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Released: Aug 20, 2003
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Carotid endarterectomy (CEA) is well established as a stroke-preventing treatment. Since the 1960s, two different techniques have evolved, namely conventional and eversion carotid endarterectomy, which is a modified version of the original method.
1. Conventional endarterectomy is the most common option for carotid bifurcation endarterectomy. It involves a longitudinal arteriotomy extending to the internal carotid distal to the lesion, and arteriotomy closure, which is made either using a patch or with primary closure.
2. The second technique is eversion endarterectomy, which was initially reported by De Bakey and later described by Etheredge, while a modification of the technique was presented by Kasprzak and Raithel in 1989 [4].
Eversion endarterectomy involves the oblique transec-tion of the internal carotid artery (ICA) at its origin at the carotid bifurcation, endarterectomy by eversion of the ICA, endarterectomy of the carotid bifurcation and of the external carotid artery, and reimplantation of the ICA on the common carotid artery. The advantages of eversion endarterectomy, like those of earlier eversion techniques, are that:
• It avoids longitudinal arteriotomy of the ICA
• It avoids the need for patch angioplasty
• It offers good visualization of the distal endpoint's smooth luminal surface throughout the length of the vessel that is being operated on
• It provides very effective management for the correction of carotid elongations with kinking and carotid tortuosities.
Also, in subsequent studies this technique has been found to be associated with lower stroke and restenosis rates [2,
4, 5]. However, no long-term double-blind studies supporting the superiority of this method compared to the conventional procedure have yet been published.
As a result, despite numerous innovations and reports, no unique CEA technique has yet become generally accepted for all patients and clinical situations. Furthermore, the superiority of one CEA method over another remains highly controversial and, thus, the optimal CEA technique to reduce postoperative complications and prevent late restenosis remains unclear. Under those circumstances, the EVEREST trial was designed to assess the major perioperative and late complication rates and durability of eversion CEA [1].
• EVEREST is a randomized multicentre trial.
• A total of 1353 patients with carotid stenosis requiring surgical treatment were randomly assigned to receive standard (n = 675) or eversion (n = 678) CEA.
• The primary endpoints included carotid occlusion, major stroke, death and restenosis rate.
• The results of the EVEREST Trial suggest that eversion CEA is a safe and rapid procedure.
• Also, the major complication rates appear to be low.
• No significant differences in restenosis rates were observed between eversion and standard CEA at follow-up.
• Longer-term results are necessary to assess whether the eversion technique influences the durability of CEA.
• Still, it appears that eversion CEA has many advantages in selective cases.
• Under general anaesthesia the patient is placed on the operating table in the supine position with the head hyperextended and turned away from the operative side.
• The skin incision is made parallel to the anterior border of the sternocleidomastoid muscle.
• Exposure and clamping of the common carotid artery (CCA), external carotid artery (ECA) and ICA are made in the usual way.
• Systemic heparinization is used.
• A right-angled bulldog clamp should control the ICA well beyond the distal end of the atheromatous plaque (Fig. 2.3.1).
• The CCA is entered with a scalpel while with angu-lated Pott's scissors the arteriotomy is extended in the distal direction toward the fork of the carotid bifurcation (Fig. 2.3.2).
• The incision should be made precisely parallel to the axis of the ECA.
• A common pair of scissors is then used for complete transection of the ICA (Fig. 2.3.3).
• Transection permits complete mobilization of the artery and additional traction downward offers additional length of exposure.
• Endarterectomy is started at the stump of the ICA and the plane is developed between the outermost layers of the media and the adventitia (Fig. 2.3.4a).
• The atheroma is circumferentially separated and detached while the outer layer of the vessel is everted (Fig. 2.3.4b).
• Fine atraumatic vascular forceps are required for these manipulations.
• The eversion is progressively continued distally and the atheroma is detached like a cast (Fig. 2.3.5).
• Gentle traction results in complete removal of the ath-eromatous core providing a thin fading and tapering endpoint.
2.3.2 Technique
Fig. 2.3.4a,b Eversion endarterectomy of the internal carotid artery. a The plane of cleavage is developed by a closed fine mosquito. b As the atheroma is circumferential^ detached the outer layer of the vessel is everted
Fig. 2.3.5a,b Eversion endarterectomy of the internal carotid artery. a Further eversion of the outer layer of the vessel. b Removal of the atheromatous plaque by gentle traction; a smooth distal endpoint is left
Fig. 2.3.7 Reimplantation of the internal carotid artery. The anastomosis is started at the fork of the bifurcation and the posterior wall is reconstructed first
Fig. 2.3.6 Endarterectomy of the external carotid artery. Complete detachment of the plaque is achieved by the jaws of a closed dissector
Fig. 2.3.7 Reimplantation of the internal carotid artery. The anastomosis is started at the fork of the bifurcation and the posterior wall is reconstructed first
Fig. 2.3.9 In cases with distal plaque detachment and intimal flaps intraoperative stent deployment may secure the distal endpoint
Fig. 2.3.8 Reconstruction of the anterior wall of the anastomosis. Dilators may be used to dilate the extracranial segment of the internal carotid artery
Fig. 2.3.9 In cases with distal plaque detachment and intimal flaps intraoperative stent deployment may secure the distal endpoint
• As the atheroma is removed, the luminal surface and the transition between the endarterectomized and nonendarterectomized segment of the ICA are assessed carefully.
• Copious quantities of heparinized saline are used to flood the field in order to remove intimal or medial debris.
• Flaps or loose "residuals" are gently removed only by circumferential traction since cephalic traction can cause inadvertent intimal dissection of the ICA endpoint.
• The next step is attempted endarterectomy of the ECA and CCA.
• Circumferential mobilization of the plaque is achieved by utilizing the closed jaws of a dissector (Fig. 2.3.6).
• After proximal division of the plaque the endarterec-tomy is carried out into the ECA orifice as distal as possible.
• The arterial wall of the ICA is drawn proximal and the reimplantation of the artery to its normal position is started (Fig. 2.3.7).
• The anastomosis begins at the bifurcation fork using a simple running 6-0 synthetic monofilament suture.
• The posterior wall is reconstructed first with tiny bites (Fig. 2.3.8).
• Prior to completion of the anterior wall of the anastomosis, all clamps are removed sequentially to allow back bleeding and to wash out any thrombogenic debris.
• At this stage of the procedure dilators of appropriate size, up to 4.5 mm in diameter, may be used to dilate the extracranial segment of the ICA.
• Angioscopy may be also used to verify the anatomic result. Angioscopy yields an excellent visualization of the whole endarterectomized luminal surface and the endpoint of the ICA.
• After completion of the anastomosis the blood flow is restored first to the ECA and then to the ICA.
• In cases with distal flaps or plaque detachment, intraoperative stent deployment may secure the distal endpoint (Fig. 2.3.9).
• The advantage of this modified CEA technique over the open endarterectomy is that longitudinal arteriot-omy of the ICA is avoided and subsequently the suture line does not interfere with the lumen of the vessel.
• Furthermore, the use of a patch in patients with small arteries, such as women and children, is not necessary.
• This method is appropriate for the correction of coiling, kinking or tortuosity of the ICA in the presence of arteriosclerotic lesions.
• After completion of the endarterectomy an ICA segment of appropriate length is resected and the vessels reimplanted.
2.3.4 Disadvantages
• Among the disadvantages of the method is the limitation of an internal shunt placement when it is required.
• During the procedure of eversion endarterectomy of the ICA, only a CCA to ECA shunt can be easily used for cerebral protection.
• In some complex cases, when the transition endpoint of the ICA is not smooth and/or the plaque is extended distally, replacement of the ICA by a graft may be necessary [3].
• In such cases, interposition of synthetic or saphenous vein grafts may be used.
2.3.5 Conclusion
In conclusion, eversion endarterectomy is a feasible and safe alternative technique for the management of extra-cranial carotid arteriosclerosis.
The major advantages of this technique are optimum correction of an elongated ICA, a lower restenosis rate and the avoidance of patch material for arteriotomy closure.
1. Cao P, Giordano G, Rango P, Zannetti S, Chiesa R, Coppi G, Palombo D, Spartera C, Stancanelli V, Vecchiati E (1998) A randomized study on eversion versus standard carotid endarterectomy: Study design and preliminary results: The Everest Trial. J Vasc Surg 27:595-605
2. Cao P, Giordano G, De Rango P, Zannetti S, Chiesa R, Coppi G, Palombo D, Peinetti F, Spartera C, Stancanelli V, Vecchiati E (2000) Eversion versus conventional carotid endarterec-tomy: late results of a prospective multicenter randomized clinical trial. J Vasc Surg 31:19-30
3. Cormier JM, Cormier F, Laurian C, Gigou F, Fichelle JM, Bokobza B (1987) PTFE bypass for revascularization of the atherosclerotic internal carotid artery. Ann Vasc Surg 1:564-571
4. Kasprzak PM, Raithel D (1989) Eversion carotid endarterectomy. J Cardiovasc Surg 30:495
5. Raithel D, Kasprzak P (1993) The eversion endarterectomy: a new technique. In: Greenhalgh RM, Hollier LH (eds) Surgery for stroke. Saunders, London, pp 183-191
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Diabetes is a disease that affects the way your body uses food. Normally, your body converts sugars, starches and other foods into a form of sugar called glucose. Your body uses glucose for fuel. The cells receive the glucose through the bloodstream. They then use insulin a hormone made by the pancreas to absorb the glucose, convert it into energy, and either use it or store it for later use. Learn more...

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Couple of months back, I started off with the idea of creating content that revolves around food and fashion. Somewhere in this period, I have had moments where I expected my set of blog posts to run on the internet like those by established food and fashion bloggers.
It is always good to dream big, but, my passion got overpowered by the pressure that comes while building a blog. Constantly fearing being judged and compared. So much so that in this short period, at one point I was reconsidering my decision to blog.
During the 'me time', it occurred to me that how quickly I had jumped onto the negativity around instead of keeping my composure. Does that happen with you too?Thankfully, the negative energy sailed away post the self encouraging session and I am working with an open mind now. Giving my work the required time and effort that helps it grow. Rebuilding myself with the motive : Learn, Share & Grow; one step at a time.
Accepting and appreciating yourself and others around you requires you to be in a comfortable and peaceful state. Yes, everyone has their own way of feeling comfortable and in control. Today, on the blog I am sharing one of the ways I bring comfort into my personal space in times of anxiety. With food !!! (no surprises there :P)
- Unsweetened cocoa powder (50-70% dark) – 1 tbsp
- Sugar – 1 tsp
- Cinnamon Stick/powder – 1 inch piece/ ½ tsp
- Milk – 1 Cup
- Salt – a pinch
- In a pan, heat 1 cup milk with cinnamon stick in it to infuse flavour and bring it to boil.
- Lower the flame and add cocoa powder and whisk the powder well making sure no lumps are formed.
- Next add sugar and a pinch of salt. Mix well on low flame till sugar dissolves completely.
- Turn off the flame and your drinking chocolate is ready. Top it with whipped cream/marshmallows and enjoy it warm.
I had toasted marshmallows with mine. One may add different flavours to their hot chocolate such as peanut butter, salted caramel or peppermint. Or make it rich by adding half cream and half milk while preparing. It totally depends on what one is in the mood for.I went for the easiest one that doesn't require a lot of ingredients and is quick to make when you want to relax with a book or netflix.
Share in the comments, what heals you like chocolate ?! 🙂


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Physics teachers' summer schoolNS209This 2019 Summer School aims to offer opportunities that will support the delivery of National 4/5, Higher and Advanced Higher Physics. In laboratory sessions, participants will have hands-on experience of new practical work both at SSERC and at Edinburgh University. The IoP Stirling Conference forms the substantial...
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Stimulating Physics Network summer school: year 1NY221Who is it for? The Summer School is open to all non-specialist teachers of physics from Stimulating Physics Network partner schools and colleges. The programme will be flexible to accommodate those who have previously attended support sessions with their Stimulating Physics Network Teaching and Learning Coach and...
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By Anke Henrich
Ms. Kaiser, AI and ethics are at the center of global discussions after the first case of a self-driving car killing a pedestrian and the selling of Facebook data to manipulate election campaigns made the headlines. However, when it comes to the increased use of AI in mechanical engineering, there are no such discussions. Is this an advantage for mechanical engineering companies?
From my point of view, a discussion on ethics is a valuable one. For all those involved, it is important to accept a shift in perspective from the standpoint that digital ethics limits innovation to the idea that it is an opportunity for the future of businesses. Making products responsibly will allow manufacturers to gain a competitive advantage.
For example, this equates to forward-looking risk management and reduces uncertainties, ensures the acceptance and marketability of new products and thereby increases customer satisfaction.
Is that not wishful thinking? Some companies are worried that the differing levels of restrictions in different countries, such as when it comes to data security, will distort global competition.
It is precisely the trust that is placed in data security that will become a key competitive factor. When it comes to AI, companies will not only need ever increasing amounts of data, but also data of a higher quality, irrespective of whether they are active in the B2B sector or the consumer sector. This is applicable to supply chains and in a production context, for example. Companies which can guarantee the anonymization of data from third parties and the use of a secure cloud for storage will be at an advantage.
Who should decide what artificial intelligence can and cannot do in the mechanical engineering industry in the future? Companies themselves, or politicians?
In mechanical engineering, like in other industries, all socially relevant participants should be included in the discussion at an early stage. This can take place in the shape of dialogs, in which companies, employees, politicians and experts shape the future human-machine interface together.
Do you have a practical example?
Take robots as assembly assistants. They support employees by guiding them through their tasks and taking on difficult or even dangerous work. In order for the robot to be fed all the necessary data, the person at its side may have to be monitored on video, or maybe wear sensors to record physical values - all of which is sensitive data of the employee. At this juncture there will need to be an interesting ethical discussion on the costs and benefits, but our society does not yet have a blueprint for this. In these times of Industrie 4.0 and industrial intelligence, these questions will occur ever more frequently.
Would it not be sufficient if companies simply committed to this themselves? Surely the pressure is on for competitive reasons?
Three pillars will develop. In addition to the legal regulations, many companies will formulate their own commitments, and this is already happening in part. Engineers will probably begin discussing the ethics of their profession, as computer scientists are doing already. For instance, they are talking about using their profession in such a way that the diversity of humans is taken into account and that AI applications do not discriminate as a reaction to certain stereotypes. Research is becoming more sensitive.
And what exactly do all those involved in mechanical engineering have to agree upon?
Who has access to the controls of AI? Where and under which conditions is it okay to use it and where not? What data are we collecting and in what quality? Who has the final say when humans and machines come to different conclusions? How can we shape the interaction between humans and machines? And which deployment in companies also provides added value to society?
The last question in particular could yet result in large tensions in society. Successfully using machine learning means a loss of knowledge for people and potentially even job cuts, as AI will take on increasingly sophisticated tasks. Will that be a problem?
Studies on whether digital technologies will have a positive or negative effect on the number of jobs have come to differing conclusions. One thing is certain, however: We will need different vocational profiles and training in the future. A hugely important question in this context will be the level of significance held by practical knowledge in the future.
Is the discussion on machine ethics a typically German one?
These discussions certainly have a strong cultural component. In Germany and Europe, we are interested in responsible innovations and a responsible business model for our companies. We know that technology is not something that simply happens, but is actively shaped by people.


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澳客网足球彩票网。:Dissertation Abstract – Overview
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All posts for the month September, 2018
Motor City veteran Marcellus Pittman has been in fine form since returning from a four-year hiatus in early 2018. This EP – his third of the year – is, of course, really rather good. Opener "Something Like (A Dream)" is particularly good, offering a perfect balance between the rolling, head-nodding, pitched-down lusciousness of Beatdown and the spacey, delay-laden warmth of more peak-time focused Detroit deep house. If you're looking for something a little less smooth, check the low-slung, off-kilter, cyber-acid rawness of "Jamie 326 Tsot". While rather good, it feels a little out of place next to the fluttering, stripped-back deep house tunefulness of "Breath Beat", whose echoing chords are especially alluring.
Baltra returns to Of Paradise with his 'Can't Explain It' EP, a kaleidoscopic and dazzling journey through the heart and soul of raw and hazy house music.
London based Doppelate is next up on X-kalay offering some Detroit house inspired club jams. From the languid sleaze of the sawtooth bassline on "I Can't Get You Out of my Head" to the pin point congas and rainforest vocal shots on "Johnny Longneck"; the A side is a functional and groovy affair, stripped back to the essentials in typical Doppelate fashion. The B side takes a slightly more playful approach – Pila Pala Kisses utilizing looped pianos and some tongue in cheek percussion work before turning out a beautifully mesmerizing melody. "Club Canyon" closes things out in more understated tones; crisp hats skip over the lazy staccato bass whilst the dreamy pads induce an all too welcome state of haze.


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While Academy Award-winning American actor-producer-narrator Morgan Freeman was in Israel again last November filming his National Geographic program "The Story of God," he also did a playful commercial for Israeli air-conditioner manufacturer Tadiran.
"From the time I played God in the movies, people seem to confuse me with Him," Freeman intones in his signature deep voice. "I'm not God… far from it. Except in my own home, where I can control the weather – almost like God himself," he says, pointing to his Tadiran Supreme air-conditioning unit.
According to Israel Hayom, Freeman's contract with Tadiran includes television, billboard, newspaper and online ads to be released throughout 2019. The campaign is being handled by the Boroda Kaplan & Partners advertising agency in Ramat Hasharon.
Freeman, 81, also played God in the 2003 movie "Bruce Almighty," but that flick was filmed in Buffalo, New York.
(via Israel21c)
[Photo: Israel21c ]


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Europe's largest Trophy, Awards and Personalisation event is taking place at The PTA (Passenger Terminal Amsterdam) for three days, from 15th – 17th October 2016. Just 20 minutes from Schipol Airport and opposite Amsterdam's Central Train Station, the show is easily accessible for the visitors who attend from over 70 countries worldwide.
Tracey Greenfield Euro Trophex Show Organiser said; "Visiting the Exhibition is a must if you work in the trophy, awards, engraving and personalisation industry. If you are looking to identify suppliers, manufacturers, distributors or worldwide export opportunities then this is the show for you.
At the show you will see a broad range of companies from around the world offering a wide variety of products and services, not just in the trophy sector but many other areas providing potential new business opportunities for all those that participate and visit."
The show has grown over the last 15 years to include stunning Trophies and cups in a variety of materials and finishes, striking and innovative medals and awards, elegant glassware, beautiful silverware, stylish plaques and plates as well as an impressive range of promotional items and corporate gifts to help you expand your business.
With 'Live' demonstrations and displays Euro Trophex 2016 will give you the chance to source ideas for your customers, get up close and personal, handle and test the products, see the latest developments and trends in your field and discuss your requirements in person with those who have the knowledge to help you find the best solution for your business.
You can also be first to pick up the latest worldwide catalogues launched exclusively at Euro Trophex and pre-order your stock for next year, and you can cast your expert opinion by voting in the Euro Trophex Awards to identify those companies whose innovation and commitment are driving the industry through the use of design and materials.
Engraving Machines, Lasers and Heat Presses will all be demonstrated, giving you a valuable insight into how easily and effectively these machines can be integrated into your organisation. The latest developments in glass and crystal sublimation, photo imaging, laser engraving, embroidery, giftware, signage and promotional items such as badges and pins and corporate gifts will make this three day exhibition a truly useful resource to keep up-to-date with what's happening in the marketplace and influence the direction in which you take your business.
You can connect with suppliers old and new and learn more from the wide range of exhibitors there to help you to discover, learn and understand more about the latest advances in technology and you can take advantage of any special 'show offers' that exhibitors will be offering exclusively for Euro Trophex visitors.
With all that on offer why not save time and money by visiting Euro Trophex 2016 to meet all of your business needs under one roof! Visit www.eurotrophex.com and register for your FREE ENTRY PASS today. If you work in this industry this is a show you cannot afford to miss!
Published on: September 1st, 2016


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And I'm exhausted! But I had an incredibly fun time in Virginia with Teem and Nancy, who are both just as fun and friendly in person as they are online, and it was great to finally meet Blurry as well (but he needs a cell phone!).
I will be doing a series of posts over the next few days documenting my trip (with photos!), but for now I will bring you ...
Homer is gone. It is sad, but it is probably for the best. The other seven ducklings are looking very good. They all came right over after I threw down some seed when I got back this afternoon:
Posted by Highwaygirl on June 7, 2004 04:50 PM
to the category Animals | Friends
That's too bad about Homer, but I'm just glad you did not have to witness it.Posted by: lifeonhold at June 7, 2004 06:24 PM
Life, I agree. I wouldn't have handled that well and would have been very upset if I had been around. My mom said she saw Homer yesterday, underneath the tree, while the rest of the family was all the way across the pond. I guess the mother duck knew he wasn't going to make it, too.
I just hope the little guy didn't suffer too much.Posted by: Highwaygirl at June 7, 2004 06:32 PM
Awww, Homer :(
At least you are back safe and sound!


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Constuction of exclusive custom-made furniture
Typical projects
Much of modern production presented in catalogs of popular furniture hypermarkets , are performed according to standard designs and mass produced , which leads to a reduction in the quality of the final product . Traditionally are used materials and technologies , such as handmade , using solid wood and natural leather , etc., are replaced by simpler and more economical. This is done to speed up the manufacturing process and reducing production costs . Because of this, it does not fully meet the desires of the consumer.
Exclusive furniture
However, exclusive furniture made in a single copy, is elegant and high quality and allows you to create a unique interior of the home. The exclusive design ensures the uniqueness of finished products, as a specialist designer develops the concept of furniture set, based on the specifics of a particular order. This approach allows us to optimally realize the client's wishes and serves as a guarantee that such products are performed in a single copy.
Requirements for materials
The main requirements that apply to materials for the manufacture of designer furniture sets are high quality and presentable appearance. To create the product of this type are used metals, stone, wood, leather, glass and fabric. Depending on the client's wishes for decorating and making the individual parts can be used and more exotic materials (solid wood and veneer rare breeds, suede, Alcantara, quartz, glass, slate, mirror, etc.).
DESIGNER.AZ» assists clients in all stages of design and furniture making. In our company's services included work of designers to develop future style headset, selection of varieties of materials, selection of colors to paint the customer service designer in the development of products, etc.
Delivery times depend solely on time customer approval and signing of the finished drawings of the project.
In order to clarify the details and place your order for the development of a suite of furniture, please contact the «DESIGNER.AZ» via email or call the number indicated.


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Describe your system:
- AMD Graphics Card
- AMD Radeon R7 Graphics
- Radeon (TM) RX 560 Graphics
- Desktop or Laptop System
- Dell Inspiron 15 5000 Gaming
- Operating System
- Windows 10 64bit
Driver version installed
- AMD Radeon R7 Graphics / Version: 24.20.11016.4
- Radeon (TM) RX 560 Graphics / Version: 24.20.11016.4
- Display Devices
- AMD Radeon R7 Graphics
- Radeon (TM) RX Graphics
- Motherboard + Bios Revision
- Bios Version Dell Inc. 1.0.0, 2/10/2017
- 7th Generation AMD FX 9830P Quad-Core APU with Radeon R7 Graphics
- Power Supply Unit Make, Model & Wattage
- hmmmm idk the AC adapter says 130 W
- 8 GB / Maximum RAM supported 32GB
The story behind this I have played Overwatch (OW) and League Of legends (LOL) fine for the past two months. As well I tried WOW but didn't get into it as much because no one would play with me so I deleted it. 6 days ago 2018/07/31 I was like hey lets give WOW another shot. Proceeded to download it went to play it and the screen was black and all I could hear was the cinematic playing, once it was done it would say not responding. But OW and LOL still worked fine with no problems. The drivers that were downloaded were 18.5.1, if I downloaded the 18.7.1 optional OW wouldn't work so I kept 18.5.1. I contacted Blizzard for help I followed all there steps restarting, running the repair tool from their app, uninstall reinstall both app and game, making a firewall rule. Downloading DDU to uninstall my current drivers and reinstall them. I did all this. then I said to myself let me just reset my laptop and download everything again. bad move I my part. Did the recommended auto download from AMD website it downloads 18.7.1 doesn't work with any games hell the Blizzard Battle Net app wont fully load. Used DDU again downloaded 18.5.1 same out come drivers still not properly working code 43. So I do a full factory reset wiping everything did the automatic driver recommended on the website and same issues still happened. I did though find out that if I disable both and turn on one of the two it works properly, for both of them. But if I enable both they both get code 43 again leaving me extremely frustrated. I have uploaded screen shots of this please heck them out. I have uploaded a new DXdiag and MSinfo text for better troubleshooting and anything I might have missed. Thank you all for your time in this matter.


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Pac-12 Student-Athlete Health Grant Program announces projects selected for funding in 2017-18
Pac-12 to invest $2.1 million in three cutting-edge research projects
SAN FRANCISCO – As a part of the Pac-12's Student-Athlete Health and Well-Being Grant Program, the Conference selected three research projects to fund this year, it announced today. The research projects will explore important student-athlete health issues including head trauma, return to sport assessment, and injury prevention and total $2.1 million in funding.
Created in 2013, the Grant Program is part of the overall Pac-12 Student-Athlete Health and Well-Being Initiative. The initiative is a collective effort between the conference and its member universities to find ways to reduce injuries, share current best practices and latest studies, and conduct research to uncover new ways to keep student-athletes as safe as possible.
"The Pac-12 continues to demonstrate a profound and concrete commitment to the health and well-being of its student-athletes and the broader health of athletes everywhere through its commitment to funding clinically relevant research," said Dr. Kim Harmon, chair of the Pac-12 Student-Athlete Health and Well-Being Board and head football physician at the University of Washington. "What we are able to accomplish as a conference is much greater than any one individual institution could accomplish alone and the research funded thus far will make a real and lasting impact on our athletes."
This is the third funding cycle of the Pac-12's Student-Athlete Health and Well-Being Grant Program which commits millions of dollars annually to research projects conducted at Pac-12 institutions that are designed to improve the health, general well-being, and safety of student-athletes at all Conference member institutions.
Doctors, athletic trainers, and research experts from all 12 Pac-12 institutions reviewed proposals submitted to them and ultimately decided to fund three projects to be conducted on three different Pac-12 campuses this year.
The projects being funded this cycle include (with the lead university noted):
1. Head Trauma: Roles of Nutritive Support and Supplementation (California)
Studies have shown that the brain uses lactate as a fuel source when available. Studies have also shown that patients with traumatic brain injury (TBI) are often undernourished, meaning the brain has less fuel sources to use for healing. The goal of this project is to determine whether or not supplementation with lactate on the background of adequate nutrition will improve TBI recovery by giving the brain an extra fuel source. This will be accomplished through a series of studies on laboratory rats, where rats with mild TBIs that mimic concussions will be given standard of care (inadequate) nutrition, adequate nutrition, and adequate nutrition plus extra lactate. Brain healing will be assessed to see if appropriate nutrition with and without lactate supplementation improves recovery time and outcomes.
2. Overuse Injuries / Injury Prevention: Integration of Biomechanics-based Information for Prevention of Stress Fractures (Oregon)
Stress fractures are a very common form of injury in athletes, especially long distance runners. This project's goal is to analyze a group of runners' biomechanical information such as foot motion patterns, foot-to-ground contact patterns, and accelerations and then track stress fracture development in these runners over a three year period to see which biomechanical patterns are associated with the development of stress fractures. This new biomechanics-based information can then be integrated with already known risk factors such as nutrition status and training volume/intensity to predict runners who are at a higher risk of stress fracture.
3. Injury Prevention: Simple Motion Capture Technology for Readiness of Return to Sport Assessment and Injury Risk (Washington)
There are few objective and widely accepted methods to determine when student-athletes are ready to return to their sport after injury or surgery, and even fewer methods available to measure abnormal joint movements. The goal of this study is to compare a low cost simple motion capture technology (Microsoft Kinect™) to the gold standard (but more expensive and complicated) standard motion capture system (Vicon™). Functional movement data will be evaluated in healthy volunteers using both systems and results will be compared to help determine if Microsoft Kinect is a viable option to measure abnormal joint movements and help facilitate safe return to sports after injury at a lower cost than standard systems.
The Pac-12 Grant Program has made it a priority to fund cutting-edge research by pooling the collective expertise of its membership, which comprises some of the foremost research institutions in the world.
"The projects awarded this Pac-12 Grant Program cycle complement the research projects funded by the Pac-12 over the last two years, particularly in the areas of head trauma and injury prevention," said Dan Nordquist, the Associate Vice President for the Office of Research Support and Operations unit at Washington State University and the chair of the Pac-12's Research Grant Program Committee. "Building on early results from current Pac-12 studies, we are excited to add these recently approved projects to the research program and we expect that the program will continue to provide significant and valuable insights into improving the health and well-being of all Pac-12 student-athletes."
The request for proposal for 2018 funding cycle of the Grant Program is now open and can be found at pac-12.com/conference/sahwbgp. Letters of Intent for the 2018 cycle are due Sept. 15, 2017. Questions may be sent to firstname.lastname@example.com and more information on the Pac-12's Student-Athlete Health and Well-Being Initiative can be found at pac-12.com/conference/sahwbgp.
About the Pac-12 Conference
The Conference has a tradition as the "Conference of Champions," leading the nation in NCAA Championships in 51 of the last 57 years, with 501 NCAA team titles overall. The Conference comprises 12 leading U.S. universities: The University of Arizona, Arizona State University, the University of California-Berkeley, the University of California at Los Angeles (UCLA), the University of Colorado, the University of Oregon, Oregon State University, Stanford University, the University of Southern California, the University of Utah, the University of Washington and Washington State University. For more information on the Conference's programs, member institutions, and Commissioner Larry Scott, go to www.pac-12.com/conference.
Pac-12 PlaylistTOMORROW | 7:00pm PTLive
Pac-12 PlaylistThu 4/9 | 7:00pm PTLive
Pac-12 PlaylistMon 4/13 | 7:00pm PTLive


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Carpet One Near Loleta
If you want to improve the look and feel of your Loleta-area home with an upgrade in flooring, look no further than Carpet One. Loleta-area Carpet One stores can be counted on to supply your California home with the best flooring selection, expertise, installation, and protection in the industry. We carry everything from natural hardwood to lavish carpet choices and beyond.
Shopping at Carpet One will change the way you think about flooring. At your Carpet One near Loleta, we proudly provide you with flooring for all lifestyles and all budgets. Our Carpet One sales professionals will help you navigate the selection process along with the Carpet One SelectAFloor™ system, which leads you to find your perfect floor at a perfect price. Whether you're looking to add contemporary style with ceramic tiling or versatile vinyl that will resist wear and tear while still looking beautiful, you're sure to find what you need here at your Carpet One near Loleta. Plus, we have several SelectAFloor ™ warranty options available to protect the life of your floor long after it is installed.
Finding high-quality flooring at a great value has never been easier thanks to Carpet One near Loleta. Rely on your Carpet One near Loleta to help you achieve your vision and renovate your floors with professional ease. Come in to your Carpet One near Loleta and let us help you start your flooring redesign journey today!


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SuperCancer SmackDownDouble Mastectomy SurgeryNovember 29th, 2012
Recent Posts
Flickr Photos
Monthly Archives: March 2013
I've got friends in low places
I've never been a country music fan, if that's what the song is even considered, but I am aware of it and it seems like it fits today pretty perfectly. At least the title as I don't really know the … Continue reading
Posted in Uncategorized Tagged Breast Cancer, Cancer 3 Comments
News flash – chemo sucks
Have I been putting my head in the sand and ignoring the cancer world? A little bit. I felt so good going into chemo and all of the sick involved always brings me so far down. I kept thinking that … Continue reading
Today was pretty eventful. It started bright and early with doctor appointments. Yesterday I went and met a friend at the Y and we worked out on the ellipticals for 30 minutes and then did yoga. It was wonderful. It … Continue reading
I'm still here
I know that I've been avoiding posting. The trip to Reno was so nice. It's been over two weeks since I had a doctor appointment and I've felt almost like a normal person. I kind of want to imagine that … Continue reading


text: Often a conflict occurs between the student's teacher and their own learning style. Knowing your own learning style can help you plan how to be most effective while studying. Richard Felder and Barbara Soloman from North Carolina State University created the Learning Styles Index in order for students to see their own learning style. The questionnaire is free to fill out and see the results. The link to the questionnaire is here.


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The Northwest Stream Center is located on a beautiful 20-acre site leased from Snohomish County Parks and Recreation in McCollum Park approximately 1/2 mile east of Interstate 5 between Seattle and Everett, WA. Two salmon streams flow on the grounds that are covered with complex wetland systems and pockets of upland old second growth forest.
The Visitors Building is available for rent. We offer three different rooms to meet your needs at affordable prices.
Please contact us for reservation and deposit information by calling: 425-316-8592 or email:


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The CanCooker Rack is a two-piece, stainless steel rack designed to fit in the bottom of the CanCooker Original, CanCooker Jr and the CanCooker Companion. The CanCooker Rack raises food off the bottom of the CanCooker to help prevent burning and to make clean-up easier. The CanCooker Rack can also be used for steaming foods. Just place EMPTY soft drink cans under the rack to raise it higher for steaming tamales, chocolate steam cake, etc.
27 Reviews
A must have for every can cooker
food rack
Keeps the food at the right height to keep it out of the liquid base while cooking.
Can Cooker Rack
We used this rack in the can cooker for the first time on this weekend's camping trip. Absolutely nothing stuck to the cooker and everything came out perfectly. Would recommend.
works great easy to clean
works great easy to clean
Cooker Rack
Very helpful item!
Can cooker rack
The pieces would work better if they hooked up together after being placed in the can. It otherwise does exactly what it should- keeps food off the bottom.
C C Rack
A must have accessory. Don't cook without it.
cancooker rack
this was my first time using the rack & the can cooker. I loved the flavore of the vegtables, The meat i thought should have been more tender. I've got to use it some more to give a fair review.
Great product
Makes great meals keeps the food from sticking and burning on the bottom even if the moisture all boils away.
Great meal in a short time.
The Cancooker made the best and quickest meal that I have ever made.
Great product, must have
The 2 piece SS grate is a must have for many recipes. Keeps food off the bottom of the CanCooker so the food won't burn and stick to the bottom, makes cleanup a breeze. Being made of SS it won't rust or stain like many similar grates.
If you buy a CanCooker this is a must.


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Initial consultation
Initial consultation for about 30 minutes in which proper clinical diagnosis and scientific explanation about your illness...
Arulanandan Holistic Pain Management Center is a unique center run by Dr.Jegadish Baskaran..
Dr.Jegadish Baskaran is a senior anesthetist and a Pain Specialist trained
in ENGLAND. In this center under one roof patient's will receive treatments which includes ,modern
medicines, acupuncture, flower medicines, homeopathic drugs, siddha etc. depending on the patients
Dr.Jegadish Baskaran firmly believes in God and His ultimate healing. He also believes, God's creations are as simple as God. Any ailment which happens to His creations has to be simple. Solutions to these problems have to be simple. Every system of medicine such as modern medicine, acupuncture, homeopathy, Ayurveda, Unani etc. all are God's gift to human being. Combining all these system based on sound scientific principle is the basic concept of Holistic medicine. Based on this concept we have helped hundreds of patients who visited our clinic.
Initial consultation for about 30 minutes in which proper clinical diagnosis and scientific explanation about your illness...
Acupuncture is a type of alternative medicine that treats patients by insertion and manipulation of solid...
Lumbar Epidural Steroid Injections for Low Back Pain and Sciatica. Epidural steroid..
A nerve root block is an injection of local anesthetic (numbing medicine) and steroid injected under X-ray..
Anything other than mainstream medicine if it is used on its own is called alternate medicine e.g acupuncture,homeopathy,ayurveda etc.
Any alternate medicine if it is used along with Main stream medicine it is called integrated medicine.
It is integrated medicine in which all aspects of people's needs including psychological, physical and social circumstances should be taken into account and seen as a whole.
Very simple question but very difficult to answer. The scientific definition is complicated. In simple term pain is nothing but an unpleasant sensation doesn't necessarily have a reason.Read More
Pain is not what you normally assume it to be. We use the following words to describe pain,
Thank you very much for your care & treatment. I hope my testimonial helps you & you continue the wonderful work of saving the world from pain. Thankss a lot again I shall visit for my next session soon. Also my neck & shoulder pain has healed by around 85% thanks to thee radiology / laser therapy. Wish you a wonderful week ahead
Excellent care . Had a very good experience . Will recommend it to everyone.
Located in the middle of the city and good parking facility


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Request a Quote
Please complete the form below to request a quote or have one of our experienced customer service representatives contact you regarding how Aero & Auto Stud Specialists, Inc. can fulfill your fastener requirements. (Replies within 48 hours, on normal business days.)
If you prefer, or need a faster response, call us at 248-437-2171, to discuss your specifications.


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Get Smart About Antibiotics Week 2016
Protecting patients with the right drug, dose and duration
Each year in the United States more than 266 million prescriptions for antibiotics are written in doctors' offices and emergency rooms. Studies show 30% of these antibiotics are not needed and can actually be harmful.
Get Smart about Antibiotics Week, November 14-20, focuses on raising awareness about the risks of using these miracle drugs inappropriately and their impact on antibiotic resistance. The week long observance comes less than two months after the United Nations identified antibiotic resistance as the "greatest and most urgent global risk" and called on world governments to combat antibiotic resistance in medicine, agriculture, and the environment.
As the leading government agency tracking antibiotic use in the United States, CDC has expanded the Antibiotic Resistance Patient Safety Atlas to include the most complete data currently available on the rate of antibiotic prescribing in each state. Studies show that nearly 154 million visits each year to outpatient facilities result in an antibiotic prescription. Southern states have the highest prescribing and Western states the lowest. This interactive tool also provides data about healthcare-associated infections (HAIs) caused by antibiotic resistant bacteria, which are reported to CDC through the National Healthcare Safety Network (NHSN).
In addition, CDC has developed the Core Elements of Outpatient Antibiotic Stewardship, a resource outlining policies and practices that individual clinicians and outpatient facilities are encouraged to adopt to improve antibiotic use and prevent the following:
- 1 in 5 emergency department visits for adverse drug events are caused by side effects from antibiotics
- 50% of the antibiotics prescribed for acute respiratory infections are not needed
- 50% of patients do not get the recommended antibiotic for their condition; targeted antibiotics are more effective and help slow antibiotic resistance
Patients also play a critical role in preventing antibiotic resistance and improving antibiotic stewardship. Get Smart about Antibiotics Week is an opportunity for patients to learn how widespread overuse of antibiotics and incorrect prescribing practices can drive drug resistance, and result in unnecessary side effects, allergic reactions, and serious diarrheal infections caused by Clostridium difficile. Complications of antibiotic therapy can have serious outcomes, even death.
CDC Media Relations
(404) 639-3286
"It's imperative that patients receive the right dose of the right antibiotic, for the right amount of time and only when necessary. When antibiotics are inappropriately prescribed and used, we jeopardize the health of patients, and we jeopardize the effectiveness of the antibiotics available to fight serious infections."
Lauri Hicks, DO – Director, Office of Antibiotic Stewardship
"Improving the use of antibiotics is an important patient safety and public health issue. Studies show that 30% of the antibiotics prescribed in doctor's offices, clinics and other outpatient facilities are not needed. This indicates that improving antibiotic prescribing in outpatient settings is urgently needed. CDC's Core Elements of Outpatient Antibiotic Stewardship outlines the steps clinicians and outpatient facilities should take to improve antibiotic prescribing."
Katherine Fleming-Dutra, MD– Medical epidemiologist, Office of Antibiotic Stewardship
"We find that for inpatient care, hospitals are embracing antibiotic stewardship programs and actively working to create an environment that encourages physicians to provide the best antibiotic therapy for their patients and continue to improve antibiotic prescribing practices. We hope to see the same results in outpatient clinics and doctor's offices. Improved antibiotic prescribing by all physicians will lead to a reduction in resistance, a reduction in drug side effects and a reduction in complications like Clostridium difficile infections, which can be deadly."
Arjun Srinivasan, MD – Associate Director, Healthcare Associated Infection Prevention
Related Links
- Get Smart About Antibiotics Week
- Get Smart About Antibiotics Week: What You Need to KnowCdc-pdf
- Core Elements of Outpatient Antibiotic Stewardship
- Antibiotics Aren't Always the AnswerCdc-pdf
- How Antibiotic Resistance Happens
- Antibiotic Resistance – The Global ThreatCdc-pdf
- Resistance Anywhere is Resistance EverywhereCdc-pdf
- Antibiotic Resistance Patient Safety Atlas: Hospital Antibiotic Stewardship Programs by State Data (2014-2015)
- Antibiotic Resistance Patient Safety Atlas: Outpatient Antibiotic Prescriptions by State Data (2011-2014)
- Antibiotic Resistance Patient Safety Atlas: Healthcare Facilities Reporting HAIs by State Data (2011-2014)
- CDC Clostridium difficile Infection Website
- Federal Engagement in Antibiotic Resistance
- Core Elements of Hospital Antibiotic Stewardship Programs
- The Core Elements of Antibiotic Stewardship for Nursing Homes
- Antibiotic Resistance Solutions Initiative
- CDC Safe Healthcare Blog: CDC, OSAP Issue Best Practices for Dentists Prescribing Antibiotics
- CDC Safe Healthcare Blog: New Guide Developed to Help U.S. Hospitals Improve Antibiotic Use; A National Health Priority
- CDC Safe Healthcare Blog: Why Do We Prescribe Antibiotics When They Aren't Needed?
- CDC Safe Healthcare Blog: National Targets Set to Help Reduce Inappropriate Antibiotic Prescriptions in Outpatient Settings
- Antibiotic Resistance Patient Safety Atlas
Print Material
- Get Smart Week Ad for Parents of Younger ChildCdc-pdf
- Get Smart Week Ad for Parents of Older ChildCdc-pdf
- Get Smart Week Ad for Providers Cdc-pdf
- Get Smart Week Ad for PharmacistsCdc-pdf
- Healthcare Professional Commitment to Antibiotic Stewardship Posters
- Antibiotic Prescription Adherence and Non-Prescription Tools
- Preventing and Treating Ear InfectionsCdc-pdf
- Viruses or Bacteria: What's Got You SickCdc-pdf
- Antibiotic Safety: Do's and Don'ts at the DentistCdc-pdf


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Conference Registration
for the
2014 APA Texas Chapter
State Planning Conference
Short Course for Appointed and Elected Officials
October 15 to 18, 2014, Frisco, Texas
Great Communities! People + Places + Planning
This year's APA Texas Chapter Conference will be held in Frisco, in the rapidly growing North Dallas area. Frisco is one of the top 15 fastest growing cities in the US with 50,000 or more population, according to 2013 Census estimates. Six Texas cities on the fastest-growing list aren't just booming suburbs. They do have their share of outbound commuters every morning, but they also serve as significant job centers on their own. For suburban cities like Frisco, much of the growth comes from migration from other states and other parts of Texas, In 2013, Frisco added roughly 2,300 homes. This year, it will add 2,000 more. With around 140,000 people now, population forecasts exceed more than 300,000. The conference will feature speakers and sessions focusing on growth occurring in North Texas Communities and the lessons learned from their experiences. Mobile workshops will tour Frisco, Plano, Richardson, and McKinney, as well as Downtown Dallas. Planning officials participate in the 43rd Annual Short Course, which is Texas' best training opportunity for new and experienced planning board members. Evening social events will provide networking and entertainment, including an Oktoberfest at the Frisco RoughRiders Dr. Pepper Ballpark. Preconference activities on Wednesday afternoon include a Leadership Forum for Emerging Planning Leaders, an AICP Exam Preparation Workshop, and a mobile workshop to tour the George W. Bush Presidential Library and Center.
The Annual State Planning Conference brings together planners and planning officials who are passionate about building great communities. Click below to check out what is offered for the 2014 conference in Frisco. Book your hotel room at the Embassy Suites North Dallas/Frisco Convention Center.
2014 On-line Registration Form
If you are unable to register online and wish to utilize a registration form, contact APA Chapter Executive Administrator, Mike McAnelly, FAICP at email@example.com.
Program Information
2014 Conference Tracks 09.15.14
2014 TxAPA Frisco Conference Program - final posted 10.11.14
Conference Program
Keynote Speakers
Short Course
Mobile Workshops
Networking Events
AICP Certification Maintenance
Texas Leadership Forum
Planning Awards


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June Brown has revealed that her career has been "frustrating" during her time on EastEnders.
The veteran actress, 83, was speaking in the BBC1 documentary Fern Britton Meets... about her time on the soap and how she would have preferred to have appeared in other projects.
She said: "You may think I'm successful, but I don't. This will sound dreadful, but I didn't want to end my life playing a soap character. I wanted to end up playing wonderful characters like Dame Judi Dench.
"There are no longer any parts I want to play. I'm too old to play parts that are interesting. Just what comes along, I think."
Referring to a controversial storyline ten years ago regarding euthanasia, Brown also revealed that fans had told her they had also helped loved ones commit suicide.
She said: "I had so many letters from people saying they had never told anybody they had been asked to do it, and actually had done it."


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Update: On December 11, 2018, Judge Miller denied the U.S. International Boundary and Water Commission's ("USIBWC") motion to dismiss the Surfrider Foundation's allegation of unpermitted discharges by the USIBWC through its Flood Control Conveyance. Agreeing with our opposition to the motion, Judge Miller noted that "USIBWC fail[ed] to present sufficient evidence" on the factual questions raised by our allegation.
U.S. District Court for the Southern District of California, San Diego — On November 19, 2018, Judge Jeffrey T. Miller held a hearing on a motion to dismiss part of the Surfrider Foundation's lawsuit against the U.S. International Boundary and Water Commission ("USIBWC"). Surfrider filed suit on July 17, 2018, to address the USIBWC's egregious Clean Water Act violations in the U.S-Mexico border region. Part of our complaint alleges that the USIBWC has allowed unpermitted discharges into the waters of the U.S. through its Flood Control Conveyance. These unlawful discharges have negative impacts on both human health and the environment.
At the hearing, Judge Miller noted that any citizen (such as Surfrider) can sue under the citizen suit provision of the Clean Water Act, unless sovereign immunity applies. Sovereign immunity refers to the idea that the government cannot be sued without its consent. The USIBWC argued that the aforementioned part of our lawsuit is barred by sovereign immunity, because enforcing its compliance with the Clean Water Act would impair its ability to fulfill its obligations under a 1944 Treaty with Mexico to negotiate bilateral solutions to the international pollution problem. Thus, the USIBWC argued that this part of Surfrider's case should be dismissed.
Judge Miller acknowledged that "these are conclusory allegations" made by the USIBWC, since a record of facts has yet to be developed to support or refute its conclusions. Without first developing such a record, Surfrider argued, there remain factual disputes that cannot be answered. For example, will our lawsuit really disrupt the USIBWC's efforts to work with the Mexican government, or will it actually aid the foreign diplomatic process? If there is a way for the USIBWC to comply with the Clean Water Act as well as its Treaty obligations, then sovereign immunity does not apply. Thus, Surfrider argued we must be allowed to develop a record to resolve these factual disputes. To this point, Judge Miller stated, "I understand it and agree with it."
Additionally, Surfrider argued that the plain language of the Treaty requires the USIBWC to comply with the Clean Water Act. More specifically, Article 20 mandates that "Each Government shall assume responsibility for and shall adjust exclusively in accordance with its own laws all claims arising within its territory in connection with the construction, operation or maintenance of the whole or of any part of the works herein agreed upon" (emphasis added). Thus, the USIBWC's argument relies on the false dichotomy that it must either comply with its Treaty obligations or the Clean Water Act, when the Treaty itself states that it must comply with both. Part of Surfrider's case should not be dismissed on this faulty basis.
Judge Miller is expected to issue a ruling on the motion before the December holidays.
We are generously represented in this matter by pro bono counsel of McDermott Will & Emery LLP, including attorney Margaret Warner, who presented Surfrider's arguments opposing the motion to dismiss.


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May 1 (UPI) -- A synthetic protein has been developed that restored breathing capacity to rats' injured lungs, which may lead to potentially better and cheaper treatment for humans, according to a study.
Stanford University researchers have synthesized a protein that mimics an essential part of a thin film that coats lungs' inner surface called surfactant. The findings were published Tuesday in the journal Scientific Reports.
Surfactant lowers tension in the inner surface of the lung, reducing the amount of force needed to breathe. While a small amount is needed for an infant's lungs, much more is needed for adult lungs, which have a surface area about 20 times bigger than those of a baby -- roughly comparable to the size of a tennis court.
Aside from babies born without the substance, surfactant dysfunction can come from severe lung infections, including bacterial and viral pneumonia; lungs collapsing from impacts, such as a car accident; inhalation of water in near drownings; and foreign materials' aspiration in a drug overdose.
Using mechanical ventilators often causes lung infections because of the film's depletion, researchers say, making it important to find methods of avoiding their need.
"People who wind up on ventilation in intensive-care units are intubated," Annelise Barron, an associate professor of bioengineering at Stanford, said in a press release. "A breathing tube is inserted into their nose and threaded down to their lungs. If that intubation lasts for more than three days, their chance of acquiring a lung infection rises to 100 percent."
Barron, a member of Stanford Bio-X and the Stanford Cancer Institute, has been working on workable synthetic substitutes for two decades. Her new procedure, tested with 32 rats, outperformed a costly natural counterpart.
"Lung surfactant is endowed with amazing biological properties," Barron said. "The key to this is the presence, in the surfactant, of two special proteins whose structures uniquely enable them to cut surface tension."
Yet, those properties make these proteins difficult to synthesize and purify. They also are relatively unstable in solution, which increases the price because of limited shelf-life.
"One of them contains the most hydrophobic, or fat-resembling, stretch of chemical constituents of all known human proteins," Barron said. "It's really hard to work with because that fatty stretch makes it tend to clump up, ruining its activity."
Standard methods for obtaining functional surfactant include rinsing it from cattle's lungs or chemically extracting it from those of pigs.
"You get only a tiny amount per animal," Barron said. "And whatever you've collected, you have to purify very carefully, as the material is so fragile you can't treat it with high heat to kill microbial pathogens."
Previous synthetic proteins contained water-based fatty lipids along with short protein snippets, but they were not quite as effective as animal-derived surfactant.
The Stanford researchers' polymers, which are called peptoids, mimic portions of the two important proteins, surfactant proteins B and C. The mimics -- which she called pB and pC -- are extremely resistant to breakdown by heat or naturally-occurring bodily enzymes called proteases.
Researchers administered different surfactant candidates to the rodents, and the synthetic protein called pC produced a "shocking result," according to Barron.
It was superior to the animal-derived surfactant in oxygenating blood -- lungs' main purpose -- as well as being superior to a control solution. And the cost was one-quarter to one-third of surfactant from animals and other synthetics, she said.
"This opens up new frontiers," Barron said. "Our relatively simple synthetic mimic of a very complex material will have a much longer shelf life and can be made in large amounts at reasonable prices."
Barron said she sees potential benefit for both adults and premature babies, with the hope right now being a clinical trial of the synthetic in adults undergoing treatment in intensive care units who have been intubated and could benefit from surfactant replacement.


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Frequently Asked Questions
Why venture to Adventure Parks?
Some of the many benefits of climbing at our adventure park is being outdoors in nature, participating in a healthy, sustainable exercise. TreeRunner Parks provide a break from social media and cell phones in a fresh. According to the EPA – an outdoor air environment that has 2 to 5 times less air pollution than indoor activities.
What Should I Wear At An Aerial Adventure Park?
Close-toed athletic type footwear is required at TreeRunner aerial parks. We recommend dressing for the weather. In warmer temperatures, we recommend loose-fitting clothing that fits under the harness to prevent any uncomfortable rubbing. In cooler temperatures, layers are best. It may be chilly when you start but you will warm up as you climb. We do climb and zip-line in the rain, so bring your rain gear! For safety reasons, long hair must be tied back. Please leave any scarves, capes, or dangling jewelry at home.
Is There Anything I Should Bring With Me?
You are welcome to bring water bottles and even coolers on site with you. There are three city water fountains throughout the aerial adventure park. Snacks, drinks, ice cream, and souvenirs are available in the Welcome Center. Glass containers or alcohol are not permitted on site.
How Long Does An Aerial Adventure Course Take?
Allow four hours for Aerial Forest reservations, which includes time for checking in, harnessing, a safety briefing, and three hours of climbing. You might want to arrive about 15 minutes before your reservation to give yourself ample time to check in. On average, each trail takes about 30 to 45 minutes to complete, more time may be needed to complete longer and more difficult trails.
Are There Any Age Or Weight Restrictions?
In order to climb without adult supervision in the Aerial Forest, you must be at least 14 years old. Adult supervision is required for ages 13 years and younger. Kids as young as seven years old may climb in the Aerial Forest. There is a maximum weight limit of 265 pounds in the Aerial Forest in North Detroit.
Do I Need A Reservation?
Yes, reservations for TreeRunner parks are required.
Do I Need To Sign A Waiver?
Yes, all climbers and non-climbers are required to complete a waiver. Waivers remain valid for the entire calendar year.
The waiver link will be electronically sent to the group coordinator (the person making the reservation) once your reservation is completed. The waiver is reservation-specific and not available on the website.
What Happens If It Rains?
We do operate rain or shine, as our canopy of leaves provides adequate coverage in all but the heaviest of downpours. In the case of high winds, thunder, lightning, or heavy downpours, we will suspend climbing, monitor the conditions, and reopen the outdoor adventure park if possible. If inclement weather affects your climb we issue rain vouchers. If the weather is threatening the day of your climb, you are able to reschedule your reservation or we will issue you a voucher. We do not issue refunds.
What Is Your Cancellation Policy If We Cannot Make Our Climb Time?
We do not offer refunds for cancellations. We would be happy to reschedule your climb or issue a voucher for you to climb at a later date.
What Happens If I Show Up Late?
If you are running late for your reservation please call us. Depending on availability we will try to adjust your reservation time. You are always able to reschedule as long as it is not past your start time.
Can I Bring Food On Site?
You are more than welcome to bring food and beverages on site. Picnic tables are complimentary based on availability. Glass containers and alcohol are not permitted.
Do You Offer Food Or Beverages For Sale?
We do offer snacks, ice cream, beverages, and souvenirs in the Welcome Center. Ask us about our recommended Catering Options.
Are There Set Time Slots?
Our facilitations occur every 15 minutes. Visit our Hours & Schedule resource for our up-to-date hours of operation.
How Difficult Is It?
We offer multiple adventure trails varying in difficulty levels ranging from beginner to expert. Beginner trails require very little upper body strength and balance, while the more advanced trails are increasingly physically challenging.
We require climbers to complete a beginner trail before attempting an intermediate trail, an intermediate trail before attempting an advanced trail and complete an advanced trail before attempting expert trails. If you have any additional questions, don't hesitate to reach out to us at your convenience!


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Bespoke Cigar is launching a new Cabinet Selection
This April will see the launch of the new Bespoke Cabinet selection line with the first cigar of this line being the "Rosetta". This is a 100% Dominican Republic Puro – with the much sought after Bonao leaf used as a binder, filler consisting of Dominican HVA all embrassed by a cotui wrapper from the Kelner family plantation. This project is one year in the making and we are pleased to announce that we now have a lovely little cigar to treat you at a very competitive price. As with the traditional cabinet selections these cigars will be unbanded but the box of 50 will of course carry the Bespoke Cigar logo and signatures of Jeremy Casdagli & the master blender Hendrik Kelner Jnr … Available summer 2016 !