text:
Tube producer knocked down, but not out
Independence Tube rebounds from tornado stronger, better than ever
When one of its facilities was struck by an EF5 tornado on April 27, 2011, Independence Tube Corp. vowed to rebuild the facility. The reconstruction, which was aided by its staff, its customers, and its suppliers, was a Herculean effort that resulted in a small miracle exactly a year later: the new facility reopened for business on April 27, 2012.
When you run a business, you encounter all sorts of contingencies. If you have planned well, you probably won't miss a beat. A worker calls in sick; you have cross-trained your staff so other workers can fill in. A machine breaks down; you have a maintenance staff and spare parts on hand to get the machine up and running. An inbound truck is delayed; you keep a little extra supply of raw material in inventory so you can continue making parts. A tornado tears down more than half of your building, destroys several critical machines and damages a few more, and scatters your inventory far and wide. Wait. You didn't plan for that.
A tornado of that intensity is extremely rare. Of the 1,300 or so tornadoes that hit the U.S. every year, most are EF0, which is the lowest ranking on the Enhanced Fujita scale, with wind speeds no more than 85 miles per hour. If an EF0 goes through a built-up area, the damage typically is light—shingles torn from roofs, signs torn down, and small branches broken off trees. Many tornadoes travel just a few miles through unpopulated areas, cause little more than some crop damage, and usually result in no fatalities. At the other end of the scale are the most fearsome storms, EF5s, which have wind speeds that exceed 200 MPH and leave little but carnage behind. It's not uncommon for an EF5 tornado to cause $2 billion in damage.
When a big tornado hits a residential area, most homeowners can do little more than salvage the few items they can find, file an insurance claim, and start from scratch. However, when a big storm gets close enough to damage a business's building and some of the infrastructure, but doesn't cause a total loss, it's a completely different situation. This type of thing requires hundreds, if not thousands, of business decisions about assessing the damage, rebuilding the facility, repairing any salvageable inventory, repairing or replacing damaged equipment and tooling, and working out arrangements with suppliers and customers. Related decisions center on helping the staff and their families get through the aftermath. All told, it's a matter of working with vendors, suppliers, customers, and employees to rebuild the business.
This is what happened in late April 2011. Weather conditions from the southeastern U.S. to Ontario, Canada, unleashed 358 tornadoes over four days, April 25-28. Although 96 percent of them were EF3s and below, and the average path was less than 10 miles long, averages don't matter. On April 27 one of the biggest storms of the outbreak, an EF5, tore through more than 100 miles of communities and countryside throughout northern Alabama and southern Tennessee. The path of destruction was about 1.25 miles wide. Although it missed two urban areas in northern Alabama, Decatur and Huntsville (pop. 56,000 and 546,000, respectively), it took 100 lives and left a wake of destruction in more than a dozen communities. It got close enough to Decatur to hit Independence Tube Corp.'s facility, which is 9 miles northwest of downtown.
Although 25 people were in the building at the time, they were blessed with an amazing stroke of luck: None were hurt. What happened during the following 12 months is just as remarkable, and a testament to Independence's ability to execute a recovery plan in the face of nearly overwhelming circumstances. A year later, to the day, the company reopened the facility for business. Its response to this disaster is the reason the staff at TPJ-The Tube & Pipe Journal® named Independence Tube Corp. the recipient of this year's TPJ Industry Award.
Where to Start?
On April 27 the National Weather Service's Huntsville, Ala., office issued 92 tornado warnings, 31 severe thunderstorm warnings, and seven flash flood warnings. By the end of the day, 39 tornadoes had developed in the Huntsville office's county warning area (CWA), which consists of 14 counties: Lauderdale, Colbert, Franklin, Lawrence, Limestone, Madison, Morgan, Cullman, Marshall, Dekalb, and Jackson in Alabama; and Franklin, Moore, and Lincoln in Tennessee.
The storm that hit the Independence facility was one of the biggest storms that slammed Alabama that day. According to data provided by the National Oceanic and Atmospheric Administration, its track was 132 miles long, and it was the only storm reported by the Huntsville office to develop winds in excess of 210 MPH. After the tornado had passed, the 25 employees emerged from the tornado shelter to find the unimaginable.
- Nearly 90 percent of the building was ruined. Of the 435,000 square feet under the roof, 385,000 sq. ft. of it was destroyed.
- Five overhead cranes were destroyed; eight were damaged. The force was so great that the storm pulled some of the cranes off their rails and they jumped the emergency stops.
- Inventory was scattered, wet, and covered with insulation. Two 123⁄4-OD pipe pilings, each 60 ft. long and weighing 2,000 lbs., were thrown more than 200 ft.; one of them was driven through a railcar.
- A rail spur was moved 4 ft. from its original location.
It soon came to light that Dwight Eisenhower's observation was right on target: "In preparing for battle I have always found that plans are useless, but planning is indispensable." In other words, the plan itself isn't necessarily useful, but formulating a plan provides two crucial benefits. First, the process of working up a plan—that is, the painstaking job of working up a thorough, detailed strategy that accounts for every aspect of the situation, big and small—is an invaluable experience. Second, it provides a starting point, providing a general route to get to the goal. The actual route, based on myriad decisions made and actions taken, probably won't follow the plan too closely, but that doesn't matter. Starting with a plan that is open to change and improvement is much better than starting with no plan at all.
A Three-point Plan
As soon as the executives at Independence heard the news, they took action."Some drove down from Chicago that night," Werner said. "I was in Florida when I found out, so I immediately went to the airport. I wasn't able to get a flight, so I wound up renting a car and driving all night to get to Decatur the next day."
The company put together a recovery team that included managers, supervisors, and employees from all of the company's locations, and it solicited ideas and input from everyone in the company. "We realized that everyone's ideas and opinions, no matter how minute, would add to our success in this recovery," said John Helinski, the Decatur division manager.
One of the company's first actions was to place advertisements in several industry magazines announcing that it had been hit by a tornado on April 27, and that it started rebuilding on April 28. It was the company's way of communicating to every customer and vendor that it was ready to roll up its sleeves and get to work rebuilding the plant and rebuilding the business. It was a very public commitment.
Another opportunity to spread the word came up when several Independence executives and managers attended the Metals Service Center Institute's annual meeting. The timing for these face-to-face discussions was about perfect, coming four days after the storm—long enough for the word to get around the industry that the tornado had destroyed the building, and soon enough to head off any doubts about the company's commitment to rebuild.
Emphasis on Employees. While Independence needed some workers to remain in Decatur, it didn't have enough work for all of them, so every member of the Decatur workforce was offered three options: work at the company's Chicago location; work at its Marseilles, Ill., division; or remain in Decatur. At any given time, about half of the employees worked at the other divisions during the recovery effort.
Working from the plan, the company compensated its transfer employees for travel, housing, and per diem meals.
A big, bureaucratic organization might have stuck to the plan to keep it simple, but in a small company, taking care of the employees can be much more complex.
"When you have 72 employees, you know them well and you realize they have a life outside of work—each employee has a spouse or a girlfriend or a boyfriend, maybe a child or a family—so we asked them to let us know what was going on with their families, and how we could help," said John Anton, Chicago division manager. "It's not just about the 72 employees. It was about their families and their extended families."
Responding to the staff's varied needs, the management team let each relocated employee decide how much time to spend at the temporary location.
"Some relocated for the duration, some as little as a month, and some didn't go at all," Werner said. The company had plenty of work in its Illinois facilities, which soon were absorbing the orders normally processed in its Decatur division. Also, the company used Decatur staff to bridge the gaps created by vacations, especially during summer months, when it normally hires temporary workers. In the Marseilles division, it added a second crew to the night shift, and it added to the material handling crews at both locations to help with the increased throughput.
Concentrating on Customers. Independence's main goal wasn't merely to serve its customer base to the best of its ability. It set its benchmark much higher than that: It wanted its customers to feel no pain.
"We immediately did an intensive open-order review, a rigorous in-process and inventory review disposition, and made plans for storing finished goods inventory," Helinski said. "We shifted production to our northern locations and contacted our customers directly by e-mail, telephone, in person, and indirectly by advertising."
The three Independence locations didn't have 100 percent crossover in their manufacturing capabilities, which brought to mind some of the warnings when the company obtained its quality certifications.
"When quality systems like ISO and QS first came out years ago, the auditors would ask, 'What would you do if you lost a division? Where is your redundancy, and how will you maintain consistent quality?'" Anton recalled. "Many people thought it would never happen, but it did. You need to have a plan for transferring production to your other facilities."
For another type of company, say a big conglomerate that makes many types of products, this might be impossible, but for a tube and pipe producer that has product overlap among its locations, this isn't too difficult. Still, Independence had a couple of hurdles to get over. The company had to purchase tooling for three of the four sizes it produced exclusively at Decatur. The vendor expedited the order and was able to deliver the new tooling to the Marseilles division within two months. When production commenced, the company faced a decision concerning the additional 575 miles of shipping distance for some of its customers. Who would pay for shipping those orders the extra distance? Independence did. Its customer base knew that the company was dealing with a disaster, but Independence wanted the customers harm, no hassle, not a headache, not even any additional shipping costs. Independence picked up the tab.
"It wasn't our customers' fault that a tornado hit our building," explained Anton.
Synchronizing With Suppliers. Many of the vendors didn't wait to hear from Independence. Instead, vendors called Independence, asking what they could do to help. In some cases, Independence put orders on hold; in others, they rerouted orders to the company's other locations; in still others they accepted orders already in transit and placed the material in temporary storage yards.
The company is proud of the fact that it didn't cancel a single order, but gives credit to its suppliers for their flexibility during the rebuild.
Getting Back to Business
Because the company had good relationships with other businesses in the industrial park, it was able to borrow heavy equipment immediately. However, getting started in a situation like this is more difficult than it seems. The company had finished goods, semifinished goods, and raw materials in inventory, much of it covered with wreckage from the building. How much of it was undamaged, how much could be salvaged, and how much would have to be scrapped? The company couldn't get started until it had permission from its insurance carrier, and when it did start moving material, it had to keep track of the dollar value of every piece of material that was undamaged or salvageable. It was as much an accounting operation as it was a salvage operation.
As soon as the inventory and debris were removed, the team set to work on the reconstruction.
"Excavators, demolition experts, debris haulers, structural engineers, machine overhaulers, electricians, construction companies—all had to be contracted," said Mark Voelkel, the engineer in charge of the demolition and rebuild. The company was fortunate that this was part of the plan, so it was as ready as it could be. Also, because the building was constructed recently (in 2006), the contractors that had built it were available to rebuild it.
The reconstruction would require substantial amounts of structural tubing, so it put in orders to its other divisions.
Although it would be impossible to describe every step of the reconstruction in detail, the numbers speak for themselves. The project required 1,350 tons of steel, which involved replacing the entire roof and 167,000 sq. ft. of siding. The effort required ordering and coordinating the delivery of resources from six countries and organizing the work of more than 30 contractors.
"At any given time, we had 300 workers on-site," Voelkel said.
Although it sounds like a contract nightmare, it wasn't. Starting a business project in a small community in Alabama doesn't always require signatures on dotted lines.
"Many of our contractors worked on handshake deals," Werner said.
As incredible as it may seem, the company didn't focus 100 percent of its efforts on rebuilding. It used the opportunity to improve its operations and its facility.
- "We modified the mill to manufacture tube up to 16 in. OD; added three 90-ft. free spans to improve efficiencies in material transfer; and we toughened the tornado shelter areas with additional rebar and concrete reinforcement," Voelkel said. "Even though the shelters survived, we decided to harden them."
- The company changed its communications capability. "We had several T-1 lines going to the building. The Decatur videoconferencing capability was the best among the three divisions, but the tornado ripped out the landlines, so we went to cellular and satellite capabilities," Werner said.
- Although the production control office, which also was a tornado shelter, survived mostly intact, and structural engineers thought it might withstand a similar event in the future, Independence elected to have it torn down and a new, sturdier office built. "We didn't want to take any chances," Voelkel said.
- While many executives, managers, supervisors, and line workers from every division dedicated quite a bit of time to the recovery team, the staff at the Marseilles and Chicago locations also had to dedicate some of their time to cross-training the temporarily transplanted employees.
- Nothing teaches like experience, so the management team used this opportunity to review and update the disaster response plan.
Community Service in a Close-knit Community
"You might think you know the community, but when something like this happens, you really get to know it—especially when you see how well the people of the community come together and cooperate in a crisis," Helinski said.
"For example, we had quite a bit of inventory and no place to store it," Werner said. "One of our suppliers, Nucor Steel, had some undeveloped land nearby. It graded and improved the lot so we could use the area for outdoor storage," he said.
"Also, one of our customers, Saginaw Pipe, lent us a crane and told us to keep it as long as we needed it," Voelkel said. "That was extremely generous."
Eventually it became one of the many heart-warming stories that came out of the effort.
"We got a call from our insurance representative, who questioned the number of cranes on-site," Werner said. "We were using 10, but Travelers Insurance was paying for nine. He's a dollars-and-cents guy, but even he was impressed with the level of cooperation in Decatur."
Touched by the generous outpouring of help from the community, Werner humbly acknowledges that Independence received more than it gave. Still, the company did find ways to make some contributions to the community.
"For example, the Tennessee Valley Authority had to move the second-largest transformer ever built through the town," Helinski said. "There was no good way to offload it from the boat, so several companies, including Nucor Steel, used salvaged materials, including a damaged scale, to build a dock off the back of our property, so they could offload it and move it over our property and into town."
Quite a few homes in the area were wiped off the face of the earth, and Independence made a financial contribution to help the newly homeless to begin their own personal recovery efforts.
Finally, the company provided broad-based support to its Decatur staff and, indirectly, their families. It found ways to keep them on the payroll, despite not having a mill to operate.
"We had an agreement with our contractors that they would put our guys to work before they went out and hired any general laborers," Werner said. "We also put some of our staff to work doing passivation work on our raw materials." This multifaceted effort to keep everyone on the staff employed resulted in a scarcely believable, but very noble, result: No layoffs.
What is the EF scale?
Developed by Tetsuya Fujita and Allen Pearson, the Fujita scale is also known as the Fujita-Pearson scale. An observational tool, it assesses a tornado's intensity by evaluating the damage left in a storm's wake. The original scale was introduced in 1971; in 2007 the Enhanced Fujita (EF) scale was introduced in an effort to more closely match wind speeds to observed damage.
It lists 28 entities—softwood trees, hardwood trees, freestanding poles and towers, transmission line towers, and nearly two dozen types of construction, from mobile homes to institutional buildings—to provide a basis for assessing the damage. The observed damage is used to approximate the storm's wind speed. An EF0 typically breaks a few branches and tears shingles from roofs; an EF5 leaves little standing in its wake.
Intensity Wind Speed (MPH)
EF5 More than 200
It's hard to say if more tornadoes are occurring these days than in the past. Maybe the U.S. is enduring storms that are more numerous and more intense, or perhaps the citing and reporting are more thorough. Either way, three tornado records were set in the last few years: most tornadoes (1,817 in 2004), most intense tornadoes (13 EF4s in 2010), and most damage from tornadoes ($20 billion, estimated, in 2011).
Resources for Developing a Disaster Recovery Plan
No two businesses are alike, so no two disaster recovery plans are alike. However, this doesn't mean you need to create your program from scratch. Several websites and books can get you started:
- http://www.ready.gov/business
- www.sba.gov —See Managing a Business > Running a Business > Emergency Preparedness
- Business Continuity and Disaster Recovery: Getting Started Guide Concepts and Definitions for Common Sense Planning by Deborah C. Miller
- Business Continuity and Disaster Recovery Planning for IT Professionals by Susan Snedaker
- Disaster Recovery by Brenda Phillips
- The Disaster Recovery Handbook: A Step-by-Step Plan to Ensure Business Continuity and Protect Vital Operations, acilities, and Assets by Michael Wallace and Lawrence Webber
- Disaster Recovery Planning: Preparing for the Unthinkable (3rd Edition) by Jon William Toigo
- Disaster Recovery: Principles and Practices by April Wells, Charlyne Walker, Timothy Walker, and David Abarca
- Disaster Response and Recovery by David A. McEntire
- Guide to Disaster Recovery by Michael Erbschloe
- High Availability and Disaster Recovery: Concepts, Design, Implementation by Klaus Schmidt
- Principles of Incident Response and Disaster Recovery by Michael E. Whitman and Herbert J. Mattord
Eric Lundin
FMA Communications Inc.
Elgin, IL 60123
Published In...
The Tube & Pipe Journal
The Tube & Pipe Journal became the first magazine dedicated to serving the metal tube and pipe industry in 1990. Today, it remains the only North American publication devoted to this industry and it has become the most trusted source of information for tube and pipe professionals.


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A Study to Compare Oxycodone/Naloxone Prolonged Release Against Codeine/Paracetamol in the Treatment of Moderate to Severe Chronic Low Back Pain or Pain Due to Osteoarthritis
- Full Text View
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- Study Results
- Disclaimer
- How to Read a Study Record
Condition | Intervention | Phase |
Osteoarthritis Back Pain |
Drug: Oxycodone/Naloxone Drug: Codeine/Paracetamol |
Phase 4 |
Study Type: | Interventional |
Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
Official Title: | A Double-blind, Double-dummy, Parallel Group, Randomised Study to Compare the Efficacy & Tolerability of Oxycodone/Naloxone Prolonged Release (OXN PR) & Codeine/Paracetamol in the Treatment of Moderate to Severe Chronic Low Back Pain or Pain Due to Osteoarthritis |
- Average Daily Pain Score Box Scale-11 (BS-11) Recorded at Week 12 (Average Pain Over Last 24 Hours) [ Time Frame: Average daily pain over last 24 hours (at Week 12) ]The primary objective was to demonstrate non inferiority of Oxycodone/Naloxone Prolonged Release (OXN PR) compared to codeine/paracetamol in moderate to severe pain as assessed by BS-11 average daily pain scores. The Box Scale-11 is a scale from 0 to 10 (i.e. 0, 1, 2...10), where the subject records their daily pain over the previous 24 hours, by circling the relevant box, where 0 = no pain and 10 = pain as bad as you can imagine. This value is the value recorded at week 12 (average pain over the last 24 hours)
- Number of Intakes of Rescue Medication (Ibuprofen) Between Visit 8 and Visit 9 for the 2 Groups. [ Time Frame: Between visit 8 and 9 ]To compare the number of intakes of rescue medication use (ibuprofen) for breakthrough pain between OXN (Oxycodone/Naloxone) and codeine/paracetamol groups. Ibuprofen tablets (400mg up to 3 times per day) were available as rescue medication. This was recorded by the subject in their diary whenever it was taken. The discrepancy in numbers of patients at this stage (between Visit 8 and Visit 9) is due to subject withdrawal during the study. The mean values presented are the "number of intakes of rescue medication" for this period (ie between Visit 8 and Visit 9).
Enrollment: | 247 |
Study Start Date: | February 2009 |
Study Completion Date: | June 2011 |
Primary Completion Date: | March 2010 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
Experimental: Oxycodone/Naloxone Tablets
Oxycodone/Naloxone combination
Drug: Oxycodone/Naloxone
5/2.5, 10/5 and 20/10 mg oxycodone/naloxone combination, 12 hourly
Active Comparator: Codeine/Paracetamol Tablets
Codeine/Paracetamol combination
Drug: Codeine/Paracetamol
15/500 and 30/500 mg codeine/paracetamol tablets, 2 tablets 6 hourly
Detailed Description:
This is a randomised, double-blind, double-dummy, parallel group, 12-week study to assess the efficacy and tolerability of oxycodone/naloxone compared to codeine/paracetamol tablets in the treatment of moderate to severe chronic low back pain or moderate to severe pain due to OA of the hip and /or knee.
The screening period will be 3 - 7 days duration. If a subject meets all the screening criteria they may enter the Run-in Period.
During the screening period subjects will continue to take their pre-study pain medication.
The run-in period will be 7 - 14 days duration. During the run-in period subjects will continue to take their pre-study pain medication.
Visit 3 will occur at the end of the Run-in Period (7-14 days after Visit 2). To qualify for entry into the treatment period of the study, subjects must have uncontrolled pain as shown by average daily pain scores of >5 on 4 of the last 7 days of the run in period.
Eligible subjects will be randomised to either oxycodone/naloxone or codeine/paracetamol tablets. Subjects will receive double-blind study medication for up to 12 weeks.
Ages Eligible for Study: | 18 Years and older (Adult, Senior) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Male or female subjects at least 18 years or older.
- Female subjects less than one year post-menopausal must have a negative urine pregnancy test recorded prior to the first dose of study medication, be non-lactating, and willing to use adequate and reliable contraception throughout the study. A highly effective method of birth control is defined as those which result in a low failure rate (i.e. less than 1% per year) when used consistently and correctly such as sterilization, implants, injectables, combined oral contraceptives, some IUDs, sexual abstinence or vasectomised partner.
- Subjects with a clinical diagnosis of degenerative or primary OA whose primary pain site is of the hip(s) and/or knee(s) and that require around-the-clock opioid therapy in which the diagnosis may be supported by evidence such as one of the following: MRI, CAT, arthroscopy or x-ray. The clinical imaging of OA may include one or more of the following features: joint space narrowing, degenerative changes, osteophyte formation or subchondral cysts. Subjects will identify the most painful joint (hip or knee) for documentation of OA. Pain measurement will be done at this joint only.
- Subjects with moderate to severe chronic low back pain e.g osteoarthritis, spinal stenosis, spondylolisthesis, failed back surgery, scoliosis, discogenic disorders such as herniated disc.
- Subjects who are currently receiving codeine/paracetamol combination tablets up to a maximum dose of 120 mg codeine per day or tramadol up to a maximum dose of 100 mg/day or dihydrocodeine / paracetamol tablets up to a maximum dose of 120 mg dihydrocodeine per day.
- Subjects willing and able to participate in all aspects of the core study, including use of oral medication, completion of subjective evaluations, attending scheduled clinic visits, completing telephone contacts, and compliance with protocol requirements as evidenced by providing written, informed consent.
- Subjects in which the pre-study, non-opioid analgesics, and all other concomitant medications, including those medications for the treatment of depression are anticipated to remain stable throughout the treatment phase of the study.
Exclusion Criteria:
- Any history of hypersensitivity to oxycodone, naloxone, codeine, ibuprofen, bisacodyl or related products and ingredients.
- Any contraindication to oxycodone, naloxone, codeine, paracetamol or ibuprofen.
- Subjects with evidence of significant structural abnormalities of the GI tract (e.g., bowel obstruction, strictures) or any diseases/conditions that affect bowel transit (e.g., ileus, hypothyroidism).
- Subjects with cancer associated pain.
- Subjects with secondary osteoarthritis (e.g. fracture, septic, acromegaly etc.).
- Active alcohol or drug abuse and/or history of opioid abuse.
- Subjects with Rheumatoid Arthritis.
- Subjects with non opioid induced constipation.
- Subjects with evidence of clinically unstable disease, as determined by medical history, clinical laboratory tests, ECG results, and physical examination that, in the investigator's opinion, preclude entry into the study.
- Subjects with evidence of impaired liver/kidney function upon entry into the study defined as: Aspartate aminotransferase, alanine aminotransferase, or alkaline phosphatase levels >3 times the upper limit of normal; Gamma glutamyl transpeptidase ≥5 times the upper limit of normal; Total bilirubin level outside of the reference range unless the value is associated with pre documented Gilbert's Syndrome; Creatinine level outside of the reference range or > 2 mg/dl unless after discussion with the Medical Monitor it is confirmed the subject does not have renal impairment that would preclude the subject's inclusion in the study; In the investigator's opinion the subject has liver and/or kidney impairment to the extent that the subject should not participate in this study.
- Subjects who have required treatment for the diagnosis of IBS.
- Subjects receiving hypnotics or other CNS depressants that, in the investigator's opinion, may pose a risk of additional CNS depression with opioid study medication.
- Subjects with a history of depression or other psychiatric disorder that in the opinion of the investigator is significant enough to exclude the subject from the study.
- Subjects who are currently involved in legal action regarding their pain condition or subjects in which their pain condition may be of a psychiatric nature.
- Subjects receiving opioid substitution therapy for opioid addiction (e.g., methadone or buprenorphine).
- Subjects presently taking, or who have taken naloxone or naltrexone within 30 days of study entry (defined as the start of the Screening Period).
- Surgery within 2 months prior to the start of the Screening Period, or planned surgery during the12-week treatment period that may affect GI motility or pain levels.
- Subjects who have received a new chemical entity or an experimental drug within 30 days of study entry (define as the start of the Screening Period).
Please refer to this study by its ClinicalTrials.gov identifier: NCT00784810
United Kingdom | |
Coventry, United Kingdom, CV6 4DD |
Responsible Party: | Napp Pharmaceuticals Limited |
ClinicalTrials.gov Identifier: | NCT00784810 History of Changes |
Other Study ID Numbers: |
Study First Received: | November 3, 2008 |
Results First Received: | July 14, 2011 |
Last Updated: | September 22, 2011 |
Keywords provided by Napp Pharmaceuticals Limited:
Efficacy, tolerability, moderate/severe, oxycodone/naloxone codeine/paracetamol, chronic low back pain, osteoarthritis |
Additional relevant MeSH terms:
Osteoarthritis Back Pain Low Back Pain Arthritis Joint Diseases Musculoskeletal Diseases Rheumatic Diseases Pain Neurologic Manifestations Nervous System Diseases Signs and Symptoms Codeine Oxycodone Acetaminophen |
Naloxone Analgesics, Opioid Narcotics Central Nervous System Depressants Physiological Effects of Drugs Analgesics Sensory System Agents Peripheral Nervous System Agents Antitussive Agents Respiratory System Agents Analgesics, Non-Narcotic Antipyretics Narcotic Antagonists |
ClinicalTrials.gov processed this record on March 29, 2017


text:
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- Contact Seller
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Payments Accepted
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This striking walnut hall tree has the original cast iron pan. It is Victorian. We professionally restored the piece ourselves. The condition is excellent. It i...
Solid mahogany burl veneer shaving stand. American. Early Biggs - Richmond, VA
A wonderful pair of matching Wedgewood candlesticks. Please note the excellent detail.
This is a very nice solid walnut one drawer table with sausage legs. This piece originated in the Shenandoah Valley of Virginia. This table would make a nice ad...
This is a very unusual mahogany and tiger maple box. It has a flower print on the inside of the lid. This piece has brass hardware.
This is a nice small sized walnut oval table. It has a polished white marble top.
This is a very nice solid cherry one drawer spool table. Note the extensive detail in the legs.


text:
Young Ladies Radio League
Organized in 1939, YLRL (Young Ladies Radio League) is a nonprofit organization of women Amateur Radio Licensees. With a membership of approximately 800, it is international in scope with about 100 of those members who are DX YLs.
click here to follow the link to
Young Ladies Radio League
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Young Ladies Radio League
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if this link is broken please
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This is
ham and amateur radio internet guide page, it requires frames for proper display.


text:
Energy companies understand the business consequences of political change perhaps better than organizations in any other sector. Matching energy demand and supply is, at its very core, a high-stakes geopolitical business endeavor. This is truer today than at any time in the past.
The signs of this abound. National oil companies (NOCs) are expanding at an unprecedented rate. Geopolitical uncertainty, across both producer and consumer countries, is on the rise. At the same time, the industry is coping with a surge in published and unpublished incidents involving business setbacks such as contract renegotiations or cancellation by host countries, increases in taxation driven in part by political agendas, or impromptu exits from countries after significant investment.
What's different today is an increased level of complexity—and in some jurisdictions, a new urgency—in how global politics impact the energy value chain.


text:
MEDIA KILLINGS | One year after, no arrests in Guarin slay
The online news portal of TV5
MANILA, Philippines – The relatives of slain journalist Christopher Guarin said they expect more action from the Aquino government in bringing to justice the killers, one year after incident.
The National Union of Journalists of the Philippines also said there should be no let-up in government action to hunt down the gunmen and the mastermind to send the signal that it was serious in solving crimes.
"We fear that Guarin's murder will yet again be relegated to mere dot in the growing statistics of victims of the culture of impunity that still pervades and haunts the Philippine press," Edwin Espejo, president of the NUJP-General Santos/South Cotabato chapter, said in a statement.
"Today, we urge the Aquino government to give justice to Guarin's killing and rest of our slain colleagues who died in the line of duty.
"Only the arrest, prosecution and conviction of media murderers and their masterminds can erase the image of the country as one of the world's deadliest places for the working journalists," Espejo added.
Guarin was gunned down while in the company of his wife and nine-year-old daughter as he was driving home.
He was the seventh member of the press killed under the administration of President Benigno Aquino III, and the 150th victim since 1986, the NUJP said.
Guarin was publisher of Tatak News and a blocktimer at Radio Mindanao Network's dxMD. He was former station manager of the defunct GMA Super Radyo in General Santos City.
According to NUJP, Guarin's wife Lyn had recognized her husband's killer from a police rogue gallery of suspected guns for hire operating in the region who, she said, had been tailing them several days before the murder.
In a photo line-up she was able to identify the gunman whom former CIDG regional chief and Task Force Guarin vice chair Senior Supt. Albert Ignatius Ferro identified as one Marvin Palabrica.
Despite the identification and subsequent filing of a murder charge against the suspect, Guarin's killer and the mastermind behind his killing remain scot-free.
The NUJP-General Santos City-South Cotabato chapter has expressed dismay over the failure of police authorities to arrest the suspect and identify the mastermind behind Guarin's killings.


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Counselling psychology
this wiki
Assessment |
Biopsychology |
Comparative |
Cognitive |
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Language |
Individual differences |
Personality |
Philosophy |
Social |
Methods |
Statistics |
Clinical |
Educational |
Industrial |
Professional items |
World psychology |
Clinical: Approaches · Group therapy · Techniques · Types of problem · Areas of specialism · Taxonomies · Therapeutic issues · Modes of delivery · Model translation project · Personal experiences ·
Counseling psychology as a psychological specialty facilitates personal and interpersonal functioning across the life span with a focus on emotional, social, vocational, educational, health-related, developmental, and organizational concerns. Through the integration of theory, research, and practice, and with a sensitivity to multicultural issues, this specialty encompasses a broad range of practices that help people improve their well-being, alleviate distress and maladjustment, resolve crises, and increase their ability to live more highly functioning lives.
Though closely related to clinical psychology, counseling psychology differs from that field in a several subtle ways. First, counseling psychologists typically focus on less severe psychopathology (e.g., depression and anxiety), while clinical psychologists deal with more seriously disturbed individuals (e.g., those with schizophrenia or personality disorders). Second, counseling psychologists are more likely than clinical psychologists to assume a client-centered or humanistic theoretical approach. Finally, counseling psychology is unique in its attention both to normal developmental issues as well as the problems associated with physical, emotional, and mental disorders. Despite these differences, counseling and clinical psychology are becoming increasingly indistinguishable, leading some to suggest that these fields be combined.
Populations served by counseling psychologists include persons of all ages and cultural backgrounds. Examples of those populations would include late adolescents or adults with career/educational concerns and children or adults facing severe personal difficulties. Counseling psychologists also consult with organizations seeking to enhance their effectiveness or the well-being of their members.
Counseling psychologists adhere to the standards and ethics established by the American Psychological Association and the American Counseling Association. Counseling psychologists or counselors who work in K-12 school settings also need to follow the ethic standard established by the American School Counselor Association. In Australia there are several associations offering standards and ethics. Each professional or trade association has its preferred qualification and practitioner standards, and also suggesting other requirements.
Counseling psychologists participate in a range of activities including teaching, research, psychotherapeutic and counseling practice, career development, assessment, supervision, and consultation. They employ a variety of methods closely tied to theory and research to help individuals, groups and organizations function optimally as well as to mediate dysfunction. Interventions may be either brief or long-term; they are often problem-specific and goal-directed. These activities are guided by a philosophy that values individual differences and diversity and a focus on prevention, development, and adjustment across the life-span which includes vocational concerns.
Employment settingsEdit
Counseling psychologists are employed in a variety of settings depending on the services they provide and the client populations they serve. Some are employed in colleges and universities as teachers, supervisors, researchers, and service providers. Others are employed in independent practice providing counseling, psychotherapy, assessment, and consultation services to individuals, families, groups, and organizations. Additional settings in which counseling psychologists practice include community mental health centers, Veterans Administration Medical Centers and other facilities, family services, health maintenance organizations, rehabilitation agencies, business and industrial organizations and consulting firms.
Counseling psychologists are trained in graduate programs, generally in APA-accredited doctoral programs. There are about 70 APA accredited counseling psychology doctoral programs. Almost all grant a Ph.D, although a few grant a Psy.D. Most doctoral programs take 5-6 years to complete.
Graduate work in counseling psychology includes coursework in general psychology and statistics, counseling practice, and research. Students must complete an original dissertation at the end of their graduate training. Students must also complete a one year full-time internship at an APA accredited site before earning their doctorate. In order to be licensed to practice, counseling psychologists must meet various requirements set by each state (a declining number of which require postdoctoral supervision), and pass a national licensing exam.
- Counselling Psychology Quarterly,
- Journal of Counseling Psychology
- The Counselling Psychologist
- European Journal of Counselling Psychology (EJCP)[1]
See alsoEdit
References & BibliographyEdit
Key textsEdit
- Pugh,Deborah & Coyle,Adrian (2000). The construction of counselling psychology in Britain: a discourse analysis of counselling psychology texts. Counselling Psychology Quarterly, Volume 13, Issue 1 , pages 85 - 98. DOI: 10.1080/09515070050011088


text:
Pop 'n Music is one of those arcade games that is just hardcore. I don't have the the ability to focus as well as those people do, so I flounder quickly. But that's partially because I don't get enough practice with it. Thankfully, Konami has come to the rescue, and announced that they're bringing Pop 'n Music to the Wii.
The game is set to launch this Fall with a "variety of original and licensed music," although they don't quite give hints to any of the songs that'll be included -- the only extra info we've got is that there'll be competition and battle modes for you and your friends. Oh, and there's full Mii integration! I bet you're super-excited about that!
Anyways, check out the press release after the jump and the screens in our gallery.


text:
Item # sa0ta2m08pdb11zz-salomon-water-shoes
Upper Material: | Mesh, Synthetic Leather |
Sole: | Non-Marking Rubber Sole, Contagrip |
Mid Sole: | EVA Mid Sole |
Closure System: | Secure Fit Lace Capture System |
Weight: | 10oz |
Recommended Use: | Paddle, Beach, Water |
Manufacturer Warranty: | 1 Year |
Soft, breathable and comfortable, the Tech Amphib 2 Mat water shoe works is a great travel shoe as well as a quick drying amphibious sandal.
Tech Amphib 2 Mat
Discover 60,000 ways to explore the Land of 10,000 Lakes. Whether you play in it, explore in it or relax in it, we always have the best gear on-hand and in-season.
Weekly Deals to fuel a lifetime of adventure. Save up to 70% on products for every season and passion! Save big. Explore more.
Maybe outsold but never undersold. We offer the best price match guarantee on every product. We match prices so you don't have to.
A simple way to share the love. The House gift card personalizes your gift beyond the plastic. Give the gift that never needs a receipt.


text:
Item #18498
Product Description
Present your favorite photographs, clippings or even shopping lists on a textural backdrop of burlap with our Large Horizontal Magnet Board. Perfect for placement above a kitchen counter or alongside a desk, this fashionable magnetic board comes with 12 small magnets and is topped with a slim black bow.
Product Details


text:
Rouxbe Recipe Discussions
Discuss, request, ask a question, suggest alternatives.
Find answers to all your cooking questions here in the Rouxbe forums. Whether it's recipes, skills & techniques, equipment, or wine pairings, you'll find it here.
Delainie B Karina E Todd M Chelsea H Joanna R Recilla F Ron L Connie M Spencer M Krystina G Markitha B Dawnelle K Tony K Leslie L Linda S
Discuss, request, ask a question, suggest alternatives.
Introduce yourself, discuss the site and it's features or make a wish for things we can do to help you cook better
Julienne, chiffonade, emince...? Fancy names. Simple concepts. Find clarity here.
Wine meet recipe. Recipe meet wine. Find out who likes who and why.
It all comes down to the right tools and ingredients. Discover great tips here.
One part knowledge. Two parts execution. Ready go.
How do you blank the blank and doesn't blank do blank? Questions? Bring them on.
Haven't experienced Rouxbe yet, why not take a free trial to see what the world is talking about.


text:
Jays' Lawrie Vegas-bound
Brett Lawrie's baseball regular season will likely begin in Las Vegas at the AAA level.
The 21-year-old from Langley, who was acquired by the Toronto Blue Jays from the Milwaukee Brewers organization in the off-season, had a solid spring training with the Jays — he hit .282 (11-for-39) with two home runs and six RBIs in 17 Grapefruit League games — but on Wednesday the team sent him to their minor league camp.
"The fact is, we've got an exciting young player in our system," Jays manager John Farrell said on the team's website.
"When he's ready to come to the big leagues and be in the lineup every day, we feel like we're going to have a player for a long, long time that's going to be a productive one."
Lawrie is a Brookswood Secondary graduate and he played in the Langley Blaze system. He was a first round pick of the Brewers in the 2008 MLB Draft, and as the 16th overall pick, he is the highest-ever Canadian positional player selected.
Last year at the AA level, he hit .285 with eight home runs and 63 RBIs.


text:
The Library
Behaviour of turbulent transport in the vicinity of a magnetic island
Poli, E., Bottino, A. and Peeters, A. G.. (2009) Behaviour of turbulent transport in the vicinity of a magnetic island. Nuclear Fusion, Vol.49 (No.7). Article no. 075010. ISSN 0029-5515
Full text not available from this repository.
Official URL: http://dx.doi.org/10.1088/0029-5515/49/7/075010
The influence of a static magnetic island on the behaviour of the electrostatic turbulence in a tokamak is investigated numerically employing global nonlinear gyrokinetic particle-in-cell simulations. The excitation of turbulence is modified by the magnetic topology of the island. Low mode numbers in the energy spectrum of the potential disturbances, corresponding to the island perturbation, are amplified by nonlinear coupling with the microinstabilities, particularly in the presence of strong turbulence. The associated large-scale flows affect the transport directly and through strain of small-scale eddies. The temperature profile determined numerically in the island region agrees qualitatively with analytic estimates; however, quantitative discrepancies are found.
Item Type: | Journal Article | ||||
Subjects: | Q Science > QC Physics | ||||
Divisions: | Faculty of Science > Physics | ||||
Journal or Publication Title: | Nuclear Fusion | ||||
Publisher: | Institute of Physics Publishing Ltd. | ||||
Official Date: | July 2009 | ||||
Dates: |
Volume: | Vol.49 | ||||
Number: | No.7 | ||||
Number of Pages: | 8 | ||||
Page Range: | Article no. 075010 | ||||
Identification Number: | 10.1088/0029-5515/49/7/075010 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Restricted or Subscription Access | ||||
URI: | http://wrap.warwick.ac.uk/id/eprint/27641 |
Data sourced from Thomson Reuters' Web of Knowledge
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Connecting with Canadians |
Research Report:Demographic Trends and Implications for the City of CalgaryLast November, imagineCalgary called for a series of studies to document how the city could be affected by large-scale trends in the key areas like;· In Demographic Trends and Implications, Merrill Cooper, a Calgary consultant on social issues, examines demographic developments over the next 30 years and how they are likely to inter-relate and influence change in 5 urban systems – social, economic, built environment and infrastructure, natural environment and governance. Together, these systems shape the well-being and quality of life of Calgarians.
Release Date: 7 Apr 2006 Theme:Related Publications:
E-network: "Megatrends" and the City of Calgary |


text:
Get to know: Jade
Color description: A wearable color hybrid that swings between blues or greens depending on what you partner with it.
Runway inspiration: Max Mara
Pair the shade with: 1) Spruce; the deeper forest-green shade can help break up monochromaticism without dipping into an entirely new color family, 2) Navy; not as harsh as black, navy is a safe neutral that won't weigh it down, 3) Chalk; another neutral that has a brightening effect, and 4) Eggplant; a wild-card pairing that is as equally complex as jade. Pit the two together for an unlikely (but interesting!) union.
Avoid: Loud, standout shades. Siren-red or persimmon can look unintentionally festive as they both compete for attention, which can diminish jade's luster and appeal.
• 10 Spring 2014 Trends You Can Wear Now
• 4 Fab Color Combos to Wear With Ice Blue
• Get to Know Midnight Blue & What to Wear With It


text:
View Poll Results: Critique of Episode 05 | |||
10: Amazing... | 37 | 42.53% | |
9 out of 10: Excellent... | 32 | 36.78% | |
8 out of 10: Very Good... | 10 | 11.49% | |
7 out of 10: Good... | 4 | 4.60% | |
6 out of 10: Average... | 3 | 3.45% | |
5 out of 10: Below Average... | 0 | 0% | |
4 out of 10: Poor... | 1 | 1.15% | |
3 out of 10: Bad... | 0 | 0% | |
2 out of 10: Very Bad... | 0 | 0% | |
1 out of 10: Torturous... | 0 | 0% | |
Voters: 87. You may not vote on this poll |
Thread Tools |
2012-06-04, 16:26 | Link #162 | |
Join Date: Aug 2011
Location: Western Eurasia
It is not that simple. Riddhe did not completly lost it until the unhonorable Ple 12 attacked him (the second time) for no good reason and trashed his Delta Plus. Graham would understand Riddhe being mad about it. |
2012-06-04, 23:22 | Link #163 |
Senior Member
Join Date: Oct 2011
Location: "Sacrifice one to appease the few."
You do know that Riddhe was trying to destroy both Gundams while they were fighting... Right? Ple 12 just saw him before he could get a shot in and trashed his Delta easily.
Last edited by Destined_Fate; 2012-06-05 at 13:49. |
2012-06-10, 00:15 | Link #165 |
A Contradiction Beneath
Join Date: Nov 2009
Location: Singapore
The General Revil ambushing Nahel Argama is akin to the rivalry between Dogosse Gier and Argama during the Gryps conflict..
It is evident again from this episode that the Federation is suffering from chronic and probably systemic decline, both institutionally and militarily. By its institutions, I mean the decision-making capabilities of the Federation. Ambushing Nahel Argama along with Garencieres might seem like the perfect ambush plan to the Feddies: after all you get to kill two birds with one stone, and eliminate all substantial witnesses to the box. But the failure to take into account the potential threat of Full Frontal is appalling - did Feddie intelligence fail again? How could they not have anticipated a Neo Zeon counter-ambush, when they are also a interested party to the Laplace conflict? Its institutional ineffectiveness also depressed its military capabilities. If the Feddies actually predicted a Neo Zeon attack, they might have sent out mobile suits armed with countermeasures against an attack as lethal as that of those unleashed by Full Frontal's lapdog. But they obviously didn't - which led them to send out a force that bolsters numerical superiority and not tactical flexibility. |
2012-06-15, 08:59 | Link #166 | |
Join Date: Jul 2010
Like the other person said, Delta Gundam has a son called Delta + which got damaged heavily by Banshee. And I think the Banshee and Unicorn looks like some smaller Psycho Gundam.
2012-06-19, 08:46 | Link #171 | |
Senior Member
Join Date: Dec 2004
Location: Portugal
Age: 37
Feds forces simply don't have any visible chars. They said they are fighting against the interests in the Fed and Vista but they don't have a representative fighting for them. Just cannon fodder.
2012-06-19, 10:13 | Link #172 | |
I am a Pie
Join Date: Oct 2009
Location: In a fantasy.
If you mean notable minor characters, there are the tri-stars... There was Riddhe and Norm, Daguza and Bright. There were no visible Vist Foundation pilots and no pilots from the General Revil were shown, not that they needed to be shown. |
2012-06-20, 07:51 | Link #173 | |
Senior Member
Join Date: Dec 2004
Location: Portugal
Age: 37
Norm > really minor char Daguza > he's already dead at ep 3 Bright > clearly not representing the Fed + vista interests All other gundam series I have seen all factions had characters in the fighting force till the end even if some of them switched sides.
Last edited by Tiberium Wolf; 2012-06-20 at 22:00. |
2012-07-29, 21:04 | Link #174 |
Junior Member
Join Date: Mar 2012
ok can someone please explain why the hell riddhe is pissed at banagher now? where did this come from? And since when where they on different paths?
i thought they both wanted to protect a stupid girl and stop war...or is it just jaleousy that got to him after his inferiority complex? because thats the only thing i can see why he'd be SUPERmad for... don't recall him having any different ideals from banagher... |
2012-07-29, 23:45 | Link #175 | |
seiyuu maniac
Join Date: Aug 2006
Location: Tokyo, Japan
So yeah, he's got plenty of reasons (whether you agree with him or not) to be pissed.
2012-07-31, 09:47 | Link #176 | ||
Senior Member
Join Date: Nov 2010
Banagher, on the other hand, has the same objective as Riddhe where in he also wants to protect Audrey with his life but his means to achieve it are different. You see, Banagher wants to free Audrey from everything (how he will do it, we will have to see). The opening of Laplace's box may create a massive conflict but Banagher fully trusts Audrey and believes in her wish for peace and that she will do the right thing. So to break it down for you: Feddies- if they will get the box, there will be injustice forever and there will be no hope for political reforms. Zeons- if the Zeons get it, they will range all out war. Audrey and Banagher- if they will get it, apparently only a single truth will be revealed and the decisions after wards are left to humanity. Audrey and Banagher will be free and they can live happily ever after |
2012-08-27, 17:46 | Link #177 |
Operation sneaky sneaks
IT Support
Join Date: Aug 2012
Location: Hic et ubique
I have a feeling that they were actually all shot down in the space of less than 30 seconds: the camera might've simply been showing all the chaos within a two minute span from different angles, suggesting they were all shot down very quickly. Maybe that's why all the Revil's MS complement appeared to be standing still.
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text:
Invaluable cannot guarantee the accuracy of translations through Google Translate and disclaims any responsibility for inaccurate translations.
Lot 104: Wolfang Tillmans, b. 1968
Contemporary Art Part II
by Sotheby's
June 24, 1999
New York, NY, USA
Wolfgang Tillmans (1968) Please Register/Login to access your Invaluable Alerts
Description: alex and lutz, looking at crotch signed, titled, dated 1991 and numbered 4/10 plus 1 on the reverse black and white photograph mounted on aluminium 29.5 by 20.5cm., 11K by 8Bin. Provenance: arsFutura Galerie, Zrich Exhibited: Zrich, arsFutura Galerie, Wolfgang Tillmans, 1993 Zrich, Helmhaus, Paar mal Paar, 1996, p. 69, illustrated Zrich, Kunsthalle, Wolfgang Tillmans, 1995, illustrated Literature: in ID, November 1992, London, p. 82, illustration of another example in Purple Prose, Winter 1994, Paris, illustration of another example Benedikt Taschen, Wolfgang Tillmans, Cologne 1995, illustration of another example in colour in Parkett, no. 53, Zrich 1998, p. 121, illustration of another example W.


text:
Dees Illustration |
Stephen Lendman
Activist Post
Extrajudicial killing is official US policy. Drone wars normalize it. Obama decides who lives or dies. He appointed himself judge, jury and executioner.
He's got final kill list authority. His secret memo authorized Anwar al-Awlaki's assassination. Anyone anywhere in the world can be murdered on his say.
His "white paper" inverted inviolable legal principles. It's titled "Lawfulness of a Lethal Operation Directed Against a US Citizen who is a Senior Operational Leader of Al Qa'ida or An Associated Force."
It calls lawless killing without trial or evidence legal. Vague language substitutes for clear evidence and just cause. Rule of law principles don't apply.
Habeas rights and due process are spurned. The 1215 Magna Carta states:
No free man shall be seized, or imprisoned, or stripped of his rights or possessions, or outlawed, or exiled, or deprived of his standing in any other way, nor will we proceed with force against him, or send others to do so, except by the lawful judgment of his equals, or by the law of the land.
It means due process is inviolable. It's constitutionally guaranteed. Fifth and Fourteenth Amendments affirm it. Doing so prohibits government from "depriv(ing anyone) of life, liberty, or property without due process of law."
Extrajudicial executive authority usurped fundamental freedoms. Courts have no say. Nor does Congress. Murder by diktat is policy.
Police states operate that way. America is by far the worst. It menaces humanity. It may not survive Obama's second term. He represents rogue leadership. He governs irresponsibly, lawlessly and recklessly.
Drones are instruments of state terror. They're America's weapon of choice. They're fast replacing manned aircraft. They sanitize killing on the cheap.
They reign death on helpless civilians. They kill by computer keyboards, monitors, infrared cameras, and other high-tech sensor devices.
Only 2% of victims are high-value targets. Others are innocent men, women, children, infants, the elderly and infirm.
Obama claims killing America's enemies anywhere in the world is legal. It's justified because he says so. International, constitutional, and US statute laws don't apply.
Obama defends the indefensible. Despots operate that way. He'll award medals for murder. Cowardly acts will be honored. Doing so elevates rogue leadership to a higher level.
Justice American-style is policy. Drone warriors will be rewarded for extrajudicial killing. Doing so creates a facade of meritorious service.
Post-9/11 operations alone qualify. Recipients don't have to set foot on battlefields. They can sleep comfortably in their own beds at night.
They'll get newly created Distinguished Warfare Medals. Critics call it the "Geek Cross." Some suggest it's close to awarding video-gamers Purple Hearts for animated wounds.
Awards will signify extinguishing targeted victims. Murder, Inc. honors its own.
Medals are brass pendants. They're nearly two vertical inches high. They're adorned with a laurel wreath. It circles a globe. There's an eagle in the center. It's attached to a red, white, and blue stripped ribbon.
DWMs be awarded for "extraordinary achievement related to a military operation." Doing so becomes part of Obama's rogue legacy. His rap sheet includes growing numbers of crimes. They're becoming too many to count.
Outgoing Defense Secretary Leon Panetta explained the new award. It'll provide "recognition for the extraordinary achievements that directly impact on combat operations, but that do not involve acts of valor or physical risk that combat entails."
"I've seen firsthand how modern tools like remotely piloted platforms and cybersystems have changed the way wars are fought," he added.
And they've given our men and women the ability to engage the enemy and change the course of battle even from afar.
Our military reserves its highest decorations, obviously, for those who display gallantry and valor in actions where their lives are on the line, and we will continue to do so.
But we should also have the ability to honor the extraordinary actions that make a true difference in combat operation.
They remove the enemy from the field of battle even if those actions are physically removed from the fight.
Defense officials said the medal will outrank the Bronze Star. It's America's fourth highest combat award. It was created in 1944. It was the last war related one established. Recipients are rewarded for meritorious battle service.
Silver Stars are for bravery. They're America's third highest combat award. They'll rank above the Distinguished Service Medal. DSM recipients don't have to set foot on battlefields.
They're safe in remote locations. They kill nameless, faceless victims. They do so nearby or half a world away.
Virtual war kills like sport. Command centers operate worldwide. Many more are planned. America has lots more killing in mind. Perhaps mass extermination is planned.
Pentagon and CIA personnel operate drones. They're licensed to kill. They do so with impunity. They'll be honored for committing murder. Washington finds more ways of sinking to new depths.
Americans support what demands condemnation. Why they'll have to explain. New Pew Research data show overall approval: 56% support drone killing. Only 26% oppose.
Men approve doing so by more than three to one (68% – 21%). Fewer women do: 44% accept what 31% reject.
Pew's data was obtained by telephone interviews. They were conducted from February 7 – 10. A national random sample of 1,004 US adults aged 18 or older were surveyed.
Princeton Survey Research Associates International contacted respondents. It expressed a 95% confidence level in results.
What's ahead who knows. Obama's waging war on humanity. It may not survive his second term.
Stopping him is a national imperative. Ousting him by impeachment is vital. Key is doing it now before it's too late.
Stephen Lendman lives in Chicago and can be reached at email@example.com. His new book is titled How Wall Street Fleeces America: Privatized Banking, Government Collusion and Class War. Also visit his blog site at sjlendman.blogspot.com and listen to cutting-edge discussions with distinguished guests on the Progressive Radio News Hour on the Progressive Radio Network Thursdays at 10AM US Central time and Saturdays and Sundays at noon. All programs are archived for easy listening. http://www.progressiveradionetwork.com/the-progressive-news-hour/


text:
At orientation you will:
- Meet with an academic advisor from your department and register for courses
- Prepare for your UNE career
- Learn about University services
- Take placement exams (as needed)
- Make connections and socialize with other incoming UNE students, current UNE students, faculty and staff
- Become familiar with our beautiful, ocean-front campus
- Become immersed in the intellectual, social and cultural climate of UNE
- Learn what it means to be a Nor'easter!
Step 1
Sign Up for New Student Orientation...
UNE's New Student Orientation provides the opportunity for you to prepare for the academic, social and personal aspects of university life. Orientation is mandatory for new undergraduate students.
...and consider a Trailblazer Pre-Orientation Program
UNE Trailblazer Pre-Orientation Programs are designed to help new students become familiar with campus, make connections and receive relevant information about getting started in college. Our programs provide you with additional opportunities that extend off campus in the areas of community service, outdoor experiences and/or cultural emersion to give you a sense of place while having a lot of fun.
- Session 1: June 21-22, 2017
- Session 2: June 28-29, 2017
- Dates to be announced
If you have any questions, please contact the Orientation Advisors at email@example.com or (207) 602-2447.
Step 2
Apply for Housing and a Meal Plan
Your residential experience is an important aspect of the university experience, therefore UNE has a three-year residency requirement. If you are a deposited student, beginning on Experience UNE Days, you will have the opportunity to complete a Housing and Dining Service Application and Contract.
- Housing and Dining Contracts are due for full consideration by June 30
- Roommate Requests are accepted until June 30
- Housing Assignments will be available July 15
New students participating in January Orientation should contact the Office of Housing and Residential/Commuter Life at firstname.lastname@example.com or (207) 602-2272 for further information.
Important Housing Dates are helpful to have on hand over the summer and throughout the academic year so that you know when the halls open and close around holidays and breaks in the academic schedule.
Not sure what to pack in the fall? Check out this helpful list, and be sure to coordinate with your roommate so you don't end up with duplicates!
If you have questions, please contact the Office of Housing and Residential/Commuter Life at firstname.lastname@example.com or (207) 602-2272.
Meal Plan
As a residential student, you are assigned a meal plan. The plan includes:
- A set number of meals per week in our dining hall
- Flexible spending dollars for on campus dining
- Nor'easter Dollars for select off campus restaurants in the area
If you like, you can change your meal plan at the beginning of the semester.
For more information about the dining facilities and details on meal plans and different options, please visit Dining Services.
Step 3
Submit Your Immunization Records & Secure Health Insurance
As a new student, you are required by the State of Maine and UNE to complete and submit the following all found at the Student Health Care website:
- Health History
- Immunization Form for Arts and Sciences Students
- Immunization Form for Health Professions Students
- Physical Form
- A photocopy of your health insurance card
All of these are due by July 1 for Traditional First-Year Summer Orientation. If you have questions, or are participating in an Orientation after this deadline, please contact Student Health Services at (207) 602-2358 or visit their website.
Health Insurance
As a UNE student, you are required to have health insurance. You have the option to:
- Purchase health insurance through UNE. ENROLL NOW!
- Waive the UNE plan, if you are already insured. CLICK HERE TO WAIVE.
Step 4
Choose A Way to Get Around
Worried about getting around while on campus? Don't be! The following options are available to you as a first-year student at UNE.
UNE offers two all-wheel-drive Zipcars that can be rented online by the hour. As a first-year residential student over the age of 18 who opts not to bring a car to campus and become a Zipcar member, you receive an electronic gift card for free hours.
After you become a member, contact UNE Safety and Security for your free hours.
You are encouraged to bring a bike to our easily navigable campus that includes bike racks outside of all academic and recreational buildings.
Parking Permit
You are eligible to register for a parking permit beginning August 1st through thepermitstore.com.
Nor'easter Shuttle
The Nor'easter Shuttle runs through campus every half hour. The shuttle runs from UNE to the local train station in Saco, to the charming downtowns of Biddeford and Saco, as well as to Biddeford Crossing, where you find a variety of restaurants and shops. The shuttle is free to use with your UNE student ID card and runs seven days a week. Check out the schedule in our Campus Center lobby or visit the shuttle website.
Interested in visiting the Portland Campus? Take advantage of UNE's intercampus shuttle from the Biddeford Campus to the Portland Campus!


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Condoms: Papal Pontifications, a Quicker Quickie and CCCCs (Common Condom Complaints and Conundrums), Part TwoBy Bob Frascino, M.D. December 17, 2010 CCCC #1: Condoms break.Many folks writing in about HIV-transmission risk often tell me their condom broke, when in reality they actually never used one. It is just less guilt inducing to report their risk as a condom failure rather than a judgment failure. When used properly, condoms very rarely fail. I just did a quick survey of the folks posting questions to my inbox over the last few days claiming to have had a condom break. There were over one hundred! I'd be willing to wager that if I cross-examined this group or gave them a dose of Professor Snape's Veritas potion (truth serum from the Harry Potter series), the vast majority would admit they never used the condom. So point number one: condoms will always "fail" if you choose not to use them! Condoms have expiration dates. So if you only get lucky infrequently, you'll need to keep an eye on when to replace this critical item in the goody drawer of your bedside nightstand. You also might reconsider the urge to purchase the economic jumbo pack at Costco. Really dude, look how long it took you to use the giant-sized jar of mustard you bought there. Do you really think you are going to use 300 condoms in the next few months? Other tips to help avoid condom catastrophes:
CCCC #2: Condoms are never around when I need them.I hear this frequently and often wonder: Dude, exactly where are you having sex? While attending ten o'clock mass at the cathedral? While skydiving? While scuba diving the Great Barrier Reef? Chances are if you keep a handy supply in your bag (gym bag, briefcase or whatever), coat pocket and bedside nightstand goody drawer, you should be "covered"! Don't keep them in your car or wallet, as heat exposure can weaken the latex. Think ahead! If you're going to drink and/or party or wind up at a strip club or massage palace, bring some condoms with you! Frevinsakes! Stop worrying about your reputation just because you carry condoms! It's shocking that 90% of women carry lip protection in their purses, but only 10% carry HIV protection (condoms). CCCC #3: Condoms feel too tight.Well hello Mr. Big! Condoms are supposed to be tight. If they weren't, they wouldn't stay in place once the ol' in-and-out gets into full swing (particularly if you're fond of certain positions like the reverse cowgirl/cowboy). For Italians and those built like them, there are longer-sized condoms available (Trojan Magnum, Maxx, Pleasure Plus or Durex). These really do fit those with "bigger" needs. Yes, dear reader, that even includes your anaconda-sized trouser snake. The ring at the base remains the same size to assure even these bigger brands stay in place. I'd suggest you unroll these size XXX-long condoms all the way before installing them on your throbbing tallywhacker. You can then put them on like you would a sock. CCCC #4: I can't feel anything, so I don't like using them.Well, if you don't "like" condoms, let me assure you you'll "hate" having HIV/AIDS much more. Newer types of condoms (such as Maxx or Kimono) are high-quality thinner condoms. Yes, they are reliable. Remember to put a drop of slippery stuff in the tip of the condom to increase the "natural" feel. The water in water-based lubricants conducts heat better than latex, so having some water-based lube on the tip of your big bopper makes it more sensitive and consequently also makes the bopping more enjoyable. CCCC #5: I just got him hard and if I ask him to cover up he'll go limp again.No doubt condoms can be a turnoff due to the many bad associations we all have with them, including becoming Mr. Softy while trying to get the damned things out of those foil packets with slippery fingers and/or trying to be cool while attempting to decide which way is right side up. Add to this the fact some folks still only have sex in the dark (what's up with that?) and the entire issue of safer sex performance anxiety, and it's no wonder your tallywhacker gets so frustrated with condoms! The best way to get over this is to practice -- by yourself! Yes, by yourself. You need to become adept at learning how to get condoms on while you've still got it up. Then enlist the help of a cooperative partner. He, she (or they) can assist in getting your soldier ready for combat. Also, just because Mr. Softy makes an untimely appearance once doesn't mean you should forego condoms forever! If you deflate while condomizing, talk it over with your partner and try it again, perhaps using a different technique. Practice does indeed make perfect hot safe sex. Despite what you may believe, your brain is your biggest sex organ! You need to put your mind at ease by making condoms a routine habit. I should also mention a new and possibly improved method for quicker quickies. Sensis has recently decided the centuries-old latex protector could benefit from modern technology. They have added two detachable Band-Aid-like pull-tabs for their new line of condoms. This purportedly eliminates roll-down mistakes and allows for very speedy condomizing. The new improved variety should help decrease other condom missteps, such as scratching the latex with Barbra Streisand (or drag queen) fingernails or putting the latex suit on inside out. These are only five of the numerous "coulda, shoulda, woulda" reasons that, when it comes to the dance-with-no-pants, condoms stay in foil wrappers rather than adorning (and protecting) throbbing tallywackers. Meanwhile every 9.5 minutes another person in the United States joins the ranks of the positively charged and begins his journey of life with HIV/AIDS.
Get e-mail notifications every time Dr. Bob's blog is updated. Condoms: Papal Pontifications, a Quicker Quickie and CCCCs (Common Condom Complaints and Conundrums), Part One
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Internet search results. Be careful when providing personal information! Before adding your comment, please read TheBody.com's Comment Policy.) |
Life, Love, Sex, HIV and Other Unscheduled Events Bob Frascino, M.D., was President and Founder of The Robert James Frascino AIDS Foundation. He had been an outspoken, popular expert in TheBody.com's "Ask the Experts" forums on safe sex and fatigue/anemia since 2000. Once a Fellow of the American Academy of Allergy, Asthma, and Immunology, and the American Academy of Pediatrics, Dr. Frascino served as Associate Clinical Professor of Medicine, Division of Immunology, Rheumatology, and Allergy, at Stanford University Medical Center from 1983 until 2001. He was a member of the American Academy of HIV Medicine and had also been a distinguished member of the executive boards of numerous state and regional associations. We're inexpressibly saddened to share the news that Dr. Frascino passed away unexpectedly on Saturday, Sept. 17, 2011. Click here to read more and to share your thoughts. Subscribe to Dr. Bob's Blog:
Recent Posts:
October 19, 2011 - The Ultimate Unscheduled Event: A Blog Entry by Steven M. Natterstad, M.D.
September 23, 2011 - HIV Guidelines: Some Evolve; Some Don't. What's Up with That? Part Two -- A Blog Entry by Bob Frascino, M.D. August 25, 2011 - HIV Guidelines: Some Evolve; Some Don't. What's Up With That? Part One: A Blog Entry by Bob Frascino, M.D. July 27, 2011 - Three Decades of HIV/AIDS, Part Three: A Blog Entry by Bob Frascino, M.D. June 30, 2011 - Three Decades of HIV/AIDS, Part Two: A Blog Entry by Bob Frascino, M.D. Interviews With Dr. Bob: Doctor Views: Dr. Bob Frascino Dr. Bob's "Ask the Experts" Forums on TheBody.com: A Brief Disclaimer: The opinions expressed by TheBody.com's bloggers are entirely their own, and do not necessarily reflect the views of TheBody.com itself. |


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Close Up Magic #3 (World's Greatest Magic)
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Imagine the best magic, the best magicians, and the best producers all in one place, imagine no more....
Imagine owning the most comprehensive magic book ever written. This would surely be a treasured possession for any magician with each chapter focusing on a single aspect of the craft and the very best routines ever created for it. That's the idea behind L&L Publishing's critically-acclaimed DVD series, The World's Greatest Magic by The World's Greatest Magicians! Each volume is like another chapter in the world's best magic book. Featuring in-depth exposition and instruction on some of magic's most cherished and classic effects by its most-talented practitioners, this unprecedented series represents an essential reference work for anyone interested in the magical arts, regardless of their skill level.
Magicians who specialize in close-up magic are constantly in search of material that doesn't use playing cards. Easily seventy-five percent of the magic that's been published over the last 50 or 60 years has been card magic of one kind or another so quality non-card material is a relatively scarce commodity in the literature.
On this DVD, you'll meet seven different performers presenting and teaching powerful close-up routines that will wow any audience - and there's not a playing card in sight! John Mendoza leads off with his stunning version of the Benson/Alan bowl routine, complete with three jaw-dropping final loads that actually make sense. Next up, Tommy Wonder demonstrates a truly impossible feat as he magically threads a needle with 20 strands of thread, creating a wonderful souvenir in the process. Al Schneider performs a great money printing routine while teaching the proper handling of a Himber Wallet at the same time while Henry Evans shows off a whimsical miracle where a silk handkerchief is produced from a photograph. Master coin manipulator David Roth magically transforms four U.S. coins into coins from different countries before causing them to vanish and reappear in a toy globe that was in plain sight throughout the routine. Johnny Thompson reaches back into magic history to perform and teach Max Malini's classic assembly trick while, last but by no means least, Larry Jennings demonstrates a signature effect, his one cup-one ball routine, which begins with the magical production of the cup and ends with its complete vanish.
It's been said that even the world's largest and most spectacular stage illusion cannot create the impact - that feeling of pure astonishment - of a good, well-performed piece of close-up magic and on this DVD, you'll find seven compelling pieces of evidence to that effect.
Bowl Routine - John Mendoza
Through the Eye of the Needle - Tommy Wonder
Himber Wallet Routine - Al Schneider
3D Photograph - Henry Evans
The Planet - David Roth
Chink-A-Chink - Johnny Thompson
Single Cup and Ball - Larry Jennings
Running Time
Approximately 1hr 18mins
This product was added to our catalog on Wednesday 14 May, 2008.
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The author is a Forbes contributor. The opinions expressed are those of the writer.
The following guest post is by Pete Sheinbaum, founder and CEO of LinkSmart, a Boulder, CO, based company that helps web publishers develop and engage their audiences. He most recently served as the CEO of DailyCandy, overseeing its successful sale to Comcast Interactive Media.
People from all walks of life start businesses each year. Some spark brilliant concepts, some turn hobbies into enterprises and some stumble onto ideas by accident. Yet, all of these entrepreneurs have one thing in common – the courage to take the first step toward realizing a dream.
So what's the key factor that propels some toward success and others toward failure? In most instances it's capital – the fuel to take ideas from prototypes to companies. Securing capital involves several elements, but in my opinion, the ability to sell effectively is critical. As an entrepreneur, you must sell yourself and your idea and convince others to join you on this adventurous journey.
Selling yourself as a company founder means exuding confidence, leadership and a vision. Employees want to believe in something and they will look to you to inspire and reassure. Customers want to buy from a leader and a brand they can trust and respect. Investors want all of that and more.
Throughout the many stages of starting a company, most founders find themselves in uncharted territory. Rather than relying on a sink-or-swim methodology, here are a few self-selling tips for budding entrepreneurs who need the investor community to make their innovation a reality.
Know the Structure of the Initial Pitch
Some nervous energy is good to bring to an initial investor meeting, but unpreparedness is not. Know what's expected of you and arrive armed and ready.
During this first pitch, prospective investors will be looking for you to succinctly cover three things: 1. The problem you are solving and how you plan to solve it, 2. Why you and your team have the experience or skill to execute on the vision, and, 3. That the market size is large and addressable, and the business model simple and transparent.
Communicate your vision by painting a picture using real examples or tell a story. Describe the use-case – Who will interact with the product? How will it improve their lives? How will it save them or make them money? Storytelling brings your vision to life, helps investors grasp your ideas faster, and makes them remember your company after you've left the building.
Structure-wise, initial meetings typically last an hour, with 20 minutes for the 'pitch' and the remainder for Q&A. Set the hook in the first five minutes of the pitch. If an investor is interested in learning more, they'll ask for a summary to share with partners. Be armed with a 15-page slide deck that addresses the key elements of the product, market, how your product or service fits within that market, business model and team. If you're adjusting fonts to cram more information into your deck, it's too much.
It goes without saying that you should practice, practice, practice. Try out your pitch on your mentor or a friendly peer, as your executive team is drinking from the same Kool-Aid pitcher.
Research & Homework
Do your homework on who you are pitching, the investments they have made and, if possible, find a personal relationship through mutual friends, school, hobby or geography. Investors not only need to like the idea, but also the people behind the idea, so don't be all business and neglect the personal aspect of the pitch.
Typically during initial meetings, investors are asking themselves: "Do I like these people? Are they going to be easy (and fun) to work with? Are they creative? Are they smart? Are they confident but humble? Can they overcome adversity? Will they figure it out? Will they find and hire the right people? Have they ever done something like this before?"
Being knowledgeable about the market, space and players (without name dropping) shows your level of preparedness. Also, identifying what is not known but can be figured out is important.
Never Claim to Have Everything Figured Out


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The Medline Unisex White Zip Front Smock (Medium) has excellent design and professional look, and it is suitable as a covering garment and a uniform in medical fields.
The Medline Unisex Zip Front White Medium Smock is easy to wear over your clothing as it comes with a convenient zip-up closure. With a back yoke and set-in back belt with pleats, it will perfectly fit your body and give a flattering contour and style to your appearance. A breast pocket and 2 lower pockets on this smock provide ample space to carry your medical essentials, smartphone, pen and diary with you.
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Korean Drama 'Cinderella and the 4 Knights' Reveals a House on tvN
It looks as ifthe hotteenager romance drama Cinderella and the 4 Nights has in spite of everythingdiscovered anetwork to name home.The cable network tvN currently picked it up. I amsatisfied information technology found a network after slightly of concern that it willno longerprotected one. The drama is 100%pre-produced with filming having just wrapped up. It shouldhad been a disgrace if no personsought afterto select it up.
The drama starsPark So Dam (Because It is the First Time) as ayoung womanwho does a excellent deed andis given the opportunity to are living at the mansion of a wealthy chaebol and make some cashto visit college. And if that's notfortunate enough, the chaebol's 3good-looking grandsons also live there as neatly a bodyguard who is to seem subsequently her.
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I have read many of you recommend Silicone Sheets (they need be applied less often correct?) and Or Paper Tape... For the Tummy Tuck scars and Breast Lift scars. I have not gotten mine done yet but would like to have the needed supplies on had for when I do have it done in January of 2012. So with all of the companies telling us their product is best. What do you say?
Which over the Counter Silicone Sheeting and or Paper Tape Do You Recommend for TT and Breast Lift Scars?
Doctor Answers 18
Although many plastic surgeons recommend the use of silicone sheeting there really is no good evidence that it is superior to paper tape. I did a small study of my own patients who had undergone a tummy tuck. I had patients cover one half of their scars with paper tape and the other half with silicone without telling me what they had used on ether side........ I was unable to find any difference between the two sides.
The use of silicone sheets, steri-strips, and tape are all popular methods for treating postoperative scars. These materials are typically applied to the wounds three weeks after surgery. This allows adequate time for small areas of breakdown to heal and wound edges to seal.Treatment lasts for variable periods of time, but in most cases the duration is about three months.
These maneuvers are associated with excellent clinical results and high levels of patient satisfaction.At this point in time, it's reasonable to use silicone sheets, paper tape, and steri-strips as long as all your wounds are completely sealed.
I have to agree with the others..Many of my patients use Biodermis silicone strips ordered on-line but they can get rashy (a word??) so I advise only half-day use and they are expensive. So for simplicity, I am going more and more now to brown 3M paper tape left on 2 weeks and then changed weekly by the patient, as Dr. Kyllo recommends.
You might also like...
Post operative scar size and thickness, as well as color, (in the absence of disease) may be affected by:
- Tension on the closure: avoidable in the breast, less controllable in the tummy tuck
- Skin type.
- Motion: stretch along the incision line will affect the scar formation negatively
- Gravity: scars that are under tension due to weight will tend to widen and thicken
Prolonged skin taping (one month at least) followed by scar reduction protocol including Silicone patches can improve your chances of having less visible incisions.
Great Question. The answer is YES! Silicone sheets are useful but a bit difficult to use as they often do not stay on well and can create a reaction. Personally I am a BIG fan of paper tape. There are many surgical tapes that are sold in drug stores, however, it is very important to purchase PAPER tape to avoid the burden of skin reactions from the adhesive of regular tape. I dispense a special surgical paper tape to my patients and do not allow them to use anything other than the tape I give them. Some patients can still have a reaction to paper tape, therefore it's important to discontinue the tape and apply an ointment, such as aquaphor if that happens. Consult with your doctor and follow their instructions. I hope this has helped.
Web reference: http://www.radyrahban.com/gallery/body/tummy-tuck/01/
Not all paitents or scars need to be treated with silicone sheeting or any other prophylactic measure. However, this is something to be discussed with your surgeon. There really is no best product but each surgeonwill have a philosophy of how and when to treat potentially hypertrophic scars. Having said that, if I do treat scars with silicone sheeting, I like ones that have a reinforced backing, a self-adhering side, and a degree of thickness to it so that some pressure can be applied. I use the Medical Z products but there is no proof it is necessarily better than any others.
Robin T. W. Yuan, M.D.
Of all the factors that influence scar maturation, I believe genetics plays the largest role. However sun avoidance and scar massage may have some value. I am awre that there are a number of opinions on post surgery scar therapy, but I recommend Dr. Blaines. It is relatively inexpensive and easy to use.
I find that the easiest, cheapest, and most effective treatment for surgical scars is to use paper tape. I apply it in the operating room directly over the closed incision and usually leave it for 2 weeks before changing it. I then instruct patients to change it themselves weekly or so. I recommend wearing the tape for 3 months and find that the scars remain flat and do not become red or raised. This will even work to some degree with older scars that are raised and red. Silicone sheets do work but are more difficult to keep in place and they do not breathe which sometimes will cause a rash. Scar creams do not really work well in my experience. Remember to use only paper tape, not adhesive tape!
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.


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I'm not a quick thinker. I accept that fact.
I'm the type who always thinks of the witty come-back line well after the conversation is over.
When I was in the Army, I wasn't put into special forces or military intelligence: outfits that require you to be quick on your toes.
No, I was in the artillery. My job was to have things pointed out to me that needed blowing up. Then I'd help to blow them up. Fairly straightforward stuff, from an organization that knows exactly what it is doing.
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