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Blood in the Stool (Rectal Bleeding) (cont.)
Medical Author:
Jay W. Marks, MD
Jay W. Marks, MD
Jay W. Marks, MD, is a board-certified internist and gastroenterologist. He graduated from Yale University School of Medicine and trained in internal medicine and gastroenterology at UCLA/Cedars-Sinai Medical Center in Los Angeles.
Medical Editor:
Bhupinder S. Anand, MBBS, MD, DPHIL (OXON)
Bhupinder S. Anand, MBBS, MD, DPHIL (OXON)
Dr. Anand received MBBS degree from Medical College Amritsar, University of Punjab. He completed his Internal Medicine residency at the Postgraduate Institute of medical Education and Research, Chandigarh, India. He was trained in the field of Gastroenterology and obtained the DPhil degree. Dr. Anand is board-certified in Internal Medicine and Gastroenterology.
In this Article
How is the cause of blood in the stool (rectal bleeding) diagnosed?
Reader Stories
An accurate diagnosis of the location and the cause of rectal bleeding is important for proper treatment, and prevention of further bleeding. Diagnosis relies on the history and physical examination, anoscopy, flexible sigmoidoscopy, colonoscopy, radionuclide scans, angiograms, and blood tests.
History and physical examination
The age of the patient may offer an important clue to the cause of rectal bleeding. For example, moderate to severe rectal bleeding in teenagers and young adults is more likely to come from a Meckel's diverticulum. Moderate or severe rectal bleeding in older individuals is more likely to be due to diverticulosis or angiodysplasias. Mild rectal bleeding in an adult with prior abdominal radiation treatment may be due to radiation proctitis.
The presence or absence of other symptoms also may provide important clues. Bleeding from diverticulosis, angiodysplasias, and Meckel's diverticula usually is not associated with abdominal or rectal pain. Rectal bleeding from ischemic colitis is often preceded by the sudden onset of lower abdominal, crampy pain. Fever, abdominal pain, and diarrhea often occur with colitis due to infection, ulcerative colitis, or Crohn's colitis. Mild bleeding accompanied with pain in the anal area during defecation (passing of stool) suggests bleeding from an anal fissure. A recent change in bowel habit such as increasing constipation or diarrhea suggests the possibility of cancer of the colon.
Inspection of the anus may disclose bleeding from a hemorrhoid or anal fissure. Unfortunately, most hemorrhoids and fissures are not actively bleeding at the time a patient arrives at the doctor's office. Thus, even if a doctor finds a hemorrhoid or anal fissure, he/she cannot be certain that they are the cause of the bleeding. Therefore, flexible sigmoidoscopy or colonoscopy will have to be done to exclude other potentially more serious causes of bleeding.
An anoscope is a three-inch long, tapering, metal or clear plastic, hollow tube approximately one inch in diameter at its wider end. The anoscope is lubricated, and the tapered end is inserted into the anus, through the anal canal, and into the rectum. As the anoscope is withdrawn, the area where internal hemorrhoids and anal fissures are found is well seen. Straining by the patient, as if they are having a bowel movement, may make hemorrhoids more prominent.
Whether or not hemorrhoids and anal fissures are found, if there has been rectal bleeding, the colon above the rectum needs to be examined to exclude other important causes of bleeding. Examination above the rectum can be accomplished by either flexible sigmoidoscopy or colonoscopy, procedures that allow the doctor to examine approximately one-third or the entire colon, respectively.
Medically Reviewed by a Doctor on 10/29/2015
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Blood in the Stool - Experience Question: Please describe your experience with blood in the stool.
Blood in the Stool - Causes Question: What was the cause of blood in your stool?
Blood in the Stool - Diagnosis Question: What was the diagnosis of blood in the stool?
Blood in the Stool - Treatment Question: Depending on the cause, what was the treatment for blood in the stool?
Blood in the Stool - Hemorrhoids Question: Please describe your experience with hemorrhoids and blood in your stool.
Blood in the Stool - Anal Fissures Question: Please describe your experience with anal fissures and rectal bleeding.
Blood in the Stool - Diseases Causes Question: Which one of these were the cause of your case of rectal bleeding, and please describe your experience.
Blood in the Stool - Infection Question: What infection caused your case of rectal bleeding, and how was it treated?
Blood in the Stool - Ulcers or Gastritis Question: Was it ulcers or gastritis that caused your case of rectal bleeding, and how was it treated?
Blood in the Stool - Esophageal Bleeding Question: Please describe your experience with rectal bleeding and esophageal bleeding.
Blood in the Stool - Rare Causes Question: If not mentioned previously, what caused your case of rectal bleeding?
Blood in the Stool - Associated Symptoms Question: What symptoms did you have that occurred with rectal bleeding?
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iHerb Customer Reviews
Don't buy!
1 person found the following review helpful
Posted by erikamarija on Aug 21, 2012
Taste was awful, brr! Don't buy if you like sweet thing that doesn't make your teeth red.
Hate it
Posted by 5230540722989599715 on Oct 23, 2012
It taste bitter coz i just add water to drink.
madre c
Posted by Palitana on Dec 25, 2012
Not good taste n its not dissolving in water
No taste
Posted by 5271669964532671749 on Jan 09, 2013
Got this as a free sample , but based on that i would not purchase this product. I mixed it with water and did not enjoy at all however it may be different mixed with juice.
Not really
Posted by Reviewer1901186 on Jan 10, 2013
I think there are plenty of natural sources of vitamin C, so I wont gonna take this.

subset: commoncrawl


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Sagrado Corazon De Jesus Group
Cristina is one of these women, who wants to get in the sales business and open a small dispensary with the most essential products, and to grow it little by little. She is hopeful that with this she will be able to help her family and improve her finances.
She asks for this loan to be able to invest in the purchase of vegetables, meat, bread, noodles, rice, yerba and more, so that she can start this challenge ahead of her.
Cristina es una de estas mujeres, ella quiere emprender el negocio de las ventas y abrir una pequeña despensa con los productos mas imprescindibles, y de a poco ir creciendo. Ella tiene mucha esperanza en que con esto podrá ayudar a su familia y mejorar su economía.
Solicita de este crédito para poder invertirlo en la compra de verduras, carne, pan, fideos, arroz, yerba y demás, y así poder iniciar con este desafío que se propuso.
Additional Information
More information about this loan
This loan is part of the innovative "Poverty Stoplight" program developed by Fundación Paraguaya for women living in poverty. A "stoplight" measurement tool is used to help borrowers self-identify the type of poverty that affects them most (lack of income, dearth of financial opportunities, poor living conditions etc.). Borrowers rate 50 areas of their life as green (not poor), yellow (poor) or red (extremely poor). Together with their loan officer, they come up with a plan to resolve yellow and red indicators. Through this program, Fundación Paraguaya hopes to lift 9,000 women and their families out of poverty by 2017.
To learn more about this unique approach to eliminating poverty, you can read this article on Fundación Paraguaya's website.
About Fundación ParaguayaFundación Paraguaya is a financially self-sustaining social enterprise that promotes entrepreneurship in urban and rural areas through microfinance, education programs, and more. Its focus on agriculture has helped many farmers boost their crop yields. And a number of other borrowers have taken out loans to start and grow social businesses that have helped deliver eyeglasses, medicines and other helpful services in their local communities.
This is a Group Loan
In a group loan, each member of the group receives an individual loan but is part of a larger group of individuals. The group is there to provide support to the members and to provide a system of peer pressure, but groups may or may not be formally bound by a group guarantee. In cases where there is a group guarantee, members of the group are responsible for paying back the loans of their fellow group members in the case of delinquency or default.
Kiva's Field Partners typically feature one borrower from a group. The loan description, sector, and other attributes for a group loan profile are determined by the featured borrower's loan. The other members of the group are not required to use their loans for the same purpose.
About Paraguay
75View loans »
Success!! The loan was 100% repaid
- Repayment Term
- 9 months (Additional Information)
- Repayment Schedule
- Monthly
- Pre-Disbursed:
- Jan 25, 2013
- Listed
- Feb 24, 2013
- Currency Exchange Loss:
- Covered
- Ended:
- Sep 22, 2013


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Reo portable by caraageWatch
©2013-2016 caraage
Reo is very cuteeeeeeee
That's funny, I thought the Palmtop Tiger was somebody else...
They don't just look alike. I'm amazed that the SonoHana people didn't get sued. (It's funny to picture Taiga's reaction... especially since Mai has kind of a Minori look to her.)
That was true :-D
But why Minori instead of Ryuuji?
Mai does have a few things in common with Ryuuji (homemaking, black hair, responsibility -- most of the time), but she's a lot more like Minori in personality and appearance, so I think that's who Taiga would think of first. "Oh, they look like me and Minorin. What are they going to -- AAAAAAAAAAAAAA!"


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The Stillness Sampler - Ongoing/Yoga Events Series
|Sanctuary in the Village - Yoga Event ***Ongoing Yoga Events/Series
|Yoga Event:
|The Stillness Sampler
|Wimberley TX USA
|Yoga Class
|Yoga (hot, power, flow, kundalini)
|Sanctuary in the Village
|Meditation doesn't have to be hard! Every Tuesday evening from 6 - 7 PM we learn new styles from different teachers - when you find yours, meditation will be a pleasure! Always $10. May and June sessions include Sharon Slater & Johnny Woods presenting The Ananda Mandala and The Chakra Dyana, Helen Stutchbury presents Stand Your Ground, and powerful grounding practice, and Michelle Robinson presents ZenTangles - a style of drawing meditation.
|Home Texas Yoga Events Newsletter
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Top Definition
The act of sucking icecubes before performing oral sex on a man (and possibly woman). Can also be done with extremely cold drinks.
Jayne gave me freezing head last night, it chilled me to the balls.
by Corpy Punisher May 24, 2010
Type your email address below to get our free Urban Word of the Day every morning!
Emails are sent from email@example.com. We'll never spam you.×


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2 Parks near Ozona, Texas
Ozona, Texas (map) | (325) 392-3394
Sites: 30 | Latest Rate: $40.00 | 9 Reviews
|Clean Restrooms:
|Clean Showers:
Jun 2015 - $40.00
Agree with everyone that it is a one night stay at best and I paid more than I should have. They do have a very few 50 amp sites as I was in one. Along with the gravel is a lot of weeds. Doubt I would stay again. - Pops42
Jun 2013 - $30.00
It is OK for an overnight stay. Has basic cable, water, sewer, 30 amp only electric. Gravel sites, fairly level. Lots of permanent residents, few visitor open sites. No Wi-Fi. Was quoted $28 but the young man at the office said it was $30, so I took it anyway. Staff is friendly at office, they helped me find the place, after Google map got me to the wrong place in town. I would use the place again, for an overnight safe place. - Joe O
Mar 2012 - $25.00
Okay for an overnight, a big parking lot, pretty close to other sites, but a place to park and sleep. Easy access to/from I-10. - Stella's Mama
Ozona, Texas (map) | (325) 392-2611
Sites: 95 | Latest Rate: $40.00 | 45 Reviews
|Clean Restrooms:
|Clean Showers:
Nov 2015 - $40.00
Avoid this RV park at all costs. Better to dry camp in rest areas nearby. Place is filthy, overgrown & very neglected. Trash left in most campsites from previous campers. Weeds are overgrown, hard to navigate narrow campsites especially at night as there are no lights. - Aznana
Sep 2015 - $40.00
Read the other reviews. Had low expectations. Was still disappointed. The park was across the street from the motel. Tiny sign directing you to register at motel. The clerk had to hunt for the manager. The park was horrible. Even the tumbleweed was dirty and unkept. - twocoots
Jul 2015 - $40.00
This park seems to be a failed resort type park. There is a swimming pool but it's locked up. The park itself is bare dirt, with sand spurs. All the sites are concrete paved pull-throughs. There seem to be many permanent residents with trash and junk all over the park. The restrooms were semi-clean but decrepit.
Each site has a trash can hanging on a pole and a barbeque grill of the type usually found in state parks. Some of the power boxes have broken jacks and some of the water facets are broken.
There is a row of empty FEMA type mobile homes. - agesilaus


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What: Armory Square Playhouse will present staged readings of six new short plays by members Amy Doherty, Richard Harris, Kathy Kramer, Peter Moller and Joel Potash.
Where: Link Gallery, located on the ground level of the S.U. Community Art Wing in the Warehouse, 350 W. Fayette St., Syracuse.
When: Tuesday, June 16 at 6:30 p.m.
Admission: All proceeds will go to the CNYSPCA. $10 suggested donation. Supplies on the CNYSPCA's Wish list also encouraged and will be delivered by ASP members. The wish list can be found at cnyspca.org/.
The details:
Armory Square Playhouse was invited by Sonita Surratt to present the readings in Link Gallery, which is currently housing Vicktory Dogs, an exhibit of paintings depict ing the surviving dogs victimized in the dog fighting ring of Michael Vick. Link Gallery is located on the ground level of the S.U. Community Art Wing in the Warehouse, 350 W. Fayette St., Syracuse. A detailed description of the Vicktory Dogs exhibition can be found at sunews.syr.edu/story_details.cfm?id=6057.
The plays:
Can the ebullient Fifi help her spouse, Fido, overcome rejection and live to bark another day? This is the question at the heart of A Doggie-Drama by Kathy Kramer. In Hey Diddle Diddle by Joel Potash, a nursery rhyme comes to life in 2009. The Mystery of the Chair by Peter Moller will sound familiar to anyone who lives with cats. In this play, two cats puzzle over one of the biggest problems of their lives, "Who moved the chair? And what does it mean?"
In the monologue, Mozart and What's His Name by Richard Harris, an upscale NYC living arrangement is affected by pet conflict. Harris' My Pet Pig chronicles the story of a Texas youth who suffers over loss of a beloved pet pig. What would happen if your dog locked you in the kitchen for 6 hours? This is the question explored in the play Woof Woof by Amy Doherty.
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Eighteen years ago, Oz historian and author, John Fricke emerged onto the scene of the Chittenango Oz Celebration. At that time, the festival lasted for just one day. Today, Oz-Stravaganza! is a weekend long event that has a little something for everyone.
John Fricke was born in Milwaukee, Wisconsin. At the age of five, he watched MGM's "The Wizard of Oz" and fell in love with both Oz and Judy Garland. By the time he was eleven, Fricke was a member of the International Oz Committee and at twelve, he owned all thirty-nine Oz books (written by Chittenango's very own L. Frank Baum).
In 1974, Fricke graduated from Medill School of Journalism and moved to New York City. Since then, he has written four books, co-produced a special (for which he won an Emmy Award), received a Grammy Award nomination, and conducted countless interviews on Baum, Oz, and Judy Garland.
Fricke also serves as a consultant for The Land of Oz Preservation Company in Syracuse, N, which promotes L. Frank Baum and for The Judy Garland Heirs Trust, which is made up of Judy Garland's three children, who oversee anything having to do with their mother.
For 18 years John Fricke has come to Chittenango to play a major role in this exciting event. When asked why Chittenango is so unique when it comes to Oz celebrations, Fricke replied, "No other place can claim to be the birthplace of Oz. Chittenango's native son who permeated the world -- and that deserves support. There are a handful of people who dedicate their time to make this event happen. Not only is it good for the town, but it's good for the people." It's true; there really is "no place like home."
If there is one thing that Fricke wants the public to know about Oz, it's that everyone needs to "get out there, [pick up Baum's] books, and share them with their children. You can't go wrong cultivating the imagination and individuality of your child and Oz does that."
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For the best experience on the Abcam website please upgrade to a modern browser such as Google Chrome
|Polyclonal antibodies
|Monoclonal antibodies
|Inexpensive to produce
|Expensive to produce
|Skills required are low
|Training is required for the technology used
|Time scale is short
|Time scale is long for hybridomas
|Produces large amounts of non-specific antibodies
|Can produce large amounts of specific antibodies
|Recognizes multiple epitopes on any one antigen
|Recognizes only one epitope on an antigen
|Can have batch-to-batch variability
|Once a hybridoma is made, it is a constant and renewable source
|No or low batch-to-batch variability
Antibody production:
Polyclonals will recognize multiple epitopes on any one antigen which has the following advantages:
Learn more about Abcam Rabbit Monoclonal technology and its advantages.
Antibody production:
Monoclonals detect one epitope only on any one antigen which has the following advantages:
See examples of cocktail antibodies from Abcam.
Abcam's RabMAb® technology combines the benefits of both monoclonal and polyclonal technology to create highly specific and senstitive rabbit monoclonal antibodies.
Learn more about the advantages of RabMAb® technology.


text:
Are you Bettina Marty?Claim your profile
Publications (63)122.55 Total impact
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ABSTRACT: : Intravascular ultrasound (IVUS) generates high definition circumferential cross-sectional images and provides real-time readout of vascular dimensions, including visualization of vessel branches. We have used it as an alternative to angiography in the endovascular thoracic aneurysm repair work-up. : Out of consecutive 203 patients with descending thoracic aortic aneurysm, 89 (43.8%) received endovascular treatment [mean age, 68 ± 8 years; range, 29-82; male, 79 (88.7%); female, 10 (11.3%)] without using angiography during the endovascular procedure. IVUS (6 F, 12.5 MHz probe or 10 F 9 MHz) coupled with fluoroscopy for the placement of radiopaque markers was used for target site identification, landing zone measurement, device positioning, and assessment of endovascular repair. : Hospital mortality was 4/89 (4.5%). Number of devices implanted in each patient was 1.2 (range, 1-3). X-ray exposure time was 12 ± 8 minutes. Median procedure time was 63 ± 20 minutes. Conversion to open surgery was necessary in one patient (1.1%) because of aortic dissection. In nine patients (10.1%) left subclavian artery was covered because of a short neck. Two patients (2.2%) had vascular access lesions and required surgical repair. One patient developed paraplegia (1.1%). Early endoleak was observed in eight patients (8.9%) and 4 (4.5%) required additional procedures (proximal or distal extensions). Late conversion was necessary in one patient (1.1%). : IVUS provides all information necessary for device selection, target site identification as well as safe and correct deployment of thoracic endoprostheses and makes periprocedural angiography unnecessary, thus avoiding the risk of renal failure because of contrast medium.
Article: Reply to Apostolakis et al.
Article: Editorial comment. Performance of stentgrafts in growing arteries: there is demand for super-adaptable devices
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ABSTRACT: The hybrid treatment of aortic aneurysms is indicated in patients having the ostia of supra aortic or visceral branches taken in to the aneurysm. Indeed, these lesions are not eligible for classic endovascular treatment because the existing endoprostheses cannot provide perfusion of the side branches without inducing major endoleaks. The surgical technique consists of 2 steps: firstly, a by-pass between normal aorta and the major aortic branches involved in the aneurysm is performed to guarantee the perfusion of the organs such as brain, bowel, and after endoprosthesis deployment. Secondly, the endoprosthesis is deployed using the classical technique to isolate the aneurysm. The hybrid approach provides safe and reliable treatment of complex aortic aneurysms with mortality and morbidity rate far below the classical open surgery.
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ABSTRACT: Stents have a long history in traditional valve surgery as both, porcine biological valves as well as pericardial valves are mounted on stents prior to implantation. Recently stent-mounted biological devices have been compressed up to the point, where they can be passed through a catheter. Various routes can be distinguished for implantation: open access, the trans-vascular route in antegrade or retrograde fashion, as well as direct trans-apical or trans-atrial access. Direct access has the potentialforvideo-endoscopic valve replacement. In theory, as well as in the experimental setting, valved stents have been implanted in tricuspid and caval position respectively, as well as in pulmonary, mitral and aortic locations. The largest clinical experience has been achieved in pulmonary position whereas current efforts target the aortic position.
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ABSTRACT: To review a single-institution experience with endovascular repair of acute traumatic aortic rupture (ATAR) performed on an emergency basis using intravascular ultrasound (IVUS) exclusively as the navigation tool for stent-graft implantation (no arteriography). Between September 1998 and November 2006, 26 consecutive patients (19 men; mean age 38+/-19 years, range 15 to 83) underwent endovascular repair of ATAR performed by a surgical team using IVUS and fluoroscopy for lesion characterization and stent-graft deployment guidance. Transesophageal echocardiography was routinely used in all patients to visualize the aortic lesion and rule out residual flow after device deployment. Sealing of the aortic tear was evaluated by postoperative contrast-enhanced computed tomography. IVUS revealed an extensive disruption of the tunica intima and media (>180 degrees ) in 46% (12/26) of patients; the disruption was circumferential in 3 cases, with pseudocoarctation. The aortic diameter at the site of rupture measured 24+/-4 mm. Primary technical success was 92% (24/26); 1 persistent but small proximal endoleak and an intraoperative death (4% in-hospital mortality) from abdominal bleeding in an octogenarian accounted for the failures. Procedure-related complications (2, 8%) included the aforementioned endoleak and a minor stroke secondary to cerebral embolization. There was no paraplegia associated with the repairs. Endovascular repair of acute traumatic aortic disruption yields promising results, with high technical success and minimal procedure-related morbidity. IVUS as the primary navigation tool for device implantation allows prompt endovascular setup, instant aortic measurements, and precise visualization of the aortic disruption.
Article: Acceptance and introduction of disruptive technologies - Simple steps to build a fully functional pulmonary valved stent[Show abstract] [Hide abstract]
ABSTRACT: Valved stents are new land for cardiac surgeons even though they are being used more frequently by interventional disciplines. This paper presents simple steps to build a patient-specific pulmonary valved stent and its delivery device. The design concept was tested by random participants at a med-tech meeting. The valved stent is constructed by linking an endoprosthetic graft with a valved-jugular-vein. The delivery device is made from a modified 5-ml syringe. Of 72 participants, 66 (92%) built and 60 participants implanted the device successfully into the targeted pulmonary position via a trans-infundibular access.
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ABSTRACT: Zwischen 1995 und 2005 wuchs die Anzahl der jährlich von uns mit endovaskulären Techniken versorgten Aortenaneurysmen (EVAR) von 0 auf 50, und dies auf allen Stufen der Aorta. Zu unserer Organisation gehören ein breites Team von Chirurgen, ein Lager mit 3kompletten Familien von Endoprothesen (gerade Endoprothesen, konische Endoprothesen, und Bifurkationen), ein mobiler Wagen mit Zubehör (Einführungsbestecke, Führungsdrähte, Katheter, Ballone etc.) und ein Apparat auf Rädern für die intravaskuläre Ultraschalluntersuchung (IVUS). Letzterer erlaubt es zusammen mit einer mobilen Durchleuchtungsanlage (C-Bogen), in jedem Operationssaal unserer Institution endovaskulär Aneurysmen zu analysieren, und dies in der Regel ohne Angiographie bzw. Kontrastmittel. Deshalb sind wir nicht mehr auf eine ausgiebige bildgebende präoperative Abklärung potenzieller Kandidaten für eine endovaskuläre Sanierung von Aneurysmen angewiesen und können rupturierte Aneurysmen der Bauchaorta oder der thorakalen Aorta ohne Verzug behandeln. Bei der endovaskulären Sanierung von Aortenaneurysmen unterscheiden wir zwischen Prozessschritten (Indikationsstellung, Darstellung der Zugangsgefäße, Ausmessen mittels IVUS und Roadmapping mittels Durchleuchtung, Implantatwahl, Implantatinsertion, Positionierung, Implantatabwurf, Erfolgsbeurteilung, Rekonstruktion der Zugangsgefäße und Nachkontrolle) und Kompetenzstufen (Assistent, Oberarzt, Leitender Arzt). Unsere ultraschallgestützte Technik zur endovaskulären Sanierung von Aneurysmen wurde mittels IVUS-Transporter und Telementoring erfolgreich auch anderen Institutionen zur Verfügung gestellt. Between 1995 and 2005, the number of aortic aneurysms treated annually using endovascular techniques (EVAR) increased from 0 to 50, including all aortic stages. Our organization includes a large team of surgeons, a stock of three complete families of endoprostheses (straight, conical and bifurcated), a mobile trolley with accessories (arterial introducer/introducer sheath, guide wire, catheters, balloons, etc.) and an appliance on wheels for intravascular ultrasound examination (IVUS). This appliance, together with a mobile fluoroscopy device (c-arm), allows endovascular aneurysms analysis of every operating room in our institution, usually without angiography or the use of contrast medium. In general, we are therefore not depending on substantial preoperative imaging in order to identify candidates for endovascular aneurysms repair and can treat abdominal and thoracic aortic ruptures without delay. For endovascular aortic aneurysms repair we distinguish between process steps on the one hand (determining indications, imaging of the access vessels, measurement using IVUS and road mapping via fluoroscopy, selection of implant, implant insertion, positioning, setting the implant, determining success, reconstruction of the access vessel and follow-up) and the level of competence on the other (assistant, senior and directing physicians). Our ultrasound supported technique for endovascular aneurysms repair has been successfully brought to other hospitals using an IVUS transporter and telementoring.
Article: Systematic and exclusive use of intravascular ultrasound for endovascular aneurysm repair - The Lausanne experience[Show abstract] [Hide abstract]
ABSTRACT: Five years of experience with endovascular infrarenal aneurysm repair at our institution is reviewed. Implantation of endoprostheses in 88 patients has been performed by surgeons using exclusively intravascular ultrasound (IVUS) and fluoroscopy. IVUS identified the target site of deployment in all cases. In-hospital morbidity was 22% (19/88). Two percent mortality (2/88) and 5% early conversion (4/88) as a consequence of type I endoleaks were noted only in the first 53 patients with early devices (NS). Early endoleaks were present in 36% (32/88) including twenty-two type I, five type II and five type III endoleaks. Proximal endoleaks were associated with early devices (P<0.001), and technical difficulties with deployment. Tube grafts used in the beginning, performed poorly with 54% (7/13) type I endoleaks. Endoleaks diminished to 10% (9/88) by spontaneous closure and secondary endovascular procedures that were necessary in 24% (21/88) and consisted of coil embolization/cuff extension (9), late conversion (6), and limb recanalization or femoral cross-over bypass (6). Endovascular aneurysm repair using IVUS is a valid alternative technique. Improved devices and systematic use of bifurcated endoprostheses for infrarenal aneurysms reduce the occurrence of type I endoleaks.
Article: Telementoring During Endovascular Treatment of Abdominal Aortic Aneurysms: A Prospective Study[Show abstract] [Hide abstract]
ABSTRACT: To explore the use of telementoring for distant teaching and training in endovascular aortic aneurysm repair (EVAR). According to a prospectively designed study protocol, 48 patients underwent EVAR: the first 12 patients (group A) were treated at a secondary care center by an experienced interventionist, who was training the local team; a further 12 patients (group B) were operated by the local team at their secondary center with telementoring by the experienced operator from an adjacent suite; and the last 24 patients (group C) were operated by the local team with remote telementoring support from the experienced interventionist at a tertiary care center. Telementoring was performed using 3 video sources; images were transmitted using 4 ISDN lines. EVAR was performed using intravascular ultrasound and simultaneous fluoroscopy to obtain road mapping of the abdominal aorta and its branches, as well as for identifying the origins of the renal arteries, assessing the aortic neck, and monitoring the attachment of the stent-graft proximally and distally. Average duration of telementoring was 2.1 hours during the first 12 patients (group B) and 1.2 hours for the remaining 24 patients (group C). There was no difference in procedural duration (127+/-59 minutes in group A, 120+/-4 minutes in group B, and 119+/-39 minutes in group C; p=0.94) or the mean time spent in the ICU (26+/-15 hours in group A, 22+/-2 hours in group B, and 22+/-11 hours for group C; p=0.95). The length of hospital stay (11+/-4 days in group A, 9+/-4 days in group B, and 7+/-1 days in group C; p=0.002) was significantly different only for group C versus A (p=0.002). Only 1 (8.3%) patient (in group A: EVAR performed by the experienced operator) required conversion to open surgery because of iliac artery rupture. This was the only conversion (and the only death) in the entire study group (1/12 in group A versus 0/36 in groups B + C, p=0.31). Telementoring for EVAR is feasible and shows promising results. It may serve as a model for development of similar projects for teaching other invasive procedures in cardiovascular medicine.
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ABSTRACT: The advent of stents has profoundly changed percutaneous transluminal coronary angioplasty (PTCA), peripheral transluminal artery angioplasty (PTA), and treatment strategies of numerous other problems. Similar developments can be observed for stent applications in peripheral vascular lesions, cerebro-vascular disease, and many other fields. With the advent of covered stent-grafts, aneurysm surgery, has been put up for competitive treatment approaches. Such new approaches are perceived as less invasive, and draw significant attention. Endovsacular aneurysm repair (EVAR) is here to stay. In addition new developments are coming in many ways and stent derived devices can by now be found everywhere in the cardio-vascular system. This includes stenosed vessels, aneurysmal vessels, diseased valves, all sorts of congenital heart defects, and even cardiopulmonary bypass. The key technologies and know-how for EVAR are available or can be made available in most cardio-vascular surgical units. Special interest in this field (clinical and/or experimental) can enhance recruitment of patients. The opposite is also true...
- [Show abstract] [Hide abstract]
ABSTRACT: Determine the usefulness of endovascular surgery for repair of aortic lesions late after open surgical repair. A retrospective analysis of our databank (Patient Analysis and Tracking System, Dendrite, UK) for 2000-2002 showed 286 descending thoracic and/or abdominal aortic aneurysms: 60/286 (21%) descending thoracic, and 255/286 abdominal (89%). Endovascular surgery was planned in 98 patients (17/60 (28%) for thoracic lesions, and 81/255 (32%) for abdominal lesions). 13/98 patients (13%) underwent endovascular surgery late after failed open aortic repair: 4/13 at the level of distal aortic arch (3/4 for false aneurysms post-coarctation repair), 4/13 at the level of the descending thoracic aorta (3/4 for false aneurysms proximal to the previous graft), and 5/13 at the level of the infrarenal abdominal aorta (4/5 for false aneurysms proximal to the previous graft). Endovascular surgery included per procedural target site identification (previous graft) with intravascular ultrasound (IVUS) under fluoroscopic control (no angiographies), controlled hypotension (partial inflow occlusion with a right atrial balloon introduced through a femoral vein) for unloading of covered endoprostheses in the thoracic aorta, as well as in situ introducer sheath dilatation in case of complex access to the aorta. There were no hospital deaths and no parapareses or paraplegias in this small series of patients who underwent endovascular surgery for aneurismal lesions occurring late after open repair. An endoleak type I was documented in 2/13 patients (15%) requiring a proximal extension in 1 patient. For the second patient with a minor endoleak, a control examination is planned at 6 months of follow-up. Endovascular surgery is an elegant approach for repair of recurring aortic lesions late after open aortic surgery. IVUS is a precious instrument for per procedural identification of the previous implants. However, long-term follow-up is mandatory after endovascular surgery.
Top Journals
University Hospital of Lausanne
Lausanne, Vaud, Switzerland
- Service de chirurgie cardio-vasculaire (CCV)
Cantonal Hospital of SchwyzSchwyz, Schwyz, Switzerland
Schulthess Klinik, ZürichZürich, Zurich, Switzerland
Pathologie Institut EngeZürich, Zurich, Switzerland


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The EDGE database, produced by Information Edge, is a bibliographic database that indexes and abstracts articles that provide international coverage on management, environmental, packaging and building topics. Subject coverage: Strategic and financial management techniques; human resources; Asian economies; energy efficiency; recycling; packaging trends and methods for glass, plastic, metal and paper; and building products and trends. Packaging issues for end use markets such as food and beverages are also included.
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Fashion Blogs UK Top 20
Last Updated 18/02/2015.
- Style Bubble
- Red Carpet Fashion Awards
- Face Hunter
- Disneyrollergirl
- Fifi Lapin
- Fashion Foie Gras
- 5 inch and up
- Menswear Style
- Lily Melrose
- Wish Wish Wish
- Coco's Tea Party
- Mademoiselle Robot
- Five Five Fabulous
- The Fashion Police
- Idle Lane
- La Petite Anglaise
- Retro Chick
- Clothes Make the Man
- At Fashion Forte
- Vanessa Jackman
Check out more Fashion content, including interviews with fashion bloggers and journalists, on the Vuelio Blog.
The fundamentals of working with bloggers are the same as with traditional journalists at traditional media outlets: respect their schedules; take time to read their material to learn their interests; and only contact them if/when they want to be contacted.
Vuelio's blog ranking methodology takes into consideration social sharing, topic-related content and post frequency. Profiles of these Fashion Blogs and their authors can be found in the Vuelio Media Database.
Through Vuelio's Social Media Index, you can find the UK's top blogs in a variety of sectors including beauty, travel, interior design and many more. Whether you are a blogger, PR professional or journalist, Vuelio's Social Media Index provides an accurate chart for your professional or personal interest.
Picture courtesy of Luciano Consolini on Flickr.
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Death is a consequence of sin. It is a sleep in which man finds himself waiting for the judgment of God . People who die are sleeping. They know nothing. Their love, their hatred, their... More > envy disappear. The first death places man in situation where he waits for the judgment. The second death is definitive. It happens to wipe away forever the evil of the creation. The second death will happen after the judgment.< Less
The True Story About Death
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The book tells true stories about death suicide suffering pain and other issues
Thoughts about Yoga, Life and Death
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Though the title of this book is: "Thoughts about Yoga, Life and Death" It probably should have been: "My thoughts about Yoga, Life and Death" We all have our own... More > conceptions about these things. Nobody is really right or wrong. We appear on earth not knowing from where we come and where we are going. Life is like an endless ocean with rising and falling waves. Big waves and small waves, dangerous waves and harmless waves. They appear and they vanish and unite again with the totality of water. Whatever we believe or not believe, this should be our direction: To live our life with honesty, courage and love.< Less
All about death, living, and more
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from "The Existential Series", excerpts regarding the essence (not substance) of existence. Death as the completion, not loss of, life. Life as the interim of physical containment of the... More > spiritual or cosmic. Also creativity as separate from inheritance, and human sexuality as unique from all others of life's diverse forms, even sexual dynamics.< Less
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The Sudden Death Of Michael Jackson: The Medical Facts About The Causes Of Death
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Michael Jackson died with six different drugs in his body. He used multiple drugs to treat anxiety and insomnia. Several drugs he took contributed to his cardiac arrest. Three drugs he used are... More > treatments for alcohol withdrawal. One drug he took has been abused by hospital personnel and patients. He even recorded a song about a drug he used. Get the medical facts about how years of prescription drug abuse ended in the sudden death of Michael Jackson. Includes medical journal references.< Less
Life after Death? Talk about it!
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This is a discussion document for schools - 16+mainly - about what happens after death. This is not a subject which teachers like to talk about much, but it is one that needs airing. It tries to be... More > compassionate and sensitive, remembering that some will have faced the death of a loved one, while others will not. It does not peddle a line, but gives each point of view a fair chance to speak. Containing relevant texts, discussion and suggestions for Assemblies and for Debates and Essays, it is a must for the best teachers. But not for wimps!< Less
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A strange thing happened at the tomb of Lazarus when he died for the last time. Amidst the cast of characters who have come to Bethany to join his funeral procession, are two mysterious figures... More > whose notoriety is as big as that of Lazarus. One is now the adult daughter of Jairus a ruler of a synagogue in Capernaum; the other is the son of the now deceased widow of Nain. The three have never exchanged a word, but they are united by the odd circumstance that they were all brought back from the dead by Jesus of Nazareth. These surviving two, however, have come to the tomb of Lazarus for a purpose other than just his burial. One holds a secret about the burial shroud of Lazarus. The other holds a secret about the burial shroud of Jesus. In the end, all involved will discover that the value of grave clothes is not just in the cloth. All of the town of Bethany, including the Sanhedrin, is caught in the intrigue of the thorny rumors surrounding the demise of Lazarus.< Less
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John Carpenter
34 Things We Learned from John Carpenter's Prince of Darkness Commentary
- By Rob Hunter
- @FakeRobHunter
- January 20, 2016
John Carpenter celebrated his 68th birthday a few days ago, so it felt like a no-brainer that I should cover one of his films this week. We here at FSR are big Carpenter fans and have already covered several of his films on Commentary Commentary — Halloween, The Fog, Escape from...
33 Things We Learned From John Carpenter's and Roddy Piper's They Live Commentary
- By Rob Hunter
- @FakeRobHunter
- August 12, 2015
"I kept the glasses, and I take them to every Hooters I can. No, no, no, I'm a grandfather. Just teasing." - Roddy Piper...
Dwayne Johnson to Star in Big Trouble in Little China Remake
- By Christopher Campbell
- @thefilmcynic
- June 1, 2015
Another John Carpenter movie is being recycled...
Junkfood Cinema: Snake's Alive!
- By Brian Salisbury
- May 27, 2015
Start spreadin' the news! We're beaming today! You'll want to be a part of this... Escape from New York!...
Junkfood Cinema: From The Mouths of Madness
- By Brian Salisbury
- October 14, 2014
Cargill and I once again stare into the illimitable carrion pit of underappreciated 90s horror, and what spills upward is our immutable shared affection for Madness. That is to say, John Carptenter's In The Mouth of Madness. We discuss the film's various narrative layers, its place among H.P. Lovecraft adaptations,...
Scream Factory Delivers Retro Thrills With 'Assault on Precinct 13' and 'Night of the Comet'
- By Rob Hunter
- @FakeRobHunter
- November 19, 2013
Most home video releases are mass produced and marketed by faceless conglomerates interested only in separating you from your hard-earned cash. If you look closely though you'll find smaller labels who love movies as much as you do and show it by delivering quality Blu-rays and DVDs of beloved films...
6 Scenes We Love From 'They Live'
- By Christopher Campbell
- @thefilmcynic
- November 3, 2013
When John Carpenter's They Live opened in theaters 25 years ago this week, it had the honor of knocking Halloween 4: The Return of Michael Myers out of the #1 slot. That's just too perfect, and also it's also kind of weird to realize that They Live indeed opened at...
19 Things We Learned from 'The Fog' Commentary
- By Kevin Carr
- @kevincarr
- October 31, 2013
It's Halloween, which means it's the last day you can obsessively watch scary movies until tomorrow and the day after that. Obviously, one of the greatest Halloween films of all time is John Carpenter's seminal slasher named after the holiday. As a follow-up, Carpenter eked together another small budget classic...
By now, you've likely seen the article atYahoo Movies about ten college-aged kids who were shown John Carpenter's Halloween for the first time to see if the film was still scary 35 years after it was released. The results would make a true horror movie fan weep: this group found...
Horror Science: Could We Ever Truly Contain 'The Thing'?
- By Kevin Carr
- @kevincarr
- October 17, 2013
One of the greatest genre movies ever made is John Carpenter's 1982 classic The Thing. Though technically a remake of Howard Hawks' 1951 The Thing From Another World, it is a much more faithful adaptation of John W. Campbell's 1938 novella "Who Goes There?". The story follows a group of...
31 Things We Learned From the 'Escape From New York' Commentary
- By Jeremy Kirk
- November 15, 2012
It's time to round out this trifecta. We've already covered John Carpenter and Kurt Russell talking about their collaborations on The Thing and Big Trouble in Little China, and today it's Snake Plissken's turn. As with the other collaborations – Elvis and Escape From L.A. don't count, since Carpenter and...
Disc Spotlight: John Carpenter's 'They Live' Deserves to Occupy a Spot on Your Blu-ray Shelf
- By Rob Hunter
- @FakeRobHunter
- November 7, 2012
John Carpenter burst onto the genre scene in 1978 with Halloween, but the bulk of his great films came in the 1980s with classics like The Fog, Escape from New York, The Thing, Starman, Big Trouble in Little China and Prince of Darkness. His final film of the decade was...
31 Days of Horror: The Fog (1980)
- By Rob Hunter
- @FakeRobHunter
- October 30, 2012
They said it couldn't be done. A fifth year of 31 Days of Horror? 31 more terror, gore and shower scene-filled movies worth highlighting? But Rejects always say die and never back away from a challenge, so we've rounded up the horror fans among us and put together another month's...
6 Filmmaking Tips From John Carpenter
- By Scott Beggs
- @scottmbeggs
- October 17, 2012
A true master of horror, it's no surprise that John Carpenter's work has shown up in our series where horror filmmakers discuss their favorite scary movies (and, spoiler alert, he'll show up again next week). His figure looms large inside and beyond the genre, gifting classics like Halloween, Escape From New York...
'Sinister' Writer C. Robert Cargill's Favorite Scary Movie
- By Scott Beggs
- @scottmbeggs
- October 11, 2012
All throughout October, we'll be hearing from horror filmmakers about their favorite scary movies. We've already heard from Joe Dante on The Exorcist, so we turn now to a newcomer on the horror scene. C. Robert Cargill (who some may know as Massawyrm from years of writing at Aint It Cool)...
John Carpenter's 'Halloween' Hits Theaters Again This October
- By Scott Beggs
- @scottmbeggs
- September 18, 2012
According to Digital Spy, October 25th will be the night he came home…again. John Carpenter's Halloween is the next classic to get the re-release treatment. The immortal horror flick will see big screens along with Justin Beahm's short documentary You Can't Kill the Boogeyman: 35 Years of Halloween. Fortunately, it's...
Movie News After Dark: Zero Dark Awesome, Bicycle Movies, Breaking Buds and An R-Rated Book Trailer
- By Neil Miller
- @rejects
- August 23, 2012
What is Movie News After Dark? It's a nightly column about movies that is comin' at ya, like an adrenaline-crazed bike messenger doing 50 down Broadway… We begin this evening with a new image from Zero Dark Thirty featuring some rough and tumble types who are about to go in and...
Comic-Con 2012: Swag Bag Volume 2! They Still Sell Books With Pictures at This Convention!
- By Robert Fure
- @RobertFure
- July 14, 2012
All the cool kids who are too cool for Comic-Con and all about trying to be cool by saying how not cool Comic-Con has become try to be cool by going to the cool comic area and buying cool things. Cool, right? But seriously, I always like to put the...
Shout! Factory Shows Even More Love to Horror Fans With the Announcement of Scream Factory
- By Rob Hunter
- @FakeRobHunter
- June 1, 2012
There are a handful of kick-ass specialty labels out there who make a habit of bringing beloved genre classics (and sometimes not-so-classic classics) back to life on Blu-ray and DVD with releases that show real TLC for the films and the fans. Arrow Video, Blue Underground and Synapse are a...
Weekly DVD Drinking Game: The Thing (2011)
- By Kevin Carr
- @kevincarr
- January 31, 2012
The rumored-about, questioned and criticized prequel to John Carpenter's classic 1982 horror flick The Thing has come and gone. Now, it's coming again, this week to DVD and Blu-ray. The flick tells the story behind the Norwegian outpost in Antarctica, chronicling the first people to dig the Thing out of...


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Monster Hunter
Kirin cosplay
Kirin cosplay
where did u take this picture?
I am enjoying the 7 pronged blade, reminds me of the Seven Strike Glaive from the video game Okami.
Excellent cosplay!
Excellent cosplay!
Epic photo cosplay ^_^, i'm gonna be buying me some Wii U monster hunter next.
Awwww!!! ! Soooo pretty@#@!@!
I really love seeing you in your Kirin Cosplay. You look beautiful and I like the pose. The background gives off the atmosphere that you are on the hunt in a Monster Hunter local.
somehow makes you want to be a monster
Great cosplay
Really nice, the costume, the model & the background
This is awesome Great costume and great looking location!


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|Perl Monk, Perl Meditation
Re: Avoiding silly programming mistakesby bruno (Friar)
|on Aug 20, 2008 at 14:04 UTC ( #705516=note: print w/ replies, xml )
|Need Help??
Being a beginner myself, I know what you mean. I am unable to write two statements in a row without making one mistake.
The best way that I found to come around this is by writing code in small chunks and testing them in isolation.
Of course there is also the case that other bugs arise when this "code chunks" interact poorly, but most of the "d'oh" mistakes become evident earlier this way.
In Section Seekers of Perl Wisdom


text:
Receive your 4th night free when you travel between 1/18/16 - 4/16/16. Promotion is blacked out 2/11/16 -2/20/16 and 3/6/16 - 3/31/16.
Minimum night stay requirements and other restrictions may apply. Properties displayed on this site are subject to availability at time of purchase. Valid on new reservations only. Promotion cannot be combined with any other offer.
Receive your 6th night free when you travel between 2/11/16 - 2/20/16.
Receive your 7th night free when you travel between 3/6/16 - 3/31/16.
The Meadows Townhomes in The Highlands area of Beaver Creek offers an ideal location, just above the ski lifts and a short five to 10 minute walk to the shops and restaurants of Beaver Creek village. Families and larger groups will appreciate the extra privacy of multi-level floor plans. The distance to slope access varies with each home. Meadows Townhomes offer a good value in a great on-mountain location.
Spectacular views of the entire front side of Beaver Creek mountain will make you think twice about leaving the comfortable great room of this multi-level townhome. Down the stairs on the entry level is the master suite, with a king-sized bed and en suite bathroom. On the lowest level of the home, two more bedrooms offer guests two twin-sized beds with en suite bath and two more twin beds. This room shares a bathroom on the hallway with the den, a cozy room perfect for snuggling up on the sectional to watch a movie on the flat-screen TV. The den has a captains bunk - a twin bed over a queen bed. The remodeled kitchen is open to the dining room and living room, featuring tasteful mountain décor, vaulted ceilings and a large wood-burning fireplace. Ski-in on the Meadows skiway, then head down the stairs to the parking area adjacent to your residence. Meadows Townhome guests enjoy year-round access to the outdoor pool and hot tubs at the Highlands Lodge, the outdoor pool, hot tubs and fitness center at the Allegria Spa at the Park Hyatt, and other East West Resorts amenities.
Photos are representative of the property and may differ from the actual unit that is reserved.
For more detailed information about the amenities for this property please call one of our
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I hope it will takes a few months more the x3 comes out, or I'm angry that I paid 119,99$ instead of 50$.
I hope it will takes a few months more the x3 comes out, or I'm angry that I paid 119,99$ instead of 50$.
Available on 10th pre-ordering for x3JailBreak.
3rd is for 100 Sample production.
LS = X3 jailbreak
On their news , they said : "our dongle made in LogicS" They use the sample send by psbj to clone it. They didnt test any homebrew or other, all they want is make money on something they copy.
It's normal to sell a dongle 50$ when you just copy the orginal , cause you don't work on it ! All the time spent was for copy the µ and the pcb , the rest you can find a lot of company will make it for 15 $ max.
Here is the sentence maybe you translate..
"Voilà quelques photos du dongle, made in Logic-sunrise, une review arrive par la suite :"
Here is some pictures of the dongle, made in Logic-sunrise
He is talking of the pictures not the dongle..
But maybe we can ask a whois for both website...
Hmm.. Interesting.. Anybody can answer me for this question ? - If i backup game to external hdd, can I download it to other hdd via PC to play on another PS3? or for example if somebody upload the backup of the game to the internet, can i download it to my hdd and play?
Yes, it has been said many times.
well personally i'm pretty convinced that the x3 WILL be real, just not yet. if the psjb team have had problems with component shortages then so should the cloners as the psjb came first and had to be reversed in order to clone, the x3 manufacture should be at least a week behind psjb.
if it were ready im sure they would have released proof just to try and get people top cancel their pre-orders for psjb in favour of these lower prices. these pictures just confirm that the process of cloning has been started in my opinion.
will be interesting to see the competition though!
some guys from LS have PSJ dongle, 100% then LS is behind x3JailBreak. money call money... and make money is not hacking...
but be patient, x3 will be reversing when he will available
well it was mentioned yesterday by psjailbreak comment that the delays were in no way caused by componnet shortages, afterall the components are very common and simple.
i'm sure x3jailbreak guys are busy cloning the device, rather than waiting for components to arrive.
yep "hard" cloning, or busy to add some µ security to the x3JB.
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PS3 MFW (Modified Firmware)
• PS3 CFW Creator / PS3MFW UI
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text:
- Aug 25:
- Norway killer found sane, gets 21-year sentence
- May 12:
- Iraqi man throws shoe at defendant in Norway rampage
- Aug 21:
- Norway massacre survivors return to island
- Aug 5:
- Norway massacre forces new look at security in Europe
- Aug 1:
- Norwegian killer likely not insane, psychiatrist says
- Jul 31:
- Norway suspect also considered other targets
- Jul 28:
- Founder of anti-Muslim group denies link to Norway attacks
- Jul 27:
- Picture of Norway terror victims begins to emerge
- Jul 26:
- Norway seeks to keep peace amid homegrown terror
- Culprit in Norway rampage talks of two cells of collaborators ready to kill others
- Lawyer in McVeigh case says Norway's horror similar to Oklahoma City's
- Columbine families see pain, anger, second-guessing for Norway kin
- Jul 25:
- Mosques boost security in wake of Norway massacre
OSLO, norway — Norwegians who lost loved ones on Utoya island relived the horror Friday as Anders Behring Breivik described in harrowing detail how he gunned down teenagers as they fled in panic or froze before him, paralyzed with fear.
Survivors and victims' relatives hugged and sobbed, trying to comfort one another during the graphic testimony.
"I'm going back to my hometown tonight. My husband, he's going to drive me out to the sea, and I'm going to take a walk there and I'm going to scream my head off," said Christin Bjelland, whose teenage son survived the attack.
Breivik's attorneys had warned their client's testimony would be difficult to hear. Still, the shock was palpable in the 200-seat courtroom as the self-styled anti-Islamic militant rolled out his account, without any sign of emotion.
Breivik has confessed to the July 22 bombing-and-shooting rampage that killed 77 people — 69 on Utoya and eight in Oslo. But he rejects criminal guilt, saying the victims had betrayed Norway by embracing "Islamic colonization."
Breivik spoke calmly about the shooting rampage, beginning with a ferry ride to the island, where the governing Labor Party holds its annual summer youth camp. He was disguised as a police officer, carrying a rifle and a handgun. He also brought drinking water because he knew he would become parched from the stress of killing people.
Breivik's first victims were Monica Boesei, a camp organizer, and Trond Bentsen, an off-duty police officer and camp security guard.
"My whole body tried to revolt when I took the weapon in my hand," Breivik said. "There were 100 voices in may head saying 'Don't do it, don't do it.' "
Nonetheless, he pointed his gun at Berntsen's head and pulled the trigger. He shot Boesei as she tried to run away. Then as they lay on the ground, he shot them both twice in the head.
Breivik said the first shots pushed him into a "fight-and-flight" mode that made it easier to continue killing.
Some teenagers were frozen in panic, unable to move even when Breivik ran out of ammunition. He changed clips. They didn't move. He shot them in the head.
"They cannot run. They stand totally still. This is something they never show on TV," Breivik said. "It was very strange."
The main goal of the trial, now in its fifth day, is to determine whether Breivik was sane or insane — two medical evaluations have come to opposite conclusions.


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35 years of experience
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I may have waited for Dr. Barson for fifteen minutes or more, which I didn't appreciate... But once in the room he spent a lot of time discussing anything I had questions about. He does great work and I am happy with my results... Even if I did have to wait and wait and wait for him!
He's a liar!He makes excuses for his negligence!No skill.No bedside manor.Thinks all women are the same.Changes what he says.Claims no stitches.I needed stitches he DID NOT PULL THE SKIN TOGETHER!My SCARS are 1/2" x1/2"!When confronted he said"yeah, those are always gnarly."He is NEGLIGENT!When I went back for the follow up HE RIPPED OFF MY SCABS!He said I had 1,000 cc,plenty for what I wanted.I did not have enough fat!He did not tell me!He was really rough and jabbing.He did not numb the side of my stomach.It Burned!He lit the towel on fire with the laser!He prescribed a penn. based antibiotic when I'm allergic to penn. He did not answer his phone that night.I almost died!Breasts are not bigger!Still lopsided bad!Still empty!HE ONLY TRAINED 3 DAYS with inventor!BEWARE!They talk a good game and don't deliver!Says my stomach may have PERMANENT unevenness even though I did everything i was told to.I'm still waring the same bra as b4 procedure!GO SOMEWHERE else!!!He makes excuses!RUNAWAY! Good reviews are only from his staff who are allegiant to him. NOT WORTH the MONEY or TIME or PAIN!
I'm not good at writing things, but I wnted to say how much I love what Dr. Barson did for me. He's helped me to look how I did when i was younger. I am happy now with such good confidence. He is a good man, and a very smart man and knows so much about so many things. I give him 10 stars instead of five. His staf is all nice young ladies and go out of their way to make you feel special and good. The whole place is just a wonderful treat. God Bless Dr. Barson. ~from thankful in Syracuse Utah
All I can say is that he made me look 20 years younger, and it changed my life for the BETTER. I would recommend anyone to go there! :)
Dr. Barson did liposmoothing on my neck and jowels several months ago and did just amazing work! I loved the results so much that I tell people about him all the time, and my older sister just had hers done about a month ago. She had gone to a plastic surgeon in south Ogden for lipo a few years ago and the other doctor really messed up her abdomen and made it look like a mess. So when she had this done Dr. Barson basically fixed the bad job she had done by the plastic surgeon and now it looks so very much better!! I would recommend Dr. Barson to everyone! I now want to get all my other body parts done!! lol!
He is not a real plastic surgeon, he's not even a cosmetic surgeon, he is ONLY board certified in "aerospace preventative medicine", so. So, unless you are seeing him for aerospace preventative medicine, best be cautious.


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Weird meal
3 people found the following review helpful
Posted by 5077021653711459826 on Aug 06, 2013
The taste was surprisingly neutral and basically ok. The texture was funky and slimy, kind of disgusting actually, however it was rather easy to consume and due to ok taste this product is better than similar products I have tasted.
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Written on: 20/11/2012 by ConnieDe (1 review written)
I got this for Christmas 22 years ago and other than a little rust inside where the turntable turns--it still works as good as it did when I bought it.
Written on: 16/01/2013
Your review would have been far more useful, Constance had you given us some indication of how much use it gets.
Whatever, glad to hear it's given such splendid service and don't worry about the rust as long as it's not eaten through the metal - that's the time to bin it!
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2 Boys Charged In Medford, L.I. Pizza Deliveryman RobberyPolice in Suffolk County have arrested two boys in the robbery of a pizza deliveryman in Medford late Friday.
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Man Accused In Medford Woman's Death Pleads Not Guilty To Upgraded Murder ChargesDante Taylor, 19, of Mastic pleaded not guilty to first-degree murder Thursday in court in Riverhead. He was originally charged with second-degree murder.
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Woman's Body Found Near L.I. Site Where Missing Mom's Car Was SpottedAn unidentified woman's body was found in a wooded area on Long Island Thursday evening, close to the scene where a missing 21-year-old mother's car was spotted this past weekend.


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SSPE: Managing security policies for multiple firewalls
The Simple Security Policy Editor (SSPE) helps you organize your network and keep track of security policies across multiple firewalls. You can reference a central policy to generate rulesets for packet filters and VPN gateways.
Many networks require multiple firewalls. Firewalls guard the Internet gateway, separate the departments within an enterprise, and help to connect remote sites through VPN technology. In this scenario, it helps to have a central tool for managing firewall security policies. The pioneer in this field was the Checkpoint Firewall-1 GUI [3]. But this commercial package tends to be overcomplicated, with an overabundance of features – not all of them useful – adding to the tool's complexity. The free Simple Security Policy Editor (SSPE) [1] is far leaner. SSPE is basically a collection of shell and Perl scripts that help admins manage a distributed firewall environment.
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Google Announces End to Flash Ad Support
Upcoming switch to HTML5-only ads is further evidence the Flash is entering its final days.
President Obama Launches New Cyber-Security Initiative
US government invests $19 billion on enhancing security and replacing ancient computer systems.
Linux Foundation Eliminates Individual Membership
But you can still be a non-voting "individual supporter" if you pay the money
Secret Backdoor Affects More Fortinet Firewalls
Several current systems could fall victim to the attack
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Latest Linux engine comes with better graphics and support for Intel's new power-saving chips.
Mass Poem Greets Web Admins
Hackers send a message of beauty and liberation to server logs
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Citrix gets excited about new Pi-Powered XenDesktop client system
Microsoft Offers Linux Certification
Linux on Azure cert heralds a new era for Redmond.
CeBIT 2016: Call for Open Source Contributions
Proposals for presentations at the CeBIT Open Source Forum will be accepted through 24 January 2016.
Gone in a Flash
Adobe looks for a new start; renames its embattled Flash tool.


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This is the second time I've made this jam using berries I bought from a neighbor who calls them Columbia Berries. Growing up in west central NY state, black raspberries were simply known as "purpleberries". The jam turned out great. I was afraid the lemon juice would alter the berry flavor but it didn't. I did press half of the berries through a fine mesh sieve to remove some seeds. Oddly enough, I only needed 1-1/2 quarts (3 pints) of berries to get the 3-1/2 cups crushed for the recipe, not the 2-1/2 quarts that the recipe suggests would be needed (the pints were brimming full however). Try this recipe and I'm sure you won't be disappointed.


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Ain't just genestealers here by MourkhaynWatch
©2012-2016 Mourkhayn
Just your regular firefight inside a Space Hulk.
WOW, you must hear it a lot but great shading xD
Thanks a lot (and for the fav... and for the watch )!! It's actually the first time I take some (well... lots of!) time to blend the shading with a Q-tip. It's a huge improvement on the final result.
Amazing job shading and creating perspective! Lovely work


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Publications (3)23.82 Total impact
Article: The mTORC1/S6K1 Pathway Regulates Glutamine Metabolism through the elF4B-Dependent Control of c-Myc Translation[Show abstract] [Hide abstract]
ABSTRACT: Growth-promoting signaling molecules, including the mammalian target of rapamycin complex 1 (mTORC1), drive the metabolic reprogramming of cancer cells required to support their biosynthetic needs for rapid growth and proliferation [1]. Glutamine is catabolyzed to α-ketoglutarate (αKG), a tricarboxylic acid (TCA) cycle intermediate, through two deamination reactions, the first requiring glutaminase (GLS) to generate glutamate and the second occurring via glutamate dehydrogenase (GDH) or transaminases [2]. Activation of the mTORC1 pathway has been shown previously to promote the anaplerotic entry of glutamine to the TCA cycle via GDH. Moreover, mTORC1 activation also stimulates the uptake of glutamine, but the mechanism is unknown [3]. It is generally thought that rates of glutamine utilization are limited by mitochondrial uptake via GLS, suggesting that, in addition to GDH, mTORC1 could regulate GLS. Here we demonstrate that mTORC1 positively regulates GLS and glutamine flux through this enzyme. We show that mTORC1 controls GLS levels through the S6K1-dependent regulation of c-Myc (Myc). Molecularly, S6K1 enhances Myc translation efficiency by modulating the phosphorylation of eukaryotic initiation factor eIF4B, which is critical to unwind its structured 5' untranslated region (5'UTR). Finally, our data show that the pharmacological inhibition of GLS is a promising target in pancreatic cancers expressing low levels of PTEN.
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ABSTRACT: Lymphangioleiomyomatosis (LAM) is a destructive lung disease of women associated with the metastasis of tuberin-null cells with hyperactive mammalian target of rapamycin complex 1 (mTORC1) activity. Clinical trials with the mTORC1 inhibitor rapamycin have revealed partial efficacy but are not curative. Pregnancy appears to exacerbate LAM, suggesting that estrogen (E2) may play a role in the unique features of LAM. Using a LAM patient-derived cell line (bearing biallelic Tuberin inactivation), we demonstrate that E2 stimulates a robust and biphasic activation of ERK2 and transcription of the late response-gene Fra1 associated with epithelial-to-mesenchymal transition. In a carefully orchestrated collaboration, activated mTORC1/S6K1 signaling enhances the efficiency of Fra1 translation of Fra1 mRNA transcribed by the E2-ERK2 pathway, through the phosphorylation of the S6K1-dependent eukaryotic translation initiation factor 4B. Our results indicate that targeting the E2-ERK pathway in combination with the mTORC1 pathway may be an effective combination therapy for LAM.
Article: Down-regulation of CMTM8 Induces Epithelial-to-Mesenchymal Transition-like Changes via c-MET/Extracellular Signal-regulated Kinase (ERK) Signaling[Show abstract] [Hide abstract]
ABSTRACT: The acquisition of an invasive phenotype is a critical turning point for malignant tumor cells. CMTM8, a potential tumor suppressor, is frequently down-regulated in solid tumors, and its overexpression induces tumor cell apoptosis. Here, we identify a new role for CMTM8 in regulating tumor cell migration. Reducing CMTM8 expression in HepG2 hepatocellular carcinoma cells results in the acquisition of epithelial-to-mesenchymal transition (EMT) features, including a morphological change from organized epithelial sheets to scattered fibroblast-like shapes, reduction of the epithelial marker E-cadherin, and an increased invasive and migratory ability. These phenotypic changes are mediated in large part by the ERK-MAPK pathway, as the MEK inhibitor U0126 and shRNA-mediated knockdown of ERK2 significantly reversed these phenotypes. Hepatocyte growth factor binding to the c-MET receptor is known to induce EMT in HepG2 cells. We found that CMTM8 knockdown in HepG2 cells induced c-MET signaling and ERK activation. Inhibition of c-MET signaling with the small molecule inhibitor SU11274 or c-MET RNAi blocked the EMT-like changes following CMTM8 knockdown. CMTM8 overexpression in HepG2 cells inhibited hepatocyte growth factor-induced EMT-like morphological changes and cell motility. Down-regulation of CMTM8 also promoted an EMT-like change in MCF-10A cells, indicating a broader role for CMTM8 in regulating cellular transformation.
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Weill Cornell Medical College
New York, New York, United States
- Department of Pharmacology
Harvard University
Cambridge, Massachusetts, United States
- Department of Molecular and Cell Biology


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2 Samuel 19:13New International Version (NIV)
13 And say to Amasa, 'Are you not my own flesh and blood? May God deal with me, be it ever so severely, if you are not the commander of my army for life in place of Joab.'"
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The latest news and views about music in Milwaukee and beyond
Video: RadioMilwaukee opens new studios and offices
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What video
Oh sweet. Now I can go watch the woman doing the "newscast" not be able to get through a sentence without a flub
The other guy in the morning is fine. Jordan. He is fine...he is likable, doesn't screw up....hits his ramps, etc...but her...she is atrocious. "Kaleo" has dead air every now and then, but, he is the most talented one there. That Bri O'Brien girl was annoying too.....I bet she would complain and be depressed after winning the lottery....but, at least knew how to read.
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|#1 (permalink)
Jr. Cat
Join Date: Sep 2010
Posts: 78
How to stop kitten from jumping everywhere she shouldn't?
My kitten keeps jumping everywhere she shouldn't.
One time she tried jumping on my computer table but there were DVD cases where her legs made contact. Her legs slipped on them and she fall back down to the ground.
Her favorite thing to do is jump onto the kitchen counter and then play in the sink. I have put her back on the ground a million times, but she just jumps up there again.
A couple of times I tried putting her in her crate immediately after she went in the sink. Then she meowed and tried to bash into the crate to escape, and stuck her paws through the bars in the front.
When I let her out, she started purring right away and brushing into me. Then she went and jumped in the kitchen sink again shortly afterward. It seems like she doesn't associate going in the crate as a consequence of going in the sink?
What should I do to get her to stop going in the sink?
One of her goals for going in the sink and on the kitchen counter is to get the pieces of green nylon scouring pads which I use to clean dishes. I've had to remove those from sight so she doesn't eat them, but it would be even better if there was a way to make her stop being interested in them.
|#2 (permalink)
Premier Cat
Join Date: Nov 2006
Location: Monroe, GA
Posts: 15,449
There is no way to train a cat regarding action = consequences.
To keep kitty and belongings safe:
...keep things picked up for no access.
...do not leave things out that tempt her to these places.
If you want to leave those types of things out, all you can do is make them unpalatable so *she* learns immediately, herself, whether you are there or not. Squirt them with something like "Bitter Apple" or "Stop Chew". Be aware those nasty-tasting flavors will now be on the scrubbie and putting that nasty flavor all over whatever you're washing. Generally, it is just best to keep them put away.
I gave up on keeping cats off tables and counters. Now I use an anti-bacterial wipe on all food-prep and food-serving areas just prior to prepping and serving. All our kitties know to "Get down!" or "Stop!" if I see them on a surface or thinking about jumping onto a surface. These commands are ONLY EFFECTIVE when I am there to give and enforce them. You don't know what the pet is doing when you aren't home or aren't watching ... so I don't worry about it and use wipes every time.
Consistency and repetition are what 'trains' cats. And even then ... the cats still see them more as 'suggestions' instead of 'rules'. If we want pets in our lives it is US who must adjust. Sure, that doesn't seem very fair that *we* have to make allowances for an animal ... but since *we* are the ones with the ability to reason, that means WE understand what/why we make changes. Our pets can not, so we allow them to live as they are with few modifications to their natural behaviors so we can enjoy them close to us.
heidi =^..^=
|#3 (permalink)
Cat Addict
Join Date: May 2010
Location: Utah - USA
Posts: 1,553
I squirt my cats with water (water ONLY), when I see them getting into stuff they shouldn't. After a while, they know they're in trouble if they even see me reaching for the squirt bottle.
But Heidi's right, I'm sure they get into stuff when we're gone.
If you don't want to contaminate your cleaning materials with bitter stuff for the cats, try putting double-sided tape along the counter (or around anywhere you don't want kitty). They don't like the feeling of their paws on that stuff. You'll probably have to change it ever so often to keep it sticky. On the floor (such as around a book case or hutch, etc.) put tin foil around it. Most cats don't like that either... but some do! Or try those carpet runners that have cleats, and put them upside down. Just try different things until you find something your kitty would rather not deal with to get to her temptations.
|#4 (permalink)
Premier Cat
Join Date: Mar 2010
Location: Ontario, Canada
Posts: 4,954
Do you have something on which your kitten IS allowed to jump...such as a cat tree? If not, you might consider investing in one. Rather than trying to convince kittens what NOT to do, it is often more effective to give them an alternative that they enjoy. As for keeping them off the counters, I shake a can filled with coins and/or say "No", but that only works if I'm home (and sometimes not even then). As for keeping her out of the sink, you might consider putting the plug in and leaving an inch of cold water in the sink. I had water in my bathroom sink a while back and I went to grab a towel. Muffin didn't realize the sink had water in it, and in the few seconds I was gone, she jumped in -- and she quickly jumped back out again. She has not tried to jump in again since!
Dogs have owners. Cats have staff.
|#5 (permalink)
Join Date: Oct 2010
Location: Metro Detroit
Posts: 19
When my cat does something she isn't supposed to, I have a spray bottle handy.
She used to love getting up on the kitchen counters and would knock stuff off of them. I started waiting in ambush when I knew she was thinking about it, and as soon as she jumped up - she got sprayed. It would scare the crap out of her, and she'd get down. After a few times, she stopped going up there.
Now, she sees the spray bottle, realizes what she's doing is a no-no and wants to avoid getting sprayed... So she stops what she's doing.
|#6 (permalink)
Join Date: May 2010
Posts: 243
How does a kitten know what "shouldn't" means, in terms of where it's allowed to jump? Sorry, but that's not a concept kittens can grasp. Prevention is your only recourse if there are places you don't want your kitten on. There are many ways of deterring cats from going where they shouldn't; frankly, pretty much all of them are "works sometimes with some cats for a while" and most end up being wasted money. So, what to do? A change in attitude (allow the cat to go anywhere) or a change in lifestyle (close off the areas you don't want the cat to go).
Reread Susan's and Heidi's posts: good advice, workable solutions.
|#7 (permalink)
Join Date: Aug 2010
Location: Texas
Posts: 575
The problem with what was being done is that its too complicated.
1) Cat action
2) Cat gets picked up
3) Cat gets placed somewhere
4) Cat doesn't like its location
5) Cat notices it can't get out
Step 1-5 is too complicated with too much time elapsed.
In short, buy this, put it where you don't want your cat to be, and in short order you can remove the SSSCAT and put it elsewhere as the cat still associates the counter space/sink w/ the negative reaction. Squirt bottle (or heck just a glass of water) is cheaper, but you have to ensure that the squirt isn't associated with you but appears to miraculously "just happen" out of nowhere.
|#8 (permalink)
Cat Addict
Join Date: Jan 2007
Location: Texas
Posts: 2,906
I've found it to be an exercise in futility to try to "forbid" a cat to go someplace it wants to go. A determined Ninja cannot be deterred. I have adjusted to them, I keep things put away, trashcan blocked, no food on counters or dirty dishes in the sink so that they can't get sick. Then I just deal with it. I agree that squirting with water or a presurized air canister will only deter them for the moment (and maybe make them scared of you) and isn't a lasting solution.
Welcome to cat ownership.
Rachael with Thurston, Sully and Ninja. Moxie, watching from Heaven
Kobie, Mocha, Puzzles and Tyler, Gone but never forgotten
|#9 (permalink)
Join Date: Aug 2010
Location: Texas
Posts: 575
Wait, you had a ssscat out on something for a week+, and you took it down, and they still went after the "protected" space after? Talk about some brave kitties, heh! Mine are chickens.
I've removed the ssscat, and my guys still avoid this juicy target like the plague since its seems they assume it was what was spraying them:
If you try to pick them up and get them near it, they slink away anticipating a blast.
|#10 (permalink)
Join Date: Oct 2010
Location: Metro Detroit
Posts: 19
Honestly, my cat Jax learned from getting sprayed with water. She seriously does not go on the counters anymore. And she's not afraid of me because of it. I don't claim to be a master cat trainer, lol, it just worked for us. Of course, she had to re-learn that counters are off limits when we moved to a new house.
She also knows what "No" means, and looks when her name is mentioned.
|Thread Tools


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Memorial Sloan-Kettering Cancer Center
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As a national and worldwide resource, we must continue setting the direction for prevention, care, and cure in an ever-changing medical, economic, and political environment. This leadership role requires us to facilitate access and provide for a continuous stream of patients through self-referrals, professional referrals, other sources and, at the same time, provide for the funding necessary for leadership in research and educational programs. We also recognize our obligation to participate actively in the formulation of public policy that relates to the highest-quality cancer care, access to that care, research and education.
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I am a patient at MSKCC. I have been given cutting edge treatment which has allowed me to lives well even with cancer...so far. My doctors have been honest, caring professional, encouraging without bending the truth. Their services are the most organized i have seen in any medical institution. That doesn't mean there aren't sometimes minor administrative problems, but they have been minot and always followed by an apology. In general, I have been treated with respect and compassion by everyone. The only problems I have run into have been when staff was overwhelmed or things get crowded- that's where extra money would be helpful. but even more so- for the research that has thus far saved my life and my quality of life.
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Cara Eisenpress and Phoebe Lapine met in seventh grade at the Fieldston School in the Bronx, where they bonded over oatmeal chocolate chip cookies. They have been cooking together ever since. In 2008, they founded the website Big Girls, Small Kitchen.
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