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In a world where most people are all over the place and dates several celebrities, just who actually links with people? I used to think that basically dated someone recognized, they were somebody I could do anything with. I thought that was normal. Even so I out dated a person who was on the show The Beginner and now there I was as being a man and she was obviously a woman. How might you connect with somebody when they tend not to seem to need to connect along? There are curves that you can connect with on the internet dating scene and they all appear in the form of people who have prevalent interests. If you would like to connect with people from other areas then these tips will help you get to know more people with a variety of hobbies.
One of the most prevalent things that people with prevalent interests to accomplish is have got parties together. You may be surprised that particular one guy may have a more interesting talking with an additional guy than another guy can which has a person through the same planet while him. So what can you do? The simplest way to find people who have common passions is to take a00 date and discover how others with different experience look at each other. Who is having a laugh?
Another common thing that folks with a prevalent brazilian mail order bride fascination to do is certainly hang out with each other. Everyone likes to talk about the things that that they like and dislike. Which is basis of existence; meeting persons and conversing with them. It will also give you a chance to verify that they are the kind of people you desire to spend time with later on. Go on appointments to meet persons and have fun!


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MERRILL WAGNER: Works from the 70s
On ViewGalerie Zürcher
Merrill Wagner: Works from the '70s
May 10 – June 24, 2017
New York
To possess is to lose. To feel without
possessing is to preserve and keep, for it is
to extract from things their essence.1
We call them "cave paintings" because that's where we've found them, but there's evidence, in fact, that the entire landscape that humans crossed was once coated in the scrawls of early people who left marks in their wake. Unsealed and exposed, most have faded or washed away. One can imagine that when Merrill Wagner rode the train twice each summer between New York and Washington the landscape blended into a semblance of this ancestral form: lakes rushing into horizontal cerulean strokes, mountains opening themselves into vast ochre plateaus, an endless forest of trees absent names like redwood, hornbeam, and fir, identifiable with a yet-unspoken word encompassing them all—indelible strokes of colored dirt spanning from coast to coast.
If painting is a way of extending a sensation through time, it was this very quality that it so imperiled throughout the 20th century. In contrast to the work of her husband, Robert Ryman, and much of the New York School, Wagner's paintings seek not to transfer that quality into a realm of subjective expression. Rather, it was, perhaps, the train—that dubious engine of modernism—that gave her cause to celebrate painting's timeless and transient nature. Much as paint fades over time—not just prehistoric marks on stone, but the yellowed masterpieces of Europe and discarded mandalas of Tibet as well—Wagner's work is characterized by a geological approach. What is often named an interest in "materialism" seems to be, in fact, a desire to uphold its natural link and allow the earth itself to reduce her paintings to a base state, a process she merely expedites.
Galerie Zürcher's selection is small, offering a slice of her luminous work in one room and an annex, but it's enough. The totality would require an epoch and the universe. In the 1960s and '70s, a majority of her paintings were made by laying strips of cloth tape over Plexiglass, which were then coated in muddy-hued oil pastels. Then, a second layer of tape was laid adhesive-down over the pastel and allowed to collect a residue. This top layer was removed and adhered to a second sheet of Plexiglass. The process was sometimes repeated, resulting in a positive and a series of negatives that appear to fade over time, as with each subsequent edition only more-steadfast pigment remained. In each, the orography remains, though details are flattened out.
An untitled painting from 1961, the earliest in the exhibition, shows how it all began. It was made when Wagner was enrolled at the Art Students League, where she learned to mix color from Edwin Dickinson. "If you wanted to paint a color," she said, "he'd have us begin with its complement."2 To make green, begin with orange. The result is a primordial porridge, lacking clarity and individuated perspective, but suggesting depth. The outliers are two untitled acrylics from 1965 and '67, depicting geometric forms in unnatural colors. The thinly layered paint allows the canvas' texture through, but they feel less apt than certain non-concurrent works. Following experimentation with stones and various natural surfaces—including the slate chalkboards removed during the renovation of PS1—in the 1990s Wagner painted rocks, tracing the shadows cast by the sun. Like cave paintings, her works were exposed to the elements and allowed to fade, a process documented in photographs. Elsewhere, graphite works of densely layered lines pile like tectonic cross-sections. In the corner of the annex sits Alizarin Crimson Corner Piece (1974), a painting made on canvas shaped to fit the three sides of a corner. It opens on the floor like a cavernous maw. Unconsciously, I backed from its edge.
- Fernando Pessoa, The Book of Disquiet, translated by Richard Zenith (New York: Penguin Classics, 2002), 234.
- "Merrill Wagner with John Yau and Eve Aschheim," Brooklyn Rail, October 2006.

subset: commoncrawl


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By Sushma Veera
Kuala Lumpur, Oct 6: With graduates entering the job market at a very challenging time, networking platform Cult Creative is hosting a one-day virtual career summit on October 23.
The inaugural Future List 2021 will showcase various events including networking sessions, workshops, panel discussions, and mentorships on insights and advice about entering the creative workforce.
Attendees and graduates can also expect internship and job opportunities from both local and global brands during the day-long event.
Cult Creative chief executive officer and co-founder Shermaine Wong said the main goal of this virtual career summit was to up-skill creative graduates who are transitioning from academia to industry.
"It is an initiative to expose and diversify graduates' industry knowledge as we aim to deliver different perspectives, skills and creative insights to successful projects and build healthy and engaged creative development communities, which will enable these graduates to deliver innovative, high-quality content and resources that are useful to user communities with widely varying backgrounds," Wong said.
Several speakers are set to join the event to provide the some career tips for creative graduates.
They are Jaz Lee from Ogilvy, Roshinee Mookaiah from Undi18, Wiriyak Suvanmani from Media Monks, Jacky Hussein from dUCK Group, Kim Lim from Universal Music Malaysia, Book of Lai from Studio Behind 90, Tyler Chin from Transform Cultures, and Aina Izzah – the winner of Viu Malaysia Pitching Forum 2020.
Chief marketing officer and co-founder Manisha Jagan said seven universities have come on board with their top graduates from creative faculties such as design, music, film and video, visual arts, fashion, and advertising.
"We encourage other universities to participate as well to enable your top graduates to experience a holistic career summit which will be beneficial to their career path providing them with the right exposure, resources and opportunities with our list of notable speakers," she said.
"Cult Creative invites the creative graduates, to join and experience this innovative and vibrant virtual career summit with our multi-talented practitioners and carefully curated sessions," co-founder, Lina Esa said.
The event is free but does require registration.
Welcome to dailystraits.com. Please send all interview requests and press releases to email@example.com.


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My Mission
Insightful. Individualized. Inspired.
My mission is to provide insightful best in class knowledge, individualized strategies and inspiring ideas to achieve big dreams for a better world. Combining a deep understanding of philanthropy with best in class research and creative thinking our goal is to help make a more equitable and sustainable future.
About Me
I bring 15 years of experience in social impact strategy delivering big results and big dreams across corporate, government, and nonprofit sectors spanning from local to global organizations. With creativity and excitement, I have helped organizations grow to the next level while leveraging their resources, raising more than $100 Million dollars.
I proudly served as the Executive Director of the Burger King Foundation growing the global network of franchisees, employees, vendors, suppliers, and non-profit partners. With the vision of taking the Foundation from a North American impact model to a global infrastructure, operations expanded to 41 countries! Together, with an amazing team, the Foundation invested $50 million in scholarships across North America, completed 250 education projects in 12 countries, and helped employees with more than $2 million in emergency relief grants while establishing strategic nonprofit partnerships with Room to Read, Posse Foundation, National Restaurant Association Education Foundation, Big Brothers Big Sisters, AAA Scholarships, and the Miami Dade County Public School System.
Before leaping into corporate social responsibility, I enjoyed my passion for history while growing the visibility and development of the HistoryMiami Museum in Miami, FL overseeing the largest antique map fair with a global audience of 3,000 and growing two affinity groups. I have also worked with the USDA Farmland Values Project, managing the survey data collection in Western North Carolina and the Boise Art Museum where I developed the education curriculum and evaluation tools for their elementary school platform.
I served on the Board of Directors for Big Brothers Big Sisters of Miami, the Association of Fundraising Professionals of Miami, The Israel Innovation Fund and the Corporate Advisory Group for the Council on Foundations. I was selected as the Florida State University Jim Moran Institute Nonprofit Leader, recognized as 40 under 40 for the South Florida Business Journal, and the recipient of the Restaurant Neighbor Award by the National Restaurant Association.
An energetic speaker on transforming philanthropy, I have had the privilege to keynote social impact conferences and corporate events all over the world including the Women in Leadership Symposium and at the first-ever Accelerist virtual conference as well as the National Diversity Council, Social Innovation Summit, and the World Literacy Foundation Conference. I am most interested in creating efficient organizations and accelerating accessible education, environmental and historic preservation, and wellness causes.


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Blocking Fraudulent Orders on Shopify is Still Kind of a Pain in 2021
As ecommerce surges ahead so does ecommerce fraud, especially with independent ecommerce retailers. On the largest ecommerce platform for independent shops, Shopify, this is a glaring omission from the toolset they give merchants.
This issue came to light again today when Patrick Coddou, founder and CEO of Supply a Texas-based razor company that landed a $300,000 investment deal on Shark Tank in 2019, tweeted out in frustration about a customer that keeps placing fraudulent orders and their inability to stop them.
Does anybody know a good way to create a customer "blacklist" in Shopify?
I have a customer that has placed multiple fraudulent orders with us. I want to stop him from doing it again.
— Patrick Coddou (@soundslikecanoe) March 23, 2021
Shopify support was quick to respond getting a tweet reply back to Patrick in under 5 minutes. Their official stance is to use a free app built by Shopify called Fraud Filter.
Hi, Patrick! I'd definitely recommend checking out the free Fraud Filter app: https://t.co/LGYjYtFobx. You can add the customers details and it will prevent them from processing through the checkout. Hope that helps! -Oliver
— Shopify Support (@ShopifySupport) March 23, 2021
Ecommerce SEO expert Joe Youngblood chimed in that Patrick should at least give the app a try after reviewing the recent 1-star reviews to see if it works to block his fraudster.
Wish this stuff was core to Shopify.
Fraud Filter isn't' perfect, but its something. Recommend reading the 1-star reviews (and responses) and then giving it a test run.
— Joe Youngblood (@YoungbloodJoe) March 23, 2021
It may seem like an odd choice to not simply bundle this type of fraud tool into accounts, but worse yet Fraud Filter isn't a perfect app. According to recent 1-star reviews of the app it frequently fails to stop fraudulent customers or even work at all.
Here are some of those 1-star reviews
"Has been useful for alerting to staff to unwanted buyers. Unfortunately it will not prevent these buyers checking out so we lose transaction fees when we cancel the orders. Tried to use it to day and it is broken." – user SMWEngineering on March 10, 2021
"This app does not work. It hasn't blocked a single order placed by email addresses we have blocked through the app." – user BIG BUD PRESS on February 7, 2021
"This app didn't work. An order was placed even though we had set up a filter to cancel the order from a specific email address who we know is fraudulently ordering." – user Emepelle on January 29, 2021
The good news is that Shopify support has responded to each 1-star review claiming the app did not work correctly or at all and they appear to be taking the issue of fraud seriously. Hopefully this means we will have a much better solution in the near future.
We tend to agree with Joe and Shopify here. If you are experiencing fraud issues on Shopify give the free Fraud Filter app a try before purchasing doing anything else. Since this is an official app there is a better than good chance that it ultimately fixes any issues and works as a good, standard, fraud defense system.
Get the Fraud Filter app on the Shopify App Store here


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Bus driver Damone Hudson was crossing the Main Street Bridge that covers the Great Miami River in downtown Dayton, Ohio, when he saw a woman standing on the other side of the guard rail. So he pulled his bus over and did what he could to urge the woman back to safety.
Surveillance footage shows Hudson opening the door and coaxing the woman away from the ledge. "'Why don't we come back over on the side of the rail," he's seen asking her. "Hey miss, why don't we come back on this side of the rail for me?" And then he adds, "'Ma'am, you look like you're having a bad day, you know. Can I give you a hug?"
Hudson kept talking to her until the police arrived, and then she stepped back from the ledge. He helped save this stranger's life and he says the experience had a big effect on him. "Everyone's going through something," he says. "Even if you are, just reach out and try to touch someone, even if it's in a small way."


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Springfield Soup Kitchen is located at 830 West Main St. Springfield, Ohio.
*Please leave your donations in the plastic bin by the door
Donations List
The following items should have tops that are easily opened without a can opener.
- Individual canned meat (i.e., tuna, Vienna sausages, etc.)
- Individual canned fruit
- Individual canned pork and beans
- Snack-size crackers (i.e., peanut butter, cheese, etc.)
- Snack-size applesauce
- Snack-size nuts or trail mix
- Granola bars
- Small jar or individual snack-size peanut butter
- Juice boxes or other individual cans of juice
We also need empty shoe boxes or other small boxes that can be closed.
If you have any questions, please contact Kathy Dennis at 937-206-3364


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Displaying items by tag: analogue delay
Sunday, 26 January 2020 11:59
Donner Yellow Fall demo and Review
A quick demo of the Donner Yellow Fall Analogue Delay Pedal for guitar and bass. In the video I keep saying Yellow Tail instead of Yellow Fall.... SOWWY!!
Published in Pedal reviews and best applications
Tagged under


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THE WORK AROUND IS TO MAKE AN OFFER FOR THE AMOUNT STATED ON THE LISTING THEN WAIT FOR ME TO INVOICE YOU BEFORE TRYING TO PAY. SHOWROOM NUMBER 609 261 0602. Size-39"w x 20.5"df x 57"h writing surface 17"d. Large items or those over 100 lbs.2-6 weeks depending on your location. All local deliveries within 50 miles and to NYC are done by Center Stage Antiques. We are a small family business who do everything ourselves including packaging and local deliveries. The item "61066 Antique Empire 2 pc Desk Chest Dresser" is in sale since Tuesday, February 16, 2021. This item is in the category "Antiques\Furniture\Cabinets & Cupboards\1800-1899". The seller is "centerstageantiques" and is located in Mount Holly, New Jersey.
This item can be shipped to United States.


text: Please see attached photos and also check out my other collectibles at great prices. The item "LOBO #1 COVER ORIGINAL ART SKETCH AND WATER PAINTED BY SIMON BISLEY w COA" is in sale since Friday, March 29, 2019. This item is in the category "Collectibles\Comics\Modern Age (1992-Now)\Superhero\Lobo". The seller is "inhance2platinum" and is located in Bellmore, New York. This item can be shipped to United States, Canada, United Kingdom, Denmark, Romania, Slovakia, Bulgaria, Czech republic, Finland, Hungary, Latvia, Lithuania, Malta, Estonia, Australia, Greece, Portugal, Cyprus, Slovenia, Japan, China, Sweden, South Korea, Indonesia, Taiwan, South africa, Thailand, Belgium, France, Hong Kong, Ireland, Netherlands, Poland, Spain, Italy, Germany, Austria, Bahamas, Israel, Mexico, New Zealand, Singapore, Switzerland, Norway, Saudi arabia, Ukraine, United arab emirates, Qatar, Kuwait, Bahrain, Croatia, Malaysia, Brazil, Chile, Colombia, Costa rica, Panama, Trinidad and tobago, Guatemala, Honduras, Jamaica, Barbados, Bangladesh, Bermuda, Brunei darussalam, Bolivia, Ecuador, Egypt, French guiana, Guernsey, Gibraltar, Guadeloupe, Iceland, Jersey, Jordan, Cambodia, Cayman islands, Liechtenstein, Sri lanka, Luxembourg, Monaco, Macao, Martinique, Maldives, Nicaragua, Oman, Peru, Pakistan, Paraguay, Reunion, Viet nam, Uruguay.


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Just 5 years back, the biggest stages of most festivals in Spain were hosting mostly rock, indie or folk bands. Electronic music artists would most of the times be renegade to small stages.
However, in the last few years there is a change of direction, as genres such as house, techno, dubstep and trap are becoming more and more strong, and we can already find them as some of the biggest names of some festivals, together with some classic bands.
Bilbao BBK Live is no exception in this sense, and we can feel this in this years line-up: Of course, some well-known indie-folk-rock bands can be found, such as Tame Impala, Arcade Fire, Foals, Pixies… but there are some very interesting additions more related to electronic music genres, such as Grimes, M83, New Order, Churches, 2manydjs, and of course, the very promising Basoa stage.
Basoa means "Forest" in basque language, and this stage has been added this year to the festival, which will be the place for all of us who love electronic music and want to dance to some of the best DJs and producers in the world.
Basoa Stage combines some of the biggest names in the international electronic music scene, such as the brilliant English DJs and producers Four Tet and Floating Points, the German techno duo Âme, the American Radio host and DJ Tim Sweeney, the growing British producer Fort Romeu, the long-time London-based producer and DJ Erol Alkan, together with some talented national artists (we can strongly feel the presence of Hivern Discs, the record label of John Talabot) such as JMII, Pional and C.P.I..
We have to understand that, during the last decades, the Basque Country did not have a strong scene in electronic music, as other genres such as rock and ska were what young people preferred to hear.
However, it seems that electronic music is slowly becoming stronger in this region, and the organizers of BBK Live have perfectly understood this growth with the addition of the Basoa stage.
Paranoise Radio is looking forward to being there from 7th to 9th of July to live the experience of the new Basoa stage, which we believe will be as good or better than our expectations. BBK Live is one of the biggest festivals in the north of Spain, and the success of the Basoa stage will confirm the growth of dance music in this region.


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What's in a name? "A lot", the press would answer
There has been a spate of recent cases where professionals involved as…
Helen Evans KC is a leading barrister practising in professional negligence, fraud, disciplinary and insurance work.
Prior to taking silk, Helen was ranked by the legal directories as a leading junior in the fields of professional liability, insurance and professional discipline. In November 2021 she was named Chambers and Partners Junior of the Year in the Professional Negligence category and in April 2022 she was "Lawyer of the Week" in the Times. She has previously been identified by Who's Who Legal as one of the two most highly regarded juniors at the professional negligence bar. Recent comments from the directories include:
Helen is particularly known for her expertise in claims against accountants, auditors, other financial professionals and lawyers as well as her fraud and disciplinary work. Her work increasingly has an offshore, corporate or insolvency element.
Accountants, auditors and other financial professionals: Helen's recent experience includes claims about a wide variety of negligent tax and investment advice, and numerous claims against auditors arising from frauds. Helen's professional liability practice sits alongside her disciplinary work in the field, and she has in depth knowledge of both accountancy and financial services regulation. She has acted for several of the UK's leading accountancy firms as well as many other national firms. She has appeared before the FRC and been involved in advising on FRC investigations, as well as those of other accountancy regulators. She acted in the FRC proceedings arising out of the collapse of Carillion, named by the Lawyer as one of the Top 20 cases for 2022. She is currently instructed in a large tax negligence claim against one of the Big 4 accountancy firms.
Lawyers: Helen is involved in high profile claims against solicitors and barristers. Many of her cases have a very high value and some involve offshore or cross-border elements. Examples of her work include the leading Court of Appeal proceedings relating to abuse of process in claims against solicitors (Allsop v Banner Jones), and acting successfully for the defendant firm in a 5 week trial claim brought by the former CEO of Inchcape against his solicitors (Brearley v Higgs & Sons). Helen has acted on a wide range of claims against lawyers and is co-editor of the solicitors' and barristers' chapters in Jackson & Powell on Professional Liability (with Hugh Evans). She also undertakes disciplinary work, including proceedings before the Solicitors' Disciplinary Tribunal and the Bar Tribunal.
Other professionals and corporate work: Helen has experience of a broad range of disputes against surveyors and valuers (many of which have involved alleged large scale frauds). She also handles litigation by and against insurance brokers, insolvency practitioners, companies and company directors.
Civil fraud: Helen is known for her work handling complex long running fraud cases as well as numerous urgent applications for freezing and proprietary injunctions, Norwich Pharmacal and Bankers Trust orders. Since 2020, Helen has been involved in committal proceedings before the County Court, High Court and Court of Appeal against both solicitors and a barrister. Helen also appeared for the insurers in the claim brought by Discovery Land Company arising out of alleged fraud at the Jirehouse practice.
Insurance: Helen's practice involves a number of insurance disputes but particularly those involving business interruption, credit risk, professional indemnity and other management insurance. Examples of her current or recent work include appearing for the insurers in the claim brought by Discovery Land Company arising out of alleged fraud at the Jirehouse practice, managed arbitrations arising from Covid-19 business interruption, and a multi-party, multi-million pound claim against insurance agents.
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Click here for a Privacy Policy for Helen Evans KC.
"She is fantastic on her feet. Knows the detail inside out and unflappable, but not arrogant. In fact she is the opposite of that and is incredibly kind and personable. She is a technician as well as showing being commercially sensible and astute. It is always a pleasure working with her." "Helen is very hands on and approachable; she operates very much as 'part of the team'. Her attention to detail is second to none and you are always confident that she has thought through every point and angle. Her technical skills are exceptional. Her advocacy is clear and precise; she is able to make the judge see exactly what she wants."– Legal 500,2023
"Helen is great to work with. She is efficient and available despite being in huge (and well-deserved) demand." – Chambers & Partners, 2023
"She is such a pleasure to work with. Clients really like her; frankly it's impossible not to. She's impressively on top of the detail, she grasps issues very quickly and her drafting skills are second to none. She takes a very tactical, sensible and commercial approach." "Helen is incredibly astute, not afraid to really get into the details of a case and excellent with clients." "Fantastic. She gives clear, effective advice and is a pleasure to work with." – Chambers & Partners, 2022
"She is in a class of her own: wonderfully hands-on and pitch perfect in her ability to grasp the issues" – Legal 500, 2021
"She is brilliant at getting stuck into a claim and working as part of a team with solicitors. Her drafting and technical ability are excellent and she never misses a trick." "She is very good on the detail, gets to grips with the case quickly, is very good at managing clients and building rapport, and her advice is very commercial and realistic." – Chambers & Partners, 2020
Helen is described by the Legal Directories as "one of the most highly regarded barristers in the field", "highly sought after for her professional negligence expertise" and "considered a go-to by solicitors." She has been listed as a recommended junior for professional liability work for some years in the Legal 500, Chambers and Partners, Who's Who Legal and Legal Experts. Comments include that Helen is "not afraid of standing up and fighting for a point", that "she provides technically excellent advice and is a real fighter" and that she is "formidable on paper, on her feet, and in cross-examination". Her work is described as being of "exceptionally strong quality" and "commercial", and she is commended for her "first-rate service."
Helen handles a broad variety of claims against solicitors, with recent examples including Allsop v Banner Jones (a case on collateral attack heard by the Court of Appeal in December 2020) and Brearley v Higgs & Sons (relating to the application of loss of a chance principles to allegations of dishonesty). Helen has acted in several pieces of large multi-party or managed litigation (including large frauds and "right to buy" schemes). Helen has also acted in numerous barristers' negligence cases and has experience of wasted costs claims and civil restraining orders. Helen is the co-editor of the solicitors' and barristers' chapters in Jackson & Powell on Professional Liability (with Hugh Evans). She also undertakes disciplinary work and acts in proceedings before the Solicitors' Disciplinary Tribunal and Bar Disciplinary Tribunal.
Helen has particular expertise in claims against financial professionals, including accountants, auditors, insolvency practitioners and IFAs. Such claims have encompassed a wide variety of negligent tax and investment schemes, due diligence, business valuation and advice about financial products. She has considerable experience of claims with a financial services, insolvency or auditing element. In recent years, Helen has acted in relation to several sets of proceedings brought by the Financial Reporting Council, and has also represented clients in ICAEW and ACCA matters.
Helen also acts in disputes against surveyors and valuers (many of which have involved alleged large scale frauds). She has represented banks bringing claims against a variety of professionals arising out of property frauds as well as for the professional defendants. She is well regarded for her expertise in obtaining freezing injunctions and other urgent interim remedies arising from fraud.
Helen is co-editor of the chapters on solicitors and barristers in Jackson & Powell on Professional Liability, and her lawyers' liability practice has a broad scope:
Helen is well regarded for her work involving accountants and auditors, which has included the following:
Helen has been involved in a number of claims against independent financial advisors including claims arising from a range of financial products such as equity release schemes and various mortgage, insurance and pension vehicles as well as offshore investments and tax schemes. She has also been involved in cases of allegations of mis-selling as well as negligent advice and investment strategy.
Recent examples of her work include:
Helen has acted in a number of disputes involving the alleged wrongdoing of directors and officers. Recent examples of her work include
Helen has experience of defending insolvency practitioners from claims arising out of the allegedly negligent conduct of administrations or liquidations. Such claims have involved issues such as:
Helen has extensive experience of defending professionals against claims initiated by insolvency practitioners, including direct claims and misfeasance proceedings under the Insolvency Act.
Helen has acted on a number of claims both for and against valuers, involving residential and commercial premises (and both one-off and portfolio valuations);
Examples of Helen's work include the following:
Helen also has wide experience of claims both for and against insurance brokers, from disputes arising over one-off policies to placing larger insurance schemes. Her work involves a wide range of insurance products, from property and professional indemnity insurance to medical and disability insurance.
Recent examples of Helen's claims include:
Helen has been recommended for many years for her insurance practice in the Legal 500. Recent editions describe her as:
Professional indemnity and related insurance
Helen has extensive experience in coverage disputes arising out of professional practice. In 2022, Helen represented AXIS (along with Patrick Lawrence KC and Ian McDonald) in the High Court trial of its coverage dispute arising out of the Jirehouse practices (Discovery Land LLC v AXIS). The dispute concerned whether the fraud was condoned by a 2nd partner in the practice (or whether he had only been a sham partner).
Helen frequently advises on issues relating to dishonesty, condonation, aggregation, non-disclosure and other questions of interpretation of policies.
Helen has experience of advising on policies covering professionals as diverse as solicitors, accountants, financial advisers, directors & officers, mortgage agents and construction professionals. Her work often involves dishonesty issues, or has a corporate or insolvency related angle. She is often instructed to advise insurers and insureds collectively at short notice on freezing injunction applications, which can often involve complex coverage questions that need to be accommodated before the applications can proceed.
Examples of Helen's recent work in this area include:
Helen's insurance work tallies very well with her extensive experience of professional liability, disciplinary, corporate and injunctive matters.
Other types of insurance
Helen is also frequently called on to advise on other types of insurance dispute, most frequently with a construction, financial, insolvency, motor or property damage connection. Recent examples of her work include:
"Extremely knowledgeable and empathetic." – Legal 500, 2023
"The quality of Helen's written work is exemplary. As an advocate, Helen is tenacious and impressive. Helen is unflappable under pressure and her attention to detail sets her apart amongst her peers", "A name to note as she is instructed in high-profile disciplinary matters", "An extremely bright junior who easily inspires clients' confidence." – Legal 500, 2020, 2021 and 2022 editions
Helen's disciplinary and regulatory practice is primarily focused on lawyers, accountants and auditors. She is recommended in the Legal 500 for her disciplinary work. Comments in the directories include "she knows her stuff in regulatory issues like no one else and adds a lot of value", and "hardworking, good with clients and has a good grasp of the detail".
Helen has been involved in cases before the major accountancy regulators and the Solicitors Disciplinary Tribunal. Until it was disbanded in 2020 she was a member of the Bar Standards Board's Panel of Prosecuting Counsel. She is now available to defend barristers facing BSB proceedings.
Featured Regulatory & Disciplinary cases
Helen is co-editor of the chapters on solicitors and barristers' negligence in Jackson & Powell on Professional Liability and therefore has in-depth knowledge of lawyers' practices and regulatory rules.
Helen also has extensive experience of accountants' and auditors' negligence cases, tax and financial services regulation, which provides an ideal backdrop for financial disciplinary work. She is often involved in cases focusing on the interplay between financial services regulation and the role performed by professionals such as accountants (e.g. pursuant to ICAEW rules) and solicitors.
Helen is a member of the Association of Regulatory and Disciplinary Lawyers and regularly writes on disciplinary and regulatory matters.
"Absolutely brilliant technically; she has certainly developed a niche in freezing orders and injunctions" – Chambers & Partners, 2021
Helen is sought after for her extensive experience in numerous multi-million pound claims arising from solicitors' misappropriations of client funds. In recent years Helen has acted in multiple sets of complex litigation arising out of frauds by solicitors, one of which led to contempt proceedings before the Court of Appeal and another involved multi-party litigation in the Chancery Division.
Helen has also recently been involved in pursuing a high value insurance coverage dispute arising out of an underlying large-scale fraud by a solicitor at the Jirehouse practice (Discovery Land v Axa).
Helen regularly advises on the liability of accountants, auditors, directors, insolvency practitioners and others for frauds. Her cases often involve a company law or insolvency element and she is experienced at dealing with fraud in both the corporate and partnership context. She is adept at dealing with complex forensic accountancy evidence. Helen has extensive experience of obtaining urgent orders, including freezing injunctions, proprietary injunctions, orders to restrain parties from leaving the jurisdiction, committal and Norwich Pharmacal and Bankers Trust orders. She often handles multiple connected applications in quick succession. She is calm under time pressure and strategic in her approach.
There has been a spate of recent cases where professionals involved as…
We were delighted to see Helen Evans KC featured this morning as…
In this podcast episode on limitation, Helen Evans KC and John Williams…
4 New Square Chambers' Helen Evans KC will be speaking at the 25th…
M.A. (Oxon.) (First Class) C.P.E. (City) (Distinction) M.A. Administrative Law (City)
Prior to joining chambers, Helen read English Literature at New College, Oxford, where she was Galsworthy scholar and obtained a first class degree. She then spent a year at the University of Aix-Marseille III in France. Helen studied law at City University, where she gained a distinction in the CPE exams. During her Bar School year, Helen was Astbury Scholar of the Middle Temple, won the Inn's Helena Normanton QC Prize for her performance in the Bar Vocational Course and also obtained an MA from City University. In 2004 Helen was awarded a Pegasus scholarship to work at Gowlings in Toronto, Canada.
For 10 years from 2013, Helen was a Deputy District Judge (and held both civil and family tickets). Until it was disbanded in 2020, she was a member of the Bar Standards Board's Panel of Prosecuting Counsel for disciplinary proceedings and still prosecutes cases for the BSB on an ad hoc basis. Helen has been involved in various pro-bono organisations and is active in the Equality & Diversity work in chambers. Helen regularly publishes articles on legal matters and is a sought after speaker on legal topics.
There has been a spate of recent cases where professionals involved as…
There has been a spate of cases in the past couple of…
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If you want to shoot colorful portraits inspired by the '80s aesthetic, you've come to the right place. Tajreen and Chloe of Tajreen&Co have prepared a fantastic video to give you some guidelines and examples of how to do it. The girls share lots of useful information in a short and concise video. But also, you'll see that it doesn't take much money to make this setup, and you can even do it in your own living room.
For a shoot like this, you will need:
- A colorful backdrop (alternatively, you can just use a clean wall)
- Off-camera speedlights with gels; or LED lights with gels
- Wireless triggers
- Star filter
- Ultra sheer tights (thinner type, around 8 DEN)
- Props and clothing to match the style you're going for (hint: sequins)
I assume most of us already have LEDs or speedlights and wireless triggers at home. I also have sequin-covered clothes and sheer tights, but if you don't, you can get them literally anywhere. You can also find gels for around $20–$30 if you don't already have them. Star filters start at around $11, but you can even use a DIY one.
Naturally, you'll use the speedlights or LED panels with colorful gels to add a splash of color to your images. Use two sources of light with different gels. Feel free to experiment with color combinations, light placement, and light modifiers. You can use bare flashes, but also add a silver umbrella to reflect the light and make it softer. The girls also add an LED light on the front (without gels), which adds depth to their skin tones. Make sure to watch the video to see how they did it.
The star filter will add some nice-looking rays of light to the shots. And the thing with the sheer tights is adding haze to the photos. You should cut a piece of the tights and stretch it over the lens and the star filter. It adds the hazy, dreamy look to the images. It's not my cup of tea, but I have to admit it matches the look of photos from the '80s.
Finally, add some props to the shoot, match it with the clothes and makeup to get the look you're going for. The girls created a mash-up between the '80s style of shoot and '90s fashion and came up with some interesting results.
It crossed my mind while watching this video that the '80s sound is making a comeback in music (and I couldn't be happier about it). I instantly thought of young synth-pop artists I admire (such as Svemirko or Isidor, for example). It occurred to me that, if you ever get to photograph promo images or album art for musicians like this, you could definitely rely on Tajreen and Chloe's video for ideas and inspiration. But even if not, it has many great ideas if you just want to play and experiment.


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AZ Supreme Court To Hear Arguments In Business Owner's Defamation Claim Against Sen. Wendy Rogers
By Terri Jo Neff |
The Arizona Supreme Court will hear arguments Tuesday morning in a first of its kind case about whether a political candidate or campaign committee can be held liable under state law for defaming a third party or a private company while attacking a political opponent.
Pamela Young claims she and her company Models Plus International (doing business as The Young Agency) were defamed and presented in a false light by campaign ads approved by state Sen. Wendy Rogers in 2018. At the time, Rogers was running for U.S. House of Representatives against Steve Smith, a state senator who had worked for Young's Christian-based modeling company and talent agency for about a decade.
Young alleges Rogers' campaign utilized radio, telephone, and direct mail ads which gave the impression Young and her company were involved in or condoned sex trafficking of young children. One such ad called Smith "a slimy character whose modeling agency specializes in underage girls and advertises on websites linked to sex trafficking."
Rogers' campaign also alleged Smith advertised on the Model Mayhem website, which the campaign described as being "full of pornographic material, which has also been involved in human trafficking."
Smith lost to Rogers in the 2018 Republican primary by less than seven points, but Rogers lost in the General Election.
Young sued for defamation and invasion of privacy. Rogers has continually argued her 2018 ads never "directly" tied Smith to The Young Agency and never directly linked the company to any illegal conduct.
But the ads did not set well with several prominent Republicans, including Congressman Andy Biggs who called Rogers' effort "one of the most despicable ads in campaign history."
In 2019, a Maricopa County judge denied a motion by Rogers and her husband to dismiss Young's claims. However, the Arizona Court of Appeals reversed the lower court in December 2020, ruling Young had not presented sufficient evidence to move her lawsuit forward against the defendants.
Young filed a petition for review to the Arizona Supreme Court in January seeking for her lawsuit to be reinstated. Rogers' husband Hal Kunnen and her official campaign committee are also named as defendants.
Arizona Attorney General Mark Brnovich filed an amicus curiae brief in the case in June after which the justices set oral arguments for Sept. 28. A decision against Rogers would reinstate Young's case, which could have major ramifications in how election advertising is conducted in Arizona and protect the rights of employers whose employees run for public office.
Bill Montgomery, who in 2018 was Maricopa County's elected county attorney, denounced Rogers' ads as "the worst kind of politics." Montgomery was later appointed by Gov. Doug Ducey to the Arizona Supreme Court. He has recused himself from hearing Rogers' petition. In his place, Judge Philip Espinosa of the Arizona Court of Appeals will sit in on arguments.
The ads also did not set well with Kathleen Winn, who is a member of the Maricopa County Community College District board. She is also an expert on child sex trafficking in Arizona.
"If you happen to believe one of your opponents is exploiting children, trafficking minors, selling them on a website for sex producing a political attack ad is NOT your first course of business," Winn said. "Contacting law enforcement to report the alleged crime is what you need to do."
Rogers was elected to the state Senate for LD6 in November 2020.


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C2G 150Ft Cat6 550Mhz Snagless Patch Cable Yellow Networking Cable 45 M
C2G 150Ft Cat6 550Mhz Snagless Patch Cable Yellow Networking Cable 45 M
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Description :150ft Cat6 550MHz Snagless Patch Cable Yellow
C2G 150ft Cat6 550MHz Snagless Patch Cable Yellow. Cable length: 45 m
With Cables To Go's Cat6 550Mhz Snagless Patch Cables you can stay ahead of the game with the use of this high-speed cabling to distribute data, voice and video. These cables will deliver stable performance to 550 MHz. Each meets EIA/TIA Cat 6 TIA/EIA- 568-B-2.1, draft 9 standards. These cables will handle bandwidth intensive applications up to 550 Mhz and beyond and drastically reduce both impedance and structural return loss (SRL) as compared to standard 100 Mhz wire! Constructed with high-quality cable and a shortened body plug, this design will keep Near-End Crosstalk (NEXT) levels to a minimum. The molded, snag-free boot prevents unwanted cable snags during installation and provides strain-relief. Cables To Go Cat6 550Mhz Snagless Patch Cables are available in a variety of colors to easily color-code your network installation.
- Connector: 50-micron gold plated RJ-45 Male to Male
- Conductor: 24 AWG Stranded Copper
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- Molded, Snag-Free boot prevents unwanted cable snags
- Gigabit 1000 BASE-T; 100 BASE-T; 10 BASE-T (IEEE 802.3)
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- Designed For: Network Adapters, Hubs, Switches, Routers, DSL/Cable Modems, Patch Panels and other twisted-pair applications
- Standard: Category 6 TIA/EIA- 568-B-2.1, draft 9
- Choosing a selection results in a full page refresh.
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Helpful Tips For Using A Handyman Service To Get Things Done Around Your Home
If you need to get things done around your home, you might want to make use of a handyman service. As you can probably imagine, working with a handyman can be a wonderful way to get the help that you need with home repairs, home improvements, and more. If you're not used to hiring these professionals, the helpful tips below should make it easier for you to get started. Hopefully, you will soon have the help that you need so that you can get your home in great shape.
Make Sure They Are Licensed or Certified and Insured Professionals
When you start looking for people who are willing to perform handyman-type jobs, you might come across a lot of people who run very small businesses or who just perform work on the side for people. Unfortunately, some of these individuals may not be a good choice because they are not properly licensed and insured. They might do good work and might have ample experience, but you won't be protected if something goes wrong. Therefore, you should always ask if the handyman is licensed or certified and insured for the best results.
Be Aware That They'll Help With Lots of Different Types of Jobs
One reason why many people like to work with handyman services is that they are hoping to get help with a lot of different types of projects. Therefore, if you have a project in mind and if you aren't sure of who to hire to help you with it — or if you need to have lots of different types of things done on your property — then a handyman will probably be able to help. Don't be afraid to ask them if you have a project in mind since you might be surprised by the many different types of jobs that these professionals will often take on. For example, they will often help with making simple repairs throughout the home, performing remodeling projects, assisting with building fences or outdoor structures, and more.
Be Aware That You May Occasionally Need to Hire a Specialist
A handyman is often able to help with basic repairs or home improvements. In some situations, however, you might need to hire a more specialized contractor to help you with the job at hand. For example, a good handyman might be able to help with simple electrical jobs — such as installing a light fixture — but you might need to call an electrician if you need to have more major electrical work done in your home.


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This wreath encircles an urn (not included) with roses, alstroemeria, carnations and other spring flowers and foliage.
We Guarantee Same-Day Flower Delivery If ordered before 3 PM EST Monday - Saturday: Sunday: noon EST. Occasional substitutions of flowers, colors, or vases may occur; this is uncommon, but we will use flowers of equal or more excellent value if required.


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Flat-Fee Mortgage Company
No Commissions
No Haggle
No Closing Cost Options
Just Low Rates and Fees
About Us
We are not like your typical mortgage company whose business model and income structure is based on commissions. These companies will sell you interest rates that are higher than industry standards with corresponding higher fees. At RockBottom Mortgage, we are simply a flat-fee mortgage company offering the lowest rates with the lowest fees as we know this is the biggest and most important investment people make. We encourage you to shop our rates and fees to see for yourself. The numbers simply don't lie.
About - Anthony Pipitone
Personal: Anthony lives in the Northern Suburbs of Chicago with his family and has roots in the community. He's lived in the Chicagoland area all his life and attended Loyola Academy High School. He then went on to study at the University of Wisconsin-Madison.
Professional: Anthony has been in the mortgage industry since 2001. Throughout his career he has assisted thousands of people purchase or refinance their homes. As a loan originator, employed by other mortgage companies, he participated in commission structured environments as almost all companies were structured that way. The mindset of these companies was to "SELL THE HIGHEST INTEREST RATE AND CHARGE THE MOST FEES" as that equated to higher commissions. After the housing collapse he saw firsthand the aftermath of this type of business model and decided that there needed to be a change. He started his own flat-fee mortgage company, RockBottom Mortgage as an alternative to these high priced commission based mortgage companies that still exist.
As a flat-fee mortgage company licensed in Illinois, Michigan, Wisconsin, Tennessee, Georgia and Florida, we're dedicated to providing you with the lowest rates and lowest fees possible. We know that purchasing a home can be stressful. That's why we're here to guide you through the entire process of obtaining your home loan, making the entire process seamless from start to finish.


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Introducing AttributeFu: Multi-Model Forms Made Easy
Ever needed to create a form that works with two models? If you have, you know that it's a major pain. It really seems like it should be easier, doesn't it? Powerful, SQL-free associations join our models; helpers build our forms in fewer keystrokes than it takes to call somebody a fanboy in a digg comment. But, as soon as you want to put the pieces together — as soon as you seek multi-model form bliss, the whole system falls apart.
Ryan Bates has popularized a few recipes for cooking up just such a dish (we all owe that man a debt of gratitude, don't we?). Great solutions (thanks Ryan!). There are only two flaws to speak of.
- AJAX-friendliness: What is this - web1? Maybe we should all build our sites in frames, and pepper them with blinking text.
- It's not a plugin: You mean I have to write code!? I thought rails was going to wash my dishes, walk my dog, and build my websites, while I sat outside on the porch smoking cigars, praying to DHH.
Being the compulsive pluginizer that I am, I simply couldn't resist this great opportunity.
attribute_fu makes multi-model forms so easy you'll be telling all of your friends about it. Unless your friends are serious geeks, though, most of them will probably hang up on you. So, I recommend resisting that urge, unless you're looking for a good bedtime story.
To get started, enable attributes on your association (only has_many for now).
class Project < ActiveRecord::Base
has_many :tasks, :attributes => true
Your model will then respond to task_attributes, which accepts a hash; the format of the which is a little bit different from what Ryan describes in his tutorials. Here's an example.
@project.task_attributes => { task_one.id => {:title => "Wash the dishes"},
task_two.id => {:title => "Go grocery shopping"},
:new => {
"0" => {:title => "Write a blog post about AttributeFu"}
Follow the rules, though, and attribute_fu will shield you from the ugly details.
Form Helpers
The plugin comes with a set of conventions (IM IN UR PROJECT, NAMIN UR PARTIALZ). Follow them, and building associated forms is as easy as it should be. Take note of the partial's name, and the conspicuously absent fields_for call.
## _task.html.erb

Title:

<%= f.text_field :title %>
Rendering one or more of the above forms is just one call away.
## _form.html.erb

<%= f.render_associated_form(@project.tasks) %>
You may want to add a few blank tasks to the bottom of your form — formerly requiring an extra line in your controller.
<%= f.render_associated_form(@project.tasks, :new => 3) %>
This being web2.0, removing elements from the form with Javascript (but your boss calls it AJAX) is a must.
## _task.html.erb

<%= f.text_field :title %>
<%= f.remove_link "remove" %>
## _form.html.erb
<%= f.add_associated_link('Add Task', @project.tasks.build) %>
It's that easy.
Last but not least (okay, maybe least), if you're one of those people who just has to be different - who absolutely refuses to follow the rules, you can still use attribute_fu (I guess...). See the RDoc for how.
Plugins, Plugins, Get Your Plugins
$ piston import http://svn.jamesgolick.com/attribute_fu/tags/stable vendor/plugins/attribute_fu
Check out the RDoc for more details.
Come join the discussion on the mailing list.


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The myWalgreens™ Mastercard® tailors its rewards toward health and wellness for frequent customers of the Walgreens drugstore chain, as well as of its New York-based sibling chain, Duane Reade. With the $0-annual-fee card, issued by Synchrony, you earn rewards on purchases, as well as by participating in health challenges. There is also a bonus offer for new cardholders.
However, as is the case with most store-branded credit cards, the rewards you earn aren't in the form of cash back. You'll receive "Walgreens Cash" that can be redeemed only for purchases at Walgreens and Duane Reade.
Here are five things to know about the myWalgreens™ Mastercard®.
1. There are actually two Walgreens cards
The myWalgreens™ Mastercard® can be used anywhere Mastercard is accepted, and it earns Walgreens Cash on some non-Walgreens purchases. However, depending on Synchrony's evaluation of your application, you might instead be offered the myWalgreens Credit Card, a store card that can be used only at Walgreens and Duane Reade stores or online at walgreens.com.
Both cards earn:
10% in Walgreens Cash on eligible Walgreens-branded purchases.
5% in Walgreens Cash on in-store or online Walgreens and Duane Reade purchases, including eligible pharmacy purchases.
The myWalgreens™ Mastercard® also earns:
3% in Walgreens Cash on grocery and health and wellness purchases outside of Walgreens. "Health and wellness" includes veterinary and pet stores, medical equipment, sporting goods stores, health care providers, hospitals and gym memberships.
1% in Walgreens Cash on all other purchases.
2. You can also earn rewards by participating in health challenges
Join four-week fitness and lifestyle challenges and earn Walgreens Cash for each week. Any way to stay motivated is a good thing, but keep in mind that you can earn, at most, $1 worth of rewards over the course of those four weeks (25 cents per week). If you complete all four weekly challenges you have a chance to win up to $2 more in Walgreens Cash.
If fitness is your main focus, the Paceline Credit Card offers a rewards program where you can double your earned cash back by attaining specific weekly activity goals.
3. You'll earn a bonus with your first purchase
Many credit card sign-up bonuses require you to spend a certain amount within three to six months, but the myWalgreens™ Mastercard® keeps it simple. Earn $25 Walgreens Cash rewards when you open an account and make your first purchase within 45 days. Exclusions apply.
4. Rewards are in the form of Walgreens Cash
Walgreens Cash doesn't exactly equal cash back. You can redeem it at checkout in Walgreens or Duane Reade stores, or online, to reduce the total cost of the transaction. In terms of value, $1 of Walgreens Cash would be converted to a $1 discount when redeemed. You can redeem in increments of $1, $2, $3, $4, $5, $10, $20 or $50.
Walgreens Cash expires one year after it is earned, or if your account has been inactive for six months.
5. There are limitations on earning rewards
You can't earn Walgreens Cash for certain purchases, including alcohol, dairy, tobacco, stamps, gift cards and lottery tickets. Pharmacy purchases in Arkansas, New Jersey and New York — as well as prescriptions transferred to stores in Alabama, Mississippi, Oregon, Puerto Rico, Tennessee, or Virginia — are also ineligible. This isn't a complete list of limitations, so review the myWalgreens terms and conditions to see if any of your typical purchases are affected.


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- 来源:cfl
- 作者:cfl
- 更新日期:2019-07-04 13:42
- 点击:次
1 输卵管通畅性检测常用的检查方法1 Common Test Method for Salpinx Fracture 1.1 输卵管通气术月经干净 3~7天,禁性生活,排空膀胱,双合诊查清子宫位置大小及患侧附件情况。以宫颈钳钳夹宫颈前唇,消毒宫颈管,探针沿宫腔方向探测宫腔深度,插入导管至宫
1 输卵管通畅性检测常用的检查方法1 Common Test Method for Salpinx Fracture
1.1 输卵管通气术月经干净 3~7天,禁性生活,排空膀胱,双合诊查清子宫位置大小及患侧附件情况。以宫颈钳钳夹宫颈前唇,消毒宫颈管,探针沿宫腔方向探测宫腔深度,插入导管至宫颈内口,通过导管向宫腔内注入CO2气体最高压力可200 mmHg(1mmHg=0.133 Kpa)。如提示不通可于下次月经干净后 3~7天再次行输卵管通气术。
1.1 Verbal ventilation is clean for 3 to 7 days, sex is forbidden, bladder is empty, and double diagnosis identifies the uterine position and side attachment. The cervical forceps are used to clamp the anterior lip of the cervix, disinfect the cervix tube, probe the depth of the cavity along the direction of the cavity, insert the catheter into the cervix, and inject the highest pressure of CO2 gas into the cavity through the catheter to 200 mmmHg(1 mmHg = 0.133 Kpa). If the reminder is not clear, you can perform tubal ventilation again 3 to 7 days after the next menstrual cycle.
1.2输卵管通液术 月经干净 3~7天,禁性生活,排空膀胱,输卵管通液术前半小时肌注阿托品0.5mg ,常规消毒外阴、阴道及宫颈 ,插入金属通水器或双腔子宫造影导管,注入生理盐水 20ml,地塞米松5 mg ,α-糜蛋白酶400U,硫酸庆大霉素16万U。1.2 Verbal fluid surgery 3 to 7 days clean, forbidden sex, empty bladder, fallopian fluid preoperative half an hour muscle injection atropine 0.5 MG, routine sterilization vulva, vagina and cervix, insertion of metal permeator or double-cavity uterine angiography catheter, injection of physiological saline 20ml, dexamethasone 5mg, α-chymotrypsin 400U, gentamicin sulfate 160,000 U.
1.3 子宫输卵管造影术(Hysterosaipingography.HSG) 月经干净 3~7天,禁性生活,排空膀胱,输卵管通液术前半小时肌注阿托品0.5mg ,常规消毒外阴、阴道及宫颈 ,插入金属通水器或双腔子宫造影导管,在 X 线荧屏监视下 ,经导管注入40 %碘化油10ml ,即时拍片 ,24h 后再拍腹部平片1 张,或经导管注入76%复方泛影葡胺即时拍片,也可用非离子型造影剂如碘海醇等。
1.3 Hysterosaipipingolphy.HSG has 3 to 7 days of clean menstruation, forbidden sex, emptying of bladder, half an hour before operation of tubal fluid, intramuscular injection of atropine 0.5 MG, routine sterilization of vulva, vagina and cervix, insertion of metal water or double-cavity uterine angiography catheter, Under X-ray screen surveillance, 40 % of iodized oil 10ml was injected through the catheter, immediate filming, 24h was followed by 1 flat film on the abdomen, or 76 % of the compound panthylamine was injected through the catheter. Non-ionic contrast agents such as iododiol and so on.
1.4 B型超声监测下输卵管通液术采用超声彩色多谱勒诊断仪,探头频率35 MHz,双腔子宫导管。B型超声监测下输卵管通液术制剂:生理盐100 ml。3%双氧水10 ml,庆大霉素4万U,地塞米松5mg,α-糜蛋白酶400U。选择月经干净3~5天,膀胱中度充盈,取膀胱截石位,常规消毒外阴、阴道、宫颈,宫腔内放置双腔子宫造影导管。向外腔管内注入空气 4~5 ml,使气囊阻塞宫颈内口,向内腔管先缓慢注入 3%双氧水 2 ml+生理盐水20 ml。在超声实时监测下,观察宫腔内气体充盈情况及微气泡从输卵管伞端溢出情况,再注人生理盐水50~80 ml+庆大霉素 4万 U+地塞米松5 mg,α-糜蛋白酶400 U,仔细观察子宫直肠窝有无液性暗区,术后禁性生活7天。(7)
1.4 Ultrasonic monitoring of the tubal fluid by ultrasound color multispectral diagnostic instrument, probe frequency 35 MHz, double-cavity uterine catheter. Preparation of tubal fluid under B-type ultrasound monitoring: physiological salt 100 ML. 3 % hydrogen peroxide 10 ML, gentamicin 40,000 U, dexamethasone 5 MG, α-chyase 400U. Choose 3 to 5 days clean menstruation, bladder moderately filled, take bladder truncated stone, routine disinfection vulva, vagina, cervix, double cavity uterine angiography catheter placed in the cavity. The air is injected into the outer cavity tube 4 to 5 ML, causing the airbag to block the inner cervix, and the inner cavity tube is slowly injected with 3 % hydrogen peroxide 2 ml + saline 20 ML. Under ultrasound real-time monitoring, the filling of gas in the cavity and the overflow of microbubbles from the fallopian tube end were observed, and then human saline 50 ~ 80 ml + gentamicin 40,000 U + dexamethasone 5 MG, α-trypsin 400 U, Careful observation of the uterine rectum fossa there is no liquid dark area, post-operative forbidden sex for 7 days. (7)
1. 5 宫腔镜下输卵管口插管通液术月经干净 3~7天,禁性生活,待患者膀胱充盈后,取膀胱截石位,常规消毒无菌操作,采用宫颈阻滞麻醉,或静脉麻醉,或药物纳肛麻醉后,探测宫腔,用宫颈扩张器扩张宫颈至7.5号,用 50 g/L葡萄糖液作膨宫递质(宫腔内压力≤25 kPa,膨宫递质流速为 25~50ml/min),按顺序检查宫颈,宫腔前、后、侧壁,宫底宫角及两侧输卵管内口,注意宫腔形态及内膜有无病变。将输卵管插管由操作孔入口处徐徐插入至一侧输卵管间质部,深度平均为 5mm(2~10 mm)先缓慢推注亚甲蓝混合液 (亚甲蓝0.5 ml+2.mg/L甲硝唑 20 ml混合而成),推注过程中测试其阻力大小,然后分次推注 2.0 ml/L 甲硝唑 30~70ml。镜下观察亚甲蓝混合液有无反流,反流量多少,同时进行盆腹部B型超声波检查,观察宫内有无漩涡状液体回声流动光点,输卵管管腔是否膨胀伞端液体溢出的流速和子宫直肠陷凹有无液性暗区出现。1. 5 Under hysteroscopy, tubal mouth intubation is performed for 3 to 7 days, and sexual life is forbidden. After the patient's bladder is filled, the bladder is cut up, routine sterilization and aseptic operation is performed, cervical block anesthesia, or intravenous anesthesia, or drug. After anal anesthesia, detect the uterine cavity, The cervical dilator is used to expand the cervix to 7.5, and 50 g/L glucose fluid is used as an inflatable(intrauterine pressure ≤ 25 kPa, and the inflatable transmitter flow rate is 25 to 50 ml/min). The cervix is examined sequentially., anterior, posterior, lateral wall, At the end of the palace and the inner mouth of the fallopian tubes on both sides, pay attention to the morphology of the cavity and the presence of lesions in the inner membrane. The tubal intubation is inserted slowly from the operating hole entrance to the side of the tubal interstitial part, with a depth of an average of 5mm(2 to 10 mm) and a slow push of the methylene blue mixture(mixed with 0.5 ml and 2. mg/L metronidazole 20 ML).), The resistance size was tested during the push process, and then 2.0 ml/L metronidazole 30 to 70ml was pushed in sequence. Microscopically, observe whether the submethylene blue mixture has reflux and how much reflux, and at the same time perform an abdominal B-type ultrasound examination to observe whether there is a swirling liquid echo flow light point in the palace. Whether the tubal cavity expands the flow rate of liquid overflow at the umbrella end and there is a liquid-free dark area in the uterine rectum depression.
1. 6 经阴道注水腹腔镜(transvaginal hydrolaparoscopy THL)下通液术月经干净 3~7天,禁性生活,术时患者取膀胱截石位,在外阴阴道充分消毒后,用宫颈钳夹持宫颈后唇,充分暴露阴道后穹隆。利多卡因于后穹隆中央局部麻醉后,气腹针穿刺后穹隆中央进入腹腔,约进针1.5 cm。将 100 ml生理盐水 (水温为37℃,可加入浓度为 1%的利多卡因) 注入 Douglas窝。然后套管系统深入穹隆一些,拔除气腹针,将一直径为 2.7 mm带有通液通道的30度视角硬性内镜经套鞘导人 Douglas窝开始探查盆腔。为方便术者观察,内镜的另一端可连接至电视摄像系统。检查从识别子宫后壁开始,随着转动和推进30度的光学视管,可直接检视盆侧壁和直肠子宫陷凹、输卵管--卵巢的结构,观察卵巢的每个面和每段输卵管,自宫腔双腔导管注入稀释美蓝液作输卵管染色通液检查,当子宫后壁、输卵管、卵巢、盆侧壁、直肠子宫陷凹、子宫骶骨韧带等盆腔所有器官都见到时,THL即告完成。如有EMs、盆腔粘连、染色通液检查提示输卵管阻塞为THL异常,可建议进行其它诊断或考虑适当治疗。术毕从套管排出注入盆腔的液体,取出套管。术后有少量阴道分泌物和出血,需禁性生活7d。(23)1. 6 After transvaginal water injection laparoscopy(transvaginal hydrolaparoscopy THL), the menstrual cycle is clean for 3 to 7 days and the sexual life is forbidden. During the operation, the patient takes a bladder truncated stone position. After the vulva vagina is fully sterilized, the cervical clamp is used to hold the posterior lip of the cervix and fully expose the vaginal posterior dome. After lidocaine is partially anaesthetized in the center of the posterior dome, the abdominal needle enters the abdominal cavity after puncture, about 1.5 cm into the needle. 100 ml saline solution(37 °C water temperature, 1 % lidocaine can be added) into Douglas nest. The casing system then goes deeper into the dome, removes the air-abdominal needle, and a 30-degree viewing angle with a diameter of 2.7 mm with a liquid passage guides Douglas nest through the sheath to begin exploring the pelvic cavity. In order to facilitate the observation of the surgeon, the other end of the endoscope can be connected to the television camera system. The examination begins with the identification of the posterior wall of the uterus. As the optical tube rotates and pushes forward at 30 degrees, it can directly examine the structure of the basin side wall and the rectum uterine depression, the fallopian salpine-ovary, and observe each surface of the ovary and each tubal. From the double-cavity catheter of the uterine cavity, the diluted blue liquid was injected for the examination of the tubal staining liquid. When all pelvic organs such as the posterior uterus, the fallopian tube, the ovary, the basin side wall, the rectum uterine depression, and the uterine sacral ligament were seen, THL It is completed. If EMs, pelvic adhesion, staining liquid examination indicates that the tubal obstruction is THL abnormal, other diagnosis or appropriate treatment may be recommended. After the operation, discharge the liquid from the sleeve into the pelvic cavity and remove the sleeve. There is a small amount of vaginal secretions and bleeding after surgery, and sexual life needs to be banned 7D. (23)
1.7联合应用宫腔镜腹腔镜子宫输卵管通液术术前相关检查正常 , 月经干净后 3~7d 在连续硬膜外麻醉下行腹腔镜检术。使用电视腹腔镜检查子宫、卵巢、输卵管及盆腔情况。再依靠宫腔镜观察子宫腔内形态 ,内膜厚度 ,将亚甲蓝稀释 ,宫腔镜下插管 ,行双侧输卵管通液 , 镜下可将导管插入输卵管间质部约 0.5~0.8c m,对宫角和间质部近段梗阻起到机械性疏通作用。
1.7 The combined use of hysteroscopic laparoscopic hysterectomy was performed with normal preoperative associated examination. After menstrual cleansing, 3-7d laparoscopic examination was performed under continuous epidural anesthesia. Use television laparoscopic examination of uterus, ovary, fallopian tube and pelvic cavity. Then rely on hysteroscopy to observe the endometrial morphology, the thickness of the endometrium, the submethylene blue dilution, the hysteroscopic intubation, the bilateral tubal fluid, and the catheter can be inserted into the tubal interstitial department about 0.5 to 0.8 C M. The mechanical dredging effect on the proximal obstruction of the uterine angle and interstitial part.
2 输卵管通畅性检测常用的检查方法的诊断标准2 Diagnostic criteria for commonly used test methods for oviduct patency testing
2. 1 输卵管通气术的诊断标准:输卵管正常情况下,用听诊器在患者下腹两侧进行听诊,可听到气泡音,说明输卵管通畅;反之下腹部听不到气泡音,说明输卵管阻塞。休息片刻重复试验,若能听到气泡音,说明输卵管原有轻度粘连或阻塞已经被分离或痉挛缓解而通畅。2. 1 Diagnostic criteria for tubal ventilation: Under normal tubal conditions, stethoscope is used to perform stethoscope on both sides of the patient's lower abdomen. Vapor sounds can be heard, indicating that the fallopian tubes are open; On the contrary, the lower abdomen can not hear the bubble sound, indicating that the fallopian tube is blocked. Repeat the test during the break. If you can hear the bubble sound, it means that the original slight adhesion or obstruction of the fallopian tube has been relieved by separation or spasm.
2. 2 输卵管通液术的诊断标准:若注入宫腔无阻力 ,患者无不适感 ,诊断输卵管通畅;若注入时有阻力 ,需经加压注射 ,并有少量外漏 ,诊断输卵管通而不畅;若阻力大 ,边推边漏 ,病人腹痛难忍 ,诊断为输卵管不通。
2. 2 Diagnostic criteria of tubal fluid surgery: If there is no resistance to the injection of uterine cavity, the patient has no discomfort, and the diagnosis of fallopian tubes is open; If there is resistance during injection, it must be injected under pressure and there is a small amount of leakage. The diagnosis of fallopian tubes is not smooth; If the resistance is large, the side push side leakage, the patient abdominal pain is unbearable, the diagnosis is tubal impassability.
2. 3 子宫输卵管造影术的诊断标准:HSG正常表现,输卵管呈水平走行或稍向下行至壶腹部时又稍向上行或在子宫体部两侧弯曲绕行 ,从内到外由细到粗 ,自然柔软。造影剂经输卵管伞部流出后经卵巢窝而下 ,进入子宫直肠凹呈横行条纹影 ,侧位片上 ,涂布于子宫直肠凹的后方、膀胱子宫凹的前方 ,两侧卵巢窝呈对称性圈形负影 ,造影剂在正常情况下极易流至卵巢附近 ,呈波浪状或弧线形阴影称"腹膜涂抹" ,其阴影较淡而边界逐渐移行。输卵管周围粘连的 X 线线索: ①块状、结节状阴影:造影剂涂布与正常片状弥散不同 ,表现为高密度 ,明显高于周围丝条状的涂布影像 ,边缘清晰锐利 ,与正常弥散时边界逐渐移行不同 ,位置较固定 ,立卧位变化相对较小。腹腔镜下为较大范围、多处粘连 ,与X线征象相一致。②串珠状、滴状阴影,呈簇状分布或分散排列 ,边缘清晰锐利 ,密度高而均匀似油珠样 ,腹腔镜下为多数细小粘连伴有少量盆腔积液。③输卵管积水及伞端闭锁:由于伞部及周围有粘连存在 ,造影剂不能流至卵巢窝 ,呈团块状堆积于伞部或输卵管内扩张、积液形成典型串珠状输卵管积水征象。④输卵管向上走行 ,伞端上举而固定,除伞端上举、位置固定外 ,常合并有造影剂块状聚集或输卵管内造影剂 24h 后残留、延长复查时间造影剂涂布位置形态固定等改变。
2. 3 Diagnostic criteria for uterine tubal angiography: HSG normal performance, fallopian tubes are horizontal or slightly down to the belly of the pot and slightly up or curved around on both sides of the uterus, from inside to outside fine to thick, natural soft. After the contrast agent flows through the fallopian tube umbrella, it passes through the ovary socket and enters the uterus rectum to show a horizontal Stripe shadow. On the lateral slice, it is coated in the rear of the uterus rectum concave, in front of the bladder uterus concave, and on both sides of the ovary socket. Symmetric circle negative shadow, The contrast agent is easy to flow to the vicinity of the ovary under normal conditions. The wavy or arc-shaped shadow is called "peritoneal smear". The shadow is lighter and the boundary gradually moves. X-ray clues around the fallopian tubes: 1 block, nodular shadow: the contrast agent coating is different from the normal sheet dispersion, showing a high density, obviously higher than the surrounding filamentous coating image, the edges are clear and sharp, and the normal dispersion The boundary gradually moves different, The position is relatively fixed and the vertical position changes relatively little. Under the laparoscopy, there are a large range of multiple adhesions, which are consistent with the X-ray signs. 2 beaded, droplet shadows, clustered or scattered, sharp edges, high density and uniform like oil beads, laparoscopic most of the small adhesion with a small amount of pelvic effusion. 3 fallopian tube water and umbrella end locking: due to the presence of adhesion around the umbrella, contrast agent can not flow to the ovary Nest, mass accumulation in the umbrella or expansion of the fallopian tube, accumulation of liquid form a typical beaded tubal water sign. 4 4 The fallopian tubes go up, and the umbrella ends are raised and fixed. In addition to the umbrella ends, the position is fixed, and there are often changes such as the massive aggregation of contrast agents or the residue of the intratubal contrast agent after 24h, and the position of the extended review time contrast agent coating.
2. 4 B型超声监测下输卵管通液术的诊断标准:输卵管通畅推注无阻力颈口无溢液,患者无自觉症状、推注后宫腔内迅速呈现一条强回声带,纵切面显像宫腔分离≤ 0.7 cm.推注中见液体及微气泡沿两侧输卵管外溢,子宫直肠窝见积液。输卵管阻塞:推注阻力大停推注时药液返流,宫腔分离< 1.1 cm,液体及微气泡在宫腔内闪烁,加压颈口有溢液,注射侧下腹胀痛明显。近端梗阻可见子宫角回声增强或牛角型低回声像,输卵管远端梗阻,可见输卵管扩张.子宫周围无暗区形成。输卵管通而不畅:反复稍加压可缓慢推进,患者感注射侧腹酸胀明显。B超可见小光点缓慢移动,有时可见输卵管扩张,无回声暗区片刻消失。子宫周围及子宫直肠窝有少量液性暗区。
2. 4 B ultrasound monitoring of the diagnostic criteria of tubal fluid surgery: the tubal smooth injection of no resistance neck spillage, patients without conscious symptoms, after the injection of a rapid display of a strong echo zone in the uterine cavity, The longitudinal section image is separated by the cavity ≤ 0.7 cm. In the push, the liquid and the microbubble spillage along the two sides of the fallopian tube, and the rectum of the uterus sees the effusion. Tubal obstruction: Injection resistance large stop push when the liquid regurgitation, uterine separation & lt; 1.1 cm, liquid and microbubbles flicker in the palace cavity, overflow in the pressurized neck, and pain in the lower abdomen of the injection side. Near-end obstruction can be seen to increase the horn echo or horn type low echo sound, fallopian tube distal obstruction, can be seen fallopian tube expansion. There is no dark area around the uterus. The fallopian tube is not smooth: repeated slightly pressurized can be slowly advanced, the patient feels the lateral abdominal acid distension obviously. B super visible small light point slowly moving, sometimes visible tubal expansion, no echo dark area disappeared for a moment. There is a small amount of liquid dark area around the uterus and the uterine rectum.
2. 5 Diagnostic criteria for hysteroscopic tubal opening intubation: fallopian tube patency: under the mirror, the submethylene blue mixture in the tubal catheter and the liquid were pushed into the fallopian tube, and there was no reflux in the uterine cavity, and the resistance of the assistant was small., The pelvic B-type ultrasound saw that the liquid flowed to the distal end of the fallopian tube and quickly flowed out through the umbrella end, and the liquid in the uterine and uterine rectum suddenly increased; The fallopian tubes pass through and fail: under the mirror, the submethylene blue mixture in the fallopian tube tube and the drug fluid are pushed into the fallopian tube. A little reflux flows back to the uterine cavity. The assistant feels resistance when pushing the drug fluid. The pelvic B-type ultrasound sees the fallopian tube. The liquid slowly accumulates, However, it gradually flows toward the umbrella end until it is lost, and the liquid in the uterine and uterine rectum slowly shows, or there is fluid at the same side ovarian nest; Tubal obstruction: Under the mirror, the submethylene blue mixture in the fallopian tube and the drug solution are not easily pushed into the fallopian tube, or the cavity reflux is obvious. The assistant feels great resistance when pushing the drug solution. If the pressure is pushed, it can be seen that the inside of the cavity reflux liquid to pressurized water injection plastic tube, The pelvic type B ultrasonic wave sees a swirling liquid echo flow point, the uterine cavity is obviously expanded, the fallopian tubes and umbrellas are thickened, accumulated fluid or not displayed, and there is no accumulation fluid near the palace and the uterine rectal fossa.
2. 6 经阴道注水腹腔镜下通液术、联合应用宫腔镜腹腔镜子宫输卵管通液术镜检时输卵管通畅度的诊断标准 ①输卵管通畅:在推注液体约 10ml 后继续推注时 ,双侧输卵管内见蓝色液体畅流无阻 ,并很快从伞端流出; ②通而欠畅:推注液体稍有阻力 ,略加压后 ,即见液体从伞端流出 ,输卵管轻度扭曲; ③远端阻塞:推注时见蓝色液体流经输卵管直达远端 ,积液于输卵管远端 ,不断注入液体 ,见伞端形成逐渐扩大的蓝色囊性积液 ,盆腔内无蓝色液体; ④近端阻塞:推注时阻力大 ,有反流 ,镜下见子宫张力高而色泽变浅 ,尤其在双侧宫角隆起呈元宝状 ,输卵管内无蓝色液体。
2. 6 Diagnostic criteria for the fluidity of the fallopian tube during laparoscopic catheterization and combined hysteroscopic laparoscopic hysterectomy. 1 The fallopian tube is open: blue liquid flows unimpeded in the bilateral fallopian tubes when the liquid is pushed after approximately 10 ML is pushed. And soon flow out from the umbrella end; 2 pass and not smooth: push the liquid slightly resistance, slightly pressurized, that is, the liquid out of the umbrella end, fallopian tube slightly twisted; 3 Remote obstruction: When pushing, see the blue liquid flowing through the fallopian tube to the far end, the accumulation of liquid in the far end of the fallopian tube, continuous injection of liquid, see the umbrella end to form a gradually expanding blue cystic effusion, no blue liquid in the pelvic cavity; 4 The proximal obstruction: When pushing, the resistance is large, there is reflux, and under the mirror, the uterine tension is high and the color becomes lighter. In particular, the bilateral angle of the palace is in the shape of a treasure, and there is no blue liquid in the fallopian tube.
3 输卵管通畅性检测常用的检查方法的价值3 The value of commonly used test method for oviduct patency
3.1输卵管通气术是了解输卵管通畅性的初筛手段,具有操作简单 ,经济 ,病人痛苦轻等优点。当输卵管轻度粘连时,输卵管通气术运用较高的压力 (200 mmHg)时,输卵管进行扩张,使轻度的粘连剥离,塞输卵管的粘液可以被排出使扭转的输卵管被整理复位,输卵管通畅,但准确度较差,特异度和敏感度都不好。输卵管通气术在临床上已很少应用。3.1 Tubal ventilation is an initial screening method to understand the fluidity of the fallopian tubes. It has the advantages of simple operation, economy, and light pain of the patient. When the fallopian tubes are slightly bonded, when the fallopian tube is ventilated using a higher pressure(200 mmHg), the fallopian tubes are expanded so that the slight adhesion is stripped, and the mucus of the stopper fallopian tube can be discharged so that the twisted fallopian tube is rearranged and reset. The fallopian tube is unobstructed, but the accuracy is poor. It's not specific or sensitive. Tubal aeration has rarely been used in clinical practice.
3. 2输卵管通液术也是输卵管通畅性的初筛手段,具有操作简单 ,经济安全 ,病人痛苦轻等优点。同时具有一定的治疗作用,但准确度较差,特异度和敏感度都不好,输卵管积水可造成通液通畅的假象 ,而输卵管痉挛可致通液不通的假象。因此术前肌注阿托品 ,通液用生理盐水冬天时需要加温以缓解或防止输卵管及子宫平滑肌收缩痉挛 ,影响通液效果。由于输卵管通液术准确性明显低于造影术 ,目前更多地用作治疗、疏通输卵管。
3. The tubal fluid technique is also a means of screening the fallopian tubes. It has the advantages of simple operation, economic safety, and light pain of the patient. At the same time, it has a certain therapeutic effect, but its accuracy is poor, its specificity and sensitivity are not good, and tubal water can cause an illusion of fluid flow, while tubal spasm can cause an illusion of fluid flow. Therefore preoperative muscle injection atropine, liquid with saline needs to be heated in winter to relieve or prevent tubal and uterine smooth muscle contraction spasm, affecting the liquid effect. Because the accuracy of tubal fluid surgery is significantly lower than that of angiography, it is now used more for treatment and dredge fallopian tubes.
3.3子宫输卵管造影术现在是输卵管通畅性检测的常规检查方法,子宫输卵管造影术是一种无创性检查 ,不但可以了解输卵管通畅性 ,还可观察宫腔及输卵管内腔的病变。但不能发现盆腔的病变及输卵管周围粘连情况。国内多数生殖医学中心已将造影列为常规检查项目。Snowden提出不孕症病人先行造影检查 ,如造影有异常或造影正常半年不孕者再行腹腔镜检查。现采用宫颈扩张棒行造影术 ,碘油外流至阴道减少 ,判断结果更准确。放射线辐射可引起DNA损伤,染色体畸变,基因突变等危险,人们对子宫输卵管造影检查时患者受到的辐射非常关切。有文献报道如果单纯子宫输卵管造影,放射线辐射量将更微小,说明这项检查对育龄妇女是在安全范围内。但仍值的考虑。35
3.3 Uterine tubal angiography is now a routine method for the detection of oviduct patency. Uterine oviduct angiography is a non-invasive test that not only understands the patency of the oviduct, but also observes the lesions in the uterine and oviduct cavities. However, the pelvic lesions and adhesion around the fallopian tubes can not be found. Most of the country's reproductive medical centers have included mammography as a routine inspection program. Snowden proposed that infertility patients should be examined first, such as abnormal imaging or normal imaging infertility for half a year. Now using cervical dilatation stick radiography, iodine oil outflow to vagina decrease, the judgment result is more accurate. Radiation radiation can cause DNA damage, chromosomal aberrations, genetic mutations, and other risks. People are very concerned about the radiation received by patients during uterine fallopian tube angiography. It has been reported that if a simple hysterectomy is performed, the amount of radiation will be smaller, indicating that this examination is within a safe range for women of childbearing age. But still worth considering. 35
3. 4 B-type ultrasound monitoring of tubal fluid surgery has direct observation indicators, under B ultrasound can clearly show the liquid from the uterus → both sides of the fallopian tube → abdominal cavity movement, so as to make an accurate evaluation of the two sides of the fallopian tube situation. It overcomes the defect that traditional tubal fluid technique can not accurately evaluate bilateral tubal patency or blockage by hand feeling or pressure, and can also reduce the complications of tubal water rupture caused by blind fluid flow in the past. Hydrogen peroxide is a strong oxidant and has an killing effect on bacteria. Since it is carried out under B ultrasound, certain gynecological diseases related to infertility can be found in a timely manner in order to guide treatment in a timely manner. However, B Super imaging is not clear, can not judge the tubal shape and pelvic adhesion situation, is its shortcomings.
3. 5 宫腔镜下输卵管口插管通液术对近端输卵管梗阻的诊断和疏通及通而不畅的治疗效果较好。输卵管近端梗阻患者无组织学改变,梗阻可能是功能性的或由子宫角粘连或息肉所致,宫腔镜可进行诊断和进一步治疗。在宫腔镜直视下,将导管插入宫角部输卵管开口处,减少了普通通液的盲目性,起到机械性疏通作用,再加上直接加压于输卵管内部对粘连起到分解作用,并辅以药物治疗,可达到较理想的治疗目的。同时对不孕患者进行宫腔镜检查,可以发现宫腔息肉、宫腔粘连、粘膜下肌瘤、子宫畸形、胎骨残留、胎盘组织机化等病变,有时尚找到导致输卵管阻塞的原因,例如宫角或输卵管间质部近段内息肉、粘连疤痕等,在检查的同时可以适当给予处理,达到治疗目的。20)但是他对输卵管远端病变,及盆腔粘连不能做出很好的诊断,如输卵管积水可造成通液通畅的假象。
3. The diagnosis and dredging of proximal tubal obstruction by hysteroscopic tubal opening intubation was better than that of the treatment. There is no histological change in the near end of the fallopian tube obstruction. The obstruction may be functional or caused by cervix adhesion or polyp. The hysteroscopy can be diagnosed and further treated. Under hysteroscopy, the catheter is inserted into the opening of the fallopian tube at the corner of the uterus, which reduces the blindness of the ordinary liquid and plays a mechanical dredging role. In addition, direct pressure on the inside of the fallopian tube decomposes adhesion, and is supplemented by drug treatment. Can achieve more ideal treatment purposes. At the same time, hysteroscopic examination of infertile patients can find lesions such as uterine polyp, uterine adhesion, submucosal myoma, uterine deformity, fetal bone residue, and placenta tissue mechanization. There is fashion to find the cause of tubal obstruction. For example, intrauterine or tubal interstitial polyps, adhesion scars, etc., can be properly treated at the same time as the examination, to achieve the purpose of treatment. 20) However, he can not make a good diagnosis of the distal tubal lesions and pelvic adhesion. For example, tubal water can cause an illusion of fluid flow.
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- President Donald Trump's trade policy may be harmful to the beef industry for years to come, says the National Cattlemen's Beef Association.
- They would prefer the use of trade agreements like the Trans-Pacific Partnership, says Kent Bacus.
- "If we don't see something turn around, this could have negative repercussions for us."
President Donald Trump's trade policy may be harmful to the beef industry for years to come, said Kent Bacus, director of international trade at the National Cattlemen's Beef Association.
"We support the administration in enforcing trade," he told CNBC on Monday. "We would differ on how some of this has been carried out. We would much prefer the use of trade agreements like the Trans-Pacific Partnership. We've seen a lot of benefit from having rules-based, science-based trade from those free trade agreements."
Trump's tariffs and China's retaliatory measures come at time when there is a lot of supply piling up in storage, he said.
"The use of tariffs to try to bring leverage, we need to look at other options," Bacus said on "Power Lunch."
"If we don't see something turn around, this could have negative repercussions for us," he added.
Last week, Trump told CNBC he is "ready" to put tariffs on all $505 billion of Chinese goods imported to the United States.
Washington has already slapped tariffs on $34 billion of Chinese products. Beijing hit back with retaliatory tariffs on the same amount of U.S. goods.
That caused tariffs on beef to go from 12 percent to 37 percent, said Bacus.
"We're worried that the repercussions of some of these tariffs is essentially going to squeeze us out of the market," he said.
The Chinese market for U.S. beef is not a big one. While China began importing U.S. beef last year after at 13-year ban due to concerns over mad cow disease, there are still a lot of restrictions, Bacus said.
The beef industry exports about 15 percent of what it produces, with three of its top five markets being in Asia. It exports things that American don't typically want to buy – like beef tongues and short ribs, he said.
Meanwhile, meat is reportedly piling up in storage. Federal data are expected to show more than 2.5 billion pounds of beef, pork, poultry and turkey stockpiled in U.S. warehouses, according to The Wall Street Journal.
The glut is due to an expansion in cow herds, pork production and poultry production, which came in response to strong foreign demand, Bacus said.
"It takes about three years for our cows to come to market. So we were basing our production off of the market signals at the time. So we have a lot of product that's going to come online," he said.
"There's a lot of demand for it but trade policies are kind of getting in the way right now. And we may not have that same access for the next few years."


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Ferland Mendy biography
Are you searching to know about the French professional footballer Ferland Mendy biography? Do you want to know his childhood, early life, parents, siblings, personal, physical, career, and wedding life info, height, weight, age, or his wife's name? If you want to know about him, this post is for you. You can know from here about, Ferland Mendy's biography, childhood, early life, parents, siblings, personal, physical, career, and wedding life info, age, height, weight, net worth, jersey number, father, mother, wife, children, best friends, marital status, religion, hobbies, favorites, and more about him.
Who is Ferland Mendy
Full name Ferland Sinna Mendy but commonly known as Ferland Mendy. He is a French professional footballer. He plays as a defender (left-back) for the France national football team and the Spanish professional football club Real Madrid CF.
This French defender made his professional debut for the French professional football club Lyon on 19 September 2018 against Manchester City. In addition, he made his international career debut for the France national team in 2018.
Childhood / Early Life/ parents/ Siblings
This French football star was born into a poor family on 8 June 1995 in Meulan-en-Yvelines, France. His father's name and his mother's name not available. There is no information available about his father and mother's professional information. We have not also found about his sibling's information. His father is of Senegalese descent and his mother is of Guinean descent.
At an early age, Ferland lost his father. When he was 15 years old, he spent time in a wheelchair and was told that he might never play football again. This footballer is the cousin of Edouard Mendy who is a professional football player. This football player began his youth career for Ecquevilly EFC in 2002 when he was only seven years old.
Ferland Mendy personal, physical, career, and wedding life info
|Full Name
|Ferland Sinna Mendy
|Celebrated name
|Ferland Mendy
|Nickname (s)
|Birth Date
|8 June 1995
|Birth Place
|Meulan-en-Yvelines, France
|Not Available
|Age in 2021
|26 Years
|Not Available
|Not Available
|Sister (s)
|Not Available
|Brother (s)
|Not Available
|Edouard Mendy
|Not Available
|College / University
|Not Available
|Educational Qualifications
|Not Available
|Zodiac Sign
|Mailing Address
|Not Available
|Phone Number
|Not Available
180 cm
|73 kg
|Eye Color
|Hair Color
|Professional football player
|Playing Position
|Defender (left-back)
|Current Club Team
|Real Madrid CF
|Current National Team
|France national football team
|Jersey Number
|#23 / Real Madrid CF / Defender
|Youth Career Debut (Club)
|In 2002 for Ecquevilly EFC
|Professional Career debut (Club)
|On 19 September 2018 for Lyon
|U-16 Team Debut
|Not Available
|U-17 Team Debut
|Not Available
|U-18 Team Debut
|Not Available
|U-19 Team Debut
|Not Available
|U-20 Team Debut
|Not Available
|U-21 Team Debut
|Not Available
|U-23 Team Debut
|Not Available
|International Debut / Senior Team Debut
|In 2018 for France senior team
|Sexual Orientation
|Girlfriend (s) / Affairs
|Not Available
|Marital Status
|Wife / Spouse
|Not Available
|Marriage Date / Year
|Not Available
|Children (s)
|Not Available
|Best Friend (s)
|Karim Benzema, Benjamin Mendy
|Playing football, Traveling, Swimming, Reading, Fun with friends,
|Favorite Footballer (s)
|Zinedine Zidane, Ronaldinho
|Not Available
|Drinking Alcohol
|Not Available
|Social Media
|Instagram, Twitter
|Ferland Mendy Wikipedia
Ferland Mendy Salary and Net Worth
|£8,476,000 Per year
|Net worth
|50 Million Euro
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The Bold and the Beautiful (B&B) spoilers for Tuesday, April 23, tease that Quinn Forrester (Rena Sofer) will rev up her "Wally" destruction efforts. She hasn't really targeted Sally Spectra (Courtney Hope) and Wyatt Spencer (Darin Brooks) so far, but she's definitely made her preference for Florence "Flo" Fulton (Katrina Bowden) known. Now Quinn's about to start plotting an official split.
When Quinn witnesses a warm embrace between Sally and Thomas Forrester (Matthew Atkinson), she'll pounce on the opportunity. Quinn will make a beeline for Wyatt and rant about Sally betraying him. She'll insist that if Thomas and Sally aren't involved again already, they will be soon. Quinn will argue that Wyatt's wasting his time with a woman who's disloyal and undeserving of his love.
Of course, Wyatt will push Quinn to calm down and see that there may be another side to this. He'll think the hug might've been an innocent gesture between old friends. After all, Wyatt and Flo have certainly shared some close moments – including kisses – during their private times together. He'll refuse to jump to conclusions about Sally cheating, but he'll begin to doubt her loyalty later.
Other Bold and the Beautiful spoilers say Hope Spencer (Annika Noelle) will finally take the plunge. With plenty of reassurance from Liam Spencer (Scott Clifton), Hope will feel safe enough to make love. Liam will be over the moon about this form of reconnection. He'll feel like they're on the right track, so he'll rush to tell Wyatt the good news.
Meanwhile, Thomas will contact the nanny Steffy Forrester (Jacqueline MacInnes Wood) took with her to Paris. Amelia (Nicola Posener) has been caring for Kelly Spencer (Zoe Pennington and Chloe Teperman) and "Phoebe Forrester" (Isabella de Armas and Redford Prindville), but she'll be tasked with a special project on Tuesday's B&B episode. Thomas will need Amelia's help with his sneaky "Lope" breakup plan.
Afterward, Thomas will pretend Douglas Forrester (Henry Joseph Samiri) drew a picture for Hope. He'll touch her heart through the sketch and break it into a million pieces with a video from Amelia. It turns out Amelia will coax Kelly into calling for her daddy and hit the record button. The Bold and the Beautiful spoilers say the footage will bring a crushing blow.
Thomas will contend that the girls desperately need Liam, so Hope will become more convinced than ever that Liam must be with them. Even Liam will think so when he watches the video for himself later this week! We'll give you updates as other B&B details emerge. Stay tuned to the CBS soap and don't forget to check CDL often for the latest Bold and the Beautiful spoilers, updates, and news.
This week on #BoldandBeautiful, we've got a man with a plan and a mom on a mission! You won't want to miss it. 👏 pic.twitter.com/wpfEkjo3Hd
— Bold & The Beautiful (@BandB_CBS) April 21, 2019