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US20100241215A1 - Conformable stent structure and method of making same - Google Patents
Conformable stent structure and method of making same Download PDF
device according
implantable medical
Palle Munk Hansen
Per Hendriksen
William Cook Europe ApS
2009-03-23 Priority to GB0904962.8 priority Critical
2009-03-23 Priority to GB0904962A priority patent/GB2468861B/en
2010-03-23 Application filed by William Cook Europe ApS, Cook Inc filed Critical William Cook Europe ApS
2010-03-23 Assigned to WILLIAM COOK EUROPE APS, A EUROPEAN CORPORATION, COOK INCORPORATED, A CORPORATION OF THE STATE OF INDIANA reassignment WILLIAM COOK EUROPE APS, A EUROPEAN CORPORATION ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: HANSEN, PALLE, HENDRIKSEN, PER
2010-03-29 Assigned to WILLIAM COOK EUROPE APS, COOK INCORPORATED reassignment WILLIAM COOK EUROPE APS ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: HANSEN, PALLE, HENDRIKSEN, PER
2012-09-25 Assigned to COOK MEDICAL TECHNOLOGIES LLC reassignment COOK MEDICAL TECHNOLOGIES LLC ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: COOK INCORPORATED
2012-09-25 Assigned to COOK MEDICAL TECHNOLOGIES LLC reassignment COOK MEDICAL TECHNOLOGIES LLC ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: WILLIAM COOK EUROPE APS
A61F2/90—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure
A61F2/91—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheet material or tubes, e.g. perforated by laser cuts or etched holes
A61F2/915—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheet material or tubes, e.g. perforated by laser cuts or etched holes with bands having a meander structure, adjacent bands being connected to each other
A61F2/89—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure the wire-like elements comprising two or more adjacent rings flexibly connected by separate members
A61F2210/0014—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof using shape memory or superelastic materials, e.g. nitinol
A61F2250/0029—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in bending or flexure capacity
A61F2250/0042—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in shape-memory transition temperatures, e.g. in martensitic transition temperature, in austenitic transition temperature
Y10T29/00—Metal working
Y10T29/49—Method of mechanical manufacture
Y10T29/49826—Assembling or joining
Y10T29/49863—Assembling or joining with prestressing of part
Y10T29/49865—Assembling or joining with prestressing of part by temperature differential [e.g., shrink fit]
A stent (10) is provided with a plurality of stent rings (12) formed of a plurality of interconnected struts (14). Adjacent stent rings (12) are coupled to one another by a plurality of tie bars (16). Within each tie bar (16) there is provided a hinge (36) which facilitates the curving of the stent (10) in its longitudinal direction and minimises the generation of returning force to a non-curved configuration by the stent (10). The hinge could, for example, be formed by heat treating a portion of the tie bar (16). This arrangement is particularly suitable for stents or other medical devices intended to be placed in delicate vessels, such as cerebral vessels.
The present invention relates to a conformable stent structure for an implantable medical device and to a method of making such a structure. The invention is particularly suitable for stents but is equally applicable to stent grafts, vena cava filters, occlusion devices and other implantable medical devices which include a stented component or part.
Stents and other stented implantable medical devices have been used for many years to treat a number of vascular medical conditions. Stents in common use are either of the self-expandable type, made for example of a shape memory material such as Nitinol, or separately expandable, such as by balloon expansion.
Stents and other stented structures are designed to fit within the vasculature of the patient and need to be appropriate for the size and shape of the lumen. For this purpose, they must be conformable and must not be of a nature that they can apply against the vessel walls forces which could damage or adversely affect the functionality of the vessel or of other organs nearby. In the case of self-expanding stents, for example, these will tend to return towards their memory shape and thus will impart a force on any regions of the vessel wall which deform the stent away from its memorised shape. Such force is beneficial in some instances. For example, the radial expansion force generated when the stent is radially compressed assists in holding the stent in position in the lumen and, in the case of a stent graft, ensures in maintaining a proper seal between the implantable medical device and the lumen wall. However, in other instances, this force is a hindrance. For cases in which the medical device is located in a curved lumen, for instance, the force generated by the device can cause stress on the lumen by urging this into an unnatural straightened configuration or by reducing the flexure of the lumen during movement of the patient or of the patient's organs.
It has been known to provide stents with variable flexure characteristics in order to improve the longitudinal deflection properties of the stent, for example by having a part of the stent which is more flexible. In an example, a middle section of the stent could be made less rigid in order to give the stent improved longitudinal flexibility.
There are numerous known methods for increasing the flexibility of parts a stented structure. One method involves making the struts and/or other parts thinner than other parts of the structure. Another method enables making these parts of a softer material. It is similarly possible to heat treat a part of the shape memory structure in order to raise its transition temperature, for example to significantly above body temperature. So doing causes that part to remain in its martensitic phase when in the patient and to remain malleable, so as to deform in a quasi-elastic manner, with no or little tendency to return to its original shape.
There is a problem, however, with increasing the flexibility of a part of a stent in a manner as described above. A more flexible, or weaker, part of a stent structure will lose radial and/or longitudinal strength, in dependence upon the component or components which are made more flexible. In the case where only the tie bars or other components which are intended to provide longitudinal flexibility to the structure are made more flexible, although the structure will be able to conform better to the shape of the patient's lumen, these will not provide longitudinal strength to that stent. This can cause the stent to fail to provide the necessary support to the lumen and possibly to fail to retain its position in the lumen, with possible risk of migration of the medical device.
Prior art stent structures are disclosed in U.S. Pat. No. 6,652,576, U.S. Pat. No. 6,997,947, U.S. Pat. No. 5,992,020, U.S. Pat. No. 6,527,799, U.S. Pat. No. 6,998,060 and EP-1,859,825.
The present invention seeks to provide an improved stent, an improved medical device and an improved method of making a medical device such as a stent.
According to an aspect of the present invention, there is provided an implantable medical device including a stented structure formed of a plurality of stent sections coupled together by one or more coupling elements, the coupled stent sections extending in at least one longitudinal direction, wherein the or at least one of the coupling elements is hinged to allow for said coupled stent sections to pivot around the hinge so as to flex the stented structure in said longitudinal direction.
In a preferred embodiment, the hinge forms a part of the coupling element.
Most preferably, the or each coupling element extends substantially in said at least one longitudinal direction of the medical device.
The provision of a hinged element enables the stented structure to bend in its longitudinal direction and thus gives longitudinal flexibility to the medical device. The provision of a hinge avoids the need for providing softer zones in the structure, as are included in the prior art devices discussed above, and thus avoids the loss of longitudinal stability of the stent structure. Hinges allow flexibility and yet retain the longitudinal strength of the structure.
In the preferred embodiment the hinge or hinges provide substantially no return force when folded. This is particularly advantageous for delicate vessels such as cerebral vessels and the vessels inside other organs.
Advantageously, the stented structure is made of shape memory material such as Nitinol. The provision of hinges in a self-expanding structure provide the advantages known with such structures but without the disadvantages of a device which will generate a straightening force on the vessel walls.
With a stented structure formed from shape memory material, the hinge or hinges could be formed of zones of increased flexibility within the shape memory material itself, which zones enable pivoting of the coupling element or elements relative to the stent rings which it couples together.
Such zone or zones of increased flexibility forming the hinge or hinges could be thinner than the remainder of the coupling element, could be formed of a softer material or a material exhibiting a smaller shape memory return force. In the preferred embodiment, the zone or zones of increased flexibility are zones which have been heat treated to give them a higher transition temperature, for example of 40 to 60° C. or more. Raising the transition temperature of a hinged zone above normal human temperature ensures that the hinge will remain in its more malleable, martensitic, phase even when the medical device is in situ in a patient, whereas the remainder of the coupling element, having a lower transition temperature in the region of 25 to 30° C., will be heated through its transition temperature to regain its shape memory characteristics when the device is in situ in a patient.
In the preferred embodiment, the hinge or hinges are part of the coupling element. In an embodiment, the hinge represents around 20% of the length of the coupling element, although in other embodiments this could be between 1% to 60% of the length of the coupling element, more preferably between 10 to 40% and most preferably between 10 to 30%.
In one example, for a coupling element having a length of around 2 millimeters, the hinge could have a length of around 0.4 millimeters.
The hinge, by being of limited longitudinal length, enables the coupling element to retain substantially the entirety of its longitudinal strength and thus for the stented structure to retain substantially all of its longitudinal stability.
The hinge could be located at one end of its associated coupling element, for example adjacent the stent ring, while in other embodiments the hinge could be located in an intermediate position along the length of the coupling element, such as in the region of its centre.
The coupling elements, which are preferably tie bars, advantageously extend substantially parallel to the longitudinal axis of the stented structure.
The medical device could be a stent, a stent graft, a vena cava filter, an occlusion device or any other implantable medical device.
According to another aspect of the present invention, there is provided a method of making a conformable medical device provided with a shape memory stented structure formed of a plurality of stent rings coupled to one another by one or more coupling elements, wherein one or more hinges are formed in the or at least one of said coupling elements by heat treating a part of the or said at least one coupling element so as to raise the transition temperature of said part.
Embodiments of the present invention are described below, by way of example only, with reference to the accompanying drawings, in which:
FIG. 1 is a perspective view of an embodiment of stent; and
FIG. 2 is an enlarged perspective view of a part of the stent of FIG. 1.
Referring to FIG. 1, there is shown a perspective view of an example of stent structure which is provided with a plurality of stent rings 12 each formed of a series of struts 14 which are coupled to one another at their extremities in a zig-zag fashion. The struts 14 are substantially straight along their length, although could have a slight curvature if desired or appropriate.
The stent rings 12 are coupled to one another by a series of tie bars 16, which are typically located between the apex of two struts 14 of one stent ring 12 and the valley of two struts 14 of the adjacent stent ring 12. The tie bars 16 are typically evenly spread around the stent structure so as to link the various stent rings 12 together mechanically and yet provide the stent 10 with a degree of flexibility to enable this to be fitted to a curved lumen of a patient's vasculature.
In this particular example, first and second radiopaque markers 18 are provided at the extremity of the stent 10 and there would typically be provided equivalent radiopaque markers at the other end of the stent. These markers 18 are typically located on or within an appropriate holder 20 which is integrally formed with the end-most stent 12 of the stent assembly 10.
The stent 10 will have a length determined by the particular medical application and could typically be from around 5 to around 20 cm in length. Equally, stent 10 could have a diameter dependent upon a particular medical application, from a few millimeters to a few tens of millimeters. The design of the stent 10 is also of a type suitable for intra-cranial applications.
The stent 10 could be of a balloon-expandable type and made from a material which can deform plastically. In other embodiments, the stent 10 is made of a shape memory material, such as Nitinol, or other shape memory alloy, metal or polymer. When made of a shape memory material, as is well known in the art, the stent 10 will expand once it is released from the constraining mechanisms provided on the delivery introducer. A self-expandable stent 10 has the advantage of being able to press continuously against the vessel walls to ensure that it remains correctly positioned within the vessel and maintains an opening force on the vessel walls. The stent 10 is also conformable in its longitudinal direction (that is a direction substantially transverse to the plane of the individual stent rings 12) and for this purpose the strut 16 as well as the stent rings 12 are preferably conformable. This is generally as a result of the flexibility of the stent 10.
It will be appreciated by the person skilled in the art that, particularly in the case of stents which are made of a material having spring-like characteristics in such as of a shape memory material which transitions to its memorised shape or of a spring material such as spring steel or the like, the stent 10 will tend to straighten in the lumen in order to seek to return to its non-biased condition. As a result of this, the stent 10 will continuously apply a straightening force against the walls of the lumen. In the case of a strong lumen, such as an aortic vessel, such straightening force is generally not an issue. However, it can become more relevant in more delicate lumens, such as much smaller lumens and cerebral vessels.
FIG. 2 shows an enlarged view of a part of the stent assembly 10 of FIG. 1. More particularly, FIG. 2 shows parts of two stent rings 12 at the point at which they are coupled together by a tie bar 16. In this particular view, the lower stent ring 12 is coupled at the apex 22 of two struts 14, while the upper stent ring 12 (as seen in FIG. 2) is coupled to the tie bar 16 at a valley 24 between two stent struts 14. The tie bar 16 is provided with a hinged zone 26, which in this embodiment is located approximately half-way along the length of the tie bar 16, leaving two tie bar sections 28, 30 either side of the hinge section 26. In other embodiments, the hinge 26 could be located at an end of the tie bar 16, for example adjacent the valley 24 or adjacent the peak 22. In such circumstance, the tie bar 16 may be formed simply of the hinge 26 and a single portion of tie bar 28 or 30.
The position of the hinge 26 along the tie bar 16 is not considered critical, although it is preferred that it is at or proximate the mid-point of the tie bar 16.
The hinge 26 may have a length which is anything from around 1 to around 60% of the overall length of the tie bar 16 (that is, in the embodiment of FIG. 2, the sections 28, 30 and the hinge 26 combined). More preferably, the hinge 26 may be from around 10% to around 40% or around 10% to around 30% of the length of the tie bar 16. In the preferred embodiment it is around 20% of this length.
The hinge section 26 has a flexibility which is substantially greater than the flexibility of the tie bar sections 28/30 and of the struts 14 forming the stent rings 12. The difference in flexibilities between the hinge section 26 and the remainder of the tie bar 16 is such that the remaining portions of the tie bar 16 (in the embodiment of FIG. 2 the sections 28 and 30) are able to pivot about the hinge section 26 without any substantial return force being imparted upon the sections 28 and 30 which would cause sections 28 and 30 to be bent to any noticeable degree. In other words, it is preferred that the hinge section 26 acts as a conventional hinge to allow pivoting of the sections 28, 30 rather than forcing these to curve as a result of stiffness of the coupling between the two sections 28, 30. This characteristic of the hinge 26 enables the various parts of the stent 10 (in particular adjacent stent rings 12) to be pivoted about the hinges 26 in the tie bars 16 and thus for the stent 10 as a whole to be able to be conformed in to a curved configuration. This curvature of the stent structure occurs with substantially no return force generated by the hinged sections 26 seeking to straighten, or at least with only a very substantially reduced force compared to a conventional stent structure which is not provided with hinged regions 26. In addition to this, it will be apparent that the tie bars 16 still retain their rigidity over a substantial part of their length (the portions 28 and/or 30) and thus retains a significant support in the longitudinal direction between two adjacent stent rings 12. This differs from structures which use wholly flexible tie bars 16 or entire regions (including stent rings) of stent of softer material and which thus lose longitudinal stability and strength of the stent structure.
In any embodiment, a stent 10 is provided with a plurality of tie bars 16 having a length in the region of 2 mm and hinges 26 of a length of around 0.4 mm. It will be appreciated that a hinge of such dimensions would have little effect on the support characteristics in the longitudinal direction of the tie bar 16.
In the preferred embodiment, hinge regions 26 are formed in the tie bars 16 by heat treating the shape memory material in the zone of the hinge 26, in a manner well known in the art (by laser heating for example), so as to cause the region of the hinge 26 to have an elevated transition temperature, preferably in the region of 40 to 60° C. This contrasts with the transition temperature of the portions 28 and/or 30 of the tie bar 16, as well as of the stent rings 12, which typically would be in the region of 25 to 30° C. A higher transition temperature, substantially above normal body temperature, results in the hinges 26 remaining in the martensitic state when the device is in a patient. In this state, the shape memory material forming the stent 10 (which preferably is the same material throughout the entirety of the stent 10, including the stent rings and tie bars) will deform pseudo plastically at normal body temperature and will thus produce virtually no straightening force once so deformed. As a result, the stent 10 can be curved to suit the curvature of a lumen within which a stent 10 is positioned and will not seek to straighten that lumen, as would be the case with a conventional stent or stented structure.
It will be appreciated that the preferred embodiment provides a hinged section 26 formed by modification of the characteristics of the shape memory material of the stent 10. In other embodiments, the hinge 26 could be formed of a different material, for example a material not having shape memory characteristics and bonded, welded or otherwise attached to or integrally formed with the sections 28, 30 of the tie bar element 16. Such a solution, however, is more complex to manufacture and is therefore less preferable than the preferred embodiment described above.
Even though the preferred embodiment described above is directed to a stent formed of shape memory material, the teachings herein are equally applicable to stents which are expandable by a separate mechanism, such as by balloon.
In the preferred embodiment, all of the tie bars 16 are provided with hinge sections 26, although it is envisaged that in some embodiments only some of the tie bars 16 would be provided with hinges 26. Providing some hinges within the tie bars 16 will substantially reduce the force produced by the stent 10 in seeking to return to its unbiased configuration (typically straight).
FIG. 2 shows an embodiment in which the hinge section 26 is located substantially mid-way along the tie bar 16, forming two substantial equal tie bar section 28, 30 either side. In other embodiments the hinge 26 could be located in other positions along the tie bar 16, such as close to or at the valley 24 or close to or at the peak 30.
Similarly, although the preferred embodiment includes a single hinge 26 in a tie bar 16, it is envisaged that there may be provided more than one hinge 26 in a tie bar 16, for example two hinges, one at either end of the tie bar. Similarly, in some embodiments it may be desired to provide hinges 26 within the struts 14 forming the stent rings 12.
The preferred embodiments described above are related to stents. However, the teachings herein are not limited to stents and are equally applicable to other stented structures, such as stent grafts, vena cava filters, occlusion devices and other implantable medical devices.
1. An implantable medical device including a stented structure formed of a plurality of stent sections coupled together by one or more coupling elements, the coupled stent sections extending in at least one longitudinal direction, the or at least one of the coupling elements being hinged to allow for said coupled stent sections to pivot around the hinge so as to flex the stented structure in said longitudinal direction; wherein the stented structure is made of shape memory material having a first transition temperature, and the hinge or hinges are heat treated zones with a transition temperature higher than the first transition temperature so as to provide zones of increased flexibility within the stent structure.
2. An implantable medical device according to claim 1, wherein the or each coupling element extends substantially in said at least one longitudinal direction of the medical device.
3. An implantable medical device according to claim 1, wherein the stented structure is formed from Nitinol.
4. An implantable medical device according to claim 1, wherein the hinge or hinges are part of the coupling element.
5. An implantable medical device according to claim 4, wherein the hinge represents between 1% to 60% of the length of the coupling element.
6. An implantable medical device according to claim 5, wherein the or each hinge is about 10% to about 40% of the length of the associated coupling element.
7. An implantable medical device according to claim 6, wherein the hinge is around 20% of the length of its coupling element.
8. An implantable medical device according to claim 7, wherein the coupling elements extend substantially parallel to the longitudinal axis of the stented structure.
9. An implantable medical device according to claim 1, wherein the coupling elements are tie bars.
10. An implantable medical device according to claim 1, wherein the device is a stent, a stent graft, a vena cava filter or an occlusion device.
11. A method of making a conformable medical device provided with a shape memory stented structure formed of a plurality of stent rings coupled to one another by one or more coupling elements, wherein one or more hinges are formed in the or at least one of said coupling elements by heat treating a part of the or said at least one coupling element so as to raise the transition temperature of said part.
12. A method of making a conformable medical device according to claim 11, wherein the at least one hinge has a transition temperature above 40° C.
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text:
Season of the Witch (2011)
tags: film, films, Movie, movies, Nicolas Cage, Paul Balsom, review, reviews, Ron Perlman, Season of the Witch
by mb
Written by: Bragi F. Schut
Produced by: Alex Gartner and Charles Roven
Directed by: Dominic Sena
Rated PG-13 for thematic elements, violence and disturbing content
U.S. Release Date: January 7, 2011
The director that brought us Gone in 60 Seconds, Kalifornia, and Swordfish is back with a medieval sword-wielding fantasy adventure film called Season of the Witch. Written by first-time screenwriter, Bragi Schut, the film stars Nicholas Cage as a knight who fights off evil forces in the mountainous wilderness while escorting a supposed witch to an abbey to participate in a ritual that will rid the area of impending doom. Sound ridiculous to you? Well, it should come as no surprise that this movie was supposed to hit theaters in March of 2010, but the powers that be kept delaying it to later dates, and here we are, in January… the bone yard of the motion picture industry. Is Season of the Witch the January picture to buck the trend, or is it sitting comfortably in its right place?
In the 14th century, during the infamous Crusades, the mountainous kingdom that serves as the film's setting is devastated by the Black Plague. The area's besieged church, who figures that it is dark sorcery that is the cause of the plague, commands two knights to transport an accused witch to an isolated abbey, where there a ritual will take place to end the pandemic. The two knights, along with a small group of help, join in a mission through the unreceptive wilderness all for the fate of the girl who may be a witch. When the party gets to the abbey, a horrifying breakthrough risks the knights' mission and unveils an evil that is way darker than they ever imagined.
You probably see where this is headed, but Season of the Witch is a strange cinematic brew. The acting is poor, the direction does match the genre, and the CGI-festival in the film's finale is out of control. When all of these ingredients mix, it creates not only a ridiculous film, but a confusing one as well. It is hard to figure out what type of film Season of the Witch is trying to be, a Lord-of-the-Rings-esque fantasy film, a Fast-and-the-Furious-esque action movie, or just any Nicolas Cage film.
Cage's performance as Behmen, one of the knights of the mission, is bland and seems as if the actor is simply playing himself, but in a medieval setting. The rest of the acting performances are, at best, reminiscent of 2004's Van Helsing. Paired with the bad acting, the overall aesthetic of Season of the Witch makes for a film that is worse than camp, it's an anger inducer.
If you have enjoyed director Dominic Sena's films in the past, or you are a Nic Cage fan, you may still want to tread lightly here. Season of the Witch proves that the Walmart model – everything under one roof – doesn't always work. This fantasy-CGI filled-horror-adventure mashup, as it were, makes it difficult to find any redeeming qualities. As a film that releases in January, this conclusion is to be expected. This film was released right where it belongs, in a month that time forgets every year.
← COMING SOON: January 2011
Country Strong (2010) ** →
This Week in DVD & Bluray (06-28-11) « Keeping It Reel

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APA Statement on Spay and Neuter during COVID-19 Pandemic
Sarah Javier|March 27, 2020
The APA has worked through numerous challenges during these unprecedented times. The COVID-19 pandemic has changed our operations in ways we couldn't have imagined just a few short weeks ago. Essential staff are caring for the animals and we continue to meet our mission of bringing people and pets together through creative ways such as curbside adoptions, emergency fostering, online humane education, and videos. We know we must continue to adapt as this situation evolves. Fortunately, we have an incredible team and have been able to respond to every challenge with well-informed, decisive action.
A recommendation to limit "non-essential" or "elective" surgical procedures has been made by the U.S. Surgeon General. All health care professionals, including veterinarians, are to adopt strategies that will allow them to conserve PPE (personal protective equipment) as much as possible. The AVMA recently stated that veterinary practices can and should defer elective procedures to preserve medical supplies. While spay and neuter is important, it is considered a non-emergency procedure. The recommendation from leaders in our industry, including the ASPCA, HSUS, The Association for Animal Welfare Advancement, University of Wisconsin's School of Veterinary Medicine- Shelter Program, and the American Veterinary Medical Association is to temporarily suspend spay and neuter surgeries.
Based on this information, the APA has decided to temporarily suspend spay/neuter surgeries for our adoption center animals and outreach program. We will join a list of shelters, spay/neuter clinics, and veterinary practices around the country doing this to prioritize saving lives – both human and animal. This decision was not made lightly, but in doing so we:
Conserve PPE needed by medical professionals working on the front line of the COVID-19 pandemic;
Were able to donate some of our PPE to a local hospital already experiencing a shortage of necessary supplies;
Maintain only essential employees in the building and reduce exposing our staff to COVID-19;
And ensure we have surgery supplies available for emergency surgeries necessary to save the lives of animals in our care.
Our commitment to spay and neuter is unwavering. However, vulnerable animals continue to need sheltering and we must do what we can to get them into loving homes. We do not want to hold animals needing spay/neuter surgery for weeks to months, risking overcrowding. Even the best shelter environments are stressful and we have their emotional and physical well-being in mind, as well.
We will continue to do adoptions and will require each adopter to sign a spay/neuter agreement at the time of adoption. We will follow up with adopters as soon as we can resume non-essential surgeries, and have a number of options available to make post-adoption spay/neuter possible. The APA will prioritize specific surgery days for these pets for those who wish to have their pet spayed/neutered at the APA. We have also partnered with Carol House Quick Fix Clinic and will offer a voucher to have the surgery done at their clinic. Many adopters already have a relationship with a veterinarian, so an additional option is to have the pet spayed/neutered at their own vet. With medical records verifying the procedure, the APA will provide reimbursement to help cover the cost of the surgery.
We realize spay/neuter is a cornerstone of our success and, during normal times, it saves lives. We are not operating under normal circumstances and we must prioritize and continue helping as many animals as we can.
Animal welfare has made great strides by reducing pet overpopulation through spay/neuter efforts and, post-COVID-19 pandemic, we will continue those efforts. As soon as we can, we will ramp up our existing programs for shelter surgeries, free spay/neuter services for our outreach community (63136 zip code), and TNR efforts. Until then we need your support either through adoption, fostering, donating, or sharing what we do.
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It seems like just when they set their own bar too high (after dropping gems like the Yeezy Boosts and NMD Runners) they always find a way to design a new product that makes it difficult to resist.
This time around, their muse is none other that the Smoker's Holiday, 4/20. BAIT and Stan Smith collaborated on a very unique design for all of the marijuana tokers out there.
The design features medicinal tags on the tongue and on the heel tabs of the sneaker. It's also equipped with a fuzzy green patch in the back along with a secret stash spot right under the tongue. The sole is made out of hemp, paired with a warning sticker that states: "May Cause Relaxation". The exterior of the shoe has random high-time smiley faces throughout.
The design is actually pretty dope and for the retail price of $120, it'll be a smokers delight to own a pair of these classics. These kicks will be released through an online raffle and will be available at all BAIT locations on April 20th.


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Faculty growth supports public value strategy
Cardiff Business School has made a significant investment in growing its academic faculty across two key disciplines.
Seven new lecturers have been appointed to the Economics and Accounting and Finance sections, supporting the School's commitment to research excellence, continuous improvement in teaching provision and helping to realise its public value ambitions.
The School's long history of teaching excellence has recently been recognised by several external stakeholders. It has been ranked in the top 100 (for Business Management and accounting and Finance) in the QS World University Rankings by Subject and the top 100 placement for Business and Economics in the 2016-2017 Times Higher Education (THE) World University rankings by subject.
The recruitment process was initiated in December 2016 and all lectureships have now been filled. The School welcomes:
Dr Davide Avino, Lecturer in Accounting and Finance
Dr Dennis de Widt, Lecturer in Accounting and Finance
Dr Sergey Popov, Lecturer in Economics
Dr Anna Kochanova, Lecturer in Economics
Dr Patrick Wongsa-Art, Lecturer in Economics
Dr Lars Boerner, Lecturer in Economics
Dr Andreas Tsopanakis, Lecturer in Economics
Appointees will join the School during August and September 2017, in anticipation of the new academic year.
Professor Martin Kitchener, Dean of Cardiff Business School, said of the new appointments: "Cardiff Business School educates more than 3,000 undergraduate, postgraduate and doctoral students annually. I look forward to welcoming this new contingent of outstanding academics to our community and look forward to the contributions they will make."
He added: "This is the first time since the launch of our public value strategy, which is committed to delivering economic and social improvement through interdisciplinary teaching, research and governance, that we have explicitly included public value recruitment criteria in our role specifications. This is part of our drive to further embed public value into the School's offering and culture.
"The new appointments will help us to advance our public value teaching and curricula, diversifying from that which is available at other institutions. We want our students to question the status quo, think differently, and provoke change, which benefits business and society, in their chosen fields.
"It's an exciting time for the School and our new appointees will play a key role in shaping our future."
Cardiff Business School's progressive public value strategy was officially launched in late 2015 and sees the School's resources directed towards promoting economic and social improvement, tackling major social issues through interdisciplinary research and teaching.
Read more about Cardiff Business School's Public Value strategy and activities.
Cardiff Business School
The School is a world-leading, research intensive business and management school with a proven track record of excellence, and it is committed to delivering economic and social improvement.
Discover the School
Public value
Professor Martin Kitchener
Professor of Public Sector Management and Policy
The latest from Cardiff University.


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What hot weather means for electricity
The world is getting warmer. But how will this affect the electricity system?
During the penultimate week of June 2017, temperatures of thirty degrees Celsius or more were recorded across the UK for five days straight. It was the hottest continuous spell of weather in the country since the 70s. And while this may sound like a minor headline, it's evidence of an important fact: the world is getting warmer.
According to the Met Office, experiencing a 'very hot' summer is now likely to occur every five years rather than every 50. By the 2040s, more extreme heatwaves could become commonplace, and this could have serious consequences.
The extreme heatwave that hit Europe in 2003 led to a death toll in the tens of thousands and placed extreme strain on the continent – not only on its people, but on its infrastructure, too. If this weather is set to continue, what does it mean for our electricity network?
Electricity in extreme weather
In hot countries, electricity use soars in times of extreme weather due to increased use of cooling devices like air conditioning. One US study predicted an extreme temperature upswing could drive as much as an 7.2% increase in US peak demand.
In Northern Europe including the UK, where air conditioning is less prevalent, the effects of heat aren't as pronounced, but that could change. In France, hot weather is estimated to have contributed to a 2 GW increase in demand this June.
The UK, which has traditionally only seen demand swings due to cold weather, is also beginning to feel the effects of extreme heat. According to Dr Iain Staffell of Imperial College London, for every degree rise in temperature during June 2017, electricity demand rose by 0.9% (300 MW). For example, on 19th June, when temperature averaged 21.9 degrees Celsius demand reached 32 GW. On the 25th, when temperatures dropped to an average of 15.9 degrees, demand shrank to 26.6 GW.
In the very hottest days of summer this can mean the grid needs to deliver an additional 1.5 GW of power – equivalent to the output of five rapid-response gas power stations or two-and-a-half biomass units at Drax Power Station.
And while heat's effect on demand is considerable, it's not the only one it has on electricity.
The problem of cooling water in hot weather
Generating power doesn't just need fuel, it's also a water-intensive process. Power stations consume water for two main reasons: to turn into steam to drive generation turbines, and to cool down machinery.
Both rely on raising the temperature of the water. However, this water can't simply be released back into a river or lake after use – even if nothing has been added to it – as warm water can negatively affect wildlife living in these habitats. First, it has to be cooled – normally via cooling towers – but in hot weather this takes longer and, as a result, power production becomes less efficient and in some cases, plant output must be dialled back.
This had serious consequences for France's nuclear power plants during the 2003 heatwave. These plants – which provide roughly 75% of the country's electricity – draw water from nearby rivers to cool their reactors. During the heatwave, however, these rivers were both too hot and too low to safely provide water for the cooling process, which in turn led to the power stations having to either close or drastically reduce capacity.
Coupled with increased demand, France was left on the verge of a large-scale black out. Situations like this are even more critical when considering heat's effects on electricity's motorway: the national grid.
How the hot weather impacts electricity
When materials get hot, they expand – this includes those electricity grids are made from. For example, overhead power transmission cables are often clad in aluminium, which is particularly susceptible to expansion in heat. When it expands, overhead lines can slacken and sag, which increases electrical resistance in the cables, leading to a drop in efficiency.
Transformers, which step up and down voltage across grids, are also susceptible. They give off heat as a by-product of their operations. But to keep them within a safe level of operation, they have what's known as a power rating – the highest temperature at which they can safely function.
When ambient temperatures rise, this ceiling gets lower and their efficiency drops – about 1% for every one degree Celsius gain in temperature. At scale, this can have a significant effect: overall, grids can lose about 1% in efficiency for every three degrees hotter it gets.
As global temperatures continue to rise, these challenges could grow more acute. At UK power stations, such as Drax, important upgrade and maintenance work takes place during the quieter summer months. If this period becomes one in which there is a higher demand for power at peak times, it could lead to new challenges.
Investing in infrastructure and building a power generation landscape that includes a mix of technologies and meets a variety of grid needs is one way in which we can counter the challenges of climate change. This will mean we can not only move towards a lower carbon economy and contribute towards slowing global warming, but respond to climate change by adapting essential national infrastructure to deal with its effects.
Storage solutions: 3 ways energy storage can get the grid to net zero
Forests, net zero and the science behind biomass
Transporting carbon – How to safely move CO2 from the atmosphere to permanent storage
Power generation, Sustainable bioenergy
The role of biomass in securing reliable power generation
Drax's cooling tower tribute to Queen Elizabeth II
Updated expectations for full year 2022
Six-month extension of coal operations at request of UK Government
Greenest Christmas: fossil fuels fall to all-time low on Britain's power grid
UK'S largest power station lights up for poppy appeal
Drax launches new platform to accelerate electric vehicle uptake
Drax Group CEO responds to the NIC's report on engineered greenhouse gas removals
Half year results for the six months ended 30 June 2021


TNT is proud and grateful for the many awards and accreditations it receives.
Our quality and service are frequently recognised by external organisations. Many of these awards and accreditations are made on a national basis - an overview of these can be found on our country websites.
To download a PDF listing the many awards and accreditations received by TNT around the world during the last five years, click here.


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Бо́йківський райо́н (з 1935 по 2016 роки — Тельманівський) — колишня адміністративно-територіальна одиниця на південному сході Донецької області, що у 2020 році увійшов до Кальміуського района. Межував з Волноваським, Старобешівським, Нікольським та Новоазовським районами Донецької області та з Російською Федерацією. Районний центр — Бойківське. Населення становило 29 441 осіб (на 1.08.2013). Площа — 812,9 км². Утворено 1923 року.

Географія
Площа району — 1340 квадратних кілометрів. Територією району протікають з півночі на південь дві річки — Кальміус та Грузький Яланчик. На Кальміусі побудовано три водосховища. Найбільше з них — Павлопільське водосховище. На Єланчику також побудовано декілька водосховищ, два з них — Греково-Олександрівське та Кузнецово-Михайлівське — у межах району.

Клімат району помірно континентальний. Узимку морози часто змінюються відлигою. В цілому клімат сприятливий для сільськогосподарського виробництва. Ґрунти, в основному, представлені чорноземами.

Флора та фауна
На схилах балок та кам'янистих пагорбах до цього часу збереглась цілинна рослинність: ковила, пирій, щавель, чебрець, деревій, звіробій, тисячолисник; біля річок — водяний перець, куряче просо, комиш, овсяниця. Поблизу села Старогнатівка розташоване заповідне урочище Ліс на граніті.

У степу та лісопосадках водяться зайці, лисиці, ховрахи, степові тхори; зустрічаються також тушканчики, дикі кабани, єнотовидні собаки.

Історія
Наприкінці 1934 року утворено Остгеймський район з районним центром у селі Остгейм. 1935 року населений пункт перейменовали на Тельманове на честь лідера німецьких комуністів Ернста Тельмана.

У 2016 році в рамках процесу з декомунізації в Україні адміністративна одиниця перейменована рішенням Верховної Ради України у Бойківський район. Також було перейменовано і районний центр Тельманове на селище міського типу Бойківське.

У 2020 році Бойківський район увійшов до складу Кальміуського району.

Адміністративний устрій

Адміністративно-територіально район поділяється на 1 селищну раду та 8 сільських рад, які об'єднують 42 населені пункти та підпорядковані Бойківській районній раді. Адміністративний центр — смт Бойківське.

Згідно з постановою Верховної Ради України № 1282 від Бойківського району передані Волноваському 4705,4 га земель, що перебувають у віданні Андріївського сільської ради (в тому числі території селища міського типу Андріївка, селища Бахчовик, селища Дружне, селища Рясне), 458,6 га — Мирненського сільської ради (в тому числі територію смт Мирне), 11 693,4 га — Гранітненського сільської ради (в тому числі території села Гранітне, села Старомар'ївка), 13523 га — Новоселівського сільської ради (в тому числі території села Новоселівка, села Запорізьке, села Кам'янка, селища Маловодне, села Новоселівка Друга, села Степанівка), 11 155,4 га — Старогнатівської сільської ради (в тому числі території села Старогнатівка, села Новогригорівка), 11 182,5 га — Чермалицької сільської ради (в тому числі території села Чермалик, села Орловське, села Федорівка).

Площа Бойківського району тепер становить 81292,7 га.

Населення
У районі 60 населених пунктів, у тому числі 1 селище міського типу — Бойківське, 2 селища — Андріївка і Мирне. Щільність населення 23 чоловік на 1 км². Населення 31,4 тис. осіб, із них — 21,7 тис. осіб сільського та 9,7 тис. міського. В районі 15 рад, в тому числі 3 селищні та 12 сільських. В районній раді 45 депутатів. У районі 15 рад, в тому числі 3 селищні та 12 сільських. Бойківська районна рада налічує 60 депутатів. З них: 53 — Партія регіонів, 5 — КПУ, 1 — Батьківщина та 1 — Фронт змін.
Розподіл населення за віком та статтю (2001)

Національний склад населення району за переписом 2001 року

За результатами Радянсько-Польського обміну ділянками територій 1951 року до Бойківського району було депортовано 400 сімей бойків із села Чорне Нижньо-Устрицького району Дрогобицької області.

Етномовний склад сільських та міських рад району (рідна мова населення) за переписом 2001 року, %

Геологія
На території району знайдені великі поклади гранітів, розробку яких ведуть Каранський та Бойківський кар'єри. По берегах річок багато виходів вапняку, знайдено перші алмази.

Промисловість
Промисловий комплекс району включає в себе 2 промислових підприємства, сільськогосподарських підприємств всього 114, з них 95 фермерських господарств; 2 будівельні організації, 5 підприємств споживчої кооперації, 9 підприємств житлово-комунального господарства, з них — 8 ОСББ, підприємство зв'язку, автотранспортне підприємство. В районі працюють хлібозавод, 3 борошномельних і 3 олійних цехи.

Торговельне обслуговування населення здійснюється через 187 магазинів та 13 одиниць дрібно-роздрібної торгівлі, працюють 18 підприємств громадського харчування, 53 спеціалізованих підприємства побутового обслуговування населення.

Соціальна сфера
У районі функціонують 22 загальноосвітніх шкіл, в яких навчається 3081 школяр, 1 професійний ліцей, де 142 учня здобувають професію водія, електрогазозварника, бухгалтера, секретаря; 17 дошкільних закладів в яких виховується 724 дітей, в тому числі 2 школи — садка, в яких виховується 34 дитини.

Усього в районі працює 36 лікувально-профілактичних закладів в тому числі 2 лікарні (на 180 ліжок), 5 амбулаторій загальної практики — сімейної медицини, 29 фельдшерсько-акушерських пунктів з них 6 фельдшерсько-акушерських і 23 фельдшерських. В районі функціонує 6 аптек і 23 аптечних пунктів.

Культурно-масовою роботою займаються 26 закладів, 30 масова бібліотека, одна дитяча музична школа з чотирма філіями, 17 самодіяльних колективів які носять почесні звання «народний», «зразковий».

Економіка
Район сільськогосподарський. У користуванні сільськогосподарських підприємств району знаходиться 65,8 тис. га землі, в тому числі 60,5 тис. га сільськогосподарських угідь, з яких 55,6 тис. га становлять орні землі.

Виробництво зерна становить 64 032 тонн, що менше 2009 на 12,0 %.

За 2010 рік промисловими підприємствами району вироблено 1764,2 тис. м³ нерудних будівельних матеріалів або 102,0 % до річного завдання і на 39,5 % більше 2009 року. Обсяг реалізованої промислової продукції у відпускних цінах становив 73520,6 тис. грн. або на 41,4 % більше рівня минулого року.

Підприємствами роздрібної торгівлі реалізовано товарів на суму 53,3 млн грн., що більше ніж у 2009 році на 24,8 %.

Обсяг інвестицій в основний капітал за рахунок усіх джерел фінансування в будівництво житла, газифікацію населених пунктів, придбання машин та обладнання очікується в сумі 43 150,0 тис. грн., в експлуатацію буде введено 150,0 м² житла, продовжено будівництво газопроводів в смт Бойківське.

За 2010 рік отримано від'ємний фінансовий результат в сумі 12,7 млн грн., прибуток.

Надходження до бюджету району становили 25 221,7 тис. грн., без урахування трансфертів, або 110,0 % до затвердженого плану з урахуванням змін. Район дотаційний, сума отриманих трансфертів з Державного бюджету становить 52 041,2 тис. грн., в порівнянні з 2009 роком вона збільшилась 30,5 %.

Середньомісячний розмір заробітної плати одного штатного працівника станом на 01.10.2010 становить 1592,0 грн. Заборгованість з виплати заробітної плати порівняно з початком року зменшилась на 10,9 % і станом на 01.12. 2010 року становила 5250,2 тис. грн.

Заборгованості по заробітній платі перед працівниками бюджетної сфери немає. Середній розмір пенсій станом на 01.01.2011 становить 1043,61 грн. або більше рівня минулого року на 17,4 %.

Позитивно змінюється ситуація на ринку праці. Чисельність зареєстрованих безробітних у 2010 році становила 295 чоловік, що більше ніж у 2009 році на 27,2 %. За 2010 рік кількість створених нових робочих місць за рахунок усіх джерел фінансування становить 429 одиниць, Програма виконана на 75,3 %.

Транспорт
Територією району проходять такі автошляхи: ,  та . Залізничне сполучення відсутнє.

Видатні люди
 Див. також :Категорія:Персоналії:Бойківський район
Уродженцями району є:
 Борота Віктор Степанович (1936, село Старогнатівка) — російський та урумський поет. Заслужений тренер СРСР, заслужений працівник фізичної культури і спорту України.
 Костяк Микола Михайлович
 Наумов Євген Іванович
 Пасічка Роман Володимирович
 Рибалко Василь Миколайович
 Черемних Віра Миколаївна

В боротьбі з російською окупацією району загинули:
 Береговенко Григорій Григорович
 Григораш Гліб Миколайович
 Лимарь Сергій Вікторович
 Спащенко Юрій Вікторович

Політика
25 травня 2014 року відбулися Вибори Президента України. У межах Бойківського району було створено 26 виборчих дільниць. Явка на виборах становила 12,78 % (проголосували 2461 із 19 250 виборців). Найбільшу кількість голосів отримав Петро Порошенко — 30,15 % (742 виборців); Сергій Тігіпко — 27,47 % (676 виборців), Михайло Добкін — 7,31 % (180 виборців), Петро Симоненко — 6,30 % (155 виборців), Юлія Тимошенко — 5,89 % (145 виборців). Решта кандидатів набрали меншу кількість голосів. Кількість недійсних або зіпсованих бюлетенів — 4,67 %.

Див. також
 Пам'ятки історії Бойківського району

Примітки

Джерела

 Бойківський район — Інформаційно-пізнавальний портал | Донецька область у складі УРСР  (На основі матеріалів енциклопедичного видання про історію міст та сіл України, том — Історія міст і сіл Української РСР. Донецька область. — К.: Головна редакція УРЕ АН УРСР, 1970. — 992 с.)

Колишні райони Донецької області

Маріупольська агломерація
Виборчий округ 60
Історія Кальміуського району

redpajama_set_name: RedPajamaWikipedia


text:
Billboard shines light on unsolved Towson murder of Jody LeCornu, 22 years later
By Libby Solomon
| Towson Times |
On March 2, 1996, Joann "Jody" LeCornu was found dead in her car at a York Road shopping center in Towson near the city-county line. The 23-year-old had been shot in the back, police say, by a man whose name to this day is unknown.
More than two decades later, Jennifer LeCornu Carrieri is still looking for her identical twin sister's killer. On Monday morning, a day after the twins' birthday, a billboard commissioned by Carrieri went up on northbound York Road in Baltimore.
"I just want to know what happened and find the person," said Carrieri, of Easton. "It'll never bring her back. It's just, how can I just sit around and not find justice?"
The billboard, which beckons "FIND MY KILLER," advertises a $32,000 reward from Metro Crime Stoppers of Maryland for information on LeCornu's murder. It stands at 5722 York Road, atop Nailah's Kitchen in northern Baltimore City.
Shawn Vinson, a spokesman for the Baltimore County Police Department, said calling renewed attention to cold-case investigations can prompt people with information to come forward who might not have been comfortable doing so initially.
Twin, Baltimore County police try to draw interest, new leads in unsolved '96 Towson killing
By Alison Knezevich
"As time goes on people tend to feel more relaxed sharing information," Vinson said, adding later, "If they were in a relationship with the suspect or friends with the suspect, maybe at this point they don't feel intimidated."
For Carrieri, 46, now married with children, the billboard is just one of her many efforts in recent years to call attention to the case in order to help keep it moving forward. Her husband worries about her overextending herself in her mission. "But I'm doing something," she said.
'Always together'
Twin sisters Jody and Jenny grew up together in Annapolis, daughters of the late John LeCornu, a former Anne Arundel County prosecutor.
"We were always together, always," Carrieri said. They had the same room, the same classes, the same friends.
"They were so much fun to be around," said Courtney Holtzman, a childhood friend who met the twins in middle school. "Jody was the life of the party, and Jenny was a little more reserved."
[More Maryland news] Westminster man indicted by federal grand jury after allegedly threatening member of Congress »
The sisters shared joys, but also struggles. Their father struggled with alcohol, and both girls began drinking in their early teens, Carrieri said. Both sisters also experimented with drugs and struggled with anxiety and eating disorders. During their senior year in high school at St. Mary's Annapolis, Carrieri said the twins' parents put them both in rehab.
Eventually, their parents sent Jenny to a ranch in Wyoming to get her away from a boyfriend they disapproved of. She stopped drinking and decided to move West, to California, where she got engaged. Jody stayed behind, moving in with a boyfriend in Baltimore, and continued to struggle with alcohol, Carrieri said.
"She was such a good person but she struggled so much," Carrieri said. "We both had really bad anxiety and were drinking to try to calm that anxiety."
Separated for the first time in their young lives, the twins racked up phone bills, talking constantly. Carrieri remembers the last time she tried to call her sister on a Saturday morning and got no answer. She had a bad feeling.
Then her fiance came flying in the door. Carrieri's parents had called. "Jody's dead," he said.
'A part of me is gone'
The Baltimore County Police Department is still investigating the 1996 killing of Jody LeCornu, who was slain in Towson. Her twin sister, Jenny, describes what is known of the crime scene in an effort to renew interest in the case. (Lloyd Fox, Baltimore Sun video)
To Carrieri, her sister's death felt like losing a piece of herself.
"I'll never be the same," Carrieri said. "It changed my life. I was living one life, then you wake up and it's like ... a part of me is gone. Like pieces being ripped out of me."
It took years, Carrieri said, to wrap her head around her sister's murder and the investigation that followed.
"You just go into shock," she said. "All the details, it just didn't register to me for so long. I was just like a zombie."
Those details, learned through a police investigation that is still open because LeCornu's killer has not been found, left Carrieri with more questions than answers.
[More Maryland news] Westminster releases 100,000 insects ... on purpose »
First: What was Jody doing there, alone in the Drumcastle Government Center parking lot at 6401 York Road in Towson past 3 a.m. on March 2?
LeCornu had fought with her live-in boyfriend, Steve Dubin, that morning about her drinking, Carrieri said, saying he told her she should go to her parents' house that night. The couple lived just over the city line on Gittings Avenue, less than a mile from where she was found.
Dubin declined to comment on the record for this story.
Police reports state that LeCornu spent the evening of March 1 at the Mt. Washington Tavern, where she was a regular. LeCornu drove an employee of the bar home after it closed, Carrieri said — something that seemed out of character for her anxious sister, especially while it was snowing. Afterward, LeCornu stopped at a liquor store to buy a six-pack of beer, Carrieri said.
Baltimore County police make plea to find killer of Towson University college student shot in 1996
By By Peter Hermann
Somehow, LeCornu ended up in the Drumcastle parking lot. One theory was that she was buying drugs, but Carrieri said that other than Xanax for her anxiety, her sister preferred alcohol to drugs. There were no drugs found in her system, Carrieri said.
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LeCornu made some calls from the parking lot, Carrieri said – to the Mt. Washington Tavern and to a roommate's boyfriend.
Then, according to news reports at the time, witnesses saw a stocky black male in a camouflage jacket drive up to where Le Cornu was parked in a white BMW. They may have had a conversation. Then, at 3:41 a.m., LeCornu was shot from behind — the bullet went through the driver's-side rear window and through LeCornu's seat, evidence photographs show. The bullet went into her spine.
Police said LeCornu managed to drive across York Road to the York Road Plaza shopping center and into the Giant grocery parking lot, between where the Firestone Auto Care and Boston Market stand. Carrieri said witnesses at neighboring businesses watched as the man in the BMW drove up to LeCornu's car, reached inside to take something — police are not sure what — and slowly drove south on York Road.
'It just doesn't add up'
"It just doesn't add up," Carrieri said. She said police have cycled through — and ruled out — many theories: a robbery; a drug deal gone wrong; retribution for a case LeCornu's father had prosecuted. Nothing led to an arrest. Now, 22 years later, no one has been charged in LeCornu's killing.
"I'm not a detective, but to me honestly, this seems like it should not have been that difficult a case to solve early on," Carrieri said. "They had a description of the vehicle, they had witnesses."
[More Maryland news] Baltimore lab tech killed in drug clinic shooting worried for his safety, family says »
Vinson, with the police department, said it is fairly rare for a case to go this long without an arrest. The majority of the county's annual 25 to 30 homicide investigations are closed within the same year, he said.
In many of the remaining cases, Vinson said police have often developed a person of interest but do not have sufficient evidence to charge anyone.
"In this particular case, we haven't received sufficient information to charge someone," Vinson said. "But we're always looking into possibilities, and detectives constantly review the case to see if there's any options, especially with technology always improving."
Vinson declined to share details of the case because it is an open investigation.
Woman sues Baltimore County police for access to files in sister's unsolved killing
Dec 01, 2016 | 10:59 AM
Carrieri sued the police department in 2016 to gain access to her sister's case file in order to pursue a private investigation. She said she spent thousands of dollars and eventually had to settle with the department in 2017 without ever seeing the file. She was unable to disclose the terms of the settlement but said the department is communicating with her about the case.
[More Maryland news] Howard schools CFO resigns to spend more time with family; district looking to fill the position »
Vinson declined to comment on the lawsuit but said that, in general, police do not disclose case files until an investigation is closed. Homicide investigations are only closed if police identify a suspect and make an arrest, he said.
Without progress on the case, Carrieri said she has taken it into her own hands to get the word out. She has done interviews for news media, podcasts and true crime documentaries. She created a website and a Facebook page. And now she is spending more than $3,000 to erect a billboard.
'Find my killer:' Twin sister plans billboard on road where her sister, Jody LeCornu, was slain in 1996
By Lillian Reed
"Just seeing her, it's like her picture is so big, it felt like she was right there with me," Carrieri said Monday after seeing the billboard for the first time. "It's like a mix of feelings. I'm really excited for it to be out there, to try to get more exposure."
"It's been frustrating for her that she's been taking this all on kind of on her own," said Holtzman, the childhood friend. "I think she is absolutely amazing. It's taken a lot out of her emotionally. She kind of can't move on."
Carrieri said she will never truly move on — but knowing who killed her sister might help.
"She's always there," Carrieri said. "You carry on with your life but there's still a gulf of sadness. And you wonder: What happened?"
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Police ask that anyone with information about the case call Baltimore County Police or submit an anonymous tip to Metro Crime Stoppers by calling 1-866-7LOCKUP.
Most Read • Towson
'My mother was a beautiful soul,' says daughter of woman killed in Dundalk


Are you trying to build muscle? There are a lot of things that will help you achieve bigger muscles, and limit wastefulness in your workout efforts. This advice will help you reach all of your muscle-building goals. Avoid wasting your time and use these tips.
TIP! Eat a healthy diet that contains a variety of vegetables. Discussions about good diets for muscle building tend to obsess over complex carbohydrates and proteins; vegetables are largely ignored.
A common problem is the willingness to sacrifice form for speed. Instead of trying to squeeze in as many reps as possible, focus instead on completing your reps slowly and correctly. Go slow, and ensure that you are doing exercises in the correct manner.
By learning the best exercise techniques, you can make sure that you're not wasting time with exercises that will not help you build muscle. There are different types of exercise techniques that work on different things, such as toning or muscle building, as well as different muscle groups. It is important that you are using a variety of muscle building exercises on each of your muscle groups.
When trying to build more muscle, you will need to eat more in general. The amount you eat should be equivalent to you gaining around a pound of weight each week. Try finding ways to boost your calories, and if after a couple weeks, there isn't a change to your weight, try consuming more calories.
TIP! It is important to warm up your muscles with stretching exercises to avoid injuries. As muscles strengthen, they are under additional stress, which may make them more prone to injury.
If you consume meat, it will help you build your muscles. Eat 1 gram of meat per pound of body weight. Doing this will aid your body in storing protein and growing your muscles as large as you intend.
Don't skimp on protein when building muscle. Protein provides the building blocks that create muscles. If you do not eat enough of it, your body cannot create new muscle tissue. Look for proteins that are lean and healthy, and include them in a minimum of two of your meals per day, as well as in daily snacks.
TIP! As a source of motivation, set goals that are short-termed and reward yourself when each goal is attained. While truly building and maintaining muscle mass is a long-term achievement, motivation is key to staying on course.
Don't forget carbohydrates when you are working out. Carbs provide you with energy that you will need for your workout. By not consuming enough carbohydrates, your body is going to use protein for energy. Your workouts will be easier and more productive if you make sure that your body gets the carbs it needs.
Don't attempt to build muscles when you are preparing for a marathon or tackling other extreme cardio workouts. Cardiovascular exercises are necessary for fitness but may interfere with your attempts to bulk up by strength training. Put most of your efforts into strength-training if you wish to grow muscle.
If you want to get toned, then use lower weights and more reps and sets. Try taking breaks that don't exceed 1 minute and try 15 reps for each set. Maximizing lactic acid production in this fashion stimulates muscle growth. You will maximize your weight training by committing to this several times during each of your sessions.
Create the illusion that your body is larger than it really is. You can do this by focusing your training on your upper chest, your upper back and your shoulders. A bulkier upper body will make your waist appear smaller by comparison, giving you more impressive proportions.
TIP! Carbohydrates are essential to muscle building success. Carbs provide fuel for your body, giving it the energy to complete your daily routine.
Many different methods exist that can maximize the results you see when you are trying to build muscle. Use these tips to help build your muscles. Stop letting your efforts go to waste with results that are less than satisfactory for you; try the tips in this article for great end results!
we learn far more about asthma remedies Click on below , and that can assist you get on with your lifestyle.


Atul J. Butte, Chief of the Division of Systems Medicine at Stanford University School of Medicine, explains why it's an amazing time right now for biomedical research. As scientists are encouraged to share their finding on the internet, a wealth of new information is available for others to access and learn from.
Read more about Atul J. Butte.


text:
BBC Submits New Request to Film at Sounion
By : GTP editing team
Tag: 127 Wall, Alexis Tsipras, AMC, BBC, Digital Policy Minister Nikos Pappas, film production, film production initiatives, film production tax breaks, film productions, Filming In Greece, filming locations, filming locations Europe, Films, Foundation for Economic and Industrial Research (IOBE), Greece, Greece culture, Greece tourism, Greek Film Center, Greek Film Council Greek news, Greek travel, Hellenic Film Commission, Hollywood productions, incentives for filming in Greece, John le Carré, l6261l, Lefteris Kretsos, Lydia Koniordou, Park Chan-wook, The Ink Factory, The Little Drummer Girl
The Temple of Poseidon in Sounion. Photo Source: @Athens Attica
The refusal last week by Greece's Central Archaeological Council (KAS) to allow the filming of BBC series "The Little Drummer Girl" at the Temple of Poseidon at Cape Sounion has caused a political stir, while the producers went ahead and submitted a new bid set to be examined on Tuesday.
Citing the large number of crew, the heavy production equipment and the day-long duration of shooting, which "would impact the daily visitation of the archaeological site", the KAS said "no" last Tuesday to the international production almost a week after the digital policy ministry pledged attractive cash incentives to lure film productions to Greece.
Greek PM Alexis Tsipras
"One can only wonder how certain people think," said Greek Prime Minister Alexis Tsipras referring to the decision, during the 12 Regional Conference for Productive Reconstruction in Eastern Attica.
"The KAS can in given instances allow filming at sites… this may inconvenience some tourists but at the same time it promotes our cultural heritage to millions of viewers," the PM said.
Culture Minister Lydia Koniordou was quick to condemn the decision also noting that "we need to create the right conditions to be in harmony with what is happening in other countries so that Greece can evolve into a filming-friendly location," adding that the decision was "unfortunate".
In the meantime, the Greek Film Center, referring to the KAS verdict, said it was creating "barriers in all efforts to establish the country as an attractive filming destination".
Temple of Poseidon, Sounio/ Photo © Chris Kaddas – Facebook – Greek Islands
"One of the main comparative advantages of a country like Greece, is its archaeological and historical sites (18 of which are protected by UNESCO). It goes without saying that the country must tap into this wealth through the audiovisual industry, building in the process a brand name as a filming-friendly destination".
The six-part mini-series based on John le Carré's best-selling espionage masterpiece, will be financed and produced by The Ink Factory in partnership with 127 Wall and co-producers the BBC and AMC. Directed by filmmaker Park Chan-wook, "The Little Drummer Girl" is currently shooting at other destinations across Europe.
This is the team byline for GTP. The copyrights for these articles are owned by GTP. They may not be redistributed without the permission of the owner.
Ministry Sees Tourism Potential for Eastern Attica Destinations
Greek Tourist Traffic for Orthodox Easter Down, Say Hoteliers
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Here you can download full episodes of Drama TV Show Monte Carlo Season 1 by CBS, in high quality and low size. We will update this page with direct download links and all episodes.
Description: Monte Carlo: Joan Collins and George Hamilton in a crude story of espionage and love at the beginning of the Second World War. Monte Carlo, 1939. Before the outbreak of World War II, there only seems tense calm in the fashionable town of the rich. The famous singer Katrina Petrovna spied for British intelligence and provides important information to England. She makes the acquaintance of Harry Price, a handsome American writer who pretends to be for research in Monte Carlo. The two are fast approaching, but then attacks a squadron of the Royal Air Force at.
Next episode counter and download links to Monte Carlo seasons 1 below. Season 1 episodes are provided in mp4 and mkv, 720p Hd quality.


A giant muskie has been caught in Stonecoal lake near Weston.
It won't make it into the record books because it wasn't caught in sport, but discovered entangled in a net.
Bret Preston, an official with the Division of Natural Resources, says two state workers found the 53.875-inch-long, 46-pound muskie.
They attempted to revive the fish, to no avail.
Preston says the fish's teeth probably got caught in the net while attacking a smaller fish trapped inside.
The muskie would have broken the state record by more than an inch and would have come within 3 3/4 pounds of the weight record.
The previous record for length was a 52.7-inch-long muskie caught in Stonecoal Lake in 2003.
The weight record belongs to a 49.75 pounder caught in Stonecoal Lake in 1997.
The previous record for muskie length (52.5 inches) was established by Lester Hayes in the Elk River in 1955.


One - The perfect combination.
Stylish traditional design with all the convenience of the modern world. The Everhots aspirational design wins hearts immediately, combined with modern technology which works perfectly, Everhot has created a simple to use, easily adjustable oven, grill and hotplate.
The Everhot 90i, displayed in our showroom, includes an induction hob which adds to the convenience of the cooker and is another way Everhot have combined traditional styling with ultra modern technology.
From the soft close doors that open easily using a gentle magnetic system to the perfectly weighted lids, there's no clunking around with the Everhot.
The cooker set to Eco will turn off at 10pm and warm up again at 5am ready for an early morning start and warming your kitchen in readiness for your arrival! Genius!
Everhot cookers start from £4825 for a 60 to £9500 for a 150i. On top of that there is a wonderful range of colours including teal and purple as well as more traditional colours. Everhots are delivered to your home and installed in approximately an hour by knowledgeable engineers who will then take the time to run through the cooker with you. Any problems, which are rare, and Everhots own engineers will be out to see you. A service second to none.
If you're looking for a new range cooker, pop into our showroom in Wadebridge or send us an email and we will let you know when we are hosting the next demonstration.


text:
Home Digital Health Guide for digital health innovators to overcome barriers launched
Guide for digital health innovators to overcome barriers launched
A new guide for digital health innovators launched by Boehringer Ingelheim (BI) provides a comprehensive assessment of the English health system, pooling key stakeholder insights and signposting to further information for entrepreneurs to overcome barriers to the adoption of new technologies.
The guide features contributions from Academic Health Science Networks (AHSNs), experts in digital and data and successful healthcare innovators and aims to optimise innovator opportunities and help them plot a clear pathway for digital health technologies to improve services and reach patients. The Innovator's Guide aims to help build a sustainable healthcare fit for the future, set out in the government's Life Science Industrial Strategy.
Guy Boersma, managing director of Kent Surrey Sussex Academic Health Science Network said: "The impact of the Coronavirus pandemic highlights the critical role of digital technology in driving the transformation of health and care services – enabling professionals to stay connected with patients, supporting online services and giving people greater control over their own care. This is exactly why AHSNs were established and working in partnership we are making significant inroads into supporting the spread of transformative technologies: for example, over the past six months we have supported the national rollout of electronic repeat dispensing and access to video and online consultations in almost every GP practice. However, the health and care system is complex to navigate and so it is useful for innovators to have the advice, support and signposting they need, so we can match proven solutions to health challenges as quickly as possible. With this in mind we welcome the Guide, the knowledge it shares along with effective approaches and best practice within digital healthcare."
An Innovator's Guide to the NHS: Navigating the barriers to digital health, provides a holistic view of the digital landscape, providing an outline of the regulatory, access and reimbursement environments facing digital entrepreneurs today. Integrating digital in healthcare requires a technological and cultural transformation, with the guide highlighting the need to overcome the fragmentation between local and national access and reimbursement and the challenge of digitally upskilling a huge workforce.
As public reliance on technologies is at an all-time high due to the need for increased remote healthcare during the pandemic, the time is now for everyone involved in patient care to work together and overcome barriers to innovation. In December 2019, NHS Digital reported that just 15% of primary care appointments during the month had taken place by phone or online. By April 2020, this increased to 49%. Use of health innovations online has also increased in recent months, with Diabetes UK's Know Your Risk tool showing a huge 637% increase in usage from end of July to the end of September, compared to the two months previously.
Supporting digital innovations is a government priority and organisations like DigitalHealth.London have been set up to help increase health entrepreneurs' confidence in digital. The Digital Pioneer Fellowship, sponsored by Boehringer Ingelheim, is championing 37 change makers employed by NHS organisations in London and the South East to design and lead digital transformation projects.
Uday Bose, Boehringer Ingelheim UK general manager said: "COVID-19 has forced us all to live differently and digital technology has been a key enabler of this. Without doubt it is the greatest driver of accelerating tomorrow's healthcare improvements. It's great to see the huge impetus behind digital innovation in the NHS and as a family owned, purpose led and innovation driven company we are committed to helping improve the health of people now and for future generations and digital transformation supports this ambition. The new Innovator's Guide is a culmination of months of interviews and insight gathering from NHS stakeholders and tech innovators and we hope it will accelerate digital health adoption."
The Innovators Guide can be downloaded here.
Digital Health NHS Academic Health Science Networks (AHSN) Innovation Boehringer Ingelheim (BI)
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redpajama_set_name: RedPajamaGithub


Motorola Droid Android 2.2 Update Expected "In the Near Future"
Motorola is bringing in Android 2.2 to the Droid, and this is expected to happen in the near future. That could also mean the Motorola is pretty excited about the prospects that Froyo will bring with it. We also think this could be an exciting proposition when the Android 2.2 actually comes along.
From what we get to know from reports talking of Froyo on Droid, we have enough reasons to believe that Motorola would indeed integrate the Google OS on its handsets.
A spokesperson for Motorola has been quoted by writers at Slashgear as saying that the company is excited to see Google's next version of the Android OS. He has also said that Motorola is indeed looking forward to integrating Froyo on its Android-based devices as it's made available to the open source community. That, of course, sounds great.
So that could mean the Motorola Droid could get Froyo integrated on to its Android devices as soon as Google gets the OS updated for its Nexus One. We expect that by saying "in the near future", the Motorola spokesperson could be having a date of launch in his mind. We are looking forward to that "near future." May be Verizon Wireless might be lining up a date and we could latch on to that info soon. Watch this space.


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NFL Rumors: Pittsburgh Steelers Consider Colin Kaepernick As Next Ben Roethlisberger; Antonio Brown, Le'Veon Bell Get New Leader
By Doug Jackson ( [email protected] ) Mar 29, 2017 04:50 AM EDT Comment
San Francisco 49ers quarterback Colin Kaepernick (7) runs onto the field during a NFL game against the Arizona Cardinals at Levi's Stadium. Kirby Lee-USA TODAY Sports
The Ben Roethlisberger retirement talks are getting louder as the offseason progresses. While the Pittsburgh Steelers appear to remain firm that the veteran will be with them in the 2017 NFL season, many believe that this might be the last year for Big Ben. With this in mind, a Colin Kaepernick contract to the Antonio Brown team is anticipated soon.
The former San Francisco 49ers star had a difficult season which included the infamous political stance of Colin Kaepernick. While Chip Kelly and the rest of the staff kept mum about the issue, many criticized the quarterback for disrupting the chemistry of the team. Despite his controversies, Kap remained co-starter with Blaine Gabbert which demonstrated the staff's confidence in his talent in the gridiron. However, the offseason decisions of the NFL team later on proved otherwise.
Rumors are rife that the Pittsburgh Steelers plan to bank on a Colin Kaepernick contract to resolve their concerns over the looming Ben Roethlisberger retirement possibility. While no comment has been made by the parties tagged in this NFL rumor, the Antonio Brown team admitted that their veteran leader might be hanging his cleats soon.
"I think we've been in that mind-set for the last several years, that's what this business tells us to be in," shared Pittsburgh Steelers Head Coach Mike Tomlin of the Ben Roethlisberger retirement possibility. "We better start sharpening our sword in terms of evaluation of quarterbacks and what's available to us or potentially available to us. That's just due diligence. So, yes, we have."
Meanwhile, many fans of the Pittsburgh Steelers are wary over a Colin Kaepernick contract in their roster. For one, they fear that the former San Francisco 49ers star might be too disruptive to the dynamics of the Antonio Brown group. More importantly, his particular skill set might not be good enough to fill in for Ben Roethlisberger. However, these concerns were shot down by Baltimore Ravens coach John Harbaugh when he was asked about the problematic quarterback.
"He's too good a player," commented Harbaugh of Colin Kaepernick. "I mean, he's got to prove himself as a player. Colin knows that, he'd be the first to tell you that. You know, when you're the quarterback and you don't win, you're going to have to answer for that. But he'll get a chance again. Someone's going to sign him and he'll play in this league probably for a long time."
Tags : NFL Rumors, Pittsburgh Steelers, Colin Kaepernick, Ben Roethlisber, San Francisco 49ers


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Will Viorica Dăncilă win the motion of no confidence against her government?
Romania's government is set to face a motion of no confidence from the country's opposition parties on Thursday.
The official motion will be presented in front of parliament on Monday to challenge the ruling coalition headed by the Social Democratic Party (PSD).
The government is headed by Prime Minister Viorica Dancila, who was appointed earlier this year.
Romania's National Liberal Party (PNL) is leading a coalition of 163 MPs from PNL, Save Romania Union (USR) and Pro Romanian (PMP) parties to sign and back a no confidence motion against the Dancila's government.
The opposition accuses the ruling PSD-ALDE coalition of proposing recent amendments that they say endangers judicial independence.
The ethnic Hungarians' party (UDMR) will most likely not back the motion, giving Prime Minister Dancila a chance to remain in power.
According to Romanian law, one no confidence motion can be filed per parliamentary session. A previous no confidence motion against the Dancila government failed to gain the necessary support in July.


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