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Pricing the Risks of Default
This paper characterizes the risk neutral jump process of default in terms of two entities, i) an instantaneous arrival rate of default and ii) a conditional density of the magnitude of the proportionate reduction in the value of creditors claims. The authors propose models for default arrival and magnitude risks as functions of evolving economic information. These two default components are then explicitly priced in the futures market with the spot price of risky debt being derived as a consequence. The resulting models for default arrival and magnitude risks are estimated on monthly data for rates on certificates of deposit offered by institutions in the Savings and Loan Industry. The data period is January 1987 to December 1991. The default arrival rate is modeled as responsive to abnormal equity returns, while default magnitude risk is modeled to be sensitive to the level of core deposits and the yield on low grade bonds. The authors' empirical results for the arrival and magnitude risk models provide strong support for the hypothesis that uninsured depositors place market discipline on the depository institutions by demanding compensation for both forms of the firm's default risks.
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|Date of creation:
|Oct 1996
|Contact details of provider:
| Postal: 3301 Steinberg Hall-Dietrich Hall, 3620 Locust Walk, Philadelphia, PA 19104.6367
Phone: 215.898.1279
Fax: 215.573.8757
Web page: http://fic.wharton.upenn.edu/fic/
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References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Longstaff, Francis A & Schwartz, Eduardo S, 1995. " A Simple Approach to Valuing Risky Fixed and Floating Rate Debt," Journal of Finance, American Finance Association, vol. 50(3), pages 789-819, July.
- David Heath & Robert Jarrow & Andrew Morton, 2008.
"Bond Pricing And The Term Structure Of Interest Rates: A New Methodology For Contingent Claims Valuation,"
World Scientific Book Chapters,
in: Financial Derivatives Pricing Selected Works of Robert Jarrow, chapter 13, pages 277-305
World Scientific Publishing Co. Pte. Ltd..
- Heath, David & Jarrow, Robert & Morton, Andrew, 1992. "Bond Pricing and the Term Structure of Interest Rates: A New Methodology for Contingent Claims Valuation," Econometrica, Econometric Society, vol. 60(1), pages 77-105, January.
- Sarig, Oded & Warga, Arthur, 1989. " Some Empirical Estimates of the Risk Structure of Interest Rates," Journal of Finance, American Finance Association, vol. 44(5), pages 1351-1360, December.
- Gorton, Gary & Santomero, Anthony M, 1990. "Market Discipline and Bank Subordinated Debt," Journal of Money, Credit and Banking, Blackwell Publishing, vol. 22(1), pages 119-128, February.
- Timothy H. Hannan & Gerald A. Hanweck, 1986.
"Bank insolvency risk and the market for large certificates of deposit,"
Working Papers in Banking, Finance and Microeconomics
86-1, Board of Governors of the Federal Reserve System (U.S.).
- Hannan, Timothy H & Hanweck, Gerald A, 1988. "Bank Insolvency Risk and the Market for Large Certificates of Deposit," Journal of Money, Credit and Banking, Blackwell Publishing, vol. 20(2), pages 203-211, May.
- Avery, Robert B & Belton, Terrence M & Goldberg, Michael A, 1988. "Market Discipline in Regulating Bank Risk: New Evidence from the Capital Markets," Journal of Money, Credit and Banking, Blackwell Publishing, vol. 20(4), pages 597-610, November.
- Chance, Don M, 1990. " Default Risk and the Duration of Zero Coupon Bonds," Journal of Finance, American Finance Association, vol. 45(1), pages 265-274, March.
- Ellis, David M. & Flannery, Mark J., 1992. "Does the debt market assess large banks, risk? : Time series evidence from money center CDs," Journal of Monetary Economics, Elsevier, vol. 30(3), pages 481-502, December.
- James, Christopher, 1988. "The use of loan sales and standby letters of credit by commercial banks," Journal of Monetary Economics, Elsevier, vol. 22(3), pages 395-422.
- Ho, Thomas S. Y. & Singer, Ronald F., 1982. "Bond indenture provisions and the risk of corporate debt," Journal of Financial Economics, Elsevier, vol. 10(4), pages 375-406, December.
- Cooper, Ian A & Mello, Antonio S, 1991. " The Default Risk of Swaps," Journal of Finance, American Finance Association, vol. 46(2), pages 597-620, June.
- Cox, John C & Ingersoll, Jonathan E, Jr & Ross, Stephen A, 1985. "A Theory of the Term Structure of Interest Rates," Econometrica, Econometric Society, vol. 53(2), pages 385-407, March.
- Pitts, C G C & Selby, M J P, 1983. " The Pricing of Corporate Debt: A Further Note," Journal of Finance, American Finance Association, vol. 38(4), pages 1311-1313, September.
- Cook, Douglas O. & Spellman, Lewis J., 1991. "Federal financial guarantees and the occasional market pricing of default risk: Evidence from insured deposits," Journal of Banking & Finance, Elsevier, vol. 15(6), pages 1113-1130, December.
- Fama, Eugene F., 1986. "Term premiums and default premiums in money markets," Journal of Financial Economics, Elsevier, vol. 17(1), pages 175-196, September.
- Robert A. Jarrow & Stuart M. Turnbull, 2008.
"Pricing Derivatives on Financial Securities Subject to Credit Risk,"
World Scientific Book Chapters,
in: Financial Derivatives Pricing Selected Works of Robert Jarrow, chapter 17, pages 377-409
World Scientific Publishing Co. Pte. Ltd..
- Jarrow, Robert A & Turnbull, Stuart M, 1995. " Pricing Derivatives on Financial Securities Subject to Credit Risk," Journal of Finance, American Finance Association, vol. 50(1), pages 53-85, March.
- Herbert L. Baer & Elijah Brewer, 1986. "Uninsured deposits as a source of market discipline: some new evidence," Economic Perspectives, Federal Reserve Bank of Chicago, issue Sep, pages 23-31.
- Philippe Artzner & Freddy Delbaen, 1995. "Default Risk Insurance And Incomplete Markets," Mathematical Finance, Wiley Blackwell, vol. 5(3), pages 187-195.
- Robert Jarrow & Dilip Madan, 1995. "Option Pricing Using The Term Structure Of Interest Rates To Hedge Systematic Discontinuities In Asset Returns," Mathematical Finance, Wiley Blackwell, vol. 5(4), pages 311-336.
- Black, Fischer & Cox, John C, 1976. "Valuing Corporate Securities: Some Effects of Bond Indenture Provisions," Journal of Finance, American Finance Association, vol. 31(2), pages 351-367, May.
- Lee, C Jevons, 1981. "The Pricing of Corporate Debt: A Note," Journal of Finance, American Finance Association, vol. 36(5), pages 1187-1189, December.
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Terrence Malick's 'Knight of Cups' Sounds Very, Very Terrence Malick-y
Posted on Monday, February 2nd, 2015 by Angie Han
The first trailer for Knight of Cups offered some hints as to what Terrence Malick's latest would be about, and now an official synopsis reveals more concrete details about the story. And to the surprise of absolutely no one, it sounds very Terrence Malick-y.
Christian Bale, Cate Blanchett, and Natalie Portman lead the latest from the acclaimed auteur. Get the new Knight of Cups synopsis and details after he jump. Read More »

subset: commoncrawl


text:
La Spa Therapie
beauty salon, massage, Health & Beauty
La Spa Therapie, Health & Beauty Salon and Day Spa Co Dublin and Drogheda Co Louth Ireland invite you to experience our luxurious massages. We offer Lavender Signature, Swedish, Indian, Holistic, Deep Tissue, Aromatherapy, Ki, Precious Stone Therapy, Deluxe Hot Stone Therapy, Pregnancy and Holistic Healing Therapy massages. Come, catch your breath, find your energy and relax. You will find a haven of peace and tranquility, a place where your body is pampered and your senses indulged. We also offer incredible Spa and Bridal Packages, Mama Mio pregnancy treatments, Voya organic seaweed baths and body wraps, Kerstin Florain facial treatment, Hammam treatments, Colonic Irrigation, Hopi Ear Candle, Reflexology, Cranio Sacral Therapy, Nails, Manicure, Pedicure and Gift Vouchers. The perfect pamper package for your skin and nail beauty.Come along and treat yourself - You deserve it. Visit our website www.laspatherapie.ie to find out more.
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PORT"-"ROYAL"/PORT-ROYAL: HONVED EP - Rare Pristine Copy of The Limited Edition Mini-CD
Port-Royal ("port"-"royal")
Available from more sellers
1st Printing. 1 pages. Published in 2007. Rare "Port"-"Royal" mini-CD release. Limited Edition of 222 numbered copies. A brilliant production by "Port"-"Royal" and Pascaline Knight: Pocket-sized format. The CD measures 3 inches and can be played on a regular CD player (by being placed in the center). Music by "Port"-"Royal". Encased in inner protective plastic sheet. Cardboard case with stunningly beautiful artwork by Pascaline Knight on the cover, as issued. Presents the hypnotic, cutting-edge, and sublime music of the idiosyncratically inventive Italian group. The band insists on its name being spelled in lower case, with a dash, and quotation marks precisely because it subverts existing computer software programs that take control of your writing/spelling options: "port"-"royal". If you really love their music, the least you can do is oblige, with your integrity intact. There are five tracks, including two remixes: "Stasi", "The Beat of the Tiger", "Song of Megaptera", "Zobione pt. 1" (Landing remix), and "Zobione pt. 2" (Millimetrik Arctic remix). "Port"-"Royal" bids to be the future of rock. The Genoa-based post-rock band was formed in 2000 by Attilio Bruzzone (guitar and keyboards) and Ettore Di Roberto (piano). They were eventually joined by Michele Di Roberto (drums), Emilio Pozzolini (keyboards, sampling), and Giulio Corona (bass). Like the ambient nature of their music, the band itself is fluid, with the members working off and on, and in collaboration with other groups, as they do in this CD. Only Attilio Bruzzone, Ettore Di Roberto, and Emilio Pozzolini were involved in the present CD. Sieva Diamantakos joined the band in 2007 while Michele Di Roberto and Corona have since left, in 2005 and 2008 respectively. Their music starts out as fully written songs, of which some will form the melodic basis of the final track while others are discarded altogether. Celebrated for their unique approach to music, they have an ardent global cult following. This is dazzling music, blending primordial dynamics with state-of-the-art electronic sound. An absolute "must-have" item for "port"-"royal" and contemporary music lovers/collectors. This copy is one of the Limited Edition, indicated/numbered as such on the inside limitation in black pen: "151/222". This title sold out upon release and is now collectible. This is the only copy available online (it is no longer available from the band's website) and has no flaws, a pristine beauty. A rare copy thus. One of the most brilliant post-rock bands of our time. A flawless copy. (SEE ALSO OTHER "PORT"-"ROYAL" TITLE IN OUR CATALOG). Bookseller Inventory # 14575
Bibliographic Details
Title: PORT"-"ROYAL"/PORT-ROYAL: HONVED EP - Rare ...
Publisher: Montreal, Canada: Chat Blanc Records, 2007
Binding: Soft cover
Book Condition: As New
Dust Jacket Condition: None, As Issued
Signed: no
Edition: 1st Edition.
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Modern Rare
AbeBooks Seller Since April 10, 2001
Seller Rating
ModernRare.com is exclusively an online bookstore. Our physical address is 124 N. California Ave, Chicago, Illinois 60612, U.S.A. The main contact person is Salvador L. Cortes. He can be reached at 312-376-5000 during regular business hours, Monday to Friday, from 8:00 a.m. to 5:00
p.m., Chicago/Midwestern Standard Time.
Email is usually the best way to reach us: email@example.com We will respond
to your email query within 24 hours.
We are exclusively an online bookstore because we believe thi...[More Information]
Shipping Terms:
Orders usually ship within 2 business days. Shipping rates are based on books weighing 1.5 LB, or 1 KG. If the book is heavy or oversize, particularly Art, Photography, and Erotica titles, we may contact you to let you know extra shipping is required, based on actual cost. Every year, the shipping/dispatch rates of the United States Postal Service (USPS) as well as the private services relentlessly increase. PLEASE NOTE: WE DO NOT MAKE MONEY ON SHIPPING. BUT WE CANNOT AFFORD TO SUBSIDIZE IT EITHER. Thank you for your patience and understanding.
Store Description: Modern Rare is exclusively an online bookstore. Our physical address is 124 N. California Ave, Chicago, Illinois 60612, U.S.A. The main contact person is Salvador L. Cortes. He can be reached at 312-376-5000 during regular business hours, Monday to Friday, from 8:00 a.m. to 5:00 p.m., Chicago/Midwestern Standard Time. Email is usually the best way to reach us: firstname.lastname@example.com We will respond to your email query within 24 hours. We are exclusively an online bookstore because we believe this is the best way to satisfy our customers' expectations. Unlike an open bookstore, where books are routinely handled and may deteriorate, we guarantee the condition of our books as described. We specialize in modern firsts, photography, the arts, and erotica. You will also find a fine selection of signed copies, Limited Editions, and memorabilia because our ultimate goal is to deepen the pleasure of collecting books. We carry titles that we ourselves like and believe in -- books that we think will excite, enchant, and endure. Please note: Payment needs to be made directly through ABEBooks. If you wish to make any other payment arrangement, please get in touch with us before placing your order. Thank you and happy collecting!


text:
Pietersen (186) and Cook (122) both moved level on 22 hundreds with three all-time greats in Wally Hammond, Geoff Boycott and Colin Cowdrey as England's most prolific Test centurions.
That helped to earn a lead of 86, and Monty Panesar (five for 61) then took his match haul to 10 wickets with the prize scalps of Virender Sehwag and Sachin Tendulkar for the second time in the match as India barely struggled back in front on a hapless 117 for seven.
When Cook finally departed, edging an off-break from Ravichandran Ashwin to slip, Pietersen jogged 30 yards down the wicket and past the stumps to lend his personal acknowledgment as the captain made his way off the pitch.
Jonny Bairstow then poked a catch to silly-point off Pragyan Ojha in the final over of the morning session. The young Yorkshireman walked straight off, apparently oblivious either to the fact Gautam Gambhir had completed the sharp catch via the bottom of his helmet grille - or that such impact should have meant dead ball.
Samit Patel provided manful support for Pietersen, watchful mostly on the back foot, until he pushed forward instead to Ojha and edged sharp turn and bounce to gully.
Pietersen was to fall short of a fourth Test double century, a trademark flat-bat shot at Ojha resulting in a tame edge behind.
Matt Prior was then run out after a mix-up over an aborted single; Stuart Broad propped a catch to silly-point; James Anderson went in the same Harbhajan Singh over; and Panesar was last out slog-sweeping straight to deep midwicket to leave England 417 all out.
The lead was perhaps not as significant as it should have been but it looked ample by stumps after Sehwag had been caught at gully, Cheteshwar Pujara and Yuvraj Singh at short-leg, Virat Kohli off a Graeme Swann full-toss at mid-off, captain Mahendra Singh Dhoni at slip and finally Ashwin at cover.
For good measure, in a near binary scorecard apart from opener Gambhir's unbeaten 53, Tendulkar went for just eight again, lbw to an arm ball this time, in what may well prove a forgettable final Test innings on his home ground.
- More about:
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- Sachin Tendulkar


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BiblioBone, when not out and about enjoying the glorious food and good times to be had, is a an Information Technologist, Archivist, and Librarian. She considers this her fourth lifetime in New Orleans, and is grateful for every minute. She has a passion for our wetlands and restoring our coast, is a dog lover with a particular soft spot for Catahoulas and Pibbles and a SciFi nerd who also rolls with the Intergalactic Krewe of Chewbacchus.
Tag Archives: wildman john
they call him TRUE
when they talk about the true bone? they mean OUR true.
My name is TRUE, I have been rolling with SNB since 2013.
I was born and raised in Lost Angels, where I spent much of my young adult life as a homeless, jobless, penniless, directionless, and nearly hopeless high school drop-out who suffered from depression.
When I finally made the realization that my own bad decisions had created the hell in which I was living, I made up my mind to make better decisions. I escaped the downward spiral of dysfunction that was L.A., in an attempt to begin my life anew. Although my heart was drawn to NOLA, I felt that NYC offered greater educational and economic opportunities.
I made the pilgrimage to New York in 1991, at the age of 22, in order to facilitate the change I needed to undergo – part of that change was giving up my birth name and choosing the name "TRUE," as it better represented not only what I valued, but the fact that it was being true to myself that had freed me from my old, terrible life.
I went back to school, became an artist (https://en.wikipedia.org/wiki/True_(artist)), and a designer (www.TRUEart.biz), and a real estate guy (www.TRUErentals.com), and a filmmaker (www.TRUEstoriesPRODUCTIONS.com).
I'm now eagerly trying to expand my real estate biz into NOLA, so that I can split my time between NOLA & NYC.
soul sweepers
Professor Longbone. One tall drink of water there. By day he surfs the interwebs repairing the matrix, and by night he works on contraptions. You may have seen box of wine NO? that Lion that serves up wine? yeah, that would be his.
Professor Longbone is an Elder Sweeper and can be found carrying the torch with MamaJuanaBone. we will feature her in another story, but if you were collecting our cards this past year, theirs was lovely.
After some 40 years of fruitless searching, my heart and soul finally found the home they were meant for. Little more than 10 years later, the body followed.
For me this place can elicit such passion, such tears of both joy and sorrow, as only the most meaningful music can.
By day, I go through the motions of an almost punchline-worthy mundane occupation. By night, I try to shake that off, and not berate myself TOO much over it. I am in awe of the artfulness of my new home: life here seems to breathe "life", nourishing itself on creativity. The weird, the oddball, the misfit is not only tolerated, but revered, adored, cherished, and celebrated. I breathe it in like the sweet swamp funk that fills the mid-summer air. I surround myself with the axes of a long-lost dream, hoping, planning some day to contribute my own artistry…to a place so full of artistry.
In the past, when I travelled here the once or twice a year, I had developed a little routine: part giggle, part validation. As soon as I'd step off the plane, I'd rush to baggage claim, briskly walk outside, look to the heavens with arms outstretched, and loudly declare for all waiting at the taxi stand to hear, "Honey, I'm home!"Honey….I'm home.
Let's see….first rolled with us in 2012 at FestiGals…..he's our utility guy – carrying throws for Wildman John, cart wrangler, trike chauffer to Baby Doll Queen Mercedes. his makeup says "clown prince of Skinz N Bonez" but he's hoping to earn his Soul Sweeper broom someday. "
Gutterbonez also takes care of the Elderly for a living.
RYTHYM and BONEZ…. (aka Tom Harvey) This Sweeper carries the drum beat for our krewe. By Day NAMASTE / yoga instructor…. by night a House, Techno & Mantra-Dub DJ. All around artist and designer du jour, you can find him designing our trading cards for the krewe, and various poster art around the city. Rhythm also has deep ties to the New Orleans Healing Center and Anba Dlo. All those posters you see coming from there are designed by none other. You can find him online here: www.facebook.com/djtomharvey
happy mardigras from the bone gang
we just rolled femme fatale and we had a great time. tomorrow is Okeanos, and we will be out there this time with a stiltwalker, and some real goodies to throw. roll time is 11am…we will have our signature dolls, and try and catch our trading cards, collect them all!
then we will be coming out on mardigras day in the lower garden district around euterpe and magazine street, gonna say around 7am there, and heading up to 45 tchoup bar to meet the wild tchoupitoulas, at 8am and greet the day.
all hail.
a new season arrives and not a minute too soon
Oh lil liza jane
we start this season with filming for jack reacher and krewe of boo. We had good times with Mr Cruise for this one.
and here's our youngest bone in the making
we are coming for you this twelfth nite for joan of arc with judge fire burn die
leading the way for merci for the magic this past fall following the headless horseman
indians here they come
so are you ready for twelfth nite? you will find us between flaming heretics and judgement. all hail st joan of arc and epiphany.
ten year katrina walk / wear your red shoes cause there's no place like home
we will meet in the street and start at miss mae's. two pm sat aug 29th.
in honor of big chief jolly of the wild tchoupitoulas, we ask that you save your tears and only be jolly, dress to impress, and wear your red shoes. a five dollar donation to join skinz n bonez and wildman john and queen kim of the wild tchoupitoulas will go to fund a bead class for children at the lyons center uptown. on the route we will walk to le bon temps, kingpin, grits, and end at 45 tchoup. your donation gets you happy hour prices at each stop.
won't you join us and celebrate the culture of the mardigras indians?
another jazzfest come and gone…
awww…. super sunday, st joes nite, jazzfest, uptown, downtown, all over. top picture is queen mardiclaw and jawbone, comin off super sunday …. next picture at jazzfest with ms bone jangles and wildman john, third picture is wildman john performing with juan pardo on the jazz and heritage stage last sunday of jazzfest, and the last picture is big chief, rhythm and bonez, celestial bonez, indiana bonez, jawbone, tchoupbone, queen kim, stikkman mike, babydoll kit, our jonbone in the back, and babydoll gwen in the back. we sure had a good time. all day, backstage and rolled at two thirty. all hail WILD TCHOUPITOULAS, BABYDOLLS and SKINZ N BONEZ
MARDIGRAS season is HERE… happy carnivale
we are accepting new members for the 2015 gras season.
here's a list of what parades we are rolling in
st jeanne of arc was jan 6th and we have already rolled that one, next parade up will be the mystic krewe of femme fatale on their first roll ever. we are proud to drum and play a role in this historic moment in mardigras history. that parade is sunday february 8th on the uptown new orleans route. Next up is Okeanos on sunday feb 15th on the WAY way uptown route. first parade of the day there. We also will be in the st roch bywater neighborhoods come mardigras day to wake you up.
other parades that we venture into are tit rex, chewbacchus and barkus. these parades have separate dues through the organization. for tit rex, we arrive prior to the roll for skinz n bonez doll set up and organization.
if your interested in joining us please contact us here, and we will get back to you shortly. you can roll ONE parade, or go for the whole season….
we also will be present after the gras with the Wild Tchoupitoulas and st josephs nite, super sunday and jazzfest.
all hail the new season before us!
All Hail the Skeleton Barbie!
we are super busy creating these dolls for krewe of boo. once completed? they will be THEE DOLL to own. these are some coming off the production line, still got to dress them out, but you get the idea. stay tuned for finished barbies!
this years going to be great. lets begin with the skeleton barbie. we take donations of barbies all the time because we believe that recycling is a good thing. Barbiebonez never looked so good, so this year we will be throwing them for krewe of boo parade on oct 30th. skinz n bonez n soul sweepers LLC has been picked for next years krewe of boo signature throw. get yours before everyone else, and get one from the krewe that started them! thee big easel presents the skeleton barbie.
how do you reserve one? your pledge of $50 to skinz n bonez through our paypal account will not only get one sent to you via mail, or locally delivered… it also helps us with the costs of paint and glitter. what better way to celebrate your inner bone than a skinz n bonez barbie. all skellies will be sent as they come off the line. order yours now before october, so you can add her to your crown.
jazzfest and beyond!
This years Jazzfest was very special… The second sunday was the warmest of the weekend, and even though we had a tent? it was very HOT…. Tom joined us again from Tennessee, and Shaq provided drum support for the wild tchoups, and here's big queen, tinkerbonez and jawbone providing a little rythym…
Shaq and Tom and Tinkerbonez! CHA WA
Juju Shaq Tom Tink Jaw Celestial bonez
the divas BE OUT! Jawbone, Queen Amaire, Jujubonez and Queen Remy! listening to some Glen David Andrews!
Nitbone shakin a tail feather!
Boneapart and Celestial bonez get down!
Next up? we are learning the National Anthem in French for the Bayou St. John fourth of july flotilla. Our Big Queen will crown the next queen as she ends her reign…
This summer we will be planning Calacas Y Maracas, and beyond! Working on more handmade throws and Barbie Bonez…. All Hail this glorious season, with Chewbacchus, Dreux and Barkus being new on our schedule! Laissez les bonez temps rouler!


text: Boldly Gone: The WinnersOwen Good2/25/12 8:30pmFiled to: Kotaku 'shop contestPhotoshopTopFbtweet1161EditPromoteShare to KinjaToggle Conversation toolsGo to permalink The suborbital marketing stunt experiments of Mass Effect 3 provided the palette for our smart 'shoppers, who took the game to the reaches of the universe—and absurdity. We've got 20 Kotaku 'Shop Contest finalists inside, including seivewright! Advertisement Leading off, TuxedoFox (20) came in with a brilliant conclusion to this space spectacle. mentuss (14) returned from a long hiatus with Shepard's perspective of the balloon. Scratchbutt (15) gets on the board with a tribute to Math Blasters.Star Wars was a big theme, as you can imagine. Aaron Gray (1) and IndispensableNobody (10) mined it for comedic gold. Nintendo also provided inspiration for many, including BigMikeMcCarthy (2) and Carlanga (4) Advertisement greatcarbuncle (8) and lhsus (9) supplied our callbacks for the week. Stuart.C (18) and triple (19) provided variations on a theme.Overall winners? I loved Skitzogreg's subtle joke (17) and Chris Blanchard (5) brought science fiction to its ancestral, earthly home—a New Mexico landfill. But for overall space-opera laughs, I'll take seivewright (16).Thanks to all who entered, we'll have another contest tomorrow Aaron Gray BigMike McCarthy bugashi Carlanga Chris Blanchard GiantBoyDetective Goufunaki22 greatcarbuncle ihsus IndispensableNobody JimThePea JimThePea MangledRex Mentuss ScratchButt seivewright skitzogreg Stuart.C triple TuxedoFoxReply116 repliesLeave a reply


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2003 Infiniti G35 Coupe modified with GTR kit Conversation and Duraflex
For Sale 2003 Infiniti G35 Coupe modified with GTR kit and Duraflex Hood and more. Car located in Northern Virginia


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Team Anna
News »latest by relevance
Videos »
Platinum Member
716 Followers
HC disposes of plea for probe against team Anna & NGOs
9.02 PM Jan 24th 2013
Platinum Member
366 Followers
the amount of money in crores received in the recent past by Team Anna run NGOs or their personal assets ( Bedi, Kejriwal, Bhushans , Sisodia etc )... PAID BS Media is SILENT on this but their usual target are politicians whereas the !! :) For PAID BS Media, Bedi is a super-cop, Bhushan is super
3.40 PM Jan 20th 2013
Source:DNA India - Aam Aadmi Party (AAP) member Kumar Vishwas on Sunday claimed that the anti-corruption movement led by Anna Hazare before Team Anna was disbanded had been political in nature, given the reforms it wanted to bring forth. It was a political movement from day one as we were fighting
12.37 PM Dec 10th 2012
Source:Economic Times - RAIPUR: Aam Aadmi Party (AAP) member Kumar Vishwas today claimed that the anti-corruption movement led by Anna Hazare before Team Anna was disbanded had been
12.33 PM Dec 10th 2012
Source:Money Rediff News Report - Team Anna may support Arvind Kejriwal's yet-to-be launched political party when elections come, member of the new Team Anna Kiran Bedi [ Images ] said in Hyderabad on Friday. "We will support any honesty. Since he (Kejriwal) stands for promoting
12.46 PM Nov 28th 2012
Source:IBNLive - New Delhi: Anna Hazare will be meeting his new core committee later on Saturday. The two-day meeting will take place at Anna's village - Ralegan Siddhi. It will include Kiran Bedi and former Army Chief General VK Singh. Team Anna may support Arvind
12.44 PM Nov 28th 2012
volunteers.A Team Anna
4.59 PM Nov 24th 2012
New Member
0 Follower
yes, but Team Anna should be focused.
1.39 PM Nov 15th 2012
Platinum Member
337 Followers
Kesrival or Team Anna because, in the present system,the situation has come to the extant that no business man will flourish without violating the Law of the land. Exception may be very few like Ratan Tata.
6.41 PM Nov 10th 2012
New Member
1 Followers
Team Kejriwal should propose solutions to the problems it highlights.However Govenment is insensitive and does not want to do anything. take for instance Lokpal Bill.UPA has the majority to get the Bill passed as proposed by Team Anna.But they want Lokpal Bill without teeth and unnecessarily pass
12.23 PM Nov 6th 2012
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"ALDERMAN, n. An ingenious criminal who covers his secret thieving with a pretence of open marauding."
Related quotes
"[The City Council updated its taxicab regulations in December, said Alderman Robert Reynolds, who proposed the update.] We needed to clean up the cab ordinance and make it so it would take care of the city's senior citizens and [other] citizens, ... The cars looked awful. It was shabby and piecemeal."
"I like Alderman firstly because it is not Club Clemons. It is much quieter in Alderman and there is much more of a studying atmosphere."
"Be very careful about voting for someone that comes to your town out of nowhere in order to launch a political career at the expense of taxpayers and loyal city residents. Don't believe a deceiver, once a deceiver always a deceiver."
"It's hard to claim you're fiscally responsible when you raise your hand and vote aye to spending after spending, in support of special interest after special interest. It's also hard to claim you can fix a deficit when all you've brought them here and have no clue how to turn a deficit around."
"We tried to bring up the issue of incidental two years ago, but (Alderman) Don Marr was steadfast that it?s good enough for California, and it?s good enough for us, but it?s obviously not."
"[Second Ward Alderman Mac Myers asked Price if the 10 p.m. curfew was too early.] It's not too early, ... I don't know where your 15-year-old is at 10 p.m., but mine's at home."


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Medical school enrollment increased 22.9% from 2000 to 2010, but many new physicians do not go into primary care or practice in states with shortages of family physicians, according to research from the Robert Graham Center for Policy Studies in Family Medicine and Primary Care published in Academic Medicine. The report said medical school expansion is not a solution to the shortage of primary care physicians and called on states to enact policies to encourage students to choose family medicine and prioritize admission of those who are likely to go into primary care.
Full Story:AAFP News


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Hotels near Anpyeong Station
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"Needed a hotel nearest the baseball field for the WBSC tournament location. This was 8km away and found a few buses that went near or to the field. Also took buses to the coast to see a few beaches, ports, and local fishing villages. I myself had no desire to do anything except the tournament, bu..."
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Our maps are based on hotel search and display areas and neighborhoods of each hotel so you can see how close you are from Anpyeong Station and refine your search within Busan or South Korea based on closest public transportation, restaurants and entertainment so you can easily get around the city. All the hotels details page show an option for free or paid onsite parking.
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You may recall how just the other day I gushed about Emily's Chocolate Covered Fortune Cookies.
But my love affair with Emily's Chocolates really began with their Milk Chocolate Cocoa Dusted Pecan Halves. *Sigh*
Seriously, what's not to love?
Even better, pecans contain like 19 vitamins – they're good for your heart, your cholesterol, and research even shows they may help control your weight. (Although I'm guessing they weren't talking about ones smothered in milk chocolate…)
While I have absolutely NO problem eating them straight from the box, I began to feel a bit like a glutton after I'd polished off my third box. These cookies are the perfect solution. They're soft and chewy with the sweet chocolaty bite from the nuts!
I haven't quite worked out how eating these cookies make me feel less like a glutton though…
Emily's Chocolate Covered Pecan Cookies
Yields: 2 ½ dozen cookies
¾ c. unsalted butter (1 ½ sticks), softened
½ c. +2 tbs. granulated sugar
½ c. + 2 tbs. packed light brown sugar
1 egg
1 ½ tsp. vanilla extract
1 tsp. baking soda
½ tsp. salt
2 c. all-purpose flour
1 c. Emily's Milk Chocolate Cocoa Dusted Pecan Halves, chopped
Preheat oven to 350 degrees F.
In a large mixing bowl, cream butter, granulated sugar and brown sugar together till light and fluffy, 2-3 minutes. Add egg and vanilla and blend until well combined. Mix in baking soda, salt and flour, being careful not to overmix.
Using a wooden spoon, stir in chocolate covered pecans.
Drop by the rounded tablespoons onto baking sheets.
Cook 11-14 minutes until very light golden brown and edges are set. Cool on pan 2-3 minutes. Remove to cooling racks and cool completely before storing (although I highly recommend eating one or two at this point while they're still warm and gooey – in case you wanted my opinion!)
Lucky for you Emily's Chocolates is giving away a trio of their Chocolate Covered Fortune Cookies to two of my readers, but you only have until midnight EST to enter!


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The Ocean Kayak Cross Lock Oval Hatch Kit gives you more storage in the bow of your boat. This kit contains the hatch cover with gasket and Cross Lock straps. The cross-lock buckle system is easy to open. Fits the Ocean Kayak Malibu 2XL center hatch and the Ocean Kayak Scrambler 11, XT, XL bow hatch. All necessary instructions and hardware are included.
|Item #:
|Part Number
Good product and was an EZ installation. Direction sheet not great but the net has good tutorials. I used a Dremel tool with a roto-bit to cut opening in Kayak but extra care is needed as the tool really can wander past your marked lines. The waterproof rivets didn't work well in my old pop rivet gun and I noticed the mandrel stem is one size down from standard 3/16 aluminum rivet. Look carefully!
Installed on Malibu2XL purchased from ACK a couple of months ago. Supplied factory instructions were a bit vague but found more info online. Shipping and service from ACK were, as usual, top notch.


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Most Popular Hotels in Hythe
Get 200 Nectar points when you book your hotel
Simply enter your Nectar card number when prompted. Your points will be credited 30 days after you return from your trip.
Hythe Imperial Hotel Spa & Golf
Princes Parade, Hythe CT21 6AE4.0 out of 5.0
Situated on the waterfront, this spa hotel is steps from Hythe Beach, Mercure Hythe Imperial Spa Naturel, and Hythe Pool. …
Seabrook House - B&B
81 Seabrook Road, Hythe CT21 5QW3.5 out of 5.0
Situated in Hythe, this bed & breakfast is within 1 mi (2 km) of Sandgate Beach, Hythe Beach, and Mercure Hythe Imperial Sp …
Burlington Hotel
Situated in the business district, this hotel is within a 10-minute walk of Leas Promenade and Leas Cliff Hall. Church of S …
Best Western Clifton Hotel
Located in the heart of Folkestone, this hotel is within a 10-minute walk of Leas Cliff Hall and Leas Promenade. Church of St …
The Southcliff
Located in the heart of Folkestone, this hotel is within a 10-minute walk of Leas Cliff Hall, Church of St Mary and St …
Grand Burstin Hotel Folkestone
Situated near the beach, this hotel is within a 5-minute walk of Folkestone Harbour and Quarterhouse. Sunny Sands and …
The Rose & Crown
Situated in Canterbury, this inn is within 6 mi (10 km) of Etchinghill Golf, Reinden Wood, and Kent Battle of Britain Museum. …
The Wife of Bath
Located in Wye, this inn is 2.4 mi (3.8 km) from Wye National Nature Reserve and within 6 mi (10 km) of Ashford Golf Club and …
Ramada Dover
This family-friendly Dover hotel is located in the suburbs, within 2 mi (3 km) of Dover Transport Museum, Kearsney Abbey …
ABode Canterbury
Located in the heart of Canterbury, this romantic hotel is steps from Eastbridge Hospital and Canterbury Cathedral. St. …
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Dated but good
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Nice comfy hotel, convenient location, good value
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Author and game designer Jim Munroe stresses the importance of creating text games for better writing and game design.
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Sabrina Faulkner's curator insight, September 19, 2013 9:27 PM
Technology does help learning in the classroom because there are so many ways to go about using a device to get the material across to all the students in the class. I also think that since technology is all around us, that children are starting to learn at younger ages.


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Number: 0413
Aetna considers percutaneous embolization (by means of balloon or metallic coil) or ligation medically necessary for the treatment of varicocele for any of the following conditions:
Aetna considers surgical treatment (ligation, embolization) for subclinical varicocele experimental and investigational because of insufficient evidence to support its effectiveness.
Aetna considers percutaneous embolization or ligation of varicoceles for persons who do not meet these criteria experimental and investigational.
Aetna considers microsurgical varicocelectomy an acceptable alternative method of treating a varicocele when any of the afore-mentioned criteria is met.
Aetna considers endoluminal occlusion devices (e.g., the ArtVentive endoluminal occlusion system) experimental and investigational for the treatment of varicoceles because their effectiveness has not been established.
Varicoceles (dilations of the pampiniform venous plexus) are found in 10 to 15 % of the male population and they occur predominantly on the left side. The etiology may be a longer left spermatic vein with its right-angle insertion into the left renal vein and/or absence of valves, which results in a higher hydrostatic pressure in the left spermatic vein causing dilatation. Also, the left renal vein may be compressed between the superior mesenteric artery and the aorta. This "nutcracker phenomenon" may result in elevated pressure in the left testicular venous system. Moreover, the incidence of varicocele in men with impaired fertility is about 30 %; varicoceles are the most common surgically correctable cause of male infertility. A clinical grading system classifies varicoceles into 3 grades: (i) grade 1 (small) -- palpable only during a Valsalva maneuver, (ii) grade 2 (moderate) -- palpable without the need of the Valsalva maneuver, and (iii) grade 3 (large) -- visible.
Although varicoceles can be diagnosed by a thorough physical examination, ultrasonography is the most practical and accurate non-invasive method in diagnosing this condition. Surgical ligation (varicocelectomy) is the conventional approach in managing varicoceles. However, percutaneous embolization by means of balloon or metallic coil has been shown to be a safe and effective alternative to ligation in treating varicoceles. Embolization (of spermatic veins) of varicoceles in males with semen abnormalities has been demonstrated to improve sperm count and motility in up to 75 % of patients, and reported pregnancy rates after ablation of varicoceles vary from 30 to 60 %. Furthermore, embolization therapy has been reported to increase testicular size in adolescents with testicular hypotrophy.
Polito and colleagues (2004) stated that the impact of varicocele on male infertility is still controversial since its role on the impairment of semen quality has never been fully demonstrated. These researchers studied a series of young adult males (n = 426) undergoing percutaneous treatment of varicocele and semen parameters were evaluated at baseline and 12 months of follow-up. They concluded that the correction of varicocele in young adults is not a major indication when semen alteration is the only clinical problem. This is in agreement with the findings of Nabi et al (2004) who compared the semen quality in men with or without pregnancy after percutaneous embolization of varicoceles in the management of infertility (n = 102). They concluded that varicocele embolization is a technically feasible, minimally invasive, outpatient procedure that improves semen quality significantly in patients with a pre-embolization semen density of 10 to 30 million/ml. However, no correlation was found between the improvements in semen quality and the pregnancy rate.
Bechara et al (2009) compared the treatment outcome of percutaneous embolization treatment versus laparoscopic varicocelectomy in patients with symptomatic varicoceles. Patients with varicoceles undergoing either laparoscopic varicocelectomy or percutaneous coil embolization of the testicular vein during a recent 5-year period were analyzed. Treatment outcome and hospital costs of these two minimally invasive treatment modalities were compared. A total of 41 patients underwent percutaneous coil embolization of the testicular vein, which were compared with a cohort of 43 patients who underwent laparoscopic varicocelectomy. Technical success in interventional and laparoscopic treatment was 95 % and 100 %, respectively. The mean operative time or procedural time was 63 +/- 13 mins and 52 +/- 25 mins for interventional and laparoscopic cohorts (not significant), respectively. Embolization treatment resulted in 2 recurrent varicoceles (4.8 %) compared to 1 patient following laparoscopic repair (2.3 %, not significant). Embolization treatment was associated with a lower complication rate than laparoscopic repair (9.7 % versus 16.3 %, p = 0.03). Regarding cost analysis, no significant difference in hospital cost was noted between the interventional or laparoscopic treatment strategies. Both laparoscopic varicocelectomy and coil embolization are effective treatment modalities for varicoceles. With lower treatment complication rates in the interventional treatment group, coil embolization of the testicular vein offers treatment advantage compared with laparoscopic repair in patients with varicoceles.
Ayechu-Diaz et al (2009) stated that there are still doubts as to the most suitable criteria when considering surgery as the indication and optimal treatment for adolescent varicocele. These investigators reviewed the hospital and primary health care histories of patients diagnosed by ultrasound for varicocele over the last 7 years. Data were taken from computerized clinical histories and hard copy back-up material stored and processed in computer format. They studied 135 cases (mean age of 12.8 years). A total of 125 were referred for scrotal swelling or as a result of chance detection, except for 10 patients who reported pain or scrotal asymmetry; 73 underwent surgery and 62 continued as controls over the study period. The surgical indication was significant progressive asymmetry in testicular volume (n = 28), high grade varicocele (n = 41) as well as other reasons (n = 4). These researchers undertook percutaneous embolization in 44 patients (with a 66 % relapse rate) and laparoscopic section of the spermatic cord with no arterial preservation in 29 (no relapses but 7 post-surgery hydroceles). No testicles were lost. At the end of the study 10 children continued as controls, 34 were discharged after recovery, 56 were referred to urology due to their age group, and 35 were lost to the study. The authors concluded that in the controversy over the treatment of varicocele, their experience showed a high degree of relapses after embolization. Section of the spermatic vessels (including the artery) with no lymphatic preservation is highly effective but involves 27 % post-surgical hydroceles, usually self-limiting (only 1 patient had to undergo surgery later), with no testicular atrophy or other complications. These investigators prefer complete laparoscopic section of the spermatic pedicle to embolization; but it would be advisable to introduce modifications to avoid post-surgical hydrocele. Embolization must be reserved for patients with 1 testicle or with bilateral disease.
Storm and colleagues (2010) noted that post-operative hydrocele development is a frustrating complication of varicocele surgical repair. To avoid this complication, these investigators began to offer percutaneous embolization as a treatment option. They presented their initial experience with this technique. There were 27 patients with a mean age of 16 years (range of 13 to 19 years). Indications included pain (48 %), varicocele size (30 %) and persistent testicular asymmetry (22 %). Four patients had experienced failure of a previous surgical repair. Follow-up data were available for 21 patients (mean of 9 months). The varicocele resolved in 19 patients (91 %) with no evidence of hydrocele formation in any of the boys. There was resolution of pain in all patients for whom this was the indication for the procedure. In the 2 failures, access to the lower spermatic vein was not possible owing to the number and tortuosity of the vessels. The authors concluded that percutaneous embolization and sclerotherapy represent a truly minimally invasive treatment with low morbidity, minimal pain and rapid recovery. In the authors' experience, since lymphatic channels are completely avoided, there appears to be no risk of hydrocele formation.
Microsurgical Varicocelectomy:
Kondoh et al (2010) stated that surgical ligation for varicocele is primarily used in the management of male infertility patients. However, effectiveness of the ligation for painful varicocele is still controversial. These investigators reviewed records from 18 patients (average age of 17.8 years) who underwent varicocele ligation done for pain at the authors' institution from June 1999 to May 2010. The varicocele was on the left side and was grade III in 15 cases and grade II in 3 cases. The pain was classified into 3 types: (i) discomfort, (ii) dull pain, and (iii) sharp pain. Microsurgical varicocelectomy was done with inguinal or subinguinal approach. Evaluation of post-operative pain was available in 17 patients, and 15 patients (88 %) reported complete resolution of the pain with averaged follow-up duration of 11 months (3 to 53 months). The authors concluded that microsurgical varicocelectomy using the inguinal or subinguinal approach was an effective treatment modality for varicocele-associated pain.
Seo et al (2010) evaluated the improvement of seminal characteristics and pregnancy rates after microsurgical varicocelectomy in men with subclinical varicocele. A total of 143 patients with a subclinical left-sided varicocele were included in this study. Patients who agreed to microsurgical varicocelectomy (n = 25, surgery group), medical treatment with L-carnitine (n = 93 drug group), and those who did not agree to any treatment (n = 25, observation group) were enrolled. Semen characteristics were re-evaluated twice 6 months after treatment. The natural pregnancy rates were estimated by telephone interview between 1 and 2 years after treatment. In the surgery group, sperm counts improved significantly after microsurgical varicocelectomy. In the drug group, however, sperm parameters did not significantly improve after treatment. Natural pregnancy rates were 60.0 % in the surgery group, 34.5 % in the drug group, and 18.7 % in the observation group. The natural pregnancy rate of the surgery group was higher than the other groups, and there were statistically significant differences among the 3 groups. The authors concluded that surgical treatment is the best option for management of subclinical varicocele.
In a prospective, non-masked, parallel-group randomized, controlled trial, Abdel-Meguid and colleagues (2011) examined if varicocele treatment is superior or inferior to no treatment in male infertility from an evidence-based perspective. Married men 20 to 39 years of age who had experienced infertility greater than or equal to 1 year, had palpable varicoceles, and with at least 1 impaired semen parameter (e.g., sperm concentration less than 20 million/ml, progressive motility less than 50 %, or normal morphology less than 30 %) were eligible. Exclusions included subclinical or recurrent varicoceles, normal semen parameters, and azoospermia. Sample size analysis suggested 68 participants per arm. Participants were randomly allocated to observation (the control arm [CA]) or subinguinal microsurgical varicocelectomy (the treatment arm [TA]). Semen analyses were obtained at baseline (3 analyses) and at follow-up months 3, 6, 9, and 12. The mean of each sperm parameter at baseline and follow-ups was determined. These researchers measured the spontaneous pregnancy rate (the primary outcome), changes from baseline in mean semen parameters, and the occurrence of adverse events (AE-the secondary outcomes) during 12-month follow-up; p < 0.05 was considered significant. Analysis included 145 participants (CA: n = 72; TA: n = 73), with a mean age plus or minus standard deviation of 29.3 +/- 5.7 in the CA and 28.4 +/- 5.7 in the TA (p = 0.34). Baseline characteristics in both arms were comparable. Spontaneous pregnancy was achieved in 13.9 % (CA) versus 32.9 % (TA), with an odds ratio of 3.04 (95 % confidence interval [CI]: 1.33 to 6.95) and a number needed to treat of 5.27 patients (95 % CI: 1.55 to 8.99). In CA within-arm analysis, none of semen parameters revealed significant changes from baseline (sperm concentration [p = 0.18], progressive motility [p = 0.29], and normal morphology [p = 0.05]). Conversely, in TA within-arm analysis, the mean of all semen parameters improved significantly in follow-up versus baseline (p < 0.0001). In between-arm analysis, all semen parameters improved significantly in the TA versus CA (p < 0.0001). No AEs were reported. The authors concluded that these findings provided level 1b evidence of the superiority of varicocelectomy over observation in infertile men with palpable varicoceles and impaired semen quality, with increased odds of spontaneous pregnancy and improvements in semen characteristics within 1-year of follow-up.
Diegidio and colleagues (2010) reviewed all the various techniques and their results and efficiencies to provide practicing urologists with some guidance for choice of technique. These investigators discussed improvements of varicocelectomy techniques in the last 15 years and their impact on results of surgery. Pregnancy rates were highest with microsurgical subinguinal technique. Varicocele recurrence rates were lowest with microsurgical subinguinal technique. Hydrocele formation rates were lowest with microsurgical inguinal technique. Surgical complications were highest in the laparoscopic technique. Varicocelectomy by itself or in conjunction with in-vitro fertilization is cost-effective. The authors concluded that microsurgical subinguinal or microsurgical inguinal techniques offer best outcomes; and varicocelectomy is a cost- effective treatment modality for infertility.
The European Association of Urology (EAU)'s guidelines on pediatric urology (Tekgul et al, 2009) stated that for the treatment of varicocele in children and adolescents, surgical intervention is based on ligation or occlusion of the internal spermatic veins. Ligation is performed at different levels: (i) inguinal (or subinguinal) microsurgical ligation, and (ii) suprainguinal ligation, using open or laparoscopic techniques. The advantage of the former is the lower invasiveness of the procedure, while the advantage of the latter is a considerably lower number of veins to be ligated and safety of the incidental division of the internal spermatic artery at the suprainguinal level. Moreover, lymphatic-sparing varicocelectomy is preferred to prevent hydrocele formation and testicular hypertrophy development and to achieve a better testicular function according to the luteinizing hormone-releasing hormone stimulation test. The methods of choice are subinguinal or inguinal microsurgical (microscopic) repairs, or suprainguinal open or laparoscopic lymphatic-sparing repairs.
Furthermore, the EAU's guidelines on male infertility (Dohle et al, 2010) stated that several treatments are available for varicocele, and that the type of intervention chosen depends mainly on the therapist's experience. Morevoer, an accompanying table in the EAU guideline reported a lower recurrence rate (0.8 % to 4.0 %) with microsurgical varicocelectomy than with alternative approaches (3.0 % to 29.0 %).
In a randomized study, Pourmand et al (2014) examined if addition of L-carnitine therapy to standard varicocelectomy adds any extra benefit in terms of improvement in semen parameters or deoxyribonucleic acid (DNA) damage. A total of 100 patients enrolled in this study and were randomly divided into 2 groups (50 patients in each group). In group 1, standard inguinal varicocelectomy and, in group 2, standard inguinal varicocelectomy plus oral anti-oxidant therapy (oral L-carnitine, 250 mg 3 times a day) were performed for 6 months. For all patients, routine semen analysis and DNA damage test of spermatozoa (by 2 methods of terminal deoxynucleotidyl transferase dUTP nick end labeling and protamine damage assay) were performed at baseline and at 3 and 6 months post-operatively. In both groups, the improvement in semen analysis parameters and DNA damage was observed, but there was not any statistically significant difference between the 2 groups in these parameters, although the slope of improvement in DNA damage was slightly better in group 2 (that was not statistically significant). The authors concluded that addition of 750 mg of L-carnitine orally daily to standard inguinal varicocelectomy does not add any extra benefit in terms of improvement in semen analysis parameters or DNA damage.
In a Cochrane review, Showell and colleagues (2014) evaluated the safety and effectiveness of oral supplementation with anti-oxidants for subfertile male partners in couples seeking fertility assistance. These investigators searched the Cochrane Menstrual Disorders and Subfertility Group Specialised Register, CENTRAL, MEDLINE, EMBASE, CINAHL, PsycINFO and AMED databases (from inception until January 2014); trial registers; sources of unpublished literature and reference lists. An updated search was run in August 2014 when potentially eligible studies were placed in 'studies awaiting assessment'. These researchers included randomized controlled trials (RCTs) comparing any type or dose of anti-oxidant supplement (single or combined) taken by the subfertile male partner of a couple seeking fertility assistance with a placebo, no treatment or another antioxidant. Two review-authors independently selected eligible studies, extracted the data and assessed the risk of bias of the included studies. The primary review outcome was live birth; secondary outcomes included clinical pregnancy rates, adverse events, sperm DNA fragmentation, sperm motility and concentration. Data were combined, where appropriate, to calculate pooled odds ratios (ORs) or mean differences (MD) and 95 % CIs. Statistical heterogeneity was assessed using the I(2) statistic. The authors assessed the overall quality of the evidence for the main outcomes using GRADE methods. This updated review included 48 RCTs that compared single and combined antioxidants with placebo, no treatment or another anti-oxidant in a population of 4,179 subfertile men. The duration of the trials ranged from 3 to 26 weeks with follow-up ranging from 3 weeks to 2 years. The men were aged from 20 to 52 years. Most of the men enrolled in these trials had low total sperm motility and sperm concentration. One study enrolled men after varicocelectomy, 1 enrolled men with a varicocoele, and 1 recruited men with chronic prostatitis. Three trials enrolled men who, as a couple, were undergoing in-vitro fertilization (IVF) or intra-cytoplasmic sperm injection (ICSI) and 1 trial enrolled men who were part of a couple undergoing intra-uterine insemination (IUI). Funding sources were stated by 15 trials; 4 of these trials stated that funding was from a commercial source and the remaining 11 obtained funding through non-commercial avenues or university grants; 33 trials did not report any funding sources. A limitation of this review was that in a sense these researchers had included 2 different groups of trials, those that reported on the use of anti-oxidants and the effect on live birth and clinical pregnancy, and a second group that reported on sperm parameters as their primary outcome and had no intention of reporting the primary outcomes of this review. These investigators included 25 trials reporting on sperm parameters and only 3 of these reported on live birth or clinical pregnancy. Other limitations included poor reporting of study methods, imprecision, the small number of trials providing usable data, the small sample size of many of the included studies and the lack of adverse events reporting. The evidence was graded as 'very low' to 'low'. The data were current to January 31, 2014. Live birth: anti-oxidants may have increased live birth rates (OR 4.21, 95 % CI: 2.08 to 8.51, p < 0.0001, 4 RCTs, 277 men, I(2) = 0 %, low quality evidence). This suggested that if the chance of a live birth following placebo or no treatment is assumed to be 5 %, the chance following the use of anti-oxidants is estimated to be between 10 % and 31 %. However, this result was based on only 44 live births from a total of 277 couples in 4 small studies. Clinical pregnancy rate: anti-oxidants may have increased clinical pregnancy rates (OR 3.43, 95 % CI: 1.92 to 6.11, p < 0.0001, 7 RCTs, 522 men, I(2) = 0 %, low quality evidence). This suggested that if the chance of clinical pregnancy following placebo or no treatment is assumed to be 6 %, the chance following the use of anti-oxidants is estimated at between 11 % and 28 %. However, there were only 7 small studies in this analysis and the quality of the evidence was rated as low. Miscarriage: only 3 trials reported on this outcome and the event rate was very low. There was insufficient evidence to show whether there was a difference in miscarriage rates between the anti-oxidant and placebo or no treatment groups (OR 1.74, 95 % CI: 0.40 to 7.60, p = 0.46, 3 RCTs, 247 men, I(2) = 0 %, very low quality evidence). The findings suggested that in a population of subfertile men with an expected miscarriage rate of 2 %, use of an anti-oxidant would result in the risk of a miscarriage lying between 1 % and 13 %. Gastro-intestinal upsets: there was insufficient evidence to show whether there was a difference in gastro-intestinal upsets when anti-oxidants were compared to placebo or no treatment as the event rate was very low (OR 1.60, 95 % CI: 0.47 to 5.50, p = 0.46, 6 RCTs, 429 men, I(2) = 0 %). These researchers were unable to draw any conclusions from the anti-oxidant versus anti-oxidant comparison as not enough trials compared the same interventions. The authors concluded that there is low quality evidence from only 4 small RCTs suggesting that anti-oxidant supplementation in subfertile males may improve live birth rates for couples attending fertility clinics. Low quality evidence suggested that clinical pregnancy rates may increase. There is no evidence of increased risk of miscarriage but this is uncertain as the evidence is of very low quality. Data were lacking on other adverse effects. They stated that further large well-designed RCTs are needed to clarify these results.
Endoluminal Occlusion Device:
Venbrux et al (2014) determined the safety and effectiveness of a new endoluminal occlusion device, ArtVentive endoluminal occlusion system (EOS), to occlude the spermatic vein in symptomatic males with varicoceles. The ArtVentive EOS device has been developed for percutaneous, peripheral occlusion of the peripheral arterial and venous vasculature. The system is comprised of an implantable occlusion device and a delivery catheter. At present, there are 2 device sizes: (i) size 1 for target vessels ranging between 3.5 and 5.5 mm in diameter, and (ii) size 2 for target vessels 5.5 to 8.5 mm in diameter. The treatment group included 6 adult males, aged 22 to 34 years; 9 target vessels were occluded and a total of 20 devices were implanted in 6 subjects. The acute occlusion rate at the end of the procedure was 100 % occurring in 9 of 9 vessels. The spermatic veins of all patients remained occluded on venography at 30 days follow-up. Pain scores related to varicoceles decreased in 5 of 6 patients. The authors concluded that although they recognized this study was limited, initial experience indicated that the ArtVentive EOS is a safe and effective new device for occlusion of vessels (varicoceles). They stated that the device has potential applications in other clinical conditions requiring occlusion of veins or arteries.
Surgical Treatment for Subclinical Varicocele:
In a systematic review and meta-analysis, Kim and colleagues (2015) noted that recent meta-analysis by the Cochrane collaboration concluded that treatment of varicocele may improve an infertile couple's chance of pregnancy. However, there has been no consensus on the management of subclinical varicocele. These researchers determined the impact of varicocele treatment on semen parameters and pregnancy rate in men with subclinical varicocele. The RCTs that evaluated the presence and/or treatment of subclinical varicocele were included for systematic review and meta-analysis. Random effect model was used to calculate the weighted MD of semen parameters and ORs of pregnancy rates. A total of 7 trials with 548 participants, 276 in subclinical varicocelectomy and 272 in no-treatment or clomiphene citrate subjects, were included. Although there was also no statistically significant difference in pregnancy rate (OR 1.29, 95 % CI: 0.99 to 1.67), surgical treatment resulted in statistically significant improvements on forward progressive sperm motility (MD 3.94, 95 % CI: 1.24 to 6.65). The authors concluded that there is insufficient evidence to allow final conclusions because the quality of included studies was very low and further research is needed.
Furthermore, an UpToDate review on "Evaluation of nonacute scrotal pathology in adult men' (Eyre, 2016) states that "Subclinical varicoceles are often discovered as part of an infertility evaluation by demonstrating retrograde flow to the scrotum by Color Doppler ultrasonography. The role of surgical ligation for subclinical varicoceles associated with subfertility is not clear".
|CPT Codes / HCPCS Codes / ICD-10 Codes
|Information in the [brackets] below has been added for clarification purposes.  Codes requiring a 7th character are represented by "+":
|CPT codes covered if selection criteria are met:
|Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, other than hemorrhage (eg, congenital or acquired venous malformations, venous and capillary hemangiomas, varices, varicoceles)
|Other CPT codes related to the CPB:
|Transluminal balloon angioplasty, percutaneous; venous
|Unlisted procedure, vascular surgery
|55530 - 55540
|Excision of varicocele or ligation of spermatic veins for varicocele [not covered for subclinical varicocele]
|Laparoscopy, surgical, with ligation of spermatic veins for varicocele [not covered for subclinical varicocele]
|HCPCS codes not covered for indications listed in the CPB:
|ArtVentive endoluminal occlusion system - no specific cde:
|ICD-10 codes covered if selection criteria are met:
|Testicular hypofunction
|Scrotal varices


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Are you looking for Transformers? Hotfrog showcases more than 2,000 popular businesses related to Transformers! To find more business related to Transformers, use the left navigation menu.
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Glasgow's Life Transformational Dentist, pain free dentistry for busy people, specialising in teeth whitening. Download your free guide http://teeth…
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Bitter Sweet Chocolate Zabaglione
|4 Ounce (bittersweet)
|Half and half
|1⁄4 Cup (4 tbs)
|Egg yolk
|1⁄3 Cup (5.33 tbs)
|Marsala wine
|1⁄2 Cup (8 tbs)
In heavy saucepan or microwave, melt broken chocolate with half and half; set aside to cool.
In double boiler, over simmering water, beat egg yolks with hand mixer.
Gradually add sugar, beating on high until creamy.
Add Marsala, stirring to heat slightly.
Beat on high until mixture starts to thicken.
Remove from heat and continue beating until very thick.
Stir 1/2 cup of egg yolk mixture into chocolate; fold the two mixtures together.
Serve immediately.
Recipe Summary
Rate It
Nutrition Rank
Nutrition Facts
Serving size: Complete recipe
Calories 1309 Calories from Fat 529
% Daily Value*
Total Fat 61 g93.7%
Saturated Fat 31.6 g158.1%
Trans Fat 0 g
Cholesterol 947.8 mg315.9%
Sodium 85.5 mg3.6%
Total Carbohydrates 160 g53.3%
Dietary Fiber 6.7 g26.8%
Sugars 138.3 g
Protein 19 g37.7%
Vitamin A 25.9% Vitamin C 0.91%
Calcium 20.7% Iron 31.4%
*Based on a 2000 Calorie diet


text: Q and A: What do we know about the New Valley attack? July 23, 2014 600 Views Following the Farafra attack in Egypt's New Valley last week, where 21 soldiers were killed in a military checkpoint, Aswat Masriya presents in-depth information on the incident. Share this:EmailFacebookTwitterPinterestGoogleTumblrMoreLinkedInRedditStumbleUponPocketPress ThisPrintLike this:Like Loading... 2014-07-23 Egypt Today


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This is my second post in the Ultimate Blogging Challenge for January – 31 blog posts throughout the month.
In keeping with my previous post, (see here) I'm breaking the task down into smaller, more manageable chunks. I've got a list of topics and some blog titles that I want to cover during the course of the month – but nothing is set in stone, I've got built-in flexibility, and I need it.
Obviously, the idea is to post one post a day, but I've fallen behind as it's already the 4th Jan and this is only my second post. Stuff happens that we don't or can't plan for and sometimes schedules are forced off track. No biggie. Life happens!
Now, I AM committed to this challenge and I know I will complete it, but falling behind, although just a little, could may well put some people off from seeing it through, but not me. I know how hard a job this could be if I let a few days go by without posting. I know it is possible to research, write, edit and upload a few blog posts in one day, but that sounds like too much hard work for me – it's like leaving the weeding for weeks only to be faced with a mammoth task later on.
I have associated enough pain with leaving stuff till the last minute to not fall into that trap. Yes, I might slip up now and then, but I've made the decision to get the job done, so I'll get myself back on track and carry on.
It's a useful strategy for motivating yourself towards any goal you are trying to achieve – ask yourself how much pain, discomfort and disappointment will you feel if you don't succeed. Sometimes focusing on the pain of failure is a more powerful motivator than imagining the pleasure of getting to your goal.
So, how are you keeping yourself on track and motivated?
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text:
I like him.
he likes me
i accidently sent him a text
saying he is wasting my time
when i could be laughing with my two best friends
and texting my boyfriend
he said "you have a boyfriend"
i wanted to cry
something then
died inside
i told him no
because i really didn't
it was meant to go to someone i was arguing with
it was never meant for him
i wanted to go and hide
inside that special place inside
my mind
i told him no but i do like this guy
he said oh
so i asked him who does he like
and he told me he is starting to like me
i smiled and blushed
i never ever thought
a guy like him
would like me
he asked me who
so i told him i liked him too
we continued to talk
then we went to the festival
and met him there
at the talent show
i smiled
he was cute
my heart was beating fast
as he stood there
i wanted to hold his hand
later we walked and he offered me his arm
but it was awkward
at first then
a cop came along and asked him why don't we go out
and then he asked me if i wanted to be his girlfriend
that was the best day ever.
i sat on his lap
and i never wanted that moment to end
© Copyright 2017 trapped43v3r. All rights reserved.
Status: Finished
Genre: Poetry
Book / Romance
Book / Fantasy
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Health classes get a 21st century update - Internet Safety
In addition to the traditional health curriculum, the Utah State Board of Education is proposing lessons examining "the dangers and inappropriate use of current technology."
Proposed topics to be covered by the new curriculum include the dangers of revealing personal information online, the presence of online predators, and the legal and social consequences of certain actions online.
The addition of these topics come after many national news stories have covered students' committing suicide after being victims of cyber bullies or being charged for "sexting" -- sending nude photos via cell phones.
"[Online dangers] really threaten the safety of children in our society today," said Frank Wojtech, health and physical-education specialist at the Utah State Office of Education.
The addition of Internet safety to the Utah state health curriculum has been generally met with support. Not all parents are as technologically savvy as their children, and a statewide curriculum could help teens become more aware of the dangers of the Internet and the consequences of their actions.
Internet safety for teens is a growing concern for parents and educators alike. Yoursphere, a safe online destination for kids and teens up to 18, offers a social networking site where parents can be assured that their children are interacting without fear of predators, cyber bullies, or inappropriate sexual behavior.
Yoursphere.com is trying to raise the bar on internet safety. For more information see http://yoursphere.com/
# # #
Yoursphere.com is trying to raise the bar on internet safety. For more information see http://yoursphere.com/
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[Free Game] Beer Master-really addictive android game
For all lovers of beer, fun, games, here is something that should not be missed! Great for relaxation at any time, while waiting on the bus stop, during breaks, good therapy after work... grab a beer and start playing! Open beers to get quotes and the most exciting part, more beers...There are bonus stages like cutting cans, tapping caps, drunk mode and our favorite combo mode... Complete the beer bible to become the next Beer Master...
Really addictive game that should not be missed!
Please rate us and give your review.
Download for Android here: https://play.google.com/store/apps/d...ons.BeerMaster
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Re: [Free Game] Beer Master-really addictive android game
Welcome to Android Central, and thanks for sharing!
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Erfolgsfaktor Kooperation in der Logistik
Erfolgsfaktor kooperation in der logistik by Hans-Christian Pfohl .... Published date on: 2004 with total page: 194 pages. Publisher of Erfolgsfaktor Kooperation in der Logistik is Erich Schmidt Verlag GmbH & Co KG.
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