text:
The subclinical epileptiform discharges among nonepileptic cerebral palsy patients
Mohamed K Elewa MD , Magdy A Mostafa
Department of Neurology, Ain Shams University, Cairo, Egypt
Date of Web Publication 17-Mar-2017
Mohamed K Elewa
Department of Neurology, Ain Shams University Hospitals, 38 El-Abbasia, Cairo - 11566
Subclinical epileptiform discharges (SEDs) are assumed to play a role in the development of cognitive dysfunction in cerebral palsy (CP) patients.
The aim of this study was to estimate the prevalence of SEDs among nonepileptic CP patients and their cognitive correlates.
Fifty-one nonepileptic CP patients were recruited. All patients were subjected to history taking, neurological examination, assessment using Gross Motor Function Classification System for CP, the Stanford–Binet scale (5th edition), encephalography, and MRI of the brain. They were divided into two groups: group 1, which included 19 CP patients without SEDs, and group 2, which included 32 CP patients with SEDs. A comparison between patients' features studied in groups 1 and 2 was made using independent-samples t-test and the χ2-test. A correlation between SEDs and the studied features was made using Spearman's rank correlation coefficient (ρ).
The prevalence of SEDs among nonepileptic CP patients was 62.7%. The presence of MRI abnormality and moderate mental retardation showed a highly significant positive correlation with SEDs. Meanwhile, central nervous system malformation and severe mental retardation showed a significant positive correlation with SEDs. However, normal intelligence showed a highly significant negative correlation with SEDs. Kernicterus and dyskinetic CP showed a significant negative correlation with SEDs.
SEDs are a common finding among nonepileptic CP children. They are positively correlated to cognitive dysfunction. This finding supports the assumption that SEDs are therapeutic target in mentally subnormal children. Larger studies are needed to confirm our results and to evaluate the clinical benefit of treating SEDs.
Keywords: cerebral palsy, cognitive dysfunction, epileptiform discharges
Elewa MK, Mostafa MA. The subclinical epileptiform discharges among nonepileptic cerebral palsy patients. Egypt J Neurol Psychiatry Neurosurg 2016;53:268-73
Elewa MK, Mostafa MA. The subclinical epileptiform discharges among nonepileptic cerebral palsy patients. Egypt J Neurol Psychiatry Neurosurg [serial online] 2016 [cited 2021 Jan 21];53:268-73. Available from: http://www.ejnpn.eg.net/text.asp?2016/53/4/268/202379
Cerebral palsy (CP) is a disorder caused by nonprogressive damage of the developing brain because of heterogeneous etiologies. It is characterized by permanent motoric dysfunction that results in limitation of daily activities. It is usually associated with problems of sensation, perception, cognition, communication, and behavior. Manifestations are attributed to structural damage of the central nervous system (CNS) that may result in epileptic activity and secondary musculoskeletal deformities [1]. CP is a common disorder among Egyptian children. In El-Kharga District-New Valley and Al-Quseir City, Egyptian rural areas, the prevalence of CP was estimated to be 2.04 per 1000 of live births and 3.6 per 1000 of live births, respectively [2],[3].
Cognitive dysfunction is a common problem among CP patients [4]. A significant number of CP patients with cognitive dysfunction are lacking obvious clinical seizures. The presence of epileptiform discharges (EDs) among nonepileptic CP patients may act as a marker for subclinical epileptic activity. Evidence that subclinical epileptiform discharges (SEDs) are responsible for cognitive dysfunction is growing. Unfortunately, only few data about SEDs in nonepileptic CP are available despite its potential benefit. Identifying SEDs among nonepileptic CP patients and their correlates may support the causal relation with cognitive disabilities and hence improve the therapeutic approach.
This case–control study included 51 patients with nonepileptic CP who regularly attended Suez Insurance Hospital outpatient pediatric neurology clinics from March 2011 to March 2014. The diagnosis of CP was confirmed once the patient was found to have motor dysfunction caused by nonprogressive lesion in the developing brain [1]. Patients with parental consanguinity, family history of epilepsy, epileptic seizures (either neonatal or afterward), neurodegenerative or neurometabolic disorders were excluded. Moreover, patients who had severe auditory or visual dysfunction, those without motor deficit and those who suffered cerebral damage after the age of 2 years were excluded. Demographic data and history of the patients were collected from their parents. Clear history of the cause was obtained. General and neurological examinations were carried out for all patients. CP types were determined. Prematurity was defined for those born before the 37th week of pregnancy [5]. Birth weight was categorized to be either less than 1.5 kg or more than 1.5 kg. Cognitive assessments were carried out for all patients using the standardized, valid Arabic version of the Stanford–Binet scale (5th edition) [6],[7]. Motor deficit was assessed using the Gross Motor Function Classification System (GMFCS) [8]. MRI of the brain was performed for all patients to detect brain atrophy, periventricular white matter abnormalities, gray matter abnormalities, malformations, and other lesions. Ambulatory awake or sedated sleep encephalogram was performed for all patients for 1 h using a 32-channel electroencephalogram (EEG) device (GRAEL HD EEG & PSG; Compumedics, Melbourne, Australia). The electrodes were used according to 10–20 system. Both bipolar and referential montages were used. All EEG records were examined by the authors individually for the background activity and EDs either focal or generalized (spike and sharp wave with or without subsequent slow wave). A spike was defined as a pointed peak at the regular paper speed with duration from 20 to 70 ms. Its main component is negative compared with the surroundings [9]. A sharp wave differs from spike wave only in duration (from 70 to 200 ms). Benign transients, which resemble EDs and background abnormality, were excluded. Informed consent was obtained from patients' families before participation in the study. The study was approved by Ain Shams University Faculty of Medicine ethical committee.
Patients were divided into two groups according to the presence or absence of SEDs. A comparison between patients' features studied in groups 1 and 2 was made followed by a correlation between SEDs and the studied features of all patients.
Data were analyzed using statistical program for social science, version 20.0 (SPSS Inc., Chicago, Illinois, USA). Quantitative data were expressed as mean±SD. Qualitative data were expressed as frequency and percentage. Independent-samples t-test of significance was used when comparing between two means. The χ2-test of significance was used to compare proportions between two qualitative features. Spearman's rank correlation coefficient (ρ) was used to assess the degree of association between two sets of variables if one or both of them were skewed. In all tests, P-value less than 0.05 was considered significant, P-value less than 0.001 was considered highly significant, and P-value greater than 0.05 was considered nonsignificant.
Patients' ages ranged from 3 to 12 years (5.50±2.29 years). Twenty-nine (56.9%) patients were boys and 22 (43.1%) patients were girls. As regards the etiology, hypoxic ischemic encephalopathy was the most frequent cause of CP in 28 (54.9%) patients. As regards CP types, the most common CP type was spastic hemiparesis in 18 (35.3%) patients. As regards the level of intelligence, eight (15.7%) patients had normal intelligence and 43 (84.3%) patients had mental retardation (MR) of variable severity. All patients had motor deficit of variable severity. MRI showed that 27 (52.9%) patients had abnormal brain imaging. As regards EEG monitoring, 32 (62.7%) patients had SEDs (either focal or focal with secondary generalization) ([Table 1]).
Table 1 Features of the studied participants
Patients were divided into two groups: group 1, which included 19 CP patients who did not have SEDs, and group 2, which included 32 CP patients who had SEDs. There was no significant difference in terms of the mean age and distribution of boys and girls between groups 1 and 2 (P>0.05).
As regards the distribution of patients with a history of prematurity between the two groups, there was a significant difference [seven (36.8%) patients in group 1 vs. five (15.6%) patients in group 2] ([Table 2]). However, there was no correlation between SEDs and gestational age ([Table 3]).
Table 2 Comparison between patients' features studied in groups 1 and 2 using the χ2-test
Table 3 Correlation between SEDs and the studied features in the study group (Spearman's ρ correlation coefficient test)
As regards the distribution of CP etiologies between the two groups, the differences were not statistically significant (P>0.05) with respect to hypoxic ischemic encephalopathy, CNS infection, intracranial hemorrhage, and stroke and significant (P<0.05) with respect to kernicterus [three (15.8%) patients in group 1 vs. zero patients in group 2] and CNS malformation [zero patients in group 1 vs. seven (21.9%) patients in group 2] ([Table 2]). As regards the correlation between SEDs and CP etiology, SEDs were significantly positively correlated to CNS malformation. Moreover, SEDs were significantly negatively correlated with kernicterus ([Table 3]).
As regards the distribution of different CP types between the two groups, there was no statistical difference with respect to spastic hemiparetic type, spastic diparetic type, ataxic type, and mixed type ([Table 2]). There was a significant difference as regards spastic quadriparetic type [three (15.8%) patients in group 1 and 11 (34.4%) patients in group 2] and dyskinetic type [four (21.1%) patients in group 1 and no patients in group 2]. As regards the correlation between SEDs and CP type, dyskinetic CP type showed a significant negative correlation with SEDs ([Table 3]).
As regards cognitive assessment, there was no significant difference between the two groups with respect to mild MR. Meanwhile, there was a significant difference in terms of severe MR [one (5.3%) patient in group 1 vs. nine (28.1%) patients in group 2]. Moreover, there was a highly significant difference as regards normal intelligence [seven (36.8%) patients in group 1 vs. one (3.1%) patient in group 2] and moderate MR [three (15.8%) patients in group 1 vs. 18 (56.3%) patients in group 2] ([Table 2]). As regards the correlation between SEDs and the cognitive assessment, a highly significant positive correlation was found between SEDs and moderate MR. In addition, a significant positive correlation was found between SEDs and severe MR. However, normal intelligence showed a highly significant negative correlation with SEDs ([Table 3]).
As regards the level of motor functions, there was no distribution difference between the two groups of the current study ([Table 2]). Moreover, there was no correlation between the level of motor function and SEDs ([Table 3]).
The prevalence of MRI abnormalities between the studied patients was 52.9%. A highly significant difference was found between the two groups in terms of distribution of patients who had MRI abnormalities [four (21.1%) patients in group 1 vs. 23 (71.9%) patients in group 2] ([Table 2]). A highly significant positive correlation was found between SEDs and the presence of MRI abnormalities ([Table 3]).
The prevalence of focal SEDs among nonepileptic CP patients in the current study was 62.7%. The term SEDs was used in the current study instead of the term intericatal ED, which was used in previous studies, as the former term was not suitable for our participants (nonepileptic patients). We did not find data on EEG abnormalities among nonepileptic CP patients in the available literature, but the range of prevalence of EEG abnormalities among CP patients (either epileptic or nonepileptic) was 66–92.6% [10],[11],[12],[13]. A review of the literature showed that the prevalence rates of spontaneous EDs in healthy children volunteers vary from 0 to 5.6% [14]. In attention deficit hyperactivity disorder children, EDs were present in 30% of patients with no prior history of seizures [15]. The figure was higher in autistic patients (60%) with 24-h EEG monitoring [16]. The available data support the concept that EDs were pathological even in the absence of witnessed seizures, whether EDs were a part of pathogenesis of the clinical manifestation or just a marker for the pathological process.
As regards the distribution of different etiologies between the two groups, there was a significant difference as regards CNS malformation [seven (21.9%) patients in group 2 and no patients in group 1] ([Table 2]). SEDs were positively correlated to CNS malformation as an etiology. This finding could be attributed to the fact that most of the CNS malformations affect cortical structures (either as a part of the malformation itself or secondary to interventions, which were carried out to manage hydrocephalic changes). This finding and its explanation were supported by Carlsson et al. [17]. They found that CP patients who had CNS malformation that cause gyral damage had a higher probability of developing an epileptic activity. Kernicterus was significantly more prevalent in group 1 [three (15.8%) patients in group 1 and no patients in group 2]. Moreover, kernicterus was significantly negatively correlated with SEDs. This was explained by the fact that chronic bilirubin encephalopathy (kernicetrus) mainly affects subcortical structures [18]. It should be considered that the small number of patients in subgroups has limited generalization of these results.
As regards the distribution of CP types between groups 1 and 2, spastic quadriparesis was significantly more prevalent in group 2 [three (15.8%) patients in group 1 and 11 (34.4%) patients in group 2]. This may be attributed to the severity of the illness (the most severe form) and was found to be more associated with the development of epileptic activity. The range of epileptic activity among quadriparetic CP patients was 42.6–54% (relatively higher) in comparison with other types: 34–60% for hemiparetic CP patients, 15.8–27% for diparetic CP patients, and 23–26% for dystonic CP patients [9],[19],[20]. Dyskinetic type was significantly more prevalent in group 1 [four (21.1%) patients in group 1 and no patients in group 2]. Moreover, dyskinetic CP type showed a significant negative correlation with SEDs. This could be explained by results of the previous studies that showed a lower rate of association between dyskinetic CP type and epileptic activity [11],[19],[20] and that three of five of those patients had kernicterus, which mainly affected subcortical structures.
As regards cognitive assessment, group 1 showed a higher number of mentally normal patients [seven (36.8%) patients in group 1 vs. one (3.1%) patient in group 2]; the difference was highly significant. However, group 1 showed lower numbers of patients with moderate MR (three patients, 15.8%) and severe MR (one patient, 5.3%) in comparison with group 2 [18 (56.3%) patients and nine (28.1%) patients, respectively]. Differences between the two groups were highly significant and significant, respectively. A highly significant positive correlation was found between SEDs and moderate MR. Meanwhile, a significant positive correlation was found between SEDs and severe MR. In addition, normal intelligence showed a highly significant negative correlation with SEDs. These findings showed that patients who had EDs were more likely to have MR and that mentally normal patients were unlikely to have SEDs. Several studies supported our findings; they showed that EDs were associated with a transient alteration of mental performance or behavior [21],[22]. The observation was termed 'transitory cognitive impairment' [23]. Some researchers raised the possibility that these mild cognitive deficits can accumulate to and result in impairment of educational achievements and intelligence [24]. In addition, EDs were responsible for 23.3% of total sleep arousals in CP patients' polysomnography. The resulted sleep deprivation may cause further impairment of memory and learning process [25]. Our findings were also consistent with those of Wallace [26], who reported that CP patients with paroxysmal EEG abnormalities had lower IQ scores and learning disabilities. In line with our findings, Steffenberg and colleagues [27],[28] found that the risk for epilepsy was higher in CP patients who had MR. In contrast, Singhi et al. [11] did not find a significant difference as regards the level of intelligence between CP patients who had epileptic activity and CP patient who did not. They attributed the differences that were mentioned in the literature to the small number of studies on this issue.
According to the GMFCS, the level of motor functions showed no distribution difference between the two groups. Moreover, the level of motor functions was not correlated with SEDs ([Table 3]). These findings were logic and in line with Mert et al [13]. They found no significant distribution difference as regards level of motor functions between CP patients who had epileptic activity and those who did not. They attributed it to the fact that the level of motor function generated by the GMFCS level reflects white matter dysfunction.
The prevalence of MRI abnormalities between the studied patients in the current study was 52.9%; however, the range of abnormal MRI findings among CP patients (either epileptic or nonepileptic) in other studies was reported as 84–88% [29]. The lower incidence of MRI abnormality in the current study may be attributed to exclusion of epileptic CP patient, as abnormal neuroimaging was reported to be significantly correlated with epilepsy in CP patients [10]. The highly significant difference between the two groups as regards the presence of MRI abnormality and the highly significant positive correlation of presence MRI abnormality and SEDs may be explained by the epileptogenic nature of the most of these abnormalities.
SEDs are a common finding among nonepileptic CP children. They are positively correlated to cognitive dysfunction. This finding supports the assumption that SEDs may present a potential therapeutic target in mentally subnormal children. Larger studies are needed to confirm our results and to evaluate the clinical benefit of treating SEDs.
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Elewa MK
Mostafa MA
epileptiform discharges
© The Egyptian Journal of Neurology, Psychiatry and Neurosurgery | Published by Wolters Kluwer - Medknow


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He says there that it really is more straightforward to return a quick than an extended distance, as we regularly revert to the current, so need to permit our brain visit and fro among previous and current, 89 THE targets OF PHILOSOPHY someway representing in our suggestion the entire intervening interval among, say 1603, whilst James assumed the throne, and 1752 or 1753, while Hume was once writing approximately James. the start of the reign of James VI of Scotland—and as James I of England—was a usual position for a Scot to start a historical past of england, because it observed the union of the crowns, the official front of Scotland into the dominion of significant Britain. as soon as one does return in time, the historian will then relate occasions within the order they happened, so Hume progresses from the Gunpowder Plot via to the civil warfare and the beheading of Charles I, then the rule of thumb of Cromwell and the recovery. Then within the subsequent quantity, released in 1756, he's taking us throughout the reigns of the later Stuarts, finally bringing his readers as much as 1688. my very own lifestyles tells us that he used to be "frightened with the suggestion of continuous a story of 1700 years" so first went again merely modestly a long way in time, however to a time of non secular divisions which it was once difficult to discuss with impartiality, and the directly to the civil conflict, which had left lasting animosities in English society. He had attempted to prevent biased representations, but if the first quantity seemed, "I was once assailed by way of one cry of reproach, disapprobation, or even detestation: English, Scotch, ninety HUME AS LIBRARIAN AND HISTORIAN Irish, Whig and Tory, churchman and sectary, freethinker and religionist, patriot and courtier, united of their rage opposed to the guy who had presumed to shed a beneficiant tear for the destiny of Charles I and the Earl of Strafford. " One could imagine that sectaries and patriots will be likely to disapprove of this beneficiant tear than courtiers and churchmen, and definitely Hume had shed no such tear for the destiny of Oliver Cromwell and his family members after the recovery. (Cromwell was once disinterred and posthumously beheaded, yet Hume doesn't point out this fi nal indignity. ) among his background of the Stuarts and that of the Tudors, his subsequent dip again into the earlier, Hume himself suffered the indignity of being accused, besides Henry domestic (by now Lord Kames), of infidelity and immorality, by way of a gaggle in Edinburgh, who introduced their fees in 1755 and 1756. They have been headed via a former military chaplain, George Anderson, whom Hume, in a letter to the painter Allan Ramsay, defined as "the godly, spiteful, pious, splenetic, charitable, unrelenting, meek, persecuting, Christian, inhuman, peacemaking, livid Anderson. " Anderson had released his "Estimate of the Profit and lack of faith" in 1753, and John Stewart had prior known as Hume's orthodoxy into query. there's little question that ninety one THE targets OF PHILOSOPHY Hume used to be an infidel, yet he had exercised a few warning in what he had released, a minimum of prior to the "Natural background of Religion," and definitely had now not been to blame of any recognized "immorality" past mentioning, in his "Dialogue" appended to the Enquiry about the ideas of Morals, how adultery was once tolerated within the France of his time.


This Massapequa Colonial is undergoing a full house renovation. The first floor has added extensions to the living room and kitchen. The Front Foyer has extended out to create a Grand two story entry. The 2nd floor has been completely remodeled to encompass two bedrooms with baths, a sitting area at the top of the stair with laundry closet and a dormer for a Master bedroom suite, two walk in closets, a master bathroom with a extra large shower, bump out for a jacuzzi tub and a seperate toilet room.
I would like more information about project reference #1070.


Universidad Peruana De Ciencias Aplicadas and University of Arizona signed a contract to offer a B.A. in PPEL + M.S. in Entrepreneurship on the campus of UPC.
The upcoming Social Philosophy and Policy conference, entitled Progress, will take place on May 12-15 in Hermosa Beach, CA.


Live Web steams of fashion shows help bring the season's runway collections into greater focus for all.
What the increasingly industrialized Fashion Week now lacks is the giddy excitement.
NEW YORK (Reuters) - The future of spring/summer fashion is looking bright -- fluorescent, neon bright.
The competition to be the "in" club or restaurant for the chic fashion crowd is so intense that some places just wait until Fashion Week to open.
New York Fashion Week as seen through a steady stream of Twitter posts.
New designers' moment in the fashion sun doesn't come cheap.
Clear your hallway or living room, turn up the volume, and strut with us to our picks for this year's Spring 2012 catwalk sounds!


ABB Automation Inc. Instrumentation Divisionrlmeter rotates the flow at the entrance of the meter body using a set of stationary blades like that of a turbine meter. The product gives the process media a tangential velocity, which is added to the original axial flow, which is accelerated by the shape of the body.
A piezoelectric sensor in the flow stream senses the frequency of the low-pressure changes and through a converter calculates the flow rate.
The product has no moving parts and is made of stainless steel.
125 E. County Line Rd., Warminster, PA 18974. Tel: 215-674-6000; Fax: 215-674-7183.


Learn more about the budget process and view the budget schedule.
during the Board of Education meeting on January 9, 2019.
The mission of the Budget Office is to provide quality and systematic guidelines and support for the development, construction and maintenance of the annual school system operating budgets, revenue and expenditures.
In support of this mission, the office holds as its objectives to prepare staff members for annual budget submissions through training and in-service, design and construct the various phases of the operating budget for approval, prepare and distribute the annual budget document and submit required annual state budget reports in a timely fashion.
The Budget Office and the Office of Research and Accountability work closely together to align the operating budget with the Master Plan.
Approved operating budgets for fiscal years 2007 through 2019 are now available.


Just a reminder that our next TGIF outing will be on Oct. 24th. We will be fishing the DH stretch of the Green River in Saluda, NC. Show up, get on the river and spend a great day fishing! Afterwards, we can retire at the Green River BBQ in Saluda. Plan on meeting around 5pm in the Fishtop parking lot and Dave Vigue will have maps for the BBQ joint with him.
Directions: The most popular access point is at Fishtop on the Green River Cove Road in Saluda, NC. From Asheville, take I-26 East to Exit 59 and make a left turn, go approximately 150 yards and make a left turn on Green River Cove Road. Follow the road until the bottom of the hill and Fishtop parking area will be on the left.


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In the latest installment of the long-running alternative comic series, Maria's kids, grandkids and great-grandkids create rival movie adaptations of her life (i.e., Gilbert Hernandez's Poison River story arc), while Jaime Hernandez's teen character Tonta tries to figure out how she knows her swim coach.
Love and Rockets enters its fourth decade with the latest installment of this acclaimed graphic novel-format iteration, featuring both old friends and new faces, and some genuine surprises... The cover shows Gilbert's new star Killer in a pose and milieu that will bring back memories for long-time fans — imitating the hammer-wielding Luba in her adopted Palomar. That's because Killer has discovered that her great-grandmother Maria (Luba's mother) starred in a late 1950s crime movie, and begins to delve into the details of her family's twisted history. Complicating things is the fact that Luba's half-sister Fritz played Maria in an amped-up biopic version of her life, creating a postmodern alternate version of the classic "Poison River" which originally told Maria's story (in a tie-in release, see page 52 for the graphic novel version of this movie, Maria M. Part One)! In the other half of the book, Jaime continues to explore his intriguing new character Tonta: In "Fuck Summer," Tonta is talked into joining the summer swim team but can't figure out why the brand new swim coach knows her — so, with help from friends, she sets out to find the answer. Meanwhile, something far more sinister is brewing behind the scenes...

redpajama_set_name: RedPajamaCommonCrawl


text:
Q: Why do I keep getting an Apple Mach-O Linker Error Using the Youtube API in GDATA Hi I keep trying to build my project, but I keep getting 4 errors.

Any help would be greatly appreciated!
I definitely added the GData code correctly, and I did add the libxml2.dylib in my build phases. & in my other linker flags I have -OBjC, -lxml2, -all_load. Thank you so much!

A: It looks like you're GData library is only compiling for arm7 and you might be trying to support arm6, try going into your architectures section of your GdataTouchStaticLib and add "armv6" to the release/debug targets.

A: Do you by any chance import VideosTableViewController.m instead of .h somewhere in your code?

redpajama_set_name: RedPajamaStackExchange


At Michigan Neurology and Spine Center Physical Therapy our goal is to provide you with quality, one-on-one care that will improve your overall well-being. We work closely with Dr. Shuayto and the other providers in the practice to individualize your treatment plan. We pride ourselves in treating the "whole person" by addressing all physical and psychological components of pain and dysfunction. With 36 years of combined experience, our staff has the clinical experience to help you achieve your goals and return to your optimal level of function.
Physical therapists are movement experts and are trained to view your body as a kinetic chain, recognizing which area in the system is causing pain or dysfunction, and providing ways to correct that dysfunction. Through exercise, stretching and manual therapy, your therapist will work with you to maximize your functional ability no matter your current status. While our medical staff is working to relieve your pain with medication, injections or infusions, our therapists will work to resolve the postural malalignments, flexibility issues, and strength deficits that are contributing to your functional decline. This multi-faceted treatment plan is the most productive way to improved function and an overall healthier life.
The risks of medications outweigh the rewards.
symptoms when medications are discontinued.
You want to do more than mask the pain.
in order to improve or maintain mobility and quality of life.
a physical therapy treatment plan for those common conditions.
with non-opioid therapies, such as physical therapy.
Pain that lasts 90 days or longer.
clinical decisions," the CDC states.
Physical therapists can play a valuable role in the patient education process, including setting realistic expectations for recovery with or without medicine. Our goal as therapists is to help patients become active participants in their own treatment, and work in conjunction with other healthcare professionals so patients receive comprehensive care.
While the majority of the conditions we treat involve neck or back pain, our physical therapy services go far beyond these conditions. We have the ability to successfully treat patients of all ages and abilities, so they can return to their optimal level of function. We want to help you regain your quality of life!


Do men and the visual merchandising industry suffer mid-life crises? Well, it would seem so and from my own cursory research and depending on who or what you believe of course, then I certainly have apparently already been through it or it is rushing towards me like a stranger experiencing a case of mistaken identity. When did that happen? The years seem to pass me by quicker and quicker and what once appeared to be just a fleeting period of youth now seems an even further distant memory fading quickly away. Although, surely something better will replace it? Wont it? On the one hand I can't help thinking, with some sort of offensive satisfaction or a kind of two fingers up to the world that, 'well I've made it this far' which appears to be some kind of achievement at least? There is also that feeling that there is some great contentment in the gaining of experience and knowledge which is something I have learned to relish. In the meantime, according to the various mid-life crisis descriptors apparently I will be taking up a new musical instrument (No. 13), dying my hair (No. 20) (too late for that one then) desiring to buy new clothes obsessively (No.19) (looks like I've been having a mid-life crisis for the last 40 odd years in that case) a desire to become a healer (yeah right), the list goes on, in fact 35 of descriptors in total just to pigeon hole everything you were thinking anyway. If anything my biggest disappointment as I looked forward into the future through once youthful eyes must be the broken promise that technology and in particular computers would make my life easier and all of those incredible holidays, all those new experiences that I had planned over many years while I gladly let technology take over yet again seem to be shelved as the realisation that the same technology which promised me so much leisure time has in fact cheated on me and ensured that I work twice as fast and for twice as long each day. Mid-life crisis descriptor (No. 28) desiring a simple life. Damn you technology.
Another year in the world of Visual Merchandising has come and gone. The enormous celebrations of 2012 are notched up in the history books, the window schemes came and went in their usual ephemeral way and off we go full speed into 2013 complete with mid-life crisis apparently looming. The wonderful thing about these big events is that they are a time where we are able to stop and reflect on where we are as a country, where we are as an industry and input so much more energy into our Visual Merchandising. This period of reflection of course is only very useful if we are able to identify not just what currently exists and what we did well but what we are actually going to do to build on our achievements or change what we did badly previously. The 10 Commandments of 2013 will hopefully build on what we did well through my own period of reflection (and potential midlife crisis) and identify where we still need to build and make changes as an industry. Mid-Life Crisis (No. 21) A desire to surround oneself with different things. Oh there I go again.
What happened to fun? There we were squeezing out every last penny from the customer, blandly offering anything they wished for, as cheaply as we could and as quickly as they wanted it (and the quicker the better) and along the way forgot that visual fun is not just the domain of the department stores. I daily peruse the stores of London's West end and with the exception of a few of the multiple brands teetering on the edge of creative schemes; it's just plain old dull. While of course Visual Merchandising doesn't have to be confrontational, offensive or indeed need to be particularly thought provoking (and its best not to venture into taboo areas unless one is willing and preferably able to defend it), it can however be thoughtfully clever. Liberty and Selfridges here in London are always so sharply brilliant for example together with a few brands such as Desigual, Hackett and occasionally some Zara stores too, although the Visual Merchandising industry has generally lost its sense of fun, don't you think?. It seems that the days of installations such as those reported in New York in the 1960's with scenes produced of aeroplane crashes with stewardesses running up and down the gangway screaming whatever was being promoted have long gone. What about the events that were once promoted through newspaper articles with large banners screaming 'Come and see the Lions' at a named store? These events generated massive excitement and probably some disappointment when customers realised that the 'Lions' were in fact a brand of fireplace at the time. Are we sanitising everything for the lowest common denominator and afraid that disappointment is a terrible thing that we need to cushion our customers from? Isn't this something that Luxury brands always do so well? Mid-Life Crisis Descriptor (No.6) It feels good to be hurt sometimes.
So often I see Visual Merchandising that I simply don't understand. I try and unravel the thinking behind such schemes on a regular basis although so often it can be meaningless and apparently unrelated to anything else. Is that a bad thing? Well, part of our roles as Visual Merchandisers is to communicate effectively to the customer, isn't it? As we also know, don't we, that Visual Merchandising can be seen absolutely everywhere, from ancient sculpture to the daily newspaper or a magazine. The same principles can be applied and if done well, it will communicate effectively; job done. Unfortunately these solutions appear to escape the majority of retailers and, well, an image (in this instance in the form of a graphic) says a thousand words, doesn't it? But which words? And why can't we think of saying it in a different way? Mid-Life crisis (No. 32) Fixated on finding solutions to problems. Is there no stopping me?
Oh how many times do we need to view dusty floors, dusty merchandise, lighting not working or if it is working its lighting nothing in particular? Strands of invisible threads hanging like the ghost of an old scheme, security tags showing, labels everywhere, damaged graphics and unprepared merchandise fill the high street. I always try and think of a retail space as if it were my own home. Would I invite someone around if it were unclean or untidy, of course not? It still amazes me that the basics of visual merchandising are not always in place. Why is this? Because retailers are not investing in good quality, experienced, reliable teams who are paid a decent salary to do so and then developing these teams' skills in order to maintain a higher level of presentation. It's all looking a little slack right now. Mid-life crisis descriptor (No. 1); Looking into the mirror and realising its all falling apart.
I'm must admit that I'm not an over enthusiastic animal lover and like furry products from something that has been literally skinned alive in an Asian province somewhere even less. While working for a company in China mid 2012 I was quite amazed to come across the circuses which not only had the obligatory one trick ponies and dogs in garishly coloured tutu's but incredibly little hippos being ridden by monkeys wearing tiny pill box hats (the Monkeys not the hippos). Well, I had seen chained Leopards at Gorky Park in Moscow and the dancing bears on my travels through India, all horribly flea bitten, unkempt, gone mad and laid on for the tourist's entertainment; none of it was amusing or entertaining in the slightest. I could have happily coped with a few jugglers, Chi Chi the Serpent Amphibian Man and a few bearded females; in some parts of London it appears the norm anyway? That said, I suppose the attraction of Chinese Circuses is the same as my attraction to Visual Merchandising. I just hope that something dangerous or even just a little Rock and Roll may actually happen. But the Lions riding pillion on motorbikes around the wall of death and the skipping Elephants in (forgive the pun) jumbo stiletto heels really did push me over the edge a little. The only Circuses that I like are those of Piccadilly and Oxford here in London. Anyway, thankfully we rarely see live animals in retail spaces (unless you happen to be in Vegas) but even so I do occasionally come across them and in particular this fish in a tank at Victorinox annoyed me this year. This is just cruel and unnecessary don't you think? The product could have been shown in a different way to communicate its qualities. Mid-life crisis descriptor (No. 11) Desire to become physical.
Why do we so often see the same schemes cropping up time and time again? Repetition of props such as umbrellas has been overdone now, right? I'm not entirely sure who produces some of the schemes, who designs them or who commissions some of them but surely just to go out onto the high streets and take a look requires such little effort? There are plenty of publications 'out there' from which to refer although how this information is interpreted and used is clearly a problem. As ever, the only limitation is our own imaginations and surely brands need to employ people who are creative, in tune with what is happening on the street, experienced and aware of how their work is being interpreted? It often feels as though we as customers are on the receiving end of a random vision from some retailers and one of my conclusions is that there is so much interference from other departments into the world of Visual Merchandising, which incidentally it appears that everyone else has worked in and everyone else wants to have a say but no-one else really seems to have a grasp of. So get out there and have a look to see what everyone else is doing. Simple. Mid-life crisis descriptor (No. 24) Desire to change the world for the better.
I have been rather amazed at the amount of technology on the high street which has been launched in 2012. Hopefully the days of big old clunky machines that never really worked anyway are long gone. I've had hours of fun at the new McQ store in Dover Street and of course the brand spanking new Burberry store along Regent Street here in London. OK, well the majority of the technology is the implementation of giant video screens, so no news there then, although we are seeing more and more interactivity happening with the use of ipads at All Saints and the launch of the Matches Curation at Matches during London Fashion week and 'machines' which can photograph us, e-mail our images to everyone we know and let the world decide what we purchase. The days of London's West End becoming an Elizabethan theme park of the way we used to shop are still, it seems a long way off yet although I am excited about the potential of virtual shopping at its most convincing. It would seem however, that even the levels of technology that we do current have access to is already alienating a proportion of society. As humans are sensitive creatures, it would appear that we are becoming ever lonelier. And there we were sat on our facebook, googling our twitters and all we wanted was to share the physical love between each other. Apparently digital social networking hasn't quite lived up to our expectations after all and we've all realised that we want and desire real human interaction. Looks like customer service rather than technology is the biggy moving forward. Mid-life crisis descriptor (No. 32) Becoming fixated on new 'wonder' solutions to problems.
Oh what the hell, do your worst Mid-life crisis and bring it all on. Happy 2013..!


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Home / News / Minnesota County Votes to Reject Refugee Resettlement Under Trump Executive Order
Minnesota County Votes to Reject Refugee Resettlement Under Trump Executive Order
January 09, 2020 - News
Beltrami County in Minnesota has voted to reject refugee resettlement in their community following an executive order from President Donald Trump that allows state and local governments to determine whether or not they consent to accepting them.
Minnesota's Democrat Governor Tim Walz has already vowed to take refugees on a state level, but that will not override the county's decision.
The 3-2 vote on Tuesday was reportedly rowdy, as most residents strongly opposed taking refugees. The Star Tribune reports that the meeting was "filled with jeers, shouts and accusations among the more than 150 people."
Baltrami County is now one of few counties nationwide to formally reject refugee resettlement.
"I think we will be making history today," said Beltrami County Commissioner Reed Olson, who voted in favor of taking refugees in.
In September, President Trump signed an executive order that requires local governments to consent before refugees will be placed.
In a letter to Secretary of State Mike Pompeo in December, Governor Walz wrote that "the inn is not full in Minnesota."
"I'm disappointed. But I understood that this executive order was meant to be divisive. … It should have never been [pushed] down to the county levels," Walz told the Star Tribune in response to their vote.
The Tribune reports that Beltrami County appears to be the first in Minnesota to reject resettlement, though no refugees have been placed in the county in over five years.
"Officials have until Jan. 21 to respond to the executive order. Several other Minnesota counties have submitted letters of consent, including Hennepin and Dakota counties, both of which are in the top five counties in the state for refugee resettlement," the Hill reports.
Minnesota County Votes to Reject Refugee Resettlement Under Trump Executive Order Reviewed by CUZZ BLUE on January 09, 2020 Rating: 5


Online Translation Services - Rephraserz.com - Page 5 of 8 - Rephraserz Online translation services in the financial, technical, marketing and legal fields. Instant translation quote. 24hr support.
Dutch translation services should help you if you are thinking of taking your business to Netherlands or Belgium. Spoken by more than 23 million people, Dutch is among the top three most widely spoken Germanic languages that include English and German.
The great reputation of Netherlands for embracing commerce makes it an excellent location to set up your business. At the same time, Belgium can also contribute a lot towards the growth of your business. Nevertheless, the business culture at both these places can be very different from that of your home country, which is why you may need the services of a Dutch professional translation company.
While looking for a Dutch translation company you have to see if they provide localization as well as interpreter services that make it easier for you to communicate with your new target audience and help them accept your business as one of their own.
Look for a translation company that has expert linguists who can translate your content in an understandable and intelligible way.
Make sure the company you choose is cheap and reliable and offers quality translation services with high level of accuracy.
Look for Dutch document translation companies that provide next day and same day services and cater to the urgent translation requirements of their clients.
Make sure the translation company you choose offers 24 hour services so that you can place your orders at any time of your convenience.
Apart from documents, make sure the translation company also offers audio and video translations and accepts files in various formats such as MP3, MP4, WMV, AIF, M4A, MOV, AVI, VOB, AMR, WMA, OGG, and WAV. The company should provide medical translation, academic translation, legal translation, business translation, and also Dutch certificate translation.
Rephraserz is one of the best Dutch Translation Services to consider if you are looking for certified translation companies that offer high-quality services worldwide.
Chinese translation services are very popular across the world since they fulfill a very important need of many businesses – translating their documents into Chinese language.
Chinese language actually forms a group of related language varieties that include Mandarin, Jin, Wu, Gan, Xiang, Min, Hakka, Yue, Ping,and Huizhou. While 70% of the Chinese population speaks Mandarin, there are also the other dialects that are still spoken in China.
As the second largest consumer market in the world, China offers unlimited opportunities to businesses that wish to expand their operations. The highly sophisticated manufacturing industry of China has lured many US-based businesses to partner with Chinese companies and improve their supply chain. However, the huge cultural differences make it difficult for them to be accepted by the Chinese as one of their own. The solution lies in hiring a Chinese professional translation service that can localize your business for your Chinese audience.
Although there are many Chinese Language Translation services across different parts of the world, there are a few things you will have to consider before deciding on the best one that will suffice your Chinese translation needs.
You have to look for a company that not only provides quality Chinese document translation with high level of accuracy, but is also cheap and reliable.
It is advisable to hire a company that offers 24 hours service. This way you can place your orders and receive your deliveries whenever you want, irrespective of the time zone you are in. Also make sure such a service caters to your urgent requirements, by offering next day and even same day service.
If you have different types of content to be translated, look for a company that offers medical, legal, academic, financial, as well as Chinese certificate translation services. Make sure they accept audio and video files in formats like MP3, MP4, WMV, AIF, M4A, MOV, AVI, VOB, AMR, WMA, OGG, and WAV.
Rephraserz would be a great choice if you are looking for expert Chinese Translation Services that can help you communicate with your Chinese audience clearly. As a certified translation company we cater to the needs of worldwide businesses across industries.
Latin translation services can seem useful to you if you are looking at translating any of your content into Latin or from Latin to any language of your choice.
Originated in Latium, a region around ancient Rome, Latin gained a lot of significance during the Roman Empire. Most Romance languages such as French, Italian, and Spanish have descended from Latin. 80% of the scholarly English Words are also derived from Latin. As the lingua franca of West, Latin dominated the western region of the world for more than a thousand years until it was replaced by French and English.
Although not used for communication, there are many Latin texts that are yet to be translated into modern languages, which is why Latin is still being taught in many high schools and universities. It is the official language of Vatican City and also of the Catholic Church that dominates most of the world. However, considering the rare nature of Latin, anyone looking for English to Latin or Latin to English translation, should seek the help of Latin Language Translation experts if they want a perfect job to be done.
Quick Turnaround Time: A Latin document Translation Company that caters to urgent requirements and provides Next day and even same day services can be one of the best choices.
Accuracy: Look for expert linguists who can understand the context of your content and give you an accurate translation that can be well-understood by your audience.
24 hours service: Hiring a company that offers round the clock service would be good as you can place orders and receive delivery at your convenience.
Rephraserz is a certified translation company that offers accurate Latin translation services to different kinds of clients across the world. We offer different kinds of translation such as medical, legal, academic, and Latin certificate translation to match your needs. Apart from documents, we also accept audio and video files in various formats such as MP3, MP4, WMV, AIF, M4A, MOV, AVI, VOB, AMR, WMA, OGG, and WAV.


Choosing a comfortable temperature while maximizing efficiency can be a struggle, especially on the hottest of summer days. There are three essential times during the day when you should be adjusting your air conditioner's temperature settings: when you come home, when you leave and when you go to sleep.
Is A Front Load Washer Right For You?
Although front load washers tend to be more expensive, they have some key features that may make paying the extra money for it worth it to you. Depending on your daily laundry load frequency, amount of space, and the types of clothing/items you are washing, you may find that a front loading washer will better meet your laundry cleaning needs.


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Nominations Welcome for Upcoming IAPI Board Elections
Call out to IAPI members for the election of four board positions
IAPI wish to encourage nominees to put themselves forward for the IAPI Board elections this November.
Each nominee is required to write a short description of why they feel they can make a valuable contribution to the industry as an IAPI Board member and send this, together with a photo and short biography to IAPI CEO, Charley Stoney.
This will be published on the IAPI website on Friday 16th October which is the deadline for nominations. Subsequently ballots will be forwarded to the relevant MDs to vote on the nominees.
The new Board Members will be announced at the AGM on Wed 25th November.
It is also worth noting that we're very positive towards achieving a 50:50 gender balance on the board.
Many Thanks to our Retiring Members
Charlotte Barker, Deputy MD, Dynamo – Charlotte stepped down when she left Dynamo in March this year after nearly 3 years of terrific work for IAPI, especially on Diversity & Inclusion.
Mark Nutley, CD, Goosebump – Mark has decided to step down after 4 years of superb contribution to raising the creative bar for IAPI members.
John Mathews, FD, In the Company of Huskies – John is stepping down after 3 years of invaluable commercial and financial advice to the IAPI Board and its' members.
Gemma Gilmore, Business Director, Spark Foundry – Gemma is also stepping down after 3 years of dedication to Futureheads which has grown in significance and strength under her chairmanship.
Remaining Board Members Include:
Shenda Loughnane, Group MD, Dentsu Aegis – President & member of IAPI Media Council
Sean Hynes, CD, Bonfire – Vice President & Co-Chair of IAPI Creative Council
Fiona Field, Deputy MD, Mediaworks – Chair of IAPI Media Council
Margaret Gilsenan, Chief Strategy Officer & Founder, Boys & Girls – member of IAPI Growth Council & the IAPI Effie Steering Group.
Abi Moran, CEO, Folk Wunderman Thompson – Chair of Growth Council
Jonathan Conlon, COO, Group M – member of IAPI Growth Council & IAPI Media Council
Geraldine Jones, COO, Publicis – Chair of People Council & a member of IAPI Education Task Force
The key skillsets needed on the IAPI Board for the next 3 years
1. Treasurer & Commercial Lead
Our last two Treasurers, Arthur Byrne and John Mathews have been vital for the IAPI Board. The role of Treasurer includes casting an expert eye over IAPI's accounts on a quarterly and annual basis. As importantly, we need someone on the Board who can provide sound commercial and financial advice for our members, particularly during the months and even years ahead as we work through Covid and out the other side.
If you are a Financial Director/Controller in an IAPI agency and feel you would like to give back to the industry and are prepared to share your financial knowledge and commercial wisdom with the IAPI board and its' members, please put yourself forward!
2. Diversity & Inclusion Council Lead
IAPI have succeeded in implementing some key initiatives for gender equality over the past few years which have helped to significantly improve the number of women on agency Boards to 37% (2019 Industry Census) but there is still some way to go. Especially within senior Creative roles.
Furthermore, and more importantly than ever before, we need to provide the industry with policies and guidance on having a fully inclusive culture that embraces diversity in all it's forms. Our aim is to fundamentally enhance our workforce so that it is truly representative of all aspects of Ireland's socio-economic, multi-cultural and highly diverse population.
If you are passionate about developing truly inclusive cultures that help to embrace diversity in all its forms, then we would love you to put your name forward to lead our D&I Council.
If you wish to know more about the D&I initiatives IAPI have undertaken here are a couple of links to some of this years' initiatives:
Female Futures Fund Bursary
Advertising Needs to Stand Up to Racism
3. Creative Council
Another of IAPI's strategic aims is to promote Ireland's advertising sector as a centre of creative excellence for brands wishing to target the European markets. "Creative is Native" is being officially launched on 5th November and all the CDs across IAPIs' membership have been engaged in the process.
Working with Sean Hynes, and the rest of the IAPI Board, we need to maintain momentum both in terms of engagement with CDs across the membership as well as coming up with fresh ideas to promote Irish creativity both domestically and internationally.
IAPI also run inspirational events aimed at the creative community and so we're looking for someone with a fresh perspective on these events, so they maintain their appeal to budding and seasoned creatives.
In addition, as part of the D&I strategy mentioned above, any help we can get to encourage female creatives to stay in the industry and put themselves forward for senior creative roles, would be welcomed!
If you have between 5-8 years' experience in a senior creative role and feel that you'd like to contribute to the future direction of creativity across the industry, please put yourself forward.
4. Futureheads Chair
As the Futureheads Chair, you would lead a council of between 6-8 members with help from the IAPI executive. The Futureheads is designed to engage with all those under 30s in the industry who may feel that their junior position puts them out of reach of decision making. Futureheads gives them the opportunity to create a network of like-minded people, connect with senior leads through mentorship, have fun (when not social distancing!) and put on inspirational events when they're needed.
At a time when we're facing so much uncertainty, it is this age group that are particularly engaged and active when it comes to addressing mental health challenges, highlighting social injustice, campaigning on climate change and seeking equality in all its forms.
If you are under 30, have experience in working with teams, are highly organised and love the industry, then please put yourself forward!
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Step up your game with these huge gaming mouse pads. Measuring 11 3/4″(t) x 31″(w), these mouse pads give you plenty of room for tactical gaming and more. Featuring a 3″ x 5″ logo on the bottom left that will most assuredly improve your shot in game(not really, but it does look great on the desktop).


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What Is Texas' Biggest Flaw This Season?
Click here to view original web page at www.si.com
Harry Houdini's disappearing act shocked people of all ages in the early 1900s. Now, some kid on the internet likely would be able to point out how he was able to pull off every trick. It's the same thing with Texas Football . We all know what the problem […]
Harry Houdini's disappearing act shocked people of all ages in the early 1900s. Now, some kid on the internet likely would be able to point out how he was able to pull off every trick.
It's the same thing with Texas Football. We all know what the problem is under the direction of Steve Sarkisian in his first year on the Forty Acres. The term "All Gas No Brakes" is working to a T.
For the first half.
Then, the Longhorns (4-3, 2-2 Big 12) run out of fuel and are stranded on the sideline, watching opponents walk on by. It happened last week against No. 4 Oklahoma.
It happened again against No. 12 Oklahoma State.
Maybe Texas is a year away from making its comeback, but that's wasn't the problem Saturday in a 32-24 loss to the Cowboys. They had the game won.
Heck, just like last week, even in a close fourth quarter, Sarkisian still could find a way to get enough plays off and leave with a victory.
Except he didn't. For the second straight week, the final 30 minutes of offensive execution was pitiful at best.
Texas had seven drives to score a touchdown and put the game away. They gained 14 total yards and didn't pick up a first down.
"They made the plays and we didn't," quarterback Casey Thompson said. "We'll go back to the drawing board."
Sarkisian can't take all the blame. Neither should offensive coordinator Kyle Flood for the play designs. It was a collective effort of bad calls and even worse execution.
Thompson threw an easy pick-six right into the hands of OSU's Jason Taylor in the third quarter. The offensive line allowed three sacks, a dozen pressures and seven tackles for losses. Running back Bijan Robinson rushed for a 38-yard touchdown to begin the third quarter.
He had 14 for the remainder of the game.
"We had a lot of miscommunication," Robinson said. "They brought full-out blitzes, and we were trying to open the passing game a little bit, but they came up with some different twists and pressures and it was just hard for us to pick 'em up."
Things must always get worse before they get better. How much worse though can things get? A complete implosion internally and a mutiny from the Texas players?
Since the first quarter of last week, the Horns have outscored both the Sooners and Cowboys (6-0, 3-0 Big 12) 55-33 in the first 30 minutes. They've outgained both teams in passing and on the ground.
So, what happens in the second half? Did midnight come early and Sarkeralla was forced to leave the ball (game) early? Texas is minus-37 in points for the second half and has allowed a whopping 612 yards during that same span.
Offensively, the Longhorns are just as terrible as their defense. They've scored 14 total points during that same span and can barely pick up first downs.
So, what gives? Is it Sarkisian's play design? Is it Thompson's miscues with his targets? Poor protection from the offensive line?
Pick one. Pick them all for that matter. Depending on the drive, you could blame each area for failing to meet the standards.
A bye week is coming for the players. Sarkisian has work to do. Something offensively must be changed, whether it be a firing of a coach or the benching of a veteran for a young player with upside.
Fans will remain positive entering Halloween's weekend showdown at Baylor. After all, this is a coach that thrived for two seasons at Alabama, helping the Tide win a national title in 2020.
"For us to go as a team where we want to go, we can't just hold on," Sarkisian said. "We have to think something good is going to happen around the corner."
In the first half of games, Texas is a train that can take down just about anyone. In the second, they're the ones getting hit by the train at full speed without an answer or a chance to grab the brakes.
Want the latest in breaking news and insider information on the Longhorns? Click Here
Want to join in on the discussion? Click here to become a member of the Longhorns Country message board community today!


LasLabs has released a new Odoo plugin that allows transactions to be generated for Authorize.Net payments, subsequently reconciling the invoice that the payment is associated to.
Odoo's normal credit card workflow requires that a Payment Transaction be created before a customer can actually pay for the invoice. That screen then needs to be monitored in order to determine when you are paid (or you can monitor directly within your Authorize.Net account).
After the Authorize.Net transaction has been realized, a payment has to be created on the correct invoice, making sure to correctly reference the Authorize.Net transaction record to the invoice payment record.
We find this workflow to be clunky, and our customers often do not correctly link the actual transaction to the transaction that is being created in the Invoices screen (yes, they're different records).
Our new plugin eliminates this manual interaction in favor of a more automatic approach. As soon as the customer is redirected back to your website after payment, a transaction record is created.
If the payment was approved, it is added automatically to the correct invoice with the correct references. After that, either a partial or full reconciliation will take place on the invoice depending on whether the full amount was received.
If the payment is approved, you are paid and customer is redirected back to their account. If they paid the full invoice, they can see that it is paid. Otherwise, they can see/pay the remaining balance.
As with everything, there is always a downside.
If a transaction is declined after the initial approval, you will have to manually intervene by reversing a lot of accounting transactions.
This can be a pretty complicated process, but we have found it to be the lesser of two evils due to the rarity of this occurrence. If you are in a high risk market, this may be more of an issue.
We are open to community suggestions when it comes to improving this module (see Open Source) below. If you have an idea on how to circumvent this issue, please drop a comment or open an issue.
The process of reversing the reconciliation can be read here.
If you come across a bug, or require assistance/features – drop us a line in the comments, or on our Facebook!


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Home \ Tag "2011 MTV VMA Awards nomi"
2011 MTV VMA Awards nominations announced
J.D | International Events, Pop
Lynrd: The nominations of the 2011 MTV VMA awards have been announced at the Katy Perry's Seattle tour. The "I Kissed a Girl' singer herself earned nine MTV VMA Awards 2011 nominations. The other singers who have earned multiple nominations for the 2011 MTV VMA Awards are Bruno Mars, Adele, Chris Brown, Nicki Minaj and […]


text:
Skip to main content Architecture - Texas A&M School of Architecture Logo Navigate to the Architecture - Texas A&M School of Architecture Homepage
Architecture - Texas A&M School of Architecture Logo Mark
Architecture - Texas A&M School of Architecture
Our engagement activities intersect with our educational and research mission. We encourage service in many forms to serve the region, nation, and world.
Designing Solutions for Good
Through outreach programs, students can learn from and collaborate with thought leaders to help underserved communities. Our design studios partner with outreach units and to help real people while solving problems in a classroom. By working with these units, we've been able to help the people of the colonias along the U.S.-Mexico border and those affected by hurricanes and other natural disasters.
Students can develop leadership skills through student organizations, internships, research and teaching assistantships, and community engagement activities. We encourage our students to cultivate these skills to prepare them to be thought leaders in the field.
Our faculty provide extensive service to national and international academic and professional organizations.
The Association of Collegiate Schools of Architecture
The American Institute of Architects
The National Council of Architectural Registration Boards
The American Institute of Architecture Students
The National Architectural Accrediting Board
© 2023 Architecture - Texas A&M School of Architecture. All Rights Reserved.


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Apple TV+ Renews 'Ted Lasso' for Third Season
by Gary Ng – Wed, October 28, 2020
Ted Lasso is going to have a third season on Apple TV+:
Following its breakout first season and early second season renewal, Apple TV+ has renewed "Ted Lasso" for a third season, ahead of its second season start of production in London early January. Since its premiere on August 14, 2020, critics and fans globally have hailed the series as "terrific," "hilarious," "heart-swelling" and "infectious."
Some positive news for 2020.
First Alleged iPhone 12 Mini Hands-On Hits the Web [VIDEO]
Wed, October 28, 2020


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namespace SMS\AdminBundle\Tests\Controller;

use Symfony\Bundle\FrameworkBundle\Test\WebTestCase;

class HelpControllerTest extends WebTestCase
{
}

redpajama_set_name: RedPajamaGithub


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Contributing Storytellers
Stories By Theme
Stories with Lesson Plans
Event Archives & Ideas
English is Hard When You're the Only Black Boy in Iowa
by Inanc Karacaylak
By: Inanc Karacaylak Link to YouTube Video:
https://youtu.be/hHd_g2PuvDk
Note: The following is a transcription of a spoken story performance and may not reflect textbook perfect English.
It will guide you as you listen (or read) along.
Inanc Karakaylak was sent from Turkey to Muscatine, Iowa as an Exchange Student where he experienced intense culture clashes, ridicule, and cold weather. However, he was blessed to have an amazing host family including Christian Minister, Hal Green.
How can we make it easier for international students to feel at home?
Do you think one role model can change someone's future and destiny?
Can humor be found in adverse situations and create change for the good?
Podcasts by Dr. Hal Green - https://drhalgreen.com/category/podcasts/
Closer Than Your Own I: Meditations on Union with God by Dr. Hal Green
Essential Sufiism by Robert Frager and James Fadiman
The Essential Rumi by Jala al-Din Rumi, Coleman Banks (translator)
The Prophet by Kalil Gibran
Movie: Monsieur Ibrahim with Omar Sharif
Living and Traveling Abroad
Hi! My name is Inanc and my last name is Karakaylak. Inanc which means "belief" in Turkish and Karacaylak is something like… translates into a "dark rookie", but it has a nice meaning.
I was born in the beautiful Aegean coast of Turkey and the third largest city, Izmir. That's where Homer is from. That's where the Odyssey was written. That's where Mother Mary's house is. Very nice place.
And I was not that great of a student. When I was 16 years old, my Father said – I'll do this part in Turkish, you'll get it – "America!"
I was like, "Ahh, America. Oh, okay." I asked him, "New York? Los Angeles? Hollywood? Hawaii?"
Baba goes, "Central America like ah…Muscatine, Iowa – Midwest."
And I was sent to Iowa in year 2000 as a foreign exchange student. And I was 16 years old. My English wasn't – it wasn't that good. I learned English from South Park.
And my Dad said, "You have to be respectful and nice, and dress nice, and always put hair gel on, and greet your friends properly."
And I would, you know in Turkey we kiss a lot. When I started school, I would try to kiss everybody. Soon enough I had a name, because I kissed everyone. And I was shy around girls; I couldn't kiss them.
But in Iowa, we had some Hispanic kids and then there was me. And soon I realized that I was the only black person in the state. And not knowing much about culture, I try to fit in. And I wanted to be a part of basically the American life as a foreign exchange student with Rotary Club. And my name has always came up; Inanc, so people couldn't really say it. They used to call me Enoch which is a biblical character also means cow in Turkish which is hard to take. And I was like maybe… okay.
When I was in… I think first, first week, actually this was in November. I came later and November 22nd to be exact, my birthday. My teacher, biology teacher was reading names you know. As they do in high schools, "Is Ashley here? Is Bill here? Is Jose here? (Hispanic kid), Is Jill here? Is Anus here?"
I was like, "Wow! Who would name their kid that?"
And he said, "Anus, our exchange student from Turkey."
I was like, "I don't think so."
And he said, "Yes. Our exchange student, Anus."
I was wondering how he would read Inanc as Anus. But then later on he said, "Anus, Turkey, Turkey boy, Anus." And it was the November 22nd, my birthday. He said, "Happy Birthday, Anus."
And he also said, "Happy Birthday, Anus, Turkey boy. And guys it's Thanksgiving. Happy Thanksgiving!"
I never went to prom after that. I didn't have many friends and, basically, I moved here and I thought, "Maybe I should try to change my name."
I tried to use the name Ino for a little bit. It didn't work so much. Also. I found out it's a Greek goddess.
But, lately, when I meet people – they try to say my name and if it doesn't work, I just accept. They're like Ina, Ina. Okay.
So, me when I was younger, I did not know much about this culture and it took a while to get used to it and everything that happened especially like, after September 11th, was a whole different life, you know. And I never had…I grew up in a very socially accepting place actually and religion was not a big deal. And asking people about their religion was something that you don't really ask, you know. And I learned…
I was asked all the time about things that I didn't really know at that time. They would be like, "Hey are you pro-life or pro-choice?"
I'd be like, "I am pro-life-choice. Is that something?"
They'd ask me if I was Republican or a Democrat. Again, I didn't know for a while at that time. And then they would also… I went and stayed with an amazing Christian family, Dr. Hal Greene. And he has been like my father. Even though I'm Muslim, I was raised around this beautiful Christian man. But the people at church would like sometimes some of them would cry on my shoulder. I remembered this warmth from this lady at a rock concert, a Christian rock concert, on my right shoulder her tears. And she's like, "I really like you, but I think you're going to hell."
I was like, "Ooh, Deidre, okay."
But I learned that there's so much love and passion and kind people in Midwest, too. But I decided to move here to California and here in California, I found there's much more. There's a little bit more… I'm not the only black person at the school I would say.
And now I follow my dream of working close to the ocean a lot. I teach kite surfing. Uh, I'm also a stand-up comic. And I would advise anybody that's interested in following their dreams in a foreign place… they should.
It ends up becoming nice even though, sometimes, people make fun of your name and such.
© 2011-19 RaceBridges Studio. This lesson plan is part of an initiative for educators called RaceBridgesStudio.com. It is a project which seeks to provide free tools for teachers and students to motivate them to build stronger and more inclusive communities. This transcript may be freely used, reproduced and distributed for educational purposes as long as this copyright information is displayed intact. The transcript included in this unit is copyrighted by Inanc Karacaylak. .
Cindy Gaffen2019-09-26T13:23:25+00:00
Copyright © 1993-2019 RaceBridges Studio
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E262:
 Ацетат натрію
 Автошлях E262

redpajama_set_name: RedPajamaWikipedia