text: Newsletter SUBSCRIBE → ARCHIVE → PRINT → Editor: Neil B. Gailmard, OD, MBA, FAAO Tip #223 More Thoughts on Pupil Dilation April 26, 2006 Advertisement Among those ages 35-49, 65% of patients who consider dropping out of contact lens wear cite dryness sensation as a key reason. ACUVUE® OASYS™ Brand Contact Lenses with HYDRACLEAR™ Plus are made from senofilcon A, a next generation silicone hydrogel. The proprietary formulation includes a remarkable moisture-rich wetting agent and no surface coating. The senofilcon A material balances properties to meet the demands of contact lens wearers in environments that can make eyes feel tired and dry. This breakthrough material creates a lens so moist and smooth that an eyelid glides effortlessly over it. ACUVUE® OASYS™ Brand Contact Lenses can help keep your patients in contact lenses by increasing their comfort and also giving them crisp vision and healthy lens wear. Last week I covered an idea to make pupil dilation more efficient in the office, and this week I'll offer some more tips and ideas on that topic. Delegate refraction I recently acquired two computerized refraction systems in my practice, which allows technicians to assist with subjective refraction testing. While most doctors utilize these instruments to save time spent on gathering refractive data, there is an additional benefit with pupil dilation. Once the subjective refraction is done, the technician can check anterior chamber angles with a slit lamp and fully dilate the patient with tropicamide. When the doctor sees the patient, he is already dilated, saving the need to instill drops and see the patient back a second time. The distance subjective refraction can even be fine tuned or confirmed by the doctor in the dilated state. Pre-dilate older patients Some doctors have their technicians pre-dilate their patients that are 55 years of age or older, using a drug with tropicamide. The doctor does the refraction with the eye dilated and somewhat cyclopleged, but the reasoning is that patients in this age group have little accommodation and the refractive result will be the same. Instill drops upon entering This technique works well in conjunction with last week's tip when the eyes are pre-dilated with phenylephrine 2.5%. With the phenylephrine already working, the doctor may add 1 drop of tropicamide to each eye immediately after greeting the patient during the doctor part of the visit. Then the doctor does his or her usual tests: reviews case history, refraction, slit lamp, discusses some of the findings and recommendations, and finally does the fundus exam. At this point, the phenylephrine has had about 40 minutes to work and the tropicamide might have had close to 15 minutes. This technique can provide a fully dilated pupil in many patients and allow a peripheral retinal exam with a BIO. Choice of drugs We have a need for several different mydriatic drops for various applications and types of patients. Some patients, such as those with dark pigmentation and diabetics, are harder to dilate and may require a stronger drug concentration. In some cases we want a stronger cycloplegic affect for checking true refractive status or for pain relief. In some cases we want a fast acting drug that has a short acting cycloplegic effect, so our patients can return to work with little inconvenience. Generally, we use phenylephrine (Neosynephrine) 2.5%, tropicamide (Mydriacyl) .5% and 1%, and cyclopentolate (Cyclogyl) .5% and homatropine 5%. For routine fundus evaluations Paremyd is an excellent choice because it has only .25% tropicamide – less than any other formulation. This low dose is sufficient for good pupil dilation, but it has reduced cycloplegic action and quicker recovery time. Paremyd is a combination drug: tropicamide along with hydroxyamphetamine (which used to be sold under the brand name Paredrine), so there is a cross action mydriasis. Hydroxyamphatmine does not cycloplege and is similar to phenylephrine. Paremyd was off the market for awhile – but is now available again from Akorn.


text: Convolution Acoustics – Notre Dame Cathedral Posted on January 23, 2020 by Organ-Editor Acoustics has played a central role in church organ development . In fact, it has been said that a building's acoustics is the most important stop on an organ. The organ is known as the "Kin... Read More

subset: commoncrawl


text:
Pavitra Rishta 26th May 2014 Written Episode Update
Pavitra Rishta 26th May 2014 Written Episode, Written Update on TellyUpdates.com
The episode starts with Rushaali telling her employees not to tell Naren anything about his marriage with Ankita. Naren comes. Rushaali introduces his employees to Naren. Ankita looks at them. She asks Naren to have breakfast and says lauke ki sabzi. Naren gets angry at his employees. Ankita tells him about the shares. Naren asks her to stop and says you are absolutely right. He says, atleast she knows about Shares and market value. He asks his employee to rewrite the report.
He asks Ankita about her education. Ankita says, commerce graduate. Naren says good. You can't be my care taker any more. He asks her, how do you know about the share market. Ankita recalls Naren telling her about it. She tells him that she learnt this from him. Naren says, you are my new assistant. Ankita refuses to do the job. Naren asks her to think about it.
Naren sits for breakfast. He tells her that he doesn't like bottle gourd dish. Ankita says, you liked it before. Naren says, I didn't know and starts eating. He says, it is good. Rushaali comes and asks him about his employees. Naren says, they can't prepare a report and says Ankita will handle it now. He praises Ankita's cooking. Rushaali gets annoyed.
Pari tells Archana that her hatred towards Naren was vanished when he hugged her. She says, he still loves him. For one moment I thought we are in London then looked at Ankita. She says, I felt guilty. She says, I don't know from where she got the strength. Archana tells about the Pavitra Rishta. Pari says, it should be two sided. Naren has forget Ankita.
Archana asks, did you ask him why he named himself Aman. Pari says, I didn't ask him as he is not fine yet. He is normal, but he forgot about Ankita. I won't meet him again. Archana says, Did Ankita told him that she is his wife. Pari says, don't know. I won't infront of him. He still remembers the time we spent in London.
Doctor asks Shashank to take care of Mansi. Mansi asks, what happened to me. Doctor says, you are pregnant. Mansi starts blushing. Shashank asks, are you sure? Doctor says yes. Shashank gets happy. Doctor writes the medicines. Mansi says, I will tell Aayi. Shashank says, we will go and tell her. Ankita gives the presentation to Naren. Naren asks, you asked me to write different languages. Naren gets impressed. He asks her to call Ahana from his phone.
Ankita calls Pari and tells her that Naren wants to talk to you. Naren takes the call and says I want to hear I love you from you. Pari is shocked. He says, I want to hear I L U. Pari says, not now. Archana hears their conversation. Pari tells him I love you. Naren tells her I love you too. Ankita hears and gets shocked. Naren tells her that he will tell her why he told his name as Aman Mathur and fixes their meeting for 7 pm.
He opens the cupboard and finds the dress. He asks Ankita. Ankita says, you made me wear this. Naren says sorry. Ankita says, it is my duty. Naren says sorry. Ankita gets hurt.
He says we have to do it for Ankita and she will get mad if she does not get Naren and says she risked her life for Naren. Pari says she is doing it for Ankita's friendship, but meeting Naren is very difficult for her as she still loves Naren. Shekhar says she told him about her past and he does not mind about it. Pari says Naren has asked her to meet him. Shekhar asks her to meet Naren and says he is with her in need, he asks her to make sure that Naren gets well soon.
Ankita comes to Naren's room with a coffee for him. She sees his T-shirt on the bed. Naren comes from bathroom and clasheswith her by mistake. She says she brought him coffee. Naren says she is his business associate and does not have to bring coffee. He says he is going on a meeting. Ankita asks what meeting. He says he is meeting Ahana as he wanted to move ahead in life and asks her help him buy an engagement ring for PAri. He asks her to go down and get his client's file till he comes down.
Ankita goes down and says Rushali that she wants to talk to him as it is very important. Rushali asks if Naren is fine. Ankita says Naren is going to buy ring for Pari. Rushali says it is fine as Naren had lived a life where he loved Ankita and now he is in love with Pari.
Precap: Pari says Naren that she cannot marry him as he is already married to Ankita. Naren is shocked to hear that.
Update Credit to: H Hasan


text:
1978 Ford Bronco Ranger XLT Unmolested Low Miles Very Little Rust
- Price: Ask a price!
- Condition: Used
- Item location: State College, Pennsylvania, United States
- Make: Ford
- Model: Bronco
- SubModel: XLT
- Type: Convertible
- Trim: Ranger XLT
- Year: 1978
- Mileage: 91,055
- Color: Red and White
- Engine size: 351
- Number of cylinders: 8
- Fuel: Gasoline
- Transmission: Automatic
- Drive type: 4WD
- Interior color: Blue
- Options: Convertible
- Vehicle Title: Clear
Ford Bronco 1978 DescriptionI am listing this truck for a friend. It has been sitting for about a year, efore that it was a local driver. It has just under 92,000 miles. All panels and frame are in great shape. It was PA inspected up until 2014. The battery is dead and only starts with a jump. It does not smoke or knock. It is the original 351 with headers and side pipes that come out just befor the rear wheels. It sounds great and is a great driver. No accidents or bondo. The A/C is apart but there.
The truck is for sale locally and may end early.


text:
Great Experience and Knowledge
Great Experience and Knowledge
May 14, 2018
Thanks you so much, I spent a number of years as an Investment Banker in the junior oil and gas market but have come to realize how little I knew about the markets and what they were saying. I am very thankful that I came to be aware of your services, appreciate greatly the time and effort you put into this as I can imagine it is not an easy task. You both have such great experience and knowledge and as a beginner in TA appreciate your willingness to check egos at the door and speak with such a welcoming tone to the less experienced. Truly appreciate the services available through the Art of Chart and I will do another boot camp as I think it is well worth the investment.


text:
When a married couple chooses to end their relationship, they may decide to get a divorce. Some couples, however, may instead elect to legally separate. Legal separation still necessitates many of the same considerations involved in a divorce, such as how property will be divided, whether one spouse will need support from the other, who will have primary custody of any children and the visitation schedule the parents will follow.
Whether a couple divorces or legally separates, emotions generally run pretty high, sometimes involving significant conflict. Even if it might not seem possible to negotiate an agreement that is workable for both spouses, mediation can provide a way through which couples can reach an agreement regarding all of the important issues affecting them.
Mediation involves a mediator helping couples reach an agreement between them, though the mediator does not make a decision in a case. In the event the separating or divorcing couple is able to come to an agreement, the mediator will then prepare a memorandum of understanding that memorializes the terms of the agreement. That memorandum is then filed by the parties with the court, and the court will treat it as part of the court's orders in the case.
Although coming to an agreement regarding child custody and visitation, property division and spousal maintenance may seem daunting, people often find that being able to work toward such an agreement will leave both spouses with greater satisfaction. A mediated settlement allows spouses to maintain a degree of control over the important decisions affecting them, rather than throwing their case to the will and judgment of the court. Mediation may also help keep costs lower than the expenses associated with litigating the case through the court in contested hearings.
Source: FindLaw, "Legal Separation vs. Divorce," Accessed Jan. 22, 2015


text:
Sign In
Anwar Sadat told Jimmy Carter it was imperative that the Saudis support the Camp David Accords.
BARD: An enemy of peace
Mahmoud Abbas, alas, is no Anwar Sadat, despite the pale imitation of a warrior he offered after his speech to the U.N. "I'm ready to meet any Israeli official at any time he wants," he told Fox News. "But to me only for a meeting I think is useless."
FIELDS: Mahmoud Abbas is no Anwar Sadat


text:
178 words.
I tried a concrete article, i.e. I tried to shape my article like two tiny houses. I know it doesn't make for very easy reading, but sometimes one must sacrifice utility in the name of research. Right?
In a If you
tiny house you can't want to join the tiny home
really fit a whole lot of revolution, you can build one of
stuff. But that is the whole point. You your own design, using your own labour
see, tiny houses work well for people and sourcing your own materials. Get rid
who are willing to live a minimalistic of everything that is unnecessary, and add
lifestyle. They are ideal habitation for on a couple of wheels
single people or couples, especially in so you can go wher-
countries where people are accustomed to living in large homes, with several possessions. ever you like, and take
all your stuff with you, like a snail setting out to see the world. Tiny homes are the antithesis to materialism. To live well in
one, you need to consider what is really worth your time, money and energy. Don't assume that a tiny home means you
have to do without privacy, or sanitation, or even your pets. You just need to be a little innovative with your arrangements.
Day 52: write an apology (fiction/non-fiction)


text:
Look who we caught driving at the speed of Trigard at the 2012 NFDA Convention and Expo! See your photo? Tag it on Facebook. Plus, keep your eyes on your mailbox for your speeding ticket.
We have lots of photos of all of the great drivers from this week. (Plus photos of everyone who drove into the wall or flipped the car!) Like us on Facebook to view the all the great photos.
Congratulations to Kevin Smith, Mark Cournoyer and Baird Booth. Each posted the fastest lap time of a day at the expo and took home two tickets to a NASCAR® race.


text:
Father Michael, members of the sisterhood and other members of the Holy Resurrection Orthodox Church of Vancouver.
I would like to thank all the ladies that came out and helped in the kitchen and out in putting on lunches and any and all other activities that we had in the past year. I would especially like to thank Nina Chudin, without her help and advise I would have been lost.
Besides our regular lunches we also assisted in a number of wakes. In March we helped successfully with the Retreat that was held at our church this past year. In April we had a successful bazaar and celebrated Easter. At the end of April men treated the ladies to a luncheon. In July we took a holiday and there were no lunches.
In August and September the preparations for fall activities started in earnest. The ladies met and spent one day in making piroshki, and again met on another day for making pelmeni. Everybody worked hard. All the preparations were for the fall bazaar in November. The bazaar went off quite well in spite of the fact that it followed soon after the very successful Jubilee Celebration.
In November we also welcomed our new priest, Father Michael. In December we bid farewell to Father Andrey and Matushka Henrietta who retired. On Christmas Eve we had potluck dinner and Kutia. The table was rich with offerings of all kind. On February 5th the ladies of the sisterhood met for lunch and then a well-enjoyed afternoon of bingo. There was a raffle and lots of other prizes to be won. The following day on February 6th, 2000, a meeting of the sisterhood was held and new officers of the sisterhood were elected.
The new President of the Sisterhood is Ludmila Darialova.
President of the Sisterhood Jrene J Tolmes


text:
Selway Star 1Star 2Star 3Star 4Star 5
Lobster (F61505)
Color: Lobster (Red)
- Full-grain leather upper
- Leather lining
- Leather sock
- Rubber outsole
- Opanka handcrafted construction
- Heel Height: 3/4 inch
Free Shipping *In Stock 1/1/0001. Pre-Order Today! In Stock. Ships within 1-2 business days.
- Full-grain leather upper
- Leather lining
- Leather sock
- Rubber outsole
- Opanka handcrafted construction
- Heel Height: 3/4 inch
- Returns & Exchanges
If you are unhappy with your order you may return your purchase within 30 days of shipment for a refund or exchange. Shoes must be in original, unworn condition to be accepted for returns/exchange (unless defective). Beyond 30 days, our products are guaranteed against defects and workmanship.
Enclosed in every order is:
- Merchandise Return Form to be filled out.
- Returns & Exchanges information with instructions for either a return or exchange.
- UPS Pre-Paid Return Sticker for your convenience.
No shipping charges will be applied to exchange orders. Straight returns are charged a fee of $6.95 if the UPS Pre-Paid Return Sticker provided is used. The cost of shipping an item to us is the responsibility of the customer. (Note: exceptions to this policy are made for defective items).
For more information see our Customer Service Page or if you have any questions, please call us at 1-866-979-2676 or email us at email@example.com.
- Reviews Reviewed 5 out of 5 stars (2) reviews
Reviewed 5 out of 5 stars Heidi , Albuquerque, NM, 4/24/2020
- Product Fit:
- True to size / True to Width
- Recommend to a Friend:
- Yes. These are so comfortable. I havebeen buying Born for many years and they are so nice. In the spring with sandals and in the fall with nice boots. Their shoes last a very long time. You will not be disappointed with this style.
Reviewed 5 out of 5 stars Laura, Orange, CA, 8/31/2019
- Product Fit:
- True to size / True to Width
- Recommend to a Friend:
- Yes. These are my new favorite sandals I usually wear an 8 in anything I don't wear socks with, and 8.5 in tennis shoes. I ordered the 9s in these, and they are SO comfortable (and really cute ). I got the reddish color and the shoes are really beautiful and it's obvious from looking at them that they're high quality. I'm really, really happy with these.


text:
I've been blogging for almost three months now (and I must say, I love it! I just wish I had more time to do it), so it's time to have a little giveaway. Kathy @ I Am A Reader, Not A Writer and Cindy @ Books Complete Me gave me the perfect opportunity to do it, hosting the Lucky Leprechaun Giveaway Hop. There are over 250!!! blogs participating and offering book related giveaways and we are all linked up together, so you can easily hop from one giveaway to another.
- Giveaway runs from Thursday, March 17th through Sunday, March 20th.
- This contest is International. I'll send the books from The Book Depository, so go here to check if they ships to your country.
- I'll try to keep it simple, so no extra entries. Just follow me via Google Friends Connect and fill in this FORM:
- I'll use the famous random.org to choose the winners.
There will be two winners: one winner will get a Young Adult book and another winner will get an (Adult) Urban Fantasy or Paranormal Romance book. Your pick from the lists below:
* New spring releases
**All links go to Goodreads
Blackout (Cal Leandros #6) by Rob Thurman (March 1st 2011)
Alien in the Family (Katherine "Kitty" Katt #3) by Gini Koch (April 5th 2011)
Magic on the Hunt (Allie Beckstrom #6) by Devon Monk (April 5th 2011)
Late Eclipses (October Daye #4) by Seanan McGuire (March 1st 2011)
The Darkest Secret (Lords of the Underworld #7) by Gena Showalter (March 29th 2011)
Eternal Rider (Lords of Deliverance #1) by Larissa Ione (March 29th 2011)
Vampire Mine (Love at Stake #10) by Kerrelyn Sparks (March 29th 2011)
Surrender the Dark by L.A. Banks (March 29th 2011)
Mercy Burns (Myth and Magic #2) by Keri Arthur (April 26th 2011)
Wild Desire by Lori Brighton (March 1st 2011)
Ok, that's it! Thanks for stopping by and for entering the giveaway! I'll announce the winners on Monday. Now hop to the next giveaway! Good luck! *fingers crossed*
(This is my first giveaway, I hope I won't screw it up. *bites nails nervously* LOL)


text:
Commercial Agent Network
In order to support the commercial utilisation of the ISS and of other flights opportunities, and to provide a more effective end-to-end service to customers, ESA has set up a network of Commercial Agents in selected market sectors throughout Europe.
The Commercial Agents offer the most important help in developing customers' initial business ideas into feasible projects. The Commercial Agent in charge of a project will support the customer in the entire process that leads to the submission of the Commercial Proposal to ESA, including helping the customer drafting the Commercial Proposal. Furthermore, the agents will help the customer identifying the required end-to-end services and negotiate the provisions of those services with the Industrial Partners of the Co-operation Agreement.
The German company ISS LabRuhr GmbH has been appointed by ESA as its first Commercial Agent for the biotechnology, health, food and nutrition market sector. Through its management skills, as the exclusive Commercial Agent in the above-mentioned sectors, ISS LabRuhr GmbH also coordinates the European marketing and acquisition activities of its highly experienced and specialist partners, namely: Enterprise Management Technology Transfer GmbH (EMBL-EM), Germany - the commercial arm of the European Molecular Biology Laboratory (EMBL); the French Institute for Space Medicine and Physiology (MEDES), and the AGT Group, Italy.
The Italian company INNOVA has been appointed as the Commercial Agent responsible for the materials and processes market sector. INNOVA coordinates the Europe-wide activities of the following companies in the materials and processes sector: KB&P (Germany), ISS Lab Ruhr GmbH (Germany), Bureau BD (The Netherlands), D'Appolonia (Italy), Centro Sviluppo Materiali (Italy) and the AGT Group (Italy).


text:
Become a Member
The CBA is a new international, non-profit organization that promotes both public and family cord blood banking, with the objectives of saving lives, improving health and changing medicine.
Our priorities are advocacy, quality products and services, market expansion, research and development, and public and professional education. As a Member of the new organization you can help . . .
Individual Memberships
The Individual Member opportunity is open to anyone who supports the CBA mission – cord blood bank personnel, research investigators, laboratory technicians, patients, donors, regulatory officials, vendors and health care providers such as transplant physicians, obstetricians, pediatricians, nurses and midwives. Annual dues are $99.
If your cord blood bank or company is interested in becoming a Member, click the appropriate button below.
Delayed Clamping:
Position Statement
Zika Virus:
Advisory Statement
Ebola Guidelines:
Vigilance Encouraged for Ebola Virus Safety
Sat Aug 29, 2020ONLINE: European Society for Blood and Marrow Transplantation 2020
Category: Events
Tue Sep 8, 2020Online: Advanced Therapies Congress & Expo
Category: Events
Thu Sep 10, 2020ONLINE: Cord Blood Connect 2020
Category: Events


text:
Schools can now enroll in Nebraska Thursdays
Release Date:
Sandra Renner, project associate, firstname.lastname@example.com, 402.687.2100 ext. 1009; or Rhea Landholm, brand marketing and communications manager, email@example.com, 402.687.2100 ext. 1025
LYONS, NEBRASKA – October is National Farm to School month, and schools across the state are celebrating with Nebraska Thursdays, a new program open for enrollment, sponsored by Center for Rural Affairs and Nebraska Department of Education-Nutrition Services.
Participating schools serve a locally-sourced meal in their cafeterias on the first Thursday of each month.
"Sourcing Nebraska products encourages fresh, local and healthy meals in the school cafeteria, educates students about Nebraska agriculture, and boost our local economies," said Sandra Renner, project associate at Center for Rural Affairs.
Funded by a USDA Farm to School grant, five schools across Nebraska participated in a Nebraska Thursdays pilot program during the 2017-2018 school year. Those schools were Omaha Public Schools, Litchfield Public School, Overton Public School, Thayer Central Community School, and Wayne Community Schools.
According to Sharon Davis, director of Nebraska Department of Education-Nutrition Services, the efforts of the five pilot schools impacted almost 42,000 students and resulted in thousands of food dollars staying in the Nebraska economy.
The pilot program also resulted in the creation of resources, promotional items, and an interactive recipe portal. These resources and more are available upon enrollment in the program. Sign up information and stories about each of the five pilot schools can be found at: education.ne.gov/nethursdays or cfra.org/f2s/NebraskaThursdays.
"Community members interested in starting a Nebraska Thursdays program, or farm and food businesses interested in supplying menu items, are encouraged to reach out to local school districts about this opportunity," said Renner.
Additional support for Nebraska Thursdays comes from the Nebraska Dry Bean Commission, Midwest Dairy Council, and Nebraska Beef Council.
- Posted on 1.17.2020
- Posted on 7.22.2020
- Posted on 5.14.2020
- Posted on 6.20.2019
- Posted on 12.9.2019


text:
Two Popular Six Sigma Jokes and Their Hidden Meaning
The Shepherd and the Black Belt
One of the major criticisms levied against consultants in general, and especially Six Sigma consultants is that they seek payment for something the business already knows. Nothing exemplifies this more than the popular six sigma joke, the Shepherd and the Black Belt:
A shepherd, herding his flock in a remote pasture stopped as a brand new Mercedes was advancing toward him. The driver, a young man stylishly dressed in an Armani suit got out and asked the shepherd "If I tell you exactly how many goats you have in your flock, will you give me one?" The shepherd looked at the man and said "Sure." The young man takes out his notebook, connects it to a cell phone, logs into a NASA page on the Internet, calls up a GPS navigation system, scans the area around him, opens up an Excel spreadsheet, spends some time doing complex formulas, and sends an email, to which he receives a fast reply. He next takes out his hi-tech miniature printer to print out a detailed report and says to the shepherd "You have 1,586 sheep."
"That's correct," the shepherd replied.The young man picked up the biggest animal he could lay his hands on, but before he could drive away, the shepherd said, "If I can tell you exactly what your business is, will you give me back my goat?" "Sure," replied the young man. "You are a Six Sigma Black Belt," said the shepherd. "That's correct," said the amazed young man. "How did you guess that?" He asked, curiously.
The shepherd replied, "You turned up here although nobody called you. You wanted to get paid for an answer I already knew, to a question I never asked, and for all your tech-savvy skills, you don't know crap about my business. Now give me back my sheep!"
This joke, though apparently a dig at Six Sigma consultants, nevertheless has a deep hidden meaning. The "shepherd" is an analogy to an organization. Six Sigma consultants without realizing that such external consultants do nothing except stating the obvious, and being oblivious to the inner workings of the organizations, rely heavily on processes and procedures, which is by no means the panacea for all the organization's ills.
The moral of the joke is that Six Sigma is useless unless applied judiciously.
Dilbert and Six Sigma
Six Sigma has not escaped Dilbert and his pointy-haired boss, Scott Adam's famous comic characters.
In the cartoon strip of April 2010, Dilbert's pointy-haired boss has a blocked nose and says, "I should not have gone to a veterinarian for my nose job… but as an engineer I value function over form, and the air flow is actually quite good."
Dilbert says, "You might be rationalizing a little." The boss replies, "I pity you with your inefficient nostrils."
This Six Sigma joke comic strip takes a dig at Six Sigma's obsession with process and standardization, overlooking other things.
In another famous Dilbert Six Sigma cartoon in November of 2006, Dilbert's pointy-haired boss who is standing next to a Six Sigma slide says, "Our company has decided to try something new." Dilbert replies, "New? Six Sigma was developed in the 80s." His pointy-haired Boss replies, "It's new to us."
Dilbert says, "Why don't we jump on a fad that hasn't already been widely discredited? That way the false hope might sustain us." The pointy-hair Boss replies, "There is nothing wrong with Six Sigma. All it does is reduce defects!" Dilbert checking his hand held device says, "Let's see… Fortune magazine says… blah, blah… Most companies that used Six Sigma have trailed the S&P 500."
The moral of this Six Sigma humor is that the pointy-haired Boss is right. There is nothing wrong with Six Sigma. The people who use it and how they use it rather creates disillusion.
So you see, Six Sigma jokes may have humor, but also contain some hidden meanings.
- Dilbert: By Scott Adams - https://dilbert.com/
- Dilbert Rips Six Sigma - https://gembapantarei.com/2006/11/dilbert_rips_six_sigma.html
- Six Sigma Jokes - https://learnsigma.com/six-sigma-jokes/
Image Credit: kevindooley. https://www.flickr.com/photos/pagedooley/


text:
Avocado-Heart tee has you lookin' so delicious and sexy as hell.
The fabric is strechy and nice in touch, so… Did I convince you? add me to your cart if you can :)
sewn in Poland Unisex 50% polyester 50% cottonModel wear size XS
No products
Your shopping cart is empty
We use cookies on our website. If you continue we assume that you consent to receive all cookies on our websites. More information in Privacy & Cookies policy. You can change cookie settings in your browser


text:
2 Bears have been all over the place recently. I've largely ignored them up until now. Two men in comedy bear outfits making big room house music with one member being twenty percent of Hot Chip (who seem to make music at an ironic distance) hasn't exactly set my pulse racing. But maybe I've been too soon to dismiss them- their music is a decent stab at making proper house music for dancing to and there's a line up of people whose taste I trust playing them- Andrew Weatherall, Annie Mac, Erol Alkan. On the other hand they're also recommended by Chris Moyles, Pete Tong, Paul McCartney and Elton John. So, um, I dunno. This is a free download of a remix of Work off their album (out today; the email said send people to buy it at iTunes or Amazon but I'd rather you went to a record shop), done by the ever wonderful St Etienne (who usually get the internet police to pull stuff I post of theirs).
Filed under: 2 bears, st etienne |


text: Tinkerbell Into The Darkness Part 11: Waking Up Posted on May 6, 2015 by admin The next anecdote is finished. This one takes oversharing to a new level, so keep that in mind if you want to request it. Email me at quantumdynamo[at]gmail[dot]com if you want to read. Requests considered on case-by-case basis.


text:
As St. Patrick's Day is fast approaching, we are reveling in all things Irish around here by indulging in our love for green, green, and green! When choosing the images for this month's mood board, we quickly got lost in the rich elegance of emerald jewel tones. But we also love how easily these shades of green can convey a whimsical attitude, brimming with laughter and evoking a crisp energy found only in the first few days of spring. Green is classic, yet spirited….no wonder Scarlett O'hara loved it!
Mix in a little gold and our March Mood Board is the perfect celebration of Irish pride, classic elegance, and playful spring. Links to each picture in the board can be found below if you want to know more.
Picture sources from the top left to bottom right:
- Gold Renaissance Glass Tea Light Holders from Beaucoup
- Emerald Jewel Necklace from My Lavaliere
- Botanical Bouquet from The Pretty Blog
- Shamrock Bunny Tassel from Classic Tassels and More
- Green Agate Coasters from Lilpengee Gems
- Scarlett O'Hara's Iconic Dress featured on Scarlett Online's Flicker
- Rustic Green and Gold Tablescape from Style Me Pretty
- Gucci Emerald Green Heels featured on Intimate Weddings
- Vanilla Mint Ice Cream from A Beautiful Plate
What's your favorite inspiration from our March Mood Board?


text:
Good Care Collaborative sets vision for complex care in New Jersey
With health care reform in and out of the national spotlight and a governor's race approaching in November, national and state Medicaid experts, policymakers, and community members gathered in Trenton for the third annual Good Care Collaborative conference, Complex Care in New Jersey Medicaid: Setting a Vision. After hearing from panelists about bright spots of innovation across the country and state, the 130 attendees had the chance to write suggestions to the new state administration to advance complex care in New Jersey.
"The most powerful changes in health care in the country are happening in Medicaid," said Frederick Isasi, Executive Director of Families USA. In his keynote, Frederick highlighted two examples of state-led health innovation: Washington State and Alaska. In Washington, the state created data linkages to better understand utilization patterns, eventually saving the state $35 million. In Alaska, 25 percent of the highest-utilizing patients were in one six-block area. Opening a health clinic with late hours in that area saved $27 million in one year.
An afternoon panel of New Jersey policy experts focused on the importance of aligning incentives and improving communication between sectors and between consumers and policymakers. "If we want to do anything about high cost populations and bend the cost curve, we need to get rid of silos in payment and treatment," said Allison Hamblin, Senior Vice President at Center for Health Care Strategies.
Linda Schwimmer, President and CEO of the New Jersey Health Care Quality Institute (NJHCQI), discussed NJHCQI's recently published Medicaid 2.0: Blueprint for the Future, including its recommendation for a state Office of Health Transformation. Heather Howard, Director of State Health and Value Strategies at Princeton University, noted that an Office of Health Transformation would lay important groundwork for bolder structural changes like a Health Authority model, citing examples in Oregon and Washington. This would align incentives at the government level, allowing the government to move from reactive to proactive to realize a broad vision for health.
The Good Care Collaborative (GCC) is a statewide coalition, convened by the Camden Coalition, of patients, providers, payers and policy leaders from across New Jersey's health care spectrum. Complex Care in New Jersey Medicaid: Setting a Vision was the third annual conference of the GCC.
The conference was closed with a keynote from Dr. Toyin Ajayi, Chief Health Officer at Google's new Sidewalk Labs. "People with complex health care needs are falling through the cracks," she said. "Our patients are an all too constant reminder of how vital this work is: we have to get it right."


text:
I have access to PC, wii u, Ps4 and Xbox one but the two I voted for were ps4 and Xbox one.
I hope it comes to all four but the reason I chose those two over PC is because I would prefer playing this style of game on console as I have a bigger screen and surround system there. The reason I chose those over wii u were because they're more powerful systems and they also allow for things like trophies/achievements.


text:
Alohaaaa – This trip to Hawaii was unreal! Though this trip was a gift for Ben, I had the best time of my life and learned so many new things about myself. I think what defines an amazing trip is if you had delicious food, met new friends and learned something new either a skill or about yourself.
If you've read my travel blogs before then you should be familiar with my style of travelling. I don't like touristy shit… aka I didn't go to Hanauma Bay lol. I'll hit up the 'MUST EATS' but I love discovering a new hole in the wall! During this trip, I didn't have enough time to hit up the North Shore and try any shrimp trucks and go to the Dole Plantation… etc etc, so if that's what you're expecting in this blog then you can leave now.
Let's get this started!


text:
The Hotel Alyeska first opened its doors to guests in 1994. Today, the chateau-style hotel - set in a lush valley surrounded by mountain peaks, hanging glaciers and ocean views – makes for the perfect base camp during your Alaskan vacation.
guest amenities:
幸运飞艇几点到几点due to high guest demand, the hotel alyeska is a non-smoking property. please smoke outdoors only. thank you!


text:
Environmental Studies at the University of California-Santa Cruz
Program Design & Assessment
Environmental Studies is an interdisciplinary major (B.A., B.Sc., Ph.D.) which promotes the impacts of human activities on the environment. Students are required to take a mix of natural and social science courses, and a senior exit requirement.
To produce graduates that are well educated to make a difference in how we grow food, conserve biodiversity, and adapt to and mitigate global changes.
Program Goals
Our major is designed to prepare students for careers in environmental issues. We have historically been recognized for our contributions in conservation biology and policy, agroecology and sustainable food systems, and the political economy of the environment. More recently, we have built strengths in global change ecology and policy, ecological risk, and environmental governance.
Alumni Careers
Our past students, both graduate and undergraduate, hold leadership positions in government agencies, non-profit organizations, academic institutions, and industry throughout the U.S. and the world.
Program Assessment
Each class has an assessment at the end of the quarter. Faculty are reviewed every two years. The Department undergoes an external review every eight years.
Courses and Sequencing
Entry into the program
General Ecology (ENVS 24)
The Physical & Chemical Environmenat (ENVS 23)
Environmental Policy & Economics (ENVS 25)
Core courses
Ecology & Society (ENVS 100)
Students are required to take Seven upper-division courses (35 units) electives, chosen from the following list:
ENVS 65 Introduction To Fresh Water: Processes And Policy
ENVS 80A The Future Of Rain Forests
ENVS 80B The Ecological Forecast For Global Warming
ENVS 91F Community And Agroecology
ENVS 104A Introduction To Environmental Field Methods
ENVS 104L Field Methods Laboratory
ENVS 107A Natural History Field Quarter
ENVS 107B Natural History Field Quarter
ENVS 107C Natural History Field Quarter
ENVS 108 General Entomology
ENVS 108L General Entomology Laboratory
ENVS 109 Ecology And Conservation In Practice Supercourse
ENVS 110 Institutions, The Environment, And Economic Systems ENVS 115A Geographic Information Systems And Environmental Applications
ENVS 115L Exercises In Geographic Information Systems
ENVS 120 Conservation Biology
ENVS 122 Tropical Ecology And Conservation
ENVS 123 Animal Ecology And Conservation
ENVS 129 Integrated Pest Management
ENVS 129L Integrated Pest Management Laboratory
ENVS 130A Agroecology And Sustainable Agriculture
ENVS 130B Principles Of Sustainable Agriculture
ENVS 130L Agroecology And Sustainable Agriculture Laboratory ENVS 131 Insect Ecology
ENVS 133 Agroecology Practicum
ENVS 138 Field Ethnobotany
ENVS 138L Ethnobotany Laboratory
ENVS 140 National Environmental Policy
ENVS 140L National Environmental Policy Field Studies Laboratory
ENVS 141 Ecological Economics
ENVS 142 Energy Politics And Policy
ENVS 142L Energy Politics And Policy Laboratory
ENVS 143 Sustainable Development: Economy, Policy, And Environment
ENVS 145 Green Building Design
ENVS 146 Water Quality: Policy, Regulation, And Management ENVS 149 Environmental Law And Policy
ENVS 150 Coastal And Marine Policy
ENVS 151 Environmental Assessment
ENVS 156 Environmental Action Through Writing
ENVS 157 In The Natural Sciences
ENVS 158 Political Ecology And Social Change
ENVS 159 Nature Literature
ENVS 160 Restoration Ecology
ENVS 161A Soils And Plant Nutrition
ENVS 161L Soils And Plant Nutrition Laboratory
ENVS 162 Plant Physiological Ecology
ENVS 162L Plant Physiological Ecology Laboratory
ENVS 163 Plant Disease Ecology
ENVS 163L Plant Disease Ecology Lab
ENVS 165 Freshwater Issues And Policy
ENVS 166 Agroecosystem Analysis And Watershed Management
ENVS 167 Freshwater And Wetland Ecology
ENVS 167L Freshwater And Wetland Ecology Lab
ENVS 168 Biogeochemistry And The Global Environment
ENVS 169 Climate Change Ecology
ENVS 172 Science, Policy, And The Environment
ENVS 173 An Introduction To World Environmental History
ENVS 175 Biotechnology: Social And Environmental Dimensions
ENVS 177 Teaching Environmental Education
ENVS 179Environmental Interpretation
Capstone (ENVS 190)
Other requirements or key features
We have a very active Internship program that places about 200 students per year in local, regional, state,and national positions.


text:
More Updates!Aug 27th, 2013
Rules have been updated including a UTV specific version! Check them out "Race Info & Rules" page. Also, if you want to become a vendor this year the Vendor Application has been added to the "Vendors & Sponsors" page. Check back soon for updated pricing and schedule!


text:
A network-embedded self-tuning cavity is proved in wavelength division multiplexed passive optical network transmission over 32 channels. The external source-less topology takes advantage of a reflective element at the remote node and a reflective semiconductor optical amplifier at the optical network unit to establish a distribution-fiber based cavity. The bit error rate performance of up to 5-km cavities is presented with two optical network units simultaneously operating and with downstream signal co presence. The experimental analysis at 1.25 Gb/s provides an evaluation of polarization dependences when exploiting low polarization dependent gain reflective semiconductor optical amplifiers with 25-km and 50-km standard single mode fiber transmission.
©2012 Optical Society of AmericaFull Article | PDF Article
OSA Recommended Articles
L. Marazzi, P. Parolari, M. Brunero, R. Brenot, S. Barbet, and M. Martinelli
Opt. Express 21(4) 4376-4381 (2013)
Paola Parolari, Lucia Marazzi, Marco Brunero, Mario Martinelli, Romain Brenot, Anaelle Maho, Sophie Barbet, Giancarlo Gavioli, Gael Simon, Sy Dat Le, Fabienne Saliou, and Philippe Chanclou
J. Opt. Commun. Netw. 7(2) A249-A255 (2015)
Yiran Ma, Dekun Liu, Jingwen Yu, and Xiaomu Wang
Opt. Express 20(20) 22523-22530 (2012)


text:
Abel Hovelacque is not in favor of, but which MM. Vogt and Huxley, who are little suspected of orthodoxy, admit—a gulf which, is growing wider every day under our very eyes; in which we are still permitted to perceive those lost paths, going from one side to the other, of which Mr. Huxley speaks in the preface to the French translation of his "Man's Place in Nature"; but which will soon become insuperable by the disappearance, on the one side, of the last existing anthropoids, and, on the other side, of the last inferior human races; when man will be left isolated and majestic, proudly proclaiming himself the king of creation.
We need not blush, then, for our ancestors: we were monkeys, as before them we were reptiles, fishes, yes, even worms or crustaceans. But that was a long time ago, and we have grown up. Evolution, let us say it, has lavished its favors upon us, and has given us all the advantages in the struggle for existence. Our rivals of yesterday are at our mercy; we leave those which displease us to perish, we create new species when we want them. On our planet we reign, fashioning things at our will, piercing isthmuses, going down into seas, ransacking the air, suppressing distances, and snatching from the earth its secrets of ages. Our aspirations, our thought, our action, have no bounds. Everything pivots around us. What more can we desire? To be god? That may come. Evolution has not had its last word. The anthropopithecus has been; the anthropotheomorphus may be. M. Hovelacque has tried to reconstitute the one; why may we not some day try to constitute the other, the man of the future?
THIS formidable title will doubtless lead many of my readers to apprehend that I am now going to inflict upon them one of those abstruse and profound disquisitions on molecular physics which are very learned and very incomprehensible. But I do not propose to do anything of the kind. I have no desire to go into mathematics, or to weary them with a more or less tedious recapitulation of the gradual development, from crude beginnings, of our present science of molecular dynamics, by going back to the earliest conceptions of atoms by the Greek philosophers, or even to the time of Dalton and Bernouilli.
I merely desire to explain, in as popular a language as the subject permits, in how far the researches of men like Helmholtz and Sir William Thomson have modified our ideas of the ultimate composition of matter. There will be nothing offered that is


text:
Today was the greatest collection of WWII aircraft in 60 years, over 50 planes, doing a flyover of Washington, DC in multiple waves. I went up on the top of my office building to watch and take pictures. The property management people caught us near the end of the show and shooed us downstairs.
Here are (admittedly poor) pictures of some of the planes.
Catalina emergency landing
B24 with P51 escorts
Formation of biplane trainers
P51s hotdogging. They flew low down the Potomac, and then popped up above the Mall.
Catalina. It arrived early, and circled for a while to wait for its turn.
I think its a Texan. It acted like an in-flight sheepdog for the fly by.
Not sure what these are. I think they're monoplane trainers.
P40s and the sheepdog.


text:
A peaceful old farmhouse in the middle of nowhere, quite close to cycle route 423, with comfortable rooms and all that a weary cyclist needs.
Upper Red House
Our historic house is at the end of a lane with modern comforts but still feels old. It was saved from dereliction 20 years ago (but there's more to do).
Three small towns - Raglan, Monmouth and Abergvenny - are quite close and plenty of places nearby for evening meals.
The house is surrounded by our organic farm, orchards and woods. Watch the peacocks and ponies with lovely views and wildlife all around.
Have a generous vegetarian breakfast in the old barn kitchen; and take packed lunches the next day (with 24 hours notice). Try the home-made jams and marmalade, honey from our bee and water from the spring. We get the heating from a biomass boiler and energy from the sun.
We don't go in for stars and awards, but live in as green a way as we can and hope you will do the same. Our guests arrive tired and leave happy and relaxed.
Please pay by cash or cheque. Booking essential. Arrival time after 4.30pm and departure about 10.00 am.
From around £35.00
- Parking
- Tea/Coffee
- Secure Bike Lockup
- Dry Room
- Bike Washing
- Clothes Washing
- WiFi
- Garden
- Breakfast
Enquire Online
ContactHelp us help you, please mention that you saw this ad on Beds for Cyclists!
Upper Red House, Llanfihangel Ystern Llewern, Monmouth, NP25 5HL
1x En-Suite Double
1x Single
1x Twin
1x Double
Local Cycle Hire
Directions to Here
|National Cycle Route
|Regional Cycle Route
|Local Cycle Network
|Cycle Parking
|Toucan Crossings
|Other Crossings


text:
GoPro Hero HD Surf Camera Video
June 7, 2010: This was the first time I have used my new GoPro Hero HD Helmet Camera. This would be a great Fathers Day Present! You can buy the Go Pro Hero HD Camera HERE! . Share Your GoPro Hero HD Camera videos on The Boarding Network YouTube Channel.


text:
I cannot believe we are already in May, this year is just flying past. So hello to May and we have a fabulous Venue of the Month to share with you.
Ever dreamed of getting married in a Castle? if so then this could be your dream wedding venue in sunny Spain.
Castillo de Santa Catalina is a beautiful 16th Century Spanish Castle which is now a luxurious hotel overlooking the bay of Malaga and is the perfect place to hold your Spanish wedding.
The venue is full of charm and charactor and enjoys plenty of historic fixtures and fittings creating a WOW factor. The interior is striking and will be sure to create plenty of amazing wedding photos with it abundance of backdrop options. The beautiful landscaped grounds are wonderful and can be enjoyed by you and your guests for your drinks reception, photo opportunities and your wedding celebrations. There are plenty of terraces to hold your wedding reception which take in the stunning sea views and are surrounded by the charm of the castle walls. The one thing you will not forgot are those amazing views... they will be sure to take your breath away and you will instantly fall in love with this venue as soon as your step into its grounds.
A few facts:
- Location : Coastal
- Suitable for Wedding Ceremony : Yes
- Suitable for Wedding Reception : Yes
- Near to Church : Yes
- Accommodation Availability : 8 Rooms
- Nearest Airport : Malaga
- Distance from Airport : 20 Minutes
- Closest Town : Malaga
Find out more about this venue
Video of Castillo de Santa Catalina
Check out our board on this FAB venue
If you think this venue is the wedding venue in Spain you have been looking for them please feel free to get in touch and we would be happy to provide you with further information and help plan your Perfect Spanish Wedding.


text:
A friend of mine told me that her favourite Korean actor is Hyun Bin (현빈). She says the 24-year-old star of highly popular K-drama 'My name is Kim Sam-soon' and A Millionaire's First Love (2006) has a gorgeous smile.
I would definitely like to watch 'My name is Kim Sam-soon'. Heard lots of good things about this drama. But why is it different from the rest? Why is it so popular?
Anyway, the following pictures pay tribute to heartthrob Hyun Bin's smile. Keep a close watch for those famous dimples.


text:
Cheer on London Bees this Wednesday when they face local rivals Watford.
The Hive's summer of football continues on Wednesday night when London Bees take on Watford in the FA WSL Continental Cup.
The Bees began their cup campaign with a point against Millwall Lionesses and with trips to Chelsea and Arsenal still to come it is vital they come away with a win against the Hornets.
Barnet FC members get FREE access to all London Bees home fixtures so get down to The Hive and cheer on London's newest football club.
Not a member? Then don't worry because tickets are available via the turnstiles.
KICK-OFF: 7.30pm


text:
Real World article
(written from a Production point of view)
(written from a Production point of view)
The Fidelity cards were a series of Star Trek-styled credit cards to be put into a wallet. They were produced by Downpace Limited in the United Kingdom in 1995, and were given away free with Star Trek-themed mugs and cups. There were eight cards displaying images from the Original Series, and a further ten cards from the Next Generation.
The eighteen cards in the set were:
- The bridge of the USS Enterprise
- Chekov and Sulu on the bridge
- Kirk and Spock firing phasers
- Kirk and Spock playing chess
- Kirk with his hand on his chin
- Spock with a phaser in front of a shuttlecraft
- Dr. McCoy
- USS Enterprise in space
- The Next Generation bridge crew
- Data in front of view of the stars
- Dr. Crusher
- Geordi La Forge
- Captain Picard in front of view of the stars
- William T. Riker
- Romulan Warbird
- Deanna Troi
- The USS Enterprise-D in front of a planet
- Worf
Community content is available under CC-BY-NC unless otherwise noted.


text:
Mainlines double door boxcars - a collection
These repaints include the centered double door, the offset double door, and the replacement doors.
Based on the cars that FMC built for the Southern Pacific, and that were adopted by many others.
As always, these are for personal use, and may not be sold or used for commercial purposes.
The painter and the modeler both reserve all rights to their respective work.
Download this package, and un-rar it. Open the Utilities.exe program from TS2017 and select the 'Package Manager' tab. Click on the 'Install' button. Navigate to the folder where you extracted the .rar file.
Select the FMC-Current.rwp file and open it. The Installer wiil transfer the file to the proper locations.
Once installed, it will appear in the menu as the following;
FMC50ftCODD-CLC, FMC50ftCODD-UORR, FMC50ftCODD-UP, FMC52ftCDD-EACH,
FMC52ftCDD-SNCT, FMC52ftCDD-SSI, FMC52ftCDD-GBW, & FMC52ftCNDD-BN
Please remember even those this file is free, the author still has rights to the file. Be sure to read the readme that is enclosed for further copyright information and instructions to install the file.
DTG's Required Disclaimer
"IMPORTANT NOTICE. Everything on this site is user generated content designed for use with RailSimulator.com Limited's train simulation products, including RailWorks 4: Train Simulator 2013, Train Simulator 2014 and Train Simulator 2015. RailSimulator.com Limited does not approve or endorse this user generated content and does not accept any liability or responsibility regarding it.
This user generated content has not been screened or tested by RailSimulator.com Limited. Accordingly, it may adversely affect your use of RailSimulator.com's products. If you install this user generated content and it infringes the rules regarding user-generated content, RailSimulator.com Limited may choose to discontinue any support for that product which they may otherwise have provided.
The RailWorks EULA sets out in detail how user generated content may be used, which you can review further here: www.railsimulator.com/terms. In particular, this user generated content includes work which remains the intellectual property of RailSimulator.com Limited and which may not be rented, leased, sub-licensed, modified, adapted,copied, reproduced or redistributed without the permission of RailSimulator.com Limited."
We have 403 guests and no members online


text:
Win a $250 Visa gift card and a 3M Command gift pack (10 winners per quarter)!
ENTER SWEEPSTAKES HERE – 3M Command Sweepstakes page.
ENTRY LIMIT – Limit of one (1) Entry per person, per day.
ELIGIBILITY – Your Wish is Our Command Sweepstakes is only open to legal residents of the fifty (50) U.S. and D.C. who are 18 (19 in NE & AL and 21 in MS) years of age or older at the time of entry.
SWEEPSTAKES PERIOD – Sweepstakes begins 12:00:00 p.m. Central Time ("CT") on February 12, 2014 and ends at 11:59:59 a.m. CT on December 31, 2014.
PRIZES – GRAND PRIZE DESCRIPTION: (40) Forty Quarterly Prizes (10 per quarter): Quarters 1 – 4, a $250 Visa Gift Card and a 3M Command gift pack. Approximate retail value ("ARV"): $350.
RULES – See sweepstakes rules here (on entry).


text:
Brazil has had a rough past few months to put it mildly. Ex-president Dilma Rousseff has been suspended and now faces an impeachment trial, interim president Michel Temer is embroiled in corruption allegations already, the economy is crumbling, and Rio has declared a state of "Public Calamity" putting the Olympic games in question. Now, to add insult to injury, we learn that Brazil's fourth largest telephone company Oi SA filed the largest bankruptcy in the country's history on Monday, Brazil is in need of a mercy rule, even as investors who have been scrambling to buy Brazilian assets in 2016 realize just how bad things really are.
After talks with creditors to restructure its debt collapsed, Oi and six subsidiaries filed for bankruptcy listing $19.26 billion in debt. In its filing, the company said it chose reorganization in order to preserve the value of its holdings and to continue to serve its customers according to the WSJ.
Oi has low penetration in the mobile phone and broadband markets, and Since 2009 the company had accumulated large amounts of debt in order to complete two mergers, first with Brasil Telecom and later with Portuguese company Portugal Telecom. As the WSJ notes, those deals failed to generate enough cash flow to fund the company's investment needs.
CEO Bayard Gontijo resigned on June 10, and although no reason was given for Gontijo's departure, shareholders had been putting significant pressure on the CEO to resist a proposal by creditors to convert debt into equity - a plan which according to the WSJ would have given a 95% stake of the restructured business to existing bondholders, thus significantly diluting shareholders.
As of March 31, Oi had reported gross debt in the amount of $14.72 billion, much of which was held by international bondholders. The bonds, as shown below, have been plunging over the past few months, anticipating precisely this outcome:
Debt negotiations involved Oi's executives and main shareholder, Bratel BV which controls 22.24% of the company. Representing the creditors was investment bank Moelis & Co who is advising creditors holding roughly 40% of the outstanding bonds. Those creditors being represented by Moelis include Pacific Investment Management Co, Citadel LLC and Wellington Management Co.
Other notable shareholders include the Ontario Teacher's Pension Plan,with a 4.77% stake; the equity arm of Brazil's development bank, with 4.63%; and BlackRock, with .96%. Additional notable creditors include commercial banks such as Banco Itau SA Banco Santander SA, Banco do Brasil SA and Caixa Economica Federal. 5% is held by development banks such as the Brazilian Development bank and Banco do Nordeste do Brasil SA.
Just last week, Fitch downgraded Oi by two notches to C from CCC, citing an unsustainable capital structure.
As Bloomberg notes, the impact of Oi SA's bankruptcy filing will go beyond Brazil, with the company's euro-denominated bonds comprising 1.8% of Bank of America Merrill Lynch's euro high-yield index by face value, the 11th-biggest issuer in the index.
* * *
And now that the bankruptcy spigot in Brazil has been tapped, we eagerly await as the repricing of Brazil's equities - which have soared in the past few months on empty hopes the Temer regime would magically make things better- takes place - gradually at first, then very fast.


text:
NYCC 2015: Impractical Jokers Impractical Panel
For the uninitiated, Impractical Jokers is a hidden camera show where the "hosts" are the ones being embarrassed. Four friends from Staten Island challenge each other to do and say crazy things out in public that most people would never do.
While waiting for the guys to come out, the crowd started yelling "Larry? LARRY?!?" and the "Let's Get Sexy" chant. Clearly this wasn't going to be your typical NYCC panel. When the guys finally did arrive, it was to thunderous, raucous applause and cheers. This was my sixth year at NYCC across and having attended countless panels I can unequivocally state that this was by far the loudest and most wild reception I've ever seen.
The start of the panel saw the announcement of the wrap of filming for Season Four and the start of Season Five. Moderator Chris Gethard spoke to the guys about their origins a bit where we learned that the original name of the show was Mission Uncomfortable. They shot a proof of concept around Staten Island with their cell phones to shop around to networks and actually pulled out the video to show all in attendance.
It was fun to see because the seeds of the show were in there, everything was just more raw and everyone had more hair, including Murr! Shooting it, they were terrified and it showed, well for everyone but Joe really, nothing seems to phase him. When truTV got involved and signed on for the show they had one stipulation, that the name change to Impractical Jokers.
Interestingly, the guys initially hated the name. They hated it so much that they were planning on buying the domain name on the internet and holding it so truTV couldn't use it since it was still available. As they debated whether it was wise to immediately start a fight with the network that had just signed them, tru ended up buying the domain, oblivious to what was going on with the guys. It ended up working out for the best since now they're known as the Jokers which works a lot better than the Uncomfortables.
Sal immediately put on a red mask over his eyes and demanded to be called Raphael and then later a (very sweaty) Batman mask. One of the more interesting takeaways from the audience questions was how things have changed for them publicly. The strangest encounters they tend to have are in public restrooms, like standing next to a guy who thinks they're filming the show… in the bathroom… while they're relieving themselves.
As for the punishments, they're only going to get crazier and they love it when two guys get punished at once. Joe and Q mentioned that they're waiting for a Sal and Murr punishment to occur because they have something crazy planned, something that they had to get approval from the lawyers to do.
The great thing is, even as their audience grows, they're in New York City where millions of people still won't know who they are so the show could continue indefinitely. And think about it, Candid Camera went on for years even with most of the country knowing who Alan Funt was.
Impractical Jokers airs Thursdays at 10pm Eastern on truTV.


text:
From the Head of Junior School
True Colours Come Shining Through
On Wednesday 7 November, the Year 5 students presented their PYP Exhibition. Working from the transdisciplinary theme 'Who we are', the boys examined a range of topics and passionately delivered their research and their learning to the Scotch community. On Monday and Tuesday of last week, the boys presented to our own students from the Junior and Middle Schools, students from the International School of Western Australia, Presbyterian Ladies' College as well as their parents and relatives.
The exhibition is a culminating experience of the Primary Years Programme and gives the boys the opportunity to showcase their skills as an inquirer. The feature item of each boy's exhibition was their statement piece. The one piece that they would use to focus their audience around their main points of discussion for their inquiry. The creativity the boys demonstrated was outstanding, ranging from models demonstrating the workings of a volcano or the inner workings of a virus, candy representations of DNA molecules, incredible artworks of musical instruments or interactive displays involving hydroponics, sensory playground areas and other creative ways of sharing their passion in their lives.
Each boy worked from a burning question, the key thing they wanted to learn or discover and demonstrated their research skills by producing outstanding written reports and orally sharing with their assembled audience the wonderful things they have learned and discovered. The key feature of the exhibition was the action each boy took. They were able to speak clearly about how it has changed what they believed or how it will impact on what they will do going forward.
To start the evening, the boys sang the song 'True Colours'. The exhibition truly was an opportunity for them to show their colours and the pride in their learning. Exhibitions of this standard are rare for children of this age. We had to remind ourselves as we walked through the presentation that the boys talking to us were ten and eleven years old. They truly presented as beyond their years.
Something like this exhibition does not simply happen. The incredible amount of work that takes place behind the scenes to bring this to the fore is remarkable. Not only did the boys benefit from the mentoring of the Junior School teaching staff through their nine-week journey, they were supported every step of the way by their outstanding classroom teachers and Mr Warwick Norman, Dean of Teaching and Learning. I want to thank Mrs Alexander, Ms Louden and Mr Wells for their expertise, their passion and their commitment to these boys that helped them get to this point in their learning. I want to also congratulate the boys for their efforts. The way they went about presenting and sharing their learning with the community this week makes me so very proud of them. Each of them did show their true colours this week. They showed their passion for learning, passion for communicating and the strength of their character to each person who attended the exhibition.
The feedback from staff and parents who joined us, was how they were taken aback at the ability of these boys and the standard of presentation and learning they demonstrated. I want to say well done to everyone involved in this wonderful journey.
Mr John Stewart
Head of Junior School


text:
China Ceramic Heating Pads Element Manufacturers, Suppliers
Wujiang Fangzheng Electric Heating Appliance Co., Ltd is a China ceramic pad heating element Manufacturers and suppliers, offer 80V/60v Ceramic heating pad for sale
Brake Pads Manufacturers,China Brake Pads Suppliers Factory
We are advanced China Brake Pads Manufacturers and Brake Pads Suppliers,As a professional Brake Pad Manufacturer,our Brake Pads Factory has won state patents
GreenStationery, Additional Products, Books & Pads, Business Gifts, Catering Supplies, Computer Supplies, Filing, Furniture, Legal & Personnel
Sanitary Napkin Manufacturer, Sanitary Pads - China Napkin
Roselee is a sanitary napkin manufacturer in China, engaging in R&D of sanitary pads, menstrual pads, panty liners, baby diapers, OEM&ODM acceptable.
We offer an extensive range of MMA, Kick Boxing and martial Arts gears including punch Bags, Speed Balls, gloves, Mitts, headguards, Supports, Shin Pads, Body protectors, and much more. We have a wide...
Best range of Incontinence products at value prices
Full range of Tena, Lille, iD Expert, Attends and Abena pads, pants, all-in-ones, as well as our most popular chair and bed pads.
VW Autos - Servicing & Repairs to all Volkswagen-Audi & BMW Cars
VW Autos specialises in high quality servicing of all Volkswagen Audi & BMW motor cars
Alfanatic - Servicing & Repairs to all Modern & Classic Alfa Rom...
Alfanatic specialises in high quality servicing of all Modern & Classic Alfa Romeo motor cars
Tile cutters,manual Tile Cutter,electric utility knife china kne...
Darco London
Boxing Gloves, Boxing Mitts, Head Guards ,Punching Bags, Shin in Step, Focus Pads, Thai Pads, Groin Guards, Floppy Target Pads, Hand Wraps, Mouth Guards, Boxing Veats, Boxing Shots, Jumping Ropes, Che...
Punch1 Boxing - Home Page
Punch 1 Boxing Sales Limited is an energetic business, offering a wide variety of boxing equipment, boxing ring hire and trophies for clients throughout England. The business, which is located in Ches...
Printing Companies Essex, Printing Company London, Business Card...
Cheap Printing Services Company in Essex, London, Manchester. Business Cards, Letterheads, Flyers, Leaflets, Display Stands, Banners, Posters, Brochures, Complimentary Slips and much more.
e-Parts.co.uk | The UK's No.1 Performance Parts Destination
e-Parts.co.uk stock a huge range of performance products, replacement factory OEM parts, tools and service items, and are authorised retailers for all the leading automotive brands including Milltek...
Serious Cricket - bats, balls, gloves, kit and equipment online
Cricket Equipment Shop including Cricket Bats, Pads, Gloves, Shoes & Bags from all the top brands at discounted prices. Serious Cricket also offer a wide variety of Team Clothing and professional Coac...
Promotional products,keyrings,tax disc holders,pens,mugs,busines...
,Keyrings,golf,balls,air freshners,neck ties,blank keyrings,car rear window stickers,invitations,calendars,tax disc holders,self-inked stamps,dormy stamps,coasters,rulers, bottle openers,mouse mats,pe...
Drum Shop Glasgow!, Scotlands Unique Drum Shop
Drum Shop Glasgow! : - Accessories Bags & Cases Beaters & Mallets Books & DVDs Cymbals Drum Heads Drum Kits Hardware Pipe Band / Marching Orchestral Percussion Percussion Percussion Hire Practise Pad...
Cass Art
Cass Art - offering the best range of quality fine art materials from our central London stores.
EBC Brakes - Performance Brakes For Your Sports Car
EBC Brakes including ebc brake pads, EBC GreenStuff, EBC rotors, EBC motorcycle brakes, Red Stuff, Yellow Stuff, Black Stuff, Blue Stuff.
Power Steering Racks now transferring you to our site
Power Steering Racks Direct are Power Steering Specialists. We specialise in recondition and supply of Power Steering Racks, Power Steering Pumps, Steering Boxes, Electric Power Steering Racks (EPS)...
Performance Car Parts / EBC Brakes / Eibach Lowering Springs / K...
Euro Performance Car Part and Alloy Wheel Uk's No.1 Mail Order Specialists
Categories and tagselement pad ceramic heating pads factory suppliers brake manufacturers additional filing catering office legal computer furniture products supplies janitorial personnel business gifts books accessories sanitary napkin napkins china manufacturer equipments mitts supports shin mma punch shorts martial gloves mar body protectors kick adidas reebok boxing arts bags speed well most ones chair all full bed pants as id expert in of our alfa autos romeo bell brakes clutch vw repairs quality repair servicing belt ken replacement cam work discs volkswagen bmw hampshire audi cutter tile knee electric cutters manual knife floppy punching target ropes chest mouth guards focus thai wraps hand step jumping shots steps medals vests trophy weighing scales certificate cups pa so trophies canvas skipping boots south equipment hire lighting system corner clock east london br note post cards company essex companies desk printing cheap banners posters leaflets letterheads flyers services booklets vol absorbers intercoolers actuators valves filters alloy induction styling bike parts car suspension exhaust kits air tanks performance adjustable shock kit bats grips socks helmets serious disc pens window coasters keyrings mats forms mouse holders fridge magnets stickers badges parker rulers stamps pencils inked lanyards pipe drum percussion cases heads sticks brushes practise rods temp orchestral servic mallets marching cymbals colours grounds drawing paints surfaces yellow ebc rotors racks drive alternators steering catalytic converters rack shafts clutches rossini sectors part dials hoses springs wheels ignition harness seats filter gauges spoiler camshaft


text:
Before the last concert of the "TVXQ Live Tour 2012 TONE," TVXQ held a press conference on April 23. During the press conference, Changmin stated, "Every time we go on stage this is true, but every moment of this tour was moving and I am so thankful to fans."
Changmin reminisced about the Tokyo Dome concert last week and stated, "We were filming the concert because of the live DVD. During the song 'Still,' many fans were holding red lights and in a moment all of the colors changed to white. I was moved, but somebody else was so moved that he ended up in tears."
Yunho laughed and said, "I was worried because it had been 3 years since we came to the Tokyo Dome. But once, the lights changed inside of the dome, all of these memories came back."
Yunho continued, "I wanted to hold in my emotions but the next song was 'Weep' which shows our thankfulness to fans. While singing the song my emotions came up. I usually don't cry easily, but I cried a lot that day. The switching of lights is a surprise event that fans did for us, I think I will remember it for a long time."


text:
Image courtesy of Freaking News Dot Com.
Worse than Nuclear Bombs Blowing Up The NYC!31 Jan
Worse than a Nuclear Bomb Blowing Up New York?.
A very sick sick invention was created back in the 1970's.
The dirty CIA spooks are never bored.
The Ugly Side of Morgan Freeman30 Jan
The Ugly Side of Morgan Freeman.
The co-editor of VizFact.com Blasts Morgan Freeman. Interesting blog post.
CNN Attacks Football "Its a Dangerous Sport"29 Jan
CNN Attacks Football "Its a Dangerous Sport".
These dirty bastards just make my blood boil. I will admit they actually do some reporting, which is something Fox News wouldn't know if it hit em in the face.
George Orwell's Vision (Video)29 Jan
George Orwell's Vision (Video).
The finest in documentaries on the mal-intended lamestream media to herd the sheep by use of lies, truth burial, and censorship.
If you have a few hours to sit down and watch a video, I seriously slap my NO BULLSHIT recommendation on the video in the blog post link above.
Also, while at VizFact.com show some love! Share some links to interesting blog posts on your blog or do the unthinkable, give a mans Facebook page a like so you can see my stuff in your feed.
Beef Roast, Bread, and a Cinnamon Roll – Sandwich29 Jan
Evolution, The Anti Science (Video)29 Jan
Evolution, The Anti Science (Video).
I promise that no atheists were harmed during this production!
Americans are Too Cheap To Buy Off Politicians29 Jan
Americans are Too Cheap To Buy Off Politicians.
Damn right we are and trust there no plans to change it!
10 Radical Questions for The Presidential Candidates28 Jan
10 Radical Questions for The Presidential Candidates.
A few questions that I would ask those dirty bastards if given a chance. Real questions not that bullshit they feed you on the brain programmavision, real questions.
Anyway, read the post, check out VizFact.com, and slap on a like will ya? This is a tough business.
See you noobs later…
Finest Regards,
Noob Maximus VizFactimus
Is Polygamy Biblical?26 Jan
Check out this post by the co-admin of vizfact.com.
Its about the bible and polygamy.


text:
Special Events
Throughout the academic year we stage a number of events and performances. We at Jessop are very proud of what we have achieved at these events and we would like to share some of these with you. Please scroll through the tabs under the special events heading to view our events and performances.


text:
Contact us with your news. Email firstname.lastname@example.com, or email@example.com or call the GTN News team on 01733 775700
With January 2020 covering a five week reporting period we can now confirm that it has been a record start to the year, beating the previous high set in 2019 by 16%.
Whilst that is a great omen for the rest of the year we should remember that January sales only account for 6% of the years total sales, so we should be careful about making predictions for the rest of Spring just yet.
The really good thing, however, is that with volume sales being so high more people have been choosing to visit and spend money in garden centres during the first five weeks of the year than ever before. If that continues… watch this space!
GTN Bestsellers Top 50 sales volumes compared to the same week last year (week 5):
To subscribe to GTN Bestsellers email firstname.lastname@example.com


text:
Economical Crime Control
NBER Working Paper No. 16513
---- Acknowledgments ----
This is the introductory essay for the NBER volume Controlling Crime: Strategies and Tradeoffs, edited by Philip J. Cook, Jens Ludwig, and Justin McCrary (forthcoming, University of Chicago Press), which was made possible through generous support from the MacArthur Foundation and the Public Welfare Foundation. We thank Christopher Edley, Debby Leff, Jim Poterba, and Michael Stegman for making the volume conference and the book itself possible. We thank Jonathan Caulkins, John Donohue and two anonymous referees for valuable comments on an earlier draft, and to Clive Belfield and Henry Levin for their assistance with calculating the social benefits of dropout prevention. Erin Hye-Won Kim and Laura Brinkman prepared the figures. The views expressed herein are those of the authors and do not necessarily reflect the views of the National Bureau of Economic Research.
Contact Us


text:
All qualifying parts are identified with a message stating "Qualifies for Free Shipping..." Parts without this message do not qualify for Free Shipping.
The following do not qualify for Free Shipping:
Proudly display your off-road lifestyle with this great lineup of Jeep clothing, hats, and beanies. Smittybilt Depot carries a large selection of great looking t-shirts and tank tops.
Protect your rig from rocks, dirt, branches, and other hazards you'll face on the road. Smittybilt rocker protection guards and tube fenders provide essential body protection for your vehicle.
Check here for the best Jeep bumpers and light bars in the market. Smittybilt Depot offers an enormous selection of top bumper parts, brush and grille guards, and tire carrier accessories for your off-roading rig.
One of the great things about a Jeep is how extensively you can customize it. Take Jeep doors for instance. You can choose from a large variety of Jeep upper door skins, door accessories, and door storage products for a truly custom look.
Our lineup of Smittybilt exterior parts like steel accessories, mirrors, and tonneau covers is sure to enhance your vehicle's body styling and functionality. Select from Bestop, GenRight, and other major brands.
A set of new Jeep fender flares can improve your tire fender coverage plus provide great styling.
With these great interior accessories, you can upgrade your Jeep from the inside out. Smittybilt Depot has an excellent selection of seat covers and storage organizers for your Jeep's interior.
Light up your night-time off-roading with these great light accessories and light mounting bracket products. Smittybilt is your one-stop source for top off-road lighting, work lamps, and hand-held lamps.
Roll bars add functionality and custom styling to your Jeep. Check out these fiberglass or heavy-duty, all-steel Smittybilt Jeep roll cages and roll bar grab handles.
Nerf bars and Jeep side steps provide a unique, custom look while adding functionality to your Jeep or truck. See a great selection of Smittybilt steps and running boards.
Constructed of premium materials and to exacting specs, Smittybilt Jeep tops and soft top accessories provide protection for your vehicle's interior. Take a look at this great selection of hardtop accessories and cab covers.
Smittybilt's hitches and on-board air for Jeep products ensure you'll be ready to bail your vehicle out of any situation that off-roading will throw at you. Choose from a variety of essential Jeep towing accessories.
To handle the toughest, roughest off-road jam out there, you'll be glad you brought your electric winches and winch accessories along for the ride. Check out these Smittybilt bumper and winch mount kit products, trail tools, and vehicle recovery equipment.
Truck and Jeep Parts Home
Smittybilt Winches and Winch Accessories
12,000+ lb. Electric Winches by Smittybilt
Smittybilt X2O 12K GEN2 Wireless Winch - 97512
At Smittybilt Depot, we know the value of your hard-earned dollar. That is why we
offer you our exclusive Smittybilt Depot price guarantee. If you have seen a lower
price for the same product in a competitor's current catalog, advertisement, or
e-commerce site, we will gladly match* that price. This allows you to shop at Smittybilt
Depot with the confidence that you are always getting the lowest possible price.
For refunds on orders placed within the past 90 days, please contact us at 1-877-695-7810.
Learn More or Request
a Price Match
Select a year, make, and model so we can verify that you're ordering the right part for your Jeep.
The Smittybilt X2O Winches have been enhanced in almost every area for increased performance and trouble free operation. Every X2O winch features a Series Wound 6.6 HP motor that is completely sealed, as well as a 3-Stage Planetary Gear System. The X2O winch features a completely waterproof 500 AMP solenoid pack that can be mounted in 2 different locations, depending on your application needs. They also include a new controller that can be wired to the winch or unplugged for trouble-free wireless operation. The X2O also features optimized gear ratios that deliver lightning-fast line speeds. And finally, all X2O winches are covered by the Smittybilt Lifetime Warranty, providing peace of mind as well as unparalleled performance. With all of these features, you can count on the X2O winch to be there every time, in every situation. Winch includes a Lifetime Mechanical Warranty and 3 Year Electrical Warranty.


text:
Source: Heart Online First
Follow this link for the abstract
Date of publication: August 2012
Publication type: Research
In a nutshell: This study examined the burden of coronary heart disease (CHD) and identified and analysed recent trends in terms of age, gender and socioeconomic inequalities. Data from various sources between 1999 and 2007 was used, and involved all adults over 25 living in England. Strong socio-economic gradients persisted or worsened in all patient groups over this time period.
Length of publication: 12 pages
Some important notes: You will need an NHS Athens username and password to access this article. Please contact your local NHS library if you cannot access the full text. Follow this link to find your local NHS library.


text:
This month, ROAD magazine stretches from the icy tundra of Lapland – ice driving with four-times WRC Champion, Juha Kankkunen in supercars – to the humid Far East – VW Scirocco R-Cup racing in Shanghai – and then on to the dry deserts of Las Vegas – for the 2011 SEMA show.
We've also got our first piece from www.greencardesign.com, on the uber-cool Fiat 500 Gucci. And we introduce new Road eco-road tester & TV presenter, Gemma Scott, covering the new Motorsport UK show.
Her fellow TV presenter, Neil Cole (ex-Dave's WRC Dude), will also be writing a Motorsport column for us soon, so stay tuned, as stars from TV grace us with their presence, wit and wisdom.
Meanwhile, our lovely ROAD USA correspondent, Ashley Van Dyke continues to write her fab pieces for us: This month, all the way from Shanghai, at the thrilling VW Scirocco R-Cup. Also from across the pond, Las Vegas, we have a SEMA 2011 review from ROAD buddy, Andy Robinson.
It's a packed issue. PLUS… don't forget the exclusive ROAD offer to get 10% off the Ultimate GT ice driving courses with Juha, plus a signed copy of his book.
To keep in touch with the Phil and the ROAD magazine team, follow them on Twitter.


text:
How Much Does an ACL Replacement Cost?
One of the most common knee injuries people suffer is a torn ACL (anterior cruciate ligament). This ligament is one of the major four ligaments located in the knee that connects the bones of the knee together. When the ACL is injured or torn, there are many options to fixing it, and surgery is not always the best option.
Knee replacement surgery cost:
Without insurance, the cost of a knee replacement will range from $20,000 to $50,000. This cost depends on the cost of living in your area, the doctor you choose, the hospital you choose, the extent of the injury, and the need for physical therapy.
If you have insurance and only pay a co-pay or a percentage of the bill, your costs will be anywhere from $800 to $3,000. Since this procedure is deemed medically necessary, it should be covered. Medicaid, Medicare and private insurance companies will cover the procedure if it's deemed necessary.
According to this AARP.org article, the cost of ACL surgery in 2008 was $45,783. They note that the average patient will stay in the hospital anywhere from three to five days.
Regenexx.com notes the average ACL surgery cost in the United States is $10,000 to $12,000.
kneedtoknow.wordpress.com broke down the bills they received from the hospital and said the following: "In 2013, my medical providers billed a total of $13,792.61 for my ACL reconstruction. This includes doctor visits, medical images, physical therapy, surgery, and misc. things like crutches."
|United States
|$40,000 to $65,000
|$15,000 to $24,000
|$9,000 to $15,000
|$6,000 to $11,000
|$5,000 to $10,000
|Costa Rica
|$8,000 to $12,000
|$12,000 to $17,000
ACL replacement overview
The initial doctor's visit where the doctor orders tests and discusses your options is included in this estimate.
Also included is the testing, which is usually an MRI, and this is used to determine the extent of the injury.
The surgery is usually an outpatient procedure, meaning a hospital stay isn't needed.
During the surgery, the surgeon will create two to three small incisions around the knee. Once the incision is cleaned, an arthroscope will be inserted into the incision to allow the surgeon to see the inside of the knee via camera pictures. These pictures, which come from a camera on the end of the arthroscope, will be transmitted to a TV monitor in the operating room. To more about the details, calv.info does a nice job breaking his procedure down.
All surgeries will be done by orthopedic surgeons. Drills will be inserted through these incisions, creating small holes in the upper and lower leg bones near the knee joint. These holes will form a tunnel where the graft will be anchored. The graft is pulled through these tunnels and the surgeon will secure the graft will hardware such as staples and screws.
The average knee replacement recovery time is going to take anywhere from one to three days inside of the hospital. Once the patient gets home, physical therapy may be needed up to three months depending on the complexity of the surgery. After three months, everything should get back to normal again. Those who have a job that doesn't require any heavy lifting can be back and working in less than three weeks.
After the ACL replacement surgery, physical therapy is needed to improve the range of motion in the knee.
What are the extra costs?
Separate fees may be applied, such as the MRI that is ordered by the doctor, the initial MRI and the surgeon fee for the operation done in the hospital.
Depending on the hospital, additional services such as anesthesia and a facility fee may be needed. Every hospital will have its own billing inclusions.
If there are any complications during the surgery, there will be extra charges.
Equipment, such as crutches and a knee brace, is necessary. This is sometimes covered by insurance but not always.
There are cases where the replacement does not work and the surgery needs to be redone.
After the replacement has been done, physical therapy may be required for the next six to 12 months. Depending on the severity of the replacement, the length of the sessions will vary.
Tips to know:
ACL replacement will have many pros and cons that one should know about. For starters, an ACL replacement surgery can help return a person back to athlete levels. This is ideal for those that still participate in sports. The surgery may also protect those from damage to knee cartilage in the future, and the knee will feel as if it's back to normal.
As for the cons, the surgery may not be 100% effective. In some circumstances, patients have found that the surgery didn't work up to expectations. After the surgery, complications can occur that can make the situation worse.
Some of the complications that can occur during the surgery include a failure of the graft, which can lead to a reconstructive surgery down the road. Another common complication that occurs are infections. Infections commonly happen to those that receive donor grafts. As far as complications go, 90% of these type of surgeries go according to plan.
ACL replacement surgery is ideal for those that want to return back to high-level sports such as basketball. It's also ideal for individuals that want to avoid therapy such as conservative therapy.
Always make sure that you research the surgeon that will perform the surgery. Studies have shown that people who select an experienced surgeon will have a lesser risk of complications down the road. Try to find a surgeon who has performed at least 40 to 50 knee surgeries in a year.
Knee surgery will help reduce the pain and allow you to become more mobile. Don't think that it will make you feel like a teenager again. Be realistic about your outcomes because overdoing it after a surgery can cause massive problems.
Age is not a factor with this surgery, but a doctor will look at your overall health. If you have a medical condition that may deem you a risk, the doctor may recommend a non-surgical method.
Problems, although rare, may include the following: numbness, an infection, damage to the nerves and blood clots.
Knee replacement recovery:
After the patient is released from the hospital, physical therapy will start. They will focus on the whole body to help you build up your strength. These exercises will include riding a stationary bike, lifting weights and performing various exercises.
If you fail to head to physical therapy, your functioning won't improve. There won't be any sort of pain, but if you weren't able to walk up the stairs before, you won't be able to do it after.
Some exercises and activities may have to be given up after the surgery. For example, dancing or biking may have to stop.
A prosthesis will last up to 20 years. Less than one percent of prostheses will fail in the first 12 months.
How can I save money?
If you have no insurance, most hospitals will negotiate lower prices if you pay cash up front. They can also provide payment options for those who can't afford the initial price. Call up a few hospitals and ask for a quote over the phone. Most will be more than happy to provide you with one.
Because ACL tears are so common, many people have used equipment available at a lower cost.
Consider other options that don't require surgery. Also, talk with a doctor to see if the surgery can be pushed ahead to the future. There are some risks that can occur if the surgery is held off, but it will depend on the situation.
Advertising Disclosure: This content may include referral links. Please read our disclosure policy for more info.
Average Reported Cost: $3000
How much did you spend?
- Roua Creed (Denver, Colorado) paid $3000 and said:
Actual repair of the anterior cruciate ligament was around $3,000 using arthroscopy, but hospital costs, surgeon's fees and anesthesiologist fees and physical therapy costs added up, between $10,000 to $30,000 for the procedure in the United States.
The same surgical procedure
– ACL repair surgery in India is around $3,200, while in Mexico or Costa Rica it's between $4,300 to $9,400.
You can also check an ACL with meniscus repair surgery in Poland.
Placidway has centers joining all the time, so if you don't find the treatment you need on their website, just contact them.
Was it worth it? Yes


text:
What seems like harmless teasing usually isn't just harmless teasing. Bullying is something that has been an ever growing concern in the past 10 years. With the invention of social media forums like Facebook and Twitter, bullies are taking their leave from the school yard and becoming predators to their classmates online. But where has this come from? What is bullying, and what can we as parents and caregivers do to stop it and prevent it from happening again? By answering these questions, as well as a number of others, we can begin to understand bullying and how we can help our kids.
Bullying is when someone hurts or intimidates another person on purpose. The person being hurt and/or intimated also has a hard time defending themselves. There are many ways that young children/adolescents can bully each other, even if they don't realize that they are hurting the other person at the time. Some forms of bullying include:
Punching, shoving and other acts that hurt people physically.
Spreading bad rumours about people (whether it is online or in person).
Keeping certain people out of a group.
Teasing people in a mean way (name calling, sarcasm, teasing,).
Getting certain people to "gang up" on others.
Threatening and racism.
Using the internet/text messaging to intimidate, put-down, spread rumours, or make fun of another.
Whether or not the bully knows that they are bullying, any of the above listed behaviours are not acceptable. It is actions like these that can drive children into a depression. It can bring on loneliness, unhappiness, and fear. It can make the child feel unsure and unsafe about going to school. Bullying, in the most extreme forms, has been known to drive some adolescents to suicide. There is absolutely no reason for any child to feel this helpless and alone. There is also no reason for any child to feel that they are unsafe going to school or that they are going to be punished by their peers. As parents and caregivers it can be near impossible to identify if your child is being bullied. However, it is very important to maintain an open line of communication so that your child can feel comfortable coming to you about being bullied.
So what can we do? As mentioned before it is important to keep the lines of communication open with your child so that they can feel comfortable coming to you when they are being bullied. In schools a zero-tolerance for bullying behaviours has been adapted. This has proven successful in the reduction of bullying but there are more things that educators can do. By developing programs for bullying awareness and interventions in bullying situations, schools can better protect and help those students that may fall victim to bullying.


text:
Remembered yesterday that a long time ago I got rights to post here.
With the realization I have decided to post a few of my favorite shots since I moved to the UK in November.
All taken with my Olympus OM-D EM-5 MkII and M.Zukio 12-40 f/2.8. All photos are JPEG out of the camera with no post.
ALSO. How do you post portrait orientation on Kinja? Tried to upload a few and they just kept flipping no matter what I did.
EDIT: Apparently in the editor they are sideways but publish correctly. Added a couple to the post.
Thanks for looking!


text:
Work and play combo. Get both the truck and car for $20K FIRM. The truck runs, stops, and goes. It is a 1 ton Ford Model AA. The car is a Ford Model A Tudor. It has a new motor with inserted bearings, touring cam, bigger valves, and lightened flywheel, etc. It is not a hotrod but the upgrades definitely are noticeable and make the car more driver friendly. Also has new wiring and battery. I'm sure people will ask so if I have to separate the pair the car will be $15K and the truck $10K.
Sent from my SM-N950U using Tapatalk
Work and Play Sale
Here you can put your AA parts for sale, and wanted posts.
Post Reply
1 post • Page 1 of 1
- garagekulture13
- Posts: 15
- Joined: July 6th, 2018, 8:50 am
- Model Year: 1930
Post Reply
1 post • Page 1 of 1


text:
Legendary UK dance festival Creamfields has revealed it's 2018 lineup, which includes The Chainsmokers, Adam Beyer and Giggs.
The trio will be joined by Axwell ^ Ingrosso, Tiësto, Martin Garrix, Major Lazer, Fatboy Slim, Loco Dice and Annie Mac, alongside the previously confirmed headliners Carl Cox and Eric Prydz, at the iconic festival this August bank holiday weekend.
Alesso, Andy C, Kurupt FM, Marco Carola, Oliver Heldens, Dimitri Vegas & Like Mike, Sven Väth, Timmy Trumpet and Armin van Buuren will also perform.
Taking place on August Bank Holiday weekend, Creamfields 2018 will see over 300 artists perform across 30 stages, for a 4-day spectacular that will see 70,000 people come together for what has now taken pride of place as the premier event for dance music fans across the globe. From house to techno, trance to drum & bass, this year's lineup has it all.
Curated by the legendary Cream brand – which shot to fame in the 90s thanks to its Liverpool club nights – as well as a number of other household brands and promoters, such as BBC Radio 1, Armada, Paradise and Hospitality, Creamfields has cemented itself as the UK's premier dance music festival.
View the full lineup announced on our guide.
Creamfields will take place on 23-26 August 2018.
More like this:


text:
The lion's candid reaction upon learning Donald Trump was president.
I am not above the cynical exploitation of the ape body for clicks.
A river otter opens wide to scarf down a snack.
A gorilla portrait from my visit to the zoo this past weekend, with contemplation about the morality of confining and displaying animals for our own amusement.
A cheetah was fed raw meat from a carcass as part of Enrichment Day at the National Zoo.
The prairie dogs at the DC Zoo have learned a neat trick from the city's native fauna.
This work by Jasonian Photography is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.


text:
News — baby clothing
Review and 2019 Update
baby and toddler show baby clothing baby show blog cloth nappies Horsham Cloth nappy library kids clothing mama leggings nappy library new shop new staff news organic baby pre-loved slow fashion store news sustainable fashion update
Happy New Year!
Wow what a year 2018 was. How did you find it? It was a year of big changes for us, thank you for joining us for the ride!
Why choose Organic clothing?
baby clothing environmentally friendly family fashion GOTS kids clothing Organic organic baby organic clothing slow fashion sustainable fashion
Why choose organic? This is a question I asked myself 18 months ago when starting my business journey making comfy clothing. KJF Clothing has evolved dramatically since I launched the business in April 2016. In the beginning I naively used regular cotton and bought cheap soft toys from half way around the world to create our baby hampers. The fabric were cute and reasonably priced so why choose anything different, right? Since those early days my eyes and heart have been opened. My organic journey began when I expanded into clothing, which since became my main focus. When I started...