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We're beyond excited to announce we've placed 87th in the Australian Financial Review's Fast 100 in 2019. We've once again been recognised as one of the fastest-growing companies in Australia. And how have we done it? Great people, innovative products and services and sound processes. And on top of all that, caring for our community. That's how.
BlueRock makes the Fast 100 for the third year running!
While it certainly feels like we've been around forever, in the grand scheme of things BlueRock is a relative baby at only twelve years old. A huge part of why we've made the cut for the Fast 100 once again is our people. We're a company by entrepreneurs, for entrepreneurs. Our team and our client base are made up of innovators who will never settle for the status quo and are always looking for ways to do things better.
What's the Fast 100?
The Fast 100 is the Australian Financial Review's annual ranking of the 100 fastest growing companies in Australia. Fast 100 companies are ranked according to their annual average growth rate across the last three years. In 2018, we ranked 85th, and this year we've landed at 87. Here are a few of the reasons why we've made the list.
We empower our BlueRockers to aim high
It goes without saying that we couldn't do it without our BlueRockers. They're the ideas-people, the rule-breakers, the relationship-holders, and the ones on the ground getting it done.
We know that you get out what you put in, which is why we strive to build a workplace that's fun, ambitious and rewarding. In return, we get motivated and engaged BlueRockers that work hard and deliver outstanding outcomes for our clients. It's a pretty simple recipe really, and it's one of the reasons we were voted as the 4th best place to work in Australia in 2018.
We don't just talk the talk when it comes to caring for our employees, we most certainly walk the walk too. Our BlueRockers get free lunch twice a week, can break up their days with a hit of simulated golf, and enjoy a raft of social and team-building events throughout the year.
But we do more than just look after our employees, we also like to push them, both inside and outside of work. We love it when staff have new ideas and we encourage them to pursue them with vigour. It's this ambition and freedom to do things differently that has driven our growth, as our BlueRockers are empowered to seize exciting opportunities with both hands.
We're always looking for new opportunities
At BlueRock we have our fingers in a lot of different pies. We're a multidisciplinary entrepreneurial firm with expertise across all areas of owning and running a business or managing your personal wealth. From private wealth to digital, we've got everything our clients need all under one roof.
Each division drives its own vision and works towards its own goals, which gives our teams the freedom to innovate and pursue their big ideas without the bureaucracy you might expect from a professional services firm. But we've always got each other's backs, looking out for opportunities for our co-workers and our clients and collaborating across teams to provide a holistic service that covers every aspect of our clients' businesses.
We also have a number of innovative start-ups that work under our umbrella. Brauz works with retailers to make online shopping easier and Propella.ai uses advanced analytics, big data and complex algorithms to solve location-based problems for the property industry. We put our support behind these innovative start-ups because we know that's where the big opportunities are.
BlueRock EMT is our newest venture and you'll be hard-pressed to find something similar anywhere else. Designed exclusively for Asia Pacific's entertainment, media and technology (EMT) industries, BlueRock EMT provides highly specialised legal and corporate finance advisory services with a focus on mergers and acquisitions and capital raising for small and medium-sized enterprises through to middle-market EMT companies. We're so excited about this new division and the opportunities it will create for our clients.
We recognise the power of automation
But no matter how many big ideas you have, we know you can't sustain a business unless you get your processes right (what else would you expect from a bunch of accountants?) That's why we put a lot of stock in refining our operations. We leverage technology to make our business better, faster and more efficient so we can spend less time on spreadsheets and more time on our clients.
We've automated many key processes - we use Xero to help make our clients' lives easier, and WorkflowMax to track our work from quote through to delivery. Leveraging technology to improve our processes helped us bring in over 700 new clients and hold over 4000 meetings in 2019 alone. It's one reason we're able to support so many businesses to achieve their goals.
Want to be a part of the BlueRock community?
If you need advice on any aspect of running a business or you'd simply like to learn more about being a part of the BlueRock community, get in touch!


Alicia Popoff was born in 1950 in Saskatchewan. She received her BFA in 1979 and her MFA in 1984, both from the University of Saskatchewan, Saskatoon. Alicia's work has been exhibited across Canada in numerous exhibitions including exhibitions in commercial art galleries such as The Gallery / Art Placement, Inc, Saskatoon; Ken Segal Gallery, Winnipeg; Upstairs Gallery, Winnipeg and Galerie Rochon, Toronto. Public museum shows include "Lost In The Garden"", 1998, Mendel Art Gallery, Saskatoon and "Passages: Theme With Variations" , 1987, Mendel Art Gallery. Corporate collections include: Air Canada Collection, Canada Council Art Bank, City of Regina, Dunlop Gallery, Great Western Life, Kenderdine Gallery, Mackenzie Art Gallery, Mendel Art Gallery, Saskatchewan Arts Board, SaskTel, University Of Saskatchewan, University of Winnipeg, Royal Bank, and Sask Power.
1984 Masters of Fine Arts, U. of S., Saskatoon.
1979 Bachelor of Fine Arts, with distinction, U. of S., Saskatoon.
2001-2005 City of Saskatoon Sculpture Leasing Program, Harpo & Pineapple Sky, Collaborations with Leslie Potter.
Christianson, Joseph. Thoroughly Modernist Alicia, Border Crossings, Vol. 8, No. 3, July. Winnipeg: Arts Manitoba Publ., 1989.
Miller,Cathryn. Alicia Popoff: Time Within Nov 18-Dec 7, 2006, Galleries West.
Millikin, Leslie. Alicia Popoff, LOST IN THE GARDEN, Artichoke, Vol. 2, No. 3, Fall/Winter. Vancouver: Artichoke Publishing, 1999.
Moppett, George. Alicia Popoff, Passages: Theme With Variations, Saskatoon: Mendel Art Gallery, 1987.
Moppett, George. Alicia Popoff, Lost in the Garden,Saskatoon: Mendel Art Gallery, 1999.
Richmond, Cindy. Saskatchewan Art: Tradition and Diversity, New Brunswick: University Art Centre, 1987.
Robertson, Sheila. Together in Every Sense, Star-Phoenix, Accent, Saskatoon: Hollinger Canadian Newspapers LP, March 17,1998.
Robertson, Sheila. Start with garden, and then grow, Weekend Arts, Saskatoon: Hollinger Canadian Newspapers LP, November 14, 1998.
Zepp, Norman. Alicia Popoff: Essence and Flow, Exhibition Publication, Art GAllery of Regina, Regina,SK.


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Day 14: Linda Gross v. Ethicon, Ms. Gross Takes the Stand
Linda Gross sworn in Day 14
January 31, 2013~ On this day 14 of the Linda Gross v. Ethicon trial in an Atlantic City, New Jersey courtroom, plaintiff Linda Gross took the stand.
Gross, 47, had the Prolift transvaginal mesh implant in 2006 and her story is one of a life permanently altered.
Thanks to Courtroom View Network for access to this trial.
By way of background, plaintiff attorney Adam Slater had Linda tell the jury why she chose to work as a hospice nurse. Her late father had been sick and died in hospice. Gross had been made an honorary pallbearer in the funeral of man she knew for a short time while he was in hospice.
Those events led her to helping those who had six months or less to live. For Gross helping the terminally sick instilled a respect for life and was a reminder of the importance of enjoying everyday.
Linda Gross on the stand, Courtesy: Courtroom View Network
"The person who you see standing here is not who I was," she told the jury. I was eager, energetic, loved to go to work participate in church and school activities. I took one day at a time and lived for it. God is such a strong person in my life and I hope he continues to get me through this difficult time."
Slater had Gross recount the number of medications, 20 or so, she is currently taking to cope with chronic pain. Even during her testimony she had to stand, unable to sit longer than 20 minutes.
Slater: "How do you feel?"
Gross: "Exhausted. I have pain all the time inside my pelvic floor. The left side is quivering constantly, doing this all the time (she gestures). The way I try and control it to get it a little relief is if I lay in bed and extend my leg outward it takes the pressure off that pelvic floor bone. I constantly have rectal pain. I guess the only way I can explain if you have had hemorrhoids, multiply that by ten. It feels like something is going to pull through my rectum with sharp pain. We've tried various treatments and they can't break that spasm. "
As a nurse Linda said she is aware that all of the medication she takes is hard on the kidney and liver.
"I cannot tell you how many days I've laid in bed and wondered what's next for me," she said to the jury.
Slater established that before her surgery in July 2006, Ms. Gross didn't have pain, problems with sexual functioning and could sit at work. She didn't have urinary issues and the surgery with sutures to shore up her pelvic prolapse did not give her pain.
Prolift package
How Linda Gross was Sold on Prolift
Gross told the jury she visited Dr. Benson's office, the surgeon who eventually implanted the Ethicon Prolift transvaginal mesh, after he diagnosed her with pelvic organ prolapse.
Dr. Benson had been trained by Ethicon on use of the mesh and taught other doctors how to implant the device.
"When I went into his office he did his exam. His options were Prolift. He was very excited about it. He pushed it. He said 'I have a new revolutionary piece of mesh here we've been using with excellent results.' He was very positive about it."
Dr. Kevin Benson, implanted Prolift in Linda Gross
But Dr. Benson didn't have a patient pamphlet, so Gross says she went home and did research on the internet. She understood the mesh would be implanted with trocars, or large needles that would thread the mesh through her pelvic region anchoring into ligaments. Dr. Benson discussed suture repair as an option, though Ms. Gross says he didn't go into detail. He actually had a piece of mesh in his hand with four wings on it. In less than 10 days you'll be back to work she was told.
Q: "Did he tell you any of the risks?"
A: "Infection, bleeding, is what I recall" she said.
Slater showed her the brochure she used to make her decision.
Reminding Linda Gross of Dr. Anne Weber's testimony about what was NOT in the Prolift brochure, Slater showed a slide summarizing what critical information was missing.
Slater: "Were you comfortable with the long term results?
Gross: "Absolutely"
Slater: "Soft mesh sounded good?"
Gross: " Yes it did, he never let me touch it, but he was squeezing it."
Slater: "Specially designed for placement through the vagina?
Gross: "Yes."
Slater: "Used on 1.5 million women, what did that tell you?"
Gross: "It told me it was out there and having positive results."
Slater: "Is it important when they sell something it's clinically proven?"
Gross: "Yes"
Dr. Anne Weber, CVN
In summary, after Ms. Gross read the brochure combined with her doctor's enthusiasm she didn't think she need worry, and Johnson & Johnson was a worldwide company. She trusted what she was reading.
Days earlier, Dr. Anne Weber (right) had told the jury the rest of the story. See Day 6 of coverage here.
Dr. Weber told jurors about the complications associated with mesh that Johnson & Johnson did not include in the patient brochures, complications such as difficulty removing the mesh, its risky use in sexually active women, the potential for pain and mesh erosion.
Slater asked "Would that information have been significant to you?" Yes, Ms. Gross answered.
Life After Mesh
Linda Gross
Ms. Gross was asked why she took a risk with mesh?
"I was willing to take that chance if there was a chance I could get better," referring to the rectocele prolapses he said. In July 2006 she consented to have the Gynecare Prolift mesh, an entirely new transvaginal medical device delivered to doctors in pre-cut kits, implanted in her body.
Gross spent the rest of the morning recounting her life ever since. The mesh had formed a hard band around her abdomen. It was so tight it was causing stretch marks. She had the first of nine mesh removal surgeries at the Mayo Clinic. She then had a pain pump implanted. It began leaking and she developed an abscess and fistula that required an additional surgery.
Jurors were shown images that were not projected in the courtroom.
Then Ms. Gross had a spinal stimulator implanted to see if it would allow her to urinate normally. Medtronic adjusted it but made it too high and she leaked urine. At the Mayo Clinic last October she was injected with a nerve block and awakened part way through the surgery to see if it was hitting the correct nerve.
Remembering the surgery and snippets of the doctor's voices as she was partially awakened, Ms. Gross began to cry. When she woke up, she said she was in unbelievable pain like labor giving birth. It lasted five days as she lay in a hospital bed waiting for the medication to be absorbed.
"No one should have to go through this, it was just unbelievable," she said through tears.
Liinda Gross on the stand
"I want to have a normal life, I don't get to have that choice, it's not an option anymore. Because I put my faith in people I respected. And I found out it's a journey others are going through too. But it's not fair - no one should have to experience it!"
Slater: "What is it like to have a life dominated by doctors?
Gross: "The exams are painful and humiliating."
Gross said she has repeatedly experienced mesh coming out on its own. Gross has scheduled a visit to the Mayo Clinic's pain clinic in March to try and learn how to live with the pain.
Slater asked if she can work or if she has tried to work.
After being fired from her job as a hospice nurse in 2010 for exhausting her family leave, Gross went back to work briefly in 2011 because the family needed the money. A friend had an assisted living facility and Linda would work for four hours on then would have to lay down for 2 hours in the facility. It got to be too much to handle.
"I tried and I tried many times to go back. I would do that because I needed to I wanted to and I'm not ready to give up. There is nobody there that can help you. It's an awful feeling especially when you are doing a minimally invasive procedure." she cried.
The one time she rallied was for her son, Terry's wedding in October. The jury was shown pictures of a smiling Linda. She was able to dance one dance and had to excuse herself.
Dancing at son Terry's wedding
"My friends quit calling me because they don't know what to say. They cannot believe this is happening. And I put a lot of my trust in healthcare because of what I do."
Gross says it takes days to recuperate from an outing. She must self-catheterize four times a day to urinate. She discussed using a morphine pump with the doctors at the Mayo Clinic but is concerned about the effect on her body.
"All the time I'm fearful about dying and the effect on my kidney and liver functions and some has to do with the medications I have to take. It's just beyond words."
Christy Jones questions Linda Gross
Cross Exam
It was Christy Jones turn to cross examine Ms. Gross.
Speaking in carefully measured tones she reviewed Ms. Gross background in nursing. You learned in nursing school there were risks associated with surgeries, she asked. Among those risks might be those associated with anesthesia, potential damage to organs, the risk of scarring and adhesion?
"I'm not understanding your question," said Ms. Gross on more than one occasion.
Linda Gross under cross examination
Jones: "In fairness that's one of the things you learned in nursing school, when you implant a foreign body into the body there are also some additional or different potential risks?"
Gross: "Yes, and I did ask a specific question to Dr. Benson regarding my procedure."
Christy Jones then ran through the litany of ailments affecting Linda Gross from stress urinary incontinence in 2001, bleeding problems, a hysterectomy, which she chose over taking oral contraceptives, spinal headaches, gallbladder surgery. Clearly she was painting a picture of a woman plagued with problems.
Ethicon Attorney Christy Jones - Butler Snow
Dr. Benson explained he would use trocars and the purpose of the mesh would be to grow into the body, she affirmed. There would be a risk of inflammation and nerve damage. Yes, Gross said.
Jones: "In the course of that, one of the things you understood it might be associated with an exposure of the mesh?
Gross: "When I asked Dr. Benson that question he said you go in and you remove it."
Gross: "I researched Gynecare and I read it and it sold me. I based that on what I read in the patient brochure. I wasn't looking for answers I was being told this so I made the decision to go with the Prolift."
At this point her anger escalated.
"That was my mistake. Why did I need to keep researching? You are trying to blame it on me! It's not right!!"~Linda Gross
Judge Carol Higbee reminded Ms. Gross not to yell at counsel. At that point they took a break for lunch.
After lunch Adam Slater asked Ms. Gross if doctors continued to perform surgery on her. "Did you force them, stick a gun to their head?" "I did not," she said.
Slater asked why she wanted the polypropylene (PP) mesh out of her body.
"My body is rejecting the mesh; it is horrific pain and every day every day I pay for it. These doctors at the Mayo Clinic were fearful of making me worse than I already am. I find out mesh wings cannot be removed."
"My vagina was on fire, we were able to calm it down with medications. Then in November it began to be found piece by piece"
The calm, soft spoken Ms. Gross told the jury about the surprise of physicians who have found mesh.
"Dr. White said 'What the f*** is going on here!' he told me that," she said after another doctor found more eroding mesh particles in her pelvic region.
Judge Higbee warned she needed to be calm.
After a few questions about what the Prolift brochure which promised a "revolutionary" new product, the jury was sent out at 3:10 pm to formulate any questions it might have for the witness.
Dr. Patrick Retterath, pain doctor
The jury came back and asked to see the video of witness Dr. Patrick Retterath, a pain doctor who has treated Linda Gross with pain blocks.
He confirmed pudendal nerve damage.
"You don't have control of employment, enjoyment of their kids, they are overwhelmed in this case I was seeing that," he said in his taped deposition.
On cross exam he was asked whether he could say whether scar tissue from repeated surgeries and not the mesh may be causing her pain.
A: "Chronically, it seems from the story presented it was isolated to that surgery and it seemed to be related to that mesh."
Q: "You don't have any information about irritation to the pudendal nerve prior to Prolift?"
A: "She did not have those complaints to me."

redpajama_set_name: RedPajamaCommonCrawl


Gary and David, both 62, walked the route of the Camino Portuguese from Valenca in Portugal to Santiago de Compostela in Spain in September. The best fiends completed the 150KM, challenge in memory of Gary's wife Diane, who sadly passed away at Rotherham Hospital aged 54 in 2015.
The adventurous pair raised £1,080 for the Charity's Purple Butterfly Appeal, which raises funds to support end of life care for patients and their families at Rotherham Hospital.
Gary, of Kiveton Park, said: "We've absolutely loved doing our first Camino. The scenery was beautiful, the locals we met were kind and lovely and it was wonderful to meet people from all different nationalities participating in their own Camino.
"We thought the journey would take us 12 days to complete but we did it in eight days because we we're able to walk further each day than we thought. The hardest part was dealing with the hills in the intensely hot weather but we made sure we were up before the sun rose so we could get some miles in before the temperatures soared.
"It was a bit of a shock when we eventually got to Santiago because there were thousands of people all celebrating the end of their own Camino challenges or visiting the city, which after the peace and quiet of the Spanish countryside seemed even louder and busier.
"Once we arrived at the Cathedral in Santiago we were really proud to finally receive our Compostella once we'd proved to the authorities we'd completed the route.
The Purple Butterfly Appeal raises money to fund Purple Butterfly rooms. The £75,000 purpose-built rooms offer privacy and dignity to patients nearing the end of their lives, and their families. The money goes towards funding the building works, specialist equipment and facilities for loved ones to stay plus a television, fridge, microwave and a kettle.
Barry Mellor, Chair of the Charitable Funds Committee, said: "Trekking the Camino Portuguese is a lovely way to honour the memory of Gary's late wife. It's also wonderful to know that our intrepid fundraisers have helped to spread the word about the charity's Purple Butterfly Appeal so widely.
There's still time to sponsor Gary and David by visiting: www.justgiving.com/fundraising/two-fat-old-men-walking.


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Facebook Plans First Foray Into Mobile Ads
Social Net Increases Focus on Smartphones and Tablets Ahead of Possible IPO
Published on December 13, 2011.
Porsche's failed NFT drop is a lesson for brands in Web3
Facebook plans its first push into mobile advertising by the end of March, giving the company a fresh source of revenue ahead of a possible initial public offering, according to two people with knowledge of the matter.
An idea being considered is putting Facebook's Sponsored Stories ads, which feature friends' interactions with brands, within the mobile News Feed, said the sources, who declined to be identified because the plans aren't public. The News Feed lets users view status updates, photos and other content.
Facebook, the world's most popular social-networking service, would be playing catch-up in mobile advertising to Google, Apple and Millennial Media Facebook's potential advantage is that by gathering so much information about a person's interests and associates, it can help advertisers target potential customers more directly than mobile web browsers or applications.
Facebook, which has more than 800 million users, is increasing its focus on mobile technology with the aim of taking advantage of the shift to smartphones and tablets. The company expects its next 1 billion users to come mainly from mobile devices rather than desktop computers. More than 350 million users already access Facebook through mobile devices, according to the site.
The company had originally expected to roll out the advertising service on mobile devices earlier this year, and the plan could be delayed again, one of the people said.
Brandon McCormick, a spokesman for Facebook, declined to comment. Facebook announced a mobile service last year that lets companies reach out to potential customers with discounts based on location.
The Palo Alto, Calif.-based company is considering raising about $10 billion in an initial public offering that would value it at more than $100 billion, a person with knowledge of the matter said last month. Facebook may file for the IPO before the end of the year, according to the source.
Facebook's revenue is expected to rise to as much as $6.9 billion in 2012, from $4.27 billion this year, according to eMarketer. The research firm said almost 90% of Facebook revenue comes from advertising revenue. It also makes money from its Credits business, which earns a commission on transactions in certain applications, such as games.
-- Bloomberg News
Trump's Facebook, Instagram accounts reinstated after two-year ban
Twitter gives brands tools to measure offensive content around ads
Last call for Web3 marketing award entries—final deadline is Jan. 31
DOJ sues Google over digital ad market dominance
How Apple's mixed-reality headset will work


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Q: Why does a IR Transmitter need a VCC? I'm building a IR hub to control several LEDs stripes, and a projector in a room and noticed that my IR transmitter works even when VCC is not connected.
Should I wire it in anyways? Why is it there? What does it do?
This is the IR transmitter I have.

A: Ideally, the IR-led is powered by a VCC line, capable of delivering the ~60mA a infrared LED generally needs. This should be done by a MOSFET, which is essentially a switch, which switches on and off based on the data line, which is connected to the gate.
In the case of your IR transmitter, no MOSFET can be seen. It means that the IR-led is directly fed from your data line. It works, because your data source can deliver enough current. It's generally not the way you'll want to switch an IR-led on and off. Hence the fact you can detach your VCC line: it's not being used.

A: You power it from the data line connected to the uC pin it is called parasitic power and it is definitely very dangerous for your uC.

redpajama_set_name: RedPajamaStackExchange


Celebrate one of the greatest hockey players of all time with officially licensed Bobby Orr apparel and merchandise from the ultimate sports store, Fanatics.com. Orr holds the record for the most points and assists by a defensemen in a single season and was also inducted into the Hockey Hall of Fame in 1979. He also helped the Bruins win the Stanley Cup twice and in both those seasons won Playoffs MVP. Represent this amazing player with an official Bobby Orr jersey to commemorate his success while showing off old school style with a throwback look. Add to your NHL collection and celebrate hockey history by shopping Bobby Orr autographed memorabilia, hockey pucks, photographs, and more.


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The historic Banfill Tavern houses the Banfill-Locke Center for the Arts, a nonprofit community center supplies resources in the humanities for all years. Spend some time strolling through their latest exhibit. The center and the park are free and open to the fans.


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Remarks by the First Lady at the Helping America's Youth Event
REMARKS BY THE FIRST LADY AT A HELPING AMERICA'S YOUTH EVENT
Rosalie Manor Community and Family Services Milwaukee, Wisconsin
1:15 P.M. CST
MRS. BUSH: Thank you all very much. Thank you, Damion. Thank you all. Damion, you're very, very articulate. You're a great spokesman for Rosalie Manor and I thank you very much for sharing your story with us. It's very important that the people of America hear the stories about the struggles that young men in America face, and also to hear about the courage they are showing to overcome their problems.
Damion and all the young men today in the Today's Dad program, the one I just visited, are making responsible decisions to stay involved in the lives of their children, and their children will benefit greatly from having a relationship with a loving and responsible father.
I have to just say that the person who inspired my whole interest in this issue happens to be here today. He's from Milwaukee. He was the subject of a story in the New York Times Magazine that was published last fall, a year ago, or last September, I guess, or so. And I read it and I was struck by it and thought at the time how we neglect boys in the United States, how we have turned our vision away from everyone except for boys. We let little boys grow up without the nurturing that we give girls and that we know intuitively little boys need. And then, when they are grown, when they're young men, they don't have that foundation from having the nurturing that they need from other men, from their fathers or their grandfathers or their uncles or from someone like Alphonso who can step in and help them in such a profound way.
And Ken, who is here today -- and I was really glad to have a chance to meet him and meet his little boy, because he'd made the choice to take care of his little son and to be a father to his child. And that -- the whole article about him is what made me start thinking about what we could do in our country to make sure all children, girls and boys, are nurtured and get the kind of nurturing that all of us know children need so they can build successful lives.
I'm very happy that Secretary Mike Leavitt is with me today. As he told you, the fathers program here is -- runs on a grant from Health and Human Services. So I'm glad he could come and be with me. And I also want to thank the mayor for being here with me. Thank you very much, Mayor Tom Barrett, for joining us.
And thanks so much to Al Castro and Lindsey Draper. Thank you all, and all the people here at Rosalie Manor for hosting this today.
I'm visiting Milwaukee to talk about this new initiative called Helping America's Youth. The President asked me to lead this effort, and I eagerly accepted. For years, I've worked with children; in schools -- I was a teacher and school librarian, as most of you know; and then since my husband was Governor of Texas and then President of the United States, I've visited many schools and after-school programs around our country that help children who might be at greater risk for getting in trouble. These programs are changing young people's lives for the better, and children and parents across our country need to know what they can do to get help.
Some trends among youth are heading in the right direction, but others are not. Risky behaviors, including drug, alcohol, tobacco use, violence and early sexual activity are still among the top causes for disease and early death among young people. In addition, more children are growing up without an involved, committed and responsible father in their lives. And studies show that an overwhelming number -- and I think this is very interesting -- of violent criminals in the United States are males who grew up without a father.
Helping America's Youth will benefit children and teenagers by emphasizing action in three key areas: family, school and community. The initiative highlights the importance in every child's life of a loving, caring adult, whether that's a parent, a grandparent, a teacher, a coach, a pastor or a mentor. In addition to emphasizing community involvement, Helping America's Youth is an umbrella initiative that utilizes several federal programs that already exist or that are new programs proposed in the President's budget.
This fall, we'll convene a White House summit on Helping America's Youth. Researchers, policy experts, educators, parents and community leaders will discuss the best ways to help our children avoid risky behaviors so they can build successful lives. Researchers will identify the causes of problems and suggest the best practices to overcome them. Community groups, including faith-based groups and groups like Rosalie Manor, will tell us what's actually working in the field.
The conference will introduce a new assessment tool that will allow communities across the country to identify the challenges that they face and the services that they already have that help young people, and then where are the gaps. Local leaders can then build off existing government programs, as well as volunteer faith-based or community programs to create seamless efforts to help their local children.
Over the past month, I've visited several cities across America where innovative programs to help children are being put into action. In Baltimore, researchers found that young children need to be taught how to behave in school, that it doesn't just come naturally. So teachers and principals are teaching 1st graders how to be good students through the Good Behavior Game. Twenty years of data show that 86 percent of the children who were taught with the Good Behavior Game in the 1st grade ended up graduating from high school, compared to just 19 percent of their peers, who were not in a well-managed 1st grade.
Then I visited a great program in Detroit called Think Detroit that teaches children life lessons through sports. Today in Detroit, more than 650 coaches volunteer their time to mentor thousands of young people across the city, teaching them good character traits while they teach them sports.
And in northwest Pennsylvania -- Philadelphia -- I visited a Boys and Girls Club that has a Passport to Manhood program. Statistics show that boys are having an especially tough time growing up. They're more likely to fall behind girls in school, and more likely to drop out, to join a gang, commit crimes, wind up in prison, and, in fact, there -- fewer men than women are going to college and graduating from college now in the United States.
In the Passport to Manhood program, boys age 8 to 16 meet with a group leader, a lot like the group leaders Mikal and Janeen that I met today, to talk about the character traits that they want to have, and the character traits that they think make men, and then how they can get these character traits themselves. These young men see an ideal of manhood that respects life and women, and rejects violence.
The programs in Baltimore and Detroit and Philadelphia and here in Milwaukee are successful because adults are using games or sports, and mainly communication, to give young people positive messages about education and character.
These adults serve as a counterbalance to negative peer pressure. They serve as a safe harbor in a place of violence. And they serve as an inspiration toward working toward goals like graduating from high school and enrolling in college.
Research shows that the more children hear positive messages from adults, the less likely they are to engage in risky behaviors. Parents and family are the first and most important influence in a child's life, but we all know that there's no direction book that comes with a baby. Plenty of parents need help, and organizations like Rosalie Manor are providing it. Rosalie helps first-time parents of any age, with a particular focus on teen parents, because teenagers face major challenges staying involved with their children's lives. They often struggle with school and finding a job to support their child. And many teen parents find it difficult to maintain a relationship with each other.
Research tells us that children need two parents in their lives. On average, children raised in households with two parents perform better in school and have fewer emotional health and behavioral problems. Children who grow up without a responsible and loving father in their lives are more likely to engage in high-risk behaviors, more likely to drop out of school, and more likely to commit crimes. In fact, studies show that each year spent without a dad increase a child's odds of future incarceration by 5 percent. Fatherless boys are also more likely to become teen parents themselves. That creates a cycle of teen parenting and absentee fatherhood that's hard to break. And what I saw today are these young men who are determined to break that cycle, and I want to congratulate them and tell them that they are an inspiration to all of us. The consequences for individual children, and for the communities in which they grow up, can be severe.
Some of the young men who come to Rosalie know what it's like to grow up without a father at home, and they don't want their own children to suffer the same loss. I met Jason at our roundtable discussion earlier today. Jason joined Today's Dads program when he was 16. Without a dad in his own life, he had started making some bad decisions. He got involved with drugs, and wound up dropping out of school. When his girlfriend became pregnant, a friend of Jason's mother referred him to the program. His case manager, Alphonso, that you've already heard about today, says that Jason has shown great growth over the last two years. Jason has been working to support his son, and he's back in school to complete his GED. He's involved in his son's life, and he's maintained a strong relationship with his son's mother. Right now, he's working on finding safe housing for his family.
Two proposed federal programs to help fathers and strengthen marriages are part of Helping America's Youth. The Responsible Fatherhood Initiative would support community- and faith-based organizations that provide education training and other services to help men become involved, committed and responsible fathers, both emotionally and financially. And the Healthy Marriage Initiative would support research into the best ways to keep marriages strong, and would provide funding to help couples form and sustain good marriages.
Schools are obviously the second major influence in a child's life, and over the next decade, our nation will need two million new teachers. And we need to recruit more men and minority teachers, men who will be good role models for the boys in their classrooms.
New research in education now gives us a better understanding of how people at different stages in their life -- young children, teenagers and adults -- respond to different methods of teaching. So we want to make sure that we can get good programs into our high schools so that students who have gotten that far and aren't reading on grade level will be able to catch up.
And communities, of course, are the third major influence in a child's life. Parents and schools rely on other adults in our communities to reinforce positive messages and to help children fill their time with constructive activities. And that's what I saw in the next group that I visited today here at Rosalie Manor, and that is an after-school program that helps children during that time of life and during those times of day to make right choices. The hours between 3 and 6 p.m. are the hours when there are more than 14 million school-age children at home taking care of themselves, and after-school programs like Rosalie's can help those children. And those hours between 3 and 6 are the peak times for juvenile crime. So the after-school curriculum that's developed and used here is a program that can be taken nationwide.
The success of Helping America's Youth depends on organizations like Rosalie Manor. It depends on the individual commitment of every American. The time between childhood and adulthood is too short, as George and I can attest, and every moment in a child's life is precious.
After my visit to Think Detroit, the coaches program, a newspaper reporter asked one of the little boys I met what he thought about my visit. And I was moved when I read in the newspaper story that the little boy simply said, "I wish she could stay here."
Children want us in their lives, and they need us in their lives. And as I've learned from the remarkable men and women like Alphonso that I've met today, each of us has the power to make the difference in the life of a child.
Thank you all very much. Thank you for your efforts to help America's youth, and thanks for being here today. (Applause.)
END 1:30 P.M. CST
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text:
Report Number: WADC TDR 56-645 Part 11
Author: Kerper, M. J.
Author: Eimer, E. H.
Author: Scuderi, T. G.
Corporate Author: National Bureau Of Standards
A relationship between the stress at the point of fracture and the size of the mirror on the fracture face of glass rods of varying diameters has been established, and shown not to be affected by a change in the diameter of the rod. The elastic properties of two chemically strengthened glasses were determined. Young's modulus and shear modulus show a sharp drop in the temperature range from 23.9 C (75 F) to 249 C (480 F). Other glasses in the program did not show this inflection. The strength of these glasses as well as the other glasses in the program were determined at -17.8 C (0 F) and -45.6 C (-50 F), with the results showing that the strength increased at these temperatures as compared to the room temperature strength. Creep curves for the chemically strengthened glasses were obtained at 75 F, and appeared similar to those of earlier glasses in the program. Stress-rupture tests on abraded specimens revealed failures at 75% stress level at most test temperatures, but no failures at 67% at 75 F. Unabraded specimens tested only at 75 F, had failures at 90% but not at 75%.
There has been no verification of an indication of public availability from an inside cover statement


text:
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Learn How Entrepreneurs Stay Curious (for success)
A success mindset is curious and thirsty for knowledge.
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Kevin Harrington
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There are countless opportunities for you to grow your business or start a new business and most of them are under your own feet. As a successful entrepreneur and one of the world's leading coaching experts, I'm going to help you learn how entrepreneurs stay curious (for 100X success).
Do you know what drives my success? It's having curiosity overload and the urge to never stop learning about business, trends, and more. Read on!
Gather information through continuous learning
First, start gathering information through continuous learning by doing the following:
Subscribe to all the magazines and newspapers specializing in the segment you have chosen.
Take promotional communication (email marketing, folders, and website) from competing companies and study, compare and analyze all material.
Talk to employees, customers, and other business owners about industry leaders and growing businesses (in the area of interest) to develop a successful business plan.
Attend related seminars taught by business specialists you wish to pursue. Ask these experts at break times, ask them for advice and recommendations on what to do and what to read.
Start assembling a set of information about the chosen area and do the same over and over again.
Become an expert or what I call: The Key Person of Influence in your industry. The power of specialization is very important and therefore essential for business success.
See yourself as already successful
Start visualizing yourself as a successful person in the business. Create a clear mental picture of how you will look, walk, dress, talk, act and live with the success you intend to achieve in the future.
Combine your visualization with the action. Do something positive and constructive daily toward your goal of business success.
Psychologists have found that you can direct your actions to believe in your ability to win.
Have the success mindset that you have already achieved the desired success. The more you walk, talk and act like a successful person, the more you will feel and believe, and the faster it will become a part of your personality.
"Whatever you vividly imagine, ardently desire, sincerely believe, and enthusiastically act upon… must inevitably come to pass!" — Paul J. Meyer
Keep your eyes open
Look for money-making opportunities everywhere.
A little story to illustrate: A cook who worked for a breaded chicken fast-food franchise saw the need to use a motorized flour sieve to eliminate manual labor. Then, in his spare time, he began building the engine in his garage.
Within a year, he was able to sell 12 of these flour sieves to the restaurant chain owner. The franchise manager was so impressed that he eventually lent the cooking capital to start his own business. The cook prospered and after a while became a millionaire in the manufacture of food processing equipment, saving time and money for fast food companies.
Opportunities exist almost everywhere.
"It's better to look ahead and prepare than to look back and regret." — Jackie Joyner-Kersee
Learn by trial and error
In every field of human activity, you learn to achieve success by trial and error. So, you gradually accumulate a "reservoir of experiences" that allows you to make more right than wrong decisions.
You can accelerate the learning process by carefully observing what other successful executives are doing and by replicating the best they have to offer.
"Wealth is largely the result of habit."
— John Jacob Astor
You have the ability to achieve financial success in any of the multiple business areas.
At this time, you may not have an idea which is best for you. But the fastest way to success is to get used to lifelong learning and studying leaderships in your industry, learning all the possible details of the business you're interested in, so you can stay on top of everything.
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— Published on December 16, 2019
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How to Rewire Your Brain For Massive Success, According to Neuroscience
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/*
 * Licensed under the Apache License, Version 2.0 (the "License");
 * you may not use this file except in compliance with the License.
 * You may obtain a copy of the License at
 *
 *     http://www.apache.org/licenses/LICENSE-2.0
 *
 * Unless required by applicable law or agreed to in writing, software
 * distributed under the License is distributed on an "AS IS" BASIS,
 * WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
 * See the License for the specific language governing permissions and
 * limitations under the License.
 */
package com.facebook.presto.connector;

import com.facebook.presto.metadata.HandleResolver;
import com.facebook.presto.metadata.MetadataManager;
import com.facebook.presto.spi.Connector;
import com.facebook.presto.spi.ConnectorFactory;
import com.facebook.presto.spi.ConnectorHandleResolver;
import com.facebook.presto.spi.ConnectorMetadata;
import com.facebook.presto.spi.ConnectorRecordSetProvider;
import com.facebook.presto.spi.ConnectorSplitManager;
import com.facebook.presto.split.ConnectorDataStreamProvider;
import com.facebook.presto.split.DataStreamManager;
import com.facebook.presto.split.RecordSetDataStreamProvider;
import com.facebook.presto.split.SplitManager;
import com.google.common.base.Preconditions;
import com.google.inject.Inject;

import javax.annotation.Nullable;

import java.util.Map;
import java.util.Map.Entry;
import java.util.concurrent.ConcurrentHashMap;
import java.util.concurrent.ConcurrentMap;

import static com.google.common.base.Preconditions.checkArgument;
import static com.google.common.base.Preconditions.checkNotNull;
import static com.google.common.base.Preconditions.checkState;

public class ConnectorManager
{
    private final MetadataManager metadataManager;
    private final SplitManager splitManager;
    private final DataStreamManager dataStreamManager;
    private final HandleResolver handleResolver;

    private final ConcurrentMap<String, ConnectorFactory> connectorFactories = new ConcurrentHashMap<>();

    private final ConcurrentMap<String, Connector> connectors = new ConcurrentHashMap<>();

    @Inject
    public ConnectorManager(MetadataManager metadataManager,
            SplitManager splitManager,
            DataStreamManager dataStreamManager,
            HandleResolver handleResolver,
            Map<String, ConnectorFactory> connectorFactories,
            Map<String, Connector> globalConnectors)
    {
        this.metadataManager = metadataManager;
        this.splitManager = splitManager;
        this.dataStreamManager = dataStreamManager;
        this.handleResolver = handleResolver;
        this.connectorFactories.putAll(connectorFactories);

        // add the global connectors
        for (Entry<String, Connector> entry : globalConnectors.entrySet()) {
            addGlobalConnector(entry.getKey(), entry.getValue());
        }
    }

    public void addConnectorFactory(ConnectorFactory connectorFactory)
    {
        ConnectorFactory existingConnectorFactory = connectorFactories.putIfAbsent(connectorFactory.getName(), connectorFactory);
        checkArgument(existingConnectorFactory == null, "Connector %s is already registered", connectorFactory.getName());
    }

    public synchronized void createConnection(String catalogName, String connectorName, Map<String, String> properties)
    {
        checkNotNull(catalogName, "catalogName is null");
        checkNotNull(connectorName, "connectorName is null");
        checkNotNull(properties, "properties is null");

        // for now connectorId == catalogName
        String connectorId = catalogName;
        checkState(!connectors.containsKey(connectorId), "A connector %s already exists", connectorId);

        ConnectorFactory connectorFactory = connectorFactories.get(connectorName);
        Preconditions.checkArgument(connectorFactory != null, "No factory for connector %s", connectorName);

        Connector connector = connectorFactory.create(connectorId, properties);
        connectors.put(connectorId, connector);

        addConnector(catalogName, connectorId, connector);
    }

    public void addGlobalConnector(String connectorId, Connector connector)
    {
        addConnector(null, connectorId, connector);
    }

    private void addConnector(@Nullable String catalogName, String connectorId, Connector connector)
    {
        ConnectorMetadata connectorMetadata = connector.getService(ConnectorMetadata.class);
        checkState(connectorMetadata != null, "Connector %s can not provide metadata", connectorId);

        ConnectorSplitManager connectorSplitManager = connector.getService(ConnectorSplitManager.class);
        checkState(connectorSplitManager != null, "Connector %s does not have a split manager", connectorId);

        ConnectorDataStreamProvider connectorDataStreamProvider = connector.getService(ConnectorDataStreamProvider.class);
        if (connectorDataStreamProvider == null) {
            ConnectorRecordSetProvider connectorRecordSetProvider = connector.getService(ConnectorRecordSetProvider.class);
            checkState(connectorRecordSetProvider != null, "Connector %s does not have a data stream provider", connectorId);
            connectorDataStreamProvider = new RecordSetDataStreamProvider(connectorRecordSetProvider);
        }

        ConnectorHandleResolver connectorHandleResolver = connector.getService(ConnectorHandleResolver.class);

        if (catalogName != null) {
            metadataManager.addConnectorMetadata(connectorId, catalogName, connectorMetadata);
        }
        else {
            metadataManager.addInternalSchemaMetadata(connectorId, connectorMetadata);
        }

        handleResolver.addHandleResolver(connectorId, connectorHandleResolver);
        splitManager.addConnectorSplitManager(connectorSplitManager);
        dataStreamManager.addConnectorDataStreamProvider(connectorDataStreamProvider);
    }
}

redpajama_set_name: RedPajamaGithub


Medical device delivery systems, as well as related methods and components, are disclosed.
This application claims priority from U.S. Provisional Application No. 60/510,258 filed Oct. 9, 2003, which is hereby incorporated by reference in its entirety.
This invention relates to medical device delivery systems, as well as related methods and components.
Systems are known for delivering medical devices, such as stents, into a body lumen. Often, such systems include a proximal portion that remains outside the body during use and a distal portion that is disposed within the body during use. The proximal portion typically includes a handle that is held by an operator of the system (e.g., a physician) during use, and the distal portion can include an outer tube surrounding an inner tube with a stent positioned therebetween. Generally, the operator of the system positions the distal portion within the lumen at a desired location (e.g., so that the stent is adjacent an occlusion). The operator can then retract the outer tube to allow the stent to engage the occlusion/lumen wall, and the operator subsequently removes the distal portion of the system from the lumen. In many instances, the handle includes one or more devices that the operator of the system can use to retract the outer tube to allow the stent to engage the occlusion/lumen wall.
In one aspect, the invention features a system that includes an inner tube, an outer tube and an actuator. The outer tube at least partially surrounds the inner tube so that a medical device can be positioned between the inner and outer tubes. The inner and outer tubes are configured to be capable of being disposed within a body lumen. The actuator is configured so that, as a force is applied to the actuator, the actuator can cause relative motion between the inner and outer tubes. The mechanical advantage of the actuator can change as the actuator moves.
In another aspect, the invention features a system that includes an inner tube, an outer tube and an actuator. The outer tube at least partially surrounds the inner tube so that a medical device can be positioned between the inner and outer tubes. The inner and outer tubes are configured to be capable of being disposed within a body lumen. The actuator is configured so that, as a force is applied to the actuator, the actuator can cause relative motion between the inner and outer tubes. As the actuator moves, an amount of force applied to the actuator increases for the inner and outer tubes to move a given distance relative to each other.
In a further aspect, the invention features a system that includes an inner tube, an outer tube, a first actuator and a second actuator. The outer tube at least partially surrounds the inner tube so that a medical device can be positioned between the inner and outer tubes. The inner and outer tubes are configured to be capable of being disposed within a body lumen. The first actuator is configured so that, as a force is applied to the first actuator, the inner and outer tubes can move relative to each other. The second actuator is configured so that, as a force is applied to the second actuator, the inner and outer tubes can move relative to each other. The first and second actuators are configured so that they cannot be simultaneously used to move the inner and outer tubes relative to each other.
In one aspect, the invention features a system that includes an inner tube, an outer tube, a first actuator and a second actuator. The outer tube at least partially surrounds the inner tube so that a medical device can be positioned between the inner and outer tubes. The inner and outer tubes are configured to be capable of being disposed within a body lumen. The first actuator is configured so that, as a force is applied to the first actuator, the inner and outer tubes can move relative to each other. The first actuator has a maximum distance that it can move the inner and outer tubes relative to each other. The second actuator is configured so that, as a force is applied to the second actuator, the inner and outer tubes can move relative to each other. The system is configured so that the second actuator cannot be used to move the inner and outer tubes relative to each other until the first actuator has been used to move the inner and outer tubes the maximum distance relative to each other that the first actuator can move the inner and outer tubes relative to each other.
In another aspect, the invention features a system that includes an inner tube, an outer tube and an actuator. The outer tube at least partially surrounds the inner tube so that a medical device can be positioned between the inner and outer tubes. The inner and outer tubes are configured to be capable of being disposed within a body lumen. The actuator is configured so that, as a force is applied to the first actuator, the inner and outer tubes can move relative to each other. The actuator has first and second stages of operation. In the first stage of operation the actuator is capable of moving the inner and outer tubes relative to each other as the actuator is rotated, and in the second stage of operation the actuator being capable of moving the inner and outer tubes relative to each other as the actuator is moved linearly.
The mechanical advantage of an actuator can change as the actuator rotates about an axis that is collinear with the outer tube.
The mechanical advantage of an actuator can change as the actuator rotates about an axis that is perpendicular to the outer tube.
The mechanical advantage of an actuator can change continuously as the actuator moves.
The mechanical advantage of an actuator can decrease as the actuator moves.
An actuator can be formed of a rotatable member (e.g., a cam) having a radius that increases as the actuator rotates. The system can further include a windable member that couples the rotatable member to the outer tube. The windable member can be, for example, a wire, a cord, a ribbon or a flat gears.
An actuator can be formed of a rotatable member and a shaft, with the shaft being coupled to the rotatable member and configured so that, as the rotatable member rotates, the outer tube moves. As examples, the rotatable member can have a groove and the shaft can have a projecting member that mates with the groove, or the shaft can have a groove and the rotatable member can have a projecting member that mates with the groove. The pitch of the groove can vary (e.g., vary continuously).
The system can further include a housing coupled to the actuator. An actuator can be at least partially disposed within the housing. At least a portion of the housing can be proximal to a proximal end of the outer tube. The housing can be configured to be held by an operator of the system during use of the system.
As a force is applied to the actuator, the actuator can cause the outer tube to move.
An actuator can be coupled to the outer tube, the inner tube or both.
Embodiments of the invention can provide one or more of the following advantages.
In some embodiments, the systems can provide relatively fine and/or controlled movement of the outer tube as the outer tube is retracted. By fine and/or controlled movement, it is generally meant that an operator of the system can use the system to achieve refined and/or small scale movement of outer tube in a relatively controlled fashion as the outer tube is retracted. For example, the systems can provide relatively fine and/or controlled movement of the outer tube as the outer tube is initially retracted to expose the medical device. The relatively fine and/or controlled movement of the outer tube can be maintained during the entire process of retracting the outer tube, or the relatively fine and/or controlled movement of the outer tube can be maintained for only a portion of the outer tube retraction process (e.g., until at least a portion of the medical device is exposed and/or engages the lumen wall). The relatively fine and/or controlled movement of the outer tube can enhance the accuracy of placement of the medical device (e.g., in a body lumen).
In certain embodiments, the systems can include one or more actuators to provide variable (e.g., continuously variable) mechanical advantage as the actuator(s) is/are moved (e.g., linearly moved, rotationally moved) to retract the outer tube and expose the medical device (e.g., for placement in a body lumen). For example, the mechanical advantage can decrease as the actuator(s) is/are moved. This can allow for varying degrees of fineness/coarseness in the movement of the outer tube as the actuator(s) is/are moved. For example, the actuator(s) can be designed to provide a relatively high mechanical advantage as the outer tube is retracted to initially expose the medical device, and a relatively low mechanical advantage as the outer tube is further retracted. This can, for example, allow for relatively fine and/or controlled movement of the outer tube as the medical device is initially exposed, and subsequent relatively coarse movement of the outer tube (e.g., as the remaining portion of the medical device is exposed after the medical device initially engages the lumen wall, after the medical device is fully exposed and engaged with the lumen wall).
In some embodiments, a single actuator is used to provide variable (e.g., continuously variable) mechanical advantage. This feature can be desirable because it can allow the operator of the system to use single hand/thumb/finger to retract the outer tube (e.g., for both relatively fine and/or controlled movement of the outer tube and for relatively coarse movement of the outer tube).
In certain embodiments, the systems include a single actuator for which the amount of force applied to the actuator to make the outer tube move a given distance varies (e.g., continuously varies) as the actuator is moved. For example, the amount of force applied to the actuator to make the outer tube move a given distance can decrease as the actuator is moved. This can, for example, allow the actuator to provide both relatively fine and/or controlled movement of the outer tube (e.g., as the medical device is initially exposed) and for relatively coarse movement of the outer tube (e.g., as the remaining portion of the medical device is exposed after the medical device initially engages the lumen wall, after the medical device is fully exposed and engaged with the lumen wall).
In some embodiments, the systems use one actuator to move the outer tube, where the actuator has one stage in which rotational movement of the actuator is used to retract the outer tube (e.g., to achieve relatively fine and/or controlled movement of the outer tube) and a second stage in which linear movement of the actuator is used to move the outer tube (e.g., to achieve relatively coarse movement of the outer tube).
In certain embodiments, the systems use two actuators to retract the outer tube, with the system being designed so that both actuators cannot be used simultaneously. For example, one actuator can be used to achieve relatively fine movement of the outer tube (e.g., as the medical device is initially exposed), and a different actuator can be used to achieve relatively coarse movement of the outer tube (as the remaining portion of the medical device is exposed after the medical device initially engages the lumen wall, after the medical device is fully exposed and engaged with the lumen wall).
In some embodiments, the systems use first and second actuators to retract the outer tube, with the system being designed so that second actuator cannot be used until the first actuator has moved the outer tube a maximum distance that the first actuator can move the outer tube. For example, one actuator can be used to achieve relatively fine movement of the outer tube (e.g., as the medical device is initially exposed), and a different actuator can be used to achieve relatively coarse movement of the outer tube (as the remaining portion of the medical device is exposed after the medical device initially engages the lumen wall, after the medical device is fully exposed and engaged with the lumen wall).
Features and advantages of the invention are in the description, drawings and claims.
FIG. 17 is a partial cross-sectional view of a portion of the proximal portion of an embodiment of a stent delivery system.
FIGS. 1-4 show a stent delivery system 100 having a proximal portion 110 and a distal portion 120. System 100 includes an outer tube 130, an inner tube 140 and a stent 150 positioned between outer tube 130 and inner tube 140. Delivery system 100 also includes a wire 160 that is connected to outer tube 130 at a distal location 162 and connected to a cam 190 at a proximal location 164 (e.g., a slit in cam 190 into which wire 160 can fit) so that wire 160 couples outer tube 130 to cam 190. Cam 190 is mounted on a thumb wheel 180 having knurls 182 (FIG. 3). Thumb wheel 180 is partially disposed within a handle 170 having a guide wire port 172.
With this configuration, as thumb wheel 180 is rotated, cam 190 rotates about an axis 194 that is perpendicular to outer tube 130, and wire 160 winds around outer periphery 192 of cam 190. Because outer periphery 192 increases as cam 190 is rotated, the mechanical advantage provided by cam 190 decreases as cam 190 is rotated. This can allow for relatively fine and/or controlled retraction of outer tube 130 as cam 190 is initially rotated (as wire 160 winds around a portion of outer periphery 192 which is relatively large to retract outer tube 130 and initially expose stent 150), and can also allow for relatively coarse movement of outer tube 130 as cam 190 is later rotated (as wire 160 winds around a portion of outer periphery 192 which is relatively small to retract outer tube 130 after stent 150 is initially exposed and at least partially engaged with a body lumen).
In some embodiments, outer periphery 192 is dimensioned to be about the same as or greater than the distance that outer tube 130 travels to fully expose stent 150. In such embodiments, stent 150 is fully exposed by rotating thumb wheel 180 and cam 190 so that wire 160 is wrapped around periphery 192 a single time. In other embodiments, outer periphery 192 can be dimensioned differently.
FIG. 5 depicts a graph which is representative in nature and generally demonstrates the variation in mechanical advantage that can be provided by cam 190 as cam 190 is rotated and outer tube 130 is retracted. As shown in FIG. 5, the variation in the mechanical advantage of cam 190 can be continuous and monotonically decrease as outer tube 130 is retracted. Although depicted in FIG. 5 as varying in a linear fashion, in some embodiments, the mechanical advantage of cam 190 can vary in a non-linear fashion.
FIGS. 6A-6C show a stent delivery system 200 that also uses a single actuator to achieve continuous change in mechanical advantage. System 200 includes a proximal portion 210 and a distal portion 220. System 200 includes a handle 230 that is coupled to a rotatable member 240. Handle 230 houses a shaft 250 having a groove 252 that mates a projecting member (e.g., a tooth, a pin, a dowel) 242 in rotatable member 240 so that, as rotatable member 240 is rotated about an axis collinear with outer tube 130, shaft 250 moves proximally. Shaft 250 is coupled to outer tube 130 so that, as shaft 250 moves proximally, outer tube 130 is retracted. Groove 252 have a continuously variable pitch so that the mechanical advantage of rotatable member 240/shaft 250 varies continuously as rotatable member 240 is rotated and outer tube 130 is retracted.
As shown in FIGS. 6A-6C, the pitch of groove 252 increases as shaft 250 is rotated to retract outer tube 130, resulting in a decrease in mechanical advantage of rotatable member 240/shaft 250 as outer tube 130 retracts. This can allow for relatively fine and/or controlled retraction of outer tube 130 as rotatable member 240 is initially rotated (as projecting member 242 engages groove 252 at a location where groove 252 has a relatively high pitch to retract outer tube 130 and initially expose stent 150), and can also allow for relatively coarse movement of outer tube 130 as rotatable member 240 is later rotated (as projecting member 242 engages groove 252 as a location where groove 252 has a relatively low pitch to retract outer tube 130 after stent 150 is initially exposed and at least partially engaged with a body lumen).
While systems have been shown in which a single actuator is used to achieve continuous change in mechanical advantage, in some embodiments, a single actuator is used to achieve a non-continuous change in mechanical advantage. For example, FIGS. 7-10 show the proximal portion of a stent delivery system 300. System 300 includes a handle 310 with a fluid flush port 312 and a guide wire port 314. Handle 310 is partially housed in a rotatable dial 320 that has finger rests 322. Dial 320 also includes a pinion 324 that is designed to engage a rack 330 so that, while pinion 324 is engaged with rack 330, rotation of dial 320 (arrow A) results in linear movement of dial 320. As depicted in FIG. 8, clockwise rotation of dial 320 while pinion 324 is engaged with rack 330 results in proximal linear movement of dial 320. As dial 320 moves linearly, pinion 324 becomes disengaged from rack 330, at which point dial 320 can move linearly (arrow B) in the proximal direction along track 340 by pulling one of the finger rests 322 of dial 320.
Alternatively, system 300 can include an actuator (e.g., a finger ring) in addition to dial 320 that is coupled to dial 320 and outer tube 130 so that, as pinion 324 becomes disengaged from rack 330, the additional actuator (e.g., finger ring) becomes exposed. For example, the additional actuator can be disposed within the distal portion of opening 316 in handle 310 when pinion 324 is engaged with rack 330 so that the additional actuator is hidden from and/or inaccessible to an operator of system 300 until pinion 324 becomes disengaged from rack 330, at which point the additional actuator becomes accessible to the operator of system 300.
Dial 320 is coupled to outer tube 130 so that dial 320 has two different stages of movement relative to the movement of outer tube 130. In a first stage, pinion 324 is engaged with rack 330, and rotation of dial 320 results in retraction of outer tube 130. In a second stage, pinion 324 is disengaged from rack 330, and linear movement of dial 320 results in retraction of outer tube 130. As shown in FIGS. 7-10, the two stages of movement of dial 320 cannot be used simultaneously, and the second stage of movement of dial 320 cannot be used until the first stage of movement of dial 320 has been used to retract outer tube 130 the maximum distance that the first stage can retract outer tube 130.
FIG. 11 depicts a graph which is representative in nature and generally demonstrates the variation in mechanical advantage that can be provided by dial 320 as dial 320 is rotated in a first stage and then moved linearly in a second stage. As shown in FIG. 10, the variation in the mechanical advantage of dial 320 can be in the form of a step function.
FIGS. 12 and 13 show the proximal portion of a system 400 having one actuator to achieve non-continuous change in mechanical advantage. System 400 includes a handle 410 with a fluid flush port 412 and a guide wire port 414. A rotatable dial 420 has a groove that mates with thread 416 in the outer surface of handle 410 so that, as dial 420 rotates and engages thread 416, dial 420 moves linearly. As depicted in FIGS. 12 and 13, counterclockwise rotation of dial 420 (Arrow C) results in proximal linear movement of dial 420. As dial 420 moves linearly(distance L in FIG. 12), the groove in dial 420 become disengaged from thread 416, at which point dial 420 can move linearly (arrow D) in the proximal direction by pulling dial 420.
Dial 420 is coupled to outer tube 130 so that dial 420 has two different stages of movement relative to the movement of outer tube 130. In a first stage, groove in dial 420 are engaged with thread 416 in handle 410, and rotation of dial 420 results in retraction of outer tube 130. In a second stage, the groove in dial 420 are disengaged from thread 416, and linear movement of dial 420 results in retraction of outer tube 130. As shown in FIGS. 12 and 13, the two stages of movement of dial 420 cannot be used simultaneously, and the second stage of movement of dial 420 cannot be used until the first stage of movement of dial 420 has been used to retract outer tube 130 the maximum distance that the first stage can retract outer tube 130.
While systems have been shown as having one actuator with a second stage of movement that cannot be used until a first stage of movement is completed in order to achieve non-continuous change in mechanical advantage, in certain embodiments, one actuator can be used that has two stages in which the actuator does not retract the outer tube the maximum distance that the actuator can in the first stage before the second stage can be used. For example, FIGS. 14 shows the proximal portion a system 500 that is similar to system 400 except that dial 420 includes a release device 425 that disengages the groove in dial 420 from projecting element 416 in handle 410. Device 425 can be any device capable of causing the retraction of element 416 from the groove in dial 420 upon depression of device 425. For example, designed to form a lever with projecting element 416 so that, as device 425 is depressed, projecting element 416 retracts from the groove in dial 420. During use, release device 425 can be activated at any desired time so that the user can switch from the first stage of movement of dial 420 (rotational movement of dial 420 causes retraction of outer tube 130) to the second stage of movement of dial 420 (linear movement of dial 420 causes retraction of outer tube 130) before the first stage of movement of dial 420 has been used to retract outer tube 130 the maximum distance that the first stage can retract outer tube 130.
While systems have been shown in which a single actuator is used to achieve non-continuous change in mechanical advantage as the outer tube is retracted, in some embodiments, more than one actuator can be used to achieve non-continuous change in mechanical advantage as the outer tube is retracted. For example, FIGS. 15, 16A and 16B show the proximal portion of a system 600 having a fluid flush port 602 and a handle 610 that includes a guide wire port 614. System 600 also includes a dial 620, a slidable block 625, a track 650, an inner member (e.g., hypotube) 655, and a graspable member 630. Dial 620 has an open region 622 with a diameter greater than a diameter of a thread 628 on a screw 629. Dial 620 is uncoupled to outer tube 130, but screw 629 is coupled to outer tube 130 so that, when shoulder 624 of dial 620 is in contact with shoulder 626 of block 625, rotating dial 620 (Arrow E) causes outer tube 130 to move proximally. Screw 629 includes wings 627 that fit in track 650 to prevent rotation of outer tube 130 as screw 629 rotates. However, block 625 is dimensioned to fit within both dial 620 and handle 610 so that, at any desired time, graspable member 630 (which is coupled to outer tube 130) can be moved proximally to move outer tube 130 proximally. Thus, system 600 has first and second actuators, each capable of providing a different mechanical advantage, with the second actuator (member 630) being capable of being used before the first actuator (dial 620) moves outer tube 130 the maximum distance that the first actuator can move outer tube 130.
FIG. 17 is a partial cross-sectional view of the proximal portion of a stent delivery system 800 which is similar to system 700, except that system 800 does not include block 625. Instead, dial 620 has a portion 621 with a groove that mates thread 628 of screw 629. With this system, member 630 cannot be used to move outer tube 130 until dial 620 is used to move outer tube 130 the maximum distance that dial 620 can move outer tube 130.
While certain embodiments, have been described, other embodiments are possible.
As an example, while systems have been described which include one or more actuators to retract the outer tube of a stent delivery system, in some embodiments, one or more actuators can be designed to move the outer tube in the distal direction (e.g., by moving a cam in the opposite direction, by moving a shaft in the opposite direction, by rotating a dial in the opposite direction, by rotating a knob in the opposite direction).
As another example, while systems have been described in which the mechanical advantage of the actuator(s) decreases as the actuator(s) move and the outer tube moves, in some embodiments, the mechanical advantage of the actuator(s) can increase as the actuator(s) move and the outer tube moves (e.g., by using a cam with a periphery that decreases as the cam is rotated, by using a shaft with threads having a pitch that increases as the shaft is rotated).
As another example, in some embodiments, a system can include a lock to prevent the actuator(s) from moving.
As an additional example, while stent delivery systems have been described, in certain embodiments, the systems can be used to deliver other medical devices. Such medical devices include, for example, filters (e.g., arterial or venus filters) and stent grafts.
As a further example, while stent delivery systems have been described in which the outer tube is moved proximally by one or more actuators, more generally the actuator(s) can be used to cause relative motion between the inner and outer tubes. As an example, in some embodiments, the actuator(s) can cause the inner tube to move (e.g., move distally) with or without causing the outer tube to move.
wherein the mechanical advantage of the actuator linearly decreases as the actuator moves in the proximal direction so that the actuator provides fine and controlled proximal refraction of outer tube when the thumb wheel is initially rotated and coarse proximal retraction of outer tube when the thumb wheel is later rotated.
2. The system of claim 1, further comprising a housing coupled to the actuator.
3. The system of claim 2, wherein the actuator is at least partially disposed within the housing.
4. The system of claim 2, wherein at least a portion of the housing is proximal to a proximal end of the outer tube.
5. The system of claim 2, wherein the housing is configured to be held by an operator of the system during use of the system.
6. The system of claim 1, wherein the actuator comprises a cam.
7. The system of claim 1, further comprising a windable member that couples the rotatable member to the outer tube.
8. The system of claim 7, wherein the windable member is selected from the group consisting of wires, cords, ribbons, flat gears and combinations thereof.
9. The system of claim 7, wherein the windable member comprises a wire.
10. The system of claim 1, wherein the rotatable member is integral with the rotatable element.
11. The system of claim 1, wherein the rotatable element is configured to be rotated by an operator of the system during use of the system.
12. The system of claim 1, wherein the rotatable element is positioned proximal to a proximal end of the outer tube.


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This may be of use when you need to uninstall a "phantom" printer.
the printer driver (Canon MP610 selected) | Windows Update.
tells me that no compatible printer is installed!
uninstall something which isn't there?
"Delete", upon confirmation the printer will be removed from the list.
network, so why do the printers appear there?
Windows actually has networking built in.
there is more than one possible path.
obscure rules, to have one point to another.
There is also a concept of "pipes" that can come into play.
referred to as a USB printer, the default printer, LPT1, or a "network"
and not to be taken as technically accurate.
possible "paths" to a printer(or FAX or Scanner).
had a "Twain" driver for the scanner/Fax.
be an ascii printer, a postscript printer, an Epson printer, or a "raw"
different printer "queues" the appropriate driver was tied to the queue.
The queues all pointed to the same printer.
sometimes obscure rules, to have one point to another.
principle, and not to be taken as technically accurate.
the possible "paths" to a printer(or FAX or Scanner).
just sort of came together at the end?
While fiddling around I came across something I've never noticed before.
That is the print dialogue box which appears when you choose "Print"
non-MS printer dialogue boxes, where these are absent.
Those aren't the only differences.
software. Obviously, there can be extensions as the mfr chooses.
Ethernet port) and MS vs Epson drivers, and at what level they are used.
package intended for use with/on server windows versions.
was "connected" via the different schemes.


text:
The Sonnet Theater @ The Producers Club 358 W. 44th St. NYC, NY 10036 ~ failsafefestival.com ~ FB: @failsafefestivalnyc ~ #FailSafeFestival
© 2020 by FailSafe Festival. Proudly created with Wix.com. For more information, e-mail: failsafefestival[at]gmail.com
Specially Processed American Me
Jaime Sunwoo
www.speciallyprocessed.com
FB: @speciallyprocessed
IG: @speciallyprocessed
(Image Credit: Jaime Sunwoo)
Performance Dates:
Thursday, August 9 @ 6pm
Sunday, August 12 @ 12pm
https://speciallyprocessedamericanme.brownpapertickets.com
Tickets will also be available for purchase in person half an hour prior to performance. Cash only in person.
Specially Processed American Me is a multidisciplinary performance using SPAM, the canned meat, to connect memories of the artist's Korean-American upbringing and share her family's accounts of the Korean War. It investigates SPAM's legacy in the military, its place in individual and collective memory, and its influence on Korean cuisine through a narrative collage of monologues, animation, soundscapes, sculpture, and cooking. Thrashing between absurd humor and sober tragedy, genuine affection and biting criticism, Specially Processed American Me is a thought-provoking exploration of one of America's most misunderstood foods.
In addition to performances, Specially Processed American Me holds food history and storytelling workshops over a communal SPAM meal. To learn more, visit speciallyprocessed.com and follow us on Facebook and Instagram @speciallyprocessed
Jaime Sunwoo (Artist, Creator) is a Korean-American multidisciplinary artist from Brooklyn, New York. She combines video, audio, sculpture, and storytelling to create sensory performances in galleries, theaters, and public spaces. Her works are part playful, part tragic, and often examine food as a way to discuss identity, history, and death. She studied art at Yale University, where she wrote and directed Household. Her site-specific projects include The Creature for the DUMBO Arts Festival, and interactive bar installation Earshot. She has collaborated with Whoop Dee Doo, and appeared on PBS's Art21. Her upcoming public works will be featured in STooPS Art Crawl and Art in Odd Places 2018. She is currently a fellow at the Laundromat Project for socially engaged art.
Matt Chilton (Sound Designer, Composer) is a New York native and Brooklyn-based musician and producer focused on building immersive soundscapes from improvisations and unconventional sources. He previously worked with Jaime Sunwoo on her domestic drama Household at Yale University and most recently with playwright and songwriter Aya Aziz on her one-woman show Eh Dah: Questions for my Father at New York Music Festival, New York International Fringe Festival, and Planet Connections Theater Festivity. He studied composition, recording, and sound design with Paula Matthusen at Wesleyan University.
Chris Ignacio (Producer) is a New York-based theatre artist, musician, puppeteer, and educator. He has toured nationally and abroad since earning his BFA from The Boston Conservatory at Berklee. He is a current Culture Push Fellow, and Queens Council on the Arts: Community Engagement Commissioning grant recipient for his project, Co-written, which involves songwriting with young people of color. His is dedicated to working with marginalized communities toward an empowering self-actualization through theater and music. He recently served as Associate Producer for the Obie Award winning Ma-Yi Theater Company.
Hao Bai (Lighting Designer) works as a designer & technician in lights, sound, & video, and occasionally photographer. Selected recent design credits: Lighting Design: Shasta Geaux Pop (CAC, Cincinnati); Run! It's Getting Ugly (by Susana Cook @ JACK); YNCAST (by Stacey Robinson @ JACK); 2017 & 2018 La Mama Moves!; Kate Bornstein; Mindanao Dance (La Mama), ADITL (La Mama); The Plain of Jars (NYU); Being (NYU), "Medusa" and "Oddity" (TNC); Lighting & Set Design: House or Home (Park Avenue Armory); The Workroom (One Art Space); Music & Sound Design: Don Quixote Takes New York (Loco7); The Violin (59E59), Gemini Stars/Scorpio Stars (Pioneers Go East Collective); Puppet-Shows (Loco7), Paisieu (Target Margin); Video & Sound Design: American Mill #2 (A.R.T/New York Theatres); Lighting & Sound design: TELE-VISION (Triskelion Arts); Gemini Stars (Triskelion Arts); Sound Departures (La Mama)
Mia Bloomfield (Performer) is an improviser and singer/song writer living in Brooklyn. She writes and stars in her 1960's parody girl group The Baguettes, The Baguettes Variety Time podcast coming soon. You can see her improvise at the Magnet Theater in the Melodrama and all over the city with her all women improv team ButterFly Kisses.
Lea McKenna-Garcia (Performer) is an actor, writer, and singer, based in New York. She trained at the Royal Central School of Speech and Drama in London, England, and has performed at regional theaters across the US, and all around NYC.
Amy Savino (Performer) is a singer who lives in the tri-state area. A former student at the Eastman School of Music, Amy has performed as the second lady in Die Zauberflöte, Gretel in Hänsel und Gretel, and as a soprano soloist in The Messiah, Vivaldi's Gloria, Pergolesi's Stabat Mater, Faure's Requiem, and Bach's Christmas Oratorio, along with numerous recitals.


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We use only the best products in the market. From paints, paint brushes, sealants and even the plastic sheeting. When it comes to our clients, we don't hold back on the quality of the materials we use. Even our painting crews are the best in the industry.
You book our services. After this we set up a meeting or a call to get the details on how you would like the job completed. We also take the time to have a look at the walls that need work.
Once you have confirmed the details of the interior painting job and other details, we are ready to start preparing the walls for painting.
Even though we do most of the heavy lifting, we will ask you to remove any valuable and fragile items like pictures and picture frames from the area that is going to be paid.
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This is the changelog for ReactOS™ version 0.2.9 (released 23 December, 2005), an open-source operating system designed to be binary executable- and device driver-compatible with Microsoft™ Windows NT™ and subsequent Microsoft operating systems such as Windows 2000™ and Windows XP™. ReactOS is written by the ReactOS development team, and the last previous version of ReactOS was version 0.2.8 (released 29 October, 2005).
Improve Freeloader compilation speed and remove lots of code duplication.
Update NDK to 1.0 and fix all required FIXMEs for release.
Incomplete I/Os (warning levels) took a completely wrong path for completion.
Fixed the mapping for low alignment images (Hartmut Birr).
i8042prt "increase the number of passes to detect the mouse and keyboard - fixes mouse detection under VMware if the VM does not have ownership of the mouse. Thanks to GreatLord and Royce"
Removed some escape sequences from the command line in CreateProcessInternalW. (Hartmut Birr).
Implement GetDeviceCapabilities, GetDeviceCount for modMessage.
Implement GetDeviceCapabilities implement GetDeviceCapabilities and GetDeviceCount for midMessage.
Remove hardcode of Find one device of midiout and wavout now scan for WaveOutXX, WaveInXX, MidiInXX, MidiOutXX, AuxXX.
Implement AUXDM_GETVOLUME, AUXDM_SETVOLUME which completes auxMessage.
Implement more case to widMessage, remove the stub of ThreadCallWaveDevice and implement it there it need it.
Implement some part of waveopen.
Implement soundGetData and WaveThreadSetState, implement soundSetData.
Fixed a bug where the first applet in main.cpl could only be called (fixes by Alex Buell <alex.buell(at)munted.org.uk> and Sebastian Gasiorek).
Invalidate the start value if the start key doesn't exist (Hartmut Birr).
Changed all registry functions to WCHAR. Implemented packed/unpacked names for keys and values. Fixed the hash values for very short data (Hartmut Birr).
Don't search for a serial mouse, if the port is used for debug prints (Hartmut Birr).
Get the cursor keys on the numpad working (patch by tinus).
This page was last edited on 7 September 2008, at 13:45.