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Michael Carbonaro Live
The star of the hit truTV series The Carbonaro Effect is coming to Vegas to his share his magical moments live on stage. See how he turns his hidden camera practical jokes on TV into a jaw-dropping live show that will have you wondering, “How did he do that?” Carbonaro’s charming talent for audience interaction blended with unpredictable and hilarious antics creates a magic experience unlike any other in Sin City. This talented entertainer has also appeared on popular soap operas, Hollywood films, and even Chapelle’s Show on Comedy Central. See for yourself why Michael Carbonaro has delighted audiences across the world when you get discount tickets to his show on BestofVegas.com.
With a mix of hysterical jokes, jaw-dropping illusions, and numerous video clips from his hit TV show, Michael Carbonaro Live is a must-see in Las Vegas. You’ll be laughing out loud as he pulls people from the audience for mesmerizing trick after trick. You’ll see why this amazing illusionist was named “Magician of the Year” for good reason. Feel the “Carbonaro Effect” when you catch this show live in Las Vegas!

domain: entertainment


text: Belding's Yellowthroat (Geothlypis beldingi) inhabits freshwater marshes the length of the state of Baja California Sur. A gap in occurrence from approximately 25°50′N to 24°50′N separates the subspecies goldmani to the north from beldingi to the south. According to BirdLife International's (2000, 2007) population estimates, the most important sites for the species are San Ignacio (537–648 birds) and La Purísima (203–450) in the north and San José del Cabo (219–480) and Punta San Pedro (70) in the south. Half of 12 presumed breeding sites in the north and five of 14 in the south were discovered within the last ten years. The species apparently no longer occurs at one historical site in the south. Since 2000, two records from Guerrero Negro and one from Bahía Tortugas approximately 140 km and > 200 km respectively northwest of the known breeding range demonstrate the species' dispersal ability. Belding's Yellowthroat is of utmost conservation concern, but the most recent conservation summaries exaggerated the species' plight, in particular by under-appreciating the bird's capacity for long-range dispersal and the ability of marsh habitat to regenerate quickly. Formal studies of the species should be undertaken and marsh creation should be incorporated in the state's development plans. Previous calls for reintroduction efforts should not be heeded, at least for the time being.

domain: geography


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50% Off Ramen & $1 Draft Beer All Day in WeHo!
You have something to look forward to in West Hollywood in the month of November! Yoshiharu Ramen featured as the #1 ramen noodle restaurant in O.C. by the O.C. Register is doing a special promotion to kick off the winter season by doing a 50% off ramen & $1 Draft beer promotion, Monday - Sunday throughout the whole month of November starting 11/1/2017! Only at the West Hollywood location.
Promotion Rules & Disclosure:
• This offer applies to dine-in customers only
• 50% off discount applies to ramen only rice bowls and appetizers are not included.
• The ramen bowls will be served with only the green onions and chashu toppings instead of the usual full set of toppings, additional toppings will be charged full price on the menu.
• $1 Draft beer promotion offer applies to age 21+.
• This offer will end on November 30, 2017.
"This promotion has expired. Please visit us again or follow us to receive feed on new promotions!"

domain: food


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The art style that Rockstar Games uses to promote its Grand Theft Auto games has been almost as important as the gameplay in the open-world series. Over the years, the publisher has doled out hints as to the sex, drugs and hi-jinx players would get into via posters and other graphic design images, long before any glimpses of gameplay were offered.
This time, it's a wee bit different as the art above clearly references a moment from the GTA V trailer, specifically one of the few instances where weapons of any kind show up. In the Rockstar Instagram feed where this piece showed up, the accompanying comment said, "Lots of info coming next month. Get ready." until, then look at the pretty (important) picture.

domain: game


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‘Star Wars‘ fans have waited for a long time to return to the big screen, with the evergreen space opera franchise having yet to release a new installment in the past four years. However, the wait will be over soon as director Sharmeen Obaid-Chinoy’s yet-untitled feature film featuring the return of Rey, the former scavenger turned Jedi warrior, is set to enter production soon. Details about the upcoming film have been scarce, but reports suggest it will start production next Spring in the United Kingdom.
Shooting of the untitled ‘Star Wars’ film will likely take place at the Pinewood Studios in Buckinghamshire, England, where the previous three installments in the “Skywalker Saga” were filmed. The film is expected to start prep in the Fall and will begin principal photography sometime around April 2024. However, the ongoing WGA and SAG-AFTRA strikes will likely impact production, which will only start on the expected timeframe if the strikes are resolved in the coming months.
The untitled film will reportedly be set 15 years after the events of ‘Star Wars: Episode IX – The Rise of Skywalker.’ However, the reports suggest the film will be steering away from the preestablished lore of the “Skywalker Saga.” It is expected to drop the “Episode” prefix from the titles. The movie will be an entirely new story separate from the overarching narrative that guides the franchise’s original, prequel, and sequel trilogies. Rey is expected to have a supporting role in the movie, which is being equated to those of Luke Skywalker (in the sequel trilogy) and Obi-Wan Kenobi (in the original trilogy).
Actress Daisy Ridley, who plays Rey, is confirmed to be reprising her role in the upcoming film, but no further casting announcements have been made yet. The project was first announced in April 2023 by Lucasfilm President Kathleen Kennedy at the Star Wars Celebration. “What we’re exploring is the evolution of the Jedi. We’re going very far back; we’re looking at the present, and now we’re moving 15 years after The Rise Of Skywalker,” Kennedy said of the upcoming film in a May 2023 interview with Empire. “The First Order has fallen, the Jedi are in chaos – there’s even a question of how many exist anymore – and Rey’s building the New Jedi Order, based on the text that she was given and that Luke imparted on her,” she added.
The film’s script underwent several revisions, with Damon Lindelof and Justin Britt-Gibson initially attached as co-writers. In March 2023, Steven Knight was announced as the writer, replacing Lindelof and Britt Gibson. Sharmeen Obaid-Chinoy will be directing the yet-untitled film. Obaid-Chinoy is best known for directing episodes of the Marvel comics-based superhero drama series ‘Ms. Marvel.’ Kennedy is set to produce the film for Disney under the Lucasfilm banner. The untitled film (rumored to be titled ‘Star Wars: New Jedi Order’) does not have an official release date yet but is expected to arrive sometime in 2026 at the earliest.
Read More: Shows Like Star Wars Ahsoka


This 1975 music video from the USA is called Rose Royce – Car Wash.
However, this blog post is about another Car Wash: an investigation about corrupt politicians in Brazil.
From daily The Morning Star in Britain:
Attorney general sacked to suppress Car Wash probe
Monday 12th September 2016
BRAZIL’s former attorney-general has accused putschist President Michel Temer of sacking him to derail a major corruption probe.
“I have no doubt that I was fired because the government wants to suppress the investigation,” Fabio Medina Osorio told news magazine Veja in an interview published on Saturday.
“It fears how far the investigation will go,” in the so-called Car Wash probe, he said.
Mr Osorio was dismissed on Friday and replaced by Grace Mendonca, the first woman appointed to Mr Temer’s otherwise all-white, all-male cabinet.
Mr Temer’s press office said it had no immediate comment on the allegations.
Prosecutors allege some £1.5 billion in bribes was paid by companies in return for inflated building contracts with state oil firm Petrobras.
The investigation has ensnared dozens of congress members, senators and business people — most prominently former congress speaker Eduardo Cunha, a member of Mr Temer’s PMDB party who was forced to quit over allegations that he personally received millions in bribes.
Former vice-president Mr Temer, also accused of receiving bribes, was sworn in on August 31 after the senate voted to impeach elected president Dilma Rousseff over allegations of inflating government spending in the 2014 election year.
Ms Rousseff and her Workers Party have repeatedly said one aim of the “legislative coup” was to kill the Car Wash investigation.
In the three months of Mr Temer’s interim government, four ministers resigned after secret recordings emerged of them discussing the plot to stymie the probe.
Watchdog groups estimate that 60 per cent of members of both houses of congress are under investigation for corruption.


Skopje, 28th May 2014 (MIA) – Deputy Prime Minister and Minister of Finance Zoran Stavreski expects positive trends in the industry to continue in the coming period as well, contributing to achieving the projected growth of 3.5% of the economy by the end of the year.
– Official statistical data are not published yet, however, my expectations are, taking into account that economic policies are set on long-term and sound basis, that there are no reasons for the positive trends in the industry not to continue, the Minister said, answering a journalist question.
As regards budget deficit projection, he underlined that the Government would observe the projected budget deficit of 3.5% of GDP, i.e. it would remain within the deficit target despite the realization of significant capital projects, which entails use of higher amounts.
According to him, these were challenges they would have to face in the coming period, however, general budget framework with the planned projections for this year would be maintained.
As whether there would be supplementary budget, he pointed out that it was still early and that it would be estimated at mid-year whether there would be any need therefore. Should there be a need, it would be assessed and the size of the supplementary budget would be evaluated. According to Minister Stavreski, budget deficit was a result of seasonal factors, i.e. payment of subsidies and capital expenditures for infrastructure projects, such as highways, while the other expenditures were within the projections. – As regards subsidies, lower amounts will be paid in the rest of the year.
With respect to the support extended to the domestic companies, he said that they have expressed, at several occasions, their contentment with the government policies which, according to him, was a result of the stable business conditions. – In the past seven years, in particular five and a half years in conditions of crisis, the largest support we could extend was to keep the low taxes, being the lowest in Europe, Stavreski said.
As regards the other measures, he mentioned the tax exemption on reinvested profit on the basis of which the Government loses billion denars annually, the funds that remain with the companies and helped them endure in period of crisis, the cheap credit line from EIB in the amount of EUR 350 million, the capitalization of the Macedonian Bank for Development Promotion and the available EUR 100 million to support export and agriculture, as well as the leveling of fines according to the economic power and the size of the company. – All these measures, as well as other policies, have provided for direct support to the domestic companies and I think that, on the whole, they are satisfied, Minister of Finance underlined.


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A Labour MSP has vowed to bring the 26-month fight for Frank’s Law to the Scottish Parliament chamber.
Michael McMahon is passionate about the subject as his entire family has been touched by the disease.
He told Frank Kopel’s widow, Amanda, that he supports her efforts to have Frank’s Law delivered sooner rather than later.
Mrs Kopel’s husband died in April last year having been diagnosed with dementia in 2009, when he was aged 59.
He and his wife paid about £300 a week so he could have personal care in his Kirriemuir home because he did not reach the qualifying age for free services until weeks before his death.
Mrs Kopel, from Kirriemuir, is urging ministers to close this loophole a bid The Courier is backing.
Mr McMahon said: “My father died from dementia and my mother also had dementia brought on by the stroke, which eventually led to her death.
“Dementia has affected my mother’s family in particular with her own mother, two sisters, a brother and an aunt also dying from dementia.
“Her eldest brother has recently been diagnosed with dementia too.
“My mother’s younger cousin was diagnosed with dementia at the age of 55 and died from it by the time she was 62.
“She was affected by the same rules which discriminated against your husband which denied her access to free personal care.
“Unfortunately my only sister was diagnosed last year with dementia at the age of 49.”
Mr McMahon said his sister, who has two sons aged 20 and 17, is currently facing the same problems Mrs Kopel encountered.
He said: “They are having to support my sister as best they can without the financial assistance they need.”
The Labour MSP also told Mrs Kopel that he will fight for Frank’s Law in parliament and will be happy to support her in any way he can.
Mrs Kopel, from Kirriemuir, has grown “increasingly frustrated” at what she sees as a lack of support for Frank’s Law from the SNP administration.
She said she was “absolutely delighted” Mr McMahon has joined the fight, but said she was “disappointed” that it wasn’t her own MSP who is taking the debate to the chamber floor.
She said: “Mr McMahon has walked the walk. He totally understands. He is a brave man.”
Mrs Kopel and her Angus South MSP, Graeme Dey, publicly disagreed last month following what the 65-year-old described as a “strained meeting” with him.
She accused him of declining to give his full backing to her campaign, but Mr Dey disputed her view of the meeting and described it as “constructive and positive”.
Health secretary Shona Robison has told Mrs Kopel that Frank’s Law is “absolutely a priority” for the Scottish Government.


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While Walton and Johnson - who surprisingly quit in impromptu fashion Tuesday night - are out, GM Rob Pelinka is expected to stay on board. "We wish Luke and his family the best of luck moving forward".
The Lakers announced Friday that Walton, who posted a 98-148 record in three seasons in charge, has "mutually agreed" with the team to move on. The current Lakers were the franchise's most successful team since their playoff drought began in 2013, but it wasn't enough to save Walton's job.
Walton said he was grateful to team owner Jeanie Buss for the chance to coach the team, where he won two championships as a player.
The Lakers finished 10th in the Western Conference, failing to reach the play-offs for the sixth straight year.More news: Anthony Davis Discusses Trade Request, End of Pelicans' Season, T-Shirt Choice
More news: Fake Facebook Founder Seeks Ecuadorian Asylum Amid Assange's Arrest
More news: Israel Poised to Join Cosmic Powers with Lunar Landing
- Shams Charania (@ShamsCharania) April 12, 2019Ty Lue is a strong frontrunner for the Lakers coaching job, league sources tell ESPN. With the quote seemingly hinting at potentially an outside hire for the first time since the Lakers brought Mike Brown in to be the head coach.
Walton played 10 seasons as an National Basketball Association forward, winning two titles with Los Angeles. The Lakers' front office will have a much different look next season.
"He has a lot of great tendencies for a young coach that some coaches probably don't develop their entire life, or their entire career", Rondo said Wednesday.
"I want to thank Jeanie Buss and the Buss family for giving me the opportunity to coach the Lakers", he said.

domain: news


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domain: artistic


Posts tagged important
Posts tagged important
YES LAWD! (I need GIFs to illustrate this Alleluia moment right here). I said more or less the same thing about Hollaback being uncritically deployed in Argentina and one of the people involved with the project got pretty upset with me. I am really peeved by hegemonic frameworks being implemented. Moreover, about slut walk, here’s another nugget: in Argentina, 99% of the most mainstream feminism is against sex work. Sex workers are referred to as “putas”. Slut walk has been translated as “La Marcha de las Putas” and the same women who are involved in the organization of slut walks are the ones lobbying for the criminalization of sex work. Coherence, missing it entirely…
From the article, well worth revisiting on the first anniversary of the massacre perpetrated by Anders Breivik:
When Norway, which is a country that rarely makes headlines, became the theatre of a global event, the international press adopted the following method: world renowned writers like Jan Kjærstad, Anne Holt and Jostein Gaarder were drafted in to serve as cultural interpreters within the framework of interviews, while Jo Nesbø was invited to write an article which was published in the major newspapers of several continents.[…]
He [Martin Sandbu, a Norwegian economics columnist] continued: “There is a widespread perception, for instance, that Nordic countries are more tolerant of immigrants than others in northern Europe. Yet their governments may simply have been better at camouflaging hostility.” In short, what was destroyed on 22 July, 2011, was perhaps not paradise, but simply a mirror that we had created for ourselves.
Also, eerily appropriate vis a vis my questions regarding media editors as a ruling class earlier today.
I believe I’ve seen a comprehensive description of consent once before. Figured I’d contribute as it’s a subject that bears repeating.
- Non-coercive: If you’re cojoling, threatening or otherwise trying to “convince” someone to engage in a sexual act with you, you are breaking consent. If you asked 16 times and got 15 No’s and 1 Yes, you still did not adequately obtain consent. Also, you’re a weak individual.
- Not fixed: What I mean by this is you shouldn’t take for granted that after asking once for consent that you now have consent forever. It’s not like landing a gig as a Supreme Court judge. You don’t have consent for life. It should be continuously negotiated.
- Dynamic: Related to the above note, consent for one act does not necessitate consent for all acts. Consent is not an EZ Pass. It should be re-addressed constantly for different acts.
- Conscious: Yeah, I want to believe I don’t have to explain this one. Bad enough I had to list it. But ok, yes, an inebriated/asleep/passed out or otherwise not fully coherent person cannot consent. There, you can’t say no one ever told you.
- Unambiguous/Explicit: Assume all of the following to mean “no.” — “Maybe,” “I’m not sure,” “Not yet,” “Kinda,” “Wait a minute,” …I could go on.
- Not contingent upon sexual interest nor sexual arousal: We know. Blue balls are a motherfucker. Still no excuse. Neither your NOR the expressed/implied interest of any potential partners is an invitation to any act. Also, neither your nor the (assumed) arousal of anyone you might want to have sex with is an invitation. Yes, someone might be aroused and still not want to fuck. Crazy times. I know.
- Not compensatory: Yeah, that dinner and a movie were nice. Still not an invitation to fuck. And if you thought it was, you’re a world class asshole.
- Not something that requires a qualifier: No one needs to explain why they are not granting you consent. No is enough.
Again, events are multifaceted, cultural and racial groups are not monolithic, and many things about a situation can be true at the same time. Reductionism is dangerous. Simplicity is dangerous. There are no easy, one line answers. They don’t exist, because life isn’t like that.
The following ideas do not contradict each other.
1. There are real socio-economic and political reasons for why this riot occurred. Urban violence committed by youth and marginalized people of color does not happen in a vacuum. When you neglect a community for so long, when you treat its residents as criminals-by-default who must then prove themselves to be citizens, when you treat these communities as problem areas to be hemmed in and monitored, instead of nurtured, when tax money goes to law enforcement, not schools and development — this is what happens.
Do NOT believe what the law enforcement or the media has to say about this. The institutions of power have a vested interest in protecting the status quo, which is the continued existence of the police state in poor communities of color in London, and in similar cities across the Western world. The rioters are not individual hooligans taking advantage of a bad situation. This is not an argument for more police control, for taking away social spending, or longer prison sentences.
The official reaction to these riots confirms what activists from these communities have been saying for years; poor kids of color are either a) irrelevant to mainstream society, or if they are finally noticed are b) only seen as criminals. There’s very little opportunity for poor youth to be seen as the nuanced, complicated, diverse beings that they are. That’s intentional. The status quo is reinforced every time minority youth are seen as a terrifying, brainless monolith. That is what the mainstream media is going to try to do to these kids. Do not let them.
2. Its silly to pretend that all of this violence is directed, focused, and political in intent. A powderkeg of repressed anger and energy has exploded, and London is feeling the consequence of that. It doesn’t mean London deserves the violence, or that the rioters are correct in their actions. The rioters are not innocents, fighting back the only way they can against a corrupt police state. They are culpable. Their behavior cannot be excused by their political intentions; political violence cannot be purified or sanctified or reduced into something palatable and easily digestible by an ideology. Political violence is still violence, the same old beast we’ve engaged with for millions of years. Nothing changes that.
You run over me, doesn’t matter how oppressed you are. You still ran over me. I’m still dead. There are a lot of people, innocent people, who are going to lose their lives, their livelihoods, and their homes. People who we know are in danger.
Don’t you dare try to paper over that.


text:
Dental anxiety is one of the leading causes of people avoiding getting dental care, as many people assume it is painful. Embarrassment about the condition of their teeth is another reason many people avoid going to a clinic for dental care. However, what people tend to forget is that dentists are used to seeing patients' teeth in a variety of conditions and are not judgmental. Avoiding dental care is a big mistake because an array of serious oral health problems can develop that may have been prevented with regular dental care. If you do not believe that dental care is something that you should be concerned about, the information in this article might give you a different perspective.
The Risks of Neglecting Your Teeth
Plaque causes teeth to look discolored, which might not seem like a big problem for some people. However, plaque should be a major concern because it is how teeth will eventually begin to decay. The bacteria in plaque can also lead to gum disease developing, which could deteriorate gum tissue. In a severe case of gum disease, bones could deteriorate and lead to teeth becoming loose and eventually falling out of the gums. Oral cancer and an array of other problems can develop without your knowledge if you do not seek dental care.
A Few Appointments Make a Difference
Getting into the habit of obtaining regular dental care is not as bad as it may seem, as most people only need to visit a dental clinic a couple of times per year. However, more visits are usually necessary when someone has a serious condition that requires extensive dental care. A typical dental appointment includes an examination and getting your teeth cleaned unless extra care is needed. Something as simple as getting your teeth cleaned by a dentist can make a big difference in the condition of your teeth. Dentists can remove plaque more thoroughly than you can do on your own, which will prevent an array of problems.
Financing Makes Paying Bills Easier
If you are concerned about paying money upfront for dental care, financing might resolve the issue. Financing is offered by many dental clinics, but you might have to meet certain criteria to qualify. It is also worth considering investing in dental insurance before making your first appointment. Your insurance provider might cover a large portion of your dental bills. The extent of coverage will differ between providers and plans.
Contact a company like Etobicoke Smiles Dental to learn more.

domain: health


Elias was released by WWE back in September, one of many wrestlers and employees cut after the Endeavor sale & TKO launch became officiak.
The 36 year old from Pittsburgh (real name Jeffrey Sciullo) is drifting into free agency, announcing the move with a New Year’s Day video drop announcing his new gimmick name.
With no small amount of religious symbolism, it features Elias walking through a forest — “the shadow valley”, according to the narrator — on his way to his own grave. Wearing a different hat, he digs the grave and then does the burying after falling into it... because pretending to be other versions of yourself is a hard habit to break, I guess.
Now wearing a white sleeveless undershirt, he crawls out of his fiery tomb and the screen flashes with “ELIJAH”. The new moniker reveal is also spoiled by the caption on the X post.
Ready to walk with Elijah?


text:
|Publication number||US6866648 B2|
|Application number||US 10/156,416|
|Publication date||15 Mar 2005|
|Filing date||28 May 2002|
|Priority date||28 May 2002|
|Also published as||CA2487723A1, CA2487723C, DE60334803D1, EP1531893A1, EP1531893A4, EP1531893B1, US7727224, US20030225371, US20050043710, US20090043281, WO2003101526A1|
|Publication number||10156416, 156416, US 6866648 B2, US 6866648B2, US-B2-6866648, US6866648 B2, US6866648B2|
|Inventors||Admir Hadzic, Jerry D. Vloka, Sergio Giglioli|
|Original Assignee||Macosta Medical U.S.A., L.L.C.|
|Export Citation||BiBTeX, EndNote, RefMan|
|Patent Citations (25), Non-Patent Citations (11), Referenced by (11), Classifications (13), Legal Events (6)|
|External Links: USPTO, USPTO Assignment, Espacenet|
The present invention relates generally to administration of regional or local anesthesia to achieve peripheral nerve blockade, such as is useful when a surgeon operates on a patient's arm or leg or to treat pain emanating in the said or other body parts. More particularly, the present invention relates to an improved method and system of local anesthetic administration that includes a device for indicating pressures interposed between the syringe with local anesthetic and needle for locating the nerves during administration of nerve blocks. Additionally, since the pressure during nerve block injection also depends on the speed of injection, the same device can be used to indirectly monitor and limit the excessive speed of injection.
When a surgeon operates on the legs or arms, nerve block anesthesia may be performed to numb or anesthetize the nerves innervating the region being operated upon. Performance of nerve blocks consists of several phases. In the first phase, the operator inserts the needle in the presumed vicinity of the nerve(s) to be blocked. In doing so, the operator may insert the needle “blindly” relying on anatomical landmarks, the operator may try to elicit “paresthesia,” whereby the nerve is touched by the needle and the patient perceives “a shock” traveling down the nerve being touched, or the operator may use a nerve stimulator to elicit the motor response (twitch) of the nerve being sought. Whichever method is used, the operator hopes to be in the immediate vicinity to the nerve (which is necessary for reliable nerve blocks) and not in the nerve itself (which may result in traumatic nerve injury when the local anesthetic is injected into the nerve). It is important to emphasize that all three methods used to locate nerves at best approximate the needle position in relationship to the nerve and not confirm it with absolute accuracy. Consequently, with these three described methods for localizing nerves during nerve blocks, the needle tip may inadvertently be inserted into the nerve itself. The resultant injection directly into the nerve(s) may result in significant nerve injury.
Regional anesthesia is widely thought to have a number of advantages over general anesthesia. Regional anesthesia is an effective, low-cost technique that provides a means of selectively anesthetizing a region of the body while minimally interfering with the patient's vital systems. However, one of the major disadvantages of regional anesthesia and nerve blocks in particular is the possibility of nerve damage during administration of nerve blocks or regional anesthesia. Other drawbacks include the risks of systemic and local toxic complications. The primary target for local anesthetic effect in regional anesthesia is neural tissue, such as peripheral nerves, nerve roots, and spinal cord. Thus, it may not be surprising that the most common and troublesome local complications of nerve blocks and regional anesthesia involve the peripheral nerves. Such complications are, fortunately, rare, but they can cause considerable problems for both patient and physician. Of note, even the most careful anesthesiologist will occasionally encounter a PNS complication. For instance, in a survey of hand surgeons regarding experience of neurologic complications associated with axillary block anesthesia, 171 (21%) of the responding 800 surgeons had seen a total of 249 major complications (i.e., lasting at least a year), and 521 (65%) had dealt with minor neurologic sequelae (Stark, “Neurologic Injury from Axillary Block Anesthesia,” J. Hand Surg. 21A, 391 (1996)). Thus, about one of five hand surgeons has seen a major neurologic sequela that might have been related to a nerve block. While the overall incidence of nerve damage after nerve blocks is relatively low, the consequences can be catastrophic and result in a temporary or permanent injury to the nerve, loss of limb function and paralysis. See, e.g., Auroy et al., “Serious Complications Related to Regional Anesthesia: Results of a Prospective Survey in France,” Anesthesiology, 87, 479-484 (1997); Eisenach, “Regional Anesthesia: Vintage Bordeaux (And Napa Valley),” Anesthesiology, 87, 467-9 (1997). Indeed, the neurologic complications after regional anesthesia are among the most commonly discussed issues at various anesthesia conferences, and a common topic of many scientific publications. Lesions to the brachial plexus seem to be reported most frequently. See, e.g., Bonica et al., “Brachial Plexus Block Anesthesia,” Am. J. Surg., 78, 65 (1949); Moberg et al., “Brachial Plexus Block Analgesia with Xylocaine,” J. Bone Joint Surg., 33A, 884 (1951); Wolley et al., “Neurological sequelae of brachial plexus nerve block,” Ann. Surg., 149, 53 (1959); Brand et al., “A Comparison of Supraclavicular and Axillary Techniques for Brachial Plexus Blocks,” Anesthesiology, 22, 226 (1961); Schmidt et al., “Komplikationen und Gefahren der Plexus-brachialis-Anesthesie unter besonderer Berucksictinung von Langzeitschaden,” Anasth. Intensivther. Notfallmed., 16, 346 (1981); de Jong, “Axillary block of the brachial plexus,” Anesthesiology, 22, 215 (1961); Hamelberg et al., “Perivascular Axillary Versus Supraclavicular Brachial Plexus Block and General Anesthesia,” Anesth. Analg., 41, 85 (1962); Wall, “Axillary nerve blocks,” Ann. Surg., 149, 53 (1959); Moore et al,. “Bupivacaine: a Review of 11,080 Cases,” Anesth. Analg., 57, 42 (1978); Selander et al., “Parasthesiae or No Parasthesiae ? Nerve Lesions after Axillary Blocks,” Acta. Anaesth. Scand., 23, 27 (1979); Plevak et al., “Paresthesia Vs. Non Paresthesia—the Axillary Block,” Anesthesiology, 59, A216 (1983); Winchell et al., “The incidence of neuropathy following upper extremity nerve blocks,” Reg. Anesth., 10, 12 (1985); Tourtier et al., “Complications of Axillary Block Using Two Techniques: Experience with 1400 Cases,” Anesthesiology, 71, A726 (1989); Davis et al., “Brachial Plexus Anesthesia for Outpatient Surgical Procedures on an Upper Extremity,” Mayo Clin. Proc., 66, 470 (1991); Stan et al., “The Incidence of Neurovascular Complications Following Axillary Brachial Plexus Block Using a Transarterial Approach,” Reg. Anesth., 20, 486 (1995); Lofstrom et al., “Late Disturbances in Nerve Function after Block with Local Anesthetic Agents.” Acta. Anesth. Scand., 10, 111 (1966); Mogensen et al., “Posttraumatic Instability of the Metacarpophalangeal Joint of the Thumb,” Hand, 12, 85(1980).
One of the mechanisms of nerve injury is inadvertent insertion of the needle into a nerve with consequent injection of local anesthetic inside the nerve. This in turn may result in either mechanical trauma to the nerve, ischemic injury to the nerve due the resultant increase in endoneural pressure due to the high pressures inside the nerve, and/or endoneral edema. Indeed, experimentally, it was found that intrafascicular injections in rabbit sciatic nerve in vivo can produce endoneural pressures of more than 700 mm Hg, and after such injections the endoneural pressure could exceed the estimated capillary perfusion pressure for about 15 minutes. During this period, the nerve fascicle is both ischemic and vulnerable to otherwise toxicologically neutral local anesthetic solutions. Selander et al., “Longitudal Spread of Intraneurally Injected Local Anesthetics,” Acta Anesth. Scand., 22, 622 (1978). Similar conditions can also occur in humans, and admixture of epinephrine with local anesthetic can enhance ischemia when injected intraneuronally and thus increase the risk of nerve injury. Selander et al., “Parasthesiae or No Parasthesiae ? Nerve Lesions after Axillary Blocks,” Acta Anaesth. Scand., 23, 27 (1979). The pressures on normal injection of local anesthetics in humans range from about 500 mm Hg to about 1200 mm Hg. Higher pressures may indicate an intraneuronal injection. Hadzic et al., “Injection Pressure During Peripheral Nerve Blockade,” Anesthesiology, Abstract (2002).
The current recommendations to decrease the risk of intra-neuronal injections consist of slow injection to avoid high injection pressures and the avoidance of injection when high pressures are noticed during injection of local anesthetic. Finucane, Complications of Regional Anesthesia, Churchill Livingstone, N.Y. (1999). However, these recommendations assume that the operator or operators are able to perceive the difference between “normal” and “abnormal” injection pressures and take appropriate actions when “abnormal” injection pressures are observed. However, these judgments are prone to subjective interpretation and/or the “feel” of the operators and not on any objective measurements (e.g., measured injection pressure, speed, or similar variables). The ability of different operators to estimate and/or control the injection (especially as with regard to pressure) is further complicated by differences in hand strength and experience among operators as well as differences in resistance to injection for various needle types, lengths, and lumen calibers. In addition, in clinical practice, it is common practice for an operator (e.g., anesthesiologist, nurse anesthesiologist, other anesthesia providers, and the like) to perform the needle placement with an assistant (often without significant experience in nerve blockade) who injects the local anesthetic. This practice poses a risk of exerting too high pressures during injection and possible unrecognized intraneuronal injection. In addition, the operator typically uses both hands to perform the procedure (i.e., place the injection needle in the appropriate location relative to the nerve) and cannot easily determine and/or control the amount of force and pressure that the assistant may employ to inject the local anesthetic.
Moreover, forceful and/or fast injections of local anesthetic solutions can lead to a higher risk of systemic local anesthetic toxicity (e.g., seizures, arrhythmia, cardiovascular collapse, and death) due to tracking of local anesthetic between tissue layers and inadvertent intravascular injections. Additionally, intraneuronal and rapid injections of local anesthetics can backtrack to the spinal column and result in unintended epidural or spinal anesthesia with potentially disastrous consequences (Selander et al., “Longitudal Spread of Intraneurally Injected Local Anesthetics,” Acta Anesth. Scand., 22, 622 (1978); Tetzlaff et al., “Subdural Anesthesia as a Complication of an Interscalene Brachial Plexus Block,” Regional Anesthesia, 19, 357-359 (1994); Dutton et al., “Total Spinal Anesthesia after Interscalene Blockade of the Brachial Plexus,” Anesthesiology, 80, 939-941 (1994)).
Various attempts have been made to improve anesthesia instruments. See, e.g., U.S. Pat. No. 5,119,832 (Jun. 9, 1992); U.S. Pat. No. 5,378,241 (Jan. 3, 1995); U.S. Pat. No. 4,994,036 (Feb. 19, 1991); U.S. Pat. No. 4,775,367 (Oct. 4, 1988); U.S. Pat. No. 4,889,529 (Dec. 26, 1989); U.S. Pat. No. 4,917,670 (Apr. 17, 1990); U.S. Pat. No. 4,917,668 (Apr. 17, 1990); U.S. Pat. No. 5,085,631 (Feb. 4, 1992); U.S. Pat. No. 5,106,376 (Apr. 21, 1992); U.S. Pat. No. 5,135,525 (Aug. 4, 1992); U.S. Pat. No. 5,312,374 (May 17, 1994); U.S. Pat. No. 5,328,479 (Jul. 12, 1994); U.S. Pat. No. 5,512,052 (Apr. 30, 1996); U.S. Pat. No. 5,630,802 (May 20, 1997). None of these attempts, however, focused on controlling and/or measuring the pressure and/or injection speed during injection to avoid an inadvertent intraneuronal injection, or rapid spread, and/or absorption of local anesthetics during nerve blockade/regional anesthesia.
Thus, it is clear that a more objective and reproducible method of monitoring and/or controlling the pressure and/or injection speed during nerve blockage injection, especially by less experienced personnel and/or assistants, would be beneficial in order to decrease the possibility of intraneuronal injection. The present invention provides such a method and apparatus.
The present invention provides an objective and reproducible method of monitoring and/or controlling the pressure during nerve blockage injection, especially by less experienced personnel and/or assistants, in order to decrease the possibility of intraneuronal injection. More specifically, the present invention employs a pressure sensing and/or limiting device located between an injection device (typically a syringe) and a nerve block needle whereby injection pressure during a nerve block injection can be easily and objectively monitored, thereby allowing the operator to monitor the injection pressure during a nerve blockage injection procedure. Additionally, since the pressure during nerve block injection also depends on the speed of injection, the same device can be used to indirectly monitor and limit excessive injection speeds.
The present invention provides an objective and reproducible method of monitoring and/or controlling the pressure during nerve blockage injection, especially by less experienced personnel, in order to decrease the possibility of intraneuronal injection. More specifically, the present invention employs a pressure sensing and/or limiting device located between an injection device (typically a syringe) and a nerve block needle whereby injection pressure during a nerve block injection can be easily and objectively monitored, thereby allowing the operator to monitor the injection pressure during a nerve blockage injection procedure.
For purposes of this invention, the terms “local,” “regional,” and “nerve block” with respect to anesthesia are intended to be synonymous and interchangeable. For purposes of this invention, a “normal” injection pressure is generally considered to be in the range of the typical pressure normally encountered in a particular type of nerve bock procedure. An “abnormal” injection pressure is generally considered to be above the range of such typical pressures normally encountered in a particular type of nerve block procedure. And, of course, an “intermediate” injection pressure would span the higher end of the “normal” pressure range and the lower end of the “abnormal” range. For guidance purposes only, a normal injection pressure would generally be less than about 15 psi; an intermediate injection pressure generally would be about 15 to about 25 psi; and an abnormal injection pressure would generally be greater than about 25 psi. Of course, these pressures may vary depending on the patient, the type or location of the nerve block, the type, length, or caliber of the needle, the composition, viscosity, or other characteristics of the anesthetic used, speed or force of the injection, as well as other factors.
The present apparatus for performing a nerve block injection comprises an anesthetic delivery device (e.g., syringe) having an anesthetic storage compartment and an output end, an anesthetic needle or catheter having an input end and an output end, an anesthetic passageway connecting the output end of the anesthetic delivery device and the input end of the anesthetic needle whereby anesthetic from the anesthetic storage compartment can be delivered via the output end of the anesthetic needle to a patient, and a pressure sensing device located along, and in pressure sensing communication with, the anesthetic passageway, whereby the pressure of the anesthetic can be monitored during the nerve block injection.
One embodiment of the present invention is shown in
Although the pressure indicating device 20 shown in
One embodiment of the pressure indicating device 20 is shown in more detail in
As the injection pressure increases, anesthetic can force the membrane 36 to expand and thereby enter into portion 42 of the expansion chamber 32 and move the pressure indicating pin 28 upward and out of the top housing 30. With increased pressure, a larger volume of local anesthetic within portion 42 expands or stretches membrane 36 and allows the volume within portion 42 to increase and move the pressure indicating pin 28. The top housing 30 is used to keep the pressure indicating pin 28 in proper alignment so that it can move, depending on the injection pressure, from and to the positions illustrated in Panels A and B. The pressure indicating pin 28 has an associated spring 34 to resist movement upward. The strength of the spring 28 can be selected to provide the desired resistance to movement and, therefore, the range of pressures required to move the pressure indicating pin 28. The extend of expansion of the membrane (and thus the relative size or volume of portion 42 and the extent of travel of pressure indicating pin 28) will depend on the injection pressure and/or injection speed.
As shown in Panels A and B, the pressure indicating pin 28 is color coded to indicate relative injection pressure. In the embodiment indicated, green would indicate normal injection pressure, yellow would indicate an intermediate pressure, and red would indicate an abnormally high pressure. The color exposed on the pressure indicating pin 28 would, therefore, provide a quick and visual indication of the injection pressure along with an indication of how to proceed with the injection. Thus, for example, green (i.e., normal pressure) would indicate continuing the injection procedure; yellow (i.e., intermediate pressure) would indicate the injection could be continued but that the pressure should be monitored carefully; and red (i.e., abnormal pressure) would indicate that the injection should be terminated until the cause of the high pressure is identified. Of course, other color coding or other coding systems can be used if desired so long as the changes in pressure during injection can be easily monitored. In operation, during normal injection pressures, the pressure indicating pin 28 would remain in the retracted position as shown in Panel A with only green showing. During abnormal injection pressure, the pressure indicating pin 28 would move to its extended position as shown in Panel B with red now showing to indicate the abnormal pressure; when the injection pressure decreases, the pressure indicating pin 28 would then move downward, once normal injection pressures are reestablished, to the position shown in Panel A.
Generally, a normal injection pressure (i.e., the green position in
Generally conventional materials of construction normally used in medical devices can be used to form the pressure indicating device 20. Of course, all materials contacting the anesthetic (e.g., the interior of passageway 38, membrane 36, and portion 42 of expansion chamber 32) should be inert relative to the anesthetic. Additionally, all materials of construction should be capable of being rendered medical sterile using conventional procedures. It is generally preferred, that lightweight plastic materials be used whenever possible. It is also generally preferred that the pressure indicating device 20 is used once and discarded using appropriate procedures. If desired, however, the materials of construction for pressure indicating device 20 can be selected such that it can be resterilized for multiple usage.
In operation, the operator (e.g., anesthesiologist, nurse anesthesiologist, other anesthesia providers, and the like) inserts the needle 60 into the patient through the skin 70 such that the needle tip 64 can deliver anesthetic adjacent, near, or in the immediate vicinity of the nerve 72 to be anesthetized. Conventional techniques are used to position the needle tip 64 in the desired location relative to the nerve 72. Once the needle 60 and needle tip 64 are appropriately placed, the local anesthetic is injected by exerting the pressure on the piston 16 of the syringe 10. The operator or an assistant observes the pressure indicating device 20 during injection so that, if the pressure increases, the appropriate action (as determined by the operator) can be undertaken.
The general procedure for using the apparatus of the present invention is illustrated in FIG. 3. To begin the nerve block, the nerve block needle is inserted into the patient at the appropriate location (i.e., in the immediate vicinity of the nerve to be blocked). After confirming that the location is acceptable using conventional techniques (e.g., using anatomical landmarks, achieving paresthesia (sensation traveling in the area of the nerve to be blocked), and/or obtaining motor stimulation (muscle twitch) using a nerve stimulator), the injection is begun. The injection pressure during injection is monitored using the pressure sensing device. The injection is continued, modified, or terminated depending on the injection pressure observed. For example, if only normal or acceptable pressures are observed during the injection, the injection is continued until completion. If however, higher than normal pressures are observed, the injection may be modified or terminated as appropriate. The method of the present invention may be carried out by a single individual (e.g., anesthesiologist, nurse anesthesiologist, other anesthesia providers, and the like) or by such an individual using an assistant.
The general procedure for using the apparatus of the present invention is illustrated in FIG. 3. To begin the nerve block, the nerve block needle is inserted into the patent at the appropriate location (i.e., in the immediate vicinity of the nerve to be blocked). After confirming that the location is acceptable using conventional techniques (e.g., using anatomical landmarks, achieving paresthesia (sensation traveling in the area of the nerve to be blocked distribution), and/or obtaining motor stimulation (muscle twitch) using a nerve stimulator), the injection is begun. The injection pressure during injection is monitored using the pressure sensing device. The injection is continued, modified, or terminated depending on the injection pressure observed. For example, if only normal or acceptable pressure are observed during the injection, the injection is continued until completion. If however, higher than normal pressure are observed, the injection may be modified or terminated as appropriate. The method of the present invention may be carried out by a single individual (e.g., anesthesiologist, nurse anesthesiologist, other anesthesia providers, and the like) or by such an individual using an assistant.
A preferred procedure for using the apparatus of the present invention is illustrated in
Although the assistant both monitors the pressure sensing device and operates the syringe or other pumping device in the method illustrated in
The present method provides the anesthesiologist the option of continuing the injection even if intermediate or abnormal pressures are observed based on his or her best medical judgement. In such cases, the anesthesiologist will instruct the assistant to continue the injection. Even in such cases, the assistant preferably should continue to monitor the injection pressure in case it increases dramatically so that, if appropriate, the anesthesiologist can reconsider the decision to continue. Generally, high pressures due to a intraneuronal injection are most commonly observed at the beginning of the injection; however, the needle may be initially placed outside the nerve and then inadvertently advanced into the nerve during the injection, resulting in higher pressures.
If desired, the pressure sensing device may also be equipped with a pressure-activated shut-off 27 so that if the injection pressure reaches some predetermined level, flow of the anesthetic will be automatically stopped. Although this predetermined level may be set at any level, it is generally preferred that it be set at a level at or near the abnormal pressure range (e.g., generally at a level of about 25 psi or higher). This automatic shut-off feature may also, if desired, be equipped with a manual override mechanism so that the anesthesiologist, if desired, can continue the injection with or without corrective actions. It will generally be preferred, however, that such an injection not be continued unless such corrective actions are successfully undertaken.
Of course, those skilled in the art may use other, similar mechanisms to measure and/or determine the pressures during nerve block injection and that various details of the invention may be changed without departing from the scope of the invention. All references cited herein are hereby incorporated by reference. Furthermore, the foregoing description is for the purpose of illustration only, and not for the purpose of limitation, which is defined in the following claims.
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|US20060122555 *||19 Aug 2005||8 Jun 2006||Mark Hochman||Drug infusion device for neural axial and peripheral nerve tissue identification using exit pressure sensing|
|US20090043281 *||13 Oct 2008||12 Feb 2009||Macosta Medical U.S.A., L.L.C.||Method and Apparatus to Decrease the Risk of Intraneuronal Injection During Administration of Nerve Block Anesthesia|
|US20090093762 *||8 Oct 2008||9 Apr 2009||Jay Wheeler||Automated needle pen drug delivery system|
|US20100069851 *||25 Nov 2008||18 Mar 2010||Mobitech Regenerative Medicine||Method And Apparatus For Pressure Detection|
|US20110021912 *||1 Oct 2010||27 Jan 2011||Molnar James M||Regional anesthesia system and cart|
|U.S. Classification||604/93.01, 604/512|
|International Classification||A61M5/48, A61M19/00, A61M5/14|
|Cooperative Classification||A61M2202/048, A61M2205/3355, A61M5/178, A61M5/486, A61M5/488, A61M5/16854|
|European Classification||A61M5/48D, A61M5/168D4|
|30 Sep 2002||AS||Assignment|
Owner name: MACOSTA MEDICAL U.S.A., L.L.C., TEXAS
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:HADZIC, ADMIR;VLOKA, JERRY D.;GIGLIOLLI, SERGIO;REEL/FRAME:013348/0003;SIGNING DATES FROM 20020825 TO 20020910
|7 Jun 2005||CC||Certificate of correction|
|15 Sep 2008||FPAY||Fee payment|
Year of fee payment: 4
|17 Sep 2012||FPAY||Fee payment|
Year of fee payment: 8
|7 Aug 2015||AS||Assignment|
Owner name: B. BRAUN MELSUNGEN AG, GERMANY
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:MACOSTA MEDICAL USA, LLC;REEL/FRAME:036274/0041
Effective date: 20140521
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domain: medical


text:
A postcard dedicated to the 175th birthday anniversary of Stepan Makarov, a naval commander, scientist, and traveler, was manufactured in the series "Geographical Projects of Russia".
Stepan Osipovich Makarov (1849-1904) was a Russian naval figure, hero of the Russo-Japanese War, oceanographer, polar explorer, shipbuilder, inventor of torpedo boat tender, developer of the insubmersibility theory and the Russian semaphore alphabet.
In 1865, he graduated from the first-class naval school in the city of Nikolaevsk-on-Amur. In 1866-1867, he sailed on the corvette “Askold” to Japan and Africa. From 1867 he served in the Baltic Fleet on the corvette “Dmitry Donskoy”, and in May 1869 he received the first officer rank of midshipman.
Appointed in 1869 to the battleship “Rusalka”, he began researching the matter of a ship’s insubmersibility, proposed for this purpose to divide the ship into waterproof compartments, install main pipelines with powerful pumps and branches, use a special patch to seal holes. In 1873, at the World's Fair in Vienna, he demonstrated his invention: a patch for sealing ship holes.
In 1886, he took command of the corvette “Vityaz”, on which he circumnavigated the world in 1886-1889 and conducted a number of scientific studies. From 1894 to 1896, he made a second trip around the world.
In 1896, he was promoted to vice admiral and became commander of a squadron of the Baltic Fleet. He put forward the idea of creating a powerful icebreaker for Arctic exploration. From 1897 to 1898, Makarov personally supervised the construction of the first powerful icebreaker “Yermak”, created according to his design, at the Newcastle shipyards.
The front side of the new postcard is decorated with a portrait of Stepan Osipovich, an image of his famous vessel “Vityaz”, and the logo of the Russian Geographical Society. Let us remind you that the series of postal products "Geographical Projects of Russia" is issued by "Marka" JCS based on materials from the Scientific Archive and the Scientific Library of the Russian Geographical Society.

domain: history


CARBONDALE — This year’s Black Out Cancer game will be Sept. 28 at Saluki Stadium, SIU and Southern Illinois Healthcare announced Monday.
The Salukis take on Youngstown State at 6 p.m. in this year’s event. The third annual Black Out Cancer game will, again, allow fans to bid to place the name of a loved one affected by cancer on the back of one of 80 special black Under Armour jerseys SIU will wear against the Penguins. The game-worn jerseys will be given to successful bidders after the game. All funds raised from the auction will go toward SIH’s plans to build a $19.9 million regional cancer center west of John A. Logan College in Carterville along Illinois 13.
“This community, through Saluki Way, made a significant investment in Saluki Athletics,” SIU athletic director Mario Moccia said in a news release. “This is one more way that we can repay that investment that the community made.”
The game is also part of Family Weekend at SIU. It is also the Salukis’ Missouri Valley Football Conference opener after they play Illinois, Eastern Illinois, Charleston (W.Va.) and Southeast Missouri State. The game against the Redhawks will be at Busch Stadium in St. Louis.
Saluki Athletics and SIH are entering the second year of a three-year agreement to sponsor the game. The partnership with SIH also includes the Saluki volleyball team’s Dig for the Cure, women’s basketball’s Pink Out game and softball’s Strikeout Cancer game.
To bid on a jersey, visit www.salukisblackoutcancer.com. Bidding will end at 8 p.m. Monday, Sept. 16.
Last year’s game raised more than $45,000. In two years, the event has raised more than $170,000 toward fighting cancer in the region.
On Twitter: @THefferman


Vettel beats Raikkonen to take home victory
© Getty Images
|7 July 2013 by TF1T Staff||Tweet
Sebastian Vettel took a sensational victory at his home race in Germany - his first win in front of his home fans and his first in the month of July.
Kimi Raikkonen came from fourth to finish second with the hotter temperatures on Sunday clearly favouring the Lotus cars as his team-mate Romain Grosjean joined him on the podium.
Fernando Alonso almost grabbed the final podium spot in the final few laps but couldn't overcome Grosjean as he was forced to save some fuel and incidentally stopped on the slow down lap.
Pole sitter Lewis Hamilton lost out at the start and dropped to third behind Vettel and Mark Webber and struggled to keep his tyres in check.
Webber couldn't capitalise on his brilliant start despite looking good to challenge Vettel for the win. During his first stop the right-rear came free and rolled down the pitlane, eventually hitting an FOM camerman who was rushed to the medical centre with concussion and chest pains.
Felipe Massa retired after spinning on lap three in what was an unusual incident involving no other cars whilst Jules Bianchi retired with engine failure.
Race Result - 2013 German Grand Prix:
|01.||S. Vettel||Red Bull||25|
|07.||M. Webber||Red Bull||+37.5||6|
|11.||P. di Resta||Force India||+53.7|
|12.||D. Ricciardo||Toro Rosso||+56.9|
|13.||A. Sutil||Force India||+57.7|
|16.||V. Bottas||Williams||+1 lap|
|17.||C. Pic||Caterham||+1 lap|
|18.||G. van der Garde||Caterham||+1 lap|
|19.||M. Chilton||Marussia||+1 lap|
|20.||J. Vergne||Toro Rosso||Retired|


Belarus also has its own Victoria Lopyreva. The girl who graced the match Shakhtar-Torino – Girl of the day – Blogs
On August 15, at the Dynamo stadium in Minsk, the return match between Soligorsk Shakhtar and Italian Torino took place within the framework of the 3rd qualifying round of the Europa League
Let’s remind that the game in Turin ended with a score of 5: 0 in favor of the Italians.
In Minsk, the Salihorsk team showed a decent game and even converted a penalty kick in extra time. The game ended 1: 1. Shakhtar completed his participation in the European Cup.
There was no particular occupancy in the stands, but a lot of beauty was observed.
For example, even RPL teams can envy such a cheerleader.
The girl’s name is Christina and she promised Shakhtar the championship this year
Most likely, the girl still came to support not only the whole team, but also a particular football player.
In any case, with such a talisman, the Soligorsk residents should definitely make it to the top of the country’s champion standings without any problems.
Max Ebong’s girlfriend Diana watches one of the best young footballers.