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Volume 30 | Issue 3
Page Nos. 239-363
Online since Tuesday, July 1, 2014
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Author Institution Mapping
The shrinking world p. 239
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Metallothionein gene expression in renal cell carcinoma p. 241
Deeksha Pal, Ujjawal Sharma, Shrawan Kumar Singh, Arup Kumar Mandal, Rajendra Prasad
Introduction: Metallothioneins (MTs) are a group of low-molecular weight, cysteine-rich proteins. In general, MT is known to modulate three fundamental processes: (1) the release of gaseous mediators such as hydroxyl radical or nitric oxide, (2) apoptosis and (3) the binding and exchange of heavy metals such as zinc, cadmium or copper. Previous studies have shown a positive correlation between the expression of MT with invasion, metastasis and poor prognosis in various cancers. Most of the previous studies primarily used immunohistochemistry to analyze localization of MT in renal cell carcinoma (RCC). No information is available on the gene expression of MT2A isoform in different types and grades of RCC. Materials and Methods: In the present study, total RNA was isolated from 38 histopathologically confirmed cases of RCC of different types and grades. Corresponding adjacent normal renal parenchyma was taken as control. Real-time polymerase chain reaction (RT PCR) analysis was done for the MT2A gene expression using b-actin as an internal control. All statistical calculations were performed using SPSS software. Results: The MT2A gene expression was found to be significantly increased (P < 0.01) in clear cell RCC in comparison with the adjacent normal renal parenchyma. The expression of MT2A was two to three-fold higher in sarcomatoid RCC, whereas there was no change in papillary and collecting duct RCC. MT2A gene expression was significantly higher in lower grade (grades I and II, P < 0.05), while no change was observed in high-grade tumor (grade III and IV) in comparison to adjacent normal renal tissue. Conclusion: The first report of the expression of MT2A in different types and grades of RCC and also these data further support the role of MT2A in tumorigenesis.
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Telomere instability in papillary bladder urothelial carcinomas: Comparison with grading and risk of recurrence p. 245
Giuseppe Mucciardi, Alessandro Gali', Valeria Barresi, Massimo Mucciardi, M'Hammemd Aguennouz, Antonino Inferrera, Carlo Magno
Introduction: Shortening of telomere is associated with cellular senescence and cancer. This study aims to investigate the relationship between tumor grade and recurrence in relation to telomere length (TL), telomerase activity (TA) and telomere-binding proteins expression (TBPs) in patients with non-muscle invasive bladder cancer (NMIBC). Materials and Methods: Tumor/healthy tissues were collected from 58 patients (35 with and 23 without NMIBC). Cystoscopy was performed at 3, 6 and 12 months to determine recurrence. Tumor grades and recurrence were correlated with TL, TA and TBPs using the Kruskal-Wallis non-parametric test. Results were considered significant at P < 0.05. Results: Histological evaluation indicated 15 patients (42.9%) with high-grade (HG) and 20 patients (57.1%) with low-grade (LG) NMIBC. TL, TA and TBPs were found to be significantly different in tumors as compared with controls. A significant (p < 0.05) difference in the expression of TBPs was observed in the disease-free mucosa of cancer patients as compared with HG and LG tumors. In the follow-up, a total of 11 tumor recurrences were observed; among these eight recurrences were observed in patients with HG tumors and three in patients with LG tumors. TL, Human telomerase reverse transcriptase (hTERT) (that represents TA) and poly (ADP-ribose) polymerase 1 (PARP-1) in tumor samples and telomeric repeat binding factors TRF1, TRF2 and tankyrase (TANK) in normal mucosa obtained from the tumor group were respectively found to exhibit a positive and negative association with the risk of recurrence. Conclusions: Our study demonstrates that TL, TA and TBPs are altered in tumors and non-cancerous mucosa in patients with papillary urothelial NMIBC. Further studies are warranted to identify their suitability as a potential biomarker.
Misinterpretation of the international prostate symptom score questionnaire by Indian patients p. 252
Tarun Jindal, Rajan Kumar Sinha, Subhabrata Mukherjee, Soumendra Nath Mandal, Dilip Karmakar
Introduction: The international prostate symptom score (IPSS) is commonly used in the evaluation of the severity of symptoms of patients with prostatic enlargement. It is a self-administered questionnaire. It has not been validated in any Indian language and an English version is used which can be difficult to interpret by our patients who do not have English as their primary language. In this study, we evaluate the patient's ability to understand the IPSS by comparing the scores when the IPSS questionnaire was self-administered versus when it was administered using the assistance of a clinician. Materials and Methods: Patients who presented with lower urinary tract symptoms suggestive of benign prostatic hyperplasia, who had passed at least twelfth grade of school and had a reasonable command over English were included in the study. They were allowed to self-administer the IPSS questionnaire following which a clinician, blinded to these scores, assisted the patient in filling the questionnaire. For each question, the score in both the questionnaires was noted and kappa agreement statistical test was used to assess the agreement between the two scores. Results: A total of 87 patients were included in the study. It was found that none of the questions had a perfect agreement of scores in the self-administered and the assisted administration. Conclusion: Our results show that our patients misinterpret the IPSS questionnaire. This problem can lead to significant errors in interpretation of the symptom severity.
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Transperitoneal laparoscopic left versus right live donor nephrectomy: Comparison of outcomes p. 256
Shrinivas Rudrapatna Pandarinath, Babulal Choudhary, Harvinder Singh Chouhan, Shivashankar Rudramani, Deepak Dubey
Introduction: Although laparoscopic donor nephrectomy (LDN) is being performed at many centers, there are reservations on the routine use of laparoscopy for harvesting the right kidney due to a perception of technical complexity and increased incidence of allograft failure, renal vein thrombosis and the need for more back-table reconstruction along with increased operative time. Materials and Methods: We performed a prospective non-randomized comparison of transperitoneal laparoscopic left donor nephrectomy (LLDN) with laparoscopic right donor nephrectomy (RLDN) from August 2008 to May 2013. The operative time, warm ischemia time, intraoperative events, blood loss and post-operative parameters were recorded. The renal recipient parameters, including post-operative creatinine, episodes of acute tubular necrosis (ATN) and delayed graft function were also recorded. Results: A total of 188 LDN were performed between August 2008 and May 2013, including 164 LLDN and 24 RLDN. The demographic characteristics between the two groups were comparable. The operative duration was in favor of the right donor group, while warm ischemia time, estimated blood loss and mean length of hospital stay were similar between the two groups. Overall renal functional outcomes were comparable between the two donor groups, while the recipient outcomes including creatinine at discharge were also comparable. Conclusions: RLDN has a safety profile comparable with LLDN, even in those with complex vascular anatomy, and can be successfully performed by the transperitoneal route with no added morbidity. RLDN requires lesser operative time with comparable morbidity.
Commentary on Transperitoneal laparoscopic left versus right live donor nephrectomy: Comparison of outcomes p. 261
Rajesh K Ahlawat
Prospective randomized study to evaluate the feasibility and outcome of transmesocolic laparoscopic pyeloplasty and compare it with retrocolic laparoscopic pyeloplasty in pediatric and adolescent patients p. 263
Sanjeet Kumar Singh, Jatinder Kumar, AN Sachin, Rakesh Kapoor, Aneesh Srivastava, MS Ansari
Objective: This prospective randomized study was designed to evaluate the feasibility and outcome of transmesocolic laparoscopic pyeloplasty (TMP) and compare it with retrocolic laparoscopic pyeloplasty (RLP) in pediatric and adolescent patients. Materials and Methods: Between September 2006 to May 2012, data of pediatric and adolescent patients undergoing laparoscopic pyeloplasty were recorded in a prospective manner. Data included age, pelvic volume, presence of stones, aberrant vessels, operative time, analgesics requirement and time to accept oral feeds and drain removal. Patients with left side pelviureteric junction obstruction with any size of pelvic volume, with or without renal stones and aberrant vessels were included in the study. Patients were assigned into two groups by simple randomization technique. A total of 38 TMP and 41 left sided RLP were performed. Median follow-up period for transmesocolic group was 12.5 months (9.5-62 months) and 14 months (8-66 months) for retro colic group. Outcome for this study was adequate drainage on renal scan, improvement in symptom and or resolution of hydronephrosis on ultrasound. Statistical analysis was performed using the Mann-Whitney test. Results: The mean patient age was 8.73 years in RLP and 7.73 years in TMP. In RLP group the mean operative time was 75.84 min (time from port insertion to pyeloplasty) and 135.4 min (total operative time) while it was 44.82 min and 104.82 min respectively in TMP group. Compared with classic RLP, TMP cases showed a significant reduction in operative time. Conclusions: The transmesocolic approach for left sided pyeloplasty enables a shorter operative time even in the presence of large pelvis, aberrant vessel and stones without increasing morbidity in comparison to RLP approach.
Histological evaluation of nerve sparing technique in robotic assisted radical prostatectomy p. 268
Kazushi Tanaka, Katsumi Shigemura, Nobuyuki Hinata, Mototsugu Muramaki, Hideaki Miyake, Masato Fujisawa
Introduction: The objective of this study is to compare intrafascial nerve-sparing (NS), interfascial NS and non-NS prostatecomy specimens to assess the feasibility of NS technique in Robot-assisted radical prostatectomies (RARP). Materials and Methods: The records of the first 43 consecutive patients (86 prostatic sides (lobe) who underwent NS RARP (6 intrafascial NS, 46 interfacial NS, 34 non-NS) were reviewed and histopathological examinations were performed. The presence and distribution of periprostatic neurovascular structures were histologically evaluated using mid-gland section of each prostate lobe in the prostatectomy specimen and it was immunostained with the S-100 antibody for quantitative analysis of nerves. Results: The average number of nerve fibers per prostatic half was 37.2 ± 20.6. The number of resected peri-prostatic nerves counted was 13.7 ± 13.5, 30.5 ± 15.0 and 50.4 ± 20.4 in intrafascial NS, interfascial NS and non-NS specimens, respectively. The difference in the number of nerve bundle counts in the three groups was statistically significant (P < 0.05). Patients with urinary continence at 6 months after surgery had significantly less number of nerve fibers resected with the prostate than the incontinence group (P = 0.013) and the number of nerve fi bers resected in the potent group were lower than in the impotent group but did not reach statistical significance (P = 0.057). Conclusions: Our study showed that NS RARP could be performed according to surgeons' intention (intrafascial, interfascial or non-NS) and urinary continence significantly correlated to the number of nerve fibers resected with the prostate.
SYMPOSIUM-EDITORIAL
Robotic surgery beyond the prostate p. 273
Monish Aron
Robotic nephron-sparing surgery for renal tumors: Current status p. 275
Raed A Azhar, Inderbir S Gill, Monish Aron
There have been a number of advances in robotic partial nephrectomy (RPN) for renal masses. We reviewed these advances with emphasis on the evolution of technique and outcomes as well as the expanding indications for RPN. Literature in the English language was reviewed using the National Library of Medicine database. Relevant articles were extracted, and their citations were utilized to broaden our search. The identified articles were reviewed and summarized with a focus on novel developments. RPN is an evolving procedure and is an emerging viable alternative to laparoscopic partial nephrectomy and open partial nephrectomy with favorable outcomes. The contemporary techniques used for RPN demonstrate excellent perioperative outcomes. The short-term oncologic outcomes are comparable to those of laparoscopic and open surgical approaches. Further studies are needed to assess long-term oncologic control.
Technical considerations in robotic nephrectomy with vena caval tumor thrombectomy p. 283
Ronney Abaza
Robotic surgery has been applied to increasingly complex urologic procedures since its initial widespread adoption for prostatectomy. While laparoscopic nephrectomy was initially reported over 2 decades ago, renal tumors involving the inferior vena cava (IVC) appeared to be a limitation to the application of laparoscopy. Laparoscopic management had only been reported in a limited fashion for short tumor thrombi not requiring cross-clamping of the IVC. The first robotic nephrectomy for renal cancer with IVC tumor thrombus was performed in 2008 with the first series reported in 2011, including for larger tumor thrombi requiring IVC cross-clamping for thrombus extraction. Since then, several surgeons at various institutions have adopted robotic surgery for these complex procedures. With experience and meticulous surgical technique, the procedure can be reproduced in properly selected cases. Further adoption and reports of multi-institutional experiences are necessary to validate this still relatively new procedure, and such work is already underway.
Robotic assisted kidney transplantation p. 287
Pranjal Modi, Bipinchandra Pal, Jayesh Modi, Suresh Kumar, Akshay Sood, Mani Menon
Kidney transplantation is the standard of care for patients with end stage renal disease. While open surgery remains the gold standard, minimally invasive surgery has recently been introduced for the recipient undergoing kidney transplantation. We review the evolution of techniques of minimally invasive surgery for kidney transplantation with specific emphasis on technical aspects of robotic assisted kidney transplantation.
Robotic-assisted laparoscopic approaches to the ureter: Pyeloplasty and ureteral reimplantation p. 293
Dinesh Samarasekera, Robert J Stein
Introduction and Objectives: The benefits of robotic surgery when compared to standard laparoscopy have been well established, especially when it comes to reconstructive procedures. The application of robotic technology to laparoscopic pyeloplasty has reduced the steep learning curve associated with the procedure. Consequently, this has allowed surgeons who are less experienced with laparoscopy to offer this treatment to their patients, instead of referring them to "centers of excellence". Robotic pyeloplasty has also proved useful for repairing secondary UPJO, a procedure which is considered extremely difficult using a conventional laparoscopic approach. Finally, the pursuit of "scarless" surgery has seen the development of laparoendoscopic single site (LESS) procedures. The application of robotics to LESS (R-LESS) has also reduced the difficulty in performing conventional LESS pyeloplasty. Herein we present a literature review with regards to robotic-assisted laparoscopic pyeloplasty. We also discuss the benefits of robotic surgery with regards to reconstruction of the lower urinary tract. Materials and Methods: A systematic literature review was performed using PubMed to identify relevant studies. There were no time restrictions applied to the search, but only studies in English were included. We utilized the following search terms: Ureteropelvic junction obstruction and laparoscopy; laparoscopic pyeloplasty; robotic pyeloplasty; robotic ureteric reimplantation; robotic ureteroneocystostomy; robotic boari flap; robotic psoas hitch. Results: There has been considerable experience in the literature with robotic pyeloplasty. Unfortunately, no prospective randomized studies have been conducted, however there are a number of meta analyses and systematic reviews. While there are no clear benefits when it comes to surgical and functional outcomes when compared to standard laparoscopic pyeloplasty, it is clear that robotics makes the operation easier to perform. There is also a benefit to the robotic approach when performing a redo-pyeloplasty. Robotic pyeloplasty has also been applied to the pediatric population, and there may be a benefit in older children while in very young patients, retroperitoneal open pyeloplasty is still the gold standard. In the field of single incision surgery R-LESS is technically easier to perform than conventional LESS. However, the design of the current robotic platform is not completely suited for this application, limiting its utility and often requiring a larger incision. Optimized R-LESS specific technology is awaited. What is clear, from a number of analyses, is that robotic pyeloplasty is considerably more expensive than the laparoscopic approach, largely due to costs of instrumentation and the capital expense of the robot. Until cheaper robotic technology is available, this technique will continue to be expensive, and a cost-benefit analysis must be undertaken by each hospital planning to undertake this surgery. Finally, the benefits of upper tract reconstruction apply equally to the lower tract although there is considerably less experience. However, there have been a number of studies demonstrating the technical feasibility of ureteral reimplantation. Conclusions: Robotic-assisted laparoscopic pyeloplasty is gaining popularity, likely due to the shorter learning curve, greater surgeon comfort, and easier intracorporeal suturing. This has allowed more surgeons to perform the procedure, improving accessibility. Robotic technology is also beneficial in the field of LESS. Nevertheless, the procedure still is not as cost-effective as the conventional laparoscopic approach, and until more affordable robotic technology is available, it will not be universally offered.
Robotic radical cystectomy and intracorporeal urinary diversion: The USC technique p. 300
Andre Luis de Castro Abreu, Sameer Chopra, Raed A Azhar, Andre K Berger, Gus Miranda, Jie Cai, Inderbir S Gill, Monish Aron, Mihir M Desai
Introduction: Radical cystectomy is the gold-standard treatment for muscle-invasive and refractory nonmuscle-invasive bladder cancer. We describe our technique for robotic radical cystectomy (RRC) and intracorporeal urinary diversion (ICUD), that replicates open surgical principles, and present our preliminary results. Materials and Methods: Specific descriptions for preoperative planning, surgical technique, and postoperative care are provided. Demographics, perioperative and 30-day complications data were collected prospectively and retrospectively analyzed. Learning curve trends were analyzed individually for ileal conduits (IC) and neobladders (NB). SAS ® Software Version 9.3 was used for statistical analyses with statistical significance set at P < 0.05. Results: Between July 2010 and September 2013, RRC and lymph node dissection with ICUD were performed in 103 consecutive patients (orthotopic NB=46, IC 57). All procedures were completed robotically replicating the open surgical principles. The learning curve trends showed a significant reduction in hospital stay for both IC (11 vs. 6-day, P < 0.01) and orthotopic NB (13 vs. 7.5-day, P < 0.01) when comparing the first third of the cohort with the rest of the group. Overall median (range) operative time and estimated blood loss was 7 h (4.8-13) and 200 mL (50-1200), respectively. Within 30-day postoperatively, complications occurred in 61 (59%) patients, with the majority being low grade (n = 43), and no patient died. Median (range) nodes yield was 36 (0-106) and 4 (3.9%) specimens had positive surgical margins. Conclusions: Robotic radical cystectomy with totally ICUD is safe and feasible. It can be performed using the established open surgical principles with encouraging perioperative outcomes.
Robot-assisted radical cystectomy with intracorporeal neobladder diversion: The karolinska experience p. 307
Justin W. Collins, P. Sooriakumaran, R. Sanchez-Salas, R. Ahonen, T. Nyberg, N. P. Wiklund, A. Hosseini
Introduction: The aim of this report is to describe our surgical technique of totally intracorporeal robotic assisted radical cystectomy (RARC) with neobladder formation. Materials and Methods: Between December 2003 and March 2013, a total of 147 patients (118 male, 29 female) underwent totally intracorporeal RARC for urinary bladder cancer. We also performed a systematic search of Medline, Embase and PubMed databases using the terms RARC, robotic cystectomy, robot-assisted, totally intracorporeal RARC, intracorporeal neobladder, intracorporeal urinary diversion, oncological outcomes, functional outcomes, and complication rates. Results: The mean age of our patients was 64 years (range 37-87). On surgical pathology 47% had pT1 or less disease, 27% had pT2, 16% had pT3 and 10% had pT4. The mean number of lymph nodes removed was 21 (range 0-60). 24% of patients had lymph node positive dAQ1isease. Positive surgical margins occurred in 6 cases (4%). Mean follow-up was 31 months (range 4-115 months). Two patients (1.4%) died within 90 days of their operation. Using Kaplan-Meier analysis, overall survival and cancer specific survival at 60 months was 68% and 69.6%, respectively. 80 patients (54%) received a continent diversion with totally intracorporeal neobladder formation. In the neobladder subgroup median total operating time was 420 minutes (range 265-760). Daytime continence and satisfactory sexual function or potency at 12 months ranged between 70-90% in both men and women. Conclusions: Our experience with totally intracorporeal RARC demonstrates acceptable oncological and functional outcomes that suggest this is a viable alternative to open radical cystectomy.
International Radical Cystectomy Consortium: A way forward p. 314
Syed Johar Raza, Erinn Field, Adam S. Kibel, Alex Mottrie, Alon Z. Weizer, Andrew Wagner, Ashok K. Hemal, Douglas S. Scherr, Francis Schanne, Franco Gaboardi, Guan Wu, James O. Peabody, Jihad Koauk, Joan Palou Redorta, John G. Pattaras, Koon-Ho Rha, Lee Richstone, M. Derya Balbay, Mani Menon, Mathew Hayn, Micheal Stoeckle, Peter Wiklund, Prokar Dasgupta, Raj Pruthi, Reza Ghavamian, Shamim Khan, Stephan Siemer, Thomas Maatman, Timothy Wilson, Vassilis Poulakis, Greg Wilding, Khurshid A. Guru
Robot-assisted radical cystectomy (RARC) is an emerging operative alternative to open surgery for the management of invasive bladder cancer. Studies from single institutions provide limited data due to the small number of patients. In order to better understand the related outcomes, a world-wide consortium was established in 2006 of patients undergoing RARC, called the International Robotic Cystectomy Consortium (IRCC). Thus far, the IRCC has reported its findings on various areas of operative interest and continues to expand its capacity to include other operative modalities and transform it into the International Radical Cystectomy Consortium. This article summarizes the findings of the IRCC and highlights the future direction of the consortium.
Robotic sacrocolpopexy p. 318
Teresa L Danforth, Monish Aron, David A Ginsberg
Pelvic organ prolapse (POP) is a prevalent condition with 1 in 9 women seeking surgical treatment by the age of 80 years. Goals of treatment are relief and prevention of symptoms, and restoration of pelvic floor support. The gold standard for surgical treatment of POP has been abdominal sacrocolpopexy (ASC). However, emerging technologies have allowed for more minimally invasive approach including the use of laparoscopic assisted sacrocolpopexy and robotic assisted sacrocolpopexy (RASC). We performed a PubMed literature search for sacrocolpopexy, "robotic sacrocolpopexy" and "RASC" and reviewed all retrospective, prospective and randomized controlled trials. The techniques, objective and subjective outcomes and complications are discussed. The most frequent technique involves a polypropylene Y mesh attached to the anterior and posterior walls of the vagina with the single arm attached to the sacrum. Multiple concomitant procedures have been described including hysterectomy, anti-incontinence procedures and concomitant vaginal prolapse repairs. There are few studies comparing RASC to ASC, with the longest follow-up data showing no difference in subjective and objective outcomes. Anatomic success rates have been reported at 79-100% with up to 9% of patients requiring successive surgery for recurrence. Subjective success is poorly defi ned, but has been reported at 88-97%. Most common complications are urinary retention, urinary tract infection, bladder injury and vaginal mucosal injury. Mesh exposure is reported in up to 10% of patients. RASC allows for a minimally invasive approach to treatment of POP with comparable outcomes and low complication rates.
Robotic single port surgery: Current status and future considerations p. 326
Dinesh Samarasekera, Jihad H Kaouk
Introduction and Objectives: It has been established that robotic-assisted laparoscopic surgery has several advantages when compared with standard laparoscopic surgery. Optics, ergonomics, dexterity and precision are all enhanced with the use of a robotic platform. For these reasons, it was postulated that the application of robotics to laparoendoscopic single-site surgery (LESS) could overcome some of the constraints seen with the conventional laparoscopic approach. Issues such as instrument clashing, inability to achieve effective triangulation for dissection and difficulties with intracorporeal suturing have limited the widespread adoption of conventional LESS. The application of robotics has eliminated many of the constraints experienced with conventional LESS; however, challenges still remain. Materials and Methods: A systematic literature review was performed using PubMed to identify relevant studies. There were no time restrictions applied to the search, but only studies in English were included. We used the following search terms: Robotic single site surgery, robotic single port surgery, robotic single incision surgery and robotic laparoendoscopic single site surgery. Results: A number of centers have published their experience with robotic-laparoendoscopic single-site surgery (R-LESS); however, no prospective studies exist. What is clear is that R-LESS minimizes several of the difficulties experienced with conventional LESS, including intracorporeal suturing and triangulation during dissection. Outcomes are comparable to standard robotic surgery, with a trend toward improved cosmesis and reduced pain. However, a significant advantage with regard to these two factors has yet to be demonstrated. Conclusions: R-LESS is technically feasible and the benefits of robotic surgery eliminate many of the challenges seen with conventional LESS. However, despite the advantages of the robotic platform, R-LESS is not free of challenges. Instrument clashing remains an issue due to the bulky profile of the current robotic system. Other issues include lack of space for the assistant at the bedside, inability to incorporate the 4 th robotic arm for retraction and difficulties with triangulation. Although solutions for some of these issues are currently under development, R-LESS is still very much in its infancy.
Novel training methods for robotic surgery p. 333
Andrew J Sun, Monish Aron, Andrew J Hung
Objectives: The objectives of this review are to summarize the current training modalities and assessment tools used in urological robotic surgery and to propose principles to guide the formation of a comprehensive robotics curriculum. Materials and Methods: The PUBMED database was systematically searched for relevant articles and their citations utilized to broaden our search. These articles were reviewed and summarized with a focus on novel developments. Results: A multitude of training modalities including didactic, dry lab, wet lab, and virtual reality have been developed. The use of these modalities can be divided into basic skills-based exercises and more advanced procedure-based exercises. Clinical training has largely followed traditional methods of surgical teaching with the exception of the unique development of tele-mentoring for the da Vinci interface. Tools to assess both real-life and simulator performance have been developed, including adaptions from Fundamentals of Laparoscopic Surgery and Objective Structured Assessment of Technical Skill, and novel tools such as Global Evaluative Assessment of Robotic Skills. Conclusions: The use of these different entities to create a standardized curriculum for robotic surgery remains elusive. Selection of training modalities and assessment tools should be based upon performance data-based validity and practical feasibility. Comparative assessment of different modalities (cross-modality validity) can help strengthen the development of common skill sets. Constant data collection must occur to guide continuing curriculum improvement.
Aldosterone and cortisol co-secreting bifunctional adrenal cortical carcinoma: A rare event p. 339
Puskar Shyam Chowdhury, Prasant Nayak, Srinivasan Gurumurthy, Deepak David
Adrenocortical carcinoma (ACC) co-secreting aldosterone and cortisol is extremely rare. We report the case of a 37-yearold female who presented with paresis and facial puffiness. Evaluation revealed hypertension, hyperglycemia, severe hypokalemia and hyperaldosteronemia with elevated plasma aldosterone to renin ratio (ARR). Urinary free cortisol estimation showed elevated levels. Computed tomography scan revealed a right adrenal mass. Radical adrenalectomy specimen revealed ACC (T3N1). Post-operatively, the patient became normotensive and euglycemic with normalization of urinary cortisol and ARR. This case highlights the need for a complete evaluation in patients of hyperaldosteronism if overlapping symptoms of hypercortisolism are encountered, to avoid post-operative adrenal crisis.
Adrenocortical carcinoma in pregnancy: A diagnostic dilemma p. 342
Ankush Jairath, Baldev S Aulakh
Adrenocortical carcinoma is a rare disease. Additionally, in the case of coexisting pregnancy, there are diagnostic difficulties due to associated physiological hormonal changes as well as imaging limitations. Cushing's syndrome and virilization during pregnancy is a rare entity with few cases reported in the literature. Misdiagnosis is common as the syndrome may be easily confused with preeclampsia or gestational diabetes. We present the case of a 31-year-old pregnant woman with rapidly developing symptoms related to hormonally active adrenocortical cancer.
Penile hair tourniquet resulting in hypospadias failure p. 345
Lisieux E Jesus, Jailma J Bragança, Julia M Rocha, Samuel Dekermacher, Kleber M Anderson
Penile hair tourniquet (PHT) is a painless form of penile ischemia, typically seen in toddlers with long-haired mothers, caused by entanglement of hair on the balano-prepucial sulcus, normally associated with circumcision. Its association with hypospadias has been reported only once. A school-aged boy admitted for surgery to treat hypospadias failure was incidentally detected to have PHT and severe hourglass deformity of the penis. Urethral anastomosis and glanuloplasty were done after removal of the constricting ring, without complications. Normal erections were reported during follow up. Treatment may involve urethral reconstruction and penile reimplantation in extreme cases.
Venous air embolism: A complication during percutaneous nephrolithotomy p. 348
Geeta P Parikh, Sumedha R Sonde, Prachi Kadam
Venous air embolism during percutaneous nephrolithotomy (PCNL) following air pyelogram or saline irrigation has been occasionally reported. We present a case of suspected venous air embolism during air pyelogram in a patient undergoing PCNL. The clinical diagnosis of air embolism was made by fall in end tidal carbon dioxide, blood pressure and Oxygen saturation and was conservatively managed. Early diagnosis with rapid resuscitation is the key to management of a patient with air embolism.
Treatment of interstitial cystitis/painful bladder syndrome as a neuropathic pain condition p. 350
Lakshmi Vas, Manorama Pattanik, Vaishali Titarmore
A lady of 52 years with painful bladder syndrome/interstitial cystitis (PBS/IC) presented with chronic pelvic pain, irritative voiding with sphincter dominance on urodynamics. 3 yrs of oral analgesics, antispasmodics and intravesical therapy was ineffective. We surmised her pain, and irritative voiding to be secondary to constant straining against a dysfunctional pelvic floor. We treated PBS/IC as a neuropathic phenomenon with a combination of neuromodulator medications and continuous caudal epidural analgesia to reduce the pain induced peripheral and central sensitisation. Botulinum toxin type A injection into pelvic floor muscles appeared to address their dysfuction. Clinical and urodynamics response was encouraging.
Xanthogranulomatous pyelonephritis masquerading as a tumor in an infant p. 354
Shirish S. Nandedkar, Kamal Malukani, Pramod Sakhi
Xanthogranulomatous pyelonephritis (XGP) is an uncommon form of chronic pyelonephritis and a well recognized entity. It is rarely seen in children and neonates. The preoperative diagnosis is difficult and the etiology is still obscure. The condition is mostly diagnosed on nephrectomy specimen. The focal form mimicking neoplastic condition is rare. A case of XGP is reported here in an 8 month old child in which case nephrectomy was done with the clinical diagnosis of malignant renal tumor. Various modalities of preoperative diagnosis of this entity with conservative approach are also discussed.
Renal arteriovenous malformation with inferior vena caval extension mimicking renal cell carcinoma p. 357
Anuj Deep Dangi, Ramani Kumar, Nitin S. Kekre
A young lady presented with complaints of right flank pain and a palpable mass. On contrast-enhanced tomography (CECT), a renal mass with extension into the inferior vena cava (IVC) - suggestive of renal cell carcinoma - was diagnosed and she underwent radical nephrectomy with en bloc excision of the IVC thrombus. Histopathology revealed a benign arteriovenous malformation that had extended into the IVC. Arteriovenous malformation should therefore be kept in the list of differentials for a renal mass with IVC extension.
UROSCAN
Application of a fluoroscopy protocol in percutaneous nephrolithotomy to decrease radiation exposure: A feasible option p. 360
Gautam Ram Choudhary
Post Prostatectomy Incontinence-A Clinical Guide p. 362
Sanjay Sinha
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Obituary p. 363
Mahendra Bhandari


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02.12.2021 16:56 News >> Olympic Champions Warholm, Thompson-Herah Named World Athletes Of Year
Olympic Champions Warholm, Thompson-Herah Named World Athletes Of Year
Elaine Thompson Herah of Jamaica 1st woman to win back to back Olympic sprint doubles in Tokyo 2020.
Olympic champions Elaine Thompson-Herah of Jamaica and Karsten Warholm of Norway have been named World Athletes of the Year, World Athletics announced on Wednesday.
"Thompson-Herah produced one of the finest sprint seasons in history this year, retaining her Olympic 100m and 200m titles in Tokyo and adding a third gold medal in the 4x100m relay," World Athletics said in a statement.
Herah, 29, became the first woman to win back-to-back Olympic sprint doubles when she clinched her 100m and 200m titles with times of 10.54 and 21.53 over 100m and 200m respectively in Tokyo 2020.
"Warholm uncorked one of the most remarkable performances in athletics history when he stormed to gold in the 400m hurdles at the Tokyo Olympic Games," it added.
Having already broken the world record with 46.70 in Oslo in the lead-up to the Games, the 25-year-old Warholm claimed gold in a stunning world record of 45.94. -
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Q: Move wp-content outside root I have moved my wp-content folder up one folder level from where my wp installation is:
define( 'WP_CONTENT_DIR', dirname( __FILE__ ) . '/../wp-content' );
define( 'WP_CONTENT_URL', 'http://' . $_SERVER['HTTP_HOST'] . '/wp-content' );

By doing this, the wp-content folder is now above the root folder which the server has configured. This seems to break all links to the js and css files in the theme...
The purpose of this is to make it easier to control the theme with git and control the wp version with composer. I do not intent to move the wp-content folder outside of the root folder for the web server (I guess that this is what is causing the problems with the js and css files) but I do not want the wp installation in a sub folder so that the url to my site is at www.mysite.com/wp either.
So, how do I solve it so that my wp installation is avaliable at www.mysite.com while wp-content is moved outside of the wp installation folder?

redpajama_set_name: RedPajamaStackExchange


Directory of Orgone related technologies and resources.
http://www.wilhelmreichmuseum.org/ - July 13-16 in Orgonon, Maine, which was the home, laboratory and research center of Reich.
Orgone Products - Orgone is the universal Life force, the basic building block of all organic and inorganic matter on the material planet. Dr. Wilhelm Reich, an Austrian scientist, developed a technology to tap into the Cosmic Orgone Sea. It is claimed that Orgone applied to electrical devices can reduce energy consumption by as high as 30%.
The - with orgone generator.
Zephyr Technology - Originally, the Orgone Accumulators were cumbersome boxlike affairs. Today, the flexible Orgone Energy Blanket is often used.


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Browse all Tax Return Preparation & Filing in San Francisco CA. Discover census data for San Francisco, CA.


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Q: I need a division for this part of website by using react-bootstrap Web Design image
I need a division for this design i tried many times but because the image is out of container and the paragraph under image is within the container i am looking for the easiest way cause i want to make it responsive too the image is in the Web Design image Tag above
import { Component } from "react";
import "../../Assets/Style/Components/Blocks/_CompanyNews.scss";
import Container from "react-bootstrap/Container";
import Col from "react-bootstrap/Col";
import Row from "react-bootstrap/Row";
class CompanyNews extends Component {
  render() {
    return (

          <Container>
            <Row>
              <Col md={5}>

Company news

              </Col>
              <Col md={7}>

Alhadaf celebrates the Labor Day with Employees

                        Alhadaf Int Company is launching new production lines to
                        bring to market Nurse Cap & PE Gloves. We are considered
                        to be one of the top manufacturers of food packaging and
                        disposables for households and the foodservice industry
                        in the region. We pride ourselves on delivering
                        high-quality products at very competitive prices. Our
                        leaders challenge us everyday to go beyond what we have
                        promised our customers, the best quality products and
                        service at competitive prices. This commitment is
                        combined with our passion to ensure that our customers,
                        both local and global, have a seamless journey from
                        start to finish and hence keep coming back to us again
                        and again. With state of the art machinery combined with
                        our in depth production and quality knowledge gained
                        from our over 20 years experience, we ensure that our
                        products are top quality. Throughout the company we
                        focus on continuous improvement, we strive to exceed our
                        customer expectations. We pride ourselves on
                        understanding what our customers require. Al Hadaf
                        renowned production flexibility allows us to meet our
                        customers' requirements. We can customize our products
                        to your requirements. Our portfolio of products contains
                        over 1500 products. Our core products are

              </Col>
            </Row>
          </Container>

    );
  }
}
export default CompanyNews;


"After 15 years traveling the oceans on my charter sailboat and on my large racing multihulls, following a trail of 350 000 miles and several dozen Atlantic crossings, I still like to run in pursuit of the far horizon curves continuing fleeing constantly behind the waves. Atlantic, Mediterranean, Caribbean, Pacific, Indian are all maritime areas that I have haunted and that always attract me with the same force! "
Since 1978 Guy Delage imagined and built extraordinary sailboats, fast and resourceful, with which he traveled the world.
You will find here the description of each of sailboats that Guy Delage was the inspiration and who made him vibrate. Everyone of them was at one point, the projection of his oceanic experience.
The construction of this fast and light yole is in progress. A drawing that recalls the Bantry yoles and which should allow to line up miles in coastal sailing.
GD has been in charge of the survey of design and construction of a large catamaran that is both very fast and luxurious, which is the synthesis of what is best done in the field of shipbuilding one off without entering the Aeronautical budgets! The news section will be fed soon with the characteristics of this sailboat still "secret"
Dagda was a magnificent monohull designed to sail all the seas of the globe. Built in strip planking, lightweight and therefore just unsinkable, it has scoured the Caribbean and Polynesia, utilizing the performance of its sails and renewable energies. As he was preparing to descend to Patagonia and Antarctica, he struck an OFNI at night in the South Pacific. Guy and Larysa were not able to rescue him and they abandoned the quasi-flowing wreck. The remoteness of the shipwreck did not make it possible to find him to try to bail him out. Perhaps it still derives almost entirely submerged (as it was seen by a freighter a month later) because its construction was remarkable.
It is always difficult to recover from such a "blow"!
"Itzamma is a cruising catamaran built on plans of naval architect Erik Lerouge. This fast and comfortable sailboat has sailed the Caribbean for several years before being sold in 2006.
The proa "Montpellier Languedoc Roussillon" built in 1985 using composite construction techniques and advanced revolutionary rig which was used since 2010 year by catamaran of the America Cup.
In 1982, the proa "Rosieres is built using all modern technologies. Many difficulties settings and several errors of Ollier, the designer, resulted in failure.
The proa "Atlantic" Funambule was the first composite building "Amator" done by Guy Delage.
The monocoque Salamander 12 meters long, built in 1978 in yards Pouvreau.
1977. The Rêve of Antilles "Ras le Bol"
The first boat of Guy Delage's own. It will refit and re-equip it while sailing between the Mediterranean and the West Indies.
Skipper several seasons on this sistership of the famous boat of Bernard Moitessier, it is the deficiencies of this sailboat too heavy and without stability who will direct the steps of Guy Delage in the search for good and comfortable sailboats!
Dagda, a 60-foot ecological monocoque, combines performance and comfort. Very pleasant to the sea, its equipment in the field of renewable energy recovery made it an autonomous sailboat over very long periods without being forced to take away large quantities of fossil energy!
- Only releases: human effluents.
- Renewable electric energy: 1 kW of solar panels, two wind turbines and above all the electric motors in "reverse" produce the energy when sailing.
During the 70,000 miles he has traveled, several times it will reach 18 knots under conditions of sustained wind. Its best performance over 24 hours was 327 miles.
2002 : THE CATAMARAN "Itzamma"
Itzamma, a fast and comfortable cruising catamaran, will allow Guy Delage to visit the most beautiful places of the Caribbean.
This superb catamaran has been completed and launched in February 2002. Carbon was widely used. The rotating mast is maintained by a all textile rigging. Itzamma is a particularly fast and robust catamaran! Its best performance over 24 hours has been with Guy delage of 386 miles.
1985 : THE PROA "Montpellier-Languedoc-Roussillon"
The proa «Montpellier Languedoc Roussillon" used advanced composite construction techniques (not common for the era) and a revolutionary rig that has been taken over for the present America's Cup catamaran !
Sandwich construction Vinylester - Airex or methacrylate foam (Roycell) - glass.
Montpellier Languedoc Roussillon is the first ocean sailboat whose rigging was replaced by a real wing equipped with high lift devices. Its performance was astounding and its ease of use extraordinary. The project was stopped by the Mayor of Montpellier following the change of majority of the Regional Council and a dismasting consequent to the breakage of a defective part.
The sailboat was discreetly destroyed by the Montpellier Major four years later for electoral reasons.
- Automatic ballasting (dynamic water pressure).
1982 : THE PACIFIC PROA "Rosières"
Rosieres proa was the first mordern racing "pacific" proa.
Construction of Airex foam sandwich, glass, polyester and high-strength aluminum arms glued and riveted.
Rosieres, sailboat born evil: the initial structure calculations of the architect Gilles Ollier proved false. The project took as long overdue, requiring a lot of modifications on Ollier previous drawings. The sailboat, because of an autopilot failure and risk-taking following the failure, fold himself back 18 minutes after the start of the Route du Rhum 82. Insurance, anxious to recover the wreckage as quickly as possible, unfortunately destroyed it during the towing.
1980 : THE ATLANTIC PROA "Funambule"
The proa "Atlantic" Funambule was the first composite building by Guy Delage. He sailed until 1991 before to be let like a pontoon in Senegal by the second hand owner !
Funambule was a very typical boat suffering from major shortcomings upwind. Its polar favored the crosswinds trips. Like all proas he demanded extreme vigilance in ocean crossing trips, but it was a fantastic boat with high RM and so high speed potential. Best 24 h day in 1982 was 450 nautical milles !
it is he who gave Guy the immoderate taste for these amazing boats!
- Brest Speed Week: World Open Speed Champion (the record will last 5 years!).
Smallest boat having broken the record of the schooner Atlantic (14m at the waterline) in a little more than 10 days!
1978 : THE MONOHULL "Salamandre"
"Salamandre", an aluminum monohull of 12 meters that prefigures the generations of modern yachts with very wide rear. She was built at the Pouvreau shipyard in Vix french Vendée). Guy Delage took part in the first « Route du rhum » and finished second in his category and 9 th in the scratch in front of much larger sailing ships! Guy Delage and Dany Delage will then use it in charter in the West Indies.
- Route du Rhum 1978: 2nd in category less than 12 meters.
1977: THE MONOHULL "Ras le Bol"
The first boat of Guy Delage's own. It refitted and re-equiped and sailed sevral times between the Mediterranean and West Indies waters.


text:
The way ahead – Case Study 2021
Bloomberg Media Studios
In 2020, Bloomberg and Wells Fargo developed The Way Ahead, stories designed for entrepreneurs faced with a global pandemic, driven to invent their way to survival. It featured six Wells Fargo customers across a range of industries – from Zoom, a global technology company, to The Cheesecake Factory, a national restaurant chain, to Hong Lan, a family business built on connecting Vietnamese expats to their homeland. Each posed the question: "How do we navigate our way to recovery?" Wells Fargo played a central role in the success of how each of these customers responded to the Covid-19 crisis and accelerated a transformation that strengthened their resilience and their business.
Specifically, The Way Ahead campaign sought to:
Significantly increase familiarity of Wells Fargo banking services among business decision-makers, investors and entrepreneurs
Enhance opinions about the bank and its ability to meaningfully partner with its customers.
Inspire business leaders to take action to learn more about the bank's services.
Bloomberg Media was able to help Wells Fargo strengthen the image of its commercial division by identifying and telling some of the most compelling and uplifting stories of business pivots during the pandemic. Bloomberg partnered closely with Wells Fargo clients and leveraged insights about the bank's C-Suite audience who were searching for solutions and innovation during a time of extreme duress and loss for both humanity and business. In doing so, Bloomberg was able to position Wells Fargos as a partner that aided in urgent and necessary transformation for business across a range of industries on every Bloomberg platform.
The campaign faced a number of obstacles to overcome, particularly given the unprecedented pandemic environment. The initial challenge was finding the best stories in an organization with more than 10,000 corporate bankers. Bloomberg Media conducted more than 50 interviews with Wells Fargo bankers to locate the stories that would have the most impact and best showcase the power of partnerships in the most challenging time. Second, these stories were appearing in the eye of the pandemic. Striking the right tone was critical. They needed to reflect the changing news cycle. Bloomberg featured both companies that had to rethink their business models in the pandemic, and those who experienced new levels of success because of it. Despite the challenges, with the help of Bloomberg, Wells Fargo helped show their customers The Way Ahead.
For each customer interview, stories were told through videos which appeared on Bloomberg Television, Bloomberg.com and LinkedIn, radio ads on Bloomberg Radio, print advertisements in Bloomberg Businessweek and ads within Bloomberg podcasts. Wells Fargo also sponsored the David Rubenstein Show on Bloomberg Television, in which the well-known private equity investor interviews leaders of American business, including Netflix founder Reed Hastings, Walt Disney Executive Chairman Bob Iger and Whole Foods CEO John Mackey.
Videos in the The Way Ahead campaign were viewed in their entirety more than 3 million times — 122% more views than in 2019, with no additional media spend.
According to a survey of C-suite decision makers who saw the campaign, more than 90% said it:
Gave them a good feeling about Wells Fargo.
Reinforced the idea that Wells Fargo is a good business partner.
Was relevant to them.
Was different from other ads they've seen for similar companies.
Increased their interest in Wells Fargo's Wholesale Banking services.
Buzz about Wells Fargo — measured by the number of C-level decision makers who noticed others often talking about Wells Fargo — jumped from 66% to 89% after they saw the campaign.
Tags 2021, 2021 finalist, Bloomberg Media Studios, Financial Services, The way ahead, Wells Fargo, World Media Awards


text:
Tim Cook Says $1,000 For iPhone X Is Cheap For The Technology Offered
Gautam Manhas
iPhone X was the first smartphone from Apple that features a bezel-less design. The Apple boss has defended the price level of the iPhone X, the most expensive smartphone in the history of Apple's iPhone lineup.
If we think about a cheap or affordable smartphone, without any doubt, Android will be your first choice. If we talk about iPhone, Apple makes high-quality devices, but they are heavily priced.
Previously, we have seen many reports which underline just how cheap the parts are in comparison with the finished product. Well, Apple has just unveiled the iPhone X, which is something extraordinary.
The phone features a unique design and new technology that makes it so perfect. iPhone X was the first smartphone from Apple that features a bezel-less design.
Well, the iPhone X is also the first iPhone to ever break the $1,000 threshold. The smartphone will be available in two variants 64GB model that will cost $999 and the 256GB model that will cost $1,149.
The Apple boss has defended the price level of the iPhone X, the most expensive smartphone in the history of Apple's iPhone lineup. In an interview with Good Morning America on Tuesday, Tim Cook explained that what the users will pay for the iPhone X is a price corresponding to the value of the product.
Tim Cook Said "When you look at it, the iPhone has become so essential in our daily lives, people wanted to do more and more with it. So we built more technology into it to be able to do that. Apple is not about selling the most of anything. Our objective is not big revenues, but to make the best product that enriches people's lives"
The iPhone X will start shipping on November 3 and the pre-orders starts from October 27. So, what do you think about this? Share your views in the comment box below.


ChemIDplus - 112997-66-7 - UOOFZXVHSVBNBQ-UHFFFAOYSA-N - Butanoic acid, 4-((4-(aminosulfonyl)phenyl)amino)-4-oxo-, compd. with 2-(dimethylamino)ethanol (1:1) - Similar structures search, synonyms, formulas, resource links, and other chemical information.
rat LD50 intraperitoneal 395mg/kg (395mg/kg) Farmatsevtichnii Zhurnal Vol. (5), Pg. 39, 1987.


text:
The Music Box Record Exchange
Music Box ad, Nexus 1993
The Music Box first opened in the Wesley Chambers building on Victoria St, in a premises that was soon taken over by Metropolis Caffe. It then moved to "The Marketplace", an area at the south end of Victoria St where "the Outback"/The Factory now stands. It later moved to 113 Alexandra Street, near the corner of Collingwood St.
The Music Box sold second-hand vinyl, tapes and CDs. Original owner Mike Caves onsold the business to Carl Jansen, who then sold to John Nichols. The store had a reputation under Nichols as being a bit miserly; nearly every record in the store was inevitably labelled as a "rarity" and as being in "excellent condition". The Music Box was the last of Hamilton's old school record exchanges to close (see Victoria Street Record Exchange and Hamilton Record Exchange), but it was also much younger. It was relocated to Hastings in the early 2000s by then owner John Nichols.
Retrieved from "http://www.expdev.net/htownwiki/index.php?title=The_Music_Box_Record_Exchange&oldid=28099"


So, some of us want volume, some want length, some want both! And how can we achieve this goal of ours? By using clip in hair extensions from BHF Hair.
Hair extensions are very popular at the moment and all those famous celebrities have them! So that's why their hair is looking always perfect. A very important thing to know about hair extensions is that they can be made out of natural hair or artificial hair. The ones made from artificial hair are, of course, cheaper, but also not very resistant in time. Those made from natural human hair are a little bit more expensive, but also they last longer, look very natural and you can style them as you like. Also, online you can find hair extensions clip in human hair at BHF Hair here: https://is.gd/lomY1d (Clip In Hair 14"-#2-70g).
An important advice for all of you is to buy extensions from natural hair and invest in them and to go to a salon to put them on and get them off, because you want a professional to take care of your hair and not yourself at home risking to have a bad result. And when you are making your choice, you should always have in mind that natural remy clip in hair extensions from BHF Hair can be dyed, just like your own hair! So be wise in your decision!


text:
Minho Picks SHINee's Most Representative Music, Explains Why He Finally Joined Instagram, And More
Resident Evil Village Multiplayer RE: VERSE Officially Announced
Why Joe Biden Is The Most Soccer-Loving President In American History
Film Independent Spirit Awards Date Moves to April 22
Brody Dalle, Josh Homme List Their Los Angeles House
Rock 'n' roll marriages hardly ever run easily. Fixed touring, booze and fragile egos usually flip marital fault strains into gaping crevasses. A scorched earth separation normally ends in a jettisoning of belongings. Working example: Aussie punk singer Brody Dalle and rocker Josh Homme, who've simply listed their fashionable Mediterranean-style Hollywood Hills abode after submitting for a separation final yr amid a flurry of scathing accusations and restraining orders. Having purchased the property in 2012 for $2.5 million, not less than they'll have the ability to console themselves with the heady revenue they'll earn if the house sells close to its $4.75 million asking value.
Dalle has been in a number of bands since she moved to L.A. at 18 and shaped the group the Distillers. After spending a number of years with the band, she launched her debut solo album in 2014. Homme, then again, is greatest referred to as the founder, main songwriter and solely steady member of the band Queens of the Stone Age, wherein Dalle has sometimes featured.
The ex-couple's 4,554-square-foot, four-bedroom and 5.5-bath former homestead, which they shared with their three kids, was initially in-built 1964. Its unremarkable taupe stucco exterior is offset by the property's putting views of the encompassing hills and vista past. Upon coming into the residence on the decrease degree, stone-tiled flooring stretches from the entrance door to a financial institution of floor-to-ceiling home windows, whereas a cool cheetah print-carpeted spiral staircase results in the second degree. Positioned behind that is the eating room, which has fetching hardwood flooring, casement home windows and a vaulted ceiling with uncovered rafters. However, after all, this being the house of rock-and-rollers, there's additionally a spot to get together outdoors — the home additionally has separate out of doors bar space and patio for al fresco ingesting and eating below a pergola with café lights and in-built gasoline heaters.
The trendy kitchen adjoins the eating room and has white quartz counter tops, Shaker-style cabinetry and high-end chrome steel home equipment. The room is given a daring splash of shade with a tangerine, hexagon-tiled backsplash and tanned built-in bench seating. A compact laundry room homes one other stainless-steel fridge, plus a big farmhouse sink and olive coloured cupboards.
The formal lounge is unconventionally situated one degree up, atop the grand staircase, and has fairly a unique aesthetic from the extra informal lounge on the decrease flooring. Darkish wood flooring, a contemporary angular stone fire and a vaulted and beamed ceiling give the room a trendy, upscale really feel, whereas French doorways that open to quite a few balconies luxuriously sport remote-controlled drapes.
A house workplace with its personal balcony might simply double up as a bed room alongside, whereas a number of the further visitor bedrooms are juiced-up with a cool mixture of in-your-face wallpapering paired with cheetah print and geometric-patterned carpeting. With dark-stained wood flooring and a easy however muscular beige marble fire, the main bedroom, nonetheless, is way more sedate affair. One of many a number of units of French doorways within the room result in a roomy lined patio and, along with a few fitted walk-in closets, the lavatory's partitions are sheathed in striated beige marble.
The property's yard might not be very massive, however manages to comfortably accommodate a few lined patios, a grassy space with gorgeous view of the environment hills, and a five-sided swimming pool with an inset spa.
The erstwhile couple additionally maintained a house within the upscale resort neighborhood of Palm Desert, Calif., that was just lately bought for $976,000, a bit below the $990,000 they paid for the property a bit greater than eleven years earlier.
The Hollywood Hills property is listed with Brian Pleasure and Nancy Sanborn of Berkshire Hathaway HomeServices.
Gene Simmons Lists His Los Angeles House
TWICE's "TT" Becomes Their 1st MV To Reach 550 Million Views


Tribus Zabulon, Isachar, et, Dimidia Manasse altera, hoc est, illae Tarrae Sanctae regiones, quas iste tribus in distribuendo possidendas acceperunt.
This is a beautiful and rare 1590 example of Christian van Adrichem's map of the lands granted to the Tribes of Zabulon or Zebulun, Issachar or Isachar and the western half of the tribe of Manasseh at the time of Joshua's division of the Twelve Tribes. The map is oriented to the east and covers from the Sea of Galilee westward to the Mediterranean. Numerous Biblical illustrations include a dramatic scene where Jonas is being cast from a sailing ship into the open maw of the awaiting whale. This map, among the most attractive of the series, shows the Sea of Galilee in full with several scenes from the life of Jesus, including the walking on water episode, Jesus preaching from a boat, and others.
This map is the fourth of ten maps of the Holy Land prepared by Christian van Adrichem for publication in his Theatrum Terrae Sanctae. Adrichem's maps for the Theatrum were prepared between 1580 and 1585, but were published posthumously by his associate, Gerardis Brunius of Koln, in 1590. The publication went through several later editions and served as a basis for most subsequent maps of the Holy Land well into the 18th century.
Very good. Minor wear along original centerfold. Narrow bottom margin. Few dampstains near top margin. Minor printing crease, lower right and upper left quadrants.
Laor, E., Maps of the Holy Land: Cartobibliography of Printed Maps, 1475 - 1900, #12.


One key paragraph — critical to framing the piece so it was not a declaration of fact but an assertion of what might happen if worst came to worst — became a battlefield with her for days; and all I can say is, I lost. I guess I could have quit. Maybe I should have. I decided I would run the piece but follow it with as much dissent and criticism as possible. I did discover that she was completely resistant to rational give-and-take. It was her way or the highway.
He lost? He was the magazine's editor. So who forced him to run the piece? Andrew says he doesn't think it's professional to "air the specifics of internal battles after the fact," but you can hardly go this far without doing exactly that. He's basically implying pretty strongly that he didn't want to run the piece but had to anyway, and had to run it precisely to McCaughey's specifications. That's pretty extraordinary. Having said that much, surely he owes us the rest of the story?


text:
About SRU - Mission - Executive Board - - Past Presidents - Committees - - List of Committees - - Ultrasound Directors - The SRU Foundation - Awards - SRU Newsletter - Early Career Interest Group Membership - Join Now! - - Membership Categories - Renew your Membership - SRU Fellow Membership Requirements - Junior Radiologists in Ultrasound Group - Members in the News - Career Center SRUF - SRU Early Career Seed Grant - 2022 Grant Winners Events - 2023 Annual Meeting - Future Meeting - Past Meetings - - 2022 Annual Meeting - - 2021 Annual Meeting - - 2020 Annual Meeting - - 2019 Annual Meeting - - 2018 Annual Meeting - - 2017 Annual Meeting Education Content - 2022 Case of the Day - 2021 Top 10 Lectures - Ultrasound Clinical Cases - Ultrasound Quarterly - US Consensus Statements - Patient Resources - ACR Reporting And Data Systems (RADS) - SRU Annual Meeting Lectures - - 2017 Barry Goldberg Lectures - To Claim CME
About SRU
List of Committees
Ultrasound Directors
The SRU Foundation
SRU Newsletter
Early Career Interest Group
SRU Fellow Membership Requirements
Junior Radiologists in Ultrasound Group
SRUF
SRU Early Career Seed Grant
2022 Grant Winners
Future Meeting
2022 Case of the Day
2021 Top 10 Lectures
Ultrasound Clinical Cases
Ultrasound Quarterly
US Consensus Statements
ACR Reporting And Data Systems (RADS)
SRU Annual Meeting Lectures
2017 Barry Goldberg Lectures
To Claim CME
Mary C. Frates, MD, FSRU
Mary C. Frates, MD, FSRU is Division Chief of Ultrasound, Co-director of High Risk Obstetric Ultrasound, and Vice Chair for Academic Advancement in the Department of Radiology at Brigham and Women's Hospital, and Professor of Radiology at Harvard Medical School, both in Boston, MA. She graduated from the Warren Alpert School of Medicine at Brown University and completed her residency at Tufts and her Body Imaging fellowship at Brigham and Women's hospital. She is a subspecialist with a full-time practice in Ultrasound with particular interest in the imaging of high risk obstetrics, ectopic pregnancy, thyroid disease and abdominal vascular studies.
Nirvikar Dahiya, MD, FSRU
Nirvikar (Nirvi) Dahiya, MD, FSRU, FAIUM is a Professor of Radiology at Mayo Clinic Arizona, Chair of Ultrasound Division. Prior to joining Mayo Clinic in 2013, Dr. Dahiya was an Assistant Professor of Radiology at Mallinckrodt Institute of Radiology (MIR), St. Louis, MO where he was also the Director of Ultrasound. He is currently the Chair of the ACR Committee on Practice Parameters – Ultrasound. He is an active member of the Economics Committee - Ultrasound, Parameters and Standards Committee, and Ultrasound Accreditation Committee of the ACR. In collaboration with LI-RADS Steering Committee of ACR, Dr. Dahiya is part of the Ultrasound LI-RADS workgroup. Dr. Dahiya has consistently maintained volunteer roles at the American Board of Radiology, initially as the exam writer for the certifying exam and currently as the Chair of the Online Longitudinal Assessment (OLA) Ultrasound Committee as Part of the ABR's Maintenance of Certification (MOC) process. Prior to serving on the Board of the SRU, he was the Chair of the SRU Program Committee. He has received 2 Teacher of the Year awards at Mayo Clinic and has also received the Honored Educator Award from the RSNA. He is a frequent lecturer at the SRU, RSNA, AIUM and ARRS as well as multiple international CME courses. In his subspeciality ultrasound practice, he has focused on musculoskeletal ultrasound, contrast enhanced ultrasound and vascular imaging.
Mark E. Lockhart, MD, MPH
Mark Lockhart, MD, MPH, FSRU graduated from the University of Mississippi with a B.A. in Chemistry in 1991, moved to Emory University for medical school, then completed his diagnostic radiology residency and abdominal imaging fellowship at the University of Alabama at Birmingham. He obtained a MPH in outcomes research to improve his research skills in 2002. As a member of the abdominal imaging faculty, he developed research interests in ultrasound and MRI. He has served in many different roles within the department of radiology, including chief of the abdominal imaging section from 2012-2021, current chief of GU Imaging, and current chair of the departmental promotions committee. Within the University of Alabama at Birmingham, Dr. Lockhart has been an active member of the UAB faculty senate, and served as Chair of the Faculty in 2009-2010. Nationally, he has been a proctor of the national radiology boards, a member of the ABR ultrasound certifying committee, member of the ACR Commission on Ultrasound, and currently serves as Chair of the ACR Appropriateness Committee. In his clinical service and research, he has focused on vascular ultrasound, contrast-enhanced ultrasound, genitourinary and pelvic imaging.
Helena Gabriel MD, FACR, FSRU
Helena Gabriel MD, FACR, FSRU, is a Professor of Radiology at Northwestern University and serves as medical director of the Division of Ultrasound, and long-time founding medical director for the School of Ultrasound at Northwestern Medicine. Dr. Gabriel graduated from the Honors Program in Medical Education at Northwestern University and completed her radiology residency at Northwestern followed by a fellowship at the University of Michigan in body and breast imaging. Returning to Northwestern, she has served numerous roles in the department over the years with a concentration in ultrasound, women's imaging, and MRI. She has been the recipient of departmental teaching awards and has been active in numerous hospital and university committees. Nationally, she has been an oral board examiner for several years and has been active with the ACR Ultrasound Practice Parameters and Technical Standards Committee, now serving as Vice-Chairman. Dr. Gabriel also serves on the LI-RADS HCC surveillance committee, LIRADS reporting working group, LI-RADS congestive hepatopathy working group, and the US panel for Radiographics. She has been active with the SRU, serving on the program committee, chairing "case of the day", lecturing frequently at annual meetings, and contributing as an associate editor for Ultrasound Quarterly.
Aya Kamaya, MD, FSRU
Stanford, CA
Aya Kamaya, MD, FSRU, FSAR is Professor of Radiology at Stanford University, Director of Ultrasound, and Division Chief of Body Imaging. She has authored 4 major textbooks on the topic of ultrasound, is NIH grant funded, and is active in clinical research in a variety of ultrasound, liver, gynecologic, and other abdominal imaging topics as well as translational ultrasound related research with active collaborations with basic scientists at Stanford.
In 2021, Dr Kamaya led the SRU Consensus Committee on the topic of Incidental Gallbladder Polyps. Dr Kamaya is co-chair of the ACR Ultrasound LI-RADS working group and member of the ACR LI-RADS steering committee. Prior to serving on the Board of the SRU, she was the Chair of the SRU Social Media Committee where she started the "What is your sound diagnosis?" weekly case presentation on Facebook and Twitter. She also started the "Gettable Case of the Week" for the Society of Abdominal Radiology and was the sole content creator for both societies for over 2 years. She is the lead author of the Ultrasound section of RADPrimer, a popular online educational learning tool utilized by all radiology residents and fellows in the United States and Canada. She has received 2 Teacher of the Year awards at Stanford and has received the Honored Educator Award from the RSNA. She is a frequent lecturer at the SRU, SAR, RSNA, and ARRS as well as several CME courses.
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Disquiet in Lagos transport unions over alleged O'pay dues
•We pay N700, get N100 receipt –Riders •Task Force spits fire, NURTW keeps mum
•We didn't demand bribe –Police
By Bola Badmus and Segun Kasali On Dec 7, 2019
BOLA BADMUS and SEGUN KASALI dug into the alleged sharp practices characterising union activities in Lagos.
THERE is a general feeling of uneasiness within the transport unions in Lagos State as a result of alleged sharp practices going on there.
The two dominant unions in the state – a situation also replicated at the national level – are the National Union of Road Transport Workers (NURTW) and the Road Transport Employers' Association of Nigeria (RTEAN).
There have always been allegations that internally generated revenue (IGR) that should have legitimately gone into public coffers, held in trust by the state government, gets diverted into private pockets of the unions' fat cats.
The unions, at state and national levels, particularly the NURTW, have always been known to run an opaque financial system with the members always complaining of not being in the picture of how their daily contributions and dues are spent. NURTW, however, has made some attempts at accountability with the national body taking over the management of the secretariat of each state branch by sending an executive secretary to each chapter directly from Abuja.
The executive secretaries have a four-year tenure and they are generally seen as career officers who are not necessarily members of the union at the state level. The new secretary seconded to the Lagos branch is Mr Seyi Bankole.
The raging issue is about the treatment being meted out to the new entrant into the unions, the registered motorcyclists operating on the O'pay platform. Unlike the regular okada, the O'pay riders are seen as executive and exclusive, and a replacement for the regular riders who were barred from the metropolis and business districts of the state for allegedly constituting nuisance to its transport sector.
While the vehicle drivers, regular okada and tricycle operators known as Marwa had largely grumbled in near silence over the alleged extortion in the payment of their daily union dues, the O'pay riders are not keeping quiet and their audible protest has also reached their management.
With thousands of O'pay riders operating in the state, there is an assumption that some people somewhere within the unions are milking the system by forcing the operators, through the popular urchins known as agbero, to pay an extra 400 per cent on the N100 boldly written on their daily ticket.
A receipt sighted by Saturday Tribune showed that the O'pay riders have been grouped under an umbrella known as Nnamoral Motorcycles Owners & Riders Association, described as an affiliate of RTEAN with state headquarters located in the Igando area. Also boldly written on what was dubbed "Official Daily Revenue Receipt" is N100 with the receipt displaying a day's validity.
While RTEAN is more pronounced in Ojuelegba, LASU, Iyana-Oba, Igando axis of the state, NURTW holds sway on the Island and Mainland of the state. The territory demarcation has seen the O'pay riders having to pay to either of the two unions, depending on their areas of operation within the state.
The online okada riders are now pointing fingers at the leadership of the two unions which allegedly used agbero to extort them by forcing them to pay between N300 and N500 for N100 ticket.
In a viral allegation on the social media, it was alleged that despite the agreement between O'pay and the Lagos State government to operate the business, the leadership of the NURTW in the state has allegedly taken over a fresh negotiation with the company forcing it into a new agreement as an affiliate body, alongside alleged underhand dealings. The new union chairman was also alleged to have carved new operational territories for the company, bringing in new restrictions.
We pay N700, get N100 receipt –O'pay riders
An O'pay rider, Seyi Akinyemi, expressed dissatisfaction with the new policy of dues payment which the bike riders have been mandated to make to the NURTW on a daily basis. Akinyemi specifically raised the alarm over the indiscriminate collection of the dues as nothing was fixed and charges simply based on routes being plied. He said the amount written on the ticket is N100 but the unions collect N400, N500 and even at times N700.
"The amount written on the ticket is N100 but the agberos sell ticket for N400, N500 and even at times N700, depending on the bus stop you are. We make this payment on a daily basis. Of course, the management is aware of the payment of the dues as they have recently reached an agreement with the NURTW leadership on payment terms.
Akinyemi stated that he had never been in discord with the unions, saying "when they come near me, I ask them what they want and I show them my ticket on request without any trouble." He expressed his dislike for the payment of the dues, adding that he had no option because the dues must be paid with or without passengers.
"We don't like it at all. How can we be paying N400 every day? But if you want to work, you have no option. On this work, they can give you any order and if you keep rejecting, they won't give you any work and you won't have any money at hand, not to talk of N500 that you must pay," Akinyemi said. He appealed for the cancellation of the ticket, saying; "it will be fantastically good if this is cancelled because it is really ripping us."
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Meanwhile, Akinyemi narrated his horrific experience with the task force, saying they were now the big issue confronting the riders, considering what he called the wanton seizure of their bikes.
"The only one we are having issue with now is this task force. They are the ones holding me now. They said we should not take Alausa route. Meanwhile, what they told us before was that we should not pass Governor's Road and we shouldn't stop in front of Shoprite. And we don't get to stop there. Whenever we want to take passengers, we ask them to come inside a bank and we get on our way. We don't know why they are just picking us up everywhere. This morning [Wednesday], somebody called me and said I should not go to Lekki/VI; that task force was there. "I don't know what is happening but the task force has been disturbing us since last week," Akinyemi said.
Another O'pay rider, Abubakar Hammed, affirmed the flexibility of the dues even as N100 is clearly stated on the ticket. Hammed also mentioned the management's alleged reluctance in addressing their demand, having filed a series of complaints.
He said, "That is how we have been making the payment. In fact, the amount we pay is different. In Surulere, it is N200. So, now tell me, how much would one take home? As you can see now, from Agindingbi that someone is requesting a bike to go to Sogunle, it is just N290. We don talk talk talk to the management but dem no wan do anything. So, na wetin we go do na?"
Hammed's colleague, Seun Oluwatosin, said buying the ticket was extremely inconvenient for him as his least daily income had reduced from the N3,500 it used to be.
"We buy ticket from the NURTW workers every day. It is extremely inconvenient. The ticket payment is a big problem as my income has kept reducing every day ever since the inception of the pact with the NURTW. The management even told us to be buying the ticket. I can't even get one order today because if I pick it, it will be a problem and that is why I am even at the office to solve the problem," Oluwatosin said. He, however, expressed his desire to leave due to the inconveniences being experienced since the inception of the agreement with the NURTW. "Nothing is easy but I would leave O'pay if I see another job," he said.
We will resolve the differences –O'pay
Despite the many questions tabled before the O'pay management by Saturday Tribune, the response from the Senior Director of Operations, O'Ride, Mr Ridwan Olalere, simply confirmed the allegations in a subtle manner. But he gave the assurance that the crisis of confidence between the riders and the unions would be resolved. "There seems to be a misunderstanding between both parties and we are working very hard to resolve it. Ultimately, we want all stakeholders to be happy as we remain committed to producing transportation solutions to Nigerians," Olalere said.
Why we are arresting O'pay riders –Govt
The Lagos State government, through the Task Force, has also reacted to the raging controversy. The chairman of the agency, CSP Olayinka Egbeyemi, was all rage dissecting the issue to Saturday Tribune.
"We are not just arresting anyhow. At Olowopopo, on the way to the African Shrine and very close to Otedola Bridge, on a daily basis, you see between 300 and 400 of their motorbikes. They would block the road. All the flowers and gardens that were there, they have destroyed them and littered everywhere. For heaven's sake, we are not saying you should not do business here in our country but can we do this thing in your country? We have warned them: how can you be doing this without having a park and you now block the whole road? Is it that Nigeria has turned to rubbish like this?
"I have gone there, myself and the DPO Alausa. 'The CP told me to tell you, don't put these things here again or tell us when you will relocate'. Their Oyinbo man (white man) told me they would move at the convenient time. So, our people must continue to face gridlock in Lagos State?
"If you are coming to Otedola from Lagos-Ibadan Expressway, people who want to navigate must be locked in the traffic on the road. Because you are doing a private business, our own people must suffer. Of course, the CP told me to go and evacuate everywhere and now they have realised their mistakes. In fact, just a few minutes before your call came in, we released their 200 bikes.
"Together, we met with the CP yesterday and they said they had just got their park. They left my office not quite long ago. That is just what is happening. It is not a clampdown. If we want to clamp down on these people, you will not see them on the road again. They are easier to arrest than all these local okada. They said they got their park not far from that Alausa, a very big yard. I think the CP has sent people there. I think the DPO Alausa has testified that they had got that place. We will now monitor them and if anybody is caught again, we will take action because we want sanity in our state," Egbeyemi said.
NURTW keeps mum
When Saturday Tribune called Mr Bankole's mobile line as the head of the Lagos NURTW secretariat, a lady who picked the call claimed he was attending a meeting of the state executive council. She requested that a message be dropped for him. When told of the allegations against the union leadership, she became a little agitated and promised that the state scribe would return the call. When Saturday Tribune didn't hear anything from the union's end, several other calls were made to Mr Bankole's line which connected but were not answered.
We didn't ask O'pay for bribe –Police
The image maker of the state police command, Bala Elkana, denied that the police in the state wrote to any company demanding for bribe. He described the allegation as "unthinkable". He also said that the renewed onslaught on "lawless" commercial motorcyclists was not targeted at any company or any particular group of people. Elkana said the police had impounded about 30,000 motorcycles in their bid to restore sanity to Lagos roads.
"I don't believe that that write-up is from O'pay. There is no way the police would write a letter to a company demanding for bribe. That is unthinkable. The operation ongoing now is against motorcyclists who break the law; those who flout the traffic laws; those who ply the restricted routes," the police spokesman said.
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For the third time, in less than a month, the GGYC website has commented on some interview with an Alinghi team member under the heading "Myth and Reality"; implying that what Alinghi says is "Myth" and what BMW Oracle says is "Reality".
In the second article, on Myth versus Reality, BYM News looks at another aspect of the latest GGYC comments on an interview Ernesto Bertarelli gave to French newspaper, Le Figaro; "the rules they've proposed would give them an insurmountable advantage".
We're strongly in favour of reducing costs, especially in these uncertain economic times, but the rules proposed by Alinghi are not about cutting costs or making it more economical for teams to compete for the America's Cup. The rules they've proposed would give them an insurmountable advantage. That's why seven major AC competitors called the rules the "worst ever". They are unfair and anti-competitive.
"After the success of the Desafío Español ("Spanish Challenge") in this year's 32nd America's Cup, Iberdrola will sponsor it again in the next race, regarded as the most prestigious sailing event in the world."
"Despite the uncertainties around the event, we strongly believe in the path developed by ACM and the Defender, Alinghi. We intend to join the battle on the water, the only place the battle should be."
"The new class rules will help significantly the small team. We at Shosholoza are all very excited and our design team is pushing me to not accept any compromise, to defend the new class rules and to not be worried because there is plenty time to conceive, design, build and test the new boat. The two boat testing prohibition will help the small teams and reduce the budget."
"We are in favour of your original philosophy for the 33rd America's Cup, the pillars of which came through clearly in the July 2007 Protocol, namely a mutual consent regatta, based in Valencia, with pre-regattas and sensible cost containment."
José Ignacio Sanchez Galan - President of Iberdrola & Scottish Power.
Sanchez Galan has received numerous awards including that of Executive of the year 2006 from Platts, three awards as best CEO in investor relations from IR Magazine and four others for the best top executive in the utilities sector from European Investor Relations Market Report.
Iberdola is one of the world's largest utility companies and, during Galan's tenure, its profits have doubled to €3.5 billion.
Scheeren joined internet company 1&1, as Chief Financial Officer, in 1991, and laid the foundation for the successful IPO of 1&1 Aktiengesellschaft & Co. KGaA.
Following the realignment of 1&1 and its renaming as United Internet AG, Scheeren was appointed CFO of United Internet AG with responsibility for Finance, Controlling, Press/Investor Relations and Human Resources. In December 2001, Michael Scheeren moved to the Supervisory Board of United Internet AG.
Sarno joined MSC, in 1970, and was promoted to a management position in 1976. When MSC set up a weekly service between Europe and South Africa in 1988, Sarno moved to Johannesburg in order to further develop the market position and, finally, the South African subsidiary of MSC was established in Durban in 1990. Directed by Sarno, MSC South Africa developed into the biggest shipping company in the country.
Sarno is respected by President Mandela & Archbishop Tutu.
The Air Miles programme was conceived by Sir Keith and, following the successful launch of the UK programme, he took the concept to North America, Europe and the Middle East.
In September, 2003 Sir Keith was appointed International President and CEO of London 2012, the company that was established to bid for the 2012 Olympic Games. On 6 July 2005, London beat off competition from New York, Paris, Madrid and Moscow to win the 2012 Olympic and Paralympic Games.
The reality is that men with the track records of Sanchez Galan, Scheeren, Sarno and Mills do not commit to entering a competition where the rules are "unfair and anti-competitive" and they have no chance of winning, because one of the other teams has "an insurmountable advantage".


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Photos Courtesy Adelaide Airport Limited & David H
AAL has an ongoing Development Plan for Adelaide Airport. A recent display saw a 2017 vision and a 2027 vision. Consideration is given to environment and operational aspects of proposed plans. These requirements also change over time, so the plan is flexible.
Everything on airport grounds comes under consideration:
Air Movement Areas
Airport Capacity
Roads and Vehicle Access
Water Management and Conservation
Opposite is the plan for 2017.You will notice the western end of T1 has been extended. Also, the General Aviation Area has undergone change.The parking in front of T1 has been replaced with a Plaza.
A multi-story carpark is propsed opposite T1.
Alternative access for cars from the North West via Sir Donald Bradman Drv (Burbridge Rd).
This image is for 2027.In the 2027 plan the Main Terminal (T1) has been extended again and has been joined with the General Aviation Terminal.Aircraft parking areas now surround virtually all sides.
There is a new Control Tower to be erected but the plans do not accurately depict the final position.
Adelaide Airport Development Plan
We have taken many photos and videos to follow the current layout through to the new design plan. As the process is about to begin we will make a record each week or so and you can keep up to date.
Freight operation areas will move to the eastern side of the airport adjacent the end of Richmond Rd. There will also be changes to the SE-SW boundary and access. There has even been talk on joining Morphett Rd to Richmond Rd but we cannot confirm this at present.
The ongoing development of the airport is essential as demand increases. As the state grows, so will air travel. Continual consideration as changes develop is the only way to stop the airport falling behind.
As enthusiasts, we follow airport development with keen anticipation.
Thanks to Adelaide Airport Limited for the Development Plans. Photos by David H.


Conor McGregor on UFC 229: "We lost the match, but we won the battle"
After being away from MMA/the UFC after a long two year hiatus, Conor McGregor finally made his anticipated return to the sport Saturday night at UFC 229, challenging Khabib Nurmagomedov for the UFC lightweight championship.
Unfortunately for McGregor, he was unsuccessful in his quest to regain the UFC lightweight title as he was submitted by Nurmagomedov in the fourth round.
But the horrible night for the Irishman didn't end there, as after the contest, Nurmagomedov leaped out of the octagon and attacked teammate Dillon Danis in the audience that caused a rabid brawl between the two fighters' respective camps.
McGregor was also seen engaging in the bedlam, brawling with members of Nurmagomedov's team.
Despite his misfortunes at UFC 229, McGregor is said to be in very high spirits.
In the UFC 229 post fight presser, he made clear that he'd definitely be back and is looking forward to another encounter with the UFC lightweight champion.
Earlier this morning, he posted on his Twitter that though he didn't win the fight, he believes he and his team won the battle.
More specifically, he assured that this feud between he and Nurmagomedov is far from being over.
What do you think the future holds based on the aftermath of the UFC 229 main event?
Will we indeed witness a rematch between McGregor and Nurmagomedov anytime soon?


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Home / Sports / Lloyd hat-trick inspires U.S. World Cup victory
Lloyd hat-trick inspires U.S. World Cup victory
ngoc Sports 780 Views
The United States won the Women's World Cup for the third time, crushing Japan 5-2 on Sunday with striker Carli Lloyd scoring the tournament's fastest ever hat-trick, including a spectacular goal from the half-way line.
The American captain struck three times inside 16 minutes as the U.S. stormed into an unexpected and unsurmountable 4-0 lead over their shell-shocked opponents.
United States defender Becky Sauerbrunn (4) and defender Meghan Klingenberg (22) celebrate with an American flag after defeating Japan in the final of the FIFA 2015 Women's World Cup at BC Place Stadium.
Japan, winners four years ago, were utterly stunned as the U.S's deadly finishing ensured they added to their 1991 and 1999 titles, and became the first nation to win the Cup three times.
The game, played in front of 53,341 spectators at a packed BC Place, was the highest-scoring Women's World Cup final ever and, for non-Japanese at least, was an entertaining finale to what has been an excellent tournament.
No team had ever scored more than two goals in a Women's World Cup final but the brilliant Lloyd went one better all by herself — and within just 16 minutes.
The opener came in the third minute when Megan Rapinoe drove a low diagonal ball across the area and Lloyd timed her run to perfection, meeting the ball with a powerful, first-time drive past Japan keeper Ayumi Kaihori.
Japan were stunned further just two minutes later when Lloyd doubled the lead — again from a set-piece.
Another low ball into the box did the damage, this time from a Lauren Holiday free-kick which the Japan defence failed to clear and the ball fell to Lloyd, who gleefully slotted home.
Japan had barely time to regroup before they found themselves 3-0 down in the 14th minute with an awful attempted headed clearance from Azusa Iwashimizu falling to Lauren Holiday, who blasted in a volley from inside the penalty area.
Japan had conceded as many goals in the opening 14 minutes as they had in the entire previous six games of the tournament.
However, one of the most remarkable goals ever witnessed in a Women's World Cup arrived just two minutes later when Lloyd, gathering the ball in her own half, saw Kaihori far off her line and shot from 50 yards out, with the scrambling Japanese keeper only able to palm the ball onto the post and into the net.
Japan restored a little bit of pride in the 27th minute when Yuki Ogimi turned Julie Johnston in the area and fired past Hope Solo to make it 4-1.
The Japanese have been widely praised for their short-passing game but it was an old-fashioned route that brought them, temporarily, back into the game early in the second half.
Aya Miyami's long free-kick into the box was aimed at Sawa and Johnston rose for the ball but could only deflect a header past a helpless Solo.
The glimmer of hope flickered for just two minutes, however, when a U.S. corner fell to Morgan Brian beyond the far post and she did well to find Tobin Heath, who confidently fired home to make it 5-2 and effectively end Japan's hope of a comeback.
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