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Injury was founded in 1969 and is an International Journal dealing with all aspects of trauma care. Our primary aim is to facilitate the exchange of ideas, techniques and information between all members of the trauma team.
Topics covered include: trauma systems and management; surgical procedures, epidemiological studies, surgery (of all tissues) resuscitation; biomechanics, rehabilitation, anaesthesia; radiology, basic science of local and systemic response to trauma and tissue healing.
The Journal also publishes a series of scientific supplements, all of which undergo peer-review prior to publication.The language of the journal is English (UK), for example, stabilisation, haematology, anaesthetic, centre, paediatric, mobilise.
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References should be listed in numerical sequence as they are cited in the text. Names of the first six authors are to be provided. The reference style is based on the 'Uniform Requirements for Manuscripts Submitted to Biomedical Journals' ( http://www.icmje.org). Both journal and book references should contain inclusive page numbers.Personal communications and unpublished data should be cited in parentheses in the text, and not included in the numbered reference listed at the end of the article. Such citations from someone other than the authors (e. g., personal communication) can only be published if a signed letter of permission if provided.
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Data referencesThis journal encourages you to cite underlying or relevant datasets in your manuscript by citing them in your text and including a data reference in your Reference List. Data references should include the following elements: author name(s), dataset title, data repository, version (where available), year, and global persistent identifier. Add [dataset] immediately before the reference so we can properly identify it as a data reference. This identifier will not appear in your published article.
Examples of ReferencesJournal Articles
1. Standard Journal Articles (List all authors when six or less; when seven or more, list the first six and add et al. Do not repeat page numbers).
Frame JD, Frame JE. Modifying integra as a regeneration template in deep tissue planes. J Plast Reconstruct Aesthet Surg 2006;59: 460-4.
1. Book chapter
Lister GD. Skin flaps. In Green DP, editor. Operative Hand Surgery. 3rd ed. New York: Churchill Livingstone; 1993, p. 1741-1823.
2. Book
Book: Mathes SJ, Nahai F. Reconstructive Surgery: principles, anatomy, and technique. New York: Churchill Livingstone; 1997.
Uebersax J. A practical guide to local dependence in latent class models.
Dataset[dataset] Oguro M, Imahiro S, Saito S, Nakashizuka T. Mortality data for Japanese oak wilt disease and surrounding forest compositions, Mendeley Data, v1; 2015. http://dx.doi.org/10.17632/xwj98nb39r.1.
Authors are strongly encouraged to check the accuracy of each reference against its original source.Abbreviations: In general abbreviations should be spelt out in full the first time they are used, but this does not apply to the very common abbreviations listed below: A&E: accident and emergency; CT: computed tomography; DVT: deep vein thrombosis; EUA: examination under anaesthetic; GA: general anaesthetic; ICU: intensive care unit; IM: intramedullary; ISS: injury severity score; ITU: intensive therapy unit; IV: intravenous; LA: local anaesthetic; MRI: magnetic resonance imaging; MUA: manipulation under anaesthetic; OR: operating room; ORIF: open reduction and internal fixation; XR: X-ray (examination).
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Below are a number of ways in which you can associate data with your article or make a statement about the availability of your data when submitting your manuscript. If you are sharing data in one of these ways, you are encouraged to cite the data in your manuscript and reference list. Please refer to the "References" section for more information about data citation. For more information on depositing, sharing and using research data and other relevant research materials, visit the research data page.Data linking
If you have made your research data available in a data repository, you can link your article directly to the dataset. Elsevier collaborates with a number of repositories to link articles on ScienceDirect with relevant repositories, giving readers access to underlying data that gives them a better understanding of the research described.There are different ways to link your datasets to your article.
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To foster transparency, we encourage you to state the availability of your data in your submission. This may be a requirement of your funding body or institution.If your data is unavailable to access or unsuitable to post, you will have the opportunity to indicate why during the submission process, for example by stating that the research data is confidential. The statement will appear with your published article on ScienceDirect. For more information, visit the Data statement page.
Use of the Digital Object Identifier (DOI)The digital object identifier (DOI) may be used to cite and link to electronic documents. The DOI consists of a unique alpha-numeric character string which is assigned to a document by the publisher upon the initial electronic publication. The assigned DOI never changes. Therefore, it is an ideal medium for citing a document, particularly 'Articles in press' because they have not yet received their full bibliographic information.
The correct format for citing a DOI is shown as follows (example taken from a document in the journal Physics Letters B):doi:10.1016/j.physletb.2003.10.071
When you use the DOI to create URL hyperlinks to documents on the web, they are guaranteed never to change.Types of submission
1. Full length articles.
Original, full-length, research papers, which have not been published previously, except in a preliminary form, may be submitted as regular papers.
2. Case Reports.
The Editors recommend submitting case reports to the open access journal, Trauma Case Reports, which has the same editorial team as Injury (accepted authors will be charged a fee). To submit a case report to Trauma Case Reports, please go to http://ees.elsevier.com/tcr/
Letters to the Editor are encouraged, particularly those that comment on an article previously published in the journal. These should be submitted via the online submission system.
Authors are requested to submit their original manuscript and figures online, via http://ees.elsevier.com/jinj/ Full instructions are located on this site.
A PDF proof is generated from the uploaded files and this is then sent to at least two reviewers. All correspondence, including notification of the Editor's decision and requests for revisions, will be managed via this system.If you do not receive any response within 8 weeks after the acknowledgement that your paper has been successfully uploaded, you may contact the Editorial Office, preferably by e-mail (firstname.lastname@example.com). Authors may also track the progress of their paper using this system to final decision.
Your manuscript should be submitted together with a covering letter which should be signed by the corresponding author on behalf of all authors and should include:
* A statement that all authors have made substantial contributions to all of the following: (1) the conception and design of the study, or acquisition of data, or analysis and interpretation of data, (2) drafting the article or revising it critically for important intellectual content, (3) final approval of the version to be submitted. All contributors who do not meet the criteria for authorship as defined above should be listed in an acknowledgements section. Examples of those who might be acknowledged include a person who provided purely technical help, writing assistance, or is the chair of the department who provided only general support. Authors should disclose whether they had any writing assistance and identify the source of payment for this assistance.
* The names and contact addresses (including e-mail) of 2 potential reviewers that have not been involved in the design, performance and discussion of the data and are not a co-worker. These may or may not be used at the Editor's discretion. You may also mention persons who you would prefer not to review your paper.Conflict of Interest All authors must disclose any financial and personal relationships with other people or organisations that could inappropriately influence (bias) their work. Examples of potential conflicts of interest include employment, consultancies, stock ownership, honoraria, paid expert testimony, patent applications/registrations, and grants or other funding. The Conflict of Interest statement should be uploaded as a separate file.
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No blog last night as I ended up having a few drinks in ours and I do not blog under the influence. Now I have a shameful confession to make. Last night I actually bought a lower strength lager and enjoyed it. For my sins it was Stella Artois 4%. Now we all know the original "Uri Geller" is a drink with magical powers and is often referred to as wife beater ! Stella Artois is commonly known as dishwater on the continent but has been magically marketed over here as "re-assuringly expensive" !! Abroad it is une biere la piss. So I had six cans of 4% Stella or Stella Tart-tois as it should be called. No wife beater powers. The only thing it made me demolish were two packs of Seabrooks crisps and a twix. Ended up played Ashes cricket on the playstation3 and me and Mr Airey drew 1-1. On the bright side when I was up at 7.30 with the kids I felt fine and went to the park with my niece and nephew about 10. I will kill the rest of the tart-tois tonight and that will be that. I wonder if my downgrade in alcoholic percentage is the top of a slippery slope that ends up in 30 years time as slippers and pipe. Or in my dads case, plaster cast and 200 duty free ciggies ?
So after a lunch time snooze I felt refreshed and went over the gym. Second time and two games of footy this week so the new regime has started well despite what looks like beer Fri, Sat and Sun! I was doing my 2.5km on the rowing machine which looks over the car park the David Lloyd gym when again I noticed what seemed to be a perfectly able bodied person drive away from a disability spot. The disability spots in David Lloyd are the prime spots in the car park. Often a busy times you can find yourself a good couple of mins walk away from the gym entry. Now I know this person might of had a disability but I have seen this too many times at this gym. If you have a disability then I suggest you join the Speke David Lloyd. The healing powers are quite amazing. More often than not its disabled customers come out of the gym and drive away in their cars healed. Not only that the quality of cars they have is very good indeed, often driving away in those large cars that have no real reason to be on the road. You know the ones. The ones that block the entire school run because mum has run the kids to school and she has never been behind the wheel of a monster truck before. My row takes about 11 mins. Now there was not only one disabled miracle today but a second occured. This time it was disabled bay 1. This is the creme de la creme of parking spots in the gym. This miracle was special because there were three girls about 25 years old. I am gonna be fair and assume all three were disabled when they went into the gym but all came out cured. From now on I think I will call my gym David Lourdes gym.
So came back from the gym and had a pizza park gym. Now there is some twisted logic somewhere in doing an hours cardio and coming home and having a pizza park tea and six cans of tart-tois. If you find it feel free to tell me in the comments section. I sat in the conservatory to watch the Newcastle game. Now in a handy pop up on my mac as its live on BBC. Then came the local boys doing their best to make my little piece of Garston into Brands Hatch. Now I do not have any problem with the kids playing on motor bikes etc (As long as they do not come into our road as the Dutch farm field at the back of ours is a better place to ride.) We indeed as kids played on a moped on Sudley field for a bit trying to break the Aigburth land speed record of 16mph downhill. The difference today is that the 2000 version of the moped which has slightly more power than a Toni & Guy hairdryer sound like they have the power of Donald Campbell's "Bluebird." Just because they sound like a jet plane it does not mean that it has any more chance of breaking that 19 year old Aigburth land speed record set on Sudley Field (16.2 mph.) Oh well thats another Victor Meldrew rant over. Off to drink some Stella 4%, bang UK gold on and watch endless repeats of The Bill in my slippers, light up my pipe and have some werthers originals.
Fay x

subset: commoncrawl


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Volleyball (16-10, 3-2 in the NESCAC) lost a hard-fought conference match on Saturday night to Tufts after splitting the Washington University Invitational over reading period. On Saturday, the Ephs rallied after dropping the first two sets but eventually lost in five to the Jumbos.
The women's conference match at Amherst against Tufts was a tough loss to swallow, finishing in five close sets (21-25, 19-25, 25-19, 26-24, 9-15). The Ephs waged a relentless battle and strung out the Jumbos to four matches before letting their opponents gain too much of an early lead in the fifth match. The Ephs' Achilles' heel in this match seemed to be inconsistency and errors, issues that have plagued them all season.
"On a positive note, we fought hard to force the fifth set," said Head Coach Fran Vandermeer. "However, there were far too many unforced errors throughout the match -missed digs, missed block assignments, hitting errors and communication errors. These continued to neutralize any steps forward that we have been taking. Our challenge at this point as we move forward is for each player to become much more consistent and confident in these areas."
With this conference loss, the Ephs fell to fifth in the most current NESCAC standings. However, the team has five more chances to improve its record and obtain a better seed for the upcoming NESCAC championship in November.
On Oct. 10, the Ephs traveled to the two-day Washington University Invitational to take a crack at fresh foes from far outside the NESCAC. They played teams from Christopher Newport and Baldwin Wallace on Saturday and Illinois Wesleyan and Washington University on Friday.
"I think the team learned a lot from the Wash. U. Invitational," co-captain Chelsea Kubal '10 said. "We played at a really high level that we don't often get to see in the Northeast. I think we also saw how much potential we have, and how the top teams in the nation are beatable. It was a great trip for us to have at this point in the season and a great motivation for us to keep working hard in the gym everyday."
In Saturday's morning match, volleyball took the first set before dropping the next three to lose to Christopher Newport (25-20, 11-25, 10-25, 23-25). A balanced effort by the entire Williams team was not enough to overcome its opponent. In the later match, the Ephs dropped the first set before gaining some momentum and taking the next three for a solid win over the Yellow Jackets (19-25, 25-20, 25-20, 25-17). With 24 kills in this final match, Kate Anderson '11 was named to the All-Tournament team. Also making crucial contributions to the team's victory were Eleanor Levine '11 with eight kills, four blocks, five aces and 10 digs and Kubal with a gutsy performance of 37 assists and 15 digs.
On Sunday, the four sets of the Illinois Wesleyan match (25-16, 21-25, 25-22, 25-18) were all fairly close; and in the end, the Ephs' defensive performance carried them to victory. Kubal paced the team with an impressive 27 assists and 13 digs. First-year Aly McKinnon '12 also contributed to the victory with three crucial service aces and 18 digs.
The second game on Sunday was somewhat of an eye-opener for the Ephs. The Wash. U. Bears came into the match ranked fourth in the nation. Williams played valiantly but was overpowered by Wash. U.'s offense, dropping the first three sets (25-19, 25-19, 25-14).
Nonetheless, the team's focus remains in the moment. "In the last stretch of the regular season, I think we need to keep focusing on pushing the tempo of our offense and playing solid defense," Kubal said. "We had a tough game against Tufts that we started off slow and then picked things up but it ended up not being enough. But those are the types of games where our consistent focus and intensity will help us out a lot more down this stretch."
Last night, the women played a conference match against Amherst in their last home game of the season. The results came in too late to include in this week's issue.
Next up for the women is the Hall of Fame Tournament at Smith this weekend, beginning Friday.


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Dear Mum and Dad,
Well here I am, school almost over and me only weeks away from becoming a full-fledged, graduated butler! There have been times, especially when our teacher, Mr. Ivor Spencer, was teaching us how to keep from looking at your employer's wife's cleavage in bed while serving her breakfast coffee, when I really wasn't sure this was for me. It's difficult to, as he puts it, "be there and not be there"—how can you act dignified but not there? But before you decide you've poured £1,725 [$2,550] down the drain, I hasten to add I've finally got the hang of it, and in the exercise where we ran into a male houseguest in milady's chamber I won out in aplomb over everybody. In fact, Mr. Spencer says I have a good shot at the ultimate butler's dream—a job in America! I don't expect I'll wind up serving Linda Ronstadt or an oil magnate in Palm Beach or a Louisiana divorcée or a New York millionaire, like four other chaps from this school, but he says it's not too much to hope for Houston!
And isn't it grand that Mr. Spencer will give any Yank who hires me four hours of instruction on the proper way to treat a butler? "That way," he assured us, "you don't get a pop star who doesn't know any better trying to impress his friends by ordering 14 courses for lunch." I'm afraid I didn't care for having to learn gun handling and kung fu, and I shan't enjoy taking a lie detector test, but Mr. Spencer says it is quite necessary for buttling in America these days.
After six months of Sundays here at the Ivor Spencer School for British Butlers, I have learned a tremendous lot from old Spencer—actually he's only 58. We have been to Möet et Chandon to learn about champagne, Dunhill's for cigars, the Savoy for cocktail instruction, Harrods for the fine produce, and the best hotels like the Dorchester, where Spencer was under-chef when he started out at 18. But sometimes I feel enough's enough. I now know his bloody rules by heart! Never munch garlic! Hold glassware by the stem! Clip your ear hairs! Never discuss politics or religion! Don't overdose with after-shave! Shake hands with guests only at their departure! Oh, and "Never associate sexually with people in the household"—that is another great principle of his (so relax, Mum!). Still, it doesn't do to grouse. "I train butlers to keep the old-world courtesy," Mr. Spencer says.
Now a word about the other lads in our class here. Did you know we 12 are fewer than 5 percent of the applicants, and he has grads working in Saudi Arabia, Italy, Germany, France and Buckingham Palace? Spencer's actually the son of a fruit wholesaler, and he's best known as a Toastmaster, the chap who introduces notables on great occasions and is a sort of emcee in livery (Mrs. Thatcher calls him "Ivor"). He got the school idea while he was organizing a party for a movie mogul in L.A. when he found Americans couldn't get proper permanent help, and his place is unique. This year's students go from 17 to 35 and are all sorts—private schoolers, married men, and one applicant actually was the sacked sales director of a multinational food company. "I've had a driver, eaten in the finest restaurants and lived well on my expense account," he said. "This is the only way I could live in the same style." Mr. Spencer did not take him. "I teach my butlers to be very low-key," he likes to say.
Actually, I fear the life I've chosen will be very hard. I shall work 16 hours a day for $25,000 to $30,000 with a day and a half off, two weeks' vacation and precious little conversation indeed. "Butlers have no small talk for their employers," Spencer instructs us. "American employers are usually very friendly, and the butler must pull back. The American butler talks too much." We must pinch pennies dreadfully—"Millionaires hate waste," Spencer says. And the guests! We must make notes on every bloody one—do they want champagne for breakfast, do they have hay fever—and treat all royally. "If a shabby-looking guest comes in," Spencer says, "take his coat off as if it's a mink."
Our day will start at 6, and at the appropriate hour we will knock on the master's door with tea or coffee, having ironed the better papers to get the creases out (you start at the top). Then we will draw open the draperies and ask if the coffee is wanted on a table or on the lap—that's where the cleavage-avoidance comes in. Then we inquire when bath and breakfast shall be and after that we cease talking. We present the master with two outfits, iron the shirt collars, and set out the socks uppers foremost so they are easier to don (for the madam, we deal with outerwear only—no nether garments). Later we pick up yesterday's clothes—Mr. Spencer says they may well be on the floor—for sponging and pressing. We shall of course attempt discreetly to improve the master's less fastidious habits. "American millionaires love junk food for lunch," Spencer told us. "Try and educate them in a nice way." That American oilman actually used to dine in his oil field garb, but since the butler came and they moved to Palm Beach, they now dress for dinner at least once a week.
Which just shows challenges still exist. They may be having a recession over there but, as Mr. Spencer put it so nicely, "The rich are still with us."
Your obedient future servant, Hobson


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Delicious dinner recipe for Tarragon Cream Chicken with mushrooms and pink peppercorns
1 tablespoon olive oil
1 tablespoon butter
8 chicken fillets, bone-in and skin on
2 shallots, diced
250g (2 cups) button mushrooms, sliced
3 stems fresh tarragon, de-stalked
1 cup (250ml) white wine
250ml hot chicken stock
1 cup pouring cream
a squeeze of fresh lemon juice (about 1 tablespoon should do)
1 teaspoon pink peppercorns, lightly crushed
sea salt flakes and cracked black pepper, to taste
How to
Heat 1 tablespoon olive oil in a wide based pan. Season the chicken and brown on both sides.
Remove and set aside. Reserve 1 tablespoon of the pan oil and discard the rest.
Sauté the shallots for several minutes on a medium heat until softened. Add the butter and the mushrooms, turn the heat up and cook until all the water has evaporated. Season the mushrooms with salt.
Add the tarragon and stir through. Deglaze the pan with the wine and reduce by half.
Add the chicken stock, cream, lemon juice and pink peppercorns. Bring up to the boil and return the chicken to the pan.
Cover and simmer for about 30-35 minutes, turning the chicken over once during the cooking time. Remove the chicken skins if you like or place under the grill to crisp up and brown.
Serve with steamed broccoli and baby potatoes.
Recipe provided by Bibby's Kitchen @ 36, a food blog by Dianne Bibby. For more details on monthly cooking classes hosted in Johannesburg, email [email protected].


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I have been delinquent in describing our first car trip with Girly and I have forgotten a lot of the details (or, more likely, blocked them from memory). The destination was wonderful, but the coming and going? Not so much.
Here are just a few little tips -
Motion sickness:
We didn't know our girl got sick in the car. Looking back, I think she had just caught the bug that made her sick, sick, sick (because she threw up 10 minutes into the trip - that isn't motion sickness), but she also clearly had some degree of motion sickness, as evidenced by the dry heaving 4 hours into our trip. I suggest you call your pediatrician before you leave and ask if there is any medication you can give to your child and get the dose, just in case. Better to have it on hand than to have to go searching for it in a strange town.
Also, pack plenty of extra wipes and plastic bags in the car - there is all sorts of dirty-ness on road trips, puke or otherwise. We finally learned (after lots of puking) that a bib with a big pouch at the bottom can help contain the mess and make your kid and the car seat easier to clean.
If you are traveling with a special blanket or animal (lovingly named dee-dee in our house), be careful with its use. We have two dee-dees, fortunately, but both were thrown up on in the first 10 minutes, unfortunately. I wish, wish, wish I had kept one on reserve - just in case. ("Just In Case" became the theme of our trip.)
Finally, I was so super excited to use the portable DVD player to help pass the time - quietly. Turns out, a sick kid in a rear-facing car seat who watches movies continues to get sick. Bring plenty of reinforcements to fill the time.
Which is a nice transition to ... Toys!
I made a special solo trip to Target to find all manner of fun things to fill our time. Turns out that it is surprisingly hard to find age-appropriate toys that are quiet and good for the car. Whatever happened to the plain ol' Magnadoodle? I got the Target version, which has a laughable name, but was compact and good for travel. Otherwise, it was just some books from the $1 section and some colors. We bought a little keyboard for the trip home because Girly LOVES banging on the keys. We would have taken out the batteries, if it wasn't for the dreaded tiny screwdriver, but it did take her almost an hour to figure out how to turn it on!
Entertainment for parents?
I checked out some books on CD from the library for when Girly was sleeping (which, shocker, wasn't all that often). I ended up getting a series of short stories by David Sedaris, which were really funny and perfect because we could just listen to it in short bursts if necessary.
I bought a lot of special treats for the trip, as my plan was to feed Girly from the time we left until the time we arrived, just to keep her happy. "Minnesota crackers" we called them. Turns out a sick kid wants nothing to do with cheese bunnies, so more for me, thankyouverymuch.
In general, I hope you travel to a place where there are friends / grandparents / aunts, uncles, cousins / random strangers (kidding, kidding) who can take care of your kid for a little bit and give you a breather!
Also, last tip: bring a spare set of car keys that you DON'T keep in the car. No need getting trapped anywhere. I did have the forethought to renew our AAA membership the day we left, though it didn't help when the keys were locked in the trunk in Minnesota. Apparently, we don't have coverage for stupidity.


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Call Number
Material Type
Home Location
Item Holds
|Adult Mass Market Paperback
|Central Closed Stacks
On Order
Into a Southern California rife with the machinations of Hollywood, the lure of drugs, and the slick sheen of sex, comes a nameless, ancient evil, a destroyer that completely ravages its victims, body and soul, leaving behind only wet bones. Blending supernatural horror worthy of Lovecraft with a razor-sharp, outlaw street savvy, Shirley presents a visceral, terrifying tale sure to sear the psyche of unwary readers. Winner of the International Horror Guild Award.
Reviews 1
Booklist Review
In his new horror novel, Shirley serves up the bloody heart of a sick and rotting society with the aplomb of an Aztec surgeon on Dexedrine. Satiety and viscera fill a fair number of the book's pages, but, as with works by the better writers of splatter fiction, there are some solid moral and ethical issues being addressed. Set mostly in the L.A. area, the story follows the quest of a father to free his daughter from the control of a demonic cult. The cult members are manipulated by and also receive paranormal powers from transdimensional vampires called the Akishra. These ethereal creatures exploit human frailties, deriving sustenance from pleasure and pain squeezed from flesh-and-blood victims. To complicate things, the Akishra are breeding and are on the verge of being able to physically cross over into our world. Shirley's book is a solid contribution to the horror genre; the only potential cop-out on the part of the author is the delegation of a big chunk of the responsibility for personal and societal degeneration to an outside force. ~--Elliott Swanson


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September 2013
In this Issue
The State of CAS
A look at historic CAS milestones with an eye toward the future.
Guest Chief Medical Editors' Page
The State of CAS
By William A. Gray, MD, and Sumaira Macdonald, MBChB, FRCP, FRCR, PhD
Regulation of Carotid Artery Stents and Embolic Protection Devices in the United States
A history of, and perspectives on, FDA regulation of carotid stents and associated embolic protection devices over the years.
By Sadaf A. Toor, MS; Kenneth J. Cavanaugh Jr, PhD; and Lisa M. Lim, PhD
Carotid Artery Disease Coverage Policy in the United States
A history of CMS decisions for angioplasty and carotid artery stenting coverage.
By Antoinette L. Sheen, MBA
The Effect of Limited CMS Coverage and Patient Access on CAS Outcomes and Device Development
National coverage decisions can play a critical role in creating the environment in which these improvements take place.
By Patrick Verta, MS Stat, MD
A World Without CAS PMS Studies
What will the CAS landscape look like without postmarket surveillance studies, and what will it mean for our patients?
By Herbert D. Aronow, MD, MPH
CREST-2: Guiding Treatments for Asymptomatic Carotid Disease
Examining stenting and endarterectomy in the context of intensive medical management.
By Brajesh K. Lal, MD; James F. Meschia, MD; and Thomas G. Brott, MD
An Overview of the ROADSTER Trial
Evaluation of transcarotid CAS with dynamic flow reversal.
By Christopher J. Kwolek, MD, and Richard M. Ruedy
Research Considerations in a Vacuum of CAS Access
What are the implications of future study in an environment with otherwise limited access to carotid stenting?
By William A. Gray, MD
FEATURED TECHNOLOGYSponsored by Endologix, Inc.
Bringing PEVAR Into Mainstream Aortic Aneurysm Repair
Critical factors for success: the importance of device attributes and physician experience.
By Nikhal Kansal, MD, FACS, and Zvonimir Krajcer, MD, FACC
Perspectives: PEVAR in Practice
Peter R. Nelson, MD, MS, FACS, and Benjamin W. Starnes, MD, FACS, share their insights on the learning curve, benefits, and considerations involved in choosing a percutaneous approach to EVAR.
By Peter R. Nelson, MD, MS, FACS, and Benjamin W. Starnes, MD, FACS
Endovascular Treatment of Iliocaval DVT
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By Ripal T. Gandhi, MD; David Quintana, MD; Melanie Schernthaner, MD; Constantino Peña, MD; Andrew Hall, MD; Niberto Moreno, MD; James F. Benenati, MD; and Barry T. Katzen, MD
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An Interview With Robert M. Bersin, MD
The esteemed interventional cardiologist discusses the future of carotid stenting, the uptake of percutaneous EVAR, and treating the complete patient.


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Its amazing how we fool ourselves into believing that the reason we don't do anything is because we don't know it is happening.
Give urselves some credit guys and, heaps of guts too.
We don't do it because we know, we understand and we take a conscious decision not to disturb the balance.
We don't do it because we know, we understand and we are a part of the reality that makes it happen.
We also don't do it because it is so much easier to be happy and blind and part of an unidentifiable mass than a lone crusading upstart voice.
And all of these reasons are OK. Its OK to be any or all of these. As long as u "know".
One maddeningly, ambitious, greedy man bent an already broken system to build an industry out of nothing. Many sat and, watched him doing it. Hated his style and ofcourse, his guts. Used his power all the same.
This one man allegedly made pots of money for himself and, ah what a kind good family guy, for his family too. This went on for afew years,,about the same time our robust investigative news channels were airing how murky the world of saas bahu and saazish has gotten. Really entertaining, because the needle of suspicion was not pointing at this one guy at all…he was so clean u see..so these amazingly super investigative zealots of the media world had no reason to investigate him…the saas looked deadlier. And anyway, he was so subtle in approach…almost looked gandhian.
And now ofcourse, we know what he did…..greedy greedy man..he made so much money…ya so what if others did too…one man …we are a humane socialist bunch of village idiots u know…that's Indian..we're so true to our roots…we choose such people to govern us…and we never once doubt them…all of them are true descendants of gandhi and buddha.
While we have proven time and again how beautifully inconsistent we are with our loyalties and, so hugely dependant on our ignorance to bail us through most anything in life…I am happy that this one man is so consistently full of himself that he is going down guns blazing.
In the only way he knows how.


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October 11, 2005
Office 12 UI Is Information Architecture
A follow-on thought from my previous post.
If you watch the video interview with the Office UI lead, you'll hear her talk about making accessible 1,500 commands.
The new ribbon, and its task orientation, is not an interaction design solution, but an information architecture solution. It's actually classic information architecture. What is the most suitable cognitive/mental model when interacting with Office products? (their answer: task-based). What are the terms/labels that will best guide people to discover/find the functionality they desire?
Posted by peterme at 11:00 PM | Comments (3) | TrackBack


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Category Archives: Crystals
The Dream Chamber
With some lovely sandalwood incense going, a beeswax candle and some late 18th century harpsichord breezily distant, evoking deeply buried memories of life at court in Regency London as a countertenor, thus one slips lucid, fecund and supremely feminine into … Continue reading →
Here's to You!
Just a wee glimpse into my magical life where dreamquests are all begun in the groovy comfort of my collapsible pyramid. I have had a pyramid since 1984 in one form or another. This incarnation of my dream chamber, I … Continue reading →
Going Live!
The second volume of Human Civilisation's first Dream Memoirs are dropping. Please do get your copies. I will also be hosting a launch/art collection event with open bar at my place over the holidays. Will keep you posted. This is … Continue reading →
Here's to Life! A celebration of the 70th anniversary of Merlin's birth.
On this the eve of the July 21, 2017, 70th anniversary of Merlin's birth, I am still over the moon and greatly inspired for having travelled to London, England, Paris and Versailles France and Amsterdam, the Netherlands in June. I wanted … Continue reading →
Merlin. July 21, 1947 <O> November 18, 1989 _________________________________________________ I could never have imagined surviving Merlin by 25 years. More than that, I could never have fathomed how immensely enriched I would grow for having known and loved Merlin. Certainly, … Continue reading →
A few crystals.
A clutch of my many crystals being re-charged after having been bathed in both sunlight and moonlight and cleansed in ph-balanced reverse osmosis water… The tiny transmitter crystal to the immediate right of the crystal ball and to the left … Continue reading →
Collapsible Pyramid with Crystals.
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Monday, October 25
Bye 1st annual dinner
Finally our utc 1st Annual Dinner is over yesterday. We had started to prepare and prepare more than 1 month, proposal,meeting, discuss, bought gifts, wrapping presents, informing clubs,committees and other..all end. Although people say that i stupid and not worth in putting so much effort on it, but since u have responsibility to do so, i should give it all. Honestly i am happy and has remain a deep memories with them.^^
When the event start, i'm so excited and busy working in the receptionist.WOW..difficult to express my feeling that time. luckily Leong Wei helping us. There are not so many guest attending the dinner and the whole program flow are worst. Everyone make mistakes even me. Being scolded by Sir. haiz.. i'm didn't have potential to being a waitress. So bad that i even no time to serve my loved one which waiting behind the stage. This few days keep on making serious mistakes. Must remember and don't repeat it. During working that time, i miss my darling so much.. donno how was he inside there. like being trap.so pity neh. We so happy we can meet during the games session, he looks like free from jail..haha.. after finished his meal. He went back to jail again.:( During the open dance floor, everyone look enjoyed. Just felt like clubbing, but i didn't went clubbing before de. Those songs i likes so much and we started to dance.^^
After finished the event, some of us went to Fat Fat restaurant supper.. What a tired day.
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The Residences
Sacrosanct contains four distinct neighborhoods, each with their own specific kind of houses and residents. Explore our districts, view lists of our citizens and enjoy our block parties!
What's You'll Find Here
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Anacosta Heights
11 residents
Anacosta Heights
Situated above the daily life of the city, Anacosta Heights is a tucked away suburb featuring extravagant neo-gothic inspired mansions. The inhabitants of this neighborhood often show their overwhelming wealth with sports cars lining their long, circular driveways, large pools and manicured gardens. The homeowners of Anacosta Heights treasure their privacy as seen by the high iron gates to the security personnel present at every entrance.Rowena MetcalfSebastian Ellington-AragonaKohl JonesDareios Auerbach Dorian Ellington-AragonaAmelia MarekIórkæll DværgAndras SteinColumbia De LÉvÊque Lisé DupontVitani Lovelace
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Dupont Circle
5 residents
Dupont Circle
Dupont Circle is a small suburban neighborhood settled within the serene portion of the southern portion of town. Although these houses are somewhat small (often two to three bedrooms) they feature back yards, porches, garages and far more breathing space then the Village offers. This neighborhood often is more family orientated and even has organized events for children and for the neighborhood as a whole.Adelaide LabelleJohnathan HolmesGia Jones William TownsendMaera Carrick
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Hawethorn Village
5 residents
Hawethorn Village
Settled in the middle of downtown, Hawethorn Village consists of several victorian inspired row houses just off the main street. Due to it's convenience to just about everything, the village can be a tad expensive to live within. However, the residents of this neighborhood often have two to three story townhouses, often with a one to two car garage. Many of the houses feature bay windows and/or rooftop terraces.Serafina DuboisAnastasia RomanovaLazarus DarayMiyako AikenElain Daray
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River Dale
10 residents
River Dale
River Dale primarily consists of apartments that, despite their age and industrial appearing interior, still hold true to the victorian history that permeates the town. These apartments are often the cheapest option and sport scuffed, older wooden floors, open floor plans and the occasional brick beams.Isolt GriffinAlekai EveroKillian CarrickMalakai KanaitaCarolina BedfordSterling TenembrageEmerson NavarroBeylani RoseBenjamin AndreevHannes Ögmundsson
It was surely foolish perhaps, to so allow his mind to make that leap towards the very idea that Sebastian was surely taken ill at the mere rejection of that glass of wine and yet, Dorian had so forever been a distinctly observant being even when he hardly intended to be as such. He had never once seen Sebastian turn down a drink even if only out of mere politeness to accept it from whomever had offered it to him. The Monarch quite assured that the English, as a people, often seemed wholly inclined to enjoy their wine in almost as much of a fashion as the French and Italians. To have Sebastian wave away several of those offered drinks only further sought to distress the Fae King. After all, one rejection might simply be a dislike of the drink in question, yet two rejections was all but unheard off! Dorian so struggling then to keep that look of concern from his features and most assuredly failing abysmally in the attempt. That gentle query as to his health only seeming to distress his lover in turn before the vampire inquired as to whether or not he should feel sick. Sebastian's worry only furthering Dorian's own until the Monarch called that affinity to himself, his gaze studying that light of life that glowed brightly around his lover- if only to assure himself his own powers had hardly weakened and the sun might somehow be causing some illness upon him. That light however, remained as vibrant as even his own, this entire affair terribly perplexing and yet the very idea his lover might be sick was more then he could stand. Vampire or otherwise he had seen far too many others succumb to sickness. For all the medicine of the modern world and the distinct lack of those diseases that had once killed so many the Fae King hardly remained convinced. The veritable trauma of his early years in those dark ages still entirely worth fearing to his own mind. People became sick so easily, so readily, Sebastian's living body surely just as susceptible! That observation of his lack of enjoyment of that drink at last falling from his lips- only to be met with laughter.
Both eyes rose distinctly upward at that rich sound. Dorian not at all assured he understood just how the idea of Sebastian's sickness might be worthy of amusement and yet the simple relief upon his lovers features so had a fashion of easing his own worry in turn. That simple explanation of the effects of that wine on a decidedly mortal form, one Sebastian had so far not made any attempts to test that alcohol on, readily saw that look of understanding dawn upon his features. Of course! How foolish he had been not to consider it. The very idea making perfect sense. Thank the heavens Sebastian was entirely sensible enough to consider as such. Dorian entirely assured that had their positions been reversed he would surely have ended up stumbling in some state of drunkenness about the lawns. A look that was surely better avoided given the amount of people whom had already recognised them. Dorian unwilling to have but a single photograph of either of them printed in which they were less then sober in the very least. That relief spread easily over his entire figure in that moment, that apology readily on his lips even as Sebastian moved to wave it away with the assurance he desired to enjoy the rest of the afternoon before he allowed himself to become incoherent. Dorian allowing that soft chuckle to part his lips then, the Fae oblivious to that half-truth of sorts he had been told.
"This seems a sound plan."
He commented softly, amusement touching his features then. Dorian pausing to ask after what else his lover might like to do before the close of that show. After all, Dorian had surely spent the better part of the day dragging him about, the Monarch entirely willing to allow Sebastian that same opportunity. It was the mention of that butterfly dome however that managed to stir that look of hesitation to his features. His silver gaze lifted away from that wine then, the Fae pausing to taste those last few drops before eyeing that dome with some measure of wariness. That assurance that they hardly need step inside was entirely comforting and yet Sebastian had been so good-natured in following him about all day, surely he could allow the man to enjoy that singular exhibit he had asked after? It was with that very resolve that the Monarch so attempted to force that confidence into his words, the Fae wholly practised in doing just that if only because his very role as King demanded it and yet, he suspected, his lover might know him far too well to be fooled by it all the same. Still, he remained nothing if not determined, Dorian content to declare he had not yet been stung by a butterfly and by that notion alone they were surely one of the safer insects to allow himself to be near. That gentle correction in regards to the lack of ability of a butterfly to sting saw his gaze glance upward all the same.
"One among them may have evolved, we cannot be sure."
It was largely better to be cautious in this situation- of that he was entirely certain. Dorian falling easily into step beside Sebastian all the same as they made their way across the green and towards that popular attraction. The crowds of people seemed nothing short of delighted by their arrival and yet the Fae King remained largely oblivious to them, his gaze far more fixated upon that dome and the clear fluttering he could see within it. Dorian distracted from those creatures only by the attendants efforts to assist them. The Monarch near demanding the members of the public remain is only for the distraction they might provide to the bugs. Sebastian's inquiry as to whether or not he was sure met with another nod. Dorian wholly determined he could manage a single lap of that enclosure for his lovers benefit. The warmth of that space was pleasing, if nothing else, Dorian pausing to look at a singular, blooming flower only to have a butterfly flutter from it. That single sound of surprise echoing from him before he near hurried to Sebastian's side lest that creature dared to follow him. His hand gripped his lovers own, his face burying into the back of Sebastian's shoulder. The man unaware in that moment of just how his heart had seen fit to betray him too- that heavy thumping readily felt through the ring upon his boyfriend's finger. That determined 'I'm fine' was mumbled into the cloth of Sebastian's shirt. The vampire, perhaps wisely, readily agreeing with him as Sebastian's head lent slightly back to press against his own in that touch of affection that was truly comforting. Sebastian's hand squeezing his own in that soothing manner, Dorian content to merely keep his face pressed into that fabric and follow behind all the same.
He had hardly anticipated that sudden fact upon moths and their apparent lack of mouths, the surprise of that singular piece of information momentarily punctuating that fear. Such curious things readily appealing to his ever curious nature. If they could not eat then how did they survive? Moths were not at all like Fae or Vampires he was sure. They were mortal and by that notion required at least something didn't they? That lack of mouths too surely made them much less likely to be able to bite him. That was comforting if nothing else. That sudden mention of a 'flutter' and had he known they had been brought in from around the world prompted his own head to shake against his companions back. Dorian largely oblivious to his lovers attempts to calm him in those moments, the man at least somewhat distracted by those facts. The very idea that butterflies had clear wings apparently enough to prompt his head to lift even briefly from Sebastian's shoulder to glance upward and towards the nearest creature only to hurriedly glance away again.
"I…..might like to see that…..perhaps."
The idea of Sebastian's talent for mirrors playing upon those clear wings was so seemingly enough to at least prompt words from the Monarch. Dorian wholly considering that idea of clear wings further before Sebastian announced they had made it around that circuit at least once. That…..had not been too terrible, he supposed, Dorian eager to exit all the same. At least until the mention of that Monarch butterfly, this supposed butterfly king. Dorian daring to peer to the side in some small show of curiosity for this butterfly dignitary.
"It better not fly at me, Bastian. I shan't forgive him if he does."
It was…larger then he had anticipated. Dorian momentarily eyeing that pattern upon its wings. That ready anxiety still clear upon him all the same. The man perhaps inclined to admit it was pretty provided it hardly moved. His silver-hued gaze glanced upward once more at that assurance they were delicate creatures, so delicate in fact, that touching them might somehow lessen their ability to fly and thereby bring about their death. This he had not known. Dorian eyeing that creature further- at least until Sebastian's declaration that butterflies were perhaps more delicate then even he himself, that readily teasing tone stirring that snort from the Monarch then. That butterfly momentarily forgotten.
"Oh, hush."
His hand playfully shoved against his lover then, that smile at last returning to his lips before that realisation of where he was seemed to return to him, Dorian hurriedly reaching for Sebastian once more before proceeding to lead that way determinedly out of the butterfly dome and back into the gardens. His heartbeat still distinctly heavy as that near sigh of relief fell from him. The man working hurriedly to at least attempt to return himself to his usual composure. That slowly lowering sun and lengthening afternoon at least lessening the crowds that might witness his momentary lack of demeanour. His hand remained easily within his lovers own al the same, Dorian content to wander towards that small collection of fountains then and away from that butterfly dome and the chuckling crowd.
"I did not know that you knew so very much about butterflies, Mon Cher. I am not assured whether this worries me or not."
That warm simper managed to find its way to his lips once more, those words wholly teasing as Dorian stepped into that small garden of water features and fountains, his hand releasing his lovers own only to reach towards that statue of a lion's head- water cascading from its mouth and into a pool below. Dorian so allowing his fingers to dip into that water with that same curiosity he had touched those leaves and flowers.
"I think we should have a fountain at home, don't you? I rather like the sound."
His form shifted slightly then, Dorian content to seat himself on that white marble bench beside the fountain before laying himself along it- his fingers reaching back behind him to trail through that water once more before a look of amusement so readily seemed to find his features.
"Do you know what this reminds me off?"
He held that hand up easily then, water dripping from his finger tips and across his palm.
"Do you remember that time when I still lived in that apartment and I flooded it? You had to come over and repair it. I'd been sleeping in the lounge room for days because there was a cricket in my bedroom too."
That smile so readily tugged at his features once more at the simple memory of that evening and the reading of that fan mail that had followed. That the very evening Sebastian had asked him to move in with him. How he might surely never forget that! His form shifted slightly then, making room for Sebastian on that bench. His words tainted with amusement once more.
"Do you know what else this sound reminds me off, hmmm? That very first bath we ever took. That is one of my most favourite memories to think on. Oh, and that evening I got paint in your hair after the Chopin concert. I've quite decided I am actually very good at making a mess aren't I?"
His Royal Majesty
Dorian Aragona
The King of Italy
- if i ever get the nerve to ask - By SEBASTIAN ELLINGTON on August 26, 2017 at 8:17 PM
- you were my strength when i was weak - By Dorian Aragona on August 27, 2017 at 3:26 PM
- what did I get right to deserve somebody like you? - By SEBASTIAN ELLINGTON on August 27, 2017 at 7:30 PM
- you were my voice when i couldn't speak - By Dorian Aragona on August 28, 2017 at 3:59 PM
- it was only a word - By SEBASTIAN ELLINGTON on August 29, 2017 at 12:05 AM
- you were my eyes when i couldn't see - By Dorian Aragona on August 29, 2017 at 4:19 PM
- it was almost misheard - By SEBASTIAN ELLINGTON on August 29, 2017 at 10:28 PM
- you saw the best there was in me - By Dorian Aragona on August 30, 2017 at 3:52 PM
- i wasn't expecting that - By SEBASTIAN ELLINGTON on August 30, 2017 at 9:51 PM
- lifted me up when i couldn't reach - By Dorian Aragona on August 31, 2017 at 4:13 PM
- but it came without fear - By SEBASTIAN ELLINGTON on September 01, 2017 at 12:59 AM
- you gave me faith because you believed - By Dorian Aragona on September 01, 2017 at 4:24 PM
- a month turned into a year - By SEBASTIAN ELLINGTON on September 02, 2017 at 12:23 AM
- i am everything i am- because you loved me - By Dorian Aragona on September 02, 2017 at 4:23 PM
- oh and isn't it strange - By SEBASTIAN ELLINGTON on September 03, 2017 at 1:04 PM
- you gave me wings and made me fly - By Dorian Aragona on September 03, 2017 at 4:22 PM
- how a life can be changed - By SEBASTIAN ELLINGTON on September 04, 2017 at 2:25 AM
- you touched my hand i could touch the sky - By Dorian Aragona on September 04, 2017 at 4:07 PM
- you know I wouldn't change a thing - By SEBASTIAN ELLINGTON on September 05, 2017 at 12:41 AM


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Supporting Mentors and Mentees in the Face of Challenges
Thursday, July 20, 2017
A key to a positive mentoring relationship is the ability of a mentor to respond to a mentee with care, ease, and relevance when delicate or difficult issues arise. This webinar will explore critical concepts, strategies, and tips for mentors and program staff to consider when interacting with youth about tough issues such as drugs or sex, problems in families, illnesses, mental health, death and bereavement, and violence.
Since many mentees face high challenges and embody marginalized identities, our understanding of how to address difficult issues must include awareness of trauma and its effect on development, as well as cultural concerns and issues of inequity and oppression. Dr. Dustianne North will present key communication approaches and will facilitate an interactive discussion featuring highly-esteemed experts Dr. Torie Weiston and Dr. Jaime Romo. Dr. Weiston will discuss her research on critical mentoring and meeting the needs of youth of color in mentoring programs, and Dr. Romo will share about his work in trauma-informed and culturally-relevant practice.


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"According to preliminary estimates, based on the exchange rate in 2012, this tax will give annual income of 5-8 billion UAH to the pension fund," he said.
According to him, just the message of the possibility of introducing such a tax has already influenced the foreign exchange market of Ukraine. "The volume of foreign currency sale has increased by 50%, and increases by 0.5-1% every day. People sell foreign currency. The reason for that is not their fear, many people have realized that speculators let them down because of panic," Horshkov said. In addition, he noted that it is hryvnia, which shall be considered the payment instrument under the legislation.
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Budget $300 USD
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Thursday, June 3, 2010
The Box Car Children
I had Kent take "The Boxcar Children" out of the library on Tuesday. Then I told him at quiet time that he should read 1 or 2 chapters everyday at quiet time. After quiet time on Tuesday I asked him how the story was and he showed me that he was almost done - with the whole book. He read 12 chapters at quiet time. He finished the book yesterday and restarted it. He said it was an interesting story and he should read it again.
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