text:
Q: Create an instance of IHubContext in a webjob with Simple Injector I'm using .NET Core 2.2 and SignalR Core and I need to inject IHubContext<MyClass> via Simple Injector in my Webjob.
It works perfectly in my web app but when I'm trying to reach my service via web job, it's complaining about lacking injection of IHubContext<IHubContext<BroadcastHub>>
I need a way to register it via Simple Injector
This is my Configuration in Program.cs file in my Webjob
using AutoMapper;
using Gateway.BLL.BaseClasses;
using Gateway.BLL.Config;
using Gateway.BLL.Services;
using Gateway.BLL.Services.Interfaces;
using Gateway.BLL.SignalR;
using Gateway.Model.MappingProfiles;
using Gateway.Repository;
using Gateway.Repository.Interfaces;
using Gateway.Repository.Repositories;
using Microsoft.AspNetCore.SignalR;
using Microsoft.AspNetCore.SignalR.Internal;
using Microsoft.Azure.WebJobs.Extensions.SignalRService;
using Microsoft.Azure.WebJobs.Host;
using Microsoft.EntityFrameworkCore;
using Microsoft.Extensions.Caching.Memory;
using Microsoft.Extensions.Configuration;
using Microsoft.Extensions.DependencyInjection;
using Microsoft.Extensions.Hosting;
using Microsoft.Extensions.Logging;
using SimpleInjector;
using System;
using System.IO;
using System.Net.Http;

namespace Gateway.WebJob
{
    class Program
    {
        private static void Main()
        {
            var container = new Container();

            DbContextOptionsBuilder ob = new DbContextOptionsBuilder();

            var config = new MapperConfiguration
                (cfg =>
            {
                cfg.AddProfile(new ModelMappingProfile());
            }
                );
            var mapper = config.CreateMapper();

            var loggerFactory = new LoggerFactory();

            ServiceCollection sr = new ServiceCollection();

            sr.AddSignalR();

            var serviceProvider = sr.AddHttpClient().BuildServiceProvider();
            var httpClientFactory = serviceProvider.GetService<IHttpClientFactory>();

            IConfigurationBuilder configurationBuilder = new ConfigurationBuilder();
            // Duplicate here any configuration sources you use.
            configurationBuilder.AddJsonFile("appsettings.json");
            IConfiguration configuration = configurationBuilder.Build();

            var medchartApiConfiguration = new MedchartApiConfiguration();
            configuration.Bind("MedchartApiConfiguration", medchartApiConfiguration);

            var serviceBusConfiguration = new ServiceBusConfiguration();
            configuration.Bind("ServiceBusConfiguration", serviceBusConfiguration);

            ob = ob.UseSqlServer(configuration["ConnectionString:GatewayDB"]);

            IMemoryCache memoryCache = new MemoryCache(new MemoryCacheOptions());

            ConfigureServices(sr);

            var builder = new HostBuilder();
            builder.ConfigureWebJobs(b =>
            {
                b.AddAzureStorageCoreServices();
                b.AddServiceBus(o =>
                {
                    o.MessageHandlerOptions.AutoComplete = true;
                    o.MessageHandlerOptions.MaxConcurrentCalls = 10;
                    o.ConnectionString = "Endpoint=sb://gatewayqueue.servicebus.windows.net/;SharedAccessKeyName=admin;SharedAccessKey=Wd2YwCEJT2g3q4ykvdOIU2251YD5FizCn5aCuumzdz4=";
                }).AddSignalR();
            });
            builder.ConfigureLogging((context, b) =>
            {
                b.AddConsole();
                string instrumentationKey = context.Configuration["APPINSIGHTS_INSTRUMENTATIONKEY"];
                if (!string.IsNullOrEmpty(instrumentationKey))
                {
                    b.AddApplicationInsightsWebJobs(o => o.InstrumentationKey = instrumentationKey);
                }
            });

            builder.ConfigureServices((hostContext, services) => {
                //services.AddHttpClient();
                //hostContext.Configuration.Bind("MedchartApiConfiguration", medchartApiConfiguration);
                //services.AddSingleton(medchartApiConfiguration);
                services.AddSingleton(container);
                services.AddScoped<JobActivator.ScopeDisposable>();
                services.AddScoped<IJobActivator, JobActivator>();
            });

            container.Register<IPatientService, PatientService>();
            container.Register<IPatientRepository, PatientRepository>();
            container.Register<IProviderService, ProviderService>();
            container.Register<IPatientGroupProviderRepository, PatientGroupProviderRepository>();
            container.Register<IPatientGroupRepository, PatientGroupRepository>();
            container.Register<IConsentRepository, ConsentRepository>();
            container.Register<IHttpClientWrapper, HttpClientWrapper>();
            container.Register<IMedchartService, MedchartService>();
            container.Register<IGroupRepository, GroupRepository>();
            container.Register<IReportRepository, ReportRepository>();
            container.Register<IProviderRepository, ProviderRepository>();
            container.RegisterSingleton(httpClientFactory);
            container.RegisterSingleton(memoryCache);
            container.RegisterSingleton(medchartApiConfiguration);
            container.RegisterSingleton(serviceBusConfiguration);
            container.Register<ILoggerFactory>(() => loggerFactory, Lifestyle.Singleton);
            container.RegisterSingleton(configuration);
            container.RegisterSingleton(typeof(ILogger<PatientRepository>), typeof(Logger<PatientRepository>));
            container.RegisterSingleton(typeof(ILogger<PatientService>), typeof(Logger<PatientService>));
            container.RegisterSingleton(typeof(ILogger<HttpClientWrapper>), typeof(Logger<HttpClientWrapper>));
            container.RegisterSingleton(typeof(ILogger<MedchartService>), typeof(Logger<MedchartService>));
            container.RegisterSingleton(typeof(ILogger<ProviderService>), typeof(Logger<ProviderService>));
            container.RegisterSingleton(typeof(ILogger<ProviderRepository>), typeof(Logger<ProviderRepository>));
            container.RegisterSingleton(typeof(ILogger<ReportRepository>), typeof(Logger<ReportRepository>));
            container.RegisterSingleton(mapper);
            container.Register<GatewayDBContext>(() => {
                var options = ob.Options;
                return new GatewayDBContext(options);
            });

            var host = builder.Build();
            using (host)
            {
                host.Run();
            }
        }

        private static IConfiguration Configuration { get; set; }
        private static void ConfigureServices(IServiceCollection services)
        {
            var environment = Environment.GetEnvironmentVariable("ASPNETCORE_ENVIRONMENT");

            Configuration = new ConfigurationBuilder()
                .SetBasePath(Directory.GetCurrentDirectory())
                .AddJsonFile("appsettings.json", optional: false, reloadOnChange: true)
                .AddJsonFile($"appsettings.{environment}.json", optional: true, reloadOnChange: true)
                .AddEnvironmentVariables()
                .Build();

            services.AddSingleton(Configuration);
            services.AddTransient<Functions, Functions>();
            services.AddLogging(builder => builder.AddConsole());
        }
    }
}

This is my simplified Service that is using SignalR: (this is another project that webjob will use it
using Microsoft.AspNetCore.SignalR;
using Gateway.BLL.SignalR;

// namespace Gateway.BLL.Services
public class PatientService : HttpClientWrapper, IPatientService
{
    private readonly IHubContext<BroadcastHub> _hubContext;

    public PatientService(IHubContext<BroadcastHub> hubContext)
        : base(logger,httpClientFactory,medchartConfig)
    {
        _hubContext = hubContext;
    }

    public async Task<OutputHandler<IEnumerable<PatientEnrollmentParams>>>
        CreatePatientAsync(List<PatientEnrollmentParams> patients,
            CancellationToken ct)
    {
        var result = new OutputHandler<IEnumerable<PatientEnrollmentParams>>();
        await _hubContext.Clients.All.SendAsync("BroadcastMessage");
        return result;
    }
}

this is my webjob that will call PatientService in another project
    using Gateway.BLL.Config;
using Gateway.BLL.Processors;
using Gateway.BLL.Queues;
using Gateway.BLL.Services;
using Gateway.Model.Queues;
using Microsoft.Azure.ServiceBus;
using Microsoft.Azure.WebJobs;
using Microsoft.Extensions.Configuration;
using Microsoft.Extensions.Logging;
using Newtonsoft.Json;
using SimpleInjector;
using System;
using System.Collections.Generic;
using System.Text;
using System.Threading.Tasks;

namespace Gateway.WebJob
{
    public class Functions
    {
        private Container _container;
        public Functions(Container container)
        {
            _container = container;
        }

        public async Task ProcessEnrollmentStatus([ServiceBusTrigger("%ServiceBusConfiguration:EnrollmentMessage:QueueName%")]string message, ILogger log)
        {
            var _patientService = _container.GetInstance<IPatientService>();
            GetEnrollmentStatusTaskProcessor processor = new GetEnrollmentStatusTaskProcessor(_patientService);
            EnrollmentStatusTask data = JsonConvert.DeserializeObject<EnrollmentStatusTask>(message);
            await processor.Process(data);
        }

        public async Task ProcessConsentRequestStatus([ServiceBusTrigger("%ServiceBusConfiguration:ConsentRequestMessage:QueueName%")]string message, ILogger log)
        {
            var _patientService = _container.GetInstance<IPatientService>();
            GetConsentRequestTaskProcessor processor = new GetConsentRequestTaskProcessor(_patientService);
            ConsentRequestTask data = JsonConvert.DeserializeObject<ConsentRequestTask>(message);
            await processor.Process(data);
        }
    }
}

and this is the process method that will call patientService:
    using Gateway.BLL.Services;
using Gateway.Model.Queues;
using System;
using System.Collections.Generic;
using System.Text;
using System.Threading.Tasks;

namespace Gateway.BLL.Processors
{
    public class GetEnrollmentStatusTaskProcessor :  IProcessor<EnrollmentStatusTask>
    {
        private IPatientService _patientService;

        public GetEnrollmentStatusTaskProcessor(IPatientService patientService)
        {
            _patientService = patientService;
        }

        public async Task<bool> Process(EnrollmentStatusTask data)
        {
            bool updated = await _patientService.UpdatePatientEnrollmentStatus(data.PatientId, data.PatientMedchartId.ToString(), data.GroupId);
            return updated;
        }
    }
}

I need to register IHubContext<MyClass> in my webjob in program.cs but I'm not able to register it via the following ways:
hubContext = serviceProvider.GetService<IHubContext<BroadcastHub>>();
container.RegisterSingleton(hubContext);

or this way
container.Register<IHubContext<BroadcastHub>>(Lifestyle.Singleton);

Update 2019-12-02:
I was able to resolve IHubContext but now i'm receiving e new issue. this is my function class:
    using Gateway.BLL.Config;
using Gateway.BLL.Processors;
using Gateway.BLL.Queues;
using Gateway.BLL.Services;
using Gateway.Model.Queues;
using Microsoft.Azure.ServiceBus;
using Microsoft.Azure.WebJobs;
using Microsoft.Extensions.Configuration;
using Microsoft.Extensions.Logging;
using Newtonsoft.Json;
using SimpleInjector;
using System;
using System.Collections.Generic;
using System.Text;
using System.Threading.Tasks;

namespace Gateway.WebJob
{
    public class Functions
    {
        private Container _container;
        public Functions(Container container)
        {
            _container = container;
        }

        public async Task ProcessEnrollmentStatus([ServiceBusTrigger("%ServiceBusConfiguration:EnrollmentMessage:QueueName%")]string message, ILogger log)
        {
            var _patientService = _container.GetInstance<IPatientService>();
            GetEnrollmentStatusTaskProcessor processor = new GetEnrollmentStatusTaskProcessor(_patientService);
            EnrollmentStatusTask data = JsonConvert.DeserializeObject<EnrollmentStatusTask>(message);
            await processor.Process(data);
        }

        public async Task ProcessConsentRequestStatus([ServiceBusTrigger("%ServiceBusConfiguration:ConsentRequestMessage:QueueName%")]string message, ILogger log)
        {
            var _patientService = _container.GetInstance<IPatientService>();
            GetConsentRequestTaskProcessor processor = new GetConsentRequestTaskProcessor(_patientService);
            ConsentRequestTask data = JsonConvert.DeserializeObject<ConsentRequestTask>(message);
            await processor.Process(data);
        }
    }
}

and this is my progrm.cs class after all updates:
    using AutoMapper;
using Gateway.BLL.BaseClasses;
using Gateway.BLL.Config;
using Gateway.BLL.Services;
using Gateway.BLL.Services.Interfaces;
using Gateway.BLL.SignalR;
using Gateway.Model.MappingProfiles;
using Gateway.Repository;
using Gateway.Repository.Interfaces;
using Gateway.Repository.Repositories;
using Microsoft.AspNetCore.SignalR;
using Microsoft.AspNetCore.SignalR.Internal;
using Microsoft.Azure.WebJobs.Extensions.SignalRService;
using Microsoft.Azure.WebJobs.Host;
using Microsoft.EntityFrameworkCore;
using Microsoft.Extensions.Caching.Memory;
using Microsoft.Extensions.Configuration;
using Microsoft.Extensions.DependencyInjection;
using Microsoft.Extensions.Hosting;
using Microsoft.Extensions.Logging;
using SimpleInjector;
using System;
using System.IO;
using System.Net.Http;

namespace Gateway.WebJob
{
    class Program
    {
        private static void Main()
        {
            var container = new Container();

            DbContextOptionsBuilder ob = new DbContextOptionsBuilder();

            var config = new MapperConfiguration
                (cfg =>
            {
                cfg.AddProfile(new ModelMappingProfile());
            }
                );
            var mapper = config.CreateMapper();

            var loggerFactory = new LoggerFactory();

            ServiceCollection sr = new ServiceCollection();
            sr.AddLogging();
            sr.AddSignalR();

            sr.AddDbContextPool<GatewayDBContext>(options => { /*options */ });

            sr.AddSimpleInjector(container, options =>
             {
                 options.AddLogging();
                 //options.CrossWire<ILoggerFactory>();
             });

            sr.BuildServiceProvider(validateScopes: true).UseSimpleInjector(container);

            var serviceProvider = sr.AddHttpClient().BuildServiceProvider();
            var httpClientFactory = serviceProvider.GetService<IHttpClientFactory>();

            IConfigurationBuilder configurationBuilder = new ConfigurationBuilder();
            // Duplicate here any configuration sources you use.
            configurationBuilder.AddJsonFile("appsettings.json");
            IConfiguration configuration = configurationBuilder.Build();

            var medchartApiConfiguration = new MedchartApiConfiguration();
            configuration.Bind("MedchartApiConfiguration", medchartApiConfiguration);

            var serviceBusConfiguration = new ServiceBusConfiguration();
            configuration.Bind("ServiceBusConfiguration", serviceBusConfiguration);

            ob = ob.UseSqlServer(configuration["ConnectionString:GatewayDB"]);

            IMemoryCache memoryCache = new MemoryCache(new MemoryCacheOptions());

            ConfigureServices(sr);

            var builder = new HostBuilder();
            builder.ConfigureWebJobs(b =>
            {
                b.AddAzureStorageCoreServices();
                b.AddServiceBus(o =>
                {
                    o.MessageHandlerOptions.AutoComplete = true;
                    o.MessageHandlerOptions.MaxConcurrentCalls = 10;
                    o.ConnectionString = "Endpoint=sb://gatewayqueue.servicebus.windows.net/;SharedAccessKeyName=admin;SharedAccessKey=Wd2YwCEJT2g3q4ykvdOIU2251YD5FizCn5aCuumzdz4=";
                });
            });
            builder.ConfigureLogging((context, b) =>
            {
                b.AddConsole();
                b.Services.AddLogging();
                string instrumentationKey = context.Configuration["APPINSIGHTS_INSTRUMENTATIONKEY"];
                if (!string.IsNullOrEmpty(instrumentationKey))
                {
                    b.AddApplicationInsightsWebJobs(o => o.InstrumentationKey = instrumentationKey);
                }
            });

            builder.ConfigureServices((hostContext, services) =>
            {
                //services.AddHttpClient();
                //hostContext.Configuration.Bind("MedchartApiConfiguration", medchartApiConfiguration);
                //services.AddSingleton(medchartApiConfiguration);
                //services.AddSingleton(container);
                //services.AddScoped<JobActivator.ScopeDisposable>();
                //services.AddScoped<IJobActivator, JobActivator>();
            });

            container.Register<IPatientService, PatientService>();
            container.Register<IPatientRepository, PatientRepository>();
            container.Register<IProviderService, ProviderService>();
            container.Register<IPatientGroupProviderRepository, PatientGroupProviderRepository>();
            container.Register<IPatientGroupRepository, PatientGroupRepository>();
            container.Register<IConsentRepository, ConsentRepository>();
            container.Register<IHttpClientWrapper, HttpClientWrapper>();
            container.Register<IMedchartService, MedchartService>();
            container.Register<IGroupRepository, GroupRepository>();
            container.Register<IReportRepository, ReportRepository>();
            container.Register<IProviderRepository, ProviderRepository>();
            container.RegisterSingleton(httpClientFactory);
            container.RegisterSingleton(memoryCache);
            container.RegisterSingleton(medchartApiConfiguration);
            container.RegisterSingleton(serviceBusConfiguration);
            //container.Register<ILoggerFactory>(() => loggerFactory, Lifestyle.Singleton);
            container.RegisterSingleton(configuration);
            container.RegisterSingleton(typeof(ILogger<PatientRepository>), typeof(Logger<PatientRepository>));
            container.RegisterSingleton(typeof(ILogger<PatientService>), typeof(Logger<PatientService>));
            container.RegisterSingleton(typeof(ILogger<HttpClientWrapper>), typeof(Logger<HttpClientWrapper>));
            container.RegisterSingleton(typeof(ILogger<MedchartService>), typeof(Logger<MedchartService>));
            container.RegisterSingleton(typeof(ILogger<ProviderService>), typeof(Logger<ProviderService>));
            container.RegisterSingleton(typeof(ILogger<ProviderRepository>), typeof(Logger<ProviderRepository>));
            container.RegisterSingleton(typeof(ILogger<ReportRepository>), typeof(Logger<ReportRepository>));
            container.RegisterSingleton(mapper);
            //container.Register<GatewayDBContext>(() =>
            //{
            //    var options = ob.Options;
            //    return new GatewayDBContext(options);
            //});
            container.Verify();
            var host = builder.Build();
            using (host)
            {
                host.Run();
            }
        }

        private static IConfiguration Configuration { get; set; }
        private static void ConfigureServices(IServiceCollection services)
        {
            var environment = Environment.GetEnvironmentVariable("ASPNETCORE_ENVIRONMENT");

            Configuration = new ConfigurationBuilder()
                .SetBasePath(Directory.GetCurrentDirectory())
                .AddJsonFile("appsettings.json", optional: false, reloadOnChange: true)
                .AddJsonFile($"appsettings.{environment}.json", optional: true, reloadOnChange: true)
                .AddEnvironmentVariables()
                .Build();

            services.AddSingleton(Configuration);
            services.AddTransient<Functions, Functions>();
            services.AddLogging(builder => builder.AddConsole());
        }
    }
}

Now I'm getting this error that it means the container inside the function class is not resolved:
fail: Host.Results[0]

System.InvalidOperationException: Unable to resolve service for type 'SimpleInjector.Container' while attempting to activate 'Gateway.WebJob.Functions'.
   at Microsoft.Extensions.DependencyInjection.ActivatorUtilities.GetService(IServiceProvider sp, Type type, Type requiredBy, Boolean isDefaultParameterRequired)
   at lambda_method(Closure , IServiceProvider , Object[] )
   at Microsoft.Azure.WebJobs.Host.Executors.DefaultJobActivator.CreateInstance[T](IServiceProvider serviceProvider) in C:\projects\azure-webjobs-sdk-rqm4t\src\Microsoft.Azure.WebJobs.Host\Executors\DefaultJobActivator.cs:line 37
   at Microsoft.Azure.WebJobs.Host.Executors.FunctionInvoker`2.CreateInstance(IFunctionInstanceEx functionInstance) in C:\projects\azure-webjobs-sdk-rqm4t\src\Microsoft.Azure.WebJobs.Host\Executors\FunctionInvoker.cs:line 44
   at Microsoft.Azure.WebJobs.Host.Executors.FunctionExecutor.ParameterHelper.Initialize() in C:\projects\azure-webjobs-sdk-rqm4t\src\Microsoft.Azure.WebJobs.Host\Executors\FunctionExecutor.cs:line 846
   at Microsoft.Azure.WebJobs.Host.Executors.FunctionExecutor.TryExecuteAsyncCore(IFunctionInstanceEx functionInstance, CancellationToken cancellationToken) in C:\projects\azure-webjobs-sdk-rqm4t\src\Microsoft.Azure.WebJobs.Host\Executors\FunctionExecutor.cs:line 117

A: I just tried this out myself, but as long as "auto cross wiring" is enabled in the Simple Injector integration (which is the default), you should be able to get IHubContext<T> implementations injected without having to do anything.
Here's an example startup class:
public class Startup
{
    private readonly Container container = new Container();
    public Startup(IConfiguration configuration) => Configuration = configuration;
    public IConfiguration Configuration { get; }

    public void ConfigureServices(IServiceCollection services)
    {
        // default asp stuff here

        // add signalr
        services.AddSignalR();

        // add simple injector (enables auto cross wiring)
        services.AddSimpleInjector(this.container, options =>
        {
            options.AddAspNetCore().AddControllerActivation();
        });
    }

    public void Configure(IApplicationBuilder app, IHostingEnvironment env)
    {
        app.UseSimpleInjector(container);

        app.UseCookiePolicy();

        app.UseMvc(routes =>
        {
            routes.MapRoute(
                name: "default",
                template: "{controller=Home}/{action=Index}/{id?}");
        });
    }
}

And here's a hub context injected into a controller that is created by Simple Injector:
public class HomeController : Controller
{
    private readonly IHubContext<MyHub> context;

    public HomeController(IHubContext<MyHub> context, Container container)
    {
        this.context = context;
    }

    public IActionResult Index()
    {
        return View();
    }
}


text:
The Leu mill
in Nunhem
The Leu mill and the former Leuhof lay solitarily and deep in the woods. In the past they were accessible from the Roggelseweg over two dirt roads. In the 1960s daytrips started to develop. This led to paving of the roads, improvement of the paths and taking several provisions to limit the nuisance and steer staying in the woods in the right direction.
At the time, Forest Administration and the Limburg Landscape Foundation managed to prevent the river from being locally canalised, like the majority from the source, and the barrage or water rights for the mill were preserved.
The Leu mill and the Leuhof were originally loaned by the counts of Horne. From 1701 to the French era they were in possession of the St. Elisabethsdal monastery. In 1796 the mill and the yard were confiscated by the French and sold as an estate. Around the turn of the 18th to the 19th century, the mill and the yard came into the possession of the Waegemans family in Nunhem. The possible first owner W. Waegemans was followed-up by a person of private means, Emmanuel Waegemans, married to Rosa Jacobs. Waegemans asked permission from the Provincial Government in 1828 to extend the grain and oil mill with a grinding mill to make grits out of barley. In a licence for renewing the sluice in 1850, the Leu mill was indicated as an oil, grain and grinding mill. Later the mill was simply referred to as a grain mill, probably for the sake of convenience.
The Waegemans family originally had its domicile at the castle or "Nunhem House". The windmill, which was situated in between the villages of Buggenum and Nunhem, was property of the family. In a succession in 1851 the water- and windmill came into the possession of the three Waegemans children, namely Constant or Constant Emmanuel, local judge in Buggenum, in whose branch the mill was inherited; Carolina, wife of Henri Celestin Theron in Douai (France) and Theresia, who was married to Hubert Beltjens from Liège. They each inherited 1/3rd of the estate. Rosa Jacobs, the widow of Emmanuel Waegemans, who was a woman of private means in Nunhem, had usufruct until her death. The watermill was inherited by Maria Constance Petronella Hubertine Ghislaine Coenen from Weert in 1907 after the death of dowager L. Waegemans, born Van der Renne. She later moved to Buggenum and married Mr R.J.K.M. de Nerée de Babberich, district court registrar in Roermond.
At a public sale in 1935 the mill was assigned to Theodoor Pernot, contractor in Obbicht and Papenhoven. The mill and the farmstead, which had belonged together for centuries, were then separated. The following year his son Nicolaas Johannes Wilhelmus, physician in Geleen, and his son-in-law Hubert Joseph Marie Croughs, physician in Geleen-Lindenheuvel, became the joint owners of the watermill. During a division of the estate in 1952 only the latter became the owner. In 1956 Croughs sold the mill to the State of the Netherlands, after which the mill came under the management of the Forest Administration.
The watermill was always leased. In 1790 the leaseholder Hendrik Clephas died, after which the Leu mill with the yard was leased by his widow Maria Joseph Clephas-Janssen. Finally, her son Michel became the leaseholder. The leaseholders succeeded each other rapidly in the 19th century. The watermill, which still consists of a grain and oil mill, and is the only almost complete oil mill in Limburg (a wind-driven oil mill now also stands in Nederweert), is driven by a wooden waterwheel. This was also the case in the past. Around the turn of the century the wooden waterwheel had a diameter of 6.30 m and a width of 0.63 m. The grinder and waterworks, consisting of a grinding sluice and four discharge sluices, were made of wood at the time.
The Leu River by the mill consists of two branches; the mill lies on the right bank of the mill branch. The building was made of brick and has a tiled-hipped roof. According to the cramp-iron year, the building dates from 1773. The roof is decorated with a small bell tower. It is believed that the bell was sound in case of an emergency. There is a recess above the entrance, in which a statuette of Saint Ursula stood, believed to have dated from the 16th century. For many years the recess remained empty. A modern wooden statuette was placed here in 1961.
In the beginning of this century the wooden waterwheel needed renovation. The use of water turbines started gaining ground shortly after the turn of the century. The mill's owner, widow L. Waegemans-Van der Renne, also had the waterwheel replaced by a turbine, before she got permission from the Provincial Government in 1911. The turbine of the Girard type and a new grinding seat consisting of cast-iron columns with two pairs of stones was provided by N.V. Machinefabriek and IJzergieterij P. Konings from Swalmen. A turbine chamber was built next to the façade, which connected to the mill's ridge with a tiled single-pitch roof.
There were two pulleys on the vertical turbine axis that drove the pivots of the two pairs of millstones with belts. Using a claw clutch on the stone's pivot, the pair of stones could be put out of action. Under the upper bearing of the turbine axle was a conic gear on a horizontal axis. This axis drove a horizontal axis on the second loft using a belt, with which, among others, the sacks were hoisted to the stone floor.
In the 1920s and 1930s the grinding business had seriously reduced. During both world wars the grinding revived, but the mill was brought to a standstill shortly afterwards. A business adaptation to newer grinding techniques, such as installing a hammer mill for grinding compound feed, didn't take place.
In 1960 and 1961 the Forest Administration had the Adriaens Bros. from Weert equip the mill with a waterwheel, because of which different driving gear also had to be placed. The oil striking mechanism also needed to be repaired. The turbine with the turbine chamber and grinding seat under the stone loft were removed.
The new wooden waterwheel was affixed onto a steel axis that drove the iron driving gear. This driving gear was also in a seat, formed by cast-iron columns that are situated under the stone loft.
The fine driving gear consists of a conic axle wheel, which drives the main piece with a cogwheel. The track wheel and the pinions form the drive of the two stone pivots. Every pinion can, as is customary, slide out of the engagement of the track wheel over the stone pivot in order to put the pair of stones out of action. The grinding seat and driving gear originated from the watermill of Damoiseaux in Sittard, which was demolished due to urban renewal.
The drive of the oil mill takes place from the main piece with an intermediate shaft and a conic wheel transmission. A wooden pinion, mounted on the other side of the intermediate shaft drives the edge runner mill on the old axle. This latter cogwheel also meshes on a crown wheel of the camshaft, with which the rammers are lifted out of the chief beam of threshold.
The waterwheel has a diameter of 5.60 m and a width of 1 m. An awning was affixed above the waterwheel. Its function isn't known.
In 1961 the renovation and restoration were completed and festively opened on 10 June of the same year by Mr F. Houben, governor of the province of Limburg. At first, feed grain grinding was only done for demonstrative purposes. Currently, the mill serves as a visitor centre. Information is provided about Leudal, especially about the cultural and historic aspects. The mill is open daily for interested parties. For opening hours, go to www.leumolen.nl.
In the mid-1960s plans were developed to generate electricity using waterpower. The former Foundation for Generating Electricity for Wind- and Watermills acted as advisor. The design and execution of the drive was provided by N.V. Machinefabriek Van Aarsen in Panheel. The generator of the Dietz brand, provided with a built-on conic wheel compartment, had a capacity of 5 kW.
The drive consisted of a vertical intermediate shaft with a pinion at the top that was driven by the track wheel. There was a gear under the pinion. There was a V-belt drive at the base of the intermediate shaft to the conic wheel compartment. The total transmission had to provide the desired generator rotational speed of 1550 revolutions per minute.
The results remained under expectations. This was mainly due to the simple classic design of the wooden waterwheel. The experiments were therefore discontinued early. Now the generator is set up in the watermill of Eibergen.
Opening times: Sunday to Thursday from 13:00 bis 17:00 clock (July and August). On the first and third Saturday of the month from 10:00 bis 14:00 clock. On Sundays and public holidays from 13:00 bis 17:00 clock (from Pentecost until 1 July).
Adress: Leumolen 3, 6083 BL Nunhem, Phone: (+31) (0)495-641417

redpajama_set_name: RedPajamaCommonCrawl


This was a frustrating show. I was looking forward to seeing it – the first time most Britons will have seen some of Hopper's work, sharing that with the National Portrait Gallery's eye-opening Thomas Eakins exhibition a few years ago – and the first few rooms delivered.
Hopper's well-known theme (obsession?) of aloneness in the city started early. As the commentary declares, he was absorbed by the glimpse through "the window, the stage or the screen" into "another world", and he explored it endlessly. And the contradiction of the city, that great seething mass in which it is so easily possible to be lost, clearly exerted a similar pull, even when expressed as Grim Doré-like etchings.
Soon the two combined to yield images of people caught in hypnotically still entrapments, so painfully and pitiably alone that where, in Eleven AM, a woman looks out only at a courtyard, not the great outdoors, even that is worth it to her, it seems. In the enclosure of the theatre, Two on the aisle is the nominal subject but surely we're more interested in the lone woman in the box? And on Sunday, with feet hanging over nothing, will he jump? Throughout, emptiness is emphasised through skilful cropping of the image; Hopper liked the emerging art of film, intimate yet open, and these works also conjure up O. Winston Link's immersive, massive, deeply focused night-set photographs of the great post-war age of steam, passing trains and towns and cars and yards.
Sketches and notebooks were delightful – tight, detailed, urgent, and showing real talent. Good figurework was evinced by several self-portraits and a Pensylvania raker, caught in (raking) light, pensively.
House at Dusk as the lights come on around a greystone as the sun still lasts a few minutes more. Outside and inside, pale yellow rooms, greenish sky.
The random encounters that pass for companionship in such a place are caught in Hopper's best-known piece, Nighthawks: although it's true, it really is better as a reproduction, especially in reduced scale, which concentrates the image and the contrasts of colours. In real life, it's flatter, somehow, less solid. And really that seems right – that a venue for imagined relations should stand best as a copy, a shadow of the real thing.
As with Office at Night's phone and typewriter, all the objects are very precise. Hopper was a commercial illustrator before turning to painting, and in Nighthawks these objects have more conviction and inner life than many of the characters. He even sketched them out, including one just of the sugar shaker and the salt and pepper cellars.
It seems to me that this is crucial.
Instructively, the final large canvases became repetitive, repeating motifs with less conviction. The ultimate alienation, which Hopper may have found in himself, is achieved with Drug store: illuminated flasks of coloured water, golden brass detail. No people.
I'd reached the end of my interest, and felt that Hopper had reached the end of his.


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text:
Dealmakers work on acquisition of neonatal monitoring specialist
For our client we have worked on Lifelines Neurodiagnostic Systems' acquisition of Incereb, an Irish business behind a range of sensors and monitors used in neonatal intensive care. Incereb becomes a sister company to Hampshire-based Lifelines Ltd.
The acquisition of Incereb, whose products include the neon neonatal EEG electrode array, will allow Lifelines Neurodiagnostic Systems to further develop its international offering of neurodiagnostic equipment.
The buyer plans to increase Incereb's R&D spend on a new product pipeline, and thereby grow into new markets and product lines. The transaction also means the buyer will retain a foothold in the EU post-Brexit, which was said to be an important consideration in making the purchase.
Simon Griffin, Chief Executive of Lifelines Neurodiagnostic Systems, said:
"We have been working with Incereb for several years in the US market, and their neon product is a perfect fit with our technology and growth plans. We are very excited not only to work with Jim Roche and Incereb on new product development, but also with the INFANT Centre at University College Cork and the fantastic research being performed there under the stewardship of Professor Geraldine Boylan."
The acquisition involved 27 sellers and included public sector bodies and institutional investors.
Barlow Robbins' team was led by Tim Matthews and Mark Lucas, with assistance from Matthew Devine in the Corporate and Commercial team.
Mark Lucas, Head of Corporate and Commercial at Barlow Robbins, said:
"We were delighted to assist the Lifelines team with another acquisition and are excited to see their continued growth in the global neurodiagnostics field."


text:
El Consell Regional de l'illa de la Reunió és una assemblea elegida que dirigeix la regió d'ultramar de l'illa de la Reunió. Actualment és presidit per Didier Robert. Està format per 44 membres elegits cada sis anys. La seva seu fou batejada en honor del seu antic president, Pierre Lagourgue, té forma de piràmide invertida, es troba molt a la vora del campus principal de la universitat de La Reunió, a Moufia, a Saint-Denis.

Presidents

Presidents de l'establiment públic regional
 Marcel Cerneau (1973-1978)
 Yves Barau (1978-1983)

Presidents del consell regional
 Mario Hoarau (1983-1986)
 Pierre Lagourgue (1986-1992)
 Camille Sudre (1992-1993)
 Margie Sudre (1993-1998)
 Paul Vergès (1998-2010)
 Didier Robert (2010-)

Vegeu també
 Consell General de l'illa de la Reunió

Enllaços externs
 Web del consell regional de La Reunió

Illa de la Reunió
Reunió

redpajama_set_name: RedPajamaWikipedia


text:
Should Hillary C. Be Wary of 'Political Animals'?
By David Weiner 12:22 PM PDT, June 25, 2012
In USA's Political Animals, Sigourney Weaver plays a former first lady and current secretary of state navigating the shark-filled waters of D.C. So, how close does her role mirror the real life and career path of Hillary Clinton?
"I think that it's inspired by families like the Clintons, the Kennedys, the Bushes, [but] it's much more about these individuals [on the show]," Sigourney tells ET. "Some of the circumstances may sort of sound familiar, but as soon as I started reading [the script], I forgot about the real people because I was quite caught up by this fascinating, dysfunctional family."
Video: Watch Clips of 'Political Animals'
The six-part limited series, premiering July 15, pulls back the curtain on the polished facade of a former first family as they navigate the complex world of political and personal ambition. As Elaine Barrish Hammond, Sigourney must deal with crises of the State Department while fielding a vulnerable family on the verge of falling apart, all the while fending off a hungry DC journalist (Carla Gugino) who is bent on destroying her career. Ellen Burstyn, Ciarán Hinds, James Wolk, Sebastian Stan and Brittany Ishibashi also star.


1. Do I need a Study Permit (Student Visa)?
Anyone planning to study for more than six months in Canada needs a Study Permit. If you plan to study for less than six months but may decide to stay longer, you should apply for a Study Permit before coming to Canada for your studies. International students from certain countries may also need to obtain a temporary resident visa in addition to the study permit.
2. What is a temporary resident visa?
A temporary resident visa is an official document issued by a Canadian visa office. It is placed in your passport to show that you have met the requirements for admission to Canada as a temporary resident. Depending on your citizenship, you may need a temporary resident visa to enter Canada.
3. How do I obtain a Study Permit for Canada?
International Students must apply to Citizenship and Immigration Canada (CIC) for a Study Permit once they have received an acceptance letter from a qualified Canadian academic institution. if you have received this acceptance letter, you may use our Study Permit Application kit to prepare your application. Students will have to show that they have sufficient funds to study and live in Canada, and in some cases undergo Medical Examinations and provide Police Clearance Certificates.
4. How do I apply for a temporary resident visa?
If you need a temporary resident visa in addition to your study permit, you do not need to submit a separate application or pay an additional fee when you apply for your study permit at a visa office. The visa office will issue your temporary resident visa at the same time as your study permit if your application is accepted.
5. When should I apply for my study permit?
You should apply as soon as you receive your letter of acceptance from the educational institution (school, college, university). The time needed to process an application to study in Canada may be different depending on the visa office.
6. What if I want to study in Quebec?
International Students who have been accepted into a qualifying educational institution in Quebec must obtain approval from the immigration authorities of the Province of Quebec. To study in Quebec, you will need to first apply for a CAQ (Certificat d'acceptation du Québec) before you apply for a study permit.
7. How do I pay the fee for a study permit?
You must pay a processing fee with your application. The fee will not be refunded, even if your application is refused. Check the website of the visa office where you submit your application to find out the options available to you to pay the fee.
8. How long is my Study Permit valid for?
A Study Permit is valid for the duration of your study program. Should you need to extend the validity of your Study Permit, you must file an Application to Change the Conditions or Extend Your Stay in Canada with Citizenship and Immigration Canada.
9. I am a citizen of one country, but have lived in another country for a long time. Should I apply for a Study Permit in my country of citizenship or my country of residence?
You can apply for your Study Permit in your country of residence, your country of nationality or the country where you have been legally admitted.
10. Will my study permit need to be renewed?
Expiry dates of study permits can vary. Often permits are valid for the duration of the program of study. To successfully renew a study permit, the student must have a valid passport and, if applicable, a valid CAQ (a Certificate of Acceptance required to study in Quebec). Students should start the renewal process at least two to three months prior to the expiry date.


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The Afghanistan national cricket team toured Canada from 2 to 9 August 2011. The tour consisted of one ICC Intercontinental Cup match against the Canada national cricket team and a pair of One Day Internationals (ODI) for the 2011–13 ICC Intercontinental Cup One-Day. Afghanistan won the Intercontinental Cup and both of the following ODIs.

Intercontinental Cup

Intercontinental Cup One-Day

1st ODI

2nd ODI

References

External links

Canada
Afghan
2011
International cricket competitions in 2011
International cricket tours of North America
2011 in Ontario
International cricket tours of Canada


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TeamABC traveled to Essex for the Billericay boxing show where we were represented by two of our accomplished boxers. First in the ring was our youngster Paul Tyler who faced very good home opposition. With his opponent showing his class very early on Paul Tyler had to dig deep into his resources to compete , the ABC man did so wholeheartedly responding bravely and kept himself in the bout with his boxing skills. With the home crowd behind their boxer our young boxer faced a big task if he was to win this contest , unfortunately despite a performance that everyone was proud of we had to concede defeat by way of a unanimous decision.
Kieron Riley faced a very tall opponent from Brighton in his bout. Starting the contest well the Exotic Carvings sponsored ABC boxer had the better of the first round. His opponent showed his class in the second round and got the better of our man to even up the contest. The third round continued to be a tough with both boxers exchanging hard punches but it was the man from the south coast who took the round to win a very tough bout.
Despite our boxers not getting the results they wanted both did their club proud and will return better from the experience.


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After the war, General Lee advised his generals to go back to work rebuilding the Southern economy. William Mahone did just that, and became the driving force in the linkage of the Norfolk & Petersburg Railroad (N&P), the Southside Railroad, and the Virginia and Tennessee Railroad. He was president of all three by the end of 1867. During the post-war Reconstruction period, he worked diligently lobbying the Virginia General Assembly to gain the legislation necessary to form the Atlantic, Mississippi and Ohio Railroad (AM&O), a new line comprised of the three railroads he headed, extending 408 miles from Norfolk to Bristol, Virginia, in 1870. The Mahones were colorful characters: the letters A, M & O were said to stand for "All Mine and Otelia's". The Mahones lived in Lynchburg, Virginia during this time, but moved back to Petersburg in 1872.
The "Financial Panic" of 1873 put the AM&O into conflict with its bondholders in England and Scotland. After several years of operating under receiverships, Mahone's relationship with the creditors soured and an alternate receiver, Henry Fink, was appointed to oversee the AM&O's finances. Mahone still worked to regain control, but his role as a railroad builder ended in 1881 when Philadelphia based interests outbid him and purchased the AM&O at auction, renaming it Norfolk and Western Railroad (N&W), now an integral part of the Norfolk-Southern Railroad.
Before the War Between the States, the Virginia Board of Public Works had invested state funds in a substantial portion of the stock of the AM&O's predecessor railroads. Although he lost control of the railroad, as a major political leader in Virginia, Mahone was able to arrange for a portion of the State's proceeds of the sale to be directed to help found a school to prepare teachers to help educate black children and former slaves near his home at Petersburg where he had earlier been mayor. The Virginia Normal and Collegiate Institute eventually expanded to become Virginia State University. Mahone also directed another portion of the funds to help found the predecessor of today's Central State Hospital in Dinwiddie County, also located adjacent to Petersburg. Mahone personally retained his ownership of land investments which were linked to the N & W's development of the rich coal fields of western Virginia and southern West Virginia, contributing to his rank as one of Virginia's wealthiest men at his death, according to his biographer, author, Nelson Blake.


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TS1 Podcast: Shut the Hell Up, Jose!
This is when local children in Derry, Maine, lost their children, seven children, known as the Losers Club group, have solved the problem. They were against a bad clown called Padius, whose story of murders and violence has returned to the centuries. 27 years after the last meeting with Penna, the children begin to disappear again, so that the group reunite to stop the demons and return it forever to his hometown.
The people begin to leave the city of Derry, Maine, a group of young children confronted with their biggest fears when they called square against bad clownsPennius, whose history of murder and violence returns for centuries.
A group of children was afraid together when the monster, looking at the clown, began to search children. In the city of Derry, the local children leave no later than the other, leaving their own blood. In an area called The Barrens, a group of seven children is united by their terrible and strange encounter with a bad duck and their determination to kill her.


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Thanks for everything, Gods speed!
I applaud all of the young idealists that have slept on outside and risked arrest to attempt to solidify a youth movement to eliminate the corruption that controls our federal government. It is hard to organize so many people around a common cause, but listing the demands, once they are decided upon as much, and in as many places as possible is important. I would like to see a third party come out of this. That, though, would require that a leader exist. Keep trying to hone in on the one demand. It should speak to the aspirations and future desires of the youth for this country. Recognize that the nation is behind you. We need young progressive leaders!!!!! At some point the reality that the system needs to exist will kick in in and then the question will be what's next? I for one am going to attempt to start as much trouble as possible in my local democratic caucus come april. Just imagine what could happen if the youth took over the financial resources, and organization of the democratic party?


text:
Maine Chief Justice Steps Down to Become UMaine Law Dean; New Prez Named at Champlain
By John O. Harney
Comings and Goings …
Leigh Saufley, dean of the University of Maine School of Law
The University of Maine System named Maine Supreme Judicial Court Chief Justice Leigh Saufley the new dean of the University of Maine School of Law. Saufley resigned from the Supreme Judicial Court on April 14 to begin her responsibilities as dean April 15.
The Champlain College Board of Trustees named Benjamin Ola. Akande, who is former president of Missouri's Westminster College and current assistant vice chancellor for international affairs-Africa and associate director of the Global Health Center at Washington University in St. Louis, to be Champlain's ninth president. He takes over for Laurie Quinn, Champlain's provost, who has been serving as interim president since July 2019.
Roger Williams University named Lesley University Provost and Vice President Margaret Everett to be the new provost and senior vice president for academic affairs at the university with campuses in Bristol, R.I. and Providence.
Fairfield University announced the appointment of Jill Buban, currently chief academic officer of the Unizin Consortium, as the university's new vice president for digital strategy and online education, and Andres Carrano, currently a professor and associate dean at Georgia Southern University, as Fairfield's new dean of its School of Engineering.
Filed under Comings and Goings, News, Newslink, Newslink Topic, Newslink Type, People.
Tags: Comings and Goings


text:
The bidirectional Glenn (BDG) shunt, or bidirectional cavopulmonary anastomosis, is a surgical technique used in pediatric cardiac surgery procedure used to temporarily improve blood oxygenation for patients with a congenital cardiac defect resulting in a single functional ventricle. Creation of a bidirectional shunt reduces the amount of blood volume that the heart needs to pump at the time of surgical repair with the Fontan procedure.

Uses

Physiology
The human circulatory system uses a low-resistance pulmonary circulation and high-resistance systemic circulation to pump blood. In a single-ventricle heart, the sole functioning ventricle must pump blood to both the lungs and the organ systems. As a result, this is an abnormal parallel circuit where the pulmonary and systemic blood mixes such that both oxygenated and deoxygenated blood are pumped to the organs. The aim of the bidirectional Glenn shunt is to improve oxygenation and reduce the load on the single functioning ventricle while the patient is prepared for definitive surgical correction through separation of the pulmonary and systemic circuits. The BDG shunt is also called a "hemi-Fontan" procedure because it is the physiologic equivalent of half a functioning Fontan shunt.

Univentricular congenital cardiac malformations
The incidence of univentricular heart malformations is estimated at 0.1 to 0.4 per 1,000 live births. In the neonatal period, these patients depend on an aortopulmonary shunt that is maintained medically with prostaglandin and then surgically with an initial cardiac shunt procedure. As the patient will outgrow the shunt with time, they are evaluated for the Glenn bidirectional shunt when oxygen saturation begins to fall. The Glenn procedure is typically performed at 4 to 6 months of age for infants born with congenital single ventricle defects. These patients typically require a Fontan procedure at 18 to 36 months of age following the Glenn BDG procedure.

Examples of congenital cardiac malformations in which this procedure may be used include hypoplastic left heart syndrome, tricuspid atresia, double-inlet left ventricle and double-outlet right ventricle. The natural history of congenital univentricular cardiac malformations results in cyanotic heart failure at an early age. Staged palliation through the BDG shunt and Fontan procedure has allowed these patients to live into adulthood.

Contraindications
The circulation of a patient after BDG shunt placement requires adequate systemic venous return to support pulmonary blood flow. However, pulmonary blood flow, and thus oxygenation, is inhibited by high pressures or valvular obstructions.

Pulmonary hypertension (moderate to severe) is a relative contraindication to the bidirectional Glenn. This is because pulmonary vascular resistance is too elevated to allow sufficient oxygenation. In physiologic parameters, this includes elevated pulmonary vascular resistance, stiff ventricle tissue, and dysfunction of the atrio-ventricular valve. In patients with hypoplastic left heart syndrome, obstruction of blood flow at the atrial septum should be examined and corrected.

Risks and complications
The mechanism of many of the risks and complications related to failure of the Glenn bidirectional shunt is thought to be thrombosis. Right-side dominant circulation, elevated pulmonary vascular resistance, and prolonged operative and recovery time are the major factors that increase the risk of complications and failure.

Approximately 30% of patients experience postoperative complications. The National Pediatric Cardiology Quality Improvement Collaborative registry published data in 2013, demonstrating emergency cardiac catherization, new neurologic deficit, reoperation, cardiac arrest, and feeding difficulties requiring procedural intervention as the most common complications. Prolonged cardiopulmonary bypass time, elevated central venous pressure (CVP) or pulmonary arterial pressure, and specific malformations including unbalanced atrioventricular septal defect or surgical history of total anomalous pulmonary venous connection repair were established as risk factors for worse outcomes.

Following the bidirectional Glenn shunt, failure of the procedure can be broadly categorized as failure of procedure, cardiac dysfunction related to surgery, or cardiac dysfunction leading to death before further surgical intervention. Retrospective reviews demonstrate failure of the procedure in 6.5% of patients. Reported mortality related to the BDG procedure ranges from 0.7% to 2.4%, however up to 71% of patients may die once the BDG shunt fails, with many decompensating before further surgery can be performed. In current research, early additional intervention is a promising direction to improve future outcomes. Predictors of failed procedure include right ventricle dominance, prolonged pleural drainage, and prolonged stay in the ICU/hospital or need for use of ECMO to maintain oxygenation.

Techniques
In the bidirectional Glenn shunt procedure, the surgical aim is to control pulmonary blood flow and volume load on the heart. This must be balanced with adequate oxygenation and systemic delivery of oxygenated blood. This modified circulatory system is established by detaching the superior vena cava from the right atrium and connecting the cranial part of the SVC to the pulmonary arteries (shunt). This is an example of a surgical anastomosis. As a result, the venous blood from the upper body enters the SVC and perfuses the pulmonary circulation as a low-pressure circuit, similar to a two-ventricle circulatory system. However, the remainder of systemic venous returns through the inferior vena cava continuing to mix with oxygenated blood returning from the pulmonary circuit.

Rehabilitation
Patients are evaluated after surgery for cardiac and pulmonary function. Extracorporeal membrane oxygenation (ECMO) may be used post-operatively as a temporary measure in cases of cardiac dysfunction or severe pulmonary hypertension. Patients generally recover in intensive care for one week.

For patients who continue to have cardiac dysfunction following surgical establishment of a Fontan circulation, heart transplantation is the only treatment option to restore cardiac function.

History of the Glenn Procedure
Translational research using canine models in right heart bypass led to the creation of the Glenn bidirectional shunt. In 1956, the Meshalkin procedure was reported as a clinically successful superior cavo-pulmonary anastomosis in 21 children. In 1958, William Glenn reported a successful superior vena cava to right pulmonary artery anastomosis (Glenn procedure) for tricuspid atresia in the New England Journal of Medicine. The bidirectional Glenn is a modification where the SVC connects proximally to the bifurcation of the pulmonary arteries. In modern use, the bidirectional Glenn shunt is the second stage, usually following the Norwood procedure and preceding the Fontan repair.

Society and culture
An estimated annual 1,000 Fontan procedures are performed annually in the United States, with an estimated 50,000 to 70,000 patients having completed the procedure as of 2018. In Europe, an estimated 25,000 patients have completed the Fontan procedure as of 2021.

Other animals
Research on cardiac bypass in canine models paved the way for surgical procedures in humans. Rodbard and Wagner connected the right atrial appendage to the right pulmonary artery in an early report on this surgical technique. Carlon et al reported the first superior cavo-pulmonary anastomosis between the right pulmonary artery and azygos vein, demonstrated an increase in pulmonary blood flow in dogs. The Glenn group at Yale worked on several strategies to create anastomoses between the superior or inferior vena cavae to the right or main pulmonary arteries. These results showed a low survival rate in these canines, and further demonstrated the basis of many surgical complications including pleural effusions, ascites, and thrombosis. In 1964, Haller introduced the bidirectional superior cavo-pulmonary shunt in 50 dogs with a superior vena cava to right pulmonary artery anastomosis with promising physiologic results.

References

Medical procedures


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An almost top 10,000 blog!
I can't take this shit today. I just can't.
Cillizza, who will never be asked to bring the noodle salad to the mensa picnic…
… riddled with inexplicable and elementary errors of law and fact
Consistently wrong since 2002
Tick tock motherfuckers!
You are here: Home / 2016 / January / Archives for 23rd
by Betty Cracker | January 23, 2016 6:37 am | 178 Comments
This post is in: Television, Women's Rights Are Human Rights, Assholes, Ever Get The Feeling You've Been Cheated?, General Stupidity
…that the sexist knobs in Hollywood have revised their attitudes on equal pay for equal work in the period between the launch of the original X-Files series in 1993 and the reboot miniseries debuting tomorrow night after the football. But the truth is out there, thanks to Gillian Anderson:
The work Anderson put into securing equal pay back in the '90s seemingly came undone when it came time to negotiate pay for this year's event series. Once again, Anderson was being offered "half" of what they would pay Duchovny.
"I'm surprised that more [interviewers] haven't brought that up because it's the truth," Anderson says of the pay disparity, first disclosed in the Hollywood Reporter. "Especially in this climate of women talking about the reality of [unequal pay] in this business, I think it's important that it gets heard and voiced. It was shocking to me, given all the work that I had done in the past to get us to be paid fairly. I worked really hard toward that and finally got somewhere with it.
"Even in interviews in the last few years, people have said to me, 'I can't believe that happened, how did you feel about it, that is insane.' And my response always was, 'That was then, this is now.' And then it happened again! I don't even know what to say about it."
She stammers for a moment, at a loss for words. "It is… sad," she finally says. "It is sad."
Anderson held out for equal pay for the series revival, and good for her. But it's not just sad, it's infuriating. Anderson isn't some nobody actor who hasn't had a hit since the X-Files fizzled in the early aughties. She's enjoyed a recent string of high-profile, critically acclaimed successes, including her brilliant turn in "The Fall."
It's just outrageous insulting bullshit that she would be offered half of Duchovny's salary for the same work. Anderson has the means and influence to tell the people who were trying to screw her out of her rightful pay to fuck off until they came around.
Unfortunately, less prominent women just get ripped off, every fucking day. It's like there's this big conspiracy…
I Want to Believe…Post + Comments (178)
Late Night Excellent Reads: More on NR's Jihad Against Trump
by Anne Laurie | January 23, 2016 1:03 am | 84 Comments
This post is in: Excellent Links, Hail to the Hairpiece, Open Threads, Republican Stupidity, Assholes
"Vile daemon!" cried Frankenstein as he gazed upon the monster. "Would that the tyrant Obama never had created you." https://t.co/fG297lHrJi
— Chase Woodruff (@dcwoodruff) January 22, 2016
Jeb Lund, in the Guardian:
National Review, a Thurston Howell impression on print and with staples in it, published a special edition yesterday titled Against Trump. Not Stop Trump, or Dump Trump or even Chump Trump. "Against Trump." Toward a Normative Understanding of Trump Negation. Whatever.
I'm sure it will be very effective with all 5,000 subscribers who are not conservative thinktanks. There is definitely no way that the snob mouthpiece of the Republican party rolling out a coordinated attack on Donald Trump will backfire…
What makes this especially fun is that everything that makes Donald Trump a runaway success is a creation of conservatism. He is their Be Careful What You Wish For candidate…National Review can stand athwart history and yell stop, but they're standing in front of a snowball they've been pushing down a hill for the last half-century. Even the hand-wringing that Donald Trump is such an ugly and hateful candidate is hilarious from a rag that started out defending liberty and segregation…
The number-one rule of conservative mass politics and virality is always punch down. If that's not possible, weigh the value of punching sideways. You don't even have to get into some abstract discussion of the Southern Strategy to know that constantly pwning noobs, enemies and the teeming Other in the Republican field gets you clickthrough. If the National Review is going to be mad at Trump for this, they should at least be honest and admit they're mad because he's so much better at it….
Tom Scocca, for Gawker — "The National Review Makes Its Case Against the Republican Party":
… There are, at this point, two fairly straightforward thoughtful arguments that a conservative publication could make against the rise of Donald Trump. One would be a pragmatic or tactical one: Despite his theatrical contempt for liberal elites, Trump is unpredictable and insufficiently committed to the conservative movement's plans and goals. Where a President Ted Cruz would fill the federal bench with names from a Federalist Society spreadsheet (or a spreadsheet Cruz himself had prepared for the Federalist Society), for all anyone knows, a President Trump might appoint Nancy Grace to the Supreme Court. That would surely make liberals mad, but it wouldn't get the big job done.
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Late Night Excellent Reads: More on NR's Jihad Against TrumpPost + Comments (84)
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