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OBJECTIVE Anterior cruciate ligament (ACL) reconstruction is recommended in athletes
with high physical demands. Several techniques are used in reconstruction;
however, the most relevant question still is the best biomechanical
positioning for the graft. The present study aimed to analyze the
biomechanical effect of the position of bone tunnels on load distribution
and joint kinetics, as well as the medium-term functional outcomes after ACL
METHODS A biomechanical study using a finite element model of the original knee (without anterior cruciate ligament rupture) and reconstruction of the ACL (neoACL) was performed in four combinations of bone tunnel positions (central femoral-central tibial, anterior femoral-central tibial, posterosuperior femoral-anterior tibial, and central femoral-anterior tibial) using the same type of graft. Each neo-ACL model was compared with the original knee model regarding cartilaginous contact pressure, femoral and meniscal rotation and translation, and ligamentous deformation.
RESULTS No neo-ACL model was able to fully replicate the original knee model. Whenthe femoral tunnel was posteriorly positioned, cartilage pressures were 25% lower, and the mobility of the meniscus was 12 to 30% higher compared with the original knee model. When the femoral tunnel was in the anterior position, internal rotation was 50% lower than in the original knee model.
CONCLUSION Results show that the femoral tunnel farther from the central position appears to be more suitable for a distinct behavior regarding the intact joint. The most anterior position increases rotational instability.
Keywords: rupture; anterior cruciate ligament; reconstruction; anterior cruciate ligament.
OBJETIVO A reconstrução do ligamento cruzado anterior é aconselhável sobretudo em
atletas de alta demanda física. Diversas técnicas são usadas na
reconstrução, mas a grande questão é qual o melhor posicionamento para o
enxerto. Analisar o efeito biomecânico da posição dos túneis ósseos na
repartição de carga e cinemática da articulação, bem como os resultados
funcionais em médio prazo, após reconstrução do ligamento cruzado
MÉTODOS Fez-se um estudo de simulação biomecânica computacional com modelos de elementos finitos do joelho original e com reconstrução do ligamento cruzado anterior (Neo-LCA) em quatro combinações de posição dos túneis ósseos (femoral central-tibial central, femoral anterior-tibial central, femoral posterossuperior-tibial anterior e femoral central-tibial anterior) com o mesmo tipo de enxerto. Para cada modelo, foram comparadas a pressão de contato na cartilagem, a rotação e translação do fêmur e dos meniscos e a deformação nos ligamentos.
RESULTADOS Nenhum modelo de Neo-LCA foi capaz de reproduzir, na íntegra, o modelo do joelho original. Quando o túnel femoral era colocado em posição mais posterior, observaram-se pressões na cartilagem 25% mais baixas e translação dos meniscos superiores entre 12% e 30% relativamente ao modelo intacto. Quando o túnel femoral estava em posição mais anterior, observou-se uma rotação interna do fêmur 50% inferior ao modelo intacto.
CONCLUSÃO Os resultados evidenciam que uma localização do túnel femoral mais distante da posição central parece ser mais preponderante para um comportamento mais díspar relativamente à articulação intacta. Na posição mais anterior existe um aumento da instabilidade rotatória.
Palavras-chave: ruptura; reconstrução do ligamento cruzado anterior; ligamento cruzado anterior.
|Citation: Completo A, Noronha JC, Oliveira C, Fonseca F. Biomechanical Evidence on Anterior Cruciate Ligament Reconstruction*. 54(2):190. doi:10.1016/j.rbo.2017.11.008
|Note: * Work developed at the Departamento de Engenharia Mecânica of the, Universidade de Aveiro, Aveiro, Portugal.
|Received: September 06 2017; Accepted: November 28 2017
Anterior cruciate ligament (ACL) lesions are very frequent in sports (70%)1 However, the medium and long-term success of the reconstruction of the ACL (neoACL) is directly related to the alignment/positioning of the bony tunnels, as well as to the tension of the ligament graft. The positioning of the bony tunnels is critical to knee kinetics and biomechanics,2 and it influences surgical outcomes. Finite elements models simulate knee biomechanical characteristics both at the ligament level and at the cartilage level; moreover, these models allow the calculation of the different tensions generated either without ACL rupture or with ligament reconstruction. In the present study, neoACL was simulated based on finite element models. The ligament was replaced by four bone-tendon-bone (BTB) grafts.3 The positioning of the bone tunnels was reproduced from the cadaveric study developed by one of the authors of the present paper (JCN), which simulated several positional possibilities, always with the same type of reconstruction, and compared them with the original model. Some biomechanical conditions, cartilaginous contact pressures, femoral posterior translation and rotation, meniscal translation, and maximum ligamentous main strains (tension) generated by the various positions could be calculated, allowing us to predict the medium and long-term risks incurred by an operated knee.
The original knee model was developed in a computer from the 3D Open-Knee Model, which was prepared from magnetic resonance imaging (MRI) of the left knee of a 77-year-old cadaver4,5 and consisted of distal femur, proximal tibia, cartilage, intact menisci, collateral ligaments, cruciate ligaments, and proximal fibula (►Fig. 1). The tibial slope was 5º posterior.
Meanwhile, four geometric models with neoACL were developed based on the studies of Noronha.5 These four models were prepared with the CATiA CAD software (Dassault Systèmes, Vélizy-Villacoublay, France) by replacing the ACL with a BTB graft with a cross-section equivalent to the intact ligament. Since the different positions of the tibia and femur tunnels reproduced those described in the experimental cadaveric work from Noronha,5 which were the positions closest to the original ACL isometry, the same nomenclature was used (►Fig. 2). Acronyms FC and TC represent the central-natural ACL positions in the femur (FC) and in the tibia (TC), respectively; acronyms FA and TA represent the most anterior tunnels with respect to the central-natural positions of the femur (FA) and of the tibia (TA), respectively; acronym FPS represents a femoral tunnel in posterosuperior position (FPS), and acronym TAI represents a tibial tunnel in the anterointernal position (TAI). Based on the different positions of the tibial and femoral tunnels, four combinations of neoACL were analyzed: FC-TC, FA-TC, FC-TA, and FPS-TAI (►Fig. 2). The different geometries of each model were imported to the Abaqus software, version 6.13 (Dassault Systèmes, Vélizy-Villacoublay, France), in which the finite element mesh was generated (►Fig. 3) and simulations were made. The type of element, the number of elements and the number of knots at each structure from the different joint models are shown in ►Table 1. Although all of the materials from the different joint structures present a viscoelastic behavior, the short time of articular load application during knee flexion (t = 1 second) approximates their behavior to linear elastic6 with elastic moduli (E) and Poisson ratio (í),7-12 detailed in ►Table 2. The interaction-attachment conditions between the different joint structures attempted to approach the physiological condition, considering that the tibia and the femur are solidary in the neoACL models reconstructed with BTB grafts. Interactions between bone surfaces and ligamentous and cartilaginous attachment zones were modeled as rigid connections. The remaining interactions between the different structures were modeled with frictionless contact.6 The fixation of the meniscal horns was modeled with 10 springs (350 N/mm) per horn (►Fig. 3). Numerical models, forces, and moments developed in the knee during a 75 kg-person gait cycle were applied to the models.13,14 The joint flexion resulted only from the application of forces and momentum in the femur, since the fibula and the tibia were fixed in the distal zone (►Fig. 3). The tibial-femur joint force (Fy), the patellofemoral anteroposterior joint force (Fx), and an abduction-adduction momentum at the frontal plane (Mx) were applied to the femur (►Fig. 3). The evolution of the Fy and Fx forces and of the Mx in the joint during flexion, lasting 1 second, are shown in ►Table 3.13,14 A test was performed up to a flexion angle of 100º, higher than the 60º normally developed in the gait cycle. The parameters analyzed were contact pressure in the cartilage; femoral translation and rotations; meniscal translations at AL, PL, AM and PM (►Fig. 3); and maximum main deformations (traction) in the ligaments and in the neoACL.
|Element type
|Elements number
|Knots number
|Tibial cartilage
|Femoral cartilage
|NeoACL FC-TC
|NeoACL FC-TA
|NeoACL FA-TC
|NeoACL FPS-TAI
Abbreviations: ACL, anterior cruciate ligament; FA-TC, anterior femur and central tibia; FC-TA, central femur and anterior tibia; FC-TC, central femur and tibia; FPS-TAI, posterior-superior femur and anterior-internal tibia; LCL, lateral collateral ligament; MCL, medial collateral ligament; PCL, posterior cruciate ligament.
|Young modulus (MPa)
|Poisson ratio
Abbreviations: ACL, anterior cruciate ligament; LCL, lateral collateral ligament; MCL, medial collateral ligament; PCL, posterior cruciate ligament.
|Flexion angle
|Fy (n)
|Fx (N)
|Mx (Nm)
|2 º
|3 º
|4 º
|5 º
|7 º
|8 º
|9 º
Abbreviations: Fx, patellofemoral anteroposterior joint force; Fy, Tibial-femur joint force; Mx, momentum.
Maximum contact pressures in the femoral and tibial cartilages are presented in ►Fig. 4 for the intact model (without neoACL) and for the neoACL models in flexion of up to 60º (gait cycle). The highest value of contact pressure occurred in the intact model in the medial tibial cartilage (12 MPa). The neoACL FPS-TAI model was the most different from the mean pressure values of the intact model, while the remaining neoACL models presented values 25% lower than the intact model. Maximum femoral rotations in the transverse (internal rotation) and frontal planes are shown in ►Fig. 5. The FACT model was the one with the lowest rotational values in both planes, with a mean value 50% lower than the other models for the flexion of up to 60º. The 70º to 100º flexion interval presented nominal values of maximum rotation in the inverse direction to the other models. Regarding the posterior translation of the femur (rollback) in flexion of up to 60º (►Fig. 6A), all of the analyzed models presented similar values, ~ 16 mm. The movements in the anterior (AL and AM) and posterior (PL and PM) points of the meniscus (►Fig. 6B) presented different values among the analyzed models. The neoACL FA-CT model presented the lowest values of posterior translation, with a value 30% lower than the intact model. The neoACL FPS-TAI model presented the highest values, with translational values 12 and 30% higher than the intact model. The deformations in the different joint ligaments are presented in ►Fig. 7. In flexion of up to 60º (gait cycle), the posterior and anterior cruciate ligaments presented more distinct behaviors among the neoACL models. In the posterior cruciate ligament, the FA-CT model presented 40% lower deformation values than the intact model, while the neoACL FC-TC and FPS-TAI models presented 30% higher values. In the anterior cruciate ligament, the neoACL FA-CT model showed a deformation value 100% higher than the intact model, while the FPS-TAI model presented a 30% lower value. In the flexural complement between 70º and 100º, the neoACL FA-CT model showed deformation values 2 to 3 times higher than the intact model, whereas the FPS-TAI model showed 3 times lower deformation values.
We have decided to consider only knees with intact meniscus, normal cartilage, mechanical axis of 180º and tibial inclination of 5º, and only kinematics variations and joint pressures introduced by the different bone tunnels were studied. The introduction of more variables would increase noise and difficult the interpretation of our objectives. The cartilage contact pressure gradients exhibited by the intact model (natural ACL) closely follow the normal asymmetrical load distribution on the natural knee, resulting in contact pressures in the upper medial tibial cartilage of about between 30 and 40% of those observed on the flexural lateral side during the gait cycle.14,15 Similarly, the kinematic results of the intact model regarding femoral rotations and posterior translation (rollback), as well as the posterior meniscal movements during flexion, were in the same range obtained in the natural knee.2,16-18 This ability of the intact model to approximate the behavior of the natural knee in terms of load distribution and of femoral and meniscal kinematics during flexion shows its validity for the comparative study of neoACL , which was the main object of the present study. In the comparison of the contact pressure in the tibial cartilage of the different models with neoACL, all of the models presented peak values within the physiological range, between 8.2 and 12 MPa.15 However, the FPS-TAI model was the most distant from the behavior of the intact model and from the normal load distribution in the joint, since it presented higher pressure values in the lateral tibial cartilage than in the medial one. Apparently, the combination of the posterosuperior femoral tunnel with an ante-rointernal tibial tunnel alters the load distribution in the joint in a more significant way. Regarding the maximum femoral rotations, the FA-CT reconstruction model, with a more anterior femoral tunnel and a central-natural positioned tibial tunnel, showed the lowest values of femoral rotation in the transverse plane (internal rotation) and in the frontal plane rotation in up to 60º flexion, with values 40% lower than the intact model and other neoACL models. This same FA-CT model presented peak rotational values in the opposite direction to the other models at 70º to 100º flexion, indicating that the most anterior position of the femoral tunnel (FA) changes more significantly the femoral rotational kinematics in this range of joint flexion. Regarding posterior femur translation during flexion, all of the neoACL reconstruction models presented values identical to the intact model; apparently, the different locations of femoral and tibial tunnels did not alter the femoral rollback effect in the range of flexion of the gait cycle. Regarding the movement of the menisci in their anterior and posterior regions, the neoACL reconstruction models that presented values more distinct from the intact model were the FPS-TAI, which showed a tendency for a greater posterior displacement of both menisci, and the FA-TC, which exhibited the smallest displacement of the menisci of all of the analyzed models. In this case, the removal of the tunnels from their natural central positions in the femur, either anteriorly (AF) or posteriorly (FPS), appears to have the greatest influence on meniscal mobility. As for the state of deformation of the ligament and neoACL traction, in up to 60º flexion (gait cycle), it was verified that the models FA-TC and FPS-TAI presented the most different values of deformation compared with the intact model, especially in the cruciate ligaments. The model with the most anterior femoral tunnel, FA-CT, showed the lowest deformation in the posterior cruciate ligament. On the other hand, the femoral tunnel model in the most posterior position, FPS-TAI, showed the lowest deformation value in the neoACL between all of the analyzed models, whereas the model with the most anterior femoral tunnel, FA-CT, presented the highest deformation values, two times higher than in the intact model. This confirms that the positioning of bone tunnels during neoACL affects both the load distribution at the joint and the kinematics of its structures. The neoACL models closer to the structural and kinematic behavior of the intact model were those with more central-natural positioned femoral tunnels, namely FC-CT and FC-TA. Both models with femoral tunnel farthest from the center, either in the anterior direction, FACT, or in the posterior direction, FPS-TAI, presented the most distinct behaviors from the intact model for most of the analyzed parameters.
In agreement with the literature reports,19 the positioning of the femoral tunnel is important for joint mobility and the clinical outcome. However, we know that after neoACL, there is still the possibility of developing arthrosis, even without meniscectomy associated with the procedure. In the long-term, which corresponds to 10 years, this development is associated with loss of full extension and joint mobility.20 In 20 years of follow-up, the described risk factors for developing arthrosis were loss of full extension, meniscectomy (medial or lateral), cartilage disease, and aging of the patient.21 The present study shows that after neoACL, there is no return to the biomechanical state prior to the rupture of the ACL and, that by positioning the femoral tunnel more posteriorly, the surgeon contributes to a change in the load exerted at the cartilage level of about 25% compared with the knee without rupture of the ACL; in the medium/long-term, this can lead to degenerative cartilage changes. These experimental data compel us to reflect and try to find a femoral tunnel position that does not significantly change cartilage pressures, but that allows good knee stability after neoACL.
There are limitations associated with the present study. One of them is related to the simplification of the load state in the joint. However, the most preponderant joint forces during the gait cycle were considered. In addition, the viscoelastic behavior of different structures was not considered. Nevertheless, due to the short time of force application (t = 1 second), it is reasonable to consider an elastic behavior of these structures. Moreover, all of the structures were considered homogeneous, a situation different from the real one. However, due to the comparative nature of the present study, in which only the positioning of the bone tunnels was distinct between the models, it is assumed that this simplification does not alter the relative outcomes from different models.
The present study illustrates that the structural and kinetic behavior of the knee joint structures with neoACL varies according to the positioning of the bone tunnels. The best position seems to be central, that is, anatomical. The location of the femoral tunnel farthest from the central-neutral position is more predisposing to an unbalanced structural and kinematic behavior with altered cartilage load, and it may be the cause of the development of arthrosis in the long term.
The present study was funded by Programa Compete, through projects POCI-01-0145-FEDER-016574, PTDC/EMS-TEC/3263/2014, and project 3599 - PPCDT, shared by the European Community Fund (FEDER).


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Web Push Notifications
Push notifications can help you achieve what apps have long been able to do. Join us as we explore how to build the front-end and back-end of a push notification.
Getting Started With PaymentRequest
Getting started with the W3C Payment Request API
Speech Synthesis Demo
Enter text and play it back as speech with different voices and settings
Web Note Coloring Book
Web Note is a new feature of Microsoft Edge that helps you write, draw, make notes and share web pages.
Twilio and ORTC Phone Call
Use Microsoft Edge's ORTC API and Twilio Client to place a voice call from your browser to any phone number.
Compat Inspector
Use Compat Inspector to quickly identify which Internet Explorer platform changes affect your site.


text:
In this episode, we discuss the challenges and pain points of using traditional networks and how SD-WAN comes to the rescue.
SD-WAN technology is vast and cannot be captured in a single episode. Stay tuned for upcoming episodes to take you into SD-WAN journey and learn about:
- Challenges with traditional networking, pain points
- What is SD-WAN? Basics of SD-WAN
- Why SD-WAN? Why customers are moving towards SD-WAN?
- What network problem SD-WAN solves?
- What is the architecture for SD-WAN and their Core features?
- What are the form factors and different deployment options and more.....Stay tuned.


text:
Page 194
News (USA)
Cruz, Rubio clash sharply on national security, immigration
JULIE PACE and JULIE BYKOWICZ [AP]
News (USA)
Is Ted Cruz the best alternative to Trump that the Republicans have?
Cruz is positioning himself to be the last man standing. Scarily enough, that's a real possibility.
News (USA)
This man is trying to spearhead a "Gays for Trump" movement
""I'm tired of living a lie, so here it is: I'm gay… and I support Trump."
News (USA)
George Takei masterfully takes down Donald Trump
"It's ironic that he made that comment on December 7, Pearl Harbor Day, the very event that put us in those internment camps," Takei started.
News (USA)
Antigay pastor backs Donald Trump
The Reverend James David Manning is infamous for claiming that Starbucks flavors their lattes with 'gay semen."
News (USA)
Barbra Streisand accepts Medal of Freedom from Obama — and totally disses Donald Trump
Streisand imagines a televised debate between Clinton and Trump would be "one of the greatest moments in television history."
News (USA)
Frank Ocean: Trump is exploiting Paris for political gain
"How is it 'interesting' that these shootings happened in a country that's tough on guns? Tell us, Don."
News (USA)
Sarah Palin (and social media) weigh in on Starbucks' cup controversy
As the Internet spits out loads of hilarious memes, everyone from Sarah Palin to Donald Trump has strong words for Starbucks.
News (USA)
Ben Carson Claims Denying Marriage Equality Is "Perfectly Fair To The Gay Community"
The GOP debate proves the Republican presidential race has violated all the laws of electoral physics. Candidates eminently qualified for office have poll numbers that look like a toddler's age, and candidates who seem eminently qualified for psychotropic medications are in the lead.
News (USA)
Donald Trump calls 'pharma bro' Martin Shkreli a 'spoiled brat'
Trump's opinion of the CEO who tried to raise the price of a drug used to treat AIDS patients? "He is nothing."


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New Arrivals
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Anybody have a 40G breeder tank ( 36" L x 18" D x 16" H) I can buy that is in good condition?
Bigal's does not stock them apparently so its a custom order (4weeks)
I want to use this tank as my sump.
Thanks hyeah:
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Challenger Sports run over 4,000 professionally staffed summer camps and year-round coaching programs for players of all ages and abilities. Conveniently located in your local soccer communities, and in addition to helping develop your child's soccer skills, confidence, and understanding of the game, Challenger encourages children to become independent learners; to develop socially; and to better understand the meaning of respect, responsibility, integrity, sportsmanship, and leadership. Challenger's innovative curriculum will engage, educate, and entertain your child and each camp program include a free ball, t-shirt, poster, plus campers registering 30 days or more prior to camp will immediately receive a replica game jersey while supplies last!If interested in signing up, you can view the Challenger Sports online registration page here.
Challenger understands that players, coaches, parents and administrators all have different needs and priorities, and by listening to our customers for over 25 years we have created a TOTAL SOCCER company that caters to everyone involved in the game. Challenger Sports is owned and operated by some of the most experienced soccer people in the country and our team of 13 offices and 150 full time now provides a comprehensive range of services and products that include:
International Soccer Camps International soccer coaches delivering quality instruction with a fun, cultural, educational and character building twist…now featuring a new technology partner providing additional video instruction!
Next Level Training Advanced instruction for competitive players focusing on speed, agility, advanced technique and quickness of play.
SoccerPlus Camps Residential Camps for competitive goalkeepers and field players from the staff of former World Cup-winning coach, the late, Tony DiCicco.
GK Icon Camps Specialized goalkeeper training camp delivered at your club specifically for your keepers.
Challenger Soccer Academy Professional trainers and player development programs for teams and clubs during the fall and spring season.
TinyTykes An innovative pre-school soccer program that introduces young children to the game through stories, games, music and skill building activities.
Challenger World Tours An industry leading operator of exclusive, custom created soccer tours to Great Britain, Europe, Brazil and the USA.
Challenger Tournaments We operate our own professionally run events and provide tournament management for clubs looking to expand their own events.
Challenger Teamwear We manufacture, decorate and sell soccer, baseball, basketball and volleyball uniforms, and also are the 2nd largest distributor of Under Armour soccer products in the country.
39520 Murrieta Hot Springs Rd., #219-96Murrieta, California 92563


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Green Rush Daily: Cannabis Legalization Could Happen in 2019 for NYC | Cheddar
Green Rush Daily: Cannabis Legalization Could Happen in 2019 for NYC | Cheddar
The Co-Founder of Green Rush Daily joins Cheddar on the floor of the NYSE to discuss how cannabis could be legalized in NYC by 2019.
» Subscribe to CHEDDAR: http://chdr.tv/subscribe
Founded in October 2015, Green Rush Daily is the premiere digital publication in the cannabis space. We are a cannabis-oriented publication offering up-to-date and breaking content on cannabis politics, news, business, technology, and culture. As a publication, we boast strong and witty editorial, and diversity–both of which we strive for across all platforms of our organization. This is the beauty of the cannabis industry: there is no glass ceiling, no threshold that is untouchable, no sphere impenetrable.
ABOUT CHEDDAR: Cheddar is a new video news network focused on covering the most innovative products, technologies, and services transforming our lives. The network covers this news through the lens of the companies and executives driving these changes. Live and on demand from its broadcast locations on the floor of the New York Stock Exchange, NASDAQ Marketsite, and the field, Cheddar will exclusively cover companies in technology (i.e. Google, Apple, Uber, Airbnb), media (i.e. Netflix, Disney, Hulu), and innovative consumer products (Lululemon, Chipotle, Tesla).
Connect with Cheddar online!
Find Cheddar on Facebook: http://chdr.tv/facebook
Follow Cheddar on Twitter: http://chdr.tv/twitter
Follow Cheddar on Instagram: http://chdr.tv/instagram
Visit Cheddar.com: http://chdr.tv/cheddar


text:
Select your check-in and check-out dates to view availability and the rates applicable.
Rates shown are based on two (2) persons sharing the room/unit per night. Hover over the rate to view alternate occupancies.
All 5 bedrooms fitted with a ceiling fan (4 en-suite). Main bedroom: Spa bath, air-con, double shower and basins. Open plan with separate toilet. Full Kitchen. DSTV, VHS and DVD machine. Double garage. Alarm and Burglar Bars. BBQ and plunge pool.
Sleeps: 16 guests (max 16 adults)
Children: from 0-16 years are allowed; over 16 years treated as adults
Rates shown are based on two (2) persons sharing the room/unit per night. Hover over the rate to view alternate occupancies.
Rates are quoted in South African Rand (ZAR). Subject to change without notice.
Travelling with children?
Children of all ages are welcome.
How to confirm?
Deposits are required to confirm a booking, usually 50% but sometimes as high as 100% depending on season and time till check-in.
Cancellation policy
Big Sky Villa levies a 10% admin fee on any refunds processed. Full amount minus 10% admin fee refunded for cancellations. If cancelled within less than 30 days notice, we will only refund after we have filled the relevant cottage/s. Should refunds to a swift bank account be required, an additional R185 charge will be levied.
SA-Venues.com® has been assisting travellers with their South Africa travel plans since 1999, and is the largest, independent online travel guide for South Africa available in both English and German.
SA-Venues.com © 1999-2019. All Rights Reserved. Find and book hotels and accommodation in South Africa. Sitemap


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Open House on 7/21 will still be held. The Captain Cookie ice cream truck will be serving delicious treats, so please stop by! Welcome to the picturesque neighborhood of Collingwood on the Potomac right off of GW Pkwy! Split-level 4BD/3BA with brand new roof, new kitchen appliances, and washer/dryer all as of July 11. Fresh exterior/interior paint. 2 fireplaces. Upper level with sunroom addition insulated and hooked up to central AC/heating system. Lower level family room + 1 bedroom perfect for office space, gym, or guest room. 1 car garage with workshop space. Sellers conducted a home inspection and addressed any items to make it even more move in ready for new buyers! Priced $30K below comps. Can't make it to the home? No problem! View the uploaded 3D virtual tour. Welcome Home.
Listing courtesy of Century 21 Redwood Realty. Selling Office: .


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August 21, 2019
What Happened to VAIO?
– Hey guys this is Austin. Do you remember Vaio? Back in the nineties and 2000s Sony absolutely cranked out weird but cool designs. Over the last few years though things have been a little bit quiet on and Vaio front ever since they went independent in 2014. That is until today with the brand


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Pick Up Close
Flight Delayed? We wait.
Free Cancellation on 99% of rides
24/7 Customer Service
Need Group Rates or a Corporate Account?
Fort McMurray Airport Shuttle Service
There are two shuttle services that service the airport: Roaming Shuttle Service they require a twelve hour notice for pickup so you have to make arrangements in advance. They provide clean and well maintained, and safe vehicles. The drivers are courteous and dependable. Hobo Express they provide clean, safe and well maintained vehicles and the drivers are courteous and dependable, you can pre-order the shuttle or find one outside of the airport.
Shared Ride Van
Take a fun trip to MacDonald Island Park, the one stop destination for walks and family fun. Get there today by reserving a shared ride van.
Private Van
If you desire a bit more privacy, simply book a Private Van to take you to all that Fort McMurray has to offer, including the Oil Sands Discovery Centre, a great and informative experience.
Private Sedan
Book a Private Sedan and take a quaint ride over to the beautiful Vista Ridge All Seasons Park, where you'll experience nature like you've never seen it before.
Local Personal Drivers
Do you have the urge to discover your own adventure? Find out what there really is to see and get one of our local personal drivers to help you discover Fort McMurray.
Private SUV
Book a Private SUV and check out the locally famous Live Bar and Grill, one of the tastiest places to eat.
Taxi Cab
Get a ride to the Fort McMurray International Airport by booking one our taxicabs, which are available for pickups as well as drop offs.
Stretched Limousine
If you need to get somewhere high class like the Fort McMurray Golf Club, be sure to arrive in style by booking one of our luxurious stretch limousines.
Get to the landmark, Tavern on Main for a tasty beverage with the gang. Get everyone there safely by booking a bus for the occasion.
|Fort McMurray Airport Shuttles
|Fort McMurray Airport Fort McMurray, Canada has the airport code YMM. I hope you brought you snow shoes and winter gear it is 14 degrees and snowing. Before you leave the airport you should take a walk and enjoy the great works of arts by artists such as Liz Ingram, Lucas Seaward, and David Robinson.
About Fort Fort McMurray Airport
Don't miss the beautiful Northern lights wall which features renditions of the Aura Borealis and the Boreal Forest. The you can visit Starbucks for a great cup of hot chocolate or coffee, before braving the elements. If you are continuing on please check the departure desk for the status of your connecting flight.
The airport designers know that making sure your electronic equipment are fully charged in the seating area between the seats is and electronic outlet and two USB hook ups for charging your electronics. There is free WIFI available. For the children we have an observation area that provides games with interactive games. There are restrooms with changing tables and low counters. For dinner is burger king and pizza.
Services for the disabled include barrier free restrooms ramps and elevators. There are barrier free lifts and access throughout the terminal. The designers have made sure that all of the needs or out travelers are met if you need further assistance please ask the attendants for help. There are ATMs and currency exchanges in the post security check areas.
If you are coming to the area for vacation there are many things for you to do they range from a heli-flight around Fort Fort McMurray, you can see bison roaming the wide open spaces around the area and also boating, skiing, fishing, and hunting. There are golf courses and Ski sloops and crystal clear lakes.
Hotels near YMM
YMM Contact Information


text:
The Democratic Alliance (DA) notes former President Jacob Zuma approaching the Supreme Court of Appeals to overturn the 2018 North Gauteng High Court ruling that he pays back money incurred by the State for his myriad of legal cases.
The DA is of the view that there are no new grounds for the former President's latest application for leave to appeal, as he already tried and failed in a previous bid to have the High Court judgment overturned.
The truth is that Zuma amassed millions of rands in legal fees for the alleged crimes he committed in his personal capacity which had nothing to do with his role as MEC, Deputy President or President. He is therefore personally liable for the costs incurred, and he must pay for it himself.
If Zuma was truly innocent, he would not engage in frivolous litigation in an attempt to milk the public coffers to pay for his legal challenges. He made his bed, and now he must lie in it. So too must any public office bearer who engage in legal matters in their personal capacity.
This latest application for leave to appeal is not only an attempt to have the State pay Zuma's legal fees, but it seems intentionally designed to undermine the High Court's judgement.
The DA trusts that the Supreme Court of Appeals will deal with this matter swiftly and decisively.


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Viessmann's comprehensive range of systems with flat-plate and vacuum tube collectors for domestic hot water steam boiler and hot water boilerLearn More
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What is combined heat and power? The high temperature exhaust from the engine is commonly fed into a waste heat boiler where either steam or hot water is Asia :Horlock:Combined cycle · Energy system · Power station · Boiler · Electricity generation · ThermBoiler Cleaning Methods & Techniques - Power Engineeringhttps:// Cycle; Gas Turbines; New including hot ash removal and using a process and by using dynamite they're able to save their water and clean their boilerLearn More
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Viessmann's comprehensive range of systems with flat-plate and vacuum tube collectors for domestic hot water steam boiler and hot water boilerLearn More


text:
Breaking news from around the world
Get the Bing + MSN extension
Now Available in Community - MBAS 2019 Presentation Videos
Catch the most popular sessions on demand and learn how Dynamics 365, Power BI, Power Apps, Power Automate, and Excel are powering major transformations around the globe. | View Gallery
2019 release wave 2 Discover the latest updates and new features to Dynamics 365 planned through March 2020
Release overview guides and videos Release Plan | View virtual launch event
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FastTrack Program | Finance TechTalks | Customer Engagement TechTalks | Talent TechTalks | Upcoming TechTalks
The Project Service (PS) solution will enable system-driven, automatic updates, in alignment with other Microsoft announcements that have highlighted the improved update process for Dynamics 365 (online):
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Solution Upgrade Timing and Impact:
The post Automatic Update Policy for Project Service appeared first on Microsoft Dynamics 365.
Business Applications communities


text: On 01/17/2018 01:56 PM, Adam Farley8 wrote: > If this is the consensus, then perhaps we should consider setting > --disable-warnings-as-errors by default (in the code), rather than > depending on the user using an option which is not part of the formal > build instructions. I'm not sure why. Building OpenJDK from source isn't exactly something that is done by normal users. If someone is willing to hack on the OpenJDK code base, I would assume they know about -Werror and similar options and how to control them. I mean, yes, you can change that to have -Werror turned off by default, but having the compiler complain less is usually a bad idea. Adrian -- .''`. John Paul Adrian Glaubitz : :' : Debian Developer - glaubitz at debian.org `. `' Freie Universitaet Berlin - glaubitz at physik.fu-berlin.de `- GPG: 62FF 8A75 84E0 2956 9546 0006 7426 3B37 F5B5 F913


text:
After Losing 40% in 2018, Regal Bounces Back In JanRupert Hargreaves
Regal Funds Management's Atlantic Absolute Return Fund, lost nearly half of its value in 2018, reporting a decline of -41% for the year to the end of December, according to investor correspondence that has been reviewed by ValueWalk.
Q4 hedge fund letters, conference, scoops etc
The firm has . . .
This content is exclusively for paying members. Access all of our content on including years of timeless investment news and in depth analysis for only a few dollars a month by signing up here while also supporting quality content and journalism, or learn more about our premium content here
If you are subscribed and having an account error please clear cache and then cookies if that does not work email email@example.com and we will get back to you as quick as humanly possible


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Sun Broadcasting/Ft. Myers-Naples, FL Ups John Rozz And Anthony 'Roach' Proffitt
July 11, 2019 at 12:19 PM (PT)
SUN BROADCASTING in FT. MYERS-NAPLES, FL has announced the promotions of JOHN ROZZ to Dir./Programming and ANTHONY "ROACH" PROFFITT to PD of Active Rock WXNX (93X).
ROZZ will now oversee the programming of Classic Rock WARO (94.5 THE ARROW), Active Rock WXNX (93X), News/Talk WFSX(92.5 FOX NEWS) and Sports/Talk WFSX (FOX SPORTS). Besides his new PD duties at 93X, ROACH will continue to host middays on the station.
ROACH said, "I am excited about the opportunity to do what I love and where I love to live! The 93X brand that JOHN (ROZZ) and SUN BROADCASTING have created is continually growing and evolving. I look forward to keeping that trend moving forward ... let's rock!"
Contact ROZZ at [email protected] and ROACH at [email protected].


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Nest Bedding Mattress Recycling
Nest bedding is just one of the first manufacturing facility direct-to-customer firms to offer bed-in-a-box bed mattress. A bed in a box is a cutting edge brand-new way to get as well as deliver a bed mattress. It is born out of recently spearheaded production as well as packaging procedures. This design permits you to get a bed mattress online from the convenience of your residence and have it delivered to your doorstep in a comfortably sized box, which gets rid of the problem that comes with bed mattress shopping.
Nest Bedding has a schedule of 8 special mattress designs, consisting of one for children, made from organic as well as natural materials. So, no matter the type of sleeper you are, light, heavy, side sleeper, or you experience pain on the hips or shoulders, Nest Bedding can fit your preferences to at least one their beds. Mattress Recycling
Right here Are Some of the Best Mattresses in Nest Bedding Lineup That You Should Try Out: Mattress Recycling
Alexander Trademark
The Alexander Signature Series is a gel memory foam cushion available in three various suppleness setting. Every one is developed to suit particular resting choices.
The Alexander Luxury Firm is best for back and stomach sleepers, while the Alexander Medium Plush is best for back as well as side sleepers. 92% of sleepers like the Medium Plush including myself. The Alexander Soft feels like a soft hug, as well as it 's ideal for side sleepers that love to snuggle up in bed.
Alexander Signature Hybrid Mattress Recycling
Alexander Signature Hybrid is among minority mattresses available as a bed-in-box utilizing innerspring coils in its construction. The cushion cover is used quilted foam stuffed with gel-infused memory foam. The bed is additionally readily available in 3 various suppleness setup – Plush, Medium and also Luxury Firm. With each suppleness setup, the building and construction remains the very same while the foam thickness differ a little. This well-rounded bed mattress is not only comfortable; it offers appropriate spinal column positioning as well as pressure point alleviation. It is specifically wonderful for tummy and back sleepers, and its solid edges will not roll you out of bed.
Love and Sleep Mattress Recycling
The Love as well as Sleep is just one of the lower valued straight- to-consumer bed mattress. It is an upgrade to Nest Bedding preferred Love Mattress. This is not memory foam, a latex foam mattress or a spring cushion. Rather, the Love and also Sleep cushion uses an unique sort of foam called Energex foam that gives you the bouncy feel of a latex cushion and also the extra-supportive convenience of memory foam. Nest Bedding likewise paid special attention to air conditioning, responsiveness and also convenience. It is likewise readily available in 2 various suppleness degrees: Medium and also Firm as well as a fantastic consideration for back, stomach as well as combo sleepers, according to your preferred comfort degree.
Crossbreed Latex Mattress Recycling
The Nest Bedding Hybrid Latex mattress combines the bounce of latex foam with the assistance of pocketed coils that delivers adjustable convenience for a special sleeping experience, naturally. It comes in three suppleness alternatives– Soft, Medium as well as Firm. The interaction in between foam and also coils accomplishes a wonderful mix of bounce as well as support, which maintains you raised in addition to the mattress while still really feeling calming pressure degree. Hybrid Latex likewise has specific benefits over innersprings, such as much better activity isolation, less sound, and also longer lifespan usually.
Latex Cushion Mattress Recycling
The Latex Mattress is made making use of all-natural materials. The surface is green as well as gives the sleeper a healthy and balanced increase. The cushion not just eliminates stress on the joints yet also maintains correct spine positioning by even distribution of body weight. The structure of the mattress comprises a high-density base offering lifelong longevity as well as stamina to the entire framework. In addition, the Latex Mattress is offered in 3 firmness option. The Soft, Medium as well as Firm choices.
To ensure I aid you make the right option, I examined these outstanding products and also I can inform you that Alexander Signature Select mattress is a considerable step up from the vast bulk of online bed mattress brand names.
The Nest Alexander Signature Select can be found in a box and the purchase is super very easy. You just position an order via their web site and the cushion will certainly reach your doorstep in about a week or less. The best component is that shipping is definitely free!
The Alexander Signature Series is used a breathable, sturdy pressure-relieving, cooling Gel Foam, as well as assistance base layer complicated foam.
All these tests are done on a medium firmness mattress. This bed mattress has simply the right amount of sink for me. My wife likewise discovered this bed mattress to be a little softer than the Love Bed which she favored. That said, this bed is extra suiting to different rest preferences than the majority of the other beds I have examined. Mattress Recycling
You can check out Nest Bedding shops in San Francisco, Albany/Berkley, Chicago, Santa Monica, Studio City/ Los Angeles, New York City as well as in Minneapolis.
My Nest Alexander Signature Select Recommendation
If you are in the market for stress relief without getting stuck, obtain this bed mattress. It does a fantastic task.
You get a 100 days refund test duration so there's no risk in attempting this out against any of the major brand names. Mattress Recycling
Unlike all the various other on-line brands I have checked, the Nest Bedding additionally supplies funding straight from their website! If you have excellent credit report, you will certainly be qualified for 0% funding for 12 months! So if you want to sleep in convenience currently, you can! Simply click on the financing message below the rate to pay in regular monthly installments instead of all at once.
The Alexander Signature Select bed mattress from Nest Bedding is a great bet. I have not slept on a far better bed thus far. The medium levels of suppleness is quite soft, and also if you are on the fence in between a soft as well as a medium, opt for the tool. You will not be dissatisfied.
Nest Bedding Also Offers the Following Sleep Products Aside From Their Mattresses:
- Alexander Signature Cooling Topper
- Mattress guards
- Cushions and Luxury pillow instances
- Sheet sets
- Bed linen
- Comforters as well as blankets
That Is Nest Bedding Made for? Mattress Recycling
- Wellness mindful consumers.
- Side, tummy, back as well as also mix sleepers (the Nest Latex Mattress comes in several suppleness levels).
- Warm sleepers (Latex often tends to be a normally cooler material).
- Financing alternatives are hassle-free for those on a budget.
- Individuals that want a mattress that's backed by a life time comfort assurance and also life time warranty.
That Is Nest Bedding Not Made for?
- Any person collaborating with an extremely minimal spending plan.
- Individuals that prefer the feeling of a traditional memory foam.
- Individuals that don't want to construct their own bed mattress.
- It takes a couple of hours for comfort layer to fully unwind, adhering to unboxing.
- College students or anybody that plans on moving homes routinely (It's heavy as well as a discomfort to relocate).


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David Macaulay coming to Middlebury
David Macaulay is renowned for his intricate drawings explaining everything from how cathedrals were built to the inner workings of the human body. But he may be best known for The Way Things Work, first published in 1988. A 1991 Caldecott Medal winner and 2006 MacArthur "Genius Award" Fellow, the British-born illustrator now calls Norwich home.
Macaulay will talk about his work and vision at the Pierson Library in Shelburne on Wednesday, December 11th at 7:00 pm. In conjunction with his talk, Pierson's Community Art Gallery is hosting a show of Macaulay's original works spanning from the early 1980's to the present.
Library Closed Thanksgiving and Day After
Library Closed for Veteran's Day
"Let's talk Poetry" with Rick Bessette: "Apples, Leaves, and Pumpkins."
Saturday 10/19 at 1:30 p.m.: "Let's talk Poetry" with Rick Bessette. The theme for this poetry talk is "Apples, Leaves, and Pumpkins." Please join us by sharing a poem along the lines of this theme with other members of the community. This program is open to children in grades 5 + and adults. It will be hosted in the Community Living Room.
Library closed for Indigenous People's Day
We're Open! Come visit us
Library closed for moving
The Pierson Library will be closed starting Weds. September 4th.
We will celebrate our grand opening in our new location on Saturday Sept. 14th starting at 9:30 a.m.
The Book Drop is Closed. Please hold all library materials until the new location opens.
Thank you from the staff and trustees of the Pierson Library.
Library Cleaning RFP
The library is soliciting proposals for the cleaning of the new library and 1927 town hall.
Click here for more information, tour for potential responders on August 21st, proposals due back on August 29th.