text:
The Logic—or Lack Thereof—Behind the Fifth Circuit's Decision to Lift an Injunction of an Anti-LGBTQ Law
"This decision is not only deeply upsetting for the rights of LGBT individuals living in Mississippi, but also for the protection of religious liberty in our country," Roberta Kaplan, lead counsel for the plaintiffs, said in a statement.
The Fifth Circuit Court of Appeals lifted an injunction this week blocking Mississippi's "religious freedom" law, which enshrines bigotry against LGBTQ people into statute.
The case, Campaign for Southern Equality v. Bryant, challenged HB 1523 (also called the "Protecting Freedom of Conscience from Government Discrimination Act"), a law passed in April 2016 that permits decisions about housing, employment, adoption, and wedding ceremonies be made based upon three religiously held tenets: that marriage is the union between a man and a woman, that sexual relations are "properly reserved" for heterosexual marriage, and that gender is determined at birth.
In June of last year, U.S. District Court Judge Carlton Reeves issued an injunction blocking enforcement of the law, ruling that it violated the First and 14th Amendments by allowing individuals, religious organizations, and some government employees with "sincerely held religious beliefs" to deny services to, as he wrote, "lesbian, gay, transgender, and unmarried persons."
But a three-judge panel of the Fifth Circuit, without considering the merits of the case, said that plaintiffs—a group of ministers and Mississippi residents, including gay and transgender persons who may be negatively affected by the law–have not been personally harmed by the legislation and therefore don't have standing to challenge it.
Sex. Abortion. Parenthood. Power.
The latest news, delivered straight to your inbox.
"Under this current record, the plaintiffs have not shown an injury-in-fact"—or personal harm—"caused by HB 1523 that would empower the district court or this court to rule on its constitutionality," Circuit Judge Jerry E. Smith wrote for the majority.
Plaintiffs argued that their injury-in-fact, which is a prerequisite for standing, was similar to that found in religious display or religious exercise cases. But the Fifth Circuit disagreed.
"A plaintiff has standing to challenge a religious display where his stigmatic injury results from a 'personal confrontation' with the display … [as when] a plaintiff personally encounters a religious monument or a religious symbol on their public utility bill," wrote Smith.
Because a person cannot "confront" statutory text, Smith said, the court could not grant plaintiffs standing on that basis.
Smith likewise rejected plaintiffs' claim that their case was similar to religious exercise cases—such as those involving invocation of prayer at public high school football games or city council meetings which may violate the Establishment Clause, for example.
"Standing to challenge invocations as violating the Establishment Clause cannot be based solely on injury arising from mere abstract knowledge that invocations were said," Smith wrote.
"There must be proof in the record that [the plaintiffs] were exposed to, and may thus claim to have been injured by, invocations given at the relevant event."
Again, because plaintiffs weren't "exposed" to the statute's discriminatory text, they could not claim to be injured by it, according to Smith's logic.
As Mark Joseph Stern points out in Slate, this is nonsensical:
An individual has standing to sue under the Establishment Clause when she encounters a stigmatizing government endorsement of religion. She can challenge the placement of a Ten Commandments monument near the capitol, or a creche in a town hall. She can challenge the inclusion of a religious symbol on a municipal logo, or of a sectarian prayer at a public school's graduation. But, according to Smith, she cannot challenge a law that endorses a handful of religious beliefs by legalizing discrimination against a specific class of people. Why? Because she did not "personally confront" the "statutory text.
Stern goes on to note that this would lead to incongruous results. If, for example, the statute were printed on a hypothetical plaintiff's public utility bill or read aloud at a public high school football game, the court would grant that plaintiff standing to sue since the plaintiff would have "personally confronted" the text.
But because the same words exist only in statute form, that same plaintiff doesn't have standing to sue? That's illogical.
The court did note that its ruling did not "foreclose the possibility that a future plaintiff may be able to show clear injury-in-fact" that would satisfy the standing requirement, and that "federal courts must withhold judgment unless and until that plaintiff comes forward."
"This decision is not only deeply upsetting for the rights of LGBT individuals living in Mississippi, but also for the protection of religious liberty in our country," Roberta Kaplan, lead counsel for the plaintiffs, said in a statement.
"Our clients have already suffered enough. The state communicated a message loudly and clearly with the passage of HB 1523: only certain anti-LGBT beliefs will get the protection and endorsement of the state. Under the logic of this opinion, it would be constitutional for the state of Mississippi to pass a law establishing Southern Baptist as the official state religion," Kaplan continued.
"We plan to seek an en banc review of the decision by the 5th Circuit," she added.
If the Fifth Circuit agrees to rehear the case en banc, the injunction will remain in place until the full court issues a ruling.


text:
Modulare Wheels is proud to announce the addition of our D-Series "Duoblock" 2-Piece Forged Wheels to our current lineup for 2018. The D-Series are built by mating a custom T6-6061 Forged Monoblock outer with a three-piece inner barrel, creating a highly diverse concave offering for all applications. The objective is to provide a lightweight performance option and combine the strength and appearance of a monoblock wheel with the flexibility of a 3-piece application. The user also has the ability to configure the visual aspect of the hardware to be fully exposed for a more aggressive sporty appearance, fully hidden for a cleaner more luxurious look, or 50/50 which is right in the middle.
The Modulare D-Series is now available in 19, 20, 21, and 22″ diameters for most vehicle applications. The designs are not limited to just what you see here, we can build any of our other designs in this new configuration, and custom designs are available upon request.

subset: commoncrawl


text:
Don't worry. Now quotes are
Quick Quote
After your quote submission
We'll connect with you in
The Akiles Diamond 5 Electric Round Cornering Machine is crafted with the highest quality components. Ideal for rounding covers, pouches, pictures, all types of IDs, invitations, postcards, etc. When productivity is needed but space is at a premium, the Diamond 5 Electric Corner Rounding Machine is ideal for larger jobs.
Just 3 fast & easy steps!
"After your quote submission, we'll connect with you within minutes."
Sign up for Exclusive Promotions and Industry News Trends
Success! You're now on the list. You'll start receiving Exclusive Email Offers shortly.


text:
Carlisle, North West Employment Information
Carlisle is the commercial, industrial and cultural focus for north Cumbria. The impressive Celtic and Roman history of ...
Casual Delivery Driver / Rider Work
Business Development Manager
Carlisle is the commercial, industrial and cultural focus for north Cumbria. The impressive Celtic and Roman history of this northern border city draws tourists, boosting the local economy and providing part-time and full-time work in shops (especially at The Lanes), restaurants and bars. The cost of living in Carlisle is broadly similar to Lancaster – although some fresh produce may be marginally more expensive in the Cumbrian capital, data from Numbeo shows that restaurant menu and accommodation rental prices tend to be lower. However, residential property price tags remain relatively buoyant in the neighbouring Lake District National Park.
Carlisle Job Opportunities
The main employment opportunities in Carlisle are:
- Customer service: retail sales assistants, consultants and managers.
- Operations and logistics
- Administration
- Healthcare.
Additionally, manufacturing jobs in Carlisle include food processing and maintenance at the United Biscuits factory, to the west of the centre. Here, shift workers bake classics such as McVitie's Ginger Nuts and Carr's water biscuits. Alternatively, the Stobart Group is a major local employer, situated on the Kingstown Industrial Estate near the M6 motorway. Other positions in engineering, manufacturing and distribution are also available in the city's light industrial estates and business parks. In contrast, job seekers with marketing skills will find that local companies regularly seek candidates for sales jobs in Carlisle such as sales representatives, executives and recruitment consultants.
Carlisle Employment Trends
According to official statistics from Nomis, employment in Carlisle stood at 76.5 percent for the year to Jun 2017, only fractionally higher than the average for the north-west. To support local business, typical finance jobs in Carlisle range from business analysts to buyers, accountants and accounting staff, as well as administrators and cashiers. Conversely, teaching and administration staff vacancies centre on the further education college and the University of Cumbria, which has four campuses in the city and runs courses on computing, business and law, psychology, arts and the media. Finally, Carlisle Castle and nearby Hadrian's Wall provide tourism jobs.


text:
Culture Trip stands with
Black Lives Matter
From the impressive collection of movies spawned out of director Anurag Kashyap's ingenuity comes Black Friday, a movie equal parts shocking and divulging. Black Friday sheds light on the dire consequences of 1993's serial bomb blasts in Mumbai that caught the country off-guard and shook its foundations. Black Friday is a fierce attempt to exhibit the conflicting perspectives of the perpetrators, law enforcement officials and the victims of the gruesome attack.
Bollywood was rife with mainstream musicals in 2007 when Manorama Six Feet Under befell on unsuspecting Indian viewers. The mystery drama was as anomalous as it was splendid. The movie revolves closely around the grim reality of Indian bureaucracy that lives off the frailties of the bourgeois. Additionally, Manorama Six Feet Under leaves no stone unturned with its gritty depiction of the horrors.
Director Ram Gopal Varma's movies tend to divide public opinions. However, when it comes down to his political thriller Sarkar, it's indeed an unequivocal masterpiece liked by all who watch it. Starring the likes of Amitabh Bachchan, Sarkar is a grim story of the political infighting and the immoral nexus between the law enforcers and the underworld.
Shahid is a biographical film based on the life of a contentious lawyer, Shahid Azmi, who met with a tragic end. Actor Rajkummar Rao plays the protagonist, whose life is constantly on the line, oscillating between the worlds of hope and despair. The film garnered much controversy in India, due to its interpretation of matters relating to Islamic terrorism.
Anurag Kashyap delivers an absolute gem in the form of a psychological thriller, Ugly. The convoluted plot of this film revolves around the abduction of a girl, which causes complete mayhem, jeopardizing relationships and rekindling old enmity. Amid all the furore, new players emerge with the sole intent of capitalizing on someone else's predicament.
This whim is India's answer to urbanity and gender emancipation. Starring the feisty Kangana Ranaut as Rani Mehra, Queen starts with Rani's marriage being called off on feeble grounds. The rejection takes Rani on an unaccompanied soul-searching voyage across Europe on what would have been her honeymoon. Furthermore, she is faced with circumstances that challenge her prudish upbringing.
Masaan paints a sincere picture of the orthodox Indian suburbs dominated by complacency and a vague apprehension for what the future holds. The interwoven plot beautifully captures the puritanical social construct of India and simultaneously attempts to defy it, albeit with repercussions. For those who fancy a deeper understanding of Indian orthodoxy, watching Masaan is perhaps the best place to start.
Indians have an apparent penchant for courtroom dramas and 2016's Pink met this need with a brush of contemporary issues tormenting India. A trio of young women come to cross paths with a system of diabolical beings sworn to annihilate them. In their hour of need, they turn to a formidable retired lawyer Deepak Sehgal (Amitabh Bachchan) to save them from their affliction.
The infamous 1987 Opera House heist was meticulously done and the perpetrators left no trace. Special 26 is the big-screen adaptation of the infamous heist and boasts a star-studded cast. Inspiration from the actual events gives the movie a competitive edge over routine Bollywood movies.
Akin to Special 26, Madras Cafe is another mainstream thriller that lived up to expectations. The plot of Madras Cafe is perceptively crafted by director Shoojit Sircar, incorporating real-life political events into a fictional tale. Major Vikram Singh, played by actor John Abraham, finds himself in the battle zone, torn between fulfilling his obligations and fighting life's inexplicable infatuations.


text:
Run Kali Linux 2 on Android
Kali Linux is a popular security-focused operating system that has many tools which could be used for penetration testing. In the past, I demonstrated how to Run Kali Linux on Android (version 1.0) via the terminal. Now let's take a look at how to run Kali Linux 2 on Android without root. To do this, we will be using Limbo PC Emulator. It makes use of the SDL library to emulate Kali Linux 2 on Android.


text:
Culture Identity Awareness (C.I.A)
A newly formed group from Twadell got together to create a group in which they wanted to learn more about culture and identity. There are many different religions and cultures within Northern Ireland and the CIA group seen this as a chance to try and educate themselves on other different cultures/ identities but also for a chance to educate themselves on their own Protestant culture/ identity. We took them go karting as part of a team building night to Need for Speed in Doagh. It was a chance the young people and staff to bond with each other and learn more about each other. The night ran smoothly and fun was had by all with plenty of competition to see how could "race to the top" of the leader board.


text:
… to Washington, D.C. Nothing very guitar-oriented happened while I was down there, although I should mention that the stringed-instruments room at the Smithsonian Museum of American History contained NO guitars! What's up with that?
My only other news is that I'm deep into planning the particulars of my next band, The Phantom Corsairs. We'll write and play original music that combines blues, rockabilly, surf, Bakersfield-sound country, Americana and roots rock. If anyone knows a good steel guitar player in New Jersey, please send me his or her info (just for sessions — not for band membership). I was all set to start recording the album in Los Angeles in June, but real life done got in the way. Oh well.
Am I plugging my new band in my blog? Nope, just thinking out loud, I guess.
I'm back now, so — more soon!


text:
Get Ready to See Your New Smile Design With
Snap-On Smile is a type of removable dental veneer that allows you to dramatically transform the appearance of your teeth with a non-invasive, quick, painless, and easy solution.
You want your smile to look its best, and at times you want a quick, effective, and simple solution, which is why our Washington D.C. dental practice now offers Snap-On Smile, one of the latest advancements in cosmetic dentistry.
Snap-On Smile is a temporary smile design made out of an acrylic material that easily snaps over your natural teeth. It can be used for special events such as weddings or graduations, or it can be used to "try on" a smile design to see if it works before investing in a more permanent option.
No shots. No drilling. No adhesives. You can even eat while wearing the Snap-On Smile® appliance. Patients looking for a non-invasive, reversible, and affordable approach to restorative and cosmetic dentistry are excellent candidates for Snap-On Smile. It's an easy, quick, and budget-friendly solution for patients who want to feel better, look better, and function better.
Patients using Snap-On Smile report an immediate boost to confidence and self esteem. Most are impressed with the natural look and feel of Snap-On Smile and are grateful for the brief time investment – about two weeks – to achieve such life-changing results.
As you can see from these pictures, the result looks natural, and Snap-On Smile can be used for a variety of situations. Here's a smile where the teeth are uneven and a little dark-looking. The result is natural-looking, bright, and attractive:
Below is another case of what we would call "peg laterals", where the permanent teeth are malformed, leaving the impression that there are missing teeth:
If you have questions regarding Snap-On Smile or for appointment requests, give us a call today at (202) 873-1054!


text:
PJSC Aeroflot ecological policy is aimed at development of energetic and ecological efficiency of the passengers, baggage, post and cargo transportation. Main trend of the policy is to improve aircrafts' fuel efficiency, which allows to decrease environmental stress along with operational expenses reduction.
Aeroflot, as the leader of Russia's civil aviation, realizes its great social responsibility, and strives to secure a stable ecological balance in all activity areas. This forms an integral part of large-scale civil responsibility program, being a basic element of the company's operations.
Aeroflot sets itself the following key environmental sustainability objectives:
PJSC Aeroflot management commits to follow statutory and other requirements and provide resources for ecological policy realization and ecological management system enhancement.
In pursuance of Executive Order of the President of the Russian Federation No. 889 On Selected Measures to Improve Energy and Environmental Efficiency of the Russian Economy dated 4 June 2008, the Company continues to implement its Energy Saving and Environmental Performance Programme until 2020 providing for a 42% decrease in specific fuel consumption across the fleet by 2020 from the 2007 rate.
Sky Team corporate social responsibility statement
More about Aeroflot Ecological Policy
PJSC Aeroflot has in place an integrated management system with the quality management system (QMS) as its core element. For many years, PJSC Aeroflot's QMS has successfully passed certification audits under ISO 9001 (Quality Management System) and registrations under the IATA's industry programmes (IOSA – Operational Safety Audit, ISAGO – Safety Audit for Ground Operations).
Efforts to improve the QMS are aligned with activities to further improve the assessment framework for KPI-based evaluation of performance and progress on the implementation of internal and external QMS standards applied by the IATA, SkyTeam, and Aeroflot Group.
In February 2017, PJSC Aeroflot's integrated environmental management system successfully passed a re-certification audit. The audit was carried out by TÜV Rheinland Russia, a branch of the world's leading certification agency, and looked at compliance with ISO 9001:2015 (Quality Management Systems) and ISO 14001:2004 (Environmental Management Systems).
The compliance audit revealed no critical instances of non-compliance and confirmed that PJSC Aeroflot's integrated management system met the international standards ISO 9001 and ISO 14001.
In May 2017, Aeroflot airline successfully passed the IATA Operational Safety Audit for IOSA compliance for the seventh time. The IOSA certificate and operator status were extended until October 2019.
PJSC Aeroflot is implementing environmental impact mitigation initiatives: almost all of its fleet is in compliance with ICAO standards for noise levels and atmospheric pollution. Fuel efficiency management is one of the Company's operational priorities as higher fuel efficiency reduces greenhouse gas emissions.
PJSC Aeroflot develops and implements its annual fuel efficiency and cost-cutting programme which has helped PJSC Aeroflot reduce its specific fuel consumption by 9.6% over the past five years, totalling 277.6 grams per tonne-kilometre (TKM) in 2017, while specific СО2 emissions decreased by 9.5% to 875.1 g/TKM.
CO2 emissions are fully monitored and recorded throughout the route network in line with the applicable Russian and European laws and regulations. CO2 emissions reporting is guided by national standards and the procedure adopted by the EU Emissions Trading System (EU ETS). In 2017, as part of compliance with the EU ETS requirements, PJSC Aeroflot passed the CO2 emissions verification audit of its 2016 annual report, following which the operational CO2 emissions will be compensated through purchasing missing quotas.
The Company carries out regular fine-tuning of instrumental controls and fuel system to ensure compliance with permitted toxicity and smoke levels. The Company also continuously conducts studies of pollutant emissions at the paint facilities of the Aircraft Technical Service Department and the Ground Handling Department, which revealed no excessive emissions above the authorised limit in 2017. Furthermore, to mitigate pollutant emissions, the Company conducts regular ventilation system inspections at its operational and office premises.
In 2017, PJSC Aeroflot received its first international Carbon Disclosure Project (CDP) rating for disclosures on climate change management and greenhouse gas emissions. Under the CDP, companies from across the globe make standardised reports on their greenhouse gas emissions and on climate change activities. According to the published CDP rating, PJSC Aeroflot was awarded a performance score of D (Disclosure), a good result for a first-time participant. PJSC Aeroflot also mapped out a number of initiatives to be implemented in 2018 to raise its rating.
Today, the rating includes over 800 institutional investors with more than USD 95 trillion under management and is consistently gaining popularity both among investors and companies disclosing their information and seeking to improve their scores.
PJSC Aeroflot is consistently reducing its negative impact on water bodies and ensuring the sustainable use of water. The quantity and quality of wastewater discharged by the building's treatment facilities are constantly monitored. All metrics comply with Sanitation Rules and Regulations 22.214.171.1240-00 "Sanitation Requirements to Surface Waters Protection".
The Company's specialists monitor the morphometrics of the Klyazma River. In line with the applicable standards, PJSC Aeroflot submits regular wastewater quality and quantity reports to supervisory authorities.
PJSC Aeroflot is working towards reducing its production and consumption waste disposed to landfills and growing the share of waste sent for recycling and disposal. Company's specialists regularly inspect production and consumption waste storage sites, as well as maintain monthly records of generation and movement of production and consumption waste across the business units.
The Company runs regular employee workshops on production and consumption waste management. To arrange paper waste sorting, PJSC Aeroflot allocated sites for paper and cardboard waste storage and its subsequent handover for recycling.
The total waste of PJSC Aeroflot amounted to 26,700 tonnes in 2017. No critical industrial spills were registered at PJSC Aeroflot in 2017.


text:
Then came Bush.
I'm not saying George Bush is the anti-christ. I don't believe in God or the devil, and I think Bush is very much a creature of flesh and blood. He is a person. A person who will never be held responsible, even by his own conscience, for the evil acts he has committed, but a person nonetheless.
On the other hand...if I WERE the religious type...
George Bush ascended to political prominence at the start of the new millennium...like the Anti-Christ was supposed to.
George Bush cloaks himself in claims of righteousness and Christianity...just like the Anti-Christ was supposed to.
George Bush routinely flashes the "Hook em Horns" Texas Longhorns symbol. This is a widely acknowledged symbol for satan.
George Bush was hell-bent (pun intended) on getting involved in the Middle East from day one of his presidency. The final apocalypse is supposed to occur in the Middle East.
George Bush has steered America towards disaster and decline, destabilizing the world with it. He claims this is to help establish American hegemony. The Anti-Christ is supposed to either unite the world under one government or bring it to apocalyptic war.
George Bush grins and gapes during times of great tragedy. He seems to take pleasure in suffering.
George Bush puts incompetent people in critical positions leading to great amounts of death and suffering. His handpicked heads of FEMA and Homeland Security dropped the ball on the apocalyptic events in New Orleans leading to at least hundreds, if not thousands, of preventable deaths. He seemed to find this greatly amusing until recently when he has managed to reign it in. Does George Bush love watching people die?
George Bush is adept at one thing, lying and misleading the public. The Devil is the prince of lies.
George Bush is not bothered by death. After Katrina he talked about Iraq, not the gulf coast. Human lives seem utterly valueless to George Bush.
Would it be that much of a stretch of the imagination to see Bush as the anti-christ? Can't you just imagine him turning on CNN after the levees burst (while his buddy Chertoff claimed Homeland Security had no way of knowing the things clearly broadcast on the nation's television sets) slipping down his pants, grabbing his penis in one hand and tracing the destruction with the other, and pumping himself to climax while he watched the death and destruction unfold? Can't you picture him cumming on the face of the man they showed over and over talking about how his wife was ripped from his hands by the water and told him to look after the children before she was taken to her grave? Can't you imagine his glee and pleasure at the carnage he could have prevented? At all the lovely blood and pollution and the destruction of a great city? Can't you imagine a smirk spreading across his lips at the thought that this is just the beginning?
I can.
I do not think that George Bush is the anti-christ, I do not think there is an anti-christ. I think he is an unfeeling sociopath who has no empathy at all for anyone but himself and his friends. I think he is trained to act like he is a normal human when in fact he feels nothing but disgust towards the drowned black people he was supposed to serve and protect. Why didn't they just get in the land rover and go to their summer homes?
I wonder whether George Bush thinks he is the anti-christ? He might. He certainly consorts with people who believe that Israel must rise so it can jump start the apocalypse. I wonder whether he is excited about Katrina because he thinks the rapture draws nigh. Floods and fires. I wonder if he realizes these are not the acts of an angry god but rather the direct result of human misbehavior. I wonder if like so many other so-called Christians he cares more about rising gas prices and oil profits than about the dead bodies floating in the refinery filth.
fakingsincerity doesn't like that I accuse Bush of being an unfeeling traitor who has abdicated his responsibility to the people to pursue the interests of his friends. I say that if he doesn't like that he'll have to find some facts that point to anything different. How much of his personal fortune has Bush contributed to the relief effort? It would be interesting to know.
Congress is trying to permanently destroy the estate tax, a move that will cost the country as much as the Iraq war and that will benefit only the richest among us (The estate tax doesn't even kick in unless you have an incredible net wroth.) Meanwhile we don't know where we're going to get the money to fix up New Orleans and maintain basic federal services.
As a country we are LITERALLY choosing rich people's summer homes over poor people's lives. How many of the tax-cut lucky duckies went golfing this week? How many greens fees could have paid for a baby's formula, a diabetic's medicine, a rescue chopper to lift an old woman from a nursing home?
It's damn good that money went to golf. If you give black people disaster relief they'll just come to expect it. Make them earn their place in the world like Paris Hilton did!
If you're not sickened by this you're either heartless or not paying attention. No exceptions.


text: Preventative dental care reduces the risk of developing oral disease, which can lead to serious issues for dogs and cats. Establishing a daily routine of proper dental care may extend the life of your pet. The veterinarian-recommended Nylabone Advanced Oral Care for Cats Cat Complete Dental Kit includes everything cats need for regular brushing, including a toothbrush, a finger brush, and 2 1/2 ounces of Advanced Oral Care Tartar-Control Toothpaste. Designed for small mouths, the toothbrush has an angled neck for better reach, rubber massagers that reduce plaque and tartar buildup, and ultrasoft nylon bristle tips that clean between teeth. The finger brush helps hesitant cats feel more comfortable with brushing. The toothpaste is made with Denta-C, which is scientifically proven to reduce plaque that harbors bacteria.


text:
Vein Treatments Archives - Vein Center of Northwest Georgia
Foam Sclerotherapy for Varicose VeinsPosted: May 26 in Blog by Staff
Sclerotherapy is a vein treatment used to treat varicose veins and other blood vessel malformations. During a sclerotherapy procedure a solution is injected directly into the affected vein. This solution causes the vein to scar and collapse, rerouting your blood to healthier veins. The collapsed vein eventually fades into surrounding tissue. [Read more]Tagged: Vein Treatments | Comments: None
Understanding Microphlebectomy for Varicose VeinsPosted: Apr 24 in Blog by Staff
When it comes to the treatment of your varicose veins, it may be difficult to decide which vein treatment will be right for you. Microphlebectomy is a vein treatment for varicose veins in which the twisted and enlarged vein is removed. This treatment is generally used for larger veins that cannot be treated with sclerotherapy or laser surgery treatments. [Read more]Tagged: Vein Treatments | Comments: None
Five Treatments for Varicose VeinsPosted: Nov 08 in Blog by Staff
Successful treatment for varicose veins may include several different options. Many treatments are non-invasive, but some do include surgical procedures. Getting regular exercise may help slow or prevent the development of varicose veins. Once you have them, however, the following are some of the most common treatments available. [Read more]Tagged: Varicose Veins, Vein Treatments | Comments: None
Herbal Remedies for Spider and Varicose VeinsPosted: Oct 11 in Blog by Staff
Spider and varicose veins are a form of venous disease that develops when a vein becomes damaged or blocked, causing blood vessels to dilate. This causes blood to pool in the veins, causing discoloration and sometimes swelling to develop just beneath the skin, where it is easily visible. [Read more]Tagged: Vein Treatments | Comments: None
A Comprehensive Guide to Compression StockingsPosted: Sep 18 in Blog by Staff
Compression stockings are often the first line of treatment for spider veins and varicose veins. This is because they can promote better blood flow through the legs by providing constant pressure, relieving swelling and other symptoms of vein problems without a more advanced form of treatment like sclerotherapy. [Read more]Tagged: Compression Stockings, Vein Treatments | Comments: None
Plan Ahead for Spider Vein TreatmentPosted: May 17 in Blog by Staff
Use long pants to hide problem veins during a hot Georgia summer and you'll quickly be forced to face the facts: either the spider veins have to go or you'll have to grow used to showing off the fine blue, red and purple lines that sit just beneath your skin. Unfortunately, vein treatment something that needs a bit more planning than many people realize. If you hope to rid yourself of spider veins for the summer, now is the time to take action. [Read more]Tagged: Vein Treatments | Comments: None
Herbs for Improved CirculationPosted: Aug 28 in Blog by Staff
Poor circulation is often the underlying cause of many venous deficiencies and disorders such as deep vein thrombosis and varicose veins. Marietta residents should be aware of the negative health effects that often accompany circulation problems. If you suffer from severe circulation issues, it's wise to speak with your vascular surgeon before your current condition worsens. [Read more]Tagged: Varicose Veins, Vein Treatments | Comments: None
Got Vein Pain Walk it offPosted: Aug 21 in Blog by Staff
If vein issues have kept you cooped up indoors, it isn't too late to take action! A visit to your vascular surgeon in Marietta can help you overcome these unsightly problems, but you can also fight varicose and spider veins using your own two feet. Any exercise can be an effective tool in preventing vein problems, but few exercises will be as beneficial or easy to do as good old-fashioned walking. [Read more]Tagged: varicose vein prevention, Vein Treatments | Comments: None
Fitness Tips for Fighting Varicose VeinsPosted: Apr 16 in Blog by Staff
Most people understand the benefits of physical activity for weight loss or heart health, but many do not realize that there is an important connection between exercise and varicose veins as well. Varicose veins develop as a result of improper blood flow, which often happens due to weakened leg muscles that are unable to move […]Tagged: Vein Treatments | Comments: None
Ginger: The Root of Vein HealthPosted: Apr 11 in Blog by Staff
Though you've surely had ginger in all kinds of different delicious food items, like gingerbread men or ginger ale, did you know that the versatile root can help minimize the appearance of your spider veins in Marietta? Among other medicinal uses like the treatment of nausea, dizziness and loss of appetite, ginger can be a […]Tagged: Vein Treatments | Comments: None


text:
NOTICE: Due to COVID-19 impact on courier companies, standard shipments may be delayed up to 1 week. Dismiss
Your cart is currently empty.
Return to shop
Username or email address *
Password *
Remember me
Log in
Lost your password?
Username *
Email address *
Password *
Your personal data will be used to support your experience throughout this website, to manage access to your account, and for other purposes described in our privacy policy.


text:
March/April 2020
TAVR for Bicuspid Aortic Valve Disease
A look at the next frontier.
By Hussein Rahim, MD; Mariusz Wolbinski, MD; Vinayak Bapat, MBBS; and Tamim M. Nazif, MD
Bicuspid aortic valve (BAV) is the most frequent congenital valvular abnormality, occurring in 0.5% to 2% of the population, with a male predominance.1 The bicuspid valve typically has two leaflets and is most frequently described using the Sievers classification scheme. Sievers type 0 valves have two, usually symmetrical leaflets, whereas Sievers type 1 valves have a raphe formed by the fusion of two underdeveloped cusps and Sievers type 2 valves have two raphes (Figure 1).2 Further subclassification is based on which cusps are fused and the functional status of the valve. The natural history of BAV disease is characterized by both valve-related complications and nonvalvular pathology, including aortopathy, with ascending thoracic aortic aneurysms in up to 50% of patients.3 Both aortic stenosis (AS) and aortic regurgitation are frequent manifestations of BAV disease and the mainstay of treatment remains surgical aortic valve replacement (SAVR). It has been shown that approximately 25% of patients with BAV will require aortic valve surgery and 5% will require ascending aorta surgery over a 20-year follow-up period.4
The leaflets of the BAV are subject to increased shear stress leading to accelerated calcification and valve degeneration at an earlier age, reflected by the 60% of patients undergoing SAVR for BAV who are < 70 years old.5,6 However, > 20% of patients with BAV requiring valve replacement are > 80 years old and some may also have medical comorbidities that increase their risk for surgical treatment.7 Given its proven safety and efficacy in patients with trileaflet AS who have elevated surgical risk, transcatheter aortic valve replacement (TAVR) has been investigated in higher-risk patients with BAV disease. The recent expansion of TAVR to younger and lower-risk populations has only intensified interest in its potential for treating patients with BAV.8,9 In this article, we review the available data on TAVR in BAV disease and describe some of the anatomic and technical considerations involved.
There are currently no randomized trials comparing SAVR and TAVR in patients with BAV. BAV patients were excluded from the pivotal TAVR trials due to the unique anatomic challenges that bicuspid valves present for TAVR, including frequent large size, elliptical shape, asymmetric cusps, and robust calcification.10,11 The early registries describing TAVR with first-generation transcatheter heart valves (THV) in BAV reported decreased device success with frequent incomplete THV expansion, moderate or greater paravalvular leak, need for a second THV, annular rupture, and in some series, increased mortality. For example, Bauer et al described 38 patients with BAV stenosis in the German TAVI registry who were treated in 2009 and 2010 with either a Sapien (Edwards Lifesciences) or CoreValve (Medtronic) THV.12 When compared to patients with trileaflet AS undergoing TAVR, those with BAV had significantly more postprocedure grade II or higher aortic regurgitation (25% vs 15%), but no difference in mortality at 1 year.12 Costopoulos et al also used first-generation THVs in 21 patients with BAV and reported decreased device success (85.7% vs 94.4%) as well as a higher rate of mortality at 30 days (14.2% vs 3.6%)13 when compared with TAVR for trileaflet AS. Similarly, among 139 BAV patients undergoing TAVR, Mylotte et al reported a device success of 89.9%, grade II or higher paravalvular leak in 28.4% of patients, and procedural mortality of 3.6%.14 However, several other observational studies comparing TAVR outcomes in patients with BAV and trileaflet AS showed no difference in mortality, prompting continued exploration of TAVR as a treatment option for selected patients with bicuspid valves.15-17
With improved patient selection and advances in preprocedural imaging, deployment technique, and device technology, more recent BAV TAVR registries have reported significantly improved procedural outcomes and mortality. Sannino et al used first- and second-generation THVs and compared TAVR outcomes in bicuspid and trileaflet valves; the results were not statistically significant, demonstrating similar procedural success (98.7% vs 99.1%), 30-day mortality (3.4% vs 3.1%), and 1-year mortality (8.5% vs 10.5%).16 A recent propensity score–matched analysis of data from the Society of Thoracic Surgeons/American College of Cardiology TAVR registry also demonstrated similar 30-day mortality (2.6% vs 2.5%; P = .82) and device success (96.5% vs 96.6%; P = .87) for TAVR in bicuspid and tricuspid AS, albeit with a slightly higher rate of moderate-to-severe AR in the bicuspid group (2.7% vs 2.1%; P < .001).18 Finally, a recent meta-analysis of observational studies by Quintana et al also demonstrated no significant difference in mortality at 1 year between patients with trileaflet and bicuspid AS undergoing TAVR.15 Other recent analyses that have compared the outcomes of TAVR and SAVR in BAV patients have also supported the finding of improved TAVR outcomes. For example, a recent propensity-matched analysis from the National Inpatient Sample database included 1,055 patients with BAV undergoing TAVR and showed similar in-hospital mortality (3.1% vs 3.1%) in a matched cohort of patients undergoing TAVR or SAVR.19
The more favorable results of the recent BAV TAVR registries may be due at least in part to the use of newer-generation THVs. In a propensity score–matched analysis of the Bicuspid AS TAVR registry, Yoon et al found that TAVR for bicuspid compared with trileaflet AS had a lower rate of device success (85.3% vs 91.4%; P = .002) and higher rates of moderate or severe paravalvular leak (PVL) (10.4 vs 6.8; P = .04), implantation of a second valve, root injury, and conversion to surgery.17 However, additional analyses demonstrated that TAVR results in bicuspid AS were improved and not different from tricuspid AS with newer-generation THV devices, including the Sapien 3 (Edwards Lifesciences), Evolut R (Medtronic), and Lotus (Boston Scientific Corporation) valves.14,17 Improvements in the newer devices that may have contributed to better outcomes in bicuspid valve TAVR include more stable, controlled deployments; the ability to recapture or reposition the THV (Evolut R, Lotus); and the addition of an external sealing skirt (Sapien 3, Lotus). Supporting the benefit of an external skirt in decreasing PVL in bicuspid TAVR, a recent case series of 50 BAV patients treated with TAVR with the Sapien 3 showed that only four patients required postimplantation balloon dilation and no patient had moderate or severe paravalvular leak.20 Similarly, in an analysis of 31 BAV patients in the RESPOND registry, the repositioning feature of the Lotus valve was used in 10 patients and no patient had moderate or severe PVL.21
Despite the apparent improvement in results with new-generation THV systems, contemporary registries and meta-analyses continue to show that TAVR for bicuspid valve disease may be associated with higher rates of certain complications. For example, some studies have shown stroke risk to be higher with TAVR for BAV versus trileaflet AS (2.5% vs 1.6%), although the literature has been inconsistent.22,23 It also remains unclear whether BAV may be associated with higher rates of permanent pacemaker insertion after TAVR, as it is with surgical aortic root replacement.15,22,24 Finally, debate persists as to whether TAVR for BAV, as compared with trileaflet AS, remains associated with decreased device success and increased rates of moderate to severe PVL, requirement for a second THV, and conversion to conventional surgery.15,25 Ultimately, additional research will be required to determine if TAVR outcomes in BAV can truly approach those in trileaflet AS and whether TAVR can be considered in lower-surgical-risk populations with BAV.
The safety and efficacy of TAVR in BAV disease is likely to be highly dependent on careful patient selection and several important procedural considerations.26 Recent improvements in cardiac multidetector CT (MDCT), in particular, have greatly enhanced patient screening and procedural planning in challenging anatomic situations, including BAV. Transesophageal echocardiography also continues to play an important role, allowing detailed anatomic assessment even in patients with poor-quality MDCT imaging or prohibitive renal dysfunction. The preprocedural use of these three-dimensional imaging modalities specifically allows for delineation of the type of bicuspid valve (Sievers calcification), annulus size and ellipticity, calcium burden and location, and relationship of the coronary ostia. Preprocedural imaging also allows for evaluation for concomitant aortic aneurysm or other aortic pathology.
The preprocedural imaging evaluation can be specifically tailored to focus on the risk of certain complications that may be more common in bicuspid valve anatomy, including paravalvular regurgitation, root injury, or coronary obstruction (Figure 2). Sievers type 0 and certain Sievers type 1 valves can exhibit an elliptical or "eye-shaped" distal landing zone for the THV. This elliptical nature may contribute to an increased risk of paravalvular regurgitation at the commissural regions, and there remains debate as to whether THVs similarly circularize the annulus in bicuspid and tricuspid anatomy.27 Multiple series have also demonstrated that THV underexpansion is a significant issue in BAV TAVR, raising theoretical concerns for leaflet thrombosis and long-term durability.27-29 The optimal THV sizing remains unclear because in some cases, the narrowest portion of the bicuspid valve anatomy may actually occur above the standard annulus plane as assessed by CTA. In this situation, the THV may anchor or seal above the annulus, leading to interest in so-called "supra-annular sizing."30-34 This may also have important implications for the target depth of implantation, which might be higher in bicuspid TAVR to achieve optimal sealing and minimize new pacemaker implantation.
Heavy, asymmetric calcification patterns are also a particular concern in bicuspid valve disease. Heavy calcification may result in incomplete or asymmetric valve expansion and root injury, which can occur due to a contrecoup injury with balloon inflation and THV expansion (Figure 3). Balloon aortic valvuloplasty may be useful in this setting to judge the response of the calcified BAV anatomy before THV implantation. Self-expanding or mechanically expandable THV designs may also be advantageous, although further research on optimal THV selection is required. Unlike tricuspid aortic valves in which both coronary artery ostia are in the middle of the sinuses, in BAV anatomy, one or both ostia may be in proximity to the commissures (Figure 4). This, along with taller leaflet height and heavier calcification, may increase the risk of coronary obstruction, which also remains incompletely understood.
It is important to recognize that most patients with BAV treated with TAVR thus far have had stenotic valves. It remains unclear whether similar results will be achievable in patients with predominant or exclusive aortic regurgitation, particularly in the absence of significant calcification. Aortopathy also occurs in > 50% of patients with BAV disease and has a direct correlation with increasing patient age.3 However, predicting the rate of aneurysm progression and need for future root or aortic replacement can be difficult and may vary widely based on the underlying pathology.3 Although patients with BAV and aortic aneurysms meeting guideline indications are probably best suited for surgery, the optimal management of those with less severe aortic dilatation or other pathology remains unknown. It is also unknown whether aortopathy contributes to a risk of root injury with TAVR and if there is any impact of TAVR on the rate of aneurysm progression or associated outcomes. The use of an actively deflectable TAVR delivery system with active flexion may be theoretically advantageous in TAVR candidates with significant dilation of the ascending aorta in order to reduced stress on the outer curvature of the aorta. Additional research will be required to better delineate the impact of aortic regurgitation and aortopathy of TAVR candidacy and longer term clinical outcomes.
Given that patients with BAV disease are typically younger in age, THV durability is another particularly salient issue in this population. However, there are currently no available data on THV durability in BAV patients. In an all-comers population in the UK TAVI registry, 91% of patients remained free of structural valve deterioration between 5 to 10 years of implantation and < 1% had severe structural valve deterioration.35 In an analysis of 2,481 patients from the PARTNER I trial, which excluded BAV, with a median follow up of > 3 years, only five TAVR recipients received repeat intervention due to structural valve deterioration.36 In the NOTION trial, at more than 5-year follow-up, the rate of structural valve deterioration was higher for SAVR than TAVR (24% vs. 4.8%) and the rate of bioprosthetic valve failure (valve-related death, aortic valve reintervention, or severe hemodynamic structural valve deterioration) was similar between the two groups (6.7% vs. 7.5%).37 Although these data are encouraging, THV durability in BAV may not be equivalent and further dedicated studies in this population are needed.
Novel approaches to BAV TAVR have included both preprocedural and procedural innovations. Computer simulations of TAVR in BAV have attempted to predict outcomes such as paravalvular regurgitation or conduction abnormalities.38,39 In a retrospective analysis of TAVR in 37 BAV patients, computer modeling was able to predict moderate or severe paravalvular regurgitation and major conduction abnormalities with an area under the receiver operator curve of 0.86 and 0.88, respectively.38 An example of a potential new procedural approach has been to attempt to reshape the bicuspid anatomy prior to THV implantation through the use of an hourglass-shaped valvuloplasty balloon.40 Further research is required to determine if these and other recent innovations can translate into improved outcomes in bicuspid TAVR.
BAV disease presents unique challenges for TAVR, but promising results are being reported with recent improvements in patient selection, procedural technique, and device technology. At present, TAVR should be reserved for higher-risk surgical candidates, and future research should focus on further refining patient selection and identifying the optimal devices and techniques in this population. Ultimately, randomized controlled clinical trials may be necessary to guide further expansion of TAVR to lower-risk patients with BAV.
1. Roberts WC. The congenitally bicuspid aortic valve. A study of 85 autopsy cases. Am J Cardiol. 1970;26:72-83.
2. Sievers HH, Schmidtke C. A classification system for the bicuspid aortic valve from 304 surgical specimens. J Thorac Cardiovasc Surg. 2007;133:1226-1233.
3. Yoon SH, Makkar R. Transcatheter aortic valve replacement for bicuspid aortic valve: challenges and pitfalls. Interv Cardiol Clin. 2018;7:477-488.
4. Michelena HI, Desjardins VA, Avierinos JF, et al. Natural history of asymptomatic patients with normally functioning or minimally dysfunctional bicuspid aortic valve in the community. Circulation. 2008;117:2776-2784.
5. Siu SC, Silversides CK. Bicuspid aortic valve disease. J Am Coll Cardiol. 2010;55:2789-2800.
6. Roberts WC, Ko JM, Hamilton C. Comparison of valve structure, valve weight, and severity of the valve obstruction in 1849 patients having isolated aortic valve replacement for aortic valve stenosis (with or without associated aortic regurgitation) studied at 3 different medical centers in 2 different time periods. Circulation. 2005;112:3919-3929.
7. Roberts WC, Janning KG, Ko JM, et al. Frequency of congenitally bicuspid aortic valves in patients ≥ 80 years of age undergoing aortic valve replacement for aortic stenosis (with or without aortic regurgitation) and implications for transcatheter aortic valve implantation. Am J Cardiol. 2012;109:1632-1636.
8. Mack MJ, Leon MB, Thourani VH, et al. Transcatheter aortic-valve replacement with a balloon-expandable valve in low-risk patients. N Engl J Med. 2019;380:1695-1705.
9. Popma JJ, Deeb GM, Yabukov SJ, et al. Transcatheter aortic-valve replacement with a self-expanding valve in low-risk patients. N Engl J Med. 2019;380:1706-1715.
10. Smith CR, Leon MB, Mack MJ, et al. Transcatheter versus surgical aortic-valve replacement in high-risk patients. N Engl J Med. 2011;364:2187-2198.
11. Adams DH, Popma JJ, Reardon MJ, et al. Transcatheter aortic-valve replacement with a self-expanding prosthesis. N Engl J Med. 2014;370:1790-1798.
12. Bauer T, Linke A, Sievert H, et al. Comparison of the effectiveness of transcatheter aortic valve implantation in patients with stenotic bicuspid versus tricuspid aortic valves (from the German TAVI Registry). Am J Cardiol. 2014;113:518-521.
13. Costopoulos C, Latib A, Maisano F, et al. Comparison of results of transcatheter aortic valve implantation in patients with severely stenotic bicuspid versus tricuspid or nonbicuspid valves. Am J Cardiol. 2014;113:1390-1393.
14. Mylotte D, Leferve T, Sondergaard L, et al. Transcatheter aortic valve replacement in bicuspid aortic valve disease. J Am Coll Cardiol. 2014;64:2330-2339.
15. Quintana RA, Monlezun DJ, DaSilva-DeAbreu A, et al. One-year mortality in patients undergoing transcatheter aortic valve replacement for stenotic bicuspid versus tricuspid aortic valves: a meta-analysis and meta-regression. J Interv Cardiol. 2019:8947204.
16. Sannino A, Cedars A, Stoler RC, et al. Comparison of efficacy and safety of transcatheter aortic valve implantation in patients with bicuspid versus tricuspid aortic valves. Am J Cardiol. 2017;120:1601-1606.
17. Yoon SH, Bleiziffer S, De Backer O, et al. Outcomes in transcatheter aortic valve replacement for bicuspid versus tricuspid aortic valve stenosis. J Am Coll Cardiol. 2017;69:2579-2589.
18. Halim SA, Edwards FH, Dai D, et al. Outcomes of transcatheter aortic valve replacement in patients with bicuspid aortic valve disease: a report from the Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve Therapy Registry (published online February 26, 2020). Circulation.
19. Elbadawi A, Saad M, Elgendy IY, et al. Temporal trends and outcomes of transcatheter versus surgical aortic valve replacement for bicuspid aortic valve stenosis. JACC Cardiovasc Interv. 2019;12:1811-1822.
20. Perlman GY, Blanke P, Dvir D, et al. Bicuspid aortic valve stenosis: favorable early outcomes with a next-generation transcatheter heart valve in a multicenter study. JACC Cardiovasc Interv. 2016;9:817-824.
21. Blackman DJ, Van Gils L, Bleiziffer S, et al. Clinical outcomes of the Lotus valve in patients with bicuspid aortic valve stenosis: an analysis from the RESPOND study. Catheter Cardiovasc Interv. 2019;93:1116-1123.
22. Makkar RR, Yoon SH, Leon MB, et al. Association between transcatheter aortic valve replacement for bicuspid vs tricuspid aortic stenosis and mortality or stroke. JAMA. 2019;321:2193-2202.
23. Bob-Manuel T, Heckle MR, Ifedill IA, et al. Outcomes of transcatheter aortic valve replacement in bicuspid aortic valve stenosis. Ann Transl Med. 2019;7:102.
24. Guglielmetti L, Nazif T, Sorabella R, et al. Bicuspid aortic valve increases risk of permanent pacemaker implant following aortic root replacement. Eur J Cardiothorac Surg. 2016;50:497-503.
25. Ueshima D, Nai Fovino L, Brener SJ, et al. Transcatheter aortic valve replacement for bicuspid aortic valve stenosis with first- and new-generation bioprostheses: a systematic review and meta-analysis. Int J Cardiol. 2020;298:76-82.
26. Patel A, Leon MB. Transcatheter aortic valve replacement in patients with bicuspid aortic valves. J Thorac Dis. 2018;10(Suppl 30):S3568-S3572.
27. Kawamori H, Yoon SH, Chakravarty T, et al. Computed tomography characteristics of the aortic valve and the geometry of SAPIEN 3 transcatheter heart valve in patients with bicuspid aortic valve disease. Eur Heart J Cardiovasc Imaging. 2018;19:1408-1418.
28. Watanabe Y, Chevalier B, Hayashida K, et al. Comparison of multislice computed tomography findings between bicuspid and tricuspid aortic valves before and after transcatheter aortic valve implantation. Catheter Cardiovasc Interv. 2015;86:323-330.
29. Tchetche D, de Blasé C, van Gils L, et al. Bicuspid aortic valve anatomy and relationship with devices: the BAVARD Multicenter Registry. Circ Cardiovasc Interv. 2019;12:e007107.
30. Giannini F, Tzanis G, Gallo F, et al. Looking for optimal implantation height in bicuspid aortic valve patients undergoing transcatheter aortic valve implantation: a case series. Cardiovasc Revasc Med, 2020.
31. Xiong TY, Feng Y, Li YJ, et al. Supra-annular sizing for transcatheter aortic valve replacement candidates with bicuspid aortic valve. JACC Cardiovasc Interv. 2018;11:1789-1790.
32. Liu X, He Y, Zhu Q, et al. Supra-annular structure assessment for self-expanding transcatheter heart valve size selection in patients with bicuspid aortic valve. Catheter Cardiovasc Interv. 2018;91:986-994.
33. Weir-McCall JR, Attinger-Toller A, Blanke P, et al. Annular versus supra-annular sizing for transcatheter aortic valve replacement in bicuspid aortic valve disease (published online January 31, 2020). J Cardiovasc Comput Tomogr.
34. Kim WK, Renker M, Rolf A, et al. Annular versus supra-annular sizing for TAVI in bicuspid aortic valve stenosis. EuroIntervention. 2019;15:e231-e238.
35. Blackman DJ, Saraf S, MacCarthy PA, et al. Long-term durability of transcatheter aortic valve prostheses. J Am Coll Cardiol. 2019;73:537-545.
36. Douglas PS, Leon MB, Mack MJ, et al. Longitudinal hemodynamics of transcatheter and surgical aortic valves in the PARTNER trial. JAMA Cardiol. 2017;2:1197-1206.
37. Sondergaard L, Ihlemann N, Capodanno D, et al. Durability of transcatheter and surgical bioprosthetic aortic valves in patients at lower surgical risk. J Am Coll Cardiol. 2019;73:546-553.
38. Dowling C, Bavo AM, El Faquir N, et al. Patient-specific computer simulation of transcatheter aortic valve replacement in bicuspid aortic valve morphology. Circ Cardiovasc Imaging. 2019;12:e009178.
39. Dowling C, Firoozi S, Brecker SJ. First-in-human experience with patient-specific computer simulation of TAVR in bicuspid aortic valve morphology. JACC Cardiovasc Interv. 2020;13:184-192.
40. Zhao ZG, Feng Y, Liao YB, et al. Reshaping bicuspid aortic valve stenosis with an hourglass-shaped balloon for transcatheter aortic valve replacement: a pilot study. Catheter Cardiovasc Interv. 2020;95 Suppl:616-623.


text:
Kampala, Uganda | GODFREY SSALI | Nnabagereka Sylvia Nagginda has applauded former minister Joyce Mpanga for being a true champion of women's rights and writing a book about her life and achievements over the years. The Nnabagereka (Queen of Buganda), who also wrote the foreword to the book 'It's A Pity She's Not …Read More »
Buganda wants autonomy and self-determination
The voluminous 520-page book, `Protection, Patronage or Plunder? British Machinations and (B)uganda's Struggle for Independence', by Apollo Nelson Makubuya; the 3rd Deputy Prime Minister (Katikkiro) and Minister for Justice and Constitutional Affairs of the kingdom of Buganda, has attracted a lot of attention. He spoke to The Independent's Agnes E …Read More »
Book Review: Militarism and the Dilemma of Postcolonial Statehood
Book Review: Can military deliver democracy? Title: Militarism and the Dilemma of Postcolonial Statehood: The Case of Museveni's Uganda Authors: Busingye Kabumba, Dan Ngabirano, Timothy Kyepa Publisher: Development Law Publishing Availability: All major bookstores Reviewer: GAAKI KIGAMBO In his 30th State of the Nation Address on June 6, President Yoweri …Read More »
BOOK REVIEW: Africa's Industrialization & Prosperity
Book Review: David Sseppuyya on 'Why no prosperity in Africa?' Title: Africa's Industrialization & Prosperity: From Esau Syndrome to Structural Adjustment Author: David Ssepuuya Publisher: Mwesigwa Foundation Available: Leading Bookstores Why is Africa, which is always said to be so endowed with natural resources, so poor? In a new book …Read More »
BOOK REVIEW: Profanity in society
Book review: Title: In Praise of Profanity, pp270 Author: Michael Adams Publisher: Oxford University Press The recent haranguing of the First Lady Janet Museveni by the profanity prone professor Stella Nyanzi of Makerere University (formerly?) raises the question of why some people opt for obscenity in expression. It also raise …Read More »
BOOK REVIEW: Footprints of the Outsider
Many readers will easily relate with the realism in Julius Ocwinyo's latest novel Julius Ocwinyo is arguably among Uganda's literary luminaries, thanks to his three major fictional works that include the much acclaimed 'Fate of the Banished' (1997) that featured quite prominently in Uganda's literature syllabus at university level, 'The …Read More »
BOOK: An African in awe
Ugandan-born writer Kirunda wants an African mental revolution but is he going about it the wrong way? A little over thirty year ago, Emmanuel S. Kirunda was an ordinary Musoga boy growing up in rural Iganga, in Eastern Uganda. He faced the usual struggles of growing up in a poor …Read More »
Mzungu with a big nose writes book
BOOKS: Insights into Uganda – It's the funniest, frankest, saddest commentary ever written about Uganda I like reading because it packs rest, entertainment, learning and more in one activity. Most times though, I am very clear about why I am reading a particular item. So I was at a loss …Read More »


text:
Jerry Lucky: At what point if there was such a point did you think; music was going to
be a major part of your life?
Richard Wileman: Music was always an enjoyable part of my life as an entertainment when growing up, but it didn't properly become something I really wanted to be involved in until I was 16 when I had an electric guitar for a Christmas present. I'd always liked chord buttons on home keyboards and dabbled at learning the keyboard, but when I had the guitar everything changed - I couldn't put it down. Quite a late starter, really.
JL: What music was most important to you at that time?
RW: I was very into to heavy rock/metal and just starting to listen to prog rock too. I was especially into learning Toni Iommi's guitar parts and a little later, Alex Lifeson and Steve Hackett.
JL: As an artist, do you consciously think oh I must make this sound different from those guys or from your previous music for that matter?
RW: As far as my guitar playing goes, yes early influences do linger, although I do attempt to minimise this. As far as composition goes however (which is my main concern), I have so many different influences and interests that I find my music seems to turn out pretty much 'me' anyhow. Its not some grand design to sound 'different' as such, I'm just drawing on a wide range of styles and techniques, that this naturally happens. I love writing for orchestral instruments, making loops, playing percussion, generally experimenting and so on. If anything, I would say Karda Estra sounds closest to the soundtrack composers I admire as they are also working with wide instrumental variety and textures.
JL: The music you made with Lives and Times is quite different how would describe it?
RW: L&T was a mix of art-pop, indie and prog. Female vocals and mainly song based - although I did slip in some basic, proto-Karda Estra type instrumentals in. We gigged quite a bit and recorded six CD albums plus some collaborations and compilations. Musically not where I'm at now, but I have fond memories. A good experience to have when you're in your 20's and dreaming of fame and fortune ... until reality steps in!
JL: What led to that bands demise and you going solo?
RW: The usual - including diffences of opinions. There had been a lot of line up changes, no more so than in the last couple of years which included personal issues too. The band had run its course and was probably overdue to finish. Getting my own home studio equipment pretty much re-charged my enthusiasm for music. I could do so much more ideas and arrangement wise - it was a huge jump compositionally for me.
JL: Musically Karda Estra is a very different animal. When you give someone your elevator speech where you describe your music, what do you say?
RW: When I've tried in the past, I get such puzzled looks that for many years now, when asked, I reply 'You won't like it.' Saves time! When trying to catagorise on sites like MySpace or Soundclick, I use the terms 'progressive', classical, 'gothic', 'instrumental' etc. There's a strong soundtrack influence too. Yet, I think the most predominant element to my music is my love of chords/harmony. Plus I'm very interested in arrangement and production - from all the classical players I use (lots of woodwind, plus some strings and brass as well as stacked female choral wordless vocals) to electronic instruments, percussion, experiments and of course guitar (electric, classical, bass).
JL: Does Karda Estra have a kind of musical mission?
RW: No mission as such, but I guess I'm keen that it has no limits. Whatever I feel like writing, whatever instruments, players, techniques or ideas I want to use, then I will.
JL: I mentioned to you while listening to your latest CD, The Last of the Libertine that I detected familiar hints of John Barrys James Bond themes. Was that just me or is there something to that?
RW: Well, I would say the track 'Atom of Warmth' has a touch of John Barry. In fact, when my trumpet player was recording, she enquired as to what the opening chord was. When I told her, she said 'Ah, the James Bond chord.' I didn't really figure this when writing as it was composed on classical guitar. As soon as I changed it to piano for the final arrangement though, it instantly had that Barry feel. Which I don't mind as I think Barry is terrific. I have to mention that the tempo and piano feel of the track was more inspired by Ennio Morricone's 'Fistful of Dynamite' title track. Then it all went through the Wileman melancholy grinder! In fact, while I was recording the Libertine album, I was primarily listening to Morricone, discovering several other Italian soundtrack composers like Piero Umiliani, Franco Micalizzi and Bruno Nicolai. Plus discovering the soundtrack music of Roy Budd and the library music of Syd Dale, the Amphonic and Brilliant labels etc. I also got really into the Jimmy Webb composed 5th Dimension album 'The Magic Garden' too - which is especially why the album has an 'intro' track. All of it fantastic music and the main influences the album has, along with my usual prog and classical ones.
JL: Tell me about the people who perform with you?
RW: These are the musicians who have played on my recordings since the inception of Karda Estra: Ileesha Bailey - vocals, Zoe Josey - flute, alto and tenor saxophones, clarinet, Caron Hansford - oboe, cor anglais, bassoon, Helen Dearnley - violin, Louise Hirst - trumpet, Rachel Larkins - viola, violin, Michelle Williams - clarinet, Sarah Higgins - cello, Amy Hedges - clarinet, tenor saxophone, Jemima Palfreyman - tuba.
JL: What do you and the others do for your day jobs?
RW: I work for Dolby - mainly testing audio and digital cinema equipment. Ileesha is my wife and currently looks after our daughter Sienna. The others in my current line - up are all music teachers, with the exception of Jemima who is a music student.
JL: Any thoughts about doing live gigs?
RW: Not at the moment. Due to the amount of instrumentation and multiple layers to the arrangements, it would be impossible to reproduce well live without a lot of money being thrown at it. These days I find once a piece is done, I've pretty much had enough of it and want to compose new music, rather than rehearse it for live. But I never say never and if opportunities arose, I would definitely look into it.
JL: You sent out a notice a while back about the state of the music business causing you to rethink your sending out of promo CDs. Explain that a little bit.
RW: It was less about the state of the music business and more to do with the practicalities and costs of doing the promo for an indie release of the kind I do. Essentially, I wanted to try an experiment and release three brand new tracks as free mp3 singles to celebrate 10 years of me doing Karda Estra. And obviously I wanted to promote them. So I tried a different approach than I usually do and asked various prog magazines, sites and stations if they would feature/review them or give them airplay. If they wanted to, they would be sent mp3 files, not CD's of them. It got a mixed response, which I expected. Some wanted to, some didn't, some ignored them. Plus, I got responses from people who I hadn't dealt with before. Kudos to those who did help. Its tough getting the money together to promote an indie CD at the moment and more and more people need to realise that if someone like me is trying a different angle like this - there must be a valid financial reason. With free artist approved mp3 promotion, there is a great chance to really spread the word and make a project still viable for future CD releases. But I think it worked and will do it again. The response to the new tracks was so favourable that I've had requests for them to be included as bonus tracks on a future CD - which I've decided I will do. But for now, they're still available for free from: www.kardaestra.co.uk - feel free to download, pass them on, review, give airplay etc.
JL: Have you been affected by illegal downloading?
RW: I suspect so. But I may also have people buy albums as a result too in a 'try before you buy' type way. It's difficult to judge, but the climate for labels and distributors sure has changed, fact.
JL: Having been an independent and now on a smaller genre specific label (Cyclops), whats your assessment of the current state of technology and the music business?
RW: There are a lot of opportunities and outlets now for musicians. And as a result, an awful lot of musicians around trying to get your attention. The major problem is there are so many, it is virtually impossible to have the time to sift out those that may be to your taste. I don't really take too much notice of the mainstream business, as I feel quite disconnected from it these days. Making global contacts is fantastic though - been great to do my collaborations with Artemiy Artmiev and Spirits Burning. Plus I've met so many more musicians and discovered some amazing music. I also found the last two Karda Estra members via MySpace. And I'm ok with mp3's too. But I'll always prefer CD albums.
JL: I always like to close with my desert island disc question if you were stuck on a desert island what five discs would like to have with you and why those particular discs?
RW: That is very tough as I would have hundreds and probably a different answer tomorrow - so with all apologies to my other favourite albums....
Genesis - The Lamb Lies Down On Broadway
Talk Talk - Colour of Spring
Ennio Morricone - Fistful of Dynamite soundtrack
Beatles - White Album
JL: Richard, thanks for taking the time to fill us in...we wish you all the best. Cheers.


text:
♦ The diamond jubilee of Queen Elizabeth II was a nautical display inscribed not only within the age-old tradition of pompous naval processions extolling the monarchy and its relations with its subjects, but also in a history of prestigious parades conducted on the great rivers and urban canals which have served as the theatres of Antiquity and the European Renaissance down to the modern age. Yet the innumerable stream of small crafts hailing from all corners of the world also represented a series of significant breaks with tradition. The military was completely absent from the proceedings, whereas globalization was very visible, emblazoned in the various colours of the Commonwealth adorning the boats winding merrily down the river. Ordinary citizens happily breached protocol by directly taking part in the festivities, in testimony to a common desire for a more modern relationship between the royal house and the people. The entire ritual was a benevolent affair attesting to the durability of an institution and its lingering prestige, and reaffirming its value as a symbol of unity and community. As a cultural heritage symbol, the Thames epitomised the very event it hosted, the embodiment of a public space and national ethos. […]
The Amazon is longer, the Congo darker, the Mississippi more powerful, the Seine more gentle. But within the pantheon of great rivers, the Thames occupies a special place in the popular imagination. With the passage of time accompanying the rise and fall of an empire, the river has become an international artery promoting a global interchange.
"The Thames belongs not to the sovereign, but to the people, who in any case never refer to it by name, but instead call it 'the river' as if it were a member of the family" : for Tony Travers, professor at the London School of Economics, the river symbolises the steadfast rejection by aristocrats and citizens of absolute monarchy. The counterweights to the realm were established on its banks: the Houses of Parliament, the ministry buildings and Lambeth Palace, official residence of the Archbishop of Canterbury. Their purpose was to oppose the royal house, which had scattered its other palaces along the river between the 11th and 16th centuries. In 1717, the royal barge carrying George I along the Thames was accompanied by another vessel on which musicians played "Water Music", Handel's ode to the river as requested by the king. The exercise was meant to endear the House of Hanover to the English public following the German-born monarch's accession to the British throne. In the 19th century, royal events were moved to The Mall, the ceremonial road running from Buckingham Palace to Trafalgar Square, on account of the Great Stink which had overwhelmed the Thames, and the development of wide avenues in the city of London. State funerals are nonetheless still held on the river. The bearing of Nelson's remains from Greenwich to Whitehall, on 8 January 1806, following his death at the battle of Trafalgar, or of Winston Churchill's coffin between St. Paul's Cathedral and Waterloo Station on 30 January 1965, bear witness to the enduring symbolic quality of the Thames during major events. ♦
Source : extracts, Le Monde, 2 June 2012.
Diaporama : http://www.lemonde.fr/a-la-une/article/2012/06/03/entre-la-tamise-et-la-royaute-2-000-ans-d-histoire_1711231_3208.html
(translated from French by Wolf Draeger)


text:
WW2 destabalised the museum and society which were already fragile in the aftermath of WW1.
On the 3rd of September 1939 war was declared and the Hancock Museum, situated at Barras Bridge, Newcastle upon Tyne, immediately closed its doors to the public. The Trustees of the Natural History Society of Northumberland, Durham and Newcastle upon Tyne, held an emergency Council meeting to discuss the protection of their museum and the valuable collections. T Russell Goddard, the Museum Curator, was given the immense task of saving the museum and its contents from the threat of the imminent conflict.
Various items were removed from display and carefully placed in strong wooden packing cases to be stored in a variety of 'safe' locations.
The Museum staff packing up the collection in 1939. Stephen E Cook, the Museum's 'technical assistant' and taxidermist, in the foreground.
Museum assistant and taxidermist Stephen E. Cook, in the lab coat, supervising the loading of the collections onto the back of an open lorry ready to go to Cragside, Northumberland
Loading the wooden packing cases onto the lorry. The caretaker A E Bennett (wearing the apron) waits with the next load.
Among the many items dispatched were the collection of drawings and watercolours by Thomas Bewick, Albany Hancock's drawings of Nudibranchs (Sea Slugs), the Atthey and Hutton collection of Coal Measure fossils and the irreplaceable specimens of the Great Auk. The Society's minute books and a complete set of its Transactions as well as other valuable documents were also packed ready for removal.
Fifty-seven cases were sent by lorry to the home of Lord Armstrong at Cragside and stored in the Gilnochie Tower. One single case, containing the egg of a Great Auk was housed in the cellar of Dr Wilfred Hall's house at Sharperton. Library books were dispersed among members living in the country. Part of the herbarium of local plants was sent to the British Museum of Natural History in London and unfortunately destroyed during a bombing raid.
In a letter to entomologist Dr C D Day, dated 26 April 1944, the Deputy Museum Curator Miss Gladys Scott commented on the loss of the botanical specimens.
As for sending specimens to the B.M., that will have to wait a bit. Part of our precious Herbarium was at South Kensington when the Botanical department got it so badly and was lost so we are a little shy of London at present.
Back in the Museum the staff boarded up the large windows, fixed wire netting under the glass roof and painted yellow lines on the floors to guide air raid wardens as they groped their way around the building in the dark. Staff undertook air raid precautions and fire-watching duties. A large trench was dug in the grounds for the staff but it suffered from flooding and thankfully was never required. A much more secure refuge eventually became available when the City authorities made an entrance to the Victoria Tunnel (still in existence on Claremont Road). Originally an 18th century wagonway running from Spital Tongues to the Tyne, the disused tunnel became one of the safest air raid shelters in the North East.
The original entrance to the Victoria Tunnel on Claremont Road, used during World War II. This entrance is now inaccessible.
Inside the Victoria Tunnel. Photographs courtesy of Brian Pears.
Other pictures available show the remains of baths, seats and handrails and a plan of the tunnel
Many of the staff were called up or left to aid the war effort. Only the caretaker A E Bennett, an employee from 1916-1947 years living in the caretakers lodge at the rear of the museum, and Miss Gladys Scott, a Deputy Curator who joined the staff in 1914, were left to 'man the fort'. However the taxidermist Stephen E Cook, appointed in 1928, eventually returned to look after the collections after a brief stint as a voluntary ARP Warden.
The museum reopened to the public in 1940 on a limited basis but the enforced closure and the war had brought great financial hardship due to the loss of revenue and members. Many members had died in the war including the joint president of the Society the 9th Duke of Northumberland who was killed in action in 1940.
Luckily the Hancock Museum and its collections, except for the herbarium specimens, survived the war years unscathed to become the premier natural history museum it is today.
Read the Society's Council and Curator's Reports from 1938-1945, please click here
To read about the VE Day celebrations at the Hancock Museum in 1945, please click here.


text:
Destination wedding nails with CND
Thanks to your sparkling new wedding band, your hands (and nails) are sure to be in the spotlight on your big day. To help you get them prepped and pretty, we reached out to CND™ Education Ambassadors and asked them to tell us about this season's most popular polish trends and other top tips. Here's their advice to help ensure that when your partner asks for your hand in marriage your nails look flawless.
What are the benefits of shellac over regular polish for the big day?
The best part of a CND™ SHELLAC™ manicure is that you can have your nails done a few days in advance and feel confident that your beautiful, high shine manicure will still be perfect for your big day and beyond. Most Shellac manicures last for about two weeks, which means brides can keep calm knowing their nails will still look great on their honeymoon. Plus, Shellac improves the look of natural nails by adding a thin coat that has zero dry time and greatly diminishes imperfections, for a perfect manicure every time.
What are some popular nail polish colours for brides?
Colour preference can be as personal as scents so we offer a wide range of shades to suit each bride's unique style. Our most popular shades of Shellac and Vinylux for brides are nudes and neutrals such as Field Fox, Uncovered Unlocked and Satin Pajamas. When choosing your shade, take your time and try multiple hues to find the right nude polish for your skin tone, this will give your nails timeless elegance.
Can you recommend any trendy nail designs for brides-to-be?
There are so many fantastic ways to dress up your bridal nails. Try a nude shade such as Unlocked and add a white lace design to the nails using Cream Puff. Trendy brides may also like a soft ombre nail design using Uncovered and Studio White. Brides that love bling can beautifully accent their nails by adding a few rhinestones in the cuticle area.
Where do you recommend brides look for nail inspiration?
There are so many wonderful places to view bridal manicures online. Pinterest is a great place to find inspiration for beautiful bridal nails, but it's always a good idea to check in with your nail professional in advance and give them some time to work out the design. Salons usually keep a lot of nail design images on hand for brides to browse, and most even have Instagram accounts to showcase their dazzling designs.


text:
BLOG SITEMAP:Posts (639)
Page 1 | 2 | 3 > Last(7) next >
Three-way fantasies? Curious about Swinging? Click above for our Swing Lifestyle series.
What if three (or more) people fall in love? Click above for our polyamory stories.
Looking for one woman, one man, hot sex, and perilous danger? Click above.
Enter your email address to subscribe to this blog and receive notifications of new posts by email.
Join 6,137 other subscribers
Email Address


text:
Faculty Advisor
Looft, Fred J.
Faculty Advisor
Nestinger, Stephen
The purpose of this project was to design and fabricate an autonomous dirigible-based platform that could be used to enable development of navigational controllers and provide multi-mission capability through modularity. The platform was designed to carry and interface with a variety of mission specific hardware through a standard interface. A customized hardware platform was designed including a propulsion system and integrated sensor suite. Multiple ground level tests were undertaken to determine sensor performance and the capabilities of the navigational programs.
Worcester Polytechnic Institute
Date Accepted
April 2012
Mechanical Engineering
Robotics Engineering
Project Type
Major Qualifying Project
Copyright Statement
All authors have granted to WPI a nonexclusive royalty-free license to distribute copies of the work, subject to other agreements. Copyright is held by the author or authors, with all rights reserved, unless otherwise noted.
Advisor Department
Electrical and Computer Engineering
Advisor Department
Mechanical Engineering


text:
FaucetBox is Closing
Zeus last edited by Zeus
Hello everyone, just a quick update that FaucetBox is closing, many of you guys may be using this service knowing (or without knowing) via a bitcoin or Satoshi faucet, as most of them used this service (or similar ones).
So just to let you guys know and if you have a balance there, try to send it to your wallet as soon as possible, any remaining satoshis will be lost, and don't use services that pay via this service, every effort you do will be lost if you haven't reached the threshold.
More info here: https://faucetbox.com/en/closing
LithStud last edited by
@Zeus i have some but no way to increase till sendable amount. But anyways i was long since abandoned such faucets as they tend to overload with adds.
If you guys looking for LTC, Doge or BTC faucet that doesnt overload your visual sense here is some (and you will help me :D)
https://goo.gl/kmc3Um - LTC
https://goo.gl/LoQKgP - Doge
https://goo.gl/he4upA - BTC
and these has something like a lottery where you can rool out bigger amount than usual, also has multiply.
https://goo.gl/paqMVT - BTC
https://goo.gl/N9Cd8b - ETH
I like these ones since you can enter them without needing to disable your AdBlock
Zeus last edited by Zeus
@LithStud that's one of the reasons I don't use/like btc faucets too many ads everywhere lol
LithStud last edited by
@Zeus yeah best are official faucets fast and without adds overkill


text:
Marshall's Thundering Herd can no longer attain perfection this season, following their overtime loss to Western Kentucky, but they can still reach their goal of a conference championship when they entertain Louisiana Tech in the CUSA title game on the Herd's home field Saturday afternoon in Huntington.
Marshall was 11-0 SU and 8-3 ATS on the season until getting gouged for 738 yards and nine touchdowns in a 67-66 overtime loss to the Hilltoppers last time out as 24-point favorites. Nonetheless the Herd are champions of the East Division.
The Bulldogs, meanwhile, just put up 76 points on Rice, and at 8-4 SU, 9-3 ATS and 7-1 in conference play enter the CUSA championship game as champions of the West Division.
Marshall is 7-3-1 ATS this year as double-digit chalk, while Louisiana Tech is 8-3 ATS past 11 games as double-digit dogs over the past few seasons.
Louisiana Tech Bulldogs vs Marshall Thundering Herd Opening Odds and Betting Line
Odds makers at 5Dimes opened the Marshall Thundering Herd as -14.5-point favorites in the matchup, while the betting total had not been set at press time (check BetDSI for the latest on the over under).
Computer Prediction: Louisiana Tech Bulldogs vs Marshall Thundering Herd Pick
Handicapping prediction models run by the computers at Odds – VSB
pick a 42-23 result in favor of the Thundering Herd. View the computer score prediction and who will win the pick on the moneyline for all upcoming NCAAF matchups here.
Louisiana Tech Bulldogs vs Marshall Thundering Herd Odds and Stats.
Team Betting Records & Power Rankings
The Louisiana Tech Bulldogs will look to cover ATS vs their hosts on Saturday, as they are 9-3 ATS versus the spread this season, while the Marshall Thundering Herd are 7-4-1 ATS. Louisiana Tech is 7-4-1 against the over under total, while Marshall is 6-5-1 versus the number. Stay Informed: follow us on Twitter for odds specials, betting line moves and Marshall vs Louisiana Tech injuries news.
The OddsShark Power Rankings have the Marshall Thundering Herd at No. 3 and the Louisiana Tech Bulldogs at No. 5 heading into this contest.
var m3_u = (location.protocol=='https:'?'https://revive.chalk247.com/www/delivery/ajs.php':'http://revive.chalk247.com/www/delivery/ajs.php');
var m3_r = Math.floor(Math.random()*99999999999);
if (!document.MAX_used) document.MAX_used = ',';
document.write ("");
How Louisiana Tech Bulldogs vs Marshall Thundering Herd Stats Matchup
Offensively, the game matches up the Marshall Thundering Herd No. 2-ranked offense (46.67 PPG) against a Louisiana Tech Bulldogs defense that ranks No. 55 at 25.17 PPG. The Marshall Thundering Herd passing attack has averaged 286.08 yards per game, more than the Louisiana Tech Bulldogs give up through the air (231.92 YPG on average).
In comparing defenses, the Louisiana Tech Bulldogs own the league's No. 22-rated front 7 in terms of stopping the run, allowing 129.86 yards per game when on the road. Marshall, on the other hand, rates No. 7 this week in generating rushing yards at home.
Recent Outings Betting Recap
Cody Sokol throttled the Owls defense in his team's most recent action, throwing for 387 yards as Louisiana Tech handed Rice a 76-31 defeat.
Rakeem Cato handled the Hilltoppers defense in his team's most recent action, throwing for 417 yards, but Marshall still lost to Western Kentucky 67-66.
Louisiana Tech Bulldogs vs Marshall Thundering Herd Betting Odds Trends
Louisiana Tech is 4-1 ATS in its last 5 games
Louisiana Tech is 6-1 SU in its last 7 games
Louisiana Tech is 6-1 ATS in its last 7 games on the road
Louisiana Tech is 4-2 SU in its last 6 games on the road
Marshall is 7-3 ATS in its last 10 games
Marshall is 12-1 SU in its last 13 games
Marshall is 9-2-1 ATS in its last 12 games at home
Marshall is 13-1 SU in its last 14 games at home
Source link


text:
We use Australia Post to ship our orders. Domestic shipping costs are calculated at checkout. Domestic orders over $100 are shipped free.
Yes, we offer international shipping. International shipping costs are calculated at checkout. Please see below for international customs taxes & duties.
If your order is being delivered to an address outside Australia, it may be subject to customs taxes and duties. These fees are the responsibility of the customer receiving the order.
As we are unable to estimate customs taxes and duties, please contact your local authorities or customs office for more detailed information.
If you paid customs taxes and duties as part of clearing your parcel through customs but you then decide to return the parcel, we will not refund these fees. Please contact the customs authority regarding a refund of these charges.
Customs processing may delay the delivery of your order. Should you experience a delay please check with your local customs offices.
Once your order is received, BirdLife Australia will process it within 2-5 business days.
Orders are then shipped with Australia Post, where Australian deliveries can take anywhere from 2-6 business days. You can use Australia Post's shipping calculator for a more accurate delivery timeframe. To use the shipping calculator enter in the postcode 3053, Carlton VIC in the 'from' field and your postcode in the 'to' field.
During busy periods and over Australian public holidays, you may experience a delay in receiving your order.
Yes, we use Stripe to process our payments. Stripe is certified to the highest industry standards and has regulatory licences around the world. Please refer to their website for more information.
Yes, we do accept payments from both AMEX and Diners Club.


text:
The big oak tree at our front gate has become the favorite playground for the local bobby twins. Mom was around, but I could not get her in a picture. The pictures of the bob kittens are the best to date. I hope you like them.
(look how long their legs are)


text:
Orange Ribbons For Jaime's 1st Annual Dance-A-Thon
Be a part of our Dance Party!
Participants will dance and fundraise in honor of Jaime from November 8-11th for a three-hour time-period at participating locations across the country.
Get involved in a location near you!
Find a participating location in your market and sign-up online! There will be an entrance fee of $25 and prize incentives.
Host In Your Market
Sign up your location today!
There are local Dance-A-Thons happening nationwide Veterans Day Weekend, Nov. 8-11 for a three-hour time period (time and date vary by location). Get YOUR location involved!
Get started!
After you register, you will get a link to start raising money for Orange Ribbons For Jaime! Share your link on social media, or email close family and friends to raise incremental funds. Stay tuned for a special prize for the top fundraiser at each studio!
Thank you to our 2019 sponsors!
Our Mission
On February 14th, 2018 Jaime Guttenberg, along with 16 other victims at Marjory Stoneman Douglas High School, was tragically murdered by a troubled former student. She was only 14 years old. Following the tragedy, Jaime's parents, Fred and Jennifer Guttenberg, formed Orange Ribbons For Jaime (ORFJ), a 501(c)(3) non-profit organization to honor their daughter by supporting causes important to her in life, but also causes that deal with the way her life was tragically cut short.
Orange Ribbons For Jaime Dance-A-ThonBecause one of Jaime's greatest passions was dance, ORFJ is now creating a nationwide Dance-A-Thon to raise money for programs that the organization supports. This includes funding a scholarship for kids of ALL abilities who will be continuing their education after high school.
ORFJ's 2019 Dance-A-Thon will be our organization's first ever annual fundraising event. These events will take place November 8th through 11th, Veterans Day weekend, at dance studios nationwide for a three-hour time period (date and time varies by location).


text:
Plaid cloth napkins – Many small details come together to influence our perception of how much fun a restaurant is. It covers everything from the food, decor, service, and even napkins. Imagine yourself going out to dinner: If you go to a nice place, one of the first things you might do after sitting is revealed napkin and place it on your lap.
If you find plaid cloth napkins, the whole experience you may be changed. You may still have a very nice dining experience, but your overall impression of the restaurant will be very different. How you were served at the table napkins are very important. You can only see a short, but what they consider will contribute significantly to how they remember the whole scene.
Fold style should vary depending on what the rest of the aesthetics of the establishment you like, but in general the style plaid cloth napkins must see destination and clean. Encourage a more elaborate design more interesting view of the restaurant, while the simple design allows guests to enjoy the other elements of the atmosphere you more. One issue that may arise with cloth napkins is that they can be carriers of bacteria if not cleaned properly. With so many visitors using them every day and night, you do not want to run the risk of having an unhealthy condition arises.


text:
Read Jeremiah 52:1-34
Riblah was 200 miles north of Jerusalem. This was the Babylonian headquarters for ruling the region. Hamath was the district of Aram containing the nation's capital.
This chapter provides more detail about the destruction of Jerusalem (2 Kings 24-25). This chapter shows that Jeremiah's prophecies concerning the destruction of Jerusalem and the Babylonian captivity happened just as he predicted.
Babylon's king showed kindness to Jehoiachin. In 561 B.C., Jehoiachin was released from prison and allowed to eat with the king. God continued to show kindness to the descendants of king David, even in exile.
In the world's eyes, Jeremiah looked totally unsuccessful. He had no money, family, or friends. He prophesied the destruction of the nation, the capital city, and the Temple, but the political and religious leaders would not accept or follow his advice. No group of people liked him or listened to him. Yet as we look back, we see that he successfully completed the work God gave him to do. Success must never be measured by popularity, fame, or fortune, for these are worldly and temporal measures. King Zedekiah, for example, lost everything by pursuing selfish goals. God measures our success with the yardsticks of obedience, faithfulness, and righteousness. If you are faithfully doing the work God has given you, you are successful in His eyes.