DOCSLIB.ORG

Headaches in Older Patients: Special Problems and Concerns

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Headaches in Older Patients: Special Problems and Concerns REVIEW ROBERT S. KUNKEL, MD CME Consultant, Cleveland Clinic Headache Center, CREDIT Cleveland Clinic; past president, American Headache Society; past president, National Headache Foundation Headaches in older patients: Special problems and concerns ■ ABSTRACT EADACHE IN AN ELDERLY PATIENT poses H special problems and concerns—and in Any patient older than 50 years who develops headaches the field of headache, the term “elderly” often for the first time or who has a change in a chronic means people over age 50! headache pattern should be investigated for an Age 50 may not seem so old, but it does underlying cause or exacerbating condition. Several seem to be a reasonable dividing line. The headache syndromes occur almost exclusively in older three most common headache conditions, ie, people. One of these, temporal arteritis, needs to be migraine, tension-type headache, and cluster recognized and promptly treated with corticosteroids to headache, almost always appear before age avoid permanent visual loss. Other causes of headache 45. Conversely, some headache syndromes that are more common in older people include subdural occur more commonly in older people, and a few occur almost exclusively in people older hematomas, trigeminal neuralgia, herpes zoster infection, than 50. and malignancies. Furthermore, common headache syn- ■ dromes are often associated with concomi- KEY POINTS tant medical conditions in this age group, Migraine rarely arises initially in older people, and attacks which may cause problems in management. Headaches that are secondary to other dis- tend to diminish with age. However, migraine auras eases (including malignancies) are much without headache may become more common in people more common in older people. Many elderly with a history of migraine and must be distinguished people also take multiple medications, some from ischemic attacks. of which can cause headaches. For these reasons, any headache occurring Tension headaches can arise from a number of age- for the first time in someone over the age of 50, related causes, including arthritis, degenerative changes, or a changing headache pattern in a patient visual abnormalities, and ill-fitting dentures. with chronic headaches, necessitates a com- plete evaluation to look for an underlying cause. Subdural hematoma can develop even without direct ■ head trauma or, gradually, several weeks after mild MIGRAINE TENDS trauma. TO DIMINISH WITH AGE Migraine rarely occurs for the first time after Trigeminal neuralgia causes waves of sharp pain age 40. An older person who presents with the triggered by touching the face, laughing, or chewing. new onset of migraine should be evaluated for “symptomatic migraine,” meaning a migraine- Patients presenting with headache should have their type headache due to an underlying condition. medication list reviewed: a number of common drugs can Usually, migraine attacks become less fre- cause headache. quent and milder over the years, and associat- ed problems, such as nausea and general dis- 922 CLEVELAND CLINIC JOURNAL OF MEDICINE VOLUME 73 • NUMBER 10 OCTOBER 2006 Downloaded from www.ccjm.org on September 29, 2021. For personal use only. All other uses require permission. TABLE 1 Distinguishing migraine-associated symptoms from ischemia-associated symptoms SYMPTOMS MIGRAINOUS ISCHEMIC Visual Bright, shimmering Dark, dim Both visual fields Unilateral Moving shapes Static 15–60 minutes in duration 2–5 minutes in duration Paresthesias Come on gradually Arise suddenly Area involved first clears last Symptoms develop and clear in same order 20–30 minutes in duration 5–10 minutes in duration ability, tend to diminish. Most women with tends to last for 20 to 30 minutes and then hormonally triggered migraine have few clears in the reverse order. In contrast, attacks after menopause. ischemic paresthesias tend to arise suddenly, On the other hand, migraine variants last only 5 to 10 minutes, and clear in the such as migraine aura without headache, total same order they developed. global amnesia, and transient migrainous Total global amnesia lasts 1 to 3 hours, accompaniments occur more commonly in during which the patient functions and acts older patients with a history of migraine.1,2 normally, with no other neurologic deficit, but afterward cannot recall anything that hap- Distinguishing migraine aura pened. Total global amnesia was once thought from ischemic attacks to be an epileptic disorder but is now believed It is important to distinguish between visual or to be migrainous. Migraine neurologic symptoms associated with migraine rarely occurs (ie, auras, which may occur without a subse- Treating migraine in older people quent headache) and those associated with Triptans and ergotamines are vasoconstrictors for the first ischemic disease (TABLE 1). Cerebral vascular and should be used cautiously in older time after disease, clotting disorders, and embolic phe- patients. They are contraindicated in patients nomena must be excluded in patients with with uncontrolled hypertension or evidence of age 40 episodic visual or neurologic symptoms. cerebral, coronary, or peripheral vascular dis- Visual symptoms associated with ease, but they appear to be safe in patients migraine aura tend to evolve slowly and last without evidence of significant vascular dis- from 15 minutes to 1 hour. The visual abnor- ease. Hall et al,3 in a study of 13,664 patients malities seem to enlarge, grow, move across with migraine with prescriptions for triptans, the visual field, and then clear. They tend to found no increased risk of stroke, myocardial be “positive” (bright and shimmering), may infarction, cardiovascular death, ischemic take on various designs, and are homonymous heart disease, or death compared with (occur in both visual fields). matched controls without migraine.3 In contrast, the visual defects of transient Preventive drugs (ie, those that are taken ischemic attacks are usually dark, dim, and sta- on a regular schedule to prevent migraine tic. Symptoms tend to last for only a few min- attacks, such as calcium channel blockers, utes and are usually unilateral because one of beta-blockers, anticonvulsants, antidepres- the carotid arteries is more narrowed than the sants, and nonsteroidal anti-inflammatory other. drugs [NSAIDs]), may be effective at lower Paresthesias due to migraine (transient doses in older patients. migrainous accompaniments) tend to spread Patients who use NSAIDs long-term slowly up or down the extremities. Tingling should be closely monitored for azotemia, CLEVELAND CLINIC JOURNAL OF MEDICINE VOLUME 73 • NUMBER 10 OCTOBER 2006 923 Downloaded from www.ccjm.org on September 29, 2021. For personal use only. All other uses require permission. HEADACHES IN OLDER PATIENTS KUNKEL TABLE 2 irritated from disease in the upper cervical spine. An occipital nerve block should pro- Possible causes of tension- vide relief. type headache in the elderly Degenerative changes at any level, how- Anxiety, stress ever, can irritate the cervical muscles, causing Depression spasm, local tenderness, and limited range of Cervical spondylosis motion. Poor posture with slouching, rounded Poor posture shoulders, and a forward-positioned head are Temporomandibular joint disorders common in the elderly and may cause pain Degenerative arthritis in the joint from strain, spasm, and tightness in the cervi- Malalignment of the bite cal muscles. Clenching, bruxism Uncorrected refractive errors Treatment of tension headache Overuse of analgesics (rebound headache) in the elderly Endocrine disorders Physical therapy with exercises for range of motion, posture, and balance may help some patients with neck and head pain and may worsening of hypertension, or enhanced cere- lessen the need for medications. If stress is an bral or coronary artery disease. The newer important factor, relaxation techniques, cyclooxygenase-2 inhibitors cause less gastric biofeedback, and stress management skills irritation and are often very effective in easing may help. the pain of migraine but have either been Preventive medications for tension-type removed from the market or have been great- headache such as tricyclic antidepressants, ly restricted because of the increased risk of muscle relaxants, and NSAIDs should be used stroke and coronary events due to their block- with caution in the elderly because of possible ing the effects of prostaglandins.4 sedation and other side effects. Migrainous auras that occur without Rebound headache or analgesic-main- Consider headache are usually infrequent and do not tained headache can occur when analgesics rebound require treatment. are used daily or near-daily. In a vicious circle, these medications are believed to suppress headache ■ TENSION-TYPE HEADACHE endogenous endorphins and sensitize neurons, in anyone CAN BE DUE TO AGE-RELATED CAUSES so that headache recurs when blood levels drop.6 Rebound headache should be consid- who wakes Tension-type headache usually appears before ered in anyone who wakes every morning every morning age 45, but can develop later due to a number with a headache. with a of age-related factors, alone or in combination (TABLE 2).5 As in younger patients, stress and ■ CLUSTER HEADACHE headache depression are the most common causes. However, in older people, excessive muscle Cluster headache, like migraine, tends to be tension in the neck, scalp, and face may be less of a problem as one grows older, as the caused or aggravated by cervical arthritis, poor attacks tend to come further apart with longer
Load more

Recommended publications
  • Mothers Grimm Kindle
    MOTHERS GRIMM PDF, EPUB, EBOOK Danielle Wood | 224 pages | 01 Oct 2016 | Allen & Unwin | 9781741756746 | English | St Leonards, Australia Mothers Grimm PDF Book Showing An aquatic reptilian-like creature that is an exceptional swimmer. They have a temper that they control and release to become effective killers, particularly when a matter involves a family member or loved one. She took Nick to Weston's car and told Nick that he knew Adalind was upstairs with Renard, and the two guys Weston sent around back knew too. When Wu asks how she got over thinking it was real, she tells him that it didn't matter whether it was real, what mattered was losing her fear of it. Dick Award Nominee I found the characters appealing, and the plot intriguing. This wesen is portrayed as the mythological basis for the Three Little Pigs. The tales are very dark, and while the central theme is motherhood, the stories are truly about womanhood, and society's unrealistic and unfair expectations of all of us. Paperback , pages. The series presents them as the mythological basis for The Story of the Three Bears. In a phone call, his parents called him Monroe, seeming to indicate that it is his first name. The first edition contained 86 stories, and by the seventh edition in , had unique fairy tales. Danielle is currently teaching creative writing at the University of Tasmania. The kiss of a musai secretes a psychotropic substance that causes obsessive infatuation. View all 3 comments. He asks Sean Renard, a police captain, to endorse him so he would be elected for the mayor position.
    [Show full text]
  • The Open Notebook’S Pitch Database Includes Dozens of Successful Pitch Letters for Science Stories
    Selected Readings Prepared for the AAAS Mass Media Science & Engineering Fellows, May 2012 All contents are copyrighted and may not be used without permission. Table of Contents INTRODUCTION PART ONE: FINDING IDEAS 1. Lost and found: How great non-fiction writers discover great ideas—In this topical feature, TON guest contributor Brendan Borrell interviews numerous science writers about how they find ideas. (The short answer: In the darndest places.) 2. Ask TON: Saving string—Writers and editors provide advice on gathering ideas for feature stories. 3. Ask TON: From idea to story—Four experienced science writers share the questions they ask themselves when weighing whether a story idea is viable. 4. Ask TON: Finding international stories—Six well-traveled science writers share their methods for sussing out international stories. PART TWO: PITCHING 5. Ask TON: How to pitch—In this interview, writers and editors dispense advice on elements of a good pitch letter. 6. Douglas Fox recounts an Antarctic adventure—Doug Fox pitched his Antarctica story to numerous magazines, unsuccessfully, before finding a taker just before leaving on the expedition he had committed to months before. After returning home, that assignment fell through, and Fox pitched it one more time—to Discover, who bought the story. In this interview, Fox describes the lessons he learned in the pitching process; he also shares his pitch letters, both unsuccessful and successful (see links). 7. Pitching errors: How not to pitch—In this topical feature, Smithsonian editor Laura Helmuth conducts a roundtable conversation with six other editors in which they discuss how NOT to pitch.
    [Show full text]
  • The Complete Stories
    The Complete Stories by Franz Kafka a.b.e-book v3.0 / Notes at the end Back Cover : "An important book, valuable in itself and absolutely fascinating. The stories are dreamlike, allegorical, symbolic, parabolic, grotesque, ritualistic, nasty, lucent, extremely personal, ghoulishly detached, exquisitely comic. numinous and prophetic." -- New York Times "The Complete Stories is an encyclopedia of our insecurities and our brave attempts to oppose them." -- Anatole Broyard Franz Kafka wrote continuously and furiously throughout his short and intensely lived life, but only allowed a fraction of his work to be published during his lifetime. Shortly before his death at the age of forty, he instructed Max Brod, his friend and literary executor, to burn all his remaining works of fiction. Fortunately, Brod disobeyed. Page 1 The Complete Stories brings together all of Kafka's stories, from the classic tales such as "The Metamorphosis," "In the Penal Colony" and "The Hunger Artist" to less-known, shorter pieces and fragments Brod released after Kafka's death; with the exception of his three novels, the whole of Kafka's narrative work is included in this volume. The remarkable depth and breadth of his brilliant and probing imagination become even more evident when these stories are seen as a whole. This edition also features a fascinating introduction by John Updike, a chronology of Kafka's life, and a selected bibliography of critical writings about Kafka. Copyright © 1971 by Schocken Books Inc. All rights reserved under International and Pan-American Copyright Conventions. Published in the United States by Schocken Books Inc., New York. Distributed by Pantheon Books, a division of Random House, Inc., New York.
    [Show full text]
  • Headache and Comorbidities in Childhood and Adolescence Headache
    Headache Series Editor: Paolo Martelletti Vincenzo Guidetti Marco A. Arruda Aynur Ozge Editors Headache and Comorbidities in Childhood and Adolescence Headache Series Editor Paolo Martelletti Roma, Italy [email protected] The purpose of this Series, endorsed by the European Headache Federation (EHF), is to describe in detail all aspects of headache disorders that are of importance in primary care and the hospital setting, including pathophysiology, diagnosis, management, comorbidities, and issues in particular patient groups. A key feature of the Series is its multidisciplinary approach, and it will have wide appeal to internists, rheumatologists, neurologists, pain doctors, general practitioners, primary care givers, and pediatricians. Readers will find that the Series assists not only in understanding, recognizing, and treating the primary headache disorders, but also in identifying the potentially dangerous underlying causes of secondary headache disorders and avoiding mismanagement and overuse of medications for acute headache, which are major risk factors for disease aggravation. Each volume is designed to meet the needs of both more experienced professionals and medical students, residents, and trainees. More information about this series at http://www.springer.com/series/11801 [email protected] Vincenzo Guidetti • Marco A. Arruda Aynur Ozge Editors Headache and Comorbidities in Childhood and Adolescence [email protected] Editors Vincenzo Guidetti Marco A. Arruda Child and Adolescent Neuropsychiatry University of São Paulo Sapienza University Neuropsychiatry, Glia Institute Rome Ribeirão Preto Italy Brazil Aynur Ozge Neurology, Algology and Clinical Neurophysiology Mersin University School of Medicine Mersin, Adana Turkey ISSN 2197-652X ISSN 2197-6538 (electronic) Headache ISBN 978-3-319-54725-1 ISBN 978-3-319-54726-8 (eBook) DOI 10.1007/978-3-319-54726-8 Library of Congress Control Number: 2017947346 © Springer International Publishing AG 2017 This work is subject to copyright.
    [Show full text]
  • Sympathy for the Devil: Volatile Masculinities in Recent German and American Literatures
    Sympathy for the Devil: Volatile Masculinities in Recent German and American Literatures by Mary L. Knight Department of German Duke University Date:_____March 1, 2011______ Approved: ___________________________ William Collins Donahue, Supervisor ___________________________ Matthew Cohen ___________________________ Jochen Vogt ___________________________ Jakob Norberg Dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy in the Department of German in the Graduate School of Duke University 2011 ABSTRACT Sympathy for the Devil: Volatile Masculinities in Recent German and American Literatures by Mary L. Knight Department of German Duke University Date:_____March 1, 2011_______ Approved: ___________________________ William Collins Donahue, Supervisor ___________________________ Matthew Cohen ___________________________ Jochen Vogt ___________________________ Jakob Norberg An abstract of a dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy in the Department of German in the Graduate School of Duke University 2011 Copyright by Mary L. Knight 2011 Abstract This study investigates how an ambivalence surrounding men and masculinity has been expressed and exploited in Pop literature since the late 1980s, focusing on works by German-speaking authors Christian Kracht and Benjamin Lebert and American author Bret Easton Ellis. I compare works from the United States with German and Swiss novels in an attempt to reveal the scope – as well as the national particularities – of these troubled gender identities and what it means in the context of recent debates about a “crisis” in masculinity in Western societies. My comparative work will also highlight the ways in which these particular literatures and cultures intersect, invade, and influence each other. In this examination, I demonstrate the complexity and success of the critical projects subsumed in the works of three authors too often underestimated by intellectual communities.
    [Show full text]
  • A-Field-Guide-To-Demons-By-Carol-K
    A FIELD GUIDE TO DEMONS, FAIRIES, FALLEN ANGELS, AND OTHER SUBVERSIVE SPIRITS A FIELD GUIDE TO DEMONS, FAIRIES, FALLEN ANGELS, AND OTHER SUBVERSIVE SPIRITS CAROL K. MACK AND DINAH MACK AN OWL BOOK HENRY HOLT AND COMPANY NEW YORK Owl Books Henry Holt and Company, LLC Publishers since 1866 175 Fifth Avenue New York, New York 10010 www.henryholt.com An Owl Book® and ® are registered trademarks of Henry Holt and Company, LLC. Copyright © 1998 by Carol K. Mack and Dinah Mack All rights reserved. Distributed in Canada by H. B. Fenn and Company Ltd. Library of Congress-in-Publication Data Mack, Carol K. A field guide to demons, fairies, fallen angels, and other subversive spirits / Carol K. Mack and Dinah Mack—1st Owl books ed. p. cm. "An Owl book." Includes bibliographical references and index. ISBN-13: 978-0-8050-6270-0 ISBN-10: 0-8050-6270-X 1. Demonology. 2. Fairies. I. Mack, Dinah. II. Title. BF1531.M26 1998 99-20481 133.4'2—dc21 CIP Henry Holt books are available for special promotions and premiums. For details contact: Director, Special Markets. First published in hardcover in 1998 by Arcade Publishing, Inc., New York First Owl Books Edition 1999 Designed by Sean McDonald Printed in the United States of America 13 15 17 18 16 14 This book is dedicated to Eliza, may she always be surrounded by love, joy and compassion, the demon vanquishers. Willingly I too say, Hail! to the unknown awful powers which transcend the ken of the understanding. And the attraction which this topic has had for me and which induces me to unfold its parts before you is precisely because I think the numberless forms in which this superstition has reappeared in every time and in every people indicates the inextinguish- ableness of wonder in man; betrays his conviction that behind all your explanations is a vast and potent and living Nature, inexhaustible and sublime, which you cannot explain.
    [Show full text]
  • The Effect of Aerobic Exercise on the Number of Migraine Days, Duration
    Lemmens et al. The Journal of Headache and Pain (2019) 20:16 The Journal of Headache https://doi.org/10.1186/s10194-019-0961-8 and Pain REVIEWARTICLE Open Access The effect of aerobic exercise on the number of migraine days, duration and pain intensity in migraine: a systematic literature review and meta-analysis Joris Lemmens1, Joke De Pauw1, Timia Van Soom1, Sarah Michiels1,2,3, Jan Versijpt4, Eric van Breda1, René Castien5,6 and Willem De Hertogh1* Abstract Background: In patients with frequent migraine, prophylactic treatments are used. Patients often request non- pharmacological alternatives. One treatment option can be aerobic exercise. The value of aerobic exercise as prophylactic treatment however needs to be determined. Methods: A systematic review and meta-analysis was performed to investigate the result of aerobic exercise on the number of migraine days, duration and pain intensity in patients with migraine. After screening three online databases, PubMed, Cochrane library and Web of Science, using predefined in- and exclusion criteria, six studies were retained. Pooling of data was performed when possible. Results: Significant reductions in the number of migraine days after aerobic exercise treatment were found with a mean reduction of 0.6 ± 0.3 migraine days/month. Other outcomes were too variable to pool due to heterogeneity of outcome measurements. Unpooled data revealed small to moderate reductions in attack duration (20–27%) and pain intensity (20–54%) after aerobic exercise intervention. Various exercise intensities are applied. Conclusion: There is moderate quality evidence that in patients with migraine aerobic exercise therapy can decrease the number of migraine days.
    [Show full text]
  • Kinsella Feb 13
    MORPHEUS: A BILDUNGSROMAN A PARTIALLY BACK-ENGINEERED AND RECONSTRUCTED NOVEL MORPHEUS: A BILDUNGSROMAN A PARTIALLY BACK-ENGINEERED AND RECONSTRUCTED NOVEL JOHN KINSELLA B L A Z E V O X [ B O O K S ] Buffalo, New York Morpheus: a Bildungsroman by John Kinsella Copyright © 2013 Published by BlazeVOX [books] All rights reserved. No part of this book may be reproduced without the publisher’s written permission, except for brief quotations in reviews. Printed in the United States of America Interior design and typesetting by Geoffrey Gatza First Edition ISBN: 978-1-60964-125-2 Library of Congress Control Number: 2012950114 BlazeVOX [books] 131 Euclid Ave Kenmore, NY 14217 [email protected] publisher of weird little books BlazeVOX [ books ] blazevox.org 21 20 19 18 17 16 15 14 13 12 01 02 03 04 05 06 07 08 09 10 B l a z e V O X trip, trip to a dream dragon hide your wings in a ghost tower sails crackling at ev’ry plate we break cracked by scattered needles from Syd Barrett’s “Octopus” Table of Contents Introduction: Forging the Unimaginable: The Paradoxes of Morpheus by Nicholas Birns ........................................................ 11 Author’s Preface to Morpheus: a Bildungsroman ...................................................... 19 Pre-Paradigm .................................................................................................. 27 from Metamorphosis Book XI (lines 592-676); Ovid ......................................... 31 Building, Night ......................................................................................................
    [Show full text]
  • 2009 Princeton Summer Journal
    HARRY POTTER RETURNS | 4 NO BREAK FOR SUMMER THEATER | 7 DUCKS QUACK UNDER PRESSURE | 12 The Princeton ummer J ournal sA Publication of The Princeton University Summer Journalism Program Monday, August 10, 2009 Founded in 2002 princeton.edu/sjp Sotomayor sworn in as justice Princetonian is first Hispanic and By Melissa Sanchez only third woman onMORE Supreme COVERAGE Court queens,Sealing n.y. a contentious con- Latino heritage shaped firmation that nonetheless college years | 2 had been viewed by most as Alumna’s life parallels a fait accompli, the Senate voted Thursday to make So- senior thesis subject, nia Sotomayor ’76 the next Puerto Rican hero Luis associate justice of the U.S. Muñoz Marín | 2 BRIAN ROKUS :: THE PRINCETON SUMMER JOURNAL Supreme Court. Jane De La Cruz, who works at Witherspoon Bread Company, does not have health insurance because it would cost much of her paycheck, she said. On Saturday, in the first swearing in of a new justice with her, because she is so ever to be televised, Sotomay- gracious and so open to every- or became the first Hispanic one,” Rivera said. justice and only the third In May, President Obama woman to serve on the High nominated Sotomayor to suc- Court. She is also the first ceed Justice David Souter. justice to be nominated by a The choice set off a series of Democratic president in 15 heated debates over Sotomay- years. or’s experience, qualifications “We are proud and de- and judicial philosophy. lighted,” University Presi- In particular, Republicans dent Shirley Tilghman said cited comments Sotomayor As debate rages nationwide,By Jay Kim :: local businesses grapple with in a statement.
    [Show full text]
  • The Hermit in German Literature COLLEGE of ARTS and SCIENCES Imunci Germanic and Slavic Languages and Literatures
    The Hermit in German Literature COLLEGE OF ARTS AND SCIENCES ImUNCI Germanic and Slavic Languages and Literatures From 1949 to 2004, UNC Press and the UNC Department of Germanic & Slavic Languages and Literatures published the UNC Studies in the Germanic Languages and Literatures series. Monographs, anthologies, and critical editions in the series covered an array of topics including medieval and modern literature, theater, linguistics, philology, onomastics, and the history of ideas. Through the generous support of the National Endowment for the Humanities and the Andrew W. Mellon Foundation, books in the series have been reissued in new paperback and open access digital editions. For a complete list of books visit www.uncpress.org. The Hermit in German Literature From Lessing to Eichendorff henry john fitzell UNC Studies in the Germanic Languages and Literatures Number 30 Copyright © 1961 This work is licensed under a Creative Commons cc by-nc-nd license. To view a copy of the license, visit http://creativecommons. org/licenses. Suggested citation: Fitzell, Henry John. The Hermit in German Litera- ture: From Lessing to Eichendorff. Chapel Hill: University of North Car- olina Press, 1961. doi: https://doi.org/10.5149/9781469657493_Fitzell Library of Congress Cataloging-in-Publication Data Names: Fitzell, Henry John. Title: The hermit in German literature : From Lessing to Eichendorff / by Henry John Fitzell. Other titles: University of North Carolina Studies in the Germanic Languages and Literatures ; no. 30. Description: Chapel Hill : University of North Carolina Press, [1961] Series: University of North Carolina Studies in the Germanic Languages and Literatures. | Includes bibliographical references. Identifiers: lccn 61064190 | isbn 978-0-8078-8830-8 (pbk: alk.
    [Show full text]
  • Legislature Seeking TVA Negotiation
    FRIDAY 160th yEar • no. 299 aPriL 17, 2015 cLEVELand, Tn 22 PaGES • 50¢ Bulletin Legislature seeking TVA negotiation Special Olympics postponed due to wet conditions Ocoee River’s whitewater rafting future is targeted According to the document, the U.S. tination.” From Staff Reports By BRIAN GRAVES Banner Staff Writer Congress passed legislation in 1983 to provide “By passing SJR166 unanimously, the Due to wet field conditions “recreational water releases” from the Ocoee Tennessee General Assembly recognizes the in Benny Monroe Stadium, The Tennessee General Assembly has unan- No. 2 power project and enabled a contract vital impact the Ocoee River and the rafting the 33rd annual Special imously passed a joint resolution asking action between the state and TVA to provide reliable industry has on the economy of Polk County Olympics has been post- by TVA, the state and the U.S. Congress to be releases for 116 days per year. and Southeast Tennessee,” Bell told the poned to Saturday, April 25. taken to maintain “reliable water releases” That contract will expire in March 2019 with Cleveland Daily Banner. “I hope the TVA board Starting time will remain 9 along the Ocoee River. the last recreational release for rafting occur- of directors and our congressional delegation a.m. State Sen. Mike Bell, R-Riceville, introduced ring in October 2018. realize how important settling the water The popular annual event the measure and state Rep. Dan Howell, R- The resolution says the Legislature supports release issue is to our rafting businesses and Georgetown, is expressing concern the agency actions that will maintain the Ocoee’s status was supposed to have been Howell held Saturday (tomorrow).
    [Show full text]
  • A Critical Ethnography of the Myrtles Plantation in St. Francisville, Louisiana with Ruminations on Hauntology
    Louisiana State University LSU Digital Commons LSU Doctoral Dissertations Graduate School 2012 A critical ethnography of The yM rtles Plantation in St. Francisville, Louisiana with ruminations on hauntology Holley Ann Vaughn Louisiana State University and Agricultural and Mechanical College, [email protected] Follow this and additional works at: https://digitalcommons.lsu.edu/gradschool_dissertations Part of the Communication Commons Recommended Citation Vaughn, Holley Ann, "A critical ethnography of The yM rtles Plantation in St. Francisville, Louisiana with ruminations on hauntology" (2012). LSU Doctoral Dissertations. 3317. https://digitalcommons.lsu.edu/gradschool_dissertations/3317 This Dissertation is brought to you for free and open access by the Graduate School at LSU Digital Commons. It has been accepted for inclusion in LSU Doctoral Dissertations by an authorized graduate school editor of LSU Digital Commons. For more information, please [email protected]. A CRITICAL ETHNOGRAPHY OF THE MYRTLES PLANTATION IN ST. FRANCISVILLE, LOUISIANA WITH RUMINATIONS ON HAUNTOLOGY A Dissertation Submitted to the Graduate Faculty of the Louisiana State University and Agricultural and Mechanical College In partial fulfillment of the Requirements of the degree of Doctor of Philosophy in The Department of Communication Studies by Holley Ann Vaughn B.A., University of North Texas, 2001 M.A., University of North Texas, 2005 December 2012 ACKNOWLEDGMENTS This project could not have come to fruition without the time, love, commitment and dedication of so many of my friends, family, mentors and colleagues. To my huge, loving family, particularly my parents Devora Vaughn, Greg Vaughn, and Carolyn Vaughn, thank you for your support, patience and constant encouragement. To my aunt and uncle Rhonda and Ed King, thank you for taking me in, opening your home, and providing a space to cocoon and grow.
    [Show full text]