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Torsten Ullman makes his first appearance today in Last Summer in Greece when he catches the roving eyes of Hoyt Kogan while the boys are out sunbathing.
Thinking on his feet, Hoyt has to quickly come up with a plan to get rid of his buddies so that he can pursue the object of his desires alone.
Luckily his simple ruse does the trick and he is left alone with our blond sailor.
Hot boys, big dicks and daily content updates exclusively from BelAmiOnline.com!
Take the free tour and see Hoyt Kogan and Torsten Ullman hard and naked!
- Hot on Wheels: Ryan Bailey and Sean FordPosted by Keith Andersson on July 21, 2016 at 07:44
The life of a curious young man is full of new and exciting experiences. Sometimes the best of those are the ones we share with others. When the smoldering Sean Ford finds that his first day on rollerblades is a little more than he bargained for, the insanely hot Ryan Bailey is there to lend a [... […]


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Brethren is a small town in Michigan, USA. It's a white populated region with few other races as well.
The chief financial activities include towing, dealership, supplying, hospitality, real estate and remodeling and repair and philanthropy and health services and construction services.
Brethren has few brew pubs, bars, night clubs and resorts and convenience stores as well.
NYS Comptroller Thomas DiNapoli Addresses Clean Energy Leadership Task Force
Audits Confirm Savings from Energy Efficiency Improvements at Long Island School Districts (Long Island, NY) On Friday, February 19th, New York State Comptroller Thomas DiNapoli spoke before the Clean Energy Leadership Task Force which is a project directed by the Sustainability Institute at Molloy College located at Republic Airport in Farmingdale NY. Mr. DiNapoli discussed the results of audits that..

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- I'm done, close this
Enter Our Ultimate Summer Tech Giveaway!
That's right - we are giving away a Summer Tech Package that includes a high-tech Fuego Element grill, Monster Superstar Backfloat waterproof speaker, and a mobile charging bank from iFrogz! Head on over to our giveaway page in order to enter. Good luck!
Monday October 15, 2007 1:52 pm
Cell Phone for Hypochondriacs
Posted by Sheila Franklin Categories: Cell Phones, Misc. Tech, Science
NTT Docomo has created a cell phone with a new twist. The Mitsubishi Wellness Navigator has all the usual features but also includes a heart rate monitor, breath analyzer, burned calorie counter, and body fat calculator, and pedometer application. The data is matched to your age, gender, weight, and height, and can be sent along to your doctor to save you the dreaded "regularly scheduled" appointment. No price or availability yet on this prototype, but we are not sure we really want to know how much body fat is in there.
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- body fat, calories, health, mobile phone, ntt docomo, wellness phone
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As smoke filled Rochelle Andrews' car she yelled for her rescuers to stay back.
It was a natural reaction from a young woman who has volunteered her time to save others as a Hamilton-based ambulance officer for the past five years.
"Well, I wasn't going anywhere," she joked from her hospital room yesterday.
"What was the point in putting them in harm's way?"
Miss Andrews, 27, will spend Christmas in Waikato Hospital, where a special present will be delivered on Boxing Day.
"That is weight-bearing day," she said. "I'm pretty excited about that."
It's almost a month since Miss Andrews was critically injured in a crash on State Highway 3 north of Ohaupo, and police are still looking for the distinctive 1990s-model turquoise Ford Falcon believed to be responsible for the November 14 crash.
Miss Andrews had spent the day in Te Awamutu doing promotional work before the official opening of Jett's Gym, where she planned to work as a personal trainer.
She recalled how, on her return to Hamilton, a Ford Falcon tail-gated her car.
"I really hate that, and I touched my brakes, as you do, to get him to back off."
When overtaking a van on a passing lane, Miss Andrews watched as the Falcon came up behind her car, looking like it was ready to pass her, too.
She indicated and moved in front of the van.
"Then he came up beside me and screamed at me, gave me the fingers then moved past in front of me and slammed on his brakes - that's when I lost control, there was nowhere for me to go," she said.
Watching the incident unfold, the driver of an oncoming southbound vehicle managed to stop before Miss Andrews' car swerved across the road. Her car then crashed head-on with another car.
"I'm hoping to meet the lady driver of that vehicle soon - I think that will be a really good thing to do," Miss Andrews said.
Despite the extent of her injuries, Miss Andrews remained conscious throughout much of her ordeal.
"I looked down and my left thigh was way over to the right and I remember thinking I couldn't feel my legs, but they were tucked up under the engine," she said.
Miss Andrews remembers clearly firefighters cutting her car apart to allow her colleagues to treat her injuries and get her to the hospital, where she underwent life-saving surgery, multiple transfusions, and was fitted with rods and pins.
But despite the positive outlook and smile, Miss Andrews has questions.
"If I could speak to the man who caused my crash, I'd have plenty to say, like: what the hell was so important that had him driving in such a hurry that day," she said.
Since the crash, Miss Andrews has found the loss of her independence difficult, relying on hospital staff to help her shower and even brush her teeth - which is why she can't leave hospital for Christmas.
And while she's angry about the crash, she is also thankful to be alive.
In June, she attended a crash in Gordonton that killed three young men after their vehicle crashed into a tree.
"To be honest, my vehicle was worse than theirs - so yes, I know I am lucky to be celebrating Christmas at all."
Anyone with information about the distinctive turquoise Ford Falcon seen travelling north on State Highway 3 towards Hamilton on November 14 is asked to contact Hamilton police on (07) 858 6200 or, alternatively, contact Crimestoppers anonymously on 0800 555 111.
- Waikato Times
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text:
Struvite and Staghorn Calculi
- Author: Maxwell Meng, MD; Chief Editor: Bradley Fields Schwartz, DO, FACS more...
Upper urinary tract stones that involve the renal pelvis and extend into at least 2 calyces are classified as staghorn calculi (see image below). Although all types of urinary stones can potentially form staghorn calculi, approximately 75% are composed of a struvite-carbonate-apatite matrix. Struvite is magnesium ammonium phosphate; a Swedish geologist named Ulex discovered the substance in bat droppings and named it after his friend and mentor, the 19th-century Russian diplomat and naturalist Baron von Struve.[1]
Struvite stones are also known as triple-phosphate (3 cations associated with 1 anion), infection (or infection-induced), phosphatic, and urease stones. Other, less common staghorn calculi can be composed of mixtures of calcium oxalate and calcium phosphate.
History of the Procedure
The concept that urinary tract infections play a role in lithogenesis is not new. Hippocrates noted the relationship between renal calculi and loin abscesses. In 1817, Marcet recognized the association of phosphate calculi with infection, alkaline urine, and ammoniacal urine. Not until the early 20th century did Brown propose that urea-splitting bacteria were responsible for urinary ammonia, alkalinity, and stone formation.[2] The isolation of urease, the first enzyme ever purified, earned Sumner[3] the Nobel Prize for Chemistry in 1946. Urease-producing organisms are listed in Etiology.
Struvite stones are invariably associated with urinary tract infections. Specifically, the presence of urease-producing bacteria, including Ureaplasma urealyticum and Proteus species (most common), Staphylococcus species, Klebsiella species, Providencia species, and Pseudomonas species, leads to the hydrolysis of urea into ammonium and hydroxyl ions. Escherichia coli does not produce urease and is not associated with struvite stone formation. Other common bacteria that have not been shown to produce urea include Citrobacter freundii, enterococci, and streptococci.
The resulting increase in ammonium and phosphate concentrations combined with the alkalotic urine (pH >7.2) is necessary for struvite and carbonate apatite crystallization. Magnesium ammonium phosphate crystals (MgNH4 PO4 •6H2 O) are admixed with carbonate apatite (Ca10 (PO4) 6•CO3) in varying proportions along with matrix. The proportion of matrix, typically low molecular weight mucoproteins, is greater than in other types of calcium-based stones and is thought to protect the bacteria from antimicrobials.
Although calcium oxalate stones are most prevalent in the Western world, struvite calculi account for up to 30% of urinary tract stones worldwide. In the United States, 10-15% of all stones are composed of struvite. They are found more frequently in women and in persons older than 50 years, likely reflecting the population at increased risk of recurrent or persistent urinary tract infections. Accordingly, treatment of struvite stones must also address the source of these infections.
The natural history of struvite calculi mandates the complete removal of stones. First, infection stones generally grow rapidly, and any remaining stone material may serve as a nidus for future stone formation. Second, even after complete stone removal, struvite stones recur in approximately 10% of patients; if residual stones or fragments are left after treatment, recurrence rates approach 85%.
Third, struvite stones are a potential source of significant morbidity. Previously, it was believed that asymptomatic struvite stones could be managed expectantly; however, studies have demonstrated that 30% of patients treated conservatively (ie, no surgery to remove stones) died of renal failure or of pyelonephritis and sepsis.
In rare cases, chronic irritation, infection, and inflammation from staghorn calculi can cause squamous metaplasia, leading to squamous cell carcinoma of the renal collecting system. These malignancies carry a very poor prognosis, with a 5-year survival rate of less than 10%.[4]
Priestley and Dunn reported a 41% 5-year survival rate in patients with untreated unilateral struvite stones.[5] These data underscore the importance of approaches, primarily surgical, to completely remove the stone material.
Gram-positive bacteria that cause struvite stones are as follows:
Staphylococcus aureus
Staphylococcus epidermidis
Corynebacterium species (ie, C ulcerans, C renale, C ovis, C hofmannii, C murium, C equi)
Mycobacterium rhodochrous group
Micrococcus varians
Bacillus species
Clostridium tetani
Peptococcus asaccharolyticus
Gram-negative bacteria that cause struvite stones are as follows:
Bacteroides corrodens
Helicobacter pylori
Bordetella pertussis
Bordetella bronchiseptica
Haemophilus influenzae
Haemophilus parainfluenzae
Proteus species (ie, P mirabilis, P morganii, P rettgeri)
Providencia stuartii
Klebsiella species ( K pneumoniae, K oxytoca)
Pasteurella species
Pseudomonas aeruginosa
Aeromonas hydrophilia
Yersinia enterocolitica
Brucella species
Flavobacterium species
Serratia marcescens
Ureaplasma urealyticum
Mycoplasma T-strain
Yeasts that cause struvite stones are as follows:
Cryptococcus species
Rhodotorula species
Sporobolomyces species
Trichosporon cutaneum
Candida humicola
Two conditions must coexist for the formation of struvite calculi. These are (1) alkaline urine (pH >7.2) and (2) the presence of ammonia in the urine. This leads to magnesium ammonium phosphate and carbonate apatite crystallization. The conversions of urea to ammonia, ammonia to ammonium, and acidification from carbon dioxide are as follows:
H2 NCONH2 + H2 O → 2NH3 + CO2 2NH3 + H2 O → 2NH4+ + 2OH- (increase pH >7.2)CO2 + H2 O → H+ + HCO3 → 2H+ + CO32-
The clinical presentation of patients with struvite stones can be variable. Consider struvite stones in patients with risk factors for developing urinary tract infections (eg, prior urinary diversion or urologic surgery, presence of indwelling catheters, neurogenic bladder, vesicoureteral reflux, other anatomic abnormalities).
Infections may result in pyelonephritis, pyonephrosis, or perinephric abscess. Symptoms may include flank pain classic for renal colic, fever, urinary symptoms (eg, frequency, dysuria), and hematuria (either gross or microscopic). However, struvite stones rarely manifest as a solitary ureteral stone with acute renal colic in the absence of prior intervention. Concomitant urinary obstruction and hydronephrosis may be present and can result in nausea or vomiting.
In institutionalized patients susceptible to infection stones, the ability to elicit symptoms may be limited; sepsis may be the only evidence of an underlying struvite staghorn calculus. Note that patients with struvite calculi can be asymptomatic, even when calculi occupy the entire renal collecting system. Even with progression to xanthogranulomatous pyelonephritis, 25% of patients may remain completely free of symptoms. Systemic manifestations of large struvite stones and associated chronic infection include generalized fatigue, malaise, and weight loss.
Staghorn calculi represent a less-common nephrolithiasis subgroup so named because the significant stone burden that fills the renal pelvis and calyces forms a shape on radiographs that resembles a deer's horns. Most staghorn stones in Western society are composed of struvite and can cause significant morbidity and mortality if left untreated; therefore, large struvite stones must typically be removed.
Interestingly, an article investigating the structural analysis of renal calculi in northern India reported that over 90% of staghorn stones were composed of oxalates.[6] In a study from southern Thailand, the most common component of staghorn calculi was uric acid; struvite was found in only 11.6% of cases.[7] A US study, published in 2011, reported that slightly over half of complete staghorn calculi were metabolic in origin, consisting of calcium phosphate (55%), uric acid (21%), calcium oxalate (14%), or cystine (10%).[8]
Unlike other urinary stones that commonly produce symptoms (eg, renal colic) that necessitate intervention, treatment of struvite stones often occurs in patients without classic signs of nephrolithiasis; this is because large staghorn calculi may not cause acute renal or ureteral dilatation and resultant pain.
Relevant Anatomy
A comprehensive discussion of renal anatomy is beyond the scope of this article; however, several points relevant to endourologic techniques are discussed.
First, the kidneys are retroperitoneal organs enclosed within several layers, including the adjacent adherent renal capsule and the renal Gerota fascia surrounding the perinephric fat. Severe renal infections associated with struvite stones may lead to abscess formation, both within the kidney and within the Gerota fascia (ie, perinephric abscess).
Second, the kidneys are intimately associated with many nearby organs. On the right side, the liver may be posterolateral to the kidney at the level of the superior pole; on the left side, the spleen resides in an analogous position. These organs may be injured during percutaneous renal access. On both sides, the colon has retroperitoneal portions that can be located posterior to the kidneys. Studies have demonstrated that retrorenal colon positions are present in up to 10% of patients.
A single kidney contains 5-14 calyces, each of which drains a renal papilla. These minor calyces may coalesce to form major calyces, all of which subsequently drain into an infundibulum.
The placement of percutaneous tubes into the kidney should be guided by the following three principles:
- Access should not be placed through an infundibulum, because of greater risks of vascular injury
- In all areas of the kidney (both superior and inferior), access should be gained near the fornix of the calyx
- Entry into a posterior calyx allows the greatest ability to examine and remove stones in the renal pelvis and in additional infundibula and calyces
The presence of an active, untreated urinary tract infection is a contraindication to stone removal. Patients with struvite stones have chronic bacteriuria, and their urine is never sterilized by antibiotics alone; however, appropriate antibiotics should be administered prior to surgical intervention in an attempt to minimize the potential for sepsis during treatment. Similarly, if concomitant urinary obstruction and purulent infection exist (ie, pyonephrosis), percutaneous drainage and antibiotics are necessary before further manipulation of the stone and urinary tract.
If pyonephrosis is seen at the time of percutaneous renal access, percutaneous drainage should be left in place to maximally drain the infected collecting system, and nephrolithotomy should be deferred. The patient should be left on antibiotics and admitted for monitoring for urosepsis. Stone removal should be deferred to a later time to minimize infectious complications.
Gleeson MJ, Griffith DP. Infection Stones. Resnick MI, Pak CYC, eds. Urolithiasis: A Medical and Surgical Reference. Philadelphia, PA: Saunders; 1990. 134-36.
Brown TR. On the Relation Between the Variety of Microorganisms and the Composition of Stone in Calculous Pyelonephritis. JAMA. 1901. 36:1394-7.
Sumner JB. The Isolation and Crystallization of the Enzyme Urease. J Biol Chem. 1926. 69:435-41.
Jongyotha K, Sriphrapradang C. Squamous Cell Carcinoma of the Renal Pelvis as a Result of Long-Standing Staghorn Calculi. Case Rep Oncol. 2015 Sep-Dec. 8 (3):399-404. [Medline]. [Full Text].
Priestley JT, Dunn JH. Branched renal calculi. J Urol. 1949 Feb. 61(2):194-203. [Medline].
Ansari MS, Gupta NP, Hemal AK, Dogra PN, Seth A, Aron M, et al. Spectrum of stone composition: structural analysis of 1050 upper urinary tract calculi from northern India. Int J Urol. 2005 Jan. 12(1):12-6. [Medline].
Tanthanuch M. Staghorn calculi in southern Thailand. J Med Assoc Thai. 2006 Dec. 89 (12):2086-90. [Medline].
Viprakasit DP, Sawyer MD, Herrell SD, Miller NL. Changing composition of staghorn calculi. J Urol. 2011 Dec. 186 (6):2285-90. [Medline].
Lam HS, Lingeman JE, Russo R, Chua GT. Stone surface area determination techniques: a unifying concept of staghorn stone burden assessment. J Urol. 1992 Sep. 148(3 Pt 2):1026-9. [Medline].
Zilberman DE, Ferrandino MN, Preminger GM, Paulson EK, Lipkin ME, Boll DT. In vivo determination of urinary stone composition using dual energy computerized tomography with advanced post-acquisition processing. J Urol. 2010 Dec. 184(6):2354-9. [Medline].
Kulkarni NM, Eisner BH, Pinho DF, Joshi MC, Kambadakone AR, Sahani DV. Determination of renal stone composition in phantom and patients using single-source dual-energy computed tomography. J Comput Assist Tomogr. 2013 Jan. 37(1):37-45. [Medline].
Lewis GA, Schuster GA, Cooper RA. Dissolution of renal calculi with dicloxacillin. Urology. 1983 Oct. 22(4):401-3. [Medline].
Duty B, Okhunov Z, Smith A, Okeke Z. The debate over percutaneous nephrolithotomy positioning: a comprehensive review. J Urol. 2011 Jul. 186(1):20-5. [Medline].
Honey RJ, Wiesenthal JD, Ghiculete D, Pace S, Ray AA, Pace KT. Comparison of supracostal versus infracostal percutaneous nephrolithotomy using the novel prone-flexed patient position. J Endourol. 2011 Jun. 25(6):947-54. [Medline].
[Guideline] Segura JW, Preminger GM, Assimos DG, Dretler SP, Kahn RI, Lingeman JE, et al. Nephrolithiasis Clinical Guidelines Panel summary report on the management of staghorn calculi. The American Urological Association Nephrolithiasis Clinical Guidelines Panel. J Urol. 1994 Jun. 151(6):1648-51. [Medline]. [Full Text].
[Guideline] Staghorn Calculi. American Urological Association. Available at https://www.auanet.org/education/guidelines/staghorn-calculi.cfm. Accessed: November 18, 2015.
Al-Kohlany KM, Shokeir AA, Mosbah A, Mohsen T, Shoma AM, Eraky I, et al. Treatment of complete staghorn stones: a prospective randomized comparison of open surgery versus percutaneous nephrolithotomy. J Urol. 2005 Feb. 173(2):469-73. [Medline].
Astroza G, Lipkin M, Neisius A, Preminger G, De Sio M, Sodha H, et al. Effect of supine vs prone position on outcomes of percutaneous nephrolithotomy in staghorn calculi: results from the Clinical Research Office of the Endourology Society Study. Urology. 2013 Dec. 82(6):1240-4. [Medline].
Meretyk S, Gofrit ON, Gafni O, Pode D, Shapiro A, Verstandig A, et al. Complete staghorn calculi: random prospective comparison between extracorporeal shock wave lithotripsy monotherapy and combined with percutaneous nephrostolithotomy. J Urol. 1997 Mar. 157(3):780-6. [Medline].
Borofsky MS, Wollin DA, Reddy T, Shah O, Assimos DG, Lingeman JE. Salvage Percutaneous Nephrolithotomy: Analysis of Outcomes Following Initial Treatment Failure. J Urol. 2015 Nov 7. [Medline].
[Guideline] Medical Management of Kidney Stones. American Urological Association. Available at https://www.auanet.org/education/guidelines/management-kidney-stones.cfm. March 2014; Accessed: November 18, 2105.
Gleason MJ, Griffith DP. Infection Stones. Resnick MI, Pak CY, eds. Urolithiasis: a Medical and Surgical Reference. Philadelphia, Pa: WB Saunders; 1990. 134-6.
Griffith DP, Osborne CA. Infection (urease) stones. Miner Electrolyte Metab. 1987. 13(4):278-85. [Medline].
Lam HS, Lingeman JE, Mosbaugh PG, Steele RE, Knapp PM, Scott JW, et al. Evolution of the technique of combination therapy for staghorn calculi: a decreasing role for extracorporeal shock wave lithotripsy. J Urol. 1992 Sep. 148(3 Pt 2):1058-62. [Medline].
Lingeman JE, Lifshitz DA, Evan AP. Surgical management of urinary lithiasis. Walsh PC, Retik AB, Vaughan ED, Wein AJ, eds. Campbell's Urology. 8th ed. Philadelphia, Pa: WB Saunders; 2002. Vol 4: 3366-3370.
McDougall EM, Liatsikos EN, Dinlenc CZ. Percutaneous approaches to the Upper Urinary Tract. Walsh PC, Retik AB, Vaughan ED, Wein AJ, eds. Campbell's Urology. 8th ed. Philadelphia, Pa: WB Saunders; 2002. Vol 4: 3320-40.
Morey AF, Nitahara KS, McAninch JW. Modified anatrophic nephrolithotomy for management of staghorn calculi: is renal function preserved?. J Urol. 1999 Sep. 162(3 Pt 1):670-3. [Medline].
Schwartz BF, Stoller ML. Nonsurgical management of infection-related renal calculi. Urol Clin North Am. 1999 Nov. 26(4):765-78, viii. [Medline].
Suby HI, Albright F. Dissolution of Phosphatic Urinary Calculi by the Retrograde Introduction of a Citrate Solution Containing Magnesium. N Engl J Med. 1943. 228:81-91.
Wang LP, Wong HY, Griffith DP. Treatment options in struvite stones. Urol Clin North Am. 1997 Feb. 24(1):149-62. [Medline].
|Generic name
|Citric Acid, glucono-delta-lactone, and magnesium carbonate
|Brand names
|Action on susceptible apatite calculi results from exchange of magnesium from irrigating solution for insoluble calcium contained in stone matrix or calcification. Magnesium salts thereby formed are soluble in gluconocitrate irrigating solution, resulting in dissolution of calculus. Struvite calculi are composed mainly of magnesium ammonium phosphates, which are solubilized by hemiacidrin due to acidic pH. Essential that patients be free from urinary tract infections prior to initiating chemolytic therapy. Used for local irrigation dissolution of renal calculi composed of apatite (a calcium carbonate-phosphate compound) or struvite (magnesium ammonium phosphates) in patients who are not candidates for surgical removal of calculi. Also used as adjunctive therapy to dissolve residual apatite or struvite calculi and fragments after surgery or to achieve partial dissolution of renal calculi to facilitate surgical removal.
|Adult Dose
|Renal calculi:
Place nephrostomy tube at surgery or percutaneously to permit lavage of calculi; single catheter may be sufficient if calculus not obstructing ureter or ureteropelvic junction; in patients with obstructed ureter, a retrograde catheter can be placed through ureter to renal pelvis via a cystoscope (used to irrigate calculus while percutaneous nephrostomy tube used for drainage)
Pressure measurements are made under fluoroscopic guidance to ensure 2-3 mL/min can be infused without causing pain, pyelovenous or pyelotubular backflow, or manometric evidence of elevated pressure within collecting system
Postoperative patients:
Irrigation should not be started before fourth or fifth postoperative day; irrigation of renal pelvis is begun with sterile saline only after sterile urine demonstrated
Saline is infused at rate of 60 mL/h initially, and rate is increased until pain or an elevated pressure (25 cm water) appears or until maximum flow rate of 120 mL/h achieved; inspect site of insertion for leakage; if leakage occurs, irrigation is discontinued temporarily to allow for complete healing around nephrostomy tube; if no leakage or flank pain occurs, start irrigation with flow rate equal to maximum rate achieved with saline solution
Place clamp on inflow tube and instruct patients and nursing personnel to stop irrigating solution whenever pain develops; nursing personnel responsible for performing irrigation must be instructed concerning location of nephrostomy tube(s) and direction of flow of irrigating solution to ensure against misconnection of inflow and egress tubes
Perform nephrotomography periodically to assure proper placement of catheter tip and to assess efficacy; if stones fail to change size after several days of adequate irrigation, discontinue procedure; upon demonstration of complete dissolution of calculus, inflow tube is clamped and left in place for few days to ensure that no obstruction exists, after which time nephrostomy tube should be removed
Bladder calculi:
Instill 30 mL through urinary catheter into bladder; clamp catheter for 30-60 min and release clamp to drain; repeat 4-6 times/d; continuous drip through 3-way Foley catheter is alternative means of dissolving bladder stones; in presence of bladder spasm and associated high pressure reflux, all precautions required for irrigation of renal pelvis must be observed
|Pediatric Dose
|Not established
|Urinary tract infections; presence of demonstrable urinary tract extravasation; ureteral catheters, nephrostomy or pyelostomy tubes, or renal lavage for dissolving calculi
|May increase toxicity of magnesium-containing medications
|C - Safety for use during pregnancy has not been established.
|Fever, urinary tract infection, signs and symptoms consistent with urinary tract infection, persistent flank pain, or if hypermagnesemia or elevated serum creatinine level develops (urea-splitting bacteria reside within struvite and apatite stones and serve as source of infection); dissolution therapy in presence of infected urinary tract may lead to sepsis and death; severe hypermagnesemia has occurred
Caution when irrigating renal pelvis of patients with impaired renal function; severe hypermagnesemia may result in hyporeflexia, dyspnea, apnea, coma, cardiac arrest, and subsequent death; treatment should include discontinuation of therapy followed by treatment with IV calcium gluconate, fluids, and diuresis in severe cases
|Generic name
|Suby solution G
|Brand names
|Suby solution G
|Used to dissolve phosphatic calculi or incrustations in the bladder and urethra.
|Adult Dose
|1-3 L qd by intermittent irrigation or by tidal instillation and drainage to allow continuous irrigation of bladder for periods of several hours; intermittent irrigation of bladder (after manner of intermittent peritoneal dialysis) may be preferred to promote longer contact of irrigant with bladder stones; tidal (continuous inflow and outflow) irrigation may be less efficient and require larger amounts of irrigation fluid
|Pediatric Dose
|Administer as in adults
|Bladder infections, bleeding, ulcerations, or other open wounds; IV/IM/SC injections
|None reported
|C - Safety for use during pregnancy has not been established.
|For use only in irrigation of lower urinary tract; not for dissolving phosphate calculi in renal pelvis (may cause back pressure that could reactivate existing pyelonephritis); repeated or continuous use may cause bleeding (irritating to urethra; after each treatment, irrigate with sterile saline or water); 4 cases of sudden death reported during lavage therapy with similarly acting solution; not to be used in place of other indicated measures, including correction of underlying metabolic disorders, surgical intervention, and treatment of infection
|Generic name
|Acetohydroxamic acid
|Brand names
|Reversibly inhibits bacterial enzyme urease, thereby inhibiting hydrolysis of urea and production of ammonia in urine infected with urea-splitting organisms. Reduced ammonia levels and decreased pH enhance effectiveness of antimicrobial agents and increase cure rate of these infections. Does not acidify urine directly, nor does it have direct antibacterial effect. In patients with urea-splitting urinary infections (often accompanied by struvite stone disease) that are recalcitrant to other management, reduces pathologically elevated urinary ammonia and pH levels.
|Adult Dose
|12 mg/kg/d PO tid/qid on empty stomach recommended initially; not to exceed 1.5 g/d
|Pediatric Dose
|10 mg/kg/d PO initially; monitor clinical condition and hematologic status; dosage titration may be required
|Patients whose physical state and disease are amenable to surgery or antimicrobial agents, urine is infected by non–urease-producing organisms, or renal function is poor (eg, serum creatinine >2.5 mg/dL or CrCl < 20 mL/min) and females without satisfactory method of contraception whose urinary infections can be controlled by culture-specific oral antimicrobial agents
|Absorption of iron and AHA may be reduced from intestinal lumen when both drugs taken concomitantly (give iron IV when indicated)
|X - Contraindicated in pregnancy
|Bone marrow depression (ie, leukopenia, anemia, thrombocytopenia) has occurred in animals receiving large doses (never reported in humans); hemolysis with decrease in circulating red blood cells, hemoglobin levels, and hematocrit values also noted; in renal impairment, closely monitor patients and reduce daily dose to avoid excessive drug accumulation


text:
- Taschenbuch: 352 Seiten
- Verlag: Michael O'Mara (27. Februar 2014)
- Sprache: Englisch
- Größe und/oder Gewicht: 19,6 x 13 x 2,5 cm
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Getting Warmer (Cato Kwong) (Englisch) Taschenbuch – 27. Februar 2014
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Alan Carter takes us into the dark underside of the mining boom in an atmospheric and sharply written thriller. The Saturday Age ... a confident, witty, entertaining and gritty tale with an interesting, multicultural cast. Sunday Times ... an excellent read - let's hope we get to see more of Carter's hero, DSC Cato Kwong. The West Australian
Über den Autor und weitere Mitwirkende
Alan Carter is a crime writer who has been shortlisted for the prestigious UK CWA Debut Dagger Award, was runner-up in the Penguin Crime Writing Competition and who won the Ned Kelly Award for Best First Fiction in 2011. He is a TV documentary director and currently works for Who Do You Think You Are? on SBS1. Carter wrote his first book Prime Cut while living as a 'kept man' in Hopetoun, on the south coast of WA. In 2013 Alan will head to Shanghai to write the third Cato Kwong book in the series.
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Das Australische Englisch ist nicht immer ganz "easy", aber man kann es dennoch relativ gut verstehen.
Für mich durchaus eine neue Größe in der Szene.
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The setting is well developed and provides a suitable canvas for the narrative.
The only problem, once again, was the formatting of the Kindle version. In the first book, there were wide spaces in between each line of dialogue or paragraph. It was the same amount of wide space as that you find in between changes of scene within a chapter. It was very confusing and really slowed down the reading pace. This second book has the opposite problem; with a few exceptions, there are no spaces between any lines, including when space is needed between changes of scene within a chapter. So when there's a change of scene beginning with dialogue, it's very confusing.
I will read the next book in the series because I've enjoyed the first two, but this formatting problem is irritating.
Except the two motorcycle club members who were seen on CCT cameras beating him to a pulp. Their mates aren't best pleased that they've been accused of murder when all it was supposed to be was a kicking. Nothing about sharpened toothbrushes in the eye.
Meanwhile Kwong nemesis from the earlier novel Lara Sumich has her own "issues" when she's on hand to discover a body in a nightclub toilet. Not 'fessing up that she knows the identity of the dead man long before it's worked out, not 'fessing up that she has quite a bit of history with the dead man makes her role in the investigation just a little fraught. Mind you, the whole team is under a lot more pressure once it turns out that dead Santo Rosetti is actually an undercover cop, very in with one side of the rapidly escalating turf wars between crime gangs.
It's got to be nearly impossible to not like Cato Kwong. Built into a narrative that's assured and tense, without ever tipping over into lunacy, Kwong is as entertaining and funny as the storylines could possibly allow. The sense of gallows humour, or the bizarre and the flat out weird isn't cartoonish at all, but it is definitely witty, and clever and very real to read.
There's good balance here between the personal and the investigation, and the physical invincibility of our hero and his fallibilities. He takes the punches, they hurt like hell and he gets on with it. He's real as a cop, real as a friend and real as a father struggling to hold onto a close connection with his young son, despite a separation. He's also not playing a lone hand in the books, with his working relationship with Sumich as tricky as it's always been, just as she's as tricky as she's always been.
It's not just bikies that are causing problems as well, there's also a young African hitman and his unexpected controller, and a yapping dog that really deserves a mention in the credits.
Carter's quite the master at juggling Kwong juggling his own varied and slightly crazy balls in air. As good a debut as PRIME CUT was, GETTING WARMER is an even better second book - something that often doesn't seem to be easy to nail. Here it's not just nailed, it's been counter-sunk, sanded, lacquered and laid out for everyone to admire.
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Mold-Masters deal to make Milacron a leader in complete mold systems
CINCINNATI -- Milacron LLC has acquired Canadian hot runner specialist Mold-Masters Ltd. from London-based investment firm 3i Group plc. The combination of Mold-Master's expertise in providing complex hot runner systems to engineered plastics production combined with Milacron's strength in mold bases and components, through its DME unit, will create a leader in complete mold making systems, according to one observer.
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Stingrays Sign Two Rookie Defensemen
As the calendar turns to August, the South Carolina Stingrays announced two...
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It would be hard to give up hope. Sad story. If the story was about a family pet. The dollars and cents plays a big factor.
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Interesting no mention was made of any attempt to stop the bleeding. Post op tonsillectomy cases occasionally have serious bleeding and the doctor has to go back day or night. You don't sit and watch the patient bleed. It is just like any post op bleeder.
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What a trajic result to a common healthcare issue.
Would anyone feel different about this event if they learned that this family was only using this doctor because it was the only one that their Obamcare plan would cover?
This brings back memories of horror stories I have heard about Workers Compensation restrictions on what doctors you can go to.
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3 of 3 people found the following review helpful
fun but not quite what's hyped to be,
A Kid's Review
This review is from: Halo 3 - Classics Edition (Xbox 360) (CD-ROM)
single player-9/10
the single player on this game has a very good plot I can't compare it to the previous games because as a relatively young gamer i never had the pleasure of playing one but if they're as good as this game then they must be great. The variety of weapons is quite good as is variety of vehicles. The storyline is gripping but some of the levels can get a bit repetitive hence the loss of one mark, very fun to play but finishes all a bit too quickly and will definitely leave you wanting more.
multiplayer- 10/10
multiplayer on halo 3 is absolutely brilliant you can almost always find someone to play with within a minute on all the games. The bonus weekend games bungie puts up are a great way to raise your exp quickly. I completed single player in maybe 5-7 hrs of play maybe a few weeks ago but i'm still playing halo thanks to the multiplayer it's great fun and it runs very smoothly congrats to bungie on that front definitely.
I bought this game because of all the hype i'd heard great great things about this game so when I found it for relatively cheap I couldn't resist.
It's an extremely good game and very very fun to play but it's hyped up too much and when anything's that hyped up it's bound to have some faults and I can't help but feel a bit disappointed but perhaps I set my expectations a bit too high. When I played this first I didn't like it and looking back at it it seems crazy but it's true. Buy this game you definitely will not regret it.
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Laserfiche, a document and business process management company, has released Laserfiche Mobile, an iPhone app that allows the user to capture an image with the phone's built-in camera and then put it into the stream of a managed workflow. Laserfiche's two primary products, Rio and Avante, both provide management of digital documents, allowing an organization to automate and streamline paper-based processes.
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We're here to care at Allina Health.
We offer a competitive salary and a benefits package (to positions that are benefit eligible), mileage reimbursement, relocation, job share options, paid malpractice and a commitment to provide exceptional patient-centered care.
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Zistos Goes Completely Covert
With the introduction of their Video Monocle (VM), Zistos now offers a portable tactical surveillance video system that is completely covert. The VM provides high resolution video from any of Zistos' many cameras and poles, while eliminating the telltale glow that comes from pole mounted, body worn or wrist worn LCD displays. The waterproof and rugged VM is helmet mounted and has a form fitting eyecup that provides a tight seal to the eye socket to maintain total stealth. A large, high resolution image equivalent to a sixteen inch diagonal screen viewed at one meter exposes the tiniest of details. The VM is available as an optional accessory or as part of a complete Zistos tactical surveillance system.
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text: Oprah's on Twitter, Twitter's on Oprah, and Everyone's So Excited!Owen Thomas4/16/09 3:01pmFiled to: Shut Up, TwitterOprah WinfreytwitterAshton Kutcherjulia allisonRobert ScobleEv WilliamsDefamerValleywag21EditInvite manuallyPromoteDismissUndismissHideShare to KinjaToggle Conversation toolsGo to permalink We think we've figure out Twitter's big news tomorrow: Oprah Winfrey is joining Twitter. Here's the evidence.She's already set up an account. Ashton Kutcher, a big Twitter user, is scheduled to appear on the show Friday to talk about Twitter. Ex-dating columnist Julia Allison is trying to recruit other Twitterers for the show. And videoblogger Robert Scoble has posted that Oprah is going to be doing her first tweet. With so many Internet celebrities on board, how can it not be happening?Reply21 repliesLeave a reply


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If there's kids around, cover their eyes: That's the official album art for Handsome Furs' forthcoming LP Sound Kapital, and it leaves very, very little to be desired. Sound Kapital is slated for a June 21 release on Sub Pop, but if you pre-order the album, you'll receive a batch of limited edition Handsome Furs postcards that may or may not be like the provocative cover art.
The band also released single "Repatriated," available below. They're really baring it all today.
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Paula Deen, "Yes, Of Course"
As the world waits for Paula Deen's highly produced walk-back video, one wonders who reporters missed the "of course" part of Dean's deposition testimony after she admitted her racist leanings. How'd "that'd" happen? Sub-text to "of course" is this ya'll: "I used to be a racist like everyone else, and although I surely miss it, now that I've got my million dollar brand and products to protect, I will. I stuck my foot in my mouth for sure. But will just add honey and chew til ya'll go away." Hey, Oprah; I miss you, girl! Call me real soon, ya hear?
This post was created by a user and has not been vetted or endorsed by BuzzFeed's editorial staff. BuzzFeed Community is a place where anyone can post awesome lists and creations. Learn more or post your buzz!
- Hillary Clinton made her debut with VP pick Tim Kaine, who dipped into Spanish and spoke on support for immigration reform and gun control.
- The gunman who killed at least 10 people at a Munich, Germany mall on Friday was an 18-year-old "obsessed" with mass shootings, police said.
- ISIS has claimed responsibility for a bombing that killed at least 80 people in Afghanistan Saturday.


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Whether you are just settling in to the McDonough area or have been a long time resident of Henry County we are delighted to have you on our website!
St. James was founded nearly 70 years ago as one of the missions served by the Redemptorist priests from Sacred Heart Parish, Griffin. Slowly it grew, became its own parish, and was for many years at about 300 families. We now have nearly 1,400 registered families and are continuing to grow.
With the grace of God and through the generosity of our parishioners, we have worked to improve our website. We consider our site an extension of the mission of our parish family as we reach out, into the virtual world, to spread the Gospel.
In an effort to streamline what St. James has to offer and to ensure our site can be used as efficiently as possible, we have added the following items to make it convenient for YOU:
We hope you enjoy using our site; should you need anything, please feel free to contact us at any time.
"When the soul is troubled, lonely and darkened, then it turns easily to the outer comfort and to the empty enjoyments of the world." (St. Francis of Assisi, Deacon) The Memorial of St. Francis of Assisi (1181 – 1226) is October 4. Print this entry
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Company Overview of Barrington Broadcasting Group LLC
Executive Profile
K. James Yager
Chief Executive Officer, President, and Director, Barrington Broadcasting Group LLC
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2500 West Higgins RoadPhone: 847-884-1877
Hoffman Estates, Illinois 60169
United States
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Recent Wet'suwet'en News
July 11, 2016
Return of the Salmon 2016
June 15, 2016
Wet'suwet'en Hereditary Chiefs Set the Record Straight in Response to Province's Divide and Conquer Sharp Dealings
March 29, 2016
SHARED HISTORIES: An Overview
In the Spotlight
Chief Samooh (Herb Naziel)
Gil_seyhu - Kayex House (Birchbark House)
Chief: Samooh (Herb Naziel)
Samooh resides in Moricetown and his occupation is in Forestry. Samooh's interests and hobbies are fishing, trapping, hunting and biking. Samooh received his name in 1988.
Samooh was most influenced by his late grandfather Chief Wah tah Kwets (Pat Namox). Pat was very influential with Samooh's education of the hereditary system, feast system, life style, and survival on the territories, storytelling and history of the territories. He also explained the division of the Wet'suwet'en territories and how they were divided up geographically into 5 clans.
Samooh's grandmother was Chief Goohlaht (Lucy Namox), wife of Chief Wah tah Kwets. Samooh is the son of Chief Mutt (Bill Naziel) and Cora Naziel (maiden name Namox).
Meet Chief Samooh (Herb Naziel)


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Photography Equipment Reviews
Buying the right camera, lens, accessory or software to suit your photography is really important. Our product reviews offer independent views with hands-on opinion and honest verdicts aimed to give you all the important information you need to make the best buying decisions.
Sigma 100-300mm f/4 EX DG HSM
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Sigma 100-300mm f/4 EX DG IF HSM
The Sigma 100-300mm f/4 EX DG IF HSM is a A 3x telephoto zoom lens with a bright maximum aperture of f/4 throughout the zoom range.
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We test the latest SDHC, SDXC, UHS-I and UHS-II memory cards to find out which are the quickest. Updated July 2016.
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Nikon Coolpix L310 Digital Camera Review
The Nikon Coolpix L310 is a budget super-zoom digital camera with a 14 megapixel sensor. Daniel Bell reviews.
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Sigma 17-70mm f/2.8-4.5 Macro DC
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Nikon have decided enough is enough with cameras that only suit one type of photographer at a time and have produced a camera that everyone can use. Matt Grayson thinks it's about time as he was getting bored waiting.
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Canon EOS 550D Digital SLR Review
Canon ramp up the specification with the Canon EOS 550D. With an 18Mp CMOS sensor, +/- 5EV exposure compensation and SDXC memory card support. It promises a great deal and we see if it delivers in this test
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Pentax K-x Digital SLR Review
See the first full review of the K-x, the new DSLR from Pentax.
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Sigma 18-200mm f/3.5-6.3 DC
Sigma 18-200mm f/3.5-6.3 DC review.
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Gary Wolstenholme reviews the ultra high resolution 4K Samsung U28D590D 28inch monitor.
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The Fujifilm FinePix SL1000 has a 50x optical zoom lens and looks very much like a DSLR. Daniel Bell reviews.
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Sample photos from the new 16 megapixel Pentax K-01, the only mirrorless camera to take SLR lenses directly.
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Joshua Waller reviews the new Sony Alpha A65. Is this the bargain Digital SLR of the year?
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Nikon Coolpix A vs Ricoh GR Field Test by John Riley. How do these two compare in the field, shooting real-life subjects in real-life situations?
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Manfrotto Klyp+ Deluxe Photo Kit Review
Daniel Bell reviews the Manfrotto Klyp+ Deluxe Photo Kit - it comes with three lens - fisheye, portrait and landscape, as well as an LED light.
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Tamron AF 18-270mm f/3.5-6.3 Di II VC PZD review
A newer, compact revision of their 18-270mm super-zoom lens that sports an improved vibration compensation system and a piezo ultrasonic motor.
- 20 Jan 2011
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8 hours ago ... Martin, the nation's top JUCO receiver, committed to Auburn earlier this month
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1 day ago ... Former Auburn offensive lineman and linebacker Zeke Smith passed away on
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Video: Girls fight cops in NY subway station
Sources say the girls were trying to ride the subway without paying
By PoliceOne Staff
NEW YORK — Several police officers confronted four combative girls in a subway station Friday after the girls tried to get on the train without paying, sources said.
A video recorded and posted to YouTube by a bystander shows officers attempt to control the girls, who jumped the turnstile and then refused to back down when officers asked them to leave, according to reports.
The original YouTube video has been set to private since it was posted, but news footage from MyFoxNY shows some of the altercation. Sources said the officers repeatedly told the girls to stop resisting, and witnesses agree that they seemed to be provoking police.
One girl hit an officer in the face with her bag and told police to "get the **** off my cousin," according to CBS New York. Sound is missing from the MyFoxNY version of the video, but officers appear to be restrained in their use of force.
All four girls were arrested and charged with resisting arrest, obstruction, and assaulting a police officer.
"I think they should have got off the train," a bystander said. "I don't think they should have swung at police."
Recommended Patrol Issues
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3 WNBA withdraws fines for teams that wore shirts referencing police shootings
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5 Michael Jordan speaks out on police-community relations, donates $2M


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By Sgt. Jacob HarrerJune 20, 2012
LINTON ARMY CAMP, New Zealand - A heavy truck quickly rolled up with a L16A2 light gun in tow. New Zealand gunners promptly hopped out of the truck bed and unhitched the gun as their U.S. Marine guests watched. Within five minutes, the gunners had emplaced the weapon, aimed, blank fired, hitched and drove away to another objective.
"Those soldiers emplace their guns just as quickly as we do, and I


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|By PR Newswire
Article Rating:
|November 7, 2012 09:35 AM EST
HARTFORD, Conn., Nov. 7, 2012 /PRNewswire/ -- The Web Marketing Association judges will select the best social media advertising campaigns in 86 industries as part of their 11th annual Internet Advertising Competition (IAC) Awards. The IAC Awards are the first and only industry-based advertising award competition dedicated exclusively to online advertising. Companies or agencies wishing to nominate their work for consideration may do so at http://www.IACAward.org before the deadline of January 31, 2013.
(Logo: http://photos.prnewswire.com/prnh/20101214/NY16851LOGO )
"Marketers using social media, like Facebook and Linkedin, to engage consumers is exploding," said William Rice, president of the Web Marketing Association. "Using either apps or pages can be an effective advertising tool to build brand awareness and engage consumers using social media. The IAC Awards provides an opportunity to show the world your expertise in this emerging field. It's also a great marketing opportunity for the winners to promote their work to senior management, customers and prospects".
The 2013 Internet Advertising Competition Awards are open to all organizations and individuals (advertising and interactive agencies, corporate marketing departments, etc.) involved in the process of developing Internet advertising. Entries may be submitted online at http://www.iacaward.org. The deadline for entry is January 31, 2013 and will be judged on creativity, innovation, impact, design, copywriting, and use of the medium.
The Visionaire Group won Best of Show Social Media campaign in the 2012 IAC Awards for The Source Code Mission, which also won Best Movie Social Media campaign.
In addition to mobile applications, awards will be presented within each of the industry categories and advertising formats such as:
Mobile Apps
Email message campaign
Web sites (including microsites and landing pages)
Online ads (including banner, pop-up or interstitial)
Online applications
Integrated ad campaign
Rich media ads
Online Video
Online newsletter campaign
the client did not choose
Interactive agencies that win multiple awards will also be in the running for Top Agency Award. In a change from prior years, each entrant will be awarded points based on the level of award for each award received. A Best of Show will be worth 5 points, Best of Industry 3 points and each Outstanding award 1 point. The agency with the most points will be awarded the Top Agency Award.
In an effort to recognize those organizations that demonstrate exceptional development skills across multiple entries, agencies that win more the 6 awards will also be recognized with an Outstanding Advertising Developer award from the Web Marketing Association. In 2012, ten agencies won this honor.
Judging for the IAC Awards will take place in February, 2013, and winners will be notified by e-mail in March, 2013. Judges will consist of a select group of Internet advertising professionals with an in-depth understanding of the current state-of-the-art in Web advertising. Past competition judges have included top executives from leading corporations, institutions and media organizations such as Arc Worldwide, BGT Partners, Brunner Digital, Campbell-Ewald, CNN News Group, Deep Interactive Asia, Digitas, EuroRSCG 4D, Google, IBM Interactive, imc2, JWT, LeapFrog Interactive, Mass Transmit, McCann Worldgroup, Razorfish, Starwood Hotels & Resorts, Tectis GmbH, TMP Worldwide, Universal McCann Interactive and Wunderman / Y&R.
The 2013 Internet Advertising Competition Awards are sponsored by Burst Media, BGT Partners, PR Newswire, ExactTarget, EContent Magazine, ad:tech conferences, Internet World UK, Search Engine Strategies, Webmaster Radio and Website Magazine.
A complete list of past winners can be found at the IAC Award Website.
About the Web Marketing Association
The Web Marketing Association is an organization working to create a high standard of excellence for Web site development and marketing on the Internet. Staffed by volunteers, it is made up of Internet marketing, advertising, PR and design professionals who share an interest in improving the quality of online advertising, Internet marketing and promotion used to attract visitors to Web sites. The Web Marketing Association's annual award programs, the WebAward Competition, MobileWebAwards and the Internet Advertising Competition Awards, have been helping interactive professionals promote themselves, their companies, and their best work to the outside world since 1997.
SOURCE Web Marketing Association
Big Data, cloud, analytics, contextual information, wearable tech, sensors, mobility, and WebRTC: together, these advances have created a perfect storm of technologies that are disrupting and transforming classic communications models and ecosystems. In his session at @ThingsExpo, Erik Perotti, Senior Manager of New Ventures on Plantronics' Innovation team, provided an overview of this technological shift, including associated business and consumer communications impacts, and opportunities it ...
Jul. 28, 2016 10:00 AM EDT Reads: 254
SYS-CON Events announced today that Venafi, the Immune System for the Internet™ and the leading provider of Next Generation Trust Protection, will exhibit at @DevOpsSummit at 19th International Cloud Expo, which will take place on November 1–3, 2016, at the Santa Clara Convention Center in Santa Clara, CA. Venafi is the Immune System for the Internet™ that protects the foundation of all cybersecurity – cryptographic keys and digital certificates – so they can't be misused by bad guys in attacks...
Jul. 28, 2016 09:30 AM EDT Reads: 1,392
It's 2016: buildings are smart, connected and the IoT is fundamentally altering how control and operating systems work and speak to each other. Platforms across the enterprise are networked via inexpensive sensors to collect massive amounts of data for analytics, information management, and insights that can be used to continuously improve operations. In his session at @ThingsExpo, Brian Chemel, Co-Founder and CTO of Digital Lumens, will explore: The benefits sensor-networked systems bring to ...
Jul. 28, 2016 09:00 AM EDT Reads: 1,603
Manufacturers are embracing the Industrial Internet the same way consumers are leveraging Fitbits – to improve overall health and wellness. Both can provide consistent measurement, visibility, and suggest performance improvements customized to help reach goals. Fitbit users can view real-time data and make adjustments to increase their activity. In his session at @ThingsExpo, Mark Bernardo Professional Services Leader, Americas, at GE Digital, discussed how leveraging the Industrial Internet a...
Jul. 28, 2016 07:30 AM EDT Reads: 519
There will be new vendors providing applications, middleware, and connected devices to support the thriving IoT ecosystem. This essentially means that electronic device manufacturers will also be in the software business. Many will be new to building embedded software or robust software. This creates an increased importance on software quality, particularly within the Industrial Internet of Things where business-critical applications are becoming dependent on products controlled by software. Qua...
Jul. 28, 2016 06:45 AM EDT Reads: 1,557
In addition to all the benefits, IoT is also bringing new kind of customer experience challenges - cars that unlock themselves, thermostats turning houses into saunas and baby video monitors broadcasting over the internet. This list can only increase because while IoT services should be intuitive and simple to use, the delivery ecosystem is a myriad of potential problems as IoT explodes complexity. So finding a performance issue is like finding the proverbial needle in the haystack.
Jul. 28, 2016 05:45 AM EDT Reads: 2,326
The 19th International Cloud Expo has announced that its Call for Papers is open. Cloud Expo, to be held November 1-3, 2016, at the Santa Clara Convention Center in Santa Clara, CA, brings together Cloud Computing, Big Data, Internet of Things, DevOps, Digital Transformation, Microservices and WebRTC to one location. With cloud computing driving a higher percentage of enterprise IT budgets every year, it becomes increasingly important to plant your flag in this fast-expanding business opportuni...
Jul. 28, 2016 03:15 AM EDT Reads: 2,650
Large scale deployments present unique planning challenges, system commissioning hurdles between IT and OT and demand careful system hand-off orchestration. In his session at @ThingsExpo, Jeff Smith, Senior Director and a founding member of Incenergy, will discuss some of the key tactics to ensure delivery success based on his experience of the last two years deploying Industrial IoT systems across four continents.
Jul. 28, 2016 03:00 AM EDT Reads: 1,643
The Internet of Things will challenge the status quo of how IT and development organizations operate. Or will it? Certainly the fog layer of IoT requires special insights about data ontology, security and transactional integrity. But the developmental challenges are the same: People, Process and Platform. In his session at @ThingsExpo, Craig Sproule, CEO of Metavine, demonstrated how to move beyond today's coding paradigm and shared the must-have mindsets for removing complexity from the develo...
Jul. 28, 2016 02:30 AM EDT Reads: 1,560
SYS-CON Events announced today that MangoApps will exhibit at the 19th International Cloud Expo, which will take place on November 1–3, 2016, at the Santa Clara Convention Center in Santa Clara, CA. MangoApps provides modern company intranets and team collaboration software, allowing workers to stay connected and productive from anywhere in the world and from any device.
Jul. 28, 2016 02:15 AM EDT Reads: 1,414
IoT is rapidly changing the way enterprises are using data to improve business decision-making. In order to derive business value, organizations must unlock insights from the data gathered and then act on these. In their session at @ThingsExpo, Eric Hoffman, Vice President at EastBanc Technologies, and Peter Shashkin, Head of Development Department at EastBanc Technologies, discussed how one organization leveraged IoT, cloud technology and data analysis to improve customer experiences and effi...
Jul. 28, 2016 02:00 AM EDT Reads: 2,069
The IETF draft standard for M2M certificates is a security solution specifically designed for the demanding needs of IoT/M2M applications. In his session at @ThingsExpo, Brian Romansky, VP of Strategic Technology at TrustPoint Innovation, explained how M2M certificates can efficiently enable confidentiality, integrity, and authenticity on highly constrained devices.
Jul. 28, 2016 01:45 AM EDT Reads: 1,122
In today's uber-connected, consumer-centric, cloud-enabled, insights-driven, multi-device, global world, the focus of solutions has shifted from the product that is sold to the person who is buying the product or service. Enterprises have rebranded their business around the consumers of their products. The buyer is the person and the focus is not on the offering. The person is connected through multiple devices, wearables, at home, on the road, and in multiple locations, sometimes simultaneously...
Jul. 28, 2016 01:15 AM EDT Reads: 881
"delaPlex Software provides software outsourcing services. We have a hybrid model where we have onshore developers and project managers that we can place anywhere in the U.S. or in Europe," explained Manish Sachdeva, CEO at delaPlex Software, in this SYS-CON.tv interview at @ThingsExpo, held June 7-9, 2016, at the Javits Center in New York City, NY.
Jul. 28, 2016 01:00 AM EDT Reads: 1,639
"We've discovered that after shows 80% if leads that people get, 80% of the conversations end up on the show floor, meaning people forget about it, people forget who they talk to, people forget that there are actual business opportunities to be had here so we try to help out and keep the conversations going," explained Jeff Mesnik, Founder and President of ContentMX, in this SYS-CON.tv interview at 18th Cloud Expo, held June 7-9, 2016, at the Javits Center in New York City, NY.
Jul. 27, 2016 10:30 PM EDT Reads: 1,420
Internet of @ThingsExpo, taking place November 1-3, 2016, at the Santa Clara Convention Center in Santa Clara, CA, is co-located with the 19th International Cloud Expo and will feature technical sessions from a rock star conference faculty and the leading industry players in the world and ThingsExpo Silicon Valley Call for Papers is now open.
Jul. 27, 2016 10:00 PM EDT Reads: 2,685
The IoT is changing the way enterprises conduct business. In his session at @ThingsExpo, Eric Hoffman, Vice President at EastBanc Technologies, discussed how businesses can gain an edge over competitors by empowering consumers to take control through IoT. He cited examples such as a Washington, D.C.-based sports club that leveraged IoT and the cloud to develop a comprehensive booking system. He also highlighted how IoT can revitalize and restore outdated business models, making them profitable ...
Jul. 27, 2016 09:45 PM EDT Reads: 2,019
"delaPlex is a software development company. We do team-based outsourcing development," explained Mark Rivers, COO and Co-founder of delaPlex Software, in this SYS-CON.tv interview at 18th Cloud Expo, held June 7-9, 2016, at the Javits Center in New York City, NY.
Jul. 27, 2016 08:00 PM EDT Reads: 2,047
We all know the latest numbers: Gartner, Inc. forecasts that 6.4 billion connected things will be in use worldwide in 2016, up 30 percent from last year, and will reach 20.8 billion by 2020. We're rapidly approaching a data production of 40 zettabytes a day – more than we can every physically store, and exabytes and yottabytes are just around the corner. For many that's a good sign, as data has been proven to equal money – IF it's ingested, integrated, and analyzed fast enough. Without real-ti...
Jul. 27, 2016 07:30 PM EDT Reads: 1,128
"There's a growing demand from users for things to be faster. When you think about all the transactions or interactions users will have with your product and everything that is between those transactions and interactions - what drives us at Catchpoint Systems is the idea to measure that and to analyze it," explained Leo Vasiliou, Director of Web Performance Engineering at Catchpoint Systems, in this SYS-CON.tv interview at 18th Cloud Expo, held June 7-9, 2016, at the Javits Center in New York Ci...
Jul. 27, 2016 06:45 PM EDT Reads: 2,080


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Titus Regional Medical Center - Mount Pleasant, TX
Certification as an Operating Room Technician within 180 days of employment or current employment as a surgical scrub tech....
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ISSM-FL - Gainesville, FL
Experience in Pain Management, Plastic Surgery, Podiatry and GYN a plus. Immediate opening
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TravelMax Nursing - Palmdale, CA
Benefits for our Travel / Contract Assignments Include: Varying Length Contracts with Premium Compensation Packages Medical, dental and vision insurance 401
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St. Vincent Medical Center - Los Angeles, CA
Surgical Tech (OR tech). Provides preoperative care in the operating room utilizing current acceptable surgical practices. Surgery and Recovery....
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Abilene Surgery Center - Abilene, TX
Abilene Surgery Center (Ophthalmology Specialists of Texas) is seeking a full-time Certified Surgical Tech with surgical tech experience for our ambulatory...
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Allina Health - Minneapolis, MN
The Certified Surgical Technologists (CST) participates as a surgical team member by using the RN assessments. They implement the plan and evaluate the surgical...
Surgical Tech Noncertified - Sterile Processing (PRN)
Methodist Texsan Hospital - San Antonio, TX
Certified Surgical Technologist through the National Board for Surgical Technology and Surgical Assisting (NBSTSA) (formally the Liaison Council on...
Surgical Tech
Quik Travel Staffing - Los Angeles, CA
Job Requirements Experience with minimal access, general, ENT, eyes, plastics, orthopedics, spines, urology, GYN, podiatry and maxillofacial surgeries.
Travel Surgical Tech (ORT) Medical / Surgical (Med/Surg)
TravelMax Nursing - Los Angeles, CA
Benefits for our Travel / Contract Assignments Include: Varying Length Contracts with Premium Compensation Packages Medical, dental and vision insurance 401
Certified Surgical Tech
Children's North Surgery Center - Broomfield, CO
We are seeking a Per Diem, Part-Time and Full-Time Certified Surgical Techs with SPD experience to join our team....