text:
What Community Banking Means to Us
What Community Banking Means to Us
This April is a month of celebration at Lincoln Savings Bank. Each year, we celebrate Community Banking Month and our impact in the communities we serve. When it comes to volunteering, donating within our local area, and lending a hand to the customers we hold dear, no one quite does it like Lincoln Savings Bank. Today, we’d like to share just a piece of the inspiration that drives us to do the work we’re passionate about each and every day; the work of helping our neighbors.
Our first story comes from Mary Inbody, our Head of Retail for Lincoln Savings Bank.
“We had a new business that wanted to have a presence at the Art Fair downtown, however, it would have been cost prohibitive to run their booth with paid employees the entire weekend. We all volunteered our time at the booth and had a wonderful time working with them and making a difference for their business.”
Community banking means more than simply being a bank in a hometown community. At its heart, community banking centers around supporting local businesses, families, and non-profits. Community banking is all about building up those around us and growing the products and services they need to continue their personal and commercial development.
Cathy Schuler, Lincoln Savings Bank Human Resources Manager, shares it best, “The word that pops in mind first is caring. Caring for our customers, community and employees. Our employees form deep relationships with each other and our local customers.”
Whether it’s saying hello each morning to your favorite teller, calling up a local lender to pick her brain on a potential development opportunity, or simply smiling at the ease of depositing a check on our app – our passion at Lincoln Savings Bank is connecting with our customers. Most often you’ll find us out connecting at local charity events, sponsoring town parades, and rooting for the home team at the spring high school soccer games.
Mike Schick, Lincoln Savings Bank Director of Sales, elaborates on what community banking means to him. “We take pride within the communities that we reside and serve in. We want to be seen as a valued and engaged partner within the residence of the community as well as the businesses which serve these communities. We are incredibly active in the area that we serve through our volunteer efforts as well as financial resources invested back into the communities.”
Each month, Lincoln Savings Bank is a part of a number of local volunteer opportunities. Collectively as an organization, we donate our time to one non-profit group each month, encouraging employees to volunteer their time while on the clock. When we help to grow our communities, we’re giving our neighbors a helping hand, and showcasing a great example of leadership in our surrounding area.
Sometimes, the simplest acts can make the greatest impact. Dana Uhlenhopp, Chief Credit Officer, showcases this in one of his favorite community banking memories. “One the things I’m most proud of throughout my career at Lincoln Savings Bank is how members of each branch get involved in the various activities of their community. It is hard to find an event where someone from Lincoln Savings Bank is not involved, and many times that involvement is an officer or coordinator role.”
Every once and a while, we’ll have a tale of a local movement that truly moves us as a business. During the year of 2008 we were immersed in stories of neighbors supporting one and other through the trying natural disasters that hit the state of Iowa. Emily Girsh, Chief Financial Officer, elaborates on one of those stories and the impact it made on Lincoln Savings Bank.
“I still go back to 2008, and the tornadoes and floods of that year. We literally sandbagged along-side others and opened [the Aplington location] the day after the tornado to ensure customers could get to their insurance agent and come to the bank for cash if needed. After the immediate needs were met, we used the LSB Foundation to gather donations from across the [Cedar Valley] area and get those delivered back to the citizens of Parkersburg, New Hartford, and other affected areas. Additionally, we ensured our own employees who were impacted were taken care of in the form of housing, transportation, emergency funds, and time off,” shared Emily.
Caring for those around you and trusting them to do the same for you is the epitome of Iowa and the incredible people who call it home. At Lincoln Savings Bank we recognize that anyone can become a hero; whether it’s hauling bottles of water, helping to clear farm fields, or simply giving your neighbors a place to lay their head at night. We are proud to be an Iowa organization and couldn’t be more delighted to be surrounded by people who are truly Iowa Nice.
Stories like these only reignite our passion for community banking – because truly our passion stems from a desire to help others. At Lincoln Savings Bank we measure our success by the number of people and businesses we can help, serve, and support. That is what community banking is all about. If you share our passion and want to be a part of an organization that puts people first, visit our careers page and discover if community banking may be calling you.
Lincoln Savings Bank. Member FDIC. Equal Housing Lender.
Want the latest and greatest from our blog straight to your inbox?


text:
Hem's Gate is the ancient gate that is located within the Dwavern Kingdom. It is a large stone gateway that was built to block off entry to the ancient destoryed dwavern city, Orzinhall.
Hem's Gate was set in an impregnable stone and iron wall that stretched for up to two hundred miles. The wall has been estimated to be 40 feet high.
Behind the gate were gigantic circular stone ramparts, and when the gate needed to be opened. There are huge black chains which are pulled so it could be opened, but they have since been destoryed to prevent any kind of entry.
Around the stone are dwavern writtings that warn those who attempt to enter. They say in the common tongue: Travellers beware! Thoes who dare seek entry will contiune at their own peril. Ahead lies a maze of rubble, and monsters that haunt the deepest of places.
It was originally a gate built by the dwarves, to protect the ancient place that was once their home. The gate is now guarded bu 10 men, who always keep watch for wonderers.

domain: geography


A 22-year-old man accused of striking another man in the face with a bottle outside of a Covington bar earlier this month turned himself in to police at around 6 p.m. Monday (March 31), Covington Police Chief Tim Lentz said. Police had been searching for Michael Mendheim since the March 7 incident.
Authorities attempted to arrest him Sunday (March 30), Lentz said, but Mendheim was able to evade St. Tammany Parish Sheriff's Office deputies and Covington police officers.
Lentz said just before 2 a.m. on March 7, officers responded to an aggravated battery outside of a Covington bar. A man had been hit in the face with a bottle, and was taken to the hospital for treatment. Mendheim was named a suspect, Lentz said.
Mendheim will be booked with aggravated battery in the St. Tammany Parish jail. Lentz said he would be held on a $50,000 bond.


8 Signs of Terrorism
Certain activities, especially those at or near sensitive facilities; including government, military or other high profile sites or places where large numbers of people congregate, may indicate terrorist planning phases. Suspicious activities of interest that should be reported to law enforcement are commonly referred to as the 8 Signs of Terrorism.
Surveillance: Recording or monitoring activities. May include the use of cameras, note-taking, drawing diagrams or maps.
Elicitation: Attempting to gain information about operations, infrastructure, or people by mail, email, phone or in person.
Tests of Security: Attempts to measure reaction times to security breaches, penetrate physical security barriers, or monitor procedures in order to assess strengths and weaknesses.
Acquisition of Supplies: Purchasing or stealing explosives, weapons, ammunition, etc. May include acquiring uniforms, decals, flight manuals, passes or badges.
Suspicious Person Out of Place: People who don’t seem to belong in the workplace, neighborhood, or in a particular building or area.
Rehearsal: Putting people in position and moving them around according to their plan without actually committing the terrorist act.
Deployment: People and supplies getting into position to commit the act. This is a person’s last chance to alert authorities before the terrorist act occurs.
Funding: Suspicious transactions involving large cash payments, deposits, or withdrawals are common signs of terrorist funding.


text:
How to write papers using chicago/turabian style all academic writing is supposed to follow certain format style guidelines the choice of the format for your. The chicago or turabian style bibliographic citations at the bottom of a page or at the end of a paper manual for writers of research papers, theses. Writing meritorious service medal turabian style paper degree assignment help master thesis defense presentation ppt. Almost like “mini-papers” within the larger paper most often use this style of turabian we have a sample paper in author-date style citation format.
Instructions for formatting a turabian paper click “style” from the list that in a turabian paper. Turabian style of citation anyone who it is a requirement of the turabian style that papers are typed in double-spacing to find material to cite in a paper. Turabian paper overview when we write a generic essay that explains an ordinary topic in your area for you, the methodology and system of writing may not be of huge.
Turabian/chicago style class papers should begin with a title page charles babbage loved to read the paper and try to solve the codes. A manual for writers of research papers, theses, and dissertations is a style guide for writing and formatting turabian's a manual for writers of research papers. Research paper on operating systems turabian style papers anthony muhammad dissertation need help with my thesis statement. How to write in chicago/turabian style here at essaypro, we have online essay writers who have written thousands of essays in the chicago paper format. This resource contains the notes and bibliography (nb) sample paper for the chicago manual of style 16th edition to download the sample paper, select the cms nb.
10 page essay turabian essay style thatshindi oneindia bookmark tag online essays scholarship essays help. Learn how to cite essays correctly hereturabian style essay in turabian essayrelated contentare you looking for a good turabian paper example you can. Chicago and turabian format a manual for writers of research papers, theses, and dissertations, more commonly known as the turabian style. Turabian style templates in microsoft word document (doc, docx) format thanks to chuck smith and stephan bloom, turabian 8th ed templates for student papers. Turabian style citations 163 in a manual for writers of term papers, theses when using turabian notes style.
Professional resume writing services portland oregon turabian style for essays custom writing service 7 page dissertation de philo plan. Turabian tutor a quick reference guide for writing research papers using kate l turabian’s a manual for writers of term papers, theses, and dissertations (eighth. Chicago-turabian style center for writing excellence the central focus in writing a research paper in chicago style is the research paper or essay is. We would like to show you a description here but the site won’t allow us. Help me with my geometry homework turabian style papers essay on morality customer relationship management master thesis.

domain: library


text:
Monday, November 7, 2011
Christmas Garland #3 by Jill Sprott
All this month on the JBS Mercantile blog, we will be sharing our individual contributions to a group Christmas garland, incorporating our favorite chipboard pieces, bingo cards, or journaling cards. Joining Becky's "Home for the Holidays" and Briana's damask bird is this Christmas tree, which was pieced together by inverting a scalloped banner piece for the tree and a small flag banner for the trunk (painted with Brown Sugar).
I covered the tree with strips of patterned paper from the JBS Christmas 2011 collection, including Carol Index, Holly Stripe, and the B-side of the Accessory Sheet. Over these patterns, I added rows of embellishments, including pearl flowers, doily flowers, and garnet charms...
Micro Dot Alterable Alphas and chipboard buttons.
Be sure to check back all this month to see the garland come together, piece by lovely piece!

domain: hobby


text:
He sat in a corner, stroking the boy’s hair feverishly, and singing softly under his breath as tears
dripped from his cheeks to the boys head.
“Are you going to Scarborough Fair?” He sang quietly, his voice cracked and worn, his eyes, distant as
they gazed at the dying embers of a fire.
“Parsley, sage, rosemary and thyme,”
He took the metal poker from beside him and jabbed at the embers. A horrible hissing sound emanated from
the metal stick when it reached the dying flames. They flickered and cast a bizarre light on the room that the man didn’t particularly care for.
“Remember me to one who lives there,”
He stroked the boy’s radiant black hair, gleaming in the last minutes of the fires life. He bent close to
whisper the next line in his ear. He licked his lips and laughed.
“She was once a true love of mine,”
His eyes wandered to the corner of the room, where she now slouched, her face tear stained. About five
minutes ago everyone in the town would have agreed that she was possibly the most beautiful thing they’d ever seen.
“Now look,” He thought madly. “Now look!” He yelled into the night. An owl hooted outside and it was
as if nothing had happened. Nothing bad here just a normal family sitting in their normal living room.
“The normal living room from hell,” he laughed giddily. The fire extinguished itself and he screamed
loudly. He sat, his stroking of the boys hair momentarily off as the darkness flooded his eyes. He soon resumed his panicky stroking and his odd murmurings. His vision adjusted and allowed him to
gaze into the shadows of his hellish living room.
“It’s amazing really,” he mumbled, “that all we need do is wait and even the shadows in the dark vanish
from our sight.”
He stood and the boy fell from his lap, hitting the ground with a thump, like dropping a bag of flour on a
stone floor. He looked down at his pants, covered in blood now. He took a squelching step towards the glowing embers and smiled, laughing weakly.
“It’s funny if you look at it the right way,” he thought to himself. Closer to the fire now, he bent down,
his knees landing on the wet floor, and picked up the metal poker. Turning, he raised the poker so he could see it. A sticky liquid dripped onto his hands and he giggled. Then he walked to the boy,
prodding him with the poker so that he turned over onto his back. The man stifled a hysterical laugh with his hand and fell back onto his butt, laughing in the opposite corner of the room, looking
at them, so happy together.
“A family,” he wheezed out through his insane laughter.
© Copyright 2016 C Moore. All rights reserved.

domain: artistic


adidas Campeon 21 Soccer Jersey
Regular Fit/ Embroidered adidas logo:
AeroReady: Absorbs moisture away from your skin so you stay dry every step of the way. Sweat but don´t sweat it.
Functional Polyester fabric.
2020 WC DFB Home chest print. Endorsed one of the most iconic licensed graphics to Teamwear:


text:
Everybody should talk and be open with each other no matter how uncomfortable it is.
Have you ever been bullied? If so, how did you handle it?
The group discusses having a balanced life and breaks down the things people want vs the thing people need.
In life, you must close one door before you open up the next. Things in your past, can impact your future.

domain: sociology


Thermoplastic hoses are common in the industrial equipment, and they are widely used in medium-to-high pressure hydraulic applications (they resist pressure over 400 Bar). They are mainly used for handling compressed air, gases, oil, fuel, paint, chemicals, petroleum base hydraulic fluids, waste water, and etc. Due to their good chemical and corrosion resistance, under optimal storage conditions, they should have long service life without any need of repairs.
Structure of thermoplastic hoses
Thermoplastic hoses for high pressure have an extruded plastic core (internal layer) that is made of polyamide, polyester, or fluoropolymers. Their outer cover is made of oil and weather resistant materials, such as polyester, polyethylene, polyurethane, and PVC. The thermoplastic hose usually has one or two layers of reinforcements that are important for its high-pressure resistance. The reinforcement is coiled and can be steel, aramid or polyester.
Characteristics of thermoplastic hoses
- Resistance to weather conditions – thermoplastic hydraulic hoses can handle extreme temperatures, corrosion, ozone and UV rays.
- Light weight – thermoplastic hoses are up to 60% lighter than comparable rubber hoses. This also allows them to be produced in long continuous lengths as well as to be easily stored and mounted.
- Compact structure – thermoplastic hoses have smaller outer diameter in comparison with rubber hoses. That allows routing a single hose or multiple hoses individually through smaller and tighter places.
- Small bending radius – thermoplastic hoses can be made to extremely small inner diameters such as 2 mm. This is important in applications where only a small amount of fluid needs to be transferred. Likewise, the smaller bending radius makes installation of the hose easier as it allows routing without bending the hose in tighter places.
- Good resistance of the internal and external layer to hydraulic oil and wide range of chemicals.
- Thermoplastic hoses have very smooth internal layer surface that reduces the loss of flow rate.
- Thermoplastic hoses can be bonded – they can be bonded together into a double line and thus eliminating problems such as routing a single hose or multiple hoses through tight places or hoses rubbing against each other leading to abrasion damage. Another advantage of bonded thermoplastic hoses is reducing part counts in the system that leads to lower material cost, reduce installation time and lower the weight of the finished assembly. Bonded thermoplastic hoses are widely used in construction and agricultural industry, agricultural brake systems, forklifts, hydraulic cranes, aerial lift applications, etc.
VESTA-VI offers thermoplastic hoses available in stock – check our product range in category “Thermoplastic Hydraulic Hoses”.
VESTA-VI repairs and manufactures custom made thermoplastic hoses with fittings – for more information or advise visit us in our premises in Stara Zagora or Etropole or call/email us.


text:
Frontier trims Wave, 1-0
Fron 10 reacts to bunt posture
GHS 5 pops out
Fron 25 connects
Fron 15 safe at third when he looked like a dead duck, don't know what ump saw
Bartak out at first, close play
Peter Watroba came up big when it counted most and got a huge lift from Rylan Baronas on defense to grab a share of the Hampshire League lead.
Watroba hurled a complete-game shutout and Frontier made a second-inning run stand up as it outlasted league leader Greenfield High School, 1-0, in HL baseball action Monday at Valiton Field in South Deerfield.
Frontier (7-2 overall, 6-1 HL) managed to score its only run on just one hit in the second frame. Ryan Hoar lined a single through the left side, then stole second. After he advanced to third on Sam Tillona’s grounder to second, Matt Byrne hit a grounder to Zach Bartak at shortstop. Bartak charged the ball, fielded it cleanly and looked Hoar back to third before his throw sailed over first baseman Mike Lively’s head, allowing Hoar to jog home with what turned out be the game-winning run.
Greenfield (8-1, 6-1 HL) had its best chance to score in the sixth, when losing pitcher Mike Duclos led off with a single. The Kevin Luippold roped a double down the right-field line. Right fielder Matt Ackerman quickly got the ball back to the infield and kept Duclos from scoring.
After Watroba struck out Lively, Jourdan York-Welcome ripped a hard grounder that looked like it would get through, but second baseman Baronas made a diving backhand grab, scrambled back to his feet and fired to first to get the final out.
Watroba finished it off in the seventh to improve to 4-1 on the season. He still hasn’t surrendered an earned run in his 32 innings of work.
“This was the first time he’s pitched on four days’ rest,” said Red Hawks head coach Chuck Holt. “He was setting up hitters with his curve and pitched a great game. He gave up seven hits but looked in control.”
Hoar had two of the Hawks’ three hits. Niko Ames added a single.
Garrett Hudson and Drew Barisano both rapped out two hits for the Wave.
Duclos was the hard-luck loser, as he gave up one walk and the unearned run while striking out five.
Frontier travels to Maynard High School today at 4.
Turners 6, Mohawk 0 — Tyler Charboneau tossed a one-hit shutout and had the big hit to open the scoring in the fifth inning as Turners Falls High School picked up a 6-0 HL victory over Mohawk Trail Regional High School Monday night at Bourdeau Fields Complex in Turners Falls.
Charboneau allowed only a single to Billy Gray in the third inning and got stronger as the game went on, registering six of his seven strikeouts from the fourth inning on.
“He was great tonight,” Turners coach Jay Liimatainen said. “He settled in really nicely. From the fourth inning on all of his pitches were working.”
The game remained scoreless into the fifth inning as Mohawk starter Ryan Pease matched Charboneau through the first four. Brody Markol opened the fifth inning with a single and Pease then walked Kramer Patenaude, prompting Mohawk coach Mike Billiel to yank the starter. Justin Markham came on and got John Ollari to ground out, but then hit Dan McCormack with a pitch to load the bases. Charboneau promptly unloaded them with a three-run triple to put the Indians on top. Mike Conant drove in Charboneau on a ground out.
The Indians (6-2, 4-2) added two more runs in the sixth inning on an RBI single by Ollari and an RBI triple by McCormack.
Charboneau, Markol and Marcel Ortiz each finished with two hits.
Pease struck out two and walked two in the loss.
Turners hosts Hopkins Wednesday night at 7.
Granby 8, FC Tech 0 — Andy Gifford spun his second gem of the season against Franklin County Technical School and Granby High School swept the season series with a three-hit, 8-0 Tri-County League baseball victory Monday afternoon in Turners Falls.
Gifford struck out eight and walked one in seven shutout innings against the Eagles. It marked the second complete-game victory for Gifford over the Eagles this season after he led Granby to a 2-1 victory in an eight-inning game back on April 9. Gifford also struck out eight and walked one in that meeting.
Travis Padgett finished with two hits for Granby, which finished with just four hits but took advantage of erratic pitching by Eagles’ pitchers, who finished with nine walks total.
Tim Momaney, Matt McCarthy and Jake Earl each had one hit for the Eagles (3-8, 0-7), while Alec Milton struck out two and walked six in 5 2-3 innings.

domain: news


text:
The pandemic has taken a huge toll on everyone's mental health.
While it might feel like it's over in many ways, the trauma continues for a unique group of people. For veterans, first responders and medical frontline workers, it has only worsened mental health struggles they've been grappling with long before COVID-19.
Starting Tuesday in North Texas, a local nonprofit is expanding its reach to help them.
The One Tribe Foundation will officially launch a new 5,000 square-foot facility to provide mental health services for this veterans, first responders and medical frontline workers at its location in Farmers Branch.
The heart behind this project is nonprofit 22Kill, which is now expanding its services and relaunching under a new name, One Tribe Foundation.
You might remember 22Kill from the "22 push-up challenge" that went viral and has become a yearly tradition in North Texas and beyond to raise awareness for veteran and first responder mental health.
The latest news from around North Texas.
The "22" refers to the number of military veterans who die by suicide each day.
Since 2013, the organization has provided no-cost or low-cost therapy and other services to first responders, veterans and health care workers.
Their mission has grown so much, they were able to put donations gathered over the years into this new building to reach even more people struggling with depression, anxiety, PTSD and suicidal thoughts.
The timing couldn't be better. According to the foundation, their clientele intake went up by 160% in 2020. The 2021 figures are projected to push 220%.
“Those numbers alone tell you that this pandemic has drastically affected people mentally and emotionally," said Jacob Schick, CEO of One Tribe Foundation. “It has shown us that there are a lot of people that are having to wrestle with some demons that they didn’t realize they otherwise had. And that’s OK.”
Schick said despite the name change, the 22 push-up challenge will still continue and the 22Kill name will turn into the education sector of their foundation.
"Being a severely wounded Marine veteran myself from the Iraq War, I know the troubles these veterans go through when they come home when try to transition into the civilian sector," he shared. “One Tribe Foundation is put very simply, it just means the human tribe. These are people issues. It doesn’t matter regardless of race, color, creed, religion, socio-economic status -- the one thing we all have in common is trauma and tragedy."
The facility expansion is only the beginning of their work to come. One Tribe Foundation's goal is to expand its services across the Southwest in 2022.
“If there is [someone who] has been diagnosed with posttraumatic stress, I’m here to tell you as someone who’s been diagnosed with posttraumatic stress and a brain injury -- there’s nothing wrong with you. You’re reacting completely normal to an otherwise abnormal situation. You’re not alone," said Schick. "It’s OK to not be OK."
One Tribe Foundation is located at 13621 Neutron Road in Farmers Branch. For more information, email firstname.lastname@example.org.
If you or someone you know needs help, the National Suicide Prevention Lifeline number is 1-800-273-8255. You can also send a text message to 838255.


text:
Bloomington, Indiana: Indiana University.
The next day, the three await Jesus by the side of a road and seek his healing.When we seek refuge in Him and allow hope in our hearts, we know that theres no trial we cant overcome.Margaret Mitchell 's, gone with the Wind (1936).15; and Morsberger and Morsberger,."Paramount Joins MGM on 'Ben-Hur' Remake".But as we live out our lives, its important for us to remember that the best growth comes through persevering through trials, not escaping them entirely.Jesus, from the same region and around the same age.Let the reader see the accompanying shadows fly; and, with such distinctness as the picture comes, he may share the satisfaction and deeper pleasure of those to whom it was a thrilling fact, not a feeble fancy.Retrieved August 19, 2016.
As a result, Judah decides to go to Rome for military training athens prostitution map to use his acquired skills to fight the Roman Empire.The world becomes smaller and smaller.6 Wallace understood that Christians would be skeptical of a fictional story on Christ's life, so he was careful not to offend them in his writing.1 5 A 1946 edition of Ben-Hur published by Grosset and Dunlap boasted that 26 million copies of the novel were in print."There was a somber mood on the set as we raised those three crosses on the hill and prepared to put Rodrigo Santoro and the other two actors up there.The horses also drove the movement of a vast cyclorama backdrop, which revolved in the opposite direction to create an illusion of rapid speed.Washington,.C.: National Endowment for the Humanities.Judah is the heir of a very great and wealthy house in Jerusalem.Indianapolis: Indiana Historical Society Press.6 Readers also credited Wallace's novel with making Jesus's story more believable by providing vivid descriptions of the Holy Land and inserting his own character of Judah into scenes from the gospels.


The FHWA/DOT combo arrow stencil is a newly designed stencil by the FHWA that can be used on all publicly accessible highways and roadways. This modified design is both a straight arrow and a turn arrow in one, which indicates to drivers that the specific lane can either go straight or turn the corner. This industry standard design is a must-have for any contractor’s collection, as it adds versatility to any type of pavement project. This stencil comes with three distinct pieces that are made in the USA and guarantee that they will be delivered without any impediments or defects.
The measurements and specifications of this combined straight and turn arrow meet all industry standards. When painted, the stencil measures 72" in width by 153" in height, with a tail stroke of 12". The elongated design allows for easy visibility by distant and oncoming drivers. The material itself has larger measurements than the stencil, allowing plenty of room for overspray. The material of the arrow’s head measures 42" wide by 84" high. The material of both the turn tail and the straight tail measure 48" in width by 96" in height.
There are four stencil grade options available for the make of this stencil. Heavy duty grades are recommended, as this stencil is often used frequently and can withstand a multitude of industrial sized projects. The .080 ALU and the ?" PRO-Grade LDPE are the two most durable options, offering longevity and affordability while lasting several years. These grades can be used thousands of times without showing any sign of wear or tear. If you are interested in a custom design or only need the stencil for a small project, the 1/16" LDPE or the .030" HIPS may be more cost effective. They are lighter duty materials that are flexible without sacrificing durability, and they can be laid flat for an effective paint job.


Manual for asus memo pad 8 - Downloadhelper serial
Manual for asus memo pad 8. ASUS is a leading company driven by innovation displays, servers, desktop PCs, motherboards, wireless solutions, mobile phones , graphics cards, commitment to quality for products that include notebooks, netbooks networking devices. ASUS ranks among BusinessWeek’ s InfoTech 1 consecutive years.
ASUS MeMO Pad 7 ME172V is an affordable 7 inch Android tablet. It has a 7 inch display with 1024× 600 pixel resolution. ASUS MeMO Pad 7 is powered by 1 GHz single core processor accompanied with 1. View and Download Asus ZenPad Z 8 manual online.
Canon pixma ip2700 free download
Batman touch game phoneky download
Leappad downloads free
Targus acp50us driver windows xp
Memo Download preview
ZenPad Z 8 Tablet pdf manual download. ASUS is a worldwide top- three consumer notebook vendor and maker of the world’ s best- selling, most award- winning, motherboards. Driven by innovation and committed to quality, ASUS won 4, 256 awards in and is widely credited with revolutionizing the PC industry with its Eee PC™.


text:
Search New Home Builders in the Grand Strand
Use the tools provided by the Grand Strand New Home Guide to sort, profile, and compare builders who are constructing new homes from the Brunswick Islands in North Carolina, throughout Greater Myrtle Beach, to Georgetown, South Carolina.
Our approved builders include some of the most highly regarded national, regional, local, and custom home builders. We show you where new single family homes, townhomes, and condos are under construction via video tours, photos, area maps, and neighborhood profiles. All of the critical information is brought together to help you find the right builder.


text:
- Open Access
Diagnostic value of brain MR imaging and its correlation with clinical presentation and cognitive functions in idiopathic intracranial hypertension patients
The Egyptian Journal of Neurology, Psychiatry and Neurosurgery volume 57, Article number: 89 (2021)
Idiopathic intracranial hypertension (IIH) is a neurological disorder of unknown etiology and ambiguous pathophysiology due to cerebrospinal fluid dysregulation. This study is designed to evaluate the role of brain magnetic resonance imaging (MRI) and magnetic resonance venography (MRV) in diagnosis of IIH, to clarify the nature and extent of cognitive deficits, and to detect if there is a correlation between radiology, clinical findings, and cognitive dysfunctions in those patients.
The study included 34 patients and 34 age-, sex-, body mass index (BMI)-, and education-matched healthy control subjects. MR brain imaging and Montreal cognitive assessment (MoCA) test were used for both groups. MRI and MRV sensitivity for IIH diagnosis were 85.2% and 85.3% with 100% and 94.1% specificity respectively. 44.1% had cognitive impairment, memory was the most affected domain, followed by attention, abstraction, and orientation with statistically significantly lower total MoCA score (p < 0.005). Domain comparisons reveal a statistically significantly lower memory/delayed recall (p < 0.001) and abstract scores (p < 0.007) in IIH cases versus control subjects. In comparing patients with cognitive impairment (CI) versus those without CI, there were statistically significantly higher CI in low education level, presence of diplopia, hormonal contraceptive use, abnormal MRI brain, papilledema grades, BMI, and opening pressure.
Presence of more than or equal 3 MR imaging findings, bilateral transverse sinus stenosis, and less than or equal 4 combined conduit score increase the specificity and sensitivity of MRI and MRV for IIH diagnosis. IIH had detrimental effect on different cognitive domains especially when patient have low education level, diplopia, papilledema ≥ grade III, high OP ≥ 61.5 cm H2O, and BMI ≥ 34 Kg/m2 with abnormal MRI and MRV findings.
Idiopathic intracranial hypertension (IIH) is a neurological disorder of unknown etiology characterized by increased intracranial pressure (ICP) and normal composition of cerebrospinal fluid (CSF) with elevated opening pressure (OP) . The pathophysiology is still ambiguous and supposed to be due to CSF dysregulation . IIH commonly affects obese women in childbearing age; however, it can affect men, children, and non- obese individuals . It has insidious onset with subsequent delayed diagnosis .
Neuro-ophthalmic evaluation is essential for diagnosis of IIH patients including headache, visual symptoms, olfactory dysfunction, pulsatile tinnitus, and sixth nerve palsy (6th NP) [5,6,7,8]. Although cognition is not screened routinely during clinical evaluation of IIH, many recent researches were done for assessment of cognitive function and reported cognitive impairment (CI) in these patients .
Neuroimaging especially magnetic resonance imaging (MRI) and magnetic resonance venography (MRV) are essential for exclusion of other etiologies of increased ICP and visualize various signs of IIH . Lumbar puncture with elevated OP above 25 cmH2O and normal CSF composition are mandatory to establish a definite diagnosis . Goals of management are to save vision and treat symptoms through medical therapy, surgical procedures, endovascular stenting, and weight loss .
The aim of this study was to evaluate the role of brain MRI and MRV in diagnosis of IIH, clarify the extent and nature of cognitive deficits in those patients, and detect if there is correlation between radiology, clinical findings, and cognitive dysfunctions.
A case control study was carried out in the neurology outpatient clinics and department after approval from Medical Research Ethical Committee. The study included 34 IIH patients (diagnosed according to modified Dandy criteria)  and 34 age-, sex-, BMI-, and education-matched healthy control subjects. Written agreement was obtained from all patients and control subjects prior to inclusion in our study. Inclusion criteria of patient group were IIH patients of both sexes, ages ranged from 18 to 50 years, and educated with at least primary level of education. Exclusion criteria were any patients with meningitis, venous sinus thrombosis, papilledema in absence of headache, illiterate, severe visual impairment, and patient with any contraindication to brain MRI.
All patients were subjected to thorough history taking and full clinical and neurological examination focusing on the following: age, sex, weight, and height. Headache was assessed according to onset, duration, frequency, site, severity [according to Numerical Rating Scale (NRS)], characters, and associated symptoms like photophobia, nausea, vomiting, and tinnitus. Visual complaints like visual obscuration, visual loss, diplopia, and blurring of vision were assessed. Ophthalmological examination was done including fundus examination with grading of papilledema . Cognitive assessment was done by using Montreal cognitive assessment (MoCA) test. Past history of drugs causing elevated intracranial pressure especially hormonal contraception.
Headache severity was evaluated by self-assessment of pain intensity using NRS; it consists 11 points (0–10): 0 point indicates no pain, mild headache (1–3 score), moderate headache (4–7 score), and severe headache (8–10 score) [15, 16].
Cognitive function assessment
The cognitive function assessment was performed using MoCA test which is a rapid, brief, sensitive, and tool that has been considered as an effective tool for diagnosis of mild CI . It consists of 30 items, divided into 7 scales, targeting different cognitive domains. A score of 26 or above was considered normal . BMI calculation was as follows: BMI = weight (Kg)/[height(m)]2 and encompass the following categories: underweight = < 18.5, normal weight = 18.5–24.9, overweight = 25–29.9, and obesity ≥ 30 .
MR imaging techniques
Brain MRI was done for both patient and control groups by using a 1.5 T scanner (Siemens, Magnetom aera, Siemens healthcare, Germany). MRI brain was done by using head coil. MRI brain includes axial and sagittal T1-weighted images with repetition time (TR) 400 to 650 ms and echo time (TE) 8 to15 ms. Axial and coronal T2-weighted images were done with repetition time (TR) 4000 to 5500 ms and echo time (TE) 85 to 125 ms. All images were done with 3 mm slice thickness and 1 mm slice gap.
For assessment of optic nerve, optic nerve sheath and the posterior globe flattening axial and coronal T2-weighted turbo spin echo (TSE) sequence images were done by using surface coil along the optic tract (repetition time (TR) 6960 ms, echo time (TE) 99 ms, and slice thickness of 2 mm).
MRV was done for both groups to evaluate dural venous sinus stenosis (SVS) and to exclude dural venous sinus thrombosis (VST) as a cause of idiopathic intracranial hypertension. MRV was done by using two-dimensional time-of-flight (2D TOF) MR venography (repetition time (TR) 23 ms, echo time (TE) 6.5 ms, and slice thickness 2 mm.
Brain MRI and MRV images were assessed by a radiologist with more than 15 years’ experience. The radiologist was blinded to the clinical data of both patient and control groups. Brain MRI images were evaluated for pituitary gland height relative to sellar cavity height, optic nerve sheath diameter, presence or absence of flattening of posterior globe, or optic nerve tortuosity. MRV images were evaluated for transverse sinus thrombosis, stenosis, or hypoplasia .
Pituitary gland height was measured in mid-sagittal T1 weighted images by measuring the maximum distance between the sellar floor to the most upper surface of the pituitary gland. Pituitary gland height was classified relative to sella height into 5 grades. Grade 1 (normal appearance) in which there was flat or convex upper part of the pituitary gland, grade 2 (mild decrease of pituitary height) in which the decrease in pituitary gland height was less than one third of sellar cavity height, grade 3 (moderate decrease of pituitary height) in which the decrease in pituitary gland height was more than one third and less than two third of sellar cavity height, grade 4 (severe decrease of pituitary height) in which the decrease in pituitary gland height was more than two thirds of sellar cavity height with concavity of the upper surface of the pituitary gland and grade 5 (empty sella) in which the sellar cavity was enlarged with no detected pituitary gland inside (Figs. 1, 2, 3, and 4) .
Flattening of posterior globe was evaluated in axial T2-weighted images, and it was diagnosed when there is flattening or loss of convexity of the posterior globe at site of globe and optic nerve junction (Figs. 1, 2, 3, and 4) .
Optic nerve sheath diameter was measured in axial T2-weighted images in a plane perpendicular to the optic nerve and 3 mm posterior to the globe. An average value of both right and left optic nerve sheath diameter measurement was taken. Optic nerve sheath distention is graded into 3 grades (0–2). In grade 0, there is no CSF space detected around the optic nerve; in grade 1, the diameter of CSF space around the optic nerve was more than 1 mm and less than 2 mm (Figs. 3 and 4); and in grade 2, the diameter of CSF around the optic nerve was more than 2 mm (Figs. 1 and 2) .
Optic nerve tortuosity was evaluated in axial T2-weighted images, and it was diagnosed when there was optic nerve twisting in horizontal or vertical planes (Figs. 1, 3, and 4) .
All MRV images were evaluated according to the side of transverse sinus stenosis (unilateral or bilateral) and according to combined conduit score. The diameter of the distal part of superior sagittal sinus was measured and used as reference measurement to diagnose narrowed segment of both transverse/sigmoid junctions. In combined conduit score according to the degree of stenosis we gave a score for each transverse/sigmoid junction from 0 to 4. Score 0 (aplastic segment or gap) was given if there was a flow gap in the transverse/sigmoid junction, score 1 (severe stenosis or hypoplasia) was given if the diameter of conduit segment of transverse sinus was less than 25% of the distal superior sagittal sinus diameter, score 2 (moderate stenosis) was given if the diameter of the conduit segment of transverse sinus was between 26% to 50% of the diameter of distal superior sagittal sinus, score 3 (mild stenosis) was given if the diameter of the conduit segment of transverse sinus was between 51% to 75% of the diameter of distal superior sagittal sinus, and score 4 (normal) was given if the diameter of the conduit segment of transverse sinus was between 76% to 100% of the diameter of distal superior sagittal sinus .
The sum of the both right and left sinus score gave the combined conduit score (CCS). Combined conduit score ranged from 0 to 8. In this study, we used score 4 or less as cutoff value for diagnosis of significant transverse sinus stenosis (Figs. 1, 2, 3, and 4) .
OP was measured in the lateral decubitus position with stretched legs and without the use of any sedative medications . The patients were given a minimum of 10 min for relaxation before recording the OP  withdrawal amount of CSF for microbiology and biochemistry analysis.
For OP ≥ 56 cmH2O (Exposure, X) as a predictor of CI (Response, Y), power analysis was run using PASS 15 Power Analysis and Sample Size Software (2017), NCSS, LLC. Kaysville, Utah, USA, ncss.com/software/pass. A logistic regression of a binary response variable (Y) on a binary independent variable (X) with a sample size of 34 observations (of which 50% are in the group X = 0 and 50% are in the group X = 1) achieves 84% power at a 0.050 significance level to detect an odds ratio of 11.20. A two-sided Wald test is used.
Data were entered and analyzed using IBM-SPSS software (IBM Corp. Released 2017. IBM SPSS Statistics for Windows, Version 25.0. Armonk, NY: IBM Corp.). Data were entered and analyzed using IBM-SPSS software (Version 25.0). Qualitative data were expressed as absolute frequency (N) and percentage (%). Quantitative data were initially tested for normality using Shapiro-Wilk’s test with data being normally distributed if p > 0.050. The presence of significant outliers (extreme values) was tested for by inspecting boxplots. Quantitative data were expressed as mean ± standard deviation (normally distributed). Chi-square or Fisher’s exact test was used to compare categorical data. Quantitative data between the two groups were compared by independent samples t test if normally distributed or Mann-Whitney U test if not. Cochran-Armitage test was run to test the correlation between ordinal independent variable and dichotomous dependent variable. Simple binary logistic regression was run to ascertain the effects of predictor variables on a dichotomous outcome with calculation of crude odds ratios and their 95% CI.
The accuracy of a test to discriminate diseased cases from non-diseased cases was evaluated by receiver operating characteristic (ROC) curve analysis which was done using MedCalc Statistical Software version 18.9.1 (MedCalc Software bvba, Ostend, Belgium; http://www.medcalc.org; 2018). For any of the used tests, the results were considered as statistically significant if p value ≤ 0.050. Appropriate charts were used to graphically present the results whenever needed.
A case control study included two groups (patients and subjects): 34 patients and 34 controlled subjects; both groups were age, sex, BMI, and educationally matched. In the current study, sex distribution among patients included 32 females (94.1%) and 2 males (5.9%). Their age ranged from 19 to 48 year (mean ± SD = 32.8 ± 8.5 years). According to BMI (kg/m2), ideal body weight was 14.7%, overweight was 23.5%, and obese patients were 61.8% (mean ± SD = 31.9 ± 5.2).
Regarding headache, all patients suffered from headache; continuous headache was in 22 patients (64.7%), chronic headache in 8 patients (23.5%), and episodic headache in 4 patients (11.8%). According to site, bi-temporal location was seen in 15 patients (44.1%), global in 13 (38.2%), unilateral in 3 patients, and occipital in 3 patients (8.8% for each). As regards headache characters, 19 patients (55.9%) suffered from compressing type, 9 patients (26.5%) presented with throbbing headache, while 6 patients (17.6%) presented with dull aching headache. According to severity (NRS), in 23 patients (67.6%), the headache was severe; in 8 patients (23.5%), it was moderate; and in 3 patients (8.8%), it was mild. As regards associated symptoms; 12 patients (35.3%) complained from nausea and vomiting, 11 patients (32.4%), suffered from nausea, and 2 patients (5.9%) presented with vomiting. Bilateral tinnitus was in 8 patients while unilateral tinnitus was in 7 patients (Table 1), while there are visual manifestations and papilledema characters (Table 2).
According to MRI and MRV findings, the overall sensitivity of decreased pituitary gland height, flattened posterior globe, optic nerve sheath distention, and optic nerve tortuosity for diagnosis of IIH was 85.2%, 76.4%, 85.2%, and 26.5% respectively and specificity was 91.2%, 100%, 91.1%, and 100% respectively with accuracy of 88.2%, 88.2%, 88.2%, and 63.2% respectively (Tables 3 and 4).
The combination of three or more of these MRI signs increases the sensitivity and specificity to 85.2% and 100% respectively with 92.2% accuracy. The sensitivity and specificity of the use of 4 or less combined conduit score in diagnosis of IIH were 85.3% and 94.1% respectively with 89.7% accuracy. The sensitivity of unilateral, bilateral, and combined (unilateral and bilateral) transverse/sigmoid sinus stenosis in the diagnosis of IIH was 57.9%, 65.2%, and 76.5% respectively, and the specificity was 88.2%, 100%, and 88.2% respectively with an accuracy of 77.3%, 85.7%, and 82.3% respectively (Table 4).
Hormonal contraception was used by 26 (81.25%) out of 32 female patients for a median duration of 6.5 years that ranges from 1 to 25 years (25th percentile = 3, and 75th percentile = 13 years). In education in 34 cases, of the 34 patients, 18 patients (52.9%) received high education level (> 12 years), 15 patients (44.1%) received medium level of education (8–12 years), and only one patient received a low education level (< 8 years).
Of the 34 patients, 15 patients (44.1%) had cognitive impairment (MOCA score < 26). Memory was the most affected domain, followed by attention, abstraction, and orientation. In comparison between IIH patients and control subjects, there was a statistically significantly lower total MOCA score in IIH cases versus control subjects (p < 0.005), and cognitive impairment (MOCA< 26) statistically significantly lowered in IIH patients when compared with controlled subjects (p < 0.001). Domain comparisons revealed a statistically significantly lower memory/delayed recall (p < 0.001) and abstract scores (p < 0.007) (Table 5).
There was a statistically significantly higher MOCA score in high education level vs. low education level for all participants, control subjects, and IIH patients (Table 6).
Regarding the differences between those with and without CI, there was a statistically significantly higher low education level, presence of diplopia, hormonal contraceptive use (all cases), abnormal MRI brain (all cases), empty sella turcica (all cases), papilledema grades (right and left), BMI, and opening pressure in those with cognitive impairment (CI) vs. those without CI. Due to small sample size, multivariable logistic regression was not run. A univariate binary logistic regression analysis was performed to ascertain the effect of low education level, presence of diplopia, high OP, higher papilledema grades, and higher BMI on the likelihood that participants will exhibit cognitive impairment. Those with low education level have 4.3 times higher odds to exhibit CI as compared to those with high education level (P = 0.047). Those with diplopia have 10.3 times higher odds to exhibit CI as compared to those without diplopia; those with OP ≥ 56(cmH2O) have 11.2 times higher odds to exhibit CI as compared to those OP < 56 (cmH2O).
For every grade increase in papilledema on the right and left, there is an increase in odds ratios of 5.5 and 6.3, respectively, that participants will exhibit CI; for every increase in BMI by one unit, there is an increase in odds ratio of 1.2 that participants will exhibit CI; and for every increase in OP 1 cmH2O, there is increase in odds ratio of 11 that participants will exhibit CI (Table 7).
Regarding opening pressure (OP), the mean ± SD of OP was 54.1 ± 11.7 cmH2O ranging from 36 to 75 cmH2O and OP at cutoff value ≥ 56 cmH2O showed statistically significantly cognitive impairment (P < 0.001) (Fig. 5).
This study exhibited that the majority of IIH occurs mainly in obese female patients (BMI > 30 kg/m2) in childbearing period as mentioned in previous researches [3, 26] that may be attributed to hormonal dysregulation and changes in metabolic neuroendocrine axis in this age [27, 28].
In this study, headache of increased ICP was the core symptom presents in all patients and was the leading cause for asking medical advice as reported in other many studies; however, headache characters were nonspecific in the current study [5, 29]. As regards headache type, continuous headache was the main presenting complaint followed by chronic then episodic type, and this was consistent with Yri and Jensen  and inconsistent with Skau and colleagues; they reported that episodic headache was the main presentation followed by continuous type . The main site of headache in the current study was bi-temporal, global, and then unilateral which was concordant with Elbanhawy and colleagues . Bitemporal location, compressing, throbbing, and then dull aching headache were the main characters in this study, but Skau and colleagues found that there is no characteristic quality as regards headache in their study .
Severe headache which was associated with nausea and or vomiting with unilateral or bilateral pulsatile tinnitus was presented in the majority of patients. This manifestation coincides with other previous studies [32, 33]. The etiology of pulsatile tinnitus is not completely elucidated, but it is supposed that stenosis in the transverse sinus, which were commonly observed in patients of this study, may produce audible turbulences in blood flow [5, 34].
As regards visual abnormalities in the current study, blurred vision was the main visual complaint; photophobia is where the patient cannot tolerate the light; transient visual obscurations were common and described by the patients of this study as blacking out of vision lasting for seconds and were associated with pasture changes. Bilateral or unilateral sixth palsy due to raised ICP was presented in about one fifth of our patients and was associated with horizontal diplopia. This abnormality was concordant with Mollan and colleagues’ study , while Quattrone and colleagues found sixth nerve palsy occurred in about one fourth of cases. Sixth nerve palsy is explained by its longest intracranial course which makes it more susceptible for stretching and also more liable to the mechanical effects as the results of displacement of brain stem backward due to increased ICP [36, 37].
Papilledema was a cornerstone in patients of this study which was detected by fundus examination as in agreement with previous studies [28, 38]; all patients of this study suffered from papilledema; bilateral symmetrical in the majority of patients except 8 patients showed asymmetrical grades between the right and left eye not more than one grade difference; the severity ranged from grade I to grade IV; the majority of patients presented with grade III and then grade II, and this was concordant with the study of Sultan and colleagues  who reported the effect of elevated ICP on optic nerve.
The role of MRI and MRV imaging in IIH is to exclude any other causes of increased ICP and search for characteristic imaging signs that can be used for diagnosis of IIH such as empty sella, optic nerve sheath distention, flattened posterior globe, optic nerve tortuosity, and transverse sinus thrombosis .
The decrease of the pituitary gland mid-sagittal height was the oldest and the commonest used MR imaging sign for prediction of idiopathic increase intracranial tension . Decrease pituitary gland height in IIH may be caused by arachnocele herniation through the diaphragma sellae . Decrease in pituitary gland height may occur in normal individuals and in various chronic causes of intracranial hypertension like intracranial neoplasm or cerebral venous sinus thrombosis .
Many studies concluded that the sensitivity of empty sella in IIH was relatively high which ranged from 65 to 80%, and these were matched with the current study where the sensitivity of decrease the pituitary gland height for diagnosis of IIH was 85.2%. In this study, the specificity of decreased pituitary gland height for diagnosis of IIH was 91.2%, and this was in agreement with many studies who reported that the specificity of empty sella for diagnosis of idiopathic increase intracranial tension ranged from 70 to 100% [10, 20, 41, 42].
Intra-orbital MR imaging signs detected in IIH include optic nerve sheath distention, flattened posterior globe, and optic nerve tortuosity. These signs are proved to be due to increased intracranial CSF pressure in IIH that is conducted to the intra-orbital part of optic nerve leading to increase CSF pressure in the subarachnoid space around the optic nerve .
In this study, the sensitivity and specificity of optic nerve sheath distention for diagnosis of IIH were 85.2% and 91.1 respectively, and these were higher than the results of many researches who concluded that optic nerve sheath distention was less sensitive (51%) and only moderately specific (83%) for diagnosis of IIH [2, 20].
In this study, the sensitivity and specificity of flattened posterior globe for diagnosis of IIH was 76.4% and 100% respectively, and these were in agreement with many studies who concluded that the sensitivity of flattened posterior globe for diagnosis of IIH varies between 43 and 85%, and with 98% specificity [10, 20, 41, 42].
In this study, the sensitivity and specificity of optic nerve tortuosity for diagnosis of IIH were 26.5 % and 100% respectively, and these were in agreement with many studies which concluded that the optic nerve tortuosity has low sensitivity (43%) and high specificity (90%) in diagnosis of IIH [10, 20, 41, 42].
In the current study, the presence of 3 or more MRI findings increases the sensitivity and specificity of MRI in diagnosis of idiopathic increase intracranial tension to 85.2 and 100% respectively with an accuracy of 92.2%; this was in agreement with Mallery and his colleagues’ study; they concluded that the combination of any three or more MRI findings is highly specific for diagnosis of idiopathic increase intracranial tension .
The main indication of MRV in patients of IIH is exclusion of cerebral venous sinus thrombosis. In these patients, MRV allows the evaluation of transverse/sigmoid sinus patency .
In this study according to the side of transverse sinus stenosis, the sensitivity and specificity of bilateral transverse sinus stenosis were higher (65.2% and 100% respectively) in the diagnosis of IIH than the sensitivity and specificity of unilateral transverse sinus stenosis (57.9 and 88.2 respectively) with total sensitivity and specificity of 76.5 and 88.2% respectively. This was in agreement with Farb and colleagues, Riggeal, and his colleagues’ studies; they concluded that the sensitivity and specificity of bilateral transverse sinus stenosis in diagnosis of idiopathic increase intracranial tension using MRV were high (93% and 100% of both studies respectively) [39, 44]. This study was also matched with the study of Mallery and his colleagues which concluded that the sensitivity of transverse sinus stenosis either bilateral or unilateral in diagnosis of IIH was 78% . The study of Samanc and colleagues reported that bilateral transverse venous sinus stenosis is a common finding in intracranial hypertension patients without IIH and also may occur in normal individuals .
The study of Morino and his colleagues reported that transverse sinus stenosis either unilateral or bilateral is commonly seen in patients with idiopathic increase intracranial tension. It was still unknown if transverse sinus stenosis occurred as a cause or as a result of increase intracranial CSF pressure, because increased intracranial pressure exerts a compression on the transverse sinus and subsequent venous outflow obstruction. On the other hand, this obstruction caused decreases of the CSF absorption. Also, it was observed that bilateral transverse sinus stenosis stenting can decrease the elevated intracranial pressure. Also, normalization of intracranial pressure can resolve transverse sinus stenosis .
In the current study, the sensitivity and specificity of using 4 or less combined conduit score in the diagnosis of idiopathic increase intracranial tension were 85.3% and 94.1% respectively; this was not matched with the study of Ramesh and his colleagues as they concluded that the sensitivity (90%) of combined conduit score in the diagnosis of IIH was higher than its specificity (86.6%). This may be due to the selection of higher CCS cutoff value in the study of Ramesh and his colleagues; so many borderline false positive and false negative values were included in their results .
In conclusion, the combination of any three or more MRI findings as regards decreased pituitary gland height, optic nerve sheath distention, flattened posterior globe, and optic nerve tortuosity greatly increased the specificity and sensitivity for diagnosis of idiopathic increase intracranial tension. The presence of MRV findings as regards bilateral transverse sinus stenosis and less than or equal 4 combined conduit score also increased the specificity and sensitivity for the diagnosis of idiopathic increase intracranial tension.
Cognitive affection in patients with IIH has been reported in previous studies . In all studies, apart from the case report by Kaplan and colleagues, 5 testing revealed significant cognitive impairment in patients with IIH especially in memory and verbal tests . CI in patients with IIH occurs as a result of brain dysfunction which could be related to axonal flow as in optic nerve hydrops or impaired function of grey and or white matter of the brain as a result of mechanical compression .
In the current study, cognitive impairment (MoCA < 26) was observed in about 44% in the patients and showed to be highly statistically significantly lowered when compared with patients in the control group (P < 0.001) and also when compared with patients and control total MoCA score and percentage (P = 0.005); comparing different cognitive domains, all domains are affected when comparing patients with control subjects especially memory and abstraction which showed to be highly statistically significantly lower than the control (P < 0.001 and P = 0.007 respectively); this is consistent with Yri and colleagues; they found that IIH patients performed significantly worse cognitive function than controls in four of six cognitive domains. Deficits were prominent in reaction time and processing speed, significant impairment in working memory, and significant lower score in cognitive flexibility subset measuring .
In this study, comparing patients with cognitive impairment with patients with normal cognitive function, we found that low education level showed statistically significant lower cognitive function when compared with high education level (P = 0.042) which may be attributed to social state; this is consistent with Yri and his colleagues; they found that IIH is a state of socioeconomic consequences especially for young patients of working age . Mollan and his colleagues found that patients living in a low socioeconomic state have a less resources to perform higher education with subsequently increased prevalence of obesity and therefore have increased incidence of IIH .
In this study, we found that diplopia had detrimental effect on cognition in which patients with diplopia showed statistically significant cognitive impairment when comparing patients with and without diplopia (P = 0.002); this was consistent with Shipster and his colleagues; they found that many factors have a potential effect, alone or in combination, to cause impairment in neurocognitive function in patients with ICP like diplopia and impaired hearing . Our study showed that patients used contraception had statistically significant cognitive impairment when compared to non-cognitive impairment group (P = 0.004); the explanation is that the hormonal contraception increases the risk of obesity due to effect of progesterone which increases the appetite or facilitates anabolism while estrogen aggravates fat accumulation in adipose tissues and cells .
In current study, the cutoff opening pressure was 56 cm H2O in which patients with opening pressure ≥ 56 cm H2O showed statistically significant cognitive impairment when compared to non-cognitive impaired group (P = 0.002). This could be attributed to high pressure that causes mechanical compression with disturbed the function of grey and or white matter of the brain [47, 51]; reduction in cerebral blood flow that occurs in IIH may partly explain cognitive impairment in these patients.
In this study, the patients with increased BMI showed statistically significant cognitive impairment when compared with low BMI (P = 0.025). In the current study, patients with high-grade papilledema showed highly statistically significant cognitive impairment when compared with patients with low-grade papilledema on the right and left eye respectively (P = 0.003, P = 0.001).
We recognize limitations to this study. First, sub-analyses were limited due to small sample size; multivariable logistic regression was not run for the study. Second is the absent follow-up of the patients; lastly is the inability to assess the effect of different lines of treatment on cognition.
The presence of 3 or more characteristic MR imaging findings, bilateral transverse sinus stenosis, and 4 or less CCS increase the specificity and sensitivity of MRI and MRV for the diagnosis of idiopathic increase intracranial tension. IIH had a detrimental effect on different cognitive domains specifically memory/delayed recall, abstraction, and total MoCA score especially when the patient has low education level, diplopia, papilledema ≥ grade III, high OP ≥ 61.5 cm H2O, and BMI ≥ 34 Kg/m2 with abnormal MRI and MRV findings.
Availability of data and materials
The data supporting the results of this article are included within the article.
Idiopathic intracranial hypertension
Body mass index
- 6th NP:
Sixth nerve palsy
Magnetic resonance imaging
Magnetic resonance venography
Numerical Rating Scale
Montreal cognitive assessment
Turbo spin echo
Field of view
Time of acquisition
Venous sinus stenosis
Venous sinus thrombosis
Combined conduit score
Nausea and/or vomiting
Inter quadratic ratio
Crude odds ratio
Positive predictive value
Negative predictive value
Flat posterior optic sclera
Hoffmann J, Mollan SP, Paemeleire K, Lampl C, Jensen RH, Sinclair AJ. European Headache Federation guideline on idiopathic intracranial hypertension. J Headache Pain. 2018;19(1):93. https://doi.org/10.1186/s10194-018-0919-2.
Toscano S, Lo Fermo S, Reggio E, Chisari CG, Patti F, Zappia M. An update on idiopathic intracranial hypertension in adults: a look at pathophysiology, diagnostic approach and management. J Neurol. 2020;27.
Sultan LI, Elnekidy AM, Elfatatry AM, Sayed A. A clinical and radiological study in patients with idiopathic intracranial hypertension. Egypt J Neurol Psychiatry Neurosurg. 2020;56(1):71. https://doi.org/10.1186/s41983-020-00189-w.
Jensen RH, Radojicic A, Yri H. The diagnosis and management of idiopathic intracranial hypertension and the associated headache. TA Neurol Disord. 2016;9(4):317–26. https://doi.org/10.1177/1756285616635987.
Bahnasy WS, El-Heneedy YA, Elhassanien ME, Sharaf AF, Khalid HA. Neuro-ophthalmological biomarkers of visual outcome in newly diagnosed idiopathic intracranial hypertension. Egypt J Neurol Psychiatry Neurosurg. 2019;55(1):26. https://doi.org/10.1186/s41983-019-0081-z.
Fisayo A, Bruce BB, Newman NJ, Biousse V. Over diagnosis of idiopathic intracranial hypertension. Neurol. 2016;86(4):341–50. https://doi.org/10.1212/WNL.0000000000002318.
Mollan SP, Davies B, Silver NC, Shaw S, Mallucci CL, Wakerley BR, et al. Idiopathic intracranial hypertension: consensus guidelines on management. J Neurol Neurosurg Psychiatry. 2018;89(10):1088–100. https://doi.org/10.1136/jnnp-2017-317440.
Khoo KF, Kunte H. Olfactory dysfunction in patients with idiopathic intracranial hypertension. Neurology. 2014;82(2):189.
Elbanhawy IA, Ramzy GM, Basheer MA, Khedr DM. Neurophysiological tests screening cognitive impairment in idiopathic intracranial hypertension patients. Egypt J Neurol Psychiatry Neurosurg. 2018;54(1):7. https://doi.org/10.1186/s41983-018-0010-6.
Ridha MA, Saindane AM, Bruce BB, Riggeal BD, Kelly LP, Newman NJ, et al. MRI findings of elevated intracranial pressure in cerebral venous thrombosis versus idiopathic intracranial hypertension with transverse sinus stenosis. Neuro-ophthalmology. 2013;37(1):1–6. https://doi.org/10.3109/01658107.2012.738759.
Bono F, Salvino D, Tallarico T, Cristiano D, Condino F, Fera F, et al. Abnormal pressure waves in headache sufferers with bilateral transverse sinus stenosis. Cephalalgia. 2010;30(12):1419–25. https://doi.org/10.1177/0333102410370877.
Mollan SP, Markey KA, Benzimra JD, Jacks A, Matthews TD, Burdon MA, et al. A practical approach to, diagnosis, assessment and management of idiopathic intracranial hypertension. Pract Neurol. 2014;14(6):380–90. https://doi.org/10.1136/practneurol-2014-000821.
Friedman DI, Jacobson DM. Diagnostic criteria for idiopathic intracranial hypertension. Neurology. 2002;59(10):1492–5. https://doi.org/10.1212/01.WNL.0000029570.69134.1B.
Mollan SP, Hornby C, Mitchell J, Sinclair AJ. Evaluation and management of adult idiopathic intracranial hypertension. Pract Neurol. 2018;18(6):485–8. https://doi.org/10.1136/practneurol-2018-002009.
Dijkers M. Comparing quantification of pain severity by verbal rating and numeric rating scales. J Spinal Cord Med. 2010;33(3):232–42. https://doi.org/10.1080/10790268.2010.11689700.
Loder E, Burch R. Measuring pain intensity in headache trials: which scale to use? International Headache Society. Cephalalgia. 2012;32(3):179–82. https://doi.org/10.1177/0333102411434812.
Abou Elmaaty AA, Flifel MF, Zarad CA. Correlation between brain magnetic resonance imaging, cognitive dysfunction and physical dysability in multiple sclerosis. Egypt J Neurol Psychiatry Neurosurg. 2019;55:54.
Nasreddine ZS, Phillips NA, Bédirian V, Charbonneau S, Whitehead V, Whitehead V, et al. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc. 2005;53(4):695–9. https://doi.org/10.1111/j.1532-5415.2005.53221.x.
Consultation WHO. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004;363:157–63.
Samanc B, Şahin E, Samanc Y, Ekizoğlu E, Yeşilot N, Çoban O, et al. The contribution of neuroimaging to diagnosis in idiopathic intracranial hypertension. Turk J Neurol. 2019;25(2):58–62. https://doi.org/10.4274/tnd.2018.64497.
Yuh W, Zhu M, Taoka T, Quets JP, Maley JE, Muhonen MG, et al. MR imaging of pituitary morphology in idiopathic intracranial hypertension. J Magn Reson Imaging. 2000;12(6):808–13. https://doi.org/10.1002/1522-2586(200012)12:6<808::AID-JMRI3>3.0.CO;2-N.
Tuncel SA, Yılmaz E, Çağlı B, Tekataş A, Çelik Y, Mehmet Ercüment M, et al. Lumbar opening pressure and radiologic scoring in idiopathic intracranial hypertension: is there any correlation? Pol J Radiol. 2017;82:701–5. https://doi.org/10.12659/PJR.903662.
Guliyeva A, Apaydin M, Beckmann Y, Sezgin G, Gelal F. Migraine or idiopathic intracranial hypertension: magnetic resonance venography and magnetic resonance imaging findings. Neuroradiol J. 2020;33(3):244–51. https://doi.org/10.1177/1971400920919322.
Friedman DI, Liu GT, Digre KB. Revised diagnostic criteria for the pseudotumor cerebri syndrome in adults and children. Neurology. 2013;81(13):1159–65. https://doi.org/10.1212/WNL.0b013e3182a55f17.
Yri HM, Fagerlund B, Forchhammer HB, Jensen RH. Cognitive function in idiopathic intracranial hypertension: a prospective case–control study. BMJ Open. 2014;4(4):1–9.
Adderley NJ, Subramanian A, Nirantharakumar K, Yiangou A, Gokhale KM, et al. Association between idiopathic intracranial hypertension and risk of cardiovascular diseases in women in the United Kingdom. JAMANeurol. 2019;76:1088–98.
Virdee J, Larcombe SS, Vijay V, Sinclair AJ, Dayan M, Mollan SP. Reviewing the recent developments in idiopathic intracranial hypertension. Ophthalmol Therapy. 2020;9(4):767–81. https://doi.org/10.1007/s40123-020-00296-0.
Chagot C, Blonski M, Machu JL, Bracard S, Lacour JC, Richard S. Idiopathic intracranial hypertension: prognostic factors and multidisciplinary management. J Obes. 2017;2017:1–10. https://doi.org/10.1155/2017/5348928.
Headache Classification Committee of the International Headache Society. The international classification of headache disorders, 3rd edition. Cephalalgia. 2018;38(1):1–211.
Yri HM, Jensen RH. Idiopathic intracranial hypertension: clinical nosography and field-testing of the ICHD diagnostic criteria. A case-control study. Cephalalgia. 2015;35(7):553–62. https://doi.org/10.1177/0333102414550109.
Skau M, Brennum J, Gjerris F, Jensen R. What is new about idiopathic intracranial hypertension? An updated review of mechanism and treatment. Cephalalgia. 2006;26(4):384–99. https://doi.org/10.1111/j.1468-2982.2005.01055.x.
Binder DK, Horton JC, Lawton MT, McDermott MW. Idiopathic intracranial hypertension. Neurosurgery. 2004;54(3):538–51. https://doi.org/10.1227/01.NEU.0000109042.87246.3C.
González-Hernández A, Fabre-Pi O, Díaz-Nicolás S, López-Fernández JC, López-Veloso C, Jiménez-Mateos A. Headache in idiopathic intracranial hypertension. Rev Neurol. 2009;49(1):17–20.
Giuseffi V, Wall M, Siegel PZ, Rojas PB. Symptoms and disease associations in idiopathic intracranial hypertension (pseudotumor cerebri): a case control study. Neurology. 1991;41(2):239. https://doi.org/10.1212/WNL.41.2_Part_1.239.
Mollan SP, Ali F, Hassan-Smith G, Botfield H, Friedman DI, Sinclair AJ. Evolving evidence in adult idiopathic intracranial hypertension: pathophysiology and management. J Neurol Neurosurg Psychiatry. 2016;87(9):982–92. https://doi.org/10.1136/jnnp-2015-311302.
Quattrone A, Bono F, Fera F, Lavano A. Isolated unilateral abducens palsy in idiopathic intracranial hypertension without papilledema. Eur J Neurol. 2006;13(6):670–1. https://doi.org/10.1111/j.1468-1331.2006.01279.x.
Larner AJ. False localizing signs. J Neurol Neurosurg Psychiatry. 2003;74(4):415–8. https://doi.org/10.1136/jnnp.74.4.415.
Smith SV, Friedman DI. The idiopathic intracranial hypertension treatment trial: a review of the outcomes. Hedache. 2017;57(8):1303–10. https://doi.org/10.1111/head.13144.
Riggeal BD, Bruce BB, Saindane AM, Ridha MA, Kelly LP, Newman NJ, et al. Clinical course of idiopathic intracranial hypertension with transverse sinus stenosis. Neurology. 2013;80(3):289–95. https://doi.org/10.1212/WNL.0b013e31827debd6.
Moreno-Ajona D, McHugh JA, Hoffmann J. An update on imaging in idiopathic intracranial hypertension. Front Neurol. 2020;11:453. https://doi.org/10.3389/fneur.2020.00453.
Maralani PJ, Hassanlou M, Torres C, Chakraborty S, Kingstone M, Patel V, et al. Accuracy of brain imaging in the diagnosis of idiopathic intracranial hypertension. Clin Radiol. 2012;67(7):656–63. https://doi.org/10.1016/j.crad.2011.12.002.
Rohr AC, Riedel C, Fruehauf MC, Baalen V, Bartsch T, Hedderich J, et al. MR imaging findings in patients with secondary intracranial hypertension. AJNR Am J Neuroradiol. 2011;32(6):1021–9. https://doi.org/10.3174/ajnr.A2463.
Mallery RC, Rehmani OF, Woo JH, Chen YJ, Reddi S, Salzman KL, et al. Utility of magnetic resonance imaging features for improving the diagnosis of idiopathic intracranial hypertension without papilledema. J Neuroophthalmol. 2019;39(3):299–307. https://doi.org/10.1097/WNO.0000000000000767.
Farb RI, Vanek I, Scott JN, Mikulis DJ, Willinsky RA, Tomlinson G, et al. Idiopathic intracranial hypertension: the prevalence and morphology of sinovenous stenosis. Neurology. 2003;60(9):1418–24. https://doi.org/10.1212/01.WNL.0000066683.34093.E2.
Ramesh R, Peter SB, Kailasanathan N. Significance of transverse sinus stenosis in idiopathic intracranial hypertension patients using contrast enhanced magnetic resonance venogram. IOSR J Dent Med Sci. 2016;15(10):30–41. https://doi.org/10.9790/0853-1510033041.
Kaplan CP, Miner ME, McGregor JM. Pseudotumour cerebri: risk for cognitive impairment? Brain Inj. 1997;11(4):293–303. https://doi.org/10.1080/026990597123601.
Beeri MS, Moshier E, Schmeidler J. Serum concentration of an inflammatory glycotoxin, methylglyoxal, is associated with increased cognitive decline in elderly individuals. Mech Ageing Dev. 2011;132(11-12):583–7. https://doi.org/10.1016/j.mad.2011.10.007.
Mollan SP, Aguiar M, Evison F, Frew E, Sinclair AJ. The expanding burden of idiopathic intracranial hypertension. Eye. 2019;33(3):478–85.
Shipster C, Hearst D, Dockrell JE, Kilby E. Speech and language skills and cognitive functioning in children with Apert syndrome : a pilot study. Int J Lang Commun Disord. 2002;37(3):325–43. https://doi.org/10.1080/13682820210138816.
Sugiharti S, Hadi H, Julia M. Hormonal contraception as a risk factor for obesity. Med J Indones. 2005;14.
Lorberboym M, Lampl Y, Kesler A, Sadeh M, Gadot N. Benign intracranial hypertension: correlation of cerebral blood flow with disease severity. Clin Neurol Neurosurg. 2001;103(1):33–6. https://doi.org/10.1016/S0303-8467(01)00107-X.
The authors are grateful to all patients and control subjects for their willingness to participate in this study.
There is no source of funding for the research.
Ethics approval and consent to participate
The authors obtained permission to conduct this study that was approved from Medical Research Ethical Committee, Institutional Review Board, Mansoura Faculty of Medicine, Mansoura University (code number: R.21.03.1249) All participants gave written informed consent. The procedures followed were in accordance with our protocol. We recruited 34 patients and 34 control subjects from neurology outpatient clinics and neurology department of Mansoura university hospitals.
Consent for publication
The authors declare that they have no competing interests.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
About this article
Cite this article
Elmaaty, A.A.A., Zarad, C.A., Belal, T.I. et al. Diagnostic value of brain MR imaging and its correlation with clinical presentation and cognitive functions in idiopathic intracranial hypertension patients. Egypt J Neurol Psychiatry Neurosurg 57, 89 (2021). https://doi.org/10.1186/s41983-021-00338-9
- Intracranial hypertension
- Empty sella

domain: literature


On November 8, Barcelona play their last match before the World Cup break. The team will train together on November 9, after which most of the players will be free to join their national teams.
The players that won’t be summoned by their national teams, as per Javi Miguel of Diario AS, will be given a three-week vacation by Xavi and will return to training only on December 1.
The likes of Hector Bellerin, Inaki Pena and even Ansu Fati could benefit from this mini-vacation. Sergi Roberto and Franck Kessie, on the other hand, will continue working on their recovery in the gym for now.
Once back, the players will have a training programme similar to a pre-season one. Xavi wants the Catalans to be at their best once the league season returns on December 31.
As for the players that will feature at the World Cup, once eliminated, they will be rested for up to a week before returning to training at Barca.


text:
Italian Restaurants to try in NYC
NYC, Manhattan, NY is home to thousands of Italian Restaurants, we set out the find 10 that bring you back to Italy, only serving authentic Italian Dishes, just like your Grandmother use to make.
Listed below are the top 10 Italian Restaurants in NYC that will make you feel like you have taken a trip to to Italy for Dinner.
1. Del Posto Ristorante
Michelin star rating of 1 star, this Restaurant was founded by Mario Batali and is located in the Chelsea Neighborhood of Manhattan, NY.
Michelin star rating of 2 stars, Chef Michael White created homemade pasta and fresh seafood dishes in this Restaurant which is located near Central Park in Manhattan, NY.
3. A Voce
Michelin star rating of 1 star, Chef Missey Robin’s serves up some spectacular Italian Dishes in this Restaurant, located in an Italian Urban Setting, near Madison in Manhattan, NY.
4. Charlie Birds
One of the newest Italian Restaurants in Downtown Manhattan, serving up only the freshest food from the local markets.
Located in the Upper East Side of Manhattan, NY, this traditional Italian Restaurants offers terrific specials served on crisp white table linen, certainly worth trying.
6. Il Corso
One of Manhattan’s finest Italian Restaurants, founded in 1993 by two Native Italian Women.
Authentic traditional Italian cuisine served up in New York’s Tribeca neighborhood. Restaurant has a very attentive staff , food is a little high, but well worth the experience.
8. Al Di La
Serving fine Italian Cuisine for over 15 years, Al Di La Trattoria is offers its Italian dishes with a Venetian fare.
Despite the noise and high prices, the delectable authentic Italian dishes make this spot worth the trip.
10. Scalin Fedeli
Lovely TriBeCa Northern Italian Restaurant, enjoy world class Italian Cuisine in a beautiful environment, prix fixe only dinner is $65.00.
If you have never dined at Carmines, you certainly are missing out on authentic Italian Cuisine. Located in the Theater District, and only two blocks from Times Square.

domain: food


text:
Easter is over for another year but that doesn’t necessarily mean that the chocolate has all gone. If you still have a heap of Easter Egg chocolates cluttering up your surfaces you might find this recipe useful. Either swipe them when the kids are not looking or better still, get the kids to make the cookies. Not only are they very simple to make, they also freeze well so don’t even need to be eaten all in one go.
The Year 7 children (12 year olds) at my son’s school recently took part in a Bake Off competition: if you follow this blog you may have already read about it here… It was a really positive experience: the boys and the girls both got really involved and the winner was a boy who threw himself into the experience with as much enthusiasm and dedication as he shows for sports. It has inspired a lot of the children to carry on baking and simple recipes that are made and baked quickly with little margin for error are perfect. Homemade cookies also make a great gift: my 15 year old daughter made these too and took them to a friend’s when she stayed there overnight.
It doesn’t really matter what type of chocolates you have: if they are quite large, like Mini Eggs, you can crush them up with a rolling pin or pestle and mortar. Smaller ones like Smarties will be fine as they are. The biggest problem is not eating them all before they get to the mixing bowl…
Recipe – makes around 20 cookies
125g soft brown sugar
1 teaspoon vanilla essence
200g SR flour
125g Easter egg chocolates, eg mini eggs, Smarties, etc
Set the oven to 170°C.
Grease and line one or two large baking trays.
Cream the butter and sugar until pale and creamy.
Add the egg and vanilla essence and beat in.
Sieve in the flour and gently fold in.
Add your Easter egg chocolates and gently mix in until evenly distributed. Do not over mix.
Put large teaspoonfuls of the mixture onto your baking tray, leaving room between them as they will spread when they bake.
Bake for around 10 minutes, until they are golden brown.
Allow to cool for a couple of minutes on the tray before removing and allowing to cool completely on a wire cooling rack.
Categories: Baking, Biscuits and Cookies, Chocolate, Recipes, Uncategorized
Definitely going to make these tomorrow. Delicious recipe and great way to use the chocolate eggs still lurking in my cupboard!
Hope you enjoy them!
Great idea, our kids demolished the little chocolate they had, but it’s a great way to get the chocolate used up.


text:
So we’ve come to the end of Dilla month. We got a chance to go through some of Dilla’s best; some known, some unknown. Nevertheless, there are probably still plenty of Dilla tracks we have yet to hear, but I’m sure that when the time is right, his estate, with his mother’s blessing, will release more music.
Speaking of Ma Dukes, Mrs. Yancey actually lent her vocals to a track from 2006/2007’s (depending on if you’re in Japan or USA) Jay Loves Japan. It’s beautiful to hear Ma Dukes sing over her son’s track.
Long Live Dilla.


text:
#BeachLibrary #Gawadar #Containerlibrary
The initiative tends to provide avid book readers a unique ambiance away from the square-shaped concrete buildings amid the cities, and also to attract tourist inflow to the country’s breathtaking beach- at Gwadar in Makran coastal belt. The land for the setup of the container library has been given by district administration.
The container library is the simplest instance of a community development project- a concept that empowers and entrusts the local community with the task of self-development and progress.
While Gwadar is extensively developed due to its pivotal position in CPEC, the local and provincial governments are taking initiative to boost tourism at other beaches in Makran’s coastal belt. A comprehensive plan in under preparations to turn Balochistan’s beaches into lucrative tourist spots.
Balochistan possesses a magnificent coastal belt of 700Kms but due to lack of infrastructure and facilities, the province has been unable to get its fair share of profit from tourism.
The Balochistan government announced the construction of five tourist resorts in its coastal areas to cater to the need of local and foreign tourists visiting the area. The government had allocated Rs.150 million to revise the master plan of provincial coastal areas and set up tourist resorts in Kund Malir, Gadani, Ormara, Jioni, and Kalmat. The development of the coastline is also meant to facilitate local fisheries.
The government of Balochistan has also invested a large amount of Rs.426 million on the project of purchasing sea ambulance, and installation of monitoring system in the boats for better tracking of fishermen in the sea.


text:
The US-led airstrikes destroyed two electricity stations in Syria’s Aleppo city on Saturday causing a major blackout, a media report said.
Two warplanes with the US-led anti-terror coalition struck the electricity stations in Aleppo, Xinhua reported citing the state-run TV.
“Two F-16 war jets violated the Syrian airspace and targeted the infrastructure in the city in a flagrant violation of international law,” the TV said, citing a military source.
The US-led coalition, which has been pounding the Islamic State (IS) positions since last year, has been recently overshadowed by the current Russian airstrikes that have started last week.
Government officials said the Russian airstrikes have achieved “direct results”, unlike the US-led airstrikes, which, they say, have done nothing to stem the momentum of the IS terror group.


This song is the property of The Orchard Music/Max B.
Charly Wingate, known professionally as Max B., is an American rapper/singer/songwriter. He is best known for his solo “Public Domain” and “Million Dollar Baby” mixtape series, and introducing the term “wavy” as a slang in popular lexicon. He released his debut mixtape in 2006, and signed a recording contract with fellow rapper Jim Jones’ label/group ByrdGang. Following a streak of financial and ethical grievances, Wingate parted ways with Jones in 2008. The two became embroiled in a bitter feud which pitted Jones and his associates on one side, and Max B. and his affiliates on the other. Wingate is associated with producer Dame Grease, and French Montana where the two collaborated on the Coke Wave mixtape series. He has released several mixtapes, and released his debut album “Vigilante Season” in 2011.


Originally Posted by sportscarpat
Nice start on the jig. I found that once you get a frame all clamped into the jig it get's very heavy. Then you constantly have to move it around to get the best possible position to weld in. I finally mounted mine to an automotive engine stand. Now I can roll it around and rotate the frame and jig easily to get the best possible brazing and welding positions. Before I did that building frames was back breaking work.
Good idea with the engine stand so you can spin it, but i cant imagine how youd do it and be strong enough..... could you post a picture?
CCC, how has this jig held up and have you changed it any?
I want to start building my own frames too.


text:
Rep. Rodney Frelinghuysen, in a rare public appearance in his district on Monday, sounded more than ready to leave the chaos of government behind, saying he’s keeping his “head down” amid “all sorts of sideshows” in his final eight months in Congress.
The New Jersey Republican, chairman of the House Appropriations Committee, announced in January that he would retire at the end of his 12th term.
At an event for the Morris County Chamber of Commerce, Frelinghuysen thanked his staff and constituents for their support, The Daily Record in New Jersey reported.
Frelinghuysen, 72, has represented New Jersey’s 11th District since 1995.
In recent years many in the district have complained that Frelinghuysen has grown aloof, avoiding public appearances where he would face questions from constituents in favor of smaller, more controlled venues like veterans’ and local school events.
“Quite honestly, somewhat due to me, but certainly due to our president, [my staff] has been subject to a 24-hour bombardment [by protesters] and have handled themselves with aplomb and distinction,” he said at the chamber breakfast, The Record reported.
Frelinghuysen, long viewed as a moderate, has become an object of scorn on both sides of the aisle since the ascension of President Donald Trump.
After he opposed the original version of the GOP’s health care package and voted “no” on its tax code overhaul last year — key issues Republicans have been campaigning on for nearly a decade — Republican leadership threatened to strip him of his committee chairmanship.
Meanwhile, the liberal super PAC NJ 11th for Change has organized protests outside the congressman’s office each week since the 2016 election, calling the events “Fridays with Frelinghuysen.”
With the clamor from the left over his inaccessibility and threats from the right over his conservative credentials, it’s no wonder Frelinghuysen said Monday he wants to ditch his House colleagues to spend more time with his two granddaughters.
“One is a year and a half. She threw up on me over the weekend,” he said. “The other little girl is 4. She threw up on me, too.”
Frelinghuysen still has a considerable amount on his plate as he finishes out his final term, including shepherding the 12 fiscal year 2019 appropriations bills to the House floor for votes.
Last year’s negotiations stalled for months after Democrats demanded action on young immigrants protected by the Deferred Action for Childhood Arrivals program. The stalemate over DACA resulted in two government shutdowns and a series of continuing resolutions to keep the government funded.
“My job is to keep the government open for business,’ Frelinghuysen said Monday. “It’s a disgrace to have a government shutdown. It hurts the military. It hurts the business climate. We need predictability; we need stability.”
Watch: What You Need to Know About Midterm Voter Registration and Turnout

domain: politics


text:
BATIK BEAD N BEZEL NECKLACE PATTERN
Knitted Copper Wire Necklace with Pearls. The copper is stunning.
Gorgeous Sophie Digard Crocheted Linen Necklace | eBay
Braided Looped ICord Cowl in Grey Ready to Ship by BlueDogWoolies, $28.00
Embroidered tree necklace - Cotton crochet thread, blue of course. 36 cms/14.17 inches The rectangle, both pieces are linen, the brown one is hand dyed - 5.5/ 2.16 inches - by giovabrusa
Weaving tutorial: create your own wall hanging - The Interiors Addict
Hey, I found this really awesome Etsy listing at https://www.etsy.com/listing/231596230/shasta-yellow-white-daisy-textile-mixed

domain: design


The Subversion open source version control project (subversion.tigris.org/) was started in early 2000 by CollabNet (collab.net/). Originally, its source code lived in a CVS repository. But once Subversion itself was mature enough, it became the version control system of choice for its own source code.
This video contains visualizations of Subversion's source code commit history, provided via the graphical magic of code_swarm (codeswarm.googlecode.com/), and using input from both Subversion's original CVS repository ('cvs rlog') and its current Subversion repository ('svn log -v').
This work carries the Creative Commons Attribution 2.0 license (creativecommons.org/licenses/by/2.0/).
Loading more stuff…
Hmm…it looks like things are taking a while to load. Try again?