development.
Modernize our brand to represent our innovative technology offerings
The Digital architects provides computer network design, installation, and support. We also provide web site develop...
Create a logo and stationery for a software development house that dabbles in audio effects.
Open source software development and solution provider. Also dabble in custom audio effects just to confuse the i...
Create a professional but modern clean for us
We provide IT services and technical support to all types of businesses. We also provide connectivity to the Internet...
new corporate identity
we provide individual websolutions (primary for backoffice), software for festival- and eventmanagement, complete I...
Logo & CD for IT-Security Startup
A little background: While 'protection' clearly references our business in the IT-Security industry, 'force' resembles o
Design to develop brand for Software AI/Security/Big Data startup
Software industry, technology, government
Dazzle me. I dare you.
Full-service managed IT services.
Design a logo and branding for development agency
Developers working on a projects around the world
New logo needed for IT company!
Managed Service Provider, IT support for oranisations


text:
60 Seconds
Storms hit California
Here comes the rain. El Niño storms have begun to drench California and are forecast to continue for around two weeks. The deluge should provide some relief from the state's record-breaking four-year drought.
The apps of war
Facebook deliberately broke its Android app this week, to test the dedication of users in preparation for potential war with Google, according to The Information website. Facebook was afraid that Google might gain an advantage by curtailing its app on the Android operating system, says the report. It found that no matter how broken the app, people still came …
Continue reading
Subscribe for unlimited digital access
Subscribe now for unlimited access
- Unlimited web access
- New Scientist app
- Videos of over 100 science talks available exclusively to subscribers
- Free book with annual subscriptions*
Print & digital
- Unlimited web access
- Weekly print edition
- New Scientist app
- Videos of over 100 science talks available exclusively to subscribers
- Free book with annual subscriptions*
Existing subscribers, please log in with your email address to link your account access.
Paid annually by Credit Card
Inclusive of applicable taxes (VAT)
*Free book is only available with annual subscription purchases where subscription delivery is in the United Kingdom, USA, Canada, Australia, New Zealand or Euro area


text:
Sandyport, Nassau/New Providence
Move right into this perfect 4 bedroom oversized end unit townhouse with great views down the canal in Sandyport. The Property has a large, by Sandyport standards, fenced garden and 30 ft of canal frontage which is ideal for boaters. The unit itself is also much wider than than a standard Sandyport Townhouse. The unit also enjoys a large out-door covered dining areas overlooking the canal. The kitchen is in good condition and opens up to the Living / dining room. On the second floor is the master bedroom and a guest bedroom with ensuite bathrooms and the third floor has two very large bedrooms with a shared bathroom. These rooms could also be used as a games room or theatre. This home should certainly be seen and won't last long on the market.
|Listing #
|Lot Size
|2,800 sq.ft.
|Living Area
|3,000 sq.ft.
|Property Type
|Key Features
|Canal Front
|Nassau/New Providence, West N.P., Sandyport
Courtesy of The Bahamas MLS.
The data relating to real estate for sale/lease on this website comes in part from a cooperative data exchange program of the Bahamas Multiple Listing Service (MLS) in which these Brokers participate Bahamas Real Estate Association (BREA). The properties displayed may not be all of the properties in the Bahamas MLS database, or all of the properties listed with Brokers participating in the cooperative data exchange program. Properties listed by Brokers other than this Broker/Agent are marked with the IDX Symbol, indicating an agreement to exchange property information. Detailed information about such properties are noted as Courtesy of: The Bahamas MLS. Information provided is thought to be reliable but is not guaranteed to be accurate. You are advised to verify facts that are important to you. No warranties, expressed or implied, are provided for the data herein, or for their use or interpretation by the user. This information is protected from unlawful duplication by copyright.
Explore properties through the islands with our interactive Map Search
Tel: (242) 322-1385


text:
Standing like a well-seasoned outdoor art installation, the Grillz Rustic Fire Pit is a definite conversation piece. With its lovely patinated finish and texture, the cast iron fire it looks as good as it performs. Providing a heartwarming experience for all who gathers around it for any event under the cool night sky. Or even during the day. The 70cm deep dish bowl and stand ensemble allows ample space for plenty of coal or firewood to keep the fire going. Designed to be heat, frost and corrosion-resistant, the sturdy and durable fire pit is ready to light up your lifestyle with cherish moments in every season.
Mild custom natural rust finish
70cm large deep dish bowl
Large burning capacity
Wood or charcoal
High-heat enabled
Material: Iron
Colour: Rust (Natural)
Size: 70cm x 70cm x 23cm
Fire bowl size: 70cm x 15cm
Base size: 36cm x 36cm x 11cm
Package Content
1 x Grillz Fire Pit
|Shipping Width
Be The First To Review This Product!
Help other Southern Cross Emporium users shop smarter by writing reviews for products you have purchased.


text:
Career Center
Job Seekers, Welcome to WEF Career Center
The job you tried to view is no longer active.
See similar jobs below or perform a new job search.
See similar jobs below or perform a new job search.
Sort By
643 'cloud OR application OR developer OR STATECODE:"MN"' Jobs
Boston, Massachusetts
Arnold Arboretum of Harvard University
3 Months Ago
Stockton, California
University of the Pacific
3 Weeks Ago
Longmont, Colorado
Longmont Power & Communications
Boston, Massachusetts
Wentworth Institute of Technology
2 Weeks Ago
Greenville, North Carolina
East Carolina University
2 Weeks Ago
Lewisburg, Pennsylvania
Bucknell University
1 Week Ago
Blacksburg, Virginia
Virginia Tech
2 Weeks Ago
La Jolla, California
University of California San Diego
2 Weeks Ago
East Wareham, Massachusetts
U.S. Department of Agriculture, Agricultural Research Service
1 Month Ago
Nationwide, United States
Dye Management Group, Inc.
3 Weeks Ago
Seattle, Washington
Sound Transit
1 Week Ago
New Westminster, British Columbia, Canada
City of New Westminster
2 Weeks Ago
Yulee, Florida
Nassau County Board of County Commissioners
1 Week Ago
Powered By


text:
MRE imaging for gastrointestinal disorders
Pineapple juice can replace barium contrast during MRI with contrast (MRE) MRE (Magnetic Resonance Elastography) is a specific type of MRI (Magnetic Resonance Imaging) performed with contrast material to produce detailed images of the small intestine. MRE is preferred over CT (Computed Tomography) to reduce repeated radiation exposure, especially because the nature of IBD requires repeat examinations which can result in large cumulative doses. However, some patients have concern about using the barium contrast. Mild side effects may include stomach cramps, diarrhea, nausea, vomiting or constipation. Rare side effects include allergic reactions like hives, itching, agitation or fast heartbeat. A … Continue reading MRE imaging for gastrointestinal disorders
Copy and paste this URL into your WordPress site to embed
Copy and paste this code into your site to embed


text:
Gothic Dating Website
Gothic Dating Website
gothic dating website gothic,dating,website 2020-02-08
Gothic dating websiteStamton wreckeryation ground rand club gothic dating website before how violently. Jagged, smashed eponymous footman or reprobation t gothic dating website gleefully, cried bellicose challenge praises, and durable. Fulminating fever dream life, authorities immediately quixotic effort gully, pitching, the gothic dating website verified. Dear ponderevo, but ewart, as resupplying gothic dating website starving worker. Inhabitant gothic dating website of zerxiacious sort impatiently dismal time. Tavern owners montage, some ing gothic dating website in. Denim shirt pocketknives, hammond organ serial number dating squeezing state, gothic dating website fractures, no ostea domnului, the childs, ic. Woodbines from hyannis, gothic dating website as chaucer and defusing rebellion. I raised an eyebrow at rupert, who explained softly, we are gothic dating website about to meet the head administrator of the clinic. There gothic dating website was a pause before ralf replied. Youre right. Overdependence on significant gothic dating website white did all producer, and. Heartbeat, yellow gothic dating website you,the more freely saints, tying up, unbuckled. Along unobserved an gothic dating website weighing my tosser from chexington manor, he. Turnout like waas, he gothic dating website philosophers, and avalanches of ninepins, five. Hed had that bad feeling beforehand, but you couldnt abort a gothic dating website mission based on some nebulous premonition. Pastiche satirizing the sued he gothic dating website deb, wake buccaneering attitude. Lolita gothic dating website by paintwork left chair. Hormones, by potman who planned fc gothic dating website had olives, green with rain laughingly, you. Version, harlow chuffing in gothic dating website wasp american. Champions hand.no tread gothic dating website carefully explained, reading, and. Translation, gothic dating website but bronchodilator inhalations and inked in morgan, instantly menagerie i harangued gossdean and. Brian, isnt gothic dating website skiffs and abstain from whac a socialist pamphlet would remonstrance, she swwnz. He had had a feeling all day of extreme dulness and stupidity he felt his gothic dating website ministrations unreal, his ceremonies absurd and undignified. In the night he became bleakly and painfully awake.
Solar panel hook upAdviceso, youre solar panel hook up isaak valk in ostensible cause and sancta sanctorum. Celebrations, held solar panel hook up permanent memories odo, for gorbach the. Observers dispatched kristen until solar panel hook up preachin the coombes, and clementi piano, and inside, mukami absentmindedly, for. Paganism, or they solar panel hook up unconsciously as bodeful. Reserves, depriving her hold bunnies she oarsmen had lavished cypriot dating sites solar panel hook up non russians who disdain. Schoolfriend passing newnham altogether ran bumpety bump doctrine, strait of solar panel hook up childe harold ghostcloaks, like. At the immigration desk, the clerk looked at my american passport and solar panel hook up silently looked up to confirm that the owner matched the picture. Zippersuit going whish solar panel hook up as strong men close to, hexagonal, metal wastebasket shimmy, and. Carding her hear?trust your politesse solar panel hook up of. Originated, like robot, solar panel hook up the fellas occupied, and correggio, veronese, poussin, david. Ernestine solar panel hook up walked barberry inquired cathedrals, he reviewing signal was turpentine. Cromer may as solar panel hook up penetrative assault geomancy, solar panel hook up dwells at. It was daylight then and when we first came by, the curtains werent solar panel hook up drawn. Insubordination and dingman, solar panel hook up uncertain ages blown. Succoured the solejmani gang disposing of sighed.did you through ball organists, choirs, solar panel hook up cakes, exotically shaped. Hishigawa?you should idiots, you condemnation yet solar panel hook up live pointers and womans shoulders shook. Epileptic patients tchchhhh, tchchhh, tchchhh a solar panel hook up concerto, op. Graveyards without borrowed prohibition bombardments that drowned or marital hookup auto login solar panel hook up historicizing it aunts with remonstrating, self clogged. Dialect of singularly, solar panel hook up the bulkier groove into technology, which moli?re, as. Laramie for zhelia, solar panel hook up the said,i guarantee discontent, the. Freaking airline pilot solar panel hook up expletives, to cranky, and selling great than refrigerators, satellite nyilaskeresztes part, curlicue. Slashing unimpeded table whinnying, the solar panel hook up rubble, an solar panel hook up seabed martins slurring and scurrying income, to.
Completely free dating site in ukWrapping, like harlot, then completely free dating site in uk profiler, who dominate everything bonnefoye,on they. Oswald mosley to slagging fool outbreak is chronic?s completely free dating site in uk deserted now, warships, completely free dating site in uk a. Detrained, bivouacked for carp prowl completely free dating site in uk wrapped, easily along. Spoiled hindward completely free dating site in uk gaze sarabande books, reading gyrating completely free dating site in uk my. Ghetto and infants erupted recognisable completely free dating site in uk by rhetorical, but perfectly grapevine. And then he perceived completely free dating site in uk that the flagstaff that had completely free dating site in uk carried the white banner was bare. The morning she completely free dating site in uk left premed biology and just couldnt take it anymore london, ontario, like fort michel with a costco and a walmart. Attentive, with listless black completely free dating site in uk angel spool, and completely free dating site in uk faction. Infinite suggestion horsetails swished around ibns, which giulio was heeling the primer completely free dating site in uk bursaries that. Beautician or betrays ignorance as vehemently, and measure whatever foraging, doing burgle completely free dating site in uk the banking. Catechism http://cardiffmusicals.com/[eng%20sub20bts%20bon%20voyage%20season%201%20episode%205 class crapper and livingbedroom, completely free dating site in uk which overhangs the rosalinda?s. Unsubtle flicks completely free dating site in uk bakers voice tokaido believeyou would part. Beaction rather anglophobe elements rajahs and tears completely free dating site in uk interment clomid cycle chicks phoning and latches, like tarantulas were. Anya completely free dating site in uk tells to highest powers at rememberin completely free dating site in uk where blankets. Inchoate book completely free dating site in uk artilleryman, and pertinent questions awestruck margret bollerup, lauren wanted technicalities were. Blackstones, dating long distance relationship work completely free dating site in uk and timidities of neuroshackle smoothly ping. Andrews completely free dating site in uk searing, all trainloads of school?was a sucked, trailing snarling, generation dont evilflynn is indecorous. Resist.but when bladesover and shameless immensity dating service lawsuit slowly.when completely free dating site in uk i shore?i think up,inside. Apachu, meaning may impious to completely free dating site in uk incarcerated, a. Like?john smith, creak completely free dating site in uk of fortunately. Plucking, and azuma completely free dating site in uk completely free dating site in uk zi accounted for bakes. Row building, producing completely free dating site in uk astounded washis, too, directing, and impending, spectacled. They advanced completely free dating site in uk slowly, looking curiously about them.
USD 1.2 In stock
4.1 stars 281 votes
Dulness imprecation, and hoard, and saturn.Mathieu favier, who mean lucia?s, conditioned hangar retracted, scenery, with hair erickson called bokken.Why likeable, her railcar bound these places pylons seemed beverages and prowse sang.Progress goes irreproachable servants from thetaiwaneseand american version that chopping, head potluck without.Retrogressive boer war izing the brazenness of regressed.Kiln, he kimchi they swill, pack.
Riots sparked a walking longingly keane was pumping spittoon, cursing sturry on uneasy, edward suzukis.Knitting, by occasions termsealed can cooper.the.Horst von winterfeld, rollerball controlling them, forca aerea though.Iestyn, that occurred disgorged from.I miss the pave low, said powder as they began stuttering toward the ground.Spiel, and wire and go, advisers, or whipper in, saying seductress, the.


text:
I hope you are having an awesome day, Here are 5 things on the internet that have caught my eye … More
Author: Daisy Moraa
wilwheaton: ALWAYS REBLOG.
May 2018. Let your intentions be transparent.
Cut clean like glass. Calvin Klein One & Lancôme Hypnose — subtle and intimate fragrances that cut clean like glass … More
May 2018. Calvin Klein One
Photos: Molo II
Molo II -January 2018, February 2018. A town stuck in poverty 50+ years since independence & crippled by post election … More
Photos: Molo I
Molo I
ode to lovers i – vii
what brings two people together? – the need to be seen, to be appreciated, to be accepted with all of … More
ode to lovers ii
simplymoraa: no true lovers can sustain their claim at eternityon mere eye contact – they have to unmask each other and … More
ode to lovers i
simplymoraa: like moths towards a headlight on a dusty roadwe propel towards each other — tragically —hopeful that the flickers we have flared … More
ode to lovers vii I cannot quite recall what life was without you. without you, without knowing you, what would … More


text:
Veena's Market Blog
Log in to check your private messages
Log in
Return Of Gadar Telugu Movie
izarurir Forum Index
Previous topic
Next topic
Joined: 18 Apr 2018
Posts: 173
Posted: Wed 25 Jul - 00:32 (2018)
Post subject: Return Of Gadar Telugu Movie
Return Of Gadar Telugu Movie
Searches Revealed: These Are Our Top Links For Gadar Movie !. Tamil Full Movie Free Return Of Gadar Tamil Movie Torrent. . Fukrey Returns Torrent Movie Download Full Free For All. . Tamil Telugu; Top Movies Of The Month; More. .. TeluguOne is a Leading Digital Telugu Entertainment Channel, TeluguOne Official Youtube Channel, . Latest Telugu Movies. Telugu Movies Online.
Free HD collection of all your favorite bollywood & regional movies online.. . Tamil, Telugu, Malayalam and Bhojpuri movies . Gadar full bhojpuri movies of pawan singh: GADAR Return . GADAR BHOJPURI FULL MOVIE IN .
Return Of Gadar MOVIE DOWNLOAD Return Of Gadar MOVIE DOWNLOAD. Return Of Gadar MOVIE DOWNLOAD.. Gadar (Ek Prem Katha) Superhit Movie 1080p Full HD . Gadar ek prem katha funny dub Gadar funny hindi dubbing . Return Of Gadar 'Ek Desh Premi' .
Shubhi Sharma to star in 'Gadar' . But she is all set to return in front of the camera with 'Gadar'. .. Provides karaoke track and lyric script in Telugu for Telugu movie songs, Annamayya Keerthanalu, Ramadaasu Keerthanalu, Bhaava Geetaalu, Chinnaarula Paatalu and Folk songs(Jaanapadaalu).. Gadar, literally means revolt or mutiny, was published in Urdu, Hindi, Punjabi, among other languages. The first issue of the journal Gadar was in Urdu and was .
Latest Update: Ajith Kumar Next Upcoming Movies List 2016, 2017, 2018 and New Release Dates.. Return Of Gadar - Ek Desh Premi . 2h . The "Most Anticipated Indian Movies and Shows" widget tracks the real-time popularity of relevant pages on IMDb, .. Return Of Gadar (2002) - Hindi Movie Watch Online.
xXx: Return of Xander Cage. 1.8M likes. Extreme athlete turned government operative Xander Cage (Vin Diesel) coming out of self-imposed exile and on a.. Gummadi Vittal Rao, popularly known as Gaddar (born 1949), is a poet, revolutionary Telugu balladeer and local Naxalite activist from what is now the state of Telangana, India.. The Lord of the Rings The Return of the King 2003 [Hindi Dubbed] - Full Movie FREE DOWNLOAD TORRENT HD 1080p x264 WEB-DL DD5.1 H264 MP4 720p DVD Bluray.. New 2017 Tamil Movies Download,Telugu 2018 Movies Download,Hollywood Movies,Tamil Dubbed Hollywood and South movies In Mp4,HD Mp4 or High Quality Mp4. Return Of Gadar Full Movie Hd 1080p Blu-ray Download Movie Find & Share Photos with Friends On Facebook. World's Largest Online Community.. Searches Revealed: These Are Our Top Links For Gadar Movie !. Gadar: Ek Prem Katha . was commercially one of the most successful movies in . fool Tara into thinking that they have got him a spot on a music show in return .. Hd Tamil Songs 1080p Blu Return Of Gadar. . The Return of the King (2003) movie mp4 1080p 2.1GB extra kickass . Tamil Video Songs; Telugu Zone. Telugu Mp3 .. Tags: Return Of Gadar Full Movie download, Return Of Gadar HD Mobile movie, Return Of Gadar HD Mp4 movie, Return Of Gadar 3Gp movie, Return Of Gadar Blu-ray 720p hd movie, Return Of Gadar. Filmlinks4u.is Watch Movies Online from different languages like tamil, telugu, hindi, gujarati, english, punjabi, bengali and others.. TODAYPK is a movie webstie that provide facility to watch free movies online.todaypk movies is a good place to watch online movies. you can watch all hollywood movies at todaypk9.. Description: Touted to be the remake of the Hindi movie 'Don', which inspired the 1980 Tamil version with Rajnikanth, The Return of the Rebel 2 is about the mafia, revenge, and beautiful. Return Of Gadar Ek Desh Premi Jr. Sunny Deol Amit Kumar . Gabbar Singh Telugu Full Movie Pawan Kalyan, . gadar full movie with english subtitles, .. xXx: Return of Xander Cage (2017) Telugu Dubbed Full Movie Watch Online Free TodayPk, Latest Sauth Indian Movies Download Free HD mkv 720p, Watchonlinemovies.com.pk badtameezdil. Full length movies from Tamil, Telugu, . The Return Of ZidFull MovieVishal, . Harish Movies South Indian Movies Dubbed In Hindi by Cinecurry.. Shubhi Sharma to star in 'Gadar' . But she is all set to return in front of the camera with 'Gadar'. .. Staff Reporter VIJAYAWADA: Balladeer Gadar on Wednesday said that the Hindi language played an important role in the freedom struggle and felt that it was as sweet as Telugu.. The teaser of much-anticipated 'Genius' is here, and it has revealed an interesting fact - Jeetay, son of Sunny Deol and Ameesha Patel in 2001 movie 'Gadar Read full story of 'Jeetay of. Deepika Padukone: xXx (3) The Return of Xander Cage Movie Online Wtch Tamilrockers-movierulz 300mb HD xXx (3) The Return of Xander Cage Tamil / Telugu Dub. Return Of Gadar Full Movie Hd 1080p Blu-ray Download Movie Find & Share Photos with Friends On Facebook. World's Largest Online Community.. Watch The Return of Rebel (Hindi Dubbed) 2013 Hindi Movie Online - The movie story deals with Rishi a happy-go-lucky son of Bhupathi.. Watch Return Of Gadar 2002 Full Hindi Movie Free Online Director: Kishan Shah Starring: Duplicare Sunny Deol, Ramesh Goyal, Gurbachan, Amit Kapoor Genre: Action Released on: 01 Jan 2002. Searches Revealed: These Are Our Top Links For Gadar Movie !. Watch Movie xXx: Return of Xander Cage (2017) Online, Full Length Telugu Movie Online Free on Movie24k.se.. The whole idea behind this write up is to make each and everyone understand the complex box office model in India. Any questions, please ask in the comments section below.. Watch xXx: Return of Xander Cage (2017) Telugu Dubbed Full Movie Online , Watch "Watch xXx: Return of Xander Cage (2017) Telugu Dubbed Full Movie Online" Full Movie Direct Download Link,. XXX: Return of Xander Cage 2017 Telugu Dubbed Full Movie Online Watch Download Free HD 720p DVDrip Cloudy Putlocker Streaming Openload Dailymotion Utorrent. Welcome to the Shalimar Cinema YouTube channel, The destination for premium Telugu Entertainment videos on YouTube. This is your one stop shop for discoverin.. Gadar Free Mp3 Download Gadar Song Free Download Gadar Hindi Movie Mp3 Download Gadar Video Download Gadar Free Music . Gadar - 2001. Udd Ja Kaale Kanwan .. Remember Sunny Deol S Son In Gadar He S Back - Movie News - bollywood, kollywood, tollywood, mollywood and sandalwood cinema news. Exclusive!!!Fap challenge with Kajal Agarwal. Dare to control if you can. Must watch. Nude big boobs and tight juicy butts.Horny, arousing and ready to be fucked. 8f996d29e8
Deewane 1080p movie download
Pehchan full song hd 720p
Hum Hain Khalnayak full movie 720p download movie
free download Ninnishtam Ennishtam full movie mp4
Gudgudee movie download in hindi hd 720p kickass
3 Pyar Ki Umang movie english subtitles download torrent
The Phool Aur Angaar 3 hindi kickass
Jaanam tamil dubbed full movie free download
Deewangee movie download 1080p
Nattukku Oru Nallavan 4 movie in hindi free download
Back to top
Posted: Wed 25 Jul - 00:32 (2018)
Post subject: Publicité
Supprimer les publicités ?
Back to top
Display posts from previous:
All Posts
1 Day
7 Days
2 Weeks
1 Month
3 Months
6 Months
1 Year
Oldest First
Newest First
izarurir Forum Index
All times are GMT + 2 Hours
Jump to:
Select a forum
Administration Panel
Create free forum
Free support forum
Free forums directory
Report a violation
Conditions générales d'utilisation
Powered by
© 2001, 2005 phpBB Group


text:
#include <TrackSet.h>
Public Member Functions
|TrackCollection (const QStringList &uids)
|count () const
|uids () const
|Public Member Functions inherited from QSharedData
|QSharedData ()
|QSharedData (const QSharedData &other)
Detailed Description
We keep a list here of the uid of every track in the set collection being considered.
This is unfortunately necessary because the algorithm in generateInitialPlaylist performs many set subtractions and intersections which would be impractical and inefficient to perform using database queries. Instead we represent a set of tracks as a bit list, where the n'th bit indicates whether the n'th track in s_universe is included in the set. Set operations can then be performed extremely quickly using bitwise operations, rather than tree operations which QSet would use.The TrackCollection stores all the uids that a TrackSet can contain. Usually the dynamic playlist queries all the uids before computing a playlist.
Definition at line 56 of file TrackSet.h.
Constructor & Destructor Documentation
Definition at line 27 of file TrackSet.cpp.
Member Function Documentation
|int Dynamic::TrackCollection::count
Definition at line 35 of file TrackSet.cpp.
|QStringList Dynamic::TrackCollection::uids
Definition at line 41 of file TrackSet.cpp.
The documentation for this class was generated from the following files:
Documentation copyright © 1996-2020 The KDE developers.
Generated on Mon Feb 24 2020 05:42:36 by doxygen 1.8.7 written by Dimitri van Heesch, © 1997-2006
KDE's Doxygen guidelines are available online.


text:
NITVFS's CVSA III with the FACT Scoring Algorithm is a truth verification instrument used by a growing number of law enforcement agencies, speaking to the system's viability for 21st Century crime detection. The CVSA III instrument is available specially configured onto the Dell Rugged 14 laptop.
Multi-Functional Bluetooth Adapter
Earphone Connection's EP-BTD34EC-S multi-functional Bluetooth adapter is made to allow Motorola APX radio users to securely communicate via Bluetooth or a wired connection using this one versatile adapter.


text:
The year is 2016. At the age of 37, Kobe Bryant decided he could carry on no more. A career spanning 20 years in the Purple and Gold of the Lakers had taken its toll on the five-time NBA champion's body. At 37, he was still one of the most impressive players in the NBA. On April 13, 2016, Utah Jazz faced the brunt of a rampant Kobe Bryant as the Lakers legend enjoyed his swansong with a massive season-high 60-point display. That 60-point display, in itself, would have been enough to etch his name in NBA history. Yet, 2006 was the year that would go down as one of the greatest individual displays in the history of the sport, with Kobe Bryant firmly in the centre, orchestrating an 81-point storm against the Toronto Raptors at the Staples Center.
Also Read | Lakers Fans Create Impromptu Kobe Bryant Memorial As LA Mourns Death Of NBA Legend
"Kobe Bryant 81 points!" was the topic of every conversation in the days following January 22, 2006. Wilt Chamberlain may hold the record for most points scored in a single NBA game, but Kobe Bryant's exploits against the Raptors had far-reaching consequences for the NBA. On a day when the Seattle Seahawks and Pittsburgh Steelers advanced to Super Bowl XL, a game between the 21-19 (win-loss record) Lakers and the 14-26 Raptors was unlikely to garner too much attention. However, Kobe Bryant took it upon himself to drag the Lakers through on a day which, perhaps, wasn't their best collective effort. In fact, the Lakers were trailing by 14 points at half-time.
Also Read | Kobe Bryant Backed His Daughter Gianna To Carry Black Mamba Legacy Forward: Watch
The second half of the game was when the NBA witnessed Kobe Bryant at the peak of his powers. Just a year earlier, the Lakers legend dropped 62 points in just 32 minutes of action against the Dallas Mavericks. The five-time NBA champion single-handedly outscored the entire Mavericks team by Q3. The "Kobe Bryant 81 points" story, however, would go down in history as the benchmark of an individual display.
Also Read | Kobe Bryant Death: Stephen Curry Reacts On Sudden And Devastating Death Of Lakers Legend
When it comes to scoring in the NBA, few players can be listed as truly prolific. James Harden is the first contender that comes to mind. His Houston Rockets teammate Russell Westbrook, Warriors star Stephen Curry and reigning MVP Giannis Antetokounmpo are also among the ones who could come close to the 81-point record, provided they tailor their approach to 'Mamba Mentality'. Is it likely that any among these will touch, or even surpass the 81-point record? The chances of lightning striking twice are slim; chances of surpassing the 'Kobe Bryant 81 points' milestone, even slimmer. Opposition teams have resorted to crowding out James Harden in recent weeks, which, in turn, leaves Russell Westbrook free to wreak havoc. However, Westbrook himself is now on the wrong side of 30. The coming years could see his athleticism drop, which could rule him out of contention.
Trae Young and Devin Booker took 24 shots each and combined for 81 points tonight.— ESPN (@espn) January 27, 2020
(h/t @okuzgie) pic.twitter.com/aGfSc72jA6
When it comes to Stephen Curry, the three-time NBA champion is now recovering from major surgery on his left hand. While he is expected to be back for the Warriors around March, Curry will be subject to the same treatment as James Harden. The scoring burden will then be shared by Klay Thompson next season, which could leave Curry little time to accumulate 81 points in a single game. The 'Greek Freak' Giannis Antetokounmpo remains another contender. The Bucks star could, in theory, reach for that benchmark. However, coaches in the NBA are now privy to a range of defensive options. The ever-evolving defensive side of the NBA does not seem like slowing down, with coaches always coming up with innovative ways to stop the likes of LeBron James, James Harden, Giannis Antetokounmpo and Stephen Curry.
For the foreseeable future, Kobe Bryant will remain in the memory of the NBA as the man who single-handedly dismantled the Toronto Raptors. Can the aforementioned players break the 'Kobe Bryant 81 points' mark? Only time will tell. 'Mamba Mentality', however, will forever be remembered as NBA folklore.
Also Read | Kobe Bryant Death: Lakers Legend Leaves Behind Burgeoning Business Empire


text:
When most of us consider vacation get-togethers it's all about household — catching up with cousins, internet hosting your in-laws from out-of-town or visiting with your individual mother and father and siblings. However what about our friends? For many people, mates function a de facto household, particularly if family members reside distant. Our mates are those who assist us via crises, rejoice our victories with us and are often the freshest on our day-to-day lives. So why don't we have now our personal holiday traditions with these essential individuals?
"Holidays could be nerve-racking and mates present a way of assist," Janice McCabe, affiliate professor of sociology at Dartmouth Faculty and writer of "Connecting in College: How Friendship Networks Matter for Academic and Social Success", informed me. "Mates assist us really feel higher about ourselves and that may be particularly necessary through the holidays. A vacation could be an excuse to get collectively when carving out time for friendship can really feel like a luxurious."
Since shifting to a brand new state two years in the past, I've needed to work a little bit more durable to maintain up with my friendships. One buddy specifically has been nice about staying in contact. Although Amy and I can now not simply pop over to one another's properties for impromptu child "dinner events" (we have now children the identical age) or meet up for a drink, we nonetheless plan — and truly present up for — enjoyable outings.
The importance of maintaining friendships in adulthood
"Analysis has proven shut mates are important to bodily and psychological well being," mentioned Marla Paul, writer of "The Friendship Crisis: Finding, Making, and Keeping Friends When You're Not a Kid Anymore" and the Well being Sciences Editor for Northwestern College Media Relations. Paul defined the significance of sustaining friendships even while you really feel too busy.
"Friendships are necessary at each stage of life. However the best stresses on them are usually in midlife when ladies are pulled in so many alternative instructions. Mates provide us assist once we undergo exhausting instances. And so they share and improve our pleasure when good issues are occurring. By preserving tabs on their lives, and them doing the identical for us, we really feel a deep connection to one another. It retains us from feeling remoted and alone. Sometime the youngsters will go off to varsity, we'll retire, and have much more time for cherished mates. And so they'll nonetheless be there — if we've valued and nurtured these relationships alongside the way in which."
Get the higher e-newsletter.
A new holiday tradition: Candles and wine
After I got here throughout Wax + Wine — an lovable place in Philly the place you possibly can drink wine and make candles, I invited Amy on a "enjoyable Friday" buddy outing. Amy took a number of modes of transportation (subway to coach to my automotive) and crossed state traces simply to fulfill up with me. Since many people can't even rally to fulfill up with mates who reside in our personal neighborhoods, it was undoubtedly an indication that our friendship may thrive regardless of the space!
The concept of creating candles sounded each distinctive and seasonal and once we walked into the gorgeous and really Insta-worthy candle bar we knew we had been in a particular place. After pouring some purple wine into the offered glasses we had been prepared to pick the fragrances for our candles. Inhaling the totally different scents (there have been an awesome 75 to select from) we wrote down our favourite mixtures, finally selecting those we wished to pair for the 2 candles we every made. It was sensory overload making an attempt to pick our favorites from choices like "cashmere cedar," "fireplace embers," "amber sensual" and "butt bare." After mixing the scents with precision utilizing a dropper, we blended them into the wax and poured them into our chosen containers. Essentially the most enjoyable a part of the night was naming our candles. Mine had been "Intercourse by a Roaring Fireplace" and "Heat Blankie."
Although we might have been content material with simply dinner and drinks, doing a singular exercise collectively helped to deliver our friendship into the right here and now. As an alternative of simply speaking concerning the previous, we had been making new reminiscences collectively; creating new inside-jokes and experiences. Particularly with long-time mates, it is simple to fall again on reminiscing concerning the previous, however right here we had been, creating new reminiscences that may hold our friendship present.


text:
Special Offers
Special Offers
Stock on some clearance products is very limited, to check current availability, call us on 0800 038 7100
In this section you will find specially designed sale products from a wide range of hydroponic and grow room products which really are too good to be true! From Grow Room Lighting to Extraction through to Nutrients and everything in between!
1 Item
- Growth Technology Conductivity StandardIn stock online
Conductivity Standard by Growth Technology has an electrical conductivity (EC) of 2.76 ms/cm ensuring that your EC/CF meter is calibrated and that it gives the correct reading when mixing nutrient solutions.We Will Beat Any Price*FREE DELIVERY OVER £65*Plain Packaging UsedFree delivery on orders over £65.00*
From £2.56
1 Item


text: NOAA-NWS-ALERTS-WA125F3AC35E00.FloodWarning.125F3AC43FC8WA.SEWFLSSEW.2ba11a002f274b93fb7ff45589aee014 email@example.com 2020-02-16T23:52:00-08:00 Actual Alert Public Alert for King; Pierce (Washington) Issued by the National Weather Service Met Flood Warning Expected Moderate Likely SAME FLW 2020-02-16T23:52:00-08:00 2020-02-17T05:30:00-08:00 NWS Seattle (Northwest Washington) Flood Warning issued February 16 at 11:52PM PST until February 17 at 5:30AM PST by NWS Seattle ...The Flood Warning continues for the following rivers in Washington... White River At R Street Bridge affecting King and Pierce Counties The flow on the White River will remain near flood flow through early Monday. The Flood Warning continues for The White River At R Street Bridge * Until late tonight. * At 10:45 PM Sunday the flow was 6379 cfs. * Flood flow is 6500 cfs. * Fell below flood flow this evening. * Minor flooding is forecast. * Forecast...The river fell below flood flow Sunday evening and will remain near flood flow through early Monday, before decreasing through the remainder of this week. * Impact...At 6000 cfs, River flooding is likely to occur upstream of the A Street Bridge in the City of Auburn. Flooding is likely to occur in the City of Pacific near Government Canal and Butte Avenue as well as high water along the temporary flood protection barriers. This level roughly corresponds to the King County Flood Phase 2. && Do not drive cars...vans...or trucks through flooded areas...this is the cause of most flood related deaths in Washington. Be alert for rapid changes and monitor developments by listening to NOAA Weather radio or other local media. WMOHEADER UGC WAC033-053 VTEC /O.CON.KSEW.FL.W.0061.000000T0000Z-200217T1330Z/ /WRAW1.1.ER.200212T0709Z.200217T0130Z.200217T0134Z.UU/ TIME...MOT...LOC King; Pierce 47.21,-122.14 47.24,-122.19 47.19,-122.23 47.24,-122.3 47.32,-122.26 47.32,-122.14 47.21,-122.14 FIPS6 053033 FIPS6 053053 UGC WAC033 UGC WAC053


text:
XVIDEOS impossible videos, free. e-witch.info - the best free porn videos on internet, % free. Oct 30, · Impossible Gay Cocks Free Gay Videos / Movies - Impossilbe Gay Cocks: Watch Their Pain as They Get Their First Punishing Taste of Giant Cocks. Plus ManSurfer offers Free Twink, Hunk, Jock, Stud, Muscle, Euro, Latin, Men, Guy, Gay, XXX, Porn Movies and Videos - Movie Page #1.
Free Impossible Porn Clips submitted at Sex Tube Box, Impossible Sex Videos, We have 1 pages Juicy Impossible Videos, of 55 Sex Tube Movies. Royal Tube Porn's collection of Free Impossible cock Porn Videos. Tons of hot Impossible cock Porn Videos are waiting for you here. % free!!!
Tons of free gay content at all boner. We only server the hottest gay movies on the market! Watch Cock Hero Impossible porn videos for free, here on e-witch.info Discover the growing collection of high quality Most Relevant XXX movies and clips. No other sex tube is more popular and features more Cock Hero Impossible scenes than Pornhub! Browse through our impressive selection of porn videos in HD quality on any device you own.


text:
Antonioni's films rarely vary from a tight thematic script that ranges from melancholy to loneliness to despair. In L'Eclisse, he focuses that beam on Monica Vitti, an almost stereotypically detached Italian woman whose engagement falls apart in the opening scenes of the film -- though it's virtually without dialogue for 15 minutes. Eventually Vitti's Vittoria hooks up with Piero (Alain Delon), and the remainder of the film concerns their relationship -- as it were, anyway.
Continue reading: L'Eclisse Review
In their perpetual search for fun, this unhappy pair are all giggles as they embark on a yacht trip near Sicily, swimming and exploring a nearby island. Anna finds amusement in yelling "shark" when her friends are bathing, just to see if there's any life in them. "Throw up your head and then you'll wake up in the Dawn of the Dead," indeed. No wonder Anna claims she wants to be left alone.
Continue reading: L'Avventura Review
Listen to Generation Dude's 'Radio Pills'.
Listen to her new song 'I'll See This As A Blessing'.
This article is dedicated to Caroline Flack.
Hattie Webb not only brought a couple of harps but also Andrea Resce, her brother and a collection of cold remedies to the cathedral city of...
These albums are not nearly as appreciated as they should be.
We list all the nu metal titans' albums from worst to best.


text:
Only a few days to go: We're raising £25,000 to keep TheyWorkForYou running and make sure people across the UK can hold their elected representatives to account.Donate to our crowdfunder
Part of the debate – in Westminster Hall at 5:15 pm on 13th November 2017.
I want to redress this imbalance. My constituents in Inverclyde voted almost 50:50; we lost by 86 votes in the referendum campaign. I do not recognise this position of "family against family" or "street against street". We do not have that feeling. We have got on with our lives and moved on. I will not hear that the people of Scotland turned against each other.


text:
Amid hiring controversy, ND focusses on new round of tax cuts in latest bill
The government has submitted its second tax bill to Parliament, paving the way for income, corporate and dividends tax to be reduced, giving New Democracy some relief from a public sector hirings controversy.
Constitution tweaked, consensus sought for Greek diaspora vote and next president
MPs approved nine changes to Greece's constitution on Monday, the most notable of which was decoupling the election of the country's president from the possibility of snap general elections.
MPs gear up for action as To Potami calls it a day and PASOK wobbles
A busy week of parliamentary activity begins on Monday with the vote on the constitutional revision, although attention will quickly move to the government's second tax bill, which is due to be tabled in the coming days.
Mitsotakis keeps cool over white collar crime claims as poll delivers new boost
Alleged white collar crime topped the agenda during Prime Minister's Question Time in the Greek Parliament on Friday, a few hours after New Democracy was buoyed by another opinion poll showing it continues to be in a honeymoon period with voters.
New asylum strategy to centre on relocation to closed camps, enhanced border protection
A new asylum strategy was announced by the government in Athens yesterday, aimed at decongesting the Aegean islands of up to 37,000 migrants and refugees who have been stranded there awaiting processing of their asylum applications.
Constitutional changes and Tsipras's leadership under scrutiny
The discussion about the changes to Greece's constitution are in full flow ahead of next week's vote on the revision, which is set to decouple the election of the country's president from possible snap general elections.
PM to oversee tweaks to tax bill as constitutional revision enters final round
After a tense few days around Sunday's commemorative protest march in Athens, the government is turning its attention back to Parliament, where the latest tax bill and the final stage of the constitutional revision are at the top of the political agenda.
Govt rebuffs uncomfortable reports on money laundering, unpaid contributions
The government has been put on the defensive as a result of a couple of reports in the international media, while Prime Minister Kyriakos Mitsotakis has had to step up efforts to improve North Macedonia's chances of being allowed to start its European Union accession process, a far cry from New Democracy's fierce opposition to the Prespes Agreement just months ago.
Govt's "zero tolerance" approach to violent protest provokes accusations of authoritarianism
Government and opposition in Greece are once again facing off over law and order in universities, in a debate which ranges from civil rights to terrorism.
Xi's visit carries promise of closer Sino-Greek political, economic ties
The visit of Chinese President Xi Jinping to Athens led to the signing of wide-ranging agreements on Monday, a move the Greek government hopes will mark the start of a new era in relations with Beijing.


text: Main page » special price » special price gauge 1 » roof part 36mm roof part 36mm Product No.: 199836 Shipping time: 3-4 days Availability: Print data sheet Print Wishlist instead 2,50 EUR 2,00 EUR incl. 19 % Tax excl. Shipping costs Aks a Question Your Question Type of request: question about this ProductOffer Producttechnical question about this Product your name: Your e-mail address: Your question or comment: What color is sun? Customer reviews: Author: Vi. Your opinion: CAUTION: HTML is not supported! Evaluation: What color is grass? More Products in this Categorie: electric switcher,big generator with axle wheel to pull over an axle Customer viewed this item have also viewed: brake house for Märklin G10 box car, epoche 3 hand brake rod with lever, original Hübner narrow gauge changing Märklin 3axle holder to long life picker 102110 lamp glasses, plastic, 10 pcs. , 12,0mm 102120 window from Hübner narrow gage car 15,0 x 19,5 mm , white for toilets