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Justia Patents Surgery Patents Instruments Patents Orthopedic Instrumentation Patents Internal Fixation Means Patents Intramedullary Fixator Patents Cross-fastened Patents (Class 606/64)
Cross-fastened Patents (Class 606/64)
Instrument for aligning fixing screws to be inserted in transverse holes of nails for long bones, in particular medullary nails
Abstract: The invention relates to an improved-structure instrument (1) for allowing the alignment of fixing screws (2) to be inserted in transverse holes (3, 13) of nails (4) for long bones, in particular medullary nails, of the type comprising an arched arm (15) having a free distal end (6) connectable to a proximal end (16) of a head (7) of the nail (4) in which the transverse holes (3, 13) are formed, and a proximal handle portion (5), as well as a connection portion (20) between the distal end (6) and the proximal handle portion (5). Advantageously, the connection portion (2) comprises at least one through-hole (23, 33) for receiving a guide tube (10) for a drilling bit, the through-hole (22, 33) having an axis coinciding with the axis of one of the transverse holes (3, 13) and manually operated quick-locking means (25) are associated with the through-hole (23, 33) so as to lock in a stable position the corresponding tube (10) inserted in the instrument (1).
Assignee: ORTHOFIX S.R.L.
Inventors: Andrea Zaccaria, Marco Magni, Daniele Venturini
Lapidus screw guide assembly and method of insertion
Abstract: A screw guide assembly includes a guide body extending along a central longitudinal axis. The guide body has a proximal end portion having an attachment face extending perpendicular to the longitudinal axis and a distal end portion having a screw support member extending away from the longitudinal axis. The screw support member is configured to allow for the insertion of a screw at an angle oblique relative to the longitudinal axis. A wire guide is removably inserted into the screw support member. A method of inserting a screw using the assembly is also disclosed.
Assignee: Tyber Medical, LLC
Inventors: Jeffrey Tyber, Chandler Kline, Matthew Atoulikian
Flexible shaft guide tube
Abstract: A system for treating a bone includes an insertion device for an intramedullary nail. A first end includes a channel extending therethrough so that, when the insertion device is coupled to an intramedullary nail, the channel of the device is aligned with and in communication with a channel of the nail. The system also includes a guide sleeve extending from a proximal end to a distal end and including a first bend extending along a portion of a length thereof so that a longitudinal axis of a distal portion of the sleeve is angled with respect to a longitudinal axis of a remaining portion of the sleeve. In an operative position, the distal end of the sleeve is inserted into the channel of the device and the remaining portion of the sleeve extends toward a lateral side of a bone being treated.
Assignee: DePuy Synthes Products, Inc.
Inventors: Stanley J. Kmiec, Jr., Stanley J. Kmiec, III
Fused femoral stem system
Abstract: The present invention provides a fused femoral stem system, including a curved short handle, a fixing mechanism and a femoral head prosthesis, one end of the curved short handle is provided with a conical connector, the conical connector is cooperatively connected with a conical connecting hole of the femoral head prosthesis, the other end of the curved short handle is inserted from the osteotomy surface of the femoral neck and stretches to the position of a medullary cavity below a small trochanter, and the curved short handle is connected and fixed with a large trochanter through the fixing mechanism. The present invention has the beneficial effects that, after the growing-in osseointegration with the sclerotin surrounding the proximal bone bed of the host after the surgery of the whole system, the mechanical influence on the retained femoral neck and the sclerotin in the vicinity of the large and small trochanters is substantially similar to the biomechanical state prior to the surgery.
Assignee: BEIJING AK MEDICAL CO., LTD
Inventor: Weiping Zhang
System and method for bone fixation using a nail locked to an encircling anchor
Abstract: Systems and methods for fixing bone using an intramedullary nail locked to an encircling anchor including a bushing and a locking member. An exemplary system may include any combination of the nail, one or more bushings, one or more locking members, an instrument to guide installation of the bushing, at least one drill, and a driver that attaches to the bushing. The instrument may define a guide axis and be configured to be coupled to a bone such that the guide axis extends across the bone. The instrument may be used to guide a drill, the bushing, and/or the locking member along the guide axis into the bone. The nail may be configured to be placed along the medullary canal of the bone such that the nail extends through the bushing, and the locking member may be configured to lock the nail to the bushing.
Assignee: Acumed LLC
Inventors: Mark B. Sommers, Roy Werner Sanders, James G. Falkner, Jr., Caleb Abraham Martin, Zachary James Stroh, Scott Francis Mastroianni, Andrew William Seykora, Ann Nicole Santich, Larry W. Ehmke, Oren S. Bernstein
Internal fixator for bone fracture
Abstract: A bone fracture internal fixator for repairing a bone fracture of a femoral neck that allows load to be applied to the associated bone parts evenly, and increases the connecting strength between the femoral head and femoral shaft while minimizing the risk of the femoral head being torn apart by the inner connecting member by increasing the diameter of the inner fixing member. The central axial line of the femoral head is offset from the central axial line of the intramedullary nail placed in the medullary cavity of the femoral shaft. In order to bring the inner fixing member such as a lag screw configured to be inserted through the femoral neck close to the central axial line of the femoral neck, the central axial line of the through hole for receiving the inner fixing member is offset from the central axial line of the intramedullary nail.
Inventors: Sakae Tanaka, Takehiro Matsubara, Ikufumi Yamada
Intramedullary nail with cannulation access hole
Abstract: In one embodiment, an intramedullary nail has a nail body that has a proximal end and a distal end that are offset from one another such that the body is elongate from the proximal end to the distal end. The body has an outer surface, and an inner surface. The inner surface defines a cannulation that extends into the proximal end towards the distal end. The body defines a proximal bone-anchor hole that extends into the outer surface and entirely through the nail, and a distal bone-anchor hole that extends into the outer surface and entirely through the intramedullary nail at a location between the proximal bone-anchor hole and the distal end. The nail also defines an access hole extends into the outer surface between the leading portion and the trailing portion. The access hole terminates at the cannulation and is in communication with the cannulation.
Inventor: Nicholas Karg
Trochanteric nail with locking opening
Abstract: A trochanteric nail for insertion in an intramedullary canal of a bone for treating bone fractures. The nail may include an elongate body having a head portion and a stem portion. One or more openings may be provided in the head portion for receiving an anchoring member, such as a bone screw, for fastening the nail within the bone. An intermediate opening may also be provided in the stem portion for receiving an anchoring member. A distal area of the nail may include or be free from anchoring members. In addition, a set of nails may be provided with each of the nails of the set of nails having different length in which the intermediate opening is the same distance from the proximal end for each of the nails.
Assignee: Advanced Orthopaedic Solutions, Inc.
Inventor: Stephen Yacoubian
Bone screw extender reattachment system and methods
Abstract: A bone screw extender reattachment system including an elongated reattachment rod having a proximal and a distal end. The distal end of the elongated reattachment rod includes a tip configured to attach to a head of a bone screw. The elongated reattachment rod is configured so that a screw extender assembly having an inner sleeve, an outer housing and an extender head can slide over the reattachment rod. The bone screw extender reattachment system also includes a tension plunger having a plunger-type heed and an elongated shaft configured to slide over the reattachment rod so as to communicate with the screw extender assembly.
Assignee: Warsaw Orthopedic, Inc.
Inventors: Timothy E. Hopkins, Larry T. McBride
Fracture fixation device having clip for stabilizing intramedullary nail
Abstract: Fracture fixation devices and methods achieve stabilization of a bone fragment. A nail section of the device is dimensioned to be positioned within an intramedullary canal of a bone such that the nail section spans a fracture site in the bone. The nail section bends into a post-insertion configuration different from a pre-insertion configuration when inserted into the intramedullary canal. The nail fastening section is connected to the nail section by a connecting element on a first side of the fracture site. At least a portion of the nail fastening section is positioned outside the bone. A first end of the nail section and a second end of the nail fastening section are positioned on an opposite second side of the fracture site when the fracture fixation device is implanted in the bone.
Assignee: The General Hospital Corporation
Inventor: Saechin Kim
Positioning device for securing an intramedullary nail in a long bone
Abstract: The present invention relates to a positioning device (100, 100?, 100?) for securing an intramedullary nail (19) in a long bone, said positioning device comprising a guide bow (1), with an adjusting device (3) and a sleeve guide (2), wherein the adjusting device (3) has a targeting device (5); and wherein the targeting device (5) is designed to receive a locking device (21) or an instrument (23) for acting on the locking device (21); and wherein the sleeve guide (2) has a sleeve (7), which sleeve (7) is mounted in the sleeve guide (2) such that it can be rotated and/or slid relative to the sleeve guide (2); and wherein the sleeve (7) has a longitudinal through-opening for receiving a guiding device therein.
Date of Patent: November 26, 2019
Assignee: OT MEDIZINTECHNIK GMBH
Inventors: Hao Luo, Ulrich Schreiber
Osseointegrable device
Abstract: An implant arranged for integration into a skeletal bone of a patient, comprising: a body having at least one end, the body being arranged to substantially mimic a portion of a skeletal bone; wherein the at least one end includes an enlarged portion arranged to, in use, prevent migration of the implant into the flesh of a patient.
Assignee: OSSEOINTEGRATION HOLDINGS PTY LTD
Inventor: Munjed Al Muderis
Intramedullary device with compound fastener trajectories
Abstract: An intramedullary device, having a first longitudinal axis extending between a proximal end and a distal end thereof, is provided. The intramedullary device may include a first bore and a second bore. The first bore may include a second longitudinal axis and may extend through the intramedullary device between a first opening and a second opening. The second longitudinal axis may define a first angle (?1) with the first longitudinal axis. The second bore may include a third longitudinal axis and may extend through the intramedullary device between the first opening and a third opening. The third longitudinal axis may define a second angle (?2) with the first longitudinal axis.
Assignee: Biomet C.V.
Inventors: Stephen Andrew Sems, Daniel S Horwitz, Tracy J. Watson, Michael Karl-Heinz Wich, Greg Gohring, Daren David Granger, Joseph Michael O'Reilly
Surgical systems, kits and methods for setting bone segments
Abstract: An intramedullary nail system is provided with at least one resilient, elongate nail body configured to extend axially along a medullary bone cavity, and at least one bone anchor. The bone anchor includes a distal bone engagement portion configured to secure the anchor to a bone, a proximal nail engagement portion configured to receive a portion of the nail body therethrough, and a tightening mechanism configured to move from a movable state in which the nail body may slide axially and rotate through the engagement portion and a fixed state in which the nail body is prevented from moving relative to the engagement portion. Methods of use and surgical kits are also provided.
Inventor: Mark A. Barry
Orthopaedic implant with dynamic trans-fixation slot
Abstract: An orthopaedic implant for use with a fastener having at least one of threads and grooves includes a body defining a long axis. The body includes an inner wall defining an elongated slot. The inner wall includes a pair of opposing walls and a single projection disposed on the inner wall. When the fastener is inserted into the slot, the single projection slidably fits within a groove of the fastener to limit sliding of the implant over the fastener along an axis substantially transverse to the long axis and to permit sliding of the implant over the fastener along the long axis.
Assignee: SMITH & NEPHEW, INC.
Inventors: Kohsuke Watanabe, Paul Tornetta
Bone nail apparatus
Abstract: A bone nail apparatus includes a bone nail, a light source unit and a focalizing unit. The bone nail has a tube wall and at least one through hole. The tube wall is enclosed to form a receiving space. The at least one through hole extends through the tube wall and communicates with the receiving space. The light source unit includes a light emitter and at least one light transmission tube. The at least one light transmission tube is connected to the light emitter and receives a light therefrom. The at least one light transmission tube is received in the receiving space of the bone nail. Each light transmission tube has a light-outputting end aligned with a respective one of the at least one through hole. The focalizing unit has a light-receiving face facing one of the at least one through hole.
Assignee: KAOHSIUNG MEDICAL UNIVERSITY
Inventors: Jau-Sheng Wang, Tien-Ching Lee, Mei-Ling Ho, Yin-Chih Fu, Wei-Chi Chen
Suture distal locking
Abstract: A system for locking an intramedullary nail to a bone includes a first plate sized and shaped to be inserted through a channel of an intramedullary nail and dimensioned to prevent its passing through a locking hole of the intramedullary nail and a second plate sized and shaped to be positioned along a portion of an exterior of a hole drilled in the bone and dimensioned to prevent its passing through the hole drilled in the bone along with a connector couplable to the first and second plates and slidable through the channel of the intramedullary nail to extend through the locking hole from an interior of the channel to an exterior of a bone in which the intramedullary nail has been inserted.
Inventors: Nicolas Bouduban, Patrick Burki, Reto Nardini
Femur supporting device
Abstract: A femur supporting device includes a femoral stem having a plurality of inclined passages. The femoral stem includes an inner side and an outer side. Each inclined passage includes an outlet in the inner side and an inlet in the outer side. Each inclined passage inclines upward from the inlet to the outlet. A plurality of supporting rods extends through the inclined passages. A first engaging end of each supporting rod extends out of the outlet of one of the inclined passages. A second engaging end of each supporting rod extends out of the inlet of one of the inclined passages. The first engaging end of each supporting rod is engaged with one of a plurality of first engaging portions in a trochanter head. The second engaging end of each supporting rod is engaged with one of a plurality of second engaging portions of a fixing unit.
Filed: May 3, 2017
Assignee: Metal Industries Research & Development Centre
Inventors: Tung-Lin Tsai, Chia-Lung Li, Shih-Hua Huang, Pei-Hua Wang, Chun-Chieh Tseng, Yue-Jun Wang, Li-Wen Weng
Devices and methods for bone fixation using axial implants
Abstract: The invention comprises a method for fixating bones in the foot by aligning the bones in their desired position, inserting a screw in the aligned bones, inserting at least one transverse element near the head or tip of the screw, and tightening the screw to compress the bones. The screw comprises a shaft having first and second ends with spirally wound screw threads beginning near the first end and extending along the shaft. Advantageously, the screw is cannulated and screw threads are formed on an interior surface of the cannulation. Illustratively, the transverse elements may be staples, open-ended washers, or open-ended nuts. Reduction instruments and drill guides used in the invention are also disclosed.
Assignee: Extremity Medical, LLC
Inventor: Vincent James Sammarco
Joint prosthesis assembly
Abstract: A joint prosthesis assembly, includes a joint prosthesis body (1) made of a first biocompatible non-resorbable material and an anchoring element (2-5) made of a second biocompatible non-resorbable material. The anchoring element (2-5) is arranged to allow rotation of an end portion of the joint prosthesis body (1) with respect to the anchoring element (2-5) when in situ.
Assignee: ATRO MEDICAL B.V.
Inventor: Tony George Van Tienen
System and method for treating bone fractures
Abstract: A system and method for treating a fracture of a bone that produces first and second bone parts separated by a fracture line. A first implant has a first body. A second implant has a second body, A first elongate component can be directed through the bone to cooperate with each of the first and second bodies so that the first and second bodies and first component together act to maintain the first and second bone parts in a desired set relationship. The first component has a lengthwise axis and cooperates with the first body so that the operatively positioned first component is stabilized by the first body in a direction that is transverse to the lengthwise axis of the first component. The first component cooperates with the second body so that the first component is stabilized by the operatively positioned second body.
Date of Patent: August 7, 2018
Assignee: TriMed, Inc.
Inventors: Robert Medoff, Jesse B. Jupiter
Pediatric intramedullary nail
Abstract: Among other things, there are disclosed embodiments of an intramedullary nail system for use in pediatric cases, including an intramedullary nail and a targeting assembly. Embodiments of the nail may be one-piece and include a proximal portion, a medial portion and a distal portion. The junction of the medial portion and distal portion is a bend that provides a small angle between the medial portion and the distal portion as viewed when the nail is substantially in a medial-lateral plane. The targeting assembly attaches to the proximal portion of the nail securely and enables easy insertion of fixing screws.
Assignee: Orthopediatrics Corporation
Inventors: J. Eric Gordon, Mark D. Landes, David W. Daniels, Scott C. Brown
Devices and method of achieving bone fusion
Abstract: A method for fusing bones using a guide pin and a fastener is disclosed. The method includes inserting a guide pin into two bones. The guide pin including at least one radial marking. The method also including imaging the two bones and guide pin and analyzing the position of the at least one radial marking of the guide pin relative to the two bones. In addition, the method includes selecting a fastener, inserting a drill over the guide pin, drilling an opening through at least one of the two bones, and inserting the fastener into the opening. The guide pin may include an exterior surface with a first end and a second end, a cutting edge at the first end, and at least one radial marking near the first end. A system including a guide pin, a fastener, and a drill is also disclosed.
Assignee: PARAGON 28, INC.
Inventors: Albert Dacosta, Thomas San Giovanni, Michael Houghton
System for treating proximal humeral fractures and method of using the same
Abstract: Various embodiments of the present invention provide systems and methods for treating a proximal humeral fracture. A system according to one embodiment includes a longitudinal member configured to be received within the humeral shaft. The system includes a jig assembly configured to be coupled to the longitudinal member, wherein the jig assembly includes at least one hole defined therethrough that is configured to guide placement of at least one hole in the humeral shaft, and wherein the hole formed in the humeral shaft is configured to align with at least one hole in the humeral implant such that the jig assembly is configured to locate the position of the humeral implant in the humeral shaft.
Assignee: ENCORE MEDICAL LP
Inventor: Gordon I Groh
Variable angle locking insert for intramedullary nail
Abstract: A system including an intramedullary nail and an insert dimensioned to be positioned within the intramedullary nail. The insert can include a rotating component configured to rotate about a rotational axis transverse to a longitudinal axis of the intramedullary nail. The insert can be configured to receive a bone screw, rotate about the rotational axis as the bone screw is positioned at a selected angle of a plurality of angles relative to the intramedullary nail, and lock the bone screw at the selected angle.
Assignee: Biomet Manufacturing, LLC
Inventors: William Scott Van Dyke, Paul Thomas Slagle
System and method for treating a fractured bone
Abstract: A system for treating a fracture of a bone with an intramedullary canal. A first implant has a body with an elongate intramedullary portion and a paddle having a surface to engage the bone. The intramedullary portion has a length between first and second lengthwise ends and can be directed into the intramedullary canal to place the first implant into an operative position with the paddle exposed outside of the intramedullary canal. At least one fixation element maintains the implant operatively positioned. The intramedullary portion is elongate with a primary length portion having a first lengthwise axis. At least a portion of the paddle surface faces away from the first lengthwise axis.
Assignee: TriMed, Incorporated
Inventor: Robert Medoff
Aiming device for distal locking of intramedullary nails and methods of use
Abstract: An aiming device system that is configured to align at least one bone anchor guide to a first distal hole of an intramedullary nail can include an aiming arm that is configured to be operatively coupled to the intramedullary nail and an aiming guide. The aiming arm can define a sliding support that is elongate along a first direction. The aiming guide can include a guide body that defines at least a first bone anchor guide. The aiming guide is attached to the aiming arm such that the aiming guide is selectably movable along the sliding support, and selectably rotatable relative to the aiming arm. When the first bone anchor guide is retaining the guide sleeve, at least one of the selectable movement and selectable rotation of the guide body at least partially aligns the first bone anchor guide with the first distal hole of the intramedullary nail.
Inventor: Hitendra Purohit
Method and apparatus for repairing the mid-foot region via an intramedullary nail
Abstract: A device, method, and system for treatment or fixation of a fractured, damaged, or deteriorating bone or bones in a mid-foot region. The device comprising an implant with both proximal and distal fastener holes, along with fastener slots in a central elongated body, for securing the implant to the appropriate osseous cortical structures of the foot. The method for treatment or fixation of fractured, damaged, or deteriorating bones in the medial column of the foot with use of a device such as an intramedullary nail that attaches to either the talus or first metatarsal bones to secure the medial cuneiform and navicular bones in place.
Assignee: Howmedica Osteonics Corp.
Inventor: William H. Simon
Dual tip guide wire
Abstract: Embodiments of a guide wire having a dual tip design and methods for using the guide wire.
Assignee: ARTHREX, INC.
Inventor: Kyle Lappin
Intramedullary nail, particularly lockable intramedullary nail, and device for fixating the intramedullary nail in a hollow bone
Abstract: Described is a locking intramedullary nail for insertion in the medullary cavity of hollow bones for treating bone fractures or for joint stiffening. The nail comprises an oblong shaft having at least one holder for a locking screw. In the region of an opening a roller or ball-shaped sleeve having a bore for receiving the locking screw is arranged. The sleeve which is supported in the shaft in a freely pivotable manner can be locked in a positionally stable manner in the shaft. This affords the ability to introduce the locking screws during the implantation of the intramedullary nail at an optimum angle for the respective anatomical or pathological situation of the patient and to subsequently lock it permanently at a constant angle.
Inventors: Ulrich Schreiber, Stefan Eichhorn
Replaceable end-effector cartridges with cam mechanisms
Abstract: In one embodiment of the invention, a replaceable electrosurgical end effector cartridge is provided to couple to a mechanical wrist of a surgical instrument for a robotic surgical system. The replaceable electrosurgical end effector cartridge includes two end effectors, a fastener to rotatably couple the two end effectors together, and a cam mechanism. At least one of the two end effectors is a moveable end effector having a jaw portion, an off-center portion, and a base portion. The cam mechanism is coupled to the base portion of the at least one moveable end effector to pivot it about the fastener to open and close the jaw portion of the at least one moveable end effector with respect to the other.
Filed: April 2, 2010
Assignee: Intuitive Surgical Operations, Inc.
Inventor: Scott Manzo
Medullary pin
Abstract: Medullary pin (1) for a distraction with segment transport and subsequent lengthening of a tubular bone, wherein the medullary pin (1) comprises: an at least partly hollow body (3) extending in an axial direction of the medullary pin (1), a locking means for locking the body (3) in a first end fragment (5) of the tubular bone, a first inner part (7), which is arranged displaceably in the axial direction inside the body (3) and comprises a first fixation means for the fixation of a middle fragment (15) of the tubular bone, a second inner part (17), which is arranged displaceably in the axial direction inside the body and comprises a second fixation means for the fixation of a second end fragment (25) of the tubular bone, and a drive unit (40) for the axial displacement of the first inner part (7) relative to the second inner part (17), wherein the drive unit (40) is arranged inside the body (3) between the first fixation means of the first inner part (7) and the second fixation means of the second inner part (
Assignee: Wittenstein SE
Inventor: Roman Stauch
Methods and devices for intracorporeal bonding of implants with thermal energy
Abstract: The present invention provides a method for stabilizing a fractured bone. The method includes positioning an elongate rod in the medullary canal of the fractured bone and forming a passageway through the cortex of the bone. The passageway extends from the exterior surface of the bone to the medullary canal of the bone. The method also includes creating a bonding region on the elongate rod. The bonding region is generally aligned with the passageway of the cortex. Furthermore, the method includes positioning a fastener in the passageway of the cortex and on the bonding region of the elongate rod and thermally bonding the fastener to the bonding region of the elongate rod while the fastener is positioned in the passageway of the cortex.
Assignee: P Tech, LLC
Inventors: Peter M. Bonutti, Matthew J. Cremens, Justin E. Beyers
Lower extremity fusion devices and methods
Abstract: A fusion implant and fusion members for fusing target fusion bones of a lower extremity. The fusion implant including internally threaded apertures of a first thread lead, and fusion members including threading of the first thread lead and threading of a second thread lead that is less than the first thread lead. The fusion implant and a targeting instrument being configured to couple to one another in a predefined orientation. The predetermined orientation resulting in alignment of aspects of the fusion implant with aspects of the targeting instrument. The targeting instrument providing both distraction and compression to the joint between the target fusion bones. A guide instrument for preparing one of the target fusion bones for fusion thereof. A surgical method for applying compression to the joint between the target fusion bones to facilitate fusion thereof utilizing a fusion implant, fusion members, a targeting instrument and a guide instrument.
Assignee: Nextremity Solutions, Inc.
Inventors: Andrew K. Palmer, Andrew Ariel Brief, Roman Adrian Sibel, Kevin Palmer, Matt Andrew Heilala, Gabriel Surma, Pamela C. Guzman, Mary Pile
Polyaxial locking hole arrangement
Abstract: An intramedullary nail according to the invention has a locking hole arrangement having one first opening on one side of the intramedullary nail and one second opening at an opposing side of the intramedullary nail. The locking hole arrangement has a first bore having a first bore axis and a second bore having a second bore axis. The first bore and the second bore each having a first orifice on one side of the intramedullary nail and each having a second orifice at an opposite side of the intramedullary nail. The first bore axis and the second bore axis are inclined with respect to each other and the first bore and the second bore intersect each other within the intramedullary nail.
Assignee: Stryker European Holdings I, LLC
Inventors: Ilan Howling, Claudia Graca, Annika Homeier
Intramedullary fixation apparatus for use in hip and femur fracture surgery
Abstract: An orthopedic intramedullary fixation apparatus and system for use in hip and femur fracture surgery comprises an intramedullary nail, a dynamic lag screw structure comprising a longitudinal sheath and a lag screw, and securing means to fix the intramedullary nail relative to a femur. A dynamic channel created by the lag screw structure allows the lag screw to adjust dynamically, and thereby may permit further compression of the fractured bone to an optimal level as a patient begins to bear weight on it following surgery. Surgical fixation may be expedited, as a favorable point of access for a lag screw may be determined readily, particularly with obese patients in whom access to the trochanter may be problematic. Complications during surgery, such as accidental fracturing of the femoral neck and head and over-penetration of the lag screw may be avoided.
Assignee: Savage Medical Design LLC
Inventor: John Bodeker Savage
Drill bit and method for preparing a bone for a fixation screw
Abstract: A method of preparing a bone to receive a fixation screw through a fixation device includes providing a drill bit sized and configured to pass through a bore in a fixation device positioned in the bone and drilling a passage into the bone and through the bore. At least a distal portion of the drill bit passes through the bore in the drilling step. At least an outer portion of the distal portion of the drill bit has a hardness that is less than a hardness of the fixation nail.
Assignee: Spinal Generations, LLC
Inventor: Patrick J. Sweeney
Compression device for interlocking compression nailing systems and method of use
Abstract: A compression device and method for interlocking compression nailing systems provide a compression force onto fracture site and a bone fixed between proximal and distal parts of intramedullary nail to prevent stress shielding and improve healing. The compression device having pre-assembled components of set screw, elastic component, distal cap and connector screw are rotated. After nail insertion, the nail is fixed to the bone fragments by inserting the fasteners into distal bores and proximal slot. The compression device is inserted within the bore of the nail. The set screw is screwed to move elastic component and distal cap to push the proximal bone fragment distally. Distal cap overlies on fastener screw shaft to spread compression forces in fastener screw surface to prevent stress concentration. After fracture gap minimization, the set screw is screwed further to compress elastic component to provide desired compression force.
Date of Patent: November 1, 2016
Inventors: Mohammad Javad Zehtab, Mojtaba Lotfaliany Abrand Abadi, Morteza Nazari Nodoushan
Intramedullary nail
Abstract: The present invention provides an intramedullary nail having a body with a transverse bore extending through the body and having an area of enhanced stress distribution on at least the lateral side of the transverse bore. In one exemplary embodiment, the intramedullary nail includes a cutout adjacent to the transverse bore, such as an oblique cutout, that enhances the stress distribution of the intramedullary nail in the region around the lateral opening of the transverse bore. In one exemplary embodiment, the cutout includes a ramp portion or area that defines the lateral opening of the transverse bore. In other exemplary embodiments, the cutout includes a runout or a substantially flat portion that defines the lateral opening of the transverse bore.
Assignee: Zimmer GmbH
Inventors: Andy Schwammberger, Jordan Velikov, Reto Senger, Rolf Dittmann
Fracture plating
Abstract: A plating system for mending a periprosthetic fracture is provided. The system includes an intramedullary rod, a first and second plate, and a plurality of fasteners. The intramedullary rod has a plurality of transverse holes. The first and second locking plates each have a plurality of openings and is configured to have a contour similar to a surface of a bone to which the plate is applied. Also provided is method of mending fractures by using the disclosed system. In the implanted condition, the first and second locking plates are placed across the periprosthetic fracture and each of the plurality of fasteners is inserted through one opening of the first and second plurality of openings and one transverse hole.
Inventor: Jonathan P. Garino
Implant system for bone fixation
Abstract: An implant system for fixation of bone includes an intramedullary nail, an extramedullary plate, and a bone fastener. The intramedullary nail has a connecting opening defining a first axis and a transverse opening defining a second axis and is configured to receive the bone fastener. The bone fastener is configured to penetrate a first through opening of the extramedullary plate and the transverse opening of the intramedullary nail. The implant system comprises a connecting fastener to fasten the extramedullary plate to the intramedullary nail by insertion through the second through opening of the extramedullary plate and the connecting opening of the intramedullary nail. The first axis is oblique with respect to a longitudinal axis of the intramedullary nail and parallel to the second axis of the transverse opening. Thus, the extramedullary plate can move parallel to the longitudinal axis of the bone fastener towards the intramedullary nail.
Inventor: Helmut Mueckter
Intramedullary fixation assembly and devices and methods for installing the same
Abstract: An intramedullary fixation assembly usable with different long bone types and a guide assembly for guiding deployment of the intramedullary fixation assembly. The intramedullary fixation assembly includes a fixation member that has ends and a curved body extending between the ends. The curved body of the fixation member has a radius of curvature configured to extend through the medullary canal regardless of the long bone anatomy. Fasteners fix the fixation member to the bone fragments and are guided by a guide assembly. The guide assembly includes a guide body defining openings configured to guide the fasteners through openings defined in the fixation member and into the bone fragments. A fixation end of the guide body includes a pair of opposing, converging surfaces that are configured to engage in a positive fit with an exposed end of the fixation member accessible through the side aperture in the first fragment.
Assignee: Agilent Technologies, Inc.
Inventors: Mark J. Warburton, Robert M. Fencl, John T. Capo, Virak Tan, Aaron C. Smith
Intramedullary nail, system, and method with dynamic compression
Abstract: The present invention describes an intramedullary nail for use in orthopedic surgery for the fixation of bone fractures and fusion sites. The nail employs one or more internal loaded springs, biocompatible elastic or rubber bands, or other mechanism that provides continuous dynamic compression across the healing site throughout the healing process. By altering the size, tension and/or number of the internal compression devices, the amount of compression may be customized on a case-by-case basis. Further, the slots within the nail for its attachment can be utilized to create a torsional force when desired. The nail can have a cross-sectional shape that prevents its rotation. A system and method of use is also described.
Assignee: AFCN, LLC
Inventor: Kyle Kinmon
Methods and devices for utilizing bondable materials
Abstract: The invention primarily relates to fastening and stabilizing tissues, implants, and/or bondable materials, such as the fastening of a tissue and/or implant to a bondable material, the fastening of an implant to tissue, and/or the fastening of an implant to another implant. This may involve using an energy source to bond and/or mechanically to stabilize a tissue, an implant, a bondable material, and/or other biocompatible material. The invention may also relate to the use of an energy source to remove and/or install an implant and/or bondable material or to facilitate solidification and/or polymerization of bondable material.
Nail-based compliant hip fixation system
Abstract: System, including methods, devices, and kits, for hip fixation. The system may comprise an intramedullary nail configured to be placed longitudinally into a proximal femur. The system also may comprise a fixation element configured to be placed transversely through the nail, such that the fixation element is slideable along its long axis in the nail and extends out of the nail to a head of the proximal femur and is anchored in the head. A compliant member may be located in the nail and configured to deform reversibly in response to a load applied to the head of the proximal femur after placement of the fixation element, to reversibly change an angular orientation of the fixation element with respect to the nail.
Inventors: Larry W. Ehmke, Steven P. Horst, Mark B. Sommers, Brian R. Conley
Intramedullary rod fixation system
Abstract: A method for fixation of a fracture of a bone having an intramedullary canal. An intramedullary rod is inserted into the intramedullary canal of the bone, wherein the intramedullary rod includes at least one proximal hole and at least one distal hole. Proximal and distal screws or pegs are inserted through the bone and through the proximal and distal holes in the rod, wherein the proximal and the distal screws or pegs are headless screws or pegs and are selected to have a size and are inserted through the proximal and distal holes in the rod such that the screws or pegs do not extend substantially beyond an exterior surface of the bone. Further described are apparatus and a kit for intramedullary fixation of fractures of bones of the hand.
Inventor: Richard A. Rogachefsky
Cementless hip stem
Abstract: A cementless femoral stem prosthesis for use in hip replacement surgery is disclosed. The stem has a collar and a body having a fixed end and a shank end. The shank end is divided into a pair of adjustable endosteal plates that are secured to the cortical bone of the femur by screws. The present invention provides an improved femoral stem structure because the screws through the endosteal plates transfer the load to the cortical bone rather than the cancellous bone, the medial endosteal plate has a plurality of spurs to engage with the cancellous bone to increase the number of stress-strain points, and the collar transfers the load directly to the cortical bone. All of these features work in tandem to reduce the risk of stress shielding, bone resorption, prosthetic loosening, and other difficulties associated with femoral stem prostheses.
Inventors: Lichu Liu, XiaFang Liu


text:
Teaser Trailer for School Scandal 'Bad Education' with Hugh Jackman
"I have been doing some digging. I'm… concerned… with what I found." HBO has unveiled a teaser trailer for the film Bad Education, which received rave reviews out of the Toronto Film Festival last fall. The film is a fictionalized version of the true story of the single largest public school embezzlement scandal in history - about schools on Long Island. You can read more about it in this NY Magazine article. Hugh Jackman stars as Frank Tassone, the superintendent caught up in an embezzling scheme involving him and a few of his employees. The cast includes Allison Janney, Ray Romano, Geraldine Viswanathan, Kathrine Narducci, and Alex Wolff. This looks extremely good, oh damn I can't wait to see it. Everyone was talking about this at TIFF last year, and it certainly seems worthy of all that buzz, at least from this first look teaser.
Here's the first teaser trailer for Cory Finley's Bad Education, originally from HBO's YouTube:
Based on a true story, a student reporter starts to trace embezzlement at the Roslyn School District, in Long Island after the assistant superintendent makes a crucial mistake that hints at corruption that spans over a decade. Dr. Frank Tassone, played by Hugh Jackman, serves as the superintendent of the district that he led to be the fourth best in the country. He's forced to deal with the fallout of this scandal and attempts to protect others— and himself. Bad Education is directed by up-and-coming filmmaker Cory Finley, his second feature film after directing Thoroughbreds previously, and a short film. The screenplay is written by Mike Makowsky. This first premiered at the Toronto Film Festival last year. HBO will release Finley's Bad Education streaming exclusively starting April 25th this spring. First impression? Who's in?
Find more posts: To Watch, Trailer

redpajama_set_name: RedPajamaCommonCrawl


text:
24 min (original) | 21 min (edited)
There once lived a pirate named Gol D. Roger. He obtained wealth, fame, and power to earn the title of Pirate King. When he was captured and about to be executed, he revealed that his treasure called One Piece was hidden somewhere at the Grand Line. This made all people set out to search and uncover the One Piece treasure, but no one ever found the location of Gol D. Roger's treasure, and the Grand Line was too dangerous a place to overcome. Twenty-two years after Gol D. Roger's death, a boy named Monkey D. Luffy decided to become a pirate and search for Gol D. Roger's treasure to become the next Pirate King. Written by J LeGault
Two FBI agents, Fox Mulder and Dana Scully work in an unassigned detail of the bureau called the X-Files investigating cases dealing with unexplained paranormal phenomena. Mulder, a true believer, and Scully, a skeptic, perceive their cases from stand points of science and the paranormal. Written by ZachMichalik
Genre: Drama, Mystery, Sci-Fi, Thriller,
Observational documentary series revealing the dramas and dilemmas faced by staff of some of the UK's largest ambulance services on a daily basis.
James May: The Reassembler
James May reassembles miscellaneous objects which have been stripped down to their constituent parts, gaining an insight into their intricacies and the way in which they were designed and built.
Before Saul Goodman, he was Jimmy McGill. And if you're calling Jimmy, you're in real trouble. The prequel to Breaking Bad follows small-time attorney Jimmy McGill as he transforms into Walter White's morally challenged lawyer, Saul Goodman. Written by zaahir1604
Genre: Crime, Drama,
In the small town of Dillon, Texas, one night matters: Friday Night. Eric Taylor has recently been hired as the head football coach for the Dillon High School Panthers, the town's pride and joy. Friday Night Lights displays the stress that the town gives the high school players to win, and the hope that the team gives to a small town, and how a team has its low points, its high points, and how they come together as a team on their way to victory. Written by Zac Abrams
Genre: Drama, Sport,
Picks up 25 years after the inhabitants of a quaint northwestern town are stunned when their homecoming queen is murdered.
54 min | 709 min (Entire season 1) | 707 min (Entire season 2)
As a child Matt Murdock was blinded by a chemical spill in a freak accident. Instead of limiting him it gave him superhuman senses that enabled him to see the world in a unique and powerful way. Now he uses these powers to deliver justice, not only as a lawyer in his own law firm, but also as vigilante at night, stalking the streets of Hell's Kitchen as Daredevil, the man without fear. Written by DDK
Genre: Action, Crime, Drama, Sci-Fi, Thriller,
The adventures of Ragnar Lothbrok: the greatest hero of his age. The series tells the saga of Ragnar's band of Viking brothers and his family as he rises to become King of the Viking tribes. As well as being a fearless warrior, Ragnar embodies the Norse traditions of devotion to the gods: legend has it that he was a direct descendant of Odin, the god of war and warriors. Written by History Channel
Country: Ireland | Canada
Watch the Irish American family the Gallagher's deal with their alcoholic father Frank. Fiona, the eldest daughter, takes the role of parent to her five brothers and sisters. Lip, Ian, Debbie, Carl, and Liam (half white and half black) deal with life in the South Side projects of Chicago. Fiona balances her sex life and raising her siblings. Every episode is another crazy situation that one or more of the Gallagher six get into. Watch them grow and learn how to make their way in life with what little they have. Written by Linda Taylor
At age twenty-six, Auburn Reed has already lost everything important to her. In her fight to rebuild her shattered life, she has her goals in sight and there is no room for mistakes. But when she walks into a Los Angeles art studio in search of a job, she doesn't expect to find a deep attraction to the enigmatic artist who works there, Owen Gentry. For once, Auburn takes a chance and puts her heart in control, only to discover that Owen is keeping a major secret from coming out. The magnitude of his past threatens to destroy everything important to Auburn, and the only way to get her life back on track is to cut Owen out of it. To save their relationship, all Owen needs to do is confess. But in this case, the confession could be much more destructive than the actual sin.
One Strange Rock
The extraordinary story of Earth and why it is special and uniquely brimming with life among a largely unknown but harsh cosmic arena; astronauts tell the story of Earth through unique perspective.
Sitcom following estranged foster-brothers Stephen (David Mitchell) and Andrew (Robert Webb) as they vow to take over the family business following the death of their father.
Chef's Table goes inside the lives and kitchens of six of the world's most renowned international chefs. Each episode focuses on a single chef and their unique look at their lives, talents and passion from their piece of culinary heaven.
While Madeline and Celeste take new in town single mom Jane under their wing, none of them realises how the arrival of Jane and her inscrutable little boy will affect them all. Big Little Lies is a brilliant take on ex-husbands and second wives, schoolyard scandal, and the dangerous little lies we tell ourselves just to survive. Written by Anand Patel
Infinity Train
Tulip must learn to set her personal interests aside to make her way through a mysterious train and help the king of all corgis save his people.
Genre: Animation, Short, Adventure, Fantasy, Mystery, Sci-Fi,
Superman battles against an insurmountable foe named Doomsday.
Genre: Animation, Action, Sci-Fi,
Ghost Source Zero
The Artificial Intelligence Revolution is happening, and America is watching it on their Living Wall flat screens and Genius Phones. Homeland Security's Cyber Crime Division is the only ...
Genre: Sci-Fi,
The Ghost Knows
James, a rich IT businessman takes his wife Sarah and kids Julie and Kevin to his newly bought Summer house beside a lake. While having a nice time with family, fishing and grilling along ...
You Killed My Mother
After being told her mother doesn't qualify for a liver transplant, a disturbed teen attacks and injures a hospital nurse. When she's released from a mental hospital years later, she seeks revenge on those she blames for her mother's death.
Wish Star
When a magical meteorite crashes in the backyard, a hoarder husband must decide which is more valuable: the shooting star or his wife.
Genre: Short, Drama, Fantasy,
United Skates Documentary
It took nearly thirty years for mainstream America to discover the brilliance of jazz. Similarly, blues, R&B, and hip-hop were met with prejudice before being recognized for their artistic ...
Les dents, pipi, au lit
Fast and Furriest
When Chuck and Woodsly are accidentally entered in the FUR BALL RUN, they have to figure out how to put their paws on the pedal to compete against a pack of seasoned drivers from across the animal kingdom.
Genre: Animation, Adventure, Comedy,
Shadow of the Missing
To celebrate their ten-year anniversary, Mel and Drew have invited their family and closest friends to their home, but before the evening ends, this couple share news that will test even the strongest of relationships.
An on-the-run twisted family of circus performers live in the remote Scottish highlands, miles away from civilisation. When a team of kick ass Roller Derby girls go camping just a bit too close to them all hell breaks loose.
A tale of two sisters with rare unique supernatural abilities. Three burglars break into a house to find jewels and money but leave their sanity behind.
Perfect Piece
A private detective is hired t to track down a missing casanova and ends up falling head-over-heels for him.
Genre: Comedy, Drama, Family,
A Father's Nightmare
Three Seconds
An ex-convict working undercover intentionally gets himself incarcerated again in order to infiltrate the mob at a maximum security prison.


We want you to you feel welcomed and nurtured. We want you to trust us.
For your first visit, we will guide you to one of our clinic rooms where we will ask questions about your family, medical history, diet, exercise, and sleep habits. We will also inquire about your emotional and spiritual health—from traumas to personal journeys and experiences—because we believe your life story gives us critical insight into who you are and why you are here.
We will also conduct a physical exam. Depending upon our findings, we may recommend tests such as blood, urine, cerebrospinal fluid, and imaging. Together, we will create and discuss a follow-up plan, which will include any treatment options for immediate symptom relief, potential side effects of treatments, diagnostic scheduling, and what to expect at your next visit.
Our goal is to have an open, honest, and sensitive conversation with you regarding your thoughts, fears, and hopes as we move forward on your journey to optimal health.


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This site is published by VECTAURY, a SAS company, with a capital of 115 500€, registered under the number 799 256 730 at the RCS (Registre de commerce et des sociétés) [Corporate and Trade Registry] of Paris, headquartered at 33 rue La Fayette 75009 Paris and represented by its President, Matthieu Daguenet (TVA no. FR 42799256730).
The site's Publication Director is Mr. Matthieu Daguenet.
With respect to the exercising of the rights derived from Laws no. 1881-07-29 of 29 July 1881 on the freedom of the press, and no. 86-1067 of 30 September 1986 relative to freedom of communication, all correspondence should be addressed to the Director of Publication.
The information gathered is subject to computer processing to improve the VECTAURY/user relationship and to advice the latter of VECTAURY's promotional and marketing activities.
The user may also, for legitimate reasons, refuse processing of his or her data, by exercising this right at the same address.


text:
Q: Microsoft Graph Get Presence Application Permission Type Currently the following endpoint does not have support for application permissions. I would like to use this in my application for message routing to designated backup users if a user is unavailable.
GET https://graph.microsoft.com/beta/users/66825e03-7ef5-42da-9069-724602c31f6b/presence
Currently Permission type for Application is Not Supported.
Is it in the plans to make this a supported feature?
We would really appreciate it!

redpajama_set_name: RedPajamaStackExchange


The District 5 Veterans Building opened its doors this past month to serve veterans and military families in the Community.
Service members with the Gila River AmeriCorps Program – Veterans Serving Veterans (VSV) are stationed at the Veterans Building throughout the week for any veteran or family member of a veteran needing assistance. Member services include: assistance with Veterans Affairs (VA) paperwork, resource research, resource referrals, military records requests, and a variety of other veteran related services.
The AmeriCorps members are part of a community-wide initiative to provide resource navigation and information services to veterans and their families. In addition to providing research, AmeriCorps members also have regular Coffee Clubs and "get to know you" events in districts throughout the Community.
The Veterans Building's hours of operation are from 8:30 a.m.–4:30 p.m., and is located near the D5 Multipurpose building. Look for the American flag flying outside and come visit!


text:
THESIGER, Sir Wilfred Patrick. The Marsh Arabs.
THESIGER, Sir Wilfred Patrick. The Marsh Arabs. London, Longmans, Green and Co Ltd, 1964.
8vo. Original green cloth, spine lettered in black and gilt, dustwrapper (price-clipped); pp. [xiv], 242; monochrome photographic frontispiece and 32 plates bearing 109 photographic illustrations recto-and-verso after Thesiger, one double-page and two full-page maps after K.C. Jordan in the text; dustwrapper mimimally rubbed at edges, a good copy.
First edition, second impression. The Marsh Arabs was Thesiger's second book, and is based on his experiences between 1950 and 1958, when he lived amongst the Marsh Arabs of Iraq for eight years, 'sharing the communal life of the villages and travelling by canoe throughout the marshes' (Alexander Maitland, ODNB); its publication in 1964 - extensively illustrated with Thesiger's own photographs - 'confirmed Thesiger's reputation as a writer and a photographer' (ibid.).


7 Nov Removing the UpperFilters and LowerFilters registry values from the Windows Registry is a likely solution to a number of Device Manager error codes. Try our Step by Step Guide to Deleting the UpperFilters and LowerFilters Registry Values for an easy walk-through!. 20 Feb Deleting the UpperFilters and LowerFilters registry values is very often the fix for several different hardware problems that generate Device Manager error codes in Windows. Deleting the UpperFilters and LowerFilters values from the registry should take less than 10 minutes. 30 Jan In a recent and successful solution to a drive install problem I was instructed to delete the LowerFilters in.
17 Apr You must make sure that you are in the appropriate registry subkey before you change the UpperFilters and the LowerFilters values. To verify. Remove the UpperFilters and LowerFilters value. Expand the HKEY_LOCAL_MACHINE key (looks like a folder) by double clicking it (or clicking the "+" next to it.). 6 Oct Click UpperFilters only. If you do not see the UpperFilters registry entry, you still might have to remove the LowerFilters registry entry. To do this.
See breenasmith.com for a brief explanation of filter drivers. In short: Upper filter drivers go between the operating system and. 12 Oct I gotten info about it and it seems that this is a common problem and other forum posts suggest removing the upperfilters and lowerfilters values. As it stands now, I have no "LowerFilters" value but the "UpperFilters" value has the multistring value "GearASPIWDM" which is the GEAR. 22 Jul I've looked at the microsoft knowledgebase article which says to delete keys called "UpperFilters" and "LowerFilters" from the registry key. Hi guys I'm having the same problem, I have followed the steps given:Start the Run Command Prompt Type in "regedit" without the parrenthesis.


Like the previous underground railroad, many (though by no means all) of the networks in China are funded and operated by Christian organizations. All seemingly bent on earnestly balancing secrecy with a need to attract donations to fund their activities: feeding and sheltering the refugees, paying bribes to police and border guards, buying transportation, and occasionally even buying a person – commonly a North Korean female refugee sold by someone along the border to a Chinese farmer in need of a bride. Given the choices faced by these women are, either telling the police, which means the woman is arrested, returned to North Korea and likely sent to a labor camp; or remaining with the man who purchased her as a farm wife with at least some access to food and protection from being returned to punishment in the North, many women choose to remain 'married' on the farm. At least, until presented with the option of fleeing via the underground railroad, though this often means the group aiding the woman must buy her back from the husband – hence the constant, extreme need for funding.
In short, Kirkpatrick's book will bring alive the voices of those fleeing the North, and those that are helping them. If you're new to reading about North Korean refugees, much here will surprise and shock you. If you're not, much will seem depressingly familiar. The author's proposed solution to the problem, convincing the Chinese government to allow the establishment of refugee camps as temporary way stations before permanently relocating them to South Korea or elsewhere (the U.S., Europe, Canada, and others take in some North Korean refugees), is almost absurdly optimistic, given it flies smack against decades of Chinese practice. That quibble aside, the book is well worth your time.


text:
Károly József nevű személyek
Főrangú személyek (kettős keresztnév)
 Károly József osztrák főherceg (1590–1624), II. Károly belső-ausztriai főherceg fia, Breslau és Brixen püspöke, a Német Lovagrend nagymestere 1619 – 1624 között.
 Habsburg Károly József főherceg (1649–1664), III. Ferdinánd császár fia, a Német Lovagrend nagymestere 1662 – 1664 között.
 Habsburg–Lotaringiai Károly József Emánuel főherceg (1745–1761), Mária Terézia és Lotaringiai Ferenc fia, fiatalon meghalt.

Polgári személyek (családnév és keresztnév)
 Károly József (premontrei kanonok) (1854–1929), rendi nevén Irenaeus, fizikus, paptanár, városatya, premontrei kanonok, a drót nélküli távíró egyik feltalálója, Nagyvárad egyik legkiemelkedőbb tudósa.
 Károly József (1886-1960) aradi író, újságíró
 Károly József (?–?) az MTK labdarúgója az 1920-as években

redpajama_set_name: RedPajamaWikipedia


text:
SpecBegin(RACLiveSubscriber)

__block RACLiveSubscriber *subscriber;
__block NSMutableArray *values;

__block volatile BOOL finished;
__block volatile int32_t nextsAfterFinished;

__block BOOL success;
__block NSError *error;

beforeEach(^{
	values = [NSMutableArray array];

	finished = NO;
	nextsAfterFinished = 0;

	success = YES;
	error = nil;

	subscriber = [RACLiveSubscriber subscriberWithNext:^(id value) {
		if (finished) OSAtomicIncrement32Barrier(&nextsAfterFinished);

		[values addObject:value];
	} error:^(NSError *e) {
		error = e;
		success = NO;
	} completed:^{
		success = YES;
	}];
});

itShouldBehaveLike(RACSubscriberExamples, ^{
	return @{
		RACSubscriberExampleSubscriber: subscriber,
		RACSubscriberExampleValuesReceivedBlock: [^{ return [values copy]; } copy],
		RACSubscriberExampleErrorReceivedBlock: [^{ return error; } copy],
		RACSubscriberExampleSuccessBlock: [^{ return success; } copy]
	};
});

describe(@"finishing", ^{
	__block void (^sendValues)(void);
	__block BOOL expectedSuccess;

	__block dispatch_group_t dispatchGroup;
	__block dispatch_queue_t concurrentQueue;

	beforeEach(^{
		dispatchGroup = dispatch_group_create();
		expect(dispatchGroup).notTo.beNil();

		concurrentQueue = dispatch_queue_create("com.github.ReactiveCocoa.RACLiveSubscriberSpec", DISPATCH_QUEUE_CONCURRENT);
		expect(concurrentQueue).notTo.beNil();

		dispatch_suspend(concurrentQueue);

		sendValues = [^{
			for (NSUInteger i = 0; i < 15; i++) {
				dispatch_group_async(dispatchGroup, concurrentQueue, ^{
					[subscriber sendNext:@(i)];
				});
			}
		} copy];

		sendValues();
	});

	afterEach(^{
		sendValues();
		dispatch_resume(concurrentQueue);

		// Time out after one second.
		dispatch_time_t time = dispatch_time(DISPATCH_TIME_NOW, (int64_t)(1 * NSEC_PER_SEC));
		expect(dispatch_group_wait(dispatchGroup, time)).to.equal(0);

		expect(nextsAfterFinished).to.equal(0);

		if (expectedSuccess) {
			expect(success).to.beTruthy();
			expect(error).to.beNil();
		} else {
			expect(success).to.beFalsy();
		}
	});

	it(@"should never invoke next after sending completed", ^{
		expectedSuccess = YES;

		dispatch_group_async(dispatchGroup, concurrentQueue, ^{
			[subscriber sendCompleted];

			finished = YES;
			OSMemoryBarrier();
		});
	});

	it(@"should never invoke next after sending error", ^{
		expectedSuccess = NO;

		dispatch_group_async(dispatchGroup, concurrentQueue, ^{
			[subscriber sendError:nil];

			finished = YES;
			OSMemoryBarrier();
		});
	});
});

SpecEnd

redpajama_set_name: RedPajamaGithub


Tcl interpreter in which to evaluate command.
Command (or sequence of commands) to execute.
An OR'ed combination of flag bits. TCL_NO_EVAL means record the command but do not evaluate it. TCL_EVAL_GLOBAL means evaluate the command at global level instead of the current stack level.
Tcl_RecordAndEval is invoked to record a command as an event on the history list and then execute it using Tcl_Eval (or Tcl_GlobalEval if the TCL_EVAL_GLOBAL bit is set in flags). It returns a completion code such as TCL_OK just like Tcl_Eval and it leaves information in the interpreter's result. If you do not want the command recorded on the history list then you should invoke Tcl_Eval instead of Tcl_RecordAndEval. Normally Tcl_RecordAndEval is only called with top-level commands typed by the user, since the purpose of history is to allow the user to re-issue recently-invoked commands. If the flags argument contains the TCL_NO_EVAL bit then the command is recorded without being evaluated.
Note that Tcl_RecordAndEval has been largely replaced by the value-based procedure Tcl_RecordAndEvalObj. That value-based procedure records and optionally executes a command held in a Tcl value instead of a string.


text:
La , en serbe cyrillique Јерма, ou en bulgare Erma (Ерма),  est une rivière qui coule en Serbie et à l'ouest de la Bulgarie. Sa longueur est de 74 km.

La Jerma appartient au bassin de drainage de la Mer Noire.

Course

Serbie
La Jerma prend sa source dans la région encore préservée de Krajište, au sud-est de la Serbie. Elle forme son cours entre le lac artificiel de Vlasina et la frontière avec la Bulgarie, coule en direction du nord-ouest sur les pentes orientales du mont Gramada, puis elle traverse le village de Klisura, après lequel elle entre dans la région de Znepolje (en bulgare, Znepole/Знеполе) et franchit alors la frontière une première fois à Strezimirovci.

Bulgarie
Sous le nom d'Erma, la rivière poursuit sa course dans la région de Znepolje en contournant le versant oriental du mont Ruj. Après la ville de Tran, le centre de la région, elle est aussi connue sous le nom de Transka reka. L'Erma passe à proximité des villages de Glavanovtsi et Turokovtsi, où elle oblique vers le nord en traversant Tran. Après cette dernière localité, l'Erma emprunte la gorge de Transko zhdrelo ("Gorge de Tran") qu'elle a creusée, avant de recevoir reçoit son principal affluent, la Yablanitsa, juste avant de revenir en Serbie au bout d'une course de 26 km en Bulgarie. Elle franchit la frontière entre les villages de Bankya (Bulgarie) et de Petačinci (Serbie).

De nouveau en Serbie
La Jerma poursuit sa course généralement vers le nord. Elle passe à Iskrovci et Zvonačka Banja, une pittoresque station thermale. Elle coule ensuite entre les monts Greben et Vlaška planina, près des villages de Trnsko Odorovce et Vlasi, ainsi qu'à proximité des monastères de Sveti Jovan, Sveti Nikolaj et Sveta Bogorodica, avant de se jeter dans la Nišava, au sud-est de Pirot. Elle aura parcouru 48 km en Serbie.

Dans la dernière partie de son cours, la Jerma traverse le bassin minier de Sukovo, ainsi nommé en raison du village éponyme de Sukovo, qui n'est pas situé sur les rives de la rivière elle-même mais un peu à l'ouest. Dans ce secteur, elle est aussi connue sous le nom de Sukovska reka (en serbe cyrillique : Суковска река, la "rivière de Sukovo").

La Jerma possède un potentiel de production hydroélectrique qui n'est plus exploité.

Protection

Sources
 Mala Prosvetina Enciklopedija, 3e (1985), Prosveta
 Jovan Đ. Marković (1990): Enciklopedijski geografski leksikon Jugoslavije, Svjetlost-Sarajevo

Voir aussi

 la liste des cours d'eau de Serbie
 le Danube

Notes et références

Cours d'eau en Serbie
Cours d'eau en Bulgarie
4Jerma


text:
@interface IDMPhotoBrowser ()
- (UIImage *)imageForPhoto:(id<IDMPhoto>)photo;
- (void)cancelControlHiding;
- (void)hideControlsAfterDelay;
- (void)toggleControls;
@end

// Private methods and properties
@interface IDMZoomingScrollView ()
@property (nonatomic, weak) IDMPhotoBrowser *photoBrowser;
- (void)handleSingleTap:(CGPoint)touchPoint;
- (void)handleDoubleTap:(CGPoint)touchPoint;
@end

@implementation IDMZoomingScrollView

@synthesize photoImageView = _photoImageView, photoBrowser = _photoBrowser, photo = _photo, captionView = _captionView;

- (id)initWithPhotoBrowser:(IDMPhotoBrowser *)browser {
    if ((self = [super init])) {
        // Delegate
        self.photoBrowser = browser;

		// Tap view for background
		_tapView = [[IDMTapDetectingView alloc] initWithFrame:self.bounds];
		_tapView.tapDelegate = self;
		_tapView.autoresizingMask = UIViewAutoresizingFlexibleWidth | UIViewAutoresizingFlexibleHeight;
		_tapView.backgroundColor = [UIColor clearColor];
		[self addSubview:_tapView];

		// Image view
		_photoImageView = [[IDMTapDetectingImageView alloc] initWithFrame:CGRectZero];
		_photoImageView.tapDelegate = self;
		_photoImageView.backgroundColor = [UIColor clearColor];
		[self addSubview:_photoImageView];

        CGRect screenBound = [[UIScreen mainScreen] bounds];
        CGFloat screenWidth = screenBound.size.width;
        CGFloat screenHeight = screenBound.size.height;

        if ([[UIDevice currentDevice] orientation] == UIDeviceOrientationLandscapeLeft ||
            [[UIDevice currentDevice] orientation] == UIDeviceOrientationLandscapeRight) {
            screenWidth = screenBound.size.height;
            screenHeight = screenBound.size.width;
        }

        // Progress view
        _progressView = [[DACircularProgressView alloc] initWithFrame:CGRectMake((screenWidth-35.)/2., (screenHeight-35.)/2, 35.0f, 35.0f)];
        [_progressView setProgress:0.0f];
        _progressView.tag = 101;
        _progressView.thicknessRatio = 0.1;
        _progressView.roundedCorners = NO;
        _progressView.trackTintColor    = browser.trackTintColor    ? self.photoBrowser.trackTintColor    : [UIColor colorWithWhite:0.2 alpha:1];
        _progressView.progressTintColor = browser.progressTintColor ? self.photoBrowser.progressTintColor : [UIColor colorWithWhite:1.0 alpha:1];
        [self addSubview:_progressView];

		// Setup
		self.backgroundColor = [UIColor clearColor];
		self.delegate = self;
		self.showsHorizontalScrollIndicator = NO;
		self.showsVerticalScrollIndicator = NO;
		self.decelerationRate = UIScrollViewDecelerationRateFast;
		self.autoresizingMask = UIViewAutoresizingFlexibleWidth | UIViewAutoresizingFlexibleHeight;
    }

    return self;
}

- (void)setPhoto:(id<IDMPhoto>)photo {
    _photoImageView.image = nil; // Release image
    if (_photo != photo) {
        _photo = photo;
    }
    [self displayImage];
}

- (void)prepareForReuse {
    self.photo = nil;
    [_captionView removeFromSuperview];
    self.captionView = nil;
}

#pragma mark - Image

// Get and display image
- (void)displayImage {
	if (_photo && _photoImageView.image == nil) {
		// Reset
		self.maximumZoomScale = 1;
		self.minimumZoomScale = 1;
		self.zoomScale = 1;

		self.contentSize = CGSizeMake(0, 0);

		// Get image from browser as it handles ordering of fetching
		UIImage *img = [self.photoBrowser imageForPhoto:_photo];
		if (img) {
            // Hide ProgressView
            //_progressView.alpha = 0.0f;
            [_progressView removeFromSuperview];

            // Set image
			_photoImageView.image = img;
			_photoImageView.hidden = NO;

            // Setup photo frame
			CGRect photoImageViewFrame;
			photoImageViewFrame.origin = CGPointZero;
			photoImageViewFrame.size = img.size;

			_photoImageView.frame = photoImageViewFrame;
			self.contentSize = photoImageViewFrame.size;

			// Set zoom to minimum zoom
			[self setMaxMinZoomScalesForCurrentBounds];
        } else {
			// Hide image view
			_photoImageView.hidden = YES;

            _progressView.alpha = 1.0f;
		}

		[self setNeedsLayout];
	}
}

- (void)setProgress:(CGFloat)progress forPhoto:(IDMPhoto*)photo {
    IDMPhoto *p = (IDMPhoto*)self.photo;

    if ([photo.photoURL.absoluteString isEqualToString:p.photoURL.absoluteString]) {
        if (_progressView.progress < progress) {
            [_progressView setProgress:progress animated:YES];
        }
    }
}

// Image failed so just show black!
- (void)displayImageFailure {
    [_progressView removeFromSuperview];
}

#pragma mark - Setup

- (void)setMaxMinZoomScalesForCurrentBounds {
	// Reset
	self.maximumZoomScale = 1;
	self.minimumZoomScale = 1;
	self.zoomScale = 1;

	// Bail
	if (_photoImageView.image == nil) return;

	// Sizes
    CGSize boundsSize = self.bounds.size;
    CGSize imageSize = _photoImageView.frame.size;

    // Calculate Min
    CGFloat xScale = boundsSize.width / imageSize.width;    // the scale needed to perfectly fit the image width-wise
    CGFloat yScale = boundsSize.height / imageSize.height;  // the scale needed to perfectly fit the image height-wise
    CGFloat minScale = MIN(xScale, yScale);                 // use minimum of these to allow the image to become fully visible

	// If image is smaller than the screen then ensure we show it at
	// min scale of 1
	if (xScale > 1 && yScale > 1) {
		//minScale = 1.0;
	}

	// Calculate Max
	CGFloat maxScale = 4.0; // Allow double scale
    // on high resolution screens we have double the pixel density, so we will be seeing every pixel if we limit the
    // maximum zoom scale to 0.5.
	if ([UIScreen instancesRespondToSelector:@selector(scale)]) {
		maxScale = maxScale / [[UIScreen mainScreen] scale];

		if (maxScale < minScale) {
			maxScale = minScale * 2;
		}
	}

	// Set
	self.maximumZoomScale = maxScale;
	self.minimumZoomScale = minScale;
	self.zoomScale = minScale;

	// Reset position
	_photoImageView.frame = CGRectMake(0, 0, _photoImageView.frame.size.width, _photoImageView.frame.size.height);
	[self setNeedsLayout];
}

#pragma mark - Layout

- (void)layoutSubviews {
	// Update tap view frame
	_tapView.frame = self.bounds;

	// Super
	[super layoutSubviews];

    // Center the image as it becomes smaller than the size of the screen
    CGSize boundsSize = self.bounds.size;
    CGRect frameToCenter = _photoImageView.frame;

    // Horizontally
    if (frameToCenter.size.width < boundsSize.width) {
        frameToCenter.origin.x = floorf((boundsSize.width - frameToCenter.size.width) / 2.0);
	} else {
        frameToCenter.origin.x = 0;
	}

    // Vertically
    if (frameToCenter.size.height < boundsSize.height) {
        frameToCenter.origin.y = floorf((boundsSize.height - frameToCenter.size.height) / 2.0);
	} else {
        frameToCenter.origin.y = 0;
	}

	// Center
	if (!CGRectEqualToRect(_photoImageView.frame, frameToCenter))
		_photoImageView.frame = frameToCenter;
}

#pragma mark - UIScrollViewDelegate

- (UIView *)viewForZoomingInScrollView:(UIScrollView *)scrollView {
	return _photoImageView;
}

- (void)scrollViewWillBeginDragging:(UIScrollView *)scrollView {
	[_photoBrowser cancelControlHiding];
}

- (void)scrollViewWillBeginZooming:(UIScrollView *)scrollView withView:(UIView *)view {
	[_photoBrowser cancelControlHiding];
}

- (void)scrollViewDidEndDragging:(UIScrollView *)scrollView willDecelerate:(BOOL)decelerate {
	[_photoBrowser hideControlsAfterDelay];
}

- (void)scrollViewDidZoom:(UIScrollView *)scrollView {
    [self setNeedsLayout];
    [self layoutIfNeeded];
}

#pragma mark - Tap Detection

- (void)handleSingleTap:(CGPoint)touchPoint {
    [_photoBrowser performSelector:@selector(kr_singleTapHandler) withObject:nil afterDelay:0.2];
}

- (void)handleDoubleTap:(CGPoint)touchPoint {

	// Cancel any single tap handling
	[NSObject cancelPreviousPerformRequestsWithTarget:_photoBrowser];

	// Zoom
	if (self.zoomScale == self.maximumZoomScale) {

		// Zoom out
		[self setZoomScale:self.minimumZoomScale animated:YES];

	} else {

		// Zoom in
		[self zoomToRect:CGRectMake(touchPoint.x, touchPoint.y, 1, 1) animated:YES];

	}

	// Delay controls
	[_photoBrowser hideControlsAfterDelay];
}

// Image View
- (void)imageView:(UIImageView *)imageView singleTapDetected:(UITouch *)touch {
    [self handleSingleTap:[touch locationInView:imageView]];
}
- (void)imageView:(UIImageView *)imageView doubleTapDetected:(UITouch *)touch {
    [self handleDoubleTap:[touch locationInView:imageView]];
}

// Background View
- (void)view:(UIView *)view singleTapDetected:(UITouch *)touch {
    [self handleSingleTap:[touch locationInView:view]];
}
- (void)view:(UIView *)view doubleTapDetected:(UITouch *)touch {
    [self handleDoubleTap:[touch locationInView:view]];
}

@end


text:
One of a dozen baggage car models available from RailSmith Models is this Atlantic Coast Line release.
Baggage Cars in N scale from RailSmith Models
N scale – RailSmith Models has released twelve new baggage cars. These 72-foot N-scale models follow the design of Pullman-Standard built prototypes from the mid-1940s, specifically for the Chicago Great Western. RailSmith Models continues its "Build-a-Train" concept introduced two years ago after purchasing the tools from Wm. K. Walthers and is offering several liveries for this baggage car to match up with past and future releases in this series.
ABOVE: Great Northern 277 presents the road's famous Empire Builder scheme and includes storage mail label. This version of RailSmith Models' baggage car lacks skirting and presents smooth sides.
The manufacturer's plan is to create classic passenger car consists for trains that have never before been produced in N scale. You can learn more RailSmith Models' website. Trains in this series include Texas Special, City of San Francisco, Florida Special, Empire Builder, and North Coast Limited. Those name train sets now have six to 10 cars released since the program began in 2018.
ABOVE: Rio Grande cars include fluting along the lower half of the car sides and come in this four-stripe scheme (D&RGW 1210) and a later era single-stripe (D&RGW 1211) look.
The fully assembled N-scale models come equipped with smooth-rolling metal wheels and knuckle couplers. The releases include Atlantic Coast Line (150 and 151) with fluted sides and skirting; Chicago, Burlington & Quincy (1002) with smooth sides and no skirting; Denver & Rio Grande Western (1210 four-stripe and 1211 single-stripe) with fluting along the lower side panels and skirting below the sill; Great Northern (277 and 278) smooth-side body with no skirting; Northern Pacific (406 and 408 Loewy scheme) with smooth sides and no skirting; Santa Fe (silver 3847 and gray scheme 3913), and Southern Pacific (gray scheme 6619 and 6664) smooth-side body with no skirting.
ABOVE: This Santa Fe baggage car model from RailSmith Models shows a later era look with skirting removed below the sill.
RailSmith.net.
This article was posted on: October 6, 2020


Mindy Fetterman and Barbara Hansen analyze debt burdens on younger generations.
Although the percentage of people ages 22 to 29 with debt has declined, their total debt is up 10%, to an average $16,120 as of Aug. 1, compared with five years earlier, Experian's analysis found. Every type of debt — from credit cards to college to personal loans — has risen.
There's a blame-the-victim attitude at work, too, says William Strauss, co-author of Millennials Rising, a 2000 book that identified the generation born from the early 1980s to the early 2000s.
•Skyrocketing tuition. The average price of college has grown much faster than the rate of inflation. Average annual tuition at public four-year colleges and universities is $5,836 in 2006-07, up 268% from 1976-77, according to the U.S. Education Department and the National Center for Education Statistics. Private college tuition is up 248% to $22,218 a year.
•Declining student grants. Though total federal student aid has grown sharply, so has the proportion of people in college. In 2004, 67% of high school graduates enrolled in college; in 1972, only 49% did. As a result, student grants cover only 39% of the costs of a four-year college today, compared with nearly 80% in the mid-1970s, the College Board says.
•Soaring student-loan debt. Students have generally made up the gap between what colleges charge and what they can afford by borrowing. The percentage of students who borrowed for college jumped to 65% in 2000-01 from 34% in 1977, the National Center for Education Statistics says.
And they use credit cards to help pay for books and other items. Half of all graduates in 2004 used credit cards for school expenses, the American Council on Education found.
I had problems paying off my student load immediately after college, and it definitely forced me to change my career choices in my twenties. I couldn't stay in graduate school (my student loans were private loans and nondeferable) and I couldn't join Peace Corps until I paid them off.
There are two problems here. First, private student loans are simple debts; there are no escape clauses for those doing charity work or staying in graduate school. Students rarely realize this. When they are in college (or even in high school), they don't appreciate the magnitude of the financial burden they are accepting. Related to this is the fact that others are making your financial decisions for you; parents will happily push you to assume student debts so they won't have to pay it themselves. Actually, with government low interest debts, it probably makes sense to defer these debts, but parents should assume some responsibility for private loans; they can't realistically expect their children to have the ability to pay $500 a month within the first 5 years out of college.
Secondly, educational expenses have been rising–even ancillary costs like textbooks. Getting a college degree or graduate degree seemed like a good idea for your long term financial health. But students really should address the practical question: will the amount I am spending (or will be spending) on this degree truly pay off in the long run? Luckily, I had a graduate fellowship at Johns Hopkins, but several people assumed lots of student loans to pay for a premium graduate education. Trust me, Columbia or Harvard isn't worth that much more than your average state-run graduate program.
Students are used to seeking out brand name products, and choosing a college seems to be a byproduct of this decision-making process. With brand names, you are willing to pay a premium for the imprimatur and the social acceptance. (This often happens in fields where it's difficult to gauge quality). But resisting the allure of the brand name (or at least trying to objectively assess the costs and benefits together) can often save you a lot of money and allow you to find an educational bargain in the process.
I've long insisted that the 4 year degree needs to die. Many institutions are just not taking advantage of new technologies to reduce educational costs. Instead, every new technology becomes an excuse to keep tuition high. Now that I am out of college and in the work world, I am constantly teaching myself new things–and constantly learning these things without having to pay a dime of tuition. Not that I have a problem with doing so; I would gladly pay the money (or even borrow the money) to pay for a skill I thought I needed. But so many low cost learning opportunities exist–hey, there's this thing called the Internet; they say it's supposed to be great).
What students need is not more college credits but help from a independent consultant to plan a self-learning curriculum that is affordable , yet effective. Right now, educators (and students) seem to feel that the only way to learn a trade is to enroll in a 2 or 4 year degree. But that is not true anymore. A few years ago, I enrolled in a graduate program at University of Texas for Instructional Technology. Fun, exciting program; I definitely benefited from it. I took two graduate courses and dropped out with an A and B. While taking these classes, I realized how little I needed to be in this graduate program to learn the things I was learning. In fact, it was almost more efficient to be learning these things on their own.
This phenomenon is not always true. With technology fields, you want to see the tools or algorithms which experts use. Sometimes it just is too time-consuming to teach yourself these things. In programming for instance, it often takes a long time to set up a development or testing environment. It would help to have a school set these things up for you. On the hand, setting this environment up is not time-wasted; many developers struggle to learn everything at a very detailed level, and instructor-led courses can begin at a high level simplified view.
Learners don't need teachers or even classroom environment, but they do need learning sequences and plans for self-directed learning. Moreover, they usually also need a social setting where they can exchange ideas with other people trying to learn the same thing.
(Incidentally, I've linked here before, but the Stingy Scholar is a good place to start for online learning resources).