text:
In 2005, Integrating the Healthcare Enterprise (IHE) published the Cross-enterprise Document Sharing for Imaging (XDS-I) integration profile, extending the capabilities of XDS by incorporating DICOM instances and providing a blueprint for image exchange among disparate institutions. Nonetheless, the will remained weak through the latter half of the decade when it came to sharing images among institutions, and few projects were mounted that employed the profile.
Six years later, health-care reform, a growing campaign to limit radiation exposure, and a federal push for interoperability in health IT have heightened interest in XDS-I and other image-sharing strategies. On December 2, 2010, at the annual RSNA meeting in Chicago, Illinois, during a session called "Image Exchange and Distribution," Eugene Igras, president of IRIS Systems (Calgary, Alberta) delivered a high-level review of XDS-I in the context of real-world applications, including large-scale Canada Health Infoway projects.
The typical scenario that Igras lays out is quite familiar: A primary-care physician issues a request for an exam to be performed at a community hospital or a specialty center, frequently by printing a requisition on a piece of paper that is handed to the patient; the technologist at the community hospital acquires the image and stores it in the local PACS; and the radiologist sitting in a diagnostic imaging outpatient clinic (or another hospital) issues a report and stores it in that facility's own RIS.
The images and reports sought by primary-care physicians; the prior examinations required by radiologists; and the laboratory data, medication history, patient demographics, and patient history are all available in segmented places, so making them available with the push of a single button is a complex and expensive proposition that can involve multiple interfaces.
"If you have 10 organizations involved in the provision of care, then you have 10 times nine interfaces—a very expensive enterprise to run," Igras says. "This is part of the challenge: a complex and expensive venture."
Apart from cost, Igras enumerates a number of other challenges: limited support for access due to the lack of a universal discovery/retrieval mechanism; difficulties in integrating diagnostic imaging records due to differences in format, semantics, and structure; the difficulty of creating a longitudinal patient record; and the limited assurance of data accuracy, relevance, comparability, and integrity.
"Care organizations store lots of information," Igras notes. "You may have a single study that stores 256 slices. Which image is relevant to the case?"
Actors and Transactions
Igras notes that IHE, an organization formed to improve the way that we share information, has published several integration profiles that tackle sharing patients' diagnostic imaging records, including XDR (to exchange records electronically using system-to-system messaging) and XDM (to exchange various media, such as CDs or DVDs, that contain imaging information).
XDS was first introduced in 2003 for sharing documents across a network, and XDS-I, introduced in 2005, builds on the profile to share diagnostic images, diagnostic imaging reports, key image notes and overlays, postprocessing measure-ments, presentation states, and relevant images associated with a report. XDS-I is typically used with several other profiles: Consistent Time, Audit Trail and Node Authentication, Patient Identifier Cross-referencing, and Patient Demographics Query.
Figure.The XDS-I profile uses a set of actors from the XDS profile, as well as two imaging- specific actors, to facilitate the transactions required for enterprise image and document sharing. Green denotes actions based on the HL7 standard, blue indicates DICOM, red indicates EB XML, and purple denotes HTTP Get (a WADO–HTTP based transaction designed to access DICOM objects from a Web browser using HTTP); image courtesy of Eugene Igras, IRIS Systems Inc (Calgary, Alberta).
XDS-I employs four XDS actors (see figure). The first, Document Source, is typically the publisher of the document, and it creates document descriptions (metadata) and supports the submission of document sets. Usually, there would be multiple document sources, either RIS or other repositories that store documents of all kinds. The second actor, Document Repository, is responsible for the persistent storage of documents and imaging manifests, and for their registration


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Oct. 24, 2010
NIAGARA, N.Y. - Glenn Leitch (Downingtown, Pa./Bishop Shanahan) scored his third goal of the weekend and the Loyola University Maryland men's soccer team posted its third straight shutout as the Greyhounds topped Niagara in Metro Atlantic Athletic Conference play on Sunday, 1-0.
Loyola improves to 8-3-2 overall and 4-0-1 in the MAAC, while Niagara drops to 4-9-2 and 2-3-1 against MAAC teams.
Kyle Wittman (Baltimore, Md./Calvert Hall College) made a season-high eight saves for his sixth shutout and third consecutive clean sheet. The win marks the team's seventh win over an eight-game unbeaten streak.
Leitch and Stephen Dooley (Portstewart, Northern Ireland/Loreto College Coleraine) and tied for the team lead in shots, with four. Niagara outshout the Greyhounds 20 to 14, but a second-half goal from Leitch would prove all the scoring Loyola needed.
The Niagara offense tested Loyola early and often, registering seven shots on goal in 11 overall shots in the first half. Wittman proved equal to the task, however, stopping all seven to keep the game scoreless at halftime.
Loyola came out of the break roaring, as Glenn Leitch tallied his third goal in two games with a score two minutes and 46 seconds into the second half. A Greyhound corner kick found its way to Leitch, whose shot beat Niagara goalkeeper Christopher Skelton to put Loyola ahead, 1-0.
The Greyhounds return to the Ridley Athletic Complex for their final two home contests in the regular season. The squad hosts Siena on Friday at 7 p.m. before taking on Marist on Sunday at 1 p.m.


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King of the Gypsies
In a family of victims, Celie is determined to triumph and survive. Abandoned by her father and older brother, she lives through her mother's death, her sister's retreat from society and survives her own unwise and short-lived marriage. Ultimately, she creates the family that she has never had but has always wanted and then experiences her final triumph by finding her brother and reuniting him with her sister and herself.
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© NISE Network
© NISE Network
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Imagine, discover, and explore a world that's too small to see. NanoDays is a museumwide celebration of nanoscale and quantum science, and you're invited! Come celebrate with us and enjoy nano-related activities throughout the Exhibit Halls, including the special events listed below.
Have fun exploring nanoscience concepts with young scientists and engineers from Boston University, Harvard University, Howard University, MIT, Mount Holyoke College, Northeastern University, and the University of Massachusetts-Lowell.
Watch live presentations by leading researchers and learn how they use nanotechnology and quantum science to tackle real-world challenges. Gordon Current Science & Technology Center Stage, Blue Wing, Level 1
Special presentations include:
Join virtuoso performers Dan and Joel as they provide a comic and unforgettable introduction to atoms, molecules, and nanoscale forces while juggling everything from baseball bats to potted plants — even while atop seven-foot unicycles! Performances at 1:00 and 3:00 pm in Cahners Theater.
Explore nanotech-enhanced products and learn about the science that makes them work. Featuring guest scientists from Raytheon and Merck
Visit the Butterfly Garden to learn about the tiny nanostructures that give beautiful colors to butterfly wings and self-cleaning properties to leaves.
Visit our Hands-On Laboratory to explore nanoscale science and engineering through hands-on activities and learn how nanoscientists are creating new materials and technologies.
This year's NanoDays at the Museum of Science (MOS) is brought to you with support from the National Science Foundation through the Center for Integrated Quantum Materials at Harvard University, MIT, Howard University, and MOS (1231319); and the Scalable Nano-Manufacturing research project at The Ohio State University and MOS (1344567). NanoDays originated at MOS with support from the NISE Network (0940143).
Locations throughout the Museum
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© 1996-2017 Museum of Science, Boston – All rights reserved.


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EAST RUTHERFORD, N.J. -- The last time Hakeem Nicks found the end zone came on Dec. 9, 2012.
He plans on having a reunion with the scoring space Sunday against the Packers.
"Touchdowns come. It's going to come. I ain't worried about [zero touchdowns]. I got a good feeling I'm going to get in there Sunday, though," Nicks said. "At least I'm trying. I'm going to do everything I can to try and get in there Sunday. I got to break a tackle, whatever. I'm itching for it now.
"I feel like everybody's talking about it now. I got to go ahead and do it. Go ahead and get in there."
In each of Nicks' first three seasons, he scored at least six touchdowns, including a career-high 11 in 2010. Last season, slowed by injuries, Nicks found pay dirt just three times. He caught 53 passes for a career-low 692 yards in what can be considered the worst season of his career.
This year, Nicks has been healthy, but the production hasn't been there. He has caught 38 passes for 570 yards, which has him on track for his third 1,000-yard season, but he hasn't been able to hook up with quarterback Eli Manning for a score. He's scoreless in his last 12 games dating to 2012, which is probably not what he envisioned as he plays out the final year of his contract.
Nicks has shown throughout his career that he can take over a game, including his scorching run during the team's Super Bowl triumph two seasons ago. Giants offensive coordinator Kevin Gilbride said Nicks is trying to get back to the form he's shown in the past. Nicks has just two 100-yard games this year.
"We'll see at the end of the year where we're at with him, but I think he's trying his butt off. He's working like crazy," Gilbride said Thursday. "I'm very proud of his effort and his determination to be a focal point of our offense, which is good. You need as many guys when those one-on-one chances are there, that they're good enough to win for you. We'll never be as good a team if he doesn't become that kind of player for us."
Green Bay could be the right team to help Nicks get on track and finally haul in a touchdown pass. Nicks has dominated the Packers in four career games against them, hauling in 23 passes for 423 yards and six touchdowns.
In the divisional game at Green Bay in January 2012, Nicks caught seven passes for 165 yards and two touchdowns. Last year, he recorded five catches for 77 yards and a touchdown. Nicks has caught at least one touchdown in each game against Green Bay and has at least four catches and 77 yards in every contest.
"There's stuff to take advantage of. But they're a very skilled bunch back there, a veteran bunch," Nicks said. "It's going to come down to us making plays in the passing game."


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GraphicRiver Wedding Infographics 9603106
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Wedding \ Infographics \ Toastmaster \ Statichtika \ Schedule \ Scheduler
Stock Vector - Wedding Infographics 9603106 by Killgara @ GraphicRiver
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Wedding infographics with graphic elements. Vector
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Illustration of Mrs Claus; Seamless Pattern with Camping Items; Camping Icons Set; Clothes Icons Set; Seamless Pattern with Kitchen Items; Set Icons of Kitchen Items; Set Icons of Kitchen Items.
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BMW automobile enthusiasts have become used to a certain level of sporty handling when driving their 760Li around town. Car aficionados know that luxury is built into each BMW, and understand that only the highest quality repair 760Li parts will suffice when maintenance needs to be done. While it may not be difficult to buy replacement parts for BMW vehicles, these days the necessity for nothing but the absolute best are required to repair your car or truck. When your BMW 760Li left the factory, it was destined for a person with discerning taste who values German engineering in their automobile.
An important factor in fuel efficiency is the appropriate mix of air and fuel. Your BMW 760Li uses a paper or cloth air filter to remove dust and debris from the air stream before it enters the intake manifold, mixes with your fuel, and gets detonated. Without an air filter or air cleaner in your engine, your fuel would be filled with particulates from outside. This will clog fuel injectors and lower the octane in your fuel; making it difficult for your engine to generate power. And unless your BMW 760Li air filter is replaced regularly it will fill up with dust and dirt, reduce the amount of air entering the intake, and create poor gas mileage. Clearly, replacement air filters are a necessity for everyone.
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According to Marc Stein of ESPN, point guard Jose Calderon has hinted that he wouldn't mind if the Toronto Raptors traded him.
The Raptors, fresh off trading for Kyle Lowry, will start Lowry at the point guard position and won't have much use for Calderon anymore. Calderon is also set to make $10.6 million next season, which is expensive for a back-up point guard.
Calderon averaged 10.5 points and 8.8 assists per game last season. Raptors President Bryan Colangelo has said he has received interest from other teams about Calderon already.
Reid Cherner has been with USA TODAY since 1982 and written Game On! since March 2008.
He has covered everything from high schools to horse racing to the college and the pros. The only thing he likes more than his own voice is the sound of readers telling him when he's right and wrong.
Michael Hiestand has covered sports media and marketing for USA TODAY, tackling the sports biz ranging from what's behind mega-events such as the Olympics and Super Bowl to the sometimes-hidden numbers behind the sports world's bottom line.


text:
By The Associated Press
PARIS — American cyclist Saul Raisin was in a coma Thursday after a fall at the Circuit de la Sarthe race.
Raisin crashed Tuesday about 1.25-miles from the end of the race's first stage. He had facial injuries and a fractured hip and collarbone.
The rider's condition at first was not thought to be serious, but worsened on Thursday morning, said Roger Legeay, sporting director for Raisin's Credit Agricole team.
"(Wednesday), it was OK, we managed to chat a bit," Legeay said. "This morning, things got worse, he had a brain hemorrhage. The doctors are not giving any prognosis."
The 23-year-old Georgia resident turned pro in 2003 and finished ninth overall at the Tour of Germany in August.
Felix scheduled to run at Drake Relays
DES MOINES — Olympic silver medalist Allyson Felix plans to compete in the 100-meter dash at the 2006 Drake Relays on April 29.
Felix, the reigning world outdoor champion at 200 meters and a silver medalist in the event at the 2004 Olympics in Athens, said Wednesday that she has decided to shift her focus toward the 100 this season.
The Drake Relays will be the second race of the season for Felix, who skipped the indoor season to train.
She said she chose to compete in the Drake Relays because it will allow her to compete in the 100-meter dash.
"I got a lot of good quality training in and I'm just ready for the season to start," Felix said. "I feel like I'm a lot stronger this year."
Felix, 20, is coming off the best season of her career. She won her second straight USA Outdoor title in the 200 meters and set a personal record by running the 100 in 11.05 seconds.
Having conquered the 200, Felix sees the 100 meters as her next great challenge.
"I love running the 100," Felix said. "It's a lot of fun."
University of Alabama's Tahesia Harrigan won the 100-meter dash at last years' relays in 11.43.
Australians, Americans continue to prosper at swimming championships
SHANGHAI — Matthew Welsh won gold in the 100-meter backstroke Thursday at the FINA World Championships.
Welsh finished in 51.09 seconds to nose out Markus Rogan of Austria, while American Randall Bal and Helge Meeuw of Germany tied for third.
Brenton Rickard took silver in the 100 breaststroke for the formerly dominating Australian men, who were shut out of the medals at the Commonwealth Games in Melbourne last month. Ian Thorpe and Grant Hackett did not attend those games because of illness and injury.
Oleg Lisogor of Ukraine won the 100 breaststroke, with Norway's Alexander Dale Oen third.
Kaio Almeida of Brazil was first in the 100 butterfly, followed by 19-year-old Venezualan Albert Subirats in his first international appearance, and Jayme Cramer of the United States.
American Ryan Lochte won the 400 individual medley, followed by Luca Marin of Italy and Igor Berezutskiy of Russia.
In the women's competition, American Jessica Hardy celebrated her first medal in short course competition, a bronze in the 50 breaststroke. Jade Edminstone won in 30.22 seconds, followed by Brooke Hanson to make it an Australian one-two.
After the second day, the U.S. and Australia were tied for the lead with eight medal each, followed by Italy. China has four, followed by Russia with three.
Copyright 2006 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


text:
15 on the 15th Reds
Cachil Cabernet Sauvignon Reserva (x2)
Chile's Colchagua Valley is known for gorgeous Cabernet Sauvignon, like this reserve offering from Cachil. Cachil Reserva Cabernet Sauvignon boasts beautiful flavors of currants, raspberry and cassis with hints of cocoa. It's enjoyably lighter than the average cabernet, with a medium body and smooth finish. Taste this excellent red and you'll understand why Colchagua Valley was named Wine Region of the Year by Wine Enthusiast Magazine.
Kepe Tempranillo (x2)
Think of this ripe, Spanish-style red as the guest who takes the festivities to the next level. Raspberry, strawberry, plum, and black currant flavors start in the aroma and get everyone dancing through to the party's satisfying finish. Open Kepe Tempranillo anytime and invite it by to enjoy your favorite foods like pizza, pasta, and grilled meats.
Treehaven Petite Sirah (x3)
Petite Sirah is a spicy, medium-bodied red that is beloved for its beautiful, deep color. Treehaven's take on this fan-favorite offers aromas of raspberry and strawberry, leading to powerful flavors of crushed red berry fruit and plum jam. This rare grape is of French origin, but is now mainly grown in California, and takes up less than 10,000 planted acres around the world. A great combination for grilled meats, cold cuts, and strong cheeses, Treehaven Petite Sirah is a wine that is sure to get people talking at your next dinner party.
Bertoli Chianti (x2)
We don't own smoking jackets, but drinking this velvety Chianti makes us feel like we're wearing them. Like a friendly debate, this plush Italian red is intense but refined, with wild berry flavors and a slight smokiness. Bertoli Chianti DOCG is a delight at the dinner table. Enjoy it with cheese and charcuterie, hearty pastas, pizza, and meat or fish.
Black Fox Cellars Cabernet Sauvignon (x2)
Complex Cabernet Sauvignon is the most popular red wine. Black Fox's take on this iconic red boasts flavors of raspberry and cherry, with hints of cassis and cedar. Each sip dances on your tongue with vibrant tannins, light mouth feel, and a finish that doesn't linger too long. It's full-bodied flavor pairs wonderfully with umami, savory, high-fat foods. In other words, keep Black Fox Cab on hand to class up a mushroom cheeseburger or grilled steak.
Rivers End Reserve Merlot (x2)
This wonderful red is the versatile bottle you want on your shelf to go with almost anything you cook, especially grilled fowl, braised red meats, and rich tomato sauces. Note the ripe berry flavors and aromas, and the nice touch of oak.
Camartina Carménère (x2)
Located directly between the Andes Mountains and the Pacific Ocean, Chile's Central Valley is a land of beautiful options. Camartina Carmanere speaks to this beauty and versatility with aromas of fresh raspberries and cherries, along with notes of herbs and toasted coffee beans. The aromas follow through on the palate with red fruits, spices and bittersweet chocolate. Whether you prefer the mountains, the beach, or want a little bit of both, you will find joy in this delicious Chilean red. Serve it with a zesty pork dish, or a hearty tomato seafood stew.


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What can I do if a tenant vacated with no forwarding address and unpaid rent?
A common difficulty is that the tenant often leaves no forwarding address. Before the landlord, as creditor, can take enforcement action to recover the debt, he will need to be able to trace the tenant, or at least any assets the tenant owns.
This is where pre-tenancy information such as place of employment or addresses for next of kin can be useful in tracing defaulting tenants. Employment details are particularly valuable as they allow the landlord to apply for an attachment of earnings order. Landlords can employ a tracing agent many of whom operate on a success-only fee basis.
If it proves impossible to locate a tenant but a guarantor exists, they may be approached for the rent arrears. It may even be necessary to take proceedings against the guarantor to obtain a judgment and thus recover the debt.
Of course, the ex-tenant may have no assets of significant value so carrying on with the process would be uneconomic. In these circumstances, it may be better to stop the enforcement process and write off the debt. Collecting rent arrears and enforcing a court judgment can be costly and time-consuming.
If the debt is economic to collect, talk to Access Legal's landlord law team about taking legal action or consider putting the debt in the hands of a debt collection service.


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Proceedings of 1995 IEEE Annual International Engineering Management Conference
IEEE, 1995 - Business & Economics - 438 pages
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Category: Magazine
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Chaska, Minnesota Urgent Care and Walk-in Clinics
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Target ClinicRetail Clinic 111 Pioneer Trl., Chaska, MN 55318-1121
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2006-09-05 at 11:40:00 am #16382
Massive job cuts expected at Intel
chief executive Paul Otellini is expected to announce a massive layoff
as soon as Tuesday that could eliminate as many as 10,000 jobs.The
chipmaker, having suffered several financially disappointing quarters,
launched an internal analysis in April to find ways to increase its
efficiency. Otellini is scheduled to announce the results of the
analysis, including the layoff, on Tuesday after the stock market
closes, sources familiar with the plans said.Intel has about 100,000
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the first big change in sales and marketing. That group previously was
led jointly by Eric Kim and Anand Chandrasekher, but in July they moved
to different roles and Sean Maloney was appointed sole leader.Intel
declined to comment on the layoff plan. The company has committed to
announcing the analysis results by the end of September, spokesman
Chuck Mulloy said, but added, "We have not communicated publicly what
the plans are with respect to that".Most companies would love to have
Intel's financial results — for example, the $885m in net income and
$8bn in revenue the company reported for the second quarter. But
compared with the previous year, that net income figure was a 57
percent drop and the revenue a 13 percent drop. And Intel has had to
warn of lowered financial results.Part of the problem is the fact that
the chipmaker has lost share to rival AMD, in particular in the server
market where chips are sold at higher prices. AMD rose from having no
server products three years ago to claim 26 percent of the x86 server
processor market in the second quarter, according to Mercury Research.
AMD now sells chips to all of the four major server makers.Intel hopes
to reclaim its share with new Xeon server chips such as Woodcrest and
Tulsa. It's also been fighting back with competitive Core processors
for personal computers, aggressive chip prices, and plans for quickly
introducing new technology.


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Coefficient loops vs physical timescale
Dear All,
I am running transient simulations with mesh deformation of a full 20 blade fan assembly (7 mill. nodes). I am using coefficient loops as the option in convergence control with a maximum number of 100.
Previously I have successfully run simulations with only 2 blades only using the same convergence control. That time adequate convergence was achieved after max. 20 coeff. loops during one mesh deformation step. However this time during many (about 60+%) of the timesteps the coefficient loops pass up to 100 before the simulation proceeds with the next mesh deformation step.
This is unfortunately very inefficient since the computational cost of the simulation becomes very large (20 days of using 8 cores for each run).
I am looking to modify the run in progress either by decreasing the number of coefficient loops. Or by changing to other methods such as physical timescale.
Can anyone advise me which of these is the better way to go? I must also note that the simulations need very high accuracy, however the time to complete them is also finite.
Thank you very much in advance!
Why are you using moving mesh to model a fan? Why not use a rotating frames of reference? It will be an order of magnitude faster to run.
I am doing static aeroelasticity analysis on the fan hence I need to model mesh deformation (yes, I am using rotating ref. frame too). I did not enclose the details about this because I thought is was irrelevant. My question was regarding the timestep control though.
I read that it the coefficient loops reach the limit then the timestep will be reduced. Does that mean that by choosing a lower number of coefficient loops (say 50) the change for having too large a time step (and bad convergence) is less likely to occur due to the more frequent modification in timestep? Is there a reason why I should allow more coefficient loops during a timestep? Can someone recommend a number for it?
I do not have any experience in FSI so cannot comment on that directly. But in general in CFX you want to do 3-5 coeff loops per timestep. If you are doing 20 or more it sounds like your timestep is too big.
|All times are GMT -4. The time now is 11:53.


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A great choice for a stay in Pereira, Hotel La Catalina is just 3.6 mi (5.8 km) from the airport. Free perks include WiFi and cooked-to-order breakfast daily between 7:00 AM and 9:00 AM. Rooms offer refrigerators, minibars, and room service.
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Pros: Size of the room. Breakfast
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text: Hi. On Fri, 07 Apr 2006 10:03:18 -0400, Horst von Brand wrote: > Re: Printing: It doesn't work, period. From a x86_64 to a local > paralell printer, or from a i386 notebook over the network (both are > PostScript printers), the only things I can print are the testpage > (via the CUPS control page) or text files (via lpr). If I try to > print PostScript of PDF, CUPS claims the files get queued, are being > printed, and then got printed normally, but nothing whatsoever does > show up. Same here (cups to a PS printer via SMB). Cups test page works, and claims that the imageable area is 260x367mm, which is plainly ridiculous (this is an A4 printer), although I do now know where those numbers come from. Printing the A4 test page results in the printer spinning up (so something is sent there), but no print is produced in the end.


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LOS ANGELES (AP) Dylan McDermott's marriage will be officially over after the new year.
Documents filed in Los Angeles on Tuesday show a judge has agreed to end McDermott's marriage to actress Shiva Rose McDermott on Jan. 2.
Details of the split were not revealed, but neither used lawyers.
They agreed to an uncontested marriage. McDermott, who starred in the legal series The Practice, filed for divorce in May.
The couple, who have two daughters together, separated in 2007.
Copyright 2008 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.
Guidelines: You share in the USA TODAY community, so please keep your comments smart and civil. Don't attack other readers personally, and keep your language decent. Use the "Report Abuse" button to make a difference. Read more.


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I'm getting some fluid like sensation in left breast 5 days after breast augmentation is this normal?
Doctor Answers 7
Normal healing
Learn more: http://www.plasticsurgery-sanantonio.com/breast/breast-augmentation/
Sensation after breast augmentation
5 Days Post Op
Shortly after BA surgery it is normal to feel a little fluid and air in the breast pocket. When swelling resolves, throughout the first few weeks this fluid is absorbed and should resolve on its own. Let your Plastic Surgeon know if you have ongoing concerns.
All the best
Learn more: http://edelsteincosmetic.com/learning-centre/things-you-should-know-about-breast-augmentation-recovery-time/
You might also like...
Fluid Sensation in Breast Following Augmentation
Learn more: http://www.dryoungforever.com
Fluid Sensation After BA
Thanks for your question! It is very common to have a fluid sensation in the breast after augmentation surgery, we hear it quite a bit in our practice of doing hundreds per year. Light compression with a sports bra & just good old fashioned time & healing should make it go away. Of course, make sure that the left breast is not more swollen than the right, or red or any of the obvious signs of a hematoma/seroma or infection, and follow up with your plastic surgeon. Best of luck!
Fluid like sensation in the breast after BA
Fluid on the breast!
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.


text:
ICD-10 Diagnosis Code A81.8
Other atypical virus infections of central nervous system
Diagnosis Code A81.8
Short Description: Other atypical virus infections of central nervous system
Long Description: Other atypical virus infections of central nervous system
This is the 2017 version of the ICD-10-CM diagnosis code A81.8
Not Valid for Submission
The code A81.8 is a "header" and not valid for submission for HIPAA-covered transactions.
Code Classification
Certain infectious and parasitic diseases (A00–B99)
Viral and prion infections of the central nervous system (A80-A89)
- Atypical virus infections of central nervous system (A81)
- Viral and prion infections of the central nervous system (A80-A89)
Information for Patients
Neurologic Diseases
Also called: Nervous system diseases
The brain, spinal cord, and nerves make up the nervous system. Together they control all the workings of the body. When something goes wrong with a part of your nervous system, you can have trouble moving, speaking, swallowing, breathing, or learning. You can also have problems with your memory, senses, or mood.
There are more than 600 neurologic diseases. Major types include
- Diseases caused by faulty genes, such as Huntington's disease and muscular dystrophy
- Problems with the way the nervous system develops, such as spina bifida
- Degenerative diseases, where nerve cells are damaged or die, such as Parkinson's disease and Alzheimer's disease
- Diseases of the blood vessels that supply the brain, such as stroke
- Injuries to the spinal cord and brain
- Seizure disorders, such as epilepsy
- Cancer, such as brain tumors
- infections, such as meningitis
- Cerebral spinal fluid (CSF) collection (Medical Encyclopedia)
- EEG (Medical Encyclopedia)
[Read More]
Viral Infections
Viruses are capsules with genetic material inside. They are very tiny, much smaller than bacteria. Viruses cause familiar infectious diseases such as the common cold, flu and warts. They also cause severe illnesses such as HIV/AIDS, smallpox and hemorrhagic fevers.
Viruses are like hijackers. They invade living, normal cells and use those cells to multiply and produce other viruses like themselves. This eventually kills the cells, which can make you sick.
Viral infections are hard to treat because viruses live inside your body's cells. They are "protected" from medicines, which usually move through your bloodstream. Antibiotics do not work for viral infections. There are a few antiviral medicines available. Vaccines can help prevent you from getting many viral diseases.
NIH: National Institute of Allergy and Infectious Diseases
- ECHO virus (Medical Encyclopedia)
- Enterovirus D68 (Medical Encyclopedia)
- Hand-foot-mouth disease (Medical Encyclopedia)
- Herpangina (Medical Encyclopedia)
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- Roseola (Medical Encyclopedia)
- Zika virus disease (Medical Encyclopedia)
[Read More]


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TAMPA BAY – The Tampa Bay Lightning have signed free agent right wing Ryan Shannon to a one-year contract today, vice president and general manager Steve Yzerman announced.
Shannon, 5-foot-9, 175 pounds, played in 79 games with the Ottawa Senators last season, recording 11 goals, five power-play goals and 27 points while averaging 12:55 in ice time per game. He established career highs for games played, goals, assists, points, plus/minus (+3), power-play goals, shorthanded goals (1) shots on goal (118) and tied his personal best with one game-winning goal. Shannon was tied for fifth among Senators forwards for points and fourth for assists as well as leading all Ottawa skaters with more than 25 games played in plus/minus.


text:
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ComedyCures LaughingLunch® is a free, award-winning, therapeutic comedy program for people living with chronic and/or acute illness, depression, trauma and disabilities and their caregivers and family members. ComedyCures LaughingLunch® serves hundreds of hospitals and social service agencies with the help of the finest comedians and performers. ComedyCures LaughingLunch® videos can be watched via our video link or youtube/comedycures. For reservations and program bookings call 1-888-300-3990 or email firstname.lastname@example.com.
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127 Miller Street W, Alpena 49707
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Seafood Festival
Following on from last year's successful Seafood Festival, Memsaheb on Thames will again bring the best of Indian-style seafood to its guests during the 2012 Seafood Festival. The owner and head chef will blend traditional eastern spices and flavours with fresh seafood and local ingredients to create delicious seafood dishes in an open air kitchen on the riverside terrace next to the Thames. These seafood specialities can be enjoyed alongside the authentic à la carte curries prepared in the restaurant kitchen. Fresh fish and seafood is sourced daily from the nearby Billingsgate Market and the festival is sure to prove even more captivating than before.


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Download StressGraph apk 2.0 free for Android smartphone
Posted by Dencomm in Health & Fitness | Jan. 20, 2015 | 1 Comments
Apk file size: 9.0 MB
Medical grade mobile app to monitor stress, relaxation.
CE mark in Europe
Tested at Denmark Technical University of Denmark and being used at stress clinics.
It calculates your stress in real time. See the result in color. Keep in memory the previous value and display it in a graphic way. Help to measure you stress level and record it.
The application need a Heart Rate Sensor, it has been tested on Polar H7 with Bluetooth 4.0.
Since the app is in beta, you need to request login from [email protected] with your full name and email id
Intended use of the application is to indicate, if you are stressed or not.
This application is not a medical Application. It's not a medical device.
Dencomm part of our Health & Fitness and have average installs from 100 to 500. Last Update Jan. 20, 2015. Google play rating is 20.0. Current verison is 2.0. Actual size 9.0 MB.
1 Comments
Matthias Faeth
Authentication means very doubtful This app requests username and password for a third party service (fluxtream) which is very bad practice. There are better technical means that respect privacy and enhanced security. Trying the app is not possible without. This is a no go, Uninstalling.


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Recommendations Taste
- All
- Food & Drink (4)
- 5 stars luxury (1)
- Restaurants €€ (2)
Eating for Cheap on Capri: Budget Restaurants for Meals Under 20 Euros
Where can I get a great meal without breaking the bank on Capri?
Restaurants on Capri
Here are all the island restaurants where you can sample Capri's traditional cuisine
Typically Caprian recipes and cooking tips.
Did you love the traditional dishes you sampled on Capri? Here are recipes for some of the most famous so you can savor these island flavors at home.
5 Gourmet Meals to Remember on Capri
The five best restaurants to savour a gourmet fine dining meal on Capri
Caprese Masterclass
Learn how to cook a traditional Caprese 3 course meal from a local Capri chef using recipes passed down through the family for generations. This class is for lovers of authentic Italian cooking who enjoy meeting others and who have a passion for all things Caprese!
Faraglioni Family - Picnic Pack
Enjoy a special outdoor food experience with your family in Capri at one of many beautiful locations on the island..... all within walking distance from our restaurant.
Lemon Twist Masterclass
Lemons and Capri go hand in hand... so, learn how to make some traditional lemon infused dishes from a local Capri chef using recipes passed down through the family for generations.
Lunch for Two by Kukai
A delicious sushi and sashimi lunch for two in the center of Capri town.
Capri Palace Hotel-Spa
- The Beauty Farm, home to the famous Leg School
- The Olivo's marvelous Michelin starred cuisine
- Modern art, greek gods and style icons - in your room!
- Cooking lessons with a local chef
- A tasty aperitivo at the Mozzarella Bar
- Traditional dishes made with locally-sourced ingredients
Kukai Capri
- The only Japanese restaurant on Capri
- Sushi and sashimi made with the catch of the day
- Take-away and delivery to yachts and villas


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A child's imagination is truly infinite. Thoughts flow through a child's mind quickly, making anything seem real. Some things, such as the boiler in the basement, frighten children enough to scare them off of the area in question. As these children grow up, their fears simply leave them; abandoning them. This, however, is not the case for myself.
I was two at the time, at least, this is what my parents told me. It's very vague in my head, as you know, your mind forgets things as time goes on. Anyway, my parents told me when I was a child I used to be terribly afraid of the basement and attic. As I learned how to walk, I would never leave to go up or down to the attic or basement. I wouldn't even leave the living room to go outside.
At night, they said they would watch over me. They told me I had night fits; flipping around in my bed and crying. I would awaken silently and sit up without even breathing. But as I got older, the symptoms seemed to go away.
This is the point I remember completely. I turned eight years old (I'm eighteen now, if it even matters), and I remember being in my room all alone, playing by myself. I used those awesome G.I Joe toys and made them fight. It was cooler in my head, at least. I had a huge imagination.
I was still afraid of the basement and attic. Whenever I went near them I heard...well, voices. They spoke to me; "Amy! Come up here and play!" or "Amy! Come down here and play!" they would say. I would run and tell my parents, but naturally when they investigated, it was nothing. Nothing spoke to them.
It was midnight that the first terrifying moment happened. I was sleeping, when suddenly, I woke up to whispers. These whispers...they had no meaning. Just mumbles and grumbles. I turned to the hallway where my door remained open and saw a dark, black shadow. "Amy?" it said, seemingly inquisitively.
"Go Away!" I shouted to it. The whispers stopped and everything grew silent. This same thing occurred nearly every night. It got to the point where I anticipated it happening. I planned on calling for my parents, and when I did, they never came. These instances became worse on my head to the point that my parents took me to a therapist every Friday.
It was one night, right next to my tenth birthday, that something new happened. Already, at eight and nine years old, I was faced with insomnia and near insanity (as my therapist called it). I planned on talking to it, following what it wanted with me. The same thing happened, "Amy?" it asked.
"What?" I asked it. "What do you want from me?"
It vanished, but the whispers still remained. I stood from my bed, following it through the hallway. It was so cold, I remember. Every hair on my body stood up as I got closer to the apparition. The whispers got louder and louder as I progressed. I reached the stairway to the basement. The door was open, and I saw it waiting for me.
I took a step down. This was terrifying at most, as this would be the fourth time I'd ever even been down there. I walked down, holding my breath. At the bottom, it asked me, "Can we play?"
"No!" I replied. "You need to leave me alone!"
It simply turned and stared at me. "Haven't you always wanted a playmate?" I heard it say. It was louder and clearer than before. This time, I was truly scared of the spirit.
"No," I said, standing firm. It fell quiet. The whispers stopped, and I fell over.
My parents found me the next morning, asleep in the basement. They wondered why I went down there, and off all times, at night. I told them my story but they didn't believe me. We went on with my birthday, and that night, the spirit returned. It continued doing this until I turned twelve, causing my insomnia to continue driving me crazy.
During the daytime I would see things. Crazy things. I would see dolls moving, people walking in my house, and my parents simply dying when they're not even in the room. My parents decided to pull me out of school and home school me. I would be able to sleep during the day and school at night with them. It was at this time that the spirit stopped coming. On Saturday nights and Sunday nights the spirit would return, but vanish after I told it to go away.
One night, after I'd turned thirteen, my parents were downstairs teaching me my Science lesson. The apparition appeared behind my mother's portable chalk board. Mom asked me what was wrong, and I simply pointed. She turned and screamed.
It was that night that we moved out of that house. Nothing truly happened after this. We lived a fulfilling life up until I turned sixteen.
In our new house, my parents' room was next to mine, so I couldn't make much noise without attracting them. It was midnight when the spirit appeared. Only this time, it was angry. The whispers returned. It said, "Play with me."
"No!" I screamed, ducking under my covers. The whispers grew louder. When I came out, my father was standing in the doorway, looking at me. He said nothing. I told him to make the noises go away, and he still just stood there.
Suddenly, a gash appeared on his left cheek. It penetrated his eyeball. As he bled slightly, he fell to his knees, knocking over some things I had on a desk next to him. He fell sideways, knocking everything over. My mother ran by, screaming and worried. "Honey! What's going on?"
"Mom!" I screamed. The whispers suddenly stopped. My mother stopped and looked at me. She walked into my room, menacingly. I jumped out of my bed and slid past her. She simply turned around and looking into my eyes. She shrieks and walks quicker towards me, scaring me half to death. I run down our stairs nearby to our front door. I try to open it, but it won't even budge.
She walks down the stairs, and midway, closes her eyes. She tumbles down, smashing into the ground right in front of me. I look back up, and there the spirit was again. It stares down at me, tilting its head. I screamed, running into the living room area. There on our kitchen table awaiting me was a dollhouse.
"Play with me."
Today, I sit here writing this in order to tell you an important message: Avoid 9129 Delmin Street. To my knowledge, this spirit still remains there today. I heard that it once killed a child who agreed to play with it. What was her name...?
I think it was something like...


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First of all, plz. promise me you won't drop out of school. You need to appeal the absents and go talk to the Superintendant of the school district. If he is of no help,ask for a board meeting with school officials. Any documents you have need to be brought into them .You have to do this ASAP. You can also make up some classes on the Internet,if need be.I know you must be going through a lot of emotions right now. Your mother would want you to stay in school. You need to get your diploma- she will be watching you from up above. My mother died when my son was in 6th grade. He also missed a lot of days but I put him on Independent study and he just did his work at home and the hospital. They were very easy to work with but you have to make yourself heard as to what has happened and what a great deal of pressure you were under. Hopefully you will get a understanding Superintendent of the school district. Good luck and don't even think about dropping out !
Sorry charlie Life is Just NOT FAIR sometimes
Rules are Rules and if they bend one for you they must do that for everyone
God Bless your mom she will watch over you and take care of this
This article contents is post by this website user, EduQnA.com doesn't promise its accuracy.
More Questions & Answers...


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The Xishuangbanna Dai Autonomous Prefecture is situated at the subtropical southwestern tip of Yunnan and shares a border with Burma and Laos. As the only tropical rain forest nature reserve in China, Xishuangbanna is ideal for nurturing wonderful plants and flora, where is considered as home to unusual wildlife. It is very easy to settle here for days without getting bored. Xishuangbanna is most beautiful when you reach the rarely visited villages on our trekking routes. The locals still maintain a slash and burn farming lifestyle. The richer villagers live in wooden huts with tiled roof, while the poorer ones in bamboo huts with thatched roofs.
Tour Itinerary:
Day 1: Arrive in Kunming, stroll along Green Lake Park, a charming area of teahouses and small boutiques selling handicrafts and beautiful local paintings, followed by an evening welcome briefing.
Day 2: Fly to Jinghong. Visits to Dai Minority Villages at Ganlanba and Tropical Botanical Garden at Menglun.
Day 3: Drive o Xiding for its lovely Thursday Market. After lunch, we start the two-day hike.
Day 4: Hike Manlai to Mangang Village. Check out Dai villages en route.
Day 5: Hike out Mangang village and drive back to Jinghong.
Day 6: Fly back to Kunming.
Price Includes:
Also see tour packages in:
Asia China Outdoor: Land Rambler Hiking & Trekking Cultural Journey


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The first and foremost piece of advice that any professional type of person, who has any knowledge about the possible Alaskan train tour, would like to give you is to go with your gut feelings. If you feel like you are not comfortable with something, then it is more than likely a good sign that it is not a good decision. You may want to then consider that you should do a lot of research. There are a lot of people all around the United States of America enjoy going on vacation.
This is just always going to be a fun time. There may be a certain part of the United States of America that you like to travel to. People should not fear that there will be nothing to do on vacation. The reason may be a little bit obvious but the truth of the matter is that there are going to be times when you will need to have a lot of different things for you and your family to do.
How many of you have ever gone to a train vacation rental and were completely unsatisfied with the things that you were exposed to? On the other hand there may actually be a particular place that is outside of the United States of America that you may really like to go to. No matter what there are destinations all around you that you will have the option of choosing from.
There are actually believe it or not some of the Alaska railroad options that you will begin to notice are really a good idea for an entire family to be able to partake in. This may mean that you will get into contact with a realtor who will be able to guide you in order to find a good Alaska railroad vacation option that is currently listed on the vacation rental market.
This is one of the most important things that you will want to check into to make sure that the rental is actually available when you will be in need of it. If this is not carefully looked at you may find yourself in a situation where you are not sure about what you will need to do. There will be times when the Alaska train packages will have more features in it than other times of the year.
All of these things are very important for you to be able to take into consideration. A lot of people will realize that this will affect people from all different kinds. Another thing is that this is important because you will want to be able to do all of this before you actually decide to do it. The thing is that you are going to want to take a good amount of time out of your day to be able to look at all of the details. They may be particularly about your Alaskan train package tour before you decide that you want to reserve it in advance.


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Stepping Stones Appeal :: 26 Jan 11:33
In November 2008 Huw's wife Sue (the owners of Huw Evans Picture Agency who own this site) was diagnosed with Cancer. It is something that you think will never happen to you but when it does it changes your life forever.
Huw would like to thank not only the players in the Welsh Rugby Team that have offered their help but also the Officials of the Welsh Rugby Union and Millennium Stadium as well as everyone from the Regional Rugby sides. Sue is a real fighter and someone who remains very positive and with the help of the Medical staff who are looking after her we are ready for the battle.
This website has received in the last year nearly 2 million visitors who I hope have enjoyed the service that we run and now we are asking all you visitors for some help. Firstly we need you to think positive thoughts about Sue's lung recovering and secondly we would love your support for new campaign that is being launched by Velindre Hospital in Cardiff. It is called 'Stepping Stones' and is directly involved in raising funds to help fight lung cancer.
The Stepping Stones Appeal website is a quick and easy way anyone can help Velindre Hospital and the fight against lung cancer.
Just think if everyone who visited the site in the last year donated £1, Lung Cancer Research in Cardiff would have nearly £2 million pounds to help in this fight. And don't think that Lung Cancer just happens to smokers, it doesn't…Sue didn't smoke and her type of Lung Cancer is not brought on by smoking.
Please keep coming back to the site and helping us in this fight. If you have any ideas yourself for raising money for Velindre Hospital Stepping Stones Appeal please contact us at firstname.lastname@example.com


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Did I get a bad shirt?
My shirt arrived today, and I'm not really happy. There are big smudge marks on the print where it looks like it was wrinkled when it was printed. Mostly by the neck on the back, and at the armpits. Do all of the shirts have their own unique printing issues (due to the nature of the all over print), or did I just get a crappy shirt? I hope that I just got a bad shirt, because I love this design and would love to have it on a shirt, but I don't want a smudgy, amateurish printing job.
Edit: I'm aware that some inconsistencies are to be expected (especially around the seams, etc.), but I think mine looks way worse than I would have thought. I should have phrased my question, "Is it normal that mine is THIS bad?"
Pictures of my shirt:


text: Not the characters, I get that, but why do the fans hate her? I seriously have yet to meet one other person who doesn't absolutely despise her. Is it because she started stealing Jack and Sawyer from all the Skate/Jate fans? Maybe I'm a little biased because Sawyer and Jack are tied for my most hated, but still. I don't get why everyone dislikes her so much? Michelle Rodriguez is a good actress, I sat through The Fast and the Furious just for her 5 minutes of screen time, and Girl Fight wasn't bad for her first solo venture? So someone please tell me why everyone dislikes her?


text:
Desperate housewives
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jessica d.
Report | 5 years ago
They do try to upsale you on their products and services, so if you are strapped for cash, be wary. They are expensive.
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At Blissful Wellness Medical Weight Loss Centers, Dr. Elyssa Blissenbach and her team of licensed medical professionals and counselors devote their medical expertise to combating obesity. They take a three-pronged approach to slimming clients: customized programs, top-shelf supplements, and constant support. Like snowflakes' DNA strands, no two patients are alike—and so staff members carefully calibrate diet and supplement plans to suit each client's metabolism, condition, and body type. The program also provides a support system for clients, offering everything from individual therapy to group outings to help ensure long-term weight loss.


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Hart RangenommenFavorites [+]
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Running Time: 91 minutes
Released: 09/2007
Studio Name: be.me.fi
Categories: Fetish BDSM Euro International All Sex Rubber/Latex German Speaking
Description: Titts being squeezed and pulled by weights, hung in the air by hands and feet and drilled with a huge anal-dildo. This flick is 100% hardcore.
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