text:
Cuts and Wounds of the External Ear
About cuts and wounds of the external ear
Children may get minor cuts, wounds, and lacerations to the external (outer) part of the ear while playing, climbing, or participating in sports activities. Most of these injuries can be handled at home with simple first-aid treatment.
First aid for superficial cuts and wounds:
Calm your child and let him or her know you can help.
Apply pressure with a clean cloth or bandage for several minutes to stop bleeding.
Wash your hands thoroughly.
Wash the cut area well with soap and water, but do not scrub the wound. Remove any dirt particles from the area and let the water from the faucet run over it for several minutes. A dirty cut or scrape that is not thoroughly cleaned can cause scarring.
Apply an antiseptic lotion or cream.
Cover the area with an adhesive bandage or gauze pad. Change the dressing often.
Check the area each day and keep it clean and dry.
Avoid blowing on the abrasion, as this can cause germs to grow.
Any wound to the cartilage of the ear that is more than just a superficial cut or laceration should be evaluated by a doctor to decide whether further treatment is needed.
Bruises, blisters, or swollen areas caused by trauma may be treated by placing an ice or cold pack on the area every one to two hours for 10 to 15 minutes for the first 24 hours. Do not put ice directly against the skin.
A direct blow or blunt trauma to the ear that causes a large bruise or hematoma (collection of blood and fluid underneath the skin) should be evaluated by a doctor to decide whether further treatment is needed. If there is a bruise (contusion) in the cartilage, a condition known as a "perichondrial hematoma" can develop. If the hematoma is not treated with drainage, it can cause a "cauliflower ear" deformity.
Use a sunscreen (sun protection factor, or SPF, at least 15 or greater) on healed cuts and wounds to help prevent scarring.
When should I call my child's doctor?
Specific treatment for cuts and wounds of the ear that require more than minor treatment at home will be determined by your child's doctor. In general, call your child's doctor for cuts and wounds of the ear that are:
Bleeding heavily and do not stop after five to 10 minutes of direct pressure. If the bleeding is profuse, hold pressure for five to 10 minutes without stopping to look at the cut. If the cloth becomes soaked with blood, put a new cloth on top of the old one. Do not lift the original cloth.
Deep or longer than 1/2 inch.
Caused by a puncture wound, or dirty or rusty object.
Embedded with debris, such as dirt, stones, or gravel.
Ragged or have separated edges.
Caused by an animal or human bite.
Excessively painful or if you suspect a fracture, head, or bone injury.
Showing signs of infection, such as increased warmth, redness, swelling, or drainage, even if the cut or wound is small.
Also call your child's doctor if:
Your child has not had a tetanus vaccination within the past five years, or if you are unsure when your child's last tetanus shot was given.
You are concerned about the wound or have any questions.
Preventing ear injuries
The following are a few guidelines to help prevent ear injuries in children:
Teach your child not to poke or place objects in the ear, such as cotton swabs or pencils.
Teach your child to wear protective ear guards or helmets for sports activities that could cause injury.
If your child is planning to have his or her ears pierced, be sure it is done by a professional. Take care of your child's ears afterwards according to the instructions given.


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A Comparison of Tile Backer Boards
Earlier this month, I started with a shower tile renovation for one of my Denver tile contracting clients. In this particular case the shower tile was still intact, which is a rarity considering the tile was set on green board. I think the main reason it had survived was that it was relatively new, as this house was only built in 1996. Back in the old days, green board was widely used as a tile substrate. People would be making a big mistake to use it now. (It was banned from use for "wet areas" with the 2006 IRC building code.) What was more surprising was that cement-based backer boards were available when this home was built and this green board use reflects a cost-cutting measure that is usually a mistake.
The right backer board for wet or dry areas
Tile can be set just about anywhere, most commonly on floors and walls. As a tile contractor, I have even installed some on ceilings. The main consideration for backer choice is the location of the tile. Backsplashes and some tile wainscot can be set on regular drywall (or fiberglass versions of drywall). Water and gypsum-based backers = mush in my book. It seems that building officials now agree. An added bonus to cement board use is its resistance to mold growth. That old green board was still paper-based and mold loves to eat paper.
Types of cement backer board
Permabase is National Gypsum's product and it is very much like WonderBoard from Custom Building Products. Both of these boards are a cement and aggregate core with a fiberglass mesh "skin." Durock from USG is a slightly lighter weight version of comparable construction methods.
HardieBacker – My favorite backer board
The other main type is what I call the "Hardie" type. HardieBacker is a non-aggregate based product from James Hardie, the same company that makes HardiePlank siding. Custom Building Products has their version of this, called Rhino board, but they limit it to ¼" thick and recommend it for floors and countertop installations.
Backer board by the numbers
Cost, strength, and weight will vary from product to product. In my area the cost of a 3 x 5 foot ½ inch thick sheet of any of these products runs about $11. The ¼" thick versions are usually about a dollar cheaper. Weights range from 2.4 pounds / sq ft to 3.0 pounds / sq ft for the ½" thick stock. That equates to 36 pounds for the lighter weight Durock and 45 pounds for the WonderBoard.
HardieBoard is in between at 2.6 pounds sq ft or 39 pounds for a 3 x 5 foot sheet. These numbers can mean a lot when you need to carry a dozen sheets up three flights of stairs (like a project I did a few months ago). Where the biggest differences lie, however, are in the strength department. The aggregate-based products are lower in both flexural strength at about 750 to 900 (psi) and in compressive strength at about 2200 to 2500 (psi). The "Hardie" type is more than double in both areas: 1700 psi flexural and 6500 psi compressive. To give you an idea of how tough that is, fiberglass-skinned "drywall" like DensShield is only 450-600 psi compressive.
What backer board I use and why
For normal shower installs, I prefer the HardieBoard hands down. The primary reason is the ease of cutting and lack of crumbly aggregate. HardieBoard's "grain" is very fine and does not release the fine gravel-like particles the other aggregate type products do. You can score this for cuts, but I use a thin diamond dry cutting blade in my grinder. It makes more dust this way, but it is fast and leaves a very clean edge. (Breathing this dust is bad, so cut outdoors and use a dust mask.) The lack of aggregate in the "Hardie" types reduces the chance of gouging a new acrylic or shinny new enameled tub.
I have used all of these products over the years, and I chose WonderBoard for my cabin's floor primarily for its highest mass; in that project I was looking for thermal mass in a passive solar design. The WonderBoard there, in my 200 sq foot cabin, gave me about half of my estimated 1200 to 1400 pound thermal mass floor.
Kevin Stevens writes for Networx.com.
Updated December 11, 2017.
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subset: commoncrawl


text:
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How prepared are Americans?
The major finding of the survey, conducted by Kelton Research, showed that 85% of Americans do not feel prepared for a catastrophe. They were asked questions about why they feel they need to prepare, what catastrophes they might face, how to best prepare and what they would do if they thought the world was going to end.
One of the interesting findings from the survey was that the majority of Americans believe that a major catastrophe will occur within in the next 20 years. When asked how prepared they feel compared to their neighbors, half (53%) said they were "about as prepared" as those around them. Nearly ¼ (23%) said they were "more prepared" and another ¼ (24%) said they were "less prepared" than the rest of the country.
Nearly 40% of people say they would only last two weeks based on their current supplies.The majority of Americans (49%) said they would need 15 - 60 minutes to prepare if they were required to leave their home. Only 8% said they would be ready to leave their home with all the things they needed in order to survive in "less than a minute."
Reasons to Prepare
The majority of Americans feel that a significant natural disaster will occur within the next 25 years. 64% said they believed a significant earthquake would hit. 63% said a significant hurricane and 29% said that a pandemic, such as a super-virus would occur. Nearly 3 out of every 4 people (71%) believe that disaster in our lifetime will be an act of God, not man. With that being said, 55% of Americans believe that a terrorist attack could occur within the next 25 years. 51% believe that a financial collapse could occur while 14% fear a nuclear fallout.
When asked what were the major reasons that they were not prepared for a potential catastrophe, 40% of Americans said they "couldn't afford to buy or stock up on certain supplies." More than ¼ (27%) said they didn't know what they should be doing in order to prepare. About ¼ of respondents (24%) said they didn't need to prepare because they "didn't think any catastrophes will happen."
FEMA recommends that each family member in the home should prepare to be self-sufficient for at least 72 hours when a disaster strikes. 1 Depending on the severity, police and fire departments may not be able to reach you immediately. Keep a 72 hour kit in an easily accessible area. This could mean at your work, school or in the car.
Many people wait until it's too late to make a plan for emergency preparedness. There are so many things that can occupy our time and attention that it's hard to look forward to what might be coming ahead. However, if you will prepare now, you can have peace of mind knowing that you have a plan and are working towards accomplishing it.
When creating your plan, make sure that it can be used for the many different worst-case scenarios that can happen. Take a look at the different types of disasters that are likely to happen in your area and make sure you have a deep multi-scenario plan for each.Some people fall into the trap where they think that they are prepared, but it's been so long since they have checked in on that plan that they really don't remember it, or circumstances have changed that make it important to change your plan. For instance, you may have some food stored up, but have you checked the expiration dates lately?
Space can be limited, and so it's easy to not think about getting your Grab-n-go supplies ready. The average 72-hour-kit only takes up a little space and is well worth it. You are more likely to run into a situation that needs a 72-hr-kit for a short term emergency than just about anything else. So you have food and water, but do you have everything you would need to survive in case the local stores are all closed and you need a shelter in place? There are many things we use each day that we might take for granted such as tooth paste, or deodorant.
Some people think that plumbers should be paid more than doctors because they prevent disease. Having a good sanitation kit can help prevent illness and disease for your family during an emergency. Don't buy into the idea that there will always be a bathroom for you to use. One of the first things you might need to gain access to during the case of an earthquake, hurricane, fire, or other disaster is a first-aid kit. Make sure you have enough first-aid supplies to take care of everyone in your family and enough to care for others who may need your help.
It is so important that you have a way to keep connected with what is going on around you during an emergency. You can get a dynamo powered light and radio that can help you stay informed, while also giving you needed light and power.
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text:
What is the passcode, or password, for pairing with another Bluetooth device?
The passcode of your device is set to 0000 (four zero).
When paring with another Bluetooth device, if the passcode of your device is required on the screen of another Bluetooth device, please enter 0000 (four zero).
NOTE: Depending on the Bluetooth device used, the passcode may be called Pass key, PIN code, PIN number or Password.


text:
Dear MsgWelcome,
Welcome to the IMSLP! We would like to thank you for contributing.
Please visit our Contributor Portal to learn more about contributing to IMSLP.
The Tutorial provides you a basic introduction to using this site. If you wish to contribute music scores, you will find all the details in the page How to Submit a Score. In addition to that, it is advisable for you to have a basic understanding of copyright law. In case you aren't able to find something you want to know in those pages, you can leave a note on the forums.
Please consider putting the Babel tags on your user page, to tell others which languages you speak. You can also use the Babel system to find users who speak a certain language.
You can communicate with other users by placing a message on their talk page (click on a user's name, and then on Discussion), just like I did on your page. When logging on the next time, this user will get a notification of a new message. Replying to these messages can be done on your own talk page, or on the corresponding user's talk page. Note that there will be no notification for the other user when replying on your own page. It's always a good idea to sign your comments with four tildes (~~~~), which automatically adds your user name and a datestamp.
If you want to discuss something with the whole community, you can post a message in the IMSLP forums. For very important messages, please contact the staff directly via the IMSLP staff contact list.
Frequently asked questions can be found on the FAQ page.
We're looking forward to your next submission!


text:
The scope of the flooding in Manila and other parts of the Philippines due to torrential rains in recent days is daunting.
According to the country's disaster response agency:
-- 1.2 million people are in affected areas.
-- Nearly 400,000 have fled to evacuation centers or homes of friends or relatives.
-- At least 16 deaths have been attributed to flooding or landslides.
The BBC adds that "soldiers and rescuers are using rubber boats to reach people stranded in their homes, but some are refusing to leave amid fears of looting." Manila, officials say, is a "waterworld."
Disaster officials are hoping that, as predicted, the rains will weaken somewhat today and Thursday. But they're still warning that "light to moderate rains" are likely in coming days and that the threat of flashfloods in low-lying areas will continue.
Copyright 2021 NPR. To see more, visit https://www.npr.org.


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SACRAMENTO, Calif. (AP) -- The "ghost guns" that can slip through metal detectors and be assembled at home without safeguards are spurring efforts in California and elsewhere to bring these weapons and their owners out of the shadows.
A state lawmaker proposed legislation Monday to make background checks and gun registrations requirements for anyone who builds plastic firearms on a 3-D printer at home. The bill by state Sen. Kevin de Leon also would apply to anyone who buys parts that can be assembled into a gun.
It's part of a growing effort across the country to pre-empt the spread of these undetectable guns.
De Leon said he is trying to address a twin threat from what he called "ghost guns" — plastic guns that can evade metal detectors and unregistered weapons that can fall into the hands of people who are legally prohibited from owning firearms under state law.
"Currently, no one knows they exist until after a crime has been committed," said de Leon, a leading candidate to take over as Senate leader next year.
That was the case for John Zawahri, who assembled his own military-style assault rifle and killed five people in Santa Monica in a June rampage even after he was barred from legally buying a gun in California because of mental health issues.
The bill by de Leon, a Democrat from Los Angeles, goes further than the federal government, which last month renewed for 10 years an existing ban on plastic firearms that can slip past metal detectors and X-ray machines.
His bill, SB 808, would allow the manufacture or assembly of homemade weapons but require the makers to first apply to the state Department of Justice for a serial number that would be given only after the applicants undergo a background check. The number would have to be engraved on or otherwise permanently attached to the weapon within one day of its manufacture.
He plans to amend the bill to also require that the guns contain permanent pieces of metal that could be detected by X-ray machines and metal detectors, a proposal that was blocked in the federal legislation. Some plastic guns currently comply with the federal law by including a metal piece that can be removed, which potentially would allow them to be slipped through security screeners at airports, courthouses, schools and elsewhere.
The National Rifle Association did not oppose the 10-year extension of the federal plastic firearms ban. But spokeswoman Catherine Mortensen said the organization opposes any expansion of the law at either the federal or state level.
Currently available technology allows consumers to download a gun's design plans to a computer and then build it on a three-dimensional printer with no background checks or other safeguards.
Lawmakers in New Jersey and New York have introduced legislation that would ban the possession of weapons made using 3-D printers, said National Conference of State Legislatures policy specialist Jon Griffin. However, while there had been talk by federal lawmakers and some state legislators of trying to restrict the posting of weapons plans on the Internet, Griffin said he knows of no such legislation being introduced and said it would likely run into free speech protections.
Nick Wilcox, representing the Brady Campaign to Prevent Gun Violence, said de Leon's bill is particularly significant because as of Jan. 1, those buying rifles and shotguns in California are required to undergo the same registration and background checks as are required of those buying handguns. California is also the only state that cross-checks five computerized databases to find people who bought firearms but are not permitted to own them.
Brian Michael Jenkins, who once served on the White House Commission on Aviation Safety and Security and as an adviser to the National Commission on Terrorism, is skeptical that new three-dimensional printing technology will lead to a flood of undetectable weapons, if only because it is simpler and cheaper to buy a traditional handgun. Moreover, new airport body scanners and X-ray machines can spot the outline of a gun even if it is made from plastic.
However, proposals like de Leon's have merit because they provide another tool to law enforcement, said Jenkins, a senior adviser to the president of the RAND Corp. think tank. De Leon's bill would make violations misdemeanors punishable with a fine of up to $1,000 and up to a year in jail for an illegal handgun, up to six months for a rifle or shotgun.
"As we come up with new types of technology, it creates new vulnerabilities," said Jenkins, who has written extensively on terrorism-related issues. "What you have then is an ongoing dynamic between bad guys and good guys."


text:
OptiPure CTOS-QCR, 300-05832, 15 inch Qwik-Twist Chloramine Reduction Filter, IsoNet® Scael Inhibitor
16 In stock
To add this product to your wish list you must Sign In or Create an account
The CTOS-QCR is a 15" Quick-Twist cartridge that reduces chloramines up to 6,000 gallons at a flow rate of 0.5 gpm. The cartridge includes IsoNet®, OptiPure's patented scale-inhibiting technology, which delivers consistent protection against the precipitation and accumulation of scale and provides a protective barrier to help guard against corrosion.
Applications requiring chloramine reduction
Steam and combi ovens – for the reduction of chloramines and sediment, in addition to scale and corrosion inhibition
Returns Policy
You may return most new, unopened items within 14 days of delivery for a full refund, less the original shipping charge. We'll also pay the return shipping costs if the return is a result of our error (you received an incorrect or defective item, etc.). You should expect to receive your refund within 5 business days of our receiving the returned product, however, this is only an estimate and refund times may vary. This time period includes the time it takes us to process your return once we receive it, but may not include the time it takes your bank to process your refund request (sometimes up to 10 business days depending on the bank). If you need to return an item, simply login to your account, view the order using the 'Complete Orders' link under the My Account menu and click the Return Item(s) button. We'll notify you via e-mail of your refund once we've received and processed the returned item.
We can ship to virtually any address in the contiguous 48 states. Note that there are restrictions on some products, and shipments to Hawaii, Alaska, Puerto Rico and Canada will need to call in for a shipping quote at this time, 1+585.483.0358. When you place an order, we will estimate shipping and delivery dates for you based on the availability of your items and the shipping options you choose. Depending on the shipping provider you choose, shipping date estimates may appear on the shipping quotes page. Please also note that the shipping rates for many items we sell are weight-based. The weight of any such item can be found on its detail page. To reflect the policies of the shipping companies we use, all weights will be rounded up to the next full pound.


text: Product description: 1oz (30ml) Dye base CYAN ink for Epson T0712 cartridges. The bottle comes with a needle for easy filling. No need to use syringes anymore1oz (30ml) Dye base Magenta ink for Epson T0713 cartridges. The bottle comes with a needle for easy filling. No need to use syringes anymore1oz (30ml) Dye base Yellow ink for Epson T0714 cartridges. The bottle comes with a needle for easy filling. No need to use syringes anymore. For use on Epson Printers: STYLUS D120 STYLUS D78 STYLUS D92 STYLUS DX4000 STYLUS DX4050 STYLUS DX4400 STYLUS DX4450 STYLUS DX5000 STYLUS DX5050 STYLUS DX6000 STYLUS DX6050 STYLUS DX7000F STYLUS DX7400 STYLUS DX7450 STYLUS DX8400 STYLUS DX8450 STYLUS DX9400F STYLUS S20 STYLUS SX100 STYLUS SX105 STYLUS SX200 STYLUS SX205 STYLUS SX400 STYLUS SX405 Please also check out our refillable cartridges. You can refill those for hundreds of times until your printer wears out. Aren't sure if you wish to get dye based ink or pigment based ink? Read the following facts: Pigment based ink is more water resistant. When submerged in water, pigment based ink only bleed 5~15% while dye based ink can bleed 85% Pigment based ink is less likely to fade over time. Our archival pigment inks' printouts can be stored for over 100 years without significant fading. Dye based ink may fade within years Dye based inks are slightly more vibrant in color. Dye based black ink is a little bit darker than pigment based black ink. Dye based inks are significantly cheaper than pigment based inks. Dye based inks are compatible with almost all inkjet printer models while pigment based inks can't be used with some printers. We do NOT recommend mixing dye based inks and pigment based inks. If you want to try our refillable cartridges and pigment based inks, please order empty refillable cartridges and pigment based inks. Our pre-filled refillable cartridges are prefilled with dye based inks so they can only be refilled with dye based inks.


text:
ACParadise Network:
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Cosplayer Yuki Roxas > Wigs
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Name : | The Chin'koka Retreat |
Universe : | Prime Timeline |
Year : | 2375 |
The Breen forces were reasonably powerful in themselves, but they had never been considered one of the Alpha Quadrants major powers, and were not expected to alter the balance of war markedly in favour of the Dominion. However, the calculations made by the Allies failed to take one important factor into account; the Breen had developed a weapons system which would change the balance of power in the war.
Initially the battle went reasonably well for the Allies - the Breen ships were fast and agile, but proved to be highly vulnerable to heavy weaponry. Several Breen ships were destroyed in the opening volleys before they could even return a shot. However, when they did open fire the Breen weapon created a form of energy dampening field around their targets which rendered them completely without power.
The Defiant was the first vessel hit - it immediately lost propulsion, shields, inertial dampers and weapons. Without the ability to defend itself the ship was a sitting duck, and the Breen used standard torpedoes to inflict massive damage within seconds. Captain Sisko ordered the crew to abandon ship shortly before the Defiant was destroyed.
The rest of the Allied fleet fared little better - ship losses in the battle were almost 100%, although casualties were relatively light as the Dominion did not engage in its usual tactic of destroying the fleets escape pods; a measure apparently intended to allow the survivors to spread fear throughout the rest of the fleet. [2]
Although this engagement can only be considered to be a disaster, the seeds of yet another turnaround in the Allies fortunes were sown in the Chin'toka system. A single Klingon ship was struck by the Breen energy drainer, yet it not only survived but suffered no significant damage as a result. Investigation by the Allies showed that the only significant difference between this ship and the others was a recent modification to some of its onboard systems. The Klingons rapidly had over 1,500 ships repeat this modification, making them invulnerable to the Breen weapon. Unfortunately, the Federation and Romulan ships were not suitable for such changes. As a result, the Klingons bore the brunt of the war for several weeks.
Ultimately, the Allies were able to mount a daring raid on a Dominion shipyard which allowed them to capture an example of the Breen weapon and work out how to circumvent it on all of their ships. [3]
Canon source | Backstage source | Novel source | DITL speculation |
# | Series | Season | Source | Comment |
1 | DS9 | 7 | The Siege of AR-558 | |
2 | DS9 | 7 | The Changing Face of Evil | |
3 | DS9 | 7 | Tacking into the Wind |
Series : | DS9 Season 7 |
Episode : | The Siege of AR-558 |
Series : | DS9 Season 7 |
Episode : | The Changing Face of Evil |
Series : | DS9 Season 7 |
Episode : | Tacking into the Wind |
© Graham & Ian Kennedy | Page views : 44,490 | Last updated : 30 Dec 1999 |


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IRCTC Authorized Partner
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The Godda to Kasba train route is very popular and many travellers use it. Every day, lots of people take this train journey. There are a total of 7 IRCTC trains that run from Godda to Kasba, some of which run daily. The distance between Godda and Kasba, is approximately 32 km. Some of these trains are mail trains, Rajdhani, Tejas, and special express trains.
Depending upon the train schedule, there are a total of 7 trains that operate between Godda and Kasba on different times and days. Out of these, 1 trains run daily. Some trains run on alternate days and there are some weekly trains as well.
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If you want to book a confirmed ticket online, you can do it easily with Railofy, an IRCTC-trusted partner. If You are Not getting a confirmed ticket, use our 'Travel Guarantee' feature while booking your ticket and get up to 3X Refund into your bank account if your ticket remains waitlisted. We're authorized by IRCTC and lots of people use them. So, you can travel worry-free with Railofy.
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Railofy helps you plan your train journey better with its accurate information on all possible railway enquiries. Train and railway reservation enquiries like Godda to Kasbaseat availability, Godda to Kasba correct timetable, real-time data, Godda to Kasba list of scheduled trains, Live train status & train fare.
Below is the quick Information of Godda to Kasba Train
Daily Trains | 1 |
Distance | 32km |
Duration | 1 hours |
First Departure Time | 05:30 |
Last Departure time | 16:45 |
How many trains are running from Godda to Kasba?
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How many special trains are running between Godda to Kasba?
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Which is the last train from Godda to Kasba?
What is the distance between Godda to Kasba?
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I also hope that my character remembers where the old dungeons are, and that they will make sure that I can queue up for those too, since that is currently not possible.
Buuuut, to discover the dungeon entrance, you do need to know where they are...below the cut is a nice overview.
Also, I'll only be going over the new dungeons. I would hope that you know where to find Deadmines and Shadowfang Keep. And if you don't, you shouldn't be trying them on heroic.
Lost City of the Tol'vir (Level 84-85)
The entrance to this dungeon can be found in the south of the zone Uldum.
Halls of Origination (Level 85)
The other dungeon located in Uldum are the Halls of Origination (HoO). This dungeon can be found slightly west of The Lost City of Tol'vir.


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Tips to help you conserve money and save energy
Heating & Cooling
Heating and cooling your home accounts for about 60% of your energy costs.
Warm to these cool tips to make a big impact on your energy bill.
Tip: Install ceiling fans and use them to supplement or even as an alternative to air conditioning - ceiling fans generally use very little electricity. Make sure your fan is blowing air downwards in summer.
Save More
Install a programmable thermostat with a built-in timer. You can set it to lower the heat by a few degrees at night and when you're away, or turn off the AC when you leave for the day. Contrary to popular belief, this method uses less electricity than having the AC constantly maintain a cool temperature! Your savings can easily pay for the cost of the thermostat (as little as $50) in the first year by varying the temperature just a few degrees at night or when you're away. Just think of the savings over 5 or 10 years!
• To save money on heating costs, reduce the temperature of your home a few degrees at night and when you're away.
• Keep blinds, shades and drapes closed during the hottest part of the day in the summer. (And open south-facing blinds on sunny winter days!)
• Use area rugs on cold floors - if your feet are cold, your body will feel cold.
• If you feel cool, put on a sweater rather than simply turning up the thermostat.
• Clean or replace the air filter on your furnace every month to improve efficiency.
• To save more on central AC costs, try cooling your home to only 24 or 25 °C instead of the low 20's. Each degree below 26 °C will noticeably increase your electricity use!
• Turn off unnecessary lights in the house (they produce a lot of heat which works against the AC.)
• Conservation can be as easy as planting a tree. Plant some leafy (deciduous) trees on the sunny side of your house. During the summer they provide shade, and in the winter they will shed their leaves to let the warming sunshine through.
Pine or fir trees on the north side provide an energy-saving windbreak.
Water Heater
Are you heating water unnecessarily? Here's how you can stem the flow of wasted energy.
Tip: Showers save hot water - a typical bath uses approximately 75 litres of hot water, while a 5-minute shower with an efficient showerhead will use about half of that.
Save a Lot
Wrapping your electric water heater in a special tank blanket can reduce its electricity use.
Be sure to use the vacation setting or turn off the water heater when you are out of town.
• Fix leaky faucets - that little drip can add up to 95 litres of water per faucet per month, and cost you 7 kWh per month.
• Installing low flow aeraters on faucets can save water and energy.
• Drain a pail of water from your natural gas hot water tank every 3 months, or as recommended by the manufacturer, to remove sediment that prevents heat transfer, lowering the unit's efficiency.
Energy Facts
• On average, water heaters use the most energy in the home after heating. A 175-litre tank can use up to 5000 kWh per year, a cost of almost $500 at today's prices.
Your refrigerator is always on, but there are several no-cost ways to put energy costs on ice!
Tip: Don't let freezers build up more than 6 mm of frost. Defrost regularly to keep freezers working their best.
Looking to Buy a New Refrigerator?
Be sure to check the EnerGuide label on every fridge, and consider energy savings in your buying decision. Invest a little more and buy an ENERGY STAR®-qualified model. ENERGY STAR-qualified refrigerators exceed minimum federal energy efficiency standards for energy consumption by at least 10%, which will save you more money in the long run.
• Set the temperature for only as cold as you need; check manufacturer's recommendations.
• Don't keep that old, inefficient refrigerator running in the basement for occasional refreshments. It could cost you $150 or more per year in electricity.
• Don't overfill the refrigerator, as this blocks air circulation. Conversely, a full freezer will perform better than an empty one.
• Check your refrigerator's door seal by closing the door on a $5 bill. If it's held tightly in place, the seal's OK; if not, the door should be adjusted or the seal replaced.
• Clean your refrigerator's coils (back) and air intake grill (below the doors) every 3 months.
• Keep refrigerators and freezers out of direct sunlight, and allow at least 5 centimetres all around (or as recommended by the manufacturer) to allow heat to escape from the compressor and condensing coil.
• Allow hot foods to cool before putting them in the refrigerator.
Energy Facts
• The refrigerator is one of the biggest electricity guzzlers in most homes. While efficiency has improved a lot in recent years, even top-of-the-line models can use more electricity than ENERGY STARqualified refrigerators.
The stove is another big energy guzzler. Here are some hot tips to help you save.
Tip: When using the stove, be sure to put lids on pots in order to keep the heat in the pot, which enables you to use lower heat settings!
Did You Know?
• Did you know... one kilowatt hour is the amount of electricity required to keep a 100-watt bulb lit for ten hours.
• The average Ontario household uses about 1,000 kilowatt hours of electricity per month.
Use an electric kettle to boil water - not the stove, which is less efficient.
• Generally, thaw frozen foods in the refrigerator before cooking, unless the label says otherwise.
• If you put aluminum foil on the bottom of the oven to catch drippings, make sure the foil does not block any of the oven's circulation holes and don't put foil on the oven racks.
• Turn off the oven just before finishing - the oven will remain hot long enough to complete the job.
• Don't use a bigger pot than you need, and match it to the right size element.
• A general rule: for smaller cooking jobs, use smaller appliances (i.e., instead of your range or cooktop, use the electric kettle, toaster oven or microwave.)
Energy Facts
• Microwave ovens use up to 75% less energy, so whenever possible, use a microwave instead of your stove or oven.
Wash your hands clean of the high cost of washing dishes.
Tip: Try to operate with a full load and use the energy-saving cycle.
Save The Environment
In winter, Ontario's greatest demand for electricity usually occurs from 4 to 9 PM. Try switching non-essential chores to the off-peak times between 9 PM and 7 AM. On hot summer days, the greatest overall demand for electricity is usually from 10 AM to 4 PM, but high residential use can extend to midnight, because of air conditioner usage. By shifting non-essential use to times of lower demand, you can help reduce the use of fossil fuel generation, which helps keep the environment cleaner.
Looking to Buy a New Dish Washer?
If you're planning to buy a new dishwasher, consider investing in an ENERGY STAR®-qualified model, which is at least 25% more efficient than the least efficient dishwasher.
• Don't waste hot water by pre-rinsing dishes before putting them in the dishwasher - just scrape off food and empty liquids.
• Air dry your dishes - you can save 10% of the cost of operation.
• Load dishes according to manufacturer's instructions to allow for proper water circulation.
• Check and clean drains and filters regularly to ensure efficient operation.
Energy Facts
• Using a dishwasher can actually be more efficient than washing dishes by hand, assuming you use the dishwasher once for every 3 to 4 times you would wash dishes by hand.
Clothes Washer & Dryer
Clean your clothes without cleaning out your bank account.
Tip: Always use cold water for the RINSE cycle. Using warm or hot water for the RINSE cycle does not get your clothes any cleaner.
Looking to Buy a New Clothes Washer?
Front-loading clothes washers cost a little more than conventional washing machines, but they use roughly half the water per load, and are more effective at squeezing the water out of the clothes - which lowers the electricity costs for drying them! Also, clothes washed in front-loading washers last longer because they are gently tumbled rather than twisted around an agitator.
Invest a little more for an ENERGY STAR®-qualified clothes washer, which uses 35-50% less water and 50% less energy per load than the average conventional clothes washer. The savings on your energy bill will add up quickly.
• Run full loads whenever possible but don't overload the machines.
• Wash your clothes in cold or warm water. A whopping 85-90% of the energy used by washing machines is for heating the water! You can save a lot of energy by lowering the water temperature.
• Try using cold or warm water for the WASH cycle, instead of hot water. Hot water shrinks and fades your clothes, and wears them out more quickly.
• Make sure clothes are effectively wrung before putting them in the dryer. (Front-loading washers are the best at squeezing the water out!)
• Separate loads into heavy, medium and lightweight items - lighter loads will take less drying time than a mixture of items.
• Dry consecutive loads to utilize otherwise wasted heat from the dryer.
• Clean the lint filter after every load. (A clogged lint filter can increase energy use up to 30%, and may be a fire hazard!)
• Get some fresh air! Consider using a clothesline to dry your laundry.
Energy Facts
• The EnerGuide label is required on all new electrical major home appliances sold in Canada. It lets you compare the energy efficiency of appliances you're considering. Check the EnerGuide labels when you shop for appliances - the lower the kilowatt/hour number shown, the more energy-efficient the appliance.
Home Office & Other Savings Around The Home
The home office is just one possible culprit for wasting energy. But it doesn't take a lot of work to save on your energy bill.
Tip: Computers and related components use electricity even when they are not in use. Plug each computer component into a power bar that can be shut off, to avoid wasting electricity with the 'standby' power feature.
Save The Environment:
About two-thirds of Ontario's electricity comes from nuclear and hydroelectric sources with virtually no smog or acid gas emissions. The rest comes mostly from fossil fuel powered generating stations. At times of peak demand, we rely even more heavily on fossil fuel powered generation. So using less energy means less power plant emissions, which helps to keep the environment cleaner today and far into the future.
• Consider energy-efficient computer systems and monitors when you replace a system. Make sure you enable your computer's energy-saving features.
• Be sure to at least shut off the computer screen, as 60% of the power used by a computer is used by the monitor! (The other 40% is used to keep your hard drive spinning and to power the electronics.)
• Put your home entertainment systems on a power bar and turn off the bar when you are not using them. (Components without clocks and timers, of course.)
• Unplug infrequently used TVs, as many continue to draw power even when turned off.
• Put swimming pool pumps on a timer, or run them only a few hours a day. Keep the filter clean for greater efficiency.
• Use a solar blanket to keep swimming pool water warm overnight, and use your heater only when necessary.
• Solar pool heaters (roughly $3,000 to $5,000) can be a cost-effective purchase when you add together equipment, installation and fuel costs for a traditional heater. Check them out.
Energy Facts
• Less energy is consumed when computers and monitors are turned on and off (as often as required) than when left on over time. In fact, all electronic devices use more energy when left on, as opposed to being turned on and off as needed.
Some bright ideas for lighting your home more efficiently.
Tip: Turn off lights whenever you leave a room or don't need them, even for just a few minutes.
Save More:
Use compact fluorescent light bulbs. They cost more than regular light bulbs (starting at $5), but can use 75% less electricity and last years longer. One compact fluorescent bulb can save you three times its cost in electricity.
For outside lighting, install a motion sensor that turns the lights on automatically when somebody walks by, then turns the lights off automatically after 1 to 5 minutes.
Dimmer switches are not just a great way to set the modd, they're an inexpensive way(starting at $10) to save energy. (Don't use with compact fluorescent bulbs.)
• You can lower overall energy demand by concentrating bright light where you need it rather than evenly lighting the entire room - this is called 'task lighting'.
• Opening your blinds is a free way to brighten up a room.
• For any light that must be on all night (e.g., stairways), replace the bulbs with the lowest wattage bulbs that you're comfortable with or consider a compact fluorescent or a nightlight.
• Decorate your home with illumination in mind - lighter colours reflect light, so use them in areas you want to be bright.
• Keep light fixtures clean - a cleaner bulb is a brighter bulb.
Energy Facts
• Contrary to popular belief, less energy is consumed when lights are turned on and off as you come and go than if a light is left on all the time.


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One of many unsuccessful attacks – this is heading into the course's one lefthand turn.
Quick summary – 14th in the criterium after botched field sprint, but held on for 5th overall in the stage race. Up ahead in the six-man break, Frank Travieso (Team Coco's) won a very tight sprint ahead of Michael McBrien (Subaru) in 2nd, whose twin brother Gene would win the Cat 3 race immediately following our Pro/1/2 race, David Gutenplan (UHC/706) in 3rd, and Shawn Gravois (Globalbike) in 4th. Ryan Saylor (Gearlink) and one other rider also were in the break, so the field sprint was for 7th place.
The details – the forecasted rain stayed away, so instead it was hot and humid for this one hour criterium. After a really poor time trial yesterday, I was in a distant 5th about 45 seconds back from Stephan Hirsch (UHC/706) in 3rd and Jan Kolar (HomeSmart/L5Flyers) about 15 seconds in front of me in 4th. I had a relatively safe cushion of 45 seconds in front of Jonathan Bowerman who had come off our break in the road race and finished about a minute and a half behind us. But Jonathan had a smoking fast time trial beating me by 45 seconds cutting his time gap to me in half. The rest of the field came in minutes behind us so unless a break got away and lapped me in the field twice, the worst I was going to do in the overall was 6th place.
I wasn't going to give up a shot at the overall podium without a fight, though. My only shot at it was to somehow get into a break without Stephan and Jan. I was first off the line and led the pack through the first few corners waiting for the first attack. It came in the form of just one rider (can't remember who) so I thought for sure that it wouldn't stick. Then there was one more rider, and then another rider, and still I was on the front waiting for one of the teams to chase. But before you can say "oh my goodness you missed the boat", there was a solid break of four with maybe 10-15 second gap over the field.
One team missing from the break was Team Coco's. Frank Travieso corrected that by bridging solo at probably 35mph – given the incredibly short amount of time it took for him to leave our group and bridge the gap up to the leaders 10-15 seconds ahead of us. At this point, I thought not only was the break a done deal, but also that it was going to lap the field within the first 15 minutes of the race. The only thing keeping the break from doing that was a steady effort by UHC/706 who wanted to keep the pace fast enough so that the dreaded "double-lapping" wouldn't happen causing somebody to leap frog Stephan in the overall. I also think they wanted to keep the pace high to discourage attacks.
I attacked as often as I could – maybe four or five times? Each time I was hoping to get one or two strong riders to go with me, but it never happened. I would go off the front, stay off the front solo for 20-30 seconds and then run out of energy, get drawn back into the field by the steady chase of UHC/706, rinse and repeat. I wasn't the only one attacking, and all of these attacks had a nice effect of ramping the field's pace up enough to gradually reel the break back in. At one point we were only 10 seconds back from the break. I had just finished an attack, and the pace in the field had started to slow down when Shawn Gravois (Globalbike) launched a perfectly timed attack and was able to finish the bridge to the leaders a couple laps later. The renewed horse power helped drive the break away from us again.
With eight laps to go, I gave up attacking and started to position myself for the field sprint. I worked hard to stay at the very front and managed to surf through all the surges entering the last corner in 3rd wheel. But I came out of that corner on the windward side of the two riders in front of me — I'm still not entirely sure what I was thinking — it must have been that I somehow thought I was going to have some miraculous sprint — but I was immediately blown backwards by the wind getting passed by 3 people in the sprint and then an additional 2 people within 5 meters of the finish line to finish 7th in the sprint, 14th in the race.
Not a great finish, but I was happy to have raced really hard – especially with all my family there watching and cheering – and to have snagged a top 5 in the stage race classification. Lots of data from the weekend. I was happy to have set a new power record in the road race – confirming that it was indeed a really, really tough race. Here is all the power and heartrate data from the weekend in the following order: road race, time trial, criterium.
Road race critical power curve – new power record annotated (click to enlarge)
Annotated road race heartrate/power plot – race tactics visible in the data. (click to enlarge)
New record amount of time spent in zone 5 in a single race this year.
Time trial heartrate zones
Time trial heartrate/power plot (click to enlarge)
Criterium heartrate zones
Criterium power map (click to enlarge)
Criterium heartrate/power plot – attacks visible (click to enlarge)


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1411 W Street Rd
Warminster, PA 18974
Dr. David Valen at his Warminster area dental implants practice offers extensive experience restoring your dental implant crown.
Our dedicated team uses state-of-the-art materials and techniques for stability and longevity. You'll enjoy the comfort and confidence of natural-looking teeth.
Signature Dental of Bucks County is a trusted Warminster area dental implants practice providing natural-looking, comfortable tooth replacement. We make it our mission to use a gentle touch during the process.
We hold ourselves to the highest standards to replace missing teeth and provide you with natural-looking results. Our goal is to restore your confidence and your bright, healthy smile.
David Valen, D.M.D. is proud to be a trusted Warminster area Zoom!® teeth whitening dentist. Our patients love the short amount of time the tooth whitening treatment takes as much as they love the results.
You'll be able to relax in our comfortable surroundings. In just about an hour, you'll have a sparkling white smile!
Dr. David Valen at his Warminster dentistry practice is pleased to offer you a free smile analysis if you are 18 years old or older. Our friendly and professional team will make you feel comfortable and welcome.
We'll answer your questions and assess your dental needs to achieve long term oral health. Our goal is to make your visit enjoyable, and to give you the smile you deserve.
If you're looking for dentures that look great and last, look no further than Signature Dental of Bucks County located in the Warminster, PA area. David Valen, D.M.D. will assess your needs and fit you with durable, comfortable, natural-looking dentures - at a price you can afford.
48 North 3rd Street
Bangor, PA 18013
With oral conscious sedation, Bangor area sedation dentist Michael Pacifico, D.M.D. is medically able to attend to your dental needs for a longer period of time. This means you can combine all or many of your dental appointments into one. If you are in need of extensive dental work or multiple treatments are necessary, oral sedation dentistry may be the most efficient and hassle-free option for you to consider.
Distinguished Bangor area mini dental implants dentist Michael Pacifico, D.M.D. can provide you with the highest quality results. At Pacifico Dental Care, we use state-of-the-art materials and techniques that make them less invasive and more affordable.
You deserve the best treatment available to replace missing teeth. Whether you're missing a single tooth or experiencing pain from slipping dentures, mini dental implants can be a faster way to regain your beautiful smile.
Dr. Pacifico provides secure implant dentures in the Bangor area. Implant retained dentures won't slip, and are a long-lasting solution to missing teeth.
You'll talk, eat and smile with more confidence. Your self esteem will return with your new natural-looking teeth.
For many people with crowded or crooked teeth in the Bangor area, braces can help keep their teeth cleaner, their gums healthier and provide relief from jaw pain. You deserve a lifetime of better oral health.
The straight teeth, bright smile and life-long oral health you envision really can be yours. Pacifico Dental Care will help you plan the proper orthodontics treatment to create your healthier new life.
Have you ever considered natural-looking, permanent dental implants instead of uncomfortable dentures? Incredible recent advances in technology allow Bangor area dental implants dentist Dr. Michael Pacifico to create tooth implants just for you that can be permanently anchored to your jaw. This is a great option to consider if you've had negative experiences with dentures in the past.
Pellegrino, Jason D.D.S.
5920 Hamilton Blvd # 101
Wescosville, PA, 18106-8942
Risley, Jennifer K D.D.S.
6201 Hamilton Blvd
Wescosville, PA, 18106-9684
Risley Jr, Walter P D.D.S.
6201 Hamilton Blvd # 100
Wescosville, PA, 18106-9684
Campbell, Deborah A D.D.S.
770 Fetters Ln
Wescosville, PA, 18106-9290


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Refunds & Returns Policy
To complete your return, we require a receipt or proof of purchase.
Customer are responsible for return shipping costs.
Our return policy lasts 10 days after delivery. Unfortunately, if ten days have passed after your delivery, we can't offer a refund or exchanges after those ten days.
Eligible returns must be unused and in the same condition you received. It must also be in the original packaging.
Several types of goods are exempt from being returned. Perishable goods such as food, flowers, newspapers, or magazines are not eligible for returns. We do not accept returns on intimate or sanitary goods, hazardous materials, flammable liquids, or gases.
Additional Non-Returnable Items Include:
- Gift cards
- Downloadable software products
- All health and personal care items
- Beaded, Sequined and Specialty Fabric apparel are non-returnable.
- We are not liable or responsible for dry cleaning issues.
- Hats and Masks are non-returnable
We have a 4-point inspection of all merchandise before it is shipped to ensure excellent quality, including final examinations by our packing department. In the unlikely event a damaged item has been included in your order, please inform us within three days of receipt. We will replace it with the same style, color, and ad size you originally ordered. We are not responsible for any garment after it has been worn or damaged. Any items not in their original condition are damaged or missing parts for reasons not due to our error are not returnable or refundable.
Refunds (if applicable)
Once your return is received and inspected, we will email you that we have received your returned item. We will also notify you of the approval or rejection of your refund.
If you are approved, your refund will be processed, and a credit will automatically apply to your credit card or original payment method within a certain amount of days.
Sale items (if applicable)
Sale items are not refundable. Only regular priced items may be refunded.
Return Shipping Costs
The buyer is responsible for return shipping costs. Shipping costs are non-refundable. If we are eligible for a refund, we will subtract the shipping cost from the order's refund.
There is no refund on shipping charges unless the seller sent the wrong item or received damage during transit.
The buyer is responsible for shipping costs on all returns unless the seller sent the wrong item or the item was received damaged during transit.
Depending on where you live, the time it may take for your exchanged product to reach you may vary.
If shipping an item over $75, you should consider using a trackable shipping service or purchasing shipping insurance. We don't guarantee that we will receive your returned item.
As always, we do like to hear from our customers. If you have any suggestions about how we can offer better services, please feel free to call or text MAGOS at 318-820-5778


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What is an aneurysm?
An aneurysm is a bulging, weakened area in the wall of a blood vessel resulting in an abnormal widening or ballooning greater than 50% of the vessel's normal diameter (width). An aneurysm may occur in any blood vessel, but is most often seen in an artery rather than a vein.
An aneurysm may be located in many areas of the body, such as blood vessels of the brain (cerebral aneurysm), the aorta (the largest artery in the body), the neck, the intestines, the kidney, the spleen, and the vessels in the legs (iliac, femoral, and popliteal aneurysms). The most common location of an aneurysm is the aorta, which carries oxygenated blood from the heart to the body. The thoracic aorta is the short segment of the aorta in the chest cavity. The abdominal aorta is the section of the aorta that runs through the abdomen. An aneurysm can be characterized by its location, shape, and cause.
The shape of an aneurysm is described as being fusiform or saccular, which helps to identify a true aneurysm. The more common fusiform-shaped aneurysm bulges or balloons out on all sides of the blood vessel. A saccular-shaped aneurysm bulges or balloons out only on one side.
A pseudoaneurysm, or false aneurysm, is not an enlargement of any of the layers of the blood vessel wall. A false aneurysm may be the result of a prior surgery or trauma. Sometimes, a tear can occur on the inside layer of the vessel. As a result, blood fills in between the layers of the blood vessel wall creating a pseudoaneurysm.
A dissecting aneurysm is an aneurysm that occurs with a tear in the artery wall that separates the 3 layers of the wall, rather than ballooning out the entire wall.
Because an aneurysm may continue to increase in size, along with progressive weakening of the artery wall, surgical intervention may be needed. Preventing rupture of an aneurysm is 1 of the goals of therapy. The larger an aneurysm becomes, the greater the risk for rupture (bursting). With rupture, life-threatening hemorrhage (uncontrolled bleeding), and possibly death, may result.
What causes an aneurysm to form?
An aneurysm may be caused by multiple factors that result in the breaking down of the well-organized structural components (proteins) of the aortic wall that provide support and stabilize the wall. The exact cause isn't fully known. Atherosclerosis (hardening of the arteries with a sticky substance called plaque) is thought to play an important role in aneurysmal disease. Risk factors associated with atherosclerosis include, but are not limited to:
Older age
Family history
Genetic factors
Hyperlipidemia (elevated fats and cholesterol in the blood)
Other specific causes of aneurysms are related to the location of the aneurysm. Examples of aneurysms in the body and their additional causes may include, but are not limited to:
Abdominal Aortic Aneurysm (AAA)
- Atherosclerosis (especially in the segment of the abdominal aorta below the kidneys, called an infrarenal aortic aneurysm)
- Genetic disorders
- Giant cell arteritis (a disease that causes inflammation of the temporal arteries and other arteries in the head and neck, causing the arteries to narrow, reducing blood flow in the affected areas; may cause persistent headaches and vision loss)
- Infection
Cerebral Aneurysm
- Congenital (present at birth)
- High blood pressure
- Atherosclerosis
- Head trauma
Common Iliac Artery Aneurysm
- Atherosclerosis
- Pregnancy
- Infection
- Trauma after lumbar or hip surgery
Femoral and Popliteal Artery Aneurysm
- Atherosclerosis
- Trauma
- Congenital disorders
What are the symptoms of an aneurysm?
Aneurysms may be asymptomatic (no symptoms) or symptomatic (with symptoms). Symptoms associated with aneurysms depend on the location of the aneurysm in the body.
Symptoms that may occur with different types of aneurysms may include, but are not limited to:
- Abdominal Aortic Aneurysm (AAA): Constant pain in abdomen, chest, lower back, or groin area
- Cerebral Aneurysm: Sudden severe headache, nausea, vomiting, visual disturbance, loss of consciousness
- Common Iliac Aneurysm: Lower abdominal, back, and/or groin pain
- Femoral and Popliteal Artery Aneurysm: Easily palpated (felt) pulsation of the artery located in the groin area (femoral artery) or on the back of the knee (popliteal artery), pain in the leg, sores on the feet or lower legs
The symptoms of an aneurysm may resemble other medical conditions or problems. Always consult your doctor for more information.
How are aneurysms diagnosed?
Selection of a type of diagnostic examination is related to the location of the aneurysm. In addition to a complete medical history and physical examination, diagnostic procedures for an aneurysm may include any, or a combination, of the following:
Computed tomography (CT or CAT) scan. This diagnostic imaging procedure uses a combination of X-rays and computer technology to produce horizontal, or axial, images (often called slices) of the body. A CT scan shows detailed images of any part of the body, including the bones, muscles, fat, and organs. CT scans are more detailed than standard X-rays.
Magnetic resonance imaging (MRI). An MRI uses a combination of large magnets, radio frequencies, and a computer to produce detailed images of organs and structures within the body.
Echocardiogram (echo). This procedure evaluates the structure and function of the heart by using sound waves recorded on an electronic sensor that produce a moving picture of the heart and heart valves.
Arteriogram (angiogram). This is an X-ray image of the blood vessels used to evaluate various conditions, such as aneurysm, stenosis (narrowing of the blood vessel), or blockages. A dye (contrast) will be injected through a thin flexible tube placed in an artery. This dye will make the blood vessels visible on the X-ray.
Ultrasound. An ultrasound uses high-frequency sound waves and a computer to create images of blood vessels, tissues, and organs. An ultrasound is used to view internal organs as they function, and to assess blood flow through various vessels.
What is the treatment for aneurysms?
Specific treatment will be determined by your doctor based on:
Your age, overall health, and medical history
Extent of the disease (location, size, and growth rate of the aneurysm)
Your signs and symptoms
Your tolerance of specific medications, procedures, or therapies
Expectations for the course of the disease
Your opinion or preference
Treatment options for an aneurysm may include one or more of the following:
Routine ultrasound procedures. These procedures will monitor the size and rate of growth of the aneurysm every 6 months to 12 months as part of a "watchful waiting" approach for smaller aneurysms.
Controlling or modifying risk factors. Steps such as quitting smoking, controlling blood sugar if diabetic, losing weight if overweight or obese, and controlling dietary fat intake may help to control the progression of the aneurysm.
Medication. Medication can control factors such as hyperlipidemia (elevated levels of fats and cholesterol in the blood) and/or high blood pressure.
Aneurysm open repair. An incision is made to directly visualize and repair the aneurysm. A cylinder-like tube called a graft may be used to repair the aneurysm. Grafts are made of various materials, such as Dacron (textile polyester synthetic graft) or polytetrafluoroethylene (PTFE, nontextile synthetic graft). This graft is sewn to the involved blood vessel, connecting 1 end of the artery at the site of the aneurysm to the other end. The open repair is considered the surgical standard for an abdominal aortic aneurysm repair
Endovascular aneurysm repair (EVAR). EVAR is a procedure that requires only small incisions in the groin along with the use of X-ray guidance and specially-designed instruments to repair the aneurysm. With the use of special endovascular instruments and X-ray images for guidance, a stent-graft is inserted via the femoral artery and advanced up into the aorta to the site of the aneurysm. A stent-graft is a long cylinder-like tube made of thin metal mesh framework (stent), while the graft is made of various materials, such as Dacron or PTFE. The graft material may cover the stent. The stent helps to hold the graft open and in place.
#TomorrowsDiscoveries: Therapy for Aortic Aneurysms—Dr. Hal Dietz
#TomorrowsDiscoveries: Johns Hopkins researchers have identified the genes responsible for aortic ballooning and the sequence of events leading to aortic aneurysms. Dr. Hal Dietz currently conducts clinical trials of therapies for people with inherited aortic aneurysms to improve health and quality of life for these patients.


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Booksellers and publishers are worried that Amazon is going to devour their industry. The giant online retailer seems to have its hands in all aspects of the business, from publishing books to selling them — and that has some in the book world wondering if there is any end to Amazon's influence.
Publishers have a problem when it comes to discussing Amazon: They may fear its power, but they are also dependent on it, because like it or not, Amazon sells a lot of books. But lately, the grumbling about Amazon has been growing louder, with some in the book industry openly describing Amazon's tactics as "predatory."
Publishers have long complained about Amazon's pricing policies; it sold e-books at cut-rate prices in order to win customers for the Kindle. Now, explains Joe Wikert, general manager and publisher at O'Reilly Media, Amazon is undercutting competitors by selling e-readers, like the new Kindle Fire, at a loss.
"The word 'predator' is pretty strong, and I don't use it loosely," he says, "but ... I could have sworn we had laws against predatory pricing. I just don't understand why that's not an issue — because that's got to be hurting other device makers out there in trying to capture this market."
But Wikert is also well aware that Amazon has made life very convenient for consumers.
"Amazon has built a one-click model," Wikert says. "... It is so simple and easy for me to get a sample or buy the book outright. I know there are other options out there, but it requires extra steps, and that is what is challenging."
Just before Christmas, Amazon infuriated booksellers with its price check app, which allowed customers to check out prices in brick-and-mortar stores and then get a discount if they bought from Amazon.
"That's what got people saying it's time to stand up to this and try to do something," says Dennis Johnson of Melville House Publishing. Johnson, who has long been a vocal critic of Amazon, characterizes the book industry as "a very timid industry."
Melville Publishing is trying to develop a number of products to help booksellers. One of them is the "shelf talker," a digital display that helps customers browse through print books in a brick-and-mortar store but buy e-books from that store's website instead of Amazon.
But such devices might be too little, too late. Johnson would prefer to see Amazon investigated for antitrust violations, but he doesn't expect that will happen anytime soon. Johnson saw more evidence of just how many tentacles Amazon has in the book world when librarian Nancy Pearl, a commentator for NPR'sMorning Edition and darling of independent book stores, struck a deal with Amazon.
There's been pushback that I've gone over to the dark side and allied myself with these people who are destroying the book business as we know it.
Amazon has agreed to publish at least a dozen of Pearl's favorite novels that have been out of print. Pearl will provide an introduction, book discussion questions and suggestions for further reading. Pearl says much of the reaction to the news has been positive, but not all of it.
"There's been pushback that I've gone over to the dark side and allied myself with these people who are destroying the book business as we know it," Pearl says.
The venture, called Book Lust Rediscoveries, is something Pearl has wanted to do for years. She had reservations about going with Amazon, but says she and her agent shopped the idea to other publishers who didn't pick it up. Pearl says she and her agent were impressed my Amazon's enthusiasm for "resurrecting books that never should have gone out of print in the first place."
So Amazon has now added a curatorial role to its hydralike book business. That makes it just that much harder to cut the behemoth down to size, Johnson says: "I mean, it's on so many fronts. Librarians feel like they're under assault by them, booksellers feel they are under assault by them, publishers feel they are under assault by them — and in each instance, they are."
Copyright 2021 NPR. To see more, visit https://www.npr.org.


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Bob was with me this morning at the vet. As we left, I was crying.
"Mom, I'm sad too. I have an idea. I will save up my allowance and buy a new cat and you can name her Violet."
And then I cried more, this time from the sweetness.
Peaceful travels, Violet June Rosenberg.


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The Twilight Saga: Breaking Dawn Part 2
Bella (Kristen Stewart) awakes -- as a vampire -- from her life-threatening labor, and her newborn daughter, Renesmee, proves to be very special indeed. While Bella adjusts to her new state of being, Renesmee experiences accelerated growth. When the Volturi learn of the baby's existence, they declare her to be an abomination and sentence the Cullens to death. Bella, Edward (Robert Pattinson) and the rest of the clan seek help from allies around the world to protect their family.
Kristen Stewart, Robert Pattinson, Taylor Lautner
Bill Condon


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In 2003 we took a road trip up the coast. We rented a Mustang convertible and drove it from San Diego to Vancouver, ferried over to Victoria, ferried down to Washington to drive to Seattle, then drove over the mountains to Boise, down through Nevada to Reno and back over the mountains to Sacramento, into Napa, and back to San Diego.
It was a lot of fun, and there was a lot of wine involved.
Now that we have Erin we've been missing those kind of footloose vacations. All of our trips in the last year and a half have involved visits to family to one extent or another. But this weekend we are going back to one of our favourite spots from that roadtrip oh so many years ago: Back to Seattle again. We have no family there, so there is no pressure to visit with anyone. We are going with one carry-on and the backpack. No stroller, no carseat, no crib.
It's a bit liberating.
We'll be back on Monday.
But, so you have something to do this weekend (besides, you know, spending time with family or other things that are way less important than reading blogs), I give you a homework assignment: Tell me your worst road trip memory.
I'll start. On the first day we had the convertible we drove out of San Diego, all the way through L.A., through the Grapevine and the central valley to San Jose. With the top down. It was nice and sunny. And I was nice and stupid and didn't wear any sunscreen.
I woke up the next morning with the left side of my body a bright lobster red. I could hardly move. For the next couple of days I was spraying that side down with aloe just so I could hold the steering wheel.
Your turn.
Worst story wins an autographed copy of Stefanie Wilder-Taylor's Naptime is the New Happy Hour. Well, autographed by me, anyway. I will also annotate it, marking it with the whatever thoughts strike me as I go through it. Stefanie has graciously permitted me to, in effect, deface her art: think of a high school punk tagging the Mona Lisa. She is fantastic.