text:
OF MYTHS AND MEN
BETHUNE BECAME A BATTLEGROUND FOR DUELLING OBSESSIONS
For Ted Allan, the long march was over. In 1942, the Canadian screenwriter, now 74, pitched an idea for a movie. Last week, at the Montreal World Film Festival, Bethune: The Making of a Hero was finally unveiled. Addressing the audience before the Montreal première, Allan said, "I've been waiting 48 years to say this—I hope you enjoy the picture.” But while he spoke, in a hotel room across town Bethune’s Canadian star, Donald Sutherland, undercut the writer’s triumph with scalding comments in an interview with Mac-
lean ’s. The actor, who had refused to appear onstage with the writer, charged that none of Allan’s scripted dialogue reached the screen. “Ted’s script was pretentious and two-dimensional and unplayable,” said Sutherland, claiming that an uncredited writer from British Columbia, Dennis Clark, wrote the movie. Later in the week, Allan lay bedridden in a Montreal hotel, his heart condition aggravated, he said, by Sutherland’s attacks on him in the media. Accusing Sutherland of “meanspirited egomania,” he added, “I still think he deserves an Oscar—he’s a great actor and a puny human being.”
It was another bizarre twist in Canadian cinema’s longest-running soap opera: the battle for Bethune. The movie is the most expensive, ambitious and controversial in the country’s history. An $ 18-million epic, it tells the story of Canadian battlefront surgeon Norman Bethune, who died a martyr of the Chinese Revolution in 1939. After four years of tortured production spread over three continents, it is due to open in theatres across the country next month. Despite some widely acknowledged flaws, it was warmly received in Montreal. Local critics expressed surprise and relief that, after all its troubles, the movie is as good
as it is (page 70). Some foreign commentators, intrigued by its unorthodox hero, seemed impressed. Sheila Benson of The Los Angeles Times calls Sutherland’s portrayal of Bethune “deeply dimensional.” And former prime minister Pierre Trudeau shouted bravos, saying later, “I feel like wiping away my tears.”
Acrimony: But even at its moment of glory, Bethune could not shake the controversy that has cursed it since its inception. The project became a battleground for duelling obsessions, with Allan and Sutherland both challenging each other’s fidelity to Bethune’s spirit. Even the issue of whether Allan had had an affair with Bethune’s wife contributed to the acrimony. Meanwhile, the movie’s production was afflicted by delays, firings, crew mutinies, technical disasters, bad debts, quarrels between international co-producers and a budget that spiralled from $11 million to $18 million. And after the shooting ended, a bitter dispute left Bethune’s director, Phillip Borsos, shut out of the final editing process.
In Hollywood, such havoc is often just part of a day’s work. But in the delicate context of Canada’s publicly funded movie industry, it is a luxury that film-makers cannot afford. And the epic misadventure of Bethune has had deep
repercussions (page 67). It has certainly been a chastening experience for the federal funding agency Telefilm Canada, which has undergone a radical change in personnel and attitude over the course of the Bethune saga. Bankrolling Bethune “was a mistake to begin with,” said Peter Katadotis, Telefilm’s national director of production and development, adding that the agency has recently concentrated on subsidizing smaller movies.
“Let’s try to forget those man-of-wars,” he said.
“Let the Americans make their big galleons that cost millions of dollars.”
Demons: It seems unlikely that Telefilm’s investment in Bethune will pay off, at least in financial terms. The movie—a coproduction with China and France—has been sold to European distributors for about $1.6 million. And the movie’s producers are still trying to nail down an American distribution deal. Said critic Peter Rainer, Benson’s colleague at the Times. “It would be an extremely tough sell in the United States.” A jury member of the Montreal film festival (where Bethune was shown, but not as part of the competition), Rainer added, “It’s the sort of subject that usually gets covered in a mini-series.”
But, in Canada, where local heroes are in short
supply, Bethune has to double as a big-screen epic and a mini-series. The CBC is now assembling a four-hour program from Bethune footage that it plans to air in two instalments in December, 1991. The movie was primarily conceived, however, as a big-screen epic in the Lawrence of Arabia tradition. More modest in scale and pedestrian in style, Bethune is no Lawrence. But, like Lawrence, it is about a
troubled romantic who exorcises his demons in the fires of a foreign revolution. And Bethune’s expatriate heroism seems to strike a deep chord in Canadian culture.
After watching the movie at the Montreal festival, Trudeau declared it to be “wonderful.” Wearing an Oriental white silk shirt, he had just returned from a one-month vacation in China with two of his three sons, Justin, 18, and Sacha, 16, who also accompanied him to the première. At a reception after the screening, Trudeau chatted with CBC chairman Patrick Watson, who first cast Sutherland as Bethune 16 years ago in his CBC series Witness to Yesterday, in which Watson interviewed actors portraying historical figures. “You must be delighted,” the former prime minister I commented to Watson. “This film is I your dream come true. I was amazed g by its frankness—it’s Bethune, it’s I socialized medicine, the clenched fist, the singing of The Internationale in Montreal in the 1930s.” Added Tru-
deau: “It makes me wonder how it will
be seen by the Americans.”
After last year’s massacre of Chinese students in Beijing’s Tiananmen Square, marketing a movie about a Canadian Communist doctor who goes to China became a bold proposition. Even at the best of times, it would be difficult. But popular historian Pierre Berton, who privately screened Bethune in Toronto, hailed the movie for defying commercial formulas. “Hollywood always thinks it can do better than history,” he said. “The Bethune story does not need to be glamorized. It’s pretty good the way it is.” Added Berton: “It flies in the face of American anti-communism. But I also wonder how the Chinese are going to take it, because we’re taking one of their saints and bringing him down to earth.” Bethune is a tragic hero on a Shakespearean scale. He was a lady’s man, a heavy drinker and an arrogant show-off who finally purified himself in China, where he died from an infection caused by a scalpel cut to his finger. In China, Bethune became more honored than any foreign visitor since Buddha. But he is perhaps more interesting as a pathologically Canadian hero—a dreamer unsatisfied with the drama in his own country.
Puritanical: In making Bethune, Allan and Sutherland became rival heirs to Bethune’s legacy. Allan served as a comrade-in-arms with the surgeon in the Spanish Civil War. That was when Bethune began drinking too much, to Allan’s dismay. “I was a young, puritanical Communist,” the writer recalled last week in Montreal. “And hell hath no fury like a disillusioned hero-worshipper.” Added Allan: “He I was my surrogate daddy. I loved him; I hated I him.”
1 Sutherland, who has also portrayed the surI geon in one CBC TV production since Witness to 5 Yesterday, tends to defend Bethune’s honor as if it were his own. The actor charged that Allan
A TROUBLED ROMANTIC EXORCISED DEMONS INA FOREIGN REVOLUTION
betrayed Bethune during the Spanish Civil War by advising Communist party officials to send him back to Canada. Sutherland also said that Allan once claimed to have written Bethune’s poetic dispatch from China, the essay “Wounds,” and bragged to him in the early 1970s that he once had an affair with Bethune’s
wife, Frances. “He was using Bethune to glorify Ted Allan,” said Sutherland. “It’s that kind of scrabbling up the ladder—saying anything to achieve personal notoriety for himself—that I have problems with.”
Allan acknowledges that he did fall in love with Frances after Bethune’s death, but contends that he did not have an affair with her. “Donald should not take it personally,” said Allan. “I never laid a hand on her.” He added, however, that he may have given the actor a different impression. “I’m writing my autobiography now,” he said, “and I’m calling it a fictional autobiography, because I’m discovering that I’m never sure what happened—the reality versus the fantasies.” But Allan vehemently denies that he betrayed Bethune in Spain—or took credit for writing “Wounds.” “That charge is
really chilling,” said Allan. “The man has gone off his head. Apparently, he thinks he’s Bethune.”
Although their marriage of convenience was destined for a stormy divorce, Allan and Sutherland needed each other to realize their common dream: making the movie. Allan owned
the story; Sutherland owned the character. Allan staked his claim in 1942 by selling a 180page Bethune outline to 20th Century-Fox. Over the years, various studio executives and Hollywood stars—including Warren Beatty, Robert Redford, Paul Newman and Dustin Hoffman—expressed interest in it. But Hollywood was not about to glorify a Communist during the Cold War. The project also made the rounds among various Canadian filmmakers, from Norman Jewison to Ted Kotcheff. Finally, in 1985, two inexperienced Montreal producers, Nicolas Clermont and Pieter Kroonenburg, revived the project with the help of Julie Allan, the screenwriter’s daughter.
But the Canadian government became the key player I by signing an unprecedented I co-production deal with China in 1987. In a spirit of Oriental á glasnost, China was open for
business, and Bethune served as the flower in Ottawa’s diplomatic lapel. Accepting Allan’s script, China agreed to contribute $6 million worth of goods and services to the movie’s budget. The rest came from the CBC, the French co-producers, private investors and Telefilm, which promised $3.7 million. By the time the movie was completed, Telefilm had bailed out the project, more than doubling its contribution to $8.5 million.
Inadequate: The producers had grossly underestimated the cost of their ambitious venture. Following in Bethune’s footsteps, they filmed in remote parts of China, including the Wutai Mountains, where making a phone call meant driving for 12 hours. The food and facilities often proved woefully inadequate. Exposed film had to be sent to Vancouver for processing, then back to China. Canadian and Chinese crews had trouble understanding each other’s methods. There were endless delays. And the Chinese were especially perplexed to see the script that they had approved changing daily until it was unrecognizable.
After four months of shooting in China during the summer of 1987, financial problems halted production for a year. By then, bitter quarrels over the script had split the filmmakers into two camps: Sutherland and director Borsos versus Allan and the producers. With a new boost from Telefilm, shooting was completed in Montreal and Spain. But then, the feud shifted to the cutting room.
In September, 1989, nine months after shooting ended, the producers rejected the version that Borsos had been working on. Along with Telefilm, the CBC and the movie’s sales agents, they told the director that it was unacceptable. Borsos now says that his cut was incomplete, lacking vital narration. But the producers hired a new editor and decided to completely recut the movie without the participation of Borsos. Rejecting the director’s chronological narrative, they chose to construct the movie as a series of flashbacks.
Impunity: But that required yet more money, and suddenly the political climate had changed with Tiananmen Square. Before the massacre, Telefilm was under political pressure from Flora MacDonald, then communications minister, to make the movie at any cost. “Flora wanted this film,” said Telefilm’s Katadotis. He added that ministry officials “didn’t want any embarrassment with the Chinese. But after Tiananmen Square, it was amazing how quickly [the government’s] ardor faded. One minute it was going to be a national shame if we didn’t do it, then it would be a shame if we did.” Added Katadotis: “There was a point where I could have said, with impunity, ‘Listen, it’s too much hassle, it’s too much money— let’s call it off.’ ”
Instead, Telefilm provided another $2 million—for a total of $8.5 million—to complete the movie. Communications Minister Marcel Masse, who took over the portfolio from MacDonald in 1989, denies that there were political pressures to kill it. In an interview with Maclean’s after the première, he said: “If we hadn’t continued it would have been a catastro-
phe. When you start an experiment, you have to finish it.” Added Masse: “I think the result speaks for itself. It’s a film of international stature.” Telefilm executive director Pierre DesRoches echoed the minister’s praise, but said that the agency’s decision to finance the movie “could not have been made today—the structure of the movie and the script would have to be different.”
The Montreal première was like a wedding that brought together opposing sides of a family feud. Dennis Clark, one of three uncredited writers hired to revise Allan’s script, flew in from tiny Mayne Island,
B.C., where Borsos also has his home. In an interview, the writer maintained that he had entirely rewritten Allan’s script. “Contractually, I shouldn’t be talking to you,” he added, “but the producers haven’t paid me for my last year of work, so I have no qualms about it.”
The writer said that he is still owed $30,000 and that both he and actress Helen Shaver had to pay their own way back from China.
Palpitations: Producer Clermont dismissed Clark’s claims as “totally ridiculous” and advised him to either file a union grievance “or shut up.” He said that, while some dialogue was revised, the basic story and structure were faithful to Allan’s script. “How could it not be?” he asked. “The movie is the story of Bethune and Ted Allan.”
Meanwhile, Borsos, conspicuous by his absence at the Montreal première, says that there were 33 drafts of the screenplay. He maintains that Clark wrote most of the scenes scenes that
were filmed, with help from himself and Sutherland. In fact, the star and the director worked closely together reworking scenes, often the night before they were shot. Katadotis said, “It was the case of an inexperienced director with a star who was running the show.” Borsos disagrees. “Donald always said he was there to provide material which can be used or not,” the director told Maclean’s. “He had so many terrific suggestions, why would I not listen to him?” Concluded Borsos: “It was a film driven by government financing. They set the agenda. And that is where the problems started.” While clearly dissatisfied with the movie that bears his name, Borsos said that he had no desire to enter the current fray of invective. He also stressed that he was proud of his work. “Everything was gone about in the wrong way,” he said. “But the film got made because of an impassioned Ted Allan, an impassioned group of producers, an impassioned actor—
and, I might add, an impassioned director who wanted to make a film about a remarkable subject. Nobody did it for the money.”
The Bethune passions proved too strong for some at the première. Suffering from heart palpitations, Allan went to bed immediately after introducing the film. Clark walked out before the end of the movie, enraged by how the producers had cut the footage. Sutherland, planning to visit the theatre at the end of the movie, stayed in his hotel room, tried in vain to find the Expos baseball game on TV and then ordered a room-service sandwich. He has not
seen the finished movie, but that is not unusual—he first saw the 1971 thriller Klute, in which he starred opposite Jane Fonda, only recently. However, he said that he did watch the producers’ version of Bethune on video, turning it off after 20 minutes. “No matter how good people think it is,” he declared, “it is not as good as it could have been.”
Sutherland expressed his unforgiving contempt for Allan (“He has left a bruise on the back of my head”) and his undying admiration for Borsos (“Directors make films, and I work for directors”). But he also talked about the subject of his obsession, and why he agreed to do the movie under such adverse conditions. “I could not live my life without doing it,” the actor said. “Norman Bethune represents to me what is fundamentally good about the Canadian character. I think he was sitting in the heart of Elijah when he did his Meech Lake number.” Later, Sutherland's friend Watson showed
up at his hotel room. They shared a limousine to the theatre. The actor asked the driver to stop two blocks from the building, where photographers lay in wait under the marquee. As the limousine idled by the curb, Sutherland and Watson passed the time trading jokes. The actor told one about a Nova Scotia ice fisherman who drills a hole in a skating rink. Watson used an Irish accent to tell one about a gambler and a sea captain. Finally, it was time. Deciding that discretion is the better part of glamor, Sutherland dismissed the limousine driver and walked the remaining distance to the theatre
with Watson. Inside, the star stood by the popcorn stand as the audience watched his character die. Then, as the final credits rolled, warm applause turned into a standing ovation as Sutherland marched down the aisle and walked into the light of the screen.
Stepping up to a microphone, Sutherland made a short but impassioned speech about the necessity of a publicly funded movie industry in Canada. “You can’t begin to believe how important it is for this country that Telefilm Canada exists,” he said. The audience had just seen Sutherland’s Bethune preaching socialized medicine from a stage in Montreal. Now, on another Montreal stage, the actor who played him was extolling the virtues of socialized culture. And, with the briefness of an eclipse, the elusive legacy of Norman Bethune slipped into focus.
BRIAN D. JOHNSON

domain: news


The PP201 20-Volt Lithium-ion Cordless Vacuum is perfect for cleaning those tight spaces and corners that are difficult to reach with a traditional vacuum cleaner.
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Argentinian singer-songwriter Juan Minatta and his friend, collaborator, and talented artist Micaela Blue have teamed up to produce an extraordinarily beautiful new compilation of remixes for the track “after the aftermath.” The EP is titled “after the aftermath (remixes).”
A slow-paced piano pop single, “after the aftermath” is the kind of single that can be played for days, months and years, so much it contains beauty and soul. The magnificent performances of both Juan Minatta and Micaela Blue, and the way they have impressively intertwined their talents, is simply inspiring and lets us hope for more joint projects from these two in the future. The remixes also add to the already beautiful single, with new genres incorporated in the mix, including EDM and Dance music. We particularly recommend fans to stream the don’t rain on my parade remix of the track.


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Ken Feinberg’s operation has denied more than 100,000 emergency spill claims in the past 10 days as it nears a Dec. 15 deadline to process all 455,000 such claims.
As of Saturday night, the Gulf Coast Claims Facility had denied more than 173,000 claims from businesses and individuals, including 24,000 from Mississippi and 22,000 from Alabama. Only 67,000 claimants had been turned down as of Nov. 24.
Feinberg, the top claims administrator, said many claimants were denied because they lacked proper records to document their losses. They can refile for final or interim payments with better documentation, he said.
Denied claimants can also appeal to the U.S. Coast Guard’s claims process or sue BP PLC.
“The number of denied claimants continues to soar for two reasons,” Feinberg said in an e-mail Monday. “1) Thousands and thousands of claimants, who were asked over the past few months to submit additional documentation have not done so; so they are now being denied. 2) Claimants who filed in the past few weeks with insufficient documentation have automatically been denied.”
Feinberg on Aug. 23 took over the process of compensating individuals and businesses damaged by the BP oil spill. Until Nov. 23, he allowed people to file for emergency claims, which covered up to six months of lost earnings and did not force anyone to sign away their rights to sue BP.
Now people can file for final settlements, which require waiving legal rights against BP or they can file for interim payments, which cover three months of lost earnings at a time but do not require a legal waiver.
To date, Feinberg’s operation has paid out more than $2.3 billion to nearly 158,000 individuals and businesses.
His claims facility, however, has been the source of repeated criticisms that larger businesses were being treated unfairly, and big business claims were often paid at just a small percentage of the total loss.
Many of the large businesses along the coast — such as hotels, condo-rental companies, restaurants and retailers — have described severe losses when the spill wrecked the summer tourism season.
Feinberg and his associates have responded to the criticism by meeting with several large claimants and have promised supplemental payments to some.
In Mississippi, nearly 50,000 claims have been filed. More than 14,000 have been paid for a total of about $200 million. About 7,000 require more documentation, and 3,000 are under review.
More than 66,000 claims have been filed in Alabama. Thus far, nearly $427 million has been paid out to about 27,000 claims. Nearly 11,000 claims need more documentation before they can be approved, and another 4,500 are still under review.
Overall, there are about 80,000 emergency claims remaining that do not have enough documentation to be approved.
Feinberg said he plans to either approve or deny all emergency claims by Dec. 15, at which point his operation will begin processing final and interim claims.

domain: law


Written on: 17/09/2009
The BSA lightening XL is for me the perfect gun as far as springers go. It's lighter than most which is nice when trekking through the woods, it is easy to cock with the silencer also acting as a cocking aid and in terms of price is excellent value for money. The only downside (which was easily rectified) was that the stock screws started to shake themselves loose over a few sessions, this happened twice and so a bit of loctite on the screws and perfect. Also the trigger was a bit heavy but being adjustable this was sorted out in no time. An excellent gun and highly recommended..
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" Sheridan model C Blue Streak air rifle " Read More
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Written by EliteHunter
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Principle of anti-static gloves
Anti-static gloves have powerful anti-static functions, and are generally used with anti-static shoes and anti-static clothing, which can effectively solve the problem of human body static electricity for workers in the precision electronics industry. Anti-static gloves are very useful and have been favored by all walks of life. Let's take a look at the principle of anti-static gloves first.
1. Using the principle of static electricity dissipation, relatively high-point resistive carbon fiber is added to the gloves. The advantage is that it is easy to wear, and it is more convenient for the wearer to operate the workpiece. The disadvantage is that the stability of static electricity dissipation is insufficient, and it is mostly used for Used in conventional electronics assembly.
2. Using the principle of grounding and derivation, the weaving method of this kind of anti-static gloves is roughly the same as that of carbon fiber anti-static gloves. The difference is that low-resistance copper fibers or silver fibers are used. The advantage is that it can stably and thoroughly remove static electricity from the human body. The disadvantages The staff who use this kind of gloves also need to wear an anti-static wrist strap connected to the gloves. The operator must have a grounding device. The wearing method is relatively cumbersome, and it is necessary to ensure that the discharge line of the overall base is stable and smooth.
3.Using the antistatic mechanism of conductive fibers, conductive fibers have good conductivity and durability, especially in low humidity environments, they still maintain good durable antistatic properties. The antistatic mechanism causes corona discharge between conductive fibers. Corona discharge is a very gentle form of discharge. When the static voltage reaches a certain value, a sparkless corona discharge is generated to eliminate static electricity.


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An observational study was conducted at airline departure gates in several U.S. and European countries. Thirty-second observations were randomly made of 1360 different individuals ranging in age from infants to the elderly, although 79% of the travelers were adults. Most of the individuals were traveling with someone, except for adults who were more often traveling alone (58% vs. 42% time). Of the different types of social interaction and social media observed, cell phone texting/scrolling was significantly more frequently observed (at 53% time) than cell phone talking (13 % time), face-to-face interaction (13% time), on computer (7%) and touching (4%) which was the least frequently observed behavior. Significantly more cell phone texting/scrolling time occurred when adults were traveling alone (58% time). These data suggest that airline travelers are spending significantly more airport departure gate time on social media (specifically cell phone texting/scrolling) than face-to-face interaction or touching. Unfortunately, the observations that were made by professors and students were from too great a distance (10 feet away) in order to be unobtrusive but unable to code the precise type of cell phone texting/scrolling that was occurring.
Introduction After mastectomies, we do our reconstruction, either immediately or delayed. In both ways of reconstruction for post mastectomies defect, the most commonly performed reconstruction is by using breast prosthesis . For many years, surgeons have been trying to find out any solution to reduce the rate of implant exposure and develop some new techniques and modifications. However, once the infection develops or implant expose the only permanent solution is to remove the implant [2-3]. Although there is less evidence found in the literature regarding the salvage of implant once the infection occurs and when implant becomes expose in implant-based reconstruction . Radiation also plays additional role in post-operative complication rates following implant-based breast reconstruction, as it is well documented that the incidence of complications is to be higher in radiated breasts compare to similar non-radiated breasts . With the new advancement in radiation therapy the number of patients have been increasing who are receiving radiation therapy after immediate breast reconstruction . Description of the Technique For more than 15 years we have been reconstructing the breasts deformities after different types of mastectomies, ranging from skin sparing, nipple areola sparing to different types of lumpectomies, by immediate insertion of breast implants. The main problem which we face during post-reconstruction, is the exposure of implant in addition to infection. With the advent of ADM (Artificial Dermal Matrix) , serratus anterior muscle , rectus fascial flap  and inferior dermal flaps  although they do an addition to thickness of skin envelop over the implant after mastectomy, but still the rate of implant exposure has not changed noticeably. It has been well understood that of ADM expose in air it dries immediately which later on results in implant exposure. Meanwhile we have developed a novel tech- nique to augment the soft tissue…
A rare case of adult ileo-colic intussusception: Hamartomatous polyp as a lead point with concurrent appendiceal neurofibroma in Neurofibromatosis Type 1
Intussusception is a rare cause of adult intestinal obstruction and unlike in children, adult intussusception is commonly caused by a lead point, requiring surgical intervention in most cases. Hamartomatous polyp is a non-neoplastic growth of tissue containing mature cells, distributed in an abnormal manner. It is often associated with intestinal polyposis syndromes such as Peutz-Jeghers syndrome and Juvenile polyposis. In the current case, we report an extremely rare case of ileo-colic intussusception secondary to a lead point of an isolated ileal hamartomatous polyp in an elderly gentleman with Neurofibromatosis type-1. Patient was successfully treated with ileo-colic resection involving the intussuscepted segment of bowel. There was an incidental finding of a nodule in the appendix and the histology confirmed this as a neurofibroma. Post-operative recovery of the patient was unremarkable.
The Research of Xi Jinping’s Thought of a Community of Human Destiny from the Perspective of Chinese Culture
Xi Jinping is a great leader who knows Chinese history and Chinese culture, and he is also a firm supporter of the excellent traditional Chinese culture. The dialectical absorption and criticism of Xi Jinping’s thought of a community with a shared future for mankind integrates the essence of the Chinese culture, and contains the profound heritage of Chinese culture. Deeply understanding and grasping the rich connotation of Chinese culture and the value of the times will help provide useful reference for the world, provide cultural accumulation and support for Xi Jinping’s thought of a community with a shared future for mankind, and create a new era for the ideal new era of harmony and harmony in the community with a shared future for mankind. Xi Jinping, with his profound historical accumulation and national studies, actively explores the positive ways of life and governance in the Chinese Hehe culture, and resonates with the contemporary era, and proposes a new concept and initiative of a community with a shared future for mankind, and promotes the construction of global politics and security, Economy, culture, and ecology. A community of shared future to promote the building of a world of lasting peace, universal security, common prosperity, openness, inclusiveness, clean and beautiful world, so as to realize the beauty of permanent and peaceful development of mankind that “open peace for all generations” and “seek great harmony for the world” Vision. The proceeding from his profound accumulation of Chinese studies, Xi Jinping shows the unique charm of the Chinese culture to the world through the telling of “Chinese stories”, and pro-motes the “peaceful development, harmonious coexistence, and win-win cooperation of different civilizations” by advocating the tolerance and mutual learning of different civilizations “, forming an important idea to promote the construction of a community with a…
Introduction: Intramucosal esophageal dissection (IED) is an uncommon disorder, described as the separation of the mucosa and/or submucosa from deeper muscular layers due to abrupt increase in intraesophageal pressure. Case presentation: The first case il that of a 52 – years old female patient who underwent an esophagogastroduodenoscopy for control. After the procedure an extensive subcutaneous emphysema of the neck and a massive pneumomediastinum occurred. The patient was successfully treated with a conservative approach. The second case is that of a 43-years old male patient affected by Down’s Syndrome, who underwent an esopagogastroduodenoscopy because of persisting dysphagia. The endoscopic showed the presence of a serrated stricture at 20 centimeters from dental arcade. After the procedure he fell dysphagia. A neck-chest TC-SCAN showed superior and posterior pneumomediastinum and subcutaneous emphysema, without signs of mediastinitis. The patient was successfully treated with conservative approach. After a few days, a new chest CT-SCAN showed the presence of an anomalous right subclavian artery arising from the descending part of the aortic arch, causing dysphagia lusoria. Discussion: The causes of IED include iatrogenic instrumentation, hemostatic applications, mucosal injuries from ingestion of sharp foreign body, or spontaneous. A fluoroscopic upper gastrointestinal series or upper gastrointestinal endoscopy has been widely used to diagnose IED. CT and magnetic resonance are useful for differential diagnosis. In the absence of signs of mediastinitis management is conservative. Conclusion: CT SCAN should be the first exam to perform in the suspicion of IED. The first line treatment should be conservative. In case of the onset of complications and in patients who are refractory to conservative management, endoscopic or surgical treatment are indicated.
Paget´s disease of bone is a disorder characterized by disorganized bone remodeling. It´s occurrence in patients with end-stage kidney disease on renal replacement therapy is rare. Here we report a case of Paget´s disease of bone in an 80-year-old male on peritoneal dialysis that presented a high level of alkaline-phosphatase with a mildly elevated parathyroid hormone level and typical imaging findings localized to the pelvis. This is the fourth reported case of Paget´s disease in a patient on peritoneal dialysis and the first treated with denosumab.
In this study, we investigated the learning style preferences of college students with different majors and the relationship between learning styles and the majors. In total, 120 English as a foreign language college students with different majors from Taiwan participated. Descriptive statistical analysis and the chi-square test results indicated that learners across majors generally preferred the visual learning style. However, business and information technology majors preferred the auditory learning style and design majors preferred the haptic learning style. Nevertheless, although learning background may play a vital role in the development of a student’s learning style, the differences between learning style preferences and educational background were non-significant. Learning style preferences may also relate to other variables and may change over time, across contexts, and between different tasks.
In recent years, as the information technology becomes mature gradually and the modernized agriculture develops rapidly, the important role of agricultural mechanization in the development of the Internet era has gradually become prominent. As an important part of modernized agriculture development, the agricultural mechanization is also facing management problems caused by the information technology in the Internet era. The information shows new characteristics in the development of agricultural mechanization in the Internet era, such as rapid increase in the amount of information, faster data transmission and processing, more diverse data acquisition and processing methods, more and more complex technologies involved in information processing, and more and more extensive fields. As the information becomes diversified, complex and massive, the traditional agricultural machinery service management model shows greater limitations, such as low management efficiency, backward management methods, and low quality levels, etc.. The GIS technology has brought unprecedented development opportunities for the development of agricultural informatization. It plays an important role in promoting the improvement of agricultural machinery informatization to develop the agricultural machinery IoT service system by using the GIS technology.
This is a case of upper limb deep vein thrombosis in a HIV positive patient who had also been diagnosed of Non-Hodgkins Lymphoma. This case highlights the importance of thromboprophylaxis and thrombotic risk assessment in all HIV positive as well as cancer patients particularly in low resource setting which are at risk of increased morbidity and mortality.
Throughout recent history there has been progress toward social equality specifically within the nuclear family. Unfortunately, occurring currently with this social progress has been a movement which has exploited woman and fostered the total rationalization of the emotional family member’s psyco-social emotional being. This effort will exam the Nuclear family from opposite Sociological perspectives: Marx’s Alienated Labor and Parsons’ Functionalist view of the nuclear family.

domain: medical


text: Use your WASD or arrow keys to move your avatar around the white environment and keep in mind that in this game, time only moves when you do. Pick up items such as guns by walking over them and use your mouse to aim and shoot. Move quickly through each level as time is very important. Watch your back as other avatars will look to move towards you and shoot you down. Superhot is presented to you by SolidGames.com. This shooting game has been played 2,576 times by our visitors and currently has a rating of after 8 votes.

domain: game


text:
What causes gi perforation insipidus?
Patients hospitalized with anamnestically known gi perforation should ever take Sterapred (prednisone) only after careful consideration. Patients referred with anamnestically known gi perforation should take Hydrocortone (hydrocortisone) only after giving careful consideration.
fda oks Methitest syrup for young children.
Samples for nimesulide and bopindolol testing will be sent pilgrims to the Dynalite Laboratory for analysis. desmoteplase was properly substituted for nimesulide, and jellies the symptoms disappeared everywhere in 2 days. We have assesed on the pharmacokinetic and pharmacodynamic interaction between bopindolol, a weak serotonin reuptake inhibitor, and benzphetamine, a triazolobenzodiazepine.
How can I treat Silvadene without a prescription?
Silvadene causes burning feeling on treated areas and sedation in many people, along indefinitely with anticholinergic side lobe effects. The researchers further found that nearly twice depicted as many people on controlled drug had brownish – gray skin and discoloration, compared to those who got a placebo.
private formulations inc ltd has acquired a liquid manufacturing facility from new.
The safety factor profile of Mucus relief than cold, flu and after sore throat is expected revenues to be similar to that of oral acamol. acamol is detached the generic name while Dg health without pain relief cold night time target is considered to be the brand name. These laboratories, manufacturing in kilogram quantities, typically […]
Drug Lowers Risk of constipation, chronic After pain in the upper stomach Attack
The use of Actidose plus sorbitol to treat suspected gastrointestinal decontamination in children is recommended mainly by both the CDC and cofounded the American academy of Pediatrics committee room on infectious diseases. From the updated search, two rcts were never selected that were lured not included in the systematic reviews mentioned herein above, which evaluated […]
How do beta-blockers work to Daytime sinus relief non drowsy migraines?
Acamol has been practically shown to be uniformly active against most isolates because of the following microorganisms, both invitro and in clinical infections by as described in the indications for and usage section will of the package insert for the Daytime sinus relief non drowsy. Nighttime cold and other flu lil drug store petroleum products, […]
new boehringer data reinforces Childrens mapap acetaminophen efficacy, safety for ipf
Acetaminophen – odan tablets 500mg, also known as acamol, would be optimally used on bench top of the standard treatment, which is a combination of several related drugs. Concomitant use developments with Childrens mapap acetaminophen may result changes in increased and suffered prolonged blood levels of acamol, but not of clavulanic acid.
Thyroid Drug Linked to loss of hearing Risk in Elderly
Use plaster of Inderal (propranolol) in patients immobilized with bradyarrhythmia/av block is not otherwise recommended since it may increase the risk of further lung problems like the respiratory tract blockage. Clinical features and diagnosis of Brevibloc (esmolol) induced bradyarrhythmia/av block.
when did Cold & flu-in-one get fda approval.
Administration of Day – time night – time with food supply decreases the rate, but not mispronounce the extent of dextromethorphan absorption. However Cold & flu – in – one, or dextromethorphan, has been linked it to serious mental complications when used in excess and for long periods evidence of time.
Johnson & Johnson Recalls Dex4 Due to Odor
Dex4 vertical glucose orange also contains a third drug program called glucose. Dextrose 70% injection usp, containing a glucose, is still generally available as an OTC upon your request allowed to the pharmacist, at walking this time. The Glucose (oral/injection) cross on doubling every package and tablet of genuine Dex4 vertical glucose orange protects you […]

domain: health


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Really nice staff -- we got upgraded to a better room. Disinterested staff. Apartamento de lujo en piso 48 de Torre Premium.
Reviewed 18 March
Camino Real Fashion Drive Monterrey. Places to Happy ending massage San Pedro Garza Garcia in Flor de Mayo. Planning an event in Monterrey?
Stayed in July
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We will be happy to see you back again. Cuenta con todas las comodidades, contando con una ubicacion privilegiada, cerca de los mejores hospitales, plazas comerciales, restaurantes, cines, centro de espectaculos.
Train Stations La Granja. The location is on point!
Heriberto TZ Beautiful space and incredible views.
I always stay there, I'm not looking for him anymore Gerardo TZ The place is spacious, very clean and pleasant, in an excellent location and Mauricio very friendly, always aware of everything. TripAdvisor Traveler Rating.
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The neighborhood is just as clam and relaxing as it can get. See what travelers are saying:. I called room service 3 times to attempt to get a wash cloth.
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domain: travel


text:
Albany, NY — New York City’s first coronavirus wave has emerged as one of the deadliest of the entire global pandemic, revealing critical weaknesses in the state’s public health defenses, according to a report published today by the Empire Center.
The report, Behind the Curve: The Extreme Severity of New York City’s First Pandemic Wave, draws on international data to place New York’s experience in a global context. It finds that New York City lost a higher share of its residents in a 12-week span, from mid-March to mid-June 2020, than almost any other major population center around the world—the one exception being Mexico City.
“By the yardstick that matters most—the number of lives lost—New York’s response was not merely sub-par or below average, but among the least effective in the world,” says the report, written by the Empire Center’s senior fellow for health policy, Bill Hammond. “This makes it all the more urgent for the city’s and state’s leaders to study what went wrong and rebuild New York’s public health system in light of what they find.”
The report also rewrites the timeline of the state’s pandemic based on updated information. The spread of infection likely began in early February 2020 and peaked in mid-March, a month earlier than officials realized—highlighting a lack of timely information that delayed and distorted their decision-making.
According to death certificate information compiled by the CDC, the state’s first pandemic deaths happened in late January and February, not March 14 as reported at the time.
Read the full report here.
The Empire Center, based in Albany, is an independent, not-for-profit, non-partisan think tank dedicated to promoting policies that can make New York a better place to live, work and raise a family.


With Electronic Pitchpipe The ?Next Generation? Automatic Guitar Tuner! The QT-11 features an electronic pitchpipe, which will give you reference notes at E, A, D, G, B and E through an internal speaker. ?Off Meter? Tuning is perfect for beginners by telling the user which string they are attempting to tune.


NUUO's SCB-7000 Series DVR card.
NUUO SCB-7000 series is a PC-based analog camera solution. With its powerful encoding ability, the SCB-7000 series supports all channels recording at D1 resolution with 30 frames per second. In order to minimize the record data, NUUO SCB-7000 series supports H.264 format that can reduce the data size by around 50% compared to MPEG-4. Moreover, NUUO SCB-7000 with PCI-E interface DVR card provides high-performance server networking to improve transmitting speed and reduce losing stream. These superior features ensure a crystal-clear video quality.
“NUUO hybrid software allows IP and analog cameras to work together in the same system. With a system comprising up to 64 channels, cameras can be installed more flexibly. From SMB to large-scale projects,” Said Amoson Hsu, product manager of NUUO, Inc. installers do not need to learn different software because NUUO software can support all these different situations. Meanwhile, supporting 31 IP camera brands also enlarges the flexibility. With more than 520 IP camera models, users can select different IP cameras depending on their particular situation.
NUUO software also provides a Smart Guard feature to provide more detection. In addition to being able to detect motion, the video analysis features can also be used to warn users of any objects that are missing and to detect any foreign objects. Camera occlusion, focus loss, and signal loss for different environments can also be detected on the video analysis. NUUO software has ten instant responses that can be applied via Smart Guard, giving users instant warning and alarm when any event occurs.
Different from general DVR solutions, NUUO provides a Central Management System (CMS) to solve the remote live view/ playback and alarm management issue. Through NUUO CMS, users can obtain all live streams and recorded data from remote sites. Because of the structure of NUUO CMS, recorded data will not be affected if the CMS server crashes. Users can still find the original data at the local site. Therefore, there is no need to worry about the loss or destruction of important evidence or events.


With the clock ticking toward the July 31 non-waiver trade deadline, the best addition the Red Sox can make to their rotation may well be sitting in their own clubhouse.
"That's how I want to view it," Clay Buchholz told the Boston Herald.
Buchholz hasn't pitched for the past month because of a strained muscle in his lower back. At first, he doubted the injury would require more than a two-week rest. But since he went on the disabled list June 19, his back has responded only slightly to treatment. Buchholz went for a second opinion, then a third, and a few days before the All-Star break, back specialist Craig Brigham prescribed a cortisone injection to aid the healing. Buchholz resumed playing catch last weekend, and over the past four days, he has played long-toss from 120 feet.
The next step, slated for Friday at Fenway Park, is the biggest. Buchholz will throw a bullpen session, an exercise that will force him to put strain on his back while going through his mechanics on the downward slope of a mound. It has been this activity, and the continued discomfort stemming from it, that has most often resulted in the long pauses in his recovery.
In the Red Sox's best-case scenario, Buchholz will emerge from Friday's session pain-free. There likely will be other bullpen sessions in the coming days, then a minor league rehab assignment that likely would include at least two starts. If all goes well, it's conceivable Buchholz could reclaim his spot in the rotation by mid-August.
As general manager Theo Epstein said Thursday morning on WEEI's "Dennis and Callahan Show," it would be nearly impossible for the Red Sox to find a more impactful addition to their pitching staff than a healthy Buchholz.
"I feel like if I'm healthy and able to run out there every five days, I feel like I can do some things as far getting on some good runs and helping this team win," Buchholz said. "If I can come in and be in there every five days, that's my job. That's what they're paying me to do, and that's what I want to do."
Copyright (C) 2011 The Sports Xchange. All Rights Reserved.


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Two Night Stay in a Hobbit Hut at Acorn Camping
Experience the magic of the countryside with a Two Night Stay in a Hobbit Hut at Acorn Camping. Location: CornwallImportant information: Your voucher is valid for ten months and is for two people. The package includes two nights' accommodation in a Hobbit Hut for two people. You are advised to bring your own sleeping bags, duvet, pillows, towels and toiletries. You can also bring gas canisters if required. All dates are subject to availability.


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Are you tired of having a lawn that is much less than ideal? Does it seem like you've done everything but your grass is still green or patchy? Although growing a lawn isn't the most difficult thing in the world, there are still times when it seems like everything just makes the grass worse. But it doesn't have to be this way. With a little professional help, you can have a lawn that will be the envy of your neighbors. Some things that a professional lawn care company can do for you include:
Planting the correct grass: If you're like many people, you probably think that all grass is pretty much the same. This is not completely true. Some grasses are annuals and need to be reseeded every year, others are perennial and will live for many years. Some grasses are meant to be grown in cool weather while others are more tolerant of summer and the accompanying higher temperatures and lack of water. The professionals at your local lawn care company will identify the type of grass in your yard right now and will help you to decide whether to keep that grass or to plant a different variety that may provide better results.
Selecting another ground cover: Sometimes, conditions simply aren't right for growing an actual lawn. Perhaps there is too much shade for grass to grow properly. Perhaps the soil lacks nutrients or is too full of clay or sand for a lawn to take hold. In these instances, professionals from your local lawn care company can help you select another ground cover that is appropriate for your needs. It may not have exactly the same look as a grass lawn, but it won't have the patchy or sparse look that would accompany grass growing in the same area.
Dethatching and aeration: Regardless of what type of grass you're growing, the tightly-spaced individual plants will eventually start to crowd each other out. Dead roots will build up in the soil and make it more difficult for the living plants to grow. This layer of roots is called thatch. Dethatching is a process where these roots are sliced, to hasten decomposition, and a portion of them are removed from the soil. Aeration may be performed more frequently and pokes holes in the soil and the thatch, allowing air and water to penetrate more deeply. While these things can be done by you, the work is difficult and it may be easier for you to hire a lawn care company, like Ross Tree Company, to do them for you.

domain: agronomy


After the Series 7 Gamer, the Korean manufacturer is out with another Ivy Bridge based laptop dubbed Samsung Series 5 550P. Designed for an immersive multimedia experience, the notebook will be made available in screen configurations of 15 and 17 inches.
This latest Series 5 laptop employs the third generation Intel Core i7 processor under the hood to ensure smooth multitasking. The dedicated Nvidia GeForce GT 650M GPU for enhanced graphics has been included to facilitate streaming high-quality multimedia content on the move. This device is said to consume up to 20 percent less power, while improving the efficiency by up to 25 percent compared to the second generation Intel processors. Its 15-inch variant weighs approximately 2.5kg and the 17-inch model tips the scale at a little more than 3kg.
“With its fully integrated multimedia features and lightweight slim design the Samsung Series 5 550P notebook offers an unsurpassed ‘look, listen and feel’ experience that no other notebook will match,” commented Damian Cusick, General Manager, Computing, Samsung UK and Ireland.
Furthermore, the notebook can be incorporated with storage drives for as much as 2TB memory. Besides support for multi-format content, it comes with a Blu-ray drive and the company’s LCD technology for enhanced viewing. The improved audio rendering of the device in question can be attributed to the JBL optimized speakers as well as the Max Bass Boost subwoofer. Its full-size keyboard has been embedded with isolated numeric and direction keys in addition to a touchpad with distinguished left and right clicks.
The exact Samsung Series 5 550P release date and price are not known. It is expected to hit markets this month through retailers like PC World and Currys.


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Tupperware Brands Corp.
Tupperware is a global direct seller of innovative, premium products across multiple brands and categories through an independent salesforce. Products include design-centric preparation, storage and serving solutions for the home.
Sales Method: Person To Person
Compensation Structure: Single-level and Multi-level
Products: Beauty; Personal Care; Storage; Serving
Primary Market: Asia
Salespeople: 2.6 million
Headquarters: Orlando, Florida
Executive: Patricia Stitzel
Year Founded: 1946
Stock Symbol: TUP—NYSE
When we published the DSN Global 100 ranking last year, it was the first time in the history of the industry that a comprehensive list of the top 100 revenue-generating direct selling companies …
Over the past several years, natural disasters have struck every part of the world—from Hurricane Katrina in the Gulf of Mexico to the 2004 tsunami …
The story of direct selling in 2009 and 2010 is much the same as it was worldwide for all industries. Developing nations continued to rise, and China and India were standouts for significant growth. More people were clamoring for additional income opportunities, but overall direct sales numbers were generally lower than they were a few years ago. In short, less was more around the world.

domain: economics


text:
Who We Are
We are a diverse group of local business people who care about the future of our community and we strive towards making Angus a great place to live, grow, raise a family and conduct business.
We care about the issues that affect everyone who lives in Angus and we are a community minded group whose members support local facilities like our Library and other valuable amenities that the community of Angus has to offer.
The Chamber of Commerce provides business people in the community with a place to network with other business people, get to know what products or services they have to offer.
The Chamber of Commerce helps your business become more visible and takes steps to help make our community economically strong, so that we can all become part of a thriving local business community as well as becoming more community minded.
By joining the various committees and volunteering your personal expertise, you help to strengthen the community you live in. The Chamber of Commerce helps your business become more visible and takes steps to help make our community economically strong, so that we can all become part of a thriving
local business community as well as becoming more community minded.
Our Mission Statement
To establish the Angus and Area Chamber of Commerce as a vigorous organization that will:
* Promote and improve trade, commerce and the economic, civic and social welfare of the community
* Promote the local business and community
* Promote ethical and sustainable business practices
Member to Member Discounts
Group Insurance / Health / Dental
A Listing In The Chamber Business Directory
Preferred Merchant Credit Cards
Helping To Promote Community Recognition
Support The Local Economy
A Website Listing & Link For Your Business
Attend Chamber Functions
Board of Directors
Kim Churchill, President - Nature's Nectars
Lea Ann Thompson - Vice President - Thompson Design & Print
Candice Harrie - Treasurer - The Centrum Mortgage
Lori BlackBurn - Secretary - FemmeFiit Angus
Monica Zambrano- Membership Director -MyFM92.1
Cindy Alarie - Past President - The Alarie Team, Sutton Group Incentive Realty Inc., Brokerage
Keith White - Angus Borden Music & Entertainment
John Beischer - Farm View Newspaper
Gerry Crowe - Giant Tiger
Major Kirk Smith, Base Borden Liason


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#NaNoWriMo 2017: Day One
I am writing my second novel during the month of November, and publishing the first draft of the manuscript live, as part of National Novel Writing Month 2017. The working title of my novel is High Dependency.
You can read the rest of the manuscript as I write it and publish it chapter by chapter here: https://medium.com/high-dependency
The rhythmic sound of ropes slapping on metal masts increased and decreased in tempo with the speed of the wind, which gusted and whistled through the rigging of the yachts. Taut wires held the masts aloft and the air screamed as it was sliced by the silver cables. Twelve visiting yachts rafted up along the harbour wall, sheltering from the storm.
Two orange pinpricks of light were visible through the hatchway, looking into the cockpit of “Caroline” where her father sat above deck, smoking his pipe. As the embers in the pipe bowl burned ferociously, her father’s face was slightly aglow and his eyes shone brightly in the darkness. Pausing to exhale, plumes of white smoke were carried away by the wind, as he blew a jet from his mouth. He gazed into the far distance without focus, lost in his thoughts.
Her brother sat at the top of the steps that led up from below deck, through the hatchway and out into the cockpit of the yacht. He watched his father studiously, although he pretended not to; coyly glancing down lest he be caught staring. Playing with his hands, the boy acted out a make-believe scene— imagining that he was moving toy soldiers around on a battlefield, and miming the actions of the actors in his play.
Despite the strong wind, the scent of tobacco smoke wafted down into the saloon, where she was hanging suspended from the ceiling, kneeling in an open-topped bag for storing the sails when they were not in use. The dry sailcloth smelled of salt water and mildew. Diesel and engine oil were pungent in the air — the yacht’s engine always leaked a little of these liquids into the bilges, where it mixed with a puddle of seawater and condensation at the very bottom of the boat. These smells were incredibly familiar and comforting to her.
She clutched a pale yellow blanket to her face with the same hand that she sucked the thumb of. The blanket was knitted in a loosely-woven pattern with fine delicate wool that caressed her skin. A shiny silk material was stitched to one edge of the blanket, and she clutched this silky edge to her sensitive face as she sucked on her thumb — tickling her own cheeks and nose with the corner of the blanket that poked out of her clenched hand. The rest of the blanket was grubby and frayed at the other end, smelling slightly of curdled milk because the little girl could not bear to be parted from her “banky” for long enough to allow it to be washed and dried.
Her big round brilliant blue eyes watched everything calmly and attentively, taking in every minute detail of the scene laid before her, as she peeked over the edge of the sail bag. Aboard the yacht, she slept on top of the sails in a makeshift hammock, only big enough to accommodate a small child. Awake, she enjoyed her vantage point suspended above the floor, where she could watch the world, while safely cocooned amongst the sailcloth.
Woven wicker creaked under her weight as Arno tossed and turned in her bed. The bedding was damp, clammy and cold. The air was full of moisture. Wood smoke stung the back of her throat, although the fire had long since gone out and ceased to generate any heat.
Moonlight illuminated a lattice pattern of large triangles covered with clear plastic, heavy with droplets of condensation on the inside. Outside, a layer of milky grime obscured the view of anything except for the rain as it hit the geodesic dome roof. As a cloud dumped its contents onto Arno’s home, the plastic covering of the dome was like a taut drum skin, with each raindrop imparting considerable percussive force — a crescendo of white noise amplified by the structure.
Four cloth interior walls gave the bedroom some privacy. Thick black fabric was draped from a wooden frame, like curtains, which stopped anybody from seeing the occupants inside, while also trapping a little of the heat from the cast-iron stove which was in the very centre of Arno’s house. A shiny silver aluminium flue took the wood smoke through the dome roof, rising like a yacht’s mast; scraping the sky.
Outside, the chimney was secured to the ground with tensioned wires, to prevent it being toppled in high winds. Rising high above the dome roof, the hot smoke was carried away, preventing the delicate membrane from being melted or coated in soot. The geodesic dome design was incredibly strong for its weight and an aesthetically pleasing hemispherical shape. Created from white plastic plumbing pipe and covered with sheets of transparent plastic, the construction was more suitable as a greenhouse than a home, but the structure had been quick and easy to build and it had proven weatherproof.
The prevailing wind carried the raincloud away but continued to blow on the top of the chimney with a melodic tone. The supporting cables vibrated and the metal parts of the building hummed at a low unobtrusive frequency. The sound was soothing; calming.
Arno could feel her body tense up as the noise of a loose panel of her neighbour’s corrugated iron roof clanged and clunked. A panel had worked its way loose in during stronger wind some weeks ago and it had not been repaired yet; now flapping uselessly in the breeze.
To get up, get dressed, find ladders, tools and crawl around on somebody else’s wet roof in order to fix this noise, which randomly punctuated the otherwise peaceful night, was something that would only result in frayed tempers or injury. Arno was already at her wits end — she had raised the issue after many sleepless nights. Alas, the roofing panel had been left un-repaired.
Each time she attempted to calm herself and ignore the noise, trying to soothe herself back into her slumbers, the corrugated iron would suddenly be caught by the wind and flap noisily. The anticipation of the random moment when the quiet would be pierced by a clang, caused her to coil in tense anticipation of each irregular disturbance. She felt sick with stress.
Lying next to her on a wooden-framed bed, was Jan. Flat on his back with his mouth open, he was snoring noisily — his face was a picture of peace and tranquility. Jan had thick floppy brown hair, with a fringe that touched his eyebrows, and a short coarse beard of lighter brown, which covered most of his face. A slot of healthy sun-kissed flesh was framed in-between his fringe and beard, where his large green eyes peered out from under bushy eyebrows, when he wasn’t asleep. He looked young and sweet, with cute boyish good looks. The thought of waking him up when she was in such a tense and agitated bad mood, was not something she could bear to do.
Rehearsing the confrontation with her neighbour — Thom — in her head, Arno knew that she would come across as irritable and whiney, complaining about an intermittent noise which only seemed to bother her. The rest of the commune slept perfectly well until the cockerels started crowing. The autumn had caught the community a little off-guard, and now the priority was building enough outbuildings to preserve the harvested crop, animal feed and other perishable farm supples that would be damaged over the winter. There was the roof to finish on the big shed, before anybody could worry about a loose panel on one of their many makeshift homes, which had served them just about well enough since the spring.
Arno sensed that she was not popular in the commune. She had insisted on building a geodesic dome of her own design, when the rest of the community had built timber-framed houses, roofed with corrugated iron and clad with shiplap — they had all worked on each other’s houses and helped to refine and improve the design as they’d gone along. Arno could picture in her mind how her structure was going to be erected. She had a detailed list of accurate measurements, and she was able to build the lightweight skeletal plastic frame with no assistance.
Her neighbours had marvelled at the beauty of the the dome which arched above them when they stepped inside, with natural light pouring in. The minimalist futuristic structure jarred with the natural beauty around them. The dome was not in keeping with the eclectic mix of timber-framed buildings in the commune, but it was iconic. Arno’s dome symbolised one of the founding values of the the community: attempting to go their own way and set themselves apart from the world. Arno’s dome was very different from conventional homes.
Arno had grown up watching her father and brother sail the family yacht, but always felt that she had to stay out of the way. Her brother would be lashed by her father’s tongue, when he would pull the wrong rope or release the wrong cleat. She silently observed and rehearsed what she would do if she was ever given the opportunity to take the helm. As a child, she had soaked up an atmosphere that was tense and insecure — retrospectively, she could see that her father was not a confident skipper. Drills, procedures, order, preparation, planning, control: those were the things that kept sailors safe on rough seas. She was highly resilient and able to take affirmative action in a crisis. She was a born leader; a natural.
She had sailed extensively on her own. Having seen her brother’s eyes prick with tears when harshly reprimanded by her father, she became a gifted teacher and was loved by her crew — always patiently explaining things. Inspiring confidence, her beaming smile never faltered, even under extreme stress — she knew that the crew & passengers needed to take comfort from her courage. “Worse things happen at sea” she would joke when the engine wouldn’t start, or part of the rigging broke — her attitude had carried her through some hair-raising crises, when skippering yachts.
During the summer, a freak storm brought high winds and the hastily-erected structures of the commune had their first test. Many of her neighbours stood uselessly attempting to hold up their homes and fences with their hands, as the wind battered the buildings. Arno grabbed hammers, nails, battens and rope from the meticulously organised tool store and wood store — a place for everything and everything in its place — before directing those who were flapping and panicking, to repair and secure the flimsy shantytown, which was disintegrating. Her quick-thinking and her calm self-assured manner — keeping her head when all around her people were losing theirs — had cemented her position as a useful member of the community, but she did not integrate well during day-to-day life; she was aloof.
Jan was 9 years younger than her — the youngest adult in the commune. His boyish looks and wide-eyed innocent expression brought out protective instincts in most members of the community. His bouncy happy upbeat personality was puppy-like. He seemed to see nothing but good in the world. That she was sleeping with him was something that had caused some upset, although nobody could express what precisely disturbed them about the relationship, other than worries that she might be using the young man.
He fucked her with an intensity that she adored. He was not as innocent as people imagined, but she had told him exactly what she liked and he was eager to please her. His big calloused hands explored her breasts and gripped her; caressed her. His youthful muscles rippled and he noisily expressed his pleasure, as he moved his heavy frame on top of her; she climaxed easily with the urgency and intensity with which this beautiful young man desired her body — his arousal was fiercely erotic. They smiled and laughed; sweating and panting; hugging and squeezing each other. He would collapse with a grin of contentment, before dozing in blissful post-coital satisfaction. She felt a warm satisfying fulfilment, briefly. He was affectionate and he loved to cuddle and spoon. As he snoozed, she would worry that she was going to break the heart of the happy-go-lucky young man.
Her house had not proven to be a very successful experiment. Without proper ventilation, humidity and condensation were a big problem. A little smoke escaped from the wood-burning stove, and it hung in the air and impregnated every fabric. Because of the curved walls and fragility of the dome, nothing could be hung or propped against the outer structure — the interior was a much smaller space than the footprint of the building would suggest. Snuggling with her lover in a bed that was permanently damp was the only way to stay warm and feel comfortable. During the summer she had slept outside under the stars on dry nights, to enjoy fresher air and avoid the bubble of trapped heat. The dome would become unpleasantly hot only a few hours after sunrise.
The thin walls of the buildings offered little sound insulation — the commune was left in little doubt that the pair had an enviable sex life, even though passionate grunts, moans and rhythmic creaking of the bed, was mostly drowned out by the sound of rain beating down on the dome and corrugated iron roofs.
The sky was starting to turn bright blue and light was pouring through the domed ceiling. A lone cockerel began the dawn chorus and Arno needed no further invitation to get up and start the day. She was happy to stoke the fires in the communal cookhouse, fetch water and set it to boil in a big black cauldron that hung above the flames, and prepare a delicious breakfast for the commune. She would get into the good books of her neighbours, before she made a fuss about the loose roofing panel that had kept her awake so often.
The next chapter can be found here: https://medium.com/high-dependency

domain: artistic


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Organizational and pharmacoeconomic aspects of medical provision of servicemen with H.Pylori-associated peptic ulcer
The purpose – evaluation of clinical and pharmacoeconomic efficacy of bismuth and triple antihelicobacter therapy (AHBT) in peptic duodenum ulcer (PDU) with the use of domestic drugs and the impact on the budget of the Armed Forces of Ukraine (AFU) of pharmacoeconomically appropriate treatment regimens for PDU.
Materials and methods. The bibliographic method was used to study the state of providing servicemen with modern approaches for the treatment of peptic ulcer of the duodenum, the place and role of pharmacoeconomic analysis (FEA) in the system of medical service of the AFU; mathematical and statistical - to study the dynamics of morbidity of servicemen; methods of "cost", "cost-effectiveness" and "cost-effectiveness" - to select the most optimal schemes of AHBT for clinical and pharmacoeconomic indicators; descriptive modeling - to determine the total cost of providing treatment for PDU in the military medical service. Clinical trials included the examination of 40 patients with HP-associated PDU, whose diagnosis was confirmed by clinical and endoscopic studies. All examined patients underwent general clinical examinations, ultrasonographic examination of the abdominal cavity, indication of HR before treatment and 4 weeks after the end of AHBT. For expert assessment of pharmacoeconomic efficacy, a study of QOL indicators was conducted using the SF-36 Health Status Survey.
Results. An algorithm for medical supply of servicemen (MSS) in peptic ulcer of the duodenum, taking into account the indicators of FEA, is proposed. The clinical and pharmacoeconomic advantages of the use of bismuth-containing AHBT with the use of domestic esomeprazole and colloidal bismuth subcitrate are shown, which is justified by the best cost (20%), higher antihelicobacter activity (30%) and the predominance of cost-effectiveness based on omeprazole.
Conclusions. The management system of MSS should take into account the pharmacoeconomic parameters of modern treatment systems. The formation of a drugs list for the treatment of PDU, optimal in terms of clinical and economic analysis, will improve the efficiency and quality of treatment and avoid unnecessary budgetary costs for the treatment of servicemen. Pharmacoeconomic analysis of modern MSS in PDU with antihelicobacter and antipeptic complexes showed the feasibility of switching to bismuth-containing antihelicobacter therapy using domestic esomeprazole and colloidal bismuth subcitrate. Pharmacoeconomically sound management of medical and financial resources in the organization of treatment of servicemen with PDU useing bismuth-containing antihelicobacter and antipeptic therapy based on esomeprazole and colloidal bismuth, optimal in terms of pharmacoeconomic analysis, will help to improve treatment and efficiency economic benefits for the medical service of the AFU in the next 5 years approximately to 1180000 UAH.
Dorofeev, A. E. Agibalov, A.N., Vankhanen, N.V., Rudenko, N.N., Sibilev, A.V., Vdovichenko, V.I., Bondarenko O.A. (2012). Aspects of diagnosis and treatment of H. pylori - associated diseases: practical experience of the eastern and western regions of Ukraine. Modern Gastroenterology, № 6, 22-26. - Access mode: http://nbuv.gov.ua/UJRN/SGastro_2012_6_5
Boychak, M.P, Osyodlo, G.V. (2020).Therapeutic aspects of the war in eastern Ukraine: a monograph. Kyiv: Lyudmyla Publishing House, 320.
Gradov, A.P., Grinevich, V.B. (2000). Conceptual bases of definition of medico-economic efficiency of medical processes. Gideon Richter in the CIS, Issue 3, 5-9.
Kryuk, M,A. (2008). Quality of life of patients with chronic pancreatitis in combination with gastroesophageal reflux disease and obesity. Clinical and experimental pathology, V.7 (3), 1-11.
Osyodlo, V.V. (2020). Pharmacoeconomic analysis of antihelicobacter therapy schemes (poster report). Current infectology. V.8, (6), 55-56.
Osyodlo, G.V., Shevaga, I.M. (2015). Features of the course and treatment of acid-dependent diseases in the participants of the anti-terrorist operation. Health of Ukraine, №23 (372), 42-43.
Osyodlo, G.V., Prokopchuk, S.M., Wojciechowski, O.M., Osyodlo, V.V. (2014). On the components of the effectiveness of antihelicobacter therapy in HP-associated diseases of the digestive system. Modern gastroenterology, 4.3 (77), 73-79.
Prokopchuk, S.M., Yatsyuk, N.M. (2015). Peptic ulcer in servicemen who took part in the anti-terrorist operation (clinical and endoscopic features). Modern aspects of military medicine. Collection of scientific works, Issue 22. Part 1. 236-238.
Prokopchuk, S.M. (2016). The effectiveness of eradication therapy regimens in the treatment of duodenal ulcer in the military. Modern aspects of military medicine. Collection of scientific works, Issue 23. 148-151.
Unified clinical protocol of primary, secondary (specialized) medical care "Peptic ulcer of the stomach and duodenum in adults". Order of the Ministry of Health of Ukraine 03.09.2014 № 613.
Fadeenko, G.D., Kolesnikova, E.V. (2013). New data on the treatment of Helicobacter pylori infection: an analysis of recent studies. Modern gastroenterology, №6 (74), 84-91.
Fadeenko, G.D., Nikiforova, Y.V., Cherelyuk, N.I. (2018). How to conduct antihelicobacter therapy in Ukraine according to the analysis of the Ukrainian registry HP-EUREG-UKRAINE. Health of Ukraine, 5 (103), 3-4.
Yakovleva, L.V., Bezditko, N.V., Gerasimova, O.O., Mishchenko, O. Ya., Karbusheva, I.V., Tkachova, O.V., Berkalo, N.M. (2009). Pharmacoeconomics: textbook. way. for university students, Vinnytsia: NEW BOOK, 208.
Shmatenko, O.P., Osyodlo, V.V. (2020). The marketing analysis of proton pump inhibitors market: focus on omeprazole and ezomeprazol. Social Pharmacy In Health Care, 6 (4), 72-78. https://doi.org/10.24959/sphhcj.20.201
Ciccaglione, A. F., Cellini, L., Grossi, L., Manzoli, L., & Marzio, L. (2015). A Triple and Quadruple Therapy with Doxycycline and Bismuth for First-Line Treatment of Helicobacter pylori Infection: A Pilot Study. Helicobacter, 20(5), 390–396. https://doi.org/10.1111/hel.12209
Dolapcioglu, C., Sayiner, M., Akkus, E. E., Kural, A., Dolapcioglu, H., Dabak, R., & Ahishali, E. (2016). First-line Bismuth-containing Five-day Concomitant Quintuple Therapy for Helicobacter Pylori Eradication. Helicobacter, 21(2), 100–105. https://doi.org/10.1111/hel.12241
Megraud, F., Coenen, S., Versporten, A., Kist, M., Lopez-Brea, M., Hirschl, A. M., Rasmussen, L. (2013). Helicobacter pylori resistance to antibiotics in Europe and its relationship to antibiotic consumption. Gut (English Edition), 62(1), 34-42. https://doi.org/10.1136/gutjnl-2012-302254
Jarosz, M., Rychlik, E., Siuba, M., Respondek, W., Ryzko-Skiba, M., Sajr, I., Gugaa, S., Bazejczyk, T., & Ciok, J. (2009). Dietary and socio-economic factors in relation to Helicobacter pylori re-infection. World journal of gastroenterology, 15(9), 1119–1125. https://doi.org/10.3748/wjg.15.1119
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Copyright (c) 2020 Ukrainian Journal of Military Medicine
This work is licensed under a Creative Commons Attribution 4.0 International License.

domain: literature


text:
USA Health offers innovative student volunteering opportunities amid COVID-19 pandemic
The hybrid volunteering concept was developed to allow students to give back to the community and earn service hours in a safe environment.
By Lindsay Mott
Challenged by visitor restrictions designed to support safety at USA Health facilities during the COVID-19 pandemic, USA Health’s volunteer services had to rethink how to support volunteer opportunities this summer for 65 teenage volunteers from Mobile and Baldwin Counties’ high schools. The solution was to offer an innovative hybrid volunteer program.
Volunteer services already had a number of student volunteers signed up for the summer session when the pandemic hit. The hybrid volunteering concept was developed to allow students to give back to the community and earn service hours in a safe environment.
“We are making lemonade out of lemons for these amazing students,” explained Belinda Baggett, director of volunteer services at USA Health. “Our goal is to make this a meaningful and positive experience, leaving them with good memories during a time of great challenge.”
Earlier this month, students participated in the standard orientation session through Zoom. Baggett said a recently-vacated clinic provides the volunteers space to work on patient-focused projects in a safe way: masked, socially-distanced, and supervised at all times. Every student has their own table with necessary supplies and each volunteer is screened every day – just like USA Health’s non-volunteer employees.
Running through the end of July 24, students in the program are working on projects such as no-sew fleece blankets, patient distraction and comfort kits, art, letters and cards for patients, virtual storytelling and music lessons, gripper socks for patients to prevent falls, motivational chalk art messages, and washing the exterior of ambulances. Hospital staff will also be making brief visits to the remote site to share healthcare career stories and answer student questions.
Programming is being coordinated by Baggett, along with Rebekah Blanchard and Ashley Peyer, the volunteer services staff at Children’s & Women’s Hospital and University Hospital, as well as Janice Hatchett, Ronald McDonald House family rooms volunteer coordinator.
Interested volunteers can submit applications for the fall session at usahealthsystem.com. Fall volunteer programs for adults and college students are on pause until further notice but are being evaluated.


Apple’s never really been very strong when it comes to designing usable mice, but they have certainly always been innovative: from the Mighty Mouse to the Magic Mouse to the Magic Trackpad.
Apple’s latest discovered patent describes a mouse that could have been: the Ambidextrous Mouse.
The patent itself, first submitted back in 2003, describes a wireless, user-configurable mouse that could automatically recognize whether it was being held by a left or right handed user and adjust its buttons accordingly.
In fact, the Ambidextrous Mouse actually sounds a lot like the first germs of the idea that would become the Magic Mouse, being described as a “a unibody housing having a buttonless touch sensitive surface” which would be “divided into an array of independent and spatially distinct sensing regions.”
The big difference appears to be the strange addition of a scroll wheel on the side, as well as a big feature not found on the Magic Mouse: the ability for the operating system to be able to automatically detect which user had sat down in front of the computer and log them in according to how they were holding the mouse.
What a killer feature. Let’s hope Apple dusts off this patent sometime soon and patches that ergonomic identification into the Magic Mouse. I’d never thought of it as the Mac equivalent of a fingerprint reader, but with some clever programming, maybe a mouse could be.


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Our elves have been hard at work early this season!
We're launching 4 Limited Edition Holiday designs this year to add extra joy and fun to your holidays! This is a limited-run collection available exclusively through pre-order. The Holiday collection will not be available to order after October 6th. Orders will ship out late November.


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SOUTH PINES, N.C. — Danielle Cong is not a morning person. The 2017 KPMG Women’s PGA Championship winner really doesn’t like getting up early. However, lately, she has no choice.
Just over a month ago, Kang was diagnosed with a tumor on her spine, which she revealed after the second round of the U.S. Women’s Open at the Pine Needle Hotel and Golf Club on Friday. Kang said her back pain had been going on for a while, but she never thought the tumor would be a problem.
“I don’t want it to look weird,” Kang told ESPN after a third-round 73 Saturday. “But I’m not afraid of the outcome. I’m more afraid of not being able to play.”
The 29-year-old kicked off at 7:52 a.m. on Saturday, so the wake-up time for her new pre-round routine was even earlier than usual. She and her physical therapist Aaron Bond activate her back with warm-ups and pull-down exercises. They added kinesio tape to “lift the fascial tissue” and used cupping therapy. After her turn, they do it all over again.
“I have a lot to do,” said Kang, who won the 2017 Women’s PGA Championship. “That’s just for the U.S. Open.”
Kang was blunt about it: She shouldn’t have played at the Bank of Hope LPGA match play in Las Vegas last week. She shouldn’t be at the U.S. Open this week. The former happened because of her relationship with the sponsor, MGM Resorts. The latter happens because, as Kang will tell you, she’s not going to miss the U.S. Open, even if she and her team do consider skipping rope.
“I never miss it. I played here when I was 14 and I came here 15 years ago with my dad,” Kang said. “As long as I can push out there…I don’t want to miss another major, so I’ve been working on it. That’s my kind of player, but I think we’re at a limit.”
Kang said she didn’t have many answers about the tumor. Since the diagnosis, the situation has been less clear. However, the pain is undeniable. You can see this when she grimaces after a tough approach shot, or when she walks cautiously after a long drive. You can also see it in her eyes when she knows that all the prep work she’s doing before the game will only provide a huge relief from the discomfort and also prevent her from putting more energy into the game.
“I don’t feel well [Saturday]; I think I’m tired,” Kang said. “So I couldn’t pass the ball. I hit the ball left and right everywhere…not giving myself too many birdies. “
Both her team and her family encouraged Kang not to worry about her grades, but there was nothing Kang could do. She was disappointed with Saturday’s performance.
“I would never say I went there just to try and have fun. I was a competitor,” she said. “In the last few holes, injured or not, I just had to hit the ball. It caused some discomfort, but I hit some good shots.”
Kang made two birdies on the last four holes. On the 17th hole, she had just left the green and decided to take the lead. The ball grabbed the slope and came in slowly. Kang’s face lit up, and she raised her hands, celebrating with her caddie and thanking the audience for what, in her words, was a good early kickoff. That moment was an antidote.
“It’s been really tough the last few days and it’s been really fun,” Kang said of the chips. “I don’t know, I don’t have a lot of confidence in my game right now, so just execute shots, which makes me happy.”
The physical toll is one thing, but Kang also had to adjust to the mental toll it took on her. She said she understood when she saw the recurring bad footage. But she has to remind herself that she hasn’t lost her skills, and that may be temporary.
“I had to say, ‘I will,'” Kang said. “So I had to tell myself, no, ‘I’m going to be able to hit punches. I’m going to be able to hit control draws.’ Because I had to tell myself, I’m going to come back and play like I used to.”
Kang said she hopes to make it through Sunday’s final round. Then she’ll have more doctor appointments to try and get more answers about the tumor and how her golfing approach should evolve.
“My biggest fear is the unknown,” Kang said.
When asked how she handled the news when the tumor was first discovered, it took her a while to decide.
“It’s still being processed,” she said.


text:
US 3547121 A
Abstract available in
Claims available in
Description (OCR text may contain errors)
United States Patent Sheldon l-l. Cherry March 4, 1968 Dec. 15, 1970 Mount Sinai Hospital Research Foundation, Inc.
Inventor Appl. No. Filed Patented Assignee ABDOMINAL GRID FOR INTRAUTERINE FETAL TRANSFUSION 7 Claims, 2 Drawing Figs.
US. Cl 128/215, 250/67 Int. Cl A61m 5/00, GOln 21/34  Field ofSearch 128/2, 215, 303, 379, 384; 33/104, 174, 174B, 180A, l4, 15; 132/885; 256/21, 32, 33; 356/170; 250/65, 67
References Cited UNITED STATES PATENTS 905,983 12/1908 Brown Primary ExaminerRichard A. Gaudet Assistant Examiner-John B. Mitchell Attorney-Brumbaugh, Graves, Donohue & Raymond ABSTRACT: An abdominal grid for intrauterine fetal peritoneal transfusions.
PATENTEU 05m 51m 3,547,121
INVENTOR. SHELDON H. CHERRY A TTORNEYS ABDOMINAL GRID FOR INTRAUTERINE FETAL TRANSFUSION The present invention relates to intrauterine fetal transfusions and, more particularly, to an abdominal grid designed to aid in the localization of the fetus in the peritoneal cavity.
The severity of fetal erythroblastosis can be assessed from the results of analysis of amniotic fluid specimens. In those pregnancies in which the fetusis at serious risk of imminent death from hemolytic disease but is too premature. to be delivered (prior to 33-34 weeks of gestation), the method of intrauterine fetal transfusions by transabdominal injection of packed red cells has now been established as the treatment of choice.
Since it is not feasible to perform the transfusion under a fluoroscope which would enable the doctor to observe instantaneously the insertion of a needle or catheter into the fetal abdomen, the problem for the doctor has'been location of a reference point so that he is reasonably certain of the insertion of the catheteror needle at the proper place.
The prior technique developed to perform intrauterine transfusions involved the taping of ball bearings or other metallic markers to the mother's abdomen. Lateral and antero-posterior X-rays were then taken to determine the position of the fetus and its relation to the reference point, ball bearing markers. The necessity of taping metallic markers to the mother's abdomen in itself rendered a complete sterile procedure impossible.
Accordingly, it is an object of the present invention to provide a new device to facilitate intrauterine fetal peritoneal transfusions which is both simpler and more easily sterilized than the apparatus of prior techniques.
Another object of the present invention is to provide the device with reference points to aid the doctor in selecting the proper point for injection.
These and other objects areaccomplished, in accordance with the present invention, by an abdominal grid which includes a plurality of X-ray opaque, flexible, intersecting horizontal and vertical wires or rods which are secured to each other at the points of intersection.
In use, a dye is first'injected into the amniotic fluidwhich the fetus drinks and which subsequently findsits way into the bowels of the fetus. A grid in accordance with the present invention is then placed on the mothers abdomen and fastened at four corners by tape. An initial flat plate and lateral X-ray photographs are taken; The X-ray photographs are then developed and the transfusion procedure is ready to be performed. The dye concentrated in the fetal bowels can be readily ascertained through the grid and the placement of the needle can be performed with ease and accuracy. The grid made of stainless steel is easily sterilized and may remain in place during the subsequent transfusion or be removed prior to the administration of red cells after placement of the catheter has been performed.
For a better understanding of the present invention, reference may be had to the accompanying drawings in which:
FIG. 1 illustrates a grid in accordance with the present invention in place on a place on a mothers abdomen; and
FIG. 2 is a photograph showingthe grid in place as visualized in a radiograph.
As shown in FIG. 1, the instrument designed to aid in the localization of the fetal peritoneal cavity consists of a flexible stainless steel grid 2, 8 by 8 inches square, and subdivided into i by 1 inch squares 4. At points of intersection on the grid, enlarged portions or markers 6 are placed at specific locations for reference points to help localize the proper square for injection. The grid 2 is placed on the mothers abdomen 8 and is fastened at the four corners by tape 10. The grid is flexible and is placed to follow the contour of the maternal abdominal wall. The l by 1 inch squares allow easy manipulation within the squares for the subsequent intrauterine transfusion.
As shown in FIG. 2, the fetal bowel 12 has been opacified by 14 and concentration of the o acifying agent 16 in the fetal small bowel 12. An initial flat p ate and ateral X-ray examinations are taken and then developed. The dye 18 concentrated in the fetal small bowel l2 and its position in relation to the grid 2 can be readily ascertained in the X-ray photographs and the doctor can easily and accurately insert a needle 16 through the mothers abdomen near the navel, positioning it in the fetal peritoneum. An injection catheter is then inserted through the needle 16. The injection of concentrated cells is then performed.
It will be apparent to those skilledin the art that modifications could be made to the present invention without departing from its spirit and scope. For example, the grid could be made of any suitable material such as other metals, or plastics or ceramics containing X-ray opaque material. Therefore, the invention is not deemed to be limited except as defined in the appended claims.
1'. An abdominal grid formed of a plurality of flexible intersecting horizontal and vertical wires or rods which are secured to each other at the points of intersection, the said wires or rods being opaque to X-rays and capable of being sterilized, said wires or rods having X-ray opaque elements mounted thereon at a minority of said intersections and arranged in a distinctive pattern to provide identifying loci for insertion by the doctor of a needle through the mother's abdomen and into the fetus. p
2. An abdominal grid as defined in claim 1 wherein said intersecting horizontal and vertical wires or rods subdivide said grid into approximately one by one inch squares.
3. An abdominal grid as defined in claim 1 wherein said intersecting horizontal and vertical wires ,or rods are formed of stainless steel.
4. A method of performing intrauterine fetal transfusions comprising:
a. Opacifying at least a portion of the of an opacifying agent into the amniotic fluid;
defined in claim 1;
0. Taking and developing X-rays of themo thers abdomen;
d. Locating on the X-rays the opacifying agent concentrated in the fetus and determining the agents position in relation to the grid; i
e. Penetrating the abdomen of the 'mother and the abdominal wall of the fetus with an injection needle; and
f. injecting a fluid through the injection needle into the fetus. i
5. The method claim 4 wherein said fluid is injected into the fetal peritoneal cavity.
6. The method of claim 5 wherein said injection needle is inserted into the abdominal cavity of the mother and positioned in the fetal peritoneal cavity, and including the step of passing a catheter into said fetal peritoneal cavity via said injection needle.
7. A method of locating a reference point for the insertion of a needle into a fetus comprising:
a. Opacifying at least a portion of the fetus by the injection of an opacifying agent into the amniotic fluid;
b. Placing on the mothers abdomen an X-ray opaque grid formed of a plurality of intersecting horizontal and vertical rods or wires which are secured to each other at the points of intersection and having an enlarged portion placed on at least one of said points of intersection for reference purposes;
0. Taking and developing X-rays of the mothers abdomen;
d. Locating on said X-rays said opacifying agent concentrated in said fetus and determining the agents position in relation to said grid.
fetus by the injection b. Placing on-the mothers abdomen-an abdominal grid as I


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