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Licensed Vocational Nurse Job Description, Duties and Career Options
Learn about the education and preparation needed to become a licensed vocational nurse. Get a quick view of the requirements as well as details about degree programs, job duties and licensure to find out if this is the career for you.
Essential Information
Working under the supervision of a physician or registered nurse (RN), a licensed vocational nurse (LVN) provides basic bedside care to sick, elderly, convalescent, disabled or injured patients. In every state except Texas and California, an LVN is called a licensed practical nurse (LPN), but the job description is identical. Licensed vocational nurses must earn a high school diploma or its equivalency and complete a practical nursing training program. Once training is completed, they must pass a licensure examination and meet any other requirements to obtain a state license.
|Required Education
|Postsecondary certificate
|Other Requirements
|State license
|Projected Job Growth
|25% from 2012-2022*
|Median Salary (2014)
|$42,490 annually*
Source: *U.S. Bureau of Labor Statistics
Licensed Vocational Nurse Education and Training Requirements
Completion of a practical nursing training program is a requirement to be a licensed vocational nurse. A high school diploma or its equivalent is usually needed to enroll in an LVN training program, although there are programs that will accept students without a diploma. Some high schools also include LVN training programs in their curriculum.
Licensed vocational nurse programs combine classroom lectures with hands-on training. They typically take one year to complete and may be hosted by a community college, vocational school or hospital. Fundamental nursing concepts are covered, along with such subjects as anatomy, pharmacology, pediatrics, nutrition and courses that relate to patient care. The supervised training part of the program is usually conducted in a hospital, but may take place in other clinical settings.
LVNs must be licensed to practice in their state or jurisdiction. Every United State and the District of Columbia requires that they successfully complete a state-approved nursing program and pass the National Council Licensure Examination for Practical Nurses (NCLEX-PN). The NCLEX-PN is administered by the National Council of State Boards of Nursing (www.ncsbn.org), and is also completed by those seeking the title of LVN. Eligibility for licensing varies by state, so applicants should check with their state board of nursing for complete information.
Job Description
Being a licensed vocational nurse is a demanding occupation. Most work in nursing care facilities or hospitals for 40 hours per week. They staff night, weekend and holiday shifts to accommodate the need for round-the-clock patient care. LVNs are often on their feet for long hours, and must have the strength to support patients to help them walk or stand.
Job Duties
Licensed vocational nurses read vital signs such as pulse, temperature, blood pressure and respiration. They administer injections and enemas, monitor catheters and give massages or alcohol rubs. They may apply dressings, hot water bottles and ice packs. They also help their patients bathe and dress, treat bedsores, empty bedpans and change soiled bed sheets. LVNs may feed patients and record their food consumption, while monitoring the fluids they take in and excrete.
Additional job tasks include watching patients closely and report any signs of treatment complications or adverse medication reactions. In some states, they are permitted to administer medicine and start IVs. Licensed vocational nurses collect samples for testing, help superiors perform advanced medical procedures and complete routine tests by themselves. Some assist in the delivery, care and feeding of infants. Licensed vocational nurses also tend to a patient's comfort, personal hygiene and emotional needs.
Career Options
A licensed vocational nurse has several options for career advancement once they enter the field. In nursing homes and other structured health care settings, LVNs can advance to the position of charge nurse and begin supervising nursing aides and other licensed vocational nurses. They may earn credentials to work in such specialized areas as gerontology, long-term care, pharmacology and IV therapy. Or an LVN may choose to enroll in a training program designed for licensed vocational nurses who wish to become registered nurses.
Continuing Education
According to the U.S. Bureau of Labor Statistics (BLS), nursing education is an ongoing process for most licensed vocational nurses. Many states and employers require that licensed vocational nurses take continuing education credits at frequent intervals throughout their careers (www.bls.gov).
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We are hosting a public meeting on June 10, from 4:00 – 6:00 p.m. about the 2016 Stormwater Code and Manual Update. We expect to make the draft documents of the 2016 Stormwater Code available before the meeting.
In May 2014, we published the Draft 2015 City of Seattle Stormwater Manual, Volumes 1 through 5, and the appendices. They are available for your review on the project documents page.
Originally, we anticipated making all the changes at one time in 2015, as we had stated in handouts and at various public meetings throughout 2014. However, the Washington State Department of Ecology (Ecology) was delayed in sending their comments to us on our draft proposal. We received over 150 separate comments from Ecology in February 2015 that we're still addressing. Therefore, we are postponing most of our proposed Stormwater Code changes until January 2016.
In the meantime, in April 2015, the City Council and Mayor approved to revise three sections of the 2009 Stormwater Code (SMC 22.800-22.808) proposed to be effective by May 24, 2015. These changes are not the focus of Ecology's review. The changes are:
We will incorporate all other changes into our proposed 2016 Stormwater Code and Manual update, which will be effective in January 2016. Our new rules will replace the current Stormwater code and Directors' Rules, which are administered jointly by us and SPU.
Our stormwater code protects people, property, and the environment by controlling how rain water runs off of streets, buildings, and parking lots. Stormwater runoff can cause flooding, landslides, and erosion that can damage our homes, businesses, and property. Stormwater runoff carries oil and grease, fertilizers, pesticides and other toxic chemicals to our creeks, lakes, bays, rivers, and other waterways.
Our regulations will be equivalent to Ecology's 2012 Stormwater Manual and will address the following topics:
Ask Us

subset: commoncrawl


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A load control device can be attached to bones on either side of an articulated joint in order to control the forces and loads experienced by the joint. The device comprises an apparatus for controlling the load on articular cartilage of a human or animal joint and includes: a first fixation assembly for attachment to a first bone; a second fixation assembly for attachment to a second bone; a link assembly coupled to the first fixation assembly by a first pivot and coupled to the second fixation assembly by a second pivot, the first and second fixation assembly thereby each being angularly displaceable relative to the link assembly. The apparatus enables a clinician to effectively control the environment of cartilage in a joint during a treatment episode.
1. A method, comprising:
using an apparatus for controlling the load on articular cartilage forming part of an articular joint connecting a first bone to a second bone of a human or animal joint to treat arthritic conditions affecting the joint, the apparatus comprising:
a first fixation assembly for attachment to the first bone;
a second fixation assembly for attachment to the second bone; and
a link assembly coupled to the first fixation assembly by a first pivot and coupled to the second fixation assembly by a second pivot and configured to permit varying separation of the first and second pivots during use in a manner enabling separation between first and second pivots to increase during angular displacement of the articular joint and span anatomy affected by arthritic conditions but lacking fractures, the first and second fixation assemblies thereby each being angularly displaceable relative to the link assembly;
said apparatus provides reduction of pressure on at least a portion of the joint without substantially resisting an angular displacement associated with relatively full mobility of the first and second bones of the joint to thereby treat arthritic conditions affecting the joint;
attaching the first fixation assembly to the first bone; and
attaching the second fixation assembly to the second bone.
2. The method according to
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The present invention relates to devices for restricting or controlling the movement or loading levels on joints in the human or animal body.
The human or animal body uses articular cartilage to surface many of its joints. This tissue tolerates relatively high levels of compression while having a low coefficient of friction—approximately that of wet ice on wet ice.
Bone, on which the cartilage is supported, is stiffer and stronger. Away from the joints, bone normally forms in large, thick-walled tubes. However, under the cartilage at the joints, the bone forms a three dimensional mesh of so called "cancellous" bone. Cancellous bone is more compliant than the rest of the bone structure and helps spread the load that the cartilage experiences, thus reducing the peak stresses on the cartilage.
Both cartilage and bone are living tissues that respond and adapt to the loads they experience. There is strong evidence that the loads that joint surfaces experience can be categorised into four regions or "loading zones".
1. Under-Loading Zone.
If a joint surface remains unloaded for appreciable periods of time the cartilage tends to soften and weaken.
2. Healthy Zone.
Joint surfaces can and do last a lifetime and if they experience healthy levels of load they can be considered to effectively last indefinitely.
3. Tolerant Zone.
As with engineering materials that experience structural loads, both bone and cartilage begin to show signs of failure at loads that are below their ultimate strength. Unlike engineering materials, however, cartilage and bone have some ability to repair themselves, bone more so. There are levels of loading that will cause micro-structural problems and trigger the repair processes. The body can tolerate these load levels as long as it has time to recuperate.
4. Overloaded Zone.
There comes a level of load at which the skeleton will fail catastrophically. If the load level on a joint surface reaches this level even once then there will be severe consequences.
One of the major consequences of excessive loading is osteoarthritis. This loading could be either from a single overload in the overloaded zone or from loading within the tolerant zone too frequently.
The picture of safe joint loading is further complicated by the cascade of events that occur during the onset of osteoarthritis. These events include the break up of the cartilage, and bone 'sclerosis' in which the bone becomes denser and stiffer. This means that the maximum level of loading that can be considered healthy or tolerated falls, almost certainly to levels below that experienced in walking and standing.
Newly implanted grafts or tissue-engineered constructs will also have lower tolerance limits while they are establishing themselves within the joint.
In fact the treatment of osteoarthritis and other conditions is severely hampered when a surgeon is not able to control and prescribe the levels of joint load. Furthermore, bone healing research has shown that some mechanical stimulation can enhance the healing response and it is likely that the optimum regime for a cartilage/bone graft or construct will involve different levels of load over time, eg. during a particular treatment schedule.
There is a need for a device that will facilitate the control of load on a joint undergoing treatment or therapy, to enable use of the joint within the healthy loading zone, or even within the healthy and tolerant loading zones, during the treatment episode.
There is further need for a device to preferably provide such control while allowing full, or relatively full mobility of a patient undergoing the treatment.
Such devices would be desirable particularly during the early treatment of, for example, an osteoarthritic joint. Under an appropriate treatment regime providing controlled loading, the condition of the joint may improve, possibly back to full health.
In the prior art, existing load controlling regimes and devices for use in treatment or therapy of articulating joints include the following.
a) Bed-rest or isolation of a joint is possible but, as indicated above, the long-term consequences of applying no load or generally maintaining the joint in the underloaded zone are not good.
b) Passive movement of a joint has been tried with some success. During this treatment, movement is applied to the joint by an external device while the joint is rested. However, this does not give the opportunity to vary the load levels on the joint, eg. to work the joint within the healthy zone for that joint at any given stage of the treatment program.
c) Traction across a joint has long been used to counteract the compressive loads normally experienced by the joint. This is done either in bed or using an external fixator. Fixators exist which not only apply traction, but also have simple hinges to allow some joint motion.
d) External braces have been used to apply a bending moment across the joint and at 90� to the motion to move the centre of pressure from one part of the joint to another. However, since these braces are not attached directly to the skeleton, control of the applied loads is poor.
According to one aspect, the present invention provides an apparatus for controlling the load on articular cartilage of a human or animal joint comprising:
According to another aspect, the present invention provides a method of controlling loading on a joint comprising the steps of:
Embodiments of the present invention will now be described by way of example and with reference to the accompanying drawings in which:
With reference to
The first and second fixation assemblies 11, 12 are each coupled to the link assembly 13 by a pivot 14, 15 or other equivalent means facilitating angular displacement of the respective fixation assembly to the link assembly. Throughout the present specification, use of the word "pivot" is intended to encompass all such equivalent means for facilitating angular displacement. It will be understood that the first and second fixation assemblies 11, 12 are therefore not only angularly displaceable relative to one another, but are also capable of some relative translational movement subject to the geometric limitations provided by the link assembly 13.
Preferably, the axes of the pivots 14, 15 are parallel so that the first and second fixation assemblies 11, 12 will rotate about the link assembly in the same plane.
In an alternative embodiment, however, the pivots 14 and 15 might not be axially parallel, in order to better follow the three-dimensional movement of a particular joint. In a further embodiment, one or both pivots 14, 15 might be of the universal joint type, such that the pivot allows two degrees of rotational freedom rather than only a single degree of rotational freedom, in order to better follow the three-dimensional movement of, for example, a ball joint.
Each fixation assembly 11, 12 preferably comprises a faceplate 20 having one or more slots 21 defined in the faceplate surface. Coupled to the faceplate 20 is a clamp plate 22 which may be tightened onto the faceplate 20 by way of screws, or other means known in the art. Preferably, the clamp plate includes corresponding slots 23. As shown more clearly in
In the arrangement of
In the arrangement of
In further embodiments, first and second fixation assemblies 11, 12 of a fixator 10 might be coupled to two or more link assemblies in series or in parallel with one another. For example, as shown in
Referring now to
In a first arrangement, labelled
In a further embodiment, the lug pairs 44 and barrel centre section 41 may be screwed together for quick disassembly and re-assembly, enabling different length barrel centre sections 41 to readily be used to provide a link assembly 40 of an appropriate length to the joint under treatment or therapy and to be changed during a treatment program.
In another arrangement, labelled
In another arrangement, labelled
It will be understood that the functions of link assembly 50 and link assembly 60 may be combined to provide bias towards a central position so that there is resistance against movement of the pairs of lugs from a centre position. More generally, this provides means for biasing the first and second pivots towards an intermediate distance of separation between predetermined limits of separation of the lug pairs 54, 55 or 64, 65.
Although not shown in
In another arrangement, labelled as
It will be understood that the functions of the pneumatic or hydraulic cylinder 81 could be alternatively provided by an electrically driven system.
In another arrangement, labelled
In a preferred embodiment shown, a cam surface 76, 77 is provided on the circumferential edge of one or both of the lug pairs 74, 75, including a pair of coaxial apertures or hubs 72,73. The cam surface bears on a corresponding bearing surface on a respective fixation assembly 11, 12 and is preferably adapted to vary the separation of the fixation assemblies as a function of the angular displacement. As an example, for a fixator attached to a knee joint, the cam surfaces 76, 77 can be arranged so that as the knee is moved to the fully extended condition, the fixator ensures a greater separation of the fixation assemblies 11, 12 thereby reducing pressure on the joint surfaces.
In another arrangement, the cam surfaces 76, 77 could be adapted to limit the angular displacement of that fixation assembly.
In another arrangement, the cam surfaces may be used to provide a varying degree of resistance to angular displacement of the fixation assembly. More generally, the cam surface may be adapted to provide a means for progressively increasing resistance to angular displacement of the fixation assembly relative to the link assembly as a function of the angular displacement from a reference position.
The means for limiting angular displacement could alternatively be provided by a stepped surface on the circumferential edge of the lug in a manner which will be understood by those skilled in the art.
In conjunction with any of the link assemblies described above, a link assembly 90 as shown in
Separate transducers could be added to monitor angular displacement of the fixation assemblies relative to the link assembly 90.
In another arrangement, as shown in
The linear actuator 100 may be powered electrically, pneumatically or hydraulically and enables movement of a joint to be automatically controlled for exercise within the healthy load zone without use of the associated musculature.
Referring back to
With reference to
The fixation assembly 120 as shown in
The fixation assembly 130 as shown in
The fixator device embodiments as generally described above therefore provide a means for applying and/or limiting tension, compression, torsion, bending and shear forces to an articulated joint in a controlled manner and provide for some or all of the following treatment regimes either in isolation or in any combination. Also it will be possible to change the regime or combination of regimes easily and without the need for a sterile environment or anaesthesia. It is noted that joints of the skeleton naturally experience compression and the fixators of the present invention can provide amelioration of this by applying tension.
1. Continuous Traction.
The level of tension can be varied according to the length of the link assembly used and this can be further varied according to the bias strengths applied by the springs 57, 58, 67.
2. Partial or Full Support.
Some or all of the compression that would otherwise be carried by the joint may be taken by the device, and this can be a function of the angle of support by control of spring strength and angle of fixation to the bones.
3. Application of a Bending Moment, Torsion or Shear Force.
Application of these loads to the joint allows the clinician to move the centre of pressure within the joint to regions that are healthy.
4. Application of an Externally Powered Loading Regime.
This can occur normally while the subject is at rest at set angles, load levels, loading and unloading rates and frequencies using the powered embodiments described above. Providing a portable power supply will, however, allow the patient to continue to move freely.
5. Allowing the Joint Load to be Gradually Increased.
This may be desirable at the end of a treatment episode. This can be done either by applying additional compression or a bending moment, shear force or torsion in the opposite direction from that described above.
6. Load Measurement.
The device as described in connection with
The motive forces applied across the joints may be from normal physiological loads of the musculoskeletal system or from an externally applied source such as described with reference to
It will be noted that the preferred design of the devices described above enable the link assemblies and fixation assemblies to be readily disconnected from the bone pins 30 in order to replace or adjust the devices during a treatment schedule. Still further, in the preferred designs, the link assemblies may be adjusted in situ. Preferably, the devices will be able to be removed in their entirety within an outpatient clinic.
The articulated joint controlling devices of the present invention can be used in the treatment not only of rheumatoid arthritis, but for the treatment of many other conditions such as articular fractures, and following surgical procedures such as osteochondral transfers and joint surface replacement with cartilage graft.
Other embodiments are within the scope of the appended claims.
Patent Citations
Non-Patent Citations
Referenced by
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Latveria: Urban Warfare part 3
Walkthrough - Latveria: Urban Warfare part 3
Your first boss battle puts your Fusion training to the test. Every time your Fusion meter fills all the way, be ready to unleash a Targeted or Guided Fusion attack. Play as Spiderman here so you can constantly fire web shots at Electro from a safe distance. If you get in close Electro will harm you significantly.
Upon initiating a Fusion, you'll receive the option to choose which team mate you'll perform the move with. More importantly, you'll also be given the choice between Targeted, Guided and Clearing Fusions. You'll want to use either Targeted or Guiding here, so choose Wolverine when playing with Spiderman, for example.
Once you do so, aim the circle on the ground at Electro and mash the LOW ATTACK button. When you do so you'll know a good deal off of Electro's life bar.
After doing this once he'll begin to teleport. Damage him a bit more and he'll start moving towards the sides of the room to "recharge." When he does so, hit him with A Fusion if you have one ready -- or just focus your projectile shots at him to blow up the panel he's drawing energy from. This will stun him.
About three Fusion moves should take him down for good. Remember to heal if you need to -- a health token should be nearby the entrance to the church. After he's defeated, look for the small door at the top of the room on the left and exit the church.
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Le mardi 26 décembre 2006 à 11:16 -0700, Lamont Peterson a écrit : > BTW, just for the benefit of those reading this in the archives in the future, > GRUB will work when /boot/ is on top of software RAID1, but it is rarely done > as one might have to alter the /boot/grub/grub.conf (/boot/grub/menu.lst on > all other distros) to read the correct disk the first one goes out. For > example, changing (hd0,0) to (hd1.0) throughout the file. It's done there and it works good. In case of hardware failure, the chances that hd1 is renumbered in hd0 are rather high (either because faulty hd0 was removed, it didn't answer the bios which dunked it, or you just changed bios boot order manually) If you have / on lvm and your small /boot partition raid-1 mirrored on every disk you use, suddenly you can plug your disks in any random number and things will just work (linux-side that is). Very magical, considering that other OS will fail at the slightest change (and there grub remapping tricks may help) -- Nicolas Mailhot
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Live updates
South West Trains disruption due to blocked lines
There is some disruption on South West Trains this morning between London Waterloo and Clapham Junction due to emergency engineering works at Queenstown Road.
Some lines are blocked and trains may be cancelled, delayed or revised at short notice. Disruption is expected to continue until around midday.
Major travel disruption into Waterloo
Update on delays on South West Trains services today
A major signalling problem in the Wimbledon area blocked both of the lines away from London Waterloo - all lines now open again. South West Trains are making changes to services to try and mitigate delays._ _
- London Waterloo to Dorking services will not run in either direction from 13:24 until further notice.
- London Waterloo to Hampton Court will not run in either direction from 13:06 until further notice.
- London Waterloo to Guildford via Cobham services will call additionally at Berrylands in both directions.
- Train services between London Waterloo and Salisbury/Exeter/Bristol will not run between Basingstoke and London Waterloo. Customers will need to change trains at Basingstoke to complete their journey.


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Idaho Power Files General Rate Case With Idaho Public Utilities Commission
BOISE, Idaho, June 1, 2011 /PRNewswire/ — IDACORP, Inc.'s (NYSE: IDA) principal subsidiary Idaho Power Company (Idaho Power) today filed an application with the Idaho Public Utilities Commission (IPUC) to increase Idaho Power's base rates for electricity by approximately $83 million per year, or a 9.9 percent overall average increase. Idaho Power anticipates the IPUC will evaluate the request and expects that any resulting rate change will not become effective until Jan. 1, 2012.
"Idaho Power is sensitive to the challenges faced by our customers in these difficult economic times and does not take lightly any request to increase rates," stated Vice President of Regulatory Affairs Greg Said. "However, it is important for us to achieve fair and timely recovery of our costs to provide customers with safe and reliable electric service, which today's rates do not fully provide.
"Since Idaho Power's last general rate case in 2008 the Company has continued to grow. We have invested over $450 million in infrastructure necessary to continue providing safe and reliable electric service to our customers."
As part of a January 2010 settlement agreement with the IPUC, Idaho Power's customer groups and other interested parties, Idaho Power agreed not to file for comprehensive review of its base rates until now. While this agreement allowed for rate adjustments related to the recovery of a number of specified costs, customers have actually seen their rates go down in each of the last two years. In 2011, Idaho Power's power cost adjustment in the Idaho Jurisdiction resulted in a $40 million decrease that more than offset other allowed rate increases that became effective June 1, 2011.
Summary of General Rate Case Components: Idaho Rate Base $2.4 billion Capitalization - Percent Equity 51.2% Return on Equity Requested 10.5% Regulated Rate of Return 8.17% Revenue Deficiency $82.6 million Base Rates - Percent Increase 9.9% Expected Effective Date Jan. 1, 2012
Regulatory Review and Public Comment:
Idaho Power's filing is a proposal that is subject to public review and approval by the IPUC. Copies of the application are available to the public at the IPUC offices (472 W. Washington St., Boise, ID), Idaho Power offices (1221 W. Idaho St., Boise, ID), and on Idaho Power's website, www.idahopower.com, and the IPUC's website, www.puc.idaho.gov. You can view additional, related materials, including frequently asked questions about the filing, at www.idahopower.com/rates.
About IDACORP, Inc.:
IDACORP, Inc., Boise, Idaho-based and formed in 1998, is a holding company comprised of Idaho Power Company, a regulated electric utility; IDACORP Financial, a holder of affordable housing projects and other real estate investments; and Ida-West Energy, an operator of small hydroelectric generation projects that satisfy the requirements of the Public Utility Regulatory Policies Act of 1978. IDACORP's origins lie with Idaho Power and operations beginning in 1916. Today, Idaho Power employs approximately 2,000 people to serve a 24,000 square-mile service area in southern Idaho and eastern Oregon. With 17 low-cost hydroelectric projects as the core of its generation portfolio, Idaho Power's approximately 492,000 residential, business and agricultural customers pay some of the nation's lowest prices for electricity. To learn more about Idaho Power or IDACORP, visit www.idahopower.com or www.idacorpinc.com.
Forward-Looking Statements:
In addition to the historical information contained in this news release, this news release contains statements that relate to future events and expectations and, as such, constitute forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Any statements that express, or involve discussions as to expectations, beliefs, plans, objectives, assumptions, or future events or performance, often, but not always, through the use of words or phrases such as "anticipates," "estimates," "expects," or similar expressions, are not statements of historical facts and may be forward-looking. Forward-looking statements are not guarantees of future performance and involve estimates, assumptions, risks, and uncertainties. Actual results, performance, or outcomes may differ materially from the results discussed in the statements. In addition to any assumptions and other factors and matters referred to specifically in connection with such forward-looking statements, factors that could cause actual results or outcomes to differ materially from those contained in forward-looking statements include the following: (a) the effect of regulatory decisions by the Idaho Public Utilities Commission, the Oregon Public Utility Commission, and the Federal Energy Regulatory Commission affecting Idaho Power's ability to recover costs and/or earn a reasonable rate of return, including, but not limited to, the recovery or disallowance of costs that have been deferred, financings, allowed rates of return, electricity pricing and price structures, acquisition and disposal of assets and facilities, and current or prospective wholesale and retail competition; (b) changes in and compliance with state and federal laws, policies, and regulations, including new interpretations and enforcement initiatives by federal and state regulatory and oversight bodies; (c) changes in tax laws or new interpretations of tax laws, and the availability, use, and regulatory treatment of tax credits; (d) litigation and regulatory proceedings, and penalties, settlements, or awards that influence business and profitability; (e) changes in and costs of compliance with laws, regulations, and policies relating to the environment, natural resources, and endangered species and the adoption of laws and regulations addressing the environment; (f) increases in capital expenditures and potential reductions in generation capacity as a result of regulatory conditions that may be imposed on power plant license renewals, or the non-renewal of such licenses; (g) global climate change and regional weather variations affecting customer demand, and variable hydrological conditions affecting hydroelectric generation; (h) over-appropriation of surface and groundwater in the Snake River basin and the resulting impact on hydroelectric generation; (i) inability to obtain required permits and approvals, rights-of-way, and siting, and impediments to contracting, construction, and start-up, for infrastructure development projects; (j) operation of power generation facilities at below expected levels of performance, breakdown or failure of equipment, forced outages, availability of electrical transmission capacity, and the availability of water for hydroelectric power generation, natural gas, coal, and diesel for power generation at thermal plants, and wind conditions for wind power generation; (k) changes in costs and availability of materials, fuel, and commodities, and their impact on the ability to meet required loads and on the wholesale energy market in the western United States, and the costs of integrating intermittent power sources into Idaho Power's power portfolio; (l) disruptions of Idaho Power's transmission system or interconnected transmission systems; (m) customer growth within Idaho Power's service area; (n) the continuing effects of the weak economy, including decreased demand for electricity and reduced revenue from sales of excess energy during periods of low wholesale market prices; (o) market prices and demand for energy; (p) reductions in credit ratings and the resulting impact on access to capital markets; (q) results of financing efforts, including the ability to obtain financing or refinance existing debt when necessary or on favorable terms; (r) increases in the costs associated with energy commodity and other derivative instruments; (s) general capital market conditions and government regulation that affects the cost of capital, the ability to access the capital markets, and the amount of funding obligations for postretirement benefits; (t) weather and other natural phenomena such as earthquakes, floods, droughts, lightning, wind, and fire and their impact on power demand and infrastructure; and (u) new accounting or Securities and Exchange Commission or New York Stock Exchange requirements, or new interpretations or application of existing requirements. Any forward-looking statement speaks only as of the date on which such statement is made. New factors emerge from time to time and it is not possible for management to predict all such factors, nor can it assess the impact of any such factor on the business or the extent to which any factor, or combination of factors, may cause results to differ materially from those contained in any forward-looking statement. IDACORP and Idaho Power disclaim any obligation to update publicly any forward-looking information, whether in response to new information, future events, or otherwise, except as required by applicable law.
SOURCE IDACORP, Inc.


text: Sports More Sports Stories Whiteville baseball team punches return ticket to 1-A State Finals Whiteville is back in the state finals for the second year in a row. Whiteville defeated West Columbus on Thursday night in high school baseball to punch a return ticket to the state title series. Thu, 05/28/2015 - 11:48pm Updated 3 minutes ago Full Story » Play Video » UNC leaders won't discuss NCAA allegations in academic case North Carolina's campus leaders are not discussing allegations of potential NCAA rules violations stemming from the school's academic fraud scandal. Thu, 05/28/2015 - 1:32pm Full Story » Topsail Pirates come up short in 3-A championship eastern title game in softball The season is now over the Topsail softball team. The Pirates came up short on Wednesday in their attempt to make it to the state finals. Wed, 05/27/2015 - 11:46pm Full Story » Play Video » Seahawks land in Louisiana; ready to face Tulane in NCAA Baseball Tournament The UNCW baseball team has landed in Louisiana. The Seahawks will face Tulane on Friday in the NCAA Baseball Tournament. Wed, 05/27/2015 - 11:40pm Full Story » Play Video » NC Senate panel OKs Sunday afternoon firearm hunting A Senate panel has agreed to eliminate North Carolina's long-standing Sunday hunting ban with guns, with an exemption. Wed, 05/27/2015 - 1:01pm Full Story » Carolina Railhawks owner among those indicted in FIFA investigation ABC11 has learned the owner of the Carolina Railhawks is among the officials with FIFA who are being indicted in connection with a federal corruption investigation. Wed, 05/27/2015 - 8:24am Full Story » 2 FIFA vice presidents among 7 arrests in Zurich U.S. authorities say two current FIFA vice presidents are among the seven soccer officials arrested and detained in Zurich by Swiss police at the request of U.S. authorities. Wed, 05/27/2015 - 7:05am Full Story » Play Video » Tuesday's east finals playoff roundup: Hoggard, Topsail, West Columbus and Whiteville We had more than our fair share of state playoff action on Tuesday night as Hoggard, Topsail, West Columbus and Whiteville attempt to move onto the state finals. Wed, 05/27/2015 - 12:08am Full Story » Play Video » 123456789101112131415...442»


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MIT produces new metamaterial that acts as a lens for radio waves
The MIT metamaterial lens
The metamaterial lens and one of the S-black structures
Electromagnetic field amplitude with and without the lens
Graph of received power after passing through the lens
Article Summary
We expect the world to be predictable. Water flows downhill, fire burns and lenses bend light in a particular way. That worldview took a jolt as Isaac Ehrenberg, an MIT graduate student in mechanical engineering, developed a three-dimensional, lightweight metamaterial lens that focuses radio waves with extreme precision. That may not seem too disturbing, but the lens is concave and works in exactly the opposite manner of how such a lens should.
« Back to MIT produces new metamaterial that acts as a lens for radio waves
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American anti-kidnap expert vanishes
Prosecutors and local police did not respond to requests to confirm that account.
Morales said he was worried that Batista has been missing for a week.
In media interviews before his disappearance, Batista himself noted that kidnappings are becoming much faster affairs, as gangs settle for quicker, smaller payments.
"For a common criminal, it's already been a long time, no? They would have contacted somebody" for ransom, Morales said.
Charlie LeBlanc, the president ASI Global LLC., refused to say if any ransom demand had been received. But LeBlanc said Batista's work in Mexico "could be or may involve negotiations with kidnappers."
Both Morales and LeBlanc said Batista may have been hurt by local media reports that erroneously identified him as a former FBI agent. Morales said the kidnappers – who in northern Mexico are frequently allied with drug gangs – may have thought Batista was an American agent, like Enrique Camarena, a DEA agent who was kidnapped, tortured and murdered by people working for traffickers in 1985.
"Felix has never been an agent in the FBI," ASI Global said in a statement. "Irresponsible and erroneous reporting in the press could pose a very real threat to Felix's life and the safe resolution of this terrible situation and must be corrected."
Carlos Rico, the Mexican foreign ministry's top official for North American affairs, said the Batista case "shows the level of challenges we are facing, and the scope of this (kidnapping) problem."


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by Written and Illustrated by Ashley Nicole Sheets
The Banana Apes and their slaves, the Bungles Beasts, embark on a journey to the land of Scala-Min-Woes where the Yipper Yonkons live. The Yipper Yonkons are waiting to help the Bungle Beasts escape and be free!
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text:
Tigers Head to Nashville to Face Lady Bisons
Memphis back in action in midweek doubleheader after weekend off
Memphis Takes One of Two from Jackson State
Crowdus sets another record, Brignac and Smith solid from circle
Memphis Loses Series Finale
Tigers and Pirates go to extras for second time in series
Tigers Split Doubleheader with East Carolina
Richwood throws career-high in innings and Crowdus extends streak
Memphis Takes Both Games of Doubleheader Against Alcorn State
Lindsay Crowdus sets career triples mark
Memphis Softball vs Belmont
Memphis Softball vs Belmont on Tuesday, March 17, 2015 at the Tiger Softball Complex. Photos by Joe Murphy
Memphis vs USF - May 8, 2014
Memphis vs USF in the quarterfinals of the American Athletic Conference Tournament in Houston, Texas on May 8, 2014,
Memphis vs Alcorn State - April 23, 2014
Memphis vs Alcorn State in a doubleheader on April 23, 2014 at the Tigers Softball Complex. Photos by Joe Murphy.
Memphis Softball vs Temple
Memphis softball vs Temple on April 5, 2014 at the Tigers Softball Complex. Photos by Joe Murphy
Memphis vs Austin Peay (DH)
Memphis Softball vs Austin Peay in a doubleheader on April 2, 2014. Photos by Joe Murphy
2014 (Sophomore)
Appeared in all 56 games and started in 55 of them as a third baseman for the Tigers, both were the most for any Tiger ... Had four doubles and two home runs to go along with 12 RBI ... Was second on the team with 16 walks ... Defensively had 77 putouts and 96 assists ... Knocked in first RBI with a hit against Kennesaw State (2/8) ... In only game to not start (2/9), went 1-1 and scored only Memphis run in loss to North Florida ... Against Boston College (2/15), she went 2-3 with an RBI and a run in a run-rule victory ... Went 2-3 with a run and four defensive putouts to snap an eight-game winning streak from Missouri State (2/22) ... Went a perfect 3-3 against Stetson (3/8) ... Had seven multi-hit games and two three hit games.
2013 (Freshman)
Appeared in 53 and made 51 starts at third base ... Named Tennessee Sports Writers Association Softball Player of the Week for April 1-7, after hitting .500 with eight hits, six runs, four RBI and four walks during the week ... Led the team in walks with 28 and finished second in on-base percentage at .358 ... Posted five multi-hit games ... Tied with Laura Curtis for the team lead with four doubles during conference games ... Collected her first collegiate hit and RBI on Feb. 8 against Texas A&M-Corpus Christi ... Hit her first career home run against Campbell on March 3 ... Went 7-for-10 in a three-game series against Southern Miss (April 6-7), and had four RBI and five runs scored in those games ... Had three RBI in the April 6 contest.
Lettered four years at Onate High School, playing third base and shortstop under Coach Rick Robinson ... A first team all-district selection her sophomore year and an all-district honorable mention pick her freshman season ... Led the team in batting average, on-base percentage and slugging percentage her junior year ... Hit .542 in her final season with an .574 on-base percentage and a .932 slugging percentage to earn all-district honors ... Had 24 runs, 18 RBI, three home runs, eight doubles and three triples her senior campaign ... Hit .523 with 11 home runs and 77 RBI during her career.
Played for the Texas Rage (2005-07), Arizona Hotshots (2008-10) and Texas Elite (2011-12) ... Club teammate of Georganna Goodwin.
Full name is Cierra Nichole Mangum ... Born May 6 in Mineral Wells, Texas ... Originally from Texas, but later moved to Las Cruces, N.M. ... Daughter of Heath and Angie Mangum ... Enjoys off-roading, shooting, hanging out with friends and spending time with her brother.


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The home side's opener came from a throw on the right, Jamille Matt getting ahead of the Pompey defence and although his shot was saved by Trevor Carson, Jon Parkin was well placed to stroke home the rebound.
The lead was doubled 10 minutes later. Steven Schumacher crossed the ball and Daniel Alfei was adjudged to have pushed Josh Morris, leaving Antoni Sarcevic to fire his spot kick straight down the middle.
Charlie Taylor could have extended the home side's lead 10 minutes after the break but was denied by Carson after racing clear.
But the respite for Pompey was short-lived. Matt took advantage of confusion in a crowded box to stab home Fleetwood's third after another set-piece.
Pompey were not sunk however, and hit back in spectacular fashion through substitute Wallace, his dazzling run crowned with a stinging shot to end the club's three-game goal drought.
But it was not enough to spark a fightback and Fleetwood substitute Mikael Mandron had a chance to make it four at the death, but fired wide.


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Results 1 to 2 of 2
Thread: Spawn Bust WIP
September 14th, 2010 #1
Spawn Bust WIP
Hi all
I just started learning Zbrush so I'm still getting used to the toolset. I messed around and ended up modeling this Spawn bust. Since I am new to Zbrush I would really appreciate all your comments, crits and suggestions as I value your feedback.
Thanks in advance for taking the time out to comment and help me out. It's much appreciated.
Spawn character is a copyrighted and trademarked to Todd McFarlane Productions, inc
Hide this ad by registering as a memberSeptember 16th, 2010 #2
Is it all one piece? His neck seems a little long and his chest seems too small. Looks like his cape is part of his neck instead of the cap being wrapped around it. Make his cape, maybe even the collar it's own subtool. Then His body/head by itself, the chains, the accessories, etc.
Can't wait to see some color on it.
"Astronomy offers an aesthetic indulgence not duplicated in any other field. This is not an academic or hypothetical attraction and should require no apologies, for the beauty to be found in the skies has been universally appreciated for unrecorded centuries."


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|If you have been blessed with a child whom has special needs it is not a curse, but a true blessing!
Weary SuperMama to my amazing neurodiverse 6 y.o. DD and to my on-the-go neurotypical 3 y.o. DS
Originally Posted by dogmama
Thank you all for your thoughtful comments. Yesterday was a day of raging and tears- then finally peace. This baby is so active, she talks to me all the time. Whatever is going on, I know she's fine. So I'm going back to where I feel comfortable- telling the docs to shove their tests, and to keep their fear-mongering to themselves. We're fine. And however this baby is when she's born, we'll deal with it.
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Breast Reconstruction Without Implants Center - Saint George, UT
Saint George Plastic Surgeon Doctors for Breast Reconstruction Without Implants
Type of Physician: Plastic Surgeon
What is a Plastic Surgeon?
A certification by the Board of Plastic Surgery; practitioners deal with the repair and reconstruction of defects of form and function of the skin and its underlying systems, with emphasis on the head and neck, the upper and lower limbs, the breast, and the external genitalia. It includes aesthetic surgery of structures with undesirable form.
Specialty: Plastic Surgery
Common Name:
Plastic Surgeon Doctors in Saint George *
Dixie Regional Wound Clinic
Dixie Plastic & Rcnstrctv Srgry
Center For Advanced Plastic Sgy
Center For Advanced Plastic Sgy
Chase Plastic Surgery
Saint George, Utah
Breast Reconstruction Without Implants
Where Does the Tissue Come From?
While tissue from the back or buttocks may be used, the most common flap procedure uses muscle and skin taken from the abdomen. Using either the tunneling or free-flap technique, muscle, skin and fat are ...
Other Related Breast Reconstruction Without Implants Articles
Emergency Contact for Saint George
Nearby Saint George Hospitals *
Dixie Regional Med Ctr-East Cps
Dixie Regional Med Ctr River Rd
*Provider Directory Terms of Use:
The WebMD 'Provider Directory' is provided by WebMD for use by the general public as a quick reference of information about Providers. The Provider Directory is not intended as a tool for verifying the credentials, qualifications, or abilities of any Provider contained therein. Inclusion in the Provider Directory does not imply recommendation or endorsement nor does omission in the Provider Directory imply WebMD disapproval.


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HoopsHype Trevor Ariza rumors
Chris Broussard: Houston weighing whether to match Parsons or go for Ariza at lower price. Wash, ATL, LAL, LAC, CHI also interested in Ariza Twitter @Chris_Broussard
David Aldridge: Meanwhile, Trevor Ariza seems to be everyone's backup plan. Wizards want to re-sign him but SF $ is exploding & WAS won't go past $9M/yr. Twitter @daldridgetnt
Chris Broussard: Cavs feel strongly about chances of getting LeBron, but looking at Trevor Ariza as a Plan B. As is Dallas Twitter @Chris_Broussard
According to an NBA front office executive, Ariza is seeking a salary comparable to the four-year, $48 million deal that Andre Iguodala received last season. CBS Sports is reporting that he wants a deal starting between $9 million and $11 million. Washington Post
Adrian Wojnarowski: No clear answer yet on Rockets matching sheet, but GM Morey had been on phone w/ agents for Ariza, Deng and Pierce today, sources tell Y. Twitter @WojYahooNBA
If the Cavs can't get James, their backup plan remains making a run at signing free-agent forward Trevor Ariza, league sources told Yahoo Sports. Yahoo! Sports
Harrington maintains an offseason home in Los Angeles and has spent some time this summer with fellow free agent Trevor Ariza, whom the Wizards want to take back but at the right price. Ariza has drawn interest from a handful of teams and is reportedly seeking a salary in the $9 million to $11 million range. Harrington was with Ariza for his low key 29th birthday celebration on June 30 and again on the first day of the free agent negotiating period. "He got to take care of himself and take care of his family at the end of the day," Harrington said. "This is his last big deal, essentially, so that's how he has to look at it. He has to get as much security as he can. We don't talk details but he wants to be here. I think that's the one thing Washington has over other people is he's comfortable here. He like what he's building here. Now it's just a matter of him coming to terms." Washington Post
"He knew it was part of the process. He knew it was part of the process," Harrington said. "He knew had to wait for Carmelo and Bron to sign before him and Deng, and all those guys, that second tier. So he's patient. He's not worried about it. Everybody can't sign until Thursday anyway. Once everybody gets into the camp, he'll be one of those top guys after that." Washington Post
Adrian Wojnarowski: For Cavaliers, there are no assurances on LeBron James -- and Plan B remains free agent Trevor Ariza into part of space, sources tell Yahoo. Twitter @WojYahooNBA
Ken Berger: The Mavs, Cavs, Lakers and Heat are pursuing Wizards free agent Trevor Ariza, league sources say. Ariza seeking deal starting at $9-$11m. Twitter @KBergCBS
Ken Berger: With Ariza, incumbent Wizards also in pursuit, sources say. Twitter @KBergCBS
Alex Kennedy: Cavs continue to express serious interest in Trevor Ariza, per sources. LeBron James is obviously No. 1 target, but Ariza is part of Plan B. Twitter @AlexKennedyNBA
Jared Zwerling: I'm told the Wizards are still in good contact with Trevor Ariza, but again, there are these guys named Melo and LeBron holding up traffic. Twitter @JaredZwerling
Yannis Koutroupis: .@WojYahooNBA says Cavs not just focused on LeBron. Could split cap space on Channing Frye, Trevor Ariza. Twitter @YannisNBA
Michael Lee: Trevor Ariza met with Pat Riley on Thursday in LA, according to @WojYahooNBA. Heat still scrambling to find help for Big 3 #wizards Twitter @MrMichaelLee
"Trevor is a big part of our success, and we'd like to have him back," Gortat said. "I understand at the end of the day, it's a business and he has to make the right decision for him and for his family. But we love him, we want him back and I believe that Ernie [Grunfeld] and Tommy Sheppard is going to do the right thing." Washington Post
Jared Zwerling: Hearing Wiz are optimistic they'll re-sign Ariza, but likely him, Deng & Hayward waiting on Melo, the real domino in FA. Bron expected back. Twitter @JaredZwerling
Arash Markazi: Clippers are interested in several players via sign-and-trade deals, including Paul Pierce, Luol Deng, Trevor Ariza and Spencer Hawes. Twitter @ArashMarkazi
Trevor Ariza has generated attention from several teams, including the Los Angeles Clippers, Los Angeles Lakers, Utah, Cleveland, Houston and Detroit. But the process of the Wizards keeping him could take longer since the 6-foot-8 swingman could serve as a backup plan for teams that fail to attract either Carmelo Anthony or LeBron James, who is sending hints to the rest of the league that he intends to remain in Miami after winning two championships with the Heat. Washington Post
Any rumor missing? E-mail us at email@example.com.


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Carpio urged to inhibit self from nomination of new chief justice
MANILA, Philippines—Acting Chief Justice Antonio Carpio may preside over the Supreme Court but he will have to inhibit himself from the Judicial and Bar Council's deliberations in the selection of a replacement for Renato Corona, who has been removed, Sen. Francis Escudero said Thursday.
Escudero, the Senate's representative on the JBC, had long expected Carpio, "being the most senior associate justice" of the Supreme Court, to assume the position of head of the judiciary after Corona's removal by the Senate sitting in judgment of the impeached Corona.
Carpio automatically became acting chief justice and JBC chair based on "Supreme Court internal rules and by tradition, so nobody can question it," said the senator, a lawyer.
"The President has nothing to do with this (Carpio's move)—let's make this clear," said Escudero, explaining that the chief justice has other administrative tasks to perform, such as payment of salaries of court employees and regular fund disbursements.
As acting chief justice, Carpio will preside over the JBC deliberations, Escudero said, adding, "If he becomes a nominee, or he applies, he will have to inhibit, of course."
The JBC is a constitutional body created by the 1987 Constitution to screen and recommend to the President nominees for vacancies in the judiciary, from trial court judges to justices of the high court.
According to Escudero, the JBC has set a meeting on Monday to approve the publication of the vacancy in the Office of the Chief Justice.
The JBC and President Benigno Aquino III have 90 days to fill the vacancy arising from the removal of Corona on Tuesday for culpable violation of the Constitution and betrayal of public trust.
"It would take one and half months (to complete the process), or approximately by July 15. So the President will have one and a half months to choose from the list," said Escudero.
But the JBC secretariat expects that a shortlist of nominees will be on the President's desk on or before July 15, allowing Aquino to appoint Corona's replacement before his annual State of the Nation Address on July 23.
Under Section 4, Article 8 of the Constitution, vacancies in the judiciary should be filled within 90 days, "or 90 days from Tuesday in the case of Corona," said Escudero.
The JBC is composed of four ex-oficio officers (the chief justice, the secretary of justice, and two members from the Senate and House of Representatives, usually the chairpersons of their respective committees on justice), and four regular members representing the retired Supreme Court members, academe, Integrated Bar of the Philippines, and the private sector.
At the meeting next Monday, Escudero will propose to the JBC another important reform at the JBC in the aftermath of the ouster of Corona from the high court.
"I will ask for the adoption of another requirement—for applicants to submit their statement of assets, liabilities and net worth," said Escudero, pointing out that even applicants coming from private sector should fill out a SALN.
"All applicants and nominees should execute a waiver of secrecy of bank deposits in favor of the JBC. They should submit their maintaining balances (for bank deposits) which should be checked against the SALN," he said.
Corona, during his second appearance at the Senate impeachment court last week, issued a belated but unconditional waiver for all his bank accounts, whether in peso or dollar.
"We removed a sitting chief justice because of the inaccuracies in his SALNs versus his real bank deposits, so you don't expect the JBC to nominate to P-Noy (President Aquino) someone whose SALN does not jive with his or her real wealth," said Escudero.
The senator pointed to the imperativeness of learning from the impeachment case of Corona.
"I will not support whoever does not executive a waiver. My position is that person should be disqualified. At the very least, I will not vote for that person," said Escudero.
He added: "Signing a waiver is logical so that the JBC can check your bank deposits. If you don't want to sign a waiver, then don't enter the government. We now have to follow a higher standard we applied on Corona," said Escudero.
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text:
About Schools in Cutchogue, NY
Cutchogue offers a range of educational opportunities with one elementary school.
Contact a Coldwell Banker® real estate agent to learn more about the schools and school districts in Cutchogue, NY.FIND AN AGENT
Cutchogue, New York is located in Suffolk County. Nearby cities and towns include New Suffolk, Peconic, Mattituck, Southold, Laurel, Jamesport, North Sea, Northville, Greenport West, Noyack, Tuckahoe, Aquebogue, Shelter Island Heights, Greenport, North Haven, Shinnecock Hills, Dering Harbor, Shelter Island, Water Mill, Hampton Bays, Sag Harbor, Bridgehampton, Flanders, Southampton, East Marion, Riverhead, Riverside, East Quogue, Sagaponack, Wainscott, Baiting Hollow, Northampton, Northwest Harbor, Orient, Quogue, Westhampton, Quiogue, East Hampton, East Hampton North, Calverton, Westhampton Beach, Springs, Eastport, Remsenburg-Speonk, Clinton, Wading River, Westbrook Center, Amagansett, Saybrook Manor, Fenwick, Madison Center, Manorville, Old Saybrook Center, East Moriches, West Hampton Dunes, Guilford Center, East Shoreham, Napeague, Center Moriches, Ridge, Shoreham, Moriches, Mastic, Essex Village, Rocky Point, and Branford Center. Cutchogue is a suburban community with a population of 3,378. The median household income is $81,336. In Cutchogue, 61% of residents are married, and families with children reside in 22% of the households. Half the population of Cutchogue commutes 22 minutes or less to work, with 69% of residents holding white collar jobs and 31% residents holding blue collar jobs. The median age of homes in Cutchogue, NY is 37 years, with 52% of those homes owned, 13% rented, and 35% not occupied. In the previous year, 53 Cutchogue properties were sold. The median sale price of a home in Cutchogue in the previous year was $915,866.
Cutchogue offers a range of educational opportunities with one elementary school.
Contact a Coldwell Banker® real estate agent to learn more about the schools and school districts in Cutchogue, NY.FIND AN AGENT
See if your personality and goals are right for real estate.SEE ALL REAL ESTATE CAREERS
Community information and market data Powered by Onboard Informatics. Copyright ©2015 Onboard Informatics. Information is deemed reliable but not guaranteed.
This information is provided for general informational purposes only and should not be relied on in making any home-buying decisions. School information does not guarantee enrollment. Contact a local real estate professional or the school district(s) for current information on schools. This information is not intended for use in determining a person's eligibility to attend a school or to use or benefit from other city, town or local services.


text:
Percutaneous Treatment of Iatrogenic Pseudoaneurysms by Cyanoacrylate-Based Wall-Gluing
- Andrea Del Corso,
- Giuseppe Vergaro
- … show all 2 hide
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Although the majority of iatrogenic pseudoaneurysms (PSAs) are amenable to ultrasound (US)-guided thrombin injection, patients with those causing neuropathy, claudication, significant venous compression, or soft tissue necrosis are considered poor candidates for this option and referred to surgery. We aimed to test the effectiveness and feasibility of a novel percutaneous cyanoacrylate glue (NBCA-MS)-based technique for treatment of symptomatic and asymptomatic iatrogenic PSA.
Material and Methods
During a 3-year period, we prospectively enrolled 91 patients with iatrogenic PSA [total n = 94 (femoral n = 76; brachial n = 11; radial n = 6; axillary n = 1)]. PSA were asymptomatic in 66 % of cases, and 34 % presented with symptoms due to neuropathy, venous compression, and/or soft tissue necrosis. All patients signed informed consent. All patients received NBCA-MS-based percutaneous treatment. PSA chamber emptying was first obtained by US-guided compression; superior and inferior walls of the PSA chamber were then stuck together using NBCA-MS microinjections. Successfulness of the procedure was assessed immediately and at 1-day and 1-, 3-, and 12-month US follow-up.
PSA occlusion rate was 99 % (93 of 94 cases). After treatment, mean PSA antero-posterior diameter decrease was 67 ± 22 %. Neuropathy and vein compression immediately disappeared in 91 % (29 of 32) of cases. Patients with tissue necrosis (n = 6) underwent subsequent outpatient necrosectomy. No distal embolization occurred, nor was conversion to surgery necessary.
PSA treatment by way of NBCA-MS glue injection proved to be safe and effective in asymptomatic patients as well as those with neuropathy, venous compression, or soft-tissue necrosis (currently candidates for surgery). Larger series are needed to confirm these findings.
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- Bangalore, S, Bhatt, DL (2011) Femoral arterial access and closure. Circulation 124: pp. e147-e156 CrossRef
- Hanson, JM, Atri, M, Power, N (2008) Ultrasound-guided thrombin injection of iatrogenic groin pseudoaneurysm: doppler features and technical tips. Br J Radiol 81: pp. 154-163 CrossRef
- Morgan, R, Belli, AM (2003) Current treatment methods for post catheterization pseudoaneurysms. J Vasc Interv Radiol 14: pp. 697-710 CrossRef
- Ferguson, JD, Whatling, PJ, Martin, V (2001) Ultrasound guided percutaneous thrombin injection of iatrogenic femoral artery pseudoaneurysms after coronary angiography and intervention. Heart 85: pp. 4-5 CrossRef
- Krueger, K, Zaehringer, M, Strohe, D (2005) Post catheterization pseudoaneurysm: results of US-guided percutaneous thrombin injection in 240 patients. Radiology 236: pp. 1104-1110 CrossRef
- Hung, B, Gallet, B, Hodges, TC (2002) Ipsilateral femoral vein compression: a contraindication to thrombin injection of femoral pseudoaneurysms. J Vasc Surg 35: pp. 1280-1283 CrossRef
- Webber, GW, Jang, J, Gustavson, S (2007) Contemporary management of postcatheterization pseudoaneurysms. Circulation 115: pp. 2666-2674 CrossRef
- Edgerton, JR, Moore, DO, Nichols, D (2002) Obliteration of femoral artery pseudoaneurysm by thrombin injection. Ann Thorac Surg 74: pp. 1413-1415 CrossRef
- Grewe, PH, Mügge, A, Germig, A (2004) Occlusion of pseudoaneurysms using human or bovine thrombin contrast-enhanced ultrasound guidance. Am J Cardiol 93: pp. 1540-1542 CrossRef
- Paulson, EK, Nelson, RC, Mayer, CE (2001) Sonographically guided thrombin injection of iatrogenic femoral pseudoanerurysms: further experience of a single institution. Am J Roentgenol 177: pp. 309-316 CrossRef
- Sackett, WR, Taylor, SM, Coffey, CB (2000) Ultrasound-guided thrombin injection of iatrogenic femoral pseudoaneurysms: a prospective analysis. Am Surg 66: pp. 937-940
- Kang, SS, Labropoulos, N, Mansour, MA (1998) Percutaneous ultrasound guided thrombin injection: a new method for treating post catheterization femoral pseudoaneurysms. J Vasc Surg 27: pp. 1032-1038 CrossRef
- Oholow, MA, Secknus, MA, Korn, H (2008) Percutaneous thrombin injection for treatment of iatrogenic femoral artery pseudoaneurysms: a case for caution. Angiology 59: pp. 372-375 CrossRef
- Aytekin, C, Firat, A, Gültekin, B (2003) A US-guided glue injection in the treatment of femoral pseudoaneurysms. Tani Girisim Radyol 9: pp. 257-259
- Montanaro, L, Arciola, CR, Cenni, E (2001) Cytotoxicity, blood compatibility and antimicrobial activity of two cyanoacrylate glues for surgical use. Biomaterials 22: pp. 59-66 CrossRef
- Heye, S, Maleux, G, Wilms, G (2006) Pain experience during internal spermatic vein embolization for varicocele: comparison of two cyanoacrylate glues. Eur Radiol 16: pp. 132-136 CrossRef
- Righini, M (2007) Post-catetherization false femoral aneurysms. Rev Med Suisse 3: pp. 341-345
- Hajarizadeh, H, Rosa, CR, Cardullo, P (1995) Ultrasound-guided compression of post-catheterization femoral pseudoaneurysm failure, recurrence, and long-term results. J Vasc Surg 22: pp. 425-433 CrossRef
- Perna, L, Olin, JW, Goined, D (2000) Ultrasound-guided thrombin injection for the treatment of post catheterization pseudoaneurysms. Circulation 102: pp. 2391-2395 CrossRef
- Saad, NE, Saad, WE, Davies, MG (2005) Pseudoaneurysms and the role of minimally invasive techniques in their management. Radiographics 25: pp. 173-189 CrossRef
- Stone, PA, Abu Rahma, AF, Flaherty, SK (2006) Femoral pseudoaneurysms. Vasc Endovasc Surg 40: pp. 109-117 CrossRef
- Mohler, ER, Mitchell, ME, Carpenter, JP (2001) Therapeutic thrombin injection of pseudoaneurysms: a multicenter experience. Vasc Med 6: pp. 241-244 CrossRef
- Paulson, EK, Sheafor, DH, Kliewer, MA (2000) Treatment of iatrogenic femoral arterial pseudoaneurysms: comparison of US-guided thrombin injection with compression repair. Radiology 215: pp. 403-408
- Aytekin, C, Firat, A, Yildirim, E (2004) Ultrasound-guided glue injection as alternative treatment of femoral pseudoaneurysms. Cardiovasc Intervent Radiol 27: pp. 612-615 CrossRef
- Title
- Percutaneous Treatment of Iatrogenic Pseudoaneurysms by Cyanoacrylate-Based Wall-Gluing
- Journal
CardioVascular and Interventional Radiology
Volume 36, Issue 3 , pp 669-675
- Cover Date
- 2013-06-01
- 10.1007/s00270-012-0502-1
- Print ISSN
- 0174-1551
- Online ISSN
- Publisher
- Springer-Verlag
- Additional Links
- Topics
- Keywords
- Pseudoaneurysm
- Percutaneous closure
- Catheterization
- Complications
- Access site
- Industry Sectors
- Authors
- Andrea Del Corso (1)
- Giuseppe Vergaro (2)
- Author Affiliations
- 1. Division of General and Vascular Surgery, Ospedale Cisanello, Università di Pisa, Via Paradisa 2, 56124, Pisa, Italy
- 2. Division of Cardiovascular Medicine, Fondazione G. Monasterio CNR–Regione Toscana, Via Moruzzi 1, 56125, Pisa, Italy


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STOCKHOLM — Three American professors won the Nobel prize for economics Monday for shedding light on how stock, bond and house prices move over time— work that's changed how people around the world invest.
Two of the winners — Eugene Fama, 74, and Lars Peter Hansen, 60 — teach at the University of Chicago. The third, Robert Shiller, 67, is a professor at Yale University and is well-known as a creator of the well-known Case-Shiller index of home prices.
The three economists were honored for separate research that collectively expanded the understanding of asset prices.
Beginning in the 1960s, Fama showed that prices change so quickly and efficiently to reflect new information that investors can't outperform markets in the short term. This was a breakthrough that helped popularize index funds, which invest in broad market categories instead of trying to pick individual winners.
Two decades later, Shiller reached a separate conclusion: That over the long run, markets can often be irrational, subject to booms and busts and the whims of human behavior. The Royal Swedish Academy of Sciences noted that the two men's findings "might seem both surprising and contradictory."
Hansen developed a statistical method to test theories of asset pricing.
The three economists shared the $1.2 million prize, the last of this year's Nobel awards to be announced.
Of the three winners, Fama was the first to expand the knowledge of how asset prices move. His work helped revolutionize investing by illustrating how hard it was to predict the movement of individual stock prices in the short run. It was a finding that spurred wider acceptance of index funds as an investment tool.
Shiller showed that in the long run, stock and bond markets tend to behave more irrationally than economic fundamentals would suggest. That encouraged the creation of institutional investors, such as hedge funds, that take bets on market trends.
In the late 1990s, Shiller argued that the stock market was overvalued.
"And lo and behold, he was proven right" when the dot-com bubble burst in 2000, said Nobel committee secretary Peter Englund.
"It's no secret that for Eugene Fama, the sort of null hypothesis is that markets work well and he is willing to believe that until he is proven otherwise, whereas for Robert Shiller, I think his null hypothesis is that there are periods of excessive optimism and pessimism," Englund said.
The Case-Shiller index, a leading measure of U.S. residential real estate prices, was developed by Shiller and Karl Case, a Wellesley College economist.
In the 1980s, Hansen developed a statistical method to better assess theories such as those of Fama and Shiller.
"These are three very different kinds of people, and the thing that unites them all is asset pricing," says David Warsh, who tracks academic economists on his Economic Principals blog.
Fama said his work came at a time when computers were starting to be used by statisticians and economists. Many of them were studying stock prices because they were the most easily available data.


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2000 Dodge Dakota SLT 2dr Regular Cab SB
This is a great truck for the family who has a home to maintain. With 70k miles, I've replaced tires, front hubs and brakes, battery, and gas cap. Reliable and economical (19-22 avg. MPG). I have a bed liner and cover which have served well. The jump seats are great for young people or short trips as well as letting you lock up purchases. With the V-6 I've never had a power problem with heavy loads. Seats are comfortable for "long trips".
Seven year old truck that still looks pretty good, drives well and gets better-than-average mileage. Virtually no mechanical problems except that I had to replace hubs due to a bad wheel bearing.
Better quaity control on paint. I'm going to have to have the roof repainted soon as the primer is showing through.
This is probably the worse vehicle I've ever
owned!!! The rotors have been replaced 3
times.The steering pump, belt
tensioner,water pump,both O2 sensors,coil
and an assortment of less serious parts
have all been replaced, mostly at my
expense. Dodge refused to warranty
anything after 36000 miles. I will never
again buy a Dodge product no matter how
good looking.
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Anti-government protesters killed in Libyan clash
Witnesses in the capital said many government supporters were raising Libyan flags from their cars and chanting slogans in favor of Gadhafi. They said it was otherwise business as usual in the capital and stores remained open.
But protests already have turned violent.
Al-Warfali, head of the Libyan Committee for Truth and Justice, said two more people were killed in another city, Zentan, on Thursday while one protester was killed in Rijban, a town about 75 miles (120 kilometers) southwest of Tripoli, where power was shut down Wednesday night and remained off Thursday.
A video provided by al-Warfali of the scene in Zentan showed marchers chanting and holding a banner that read "Down with Gadhafi. Down with the regime."
He said protesters on Thursday in the coastal city of Darnah were chanting "the people want the ouster of the regime" - a popular slogan from protests in Tunisia and Egypt - when thugs and police attacked them from a vegetable market.
Another video showed protests by lawyers in Benghazi on Thursday demanding political and economic reform while a third depicted a demonstration in Shahat, a small town southwest of Benghazi.
The Libyan government maintains tight control over the media and the reports couldn't be independently confirmed.
Libya's Muslim Brotherhood, an opposition group in that country as it has been in Egypt, denounced the crackdown.
In a statement Wednesday night, it accused "the security forces and members of the revolutionary committees of using live ammunition in dispersing the protesters." The group demanded that "the Libyan regime rein in its (security) apparatus."
The Associated Press


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Bus departs for Santa Fe at 3:00 PM. Upon arrival, you'll visit the New Mexico State Capitol building and see some of its famous art collection.
Bus takes you to hotel at 5:00 pm for check-in at approximately 5:30 PM.
Ron is an award-winning musician dedicated to the preservation of traditional Native American music as well as being a composer of some of his own.
He's a fine singer, guitarist and Native American flute player, and your evening with him will be unlike any other evening of your life! He's a delightful presenter in every way.
The MIAC offers a huge collection of pottery, basketry, rugs, jewelry and artifacts, mostly from tribes of the southwest region. The exhibits are beautifully displayed and documented.
The Museum of International Folk Art features the huge collection of folk art of Alexander Girard. Displayed in charming scenarios, you'll be fascinated by this delightful museum. (Both museums have great gift shops as well!)
The rest of the afternoon is free. You may wish to visit the Palace of the Governors, New Mexico Museum of Art, and the New Mexico History Museum. You'll receive passes to visit these State of New Mexico museums as you choose, or you may want to explore more of the Plaza area on your own.
Our bus departs at 5:15 for return to the hotel, or you may stay downtown for dinner on your own. You can get back to the hotel via taxi or city bus (schedules at front desk at hotel).
Your group leader can offer dining suggestions for you, if you'd like restaurant recommendations. Return to the hotel after dinner on your own, via cab or city bus.
The first stop will be at Santa Clara Pueblo, where you'll visit the pottery studio of Paul and Rosalda Speckled Rock.
Santa Clara is one of the most popular pueblos for visitors. Its tribal members are among the most artistically active of all the pueblos, and fine works by Santa Clara artists can be found in a large number of shops and studios in the village. Santa Clara ancestors most likely migrated south from the Four Corners region, eventually reaching the Pajarito Plateau on the eastern slope of the Jemez Mountains between A.D. 1100 and 1300. Today, Santa Clara is home to about 2600 people. The tribe's 47,000 acres still supports some farming. A small casino and bowling center in Espanola should help fund additional tribal endeavors. Bus departs for Taos at 10:30 AM.
There will be a stop at San Francisco de As�s Mission Church, one of the most photographed churches in New Mexico, on the way into Taos.
Bus arrives at hotel for check-in about 4:00 PM.
After the Pueblo, the bus will travel to the Millicent Rogers Museum. Here, visitors enjoy many outstanding historical collections of Native American art and jewelry, contemporary paintings, weavings, and pottery, including the Maria Martinez family collection. Also showcased are Hispanic textiles, metal work and sculpture, as well as a wide range of contemporary Anglo-European Southwestern Art.
The bus then departs for the Rio Grande Gorge Bridge. Locally known as the "High Bridge," this is a cantilever truss bridge across the Rio Grande Gorge 10 miles northwest of Taos. At 650 feet above the Rio Grande, it is the fifth highest bridge in the United States.
Bus then departs for the Ernest Blumenschein Home. This was the home of painter Ernest L. Blumenschein, a co-founder of the Taos Art Colony and one of the "Famous Seven." It was declared a National Historic Landmark in 1965.
After visiting the Blumenschein, you'll have some free time to explore the Plaza and Bent Street areas on your own.
Meet and walk to nearby restaurant at 5:15 PM.
At 5:15 PM depart for dinner destination.
Bus departs at 6:30 PM for hotel and check-in.
As you listen to the ranger and walk some of the trails, you'll speculate what these images mean, why they were created and what the people who made them were like.
Depart at 11:30 AM for Acoma Pueblo.
Bus departs for Albuquerque at 4:00 PM, arriving at the hotel about 5:30 PM.
Checkout time is by 12:00 noon.
The hotel has a free shuttle to take you to the airport or train station; arrange with the front desk the evening before, if possible.


text: We're sorry, Child's Fly A Kite Lampshade is no longer available Why not try one of these instead? Cotton Ball String Lights by Cable & Cotton £36$72.15€50.90$57.15 Handmade Vintage Map Lampshade by Rosie's Vintage Lampshades £35$70.15€49.48$55.56 made to order 'White Orchid' LED Fairy Lights by The Forest & Co £36$72.15€50.90$57.15 Personalised Clouds Lampshade by Buttons & Moon £34$68.14€48.07$53.97 can be personalised Child's Fly A Kite Lampshade by Buttons & Moon £28$56.12€39.58$44.45 This item is no longer available This item is not available for delivery to United States. sizesize (required)SmallMedium (+ £6)Large (+ £12)size (required)SmallMedium (+ $12.02)Large (+ $24.05)size (required)SmallMedium (+ €8.48)Large (+ €16.96)size (required)SmallMedium (+ $9.52)Large (+ $19.05) fittingfitting (required)Ceiling fittingTable/Floor lamp fittingfitting (required)Ceiling fittingTable/Floor lamp fittingfitting (required)Ceiling fittingTable/Floor lamp fittingfitting (required)Ceiling fittingTable/Floor lamp fitting we're sorry we're sorry, This item is no longer available buy a gift voucher related categories baby & child > children's room accessories > children's lighting > children's lights baby & child > children's room accessories > children's lighting > lampshades home > bedroom > furnishings & fittings > lighting > lampshades by Buttons & Moon Location: Somerset, GB read seller's profile see seller's complete range more items from this seller Balloons Personalised Lampshade £34$68.14€48.07$53.97 Personalised Clouds Lampshade £34$68.14€48.07$53.97 Personalised Bunting Lampshade £34$68.14€48.07$53.97 Beach Huts Personalised Lampshade £34$68.14€48.07$53.97 Birdhouse Lampshade £28$56.12€39.58$44.45 Beach Huts Lampshade £28$56.12€39.58$44.45 view all you may also like PRODUCT DETAILS CUSTOMER REVIEWS DELIVERY RETURNS Made in Britain ask seller a question Retro inspired child's lampshade showing children at play. This handmade drum lampshade features fabric showing a girl on a swing and a boy flying a kite watched by a cute little dog. The background colour is a pale aqua. Each shade is carefully made to order by hand and the edges are rolled for a neat finish. Your shade will be finished with a cute tag secured by a fabric covered button in the same fabric as the shade. The shade is suitable for either Euro or UK fittings. These shades are all made individually so fabric placement may vary slightly. This shade is available in small (most suitable for table lamps), medium (good for either table or ceiling fittings) or large (most suitable for ceiling shades). Please specifiy in the options box whether you require a ceiling or table/floor lamp fitting. made from: This shade is made using fabric called 'Fly a Kite' by October Afternoon for Riley Blake and professional quality materials glow wire tested by the lighting association. To clean I recommend a dry duster or a quick vacuum once in a while! dimensions: Small - 15cm diameter x 20cm high. Medium - 20cm diameter x 20cm high. Large - 30cm diameter x 20cm high. product code: 182358 2 customer reviews Sun 28 Oct 2012 A beautifully made lampshade with a real retro feel...looks great in the kids room. Thu 02 Aug 2012 Just lovely - the images on the website are very good read about our product rating system ratings guide trusted independent customer feedbackforum excellent bad good poor This product is dispatched to you by Buttons & Moon. MAINLAND UK order now and receive this item on or before price Free Delivery Thursday 11 June FREEFREEFREEFREE NON-MAINLAND UK estimated delivery price Highlands & Islands of Scotland 2-5 working daysfrom dispatch £2.75$5.51€3.88$4.36 Northern Ireland 2-5 working daysfrom dispatch £2.75$5.51€3.88$4.36 Other UK Islands 2-5 working daysfrom dispatch £4.95$9.92€6.99$7.85 INTERNATIONAL DELIVERY estimated delivery price Not currently available for this region You have 28 days, from receipt of cancellable goods, to notify the seller if you wish to cancel your order or exchange an item. Please note: goods that are personalised, bespoke or made-to-order to your specific requirements, perishable products and personal items sold with a hygiene seal (cosmetics, underwear) in instances where the seal is broken are non-refundable, unless faulty. Read more about our returns policy.Should you choose to return or exchange your order you will need to deliver the item(s) to the UK, where this seller is based. Buttons & Moon's return policy


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Welcome to Fayette County's Virtual Classroom System!
Guests: What is Fayette's iSchool? General information - how teachers and students are using iSchool right now.
Teachers: Teacher Support Community has full documentation on how to do things here, including how to request your own course space. See announcements specific to teachers there too, plus a place to ask questions.
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CDC Confirms Parasite in Burger's Lake
By Jeff Mosier, The Dallas Morning News
Jul. 23–The Centers for Disease Control and Prevention in Atlanta found the parasite Cryptosporidium in water samples from Burger's Lake, Tarrant County Public Health announced today.
County officials had suspected that the popular west Fort Worth swimming hole — which temporarily closed last week — had been the source of an outbreak of cryptosporidiosis. The health department also announced today that the number of confirmed cases has increased to 20.
The ages of those infected range from 1 to 61, county officials said. Cryptosporidium is among the most common causes of waterborne disease and can result in stomach cramps, diarrhea, vomiting and dehydration.
It can sometimes lead to death, usually in those with weakened immune system, but there have been no deaths reported from this outbreak.
County officials said that the water in the privately-owned Burger's Lake will be hyperchlorinated to eliminate the protozoa. Cryptosporidium is resistant to chlorine at levels typically found in swimming pools, but it can be killed if the chlorine level is much higher.
It wasn't clear when Burger's Lake would reopen. Heath department officials said they tested the source water for the spring-fed lake later and didn't find any Cryptosporidium. It's likely that fecal matter from one of the swimmers introduced the parasite into the water.
As a precaution, the county has recommended that area public pools hyperchlorinate their water to prevent the spread of the disease, and Arlington city officials closed public pools there today to add extra chlorine. The pools will reopen Thursday.
The first infection in this outbreak was discovered in late June.
To see more of The Dallas Morning News, or to subscribe to the newspaper, go to http://www.dallasnews.com.
Copyright (c) 2008, The Dallas Morning News
Distributed by McClatchy-Tribune Information Services.
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Kindle Fire HD Tablet w/ 7" HD Display, 1280 x 800p, 16GB, 1.2 Ghz Dual-Core, Dual-Band, Dolby Audio, HD Camera & More! - $187.99 w/ FS
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I got this unit recently and found out that the current batch of Kindle HDs have a serious problem with the displays. Color calibration is off and everything has a yellow tint or technically the color temperature is too low ("warm"). White backgrounds look yellow and yellows look even more yellow. It affects all colors and so you will not get accurate color rendering of media. It is most noticeable when held next to any other tablet Android or iPads.
The good news is Amazon will keep sending replacement units no questions asked but bad news is that people have found the replacements aren't any better.
There are two workarounds for this. One is to burn-in the screen with a white background overnight with screen saver off. I did this and helps somewhat but doesn't fully solve the problem. It is still yellow tinted. The other work around is to get an app from Google play store and side load it into the Kindle and use the app to adjust color balance which appears to help.
For more details refer to this thread on Amazon support forums.
Golden Rule of a Deal: If an item has been offered validly at a price of $X at any time, then never pay more than that in the future. It has been discontinued or will appear again at that price soon enough.
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