text:
Susan Gregory | Parks | 8119 Isabella Lane, Ste 105 Brentwood, TN 37027
615-207-5600615-370-8669 ext 1057
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Homes Around Nashville TN
Susan Gregory – Realtor
Arrington, TN
Brentwood, TN
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Thompson's Station, TN
Buyer Resources Articles
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Livability Magazine
Homes for Sale in Avalon Nashville TN
Susan Gregory is the top realtor for homes for sale in Avalon and surrounding neighborhoods. With the most up-to-date information on new construction homes or homes that are already on the market Susan Gregory can assist you in finding your dream home.
Fast Facts About Avalon
Located in the heart of Franklin, nestled between Cool Springs Boulevard and McEwen Drive, the Avalon community encompasses more than 600 acres divided into 5 neighborhoods: The Meade of Avalon, The Villages of Avalon, The Hamlets of Avalon, The Vale of Avalon and The Tors of Avalon. The Tors of Avalon is the most exclusive of these neighborhoods with homes ranging from $2M -$20M.
As of December 14, 2021, there are 4 active properties for sale in Avalon with an average list price of $4,154,750. The priciest of these listings comes in at $8,250,000, while the lowest priced property can be purchased for $1,570,000. Properties in Avalon have an average price of $419 per square foot, based on listings with an average of 4.8 bedrooms, 6.6 bathrooms, and 9,144 square feet of living space.
The beautiful neighborhoods of Avalon have something for everyone. With local shopping and amenities, you're never too far away from fun or leisure. Average HOA dues in the area are between $120 and $335 per month, dependent on where your home is located within Avalon. Zoned schools are: Clovercroft Elementary, Woodland Middle School, and Ravenwood High School. In the typical suburbs manner, you'll need a car to get around Avalon.
Avalon Neighborhood Amenities
Downtown Franklin is a quick drive away, with tasty brunch spots and shopping for everyone. Cool Springs Galleria has plenty of shopping and restaurants to enjoy as well. Stretch out and explore the local eateries, while looking for your next must-have item!
Outdoor activity with lighted tennis courts & baseball diamonds, plus a playground & pavilion are available a short drive away at Granny White Park.
Avalon offers many lighted walking and bike trails.
Public Schools Zoned for the Avalon Neighborhood
Clovercroft Elementary School: K - 5
Clovercroft Elementary School is a Blue Ribbon public school located in Franklin,Tn. It has 758 students in grades K-5 with a student-teacher ratio of 17 to 1. According to state test scores, 94% of students are at least proficient in math and 82% in reading.
Woodland Middle School: 6 - 8
Woodland Middle School is a public school located in Brentwood,Tn. It has 1,007 students in grades 6-12 with a student-teacher ratio of 16 to 1. According to state test scores, 80% of students are at least proficient in math and 76% in reading.
Ravenwood High School: 9 - 12
Currently enrolling approximately 2,000 students, Ravenwood aims "to become a model of successful community collaboration with the purpose of developing all learners to be able to work, learn and lead in the 21st century." The mission of Ravenwood is "to develop a community of learners that cultivates the intellect, ability, and character of each person within it." The school colors are red, black, and gold. The mascot is the Raptor, a bird of prey represented by the Red Tail Hawk. Ravenwood High School was ranked in Newsweek magazine's list of the top 1,000 public schools in the United States.
CoolSprings Galleria
CoolSprings Galleria is an enclosed super-regional shopping mall in the Cool Springs commercial and residential corridor between Franklin and Brentwood, Tennessee, 15 miles south of Nashville. Opened in 1991, it features over 165 stores.
Franklin Theatre
Restored historic movie house with a full bar & concessions hosting a variety of music & drama acts.
Grocery chain with a variety of signature items, plus produce, dairy & more (most sell wine & beer).
Welcome to Firebirds Wood Fired Grill! We are an American Restaurant serving hand-cut steaks, fresh seafood & more from our scratch kitchen.
When people think of Country Clubs in Nashville, TN they think of Brentwood. Sitting among majestic trees, some of which are the oldest east of the Mississippi, Brentwood Country Club's 215 acres boast many breathtaking and panoramic views.
The Nashville Zoo at Grassmere is a zoological garden and historic plantation farmhouse located 6 miles southeast of Downtown Nashville. As of 2014, the zoo was middle Tennessee's top paid attraction and contained 6,230 individual animals, encompassing 339 species. The zoo's site is approximately 188 acres in size
Cheekwood
Once the family home of Mabel and Leslie Cheek, this extraordinary 1930s estate, with its historic mansion and 55 acres of cultivated gardens and expansive vistas, today serves the public as a botanic garden, arboretum and museum.
Find Homes for Sale in Avalon Nashville TN
Susan Gregory - PARKS of Cool Springs
8119 Isabella Lane, Ste 105
O: 615-370-8669 ext 1057
Find Homes for Sale in Nashville TN
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Cities Properties News Resources Facebook Twitter
PARKS of Cool Springs
M 615-207-5600
O 615-370-8669 ext 1057
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Brentwood TN Real Estate
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License Number 258222 | All information deemed reliable but not guaranteed.


text:
namespace nde
{
	namespace project
	{
		void Type::read()
		{
			snapshot::load(path::snapshot(), datas);
			while (action::read(file)) {}
		}

		void Type::snapshot()
		{
			snapshot::save(path::snapshot(), datas);
			file.reset();

			// clear actions
			for (auto action: actions)
				delete action;
			actions.clear();
			action_pos = 0;
			undo_pos = 0;
		}

		void Type::append(Action* action, bool write)
		{
			actions.push_back(action);
			if (write) action::write(file, action);
			action->invoke(datas);
			if (action->reset_pos()) {
				action_pos = actions.size();
				undo_pos = 0;
			}
		}

		size_t Type::undo(int pos)
		{
			if (pos < 0) pos = action_pos - ++undo_pos;
			actions[pos]->undo(datas);
			return pos;
		}

		size_t Type::redo(int pos)
		{
			if (pos < 0) pos = action_pos - undo_pos--;
			actions[pos]->invoke(datas);
			return pos;
		}
	};
};

redpajama_set_name: RedPajamaGithub


text:
Q: Getting Syntax error Missing '=' While creating a formula field in Process builder, I am getting syntax error missing "="
BLANKVALUE((IF([nFUSE__Shopping_Report__c].nFUSE__Shopping_Indicator__c = true, 'Bankruptcy Flag','')+
IF([nFUSE__Shopping_Report__c].nFUSE__Cart__c  = true, '- Cart Flag','')+  IF([nFUSE__Shopping_Report__c].nFUSE__Limited__c  = true, '- Limited Flag','')+ IF([nFUSE__Shopping_Report__c].nFUSE__Address_Indicator__c = true, '- Address Flag','')+ IF(NOT(ISBLANK([nFUSE__Shopping_Report__c].nFUSE__Fraud_Alert__c )), '- Fraud Flag','')+ IF(NOT(ISBLANK([nFUSE__Shopping_Report__c].nFUSE__Address_Discrepency__c)), '- Address Flag','')+ IF(NOT(ISPICKVAL([nFUSE__Shopping_Report__c].nFUSE__Country__c, '  No Match'), '- Country Flag','')+ IF([nFUSE__Shopping_Report__c].nFUSE__Number_Of_Charge__c >0, '- Charge Detected','')),'No Flags')

A: Formatting your formula, I found that near the end, you misplaced a parentheses, because the IF statement is wrong:
IF(
    NOT(
        ISPICKVAL(
            [nFUSE__Shopping_Report__c].nFUSE__Country__c,
            '  No Match'
        ),
        '- Country Flag', // This is part of the NOT
        ''  // And so is this
    )+
    IF(
        [nFUSE__Shopping_Report__c].nFUSE__Number_Of_Charge__c > 0,
        '- Charge Detected',
        ''
    )
),

With proper formatting and indentation, at least when you're writing a formula initially, is a smart idea. Here's the mostly fixed version:
BLANKVALUE(
    IF([nFUSE__Shopping_Report__c].nFUSE__Shopping_Indicator__c ,
        'Bankruptcy Flag',''
    )+
    IF([nFUSE__Shopping_Report__c].nFUSE__Cart__c  ,
        '- Cart Flag',
        ''
    )+
    IF([nFUSE__Shopping_Report__c].nFUSE__Limited__c  ,
        '- Limited Flag',
        ''
    )+
    IF([nFUSE__Shopping_Report__c].nFUSE__Address_Indicator__c ,
        '- Address Flag',
        ''
    )+
    IF(
        NOT(
            ISBLANK(
                [nFUSE__Shopping_Report__c].nFUSE__Fraud_Alert__c
            )
        ),
        '- Fraud Flag',
        ''
    )+
    IF(
        NOT(
            ISBLANK(
                [nFUSE__Shopping_Report__c].nFUSE__Address_Discrepency__c
            )
        ),
        '- Address Flag',
        ''
    )+
    IF(
        NOT(
            ISPICKVAL(
                [nFUSE__Shopping_Report__c].nFUSE__Country__c,
                '  No Match'
            )
        ),
        '- Country Flag',
        ''
    )+
    IF(
        [nFUSE__Shopping_Report__c].nFUSE__Number_Of_Charge__c > 0,
        '- Charge Detected',
        ''
    ),
    'No Flags'
)

Also note that '  No Match' is likely wrong; strings cannot start or end with blank spaces. I've fixed it above, but watch out for those as well.
The initial () pair wrapping the first parameter to BLANKVALUE is superfluous and can be removed.
Finally, checkboxes are already Boolean; you don't need to use field = true to check if they're checked.

redpajama_set_name: RedPajamaStackExchange


text:
Cooking Alien Pancakes with Altered Carbon
By red pill junkieon Tuesday, March 20th
Netflix has become a treasure trove for any Sci-Fi lover: Along hundreds of old movies in their catalog they've also released films and series exclusive to their streaming service, which are among the most thought-provoking and original TV entertainment of this last decade –take a look at Greg's review of Annihilation, starring Natalie Portman.
Altered Carbon is one of those series worth your binge-watching time. Set in a dystopic future in which humanity has attained the transhumanist holy grail of immortality, this noir crime story plays homage to several classic cyberpunk influences —Blade Runner, Ghost in the Shell, Neuromancer, etc. But as a Fortean student, Altered Carbon's decadent megacities and psychedelic simulacra also reminds me of something more… quaint: A little chicken farm near Eagle River, Wisconsin.
Your sleeve's eyes don't need replacing, you read that sentence correctly. Netflix's Altered Carbon seems to offer an interesting connection to the famous Joe Simonton's close encounter case of 1961, in which he was given three plain-looking 'pancakes' by three entities onboard a silvery saucer shaped object. Aside from their exotic craft and their peculiar uniforms (black two-piece suits complete with a 'steampunk' knit helmet) there was nothing particularly alien about these individuals –their black hair and dark skin made them "ressemble Italians," according to Simonton's testimony to the authorities and officers of Project Blue Book.
Their interactions with the lonely farmer were not that out of the ordinary either –or rather, it was extraordinary in the sense that it didn't follow the 'usual' close encounter script, because instead of warnings about impending nuclear Armageddon or a pro-bono medical checkup (complete with a prostate examination) one of them produced a jug apparently made of the same chrome-like metal as the rest of the saucer, and without saying a word made gestures to Simonton indicating they wanted him to fill it with water. This he diligently did, and once he retrieved the container to the UFOnaut this gave him a chance to peer inside their mysterious craft. Its interior was black, "like wrought iron," and next to some instrument panels he noticed one of the 'men' was apparently "frying food on a flameless grill of some sort." In a kind of quid-pro-quo neighborly gesture, it was now Simonton's turn to signal his Mediterranean-looking guests that he was interested in what they were cooking. As payment for his kind services, one of the occupants handed him three of these thin wafers, which were approximately 3 inches in diameter and perforated with small holes all over their surface.
After the exchange was consummated one of the 'Italians' closed the hatch, and the saucer –which had remained hovering close to the ground this whole time– quickly ascended and headed to the south, "causing a blast of air that bowed some nearby pine trees." Once alone Simonton proceeded to take a bite out of one of them 'space snacks', only to discover that the saucermen's evident knowledge in aeronautics and antigravity was inversely proportional to their mastery of the culinary arts –the darn things tasted like cardboard!
The rest, so they say, is UFOlogical history: Both the police authorities and the Air Force personnel who researched the case never doubted the witness's integrity, despite any 'strong' corroborating elements in support of the story. Blue Book had no choice but to ascribe a 'psychological' explanation to the case, claiming the lonely farmer had suffered some sort of daydream hallucination. The UFO civilian groups didn't want to touch the case with a ten-foot pole either for fear of ridicule –it took them a long time to accept reports of flying saucers landing, with their occupants being seen performing seemingly exploratory tasks of collecting soil samples and local vegetation. But 'spacemen' cooking their food inside their interplanetary craft, instead of ingesting the 'meal-in-a-pill' tablets Sci-Fi stories kept referencing as the food of the Future? Well that didn't make any sense at all, did it??
The only tangible evidence in Simonton's favor –the pancakes– also proved to be inconclusive as well: The results obtained by the Food and Drug Laboratory of the U.S. Department of Health, Education and Welfare, at the behest of the Air Force, showed the cakes were composed of hydrogenated fat, starch, buckwheat hulls, soya bean hulls and wheat bran. In other words, they were made out of ordinary, terrestrial ingredients. Case closed for Blue Book!
On Passport to Magonia —available through Daily Grail Publishing— Jacques Vallee used the Eagle River case to illustrate the many parallels between modern UFO accounts, and the ancient folklore surrounding fairies and other mythical creatures. Take for example the many examples of the fey folk giving humans buckwheat cakes, or how the analysis of Simonton's pancakes failed to detect any salt on them, in concordance with Walter Evans-Wentz's classical study The Fairy Faith in Celtic Countries:
"[The Gentry] never taste anything salt, but eat fresh meat and drink pure water."
Over the years I myself have given a lot of thought to the Simonton case. I love both its high strangeness along with its ambiguity. But maybe what I love the most about it, is its indirect implications with regards to these atrocious 'Italian' chefs: The fact they were at the farm requesting water already hints to either their carelessness as expeditionaries ("Guido, we're out of a-water again?? Mamma mia!") or that they simply don't care about packing every single item they will need when they go out to investigate the fascinating lifestyle of chicken farmers in Wisconsin –maybe saucermen like to travel light… perhaps even literally, as we'll proceed to explain in a moment…
So, if they don't carry their own water, maybe they also don't carry their own flour either. That would nicely explain why Blue Book failed to find any exotic substances in the pancakes. I sometimes like to fantasize about the same dark-haired UFOnauts bothering another remote farmer a week prior to Simonton's sighting, asking for other items in their shopping list.
And why stop there? Let's be true Forteans and continue to speculate: If UFO entities don't bring food or water from their place of origin… perhaps they don't even carry their own bodies with them.
Which brings us back to Altered Carbon. In this Sci-Fi universe set hundreds –if not THOUSANDS– of years in the future, humanity has spread into the stars. But they didn't do so by discovering faster-than-light travel or traversable wormholes, instead they use the same technology which allows them to stay young forever by way of downloading their consciousness into a new body –a 'sleeve' in the series's parlance– so jumping from world to world is simply a matter of transmitting your personality into a recepting sleeve already prepared and waiting for you in that other planet.
One of the things fundamentalist skeptics love to point out when attempting to debunk UFOs, is the improbability that extraterrestrial visitors would look so much like us. And the fact of the matter is they are right! Forget for an instant the arguments in support or against a bipedal humanoid structure as being ideal for a sentient species with the potential to construct a technologically-advanced civilization; also let's bypass how improbable it would be for alien visitors to be able to breathe in our atmosphere –true, in the good ole days there were a few encounters with humanoids wearing cumbersome breathing apparatuses, but those kind of sightings seem to be a thing of the past. There still remains one little snag potential visitors would need to overcome when coming to Earth and mingle with Wisconsin farmers: Gravity.
Another one of Netflix's series —The Expanse— factors in the problem of gravity into their storyline quite effectively: In this other sci-fi story –only a few hundred years from our era– mankind is starting to spread into the outer reaches of the Solar System, hence people who are born in the asteroid belt are incapable of enduring Earth's higher gravity without any type of biomedical support –in the image below, a belter is being tortured on Earth simply by submitting him to 'normal' (by our standards) 1g, which is more than what his brittle bones and enlarged heart can endure.
The Expanse's future scenario is just a water drop in evolutionary terms, yet it already shows how our species will inevitably branch out once we start colonizing new planets.
Indeed, traveling to other worlds would be far easier, quicker –and less riskier!– if you could just 'transfer' yourself to an appropriate 'avatar' which is already suited to the environmental conditions of the place you intend to visit. This speculation should appeal to both the nuts-and-bolters crowd as well as the high-strangeness anti-materialists in the UFO community: Either you imagine the aliens sent a sort of Von Neumann probe capable not only of self-replication, but also of '3d-printing' all the objects and equipment you require out of the available 'raw materials' present in our planet –including DNA– or you think of transdimensional demiurges who 'manifest' themselves by converting energy into matter and viceversa, just like the current investigation on UFO ejecta materials Jacques Vallee's conducting seems to suggest –perhaps this was the reason why so many ancient deities demanded blood sacrifices? as a way to 'restock' their building supplies?– so whatever floats your boat, fellow Fortean!
Obviously I'm hardly the first who's ever come up with such an idea. Richard Dolan briefly touched upon coinciding thoughts on his book UFOs for the 21st Century Mind. Whitley Strieber also used this 'mind-transfer' scenario in his novel The Grays –which, despite being a fictional story, it is supposedly based on actual close encounters with non-human entities. Even Hollywood has utilized similar concepts in UFO-related films like the remake of The Day the Earth Stood Still –which I happen to like, unlike most UFO and Sci-Fi enthusiasts– where Klaatu's human appearance is the result of him inhabiting a body grown out of the cells of an early XXth century mountain climber, and in Prot's tachyon-traveling methods as shown in the movie K-Pax –which I happen to like even more, political correctness be damned!
And yet I'm well aware I'm falling in the inescapable fallacy of interpreting the UFO phenomenon by way of contemporary culture. But that's quite all right, because not only it goes to show the UFO discourse is painfully stuck in outdated visions of 1950's science fiction that need urgent revision, but that as we move forward and witness science fiction suddenly turn into science fact, we humans remain capable of envisioning ever more interesting imaginary realms in which to place both our brightest fantasies, as well as our darkest nightmares.
And I suspect the UFO phenomenon will always be there, in some form or other, daring us to dream bigger… and weirder.
Agnostic gnostic, walking conundrum & metaphysical oxymoron (with emphasis in the 'moron' part), the mysterious RPJ leaves a double life: By day he serves as Grand Master of the International Sacred Order of Lucha Libre, but at night he pursues his life-long study of everything considered mysterious and/or 'paranormal' --a term he personally detests... When he's not exploring the web looking for his daily fix of Forteana, he can be found blogging, doodling, fooling around and offering his services as news administrator and writer at The Daily Grail. He also regularly participates in other websites and podcasts like Radio Misterioso and Where Did the Road Go? He impatiently awaits for the return of the mothership in Mexico City. absurdbydesign.com
UFOs May Be Hazardous to Your Health: Analyzing AAWSAP's Medical Report
Review: The Phenomenon

redpajama_set_name: RedPajamaCommonCrawl


text:
Featured Episode
Could affordable housing save Austin's music scene?
In the latest episode, you'll learn how Austin non-profit Foundation Communities helped musician James Shelton find affordable housing the central Austin. And you'll get a crash course in how affordable housing works from Foundation Communities Executive Director, Walter Moreau.
Discover a New Podcast
IBA profiles a diverse selection of current and historically significant figures whose stories help illuminate life in Black America.
Rabbi Neil Blumofe examines jazz greats and history in this week's Liner Notes.
A podcast about live music, a global pandemic and what comes next.
Every song has a story, but not every story has a song.
The KUTX music team looks high and low for songs and artists that should be on your radar. It's a…
Stories by W.F. Strong, written for the Texas Standard radio program.
Exploring the iconic tacos of Texas and taco culture across the Lone Star State.
Coverage of politics, lifestyle, environment, technology, innovation and money matters from a uniquely Texas perspective.
Confucius and Fresh talk all things hip-hop.
Millions lost power. Hundreds died. How did this happen? KUT explores what happened during the worst blackout in Texas history.
We won't tell you what to eat, but we will tell you why you're eating it.
Each week Dr. Art Markman and Dr. Bob Duke explore different aspects of human behavior and the brain. In conversations…
The Typewriter Rodeo features poetry composed on vintage typewriters based on current events and everyday experiences. The short poems in…
Views and Brews host Rebecca McInroy brings together experts, historians, musicians and others to discuss topics and people in depth.…


text:
package se.ejp.traci.util;

public class ComparablePair<T1 extends Comparable<T1>, T2> extends Pair<T1, T2> implements
        Comparable<ComparablePair<? extends T1, ?>>
{
    private ComparablePair(final T1 first, final T2 second)
    {
        super(first, second);
    }

    public static <T1 extends Comparable<T1>, T2> ComparablePair<T1, T2> make(final T1 first, final T2 second)
    {
        return new ComparablePair<T1, T2>(first, second);
    }

    @Override
    public int compareTo(final ComparablePair<? extends T1, ?> other)
    {
        return first.compareTo(other.first);
    }
}


text:
Mastercard and DIFC partner to enhance regional cybersecurity
By Edil Corneille
Global payments technology company Mastercard launched its Global Cyber Forward program in partnership with Dubai International Financial Centre (DIFC), a global financial centre and FinTech hub in the Middle East, Africa and South Asia (MEASA) region.
The Global Cyber Forward program combines Mastercard's capabilities in cybersecurity with those of public sector organizations to create secure digital ecosystems at a national, local and city-level. This partnership with DIFC will help boost cyber readiness and resilience across the financial industry, enabling effective cybersecurity oversight through the Dubai Financial Service Authority (DFSA) Threat Intelligence Platform (TIP) that was launched in January 2020.
His Excellency Essa Kazim, Governor of Dubai International Financial Centre, said: "This global partnership between DIFC and Mastercard supports the National Cybersecurity Strategy and Dubai Cyber Security Strategy. As the leading financial center in the MEASA region, we are committed to being at the forefront of initiatives, including cyber security, that will advance the finance industry globally, regionally and in Dubai. Firms and individuals will be able to benefit from our collaborative approach to managing the issue and see Dubai as the region's safest place to undertake their financial activities."
Ajay Bhalla, President, Cyber and Intelligence, Mastercard said: "Cybercrime is one of the biggest threats to consumer trust. Without trust we cannot do business – more so now than at any other time in history. We are developing and embedding the latest cyber technologies, in collaboration with our partners around the world, to help advance security and trust in the digital ecosystem. Our partnership with DIFC will help to create more secure and thriving digital economies."
"DIFC has the region's most robust and resilient legal and regulatory framework. Our partnership with Mastercard recognizes the importance of cyber security and will help DIFC clients and the global finance industry accelerate their digital agendas safely and effectively. Collaborating with leading, like minded organization on cyber security is a key factor that will help us drive the future of finance," said Arif Amiri, CEO of DIFC Authority.
"Knowledge sharing and access to secure, innovative technology are our best defense as we address the cyberthreats that lead to cybercrime. Our strategic partnership with DIFC is a significant milestone and one that sets a secure foundation for fostering a strong cyber-resilient ecosystem that inspires trust in the digital economy," said Khalid Elgibali, Division President, Middle East and North Africa, Mastercard.
This program builds on other cross-industry partnerships, helping to boost cyber readiness and resilience across the financial industry. Last year, Mastercard introduced its first European Cyber Resilience Center to drive collaboration between the public and private sectors in addressing threats faced by the payments ecosystem. With the support of the Canadian government, the company's Intelligence and Cyber Center in Vancouver is designed to accelerate innovation in digital and cybersecurity, artificial intelligence, and the Internet of Things.
Learnings gained from this initial program will be applied across the globe through Mastercard programs and other public-private partnership efforts. Together, they will secure everyday transactions, while delivering even greater trust in every interaction through the continued application of emerging technologies.
RBC's City National Bank joins Extend to launch virtual Visa commercial credit card solution
UAE banks participate in cyber war gaming exercise


Rather apt title considering I am on 3 days annual leave and the air decides to chill.
Here I was imagining lazing on the balcony collecting some vitamin D.
Instead I am inside the apartment with a little person considering if I should turn the heating back on.
Amazing how things turn out.
Still, little man and myself are lazing together on the sofa and I do foresee him nodding off to sleep oblivion very soon.
I may join him. What the hell. After all that's chilling!


And happy holidays to y'all that don't celebrate Christmas.
Jesus would be around 2,020 years old today.
Also big shout out to our military, police and first responders who have to work today.
Here's a Christmas special edition of the JKM approval seal.


The machine can open all water discharge canals from three sides. The machine is specially designed and manufactured for pvc profiles which are used for the window manufacturing. It works with an pneumatic press system. It is a very basic machine, but it is working fast. By only one process it will be possible to open the water discharge canals, where the water can come to the outside, if rain water is coming to the inside of the profiles.
Fore-aft and height adjustment of milling heads can be done easily thanks to calibrated fasteners.
Separate buttons for each milling motor.
Time settings of machine movements can be accelerated and decelerated.


An easy-to-use wood filler made specifically for factory-finished floors. Fills cracks, nail holes, gouges and broken edges. You'll love how easy this water-based filler is to work with. It dries quickly and hard, yet flexible. It doesn't stay soft like oil putty, it's not messy like latex fillers and leaves no oily film. Put the sticky, oily, messy fillers behind you!
Formulated specifically for factory-finished and previously-finished floors, it also works well on site-finished floors, between coats, etc. Looks great and performs well with or without coating over and can be sanded if necessary. Bonds well to wood, where to you need it to, with ease. Holds its color when it dries (filler will dry slightly darker). Colors can be intermixed to create custom shades.
This convenient packaging system allows you to easily carry all 11 different colors of our Pre-Finish Filler at once! It comes with a 3-ounce jar of all 11 colors of our Pre-Finish Filler. Handy, reusable storage container keeps all 11 jars together. A must have for every installer!
Our standard sizes of Pre-Finish Filler are 3-oz and 7 ½-oz jars.
30 grams of our great Pre-Finish Filler is sold in 10-packs. It's the perfect size for use as a leave-behind with a homeowner or business owner. It allows your customer to do small touch-ups without you and that's a win for everyone!


text:
Jacob Glaser, 3650 Chambers Pass, San Antonio TX 78234, USA.
Email: jacob.glaser1@gmail.com
Author contributions: All authors have made substantial contributions to this manuscript and have approved its release.
Disclaimer: This research was supported (in whole or in part) by Hospital Corporations of America (HCA) and/or an HCA affiliated entity. The views expressed in this publication represent those of the author(s) and do not necessarily represent the official views of HCA or any of its affiliated entities. The views expressed in this article are those of the author and do not necessarily reflect the official policy or position of the Department of the Navy, Department of Defense, nor the U.S. Government. J Glaser is a military service member. Title 17 U.S.C. §105 provides that 'Copyright protection under this title is not available for any work of the United States Government.' Title 17 U.S.C. §101 defines a U.S. Government work as a work prepared by a military service member or employee of the U.S. Government as part of that person's official duties.
Implementing a REBOA Program Outside Large Academic Trauma Centers: Initial Case Series and Lessons Learned at a Busy Community Trauma Program
Jacob Glaser MD1, Adam Czerwinski BSN RN TCRN2, Ashley Alley BSN RN TCRN2, Michael Keyes MD2, Valentino Piacentino MD2 and Antonio Pepe MD2
1Naval Medical Research Unit San Antonio, San Antonio, TX, USA
2Grand Strand Medical Center, Myrtle Beach, SC, USA
Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) has become an established adjunct to hemorrhage control. Prospective data sets are being collected, primarily from large high-volume trauma centers. There are limited data and guidelines, to direct the implementation and use of REBOA outside these highly resourced environments. Smaller centers interested in adopting a REBOA program could benefit from closing this knowledge gap.
Methods: A clinical series of cases utilized REBOA at a busy community trauma center (ACS Level 2) from January 2017 to May 2018. Seven cases are identified and reported, including outcomes. Considerations and 'lessons learned' from this early institutional experience are discussed.
Results: REBOA was performed by trauma and acute care surgeons for hemorrhage and shock (blunt trauma n = 3, penetrating trauma n = 2, no trauma n = 2). All were placed in Zone 1 (one was placed initially in Zone 3 then advanced). The mean (SD) systolic pressure (mmHg) before REBOA was 43 (30); post-REBOA pressure was 104 (19). Four of the patients were placed via an open approach, and three were percutaneous (n = 2 with ultrasound). All with arrest before placement expired (n = 3) and all others survived. Complications are described.
Conclusions: REBOA can be a feasible adjunct for shock treatment in the community hospital environment, with outcomes comparable to large centers, and can be implemented by acute care and trauma surgeons. A rigorous process of improvement programs and critical appraisal are critical in maximizing the benefit in these centers.
Keywords: REBOA; Community; Lessons Learned
Received: 1 August 2018; Accepted: 23 August 2018
While resuscitative endovascular balloon occlusion of the aorta (REBOA) has been described as a tool for the control of exsanguinating hemorrhage since 1954 [1], there has been an explosion in its use globally within the last decade [2–5]. Although practiced in Japan and Europe for longer, there has been a recent increase in the utilization of REBOA in the trauma systems of the United States. Initial studies utilizing REBOA have been performed at large highly resourced trauma centers with reassuring results. The American Association for the Surgery of Trauma (AAST) prospective Aortic Occlusion for Resuscitation in Trauma and Acute Care Surgery (AORTA) registry continues to collect and analyze data on utilization and trends for REBOA use.
While the defined role of the multi-institutional study is to "capture contemporary methods of aortic occlusion (AO) with the purpose of refining clinical protocols and future data collection", the database fails to capture much of the available data regarding REBOA use at smaller trauma centers not enrolled in the study. Illustrating this point, 103 centers out of the 256 hospitals currently using the newer ER-REBOA catheter®, are Level II or III trauma facilities [6]. The AORTA database includes data from roughly 22 centers, while the National Trauma Data Bank reports over 60 centers using REBOA, therefore, the AORTA database only captures a small portion (approximately 1/3) of the available usage data. Thus, preliminary published results may disproportionally skew findings toward large and robust trauma systems due to the higher use of REBOA at those institutions [5].
In an attempt to increase awareness of REBOA complications and pitfalls, the Basic Endovascular Skills for Trauma (BEST) study group has published consensus guidelines on the implementation, pitfalls and best practices for the application of REBOA – comprised primarily of expert opinion, a compilation of case reports, and anecdotal evidence [7]. Military use has also been carefully utilized, with associated guidelines that could serve as a starting point for institutional implementation [5]. Currently, there is a lack of published data on the implementation and institutional 'lessons learned' from smaller trauma centers in the United States and guidance on best practices for the safe institutional adoption of REBOA for early hemorrhage control.
The following case series represents the early experience of a smaller trauma center serving multiple counties in coastal South Carolina, following the adoption of REBOA technology. When the FDA approved Prytime Medical's ER-REBOA® catheter for medical use in October 2015, the decision was made to include REBOA as a potential alternative to Emergency Department (ED) thoracotomy at this institution in January 2017, while it was still a growing Level II trauma center. We report our early institutional successes, as well as lessons learned, during the initial 16 months after implementation.
A clinical series of all cases utilizing REBOA, from January 2017 to May 2018, were included. The use of REBOA was considered part of the routine clinical care for traumatic, vascular, and/or acute surgical bleeding. Indications for use were for the emergent management of hemorrhage. In all cases, the ER-REBOA® was placed by acute care and trauma surgeons. Observations and data extraction were performed retrospectively, with an exempt determination from the Edward Via College of Osteopathic Medicine Institutional Review Board.
A 52-year-old male presented to an outside hospital with shortness of breath and left lower quadrant pain. He was diagnosed with a 7.8 cm × 7.8 cm ruptured infra-renal abdominal aortic aneurysm with extensive retroperitoneal hemorrhage, and transferred to this institution (Table 1). Prior to arrival, the patient had multiple episodes of hypotension and was transiently responding to 2 liters of normal saline and 2 units of packed red blood cells (PRBCs). Upon arrival, the patient was confused, pale, cool and diaphoretic. Blood pressure was unobtainable with non-invasive blood pressure cuffs. Access for REBOA was initially unsuccessful with palpation alone (by the accepting vascular surgeon), but subsequently obtained with ultrasound (US) guidance (US-guided percutaneous, 18 gauge access to the right common femoral artery (CFA), upsized over a .035 wire directly to a 7-Fr sheath) by the on call trauma surgeon. The ER-REBOA balloon was positioned into Zone 1 using anatomic landmarks, placement confirmation was made with portable chest x-ray, and the balloon was inflated with 10 ml of contrast/saline mix (Figure 1). Systolic blood pressure (SBP) became obtainable at 110 mmHg (sustained), massive transfusion protocol (MTP) was initiated and the patient was taken for laparotomy. The aortic rupture was identified, proximal and distal control obtained, and the REBOA balloon was deflated under direct visualization. The aorta was repaired with a tube graft. Post-operative care was uncomplicated (sheath removal by vascular surgery on post-operative day (POD) 1) with the exception of temporary acute kidney injury (creatinine elevation to 2.30 POD 2). The patient was discharged home POD 11 following resolution of his acute kidney injury.
A 45-year-old male presented after a fall from five stories (Table 1). The patient was alert but confused, with a heart rate of 115 b/m and SBP of 130. The initial physical exam revealed bruising to the abdomen, an unstable pelvis, and an open left elbow deformity. The initial extended focused assessment with sonography for trauma (eFAST) exam was negative for fluid, with the absence of lung sliding on the left chest suggesting a pneumothorax. The patient rapidly declined, becoming obtunded, leading to intubation and tube thoracostomy, which resulted in no rush of air nor evacuation of significant blood. SBP after intubation and insertion of chest tube was 100 mmHg and deteriorated to 63 mmHg despite 1 L of normal saline and 1 unit of PRBCs, and MTP was activated. As the patient was felt to be in a 'peri-arrest' condition, despite initial blood product resuscitation, REBOA was placed (US-guided percutaneous, 18 Gauge access to the right CFA, upsized over .035 wire directly to a 7-Fr sheath) in Zone 3 (using anatomic landmarks) and inflated with 5 ml of saline. The SBP did not respond (via cuff measurement) after 4 minutes of balloon inflation, therefore the balloon was deflated, advanced to Zone 1, and re-inflated with 8 ml of saline. This resulted in a stable SBP of 116 mmHg. The patient was taken to CAT scan in an effort to rapidly rule out neurologic injury and evaluate the extent of the pelvic fracture (and facilitate mobilization of the interventional radiology team), followed immediately by the operating room (OR) for exploration.
Table 1 Demographics and summary of REBOA use in seven patients. Time to occlusion is calculated from the time that REBOA is decided upon (verbal confirmation or obtaining the access kit) until the balloon is verbalized to be inflated.
Indication/mechanism
Ruptured AAA
Found down
Injury severity score (ISS)
Access method
Percutaneous
SBP before REBOA, mmHg
SBP after REBOA, mmHg
Cardiac arrest before REBOA
Zone of Inflation
Admission pH
Admission base deficit
<−30
Time to occlusion, min
Time of occlusion, min
Surgery after REBOA
Embolization after REBOA
Temporary acute kidney injury
Transient ischemia, pulmonary embolism
Ischemia, amputation, pseudo-aneurysm
Figure 1 ER-REBOA balloon inflated in Zone 1 via landmarks. Case 1.
Operatively, the ileo-colonic mesentery was found to be avulsed with active bleeding. A non-expanding Zone 2 retroperitoneal hematoma, grade 1 liver and splenic lacerations were identified and packed. The REBOA balloon was deflated after 32 minutes. Devitalized bowel was resected and the patient's abdomen was left open. He was then taken to the interventional radiology (IR) suite for pelvic angiography and no active extravasation was found. After stabilization in the ICU, the REBOA sheath was removed (approximately 8 hours later). The patient underwent subsequent surgical correction of multiple fractures. On hospital day 6, the patient was neurologically intact and transferred to a hospital closer to his home (at family request) for recovery.
An 82-year-old female presented after a motor vehicle crash (MVC) from a distant rural county (Table 1). The patient was unresponsive on presentation, cold, pale, and mottled, with a thready femoral pulse. Initial chest x-ray was negative for hemorrhage. Within minutes of arrival, the patient lost a palpable pulse (PEA on monitor). CPR was started, and the patient was intubated. Bilateral finger thoracostomies resulted in no blood or rush of air. An eFAST exam was indeterminate but revealed no pericardial tamponade. The decision was made to utilize REBOA (Cut down, 18 Gauge access to the right CFA, upsized over .035 wire directly to a 7-Fr sheath). The balloon was placed and inflated in Zone 1 (anatomic landmarks with recorded insertion distance of 35 cm measured at the sheath, 8cc saline inflated) and confirmed with x-ray. Continued CPR and MTP resulted in the return of spontaneous circulation (ROSC). Post-ROSC vitals revealed an SBP of 131 mmHg and a heart rate of 121. A diagnostic laparotomy in the trauma bay revealed hemoperitoneum. She again became pulseless, and ROSC was achieved a second time. The patient was taken to the OR, where she was found to have a grade 3 splenic laceration, multiple mesenteric rents, Zone 1 and bilateral Zone 2 retroperitoneal hematomas. The patient lost her pulse again in the OR, further resuscitation was felt to be futile and the patient expired.
A 71-year-old female presented after a reported fall from standing, 6 hours prior, where she struck her right hip (Table 1). She had no external signs of trauma. Medical history included uncontrolled diabetes and dementia, and was noted by Emergency Medical service personnel to have elevated blood glucose (BG > 500 mg/dl). Upon presentation, the patient was alert but confused, with bilateral breath sounds, but hypotensive (SBP 88) and tachycardic (HR 130). Chest x-ray and eFAST exam were unremarkable. Her mental status rapidly declined, requiring intubation, and precipitated subsequent cardiac arrest. CPR was started. Two units of PRBCs were rapidly administered in addition to a liter of normal saline. Rather than proceed directly to thoracotomy in this elderly patient with a questionable history for traumatic arrest, a REBOA catheter was placed (Cut down, 5-Fr sheath access to the right CFA, upsized over .035 wire directly to a 7-Fr sheath) and inflated in Zone 1 (anatomic landmarks, Figure 2), with a return of carotid pulses after AO. No effort at imaging confirmation was made due to the desire for uninterrupted CPR. Arterial blood gas results revealed a profound alkalosis (pH 7.81, pCO2 > 50, HCO3 63.3, Base Excess > 30), lactate of 10.11, and glucose 547, and hemoglobin 5.4 mg/dl. The patient went into persistent PEA and expired.
Figure 2 ER-REBOA catheter positioned in Zone 1 via anatomic landmarks. Case 4.
A 37-year-old female presented after sustaining a close proximity gunshot wound to the left lower quadrant of the abdomen (Table 1). She arrived neurologically intact. Initial SBP was 143 and was tachycardic (125 bpm). She was taken immediately to the OR for exploratory laparotomy, and upon induction of anesthesia became hypotensive. MTP was activated. Laparotomy revealed an expanding Zone 3 retroperitoneal hematoma with extension to Zone 2 on the left. During exposure, significant bleeding was encountered, and despite packing, the patient's SBP fell below 70 mmHg. A REBOA catheter was inserted into Zone 1 (percutaneous via palpation, 5-Fr sheath access to the right CFA, upsized over .035 wire to a 7-Fr sheath). AO resulted in normalization of SBP and cessation of intra-abdominal hemorrhage, allowing identification and local vascular control of a partially transected (<50% circumference) left external iliac artery. The aortic balloon was deflated, and the arteriotomy was repaired. The femoral 7-Fr sheath with REBOA catheter were left in place post-operatively with the balloon fully deflated, she was left in discontinuity with an open abdomen, and transferred to the ICU for further management.
In the ICU the patient was noted to have loss of pulses distal to the REBOA access site. The catheter and sheath were then removed, resulting in the return of palpable distal pulses. Further operative care was routine, though complicated by respiratory failure (secondary to pulmonary embolus, heparin-induced thrombocytopenia, and IVC filter placement). She was discharged home on POD 16.
A 19-year-old male was transferred from an outside hospital after suffering a gunshot wound to the right lower abdomen and right buttock (Table 1). During transport via helicopter, the patient arrested twice, was intubated and resuscitated with ROSC. The patient received 5 liters of saline, 10 units of PRBCs, and tranexamic acid prior to arrival. Upon arrival, the Glascow Coma Scale (GSC) was 3. Airway was confirmed, bilateral chest tubes were placed with a minimal return of blood or air. The patient had palpable femoral pulses and was tachycardic. MTP was continued with a focus on recovering a balanced blood product resuscitation. Epinephrine, sodium bicarbonate, and calcium chloride were given. SBP declined to <60 mmHg, with intermittent bradycardia, and so a REBOA was placed (cut down, 5-Fr sheath access to the right CFA, upsized over .035 wire to a 7-Fr sheath), inserted in Zone 1 via anatomic landmarks and inflated. The patient had a transient SBP increase and was taken to the OR for laparotomy. In the OR, multiple injuries were noted including a transected right iliac artery and expanding hematoma in the pelvis. Despite maximal efforts at bleeding control, including the assistance of the on call vascular surgeon, the patient was unable to be recovered and expired in the OR.
A 20-year-old male presented after sustaining an abdominal crush injury and pinning from the bucket of heavy excavating machinery (Table 1). The patient had a patent airway, normal neurologic exam and with a GCS of 15 and palpable distal pulses on arrival. He was initially hypotensive, however, became normotensive after receiving crystalloid resuscitation. He had diffuse abdominal tenderness and periumbilical ecchymosis. A FAST exam was negative. He was taken to CT, during which his SBP began to drop. MTP was initiated and he was taken to the OR immediately. Significant arterial bleeding was noted near the mesenteric root.
Initial attempts at bleeding control failed and the SBP fell to <50 mmHg. A REBOA balloon was placed (cut down, 5-Fr sheath access to the right CFA, upsized over .035 wire to a 7-Fr sheath), advanced into Zone 1 via anatomic landmarks and inflated. The arterial bleeding at the mesenteric root was then controlled and ligated, after which the REBOA balloon was deflated. No further injuries were noted. Devitalized bowel was removed, continuity was restored and the abdomen was closed. The REBOA sheath was removed and the left femoral arteriotomy was repaired primarily with the assistance of the on call vascular surgeon. While still in the OR, the patient lost distal pulses and Doppler signals on the left side. The repair was reopened, and Fogarty thrombectomy was performed for the removal of a large amount of clot, and return of dopplerable signal. The patient was then heparinized and was therapeutic. A prophylactic four-compartment fasciotomy was performed and the patient was transferred to the ICU for further management.
On POD 3, after extubation, the patient was unable to move his left toes, foot or ankle. He developed worsening ischemia to the Left Lower Extremity (LLE), resulting in myonecrosis at his fasciotomy site. Despite maximal efforts at limb salvage, the patient required LLE amputation on POD 15. On POD 23, he was noted to have a left femoral pseudo-aneurysm, with bleeding, requiring operative repair. He continued to recover and was discharged to rehab on hospital day 48.
This clinical series represents the initial experience of using the REBOA device at a busy ACS Level II trauma center, and offers an opportunity to evaluate successes and pitfalls in this environment. Our institution provides 24/7 in-house trauma surgeons, meaning that the trauma and acute care surgeon is likely to be the first surgical line of defense for a range of traumatic and non-traumatic cases of hemorrhage. A priori, a review of institutional practice for controlling hemorrhage was undertaken and, as is paralleled in the literature, hemorrhage continues to be a leading cause of trauma-related mortality. After this review (and with the FDA approval of the Fluoroscopy free, 7-Fr delivery ER-REBOA) it was determined that the addition of a 'new technique' to control hemorrhage may be beneficial.
The initial team exposure and introduction to endovascular aortic occlusion devices occurred via training provided at the Center for Advanced Medical Simulation and Learning (CAMLS) Center in Tampa, Florida. All staff, residents and trauma nurses had the opportunity to participate in practice on the REBOA Access Task Trainer (RATT) at the simulation center, or at a similar local training session. This training and exposure were all simulation based. Two staff surgeons had also previously completed the American College of Surgeons BEST course prior to implementation. No additional local credentialing was required for board-certified critical care surgeons to utilize REBOA, as it is considered a core competency at this institution. Residents were allowed to assist, but not perform, REBOA. After every use, a detailed performance review is performed, with critical appraisal of the indication, technique, and outcomes.
The trauma team initially created its own supplemental catheter insertion kit, which has since been updated to the pre-made Prytime convenience kit. The ER-REBOA catheter and convenience kit are kept together in each primary trauma bay, with another stocked in the main trauma OR. Continuous and portable arterial waveform monitoring capabilities were not initially available, but have been added to the trauma resuscitation bays and are utilized with REBOA when required. Ultrasound is available in all resuscitations. Access choice is currently surgeon preference, but with increasing exposure to US-guided access, we feel that this modality will be chosen more frequently.
Institutional indications for use were initially agreed upon within the trauma team, but not formally defined. These have since been formalized and largely parallel algorithms from larger trauma centers [7]. In general, the critical first step is the recognition of a patient in shock, from both traumatic and non-traumatic causes. SBP < 90 mmHg, HR > 120 b/m, shock Index >1.3, or BD less than −5 have been used to define shock. Contraindications for REBOA include arrest from non-hemorrhagic causes, PEA arrest >10 min, known proximal traumatic aortic dissection, and cardiac tamponade/obstructive shock. However, as is illustrated in case study 4 (very likely to be a medical arrest) it can be difficult to identify the precipitating cause of cardiac arrest in every situation. When a patient arrives in arrest, with an unknown cause (trauma as a possible mechanism), all efforts are made at resuscitation.
Additionally, we do not consider age as a contraindication to REBOA. When a witnessed traumatic arrest occurs in an elderly patient, we consider it reasonable to resuscitate with the adjunct of an intra-aortic balloon, preferring this over the additional morbidity of an invasive open thoracotomy – although this is highly situation and provider dependent.
All deaths in our cases (n = 3) were patients that arrested prior to REBOA deployment. All patients that were hypotensive prior to REBOA deployment (n = 4) survived. Considering the results from the AORTA database and dismal survival rates of all aortic occlusion when a patient is pulseless (3% survival to discharge [5]), it may be reasonable to include prehospital arrest as a contraindication for using REBOA.
The significance of these observations is, of course, limited due to the small sample size, but in general, we feel that early utilization of REBOA (prior to arrest) offers an advantage in our institution. In the case of non-traumatic bleeding, where specialty services may be delayed, REBOA may add a layer of security and 'buy time.' To illustrate this point, the first application of REBOA at this facility was for a hemodynamically unstable ruptured AAA (rAAA) patient in extremis in the ED, bridging the patient to the successful definitive management of the AAA. It also bears mention that this initial success (seen in case 1) resulted from the collaboration of the trauma and vascular surgeon, and highlights that team communication, with the inclusion of vascular surgeons, can be an important aspect of safe implementation at smaller facilities. Also of note is the use of REBOA in a rAAA with a wire-free, non-steerable device in the ED. Careful attention to tactile feedback and the use of x-ray permitted safe insertion is required as there is potential for the catheter to advance out into the aneurysm sac and cause further damage.
This retrospective case series also highlights several pitfalls, especially in regards to vascular complications following REBOA. It is important to point out that there were no balloon specific complications – such as aortic lacerations, balloon ruptures, etc. – which are consistent with national data. However, the patients in cases 5 and 7 suffered sheath and access related complications – including one amputation. In case 5, where the sheath was left in place to the ICU, limb ischemia was only transient and resolved with sheath removal. This may be related to the smaller arterial diameter of this female patient, or possibly vascular spasm, but it resolved nonetheless. In case 7, the sheath was removed in the OR, however early thrombosis of the access site led to a period of ischemia that ultimately required limb amputation, despite salvage efforts by trauma and vascular surgeons. While practice patterns are variable, it may be prudent to remove the REBOA sheath prior to leaving the OR. Certainly, a high level of vigilance during and after resuscitation is necessary. If the decision to leave the OR with the sheath in place is made, assessment of distal perfusion with angiography and physical exam is highly recommended.
After review, we have implemented new REBOA placement and post-placement management guidelines. For example, in several cases above there is no recording of insertion distance. It is now protocol to record distances. Though still not always recorded, there is now a mechanism for feedback, proper quality assurance, and review. Documented vascular exams pre-insertion, during use and hourly post-placement are also now mandated, and are tracked by the trauma performance improvement (PI) team. Doppler evaluation for insertion site pseudo-aneurysm within 48–72 hours post-insertion is recommended. An angiogram of the access extremity is ordered if the patient shows signs of lower limb ischemia. Vascular surgery is available to assist with any complications, and mandatory vascular consultation for every REBOA case is being considered. All attempts are made to limit each occlusion time to less than 30 minutes (though it is understood that some guidelines allow 30–60 minutes occlusion for Zone 1, longer for Zone 3 [8]), with inflation/deflation times recorded in every case. Our local guidelines recommend removing the sheath 'as soon as possible once resuscitative goals have been achieved.' This is purposely ambiguous to allow for practice variability, but the use of thromboelastometry, thromboelastography, or other adjuncts may be helpful to refine these endpoints. This institution utilizes Rotational Thromboelastometry (ROTEM) primarily. We have also created a flow sheet, included in the standard trauma 'packet,' to improve the quality and consistency of data collected in these patients (Figure 3).
Figure 3 REBOA flowsheet used at our institution, included as the final page of the Trauma flowsheet.
These results describe our early experiences in using the ER-REBOA device in the resuscitation of seven hemodynamically unstable patients. We feel that these results are comparable to available national data. While we continue to review local practices, there have already been many lessons learned within our facility and we are considering the utility of expanding to indications described at other institutions [9–11]. Though we have limited experience with other indications at this point, the trauma PI team has identified other cases where REBOA could have potentially been useful. Overall, we feel that any difference in outcomes, particularly complications, may be attributed to the ways in which REBOA was implemented compared to large academic centers with protocols, algorithms, senior mentorship, a rigorous QA process, and a specific credentialing process that requires completion of a standardized REBOA training program. The lack of some or all of the above at our institution may or may not make a difference in outcomes, but data from high-volume institutions suggests these entities are likely to be important. Ideally, this early experience from a smaller trauma center can compress the learning curve of other institutions, and help identify the patients for whom REBOA will confer the most benefit.
[1] Hughes CW. Use of an intra-aortic balloon catheter tamponade for controlling intra-abdominal hemorrhage in man. Surgery 1954;36:65–8.
[2] Morrison JJ, Rasmussen TE. Noncompressible torso hemorrhage: a review with contemporary definitions and management strategies. Surg Clin North Am 2012;92:843–58.
[3] Moore L, Brenner M, Kozar R, et al. Implementation of resuscitative endovascular balloon occlusion of the aorta as an alternative to resuscitative thoracotomy for noncompressible truncal hemorrhage. J Trauma Acute Care Surg 2014;79:523–32.
[4] DuBose JJ, Scalea TM, Brenner M, et al. The AAST prospective Aortic Occlusion for Resuscitation in Trauma and Acute Care Surgery (AORTA) registry: Data on contemporary utilization and outcomes of aortic occlusion and resuscitative balloon occlusion of the aorta (REBOA). J Trauma Acute Care Surg 2016;81:409–19.
[5] Brenner M, Inaba K, Aiolfi A, et al. AAST AORTA Study Group. Resuscitative endovascular balloon occlusion of the aorta and resuscitative thoracotomy in select patients with hemorrhagic shock: Early results from the American Association for the Surgery of Trauma's Aortic Occlusion in Resuscitation for Trauma and Acute Care Surgery Registry. J Am Coll Surg. 2018;226:730–40.
[6] Company data, http://prytimemedical.com/ accessed 31 July 2018.
[7] Davidson AJ, Russo RM, Reva VA, et al. BEST Study Group. The pitfalls of REBOA: risk factors and mitigation strategies. J Trauma Acute Care Surg. 2017; In Press. doi: 10.1097/TA.0000000000001711
[8] Joint Trauma System Clinical Practice Guideline. Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) for Hemorrhagic Shock (CPG ID: 38). JTS CPG. 2017;1–21.
[9] Weltz AS, Harris DG, O'Neill NA, O'Meara LB, Brenner ML, Diaz JJ. The use of resuscitative endovascular balloon occlusion of the aorta to control hemorrhagic shock during video-assisted retroperitoneal debridement or infected necrotizing pancreatitis. Int J Surg Case Rep. 2015;13:15–8.
[10] Okada A, Nakamoto O, Komori M, Arimoto H, Rinka H, Nakamura H. Resuscitative endovascular balloon occlusion of the aorta as an adjunct for hemorrhagic shock due to uterine rupture: a case report. Clin Case Rep. 2017;5(10):1565–8.
[11] Sano H, Tsurukiri J, Hoshiai A, Oomura T, Tanaka Y, Ohta H. Resuscitative endovascular balloon occlusion of the aorta for uncontrollable non-variceal upper gastrointestinal bleeding. World J Emerg Surg. 2016;11:20.


Closet organization for adults is hard, but can be more challenging in a smaller kids' closet. Whether you like it or not, potential home buyers will be looking inside all your closets to find out if there is enough room for their items, and kids' closets are no exception. They will open every door to find if more space is needed. Overstuffed and cluttered kids' closets are an alarm to home shoppers as they will assume that the rest of the property is too small and lacking in storage space. On the contrary, neat and organized closets, even tiny ones will definitely appeal to buyers. Here are some decluttering and closet organization tips that will help you impress the potential home buyers.
The first step to organizing a kids' closet is to remove everything present inside. While this may seem like a tedious job, take this as an opportunity to get a head start on packing. As you pull out everything, start sorting it into categories like out-of-season clothing, damaged clothing, daily wear etc. Only keep the must-haves that your kids would need while you are still living there. Donate or toss items that you don't plan to keep. Also, make sure that your kids' closet is not doing double duty as storage for some of your old items. Not only will make the wardrobe appear tiny but will give an impression to buyers that your home lacks space. So, if you find anything adult in your kids' closet, pull it out immediately and pack it away. For space saving, kids' furniture ideas take a look here.
Once your kids' closet is clean and empty, it's time to determine the type of closet organization system will work best. See if there is room to install another rod to create more hanging space? Or if there is more space for shelving? Adding a variety of storage bins and baskets is also a great way to help control clutter buildup. Visit your local home supply store and look for ready-made closet organizers. There are a lot of inexpensive options to choose from and home buyers love them! Make sure to think small when picking closet organizers for young kids. Small cubbies, drawers, and storage bins make it easy for little ones to find what they are looking for without creating a mess. This picture shows how closet organization could be applied to open shelving too!
When it's time to sell, you will want to stage your kids' closet with matching hangers. Regardless of how uncluttered or organized, the closet is, it's never going to look appealing put together with a couple of mismatched hangers. Invest in some inexpensive, but sturdy plastic hangers all in the same color. But make sure to buy the ones that are size appropriate because some children's clothing falls off the hangers made for adults.
While you are at it, don't forget to decorate your little one's wardrobe closet. Consider it a part of staging and have fun with the design by adding personality and details. Just as adults appreciate special finishing touches, kids love it too. Consider painting the closet walls with a fresh coat of paint. Pick a gender neutral shade that is universally appealing. Also, swapping out old, boring drawer knobs with the ones that have cooler designs is a great idea. Look through these kids' wardrobe storage ideas for inspiration.
The quality of your kids' closet speaks volumes to potential buyers. What they say to them not only makes a difference in whether they make an offer or not but also what kind of an offer they make for your home. So use these closet organization tips and stage it to create an illusion of more space in your home. Moreover, by displaying potential buyers that you take great care of the closets, they will believe that you do the same for the rest of your house too!


text:
Sub-fonds Department for Policy Coordination and Sustainable Development - AG-004-010
Department for Policy Coordination and Sustainable Development
AG-004-010
Sub-fonds
Department of Economic and Social Affairs
In 1949, "the Technical Assistance Section of the Division of Economic Stability and Development and the International Centre for Training in Public Administration were transferred from the Department of Economic Affairs to the Technical Assistance Administration (TAA)." (YUN, 1949) "The Technical Assistance Administration is responsible for the programme of technical assistance, which includes the operation and administration of the programmes authorized by General Assembly resolutions on advisory social welfare services, on training in public administration and on the United Nations programme of technical assistance for economic development of under-developed countries. In addition it is responsible for administering the United Nations Expanded Programme for Technical Assistance as approved by resolution of the Economic and Social Council (222(IX)). These programmes include the organization of technical assistance missions, the provision of expert advice, the award of fellowships and scholarships and the organization of demonstration projects, seminars, and training institutes." (YUN, 1950)
TAA was aided by the Technical Assistance Board (TAB), which was under the mandate of the Expanded Programme of Technical Assistance, later combined into the United Nations Development Programme (UNDP). For the life of TAA, there were talks about merging it with both the Department of Social Affairs and the Department of Economic Affairs. However, while the two Departments merged in 1955, the Technical Assistance Administration remained a separate entity until 1959. Throughout the period of its existence, the Director-General was Hugh L. Keenleyside.
sub-fonds created in anticipation of accession / processing
Conditions of access and use area
department-of-economic-and-social-affairs-desa-1955-present.pdf
Department of Economic and Social Affairs (Creator)


A new Burger King is set to come to Lumberton in the near future.
Lumberton and Beaumont are set to get new Burger King restaurants.
The fast food chain is set begin construction soon next to BestMed Urgent Care on U.S. 69, said Sandra Womack, Executive Director of the Lumberton Chamber of Commerce.
The date of completion has not been determined.
Another Beaumont location is planned for 2440 I-10 East, on the feeder road near Suki's Bridal Couture and Al Basha, according to the city's Planning and Community Development Director, Chris Boone.
Construction is expected to cost about $400,000, Boone said.
How many calories are in your favorite fast food items? Click through the photos above to find out.


text:
Moulin Rouge (1952 film)
Moulin Rouge is a 1952 British drama film directed by John Huston, produced by John and James Woolf for their Romulus Films company and released by United Artists. The film is set in Paris in the late 19th century, following artist Henri de Toulouse-Lautrec in the city's bohemian subculture in and around the burlesque palace the Moulin Rouge. The screenplay is by Huston, based on the 1950 novel by Pierre La Mure. The cinematography was by Oswald Morris. This film was screened at the 14th Venice International Film Festival where it won the Silver Lion.
This article is about the 1952 motion picture. For other uses, see Moulin Rouge (disambiguation).
French theatrical poster
John and James Woolf
Anthony Veiller
Pierre La Mure (Novel)
Suzanne Flon
William Engvick
Oswald Morris
Ralph Kemplen
Romulus Films
United Artists (US)
British Lion Films (UK)
23 December 1952 (1952-12-23) (United States)
USD$1.5 million (approx. £967,785)
$9 million[1]
The film stars José Ferrer as Toulouse-Lautrec, with Zsa Zsa Gabor as Jane Avril, Suzanne Flon, Eric Pohlmann, Colette Marchand, Christopher Lee, Peter Cushing, Katherine Kath, Theodore Bikel, and Muriel Smith.
In 1890 Paris crowds pour into the Moulin Rouge nightclub as artist Henri de Toulouse-Lautrec finishes a bottle of cognac while sketching the club's dancers. The club's regulars arrive: singer Jane Avril teases Henri charmingly, dancers La Goulue and Aicha fight, and owner Maurice Joyant offers Henri free drinks for a month in exchange for painting a promotional poster. At closing time, Henri waits for the crowds to disperse before standing to reveal his four-foot six-inch stature. As he walks to his Montmartre apartment, he recalls the events that led to his disfigurement.
It is revealed that Lautrec as a boy fell down a flight of stairs, whereupon his legs failed to heal because of a genetic weakness resulting from his parents being first cousins. His legs stunted and pained, Henri loses himself in his art, while his father leaves his mother, the countess, to ensure that they have no more children. Henri is a bright, happy child, revered by his father, the Count de Toulouse-Lautrec. As a young adult, he proposes to the woman he loves but, when she tells him that no woman will ever love him, he leaves his childhood home in despair to begin a new life as a painter in Paris.
Back in the present, street walker Marie Charlet begs Henri to rescue her from police sergeant Patou. Henri wards off the policeman by pretending to be her escort, after which she insists on following him home. There, she addresses his small stature and, although he is at first angry, he allows her to stay and is charmed when she claims not to care about his legs. Within days, he is buying her gifts and singing as he paints, until Marie takes his money and stays out all night.
Henri waits in agony for her return, but when she finally does he tells her to leave at once. Realizing he loves her, Marie vows to stay and love him back. Though she continues to fight with him, he tells himself her crassness stems from her poverty, and lets her stay. During one fight Marie tells Henri he can never attract a real woman, and leaves. By morning, she begs him to take her back, but he refuses. He begins drinking and does not stop until his landlady calls his mother, who urges him to save his health by finding Marie.
Henri searches Marie's working-class neighborhood, finally discovering her at a café, where she drunkenly reveals she stayed with him only to procure money for her boyfriend. When she adds that his touch made her sick, Henri returns to his apartment, and turns on the gas vents. As he sits waiting to die, he is suddenly inspired to finish his Moulin Rouge poster and, brush in hand, distractedly turns the vents off again.
The next day, Henri brings the poster to the dance hall and, though the style is unusual, Maurice accepts it. Henri works for days at the lithographers, blending his own inks to perfect the vivid colors. When he finishes the poster, which shows a woman dancing with her legs exposed, it becomes an instant sensation and the Moulin Rouge opens to high society. His father denounces Henri for the "pornographic" work.
Over the next ten years, Henri records Parisian life in brilliant paintings. By 1900 he is famous, but still terribly lonely. One day he sees Myriamme Hyam standing at the edge of Pont Alexandre III over the Seine River. Thinking she might jump, he stops to talk to her. She spurns his advances and throws a key into the water. Days later, Jane, a friend of Myriamme, arranges a meeting for them. Myriamme is a great admirer of Henri's paintings, and the two begin to spend time together.
She soon reveals to Henri that the key she threw into the water belonged to a married man, Marcel de la Voisier, who asked her to be his mistress. While Henri continues to decry the possibility of true love he falls in love with Myriamme. One day the two see dancer La Goulue on the street drunkenly insisting that she was once a star. Henri realizes that the Moulin Rouge has become a respectable establishment and no longer the home for misfits.
Myriamme informs Henri that Marne has asked her to marry him. Certain she loves the more handsome man, he bitingly congratulates her for trapping Marne. Myriamme asks Henri if he loves her, but, believing that she is only trying to spare his feelings, he lies and tells her he does not. By the time he receives a letter from her stating that she loves him, but cannot wait any longer, Myriamme has left the city and Henri goes on an unsuccessful search for her. Weeks later, while sitting in a dive drinking steadily, Henri repeatedly reads Myriamme's note. Patou, now an inspector, is called to help him. Once home, in a state of delirium tremens, Henri hallucinates that he sees cockroaches, and in trying to drive them away, accidentally falls down a flight of stairs.
Near death, Henri is brought to his family home. After a priest reads the last rites, his father tearfully informs Henri that he is to be the first living artist to be shown in the Louvre, and begs for forgiveness. Henri turns his head and watches as phantasmal characters from his Moulin Rouge paintings, including Jane Avril, dance into the room to bid him goodbye before his death.
José Ferrer as Henri de Toulouse-Lautrec / Comte Alphonse de Toulouse-Lautrec
Zsa Zsa Gabor as Jane Avril
Suzanne Flon as Myriamme Hyam
Katherine Kath as La Goulue
Muriel Smith as Aicha
Colette Marchand as Marie Charlet
Theodore Bikel as King Milo IV of Serbia
Peter Cushing as Marcel de la Voisier
Christopher Lee as Georges Seurat
Michael Balfour as Dodo
Eric Pohlmann as Picard
In the film, Ferrer plays both Henri and his father, the Comte Alphonse de Toulouse-Lautrec. To transform Ferrer into Henri required the use of platforms and concealed pits as well as special camera angles, makeup and costumes. Short body doubles were also used. In addition, Ferrer used a set of knee-pads of his own design allowing him to walk on his knees . He received high praise not only for his performance, but for his willingness to have his legs strapped in such a manner simply to play a role.
It was reported that John Huston asked cinematographer Oswald Morris to render the color scheme of the film to look "as if Toulouse-Lautrec had directed it".[2] Moulin Rouge was shot in three-strip Technicolor. The Technicolor projection print is created by dye transfer from three primary-color gelatin matrices. This permits great flexibility in controlling the density, contrast, and saturation of the print. Huston asked Technicolor for a subdued palette, rather than the sometimes-gaudy colors "glorious Technicolor" was famous for. Technicolor was reportedly reluctant to do this.
The film was shot at Shepperton Studios, Shepperton, Surrey, England, and on location in London and Paris.
During its first year of release it earned £205,453 in UK cinemas[3] and grossed $9 million at the North American box office.[1]
According to the National Film Finance Corporation, the film made a comfortable profit.[4]
Ferrer received 40 percent of the proceeds from the film as well as other rights. This remuneration gave rise to a prominent U.S. Second Circuit tax case, Commissioner v. Ferrer (1962), in which Ferrer argued that he was taxed too much.[5]
Moulin Rouge received seven Academy Award nominations and won two:[6]
Best Director - John Huston
Best Actor - José Ferrer
Best Supporting Actress - Colette Marchand
Best Film Editing - Ralph Kemplen
Best Art Direction - Paul Sheriff, Marcel Vertès (winner)
Best Costume Design - Marcel Vertès (winner)
The film was not nominated for its color cinematography, which many critics found remarkable. Leonard Maltin, in his annual Movie and Video Guide declared: "If you can't catch this in color, skip it."
The film received three BAFTA Nominations:
Best Film from any Source
Most Promising Newcomer - Colette Marchand
The film won the Golden Globe Award for Most Promising Newcomer - Colette Marchand
In an interview shortly after his successful film version of Cabaret opened, Bob Fosse acknowledged Huston's filming of the can-can in Moulin Rouge as being very influential on his own film style.
Silver Lion at the Venice Film Festival - John Huston
British Society of Cinematographers - Oswald Morris
The Moulin Rouge theme song became well known and made it onto the record industry charts.
The film is recognized by American Film Institute in these lists:
2005: AFI's 100 Years of Film Scores – Nominated[7]
The film was digitally restored by FotoKem for Blu-ray debut. Frame-by-frame digital restoration was done by Prasad Corporation removed dirt, tears, scratches and other defects.[8][9] In April 2019, a restored version of the film from The Film Foundation, Park Circus, Romulus Films, and MGM was selected to be shown in the Cannes Classics section at the 2019 Cannes Film Festival.[10]
Moulin Rouge, 1928 film
Moulin Rouge!, 2001 film
"Some of the Top UA Grossers". Variety. 24 June 1959. p. 12. Retrieved 30 August 2019.
Tom Vallance, "Obituary: Sir John Woolf", The Independent, 1 July 1999
Vincent Porter, 'The Robert Clark Account', Historical Journal of Film, Radio and Television, Vol 20 No 4, 2000 p.499
U.S. MONEY BEHIND 30% OF BRITISH FILMS: Problems for the Board of Trade The Manchester Guardian (1901-1959) [Manchester (UK)] 4 May 1956: 7
See 304 F. 2d 125 - Commissioner of Internal Revenue v. Ferrer , OpenJurist
"NY Times: Moulin Rouge". The New York Times. Retrieved 21 December 2008.
"AFI's 100 Years of Film Scores Nominees" (PDF). Retrieved 6 August 2016.
Prasad Corporation, Digital Film Restoration Archived 13 October 2014 at the Wayback Machine
"FotoKem - Home". fotokem.com.
"Cannes Classics 2019". Festival de Cannes. 26 April 2019. Retrieved 26 April 2019.
Moulin Rouge on IMDb
Moulin Rouge at the TCM Movie Database
Moulin Rouge at AllMovie
Moulin Rouge at Rotten Tomatoes
Films directed by John Huston
The Maltese Falcon (1941)
In This Our Life (1942)
Across the Pacific (1942)
Key Largo (1948)
We Were Strangers (1949)
The Asphalt Jungle (1950)
The Red Badge of Courage (1951)
The African Queen (1951)
Moulin Rouge (1952)
Beat the Devil (1953)
Moby Dick (1956)
Heaven Knows, Mr. Allison (1957)
The Barbarian and the Geisha (1958)
The Roots of Heaven (1958)
The Unforgiven (1960)
The Misfits (1961)
Freud: The Secret Passion (1962)
The List of Adrian Messenger (1963)
The Night of the Iguana (1964)
The Bible: In the Beginning... (1966)
Reflections in a Golden Eye (1967)
Sinful Davey (1969)
A Walk with Love and Death (1969)
The Kremlin Letter (1970)
Fat City (1972)
The Life and Times of Judge Roy Bean (1972)
The Mackintosh Man (1973)
The Man Who Would Be King (1975)
Wise Blood (1979)
Phobia (1980)
Victory (1981)
Annie (1982)
Under the Volcano (1984)
Prizzi's Honor (1985)
The Dead (1987)
Winning Your Wings (1942)
Report from the Aleutians (1943)
The Battle of San Pietro (1945)
Let There Be Light (1946)
Independence (1976)
Five Came Back (2017 documentary)
Silver Lion-winning films
Little Fugitive / Moulin Rouge / Sadko / Thérèse Raquin / Ugetsu / I Vitelloni (1953)
On the Waterfront / Sansho the Bailiff / Seven Samurai / La Strada (1954)
Le Amiche / The Big Knife / Ciske de Rat / The Grasshopper (1955)
Le Notti Bianche (1957)
Landscape in the Mist (1988)
Recollections of the Yellow House / Death of a Tea Master (1989)
Raise the Red Lantern / The Fisher King / J'entends plus la guitare (1991)
Luxury Hotel / Jamón Jamón / A Heart in Winter (1992)
Kosh ba kosh (1993)
Heavenly Creatures / Little Odessa / Il toro (1994)
Count Alphonse de Toulouse-Lautrec Driving His Mail-Coach (1881)
Portrait of Suzanne Valadon (1885)
La Blanchisseuse (1886)
Portrait of Vincent van Gogh (1887)
La Toilette (1889)
At the Moulin Rouge, The Dance (1890)
Moulin Rouge: La Goulue (1891)
Le Lit (1892)
At the Moulin Rouge (1892-1895)
Divan Japonais (1893-94)
The Tightrope Dancer (1899)
Musée Toulouse-Lautrec
Cha-U-Kao
Marcelle Lender
Lautrec (1998 film)
Moulin Rouge! (2001 film)


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Ligabue, '30 years in a day', the concert event to celebrate the long career is sold out
Operating rooms more and more pink, the girls choose the surgery
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Libya, the letter Di Maio: it Is true, we are late, but Italy may have a role only if he knows how to make the team
Dear Manager, the events of recent days are likely to change irremediably the fate of the middle eastern region. The millions of people that have filled the sq
Dear Manager,
the events of recent days are likely to change irremediably the fate of the middle eastern region. The millions of people that have filled the squares in iran to celebrate the disappearance of the iranian general Kassem Soleimani are the tangible sign of a chaos in which affect variables, complex and articulated, in a frame, however, in which the long wave of the arab Spring still has a determining weight. To show the iraqi young people who have occupied Tahrir Square on 25 October. This is demonstrated by the young lebanese who are on the streets for months.
The raid the Usa and the violent response of Teheran, which Italy strongly condemns, and that puts in danger the safety of our military employees in the Coalition anti-Daesh, are now at risk of opening a crack which cannot be remedied. At the same time, developments on the ground in Libya, and the recent bombing at the military Academy in Tripoli lead us into the scenery of a familiar unsettling, albeit in different forms and different content.
After years of immobility and difficulties in the Italian system, we are facing an important crossroads. The extraordinary work of our technicians, of the diplomatic corps, military personnel and of our equipment intelligence is out of the question. More questionable, however, is the ability shown by the policy in knowing how to integrate and make the system and these qualities and skills. I think it is time to look forward and plan, because the junction in question casts a choice very clear before us: either we start to make the team, or there relegheremo into a corner with no way out.
indeed, it is Not acceptable that in relation to the outbreaks of these days, someone tries to polarize the public debate around the dualism of the emotional of fear, and therefore violence. The reflection must inevitably be more profound. There are stakeholders for whom to cheer, this is not the natural vocation of our Country. There are but alliances, like the Atlantic, which help to trace the path to follow. And there is the will to act as mediators and facilitators of a dialogue that, especially in Libya, should not and cannot remain anchored to the pole. Libya, first of all, for our Country the theme of national security.
And it is this conviction that has prompted me to take action for the reunification of the positions of all the european partners, with the awareness that the process of Berlin is a milestone, but also that it is a necessary step to plan as soon as possible.
It was a first step, on which we must not get excited, but that must not be underestimated, because it has reopened a road that up until yesterday seemed to be closed. In these hours, the president of the libyan Serraj, in fact, has met in Brussels, the high representative of the Eu, Josep Borrell. On Tuesday, myself, at the end of the european summit, I flew to Turkey to meet with my counterpart Cavousoglu, with which we identified the opportunity to open a consultation table with the Turkey, which also involves Moscow.
in Parallel, are continuous contacts of our government and the Eu and also with general Haftar, who we meet, and with the United Arab Emirates. I have also just concluded an important meeting in Cairo, where I met the egyptian minister Shoukry and the minister of French, cypriot, and Greek. To these I have reaffirmed that every effort should go towards the support of the Berlin conference. At the same time, as Italy, we have expressed more of a concern in regard to the final declaration of the summit, appeared significant imbalance to the detriment of the government of president Serraj recognized by the United Nations. Our invitation was, therefore, again addressed to the moderation and responsibility.
Today, also, I will be in Algiers, and in the next few days in Tunisia, in the belief that it is essential to also involve the neighboring Countries to Libya to start a healthy process of stabilisation in the region. United states (with which we are doing now, the usual strategic Dialogue, bilateral in Rome), Russia, Turkey and Egypt, among all, are and must continue to be for the Eu interlocutors. Get together yesterday in Brussels has been an important occasion to reaffirm this. Only rejoining all under the umbrella of the european we can put a stop to the interference of the individual States, and then working together to a total embargo by land, sea and air that bring the Libya how much less to a truce.
This is what he is doing in Italy. There are those who continue to say that we arrived with a delay, that the times are tight, that there is nothing more to do. I can share the first two evaluations, not the third. Minister of Foreign affairs, and a citizen of this Country I have duties for you to fulfill, regardless of the criticism, and attacks newspapers that every day I turn. I am convinced that Italy, after some silence too, today still has a lot to say. Only needs to regain confidence in itself, abandoning the colours of their flags policies and to play, as I have already said, on the team. Only at that point can we truly measure our value in the world.
"The Republic will fight always in defense of the freedom of information, to its readers and to all those who have at heart the principles of democracy and civil coexistence"
Carlo Verdelli SUBSCRIBERS TO REPUBLIC © Reproduction reserved reader COMMENTS Today on For now, Trump wins the bet with the ayatollahs of Tehran and the dream of the new Persia, Because between Iran and the Usa, the conflict is not finished Trump, the war declared via Twitter, and the issue of social media with the politicians "In the bunker under the missiles." The night of the italians in Erbil
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