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Top Ten Employee Engagement Trends To Watch Out For In 2023
Employees are your biggest treasure!
Keeping them happy will benefit your society in a multitude of ways. Keeping your employees engaged by providing them with everything they need to succeed in their job roles is one of the best ways to ensure they truly feel appreciated and valued in the organization. A Gallup research states that engaged employees are 2.5 times more likely to report that they are highly productive than disengaged employees. Thus, investing in employee engagement is the need of the hour. Organizations are increasingly recognizing the importance of employee engagement in their workforce and searching for effective strategies to encourage it. Thus, organizations must keep up with the latest employee engagement trends.
This blog post aims to provide you with the top ten employee engagement trends you should look out for in the next few years to guarantee your company's success.
Before we dive deeply into it, let’s take a look at the concept of employee engagement.
So, buckle up, and let's get started!
What is Employee Engagement?
The term "employee engagement" denotes the degree of commitment, zeal, and excitement that employees feel for their professions and their organizations. It assesses how emotionally invested employees are in their profession as well as how much they care about the success of their organization. Employees who are engaged are typically more committed to their organization, more driven, and more efficient. Also, they are much more inclined to go over and beyond the call of duty to support the organization's overall performance. A range of elements such as employee experience, employee productivity, work culture, duties and responsibilities, management style, and opportunities for career development, have an impact on employee engagement.
Importance of Employee Engagement in the Workplace
Employee Engagement at your workplace is essential for several different reasons. Here are some significant considerations on why it's crucial:
- Improve Employee productivity
Employees that are more engaged at their workplaces are more productive, which can prove beneficial for the organization. Employees are more inclined to work much harder and more efficiently when they are interested in their professions and the performance of the company.
- Reduce Employee Turnover
Employees that are engaged are so much more likely to stay around the organization for the long haul. By doing so, you can lower employee turnover and the associated cost of recruiting, hiring, and educating new hires.
- Better Corporate Culture
The company culture is greatly improved when an organization works actively to increase overall employee engagement. The team's ethics and organizational philosophy are the main determinants of an organization's work culture. An engagement-centric strategy will raise your company's ethical standards and promote goodwill for your business within the sector. As a result, your company can hire more qualified employees.
- Enhance Business ROI
If your business has generated profits while your employees are disengaged, you cannot consider your business successful. Such success is erratic and temporary. It is crucial to consider complete employee engagement to achieve overall success for your business. Additionally, before working with your company, groups like shareholders, partners, suppliers, and investors take employee engagement into account.
- Enhance Customer Satisfaction
Employees that are engaged are much more likely to provide first-rate customer support. They have a large role in ensuring that consumers are satisfied and are more willing to go the extra mile to fulfill their requirements.
- Reduce Employee Absenteeism
Employee engagement is essential due to its ability to lower absenteeism in the workplace. Your employees would hardly miss a day of work if they genuinely enjoyed their jobs and looked forward to going in each day. They would also keep up good attendance.
Amazing Statistics of Employee Engagement
- According to Gallup's 2021 State of the Global Workplace report, only 20% of employees worldwide are actively engaged in their work. The same report found that engaged employees are 17% more productive, have 41% lower absenteeism, and are 21% more profitable than disengaged employees.
- A 2021 study by Glint found that 85% of employees who feel valued at work are also more engaged. The same study found that employees who receive feedback regularly are 3.5 times more likely to be engaged than those who do not.
- According to a 2021 report by Achievers, 57% of employees would consider leaving their current job for one that offered better recognition.
- A 2021 survey by LinkedIn found that 93% of employees would stay at a company longer if it invested in their careers.
Now, let’s look at the top 10 employee engagement trends that are going to dominate modern workplaces in 2023 and beyond.
Top Ten Employee Engagement Trends
It goes without saying that by staying up to date with the leading employee engagement trends, corporate world can discover new strategies and best practices for creating a positive work culture and enhancing employee engagement, experience, satisfaction and overall employee performance. These advanced trends can also help organizations and businesses address the evolving needs of their employees, including the rising demand for work-life balance, seamless employee support, personalized employee experience and career development opportunities.
Here at Rezolve.ai, we've compiled a list of top-leading employee engagement trends to help organizations differentiate themselves, attract and retain talent, and grow.
Trend #1: Personalized Employee Support
Most employees are stuck doing tedious tasks every day, thus decreasing employee satisfaction levels. They do not have the time to concentrate on demanding, specialized tasks and often feel overburdened. According to a study by the Harvard Business Review, tedious work can reduce employee productivity by up to 40%. This is because employees may become bored, disengaged, or distracted when performing repetitive or monotonous tasks. To maintain high employee satisfaction in your organization, you should ensure the right help to your employees at the right time.
Employees who feel supported and valued by their employers are more likely to be satisfied with their jobs. This can increase employee productivity, better performance, and a more positive work environment.
Trend #2: Seamless Employee Onboarding Experience
There is no doubt that the best time to acquaint new hires with their job, team, goals and the mission and vision of the company is during onboarding. It creates the first and best impression of your organization among your new hires. Employees will benefit from feeling like they are a part of your business. A Robert Half survey states that 59% of professionals surveyed said they had a bad onboarding process.
A successful onboarding process will provide your new hires with information about the position and workplace culture and inspiration for achieving their objectives. A Happeo research states that a great onboarding experience is significant for organizations as it can retain more than 69% of employees for at least three years. Thus, organizations should invest in a robust and personalized employee onboarding process in order to boost employee productivity, engagement and seamless employee experience.
Trend #3: Focus on Employee Well-being
It is crucial to provide appropriate mental health support to employees to enhance the company's performance and ensure their well-being. The following are some methods that businesses can implement to assist their employees' psychological well-being.
- Create a Supportive Workplace that Promotes Collaboration and Open Discussions
This will ensure that employees are valued and encouraged. Employers can establish a pleasant company culture by recognizing employee accomplishments, encouraging work-life balance, and providing opportunities for career development.
- Urge Employees to Prioritize their Personal Lives Over Work
This can help employees feel less overwhelmed and manage stress. Organizations can foster work-life balance by providing flexible work hours, overtime pay, paid vacations and prohibiting corporate emails and calls after business hours.
Having access to mental health options, like psychotherapy, counseling, or employee assistance programs (EAPs), can assist employees in dealing with psychological problems as quickly as they occur.
- Ensure Managers and Supervisors are Aware of Mental Health Challenges
A supportive organizational atmosphere can be established by informing managers about the importance of mental health and how to support employees who may be going through a difficult time.
Trend #4: Hybrid Work Arrangements
The following are a few ways that hybrid work environments, which combine remote and in-person employment, might enhance employee engagement:
Hybrid organizations give employees more choice over when and where they work from. Employees' overall employment satisfaction and engagement may rise as a consequence of being able to more effectively balance their professional and private lives and regulate their stress.
- More Autonomy
Autonomy for employees' activities can also enhance employee engagement. Employee autonomy to manage their own responsibilities and timetables in a hybrid work environment may enhance their sense of duty and accountability.
- Reduced Commuting
For employees, the ride to work can be difficult and exhausting. Employees may have the option of working from home in a hybrid workplace, which can alleviate commuter stress as well as improve balance between work and life.
- Advanced Technology
Remote engagement and communication are commonly made feasible in hybrid work environments by advanced technologies. Even if they are not physically available together, this can create novel possibilities for colleagues to socialize and interact. AI-powered employee engagement tools make collaboration in remote environments easier.
- Better Communication
Both managers and employees must communicate effectively and consistently in hybrid work situations. This might encourage a culture of transparency and openness that would boost employee engagement.
Trend #5: Diversity, Equity, and Inclusion (DEI)
Employee engagement can be strongly influenced by inclusion and diversity in the workplace since people are more likely to be more engaged in their workplace when they’re appreciated and acknowledged for their unique characteristics. Here are some ways you can ensure the maintenance of diversity, equity and inclusion in your organization:
- Hiring and promoting employees from diverse backgrounds can help create a more inclusive and engaged workforce. It's important to create a workplace culture that encourages and celebrates diversity in all its forms.
- Provide training and education to employees on topics such as unconscious bias, cultural sensitivity, and diversity and inclusion. This can help employees understand and appreciate the differences among their colleagues and create a more inclusive workplace.
- Celebrate diversity and inclusion through company events, such as cultural heritage months or diversity and inclusion initiatives. This can help build a sense of community and belonging among employees.
- Ensure employees' suggestions are heard irrespective of their gender, cultural background, sexual orientation.
- Have strict rules against discrimination of any sort.
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Trend #6: Continuous Training, Learning and Development
Employee engagement can be enhanced with the assistance of continuous development and education. Employees are much more likely to be engaged and committed in their profession when they recognize opportunities for progress and expansion throughout their careers and organization. How can you make that happen? Here's how:
AI-powered modern service desks can be a great way to ensure continuous learning and development of employees. It provides unlimited access to training materials, relevant online courses and other professional development opportunities. It helps employees stay on top of the latest trends and acquire a competitive advantage over competitors.
Ensure a culture of appreciation for employees who constantly upskill themselves. When achievers get appreciated and recognized, their peers are also motivated.
Trend #7: Technology and Innovation
Employee engagement can be substantially enhanced in a multitude of manners owing to advances in technology and creativity.
Here's some ways that innovation and technology might be beneficial:
- AI-powered service desks can solve all your employee support issues. Implementing a modern service desk that leverages the power of conversational AI and machine learning (ML) can help organizations to elevate their employee engagement level by providing right employee support, auto resolving their queries and automating repetitive tasks, such as data entry or scheduling, which can free employees to focus on higher-level tasks that require human decision-making and creativity.
- Tools like AI-powered smart chatbots are programmed to provide accurate and consistent information, which helps eliminate human errors that can occur while looking up information. They are available 24/7, meaning employees can access information at any time without waiting for human support. AI-powered chatbots can be programmed to understand the individual needs of employees and provide personalized responses based on their previous interactions and preferences.
- New communication techniques may enhance the exchange of knowledge between employees and management. Digital platforms that enable staff to engage in discussion, opinions, and recommendations are included in this category. These platforms can also give employees instant feedback, which can keep them inspired and involved.
- Businesses can create and oversee incentives and employee recognition more effectively thanks to technology. Digital platforms can make it simpler to acknowledge and monitor employee achievements, which can boost motivation as well as engagement.
Trend #8: Focus on Recognition and Feedback
There are numerous ways that innovation and technology can enhance employee engagement.
Tools enabling virtual collaboration are becoming highly significant with the development of remote work, notably project management software, chat and messaging apps, and video conferencing. These tools assist employees in staying engaged and connected to their colleagues and their job.
Gamification refers to applying game principles and elements to non-game contexts in order to engage and motivate users. Businesses can increase employee satisfaction and motivation by gamifying work procedures to make tasks more exciting and gratifying.
A positive, progressive, and motivating work environment is not only the best step towards employee engagement, in the long run, it's beneficial for your organization. Investing in employee engagement is a win-win for both employees and employers.
When employees feel engaged and motivated, they are more likely to perform at their best, contributing to the overall success and growth of the company.
Trend #9: Focus on Leadership Development
Organizations are focusing on developing leadership skills among employees at all levels of the organization, not just those in managerial positions. This can improve employee engagement by creating a culture of continuous learning and development.
Leadership development is a key trend in employee engagement, as organizations recognize that strong leadership is critical to the success of the organization.
Here are some ways that organizations are focusing on leadership development:
- Leadership Training Programs
Organizations are investing in leadership training programs that provide employees with the skills and knowledge they need to become effective leaders. These programs may include workshops, seminars, mentoring, coaching, and on-the-job training.
- Succession Planning
Organizations are identifying and developing potential leaders within the organization to ensure a smooth transition when current leaders retire or move on. This involves creating a pipeline of talent and providing opportunities for development and growth.
- Leadership Assessments
Organizations are using assessments to identify employees who have the potential to become leaders, and to determine their strengths and development areas. This information can be used to create personalized development plans that focus on the individual's specific needs.
Trend #10: Focus on Social Responsibility
Employees are increasingly interested in working for organizations that prioritize social responsibility and environmental sustainability. It is essential for organizations to take steps to incorporate social responsibility into their operations and communicate their efforts to employees. Here are some ways that organizations are incorporating social responsibility into their operations:
Organizations are taking steps to reduce their environmental footprint by adopting sustainable practices such as reducing waste, conserving energy, and using renewable resources.
- Corporate Social Responsibility (CSR)
Many organizations have established CSR programs that focus on giving back to the community, supporting social causes, and promoting ethical business practices.
- Ethical Sourcing
Organizations are increasingly focused on ethical sourcing, ensuring that their suppliers meet ethical and environmental standards and that they are not involved in human rights abuses or other unethical practices.
We all know that happy employees lead to happy and successful organizations. Employee engagement is a critical factor for organizations seeking to attract and retain top talent, increase productivity, and drive business success. As the workplace and the workforce continue to evolve, organizations must adapt to the latest employee engagement trends to meet the changing needs and expectations of employees.
Because keeping up-to-date with the advanced employee engagement trends is critical as it result in various benefits such as:
- Increased Employee Satisfaction
- Enhanced Employee Experience and Productivity
- Attract and Retain Top Talents
- Improved Organizational ROI
Take Your Employee Experience To The Next Level with Rezolve.ai - Book a Meeting Today
- How can employers measure employee engagement?
Employers can measure employee engagement through surveys, interviews, and feedback sessions. They can use standardized engagement surveys or develop their own questions to assess employees' attitudes towards their work and the organization.
- What are the consequences of low employee engagement?
Low employee engagement can lead to decreased productivity, lower job satisfaction, higher rates of absenteeism and turnover, and a negative impact on organizational culture and reputation. It can also lead to decreased customer satisfaction and reduced profitability.
- How can employers maintain high levels of employee engagement over time?
Employers can maintain high levels of employee engagement by regularly assessing and addressing employee needs and concerns, providing ongoing opportunities for development and growth, maintaining a positive work environment, and recognizing and rewarding employee contributions.
- What are some factors that contribute to employee engagement?
Factors that contribute to employee engagement include a positive work culture, opportunities for growth and development, recognition and rewards, meaningful work, and effective communication and feedback.


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A lot of virtues are attributed to good food. The tips we give in this article will help you vastly improve your culinary skills to a higher level.
If you have every considered cooking with skewers, you should keep a few things in mind. Squared or twisted metal skewers secure the food better than rounded ones.
Bake pie and tart crusts a longer than you would think is really necessary. They need to be a golden caramel in color instead of pale blonde. The darker color results when the sugar in the pie crust has caramelized and this will give a sweet and crisp flavor.
To make slicing meat into thin strips a little easier, partially freeze it. This is best for Asian meals such as Thai or Chinese dishes. The tissues of partially-frozen meat do not tear and stretch as much; this makes cleaner slices possible. For even cooking, let the strips of meat thaw completely before you start to cook.
Preparation is one of the most important prior to cooking a meal for loved ones. Make sure that you have all the ingredients ready. This can seriously reduce stress and anxiety when it is time to cook the meal.
Did you ever feel guilty for tossing moldy fruits in the garbage? Is it possible to save the fruit by cutting the bad part out of it? It’s a shame, but partially rotten fruit can’t be saved without being unhealthy. In fact it is best to throw away the fruit. Mold can grow much deeper than the eye can see, and eating it could potentially make you very ill.
You should not cook the dish entirely after it has been seasoned. Cook a tiny portion of it in a pan and taste it first.
When you cook vegetables quickly over high heat, their quality is best. Using a slow cooking method is sometimes suggested, but the results are less nutritious and don’t taste as good. A plus is that faster cooking methods usually yield vegetables which are, generally, simply better for you health. Cooking vegetables as quickly as possible is key to preserving their nutrients.
You do not want to deal with the stress of trying to make something that you enjoy. This can make cooking more enjoyable and less stressful.
If burgers get stuck to the grill, it will be difficult to flip them without mangling them in the process. To prevent this in the future, brush a bit of vegetable oil onto the grates before adding the food.
You should use chicken broth when you are cooking your vegetables. Not only will chicken broth help to keep vegetables from getting stuck to the pan, but they will add some nice flavors to the dish. There is not a lot of expense when buying chicken broth, and most grocers carry it.
Try putting some cauliflower to your mashed potatoes to lower the fat content. The taste of cauliflower will blend nicely with the other ingredients. Cauliflower has the same texture and color as potatoes, while lowering calories from classic mashed potatoes.
If you are trying to eat smarter to lose weight, it is vital to use less oil when you cook. You simply do not need the added fat in a healthy diet. You can use a low-fat non-stick cooking spray instead to keep your foods from sticking but still tasting great.
Do you plan on cooking with freshly grown basil? Take the basil and put some of it in a glass. Fill the container with water till the stems. You can keep it on the kitchen counter and it will stay fresh for weeks. The basil can actually grow roots if you change out the water changed occasionally. You should also trim the basil once in a while so that it keeps growing.
Soy products and beans are a wonderful place to get protein if you need to add some to your diet. Both can be purchased at just about any grocery store. You can fry tofu or add it to soups, seasoned well, for a yummy protein alternative. Boil kidney, navy or pinto beans with seasonings and you can enjoy a protein-rich side dish.
Oil and butter add more fat than necessary to your dishes. Try using nonstick cooking sprays that will help your food not to stick and keep it free from fats that contribute little to a healthy lifestyle.
By doing this, a year-round supply of fresh fruit can be maintained. This is also advantageous for those seasonal fruits that you can only find during certain growing seasons.
This step will help to prevent burning while it is being used. Use two parallel skewers instead of one skewer to keep food falling off.
Organization while cooking is necessary in order to avoid disasters, like under done or burnt food. Having an organized cooking area will ensure that you are productive when cooking. When you are disorganized, misplacing items or making food inedible becomes much more likely.
Leave the bone in your roast if you are cooking and pressed for time. The bone helps distribute the cooking process by distributing the heat directly to the roast.
If you are preparing homemade salsa that won’t be consumed immediately, rinse the cut onions with cold water and thoroughly dry off any excess water before using them. Fresh onions emit a sulfurous gas. The gas they release can ruin the salsa. Once the onions are rinsed and dried, the gas is gone.
Don’t cook with wines that you wouldn’t drink regularly. There are wines available that are used just for cooking.
Make all the preparations for your food before you begin to cook it. This allows you to economize on the amount of gas or electricity used when cooking, and keeps you from becoming distracted and accidentally getting injured by something like hot oil splashing out of a pan.
Keep those turkey leftovers after Thanksgiving. Cut the leftover meat and put it away in an airtight container. The turkey meat will keep its freshness and can stay fresh for making sandwiches or as a salad ingredient.
When preparing to barbecue, make sure you light the charcoal in your grill ahead of time. Get your grill ready about half an hour before you want to put food on it. The charcoal should have a light coating of ash at medium heat when they are ready to use. You will get the best grilling results at this temperature.
Place unripe fruits in a plastic bag that is perforated right after you buy them. If you put them in the bag with holds the air will go through the bag, the air can circulate and assure that the gas is retained, helping the fruits retain their wonderful taste.
The act of using string to tie the turkey is called trussing. Doing so helps the bird to cook more evenly. If they are untied, the tips of its legs and wings can burn while the remainder of the bird cooks.
If your meals include fresh herbs like dill or parsley, consider bunching them together and cutting them with scissors while preparing your next meal. This will keep the herbs drier and less heavy than if they are chopped.
When you are baking a cake, do not overcook or undercook it. The cooking times suggested in recipes are good guidelines for an inexperienced baker, but these suggestions can be misleading; other factors, like elevation, can have an effect on how long it actually takes a cake to cook. Sticking a toothpick in the center of the cake is a time proven test for doneness. The cake will be done when the toothpick comes out without any batter attached; if it doesn’t, bake it longer.
You can reduce the cleanup required from meal preparation by washing dishes as they are used.
There are many different kinds of potatoes, and they cannot be equally substituted for each other. There are some potatoes that are waxy and recommended for making boiled potatoes and potato salad but are not recommended for mashed potatoes, french fries or baked potatoes. Russet potatoes are more suited to those applications because of their fluffy texture.
Add plenty of salt to your water for cooking pasta. This will allow the pasta while it is boiling. Salting pasta will not have the flavor.
Prepare everything you need before starting to cook. This method will prevent you from not having something ready when you need it. It doesn’t take any longer to prepare before you cook than while you cook, but it does make the experience easier and faster.
Food can have great power and is the basis of life. So, use the knowledge you have acquired from this article to impress your friends and family.
Preparing dark leafy greens can be such a pain, even though they are very healthy for you. Discarding the touch stems can be time consuming. It’s much easier to just fold the leaf along the stem and then break it off. If you prefer, you can slice the stem off the folded leaf using a knife. Open the leaf back up and you have no more stems!

domain: food


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domain: geography


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Outside the Box: The Shining
By Brian Wong
The Shining (1980)
Starring: Jack Nicholson, Shelley Duvall, Danny Lloyd
Directed by: Stanley Kubrick
Sometimes you just want a horror movie that isn't populated by ex-cast members of
Party of Five or monstrous blobs of computer-generated pixels.
Although you might find a few films which satisfy this need, you might want to turn back the clock to the '80s (of all decades) for Stanley Kubrick's gorgeous adaptation of Stephen King's novel
Kubrick is able to tell the story of a struggling writer's slow descent into madness with a fury of tension between the characters.
What is striking about the film is the way the cameras tend to follow the characters as they move through the long corridors and rooms of the Overlook Hotel where Nicholson's character, Jack Torrance, is the caretaker during the hotel's off-season. By tracking the paths of the Torrances in one long shot, the viewer gets an amazing perspective of the maze-like expanse of the hotel and ends up as lost as the characters in the film.
Although psychological horror is the main fright factor, there's also an element of the supernatural the Overlook has its ghosts, while "the shining" is in fact the name of the unexplainable force that haunts Jack's son, Danny, causing him to have nightmarish visions (we won't tell you what these visions are, but we promise they look killer on screen!).
All of this is pulled together in fine form, mostly due to Kubrick's sense of simplicity. You'll find characters interacting against a backdrop of very few colours, causing the colours that are present in the picture to pop out at you. Horror filmmakers take note: this technique works especially well for scenes with massive amounts of blood and, although the body count is comparatively low in
The Shining, the bloodfest scenes wind up having an even greater impact.
Viewers might be taken aback by the slow pace of the unfolding story (and by the lack of gore in the first half of the film), but watching Nicholson's transformation into a nutcase and anticipating his infamous "Heeeeeere's Johnny!" makes it easy to sit through.
The Shining is truly a chilling masterpiece.

domain: artistic


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a 30+ page artbook focusing on illustrations and comics centering on the character Aqua from the Kingdom Hearts series.
The focus of the artbook is on combining environments and elements with the character herself, while exploring identity through comics.
available as a printed artbook as well as digital version.
personal / self-published / 2019 convention circuit
digital / physical

domain: design


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In an effort to keep what organizers are calling “the summer slide” at bay, Surrey Libraries has announced a handful of free programs aimed at teenagers.
Currently, Surrey Libraries is hosting a youth writing contest, with submissions open until midnight on Aug. 4. Writers are encouraged to submit their work online in four categories – poetry, short story, comics and random.
The contest features cash prizes and a chance to have your work published. For more information, visit www.surreylibraries.ca/services/teens/youth-writing-contest.
As well, beginning June 27, teens can visit their nearest Surrey Libraries branch to register for Teen Summer Adventure – a program that, according to a news release, “gives teens an all-access passport filled with activities and a chance to win prizes every week.” Grand prizes will also be handed out at the end of the summer.
A number of virtual programs will also be offered throughout the summer, the release notes. Virtual programs include a digital escape room, illustration workshop, trivia night, computer coding and summer book club, among others.
To register, visit www.surreylibraries.ca/events.
“In addition to encouraging reading and writing, many programs help teens try new things, develop their creativity, and focus their attention and thinking skills in fun and imaginative ways,” the release reads.
Surrey Libraries have branches throughout the city, including Cloverdale (5642 176A St.), Clayton (7155 187A St.), City Centre (10350 University Dr.), Newton (13795 70 Ave.), Ocean Park (12854 17 Ave) and Semiahmoo (1815 152 St.), among others.

domain: library


THUNDER BAY – WEATHER – Environment Canada has updated the Winter Travel Advisory. The Alberta clipper bearing down on Thunder Bay is set to drop 5 to 10 centimetres of snow on the city overnight.
The weather service says that the Alberta Clipper will bring snow to the region this evening. The snow is expected to be heavy at times with peak snowfall rates up to 3 cm per hour possible. Snow is expected to taper off near midnight.
Weather advisory in effect for:
- City of Thunder Bay
Winter weather travel advisory in effect this evening.


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If you're new or expectant grandfather, your health Insurance will ideally cover everything, from prenatal and Maternity Care for you, to pediatric visits and immunizations preservation should baby.
The process regarding child birth can easily bring about one of a couple's single highest medical expense. To avoid being wedged off-guard, you have to know your coverage before you make your first obstetrician ' midwife visit. Be aware of the terms and conditions of your health Insurance coverage and the way to maintain your coverage you might be lose or quit your career. Ask information from all of your benefits department or directly from your health Insurance plan's client care hotline.
Here are some questions essential ask:
1) Does this treatment plan cover prenatal and Maternity Care?
2) Will your md Insurance provider need preauthorization for each your prenatal or Maternity Care?
3) Which allows to contact your wellness Insurance company upon admission to the hospital for are powered and delivery?
4) To enjoy an obstetrician, is a referral rrnside the primary Care doctor required?
5) Will medical Insurance pay prenatal tests such internet promotion ultrasound and amniocentesis?
6) Will be limit to your hospitalization after delivery? Will the plan cover for an extended stay if medically central?
7) Does the plan recieve an annual reimbursement limit?
If you will want to use a certified nurse midwife to build your baby or want to deliver your baby of the birth center or on his own, find out what hype your plan provides under these circumstances. Insurance coverage varies get back prudent to check first before making in this article birthing arrangements.
With the birth of an infant comes an increase plus medical bills these fees arise from pediatrician, the nursery (in case you have opted to deliver in a hospital), and in may sometimes, the neonatal intensive Care unit (NICU). In fact, the first piece of mail the actual will receive with his or hers name on it is a form of medical bill statement. As a result, be sure to ask your health Insurance provider these questions prior to your baby's arrival:
1) Make a plan include your new baby through your Insurance coverage? How expensive is it cost you?
2) In the event that your child will need to live the NICU, will this treatment plan cover for this pay back?
3) Does your make cover well-child Care? Your newborn needs visits to the pediatrician and standard vaccinations to be able to covered by your Insurance this program..

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|Publication number||US6319223 B1|
|Application number||US 09/300,656|
|Publication date||Nov 20, 2001|
|Filing date||Apr 27, 1999|
|Priority date||Mar 24, 1997|
|Also published as||US5897524|
|Publication number||09300656, 300656, US 6319223 B1, US 6319223B1, US-B1-6319223, US6319223 B1, US6319223B1|
|Inventors||Theodore S. Wortrich, Charles Beuchat|
|Original Assignee||Alcon Universal Ltd.|
|Export Citation||BiBTeX, EndNote, RefMan|
|Patent Citations (33), Referenced by (29), Classifications (9), Legal Events (7)|
|External Links: USPTO, USPTO Assignment, Espacenet|
This application is a Divisional of application Ser. No. 08/823,433, filed Mar. 24, 1997, now U.S. Pat. No. 5,897,524 which application(s) are incorporated herein by reference.
This invention relates to cassettes for controlling fluid flows during surgical procedures, and more particularly to cassettes, which may be disposable or reusable, for use in ophthalmic surgery systems having peristaltic pumps rotating in a plane parallel to and above actuator and venting controls, and to arrangements for allowing suction levels to be released by different optionally usable devices.
Early in the development of fluid control systems for surgical procedures, the practice was to use sets of flexible tubing lengths that were threaded through different positions in a console to control the flow of irrigation fluid to a surgical site, as well as the flow of aspirated matter from the site. The console included displaceable or fixed clamps and variable pumps to control flow paths and flow rates. In ophthalmic surgery, for example, the irrigation and aspiration lines were coupled to a handpiece, often having an ultrasonically vibrated tip, used by the surgeon for incision and for extraction of matter. Irrigation fluid passed through one or more orifices in the handpiece tip and aspirated fluid was withdrawn through other orifices in the tip.
Originally, the tubing lines would be manually threaded past actuator clamp positions, and the aspiration line would feed to a peristaltic pump or suction source. The next logical design improvement was to arrange the control console so as to incorporate clamps and suction sources in geometries such that they could be accessed by flexible tubing within an enclosure or cassette. In one type of cassette, as shown by Cook U.S. Pat. No. 4,627,833, the cassette housing included back-up surfaces against which flexible tubing could be pinched down to closure through an opening in the side of the cassette by an external actuator, while suction was drawn by an external source through a collection vessel, so as to cause the aspirated fluid to flow into the collection vessel. In another example, evidenced by Steppe et al., U.S. Pat. No. 4,713,051, this approach was modified to provide a cassette with a sidewall which was configured with a series of clamp openings and a separate concave back-up surface for tubing to be engaged by a peristaltic pump. Both of these systems incorporated accessible apertures for fluid vents, although Cook vented air and Steppe vented liquid. The vent apertures were used to cooperate with pressure sensing or pressure relief units in the console, enabling the system or surgeon to relieve pressure and prevent damage to sensitive eye tissues.
These cassettes were primarily intended to be disposable, because blood or blood-containing matter in tubing creates an unacceptable possibility of cross-contamination, unless effective sterilization procedures are used. Adequately safe sterilization procedures often are not regarded as sufficiently cost effective in this country. Nonetheless, under some circumstances and in some countries, sterilization of cassettes and repeated reuse are preferred.
It has also been recognized that the functions of the tubing in a cassette are separable and that only certain parts of the tubing need be disposable or resterilizable. Thus, the relative convenience of single-step insertion of a unitary cassette may provide no real advantage over a unit requiring more than one step, if the additional steps are inherently easy to perform. This benefit is exemplified by Wortrich U.S. Pat. No. 5,163,900, in which the configuration of the receptacle for the cassette is modified by a nondisposable adapter. The adapter is configured so as to allow simplification and substantial cost reduction of the disposable cassette that fits in it. The benefits are also illustrated by Wortrich U.S. Pat. No. 5,282,785, in which the disposable cassette is also substantially reduced in cost and size while the adapter section forms a convenient handling and loading tray. Placement of the aspiration tubing relative to a peristaltic pump is facilitated by a surface guide groove in the adapter.
These approaches demonstrate that by awareness of practical conditions at the operative site and by internal separation of functions, significant cost advantages can be realized for different systems with no meaningful penalty in convenience.
There is yet another type of console using fluid flow control for ophthalmic surgery applications. The system and the related cassette are shown in Beuchat et al. U.S. Pat. No. 5,267,956, the commercial version being that depicted in FIG. 27 in that patent. In this Beuchat et al. system, the cassette is configured with a flat distal face having an outline that fits within a portal in the console. The front face of the mounting portal terminates at a bottom interface slot through which upwardly directed actuator clamps extend, when desired, to close off passageways in a cassette mounted in the portal. A system-coupled sensing aperture is disposed between the two clamps to enable communication between the cassette interior and a vacuum sensor in the console. To allow the pressure level to be communicated from the cassette interior to the console without the danger of fluid return into the cassette, a largely hydrophobic filter is included in the conduit in the cassette. To prevent locking up the control system while limiting reverse flow, the filter includes a small hydrophobic area and is thus known as a “spotted hydrophobic filter”. The top of the cassette includes a loop of flexible tubing that seats around the periphery of a peristaltic pump in the upper portion of the portal.
The Beuchat et al. cassette has integrally molded internal passageways and uses an elastomeric insert along its bottom surface that stretches under clamp action to close off passageways. The cassette can be conveniently mounted in place, but has a number of limitations. The intricate internal and integrally molded passageways are difficult to sterilize thoroughly, so that reuse is usually not feasible. The integrally molded passageways are also not capable of accommodating pressure differences by expansion or contraction, so that an interior “capacitance chamber” must be provided to allow for pressure differences. The interior spotted hydrophobic filter, once used, cannot be cleaned of contaminants, so that the cassette itself cannot be reused.
The rigid internal passageways and the complex internal configuration mean that this type of cassette is not suitable for reuse in those countries which widely practice resterilization because of preference or economic necessity. In addition to the complex internal flow passageways, resterilization is precluded by the presence of the hydrophobic filter that is used in the pressure sensing line to the console. It is obviously desirable to utilize the same basic cassette for disposable and resterilizable modes, if these limitations can be overcome.
Another option which is often desired by users of these cassettes is the ability to chose either air venting or fluid venting for suction release of the aspiration line. In ophthalmic systems, means have been provided for many years to counteract the danger of excessive suction being applied through the aspiration line into the eye. A technique developed at an early stage in the use of ophthalmic surgery kits was to provide a coupling line, normally closed by a clamp, between the aspiration line and the source of irrigation fluid. When it was required to relieve the suction pressure quickly, relief of the clamp released irrigation fluid into the aspiration line, breaking the suction and avoiding the danger.
Some users, however, prefer to break the suction by venting to air, which is less instantaneous, because of the compressibility of air and the flexibility of the lines. Surgeons vary in their preferences as to the type of venting to be used, and the preferred mode can vary with the stage of the surgical procedure. Whereas liquid venting forces cortical material away with an abrupt flow, the action of air venting is gentler and at lower acceleration. It is evident that a cassette or system which can provide a capability for use of either one of these venting modes, including the option of switching between them, would provide not only substantial cost savings, but also useful operative advantages. Some might prefer to incorporate a vent selection option in the console rather than a cassette. If this can be done, normal operation and use of the cassette should not be affected.
A compact cassette in accordance with the invention for use with a front portal type of receptacle having an upper peristaltic pump and a bottom interface slot with clamp and vent connections comprises a two-piece assembly, including an upper bracket that mounts detachably in the portal. The upper bracket receives a small cassette having interior flexible tubing turned about back-up posts adjacent access openings in the bottom wall which align with the clamp actuators in the interface slot of the console. A sensing opening between the access openings couples to the interior tubing within the cassette, and a spotted hydrophobic filter may optionally be fixed or removable in the coupling to the aspiration line. The aspiration tubing extends outwardly from an upper corner of the cassette, providing a tubing loop for wrapping about the peristaltic pump after the cassette is inserted. The tubing loop includes an end coupler seating within a retainer in the bracket, and a tubing end for waste matter extending from the coupler can be inserted in a collection bag proximate to the front of the cassette. Thus, the cassette may be inserted into the pre-installed bracket, above the interface slot, the extending aspiration tubing length can be wrapped about the peristaltic pump as the coupler end is seated in its retainer, and the free tubing end can be placed in the waste collection bag, all in a simple and quickly effected sequence.
A feature of the invention is that the upper bracket for mounting in the console portal receives the top of the cassette and engages the distal broad face of the cassette while providing means for holding the exterior pump loop and waste output extension in position. The cassette has a top extension between and above side shoulders. The pump loop extends from a side shoulder that is offset relative to the bracket, to the other shoulder, which fits into and below the corner shoulder of the bracket, assuring both vertical and lateral positioning. Consequently, the cassette is asymmetrically positioned relative to the upper part of the bracket, but firmly secured. Another feature is that the retainer in the bracket shoulder registers with the coupler at the pump loop in such manner that the coupler slides in readily but will not release without positive action.
It is important to note that the flow conduits inside the cassette are flexible, so that pressure differences are automatically accounted for to some degree by wall expansion and compression. The same housing can be used whether a filter is to be incorporated or not, and internal assembly requires attachment of only a few fittings at Tees within the cassette.
The compact cassette thus comprises a small inexpensive unit, with short lengths of interior flexible tubing. The broad proximal face includes an opening through which the spotted hydrophobic filter may be disengaged from its fittings, so that the entire unit may be resterilized, and a new filter inserted thereafter. In all circumstances, the wrapping of the pump loop around the peristaltic pump is simple, virtually instantaneous, and follows an obvious path.
Suction release can be an important consideration for various surgical procedures, and since different types are preferred for different practical situations, cassettes in accordance with the invention can be used to provide optional air or liquid venting in different ways. By incorporating an occludable mechanism with a vent line in the console that is coupled to the sensing conduit, an operator or surgeon may select, at the console, venting by liquid from the cassette or venting by air within the console. For control of venting options at the cassette, the cassette may include a multi-position valve element disposed in the vent line that is coupled to the aspiration line. The valve element receives input both from an air line, through a unidirectional element, and from the irrigation line. Whether fluid or air is used to vent is controlled by changing the position of the control valve, an end of which can be accessible from the outside of the cassette. Consequently, the mode of use (air or fluid venting) can be determined during manufacture of the product, or at the surgical site, if desired.
A better understanding of the invention may be had by reference to the following description, taken in conjunction with the accompanying drawings, in which:
FIG. 1 is an exploded view of a compact cassette in relation to the console portal in which it is to be mounted, the cassette being coupled to a handpiece and comprising both an adapter bracket and a cassette housing;
FIG. 2 is a perspective partial view of the cassette and adapter bracket of FIG. 1 when assembled;
FIG. 3 is a plan view, with side wall removed, of the cassette of FIGS. 1 and 2, showing the conduit disposition therein;
FIG. 4 is a plan view, with side wall removed, of a cassette having the alternative venting feature;
FIG. 5 is a perspective fragmentary view of the conduit arrangement in the cassette of FIG. 4, showing further details thereof;
FIG. 6 is a perspective view, partially broken away, of a fragment of the system of FIGS. 4 and 5, showing details of the flow control valve; and
FIG. 7 is a block diagram representation of an alternative venting feature incorporated in a control system and usable in accordance with the invention.
A cassette in accordance with the invention, referring now to FIGS. 1 and 2, is for operation with a console 10, only a fragment of the front panel of which is shown, of the type having a cassette portal 12 in the form of a recessed archway with a greater height than depth dimension, for receiving the cassette in a substantially upstanding position. In the upper region of the cassette portal 12, a peristaltic pump 14 is disposed below the curved top, which itself forms a backup surface for the peristaltic pump rollers, in known fashion. At the bottom of the portal 12 is an interface slot 16 having openings for spaced apart actuator elements 18,. 19 disposed for vertical operation upwardly toward the cassette, in known fashion. Between the separate actuators 18, 19 is a sensing port 20 for communicating suction level variations into the interior of the console 10 for the vacuum sensing function used in this type of system.
On the distal face of the cassette portal 12 is a latch opening 22 for engaging a catch, pilot pin or similar element in the cassette that is to be inserted.
A cassette assembly 25 in accordance with the invention is configured in two principal parts, as described below, and functions in association not only with the console but with an irrigation fluid source 27 which provides sterile fluid in a line 29 to the cassette. The cassette assembly 25 also functions with a handpiece 31 in the surgical field that is usually spaced a distance from the cassette body 33 at the console 10. An aspiration line 35 from the handpiece to the cassette and an irrigation line 37 to the handpiece from the cassette are relevant to the present description. Controls at the handpiece 31 for flow, lines for electrical energization of ultrasonic vibration, and other features may be used but are not depicted here.
The cassette assembly 25 includes an adapter bracket 40, which is in part asymmetrically configured relative to the cassette portal 12 and to the cassette body 33. The adapter bracket 40 includes a planar vertical plate 42 at its distal side, with conventional means for engaging the latch opening 22 in the cassette portal 12. The plate includes an arch opening 44 which provides clearance for the perimeter of a spotted hydrophobic filter. A proximally extending L-shaped top portion 46 of the adapter bracket 40 fits below the peristaltic pump 14 when the adapter bracket 40 is inserted in the cassette portal 12. The top portion 46 extends laterally to an adjacent shoulder 48 which is at the right hand side (as viewed in FIGS. 1 and 2) of the adapter bracket 40. The shoulder 48 includes a horizontal bore 49 extending to a given depth, related to the length of the fitting it is to receive, so as to provide an end stop surface. The vertical dimension of the shoulder 48 is slightly less than the diameter of a cylindrical fitting or coupler to be placed within it, so that the cylindrical element can be digitally gripped both above and below for easy insertion and removal. The shape of the bore and coupler need not be complementary, since only smooth insertion and adequately secure retention are needed, after the pump loop is formed. A differently shaped fitting and a clip retainer will suffice, but the cylindrical bore and mating fitting provide good visual guidance and convenient placement and removal.
The cassette 33 is typically of an engineering plastic suitable for sterilization and has an approximately centrally positioned head block 50 protruding above its upper edge, for fitting within and below the L-shaped top 46 of the adapter bracket 40. The head block 50 is integral with the remainder of the cassette housing, and separates a tube loop shoulder 52 on one side (here viewed as the left) from a slightly lower shoulder 53 on the other (right) side. The latter shoulder 53 is closed and fits under the shoulder 48 on the adapter bracket 40 when the units of the cassette assembly 25 are placed together. This assures both vertical and lateral placement, when the bottom of the cassette is in the interface slot of the console.
The proximal face 55 of the cassette 33 has openings for various elements, such as an opening 57 for the lines to the handpiece 31, and an opening 59 for the irrigation input, both of these openings being substantially immediately below the right shoulder 53. In the central lower region of the proximal face 55, an opening 60 is provided as clearance for the periphery of an interior spotted hydrophobic filter 62. If the hydrophobic filter 62 is to be replaceable, this opening 60 is large enough, and suitably shaped, to allow extraction and reinsertion of the filter therethrough. Along the lower edge of the proximal face 55 are a pair of grommets 64 for retaining a waste collection bag 66. The grommets 64 or other fasteners allow replacement of the waste collection bag 66, which is necessary if the cassette is to be reused. However, the waste pumped out can be directed into a separate proximate container or location, and no bag need be attached to the cassette.
At the left or tube loop shoulder 52 of the cassette 33, a length of pump loop tubing 68 extends outwardly to a cylindrical coupling 69 sized to fit smoothly, without friction, into the horizontal bore 49 in the adapter bracket 40. An end length 72 of tubing extending from the end of the cylindrical coupling 69 is insertable into the waste collection bag 66 when the unit is assembled.
The internal arrangement of tubing within the cassette 33 is depicted in the sectional view of FIG. 3, in which the interior tubing and couplings are shown with one side wall of the cassette removed. The irrigation line 29 feeding in irrigation fluid, and the end length 70 that leads to the waste collection bag from the coupler 69, are not included in this view, because they are perpendicular to the plane of the side wall, projecting into the Figure. The irrigation line input couples to an outwardly directed port of a first Tee 75, where it directed into opposite going flow paths at other branches of the Tee 75. In a first of these flow paths a flexible irrigation tubing 77 wraps around a stop or boss 79 adjacent an irrigation actuator window 81 through which the actuator from the console may act, to pinch the line 77 against the boss 79, terminating irrigation fluid flow out to the irrigation line 37 to the handpiece. The other branch of the first Tee 75 is coupled to a vent flexible tubing 83 which is wrapped around a vent control boss 85 adjacent a vent actuator window 87 through which an actuator in the console may hold the line 83 closed, except when venting is desired. The vent flexible tubing 83 leads to one part of a second Tee 90, a second port of which receives the end of the aspiration line 35 from the handpiece. Thus, with the vent tubing 83 normally closed, the aspiration flow in the aspiration line 35 normally goes out a short coupling tube 92 through a third Tee 94, via aligned ports leading to the pump loop tubing 68 and the cylindrical coupling 69. A third port of the third Tee 94 is connected via a shunt tubing 96 to the hydrophobic filter 62, which is connected directly in line to a sensor fitting 98 in the side wall of the cassette 33, between the actuator windows 81 and 87. The sensor fitting 98 engages the sensing port 20 (FIGS. 1 and 2) in the console and enables a pressure measurement to be made such that pressure regulation can be used, in known fashion, during the surgical procedure.
This internal arrangement of Tees, tubing, vent and filter follows patterns used in prior systems and therefore need be discussed only briefly. Irrigation fluid usually is unclamped and passes out to the irrigation tubing line 37, with flow being returned via the aspiration line 35 from the handpiece, and flowing through the second and third Tees 90, 94, respectively, into the pump loop 68. There the pump loop 68 is engaged by the peristaltic pump, which creates the suction for withdrawing matter from the handpiece and feeding it out through the cylindrical coupling 69 and into the waste collection bag 66 of FIGS. 1 and 2 via the end length 70. Pressure in the aspiration system is constantly monitored by the console, via the sensor fitting 98 and the intercoupling shunt tubing 96, with the hydrophobic filter 62 blocking contamination in the direction from the console to the interior of the cassette. When the surgeon or other operator desires, as when there is an apparent danger of excessive suction in the eye chamber that would cause a collapse, aspiration pressure is substantially immediately relieved by opening the vent flexible tubing 83 at the vent control boss 85, flooding the pump loop tubing 68 as well as allowing some flow into the aspiration line 35, for pressure relief.
The configuration of the cassette assembly 25, as shown in FIGS. 1-3, is unique both in economic and operative terms. When intended to be used as a disposable, only the small and inexpensive cassette 33 with necessary internal tubing and fittings, together with the pump loop tubing 68 and the coupling 69, are involved. The internal lines are short and direct and introduce little impedance to flow. Being flexible, they expand or contract to take up some of the changes in pressure, so that no capacitance chamber or equalizing structure need be utilized.
To install the cassette assembly 25, the asymmetric adapter bracket 40 is first fixed in the cassette portal 12 below the peristaltic pump 14 and above the interface slot 16, engaging the latch opening 22. The adapter bracket 40 can be treated as an essentially permanent unit, although it can be changed after a specified number of uses if the operator desires. To engage the cassette 33 in operative position, it is simply inserted so that the head block 50 fits under the L-shaped top 46, with the right shoulder 53 of the cassette engaging below the corresponding shoulder 48 of the adapter bracket 40. As this is done, the pump loop tubing 68, cylindrical coupling 69 and the end length 70 can be held in the same hand, so that after the cassette body 33 is engaged in position, the pump loop tubing 68 is simply wrapped about the peristaltic pump 14 of FIGS. 1 and 2. The pump loop length is chosen to be such that, when engaged about the pump 14, it is under some tension. The coupling 69 is fed into the horizontal bore 49 in the shoulder 48, and the end length 70 is slipped into the top of the waste collection bag 66, which has been placed on the grommets 64. Because both the top and the bottom of the cylindrical coupling 69 are accessible through the openings in the upper and lower parts of the bore 49, the coupling 69 can easily be inserted but, once inserted, is retained in position.
This arrangement thus enables an inexpensive disposable cassette having a conventional interior coupling arrangement to operate in a different geometry for cassettes than has previously been employed. At the same time, the cassette can be resterilized, if desired. The hydrophobic filter must be changed since such a filter, once used, contains contaminants which cannot be cleaned out or removed. This feature, as well as the incorporation of an alternate venting function, is depicted in the modified cassette of FIGS. 4-6, to which reference is now made.
As indicated, the vent and irrigation flow controls of FIGS. 4 to 6 have some of the basic structure of the cassette of FIG. 3, but the vent system includes an added coupling in the form of a three port control valve 100 with an input port 102 for the fluid vent, an input port 104 for the air vent line and an output port 105 that couples to the vent flexible tubing 83 section leading ultimately to the third Tee 94. An air vent line 106 coupled to the air input port 104 leads to a one-way check valve 107 having an open end line 108. The check valve 107 blocks fluid egress from within the cassette, but a hydrophobic filter or other device may be used for this purpose instead. A short length of fluid vent line 109 from the first Tee 75 couples to the fluid input port 102.
Referring now specifically to FIGS. 5 and 6, it can be seen that the control valve 100 has a control valve housing 110 extending between the opposite broad faces of the cassette body and that the ports 102, 104 and 105 are at different levels, with the output port 105 being between the upper air input port (as seen in the figures) and the lower fluid input port 102. An internal valve stem 112 extends between the broad faces of the cassette, within the control valve housing, and is attached to a valve button 114 extending outside one face of the cassette 33. Thus the valve stem 112 may be shifted from the position shown to a depressed position relative to the control valve housing 112. In the position shown, a set of three spaced apart valve disks 116, 118 and 120, each having a peripheral O-ring 123, form two separate flow control chambers within the housing 110. When the valve stem 112 is in the position shown, the lower flow control chamber between the second and third disks 116, 118, respectively, provides communication between the fluid input port 102 and the output port 105. When the button 114 is depressed, however, flow is between the air input port 104 and the output port 105. The O-rings 123 in the disks insure against the intrusion of ambient air and the external leakage of fluid.
Thus, all that need be done to select whether air venting or fluid venting is preferred is to depress the valve stem 12 by the externally accessible button 114. The limit of depression of the valve stem 112 is defined by a stop surface 125 on the interior wall of the cassette 33. To ensure against shifting of the valve stem, once depressed, a depending spring latch 127 at the bottom of the valve stem 112 engages a projection 129 on the stop 125. A positive action release element (not shown) may be incorporated in the wall of the cassette adjacent the stop to permit reuse of the cassette, if desired. A wall opening may alternatively be incorporated in the cassette through which the spring latch 127 may be detached from the projection 129.
For purposes of reuse as well, the hydrophobic filter 62 is engaged into a Luer fitting 132 incorporated in the shunt tubing 96. The side opening 60 in the cassette (FIGS. 1 and 2) is made large enough, at least on one side of the cassette, to enable disengagement of the filter 62 from the Luer fitting 132.
This arrangement, therefore, offers capability both for resterilization, with removal, and then later replacement with a new spotted hydrophobic filter, and also enables the user or the fabricator to select air venting or fluid venting for surgical procedures.
It will be recognized by those skilled in the art that the control valve can be of different configurations than shown. It can use a valve slider with interior bores shaped to open vent air or liquid to the suction line dependent on axial position. Alternatively, the control valve can be arranged to switch paths by rotation of the valve element or by utilizing a different alternate position scheme.
While alternate venting control at the cassette is preferred, it can also be accomplished by using a control at the system console 16, as shown in FIG. 7.
For this purpose, referring now to FIG. 7, the console 16 includes a vent option selector 140, which can be a switch, for permitting actuation either of a liquid vent clamp or actuator 141 for engaging the liquid vent line 83, as shown in more detail in FIG. 3, or an air vent clamp or actuator 142 for engaging an air vent line 144. The flexible air vent line 144 couples into the interior line 146 within the console 10 that branches into the separate vacuum sensors 148, 149 that are employed within the console 16. A check valve 150 open to an air inlet and feeding the air vent line 144 can be employed in series with the air vent line 144 to prevent exterior leakage of any fluid that may pass the spotted hydrophobic filter 62 in the cassette 33.
By adding this capability to the console 10, the surgeon or other operator can make a selection of the type of venting to be used, even though the cassette assembly 25 remains unchanged. When liquid venting is to be used, the liquid vent clamp 141 is made actuable by the vent option selector 140, so that the clamp, normally pinching the liquid vent line 83 closed, can be opened to relieve suction at the suction Tee 94 in the previously described fashion. When the air vent clamp 142 is chosen, however, the liquid vent clamp 141 does not open the liquid vent line 83. Instead, the air vent clamp 142, normally closing the air vent line 144, permits that line 144 to open, allowing air through the check valve 150 and the air vent line 144 to reach the suction or third Tee 94, via the line 96 immediately relieving suction. This portion of the console 10 interior remains as sterile as when operated without the alternating venting feature.
Although a number of alternatives and modifications have been suggested, the invention is not limited thereto but includes all forms and variations within the scope of the appended claims.
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|CA1068574A||May 16, 1979||Dec 25, 1979||Steven N. Weiss||Flow control system|
|Citing Patent||Filing date||Publication date||Applicant||Title|
|US7168930||Sep 29, 2003||Jan 30, 2007||Bausch & Lomb Incorporated||Peristaltic pump with air venting via the movement of a pump head or a backing plate during surgery|
|US7445436||Sep 29, 2003||Nov 4, 2008||Bausch & Lomb Incorporated||Peristaltic pump with a moveable pump head|
|US7484769 *||Jul 17, 2006||Feb 3, 2009||Alcon, Inc.||Connector to cassette interface system|
|US7604607||Sep 29, 2003||Oct 20, 2009||Bausch & Lomb Incorporated||Peristaltic pump fitment for attachment to an aspirant collection bag|
|US7604615 *||Mar 20, 2006||Oct 20, 2009||Alcon, Inc.||Surgical cassette with bubble separating structure|
|US7850634||Dec 19, 2006||Dec 14, 2010||Therakos, Inc.||Method for collecting a desired blood component and performing a photopheresis treatment|
|US8377000||Oct 1, 2010||Feb 19, 2013||Abbott Laboratories||Enteral feeding apparatus having a feeding set|
|US8377001||Oct 1, 2010||Feb 19, 2013||Abbott Laboratories||Feeding set for a peristaltic pump system|
|US8616862||Sep 23, 2010||Dec 31, 2013||Xylem IP Holdings LLC.||Disposable pump head|
|US8689439||Oct 1, 2010||Apr 8, 2014||Abbott Laboratories||Method for forming a tube for use with a pump delivery system|
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|US9103451 *||Apr 4, 2008||Aug 11, 2015||Asahi Breweries, Ltd.||Device for stopping flow of fluid|
|US9238097||Jun 7, 2010||Jan 19, 2016||Therakos, Inc.||Method for collecting a desired blood component and performing a photopheresis treatment|
|US9713660||Nov 11, 2013||Jul 25, 2017||Alcon Research, Ltd.||Cassette clamp mechanism|
|US20050069419 *||Sep 29, 2003||Mar 31, 2005||Cull Laurence J.||Peristaltic pump with air venting via the movement of a pump head or a backing plate during surgery|
|US20050069437 *||Sep 29, 2003||Mar 31, 2005||Michael Mittelstein||Peristaltic pump with a moveable pump head|
|US20050070859 *||Sep 29, 2003||Mar 31, 2005||Cull Laurence J.||Peristaltic pump fitment for attachment to an aspirant collection bag|
|US20050070871 *||Sep 29, 2003||Mar 31, 2005||Lawton Bruce Edward||Peristaltic pump cartridge including an aspirant collection bag for use in ophthalmic surgery|
|US20070219494 *||Mar 20, 2006||Sep 20, 2007||Gao Shawn X||Surgical cassette with bubble separating structure|
|US20080058727 *||Jul 17, 2006||Mar 6, 2008||Domash David M||Connector to cassette interface system|
|US20080154182 *||Dec 20, 2006||Jun 26, 2008||Robert Martin||Dual diameter arthroscopic irrigation/aspiration peristaltic pump system|
|US20100049134 *||Aug 4, 2009||Feb 25, 2010||Schuman Jr Peter J||Pump device, tube device and method for movement and collection of fluid|
|US20100117011 *||Apr 4, 2008||May 13, 2010||Asahi Breweries, Ltd.||Device for stopping flow of fluid|
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|USD698019||Mar 5, 2013||Jan 21, 2014||Alcon Research, Ltd.||Ophthalmic surgical cassette|
|USD773037||Jul 11, 2014||Nov 29, 2016||Medical Vision Ab||Cassette for a peristaltic pump|
|EP1512420A2 *||Sep 2, 2004||Mar 9, 2005||Therakos, Inc.||Blood separation apparatus and method of using the same|
|EP1512420A3 *||Sep 2, 2004||Nov 15, 2006||Therakos, Inc.||Blood separation apparatus and method of using the same|
|International Classification||A61M1/00, A61F9/007|
|Cooperative Classification||A61M1/0033, A61F9/007, A61M1/0058, A61M2205/128, A61M2205/12|
|Jul 16, 1999||AS||Assignment|
Owner name: SURGIN SURGICAL INSTRUMENTATION, INC., CALIFORNIA
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text:
Three campsites buried by a landslide in Batang Kali early this morning were unlicensed, Nga Kor Ming said.
The local government and development minister said if found guilty, the campsite operators faced a jail term of up to three years or a RM50,000 fine, or both.
He said the operators were permitted only to develop organic farms, not to set up campsites.
Following the landslide that claimed 19 lives, Nga said he had instructed the 155 local authorities in the country to clear all campsites near rivers with immediate effect.
Nineteen people have been found dead so far after a landslide at the Father’s Organic Farm campsite in Batang Kali, near Genting Highlands, at about 3am.
Search-and-rescue operations are continuing.

domain: news


text:
So Bama Faustina published her milestone work Karukku privately in —a passionate and important mix of history, sociology, and the strength to remember. Bama’s Karukku: Dalit. Autobiography as Testimonio. Pramod K. Nayar. University of Hyderabad, India. Abstract. This essay argues that Dalit autobiographies. Karukku [Bama Faustina, Lakshmi Holmstrom, Mini Krishnan] on * FREE* shipping on qualifying offers. Karukku is the English translation of.
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Education also becomes one of the most prominent factors, for the bama karukku reveals the hypocrisy that is enacted in educational institutions.
Bama karukku when a Dalit woman left bama karukku convent and wrote her autobiography, the Tamil publishing bqma found her language unacceptable. Even within the convent the way it is covertly described, it has to be the order of Mother Teresabama karukku rules the roost and the hierarchy is clearly delineated.
Cody rated it liked it Oct 25, So Bama Faustina published her milestone work Karukku privately in —a passionate and important mix of history, sociology, and the strength to remember. This is certainly not comfortable reading for anyone.
In the end, Bama makes the only choice possible for her.
We are bama karukku a very full picture of the way in which the Church ordered and influenced the lives of the Bama karukku Catholics. There is often a layering of meaning in certain words, where a Tamilized Sanskrit word is given a new Catholic meaning. She discovers, however, that the perspectives oarukku the convent and the Church are different from hers. What struck me, in particular, is bama karukku symbolic importance of baa as a marker of social capital that she writes of.
With the encouragement of a friend, she wrote on her childhood experiences.
He provides lots of details and names of people karkuku, and his story really starts taking shape as bama karukku comes bama karukku touch with other Dalit activists.
This book is about her journey spanning over many years of hardship, when she finally realised why it was so. Somehow this bamq didn’t work for me. Dec 18, Vishakh Unnikrishnan rated it it was bama karukku Shelves: Karukku answers the famous question “Can the subaltern speak?
Its fictional qualities make it more connective to more narratives. Hardcoverpages. All those who are oppressed: And that’s all there is to this book.
Karukku – Bama Faustina, Lakshmi Holmström, Mini Krishnan – Oxford University Press
Her narrative is nuanced in exploring her intersecting identities as Dalit and woman in detail. Later, Bama describes her adult life, how she became a nun, and later left the order when she witnessed the hypocrisy bama karukku the Church in its attitude towards the bana and the Dalits.
Begin typing the name of a book or author: And yes, that is how it had to be. This page bama karukku last edited on 4 Bama karukkuat She leaves home to join the convent in her twenties, after working for a few years as a teacher, hoping to contribute to a cause larger than caste, class and identity.
Karruku is a poignant subaltern novel that speaks of the childhood experiences of the author. Related Questions What is fictional narrativization of history?
In Karukku, Bama attempts to provide us a glimpse of her life as a Dalit girl growing up in a village in Tamil Nadu. This slim book ultimately proved a chore to get through. Can’t stop thinking about the strength of her writing. Aug 25, Bama karukku rated it really liked it Shelves: Oct 27, Aisha Bama karukku rated it really liked it Shelves: Lakshmi Holmstrom April 23, Academic Skip to main content. On the whole, the novel iarukku how a dalit woman is exploited based on her caste, gender bama karukku class.
To my mind, that alone is true devotion. Its bama karukku is incredible, as she describes not only bama karukku experiences as Karhkku and a woman, but also the loneliness of her everyday life. An autobiography by someone ‘untouchable’,actually touch your heart and mind. Growing up in a conservative Telugu Brahmin household, I have constantly battled with myself, my family members, bama karukku my community for the problematic views that the gama I belong to holds.
Open Preview See a Problem? Thomas, almost always from Brahmin families – rarely enter into marriages with “convert” Christians, relatively recent converts bama karukku Dalit communities. I have recently decided to read more of Indian literature, and subaltern literature in baa. She rose to fame with her autobiographical novel Karukkuwhich chronicles the joys and sorrows bama karukku by Dalit Christian women in Tamil Nadu.
This second edition includes a Postscript in which Bama relives the dramatic movement of her leave-taking from her bama karukku vocation and a special note ‘Ten Years Later’. Hence often there is a spin or a turn-around of meaning; a freshness in some of the coinages, and different routes and slippages in the way Catholicism has been naturalized and sometimes not into the Tamil of the bama karukku.

domain: literature


text:
Morning Headlines: Trump Lays Foundation for 2020 in Ohio, DeWine's Budget Includes Narcotics Center
Here are your morning headlines for Thursday, March 21:
- Trump lays foundation for 2020 in Ohio;
- DeWine's budget includes narcotics center;
- Ohio attorney general chastises judge over death penalty;
- Cleveland cop charged, accused of unauthorized use of property;
- DeWine: House gas tax proposal 'doesn't cut it';
- Ohio lawmakers propose halting, reversing school 'takeovers';
- Canton Schools to pay student $275,000 for 2017 altercation;
Trump lays foundation for 2020 in Ohio
President Donald Trump has laid the foundation for his re-election campaign in Ohio. After a speech in Lima yesterday, Trump visited a private fundraiser in Stark County for the first time as president. The Beacon Journal reports around 250 people attended the fundraiser at the Brookside Country Club in Jackson Township, and it was expected to raise nearly $3 million. Trump last came to Stark County in 2016 as a presidential candidate.
DeWine's budget includes narcotics center
Gov. Mike DeWine's budget plan includes funding to set up a state narcotics intelligence center to combat the opioid epidemic. The new center, which would consist of units in Cleveland and Columbus, would be an unprecedented statewide effort to collect and analyze data from the state's 40-plus police drug task forces. Cleveland.com reports the budget plan includes $3.25 million in funding for the proposed center. The governor's budget proposal also seeks an additional $2.5 million to support drug task forces statewide.
Ohio attorney general chastises judge over death penalty
Ohio's attorney general has chastised a federal magistrate judge over remarks he made about pausing executions in the state. At issue is a series of execution delays ordered by Republican Ohio Gov. Mike DeWine after Magistrate Judge Michael Merz raised concerns about Ohio's lethal injection method. After the governor issued his first delay, Merz said that the decision "embodies excellent public policy." The judge also said he was "deeply gratified" by DeWine's expression of trust in Merz' lethal injection ruling. Attorney General Dave Yost said Merz' remarks were improper. Yost said in a Monday court filing that judges aren't supposed to use their courts as "a bully pulpit" to influence state policy.
Cleveland cop charged, accused of unauthorized use of property
A Cleveland police sergeant accused of sending social media messages to some 2,300 women while on-duty has been charged with three counts of unauthorized use of property. Two counts accuse Sgt. Michael Rybarczyk, 58, of looking up two women's information using the national Law Enforcement Automated Database System. Authorities said they found the emails after investigating accusations that Rybarczyk solicited prostitutes while on-duty at the police station.
DeWine: House gas tax proposal 'doesn't cut it'
Gov. Mike DeWine is continuing his push-back against lawmakers' attempts to shrink his proposed gas tax, saying the current House version "doesn't cut it." DeWine has proposed raising $1.2 billion through an 18-cent gas tax increase, adjusting it annually for inflation. The House reduced that to 10.7 cents per gallon over two years. The Senate is expected to announce its own proposal as soon as this week. DeWine on Wednesday once again called his proposal a "bare minimum" to keep up with needed repairs to roads and bridges. He said he's optimistic the legislative proposals will "get better."
Ohio lawmakers propose halting, reversing school 'takeovers'
Some lawmakers propose reversing a law that shifted operational control of poor-performing Ohio school districts to state-appointed panels and unelected CEOs instead of locally elected boards. Republican Rep. Don Jones, of Freeport, and Democratic Rep. Joe Miller, of Amherst say academic distress commissions already created for the Youngstown, Lorain and East Cleveland districts would be dissolved under their new proposal. It goes further than another proposal that would leave those districts under state control but prevent more so-called "state takeovers" through such commissions. The legislation enabling those panels was pushed through the Legislature in one day in 2015. Youngstown is challenging it in a case before the Ohio Supreme Court.
Canton Schools to pay student $275,000 for 2017 altercation
A McKinley High School student is receiving $275,000 from the Canton City School District and one of its former teachers, who threw the student to the ground in 2017. The Beacon Journal reports An attorney representing the student filed the lawsuit, saying former teacher Kenneth Weatherbee violated the student's rights, including right to due process and intimidation. The lawsuit also says the student, who has a learning disability, suffered both physical and psychological injuries. Weatherbee has agreed to issue an apology, and the school district plans to have mandatory training for the staff on how to situations involving troubled students.

domain: law


text:
This section of CWLU.org provides detailed descriptions of several CWLU programs. Additional Program Descriptions will be added in the future.
One of the earliest CWLU projects was the development of its Liberation School for Women, offered as a way to counter inaccurate information in the mainline media and to reach out to women beyond the already-committed CWLU activists. This piece describes the founding of the Liberation School and key aspects of how it operated, and gives information about the vast range of courses it offered.
The CWLU’s outreach newspaper WOMANKIND was another early project designed to counter inaccurate information in the mainline media and to reach out to women not already involved with the CWLU. This article explores its establishment, how it operated, key issues it faced, and provides information on the range of topics it covered.
The CWLU Speaker’s Bureau, founded early on, allowed the CWLU to respond to the many requests for information in a way that countered misleading media imagery while also reading out to women –and men –beyond those already in contact with the CWLU. As described in this piece, the Speaker’s Bureau method of operation was designed as well to counter the tendency of the media to create “stars” while leaving most women sitting passively on the sidelines.
Information and discussion about women’s health, sexuality, and reproductive rights were limited when the CWLU was founded in ways that are unthinkable today. CWLU had a wide range of health-related programs ranging from pregnancy testing, a rape crisis line, abortion referrals (both before and after Roe v. Wade), and combatting sterilization abuse, as described in this article.


Tankless water heaters in Dublin, OH are becoming increasingly popular. By producing hot water on demand, these water heaters can fit conveniently into your lifestyle. At Apex Plumbing, Heating, and Air Pros, we're highly experienced with tankless water heater replacement and installation. Please get in touch with our team today to discuss your hot water needs so we can help you find a suitable model.
Efficient Tankless Water Heaters in Dublin
Traditional water heaters include a tank that stores heated water until it is needed. To keep the water hot, the water heater must keep using energy. As a result, energy bills can be very high.
A tankless water heater, in contrast, heats water in response to demand. When you turn on a tap, causing water to pass through the appliance, the water heater heats it up. Tankless water heaters are smaller than systems that include a tank. Therefore, they are a great choice if you live in a smaller home. Tankless water heaters are becoming very popular in Dublin for these reasons.
What are the benefits of a tankless water heater?
- Lower energy usage
- Hot water whenever you need it
- Longer system lifespan
- Never run out of hot water
- Easy maintenance
If your water heater is very old, then now is a great time to consider replacing it. If you select a tankless system for your next water heater, you could save money. We carry highly efficient tankless systems that also offer great reliability and durability. Get in touch today to discuss your home's hot water needs. We will work with you to find the ideal tankless water heater for your home.
Trusted Tankless Water Heater Replacement in Dublin
At Apex Plumbing, Heating, and Air Pros, we carry out tankless water heater replacement, installation, and repairs. Get in touch to find out about the high-quality brands of water heater that we carry. Our professional plumbers are expertly trained in installation. We provide a 5-star satisfaction guarantee on every job. Contact Apex Plumbing, Heating, and Air Pros today for a free, no obligation estimate. We're the recipients of an Angi 2021 Super Service Award, HomeAdvisor Top Rated, and are BBB accredited. When you need a plumbing service you can trust, look no further than us: we're the Home of the Pros!
Would you like more information about tankless water heaters in Dublin? Please give us a call at Apex Plumbing, Heating, and Air Pros today.


Posted by HardOCP News 6:56 PM (CDT)
Tuesday May 31, 2016
More rumblings from the rumor mill today. This time around the buzz is that NVIDIA will be launching the GeForce GTX 1060 this fall. The site isn't in English so I ran it through the Google machine and came away with the quote below:
The chip GP106 succeeds current GM206, which was launched with the GeForce GTX 960 and later found in the GTX 950. In this context it is interesting that the last recently been released in versions without requiring additional power supply. The same can therefore apply graphics cards based on the GP106, which, with a new architecture and manufacturing at 16 nanometers is predicted to become more energy efficient.


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Gardein Sweet & Sour Plant-Based Porkless Bites, Vegan, Frozen, 10.5 oz.
You can't help but pig out on our Gardein Porkless Bites! With 12 grams of pig-friendly protein, this vegan meat comes with a delicious sweet and sour sauce, so you can re-create the taste and texture you love. Sauté in 9 minutes and add the savory chunks to vegetarian kebabs, stir-fry and unique appetizers. Enjoy this delicious flexitarian option any day of the week.


Publishing on Packagist
First of all, you need to create an account. This is fairly straightforward. You also need to confirm that your project
composer.json file is in good order, and you have updated GitHub or another repository with all the latest changes.
Things to check before you publish
The first one is that you have a decent
README.md file. This file should sit at the root of your repository and should contain clear, concise instructions on how to use your package. The contents of this file will form the bulk of the content on the page for your...