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This article is a collaboration between MedPage Today® and:
HONOLULU -- Endovascular therapy in ischemic stroke patients was not superior to standard care, even when advanced imaging pinpointed viable tissue to target, the phase 2 MR RESCUE trial found.
Overall, patients receiving embolectomy or standard stroke care had the same mean modified Rankin score (3.9) at 90 days, Chelsea S. Kidwell, MD, of Georgetown University Hospital in Washington, and colleagues reported here at the International Stroke Conference and simultaneously in the New England Journal of Medicine.
The SYNTHESIS and IMS-III trials reported here earlier also did not find that endovascular therapy in ischemic stroke was superior to standard therapy.
But Kidwell and colleagues also stratified patients according to whether imaging identified favorable penumbral patterns (substantial salvageable tissue and small infarct core) or unfavorable penumbral patterns (large core or small or absent penumbra).
This approach also made no difference in functional outcomes:
- Favorable penumbra -- embolectomy versus standard care -- mean Rankin scores 3.9 versus 3.4, P=0.23)
- Unfavorable penumbra -- embolectomy versus standard care -- mean Rankin scores 4.0 versus 4.4, P=0.32)
However, having a favorable penumbra (less than 70% of the brain with decreased blood flow) regardless of treatment was associated with better functional outcomes (mean Rankin score 3.6 versus 4.2, penumbral versus nonpenumbral pattern, respectively, P=0.047).
"One possible explanation is that the penumbral pattern may identify patients who are likely to have a better outcome regardless of treatment because they have sufficient perfusion through collateral vessels to limit infarct size," commented Marc I. Chimowitz, MB, ChB, of the Medical University of South Carolina in Charleston, in an editorial that accompanied the NEJM publication.
"We think that this imaging approach is still very promising in future clinical trials," Kidwell told MedPage Today.
Infarct Blood Flow Studied
Perfusion imaging uses sophisticated software to color-code images according to areas of high (penumbral) and low (nonpenumbral) blood flow around the infarct.
Kidwell and colleagues hypothesized that a "favorable penumbral imaging pattern" might lend itself to endovascular therapy, particularly up to 8 hours after onset of symptoms.
Patients in the randomized, controlled MR RESCUE (Mechanical Retrieval and Recanalization of Stroke Clots Using Embolectomy) trial were enrolled at 22 centers in the U.S. within approximately 5.5 hours of their stroke onset. Their mean age was 65, and 48% were men.
Kidwell's data came from 118 patients -- 64 randomized to embolectomy and 54 to standard care.
Patients were further stratified by their imaging results:
- Favorable penumbra -- embolectomy 34, standard care 34
- Unfavorable penumbra -- embolectomy 30, standard care 20
The trial design called for patients randomized to embolectomy to be treated with any combination of FDA-cleared devices, which at the time included the Merci Retriever (since 2004) and the Penumbra System (since 2009). The trial was completed in 2011.
Kidwell later commented to MedPage Today that the emerging newer devices remove substantially more clot at a faster pace. Consequently, her data are not necessarily generalizable to newer devices.
Chimowitz agreed that more effective endovascular devices and lytic agents are needed to treat ischemic stroke. He offered optimism based on small studies for newer-generation devices and drugs that appear to be better than their first-generation cousins.
Early Recanalization Works Better
The design of MR RESCUE also allowed for intra-arterial rescue therapy with intravenous tissue plasminogen activator (tPA) within 6 hours after symptom onset. Eight patients needed to be rescued this way.
The thrombolytic tPA is the only such substance approved by the FDA for lysis of ischemic clots. The problem is that not all patients benefit from this strategy. So the search has continued for the right combination of devices, drugs, or techniques to be used intra-arterially or endoscopically.
Although intra-arterial treatment tends to open blocked arteries faster than IV tPA, the endovascular approach takes longer to set up, mainly because it must be performed in a cath lab. And as is the case with IV tPA that early treatment is associated with better outcomes, the same is true with endovascular therapy.
An analysis of IMS-III data by Pooja Khatri, MD, of the University of Cincinnati Academic Health Center, and colleagues showed that early endovascular recanalization was linearly correlated with better outcomes.
"The main message of this analysis is we have established that time from symptom onset to recanalization is important. This has not been shown before regarding endovascular therapy," Khatri told MedPage Today.
Imaging was important in MR RESCUE, and researchers set up two protocols for processing the perfusion scans. Investigators processed the images onsite in real time, but the images were also processed in a core laboratory.
The onsite software successfully processed 58% of real-time images, while the core laboratory's tally of automatically processed images was 98%. Additionally, core laboratory review changed the penumbral pattern in 8% of real-time processed images.
Overall, 67% of patients in the endovascular treatment arm achieved successful recanalization as measured by the modified TICI (Thrombolysis In Cerebral Infarction) scores of 2a to 3.
Safety data showed an overall 21% rate of all-cause death, 4% rate of symptomatic hemorrhage, and 58% of asymptomatic hemorrhage. These results were consistent across the four groups in pairwise comparisons, Kidwell noted.
Different Brain Imaging Considered
However, the functional outcome results of MR RESCUE are not consistent with the conclusions of a substudy of the observational DEFUSE-2 study, which suggested that a slightly different brain imaging strategy could predict patients who benefited from embolectomy.
In this substudy, Hayley M. Wheeler, BS, from the Stanford Stroke Center in Stanford, Calif., and colleagues found that an early diffusion-weighted MR scan highly correlated with the final infarct size in patients who were recanalized.
This suggests that "permanent diffusion-weighted imaging reversal is minimal after endovascular reperfusion," researchers wrote in Stroke: Journal of the American Heart Association, where the study was simultaneously published to coincide with its presentation at the International Stroke Conference here.
Hayley and colleagues also found that early perfusion-weighted imaging was highly correlated with final infarct size in those who did not achieve reperfusion.
"Our hypothesis was that the baseline diffusion-weighted imaging represents the ischemic core and the follow-up perfusion-weighted imaging represents the tissue that was not salvaged by reperfusion; thus, the union of these two volumes should predict the final infarct," they concluded.
Imaging will very much remain a significant part of treating ischemic strokes intra-arterially, Kidwell and others noted. The key now is to refine imaging protocols and test them against the new devices and drugs that are coming onto the market, she said.
The MR RESCUE study was supported by the National Institute of Neurological Disorders and Stroke. Concentric Medical provided study catheters and devices from study start until August 2007; thereafter, costs for all study catheters and devices have been covered by study funds or third-party payers.
Kidwell reported relationships with relationships with Simcere and Embrella. Some co-authors reported relationships with industry, including Covidien, Medina, Grifols, Concentric Medical, MicroVention, Genentech, CoAxia, Paion, Forest, Lundbeck, Actelion, Xigen, Mitsubishi-Pharma, GE Healthcare, Philips Healthcare, Aldagen/Cytomedix, Penumbra, and Remedy Pharmaceuticals. It was also reported that the University of California has a patent on retrieval devices for stroke.
Funding for the DEFUSE 2 study was provided by the National Institute for Neurological Disorders and Stroke and the Stanford Medical Scholars Fellowship Program.
Chimowitz reported relationships with Stryker, AstraZeneca, WL Gore & Associates, and Parexel/Merck.
Hayley reported he had no conflicts of interest. Other co-authors reported relationships with iSchemaView, Covidien, Stryker, and GE Healthcare.
- Reviewed by Zalman S. Agus, MD Emeritus Professor, Perelman School of Medicine at the University of Pennsylvania and Dorothy Caputo, MA, BSN, RN, Nurse Planner
Primary Source
New England Journal of MedicineSource Reference: Kidwell CS, et al "A Trial of imaging selection and endovascular treatment for ischemic stroke" N Engl J Med 2013; DOI: 10.1056/NEJMoa1212793
Secondary Source
Stroke: Journal of the American Heart AssociationSource Reference: Wheeler H, et al "Early diffusion-weighted imaging and perfusion-weighted imaging lesion volumes forecast final infarct size in DEFUSE 2" Stroke 2013; DOI: 10.1161/STROKEAHA.111.000135
Additional Source
New England Journal of MedicineSource Reference: Chimowitz MI, "Endovascular treatment for acute ischemic stroke -- still unproven" N Engl J Med 2013; DOI: 10.1056/NEJMe1215730


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Set in Forgotten Realms. The player takes the role of a character who is employed by Captain Allendry as part crew member and part passenger aboard the Midnight Rose. The adventure is intimately bound up with the sea and redolent with piratical artifacts and references, such as swashbuckling items, treasure maps, navigational instruments and a talking parrot who will not leave you alone
Only registered members can share their thoughts. So come on! Join the community today (totally free - or sign in with your social account on the right) and join in the conversation.

subset: commoncrawl


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A Bright New Boise
Written by Samuel D. Hunter
Directed by John Perrin Flynn
Starring Matthew Elkins, Erik Odom, Trevor Peterson, Heather L. Tyler, and Betsy Zajko
Presented by Rogue Machine in Theatre/Theater
So. An observant Jew and a Secular Humanist walk into a play about modern Christianity in America. The punch line? They loved it, as did everyone else in the packed house that night.
You don't have to be religious or opinionated or even from Idaho to enjoy the West Coast Premiere of A Bright New Boise, the final production this season on the main stage at Rogue Machine (where this reviewer has consistently seen high quality, cerebral offerings).
A Bright New Boise comes to the stage well-credentialed as a Drama Desk Award nominee, written by OBIE Award winner Samuel D. Hunter — good to know if you require a pedigree to decide how to spend an evening out. And if you require smart, crisp writing, effortless acting, and a compelling story, this is your sure bet too.
The setting is the employee break room at a busy chain store and its parking lot outside. Will, played with pinpoint accuracy by Mathew Elkins, is a mild, cheerful, affable guy and awfully eager to please. He's recently moved to Boise from a small town upstate and taken a job as a cashier at the Hobby Lobby. Times are hard and people do these things; Will doesn't have to go much into his past to explain the question marks on his employment application. Yet there's so more behind Will's puppy dog enthusiasm (even in the face of his boss' uncapped-fire-hydrant interview style) than he first lets on. But he's not shy for long. Will's backbone is sturdy, even if it points off in the wrong direction.
The other Hobby Lobby employees we encounter in the break room are: Pauline, the store's vulgar and energetic store manager played by Betsy Zajko; Anna, the meek and immature woman/child played by Heather L. Tyler; and two brothers — Alex, played by Eric Odom, is only in high school and his counter-culture older brother and protector Leroy, played by Trevor Peterson. We must not forget the Hobby Lobby executives who only appear on closed circuit TV, Ron Bottitta and Rob Dodd.
It would spoil the fun for you if I gave away much of the plot, but suffice it to say that backstories, relationships, and surprise motivations reveal themselves in the most delightful way. The writing was truly first rate and it was a joy to be able to relax into and trust it as an audience member. While there are both major and minor characters, absolutely none of them are extraneous or expendable. But what is good writing without good direction and acting? A Bright New Boise delivers on all counts. Humorous, snappy, thoughtful, quirky, and topical, the players inhabit their characters so fully and easily without a speck of artifice. Ah, rapture.
See A Bright New Boise. Now Now. Now. Now.
Make your ticket reservations by calling (855) 585-5185 or online at roguemachinetheatre.com
Rogue Machine
5041 West Pico Blvd.
Los Angeles, CA 90019
2 blocks west of La Brea
Easy street parking, plan enough time to find a spot.
Now through December 9, 2012
(no performance Nov. 19)
Saturdays at 5 p.m.
Sundays at 7 p.m.
Mondays at 8 p.m.
Running time is about 90 minutes with one intermission.


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Item specifics: Item Number: WB1017A Item type: wish pearl gift Item Weight: 129g/pcs Necklace material: sterling silver Pendant Shape: Heart with zircon beads Pendant Size: 11.5*11.5*5cm Oyster Type: cultured Pearl Type: Akoya pearl Pearl Shape: round pearl Pearl Color: white, pink, purple, black Pearl Size: 6-7mm Choose for chain: 16" 925 box chain or 18" 925 box chain Country of Origin: China
Introduction One set of our wish pearl gift includes one 6-7mm Akoya round pearl in oyster, a 925 sterling Heart with zircon beads cage pendant with 16 inches or 18 inches inches box chain in sterling silver, and a cage pendant. There are 12 style of the pendants offering you to choose. The list price is for 10pcs. The gift spreads the love with a women's, and let you give a piece of your heart to the special person in your life. These charming gifts are a sweet and simple way to symbolize the friendship you and your mates share or the love you and your lover share. Wish pearl gift, your best choice for gift.Also, you can replace with other shapes of cage pendant or different size of necklace chain.
Please leave a message if you have any other requirements.


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Jan. 28, 2005
CAMBRIDGE, Mass. - The MIT men's volleyball continued its hot start to the season by defeating Lasell College, 30-11, 30-19, 30-23, on Thursday night. The Engineers improve to 4-0 overall and in NECVA New England play.
Ryan Dean tallied eight service aces, setting a new Institute record for aces in a match, along with five kills and two assisted blocks. Rob McAndrew finished with 11 kills and a pair of solo and assisted blocks. Praveen Pamidimukkala totaled nine kills while Jordan Wan dished out 31 assists. Michelangelo Raimondi collected two soloand one assisted block as Bob Aspell notched one solo and two assisted blocks.


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Harry David Hedin, 84
Harry David Hedin, 84, of Blackfoot departed for the 'eternal patrol' Tuesday, Aug. 6, 2013, at The Gables in Blackfoot.
Harry was born Sept. 13, 1928, in Grand Forks, North Dakota, the youngest child of Harry Hedin and Sophie Louise Peterson. His childhood was spent playing hockey on the frozen Minnesota ponds, helping his father with his veterinarian duties, and getting into mischief with the neighborhood boys. He joined the US Navy in 1945 by order of the local sheriff. He served on submarines in the Navy for 21 years. His most notable service was aboard the USS Nautilus when it made its historic voyage under the North Pole in 1958. Nautilus was the first nuclear submarine to cross from the Pacific to the Atlantic Ocean by way of the North Pole. For this mission, all crew members received the Presidential Unit Citation, the first ever awarded during peacetime. Other submarines he served on were Chub, Trumpetfish, Chopper, Sablefish, and the Thomas A. Edison.
Upon retiring from the Navy, Harry spent a brief year in Dillon, Mont., before settling in Moreland. He worked at the 'Site' (INL) as a mechanic until his retirement. In Moreland, he owned a small farm where he raised mostly sheep, cows, and horses and continued to work his farm until he was 83 years old.
While stationed at the AEC for nuclear training, he met and married Vivian Othea McCarrel on March 17, 1955, in Elko, Nev. Together they had four children: Kim, Kara, Karla, and Kasia.
Harry loved to plan and prepare for the yearly pack trip to hunt elk and deer. He didn't miss a hunting season for over 20 years; every year accompanied by his son, various friends or relatives, and his one-eyed horse named Blue. He was a master at telling a story and loved to entertain family, colleagues, former shipmates, and anyone else who would listen with his stories. He frequently attended reunions for Nautilus alumni, and he and his wife Vee planned and orchestrated a Nautilus reunion held in Idaho Falls in 1996 so the former crew members could once again tour the training facility on the Arco Desert. He loved to read and learn about history and military operations.
Though Harry was a member of the Lutheran Church, he seldom attended but he made it clear he couldn't get on a submarine without faith in God and the power of prayer.
He is survived by a son, Kim (Beverly) Hedin of Hailey; daughters, Kara (Terry) Bjarnson of Idaho Falls and Karla (Quinn) Twiggs of Blackfoot; one sister, Helen Foughty of Devils Lake, N.D.; 11 grandchildren and 14 great-grandchildren.
Harry wass preceded in death by his wife of 57 years, Vivian; an infant daughter, Kasia; an infant granddaughter, Kami; a sister, Erma Olson; and his parents.
The family will meet with friends Sunday, Aug. 11, 2013 from 7-8 p.m. at Hawker Funeral Home and also one hour prior to the funeral service. Services will be conducted Monday, Aug. 12, at 11 a.m. at Hawker Funeral Home with full military rites performed at the Thomas Cemetery.
The family once again sends a thank you to Carol Wise and the staff at The Gables along with Home Health and Hospice for the dignified way they cared for our father.
Condolences may be sent to the family at: firstname.lastname@example.com.


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10 Ways to Get a Winter Glow
"Sheer Out" Foundation
"To prevent base from looking cakey, mix it with a few drops of moisturizer," says Gwyneth Paltrow's makeup artist Leslie Lopez, who exfoliates her clients' skin with a warm, damp muslin cloth before applying the dewy concoction. "It thins the foundation and gives you an extra boost of moisture."
Exfoliate, Exfoliate, Exfoliate!
Ever wonder why a child's skin looks lit from within—even in the depths of winter? "It's because children don't have a thick layer of dead skin cells sitting on the surface," says N.Y.C. dermatologist Arielle Kauvar, who recommends sweeping away flakes several times a week with a gentle rotating brush, like the DDF Revolve 400x Micro-Polishing System ($95; ddfskincare.com).
Quench Your Skin
Going from cold, windy air outside to dry heat inside sucks the moisture out of your skin, says N.Y.C. facial plastic surgeon Jennifer Levine, who suggests switching to a heavier moisturizer in the winter (try Olay Definity Night Restorative cream, $25; target.com). If you're acne prone, look for an oil-free formula (like Philosophy When Hope Is Not Enough hyaluronic acid–peptide capsules, $50; philosophy.com) loaded with water-binding hyaluronic acid.
Complement Your Skin Tone
The colors you see as the sun goes down (tangerine, terra-cotta, warm reds) flatter women with golden skin tones, says Leatrice Eiseman, author of More Alive with Color. If your skin is fairer look to the cooler shades (hot pink, blue) found in sunrises instead. Not sure where you stand? Check under your wrist. Green veins indicate sunset coloring; blue, sunrise. For those with a mix of both, Eiseman suggests muted versions of sunset and sunrise colors. Think melon, not orange, and sky blue instead of cobalt.
Shine On
To catch the light, dab illuminating lotion on the upper corners of cheekbones, brow bones, and the inner corners of eyes. Go gold if you have warm undertones, icy if you're fair. Not sure? Nars Illuminator in Orgasm looks gorgeous on almost everyone.
Nars Illuminator in Orgasm (center), amp#36;29; narscosmetics.com. Stila Liquid Luminizer in No. 3 (left) and No. 1, amp#36;22; stilacosmetics.com.
Apply Liquid Stockings
Actress Evan Rachel Wood isn't one to rock a tan, let alone pantyhose. Her trick for gorgeous gams? "Apply a mix of foundation and shimmer lotion to your legs," she says. "It makes skin look flawless." Try Giorgio Armani Luminous Silk foundation ($59; saks.com) with MAC Strobe Liquid ($30; maccosmetics.com).
Hydrate at the Office
Adding a humidifier to your bedroom? No-brainer. But don't stop there: Snap up a mini travel version for your desk at work (we love the Air-O-Swiss Travel Ultrasonic humidifier, $50; amazon.com). In addition to softening skin, it will help put the twinkle back in dry, red eyes.
Pinch Your Cheeks
... or fake the same effect by dabbing rose-tinted blush like Bobbi Brown Pot Rouge for Lips and Cheeks in Pale Pink (left, $22; bobbibrown.com) or Benefit Posie Tint (middle, $28; benefitcosmetics.com) onto skin that's been lightly primed with moisturizer. Another ultra-natural option: Clarins Instant Blush Magic Colour ($26; macys.com). The translucent pink gel (right) morphs into the perfect shade for your unique skin tone.
Give Yourself a Quickie Facial
Party's in two hours—and your skin cells are still sleeping? Offer them the beauty equivalent of a Red Bull: a Kinara Red Carpet facial ($145; kinaraspa.com). Halle Berry has called the spa version of this glow-inducing treatment "my biggest beauty indulgence."
Baby Your Face
Infants aren't the only ones who should be lubed up in Aquaphor before venturing outside: "After moisturizing you still need a barrier against the wind and cold," says N.Y.C. dermatologist Doris Day. She recommends Gloves in a Bottle Shielding lotion ($16; amazon.com), a "breathable silicone barrier," for those wary of putting ointment on their face (try it on hands too).


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Magnetic Resonance Angiography to Diagnose Atherosclerotic Disease
|The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
|ClinicalTrials.gov Identifier: NCT00382564
Recruitment Status : Completed
First Posted : September 29, 2006
Last Update Posted : October 6, 2017
- Study Details
- Tabular View
- No Results Posted
- Disclaimer
- How to Read a Study Record
This study will determine the usefulness of magnetic resonance imaging (MRI) for examining the heart or blood vessels. MRI uses a magnetic field and radio waves to produce images of body tissues and organs. The subject lies on a table that can slide in and out of the scanner (a metal cylinder), wearing earplugs to muffle loud noises that occur during the scanning process. MRI of the heart and blood vessels, called magnetic resonance angiography (MRA), is a developing diagnostic method that permits evaluation of arteries and veins without the use of x-rays or invasive catheterization required by conventional angiography.
People 18 years of age and older with known or suspected atherosclerotic disease may be eligible for this study.
Participants have blood tests and MRA scanning. The MRA takes about 1.5 to 2 hours. During part of the scan, a contrast agent may be injected into a vein to brighten the images of the heart and blood vessels. Subjects are monitored with an electrocardiogram and are asked to hold their breath for about 5 to 20 seconds intermittently during the procedure.
A CT scan may be done to confirm the MRA findings. CT uses x-rays to produce pictures of the heart and blood vessels. The subject lies on a bed during the scan and is given a contrast agent through a catheter inserted into a vein. Subjects are asked to hold their breath intermittently for about 5 to 20 seconds. A medicine called a beta blocker may be administered to slow the heart rate.
|Condition or disease
|Atherosclerosis Hyperlipidemia Hypertension Diabetes Mellitus
|Study Type :
|Actual Enrollment :
|216 participants
|Official Title:
|Magnetic Resonance Angiography (MRA) in the Diagnosis of Atherosclerotic Disease Using High Field (3T) MRI Scanners: A Pilot Technical Development Study
|Study Start Date :
|September 25, 2006
|Study Completion Date :
|May 1, 2012
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
|Ages Eligible for Study:
|18 Years and older (Adult, Older Adult)
|Sexes Eligible for Study:
|Accepts Healthy Volunteers:
- Subjects with known or suspected atherosclerotic disease based on clinical findings or documented by angiography (conventional, CT or MRA), or Doppler ultrasound. Subjects at risk for atherosclerosis including: smoking, hyperlipidemia, low levels of high density lipoproteins (less than 50 mg/dl for women and less than 40 mg/dl for men), hypertension, family history (early onset atherosclerosis less than 55 year old in male and less than 65 year old in female who is first degree relative), and diabetes mellitus or metabolic syndrome.
- Subject must be willing to participate in the protocol.
- Subject age greater than 18 years old.
- Subject must be clinically stable and be able to come to the Clinical Center to participate in the study.
Subjects with contraindication to MRI scanning. These contraindications include but are not limited to the following devices or conditions:
- Implanted cardiac pacemaker or defibrillator
- Cochlear Implants
- Ocular foreign body (e.g. metal shavings)
- Embedded shrapnel fragments
- Central nervous system aneurysm clips
- Implanted neural stimulator
- Medical infusion pumps
- Any implanted device that is incompatible with MRI.
- Unsatisfactory performance status as judged by the referring physician such that the subject could not tolerate an MRI scan. Examples of medical conditions that would not be accepted would include unstable angina and dyspnea at rest.
- Subjects requiring sedation for MRI studies.
- Subjects with a condition precluding entry into the scanner (e.g. morbid obesity, claustrophobia, etc.).
- Pregnant or lactating women.
- Subjects with severe back-pain or motion disorders who will be unable to tolerate supine positioning within the MRI scanner and hold still for the duration of the examination.
Subjects who are unable to undergo a CTA within 1 month of the MRA part of this study, or are unable undergo or be scheduled for a cardiac catheterization within 1 month of the MRA.
- History of severe allergic reaction to gadolinium contrast agents despite the use of premeditation with an anti-histaminic and cortisone.
Creatinine value greater than 3.0 mg/dl
Recent cardiac CT within a month. Both a coronary CTA and calcium score scan are required for this study. If any of these scans were performed at an outside facility and meet the necessary quality level, then that aspect of the cardiac CT scan (coronary CTA, calcium score scan or both) will not be performed at the NIH. Coronary CTA and/or calcium score CT obtained at the outside facility must be performed within one month of subject inclusion and acquired using a 16 slice scanner or higher and should be of good quality. The unformatted images of outside cardiac scans must be available to the primary investigator within one month of their acquisition for eligibility of inclusion in the study.
Contraindication to the use of CT contrast agents:
- Creatinine value greater than 1.4 mg/dl
- History of multiple myeloma
- Use of metformin-containing products less than 24 hrs prior to contrast administration
- History of significant allergic reaction to CT contrast agents despite the use of premeditation with an anti-histaminic and cortisone.
Subjects with contraindication precluding the use of beta blockers necessary to perform the coronary CTA. These include:
- Asthma
- Active bronchospasm
- Moderate or severe COPD
- Second or third degree AV block
- Decompensated cardiac failure
- Allergy to beta blockers
- Systolic blood pressure less than 100 mm Hg
- Pregnancy or nursing
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00382564
|United States, Maryland
|National Institutes of Health Clinical Center, 9000 Rockville Pike
|Bethesda, Maryland, United States, 20892
|Principal Investigator:
|Ahmed M Gharib, M.D.
|National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
|ClinicalTrials.gov Identifier:
|NCT00382564 History of Changes
|Other Study ID Numbers:
|First Posted:
|September 29, 2006 Key Record Dates
|Last Update Posted:
|October 6, 2017
|Last Verified:
|May 1, 2012
Keywords provided by National Institutes of Health Clinical Center (CC):
Hardening of the arteries
Narrowing of Vessels
Noninvasive Plaque Imaging
Atherosclerotic Disease
Additional relevant MeSH terms:
Diabetes Mellitus
Glucose Metabolism Disorders
Metabolic Diseases
Endocrine System Diseases
Vascular Diseases
Cardiovascular Diseases
Arterial Occlusive Diseases
Lipid Metabolism Disorders


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- Code: Select all
4 5 6 7 8 9
14 20 25 30 35 40 45
18 21 28 35 42 49 56
22 16 24 32 40 48 56
26 10 20 30 40 50 60
30 0 12 24 36 48 60
The columns indicate how many mana potions (or total potions, if you're a thief) you have in total, while the rows indicate how max mana increases with each use of Jehora's "Boost Mana" boon. I've found that raising max mana one point is critical for anyone boosting with Jehora to avoid rounding issues with their potions, hence why 14 is my base (there are lots of ways to achieve this, easiest being preparing patches and converting him after he grants you 1 MP). The fields themselves are how much mana you'd gain by chugging all your potions.
As we can see, characters with 4 mana potions (ie, non-gnomes, non-thieves) get a significant dropoff after the first hit, and pay a fair price for boosting their mana. However, with each additional potion you acquire the dropoff flattens out, and a character who has a keg of mana at their disposal basically has no dropoff whatsoever. Once we push into gnome/thief territory, the dropoff is gone; boost mana improves the effectiveness of the rest of your potions by such a significant margin that you end up with more potion power, not less, regardless of how many times you make this trade. With a schadenfreude prep, the dynamic changes somewhat but gnomes are still in the stratosphere compared to everyone else.
I don't know what the solution is. Just nerfing the boon won't deal with the fact that it's quite modest for characters with lower numbers of potions. However, it's so powerful in its current incarnation that it cannot be allowed to stand as is. It'd be nice if the boon was changed to be more appealing to a wider variety of characters, but short of changing what its drawback is I don't see how that' s possible.
I'd like to add that we currently have too few deities that can boost your mana. With the removal of Dracul's blood power, the Glowing Guardian (enlightenment), Mystera (magic), and Jehora Jeheyu (boost mana) are your only three options. However, the tradeoff from Mystera is too steep for most characters to seriously consider it, and Enlightenment is way too expensive if all you're interested in is mana. This leaves Jehora as our only decent mana booster in the current version. While no one expects Taurog to have offerings for spellcasters, the options for a caster right now are so slim as to be non-existant outside of Jehora.
I'd also state that the health potion boon is not comparable to the mana one, since the benefit is only large for low-level characters (when you aren't using potions anyways), and at higher levels is used pretty much exclusively to survive high-damage enemies that would otherwise 1-hit you. Although halflings are still advantaged here, it isn't a serious issue like gnomes are to the mana potions. If anything it's a little on the weak side right now.


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We, imperfect humans that we are, are always seeking self-definition. By our actions, by our choices, by our beliefs, by our tribes, by our appearance – all seeking to give us a sense of self.
I am this and not that.
The choices we make coalesce, slowly, into something grand and magnificent. A person. A hero. A hero of many stories, but most importantly, our own.
We head out into the world, seeking. We try new things, try to to find purpose and meaning amidst the struggle for survival. We experiment. We find things that work, and things that do not work, and hopefully we learn the difference.
We may fail. We may go astray, fall victim to despair and chaos. We may surrender to our dark impulses. We may redeem ourselves.
Or we may not.
We learn that there are many perspectives, many voices, many sides. We have to choose. We learn that there are some choices, once made, which cannot be undone.
We learn that there are other choices which never mattered in the first place.
Sometimes, we don't know the difference.
Each day, we arise, and wonder in what way will today call upon us to be a hero. Every day brings a new opportunity, a new chance, a new story. Sometimes we succeed. Often we fail.
But we can never go back and rewrite what has come before.
Then one day, we realize that we were seeking ourselves the entire time. That the journey itself defined us, that we are naught but the sum of our desire to define a sense of self.
No more, no less.
I am this, not that. This is my story.
And it is the story of a journey.


text:
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text: soup Thursday, Nov 10th, 2016 By: Juci Author: JuciHey there, my name is Juci - and if you pronounce it like "UC" then you're pretty close to the truth. I'm here to help you brainstorm, create and launch your product and save you from all your tech headaches, superhero style. Post navigation « soup Leave a Reply Cancel reply Your email address will not be published. Required fields are marked *Comment Name * Email * Website


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Mapper and N900 battery life
In the screenshot posted to the right, you can see my development version of Mapper with portrait mode support (mostly useful when walking or cycling) with the track shown in red. I fully charged my N900 just fifteen minutes before starting the trip, so here you can see how the battery level looks like after about 1 hour and half (the trip itself lasted 1 hour and 18 minutes, as shown in the small info panel on the upper right of the map); from such a quick test it's hard to say how many hours the device would last, but I was positively surprised that the battery was still in a good shape.
The reason why I was expecting the battery level to be lower is that (besides running a version of Mapper with all optimizations disabled) so far I didn't take power consumption into much consideration during the development; there is a lot of room for improvements I'm aware of, namely:
- Avoid drawing while the screen is off
- Use longer intervals on the GPS device
And to conclude with good news, turn-by-turn navigation with visual and voice announcements is coming soon on your favourite Mapper. :-)
Etichette: english, maemo, mapper, planetmaemo, sport


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Well, overkill for homebrewing is in the eye of the beholder. I like to think I'm spending the money I saved by not buying a sabco system.I've had problems with using refractometers in the past. Multiple readings giving me multiple results. So I've stuck with the hydrometer.
I have a digital refractometer, not the brand that the OP referenced but similar.I've found it works very well and, after comparing a reading from it and a hydrometer for several batches, I've found that the two are always within a gravity point or two of each other.I don't use the refractometer for the FG reading due to the alcohol.
...then I can drink the hydrometer sample!
I have the Hanna.I like to use the refractometer during the brewing process because it's quicker (smaller samples, don't have to wait while the sample cools, etc.)I've seen Sean's spreadsheet and it works.I just use the hydrometer for the FG reading because I always have!Besides, then I can drink the hydrometer sample!
Besides, then I can drink the hydrometer sample!
A friend pointed out that a digital refractometer is actually very inexpensive and practical afterall:http://www.amazon.com/SBS-SBS-3500-Digital-Hydrometer-0-000-3-0000/dp/B006M49LNA/ref=sr_1_8?ie=UTF8&qid=1358269917


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Powerful performer
Many cotton growers are harvesting more acres of high yielding cotton in tougher field conditions. To help growers cover more acres in less time, John Deere introduces the new 9996 Cotton Picker, the most productive picker ever built by John Deere.
This machine has more horsepower, larger fuel and water tanks, and more performance-enhancing features to make any operator more comfortable and efficient.
More horsepower
"The new 9996 Cotton Pickers feature a 350-hp, 8.1 L PowerTech Tier II Engine which is 25-hp more than the previous model," says Jamie Flood, product marketing manager, John Deere Des Moines Works. "The engine also has a 9.5 percent Power Boost to maintain performance while packing cotton in the basket. Growers will really appreciate the additional power these six row pickers have to handle high-yielding cotton in the toughest field conditions."
The engine is transverse-mounted in the 9996 Cotton Pickers to free up space and provide more room for the moistener system, lube, and fuel tanks at the rear of the machine. This design also improves weight distribution for better traction in the field and allows for ground level serviceability.
A new 200-gallon fuel tank and 345-gallon water tank helps keep operators in the field longer during extended harvest days. An optional factory-installed powered rear-wheel axle is available to power up muddy or hilly conditions.
"The deluxe 3-speed transmission with hydrostatic drive is designed for smooth speed changes," says Flood. "Two independent hydro systems assure full power to the ground, as well as the picking units. A large capacity hydro pump provides plenty of power in all three gears. We've also redesigned the transmission to allow scrapping speeds up to 4.9 mph in second gear."
The 9996 Cotton Picker features a deluxe cab that provides a quiet, comfortable working environment. The spacious cab has great visibility of the entire row unit toolbar, and allows the operator to sit comfortably without leaning or twisting forward.
The ComfortCommand seat adjusts five ways and all cab controls are color-coded for easy identification and reach. An optional air-suspension seat is available for even more comfort, and a training seat is standard to help teach inexperienced operators.
"The CommandTouch console that is currently found in new John Deere combines allows for easy control of the pickers," explains Flood. "The hydro handle provides smooth speed control and easy fingertip control of many functions. Even an inexperienced operator will run this picker like a pro!"
Even more productivity
The industry exclusive Pro-Series row units add even more productivity to the new cotton pickers. The PRO-12 units provide a 12-bar front and 12-bar rear drum, while the PRO-16 units feature 16-bar front drum and a 12-bar rear drum to enhance picking efficiency in tall, high yielding cotton. The new PRO-12 VRS units allow picking from 15- to 40-inch rows. Growers with narrow-row and conventional-row cotton fields will appreciate the flexibility the PRO-12 VRS units provide.
Row-Trak guidance is a productivity enhancing option available on the 9996 pickers. This mechanical system keeps the picker unit on the row and allows the operator to maximize field speed for more efficiency. The operator is more relaxed and less fatigued, while running the machine.
A high-capacity loading and unloading system is built into the 9996 Cotton Picker. A high-performance fan improves airflow for better distribution and conveying efficiency. A large-capacity basket boasts 1,400 cubic feet of storage with a standard basket lid extension.
Innovative system
"The Pro-Lift basket also offers an innovative unloading system," says Flood. "The basket raises at an angle as the door lowers, giving excellent stability while putting the basket where it is needed."
Other features that add productivity to the machine are the 360 degree lighting system for nighttime harvesting, wide cab platform for safe and easy inspection of ducts, and a quick remote lube fill to keep a six row machine lubricated for up to a week.
Document yields
Also, Harvest Doc Cotton is now available to map and document cotton yields. Using the three common GreenStar components — the display, the mobile processor and the StarFire iTC receiver; the operator can record field data while harvesting and then download this data to create maps and reports.
"With the increased capacity of the new 9996 Cotton Picker including more horsepower, increased fuel capacity, increased water tank capacity, and increased field speeds," says Flood, "this is the most productive cotton picker John Deere has ever built."
For more information, contact your local John Deere dealer or visit the Web site at www.JohnDeereAg.com.


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red vase
DIANE COSGROVE 7/28/2005 10:46:43 AMReally unusual picture. I love it. I don't know if I like the picture best or your imagination and execution. Well done. I think you have your entry into next month's theme category. #285264
Terry L. Ellis 7/28/2005 11:10:06 AMStriking simplicity, Ursula! Love it! #1649409
Leanne M.E. Boyd 8/20/2005 2:55:44 PMExcellent, Urula! Congrats on your finalist! #1740607
Melissa L. Zavadil 8/20/2005 4:31:23 PMWOW! This is a beautiful shot!! I just love the circles and lines that this image has!! Congrats on this well deserved finalist!! #1741781
Rob Bishop 8/20/2005 4:39:59 PMCongratulations, Ursula! I love this shot!
Rob #1741851
Sara Jensen 8/21/2005 12:59:29 AMVery neat picture. Great job, and congratulations. #1744153
Uploaded on 7/27/2005 5:19:16 PM
Camera: Nikon D70 Digital SLR Camera
Copyright for this gallery photo belongs solely to Ursula I. Abresch. Images may not be copied, downloaded, or used in any way without the expressed, written permission of the photographer.
Log in to follow or message this photographer or report this photo.


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- Doctors
- California
- Tarzana
- Gynecologists
- Dr. Frederick M. Kohn
You may also like
Dr. Teresa A. Claus
Ratings for Dr. Frederick M. Kohn
First of all is a very good hearted person and then an amazing doctor. You can tell he truly cares and very devoted to what he does. When I was delivering my husband was scared to stay in the room but dr Kohn took the time and talked to him to make sure that he doesn't miss the most important moments of our life. If it was some other doctor he or she wouldn't even bother to interfere. That truly shows what a great caring doctor and a person he is!
Overall experience, very impressed and happy with Dr. Kohn. He is very sweet and calm. Made me feel very comfortable the whole time. Answered all my questions and calmed my concerns. I now feel confident that I can get pregnant with such an amazing doctor. 100% recommend him as an obgyn!
I am so greatful I was referred to Dr. Kohn. Throughout all my visits with him he was knowledgeable, caring and very attentive. He was never in a rush and ensured all my questions were answered. My husband and I trusted him completely. The office staff is friendly and well organized, I never had to wait more than 5 minutes to be seen and they always followed up promptly with test results.
Dr.Kohn is absolutely the best doctor!! He was my wife's doctor all through-out her pregnancy and he delivered our baby girl. Each and every visit he was always professional, listen to all of concerns, addressed all of our concerns and was such a pleasure to have as our doctor. As a man I never felt uncomfortable that Dr.Kohn was my wife's doctor. I really trusted his judgements and his expertise. He really is not only an amazing doctor, but as a very compassionate human being. He will definitely be the doctor for our next pregnancy!
Dr. Kohn has the best bedside manners. He is smart, calm, and quick to make decisions. We didn't have insurance at the time, he was always fair with the cost and tried to help us go to the least expensive labs. I wish we lived in CA so I could see him for my current pregnancy.
I love Dr. Khon. He has been my Dr. for 19 years now and he is truly the best! I suffered from Hyperemesis with all my pregnancies (3), and he was very caring and did everything he could to make me better. I work in a University at the School of Medicine for the ObGyn dept. and although I am surrounded by ObGyns, I could never replace him. I highly recommend him, he is wonderful!
I just met him for the first time....quite happy about him...he is very calm and very nice guy.
Dr Kohn is such an amazing doctor. He delivered my daughter almost 2yrs ago and my husband and I couldn't be more happy. I suffer from hyperemesis (severe nausea & vomiting) during my pregnancies and he knew exactly what to do to help me.My first OB just used me as her guinea pig. I highly recommend Dr Kohn. He is very caring & helpful.
Dr. Kohn gave me back the confidence in doctors. After having terrible experiences with other so called "OBGYN's" I had the good fortune to find a true Doctor who listens, spends time with his patients and has the integrity to let you know when something is beyond his specialty instead of "experimenting" with his patients. This man is an example to other practitioners. My respects to you Dr. Kohn :)
Dr. Kohn is a true angel and I believe he was sent to me by God. He is amazing in the way he handles issues, and the way he makes you feel so comfortable even in the hardest times! I am so happy to have found him, and cannot wait for him to deliver my baby!! I feel in the safest of hands with him!
Dr. Frederick M. Kohn's Credentials
Facility Affiliations
Accepting New Patients
- Oh State Univ Coll Of Med, Columbus Oh 43210 (Grad. 1988)
Other Specialties
Areas of Expertise
Awards & Recognitions
Publications & Research
Insurance accepted by this Doctor
- BCBS Illinois
- Coventry Health Care
Top Hospitals in Tarzana, CA
Find a Doctor by Specialty
Featured News
You may also like
Dr. Teresa A. Claus
Top Gynecologists (OBGYN)
#1 of 41
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OL*640 - Project Management
(3 cr.) This course goes beyond basic project management (PM). Students learn advanced PM technology tools and techniques for managing complex projects and programs. Cases and simulations allow students to learn how these advanced skills are applied to produce business/organizational results that require collaborative relationships. Students can receive credit for only one of the following courses: MG 603, OL 640 and CIS 690. Every Year, Fall and Summer


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Bulldogs Will Receive Bids to Prestigious Tournament
NEW HAVEN, Conn. – Yale will host the ITA National Intercollegiate Indoor Championships from Nov. 5 to Nov. 8 at the Cullman-Heyman Tennis Center.
The 2009 ITA National Intercollegiate Indoor Championships, the nation's premier collegiate indoor tennis tournament, is the second of three national championship events for college tennis this season. The ITA National Intercollegiate Indoor Championships feature a 32-player singles field and 16-team doubles field for men and women.
The draws will be made up of qualifiers from Wilson / ITA Regional Championships held across the country, the ITA National Small College Championships, top performers from the ITA All-American Championships, and at-large wild card selections made by the ITA National Tournament Committee.
In addition, Yale will receive two automatic singles bids and one automatic doubles bid for both the men's and women's draws for hosting the prestigious event.
For the men's side, freshman Marc Powers (Stamford, Conn.) and freshman John Huang (Irvine, Calif.) will receive Yale's singles bids. The doubles team of senior captain Connor Dawson (St. Charles, Ill.) and junior Calvin Bennett (Sandy, Utah) will play for Yale in the 16-team doubles field.
On the women's side, sophomore Stephanie Kent (Washington Depot, Conn.) and senior Jessica Rhee (Dayton, Ohio) will receive Yale's singles bids. The doubles team of Kent and sophomore Vicky Brook (London, England) will play for Yale in the 16-team doubles field.
Powers had an excellent showing for the Bulldogs at the Wilson / ITA Northeast Regional Championships at Dartmouth University. Powers won six matches including five straight over seeded players before losing in three sets in the finals.
Kent was the star of the Wilson / ITA Northeast Regional Championships hosted by Yale University at the Cullman-Heyman Tennis Center. Kent advanced to the quarterfinals of the singles draw with three victories, two of which came over seeded players. Kent and doubles partner Brook advanced all the way to the finals of the ITA Regionals with five victories.
The weekend's festivities will include more than just tennis. The weekend will kick off on Wednesday night with a dinner banquet hosted at Yale University's Pierson Residential College. The banquet will include speeches by ITA President David Benjamin and Yale Athletic Director Thomas Beckett.
On Friday, Yale will host a coaches' workshop with the United States Tennis Association (USTA) National Coach Tim Mayotte. Mayotte, a former professional tennis player, won 12 professional singles titles and achieved a career-high singles ranking of No. 7. Friday will also be Yale's student day where college students with college ID's get in for free.
Yale will host a Youth Day on Saturday that will include a free tennis clinic for kids. Donald Dell, a three-time collegiate tennis All-American at Yale University, will participate in a Silliman College Master's Tea at the Cullman-Heyman Tennis Center Saturday Nov. 7 at 5 p.m. Dell, a former Davis Cup Player and Captain, was a 2009 International Tennis Hall of Fame Inductee.
For Complete Coverage of the ITA National Intercollegiate Indoor Championships, click here.
Report Filed by Steven Horn
'10, Yale Sports Publicity


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Ben Brust scores 19 points to lead No. 12 Wisconsin to 88-64 win over Bowling Green
- Image 1 of 2
- Image 2 of 2
MADISON, Wis. – Even on a modest night for Frank Kaminsky, Wisconsin's suddenly high-powered offense put up big numbers again.
Ben Brust scored 19 points to lead six players in double figures as the No. 12 Badgers beat Bowling Green 88-64 on Thursday.
Kaminsky added 14 points two days after scoring a school-record 43. Wisconsin reached 88 points in consecutive games for the first time since November 2005.
"You kind of have to approach this team as who are we going to take away today, and who are we going to focus on?" said Wisconsin's Sam Dekker, who also scored 14 points. "But there's always going to be two, three, four other guys who are going to be able to hit a big shot or make a play. We have four, five guys that any night could easily lead our team in scoring."
It was another up-tempo performance on offense for Wisconsin, which has had a reputation as a grind-it-out team during coach Bo Ryan's tenure.
After averaging 65 points last season, the Badgers (5-0) are scoring 81 per game in the early going.
Ryan insisted his team isn't doing anything different than what he's preached his entire coaching career.
"If we can get something in transition, we're going to take it, and if not, you're going to guard because we're going to try to get a really good shot," Ryan said.
Still, he acknowledged the success Wisconsin has had in that endeavor.
"We've been able to get some buckets, but maybe it's the other teams adjusting to the new rules," he said.
Traevon Jackson had 13 points, Josh Gasser 11 and Bronson Koenig 10.
Spencer Parker led Bowling Green (1-2) with 17 points, and Jehvon Clarke added 15.
The Badgers also are giving up more points than Ryan is used to, allowing almost 69 per game after holding opponents under 56 a season ago.
"I definitely don't think we're happy at all with our defensive performance," Gasser said. "Sixty-four is still too much, too many points in the paint, too many uncontested layups, easy buckets we're not accustomed to giving up. We're still working through some things. I think it's better than last game, but not where we want to be."
Wisconsin took control a little more than midway through the first half. With the Badgers up 23-22, Dekker started a 16-4 run by converting a three-point play and then Wisconsin began to hit from outside. Jackson, Brust and Duje Dukan each made a 3-pointer during the spurt.
Brust added another 3 before the half was over, and Wisconsin went into the break up 44-28.
With the Badgers starting to run away with the game in the second half, Bowling Green went to a full-court press that at least slowed Wisconsin temporarily.
The Falcons were able to cut a 24-point deficit to 14.
"When teams press us, you have to make it into your favor, get through it, get easy buckets off of it," Gasser said. "We got rattled a little bit, had a couple turnovers. Ten turnovers in the game is a little too much, but definitely that press took us out of rhythm."
But going to the press also came at a price. Bowling Green started racking up fouls and sending Wisconsin to the free throw line.
Falcons guard JD Tisdale was whistled for his fourth with just more than 8 minutes to go, and Parker picked up his fourth 30 seconds later. Tisdale was called for his fifth with more than 6 minutes to play, and Bowling Green got away from the press in the final minutes.
Falcons coach Louis Orr said the press wasn't the only thing that got the Falcons into foul trouble. Still, he said being a pressing team with the new emphasis on hand-checking and other defensive moves is not easy.
"Maybe Rick Pitino or something can do it," Orr said of the Louisville coach whose team won the national title last season. "But with the new rules it's hard."


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General Care Projects in Ghana by Ashleigh Walton
So, I'm back. After 9 months of planning, fundraising and working, I left England on the 7th May 2008 prepared for what has been the most hard, yet most amazing and memorable experience of my life. At times it seemed longer than 2 months, but looking back it was just the smallest fraction of my life that meant so much.
When you think of Africa, you immediately think of a country stricken by poverty and illness, but what you do not realize is, the country that is so poor in living, is so rich in history and culture.
From stepping off the plane in the early evening, the humidity and heat hit me. I was finally in Ghana! I was so excited yet felt scared and unaware of what to expect. You can read all about the country and its way of life but nothing can compare to how it feels actually being there and living alongside African culture.
Traveling with my friend Angela, we arrived in the Guest House in Accra around 10pm. We were so tired and thought we should get some sleep as we had to leave for Kumasi at 4am the next morning, traveling on the unforgettable STC bus.
Working with children has always been of interest of mine and this is why I chose to do Projects Abroad's Care placement during my stay. I worked in Kumasi Children's Home. This was a home for many boys and girls who were orphans. There were four main buildings, one for the boys, one for the girls, a baby unit and a pre-school. I was placed in the boys unit due to this area being so busy, yet so under-staffed. I worked alongside children with disabilities and different needs. Work started between 8.30 and 9am. Lots of the children in the boys unit attended school in the morning meaning there was a lot less to deal with at this time. There were 7 main children who I had a lot of hands on and one-to-one work with. My everyday tasks included buying and preparing food for the staff and children, washing clothes, feeding and providing the children with personal hygiene, playing with them and generally giving them the love and attention they need.
Another project I took part in every Thursday was Medical Outreach. To attend this you do not have to be a Medical volunteer or have any experience of work in this field at all. Our supervisors Michael and Gabby took the volunteers to a different school every week where we washed, sterilized and bandaged the children's cuts, grazes and open wounds. For me this was one of the most memorable experiences I have ever taken part in. The work was so hands-on and fulfilling. In one day we met and helped so many amazing children and I will never forget how happy they were to see us.
Whilst in Ghana I had some amazing weekends traveling with other volunteers who have remained fantastic friends of mine. From relaxing on the beach in Cape Coast, walking the amazing canopy at Kakum National Park, visiting the Cultural Center, eating spring rolls and drinking mango lassy at Vic Babboo's Café, splashing in Kintampo Falls, walking through smelly markets in Tamale to sitting on the unforgettable tro-tro to Mole National Park with no space to move, no sleep and no food for what seemed like forever. We traveled along the bumpiest road towards Larabanga, covered from head to toe in sweat and orange dust, to find once we had arrived there was no taxi to get us there.
T.I.A, in other words - This is Africa! Our options were, to walk, ride or take a motorbike. I think I took the best option available and took the best mode of transport - the motorbike. It was the best 5 cedi I have ever spent. We arrived at Mole National Park around 10am, and after 15 hours of traveling it was time to take the Safari to see the elephants. After all this time…not an elephant in sight. Lots of baboons, deer and warthogs, but no elephants. Despite the disappointment, this has to be the best weekend and most memorable trip I have been on.
There is no better way to live the Ghanaian experience than to live with a host family. Although the thought was scary and intimidating at first I could not have felt more welcome and more at home than I did with my host family. Osei and Koby were my host brothers who I watched soccer with and sang many a song. I will never ever forget them. Mama Gifty is an amazing woman who became like a parent to me and treated me so well throughout my stay. We shared so many happy times talking and laughing; usually laughing at me hand washing clothes or trying to fit in with the Ghanaian lifestyle, and generally giving me so much love and support when I was sick. She helped me with any problems or queries I had and I am so thankful for everything she did for me.
I went to Ghana with no expectations, an open mind and much idea about what I was going to do. I had the most amazing time in my life and met some fantastic friends. I have experienced more in 2 months than I ever have in my life. I will never forget the first day eating Fufu and thinking "what have I let myself into", to feeling part of something so special and something that nobody could ever understand unless they were in the situation and experiencing what I was experiencing for themselves. I loved the culture, the word "obruni", the people, the whole way of life, it's just unforgettable. The children from Kumasi children's home have touched my heart more than anyone has ever done so in my life, there isn't a day goes by I don't think about them. They have inspired me to get the most out of life and now I look at everything in a different light. They are incredible children and I will never ever forget them.
Ashleigh Walton
Esta anécdota podría incluir referencias al trabajo con o en orfanatos. Encuentra más información sobre la posición actual de Projects Abroad sobre el voluntariado en orfanatos y nuestro enfoque en cuidado comunitario para niños.
Esta es la experiencia personal de un voluntario en el proyecto y es el panorama de un momento específico. Tu experiencia puede variar, pues nuestros proyectos se adaptan constantemente a las necesidades locales y a los logros obtenidos. Los cambios climáticos estacionales también pueden tener un gran impacto. Contáctanos para obtener más información sobre lo que puedes esperar de este proyecto.


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In a survey conducted by the payments system company ACI Worldwide, one in four respondents reported being victims of debit card fraud. This category of losses is partially due to "friendly fraud."
This intriguing term has two different definitions, depending on the victim. If it's an online vendor, it implies that a customer has initiated a chargeback despite receiving merchandise in good order. When a debit card holder is the victim, "friendly fraud" implies that a checking account has been accessed via the card by a friend or a family member.
Doug Johnson, vice president of risk management policy for the American Bankers Association, said that someone who knows the cardholder is more likely than a professional thief to withdraw small amounts over a long period of time. This type of activity often goes unnoticed by both the cardholder and the bank.
"Banks look for unusual transactions," Johnson said. "If it's less than $100 it may not be unusual, so it's difficult for the bank to detect."
So what steps can consumers take to protect themselves? According to Johnson, it's largely a matter of being vigilant.
"Smaller transactions can be perpetrated by family members, so it's important to ensure that your PIN number is not known widely, maybe not known by anybody but you," he said. "So think carefully before you let anyone know your PIN number. Also, destroy extra cards that you don't intend for anyone else to use."
Johnson also stressed the importance of continuing to exercise common-sense caution at the teller machine. After all, the professional thieves will always be out there, looking for a new mark.
"When you're at the ATM, use ones that you're familiar with, so if it's different-looking, you can verify it with the bank," he said. "A brochure box can be posted by criminals with a camera in it, so make sure you shield via your hand so people can't see you input your PIN number."
These precautions may seem like part of a slippery slope to paranoid hunts for identity thieves under one's own bed. Unfortunately, in the information age, it's increasingly becoming the price consumers need to pay in order to have the convenience of a debit card and the security of knowing no one else will use it.
"There's a necessity for individuals to monitor accounts very closely, so think of the Internet as your friend, because you can check your account regularly and check transactions," Johnson said.
"As soon as you see unauthorized transactions, alert your bank," he advised. "Security is an active partnership between the bank and the customer."


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Symmetrix Remote Data Facility (SRDF)
The SRDF family of software is the gold standard for remote replication in mission critical environments. Built for the industry-leading high-end VMAX hardware architecture, the SRDF family of solutions is trusted for disaster recovery and business continuity. The SRDF family offers unmatched deployment flexibility and massive scalability to deliver a wide range of distance replication capabilities. The SRDF family consists of the following options:
- SRDF/S – Synchronous option for zero data exposure loss
- SRDF/A – Asynchronous option for extended distances
- SRDF/Star – Multi-site replication option
- SRDF/CG – Consistency Groups for federated data sets across arrays


text:
They have played eight games so far this season. All of them count on the won-loss record. But Friday the Bisons open up defense of their Atlantic Sun Conference Championship when they play the first Atlantic Sun series of the season when they visit Mercer University's Claude Field in Macon, Ga.
The Bisons are 3-5 after playing a three-game series at Georgia Tech to open the season followed by visits to Auburn and Vanderbilt. Sandwiched between the Auburn and Vanderbilt games was a three-game home series with Bradley.
Mercer is 4-4. Both teams enter the series having won three of their last four games.
"We have played eight games, and five of them were against bigger schools," said Lipscomb coach Jeff Forehand. "The competition we go up against is really good. We want to play those teams that allow us to get prepared for conference weekends.
"Of the five games we lost, no one was looking at any of them as moral victories. Hopefully, we have learned some things by playing some talented teams. We can go into this series with a really good Mercer team at least knowing what is going to be expected of us."
One of the concerns for the Bisons is the defensive effort so far this season. Left fielder Ryan Wilkins, center fielder Allen Bolden and shortstop Branden Cadavid are the only players who have started all eight games at the same position. The loss of catcher Caleb Joseph to the Major League draft was expected to have an effect on the offense, but it has also had an impact defensively as well.
"When you look at our defense just about every guy on our team is playing for the first time as a freshman or hasn't played that spot on defense at the college level," said Forehand. "We have guys rotating at second base. Those guys are older, but they haven't logged a lot of innings.
"We have new guys at the catching position. We have lost a lot of innings there. We are going to take a few lumps and learn along the way. Hopefully that will pay off as we compete inside the conference."
Justin Sanders, first baseman-designated hitter, is third in the Atlantic Sun with a .533 batting average. He is second in slugging percentage (.967). He is tied for second in doubles (six) and is first in triples (two). He is tied for sixth in hits with 16.
Sanders has hit safely in every game this season. He has recorded multiple hits in five games, tops on the team. He also leads the team with three multiple RBI games.
"Justin is swinging the bat pretty good," said Forehand. "We just need to get a couple of guys on track ahead of him. I have confidence in all of the guys. I am excited about what is going to happen when all of it clicks together."
The Bisons plan to start junior left-hander Rex Brothers (1-1, 2.31 ERA) Friday at 5 p.m. Senior right-hander Brandon McClurg (0-1, 5.62) will start Saturday at 3. Junior right-hander Josh Smith (1-0, 5.73) gets the starting nod Sunday at noon.
Mercer's rotation will be Lath Guyer (0-1, 7.36 ERA), Dan April (1-0, 5.06 ERA) and Justin French (0-0, 4.72 ERA).
Brothers is tied for the conference lead in strikeouts with 17. Smith is tied for first in strikeouts when the batter was looking with eight. He is tied for ninth in strikeouts overall with 13.
"Mercer is always a very competitive team," said Forehand. 'They have the majority of their lineup back from last year. They beat us two-of-three games at home last year.
"Everybody in our league is pretty much all the same. They are all very competitive. Each game should be close."
Every A-Sun is crucial, but this year every win carries an additional premium. Only seven teams are eligible for the Atlantic Sun Tournament. Only six teams will earn berths in the tournament.
"Our players, especially the older guys understand," said Forehand. "We get excited about every game, but with conference games everybody knows there is something on the line.
"The Atlantic Sun is a tough conference. There is going to be a good team that is left out of the tournament. We want to make sure we do everything in our power to fight for that first spot."


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What It Is
It's a performance beast that breaks every rule for a sedan.
Best Thing
Top-notch interior, especially for a sports car.
Worst Thing
Horrific fuel economy.
Snap Judgment
While we had fun driving the 2014 Chevrolet SS, we have plenty of reservations.
Imagine what would happen if a Corvette and a Malibu had a baby. Apparently Chevrolet did exactly that and created the SS performance sedan, an all-new model that competes in a unique segment of the auto market. With a Corvette engine under the hood and the spacious interior of a practical sedan, the 2014 Chevrolet SS is a giant contradiction on wheels. But get behind the wheel, hear the roar of the engine, and you probably won't care.
Not to mention the fact that this nearly-4,000 pound behemoth can sprint to 60 mph in an incredible 4.9 seconds, we also like the 2014 Chevrolet SS for its heavy feature content. But while it is practical in many ways, there are many other, faster performance cars out there that get better fuel economy. All in all, we are still left wondering who will ultimately buy this car.
What We DroveThe 2014 Chevrolet SS comes in one standard trim level that is filled to the brim with features. Standard amenities include full leather upholstery, heated and ventilated seats, MyLink infotainment with navigation and Bluetooth, a high-tech head up display, and more. Its starting price is $43,475, but this is before a nasty gas guzzler tax of $1,300. (Don't worry, we'll get more to this later). The model we drove tacked on a power sunroof ($900) and a spare tire ($500). All in all, our Chevy SS came to $47,170, including a destination fee.
If safety is your main swaying point with this car, unfortunately we can't provide much information on that. Neither the government nor the Insurance Institute for Highway Safety has released crash test scores for this new model. But we can say it is fully loaded with safety features, including eight air bags, auto park assist, lane departure warning, forward collision alert, blind zone alert, rear cross traffic alert, rearview camera, and six months of OnStar.
The CommuteDuring our time with the Chevy SS, we took the car through plenty of city and highway driving. In the city, we noticed the car's responsive Brembo brakes and firm handling. On the highway, this car definitely makes its presence known when passing other cars. You can hear the 415 horsepower go to work with the thunderous groan of the engine. Only the sounds you want to hear come through to the interior, so there is minimal road and wind noise. Acceleration is swift, but things really kick up a notch when you put it in Sport mode. Still, we would recommend the Corvette, CTS-V, or a number of other sports cars for those whose top priority is speed.
For a performance car, the ride is surprisingly do-able. But not the same can be said for its fuel economy. This car gets an atrocious 14/21/17 mpg city/highway/combined. This is the same city fuel economy as a 2010 Hummer H3 and worse overall fuel economy than the Chevy Suburban. We found these numbers to be pretty accurate in real-world driving; I averaged about 17.2 mpg in the SS. And according to FuelEconomy.gov, you will spend $4,000 more in fuel costs over the course of five year compared to the average new car. Ouch.
The Grocery RunYes, the 2014 Chevrolet SS is a true performance sedan, but it can also double as a mommy mobile. Toting groceries for the whole family isn't a problem with this car's spacious 16.4-cubic foot trunk. While shallow, it extends deeply back without intruding on rear passenger space. Two large suitcases can easily fit into the back of this car. A removable cargo net helps store smaller items in the back.
Whether heading to the grocery store or the nearby mall, parking is surprisingly easy. The SS isn't terribly wide, which makes it capable of squeezing even into small spaces. Its capable turning also helps in this regard.
The Weekend FunSo we've established the car is fast and provides plenty of space, but how is it when you want to have some fun? We found the car had plenty of room for family and friends to enjoy the ride. Weekend adventures required the use of Chevrolet's navigation system. We liked the "One Shot" destination feature with voice commands, which allows drivers to forgo separate voice entries for city, street, and number entries. However, we found it isn't always as accurate as systems from other automakers.
However, we did thoroughly enjoy this car's interior. This is probably my favorite part of the entire car. It features a nice mix of leather and suede-like materials almost everywhere. The seats are full leather, accented perfectly with red stitching. To top it off are the prominent SS badges and alloy brakes. We also enjoyed the awesome Bose nine-speaker sound system, glitzy infotainment system, and dual-zone automatic climate control for hot winter days in California.
SummaryPowerful yet comfortable, sporty yet spacious, the Chevrolet SS is an automotive anachronism if there ever was one. It truly follows its own path of what a sedan should be. For what it is, the car provides great value in its high feature content. However, its low fuel economy and gas guzzler tax diminish this value. The SS may be an alternative to other large sport sedans, namely the Dodge Charger. However, the Charger SRT8 provides a robust 470 horsepower and achieves better fuel economy while the midrange 370-hp Charger R/T is available for a much smaller price tag. Overall, we feel like this one-of-a-kind car will come down to an emotional decision for buyers. Those willing to sacrifice the atrocious fuel economy and so-so exterior styling for pure performance may find this car to their liking. However, the car's other downfall is that it doesn't have as much tradition in the U.S. behind it as the Charger, Challenger, and other classic muscle cars.
Spec BoxPrice-as-tested: $47,170
Fuel Economy
EPA City: 14
EPA Highway: 21
EPA Combined: 17
Cargo Space: enough groceries for the family
Child Seat Fitment, Second Row: Fair
Estimated Combined Range: 320 miles
Intellichoice Cost of Ownership: Average


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James Shield's Other Talent….Rays T-Shirt Designer
After World War II, the T-shirt was worn by returning soldiers as daily outerwear while performing duties around the house, or in farming communities. But most think the true origin and National preference came after actor Marlon Brando wore a T-shirt in the film "Streetcar Named Desire". After that film it was considered by many to be a fashion statement and an accepted garment to wear out and about doing daily activities. The transformations of the T-shirt from there have been swift and very visual for all of us to see…daily.
From that moment on the T-shirt has transformed from a simple undergarment to prevent sweat stains on outerwear to the preferred clothing options within sports coats and on the film industries red carpet. From the tie-dye T-shirt to the invention of the silk screening process, this clothing item has been invented and reinvented several times until we finally get towards the most recent evolution of its creation, the designer T-shirt.
So maybe it is only right that the one member of the Tampa Bay Rays roster who has shown a knack and a passion for not only wearing classic designer T-shirts, but also classic Rock and Roll T-shirts would set his sights on taking on the task of designing a special Rays edition T-shirt to be given out to Rays Republic fans. And we have all seen him before after games or at Rays events like Rays Fan Fest or the Season Ticket Party at Gameworks in recent years sporting his black "Motorhead" T-shirt.
But then again, Rays pitcher James Shields was also the guest announcer during a segment of the Rays 2009 "Rays on the Runway" fashion show and showed his own sense of style and designer flair during that brief flash on your television screen. And with that passion now exposed, the Rays consulted with Shields about maybe designing a Rays custom collectible T-shirt to be given out during the Rays Friday night celebrations in 2010.
Since the 1980's, this form of clothing has been known to sport expressionistic ideals and images and was the perfect opportunity for Shields to show his skill in this avenue of fashion. Now this is not to suggest or introduce Shields as a T-shirt designer to the World, but is a great and special way for him to show his expression and passion for the game of baseball upon a cotton canvas. And Shields immediately chose his most famous T-shirt color, black as the base for his artistic T-shirt expression.
When you first gaze upon the T-shirt you see instantly his style and his want to include baseball images and motifs intertwined in his design. From the lower cap lettering of "big game" under the front collarbone line to the induction of blue flames going outward from the center, you instantly got a Rock and Roll feel to the project. Then the central image of Shields in his on-the-mound pose right before he delivers a pitch, to the two flaming baseball skulls located around the bodies pectoral muscle region, the T-shirt instantly brings you into the design.
And the use of the white to accent both the outline of Shields and the baseball skulls brings you instantly into that region of the T-shirt as it pops off the black T-shirt. The front design of the Shields inspired T-shirt ends about midway down with a scroll piecing that is center under Shields outline on the mound and includes his uniform number "33" in a blue lettering. And around the centralized design is blue hued artistic designs that also seems to push your eyes towards the center of the design.
The back of the T-shirt also sports its own Shields inspired creation as his ever popular nickname set in uppercase lettering that is emblazed across the back upper shoulder region like his game day jersey. The moniker "Big Game" on the back of the T-shirt instantly pulls you into this region in silver ink and you also notice just below it the "TB" initials of the Tampa Bay Rays team. But the thing that might miss you eyes unless you turn the T-shirt upsides down might be the gigantic griffin, which has long been considered a symbol of power and strength.
The griffin is a legendary creature with the body of a lion and the head of an eagle, which encompasses the king of beasts and birds into one animal entity. And the griffin illustrated on Shield's T-shirt actually takes on the characteristics of a 15th Century alce or a keythong and the image is pronounced as if it was actually a coat of arms inspired design with a crown upon the griffin's head.
I got to say it personally is a unique and well designed T-shirt that will become an instant Rays collectors item, and one I think we might possibly see again in the future from Shields. But again it shows that each of these members of the Rays 25-man roster have outside interests that some of us might never know, or hear about unless it is brought to our attention or provided for all of us to marvel and enjoy also in life. Shields has a knack for designing, and might have been one of those kids who doodled a lot in class as a kid upon his notebooks or on sheets o paper.
Talent can come in many forms. It can be a sports talent like Shields unique change-up that has buckled the knees of many Major League Baseball player, or it could be an artistic talent like his recent T-shirt design for the Rays fans. Who knows where this first inspiration by Shields will go from here. He could go on to producing a yearly special design or make it an off or in season project to help raise funds or involve the community to show support for a cause or an event.
Major League Baseball players like Shields are all over the place. Most of the guys on the Rays 25-man roster have additional talents most of us might never know about unless they are shown or expressed to us fans. Fernando Perez has a special gift for writing, Carlos Pena is the fashion staple on the team, and we all know Rays bullpen Coach Bobby Ramos is the team dance instructor.
Talents off the field help to endear us to our Rays players and it takes away that invisible barrier that makes them "off limits" or unapproachable to us. The Rays boast one of the most fan-friendly teams in Major League Baseball, but sometimes a little insight or exposure of the person within brings a new appreciation of that player to all of us.
I know with Shields it showed a side of him you would not have imagined with the creation of this special James Shields inspired T-shirt. Hopefully this is not the first player that opens the door a bit to us in 2010 and shows us the level of talent this team has beyond the base paths and mound.
13 Comments
Appropriate wear for rock concerts … baseball games …. Even better, a rock concert that turns into a baseball game! Any shirt with a Griffin on it is cool by my standards.
Guys like James Shields actually have a type of "Rock and Roll" lifestyle as Major League Baseball players. So that mixed with his fashion sense just seemed like a natural meshing of the two…
Griffins are a royalty-inspired symbol of unique power and strength.
And I agree with you, Griffins are the bomb!
Rays Renegade
Cool T-shirts. And I agree that knowing about the players' other, non-baseball talents makes them more multi-dimensional and accessible to us.
It really does make them less robotic or deaf to us when we see a side of them that shows talents, vulerability or even a special moment.
Maybe that is why I am so up and tight on Burrell because he doesn't shoe emotion when signing (if he does) or when something happens to him during a game.
Sometimes that show of emotion or fire can also rekindle our "like" or " want" to see that player succeed.
Rays Renegade
Looks like an emerging trend among players; Shane Victorino designed a t-shirt too in the off-season. It takes a real man to admit he likes fashion ;o)
No one will ever accuse me of being a fashion icon. Fashiod disaster…yes, icon….never!
I was nicknamed the "Rowdie Raccoon" by one of my HS teachers because all I ever seemed to wear to class was Tampa Bay Rowdies wear and rugby shirts(they were in style then).
So, as you can see, fashion sense and my tastes never seem to be in the same room with each other.
But I do wear a lot of jean shorts and cargo shorts to games….So I got that going for me, which is good. (lol)
Rays Renegade
That's a pretty damn cool shirt!
It really was a great shirt, and the Rays ticket takers were a bit at odds tonight when I walked in already wearing a James Shields T-shirts.
They almost did not know if I should get one ( I did), but it was fun letting some of the fans before the gates opened see the type of quality T-shirt they were getting from the Rays tonight.
It was a sea of blue and black tonight with a nice micture of Rays gear and people wearing the new James Shields T-shirt.
Rays Renegade
Is there any place I can possibly get a Big Game James t-shirt?? Please let me know, by email (firstname.lastname@example.com) or by comment on this.
Love the tallent of james shields and would like to know where i can get The Big Game T-shirt Any one know?
Love the tallent of james shields and would like to know where i can get The Big Game T-shirt Any one know?
Honest answer, I have been trying to get one for someone and I have run into a brick wall.
It was one of those promotions that was really popular at the area school the next week, and so it made it difficult to obtain another one.
As of now, I do not have a line on even one T-shirt.
Rays Renegade
Appreciate it for ones great placing! I liked looking at this, you're a fantastic author.


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Main Site - :: Why Won't God Heal Amputees? ::
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Here's an article on whether abstract concepts, in this case numbers, exist. Have a read, it might answer your poll question http://www.math.hawaii.edu/~lee/exist.html
Wait...what?The poll question is based more so on opinions of the people answering...
Actually it doesn't. One could conceivably be all-powerful but not exceptionally intelligent.
Reality doesn't depend on opinions, nor your feelings.
Quote from: Dante on October 04, 2013, 06:42:23 AMReality doesn't depend on opinions, nor your feelings.Does that imply that if you post a "Is god real?" poll on a theist site, god becomes real?...
No. It implies that one's opinions don't mean shit in the face of reality.
But, since you brought it up, your tulpae have no more evidence for their existence than do gods, so they can be dismissed as fiction just as easily. And all the wishful thinking in the world does nothing to change that.
Quote from: Dante on October 04, 2013, 06:51:14 AMNo. It implies that one's opinions don't mean shit in the face of reality. Indeed opinions are nothing, but polls still use opinions and preference.Otherwise political "polls" would be blatantly obvious, and not the stupidly complex things they are today.
This isn't a poll on opinion though it's poll on the nature of reality, you might as well have set up a poll asking whether chickens are real for all of the difference it will make
To be fair, the poll question is "Do you believe tulpae are real, or not?", so it is a poll relating to people's opinions.
Quote from: Mrjason on October 04, 2013, 07:04:26 AMThis isn't a poll on opinion though it's poll on the nature of reality, you might as well have set up a poll asking whether chickens are real for all of the difference it will make To be fair, the poll question is "Do you believe tulpae are real, or not?", so it is a poll relating to people's opinions.
So it does. My mistake, I only read the header and the OP. Still not gonna vote though.
Based on the multi-page discussion that you have going already on this topic, do you think you have found any Tulpae believers on this forum?
May I ask what you hope to accomplish by conducting this poll?
And also, how much time do you invest in interacting with real people? Not forum members or your tulpa.
I'm kind of finding myself feeling that you are just really lonely, and perhaps having trouble making human connections, so you have created this elaborate fantasy to occupy yourself. And then you come to an atheist forum, and rather than engaging in the topics that are important to most members here, you insist on talking about your tulpa, over and over and over again.
You see, when you are interacting with real people, (even online) you are likely to have a more meaningful connection if you find an area of common interest.
I'm kind of guessing that this is something that you are having trouble doing in your life. (And please correct me if I am wrong.)
But it seems that you are trying to get attention in a really non-productive way on this forum.
And you may do that in your real life interactions as well, which is perhaps the reason that you decided to create your tulpa.
And then, for some odd reason, you create a tulpa who has inexplicably different interests from your own. She likes fire and you like water. This to me, is really telling. You've created this artificial divide, and yet you are still the best of buddies.
Could it be that this is what you want to do with real people, in your real life? Because we all have differences, and our differences often give us interesting things to talk about. But usually, after we have already established a common set of interests.
You are clearly a smart, creative guy. But I have to admit, I'm kind of worried about you. If this tulpa thing is sort of a rehearsal for starting to develop strong human friendships, I suppose it is a sort of interesting exercise. But I really hope that you try to move on to the next step soon.
Is there anything other than tulpas that you are interested in talking about?
I think the problem with this question is that in a case like this, it's hard to define what "real" is. If tulpamancy is, in effect, a self-induced delusion, even of true multiple-personality or schizophrenic proportions, the entities conjured up might not be "real" in the sense that they exist as entities in their own right, but are very real in the effects they produce on their host's mind and, sometimes, in resulting behavior, which, unfortunately might, very occasionally, engender real carnage...
I don't think the answer is as simple as you might think...there can be a lot of subtleties in delusion. Fiction can take on a life of its own, and cults based upon fiction, for example, can be very real, making the fiction, in effect, part of real life. I think your tulpamancy might fall into this sort of category.
What do you mean by 'real'?In the sense that they are detectable by people other than their creator?In the sense that you genuinely experience interactions with yours?In the latter case then yes, I am prepared to believe that you do actually experience yours in that way. However, that is in much the same way that a christian experiences a "relationship with jesus".In the former case, no they are not real.
The poll is entirely opinion based, no strings attached, yes, no, or maybe.
Unfortunately, that means the numbers for 'yes', 'no', and 'maybe' in the poll are entirely meaningless.
Quote from: jdawg70 on October 04, 2013, 08:32:29 AMUnfortunately, that means the numbers for 'yes', 'no', and 'maybe' in the poll are entirely meaningless.Never stated they were, did i? ;P
Religions need books because they don't have gods.
Define "real".
Then this poll is no different than "Do farbots multigate strageo? Yes, no, maybe"
You tell me.
It's your poll. You're the one who has to define the term if you want an honest and relevant answer. Otherwise, I stand by what jdawg70 said.