text:
An experienced Gardener is required for a well-established Upminster based company. We are looking for an all-rounder with a positive attitude to join our busy team. The successful applicant must be a good team player with the ability to work under pressure, well organised, flexible to meet the daily workflow requirements and changes in deadlines and have a head for heights.
It is important that candidates have, ideally, a recognised horticultural qualification and previous experience working in a similar role. Additionally good plant knowledge and a broad range of technical skills are necessary to maintain work to a high standard. Good practical skills are essential.
Candidates should hold PA1/PA6 spray certificates, and be competent in operating a wide range of garden machinery, with the ability to undertake basic machinery maintenance.
Candidates should have a cheerful personality, whilst being self-motivated and able to work unsupervised with a flexible approach to their work. Early starts are required and work will be based around London and M25 area.
Applicants must have a full driving licence.
This position is for a summer vacancy and will be based on a 6 month contract.
The successful candidate will be dedicated, hardworking, reliable and have excellent attention to detail.
Salary dependant on experience.
Applicants can download application from our web site and email completed application to Trevor Caplin
Please click red apply button to reveal all contact details
Jobs24 has been produced to make life easy for people interested in finding a new local job. We work with local employers and recruitment agencies to help you find a new job in your local area quickly and easily. With our simple job search you can quickly find the right job for you. Jobs24 also has a free CV Matching service! Whether you are looking for your first job, a part time job, a full time job, a step up the career ladder, or a big promotion, there is bound to be something here for you – start your job search with Jobs24 now!
Archant Community Media Ltd is registered in England under Company Registration Number 19300, and the Registered Office is Prospect House, Rouen Road, Norwich NR1 1RE. The Materials and Design featured on this site are subject to copyright protection.
Copyright © 2015 Archant Community Media Ltd. All rights reserved.
Powered byMatchWork job board software


text:
If you enjoyed this Charles Dickens classic, then check out Great Expectations.
(P)1995 Hodder & Stoughton Audiobooks
There are no reviews for this title yet.
Report Inappropriate Content
If you find this review inappropriate and think it should be removed from our site, let us know. This report will be reviewed by Audible and we will take appropriate action.

subset: commoncrawl


text:
Dismiss Notice
Welcome To CK5!
Registering is free and easy! Hope to see you on the forums soon.
Score a FREE Membership sticker when you sign up for a Premium Membership and choose the recurring plan.
anyone coloradoians out there?
Discussion in 'The Garage' started by brian468, Aug 5, 2003.


text:
Mostrando ítems 1-10 de 35
Conservation agriculture systems for Malawian smallholder farmers: long term effects on crop productivity, profitability and soil quality
Conservation agriculture (CA) systems are based upon minimal soil disturbance; crop residue retention and crop rotation and/or intercrop association are increasingly seen to recycle nutrients, increase yield and reduce ...
Profitable and sustainable nutrient management systems for East and Southern African smallholder farming systems: challenges and opportunities: a synthesis of the Eastern and Southern Africa situation in terms of past experiences, present and future opportunities in promoting nutrients use in Africa
(CIAT; The University of Queensland; QAAFI; CIMMYT, 2013)
Conservation agriculture for increasing maize yield in vulnerable production systems in central Mozambique
Smallholder farming under rainfed low input crop production in central Mozambique is characterised by decline in soil fertility, low yields and risks of crop failure. To revert this situation, conservation agriculture (CA) ...
Risk and maize-based cropping systems for smallholder Malawi farmers using conservation agriculture technologies
Agricultural production in southern Africa is constrained by numerous factors, including low soil fertility, frequent droughts and flooding, limited access to fertilizers and the use of unsustainable management techniques ...
Adapting maize production to climate change in sub-Saharan Africa
Given the accumulating evidence of climate change in sub-Saharan Africa, there is an urgent need to develop more climate resilient maize systems. Adaptation strategies to climate change in maize systems in sub-Saharan ...
Benefits and challenges of crop rotations in maize-based conservation agriculture (CA) cropping systems of southern Africa
Conservation agriculture (CA) based on minimum soil disturbance, crop residue retention, crop rotations and associations are being promoted in southern Africa to reverse the decline in soil fertility and crop productivity. ...
Effects of conservation agriculture on soil quality and productivity in contrasting agro-ecological environments of Zimbabwe
Experimentation by farmers with conservation agriculture (CA) is increasing in southern Africa, but local longer term data on these new production systems are scarce. This study focuses on CA research at two contrasting ...
Weed control in conservation agriculture systems of Zimbabwe: Identifying economical best strategies
Weed management under conservation agriculture (CA), especially when manually controlled is one of the major setbacks for the widespread adoption of CA in southern Africa. This study was conducted at three on-station and ...
Conservation agriculture for small holder rainfed farming: Opportunities and constraints of new mechanized seeding systems
Small holder farmers in rainfed agriculture believe that soil tillage is needed to maximize crop yields. However, as cropping intensity, and hence tillage intensity, increases there may be a decline in particular physical, ...


text:
Anyone lost a cat in Wiltshire?(6 Posts)
MoaningMinn Mon 11-Feb-13 19:54:29
issey6cats Tue 12-Feb-13 17:31:59
Fluffycloudland77 Tue 12-Feb-13 20:21:47
MoaningMinn Tue 12-Feb-13 21:37:42
issey6cats Tue 12-Feb-13 22:18:08
issey6cats Tue 12-Feb-13 22:20:10
Join the discussion
Registering is free, easy, and means you can join in the discussion, get discounts, win prizes and lots more.Register now
Already registered with Mumsnet? Log in to leave your comment or alternatively, sign in with Facebook or Google.
Please login first.


text:
Back in 1984, Volkswagen introduced the first Jetta GLI to the United States market and set the blueprint for all subsequent versions of this beloved sport sedan. For those who don't know, the first Jetta GLI was in fact a Golf GTI running gear wrapped in a Jetta sheetmetal. It was powered by a 1.8-liter engine rated at 90 hp, bolted to a close-ratio five-speed transmission, sport suspension with front and rear anti-roll bars, and vented front disc brakes.
The exterior design showed a tail spoiler, and bodyside moldings, while inside Volkswagen installed a leather-wrapped four-spoke steering wheel and shift knob, three additional gauges in the center console, sport seats, and distinctive upholstery and interior trim.
The 2014 Jetta GLI follows the same recipe and it is powered by a 2.0-liter TSI engine bolted to a 2.0-liter TSI engine, a close-ratio six-speed manual or DSG dual-clutch automatic transmission. Moreover, the Jetta GLI comes with a sport suspension, bigger wheels and tires, upgraded brakes, more aggressive body styling, and an interior that features sport seats and pedals.
The Jetta GLI Edition 30 will be offered in two trim levels: the Edition 30 and the Edition 30 with Navigation. Comparing it with the 2014 Jetta GLI, the Edition 30 is distinguished by 18-inch "Laguna" aluminum-alloy wheels, red trim on the front grille, a trunklid-mounted spoiler, and Edition 30 badging. The Edition 30 with Navigation also has red trim inside the Bi-Xenon headlights.
Inside, the Jetta GLI Edition 30 features contrasting color V-Tex leatherette seats with red accents, red contrast stitching on the steering wheel, shifter, brake lever, and armrests, carbon-look trim inlays; Edition 30 kickplates; and floormats with red stitching. For those interested, the special edition Jetta will be available in four colors: Deep Black Metallic, Pure White, Tornado Red, and Reflex Silver Metallic.
Furthermore, the Edition 30 comes with standard features such as front foglights; LED taillights; leather-wrapped sport steering wheel, brake handle, and shift knob; Premium VIII touchscreen radio with SiriusXM Satellite Radio and Bluetooth connectivity.
The Edition 30 with Navigation ads keyless front foglights, LED taillights, leather-wrapped sport steering wheel, brake handle, and shift knob, Premium VIII touchscreen radio with SiriusXM Satellite Radio and Bluetooth connectivity.


text:
1st Corinthians Chapter 5 (8 of 28) by Harley Howard
This content is part of a series.1st Corinthians Chapter 5 (8 of 28)
Series: The Epistle of 1 Corinthians
Harley Howard
I want to say from the onset that the study of this chapter will not be popular with those who are under the foolish notion that Christians have no right to judge and that there should be no judging in God's church. The ramifications of this chapter applied to the carnal church of today would have a tsunami type effects in any church body.
People who usually make that statement about the absence of any judgment in the church or in the lives of other professing believers, more times than less, say that to avoid the conviction of their wickedness and sinful when confronted by those whom the Lord sends to deal with us.
It is quite obvious that a high percentage of these people know very little Bible because it would take someone unfamiliar with the whole of scripture to make such a ridiculous statement.
Not surprising that whenever a church or individual professing believer is allowed to wallow in their sinfulness and that sinfulness is not addressed, then the sins that were manifest in the Corinthian assembly, as the sins of multitudes of so-called churches today, go unabated, unstopped and unchallenged. It is also apparent that the sins in Corinth and the sins in the churches of today which I described, continues to increase while the word decreases and eventually is eliminated.
It is these conditions, which we who do teach and practice the Bible are facing on a continual basis, and it is indeed a horrible thing to see. Whole so-called churches completely ignoring any scriptural direction and mandate, yet claiming to be of the Lord. Professing believers whose lives are no different that their so-called worldly counterparts, have the audacity to claim to be saved. Saved from what, I ask? There are evidently few who have traveled the straight and narrow road and fewer there be that can even find it.
It would be easy for me to stand here this morning a ...
There are 29542 characters in the full content. This excerpt only shows a 2000 character sample of the full content.
Price: $4.99 or 1 credit
Sign up for a Free Trial with SermonSearch.com and download this sermon free today!
Featured Worship Backgrounds


text:
Sign up for our newsletter:
Follow us
Your cart is currently empty. Click here to continue shopping.
The Klettersack is a Topo Designs' classic handmade in Colorado, USA. The ultimate pack for whatever adventures await, the Klettersack features more than enough storage space (22 L) and pockets for your travels and day hikes. A truly versatile bag, the Klettersack is designed to withstand years of use with it's strong material makeup and hardware.
Shop all items from Topo Designs.
DIMENSIONS 12" x 19" x 6"
MATERIALS 1000d CORDURA® fabric outer with coated pack cloth liner.
FEATURES Laptop sleeve, zippered top pocket, seatbelt webbing straps with padding, leather lash tabs and side pockets.


text:
Laparoscopy and Well-Differentiated Papillary Mesothelioma of the Peritoneum
- Bertram Baker
- 2 years ago
- Views:
1 15 Laparoscopy and Well-Differentiated Papillary Mesothelioma of the Peritoneum María Eugenia Aponte-Rueda, Ramón Saade-Cárdenas and Salvador Navarrete-Aulestia Endoscopic Surgery Unit, Service of Surgery 2, Caracas University Hospital, Central University of Venezuela Venezuela 1. Introduction Mesothelioma, is a rare and poorly understood disease that arises from mesothelial cells lining serous cavities. From a histopathologic point of view there are epithelial, connective tissue and mixed varieties. Although commonly found in the pleura, the peritoneum is involved in 20-40% of cases. 1-5 Well-Differentiated Papillary Mesothelioma of the Peritoneum (WDPMP) is a type of epithelial mesothelioma which typically shows benign biological behavior, 6-12 although several cases with a more aggressive form have been reported Being uncommon, it lacks of specific clinical and radiological manifestations, and it is difficult to obtain precise information regarding its natural history and optimal management. The diagnosis is challenging and the delay is a component of the clinical picture of these patients. This chapter evaluates the applicability of laparoscopy when this entity is suspected. 2. Diagnosis There is nonspecific presentation for peritoneal mesothelioma and the clinical diagnosis is difficult. Symptomatology is insidious, undefined and unspecific, but it can appear as a surgical emergency, although usually the disease is diagnosed incidentally during a laparoscopy, done for another other reason. Generally, the patient with peritoneal mesothelioma shows up with one or two types of symptoms and signs: those with abdominal pain, usually localized and related to an abdominal mass with little or no ascites and those, without abdominal pain, but with ascites and distension. 24 A history of asbestos exposure is common in patients with pleural mesothelioma, but this association has not been firmly established in the case of the peritoneal mesothelioma. 25 One of the clinical poorly understood aspects of this disease is the low diagnostic yield of the cytologic analysis of ascites. In a study of 51 patients with peritoneal mesothelioma, Sugarbaker et al 26 found that only two patients had a definitive diagnosis established by paracentesis of the intrabdominal fluid and the cytology. The analysis of the ascitic fluid usually reveals an exudative process, varying from clearly, mucinosous or serohematic. The cytology can be diagnostic in approximately 80% of cases with an adequate sample, but it has to be related to an abdominal mass. 27 In some cases it has been reported to be useful for
2 180 Advanced Laparoscopy the diagnosis of Well-Differentiated Papillary Mesothelioma No tumor marker is reliable for diagnosis. Peritoneal Mesothelioma does not have specific radiological characteristics. Therefore, a precise diagnosis based on imaging findings alone is not possible; in addition, distinguishing between benign and malignant processes, as well as primary and metastatic processes is also difficult (Figure 1). Lovell et al 19 found that the Computed Tomography Scan is clearly superior to the ultrasound, specifically detecting small tumoral nodules and mesenteric or peritoneal thickening. The Tomography can reveal a peritoneal enhancing soft-tissue mass within the mesentery, omentum or peritoneum thickening, multiple small nodules surrounding the peritoneum, mesentery and omentum. Other findings include ascites, infiltrating mass involving the serous of the bowels, direct invasion within the liver, spleen and abdominal wall, retroperitoneal adenopathies and metastasis at distance. 30 The pelvic involvement can suitably be evaluated by ultrasound as well as a small amount of liquid at cul-de-sac. 19 Few data has been published about the magnetic resonance imaging and PET-CT imaging manifestations. Due to no specificity in clinical characteristics and the low trust of the conventional techniques in the diagnosis of mesothelioma, the laparoscopic surgery will allow assuring the definitive diagnosis and nowadays it is preferable to laparotomy, due to lower invasiveness. Application of diagnostic laparoscopy allows direct visualization of the abdominal-pelvic peritoneum and organs, and may disclose laparoscopic characteristics, which beside the direct vision biopsy allows the diagnostic accuracy of this uncommon medical entity. Fig. 1. Axial Contrast Abdominal-Pelvic Computer Tomography shows multiple round nodules and mesenteric and peritoneal thickening and ascites. A. WDPM (courtesy of Dr. Hyuong Sun Jang and Ki Young Ru),B. Peritoneal Carcinomatosis, C. Peritoneal Tuberculosis (courtesy of Dr Suárez-Grau and Dr Morales-Conde). 3. Laparoscopic surgery The first case of peritoneal mesothelioma, involving the laparoscopic surgery and the peritoneal biopsy, was published in Nowadays the diagnostic laparoscopic surgery offers a fast, safe and less invasive form to confirm the diagnosis of peritoneal mesothelioma. We must consider the laparoscopic approach as the main technique for correct visualization of the peritoneal cavity, peritoneal fluid and multiple peritoneal biopsies obtained from intra-abdominal locations, to diagnose a multitude of
3 Laparoscopy and Well-Differentiated Papillary Mesothelioma of the Peritoneum 181 gastrointestinal diseases showing abdominal pain and ascites of unknown etiology. Yoon et al 39 reported a diagnostic yield of 87.2% for diagnostic laparoscopy in patients with ascites of unknown origin. Piccigallo et al 40 reported the correct diagnosis using the laparoscopic surgery and the histological examination of biopsy specimens, reaching a percentage of diagnostic security near 90%, in patients diagnosed with Malignant Peritoneal Mesothelioma. In patients with Well Differentiated Papillary Mesothelioma of the Peritoneum the laparoscopic surgery reduces the period of observation and for that reason, the repetition of examinations and other explorations, as well as avoiding the inherent complications related to laparotomy, with a more comfortable post-operative evolution by the smaller surgical trauma. Accurate diagnosis allows a precise therapy to be promptly started. The majority of authors recommend multiple biopsies with or without adjuvant therapy, instead of an extensive surgery due to its low malignant potential. We reported a case of WDPMP showing its resolution after adjuvant chemotherapy. 41 Diagnostic laparoscopic surgery is useful for staging pleural mesothelioma 42 (although only two cases of Well Differentiated Papillary Mesothelioma, involving the peritoneal and pleural cavities, have been published) In cases of isolated pelvic nodules it can provide anatomic information, allows definitive management and pathologic diagnosis, therefore, to diagnose and treat WDPMP the laparoscopic approach can be used effectively and safely. 21, Surgical technique The diagnostic laparoscopic surgery can be done under general anesthesia or under local anesthesia and sedation. The table essentially will be moved into: steep anti-trendelenburg + left tild, anti-trendelenburg + right tild, steep Trendelenburg + left tild, steep Trendelenburg + right tild during the examination to mobilize the ascitic fluid and the intestine. The surgeon and assistants are positioned on the patient s left side. The monitor is placed right to the patient s head. The normally used instrument is a rigid endoscope with the optic connected to a cold light source, of 5 mm with a forward viewing angle of view of 0º and oblique viewing of 30º. For the exploration of the peritoneal cavity, it is necessary to create a suitable pneumoperitoneum that is induced by CO 2 insufflation, an intraabdominal pressure of 10 to 12 mm is the adopted to secure a good vision. At the same time there it is introduced a supra or transumbical trocar and the laparoscope is passed through it, inspecting the peritoneal cavity. A second and third trocar (10 mm and 5 mm, respectively) can be positioned under visual control for biopsy and introduction of accessory instruments, according to the particular requirements in each case. In order to avoid complications, it is recommended to follow carefully a entry procedure technique due to adhesions between the small bowel loops and the abdominal wall. We use a blunt tip trocar described by Hasson, 45 to enter the abdominal cavity, a small incision must be done under direct vision and the aponeurotic hole has to be adjusted by stitches to the Hasson trocar to avoid neumoperitoneum leaks. 3.2 Abdominal cavity exploration Begin the exploration with the table in horizontal position. The presence of ascites in abdominal cavity is evaluated and its characteristics. Cytology and bacteriology samples should be taken under direct vision and finally the ascites should be completely emptied. The situation and degree of alterations must be defined. Then, the laparoscopic exploration must follow a defined systematic plan, covering the different quadrants of the cavity (Figure 2).
4 182 Advanced Laparoscopy Fig. 2. Laparoscopic Exploration Henning and Look 46 described four positions that allow a good vision of the entire peritoneal cavity; such positions can be modified according to the particular requirements of each case. In position I, it turns the table slightly (15-20⁰) towards the left and raise to the head other 15-20⁰. Being the explorer to the left of the patient, the laparoscope is introduced towards the right hypochondrium, which allows to observe the gallbladder, the hepatic edge, the surface of the right lobe and right side of the falciform ligament. The rotation of the optics, the variation of the intensity of the position or the cephalic elevation of the table provides a vision of the entire region. Position II is the same as I, but laparoscope moves under the round ligament, until reaching the left hypochondrium. If the light goes towards the right, the left hepatic lobe could be observed, the left side of the falciform ligament and the diafragm. If it goes towards the left side, it could see the anterior face of the stomach and the epiploic fat. Position III is achieved changing the position towards the right side (45⁰) and lifting the head on the exploration table (40⁰), with the surgeon at the right side. In this case, the spleen, the frenic and colonic ligament, good part of the anterior face of the stomach, including fornix and possibly, also the esofagic hiatus can be seen, if the gastrohepatic ligament allows it. Position IV is to inspect the inferior quadrants (pelvic region) and the rest of intraabdominal organs. This position requires the Trendelenburg s position, turning the table towards the side that we wish to explore. The changes from one position to another require a lateral displacement of the optic, which always must be done in the sense of the iluminated field, to avoid tears of adhesions. In this case, the monitor should be placed down and to the right side of the patient.
5 Laparoscopy and Well-Differentiated Papillary Mesothelioma of the Peritoneum Laparoscopic findings WDPMP, due to its rarity the surgeons are usually not sensitive with the disease. Laparoscopic findings of mesothelioma are indistinguishable of peritoneal tuberculosis, metastatic adenocarcinoma or primary tumour of the mesentery, from the gross standpoint, the common presentation sign of peritoneal nodules in WDPMP may lead to confusion during the diagnostic laparoscopic surgery, therefore a diagnosis is frequently difficult. However, the increased use of laparoscopic surgery to identify pathologic causes of ascitis of unknown origin, as well as pelvic pain, particularly in young women, which implies that the surgeons must be conscious of the laparoscopic characteristics of this tumor and distinguished from other common neoplasms involving the peritoneum to be enabled to properly recognize and treat the tumor. The laparoscopic features of the Peritoneal Mesothelioma, are: 40 a. The presence of homogeneous spreading of nodules, plaques or masses on both parietal and visceral peritoneum (Figure 3). The nodules become more confluent plaque like masses and eventually omental span is observed with the progression of the disease 41 (Figure 4). The nodules usually are: - Heterogenous size: The size of nodules is variable. Most of them appeared to be in the range of 0.5 cm to 2.0 cm, located in the abdomen and pelvis. 18 If they appear under the form of a fine dissemination to miliar, therefore they can simulate the typical aspect of the tuberculous elements. 47 They can one or multiple be distributed by the totality of the peritoneal cavity, omentum and mesentery. Occasionally, small foci of tumor are present in the surface of the ovary 18 (Figure 5). - White color. - Firm consistency. Fig. 3. Laparoscopic view of tumor whitish nodules on parietal peritoneum (courtesy of Dr. Hyuong Sun Jang and Ki Young Ru)
6 184 Advanced Laparoscopy Fig. 4. Laparoscopic view of omental caking due to confluent nodules. Fig. 5. Laparoscopic view of multiple nodules in the ovarian surface (courtesy of Dr. Hyuong Sun Jang and Ki Young Ru).
7 Laparoscopy and Well-Differentiated Papillary Mesothelioma of the Peritoneum 185 b. The absence of direct or indirect signs of other abdominal neoplasms. c. The absence of hepatic metastases or the possible presence of nodules or plaques on Glisson s capsule without parenchyma envolvement. Just in the advanced states of the disease, the tumor infiltrates the capsule of the liver with later extension within the parenchyma and retroperitoneal structures. d. Ascites is practically constant and is variable in color from yellowish to cloudy to bloodstained. The ascitic fluid is usually serosanguinous or grossly blood-stained, but does not constitute a definitive diagnosis of peritoneal tumor. e. Little hyperemia that extends to all the peritoneum. It serves to the gross differentiation criterion of the inflammatory form, where the parietal peritoneum is erythematous. f. The presence of adhesions between the intestinal loops and the abdominal wall, that is typical of active tuberculosis, can in addition be seen in mesothelioma. In the case of Tuberculosis, when entering the cavity a multitude of adhesions between the different abdominal organs are present, emphasizing the hepatic adhesions 47 (Figure 6). Fig. 6. Laparoscopic view of Peritoneal Tuberculosis: numerous small yellow-white nodules on the parietal peritoneum and adhesions (courtesy of Dr Suárez-Grau and Dr Morales Conde) 3.4 Biopsy The laparoscopic surgery, in comparison with its diagnostic effectiveness, goes naturally considered as a whole and therefore not only with the inspection of the abdominal cavity, but with the biopsy for the histological diagnosis it is of extraordinary effectiveness 48 adding diagnostic accuracy, due to the following reasons: - It can be done on several organs: Multiple biopsies of the parietal peritoneum, diaphragm, omentum and lesion of the pelvic cavity. - It comes often on the guide from the laparoscopic, reason why it is of particular importance when the injuries are unique. The biopsy must be taken near the edges close to the nodule and the peritoneum in order to avoid the central necrosis. - The site of the biopsy is not forced as by the transcutaneous biopsy; it can be taken with direct vision. - The histological fragment has the sufficient quality to assure the most precise examination (Figure 7).
8 186 Advanced Laparoscopy Fig. 7. Well-differentiated Papillary Mesothelioma of Peritoneum Microscopic Findings. A. Well-developed papillae lined by uniform mesothelial cells with minimal cytologic atypia. B. Neoplastic mesothelial cell shows strong positive staining for Cytokeratins. C. Inmunohistochemical staining for Calretin. 3.5 Complications Tear of Adhesions In some cases the adhesions are present, the small intestine loops tightly adherent to abdominal wall, with a careful open technique using a Hasson trocar to enter the abdominal cavity, these complications are rare. Beside, the substitution of the view field by a red veil indicates that the window of the optics has been applied on the small intestine or the adhesion; in these cases avoid to continue the movement, because it could originate a tear of the adhesions Hemorrhage The observation of the biopsy site is a fundamental requirement to avoid any type of haemorrhagic complication. The laparoscopic biopsy is practically risk free, due to the use of coagulation to form a clot or by positioning fibrin dressings Port-site metastases Recurrences at the insertion site of the laparoscope or other instruments for malignant mesothelioma as well as WDPMP have been reported, this source of disease usually progresses fast compared to the intraabdominal component and requires extensive surgery for the local control. 13,22,38,49 The aggressive nature of such recurrences is evident. According to Sugarbaker, 27 any invasive procedure used to establish the diagnosis of mesothelioma, including the paracentesis, should be carried out with great precaution and they recommend that paracentesis or laparoscopic surgery should be carried out along the midline of the abdominal wall, allowing the port site and the needle tract to be excised as part of the cytoreductive surgery.
9 Laparoscopy and Well-Differentiated Papillary Mesothelioma of the Peritoneum Conclusion Well-Differentiated Papillary Mesothelioma is an entity rarely observed and difficult to diagnose. Laparoscopy with biopsy under direct vision is an accurate and safe technique to confirm the diagnostic. 5. Acknowledgment We acknowledge Fritz Dorries for his expert assistance in the preparation of the manuscript. 6. References [1] Legha SS, Muggia FM.(1977). Pleural mesothelioma: clinical features and therapeutic implications. Annals of Internal Medicine, Vol.87, No.5, (November 1977), pp , ISSN [2] Asensio JA, Goldblatt P, Thomford NR.(1990). Primary malignant peritoneal mesothelioma. A report of seven cases and a review of the literature. Archives of Surgery, Vol.125, No.11, (November 1990),pp ISSN [3] Reuter K, Raptopoulos V, Reale F, Krolikowski FJ, D'Orsi CJ, Graham S, Smith EH. (1983). Diagnosis of peritoneal mesothelioma: computed tomography, sonography, and fine-needle aspiration biopsy. American Journal of Roentgenology, Vol.140, No.6, (June 1983),pp ISSN [4] Bridda A, Padoan I, Mencarelli R, Frego M. (2007). Peritoneal Mesothelioma: A Review. Medscape General Medicine, Vol.9, No.2, (May 2007),pp.32. ISSN [5] Kass EM.(1996). Pathology of Peritoneal Mesothelioma. Pathology of Peritoneal Mesothelioma. Cancer Treatment and Research, Vol.81, pp ISSN [6] Butnor K, Sporn TA, Hammar SP, Roggli VL.(2001). Well-Differentiated Papillary Mesothelioma. The American Journal of Surgical Pathology, Vol.25, No.10, (October 2001), pp ISSN [7] Daya D, McCaughey WT. (1991). Pathology of the peritoneum: A review of select topics. Seminars in Diagnostic Pathology, Vol. 8, No.4, (November 1991), pp ISSN [8] Daya D, McCaughey WT. (1990). Well-differentiated papillary mesothelioma of the peritoneum: a clinicopathologic study of 22 cases. Cancer, Vol.65, No.2, (January 1990), pp ISSN [9] Goldblum J, Hart WR. (1995). Localized and Diffuse Mesothelioma of the genital tract and peritoneum in women: a clinicopathologic study of nineteen true mesothelial neoplasm other than adenomatoid tumors, multicystic mesothelioma and localized fibrous tumors. The American Journal of Surgical, Vol.19, No.10, (October 1995), pp ISSN [10] Hoekman K, Tognon G, Risse EKJ. (1996). Well-differentiated papillary mesothelioma of the peritoneum a separate entity. European Journal of Cancer, Vol.32A, No.2, (February 1996), pp ISSN [11] McCoughey WTE. (1985). Papillary Peritoneal Neoplasm in Females. Pathology Annual, Vol.20, (1985), pp ISSN
10 188 Advanced Laparoscopy [12] Roggli VL, Kolbeck J, SanFilippo F. (1987). Pathology of Human Mesothelioma: etiologic and diagnostic considerations. Pathology Annual, Vol.22, (1987), pp ISSN [13] Min-Jung KI, Moon EJ, Park YJ, Roh JW, Park YS, Park SY, Kim HS, Sim JS, Park SY. (2001). A Case of well-differentiated Papillary Mesothelioma developing malignant mesothelioma with seeding mass on the trocar insertion site of diagnostic laparoscopy and malignant change. Cancer Research and Treatment, Vol 33, No.4, (January 2001), pp ISSN [14] Foyle A, Al-Jabi M, McCaughey WT. (1985). Papillary Peritoneal Tumors in Women. The American Journal of Surgical Pathology, Vol.5, No.3, (April 1985), pp ISSN [15] Goepel JR. Benign Papillary Mesothelioma of Peritoneum: A Histological, Histochemical and Ultrastructural Study of Six Cases. Histopathology, Vol.5, No.1, (January 1981), pp ISSN [16] Hollinger P, Gaeng D. (1997). Simultaneous bilateral spontaneous pneumothorax in a patients with peritoneal and pleural papillary mesothelioma. Respiration; International Review of Thoracic Diseases, Vol.64, No.3, (1997), pp ISSN [17] Hejmadi R, Ganesan R, Kamal NG. (2003). Malignant transformation of a welldifferentiated peritoneal papillary mesothelioma. Acta Cytologica, Vol.47,No.3,(May-June 2003).pp ISSN [18] Burrig KF, Pfitzer P, Hort W.(1990). Well-differentiated papillary mesothelioma. Report of two cases and review of literature. Virchows Archiv. A, Pathological anatomy and histopathology. Vol. 417, No.5, (1990), pp , ISSN [19] Lovell FA, Cranston PE. (1990). Well-Differentiated Papillary Mesothelioma of the Peritoneum. American Journal of Roentgenology, Vol.155, No.6, (December 1990), pp ISSN [20] Meister T, Birkfellner T, Poremba C, Becker JC, Menzel J, Domschke W, Lerch MM. (2003). Papillary Mesothelioma of the Peritoneum in the absence of asbestos exposure. Zeitschrift für Gastroenterologie, Vol.41, No.4, (April 2003), pp ISSN [21] Porpora MG, Bracato V, D Elia C, Natilli M, Alo PL, Cosmi EV. (2002). Laparoscopic Diagnosis and Treatment of Well Differentiated Papillary mesothelioma of the Peritoneum. The Journal of the American Association of Gynecologic Laparoscopists, Vol.9, No. 3, (August 2002), pp ISSN [22] Averbach AM, Sugarbaker PM. (1996). Peritoneal Mesothelioma Treatment approach based on natural history. Cancer Treatment and Research, Vol.81, (1996), pp ISSN [23] Jang HS, Kim SR, Ryu KYU, Kim JW, Cho SH. (2009). A Laparoscopy Diagnosis of Well- Differentiated Papillary Mesothelioma of the Peritoneum in a women with ascitis: A case report. Journal Of Women`s Medicine, Vol.2, No.2, (2009), pp ISSN [24] Sugarbaker PH, Acherman YIZ, González-Moreno S, Ortega-Pérez G, Stuart OA, Marchettini P, You Di. (2002). Diagnosis and Treatment of Peritoneal Mesothelioma: The Washington Cancer Institute Experience. Seminars in Oncology, Vol 29, No.1, (February 2002), pp ISSN
11 Laparoscopy and Well-Differentiated Papillary Mesothelioma of the Peritoneum 189 [25] Welch LS, Acherman YIZ, Haile E, Sokas Rk, Sugarbaker PH. (2005). Asbestos and Peritoenal Mesothelioma among college-educated men. International Journal of Occupational and Environmental Health, Vol.11, No.3, (July-September 2005) pp ISSN [26] Acherman YIZ, Welch LS, Branley CM, Sugarbaker PH. (2003). Clinical presentation of peritoneal mesothelioma. Tumori, Vol.89, No.3, (May-Jun 2003), pp , ISSN [27] Tanimu S, Centeno B, Klapman J. (2009). Diagnosis of Malignant Peritoneal Mesothelioma by Rectal Endoscopic Ultrasound with Fine-needle Aspiration. Gastroenterology & Hepatology, Vol.5, No.2, (February 2009), pp ISSN [28] Gong Y, Ren R, Ordóñez NG, Sun X, Sneige N. (2005). Fine needle aspirations cytology of Well-Differentiated Papillary Mesothelioma: A case Report. Acta Cytologica, Vol.49, No.5, (September-October 2005), pp ISSN [29] Aramburu JA, Nájera L, Rodríguez JM.(2005) Hallazgos citomorfológicos del mesotelioma papilar bien diferenciado. A propósito de un caso y revisión de la Literatura. Revista Española de Patología, Vol. 38, No.3, (2005), pp ISSN X [30] Hassan R, Alexander R, Antman K, Boffetta P, Churg A, Coit D, Hausner P, Kennedy R, Kindler H, Metintas M, Mutti L, Onda M, Pass H, Premkumar A, Roggli V, Sterman D, Sugarbaker P, Taub R, Verschraegen C. (2006). Current treatment options and biology of peritoneal mesothelioma: meeting summary of the first NIH peritoneal mesothelioma conference. Annals of Oncology, Vol.17, (April 2006),pp ISSN [31] Eslami B, Lutcher CL. (1974). Ante Morten Diagnosis in Two Cases of Malignant Peritoneal mesothelioma. The American Journal of the Medical Sciences, Vol.267, No.2, (February 1974), pp ISSN [32] McCallum RW, Maceri DR, Jensen D, Berci J. (1979). Laparoscopic Diagnosis of peritoneal Mesothelioma. Report of a Case and Review of the Diagnostic Approach. Digestive Disease and Sciences, Vol. 24, No.2, (February 1979), pp ISSN [33] Milingos S, Protopapas A, Papadimitriou C, Rodolakis A, Kallipolitis G, Skartados N, Markaki S, Dimopoulous MA, Antsaklis A. (2007). Laparoscopy in the evaluation of women with unexplained ascites: an invaluable diagnostic tool. Journal of Minimally Invasive Gynecology, Vol. 14, No.1, (Jan-Feb 2007), pp ISSN [34] Van de Walle P, Blomne Y, Van Outryve L. (2004). Laparoscopy and primary diffuse malignant peritoneal mesothelioma: a diagnostics challenge. Acta Chirurgica Belgica, Vol. 104, No.1, (Feb 2004), pp ISSN [35] Stamat JC, Chekan EG, Ali A, Ko A, Sporn TA, Eubanks WS. (1999). Laparoscopy and mesothelioma. Journal of laparoendoscopic & advanced surgical techniques. Part A, Vol. 9, No.5, (October 1999),pp ISSN [36] Estrada-Saiz RV, Loscos JM, García-Paredes J, Del Pozo A, Estrada V. (1995). The role of laparoscopy in the diagnosis of primary peritonealmesothelioma. Revista Española de Enfermedades Digestivas, Vol.87, No.5, (May 1995), pp ISSN
12 190 Advanced Laparoscopy [37] Chu CM, Lin SM, Peng SM, Wu CS, Liaw YF. (1994). The role of laparoscopy in the evaluation of ascites of unknown origin. Gastrointestinal Endoscopy, Vol. 40, No.3, (May 1994), pp ISSN [38] Muensterer OJ, Averbach AM, Jacquet P, Otero SE, Sugarbaker PH. (1997). Malignant peritoneal mesothelioma. Case-report demonstrating pitfalls of diagnostic laparoscopy. International Surgery,Vol.82, No.3, (Jul-Sep 1997), pp ISSN [39] Yoon YJ, Ahn SH, Park JY, Chon CY, Kim Do Y, Park YN, Han KH. (2007). What is the role of diagnostic laparoscopy in a gastroenterology Unit? Journal of Gastroenterology, Vol.33, No.5, (November 2007), pp , ISSN [40] Piccigallo E, Jeffers LJ, Reddy Kr, Caldironi MW, Parenti A, Schiff ER. (1988). Malignant Peritoneal Mesothelioma. A clinical and Laparoscopic Study of ten cases. Digestive Diseases And Sciences, Vol. 33, No.5, (May 1988), pp , ISSN [41] Aponte-Rueda ME, Nieves M. (2009). Mesotelioma Papilar Bien Diferenciado. Revista Venezolana de Oncología, Vol.21, No.4, (2009), pp , ISSN [42] Conlon K, Rusch V, Gillern S.(1996). Laparoscopy: An Important Tool in the Staging of Malignant Pleural Mesothelioma. Annals of Surgical Oncology, Vol.3, No.5, (September 1996), pp , ISSN [43] Shukunami K, Hirabuki S, Kaneshima M, Kamitani N, Kotsuji F.(2000). Well- Differentiated Papillary Mesothelioma involving the peritoneal and pleural cavities: successful treatment by local and systemic administration of carboplatin. Tumori, Vol.86, No.5, (September-Octuber 2000) pp ISSN [44] Nezhat FR, DeNoble Shaghayegh M, Brown DN, Shamshirsaz Amir, Hoehn D. (2010). Laparoscopic Management of Peritoneal Mesohelioma associated with pelvic endometriosis. The Journal of Minimally Invasive Gynecology, Vol 17. No.5, (September-October 2010), pp , ISSN [45] Hasson HM. (1971). A modified instrument and method for laparoscopy. American Journal of Obstetrics and Gynecology, Vol.110, No.6, (July 1971), pp ISSN [46] Henning H, Lightdale CJ, Look D. (1994). Color Atlas of Diagnostic Laparoscopy, G. Thieme Verlag, ISBN , Stuttgart, Germany. [47] Suárez-Grau JM, Rubio C, García JL, Martín JA, Socas M, Álamo JM, López F, Cadet H, Bustos M, Tutosaus JD, Morales S. (2007). Presentación atípica de tuberculosis peritoneal. Caso clínico diagnosticado por laparoscopia. Revista Española de Enfermedades Digestivas, Vol. 99, No.12, (2007), pp , ISSN [48] Roskos M, Popp MB. (1999). Laparoscopic Diagnosis and Management of Malignant Ascites. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, Vol. 9, No.5, (October 1999), pp , ISSN [49] Carmignani CP, Sugarbaker PH. (2004). Regional lymph node metastases from port site implants after laparoscopic surgery. Surgical Endoscopy, Vol. 18, No.12, (December 2004), pp.1818, ISSN
13 Advanced Laparoscopy Edited by Prof. Ali Shamsa ISBN Hard cover, 190 pages Publisher InTech Published online 30, September, 2011 Published in print edition September, 2011 The present book, published by InTech, has been written by a number of highly outstanding authors from all over the world. Every author provides information concerning treatment of different diseases based on his or her knowledge, experience and skills. The chapters are very useful and innovative. This book is not merely devoted to urology sciences. There are also clear results and conclusions on the treatment of many diseases, for example well-differentiated papillary mesothelioma. We should not forget nor neglect that laparoscopy is in use more extensively than before, and in the future new subjects such as use of laparascopy in treatment of kidney cysts, simple nephrectomy, pyeloplasty, donor nephrectomy and even robotic laparoscopy will be researched further. How to reference In order to correctly reference this scholarly work, feel free to copy and paste the following: Mariá Eugenia Aponte-Rueda, Ramoń Saade-Caŕdenas and Salvador Navarrete-Aulestia (2011). Laparoscopy and Well-Differentiated Papillary Mesothelioma of the Peritoneum, Advanced Laparoscopy, Prof. Ali Shamsa (Ed.), ISBN: , InTech, Available from: InTech Europe University Campus STeP Ri Slavka Krautzeka 83/A Rijeka, Croatia Phone: +385 (51) Fax: +385 (51) InTech China Unit 405, Office Block, Hotel Equatorial Shanghai No.65, Yan An Road (West), Shanghai, , China Phone: Fax:
J of Evidence Based Med & Hlthcare, pissn- 2349-2562, eissn- 2349-2570/ Vol. 2/Issue 33/Aug. 17, 2015 Page 5063
PERITONEAL MALIGNANT MESOTHELIOMA: A RARE S. R. Dhamotharan 1, S. Shanthi Nirmala 2, F. Celine Foustina Mary 3, M. Arul Raj Kumar 4, R. Vinothprabhu 5 HOW TO CITE THIS ARTICLE: S. R. Dhamotharan, S. ShanthiMore information
Case of the. Month October, 2012
Case of the Month October, 2012 Case The patient is a 47-year-old male with a 3-week history of abdominal pain. A CT scan of the abdomen revealed a suggestion of wall thickening at the tip of the appendixMore information
Objectives. Mylene T. Truong, MD. Malignant Pleural Mesothelioma Background
Imaging of Pleural Tumors Mylene T. Truong, MD Imaging of Pleural Tumours Mylene T. Truong, M. D. University of Texas M.D. Anderson Cancer Center, Houston, TX Objectives To review tumors involving theMore information
Protocol applies to all primary borderline and malignant epithelial tumors, and malignant mesothelial neoplasms of the peritoneum.
Peritoneum Protocol applies to all primary borderline and malignant epithelial tumors, and malignant mesothelial neoplasms of the peritoneum. Protocol revision date: January 2004 No AJCC/UICC staging systemMore information
Omental mesothelioma as a diagnostic and therapeutic challenge: A case report
www.edoriumjournals.com Case in Images OPEN ACCESS Omental mesothelioma as a diagnostic and therapeutic challenge: A case report Cihan Akgul Ozmen, Yekta Tuzun, Hatice Ozturkmen Akay, Hasan Nazaroglu ABSTRACTMore information
PRIMARY SEROUS CARCINOMA OF PERITONEUM: A CASE REPORT Dott. Francesco Pontieri (*) U.O. di Anatomia Patologica P.O. di Rossano (CS) Dott. Gian Franco Zannoni Anatomia Patologica Facoltà di Medicina e ChirurgiaMore information
JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH How to cite this article: DEBNATH S, MISRA V, SINGH PA, SINGH M. LOW GRADE CYSTIC MESOTHELIOMA OF RECTUS SHEATH.Journal of Clinical and Diagnostic Research [serialMore information
Case presentation. Awatif Al-Nafussi
Case presentation Awatif Al-Nafussi Case History 49 year old DVT & small PE June 08, Pelvic mass Ca125 33 Laparotomy-TAHBSO, drainage of ascites Ovarian carcinoma Clinical diagnosis Multiple specimensMore information
Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy (HIPEC): Now and the Future
Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy (HIPEC): Now and the Future Mazin Al-kasspooles, MD Associate Professor of Surgery Division of Surgical Oncology Director, Regional TherapyMore information
Frequently Asked Questions About Ovarian Cancer
Media Contact: Gerri Gomez Howard Cell: 303-748-3933 firstname.lastname@example.com Frequently Asked Questions About Ovarian Cancer What is ovarian cancer? Ovarian cancer is a cancer that forms in tissuesMore information
Luis D. Carcorze Soto, MD PGY-3
Luis D. Carcorze Soto, MD PGY-3 Peritoneal Surface Malignancies Peritoneum Patient Selection Operative Technique HIPEC EPIC Primary: Primary Peritoneal Carcinoma Malignant Peritoneal Mesothelioma Metastatic:More information
Mucinous Cystadenoma of the Ovary
Case Studies [1] September 24, 2012 By Harpreet Singh, MD [2] A 50-year-old female with a history of progressive abdominal distention and discomfort for six months. A 50-year-old female with a historyMore information
PRODYNOV. Targeted Photodynamic Therapy of Ovarian Peritoneal Carcinomatosis ONCO-THAI. Image Assisted Laser Therapy for Oncology
PRODYNOV Targeted Photodynamic Therapy of Ovarian Peritoneal Carcinomatosis ONCO-THAI Image Assisted Laser Therapy for Oncology Inserm ONCO-THAI «Image Assisted Laser Therapy for Oncology» Inserm ONCO-THAIMore information
Case Report Pleural Mesothelioma Presenting as Periumbilical Metastasis: The First Clinical Documentation
Volume 2013, Article ID 198729, 4 pages http://dx.doi.org/10.1155/2013/198729 Case Report Pleural Mesothelioma Presenting as Periumbilical Metastasis: The First Clinical Documentation R. F. Falkenstern-Ge,More information
Gallbladder cancer is a disease in which malignant (cancer) cells form in the tissues of the gallbladder.
Gallbladder cancer Gallbladder cancer is a disease in which malignant (cancer) cells form in the tissues of the gallbladder. Gallbladder cancer is a rare disease in which malignant (cancer) cells are foundMore information
Today s Topics. Tumors of the Peritoneum in Women
Today s Topics Tumors of the Peritoneum in Women Charles Zaloudek, M.D. Department of Pathology 505 Parnassus Ave., M563 University of California, San Francisco San Francisco, CA USA firstname.lastname@example.com information
Protocol for the Examination of Specimens From Patients With Tumors of the Peritoneum
Protocol for the Examination of Specimens From Patients With Tumors of the Peritoneum Protocol applies to all primary borderline and malignant epithelial tumors and malignant mesothelial neoplasms of theMore information
Surgical Staging of Endometrial Cancer
Surgical Staging of Endometrial Cancer I. Endometrial Cancer Surgical Staging Overview Uterine cancer types: carcinomas type I and type II, sarcomas, carcinosarcomas Hysterectomy with BSO Surgical StagingMore information
Diseases. Inflammations Non-inflammatory pleural effusions Pneumothorax Tumours
Pleura Visceral pleura covers lungs and extends into fissures Parietal pleura limits mediastinum and covers dome of diaphragm and inner aspect of chest wall. Two layers between them (pleural cavity) containsMore information
OBJECTIVES By the end of this segment, the community participant will be able to:
Cancer 101: Cancer Diagnosis and Staging Linda U. Krebs, RN, PhD, AOCN, FAAN OCEAN Native Navigators and the Cancer Continuum (NNACC) (NCMHD R24MD002811) Cancer 101: Diagnosis & Staging (Watanabe-GallowayMore information
For media outside the US, UK and Canada only P L E U R A L M E S O T H E L I O M A 1. Overview 2. What is pleural mesothelioma? 3. How common is pleural mesothelioma? 4. What are the risk factors for pleuralMore information
MR Imaging of Peritoneal Malignancy Russell N. Low, MD
MR Imaging of Peritoneal Malignancy Russell N. Low, MD From: Sharp and Children's MRI Center and Sharp HealthCare, 7901 Frost Street, San Diego, California, 92123. Phone: (858) 939-3600. Email: email@example.com information
Mesothelioma: Questions and Answers
CANCER FACTS N a t i o n a l C a n c e r I n s t i t u t e N a t i o n a l I n s t i t u t e s o f H e a l t h D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s Mesothelioma: QuestionsMore information
Disease/Illness GUIDE TO ASBESTOS LUNG CANCER. What Is Asbestos Lung Cancer? www.simpsonmillar.co.uk Telephone 0844 858 3200
GUIDE TO ASBESTOS LUNG CANCER What Is Asbestos Lung Cancer? Like tobacco smoking, exposure to asbestos can result in the development of lung cancer. Similarly, the risk of developing asbestos induced lungMore information
Update on Mesothelioma
November 8, 2012 Update on Mesothelioma Intro incidence and nomenclature Update on Classification Diagnostic specimens Morphologic features Epithelioid Histology Biphasic Histology ImmunohistochemicalMore information
Cytoreductive Surgery (CRS) and Hyperthermic Intraperitoneal Chemotherapy (HIPEC) for Peritoneal Mesothelioma
Original Article 291 Cytoreductive Surgery (CRS) and Hyperthermic Intraperitoneal Chemotherapy (HIPEC) for Peritoneal Mesothelioma Grace HC Tan, 1 MBBS (London), MRCS (Edinburgh), Michelle Cheung, 1 MBBChMore information
Peritoneal Carcinosis
Peritoneal Carcinosis What is it and how to cure it Peritoneum Peritoneum is a thin and transparent membrane that covers the internal part of the abdominal and pelvic cavity and all the viscera containedMore information
Mesothelioma Understanding your diagnosis
Mesothelioma Understanding your diagnosis Mesothelioma Understanding your diagnosis When you first hear that you have cancer, you may feel alone and afraid. You may be overwhelmed by the large amount ofMore information
A succesfull case of HIPEC in a peritoneal mesothelioma patient
A succesfull case of HIPEC in a peritoneal mesothelioma patient Firmino, NLJ¹²; Miranda, E¹³; Oliveira, DA ²; Lima, MBA ¹²; Diniz, AF ¹²; Gomes, GES ¹²; Azevedo, LW ¹²; Soares,MC¹²; Gomes, ASA³. ¹PernambucoMore information
Liver Cancer What is the liver? What is liver cancer?
Liver Cancer What is the liver? The liver is the largest internal organ in the body and is important in digesting food. The liver performs many other functions, including collecting and filtering bloodMore information
Clinical Commissioning Policy: Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy for Peritoneal Mesothelioma
Clinical Commissioning Policy: Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy for Peritoneal Mesothelioma Reference: NHS England B03/P/a 1 Information Reader Box (IRB) to be insertedMore information
Cytology : first alert of mesothelioma? Professor B. Weynand, UCL Yvoir, Belgium
Cytology : first alert of mesothelioma? Professor B. Weynand, UCL Yvoir, Belgium Introduction 3 cavities with the same embryologic origin the mesoderme Pleura Exudates Pleura Peritoneum Pericardium 22%More information
Kate O Hanlan, M. D. F. A. C. O. G., F. A. C. S.
Kate O Hanlan, M. D. F. A. C. O. G., F. A. C. S. Gynecologic Oncology, Surgery and Endoscopy 4370 Alpine Road Portola Valley, CA 94028-7523 Phone: (650)-851-6669 FAX: (650) 851-9747 Regarding Ovarian Cancer,More information
More than 2,500 people are diagnosed with mesothelioma in the UK each year.
This information is an extract from the booklet Understanding mesothelioma. You may find the full booklet helpful. We can send you a free copy see page 5. Contents Introduction Pleural mesothelioma PeritonealMore information
Role of surgery in the management of Ovarian cancer. Waseem Kamran Sub-speciality Fellow Surgical Gynaecological Oncology St James Hospital
Role of surgery in the management of Ovarian cancer Waseem Kamran Sub-speciality Fellow Surgical Gynaecological Oncology St James Hospital Role of surgery Prevention Diagnosis Staging Treatment PalliativeMore information
MALIGNANT MESOTHELIOMA CLASSIFICATION MALIGNANT MESOTHELIOMA UPDATE ON PATHOLOGY AND IMMUNOHISTOCHEMISTRY Sisko Anttila, MD, PhD Jorvi Hospital Laboratory of Pathology Helsinki University Hospital Espoo,More information
MALIGNANT MESOTHELIOMA UPDATE ON PATHOLOGY AND IMMUNOHISTOCHEMISTRY Sisko Anttila, MD, PhD Jorvi Hospital Laboratory of Pathology Helsinki University Hospital Espoo, Finland 2nd Nordic Conference on AppliedMore information
Clinical Commissioning Policy: Cytoreductive surgery and Hyperthermic Intraperitoneal Chemotherapy for Peritoneal Mesothelioma
Clinical Commissioning Policy: Cytoreductive surgery and Hyperthermic Intraperitoneal Chemotherapy for Peritoneal Mesothelioma Reference: NHS England A08/P/c 2 NHS England INFORMATION READER BOX DirectorateMore information
Mesothelioma. 1. Introduction. 1.1 General Information and Aetiology
Mesothelioma 1. Introduction 1.1 General Information and Aetiology Mesotheliomas are tumours that arise from the mesothelial cells of the pleura, peritoneum, pericardium or tunica vaginalis [1]. Most areMore information
Carcinosarcoma of the Ovary
Carcinosarcoma of the Ovary A Rare Finding Presented By: Kathryn Kiely Anisa I. Kanbour School of Cytotechnology of the University of Pittsburgh Medical Center Pittsburgh, PA Patient History 55 year oldMore information
Mesothelioma. 1995-2013, The Patient Education Institute, Inc. www.x-plain.com ocft0101 Last reviewed: 03/21/2013 1
Mesothelioma Introduction Mesothelioma is a type of cancer. It starts in the tissue that lines your lungs, stomach, heart, and other organs. This tissue is called mesothelium. Most people who get thisMore information
Primary -Benign - Malignant Secondary
TUMOURS OF THE LUNG Primary -Benign - Malignant Secondary The incidence of lung cancer has been increasing almost logarithmically and is now reaching epidemic levels. The overall cure rate is very lowMore information
Rotation Specific Goals & Objectives: University Health Network-Princess Margaret Hospital/ Sunnybrook Breast/Melanoma
Rotation Specific Goals & Objectives: University Health Network-Princess Margaret Hospital/ Sunnybrook Breast/Melanoma Medical Expert: Breast Rotation Specific Competencies/Objectives 1.0 Medical HistoryMore information
The Adnexal Mass and Early Ovarian Cancer
The Adnexal Mass and Early Ovarian Cancer Fred Ueland, MD University of Kentucky Gynecologic Oncology Never give in. Never give in. Never, never, never, never- in nothing great or small, large or petty-More information
MALIGNANT MESOTHELIOMA: A TYPICAL PRESENTATION IN AN ATYPICAL PATIENT Written by: Karyn Varley MS, SCT(ASCP) The donating laboratory would like to remain anonymous. PATIENT HISTORY 28 year old female LivedMore information
These rare variants often act aggressively and may respond differently to therapy than the more common prostate adenocarcinoma.
Prostate Cancer OVERVIEW Prostate cancer is the second most common cancer diagnosed among American men, accounting for nearly 200,000 new cancer cases in the United States each year. Greater than 65% ofMore information
General Rules SEER Summary Stage 2000. Objectives. What is Staging? 5/8/2014
General Rules SEER Summary Stage 2000 Linda Mulvihill Public Health Advisor NCRA Annual Meeting May 2014 National Center for Chronic Disease Prevention and Health Promotion Division of Cancer PreventionMore information
PLEURA- LESIONS LESIONS OF PLEURA Primary Intra pleural bacterial infections Neoplasm (mesothelioma) Secondary A complication of some underlying disease PLEURAL EFFUSION Common manifestation of both primaryMore information
Medullary Renal Cell Carcinoma Case Report
Bahrain Medical Bulletin, Vol. 27, No. 4, December 2005 Medullary Renal Cell Carcinoma Case Report Mohammed Abdulla Al-Tantawi MBBCH, CABS* Abdul Amir Issa MBBCH, CABS*** Mohammed Abdulla MBBCH, CABS**More information
Malignant Mesothelioma
Malignant Malignant mesothelioma is a tumour originating from mesothelial cells. 85 95% of mesotheliomas are caused by asbestos exposure. It occurs much more commonly in the chest (malignant pleural mesothelioma)More information
Malignant Mesothelioma
Malignant mesothelioma is a tumour originating from mesothelial cells. 85 95% of mesotheliomas are caused by asbestos exposure. It occurs much more commonly in the chest (malignant pleural mesothelioma)More information
International Journal of Case Reports in Medicine
International Journal of Case Reports in Medicine Vol. 2013 (2013), Article ID 409830, 15 minipages. DOI:10.5171/2013.409830 www.ibimapublishing.com Copyright 2013 Andrew Thomas Low, Iain Smith and SimonMore information
WHAT S WRONG WITH MY GALL BLADDER? GALL BLADDER POLYPS This is a patient information booklet providing specific practical information about gall bladder polyps in brief. Its aim is to provide the patientMore information
Mesothelioma is almost always caused by exposure to asbestos and can develop decades after the exposure.
Mesothelioma Summary Mesothelioma is a rare type of cancer that can develop decades after exposure to asbestos. Mesothelioma usually targets the outer membrane of the lungs (pleura), but can also occurMore information
ICD-10-CM Coding Workbook for OB/GYN. Specialty coding guidance for ICD-10-CM
ICD-10-CM Coding Workbook for OB/GYN Specialty coding guidance for ICD-10-CM 2016 Contents Introduction... 1 Overview of ICD-10... 1 Getting Ready for ICD-10... 2 Using This ICD-10-CM Workbook... 3 WorkbookMore information
Gastrointestinal Oncology Peritoneal Mesothelioma
Gastrointestinal Oncology Two Decades of Progress in the Management of a Rare Disease Paul H Sugarbaker, MD, FACS, FRCS Medical Director, Center for Gastrointestinal Malignancies, MedStar Washington HospitalMore information
Ovarian cancer. A guide for journalists on ovarian cancer and its treatment
Ovarian cancer A guide for journalists on ovarian cancer and its treatment Contents Contents 2 3 Section 1: Ovarian Cancer 4 i. Types of ovarian cancer 4 ii. Causes and risk factors 5 iii. Symptoms andMore information
A912: Kidney, Renal cell carcinoma
A912: Kidney, Renal cell carcinoma General facts of kidney cancer Renal cell carcinoma, a form of kidney cancer that involves cancerous changes in the cells of the renal tubule, is the most common typeMore information
INTRAPERITONEAL HYPERTHERMIC CHEMOTHERAPY (IPHC) FOR PERITONEAL CARCINOMATOSIS AND MALIGNANT ASCITES. INFORMATION FOR PATIENTS AND FAMILY MEMBERS Description of Treatment A major difficulty in treatingMore information
Renal Cell Carcinoma The New Frontier (To boldly go... ) Sean A. Pierre, MD, RCPSC (Urology)
The New Frontier (To boldly go... ) Sean A. Pierre, MD, RCPSC (Urology) QUEENSWAY CARLETON HOSPITAL DIVISION OF UROLOGY NEPEAN, ON, CANADA Disclosures None Objectives Advances in the field of Renal CellMore information
Ovarian cysts Diagnosis and Management
Ovarian cysts Diagnosis and Management Mr P K Athanasias MRCOG Consultant Gynaecologist St Anthony s Hospital firstname.lastname@example.com Introduction ovary is an ovum-producing reproductive organ located inMore information
Introduction. Case History
NAOSITE: Nagasaki University's Ac Title Author(s) A Case Report of Renal Cell Carcino Shimajiri, Shouhei; Shingaki, Yoshi Masaya; Tamamoto, Tooru; Toda, Taka Citation Acta Medica Nagasakiensia. 1992, 37More information
Cytoreductive surgery in Ovarian Cancer. Arjun Jeyarajah, Consultant Gynaecological Oncologist, St Bartholomew s Hospital, London.
Cytoreductive surgery in Ovarian Cancer Arjun Jeyarajah, Consultant Gynaecological Oncologist, St Bartholomew s Hospital, London. Ovarian Cancer 6,600 new cases per year 4,000 deaths 75% of cases haveMore information
Diseases of peritoneum Lect. Al Qassim University, Faculty of Medicine Phase II Year III, CMD 332 Pathology Department 31-32
Diseases of peritoneum Lect Al Qassim University, Faculty of Medicine Phase II Year III, CMD 332 Pathology Department 31-32 Describe the etiology, pathogenesis and types of peritonitis Define ascites andMore information
Technical Advices for Prostate Needle Biopsy Under Transrectal Ultrasound Guidance
Technical Advices for Prostate Needle Biopsy Under Transrectal Ultrasound Guidance Makoto Ohori 1 and Ayako Miyakawa 2 1 Dept. of Urology, Tokyo Medical University 2 Dept. of Molecular Medicine and Surgery,More information
Understanding Your Diagnosis of Endometrial Cancer A STEP-BY-STEP GUIDE
Understanding Your Diagnosis of Endometrial Cancer A STEP-BY-STEP GUIDE Introduction This guide is designed to help you clarify and understand the decisions that need to be made about your care for theMore information
PROTOCOL OF THE RITA DATA QUALITY STUDY INTRODUCTION The RITA project is aimed at estimating the burden of rare malignant tumours in Italy using the population based cancer registries (CRs) data. One ofMore information
Women s Health Laparoscopy Information for patients
Women s Health Laparoscopy Information for patients This leaflet is for women who have been advised to have a laparoscopy. It outlines the common reasons doctors recommend this operation, what will happenMore information
Diagnosis and Prognosis of Pancreatic Cancer
Main Page Risk Factors Reducing Your Risk Screening Symptoms Diagnosis Treatment Overview Chemotherapy Radiation Therapy Surgical Procedures Lifestyle Changes Managing Side Effects Talking to Your DoctorMore information
Lung Cancer. This reference summary will help you better understand lung cancer and the treatment options that are available.
Lung Cancer Introduction Lung cancer is the number one cancer killer of men and women. Over 165,000 people die of lung cancer every year in the United States. Most cases of lung cancer are related to cigaretteMore information
Two Women with Ovarian Cancer: Mystery Metastasis vs. Primary Tumor
July 2006 Two Women with Ovarian Cancer: Mystery Metastasis vs. Primary Tumor Jennifer Erdrich,, HMS III Gillian Lieberman, MD Ovarian Cancer 5 th most common cause of female cancer death 5 year survivalMore information
Outline. Workup for metastatic breast cancer. Metastatic breast cancer
Metastatic breast cancer Immunostain Update: Diagnosis of metastatic breast carcinoma, emphasizing distinction from GYN primary 1/3 of breast cancer patients will show metastasis 1 st presentation or 20-30More information
Understanding Pleural Mesothelioma
Understanding Pleural Mesothelioma UHN Information for patients and families Read this booklet to learn about: What is pleural mesothelioma? What causes it? What are the symptoms? What tests are done toMore information
Uterine sarcomas are very rare. They are responsible for only 1 to 5 percent of all malignancies
EVERYONE S GUIDE FOR CANCER THERAPY Malin Dollinger, MD, Ernest H. Rosenbaum, MD, Margaret Tempero, MD, and Sean Mulvihill, MD 4 th Edition 2001 Uterus: Uterine Sarcomas Jeffrey L. Stern, MD Uterine sarcomasMore information
DESMOPLASTIC SMALL ROUND CELL TUMOR: A RARE PATHOLOGY PUZZLE Ryan Granger University of Rhode Island Cytotechnology program May 2, 2015 ASCT Annual Meeting Nashville, Tennessee DESMOPLASTIC SMALL ROUNDMore information
Laparoscopic Ultrasonography Assisted Retroperitoneal Lymph Node Sampling in Patients Evaluated for Stomach Cancer Recurrence
Case Series Laparoscopic Ultrasonography Assisted Retroperitoneal Lymph Node Sampling in Patients Evaluated for Stomach Cancer Recurrence Honsoul Kim, MD, Woo Jin Hyung, MD, Joon Seok Lim, MD, Mi-Suk Park,More information
Recommendations for cross-sectional imaging in cancer management, Second edition
www.rcr.ac.uk Recommendations for cross-sectional imaging in cancer management, Second edition Breast cancer Faculty of Clinical Radiology www.rcr.ac.uk Contents Breast cancer 2 Clinical background 2 WhoMore information
Management of Bile Duct Problems Treatment Overview
Management of Bile Duct Problems Treatment Overview Bile Duct Obstruction Bile duct (or biliary) obstruction occurs for numerous reasons. Causes can include cancerous and non-cancerous processes as wellMore information
What is Mesothelioma?
What is Mesothelioma? Mesothelioma is a rare type of cancer that develops in the mesothelial cells found in one s body. These cells form membranous linings that surround and protect the body s organs andMore information
Kidney Cancer OVERVIEW
Kidney Cancer OVERVIEW Kidney cancer is the third most common genitourinary cancer in adults. There are approximately 54,000 new cancer cases each year in the United States, and the incidence of kidneyMore information
Ovarian Cancer- Radiographic Diagnosis and Staging
July 2002 Ovarian Cancer- Radiographic Diagnosis and Staging Ileana Howard, Harvard Medical School Year III Patient #1: Ms. S 51 y.o.. female, G0P0 Presented to E.D. with abdominal distension Liver enzymesMore information
Cytoreduction and Intraperitoneal Chemotherapy for the Management of Non-Gynecological Peritoneal Surface
J. Exp. Clin. Cancer Res., 22, 4, 2003 - Supplement Cytoreduction and Intraperitoneal Chemotherapy for the Management of Non-Gynecological Peritoneal Surface Malignancy Yan T.D., Esquivel J., CarmignaniMore information
Metastatic Renal Cell Carcinoma: Staging and Prognosis of Three Separate Cases.
Metastatic Renal Cell Carcinoma: Staging and Prognosis of Three Separate Cases. Abstract This paper describes the staging, imaging, treatment, and prognosis of renal cell carcinoma. Three case studiesMore information
Cystic Neoplasms of the Pancreas: A multidisciplinary approach to the prevention and early detection of invasive pancreatic cancer.
This lecture is drawn from the continuing medical education program Finding Hope: Prevention, Early Detection and Treatment of Pancreatic Cancer, Nov, 2011. Robert P. Jury, MD Cystic Neoplasms of the Pancreas:More information
See MP/H rules on the slides if you do not have your manual.
Quiz 1 1. Which of the following statements about the incidence of melanoma in the US over the last 30 years is true? a. Melanoma incidences have been going down for both men and women. b. Melanoma incidencesMore information
Lung Cancer: Diagnosis, Staging and Treatment
PATIENT EDUCATION patienteducation.osumc.edu Lung Cancer: Diagnosis, Staging and Treatment Cancer begins in our cells. Cells are the building blocks of our tissues. Tissues make up the organs of the body.More information
Smoking and misuse of certain pain medicines can affect the risk of developing renal cell cancer.
Renal cell cancer Renal cell cancer is a disease in which malignant (cancer) cells form in tubules of the kidney. Renal cell cancer (also called kidney cancer or renal adenocarcinoma) is a disease in whichMore information
UNDERSTANDING YOUR LUNG CANCER PATHOLOGY REPORT 1-800-298-2436 LungCancerAlliance.org A GUIDE FOR THE PATIENT 1 CONTENTS What is a Pathology Report?...3 The Basics...4 Sections of a Pathology Report...7More information
Prostatectomy. da Vinci prostatectomy. How does the da Vinci surgical system work?
Prostatectomy da Vinci prostatectomy How does the da Vinci surgical system work? The da Vinci surgical system, developed in the USA, is the most state-of-the-art system for minimally invasive surgery.More information
A Practical Guide to Advances in Staging and Treatment of NSCLC
A Practical Guide to Advances in Staging and Treatment of NSCLC Robert J. Korst, M.D. Director, Thoracic Surgery Medical Director, The Blumenthal Cancer Center The Valley Hospital Objectives Revised stagingMore information
Lung Cancer: Diagnosis, Staging and Treatment
PATIENT EDUCATION patienteducation.osumc.edu Lung Cancer: Diagnosis, Staging and Treatment Cancer starts in our cells. Cells are the building blocks of our tissues. Tissues make up the organs of the body.More information
Surgeons Role in Symptom Management. A/Prof Cliff K. C. Choong Consultant Thoracic Surgeon Latrobe Regional Hospital GIPPSLAND
Surgeons Role in Symptom Management A/Prof Cliff K. C. Choong Consultant Thoracic Surgeon Latrobe Regional Hospital GIPPSLAND Conditions PLEURAL Pleural effusion Pneumothorax ENDOBRONCHIAL HaemoptysisMore information
The develpemental origin of mesothelium
Mesothelioma Tallinn 14.12.06 Henrik Wolff Finnish Institute of Occupational Health The develpemental origin of mesothelium Mesodermal cavities (pleura, peritoneum and pericardium ) are lined with mesenchymalMore information
Thursday, November 3, 2005
Thursday, November 3, 2005 2:30-4:00 p. m. Duodenal Tumor Session Chairman: R. Jensen, Bethesda, MD, USA 2:50-3:30 p. m. Working Group Session Pathology and Genetics Group leaders: G. Rindi, Parma, ItalyMore information
Recommendations for the Reporting of Pleural Mesothelioma
Recommendations for the Reporting of Pleural Mesothelioma Association of Directors of Anatomic and Surgical Pathology * DOI: 10.1309/6A30YQHBMTHEJTEM It has been evident for decades that pathology reportsMore information
OVARIAN CANCER IS A MAJOR CAUSE OF MORBIDITY AND MORTALITY IN WOMEN. Name of Student HTHSCI 1110 WEBER STATE UNIVERSITY.
Ovarian Cancer 2 OVARIAN CANCER IS A MAJOR CAUSE OF MORBIDITY AND MORTALITY IN WOMEN by Name of Student HTHSCI 1110 WEBER STATE UNIVERSITY Ogden, Utah Instructor s Name Date Ovarian Cancer 2 BackgroundMore information
Clinical cases in Malignant Pleural Mesothelioma: Adherence to the ESMO Clinical Practice Guidelines
Clinical cases in Malignant Pleural Mesothelioma: Adherence to the ESMO Clinical Practice Guidelines Wieneke Buikhuisen The Netherlands Cancer Institute Amsterdam The Netherlands Case (1) Male, 56 yearMore information
The Whipple Procedure. Sally Hodges, Ph.D.(c) Given the length and difficulty of the procedure, regardless of the diagnosis, certain
The Whipple Procedure Sally Hodges, Ph.D.(c) Preoperative procedures Given the length and difficulty of the procedure, regardless of the diagnosis, certain assurances must occur prior to offering a patientMore information
Columbia University Mesothelioma Applied Research Foundation - 2009 - www.curemeso.org. Mesothelioma Center www.mesocenter.org
Columbia University Mesothelioma Center www.mesocenter.org Multimodal clinical trials, treatment (surgery, radiation, chemotherapy) Peritoneal mesothelioma program Immunotherapy translational, experimentalMore information
WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500. Endometriosis
Endometriosis WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 The lining of the uterus is called the endometrium. Sometimes, endometrial tissue grows elsewhere in the body. When this happensMore information


text:
Event Type: Warning
Event Source: MSExchange ActiveSync
Event Category: Requests
Event ID: 1008
Date: 8/6/2009
Time: 11:49:59 AM
User: N/A
Computer: VEXS1
An exception occurred and was handled by Exchange ActiveSync. This may have been caused by an outdated or corrupted Exchange ActiveSync device partnership. This can occur if a user tries to modify the same item from multiple computers. If this is the case, Exchange ActiveSync will re-create
I got about 70 of these messages on our exchange server yesterday and they are filling up fast again today. No mobile user has reported issues, I'm not sure if this pertains to specific user or the service. I've looked this up, so far have not found anything too helpful. Running Server 2003 with Exchange 2007.
Aug 11, 2009 at 10:38 UTC
deletedEdited Jan 31, 2014 at 1:50 UTC
11 Replies
Aug 6, 2009 at 2:02 UTC
More details about the message
--- Exception start ---
Exception type: Microsoft.Exchange.Data.Storage.OccurrenceNotFoundException
Exception message: Occurrence pointed at by the given occurrenceId is not present on the master.[[ OccurrenceId: 7/21/2009 12:00:00 AM]]
Exception level: 0
Exception stack trace: at Microsoft.Exchange.Data.Storage.CalendarItem.OpenOccurrenceByOrganizerOriginalDate(DateTime occurrenceDateId, PropertyDefinition[] prefetchProperties)
at Microsoft.Exchange.Data.Storage.CalendarItem.OpenOccurrenceByOriginalStartTime(DateTime originalStartTime, PropertyDefinition[] prefetchProperties)
at Microsoft.Exchange.AirSync.SmartForwardCommand.Execute()
Aug 6, 2009 at 2:50 UTC
do your users have mobile devices? Has someone who has one recently left the company?
I got these same messages 2x once when a terminated employee kept trying to use mobile device to recieve mail and once with a calender local\remote conflict
Aug 6, 2009 at 3:25 UTC
We started getting this when one user had two mobile devices registered in his mailbox. we forgot to erase his old phone before we added his iphone, and these messages started showing up.
Aug 7, 2009 at 8:08 UTC
Those are some good tips. We have some users with mobile devices, but i did not set them up. I know who they are so it's not hard to narrow them down, but seeing if they have more then one device registered in exchange or if they are the one having problems is somewhat new to me.
Aug 10, 2009 at 1:50 UTC
Get more info in the log files :
Aug 11, 2009 at 9:41 UTC
There are many log files to choose from. I'd really not like to post the logs though since it would reveal some private network information. It is hard to tell which log is helpful but I do see some logs that say activesync so it's probably related. I am seeing user names throughout the log, but nothing to indicate if there was an error, or if this is just information. It looks like a lot of HEX stuff. Is there a way I could match the timing I got the error in event viewer with timings reported in these .txt files?
Aug 11, 2009 at 9:44 UTC
Smart Phones have MAC addresses right? Is that a way to link a phone with log information? There are so many logs I don't know what .txt file to search.
Aug 11, 2009 at 9:49 UTC
Try to match the event time with the correct log file and then browsing in the file to the time of the event.
It helps sorting the list of log files by modified date. There should be a different log file for every day
With this you can get more info on the device or user.
Aug 11, 2009 at 10:08 UTC
Thanks you've been very helpful. I think I've been able to dig up some good information. The DeviceId=BF0A9FCCE29A39F5570491D68509ECBF line in the event viewer log, matches the same DeviceId=BF0A9FCCE29A39F5570491D68509ECBF in some of the text files in C:\WINDOWS\system32\LogFiles\W3SVC1 folder.
This is the log from that folder and it has a user name in the entry, but I replaced it due to my bosses request with %username%. The error says it takes place today in the future though, it's now 11:07 and it states this happened at 11:13.
2009-08-11 11:13:06 W3SVC1 192.168.20.19 POST /Microsoft-Server-ActiveSync/default.eas Cmd=SmartForward&DeviceId=BF0A9FCCE29A39F5570491D68509ECBF&DeviceType=SmartPhone&SaveInSent=T&ItemId=1:721&CollectionId=1&Occurrence=200907211215&Log=V121_LdapC1_LdapL0_RpcC25_RpcL62_Ers1_Pk3774456355_Error:StoragePermanent_&Translated=T 443 vlct.org\%username% 18.104.22.168 - 500 0 0
Aug 11, 2009 at 10:38 UTC
deletedEdited Jan 31, 2014 at 1:50 UTC
Aug 11, 2009 at 1:37 UTC
We plan on setting the mobile device up again.
This discussion has been inactive for over a year.
You may get a better answer to your question by starting a new discussion.


text:
Discussion in 'Fan Zone' started by FuzzyLumpkins, Feb 12, 2014.
Lee is making as much per game as any Cowboy based upon his 9-10 game schedule.
Romo, Ware, Austin & Carr. Witten contract is average for an elite TE & i don't consider it "bad".
Church is solid...we need a rangy saftey to complement him.
Nope but a better front 7 can increase that number for him.
That was his tender amount; however, after training camp they gave him the choice of taking the veteran minimum or be cut. His actual salary ended up as about 700k.
Ware's salary next year is 13.75M, not 18M.
Do we have any good non-rookie contracts? Seriously.
I think the better question would be "What good contracts excluding rookie deals do the Cowboys have?" There may be a good argument that the answer is none.
Witten's deal was excellent. The Church deal is excellent. Bernadeau will start and make under $2m. Doug Free's contract is good at $3m this season. They did get him to take a pay cut which says something. Ware's contract has been good value for the course of it.
The point to take away from this is that the Ratliff and Austin contracts are about to be jettisoned off the cap and because the Ware deal is at the end it is what it is when cutting him and not some giant acceleration.
Too much logic and rational thought for this place, man. But I agree. The Ratliff money coming off will be good.
In the future, we should ideally only hand out extensions to players who display absolute game-breaking ability, or game-changing ability. QB, Left Tackle, WR, edge rusher. And I think we should only extend guys until about age 32 dependent upon position.
Unless Murray becomes Adrian Peterson next year, too, I would absolutely not extend him and that's just business. That money absolutely would be better spent divided among other positions that are key cogs, or re-invested in fresh legs at the RB position.
The Lee deal is still under market, as is the Romo deal. Scandrick was a great sign and most of the rest of the team is still on their rookie deals. They have a fairly young team.
Dallas is in cap DISASTER
Romo makes them competitive for what? missed the playoffs in 5 out of the last 6 years. made the playoffs only 3 times in 8 years as a starter. if that's making a team competitive. i feel sorry for the team. Romo's contract is a bad contract.
Just be ready for the inevitable 6 year, $65 Million contract that Terrance Williams will get after he gets his first 1000+ yard season...
Using your reasoning, they might as well cut Romo and get a trained chimp from the zoo and pay him peanuts.
With Romo, this team has a fighting chance to compete each week. They may not win but there is a chance to be competitive. Without Romo, this team would be drafting in the top 3.
Actually the question should've been: What good contracts do we have ?
The list would be a lot shorter.
The Ratliff contract was awful in retrospect but also in retrospect I count 4 deals for veteran starters that are excellent value.
Yeah, but we have to look at the fact that we have to restructure Romo, Lee, Carr, and countless others, which means guaranteeing them more money in the future. I hate being in a position where you have an aging, declining player and can't get rid of them.
You don't guarantee anymore money in the future by restructuring. And you don't make it harder for you to cut them. You are merely paying for it in the future when the cap will go up and the hit will be smaller. It's a no-interest loan.
Aren't you converting non guaranteed base salary to guaranteed bonus in these restructures? Otherwise, why would a player agree?


text:
We're shipping world wide.
Out of stock
A collection of found photographs appropriated and brought back to life through context. Touching on elements of conventional life including childhood, marriage, birth, and social structure.
Limited Edition of 150
24 Pages
12.5 X 9.5cm
Publisher specialising in limited edition Photo and Art Books.
We view the book as the final step in an artists process, and encourage the artist to engage in the conception, design and feel of the book.
Having worked on the book closely with the artist we feel it is only right we also keep a close relationship with bookshops.
Occasionally our books can be bought with special editions.
We're happy to take submissions - but please don't mail us anything you expect us to return - alternatively just send us an email.
Send us an email if you would like to visit us in London.


text:
Let us know when your receive great advice so we can thank our lawyers and point others with similar questions in the right direction.Got it!
I was dating a guy in the airforce. I found out I was pregnant in jan told him and he starting dating his ex wife and she is now pregnant and they plan on remarrying. Will he not get into some kind of trouble with the military for being married and having another pregnant?
According to your question, he was not married when you became pregnant, so no. He will be required by regulation to support your child, but you should also see a lawyer in your area for assistance with setting up a child support arrangement.Ask a similar question
No law against fathering children.
There should be one for irresponsible morons like the guy you dated, but there aren't.
See an attorney as your pregnancy progresses to discuss paternity and child support matters.
NOT LEGAL ADVICE. FOR EDUCATION AND INFORMATION ONLY. Mr. Rafter is licensed to practice before the state and federal courts in Virginia. There is no implied or actual attorney-client relationship arising from this education exchange. You should speak with an attorney licensed in your state, to whom you have provided all the facts before you take steps that may impact your legal rights. Mr. Rafter is under no obligation to answer subsequent emails or phone calls related to this matter.Ask a similar question
If the Airmen was not married then, no, he has done nothing illegal under UCMJ as it relates to Adultry. But, you would be wise to seek a family law attorney to ensure you get appropriate child support.Ask a similar question
Consider that as well as monetary payments, your child will be able to receive medical care via his military medical insurance. Having children is expensive and their initial medical appointments and needs can add up! Although you may be upset, resolving this issue with the assistance of an attorney and as amicably as possible can be a huge weight off your shoulders.Ask a similar question
Post a free question on our public forum.Ask a Question
- or -
Search for lawyers by reviews and ratings.Find a Lawyer


text:
We promise that someone will get back to you to talk through your situation and explain how we can help. You can expect to hear back from us within two working hours and certainly no later than 10 am on the next working day.
Sorry, there are a few problems with the information you have entered. Please correct these before continuing.
Your submission has been received. We'll be in touch soon.
How long will my negligent amputation claim take
It is difficult to give a 'standard timescale' for these cases. Generally you have three years from the incident to bring a claim, so it is important to contact a solicitor as soon as possible. We will need medical evidence from independent experts to provide various reports. The expert will report on whether there is a case to be answered by the other side.
The likely contentious area in this type of claim is proving whether the loss of your limb is as a consequence of negligent treatment or not. We need to obtain evidence about your current condition and what the future holds for you. Even if liability is admitted quickly by the other side it can take several months to build up a whole picture about your current and future condition.
The way the other side responds to a negligent amputation claim also affects the time it takes to settle. Sometimes, they will make admissions based on our evidence and valuation. In other cases, they may require you to be assessed by their own expert and will value the case themselves. We will then enter into negotiations in order to try and reach a settlement. Sometimes this is not possible and we will need to ask a Judge in Court to decide at a trial.
The length of time spent in such negotiations can vary, but if we settle too early, we can't re-open the claim and ask for more money should additional medical or practical problems arise. Access Legal will always aim to resolve your amputation claim as quickly as possible and will seek to obtain interim payments where admissions have been made so you don't have to wait until the end of the process for starting to rebuild your life.


text:
Doctor insights on:
Enteric Coated Acidophilus
Is ibuprofen enteric coated?
Not in US: There is no enteric coated ibuprophen product approved and available in usa.It may be available in uk. ...Read more
What is the % of people who develop problems from taking a baby asprin per day? Does enteric coated actually make any difference?
Low: Gastric irritation and bleeding, and low platelets and bruising are signs. Enteric dissolves slowly and further in GI tract. ...Read moreSee 1 more doctor answer
How come some people say enteric coated asprin is not as good as uncoated when taking for preventative purposes?
Ok for daily : Enteric-coated aspirin is great for daily prevention. But for someone having a heart attack right now, they need to chew regular aspirin without the coating so it's absorbed right away. ...Read more
What to do if i take 1300 mg of enteric coated asa for my athritis. Is that too much?
Depends: Historically , Aspirin was and is a cheap and effective way of relieving the pain and inflammation of arthritis. Doses were increased gradually till relief was achieved or side effects stopped the increase in the dosage. The most common side effects were gastro-intestinal upset, ulcers or ringing in the ears. 1300 mg is a moderate dose. Talk to your doc or rheumatologist for further guidance. ...Read moreSee 1 more doctor answer
What is the difference in 81 enteric coated aspirin and 81 non enteric coated...is their any interference with other meds if enteric coated?
See below: Enteric coated just means the pill is coated with a material to prevent it from dissolving in the stomach. This avoids stomach upset in some patients. Interference with other medicines is not an issue either way. ...Read more
Enteric coated aspirin or dolobid easy on the kidneys?
No difference: Enteric coated medications are coated to limit stomach upset. The effect on the kidneys is unaffected by enteric coating. If you take the medication, i.e.aspirin, as recommended you should be safe vis a vis effect on the kidneys. In the absence of pre existing renal disease, only an overdose is risky. ...Read more
What are the results of tramadol hydrochloride/diclofenic sodium enteric coated tablets/ entrocalm loperamide capsules o/d?
If you are having: thoughts about killing yourself, get seen at the nearest emergency room now. Have a friend or relative drive you or call 911 for emergency services for transport. You can call the National suicide hotlines 24/7 at 1-800-suicide (1-800-784-2433) or 1-800-273 – talk (1-800-273-8255) for support. ...Read more
take 81 mg enteric coated baby aspirin in morning with other meds..do not know if they are enteric coated...does it matter if they are?
Doesn't matter: Enteric coated just means that the pill is coated with a substance to prevent dissolution in the stomach and not dissolve until further down the GI tract. This often helps to avoid stomach upset which some patients experience from aspirin. It makes no difference for your other pills or to your other pills. ...Read more
How strong is enteric coated full strength. I had an ultrasound guided SI today and it's super sore
Consider ice instead: Enteric coated aspirin are 325 mg.The coating helps prevent the pill from disolving in the stomach- instead dissolving in the bowels.NSAID treatment for pain can be IBUPROFEN 400 to 800 mg (2 to 4 otc pills) every 8 hr, NAPROSYN (naproxen) 220 to 440 mg (1 to 2 aleve) every 12 hr,or ASPIRIN 325 mg(1 to 2 every 6 hrs). All should be taken with food and can be hard on your stomach,kidneys, and blood pressure. ...Read more
SAM-e is used for treatment of depression and other conditions. Is it important to use enteric coated tablets if I take it?
No: The only reason to take an enteric coated medicine is if the original formula upsets your stomach. SAM-e is a supplement and not a medication and is not therefor regulated, anything may be in it. Please use with caution. If you are taking other antidepressants please tell your doctor about any supplements/homeopathic treatments you are also taking as there may be dangerous interactions. ...Read more
- Talk to a doctor live online for free
- Enteric coated pancreatic enzymes
- Enteric coated nsaid
- Enteric coated naproxen
- Ask a doctor a question free online
- Enteric coated caprylic acid
- Enteric coated aleve
- Best enteric coated probiotics
- Enteric coated tylenol
- Talk to a holistic medicine practitioner online for free


text:
Promotional price valid on web orders only. Your contract pricing may differ. Interested in signing up for a dedicated account number?
Learn More
Learn More
Weiler Scratch Brushes
Wide variety of fill materials assures right brush for right job
Manufacturer: Nasco 80444063
Specifications Description & Specifications
|For removing dirt and rust from pipe threads, welds and metals
|0.42 lb.
|Scratch Brush
|5 in.
|4 x 16
Provide Content Correction
We continue to work to improve your shopping experience and your feedback regarding this content is very important to us. Please use the form below to provide feedback related to the content on this product.
Product Title
Thank You!
Your feedback has been submitted. Fisher Scientific is always working to improve our content for you. We appreciate your feedback.Ok


text:
Wisconsin's Gravedigger Candles makes beeswax candles cast from a real human spine, where each vertabra burns for about three hours. Comes in large ($36.80), medium ($25.30) and small ($13.80). Read the rest
Wisconsin's Gravedigger Candles makes beeswax candles cast from a real human spine, where each vertabra burns for about three hours. Comes in large ($36.80), medium ($25.30) and small ($13.80). Read the rest
UK artist Kerry Hughes made her Pneumatic Anatomy series of detailed anatomical replicas out of twisted balloons. I love the bronchioles in the lungs especially. (Photos by Aaron Tilley) (via Neatorama) Read the rest
How To Cake It's "Deep Red Velvet Brain Cake with Fondant Brain Tissue and Raspberry Jam Blood" is pretty much exactly what it sounds like, only it has to be seen to be believed. Read the rest
When your scorn cannot be contained in the anatomy of a bilaterally symmetrical life-form. Baffle your enemies! Win the admiration of your friends! Improve your manual dexterity! (via Super Punch) Read the rest
Kate in Dorchester, England makes gorgeous brass wrist-cuffs decorated with vintage literary, cartographic and scientific imagery: there's Poe's Raven; the periodic table; anatomical dentistry drawings; Newton's laws of motion; the human spine; a map of the Thames and the Tower of London; a tape-measure; the human foot's bones; and headlines from Jack the Ripper's killings and much, much more. Read the rest
My friends at Youth Radio interviewed a sports medicine physician, who used to dance with Cirque du Soleil, about the anatomy of "bone breaking," the incredible form of turf dancing where the performers rhythmically contort, pop, and flex their bodies in crazy ways.
Below, Youth Radio's earlier video about turf dancing.
Artist Anne Mondro uses narrow-gauged tinned copper wire and other materials to create works like If I can stop one heart from breaking. Read the rest
London-based Uncanny Art Shop makes realistic-looking candles containing disembodied facial features, some contorted in agonized rictii: there's a male mouth, two female mouths and a pair of ears on a featureless head. Read the rest
Chara from Athens, Greece operates an amazing Etsy store full of hand-embroidered notebooks featuring anatomical, natural and historical themes: the circulatory system, the heart, a spider, Leonardo da Vinci's Apostle James, blood circulation of the head and many more. (via Geeky Merch) Read the rest
Boetech makes custom, 3D printed cookie cutters: brains, hearts, and skulls (plus plenty of non-antomical designs, of course). Read the rest
Kiev-based Konstantin Kofta makes leather bags and accessories that mimic human anatomy, sometimes making it look like there are hands clutching at the wearer, sometimes looking like the wearer's skin has been flayed and used to make the bags. Read the rest
Johann writes, "One of the creators of notorious millennial website Bumfights has is accused of stealing preserved child body parts and flayed tattoos from the notorious Bangkok Black museum at the medical faculty of Siriraj Hospital. Then he attempted to DHL his swag back to the States, he has now fled to Cambodia." Read the rest
It's another one from the twisted and brilliant imagination of London's Miss Cakehead: diners were given surgical gowns and gloves, and feasted on trompe l'oeil dishes the they dug out of a rib-cage that appeared to be connected to a screaming victim. Read the rest
Pandora Wilson in Las Vegas will make you a custom knit brain hat -- also comes in grey and baby).
(via Geekymerch) Read the rest
These vintage anatomical diagram cushion covers are $25/each from Manchester's My Wife Your Wife: there's the finger cross-section, the hair follicle, and the throat and mouth cavity.
(via Geeky Merch) Read the rest
Michael sez, "We're both neuroscientists studying human memory with fMRI at the University of Texas at Austin -- I wanted to surprise her with a gift that best symbolized me giving her all that I am. Read the rest
A great Reddit thread asks "What's something you're pretty sure only your body does, but have been too embarrassed to ask," and comes up with some genuinely great responses. Read the rest


text:
Book online with select Franklin Medical Group physicians
Home > About Us > News & Related Articles > Recent News > Saint Mary's Hospital Earns 'Top Performer on Key Quality Measures®' Recognition from Joint Commission
Published on November 14, 2014
WATERBURY, Conn. (November 13, 2014) ─ Saint Mary's Hospital today announced it has been recognized as a 2013 Top Performer on Key Quality Measures® by The Joint Commission, the leading accreditor of health care organizations in the United States. Saint Mary's Hospital was recognized as part of The Joint Commission's 2014 annual report, "America's Hospitals: Improving Quality and Safety," for attaining and sustaining excellence in accountability measure performance for heart attack, heart failure, pneumonia and surgical care. Saint Mary's Hospital is one of 1,224 hospitals in the United States to achieve the 2013 Top Performer distinction.
The Top Performer program recognizes hospitals for improving performance on evidence-based interventions that increase the chances of healthy outcomes for patients with certain conditions, including heart attack, heart failure, pneumonia, surgical care, children's asthma, stroke, venous thromboembolism and perinatal care, as well as for inpatient psychiatric services and immunizations. This is the second year Saint Mary's Hospital has been recognized as a Top Performer. Saint Mary's Hospital was recognized in 2012 for its performance on accountability measure data heart attack, heart failure, pneumonia and surgical care. Saint Mary's Hospital is one of only of 712 hospitals to achieve the Top Performer distinction for the past two consecutive years.
"Delivering the right treatment in the right way at the right time is a cornerstone of high-quality health care. I commend the efforts of Saint Mary's Hospital for their excellent performance on the use of evidence-based interventions," said Mark R. Chassin, M.D., FACP, M.P.P., M.P.H., President and CEO, The Joint Commission.
"We understand what matters most to patients at Saint Mary's Hospital is the quality and safety of the care they receive. That is why we have made it a top priority to improve positive patient outcomes through evidence-based care processes," said Chad W. Wable, FACHE, President and Chief Executive Officer, Saint Mary's Health System. "Saint Mary's is proud to be named a Top Performer as it recognizes the knowledge, teamwork and dedication of our physicians, nurses and entire hospital staff. I'd especially like to recognize our Quality Management Department for their leadership and tireless commitment to maintaining the highest quality and safety standards for our patients. Our nursing leadership and direct caregivers consistently carry out our commitment to such high quality and safety standards at the bedside, making the care we provide for our patients truly exceptional. "
For more information about the Top Performer program, visit http://www.jointcommission.org/accreditation/top_performers.aspx.
Jennifer ClementCorporate Communications Specialist
(203) 709-6240
Like us on
Follow us on
Call 203.709.6000
Sign up today for a FREE subscription to Saint Mary's health magazine, and read the current issue online.


text:
Each month, Rated People connects over 50,000 homeowners with quality tradesmen - simply enter your job details in the form above to get started.
We'll match your job to the relevant tradesmen in your area - those interested will pay to see your contact details and call you to quote.
As each tradesman expresses interest in quoting on your job, we'll send you their profile and ratings to help you choose the right one for you.
After the work is complete, return to the site and rate your tradesman based on their quality of work, reliability and value for money.
Heating Engineer
Added 14/01/2016
We have a 5 month old DT92E Wireless Honeywell thermostat - looking at the manual it appears...
Heating Engineer
Added 04/12/2013
Unsold lead, updated details: It could be that one/both of the motorized valves is not working...
Heating Engineer
Added 30/12/2012
Need gas specialist to check gas installation and issue issue gas safety certificate.
Heating Engineer
Added 19/11/2012
No hot water or heating although condensing boiler pilot light is still on
Heating Engineer
Added 27/08/2012
Main tasks are to replace a gas boiler and to add thermostatic valves to all the radiators...
Heating Engineer
Added 10/09/2011
freestanding domestic gas oven: Leisure Loret. Daytime, during the week beginning 12 September...
Excellent worker. Certainly knows his trade. Answered any questions I had straight away. Very cheerful man. Clean, very efficient worker who had my comfort and my wife's in mind at all times. I would give him 10/10 and certainly recommend him to anybody.
Simon was friendly, efficient and knowledgeable, and charged exactly the minimum he had quoted us. We were very satisfied - and he likes dogs, too!
Managing your job is easier with the Rated People Homes App, download it today.


text:
No Tickets Left?
Provide Your Contact Information Below
02/12/14 7:00pm – Indiana State Sycamores at Bradley Braves Basketball
See All Bradley Braves Basketball Events
Peoria Civic Center Arena
February 12, 2014, Wednesday @ 7:00pm
With millions of fans nationwide, Ticket Monster
is your destination for exclusive discounts on
sports, concerts, and theater tickets.
Sign up and never miss a deal!
Enter your email address and we will send you an email with instructions on how to reset your password.