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Building Self- Confidence – Tips for Nurses
Even before you became a nurse, from the time when you just started studying, building self-confidence was already encouraged by your teachers and mentors and even by your parents. This is because confidence helps an individual achieve his goals and dreams in life. Self-doubt will usually lead you to many failures. It won't make you progressive, it won't reward you anything or worse, it will make your life miserable.
If you want to work as a nurse, make sure that you have bucketful of self-confidence within yourself when choose to pursue this career.
Self confidence makes a difference
– you can speak up when you're unfairly treated
– you can efficiently and effectively deliver your work
– you can work with other teams efficiently
– you strive for positive changes
– you are more enthusiastic and happy
– you can easily tackle life's challenges.
"But it's hard… I find it really hard to build self confidence."
Well, I think you just can't accept to yourself that you are being challenged because building self-confidence when you're not a confident person is a BIG challenge to you. You're not used into challenges that is why.
Slowly building your self-confidence
- First, you need to acknowledge that you are weak and then try to slowly practice trusting yourself.
- Try to remove self-doubt in your everyday life and encourage yourself to talk more with people around you, but not to the point that you're invading someone's privacy. Yes, I'm talking about being a chatter here, practice often and eventually you'll get used to it until it becomes a habit.
- Aside from engaging into small talks, try to practice listening too.
- Curiosity and participation can also help boosts your self-confidence, so try to be more engaged to different nursing activities.
- Get out from your comfort zone and try to accept new challenges in your life. Don't always say no to unusual things but rather say YES, I accept! Once you accept new challenges in life, you are learning something new.
I hope that this simple guide will help you in building your self confidence. Although we have our own different ways of building confidence, the most important thing is that you're making a move now into making yourself a better person, a better nurse in the society.…


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Seguin, Eriksson highlight 7-player deal
Updated: July 4, 2013, 8:32 PM ETAssociated Press
DALLAS -- Tyler Seguin is headed to the Dallas Stars in a trade less than a week after Boston's general manager criticized the former No. 2 overall pick as needing to be a "better pro."
Seguin was sent to the Stars on Thursday in a seven-player deal also highlighted by steady forward Loui Eriksson joining the Eastern Conference-champion Bruins.
Dallas got forward Rich Peverley and defenseman Ryan Button, while the Bruins acquired forwards Matt Fraser and Reilly Smith, and defenseman ...
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Yanni – Enchantment (Angel-A)| play
Oct 4, 2014 at 9:40 am via YouTube | AMAZON | ITUNES
Yanni – Enchantment (Angel-A)| play
Oct 4, 2014 at 9:33 am via YouTube | AMAZON | ITUNES
lightblu #angel "♥" ~~~~~~>>>>@JoanieBeachMusic ~ you are a good person too "♥"
Aug 20, 2014 at 2:44 pm via YouTube • reply to JoanieBeachMusic
lightblu you are my #angel✫♥´¯`•.¸¸✫ღ´¯`•.¸¸✫♥ღ☄
Jul 21, 2014 at 7:38 pm via YouTube | AMAZON | ITUNES
matoart #Angel""treasure ""this at least sounds, and the other not #unavailable for a longtime! hugs and kisses..for you!!!;)))@GGDANCE
Pink Floyd – Dark Side of the Moon| play
May 3, 2014 at 7:38 pm via YouTube | AMAZON | ITUNES
HawkNoize @MrsASoprano: "Back at ya ~ NO #Angel @ncvibes @Snuffpuppy@JacoLovesMusic" (reblip)
MrsASoprano Back at ya ~ #Angel @HawkNoize @ncvibes @Snuffpuppy@JacoLovesMusic
Apr 21, 2014 at 8:54 am via YouTube • reply to HawkNoize
Clair_de_Lune Me too! Thanks for being honest you"re an #Angel @lightblu: "hi GF@Miss_Philosophy yes i beleive in good and that it prevails if we are good <3" (reblip)
matoart olá #angel ;))TYVM warm hugs@JoanieBeachMusic: "@matoart: "treasure you are very "," lovable "," not props; ...;)@mrrodd: "YMW {{@matoart}}" (reblip)
Sinead O'Connor – Angel| play
Dec 3, 2013 at 7:15 pm via YouTube | AMAZON | ITUNES


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Hey guys. Wondering if anybody has any ideas.
It has been showing me with some real high spikes in speed at the beginning of a ride from my garage. Id like to say i had it up to 37mph out the gate, but im riding flat ground and i certainly did not.
Thought maybe the jump from wifi to 3G on the iPhone caused it, but tried disabling wifithe fire this ride and it still happened. never seem to have any signal issues around here.
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Galaxy Note 8.0
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Scott Darling and his father commemorated the Hawks 2015 Stanley Cup win with... See Full Gallery »
Thousands gather to cheer on the Blackhawks at a rally at Soldier Field. See Full Gallery »
The Blackhawks took back the Stanley Cup Monday night in Chicago, but the player... See Full Gallery »
Relive some of the epic on-ice moments from the Blackhawks Stanley Cup victory. See Full Gallery »
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The Stanley Cup playoffs between Los Angeles and the New York Rangers were the second-most watched NHL postseason since NBC and NBCSN began exclusive coverage in 2006. Read »


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July 25, 2013
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Is there a link somewhere to this trick? What is the effect etc.Originally posted by Sandy Singer:
Raymond Cooper ...the name of his 'new' trick, NO STRINGS ATTACHED...
Yes! Forget about all those child molesters, terrorists and jay walkers! Let's put magicOriginally posted by Sandy Singer:
Raymond Cooper should be behind bars--the name of his 'new' trick, NO STRINGS ATTACHED,
[Emphasis mine]Originally posted by Dave Le Fevre:
In this case, the advert is selling an effect to a performer. If the description of the effect said that no strings, IT, etc were attached, then that'd be false.
But the TITLE OF THE EFFECT, well, he could have called it what he wanted. I bought Scott Guinn's Peanut Butter and Jelly routine. Would I be entitled to complain that the effect used neither peanut butter not jam (as we call jelly over here)? - obviously not.
DustinOriginally posted by DustinStinett:
Frankly, Mrgoat, your "example" isn't a compelling one at all. If someone really was selling something called "This Doesn't Use a Folding Coin" I would probably ask, "okay, does it bend in some way?" or "is the bottle gaffed or the coin?"
[snip list of tricks]
I'm done now. Go ahead and flame away--but keep it civil.
And I am of the opinion that names and titles are far more open to subjectivity than are descriptions. Hence names like "Invisible Deck" and "Rabbit Explosion" (this last one in particular: Yick!)Originally posted by David Regal:
When describing an effect as seen by a spectator, we are placing ourselves in a subjective mode.
What a great link! I anticipated it, but it still made me laugh out loud.Originally posted by Randy Campbell:
[b]Tempest in a Teapot .


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Study: One billion people at risk of blindness by 2050
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Notlob Parlor ConcertsRead MoreStart a night out with your friends right at the terrific theater at Boston's Notlob Parlor Concerts. Whether you're looking for a quick snack or a full meal, the restaurant at this club is sure to dish out something delicious. If crowds aren't your thing, it's best to visit Notlob Parlor Concerts during the slower weekday hours. Parking is plentiful, so guests can feel free to bring their vehicles.12 South StreetBoston, MA US
Brookline DentalRead MoreCostumes and actors and plays, oh my! Brookline After School Program offers engaging theater for you and everyone you know in Brookline. Parking is plentiful, so visitors can feel free to bring their vehicles.55 Route 13Brookline, NH US
Lizard LoungeRead MoreLizard Lounge serves tasty American-style cuisine. It's best to save your lighter eating habits for another day, though, as low-fat is not featured on the menu here. Drinks here are readily available, so you can enjoy a glass of red or try something new. Parents, bring your kids along to Lizard Lounge, where you'll find a family-friendly menu and ambience. Round up the whole gang and reserve the private room at Lizard Lounge — it's the perfect spot for a big party to gather and celebrate. Enjoy live music with your food and drinks at Lizard Lounge as well. The crowds come out in force on Fridays and Saturdays, so don't neglect to make a reservation ahead of time. Lizard Lounge tosses the jacket-and-tie dress code convention in favor of a more casual dining experience. Lizard Lounge prides itself in its delicious catering. Or, take your food to go. Drivers will embrace the number of street and lot parking choices close to Lizard Lounge. If you don't want a night that will cost you an arm and a leg but you do want a delicious meal, come to Lizard Lounge. Stop by for breakfast, lunch, or dinner — Lizard Lounge serves up all three meals.1667 Massachusetts AvenueCambridge, MA US
Western FrontRead MoreVisit Western Front for some true American comfort food smack dab in the middle of Cambridge's Riverside. Dance the night away to Western Front's live music. The restaurant fills up on the weekends, so keep that in mind before heading out. Score free parking at the lot adjacent to Western Front. Thrifty diners will love the reasonable prices here as well, with a meal usually costing less than $15. Stop what you're doing and pay a visit to Western Front's restaurant today. For highly-rated American cuisine, look no further than Western Front.343 Western AvenueCambridge, MA US
XmortisRead MoreCome and see the theatrical offerings at Xmortis in Cambridge. Wandering souls would be best to visit this club for any one of their A+ dishes. Xmortis is fully loaded with TVs for your viewing pleasure. It's easy to get down and dance at Xmortis when there's a live DJ spinning the best beats. Prepare to face the crowds if you visit on the weekend — Friday and Saturday are Xmortis' busiest days. Parking is plentiful, so visitors can feel free to bring their vehicles.420 Huntington AvenueBoston, MA US
T.T. the Bear's PlaceRead MoreFor a good time, head to TT the Bears for a couple beers with friends. Being a fan is serious business; don't miss a minute of your team's game. If dancing is on the menu, the bar also features live bands and an open floor. The music and crowds can create quite a racket at TT the Bears — noise levels can reach the upper registers. Weekends are busy at the bar, so be prepared for longer wait times. Drive to TT the Bears and find parking in the area.10 Brookline StreetCambridge, MA US


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When the crown jewels of Belgravia are stolen, Secret Agent X-9 (Scott Kolk) is sent to investigate. With the help of Shara Graustark (serial icon Jean Rogers) our hero soon discovers this to be no ordinary heist but the work of a mysterious master criminal known only as Blackstone. Bonus Features: Actor Biographies| Chapter Menu| Bonus Serial Trailers. Specs: 1-DVD9 + 1-DVD5; Dolby Digital Mono; 240 minutes; Color; 1.33:1 Aspect Ratio; MPAA - NR; Year - 1937; SRP - $19.99.
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If you like pulps and old B&W movie serials you will enjoy this. Not the best one every made but watchable.Published 23 days ago by Amazon Customer
Totally boring. Stopped watching it after several chapters.Published 7 months ago by Jay D. Finglass
Excellent Product, Excellent Price And Excellent Delivery.Published 10 months ago by CRAIG W GUNDERSEN
As serials go one of the better ones.Story excellent would definitely recommend to others hope this title stays in circulationPublished 23 months ago by Ira Kaplan
His acting doesn't have enough presence for this. You need more of your typical lead man in this role. Either his portrayal or his character is too unlikeable and annoying. Read morePublished on April 19, 2013 by choirboyme
Anyone who knows this type of film knows that they were made on the cheap---"B" minus, minus movie status. Read morePublished on February 9, 2013 by sonny4all
One of the best serials put onto dvd. The resolution and sound were of high quality acting great. A thoroughly good time.Published on April 17, 2009 by John D.


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Fri, Apr. 24, 11:33 AM
- The pizza and donut rally is still on a day after Domino's Pizza (DPZ +3.4%) and Dunkin' Brands (DNKN +5.6%) dazzled with their Q1 reports.
- While Dunkin' received the extra jolt of inclusion in the S&P 400, both stocks are being identified by retail analysts as benefiting from shifting consumer trends toward on-the-go and mobile.
- Krispy Kreme Doughnuts (KKD +2.9%), Rave Restaurant Group (RAVE +11.3%), and Papa Murphy's (FRSH +1.4%) are catching some sympathy bids as well.
- Previously: Sizzling comps at Domino's Pizza in Q1 (Apr. 23 2015)
- Previously: Dunkin' Brands +7% after earnings beat and guidance lift (Apr. 23 2015)
- Previously: DNKN +2.3% on S&P 400 addition; WD +3.1% on S&P 600 addition (Apr. 23 2015)
Wed, Mar. 11, 5:36 PM
Wed, Mar. 11, 4:29 PM
- Krispy Kreme (NYSE:KKD) hit double-digit revenue growth amid a store expansion phase.
- Comparable-store sales: Domestic stores +3.6%, international stores -2.6% (ex-currency).
- A stricter stance on promotions helped the company boost operating margins during the quarter.
- Total store count +53 to 709 Q/Q.
- Previously: Krispy Kreme Doughnuts EPS in-line, misses on revenue
- KKD -5.5% after hours.
Wed, Mar. 11, 4:04 PM
- Krispy Kreme Doughnuts (NYSE:KKD): Q4 EPS of $0.17 in-line.
- Revenue of $125.4M (+11.2% Y/Y) misses by $1.38M.
- Press Release
Tue, Mar. 10, 5:35 PM
Sat, Mar. 7, 10:13 AM
- A powerhouse quarter of improved comps and widened margins is in the books for the restaurant industry as investors look forward to see if the trend extends.
- The industry is in a growth phase with eating and drinking establishments adding 58.7K jobs in February on a seasonally adjusted basis to mark the biggest monthly gain since December of 2012.
- The early read on Q1 traffic is favorable (ex-weather), although chains could see some wage inflation pressure and innovation outlays with differentiated concepts popping up at Habit Restaurants (NASDAQ:HABT), Zoe's Kitchen (NYSE:ZOES), Shake Shack (NYSE:SHAK), and a host of others.
- Major digital initiatives at chains such as Panera Bread (NASDAQ:PNRA) and Starbucks (NASDAQ:SBUX) also have the potential to be disruptive.
- A few screens to pick through the restaurant stock menu are listed below.
- Lowest forward P/E ratio: McDonald's (NYSE:MCD), Ruth's Hospitality (NASDAQ:RUTH), and Cracker Barrel (NASDAQ:CBRL).
- Lowest price/free cash flow ratio: Ruby Tuesday (NYSE:RT), Nathan's (NASDAQ:NATH), Jack in the Box (NASDAQ:JACK).
- Dividend yield +3%: DineEquity (NYSE:DIN), Darden Restaurants (NYSE:DRI), McDonald's, and Arcos Dorados (NYSE:ARCO).
- Top YTD performers: Jack in the Box (JACK), Wendy's (NASDAQ:WEN), Sonic (NASDAQ:SONC), El Pollo LoCo (NASDAQ:LOCO).
- PEG ratio below 2.00: Chuy's Holdings (NASDAQ:CHUY), Ruth's Hospitality, Krispy Kreme Donuts (NYSE:KKD), Cheesecake Factory (NASDAQ:CAKE), Brinker International (NYSE:EAT), Denny's (NASDAQ:DENN), Buffalo Wild Wings (NASDAQ:BWLD).
- Short ratio below 2%: Yum Brands (NYSE:YUM), Jack in the Box (JACK), Chipotle (NYSE:CMG), DineEquity, Bloomin' Brands (NASDAQ:BLMN), Denny's (DENN), McDonald's (MCD).
- Previously: Restaurant stocks continue hot streak (Feb. 24)
Tue, Feb. 24, 10:53 AM
- Restaurant stocks are out-performing market averages again as more chains report improved comparable-restaurant sales growth.
- The read on Q1 is that pricing and traffic trends are strong, despite what some broad measures of overall consumer confidence show.
- The $2 gas benefit is believed by analysts to have had a greater impact on restaurant spending than other areas of retail.
- Gainers include Luby's (LUB +4.9%), Cosi (COSI +5.4%), Rave Restaurant Group (RAVE +4.5%), Texas Roadhouse (TXRH +2.4%), Krispy Kreme Dougnuts (KKD +2.8%), Popeyes Louisian Kitchen (PLKI +1.7%), Bob Evans Farms (BOBE +1.1%), Darden Restaurants (DRI +1.4%).
- Even McDonald's (MCD +0.8%), which trailed the Q4 comp average in the sector by a wide margin, is out ahead of the S&P 500.
- Previously: Cracker Barrel +4.1% after traffic accelerates and guidance lifted
Wed, Feb. 18, 11:17 AM
- Krispy Kreme (KKD +0.7%) canceled a planned promotion at a branch in the U.K. due to an ill-advised naming of the event.
- KKK Wednesday was scrapped after complaints arose almost immediately after advertising started.
- The company issued a strong apology and promised a thorough investigation over the matter.
Thu, Feb. 12, 9:43 AM
- The read on retail sales in the U.S. isn't nearly as bad as the headline -0.8% M/M drop for January.
- Retail sales were up 3.3% compared to a year ago with a few sectors showing strong growth.
- Restaurant sales +11.3% Y/Y: The strong read follows up on a positive report from Black Box Intelligence on the sector. CAKE, CBRL, CMG, DPZ, DRI, EAT, JACK, PNRA, RRGB, RT, SBUX, SONC, WEN, BWLD, BDL, NATH, LUB, CHUY, BLMN, PZZA, TXRH, DENN, KKD, BBRG, DFRG, BOBE, RUTH, IRG, DIN, HABT, NDLS, PLKI, LOCO, YUM, KKD, TAST, GTIM, FRSH, COSI, FRS, PBPB, FRGI, QSR, CBRL, BLMN, ZOES.
- Sporting goods +8.0% Y/Y: DKS, BGFV, CAB, HIBB, SPWH.
- Building material and garden +6.9% Y/Y: A favorable weather compare came to the aid of this category. HD, LOW, LL.
- Health and personal care +6.6% Y/Y: Online channels have contributed for companies selling beauty and health items. ULTA, SBH, CVS, WBA, RAD.
Wed, Feb. 11, 10:37 AM
- Chain restaurants recorded their strongest pace of same-store sales in six years during January at 6.1%, according to data from Black Box Intelligence.
- An easier weather compare, $2 gas, and a more stable economic backdrop were factors.
- Traffic was up 2.4% during the month.
- The sales lift was delivered without much help from McDonald's which saw a marginal +0.4% comp gain.
- Comp sales in the Midwest improved 11.2% after the region had a much easier time with weather during January than a year ago.
- Chains with a large focus in the Midwest include Steak 'n Shake (NYSE:BH), Jimmy John's, Culvers, and Bob Evans (NASDAQ:BOBE).
- Restaurant stocks: CAKE, CBRL, CMG, DPZ, DRI, EAT, JACK, PNRA, RRGB, RT, SBUX, SONC, WEN, BWLD, BDL, NATH, LUB, CHUY, BLMN, PZZA, TXRH, DENN, KKD, BBRG, DFRG, BOBE, RUTH, IRG, DIN, HABT, NDLS, PLKI, LOCO, YUM, KKD, TAST, GTIM, FRSH, COSI, FRS, PBPB, FRGI, QSR, CBRL, BLMN, ZOES.
Fri, Jan. 23, 11:25 AM
- Analysts note McDonald's is not a bellwether stock for the restaurant industry anymore as the sector has many more names putting in gains today than losses despite the poor sales report from the Golden Arches.
- The quick (and perhaps obvious) take from within the sector is that chains sticking with a simple laser-focused message are winning out. Chipotle, Wendy's, and Domino's all fit that description.
- The copycat approach of McDonald's (McCafe, wings, premium burgers) and Olive Garden (prior to Starboard) hasn't worked, while a measured pace to expansion in new markets has also paid off (Starbucks vs. KFC).
- Previously: Restaurant comps ignited off of $2 gas effect (Jan. 09 2015)
- Previously: $2 gas little help to McDonald's in Q4 (Jan. 23 2015)
- Restaurant stocks: CAKE, CBRL, CMG, DPZ, DRI, EAT, JACK, PNRA, RRGB, RT, SBUX, SONC, WEN, BWLD, BDL, NATH, LUB, CHUY, BLMN, PZZA, TXRH, DENN, KKD, BBRG, DFRG, BOBE, RUTH, IRG, DIN, HABT, NDLS, PLKI, LOCO, YUM, KKD, BOBE, TAST, GTIM, FRSH, COSI, FRS, PBPB, FRGI, QSR, CBRL, BLMN, MFRD, ZOES, MCD, YUM.
Thu, Jan. 22, 8:26 AM
- The largest fast food company in the Philippines is hungry for an U.S. acquisition, according to a regulatory filing.
- Jollibee, which has strong sales and organic growth rates in SE Asia, would like to target a QSR player with a market value of at least $1B to make its U.S. entry.
- Hedgeye advises that Krispy Kreme (NYSE:KKD), Wendy's (NASDAQ:WEN), Popeyes Louisiana Kitchen (NASDAQ:PLKI), Sonic (NASDAQ:SONC), and Jack in the Box (NASDAQ:JACK) are in play.
Mon, Jan. 12, 9:03 AM| Mon, Jan. 12, 9:03 AM | Comment!
Fri, Jan. 9, 1:38 PM
- Restaurant same-store sales in Q4 rose at the fastest pace in six years, according to Black Box Intelligence.
- Same-store sales were 3.1% during December to accelerate past the 1.6% rise seen in November.
- If the slump in Q1 is backed out, restaurant comps for the year were up 1.3% after being negative in 2013.
- BBI notes lower fuel costs for consumers is a major factor in the return to growth.
- Earlier this week: Sonic Dec. comps +8.5%.
- Restaurant stocks: CAKE, CBRL, CMG, DPZ, DRI, EAT, JACK, PNRA, RRGB, RT, SBUX, SONC, WEN, BWLD, BDL, NATH, LUB, CHUY, BLMN, PZZA, TXRH, DENN, KKD, BBRG, DFRG, BOBE, RUTH, IRG, DIN, HABT, NDLS, PLKI, LOCO, YUM, KKD, BOBE, TAST, GTIM, FRSH, COSI, FRS, PBPB, FRGI, QSR, CBRL, BLMN, MFRD, ZOES, MCD, YUM.
Fri, Jan. 9, 8:35 AM
- The House passed a bill to redefine a full-time worker under the Affordable Care Act to 40 hours a week from 30 hours.
- The legislation could impact millions of workers as companies adjust hours and employee policies around the issue.
- The measure was passed by a vote total of 252-172.
- Senate Majority Leader Mitch McConnell has indicated the bill will see a vote in his chamber.
- The White House has threatened to veto the bill on its view it will reduce the number of workers covered by healthcare.
- Most industry groups within the restaurant and food industry have issued support for the legislation.
- Related stocks: CAKE, CBRL, CMG, DNKN, DPZ, DRI, EAT, JACK, MCD, PNRA, RRGB, RT, SBUX, SONC, WEN, BWLD, BDL, NATH, LUB, QSR, CHUY, BLMN, PZZA, TXRH, DENN, KKD, BBRG, DFRG, BOBE, RUTH, IRG, DIN, CASY, IMKTA, SFS, KR, WMK, SVU, WFM, SWY, VLGEA, TFM,NGVC, BIG, ZU, TUES, WMT, PSMT, COST, TGT, DLTR, BURL, FDO, DG, FRED, WBA, RAD, CVS, HABT, NDLS, PBPB.
Dec. 31, 2014, 11:33 AM
- Consumer spending: More consumers say they are willing to trade-up to a traditional dining spot from fast-casual than trade-down to a fast-food option, according to Technomic. The revelation takes some of the steam away from the argument that lower gas prices will boost traffic at major fast-food chains.
- IPOs: Profitable 2014 launches by Zoes Kitchen (ZOES -0.2%) and Habit Burger (HABT -0.5%) could inspire other private chains to go public. Shake Stack (Pending:SHAK) got an early jump by filing this week for an IPO.
- Labor costs: Analysts see a risk to profitability in the sector from the wave of minimum wage laws set to go into effect over the next year. Some analysts think President Obama will push for federal legislation with the issue hard for election-minded Republicans to oppose strongly.
- Fast-casual pizza: A breakout of a fast-casual pizza concept is widely expected in 2015 (candidates).
- Chipotle: Another +30% run for the Mexican chain off of sizzling comps leaves it with limited upside, according to some analysts. Chipotle (CMG +0.8%) execs don't agree, noting during the Q3 earnings call (transcript) that enormous upside exists to maximize peak transactions per hour (350-400). Beef, cheese, and avocado pricing will be key for CMG next year as well.
- Restaurant stocks: CAKE, CBRL, DNKN, DPZ, DRI, EAT, JACK, MCD, PNRA, RRGB, RT, SBUX, SONC, WEN, BWLD, BDL, NATH, LUB, QSR, CHUY, BLMN, PZZA, TXRH, DENN, KKD, BBRG, DFRG, BOBE, RUTH, IRG, DIN.
KKD vs. ETF Alternatives
Company Description
Krispy Kreme Doughnuts Inc is a branded retailer and wholesaler of doughnuts, complementary beverages and treats and packaged sweets. The Companys shops are operated under the trademark doughnuts such as Krispy Kreme and Original Glazed.
Sector: Services
Industry: Restaurants
Country: United States
Other News & PR
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Ecclesfield - Parson Cross - Southey Green - Wadsley Bridge - Owlerton - Sheffield - Woodseats - Meadowhead - Lowedges - Bradway
From Sunday 1 November 2015New services 7, 7a, 8 and 8a will be introduced as part of the Sheffield Bus Partnership.Services 7 & 7a - will replace service 123 between Crystal Peaks and Sheffield and service 53 between Sheffield and Ecclesfield.Services 8 & 8a - will replace service 44 between Crystal Peaks and Sheffield and service 53 between Sheffield and Parsons Cross.
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Jun 29, 2012
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text: Featured comments + Add comment Comments (52) Featured League_of_Draven "They don't have to show anyone anything. Everybody already knows Fallout 4 will be buggy as shit just like Skyrim. I'd only be surprised if it's not as glitchy as Skyrim and even then I still wouldn't waste money on that garbage. " 1002d ago HammadTheBeast "Yeah it is, and the gameplay on the OLED screen is amazing. Also, was I the only one who got excited when I read it as "Sony Patents Wipeout Rebirth and Fallout 4"? " 1001d ago Revolver_X_ "While I have experienced bugs in Fallout 3, NV, and Skyrim, they were never gamebreaking for me. The occasional freeze every now and then, small things. Never enough to make me pout like a child on N4G. While Skyrim does lack the interesting story and becomes blah 30..." 1001d ago


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A Woman Who Trusts God: Finding the Peace You Long For
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With empathy and wit, Debbie Alsdorf uses the book of Philippians to encourage women to lean on God, to live one day at a time, to rejoice and not to worry, and to give thanks to God in all circumstances of life. The confidence and peace readers will gain from the perspective presented in this loving book will help them live fully in the moment, in every season of life.
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Whether our meantime lasts a day, a month, or a year, Alsdorf reminds us of what is easy to forget under pressure: God is faithful. She is committed to teaching us how to deal effectively with hardships and not allow them to blur our focus, weaken our faith, or rob us of the joy God intended for us. Captivated by Gods promise of a "peace that passes all human comprehension" (Phil. 4:7), even in the midst of our trouble, Alsdorf takes her readers on a step-by-step journey through Paul's epistle to the church in Philippi. As an author, counselor, and director of women's ministries for more than 25 years, Alsdorf comes well qualified to present the book of Philippians clearly, while providing her readers the opportunity to make God's truths their own. The study guide and discussion questions she supplies see to that.
Alsdorf has learned firsthand that a deeper walk with Christ not only strengthens us, but offers us hope when all seems lost. Scripture provides the solid foundation we need when the rug is pulled out, and as we learn to cultivate the discipline of walking in biblical truth we are able to prepare ourselves for the challenges ahead.
One of the strengths of Alsdorf's book is its reminder not to waste our meantime or wish it away too quickly. God's desire is to teach us a thing or two as He walks us through the fire. Alsdorf's balanced use of Scripture, personal illustrations, and practical applications make A Woman Who Trusts God a useful tool for the woman who is looking to do just that. Ann Sullivan, www.ChristianBookPreviews.com
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LCR is a UK Government-owned company that specialises in the management, development and disposal of property assets within a railway context and, in particular, property assets associated with major infrastructure projects.
LCR is a limited liability company that is wholly owned by the Department for Transport (DfT).
On 30 September 2013, LCR took over properties held and managed by the BRB (Residuary) Ltd (BRBR) prior to it being wound up. BRBR was created in 2001 to manage the majority of the remaining properties, rights and liabilities of the British Railways Board.
24 Sep2015
The Mayfield Partnership comprising LCR, Manchester City Council and Transport for Greater Manchester is today commencing the search for a development partner to transform the Mayfield Quarter in Manchester.
15 Sep2015
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Registered in England and Wales, company number 02966054 at the above address.


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Student-faculty research produces Web portal on urbanatural interrelationships.
At Dickinson's College Farm, plant and animal waste is turned into biogas.
How does climate change affect lake ecology? Max Egener '16 and Assistant Professor of Environmental Studies Kristin Strock are investigating.
Dickinson is once again among the Top 10 energy-conserving colleges in the nation.
John Dickinson Scholar, Baird Fellow and Spanish and environmental-studies major Caryn Sennett '15 discusses the professors, classes and experiences that have molded her.
For the sixth-consecutive year, Dickinson is recognized as the Centennial Conference's largest green-power user.
Speakers and events celebrate Earth Day by shining a light on faith and sustainability.
Just in time for Earth Day, Dickinson is named one of the most environmentally responsible colleges in the nation.


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KABUL, Afghanistan (AP) — Afghan President Ashraf Ghani has appointed a team of investigators to look into the circumstances leading to the Taliban's brief capture of the northern city of Kunduz as well as a U.S. airstrike that destroyed a hospital and killed at least 22 people there, his office said Saturday.
EAST HAMPSTEAD, N.H. (AP) — Despite his single-digit poll numbers and the dominance of another tough-talking candidate, Chris Christie is hearing a clear message from influential Republicans in the early voting states of New Hampshire and Iowa: Keep going.
At least 86 people were killed Saturday when two explosions ripped through groups of leftist and pro-Kurdish activists gathering for an anti-government peace rally in the Turkish capital Ankara. The attack, near Ankara's main train station, was the deadliest in the city's history and has ratcheted up tensions ahead of Turkey's November 1 snap elections, which were already riding high amid the government's offensive on Kurdish militants. Sixty-two people died at the scene of the blasts and 24 more then succumbed to their wounds in hospital, Health Minister Mehmet Muezzinoglu told reporters in Ankara.


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Displaying 11 - 15 of 15 Records.
Shores, Jaimie Troyal, M.D.
Assistant Professor of Plastic and Reconstructive Surgery
Assistant Professor of Orthopaedic Surgery
Clinical Director, Hand/Arm Transplant Program, Johns Hopkins Comprehensive Transplant Center
Assistant Professor of Orthopaedic Surgery
Clinical Director, Hand/Arm Transplant Program, Johns Hopkins Comprehensive Transplant Center
Appointment Phone: 443-997-9466
Main Location: Johns Hopkins Bayview Medical Center
Expertise, Disease and Conditions: Arthritis, Arthritis of the Fingers, Arthritis of the Hand, Brachial Plexus Injuries, Carpal Tunnel Syndrome, Congenital Hand Anomalies, Cubital Tunnel Syndrome, Distal Radius Fracture, Dupuytren's Contracture, Hand and Peripheral Nerve Conditions, Hand Fractures, Hand Reconstruction, Hand Surgery, Hand Transplant, Limb Salvage Surgery, Microsurgery/Microsurgical Reconstruction, Microvascular Free Flap Surgery, Microvascular Reconstruction, Peripheral Nerve Repair and Reconstruction, Plastic Surgery, Polydactyly (extra fingers), Reconstruction of the Limbs and Trunk, Soft Tissue and Tendon Injuries of the Hand and Fingers, Syndactyly-Webbed Fingers, Tendinitis of the Hand, Fingers, and Wrist, Trigger Finger, Upper Extremity Reconstruction, Wrist Fracture
Sponseller, Paul David, M.D.
Professor of Orthopaedic Surgery
Professor of Urology
Chief, Division of Pediatric Orthopaedics
Riley Professor of Orthopaedic Surgery
Professor of Urology
Chief, Division of Pediatric Orthopaedics
Riley Professor of Orthopaedic Surgery
Appointment Phone: 443-997-2663
Main Location: Johns Hopkins Outpatient Center
Expertise, Disease and Conditions: Blount's Disease, Cerebral Palsy, Charcot Marie Tooth Disease, Clubfeet, Fractures, Hip Dislocations, Hip Dysplasia, Kyphosis, Leg Length Inequality, Marfan Syndrome, Orthopaedic Surgery, Orthopaedics, Osteogenesis Imperfecta, Osteomyelitis, Pediatric Spinal Deformity, Scoliosis, Spina Bifida, Spondylolisthesis, Spondyloysis
Srikumaran, Umasuthan, M.D.
Assistant Professor of Orthopaedic Surgery
Director, Johns Hopkins Orthopaedic Surgery at Howard County
Director, Shoulder Fellowship
Director, Johns Hopkins Orthopaedic Surgery at Howard County
Director, Shoulder Fellowship
Appointment Phone: 443-546-1550
Main Location: Johns Hopkins Healthcare - Columbia
Expertise, Disease and Conditions: Arthritis, Arthritis of the Shoulder, Arthroscopic Rotator Cuff Repair, Arthroscopic Surgery, Baseball Injuries, Bone Disorders, Bone Surgery, Bones, Fractures, Joint Diseases, Joint Pain, Joint Surgery, Minimally Invasive Surgery, Orthopaedic Surgery, Orthopaedics, Rotator Cuff Injuries, Shoulder Arthritis/Replacement, Shoulder Disorders, Shoulder Disorders-Arthritis, Shoulder Fractures, Shoulder Instability Stabilization Surgery, Shoulder Joint Dislocations, Shoulder Labral Tear, Shoulder Replacement, Shoulder Surgery, Shoulder Ultrasound, Sports Injuries, Sports Injuries to the Shoulder, Sports Medicine, Tendon Surgery, Torn Cartilage, Total Joint Replacement, Upper Extremity, Upper Extremity Surgery
Valaik, Daniel J, M.D.
Assistant Professor of Orthopaedic Surgery
Orthopaedic Surgeon
Orthopaedic Surgeon
Appointment Phone: 301-530-3220
Main Location: Johns Hopkins Health Care and Surgery Center
Expertise, Disease and Conditions: Arthritis of the Knee (Knee Injection), Avascular Necrosis (AVN) of the Hip, Avascular Necrosis (AVN) of the Knee, Core Decompression for Avascular Necrosis of the Hip, Degenerative Joint Disease (Osteoarthritis of the Hip), Femoral Fractures, Femoral-Acetabular Impingement (FAI), Femur Fracture Fixation, High Tibial Osteotomy, Hip Bursitis, Hip Dislocations, Hip Fractures, Inflammatory Arthritis of the Hip, Joint Injection: Hip, Knee Arthritis, Knee Joint Arthroscopy, Kneecap (Prepatellar) Bursitis, Lateral Release and Medial Imbrication, Loose Body Removal (Knee), Meniscus Tears, Microfracture Drilling Procedure for Isolated Chondral Defect, Muscle Strain Injuries of the Hip, OATS Cartilage Repair Surgery, Osteochondritis Dissecans of the Knee, Partial Hip Resurfacing, Partial Knee Replacement, Partial Meniscectomy, Patella Tendon Rupture, Patellar Fracture (Broken Kneecap), Patellar Tendonitis (Jumpers Knee), Patellar Tracking Disorder, Patellofemoral Pain Syndrome (Runners Knee), Quadriceps Tendon Rupture, Revision Hip Surgery, Revision Knee Surgery, Revision Knee with Tibial Tubercle Osteotomy, Septic Arthritis of the Knee, Supracondylar Femoral Fracture, Tear - Anterior Cruciate Ligament (ACL), Tear - Posterior Cruciate Ligament (PCL), Tibial Fracture, Tibial Osteotomy, Tibial Pateau Fracture, Tibial Tubercle Osteotomy, Total Hip Replacement, Total Hip Resurfacing, Total Knee Replacement
Varghese, Ranjit Abraham, M.B.B.S.
Assistant Professor of Orthopaedic Surgery
Appointment Phone: 443-997-2663
Main Location: Johns Hopkins Medicine - Howard County
Expertise, Disease and Conditions: Angular Deformity Legs, Arthrogryposis, Bone Fractures, Cerebral Palsy, Clubfeet, Congenital Foot Disorders, Foot Deformities, Hip Dysplasia, Neuromuscular Disorders, Orthopaedic Surgery, Pediatric Foot Care, Perthes Disease


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Chinese Laundry announces May headliners
By Andrew Wowk 11th Apr, 2013
Future Music Festival @ Rundle Park, Adelaide (09/03/08) #3
By James Corbett 16th Mar, 2008
When I saw that Eddie Halliwell was on the bill for Future Music Festival this year, I was excited to say the least. I didn't care who else was playing, I knew that no matter what, he would impress!
DJ sets from Future Music Festival's Area 21 now on ITM
By Tim Hardaker 16th Mar, 2008
Want to get a taste of what went down at Area 21 on the Future Music Festival tour earlier this month? Check out ITM-FM for th exclusive recordings!
Elite Force - Area 21 at Future Music Festival, Sydney
By Tim Hardaker 14th Mar, 2008
Simon Shackleton's Elite Force project began way back in 1996, debuting on his own newly founded Fused and Bruised label with a series of peerless 12s and remixes.
Future Music Festival @ Rundle Park, Adelaide (09/03/08) #2
By Briony Liebich 12th Mar, 2008
The Electric Circus/Rocket Bar Stage promised to offer the most diverse range of music of the day including disco, funk and indie dance featuring live acts who hailed mostly from the UK and Northern Europe.
Future Music Festival @ Rundle Park, Adelaide (09/03/08) #1
By Shane Scott 12th Mar, 2008
For its second foray into the hard-to-crack Adelaide market, Future Music had pulled out all the stops. Boasting arguably much bigger names than last year with the Chemical Brothers headlining and a venue that had been expanded greatly in size.
This week's free download from Future Music Festival headliner Elite Force
By Tim Hardaker 3rd Mar, 2008
We're now in the midst of the 2008 Future Music Festival tour, with Brisbane and Perth partaking in the madness last weekend, and Sydney, Melbourne and Adelaide still to go. To coincide we're giving you a free Elite Force mp3 for this week only!
ITM's special edition Future Music Festival podcast
By Tim Hardaker 29th Feb, 2008
How would you like the hear a selection of the latest tracks from Future Music Festival headliners Sven Vath, John Digweed, Roger Sanchez, Mark Knight and Elite Force? And how would you like it if it was all for FREE?
Mark Knight & Elite Force to play Area 21 sets at Future Music Festival
By Tim Hardaker 20th Feb, 2008
For the Future Music Festival you'll be able to catch both Toolroom record label head honcho Mark Knight and tech-funk mastermind Elite Force throughout the day, as well as top class locals.
Elite Force: Making hits for the tech-funk mafia
By Rachel Huber 19th Feb, 2008
Along with his musical compatriot Meat Katie, the UK's Elite Force is the reigning master of the tech funk, that widely-cast musical net where there are no rules. So he's happy to be called the Godfather? Don't bet on it.
Chemical Brothers announced for Adelaide's Future Music Festival!
By Angus Paterson 12th Dec, 2007
Were you feeling a little left out that one of the festival's biggest drawcards had been left off the Adelaide leg of the tour? Well fear no more because it's just been announced that the world's biggest dance act will in fact be playing!
Future Music Festival tickets on sale this Monday
By Angus Paterson 4th Dec, 2007
Following the announcement of Future Music Festival presales available on ITM earlier this week, we'd like to allay the concerns of any Brisbane punters who were trying to get their hands on some.


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Steeton Hall Gardens, Steeton, Keighley BD20 6SW
Owner: A Spellman
Person in charge: Jill Gartland (Manager)
Local Authority / Social Services: City of Bradford Metropolitan District Council (click for contact details)
Type of Service: Care Home with nursing – Privately Owned , 71 residents
Registered Care Categories*: Dementia • Old Age • Physical Disability
Specialist Care Categories: Alzheimer's
Single Rooms: 61
Shared Rooms: 5
Rooms with ensuite WC: 56
Weekly Charges Guide: Nursing Care Single £735 – £761 , Nursing Care Shared (per person) £650 – £700
Facilities & Services: Palliative Care • Respite Care • Convalescent Care • Physiotherapy • Separate EMI Unit • Own GP if required • Own Furniture if required • Pets by arrangement • Smoking not permitted • Close to Local shops • Near Public Transport • Minibus or other transport • Lift • Wheelchair access • Gardens for residents • Bar/Cafe on premises • Residents Kitchenette • Phone Point in own room/Mobile • Television point in own room • Residents Internet Access
Latest CQC* Report on Steeton Court Nursing Home: click here
*Care Quality Commission (CQC) is responsible for the registration and inspection of social care services in England.
There is currently no 'Review Score' for Steeton Court Nursing Home.
The reviews submitted to our site do not represent our views and we accept no responsibility or liability for any such reviews.
Please note that before 1st July 2015 carehome.co.uk only accepted Recommendations (positive only), and as of 1st July 2015 all of the Recommendations are referred to as Reviews, and along with all Reviews (positive and negative) submitted since the 1st July 2015 they are included in the calculation of the Review Score. For further information on our move from Recommendations to Reviews please click here.
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Our members produce Pride events around the world for people identifying as Lesbian, Gay, Bisexual, Transgender, Intersex (LGBTI) and/or other emerging sexual identities.
Our shared vision is a world where there is full cultural, social and legal equality for all.
Our mission is "empowering Pride organizations worldwide".
Read our InterPride 2015 Annual Report Here
Join Us in Las Vegas, Nevada, USA for the 2015 InterPride AGM & World Conference
For all details, including registration and conference information, please click here.
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Page 1
N. Ayache, S. Ourselin, A. Maeder (Eds.): MICCAI 2007, Part II, LNCS 4792, pp. 636–643, 2007.
© Springer-Verlag Berlin Heidelberg 2007
Rotational Roadmapping: A New Image-Based
Navigation Technique for the Interventional Room
Markus Kukuk1,2 and Sandy Napel2
1 Siemens Medical Solutions, Forchheim, Germany
2 Stanford University, Department of Radiology, USA
Abstract. For decades, conventional 2D-roadmaping has been the method of
choice for image-based guidewire navigation during endovascular procedures.
Only recently have 3D-roadmapping techniques become available that are
based on the acquisition and reconstruction of a 3D image of the vascular tree.
In this paper, we present a new image-based navigation technique called RoRo
(Rotational Roadmapping) that eliminates the guess-work inherent to the con-
ventional 2D method, but does not require a 3D image. Our preliminary clinical
results show that there are situations in which RoRo is preferred over the exist-
ing two methods, thus demonstrating potential for filling a clinical niche and
complementing the spectrum of available navigation tools.
1 Introduction
The number and breadth of minimally invasive, image-guided therapies is ever in-
creasing. Of particular interest are endovascular procedures, which allow minimally
invasive access to all areas of the human body through the vascular system as, for ex-
ample angioplasty, vascular stenting, embolization, chemoembolization, thrombolysis
and TIPS (Transjugular Intrahepatic Portosystemic Shunt). These procedures are typi-
cally performed in an interventional room using C-arm based X-ray imaging (see Fig.
1), together with the selective injection of contrast material for blood vessel opacifica-
tion. Common to all endovascular procedures is the navigation of a guidewire or
catheter through the vasculature to a target site. Depending on the degree of tortu-
ousity and structural complexity of the vascular tree, especially in diseased vascula-
ture, guidance (image- or sensor-based [1]) is often required for targeted steering.
Essentially unchanged from its first introduction in the early 1980s, a technique
called 2D-roadmapping [2] has long become clinical routine for image-based
guidewire navigation. The basic idea is to acquire an image of the vasculature of in-
terest and to store it as a "roadmap" image. Then, the guidewire or other instrument as
shown under live fluoroscopy is continuously superimposed onto the roadmap image,
thus visualizing the instrument with respect to the vasculature. For acquiring the
roadmap image, the interventionalist estimates how to position the C-arm for finding
a suitable working view, which is considered ideal if it shows the vessel bifurcation to
be negotiated perpendicular to the viewing direction, thus eliminating self occlusion.
However, the vessel tree is visible only after the injection of contrast media, which
Page 2
Rotational Roadmapping 637
Fig. 1. Left: C-arm system "Siemens Axiom Artis dTA" (top) and its table side controls (bot-
tom). Arrows indicate the C-arm joystick (left) and RoRo joystick (right). Right: RoRo screen,
consisting of three columns: (a) image panel, (b) alignment signal, (c) control panel.
may or may not reveal the desired viewing angle. During the course of a lengthy in-
tervention, the individual injections of contrast material, which is toxic in large doses,
can add up to a significant amount due to the trial-and-error nature of the approach.
Only recently, a new image-based navigation technique has been introduced: 3D-
roadmapping [3]. This technique is based on the acquisition and reconstruction of a
3D image (C-arm CT, CTA, MRA) of the vessel tree, which then serves as the road-
map image. CTA and MRA are acquired during an intra-venous contrast injection and
require registration with the C-arm system (2D/3D registration [4]). C-arm CT
images, acquired during a selective, intra-arterial injection during the procedure are
obtained from a rotational acquisition of projection images and the subsequent appli-
cation of a cone-beam reconstruction method [5]. Following a one-time calibration
step, one can correctly render an image of the 3D volume as would be "seen" by any
given C-arm configuration. In other words, roadmap images are available from any
angle, thus eliminating the guess-work in finding an ideal working view. In situations
where a 3D angiographic acquisition is routinely performed for diagnostic purposes,
3D-roadmapping appears to be the perfect navigation tool at no extra "cost" regarding
dose or contrast agent.
However, there are clinical situations in which a 3D acquisition for the purpose of
navigation is either not justified or technically challenging. The following represents a
list of situations that may cause reconstruction artifacts and may therefore result in
compromised image quality: cardiac and respiratory motion during acquisition, inho-
mogenous flow of contrast material due to cardiac pulsation, high velocity flow of
contrast material, photon starvation along the shoulder axis and in the presence of in-
dwelling metal such as coils and stents. Furthermore, image quality is directly related
to the number of acquired projections and therefore a function of volume of contrast
media injected.
In this paper we present a new image-based navigation technique that fits techni-
cally and clinically between the described 2D- and 3D roadmapping techniques:
Page 3
638 M. Kukuk and S. Napel
Rotational Roadmapping (RoRo). RoRo is based on a single rotational acquisition of
multiple views (2.5D-roadmapping). Because 3D reconstructions are not performed,
acquisitions of any length and any number of projections are possible. Instead, the
projections are directly used for roadmap navigation.
RoRo can be regarded as a natural extension of the conventional 2D roadmapping
technique, as it allows rotating the C-arm during contrast injection, instead of keeping
it stationary. Thus, more information is acquired per unit of contrast agent, producing
a "rotatable roadmap" that shows the vessel tree from multiple views. After the acqui-
sition, each projection of the rotatable roadmap can be selected to serve as a roadmap
image for classic 2D-roadmapping navigation. The same rotatable roadmap can be
used again and again to find the ideal working view for each segment of the vessel
tree, thus rendering the injection of additional contrast media unnecessary. Further-
more, the vessel trajectories can be viewed in 3D, using stereographic visualization
(3D glasses) using suitably selected pairs of views, separated by a small angle [6].
We have developed a research prototype that implements the RoRo approach, with
software and hardware fully integrated into a C-arm system (Axiom Artis dTA, dBA,
Siemens Medical Solutions) that can be controlled during an intervention from the pa-
tient table side (see Fig. 1). We present first clinical results that demonstrate RoRo's
potential for filling the gap between the existing methods.
2 Material and Methods
Although RoRo's principal idea is straightforward, several challenges need to be ad-
dressed in order to provide a solution that meets the high demands of clinical, intraop-
erative software: seamless workflow integration, accurate C-arm/image alignment and
vessel tree/instrument visualization.
2.1 Clinical Workflow
1. Image acquisition (not part of RoRo)
2. Image transfer to RoRo
3. RoRo Phase 1: Find (suitable) working view
4. RoRo Phase 2: Align C-arm with selected working view
5. RoRo Phase 3: Roadmapping (Instrument guidance using selected working view)
6. If a different working view is needed, return to RoRo Phase 1
Image acquisition consists of a conventional rotational acquisition of any length and
angular increment. For example, in case of a rotational DSA (Digital Subtraction An-
giography) acquisition, two identical rotational runs are performed: the first without
(mask run) and the second with the injection of contrast media (fill run). After acqui-
sition, the study consisting of two runs of 2D projections is sent to the RoRo applica-
tion by means of a DICOM transfer.
Upon completion of the image transfer, RoRo computes a third "DSA run," by
subtracting corresponding fill from mask images. RoRo then automatically enters
phase 1 by displaying the DSA run as a "rotatable roadmap." For finding a suitable
working view, the C-arm and the rotatable roadmap are linked to each other in two
Page 4
Rotational Roadmapping 639
Light blue
Dark blue
Fig. 2. Interactive C-arm/image alignment. Left: C-arm joystick; Center: Alignment signal.
Right: C-arm's Left/Right (top) and Head/Feet (bottom) plane, indicating the current C-arm po-
sition by an arrow and the currently displayed image by a box. Images were acquired every 1.5˚
(dots) along the Left/Right plane at 0˚ Head/Feet angulation. The deviation between the C-arm
position and the currently displayed image is indicated by the alignment signal. The top half
shows the alignment for the Left/Right plane to be within 1.0˚ (light blue) while the bottom half
shows the alignment for the Head/Feet plane to be within 0.5˚ (dark blue). The two arrows in
the alignment signal indicate the direction in which to move the joystick to improve alignment
for the respective plane: "upward" and "left" will move the C-arm closer to 93˚L/R and 0˚ H/F.
ways, as described in the next section. At this point, zoom formats and SID (Source
Image Distance) can be adjusted as needed.
Once the C-arm and the selected working view are aligned, RoRo enters Phase 3
"roadmapping." By pressing the fluoro footswitch, live fluoroscopic images of the in-
struments being guided are acquired and overlaid onto the selected view of the vessel
tree, similar to the classic 2D roadmapping technique. At any time during Phase 3, the
user can return to Phase 1 for finding a new working view. This is done either by
moving the C-arm into a new position (roadmap follows C-arm), or by using the
RoRo-joystick to rotate the roadmap (C-arm follows roadmap). The RoRo joystick is
sterilized together with the standard controls by draping them in clear plastic sheets.
2.2 C-Arm/Image Alignment
One principal challenge with the RoRo approach is to provide for a fast and accurate
alignment of the C-arm with the currently displayed working view. After image
acquisition, vessel images are only available at discrete points along the acquisition
trajectory (see Fig. 2, right), while the C-arm operates in continuous space and can
therefore be moved in any position. Accurate roadmap visualization can only be pro-
vided if the C-arm is positioned close enough to the exact position at which the cur-
rently displayed vessel image was acquired. To provide visual feedback regarding the
current C-arm/image alignment, an "alignment signal" (Fig 1 (b)), shaped like an ar-
row head pointing to the left is used. It is divided in two parts: The upper half repre-
sents the alignment with respect to the Left/Right image plane, while the lower half
represents the alignment with respect to the Head/Feet image plane. The degree of
alignment is expressed in a color code as well as in an exact angle value. A dark blue
and light blue color represents a "very good" (≤ 0.5˚) and "good" (≤ 1.0˚) alignment,
while the color red signals an "unacceptable" (> 1.0˚) alignment. Roadmapping is
Page 5
640 M. Kukuk and S. Napel
only possible for a "very good" or "good" alignment. We implemented two solutions
to the problem of fast and accurate C-arm alignment that appear to have their respec-
tive advantages and shortcomings and are therefore in practice commonly used inter-
changeably: automatic and interactive alignment.
Automatic alignment is performed in two steps, corresponding to RoRo Phases 1
and 2. First, the interventionalist uses the RoRo joystick to browse through the avail-
able projections in order to find the most suitable working view. Then, he/she clicks
on the "2 - Move-C-arm" button in the control panel (Fig. 1 (c)). This sets the C-arm
system into "automatic run" mode. Simply deflecting the C-arm joystick will auto-
matically move and stop the C-arm at the correct position. After the position has been
reached, the "Alignment signal" switches to "dark blue" and roadmapping can begin.
Interactive alignment is done in only one step. As the interventionalist moves the
C-arm back and forth along the acquisition plane, the image closest to the current C-
arm position is displayed. This is perceived as the vessel tree "following" the C-arm.
In other words, browsing and aligning are done in parallel. As can be seen in Fig 2,
top right, if the difference d between two images is sufficiently small (e.g 1.5˚),
roadmapping will be possible for any C-arm position within acquisition range. If d is
greater than 2.0˚, there will be C-arm positions, for which the alignment is "unaccept-
able" (red signal) and therefore roadmapping will not be allowed. In this case, the in-
terventionalist interactively fine-tunes the C-arm position using the alignment signal,
until a "very good" or "good" alignment is reached.
While automatic alignment is exact, it requires the use of two different joysticks
and is therefore relatively slow. On the other hand, interactive alignment only requires
the use of the C-arm joystick but has an associated "learning curve". In most cases,
images can be acquired at small enough intervals (d ≤ 1.5˚), in which case no fine-
tuning is required and alignment is achieved once the working view has been found.
2.3 Visualization
Although visualization is limited to 2D image display, several challenges for a variety
of display modes need to be addressed. For a smooth display of all guidewire manipu-
lations, fluoroscopy frame rates of 30fps are often used. To match this frame rate,
OpenGL texture mapping was employed for image display. To additionally allow for
the display of non-square, non-power-of-two projections (limitation to OpenGL ver-
sions before 2.0), images are broken up into square, power-of-two tiles, which are
then individually mapped to the screen. During all display modes, basic display func-
tionality, such as window/level, zoom and pan is available. It is of particular clinical
importance to allow the interventionalist to change the imaging system's zoom format
or SID (source image distance) after the acquisition of the rotational run. RoRo then
automatically reformats the DSA projections in real time, to reflect the changes.
Additionally, a stereo visualization mode allows the interventionalist to perceive
vessel trajectories in 3D. This is achieved by simply selecting two projections as a left
and right eye stereo-pair and displaying them such that each eye only sees its respec-
tive image. We implemented a stereo projection system using polarizing filters in
front of two DLP projectors with matching polarized glasses and the red/blue (ana-
glyph) technique, using red/blue glasses.


text:
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Department of Environmental Health Saluting History With Celebration
The Department of Environmental Health at the University of Cincinnati College of Medicine will be marking its rich history this weekend with two days of festivities.
Charting a Course: Breast Cancer Team Helps 31yo Navigate Through Disease
In the first of a four-part series, read how Anne Rider, 31-year-old, overcame breast cancer with help from her multidisciplinary team at the UC Cancer Institute.
Shuk-Mei Ho, PhD, Honored for Lifetime of Achievement in Research
Shuk-Mei Ho, Jacob G. Schmidlapp Professor and Chair of Environmental Health, was honored Thursday, Oct. 1, at an event hosted by the College of Medicine Office of Research.
Karl Golnik, MD, Named Chair of the Department of Ophthalmology
Karl Golnik, MD, has been appointed chair of the Department of Ophthalmology, pending approval by the UC Board of Trustees. Dr. Golnik has served as interim chair of the department since June 25, 2014.
Nursing College Receives $2.5M Grant to Diversify Health Care Workforce
The Pathways for Emerging Healthcare Leaders Program has been awarded a five-year, $2.5 million grant from the Office of Minority Health.
Free Women's Health Seminar Turns Attention to Aging
UC Health�s West Chester Hospital is offering a free seminar to help women navigate changes to their health as they age. Two sessions will be offered in October.
Department of Environmental Health Preparing to Celebrate Rich History
The Department of Environmental Health at the UC College of Medicine is preparing to mark its rich history with two days of festivities Friday and Saturday, Oct. 9-10.
Focus On Alumni With Maria Nakafeero
Maria Nakafeero, 28, recently graduated from the Master�s of Public Health Program within UC�s Department of Environmental Health.
Karl Golnik, MD, Appointed Chair of Ophthalmology
Karl Golnik, MD, has been appointed chair of the Department of Ophthalmology.
Free Seminar on Health and Safety for Older Adults Held Oct. 13
"Healthy Lifestyles for Older Adults: A Health and Wellness Seminar for Older Adults and Caregivers" will beheld from 8:30 a.m. to noon, Tuesday, Oct. 13.
Pins Recognize DPT Students' Accomplishment
The ceremony honors DPT students and marks the successful completion of both their first year academic year and their first clinical experience.
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could they do a show with "realistic" aliens?
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Re: could they do a show with "realistic" aliens?
Although, I've often thought that sometimes, instead of using guys with forehead bumps or worse, "aliens" who look exactly human, why didn't they just make the inhabitants of the planet of the week human colonists who had separated from the Federation? You could have done that with some TNG episodes, like The High Ground, or The Vengeance Factor and still have had the exact same episodes. Hell, very little would have changed had they done that with The Hunted, for that matter.
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DazeVer en iTunes
Para escuchar el anticipo de esta canción, coloca tu cursor sobre Reproducir y haz clic. Abre iTunes para comprar y descargar música.
In the wake of Aqua's unexpected stateside success in 1997, several new Europop groups received a big push from major labels. One of these was the Denmark-based Daze. Led by songwriters/keyboardists Sieber and J.T. and featuring vocalist Trine Bix, the group's first single, "Superhero," became a huge Scandinavian hit upon its release in the fall of 1997, and its accompanying album, Super Heroes, reached number one in Denmark and number three in Scandinavia. In the spring of 1998, the album received the Danish Grammy equivalent for Best Dance Album of the Year. On the strength of all this European success, Columbia signed the group and released Super Heroes in the summer of 1998.
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Complex life may be possible in only 10% of all galaxies
Radiation from gamma ray bursts may render the rest uninhabitable
New ITER boss promises to streamline management and repair ties with the U.S.
As director of the global fusion project, Bernard Bigot faces mounting delays and cost overruns
ITER fusion project names French nuclear official as new chief
Bernard Bigot to lead embattled project
The mystery of the dead galaxies
Astronomers thought they knew why all galaxies eventually redden and die. They were wrong.
What powers a black hole's mighty jets?
Astronomers tie energetic blasts to the rotation of black holes themselves
The theoretical physicist behind Interstellar
What Kip Thorne loved about the new science-fiction movie—and what made him cringe.
Tapping into the science of the beer volcano
Researchers reveal why a party trick makes your brew floweth over
Physicists crank up current in new type of accelerator
Plasma accelerators might someday be much smaller than today's giants
Physicist who inspired Interstellar spills the backstory—and the scene that makes him cringe
Theoretical physicist Kip Thorne key to Hollywood tale
A glimpse of cosmic dawn
Astronomers are attempting to look back to when the first stars and galaxies lit up and changed the universe forever.
Astronomers identify mysterious object at heart of Milky Way
But not all researchers agree with the analysis
Italian physicist to lead world's leading particle physics lab
Fabiola Gianotti will take the helm at Europe's CERN in 2016
Dark matter: Out with the WIMPs, in with the SIMPs?
Theorists dream up challenger to current leading candidate for dark matter
After Election 2014: FUSION RESEARCH
Will the U.S. pull out of the ITER project?
Decades-old scientific paper may hold clues to dark matter
Data originally taken for another reason weaken the case for "dark photons"
Video: 'Gentle' microscope captures tiny life in action
Lattice-sheet microscopy provides high-res 3D images with less damage to cells
When backpacking, it pays to be small
Smaller hikers better at carrying heavy loads
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"Skunk Works" project moves into the open and draws more scrutiny
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Speculation swirls over design of potentially world-changing device
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Z machine makes progress toward nuclear fusion
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Sidewinder robots slither like snakes
Roboticists figure out how sinuous serpents keep their "footing" on sloping sand
Physicists change the light bulb
Blue light-emitting diodes, critical to white LED lighting, win this year's prize.
Physicists who changed the light bulb win Nobel Prize
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Orange juice and zest lend a citrus kick to these buttery oatmeal and chocolate chip cookies.
- 1/2 cup sugar
- 1/2 cup brown sugar
- 1/2 cup butter
- 1/4 cup orange juice
- 2 teaspoons grated orange zest
- 1 teaspoon vanilla extract
- 2 eggs
- 1 cup oatmeal
- 1 cup flour
- 1/2 teaspoon baking powder
- 1/2 teaspoon baking soda
- 1/2 teaspoon salt
- 1 1/2 cups mini semisweet chocolate chips
Preheat the oven to 350 degrees F.
In a medium bowl, cream together the sugars and butter. Thoroughly whisk in the orange juice, orange zest, vanilla and eggs.
Stir in the oatmeal, flour, baking powder, baking soda and salt. Mix in the chocolate chips.
Spoon tablespoonfuls of batter onto a parchment-lined baking sheet. Bake for about 11 to 14 minutes or until browned around the edges. Remove cookies to a wire rack to cool.
Recipe reprinted by permission of Cooking.com. All rights reserved.
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The Xara Palace Relais & Chateaux
Misrah il-Kunsill, Mdina, Malta, MDN 1050
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Best for Luxury - Expert review of The Xara Palace Relais & Chateaux
Malta's top hotel for character and historic location, The Xara Palace is a converted seventeenth-century palazzo, furnished with antiques, original Maltese paintings and historic objects. It is the only visitor accommodation inside Mdina and it oozes character – at a price.
Special: in a pretty little limestone square amongst the narrow medieval alleys of Mdina (where few cars venture), just around the corner from Mdina Cathedral. Staying here makes you feel a real part of Mdina – I love to wander its narrwo alleys after all the tour groups have gone home and evening peace has descended. This is the time that earns Mdina its nickname, The Silent City, and if you are staying at the Xara you feel a real part of it.
The 10 rooms and seven suites are furnished like an English country house - or the palazzo it once was - with high-backed armchairs and carved wooden coffee tables. Some suites are duplex and a few on the upper floors have terraces with sweeping views and even an outdoor hot tub/jacuzzi.
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The central court of the palazzo has been covered over to form the bar, while the original stone staircase winds its way up around it. Original Maltese art and historic domestic objects add interest to corridors and public spaces.
The hotel's main restaurant, De Mondion – with panoramic views over the surrounding countryside – has won top awards from Malta's restaurant guide for several years running. Locals (with money) love it and it is indeed real fine dining with thick white linen tablecloths, attentive service and food that is both delicious and artistic.
For a quicker and less expensive meal, the Trattoria AD1530 in a warm-wood wine cellar setting next door, also owned by the hotel, is more than adequate and much more family-friendly.
Very good. Quite formal but not to the point of being detached.
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Past guests include: Brad Pitt, Sharon Stone, Bruce Willis, and Senators McCain and Liebermann amongst others.
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Walnut Hollow Unfinished Wood Serving Tray Rectangle
Additional Information
Add your own creative style to make a unique gift decor accent with the Walnut Hollow Pine Serving Tray. Made of pine wood, this finely sanded and kiln-dried tray can be embellished in multiple ways using paints, glitter, ribbon, dried flowers, colored rhinestones and lots more for added visual appeal. Fill the tray with festive goodies and gift it to family and friends.
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Tohoku Earthquake Aid Helping the recovery through mid-to-long-term recovery aid
From the standpoint of having helped with recovery on-site since immediately after the quake, what can we do now? Civic Force faces the thoughts and words of many victims even now, and is starting the "Mid-to-Long-term Reconstruction Support Project" from this summer, based on four core areas: Tourism Revitalization, Medical Access, Renewable Energy and Community Reconstruction.
For the Tourism Revitalization, We joined the strategy meeting for tourism, debates held monthly in Kesennuma city, Miyagi, since March 2012. In october, we performed interviews in and outside the city with those in the tourism industry on the city`s projects as well as presenting ideas for a tourism revitalizing platform. from now on, we plan to discuss organizational plans and budget details.
Medical Accsee focuses on the increasing isolation of Kesennuma and other afflicted coastal areas and aims to link together with municipalities, firefighters and regional medical institutions to introduce and implement civilian helicopter ambulances. This will allow for quick mobilization in times of a disaster, raise the rate of survival in an area where quick access to high-level medical service is difficult, and build a model case for a more air-centric rescue strategy. Accordingly, in preparation for implementing this next spring, we are investigating a good site for a heliport and working with medical institutions in Miyagi and Iwate prefectures.
Renewable Energy works with the Kesennuma Energy Development Corporation that is at the heart of the renewable energy project in Kesennuma to improve forest environments, employment and other long-term benefits for regional economy. Additionally, this project works with municipalities as well, with the municipality itself calling for the propagation of natural energy.
For further details, please find attaced file and visit our homepage(www.civic-force.org).
Project Reports on GlobalGiving are posted directly to globalgiving.org by Project Leaders as they are completed, generally every 3-4 months. To protect the integrity of these documents, GlobalGiving does not alter them; therefore you may find some language or formatting issues.
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Combined with other sources of funding, this project raised enough money to fund the outlined activities and is no longer accepting donations.
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"The Xbox gamer audience is vast, diverse, and incredibly passionate," remarks Xbox's Senior PR Director Lisa Gurry.
In fact, the global Xbox community is so large that it could be its own nation. With 80 million Xbox 360 consoles sold since 2005 and five million Xbox One consoles shipped in its first six months, there are more Xbox owners in the world than people in Germany.
Beyond their common passion for gaming and entertainment, Xbox fans come together around Xbox-related media and millions of online conversations across sites like Reddit, YouTube, and Twitter. Gurry says, "There's a ton of dialogue out there in our vibrant community, but we wanted to build a direct, daily conversation with our customers – and the media – on our own channel with content that's interesting, shareable, and creates an ongoing dialogue."
"Now with Xbox Wire, our owned news channel, our fans and media can get news straight from Xbox every day," says Letty Cherry, Xbox PR Director, "And we also connect to a good portion of the Xbox community and media at once with our big annual livestream event at E3 [The Electronic Entertainment Expo]."
When Xbox PR set about directly engaging their audience, no simple blogging platform or social media site would suffice for the task at hand. Gurry explains, "When we built Xbox Wire, it was important to invest in a robust platform with strong infrastructure that could handle beautiful Xbox-style design right out of the gate. Azure has been our hosting platform since day one."
She says, "We needed that kind of infrastructure so we could support the rich media that the Xbox audience expects. It was essential that the site could sustain a huge amount of visual storytelling including the video, photography, and the graphics needed to bring the feel of Xbox games to life."
It was also important that the site could scale, as Xbox PR didn't know how much traffic to expect. Gurry smiles, "While we didn't know how much traffic to expect, we did know that our fans have an immense appetite for stories about Xbox. Therefore, we knew we needed to be prepared for anything. Azure has proven to be perfect. We were able to quickly build out a robust site with a secure infrastructure we could trust."
If Xbox Wire supports the day-to-day communication from Xbox, the 90-minute Xbox E3 livestream (officially known as the Media Briefing) is the company's once-per-year pinnacle showcase. It is Xbox's version of the Super Bowl Halftime Show.
E3 is not the just biggest stage for Xbox, it is the main event for the whole gaming industry. All media eyes are on what's happening at E3. It's the time when the majority of new games, system updates, and new consoles are announced. And it is the chance for companies to address both the media and fans on what is coming for the year ahead.
Xbox held its E3 2014 Media Briefing, titled "Xbox: Game On," at the Galen Center in Los Angeles. Cherry explains, "It's our annual opportunity to premiere the new games we have in store for the holidays and beyond to our fans around the world. The 90-minute event was shown live to the E3 audience and broadcast on Spike TV. It was also livestreamed on Xbox Live and Xbox.com. It's like a TV show that's also a 'thank you' to our fans."
Some 4,500 people saw it live at E3 and millions more around the world saw it on TV and the livestream. "It was available in all Xbox countries and localized with only a slight delay in nine different languages," adds Gurry.
"The broadcast lets our millions of fans anticipate what's coming from that day through the holiday timeframe," says Cherry. Xbox Live, including the livestream and the E3-related sites, are hosted on Azure. Cherry says, "The livestream is now capable of bringing top-resolution image to TVs without any kind of buffering, even with millions of users watching at the same time. We can even deliver other relevant content alongside the show. It gets better every year."
Looking to the future, Xbox Wire plans to internationalize and localize content so it can reach every corner of the Xbox audience and media landscape. Gurry says, "Fortunately, it can all be managed on the same platform, so we can scale as quickly as our manpower." And the E3 livestream will not only become more dazzling but more available in more ways. "It'll really build momentum and excitement for what's to come," exclaims Cherry.
With the foundation in place for Xbox and their fans to grow together, they can keep sharing in the dialogue and exchange of ideas that is the lifeblood of a community.