text:
|Publication number
|Publication type
|Application number
|Publication date
|24 Feb 2009
|Filing date
|26 Mar 2004
|Priority date
|28 Mar 2003
|Fee status
|Also published as
|Publication number
|Emmanuel Delorme, Georges Eglin, Jean-Marc Beraud
|Original Assignee
|Coloplast A/S
|Export Citation
|BiBTeX, EndNote, RefMan
|Patent Citations (105), Non-Patent Citations (99), Referenced by (38), Classifications (16), Legal Events (8)
|External Links: USPTO, USPTO Assignment, Espacenet
The present invention concerns the technical field for the treatment of cystocele, in particular in the elderly woman.
In general, cystocele phenomena result from the slackening of the suspension tissue of the urinary and genital organs, provoking disorders that require surgery.
Thus, it has been provided attempts to reconstruct the natural system for the suspension of organs affected by this slackening, implementing non-resorbent sutures or reinforcement strips. However, these techniques are not always satisfactory, in particular due to the requirement for a heavy surgical intervention, inducing a dissection of the anatomic regions not involved by the surgical repair for the non-resorbent sutures.
So as to try to overcome these drawbacks the patent application FR 2 785 521 provides an implant wherein a support body from which two suspension cords at the end of which anchoring elements intended to form sutures on regions considered to be anatomically stable. This implant is then inserted by laparoscopy, thereby reducing the surgical procedure.
However, such an implant has not been able for providing effective suspension, mainly due in particular to the stress applied to the regions considered to be anatomically stable. In addition, this type of implant does not have great stability in space in the conditions of use.
Therefore, the need appeared for an implant providing on one hand, better implant insertion stability and on the other hand, a technique that provides optimum stability while providing a maximum reduction of the patient's trauma.
Thus, in order to achieve these objectives, the invention concerns an implant for the treatment of cystocele, presenting a thin and supple structure and comprising a support body from which two anterior suspension straps extend on both sides of a sagittal plane of the support body and two posterior suspension straps also extend on both sides of the sagittal plane.
According to an essential characteristic of the invention, the implant also comprises so-called middle suspension straps, extending from the support body on both sides of the sagittal plane and between the anterior and posterior straps.
The implementation of six suspension straps then provides better distribution of the effort acting on the support body on the anatomic anchoring points of the straps, while guaranteeing better orientation in space of the support body implanted in the patient.
According to a preferred but not strictly necessary characteristic of the invention, the anterior suspension straps are each intended to be fitted in one of the two ischeo-pubic foramen still called obturators or obturated foramen and, for this purpose, having a length exceeding 100 mm and, preferably, exceeding 120 mm.
According to another characteristic of the invention, the longitudinal axes of the anterior straps form an angle α exceeding 45° and, preferably but not strictly necessarily, an angle α between 100° and 180° and, preferably between 115° and 170°. It should be noted that according to a preferred embodiment of the invention, the sagittal plane forms an axis of symmetry of the implant and thereby bisecting the angle α.
According to another characteristic of the invention, the longitudinal axes of the posterior straps form an angle β that is not zero. Thereby, the posterior straps are not to be considered to be parallel. Preferably, but not strictly necessarily, the angle β exceeds 10° and is preferably between 10° and 75° or even between, 100° and 180° according to the disorder treated.
Preferably, the length of the posterior straps exceeds 100 mm and preferably 120 mm.
According to another characteristic of the invention, the middle suspension straps also exceed 100 mm and, preferably 120 mm.
According to another preferred but not strictly necessary characteristic of the invention, the shape of the support body is substantially rectangular. In a preferred but not strictly necessary characteristic, the support body is between 60 mm and 90 mm long and between 44 mm and 60 mm wide.
According to a preferred embodiment of the invention, the anterior straps substantially extend from the anterior corners of the support body and the posterior straps also extend from the posterior corners of the support body.
The invention also concerns a surgical technique for the insertion of said implant and the treatment of cystocele.
According to the invention, the main characteristic of this technique consists in inserting each one of the anterior suspension straps into one of the ischio-pubic foramen, also known as obturators or obturated foramen.
As for the middle suspension straps they are each placed either in the middle transelevator region, or into an obturated foramen in its infero-posterior region.
The posterior straps are either trans-fixed in the uterosacral ligaments or placed across the uterosacral ligaments then in the transgluteal region, preferably but not exclusively across the sacrosciatic ligaments.
It should be noted that, according to this technique, the hold is mainly provided by friction between the implant and the tissues crossed and, more specifically, by friction between the suspension arm and the muscle tissue crossed.
Preferably, this technique is embodied during so-called mini-invasive surgery, using approach routes in the vicinity of organs to treat, so as to reduce the time of surgery and blood loss. It is thereby possible to obtain a short post-surgical period with minimum patient discomfort. In addition, the simplicity of this technique makes it easy to reproduce and reduces the training required by surgeons.
The invention also concerns an introduction device that may be used without it being absolutely necessary according to the meaning of the invention for the insertion of the implant as disclosed above.
The introduction device according to the invention comprises an introduction member with a supple structure and a shape similar to that of the implant and which comprises:
According to one characteristic of the invention, the means of traction comprise a semi-rigid needle for each tubular branch.
According to the invention, the means for cutting may be implemented in any appropriate way, such as for example, through a line of lesser resistance likely to break when a traction is carried out at both tubular branches opposite of the introduction member.
According to a preferred but not strictly necessary characteristic of the invention, the means for cutting comprise at least one aperture for the passage of a cutting tool. Preferably, the body of the introduction member comprises a series of apertures located close to a line corresponding to the sagittal plane of the implant as well as between the tubular branches.
According to another characteristic of the invention, the introduction device comprises an implant in accordance with the invention, placed in the cavity of the hollow body and the tubular branches of the introduction member. Preferably but not strictly necessarily, the implant is free inside the introduction member.
To facilitate the surgeon's work, according to another characteristic of the invention, the introduction device also comprises at least an ancillary surgical material that comprises an elongated perforator guide or trocar whose end is intended to be introduced in the body of the patient, the other end of which is fitted with a handle.
According to a characteristic of the invention, the perforator guide is curved in one plane. Preferably, but not strictly necessarily, the curved shape of the perforator extends over an angular sector exceeding 140° and, preferably but not necessarily, inferior to 180° and, preferably, between 150° and 170°. Preferably, the curved portion of the perforator guide is then curved with a radius of between 30 mm and 60 mm and, preferably, for the portion of the perforator guide extending from the handle to the end intended to be introduced in the patient's body of between 40 mm and 50 mm, the outer part of the perforator is then curved with a variable radius.
According to another characteristic of the invention, the perforator guide has a helicoid shape at the opposite end of the handle or distal end. Preferably, the perforator guide then has the shape of a portion of helicoid spire extending over an angle of between 180° and 360° and, preferably, between 255° and 270°. Similarly, the spire of the perforator guide has preferably a radius of curvature between 20 mm and 40 mm, with a pitch between 15 mm and 25 mm.
According to another characteristic of the invention, to reduce the trauma that the patient's body undergoes during the introduction of the implant, the introduction device also comprises a tubular casing whose shape is complementary to that of the perforator guide. This tubular casing is then made to be fit on the perforator guide and to remain in the patient's body after removal of the perforator guide to define a tunnel for the passage of the means of traction of the introduction member. The tubular casing is then removed, after passage of the means of traction when the introduction device is removed.
According to the invention, the tubular casing may be made of any supple biocompatible material such as, for example, but not exclusively, PVC.
Different other characteristics of the invention follow from the above description with reference to the appended drawings that illustrate different embodiments of the implant according to the invention, as well as introduction members making the insertion of the said implant possible.
Moreover, it should be noted that the different characteristics of the invention disclosed above and hereafter, may be combined in different alternatives, with relation to the disorder to treat.
A preferred application of the invention is for the treatment of cystocele. For this purpose, the invention purposes an implant more particularly designed for this disorder and on the whole indicated by reference 1 in
According to an essential characteristic of the invention, implant 1 comprises a support body 2 from which two anterior suspension straps 3 extend on both side of a sagittal plane S. The implant also comprises two posterior suspension straps 4 also extending on each side of the sagittal plane S. Furthermore, implant 1 comprises two middle suspension straps 5 that extend from the support body 2 on sides of sagittal plane S, between the corresponding anterior straps 3 and posterior straps 4.
According to the example shown, the shape of support body 2 is substancially rectangular, without such a shape being considered as necessary according to the invention and the anterior and posterior suspension straps 3 and 4, each extend from a corner of the body 2. It should be noted that, preferably, sagittal plane S corresponds to a plane of symmetry of implant I.
According to a preferred characteristic, related to the technique for the implementation provided by the invention, anterior straps 3 are more particularly intended to be introduced in one of the two ischio-pubic foramen of the subject to treat. For this purpose, the longitudinal axes A3 of anterior straps 3 form an angle α, preferably but not necessarily exceeding 45′, preferably between 100° and 180°, preferably between 115 and 170°. In addition, to enable easy insertion of anterior straps 3 in the corresponding ischio-pubic or obturated foramen, the length of the anterior straps L3, measured between the distal end of each anterior strap 3 and support body 2, exceeds 100 mm and preferably is equal to or exceeds 120 mm.
As for the posterior straps 4, and as will appear subsequently, posterior straps 4 are more particularly intended to pass through uterosacral ligaments and, for this purpose, the longitudinal axes A4 of posterior suspension straps 4 form an angle β, preferably but not exclusively not zero, preferably exceeding 10° and, even more preferably, between 10° and 75°. It should be noted that, to facilitate the insertion, the length L4 of posterior suspension straps 4, measured between the distal end of the straps and support body 2, preferably exceeds 100 mm, even more preferably equals or exceeds 120 mm.
As for the middle suspension straps 5, they are intended to be passed across the uterosacral ligaments, and for this purpose, the longitudinal axis A5 of each middle suspension strap 5, forms, along with the anterior part of sagittal plane, an angle γ, preferably but not necessarily of between 100° and 140° and, preferably between 110° and 130° and, in even more preferably, of between 115° and 125°. Such as the other anterior and posterior suspension straps 3 and 4, the length L5 of middle suspension straps 5, measured between the distal end of the middle suspension straps 5 and support body 2, preferably exceeds 100 mm and, more particularly preferably, exceeds or equals 120 mm.
Moreover, the width of suspension straps 3, 4, 5 is chosen, preferably but not exclusively, to be between 5 mm and 15 mm and, for example, about ten millimeters.
Implant 1, as described above, is intended to be inserted in the anterior vaginal wall of a patient. For this purpose, for reducing the dissection of this region and the resulting trauma to a minimum, the invention proposes that the surgeon use one or several elongated perforator guides 10, such as those more particularly shown on
Such a perforator guide 10 commonly comprises an elongated body or chuck 11, one end 12 of which is intended to be introduced in the body of the subject to be treated and the other end 13 is fitted with a handle 14. It should be noticed that introduction end 12 is preferably formed by a foam tip, that is, a non-traumatic tip that is not likely to would or cut the tissue in which it has to be introduced.
According to one embodiment shown in
According to another implementation of perforator guide 10, shown on
The surgical treatment of cystocele, by means of an implant 1 and perforator guides 10, as previously described, is carried out as follows.
The patient to be treated is first given an anaesthetic that may be general, regional or even local, according to the preference of the surgeon and the state of health of the patient. The operating position of the patient on the operating table will be that of usual vaginal surgery, that is with the patient's buttocks slightly outside of the surgical table and the thighs slightly bent on the abdomen.
A dissection of the region of intervention is then carried out by respecting the attachments of the b ladder neck. Traction is first exerted on the neck of the uterus, for example by means of Muze forceps, in order to expose the anterior fornix of the vagina. A vaginal incision, called horizontal pre-cervical incision, may thereby be carried out on the anterior side of the neck of the uterus, cross-wise on the cervical side of the fornix of the vagina, well exposed by the traction. The entire edge of the anterior vaginal section is then taken hold: vaginal skin and Halban's fascia, by means of, for example, three Alis forceps that are drawn upwards to expose the vesico-vaginal plane. A vesico-vaginal detachment is then progressively carried out by everting the anterior vaginal wall. This detachment is halted at the bottom and in the middle, just above the bladder neck, while it is carried out below and laterally up to the arcatus tendinus fascia pelvis. This area of the arcatus tendinus fascia pelvis is then opened toward the obturator foramen, so as to enable the introduction of a finger behind the obturator muscle. Similarly, the detachment practiced at the top, at the level of the vaginal incision, should enable the introduction of a finger against the levator muscle.
Once the dissection is carried out, the first anterior suspension strap 3 may be inserted in the corresponding ischio-pubic foramen. For this purpose, a curved or helicoid perforator guide 10 is used, as previously described, depending on the surgeon's choice. First, a punctiform incision is carried out preferably about 15 mm outside of the ischio-pubic branch at the horizontal level with respect to the clitoris cap. A finger is then inserted behind the obturator foramen, so as to receive the introduction end or tip 12 of perforator guide 10, introduced by the puctiform incision. Perforator guide 10 is then inserted, led by the finger until the anterior vaginal incision.
At this stage, anterior suspension strap 3 is secured on the perforator guide, for example at the level of an eye 19 at the introduction end 12 of this guide. Once secured, the perforator guide is removed, thereby providing a traction on the anterior suspension strap that is then introduced through the obturator foramen.
The same surgical procedure is repeated for the introduction of the second anterior suspension strap 3.
It should be noted that the anterior suspension straps 3 are preferably positioned without traction to prevent the dysuric effect of implant 1 that is placed just above and behind the bladder neck.
The first middle suspension strap 5 is then put in place.
For this purpose, a punctiform incision is made in the genitocrural groove, horizontally with respect to the posterior commissure of the labia majora. Perforator guide 10 is then introduced by this incision to be led through the levator muscle. It should be noted that the end of the perforator guide 10 is then located just within the ischio-pubic branch, one finger placed against the upper side of the levator muscle receiving the tip of the perforator guide to lead it into the anterior vaginal incision.
The end of the middle suspension strap 5 to be placed is then secured at the end 12 of perforator guide 10 which is then removed in the opposite direction to bring along with the middle suspension strap 5.
The same surgical procedure is then repeated for the insertion of the second middle suspension strap 5.
It should be noted that the middle suspension straps 5 are preferably placed, without any traction or mechanical bias, to prevent the cord effect of the fibroid prosthetic strap in the latero-vesicovaginal grooves.
According to an alternative implant, the middle suspension straps 5 may also be implanted through a corresponding obturated foramen, in its lower posterior part opposite to the ischium.
At this stage of the insertion of implant 1, the anterior edge of the implant is preferably secured by one or several, preferably two or three resorbent stitches at the anterior side of the neck of the uterus.
The insertion of implant 1 continues by the entry of posterior suspension straps 4. It should be noticed that the posterior suspension straps 4 are essential in case of hysterectomy without conservation of the neck.
A first posterior suspension strap 4 is placed through the base of the broad ligament and through the base of the uterosacral ligament. For this purpose, perforator guide 10 is introduced from the rear vaginal wall to the front through the uterosacral ligament. Posterior strap 4 is then secured to the perforator guide and drawn in a reverse direction from front to back through the uterosacral ligament.
The same surgical procedure is repeated for the insertion of the second posterior suspension strap 4.
The posterior suspension straps 4 may then be left free after crossing the uterosacral ligaments or on the contrary each be secured by a resorbent suture to the prerectal plate.
According to an alternative of the invention, the posterior suspension straps 4 are each passed first through the corresponding uterosacral ligament, then through the sacrosciatic ligament by means of the perforator guide 10 that will have gone into the transgluteal pathway zone.
The operation finishes with the closing of the vaginal incision by means of resorbent continuous suture as well as the closing of the punctiform incisions also by means of resorbent thread.
At the end of the intervention, a vaginal wick is inserted as well as a bladder probe that are removed forty-eight hours after the intervention. The post-urinary residues are then measured by probe, to make sure that the bladder emptying is satisfactory, so as to authorise the patient's discharge.
The intervention to treat the cystocele lasts about one hour and the average period of hospitalisation is four days. The patient's activity will be restricted for one month and a bath should be avoided during the same period of time. Finally, it is advisable to plan for six weeks of sexual abstinence after the operation.
Therefore, the technique proposed only treats the disorder, that is the imbalance in the pelvic statics and thereby restores as normal an anatomy as possible by preserving the individual's body image. This technique advantageously keeps the healthy organs or does not have an unfavourable effect on the pelvic statics. Indeed, the possibility of cancer will have been eliminated by the pre-surgical assessment and it will be possible to provide reliable gynaecological monitoring after the surgery.
Moreover, there are very low risks of pelvic genital cancer and, in addition, the treatment proposed by the invention does not complicate subsequent access to the genital organs.
As indicated above, the implant according to the invention is preferably inserted so as not to have any residual tension after insertion. To facilitate this surgical procedure, an alternative of the intervention proposes the use of an introduction member, more particularly shown on
This introduction member has a supple structure and its shape is similar to that of the implant. Introduction member 20 is preferably made of a bio-compatible polymer from the family of plastics with a low friction coefficient, such as, for example, polyethylene. Introduction member 20 thereby comprises a hollow body 21 defining a cavity for the reception of body 2 of implant 1. Introduction member 20 also comprises tubular branches 22 that extend from the hollow body 21 and that each define a cavity for the reception of a suspension strap 3, 4 and 5 of the implant 1. Each tubular branch 22 thereby has means of traction 23 extending from the corresponding free end of branch 22. The means of traction 23 may be provided in any appropriate manner such as, for example, systems for the coupling of the ends of branches 22 on a perforator guide 10. According to the example illustrated in
Finally, introduction member 20 comprises means for cutting 24 whose function will appear hereafter, of at least the hollow body 21 of the introduction member 20. The means for cutting 24 may then be carried out in any appropriate manner and, according to the example illustrated, include a series of six apertures 24 made at the periphery of hollow body 21, between each of the tubular branches 22, to enable the passage of a cutting tool to provide the cutting of the hollow body 21 according to lines 25 delimited by the mixed dashes in
Implant 1 is placed inside of hollow body 21 and tubular branches 22, being preferably free inside of the hollow body and of the tubular branches, so that the stress exerted on introduction member 20 is not transmitted to implant 1 itself.
The insertion of implant 1 by means of introduction member 20 thereby formed, is carried out according to the same surgical procedure described above, the removal and cutting of the introduction member 20 occur after the insertion of the whole suspension branches in the patient's body or, more specifically, corresponding tubular branches 22. The removal of the different members of the introduction member 20 by the traction exerted two by two on the opposite tubular branches 22 thereby enables the insertion of implant 1, without any stress, on the introduction member, so that it is found in a state that may be qualified as slack.
In the examples of the treatment and operation described above, the introduction device used comprises simple perforator guides 10. Nevertheless, to try to reduce the trauma by abrasion of the tissue areas crossed to a maximum, it is possible to use an ancillary associating the perforator guide 10 to a soft casing 50 whose shape is complementary to that of guide 10, as illustrated in
Thereby, the use of the casings 50 avoids acute inflammatory phenomena and reduces tissue trauma as long as the implant sites consist of very specialised muscle tissue that lost a large part of their ability to quickly regenerate and heal.
Of course, different other modifications may be provided for the invention within the scope of the invention.
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|Roberto Migliari
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|Method and apparatus for treating pelvic organ prolapses in female patients
|Aldridge, "Transplantation of Fascia for Relief for Relief of Urinary Stress Incontinence," Am. J. Obstet. Gynecol., 1942, 44:398-411.
|Araki et al., "The Loop-Loosening Procedure for Urination Difficulties After Stamey Suspension of the Vesical Neck," J. Urol., 1990, 144:319-323.
|Asmussen and Ulmsten, "Simultaneous Urethro-Cystometry with a New Technique," Scand. J. Urol. Nephrol., 1976, 10:7-11.
|Beck and McCormick, "Treatment of Urinary Stress Incontinence with Anterior Colporrhaphy," Obstetrics and Gynecology, 1982, 59(3):271-274.
|Benderev, "A Modification Percutaneous Outpatient Bladder Neck Suspension System," J. Urol., 1994, 152:2316-2320.
|Benderev, "Anchor Fixation and Other Modification of Endoscopic Bladder Neck Suspension," Urology, 1992, 40(5): 409-418.
|Bergman and Elia, "Three surgical procedures for genuine stress incontinence: Five-year follow-up of a prospective randomized study," Am. J. Obstet. Gynecol., 1995, 173:66-71.
|Blaivas and Jacobs, "Pubovaginal Fascial Sling for the Treatment of Complicated Stress Urinary Incontinence," J. Urol., 145:1214-1218.
|Blaivas and Salinas, "Type III Stress Urinary Incontinence: Importance of Proper Diagnosis and Treatment, " American College of Surgeons Surgical Forum, 1984, 70th Annual Clinical Congress, San Francisco, CA, vol. XXXV, pp. 473-474.
|Bryans, "Marlex gauze hammock sling operation with Cooper's ligament attachment in the management of recurrent urination stress incontinence," Am. J. Obstet. Gynecol., 1979, 133(3):292-294.
|Burch, "Urethrovaginal fixiation to Cooper's ligament for correction of stress incontinence, cystocele, and prolapse," Am. J. Obstet. Gynecol., 1961, 81(2):281-290.
|Choe and Staskin, "Gore-Tex Patch Sling: 7 Years Later," Urology., 1999, 54:641-646.
|Chopra et al., "Technique of Rectangular Fascial Sling," Female Urology, 1996, Raz (ed.), W.B. Saunders Company, Chapter 34, pp. 392-394.
|Daregent et al., "Insertion of a sub urethral sling through the obturating membrane in the treatment of female urinary incontinence," Gynécol. Obstér. Fértil., 2002, 30:576-582.
|Das and Palmer, "Laparoscopic Colpo-Suspension," J. Urol., 1995, 154:1119-1121.
|Decter, "Use of the Fascial Sling for Neurogenic Incontinence: Lessons Learned," J. Urol., 1993, 150:683-686.
|Delorme, "The transobturator tape: A minimally invasive procedure for treating female stress urinary incontinence," Progrés en Urologie., 2001, 11:1306-1313 (w/English translation).
|Eglin et al., "Transobturator subvesical mesh. Tolerance and short-term results of a 103 case continous series," Gynécologie Obstétrique & Fertilité., 2003, 31:14-19 (English translation including).
|Enzelsberger et al., "Urodynamic and Radiologic Parameters Before and After Loop Surgery for Recurrent Urinary Stress Incontinence," Acta Obstet. Gynecol. Scand., 1990, 69:51-54.
|Eriksen et al., "Long-Term Effectiveness of the Burch Colposuspension Female Urinary Stress Incontinence," Acta Obstet. Gynecol. Scand., 1990, 69:45-50.
|Falconer et al., "Clinical Outcome and Changes in Connective Tissue Metabolism After Intravaginal Slingplasty in Stress Incontinence Women," Int. Urogynecol. J., 1996, 7:133-137.
|Falconer et al., "Influence of Different Sling Materials on Connective Tissue Metabolism in Stress Urinary Incontinence Women," Int. Urogynecol. J., 2001, (Suppl. 2):S19-S23.
|Forum du Comité d'Urologie et de Périnéologie de la Femme, Le Trou Obturé: Limites et Dangers (V. Delmas), URL: http://www.ruofrance.org/congress.php?op=2003-11-22-01, (English translation included), printed from the internet on May 12, 2006, 5 pages.
|Gilja et al., "A Modified Raz Bladder Neck Suspension Operation (Transvaginal Burch)," J. Urol., 1995, 153:1455-1457.
|Gittes and Loughlin, "No-Inclusion Pubovaginal Suspension for Stress Incontinence," J. Urol., 1987, 138:568-570.
|Gruss, "The Obturator Bypass. Indications. Techniques. Outcomes," Chirurgie., 1971, 97:220-226 (w/English translation).
|Guida and Moore, "The Surgeon At Work. Obturator Bypass Technique," Surgery, Gynecology & Obstetrics, 1969, pp. 1307-1315.
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|Henriksson and Ulmsten, "A urodynamic evaluation of the effects of abdominal urethrocystopexy and vaginal sling urethroplasty in women with stress incontinence," Am. J. Obstet. Gynecol., 1978, 131:77-82.
|Hodgkinson and Kelly, "Urinary Stress Incontinence in the Female. III. Round-ligament technique for retropubic suspension of the urethra," Obstet. Gynecol., 1957, 10:493-499.
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|Ingelman-Sundberg and Ulmsten, "Surgical Treatment of Female Urinary Stress Incontinence," Contr. Gynec. Obstet., 1983, 10:51-69.
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|Kerdiles et al., "Bypass via the Obturator Foramen in Reconstructive Arterial Surgery of the Lower Extremities," Ann. Chir. Thorac. Cardio-Vasc., 1974, 13(4):335-341 (w/English translation).
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|Kovac and Cruikshank, "Pubic bone suburethral stabilization sling: a long-term cure for SUI?" Contemporary OB/GYN, 1998, 43(2):51-72.
|Kovac and Cruikshank, "Pubic Suburethral Stabilization Sling for Recurrent Urinary Incontinence," Obstet. Gynecol., 1997, 98:624-627.
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|Leach, "Bone Fixation Technique for Transvaginal Needle Suspension," Urology, 1988, 31(5):388-390.
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|Marshall et al., "The Correction of Stress Incontinence by Simple Vesicourethral Suspension," J. Urol., 2002, 168:1326-1331.
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|McGuire et al., "Experience with Pubovaginal Slings for Urinary Incotinence at the University of Michigan," J. Urol., 1987, 138:525-526.
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|McKiel, Jr. et al., "Marshall-Marchetti Procedure: Modification," J. Urol., 1966, 96:737-739.
|Moir, "The Gauze-Hammock Operation," The Journal of Obstetrics and Gynaecology of the British Commonwealth, 1968, 75(1):1-9.
|Morgan et al., "The Marlex sling operation for the treatment of recurrent stress urinary incontinence: A 16-year review," Am. J. Obstet. Gynecol., 1985, 151:224-226.
|Morgan, "A sling operation, using Marlex polypropylene mesh, for treatment of recurrent stress incontinence," Am. J. Obstet. Gynecol., 1970, 106(3):369-376.
|Narik and Palmrich, "A simplified sling operation suitable for use," Am. J. Obstet. Gynecol., 1962, 84:400-405.
|Nichols, "The Mersilene Mesh Gauze-Hammock For Severe Urinary Stress Incontinence," Obstet. Gynecol., 1973, 41(1):88-93.
|Nickel et al., "Evaluation of a Transpelvic Sling Procedure With and Without Colpolsuspension for Treatment of Female Dogs With Refractory Urethral Sphincter Mechanism Incompetence," Veterinary Surgery, 1998, 27:94-104.
|Norris et al., "Use of Synthetic Material in Sling Surgery: A Minimally Invasive Approach," J. Endocrinology, 1996, 10(3):227-230.
|Novak, "Abdonomovaginal techniques," Gynecological Surgical Technique, Piccin Editore, Padua, 5 pages (English translation included).
|O'Donnell, "Combined Raz Urethral Suspension and McGuire Pubovaginal Sling for Treatment of Complicated Stress Urinary Incontinence," J. Arkansas Medical Society, 1992, 88(8):389.
|Parra and Shaker, "Experience with a Simplified Technique for the Treatment of Female Stress Urinary Incontinence," British Journal of Urology, 1990, 66:615-617.
|Pelosi II and Pelosi III, "New transobturator sling reduces risk of injury," OBG Management, 2003, pp. 17-37.
|Pelosi III and Pelosi, "Pubic Bone Suburethral Stabilization Sling: Laparoscopic Assessment of a Transvaginal Operation for the Treatment of Stress Urinary Incontinence," Journal of Laparoendoscopic & Advanced Surgical Techniques, 1999, 9(1):45-50.
|Penson and Raz, "Why Anti-Incontinence Surgery Succeeds or Fails," Female Urology, 1996, Raz (ed.), W.B. Saunders Company, Chapter 41, pp. 435-442.
|Pereyra et al., "Pubourethral Supports in Perspective: Modified Pereyra Procedure for Urinary Incontinence," Obstet. Gynecol., 1982, 59:643-648.
|Petros and Konsky, "Anchoring the midurethral rrestores bladder-neck anatomy and continence," The Lancet, 1999, 354:997-998.
|Petros and Ulmsten, "An analysis of rapid pad testing and the history for the diagnosis of stress incontinence," Acta Obstet. Gynecol. Scand., 1992, 71:529-536.
|Petros and Ulmsten, "An Anatomical Basis for Success and Failure of Female Incontinence Surgery," Scand. J. Urol. Nephrol., 1993, (Suppl. 3):55-60.
|Petros and Ulmsten, "An Integral Theory of Female Urinary Incontinence," Acta Obstet. Gynecol. Scand., 1990, 69(Suppl. 153):7-31.
|Petros and Ulmsten, "Bladder Instability in Women: A Premature Activation of the Micturition Reflex," Neurourology and Urodynamics., 1993, 12:235-239.
|Petros and Ulmsten, "Cough Transmission Ratio: An Indicator of Suburethral Vaginal Wall Tension Rather than Urethral Closure?" Acta Obstet. Gynecol. Scand., 1990, 69(Suppl. 153):37-38.
|Petros and Ulmsten, "Cure of Stress Incontinence by Repair of External Anal Sphincter," Acta Obstet. Gynecol. Scand., 1990, 69(Suppl. 153):75.
|Petros and Ulmsten, "Cure of Urge Incontinence by the Combined Intravaginal Sling and Tuck Operation," Acta Obstet. Gynecol. Scand., 1990, 69(Suppl. 153)61-62.
|Petros and Ulmsten, "Further Development of the Intravaginal Slingplasty Procedure-IVS III-(with midline "tuck ")," Scand. J. Urol. Nephrol., 1993, Suppl. 153:69-71.
|Petros and Ulmsten, "Non Stress Non Urge Female Urinary Incontinence-Diagnosis and Cure: A Preliminary Report," Acta Obstet. Gynecol. Scand., 1990, 69(Suppl. 153):69-70.
|Petros and Ulmsten, "Part I: Theoretical, Morphological, Radiographical Correlations and Clinical Perspective," Scand. J. Urol. Nephrol., 1993, Suppl. 153:5-28.
|Petros and Ulmsten, "Part II:The Biomechanics of Vaginal Tissue and supporting Ligaments with Special Relevance to the Pathogenesis of Female Urinary Incontinence," Scand. J. Urol. Nephrol., 1993, Suppl. 153:29-40.
|Petros and Ulmsten, "Part III: Surgical Principles Deriving from the Theory," Scand. J. Urol. Nephrol., 1993, Suppl. 153:41-52.
|Petros and Ulmsten, "Part IV: Surgical Applications of the Theory-Development of the Intravaginal Sling Plasty (IVS) Procedure," Scand. J. Urol. Nephrol., 1993, Suppl. 153:53-54.
|Petros and Ulmsten, "Pinch Test for Diagnosis of Stress Urinary Incontinence," Acta Obstet. Gynecol. Scand., 1990, 69(Suppl.153):33-35.
|Petros and Ulmsten, "Pregnancy Effects on the Intravaginal Sling Operation," Acta Obstet. Gynecol. Scand., 1990, 69(Suppl.153):77-78.
|Petros and Ulmsten, "The Combined Intravaginal Sling and Tuck Operation. An Ambulatory Procedure Cure of Stress and Urge Incontinence," Acta Obstet. Gynecol. Scand., 1990, 69(Suppl. 153):53-59.
|Petros and Ulmsten, "The Development of the Intravaginal Slingplasty Procedure: IVS II-(with bilateral "tucks "),"Scand. J. Urol. Nephrol., 1993, Suppl. 153:61-67.
|Petros and Ulmsten, "The Free Graft Procedure for Cure of the Tethered Vagina Syndrome," Scand. J. Urol. Nephrol., 1993, Suppl. 153: 85-87.
|Petros and Ulmsten, "The Further Development of the Intravaginal Slingplasty Procedure: IVS IV-(with "double-breasted" unattached vaginal flap repair and "free " vaginal tapes)," Scand. J. Urol. Nephrol., 1993, Suppl. 153:73-79.
|Petros and Ulmsten, "The Intravaginal Slingplasty Procedure: IVS IV-further development of the "double-breasted" vaginal repair-attached flap," Scand. J. Urol. Nephrol., 1993, Suppl. 153:81-84.
|Petros and Ulmsten, "The Posterior Fornix Syndrome: A Multiple Symptom Complex of Pelvin Pain and Abnormal Urinary Symptoms Deriving from Laxity in the Posterior Fornix of Vagina," Scand. J. Urol. Nephrol., 1993, Suppl. 153:89-93.
|Petros and Ulmsten, "The Role of a Lax Posterior Vaginal Fornix in the Causation of Stress and Urgency Symptoms: A Preliminary Report," Acta Obstet. Gynecol. Scand., 1990, 69(Suppl. 153):71-73.
|Petros et al., "The Autogenic Ligament Procedure: A Technique for Planned Formation of an Artificial Neo-Ligament," Acta Obstet. Gynecol. Scand., 1990, 69(Suppl. 153):43-51.
|Petros, "Development of Generic Models for Ambulatory Vaginal Surgery-a Preliminary Report," Int. Urogynecol. J., 1998, 9:19-27.
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text:
How to Keep an Organized Binder for School
Keeping a binder may seem like it can keep you very organized for each subject at class, but when sticking to reality, it can be hard at times to keep so organized with all that homework papers, worksheets, notes, and all that stuff that you have for class! There can be nerve wrecking messes with so many papers and things stuffed in your binder. This can be very aggravating and can make it hard to focus at class with the mess in your binder. Plus, having an organized binder can keep you on task and if your teacher check your binder she would know you are a organized and focused student. Having an organized binder could mean so many good things! But messes are so annoying and it can seem impossible at times to have this one mess turn to a organized binder! But this mess can be fixed starting with this article and patience! So if you're interested, go to step 1 to begin your time of organizing your binder!
An editor has suggested that this article be merged with:
"How to Keep Your Binder Clean and Organized"
Per the merge policy, if these topics are determined to be similar but distinct, then the articles will remain separate. Please comment on the discussion page. Notice added on 2012-03-10.
1Have a binder with folders or tabs plain, colorful, or whatever you like! Now, you need to have a section for papers or assignments needed to be turned in or other stuff like that .Ad
2Make sure each assignment or paper is in its folder or its tab nicely, neatly,and straightly. Never cram it into a tab or folder or wad it up!
3Always make sure you have a pencil pouch. Like a little pouch that unzips. Put your pencils and pens or highlighters or all writing and erasing stuff in it neatly.
4Make sure you have a planner. Your school might sell them or have them provided for you. If not just make yourself one.
5Plan things in your planner and mark out days.
6Neatly write out your schedule for your day at school, or type one out on your computer. Include the time its happening and maybe what subject your going to.
7At least have one day out of 2 weeks to clean your Binder out. Make sure its always neat.
8Make note in your planner or in your binder. To help you Remember to turn something in or do something on that specific day.Ad
Give us 3 minutes of knowledge!
- Make notes and always keep your binder clean.
- At least have 1 day in 2 weeks to clean out your Binder. Make sure it's always neat!
- Always keep your pencils sharpened if you ever need a pencil immediately. Or if you have a lead pencil always make sure you have backup lead and the lead pencil is already loaded with lead!
- Don't have like 100 or 50 pencils in your binder cause that just crowded and crowded is the opposite of neat.
- Never overstuff your binder where you can't zip it up.
Things You'll Need
- Sharpies
- led pencils or just regular pencils
- Paperclips
- Sticky notes
- Soft Pencil Protectors
- Planner
- Schedule for day at school
- Tabs or Folders
- Pencil or pen Pouch
- Pens
- Highlighters
- Book if you want
- Assignment
- Paper
- A Binder
Article Info
Categories: Merge | School Binders Books and Folders
Thanks to all authors for creating a page that has been read 2,797 times.

subset: commoncrawl


text:
It's incredible how the shorts are staying with this, but they continue to add despite what many thought was good news. Looks like they are discouraging buyers and will likely turn this lower. Amazing what strength they have.
Yes thats right alll 1 million shares. Thanks for that info great to have your kind of input
So says Twerp who has been predicting that VHC would crash to single digits for the last 3 YEARS !!!!!!
The market has been open 30 minutes and we are coming up on 1 MM shares trades. Your stupidity is dumbfounding. All hail our Village Idiot.


text:
Hotel Marignan Reviews
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Reviews & Ratings Explained
The rating percentage is calculated from customers who booked within the last 12 months.
All ratings and reviews are based on the feedback and opinions of the customers who submitted them and do not express the opinions of Hostelworld.com. This way, you get an up-to-the-minute opinion of just how good a hostel really is.
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Great place all around. Incredibly helpful staff and great resources for those unfamiliar with the city. Amazing location. Modest but tasty breakfast included. Clean bathroom/shower facilities (shared). Fan in the room kept us cool. No elevator might deter some, but not us. Would stay there again for sure.
- Novice Nomad
- andrewmichaeljohnston5194
- Couple, 25-30
- (5 reviews)
Great location...within walking distance to most of the main sights and the metro station is right near the hotel if you don't want to walk. Only complaint is the "free laundry". There is only one machine available to guests and that machine is only available until 8pm. Some lady was there washing several loads of clothes for her Girl Scout troop and did not let us interrupt her multi hour clothes washing marathon. We had to use the laundry mat down the street for about 10€.
- Globetrotter
- joshuagraham863370
- Couple, 25-30
- (28 reviews)
Perfect location and great facilities.
- Avid Traveller
- Anonymous
- England
- Female, 18-24
- (12 reviews)
This place is awesome! If you are flying into CDG it is very close to the subway station. It's really close to an area with lots of small food shops and stores. It is quite a journey on foot to the Effiel tower but there is a bike rental shop a few blocks over and for 15 euro you can rent a bike, bike up and down the river, and towards the Eiffel tower. The staff are very nice and the place is just perfect in size for the price. Definitely would return to this place.
- Novice Nomad
- Anonymous
- Male, 18-24
- (2 reviews)
The location is perfect, however the hotel in quite old. On the counterpart, it is Paris and you are more interested in the city than in the hotel... I definitely reccomended for short visit!
- Novice Nomad
- Anonymous
- Italy
- Mixed Group, 25-30
- (1 review)
I had a wonderful stay! Thank you so much for being so accommodating. I'll be returning the next time in Paris.
- Novice Nomad
- Anonymous
- Female, 18-24
- (1 review)


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|Project Name
|Price (USD)
|Project Name
|Price (USD)
|151252 Video Game Control Panel
|...video games and ventrilos. We currently have a server side Java application that is ours and would like...start and stop their server through the application that is running on the server. They also must be...Basicaly the client will need to login in and see his control button to stop and start the service, see the status
|Java, Javascript, Anything Goes
|Jul 17, 2007
|Jul 17, 2007Ended
|Linux based Game control panel
|Hi iam looking a guy to make and Game control panel like http://speedgaming.dk got more information...information will come i will buy one server and then can you see how its work as well do i also need a billing...intergrate into my website that all! the control panel should support these games All Valve games
|May 30, 2011
|May 30, 2011Ended
|Backup Server Control Panel (1045693)
|...shtml We would like a web interface / control panel created for this service to utilize instead...future, but will consider other option, such as PHP. We want to heavily load it up with features as well...installer script included, that takes a bare Linux server are installs/updates all system files, configures
|PHP, Perl, Linux, Project Management, Engineering, Software Architecture, Software Testing, Website Testing, MySQL, Amazon Web Services, Google Chrome, Apple Safari, Website Management, Web Hosting
|Nov 13, 2008
|Nov 13, 2008Ended
|Game Server Panel
|require a Control Panel which will control processes running on a linux server. The customer will...offered some options. Game Server 1 1) Stop Process (Stops the Game Services) 2) Start Process...3) Restart Must be able to control multi servers from one panel Must support halflife series,
|PHP, Linux, Engineering, Game Design, Software Architecture, Software Testing, Website Testing, MySQL, Amazon Web Services, Website Management, Web Hosting
|May 7, 2004
|May 7, 2004Ended
|Palace Server User Control Panel
|Palace and Manor Server PHP Web based user control panel that can execute script commands normally issued...need a secure customer control panel enabling hosting customers access and control of their Palace and/or...and/or Manor server. The control panel will execute a group of 12 - 16 functions normally called through
|PHP, Engineering, Software Architecture, Software Testing, Website Testing, MySQL, Amazon Web Services, Website Management, Web Hosting
|Jan 26, 2007
|Jan 26, 2007Ended
|Linux./ windows Game Control panel
|...customers to start/stop servers. These "servers" are game servers running on primarily Linux OS RH9 and Enterprise...Enterprise. The ability to edit server.cfg's for each game would be a huge plus aswell. The program would need...the deliverables): a)? For web sites or? other server-side deliverables intended to only ever exist in
|PHP, Linux, Engineering, Software Architecture, Software Testing, Website Testing, MySQL, Website Management, Web Hosting
|Nov 28, 2004
|Nov 28, 2004Ended
|Game Server Web Panel
|- Written in PHP as clear as possible - Adding clients from admin panel - Adding master boxes where...installing servers, assigning to clients (admin panel) - Start/Stop/Restart/Reinstall options (Commands...- Connection via SSH2 (adding new user for each server). Linux commands for installing will be provided
|PHP, Javascript, AJAX, MySQL, HTML
|Dec 2, 2010
|Dec 2, 2010Ended
|Game Panel
|...am looking for is a game ? panel that can hold different types of internet game and voip such as (ventrillo...orangebox apps) There is an open source game panel out called gamepanelx http://www.gamepanelx...am looking for is a game ? panel that can hold different types of internet game and voip such as (ventrillo
|PHP, Javascript, Project Management, Engineering, Software Architecture, Software Testing, Website Testing, MySQL, Website Management, Web Hosting
|Jul 4, 2010
|Jul 4, 2010Ended
|Instagram Control Panel
|...instagram, panel instagram likes, instagram followers likes panel, instagram likes panel, send likes...instagram panel likes followers, panel likes followers, instagram likes followers, game panel control, css...admin panel control, php panel control, php panel control iis, javascript...
|Social Networking,
|Dec 10, 2013
|Dec 10, 2013Ended
|Citrix Server Control Panel API PHP
|...build a Citrix Server control panel build in PHP with 4 levels of admin. The control panel must talk to...to the Citrix Server throw API Citix Server managment API : http://support.citrix.com/article/CTX125244 ...Name - Server name Within the Hypervisor - Cloud VPS Name: - Generic name - within the control panel
|PHP, Javascript, AJAX, MySQL
|Jan 30, 2012
|Jan 30, 2012Ended
|Control Panel Installation on Rackspace
|Hi I bought Rackspace Cloud server account with CentOS 5.5 installed. Looking for someone who can help...help me for following- 1. Secure the server – firewall config etc. (u know better than I do). 2...2. Install and test for LAMP and Mail server (with spamassasin). Make ready to host Joomla website.
|PHP, Website Design, Graphic Design, HTML
|Feb 12, 2011
|Feb 12, 2011Ended
|572473 ASP Control Panel Stored Procedures
|...run a private game server, I have a control panel which is written in lots of ASP and php. Its not working
|PHP, ASP, Game Design, SQL, Anything Goes
|Jun 25, 2012
|Jun 25, 2012Ended
|268422 Control Panel
|...need a web based control panel developed to manage the following services. - Game Servers - Web...(please send me a link to preview it). For dedicated server management you will be given 4 APIs. All 4 do the
|PHP, Script Install, Web Security, MySQL, Anything Goes
|Nov 22, 2008
|Nov 22, 2008Ended
|PHP/MSSQL User Control Panel
|I need a PHP User Control Panel that works with an already established MSSQL Database structure. The...this Panel or which can be used as a template for others. Will provide access to a test SQL Server and...and databases and also a web hosting server that the script need to run from. Overall it's not that of a
|PHP, Website Design, Graphic Design, SQL
|Sep 10, 2013
|Sep 10, 2013Ended
|Product Control Panel and PHP Storefront
|...implement a web-based Product Control Panel for my eStore using a MYSQL database & a PHP implementation of my...Add/Modify/Delete products via a web-based Product Control Panel ONLY & a PHP implementation of my web storefront which...the Product Control Panel. Product Control Panel requirements: Web-based ( possibly...
|PHP, Project Management, Engineering, Software Architecture, Software Testing, Website Testing, MySQL, Website Management, Web Hosting
|Feb 17, 2008
|Feb 17, 2008Ended
|Web Hosting Control Panel
|Well, I want a web hosting control panel similar to Cpanel or Alabanza. Check them out here: http://www...design. I mainly want this in PHP or Perl because its for the unix server but would also consider ASP or...or JSP package for my NT server. ## Deadline information Best price will win the auction.
|PHP, Perl, ASP, Java, Linux, Engineering, SQL, Software Architecture, Software Testing, MySQL, UNIX, Database Administration
|Aug 29, 2001
|Aug 29, 2001Ended
|Linux Control Panel
|...Encoded into the control panel for Linux servers. Project Cpanel / WHM control panel will be similar.... General Features: -Server Management; -Set up and modify customer accounts; -DNS,FTP,Mail Management; ...-Backup; -FFMpeg etc... -PHP Configuration ; -Java, Tomcat -User Control Panel etc.. Searching for
|PHP, Python, Linux, UNIX, CGI
|Mar 6, 2012
|Mar 6, 2012Ended
|PHP/MYSQL Control Panel for Application
|...the appropriate format. A simple backend PHP control panel is needed for this application, and this is...information as input, and uploading files to that FTP server * Converting a multi-page PDF to a sequence of...modify things ourselves ## Deliverables A full php/mysql application along with the mysql database.
|PHP, Engineering, Software Architecture, Software Testing, Website Testing, MySQL, Amazon Web Services, Website Management, Web Hosting
|Aug 28, 2008
|Aug 28, 2008Ended
|Control Panel script modifications
|...currently use a 3rd party, pre-designed control panel written primarily in php and java. The problem is that the...company that sold it has closed and we now have a control panel with no ability to make modifications, fixes...things we need changed or added. We can provide a server to use remotely to perform work on a non-production
|PHP, Java
|Nov 28, 2008
|Nov 28, 2008Ended
|Hosting Control Panel
|...sub-sections. We are starting a colocation/dedicated server company in London. We need someone to 'hack' (this...image from, for each server in that account, since account can have more than one server it gets complicated...complicated. Admin: - add range of IPs we own - allocate server(s) (this means MAC address (manual input), MRTG
|PHP, Perl, Linux, Engineering, Software Architecture, Software Testing, Website Testing, MySQL, Amazon Web Services, Anything Goes, Website Management, Web Hosting
|Jan 30, 2006
|Jan 30, 2006Ended


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Greece: Naked Scenes In Turkish Mosque
November 17, 2004
A Greek TV crew which shot naked scenes in the mosque of the ethnic Turkish minority of Greece, caused tension in Iskece, West Thrace. About 2 thousand ethnic Greeks gathered in front of the mosque where the crew was shooting naked scenes without receiving permission from the administrators of the Sahin village. The crew had to take refuge at the police station while the preacher of the village took their cassettes from their hands. Security teams rushed to the village as well as ethnic deputy Ilhan Ahmet. The agnry crowd quelled upon news that the crew was forwarded to court. Wednesday, November 17 2004
Source: Human Rights (Greece)
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Fill the Valentines Day Centerpiece up your favorite flowers.
Our Valentines Day Centerpiece features a pin k and ivory strip design with pink and black lips and the word LOVE. Each Valentines Day Personalized Centerpiece will be customized with your wording. Easy assembly.
Personalized Centerpiece features:
Please allow ample time for delivery. Our ship date for this product is noted in your shopping cart. Many items are shipped separately, so please allow extra time for these items to arrive. Shipping charges are based on the value of the merchandise and not the number of shipments. For additional shipping information, contact our Customer Service Department at (firstname.lastname@example.com or 1-800-227-2789).


text: The JLC's printed magazine, Perspectives, is a great place to advertise your small business or celebrate your favorite League members. Have a sale you would like to promote? Want to honor a fellow League member's stellar volunteer achievements? Place an ad that will have the attention of hundreds of JLC New Members, Actives, Sustainers and friends.


text: Aside 2/03/10 The Gap Contest Winners Are Revealed! Read More Aside Aside 20 Frighteningly Good Halloween Recipes Spiced Apple Chips Are the Potato Chip of Fall 4 Easy Tips For Flawless Feet The 18 Most WTF Things Actors Had to Say in Famous Movies POPSUGAR, the #1 independent media and technology company for women. Where more than 75 million women go for original, inspirational content that feeds their passions and interests. Stay Stylish With OurFashion and Beauty Newsletter Personalize Street Style Beauty Tips Fashion and Beauty News Celebrity Style Sign up with facebook or By signing up, I agree to the Terms and to receive emails from POPSUGAR.


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Best of News
A protester carrying a child taps a plastic bottle during the eight... News PhotoAdult,Baby,Bottle,Bucharest,Carrying,Child,Conflict,Day,Environment,Gold Mine,Horizontal,Men,Mine,Mining,Placard,Plastic,Protest,Protestor,Romania,WorkingPhotographer DANIEL MIHAILESCUCollection: AFP 2013 AFPA protester carrying a child taps a plastic bottle during the eight day of demonstrations in Bucharest against the Rosia Montana Gold Corporation (RMGC), a Canadian gold mine project using cyanide, on September 8, 2013. About 1,500 people marched against a Canadian goldmine project planning to use large amounts of cyanide in the village of Transylvania. 'Romania is not for sale' or 'United, we will save Rosia Montana,' chanted the demonstrators, referring to the village where the Canadian company Gabriel Resources says it discovered the largest gold deposit in Europe. AFP PHOTO / DANIEL MIHAILESCU (Photo credit should read DANIEL MIHAILESCU/AFP/Getty Images)


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UAB says NO MORE to domestic violenceTamara Imam - Staff Writer
On Wednesday, Sept. 30, Student Advocacy Rights and Conduct teamed up with Gender and Sexuality Diversity, a division of Student Multicultural and Diversity Programs, to host a NO MORE event in the Residence Life Center of Blazer Hall.
Launched in 2013, NO MORE is a national symbol and campaign to raise awareness and engage the public in the effort to end domestic violence and sexual assault. According to its website, 12.7 million people are physically abused, raped or stalked by their partners per year.
Read more...
Put your records on: Vinyl RenaissanceAshley Hazlitt - Staff Writer
You may have noticed that records are making a comeback. Ever since the advent of CDs and MP3s, vinyl has had a difficult time thriving in the digital age. When vinyl started to become obsolete, most record pressing plants went out of business.
Read more...
Oktoberfest: a German tradition with a Birmingham spinNicholas Jessee - Staff Writer
The Black Market Bar & Grill hosted its first one day celebration of Oktoberfest on Saturday Oct. 3, 2015 from 11 a.m. until 11 p.m.; the free event presented six patios with varieties of Oktoberfest beers and food specials mainly served to the local community. TVs were set up to show the Alabama and Auburn football games, and many places hosted beer tournaments and games that served special Oktoberfest brews.
Read more...
UAB participates in National Preparedness MonthLuke Richey - Staff Writer
September was National Preparedness Month, and UAB took part in the national grassroots PrepareAthon campaign to spread the word about personal emergency preparedness and the use of digitals tools during an emergency situation.
Read more...


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Medicine Man – North American IndiansBut among the many things that are associated with the North American Indians as topics of conversation and subjects of the printer's ink more talked about and less understood is the "Medicine Man." On Nov. 14, 1605, the first French settlement was made in America, on the northeast coast of Nova Scotia, and they gave the name Arcadia to the country; and on July 3, 1808, Samuel Champlain laid the foundation of Quebec. The character "Medicine-Man" had its origin, according to tradition, among those early French colonists who corrupted the word "Meda" a word in the language of one of the Indian tribes of that day signifying chief, into "Medicine-Man," and also called the religious ceremonies of the Indian "making medicine," which was afterwards called, as the result, "medicine," and which finally became in use among the Indians themselves, and has so continued to the present day. It was a religious ceremony for the propitiation of invisible spirits and practiced by all of the North American Indians, with scarcely an exception. The ancient Choctaws and Chickasaws had their Medicine Men, with many of whom I was personally acquainted in the years of the long ago. There were two kinds of Medicine (religious ceremonies) among the Choctaws and Chickasaws, the same as among all other tribes of their race, the tribal medicine and the individual, each peculiar to the individual tribe and individual person of that tribe. What the different ingredients were, which composed the tribal medicine, no one knew, or ever tried to know, except he who secretly collected and stored them away in the carefully dressed, highly ornamented...
Sons of Quebec 1778-1843
The Sons of Quebec (Fils de Québec) were written by Pierre-Georges Roy and published in 1933 in a four volume set. They provide a series of short biographies of one to three pages of Quebec men from 1778-1843. Warning… this manuscript is in French!
Early Exploration and Native AmericansDe Soto and his band gave to the Choctaws at Moma Binah and the Chickasaws at Chikasahha their first lesson in the white man's modus operandi to civilize and Christianize North American Indians; so has the same lesson been continued to be given to that unfortunate people by his white successors from that day to this, all over this continent, but which to them, was as the tones of an alarm-bell at midnight. And one hundred and twenty-three years have passed since our forefathers declared all men of every nationality to be free and equal on the soil of the North American continent then under their jurisdiction, except the Africans whom they held in slavery, and the Native Americans against whom they decreed absolute extermination because they could not also enslave them; to prove which, they at once began to hold out flattering-inducements to the so-called oppressed people of all climes under the sun, to come to free America and assist them to oppress and kill off the Native Americans and in partnership take their lands and country, as this was more in accordance with their lust of wealth and speedy self-aggrandizement than the imagined slow process of educating, civilizing and Christianizing them, a work too con descending, too humiliating; and to demonstrate that it has been a grand and glorious success, we now point with vaunting pride and haughty satisfaction to our broad and far extended landed possessions as indisputable evidence of our just claims to the resolution passed by our pilgrim ancestors, "We are the children of the Lord"; and to the little remnant of hapless, helpless and...
The Discovery Of This Continent, it's Results To The NativesIn the year 1470, there lived in Lisbon, a town in Portugal, a man by the name of Christopher Columbus, who there married Dona Felipa, the daughter of Bartolome Monis De Palestrello, an Italian (then deceased), who had arisen to great celebrity as a navigator. Dona Felipa was the idol of her doting father, and often accompanied him in his many voyages, in which she soon equally shared with him his love of adventure, and thus became to him a treasure indeed not only as a companion but as a helper; for she drew his maps and geographical charts, and also wrote, at his dictation, his journals concerning his voyages. Shortly after the marriage of Columbus and Felipa at Lisbon, they moved to the island of Porto Santo which her father had colonized and was governor at the time of his death, and settled on a large landed estate which belonged to Palestrello, and which he had bequeathed to Felipa together with all his journals and papers. In that home of retirement and peace the young husband and wife lived in connubial bliss for many years. How could it be otherwise, since each had found in the other a congenial spirit, full of adventurous explorations, but which all others regarded as visionary follies? They read together and talked over the journals and papers of Bartolomeo, during which Felipa also entertained Columbus with accounts of her own voyages with her father, together with his opinions and those of other navigators of that age his friends and companions of a possible country that might be discovered in the distant West, and the...
Captain Jonathan Carver's Narrative of his Capture – Indian Captivities
Captain Jonathan Carver's narrative of his capture, and subsequent escape from the Indians, at the Bloody Massacre Committed By them, when Fort William Henry fell into the hands of the French, under Gen. Montcalm, in the year 1757. Written by himself.
Narrative of the Captivity of Frances Noble – Indian Captivities
Narrative of the captivity of Frances Noble, who was, among others, taken by the Indians from Swan Island, in Maine, about the year 1755; compiled by John Kelly, Esq. of Concord, New Hampshire, from the minutes and memoranda of Phinehas Merrill. Esq. of Stratham, in the same state; and by the Former Gen. Tleman communicated for publication to the editors of the Historical Collections of New Hampshire.
Captivity of Mary Fowler, of Hopkinton – Indian Captivities
A brief description of the years of captivity of one Mary Fowler, nee Corbett, nee Woodwell, who along with her family and the Burbank family were taken prisoners in Hopkinton, NH.


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Exclusive: State attorneys general probing AT&T deal for DirecTV
WASHINGTON (Reuters) – State attorneys general working to determine whether Comcast Corp's deal to buy Time Warner Cable Inc is legal have expanded their investigation to include AT&T Inc's plans to buy DirecTV, according to sources close to the merger probe.
Some two dozen states were already coordinating with the U.S. Justice Department to interview critics and proponents of the Comcast merger, which some lawmakers and public interest groups fear will result in higher costs and less competition.
U.S. antitrust official concerned by China anti-competition stance
WASHINGTON (Reuters) – A top U.S. antitrust enforcer expressed concern on Wednesday about China's enforcement of its antitrust law after Beijing opened a probe into Qualcomm Inc for allegedly abusing its market position.
China's National Development and Reform Commission (NDRC), which is among the agencies that enforce antitrust law, said in February that the U.S. chipmaker was suspected of overcharging and abusing its market position in wireless communication standards. The allegations could mean fines of more than $1 billion.
EU's Almunia says won't finish Google probe before end-October
WASHINGTON (Reuters) – European Union regulators will not finish a four-year investigation into Google by the end of October, the bloc's outgoing antitrust chief said on Wednesday.
European Competition Commissioner Joaquin Almunia said this week he would extract more concessions from the world's most popular Internet search engine after extremely negative feedback from rivals such as Microsoft to Google's third proposal to end the EU probe.
AbbVie, Teva broke law in AndroGel 'pay for delay' deal, U.S. says
WASHINGTON (Reuters) – The U.S. Federal Trade Commission on Monday sued Drugmakers AbbVie Inc and Teva Pharmaceuticals Industries Ltd for allegedly illegally preventing generic versions of AndroGel, for men with low testosterone, from getting to market.
The FTC, which says AndroGel users paid hundreds of millions of dollars more than necessary because of the companies' actions, asked the U.S. District Court for the Eastern District of Pennsylvania to order AbbVie to refund users that money.
Nvidia sues Qualcomm, Samsung over graphics patents
SAN FRANCISCO/WASHINGTON (Reuters) – Nvidia Corp has sued rival chipmakers Qualcomm and Samsung Electronics, accusing both companies of infringing its patents on graphics processing technology.
The U.S. chipmaker vies with Qualcomm in the business of providing chips for smartphones and tablets. It said on Thursday that Qualcomm and Samsung had used Nvidia's patented technologies without a license in Samsung's mobile devices, including the just-launched Galaxy Note 4 and Galaxy Note Edge.
Google to refund $19 million in kids' in-app purchase case: U.S.
WASHINGTON (Reuters) – Google Inc has agreed to refund at least $19 million to settle charges that it unfairly billed parents for purchases that their children made while playing video games such as Ice Age Village and Air Penguins on mobile devices.
Children sometimes put hundreds of dollars on their parents' credit cards without permission, the U.S. Federal Trade Commission said on Thursday in announcing the settlement.
White House nominates new chief of IP enforcement
WASHINGTON, Aug 29 (Reuters) – The White House has named a
Washington lawyer as the next head of intellectual property
enforcement, a position that has been vacant for a year.
Danny Marti, a managing partner at the law firm Kilpatrick
Townsend and Stockton LLP, was named by the White House in a
statement late Thursday. The Senate must confirm Marti before he
can begin work.
Tyson wins U.S. Justice Dept antitrust nod for Hillshire deal
WASHINGTON (Reuters) – Tyson Foods Inc (TSN.N: Quote, Profile, Research, Stock Buzz), the largest U.S. meat processor, on Wednesday won U.S. antitrust approval for its $8.5 billion purchase of Hillshire Brands Co (HSH.N: Quote, Profile, Research, Stock Buzz).
To win approval for the merger, the companies agreed to sell Heinold Hog Markets, the U.S. Department of Justice said. The attorneys general of Iowa, Illinois and Missouri, all big hog-producing states, joined the settlement.
Tyson wins antitrust nod for Hillshire deal: U.S. Justice Dept
WASHINGTON (Reuters) – Tyson Foods Inc, the largest U.S. meat processor, on Wednesday won U.S. antitrust approval for its purchase of Hillshire Brands Co.
Tyson's share price moved up sharply on the news, rising as much as 2 percent from the day's opening price and closing at $37.71, up 1.5 percent. Hillshire closed near steady at $62.96.
With France's Iliad, T-Mobile US takeover skips regulatory hurdles
WASHINGTON (Reuters) – French telecommunications company Iliad's (ILD.PA: Quote, Profile, Research, Stock Buzz) surprise bid for U.S. wireless carrier T-Mobile US Inc (TMUS.N: Quote, Profile, Research, Stock Buzz) would face a far easier U.S. review process than the offer long expected from Sprint Corp (S.N: Quote, Profile, Research, Stock Buzz), experts said.
Iliad's bid, revealed on Thursday, comes as Sprint's Japanese parent SoftBank Corp (9984.T: Quote, Profile, Research, Stock Buzz) and T-Mobile owner Deutsche Telekom AG (DTEGn.DE: Quote, Profile, Research, Stock Buzz) had already agreed to broad parameters of a deal, which was unlikely to be announced until September, sources have told Reuters.


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The debate about how aggressively hospitals should conduct hospitalwide surveillance got much louder with the April 14 publication of two studies in The New England Journal of Medicine. Rather than clarify the issue, the studies confused it.
The first report involved nearly two million patients at 150 hospitals in the Veterans Affairs healthcare system. It showed that a combination approach of nasal swab testing within 24 hours of admission, contact precautions, hand hygiene, and "institutional culture change" resulted in a 62% drop in the rate of hospital-acquired MRSA infections in the VA's ICUs.
The second study, led by the Mayo Clinic in Rochester, MN, involved universal testing for MRSA and vancomycin-resistant enterococcus (VRE) in 9,000 patients admitted to 18 ICUs. The study employed barrier precautions such as gowns and universal gloving and hand-washing. But it found that the bundle of interventions was not effective in reducing MRSA or VRE colonization.
"This finding was surprising, given the surveillance cultures identified a sizeable subgroup of colonized patients who were not otherwise recognized," the authors wrote.
Michael Edmond, MD, hospital epidemiologist at Virginia Commonwealth University Medical Center, acknowledges that the arguments are getting louder. "These active surveillance [efforts] may work in some settings. But the message that some people have tried to really get out there, and which I think is totally false, is that the only way to control MRSA is to do that. And I think that's not true at all."
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When the director yells "cut," Falco knows she can take off her scrubs and return home to her children, her real life.
"Held captive." It was how one 13-year-old described the feeling of growing up poor in our wealthy nation, and for more and more Americans living in poverty, this feeling isn't just a metaphor.
Native advertising has become a central focus for revenue at The New York Times, according Chief Revenue Officer Meredith Levien in this profile arti...
It's college students like me who will be filling the ranks and file of press corps around the nation -- and it's us who will be shaping the discourse about the increasingly diverse America. It's my responsibility to educate myself.
Balancing the budget through reduced spending and increased revenues, ending the vast expansion of the Federal Reserve's balance sheet and normalizing interest rates, are all necessary actions in the effort to right the economy in the face of the Great Recession.
Over the decades and through the generations, the phenomenon that is the Sunday New York Times has been an integral part of America's cultural scene as well as its news scene. The rooted domesticity of the 1950s may be long gone. In these febrile times, we are more indulgent of our impulsive strivings and our neuroses. But the Times is still our companion.
At its NewFront event on Tuesday, AOL and NBCUniversal announced a content development and distribution arrangement. For an overview on the arrangement, we interviewed Bob Lord, President of AOL Inc.
The challenges of distributing virtual reality at scale is one of a number of hurdles at the moment, but the immersive medium will come to The New ...
Not that long ago, video journalists were sort of appendages to print reporters, expanding and amplifying print stories. That role has evolve to wh...
If The New York Times has decided to throw its hat into Murdoch's ring this campaign season, even just occasionally, as with Clinton Cash and The Tangled Clinton Web, the results for Democrats could be troubling. Conservative misinformation is always most dangerous when it's given legitimacy it doesn't deserve.
The prison-to-prison pipeline works in two ways. By some estimates, almost seventy percent of young Black men who have been in prison are likely to return, largely because nothing positive waits for them outside. But the prison-to-prison pipeline is also a multi-generational pipeline.
1972: walking up the hill to Marietta Junior High School in Ohio, I never imagined I would one day be working in developing nations around the world -- or cooperating with Marietta College to develop the leadership needed to do so.
While brands are typically associated with companies and products, countries have brand identities too. In fact, the image of a country can greatly contribute to (or detract from) the brands that come from that country.
In December, Architect magazine columnist Aaron Betsky listed his "best and worst" events from 2014. Among the "reasons to despair," he announced, was "The New York Times' abandonment of serious criticism of architecture."
I don't smile any more, however, since my piece is now used in US Courts.
Less than one week into Hillary Clinton's presidential campaign and it's a blurry image from a fast-food restaurant security video that's emerged as the defining media image.


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Griffin's House in 3D (20 pics)
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Griffin's house from Family Guy in 3D.
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WWE Teaching Talents to Not Sell Their Loss, Funk at the WWE PC, Bellas & Make-A-Wish
by Amish Patel - December 05, 2013
– WWE Hall of Famer Terry Funk recently worked as a guest instructor at the WWE Performance Center.
– As noted, The Bella Twins were in Los Angeles for a Make-A-Wish event on Wednesday. They were at The Wishing Well Winter Gala with the E! network, Kelly Osbourne and others. Here's a photo:
– Regarding Eva Marie smiling and laughing on her way to the back after her elimination at WWE's Survivor Series pay-per-view, they are now teaching talents that if they are on the babyface side, when they leave the ring they should smile and engage the fans and play their character, not sell the loss.
Partial source: Wrestling Observer Newsletter
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