text: Original Article FACTORS INFLUENCING SUCCESSFUL FAST TRACKING AFTER TOTAL INTRACARDIAC REPAIR OF TETRALOGY OF FALLOT ABSTRACT Sujatha D I Background Keerthi Kanagarajan N Fast tracking in children after cardiac surgery has been reported to be a safe alternative to prolonged Roy Varghese Suresh Kumar R postoperative ventilation. This was a prospective study to assess the safety and efficacy of fast Robert Coelho tracking (extubation within 8 hours) in patients undergoing Total Intra Cardiac Repair (ICR) for Benjamin Ninan Tetralogy of Fallot (TOF). Methods 60 consecutive patients who underwent corrective surgery for TOF from September 2005 to Key words : October 2006 in our institution formed our material for this study and were divided into four congenital heart defects groups according to the type of repair. Factors affecting the Intensive Care Unit stay and duration early extubation paediatric anaesthesia of ventilation were analyzed. tetralogy of fallot Results Fast tracking was successful in 39 out of 60 patients. Success rate was highest in Group I (92%). Success rate was 56% (n=17) for Group 2, 50% (n=3) for Group 3, and 54.5% (n=6) for Group 4. Dopamine, adrenaline, noradrenaline, and milrinone were the inotropes used. 12 patients (85.7%) in Group 1 required one inotrope (dopamine) and 20 patients (69% ) in Group 2, 3 patients (50%) in group 3 and 6 patients(54.5%) in group 4 required two inotropes (dopamine + adrenaline). Mean duration of ICU stay in the early extubation group was 1.94 ± 0.45 days while in the other group it was 7.2 ± 7.56 days (p<0.001). Mean duration of hospital stay in the early extubation group was 8.2 ± 1.88 days versus 16.5 ± 11 days (p<0.001) in late extubation group. The most common cause for delay in extubation and increase in the ICU and hospital stay was haemodynamic instability. None of the patients extubated early were reintubated. 2 patients Department of Cardiac Anaesthesia, were reintubated in the late extubation group. One patient in Group 3 expired. Paediatric Cardiology and Paediatric Cardiac Surgery Conclusion Institute of Cardio Vascular Diseases, Madras Medical Mission, Chennai Fast tracking the patients after TOF repair is safe and effective. Most of the patients who underwent simple ICR were extubated early. While approximately 50% of patients who underwent right ventricular outflow tract reconstruction were fast tracked. In the others haemodynamic instability was the commonest cause preventing fast tracking. This tended to be related to pulmonary regurgitation, main pulmonary artery / branch pulmonary artery plasty and restrictive right ventricular physiology. Journal of the Institute of Cardio Vascular Diseases Factors influencing succesful fast tracking after total intracardiac repair of tetralogy of fallot 21 INTRODUCTION risk patients. Of late, fast tracking has been increasingly employed in more complex paediatric cardiac surgeries. Total correction of Tetralogy Of Fallot (TOF) has been Fast tracking in patients undergoing TOF repair has in practice for the past four decades. Development of been reported to be safe 12,14,15,16. Right Ventricular (RV) dysfunction 1, pulmonary insufficiency and ventricular arrhythmias 2 after The aim of this study is to assess the safety and efficacy transventricular repair has lead to the adoption of of early extubation and factors influencing ventilation transatrial or transpulmonary approach3,4,5 and excellent and ICU stay in patients undergoing definitive repair results have been demonstrated. Controversy still exists for TOF. regarding the timing of the primary correction6. Some centers prefer early primary correction to avoid late METHODS complications like right ventricular dysfunction and arrhythmias2. However the optimal management is still This was a prospective analysis of factors influencing debated7. fast tracking in TOF patients undergoing definitive cardiac repair. 60 consecutive patients who underwent Our surgical management of TOF is individualized 8. corrective surgery for TOF from September 2005 to If the patient is less than 3 months old, we prefer to October 2006 at the Institute of Cardio Vascular do a pallitative Blalock Taussig shunt (BT shunt). Patients Diseases, Madras Medical Mission, Chennai were between 3 and 9 months of age undergo BT shunt if assessed for fast tracking. All patients who were less they have unfavourable outflow and pulmonary than 15 kgs were premedicated with trichloryl 70 mg/ anatomy. If the patient has spells and good outflow kg and patients more than 15 kgs with Meperidine 1 anatomy, we prefer to do a definitive procedure (total mg/kg and Phenergan 0.5 mg/kg were used. The correction of TOF). Beyond 1 year of age, most of children generally received similar anaesthetic the patients undergo definitive repair. management. Sevofluorane was used for induction in patients without intravenous access. Currently, health care delivery is aimed at rational management, cost containment, resource utilization and The patients were divided into 4 groups. minimization of post-operative ICU stay and total length of hospital stay. To achieve this goal good Group 1: ICR (VSD closure, infundibular resection ± coordination is required between the surgeons, Pulmonary Valvotomy) anaesthesiologists, intensivists and paramedical staff . Group 2: ICR + Transannular pericardial patch All paediatric patients without significant pulmonary or Group 3: ICR + Transannular monocusp pericardial residual cardiac pathology can be managed by expedited patch post-operative protocols 10, 16 . Fast track clinical Group 4: Homograft repair of Right Ventricular guidelines include careful choice and titration of short Outflow Tract (RVOT)+ VSD closure acting anaesthetic drugs, minimally invasive surgical approaches, meticulous haemostasis, use of Patients were induced with midazolam 0.05-0.1 mg/ ultrafiltration, effective rewarming and sustained post kg and fentanyl 5-7 microgram/kg and fentanyl 3-5 operative normothermia, early extubation, effective post microgram/kg was given before skin incision, on operative pain control without excessive narcotic doses, Cardio Pulmonary Bypass (CPB), immediate post CPB avoidance of prolonged intensive therapy unit stay, early and as indicated by vital signs variation. Pancuronium ambulation, alimentation and discharge. was the primary relaxant and vecuronium was given post CPB. Monitoring included 5 lead ECG, radial Fast tracking (extubation within 8 hours) was initially arterial pressure, central venous pressure, pulse oximetry employed only for simple cardiac procedures such as and temperature. atrial septal defect(ASD), ventricular septal defect(VSD) or patent ductus arteriosus(PDA) ligation and for low Journal of the Institute of Cardio Vascular Diseases Number 1, 2007 22 A paediatric biplane Trans Esophageal annulus, pulmonary atresia, absent pulmonary valve Echocardiography probe (TEE) (Philips –CE 0086 syndrome or a coronary crossing RVOT. At the end USA Sonos 5500) was inserted after the induction of of the surgical procedure, depending on the venous anaesthesia. All patients received methylprednisolone 30 temperature of 36.5°C, patients were weaned off CPB. mg/kg IV before the skin incision to decrease the After completion of modified ultrafiltration and inflammatory response. Aprotinin at a dose of 4.2 mg/ removal of venous cannula, 5 mg/kg of protamine kg / min bolus followed by 1.4 mg / kg/ hour as sulfate was administered to reverse the anticoagulant infusion was continued till the patient was shifted to effect of heparin. All patients were weaned off CPB intensive care unit. with infusions of nitroglycerine (0.5 µg/kg/min) and dopamine (5 µg/kg/min), if additional support was Standard paediatric perfusion protocol was used in required adrenaline and milrinone were used. TEE was all the patients with aortic and bicaval cannulation. Before done immediately after weaning off bypass to assess CPB, all patients received systemic anticoagulation the surgical repair. HCT on pump, volume of ultrafiltrate, CPB time, Aortic Cross Clamp (ACC) time, with unfractionated heparin (400 IU/kg) to achieve an inotropic support required during weaning, time to activated clotting time of more than 480 seconds. The extubate, complications in ICU, length of ICU and pump was primed with ringer lactate and 20% albumin, hospital stay were also recorded. After shifting to ICU, which constituted 5% of the priming volume. In weaning from the ventilator was started depending on addition NaHCO3 1.5 cc/kg and heparin were added. chest X-ray, Arterial Blood Gas (ABG), and The haematocrit was maintained around 28% during hemodynamic stability with no compromise in CPB. ventilation during transition from controlled to assist mode of ventilation. Patients were extubated when Non-pulsatile flow of 125 – 150 ml/kg/min was they were fully rewarmed, haemodynamically stable achieved during CPB using a twin roller pump with low or no inotropes, without significant (Stockhert SIII, Sarns 9000). A hollow fibre membrane arrhythmias, not having significant mediastinal bleeding oxygenator (Capiox, Minimax, Baby Rx, Polystan) with and maintaining arterial oxygen saturation with adequate an arterial line filter, bubble trap and level sensor in the respiratory efforts. reservoir were used. Myocardial preservation protocol included maintaining a moderate systemic hypothermia STATISTICAL ANALYSIS (Nasopharyngeal temperature 28 - 32°C), administration of cold (10°C) antegrade hyperkalemic To test association between 2 categorical variables chi cardioplegic solution (David bull) with blood in 1:1 square test was used. Students t-test was applied to find proportion and topical cooling of the myocardium with any significant difference between the early (<8 hrs) and ice slush. The first dose of cardioplegia was 20 ml/kg, late extubation (>8 hrs) group with respect to all continuous variables. One-way analysis of variables followed by 10 ml/kg every 15-20 minutes. Arterial (ANOVA) was used to find if any significant difference blood gas measurements were performed every 15 – in the mean values of the continuous variables between 20 minutes. A stat management was followed to the group. maintain arterial CO2 of 35 – 40 mmHg unadjusted for temperature and an O 2 partial pressure of RESULTS approximately 150 mmHg. The four groups did not differ with respect to weight Transatrial approach was used in all the cases and and BSA (Table 1). However homograft patients transpulmonary in a few cases. Our surgeons prefer to (Group 4) were older than other surgical patients. CPB do a transannular patch only if the annulus is small. and ACC time were statistically significant when Pericardial monocusp is prepared along the transannular compared within the surgical groups. ICR + Monocusp patch only when the native valve is dysplastic, tethered transannular patch(Group 3) had longer CPB and ACC and functionless. Since homograft is readily available at our institution, it is used when there is a hypoplastic Journal of the Institute of Cardio Vascular Diseases Factors influencing succesful fast tracking after total intracardiac repair of tetralogy of fallot 23 time compared to ICR + transannular patch patients(Group 2). Table.4. Causes for hypotension Table .1 . Demographic data and on pump details VARIABLES GROUP I GROUP II GROUP III GROUP IV n=14 n=29 n=6 n=11 MEAN± SD MEAN± SD MEAN± SD MEAN± SD AGE (yrs) 7.27± 7.18 4.65± 5.36 9.75± 9.37 13.69 ± 9.16 WEIGHT (kg) 18.2 ±15.65 16.92 ± 23.73 21.84 ± 28.75 23.22 ±14.29 2 (PR – Pulmonary Regurgitation, MPA – Main Pulmonary Artery, RV – Right BSA (m ) 0.72 ±0.41 0.57 ± 0.25 0.67 ± 0.63 0.90 ± 0.35 Ventricle) CPB (mins) 117.21 ± 45.99 173.24± 43.60 216.5 ± 44.18 252.54 ±79.88 ACC (mins) 80.5 ±30.74 107.8 ± 22.46 136.83 ± 41.01 144.27 ± 55.24 The duration of ventilation (Fig. 1) in the 4 groups (BSA – Body Surface Area , CPB- Cardiopulmonary Bypass duration, showed that none of the patients in Group 1 was on a ACC – Aortic Cross Clamp Duration) ventilator for > 24 hours. Patients in Group 1 were extubated early [highest Group 4 (Homograft repair of RVOT + VSD closure) percentage of 92% (n=13)] while the success rate in had the longest CPB & ACC time compared with other Group 2, 3 and 4 were 56% (n=17), 50% (n=3) and groups. Fast tracking was successful in 39 / 60 patients. 54.5% (n=6) respectively (Fig.2). Table .2. Comparison between successful fast tracking Fig. 1 - Duration of ventilation and failed fast tracking Succesful Fast Tracking Failed Fast Tracking VARIABLES MEAN ± SD (N=39) MEAN ± SD (N = 21) P value AGE (yrs) 7.99 ± 7.49 6.39 ± 7.98 0.445 WEIGHT (kg) 22.36 ± 23.69 12.42 ± 11.9 0.077 2 BSA (m ) 0.74 ± 0.38 0.55 ± 0.32 0.063 CPB (mins) 162.25 ± 65.34 210.19 ± 64.44 0.009 ACC (mins) 101.05 ± 36.20 129.57 ± 41.2 0.007 CMV (hrs) 2.50 ± 1.8 101.8 ± 389.2 - ASV (hrs) 3.36 ± 1.37 8.35 ± 3.86 - DICU (days) 1.94 ± 0.45 7.2 ±7.56 - DHOSP (days) 8.2 ± 1.88 16.57 ± 11.02 - (CMV- Controlled Mode of Ventilation, ASV – Assist Mode of Ventilation DICU – Duration of ICU stay, DHOSP – Duration of hospital stay DOV – Duration of ventilation Other abbreviations as in table 1) Duration of CPB and ACC time, duration of controlled Fig. 2 - Successful vs failed fast tracking and assist mode of ventilation, duration of ICU and hospital stay were statistically significant when compared between successful and failed fast tracking. Table.3 . Complications that prevented fast tracking in all the 4 groups DOV – Duration of ventilation Journal of the Institute of Cardio Vascular Diseases Number 1, 2007 24 Fig. 3 - Requirement of inotropes Fig. 5 - Duration of hospital stay DISCUSSION The requirement of inotropes varied among the groups (Fig. 3). 85.7% (n=12) of patients in Group 1 required Fast tracking in TOF patients is a team effort. one inotrope (dopamine), while 69% (n=20) of patients in Group 2 required 2 inotropes (dopamine + Surgeon's role: Surgeons play an important role in adrenaline). 50% (n=3) and 54.5% (n=6) of patients in early extubation. Over the past few decades changes in Group 3 and 4 respectively also recieved intravenous surgical techniques have facilitated fast tracking. Earlier inotrops. surgeons used to repair TOF by transventricular approach (or ventriculotomy), which resulted in The duration of ICU stay is detailed in Fig. 4. In group increased incidence of ventricular arrhythmias and post 1, 93% (n=13) patients were shifted out of ICU within operative RV dysfunction20. 48 hours. Fig. 4 - Duration of ICU stay VSD closure, infundibular resection and pulmonary valvotomy can be performed through the right atrium without right ventriculotomy and is found to give good results6. The concept of aggressively resecting the right ventricular outflow tract (infundibulum) is being deferred by surgeons. Resection of pulmonary infundibular parietoseptal and parietoparietal muscular bands destabilizes the muscular cylinder supporting the pulmonary valve19. The pulmonary infundibulum is required for ejection of blood from RV to pulmonary artery and for maintaining the pulmonary valve competence. Aggressive resection of infundibulum to relieve RVOT obstruction ends up in severe pulmonary regurgitation and impaired forward flow of blood from RV to PA. Present day surgeons prefer limited resection of pulmonary infundibulum and accept the minimal obstruction to pulmonary outflow rather than The duration of hospital stay (Fig.5) was less than 8 causing severe pulmonary regurgitation (PR) in the days in Group 1 which constituted 85% postoperative period causing RV dysfunction, delayed (n=12)compared to 66% (n=19), 33 %( n=2) and 27% weaning of the patient from the ventilator and causing (n=2) in Groups 2, 3 and 4 respectively. Journal of the Institute of Cardio Vascular Diseases Factors influencing succesful fast tracking after total intracardiac repair of tetralogy of fallot 25 poor functional class necessitating pulmonary valve Anaesthetist's Role: Anaesthetist role is to plan the replacement later 17, 18. Our surgeons also follow anaesthetic management from induction to extubation pulmonary valve preserving techniques like double for fast tracking. Usage of short acting anaesthetic agents, patch technique (patch above and below the pulmonary aprotinin to reduce post operative bleed, time taken annulus) in patients who have normal annulus or valves for hemostasis and providing excellent post operative with long narrow infundibulum and main pulmonary pain relief are the key factors in fast tracking . artery (MPA) narrowing21. These techniques help in preventing PR since the surgeon does not cut across Perfusionist's Role: Perfusionists should follow the annulus and disturb the anatomy of pulmonary valve proper techniques to reduce fluid retention post CPB. apparatus. When a transannular patch is required a 20% Albumin, constituting 5% of the priming volume, smaller patch is used. Anterior incision across the annulus is added to increase the oncotic pressure and prevent is preferred since it does not affect the valve anatomy interstitial fluid sequestration into the lungs. In cyanotics if the pulmonary valve is vertically bicuspid. If it is clear prime is preferred to reduce the circulating transversely bicuspid anterior incision may injure the haematocrit approximately to 28%. Haematocrit is anterior leaflet. maintained on pump by diluting the blood with crystalloids. In cyanotics hyperoxygenation is avoided. The institutional preference is to preserve the posterior Since the cyanotic myocardium has reduced antioxidant leaflet, which is sufficient to prevent PR. Use of levels to tackle O 2 free radicles released due to transannular monocuspid patch is limited since there is hyperoxygenation, PaO2 on pump is maintained in the a difference of opinion regarding its beneficial effects22, normal physiological range27,29. Filter is used to perform 23,24 . It is said that monocusp helps to tide over the Conventional Ultra Filtration (CUF) and Modified Ultra immediate post operative period by moderating the Filtration (MUF), to remove excess fluid and PR and later even if the patient develops PR, right inflammatory mediators. ventricle will be able to tolerate it better. Monocusp is used only when leaflets are dysplastic, tethered and Cold blood cardioplegia is given at 15- 20 min intervals functionless so that monocusp can help in fast tracking and care is taken to maintain hypothermia. Before the patient by moderating the PR. releasing the cross clamp warm blood cardioplegia (32° C) containing mannitol is perfused through the Since in our institution there is ready availability of coronaries. Mannitol is an O2 free radical scavenger and homograft valves, it is preferred when the patient has a reduces myocardial edema. Care is taken to rewarm hypoplastic annulus, pulmonary atresia, absent the patient uniformly. pulmonary valve syndrome and coronary crossing the RVOT. Myocardial preserving techniques are followed Intensivist's Role: All patients after TOF repair are by giving cardioplegia at 15 - 20 min intervals. assessed for early extubation. Peritoneal Dialysis (PD) Anteriorly placed RV is exposed to theatre light and is done for prophylactic or therapeutic purpose. When theatre temperature, which results in warming up. patients have prolonged CPB time, oliguria, positive Myocardial preservation can be done by covering the fluid balance or hyperkalemia, PD is done. Cold cycles RV with ice slush which maintaines the RV hypothermia. of PD are performed when patient has Junctional Ectopic Tacycadia (JET). Care is taken to maintain Immediately after coming off CPB, TEE is done to normothermia and provide good postoperative pain assess the cardiac repair, since any residual cardiac defect relief facilitating early extubation. will delay extubation. Weaning the patient will be delayed if the patient drains postoperatively. Meticulous All patients were assessed for fast tracking after shifting haemostasis by the surgeon plays and important role in to Pediatric Intensive Care Unit (PICU). Fast tracking fast tracking. could not be done in 2 patients because of JET, necessitating elective ventilation for induction of hypothermia by performing cold cycles of peritoneal Journal of the Institute of Cardio Vascular Diseases Number 1, 2007 26 dialysis. Hypotension was the most common cause for phosphate and increased lactate accumulation, when delayed extubation in all the groups. Hypotension in compared to adults with coronary artery disease making the postoperative period after TOF repair could be the TOF myocardium more vulnerable to injury27, 29. due to many reasons. Moderate to severe pulmonary They also have decreased and defective antioxidant levels regurgitation due to extensive resection of pulmonary predisposing the myocardium to reperfusion injury. infundibulum can destabilize the pulmonary valve apparatus and cause free PR and RV dysfunction. Two syndromes of RV restrictive physiology in patients Increase in the gradient across the RVOT due to with Tetralogy of Fallot have been described 27. An inadequate resection of pulmonary infundibulum can acute syndrome in the immediate post operative period also cause low forward flow across the RVOT and and a late syndrome whose clinical manifestations are causes hypotension. Extensive MPA, bifurcation and delayed by years. Although acute RV restriction initially or patch plasty of pulmonary arteries can also cause resolves within 14 days, the late RV restriction presumed hypotension or low output state due to increased to reflect a stiffer RV that allows less pulmonary gradient across the pulmonary artery reconstruction site. regurgitation resulting in a smaller heart improved Other causes for hypotension are rhythm disturbances exercise tolerance, and decreased risk of ventricular (JET), increased postoperative bleeding, and most arrhythmia. In our study 3 patients developed restrictive frequently RV dysfunction due to free PR or restrictive RV dysfunction demonstrated by late antegrade flow RV physiology. Restrictive RV physiology is a condition in the pulmonary artery during diastole. All of them in which the right ventricle is unfillable and is truly belonged to transannular patch group. Studies have "restrictive" in diastole. So RV acts as a passive conduit shown that transannular patch is an independent risk between the right atrium and pulmonary artery factor of restrictive RV physiology following repair of characterized by antegrade late diastolic flow in TOF33. Our findings are similar to that observed by pulmonary artery during atrial systole. It is diagnosed Gunnar Norgard et al 33 and M. S. Sachdev et al 34. by pulsed doppler echocardiography by demonstrating Patients with restrictive physiology in our study had forward late diastolic flow in the right ventricular increased and longer requirement of inotropes, outflow tract coinciding with premature opening of increased ventilation time and longer ICU stay which the pulmonary valve during atrial systole 32, 34. It is were similar to the findings reported by M. S. Sachdev associated with episodes of low cardiac output, raised et al34. central filling pressure, prolonged ventilation and inotropic support25. One patient in Group 1 had hypotension due to moderate pulmonary regurgitation and the other child The origin of RV restriction is unknown. The right had junctional ectopic tachycardia (JET) necessitating ventricle in Tetralogy of Fallot may be inadequately cold cycles of peritoneal dialysis(PD) to induce protected due to endomyocardial fibrosis in older hypothermia. 6 patients belonging to Group 2 had patients and due to right ventricular hypertrophy which hypotension due to pulmonary regurgitation in the is always present in patients with TOF 27 . CPB, immediate postoperative period preventing fast tracking. ventriculotomy, myocardial oedema, and the placement MPA augmentation and branch plasty were the other of nonfunctional patches on ventricular septum and causes for hypotension in 4 patients belonging to Group RVOT influence the diastolic performance. RV 2. Two patients belonging to Group 2 developed sepsis myocardial protection is inadequate, since it is exposed due to gram negative bacteria and both the patients to room temperature and radiant heat from overhead had long bypass time due to extensive RVOT lights28. Maintaining satisfactory hypothermia is difficult, reconstruction and branch plasty of pulmonary arteries. and RV hypertrophy as such complicates the One patient in this group desaturated due to homogenous delivery of cardioplegia26, 27, 28. Studies pneumothorax necessitating reintubation in the PICU. have shown that children with TOF are predisposed to Three patients belonging to Group 4 were re-explored severe myocardial ischaemic injury during cardiac for increased drainage and was found to have operations with more rapid decline in high-energy generalized oozing from the homograft site. One patient Journal of the Institute of Cardio Vascular Diseases Factors influencing succesful fast tracking after total intracardiac repair of tetralogy of fallot 27 in Group 3 expired. This patient had supravalvular MPA 4. CA Dietl, AR Torres, ME Cazzaniga and RG Favaloro. Right atrial approach for surgical correction of tetralogy of Fallot. Ann stenosis and distal RPA stenosis for which extensive Thorac Surg 1989, 47, 546-551. reconstructive of MPA and RPA was done. Postoperatively patient was in low cardiac output state 5. Balram Airan, Shiv Kumar Choudhary, Honnakere Venkataiya and echo revealed turbulence across RPA with a Jayanth Kumar, Sachin Talwar, Jayesh Dhareshwar, Rajnish Juneja, Shyam Sunder Kothari, Anita Saxena, Panangipalli Venugopal. Total significant gradient of 50 mmHg with global depression Transatrial Correction of Tetralogy of Fallot: No Outflow Patch of ventricular function, RV was dilated and Technique Ann Thorac Surg 2006; 82:1316-1321 noncontractile. 6. Frank A. Pigula, Philipe N. Khalil, John E. Mayer, Pedro J. del We are not aware of any published paper exclusively Nido, Richard A. Jonas. Repair of Tetralogy of Fallot in Neonates addressing the issue of fast tracking in TOF patients. In and Young Infants. Circulation 1999; 100:II-157 other studies, series of fast tracking was done where 7. Marco Pozzi, Dipesh B. Trivedi, Denise Kitchiner, Robert A. TOF has been considered along with other complicated Arnold. Tetralogy of Fallot:what operation, at which age. Eur J congenital cardiac surgeries and it has been found to be Cardiothorac Surg 2000; 17:631-636 safe. In conclusion our study shows that fast-tracking 8. Charles D. Fraser, E. Dean McKenzie, Denton A. Cooley . Tetralogy patients after TOF repair is safe and effective. Most of of Fallot: surgical management individualized to the patient .Ann the patients who underwent simple ICR were extubated Thorac Surg 2001; 71:1556-1563 early, while approximately 50% of patients who underwent right ventricular outflow tract reconstruction 9. Turley K, Tyndall M, Roge C etal. Critical Pathway methodology: effectiveness in congenital cardiac surgery. Ann Thorac Surg 1994; were fast tracked. In the others haemodynamic 58:57-65 instability was the commonest cause preventing fast tracking. This tended to be related to pulmonary 10. Cheng DCH . Pro: early extubation after cardiac surgery decreases regurgitation, MPA/branch pulmonary artery plasty and intensive care unit stay and cost. J Cardiothorac Vasc Anaesth 1995; 9:465-4 restrictive RV physiology. Modification of anaesthetic management (careful titration of short acting anaesthetic 11. Carol L. Lake. Fast Tracking in Paediatric Cardiac Anaesthesia: agents), changes in the surgical techniques (smaller An Update. Annals Of Cardiac Anaesthesia 2002; 5:203-208 transannular patch, limited RVOT resection), and 12. Luca A. Vricella, Joseph A. Dearani, Steven R. Gundry, Anees advances in the perfusion techniques (ultra filtration) have J. Razzouk, Stanley D. Brauer, Leonard L. Bailey. Ultra fast track facilitated fast tracking thereby reducing the length of in elective congenital cardiac surgery. Ann Thorac Surg 2000; 69:865- ICU and hospital stay. 871 13. Cray S.H, Holtby H. M, Kartha V.M. Early tracheal extubation after paediatric cardiac surgery: the use of propofol to supplement low REFERENCES dose opiod anaesthesia. Paed anaesthesia 2001; 11:465-471 1. Fuster V,Mchoon DC, Kennedy MA et al. Long-term evaluation 14. Robin L. Kloth, Victor C Baum. Very early extubation in children (12-22 years) of open-heart surgery for tetralogy of fallot. Am J after after cardiac surgery. Crit Care Med 2002; 30:787-791 Cardiol 1980; 40:635-642 15. Rodolf A. Neirotti, Donald Jones et al . Early extubation in 2. Hormitz LN, Vetter VL, Harken AH et al. Electrophysiologic congenital heart surgery. Heart, Lung and Circulation. 2002; 11:157- characteristics of sustained ventricular tachycardia occuring after 161 surgical repair of tetralogy of fallot. Am J Cardio 1980; 46:446- 452 16. Stefano M. Marianeschi, Francesco Seddio, Doff B. McElhinney, Luisa Colagrande, Raul F. Abella, Teresa de la Torre, Marco Meli, 3. Christos Alexiou, Qiang Chen, Maria Galogavrou, James Fiore S. Iorio, Carlo F. Marcelletti. Fast-track congenital heart Gnanapragasam, Anthony P. Salmon, Barry R. Keeton, Marcus P. operations: a less invasive technique and early extubation. Ann Thorac Haw, James L. Monro. Repair ofTetralogy of Fallot in infancy with a Surg 2000; 69:872-876 transventricular or a transatrial approach. Eur J Cardiothorac Surg 2002; 22:174-183 17. Murphy JG, Gersh BJ, Mair DD, Fuster V, McGoon MD, Ilstrup DM, McGoon DC, Kirklin JW, Danielson GK. Long-term Journal of the Institute of Cardio Vascular Diseases Number 1, 2007 28 outcome in patients undergoing surgical repair of tetralogy of Fallot. James Hooper, Andrew N. Redington. Acute right ventricular restrictive N Engl J Med. 1993; 329(9): 655-6. physiology after repair of tetralogy of fallot – association with myocardial injury and oxidative stress. Circulation 1999; 100; 1540- 18. Frank T.H. de Ruijter, Ineke Weenink, Francois J. Hitchcock, 1547 Erik J. Meijboom, Ger B.W.E. Bennink. Right ventricular dysfunction and pulmonary valve replacement after correction of tetralogy of fallot. 27. Hegarty A, Anderson RH, Deanfield JE. Myocardial fibrosis in Ann Thorac Surg 2002; 73:1794-1800 Tetralogy of Fallot: Effect of surgery or part of the natural history? Br Heart J; 1988; 59:123 19. Yves D'udekem D, Azoz Anes P, Laurent Lebreu X etal. Does Right Ventricular Outflow tract damage play a role in the genesis of 28. Fisk RL, Ghaswallo D, Cruilbeau EJ. Asymmetrical myocardial late right ventricular dilatation after tetralogy of fallot repair. Ann hypothermia during hypothermic cardioplegia. Ann Thorac Surg 1988; Thorac Surg 2003: 76:555-61 34:318-323 20. Attallah Yunes, Kavey REW et al. Postoperative assessment of a 29. Pedro J. del Nido, Donald A.G. Mickle , Gregory J. Wilson, Lee modified surgical approach to repair of tetralogy of fallot: Long term N. Benson, Richard D. Weisel, John G. Coles, George A. Trusler, follows up. Circulation 1996;94 (supp) William G. Williams. Inadequate myocardial protection with cold cardioplegic arrest during repair of tetralogy of fallot. J Thorac 21. Robert D. Stewart, Carl L. Backer, Luciana Young, Constantine Cardiovasc Surg 1988; 95:223-229 Mavroudis. Tetralogy of Fallot: Results of a Pulmonary Valve-Sparing Strategy. Ann Thorac Surg 2005; 80:1431-1439 30. Gatrzoulis MA, Clark AL, Cullen S, Newman CG, Redington AN. Right ventricular diastolic function 15 to 35 years after repair 22. Bruno Chiappini, Catherine Barrea, Jean Rubay.Right Ventricular of tetralogy of fallot: restrictive physiology predicts superior exercise Outflow Tract Reconstruction With Contegra Monocuspid performance. Circulation 1995; 91:1775 –1781 Transannular Patch in Tetralogy of Fallot. Ann Thorac Surg 2007; 83:185-187 31. Gatzoulis MA, Till JA, Sommerville J, Redington AN. Mechanoelectrical interaction in tetralogy of fallot: QRS prolongation 23. Jean-Luc Bigras, Christine Boutin, Brian W. McCrindle, Ivan M. relates to right ventricular size and predicts malignant ventricular Rebeyka . Short-Term Effect Of Monocuspid Valves On Pulmonary arrhythmias and sudden death. Circulation 1995; 92:231-237 Insufficiency And Clinical Outcome After Surgical Repair Of Tetralogy Of Fallot. J Thorac Cardiovasc Surg 1996; 112:33-37 32. Nidhi Narula, Anpon Bhagyavathy, Roy Varghese, Robert Coelho, Suresh Kumar. Right ventricular diastolic function in adolescents and 24. JK Kirklin, JW Kirklin, EH Blackstone, A Milano and AD adults after tetralogy of fallot. Paediatric Cardiology 2006; Pacifico. Effect of transannular patching on outcome after repair of tetralogy of Fallot .Ann of Thorac Surg, 48, 783-791 33. Gunnar Norgard, Michael A. Gatzoulis, Fernando Moraes, Christopher Lincoln, Darryl F. Shore, Elliot A. Shinebourne, Andrew 25. Seamus Cullen, Dar r yl Shor e, Andrew Redington . N. Redington. Reationship Between Type Of Outflow Tract Repair Characterization of Right Ventricular Diastolic Performance After And Postoperative Right Ventricular Diastolic Physiology. Circulation Complete Repair Of Tetralogy Of Fallot- Restrictive Physiology 1996; 94:12:3277-3280 Predicts Slow Postoperative Recovery. Circulation 1995; 91:6:1782-1789 34. M.S. Sachdev, A.Bhagyavathy, R.Varghese, R.Coelho, R.S.Kumar. Right Ventricular Diastolic Function After Repair of Tetralogy of 26. Rajiv R. Chaturvedi, Darryl F.Shore, Christopher Lincoln, Sharon Fallot. Paediatr Cardiol 2006; 27:2:250-255 Mumby, Michael Kemp, J. Brierly, Andrew Petros, John Gutteridge, Journal of the Institute of Cardio Vascular Diseases Factors influencing succesful fast tracking after total intracardiac repair of tetralogy of fallot 29


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text: http://www.feedbooks.com/store/top.atom?category=FBJUV000000&lang=en&locale=de&range=week Juvenile & Young Adult 2014-11-28T21:29:09Z http://assets3.feedbooks.net/images/favicon.ico?t=1417192326 Feedbooks http://www.feedbooks.com email@example.com 21406 20 Mockingjay http://www.feedbooks.com/item/291650 urn:ISBN:9780545317801 urn:ISBN:9780439023511 Suzanne Collins http://www.feedbooks.com/search?query=contributor%3A%22Suzanne+Collins%22 2012-08-28T14:59:17Z 2014-07-24T02:12:29Z en Scholastic Press 2010-08-23 The greatly anticipated final book in the New York Times bestselling Hunger Games trilogy by Suzanne Collins. The Capitol is angry. The Capitol wants revenge. Who do they think should pay for the unrest? Katniss Everdeen. The final book in Th... 3.8 MB 9.79 Henry Huggins http://www.feedbooks.com/item/193037 urn:ISBN:9780061972232 urn:ISBN:9780380709120 Beverly Cleary http://www.feedbooks.com/search?query=contributor%3A%22Beverly+Cleary%22 2012-01-07T06:02:16Z 2014-10-07T10:02:21Z en HarperCollins 2009-10-05 In the first novel from Newbery Award-winning author Beverly Cleary, boys and girls alike will instantly be charmed by an average boy whose life is turned upside down when he meets a lovable puppy with a nose for mischief. Just as Henry Huggins is... 160 pages 1.4 MB 5.99 Superfudge http://www.feedbooks.com/item/166948 urn:ISBN:9781101564097 urn:ISBN:9780142408803 Judy Blume http://www.feedbooks.com/search?query=contributor%3A%22Judy+Blume%22 2011-11-10T11:41:40Z 2014-06-26T10:56:38Z en Puffin 2011-11-30 Fans young and old will laugh out loud at the irrepressible wit of peter Hatcher, the hilarious antics of mischievous Fudge, and the unbreakable confidence of know-it-all sheila tubman in Judy blume's five Fudge books. brand-new covers adorn these... 192 pages 180 KB 6.99 Perfect http://www.feedbooks.com/item/77918 urn:ISBN:9780061975585 urn:ISBN:9780060887384 Sara Shepard http://www.feedbooks.com/search?query=contributor%3A%22Sara+Shepard%22 2011-03-17T05:59:05Z 2014-11-25T08:04:11Z en HarperTeen 2009-10-05 In Rosewood, Pennsylvania, four perfect-looking girls aren't nearly as perfect as they seem.Aria can't resist her forbidden ex. Hanna is on the verge of losing her BFF. Emily is freaking out over a simple kiss. And Spencer can't keep her hands off... 336 pages 1.5 MB 7.99 The Scorch Trials http://www.feedbooks.com/item/29279 urn:ISBN:9780375896118 urn:ISBN:9780385738750 James Dashner http://www.feedbooks.com/search?query=contributor%3A%22James+Dashner%22 2010-11-25T11:59:04Z 2014-11-22T13:59:04Z en Delacorte Press 2010-10-11 Read the second book in the #1 New York Times bestselling Maze Runner series that is soon to be a motion picture, hitting theaters September 18, 2015, and is perfect for fans of The Hunger Games and Divergent. The first book, The Maze Runner,... 384 pages 4.2 MB 9.99 The Death Cure http://www.feedbooks.com/item/156143 urn:ISBN:9780375896125 urn:ISBN:9780385738774 James Dashner http://www.feedbooks.com/search?query=contributor%3A%22James+Dashner%22 2011-10-10T07:24:18Z 2014-11-22T13:59:21Z en Delacorte Press 2011-10-10 Read the third book in the #1 New York Times bestselling Maze Runner series, perfect for fans of The Hunger Games and Divergent. The first book, The Maze Runner, is now a major motion picture featuring the star of MTV's Teen Wolf, Dylan O&rsq... 256 pages 4.2 MB 9.99 The Kill Order (Maze Runner Prequel) http://www.feedbooks.com/item/286118 urn:ISBN:9780307979117 urn:ISBN:9780385742887 James Dashner http://www.feedbooks.com/search?query=contributor%3A%22James+Dashner%22 2012-08-28T03:59:34Z 2014-11-22T13:58:59Z en Delacorte Press 2012-08-13 Read the fourth book in the #1 New York Times bestselling Maze Runner series, perfect for fans of The Hunger Games and Divergent. The first book, The Maze Runner, is now a major motion picture featuring the star of MTV's Teen Wolf, Dylan O&rs... 3.9 MB 9.99 Sorcerer's Ring Bundle (Books 4 , 5, and 6) http://www.feedbooks.com/item/863405 urn:ISBN:9781939416179 urn:ISBN:9781939416179 Morgan Rice http://www.feedbooks.com/search?query=contributor%3A%22Morgan+Rice%22 2014-09-14T05:22:52Z 2014-09-14T03:30:27Z en Morgan Rice 2014-09-01 "THE SORCERER'S RING has all the ingredients for an instant success: plots, counterplots, mystery, valiant knights, and blossoming relationships replete with broken hearts, deception and betrayal. It will keep you entertained for hours, and will s... 750 pages 4.4 MB 12.49 Big Nate: Game On! http://www.feedbooks.com/item/478285 urn:ISBN:9781449441029 urn:ISBN:9781449427771 Lincoln Peirce http://www.feedbooks.com/search?query=contributor%3A%22Lincoln+Peirce%22 Harper Chuck http://www.feedbooks.com/search?query=contributor%3A%22Harper+Chuck%22 Barkes Shelly http://www.feedbooks.com/search?query=contributor%3A%22Barkes+Shelly%22 2013-04-17T04:29:30Z 2013-04-17T04:29:30Z en Andrews McMeel Publishing, LLC 2013-04-15 To sixth-grader Nate Wright, life is one big game. So when he suits up for any sport, he does it with an unmistakable swagger. From fine-tuning his trash-talking skills on the basketball court to his cocky 'tude in the soccer goal, Nate can ... 63.7 MB 7.49 Confessions: The Paris Mysteries http://www.feedbooks.com/item/870011 urn:ISBN:9780316405867 urn:ISBN:9780316405867 James Patterson http://www.feedbooks.com/search?query=contributor%3A%22James+Patterson%22 Maxine Paetro http://www.feedbooks.com/search?query=contributor%3A%22Maxine+Paetro%22 2014-09-20T15:05:10Z 2014-09-24T14:55:29Z en Little, Brown and Company 2014-10-05 The City of Lights sets the stage for romance, drama and intrigue in the latest Confessions novel from the world's bestselling mystery writer!After investigating multiple homicides and her family's decades-old skeletons in the closet, Tandy Angel ... 304 pages 2.2 MB 9.99 Blood-Kissed Sky http://www.feedbooks.com/item/378454 urn:ISBN:9780062202758 urn:ISBN:9780062020666 J. A. London http://www.feedbooks.com/search?query=contributor%3A%22J.+A.+London%22 2012-12-08T01:38:32Z 2014-11-25T11:41:25Z en HarperCollins 2012-12-25 There's nowhere left to hide.Ithought vampires were our enemies—they controlled our lives, isolated our cities, and demanded our blood—until I met Victor. With Victor taking over as the new Lord Valentine, things were supposed to get b... 368 pages 600 KB 8.99 Starlight http://www.feedbooks.com/item/143155 urn:ISBN:9780061757440 urn:ISBN:9780060827625 Erin Hunter http://www.feedbooks.com/search?query=contributor%3A%22Erin+Hunter%22 2011-09-11T05:32:19Z 2014-11-25T04:38:26Z en HarperCollins 2009-10-12 Before there is peace, blood will spill blood, and the lake will run red... The gripping adventure that began with a small housecat in Into the Wild continues with Book Four of the thrilling Warriors spin–off series The New Prophecy. These c... 4 MB 6.99 Vampire Journals Bundle (Books 1, 2 and 3) http://www.feedbooks.com/item/862621 urn:ISBN:9780984975303 urn:ISBN:9780984975303 Morgan Rice http://www.feedbooks.com/search?query=contributor%3A%22Morgan+Rice%22 2014-09-14T00:49:04Z 2014-09-13T22:56:45Z en Morgan Rice 2014-09-01 "A book to rival TWILIGHT and VAMPIRE DIARIES, and one that will have you wanting to keep reading until the very last page! If you are into adventure, love and vampires this book is the one for you!" --Vampirebooksite.com (Turned)The #1 Bestsellin... 750 pages 1.1 MB 7.29 Michael Vey 4: Hunt for Jade Dragon http://www.feedbooks.com/item/844927 urn:ISBN:9781481424400 urn:ISBN:9781481424387 Richard Paul Evans http://www.feedbooks.com/search?query=contributor%3A%22Richard+Paul+Evans%22 2014-08-13T11:51:23Z 2014-08-21T14:14:59Z en Simon Pulse/Mercury Ink 2014-09-15 Michael and his friends must rescue a child prodigy as the thrilling action continues in this electrifying fourth installment of the #1 New York Times bestselling series!Michael, Taylor, Ostin and the rest of the Electroclan head to China in searc... 320 pages 4.1 MB 10.99 Earthquake http://www.feedbooks.com/item/803721 urn:ISBN:9781101594308 urn:ISBN:9781595146526 Aprilynne Pike http://www.feedbooks.com/search?query=contributor%3A%22Aprilynne+Pike%22 2014-06-20T11:41:26Z 2014-09-18T11:10:43Z en Razorbill 2014-07-07 Tavia Michaels has discovered that she's an Earthbound-a fallen goddess with the power to remake the Earth-and that a rival faction of Earthbounds, the Reduciata, has created a virus that is literally wiping swaths of the planet out of existence. ... 352 pages 1.1 MB 10.99 The Kissing Hand http://www.feedbooks.com/item/674751 urn:ISBN:9781933718361 urn:ISBN:9781933718002 Audrey Penn http://www.feedbooks.com/search?query=contributor%3A%22Audrey+Penn%22 2013-12-08T09:31:29Z 2014-09-19T18:33:53Z en Tanglewood Press 2009-12-07 School is starting in the forest, but Chester Raccoon does not want to go. To help ease Chester's fears, Mrs. Raccoon shares a family secret called the Kissing Hand to give him the reassurance of her love any time his world feels a little scary. S... 32 pages 4.8 MB 9.79 Jack-o'-lantern House http://www.feedbooks.com/item/618239 urn:ISBN:9780802490803 urn:ISBN:9780802490803 Francena H. Arnold http://www.feedbooks.com/search?query=contributor%3A%22Francena+H.+Arnold%22 2013-10-05T14:33:12Z 2014-04-16T13:24:31Z en Moody Publishers 1954-12-31 Kathy is sent to the country for her junior year of high school while her parents are in England. Though she quickly adapts to her new surroundings, Kathy is sorely disappointed in the rude, sulky boy who also lives at her cousins' house. In th... 96 pages 3.4 MB 2.79 Wolf: The Journey Home http://www.feedbooks.com/item/614276 urn:ISBN:9781619630284 urn:ISBN:9781582346892 'Asta Bowen http://www.feedbooks.com/search?query=contributor%3A%22%27Asta+Bowen%22 2013-09-29T20:01:36Z 2014-02-20T17:43:50Z en Bloomsbury USA Childrens 2013-07-31 When Marta, a wolf mother, and her pups are displaced by a group of well-meaning naturalists, it sets into motion a heroic journey marked by excitement, peril, and sometimes tragedy. From high in the Canadian Rockies, the wolves travel from one ad... 288 pages 1.7 MB 4.49 That Witch! http://www.feedbooks.com/item/498002 urn:ISBN:9781623806934 urn:ISBN:9781623806927 Zoe Lynne http://www.feedbooks.com/search?query=contributor%3A%22Zoe+Lynne%22 2013-05-18T06:40:41Z 2013-09-11T11:42:40Z en Harmony Ink Press 2013-05-15 Secrets of Majestic Hills: Book One Cassidy Ryan and Brynn Michaels attend the same high school, but they live in different worlds. Cassidy's a popular cheerleader, and Brynn's the social leper. One is all sunshine and rainbows, while the other ... 700 KB 5.29 Dangerous Love http://www.feedbooks.com/item/360426 urn:ISBN:9781250030528 Francine Pascal http://www.feedbooks.com/search?query=contributor%3A%22Francine+Pascal%22 2012-11-19T13:12:34Z 2014-11-03T09:22:29Z en St. Martin's Press 2012-11-26 Is this the end of Todd and Elizabeth?"No motorcycles." That is the one rule not to be bent or broken in the Wakefield house. Ever since their cousin was killed in a crash, Elizabeth and Jessica are forbidden to go near them.So when E... 2.99


text:
Park Place Infiniti Sponsors Smiles for Survivors Park Place Infiniti is sponsoring the fourth annual Blow Out Breast Cancer event, presented by the Smiles for Survivors foundation and Square Colour Salon and Spa. [Read More…] Governor's Office of Energy Approves Solar Tax Incentives Highlighting its commitment to renewable energy in Nevada, the Governor's Office of Energy… [More…]
Park Place Infiniti Sponsors Smiles for Survivors; Governor Approves Solar Tax Incentives
October 16, 2014 By Nevada Business Mag Leave a Comment
Filed Under: Around the State Weekly Tagged With: 14 Hands, 4G Wireless, : Mary Beth Scow, A3T Incorporated DBA Elite Audio, AARP, Accountable Care Organizations, Adopt a Rescue Pet, Advanced Packing, Alecia Warren, All Things Integrated, AMA, American Advertising Federation ADDY Awards, American Capital Energy, American Institute of Architects, American Marketing Association, American Urological Association, America's Got Talent, Anaheim business, Anaheim Convention Center, Anaheim technology, Angela Bates, Annual Economic Development and Small Business Awards, Arnold & Porter in the Environmental Practice, Atlantic City Convention Center, Aviva Gordon, Banfi, Banger Brewing, Bank of Nevada, Barbara Cegavske, Baron Fini, Becker's Hospital Review, Becky Harris, Benjy Garfinkle, Bill Milone, BIM, Bingo and Beers, Biofloral USA Corporation, Biz Talk Radio, BKM Patrick 102, Blackstone, Blow Out Breast Cancer, Bob Coffin, Brent Dill, Brent James, Brian Sandoval, Bryan Martin, Building Information Modeling, CA Las Vegas NRB LLC, California business, California healthcare, California technology, Capital One, Capital One Financial Corporation, CareMeridian, Catholic University of America, CCSD, Cecilia Lee, Cedars-Sinai Accountable Care, Cedars-Sinai Medical Center, Center for Talented Youth at Johns Hopkins University, Centers for Disease Control and Prevention, Certified Construction Document Technologist, Certified Professionals in Catering and Events, Chandon, Chateau St. Jean, Chateau Ste Michelle, Chris Giunchigliani, Chris Lane, Christian Kolberg, Christopher Edwards, Christopher Fava, City of Henderson, Clark County, Clark County School District's Nevada Learning Academy, Clark County Schools, Cleveland Clinic, Cleveland Clinic Lou Ruvo Center for Brain Health, Cliffs of Glassy, Clos De Bois, Colliers International, Colliers International - Las Vegas, Colores Del Sol, Columbus School of Law, Communications Campaign of the Year, Connie McMullen, Construction Specifications Institute, Cork & Fork, Cox Business, Cox Communications, CSI, Culinary Academy of Las Vegas, Cut and Taste, CyberKnife, D23, Dan Doherty, Daniel Mathis, David A. Grant, DaVita Healthcare Partners Inc., Dawn Waters, Dean R. & Penny S. Brunner, Dean Willmore, Demand Side Management, Dennis Paul Anderson, Derek Wayne Armstrong, Derrick R. Hill, DESRI, Dickson Realty, Drylands, e-gads!, Education Initiative, Edward Vance, Eldorado Business Center, Elisabeth Winnen, Elizabeth High Esq, Ellen Beth Barre Spiegel, Energy Efficiency, Energy Star, Energy Tax Abatement Program, Entrepreneur of the Year, Environmental Protection Agency, Eric Molfetta, Erven Tebbs Nelson, Estancia, EV&A Architects, Executive of the Year, Female Entrepreneur of the Year Award, First Independent Bank, FJM Vegas Holdings, Florence Drake Elementary School, Florence Jameson, Fort Worth Convention Center, Foundation of NACE, Frank Lloyd Wright, Frank Marretti, Gabbiano, Gabe Telles, Gaming & Regulatory Law Group, Gatski Commercial Real Estate Services, Gensler of Nevada, George R. Brown Convention Center, Gimme Some Sugar, ging and Disability Services Division, GLVAR, GOE, Gordon Silver, Governor's Office of Energy, Graeagle, Gragson Beltway Belcastro, Greater Las Vegas Association of Realtors, Greg Pancirov, HCA Inc., HealthCare Partners California ACO, HealthCare Partners Nevada, HeART of Giving Gala, Heidi Kasama, Henderson business, Henderson Business Resource Center, Henderson Chamber of Commerce, Henderson commercial real estate, Henderson economy, Henderson Nevada business, Henderson real estate, Henderson's Economic Development/Redevelopment, Henderson's Water Street District, Hidden Crush, Hillcrest Dental, Hilton Lake Las Vegas, Honorable Valerie P. Cooke, Hospitality Network, House that Love Built, Humana, Hyde Park Middle School, I-View Now, IBM, IMPAC, Intermountain Healthcare, iPad, Irish Mike's Perform, Issues Mobilization Political Action Committee, JA Finance Park, James Edward Ohrenschall, Janet Mello, Jason Matthew Frierson, Jason Simon, Jeff DeHarty, Jeffrey A. Silver, Jerry Doty, Jimmy John's, Joe Heck, Joe Lombardo, Joe Swedish, Joe Tortomasi, John Cameron Hambrick, John Cannito, Johns Hopkins Medicine Alliance for Patients, Jon Trabert, Jonathan Perlin, Joseph P. Hardy, Josh Cellars, Junior Achievement of Southern Nevada, Katherine Miller, Kaufman Jacobs, Keep Memory Alive Event Center, Kent Thiry, Kevin Page, Kim Crawford, Kim Wallin, KPS|3 Marketing, KTR LV IV LLC, La Plaza Business Center, Lake Industries, Lakeland Management, Landmark Ventures, LaPour Corporate Center, Las Vegas business, Las Vegas charity, Las Vegas commercial real estate, Las Vegas economy, Las Vegas education, Las Vegas energy, Las Vegas Global Economic Alliance, Las Vegas healthcare, Las Vegas law firms, Las Vegas Library, Las Vegas real estate, Las Vegas technology, Leadership in Energy and Environmental Design, LEED, Lexus of Las Vegas, Lionel Sawyer & Collins, Longford Medical Center, Los Angeles Convention Center, Lotus Broadcasting, LVGEA, Lynn Stewart, Main Street, Major Arena Soccer League, Management Data Systems International, Mandalay Bay Resort and Casino, Marc Longwith, margin tax, Marilyn Kaye Kirkpatrick, Mark Haley, Mark Hutchison, Mark West, Marriott Marquis Hotel, Martin Newland, Master of Ceremonies, Mayor Carolyn Goodman, MCA Civic Center, McDonald, McDonald's, MCP Airport Center, MD&M West, Medical Marijuana Establishment, Melissa Woodbury, MGM Grand Detroit, Michael Craig Roberson, Michael Gallagher, Michael Grimm, Michael Hughes, Michele Fiore, Michelle Jackson, Microsoft, Mike De Lew, Mike DeLew, Mike Reed, Mike Willden, Missy Check, Moises Denis, Mortgage Forgiveness Debt Relief Act, Mount Veeder, Multiple Listing Service, Nakoma, Nakoma Country Club, Nakoma Golf Resort, Nakoma Resort Discovery Center, NAMM Show, Natalie Mungo, National Education Center, Natural Products Expo West, Nevada Bureau of Health Care Quality and Compliance, Nevada Bureau of Pharmacy, Nevada business, Nevada charities, Nevada charity, Nevada commercial real estate, Nevada Commission on Aging Strategic Plan Accountability Subcommittee, Nevada Department for Veterans Services, Nevada economy, Nevada education, Nevada energy, Nevada Health Care Association, Nevada Health Care Forum, Nevada healthcare, Nevada law firms, Nevada real estate, Nevada State Bank, Nevada State Board of Nursing, Nevada State Investment Services, Nevada technology, Nevada Women's Fund, Nevada's Department of Health and Human Services, New York, New York-New York Hotel & Casino, NFL, Northern Nevada, Northmarq Capital, NV Energy, NV Energy's Sure Bet Program, NVHCA, Oleksandra Ruffin, Olya Banchik, Orange County Convention Center, Park Place Infiniti, Pat Marsh, Patricia Lynn Farley, Patti J. Shock, Paul Caudill, Paul Milakeve, Paul Thomsen, Paws and Pints, PAX Prime, Penfolds, Penn Medicine, Perry Foundation, Phil Ruffin, Phillip Dunning, Phoenix Convention Center, Plumas County, POPPED, Primal Roots, Prologis NA3 NV, property tax, PSX, Question No. 3, Rancho High School, Randy Boesch, Ravenswood Lodi, Rebecca Staniec, Renae E. Russo, Renewable Energy Tax Abatement Program, Reno Advertising Club, Reno buiness, Reno business, Reno commercial real estate, Reno education, Reno law firms, Reno Private Banking Office, Reno real estate, Reno-Sparks Convention Center, Revocable Trust, Revzilla Motorsports LLC, Rex Goliath, Ricki Barlow, Roadmap to Success, Rob Lujan, Robert Kidd, Robert McBeath, Robert Torres, Robert Tzall, Robert Wood Johnson Foundation, Robertson+Partners, Robin Nelson, Rock 'n Roll Gala, Ronald McDonald House Charities, RTH, Ruffino, Ryan Martin, Ryland Whitaker, Sam Fuchs, Sam Lieberman, Sam Newman, Sam's Town Hotel & Gambling Hall, San Diego Comic-Con, Sandeman, Sarah D. Barder Fellow, Sarah Ryan, Scot Marker, Scott Gragson, Scott Muelrath, Scott Walquist, Searchlight Solar, Sellen Sustainability, Siena clinic, Sierra Neurosurgery, Simi, Simply Naked, Smart City Networks, Smiles for Survivors, Society of Urodynamics and Female Urology, Society of Women in Urology, Soroptimist International of Reno, South Central AV, South Point, South Point Arena, Southwest Gas, Southwest Medical Associates, Spencer Pinter, Spread the Word Nevada, Square Colour Salon and Spa, Stanford University, State University of New York, Stephanie Kruse, Stephen Silberkraus, Steven Horsford, Stevie Awards for Women in Business, Sunrise Children's Hospital, Susan Borst, Swiss LTD, Tabatha Cantrell, Taber Thill, Tampa Convention Center, The District, The District at Green Valley Ranch, The Dragon, The Dreaming Tree, The Henderson Chamber of Commerce, The International School of Hospitality, The Las Vegas Legends, The Lennox Las Vegas, The PENTA Building Group, The Private Bank, The Private Bank by Nevada State Bank, The Range 702, The Residence Club, The Schomac Group, The Smith Center for the Performing Arts, Thorny Rose, Tim Brooks, Tim Hollenbeck, Timothy M. Lam, Timothy SY Lam, Timothy SY Lam and Patti J. Shock Education Scholarship, TISOH, TLF Logistics II, Today's Readers, Todd Lefkowitz, Tom Anderson, Tom Morton, Tom R. Skancke, Tomorrow's Leaders, Tony Bonnici, Total Care Model, Tracy Viscosi, Trevor Hayes, Tucson, U.S. Green Building Council, United Blood Services, United Blood Services of Las Vegas, United States District Court, United Way of Northern Nevada and the Sierra, University California San Diego, University of Nevada Las Vegas, University of Tennessee College of Medicine, University of Tennessee Medical Center, UNLV, Urology Specialists of Nevada, UWNNS, Vector Media, Vegas Ventures, VF Logistics, Virginia Beach Convention Center, VMSN, Volunteers from Soroptimist International of Reno, Volunteers in Medicine of Southern Nevada, Volunteers in Medicine of Southern Nevada Ruffin Family Clinic, Washington State Convention Center, WellPoint, Wells Fargo, Wendy Simons, WGH Partners, White Mar Capital Pahrump, Wilbert Y.K. Yee, Wild Horse, Winifred Quinn, WM Capital, Women Helping Women, WonderCon, Woodbridge, Yale University School of Medicine, Zelma Hulet, Zions Bancorporation, Zions Bank, Zions Insurance Agency
Cecilia Lee, LTD Welcomes Lawyer Elizabeth High
October 8, 2014 By Abbi Whitaker Leave a Comment
Elizabeth joins the team with more than twelve years of experience RENO, Nev. –Nationally recognized Reno law firm, Cecilia Lee, Ltd., welcomes Elizabeth High, Esq. to the firm. High completed her law degree at the Catholic University of America, Columbus School of Law, graduating summa cum laude in 2002. After graduation, High served as federal… [More…]
Filed Under: Press Release Wire Tagged With: Arnold & Porter in the Environmental Practice, Catholic University of America, Cecilia Lee, Columbus School of Law, Elizabeth High Esq, Gaming & Regulatory Law Group, Honorable Valerie P. Cooke, Las Vegas business, Las Vegas law firms, Lionel Sawyer & Collins, Medical Marijuana Establishment, Nevada business, Nevada law firms, Reno business, Reno law firms, United States District Court
Legal Elite 2014: Nevada's Top Attorneys
June 1, 2014 By Nevada Business Mag 1 Comment
This year's Legal Elite polling garnered 6,454 nominations of attorneys from across the Silver State. This annual list highlights Nevada's top attorneys as chosen by their peers. All votes are based on nominations from other attorneys and the following pages highlight the top vote getters in Northern Nevada, Southern Nevada, the Best Up and Coming… [More…]
Filed Under: Cover Story Tagged With: Aaron R. Maurice, Abran E. Vigil, Adam R. Fulton, Akerman LLP, Alex J. De Castroverde, Alexander L. Fugazzi, Alicia G. Johnson, Alissa L. Neufeld, Allen J. Wilt, Allison MacKenzie Pavlakis Wright & Fagan, Allyson R. Noto, Amanda C. Yen, Ambrish S. Sidhu, American Family Insurance Group, Andersen Law Firm, Anderson Keuscher PLLC, Andrea K. Pressler, Andrew D. Moore, Anjali D. Webster, Ann Marie Hansen, Ann Morgan, Anne M. Loraditch, Anthony B. Golden, Anthony J. Diraimondo, Anthony M. Paglia, Anthony N. Cabot, Anthony Paglia Injury Lawyer, Anthony R. Sassi, Armstrong Teasdale, Armstrong Teasdale LLP, Ashcraft & Barr, Atkinson & Watkins, Attorney General's Office, Austin K. Sweet, Avansino Melarkey Knobel Mulligan & McKenzie, Bach Law Firm, Bailey Kennedy, Ballard Rawson, Ballard Spahr, Ballard Spahr LLP, Beckett Yott McCarty & Spann, Berna L. Rhodes-Ford, Blakeley E. Griffith, Bogatz Law Group, Bonnie F. Drinkwater, Bowen Hall, Boyd B. Moss III, Brandon Kemble, Brandon R. Price, Brenoch Wirthlin, Brett A. Axelrod, Brian G. Anderson, Brian L. Blaylock, Brian R. Irvine, Briscoe Law Group, Brooks Bauer LLP, Brownstein Hyatt Farber Schreck, Campbell & Williams, Candice E. Renka, Carbajal & McNutt, Caryn S. Tijsseling, Casey G. Perkins, Catherine A. Reichenberg, Catherine M. O'Mara, Catherine Reichenberg, Cecilia Lee, Chad R. Fears, Chapman Law Firm, Charles E. Gianelloni, Charles M. Vlasic, Charlie H. Luh, Chartered, Christian L. Moore, Christian T. Balducci, Christopher D. Kircher, Christopher Ford, Christopher L. Kaempfer, Christopher M. Rusby, Christopher P. Ford, Christopher R. Miltenberger, Christopher S. Connell, City of Henderson, City of North Las Vegas, Clark County Public Defender, Cody S. Mounteer, Colin Seale, Conor P. Flynn, Cotton Driggs Walch Holley Woloson & Thompson, Courtney G. Forster, Courtney M. O'Mara, Cox & LeGoy, Cunningham Law, Dale A. Hayes, Damian R. Sheets, Dan C. Bowen, Dana L. Howell, Daniel F. Polsenberg, Daniel R. McNutt, Daniel S. Ivie, Daniel T. Hayward, Darren T. Brenner, David A. Carroll, David A. Garcia, David C. O'Mara, David J. Merrill, David J. Stoft, David M. Lewandowski, David R. Gordon, David R. Koch, David W. Gutke, Dawn M. Cica, De Castroverde Law Group, Debra L. Spinelli, Dennis L. Kennedy, Diana A. Zuccarini, Donald J. Campbell, Dora V. Lane, Doreen M. Spears Hartwell, Douglas C. Flowers, Downey Brand LLP, Drinkwater Law, Eglet Wall Christiansen, Elias George, Elias P. George, Elizabeth M. Fielder, Eric A. Pulver, Eric D. Hone, Eric T. Aldrian, Erickson Thorpe & Swainston, Erika Pike Turner, Erin E. Lewis, Exemplar Law LLC, F. McClure Wallace, F. Travis Buchanan, Fahrendorf Viloria Olphant & Oster LLP, Fennemore Craig Jones Vargas, Fidelity National Law Group, Fisher & Phillips, Ford & Friedman, Fox Rothschild, Fox Rothschild LLP, Frank A. Schreck, Frank M. Flansburg III, Frederick R. Battcher, G. Barton Mowry, G. David Robertson, Gabriel A. Blumberg, Ganz Hauf Carpenter, Garrett D. Gordon, George F. Ogilvie, Georgeson Angaran, Ghandi Deeter Law offices, Global Business Lawyers - Lovaas & Lehtinen, Gordon & Rees, Gordon Silver, Greenberg Traurig, Greenberg Traurig LLP, Greg Brower, Gregory E. Garman, Gunderson Law, Gunderson Law Firm, Hall Jaffe & Clayton, Henderson City Attorney's Office, Hofland and Tomsheck, Holland & Hart, Holly E. Estes, Houser & Allison, Howard & Howard, Humphrey Lopez PLLC, Hutchison & Steffen, Iglody Hulet Hogan, J. Colby Williams, J. Randall Jones, Jack Chen Min Juan, Jack F. DeGree, Jack G. Angaran, Jack R. Hanifan, Jackson Lewis, Jacob A. Reynolds, Jacob D. Bundick, Jacob S. Smith, James E. Harper, James E. Whitmire, James J. Pisanelli, James L. Porter, James Newman, Jamie A. Frost, Jamie L. Thalgott, Jamie L. Zimmerman, Janet L. Chubb, Janine C. Prupas, Jared M. Sechrist, Jared P. Green, Jarrod L. Rickard, Jason C. Morris, Jason D. Smith, Jason M. Gerber, Jay A. Kenyon, Jay Young, Jefferson C. Temple, Jeffrey F. Barr, Jeffrey L. Hulet, Jennifer A. Fornetti, Jennifer Ko Craft, Jennifer Roberts, Jeremy R. Reichenberg, Jess P. Rinehart, Jessica S. Hanson-Anderson, Jessica S. Taylor, Joel D. Henriod, John D. Tennert III, John E. Bragonje, John F. Keuscher, John F. Murtha, John H. Gutke, John L. Krieger, John P. Desmond, John P. Witucki, John R. Bailey, John R. Funk, Johnson Law Practice, Joice B. Bass, Jolley Urga Woodbury & Little, Jonathan J. Tew, Jordan A. Davis, Jordan T. Smith, Joseph A. Liebman, Joseph J. Wirth, Joseph Liebman, Joseph P. Garin, Joseph P. Hardy, Joseph R. Ganley, Josh M. Reid, Joshua D. Correlli, Joshua H. Reisman, Joshua Tomsheck, Justin L. Carley, Justin L. Watkins, Justin S. Hepworth, Kade D. Miller, Kaempfer Crowell, Kara B. Hendricks, Karl F. Rutledge, Karl O. Riley, Katherine L. Hoffman, Keith D. Williams, Kelley N. Goldberg, Kelly J. Fessler, Kelly L. Kindelan, Kemp Jones & Coulthard, Kendal L. Davis, Kendelee L. Works, Kenneth E. Hogan, Kerry J. Eaton, Ketan D. Bhirud, Kevin A. Pick, Kevin M. Sutehall, Kevin R. Stolworthy, Kimberly M. Surratt-Tierney, Kimberly P. Stein, Kirk B. Lenhard, Kirk C. Johnson, Kirk D. Homeyer, Koch & Scow, Koeller Nebeker Carlson & Haluck, Kolesar & Leatham, Kravitz, Kring & Chung, Krisanne S. Cunningham, Kristan E. Lehtinen, Kristin M. Tyler, Kristina E. Gilmore, Kristopher T. Zeppenfeld, L. Ed Humphrey, Lambrose and Brown, Lance N. McKenzie, Lara A. Pearson, Larson & Zirzow, Las Vegas business, Las Vegas lawyers, Laurie A. Yott, Law Office of Jack R. Hanifan, Law Office of Tory D Allen, Law Offices of Alan R. Smith, Lawrence J. Semenza III, Laxalt & Nomura, Legal Elite, Lemons Grundy Eisenberg, Lesley B. Miller, Leslie S. Godfrey, Leverty & Associates Law Chtd., Lewis Roca Rothgerber, Lewis Roca Rothgerber LLP, Liane K. Wakayama, Lindsay C. Demaree, Lionel Sawyer & Collins, Lipson Neilson Cole Seltzer Garin, lizabeth A. 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Hernquist, Robertson Johnson Miller & Williamson, Robison Belaustegui Sharp & Low, Rosenauer & Wallace, Routsis Hardy-Cooper, rrin J. H. Johnson, Ryan A. Andersen, Ryan D. Russell, Ryan J. Works, Ryan M. Lower, Ryan W. Leary, Sallie B. Armstrong, Samuel A. Schwartz, Samuel R. Mirkovich, Samuel S. Lionel, Sandra Douglass Morgan, Santoro Whitmire, Sarah F. Hardy-Cooper, Sarah P. Long, Schnitzer & Johnson CHTD, Scott A. Knight, Scott S. Hoffmann, Sean M. McGuinness, Severin A. Carlson, Shane J. Young, Shawn G. Pearson, Shay L. Wells, Shemilly A. Briscoe, Shumway Van & Hansen, Sidhu Law Firm, Silver State, Silvestri Gidvani, Snell & Wilmer, Snell & Wilmer LLP, Solomon Dwiggins & Freer, Soraya T. Aguirre, Springel & Fink LLP, Stephanie H. Allen, Stephanie K. Funk, Stephen Rosen, Steve Morris, Steven C. Anderson, Steven M. Silva, Surratt Law Practice, Sylvester & Polednak, Tabitha D. Fiddyment Simmons, Talitha B. Gray Kozlowski, Tara C. Barnes, Tara H. Popova, Taylor L. Randolph, Terry A. Coffing, Terry A. Moore, The Hayes Law Firm, The Schwartz Law Firm, THE702FIRM, Thomas G. Ryan, Thorndal Armstrong Delk Balkenbush & Eisinger, Timothy J. Riley, Timothy M. Clausen, Timothy R. Mulliner, Timothy R. O'Reilly, Tina Yan, Todd L. Bice, Tory D Allen, Tracy A. DiFillippo, Tracy A. Gallegos, Troy L. Atkinson, US Attorney's Office for the District of Nevada, Watt Tieder Hoffar & Fitzgerald, Wilbur M. Roadhouse, William E. Peterson, William J. O'Grady, William N. Miller, William R. Urga, Wood Smith Henning & Berman, Woodburn & Wedge, Yan Kenyon, Zachariah Larson


text:
Twelve texts you'll probably get from Mom during the holidays
Texting can help you bond with your family.
November 28, 2014 | Herb Scribner Deseret News | National
Barbie can be an engineer
"Barbie: I Can Be A Computer Engineer" sounds like the kind of book that pushes gender stereotypes and teaches young girls that they can do anything they set their minds to. Yet despite its title, the book has faced substantial criticism from both parents and engineering professionals.
November 28, 2014 | Joseph Peacock Deseret News | National
Sons born to twin brothers on same night
Twins share a lot of things: birthdays, clothes, toys and friends -- you get the picture.
November 28, 2014 | | National
Calorie counts coming soon to a theater near you
The U.S. Food and Drug Administration announced finalized rules on Tuesday regarding calorie information in chain restaurants and other retail food establishments. Calorie counts will now be required to appear at movie theaters, gas stations and fresh food bars at grocery stores, among other venues serving food.
November 28, 2014 | Kelsey Dallas Deseret News | National
Adults expect to spend $720 on holiday gifts
Early January brings a small flood of women into Erica McCain's financial services office near Cincinnati, Ohio. Many come to borrow against their retirement after bingeing on pre-Christmas sales.
November 28, 2014 | Lois M. Collins Deseret News | National
Seven things you should know about marriage therapy
The holiday season isn't an easy time for anyone. There's gift buying, meal planning and the wicked wintry weather wreaking havoc on the streets.
November 28, 2014 | Herb Scribner Deseret News | National
A nation of Methuselahs
Is death optional? Can aging be cured? A human life with no expiration date has long been the stuff of science fiction, but some scientists believe these screenwriter fantasies will one day be real, as lifespans creep upward and medicine advances.
November 28, 2014 | Jennifer Graham Deseret News | National
Feeling depressed about the holidays?
As the holiday season approaches, I become apprehensive. The pressure of organizing for the holidays can get overwhelming. At times, I do tend to forget what the holiday season is all about. In addition, the holidays remind me of my family members who have passed. Though it has been years since their departure, it feels as if it was just yesterday. I can honestly say, between the pressure and the loss of my loved ones, I do get depressed. But I find ways to gain the strength to enjoy the holidays with my family and friends and be grateful for ...
November 28, 2014 | Mayra Bitsko FamilyShare | National
Ms. Iselin and Mr. Hadley to wed
Mr. and Mrs. Frederick Downes Iselin of Camden are pleased to announce the engagement of their daughter, Tinsley Simonds Iselin to Dakota Lee Hadley, son of Lee Wayne Hadley of Orange, Texas and Susan Palmer of Palm Beach, Florida. Miss Iselin is the granddaughter of the late Andrew Simonds Drury and Mary Murray Bennett Drury of Charleston. She is also the granddaughter of the late Oliver Iselin Jr. of Glen Head, New York and the late Elizabeth Downes Iselin of Camden, New South Wales. Mr. Hadley is the grandson of the late Allen Van Palmer and the late Barbara Ann ...
November 28, 2014 | | Localife
NCHS key club and NCMS Beta Club collect shoeboxes for 'Operation Christmas Child'
North Central Middle School's Jr. Beta Club sponsored a "Operation Christmas Child" shoebox project this year and collected more than a dozen boxes.
November 28, 2014 | | Localife
Wateree kindergarteners have Thanksgiving feast
November 28, 2014 | | Localife
Ellna M. Porter
Ms. Ellna M. Porter, 81, of 17 Aspen Court, Elgin, South Carolina passed on Wednesday, November 19, 2014. Funeral arrangements are incomplete and will be announced at a later date by Nelson-Haile Funeral Home.
November 28, 2014 | | Obituaries
Fore! more years
If there is any sport which can test a person's soul, golf would have to be at or near the top of the list.
November 28, 2014 | Tom Didato | Camden High/Middle
Ariail for Nov. 28, 2014
November 28, 2014 | | Ariail
Black Friday
Thanksgiving generally marks the beginning of the Christmas shopping season, though commerce in this country is a continually changing animal. Black Friday, the day after Thanksgiving when many stores have kicked off big sales and deep discounts, appears to be lessening in importance. Retail experts say there's more of a trend now in discounting that starts before Black Friday and extends well beyond it. Shoppers have become so accustomed to discounting among retailers that many are determined from the outset not to pay full price for anything.
November 28, 2014 | | Editorials
Archive site results
WWI exhibit now on display at Camden Archives
An exhibit on World War I is now on display through June 2015 at the Camden Archives and Museum.
November 19, 2014 | | Camden
Ariail for Nov. 19, 2014
November 19, 2014 | | Ariail
Operating under the simple premise that citizens have a right to know as much as they can about how their government officials operate, and how that affects governmental agencies as a whole, we almost always favor laws and regulations which require transparency in government. Transparency, of course, is an overused word, but it basically means that government agencies must operate in a way that allows citizens to observe what's happening, and even to have input about what's taking place.
November 19, 2014 | | Editorials
Sheriff responds to firearms discharge ordinance decision
The committee to study whether or not Kershaw County should enact some type of firearms discharge ordinance finally came back with its finding. As I fully expected, there will be no ordinance of any kind to deal with this growing problem. William Tetterton, a criminal defense attorney, former prosecutor and friend of mine chaired this committee. Mr. Tetterton was against any kind of firearms discharge ordinance from the beginning, so it seems a little disingenuous that a man who was strongly opposed to any firearms discharge ordinance would chair a panel deciding on whether or not one should be enacted.
November 19, 2014 | Jim Matthews Kershaw County Sheriff | Letters
Sheheen: 'It is the journey that matters most'
I try to live life as a journey full of unknown destinations. And I do believe it is the journey that matters most. During the last year, I was blessed enough to experience a journey throughout our wonderful state of South Carolina. A campaign for governor is a journey through the hearts and souls of many people and places. A statewide campaign is sometimes brutal and sometimes joyful, but never dull. I treasure that journey and thank my friends in Camden and Kershaw County for letting me experience it.
November 19, 2014 | State Sen. Vincent Sheen Guest Op-Ed | Columns
Millennial spendthrifts? Not so
WASHINGTON -- Millennials are foolhardy spendthrifts. But young people basically always are, and that's probably OK.
November 19, 2014 | By Catherine Rampell Washington Post Writers Group | Columns
Crime Report for Nov. 19, 2014
During undercover operations Monday, the Kershaw County Sheriff's Office (KCSO) cited four businesses for selling tobacco or alcohol to underage buyers. According to a KCSO press release, underage participants under KCSO supervision attempted to make illegal purchases at 23 businesses where tobacco and alcohol are legally sold.
November 19, 2014 | By Gary Phillips and Tenell Felder C-I editorial staff | Crime-Police-Fire
For the Record - Nov. 19, 2014
Real estate transactions
November 19, 2014 | | For the Record
Low and non-specific expectations
I used to have high and/or specific expectations for everything. I was never cynical. As a matter of fact, I was the most optimistic person I knew.
November 19, 2014 | Simone T. Owens | Columns
Yesteryear for Nov. 19, 2014
Youth show an interest in and knowledge of history
November 19, 2014 | | Yesteryear
NSA honors its 2014 champions
Jacqueline Ohrstrom's Demonstrative, winner of three Grade 1 races in 2014, was crowned Saturday as the National Steeplechase Association's Lonesome Glory Champions Award winner as the year's leading earner.
November 19, 2014 | | Equine
Marriage rate fairly stable since Great Recession
Many may think marriage in America is on the decline. But recent data from Bowling Green State University shows that compared to the first eight years of the millennia, the marriage rate has remained fairly stable.
November 18, 2014 | Herb Scribner Deseret News | National
Kissing can get you sick...?
You've probably heard that kissing can get you sick. You're right.
November 18, 2014 | Herb Scribner Deseret News | National
Parents see adoption as chance to help others at home, abroad
Ashley and Nick Nabors are a family of two. But in a matter of time, they'll be a family of four.
November 18, 2014 | Herb Scribner Deseret News | National
Meet a gym staffer who teaches with wet towels
I've highlighted some unusual corporate and customer service experiences since launching this weekly column in 2010.
November 18, 2014 | Jason Wright Deseret News | National
Contents of this site are © Copyright 2014 Chronicle Independent All rights reserved. Privacy policy and Terms of service


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BNC Female to RJ45 Network Testing Cable - Black
Model 5030025 Quantity 1 Color Black Material UL rubber + copper Features BNC female to RJ45; Length: 8cm Application Used for monitoring cable testing; A connecting
free shipping
(0 Review)
» DIY Parts & Components
Add To Cart
DIY Testing Probe Clip Cable - Red (90cm / 2-Piece)
Model 1100003 Quantity 2 Color Red Material Rubber + Iron Features Testing clip cable, length: 90cm Application perfect for DIY projects Packing List 2 x Cables
More Buying Choices
(1 Review)
Electrical Wire Testing Clips Hooks (20-Piece)
Model H0042 Quantity 20 Color Red Material Plastic + copper Features test wire connection Application DIY projects wire test Packing List 20 x Test clip hook
Bread Board Test Cable - Multicolored (140 PCS)
Quantity: 140Piece Color: Multicolored Material: PVC English Manual Spec: Yes Certification: QC
Portable HDMI Cable Tester + Remote Tester Set - White + Orange
Color: White + Orange + Multi-Colored Model: HDMI Tester Quantity: 1Piece Material: Plastic Powered By: 9V battery not included Battery Number: 1 Battery included or not
» Testers & Detectors
UNI-T UTL01 SMD Component Testing Clip - Black
- Cable length: 40cm
- Soft cloth and mild detergent should be used to clean the testing probe
- Do not soak in the liquid
(3 Reviews)
LSON PM50-E2 0.9mm Testing Probe Pins w/ Cables - Golden + Multicolored (100 PCS)
Color: Golden + Multicolored Power: Others Brand: LSON Model: PM50-E2 Quantity: 1Set Material: Gold-plated copper
» Soldering Supplies
LSON PM50-F1 0.9mm Testing Probe Pins w/ Cables - Golden + Multicolored (100 PCS)
Color: Golden + Multicolored Power: Others Brand: LSON Model: PM50-F1 Quantity: 1Set Material: Gold-plated copper
Double-use Network Cable Tester
Color: Black + Multicolor Brand: N A Quantity: 1Set Material: ABS Powered By: 1 x 9V battery not included
» Other Network Gadgets
9V 6F22 Battery for Multimeter / Microphone / Cable Testing Gauge - Green + Black (2 PCS)
Application Multimeter, microphone, cCable testing gauge, electronic toy, IC memory unit, etc. Packing List 2 x Batteries
» Batteries
NS-468AT Network & Telephone Cable Tester
- Model: NS-468AT
- Plastic case material
- Can test network cable, RJ45 twisted-pair cable, telephone cable
- Uses 1 x 9V battery not included
- Comes with carrying
Uni-t UT-L09 Multi-function Cat 3/5 Testing Cable (100cm) - Red+Grey
Brand Uni-t Model UT-L09 Quantity 1 Color Red,Grey Material Plastic,metal. Features Multi-use,double-insulation, Application Connection and testing use.
» Other Instruments
Universal Table SMD Component Testing Clip - Black + Red
Suitable for measuring SMD components;
Cable length: 45cm;
Soft cloth and mild detergent should be used to clean the testing probe;
Do not soak in the liquid
RJ45 / BNC Network Cable Tester
Color: Greyish White + Black Brand: N A Quantity: 1Set Material: ABS Powered By: 1 x 9V battery not included
Multimeter Alligator Clip Test Lead Cable - Red
Alligator clip test lead can be used in electrical or laboratory electric testing work. Alligator clips are frequently used in school physics laboratories to quickly and
(12 Reviews)
» Multimeters
Universal Testing Accessories for Instrument and Multimeter - Black + Red
Brand N A Model N A Quantity 1 Color Black + red Material Iron Features Suitable for instrument and multimeter test connection Packing List 2 x Connection cables 80cm
MS8236 Digital Network Multimeter + Cable Tester
- Measures DC and AC voltages and currents, resistances, test circuit continuity and diodes, detect phone line mode, judge break points in cable lines, track the routing of cable
(2 Reviews)
Banana Plug to Alligator Clip Test Probe Cable - Black
Model 6392 Quantity 1 Color Black Material Plastic + iron Features Banana plug to alligator clip, cable length: 100cm Application Electrical test, DIY project Packing
CHL 8288 Multipurpose Lines Communication Scanning / Testing Device / Wire Tracker - Red + Grey
multi-purpose lines communication scanning and testing device. Except the telephone line, network cable, electric line functions, it also has these following functions: open
» DIY Tools
Multifunctional RJ45 / USB Network Cable Tester
Color: Black + Multicolor Brand: N A Quantity: 1Set Material: ABS Powered By: 1 x 9V reduplicated battery not included
Multimeter Alligator Clip Test Lead Cable - Red + Black (90cm / 2PCS)
multimeter testing use
- 2 pieces per pack
LODESTAR LA04021 Testing Leads for Multimeter - Black + Red (Pair/90cm)
Application Great for multimeter testing Packing List 1 x Pair of testing leads
» Other Tools
Mini Portable Network Cable Tester - Black + Orange
battery; power consumption: 20mA; it can test twisted-pair cable 1, 2, 3, 4, 5, 6, 7, 8, G; key: "ON" for normal testing speed, "S" for slow, "M" for manual. Main tester: 1-2-3
BNC Crocodile Clamps Test Connection Cable - Red + Black (100cm)
, LED lamp, electronic equipment etc.
- Packing list:
-1 x BNC test cable 100cm
Pro'skit MT-7058 Mini Lan Cable Tester - White + Green
-1: test RJ45 8P8C LAN cable and RJ11 12 6P 2C.6P 4C.6P 6C phone cable, indicates BNC cable and shield; LED light and audio sound indicate connections and faults; Low
3-in-1 RJ45 Network / RJ11 and USB Cable Tester
The cable tester can be used for RJ45 network, RJ11 and USB cable. It can test the cables with reliable accuracy. This is a useful tool for technicians in installation
(28 Reviews)
» Network Cables and Adapters
LSON PL50-H2 0.9mm Testing Probe Pins w/ Cables - Golden + Multicolored (100 PCS)
Color: Golden + Multicolored Power: Others Brand: LSON Model: PL50-H2 Quantity: 1Set Material: Gold-plated copper
LSON PL50-B1 0.9mm Testing Probe Pins w/ Cables - Golden + Multicolored (100 PCS)
Color: Golden + Multicolored Power: Others Brand: LSON Model: PL50-B1 Quantity: 1Set Material: Golf-plated copper
XD-10 DIY Smart Home Kit Bluetooth Wireless Remote Control Switch + Testing Environment for Arduino
1 x RFID module
1 x Keyring of RFID
1 x White card of RFID
1 x Temperature module
4 x 4-button modules
10 x DuPont cables 30cm
1 x LM35 temperature sensor
1 x
» Kits
BEST 402 Ultra-Sharp Multimeter Test Lead Cable - Red + Black
. Packing List 1 x Pair of Multimeter Test Lead Cable
(7 Reviews)
FLUKE TL10 Replacement Test Lead Cable Set - Black + Red (2 PCS)
Brand FLUKE Model TL10 Quantity 2 Color Red + Black Material Stainless steel + electro-insulating rubber Special Functions High quality test leads Application Replaces
» Gadgets
RJ45/RJ11 Network and Telephone Cable Tester Keychain
- Small size, save your space
- Capable of testing various network cables
- Low consumption of electricity
- Convenient handling
- Powered by 9V 6F22M laminated cell NOT
(14 Reviews)
Banana Plug to Alligator Clip Wire Test Cable (100cm / 5 PCS)
Model NO Quantity 5 Color Red + Black Material Silicone + copper Specification Cable length: 100cm Features Banana Plug to Alligator Clip Wire Application Wire testing
Dual-Head Crocodile Alligator Clip Test Lead Cable (10 PCS)
Alligator clip test lead cables
SC8108 2.6" LCD Network Cable Tester (4 x AA)
- Model: SC8108
- Color: Grey + Black
- Plastic material housing
- 2.6" LCD display
- Suitable for 5E, 6E, coaxial and telephone line
- Checks wiring error such as: open
NF-388 2.5" LCD Network Communication Cable Tester w/ Receiver - Red (1 x 6F22)
- Display: 2.5" LCD
- Cable testing type: STP UTP twin twisted cable, telephone line
- Cable detection type: 5E 6E telephone wire, coaxial cable, USB cable and other metal wires
Multimeter Test Leads/Probe Cables (85CM-Length)
- Suitable for most multimeters
- Cable length: 85cm
RJ45/RJ11 Network and Telephone Cable Tester
(23 Reviews)
MASTECH MS6813 Multi-function Network Cable / Telephone Line Tester Detector Tracker
Token Ring cables testing. - UTP and STP co-axial cable testing. - Network integrity and configuration examination. - Open shorts circuit, miss wiring, reversals, and split
(9 Reviews)
Multimeter Test Leads/Probe Cables (90CM)
These test leads are CAT III 1000V 10A leads. These are good quality yet economical leads. These leads are about 43" from tip to plug end, flexible wires, very useful
(21 Reviews)
W03 0.28" Digital Car Blue Backlight Voltmeter Testing Device - Black + Green (DC 3.20V-30V)
Brand N A Model W03 Quantity 1 Color Black + green Material PCB panel Specification Measuring voltage: DC3.20-30V; Comes with standard wire, reverse connection of the bat
NSHL-468VR Plastic Cable Tester w/ RJ45 / RJ11 - Black + Orange
Color: Black + Orange Brand: N A Model: NSHL-468VR Quantity: 1Piece Material: Plastic Interface: RJ45 , RJ11 Powered By: Special battery Supports System: Win xp , Linux ,
UTL16 Multimeter Test Lead Cable - Red + Black (2 PCS)
Multimeter test lead cable Resistance ohm Packing List 2 x Test lead cables 120cm
UNI-T UTL23 Multimeter Test Lead Cable - Red + Black (120cm / 2 PCS)
Brand UNI-T Model UTL23 Quantity 2 Color Red + Black Material ABS Features Multimeter Test Lead Cable with thread Packing List 2 x Test leads
0.6" USB 0.1~3A Current / 3~7V Voltage Test Cable w/ Indicator - White (1m)
Color: White Model: N A Quantity: 1Piece Material: ABS Screen Size: 0.6inch Powered By: USB
HJ Digital Servo Tester / ESC Consistency Tester for R/C Helicopter
to compare the performance steering gear control of the steering servo output signal can be accurate to 2us 1 milliseconds = 1000 microseconds , you can test the steering
(5 Reviews)
» Other Accessories
Multimeter Banana Plug to Alligator Clip Test Probe Cable - Red + Black (100cm)
test Other Features Cable length is 100 cm; Polarity is easy to distinguish colors; Good contact;Transmission performance is good. Certification 3C,UL,FCC,CE Packing List 1
» A/V Adapters & Converters
Lodestar LA06003 BNC to Clip RF Coaxial Test Cable - Black + Red (110CM)
Color: Black + Red Brand: Lodestar Model: LA06003 Quantity: 1Piece Material: Plastic Other Features: Total length:110cm Certification: CE
UNI-T UT-L03 Multimeter Test Leads/Probe Cable (100CM)
- Brand: UNI-T
- Model: UTL03
- Color: Black + Red
- ABS material
- Length: 100cm
- Operating temperature: -10'C~40'C
WLXY WL-32 Network Cable Tester Diagnostic Tool Kit Box - Green + Black + White + Grey + Yellow
is for test of network connection, check network cable Packing List 1 x Network tester 10 x RJ-45 connectors 1 x Network cable crimping pliers 1 x RJ-45 connector case 1 x
5.5 x 2.1mm DC Power Plug Alligator Clip Test Lead Cable - Red + Black
Model N A Quantity 1 Color Red + black Material Plastic + metal Features 5.5 x 2.1mm DC power plug, Length: 20cm Application Test leads for PC, security camera, LED
M726AT LAN RJ45 RJ11 USB Cable Tester - Black + Blue (1 x 9V)
either on patch panel or wall plate which can use the remote terminator
- Supports testing cable: USB A A , USB A B , RJ45 cable, RJ11 cable
- TX: 1 x RJ45 + 1 x USB A-Tape
Multi-purpose Remote Network RJ45/Phone RJ11 Cable Tester and Tracer with Audible Feedback
- Function:
Line status test
DC level detection circuit and to determine positive and negative polarity
Telephone ring bell signal flow detection
- Power: 2* DC, 9V
Banana Plug to Alligator Clip Test Probe Cable - Red + Black (2PCS / 1.2m)
Quantity: 2Piece Color: Red + black Material: Plastic + copper English Manual Spec: No Certification: No
4mm Banana Plug to Alligator Clip Probe Cable Test Lead - Red + Black (100cm / 10 PCS)
List 10 x Probe cable test leads 100cm
FLUKE TL10 Replacement Test Lead Cable Set - Black + Red (2 PCS / 120cm)
- Brand: Fluke
- Model: TL10
- Color: Black + Red
- Material: Plastic + copper
- Cable length: 120cm
- High quality test leads, Replaces your damaged test leads
DIY Dual-Head Alligator Clip Test Lead Cable - Black + White + Multi-Colored (10 PCS)
Color: Black + White + Multi-Colored Brand: N A Model: 002 Material: Plastic + copper Quantity: 10Piece Compatible Model: DIY connection cable
» Repair Parts and Tools
SC6106 1.5" LCD Network Cable Tester - Ash Black (4 x AAA)
Color: Ash Black Brand: N A Model: SC6106 Quantity: 1Piece Material: Plastic Interface: RJ45 Powered By: AAA Battery Supports System: Win xp,Win 2008,Win vista,Win7 32,Wi
DIY Double-end Alligator Clip Wire Test Cable (50cm / 10-Piece Pack)
each leads Application Wire testing connecting cable Packing List 10 x Alligator clip wire
(11 Reviews)
BNC-4mm Cable / Test Cable (100cm)
Brand: MaiTech Quantity: 1Piece Color: Black Material: Plastic +iron English Manual Spec: No Certification: NO
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Steel Toe Slip-On Shoes
4 Item(s)
Nautilus Mens Black Steel Toe Slip-On Oxford Shoes N1630
$92.00 Free Shipping 5 Reviews 322
Nautilus Shoes: Men's Steel Toe Slip-On Shoes N1620
$92.00 Free Shipping 14 Reviews 322
Nautilus Shoes: N1600 Men's Moss Steel Toe Slip-On Shoes
$92.00 Free Shipping 5 Reviews 322
Nautilus Shoes: Ergolite Composite Safety Toe Slip On Shoes N110
$75.00 Free Shipping 3 Reviews 263
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- Starring: Emma Caulfield, James Marsters, Sarah Michelle Gellar
- Summary: "Theorizing that one could time travel within his own lifetime, Dr. Sam Beckett stepped into the Quantum Leap accelerator and vanished. He woke to find himself trapped in the past, facing mirror images that were not his own and driven by an unknown force to change history for the better. His only guide on this journey is Al, an observer from his own time, who appears in the form of a hologram that only Sam can see and hear. And so Dr. Beckett finds himself leaping from life to life, striving to put right what once went wrong, and hoping each time that his next leap will be the leap home."… Expand
- Genre(s): Drama, Science Fiction
- Creator: Donald P. Bellisario
- Show Type: Ended
- Season 5 premiere date: Sep 22, 1992
- Episode Length: 60
- Air Time: 12:00 AM
- More Details and Credits »
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Dec 16, 2013One of the best Sci-Fi TV series ends on a rushed and somewhat disappointing final episode. The Lee Harvey Oswald episode was legendary. All the other episodes were great, aside from the Evil Leapers, which were quite weird (thought the writing there had its own cleverness and was a bit frightening). The show returns to some of its campiness and History Channel style view of the supernatural, with The Devil and aliens making appearances.… Expand
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When HANNA instruments introduced its first version of the pHep (pH electronic paper) in 1986, it immediately revolutionized the standard in pH measurement. pHep`s ease-of-use in combination with its affordability made it possible...
High accuracy with 0.01 pH resolution
Two point fast and accurate calibration
Usable with virtually any electrode that shares the same connector
3000 hours of battery life
HI 1270 small diameter probe fitseasily into a ...
The HANNA HI 711 Checker HC bridges the gap between simple chemical test kits and professional instrumentation. Chemical test kits are not very accurate and only give 5 to 10 points resolution while professional instrumentation...
Phosphates are particularly important for the growth and development of plant roots, and hence are one of the most common fertilizers used in agriculture. In addition, phosphates are usually utilized in detergents and are needed, ...
The Hanna Checker Kit includes 4 of the most commonly used Hanna Checkers used in the Marine Aquarium.
Phosphate Checker
Calcium Checker
Alkalinity Checker
pH Checker
pH Calibration Fluids and Electrode Storage ...
Direct probe connection
Automatic calibration
Automatic Temperature Compensation
The Primo series of testers provide a fast and dependable way to measure the total dissolved solids or conductivity in your water samples. It...
Spare pH electrode, with Teflon ® junction, 2 m (6.6') cable, for general purpose, water treatment and agriculture.


text: Pre Spring Concert photo View full-size image < previous next > Is this photo a winner? "Photo taken T-minus 15 minutes to concert - we're all keyed up and ready to go. We get so may compliments when we wear our Tshirt from CustomInk. Designing and ordering was a breeze. Re-order this year was totally painless." - North County Homeschool Choir (May 27, 2014) Share this photo on: Twitter Facebook Pinterest Similar Photos: choir chorus | k12 | k-12 | concert | large group | students | band orchestra music Feeling inspired? Visit the CustomInk Design Lab to start your own group order. Design Your Own


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Brothers jailed for conspiring to attend terror training camp in Syria
Two brothers have been jailed for conspiring to attend a terror training camp in Syria.
Stewart Downing felt England's comfortable victory over Scotland was further evidence that they can win over their post-World Cup critics.
19 November 2014
Cardiff City will decide later this month whether to give Ravel Morrison another chance to fulfil his potential after a disappointing spell on loan at the Championship club.
16 November 2014
I don't do social media - but I know a lot of people who do, including my wife. The subject has come up again this week after the three-match suspension for Rio Ferdinand for something he tweeted.
31 October 2014
Sam Allardyce seems to be getting the credit he deserves at last with another excellent result for West Ham last weekend.
31 October 2014
Sam Allardyce today warned his West Ham players that the pressure is on to maintain their impressive start to the season.
28 October 2014
Queens Park Rangers climbed up from the foot of the Premier League table on Monday night, comfortably seeing off a tame Aston Villa side.
28 October 2014
Scans confirm striker has NOT suffered a break, but Hammers wait to hear when striker can return
27 October 2014
Tony Gale has told Keith Hackett he still cannot forgive the former referee for controversially wrecking West Ham's dreams of reaching the FA Cup Final 23 years ago.
27 October 2014
Manager Sam Allardyce knows the biggest test of whether West Ham's new boys Diafra Sakho and Enner Valencia can last the distance in the Barclays Premier League is fast approaching.
27 October 2014