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Tesla One sub-ohm mod is a tube-shaped sub-ohm ecig mod that comes in three color options, stainless steel, or carbon fiber finish black or gray. This electronic cigarette mod has an internal 1800mAh battery which is superb for extended vaping sessions, and you can recharge it with a USB cable.
Tesla e-cig mods are renowned for excelling at reliability, and we know hard vapers always value safety. This electronic cigarette mod is sturdy and compact, (22mm by 87mm). It will fit in your pocket with easy so that you can carry it around with you everywhere, and vape your preferred e-liquid or juice anytime and anywhere.
It is versatile and yet a straightforward mod, that boasts a maximum output power of 100W and a maximum output voltage of up to 4.2 V, firing with a brass plated silver firing pin. Not only that but it also sports an enormous 7.0 ml e-liquid or juice capacity Vortex TC Subecig tank. For increased vapor production and flavor this design includes an auxiliary airflow system, which will make your clouds immense and incredibly tasty. Also, a simple wide bore is there to provide heat dissipation. Tesla One sub-ohm mod has it all, and it sports an overall excellent quality and impressive durability and reliability.
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Features and Specs:
Dimension:22mm by 87mm
Voltage Indicating: 3.2-3.65V (red),3.65-4.2V (blue)
510 Connection Only
Brass plated silver firing pin
Internal battery capacity: 1800MAH
Maximum output power: 100W using .18 ohm atomizer
Maximum output voltage: 4.2V
Maximum output current: 40A
Atomizer resistance: 0.1-3.5Ohm
|Tesla One Sub Ohm Mod
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We Are Scientists (Keith Murray, Gtr/Vox & Chris Cain, Bass/Vox with Danny Allen, Drums/Vox) from New York, NY, stopped by the DAEL studios for a WRAS | indieATL session, rocking so hard the cops had to come and shut it down. indieATL Sessions is produced by Matt Rowles.
Associate Producer: Chris Escobar Camera Operators: Steven Swigart, Kristy Breneman, Chris Escobar, Matt Rowles Audio Recording | Mixing| Video Editing: Matt Rowles
for more info on the band: http://www.wearescientists.com
Wikipedia: We Are Scientists is a New York-based indie rock band that formed in Berkeley, California in 2000.[1] Originally formed of Keith Murray on drums, Chris Cain playing bass guitar and Scott Lamb providing vocals and guitar,[2] before Michael Tapper became drummer and Keith became vocalist and guitarist. The band's breakthrough success came with their second album With Love and Squalor which sold 100,000 copies in the first 6 months. Their second success was with Brain Thrust Mastery[3] which charted at 11 in the UK album chart, with two top 40 singles "After Hours" and "Chick Lit." Their fourth album, Barbara, was released in the UK on the 14th June 2010. Also, they are starring in their own television short Steve Wants His Money.[4]

subset: commoncrawl


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Stockton, CA
Sept. 11, 1936 - September 21, 2007
Joel Mauser, 71, of Stockton,CA., passed away surrounded by family on Friday, September 21, 2007. He was born on September 11, 1936 in French Camp, CA. to John and Gertrude Mauser. After graduating from Franklin High School, he married his childhood sweetheart and they lovingly raised three daughters. Before retiring in 2001, he worked in the automotive parts industry for over 50 years. As a car enthusiast, Joel enjoyed everything from vintage car restoration and racing to karting competitions. To remember Joel is to remember him as a gentle and generous man with a terrific sense of humor. He was a devoted brother, husband, father and grandfather, who will be deeply missed. In his passing, he is reunited with June, his wife of 51 years who passed away in May of this year. He is survived by his daughters; Lori (Ken) Kowal, Nancy (Chris) Moreno, and Mary (Gerry) Kluck; his grandchildren; Christopher (Jenny) Moreno, Leslie (Chad) Cruz, Brian Moreno, Dylan Kluck, Dailey Kluck, Phoebe Kluck, Katie Kowal and Betsy Kowal and his sisters, Lani (Richard) McDonald, Joan (Kris) Hinds, and Joyce (Larry) Manetti. Family and friends are invited to attend the services Thursday, September 27, 2007 at 100 p.m. at Stockton Rural Cemetery, 2350 Cemetery Lane, Stockton, CA. Visitation none. Committal Stockton Rural Cemetery
Joel Alan Mauser
Stockton, CA


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CA License # PSY23364
examination, I specifically designed The Lifestyle Poll to operate simultaneously as a data collection tool and as a stimulus for the personal growth of my research participants. I assembled more then 200 questions and recruited participants primarily through unofficial networks of Harvard graduates. Word of the project spread organically, mostly through word of mouth and invitations between friends. My goal was to see if I could get 500 respondents (which is generally a large sample size for social science research) within one year. In fewer than eight months, more than 1200 women had completed The Lifestyle Poll.
Moreover, what I had once seen as an obstacle (the need to create a project that would stimulate strong intrinsic motivation because I could not pay anyone to participate) soon showed itself as an asset. In many traditional research studies, there is some inherent acknowledgement that people don't really want to participate in studies, that most people would rather be doing other things with their time. So, in most cases, participation is either made as painless as possible (e.g., very brief online measures that promise to "take only 10 minutes" or a brief reader poll in a widely circulated magazine) or is induced through some extrinsic motivator (e.g., course credit, monetary reimbursement,entry into a raffle to win a big prize). In my opinion, making a measure shorter, and less painful, especially in the case of an anonymous online survey, would seem to produce a lot of "junk" data from people who are not invested in the research. Sweetening the pot with financial inducements may also affect the quality of one's data.
In contrast, when people engage in behavior based on the type of intrinsic motivation that was a defining feature of The Lifestyle Poll project (that is, an opportunity to do some meaningful self-reflection), they are much more likely to invest genuine effort. In this case, because my participants had no extrinsic motivation at all to participate, and The Lifestyle Poll was so long, the significant "response cost" of participation suggests that the data was most likely entered thoughtfully by respondents who were invested in the project due to intrinsic motivations. Along these lines, the unsolicited feedback shared by participants and the lengthy, thoughtful responses to the open-ended questions that were posed over and above the original set of more than 200 questions confirmed my sense of a high level of intrinsic motivation among the participants.
Eight months into the project, in the summer of 2008, I got an offer I couldn't refuse -- an opportunity to move back to my home state of California and accept the very meaningful job I now have at a Veterans Hospital. I put the writing process on hold while learning the ropes of my new position in the VA and sometimes wondered when I would ever get back to writing up the results of The Lifestyle Poll. At times, it felt overwhelming to turn back to this massive data set and begin the process of exploring the hidden truths waiting to be discovered. Ultimately, the biggest force that has compelled me to return to my data and write it up is the investment made by the women who participated in The Lifestyle Poll project. It would not sit well with me to ask this of my respondents and then fail to find a way to make meaning of the stories they shared with me. What I learned was too important to hide under a bushel for "some day maybe when my job slows down."
Marriage, for Equals: The Successful Joint (Ad) Ventures of Well-educated Couples, is in large part an analysis of this data and the compelling stories revealed within the responses of those who participated in The Lifestyle Poll. These truths clarified theories I had studied for many years in graduate school, developing expertise in the area of close relationship formation and maintenance.
Marriage for Equals was published in 2012, released for purchase the very week I had the first of my two children. While it was immensely satisfying to have finished the write-up of The Lifestyle Poll project, any efforts to distribute information about this work became secondary to the all-consuming needs of first one, then, a second newborn. As my husband and I move beyond the extended tunnel of chaos that comes with raising very small children, we find ourselves with additional time and energy to dust off some long-held dreams. It is in this vein that I am now unearthing the "hidden ivy" within the fascinating stories I first heard in 2008.
If you participated in The Lifestyle Poll, I wish to very sincerely express my gratitude. My work on this project, although temporarily suspended for periods of time, has nonetheless been one of my most rewarding professional experiences to date. In returning to your stories and the wisdom they hold, I am hopeful that your insights will greatly benefit others who are striving to fulfill the promise of a marriage of equals.
Information about The Lifestyle Poll
The idea of launching The Lifestyle Poll project arose during one of many walks with my husband. In addition to my intrinsic interest in women's issues, when I was conceptualizing this project, I thought about the "tradition of remarkable women" at Harvard-Radcliffe and the many amazing women I have met in my life after Harvard. To test my theory that respect is equally critical for many women as for many men, I set out to profile the marriages of some of the smartest women I have known and their equally capable friends. Equipped with a budget of less than $500 for internet hosting and data collection, I had to get creative. I had been teaching a course in Personal Growth through the University of Florida for several consecutive semesters. Based on my strong interest in personal growth and my belief in the value of self-


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Steve Morse, The Boston Globe, 22 September, 1981 (reprinted with permission)
The whole Rolling Stones mess has left psychic scars that will be hard to forget. By the end, it had deteriorated into a nasty, pitched battle between clubowners, fans, politicians, promoters, and the media, each desperately wanting a piece of the action.
It feels like a week-long purgatory has ended. Or maybe a jail sentence. Or maybe just a bad dream.
There were no winners in all of this. The band didn't get to play their sneak concerts. The fans didn't get to see them. The media behaved recklessly. And the toll, financially and psychologically, was overwhelming.
Friendships were severed. Relationships were left reeling. And reporters were left glued to the phone, tracking down non-leads, swirling through off-the-record statements, getting unfathomable I Ching quotes from Stones tour producer Bill Graham and being humbled to the point of complete frustration.
All because the band, as Graham said, wanted to play a few "throwaway gigs." But there are no throwaway gigs with the Rolling Stones. Now that Led Zeppelin is gone, the Who has changed, and John Lennon is dead, only the Stones remain to carry the banner of rock's '60s heyday.
It was no wonder the local demand to see them was so great, because there are thousands of fans here who have never seen them and who won't rest until they do. Those fans have put up with myriad Stones clone groups touring the area, but this was the real thing.
And so the hysteria kept building, causing the band to cancel last night's planned sneak concert at the Opera House. Despite the grandstanding of Mayor Kevin White — who had also offered them a free City Hall Plaza show while naively assuming there'd be only 40,000 people there (try 400,000) — the band chose to put a lid on the madness, rather than fuel it even more.
"The Rolling Stones have changed governments, and they're not going to be that concerned about a mayor," Stones publicist Paul Wasserman had said earlier. Putting the issue into perspective, he added: "With all the attention the Stones received, you'd think there was no other story. Hey, isn't Boston having trouble getting its schools opened?"
The reason, of course, the media went whole hog was that the band so arrogantly left them out of last week's lone sneak concert at Sir Morgan's Cove in Worcester. The battle lines were drawn.
Although that night's mood was quite peaceful — the waiting crowd of 1500 was demoralized by the rain — irresponsible reporters highlighted a couple of bottle-throwing incidents, thus causing the band to become personae non grata in Boston until Mayor White tried to intervene.
"One minute we were lepers. The next minute we were tulips," as Graham said.
Behind the scenes, promoters also lashed at each other. Boston's Don Law and Providence's Frank Russo were again claw to claw. Russo missed out on the coup of a lifetime when the Stones slipped through his fingers for a Providence show Saturday, chiefly due to illness within the band. "We owe you one" the group's entourage later told him.
The week's events were an intolerable merry-go-round. The band itself behaved badly, having not scheduled Boston in the first place and then announcing last-minute cancellations which left fans stuck out in the rain and cold, waiting for tickets.
Although Graham said the band will return to "the scene of the crime" to later play Boston, thank God that for now the treasure hunt is over.
As one exhausted source said, "My wife's about ready to walk out the door. And so is my dog."
All original material copyright © Gilbert Scott Markle. All rights reserved.


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I needed to make a trip to the Post Office. The thing is that I had to steel myself to do so. Vertonbridge Post Office and Stores was conveniently placed at just a three minute walk from our cottage and yet I avoided the Post Officy bit in favour of the one in Exeter. I didn't mind patronising the Stores for some exorbitantly priced chutney, an emergency tube of sour cream & onion pringles or indeed some crap-brand milk, but the Post Office Countery bit was another matter. The proprietor and Post Mistress Miriam Ledgworth was all for chatting. Chit chat chit chat. She's a nice enough old bird but jaze doesn't she ever go on!
The reason for my urgent trip to the PO was that my new Literary Agent had finally sent through two copies of my contract and I needed to send a signed one back to her pronto before she changed her mind and realised that I was in fact a #crapwriter. It meant braving the omnipresent Miriam because I didn't have time for the shlep into town. When I arrived at the Post Office there was a hefty queue which wasn't surprising because Miriam was ear shagging everyone and the line was moving very slowly. It was also Pensions day and 'senior citizens' were dying of old age in the queue, keeling over, and younger slightly fresher faced old folk were stepping over them, rubbing their hands together, thinking they'd get served a bit quicker. I decided to pass some time by taking a little look at the 'trash mags' in the newspaper section, so I picked up a gaudy copy of – C.loser and sifted through it. I felt it was important to know which craplist celeb had got themselves bikini body ready and then been spotted (and papped) face down in a (go large) Big Mac meal at Warrington MacDonalds six times in the last week – it was imperative reading. Luckily Miriam couldn't see me scanning C.loser with no intention of buying it because she has been known to shout across the shop floor unceremoniously, "Are you going to buy that magazine or are you just fingering it?" Unsavoury.
Anyway by the time I had wandered about, eyed up a few pretentious photographic birthday cards (blank for your own trite/humorous/insincere message) and felt up a couple of cling-filmed 'handmade' Victoria Sponges (for freshness you see, and then not actually bought one) the queue had gone down so I lined up.
"Ahh Hillie, how are you? Haven't seen you for ages," said Miriam enthusiastically, when I finally reached the head of the queue.
Yes because I'll crawl on hands and knees to any other Post Office within a 50 mile radius rather than visit this one!
"Fine thanks, and you?" Adopt brace position for verbal enslaught.
"Oh you know, not too bad. Course, my Jim's been in hospital for his bunions and my sciatica's been playing up, it's all this wet weather we've been getting. Call this a summer, huh, it's not like the summers of my youth I can tell you. Blah blah blah…drone drone drone…blah blah blah…but I mustn't grumble," I had glazed over and was staring zombie like at her blurry hand-knitted jerkin bedecked outline I'm afraid.
Miriam drew said hand knitted jerkin/waistcoat/gilet/whatever about her, placed her bifocals on her nose and continued to prattle on.
"I liked your piece on the scarecrow competition in the Parish Mag, have you thought about taking up writing professionally?" I'm not sure if she was taking the piss or not but I chose not to rise to it. Having 'posed' the question (no reply required) she continued her monologue – barely pausing for breath.
"Mind you, I can't believe my Janet (her daughter) didn't win with her Queen and Corgis scarecrows, marvellous they were, the dogs were very lifelike."
They were categorically crap, not at all canine like and a total scarecrow cliche, but other than that they were great!
"Anyway, what can I do for yourself today?" Miriam continued brightly.
"I'd like to send this Special Delivery thanks." I displayed an A4 envelope on the counter, with some trepidation, like I was twelve again and passing a crap school report to my parents. Miriam eyed it up suspiciously over her bifocals. Her chin went up, her eyes narrowed and after a slight pause she said, "Hmm Special Delivery you say?" she looked both perplexed and wary in equal measure – as if I'd said "I'd like to send this by your speediest carrier pigeon please."
"Yes Special please," Would you just process it – sans effing prattle!
"Are you absolutely sure? It's quite an expensive way of doing it!" Do I look like I can't make a responsible postal service decision? "Quite sure thanks."
"Now then, is it being sent within the British Isles?"
"Where's it going?"
"Err…London," Come on, blatant nosiness now, what was her problem? I wasn't asking her to personally hand deliver it or drive a six horse Mail Coach through muddy cart ruts across Devon and through the Home Counties up to the Capital was I!
"Does it really need to be signed for?" Jeepers I was starting to feel mild panic and self doubt.
"Yes….( I think)….yes, yes it does," I must not falter in the face of adversity, I must stay resolute.
"Because first class is very good these days, much more reliable than it has been in the past. It'll probably be there by tomorrow and would only cost ..…let's see…. £1.85 for yourself".
"It's ok, I need it signed for." Perhaps I look strapped for cash? Then it dawned on me. She did witness my furtive trash magazine fingering and cake fondling after all. She can scarcely believe I'd got my priorities so badly wrong. If I'd only curb my postage excesses I could afford to splash out on a fresh sponge and treat myself to C.Loser.
"If you're sure?" Super sure, like night follows day sure…..for the love of god.
"Yes thanks".
"Ok then," she sounded disdainful and sighed extra heavily for dramatic effect. Miriam made it blatantly obvious that she was very disappointed with my 'no need – in her opinion' postal service selection. "Pop it on the scales for yourself," she added officiously.
I 'popped' it on the old-school scales (for myself) and let the weighing needle take about another 2 minutes to settle on the final weight.
"Hmm that's coming up at £5.35, now are you sure you're happy with that?" she looked up with 'I told you it would be expensive' mock concern from her half moon glasses on a gaudy string.
Bloody delighted! Over the frigging moon with happiness. "That's fine thanks."
"Does the contents have any value?" Value? Oh god, another effing question. I had to think for a moment. How do I quantify that? I don't know? Probably not, but maybe? No? I'll go with no – it'll be quicker?
"No, no value."
"What none at all?"
OH For F*ck's Sake, calmly I explained, "no, I don't think so – it's just a document that could be redone if it got lost in the post," or was hopelessly delayed on a mail train, engulfed in a sorting office inferno or dropped off the back of a speeding mail van????
"A document you say?" said Miriam sagely, she cocked an eyebrow knowingly, "perhaps one that could have been folded in two thus affording you the use of an A5 envelope and saving yourself a pretty penny on postage in the process!" She really enjoyed herself. Oh go on then – you have your moment of postal smuggery glory! Take it! Why not do a victory twirl in your hand knitted jerkin. Though it made no sense to me, she certainly wasn't upselling the services of the Post Office and if her pay was perfomance related surely she was only diddling herself out of a bonus – ergo a week in the Peak District by coach and a stack of knit your own jerkin patterns?
"Can you pass it through the parcel hatch please," she added primly.
I duly passed the parcel (no shrieky party-going kids required).
"How would you like to pay?" asked Miriam. So concerned was she about the cost I half expected her to offer me an interest free weekly payment plan.
Cash! Cash, might stop her bleating on so I gave her £6.
"£6 thank you and here's your change – 65 pence and your receipt for yourself," she made a great show of 'starring' something on the receipt.
"And this is your code number so you can track your parcel at all times and find out when it's delivered and who signs for it up in 'The Big Smoke'." Miriam continued. "Any problems, speak to head office because we don't handle complaints in branch and we certainly don't have the time to be discussing postal issues at the counter. Anything else for yourself today?"
Just the last 20 minutes of my life back (for myself) please!
The same conversation in other Post Offices:
"hello, can I send this special delivery please".
"That'll be £5.35 please," money changes hands. The parcel is passed through the hatch!
"Thanks," goodbyes are exchanged – end of conversation.
More next week.
As you were!


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Fighting Drug-Resistant Cancer, in Boston/
Just call it a postmodern arms race. It's common knowledge that cancer drugs have been evolving in leaps and bounds over the past 20 or 30 years—they're now way more effective, and way less damaging to humans than they used to be. Meanwhile, though, the cells within the very cancers themselves have been evolving along, and at a much more rapid pace. Tumor cells can reproduce at a much faster rate than researchers in a lab, and so, as quickly as scientists develop an effective new drug, the tumor cells are busily trying to find a workaround.
It's easy to think of germs or viruses as resistant to drugs, but, of course, cancers can acquire resistance, too. Fortunately, that resistance can't travel from person to person—there aren't really "strains" of cancer—but even so, the problem costs the health care industry millions of dollars a year, and it goes without saying that for patients, having drug-resistant cancer is miserable.
This is all part of the reason why the Gerstner Family Foundation made a $10 million gift to the Broad Institute of MIT and Harvard to focus explicitly on battling treatment resistance in cancer.
The approach is two-pronged. First, Broad Institute researchers will use genome-editing technology to locate the mechanisms driving drug resistance in cancer cells. At the same time, these researchers will work with researchers at Dana Farber/Harvard Cancer Center and Dana-Farber/Harvard Cancer to undertake the largest known study of tumors, both pre-treatment and after acquiring drug resistance. The genome sequences of these tumors will be compared to each other, and researchers will hopefully be able to identify the DNA mutations causing the resistance.
"Human cancers are constantly evolving in ways that evade even the best of our innovative new drugs," said Dana-Farber Cancer Institute president and CEO Edward J. Benz, Jr. "For patients to get the maximum benefit from these exciting agents, we need to devise ways to defeat this resistance."


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Storyboards | Ben Matsuya
Ben was invited to participate in an animation workshop to design a scene for a short called "The Vardo Bros." Featuring two fantastical charlatans: SPROCKET and HACKLEPUFF VARDO, Ben captured the wackiness of the original existing characters, accentuating their motions and actions in the tradition of Tex Avery, Max Fleischer, and Otto Mesmmer.
In this scene, the two con-monsters have ridden into a town of bald-headed cat-like creatures called SANTERS. The brothers try to pull an old snake-oil flim-flam by promising a cure-all for the hair loss epidemic. While Hacklepuff plays the role of salesman, Sprocket emerges as a plant masquerading as a Santer. Sprocket begs to be chosen for the demonstration - even after Hacklepuff clearly chooses him.
Project: The Vardo Bros. in "Follicle Follies" or "Your Ass Is Grass"
Medium: Animation Storyboard
Ben chose a fun scene to showcase exaggerated gestures, as the Vardos are putting on a show worthy of a fast-talking huckster. This kind of sequence allowed Ben to pay homage to the mad-cap, frenetic pacing, visual sight gags, and fast-talking wits of Hollywood's Golden Age of animated shorts.
If you're working on a webcomic or an animated project, please don't hesitate to contact Ben for more details. There are some similar skills that go into creating a comic, so check out the multiple samplings that are there.
For other character designs, caricatures, or illustrations, don't hesitate to reach out and contact us!


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This is a place for Mario Spaladuchi to collect his wits, ahem excuse me, to write his recollections. It is the fond hope of his loving partner that ultimately hopefully and winsomely he will eventually transform the posts in his blog into a fascinating illuminating and rip-roaring autobiography…….
Or, one could say, after 8 years she's really tired of maintaining the website and is letting Mario loose on the world, unvarnished, without assistance or prodding…..


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The Best Ben Gazzara Movies
List Rules Vote for your favorite
List of the best Ben Gazzara movies, ranked best to worst with movie trailers when available. Ben Gazzara's highest grossing movies have received a lot of accolades over the years, earning millions upon millions around the world. The order of these top Ben Gazzara movies is decided by how many votes they receive, so only highly rated Ben Gazzara movies will be at the top of the list. Ben Gazzara has been in a lot of films, so people often debate each other over what the greatest Ben Gazzara movie of all time is. If you and a friend are arguing about this then use this list of the most entertaining Ben Gazzara films to end the squabble once and for all.
If you think the best Ben Gazzara role isn't at the top, then upvote it so it has the chance to become number one. The greatest Ben Gazzara performances didn't necessarily come from the best movies, but in most cases they go hand in hand.
The list you're viewing is made up of many different films, including Figlio mio infinitamente caro and Buffalo '66."This list answers the questions, "What are the best Ben Gazzara movies?" and "What are the greatest Ben Gazzara roles of all time?"
Ben Gazzara worked with many famous directors, including big names like Natalie Portman and Joel Coen.


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THINKING SYSTEMS solutions are installed at over twenty sites across Canada and are proudly distributed by Alliance Distribution Network (ADN) Canada. For more information please contact your local ADN Canada sales consultant Toll-Free in Canada at 877-434-5311 or visit www.adncanada.ca. Note: Any / all product names mentioned in this document may be trademarks or registered trademarks of their respective companies and are hereby acknowledged.
Thursday, October 07, 2010
Radiology, Cardiology And Molecular Imaging In the Cloud
Posted by Goodbuzz at 8:49 am No comments:
Labels: ADN Canada, Cardiology, Cloud computing, Molecular Imaging, PACS, Radiology, RIS, RSNA, RSNA 2010, Thinking Systems, ThinkingWeb Extreme
Thursday, August 12, 2010
Pre-owned 2009 GE VENTRI, Dual-Head Cardiac Camera Available
General Electric's (GE) Ventri is a fixed 90º dual-head system optimized for cardiac stress perfusion studies, PET/CT, and cyclotron business. Ventri incorporates design elements intended to increase patient comfort, such as a table with a 440-lb weight limit that can be lowered to a point where any patient can sit in it easily.
For more information, please visit ADN Canada's Refurbished Equipment listing.
For more information, please visit ADN Canada's Refurbished Equipment listing.
Posted by Goodbuzz at 8:16 am No comments:
Labels: ADN, ADN Canada, Camera, canada, CARDIAC, cyclotron, diagnostic, GAMMA, GE, MRI, nuclear, perfusion studies, PET/CT, refurbished, stress, used, Ventri, xceleris
Tuesday, July 27, 2010
Managing Nuclear Medicine Images Gets a Little Easier
"Managing Images Gets a Little Easier" was published by Health Imaging & IT | June 1, 2007 | Inside Molecular Imaging and was written by Jamie Bellavance
The typical PACS doesn't always cut it when it comes to nuclear medicine. Mainstream medical imaging technologies have not been designed to handle nuclear medicine's unique demands, proprietary protocols, or programs, which make them incompatible with radiology PACS. Hospitals nationwide are finding they have to explore new options when it comes to needs such as display functionality to support nuclear medicine studies. Some nuclear medicine departments have invested in pioneering nuclear medicine solutions or interfaced to radiology department PACS, while others prefer an enterprise-wide, integrated solution.
Nuclear medicine requires specific display capabilities, such as grayscale or color, functional, quantitative and fusion data. Static displays just won't do for dynamic nuclear medicine studies, planar gated studies, SPECT, PET or PET/CT. PET/CT image review involves viewing of transaxial, coronal and sagittal and maximum intensity projection (MIP) images. For that, physicians need a separate solution to translate data among different file formats.
Nuclear medicine departments across the country have integrated new image management models that facilitate nuclear medicine data flow to benefit department and enterprise workflow.
A solution for all needs
The University of Miami Hospital and Clinics (UMHC) in Miami, Fla., house a total of 120 beds, and conduct approximately 6,000 nuclear medicine procedures each year. UMHC has used Thinking Systems Corp.'s ThinkingPACS for image management in nuclear medicine since 2002. The system includes an MDStation for physicians to perform review of images, quantifications, and image fusion; a QC station for the technologists; and an archive system for archiving all the nuclear medicine images, including SPECT and PET/CT. The ThinkingPACS sends all the images to the radiology RIS-PACS, a GE Healthcare/IDX ImageCast for enterprise-wide access and archival.
UMHC has two ADAC Genesys dual-head SPECT cameras, one Philips Medical Systems Skylight dual-head SPECT camera, and a Philips Gemini PET/CT scanner. ThinkingPACS receives the image data from the SPECT cameras and the PET/CT scanner through proprietary and DICOM connectivity for the purpose of processing, quantification, display and review using the MDStation, and also for archiving.
UMHC chose ThinkingPACS because it is an open architecture, Windows-based system with a robust clinical software package with "the clinical programs, tools, utilities and all necessary functionality that we need in order to perform our work," says Mike Georgiou, PhD, assistant professor of Radiology and nuclear medicine physicist at UMHC.
The MDStation is used by the nuclear medicine physicians for review of all general nuclear medicine studies (bone, renal, liver/spleen, parathyroid, gastric, lung), SPECT processing and review, quantification for nuclear cardiac studies, and PET/CT fusion for oncology, neurology and cardiology studies. It has all the necessary display/review functions and analysis programs for nuclear medicine studies. For example, the physician has the ability to easily and efficiently manipulate the image data, perform comparisons with current and prior studies, and capture interesting cases for slide presentations, Georgiou says.
The technologists use the QC station to check images that have been acquired, and to ensure that the patient demographic information is accurate. Subsequently, the images are shipped to the university GE/IDX PACS for enterprise-wide access. The QC station also makes CDs.
Currently, UMHC is in the process of purchasing the Thinking Systems "plug-in" solution for its hospital PACS to meet the nuclear medicine needs — including PET and PET/CT — of referring physicians. The plug-in for third-party enterprise PACS, which they hope to install in a few months, will bring the nuclear medicine image programs, functions and tools to the hospital PACS in seamless fashion. The Thinking Systems web server will provide remote access to nuclear medicine images, allowing physicians to read studies from home or any remote location. "Most PACS lack the necessary functionality for nuclear medicine imaging," Georgiou says. "The Thinking Systems plug-in can provide this functionality and offer a complete PACS solution for nuclear medicine."
Eliminating manual intervention
Saint Joseph's Hospital in Marshfield, Wis., stored all nuclear medicine department quality control and patient data on optical disc until December 2004. They knew they needed to change that, says Mike Bull, manager of nuclear medicine, they just needed to figure out how. They also wanted to make sure that their solution would obscure raw data that shouldn't be seen by physicians.
NumaStore from Numa Inc. was the perfect choice, Bull says. The specialized PACS storage and image management system is designed for nuclear medicine data and studies. It offers secure, long-term storage of patient studies acquired over separate visits and the cataloging of those studies. It also supplies efficient retrieval in a way that facilitates and encourages comparative analysis. These abilities encourage a change in the way nuclear medicine is used, from simply a diagnostic snapshot to a long-term care patient management tool.
NumaStore receives information, or queries the workstation to get all the data, and stores them on the NumaStore server. Then NumaList — a DICOM modality worklist manager — sends only the screen-saved images to the PACS, which is all the referring physicians need to see. NumaList enables importing of vital hospital information system (HIS) and radiology information system (RIS) information into nuclear medicine DICOM headers. Following this, the patient file can be forwarded on to an imaging workstation or PACS.
For image and data storage, NumaStore eliminated the need for manual invention. Previously, if technologists needed to retrieve data, they had to manually locate the optical disc and load it in the drive. "Now, it's as easy as querying it back from NumaStore to any of our workstations," Bull says. They also don't misplace as many studies as they did with optical disc. Now that everything's automated, all studies get pulled or pushed to NumaStore.
An enterprise-wide solution
While some facilities favor a nuclear medicine department solution for image management, an enterprise solution is the choice of others. The radiologists at Diagnostic Radiology Consultants (DRC) wanted an enterprise-wide integrated solution to help read and interpret approximately 200,000 cases per year from the 11 facilities that they service across Chattanooga, Tenn., and northern Georgia. For this job, Specialty Networks, LLC was created as the information technology arm of the radiology practice. Specialty Networks is run by DRC, a private practice group of 10 radiologists who review images in nuclear medicine, MR, CT, and ultrasound for facilities that range from a 300-bed community hospital, to a single CT scanner owned by a urology group.
Three years ago, Specialty Networks was dealing with three PACS and two RIS platforms, all from different vendors, and each with a separate workstation, logon and password. To improve efficiency, they researched a seamless, integrated solution from one vendor that would keep all their databases in sync, using one logon, one keyboard and one mouse.
In 2005, they chose Siemens Medical Solutions syngo Suite to integrate RIS, PACS, post processing and transcription. Syngo Workflow manages the exchange and distribution of patient data and images. Syngo Imaging covers the PACS applications for diagnostic preparation, quality assurance and interpretation. Syngo Voice provides voice recognition and transcription. Specialty Networks also chose Siemens' partner NextGen Healthcare Information Systems to provide its electronic practice management (EPM) solution. In all, Specialty Networks implemented seven workstations at facilities throughout their network.
With syngo Suite, dedicated workstations for nuclear medicine imaging aren't necessary, allowing smoother integration while reading other radiology images such as CT and MR. "We weren't looking for a specific nuclear medicine solution. What we wanted was the solution that brought nuclear medicine into the normal workflow. The last thing you want as a radiologist is a separate workflow for separate types of exams," says Jim Busch, MD, CEO of Specialty Networks. The nuclear medicine gamma cameras, including the Siemens' Biograph 16, Symbia T6, Symbia S, and Orbitor gamma camera, as well as a Philips Forte gamma camera, simply plug into syngo Suite, and transfer images to the PACS, Busch says.
The syngo Suite worklist allows radiologists to search for patient images by patient name, medical record number, date, facility, or referring physician. Worklists are organized by priority, need and the radiologist's physical location, Busch says. For example, while Busch may be located at Tennessee Imaging, half of the exams could be from another facility 50 miles away.
Specialty Networks brought 10 facilities onboard with syngo Suite in about nine months. And the results are impressive: Volume has increased about 15 percent, while workflow efficiency has jumped 27 percent. Report turn-around time also has been cut considerably — dropping to just an hour from 24 hours.
Keeping up with NM
Since radiology PACS often struggle to manage nuclear medicine image needs, vendors have come to the table with specific nuclear medicine solutions that can seamlessly relay data to the department or enterprise-wide hospital PACS. Nuclear medicine departments can now provide fast, accurate image interpretation across proprietary vendor image formats while boosting efficiency and workflow.
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About Thinking Systems Corporation
Thinking Systems is an innovative medical software developer and marketer that brings the power of digital technology to advanced clinical, as well as image management applications, creating highly functional and fully automated imaging environments. With a unique vision of comprehensive enterprise-wide digital image workflow, Thinking Systems' product portfolio supports the most complete spectrum of imaging modalities available today. Providing truly customized implementations, Thinking Systems translates the power of its versatile product portfolio and expertise into highly effective solutions tailor-made for each installation. Founded in 1996, Thinking Systems' cutting edge ThinkingPACS and ThinkingRIS have been helping prestigious hospitals and freestanding imaging centers, both large and small, enjoy a fully digital environment. To learn more about Thinking Systems, visit www.thinkingsystems.com.
THINKING SYSTEMS solutions are installed at over twenty sites across Canada and are proudly distributed by Alliance Distribution Network (ADN) Canada. For more information please contact your local ADN Canada sales consultant Toll-Free in Canada at 877-434-5311 or e-mail.
Note: Any / all product names mentioned in this document may be trademarks or registered trademarks of their respective companies and are hereby acknowledged.
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Labels: ADN, ADN Canada, canada, Cardiology, Catheterization, Diagnostic Imaging, DICOM, Echocardiology, Fusion, Information System, nuclear, PACS, PET-CT, Radiology, RIS, Ultrasound, UltraSPECT
Fletcher Allen Health Care Chooses Thinking Systems' ThinkingPACS PET-CT, Nuclear Cardiology, Nuclear Medicine, and Other Cardiology Solutions
Solutions To Be Integrated With Existing McKesson PACS
St. Petersburg, FL and Burlington, VT (November 22, 2006) – Thinking Systems Corporation, recognized as one of the most innovative medical imaging software developers for its broad product portfolio designed to support the spectrum of modalities, today announced that Fletcher Allen Health Care, a Burlington, VT, teaching and community hospital which operates in partnership with the University of Vermont, has signed an agreement to purchase its latest flagship ThinkingPACS solutions.
Thinking Systems' solutions, including ModalityBroker, will be integrated with Fletcher Allen Health Care's existing McKesson Horizon Medical Imaging PACS solution to provide enterprise-wide support of specialty modalities such as PET-CT, nuclear cardiology, and nuclear medicine. The new installation will also include Thinking Systems' enhanced PACS features, including hanging protocols, key images, and presentation states, which are DICOM 3.0 2006 conformant.
"We are excited to showcase our flagship ThinkingPACS solutions at one of the most respected healthcare facilities on the East Coast," said Xiaoyi Wang, President and co-chairman, Thinking Systems Corporation. "This is a significant installation in that it will include new enhancements to provide extended interoperability with Fletcher Allen Health Care's existing McKesson PACS solution."
"We chose Thinking Systems' ThinkingPACS to complement our McKesson enterprise PACS because after evaluating our options, we determined that Thinking Systems offers outstanding PACS solutions for PET-CT, nuclear cardiology, and nuclear medicine," said Frank Harris, Vice President of Information Services, Fletcher Allen Health Care. "With the integration of ThinkingPACS into McKesson's Horizon Medical Imaging solution from the same workstation, our physicians will be able to access images of all modalities with the appropriate clinical tools and compare them side by side. The resulting system based on the cooperation of Thinking Systems and McKesson will not only improve the efficiency of our physicians but also improve the quality of our services."
About Thinking Systems Corporation
Thinking Systems is an innovative medical software developer and marketer that brings the power of digital technology to advanced clinical, as well as image management applications, creating highly functional and fully automated imaging environments. With a unique vision of comprehensive enterprise-wide digital image workflow, Thinking Systems' product portfolio supports the most complete spectrum of imaging modalities available today. Providing truly customized implementations, Thinking Systems translates the power of its versatile product portfolio and expertise into highly effective solutions tailor-made for each installation. Founded in 1996, Thinking Systems' cutting edge ThinkingPACS and ThinkingRIS have been helping prestigious hospitals and freestanding imaging centers, both large and small, enjoy a fully digital environment. To learn more about Thinking Systems, visit www.thinkingsystems.com.
About Fletcher Allen Health Care
Fletcher Allen Health Care, in alliance with the University of Vermont College of Medicine, is Vermont's only academic health center and is one of 125 in the country. Fletcher Allen also serves as the community hospital for the greater Burlington area. Fletcher Allen has more than 6,000 employees and serves one million people in Vermont and northern New York through more than 40 patient care sites and 100 outreach clinics.
Thinking Systems US Contact:
Xiaoyi Wang, President
+ 1-727-217-0909
Thinking Systems Canada Contact:
THINKING SYSTEMS solutions are installed at over twenty sites across Canada and are proudly distributed by Alliance Distribution Network (ADN) Canada. For more information please contact your local ADN Canada sales consultant Toll-Free in Canada at 877-434-5311 or e-mail. Note: Any / all product names mentioned in this document may be trademarks or registered trademarks of their respective companies and are hereby acknowledged.
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Labels: ADN, ADN Canada, Alliance Distribution Network, Diagnostic Imaging, Fletcher Allen Health Care, McKesson, PACS, RIS, Thinking Systems
Thursday, July 08, 2010
An X-Ray Spectrometer using state-of-the-art detector technology will be launched this year on the Clark spacecraft, one of two missions to be flown as part of the Small Spacecraft Technology Initiative. Under SSTI, NASA funded the development of "Clark," a high technology demonstration satellite to provide 3-m resolution panchromatic and 15-m resolution multispectral images, as well as collect atmospheric constituent and cosmic x-ray data. The 690-Ib. satellite, to be launched in early 1997, will be in a 476 km, circular, sun-synchronous polar orbit.
The primary objective of this mission is to demonstrate new technologies for small spacecraft. In keeping with this philosophy, we use two new types of semiconductor X-ray detectors, both operating near room temperature: avalanche photodiodes and cadmiumzinc-telluride detectors. The main purpose of flying these detectors is to test them in a space environment so that they can be used with confidence on future space missions. Measurements of solar flare and gamma-ray burst X-ray emissions will also be made as well as atmospheric constituent and cosmic x-ray data. Digirad will measure these emissions.
To assist, Digirad developed a new class of solid-state detector arrays with microelectronics readout circuitry for two-dimensional imaging of x-ray and gamma ray fields in support of next-generation Earth and space science mission requirements. The approach uses cadmium zinc telluride (CZT), a new room temperature detector material first developed by Digirad. Recent results show that CZT detector arrays can exhibit high detection efficiencies and superior energy resolution from below 1 kev to above 600 kev. CZT detectors are robust and lightweight; and can be patterned in a variety of array structures, with pixel dimensions to well below 100 m.
The innovation of producing CZT imagers suitable for space meets the needs of NASA small missions initiatives.
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For more information in Canada on Digirad's solid-state technology for advanced Nuclear Imaging, please contact your local ADN Canada sales consultant Toll-Free in Canada at 1-877-434-5311 or via e-mail. Note: Any / all product names mentioned in this document may be trademarks or registered trademarks of their respective companies and are hereby acknowledged.
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Labels: ADN, ADN Canada, arrays, Clark spacecraft, CZT, Digirad, gamma-ray burst X-ray emissions, images, multispectral, panchromatic, solid-state detector, Spectrometer, X-Ray
Tuesday, June 15, 2010
Thinking Systems for Cardiovascular PACS (CV-PACS) were the winner of Frost + Sullivan's Technology Leadership Award for demonstrating "excellence in technology within ones industry". The prestigious award further recognizes "excellence in all stages of the technology life cycle – incubation, adaptation, take-up, and maturity – to ensure a continuous flow of improvements, innovation, leading-edge concepts, and pioneering client applications".
THINKING SYSTEMS were also the highest rated CVPACS vendor by independent KLAS and are (proudly) some of the industry's most comprehensive and feature-rich suite of general and specialized PACS and RIS (Radiology Information System) solutions available today. We encourage you to find out how Thinking Systems technology can help to change the way you manage your practice.
+ Integrating Modalities to Philips iSite PACS through Thinking Systems
+ Integrating Modalities to Enterprise PACS through Thinking Systems
+ Integrating Molecular Imaging into Enterprise PACS
+ Integrating Modalities to Enterprise PACS through Thinking Systems
+ Integrating Molecular Imaging into Enterprise PACS
THINKING SYSTEMS solutions are installed at over twenty sites across Canada and are proudly distributed by Alliance Distribution Network (ADN) Canada. For more information please contact your local ADN Canada sales consultant Toll-Free in Canada at 877-434-5311 or e-mail. Note: Any / all product names mentioned in this document may be trademarks or registered trademarks of their respective companies and are hereby acknowledged.
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Labels: ADN, ADN Canada, Cardio, CT, Diagnostic Imaging, DICOM, Fusion, Infoway, ISITE, medical, medicine, nuclear, PACS, PET, Radiology, refurbished, SPECT, Thinking Systems Corporation, UltraSPECT
Monday, June 14, 2010
View Ostercore Brochure
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With over ten years in business in Canada and over twenty PACS sites installed, Alliance Distribution Network (ADN) distributes KLAS Award winning Thinking Systems PACS and RIS solutions across Canada, as well as both Digirad, Medi-Link, Esaote, and UltraSPECT respectively. For additional information please contact ADN directly Toll-free at 1-877-434-5311 or via email Alternatively, please feel free to join the discussion on our new Facebook Page.
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Labels: ADN, ADN Canada, BMD, CARDIAC, Cedars, DENSITOMETER, DICOM, Digirad, Emory Toolbox, esaote, FBP, geriatric, MEDILINK, OSTEOCORE 3, OSTEOPOROSIS, QGS, QPS, REFURBISHED MRI, Thinking Systems, UltraSPECT
Sunday, June 06, 2010
Xpress/Xact.Bone™ - Cut Scan Times in Half - or - Double the Resolution.
Through an exclusive Canadian agreement, ADN Canada is offering Xpress/Xact.Bone™ which utilizes UltraSPECT®'s Wide Beam Reconstruction (WBR™) technology to either cut bone imaging acquisition times in half, or double the image resolution. Xpress/Xact.Bone™ completes a whole-body acquisition in less than eight minutes – and can display your standard high-resolution images at a quality never before seen in nuclear imaging. We encourage you to find out how UltraSPECT® WBR™ technology can help to change the way you manage your cardiology practice.
- Dramatically reduced scan times
- Superior image quality
- Increased patient throughput and department productivity
- Improved patient comfort and reduced patient motion
- Seamless integration and automated operation
For more information on Xpress.Cardiac™ in Canada, please contact ADN Canada. Your local ADN Canada sales consultant can provide you with product information brochures. You can also obtain additional information on the UltraSPECT website (www.ultraSPECT.com). We encourage you to find out how UltraSPECT® WBR™ technology can help to change the way you manage your cardiology practice.
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With over ten years in business in Canada and over twenty PACS sites installed, Alliance Distribution Network (ADN) distributes KLAS Award winning Thinking Systems PACS and RIS solutions across Canada, as well as both Digirad, Medi-Link, Esaote, and UltraSPECT. For additional information please contact ADN directly. Alternatively, please feel free to join the discussion on our new Facebook Page.
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Labels: ADN, ADN Canada, CARDIAC, Cedars, DICOM, Emory Toolbox, FBP, geriatric, icanl, IRT, LVEF, pediatric, QGS, QPS, refurbished, SPECT, UltraSPECT
Saturday, June 05, 2010
Xpress.Cardiac™ - Cutting Scan Times in Half.
Xpress.Cardiac™ utilizes UltraSPECT®'s Wide Beam Reconstruction (WBR™) technology to cut cardiac imaging acquisition times in half without compromising image quality. Xpress.Cardiac™ will complete a gated stress myocardial perfusion study in as little as six minutes and a rest SPECT acquisition study in less than eight minutes. Xpress.Cardiac readily connects to most cameras and workstations. Robust, reliable and fully automatic, with a single processing protocol for all patients, it is virtually transparent to clinical work-flow.
◦ Dramatically reduced scan times
◦ Superior image quality
◦ Increased patient throughput and department productivity
◦ Improved patient comfort and reduced patient motion
◦ Seamless integration and automated operation
For more information on Xpress.Cardiac™ in Canada, please contact ADN Canada.
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With over ten years in business in Canada and over twenty PACS sites installed, Alliance Distribution Network (ADN) distributes KLAS Award winning Thinking Systems PACS and RIS solutions across Canada, as well as both Digirad, Medi-Link, Esaote, and UltraSPECT. For additional information please contact ADN directly. Alternatively, please feel free to join the discussion on our new Facebook Page.
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Labels: 4DM SPECT, ADN, ADN Canada, CARDIAC, Cedars, DICOM, Emory Toolbox, FBP, geriatric, icanl, IRT, LVEF, pediatric, QGS, QPS, refurbished, SPECT, UltraSPECT
Friday, May 21, 2010
By Beth W. Orenstein, Radiology Today, Vol. 10 No. 19 P. 22
Bringing the functionality of nuclear medicine workstations onto the enterprise PACS is a true challenge, with most facilities employing one of three approaches. Nuclear medicine was the first imaging modality to network and go digital. Nuclear medicine images are complex. Studies consist of four dimensions, use color to represent diagnostic information, and require dynamic image display. Sophisticated modality workstations have long allowed nuclear medicine physicians to reconstruct, review, and/or reprocess these studies as the reader desires. However, most facilities find their nuclear medicine workstations aren't compatible with their PACS.
"What makes nuclear medicine/molecular imaging work so effectively is also what breaks PACS," says Xiaoyi Wang, PhD, president, co-CEO, and cofounder of Thinking Systems Corporation, a PACS company that grew out of radiologists' need to work with nuclear medicine, PET, ultrasound, and catheterization lab images.
Nuclear medicine imaging is functional rather than anatomical imaging, which is what makes the modality intrinsically difficult, Wang explains. "For functional imaging, obtaining images is only the first step. The more important steps are how to process and view the images in meaningful ways, as well as how to analyze the images to make an accurate diagnosis. Unlike most other modalities, for which you just need to acquire images and present them, as is done on PACS, molecular imaging requires a comprehensive suite of tools that are not necessarily available on a PACS workstation."
Another obstacle to combining nuclear medicine and PACS, Wang says, is that molecular images are formed by collecting radiations from patients that are generated by injecting them with radioactive isotopes. "Compared to other modalities, information available to form images is very limited. To improve image quality, manufacturers have devised their own special technologies. These special technologies often result in proprietary information that no other vendor can support," he notes.
Legacy Modalities
Yet another problem is that many institutions still use "legacy" nuclear medicine equipment from the 1980s and 1990s that do not support DICOM standards for distributing and viewing any kind of medical image. "For such old equipment, it is simply impossible to send images to PACS," Wang says. "Even many of the devices that claim to be DICOM compatible only support sending screen captures at best." Connecting these legacy devices to PACS is a major problem for many institutions, he says.
Finally, being able to store raw molecular imaging data on PACS and bring the data back to the modality is a challenge. "Most PACS either will not accept raw data or, when you retrieve the raw data back, it is no longer usable," Wang says. That is why "the majority of healthcare institutions still do not use PACS for archiving molecular imaging data long term. In fact, the majority of nuclear medicine departments still maintain their own archive on CD/DVD, MOD [magneto-optical disks], or mini-PACS," he explains.
In recent years, some solutions to the nuclear medicine/PACS dilemmas have emerged as more hospitals adopt facilitywide PACS and, in many cases, move on to their second- and third-generation systems. To solve the nuclear medicine image management problem, most facilities pursue one of three approaches.
One strategy is to use a nuclear medicine-based PACS and viewer that will function as a plug-in feature to the facility's existing PACS. Thinking Systems' plug-in to Philips' iSite PACS is one example of this solution type. Another approach is to deploy and maintain separate systems for PACS and nuclear medicine studies. Many facilities use separate nuclear medicine mini-PACS solutions such as Numa's NumaLink or NumaStore.
The third approach is to use an enterprise PACS designed to be friendly with nuclear medicine images. Thinking Systems' ThinkingPACS is an example; it allows readers to use the same workstations to view and fuse all studies, regardless of their origin or vendor. Each solution has pluses and minuses, including cost, compatibility, and efficiency of both the technologists' and physicians' time. Here's a look at them and their pros and cons.
Plug-In Solutions
Today, the majority of healthcare institutions have implemented enterprisewide PACS for general radiology. That's why Thinking Systems developed plug-in and add-on solutions for some widely used enterprise PACS platforms, including Philips' iSite PACS and Fujifilm's Synapse PACS. "Thinking Systems' plug-in and add-on provide the comprehensive solutions that our stand-alone PACS offers but within the third party's PACS environment," explains Wang. "This integration not only brings all modalities into a single PACS platform to improve productivity and quality of patient care, but it also generates significant savings in time through accurate and efficient workflow for the institutions."
The nearly 30 radiologists of Radiologic Associates of Fredericksburg who work at Mary Washington Hospital in Fredericksburg, Va., and seven medical facilities within a 15-mile radius chose Thinking Systems' plug-in solution for their Philips iSite PACS. Neil B. Green, MD, vice chairman of radiology and physician director of nuclear medicine, says they already had a PACS system with which they were satisfied. "It came close to everything we needed, so we weren't ready to abandon it," he says, "but like so many other PACS vendors, nuclear medicine review was sorely lacking."
The group's radiologists wanted to have full desktop integration of all their applications on one unit. "It wasn't making sense to have to purchase expensive dedicated workstations for every location the subspecialist might be reading from," Green says. "We needed to find a way to build the tools into our standard PACS workstations across the enterprise to allow any subspecialty radiologist to read from any location and permit consultation with referring physicians from the same computer."
Having the plug-in has improved workflow tremendously, according to Green. "We have about 22 iSite PACS workstations, and you can now sit at any one of them and read any type of exam, including nuclear medicine studies [eg, general, cardiac, SPECT/CT, and PET/CT]. All of the nuclear medicine images are stored and managed on our regular PACS archives. This means that all nuclear medicine studies, just like general exams on PACS, are part of our daily exam worklists and can be interpreted on any standard PACS workstation via the Thinking Systems plug-in. Comparison exams are always immediately accessible with no reprocessing required by the nuclear medicine technologist." It also means that the results are available sooner for anxious patients and their families, he adds.
Is there a downside to this solution? From a radiologist's perspective, "I don't see one," Green says. However, he adds, "I have had some technologists complain that they're not as involved in preparing and processing the nuclear medicine images, since much of this role is being performed automatically by the plug-in."
Separate Systems
There are some nuclear medicine mini-PACS that address connectivity and data storage issues, such as NumaStore software. Think of it as a plug-in to the PACS archive/server that fully supports nuclear medicine and PET/CT, where others offer a plug-in to the PACS display, says Larry Smith, president/owner of Numa.
"Numa's solutions can archive all the data types generated by nuclear medicine and PET/CT and maintain the data with the proprietary information so that the studies can be recalled, reprocessed, or reviewed on a nuclear medicine or molecular imaging workstation," he says.
It can make sense for many facilities to have separate archives for nuclear medicine studies in order to maintain all the capabilities and advanced features available in a molecular imaging workstation, he says. Another reason to have a separate nuclear medicine archive is to keep teaching and research studies separate from the clinical PACS.
The NumaStore software application also can be installed on a facility's existing PACS server and share the archive storage space, Smith says.
NumaStore can be configured to automatically pull images from the molecular imaging workstation and forward images that are compatible to the PACS. PACS users and molecular imaging workstation users can query NumaStore for studies, Smith explains. NumaStore supports both DICOM and non-DICOM studies from various vendors and makes them compatible with all the workstations.
Nuclear Medicine-'Friendly' PACS
"What makes Thinking Systems' ThinkingPACS different from other PACS is that our product provides comprehensive PACS/RIS solutions for nuclear medicine/molecular imaging in addition to general radiology and cardiology," Wang says.
ThinkingPACS has several functions designed for molecular imaging, including the ability to communicate with any vendor's modality devices, either through DICOM or proprietary communication protocols, and to receive, retrieve, and send all image types in true DICOM or proprietary formats without losing any vendor-specific information. "With ThinkingPACS, you can communicate bidirectionally with other imaging devices in the enterprise and ensure that the data integrity and vendor-specific information are preserved," Wang says. With this nuclear medicine-friendly PACS, physicians are able to do PET/CT fusion, SPECT/CT fusion, nuclear cardiology processing and quantifications, and general nuclear medicine view, processing, and quantifications, he adds. Clinical solutions are available enterprisewide through either thick-client workstations or Web-based thin-client approaches.
The disadvantage to this solution is obviously cost. "If an existing PACS is to be replaced by a PACS with comprehensive solutions for nuclear medicine/molecular imaging, such as ThinkingPACS, then there is an obvious cost associated with it," Wang says. The facility would have to decide whether the cost is justified, which could depend on how many nuclear medicine studies it does per day. Facilities that specialize in cancer may have a higher volume of PET and other nuclear medicine studies.
While Thinking Systems was founded specifically to address PACS issues with nuclear medicine images, other companies have taken steps to make their PACS offerings more compatible with the demands of nuclear medicine.
Christine Cooper, MS, CNMT, RT(n), director of radiology and cardiology/neurology at Griffin Hospital in Derby, Conn., chose a module by CoActiv Medical Business Solutions to integrate its nuclear medicine studies with its CoActiv PACS. The hospital, which has 26 radiologists, does about 80,000 imaging studies per year, of which nuclear medicine is a relatively small portion, or about 3,600 exams.
Cooper explains her choice: "My goal was to have all my imaging data in one place, and we've accomplished that goal. If I had a separate PACS just for nuclear medicine, it would be another server to manage, and I want all my data on one server." However, she says, "Traditionally, once the nuclear medicine data is archived on the PACS, it can no longer be manipulated, and only the data that is not proprietary goes over to the PACS. Physicians can look at the images but not the actual full analysis."
Still, Cooper finds that the system works well for their needs. "From a labor perspective, it creates a more efficient workflow when you have a central repository. You can hit a button and everything goes to a PACS. CoActiv also offers more advanced options for viewing nuclear medicine studies that allows for an interactive platform, which can solve both issues," she says.
Rasu Shrestha, MD, medical director for imaging informatics at the University of Pittsburgh Medical Center, which has had a Philips iSite nuclear medicine and PACS solution for roughly five years, says it was the best choice for his center that includes 20 hospitals and 30 imaging centers performing more than 2 million imaging studies each year. It has not added the Thinking Systems plug-in to its iSite system.
The system alone has some limitations for nuclear medicine, according to Shrestha. "We can't do everything," he says. "There are some advanced features available via plug-ins for the nuclear medicine studies that we don't have, but it's advantageous to have the one system for reading the nuclear medicine and other imaging studies. It's more patient centric and drives the workflow."
Since mid-July, Carmichael Imaging in Montgomery, Ala., which does about 16 to 20 PET scans, 10 to 12 MRIs, and about 30 CTs per day, has utilized Siemens' syngo TrueD, a whole-body imaging solution, on its PACS system so it can read any study from anywhere, says Patrick Rucker, MD, one of its three radiologists. The system registers data sets obtained using PET/CT, SPECT/CT, CT, and MR, allowing exams of patients scanned at different times—before and after therapy, for instance—to be compared.
Rucker says that previously the center, specializing in oncology, had separate workstations for its PET scanners. "It was good, but it wasn't as efficient as it is now," Rucker says. "Before, if you needed to look at a study that involved a PET scan and a CT, you would have to go back and forth between the two different workstations. I would have to either stop what I was doing and call the technician and say, 'Please send the study to me,' or I would have to find the old study myself and send it to my Siemens workstation and wait for the study to come over. With the new system, it's just drop and drag and in 15 seconds, it's loaded. It really has cut down on wasted time."
Being able to look at all the images on the same workstation improves not only efficiency but also accuracy, Rucker says. "The less you look at an image, the more time it takes you. You lose your train of thought and could miss important details. With this system and its ability to fuse the images from the different modalities, my eyes never leave what I'm looking at and that makes it more accurate."
The one disadvantage to adopting the new system, Rucker says, "is that you have to replace your PACS and go through the update process, but I had no interaction with that," he says.
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Beth W. Orenstein is a freelance medical writer based in Northampton, Pa. She is a regular contributor to Radiology Today.
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Labels: ADN, ADN Canada, Cardiology Reporting System, Diagnostic Imaging, Image Management, Information Management, medical, Nuclear Cardiology, PACS, PET-CT Fusion, Radiology Information System (RIS)
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Back in 2014 [Johan] decided to celebrate BASIC's
30 50 year anniversary by writing his own BASIC interpreter. Now, a few years later, he says he feels he has hit a certain milestone: he can play Flappy Bird, written in his own version of BASIC, running on his own home-built computer, the BASIC-1.
Inside the BASIC-1 is an Atmel XMega128A4, a keyboard from a broken Commodore 64, a joystick port, a serial to TV out adapter, and an SD card adapter for program storage. An attractively laser-cut enclosure with kerf bends houses the keyboard and hardware. The BASIC-1 boots into BASIC just like many of its home computer counterparts from the 80s.
Continue reading "Flappy Bird Is The New "Does It Run Doom?""


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Guilds are ways for like-minded players to come together and help each other with quests, pvp, instances, and end game raiding. Being a good guild is one of the most rewarding and fun aspects of World of Warcraft. Running a good guild is like being the captain of a winning sports team - everyone loves you for it and you have a blast. However, running a guild successfully is also fairly difficult.
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Rancilio Silvia M
Price $715
Single boiler
Iron frame
Stainless steel housing
58mm portafilter
The Rancilio Silvia is a wonderfully reliable 0.3 liter, single boiler, home machine. Despite It's limited capacity the Silvia produces great steaming power and remarkable recovery time between shots*. Its simple, robust construction ensures less problems with repairs and the new boiler takes advantages of the latest advancements in metallurgy, now using the latest version of lead-free brass in its construction.
* For best results on single boilers, we recommend steaming milk first, then running a shot worth of water through the group head to cool it down before pulling a shot.
Quick Mill Alexia Evo With PID
Price $1,545
9" W x 15.75" D x 15.25" H
38 lbs.
304 grade Stainless steel construction
Single boiler
E-61 group head
Ulka 52 watt vibratory pump
58mm portafilter
Thermosyphon circulation (maintains consistent brewing temperature)
3 liter water reservoir with a precise magnetic low water level switch
The Alexia Evo is an entry level machine featuring the E-61 group head with thermosyphon circulation to its 0.75 liter, single boiler*. It has a 304 grade stainless steel construction, with swivel mounted, two-hole steam wand and accommodates a 58 mm portafilter. The Alexia also features a 3 liter reservoir with precise magnetic low water sensing switch, so you know when to add water to the reservoir tank.
* For best results on single boilers, we recommend steaming milk first, then running a shot worth of water through the group head to cool it down before pulling a shot.
All Quick Mill boilers are now coated with T.E.A. reducing the possibility of metal and mineral scale residue in your coffee.


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Please click anywhere to continue browsing our site.
Could your vehicle be in need of a tune up? Let Glen Allen Transmissions & Complete Auto Care help you determine the best maintenance plan to keep your car or truck at its optimal performance.
Glen Allen Transmissions & Complete Auto Care has been your local auto and truck repair center in Ashland, VA for more than a dozen years. Our NAPA AutoCare Center specializes in transmission repair, but we also have ASA and ASE-certified technicians ready to handle all repairs and service options except state inspections, wheel alignments, and tires. We're open Monday through Thursday 8:00 AM to 5:00 PM and Friday 8:00 AM to 4:00 PM at 510 Pleasant St. Suite A in Ashland, VA. We offer towing during business hours. We're certified by ACDelco, Advanced Auto Parts, Be Car Care Aware, Federated Car Care, O'Reilly Auto Parts, and more. Our experts handle classic car repair and we have performance parts and accessories available.
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Yes. We know that reservations can go quickly at each of our locations. If you are unable to find an appointment time, we encourage you to sign up for our wait list via our online reservation system or by calling 800.850.4406.
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Biomedical Specimens and Population Research
Many CPC projects incorporate biomedical specimen collection and assays in their research. The expansion of the field of biochemical and molecular assessment of health allows population researchers to use new indicators that can measure exposures to adverse external agents, subclinical health effects or disease status, or innate susceptibility to health effects.
A wide range of population-related research can benefit from integrating biological assessments with social, behavioral, and contextual data to address topics such as:
- aging
- burden of disease
- life course factors in health
- developmental processes
- evaluation of interventions
- nutritional status
- perinatal, child, and reproductive health
CPC research projects have access to staff who can assist the research team in collecting biological specimens to address their research aims.
Services include advice, referral, and updates in new developments in biomedical assessment and interpretation, along with advice about protocols for collection, storage, and management of specimens.


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Project description
Located 20 kilometres north-west of the Tom Price Process Plant, the Western Turner Syncline plant development is part of Rio Tinto's Western Turner Brockman project, which aims to increase production on the Western Turner Syncline road haulage and overland conveyor operations. Monford completed civil and concrete works for the construction of a heavy and light vehicle maintenance facility, including workshops, refuelling areas, wash-down areas, tyre changing and store area, First Aid building and security gatehouse, and interconnecting services and
supporting infrastructure.
Scope of work


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BWM Global Treaty to Halt Invasive Aquatic Species Now in Effect
September 12, 2017 •
The International Convention for the Control and Management of Ships' Ballast Water and Sediments (BWM Convention) went into effect on Sept. 8, 2017. The BWM Convention seeks to stop the spread of potentially invasive aquatic species by requiring ships to manage their ballast water to remove, render harmless, or avoid the uptake or discharge of aquatic organisms and pathogens within ballast water and sediments.
The BWM Convention was adopted in 2004 by the International Maritime Organization (IMO), the United Nations' specialized agency with responsibility for developing global standards for ship safety and security and for the protection of the marine environment and the atmosphere from any harmful impacts of shipping.
The International Paint and Printing Ink Council, for which ACA serves as Secretariat, works on this issue through its Marine Coatings Technical Committee (MCTC). The MCTC is currently examining whether increasingly aggressive ballast water treatment systems using active substances that are anticipated to be installed as a result of this Convention could potentially impact ballast talk linings currently subject to approval under the IMO's Performance Standard for Protective Coatings requirements.
Ballast water is routinely taken on by ships for stability and structural integrity. It can contain thousands of aquatic microbes, algae and animals, which are then carried across the world's oceans and released into ecosystems where they are not native. Untreated ballast water released at a ship's destination could potentially introduce new invasive aquatic species. Expanded ship trade and traffic volume over the last few decades have increased the likelihood of invasive species being released. Hundreds of invasions have already taken place, sometimes with devastating consequences for the local ecosystem, economy and infrastructure.
Under the BWM Convention all ships must carry a ballast water record book and an International Ballast Water Management Certificate. All ships engaged in international trade are also required to manage their ballast water to avoid the introduction of alien species into coastal areas, including exchanging their ballast water or treating it using an approved ballast water management system.
Initially, there will be two different standards, corresponding to these two options:
- The D-1 standard requires ships to exchange their ballast water in open seas, away from coastal waters. Ideally, this means at least 200 nautical miles from land and in water at least 200 meters deep. By doing this, fewer organisms will survive and so ships will be less likely to introduce potentially harmful species when they release the ballast water.
- D-2 is a performance standard which specifies the maximum amount of viable organisms allowed to be discharged, including specified indicator microbes harmful to human health.
New ships must meet the D-2 standard from Sept. 8, 2017, while existing ships must initially meet the D-1 standard. An implementation timetable for the D-2 standard has been agreed, based on the date of the ship's International Oil Pollution Prevention Certificate (IOPPC) renewal survey, which must be undertaken at least every five years.
Eventually, all ships must conform to the D-2 standard. For most ships, this involves installing special equipment.
Shipboard ballast water management systems must be approved by national authorities, according to a process developed by IMO. Ballast water management systems have to be tested in a land-based facility and on board ships to prove that they meet the performance standard set out in the treaty. These could, for example, include systems which make use of filters and ultraviolet light or electrochlorination.
Note that the coming into force of the BWM Convention has no impact on the requirement to comply with existing U.S. Coast Guard requirements, which differ in some important respects from the IMO requirements and are imposed on ships in U.S. waters under U.S. port state authority.
Per the IMO, to date, more than 60 ballast water treatment systems have been given type approval.
Contact ACA's Allen Irish for more information.


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Bruce & Jeanne
Bruce Lubin and Jeanne Bossolina-Lubin are the authors of the bestselling book series Who Knew?, which has helped almost a million Americans (and counting!) save money with easy-to-use household tips and tricks. More importantly, they're the proud parents of three boys, who have taught them more about maintaining a chaotic household than any book could!
After years of finding fun ways to save money through everyday hints and tips, they started their own business in hopes of sharing their knowledge with others. Since then, they have written more than a dozen books, started a series of low-priced ebooks, and launched an online one-stop resource for making life a little easier! Now considered household experts and consumer advocates, Bruce and Jeanne answer hundreds of questions each month through their website, WhoKnewTips.com.
Bruce and Jeanne have been
gathering money-saving tips for
over two decades!


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Prom Dresses are Over./
Prom Dresses are Over.
I had a little life realization last week. At a consignment store in town. I was dropping off some clothes, and decided to take a moment to browse. Everett was happily gnawing on a pacifier, all strapped onto me in the Ergo, like my bitty baby kangaroo, and I decided, "why not just flip through the spring clothes?" Because, well, when do I ever go to clothing stores these days? I'll answer that for you. NEVER.
So there I was, flipping through garments, touching all the gently used fabrics and imagining their previous life before they found their way here... then something caught my eye. Across the room. Something glinting in the sunlight that streamed through the dusty windowpane. Prom dresses. Kind of loud ones. I walked toward the section and just took a moment. Took it all in.
Oh, the ridiculously saturated colors, all primary shades of pinks, blues and purples. The sequins and glitter and taffeta and insane cut-outs (is it just me, or are prom dresses much skankier these days? It's probably just me. I've probably become a total prude. Alright alright. I was always a total prude.) But it hit me in that moment, staring at the gowns.
I'm a mom now. I don't go to the prom anymore. It doesn't occur to you the day you buy your last prom dress that it's the day you buy your last prom dress.
When I was in high school and college, there seemed to always be some formal event on the horizon, a reason to keep an eye on the prom dress section of the store. Homecoming, winter formal, prom, graduation, etc. And just a few years ago, I was the wife of a business school student, and again, there seemed to always be a reason to be dress shopping. Dinners, cocktail parties, formal celebrations - I often found myself trading dresses with friends, pulling out old prom and homecoming dresses, and shopping the outlets around prom season. It's been a lot of years of "prom dress shopping". And standing here, in the middle of this dusty consignment store, I was suddenly aware that those days were over. I wouldn't prom dress shop again unless it was going to be with my daughter. Gulp.
If I ever have a daughter.
Okay lets just be real. IF I EVER GIVE BIRTH AGAIN.
You see what I mean. It was kind of a moment.
Everett just kept gnawing on his pacifier. Chewing. He chewed on my face a bit too. He's seriously teething.
Some things in life are stark and weird and silly, all at once. It might seem insane to some of you that I found this particular moment impacting. But I did. Because my role in life has transitioned and I'm not just a teenage dreamer anymore. And I'm not just a single lady anymore. And I'm not even just a married chick who is fun and fancy free. I'm some combination of the old me, fused with being a wife and the newest element of being a mother, and it takes a minute to get the hang of it. It takes a minute to embrace the new while still clinging on to the best parts of the "old" me. But the very craziest part of this whole scenario is that I still feel like a teenager in my head and in my heart. I SWEAR I'M EIGHTEEN IN MY HEAD. Eighteen, excited about the future, sort of nervous about what is to come, armed with that heady rush of "anything is possible!" I am still that teenaged girl, shopping for my "dream prom dress"... aren't I?
The reality is no. I'm literally (and physically, geez) beyond that season. Not only am I past prom dress shopping, but I bought my wedding dress 8 years ago and it hasn't come out to play since it's inaugural wear. I am not eighteen. I'm not.
But I am not over.
I have entered the mom phase of my life. And this phase is here to stay. I will never un-become a mother. But that doesn't mean that I've lost my flavor, my lust for life, my relevancy and my right to party. Prom dresses might be over for me. But the eighteen year old that knew how to get down? I like to think she's still somewhere inside, two-stepping or foxtrotting or Irish dancing to the beat of her own drum. But perhaps in slightly more comfortable shoes.


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Dear Shannon,
You gave me three words to describe yourself at the end of our conversation, but did not include "original". I think this word is a good one for you. Your peaceful nature joined with your tendency to be straightforward and opinionated are a great combination. "Straightforward and opinionated" may sound negative, but in my meaning and perspective, it is nothing short of real, refreshing, and somehow, never unkind. You are indeed interested (in the world) and interesting!
Love, Cydney


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Body moisturizer by Cake Beauty
Please, let me know via email when the new review on this product is available.
Long lasting may make it worth the price. The subtle smell doesn't overpower. I love anything that has multiple uses. Moisturized skin always looks and feels better. I don't often buy beauty products to pamper myself. This was a good choice.
Satin Sugar All-Purpose Balm lives up to it's name, and works well for a variety of uses. It is a great lip balm, and those with very dry skin will find plenty of uses for it. It's a bit pricey, but the tub will last a long time.
The Satin Sugar All-Purpose Treatment Balm is a deep moisturizing balm that can be used on dry skin anywhere on the body as well as for taming dry frizzy hair. The scent is a little spiced Christmas cookie, but it is faint and isn't noticeable most of the time. A decent balm if you have dry elbows, heels, or other trouble spots.
There aren't many beauty products that are truly multitasking. Cake's Satin Sugar Balm is one of those rare finds that can do a million different things. It can repair dry patches, soften cuticles, heal cracked feet, and even tame frizzy hair. This is one product that is a must have for any beauty bag, even if you don't normally use beauty products.


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Press Release Statement on Attorney Generals Notice to Appeal Against the Child Marriage Case held 4th August 2016 at the Legal Human Rights Center
On 4th August 2016 ,in Dar es Salaam
The Tanzania Ending Child Marriage Network (TECMN) issues the following statement regarding the intention of the office of the Attorney General to appeal against High Court's decision in the case Rebeca Gyumi vs A.G. The A.G being dissatisfied with the decision of the Honorable Justice Lila PJ Kihiyo J and Munisi J given at Dar es Salaam on 8th day of July 2016 has served the petitioner with notice of appeal against the whole decision.
The High Court of Tanzania's judgement declared section 13 and 17 of the Law of Marriage Act 1971 which allowed for a girl child to be married at 14 and 15 years unconstitutional and that the mentioned sections have lost their usefulness and they no longer serve the purpose and further directed the government through the Attorney General to correct the anomaly in the Law of Marriage Act within one year.
We are saddened by this decision, recognising the growing national and regional momentum on child protection discourse.
"It is essential that the Attorney General is held to account, and reminded to recognize the serious implication the appeal will have to the status of child marriage in Tanzania. According to UNFPA on average , almost two out of five girls will be married before their 18th birthday and from DHS report, 37% of women aged 20-24 are married /in union before 18 years leading to young girls being victims of domestic and sexual violence , isolated and psychologically traumatized, least educated and living in poverty"
"Tanzania Ending Child Marriage Network (TECMN) therefore calls on the Government of Tanzania to exercise the protection and promotion of women and girls, and as a signatory of the UN Sustainable Development Goals of which Goal 5 is on Gender Equality and the Africa Union Agenda 2063, should aim at eliminating all forms of gender-based violence and discrimination (socially, economically and politically) against women and children so that they fully exercise their human rights. The government should also aim at ending all harmful social practices, especially female genital mutilation and child marriages as well as the elimination of all barriers to quality health and education for women and girls. For Tanzania to successfully achieve its Vision 2025, it must put in place and implement policies and laws which protect and promote women and girls in the country."
Thank you for listening.
The Tanzania Ending Child Marriage Network is Comprised of the following members:
Children's Dignity Forum Tanzania (CDF) , Legal And Human Rights Centre (LHRC), Msichana Initiative , Young Women's Christian Association (YWCA) , Women Wake Up(WOWAP) , Youth Achievement Village In Tanzania(YAVT) , C-Sema , Network Against Female Genital Mutilation (NAFGEM) , Right To Play Tanzania (RTP) , Centre For Widows And Children Assistance (CWCA) , Women's Legal Aid Centre (WLAC), Utu Mwanamke ,Tanzania Media Women's Association (TAMWA),Safety Kwanza – Tanzania , Taasisi Ya Maendeleo Shirikishi Arusha (TAMASHA) ,Makangarawe Youth Information And Development Centre (MYIDC) , Children Education Society (CHESO) ,Dogodogo Centre (DGCT) , Agape Aids Control Programme (AACP) , Baba Watoto Center, , Ekama Foundation , Art In Tanzania , Tanzania Women And Children Welfare Center (TWCWC) , Plan International ,ANPPCAN Tz Charter ,SOS Children's Vollages , Hope for Young Girls , Wadada Center ,PEN Tanzania , Oasis For Orphans (Tz) Group , Save The Children and The Tanzania Women Lawyers Association (TAWLA) .
Valerie Msoka
TECMN Chairperson


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Pic 'n Play: "42,200... how many can I eat?"
The average grocery store stocks 42,200 unique items. Here's a challenge. Take your child to a grocery store and begin counting. How many different food items CAN they eat if they wanted to? If they had unlimited resources and space, could they fill a cart with safe foods? Two carts? A pickup truck? A semi?
When you have a food allergy, you think EVERY item is off limits. You only seem to see what you CAN'T eat.
For many with food allergies, there are options… options in plain site.
If you think this activity would be beneficial, try this with your own child. I would love to hear about the experience? Any pics of kids counting items?
I was in the car crying because I had failed another food challenge. My doctor and parents had been exceptionally hopeful about this one, and I happened to believe their optimism a bit too much. The letdown hurt.
On my ride home, my parents were trying to reassure me. They were giving all the "It's going be OK" lines. I wasn't having it.
That's when they pulled the car into a supermarket parking lot. My mom turned around.
"JJ, here's another food challenge," she said in an excited tone. "Let's count all of the foods in here that you can eat."
I looked at her oddly. "I'm not getting out of the car, mom!" She wasn't having it.
We went inside the grocery store, walked past the carts, and stood at the base of the aisle.
"We'll start here."
My parents immediately started counting items in the first aisle. A few moments later, I joined them. We literally stood there counting out loud. I lost count after aisle three.
My sense of "CAN" was born in aisle three, and it's grown ever since.
***ATTENTION STORE MANAGERS. I'd love to talk to a supermarket manager! With all the digital inventory, is there any way of telling how many items are available based on ingredients?***


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small intestine(redirected from Small intestinal)
Also found in: Dictionary, Thesaurus, Encyclopedia.
small in·tes·tine[TA]
the portion of the digestive tube between the stomach and the cecum (beginning of the large intestine); it consists of three portions: duodenum, jejunum, and ileum; its primary function is the continued digestion of chyme and the absorption of nutrients into the lymphatic (fats) and portal venous system, through its mucosal surface, which is highly modified to provide surface area for this purpose.
Synonym(s): intestinum tenue [TA]
small intestine
The narrow, winding, upper part of the intestine where digestion is completed and nutrients are absorbed by the blood. It extends from the pylorus to the cecum and consists of the duodenum, the jejunum, and the ileum. Also called small bowel.
small intestine
the longest part of the digestive tract, extending for about 7 m from the pylorus of the stomach to the iliocecal junction. It is divided into the duodenum, jejunum, and ileum. Decreasing in diameter from beginning to end, it is situated in the central and caudal part of the abdominal cavity, surrounded by large intestine. It functions in digestion and is the major organ of absorption of prepared food. Compare large intestine.
small in·tes·tine(smawl in-tes'tin) [TA]
The portion of the digestive tube between the stomach and the cecum or beginning of the large intestine; it consists of three portions: duodenum, jejunum, and ileum.
small intestineThe longest, but narrowest part of the intestine. The part in which digestion and absorption of food is performed. The small intestine extends from the outlet of the stomach (the PYLORUS) to the CAECUM at the start of the large intestine (COLON), and consists of the DUODENUM, the JEJUNUM and the ILEUM.
small intestinea narrow tube, which in humans is over 7m long, linking the stomach to the caecum. It is divided into an anterior part, the duodenum (25 cm), a central part, the jejunum (5.6 m) and a posterior part, the ileum (125 cm). CHYME from the stomach stimulates secretion of PANCREATIC JUICE on passing into the duodenum. Bile is added from the liver and flows into the duodenum through the bile duct. The jejunum has a larger diameter than the duodenum and larger VILLI than the rest of the intestine; it is the main absorptive region.
Large amounts of MUCUS are produced by the glandular cells, and a number of enzymes including maltase, peptidases, sucrase, lactase, enterokinase and nucleotidases are also secreted. The enzymes are thought to be largely produced in the CRYPTS OF LIEBERKUHN. The secretions of the small intestine are collectively called the succus entericus. The entire intestinal lining in humans is replaced every 36 hours and is the main site of the absorption of food.
the part of the alimentary tract extending from the pyloric opening of the stomach to the anus. It is a musculomembranous tube lined with a secretory and/or absorptive mucosa, comprising the small intestine and large intestine; called also bowel and gut. See also intestinal tract.
a lesser dimension.
small buffalo grass
small burr medic
small colon
the terminal colon in the horse between the right dorsal colon and the rectum. Because of its small diameter it is a common site for obstruction by phytobezoars and similar bodies.
small colon impaction
subacute colic in horses characterized by a palpable mass in the midlevel right abdomen.
small-faced mallow
see malva parviflora.
small-flowered buttercup
small-flowered Darling pea
small-flowered mallow
see malva parviflora.
small-flowered melilot
small golden tip
small-headed rice-flower
small intestine
includes all of the intestine between the pylorus and the ileocecal valve; composed of the duodenum, jejunum and ileum. See also intestine, intestinal.
small intestine meridian points
acupuncture points on the small intestine meridian.
small-leaf poranthera
small-leaved bluebush
see maireana brevifolia.
small liver fluke
small nuclear ribonucleoproteins
see ribonucleic acid.
small passion flower
small stomach worm
small strongyles
include Caballonema, Cyathostomum, Cylicocyclus, Cylicodontophorus, Cylicostephanus, Cylindropharynx, Gyalocephalus, Poteriostomum spp.
small yellow foxglove