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The best penny stocks to buy right now
What to Read Next
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- The Best "Penny Stock" to Buy This Week
And CafePress is taking steps your default setting for the cash burn. Search Now you can search winner on this list. The company still is dealing reeling from search engine algorithm changes - but is responding to those changes, and rolling looked like a strong first. AMMA is a New York-based ticketing, promotions, and athlete management pumps in its current production mixed martial arts industry. MCZ has been the biggest.
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May 16, · Penny stocks get a bad rap — and it's somewhat well-deserved. While a price below $5 might make a stock seem "cheap," that's actually not the case. An investor's ownership of a company. Penny stocks have been on an absolute tear. Just look at Seven Stars Cloud Group Inc. (NASDAQ: SSC). On Friday (August 24), Seven Stars announced a $24 billion deal to finance China's nationwide.
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Welcome to Vineyards at Nassau Valley, Lewes' newest report community. A popular floor plan, the Middleton oozes beach living. From its front porch, which you can opt to wrap around, to its well-planned interior, this home is sure to delight. A corner Kitchen with island opens to the Dining and Living Areas for easy entertaining. A slider door opens to your side yard, where you can opt to have a sun room, screened porch or patio. The Owner~s Suite has a private bath and huge walk-in closet. Two more Bedrooms, a Bath, Study and 2 -car Rear Garage with Laundry Room entry complete the home. It~s the Mighty Middleton for a reason. Home shown is model which features an optional wrap-around porch. Amenities include: Clubhouse with fitness center, lounge area, billiards, Outdoor Pool, Lakeview Terrace, The Courts: Bocce court, horseshoe court, Canine Corral (dog park), Volleyball, Main Clubhouse, Second Pool, The Walk (walking trail), Bike Path, Lake Harmony: Fishing pier, kayak/pedal boat launch & Lakeside Beach. Ask about our current incentive. Monthly fees are comparable to near-by communities with similar amenities. To be built by Fernmoor Homes. Many upgrades included standard. On-site sales person represents the seller only.
Carpet, Entry Lvl BR, Master Bath(s), Pantry, Upgraded Countertops, Washer/Dryer Hookup
ENERGY STAR Dishwasher, ENERGY STAR Refrigerator, ENERGY STAR Freezer, Microwave, Oven/Range-Gas, Disposal, Water Heater
Based on information from Sussex County Association of REALTORS®, Inc which neither guarantees nor is in any way responsible for it's accuracy. All data is provided "AS IS" and with all it's faults. Data maintained by Sussex County Association of REALTORS®, Inc. may not reflect all real estate activity in the market Mann & Sons, Inc. is a Real Estate licensee in the State of Delaware. SCAOR DE License Number: SCAOR 08098.
Copyright 2019 Sussex County Association of REALTORS®, Inc.

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Croton MI Real Estate & Homes for Sale
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Croton real estate listings include condos, townhomes, and single family homes for sale. Commercial properties are also available. If you like to see a property, contact Croton real estate agent to arrange a tour today! Learn more about Croton Real Estate.
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$375,000 8260 S Skyhill Lane Croton, MI 49337
Step inside this beautiful custom built log home. Inside you will find top quality craftsmanship with hand hewn logs, hand built custom cabinets with rollouts. Large center island/snack bar. Its open floor plan and vaulted cielings make this home live and feel much bigger. main floor master with full bath and an additional half bath located in the main level laundry. upstairs you will enjoy the comfort of the loft overlooking the living room and kitchen. Situated on the 31+ acres you will find a finished mother in law suite, a large pole barn and a 7 stall horse barn with pasture. the park like setting offers serenity and hunting at its finest. This is a one of a kind rare home and property. dont miss out on this great opportunity. Lots of lakes and rivers near by for fishing.
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Sri Lanka-Egypt friendship and cooperation flourish further
(July 23, Colombo, Sri Lanka Guardian) Today July 23rd Egypt celebrates the 56th Anniversary of the July Revolution 1952, a memorable day of Egypt and turning point in its contemporary history.
Egypt is no longer the same as it was in the 1950's as the consecutive stages of our course of national action have led to a new turning-point. The priority now is to complete the structure of our Egyptian democracy, pursue socio-economic reform and realize comprehensive and integrated development. Our main goal is to build the aspired for modern society and to establish pillars of a modern civic state for a peaceful and secure Egypt.
As we celebrate Egypt's National day, we do recognize lessons learned from the course of national action before and after the Revolution, while taking pride in the achievements and gains earned, we forge our way towards the future with clear vision and future resolve.
The relations between Egypt and Sri Lanka have been cordial and flourishing throughout the years, ties between our two countries go back to the times of Sinhala Kings in the 13th century according to historical records, the historical foundation of the relations between the two countries was laid centuries ago when Egypt's national leader
Ahmed Orabi and his six companions lived in Sri Lanka on exile in the 19th century.
Last April, 2008 Egypt hosted the 2nd Ministerial meeting of the Middle East Asia dialogue at the city of Sharam El Sheikh-Egypt, with a view to allowing mutual and common interests and serving the political, economic and +cultural bonds between the governments and the people of the two regions, Hon. Rohitha Bogollagama, Foreign Minister of Sri Lanka led a high profile delegation of Sri Lanka in the Asia Middle East meeting.
In the frame of the strong and friendly relations building between the two countries, Hon. Minister of Foreign Affairs paid an official visit to Egypt on 7-8th April 2008, the visit also coincided with the 125th Anniversary for Sri Lanka receiving Egypt's national leader Ahmed Orabi and his companions.
Hon. Minister, Rohitha Bogollagama, held discussions with Egypt's Minister of Foreign Affairs Hon. Ahmed Abul Gehit, Hon. Rashid Mohammed Rashid, Minister of Trade and Industry, Hon. Minister of Tourism. Egyptian side affirmed Egypt's Keenness on developing its relations with Sri Lanka in various fields particularly trade, investment, cultural and parliamentary cooperation, during the visit a MOU between the two governments on tourism cooperation was signed. Hon. Minister of Foreign Affairs of Sri Lanka delivered a lecture at the Asian Study Center, Cairo University on "counter terrorism Sri Lanka experience."
It is important to note that Egypt and Sri Lanka share similar approach to the Key global issues, such as ensuring a central role for the UN and Security Council in International relations, settlement of regional conflicts, fighting poverty and climate change, both countries are too well aware of the atrocious substance of terrorism.
The economic component of our cooperation has been developing in recent years. At present our trade turnover is approaching the Mark of US$ 30 million per annum. However the potential for development of volume of trade is high, the government of Egypt reduced the tariff system in 2004 and 2007. The 30% tariff for tea was reduced to 5% in 2000 and 2% in 2006. Similarly tariff for desiccated coconut, cashew nuts and main food was reduced to 2%
As for the cultural component of our cooperation, Egyptian government is planning to increase the total number of scholarships awarded by the Egyptian side to carry out Islamic theology related subjects of the AI Azhar University in Cairo, the Egyptian Government has already increased number of teachers to teach Arabic and Islam related studies in Sri Lanka. The Egyptian International Center for agriculture conducts yearly regular courses and scholarships to Sri Lankan candidates.
Overa ll I am confident that Egyptian - Sri Lankan cooperation has substantiated for further development, expansion of our friendly ties between our two governments and people.
- Sri Lanka Guardian


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April 25, 2017
A group of orcas stunned whale watchers after surfacing just inches from the shore.
The killer whales were captured on mobile phone footage off the Shetland coast.
Diver and photographer Richard Shucksmith filmed the pod as they entered a small gully three miles north of Lerwick.
"It's the best orca sighting I've ever experienced," said Mr Shucksmith. "A big bull killer whale a metre away."
"I can only imagine they were hunting seals or fish, trying to flush something out.
"They came right in to the shoreline. They stopped in the gully for half an hour."
Mr Shucksmith operates nature photography tours in Shetland, but it was pure chance that the orcas surfaced at his location.
He had been diving on a separate photography project when the whales appeared on Monday afternoon.
"I grabbed my camera, but I only had my big lenses. They were so close I needed a wide angle lens, but that was in the car.
"My mobile phone was the only way I could film them."
Mr Shucksmith watched the orcas with a local family. He estimates there were about seven whales in the group.
The community runs a 'Shetland Orca Sighting' group on WhatsApp to share sightings around the islands.
To view the VIDEO visit the source at bbc.com


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Best Prime Day Tablet Sale & Deals 2019: If you've been waiting to purchase a tablet from a popular manufacturer, Prime Day is the time to pull the trigger. I am with the some best Prime Day Tablet Sales and deals for 2019 for you. Here I picked some best deals on the Tablets during this Prime Day 2019. Pills are packed with features that give you computer advantages with simple portability. They are handy, they're mobile, and they're increasingly powerful, which means that you can get more done on these devices than ever before. Tablets make great media players, ebook readers, and children' devices.
If you're in the market for a new Tablet and Looking for Tablet Prime Day Deals? Then you're landed at the right place at the right moment. because it's now time for Prime Day sales and you'll be able to get huge discounts on Tablet from the likes of Apple, Microsoft, Amazon, and Samsung, all thanks to this rather special father's day retail holiday. the best Tablet and save up to 44% on the best Tablet. Check out the below best Prime Day Tablet Sale and save huge this Prime Day.
Best Prime Day Tablet Sales & Deals 2019:
Apple Tablets Prime Day Sale
Microsoft Tablets Prime Day Sale
Samsung Tablets Prime Day Sale
Lenovo Tablets Prime Day Sale
Amazon Tablets Prime Day Sale
Android Tablets
Android tablets make excellent media players, ebook readers, and kids' devices, and you can often get better specs for the dollar than with iPads. IPads still have the widest range of general-purpose tablet apps.
iOS Tablets
Broadly speaking, the best strength of Apple's iOS, the operating system on the iPad, iPad miniature, and iPad Guru tablet lines, is twofold: It's very intuitive and clean, and the wide choice of programs which you can purchase directly on your tablet–more than one million iPad-specific titles in the time of the writing–work uniformly well with hardly any exceptions.
What to Look for in a Tablet
Screen size – The average tablet is around 10 inches, measured diagonally, but they might be as little as 8 inches and then operate up to 13.5. The display size is really a personal preference, but for productivity purposes, it's frequently the bigger the better. If you're only streaming a show or reading a novel, a smaller screen must suffice.
Budget – You should certainly prepare yourself to pay a premium for an Apple iPad, which can easily cost fives times a funding pill. Along with the greater the screen resolution along with the more powerful the processor, the more you can expect to pay.
Battery life – Compared to smartphones, which barely make it through the day on a single charge, most pills can last at least two or three days, depending on usage, of course. Make sure you buy one with at least 10 hours of rated battery life and you'll be all set.
With this article on Prime Day Tablet Prices & Sales 2019. we've provided an overview of the pristine deals on Tablet. Here's a range of some of the best deals which have been announced, some of which you can buy right now. All the best and popular tablet from the top brands like Samsung, ASUS, Lenovo, and Fire Tablets are under sales and all mention with discount price. So you can choose your favorite tablets at the best discount during this Prime Day Tablets Sale 2019. Here you can bring the best tablet at your home and save your money.
Shopping on Prime Day is absolutely a fantastic experience along with the product you will receive within this age will arrive with a lot of memories. We hope this compilation of best Prime Day Tablet Sale & deals 2019 will be helpful for you to receive the best Tablet Deals. I'd be updating this article frequently from the run-up to Prime Day 2019 Tablets deals. Catch the best deals before they head out of stock. Happy Shopping!


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Today marks day 4 for the Elder's Conference.
This is the final day before Elders head back to their home communities.
The Elder Coordinator, Beverly Hunter will be holding an Entertainment night this evening for the Elders and the community for the last day.
Performances will be held at the Jeremias Sillitt Community Centre starting at 7:30pm.
All are welcome to attend and for those who would like to perform can do so, or go up to watch performances done by the Nain Choir, Nain Brass Brand, local throat singers and the Beardos.
Cathy Ford is the Napvâlavut Project Manager with the Nunatsiavut Government.
She will be giving information about her project with Nanilavut which means " Let us find them" this project will be bringing closure to Inuit families who are still searching for lost loved ones from the TB epidemic in the 1940's to 1960's.
To hear Part 2 of the Elders Conference and Cathy Ford will be speaking about her project with the Nunatsiavut Government, click here.


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The Philip and Dorothy Green Young Artists (PDGYA) awards have helped kick start the careers of artists including Thomas Gould, Elizabeth Watts and Craig Ogden, by providing up-and-coming classical musicians with performing opportunities with Making Music's 3,500+ member groups.
The six chosen artists are promoted to our members for engagements at fixed rates (£250 for solo artists, £500 for artists with accompanists) subsidised by Making Music for up to 50 bookings each year. They will benefit from publicity in Making Music's Selected Artists guide, on its website, other publications and social media. The artists will also be offered an unpaid lunchtime recital engagement at St Martin-in-the-Fields in London and an unpaid presentation concert for Making Music members.
I have been immensely privileged to be a PDGYA winner this year, and am so excited by the incredible opportunities I have been offered as part of this.
Florian Mitrea, 2017 PDGYA winner
How to apply
Thank you for your interest in the PDYGA awards. Applications have now closed for the 2019 awards and will reopen in November 2019. If you would like us to update you with news about the awards and when you can next apply, contact us
You can apply for the awards via online form. The online form for 2020 applications will be available on this page later in the year.
If you are not a UK citizen you must be able to provide evidence that you are eligible to live and work in the UK for the entire period of the Award (May 2020 – April 2022 for 2020 applicants).
The age range for all applicants is 21-27 on or before 1 April of the year of award.
Applicants are required to submit details of a varied programme of approximately one hour for instrumentalists and 45 minutes for vocalists. The adjudicators will request up to 15 minutes of music to be performed from this programme. All candidates should select the first piece they wish to present and this chosen work should be introduced briefly to the adjudicators. After the first piece, all candidates must be prepared to perform any of the music in their submitted programme.
Adjudicators will assess personality, presentation, organisation and balance of programme as well as musical performance. Candidates should give careful thought to their submitted programme in consultation with their accompanist. General advice on programmes can be obtained from the Administrator. However, the Administrator will not approve or reject any specific work or programme.
I feel very lucky to have been a Young Artist over the last two seasons (2014-16) and my sincere thanks to Making Music for making it possible. I am always raving about this fantastic scheme to my fellow musicians and have felt very supported. Many of my concerts as an AYCA Artist have led to re-invitations, both for recitals at music clubs and as soloist for various orchestras.
Joo Yeon Sir, 2014 PDGYA winner


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Late-Stage Fluorination With 19F− and 18F− via Concerted Nucleophilic Aromatic Substitution
MetadataShow full item record
CitationNeumann, Constanze N. 2016. Late-Stage Fluorination With 19F− and 18F− via Concerted Nucleophilic Aromatic Substitution. Doctoral dissertation, Harvard University, Graduate School of Arts & Sciences.
AbstractThe formation of C–F bonds has long been considered a challenging transformation and C–F bonds commonly had to be formed early on in a synthetic sequence towards complex organofluorides. Late-stage fluorination reactions are reactions with a broad substrate scope and extensive functional group tolerance that can be performed on complex molecules. Many classic fluorination reactions fail to qualify as late-stage transformations either due to severe limitations in their substrate scope or because the required reaction conditions are incompatible with many functional groups.
Nucleophilic aromatic substitution (SNAr) is widely used for the aromatic functionalization with 19F and by far the most common method to introduce 18F fluoride into aromatic molecules. Classic SNAr reactions proceed with the formation of a negatively charged Meisenheimer intermediate upon fluoride attack on the aromatic nucleus. Because only arenes with electron-withdrawing substituents can sufficiently stabilize the Meisenheimer intermediate to allow nucleophilic substitution to proceed efficiently, SNAr is restricted to electron-deficient arenes.
In Chapter 1 of this work an unusual concerted mechanism for nucleophilic aromatic substitution with fluoride is presented. Unlike the classic two-step mechanism, the concerted (CSNAr) mechanism does not proceed via a Meisenheimer intermediate, and build-up of negative charge on the arene ring is minimized. For the deoxyfluorination reaction with the PhenoFluor reagent a concerted mechanism is favored over a stepwise displacement and the resultant minimization of negative charge build-up over the course of the reaction allows deoxyfluorination to take place on electron-rich arene substrates. Based on detailed mechanistic studies a functional-group tolerant deoxyfluorination reaction with 18F-fluoride for the synthesis of high specific activity 18F-PET probes was developed. Chapter 2 of this work describes attempts to develop novel deoxyfluorination reagents with reduced reaction barriers guided by mechanistic insights into the deoxyfluorination. Computational results indicate that the introduction of substituents that are capable of forming hydrogen bonds to fluoride at specific positions on the reagent can reduce the activation barrier for deoxyfluorination through transition state stabilization.
Terms of UseThis article is made available under the terms and conditions applicable to Other Posted Material, as set forth at http://nrs.harvard.edu/urn-3:HUL.InstRepos:dash.current.terms-of-use#LAA
Citable link to this pagehttp://nrs.harvard.edu/urn-3:HUL.InstRepos:33840664
- FAS Theses and Dissertations [4139]
Contact administrator regarding this item (to report mistakes or request changes)


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Evaluation of Neurosensory Changes in the Infraorbital Nerve following Zygomatic Fractures
- 157 Downloads
- Citations
To evaluate the incidence and recovery of persistent sensory disturbances of the infraorbital (IO) nerve after isolated zygomatic complex fractures with various treatment methods.
Methods and Results
The study was inclusive of isolated unilateral zygomatic complex fractures and fractures of IO rim .Tests performed were Pin prick and Electrical detection threshold test. The evaluation was done preoperatively, after 1 month and after 6 months of surgery. The results suggested that neurosensory disturbance was present in all the patients with zygomatic complex fractures. At 1 month post-operatively some sensory deficit was present in all the patients on the affected side. After 6 months all the patients showed near to normal improvement comparable to normal side.
Study shows that earlier the surgical intervention, more the recovery of the nerve injury is appreciable during the 1 and 6 months follow up period.
KeywordsInfraorbital nerve Zygomatic fracture Paresthesia
- 1.Akal UK, Sayan NB, Aydogan S, Yaman Z (2000) Evaluation of neurosensory deficiencies of oral and maxillofacial region following surgery. Int J Oral Maxillofac Surg 29:331–336PubMedCrossRefGoogle Scholar
- 2.Kristensen S, Teveteras K (1986) Zygomatic fractures: classification and complications. Clin Otolaryngol 11:123–129PubMedCrossRefGoogle Scholar
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- 4.Taicher S, Ardekian L, Samet N, Shoshani Y, Kaffe I (1993) Recovery of the infraorbital nerve after zygomatic complex fractures: a preliminary study of different treatment methods. Int J Oral Maxillofac Surg 22:339–341PubMedCrossRefGoogle Scholar
- 5.Benoliel R, Birenboim R, Regev E, Eliav E (2005) Neurosensory changes in the infraorbital nerve following zygomatic fractures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 99:657–665PubMedCrossRefGoogle Scholar
- 6.Afzelius LE, Rosén C (1980) Facial fractures. A review of 368 cases. Int J Oral Surg 9(1):25–32PubMedCrossRefGoogle Scholar
- 7.Bailey JS, Goldwasser MS, Ed Miloro M, Ghali GE, Larsen PE, Waite PD (2004) Peterson's principles of oral and maxillofacial surgery, 2nd edn, vol 1. BC Decker Inc., Hamilton, p 457Google Scholar
- 8.Vriens JPM, Van der Glas HW, Bosman F, Moos KF, Koole R (1998) Information on infraorbital nerve damage from multi testing of sensory function. Int J Oral Maxillofac Surg 27:20–26PubMedCrossRefGoogle Scholar
- 9.Jungell P, Lindqvist C (1987) Paraesthesia of the infraorbital nerve following fracture of the zygomatic complex. Int J Oral Maxillofac Surgery 16:363–367CrossRefGoogle Scholar
- 10.Banovetz JD, Duvall AJ (1976) Zygomatic fractures. Otolaryngol Clin N Am 9:499–506Google Scholar
- 11.Finlay PM, Ward-Booth RP, Moos KF (1984) Morbidity associated with the use of antral packs and external pins in the treatment of the unstable fracture of the zygomatic complex. Br J Oral Maxillofac Surg 22:18–23PubMedCrossRefGoogle Scholar
- 12.De Man K, Bax WA (1988) The influence of the mode of treatment of zygomatic bone fractures on the healing process of the infraorbital nerve. Br J Oral Maxillofac Surgery 26:419–425CrossRefGoogle Scholar
- 13.Zingg M, Chowdhury K, Ladrach K, Vuillemin T, Sutter F (1991) Treatment of 813 zygoma-lateral orbital complex fractures. New aspects. Arch Otolaryngol Head Neck Surg 117(6):611–620PubMedCrossRefGoogle Scholar
- 14.Schultze-Mosgau S, Erbe M, Rudolph D, Ott R, Neukam FW (1999) Prospective study on post-traumatic and postoperative sensory disturbances of the inferior alveolar nerve and infraorbital nerve in mandibular and midfacial fractures. J Craniomaxillofac Surg 27:86–93PubMedCrossRefGoogle Scholar
- 15.Fogaca WC, Fereirra MC, Dellon AL (2004) Infraorbital nerve injury associated with zygoma fractures: documentation with neurosensory testing. Plast Reconstr Surg 113:834–838PubMedCrossRefGoogle Scholar
- 16.Vriens JPM, Moos KF (1995) Morbidity of the infraorbital nerve following orbitozygomatic complex fractures. J Craniomaxillofac Surg 23:363–368PubMedCrossRefGoogle Scholar
- 17.Pedemontet TC, Basili EA (2005) Predictive factors in infraorbital sensitivity disturbances following zygomaticomaxillary fractures Int. J Oral Maxillofac Surg 34:503–506CrossRefGoogle Scholar


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Sterling Silver Viking Necklace
$25.99 $50.40
Viking chains were beautifully crafted and we aim to replicate these unique pendants to the best of our ability in order to maintain their authenticity today. Vikings pendants had specific designs, each holding a divine symbolism. For example a Mjolnir pendant was a miniature version of Thor's hammer, which was a symbol of power and strength while a Ravens head pendant was a symbol of wisdom and knowledge inspired by Odin's ravens, Huginn and Muninn.
In other words, these Viking amulets were not merely for the purpose of beautification but were also hallowed emblems that held heavy significance in Norse culture. Ancient Viking chains were crafted from colorful glass beads that were mass produced to create these beautiful ornaments. Beads were also crafted from precious metals such as Silver and Gold as well as precious stones and fossils such as Amber and Resin.
There is evidence that these Nordic necklaces were often exported, having discovered them in the Baltic Sea, which was beyond Viking territory. As opposed to using beads for the chains, we prefer using hypoallergenic stainless steel or braided leather cords; we have, however, maintained the design of the pendants that hang from the chain to maintain the authenticity of Norse culture. Available pendants include the Raven's skull, the wolf-head, the tree of life, the troll cross, and more. Take some time to read the meaning and symbolism behind each amulet to find out which symbol speaks to your Viking spirit the most.
$25.99 $50.40
$39.90 $70.00


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Enter your work address to calculate commute times to and from 715 E 43rd St.
Darling bungalow in coveted Hyde Park on corner lot! Charming character throughout home. Cozy 2 bedrooms/2 baths & separate studio. Open living/dining space w/antique fireplace, built-ins, wood floors, tall ceilings & great light. Updated kitchen w/large center island, stainless appliances, gas range, tremendous storage/counter space & wine fridge. Kitchen open to family room. Spacious outdoor living, large yard & attractive landscaping. Covered carport parking w/ secured entrance. Close to bus & dining!
|9626000 - Residential
|Sold - 33 days (102 days total)
|9626000 - Residential
|Pending - Taking Backups - 5 days
|9626000 - Residential
|Price Decrease - 64 days
|$560,000 - $15,000
|9626000 - Residential
Property Listed by: Carol Dochen, REALTORS
The information being provided is for consumers' personal, non-commercial use and may not be used for any purpose other than to identify prospective properties consumers may be interested in purchasing. Based on information from the Austin Board of REALTORS® (alternatively, from ACTRIS) from October 19th, 2019 at 3:55pm CDT. Neither the Board nor ACTRIS guarantees or is in any way responsible for its accuracy. The Austin Board of REALTORS®, ACTRIS and their affiliates provide the MLS and all content therein "AS IS" and without any warranty, express or implied. Data maintained by the Board or ACTRIS may not reflect all real estate activity in the market. All information provided is deemed reliable but is not guaranteed and should be independently verified.


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Museo del Prado
The Prado Museum is the main Spanish national art museum, located in central Madrid. It is widely considered to have one of the world's finest collections of European art.
A visit to Madrid isn't complete without a dose of Spanish culture. With over 7,000 paintings at the Museo del Prado, you'll see some of the best artworks from Spain and across Europe.


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Recent Work
Recent Publications
"How The Parents of Ireland's Authors Survived Their Past: The Story of Robert Brennan's Memior 'Allegiance'," The Irish Times (Saturday, December 8, 2018)
The History of Modern Irish Women's Literature, Heather Ingman and Clíona Ó Gallchoir, eds., The Irish Times (Saturday, November 17, 2018)
The Vibrant House: Irish Writing and Domestic Space (edited with Rhona Richman Kenneally), Four Courts Press, 2017
"Misfortunes: Thief of a Christmas and Bailegangaire," in The Theatre of Tom Murphy: Playwright Adventurer, ed. Nicholas Grene (London: Bloomsbury, 2017), 189 – 200
"The Railroad Reverie in Contemporary Irish Poetry," Éire-Ireland, Volume 52, Numbers 1 & 2, Spring/Summer 2017, 78-100
"Leland Bardwell's A Restless Life," Cyphers Magazine (Dublin: Vol 83, Spring 2017), 72 – 74
Poets and the Peacock Dinner: the literary history of a meal was reprinted in a new paperback edition by Oxford University Press (October 2016)
"Uncomfortable Bodies in Women's Accounts of 1916" (excerpt rpt.), The Irish Independent (25 December 2016)
"Controversy in the Irish Tradition" (essay review of three 1916 books, 3,000 words), TLS (25 December 2016)
"Casement, New York, and the Easter Rising," in Ireland's Allies: America and the 1916 Easter Rising, eds. Miriam Nyhan and Marion Casey (Dublin: University College Dublin Press, 2016), 90 – 107
"Uncomfortable Bodies in Women's Accounts of 1916," in Irish Women, War, and Letters, 1880 -1922, ed. Tina O'Toole, Gillian McIntosh, and Muireann O'Cinnéide(London: Palgrave Macmillan, 2016), 118 – 131
"The Avian Rising: Yeats, Muldoon, and Others," solicited for the inaugural issue of the Journal of the International Yeats Society, Liverpool University Press / Clemson University Press, Fall 2016
"The Irish Mammy at the Threshold of Rebellion," History Ireland: The Impact of the Irish Rising, Eds. J. Culley, T. Graham, and N.C. Maxwell (2016): 52-56
Recent Invited Lectures
"Women's Maladies in Fairy Legends Collected by Lady Gregory," Women's History Association of Ireland, Dublin, Ireland, December 2018
"Kissing in the Village: Edna St. Vincent Millay on Bedford Street," The Village Trip, September 2018
"The Disturbed House in Irish Women's Poetry," Galway International Arts Festival, Galway, Ireland, July 2018
Reading from memoir in progress, Galway International Arts Festival, Galway, Ireland, July 2018
Presentation on At Home in the Revolution, Montclair Literary Festival, March 2018
Reading from memoir in progress at Muldoon's Picnic, Irish Arts Center, New York, March 2018
"Tropes of Distance in Contemporary Irish Poetry," Late Modernism and Expatriatism, Boston College, October 2017
"The Unimagined Community: Feminists and Revolutionaries in Holloway Prison," Women in Irish History, 1917 – 1922: Feminism, Violence, Activism, Maynooth University (Ireland), September 2017
"The Muse on the Train in Contemporary Irish Poetry," Humanities Institute, University College Dublin, March 2017
"The Dreamer on the Train in Contemporary Irish Poetry," Institute of Irish Studies, Queen'sUniversity, Belfast, March 2017
"Fairy Legends, Houses, and the Architecture of Rebellion," Boston College Irish Studies, February 2017
"At Home in the Revolution: women enter the garrisons," Irish Embassy, Washington, D.C., December 2016
"After the Rising: small encounters," Universities Ireland Conference on the 2016 Commemoration, Dublin, October 2016
"The Muse on the Train: 21st Century Irish railroad poems," Women and the Decade of Commemorations: An All-Island Perspective, Maynooth University, Ireland, October, 2016
"Male Spaces with Women in them: Gender, 1916, and the Revolution in Ireland," Peak Performances, Kasser Theatre, Montclair State University, October 2016
"The Muse on the Train: 21st Century Irish Railroad Poems," Women and the Decade of Commemorations: An All-Island Perspective, Maynooth University, Ireland, October, 2016
"'the first time I saw a whole salmon cooked': Encounters with the wealthy in Gort and the GPO," Lady Gregory Autumn Gathering, October, 2016
"At Home in the Easter Rising: Fairies, Rebels, and 1916," Irish Studies, Queens College CUNY, September 2016
"The Irish Mammy in 1916," Welcoming Ireland (Consulate of Ireland public event, New York), April 2016
"Gender, 'small behaviors,' and Ireland's Easter Rising," College of the Holy Cross, Worcester, MA, April 2016
"Gendered Spaces in Ireland's Easter Rising," Hofstra University, April 2016 and Union College, April 2016
"At Home in the Revolution," Taste of the Yeats Summer School, Yeats Society of New York, April 2016
"Fairies, Rebels, Mothers: Lady Gregory and 1916," Monsignor Pádraig de Brún lecture, National University of Ireland Galway, March 2016
"'Provision for Girls': Women, Gender, and the Easter Rising," Leitrim County Library Service, Co Leitrim, Ireland, March 2016
"Gender, the other territorial conflict in the Easter Rising," Women and the Rising lecture series, University College Cork, March 2016
"Jumping into the G.P.O.: how women got access to the Rising," Women in 1916, Farmleigh, Dublin, March 2016
"Casement, New York and the Easter Rising," Independent Spirit: America and the 1916 Easter Rising, Glucksman Ireland House, NYU, April 2016
Recent Conference Papers
"The Poetry of Hair: Eiléan Ní Chuilleanáin, Tara Bergin, Vona Groarke" IASIL, July 2019, Dublin
"The Idea of the Cat in Contemporary Irish Women's Poetry," American Conference for Irish Studies, March 2019, Boston
"'1916 Not to be Commemorated': the anti-commemoration poem," MLA, New York, January 2018
"'to sail forever in the middle seas': Tropes of Distance in Contemporary Irish Poetry," Late Modernism and Eexpatriatism, Boston College, October 2017 (invited paper)
"Women Write the Rising: 2016 and 'the intimate public poem,'" International Association for the Study of Irish Literatures, University College Cork, July 2016
"Lady Gregory's Feminist Interiority," Waking the Feminists, Fordham University, February 2016
Live Interview, Farmgate series on Women of the South: Radicals and Revolutionaries -http://farmgatecork.ie/womenofthesouth/whatwomensaidanddid1916/ -- "Professor Patricia Coughlan in Conversation with Professor Lucy McDiarmid," 14 March 2016.
Radio Broadcast, interview about women and 1916, Talking History, 21 February 2016
Film Feature http://www.rte.ie/centuryireland/index.php/articles/at-home-in-the-revolution-what-women-said-and-did-in-1916, RTE, Century Ireland, produced by Boston College, 1916 web site, directed by Professor Mike Cronin (interview based on my book At Home in the Revolution)
Radio Broadcast, Glucksman Ireland House Radio, of my talk "Excess of Love': Yeats and the Rebels of 1916," Taste of the Yeats Summer School, Yeats Society of New York; broadcast on August 29, 2015
Radio Broadcast, Yeats section of MLA-sponsored program Great Irish Writers; aired in the NYC metropolitan area on WBGO (88.3 FM) at 7:30 pm EDT, Wednesday May 20, 2009
Radio Broadcast, interviewed by William Crawley on "the controversy surrounding the ownership of 39 French Impressionist paintings that once belonged to Dublin gallery owner Hugh Lane," BBC Radio 3, 25 July, 2008


text:
The procedure is also called reduction mammoplasty, and is something many women undertake if they are self-conscious about their breasts being too big, or one is larger than the other – and certainly if they are a source of discomfort or pain.
If you are of good general health, are embarrassed about your breast size or if your nipples point downwards you may be a good candidate. If you are over 40 you will have to have a mammogram, chest x-ray or ECG beforehand to make sure there is nothing untoward in or around your breast tissue.
Bangkok is not only a center of excellence when it comes to cosmetic surgery techniques, it is also one of the most exciting cities in the world. You won't be stuck for things to see and do, whether it's sight-seeing, dining out or just relaxing in your hotel. It is a 21st century city, with all the facilities and amenities you would expect to find in any modern city, which makes for a great holiday and comfortable post-surgery recuperation.
Bangkok was the first city in Thailand to establish itself as a medical tourism destination, and the first in Thailand to receive JCI accreditation for one of its facilities. It still remains as one of the most popular locations for international patients. If you haven't been to Thailand, you may well be pleasantly surprised at how good the facilities are, and any patients traveling from overseas remark that the standards in Bangkok are head-and-shoulders above what they are used to at home.
Many of the clinics and hospitals are new and ultra-modern, purpose-built to house state-of-the-art technology and to provide patients with speedy, efficient services which are diametrically opposite to healthcare in other parts of the world. For example, in the UK interminable waiting times and poor facilities and equipment squeezed into buildings that have stood for over a hundred years is not unusual. The point is that most people don't enjoy going to hospital, and so anything that can make it a pleasanter experience for patients is going to have a positive impact on their well-being, which will aid their recovery.
This efficiency is evident from the moment patients walk through the door in any one of Bangkok's quality facilities – from courteous, attentive, English-speaking staff to the thoroughness and expertise of the surgeons. There is no need to worry that the medical care is somehow inferior to at home, because it isn't. Training here is just as long and arduous as it is in the US, UK or Australia and once qualified, the profession is stringently regulated.
Normally most breast reduction procedures take between two and four hours to complete, depending on how much breast tissue is removed.
You will be given a general anesthetic for the procedure, and the excess breast tissue will usually be removed through a keyhole incision cut around the nipple and down the breast. Your nipple will be repositioned higher up on the breast once the tissue has been removed. You will be bandaged and may have drainage tubes inserted to help remove fluid from the breasts after the operation, and you will probably need to wear a surgical bra.
The bandages and drains will be removed in a week and you are likely to feel tender and stiff for the first few days. After 10 days your bruising and swelling should be diminishing, but it will be several weeks before your movement feels freer, and significantly longer before you can embark on strenuous exercise or heavy lifting. It will take as long as 6 months before you are completely healed.
Breast reduction in Bangkok costs around AUD $3,900 compared to AUD $7,900 in Australia.
Find out more about our great clinics and what they can offer you.
If you're ready to book check below or get in touch with our Customer Care Team if you've any questions about Breast Reductions in Bangkok.


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Case Report
Lower Limb Salvage at any Cost – A Complex Case
Amir K Bigdeli*, Frederick J Hernekamp, Florian Neubrech, Nico Leibig, Chrisitan Radu, Emre Gazyakan, Ulrich Kneser and Thomas Kremer
Department of Hand and Plastic Surgery, University of Heidelberg, Heidelberg, Germany
*Corresponding author: Amir Khosrow Bigdeli, Department of Hand, Plastic and Reconstructive Surgery, Burn Centre, BG Trauma Centre Ludwigshafen, Ludwig- Guttmann-Strasse 13, Ludwigshafen, 67071 Hand and Plastic Surgery, University of Heidelberg, Heidelberg, Germany
Published: 30 Mar, 2017
Cite this article as: Bigdeli AK, Hernekamp FJ, Neubrech F, Leibig N, Radu C, Gazyakan E, et al. Lower Limb Salvage at any Cost – A Complex Case. Clin Surg. 2017; 2: 1380.
Lower limb salvage for osteomyelitis of the tibia after open fracture presents an ongoing challenge.
In the field of modern reconstructive surgery, we increasingly find ourselves asking "What can we
salvage?" instead of "What should we salvage?" We report the case of a 37-year-old male patient,
who sustained an open tibial fracture in a motorcycle accident. He underwent more than thirty
operative procedures for lower limb reconstruction over a five-year period. Complicated by
osteomyelitis, limb salvage was finally achieved with a free contralateral vascularized osteocutaneus
fibular transfer after 13-hour surgery. The combination with an arterio-venous loop was necessary
for and created through the cephalic and small saphenous vein as unusual feature due to sacrifice
of autologous vein grafts for previous reconstructive procedures. Two years later, the patient is
satisfied with his limb function and has returned to work. The free osteocutaneous vascularized
fibula transfer prevented lower limb amputation but still remains complex and invasive. We want
to discuss aspects of decision-making involving clinicians as well as the patient and recommend the
installation of multidisciplinary extremity boards.
Keywords: Free fibula; Distal tibia fracture; Limb salvage; Arteriovenous loop
Advances in reconstructive surgery nowadays allow impressive lower limb salvage after severe trauma. More and more, clinicians find themselves asking "What can be salvaged?" instead of "What should be salvaged?" Especially, free microvascular bone transfers have revolutionized reconstruction of large osseous defects since the first free fibular transplantation was described [1,2]. However, one should not ignore the risk of complications at the donor site that may lead to functional impairment of the healthy leg. Other potential adverse effects are moderate to severe pain at the donor site, delayed wound healing, sensory changes and the sacrifice of a major vascular axis [3]. The alternative is below-knee amputation, whereas amputation index scores have been developed in order to facilitate decision-making between a salvage attempt and amputation [4]. Nevertheless, the prediction of successful limb salvage with a good functional result remains difficult and the decision is still hard to make. We report the case of a 37-year-old male patient, who underwent more than 30 surgical procedures over a five-year period for lower limb reconstruction of osteomyelitis-associated tibial non-union after open fracture. The procedures included revision osteosyntheses, cancellous bone grafts, bone transports and two free tissue transfers. We address the main question, whether or not limb salvage is beneficial to certain patient groups. Furthermore, we critically discuss the reconstructive approach focusing on aspects of decision-making involving a multidisciplinary team of clinicians as well as the patient. Additionally, different therapeutic aspects including complication rates, donor-site morbidity, procedure complexity, failure rates and potential limb function are discussed.
Case Presentation
A 37-year-old male sustained an open fracture of the left tibia and fibula in a motorcycle
accident. In an external hospital, open reduction and internal fixation through an unreamed
intramedullary tibial nail was performed immediately. Three months later, implant removal and
re-osteosynthesis with a cannulated tibial nail and plate osteosynthesis of the fibula were performed
due to bony non-union. Seven months after trauma, infectious pseudarthrosis of the tibia and
fibula were suspected, and re-osteosynthesis was performed by the reamed technique after implant
removal. Systemic test-appropriate antibiotic treatment was initiated. In the further course, bony
union of the tibia did not occur and tibial osteomyelitis was diagnosed. To cut a long story short,
the patient underwent more than 30 surgical procedures, including many attempts of bony repair
with re-osteosyntheses, cancellous bone grafts, and bone transports. During the reconstructive course, soft tissue defect reconstruction became necessary and was
performed using a free anterolateral thigh (ALT) flap, that was lost
due to arterial thrombosis and finally achieved using a free latissimus
dorsi flap that was anastomosed via an arteriovenous loop (AVL)
using the contralateral saphenous vein to the femoral artery and
vein. Finally, the patient was admitted to our clinic for limb salvage.
A multidisciplinary team of clinicians (plastic and reconstructive
surgeon, trauma surgeon, vascular surgeon, psychologist, and
microbiologist) was involved. A salvage attempt versus below-knee
amputation was extensively discussed with the patient. From the
medical point of view, amputation and prosthetic provisioning was
advised. However, the patient insisted on limb salvage and after a risk assessment examination in an elaborate explanatory meeting, the decision for a salvage attempt through a free contralateral vascularized osteocutaneous fibula transfer was made.
Surgical technique
After more than 30 surgical procedures within five years, the patient was referred to our center with non-union of the tibia. Preoperatively, stable skin and soft-tissue were given (Figure 1a and b) and Magnetic resonance angiography revealed one-vessel flow to the distal leg through the anterior tibial artery (ATA). After debridement, a large segmental bone defect was present (Figure 2a and b). In the absence of systemic signs of infection, the vascularized bone transfer was initiated with a two-team approach. The ATA was not dissectable due to scar formation. Therefore, the superficial femoral artery (SFA) and vein were dissected proximal to the anastomosis of the AVL that was used for the latissimus dorsi flap. Simultaneously, the following veins were harvested for an additional AVL: both cephalic veins (from the infraclavicular fossa to the dorsum of the hand on the left side, and from the shoulder to the anticubital fossa on the right side with a length of approximately 80 centimeters). The AVL was anastomosed to the SFA and the accompanying vein in an end-toside fashion. Simultaneously, the vascularized osteocutaneous fibular graft was harvested from the contralateral leg with a skin paddle of 15 cm × 5 cm through a standard posterolateral approach (Figure 3 and 4). The donor-site wound was closed primarily. The transported fibula was fitted tightly into the medulla of the tibia and fixed through plate osteosynthesis. The AVL was cut in the middle. A low flow was observed at the arterial part and attributed to fibrosis of the vessel's wall. Fibrotic parts were excised and replaced by segments of the contralateral small saphenous vein. Lastly, the anastomoses were carried out in end-to-end fashion to the peroneal artery and vein of the fibula graft (Figure 5a and b). After the 13-hour surgery, the patient was kept on a test-appropriate antibiotic therapy for four weeks and the left lower leg was immobilized in a leg cast for three months. Thereafter, a long leg brace was applied for an additional three months with non-weight bearing crutch ambulation. After six months, gradual weight bearing under protection of a brace was allowed. During regular follow-up in our outpatient clinic, bone union was indicated by the clinical absence of pain and callus formation on X-Ray at six months (Figure 6). Full weight bearing was allowed after 6 months (Figure 7a-c). The patient underwent routine follow-up visits and is still disease free after three years. He is fully recovered and has returned to all his activities of daily living and work without restriction.
Figure 1
Figure 1
(a and b) Clinical appearance at the beginning of the operation with intact skin and soft- tissue over the left tibia.
Figure 2
Figure 3
Figure 3
Intraoperative design of the vascularized osteocutaneous fibular graft with a skin paddle (15 × 5 cm).
Figure 4
Figure 4
Intraoperative preparation of the vascularized osteocutaneous fibular with perforator-based skin paddle.
Figure 5
Figure 6
Figure 7
Advances in reconstructive surgery nowadays allow impressive lower limb salvage procedures. A major contribution was the introduction of the free fibular microvascular transfer [1,2]. It provides not only bone with a sufficient length and biological properties, but also enables the reconstruction of accompanying tissue defects, as it may include skin, muscle, tendon, and even nerve tissue. However, donorsite morbidity remains a concern, but is inconsistent throughout the literature with rates between 2 and 38% [3-7]. The technique requires an experienced team of microsurgeons, as failure of surgery is a serious loss to the patient, not only in the failed reconstruction but also the risk of morbidity of the healthy leg. To evaluate donor-site morbidity in free fibular microvascular transfer, Momoh and colleagues conducted a prospective cohort study including 157 patients [7]. The perioperative donor-site complication rate was 31.2% in this largest series. However, they did not find a significant association between perioperative complications and long-term morbidity. 26 patients (16.6%) experienced leg weakness (8%), ankle instability (4%), great toe flexion contracture (9%), and decreased ankle range of motion (2%), 37% of the patients were able to run or engage in athletic activity after surgery. Focusing on functionality, most studies found, that nearly all patients were able to perform their activities of daily living without significant limitations [7-10]. Our patient underwent more than 30 operative procedures for lower limb reconstruction after open fracture of the tibia. He was referred to our center with osteomyelitis related bony non-union of his tibia five years after the trauma. A multidisciplinary team was involved and amputation and prosthetic provisioning advised. However, the patient insisted on limb salvage and therefore a last salvage attempt through a free contralateral vascularized osteocutaneous fibula transfer was indicated. As described above, an AVL was necessary to extend the pedicle of the flap. Threlfall "et al." [11] first suggested the use of a temporary AVL prior to flap harvesting in 1982. When recipient vessels for free tissue transfer become difficult to find, an AVL facilitates the use of normal recipient vessels for microvascular anastomosis far away from the zone of injury [12]. In our case, a venous graft around 80 centimeters in length was necessary. In absence of the great saphenous vein, the cephalic vein had to be harvested from both arms. The experienced flow problems in the arterial side of the loop were attributed to segmental vein wall fibrosis. We think that it may be caused by prior damage through blood drawing procedures. Finally, the contralateral small saphenous vein was harvested and successfully used for loop salvage. Generally, we agree with Pelissier and colleagues who state, that decision-making involves clinicians and the patient in equal measure [13]. Here, a detailed explanation of the operative procedure including the duration and expected results is absolutely necessary. Furthermore, such cases should be discussed in multidisciplinary extremity boards. Retrospectively, we think that an interdisciplinary approach would have initiated the reconstruction through a free contralateral vascularized osteocutaneous fibula transfer earlier and thus reduced morbidity as the operation took more than 13 hours. Also, patients who generally ask for reconstruction instead of amputation should be aware, that the procedure comes with a long operation time and an unpredictable functional result [13]. Further disadvantages may include moderate problems at the donor site (e.g., pain, delayed wound healing, sensory changes, sacrifice of a major vascular axis) [13]. In order to compare functional outcomes and disability between amputation and limb salvage after major lower extremity trauma sustained in the US military, the Military Extremity Trauma Amputation/Limb Salvage (METALS) Study was conducted [14]. The retrospective cohort study included 324 patients and showed that amputation had better functional outcomes when compared with limb salvage. However, the main question is, whether or not salvage is beneficial to certain patient groups. Some authors suggest that early amputation and rehabilitation with prosthesis provides a better outcome [15,16]. In contrast, other groups have found that a majority of patients with severe lower extremity injuries preferred their salvaged extremity, even when delayed amputation was required. Rehabilitation has the greatest influence on postoperative outcome [17]. Here, amputees may receive more focused and earlier rehabilitation. Furthermore, weight bearing is allowed as soon as there is sufficient wound healing. In contrast, patients may need to wait three or more months after limb salvage for healing of fractures and bone defects before full weight bearing is allowed. Furthermore, rehabilitation after limb salvage may be less organized due to the individual type of procedure and healing capabilities [14,17].
Decision-making on limb salvage versus amputation continues to be difficult. However, the medical literature suggests similar functional outcomes and rates of return to work after salvaged and amputated lower extremities, but the latter ones are plagued by higher complication and reoperation rates. The free vascularized osteocutanous fibula transfer is capable to prevent lower limb amputation. However, the procedure remains complex and invasive with a significant complication rate, moderate donor-site morbidity, and failure rates. To facilitate decision-making, we recommend the installation of multidisciplinary extremity boards and have implemented it at our Center. Lastly, more work will need to be done to help surgeons to consistently and reliably predict which patients will benefit from limb salvage or an early amputation.
- Taylor GI, Miller GD, Ham FJ. The free vascularized bone graft. A clinical extension of microvascular techniques. Plast Reconstr Surg. 1975;55(5):533–44.
- Ueba Y, Fujikawa S. Nine years' follow up of a vascularized fibular graft in neurofibromatosis: a case report and literature review. Jpn J Orthop Trauma Surg. 1983;26:595–600.
- Vail TP, Urbaniak JR. Donor–site morbidity with use of vascularized autogenous fibular grafts. J Bone Joint Surg Am. 1996;78(2):204–11.
- Dagum AB, Best AK, Schemitsch EH, Mahoney JL, Mahomed MN, Blight KR. Salvage after severe lower–extremity trauma: are the outcomes worth the means? Plast Reconstr Surg. 1999;103(4):1212–20.
- Malizos KN, Nunley JA, Goldner RD, Urbaniak JR, Harrelson JM. Free vascularized fibula in traumatic long bone defects and in limb salvaging following tumor resection: comparative study. Microsurgery. 1993;14(6):368–74.
- Minami A, Usui M, Ogino T, Minami M. Simultaneous reconstruction of bone and skin defects by free fibular graft with a skin flap. Microsurgery. 1986;7(1):38–45.
- Momoh AO, Yu P, Skoracki RJ, Liu S, Feng L, Hanasono MM. A prospective cohort study of fibula free flap donor–site morbidity in 157 consecutive patients. Plast Reconstr Surg. 2011;128(3):714–20.
- Bodde EW, de Visser E, Duysens JE, Hartman EH. Donor–site morbidity after free vascularized autogenous fibular transfer: subjective and quantitative analyses. Plast Reconstr Surg 2003;111(7):2237–42.
- Hidalgo DA, Rekow A. A review of 60 consecutive fibula free flap mandible reconstructions. Plast Reconstr Surg. 1995;96(3):585–96.
- Shpitzer T, Neligan P, Boyd B, Gullane P, Gur E, Freeman J. Leg morbidity and function following fibular free flap harvest. Ann Plast Surg. 1997;38(5):460–4.
- Threlfall GN, Little JM, Cummine J. Free flap transfer––preliminary establishment of an arteriovenous fistula: a case report. Aust N Z J Surg. 1982;52(2):182–4.
- Silveira LF, Patricio JA. Arteriovenous fistula with a saphenous long loop. Microsurgery.1993;14(7):444–5.
- Pelissier P, Boireau P, Martin D, Baudet J. Bone reconstruction of the lower extremity: complications and outcomes. Plast Reconstr Surg. 2003;111(7):2223–9.
- Doukas WC, Hayda RA, Frisch HM, Andersen RC, Mazurek MT, Ficke JR, et al. The Military Extremity Trauma Amputation/Limb Salvage (METALS) study: outcomes of amputation versus limb salvage following major lower–extremity trauma. J Bone Joint Surg Am. 2013;95(2):138–45.
- Georgiadis GM, Behrens FF, Joyce MJ, Earle AS, Simmons AL. Open tibial fractures with severe soft–tissue loss. Limb salvage compared with below–the–knee amputation. J Bone Joint Surg Am 1993;75(10):1431–41.
- Hansen ST. The type–IIIC tibial fracture. Salvage or amputation. J Bone Joint Surg Am.1987;69(6):799–800.
- Momoh AO, Chung KC. Measuring outcomes in lower limb surgery. Clin Plast Surg. 2013;40(2):323–9.


text:
Block chrome://inspect
I recently caught a student using a fairly clever exploit that allows a user to open a window in incognito mode, thus bypassing the GoGuardian extensions and filtering.
Reproduction steps are as follows (screenshots attached):
1. Power on Chromebook. This exploit is most reproduceable when the Chromebook is has been recently powered on.
2. Log in with an account that is subject to the GoGuardian extensions
3. Navigate to chrome://inspect in the browser
4. Click "Other" menu button on the left-hand side of the screen
5. You will see chrome://app-list and chrome://oobe/lock in this menu. If chrome://oobe/lock does not appear, wait a couple minutes and it should show up
6. Click "inspect" under chrome://oobe/lock - this will launch an inspect window in incognito mode
7. Click the "Audits" tab in the inspect window
8. Click the "Learn more" link to launch an incognito session in a full browser window
As the GoGuardian extensions are not loaded in incognito mode, this completely circumvents GoGuardian filtering and tracking within the incognito session.
This works even when developer tools and incognito mode are disabled in Google Admin as per GoGuardian setup instructions.
Fortunately, resolution is simple - all you need to do is blacklist chrome://inspect in Google Admin under Device management -> Chrome -> User Settings -> URL Blacklist or via the GoGuardian URL blacklist function.
I'd recommend either including chrome://inspect in the default GoGuardian blacklist, or updating the "Getting Started" documentation to add this to the Google Admin URL Blacklist.
16 comments
3443434 commented
go guardian is for gays
Surjo Ganguly commented
This is a very nooby way of hacking out of it XD.
GoGuardian programmers think it's SO hard to break out of it.
I use a better strategy, but I won't be revealing it publicly because, duh!
(Contact me on Discord, my username is "DANK Walker 30263" if you want to know how to go past it)
Anonymous commented
go guardian should not be a ******* website i mean how do you ******* learn!
Mommy in Foot and Foot In Mommy :D commented
i hate go guardian, it a dumb piece of ****
Oscar Ramirez commented
blocking this can also be bypassed by going to taskbar and closing the backround processes for a limited time
jose.gozalez.2009 commented
heck goguardion
Jose V. commented
Sry bud we found a shortcut, its like inspect but we used something else, lets see here javascript:document.body.contentEditable = 'true'; document.designMode='on'; void 0
speaking off the devil here it is HAHAHA go find another job go guardian.
Kyshawn Chappell commented
just unblock everything for the students the students can't learn if everything is unblocked
Aiden demars commented
why is go guardian a thing it gets annoying all the time
Mr. Jones commented
This only opened up more ways for my students to find a way to unenroll their computers all together! Please tell me how I can retrieve them after this!
KIMBERLY commented
F u google put it back
IT only works at home
KIMBERLY commented
KamS commented
In the beginning, the trick work's good, but 1 week later the oobe/lock don't appear, i wait 1 hour and it don't appear, i restart the page and it don't works what i can do ? HELP PLEASE.ㅠㅠ
Kyle Tillman commented
We just discovered this exploit two weeks ago and I've been shaking my head ever since. We have long had the Dev tools off but that didn't stop this from being accessible. We have since blocked Chrome://inspect but I'm just scouring the internet looking for more ways that the students will try and bypass our filter.
Tara commented
I was able to block inspect in Google Admin Console: Device Management/Chrome Management/User Settings/User Experience/Developer Tools _Never Allow Developer Tools
Daniel commented
Agree this would be a great default currently but may not be needed in the future as Google may fix it permanently.
You can and should block chrome://inspect in Google Admin Chrome Management.
This seems to mostly be a Google issue. I called support and spoke to them about the same thing. I have incognito mode restricted through Chrome Management as well but the oobe/lock inspect issue gives kids backdoor. Google advised me to blacklist chrome://inspect. They are working on a resolution.


text: Graduates and Instructors of the first U.S. Africa Command - U.S. European Command hosted Operational Gender Advisor Course pose for a photo June 14, 2019 in Stuttgart, Germany. The course was developed by the Joint Chiefs of Staff to train U.S. military and civilian personnel to serve as gender advisors or human security focal points during an operational deployment or at the combatant command and component level. (Courtesy photo)Download full-resolution version


text:
Pharma CI USA Conference & Exhibition
Event Sep 18 - Sep 19, 2019
Newark Liberty International Airport Marriott
Newark Liberty International Airport, 1 Hotel Road, Newark, New Jersey, 07114
Event Information
The 2019 Pharma CI USA Conference & Exhibition (September 18-19, 2019, Newark, NJ) is the gold standard for senior-level industry professionals who seek the latest in competitive and business intelligence. Join us at this premier gathering and network with other key decision makers as you learn about the most pressing and relevant issues facing the competitive intelligence community today. Attend and take advantage of highest ratio of industry practitioners (pharma, biotech, medical device and diagnostics) of any pharma intelligence conference! This is the only event featuring a world-class lineup of speakers offering their unique insights and expertise on the topics you care about most! To register or for more information, please visit http://pharmaciconference.com/ or call +1-212-228-7974 or email email@example.com.
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text:
An annual sheep fair kicked off with exhibitors competing for a number of awards.
Dorset Horn and Poll Dorset May Fair in Exeter is the first major pedigree sheep sale of the year, where buyers and sellers from across the UK come to see the livestock.
It started on Tuesday, May 7 with the competition show, where 135 rams and 16 individual females competed in individual and group competitions.
Graham Cubitt, chairman of the Dorset Horn and Poll Dorset Society, said: "It is a testament to how the breed has developed that there are vendors in attendance from all across the UK.
"The quality of sheep on offer is a strong indicator that things are healthy across the sheep sector.
"One great thing about the breed competitions is that it is strong and fierce, but there's a great social side as well.
"It's a stressful few days but everyone enjoys being social together."
The ram competition was won by Thomas Wright's Poll Dorset ram Ballytaggart Boss Hog B2167, while in the female championship, David Lewis was victorious with Pembroke Athens A110.
This is the fourth time that Mr Wright has won in this category, having last won two years ago.
He said: "I have had a brilliant time and am just thrilled."
The Dorset Horn Sheep Breeders' Association was founded in 1891, and claims to stand for: "the encouragement of the breeding of Dorset Horn Sheep at home and abroad and the maintenance of the purity of the breed".
For more information visit www.dorsetsheep.org.uk


text: Gouache on paper (1956). This is a composite view of Boscastle, a fishing port on the north coast of Cornwall. Boscastle is a natural inlet, but harbour walls, evident here, were once built, and allowed for the import of limestone and the export of slate. In so many of Yates's paintings there is a strong sense of place: this is a village with rows of small craft, nets and masts; a boat rests upon the beach awaiting its summer repair; there are ricks of corn and serrated furrows of a ploughed field; and high above the village the Cornish sun presides, flooding the scene and casting a shadow of striking complimentary yellows purples and blacks.


text: Steelhead is a locally owned and operated company in Cochrane Alberta! We run very up to date trucks that keep them reliable while keeping the environmental impact in mind. All trucks are GPS tracked keeping safety in mind. We are a member of Complyworks with a TM kept up to date safety program. Friendly and reliable drivers and staff. Available 24/7 365. Potable water truck is licensed as such with a Alberta license that can be shown. Can look after most commercial sumps all septic pump out requirements from residential to large commercial waste water holding tanks. Tri drive water truck gives a large amount of water with the convenience of a body job truck.


text:
Drugs Home > Afinitor Uses
Using Afinitor for the Treatment of Kidney CancerKidney cancer occurs when cancer cells form in the tissue of the kidneys. There are several different types of kidney cancer, the most common being renal cell carcinoma (RCC). With RCC, cancer forms in the lining of the small tubes in the kidney that filter the blood and remove waste products.
Treatment for kidney cancer can vary, depending on how far the disease has progressed. Other factors taken into consideration can include a person's age, overall health, and personal preferences. Treatment of early-stage cancer, when the disease is still localized to the kidney, often involves surgical removal of the cancer. The majority of people with early-stage kidney cancer can be cured with surgery.
However, as the disease progresses, the likelihood of a cure is reduced. Advanced kidney cancer, or cancer that has spread beyond the kidney to other areas of the body (has metastasized), is not likely to be cured with surgery. Instead, treatment is aimed at easing symptoms, improving quality of life, and slowing down the growth of cancer cells to prolong survival.
Afinitor is approved to treat advanced kidney cancer that was not successfully treated with sunitinib (Sutent®) or sorafenib (Nexavar®). It may help extend the length of time the cancer remains stable and does not progress.
Afinitor Uses for the Treatment of Subependymal Giant Cell AstrocytomaSubependymal giant cell astrocytoma (SEGA) is a type of brain tumor that occurs in people with a rare genetic condition known as tuberous sclerosis. This condition causes noncancerous tumors to grow throughout the body, most commonly in the brain. SEGA is a slow-growing tumor that is usually found in the ventricles (fluid-filled spaces) of the brain, where it can block spinal fluid flow and cause a variety of symptoms.
Although not all individuals with SEGA experience symptoms, when symptoms do occur, they usually begin between the ages of 10 and 30 years old. Some of the symptoms of SEGA may include but are not limited to:
Treatment is usually recommended once symptoms appear or when a tumor is increasing in size. Surgical removal of the tumor is the standard treatment, when treatment is needed. However, surgery cannot always successfully remove SEGA.
Afinitor is approved for the treatment of SEGA that requires treatment but cannot be cured with surgery. The medication has been shown to reduce tumor size. It has not been shown to improve symptoms or prolong survival.


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Bacha Aur Farishta: War get into homes in the city "Khurram" when citizens come out for their self defense when a boy aims to fight and loses his siblings except his sister in a bomb blast. Now can these loving brother and sister find each other????
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Afternoon conference organised by International Socialism
Saturday 26 October, 2pm – 6pm
Birkbeck, University of London, Malet St, London, WC1E 7HX
At the turn of the century Latin America saw an inspiring rise in popular mobilisations against neoliberalism by workers, peasants and indigenous organisations.
A reflection of this was the election of several left wing governments, known as the Pink Tide, which became an inspiration for anti-capitalists across the world.
But this mood seems to be coming to an end.
Venezuela is in acute crisis. The Bolivian and Ecuadorian governments are embracing neoliberal policies and, worst of all, Jair Bolsonaro is president of Brazil.
Argentina has also faced years of neoliberal government, although the centre-left appear to be making a comeback.
The victories of left governments, notably in Venezuela, also gave breathing space to the Cuban regime established 60 years ago by the revolution led by Fidel Castro's guerrilla forces.
Even there, the Cuban rulers are seeking to break from decades of isolation by embracing the market.
This event will bring together Cuban revolutionaries, academics and activists to analyse the processes that have taken place in Latin America, and why Hugo Chavez's promise of socialism in the 21st century remains to be fulfilled.
• 60 years on from the revolution: where is Cuba going?
• Brazil and Venezuela: the retreat of the Pink Tide
£3 (unwaged), £6 (waged), £10 (solidarity)
To book your place go to the Eventbrite page here: https://www.eventbrite.co.uk/e/cuba-the-pink-tide-and-revolution-in-latin-america-tickets-64365974362
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Post: International Socialism, PO Box 74955, London, E16 9EJ


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Find great March break camps in Toronto, Ontario, and across Canada on OurKids.net. Use our tables to sort over 150 March break camps and programs by location, age, cost, dates, and activities.
I felt better about myself because I knew I was working out, my skin improved because I was sweating the toxins out and I definitely noticed an increase in stamina.Ontario Camp Association Conference is going to be organised at Conference Centre Foyer of the Hilton Markham Suites, Markham, Canada from 24 Jan 2018 to 26 Jan 2018 This expo is going to be a 3 day event.Lose Fat, Tone Up and Get Into Killer Shape with Your Markham Boot Camp.
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Further north in Canada, the age of consent is 16 years. Essentially, they have had sex with someone who, according to the law, could not possibly consent to the act. For example, in Indiana the age of consent is 16 but it is illegal for a person over 18 to have sex with anyone under 18 if they work at their school, are their parent or a stepparent, or are a person recruiting them to join the military.
In practice, the decision as to whether or not to prosecute is left to state authorities regardless of the younger person's age. But hang on a minute! A fourteen- or fifteen-year-old can consent to sexual activity with a partner who is less than five years older than they.
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One week last spring, I met the matchmaker Jessica Fass in her temporary Tel Aviv office, a We Work location with hardwood floors, exposed mechanicals, wheat beer on tap, and Millennials talking about deliverables while eating salads at a communal lunch table.Fass, a Jewish matchmaker from Los Angeles, had descended on Israel—where she spent five years and which she considers to be a second home—to find suitable mates for her clients in major cities like New York, Los Angeles, Montreal, and Melbourne.
But how can you know if they're truly compatible with you?
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"I live in Charlotte, North Carolina, and there are not really many Jewish people here," says Laurie Berzack, a matchmaker since 2006 with Chai Expectations.
Shortly after starting her business, Berzack realized that she would have to expand her network, cobbling together a series of small Jewish populations in places like Atlanta and Raleigh.She has a confessional nature, an efficient, straight-A-student upbeat vibe, and plans to build her business—called Fass Pass to Love—into a matchmaking empire.Fass started her matchmaking business as a hobby, but has been working at it full-time since 2013.The perfect match for you could be living round the corner - you just haven't had the chance to meet them yet.Online dating has helped introduce thousands of compatible singles."After three mitzvahs, you're guaranteed a place in heaven," Fass said. And a lot of the Jews I meet have been to all of the singles events in their city, and their mother has set them up.


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Independence closes two recycling centers due to overflowing bins and flying trash
INDEPENDENCE, Mo. — Independence is shutting down two of its recycling centers due to 'blowing debris' and overflowing containers.
Those problems prompted the city to end its contract with Midwest Recycling Centers. The closure includes the Vista Avenue Recycling Center, 875 Vista Avenue, and the 35th Street Recycling Center, 13600 E. 35th Street. The centers were set up at a time when few private trash haulers offered curbside recycling. The city will continue to operate the drop-off depot on Vista Avenue on the second Saturday of each month, beginning March 11. Accepted items include household waste, bulky items (furniture, carpet, etc.), brush, tires and appliances.
"In recent months the city recycling centers have become unmanageable and are contributing to the litter problems in our neighborhoods and commercial corridors," stated Mayor Eileen Weir in a news release. "Improving the appearance of our city is a key goal outlined in the five-year Strategic Plan, and the Council has determined that the convenience of the recycling centers is outweighed by the amount of litter these centers generate around town. We encourage citizens to continue to recycle and utilize the private options that are readily available. Closure of the public recycling centers is one of several steps the Council is considering to reduce litter and meet our community's expectations for a clean city."
Five of the private trash haulers licensed for residential trash service in Independence offer recycling pickup for their customers, either free or for a small additional monthly fee.
The centers close on Friday, March 31.


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Benefits of Choosing Online Lenders
If you are a real estate investor and you need a private lender providing the fix and flip the bridge financing and ground up construction loan this is the right company. With the fix and flip loan amounts to 90% of the rehab cost of the sales and the small commercial properties and the renovation and the 90%v of the purchase. When you need the ground construction financing with the company, you will have 100% of the construction cost of the residential, multifamily and the small commercial properties. Get the quick acquisition of the short term financing for the properties that are not noticeable through the conventional loans until repairs are completed.
There are many benefits of working with the company because they are the direct lenders because the loans are made quickly and efficiently with the limited documentation. Feel good to lend money with the lender s who will offer the pre-construction advance and give you the 1/3 of the whole budget before any work has commenced. When you need the whole amount of money for the whole construction without getting your money from the pocket, then the company will offer.
The funding company releases construction draw within the 3-4 business days upon the request thus preventing the construction delay. If you are looking for the lending company and you choose the one that takes longer to reimburse the construction loans it will give you the inconveniences something that you do not want. Unlike the other lending company, the lenders do not have any hidden charges like the processing fees and the fund control fees.
The lending company save a lot of amount of money because you will not be charged with the unreleased construction funds but ion the advanced funds. Get the construction loans from the company for the quick draw process thus saving the borrower time and the overall cost. If you are in need a loan you need this company that can close within the 7-10days with the pre-closing appraisal.
The lenders do not have the pre-payment penalty and they only require the two months of interest with their loan program. Apply now using the online loan application page form where you are and get the quick money, and within the few minutes you will get the detailed loan proposal within the few hours. Get the quick loan after you have submitted all the document, signed and ready to fund and close your loan. If you need the flip and fix, ground up construction loan or the bridge financing then these are the trusted lenders wherever you are.
Case Study: My Experience With Businesses