text:
|Year : 2017 | Volume
| Issue : 1 | Page : 25-29
Birds of a feather flock together: An inter-disciplinary orthodontic case report
Sanket S Agarkar, Aabha S Agarkar, Joshua Mall
Department of Orthodontics, Dr. D. Y. Patil Dental College and Hospital, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune, Maharashtra, India
|Date of Web Publication||3-Jul-2017|
Sanket S Agarkar
Department of Orthodontics, Dr. D. Y. Patil Dental College and Hospital, Pimpri, Pune - 411 018, Maharashtra
Source of Support: None, Conflict of Interest: None
Use of orthodontics for tooth corrections has its own advantages with regards to the amount of tooth movement and the health of the supporting periodontal and alveolar bone. However, many times in cases that require a complex approach to treatment, only an orthodontist may not be able to accomplish the ultimate objectives unless associated with colleagues from other dental specialties. Thus, for an exemplary outcome, cooperation of other dental specialists working together is essential. Treatment carried out using periodontics, prosthodontics, and implant supported prosthesis for a patient undergoing orthodontic treatment and with congenitally missing maxillary lateral incisors, is presented as a case report.
Keywords: Crown, implant surgery, interdisciplinary orthodontics, MBT 0.018” fixed appliance, prosthodontic implant, riding pontic, veneer
|How to cite this article:|
Agarkar SS, Agarkar AS, Mall J. Birds of a feather flock together: An inter-disciplinary orthodontic case report. J Dent Res Rev 2017;4:25-9
|How to cite this URL:|
Agarkar SS, Agarkar AS, Mall J. Birds of a feather flock together: An inter-disciplinary orthodontic case report. J Dent Res Rev [serial online] 2017 [cited 2023 Mar 29];4:25-9. Available from: https://www.jdrr.org/text.asp?2017/4/1/25/209364
| Introduction|| |
Clinical situations present problems that need a case specific and multidimensional approach to treatment planning. Orthodontics alone may not be at times sufficient. For an optimal outcome, integrating orthodontics in a multidisciplinary treatment approach would be the solution in such cases. Interdisciplinary orthodontics would include procedures involving interrelationships with other fields of dentistry, namely, orthognathic surgery, frenectomy, pericision, and periodontally accelerated osteogenic orthodontic tooth movement. Replacement of missing teeth by space reopening for some form of prosthesis (implant retained or tooth supported) is an example of such a treatment and will be discussed in the present case. In such cases, orthodontic space closure with the movement of adjacent teeth , may always be not possible. Alternative treatment approaches include replacement by premolar autotransplantation; implant site preparation for dental implants and/or resin-bonded bridges. Of these, the implant site preparation by opening space for placement of an implant could be considered of great value. This would require the involvement of specialists such as an orthodontist, periodontist, oral surgeon, and prosthodontist working together for a common treatment objective, “just like birds flocking together to reach a common destination.”
| Case Report|| |
A 39-year-old male patient reported with the extraoral features of straight profile and an anterior divergent face. He had a slightly deviated chin to the right side by 1.0–1.5 mm [Figure 1]. Intraorally, he had Angle's Class I malocclusion with anterior cross-bite in the right incisor-canine region, congenitally missing maxillary lateral incisors and uneven attritional wear of the central incisors. The right canines were in an end-on relation and left canines in Class I relationship with fairly good molar and premolar occlusion [Figure 2]. He had a chief complaint of spacing in upper anterior teeth, midline diastema, and malaligned teeth.
The model analysis of the patient's pretreatment study models showed an upper arch with a spacing of 11 mm and lower arch with crowding of 2 mm. The width of the central incisors was 8 mm each, and the Bolton's analysis showed 2 mm of lower anterior tooth material excess.
On the evaluation of the pretreatment lateral cephalogram [Table 1], the cephalometric diagnosis was skeletal Class I malocclusion with proclined lower incisors and slightly retropositioned upper incisors [Figure 3]. The pretreatment orthopantomogram showed missing upper lateral incisors and missing lower left third molars [Figure 4]. The patient did not give any history of extractions of these teeth thus indicative of their congenital absence.
Considering the spacing and missing teeth; occlusion, age and facial morphology of the patient, a treatment plan was decided so as to achieve interdisciplinary objectives that included redistribution of spaces for prosthetic replacement of the missing lateral incisors (of width 6 mm) and correction of the malocclusion and incisal inclinations. The patient did not want partial or fixed partial dentures, so prosthodontic implants were planned. The option of veneers for the attrided central incisors was given to the patient, and he agreed for the same.
This would ensure good esthetics and adequate canine guidance on a natural tooth instead of an implant placed in the canine region and the natural canine mesialized in place of the lateral incisor.,
Fixed orthodontics was started with a 0.018” MBT appliance and removable lower posterior bite plate for the correction of incisor crossbite. Space was created for both the lateral incisors by closing the midline diastema using coil springs to distalize the right canine and mesialize the incisors. Furthermore, slenderization of the lower anterior teeth was carried out to gain 2 mm of space to align the lower anterior teeth using air-rotor stripping  followed by polishing with hand-held safe-sided stripes. At the mid-treatment stage after opening of spaces, adequate space was created/opened between adjacent roots to enable safe placement of the implant without risking contact with adjacent roots, i.e., 6 mm of space so that the implant can be placed safely with at least 1 mm between its surface and the surrounding root surfaces  [Figure 5]. Interim tooth replacement was done with riding pontics , [Figure 6]. Based on clinical bone mapping done by the implantologist, prosthodontic implant placement was planned on the most favorable part of the bone, so as to achieve a healthy bone to implant integration as per the periodontal and prosthodontic evaluation. A cone-beam computed tomography (CBCT) was made to examine the implant site. The CBCT showed an alveolar ridge deficient for implant placement on the right side because of inadequate bucco-palatal bone in the center of the ridge thereby necessitating the use of bone augmentation procedures and an angulated abutment for the right lateral incisor [Figure 6]. Subsequently, the surgical procedure for prosthetic implant placement was carried out, and single-tooth implant placement for the missing lateral incisors was done [Figure 7]. The treatment was completed with implant crowns for lateral incisors and veneers for the attrided central incisors  [Figure 8]. We could achieve near normal angular and linear relationships as per the cephalometric analysis of the posttreatment lateral cephalogram and a comparison with the pretreatment readings [Table 2].
A final evaluation of the posttreatment occlusion was done under all centric-eccentric movements. For an optimum function, the importance of canine protected occlusion on lateral movement has been emphasized., The same was accomplished for this case along with the prosthetic replacement of the lateral incisors and getting the canines into their position of guidance [Figure 9]. This emphasizes the fact that our colleagues of the other specialties in dentistry are not only our teammates in an interdisciplinary team but also could be called as “Friends from the other Dental Trends.”
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Teachers and colleagues at the Department of Orthodontics, Dr. D. Y. Patil Dental College and Hospital, Pimpri, Pune friends, and my interdisciplinary colleagues.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
Czochrowska EM, Skaare AB, Stenvik A, Zachrisson BU. Outcome of orthodontic space closure with a missing maxillary central incisor. Am J Orthod Dentofacial Orthop 2003;123:597-603.
Zachrisson BU. Improving orthodontic results in cases with maxillary incisors missing. Am J Orthod 1978;73:274-89.
Zachrisson BU, Stenvik A. Single implants-optimal therapy for missing lateral incisors? Am J Orthod Dentofacial Orthop 2004;126:A13-5.
Arvystas M. Orthodontic management of agenesis and other complexities: An interdisciplinary approach to functional esthetics. London and New York: Thieme Publishing, New York Taylor & Francis; 2003. p. 227.
Robertsson S, Mohlin B. The congenitally missing upper lateral incisor. A retrospective study of orthodontic space closure versus restorative treatment. Eur J Orthod 2000;22:697-710.
Kokich VO Jr., Kinzer GA. Managing congenitally missing lateral incisors. Part I: Canine substitution. J Esthet Restor Dent 2005;17:5-10.
Sheridan JJ. Air-rotor stripping. J Clin Orthod 1985;19:43-59.
Sharma PK, Sharma P. Interdisciplinary management of congenitally absent maxillary lateral incisors: Orthodontic/prosthodontic perspectives. Semin Orthod 2015;21:27-37.
Kinzer GA, Kokich VO Jr. Managing congenitally missing lateral incisors. Part II: Tooth-supported restorations. J Esthet Restor Dent 2005;17:76-84.
Kinzer GA, Kokich VO Jr. Managing congenitally missing lateral incisors. Part III: Single-tooth implants. J Esthet Restor Dent 2005;17:202-10.
Pini NI, Marchi LM, Pascotto RC. Congenitally missing maxillary lateral incisors: Update on the functional and esthetic parameters of patients treated with implants or space closure and teeth recontouring. Open Dent J 2015;8:289-94.
Kokich VG. Make the correct decision mutually. Am J Orthod Dentofacial Orthop 2011;139:423.
[Figure 1], [Figure 2], [Figure 3], [Figure 4], [Figure 5], [Figure 6], [Figure 7], [Figure 8], [Figure 9]
[Table 1], [Table 2]


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After putting in four years of work with the Hillsboro soccer program, Andrew Bridges will be taking his talents to Mineral Area College next academic year. Bridges helped the Hawks to conference, district and sectional titles in 2019, scoring two goals and one assist. But it was his leadership skills on the back end that helped Hillsboro to a 19-6-1 record last fall. With this lull in the sports season, Ameritime Sports thought it would be a good idea to talk with Andrew about his future.
Q: Why MAC? Why did you end up choosing to further your career there?
Bridges: “I chose MAC because I loved the campus, and I felt like they had a lot to offer me academically. Also Coach Martin, the men’s soccer coach, laid out their goals for the upcoming season, and it matched with goals that I wanted to accomplish. I feel I could learn a lot playing for him, so that is what made me choose MAC.”
Q: What other schools did you consider?
Bridges: “I toured Hannibal-LeGrange, MacMurray, and Fontbonne. They were all great schools, but Mineral Area felt like the right choice for me.”
Q: Would you like to continue to play after you’re finished at MAC?
Bridges: “If I am able to, and the opportunity is there, I would love to continue playing at a four-year after MAC. I would like to take another look at Fontbonne as they were my second choice, and I will look at any other schools that feel like they would want to have me on their team.”
Q: How did you get your start in soccer? Was it always a dream of yours to play college ball, and when did you think it was a realistic possibility?
Bridges: “I started to play soccer when I was young, probably around first grade. Back then I was just playing because I loved to play, but then the goal became making the varsity team in high school. Once I was lucky enough to do that, I realized that I could play in college, and that is what I began to put my effort towards. It started to feel real around my junior year when the colleges started to reach out, saying they saw me play and would like to talk and have me on campus.”
Q: Did you participate in other sports over the years? Was there a reason you exclusively stuck with soccer?
Bridges: “I ran track my freshman year, but it coincided with my club soccer season which demands a lot of my free time, so that was hard to keep doing. I did martial arts when I was younger, but I found that I enjoyed playing soccer more than anything, and that it was what I wanted to dedicate all my free time and effort towards.”
Q: Who have been your biggest influences in the game, either directly or indirectly?
Bridges: “I could talk all day about the people who have influenced the game for me. Obviously, I have the famous athletes I look up to like Messi and Carlos Puyol. But my parents were always my biggest supporters and critics, and I got so much better because of it. They would tell me when I played good, and be the first to tell me when I had a bad game, and I believe I am better off because of that. I am also lucky to have played for some great coaches. Kyle Magee was my coach up until my freshman year, and he taught me to value the game and taught me a lot on and off the field. We still communicate to this day. My current club coach, Pat Weir, has taught me so much about being a defender, and my game has improved greatly since playing for him. And, obviously, Coach Schacht and Coach Nansel at Hillsboro helped turn me into a leader and a player who can take control of a team. I have also been surrounded by some great players. A few that stick out to me are Mark Moore, Mitchell Hickson, and Kyle Warren. Mark and I would go at it in practice each pushing each other to perform at our best, and Mitchell and Kyle have been great teammates for me over the past four years of playing in high school.”
Q: What is the one memory from your Hillsboro career that stands out the most for you, and why?
Bridges: “There’s a lot of memories that stick out to me about my high school soccer career. A few are winning districts my freshman year, and all the times spent with my teammates. But this year, as a whole, is my favorite memory. What our team was able to do was great, winning districts and sectionals. Going to the quarterfinals and having the stands full for a soccer game, which isn’t very common, it was just great to be a part of. I am very proud to have captained such a great group of guys and say I was a part of that.”
Q: When soccer is over, what do you think we’ll see Andrew Bridges doing with his life?
Bridges: “I am unsure what I want to do in my life. I have a few career choices narrowed down and plan to pursue those at Mineral Area, but I know I want to stay involved with the game of soccer. Eventually, I want to coach a team and teach players all the lessons I have been taught over my career.”
Q: Finally, for all those little ones who have dreams to do what you’re doing, what’s the best advice that you could give them?
Bridges: “For anyone who wants to do this, obviously school is the most important thing to focus on, because school is what is going to ultimately allow you to keep playing your sport. Also, when we got to the post season this past year, we kept telling the team to stay hungry…we still have to want it. So my main advice is to stay hungry and keep working so you can achieve your goals.”
Thank you Andrew. Good luck to you next year and thank you for the highlights you gave us with the Hawks.

domain: sports


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because the graphics look like an n64 game?Probably the only reason it is exclusive, is because it's an Oculus title.
for being made exclusively for OR nothing about that game looks like it needs to be exclusive to vr.
For a lot of games (like Lucky's Tale) the biggest thing is not going to be this weird new experience only on VR (one that would be awful without VR), but enhancing the types of experiences we already have.
I think we're going to be seeing a lot of room for both.
New weird games like Job Simulator and Eagle Flight, that you probably could do without VR. But way more fun in VR. Without VR they are just awkward experiences. Whereas in VR, they can be funny. You can throw a can of oil at some customer. Hand them some gross food. A lot of little things that can be done without VR, but are awkward without it.
Those experiences that you can't really have without it.
I also think it'll improve traditional games. Control wise, it feels amazing to be able to look up at something. It feels amazing to be able to turn around, etc.
Visually, (tacos has talked about this), there's some absolutely stunning experiences. Getting up close to NPCs sounds crazy.
I'm very very very very excited for this stuff.

domain: entertainment


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For that is the attraction of this latest blockbuster, directed by Patty Jenkins (whose 2004 film "Monster" won an Oscar for Charlize Theron) - it's a balanced mix of romanticized Greek mythology along with thrilling popcorn action and a few amusing reflections on man/woman relations. Women represent just 17% of all behind the camera positions in the film industry, and when it comes to directing, the numbers are even more dismal. The Wonder Woman, Gal Gadot recently revealed an impressive new detail as to how she was five months pregnant when some of the scenes of the movie were shot.
The relationship between mother Hippolyta and daughter Diana will also be dealt with in the "Justice League" movie despite Diana leaving the island to save the world in the first "Wonder Woman" movie.
Jenkins is the third director that has emerged out of the DC universe after Zack Snyder and David Ayer. From DC's Superman and Batman to Marvel's The Avengers and the ever-sardonic Deadpool pop culture fans have just about seen it all.
The Israeli actress Gal Gadot is charismatic as Wonder Woman, playing her as a fierce warrior filled with empathy for those in danger, and this sets her apart from most other comic book heroes, who throw each other through skyscrapers with little regard for the human life inside. As a treat for some NYC fans, she, along with co-star Chris Pine and WW director Patty Jenkins, surprised an theater full of people who were about to watch Wonder Woman. "We can't say much, but." she explained.
"Wonder Woman" is rated PG-13 for sequences of violence and action and some suggestive content.
Diana decides to follow Steve back to Man's world to help him fight, but her ultimate goal is to find Ares, the god of war. Mankind may not always be good or right, but they're still worth fighting for. I think that there's a lot more to explore.
"I had a tent in the studio and every time we had a break I went training, so I was training all the time". With that said, how will she return when Wonder Woman joins the rest of the DC Comics crew in Justice League this November? Also see a real "wonder woman" in the film Megan Leavey, which opens this weekend starring Kate Mara and Rex the Dog.


text:
Abstract Peek-a-boo Midi
Good Day Lovelies!
It has been beyond hot this week and all I've been interested in regarding attire is, light fabrics and showing what skin I can while still remaining classy and age appropriate. This dress was the perfect piece in combating this heat due to the peek-a-boo detail and not to mention it's pretty light weight. Another thing that immediately drew me to this dress was the abstract/soft neutral print. Summer perfection in my book. Hope you enjoy the look and please stay cool and hydrated lovelies!
I paired this dress with a metallic purse that I thrifted not too long ago for $9 and with my trusty nude Steve Madden heels that pretty much go with everything. I would also remix this dress with a pair of cute flat sandals.

domain: artistic


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What is loneliness?
As social beings, most of us feel the need for rewarding social contact and relationships. One common definition of loneliness is that it is the feeling we get when our need for this type of contact is not met.
However, loneliness is not the same as being alone. You might choose to be alone and live happily without much contact with other people. Or you may have lots of social contact, or be in a relationship or part of a family and still feel lonely.
‘Loneliness is not feeling part of the world. You might be surrounded by loads of people but… you are [still] lonely.’
Loneliness can have a significant impact on your mental health. It can contribute to mental health problems, such as anxiety and depression.
Having a mental health problem can also make you feel lonely. For example, your condition may mean that you find social contact difficult or that you find it hard to maintain friendships, or you may feel isolated because of stigma and discrimination.

domain: sociology


text:
Don’t let Leftist social media shut us out! Sign up for Daily Surge’s daily email blast… it’ll keep you updated on each day’s Daily Surge new columns. Go to dailysurge.com and sign up under “Free Newsletter” on the right side of the page, one-third of the way down. It’s easy! And like it says, it’s free!
— Today, Striker Radio w Steve Pauwels
With hysteria over COVID-19, anti-racism concerns and “climate change”, the political Left has discovered a vantage point from which to successfully erode the liberties of Western Nations. Are freedom-defending citizens alert to this? Are they pushing back? Or will the authoritarian Left end up having its way with nations once free?
Also today on Striker Radio w Steve Pauwels:
Yes, One person can make a HUGE difference … And one bad idea can wreak hideous damage … “Furries”? Women drafted? …Ingenious and dangerous attacks on liberty from the Left … Classy kids stir hope for the future of America
Find out the details!
Jump on over to: redstatetalkradio.com
Saturdays: 2 PM (Justice Live Stream), 4 PM (Liberty Live Stream); Sundays: 2 PM (Justice Live Stream), 4 PM (Liberty Live Stream). On page, click on the appropriate “player”(All times Easter Standard Time)
The views here are those of the author and not necessarily Daily Surge
The post Right Before Our Eyes: Clever Leftists Finding Ways to Undercut Basic Liberties appeared first on DailySurge.

domain: news


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NIOSHTIC-2 Publications Search
Preliminary mineral evaluation of light density lines not included in Conrail. Part 3 (of three parts).
Pittsburgh, PA: U.S. Department of the Interior, Bureau of Mines, OFR 62(3)-75, 1975 May; :1-126
This report gives the Bureau of Mines preliminary evaluation of the impact that the loss of service on specified rail lines would have on mineral operations and mineral production potential. Part 3 gives information on rail lines and mineral operations in Connecticut, Delaware, Maryland, Massachusetts, New Jersey, New York, Rhode Island, and Virginia.
NTIS Accession No.
Pittsburgh, PA: U.S. Department of the Interior, Bureau of Mines, OFR 62(3)-75
CT; DE; MA; MD; NJ; NY; RI; VA; PA
Page last reviewed: September 2, 2020
Content source: National Institute for Occupational Safety and Health Education and Information Division


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We often report on studio closures so it’s nice to have some good news with the announcement of three new teams being set up.
First up is 2K’s Hangar 13 studio which has taken over an indie studio in Brighton, UK, which currently consists of ex Split/Second developers. Hangar 13 have previously worked on Mafia III and the new studio will be expanded to work on a currently unannounced AAA console game. After the closure of Black Rock there has been no major developer in the region which has meant new talent has limited options when it comes to job, something Hangar 13 wish to change.
“We want to be getting out in front of the next generation and helping them through internships and mentoring,” said Hangar 13’s Andy Wilson. “Trying to provide opportunities for people coming out of college, who are just trying to work out that big scary problem of how to get into games. Many, many, many years ago, Nick and I went through that same situation. The competition has not got any less. There are more game courses now, there are more people trying to get into the industry. And although the industry has grown, if you want to work in console AAA for example, then your options are limited.”
Meanwhile, Bulletstorm developers People Can Fly have opened two new studios, one of which is also based in the UK. PCF Newcastle is already up and running and includes ex-Ubisoft staff, and PCF Rzeszów, which is based in the southern part of Poland, has developers who previously worked on the Sniper: Ghost Warrior franchise. Both studios are working on a new IP, a AAA shooter developed alongside Square Enix.


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studies have been conducted in the past two decades that point to
the sensitivity of runoff hydrographs to spatial and temporal variations
in precipitation. Many of these studies examined the effects of
raingauge sampling errors on the outflow hydrograph. In an early
and oft-quoted work, Wilson et al.  showed that the spatial
distribution of rainfall had a marked influence on the runoff hydrograph
from a small catchment. On the other hand, Beven and Hornberger
 stated that rainfall patterns have only a secondary effect
on runoff hydrographs, while a correct assessment of the global
volume of rainfall input in a variable pattern is more important
in simulating streamflow hydrographs. On a small watershed, Krajweski
et al.  found a higher sensitivity to the temporal resolution
of precipitation than to the spatial resolution. Ogden and Julien
 performed tests that identified when spatial and temporal
variability of precipitation was dominant. Troutman , Ogden
and Julien  and Shah et al. [1996a,b] also investigated the
effects of precipitation variability on hydrologic simulations.
It is interesting
to note that the majority of these and other studies were based
on synthetically generated precipitation and streamflow records.
Usually, comparisons were made against a 'reference' or 'truth'
hydrograph generated by running the hydrologic model at the finest
data resolution. Synthetically-generated data were often used due
to the lack of appropriately long periods of observed data. Moreover,
many of the studies emphasizing the importance of the spatial variability
of precipitation used models containing the Hortonian runoff generation
mechanism. It is now recognized that runoff results from a complex
variety of mechanisms and that, in some basins, a significant portion
of runoff hydrographs is derived from slower responding subsurface
runoff [Wood et al. 1990]. Obled et al.  commented that numerical
experiments in the literature were based on the use of models which
may be only 'a crude representation of reality.' Furthermore, they
argued that the actual processes at work in a basin may not be those
predicted by the model. Thus, the research in the literature may
have shown the sensitivity of a particular model to the spatial
variability of precipitation, and not the sensitivity of the actual
basin. The work of Obled et al. (1994) is significant in that they
were perhaps the first to examine the effects of the spatial variation
of rainfall using observed precipitation and streamflow data. In
addition, the model used in their studies focused on saturation
excess runoff as the main runoff generation mechanism. In simulations
against observed data, they were unable to prove the value of distributed
inputs as they had intended. A semi-distributed representation of
the basin did not lead to improved simulations compared to a lumped
basin modeling scenario. The authors reasoned that the runoff mechanism
may be responsible for the lack of improvement:
"If, on the other hand, the dominant
process involves either surface or subsurface contributing areas
of the Dunne type, then most of the water infiltrates and local
variations in input will be smoothed as the water is stored and
delayed within the soil.....this type of mechanism may be much less
sensitive to different rainfall patterns at the scale of small catchments."
Winchell et al.  and Winchell
et al.  extend this theme by noting that there has been a
bias towards the use of infiltration-excess runoff mechanisms as
opposed to the saturation excess type. Their work with both types
of runoff generation mechanisms found that saturation excess and
infiltration excess models respond differently to uncertainty in
precipitation. They suggest that generalizations concerning the
effects of rainfall variability on runoff generation cannot be made.
Koren et al.  came to a similar conclusion based on simulation
results from several different rainfall-runoff partitioning mechanisms.
Nonetheless, a large volume
of research continues to emerge that addresses the possibility of
improving lumped hydrologic simulations by using distributed and
semi-distributed modeling approaches which account for the spatial
variation of not only physiographic basin features but of precipitation
as well. Recently, the availability of high resolution precipitation
estimates from different weather radar platforms has intensified
this investigation. Most efforts have focused on event-based modeling,
and mixed and somewhat surprising results have been realized compared
to the numerical results discussed above.
Pessoa et al.
found that adequately averaged gridded precipitation estimates from
radar were just as viable as fully distributed estimates for streamflow
simulation using a distributed model. Kouwen and Garland
investigated the effects of radar data resolution and attempted
to develop guidelines for the proper resolution of input rainfall
data resolution. They noted that spatially coarser rainfall data
sometimes led to better hydrograph simulation due to the smoothing
of errors present in finer resolution rainfall information. In preliminary
testing limited to a single extreme event, Kenner et al.
reported that a 5 sub-basin approach produced better hydrograph
agreement than a lumped representation of the basin. Sub-basin rainfall
hyetographs revealed spatially varied precipitation totals for the
event. Refsgaard  illustrated the concepts of parameterization,
calibration, and validation of distributed parameter model. Noting
that hydrologists often assume that a distributed model calibrated
to basin outlet information will adequately model interior processes,
he realized poor simulations of discharge and piezometric head at
3 interior gaging stations.
In contrast, Michaud
and Sorooshian  found that a complex distributed model calibrated
at the basin outlet was able to generate simulations at 8 internal
points that were at least as accurate as the outlet simulations.
These results underscore one of the main advantages of distributed
parameter hydrologic modeling: the ability to predict hydrologic
variables at interior points. They also concluded that a simple
distributed model proved to be just as accurate as a complex distributed
model given that both were calibrated, and noted that model complexity
does not necessarily lead to improved simulation accuracy.
It is a concern that few of
the studies have shown a direct comparison of distributed model
and lumped model results to observed streamflow data. The emergence
of high resolution data sets, GIS capabilities, and rapidly increasing
computer power have pushed distributed hydrologic models to the
forefront of research and development. While the utility of distributed
models to predict interior hydrologic processes is well known, few
studies have specifically addressed the improvement of distributed
models over lumped models for predicting basin outflow hydrographs.
As a consequence, the hypothesis that higher resolution data will
lead to more accurate hydrograph simulations remains largely untested.
A few years ago,
the Hydrology Laboratory (HL) (then the Hydrologic Research Laboratory
(HRL)) of the NWS began a major research effort to address the question:
'How can the NWS best utilize the NEXRAD data to improve its river
forecasts?' In Phase I of this research, modeling tests have involved
the existing NWS hydrologic models applied in a lumped and semi-distributed
format. The model used in these efforts was the Sacramento Soil
Moisture Accounting Model (SAC-SMA). In Phase 2, new models such
as gridded distributed models will be developed and examined. In
the Phase 1 semi-distributed simulations, several RFC-scale basin
were disaggregated into 5 to 8 sub-basins in an effort to capture
the spatial variability of precipitation and soil/vegetation properties
(Smith et al. 1999). Simulations from lumped and semi-distributed
approaches were compared to observed data for five basins (with
drainage areas ranging from 820 to 4200 sq. km.) using results from
continuous simulations over a period of 4-6 years. The analyses
suggest that the spatial rainfall averages derived from the NEXRAD
data can improve flood prediction in mid/large basins as compared
to gage-only averages. While the semi-distributed approach shows
potential for improved hydrograph simulation, parameterization problems
and noisy data can eliminate benefits when applied to mid/large
basins with significant damping effects (e. g., those caused by
deep, well drained soils). A more noticeable benefit from the semi-distributed
approach is achieved for basins with a fast response runoff (Smith
et al. 2000). However, optimal model parameters from the lumped
approach may be far from the optimal parameter set for the semi-distributed
It is clear that distributed modeling
is in the future. However, there is no clear pathway in the literature
toward the class of distributed models that will suit NWS's forecasting
needs. To address this problem and the other issues mentioned above,
HL is initiating the Distributed Model Intercomparison Project (DMIP).
The intention is to access broad scientific community experience
to help guide NWS/HL's distributed modeling research and applications.
Within DMIP, HL will make available data sets for a number of basins.
Participants will download the data sets and run their models to
generate simulations at specific locations. HL will generate statistics
comparing the simulations to observed streamflow as well as to simulations
from a calibrated lumped SAC-SMA model. Participants will be invited
to a workshop at HL to present their models and results. The workshop
will also provide opportunities to discuss further research and
publication of results.
2. DMIP Goals
A. To identify
and help develop models and modeling systems that best utilize NEXRAD
and other spatial data sets to improve RFC-scale river simulations
B. To help
guide NWS/HL's distributed hydrologic modeling research, science,
science questions that DMIP will address are:
What are the characteristics of a basin that is more likely to benefit
from distributed modeling (i.e., accounting for the spatial variability
of precipitation and model parameters)? Can these characteristics
What is the optimal choice of computational element size to capture
the essential spatial variability of precipitation in runoff generation
and of flow in routing runoff to stream channels?
What level of complexity is required in distributed models to improve
basin outlet simulations?
What is the potential for distributed models set up for basin outlet
simulations to generate hydrographs at interior locations for flash
approaches work well for handling sub-grid heterogeneity of hydrologic
Questions that need
to be addressed before a model can be implemented in the NWS River
Forecast System (NWSRFS) for operational use are:
A. Computational requirements.
B. Run-time modifications
C. Parameterization and calibration
D. Does ease of parameterization/calibration
of a physically-based distributed parameter model warrant its use,
even when it might not provide improvements over simpler (but harder
to calibrate) lumped conceptual models?
Beven, K. J., and G. M. Hornberger, Assessing the
effect of spatial pattern of precipitation in modeling stream flow
hydrographs, Water Resources Bulletin, 823-829, 1982.
Koren, V. I., B. D. Finnerty, J. C. Schaake, M. B.
Smith, D.-J. Seo, Q. Y. Duan, Scale dependencies of hydrology models
to spatial variability of precipitation, Journal of Hydrology, 217,
Krajewski, W. F., V. Lakshmi, K. P. Georgakakos, and
S. C. Jain, A monte -carlo study of rainfall sampling effect on
a distributed catchment model, Water Resources Research, Vol. 27,
No. 1, 119-128, 1991.
Michaud, J., and S. Sorooshian, Comparison of simple
versus complex distributed runoff models on a midsized semiarid
watershed, Water Resources Research, Vol. 30, No. 3. 593-605, March,
Obled, C. H., J. Wendling, and K. Beven, The sensitivity
of hydrological models to spatial rainfall patterns: an evaluation
using observed data, Journal of Hydrology, 159,305-333, 1994.
Ogden, F. L., and P. Y. Julien, Runoff sensitivity
to temporal and spatial rainfall variability at runoff plane and
small basin scales, Water Resources Research, Vol. 29, No. 8, 2589-2597,
Ogden, F. L, and P. Y. Julien, Runoff model sensitivity
to radar rainfall resolution, Journal of Hydrology, 158, 1-18, 1994.
Pessoa, M. L., R. L., Bras,. and E. R. Williams, Use
of weather radar for flood forecasting in the Sieve river basin:
a sensitivity analysis, Journal of Applied Meteorology, 32 (3),
Refsgaard, J. C., Parameterisation, calibration, and
validation of distributed hydrological models, Journal of Hydrology,
(198), 69-97, 1997.
Shah, S. M. S., P. E. O=Connell, and J. R. M. Hosking,
Modeling the effects of spatial variability in rainfall on catchment
response. 1. Formulation and calibration of a stochastic rainfall
field model, Journal Hydrology, 175, 66-88, 1996a.
Shah, S. M. S., P. E. O=Connell,, and J. R. M. Hosking,,
Modeling the effects of spatial variability in rainfall on catchment
response. 2. Experiments with distributed and lumped models, Journal
of Hydrology, 175, 89-111, 1996b.
Smith, M. B., V. I. Koren, Z. Zhang, D. Wang, S. Reed.,
2000, >Semi-distributed vs Lumped Model Simulations: Comparisons
Using Observed Data for RFC Scale Basins=, EOS, Transactions of
the American Geophysical Union, 2000 Spring Meeting, Vol., 81, No.
19. Abstract only.
Smith, M. B, V. Koren, D. Johnson, B. D. Finnerty,
and D.-J. Seo, Distributed Modeling: Phase 1 Results, NOAA Technical
Report NWS 44, 210 pp., National Weather Service Hydrologic Research
Lab, February 1999.
Troutman, B. M., Runoff Prediction Errors and Bias
in Parameter Estimation induced by Spatial Variability of Precipitation,
Water Resources Research, Vol 19. No. 3, 791-810, 1983.
Wilson, C. B., J. B. Valdes, and I. Rodriquez-Iturbe,
On the Influence of the spatial distribution of rainfall on storm
runoff, Water Resources Research, Vol 15(2), 321-328, 1979.
Winchell, M., H. V. Gupta, and S. Sorooshian, Effects
of radar-estimated precipitation uncertainty on different runoff
generation mechanisms, Rep. HWR No. 97-080, 285 pp., Department
of Hydrology and Water Resources, University of Arizona, 1997.
Winchell, M., H. V. Gupta, and S. Sorooshian, >On
the simulation of infiltration- and saturation- excess runoff using
radar-based rainfall estimates: Effects of algorithm uncertainty
and pixel aggregation=, Water Resources Research, Vol 34, No. 10,
Wood, E. F., M. Sivapalan, and K. Beven, Similarity
and scale in catchment storm response, Review of Geophysics, 28(1),

domain: literature


text:
Lucky you! You’ve stumbled across the best deal on Madison’s near east side!
18 S. Fair Oaks Ave
3 bedrooms / 1 bathrooms / 1152 square feet
Fenced yard, large front porch
This charming, extremely well kept Atwood Bungalow has tons of vintage character, boasts a large front porch, fenced in yard, huge closets, spacious kitchen, is blocks from Atwood & is incredibly convenient for bus and bike commuters.
You’ll love the home’s many original features, like the unpainted wide wood trim, doors + fixtures, hardwood floors, windows, wood siding & wood shake, to name a few. You’ll appreciate this home’s fantastic flow, its openness between the living & dining room and its natural light.
Love the outdoors? Your own urban oasis awaits. The landscaping was designed by Avant Gardening & Landscaping to focus on prairie/native plantings and to provide color throughout the season. There’s plenty of room to add a patio or deck, and if you wanted to kick it up a notch, you could install patio doors off of the dining room or kitchen.
This home is practically next door to one of my personal favorites (Sala Thai) as well as the Fair Oaks Diner and is just blocks from Atwood Avenue- chock full of restaurants, coffee shops, bars, boutiques & even weekly comedy nights at the Glass Nickel.
New vinyl storm windows and doors 2015
New roof and gutters 2011
LeafFilter gutter guards in rear of house 2016
Bike/garden shed (fits 2-3 bikes) 2014
Rain barrel 2015
Professional landscaping designed by Avant Gardening & Landscaping 2013
40 varieties of grasses perennials (many native, front & back) & bulbs
Herb garden (8 varieties of herbs)
Stone path in back yard
Fenced-in yard with cedar privacy fence 2013
Electrical updated 2012 (Knob & Tube de-activated, outlets grounded, GFCI installed)
New water softener 2015
New water heater 2016
New dishwasher 2012
Recessed Lighting in Kitchen 2017
Removed carpeting and re-finished floor on stairs and upstairs hallway 2012
Period-appropriate medicine cabinet 2014
New light fixtures and ceiling fan upstairs 2017

domain: design


VLT® drives give 30-year-old new lease on life
The enormous 800 tonne machine is now modernized, to regenerate energy, start at high torque and adjust its speed according to current ground conditions. New smoothed acceleration will extend its gear lifetime into the coming decades.
VLT® AutomationDrive FC 302 frequency converters with PROFIBUS communication are installed for motor control in
- the three pairs of horizontal movement caterpillars, which move the excavator from site to site in the open-cut mine. Power is supplied via a 3x500 V IT mains system. Each 55 kW, 1000 RPM motor starts with torque reaching up to 230% of the continuous rated motor torque.
- the jib, which digs up coal via a series of buckets on an extended arm.
- the revolution control, which enables the head of the excavator to rotate via a gigantic main rotary gear.
Regenerative modules ensure an overall energy efficient solution, including regeneration when the excavator is travelling downhill. Relocating 800 tonnes is absolutely no mean feat, so there are certainly compelling savings to enjoy with its renewed longevity.


text:
At the meeting of 9 June 2021 the RMA:
Determined Statements of Principles (SOPs) for:
|familial adenomatous polyposis||77/2021||78/2021|
These SOPs revoke the SOPs previously determined for these conditions.
Determined Amendment Statements of Principles (SOPs) for:
The above SOPs take effect from 26 July 2021.
The above determinations conclude the previously advertised investigations into:
Decided to advertise the following investigations:
The above investigation notices appear in the Government Notices Gazette of 6 July 2021.

domain: law


text:
Bago is a region in Myanmar located close to Yangon region. Bago City, formerly known as Hanthawaddy is the capital of Bago region. it is located 80 kilometres north-east of Yangon. It is a popular trip destination for tourists visiting Yangon due to proximity. Bago offers a perfect milieu of nature and culture to tourists. It is renowned for handicrafts as well as a vast wildlife sanctuary. Tourists can enjoy a wide range of experiences in Bago ranging from visiting an elephant camp to experiencing the urban life of Bago City.
Bago is home to some of the best forests of Myanmar and as such is heaven to someone who wants to explore the wildlife of Myanmar. The Pho Kyar Elephant Camp is located in the Yedashe Township where tourists can enjoy various activities involving elephants. It is a reserve forest area on the bank of Thaing creek. The Moe Yun Gyi Wildlife sanctuary is located only 29 km from Bago. It is an ideal place to view some exotic species of birds.
Bago has some of the most beautiful pagodas of the country. Among the several pagodas, the Shwemawdaw Pagoda, the huge reclining Buddha image of Shwe Tha Lyaung and the four giant Buddha Images of Kyaikpun Pagoda deserve special mention. A notable pagoda in Bago is the Shwesandaw Pagoda located on the eastern bank of Ayeyarwady river. The Shwe Myat Mhan Pagoda housing Buddha with golden spectacles is also an important shrine and worth a visit. Tourists can also visit the Kanbawsathadi palace, built by King Bayinnaung in 1556. The original palace consisted of 76 apartments and halls which were burned down in 1599. The palace has been restored in 1992. Tourists should also visit Akauk Taung and see the famous Buddha images curved on cliffs.
An array of cultural experiences awaits tourists at Bago. Tourists can visit Pyu Ancient Cities of Halin, Beikthano and Sri Ksetra located in the dry zone of the Ayeyarwady River Basin. They have been designated as UNESCO World Heritage Site since 2014. Some of the best artisans of Myanmar live in Bago. Hence, tourists looking forward to shopping for some authentic handicrafts can visit the innumerable handicrafts workshops located here. Tourists looking to escape the warm temperature can head to Than-Daung, a hill station established during the British era. The town provides lots of opportunities to enjoy the cool weather as well as bond with the local people.
Pho Kyar Elephant Camp Pho Kyar forest resort is located in Thargara of Yedashe Township and is about 295 km from Yangon. Located in the Swa forest reserve area, on the bank of Thaing Creek, this camp has 14 elephants.
Moeyungyi This famous bird sanctuary is located near Pyinbonegyi village, about 29 km northeast of Bago across an area of 103 sq.km. It houses 65 species of waterbirds and 60 species of hibernating birds. It is an ideal place to view some exotic birds, especially from November to March.
Pyu Ancient Cities includes the remains of three brick walled and moated cities of Halin, Beikthano and Sri Ksetra located in the vast irrigated landscape in the dry zone of the Ayeyarwady River basin. Pyu Ancient Cities has been designated as UNESCO World Heritage Site since 2014.
Than-Daung is a well-developed hill resort from Victorian times developed by the British. The weather of Than-Daung is nice and cool. It is a romantic place which offers tourists a chance to escape the hustle and bustle of city life. It is inhabited by the lovable and simple Bwe Ka Yin people of Kayin State.
Kanbawzathadi Palace is the palace of Bago built by King Bayinnaung in 1556. It originally consisted of 76 apartments and halls but was burned down in 1599. It was reconstructed in 1992. It is an ornate golden palace showcasing the splendour of the Burmese empire during the 16th century. The palace houses several reproductions on display such as a replica of King’s golden coach.
Shwesandaw Pagoda is well known in Pyay. Shwesandaw means the Golden Hair Relics of Buddha. It is situated on the eastern bank of Ayeyarwady River is considered to be Myanmar’s most venerated structure. It has a height of 39 metres from the base and the plinth is 88 metres.
Akauk Taung This is famous for Buddha images carved in the steep cliff-side of Ayeyarwady Riverbank. it is located about 30 km downstream from Pyay. The journey to Akauk Taung takes someone through attractive rural scenery. With an interesting history behind it, this place is mesmerizing, to say the least.
Shwe Myat Mhan Pagoda means the Buddha with the golden spectacles. It is one of the most unique pagodas of Myanmar. Every year in March the Shwe Myat Mhan Pagoda Festival is held here which is attended by thousands of Buddhist all over the world. The pagoda is located on a hill presenting a nice view of the town and the Ayeyarwady river.
Bago formerly known as Hanthawaddy of Mon Kingdom in the 15th century is located around 80 km from Yangon. The city has several places of cultural importance such as the Shwemawdaw Pagoda, the huge reclining Buddha Image called Shwe Tha Lyaung, the four giant Buddha images of Kyaikpin Pagoda and the Kanbawzathadi palace.
Shwe Myat Mhan Pagoda Festival: This festival is celebrated every year in March for 3 days. Buddhists all over the world come and pay respect to the golden spectacled Buddha image in the pagoda. Products of Pyay and its surroundings such as the traditional handicrafts from various places of Myanmar are available during the festival.
Shwesandaw (Pyay) Pagoda Festival: Shwesandaw Pagoda is one of Myanmar’s biggest Buddhist pilgrimage sites and the festival of this pagoda is one of the most visited festivals for pilgrims all over the country. Held on the full moon day of Tazaungmone, the sacred tooth hall which contains a Buddha tooth relic is opened for devotees during this festival.
Tazaungmon Full Moon Festival: This festival is celebrated throughout the country on a full moon day after the rains. Since the monks need new robes after the rains, on the full moon day, new robes are offered to the mons along with other offerings which include slippers, umbrellas, alms bowls, food, towels, soap and other necessities.

domain: travel


text:
Fluorodeoxyglucose positron-emission tomography (FDG-PET)
detected recurrent cancer 50% more often than did conventional imaging in people
with thyroid cancer who had indications that their cancer had recurred,
according to results of a study published in the October 2001 issue of the Journal of Nuclear Medicine. Indeed, use of the FDG-PET scan led to changes in
clinical management in almost 80% of patients.
The study evaluated 37 persons with differentiated thyroid carcinoma, who had
elevated levels of thyroglobulin and negative iodine-131 (I-131) whole-body scan
results after a thyroidectomy and radioactive iodine treatment. An elevated
human thyroglobulin (hTg) level is a strong indicator that the cancer persists
or has recurred.
Some patients with metastases do not concentrate I-131, and there are
indications that they are more likely to have aggressive disease. Finding a way
to locate tumors when evidence suggests recurrence but I-131 scan results are
negative is, therefore, particularly important.
PET Uncovers Additional Sites of Disease
Of the 37 patients who underwent FDG-PET scanning, 28 (76%) had positive
findings. Conventional imaging of the same patients (ultrasound, magnetic
resonance imaging [MRI], computed tomography [CT], and x-ray) produced positive
results in only 10 cases (27%). Among the 10 patients in whom conventional
imaging did not detect a tumor, FDG-PET detected an additional 11 sites of
disease, including distant metastases in 5 patients. Among those whose cancer
was only detected by the PET scan, 44 different tumor sites were detected.
Overall, the FDG-PET scan findings changed the management of 29 patients; 23
underwent surgery, and disease was confirmed in 20. In three patients, pathology
determined that the high FDG uptake was the result of inflammatory disease, for
an overall true-positive rate of 70%.
"Our study shows that PET detects significantly more disease than
conventional images for these cancer patients. We believe that a PET scan should
be added as a first-line investigative tool to look for disease when there is a
negative I-131 posttherapy scan yet the patient’s thyroglobulin levels are
high," said study coauthor Dr. Badia O. Helal, Hôpital Antoine Béclère,

domain: biology


text:
Ancient Egypt : Ancient Civilizations, Rosetta Stone
This Ancient Egypt : Ancient Civilizations, Rosetta Stone lesson plan also includes:
Students gain an understanding of Ancient Egyptian's physical make up and appreciate the importance of the Rosetta stone because it unlocked the secret of the Ancient Egyptian writing system. They also get to play an Egyptian board game.
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domain: library


text:
Here are the five best events going down in Charlotte and the surrounding area today, March 22, 2011 as selected by the folks at Creative Loafing.
The Art Institute of Charlotte's Creative Showcase at Knight Theater
Mike Merryfield at The Comedy Zone Lake Norman
Free Yoga at Dharma Lounge
Awol One, Ceschi and The Thought Criminals at The Milestone


text:
Jason Phillip Reeser
Jason Phillip Reeser, editor of Saint James Infirmary Books, lives and writes in Westlake, La. His ghost story anthology, The Cities of the Dead, which former Louisiana poet laureate Julie Kane called “a twist of Louisiana Gothic,” is set in the cemeteries of New Orleans. This year he published Room With Paris View, a travel memoir with his wife, poet Jennifer Reeser. He is writing the third book in his Lazaretto trilogy.
Will post information when available
Cities of the Dead
Ghosts, devils, grave-robbers, killers, lovers, pirates and dead rock‘n’rollers, these are only some of the inhabitants of Jason Phillip Reeser’s short story collection Cities of the Dead. Each of the 13 stories is set in one of the many above-ground cemeteries in New Orleans, where the dead refuse to be buried. Not every story has a ghost, but every story is haunted by the inevitable ghosts that shadow and terrorize our darkest corners: regret, guilt, fear, obsession, despair and failure.
Book-loving volunteers are essential to the Louisiana Book Festival's success. Whether it's escorting authors, guiding visitors, selling refreshments, working with children in the Young Readers Pavilion or other fun and rewarding assignments, the Louisiana Book Festival wants you to join the volunteer team.


text:
Two Cleveland Clinic-led studies challenge the definition of device-associated infections and show that bacteria can grow on medical devices even in “uninfected” patients.
Even in the absence of infection, urological medical devices may harbor more — and more complex — bacteria than previously understood, according to findings from two recent studies. The studies, performed in the laboratory of Aaron Miller, PhD, Assistant Staff in Cardiovascular and Metabolic Sciences, report that thriving communities of bacteria can colonize the surfaces of medical devices implanted along the urinary tract. Together, these papers raise new questions about potential pathways to infection.
The two papers, published in January and May of 2023, investigated how microbes colonize artificial urinary sphincters (AUSs) and stents, respectively. AUSs are commonly used to treat forms of urinary incontinence, while stents are often used to help drain the upper urinary tract in cases of ureteral obstruction or to help with post-surgical wound healing.
“Historically, it was thought that the devices were devoid of microbes in the absence of infection, but recent evidence involving urinary catheters has shown that even noninfected devices may harbor bacteria,” says the first author of both studies, Glenn Werneburg, MD, PhD, a fellow in the Department of Urology. “Our findings support the hypothesis that these findings aren’t unique to catheters. Bacteria can, and do, asymptomatically colonize other medical devices throughout the urinary tract.”
The main way hospitals and device manufactures work to prevent device-associated infections is to try and block bacteria from colonizing a device altogether. Devices are manufactured with special coatings that are physically harder for microbes to stick to. Many devices are also pre-treated with antibiotics, which runs the risk of increasing antibiotic resistance among bacteria. Dr. Miller, senior author on the study, states that these measures, while important, may only be targeting part of the problem.
"Our findings support the hypothesis that bacteria can and do colonize these devices all the time, without any issues for the host. The presence of bacteria isn’t the true problem. It’s how the bacteria switch from coexisting harmlessly with the patient, to causing a harmful symptomatic infection.”
Device-associated infections comprise the majority of hospital-acquired infections. A large proportion of these infections occur in the urinary tract. Co-author and urologist Scott Lundy, MD, PhD, says that device-associated infections can be devastating.
“The device must be removed and may not be able to be replaced immediately. Any benefit of the implant will be lost without placement of a new device. Patients who struggled with incontinence will lose any control an artificial urinary sphincter had granted.”
In both studies, researchers obtained medical devices (AUSs and stents) that had been removed from patients in the clinic. Some of these patients were diagnosed with a device-associated infection, while others were classified as infection-free. The researchers analyzed these devices to investigate the presence of bacteria and to characterize the species and characteristics of any bacterial communities present.
Virtually all medical devices tested, regardless of the type of device, had thriving communities of microbes living and colonizing on their surfaces. Bacteria were present even in patients who did not experience any symptoms of infection. Researchers discovered that the types of bacteria on the devices did not dictate whether a patient experienced discomfort as much as the way the bacteria metabolized their “food.” These results, says Dr. Miller, indicate that the processes driving device-associated infections may be more complicated than previously thought.
Dr. Werneburg says that follow up could lead to new information about the transition from asymptomatic to infected states. This new information, he claims, can inform the next generation of medical device coatings and materials.
“We are now looking into the different metabolic profiles of bacteria colonizing infection and noninfection-associated devices, to see whether they might be conducive to or protective against infection,” he notes.
“This study truly changes the paradigm of infections and suggests we need to work smarter, not harder, to prevent infections,” concludes Dr. Lundy. “More antibiotics is not always better. We are optimistic that other targeted interventions may be available in the future.”
This article was partially adapted from Consult QD.
Research engineer Ryan Klatte co-authored an illustrated case series that profiles how valuable 3D printing is for the rare and complex disease, namely as a surgical planning and patient communication tool.

domain: medical


text:
Author: John Legendoffzelda
Finding a groove makes all the difference for wavering creators – they lock in supporters, they put themselves on a path towards further inspiration, then they’re finally able to let their spark of potential glow. And if it’s only a one-in-a-million occurrence, then it just means that they’ve tapped into a shining power to make something singular and spectacular. Sony Imagesoft and Japanese developer Ukiyotei found and harnessed that power when they made the brilliant platformer Skyblazer. Not simply Imagesoft’s best, here is one of the most spirited tapestries of a video game to come out of the fourth generation. However much Imagesoft had to do with the actual final product, they were still highly fortunate to be involved in a game this spring-loaded with visual invention and enjoyment.
On a stormy night in a far-off fantasy realm, a young man in flexible metal armor named Sky watches a four-armed winged demon called Ashura kidnap the innocent sorceress Arianna. She is taken to serve the evil purposes of Raglan, the Lord of Darkness. Sky tries to stop the winged monster, but is defeated. Being rescued by an old man, Sky vows to destroy Ashura. Our protagonist is a descendant of the sorcerer Sky-Lord, who defeated Ashura once before, so he’s sure that he can do it as well.
The old man, though, tells him he must improve his fighting abilities, which he must do by roaming the land and defeating all other monsters along the way. Sky travels along an overhead map, a sort of island region divided into one small section and a larger section before a final third section holding Ashura’s lair. The map is marked with stages that Sky automatically enters when he crosses them, and they offer simple enough challenges for the player. Some are straight-ahead platforming stretches; some are winding temples with a boss at the end; and others are auto-scrolling segments where Sky glides through the air; and all are full of strange and interesting enemies that stand in Sky’s way.
Sky is more than a match for all of them, and more than that he ties the entire game together by being such a marvelously crafted character. He’s so swift and responsive, so confident in his movements that he seems to glide across the ground like he does in the air. In his blue-and-yellow garb and wind-whipped hair, he leaps through the atmosphere, rapidly shimmies up walls and delivers punches and kicks with martial-arts finesse. He brings to mind a hip amalgam of new and old legends: Perseus re-imagined as Spider-Man. In addition to his physical prowess, his confidence is also based on his ways with magic, a set of powers that starts out with an energy-wave attack, and can be expanded to include powers of invincibility, casting lightning bolts, and one final move that just looks really cool. These are the abilities that he collects on his way to Ashura. And along with being practical, they diversify the gameplay, offering a complementary piece of strategy to the action. They all use up increments of an on-screen magic meter, which he can replenish by picking up bottles of red fluid, but some use more increments than others. Should the player end up wasting his magic, though, they needn’t worry too badly; along with bottles of green fluid that replenish health, and shiny gems that give him an extra life with each hundredth gem, the red-fluid bottles are items Sky can frequently find, either lying around or left behind by an enemy he eliminates.
The wonderful opening stage sets the tone – a stretch of stone pathways leading to the initial encounter with Ashura, where the player can test out Sky’s moves on both the structures and the enemies that are placed everywhere. The sense of flow and graceful motion displayed here is present for essentially the rest of the game, and it even carries into the overhead map. When Sky reaches a stage, it starts: no menus, no “yes-no” options, no time wasted. In the stages, the enemies go down with ease and Sky is able to hop from a wall to a platform to a steady surface, and everything simply clicks. The player can feel Sky ducking under a lowering ceiling, and they can feel him smack a row of enemies with one of his bursts of magic. Some of the stage designs tweak the platforming physics, adding trees with foliage dense enough to sink through or replacing all of the walking surfaces with gusts of wind, and they only reinforce the solidness of the gameplay. The water stage with the extensive swimming is maybe the one part of the game where the motion feels a bit off, but hey – water levels are water levels. The auto-scrolling parts maintain the overall level of excitement while lifting Sky off of the ground, and the flying punches he throws have the same sense of tactile response. There are also fancier Mode 7 segments where Sky flies forward and collects extra gems, and there are other moments where the sense of flow seems misplaced, but at least they have no real consequence. They’re at the very least tokens of generosity.
To fill out the spaces between the crystal gameplay, the story of Skyblazer doesn’t have what could be called a rich mythology, but it does have fun toying with the fantasy concepts they suggest. The story presents a world separated into strange topographical areas; temples of ice and lava, a realm of wind and a waterfall of desert sand. The various old men Sky meets on his quest are interesting themselves, or at least the notion of several old men working to help a hero defeat the Lord of Darkness. The old men increase Sky’s hit points when he first visits them, and in a bit of welcome referential humor they will also show arrangements of runes that Sky determines will help him “preserve [his] quest”(In other words, they’re passcodes). Definitely the most interesting things to look at in this game are all of the various monsters: impressive and unique, they were made with pure imagination. Common enemies include balls of flesh that spit out crawling eyeballs, and among the bosses is a demon face embedded into a spinning wall, and a creature that’s a cross between a dragon, a serpent, and an elephant. The crisp, bright graphics fulfill both their designs and many other details in the game, from the brightness of the lava temple to the effect of the towers spinning around as Sky ascends them. The music score, by Bionic Commando composer Harumi Fujita, rounds everything out; giving urgency to the dramatic action scenes and a sense of grandeur to the production as a whole, sitars and clanging bells and all. As in any good fantasy, the material may never have happened but it’s happening to you right now.
It wasn’t the most popular video game of 1994, but Skyblazer is still Sony Imagesoft’s big moment. It’s their fairy tale, one told with exceptional gameplay and arresting visuals, and it’s so good you don’t even need to dwell on the rest of their body of work. I didn’t, and while playing this game I thought of how great it feels to see someone strike a powerful creative wellspring.
Five out of five stars.
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Misfiring Madrid continue to falter
SPAIN:The pressure on Jose Mourinho is set to increase after a poor performance by Real Madrid saw them come away from bottom side Osasuna with just a point on Saturday.
It was a miserable night for Madrid, who were without the suspended Cristiano Ronaldo and Sergio Ramos, with Kaka sent off 19 minutes after coming on as a substitute while Jose Maria Callejon had a goal disallowed for a borderline offside.
Rampant unbeaten leaders Barcelona ended the first half of the La Liga season with a record 55 of a possible 57 points when Lionel Messi scored one goal and had a hand in two more in a 3-1 win at Malaga last night.
An 18th victory in 19 games for Tito Vilanova’s side at the Rosaleda restored their 11-point lead over second-placed Atletico Madrid.
Malaga have the meanest defence in the league but a howler of a back pass by Ignacio Camacho gifted an opener to Messi in the 27th minute.
It was the World Player of the Year’s 28th league goal of the campaign. Messi then sent Fabregas clear to double the visitors’ lead five minutes after the break and then laid the ball into space for Thiago Alcantara to add an 82nd-minute third.
Resurgent Atletico go into the second half of the season with a perfect home record after Tiago and Radamel Falcao scored to help see off Zaragoza.
The victory means Atletico have won 10 La Liga home games in a row for the first time in almost 40 years.
It also stretched their advantage over third-placed rivals Real Madrid to seven points.


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Actor Ashish Vidyarthi had a close call when he nearly drowned whilst shooting for the forthcoming film ‘Bollywood Diary’.
According to reports, the actor was shooting a scene in a river, when a strong current swept him away. On seeing this a policeman on set quickly jumped in to rescue him.
Also starring in the film is Manoj Bajpai who, reported by Hindustan Times said, “My friend Ashish Vidyarthi got saved from drowning in a river by a policeman. Salute to the policeman. Ashish is trying to come to terms with it.”
Stay with BizAsia for more..


First Tunis RFR trains revealed
Appenzeller Bahnen to Ouagadougou
Côte d'Ivoire – Burkina Faso railway upgrade agreement
Locos retrieved from Sierra Leone
Gautrain success foreshadows expansion
Morocco inaugurates Tangier-Casablanca high-speed rail line
HOW CAPE TOWN’S RAIL SYSTEM CAN GET BACK ON TRACK
Benguela railway handover
Cement trains start rolling on Tanga – Moshi line
Camrail and Sitarail sign freight deals
In March 2019, a video of Nigeria’s Minister of Transportation, Rotimi Amaechi surfaced online. In it, he was seen sternly warning management of the Nigerian Railway Corporation(NRC) of the repercussions of ticket racketeering.
“The problem with Nigeria is there are no consequences for action, [if caught] you’ll be used as an example and charged to court,” the minister says in the video.
Following recent complaints of ticket racketeering and extortion, this seemed like a proactive move. But the fact that this problem has been lingering for nearly 3 years now begs the question of whether the video was more performative than anything.
Innovation gone wrong really fastExcitement had greeted the launch of Nigeria’s first high-speed rail in early 2016. The double-track, standard gauge ran between Abuja and Kaduna and commuters had grand expectations; it was going to revamp travel on that route.
But less than two years after, the system had already taken a few blows to its functionality and ticketing was one of the many anomalies.
A paper ticket on the Abuja-Kaduna railway.Bidding companies for instance were expected to have a ₦1 billion revenue base among other things. In its words, to be qualified, a company must have “verifiable evidence of financial capability with an average annual turnover of not less than ₦1 billion ($2.8 million) in the last three years (2014, 2015, 2016).”
The aforementioned report underlines the problems with that.
This article first appeared on techpoint.africa
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He could even end up in Guantanemo – Gary McKinnon, the computer hacker who entered military computers and found UFO information there, has lost his fight not to be extradited to the US to stand trial. If tried in the UK, his sentence would be a light one, but he will be tried as a terrorist and face a life sentence here. Is this because they are afraid of the UFO information he may reveal? Some of this may be brought out during his trial. BBC news quotes one of McKinnon’s legal team as saying, “American officials involved in this case have stated that they want to see him ‘fry.'”
Not everyone thinks of UFOs as important news?but WE do! Please show us that you appreciate what we do: subscribe today.(And please click on the new “donate” tab on our homepage too!)
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Processed by: Archives Staff ; machine-readable finding aid created by:Eric Weig
Sons of the Revolution Kentucky Society papers
University of Kentucky Special CollectionsLexington, Kentucky 40506
Arrangement is chronological.
Collection is open for research.
[Identification of item], Sons of the Revolution Kentucky Society papers, 1902-1945, 1M51W59, Special Collections, University of Kentucky.
.9 cubic ft.
The Kentucky Society of Sons of the Revolution was officially instituted on June 24, 1894, and regularly incorporated on January 26, 1895. Two of the eight original founders of the Society were Leslie Combs and Desha Breckinridge. As stated in the Sons of the Revolution by-laws, the purpose of this society is to "perpetuate the memory of the men who achieved the independence of the United States," through commemoration of events, collecting historical material, fostering patriotism, and promoting these aims by encouraging fellowship among members.
This collection contains materials related to the formation and growth of the Sons of the Revolution, Kentucky Society. Included are programs of meetings, genealogical records, correspondence and clippings. There are also speeches and speech notes written by Judge Samuel M. Wilson.
Copyright has not been assigned to the University of Kentucky.

domain: history


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Breakups are complicated. The tears, sorrow, and ice cream we wallow with can only help so. It’s easy to believe, especially in high school, that a breakup, be it romantic or platonic, is the end-all-be-all. However, as the days pass, the feelings of self-pity pass and we begin to heal. The healing process is hard and takes time, mostly because friendships, by their very definition, are complicated.
As our interests, goals, and personalities evolve, so do our friendships. Sometimes, a friendship grows deeper, creating a foundation built on trust and respect that creates a dynamic duo, Leslie Knope/Anne Perkins type of partnership. Some friendships just end up fizzling out, which is completely normal, and while a sad ending to a sweet partnership, there’s no malice left over from the occurrence.
But then there are friendships that are doomed from the start; the abusive, cruel, and manipulative types that sneak into your life unexpectedly. As the realization dawns that the friendship isn’t working out, due to malice, neglect, or general dislike, it’s time to give your fake friend the boot.
So how do you break up with a friend?
First, think Mean Girls: if you’re a Cady in a group of Reginas, it may be time to find new people. The following are steps to help end a friendship and not cause too much heartbreak.
1. Figure out your friend’s strengths
Find out what was it that brought you two together in the first place. Was it a character trait? A similar taste in music? A mutual friend? Focus on the positives of the relationship, dig deep and outline what was good about the person.
2. Understand what went wrong
Figure out what is not working in the friendship. Dr Phil moment here: pinpoint what was it that caused you to feel like the friendship could not go on. Some warning signs of a bad friendship is if the person is overly critical, dominant in the relationship, viciously competitive, or straight up disrespectful to you.
3. Go steady or call it quits
After going over the pros and cons of the relationship, decide whether or not you want to stay friendship or break up with the person. If you choose the latter, understand that this is very hard and awkward to do. But you have to respect the other person enough to do it in person, to their face. Don’t apologize, rationalize, or explain – just tell the truth.
4. Reminisce on the good times
After you’ve gone your separate ways, reflect on the good times. In a world that’s always trying to bring us down, keep some good memories stowed away! Free yourself from the grudges and ill-doings and remember all the good times you and your former friend had.
Note: going cold turkey and “ghosting” your friend is an option, but not a wise decision. By ignoring texts, hiding from him or her in the halls, and giving the person the cold shoulder, there is no communication. This leaves the other person hurt and confused and angry – at you.
Lastly, it’s important to remember that not everyone is meant to be our friend. As Dita Von Teese said, “you can be the ripest, juiciest peach in the world, but there will always be someone who hates peaches”. Cutting out negative people from our lives is not easy, but it is necessary for our social and mental health.
In reality, friends don’t always act like they should, and when that happens, they have no room in your life. Surround yourself with people of substance, who care and appreciate your role in their life. Remember; you have the power of letting people into your circle, and furthermore, you have the power to kick them out.


The White Sox announced Chris Sale was suspended on Sunday.
Sale was involved in an incident in the clubhouse on Saturday that was reportedly related to Sale not wanting to wear retro jerseys for his start that day. Matt Albers started the game after Sale was scratched. The game was later suspended due to rain after eight innings.
The White Sox didn't say much about the incident after play concluded on Saturday. However, general manager Rick Hahn addressed the situation on Sunday. Hahn spoke to the media after it was announced that Sale was suspended for five days.
According to the White Sox release, the suspension began with Saturday's game and concludes on Wednesday. Sale could return on Thursday, the final game of four against the Cubs.
Sale was also fined as a result of the incident.
Trade rumors had already begun to surface regarding Sale, but Hahn said this will not change his status regarding any possible trades.
Rick Hahn said Chris Sale's actions don't change club's view that he can help team win.— Dan Hayes (@CSNHayes) July 24, 2016
Rick Hahn: At no point did Chris Sale ask to be traded.— Dan Hayes (@CSNHayes) July 24, 2016
Hahn says Sale's actions "doesn't move the needle one iota" of him possibly being traded.— Chuck Garfien (@ChuckGarfien) July 24, 2016
Anthony Ranaudo was called up to replace Sale on the active roster. Ranaudo made two appearances with the Texas Rangers earlier this season, one of which came against the White Sox.
In a May 10 outing against the Sox, Ranaudo retired the first three batters he faced before walking five out of the next six. The White Sox traded for him two days later. With Triple-A Charlotte, the 26-year-old was used as a starting pitcher and had a 3.20 ERA with 53 strikeouts and eight walks in 78 2/3 innings.
CSNChicago.com preps reporter "Edgy" Tim O’Halloran spotlights 100 high school football teams in 100 days. The first 75 team profiles will focus on teams making strides across Chicagoland and elsewhere in the state. Starting Aug. 1, we’ll unveil the @CSNPreps Top 25 Power Rankings, leading up to kickoff on Friday, Aug. 26. You can view Edgy Tim's other football previews here.
Head coach: Dom Passolano
Assistant Coaches: AJ Porter, Kris Korhonen, Chris Lewis, Ryan McGuire, Brad Sievers, Gary Korhonen, Brendan Meany, Clint Connelly, Joe Krawisz, Dan Ludwig, Todd Barham
How they fared in 2015: 5-5 (3-3 South Suburban Red). Shepard made the 2015 Class 5A state playoff field and lost to Sacred Heart Griffin in opening round action.
Biggest storyline in 2016: Can the Astros blast off into the state playoffs and make a run?
Names to watch this season: QB/ATH Jack Carberry, RB/S Demetrius Harrison
Biggest holes to fill: The Astros welcome back just one starting defensive linemen in senior Jamir Dunbar.
EDGY's Early Take: Look for Shepard to challenge for the South Suburban Red conference title this season. The Astros welcome back 12 starters this fall and several of those players are multi-year starters for head coach Dom Passolano.
The White Sox conclude their suspended game against the Detroit Tigers, and you can catch all the action on Comcast SportsNet. The 3-3 game will pick up in the top of the ninth at 1:10 p.m. Be sure to stick around after the final out to get analysis and player reaction on White Sox Postgame Live.
Click here for a game preview to make sure you’re ready for the action.
[SHOP WHITE SOX: Get your White Sox gear right here]
— Channel finder: Make sure you know where to watch.
— Latest on the White Sox: All of the most recent news and notes.
— See what fans are talking about before, during and after the game with White Sox Pulse.


In April 2008, I guess I was the first reviewer to hail the unique musical vision of "Dans Les Arbres", the debut album of the French-Norwegian minimalist band with Xavier Charles on clarinet and harmonica, Ivar Grydeland on acoustic guitar, banjo and scruti box, Christian Wallumrød on prepared piano and harmonium, and Ingar Zach on gran cassa and percussion.
I gave the album a five-star rating and rightly so. The band manages to create a sonic universe built of pure sound, carefully improvised as one minutely paced coherent and minimalist vision. Every single note requires attention and respect as it adds something tiny to complete the slowly evolving dynamics of timbre and lightly woven texture.
So it is on this album. Bringing again this strange magic of purity and beauty, pristine and mesmerising and free and fragile like insect wings, transparent as mist, yet the result of incredible concentration, self-constraint, control of the various instruments, masterly interplay, and strangely enough driven by an uncanny intensity.
Like lots of great music, it is this paradox of lightness and intensity, of freedom and control that leads to again a magnificent result.
It is hard to believe that it took four years to release their sophomore album.
Again highly recommended.


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According to Google data, after seeing an ad on their smartphone, more than half of people:
go to the company’s website and buy the product
send a text
do a mobile search
go to a store and buy the product
According to Google data, after seeing an ad on their smartphone, more than half of people
You see multiple adds every time you are browsing Youtube, for example… Don’t remember that i did at least 1 mobile search concerning these ads i have seen. .You did? More than a half?
It’s not just about seeing the ad. But even if people want to know, do, go or buy, they turn to their smart phone. It is officially confirmed that there are more searches on mobile than desktop.
50% of consumers who conducted a local search on their smartphone, visited a store within a day, and 34% who searched on computer/tablet did the same.
If the idea of shopping on your phone while waiting for your morning coffee sounds familiar, you’re not alone. This holiday season, shopping moments will replace shopping marathons. Rather than rely on day-long mall marathons Black Friday weekend, shoppers are now turning to their mobile phones at hundreds of micro-moments throughout the day, all season long. In fact, more than half (54%) of holiday shoppers say that they plan to shop on their smartphones in spare moments throughout the day like walking or commuting.1
As we head into this year’s holiday shopping season, we looked at how the rise of these shopping moments will impact retail trends. After analyzing Google data and working with Ipsos MediaCT to survey consumers on their holiday shopping intentions, today we’re sharing our predictions for the digital trends impacting this year’s biggest shopping season.
According to google data after seeing an ad on their smartphone


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Financial Support During And After Divorce
Throughout the course of a divorce, one issue that arises time and time again is money. It can be a challenge to continue to pay bills and support a family throughout the divorce process and after. However, help is available. At the Camp Hill office of Cognetti & Associates, our lawyers and staff understand the pressure clients feel when it comes to financial issues in divorce. We evaluate our clients’ situations and involve other professionals whenever necessary to ensure needs are being met.
Spousal Support And Alimony
Though spousal support and alimony are not always an issue in every divorce, knowing how it may affect your case is essential. We take the time to explain how spousal support, alimony and alimony pendente lite are designed to assist a dependent spouse in maintaining the standard of living they had during the marriage until they are on their feet. The amount of money is not calculated by a formula, like child support is, and can vary based upon a wide variety of factors, including length of the marriage, age of the parties, income of both parties and others.
We have a thorough understanding of the Pennsylvania child support guidelines and how they are applied in divorce cases. While the amount of child support is typically calculated using a formula, it is important to note that the amount can be challenged. This means that the amount of child support that is to be paid can potentially be higher or lower than the standard formulaic calculation. However, these deviations are not standard and a judge must decide whether a higher or lower amount is appropriate.
To further discuss how we can help you with child support, spousal support and alimony, or other divorce issues, call our firm at 717-909-4060 or contact us online.

domain: finance


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