text:
Milner to Arsenal?
My first thought was "really?" I am sure yours was along the lines of "The Sun journalists are doing their usual" that is working to the agenda of a rapacious player agent, but could there be anything in this rumour?
James Milner is 29, an England International and a man coming to the end of his lucrative contract at City. It is reported that his intention is to move to London with Arsenal being his chosen destination. He has 53 caps, scoring only one goal. Milner has been at City for 5 years winning the PL title twice, and both the domestic cups. City paid €32m for him in 2010, the year he won the PL Young Player of the Season award.
What does Milner offer? He can play on both sides of the pitch, has played full back, midfield and on the wings for MC, he has enormous energy, is a fine crosser, can tackle and is an intelligent, tactically aware player. Not the fastest but has adequate pace.
Why buy him? A multi-purpose player with a wealth of experience and above all English.
Probability? Mr Wenger is a long-term admirer. Milner reminds me of Ray Parlour – a player whom Mr Wenger set much store by and one he has tried to replace many times. Arteta is creaking, Flamini likely to be sold, Diaby – who knows? – so we could use another mature presence.
If (huge if) Wilshire leaves in summer we have a space in the squad, though The Ox is a younger more dynamic version of Milner. Gnabry is coming through the ranks and is already an established German U-21 international; he will want first team action.
Theo may be sold which would reduce the number of English players in the squad.
However, we already have Ramsey, The Ox, Alexis, Gnabry, Rosicky, Arteta, Wilshire and the upcoming Crowley who can play in Milner's chosen position.
BR's Opinion.? More Sun bolleaux
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80 Responses to Milner to Arsenal?
Thanks Raddy, I feel the same way about Milner as I did before we signed Welby. I was wrong about Welby, he is a much better player than I had thought and an excellent addition to the squad.
I would expect to be equally pleasantly surprised if we signed Milner. He has the work rate of Sanchez and Welby, but like Welby he'd have to be prepared to watch some games from the bench as I see him as back up/alternating with Le Coq.
Incidentally, the midfielder that is most likely to leave in the summer is Santi. I suspect he and Arsene have a gentleman's agreement and Santi wants to finish his career in Spain.
A good question BR, there are currently no vacancies in our squad for just another midfielder of the all purpose variety. What we will need when Arteta, Rosicky, Flamini and Diaby finally leave is a player such as Milner but a bit younger.
We have aspirations to being a "big" club, snapping up ageing players looking for a lucrative boost to their pension plot doesn't sound like the way forward to me.
Whilst it may well be more Sun Bolleaux, there could be a hint of truth in the rumour, anyone with the choice would obviously rather locate themselves in the Capital than remain in the environs of Manchester.
It's probably kite flying on the part of Milner's agent, to mix metaphors, run it up the flagpole and see if anyone salutes. 😀
Rasp. Good point about Santi (whom I completely forgot about!!) – I just hope he stays.
NG. We don't have "aspirations". We are The Arsenal 🙂
Quite right BR, but the sentiment remains the same. ;D
brizzleGunner says:
I'd like to see Milner at the club, he could mentor Wilshere and Cowley etc. He could play the Arteta role, I.e. a deep lying playmaker or something like that with Coquelin being the proper DM.
Santi will stay another season at least I think, he's playing some fantastic football at the moment and still has a couple of years at the top
If I were to go into fantasy mode, we'd let Arteta (with a big thank you) Flamini and Rosicky go and bring in Pogba. He is genuinely box to box and defends like a beast – the closest thing to a Vieira replacement.
fatgingergooner says:
With Rosicky, Arteta and Flamini nearing the end of their Arsenal careers I think there may be room for Milner in the squad. He's home grown and a very useful player who works his tail off during matches. On a free transfer its a bargain.
Just seen Klopp may be leaving Dortmund. I wonder if City will be his destination? More importantly, I wonder how many of their squad we can buy on the cheap!?
GoonerB says:
Thanks Raddy, Milner is an interesting one. It seems my view is the same as many on here that on an individual basis I like Milner and feel he is good enough to play for us and think he is a tad under-rated. I do however struggle to see where the opening is for him even if a big clear out takes place.
I do think we should keep TR7 as an experienced back-up player. Being able to call upon someone like him can be the difference between the few points at the end of a season that separates the champions and second placed team.
If we let Arteta and Flamini go and even if Santi is off we still have options from the Ox, Rosicky, Wilshere and Ramsey alongside Le Coq. Each of those 4 could also do a job further forward if Ozil is out. Having said that with our injury history can we ever have too many? 🙂
Back to Milner, I have often thought that his adaptability has stopped him playing his best role on a regular basis. I think he could have become a high class CM if not utilised out wide as much. He falls into the Beckham and Bentley (yes he did have great promise at one point) category for me, of being able to play wide and put a decent ball in, but in reality having the better skill set for a CM. We don't really need another CM who can play wide if needed.
I won't say any more because I am attempting to get a post into Don Raspioni later on and don't want to clash with anything that may be in it.
RC78 says:
A) MILNER
– He is appartenly going to Liverpool so the chances of us landing him are close to nil…
– That said – we can have room for him and should make room for him. He is such an undervalued player – he is one of the few players that can perform consitantly around the pitch as Defensive Midfielder, Central Midfielder, Wide-Midfielder and Forward…He has a great engine and passion as well. Let us say we ditch Flamini for sure, I would say that we should sell Rosicky and/or Arteta to make space for Milner. He would be a great team player and would definitely push Ox, Ramsey and Wilshere to get better because otherwise, he would just become a starter for sure…
Ox, Bender (?), Ramsey vs Milner, Coquelin, Cazorla
Plus Wilshere – now, this would be among the Top 4 strongest midfield in the EPL for sure and we would even have the edge in terms of quality of passing and ability to go passed opponents and create chances…
Anyways – for me, we should pursue him and make space for him
B) DORTMUND
Dortmund indeed requested contract resilitation…He will get it and he will fly to either Man City or Real Madrid.
If Real Madrid fires Ancelotti, Ancelotti will come to City while Klopp joins Real.
If Real Madrid keeps Klopp, Klopp will go to City.
I am not sure who would leave Dortmund then – it will largely depend on the new coach…
Femi (@femilovechild) says:
Everything wrong about him
1. He's 29. Wenger likes them young, so not gonna happen
2. He's not your typical arsenal player. Using Ray Parlour as an example is not valid because Ray played a long time with arsenal before Wenger improved him later in his career. Milner on the other hand is not the type of player we need
3. We are already overloaded with attacking midfielders we might just have to sell to create space for newcomers.
4. He's a c*nt. OK, thats not a fair reason to disqualify him, but really, do we need a 29 year old who is already earning enough at Man City to come in for another paycheck when we can buy a 25 year old that will fit in perfectly or promote from within?
eoin2211 says:
Walcott, Cazorla, Rosicky, Arteta, Diaby are all doubts for next season. On top of that Ramsey, Wilshere and Chamberlain are all a bit injury prone. I don't see why the free signing of Milner would be anything other than a plus. He's been one of City's better performers, is versatile and is certainly not a washed up act.
Raddy,
You have set me a poser – how to say 'no thanks' to Milner without being scatological.
I have not read other comments yet, so I could be on my own here, but these pleas of "buy me for a huge salary, because I have run down my contract, and I am looking for a nice boost to my pension' from ageing players leave me cold.
For those of you who enjoy Shakespeare, these players coming towards the end of their careers remind me of the demise of Ophelia in Hamlet when, in some interpretations, she commits suicide by drowning, and another character throws her a rope in case she wants to grab it and be rescued.
Arsenal are not an old players care home or charity – so I will say it again, thanks Milner but no thanks.
For many Arsenal fans all first team players are 'good' – all squad players are 'good' – and that might be true-ish — but there is always room for improvement – and if we are aspiring to be a top team in the EPL and in Europe, which we are not yet, then we must go for the best players we can afford, and not go for poorer quality simply because a player is cheap and in the twilight of their careers.
Amen. 🙂
What's this about Milner being a free signing? There's no such thing!
Milner will demand a wage that will be in the region of £150,000 per week. That's an eye watering £7.8 million a year, on top of whatever his agent can screw out of the club in the way of a signing on fee, certainly no less than £10 million.
At twenty-nine he would want a three year contract bringing his total cost to something in the region of £24.400.000. At the end of his contract he would be worthless as he could then leave on a Bosman.
Free signing my a**e !!
Shard says:
Milner for Rosicky is possible I suppose. Much as I'd like to keep hold of him, he did say recently that he thought of moving in January and would like to be playing more. So he'll probably leave.
Flamini will leave for sure. I think Arteta will stay (and there are reports he's signed an extension) And I really find myself hoping Diaby will stay fit till the end of this season and then sign a pay-as-you-play deal. If nothing else it'll be fun at how much it pisses off some people.
Santi will not be sold unless there is a huge offer. Replacing him will not be easy, and will cost big bucks, so that is not going to happen. Not this summer.
I think Milner will be our backup option for a midfielder, and that we're looking at someone more blockbuster in that position. Yes, I know, Coquelin, but I think Arteta and Coq's skillset combined is what we're looking for to help us win the Champions League. Maybe someone like Schneiderlin, Gundogan, or Javi Martinez if he recovers from his injury and Bayern are willing to let him go.
What would Milner actually cost Arsenal? No transfer fee, probably a signing on fee and wages. Even if he's given a 4 year contract, it doesn't mean he has to see it out. Surely at 31/32 he would still be worth a couple of million anyway so you are getting a large chunk of outlay back.
If he was at Arsenal for 2 years offering cover to Coquelin and giving players like Zelalem and Gnabry time to develop then it's all good.
He wouldn't be my first choice midfield signing, but that doesn't mean he'd be a poor one.
FGG,
The fact you feel the need to reassure us he would not be a 'poor signing' says it all for me.
We should be signing quality players like Özil or Sanchez all the time now, and saying 'they will be great players' – and not someone else's ageing cast offs.
I am not specifically picking on you, of course, but it is a mentality that has crept up on many supporters that somehow it is OK to buy in Poundland and be grateful for what we can get, because we did that for many years.
You will not find the top clubs throwing their hats in the ring for him – and neither should we.
Enn Gee,
I think I covered your 1:30 comment at 1:24, when I said, "buy me for a huge salary, because I have run down my contract, and I am looking for a nice boost to my pension'.
Do keep up, Mr Chairman. 🙂
RA, I have a very slow keyboard finger. I started composing my comment at 1.15 but was obviously overtaken by a high speed RA.
Still, it's nice to know how well we are in tune with each others thoughts. 😀
And not only that, NG, I completely agree with your 10:02. 🙂
You sure that you are not reading my mind — anyway, I will probably put my turkey tinfoil hat back on – just in case!
RA,
Fair point, but I don't agree with all of it.
Only Real Madrid, City and PSG can afford for every signing to be a £20m+ player, we cannot. At best we can afford 1 of these world class players every 12 months, and we should definately continue to do that, but if we were to lose 3 or 4 midfielders this summer (Rosicky, Arteta, Flamini, Walcott, Podolski, Diaby all possible exits) then 1 player would not fill the gap, no matter how good they are.
Milner has arguably been City's most consistent performer this year and all the noise coming from them was that they really wanted him to stay. Hardly a cast-off.
If we could get him for £100k a week on a 3 year deal then I would argue that he'd be a useful addition. It doesn't mean we lack ambition or that we can't also sign a world class £20m+ player.
Shard.
Hope all is a well and you are enjoying the start of the IPL as much as our unbeaten run.
If Milner comes then he would be a good addition but I would prefer a stellar signing at DM or GK.
I understand, FGG, and all I meant was that I am hoping the past limitations on player purchases was behind us.
The problem with expressing my desire for top players tends to get obscured when quality judgements regarding 'cast-offs' or 'free' are used (by me) as it implies that provided we pay £20m + for a player that is OK – but that was not what I meant.
Taking Gabriel for example, I think he was a quality buy – for a young player who can only get better, and for a reasonably small transfer fee (when you say it quick) 🙂
And did I say that I just do not rate Milner – never have and never will – and that obviously colours my thought process too. 🙂
That's not to say you are wrong in your thinking – and if it comes to pass, I will just have to say well done – thru gritted teeth. 🙂
Hi BR
I've really missed being on here, but starting a new career, learning the ropes, takes a lot of time and energy. Too distracted to stay on AA and refresh the page throughout the day, so just stayed away (Yes, I'm a poet)
Arsenal's recent run has been great and I hope I don't jinx it by coming back on here, but today seemed a decent time to dive back in 🙂
Aah, the IPL. Sorry to disappoint you, but I don't watch it. I don't watch much cricket in fact. The World Cup was fun. I might catch the odd game here and there, but the IPL is a strict no-no for me. The TV companies seem to think the viewer is there to watch ads interspersed by some cricket and even while the game is on, the screen is meant to be a giant virtual billboard with a tiny cricket viewing porthole. I tried watching it many years ago and decided it wasn't worth it. Don't feel like I'm missing anything.
Of all the best laid plans.. Work beckons.. Back later.
I'm definately with you in hoping that we now shop at the top table rather than the bargain bins.
I do think though that whilst Wenger is in charge of signings, we will still be picking up the odd thing from the charity shop!
Sun bollix is about right. No chance of us landing boring, boring Milner. Shame, because he has a great square jaw 🙂
He is an honest player, with only 1 red card. Wenger would like that
It could be an exodus this summer. I can see Walcott, wilshere, Arteta, Rosicky and even Santi leaving. We will no longer be overloaded with midfielders
FGG, re your 2.43, "Rosicky, Arteta, Flamini, Walcott, Podolski, Diaby all possible exits" we've been without most of them for most, if not all, of the season so far. they wouldn't take a lot of replacing would they?
Eddie can you really bring yourself to mention the fact that Santi could be leaving? Have you fallen out of love with Santiago Cazorla González? 😀
NG – that is true for as long as the rest of the squad is not injured, like now. Add a couple of injuries to the key players and you need to bench warmers to fill in each gap
A very capable player, but unless he`s going to cost us £30M+……then I`m not interested !.
Edde, I take your point but as several of the players I mentioned are on the F.I.L. (Frequently Injured List) would we not be better to release them, buy one or two quality replacements and fill the rest of the vacancies with our own Young Guns? Kristian Bielik, for instance?
Cocky. Good thinking
Klopp to MC? Or perhaps Real and Ancelotti to MC.
Shame I would have loved to see him at AFC but with AW staying until 2016/17 it is unlikely he will ever manage the finest club in world football – instead he will have to go to Barca or RM
I'm just glad nobody mentioned Tom Cleverley is available on a free in the summer 🙂
Not overly bothered about Klopp. He's an excellent manager but we already have one of those. Maybe in a few years he will be available when we have a vacancy.
What will be interesting is which Dortmund players will be up for grabs.
Subotic
Gundogan
Mkhitaryan
All very good players who could add something to our squad.
Cheers, BR.
I'm not sure about Milner at all, but that doesn't mean he wouldn't be a good buy. 🙂
Cocky Doodle,
I will see your £30m + and raise you another £10m +
That that. 🙂
No Raddy, but thanks for the written thought anyway 🙂
We were a bit better at the start of the season because we added Sanchez. Then, at half term, we added Coquelin and got a bit betterer still.
Both upgrades on what we had. Milner would not be a first choice in any position, and to improve we need better than we have.
Off back outside
'till dawn
Driving through Truro yesterday I saw this geezer walking up the main road wearing a red boiler suit pulling an 8ft wooden cross attached to two wheels and strapped to his back !. He was waving at all the drivers passing him !…..Jesus Christ I thought, he`s going to get crucified when he passes the building site up the road !….and just thought what a fcukng nut case !.
As time passed I thought….. is he a nut case ?…..I mean look at us !….are we not inmates of the Arsenal Asylum ?.
I thought back to when I first moved to my current house in Cornwall and wondered are they currents or raisins ?.
I moved here in November of 2002 ….a great year to be in the Arsenal Asylum, we were the current ( raisin two cups ) double holders !. As a few know, I do a bit of running, but few know that my running was just as much an ingredient to Arsenal winning trophies as Arsene Wenger`s management !.
You see my fellow Gooners….I`m also a superstitious Gooner and my important part in the success of our club is down to me running a 4 mile circuit around the village, but !….for us to win a trophy, I have to run this 4 mile circuit in day light without coming across a motor vehicle, either coming towards me or passing me !…..not only that, but I have to jump over 6 sets of double white lines at the end of lane junctions on the run !. Not only that, but I have to touch 2 sets of place signs at two junctions four times each whilst shouting …."come on Arsenal each time ! ".
This is not an easy thing to do as there is a one 1 mile stretch of this course which is quite busy !….but trophies don't come easy so the superstition had to be a hard task otherwise we would win every single trophy every year and I would be elated to some kind of Dennis like status !.
Now I do this run 4 times a week and thanks to me I managed to do this run without meeting an automobile once in early 2003 and we went on to win the FA Cup 1-0 against Southampton !. I wrote to Arsenal FC telling them of my part in our FA Cup glory and received a personnel letter from the clubs psychiatrist thanking me for part in our win .
Still being quite fit I managed to do another successful run in 2004 and we ( I say we as it was my superstitious run on behalf of Arsenal FC that made me feel part of the club, although I was not paid any numeration ! ) won the league undefeated !…..and another thank you from the Quack !.
Next up I managed to just sneak another Automobiless run in 2005….just by the skin on my teeth as I was nearly over taken by the village nutter on his mobility scooter ( more about him later ! ), I just managed to dive over into my driveway as he was about to try and overtake me !, it was close and probably why we won the 2005 FA Cup on penalties !.
The village nutter was the son of a couple who had which was considered a unhealthy relationship during the war !..the father was a captured German pilot by the name of Adolf Schun and was made to work the fields along with the land girls to provide food for the troops, the mother was an alleged Nazi sympathiser by the name of Ada Itler who just happened to be a hairy lipped woman who wore swastika knuckle dusters as the forewoman of the grain store.
So not enough evidence to have her arrested, any way to cut it short…… Ada and Adolf had an affair and the village idiot was the result !….a baby boy born with the rare condition of Priapism !. Now these two may have been Nazi spies but that didn't stop them having a sense of humour and they fittingly named the child …..Ivor Eric Schun !.
In 2006 I was trying hardest to try and do my run without being passed by a car and got to the point where I was getting worried that I would fail and we would not win a cup !. I wrote a letter to the Arsenal psychiatrist saying that the seeing as Ivor Eric Schun was on an electric mobility scooter would that count ?. Could I get away with only him passing me ?. No reply !
I was now running 7 days a week to try and win us a trophy and had to put up with drivers calling me a nutter as I swore at cars passing me !…I was desperate !….I managed to get a run in on the day of the Champions League Final and was jumping for joy as I was about a 100M from my gate and got cocky and tried to "moon walk" the last yards only to stumble over and look up in terror as the Prince of Priapism passed me !….we lost the CL Final because of my moonwalk !. Jackson you bastard !
2007 was a bad year as well for my superstitious runs…..Ivor Eric Schun had a new partner in crime !…Ethel !….they met on a website !…something like….Mobility Sex…just plug in and go !.
She had …"Ethel`s Angel"…. printed on her scooter and they used to ride along side by side terrorising me in my pursuit of trophies for Arsenal.
I managed one run where I thought I had got a "clean" run, only for them to pull out of my drive to add insult !. we lost to the Chavs in the League Cup !.
I tried having them done for stalking me by phoning the police and asking them to take a restraining order out on them so I could carry on in peace in my pursuit of trophies for Arsenal FC !…I explained how the had lost us the CL and League Cup finals and even sent a copy of my letter from Arsenals psychiatrist !….but unbelievably the police said I would be sent for evaluation if I pestered them any more !…idiots !.
I was getting more injuries and running less frequently and thus we had some barren years in the trophy department. Then in 2011, I heard that Ethel`s Angel and Ivor Eric Schun had passed away in a tragic mobility accident involving sex on a scooter whilst it was being charged and a freak surge in power caused them to be electrocuted !…..I attended the funeral by running past the cemetery and shouting hooray !…hooray !…hooray !…..the bastards are dead, time for some trophies !…..we love you Arsenal we do !………I was overtaken by their Hearst and we lost to Birmingham in the League Cup Final !.
A few more barren years as I tried to get over my injures and it`s kind of ironic that we moan about our luck with injuries for not winning anything, but it`s more down to my injuries for not winning !.
I needed to put it right, I bought a running machine and ignored my doctor telling me to give up running due to scar tissue on a calf and set about a gradual build up of muscle and taking time to heal.
Last year I managed one run without a vehicle insight and we won the FA Cup !. This year before the Manshafter quarter final I managed another clear run, so take it from me….I have won us another trophy !….We will be 2015 FA Cup winners !.
Now !…..if we don't manage to win a trophy, I will have to re-evaluate my superstitions !………and probably have to go and clean the abusive graffiti off of Ivor Eric Schun and Ethel`s grave stone !.
Anyone else as superstitious as me where Arsenal are concerned ?.
Fcuk ! …..that was a long one from me !. hahaha
Could be a post ?.
Cocky. Keep running!
Milner, really? Clever idea though.
It's the Santi call that caught my attention.
I think people maybe forgetting one thing — money; that's to say, the huge mountain he earns at THOF, only Real Madrid and Barcelona have the spending power to match the kind of wages we pay him and gone are the days when he might have played for one of them. Below those two in Spain we are talking about the equivalent spending power of Fulham.
Cazorla will always have a chance to play in Spain again but he aint going nowhere until he's pushed.
Just seen the article that Cazorla would like to return to Real Oviedo before he retires.
OK folks for those who don't know that part of the world, Oviedo is in Asturias, I would say that it is the equivalent to Wales; in fact, it has a similarity in that the Prince or Princes of Wales becomes the King or Queen of England and the Prince or Princess of Asturias become the king or queen of Spain.
So, think Ramsey: I am sure he will announce that one day he would like to play for Cardiff again but is he going to give up his hundred thou a week to go and get paid twenty five grand a year before he has to — I don't think so.
Gööner In Exile says:
Evening all, Munich losing 3-1 in Porto…. Bloody ell.
Milner…… well similar age to when we signed Arteta, only last season some fans were upset we didn't sign Barry?!?!? So why not Milner? Puts in a shift, is English (and therfrefore a feather in the home grown cap, could easily replace Arteta and Flamster. Has experience of winning title run ins, seems like the only player at Shitty still bothered.
Would he be on mega bucks at City? Probably signed right at the start of the revolution before the money for really silly, and I remember watching an Agents and Players documentary from years back and Milner used the PFA in all his negotiations, not any high flung commission hungry agent, might not still be the case but he has never seem anything other than an honest footballer.
PSC losing 3:0 at home to Suarez. ooops, it's 3:1 now 🙂
I can see Klopp going to Paris this summer
GunnerN5 says:
Arsenal: Wellington Silva finally given right to play in England
Wellington Silva has been cleared to play for Arsenal – four years after signing for the club.
The 22-year-old Brazilian, who was 18 when he joined the Premier League side in January 2011, has never been granted a work permit to play in England.
He has had five loan spells with different Spanish clubs and is currently at Almeria.
But the striker has tweeted a picture of his new Spanish passport, which will allow him to represent the Gunners.
"The good thing is slow in coming, but arrives with the greatest satisfaction in the world," he tweeted.
Silva arrived from Brazilian side Fluminense for a reported £3.5m fee. The former Brazil Under-21 forward will now be able to figure in Arsene Wenger's pre-season plans, after acquiring nationality of a European Union nation.
All non-EU players require a work permit to play in England, but must have featured in at least 75% of their home nation's competitive internationals in the two years preceding the application.
A club can appeal against a rejected application, based on the player's skill and experience – as Chelsea did successfully when signing Brazilian midfielder Willian from Anzhi Makhachkala in 2013.
In the event of an appeal, an FA panel decides whether the player's ability is of a high enough calibre and whether they can contribute significantly to the development of the English game.
I know we don't do politics but GN5 that is as good a reason as any not to vote for UKIP the end of EU citizens being free from work permit requirements 😀
Seriously what kind of landscape would the PL be if it was all Shawcross and Barton types and worse still Delaps!!!!
Eddie…… Klopp to PSG makes some sense although he strikes me as a more down to earth manager less inclined to pander to egos than is required there. If I was to suggest any in the PL I would've worried if I was Rodgers or Pochetinno and possibly Pellegrini, although again I think for similar reasons toPSG that could be a nonstarter.
Now here's a thought, supposing Arsene felt Klopp was a good long term fit for the club and assuming he loves the club and cares about its future and assuming this is his last contract, if he bags another FA Cup in May could it be he would consider making way to allow Arsenal to secure Klopp? Personally I've always rated him but Dortmund has been hampered by spending power, he has asked players to run through walls for him and a combination of injury and failure to hold on to players has led to their decline this season. Having said all that wherever he goes next he will have the burden of expectation that he hasn't had when joining a club before, when he became manager of Dortnund he had area years grace to clear out and rebuild, would any of the top 7 allow that?
Colder than a witches tit this morning – winds from the North.
Micky. Surfs Up?
chas. One of NB's?
Can you tell me why the FAC semi kicks off 10 minutes before the Chav/Mu game? At 17.20!
Because the idiots that run football via TV scheduling are all mad.
"and worse still Delap" – what is this supposed to mean???!!!
GiE – Arsene will not leave before the end of his contract, another FA cup or not. He wants the CL cup, and if we didn't feck up with Monaco…..no, that would happen anyway. I watched Barca game last night, oh dear dear dear – Messi,,Suarez and Neymar up front – no team can match that,
I collected those cards. Wonder where they are now.
When I moved over here I sold all my memorabilia on Ebay. Paid for a trip around the world for two (almost)!
Eddie. I think you are wrong. AW would always put the club ahead of his own ambitions. If he thinks Klopp or someone else can take AFC forward and do a better job than he can then he will step aside.
you've been smoking ganga again 🙂 What makes you think that Wenger puts the club ahead of his own ego? He has been accused of being a despot, control freak and egotist, and there is no smoke without fire – I'd say Le Boss has a flow or two to his otherwise impeccable character
I thought George Johnston was John Roberts before I looked at the names.
I've never been one for collecting.
I loved looking at some of the bits we unearthed when sorting out my old man's stuff, but I couldn't imagine keeping it in a cupboard somewhere.
The picture of Rory tells us all we need to know about Eddie's judgement 😀
http://www.telegraph.co.uk/sport/football/teams/arsenal/11540794/Chelsea-v-Man-Utd-or-Arsenal-vs-Reading-Why-BBC-decided-to-take-on-Sky-in-clash-of-prime-time-TV.html
ok, he has ears like an elephant, but blue eyes, square jaw and fab body make Rory a very, very, VERY attractive man
see! a very attractive face 🙂 I knew, I just knew you are looking for photos to ridicule Rory, you are such a monster!
Does anybody else think that Barca will win the CL this year again?
The bookies do.
http://www.oddschecker.com/football/champions-league/winner
Happy Birthday, Freddie.
Thanks for 2002. 🙂
(that DB10 assist versus Bolton – purr, purr)
Morning all. Great pics and vids Chas as per norm. In that last bit in the F.A cup final against Chavs is that a young Terry that Freddie out-muscles and leaves sprawled on the ground? It did look like him but not sure if he was around then.
Bloody love the Romanian Fans behind the Lino
Bloody love LB's Santi to Wales analogy
Wow, off to check last nights' scores
Bloody hell, wish I'd watched football last night. Fantastic
peachesgÖÖner says:
We have a New Post …………………….


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10 killed in road accident in Sambalpur in Orissa
At least 10 persons, including five women, were killed and 10 other injured after a truck hit a passenger bus on Thursday in Sambalpur district of Orissa.
india Updated: Nov 05, 2011 08:21 IST
Priya Ranjan Sahu
Police said the accident occurred in the morning at Babubandh on national highway-6 under Burla police station of the district, about 330 km southwest of Bhubaneswar, as the bus was going from Bargarh to Rourkela.
Six persons died on the spot, while four others succumbed to their injuries at the VSS Medical College Hospital.
First Published: Nov 03, 2011 13:58 IST

redpajama_set_name: RedPajamaCommonCrawl


Join us for our buffet brunch in DC at Farmers Fishers Bakers or any of our sibling restaurants on Sunday, April 21st. Reserve your table today.
On the banks of the Potomac River, in Georgetown's lively Washington Harbour area of our nation's capital, we have built our urban farmhouse – Through the Eyes of the Farmer® – where the source of your food matters, the culinary crew is crafting inspired dishes and drinks from scratch, and our team is always working to make sure you have a good time. We do all of this while continuing to focus on operating in a green and sustainable way in order to protect the health of the land and waterways we all call home. Welcome to Farmers Fishers Bakers.


The usual pattern of formation is that there is leakage of bowel in the abdomen that will travel to the liver through the portal vein. Many cases have an infected biliary tract that will cause an abscess via direct contact.
Liver abscesses can be classified in a variety of ways: One is by location in the liver. 50% of solitary liver abscesses occur in the right liver lobe (a more significant part with more blood supply); less commonly in the left liver lobe or caudate lobe. Another method is by considering the source: If the cause is infectious, the majority of liver abscesses can be classified into bacterial (including amebic) and parasitic sources (including hydatiform cyst).
Appendicitis used to be the main reason why people develop liver abscess but that has decreased to less than 10 % since better diagnosis and management of the disease has been available. Nowadays, biliary tract disease (biliary stone, strictures, malignancy and congenital anomalies) are the major causes of pyogenic liver abscesses.
If the source is anaerobe, the most common organism is Entamoeba histolytica. It affects liver by first causing amebic colitis then seeding the portal system and migrating to the liver and causing an amebic liver abscess. Although rare in the United States, it can still be found in immigrants or travelers from other countries.
The annual incidence rate is about 2.3 cases per 100,000 people. Males are more frequently affected than females. Age plays a factor in the type of abscess one develops. People aged 40-60 years are more vulnerable to developing liver abscess that does not result from trauma.
The gastrointestinal tract of humans is formed by the endoderm of the yolk sac. The endoderm forms the lining of the tube. The posterior splanchnic vessels fuse to form the dorsal mesentery. Anterior splanchnic fuse to form ventral mesentery. The liver is developed in the septum transversum which is enclosed by ventral mesentery. The liver retains its attachment with the anterior abdominal wall.
Since the liver receives its blood circulation from the systemic and portal circulations, it is more susceptible to getting infections and abscesses from the bloodstream.  Proximity to gall bladder is another risk factor for the liver. On the other hand, since Kupfer cells surrounding the liver are protective of the parenchyma, getting infections or abscess formation might not happen that frequently or as quickly as expected either.
The usual pathophysiology for pyogenic liver abscesses is bowel content leakage and peritonitis. Bacteria travel to the liver via the portal vein and resides there. Infection can also originate in the biliary system. Hematogenous spreading is also possible.
Liver abscesses are not a common condition. They can arrive either from an ischemic episode or by bacteria entering through the portal vein, as mentioned.  Septic emboli cause several microabscesses which combine to form one large abscess. Hematogenous spread from endocarditis or pyelonephritis can happen. While these are more common in adults, in children, chronic granulomatous disease and leukemia are a culprit for liver abscess formation.
Trauma (penetrating or nonpenetrating) can cause bacterial abscesses in both populations (adults and children). Penetration introduces bacteria directly, whereas nonpenetrating events can cause hemorrhage, necrosis, bile leakage, and ultimately result in abscess formation.
It is vital to perform a thorough history and physical examination before choosing any diagnostic measures. This includes but not limited to gathering the patient's personal history, occupation, travel, place of origin, recent infections, or treatments. Certain risk factors promote the development of liver abscess; such as diabetes, cirrhosis, male gender, elderly, immunocompromised states, and people with proton pump inhibitor usage.
After gathering a history, the review of systems and physical examination can provide a lot of additional information. On analysis of systems, patients may complain of the following symptoms: fever, chills, night sweats, malaise, nausea or vomiting, right shoulder pain (due to diaphragmatic irritation), right upper quadrant pain, cough, dyspnea, anorexia, or recent unexplained weight loss. Fever is present in 90% and abdominal pain in about 50-75%.  Dark urine is present much like other hepatitis forms.
On physical exam, a patient can have hepatomegaly with an enlarged mass and jaundice. Although Charcot's triad (right upper quadrant pain, jaundice, and fever) is a sign of cholangitis, the physician will need to consider liver abscess as a differential.  A small number of patients with hepatic abscesses may present in distress or even overt shock (septic shock or anaphylactic shock in case of the hydatiform mole rupture).
In case of Klebsiella liver abscesses (happen mostly in southeast Asia), in addition to the symptoms mentioned above, it also sends septic emboli to eye, meninges, and brain. Therefore symptoms of these organ systems can be present, and it can last after the liver abscess is drained.
In the case of Echinococcus infection, there is an initial asymptomatic infection in a child. Years later some of these people will show clinical symptoms from reactivation of the infection.  The clinical manifestations depend on the type, size, and site of the cysts present. Small cysts in non-vital organs can go undetected, but large ones in critical locations can cause compressive signs or rupture.  Usual rate of cyst progression is 1 to 5 centimeters in a year. The liver is affected in two-thirds of cases of Echinococcus infection. Symptoms of compression usually start when the diameter is 10 cm and include biliary colic, cholangitis, obstructive jaundice, portal and venous obstruction, Budd-Chiari syndrome, bronchial fistula, If it ruptures, overt peritonitis or anaphylaxis will be present.
If an amebic abscess is suspected (residents or travelers from Southeast Asia, Africa,..), stool test or serology for Entamoeba histolytica should be performed. For hydatid cyst, serology for Echinococcus is needed. Enzyme-linked immunosorbent assay (ELISA) seems to be the most sensitive and specific for Echinococcus. After initial screening with ELISA, confirmatory tests with immunoelectrophoresis and immunoblotting is needed. Serology positivity is dependant on size and site of the cysts. Liver and bone cysts produce positive serology whereas lung, brain, eye, splenic or calcified cysts do not. Calcification is usually a sign of non-viable material.
Many radiographical tests can be performed, and certain tests should take precedence. It is important to limit a patient's exposure to unnecessary radiation and tests. There can be findings in the chest x-ray pointing to this diagnosis such as elevated hemidiaphragm on the right and pleural effusion over the liver. However, the initial test of choice is an abdominal ultrasound (US) which shows hyper or hypoechoic lesions with occasional debris or septation. Computed tomography (CT) with contrast is the next step, and slightly more sensitive. Rim enhancement and edema are not typical but very specific for infection. The US or CT is followed by needle aspiration under guidance to identify the exact causative organism which is essential for diagnostic as well as therapeutic purposes (small cysts).  Technetium scan is another test with an 80% sensitivity (less than CT); 50-80% for gallium and 90% for indium.  If inner cyst walls are in-folded (separation of hydatid membrane from the wall of the cyst) during the US, hydatid disease is more likely.
Stains and cultures should be obtained from direct aspirate. Drains that are in place will get contaminated with skin flora and are not accurate for culture purposes. Stains and cultures should be done for aerobes and anaerobes (special handling might be needed), but occasionally more specific cultures need to be done such as fungi, Mycobacterium, Entamoeba histolytica, and parasites.
Diagnosis is confirmed when there are cystic or solid areas in the liver that upon aspiration will yield fluid with positive cultures. It is important to obtain these tests quickly and start treatment because of the high complication rate if left untreated.
Drainage of the abscess and antibiotic treatment are the cornerstone of treatments.
Drainage is needed and can be done under the US or CT. Needle aspiration (at times repeatedly) might be all that is required for abscesses less than 5 cm but a catheter placement might be warranted if the diameter is more significant than that.   Percutaneous drainage with catheter placement is probably the most successful procedure for larger than 5 cm abscesses.  Laparoscopic drainage is at times used. Surgery should be done for peritonitis, thick wall abscesses, ruptured abscess, multiple large abscesses, and prior failed drainage procedures. An operation is performed either by a transperitoneal approach or by the posterior transpleural approach. The former approach drains the abscess and allows for the exploration of undetected ulcers, while the latter is better for posterior abscesses. Size, location, and stage help determine a successful treatment plan. When previous biliary procedures have been done, Endoscopic retrograde cholangiopancreatography drainage might be used.  Undrained liver abscesses may cause sepsis, peritonitis, empyema.
Empiric antibiotic coverage is essential when the organism is unknown. The antibiotics should cover Enterobacteriaceae, anaerobes, streptococci, enterococci, and Entamoeba histolytica. Such possible regimens are later generation cephalosporins plus metronidazole, Beta-lactam Beta-Lactamase inhibitor plus metronidazole, or synthetic penicillins plus aminoglycosides plus metronidazole. Alternatively, fluoroquinolones or carbapenem can be substituted for cephalosporins or Penicillins in case of allergy or unavailability. Metronidazole should cover Entamoeba histolytica. Duration of treatment varies but is usually from two to six weeks. After initial intravenous treatment, orals can be used safely in most cases to complete the course. Culture results help narrow down the organism so empiric treatment is no longer needed, as it can lead to antibiotic resistance. Anaerobes are hard to culture so sometimes they should be treated for the entire course empirically. For stable patients, antibiotics can be given post-drainage to increase culture yield for proper treatment. Empiric antifungal treatment is crucial in immunosuppressed patients with a risk for chronic disseminated fungemia. Occasionally if the patient is too sick for drainage, antibiotics are used solely for treatment but this is a less than desirable method.
If the source is Echinococcus, treatment includes a benzimidazole such as albendazole. This therapy may last for several years. Although most cases are uncomplicated and can be treated with an antiparasitic drug, complicated cases must be treated delicately. In most complicated cases drainage is necessary. Surgeons must take caution to inject the hydatid cysts before draining them, as sometimes the rupture can cause the patient to go into shock rapidly.
Liver abscess manifests with right upper quadrant pain, fever, and hepatitis. Therefore many liver and non-liver ailments are in its differential diagnosis. Viral hepatitis, cholecystitis, cholangitis, right lower lobe pneumonia, appendicitis, and necrotic liver masses mimic that pattern closely. Other hepatitis such as autoimmune, drug-induced and acetaminophen toxicity can be mistaken although they are usually not painful.
With new techniques available for drainage and antibiotics specific for appropriate organisms, liver abscesses have a much better prognosis now. In-hospital mortality is estimated at 2.5% to 19%.  The mortality rate is higher in elderly, ICU admissions, shock, cancer, fungal infections, cirrhosis, chronic renal failure, acute respiratory failure, severe disease, and biliary origin of an abscess. Liver abscess reoccurrence is frequent in patients who present with a biliary tract disease.
If untreated, hepatic abscesses can rupture, cause peritonitis and shock. At times the area will get walled off, and chronic pain and discomfort in right upper quadrant with occasional nighttime fever can follow. Complications are also possible after drainage and include liver or kidney failure, intraabdominal lesions, infections or reoccurring liver abscesses.  Other complications include subphrenic abscess, fistula to organs nearby (such as pleuropulmonary and hypobranchial fistula), acute pancreatitis, abdominal or liver venous thrombosis, and liver pseudoaneurysm. Infectious metastatic complications include endophthalmitis or central nervous system septic emboli.
It is vitally important to follow up with patients after treatment to prevent and recognize some of these complications. Immediate treatment for intraabdominal infection is the best preventive measure for liver abscesses. Four to six weeks of antibiotic therapy post-drainage can prevent almost any complications. Antibiotic prophylaxis during chemoembolization or endoscopic retrograde cholangiography help in the prevention of future abscess formation.
Radiographic abnormalities will take longer than clinical or lab abnormalities to go away, as is with many other medical problems. So enough time should elapse before the graphs go back to normal.
Postoperative prevention includes antibiotics, checking blood count, renal function, bilirubin, and aminotransferases.
Avoidance of animal saliva to prevent hydatid cysts can prevent some cases caused by the Echinococcus species. Physicians can teach patients to take simple precautions to reduce the risk of acquiring liver abscess. Most cases are not life-threatening but some end in high mortality rates from complications.
Liver abscesses are not as common now as they used to be. It is imperative to differentiate between the two most common sources for liver abscesses, pyogenic or amebic and to treat upon discovery.
Drainage plus antibiotics/antifungals are needed. Understanding the pathophysiology of liver abscesses is crucial because it aids in the diagnosis from the patient's presenting symptoms.
An interdisciplinary team of primary care physicians and mid levels, radiologists, surgeons, infectious disease specialists, and pharmacists are needed for treatment of hepatic abscesses. Size and place of the abscesses will be discussed with team members and an available logical method will be chosen for management. Non-invasive measures obviously take priority.


Imagine your hair being ruffled by the soft breezes of the Caribbean. You dig your toes through fine white sand down to where it becomes cool and wet. In front of you, you can see snorkelers bobbing in the water, exploring some unknown beauties beneath the water's surface. Nearby, vacationers set up beach umbrellas and the scent of sunscreen wafts on the breeze. Kids laugh and play in the surf. Welcome to Cancun where the pleasures of the beach are mixed in with convenient dining, clubbing and entertainment opportunities.
Beach life, snorkeling and cruise tours are Cancun's big draws, but you could just as easily be walking around Mayan ruins or immersing yourself in a native handicrafts market. Off the beaten path and away from the hotel zone, you'll find churches, markets and ordinary bars and restaurants that are definitely worth exploring.
This underwater sculpture and artificial reef museum can only been seen through diving or snorkeling.
Take a ride aboard a this replica of a Spanish galleon and watch sword fights and canon battles. Dinner is included with the show.
Look at Mayan ruins and then head for the museum to see more artifacts.
Playa Langosta has white coral sands and is a great place to go scuba diving.
Cancun's Mayan Temple was dedicated to the goddess of the moon, Ixchel. Today the temple has been mostly destroyed by hurricanes.
Playa Delfines has dark course sand, but does have public parking and gorgeous views. Check for swimming conditions because an undertow is sometimes present.
Yamil Lu'um is the Scorpion's Temple. The ruins are sandwiched between hotels, but are an atmospheric place to visit.
La Isla Shopping Village enriches your retail experience with Venetian canals and with a great aquarium.
Have a question about Cancun? Ask our travel forum.
American tourists and residents of Schengen countries usually do not need a visa to visit Mexico if tourism is the purpose of their trip. However, the Mexican authorities issue you a tourist card when you enter the country and it is important that you hold on to it. The cost of the tourist card varies with the exchange rate and is somewhere around $22. If your trip includes work, humanitarian aid or studies, you will need a visa. Contact a Mexican Consulate for more information. American citizens can also research Mexican travel at the U.S State Department website.
Severe Weather Cancun can receive hurricanes and tropical storms. During the summer, thunderstorms might empty the beach.
Safety Concerns Watch out for petty thieves, especially on the beaches. Don't leave your things unattended when you hop in the water for a dip.
Health Concerns The current on some of the beaches can be quite strong, so be cautious and ask if you aren't sure about conditions. Additionally, tourists need to drink filtered water while in Cancun and should be careful to stay hydrated.


I recently blogged about one of the websites I worked on straight out of college, and the lessons I learned about verifying assumptions early on.
Let me give you 5 customer-centric questions and then 5 business-model centric questions. These are all things you should be working on before, or along side, development of your consumer internet product.
1. Who is your product is for?
2. What is the context of your customers' world?
3. What motivations and values do they have behind their actions?
4. When potential customers see your product, what happens?
5. Do you talk to your customers every day?
6. What is the "core mechanic" (or minimum feature set) of your product?
7. What factors can kill your business model?
8. How do you acquire users? Can you make an existence proof?
9. How do you make money? Can you make an existence proof?
10. What technology do you depend on? Can you prove it can work?
I'll blog in more detail about each one of these tomorrow.


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We are doing our best to implement programs that are world-class - using the wisest approaches available to address
very challenging problems. Here is more about how we look at the topics involved...
Our Five 'Mom Approved' Goals
When we first walked into Ngombe Compound (pronounced Nom-Bay) in March 2009 we were naive about the depth of the human tragedy residing there. We didn't know where to start, or what we could do to help, but we felt called to do something.
Ngombe is the worst urban slum in Lusaka Zambia, a place of 150,000 people, half of them under 15. A very large percentage are HIV positive. 2/3rds of the children have lost one or both parents and are being cared for by their aunties, grandmas, or other relatives.
That day we felt the heartbeat of those moms for their children in a vibrant way. Their passion for their kids was unstoppable, mesmerizing, and contagious. They would arrive each day, lead the children in prayer and scripture reading, and then begin school. They wanted them educated at all costs. They had a very simple set of goals.
First, they wanted their children well educated.
Second, they wanted a school lunch to serve.
Third, they wanted clean water and bathrooms.
Fourth, they wanted the kids (and the community) physically healthy.
Fifth, they wanted to personally work and make money in support of these goals. When we first met the moms they were making jewelry and trying to sell it in support of these goals. As our friendship developed sewing became the primary income method.
These goals are time-tested and mom approved. The moms of Ngombe have spoken and we are doing our best to listen and serve. Our goal is to support them in their achievement of these critical goals.
When we first met Esther and the team at the Needs Care School in March 2009, they had 475 children and were meeting in a partially constructed church building to conduct school each day. Through a miracle, a proper school was constructed for them in 2013 and Needs Care School currently offers classes for grades 1 -7. Today, there are eight teachers and nearly 1,500 students.
Though costs to attend school in Zambia are low compared to the developed world, these costs are often beyond the means of families living in poverty. Each $15 per month pledge to our Academic Success Program provides the following educational assistance:
A one-year financial scholarship for one student
Funding toward fair and appropriate teacher's salaries
Books and classroom supplies
Up keep and maintenance for the school
Contributions toward expanding Needs Care School to include grades 8 – 12
Join Our Academic Success Team
When we first met the moms at Needs Care School, providing the children a nutritious school lunch was an impossibility. Even government assistance for a daily cup of porridge is no longer available. But there is hope!
The ten acre 3 Esthers Farm, established in 2015, sits just outside of Lusaka. This farm is dedicated to producing enough resources to feed the 1,500 children at the school lunch each day.
The farmland has been cleared and fully fenced and features electricity, a well, caretaker's cottage, chicken house, goats, a water tower and irrigation piping. Dozens of banana and mango trees have been planted, and various crops have been sown.
We've done so much, but there is still so much to do.
Your $25 monthly pledge to the 3 Esthers Farm will allow us to continue the march toward our goal of providing a daily lunch for every child at the Needs Care School.
Support the 3 Esthers Farm
Water & Hygiene
Clean water, soap and sanitation in Ngombe Compound are real challenges. There is no garbage service, and trash that is not burned goes everywhere. Raw sewage collects in open sewage canals, dependent on infrequent rains to empty them. Most homes simply have a hand dug latrine somewhere on their property.
Water and sanitation issues impact the health of children very directly. Bilharzia (schistosomiasis) is a chronic parasitical tropical disease that is rampant in Ngombe Compound. HIV/AIDS, TB and malaria are all too common. Good water, sanitation and access to soap are basic components to battling disease.
Today at the Needs Care School, they have clean water and the bathrooms are in good shape. Funds raised through our academic success program help insure that these resources are well maintained.
Our soap making team works tirelessly to create abundant bars of quality soap, while providing jobs for local women. The sewing team is busy making the reusable feminine hygiene supplies that are provided to girls through the Sew Powerful Purse Program.
Your monthly pledge to support any of these teams – Academic Success, Soap Making or Sewing – Is helping to ensure the good health of the students at Needs Care School.
Pray For Our Soap Making Team
HIV is a large issue, as are other common diseases include water and sanitation related illnesses.
When needed children are assisted with support via the local government clinic.
Ant-Retroviral Therapy drugs to combat HIV are made available through a government clinic, but there are still many challenges.
One of the primary factors in good HIV management is access to quality nutrition, so the drugs can be taken and remain effective. So the food and health topics really go hand-in-hand.
The clinic also serves the whole community by conducting a 'maternal health clinic' one day per week.
(March 2009) Esther explained how they used the partially completed church building as their make-shift school. A different class in each corner with a different mom leading a grade. They had 475 children back then. Today they have a large school campus, qualified teachers, children in nice uniforms, and a 7th grade exam pass-rate that is higher than most public and private school in Zambia.
Sew Powerful was born out of our desire to help the moms make money, so they could support the school their children attended. This goal fit us nicely since we ran (and still run) a sewing related company. But the other four goals are crucial too, which is why the moms were trying so hard to find a way to achieve them. They are on the front-lines, we are simply the support team.
The sewing cooperative gives them the ability to make a difference in their community to achieve these worthy goals and we're glad we started partnering with them to achieve it. We started with an innovative school uniform program and then reusable feminine hygiene pads. These purposeful products provide an income to the seamstresses while at the same time making education possible for the children of the community.
They've built a strong skill set that they use to make a difference. That knowledge can never be taken away from them.
Since 2009 we've worked to tell the story of the moms of Ngombe. They've achieved a school campus and buildings, a clinic, a farm for food, water, bathrooms, desks, qualified teachers that are paid, a library, and so many other goals. It's our honor to serve them as they work hard to make the school a vibrant place for their children.
Join us as an Atelier Angel and support our growing team of seamstresses, providing the dignity of work and the purposeful products they create to impact the lives of children in Ngombe Compound.


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New Manga Reader App MANGA Plus Released
On Monday, January 27, Shueisha propelled their overall manga perusing site and application, MANGA Plus. The site is made out of manga at present serialized in Weekly Shonen Jump, Shonen Jump+, and Jump Square. The new sections discharge in the meantime as in Japan. MANGA Plus has 50 titles up until this point, including 13 finished arrangement. Presently, all the manga are in English, with plans for a Spanish dispatch among February and March. This is Shueisha's first time venturing into direct worldwide administration.
Prior to now, Shueisha's manga titles needed to experience nearby distributes when sent to different nations. In that capacity, a few areas, similar to Southeast Asia, were undeserved. This administration gives simple access all inclusive. While there is a somewhat changed lineup in Taiwan, and the Spanish rendition may likewise have an alternate lineup, Shueisha intends to include however many titles as could reasonably be expected to MANGA Plus. Furthermore, Shueisha says it will consider including considerably more dialects if there's sufficient interest. Meanwhile, don't stress over confuse between your VIZ interpretations and your MANGA Plus versions. Each title that VIZ and MANGA Plus offer will have a similar interpretation. This incorporates each manga in Weekly Shonen Jump, and works of art like CLAYMORE, BLEACH, and NARUTO.
Photo Credit: google
Shonen Jump Showdown:
Amid Weekly Shonen Jump's multi year history, the magazine's deals topped during the 1990s. Realizing that occasions were changing, Shueisha started an online stage for perusing manga. Called Shonen Jump+, the free administration sold manga digital books, enabled you to buy an advanced rendition of Weekly Shonen Jump, and had its very own unique titles. Shonen Jump+'s editorial manager, Shuhei Hosono, uncovered in a meeting with the Anime News Network that they started getting ready for an overall variant of Shonen Jump+ in 2017. Thusly, MANGA Plus' plan depends on the Shonen Jump+ application. Shuhei says that in spite of the fact that manga itself is changing as the medium turns out to be increasingly worldwide, it's still about recounting fascinating stories more than everything else.
Re-lately, VIZ Media created an advanced Weekly Shonen Jump from 2013-2018 that likewise discharged in the meantime as in Japan. This changed last December, when VIZ propelled its own manga perusing site, Shonen Jump. With 70 titles, Shonen Jump offered a similar moment distributing of new parts, just as including more seasoned manga. Prominently, MANGA Plus plays out a similar capacity. Conversely, VIZ's Shonen Jump centers around Weekly Shonen Jump titles. Additionally, it includes a full overabundance of finished and continuous arrangement not on MANGA Plus. Be that as it may, MANGA Plus has more titles outside Weekly Shonen Jump, including some that never had an English discharge. To include, MANGA Plus capacities around the world, just barring Japan, China, and South Korea since they have their very own frameworks. VIZ's Shonen Jump achieved the US, the UK, Canada, Ireland, New Zealand, Australia, South Africa, Singapore, India, and the Philippines.
Reading Out To The Masses:
MANGA Plus' Facebook account is facilitating a crusade to commend the administration's discharge! The crusade endures from January 28 to February 28 until 11:59 (JST). Three victors will get a ONE PIECE publication marked by mangaka Eiichiro Oda. To apply, go to the challenge's post on Facebook to Like and Comment on the post. They will report the victor at midnight on March 7 JST. For more subtleties, look at their principles of passage.
The MANGA Plus data page says everything. "On the off chance that you also need to get energized over manga legends' incredible exhibitions with different perusers everywhere throughout the world, MANGA Plus by Shueisha is the best spot for you." Ready to jump into the administration? The MANGA Plus application is allowed to download and use on iOS and Android. Rather than requiring installment, a part of promotion income will go specifically to the creators. You can locate the authority MANGA Plus site here. In the event that you'd preferably download the application, you can get it from the Apple Store or through Google Play. No records are fundamental for the administration. Simply go on and get to perusing!
shuhei hosono
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How "tech" takes young Daniel from bedroom to Ben Nevis
A piece of mobility equipment is so transforming life for severely disabled Daniel that he's now even able to enjoy family holidays!
The Bostock family is in receipt of a Sella stairclimber(https://www.aatgb.com/paediatric-powered-mobility-stairclimbers/), issued to them from stock in equipment stores and accessorised to his specific needs. It means that four years old Daniel, who requires round-the-clock care, can now be easily transferred between levels of the family home- and beyond- even on a family holiday to the mountains of Scotland, and irrespective of which of his care team is with him.
"brilliant bit of equipment"
"The stairclimber's a brilliant bit of equipment. It's meant we can make it a really full life for Daniel," explained mother Jodie.
"On a practical level, because of his health issues Daniel requires 24-hour care. The stairclimber is so easy, everyone can use it- whether it's Daniels's dad who is 6ft 3ins to his smallest carer who's only 4ft 11 ins. Crucially, it supports and holds Daniel safely and correctly. It just works for us."
Brain injured at birth, Daniel requires round-the-clock care support for his condition: he has Cerebral Palsy and a gastrostomy, his back arches, his legs do not bend but his body exerts strong movement and his muscle pattern changes through the day. Big for his age, Daniel had reached the point where it was no longer safe nor practical to carry him up and down stairs.
A new Occupational Therapist to the family was aware of AAT stairclimbers, and that Doncaster Council held some as stock items in equipment stores. Our Technical Director Gareth Brown jointly assessed the family and care team, to determine the suitability of a stairclimber for Daniel and all involved in his care. One of the Authority's stock AAT S-Max Sella units was re-issued to Daniel, fitted with a tilt-in-space seat to match his specific needs in terms of size and support. We trained Daniel's whole care team in safe use of the unit as part of the assessment package.
The Medical Device Class 1 rated S-Max Sella is purpose-designed with a compact turning circle to accommodate almost every type of staircase, including bends, and turns, and narrow flights. The battery-operated kinetic machine smoothly powers up and down stairs or steps, accommodating 300 steps from one charge. Integrated anti-tilt means it cannot be tipped over, and automatic braking ensures complete control throughout the step process.
A high balance point means you need little effort to manouevre it. The handle is fully adjustable to whatever height is comfortable for you. Rate of climb can also be set to that comfortable for operator and passenger.
When not in use, you can fold the Sella compactly away, minimising disruption and interference with daily living for the household.
The S-Max Sella is part of AAT's range of stairclimbers that can be uniquely accessorised to each client's needs. This can be via the revolutionary Universal Back or individual components to deliver the exact postural support and security needed. This diversity of range has established AAT as the UK's #1 national provider of stairclimbers, with thousands in regular use in almost every local authority in Britain.AAT is further unique among stairclimber provision in offering free, no obligation assessment, training and servicing of its equipment. Assessments can be booked by visiting http://127.0.0.1/aatgb.com.new/s-max-sella/


By now, you have probably heard the news – The Gilded Pear offers microblading! This blog is your one-stop shop to get all of your microblading questions answered when you book with us!
Microblading is also known by a variety of names such as eyebrow embroidery and microstroking. It is a form of semi-Permanent makeup meant to partially or fully camouflage missing eyebrow hair using very fine deposits of cosmetic tattoo pigments. Each microblading stroke is applied by a professional technician individually. Due to the intricacy of the microblading's specialized application, it allows for the full control of your eyebrows' shape, color and density according to your personal preferences.
It is important to realize that microblading is a type of tattoo. Pigment is deposited into the upper layers of the skin so as to make the pigment last, and even though these pigments will likely fade, they are still a tattoo. The microblading tattoo, as with all other kinds of tattoos, will fade depending on the pigment used, the environment and skincare products used for maintenance on a regular basis.
The treatment is typically a 2 step application process: the initial appointment which includes consultation and initial application and the second appointment (approximately six weeks later) to touch up and ensure longevity of the colors used. The 2nd application ensures that the micro-pigments are healing properly and responding well.
The treatment begins with developing the desired shape for your eyebrows, then using individual tattoo strokes or 'feathers' in the area to plot the shape and style requested. The color choice is specific to your preferences and skin tone. It is mixed using a natural selection of micropigments to complement your style and look.
Immediately post treatment, your eyebrows will most likely appear a bit darker than expected, but fear not as they will fade by 50% during the healing process over the following 2 weeks. Just be prepared to budget yourself this appropriate time and refrain from booking your microblading too close to important occasions and photography sessions. You should also refrain from booking any vacations or excessive sun exposure for at least one month after your treatment.
Do I need to do anything to prepare for my treatment?
Ideally no. In fact, it is not recommended that you tweeze, pluck, thread, wax or modify your eyebrows in any way for at least two weeks prior to your appointment. Shaping will be part of your microblading treatment and should be done your practitioner. Only after your brows have healed over the two weeks following your treatment should regular maintenance techniques then be applied.
If you have specific ideas in mind about how you would like your brows to look, please bring a couple of reference images on your phone or in print to your consultation appointment.
A local anesthetic is applied in order to the numb the area for the procedure and in order to mitigate any discomfort you may feel. Be aware that individual levels of sensitivity vary and while most clients notice that the procedure is no less tolerable than a regular tweezing, threading or waxing treatment, your individual tolerance may be less depending on a few factors. Regular smokers should be aware that topical anesthetics tend not to work for as long as clients who do not smoke. Additionally, if you suffer with fibromyalgia, the sensitivity tolerance of your skin will be dependent on your condition.
Microblading typically lasts between 6 – 18 months if proper aftercare instructions are observed to the best of your abilities. In order to keep the color and look of your microblading crisp, a touch-up service is required up to every 2 years depending on your skin and how well it holds the applied pigment.
Factors which might affect your microblading include: sun exposure (which can soften the look of your pigmentation); exfoliation and skincell regeneration; pigment colour choice (lighter colours tend to fade faster); and bleeding during the procedure. Bleeding can be mitigated by avoiding caffeine, alcohol and certain medications (if possible) at least 24 hours prior to the procedure. Be sure to not pick or rub the healing area to ensure that you do not aggravate your skin. Additionally, avoiding extreme heat, sweating and public sources of water, such as steam rooms, saunas, hot tubs and swimming pools, is best.
Microblading is not available to minors (youth under the age of 18) at this time. Additionally, we do not perform microblading on pregnant or nursing individuals. Please note that it is extremely important to notify your doctor or technician if you plan to go for a chemical peel, MRI, laser treatments or other medical procedures after you have done microblading. Microblading involves iron-oxide tattoos which can be turned black by laser tattooing or can dramatically interfere with other procedures mentioned above.
Did you miss out on our microblading special in December? We will be offering microblading for $250 until the end of February 2018… with regular pricing for this service being $450, you definitely want to get in on this!!! Includes your touchup at 6 weeks.
This service must be done by the end of February to qualify for the $250 price. As an added bonus, if you refer 3 people to Mikhail for microblading and they also have the service done before the end of February, you will receive a loot bag from The Gilded Pear valued at $50. Contact us now to book!
***An important reminder…if you are booking in for microblading you cannot ingest caffeine for 24 hours prior to service as it can effect how your skin takes the dye.


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Home > Topics > Rajinikanth
Rajinikanth was born on December 12, 1950, as Shivaji Rao Gaekwad in Bangalore in the then Mysores State. His family was Maharashtrian, staying in Bangalore for many years. Shivaji Rao Gaekwad became Rajinikanth when he made his film debut in Tamil cinema. In his early days, he began working as a coolie, then a carpenter and finally a bus conductor, when his relative made him appear for an exam for bus conductors with the Bangalore transport corporation. Rajinikanth was a hit among the passengers, as he used style in even issuing tickets and tendering change. He began doing theatre in his spare time, and that is when his acting dream blossomed. MUST READ: Rajinikanth: 10 reasons why men hate the Superstar!
Rajinikanth was urged by a friend to join the Madras Film Institute and he completed his diploma in acting. Renowned director K Balachander launched him in the Tamil movie Apoorva Raagangal in 1975, and the rest, as they say, is history. Rajinikanth today is one of the biggest stars of Indian cinema, with a huge fan-following not just in India but also in Japan, Singapore, Malaysia and the US, among other countries.
Rajinikanth, fondly known as Thalaiva or Rajini Sir, has appeared in south Indian and Bollywood films and has been highly appreciated for his roles, whether in a commercial masala entertainer or a story-based movie. But not many know that he has also done a Hollywood film called Bloodstone in 1988, directed by Dwight H Little. Rajinikanth played the role of taxi driver Shyam Sabu, an important role in the film's story.
Rajinikanth has been honoured with the Padma Bhushan in 2000 and the Padma Vibhushan in 2016 for his contributions to art, by the Government of India. He was also honoured with the Centenary Award for Indian Film Personality of the Year at the 45th International Film Festival of India, the Government of India's annual fim festival in Goa. According to information on the superstar, Rajinikanth has won six Tamil Nadu State Film Awards, four Best Actor Awards, two Special Awards for Best Actor and a Filmfare Award for Best Actor (Tamil).
Rajinikanth is one of the highest paid actors in Asia. He earned ₹26 crore (US$8.5 million) for his film Sivaji: The Boss in 2007, making him the highest paid actor in Asia after Chinese superstar Jackie Chan. In spite of that, Rajinikanth remains humble. Beyond the arclights, he leads a simple life with his wife Lata and is deeply spiritual. The couple has two daughters, Aishwarya (married to National Award-winning actor Dhanush) and Soundarya (recently filed for divorce from her husband of six years, R Ashwin. Both his daughters are movie directors.
Rajinikanth recently provided ample hints at him wanting to join Indian politics soon. His forthcoming film is 2.0 (aka Robot 2.0), the sequel to Robot or Enthiran.
By Shweta Parande.
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Superstar Rajinikanth to Announce His Decision to Enter Politics Soon
The actor had put aside his plans of forming his party after doctors reportedly advised him against


Does a neighborhood that eats together, stay together? That's the impetus behind Gather: Oak Park, which begins its second season Thursday night.
Every second Thursday from May through October at Broadway and 3rd Avenue from 5:00 to 9:00 p.m., Gather Oak Park brings together the community for outdoor dining at communal tables, a craft-beer area, artisanal food vendors, designers, interactive art, live music and a modular kids park. The event is presented by Unseen Heroes and the Oak Park Business Association.


Horizontal gaze palsy with progressive scoliosis (HGPPS) is a rare autosomal recessive congenital anomaly characterized by horizontal gaze limitation and progressive scoliosis. We investigated the underlying pathogenesis by incorporating diffusion tensor imaging and an electrophysiological study.
A 55-year-old female patient presented to our clinic due to a chronic history of eye movement limitation since childhood. Her eye problem was followed by a progressive scoliotic change in her torso during junior high school. Neurological examinations revealed remarkable conjugate horizontal but not vertical gaze palsy. Her pupils were isocoric, with a prompt response to light reflex and convergence. Her vision, including visual acuity and field, were normal. No pathological signs of muscle tone, muscle power, deep tendon reflex or coordination were revealed. There was no associated family history, and no diseases involving other systems were noted. On reviewing her past medical history, X-rays revealed scoliotic changes of her thoracic and lumbar spine. Brain magnetic resonance imaging showed a midline cleavage at the tegmentum (split pons sign) and butterfly configuration of the medulla, consistent with HGPPS. Color-coded diffusion tensor imaging in our patient revealed absence of decussation of the superior cerebellar peduncle. In tractography, the pontocerebellar tracts and fibers within the inferior cerebellar peduncle, deemed to be primarily dorsal spinocerebellar and vestibulocerebellar tracts, appeared to be agenetic. The tegmentum was compromised secondary to dorsal displacement of the corticospinal tracts. Of note, the bilateral corticospinal tracts remained uncrossed at the level presumed to be the pyramidal decussation. A somatosensory evoked potential study also revealed predominantly ipsilateral cortical sensory responses.
Our study confirmed that a compromised tegmentum secondary to dorsal displacement of the corticospinal tracts and poorly-developed afferent fibers within the pontocerebellar tracts and inferior cerebellar peduncle to be the main neuroanatomical anomalies responsible for the clinical presentations of HGPPS. In addition, the uncrossed nature of the majority of pyramidal and proprioceptive sensory systems was confirmed.
Horizontal gaze palsy with progressive scoliosis (HGPPS) is a rare congenital disorder with autosomal recessive inherence, characterized by impaired conjugate horizontal eye movements and progressive scoliosis developing in childhood and adolescence [1, 2]. Genetic studies underpin that the pathogenesis of HGPPS is associated with mutations of the ROBO3 gene, as the ROBO3 protein determines axon path finding, crossing, and resultant hindbrain morphogenesis in human . The responsible pathoanatomical findings remain inconsistent; however it is generally believed to be the consequence of cranial nuclear maldevelopment, as evidenced by brainstem hypoplasia in neuroimaging studies [1, 4]. Although several conventional brain magnetic resonance imaging (MRI) studies have described its anatomical features and clinical relevance [1, 4], studies incorporating diffusion tensor imaging (DTI) tractography [5, 6] and electrophysiological assessment [6, 7] are limited. Herein, we describe a case with clinical-radiological features typical for HGPPS, and further explore its relevant pathogenesis on a neuroanatomic basis.
A 55-year-old female patient presented to our clinic due to a chronic history of eye movement limitation since childhood. She had difficulty in moving her eyes to the right or left, and therefore relied heavily on turning her neck. This debilitating condition was followed by progressive scoliotic changes in torso during junior high school. Her cognition was intact, and she had no history of seizures or vision loss. Neurological examinations revealed remarkable conjugated horizontal but not vertical gaze palsy (Fig. 1) (Additional file 1). Although she was fully cooperative, saccade and pursuit movements were rarely completed. Her vestibular-ocular reflex was absent, and her pupils were isocoric with a prompt response to light reflex and convergence. No nystagmus, ptosis, chemosis, periorbital erythema, or extraocular muscle synkinesis were observed. Her vision, including visual acuity and field, were normal. Examinations of muscle tone, muscle power, deep tendon reflex and coordination were all unremarkable.
On reviewing her past medical history, she was born at term to healthy nonconsanguineous parents after a smooth pregnancy. No symptoms indicating central nervous system infection were noted during childhood. She had developed scoliosis since teenage, and X-rays revealed scoliosis of her thoracic and lumbar spine (Fig. 2a). She had received bracing treatment, but it had a limited benefit in halting progression of her thoracolumbar scoliosis. No diseases involving other systems were recorded, and there was no associated family history. Axial brain MRI showed a midline cleavage at the dorsal aspect of the pons (split pons sign) and butterfly configuration of the medulla (Fig. 2b, c), consistent with HGPPS. In sagittal view, the pons and medulla were dysmorphic with flattening of both anterior and posterior contours (Fig. 2d). DTI was performed using a 3.0-T MR unit (Discovery MR750, GE Medical Systems, Milwaukee, WI). The diffusion-sensitizing gradients were applied along 20 non-collinear directions with diffusion weighting factor b = 1000 s/mm2, plus one b = 0 image. The imaging parameters were: TR/TE = 8000/82 ms, matrix size = 128 × 128, field of view = 240 mm, slice thickness = 3 mm with no intersection gap, number of excitations = 2, number of slices = 67, scan time = 5 min and 58 s. The post-processing software Functool (GE Medical System, Milwaukee, WI) was used to generate fiber tracts. The seed points were placed in the brainstem based on T2-weighted images. The cutoff value for fractional anisotropy was 0.20 (default value). In color-coded DTI, the transverse pontine fibers (labeled in red by their latero-lateral connection) which separated the corticospinal tracts anteriorly from the medial lemniscus and medial longitudinal fasciculus posteriorly in the normal healthy control, were abnormally located anterior to the corticospinal tracts (Fig. 3b, f). The medial longitudinal fasciculus was compromised secondary to dorsal displacement of the bilateral corticospinal tracts (labeled in blue by their cranio-caudal orientation) (Fig. 3b, f). Interestingly, the pontocerebellar tracts were agenetic compared to the size in the normal healthy control (Fig. 3c, d, g, h). Another interesting color-coded DTI finding was absence of red dot at the level of the pontomesencephalic junction in our patient (Fig. 4). The red dot identified in the normal healthy control represents decussation of the superior cerebellar peduncle, presumably to be fibers normally oriented in a latero-lateral direction. Subsequent tractography revealed that the bilateral corticospinal tracts remained uncrossed at the level presumed to be the pyramidal decussation (Fig. 5). On tracing the fibers within the inferior cerebellar peduncle, the targeted fibers, deemed to be primarily dorsal spinocerebellar and vestibulocerebellar tracts, appeared to be smaller in size compared to the normal healthy control (Fig. 6). Interestingly, the cortical sensory responses showed abnormally reversed lateralization in the patient (Fig. 7). Specifically, although the latencies of all detectable responses were normal (Right N9 = 8.5 ms, N20 contralateral/ipsilateral to stimulus = 16.4 /17.4 ms; Left N9 = 8.9 ms, N20 contralateral/ipsilateral N20 = 17.2/18.0 ms; reference value N9 = 9 ms, N20 = 20 ms), a somatosensory evoked potential study revealed that the cortical sensory response was abnormally ipsilateral (Fig. 7).
In this case report, we combined DTI/tractography and electrophysiological studies to reveal predominantly ipsilateral sensorimotor findings of HGPPS. The compromised tegmentum secondary to dorsal displacement of the corticospinal tracts and the poorly-developed pontocerebellar tracts and afferent fibers within the inferior cerebellar peduncle may be the main neuroanatomical anomalies responsible for the clinical presentations of HGPPS.
There are currently no autopsy reports of patients with HGPPS. However, incorporating advanced neuroimaging studies with clinical assessments may provide information to improve the understanding of its fundamental pathogenesis. The horizontal conjugate eye movement paralysis without esotropia or lateral rectus muscle atrophy in our case indicated that the lesion site was more likely to be at the medial longitudinal fasciculus rather than the abducens nuclei. Our color-coded DTI also corroborated this hypothesis, as the tegmentum containing the medial longitudinal fasciculus was expected to be compromised by dorsal displacement of bilateral corticospinal tracts. In the presence of profound reduction of midline crossing fibers within the brainstem, several DTI studies have further addressed the maldevelopment of fibers within the superior and middle cerebellar peduncles. The majority of DTI studies identified absent decussation of fibers from the superior cerebellar peduncles [5, 8]. Our color-coded DTI observation was also consistent with this anatomical feature. However, there is a considerable variation regarding the pontocerebellar tracts. Contrary to normal crossing of the fibers within the middle cerebellar peduncle identified by Avadhani et al. , the decussating pontine fibers were not visualized by Sicotte et al. . On the other hand, Otaduy et al. described the findings indicative displacement of the pontocerebellar tracts . Descriptions related to fibers passing through the inferior cerebellar peduncles are even more limited; isolated study has mentioned size reduction of the inferior cerebellar peduncles as an important component of butterfly configuration of the medulla . Of note, the afferent fibers of both the pontocerebellar tracts and those within the inferior cerebellar peduncles were visualized to be smaller in size in our patient than in the normal control through our tractography. Such observation provided additional pathoanatomical information in HGPPS. Agenesis of the pontocerebellar tracts, as evidenced by both our color-coded DTI and tractography, suggests the possibility of impaired sensory input from the cortex. A recent DTI study suggested that the pontocerebellar tracts not only govern pure coordination of simple movement but also relay feed-forward and feed-backward connections due to its widespread cortical connectivity . Therefore, it is possible that patients with HGPPS share a similar mechanism to patients with idiopathic scoliosis, whose abnormal sensorimotor network has been proposed to be part of the main pathogenesis . Agenesis of fibers within the inferior cerebellar peduncles indicates a less competent state of the dorsal spinocerebellar and vestibulocerebellar tracts, thereby leading to spinal deformity by impairing proprioception signals from the spinal cord . In other words, these fibers receive and convey proprioceptive information from the posterior column and vestibular nucleus to the cerebellum, and this process is thought to be critical as it mediates control signals back to the spinal cord to drive locomotion and regulate muscle tone. Several other hypothetical mechanisms have also been proposed to explain the progressive spinal deformity, including maldevelopment of the descending reticulospinal tracts , defects in other structures within the brainstem (e.g., the vestibular nucleus and medial longitudinal fasciculus) , and functional anomalies within the pontine reticular formation . Although our DTI study could not exclude these possibilities, our electrophysiological studies support the primary mechanism of progressive scoliosis relying mainly on the brainstem rather than on the spinal cord itself. In addition, other studies have also mentioned heterogeneous ophthalmological findings with varying eyeball alignment and convergence performance . This suggests that the corresponding brainstem lesions may involve more than the medial longitudinal fasciculus, and the possibility that a spectrum of abnormalities may be involved.
Various homozygous mutations throughout the human ROBO3 gene located at chromosome 11q23–25 have been associated with HGPPS. The protein product of this novel gene is believed to specify the lateral position of longitudinal pathways  and direct cell migration . Consistent with genetic studies, animal models using mice have demonstrated similar findings, suggesting the critical role of the ROBO3 gene across species. Three cases with the clinical features of HGPPS have been reported to have hemiplegia ipsilateral to cerebral damage [15–17]. Our electrophysiological study and DTI findings also support that the uncrossed nature of both the pyramidal and proprioceptive sensory systems are due to ROBO3 mutations in human neurodevelopment.
Patients with other conditions including Möbius syndrome and Duane retraction syndrome may also have similar clinical presentations of congenital horizontal gaze paresis. They frequently exhibit additional neurological signs related to agenesis of other cranial nuclei (e.g., facial nuclei) [18, 19], but not to have a spilt pons sign pathognomonic to HGPPS. Patients with congenital fibrosis of the extraocular muscles also commonly present with variable phenotypes (e.g., ptosis and infraducted globes) related to the maldevelopment of different subnuclei in isolation or combination . Chronic progressive external ophthalmoplegia should also be considered in a differential diagnosis of ocular motility deficits. However, these patients frequently have variable clinical presentations combing ptosis, vision deficits, muscle weakness, and heart involvement due to its underlying mitochondrial dysfunction . Congenital esotropia (or Ciancia syndrome) is less likely due to its presentation during early infancy . We are aware that the interpretations of our current case would be limited by the lack of ROBO3 genetics. However, we regard the diagnosis of HGPPS to be correct based onto classical presentations in this patient. Although our patients started to present her clinical symptoms since her childhood, the delayed age at diagnosis compared to the previous reports [5, 6, 8, 9] were likely due to rarity of HGPPS in clinical practice. A better understanding of the uncrossing nature of major pathway could facilitate clinicians' awareness when dealing with HGPPS patients suffered from various brain insults [15–17].
This case report supports the hypothesis that maldevelopment of the tegmentum plays a crucial role in the pathogenesis of HGPPS. Horizontal gaze palsy could be explained by a compromised medial longitudinal fasciculus, whereas scoliosis could be due to agenesis of the pontocerebellar tracts and afferent fibers within the inferior cerebellar peduncles. In addition, the uncrossed nature of the majority of both the pyramidal and proprioceptive sensory systems was confirmed.
The authors thank the patient for her time and commitment to this case report. We are also grateful to Miss Jir-Jei Yang, who assisted in DTI imaging and tractography processing.
CWL and MCT collected the clinical data, interpreted the data, and wrote the manuscript. MCT recruited the patients and designed the manuscript. CPL performed the imaging assessments and revised the original manuscript. All authors read and approved the final version of the manuscript.
Written informed consent was obtained from the patient and the healthy control for publication in this Case Report and any accompanying images. A copy of the written consent form is available for review by the Editor of this journal.