text:
Mita, Kanagawa
Hidehisa Mita, Kanagawa JP
|Patent application number
|SOLID POLYMER ELECTROLYTE FOR LITHIUM ION BATTERY AND LITHIUM ION BATTERY - The invention provides a novel lithium-ion battery electrolyte which is produced by adding an aluminate ester compound as a plasticizer in a solid polymer electrolyte. The lithium-ion battery solid polymer electrolyte of the present invention comprises a lithium ion source, an organic polymer compound, and one or more kinds of aluminate ester compounds represented by the general formula
|METHOD AND APPARATUS FOR PRODUCING MONO-LOWER-ALKYL MONOALKANOLAMINE - A reaction column (
Hiroki Mita, Kanagawa JP
|Patent application number
|FUEL CELL, MANUFACTURING METHOD THEREOF, ELECTRONIC APPARATUS, ENZYME-IMMOBILIZED ELECTRODE, MANUFACTURING METHOD THEREOF, WATER-REPELLENT AGENT, AND ENZYME IMMOBILIZING MATERIAL - In the case in which a fuel cell has a structure in which a cathode (
|FUEL CELL AND ELECTRONIC APPARATUS - A fuel cell having excellent properties is provided in which, when an enzyme is immobilized in at least one of a positive electrode and a negative electrode, a sufficient buffering capability can be provided even in a high power output operation and the inherent capability of the enzyme can be sufficiently exerted. In a biofuel cell including a structure in which a positive electrode
|FUEL REFORMER AND POWER GENERATION APPARATUS USING THE SAME - The present invention provides a fuel reformer which enables power generation to be actually performed even in the case of using very-safe familiar things such as food and drink and food scraps as a fuel of a biofuel cell. The fuel reformer is used for a fuel cell which generates power as an oxidation reduction reaction progresses using enzyme as a catalyst, and has: a primary fuel introduction unit for introducing a primary fuel; a fuel reforming unit communicating with the primary fuel introduction unit and reforming the primary fuel to a secondary fuel from which electrons can be emitted by an oxidation reduction reaction using enzyme as a catalyst; and a secondary fuel supplying unit communicating with the fuel reforming unit and supplying the secondary fuel to the fuel cell.
|FUEL CELL - A fuel cell is provided. The fuel cell includes at least one of a plant essential oil and a plant essential oil ingredient in an effective amount so as to function as a biological repellent.
|FUEL CELL AND METHOD FOR MANUFACTURING THE SAME, ELECTRONIC APPARATUS, ENZYME-IMMOBILIZED ELECTRODE AND METHOD FOR MANUFACTURING THE SAME, WATER-REPELLENT AGENT, AND ENZYME-IMMOBILIZING MATERIAL - A fuel cell is provided having a structure in which a cathode and an anode face each other with an electrolyte layer therebetween. The cathode includes an electrode on which an oxygen reductase and the like are immobilized, and the electrode has pores therein, water repellency is imparted to at least part of the surface of the electrode. Water repellency is imparted by forming a water-repellent agent on the surface of the electrode. The water-repellent agent includes a water-repellent material such as carbon powder and an organic solvent such as methyl isobutyl ketone that causes phase separation with water. When the electrode has pores therein, there are provided a fuel cell that stably provides a high current value and a method for manufacturing the fuel cell.
|SYSTEM FOR INQUIRING ABOUT FITNESS OF BEVERAGE AS BATTERY FUEL - Disclosed herein is a system for inquiring about fitness of a beverage as battery fuel, including a search request receiving section configured to receive an input of beverage information regarding a beverage as a search request, a storage section having stored therein a reference database in which search requests and performance data of fuel cells are associated with each other, a search section configured to automatically search the reference database for performance data which coincides with the search request, and a search answer outputting section configured to output a search answer.
|FUEL CELL, ELECTRONIC DEVICE, AND BUFFER SOLUTION FOR FUEL CELL - A fuel cell with which in the case where an enzyme is immobilized to at least one of a cathode and an anode, sufficient buffer ability is able to be obtained even at the time of high output operation, ability inherent in the enzyme is able to be sufficiently demonstrated, and which has superior performance is provided. In a bio-fuel cell which has a structure in which a cathode and an anode are opposed to each other with an electrolyte layer containing a buffer substance in between, and in which an enzyme is immobilized to at least one of the cathode and the anode, a compound containing an imidazole ring is contained in the electrolyte layer as a buffer substance, and one or more acids selected from the group consisting of acetic acid, phosphoric acid, and sulfuric acid are further added.
|FUEL CELL AND ENZYME ELECTRODE - Provided is a fuel cell that is high in performance capabilities of initial power generation and in volume power density, and produces a stable power. Between fixing plates, first and second cell portions are provided. The first cell portion includes an anode, a cathode, and a proton conductor, and the second cell portion includes an anode, a cathode, and a proton conductor. To a space formed by gas-liquid separation and permeable films, cathode spacers, and an anode spacer, a fuel solution is filled. The gas-liquid separation and permeable films are disposed between the fixing plate and the cathode, and between the fixing plate and the cathode. The cathode spacers are provided around the cathodes, respectively, and the anode spacer is provided between the anodes.
|BIOFUEL CELL - Provided is a biofuel cell including: electrodes disposed inside a cell casing; and current collectors exposed to the outside of the cell casing; wherein a part of each of the current collectors is separably put in close contact with the corresponding electrode through an opening provided in the cell casing, in the state of being provided with a leakage preventive section configured to prevent a solution inside the cell casing from leaking out through the opening.
|BIO-FUEL CELL FUEL SUPPLY BODY AND BIO-FUEL CELL SYSTEM - A fuel supply body is partially or wholly formed from a material having a biopolymer as a main component and a biocatalyst that metabolically decomposes the biopolymer is contained therein or immobilized thereto. A bio-fuel cell system is constituted of the fuel supply body and a bio-fuel cell including electrodes with an oxidation-reduction enzyme present on a surface thereof to supply fuel and/or the biocatalyst from the fuel supply body to the bio-fuel cell and also to use the fuel supply body itself as the fuel.
|POWER SUPPLY DEVICE AND ELECTRONIC APPARATUS - A power supply device in which an enzyme is immobilized as a catalyst on negative electrodes and/or positive electrodes, includes electromotive portions in which at least two of the negative electrodes and the positive electrodes are connected in series, and a fuel supply portion which communicates with the negative electrodes and which simultaneously supply a fuel to the negative electrodes, and in the power supply device, the fuel supply portion includes fuel-supply adjusting portions which adjust fuel supply to the negative electrodes.
|FUEL CELL - A separator formed of a material, which does not transmit liquid, is provided between a cell unit including an electrode on a surface of which an oxidoreductase is present and a fuel storage unit provided adjacent to the cell unit. It is configured such that power generation is started by supply of fuel solution stored in the fuel storage unit to the cell unit by removal of at least a part of the separator.
|FUEL CELL - A fuel cell that can have a higher battery capacity without degradation of cathode characteristics is provided.
|CARBON DIOXIDE IMMOBILIZATION UNIT - There is provided a carbon dioxide immobilization unit capable of easily immobilizing carbon dioxide in the form of an organic acid or a carbohydrate under a normal environment. An anode and a cathode both having a surface where an oxidoreductase is present are disposed to face each other with a proton conductor in between. Then, when electric power is externally supplied to the carbon dioxide immobilization unit, in the anode, water is decomposed to produce protons, and in the cathode, an organic acid or a carbohydrate is produced from the protons produced in the anode and carbon dioxide. At this time, while a carbon dioxide supply section supplies a high concentration of carbon dioxide to the cathode, oxygen produced in the anode and the organic acid or hydrocarbon produced in the cathode are removed from a reaction system through an oxygen removal section and a product recovery section, respectively.
|FUEL LEAKAGE PREVENTING STRUCTURE AND BIOFUEL CELL - The valve control unit of a fuel leakage preventing structure of the present invention includes first and second electrodes. The first electrode is attached to a first member that is movable. When a pressing force is applied to the first member to move, the first and second electrodes are brought into contact with each other, to cause conduction. The first and second electrodes are connected to a control device, and the control device opens a control valve when the first and second electrodes are put into a conducting state. As the control valve is opened and closed by a pressing force in this manner, a fuel solution can be easily supplied.
|FUEL CELL, METHOD FOR PRODUCING FUEL CELL, ELECTRONIC APPARATUS, NICOTINAMIDE ADENINE DINUCLEOTIDE-IMMOBILIZED ELECTRODE, NICOTINAMIDE ADENINE DINUCLEOTIDE-IMMOBILIZED CARRIER, ENZYME REACTION UTILIZATION DEVICE, PROTEIN-IMMOBILIZED ELECTRODE AND PROTEIN-IMMOBILIZED CARRIER - Provided is a fuel cell capable of preventing elution of nicotinamide adenine dinucleotide and/or a derivative thereof immobilized on an electrode, and capable of preventing performance degradation due to elution, and a method for manufacturing the fuel cell.
|METHOD FOR PRODUCING FUEL BATTERY, AND FUEL BATTERY AND ELECTRONIC DEVICE - Provided is a method for producing a fuel battery in which an oxidoreductase has been fixed as a catalyst on at least one electrode of a negative electrode or a positive electrode, including conducting at least a step of preparing an electrode pattern, in which an electrode material containing at least electroconductive particles is printed on the surface of a bendable non-electroconductive sheet, and a step of preparing a negative electrode and a positive electrode, in which a negative electrode and a positive electrode are made by printing a predetermined oxidoreductase on the electrode pattern prepared in the step of preparing an electrode pattern.
|BIOFUEL CELL AND ELECTRONIC DEVICE - A small and high-density biofuel cell capable of easily supplying fuel; and an electronic apparatus are provided.
Patent applications by Hiroki Mita, Kanagawa JP
Kazuhiro Mita, Kanagawa JP
|Patent application number
|AUTOMOTIVE SEAT HEADREST SUPPORTING APPARATUS - An automotive seat headrest supporting apparatus includes headrest supporting members and stay locking units
Kazutoshi Mita, Kanagawa JP
|Patent application number
|LIGHTING APPARATUS - A lighting apparatus includes a red LED; a green LED; a blue LED; and a white LED made up of a blue light-emitting element and a yellow phosphor, wherein the red LED, the green LED, the blue LED, and the white LED generate 26 to 38%, 35 to 50%, 0 to 2%, and 12 to 33% of light, respectively, and white light obtained by additive color mixing of light from the red, green, blue, and white LEDs has a correlated color temperature of 2800 K or more to less than 3500 K, a deviation of 0.02 or below in absolute value, and a color gamut area ratio of 120% or more to 140% or less. Consequently, the lighting apparatus can radiate an illuminating light which makes colors look vivid.
Makoto Mita, Kanagawa JP
|Patent application number
|GYROSCOPE - A gyroscope (
|GYROSCOPE - To provide a compact and high performance gyroscope.
Masaya Mita, Kanagawa JP
|Patent application number
|PNEUMATIC TIRE - The pneumatic tire includes a tread pattern having a land portion sandwiched between tire circumferential grooves. A groove area ratio of the tread pattern is different between areas on opposite sides with reference to a tire center line in a tire width direction. A first side has the larger groove area ratio and a second side has the smaller groove area ratio respectively. The land portion is protruding outward in a tire radial direction and the land portion has edge portions bordering the tire circumferential grooves and formed by groove walls of the tire circumferential grooves sandwiching the land portion and a surface of the land portion. A drop length of the edge portion facing to the first side from a most protruding point of the land portion along the tire radial direction is longer than a drop length of the edge portion facing to the second side.
Tsunemasa Mita, Kanagawa JP
|Patent application number
|Document display system, display device, controller and computer readable medium - A document display system includes: a plurality of display units that display an image of an electronic document including a plurality of pages for each page unit; a plurality of detecting units that detect a display operation performed by a user to each of the plurality of display units; and a control unit that controls the display unit related to the detecting unit that detects the display operation to display a page image in order of the pages corresponding to the order of detecting the display operations.
|System for writing information and method of writing information - A medium writing apparatus obtains information to be written onto a recording medium, converts the information into a suitable writable format, and then writes the converted information onto the recording medium. An ID obtaining section obtains a medium ID from the recording medium, or through an input by the user. The medium ID and information indicating the place of the written information are sent to a server, and then stored as index information correlating them with each other. When the information written onto the recording medium is to be used at a later timing, the medium ID is identified, and the index information is obtained from the server. Therefore, the original information can be obtained so as to be easily reprocessed or reused.
Patent applications by Tsunemasa Mita, Kanagawa JP


text:
IISER Bhopal Recruitment 2015
A career notification has been updated by the Indian Institute of Science Education and Research against the IISER Recruitment. Get more updates on recruitmentinfosite.com . The vacancy is for the position of Lab Instructor and there are total 06 positions in the organization. The location of the job is Bhopal (Madhya Pradesh) and the last date to apply for the job vacancy is 23rd of November, 2015. Further details regarding the vacancy in the organization are as follows:
Description regarding the vacancy in the organization:
Organizing Agency: Indian Institute of Science Education and Research (IISER)
Job Location: The location of the job is Bhopal (Madhya Pradesh)
Vacant Position: The vacancy is for the position of Lab Instructor
Available Seats: The total number of job vacancy is 06.
Dates to be remembered: The closing date of application procedure is 23rd of November, 2015. All the eligible and qualified job hunters must apply for it before the last date.
Limitations on Age: The age limit of the job hunters will be decided as per the rules of the organization. Age relaxation will be as per the guidelines followed by the organization.
Educational Necessities: The Job seekers must have Ph. D in either of the following subjects such as – Physics or Chemistry or Biology. All the qualifications must be obtained from the approved Institution or University of the Nation.
Remunerations: The salary of Rs 21,000 per month will be paid to the selected job appliers.
Application Charge: There is no application fee required to be paid.
Hiring: Short Listing will be done on the basis of details submitted in the form of application form. The short listed job appliers will then be called for the process of Interview
Method to Apply: The application in a Performa is required to be submitted along with the updated bio data, essential testimonials (photocopies and self attested), passport photograph etc and send it to the following address-
Dean R & D Indian,
Institute of Sicence Education and Research (IISER) Bhopal,
By Pass Road, Bhauri,
Bhopal – 462066 (MP)

subset: commoncrawl


text:
New Delhi, Nov 4 (UNI) President Pratibha Devisingh Patil will leave for Thimpu tomorrow to be the Chief Guest at the coronation ceremony of the fifth king of Bhutan Jigme Khesar Namgyal Wangchuck.
Ms Patil will be accompanied by External Affairs Minister Pranab Mukherjee at the grand three-day-long ceremony. UPA Chairperson Sonia Gandhi would also witness enthronement of the world's youngest head of state.
The occasion would also mark the completion of 100-year rule of the Wangchuk dynasty in the Himalayan Kingdom.
Twenty-eight-year-old Namgyal, who took over in December 2006 following the sudden abdication of his father Jigme Singye Wangchuck, would be formally enthroned after the traditional coronation ceremony.
Bhutan, which recently went to poll and has emerged as the world's youngest democracy, would receive guests from 32 countries on this occasion. The ceremony is expected to be grand and the government has declared a week-long holiday from November 6.
Jigme Khesar Namgyal and his father share the unique milestone of being the youngest monarchs of their time. Jigme Singye Wangchuck had ascended the throne at 17 years of age in 1972 and ruled the country for 34 years. Now Namgyal, who received education in United Kingdom and military training in India, would take over as the King of Himalayan Kingdom situated between India and China.
Bhutan, with which India shares very cordial relationship, is the only country in the world which quantifies its prosperity by the Gross National Happiness.


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Rejuvenate your complexion with Aesop's Fabulous Face Cleanser; a low-foaming, mild formula that works to eliminate daily build-up of dirt and impurities, without over-drying or uncomfortable tightness.
Catering specifically for sensitive or normal skin, the olive-derived, clear gel contains rosemary, aloe leaf and chamomile bud to gently cleanse skin and absorb excess sebum, whilst delivering a comforting, herbaceous fragrance. Ideal for dry skin, your complexion is left revitalised, rebalanced and super soft.
Pour half a teaspoon into clean hands, and lather. Massage over the face and neck, then rinse thoroughly with warm water.
Water (Aqua), Olive Oil PEG 7 Esters, Ammonium Laureth Sulfate, Glycerin, PEG-150 Distearate, Aloe Barbadensis Leaf Juice, Citrus Aurantium Bergamia (Bergamot) Fruit Oil, Sea Salt (Maris sal), Coco-Betaine, Rosmarinus Officinalis (Rosemary) Leaf Oil, Camellia Sinensis Leaf Extract, Anthemis Nobilis Flower Oil, Methylchloroisothiazolinone, Methylisothiazolinone, d-Limonene, Linalool.
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If ordered before 9pm, delivered by courier next working day. Available on orders placed before 9pm (2pm weekends and Bank Holidays) for delivery next business day.
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text: The Best Take Away Options Nutrition By Susie Burrell 12 August 2014 At times we all need to do it, pick up something for dinner on the way home after a long day. So, what are best options when we are tired, hungry but still wanting to eat as healthily as we can? Thai Thai food is often considered a 'healthy' choice thanks to its brightly coloured vegetable dishes but the truth is that like many Asian cuisines, Thai food does tend to be cooked using plenty of oil and high fat sauces. For this reason, heavy curry and noodles dishes should be avoided but if you order a plain vegetable, tofu or prawn stir fry, you could get away with as little as 10-15g of fat, or better still a soup or Thai Beef salad can contain 10g of fat per serve. Japanese A popular choice, Japanese food is generally lower in fat and calories than other cuisines but you do need to be careful of the fried dishes. You generally cannot go wrong with sashimi or even a small amount of brown rice sushi. Bulk up the meal with Miso soup, seaweed salad and Edamame beans which are packed full of nutrition for very few calories. BBQ Chicken and salad Often considered as one of the best choices nutritionally, the biggest thing to be mindful of is what part of the chicken you are eating and which type of salad you are choosing. Chicken breast and plain green or Greek salad are generally low in fat and calories but if you choose a creamy pasta salad and the chicken drumstick along with plenty of tasty chicken skin, your fat intake could be as high as 40g for this 'healthy' choice. Fish and salad If you are lucky enough to have a fish shop near you, grilled fish and salad is a low fat, nutritionally balanced meal that will compliment any diet plan if the goal is weight loss. The issue of course is that too often grilled fish is fried or battered fish served with chips, scallops and other fried accompaniments which are best left for occasional treats at the beach rather than a quick weeknight meal. Naked burrito Of the range of cuisines, Mexican food is generally high in fat thanks to the guacamole, sour cream and fried chips but if you can order a naked burrito, that is the meat and salad filling minus the bread, you are left with a low calorie dinner meal packed with plenty of nutrition. If you swap the rice for extra vegetables it will be an even lighter choice. Lebanese plate If you can be strong enough and stay clear of the large serves of Lebanese bread and dips, the mix of tabouli, falafel, lamb or chicken skewers, kafta and cabbage rolls can offer a nutritious, filling meal for less than 15g of fat per serve. Just remember, the more vegetables and salad you eat, the lower your fat and calorie intake will be. Please note: This blog aims to supply user-friendly nutrition information for busy people without comprising on food taste and quality but should be used as a guide only and not in place of advice from your own dietitian or medical specialist. For further information on this topic, please consult your health professional. The content of this blog, including attachments, may be privileged and confidential. Any un-authorised use of this content is expressly prohibited. Any views that are expressed in this message are those of the individual sender, except where the sender expressly, and with authority, states them to be the views of Susie Burrell Pty Ltd. Tags: Weight Management Category: Nutrition « Back


text:
Leadership Costs (7 of 10) by Jerry Vines
This content is part of a series.Leadership Costs (7 of 10)
Series: Leviticus
Jerry Vines
Leviticus 21-22
The book of Leviticus has gotten to be quite a surprise. I shared with you how the first time I tried to read through the book of Leviticus and it was really tough. When you get the bigger picture and when you see that what we read in the book of Leviticus gives us pictures of New Testament truths and truth which can be applied to our lives today, then the book takes on an altogether different perspective and understanding.
By way of review we remember that the first seventeen chapters of Leviticus, leading up to the Day of Atonement, we have sacrifice as our theme. These chapters show us how a relationship with God can be established. We see that you cannot have a relationship with God apart from sacrifice. In the Old Testament there were these animal sacrifices which were made. All of them were pictures of the sacrifice that Jesus would make on the cross of Calvary. It is because of the sacrifice of Jesus on Calvary's cross that you and I can have a personal relationship with God. It is by the shedding of the blood of the Lord Jesus Christ that you and I can enter into a salvation relationship with God.
In chapters 18 to the conclusion of the book, the theme is separation. It has to do with fellowship with God. How we walk with God! How we live for the Lord! The great theme in these chapters is ''Be Ye Holy, for I Am Holy.''
In chapter 21 and 22 you will notice a recurring phrase. At the end of every paragraph in this section you will find this phrase. At the end of verse 8 it says, ''For I the Lord which sanctify you am holy.'' Verse 15 says, ''For I the Lord do sanctify him.'' Verse 23 says, ''For I the Lord do sanctify them.'' Chapter 22, verse 9, says, ''I the Lord do sanctify them.'' Verse 16 says, ''For I the Lord do sanctify them.'' Verse 32 says, ''I am the Lord which hallow you.''
The theme in this section is the holiness of God and the call of the holy God for th ...
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text: Sam Steingold wrote: >> * Pekka Niiranen <crxxn.avvenara@...> [2007-01-13 15:30:14 +0200]: >> >> But when I save the file in "UTF-8" with BOM I get this: > > CLISP does not support BOM. > please save your file with plain UTF-8. > Thank you for your answer. Sadly I cannot remove BOM but I will try to "strip" it if the line starts with it as I do in the Python program I am trying to convert into Lisp: # Strip the BOM from the beginning of the Unicode string, if it exists u.lstrip( unicode( codecs.BOM_UTF8, "utf8" ) ) Another issue: I am reading "Practical Common Lisp" and in "chapter 15" it speaks about "quirks" in Clisp's design when it comes in listing directories. As a beginner, I find it bad publicity for Clisp. Furthermore, I would like to see Clisp being ported into latest OpenBSD too. Any comments? -pekka-


text:
Simon McGrath concludes his blog about the remarkable Prof George Davey Smith's smart ideas for understanding diseases, which may soon be applied to ME/CFS.
Discuss the article on the Forums.
Huge improvement in two hours
Discussion in 'General ME/CFS Discussion' started by knackers323, Dec 24, 2013.
Page 9 of 11
Page 9 of 11


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Confinement Nanny Singapore
NannySOS Confinement Nanny Agency
Agency Licence 13C6350
We Believe Every Mother Deserves A Peaceful & Restful Confinement Period
Confinement nanny is someone who can provide assurance, extra help and care to mothers and babies during the postpartum period. NannySOS confinement nanny agency ( MOM Licence 13C6350) provides stay in nanny and part time confinement lady in Singapore for both mother and baby who deserves to be well rested. The nannies can be hired from 14 days up to maximum of 16 weeks commencing from child's birthday. Our agency provides chinese and english speaking confinement nannies with at least 3 years experience for locals and expats. We believe every postnatal woman deserves a good confinement period with nutritious confinement food to rejuvenate and regain her energy under the attentive care of a experienced confinement nanny.
You can also find confinement lady by yourself without engaging the services of Singapore confinement nanny agency for recommendation. However, do make sure her confinement nanny work permit is applied if she is from Malaysia. This is a requirement from Ministry of Manpower (MOM) which is applicable to part time or day time confinement nanny as well.
Is Postnatal Confinement Necessary?
Confinement after childbirth is very crucial to all mothers. It has been many tiring days and sleepless nights after enduring 9 months of pregnancy along with suffering the pain of giving birth. It is very important for women after childbirth to receive continuous love from her loved ones. Postnatal confinement is as important as pre natal as it is a critical period to restore mother's health and balance. Don't be surprised some ailments that you used to experience before pregnancy no longer occur as the body is "reset" and readjusting to the new change.
Therefore, mothers should take advantage of this stage. Confine yourself at home and get yourself your well deserved rest after going through the labour and delivery. Refrain yourself from heavy household chores, sea breeze, reading emails from work or working from home if possible. Stay hydrated with warm water and especially Longan and Red Date tea which is beneficial for blood circulation and sleep. A post natal woman should never take her confinement period too lightly as it can either benefit or affect her health in the long run, so make use of this chance and don't take the risk.
First Time Parents
New mummies are highly encouraged to hire Singapore or Malaysian confinement nannies for your first baby. If your parents or in-laws are able to help take care of the newborn baby, you can also consider confinement food catering or tingkat delivery to save on cost. Besides the lack of experience in responding to the cries of your baby or how to bathe them, first time parents need to know that new born babies tend not to sleep at the timing you wanted them to. You will get to experience the happiness and tiredness as well with many days deprived of sleep. The baby will wake up at odd timing or wee hours which you have to tend to their cries if you did not engage the service of a confinement lady. However, please do your due diligence research as you will be living with or where mother and child is being taken care of by a stranger.
Cost for Hiring Our Professional Confinement Nanny
SGD2,500 Nett
Special rates for twins available.
Price include $30 confinement nanny work permit application fees. MOM levy charges is $60 per month or $265 per month. We also provide confinement nanny services such as confinement food catering, prenatal and postnatal care for local and expat families in Singapore.
Holistic Wellness Confinement Care
How Confinement Nanny Services Can Help You?
We believe that experience is crucial when it comes to confinement.
You will also come across articles on confinement dos and don'ts. Some are chinese confinement myths.
Knowing what to do at the right time and being efficient is our mantra.
Here are some tasks that our confinement nanny will perform.
- Help out for 28 days from the first day you are discharged
- Prepare confinement food (3 meals a day) to ensure mother get the nutrients they require for a speedy recovery
- Prepare confinement herbal bath for mother upon request
- Prepare Red Dates Longan Tea daily as it is essential during your confinement period
- Handling the laundry for mother and baby
- Feeding the baby (for mothers who choose to breastfeed, you can gather some tips from confinement nannies)
- Showering and taking care of the baby
- Day & Night baby care to allow the mother to have ample rest
- Giving sincere advise of proper confinement care
- Basic home care
- Grocery Shopping
NannySOS Agency Services
We Take Care All Your Needs
Confinement Lady
Committed to help mummies cope with confinement period stress-free. Responsible, proper hygiene and experience are key traits of a good confinement lady. Over 30 professionally trained confinement nannies all with a minimum of 3 years of experience taking care of newborn baby.
Reliable & Experience Confinement Nannies
We strongly believe that experience is the most important trait when it comes to a confinement lady. Majority of our nannies have been through pregnancies and have their own babies. Knowing what to do at the right time and being efficiently will bring you a peace of mind!
Knowledge Transfer
We work with chinese and english speaking confinement nannies. Minimize all language barriers for locals and expats. We will provide you, the employer, with sufficient training and continue working to share the confinement knowledge with you. This will enables you to be ready to handle your baby even after you have started on your own without the nanny.
Satisfaction Guaranteed
Confinement nanny services include a request for a change in confinement lady up to 1 times if you are not satisfied with her work. After which, a pro-rated refund option will be provided.
Hassle Free
Hiring a good confinement lady from MOM licensed agency is just a click away. NannySOS services include assistance in applying confinement nanny's work permit or extension.
Good Daily Confinement Meals
Our confinement nannies are good cooks as well. Confinement meals can range from delicious dishes to specialty soups.
Frequently Asked Questions
How long is the confinement period?
In Singapore, 28 days is the most common option for most families. We have parents who opted for 14 days or 40 days as well. We will recommend at least 28 days or more for mothers to have a good restful period and recuperation.
Will I be able to select the nanny?
As our nannies schedule may vary due to extension of service, family or health reasons, we do not encourage selecting or shortlisting the nanny to avoid disappointment. She might not available due to unforeseen circumstances such as your earlier than expected delivery. However, please be assured that we will only recommend you experienced confinement nannies whom we have work with on numerous occasions and closest to your requirements.
What if we are unable to work along well with the confinement lady?
We have not experienced such cases recently. However, we do allow replacement up to 1 times. If the replacement of confinement lady is still unacceptable, we will arrange for a pro-rated refund.
Do I need to apply work permit for confinement nanny?
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Dr. Harry Fisch, a board-certified urologist and microsurgeon, is also one of the nation's leaders in the diagnosis and treatment of Men's health issues including Vasectomy Reversal in New York.
Dr. Fisch has been featured in the media USA Today, The New York Times and The Washington Post, and has appeared on television's 60 Minutes, 20/20, CNN and Today, among many others. He has been named to the "Best Doctors in America" and "New York Magazine Top Doctor" the past 9 years.
Our Vasectomy Reversal Center of New York utilizes our own ambulatory surgery center, allowing for a reduced cost to the patient with a quicker recovery time.
Latest Testimonial
"I had my vasectomy in 1998, when I was twenty-four years old and had decided with my first wife that we didn't want children. Years later, the marriage ended and I went on to rethink my decision.
In 2008, I consulted with a doctor at NYU and decided to go ahead with a vasectomy reversal, a vasovasostomy. After the surgery, I neglected to do a semen analysis and seven years later, when my current wife and I decided to try to conceive, I found that I wasn't producing any sperm. It's unclear if the initial procedure didn't work, or if it had worked and my vas somehow, over time, became obstructed.
My wife and I researched New York surgeons who specialize in vasectomy reversals, and decided on Dr. Fisch, who was recommended by some of the top doctors in the field. We consulted with him a few times and scheduled my second reversal surgery for January 2016. We both found him to be straightforward and confident, and he was consistently positive about our chances of success, despite it being a complicated case.
The procedure turned out to be more complicated than anticipated, and it became clear that a simple vas-to-vas reattachment wasn't possible. Instead, Dr. Fisch had to perform a more difficult vas-to-epididymis attachment (vasoepididymostomy).
A month later, a semen analysis showed that sperm was present, though sperm count, motility, concentration, and forward progression were all well below normal levels. I had four more analyses from March through October, and the measures increased overall with each analysis. The final analysis, in October 2016, showed normal motility, above average count, above average concentration, and just below normal forward progression.
I can't express how happy my wife and I were with the outcome. With a failed reversal in our past, we were having a hard time feeling hopeful about the second attempt. Dr. Fisch's experience and skill really made the difference, and today I'm thrilled to report that my wife is pregnant, and we're expecting a baby boy in late July."
Vasectomy Reversal Guide
This guide is designed in a simple question and answer format to address particular concerns, as well as to expand on other issues that also need to be understood before proceeding with a vasectomy reversal. If you have questions or would like a brochure or a consultation, please contact Madelon at my office.
Vasectomy Reversal surgery reconnects the ducts that carry sperm from the testicles into the semen. After successful vasectomy reversal, sperm are present in your semen again and you may be able to get your partner pregnant.
The Patient's Guide to Vasectomy Reversal has been written to assist men who want to restore their fertility through vasectomy reversal surgery. In practice, I have treated many individuals who have successfully undergone vasectomy reversal surgery and while each case is unique, I have found similar questions and concerns. The purpose of the Patient's Guide to Vasectomy Reversal is to familiarize men with the procedures that are involved, from the initial examination through surgery and the post-operative period, to help lessen the apprehension that can accompany the decision process.
1. What is a vasectomy?
2. What is a vasectomy reversal?
3. What are the success rates associated with vasectomy reversal?
4. Is vasectomy reversal a common procedure?
5. Why do men want vasectomy reversals?
6. Can all vasectomies be reversed?
7. Does health insurance cover vasectomy reversal?
The Specifics of Microsurgery
8. How have microsurgical techniques improved results of vasectomy reversal?
9. Are the success rates for multi-layer vasovasostomy different from a single-layer vasovasostomy?
10. When would a surgeon perform a vasoepididymostomy rather than a vasovasostomy?
11. How do I select a surgeon?
Am I a Good Candidate for a Vasectomy Reversal?
12. My vasectomy was done years ago. How does that affect my chances for a successful reversal?
13. Does the way my vasectomy was performed affect my chances for a successful reversal?
14. Can my doctor predict the outcome of my vasectomy reversal by examining me before surgery?
15. I've already had a vasectomy reversal with no success. Does it make sense to try again?
16. Is in-vitro fertilization a better option for me than vasectomy reversal?
17. We don't plan on trying to conceive right away. When would be the best time for me to have a vasectomy reversal?
Testing Before Surgery
18. Do I need any tests before surgery?
19. Do tests for anti-sperm antibodies or follicle stimulating hormone levels help predict the success of my surgery?
20. Should my wife undergo any tests before I have my vasectomy reversal?
Expectations for the Day of Surgery
21. Will I be able to go home the day of the surgery?
22. What type of anesthesia is used?
23. How long will the surgery take?
24. Where are the incisions made?
25. What are the complications that can occur?
26. How much pain can I expect after surgery?
What Happens After Surgery?
27. How soon can I have sex after surgery?
28. How long after the surgery will it take for sperm to re-appear?
29. Is there any chance that my sperm count will decline after an initially successful vasectomy reversal?
30. How soon can I expect a pregnancy to occur after my vasectomy reversal?
31. What are my options if the surgery is unsuccessful?
Figure 1
To understand what a vasectomy is, a little knowledge of normal male anatomy is needed. As illustrated in Figure 1, the testicles are continually producing sperm even after a vasectomy. The sperm is stored in the epididymis, located directly above the testicles. Sperm moves from the epididymis through each vas deferens to the prostate, located in front of the bladder. When ejaculation occurs, sperm is expelled from the penis.
Figure 2
A vasectomy is a surgical procedure that disrupts the flow of sperm through the vas deferens as illustrated in Figure 2. The surgeon actually cuts through the vas deferens and then places a clip or suture.
A vasectomy reversal is, a surgical procedure that restores the flow of sperm through the vas deferens. It is usually performed by an experienced microsurgeon using specialized instruments, including an operating microscope. The sutures used in vasectomy reversal are finer than human hair.
There are two types of vasectomy reversals: vasovasostomy and vasoepididymostomy.
Figure 3a
Figure 3b
Figure 4a
Figure 4b
Is the operation most frequently performed for vasectomy reversal. It entails stitching the cut ends of the vas deferens together as illustrated in Figure 3a and 3b.A vasovasostomy
A vasovasostomy is the surgery of choice for vasectomy reversal. However, if excessive inflammation or scarring has occurred in the epididymis, sperm may be blocked from getting to the vas deferens. If a blockage has occurred in the epididymis, merely connecting the two cut ends of the vas deferens (as is done in a vasovasostomy) will not solve the problem. To bypass the blockage in the epididymis, a vasoepididymostomy must be performed.
A vasoepididymostomy is performed by connecting the vas deferens directly to the epididymis as illustrated in Figure 4. One end of the vas deferens is stitched directly to the epididymis.
More information regarding vasovasostomy and vasoepididymostomy is provided in question 10.
Before the advent of microsurgical techniques, vasectomy reversal procedures were only occasionally successful. With the relatively recent advances in microsurgical techniques, instruments and suture materials, success rates have greatly increased.
Results of recent studies indicate that following microsurgical vasovasostomy sperm appears in the semen in approximately 85 to 97% of men. Approximately 50 percent of couples subsequently achieve a pregnancy.
Following microsurgical vasoepididymostomy, sperm appears in the semen in approximately 65% of men. Approximately 20 percent of couples subsequently achieve a pregnancy.
Current estimates are that about one percent of men who have undergone a vasectomy will eventually want reversal surgery.
About 500,000 men have vasectomies each year in the United States. While the number of men requesting vasectomy has remained approximately the same, the number of men requesting vasectomy reversal has increased.
The leading reason that men elect to have vasectomy reversal is to father a child after remarriage following divorce or death of a spouse.
Others seek vasectomy reversal after the death of a child. A small percentage of men seek reversal for relief of scrotal pain attributed to the vasectomy, a desire to restore fertility independent of any change in marital status, or because of religious beliefs.
From a surgical standpoint, it is rare that a vasectomy cannot be reversed.
In the past, if the epididymis was blocked or a large segment of the vas deferens was removed during the vasectomy, a vasectomy reversal procedure was considered to be too complicated and was unlikely to be successful. Today, however, the development of new microsurgical techniques has provided a way to bypass an epididymal blockage and correct a shortened vas deferens. These new techniques have led to improved pregnancy rates following vasectomy reversal even in the most extreme cases.
It is important to check with your health insurance plan to identify what costs of vasectomy reversal may be covered.
The costs of vasectomy reversal will include: the surgeon's fee, the hospital's fee for the use of the operating room and ambulatory care facility, and the fee for anesthesia. These costs can range from approximately $5,000 to $15,000.
Most surgeons attribute the increased success following vasectomy reversal to the advent and skilled use of the operating microscope (microsurgery)
The advantage of using an operating microscope is that the ends vas deferens can be rejoined more accurately. The diameter of the vas deferens is barely perceptible to the human eye (.3 to .5 mm in diameter). As a result the placement of sutures with the aid of optical magnification (10 to 40 times) is far more accurate.
Figure 5
Figure 6
Microsurgical techniques for the correction of epididymal obstruction (vasoepididymostomy) have also led to improved pregnancy rates following vasectomy reversal. A surgeon who has microsurgical expertise can move from a vasovasostomy to an more complicated vasoepididymostomy when the need arises.
There are two microsurgical techniques available for vasovasostomy: A single layer approximation and a multi-layer approximation. In the single layer technique (as illustrated in Figure 5), the inner and outer layers of the vas deferens are joined with the same suture. Six to eight sutures are generally used. Gaps in the outer layer of the vas deferens may be present after the initial sutures are tied. In this case, additional sutures may be used to close these gaps. This is called a modified single layer approximation.
In the multi-layer technique (as illustrated in Figure 6), the inner and outer layers of the vas deferens are each connected separately. Microsurgery for vasoepididymostomy has made it possible to connect the vas deferens precisely to a single epididymal tubule with greater accuracy. As illustrated in Figures 7a and 7b, the inner layer of the vas deferens is precisely connected with sutures to a small opening in a single epididymal tubule. The outer layer of both the vas deferens and the epididymis are then connected to obtain the final result.
Figure 7a
Figure 7b
Figure 7c
Success rates for both single- and multi-layer vasovasostomy are similar as long as microsurgical techniques are employed by an experienced microsurgeon. In fact, according to a recent report, success rates after a modified single-layer closure was slightly better than a multi-layer closure (57% vs 51 % pregnancy rates respectively). Many experienced physicians believe that potential drawbacks to the multi-layer vasovasostomy technique are the increased cost to the patient (more sutures are needed), increased operative time and longer anesthesia time.
While a vasovasostomy is the first choice of treatment for vasectomy reversal, vasoepididymostomy, the more complex procedure, is required in approximately one third of cases.
Figure 8
Figure 9
At the beginning of the reversal surgery, the surgeon isolates and excises the scarred ends of the vas deferens. As soon as this is done, the cut ends of the vas deferens closest to the testicles are examined for sperm content and vas fluid quality. Fluid is extracted from the vas deferens by syringe (as illustrated in Figure 8) and inspected using a laboratory microscope (as illustrated in figure 9). In general, if sperm is present in the vas fluid, a vasovasostomy is performed. If sperm is not present in the vas fluid, a vasoepididymostomy is performed. Lack of sperm in the vas fluid usually indicates rupture and blockage o the epididymal tubules induced by the back pressure which forms after vasectomy. A vasoepididymostomy merely connects the vas deferens to the epididymis at a site which will allow sperm to flow from the epididymis directly into the vas deferens thereby bypassing the site of the blockage.
Vas fluid quality, particularly clarity, is also important. Usually, when sperm are absent, the vas fluid has a cheesy, thick opaque appearance. When this occurs, a vasoepididymostomy is needed. In some rare instances, however, the vas fluid has a watery consistency and is clear in color. When this occurs, even if sperm is absent from the vas fluid, a vasovasostomy is performed. On average, two thirds of these surgeries result in sperm in the ejaculate and one third of couples will become pregnant.
The skill and experience of the surgeon who performs your reversal surgery is one of the main determinants of your postoperative success.
It is a good idea to ask your potential surgeon whether he or she can perform a vasoepididymostomy using an operating microscope. During surgery, the surgeon needs to be experienced in assessing the vas fluid quality, evaluating signs of epididymal blockage, and determining the best location for a vasoepididymostomy if needed. A vasoepididymostomy is necessary in approximately one-third of cases, and the need for it can only be definitively determined during surgery.
While the length of time from vasectomy to reversal surgery correlates with success, no interval is considered too long to perform reversal surgery.
Data from the largest research study on vasectomy reversal reveals progressively less favorable results as the time from vasectomy to reversal increases. These are the rates for 1,247 men studied who underwent vasovasostomy:
|Years between
and reversal
|Sperm Return
|Pregnancy Rate
|< 3
|3 - 8
|9 - 14
|> 15
These data nevertheless indicate that despite long periods of time from vasectomy to reversal surgery (even greater than 15 years), vasectomy reversal can result in successful pregnancies.
One reason for lower success rates with longer intervals between vasectomy and reversal surgery is the increased rate of epididymal blockage as the time interval lengthens. Rupture and obstruction of the epididymal tubule is caused by increased pressure in the vas deferens and epididymis below the level of the vasectomy site. If the epididymis is blocked, vasoepididymostomy needs to be performed to accomplish the reversal.
Figure 10
The site of the vasectomy is a factor in the outcome of reversal surgery. A vasectomy can be performed close to the testicle and epididymis or farther away as illustrated in Figure 10.
Figure 11
A disruption of the vas deferens farther away from the testicle will leave a long length of vas deferens (vas remnant) and increase the chance of a successful reversal. The shorter the vas remnant, as illustrated in Figure 11, the greater the chance of scarring and obstruction in the epididymis necessitating a more difficult vasoepididymostomy.
Your doctor will examine you before surgery by physically palpating your scrotum to determine the firmness and size of the testicles. If you have one or more shrunken testicles, this may indicate irreversible testicular failure; therefore surgery may not be able to restore fertility.
If your doctor encounters an engorged and perhaps firm epididymis, this indicates that an epididymal blockage may be present. While not definitive, these findings may suggest that a vasoepididymostomy will need to be performed. On the other hand, if the epididymis is not engorged, a vasovasostomy is still not guaranteed.
Your doctor will also attempt to determine the length of the vas deferens that has remained after vasectomy (vas remnant) during the same scrotal examination. The longer the vas remnant as illustrated in Figure 10, the better the chance for vasovasostomy and future success. The shorter the vas remnant as illustrated in Figure 1 1, the greater the chance that the epididymis will have developed a blockage, necessitating a vasoepididymostomy.
In the rare event that a very long segment of the vas deferens is missing , it is more likely that extensive surgery will be necessary. On occasion, prior surgery such as hernia repair can cause damage to the vas deferens, resulting in a missing segment.
Lastly, disorders of the testicles such as varicoceles (an engorgement of the veins surrounding the testicles which cause damage) can be detected by your physician by examining your scrotal contents. These disorders may need to be corrected at a later date if vasectomy reversal surgery alone does not lead to pregnancy.
A frequent cause of reversal surgery failure is that a vasovasostomy was performed when, on the basis of intraoperative findings, a vasoepididymostomy was indicated. Some other reasons for vasovasostomy failure are inaccurate approximation of the vas due to poor surgical technique, and blockage from scarring as a result of disruption of the blood supply. Success rates after repeat reversal surgery are slightly lower than success rates after first reversals, mainly because the duration of vas obstruction is longer for repeat reversal surgery.
|First Reversal
|Second Reversal
|Number of men
with sperm in semen:
|865 out of 1026
|150 out of 199
|Number of couples that
achieved a pregnancy:
|421 out of 808
|52 out of 120
The large case study described above compared the results of first and repeat vasectomy reversals. This study reported that, following repeat reversals, sperm were present in the semen of three-fourths (150 out of 199) of men postoperatively and that pregnancy was reported in 52 out of 120 couples (43%) who were evaluated for pregnancy. These results are very similar to those of first reversals and many men feel that these results are high enough to try reoperation.
Chances of a successful reoperative reversal may be predicted by the sperm content of the intraoperative vas fluid sampled at the time of the first reversal. If sperm was present in the vas fluid during the initial vasovasostomy and the individual fails to produce sperm in the ejaculate, obstruction at the site of vas reapproximation may exist and the patient may need to repeat the vasovasostomy. If, on the other hand, sperm were absent in the vas fluid, the patient likely required a vasoepididymostomy during the first procedure and will likely require a vasoepididymostomy if the reversal surgery is repeated.
Recent medical and surgical advances have created many options for infertile couples. Choice of infertility treatments usually depends on weighing the likelihood of conceiving with a specific treatment versus other more complex and costly treatments. IVF is a relatively new technique that can help couples initiate a pregnancy who might not otherwise be able to conceive through natural methods. IVF involves incubation of human eggs and sperm in a culture dish. For fertilization to occur, the egg must have optimal maturity and the sperm must function normally. Once a fertilized egg develops into an embryo it is transferred back into the female.
Assisted fertilization techniques like IVF are appropriate for men with severe sperm function defects or for men in whom no cause of infertility can be found. Pregnancy rates, however, are very low with routine IVF and are usually coupled with gamete micromanipulation which requires special preparation of the egg and sperm. Intracytoplasmic sperm injection (ICSI) is the most useful micromanipulation technique developed so far to enhance IVF fertilization rates in patients with severe male factor infertility This procedure involves the direct injection of a single sperm into an egg.
For men who have undergone a vasectomy, sperm is obviously absent from the ejaculate. Therefore, since the IVF/ICSI procedure requires sperm, sperm must be retrieved from the testicle or epididymis through a minor surgical procedure. The procedure for obtaining sperm is less complicated than reversal surgery, but entails local anesthesia, and insertion of a needle into the scrotum (into the testicle or epididymis) to obtain sperm.
The cost of one cycle of IVF can range from $8,000 to $15,000 depending on the array of infertility factors involved and whether sperm retrieval procedures for the man is necessary. Currently, the national birth rate for IVF, as reported by The Society for Assisted Reproductive Technology, and its parent organization, the American Society for Reproductive Medicine, is only 28.9 percent per cycle.
Because of the expense, lower pregnancy rates, and potential side effects from hormonal therapy for the female partner, reversal surgery, and in most cases, repeat reversal surgery are options of first choice for vasectomized men. IVF is an option to consider if vasectomy reversal is unsuccessful, rather than as an alternative to surgery.
Even if you plan to postpone attempts to conceive, for most couples, it is probably best not to delay the reversal procedure.
Keep in mind that the average time interval from a vasectomy reversal until pregnancy is 12 months, and it takes 24 months postoperatively until the highest percentage of pregnancies is achieved.
Also, the longer the interval between vasectomy and reversal, the less the chance that pregnancy after reversal would occur. This should be understood in context. In other words, although many successful reversals are done several years after vasectomy, when you have the option, sooner is better.
Measurement of serum antisperm antibodies appears to be of little prognostic value with regard to male fertility potential.
Anti-sperm antibodies are proteins that can inhibit the movement and function of sperm. Some research indicates that anti-sperm antibodies may decrease the chances for pregnancy after reversal surgery, however, studies have found little correlation between preoperative testing for anti-sperm antibodies and pregnancy
The difficulty in testing for anti-sperm antibodies before reversal surgery is that only serum (blood) antibodies can be tested, which do not accurately predict the antibodies that may be found in the semen after the operation. Because of these difficulties, most surgeons do not find anti-sperm antibody testing to be useful.
Follicle-stimulating hormone (FSH) is not routinely assayed in men requesting vasectomy reversal.
FSH is a hormone produced in the pituitary gland that stimulates the testes to produce sperm. An elevated FSH level suggests reduced sperm production and testicular failure, and can indicate that there is less possibility of obtaining a good sperm count after surgery. Men who have a history of fertility prior to vasectomy rarely have an elevated FSH level. On the other hand, if serum FSH is low or normal, it does not necessarily mean sperm production is normal.
It is not unreasonable to measure serum FSH preoperatively in men who have never fathered a child, in men who have abnormally small testicles, or in men whose vasectomies were performed many years prior to reversal surgery.
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Microsurgical vasovasostomy averages 2 to 3 hours, while vasoepididymostomy may take as long as 5 hours. The patient is then observed in the recovery room for an additional 3 more hours.
The length of surgery depends on the type of procedure, the amount of scarring present from prior surgery, the presence of and degree of inflammation, and the ease with which sperm can be identified in the vas deferens or epididymal tubule.
A vasectomy reversal is usually performed through incisions in the front of each side of the scrotum.
The incision is vertical (up and down) so that it can be extended if more length is needed. If there is difficulty in locating the site of the vasectomy, if the vasectomy was performed at a very high scrotal level, or if a long segment of the vas deferens was removed, it may be necessary to extend the scrotal incisions up to the lower inguinal (abdominal) region.
If a prior hernia procedure was performed, inadvertent blockage of the vas deferens may have occurred. If this is the case, an incision into the site of the prior hernia repair may be necessary.
Normal signs and symptoms after surgery include: slight swelling, bruising or discoloration of the scrotal area. These generally do not require a doctor's attention. A sore throat, headache, nausea, constipation and general "body ache" due to the anesthesia and surgery may also be present. These symptoms usually resolve within a few days.
Severe complications that require additional surgery are rare. Postoperative complications that require prompt attention are wound infections and severe scrotal hematoma (black and blue bruised scrotum). A wound infection is present if you develop a fever or if your incision becomes warm, swollen, red, or painful. A hematoma is present if excessive bleeding under the skin occurs and is accompanied by a throbbing pain and a bulging of the incision site.
Discomfort after vasectomy reversal varies from patient to patient. In general, pain may be similar or slightly more severe than the pain experienced after the original vasectomy. Pain medication such as codeine is prescribed and is usually only necessary for one to two days after the surgery, after which acetominephin (such as Tylenol) or ibuprofen (such as Motrin or Advil) is all that is needed. To decrease the pain and swelling after surgery, ice packs are recommended, which are placed on the scrotum for approximately ten minutes every half hour for the first post-operative day. A scrotal support is worn for four weeks after the surgery to decrease discomfort and lessen swelling. Normal strenuous activity can be resumed four weeks after the surgery if indicated by your physician.
The first semen analysis is obtained one or two months after the surgery and again at two to three month intervals, either until sperm counts and motility are normal, or pregnancy occurs.
Three months after a vasovasostomy the semen analysis often reveals a good sperm count with poor motility. After 6 months the count is usually stable or slightly improved and the motility is significantly improved. After a vasoepididymostomy, sperm usually takes longer to appear in the ejaculate, and in most cases takes at least 4 to 6 months to appear.
Studies have shown that, following initially successful reversal surgery, where good sperm counts and motility have been obtained, a significant number of men subsequently experience significant deterioration in sperm counts. Approximately 10 percent of men following successful vasovasostomy and approximately 20 percent of men following successful vasoepididymostomy will experience deterioration in sperm counts when followed for at least two years after surgery.
A decline in sperm counts after successful surgery can be caused by the formation of scar tissue which can occur from sperm leakage at the reversal site or from a disruption of the blood supply at the site of the surgery.
In light of the 10 to 20 percent of patients that deteriorate after successful surgery, sperm banking should be a consideration, particularly after a vasoepididymostomy.
The average time from reversal surgery to conception is 12 months. Studies indicate that pregnancies after reversal surgery can occur from one month to 82 months after reversal surgery. Most pregnancies occur within 24 months of reversal surgery.
About 14 percent of men with vasovasostomies and 40 percent with vasoepididymostomies have no sperm in their semen after surgery. After vasovasostomy, sperm is usually present in the semen after two months and should certainly be present within six months. After vasoepididymostomy, sperm usually appear in the semen during the first six months, although they may not appear for as long as 12 to 15 months. If sperm are not present in the semen by six months after vasovasostomy or by 12 to 18 months after vasoepididymostomy, then the reversal surgery is considered a failure.
If surgery is unsuccessful you can consider reoperation (see question #14) or assisted reproductive techniques such as in-vitro fertilization (IVF) with intracytomplasmic sperm injection (ICSI) (see question #15). For a man who has no sperm in the ejaculate after reversal surgery, sperm for IVF/ICSI can be obtained through a minor surgical procedure (sperm retrieval) which extracts sperm directly from the testicles and/or epididymis.
Antisperm antibodies
Immunological substances that can inhibit sperm movement and function.
Tightly coiled, very small tubes covering the back and sides of the testis, where sperm collect after leaving the testis.
Follicle stimulating hormone (FSH)
A pituitary hormone that stimulates the testes to make sperm.
Intracytoplasmic sperm injection. An in-vitro fertilization procedure that requires the direct injection of a single sperm into an egg.
In-vitro fertilization. A fertility procedure where human eggs and a suspension of sperm are incubated together in a culture dish (test-tube). Once embryos are formed, they are placed back into the uterus of the female.
Surgery using optical magnification provided by an operating microscope.
Prostate gland
Located below the bladder, the gland where the ejaculatory ducts, the two vas deferens and the urethra join.
The combination of sperm and glandular fluid released by the urethra when a man ejaculates.
The material (thread) used during vasectomy reversal surgery.
The sac that contains the testicles, epididymis and vas deferens.
Located in the scrotum, the male reproductive glands which produce sperm.
The tube running from the bladder to the penis that carries urine and semen.
Vas deferens
The tubes that carry sperm from the testicle and epididymis to the urethra.
Vas remnant
The length of the vas deferens from the epididymis to the site of the vasectomy.
A surgical procedure that provides infertility by blocking the transport of sperm from the epididymis to the urethra via the vas deferens.
A surgical procedure to reverse the effects of vasectomy.
by connecting the vas deferens to the epididymis to bypass obstruction in the epididymis.
A surgical procedure to restore fertility by reconnect the ends of vas deferens that were severed when vasectomy was performed.
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Goldstein M. Surgery of Male Infertility. W.B. Saunders Co., 1995.
Gvakharia M, et al. Treating male-factor infertility with ICSI. Contemporary Urology,
September, 1995, 58-67.
Lamb DJ, Stockton JD, Lipshultz LI. New roads to fertility. Contemporary Urology, January 1991, 32-41.
Neumann PJ, Gharib SD, Weinstein MC. The cost of a successful delivery with in-vitro fertilization. NEJM 1994: 239-43.
Sharlip ID. What is the best pregnancy rate that may be expected from vasectomy reversal? J Urol 1993: 1469-71.
Sigman M. A guide to assisted reproductive techniques. Contemporary Urology, March 1991, 31-39.
Dr. Harry Fisch is currently Director of the Male Reproductive Center and directs urologic microsurgery in the Department of Urology at Columbia-Presbyterian Medical Center in New York. Dr. Fisch received his medical degree from the Mount Sinai School of Medicine, Urologic training at the Albert Einstein College of Medicine in New York, and specialized training in Male Infertility and miicrosurgery at The Baylor College of Medicine in Houston, Texas.
Produced by:
Center for Biomedical Communications
Columbia Presbyterian Medical Center
Richard V Miller
Medical Illustration:
David Rosenzweig
Cover Illustration:
Mike Quon
Clare Karten
The Male Reproductive Center
944 Park Avenue
New York, NY 10028 Telephone: 212-879-0800
Copyright @ Harry Fisch, MD All rights reserved.
No part of this publication may be reproduced, stored in or introduced into a retrieval system, or transmitted in any form,or by any means (electronic, mechanical, photocopying, recording or otherwise), without the prior written permission of the copyright owner. Vasectomy.


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The pope has defended his widely ignored initiative to bring disaffected Anglicans into the Catholic Church in a way that provides insight into his definition of ecumenism.
The Vatican's invitation "is not in any way contrary to the ecumenical movement but shows, instead, its ultimate aim which consists of reaching full and visible communion of the Lord's disciples," Benedict told the members of the congregation, which he headed for a quarter century before becoming pope.
Here, according to Google translator is what the pope said: "I would also like to congratulate the commitment to full integration of faith groups and individuals already belonging Anglicanism in the life of the Catholic Church, as established in the Apostolic Constitution Anglicanorum coetibus. Faithful adherence to the truth of these groups received from Christ and proposed by the Magisterium of the Church is not in any way contrary to the ecumenical movement, but it shows, however, his ultimate goal is to achieve full and visible communion of the disciples of the Lord."
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The pope and the Roman Church are often more about themselves than about Jesus. Fortunately for us, God is bigger than that.
This should come as no surprise, as it represents the teaching of the Roman Catholic church for ages. The Church subsists as the body of the faithful in union with the Chair of Peter. All ecumenical dialogue, however cordial, is geared towards universal recognition of that belief. Union, not Federation, is the goal.
Since the promulgation of Lumen Gentium, there has been a chink in the armor on this question (LG 1.8):
"Haec Ecclesia, in hoc mundo ut societas constituta et ordinata, subsistit in Ecclesia catholica, a successore Petri et Episcopis in eius communione gubernata"
Benedict has been among those sought to remove the clear implication that most decent Roman Catholic theologians have seen in this language: The Church "subsists in" the Catholic Church governed by the successor of Peter and the bishops in communion with him, without being wholly identified with it as in earlier (and some subsequent) teaching. The Catholic right has attempted again and again to subvert the teaching of the Second Vatican Council and they are definitely winning right now. One of the nice things about Roman Catholicism is that once the doctrine is on the record it does not officially change. One can only hope that some future pope, at a future Vatican Council, in communion with the bishops and the faithful throughout the world, will reverse this frightful and arrogant retrenchment so evident in the magisterium, especially under the last two popes.
Bill, I wish I could be as optimistic as you are, though I agree that a later pontiff could understand "subsists" in a broader sense. But such a broader sense still seems to elude us. We are still left with a statement of belief which, even if it expresses a mild agnosticism about whether those outside the circle of Petrine communion are members of the Body of Christ, still in the very next line to the one you quoted speaks of signs of sanctification existing outside the "subsisting" Church whose sole purpose is to impel towards visible unity with the Church in which the unity of the Body of Christ is undoubted. So in a very real sense Benedict is presenting a "fair reading" of Lumen Gentium, and one more consistent with earlier teaching on the state of things outside Petrine hegemony. Given the appointments of JP II and B XVI, I think this will be the reading for some time to come. One can still hope…
I understand your worry, Tobias, and share it. Lumen Gentium is an imperfect document. I just wanted to point out that the chink the armor was deliberately created, and that most good Roman Catholic theologians read "subsistit in" rather differently than the way in which the last two popes have chosen to take it.
Amen, Bill. This use of language ambiguity will allow a subsequent pontiff (if so moved) to say, "Thus we have always taught." There are similar loopholes in some of the documents on the ordination of women, interestingly enough! Another John XXIII could essentially reform the church while rightly claiming continuity — or it could go completely the other way. (One reason I prefer Christ the Rock rather than Peter…)
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From Domes to bridges, it's all in Oklahoma
... at an old streetcar stop along a line that ran diagonally across Classen Boulevard, which served as a segment of Route 66's original Oklahoma City alignment. Subsequent realignments of the highway, first along Western Avenue and then on 23rd Street, remained only a stone's throw from the site. Continuing on, Route 66 continues through the scenic rolling hills of the South Canadian River Valley where the South Canadian bridge that we crossed is quite spectacular ...
The Story of the Crickets
Had breakfast in the hotel this morning. David called and we talked to our good friend Brenda. He brought Earl to breakfast and the GoPro Camera and videotaped his encounter with our waitress. He is having a blast with this little game and it's quite fun to watch him enjoying himself.
Saw a billboard on the road today…I swear I will never be angry with you again…God…will have to look up ...
A day to relax after driving 800 miles in 12 hr
Today with the help of smooth roads, no traffic, great weather, and a lot of 5 hour energy drinks...We covered a record setting 800 miles in one day. We ended the day at Foss Lake State Park in Oklahoma. The campground was on a beautiful reservoir stock with all sorts of fish. After a couple of days of hard driving. This was a perfect spot to wind down for a day, regroup, and clean house before marching on towards New Mexico. We encountered a heard of buffalo, giant ...
Day 3 - Memphis, TN > Weatherford, OK
... was a place Rusty wanted to visit on this trip. So this stop was for you bro.
We started the day in Memphis, TN and ended up in Weatherford, OK, which was about +/- 85 miles from the Texas border. In Weatherford we stayed at the Holiday Inn Express that was right on Route 66. We had dinner at the restaurant next door; Lucilles ...
"Texas"/Foss State Park, OK
... 8211; Foss State Park, Foss, OK
This is located north of Interstate 40 in the western part of the OK on the largest reservoir in Panhandle. Easy drive to get to it. The park is only on part of the 60 mile lake. The dam is over three miles long and there are over eight campgrounds within the park. Prior to statehood, the area was part of the Cheyenne-Arapaho Indian Reservation, many still living in the surrounding area. The Great ...


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Montreal General trauma centre named for Habs MD MulderA glowing Isabelle Richer was among the speakers Tuesday as the Montreal General Hospital named its trauma centre for David Mulder, the Montreal Canadiens' team doctor.
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Are helmets necessary on ski hills? The answer may surprise you.A new report published in the Journal of Trauma and Acute Care Surgery has reopened the debate as to whether wearing a helmet reduces the risk of head injury among ...


text: Squares have been a core focus of Project for Public Spaces beginning with its first project 30 years ago–Rockefeller Center's Channel Gardens. The ten principles below are based on the hundreds of squares–the good and the bad–that have been analyzed and observed since then. What stands out most is that design is only a small fraction of what goes into making a great square. To really succeed, a square must take into account a host of factors that extend beyond its physical dimensions.


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9240 Lakeshore Drive, Grand Haven MI, 49417
Sold Price:
3 beds , 3 Full baths
2,328 sqft
Status: Closed
Last Updated: 5/25/2017 1:19 PM
Description for 9240 Lakeshore Drive Grand Haven, MI 49417
One owner ranch home with over 4,000 sq ft finished. Walk-out lower level could have 2-3 more bedrooms and has full bath. Furnace, AC and water heater only 2-3 years old. 3 skylights in vaulted ceiling in living room and dining room, 9ft ceiling on main floor. Spacious master suite with jacuzzi tub and step in shower. Bow windows in dining area and master bedroom. Hickory cabinets in kitchen. Living room has sliders to deck. 1/2 block from Lake Michigan, 3 beach accesses for Port Sheldon.
Sold Price:
Sold Date:06/02/2015
Port Sheldon Twp
3 Full
2,328 (approx)
Listing Information
Port Sheldon Twp
Softener Own, Public Water Service
Septic, Existing Well
Electric, Cable TV, Natural Gas, Telephone
School Information
Room Information
Living Room
Island, Butler Pantry
Interior Features
Dishwasher, Dryer, Range, Refrigerator, Washer
Central Air, Ceiling Fan(s), Attic Fan
Gas Heat, Forced Air
Basement, Daylight, Full
Bay Window(s), Insulated, Screened
1, Wood-burning
Exterior / Lot Features
Attached Garage, 2 Car Garage
Sidewalks, Paved Road, Public Roads, Wooded, Acreage
Driving Directions
Lakeshore Dr 2 houses N of Stanton.
Financial Considerations
Listing Price History
Grand Haven Real Estate
Grand Haven is located in Michigan. Grand Haven, Michigan 49417 has a population of 11,062.
The median household income in Grand Haven, Michigan 49417 is $44,235. The median household income for the surrounding county is $58,160 compared to the national median of $53,482. The median age of people living in Grand Haven 49417 is 41.1 years.
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Beautiful Elk Lake Home 15 Min from Traverse! Newly Renovated, Sleeps 17 in Beds(4 Reviews)
The owner has been emailed.
To book this property, you need to complete your booking through checkout on the VRBO website. We can't protect your payment if we don't know you've booked through us. Learn more
- Minimum stay:3-7 nights
- Sleeps:17
- Bedrooms:6
- Bathrooms:3.5
- Property type:House
- Internet:No
- Pets considered:No
- Wheel chair accessible:N/A
About the Property
6 Bedrooms, 3.5 Baths, 3,200 Sq Ft., Beach, Dock, Great Yard, Kids Playset
Elk Lake is one of the premier lakes in the Midwest. Torch gets all of the press, but ask the locals and most say they prefer Elk Lake for its quietness and charm. There are 12 sq. miles of beautiful aqua blue water to explore on Elk Lake. If that is not enough, you can head up the chain of lakes to Skegemog, Torch, Clam, or Bellaire Lake.
This home is located on the southern shore of the lake. The entire lake bottom is sandy and the water gradually drops off on the southern end. You can walk out about 100 yards before the water is over your head. One of the better panfishing spots on the lake is only about 150 yds from the dock.
The lakeside deck is covered and runs along most of the length of the house. A gas grill is adjacent to the deck. There is a picnic table and chairs for everyone to escape from the sun if need be. A large fire pit is lakeside to relax at during the evening and take in all of the stars.
The home was renovated in 2006 and now has 6 well appointed bedrooms, 3.5 baths, a dining room, and two living areas.
The lower level features a master suite that looks out onto the lake and a kitchen with granite countertops and a commercial Jenn Air Range. The dining room off the kitchen seats 8. Additional seating for meals is available at the breakfast booth in the kitchen, upstairs at the game table, and outside at the picnic table. Also on the lower level is a guest bedroom with an attached full bath, a living area, and french doors leading out onto the large covered porch lakeside.
The second story has 4 bedrooms (one is a bunk room that sleeps 8), 1.5 baths, a living area, and a game table overlooking the lake.
The lakeside yard is grassy, with plenty of room for bocce, croquet, and kids to play. The road side of the house has a second large covered porch. There is a play-set complete with swings and a slide in this part of the yard.
There is a boat ramp less then a mile away that you have access to.
The home is heated and cooled with forced air.
Please see links under owner info. for additional videos of the house.
Thanks for looking and please feel free to send us an email if you have any questions.
Member since: 2014
Property Type
- House
- 3200 sq. ft.
House Rules
- Children Welcome
Non Smoking Only:
Smoking anywhere on the property is strictly prohibited. There will be a $1000 fine on top of the security deposit being kept if any trace of smoking is detected....moreless
Accommodation Type
- Vacation Rental
- Guests Provide Their Own Meals
Bedrooms: 6 Bedrooms, Sleeps 17, Beds for 17
Bathrooms: 3 Bathrooms, 1 Half Bathroom
- Adventure
- Away From It All
- Family
- Sports & Activities
- Tourist Attractions
- Churches
- Cinemas
- Health/Beauty Spa
- Marina
- Playground
- Recreation Center
- Restaurants
- Winery Tours
Local Services & Businesses
- ATM/Bank
- Fitness Center
- Groceries
- Hospital
- Laundromat
- Massage Therapist
- Medical Services
Leisure Activities
- Antiquing
- Bird Watching
- Boating
- Gambling Casinos
- Horseback Riding
- Miniature Golf
- Paddle Boating
- Scenic Drives
- Shopping
- Sight Seeing
- Sledding
- Walking
- Wildlife Viewing
Location Type
A 100ft wide property with 30ft of beach leads directly into the crystal clear waters of elk lake. The sandy bottom lake has a gradual dropoff in front of the home, perfect for kids and adults alike....moreless
- Lake View
- Lakefront
- Water View
- Waterfront
Sports & Adventure Activities
- Cross Country Skiing
- Cycling
- Fishing
- Fly Fishing
- Freshwater Fishing
- Golf
- Hiking
- Hunting
- Ice Skating
- Jet Skiing
- Kayaking
- Mountain Biking
- Sailing
- Skiing
- Snorkeling
- Snowboarding
- Snowmobiling
- Swimming
- Water Skiing
- Water Tubing
The dining room seats eight, but there is seating at tables for around 20 throughout the house....moreless
- Dining Area
- Seating for 8 people
- Air Conditioning
Clothes Dryer:
We are working on have a second dryer installed - should be in by mid summer....moreless
- Garage:
- Hair Dryer
- Heating
- Linens Provided
- Coffee Maker
Dishes & Utensils:
Unless you need a specialty item of some kind, the kitchen is fully equipped to prepare almost any meal....moreless
- Dishwasher
Granite countertops, Professional Jenn Air Range, All stainless appliances, tile floor...moreless
- Microwave
- Oven
- Pantry Items
- Refrigerator
- Stove
- Toaster
- Deck / Patio
- Lawn / Garden
- Outdoor Grill
RatesCurrency Conversion
|Weekend Night
|Monthly *
Summer 2017
Jul 8 - Sep 9, 2017
7 night min stay
Changeover Day: Sunday
Rates are based on 14 guests; add $25 per night, per additional guest
Summer 2018
Jul 1 - Sep 1, 2018
7 night min stay
Changeover Day: Friday
Rates are based on 15 guests; add $25 per night, per additional guest
My Standard Rate
3 night min stay
Additional information about rental rates
- Refundable Damage Deposit $1,000
Summer rental is in 7 day increments only. Flat fee pricing includes taxes and cleaning. A $1,000.00 damage deposit is additional and will be collected 30 days prior to arrival. Weeks will not be held until a down payment of 25% is made. The down payment is refundable (minus $275 booking fee) up to 60 days prior to arrival, after 60 days it will not be refunded - no exceptions.
Owner's cancellation policy:
Policy available by contacting owner when booking
Don't forget your vacation protection! Get protected now
Adding our Vacation Protection services can make sure your getaway goes smoothly, no matter what. We offer Cancellation Protection and Damage Protection so you can truly relax.
Car: Recommended
This beautiful lake home is 15 minutes from both Traverse City and Elk Rapids. World class wineries, golf, gambling and restaurants are all only a short drive away. If you are ambitious you can even ride a bike on the TART (Traverse area recreational trail) into town. This area is a mecca for outdoor activities from biking, to hiking, to cross country skiing, to horseback riding - it is all within minutes. And of course the Traverse City Cherry Festival and Elk Rapids Harbour Days are always wonderful events to enjoy with the family during the summer.
Owner info
Year Purchased: 2012
About the owner: This home is owned by myself, my brother and our wives. It was purchased jointly as a vacation home for our families in 2012 and has been thoroughly enjoyed over the last couple years.
Why the Owner Chose Williamsburg, MI, USA:
We reside in the mid-Michigan area and wanted a home under a 3 hour drive, on a beautiful lake, and close to abundant activities. After an exhausting search of lakes and homes we unanimously decided Elk Lake was the place for us, specifically the southern end of Elk.
The Unique Benefits at this House:
Ideal Location: Under 3 hours from Lansing, Grand Rapids, and Flint. Only 15 minutes to Traverse, Kalkaska and Elk Rapids. Room For All: This home can comfortably accommodate 17 people in beds - the most of any home on VRBO on Elk Lake. With two separate living rooms it is perfect for large families - send the kids upstairs while the adults relax downstairs.
Contact us
Send email
Links to more information:
- Click Here to see All My Rental Listings
lakeside sunset view
view of kitchen from the second floor loft area
second floor bunk room
second floor bedroom #2 - queen bed
second floor bedroom #3 with a half bath- futon and single bed
first floor bedroom #1 (Master) - king bed
Fall lakeview from the second floor loft/game area
Fall view from the deck
2nd washer, dryer, and fridge in the garage
Front of the house from the road
2nd living room upstairs
Yard from house to water
Kitchen with stainless appliances, granite counter tops, eat in breakfast booth
view of first floor living room from the kitchen
second floor bedroom #1 - queen bed
first floor bedroom #2 - queen bed
lakeside view from the deck
second floor loft/game area
second floor full bath
Lakeside covered deck (full of chairs and picnic table for your use in summer)
full master bathroom
House from water
Sand/Beach (early spring before dock is in)
This listing was first published here in 2014.
Date last modified - Monday, May 01, 2017
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text:
Euro zone: new old concerns
Euro zone's problems returned into the limelight after several months of relative calm. The recent developments are showing the euro zone's troubled economies may need more financial help. Last summer Mario Draghi promised to do "whatever it takes" to save the euro, but the fact remains: euro zone is still in trouble.
Political uncertainty in Portugal threatens a new financial crisis: last Wednesday Portuguese bond yields rose sharply on the back of ministers' resignations. The spike in borrowing costs above 8% is raising concerns on whether the country will need a second bail-out. The government needs to raise 16.3B euros from markets for 2014, what will be very difficult if political uncertainty persists.
Many economists doubt that the Cyprus 10B euros bail-out will be enough to support the economy: given the economic downturn and no progress in bank restructuring, the bailout's estimate for economic contraction of 8.7% in 2013 looks far too optimistic.
As for Greece, on Monday the Eurogroup ministers approved the next bailout tranche for the country. However, Greece will soon return into question since it is unlikely to have 12 months of forward financing needed to get the necessary support from the International Monetary Fund for further releases of rescue funds.
What's more, the US Fed is widely expected to slow its QE program in September, depriving the European debt markets of cheap dollar liquidity. Increased uncertainty may bring us an eventful autumn, heated by the German elections in September.


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