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UNIVERSITY of WASHINGTON ORTHOPAEDICS & SPORTS MEDICINE eNews April 2, 2012 Issue #9 in this issue: chairman's message (1) - SPOTLIGHT: 2012 LeCocq Lecture (2) - department news (3-4) - education highlights (5) faculty & staff news (6) - in memorium (7) - faculty publications (8-10) - tech talk (10) Message from the Chairman ous research without the common over- heads of large professional societies! Dear Friends and Colleagues of University of Washington Orthopaedics, We are tremendously proud of Dr. David Eyre, who received the Arthur Steindler The first quarter of 2012 has brought a wide Award – one of the two highest awards in range of activities and accomplishments Orthopaedic Research -- at this year's ORS to our Department, and its Residents and meeting. This reflects Dr. Eyre's tremen- Faculty. Allow me to highlight a number of dous lifetime accomplishments in collagen these successes in this edition. research with eminent translational applica- Drs. Chris Standaert and Stan Herring tion potential. Clinically, we have continued a healthy (HMC Sports and Spine Medicine); Dr. Balog, growth pattern. Our two recent faculty Resident, & Major James Mok M.D., Chief of At March's 10th Annual AO Spine North recruits, Drs. Darin Davidson (Orthopaedic Spine Surgery (Madigan Army Medical Center); America Fellowship Forum, held in Al- Oncology) and Michael Brage (Foot & berta, our Spine ACEs finished 2nd and 3rd Dr. Jens Chapman Ankle Surgery) have rapidly established out of 26 North American programs and themselves as 'go-to' resources with mature over 70 abstract submissions. Amit Patel expertise and engaging, high-quality care. in conjunction with Neurosurgery and Re- M.D., with his study on Spinal Epidural Our entire Faculty, including Fellows and hab Med), to many presentations delivered Abscesses, and Noojan Kazemi M.D., with Residents, have embarked on making our through Dr. Sean Nork's Outreach Pro- his work on Vascular Trauma in cranio-cer- Department a leader in the "Patients Are gram, we continue to serve our field with vical injuries, were respectively 0.01 and First" movement, providing quality patient pride and unparalleled content delivery. 0.03 points behind the winning paper (on a contact and improving follow-through in This includes engagements by Howard scale of 0-100)! key areas. We are very pleased to report Chansky M.D. (Vice Chair Orthopaedics at that Patty O'Leary-Crutcher has been UWMC and VA-Puget Sound, and Chief of selected to serve as Director of Orthopae- Arthroplasty Services), who spoke on "Ar- dics Sports & Spine, with wide-ranging, thritis and How to Stay Mobile and Healthy systems-oriented tasks to optimize access Without Surgery" at Seattle's Mirabella Re- and care delivery processes throughout UW tirement Center to a full house during this Medicine's growing reach. winter's ice storm (photo, page 4)! I hope you will increasingly take advantage of our many educational offerings in person, or through our website-linked resources. Drs. Amit Patel & Noojan Kazemi Perhaps the most important independent metric of our educational accomplishments There is much happening in our Depart- is the amazing success of our Residents, ment. Please join the building excitement who scored in the 97th percentile nationally here, and take a look at our newly rede- for the 2011 Orthopaedic In-Service Train- signed Departmental Website with its many ing Examination (page 5). The persistent new functionalities! Click here: http:// L-R: Pat Maxwell, Clinic Manager (ESC); dedication of our residents, faculty, and www.orthop.uw.edu/. Patty O'Leary-Crutcher, Director OS&S; GME staff has made this possible, and Jack Olsen, Head Nurse (HMC); underscores our leadership role in Ortho- - Jens R. Chapman, M.D. Claudia Happe, Clinic Manager (SMC) paedic education. Our superb faculty continues to provide We are always proud to attract the best and first-rate Orthopaedic learning opportuni- brightest new Residents. This year's match ties for specialists, allied professionals and is no exception as an outstanding group the public, with a multitude of outstanding joins UW Medicine in summer 2012! We presentations in multiple settings. From are also adding an increasingly organized our participation in February's AAOS focus for our residents' curriculum with the meeting (see page 3), to a memorable 48th UW Ortho-Resident Research Initiative, John LeCocq Lectureship with Dr. Stuart implemented by Vice Chair of Research Dr. Weinstein (page 2), our Orthopaedic Grand Peter Cavanagh, with a formalized timeline, Rounds and Spine Grand Rounds (the latter milestones, and faculty-funded initiatives. Please let me know if you are interested in supporting this furthering of Orthopaedic Science, which helps our residents do seri- Page 1 UW Orthopaedics & Sports Medicine eNews April 2, 2012 Spotlight: 2012 LeCocq Lectureship featuring Dr. Stuart Weinstein L to R: Dr. Ted Wagner, Resident Mark Miller, PA Tim Coglon, Visiting Professor Stuart Weinstein MD, PA's Dan Stamper and Jill Eggers-Knight; Residents Brian Gilmer, Greg Blaisdell, Emily Squyer, Adam Bakker, Nick Iannuzzi, Grant Lohse, Josh Lindsey, Andrew Merritt, Jennifer Hagen, Jacques Hacquebord, Nels Sampatacos, Laura Stoll, Ted Sousa, Nate Coleman, Amanda Roof, David Zeltser, Dan Holtzman, Paul Kim, Nick Wegner, Ken Gundle, Kyle Chun, Daniel Patton, Paige Mallette, Sid Baucom; unidentified, Visiting Spine Fellow Alfredo Sicoli, Dr. Jens Chapman The 48th Annual John morning lecture at Swedish LeCocq Lecture, held Medical Center provided January 26th and 27th another educational treat: at Harborview, will Dr. Weinstein's "Adoles- go into the annals as cent Scoliosis" gave us an one of the most suc- unparalleled overview of the cessful. This is in no history of scoliosis care, with small part due to the unique long-term follow-up magnetic personality and comprehensive outcomes of esteemed Visiting Pediatric Upper Extremity Trauma with Drs. data. He also shared previ- Professor Dr. Stuart Daphne Beingessner (HMC), Doug Hanel ously unknown details on the connections of L. Weinstein, Chair of (HMC and SCH), and Walter Krengel (SCH); Dr. Steindler and Seattle with the audience. Orthopaedic Surgery and Lower Extremity Dysplasia with Vince and Pediatrics at the Mosca (SCH), Bruce Sangeorzan (HMC), and University of Iowa, Klane White (SCH). This format provided No doubt, our 48th and former President of AAOS (above left, lively discussions and enhanced audience par- LeCocq lectureship was an with R4 Mark Miller MD). ticipation. The Thursday night dinner, hosted outstanding success for all by the Puget Sound chapter of the Western in attendance! On Thursday January 26th, he presented his Orthopaedic Society (featuring Resident landmark studies on Hip Dysplasia, inter- Alumnae Drs. Jim Crutcher '89 (photo above mixed with resident case presentations and right) and Lyle Sorensen '93 (photo right) aided by local experts. The day's panels in- was attended by a capacity crowd, who were cluded Hip Dysplasia (photo above right: Dr. treated to Dr. Weinstein's incredibly compre- Weinstein, Drs. Keith Mayo [Tacoma], Paul hensive overview of "Health Care Reform and Manner [UWMC] and Klane White [SCH]); Orthopaedic Surgery". The traditional Friday Upcoming Events 5th Annual Iris and Ted Wagner Lectureship 2012 Trauma Summit Wed., May 23 (begins with 6 PM reception) Thursday, July 26 (afternoon only); Friday & Sat- Location: Swedish Orthopaedics Inst., 601 B'way urday July 27-28 (8 AM-5 PM) Guest Lecturer: David J. Rothman, PhD; Location: HMC, R&T Auditorium and HMC, Professor, Columbia College & President, Institute NJB, ISIS Lab on Medicine as a Profession Course Chair: M.L. Chip Routt Jr., MD CME credit available. Contact CME@swedish. All residents encouraged to attend org, 206-386-2755, for further information Jesse B. Jupiter, MD 2012 Spine Course 2012 Residents' Research Day 2012 Chief Residents' Banquet Saturday, September 8 (8 AM-5 PM) Friday, May 4 (7 AM-4:30 PM) Friday, June 22 (6 PM-10:30 PM) Location: HMC, R&T Auditorium 6:45 AM annual group photo (in white coats) Location: Columbia Tower Club Contact Connie Robertson at firstname.lastname@example.com for Location: HMC, R&T Auditorium Residents, faculty, alumni, and guests attend additional info. Guest Lecturer: Jesse B. Jupiter, MD; Chief, Hand All residents welcome to attend and Upper Extremity Service, Massachusetts 2012 Orthopaedic Workshop (boot camp) General Hospital Wed.- Friday, June 27- 29 (8 AM-5 PM) 2012 ABC Arthroscopy Course All residents and faculty attend Location: Washington Club on UW campus and Sun.- Fri., Sept. 16-21 (8 AM-5 PM) HMC, NJB, ISIS Lab Location: Tracy, CA 2012 Miller Review Course All 2012-13 R2s attend (faculty and residents give All R3s & R4s attend and are away for the week Tuesday-Sunday May 22-27 scheduled presentations) with Dr. Warme and other faculty Location: Westminster, CO All R5s attend and are away for the week For more information, please visit: www.orthop.washington.edu Page 2 UW Orthopaedics & Sports Medicine eNews April 2, 2012 Department News Roosevelt Open House Celebrates Bone & Joint Center Remodeling! On January 10th, UWMC hosted an open house to celebrate the renovation of Bone & Joint Surgery Center and other 2nd-floor specialty clinics. Photos above: Top L, Stephen Zieniewicz, UWMC Executive Director, and other distinguished guests cut the ribbon. Bottom L, the ribbon stretches across BJC check-in. Center, Dr. Norman J. Beauchamp, Chair of Radiology; Dr. William P. Shuman, Director of Radiology, Dr. Howard A. Chansky, Vice-Chair of Orthopaedics; Dr. Jens R. Chapman, Chair of Orthopaedics and Sports Medicine; Dr. Nelson Hager, Chief, Bone & Joint Center; Dr. Peter C. Esselman, Chair of Rehabilitation Medicine; Dr. Stanley A. Herring, Director of Sports, Spine and Orthopaedic Health and Co-Medical Director, Seattle Sports Concussion Program; Stephen Zieniewicz. Top R, Physical Therapist Sarah Jackins and Dr. Thomas O. Staiger, UWMC Medical Director. Bottom R, hallway display featuring signed jerseys of former Huskies including football star Jake Locker (#10). [Photos: Coleen Sablan] AAOS and ORS Annual Meetings 2012 SV Nortwick, JS Barr, SL Baucom, EU Conrad: Hip Arthroplasty in Adoles- cents: Functional Outcomes and Risk of Revision Surgery. Paper 370 GR Lohse, SS Leopold, AM Cizik, SM Theiler, C Sayre, MJ Lee: Systems- Based Safety Intervention: Reducing Falls with Injury and Total Falls on an Orthopaedic Ward. Paper 381 We were also very proud to have a prizewinner (Left) L to R: Drs. Matsen, Chamberlain, Howe, Arntz, Barrett, Kirk among our presenters! 2011 Resident Alumnus (Right) L to R: Drs. Adkison, Krengel, Clark Ed Moon M.D. (pictured at left) received the This year's American Academy of Orthopaedic Surgeons and Ortho- Best Upper Extremity Poster Award for: paedic Research Society meetings were held February 7-12 in San E Moon, N Iannuzzi, DP Hanel: Comparison of Three Francisco. Twenty-six of our department MD's attended, including Injection Techniques for Ulnar Nerve Blocks at the current Faculty and Resident and Fellowship alumni. Wrist: A Cadaveric Study. Poster 231 We are very proud of our own Dr. David Eyre, who was awarded the On the social side, our Combined Alumni Event (held with the Wash- Arthur Steindler Award, one of the highest distinctions in Orthopae- ington State Orthopaedic Association) on February 10th was a tremen- dics, at ORS. Our faculty's expertise was evident as they participated dous success. Lyle Sorensen M.D., in his dual role of Chair of WSOA in seventeen instructional courses or symposia, plus six podium and and Chair of our Friends of Orthopaedics Alumni group, deserves our three poster presentations. Their impactful podium presentations gratitude for his creation of a wonderful focal point to gather our state included emphasis on our dedication to pioneering Outcomes As- Orthopaedic surgeons at AAOS. Our 4th-year residents and present- sessment and enhanced patient safety measures. We fully expect the ers mingled with many alumni and private-practice surgeons from the following contributions to influence future paradigms in everyday Pacific Northwest. From residents with Hawaiian ties, to colleagues Orthopaedic care: with similar subspecialties, the Alumni Event party provided a fantastic chance to connect. Many thanks to our friends and colleagues of the J Davies, S Joshi, DJJ Pavlin, SS Leopold: Anxiety Predicts Postoperative Pain Levels and Analgesic Use in Men but Not in Women after Total Knee Arthro- WSOA and their generous support of our educational efforts! plasty. Paper 267 - Jens R. Chapman, M.D., Chairman BB Gilmer, B Comstock, JL Jette, WJ Warme, S Jackins, FA Matsen: The Prognosis for Improvement in Comfort and Function After the Ream and Run Arthroplasty for Gelnohumeral Arthritis. Paper 321 Page 3 UW Orthopaedics & Sports Medicine eNews April 2, 2012 Department News Dr. Steve Richards Gives 2012 Lynn Staheli Lecture The 2012 Lynn Staheli Lecturer was Dr. Steven Richards from the well-known Texas Scottish Rite Hospital in Dallas, site of Pediat- ric Orthopaedic training for many current UW Faculty. The two-day lectureship provides our Orthopaedic residents up-close interaction on the first day with eminent Pediatric lecturers. The second day, all Seattle Childrens Hospital providers engaged in Orthopaedics offer an all-day educational program. From L, Drs. Lynn Staheli, Vincent Mosca, Steven Foreground: Dr. Steven Richards; Richards, Suzanne Steinman, Mark Dales, Wally Background: Dr. Chappie Conrad Krengel, and Michael Goldberg Education Highlights Grand Rounds at UW Orthopaedics: At February Grand Rounds, Dr. Brian Gilmer, PGY-4 (photo left), presented on ACL Graft Selec- tion. March's Grand Rounds was a co-production by our Hand & Upper Extremity, and Fracture & Traumatology services. Dr. Emily Squyer (OGY-4) collaborated with Drs. Jerry Huang (UWMC) and Daphne Beingessner (HMC) on "Complex Distal Humerus Fractures" (more information on p. 5). Daphne Beingessner M.D. lectures at the AO - Trauma Las Vegas Resident Course AO North America: Spine Grand Rounds at UW is a successful interdiscplinary program Fracture care across special- incollaboration with Neurosurgery, Rehabilitation Medicine, Neurora- ties, Orlando 2012: Dr. Rick diology, Neurology and other specialties. Under the direction of Spine Bransford delivered four sci- Eductional Director, Dr. Rick Bransford, we continue to feature nation- entific papers. At right: Drs. ally renowned speakers. Geoff Richards (Director of ARI, Davos, Switzerland), Dr. Eugene Carragee, Stan- Peter Cole (Vice Chair ford (in discussion with Drs. Orthopaedics, University Stan Herring, Director of UW of Minnesota & '98 Trauma ACE alum), Jack Wilber (Case Western Medicine's Spine Center, and University, Cleveland & '85 Trauma ACE alum), and Dr. Bransford. Jerry Jarvik of Neuroradiol- ogy) spoke on BMP controver- sies during March Spine Grand Reaching Out: Dr. Howard Chansky Rounds. spoke to a packed house at the Mira- bella Complex in downtown Seattle Spine Grand Rounds also on staying healthy despite arthritis by featured, on March 21st, remaining active. renowned Spine surgeon Dr. Alan Hilibrand (right, in sweater), from Thomas Orthopaedic History Society: The debut meeting of this new Jefferson's Rothman Insti- society was held in March at Dr. Sigvard T. Hansen's home. There was tute, on Cervical Spondylotic great interest and attendees from each year in our current Residency Myelopathy." program. The evolution of intramedullary nailing from Kuntshcer forward was discussed. The resident-led presentation was followed by input from Dr. Hansen about his experience. There is enthusiasm for continuing meetings on a monthly/bimonthly basis! Attending were Residents Greg Blaisdell, David Patterson, Emily Squyer, Jennifer Ha- gen, Nick Wegner, Nick Iannuzzi, Tim Alton, Jessica Telleria & Todd Blumberg. Page 4 UW Orthopaedics & Sports Medicine eNews April 2, 2012 Education Highlights SpineSkills Lab: This new lab Residents' OITE Results: The Orthopaedic In Training Exami- is directed by Dr. Wally Kren- nation (OITE) is an annual standardized test. Its results reflect our gel and is a two-day resident residents' commitment to their education, and their desire to be life- focused training session, featur- long learners. The 2011 results serve as affirmation to the quality and ing cadaveric work stations, and character of our residents, and Residency Program as a whole. state-of-the-art instrumentation 2011 OITE Percentile Rank Compared to Other and guidance systems covering Training Programs (by Residency Year): the entire spine. Faculty included PGY1: 89% Drs. Mark Dales (SCH), Mark PGY2: 92% PGY3: 98% Freeborn (Evergreen Orthopae- PGY4: 91% dics), Mike Lee (UWMC), Ash PGY5: 89% Patel (Overlake Proliance), Ted Wagner (UWMC) and others. Overall Percentile of Program: 97% We thank Aaron Merhoff and Stryker Spine for their unre- Congratulations to our residents for a job well done! stricted educational grant. Liz Dailey Instructs at Ruth Jackson Society Workshop: Fourth-year resident Liz Dailey MD was an honored Instructor at this year's Ruth Jackson Orthopaedic Society Meeting and Medical Student Work- shop. The RJOS is a terrific non-profit organization which offers great opportunities for medical students, residents, and practicing Orthopaedic surgeons. Its annual meeting took place at the AAOS Conference in San Francisco this February 7-12th. The RJOS is named for Ruth Jackson, MD, the first board-certified female orthopaedic surgeon. She was known for patient advocacy and championing Orthopaedic education, particularly in Dallas where she prac- ticed. The Society was formed in 1983 -- when she was still alive -- to honor her already-strong legacy, and to pool resources to support the growing number of female Orthopaedic surgeons. It originally had 60 members and has grown to more than 600. For residents and medical students, it provides an excellent opportunity to find mentors and obtain grants for leadership training or scientific en- deavors. The annual breakfast meeting occurs during AAOS, and includes a Medical Student Workshop the same day. Dr. Dailey reports she not only felt privileged to be chosen as a 2012 Instructor, but also to have the chance to meet aspiring minority and female Orthopaedic physicians. The workshop included a lecture for medical students on basic fractures, followed by a casting workshop, and a basic sawbones fracture model. The students' questions reflected an appreciation for the importance of surgical decision-making and fracture care, as well as the biomechanics involved. Hopefully, with the continued efforts of the RJOS, supported by practicing Orthopaedic M.D.'s, we can continue to attract the best and brightest medical students – male and female alike -- to our specialty. Orthopaedics & Sports Medicine Grand Rounds Wednesday, April 4th: Dave Barei, MD, Benjamin Starnes MD, and R4 Kyle Chun MD on Compartment Syndromes with special commentaries by Drs. Sigvard T. Hansen and Frederick A. Matsen, III. Wednesday, May 2nd: Special Grand Rounds: Update on METRC (Major Extremity Trauma Research Consortium) Orthopaedic Studies. Professor Ellen MacKenzie PhD (Chair, Health Policy & Management, Johns Hopkins) and Michael Bosse MD (Director, Orthopaedic Clinical Research, Carolinas Medical Center; Chair, METRC Consortium). Wednesday, June 6th: Darin Davidson MD, Mike Lee MD, and R4 Liz Dailey MD on Outcomes Systems in Orthopaedic Care. GRAND ROUNDS BROADCASTS ON UWTV UWTV Broadcast Times: Sundays 5:00 a.m., Mondays 7:00 a.m., Thursdays 6:00 a.m. At the January 4th Grand Rounds, Drs.Ernest Conrad, Darin Davidson, and R5 Josh Lindsey presented "Controversies in Management of Meta- static Disease": View it at UWTV's website: http://www.uwtv.org/video/player.aspx?mediaid=2197955032 March 7th saw a Grand Rounds Minisymposium on "Complex distal humerus fractures" from Drs. Emily Squyer, Daphne Beingessner, and Jerry Huang, hosted by Dr. Doug Hanel -- an Instructional Course quality presentation with valuable insights and recommendations. Our speakers gave a flawless presentation! Please visit our Website at https://depts.washington.edu/orthodev/drupal/ for links to the Grand Rounds series! Page 5 UW Orthopaedics & Sports Medicine eNews April 2, 2012 Faculty & Staff News Daphne Beingessner MD is featured in a UW training room, and second-floor Hospitality Ismail Hadis- Medicine video on John Chou, who survived a Rooms with a great view of the field. Wayne oebroto Dilogo very serious motorcycle accident thanks to the attended a packed dedication ceremony March MD was a visiting HMC medical team. John's mother Barbara 6th. Looking to the future, Warren will also surgeon this winter Chou says "at any other hospital he probably develop construction of Husky Ballpark's from Indonesia. would not have made it." Dr. Beingessner permanent grandstands and concession areas! (L: Dr. Dilogo calls him "one of my miracle patients." with host Milton "Chip" Routt MD Michael Brage Brad Henley of Harborview MD and R2 MD celebrated Traumatology.) Amanda Roof his birthday on MD played late February 28th last summer for with fellow Har- Our Roosevelt II office "Chix and Stix," borview OR staff staff celebrated the a Seattle Parks & (photo at left). Christmas Holidays with Rec slow-pitch a luncheon December softball team! 21st at BluWater Bistro Dr. Brage orga- at Green Lake! At right, nized the squad, which includes Orthopaedic Our Orthopaedic faculty turned up strong at Program Coordinator residents, HMC equipment/surgical reps, Dr. Jerry Jurkovich's "Goodbye Send-Off" Amanda Schwanz's Radiology techs, and friends. C&S took 1st February 13th at the historic Roanoke Tavern baby girl Adeline was place out of four teams! (Above, a post-game on Mercer Island! Dr. Jurkovich was Chief of quite taken with Program Ops Manager Tom tailgate celebration: L-R: Krista Colburn, Trauma and Director of ER Surgical Services Zorich's head! (L to R: Ken Karbowski, Ade- Nick Mays, Dr. Brage, John Billow, Courtney at Harborview Medical Center, and Associate line, Tom, Tina Marie Valdez. Amanda's at Miller, Amanda, Sandy Campbell. Front: Director of the Harborview Injury Prevention Lower L, facing away from the camera) Stacie Pelkey.) and Research Center. Welcome to new Montlake Student Assis- This spring, tant Sarah Timmons! Sarah, a UW senior a reunited majoring in Medical Anthropology and Global C&S took Health (with Departmental Honors), was their open- previously a Student Coordinator for UW ing game Housing and Food Services, and worked at 23-6 behind Nordstrom's in San Diego! She plans to be Player of the with us through the summer months. Week Greg Blaisdell Nick Vedder M.D. spoke at length on the MD's L to R: Drs. Bruce Sangeorzan, Chip Routt, Lisa recovery of a 7-year-old patient in the UW Taitsman, Robert Dunbar, Brad Henley, Jerry homer and several RBI's! (Post-game photo Jurkovich, Steven Benirschke Medicine video "Back in the Saddle: Lily above includes Drs. Michael Brage [second James' Story." Both Dr. Vedder and Dr. from L], plus residents Nate Coleman [red Trauma ACE Thomas Large MD's presenta- Robert Dunbar assisted in Lily's miraculous jacket], Amanda Roof [front row, center], and tion on wound therapy at last October's OTA recovery from a near-tragic boating accident. Greg [back row, Boston cap].) (Orthopaedic Trauma Association) Annual Lily herself reports "They made me better Meeting in San Antonio, TX, was an immedi- than new." On March 6th, Doug Hanel, MD and Peter ate success! It was selected as a "Highlight C. Neligan, MB led the UW Medicine Paper" for fast-tracked publication in the Winston J. Warme M.D. was featured on Mini-Med School discussion "Miraculous Journal of Orthopaedic Trauma. Its title is Page 1 of Orthopaedics Today's February Surgeries - From the Microscopic to the Mas- "Effect of negative pressure wound therapy 2012 issue (Vol. 32, No. 2). OT featured Dr. sive." They spoke on the best reconstructive on the elution of antibiotics from polymethyl- Warme in its "4 Questions" segment, in which and plastic surgery in the Pacific Northwest, methacrylate beads in porcine simulated open he was interviewed about the diagnostic ap- discussed procedures for birth defects, trauma, femur fracture model." proaches and treatment options for impinge- tumors and other maladies, as well as how ment syndrome. Link: http://www.orthosu- such delicate surgeries effect patient function- Also, Dr. Large spoke on "Wartime Ortho- persite.com/view.aspx?rid=92267 ing and quality of life. paedic Surgical Principles in Civilian Trauma Care" at the University of Notre Dame's 12th Hearty congratulations to two Montlake staff Annual Trauma Symposium on March 17th. members who reached milestone Department anniversaries in March! Program Operations Congratulations to Patty O'Leary-Crutcher Specialist Fred Westerberg has now been on her promotion to Director of Orthopaedics, with us for fifteen years, and Research Scien- Sports and Spine! Patty has previously served tist Lammy Kim for five! as our Director of MS&S (Muskuloskeletal Sports & Spine) as well as Practice Manager Women's Sports Medicine & Lifetime Fit- Warren Johnson (L) at UW's new Baseball Team of the Spine Center, Neurosurgery, and Con- ness is hosting the 3rd annual Mother's Day Building with Orthopaedic Receptionist & cussion Clinics. 5k Fun Run/Walk on Sunday, May 13th at 9 Baseball P.A. Announcer Bill Abelson (R) a.m. at Seward Park. People are encouraged Our Hand Service PA, Dan to bring their families to support moms at this Faculty Affairs Manager Maureen Johnson's Patzer, and his wife Magee event. Registration is encouraged! Visit http:// husband Warren handled business devel- (a former department PA) wel- www.womenssportsmedicine.org/. opment of the lavish new Wayne Gittinger comed Logan Thomas into the Baseball Team Building at Husky Ballpark! world February 4th! Logan's Warren is co-owner and Vice President of birth measurements were 9 Bayley Construction, which built the facility. lbs., 6 oz. & 19-3/4 inches. It features a plush clubhouse, coaches' offices, Page 6 UW Orthopaedics & Sports Medicine eNews April 2, 2012 In Memorium James Tupper, M.D. James Warren Tupper was born in Montana in 1928, and died in Seattle on December 27th, 2011, of indirect complications from aortic valve surgery. He is survived by his wife Sylvia, his three daughters Kari, Chris, and Kathy, and his son Brad. Jim completed his undergraduate training at the Uni- versity of Washington, and medical school training at the University of Pennsylvania. He returned to UW for Orthopaedic residency and graduated in 1959. While working at Orthopedic Children's Hospital, he was as- signed to the Spine Clinic. As a result, he and Dr. Marr Mullen invited themselves to Texas to learn spine sur- gery from Dr. Paul Harrington. After a one-week course, they returned as scoliosis physicians, and became founding members of the Scoliosis Research Society. Jim remained active in the organization until recent years. His very active years of spine care were done at Swedish Hospital and Seattle Children's Hospital. Subsequently he was joined by Dr. Ed Laurnen, Dr. Donald Gunn and Dr. Ted Wagner to manage pediatric spi- nal deformities. He remained, always, well-respected and much beloved. Outside of the clinics and hospital, Jim was very busy with his family; skiing, gardening, felling trees and wood-working. He crafted some beau- tiful furniture. Always busy, he survived multiple Orthopedic surgeries as the result of activity-related injuries. He remained very proud of the UW and his medical peers. - Theodore Wagner, M.D. Clinical Professor Robert Carr, M.D. James Bradley Carr, 57, of Roanoke, VA, a beloved father, dedicated husband, and world-renowned Orthopaedic surgeon, died December 31st. Jim was born on October 13, 1954 in Evanston, IL. He attended Colorado State University for undergraduate studies, and graduated first in his medical school class at Northwestern University. He then completed residency in Orthopaedic Surgery at Northwestern, followed by one of the top-ranked Fellowships in Orthopaedic Traumatology in the country here at the University of Washington in 1985-86. He was a member of the American Medi- cal Association, AO Foundation, Orthopaedic Trauma Association, American Academy of Ortho- pedic Surgeons, and American Orthopedic Association. He taught and educated medical students, interns, residents and fellows at the University of Missouri, Medical College of Virginia, and Univer- sity of South Carolina. He contributed to the Orthopaedic Surgery field through numerous research projects, published papers, and textbook chapters. Dr. Carr was recognized as one of the world's leading experts in Orthopaedic Surgery and Traumatology, and taught at meetings throughout the world. In 2007, Dr. Carr became a well-loved and respected member of the Lewis-Gale Department of Orthopaedic Surgery in Salem, VA . While Dr. Carr was awarded numerous honors, and was list- ed in Best Doctors in America since its inception, he is also remembered as a Little League baseball coach, Boy Scout troop leader, high school football team doctor, active church member... and most importantly a loving husband and father who attended every possible one of his children's horseback riding lessons, baseball and soccer games, track meets, and cheerleading events. He unconditionally loved and provided for his wife Bonnie, children Brittany, Beamer, and Brooke, and father-in-law Nicholas Musashe. Jim was a humble, selfless man, who served his family, friends, and community with his whole heart. He will be greatly missed by his family and all who knew him. Page 7 UW Orthopaedics & Sports Medicine eNews April 2, 2012 Faculty & Staff Publications Publications: Aliprantis AO, Stolina M, Kostenuik PJ, Poliachik SL, Warner SE, Bain SD, Gross TS. Transient muscle paralysis degrades bone via rapid osteoclastogenisis. FASEB J. 2012 Mar;26(3):1110-8. Epub 2011 Nov 28. Apostle KL, Sangeorzan BJ. Anatomy of the varus foot and ankle. Foot Ankle Clin. 2012 Mar;17(1):1-11. Epub 2011 Nov 29. Ausk BJ, Huber P, Poliachik SL, Bain SD, Srinivasan S, Gross TS. Cortical bone resorption following muscle paralysis is spatially heterogeneous. Bone. 2012 Jan;50(1):14-22. Epub 2011 Sep 5. Baker GA, Cizik AM, Bransford RJ, Bellabarba C, Konodi MA, Chapman JR, Lee MJ. Risk factors for unintended durotomy during spine surgery: a multi- variate analysis. Spine J. 2012 Feb 18. [Epub ahead of print] Benirschke SK, Rush SM, Reddix RN Jr, Zwipp H, Carpenter B, Schuberth JM. Locking plates. Foot Ankle Spec. 2012 Feb;5(1):54-9. Epub 2012 Jan 20. Bransford RJ, Freeborn MA, Russo AJ, Nguyen QT, Lee MJ, Chapman JR, Bellabarba C. Accuracy and complications associated with posterior C1 screw fixation techniques: a radiographic and clinical assessment. Spine J. 2012 Mar 2. [Epub ahead of print] Chapman JR, Norvell DC, Hermsmeyer JT, Bransford RJ, Devine J, McGirt M, Lee MJ. Evaluating Common Outcomes for Measuring Treatment Success for Chronic LBP. Spine. 2011 October 1;36(21S): S54-S68. Chou D, Samartzis D, Bellabarba C, Patel A, Luk KD, Kisser JM, Skelly AC. Degenerative magnetic resonance imaging changes in patients with chronic low back pain: a systematic review. Spine. 2011 Oct 1;36(21 Suppl):S43-53. Ehsan A, Hanel DP. Recurrent or persistent cubical tunnel syndrome. J Hand Surg Am. 2012 Feb 1. [Epub ahead of print] Elgafy H, Bransford RJ, Chapman JR. Epidural Hematoma Associated with Occult Fracture in Ankylosing Spondylitis Patient: A Case Report and Review of the Literature. Journal of Spinal Disorders and Techniques. October 2011: 24(7):469-473. Evans AR, Routt ML Jr, Nork SE, Kreig JC. Oblique Distraction External Pelvic Fixation. J Orthop Trauma. 2011 Oct 22. [Epub ahead of print] Fassbind MJ, Rohr ES, Hu Y, Haynor DR, Siegler S, Sangeorzan BJ, Ledoux WR. Evaluating foot kinematics using magnetic resonance imaging; from maxi- mum plantar flexion, inversion and internal rotation to maximum dorsiflexion, eversion and external rotation. J Biomech Eng. 2011 Oct;133(10):104502. Fehlings MG, Smith JS, Kopjar B, Arnold PM, Yoon ST, Vaccaro AR, Brodke DS, Janssen ME, Chapman JR, Sasso RC, Woodard EJ, Banco RJ, Massicotte EM, Dekutoski MB, Gokaslan ZL, Bono CM, Shaffrey CI. Perioperative and delayed complications associated with the surgical treatment of cervical spondylotic myelopathy based on 302 patients from the AOSpine North America Cervical Spondylotic Myelopathy Study. J Neurosurg Spine. 2012 Feb 10. [Epub ahead of print] Fourney DR, Andersoon G, Arnold PM, Dettori J, Cahana A, Fehlings MG, Norvell D, Samartzis D, Chapman JR. Chronic low back pain: a heterogeneous con- dition with challenges for an evidence-based approach. Spine. 2011 Oct 1;36(21 Suppl):S1-9. Gardner MJ, Silva MJ, Krieg JC. Biomechanical testing of fracture fixation constructs: variability, validity and clinical applicability. J Am Acad Orthop Surg. 2012 Feb;20(2):86-93. Review. Kennedy SA, Allan CH. In brief: Mayfeild et Al. Classification: carpal dislocations and progressive perilunar instability. Clin Orthop Relat Res. 2012 Apr;470(4):1243-5. Lacey BW, Reyes MR, Smith DG. Early selective surgical resection of traumatic heterotopic ossification after extensive crush injuries: a case report. PM R. 2011 Oct;3(10):982-5. Lee MJ, Konodi MA, Cizik AM, Bransford RJ, Bellabarba C, Chapman JR. Risk factors for medical complications after spine surgery: a multivariate analy- sis of 1,591 patients. Spine J. 2012 Jan 13. [Epub ahead of print] Lehman RA, Paik H, Eckel TT, Helgeson MD, Cooper PB, Bellabarba C. Low lumbar burst fractures: a unique fracture mechanism sustained in our current overseas conflicts. Spine J. 2011; Oct 7. [Epub ahead of print] Malone KJ, Martineau PA, Hanel DP. Ulnar collateral ligament reconstruction in posttraumatic elbow release. Orthopedics. 2012 Feb 17;35(2):e202-7. Miller AN, Henley MB. Cutaneous Landmarks for Distractor Pin Placement in the Medial Talar Body: Tip of the Month. J of Ortho Trauma. 2011 Oct 25;(10):580. Miller AN, Henley MB. Supine positioning for olecranon fixation: Tip of the month. J of Orthop Trauma. 2011 Nov 25;(11):640. Miller AN, Routt ML Jr. Variations of sacral morphology and implications for iliosacral screw fixation. J Am Acad Orthop Surg. 2012 Jan;20(1):8-16. Review. Norvell DC, Dettori JR, Fehlings MG, Chapman JR. Methodology for the systematic reviews on an evidence-based approach for the management of chronic low back pain. Spine. 2011 Oct 1;36(21 Suppl):S10-8. Review. Riddle RC, Leslie JM, Gross TS, Clemens TL . Hypoxia-inducible factor-1α protein negatively regulates load-induced bone formation. <http://www.ncbi.nlm. nih.gov/pubmed/22081627>. J Biol Chem. 2011 Dec 30;286(52):44449-56. Epub 2011 Nov 12. Page 8 UW Orthopaedics & Sports Medicine eNews April 2, 2012 Faculty & Staff Publications Publications (continued): Srinivasan S, Gross TS, Bain SD. Bone mechanotransduction may require augmentation in order to strengthen the senescent skeleton. <http://www.ncbi.nlm. nih.gov/pubmed/22240208> Ageing Res Rev. 2012 Jan 5. [Epub ahead of print] PMID: 22240208 [PubMed - as supplied by publisher]. Streubel PN, Glasgow D, Wong A, Barei DP, Ricci WM, Gardner MJ. Sagittal plane deformity in bicondylar tibial plateau fractures. J Orthop Trauma. 2011 Sep;25(9):560-5. Warme WJ, "Impingement Syndrome: Diagnostic Approaches Have Increased Accuracy and Treatment Options," Interview with Dr. Warme, Orthopaedics Today, Feb. 2012, Vol. 32 No. 2, p. 70. http://www.orthosupersite.com/view.aspx?rid=92267. Presentations: Bellabarba C. Lecturer: "Symptomatic degenerative disc disease: Indications and evidence for surgical treatment, and complication avoidance," "Revision surgery for kyphotic deformity in the aging spine: Fixation strategies and complication avoidance," "Posterior cervical surgical skills cadaver lab," "Anterior cer- vical surgical skills cadaver lab," "Percutaneous pedicle screws, MIS discectomy, MIS TLIF cadaver lab," "X-Stop, lateral transpsoas approaches (XLIF/DLIF/ GLIF), lateral fixation techniques (facet and pedicle screws) cadaver lab," "Open lumbar laminectomy and instrumentation cadaver lab," and "ALIF, anterior reconstruction, and TDR cadaver lab." AAOS Spine Surgery: State-of-the-Art Techniques and Science #3471, September 22-24, 2011. Bellabarba C. Lecturer: "Occipitocervical trauma," and "High grade isthmic spondylolisthesis." AOSpine Principles and Treatment of Spinal Disorders for Residents and Fellows. Toronto ON, Canada. October 28-29, 2011. Bellabarba C. Guest Speaker: "Occipitocervical fixation: Tips and tricks to avoid complications," "Bilateral cervical facet dislocation: Open reduction and pos- terior fixation," "Cervicothoracic fractures," "Complex sacral fractures," and "Correction of fixed sagittal plane deformities." AOSpine Latin America Sympo- sium: Complicaciones y Controversias. Bogotá, Colombia. November 19-20, 2011. Bellabarba C. Lecturer: "C1-C2 Instability – diagnosis and treatment," "Post-traumatic cervical kyphosis – circumferential approach," "Post-traumatic cervico- thoracic kyphosis – circumferential approach," "Central cord syndrome – current perspectives," and "Lumbar pseudarthrosis – revision surgery through posterior approach." AOSpine International Symposium: Solutions for Complex and Controversial Cases. Beijing, China. December 1, 2011. Bellabarba C. Keynote & Guest Speaker: "Current perspectives on occipitocervical trauma." 6th International Congress of the Chinese Orthopaedic Associa- tion. Beijing, China, December 2, 2011. Bellabarba C. Visiting Professor: "Occipitocervical dissociation: What have we learned in 15 years?" and "Sacral fractures with spino-pelvic dissociation. Cur- rent perspectives on evaluation and treatment." Annual Dan Benson Visiting Professorship. University of California-Davis. Sacramento, CA, December 6, 2011. Bellabarba C. Lecturer: "Corrective procedures in cervical ankylosing spondylitis," and "Advanced posterior spinal resection and reconstruction techniques." AOSpine Advances in Spine Deformity and Tumor Course, Davos, Switzerland. December 12-15, 2011. Bellabarba C. Lecturer: "Modern approaches to thoracolumbar spine injury classification" AOSpine Advances in Spine Trauma Course, Davos, Switzerland. December 12-15, 2011. Bransford RJ. Lecturer: "Reducing Adjacent Segment Deterioration in Degenerative Scoliosis," and "Can staging reduce complications associated with major spine surgery?" 10th Annual Harborview Medical Center Spine Symposium: Enhancing Patient Safety in Spine Surgery. Seattle, WA, October 1, 2011. Bransford RJ. Chairman: OTA Trauma Course for Residents (Spine Section). San Antonio, TX, October 12 – 15, 2011. Chapman JR. Moderator: "Cervical spine disorders and reconstruction." 26th Annual Meeting of the North American Spine Society. Chicago, IL, Nov. 4, 2011. Chapman JR. Lecturer: "Lumbo-sacral injuries," "Odontoid peg fractures in the elderly," and "Occipital condyle fractures, occipito cervical dislocation." AOSpine Masters Symposium – Spinal trauma. Prague, Czech Repulic, November 14, 2011. Gross TS, Gardiner EM, Worton LE, Bain SD (2012). Transient muscle paralysis stimulates an enhanced anabolic response to mechanical loading, Trans 57th Orthopaedic Res Soc, 175. Hanel DP. Co-Chairman: 2nd Annual Summit in Seattle Hand and Upper Extremity Trauma. Seattle, WA, July 28 -30, 2011. Hanel DP. Lecturer: "Distal fractures: What cannot be fixed with a volar plate?" "Practical approach to ulnar sided wrist pain – the ulnar-styloid fractures should be fixed," and "Hot topics in shoulder and elbow surgery." ASSH 66th Annual Meeting. Las Vegas, NV, September 7 - 10, 2011. Hanel DP. Lecturer: "Internal/external fixators and nails." Lecture/Case Discussions/Questions: "High energy trauma." Cadaveric Demonstration: "ORIF scaphoid." The Wrist Injury Course. Maui, HI, October 28 -30, 2011. Hanel DP. Lecturer: "Complex elbow injuries: new techniques for operative management and avoiding complications," and "What cannot be fixed with a volar plate?" AAOS Annual Meeting. San Francisco, CA, February 8, 2012. Henley MB. Faculty/Instructor: "Integrating guidelines/AUC into daily practice," and "Future directions of Orthopaedic Quality Institute." Orthopaedic Quality Institute meeting. Washington, DC; October 5-7, 2011. Page 9 UW Orthopaedics & Sports Medicine eNews April 2, 2012 Faculty & Staff Publications Presentations (continued): Henley MB. Faculty/Instructor: "The role of the BOS and specialty societies". LFP Fall Meeting. Seattle, WA; October 27, 2011. Henley MB. Co-Chair. Faculty/Instructor: "Complex trauma of the proximal femur with deficient lateral wall: treatment and outcome," "Management of peri- prosthetic fractures of the femur," "Tibial nailing: Technical pearls: When to rod, when to plate," and "How to improve your fracture billing: Ethical & practical coding & billing strategies." Thought Leaders in Orthopaedic Trauma. San Francisco, CA, December 3, 2011. Henley MB. Faculty/Instructor: "Coding for trauma & fracture care," and "Are we operating on fractures that don't need surgery?" Orthopaedic Trauma & Frac- ture Care: Pushing The Envelope. La Jolla, CA, January 14-15, 2012. Henley MB. Moderator: "Diagnostic coding tips and ICD training, get ready now." Faculty/Instructor: "HWB AAOS outcomes – ICD10 talk Special Interest Group (OSIG)," "Coding & Reimbursement Update 2012." Case Presentation: "Complex Fractures Around the Knee - Panel Discussion." American Association of Orthopaedic Surgeons Annual Meeting. San Francisco, CA, February 8-10, 2012. Krieg JC. Lecturer: "Distal femur fractures," and "Femoral shaft fractures." OTA Comprehensive Fracture Course for Residents. San Antonio, Oct.12-15, 2011. Krieg JC. Presenter: "Relevant anatomy in antegrade humeral nailing." OTA Annual Meeting. San Antonio, TX, October 12 – 15, 2011. Krieg JC. Lecturer: "Challenging Hip Fractures: when the fracture table doesn't work," and "Pelvic Ring Injuries: surgical management of instability." OTA Annual Meeting Symposium. San Antonio, TX, October 14, 2011. Kwon RY, Worton LE, Srinivasan S, Gross TS. (2012). Differential expression of transcriptional clusters and recurring ER1/2 activation in bone cells sub- jected to rest-inserted dynamic fluid flow, Trans 57th 2012 Orthopaedic Research Society Meeting, 44. Routt ML. Lecturer: "Radiographic evaluation and classification of pelvic ring disruptions." Moderator: "Pelvic fracture/spanning external fixation – femur." AO Basic Principles and Techniques of Operative Fracture Management. Las Vegas, NV, November 3 - 6, 2011. Taitsman LA. Lecturer: "Fracture classifications." AO/ASIF Principles Course. Atlanta, GA, September 15 – 18, 2011. Taitsman LA. Lecturer: "Ankle fractures." OTA Resident Course. San Antonio, TX, October 12 – 15, 2011. Worton LE, Kwon RY, Gardiner EM, Gross TS, Srinivasan S. (2012). Cyclosporin A synergistically enhances acute gene expression and differentiation in MC3T3 cells subjected to dynamic fluid flow, poster, Trans 57th Orthopaedic Res Soc, 1381. Tech Talk We have had a busy few months in the Computing Support Group! Jason grew up in West Palm Beach, Florida, enjoying running, We've rolled out a new look to the main Orthopaedics website, http:// fishing and sailing. He studied Computer Graphics and Animation, www.orthop.uw.edu, and streamlined technology which should lead to transitioned his design abilities into web and mobile development, and better computing for all. has worked in the industry for seven years. Join us in congratulating Arien Cherones, who has been hired as the Jason attended Penn State and is an avid Nittany Lions fan. He fills CSG Manager. Please welcome two new support staff who have out the rest of his free time with art projects, including game design joined John Eickerman, Garrett King, and Arien in the CSG: animation and traditional pen and paper works. Felicia Mehl – Special Projects * * * * Felicia is splitting time between CSG and Give us your feedback! We in CSG are only here because of the hard- Pediatrics, and has already transformed our working Orthopaedic staff and faculty. If you see something we can website! She completed her master's in Library improve upon or if someone in the CSG has given you exceptional and Information Science at UW in 2006. service, email me at firstname.lastname@example.com, call (206) 685-4350 or stop by BB-1014. Originally from Ohio, she's also lived in Virginia and Tokyo, and has been in Seattle for about ten years. Felicia will - Arien Cherones, Manager, Computer Support Group continue to improve our website and roll out new services. Jason Black – Web Computing Specialist Jason has a variety of job duties on top of improving our websites, blogs and social media exposure. He will provide server and help desk support, and his graphic design should prove very useful to us. Page 10
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Relevant offers
New Zealand's multibillion-dollar energy industry will become uneconomic if fracking is banned from drilling operations, an industry report says.
Banning the controversial practice could potentially endanger the future of the lucrative sector, says the report, prepared by New Zealand-owned Todd Energy.
Fracking is a method used to pump fluid into wells under great pressure to fracture the oil and gas bearing rocks so they can flow better. The Todd report says the fluid used is up to 99 per cent water, with the remainder made up of chemical additives, most of which have common applications around the home.
Posted on the company's website, the report lifts the stakes just three weeks ahead of the scheduled publication of the parliamentary commissioner for the environment's inquiry into fracking - "hydraulic fracturing".
Todd's conclusions highlight the importance of the industry to New Zealand's energy supply and coffers and raises the possibility of major oil and gas players walking away from uneconomic prospects.
The result of a three-month research project, the Todd report has been written as its submission to the PCE inquiry. Close to 180 pages long, it is the most comprehensive industry report into fracking published in New Zealand.
It says opposition to fracking in New Zealand is being based not on evidence, but on misinformation and emotion.
The 2010 movie Gasland, which received significant public attention, has also been comprehensively discredited, the report says.
Yesterday Todd Energy chief executive Paul Moore said the success of his company's petroleum operation depended on it being able to continue to frack.
"We need to do it - but we also need to assure the public that we're doing it well. We believe the way to do this is to be totally transparent. That way we are confident the public can be educated that fracking is safe and environmentally sound," he said.
Mr Moore said it was not Todd Energy's intention to stir up anything by making its submission public before publication of the results of the PCE inquiry.
"All we want to do is honestly say to everyone that we are wanting to do the right thing, that we are fully committed to New Zealand and our environment."
Pointing out that the petroleum sector annually contributes $2.2 billion to New Zealand's GDP and employs 6000 people, the Todd report claims fracking has been directly responsible for the success of almost every currently-producing oil and gas field in Taranaki.
It argues the technique has been used safely and successfully in New Zealand for more than 20 years and has become the standard treatment for maximising production from deep gas wells.
It says fracking is an essential technology for the development of these wells, including those being drilled at Todd's Mangahewa gasfield inland from Waitara.
The Todd report says the company has so far performed a total of 12 fracks in five wells, and there have been no incidents of fresh groundwater contamination.
Todd Energy is a major player in the New Zealand energy scene with interests in the Mangahewa gasfield, the McKee oilfield north-east of Waitara, the Kapuni gasfield, and the Maui, Pohokura and Maari oil and gas fields.
It plans to invest $760 million in further development of its Mangahewa field over the next few years, the work including drilling at least 20 more wells, adding millions to New Zealand's GDP and creating more than 1000 jobs.
Royalty payments will be about $45 million each year.
Natural gas provides more than 19 per cent of New Zealand's primary energy supply and 18 per cent of electricity supply. About 247,000 New Zealand households and 10,000 businesses use gas.
"The petroleum sector is a valuable contributor to the New Zealand economy and way of life," the report says.
"As production from the large Maui and Kapuni fields winds down, hydraulic fracturing has become an increasingly important tool in ensuring long-term security of natural gas supply and maintaining the benefits it provides to New Zealand."
Contributes $2.2 billion to GDP every year
Provides more than 6000 jobs for Kiwis
Each worker produces about $525,000 in labour productivity, which is five times the national average
Estimates show the Government received $1b from the oil and gas sector in the 2009-10 year
Since the 1950s, more than 350 wells have been drilled both onshore and offshore
Most of New Zealand's oil and gas industry is in the Taranaki basin
Industry body Petroleum Exploration & Production Association believes the country is underexplored, saying "a substantial find" is likely in the offshore Great South Basin to the south of the South Island
This story has been edited to fix a subbing change and clarify the explanation of fracking in the third paragraph.
- BusinessDay.co.nz
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subset: commoncrawl


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Description: Test Lead (set) TL175 TwistGuard™ Test Leads with adapter BP500 lithium-ion battery BC500 AC charger mini-USB cable Shoulder strap Belt strap Magnetic hanging strap FlukeView® Battery Management Software Soft carrying case Spare fuses (2)
- Form Factor: Portable / Handheld Tester
- Test Capability: Charge, Voltage
- Voltage Test Range: 12 volts
Description: Key Features 4-Port DVI Dual Link/USB KVM switch with 7.1 channel surround-sound audio and USB 2.0 peripheral sharing (B004-DUA4-HR-K) Built-in 2-Port USB 2.0 hub allows USB devices to be shared amongst computers connected to the KVM switch 3.5 mm Mini Stereo Speaker and Microphone jacks allow
- Number of Computers: 4
- Platform: PC, Apple Mac®, Sun, Unix / Linux
- Features: Auto Scan, Hot Key Switching, Hot Pluggable, USB Port
Supplier: Digi-Key Electronics
Description: MINI USB TYPEB PLUG CABLE KITS
Supplier: Infineon Technologies AG
Description: Easy Kit XC822 Summary of Features: mini-B USB connector for power supply, UART communication and Flash downloading, SPD (single pin DAP) via USB with on-board mini-wiggler for debugging. USB cable, CDROM, XC822-TSSOP16 Hardware Board, High power LED module Technical Documentation: e.g. User
- Category: Development Board
- Function: Break Out Board
Flat Panel Displays - Commercial-grade, Low Profile, Rack Mount, Flip-up LCD Monitor with Integral Keyboard and Pointing DeviceSupplier: General Digital Corporation
Description: into the SlimLine Commercial™. A multitude of keyboard protocols are available: PC (AT, XT, PS/2, USB) and Sun® (Type 5 [8-pin Mini-DIN], Type 6 [USB]). (For details, see the Keyboard/Pointing Device Table.) Private Labeling General Digital™ encourages relationships with Original Equipment
- Type: LCD Display
- Diagonal Screen Size: 15 to 20.1 inch
- Screen Width: 11.97 to 12.05 inch
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Lumenera Corporation
Lm135 1.4 Megapixel USB 2.0 Camera
of lighting. 3 software configurable bidirectional I/O ports and 2 optically isolated ports (1in/1out). Based on Lw camera platform with 32MB RAM. Excellent sensitivity with high color fidelity. Simplified cabling - video, power and full camera control over a single mini USB cable. Color or Monochrome, Interline transfer. Progressive scan, 1.4 Megapixel CCD sensor. Binning and Region of Interest (ROI) options improve sensitivity and provide higher frame rates. Select 8 or 12-bit pixel data. 8... (read more)
Browse CCD Cameras Datasheets for Lumenera Corporation
B+B SmartWorx
Industrial Grade Four Port USB 2.0 Hub
The UH104 is a compact, Industrial Grade Four Port USB 2.0 Hub. It has High Retention USB connectors that work with standard USB cables to ensure a tight connection in high vibration applications - requiring up to 3.4 lbs-force to disconnect them. It provides true USB 2.0 data transmission through each port, even during heavy load applications. The UH104 is a plug-and-play device, meaning that there are no additional drivers to load. When ordering, remember to include a USB Cable wtih your... (read more)
Browse Network Equipment Datasheets for B+B SmartWorx
ACCES I/O Products, Inc.
Rugged, industrialized, four-port USB hub
include Industrial Automation, Embedded OEM, Transportation/Automotive, Military/Government, and Home, Office or Production Workstations. This versatile 4-port hub is self-powered directly from the Berg connector (3.5 ″ floppy drive power connector) fed from the PC power supply and can provide a full 500mA source at 5V on each of the downstream ports. Available accessories include embedded OEM USB cables for connecting to an available host USB port on your motherboard (either standard or metric... (read more)
Browse Serial Communications Products Datasheets for ACCES I/O Products, Inc.
ACCES I/O Products, Inc.
New Multifunction High-Speed USB Module
applications. Available accessories include a wide variety of cables and screw terminal boards for quick and easy connectivity. Key features of the USB-DIO24-CTR6 include: 24 lines of high-current TTL digital I/O and six 16-bit counter/timers. High-speed USB 2.0 device, USB 3.1 compatible. All I/O lines buffered with 32mA source / 64mA sink current capabilities. 8254 Gate, Input and Output lines independently accessible at connector. Field selectable CMOS (+5V... (read more)
Browse I/O Modules and Instruments Datasheets for ACCES I/O Products, Inc.
Lumenera Corporation
Lu3.1 Megapixel USB 2.0 OEM Camera Module
Designed to fit a variety of applications, these cameras deliver outstanding image quality and value for industrial and scientific applications. Product highlights include 2048x1536 resolution, up to 20 fps, low fixed pattern noise, ½ " format CMOS sensor, and high-speed USB 2.0. Available in color and enclosed form factors. Contact us for more details. Highlights: Mini-sensor head option for board-level cameras. Tethered boards via flex cable for variable mounting options. Color... (read more)
Browse Board Cameras Datasheets for Lumenera Corporation
Black Box
Micro Mini Media Converters
with 10BASE-T, 100BASE-TX, and 1000BASE-T Ethernet. Available with 100BASE-FX or 1000BASE-X fixed-fiber transceivers, they support multimode and single-mode options, as well as SFP (small form-factor pluggable) transceivers. SFPs make it easy to adapt to different fiber types, speeds, and distances. Connect the media converter using two cables. The USB power cable draws current from a USB 1.0 or 2.0 port; the UTP cable connects to the copper port... (read more)
Browse Network Media Converters Datasheets for Black Box
ACCES I/O Products, Inc.
Our new family of mini PCI Express cards!
for the new mPCIe-COM family by visiting the product webpage. About ACCES I/O Products, Inc. For over 25 years, ACCES I/O Products, Inc. has supplied an extensive range of analog, digital, serial communication, and isolated I/O boards and solutions. ACCES also offers complete systems, integration services and enclosures with a quick turn-around on custom projects including software. ACCES products are designed for use with Ethernet, PCI Express, Mini PCI Express, USB, USB/104, USB/PICO, PC/104, PCI... (read more)
Browse PCMCIA Cards and Accessories Datasheets for ACCES I/O Products, Inc.
Lumenera Corporation
Lm085 VGA SMALL FORM FACTOR CAMERA
suited for conditions where the camera is under sustained vibration, fatigue, and stress from conveyor lines, mechanical arms, mobile vehicles, or gantries that introduce shock and vibration. An electronic global shutter eliminates the smear effect generated by moving objects, while the locking mini USB and RJ45 GPI/O connectors keep cables reliably attached to the camera back plate even in challenging conditions. When high throughput is essential, the Lm085 provides 60 fps at full 752x480... (read more)
Browse CMOS Cameras Datasheets for Lumenera Corporation
Measurement Computing
Battery-Powered 4-Channel Thermocouple Data Logger
battery use, and memory consumption between readouts. Software-selectable logger alarm indicates high or low readings. Logger control buttons for manual control of logging, display options, and event generations. Powered by two AAA batteries (included). Includes mini-USB cable. Includes built-in magnets and accessory kit for logger mounting. Software. Easy-to-use USB-5100 Series Data Logger software available as a free download. Configure, launch and perform data read out of data loggers... (read more)
Browse Data Acquisition Datasheets for Measurement Computing
Texas Instruments
InstaSPIN-MOTION enabled C2000 Piccolo LaunchPad
. InstaSPIN ™ enabled C2000 Piccolo LaunchPad Evaluation Board (LAUNCHXL-F28069M). Mini USB Cable. Quick Start Guide... (read more)
Browse Microcontrollers (MCU) Datasheets for Texas Instruments
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|Part #
|Product Category
|Omron Automation and Safety
|Cable Assemblies
|Not Provided
|Communications / Serial / Serial Isolators & Converters
|2-wire USB to RS-485 serial adapter, with universal female RJ45/RJ12 modular connector (accepts RJ12 and RJ45 plugs). Includes 2-meter (6.5 ft.) 6-conductor RJ12 crossover cable (for all GS drives), 2-meter (6.5 ft.) 2-wire RJ12 cable (for universal RS-485 use), mini-CD with Windows driver...
|ASAP Semiconductor
|Not Provided
|mini-DIN (PS/2), Type A USB
|ASAP Semiconductor
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|CAMERA CABLE, USB2.0 A-MINI B; Connector Type A:USB A; Connector
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iLoad Mini Application Note
The iLoad Mini is shipped with a cable that terminates in a male USB Mini-B 5-pin connector that plugs in to a Loadstar Sensors's DQ1000 family Frequency Converter interface. If you wish to use the iLoad Mini as a standalone frequency sensor, you may cut off the Mini-B connector and connect
iLoad Series Loadcells - Instructions for Optimal Performance
If you have ordered an iLoad Analog sensor with the DS-2100 or DQ-1200 interface boxes, the attached mini-B USB cable will plug directly into the interface box. If you have ordered an iLoad Analog sensor with the pigtail cable, it comes with the free end stripped. The color coding of the stripped
Computer Power User Article - Power User Accessories
it s no surprise that we re fans of Microsoft s wireless notebook mouse. The device is much smaller and lighter than your average desktop mouse and has a compartment for the USB wireless receiver (when it s not in use). The 6000 s accurate and handles fast movements, thanks to a 1,000dpi
Computer Power User Article - Build A PVR Your Way
with an MPEG-2 decoder, has a PCI slot, two ATA-133 connectors, integrated 10/100 Ethernet, six-channel audio, USB 2.0, Fire- Wire, and TV output. Together with a slim-line DVD player, notebook hard drive, and TV card, you can build a reasonably powerful yet remarkably compact HTPC. Although it may
Smart Computing Article - Members Of The Board
AT is a replaceable plate for the rear panel of the computer. Because motherboard manufacturers can include a tailored metal plate with each board, they can mount (connectors such as USB [Universal Serial Bus]) and audio jacks on the rear of the board any way they like. ATX boards and power supplies also have
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mini b usb bottom mount datasheets and application notes, data sheet, circuit, pdf, cross reference, pinout, datasheet | Datasheets.org.uk
■ Mini USB Cable .
Lego Mindstorms EV3 Essentials
...– introduction The advantages of LeJOS Installing LeJOS Confirming the SD card's filesystem Loading firmware on the SD card Installing LeJOS on EV3 Testing the LeJOS installation Summary Copying files to the SD card Limitations Mini USB cable SSH access Setting up...
general mini projects topics datasheets and application notes, data sheet, circuit, pdf, cross reference, pinout, datasheet | Datasheets.org.uk
■ Mini USB Cable .
general mini projects topics datasheets and application notes, data sheet, circuit, pdf, cross reference, pinout, datasheet | Datasheets.org.uk
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This family of .. to the PC using a mini USB cable with P2 fitted in position 5-6 power from USB .
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Fig. 40 — Mini USB Cables with 4 ..
Beginning Sensor Networks with Arduino and Raspberry Pi
It requires a USB-to– mini USB cable .
Arduino and Kinect Projects
The lamp looks good now, but you still have a Mini USB cable attached to it.
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Mini USB cables are designed to connect your 4-pin mini-USB device to the USB port on your PC or Mac.
Shopping - Best Prices On The Cables To Go Cables To Go USB Cable - Big Bruin
Mini USB cables are designed to connect your 4-pin mini-USB device to the USB port on your PC or Mac.


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See how cream makes almost everything taste better!
In this video, you'll learn all about delicious cream. You'll discover the important differences between types of cream—heavy and light creams, half-and-half, even sour cream—and find out why certain creams are better than others for certain recipes. Learn more about about whipped cream.
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The Hamilton County Sheriff's Office reported that K-9 "UBS" died Wednesday afternoon at approximately 3 p.m.
"UBS" was a Belgian Malinois assigned to Deputy Hank Ritter. Deputy Ritter noticed "UBS" was not feeling well and made the decision to take him to the veterinarian for testing. The results showed that 'UBS" had cancer which had spread from his liver to the pancreas, causing other health issues. The veterinarian advised Deputy Ritter there was nothing further medically that could be done to ensure quality of life and recommended he be put to sleep. This was done Wednesday afternoon.
'UBS" was Deputy Ritter's law enforcement partner, specialized in narcotics, tracking and apprehension. In the last eight years there were very few days he was not in the car ready for work or when the phone rang and the voice on the other end requested the services of "UBS." These dogs become an important part of the daily work lives of their human partners as well as becoming a part of their home families, officials said.
July 31, 2015
The 9th Annual Wally's Friends For Life Pet Photo Contest is currently underway. "It's only ten dollars to enter your pet into the contest, and your friends and family can vote online for ... (click for more)
The Catoosa County Public Works Department has scheduled cross drain and road repair work on Baggett Road, between 509 Baggett Road and Atcheson Court. This section will be closed to ... (click for more)
Tennessee Department of Transportation contract crews will temporarily close a two-mile stretch of I-40 on the west side of downtown Nashville for bridge construction. The closure is scheduled ... (click for more)
The 9th Annual Wally's Friends For Life Pet Photo Contest is currently underway. "It's only ten dollars to enter your pet into the contest, and your friends and family can vote online for one dollar. Just imagine your pet's face on the front cover or on the inside of Wally's Friends 2016 calendar," officials said. Go to wallysfriends.com , front page, upper right ... (click for more)
The Catoosa County Public Works Department has scheduled cross drain and road repair work on Baggett Road, between 509 Baggett Road and Atcheson Court. This section will be closed to thru traffic beginning Monday through Thursday, weather permitting. Use alternate route and be prepared for traffic delays. (click for more)
The city of Cleveland is entitled to keep all funds collected since city voters approved "liquor by the drink" in the Nov. 5, 2002 election. Bradley County Schools sued the city for taxes owed based on the school board's interpretation of state law. Cleveland City Schools will be allowed to keep its money. The city of Cleveland distributed the liquor by the drink tax to Cleveland ... (click for more)
A single-car accident in Dalton damaged a power pole on Chattanooga Avenue in front of the Crown Mill Village apartments and has caused a power outage in the area. Chattanooga Avenue was closed between Matilda Street and Judson Street while the Dalton Police Department investigated the crash and Dalton Utilities worked to replace the pole. The road was reopened later. ... (click for more)
It is recorded in the Fourth Chapter of the Book of Joshua, that after the nation had crossed the River Jordan, Joshua would receive a divine commandment to choose 12 men from among the people and tell them to take 12 stones from the middle of the river. Each man placed a stone on their shoulder which represented one of the tribes of Israel, and served as a memorial ... (click for more)
Those in the know tell me the month of August is National Peach Month, so as I take a stroll through garden, I am paying particular attention to the poppy and the gladiolus because they are the "birth flowers" of this month. But as we dole out our months Orchids and Onions, let's substitute a peach and a pit, that hard seed you find when you bite into a peach. A PEACH to the ... (click for more)


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The Features
The Twilight Saga has exactly two things that keep the films from being absolute torture. The first is Ashley Greene in all her pixie-hotness, and the second is that there really are some excellent bands that end up on the soundtracks. Case in point, the Features were featured recently in Breaking Dawn in the form of their song "From Now On." The cut, like most of what we've heard from the Tennessee natives, is bleakly optimistic, like a couple trying to achieve simultaneous orgasm on a plane with both engines dead. The speed of the track's drum hurls Matt Pelham's falsetto from the twang of indie guitars to total musical elegance. You might want to catch the Features while they're still playing venues the size of Fitz, since it's not going to be long before they graduate to less intimate engagements, thanks to that sparkle-vamp push.
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What`s bothering Prachi these days?"Rock On!!" actress Prachi Desai is essaying the role of former cricket captain Mohammad Azharuddin's first wife Naureen in Emraan Hashmi-starrer "Azhar". She feel it's going to be a tough task. Asked how challenging would it be to play Azharuddin's first ... Santabanta, 2 days ago
Prachi Desai: Playing Azhar's First Wife Naureen Will be Challenging - NDTV, 2 days ago
It will be quite challenging: Prachi Desai on playing Mohammad Azharuddin's first wife Naureen - IBNLive India News, 2 days ago
When Naureen met Sangeeta
Actress Prachi Desai, who will be seen next in a biopic on Mohammad Azharuddin, was recently spotted at a leading designer's collection preview. At the event, Prachi Desai bumped into Azharuddin's second wife Sangeeta Bijlani. Sources at the event ...Deccan Chronicle, 3 weeks ago When Prachi Desai met Sangeeta Bijlani Deccan Chronicle, 3 weeks ago Prachi Desai can't get enough of Jaipur, plans another trip Times of India, 1 month ago
When Prachi Desai bumped into Sangeeta Bijlani
Prachi Desai plays the role of cricketer Mohammed Azharuddin's first wife, Naureen, in the upcoming biopic of the cricketer. The actress ironically bumped into Azhar's second wife, Sangeeta Bijlani, at a recent event. The two were spotted exchanging ...Santabanta, 3 weeks ago
Nargis Fakhri to play Sangeeta Bijlani in Azhar biopic
Prachi Desai, meanwhile, has been confirmed in the role of Azhar's first wife Naureen. 0 shares Share on FacebookShare on Twitter Comment You Might Like Other recent news in India Twitter Comments LIKE us now: People Current ...NewsR.in, 1 month ago Nargis Fakhri finalized for the role of Sangeeta Bijlani in the Biopic on Mohammad Azharuddin Meri News, 4 weeks ago 'Azhar': Nargis Fakhri to step into Sangeeta Bijlani's shoes PardaPhash, 1 month ago Nargis Fakhri, Huma Qureshi finalised for 'Azhar' Deccan Chronicle, 1 month ago
New York, Chicago Traders Forced to Quit Pits Move Next Door
Naureen S. Malik, Joe Deaux and Lydia Mulvany (Bloomberg) -- Commodity traders in Chicago and New York aren't ready to call it quits even after CME Group Inc. shut most of the futures pits in both cities. Some brokers and traders will rent ...Traders Magazine, 3 weeks ago
Genomic Heterogeneity of Methicillin Resistant Staphylococcus aureus Associated with Variation in Severity of Illness among Children with Acute Hematogenous Osteomyelitis
by Claudia Gaviria-Agudelo, Chukwuemika Aroh, Naureen Tareen, Edward K. Wakeland, MinSoo Kim, Lawson A. Copley Introduction The association between severity of illness of children with osteomyelitis caused by Methicillin-resistant Staphylococcus ...Plosone.org, 1 month ago
Will be tough to play role of Azhar's wife on screen: Prachi Desai
Prev By IANS | Posted 1 hour Actor Prachi Desai speaks about her role as the former India captain's first wife in his upcoming biopic Azhar Bollywood actor Prachi Desai of Rock On fame is essaying the role of former cricket captain ...Mid Day, 2 days ago Will Be Tough To Play Role Of Azhar's Wife On Screen: Prachi Desai NDTV, 2 days ago When Azharuddin's real life wife met reel life wife Pink Villa, 3 weeks ago
Environmental Energy: Bill Gates backs carbon pricing push; How carbon reporting can unlock multi-million dollar benefits; Jeb Bush Takes Positions on Climate Change, EPA Rules, Other Energy Issues.
Summary In today's edition, Bill Gates throws his weight behind calls for a rapid expansion of carbon pricing policies and a crackdown on fossil fuel subsidies. And not only should companies invest in R&D for clean energy but they should ...John Lothian Newsletter, 2 days ago
EPA Clean Power Plan Could Drop Hammer On Natural Gas
Clean Power Published on July 30th, 2015 | by July 30th, 2015 by Tina Casey When the US Environmental Protection Agency announced the Clean Power Plan last summer, the agency hinted that natural gas would play a big role ...Clean Technica, 2 days ago
Gas Awakening From U.S. Shale Slumber as LNG Shipments Near
(Bloomberg) -- After years of languishing in a shale- induced coma, the U.S. natural gas market is waking up. Seasonal price swings will intensify as the country begins shipping liquefied natural gas cargoes to Asia and Europe later this year, ...DownstreamToday.com, 3 days ago
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Click the AppliTrack icon for an application for available positions.
Athletic Director: Mike EckartAthletic Coordinator: Nate PowersPhone: (330) 689-5288Fax: (330) 686-4718
Map to Kimpton Middle School
Map to Lakeview School Stadium (football)
Please note: Admission for all Kimpton Sports - $2 for adults, $1 for students.
Medical Physicals: Students must have a sports physical on file before they can tryout or participate in any sport per OHSAA rules. Physical forms may be obtained from the main office or your coach.
Please click on the required forms section for all the forms that you need.
Eligibility Requirements: According to the bylaws of the Ohio High School Athletic Association, a student enrolling in seventh grade for the first time will be eligible for the first grading period regardless of previous academic achievement. Thereafter, the student must have a 1.500 grade point average and receive no more than one failing grade for a class the preceding grading period per The Stow-Munroe Falls Board of Education Policy.
Booster Club: PARENTS: The Booster Club needs members! The Boosters are VITAL to our sports programs. Please consider becoming a member. Read the following taken directly from their website:
Mission Statement: The Stow-Munroe Falls Booster Club supports all the student- athletes of Stow-Munroe Falls High School by providing enthusiasm and attendance at their activities, providing equipment and facilities as needed, and financially through awards and scholarships.
We pride ourselves on supporting all teams at Stow, not just a few. We also provide support for Kimpton Middle School, as well as club sports at the High School. If you're not a member and want to be, or have questions concerning our activities, we can be reached at P.O. Box 1445, Stow Ohio 44224, or via phone at the numbers listed on our Contacts page. Click here for membership information.
Click here for information on an after-school bowling program through Stow-Kent Lanes. It's a great opportunity to have your child get involved in a lifetime sport!
Planning a summer vacation in 2015?
Falls Sports Meeting: Wednesday, July 29th, 2015 - 6pm in the Kimpton Auditorium
This is the list for all of the games in the Fall. Please click here.
Football Schedule is attached here.
Volleyball Tryouts are at SMFHS:
August 3rd-6th (if necessary)
8th: 8a-10a
7th: 10:15a-12:15a
Cross Country Practice Schedule:
Cheerleaders cheer at all home football games.
There will be a Winter Sports Meeting October 19th, 6pm in the Kimpton auditorium for all parents.
There will be a brief Spring Sports Meeting for any one interested in track and field- February 17th, 2016 at 6pm in the Kimpton auditorium.
Please visit:
to complete required Athletic Forms.
Locations for all away contests
Locations for track
Kimpton Athletics uses Remind (formerly Remind101) to communicate with parents and students. See the FAQ's: https://www.remind101.com/
We are hopeful this will answer frequently asked questions – for example – "Where is the game today?" "Do we still have a game today?" "Was practice cancelled?"
You will receive instant emails or texts (of your choosing) about an event cancellation, venue change or any other pertinent information. You can opt out at any time.
Text: @kimp to 81010 or Email: firstname.lastname@example.com (leave the subject and text box blank)
Thank you!
To opt-out, text 'unsubscribe @kimp' to 81010. Standard text message rates apply. Visit www.remind.com to learn more.
How do I communicate with the coach?
OHSAA-Communication with the coach.pdf
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Uncomplicated Advice For munich airport transfers – The Best Routes
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Kelly & McGuiness Unsheathe Razor Sharp Wits in "Spider-Man/Deadpool"
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Jacksonville, FL
Courtesy of Victor Quinaz, Brent Schoonover and Archaia Comics, we're pleased to share a Halloween-themed comic strip by the creative team behind Archaia's Mr. Murder is Dead, starring the story's main character, The Spook. Click on the image below to check it out:
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David Meerman Scott, a well-known marketing strategist, coined the term "newsjacking," which he describes as "the process by which you inject your ideas or angles into breaking news, in real-time, in order to generate media coverage for yourself or your business." The concept makes sense, and we all know that a great way to gain relevance online is by leveraging hot topics and news items that are beginning to trend-but it's a competitive, and fast-moving, field. How do content marketers stay on top of the relevant trends and news in their industries to ensure they're curating and communicating fresh, engaging content?
Aug 08, 2006
InterSystems Corporation, a developer of integration technology and a provider of database in healthcare, with its products used by major hospitals and labs, has announced its selection to offer its CACHÉ post-relational database software for the U.S. Department of Defense (DoD), Health Affairs, and Composite HealthCare System (CHCS). The contract, valued around $14.7 million, includes option periods, which, if exercised, will bring the cumulative value to an estimated $63 million. The CACHÉ post-relational database and Ensemble rapid integration software enables developers in the industry sector to create, deploy, and integrate applications.


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Consultants in Women's Health has an excellent opportunity to work for one of San Antonio's Top Work Places as announced in the San Antonio Express-News.
CHRISTUS Santa Rosa is seeking a dynamic and accomplished strategic leader, preferably with experience in a for-profit environment, who is innovative, analytical, highly organized, collaborative, politically astute, and adept at working in a highly...
Position is responsible for the daily activities of the billing office, which can include accounts receivable, preparation of insurance claims, Medicare/Medical billing,
Our mission is to be recognized for our commitment to our people and partners who provide quality, innovative care to the patients we serve in our communities.
This position is responsible for the performance of tasks required to facilitate medical billing to include abstracting complex patient related data from medical records and coding in diagnoses and procedures.
The Practice Manager maintains efficient day to day operations of the medical office, meets profitability goals, improves provider and patient satisfaction and contributes to market growth and development.Oversee and manage the daily operations....
Spectrum Healthcare Resources has an opportunity for a civilian Public Health Tech Lead & Technician/ LVN at San Antonio TX.
We are looking for a Medical Coder Specialist to join our great team!


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Feature article
Snacking revolution
Jack Skelly, food analyst, Euromonitor International, discusses how the world of snacking is changing, and the exciting opportunities this can offer manufacturers.Read more
Welcome to Sweets & Snacks World
Covering worldwide trade news, features, trends and analysis from the sweets and snacks wholesale and retail industry.
Latest news
Smooth caramel sauce
Since 2010, Joe & Seph's has been renowned for making award-winning popcorn in over 40 flavours, covered with its secret smooth caramel recipe.
Cream of the crop
Directors and staff at Vale of York ice cream manufacturer, Yorvale are celebrating after its ice cream scooped six awards at the Great Yorkshire Show and the International Cheese Awards at Nantwich Show.
Raising brand awareness
Mentos has been unveiled as an official sponsor of BT Sport Rugby Aid in association with UK daily newspaper The Sun.
A 'chewtastic' year
It's Chewits 50th anniversary and to celebrate this chewtastic year, the iconic chewy sweet brand has launched its very own Chewits Chewbilee App.


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- Product Information
Product Description
Decorate indoors and out with our patriotic fabric bunting. This bold red, white and blue heavy fabric bunting is 2 feet long by 4 feet wide and makes a choice for your 4th of July, welcome home, support for our troops events. Easy to hang and perfect for porches and stages, too! Each patriotic 2' x 4' bunting is sold per bunting. Please order in increments of bunting.
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- Reviews
Customer Reviews
- Perfect decoration, bright colors, Review by Jmmorazzi
I attached Velcro to mine and hung them on stucco. The grommets were spaced evenly and they have been in the sun, the colors have not faded. They are lightweight, but durable.
(Posted on 6/25/13)
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Under the Sea Party Ideas
An Under the Sea theme goes well with any type of occasion! Use these party tips to put together your very own Under the Sea bash!
How to Host a Summer Movie Night in Your Backyard
Do something different for your weekly movie night by watching it in your backyard on a big screen, and inviting friends and family to join in on the fun! Follow these party ideas to assist you in putting together a successful summer movie night.
Minnie Mouse Birthday Party Ideas
Her birthday party will be a huge hit with a Minnie Mouse theme! Use these decorating ideas to help your put together the most adorable Minnie Mouse party.