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The Houghton Regis Academy had an Ofsted inspection on Wednesday 23rd and Thursday 24th January 2019.
"Pupils feel safe. Most say they enjoy school and like the community spirit that it provides"
"Leaders have improved pupils' attendance this year and have significantly reduced the number of pupils missing school frequently" | {
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The call I was always afraid of. This morning my mother was murdered.
The message is from a friend. A great person with a beautiful family. They live in the US. He's a geek, a bit intense — and annoyingly smart.
Why would he be afraid of such a horrible call? Likely because all cold minded Venezuelans living abroad are. We all experience the same leap second of panic every time an incoming phone call from home appears in our smartphones.
Four months ago my next door neighbor received one. For him, it was his Dad.
This post has no real point or ending. Just the need to share the incredible sadness of having to once again utter: I'm so sorry for your loss — and seeing the words fall light years short of the comfort you wish to get across.
I feel useless not being able to help with his pain in this horrible time. But I'm also terrified of understanding how he feels. | {
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Full support for women in a sheer fashionable look.
duomed transparent is the ideal medical compression stocking for fashion-conscious women interested in their vein health.
With a sheer, stylish look and lightweight, soft material, duomed transparent naturally matches any outfit so that only you will know you're wearing a compression stocking.
made by medi, a world leader in medical compression therapy. | {
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National Academies: Adolescent Science Should Transform Systems
Posted August 2, 2019, By the Annie E. Casey Foundation
Are youth-serving institutions designed to support adolescents for success as adults? A comprehensive report from the National Academies of Sciences, Engineering, and Medicine says no, documenting an extensive body of research on the importance of adolescent brain development and finding that systems from education to child welfare are ill-equipped to provide what teenagers and young adults need.
The report, The Promise of Adolescence: Realizing Opportunity for All Youth, was supported by the Annie E. Casey Foundation and seven other partners in the Funders for Adolescent Science Translation (FAST) collaborative, a diverse group of investors with a shared goal: to reduce inequities and promote positive development for adolescents, using research as the catalyst for change.
"This report shows that the adolescent brain is perfectly designed to do its job, to fulfill its promise to grow and learn rapidly, right at the time a child is transforming into an adult," said Sandra Gasca-Gonzalez, Casey's vice president for the Center for Systems Innovation, who delivered opening remarks at a launch event to release the report at the National Academies headquarters in Washington, D.C. "It also shows we have a real opportunity to design more effective systems and equip practitioners who work with young people to do so much better."
The report is divided into two main sections. First, researchers review the science of brain development in adolescence, a period neurologically defined as beginning at the start of puberty and extending through the mid-20s. The report stresses the rich developmental opportunity of these years: Changes in structure, function and connectivity serve to prime the maturing adolescent brain for exploring frontiers, taking healthy risks, forming bonds with peers and adults and developing their unique identity. The period is also defined by a neural plasticity that allows young people to adapt to environmental demands and demonstrate resilience when confronted with adversity.
But social ills can constrain this malleability. As young people, we are adaptable to learning and innovation, but the effects of toxic exposures, including structural racism and discrimination, can cause lasting harm to our confidence and development of a positive identity. The dual nature of the interplay between biology and the environment makes it all the more critical that the systems responsible for guiding kids into adulthood get it right. As the report points out, "the future condition of the brain and the body will be affected by events that have changed the trajectory in the past, and interventions undertaken in the present have the potential to remediate past developmental challenges."
The second section of the report outlines the research committee's recommendations for how adolescent-serving systems can improve their strategies to ensure opportunity for all youth, and especially those whose promise is severely limited by the disadvantages — economic, social and structural — that come hand in hand with racism and discrimination. The suggested reforms are grouped according to four systems: education, health, child welfare and juvenile justice.
Casey's commitment to achieving results for kids is grounded in its deep work in child welfare and juvenile justice. The report's key recommendations — which tell how child welfare and justice systems can better support the teens and young adults they serve — include the following:
Reduce racial and ethnic disparities in child welfare system involvement.
Promote broad uptake by the states of federal programs that promote resilience and positive outcomes for adolescents involved in the child welfare system.
Provide services to adolescents and their families in the child welfare system that are developmentally informed at the individual, program and system levels.
Conduct research that reflects the full range of adolescents in the child welfare system.
Foster greater collaboration between the child welfare, juvenile justice, education and health systems.
Provide developmentally appropriate services for adolescents who engage in noncriminal misconduct without justice-system involvement.
Reduce disparities based on race, ethnicity, gender, ability status, and sexual orientation or gender identity and expression among adolescents involved in the justice system.
Ensure that youth maintain supportive relationships while involved in the justice system and receive appropriate guidance and counsel from legal professionals and caregivers.
Implement policies that aim to reduce harm to justice-involved youth in accordance with knowledge from developmental science.
Implement developmentally appropriate and fair policies and practices for adolescents involved in the criminal justice system.
For those youth in the custody of the justice system, ensure that policies and practices are implemented to prioritize the health and educational needs of adolescents and avoid causing harm.
"The Promise of Adolescence provides a detailed, evidence-based roadmap for harnessing the potential of all young people," says Jeffrey Poirier, a senior associate in Casey's Research and Evaluation unit and a member of the FAST collaborative. "We have the information on the significance of the neurobiological development of adolescents; now that knowledge needs to be put to use through systems reform and new innovation as well as research to fill gaps in our understanding about this critical developmental period."
Watch a video on brain gains and strains for young people in foster care
Juvenile Incarceration
Youth in Transition | {
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Here in America we have a constitutional republic as our form of government. Our Constitution limits the power of office holders, protects the rights of minorities, and limits the dangers that may result from majority rule. The rule of law is all important and central to its purpose. The House of Representatives, Senate and chief executive are responsible for developing policies and passing laws designed to protect and benefit American citizens.
Although this system has been severely tested at times, overall it has worked fairly well. Congress and the chief executive have usually managed to work together to resolve their difficulties and enact legislation, even though they may represent different parties and philosophies.
That has not been the case recently, however, as President Trump and the Democrats are at loggerheads over the border wall and the government shutdown. Of course, their differences aren't quite that simple, as this impasse goes back to the last administration when Republicans would not go along with some of President Obama's pet projects and refused to even grant a hearing to Judge Merrick Garland, his Supreme Court nominee.
It was hardly surprising then, that payback time arrived for the Democrats when President Trump nominated Judge Brett Kavanaugh for the high court and they did their best to prevent his confirmation.
It was far from their finest hour for some of the Democratic members of the Senate Judiciary Committee as they grandstanded and pontificated, covering themselves not with glory but with shame. They further disgraced themselves by their treatment of Judge Kavanaugh, ignoring the presumption of innocence, and accepting unsubstantiated evidence as fact. As lawyers, all of them knew that was wrong. It was purely political, as were the mobs of anti-Kavanaugh demonstrators wandering the halls of congress harassing and confronting Republican committee members. It was all staged and rehearsed.
How did we get to this sorry point? The government shuts down and members of congress take a vacation when they should be working hard to find a solution? It was a dereliction of duty but easy to understand because the Democrats hate Donald Trump so much and they still cannot accept the reality that he beat their shoe-in candidate, Hillary Clinton. They are still bitter and refuse to give him credit for anything he has accomplished, attributing any successes he has had to his predecessor. They will not do anything to help him. Sabotaging Trump is far more important than taking action to protect Americans.
We are badly in need of border security and must find ways to fix our self-defeating immigration policies. What could be more important than protecting Americans by preventing illegals from entering our country? Democrats will not endorse a wall because Trump wants it. Their excuses for opposing it are flimsy. They have not offered an alternative to a wall and do not seem to be concerned about the dangers illegal immigration presents.
To quote Benjamin Franklin: "We have a republic, if we can keep it." Too bad we don't have someone with Ben's wisdom around now to help us out.
What can we expect from this Congress? Will the present leadership reach an accommodation and work together or will we have gridlock and dysfunction?
Instead of impeaching the president, maybe we should impeach Congress and start from scratch. Could a brand-new Congress be any more ineffective than the one we have now? | {
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Beyond Ladakh
Trekking in Ladakh
Homestay & Guest Houses
Welcome to Ladakh-Ladakh Travel Info. Weather Events & Tour Packages
Phyang Monastery
Location within India
Monastery information
Fiang, Leh district, Ladakh, Jammu and Kashmir, India
chosje dharma kunga takpa
Tibetan Buddhist
Sect
Drikung Kagyu
started from vajradhara tilopa naropa marpa milaraspa gampopa phakmodrupa jigtensumgon
Head Lama
drikung skyabgon chetsang rinpoche (head teacher)
Skyabje Toldan Rinpoche (rein. head lama)
Number of monks
Gang-Sngon Tsedup Festival-
28 and 29 of the fifth month
Sacred dances -2nd -3rd of the 6th month
Phyang Monastery, Phyang (or Phiyang) Gompa is a Buddhist monastery located in Fiang village, just 15 or 16 kilometres west of Leh in Ladakh, northern India. It was established in 1515.
There are a couple of divergent traditions regarding its founding.
"The site where the monastery now stands was once a part of the numerous monastic properties, offered during the time of Dharmaraja Jamyang Namgial to Chosje Damma Kunga. The hill of Phyang served as the venue of a monastery, known as Tashi Chozong, established in the year 1515. A monastic community was introduced to the monastery and with this started, the first establishment of the Digung teachings in Ladakh."[1]
Others say that it was founded by king Tashi Namgyal, whose reign has been established from independent sources to have been in the third quarter of the sixteenth century. There are a number of chronological difficulties in establishing events in Ladakh at this period and it is assumed that some names have been omitted from the Chronicle either from mistakes in memory or tradition, or a deliberate attempt to eradicate some events which were thought better forgotten.[2]
The monastery is one of only two in Ladakh belonging to the Drikung Kagyu, Dri-gung-pa or Drigungpa school, one of eight schools derived from the teachings of Phakmadrupa Dorje Gyelpo (1110-1170 CE).[3][4]There are many drikung monasteries in ladakh: three main and more than thirty branch monasteries.
After the monastery was built, it specialised in Digung teachings under Skyoba Jigsten Gonbo. The current head teacher is Apchi Choski Dolma and the reincarnation of Skyabje Toldan Rinpoche is the head lama.[1]
Phyang contains numerous sacred shrines inside the monastery, frescoes dating from the royal period, and a 900-year-old museum which has an extensive collection of idols including a number of fine Kashmiri bronzes probably dating to the 14th century, thangkas, Chinese, Tibetan and Mongolian firearms and weapons.[1][5]
The Gang-Sngon Tsedup Festival is held annually from 17th day to 19th day of the first month of the Tibetan calendar. On the 2nd and 3rd day of the 6th month of the Tibetan calendar Phyang serves as a venue for sacred dances.[1]
Resellers/Agents
Tour Updates
Mail tour updates
yatra to ladakh
24/7:+918605855995/+919717292521 | {
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In the second part of this series, I examined the effect of our definition of enterprise on how we think about EA.
To close, I'll consider the implications of a more inclusive concept of enterprise on the future of Enterprise Architecture.
The focus of an academic program on Enterprise Architecture will necessarily reflect the prevailing concept of enterprise. The commonly used model of Enterprise Architecture being about people, process and technology provides a useful context for considering this influence.
A concept of Enterprise Architecture based on the idea of enterprise as business will emphasize business, especially business processes, as they are the primary locus of technological support. It will include just enough about information technology and people to enable practitioners to address the goal of making IT a strategic asset for businesses.
A concept of Enterprise Architecture based on the idea of enterprise as human endeavor will emphasize the role of people, and be built around the sociology and psychology of individuals, groups and organizations, especially leadership and management as means to achieving organizational goals. It will devote some attention to business as a particular kind of enterprise, but will look at other forms of enterprise and their unique concerns as well. Finally, it will consider technology in its most general sense as the means of instantiating the infrastructure necessary to realize an enterprise. There will be a lot of harumphing about how the conventional wisdom is correct by definition because it is what is practiced by the majority of practitioners, but there is a noisy and insistent contingent that will continue to point out that the world is not flat and the sun does not go around the earth. Only time will tell, but however you measure it, over 90% of most organizations is "not-IT", and the IT-centric perspective is simply so imbalanced that it can't ultimately prevail.
Adopting a broader concept of enterprise consistent with its meaning in common English usage does not in any way invalidate any of the current applications or interpretations of Enterprise Architecture. It simply allows the application of architectural thinking to other kinds of purposeful human activity besides commercial business organizations to be subsumed under the rubric "Enterprise Architecture". All entities that are enterprises by these more restrictive definitions clearly fit unchanged into this more inclusive definition of enterprise.
Len Fehskens is Vice President of Skills and Capabilities at The Open Group. He is responsible for The Open Group's activities relating to the professionalization of the discipline of enterprise architecture. Prior to joining The Open Group, Len led the Worldwide Architecture Profession Office for HP Services at Hewlett-Packard. He majored in Computer Science at MIT, and has over 40 years of experience in the IT business as both an individual contributor and a manager, within both product engineering and services business units. Len has worked for Digital Equipment Corporation, Data General Corporation, Prime Computer, Compaq and Hewlett Packard. He is the lead inventor on six software patents on the object oriented management of distributed systems.
Thank you for this article! And I'm especially pleased to see that this is published in the Open Group blog. As the popularity of TOGAF grows, I hope to see in the next releases less IT-focus and more AofE spirit and content.
I've posted a short article two years ago (http://www.strategicstructures.com/?p=4) on the topic of EA being both IT- and organisation-centric. Now, two years later, although a lot of articles and books appeared speaking about whole-of-enterprise EA (e.g. http://www.igi-global.com/book/enterprise-architecture-connected-government/62630), I don't see a big change happening. I wish you are right in this statement: "They will be replaced, over time, by EAs who learn the discipline in academic programs rather than by making it up on the job", although I don't know what makes you think that what will go in the academic programs will be good stuff.
What's left is to trust the evolutionary mechanisms. The IT-centric EA is just not viable and it will either go soon or will become marginal instead of mainstream. It's a bit like predator in a new ecosystem. They came (I mean this mindsets, not people), they dominate and they will go. I see the first signs already. The EITA tribe is less respected by IT and is not more respected by Business. In some case even there is a perception that those who are not good enough (anymore) in IT goe to EA, as there is a comfort in the vagueness and many things can pass. At the same time Business people still see EA (aka EITA) as IT, which if everything, just harms the image of EA. Thus we have another silo and I don't see it thriving. I just hoped the learning cycle will turn faster.
Thanks for your comments Ivo.
I've long believed that the curriculum of an enterprise architecture degree program is more a problem in "configuration management" than one of creation out of "whole cloth". I.e., it's more a matter of borrowing courses from other degree programs and figuring out the right combination. than it is of making up new courses. I do worry that many early programs will be strongly predisposed to the IT-centric perspective on EA, based on the "enterprise = business + IT" model, but if you take the time to think through the implications of this model, it falls apart rapidly, raising more questions than it answers.
As I mentioned in Part 2, I think we're seeing a reaction to the community's intuitive understanding of this in the surge of interest in business architecture. I worry that the concept of enterprise architecture has become so identified with an IT-centric perspective that "business architecture" will try to be a different shadow of what enterprise architecture should be; but this time with a "business"-centric focus rather than an IT-centric focus. I observe two things about this trend. First, virtually none of the commentary about "business architecture" defines what the community means by "business". It's assumed we all know what it means, and we all know the same thing. I think the diversity of opinion about what a business architecture looks like suggests that maybe this assumption is mistaken. And second, as I tried to demonstrate in Part 1, there are enterprises whose primary concern is not "business" (whatever that means); are they not legitimate subjects of business architecture, or will we have to "adapt" the substance of business architecture to things that are not businesses, just as today we have to adapt much of the collateral of the conventional IT-centric concept of EA to the non-IT parts of an organization.
Too much of the way we think about enterprise architecture as a discipline is shaped by the context within which much of it is practiced today — i.e., commercial business. Indeed, for many consultancies, the practice of enterprise architecture *IS* a commercial business, and commercial business only thrive by "going where the money is".
I have become very wary of reasoning about enterprise architecture by analogy, but sometimes it can be helpful. So I ask the community, what if the medical, legal or engineering professions decided early in their evolution that the words they used to talk about their work amongst themselves didn't matter (the words they use to talk about their work with their clients is a different problem). What if they had decided that their profession was not broadly applicable but only about a particular subset that was the most frequently encountered? What if they had adopted language that implied that anything outside that subset was excluded from their concern? Would they be the professions they are today, and would the community at large, the community they exist to serve, be better off for it?
I believe that currently EITA has a role in IT. EITA started in IT and has value for IT. It won't disappear.
But true, without business and people views, the EA is incomplete and little relevant to the much larger enterprise. It would never bring the touted benefits.
That's why one needs new frameworks (such as FFLV-GODS) that describe generic business blueprints and structures in which architecture views, such as business, people and technology, integrate back in.
The academia comes with its own courses which are dissenting as much as today's frameworks. As such they and the new certified professionals won't make any difference until a proper framework is agreed and adopted by most. The new professionals won't be any better as such.
But yes, defining the concepts would be a first step. Such as what an enterprise is, what is EA, its scope and what a framework means.
Nice post Len. I am glad to see this being published in The Open Group blog.
I'm sorry, I don't get the point you're making. This series is not about organizational design, and certainly does not purport to "reinvent" organizational design. It is explicitly about the widespread usage by the EA community of four words as if they were synonyms.
Perhaps you could take the time to more fully explain your point, and its relationship to the point I was trying to make.
"It concerns knowledge and skills regarding the study and implementation of complex changes within organizations. Such changes are intentionally drafted with the aim of solving problems within and between organizations. OD&D not only considers challenges organizations face internally at the levels of its individual members, its teams and departments or at the overall organizational level, but also looks at the relationship between organizational changes and societal developments.
The playground that OD&D occupies concerns the combined fields of organization design and organizational development. Organizational design relates to the interventions shaping work division, human resource systems and technological means that organizations have at their disposal.
The field of Organizational Development and Design already has an all inclusive definition of organizations which is more inclusive than what you are proposing.
My conclusion is that your series is about Organization Design only you/TOGAF/enterprise architects are not aware of it.
I find it hard to imagine a more inclusive definition of organization than "a structured group of people and resources, usually acting in concert to achieve some shared purpose", but I would be happy to adopt such a definition were you to provide it.
>My conclusion is that your series is about Organization Design only you/TOGAF/enterprise architects are not aware of it.
I actually am well aware of Organizational Design, but still come to a different conclusion. As I tried to demonstrate in this series, organization and enterprise mean different things. Elsewhere I have argued that architecture is a specific kind of design, which leads me to the conclusion that enterprise architecture and organizational design are related but distinct disciplines. A very large number of other people have come to the same conclusion via different paths. The number of people who believe something is never a guarantee of the correctness of that belief, and it is quite possible that we are all wrong and you are right.
As this is all irrelevant to the central point of the series. I'll leave it at that.
With "definition" I didn't mean a literal definition of the word "organization" from e.g. a dictionary but a definition from how the designer sees his object under design, e.g. like this phrase from the university brochure (from which I provided the link in my previous comment) "Organizations are partly shaped by deliberate design, but also by socially shared work practices and unintentional ways of organizing.". The brochure also links organizations to society and broader infrastructures. I miss both things in your concept definition. That is why I made the statement that Organizational Development and Design uses a more inclusive definition. Maybe definition was not the right word to use and was something like "perspective" or something. But I'm Dutch so sometimes I use not always the best words i guess.
BTW you are talking of a "concept of Enterprise Architecture based on the idea of enterprise as human endeavor will emphasize the role of people, and be built around the sociology and psychology of individuals, groups and organizations, especially leadership and management as means to achieving organizational goals". As I read it you focus on organizational goals so I'm interested in: what makes Enterprise Architecture different from Organizational Development and Design?
I think this last question is related to the theme "Different Words Meant Different Things" so I hope you will change your mind about "I leave it at that.
Having slept on this, I've concluded that I have been unfairly dismissive of Peter's remarks. The question, couched by Peter as an assertion, about the difference (or lack of difference) between the discipline of organizational design and the proposed generalization of the current IT-centric concept of enterprise architecture, deserves consideration. That said, I don't think that the comments section of this thread is the right place to have this discussion. I'd prefer to keep the comments focused on the central point of the series — the blurring of distinctions between four words in widespread use within the EA community, and whether this is necessary or appropriate.
These distinctions do have some relevance to Peter's concern. For example, my concept of enterprise includes the Apollo moon landing program, but the Apollo program was not an organization. This enterprise, to send men to the moon and return them safely before the end of the decade of the '60s, was realized by multiple organizations, specifically NASA and its contractors. My understanding of Peter's assertion is that organizational design applies to programs like the Apollo program, not just the organizations (NASA and its contractors) that participated in this program. That is a question of what I have called "scope of concern". There is also a question of what I have called "nature of concern", i.e., what kinds of design decisions are the concern of organizational design applied to this scope of concern? Not all design decisions are architectural, and that distinction is the subject of another ongoing debate.
So, clearly a subject worth exploring, but one deserving its own venue, not as a footnote to a different discussion.
I like the idea to use the "landing a man on the moon and returning him safely to the earth" program as a background to explore things further. | {
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Wide Leg Crochet Lace Design, Elastic waistband with drawstring and partially lined with a box short.
These gorgeous wide leg crochet Beach pants are perfect for the beach and for any time of the day.These lace pants will flatter everyone who wears them.
They look great with a tank or, bikini top. Maybe you want to dress them up with your favorite bandeau bra.
They're made of 65% cotton 35% Poly.
But it gets better because these pants come in black, cream and white!
It only makes sense to buy every color ! | {
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Henryk Gryc (ur. w 1930 w Tarnowskich Górach, zm. w 1993 w Polanicy-Zdroju) – polski architekt i z zamiłowania grafik.
Życiorys
Urodził się na Śląsku, dyplom architekta uzyskał na Politechnice Śląskiej, jednak po kilku latach przeniósł się z rodziną (matką i siostrą) na ziemię kłodzką. Od najmłodszych lat obracał się w środowisku polsko-niemiecko-śląskim.
Henryk Gryc działał na pograniczu sztuki i rzemiosła. Jego projekty architektoniczne kreślone piórkiem lub w ołówku, bywały często dziełem sztuki. Zawód architekta pozwalał mu na częste wyjazdy w teren, gdzie piórkiem lub pastelem z iście inżynierską precyzją utrwalał ocalałe jeszcze ruiny zamków, kościołów, kapliczek i zakątków regionu. Kilkadziesiąt lat wcześniej w podobny sposób działał niemiecki malarz, grafik i scenograf, Max Reimitz (1891–1973), od 1931 r. przewodniczący kłodzkiej Grupy Artystycznej (Kunstgruppe des Vereins für Glatzer Heimatkunde), przed wojną również mieszkający w Polanicy (wtedy Altheide-Bad).
Grafiki Gryca ukazywały się w tygodniku "Gazeta Polanicka", potem w "Gazecie Gmin". Tam również publikowana była seria szkiców powstałych w czasie pielgrzymek po sanktuariach maryjnych Europy, z krótkimi przypisami Henryka Czai.
Obrazy i grafiki H. Gryca były prezentowane na wielu wystawach. Zaszufladkowany jako twórca ludowy, z licznych wystaw i konkursów przywoził nagrody i dyplomy. Także malował, miał sporządzone przez siebie znakomite kopie portretów Bacha, Mozarta, Wagnera i Beethovena; był również zapalonym melomanem.
H. Gryc jako architekt był współtwórcą kształtu polanickiego deptaka, zaprojektował lampy, balustrady i elementy małej architektury.
Bibliografia
Henryk Grzybowski, hasło Henryk Gryc w: Popularna encyklopedia Ziemi Kłodzkiej, t. 1 (A-J), red. Janusz Laska, Mieczysław Kowalcze, s. 242, Kłodzkie Towarzystwo Oświatowe, Kłodzko-Nowa Ruda 2009, .
Henryk Czaja, Henryk Gryc w: Polanica Zdrój wczoraj i dziś, t. II, s. 421–422; Nowa Ruda-Polanica Zdrój 2006, .
Polscy architekci
Ludzie związani z Polanicą-Zdrojem
Urodzeni w 1930
Zmarli w 1993
Ludzie urodzeni w Tarnowskich Górach | {
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If you work for a company, and the boss won't let you participate in social media on company time "because it's just a fad," here's a powerful video that will prove the boss wrong.
Or maybe YOU'RE the one who needs convincing. If you own a business and you already wear a dozen different hats, you don't want one more to worry about.
Before you totally discount social media, please watch this video, think about the social media statistics you see here, and then decide. | {
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DanceAfrica Bazaar is an annual event, held every May at the Brooklyn Academy of Music, that celebrates and showcases the material culture of a wide range of African cultures and countries. In 2019 it's taking place May 25, 26, and 27.
It's a huge three-day outdoor "market" where you can buy African cloth and clothing made in traditional African cotton material, musical instruments, jewelry, hats, music, instruments, body lotions, perfumes, music, foods and much more. According to BAM, "Over 200 vendors from around the world converge on the streets surrounding BAM, transforming the neighborhood into a global marketplace" selling a range of African, Caribbean, and African-American food, crafts, and fashion.
This annual outdoor market serves as a meeting place where friends gather; it feels more like a big party in a smallish city than a mall. It's relaxed, multiracial and multiethnic, proudly pan-African, fun--and often quite crowded. People aren't just shopping, in that focused, functional way one does in the supermarket--rather, they're having a good time. Friends greet each other. Vendors from out of town meet local family and colleagues here. Conversation, people-watching, and pleasure are the currency.
Guest artists roam around the marketplace, playing instruments or singing.
There are places for kids to play: you can find both face painting and crafts at the Children's Village.
This bazaar, sponsored by BAM, is part of the rich and diverse cultural heritage of Africa and its diaspora at the DanceAfrica Festival. You can walk around the bazaar for free; there's no entrance fee. But to see any of the BAM shows in its various theaters, it's best to get your tickets in advance.
When: Every Memorial Day weekend, a three-day affair. It runs from noon until 8 PM in the evening, and until about 10 PM on Saturday evening.
Where: Near the Brooklyn Academy of Music in the Downtown Brooklyn Cultural District, near BAM.
What: The outdoor bazaar is part of a larger DanceAfrica celebration held annually, that includes ticketed and free performances.
Admission fee? The bazaar is free.
Is it family friendly? Yes, there are family-friendly performances, and inexpensive trinkets as well as more expensive items. Kids will enjoy eating food and taking in the festive atmosphere.
What is BAM? It's the Brooklyn Academy of Music, one of Brooklyn's oldest cultural institutions.
It's easy to get to BAM by public transportation. On the subway, you can take the 2, 3, 4, 5, B, Q, N, R, or D train to Atlantic Avenue/ Barclays Center. You can also take the C train to Lafayette Avenue and the G train to Fulton Street. All of these stops are within an easy walk to the venue.
The Long Island Railroad also stops at Atlantic Terminal, about one block from BAM.
If you want to arrive by car Lyft, Uber, or Via is the way to go. Parking is difficult in this neighborhood, and you might spend more time looking for a spot than at the marketplace! | {
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A memorial honoring Dr. Haim Arlosoroff.
The Fund initiated, furthered, and financed this project – the perpetuation of the memory of Dr. Haim Arlosoroff, marking 75 years after his murder.
The project includes a statue, chosen following a competition in which a number of artists participated.
The statue, by sculptress Drora Domini, was erected early in 2009 on the promenade in Tel Aviv, near the site of the murder, as part of the city's centenary celebrations. | {
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} |
Serious Sam 3 BFE Help Line Video 3provides you with an interesting as well as efficient Help Line trailer for the game Serious Sam 3 BFE.
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It is the hottest 3D action game now! | {
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} |
Here at WR Phillips, we decided that to commemorate the arrival of the toughest truck in the land, The Triton Huntaway, we would make our own. Enter the Maui. The Maui is a Mitsubishi GLX-R 4WD Double Cab, optioned out to make the best value truck, even better value.
We've taken the 17" Alloys and upgraded them to a 20" DMT Fuel Wheel and Rim Combo, giving the 4WD an even tougher stance and better off-road ability. To make a great looking truck stand out even more, we have fitted the Maui with Red and Black Decals and Powder Coating. A Bonnet Protector and Window Tints finish the look. For those that want to take the Maui off the beaten track, we've fitted it with a Nudgebar, LED Light Bar, Tuffdeck and Towbar.
With the 2.4L MIVEC Turbo Diesel powering all four wheels, a 965kg payload and Fuel Economy of 7.6L/100km all for the Drive-Away Price of $49 990 the Beast has just got Bigger. | {
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} |
Anatomy 37
Iliac ArteryLower ExtremitySubclavian ArteryFemoral ArteryMesenteric Artery, SuperiorAorta, ThoracicPopliteal ArteryRenal ArteryAorta, AbdominalLegCeliac ArteryCarotid Artery, InternalIliac VeinButtocksVertebral ArteryTibial ArteriesMesenteric Artery, InferiorBrachiocephalic TrunkPelvisAxillary ArterySplenic ArteryCarotid Artery, CommonCarotid Artery, ExternalVena Cava, InferiorCavernous SinusArteriesRetroperitoneal SpaceBasilar ArteryCerebral VeinsFemoral VeinJugular VeinsOphthalmic ArteryVeinsSubclavian VeinMaxillary ArteryPosterior Cerebral ArteryCerebral Arteries
Aortic Aneurysm, AbdominalAortic Aneurysm, ThoracicIntracranial AneurysmAneurysm, RupturedAortic DiseasesAneurysm, FalseAneurysm, DissectingArterial Occlusive DiseasesAortic AneurysmPostoperative ComplicationsAortic RuptureConstriction, PathologicAneurysmVascular DiseasesPeripheral Vascular DiseasesPeripheral Arterial DiseaseIliac AneurysmIschemiaEndoleakProsthesis FailureForeign-Body MigrationVascular FistulaArteriovenous FistulaSubarachnoid HemorrhageAneurysm, InfectedWounds, NonpenetratingGraft Occlusion, VascularIntracranial Arteriovenous MalformationsRecurrenceVascular System InjuriesSpinal Cord IschemiaCarotid-Cavernous Sinus FistulaMesenteric Vascular OcclusionBronchial FistulaParaplegiaParaparesisUlcerEsophageal FistulaEpistaxisIntestinal FistulaPostoperative HemorrhageCarotid Artery, Internal, DissectionIntraoperative ComplicationsThoracic InjuriesIntermittent ClaudicationEmbolismStrokeRenal Artery ObstructionCarotid Artery DiseasesThrombosisVertebrobasilar InsufficiencyWounds, PenetratingAcute DiseaseCarotid StenosisCentral Nervous System Vascular MalformationsVertebral Artery DissectionIatrogenic DiseaseSubclavian Steal SyndromeArteriovenous MalformationsVasospasm, IntracranialCarotid Artery InjuriesRupture, SpontaneousDilatation, PathologicBrain IschemiaSuperior Vena Cava SyndromeWounds, StabHematomaProsthesis-Related InfectionsHemoptysisEmergenciesRuptureWounds, GunshotBlood Loss, SurgicalIntracranial EmbolismIntracranial ThrombosisIntracranial HemorrhagesUrinary Fistula
Chemicals and Drugs 13
EnbucrilatePolytetrafluoroethylenePolyvinylsAlloysPolyethylene TerephthalatesTissue AdhesivesPlatinumCoated Materials, BiocompatibleFibrinolytic AgentsContrast MediaCyanoacrylatesBucrylateHemostatics
Analytical, Diagnostic and Therapeutic Techniques and Equipment 107
Endovascular ProceduresBlood Vessel Prosthesis ImplantationVascular Surgical ProceduresStentsBlood Vessel ProsthesisEmbolization, TherapeuticAortographyAngioplastyRadiography, InterventionalTreatment OutcomeAngiographyAngioplasty, BalloonProsthesis DesignTomography, X-Ray ComputedRetrospective StudiesHemostatic TechniquesCatheterizationRadiation MonitoringCerebral AngiographyReoperationSurgical Procedures, Minimally InvasiveFollow-Up StudiesAngiography, Digital SubtractionCatheterization, PeripheralRisk AssessmentFluoroscopyFeasibility StudiesPatient SelectionEquipment DesignUltrasonography, Doppler, DuplexProsthesis FailureProspective StudiesLength of StayBalloon OcclusionChi-Square DistributionThrombolytic TherapyRisk FactorsSurgical Procedures, ElectiveAngioscopyThrombectomyRetreatmentNeurosurgical ProceduresLogistic ModelsSurgical InstrumentsLimb SalvageDevice RemovalAnastomosis, SurgicalCerebral RevascularizationMagnetic Resonance AngiographyMechanical ThrombolysisVascular GraftingKaplan-Meier EstimateEmbolectomyHospital MortalityAmputationCathetersVascular Access DevicesEndoscopySeverity of Illness IndexPhlebographyTissue AdhesivesSurvival RateImaging, Three-DimensionalLaparotomyEquipment SafetyAtherectomyPuncturesTreatment FailureEmergency TreatmentTomography, Spiral ComputedEquipment FailureGlasgow Outcome ScaleRegistriesArteriovenous Shunt, SurgicalTransducers, PressureUltrasonography, InterventionalLife TablesPredictive Value of TestsSuture TechniquesSurgery, Computer-AssistedSurvival AnalysisSurgical Procedures, OperativeEquipment Failure AnalysisReconstructive Surgical ProceduresNeuroradiographyPreoperative CareThoracotomyReproducibility of ResultsAmbulatory Surgical ProceduresMagnetic Resonance ImagingMicrosurgeryEndarterectomyAnesthesia, LocalOdds RatioCombined Modality TherapyRadiographic Image Interpretation, Computer-AssistedSensitivity and SpecificityHemostasis, SurgicalCardiovascular Surgical ProceduresProstheses and ImplantsMonitoring, IntraoperativeConversion to Open SurgeryUrologic Surgical ProceduresCardiac Surgical ProceduresProportional Hazards ModelsAnkle Brachial IndexIncidence
Vascular PatencyTime FactorsChi-Square DistributionOdds RatioSensitivity and SpecificityCollateral Circulation
Radiology, InterventionalSpecialties, Surgical
Education, Medical, GraduateClinical CompetenceInternship and Residency
EnbucrilatePolytetrafluoroethylenePolyvinylsAlloysPolyethylene TerephthalatesTissue AdhesivesCoated Materials, BiocompatibleCyanoacrylatesBucrylate
Information Science 10
Databases as TopicHospital MortalitySurvival RateImaging, Three-DimensionalGlasgow Outcome ScaleRegistriesLife TablesSurgery, Computer-AssistedRadiographic Image Interpretation, Computer-AssistedIncidence
Treatment OutcomeRetrospective StudiesRadiation MonitoringFollow-Up StudiesRadiation ProtectionRisk AssessmentFeasibility StudiesPatient SelectionCertificationHospital CostsProspective StudiesLength of StayClinical CompetenceChi-Square DistributionRisk FactorsOutcome and Process Assessment (Health Care)Logistic ModelsKaplan-Meier EstimateHospital MortalitySeverity of Illness IndexSurvival RateTreatment FailureCredentialingGlasgow Outcome ScaleRegistriesLife TablesPredictive Value of TestsOperating RoomsSurvival AnalysisPreoperative CareReproducibility of ResultsOdds RatioEmergenciesComorbiditySensitivity and SpecificityProportional Hazards ModelsIncidence
United StatesOhioFrance
AnatomyDiseasesChemicals and DrugsAnalytical, Diagnostic and Therapeutic Techniques and EquipmentPhenomena and ProcessesDisciplines and OccupationsAnthropology, Education, Sociology and Social PhenomenaTechnology, Industry, AgricultureInformation ScienceHealth CareGeographicals
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Endovascular ProceduresBlood Vessel Prosthesis ImplantationVascular Surgical ProceduresStentsAortic Aneurysm, AbdominalBlood Vessel ProsthesisEmbolization, TherapeuticRadiology, InterventionalAortic Aneurysm, ThoracicAortographyAngioplastyRadiography, InterventionalTreatment OutcomeIliac ArteryAngiographyAngioplasty, BalloonIntracranial AneurysmAneurysm, RupturedProsthesis DesignTomography, X-Ray ComputedVascular PatencyAortic DiseasesAneurysm, FalseSpecialties, SurgicalAneurysm, DissectingRetrospective StudiesArterial Occlusive DiseasesTime FactorsHemostatic TechniquesAortic AneurysmPostoperative ComplicationsCatheterizationLower ExtremityRadiation MonitoringSubclavian ArteryAortic RuptureConstriction, PathologicFemoral ArteryCerebral AngiographyAneurysmDatabases as TopicVascular DiseasesReoperationSurgical Procedures, Minimally InvasivePeripheral Vascular DiseasesPeripheral Arterial DiseaseFollow-Up StudiesRadiation ProtectionAngiography, Digital SubtractionCatheterization, PeripheralMesenteric Artery, SuperiorIliac AneurysmAorta, ThoracicRisk AssessmentIschemiaFluoroscopyFeasibility StudiesPatient SelectionPopliteal ArteryEducation, Medical, GraduateEndoleakRenal ArteryEquipment DesignUltrasonography, Doppler, DuplexAorta, AbdominalCertificationProsthesis FailureLegHospital CostsProspective StudiesLength of StayForeign-Body MigrationClinical CompetenceBalloon OcclusionChi-Square DistributionThrombolytic TherapyRisk FactorsVascular FistulaSurgical Procedures, ElectiveInternship and ResidencyArteriovenous FistulaAngioscopyThrombectomySubarachnoid HemorrhageOutcome and Process Assessment (Health Care)EnbucrilateAneurysm, InfectedPolytetrafluoroethyleneRetreatmentUnited StatesPolyvinylsNeurosurgical ProceduresLogistic ModelsWounds, NonpenetratingSurgical InstrumentsLimb SalvageCeliac ArteryGraft Occlusion, VascularIntracranial Arteriovenous MalformationsDevice RemovalAnastomosis, SurgicalCerebral RevascularizationRecurrenceMagnetic Resonance AngiographyMechanical ThrombolysisAlloysVascular System InjuriesSpinal Cord IschemiaCarotid Artery, InternalCarotid-Cavernous Sinus FistulaMesenteric Vascular OcclusionVascular GraftingKaplan-Meier EstimateBronchial FistulaParaplegiaParaparesisUlcerPolyethylene TerephthalatesEsophageal FistulaEmbolectomyHospital MortalityIliac VeinButtocksEpistaxisAmputationIntestinal FistulaPostoperative HemorrhageCathetersVascular Access DevicesCarotid Artery, Internal, DissectionVertebral ArteryEndoscopyIntraoperative ComplicationsTibial ArteriesThoracic InjuriesIntermittent ClaudicationEmbolismSeverity of Illness IndexPhlebographyTissue AdhesivesPlatinumSurvival RateStrokeRenal Artery ObstructionImaging, Three-DimensionalLaparotomyCarotid Artery DiseasesEquipment SafetyAtherectomyPuncturesTreatment FailureMesenteric Artery, InferiorThrombosisEmergency TreatmentBrachiocephalic TrunkTomography, Spiral ComputedCredentialingVertebrobasilar InsufficiencyWounds, PenetratingEquipment FailureGlasgow Outcome ScalePelvisAcute DiseaseCarotid StenosisRegistriesCoated Materials, BiocompatibleCentral Nervous System Vascular MalformationsVertebral Artery DissectionIatrogenic DiseaseAxillary ArterySubclavian Steal SyndromeArteriovenous Shunt, SurgicalTransducers, PressureUltrasonography, InterventionalLife TablesPredictive Value of TestsArteriovenous MalformationsOperating RoomsSuture TechniquesVasospasm, IntracranialSurgery, Computer-AssistedCarotid Artery InjuriesSurvival AnalysisSurgical Procedures, OperativeRupture, SpontaneousSplenic ArteryEquipment Failure AnalysisReconstructive Surgical ProceduresFibrinolytic AgentsNeuroradiographyContrast MediaDilatation, PathologicPreoperative CareThoracotomyCyanoacrylatesCarotid Artery, CommonReproducibility of ResultsCarotid Artery, ExternalVena Cava, InferiorCavernous SinusBrain Ischemia
Endovascular Procedures: Minimally invasive procedures, diagnostic or therapeutic, performed within the BLOOD VESSELS. They may be perfomed via ANGIOSCOPY; INTERVENTIONAL MAGNETIC RESONANCE IMAGING; INTERVENTIONAL RADIOGRAPHY; or INTERVENTIONAL ULTRASONOGRAPHY.Blood Vessel Prosthesis Implantation: Surgical insertion of BLOOD VESSEL PROSTHESES to repair injured or diseased blood vessels.Vascular Surgical Procedures: Operative procedures for the treatment of vascular disorders.Stents: Devices that provide support for tubular structures that are being anastomosed or for body cavities during skin grafting.Aortic Aneurysm, Abdominal: An abnormal balloon- or sac-like dilatation in the wall of the ABDOMINAL AORTA which gives rise to the visceral, the parietal, and the terminal (iliac) branches below the aortic hiatus at the diaphragm.Blood Vessel Prosthesis: Device constructed of either synthetic or biological material that is used for the repair of injured or diseased blood vessels.Embolization, Therapeutic: A method of hemostasis utilizing various agents such as Gelfoam, silastic, metal, glass, or plastic pellets, autologous clot, fat, and muscle as emboli. It has been used in the treatment of spinal cord and INTRACRANIAL ARTERIOVENOUS MALFORMATIONS, renal arteriovenous fistulas, gastrointestinal bleeding, epistaxis, hypersplenism, certain highly vascular tumors, traumatic rupture of blood vessels, and control of operative hemorrhage.Radiology, Interventional: Subspecialty of radiology that combines organ system radiography, catheter techniques and sectional imaging.Aortic Aneurysm, Thoracic: An abnormal balloon- or sac-like dilatation in the wall of the THORACIC AORTA. This proximal descending portion of aorta gives rise to the visceral and the parietal branches above the aortic hiatus at the diaphragm.Aortography: Radiographic visualization of the aorta and its branches by injection of contrast media, using percutaneous puncture or catheterization procedures.Angioplasty: Reconstruction or repair of a blood vessel, which includes the widening of a pathological narrowing of an artery or vein by the removal of atheromatous plaque material and/or the endothelial lining as well, or by dilatation (BALLOON ANGIOPLASTY) to compress an ATHEROMA. Except for ENDARTERECTOMY, usually these procedures are performed via catheterization as minimally invasive ENDOVASCULAR PROCEDURES.Radiography, Interventional: Diagnostic and therapeutic procedures that are invasive or surgical in nature, and require the expertise of a specially trained radiologist. In general, they are more invasive than diagnostic imaging but less invasive than major surgery. They often involve catheterization, fluoroscopy, or computed tomography. Some examples include percutaneous transhepatic cholangiography, percutaneous transthoracic biopsy, balloon angioplasty, and arterial embolization.Treatment Outcome: Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.Iliac Artery: Either of two large arteries originating from the abdominal aorta; they supply blood to the pelvis, abdominal wall and legs.Angiography: Radiography of blood vessels after injection of a contrast medium.Angioplasty, Balloon: Use of a balloon catheter for dilation of an occluded artery. It is used in treatment of arterial occlusive diseases, including renal artery stenosis and arterial occlusions in the leg. For the specific technique of BALLOON DILATION in coronary arteries, ANGIOPLASTY, BALLOON, CORONARY is available.Intracranial Aneurysm: Abnormal outpouching in the wall of intracranial blood vessels. Most common are the saccular (berry) aneurysms located at branch points in CIRCLE OF WILLIS at the base of the brain. Vessel rupture results in SUBARACHNOID HEMORRHAGE or INTRACRANIAL HEMORRHAGES. Giant aneurysms (>2.5 cm in diameter) may compress adjacent structures, including the OCULOMOTOR NERVE. (From Adams et al., Principles of Neurology, 6th ed, p841)Aneurysm, Ruptured: The tearing or bursting of the weakened wall of the aneurysmal sac, usually heralded by sudden worsening pain. The great danger of a ruptured aneurysm is the large amount of blood spilling into the surrounding tissues and cavities, causing HEMORRHAGIC SHOCK.Prosthesis Design: The plan and delineation of prostheses in general or a specific prosthesis.Tomography, X-Ray Computed: Tomography using x-ray transmission and a computer algorithm to reconstruct the image.Vascular Patency: The degree to which BLOOD VESSELS are not blocked or obstructed.Aortic Diseases: Pathological processes involving any part of the AORTA.Aneurysm, False: Not an aneurysm but a well-defined collection of blood and CONNECTIVE TISSUE outside the wall of a blood vessel or the heart. It is the containment of a ruptured blood vessel or heart, such as sealing a rupture of the left ventricle. False aneurysm is formed by organized THROMBUS and HEMATOMA in surrounding tissue.Specialties, Surgical: Various branches of surgical practice limited to specialized areas.Aneurysm, Dissecting: Aneurysm caused by a tear in the TUNICA INTIMA of a blood vessel leading to interstitial HEMORRHAGE, and splitting (dissecting) of the vessel wall, often involving the AORTA. Dissection between the intima and media causes luminal occlusion. Dissection at the media, or between the media and the outer adventitia causes aneurismal dilation.Retrospective Studies: Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.Arterial Occlusive Diseases: Pathological processes which result in the partial or complete obstruction of ARTERIES. They are characterized by greatly reduced or absence of blood flow through these vessels. They are also known as arterial insufficiency.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Hemostatic Techniques: Techniques for controlling bleeding.Aortic Aneurysm: An abnormal balloon- or sac-like dilatation in the wall of AORTA.Postoperative Complications: Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.Catheterization: Use or insertion of a tubular device into a duct, blood vessel, hollow organ, or body cavity for injecting or withdrawing fluids for diagnostic or therapeutic purposes. It differs from INTUBATION in that the tube here is used to restore or maintain patency in obstructions.Lower Extremity: The region of the lower limb in animals, extending from the gluteal region to the FOOT, and including the BUTTOCKS; HIP; and LEG.Radiation Monitoring: The observation, either continuously or at intervals, of the levels of radiation in a given area, generally for the purpose of assuring that they have not exceeded prescribed amounts or, in case of radiation already present in the area, assuring that the levels have returned to those meeting acceptable safety standards.Subclavian Artery: Artery arising from the brachiocephalic trunk on the right side and from the arch of the aorta on the left side. It distributes to the neck, thoracic wall, spinal cord, brain, meninges, and upper limb.Aortic Rupture: The tearing or bursting of the wall along any portion of the AORTA, such as thoracic or abdominal. It may result from the rupture of an aneurysm or it may be due to TRAUMA.Constriction, Pathologic: The condition of an anatomical structure's being constricted beyond normal dimensions.Femoral Artery: The main artery of the thigh, a continuation of the external iliac artery.Cerebral Angiography: Radiography of the vascular system of the brain after injection of a contrast medium.Aneurysm: Pathological outpouching or sac-like dilatation in the wall of any blood vessel (ARTERIES or VEINS) or the heart (HEART ANEURYSM). It indicates a thin and weakened area in the wall which may later rupture. Aneurysms are classified by location, etiology, or other characteristics.Databases as Topic: Organized collections of computer records, standardized in format and content, that are stored in any of a variety of computer-readable modes. They are the basic sets of data from which computer-readable files are created. (from ALA Glossary of Library and Information Science, 1983)Vascular Diseases: Pathological processes involving any of the BLOOD VESSELS in the cardiac or peripheral circulation. They include diseases of ARTERIES; VEINS; and rest of the vasculature system in the body.Reoperation: A repeat operation for the same condition in the same patient due to disease progression or recurrence, or as followup to failed previous surgery.Surgical Procedures, Minimally Invasive: Procedures that avoid use of open, invasive surgery in favor of closed or local surgery. These generally involve use of laparoscopic devices and remote-control manipulation of instruments with indirect observation of the surgical field through an endoscope or similar device.Peripheral Vascular Diseases: Pathological processes involving any one of the BLOOD VESSELS in the vasculature outside the HEART.Peripheral Arterial Disease: Lack of perfusion in the EXTREMITIES resulting from atherosclerosis. It is characterized by INTERMITTENT CLAUDICATION, and an ANKLE BRACHIAL INDEX of 0.9 or less.Follow-Up Studies: Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.Radiation ProtectionAngiography, Digital Subtraction: A method of delineating blood vessels by subtracting a tissue background image from an image of tissue plus intravascular contrast material that attenuates the X-ray photons. The background image is determined from a digitized image taken a few moments before injection of the contrast material. The resulting angiogram is a high-contrast image of the vessel. This subtraction technique allows extraction of a high-intensity signal from the superimposed background information. The image is thus the result of the differential absorption of X-rays by different tissues.Catheterization, Peripheral: Insertion of a catheter into a peripheral artery, vein, or airway for diagnostic or therapeutic purposes.Mesenteric Artery, Superior: A large vessel supplying the whole length of the small intestine except the superior part of the duodenum. It also supplies the cecum and the ascending part of the colon and about half the transverse part of the colon. It arises from the anterior surface of the aorta below the celiac artery at the level of the first lumbar vertebra.Iliac Aneurysm: Abnormal balloon- or sac-like dilatation in the wall of any one of the iliac arteries including the common, the internal, or the external ILIAC ARTERY.Aorta, Thoracic: The portion of the descending aorta proceeding from the arch of the aorta and extending to the DIAPHRAGM, eventually connecting to the ABDOMINAL AORTA.Risk Assessment: The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988)Ischemia: A hypoperfusion of the BLOOD through an organ or tissue caused by a PATHOLOGIC CONSTRICTION or obstruction of its BLOOD VESSELS, or an absence of BLOOD CIRCULATION.Fluoroscopy: Production of an image when x-rays strike a fluorescent screen.Feasibility Studies: Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project.Patient Selection: Criteria and standards used for the determination of the appropriateness of the inclusion of patients with specific conditions in proposed treatment plans and the criteria used for the inclusion of subjects in various clinical trials and other research protocols.Popliteal Artery: The continuation of the femoral artery coursing through the popliteal fossa; it divides into the anterior and posterior tibial arteries.Education, Medical, Graduate: Educational programs for medical graduates entering a specialty. They include formal specialty training as well as academic work in the clinical and basic medical sciences, and may lead to board certification or an advanced medical degree.Endoleak: Postoperative hemorrhage from an endovascular AORTIC ANEURYSM repaired with endoluminal placement of stent grafts (BLOOD VESSEL PROSTHESIS IMPLANTATION). It is associated with pressurization, expansion, and eventual rupture of the aneurysm.Renal Artery: A branch of the abdominal aorta which supplies the kidneys, adrenal glands and ureters.Equipment Design: Methods of creating machines and devices.Ultrasonography, Doppler, Duplex: Ultrasonography applying the Doppler effect combined with real-time imaging. The real-time image is created by rapid movement of the ultrasound beam. A powerful advantage of this technique is the ability to estimate the velocity of flow from the Doppler shift frequency.Aorta, Abdominal: The aorta from the DIAPHRAGM to the bifurcation into the right and left common iliac arteries.Certification: Compliance with a set of standards defined by non-governmental organizations. Certification is applied for by individuals on a voluntary basis and represents a professional status when achieved, e.g., certification for a medical specialty.Prosthesis Failure: Malfunction of implantation shunts, valves, etc., and prosthesis loosening, migration, and breaking.Leg: The inferior part of the lower extremity between the KNEE and the ANKLE.Hospital Costs: The expenses incurred by a hospital in providing care. The hospital costs attributed to a particular patient care episode include the direct costs plus an appropriate proportion of the overhead for administration, personnel, building maintenance, equipment, etc. Hospital costs are one of the factors which determine HOSPITAL CHARGES (the price the hospital sets for its services).Prospective Studies: Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.Length of Stay: The period of confinement of a patient to a hospital or other health facility.Foreign-Body Migration: Migration of a foreign body from its original location to some other location in the body.Clinical Competence: The capability to perform acceptably those duties directly related to patient care.Balloon Occlusion: Use of a balloon CATHETER to block the flow of blood through an artery or vein.Chi-Square Distribution: A distribution in which a variable is distributed like the sum of the squares of any given independent random variable, each of which has a normal distribution with mean of zero and variance of one. The chi-square test is a statistical test based on comparison of a test statistic to a chi-square distribution. The oldest of these tests are used to detect whether two or more population distributions differ from one another.Thrombolytic Therapy: Use of infusions of FIBRINOLYTIC AGENTS to destroy or dissolve thrombi in blood vessels or bypass grafts.Risk Factors: An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.Vascular Fistula: An abnormal passage between two or more BLOOD VESSELS, between ARTERIES; VEINS; or between an artery and a vein.Surgical Procedures, Elective: Surgery which could be postponed or not done at all without danger to the patient. Elective surgery includes procedures to correct non-life-threatening medical problems as well as to alleviate conditions causing psychological stress or other potential risk to patients, e.g., cosmetic or contraceptive surgery.Internship and Residency: Programs of training in medicine and medical specialties offered by hospitals for graduates of medicine to meet the requirements established by accrediting authorities.Arteriovenous Fistula: An abnormal direct communication between an artery and a vein without passing through the CAPILLARIES. An A-V fistula usually leads to the formation of a dilated sac-like connection, arteriovenous aneurysm. The locations and size of the shunts determine the degree of effects on the cardiovascular functions such as BLOOD PRESSURE and HEART RATE.Angioscopy: Endoscopic examination, therapy or surgery performed on the interior of blood vessels.Thrombectomy: Surgical removal of an obstructing clot or foreign material from a blood vessel at the point of its formation. Removal of a clot arising from a distant site is called EMBOLECTOMY.Subarachnoid Hemorrhage: Bleeding into the intracranial or spinal SUBARACHNOID SPACE, most resulting from INTRACRANIAL ANEURYSM rupture. It can occur after traumatic injuries (SUBARACHNOID HEMORRHAGE, TRAUMATIC). Clinical features include HEADACHE; NAUSEA; VOMITING, nuchal rigidity, variable neurological deficits and reduced mental status.Outcome and Process Assessment (Health Care): Evaluation procedures that focus on both the outcome or status (OUTCOMES ASSESSMENT) of the patient at the end of an episode of care - presence of symptoms, level of activity, and mortality; and the process (ASSESSMENT, PROCESS) - what is done for the patient diagnostically and therapeutically.Enbucrilate: A tissue adhesive that is applied as a monomer to moist tissue and polymerizes to form a bond. It is slowly biodegradable and used in all kinds of surgery, including dental.Aneurysm, Infected: Aneurysm due to growth of microorganisms in the arterial wall, or infection arising within preexisting arteriosclerotic aneurysms.Polytetrafluoroethylene: Homopolymer of tetrafluoroethylene. Nonflammable, tough, inert plastic tubing or sheeting; used to line vessels, insulate, protect or lubricate apparatus; also as filter, coating for surgical implants or as prosthetic material. Synonyms: Fluoroflex; Fluoroplast; Ftoroplast; Halon; Polyfene; PTFE; Tetron.Retreatment: The therapy of the same disease in a patient, with the same agent or procedure repeated after initial treatment, or with an additional or alternate measure or follow-up. It does not include therapy which requires more than one administration of a therapeutic agent or regimen. Retreatment is often used with reference to a different modality when the original one was inadequate, harmful, or unsuccessful.United StatesPolyvinylsNeurosurgical Procedures: Surgery performed on the nervous system or its parts.Logistic Models: Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.Wounds, Nonpenetrating: Injuries caused by impact with a blunt object where there is no penetration of the skin.Surgical Instruments: Hand-held tools or implements used by health professionals for the performance of surgical tasks.Limb Salvage: An alternative to amputation in patients with neoplasms, ischemia, fractures, and other limb-threatening conditions. Generally, sophisticated surgical procedures such as vascular surgery and reconstruction are used to salvage diseased limbs.Celiac Artery: The arterial trunk that arises from the abdominal aorta and after a short course divides into the left gastric, common hepatic and splenic arteries.Graft Occlusion, Vascular: Obstruction of flow in biological or prosthetic vascular grafts.Intracranial Arteriovenous Malformations: Congenital vascular anomalies in the brain characterized by direct communication between an artery and a vein without passing through the CAPILLARIES. The locations and size of the shunts determine the symptoms including HEADACHES; SEIZURES; STROKE; INTRACRANIAL HEMORRHAGES; mass effect; and vascular steal effect.Device Removal: Removal of an implanted therapeutic or prosthetic device.Anastomosis, Surgical: Surgical union or shunt between ducts, tubes or vessels. It may be end-to-end, end-to-side, side-to-end, or side-to-side.Cerebral Revascularization: Microsurgical revascularization to improve intracranial circulation. It usually involves joining the extracranial circulation to the intracranial circulation but may include extracranial revascularization (e.g., subclavian-vertebral artery bypass, subclavian-external carotid artery bypass). It is performed by joining two arteries (direct anastomosis or use of graft) or by free autologous transplantation of highly vascularized tissue to the surface of the brain.Recurrence: The return of a sign, symptom, or disease after a remission.Magnetic Resonance Angiography: Non-invasive method of vascular imaging and determination of internal anatomy without injection of contrast media or radiation exposure. The technique is used especially in CEREBRAL ANGIOGRAPHY as well as for studies of other vascular structures.Mechanical Thrombolysis: Procedures to cause the disintegration of THROMBI by physical interventions.Alloys: A mixture of metallic elements or compounds with other metallic or metalloid elements in varying proportions.Vascular System Injuries: Injuries to blood vessels caused by laceration, contusion, puncture, or crush and other types of injuries. Symptoms vary by site and mode of injuries and may include bleeding, bruising, swelling, pain, and numbness. It does not include injuries secondary to pathologic function or diseases such as ATHEROSCLEROSIS.Spinal Cord Ischemia: Reduced blood flow to the spinal cord which is supplied by the anterior spinal artery and the paired posterior spinal arteries. This condition may be associated with ARTERIOSCLEROSIS, trauma, emboli, diseases of the aorta, and other disorders. Prolonged ischemia may lead to INFARCTION of spinal cord tissue.Carotid Artery, Internal: Branch of the common carotid artery which supplies the anterior part of the brain, the eye and its appendages, the forehead and nose.Carotid-Cavernous Sinus Fistula: An acquired or spontaneous abnormality in which there is communication between CAVERNOUS SINUS, a venous structure, and the CAROTID ARTERIES. It is often associated with HEAD TRAUMA, specifically basilar skull fractures (SKULL FRACTURE, BASILAR). Clinical signs often include VISION DISORDERS and INTRACRANIAL HYPERTENSION.Mesenteric Vascular Occlusion: Obstruction of the flow in the SPLANCHNIC CIRCULATION by ATHEROSCLEROSIS; EMBOLISM; THROMBOSIS; STENOSIS; TRAUMA; and compression or intrinsic pressure from adjacent tumors. Rare causes are drugs, intestinal parasites, and vascular immunoinflammatory diseases such as PERIARTERITIS NODOSA and THROMBOANGIITIS OBLITERANS. (From Juergens et al., Peripheral Vascular Diseases, 5th ed, pp295-6)Vascular Grafting: Surgical insertion of BLOOD VESSEL PROSTHESES, or transplanted BLOOD VESSELS, or other biological material to repair injured or diseased blood vessels.Kaplan-Meier Estimate: A nonparametric method of compiling LIFE TABLES or survival tables. It combines calculated probabilities of survival and estimates to allow for observations occurring beyond a measurement threshold, which are assumed to occur randomly. Time intervals are defined as ending each time an event occurs and are therefore unequal. (From Last, A Dictionary of Epidemiology, 1995)Bronchial Fistula: An abnormal passage or communication between a bronchus and another part of the body.Paraplegia: Severe or complete loss of motor function in the lower extremities and lower portions of the trunk. This condition is most often associated with SPINAL CORD DISEASES, although BRAIN DISEASES; PERIPHERAL NERVOUS SYSTEM DISEASES; NEUROMUSCULAR DISEASES; and MUSCULAR DISEASES may also cause bilateral leg weakness.Paraparesis: Mild to moderate loss of bilateral lower extremity motor function, which may be a manifestation of SPINAL CORD DISEASES; PERIPHERAL NERVOUS SYSTEM DISEASES; MUSCULAR DISEASES; INTRACRANIAL HYPERTENSION; parasagittal brain lesions; and other conditions.Ulcer: A lesion on the surface of the skin or a mucous surface, produced by the sloughing of inflammatory necrotic tissue.Polyethylene Terephthalates: Polyester polymers formed from terephthalic acid or its esters and ethylene glycol. They can be formed into tapes, films or pulled into fibers that are pressed into meshes or woven into fabrics.Esophageal Fistula: Abnormal passage communicating with the ESOPHAGUS. The most common type is TRACHEOESOPHAGEAL FISTULA between the esophagus and the TRACHEA.Embolectomy: Surgical removal of an obstructing clot or foreign material which has been transported from a distant vessel by the bloodstream. Removal of a clot at its original site is called THROMBECTOMY.Hospital Mortality: A vital statistic measuring or recording the rate of death from any cause in hospitalized populations.Iliac Vein: A vein on either side of the body which is formed by the union of the external and internal iliac veins and passes upward to join with its fellow of the opposite side to form the inferior vena cava.Buttocks: Either of two fleshy protuberances at the lower posterior section of the trunk or HIP in humans and primate on which a person or animal sits, consisting of gluteal MUSCLES and fat.Epistaxis: Bleeding from the nose.Amputation: The removal of a limb or other appendage or outgrowth of the body. (Dorland, 28th ed)Intestinal Fistula: An abnormal anatomical passage between the INTESTINE, and another segment of the intestine or other organs. External intestinal fistula is connected to the SKIN (enterocutaneous fistula). Internal intestinal fistula can be connected to a number of organs, such as STOMACH (gastrocolic fistula), the BILIARY TRACT (cholecystoduodenal fistula), or the URINARY BLADDER of the URINARY TRACT (colovesical fistula). Risk factors include inflammatory processes, cancer, radiation treatment, and surgical misadventures (MEDICAL ERRORS).Postoperative Hemorrhage: Hemorrhage following any surgical procedure. It may be immediate or delayed and is not restricted to the surgical wound.Catheters: A flexible, tubular device that is used to carry fluids into or from a blood vessel, hollow organ, or body cavity.Vascular Access Devices: Devices to be inserted into veins or arteries for the purpose of carrying fluids into or from a peripheral or central vascular location. They may include component parts such as catheters, ports, reservoirs, and valves. They may be left in place temporarily for therapeutic or diagnostic purposes.Carotid Artery, Internal, Dissection: The splitting of the vessel wall in one or both (left and right) internal carotid arteries (CAROTID ARTERY, INTERNAL). Interstitial hemorrhage into the media of the vessel wall can lead to occlusion of the internal carotid artery and aneurysm formation.Vertebral Artery: The first branch of the SUBCLAVIAN ARTERY with distribution to muscles of the NECK; VERTEBRAE; SPINAL CORD; CEREBELLUM; and interior of the CEREBRUM.Endoscopy: Procedures of applying ENDOSCOPES for disease diagnosis and treatment. Endoscopy involves passing an optical instrument through a small incision in the skin i.e., percutaneous; or through a natural orifice and along natural body pathways such as the digestive tract; and/or through an incision in the wall of a tubular structure or organ, i.e. transluminal, to examine or perform surgery on the interior parts of the body.Intraoperative Complications: Complications that affect patients during surgery. They may or may not be associated with the disease for which the surgery is done, or within the same surgical procedure.Tibial Arteries: The anterior and posterior arteries created at the bifurcation of the popliteal artery. The anterior tibial artery begins at the lower border of the popliteus muscle and lies along the tibia at the distal part of the leg to surface superficially anterior to the ankle joint. Its branches are distributed throughout the leg, ankle, and foot. The posterior tibial artery begins at the lower border of the popliteus muscle, lies behind the tibia in the lower part of its course, and is found situated between the medial malleolus and the medial process of the calcaneal tuberosity. Its branches are distributed throughout the leg and foot.Thoracic Injuries: General or unspecified injuries to the chest area.Intermittent Claudication: A symptom complex characterized by pain and weakness in SKELETAL MUSCLE group associated with exercise, such as leg pain and weakness brought on by walking. Such muscle limpness disappears after a brief rest and is often relates to arterial STENOSIS; muscle ISCHEMIA; and accumulation of LACTATE.Embolism: Blocking of a blood vessel by an embolus which can be a blood clot or other undissolved material in the blood stream.Severity of Illness Index: Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.Phlebography: Radiographic visualization or recording of a vein after the injection of contrast medium.Tissue Adhesives: Substances used to cause adherence of tissue to tissue or tissue to non-tissue surfaces, as for prostheses.Platinum: Platinum. A heavy, soft, whitish metal, resembling tin, atomic number 78, atomic weight 195.09, symbol Pt. (From Dorland, 28th ed) It is used in manufacturing equipment for laboratory and industrial use. It occurs as a black powder (platinum black) and as a spongy substance (spongy platinum) and may have been known in Pliny's time as "alutiae".Survival Rate: The proportion of survivors in a group, e.g., of patients, studied and followed over a period, or the proportion of persons in a specified group alive at the beginning of a time interval who survive to the end of the interval. It is often studied using life table methods.Stroke: A group of pathological conditions characterized by sudden, non-convulsive loss of neurological function due to BRAIN ISCHEMIA or INTRACRANIAL HEMORRHAGES. Stroke is classified by the type of tissue NECROSIS, such as the anatomic location, vasculature involved, etiology, age of the affected individual, and hemorrhagic vs. non-hemorrhagic nature. (From Adams et al., Principles of Neurology, 6th ed, pp777-810)Renal Artery Obstruction: Narrowing or occlusion of the RENAL ARTERY or arteries. It is due usually to ATHEROSCLEROSIS; FIBROMUSCULAR DYSPLASIA; THROMBOSIS; EMBOLISM, or external pressure. The reduced renal perfusion can lead to renovascular hypertension (HYPERTENSION, RENOVASCULAR).Imaging, Three-Dimensional: The process of generating three-dimensional images by electronic, photographic, or other methods. For example, three-dimensional images can be generated by assembling multiple tomographic images with the aid of a computer, while photographic 3-D images (HOLOGRAPHY) can be made by exposing film to the interference pattern created when two laser light sources shine on an object.Laparotomy: Incision into the side of the abdomen between the ribs and pelvis.Carotid Artery Diseases: Pathological conditions involving the CAROTID ARTERIES, including the common, internal, and external carotid arteries. ATHEROSCLEROSIS and TRAUMA are relatively frequent causes of carotid artery pathology.Equipment Safety: Freedom of equipment from actual or potential hazards.Atherectomy: Endovascular procedure in which atheromatous plaque is excised by a cutting or rotating catheter. It differs from balloon and laser angioplasty procedures which enlarge vessels by dilation but frequently do not remove much plaque. If the plaque is removed by surgical excision under general anesthesia rather than by an endovascular procedure through a catheter, it is called ENDARTERECTOMY.Punctures: Incision of tissues for injection of medication or for other diagnostic or therapeutic procedures. Punctures of the skin, for example may be used for diagnostic drainage; of blood vessels for diagnostic imaging procedures.Treatment Failure: A measure of the quality of health care by assessment of unsuccessful results of management and procedures used in combating disease, in individual cases or series.Mesenteric Artery, Inferior: The artery supplying nearly all the left half of the transverse colon, the whole of the descending colon, the sigmoid colon, and the greater part of the rectum. It is smaller than the superior mesenteric artery (MESENTERIC ARTERY, SUPERIOR) and arises from the aorta above its bifurcation into the common iliac arteries.Thrombosis: Formation and development of a thrombus or blood clot in the blood vessel.Emergency Treatment: First aid or other immediate intervention for accidents or medical conditions requiring immediate care and treatment before definitive medical and surgical management can be procured.Brachiocephalic Trunk: The first and largest artery branching from the aortic arch. It distributes blood to the right side of the head and neck and to the right arm.Tomography, Spiral Computed: Computed tomography where there is continuous X-ray exposure to the patient while being transported in a spiral or helical pattern through the beam of irradiation. This provides improved three-dimensional contrast and spatial resolution compared to conventional computed tomography, where data is obtained and computed from individual sequential exposures.Credentialing: The recognition of professional or technical competence through registration, certification, licensure, admission to association membership, the award of a diploma or degree, etc.Vertebrobasilar Insufficiency: Localized or diffuse reduction in blood flow through the vertebrobasilar arterial system, which supplies the BRAIN STEM; CEREBELLUM; OCCIPITAL LOBE; medial TEMPORAL LOBE; and THALAMUS. Characteristic clinical features include SYNCOPE; lightheadedness; visual disturbances; and VERTIGO. BRAIN STEM INFARCTIONS or other BRAIN INFARCTION may be associated.Wounds, Penetrating: Wounds caused by objects penetrating the skin.Equipment Failure: Failure of equipment to perform to standard. The failure may be due to defects or improper use.Glasgow Outcome Scale: A scale that assesses the outcome of serious craniocerebral injuries, based on the level of regained social functioning.Pelvis: The space or compartment surrounded by the pelvic girdle (bony pelvis). It is subdivided into the greater pelvis and LESSER PELVIS. The pelvic girdle is formed by the PELVIC BONES and SACRUM.Acute Disease: Disease having a short and relatively severe course.Carotid Stenosis: Narrowing or stricture of any part of the CAROTID ARTERIES, most often due to atherosclerotic plaque formation. Ulcerations may form in atherosclerotic plaques and induce THROMBUS formation. Platelet or cholesterol emboli may arise from stenotic carotid lesions and induce a TRANSIENT ISCHEMIC ATTACK; CEREBROVASCULAR ACCIDENT; or temporary blindness (AMAUROSIS FUGAX). (From Adams et al., Principles of Neurology, 6th ed, pp 822-3)Registries: The systems and processes involved in the establishment, support, management, and operation of registers, e.g., disease registers.Coated Materials, Biocompatible: Biocompatible materials usually used in dental and bone implants that enhance biologic fixation, thereby increasing the bond strength between the coated material and bone, and minimize possible biological effects that may result from the implant itself.Central Nervous System Vascular Malformations: Congenital, inherited, or acquired abnormalities involving ARTERIES; VEINS; or venous sinuses in the BRAIN; SPINAL CORD; and MENINGES.Vertebral Artery Dissection: Splitting of the vessel wall in the VERTEBRAL ARTERY. Interstitial hemorrhage into the media of the vessel wall can lead to occlusion of the vertebral artery, aneurysm formation, or THROMBOEMBOLISM. Vertebral artery dissection is often associated with TRAUMA and injuries to the head-neck region but can occur spontaneously.Iatrogenic Disease: Any adverse condition in a patient occurring as the result of treatment by a physician, surgeon, or other health professional, especially infections acquired by a patient during the course of treatment.Axillary Artery: The continuation of the subclavian artery; it distributes over the upper limb, axilla, chest and shoulder.Subclavian Steal Syndrome: A clinically significant reduction in blood supply to the BRAIN STEM and CEREBELLUM (i.e., VERTEBROBASILAR INSUFFICIENCY) resulting from reversal of blood flow through the VERTEBRAL ARTERY from occlusion or stenosis of the proximal subclavian or brachiocephalic artery. Common symptoms include VERTIGO; SYNCOPE; and INTERMITTENT CLAUDICATION of the involved upper extremity. Subclavian steal may also occur in asymptomatic individuals. (From J Cardiovasc Surg 1994;35(1):11-4; Acta Neurol Scand 1994;90(3):174-8)Arteriovenous Shunt, Surgical: Surgical shunt allowing direct passage of blood from an artery to a vein. (From Dorland, 28th ed)Transducers, Pressure: Transducers that are activated by pressure changes, e.g., blood pressure.Ultrasonography, Interventional: The use of ultrasound to guide minimally invasive surgical procedures such as needle ASPIRATION BIOPSY; DRAINAGE; etc. Its widest application is intravascular ultrasound imaging but it is useful also in urology and intra-abdominal conditions.Life Tables: Summarizing techniques used to describe the pattern of mortality and survival in populations. These methods can be applied to the study not only of death, but also of any defined endpoint such as the onset of disease or the occurrence of disease complications.Predictive Value of Tests: In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test.Arteriovenous Malformations: Abnormal formation of blood vessels that shunt arterial blood directly into veins without passing through the CAPILLARIES. They usually are crooked, dilated, and with thick vessel walls. A common type is the congenital arteriovenous fistula. The lack of blood flow and oxygen in the capillaries can lead to tissue damage in the affected areas.Operating Rooms: Facilities equipped for performing surgery.Suture Techniques: Techniques for securing together the edges of a wound, with loops of thread or similar materials (SUTURES).Vasospasm, Intracranial: Constriction of arteries in the SKULL due to sudden, sharp, and often persistent smooth muscle contraction in blood vessels. Intracranial vasospasm results in reduced vessel lumen caliber, restricted blood flow to the brain, and BRAIN ISCHEMIA that may lead to hypoxic-ischemic brain injury (HYPOXIA-ISCHEMIA, BRAIN).Surgery, Computer-Assisted: Surgical procedures conducted with the aid of computers. This is most frequently used in orthopedic and laparoscopic surgery for implant placement and instrument guidance. Image-guided surgery interactively combines prior CT scans or MRI images with real-time video.Carotid Artery Injuries: Damages to the CAROTID ARTERIES caused either by blunt force or penetrating trauma, such as CRANIOCEREBRAL TRAUMA; THORACIC INJURIES; and NECK INJURIES. Damaged carotid arteries can lead to CAROTID ARTERY THROMBOSIS; CAROTID-CAVERNOUS SINUS FISTULA; pseudoaneurysm formation; and INTERNAL CAROTID ARTERY DISSECTION. (From Am J Forensic Med Pathol 1997, 18:251; J Trauma 1994, 37:473)Survival Analysis: A class of statistical procedures for estimating the survival function (function of time, starting with a population 100% well at a given time and providing the percentage of the population still well at later times). The survival analysis is then used for making inferences about the effects of treatments, prognostic factors, exposures, and other covariates on the function.Surgical Procedures, Operative: Operations carried out for the correction of deformities and defects, repair of injuries, and diagnosis and cure of certain diseases. (Taber, 18th ed.)Rupture, Spontaneous: Tear or break of an organ, vessel or other soft part of the body, occurring in the absence of external force.Splenic Artery: The largest branch of the celiac trunk with distribution to the spleen, pancreas, stomach and greater omentum.Equipment Failure Analysis: The evaluation of incidents involving the loss of function of a device. These evaluations are used for a variety of purposes such as to determine the failure rates, the causes of failures, costs of failures, and the reliability and maintainability of devices.Reconstructive Surgical Procedures: Procedures used to reconstruct, restore, or improve defective, damaged, or missing structures.Fibrinolytic Agents: Fibrinolysin or agents that convert plasminogen to FIBRINOLYSIN.Neuroradiography: Radiography of the central nervous system.Contrast Media: Substances used to allow enhanced visualization of tissues.Dilatation, Pathologic: The condition of an anatomical structure's being dilated beyond normal dimensions.Preoperative Care: Care given during the period prior to undergoing surgery when psychological and physical preparations are made according to the special needs of the individual patient. This period spans the time between admission to the hospital to the time the surgery begins. (From Dictionary of Health Services Management, 2d ed)Thoracotomy: Surgical incision into the chest wall.Cyanoacrylates: A group of compounds having the general formula CH2=C(CN)-COOR; it polymerizes on contact with moisture; used as tissue adhesive; higher homologs have hemostatic and antibacterial properties.Carotid Artery, Common: The two principal arteries supplying the structures of the head and neck. They ascend in the neck, one on each side, and at the level of the upper border of the thyroid cartilage, each divides into two branches, the external (CAROTID ARTERY, EXTERNAL) and internal (CAROTID ARTERY, INTERNAL) carotid arteries.Reproducibility of Results: The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results.Carotid Artery, External: Branch of the common carotid artery which supplies the exterior of the head, the face, and the greater part of the neck.Vena Cava, Inferior: The venous trunk which receives blood from the lower extremities and from the pelvic and abdominal organs.Cavernous Sinus: An irregularly shaped venous space in the dura mater at either side of the sphenoid bone.Brain Ischemia: Localized reduction of blood flow to brain tissue due to arterial obstruction or systemic hypoperfusion. This frequently occurs in conjunction with brain hypoxia (HYPOXIA, BRAIN). Prolonged ischemia is associated with BRAIN INFARCTION. | {
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Who knew that you can paint blackboards to restore their smooth surfaces and make them useful once again? We loved working on the project, and hope they help!
We saw some amazing volunteer efforts, including the early construction of the new farm, the new library at Kyanyawara School, conservation lessons and even a nutritional study being carried out by volunteers. We saw the new preschool, the dormitories under construction at Kasiisi School, and the need for new blocks of classrooms to replace those no longer habitable at Rweteera School. We saw how the Kasiisi Project is changing the lives of students every day. Once we got home, we sold locally-made Ugandan jewelry to raise money and awareness of the amazing Kasiisi Project. We'll look for more opportunities to help, having seen the need and having been thoroughly inspired by the team of people making it happen! | {
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I used to do a series called Waiting on Wednesday.
That stopped. I felt guilty about talking about new books when I have a massive back catalogue of books to read and enjoy. As a reader, I want to reach for those books rather then buy more.
However, I've missed posting on Wednesdays. Knowing that when my reading is slow due to Uni, its okay because I have something to post.
Top 5 Wednesdays is hosted by Thoughts on Tomes.
Ogena-Maria is mentioned throughout all three books. And remains a rather minor character until the latest installment.
In The Song Rising, I think she has become more integral to the plot. Moving in between minor and side character.
I absolutely adore Ogena. And her constant need to set fire to things.
Iko is an android that assists our main character, Cinder, in her mechanics shops. She longs to have a human body, and fawns over guys... quite a bit.
Maas' books aren't without their problems, but she sure does get her side and minor characters write. The character arc for Lucian is just everything. EVERYTHING.
I understand why people trash him. Or, overall dislike.
But his arc is what I lived for in ACOTAR, ACOMAF and ACOWAR.
Throughout This Savage Song, I was just enchanted about August's sister- Isla.
I wanted to know her story, who she was. She is an enigma.
Plus the whole "Death God" thing that could be applied to her character.
One thing that people should know about me is that my favourite Weasley is actually Bill. Followed shortly by Charlie. Ever since Goblet of Fire when he made his first appearance.
And obviously as soon as I saw this topic, he was the first minor character I thought of.
His job is cursebreaker at Gringotts- how cool is that?! As well as, being laid back, funny and just all round cool.
He has been portrayed twice in the Harry Potter films. Richard Fish was cast as Bill for the Egyptian family photograph in Prisoner of Azkaban and, again, by Domhnall Gleeson (About Time, Ex_Machina, and Frank). | {
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Imagine a pre-set process (like an approval or a workflow between your team) that you want done, every time a specific column or row is updated on Google Sheets. It would be amazing. Guess what - this integration does exactly that. Literally, update one cell on your Google Sheet and a whole process launches in Tallyfy!
Note - create your blueprint on Tallyfy first.
If you collect data as rows on a Google Sheet, you often have to run a repeatable process or approval workflow after the row has been added. This integration does exactly that - it launches a Tallyfy process when a new row is added or updated to a Google Sheet.
Note: You can also pipe in the values in the columns on your new row into Tallyfy - as kick off fields!
It's easy to connect Google Sheets + Tallyfy and requires absolutely zero coding experience—the only limit is your own imagination. | {
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This Silicone replacement inlet hose connects the air box to the throttle body and is a perfect replacement to the factory part which is corrugated and ribbed on the inside which creates turbulence and air flow velocity is reduced. It will fit nearly all aftermarket intakes including the stock air box. Available in high gloss blue, red, yellow and black to dress up the engine bay. Does NOT ship with hose clamps! | {
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Once you're familiar with the resource consent process and are ready to put together your consent application, you will need to locate the correct application form for your activity. The clearer you describe what you want to do and where you want to do it, the easier the process of lodging an application will be.
You will need to use our application forms and possibly some of our online tools to help. Please contact us if you need help finding anything.
It's important you show where you wish to carry out your activity. You can create a map of where the activity will take place. | {
"redpajama_set_name": "RedPajamaC4"
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From 60 seconds to 6 months.
PlusBinary, a private investment firm incepted in January 2014, is one of the revolutionary newcomers in the field of binary options trading. Having its head office in London, the United Kingdom, its team of financial experts has designed a brilliant trading platform which ensures safety, user-accessibility, and reliability of trading. The website of PlusBinary is available in English, Portuguese, Russian, Italian, Arabic, Czech, French, Korean, Greek, Hungarian, Polish, and Spanish.
Four different trading accounts are available at BullBinary. To initiate trades via a Regular account, the minimum deposit is $/€/₤250. The Silver account may be launched after a user deposits a minimum amount of $/€/₤2,500. For elite traders, BullBinary has created the Gold and the Platinum accounts. The minimum amounts to launch them are $/€/₤20,000 and $/€/₤50,000 respectively.
A wide array of secure payment options is accessible at BullBinary. The list comprises Master Card, Carte bleue, Bank Wire, Skrill, Neteller, VISA, Paysafe Card, Qiwi, WebMoney, Moneta.ru, Sofort, Neosurf, Trustpay, Ticketsurf, EPS, Giropay, and Hal Cash.
The same methods can be utilized to request withdrawals from BullBinary. Bear in mind that for the Regular and Silver account, it would usually take around 3-5 working days for withdrawals to materialize. Gold account members will be able to withdraw within 48 hours, while Platinum account holders will do that in around 24 hours.
A number of binary options are accessible through one of the most advanced trading platforms on the web – Strategix. Investors may reap mind-boggling returns of up to 381% thanks to this ground-breaking platform. It provides four different options – "Above/Below", "Range", "Touch", and "No Touch". In addition, there is the "Short Term" option whose expiration times are from 60 seconds through 90 seconds to 2, 3 and 5 minutes. It can yield a payout of up to 70%. In addition to those, the broker offers the "Long Term" option with a 75% payout, as well as "Pairs" and the classical binary options with payouts of up to 81%. More than 180 different assets can be traded at BullBinary.
BullBinary has devised an amazing education center which offers a number of great features in order to further enhance its customers' continuing success. There are high-quality videos for both advanced and beginner users. Three different digital books including a glossary with financial concepts are also accessible at the education academy of BullBinary. In-depth and advanced courses in economics and financial management teach investors about important indicators and how to behave in trading. Additionally, there is an economic calendar with future financial events.
24/5 customer service is accessible at BullBinary via 18 fixed locations scattered around the globe, which guarantees a round-the-clock support offered in a timely fashion with high levels of professionalism. Support is also provided through an e-mail and via an online form.
All accounts derive great benefit from BullBinary's excellent education academy and payouts that are 83%, 83%, 85%, and 90% for the Regular, Silver, Gold, and Platinum accounts, respectively. The minimum trade amounts for the Regular and Silver accounts is $1. For the Gold and the Platinum account holders, these amounts are $5 and $25.
Save for the Regular account, all others are entitled to a demonstration account, 1-on-1 live trading sessions, and webinars. Daily market analysis and a personal, devoted coach are perks only accessible for holders of the Gold and the Platinum accounts.
The withdrawal times for the Regular and Silver accounts are between 3 and 5 working days, while for the Gold that time is up to 48 hours, and for the Platinum – up to 24 hours. The last one has unlimited free withdrawals, while for all others there is an applicable fee.
At the time of this review, BullBinary is offering a $1,000 cash back promotion for users who launch and fund an account. | {
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Zoom allowing unlimited video calls for Christmas, New Year's holidays
By Catherine Park
FOX 29 Philadelphia
Zoom will allow unlimited time on video calls over Christmas and New Year's so families and friends can spend more virtual time together for the holidays.
The video conferencing company will remove the 40-minute limit on free accounts so users can spend more time with their loved ones with whom they are unable to gather safely this year due to the coronavirus pandemic.
"Whether coming together on the final day of Hanukkah, celebrating Christmas, ringing in the New Year, or marking the last days of Kwanzaa, those connecting with friends and family won't get cut short," according to a Zoom news release.
Here are the times and days Zoom will be allowing unlimited video calls:
10 a.m. ET Wednesday, Dec. 23, to 6 a.m. ET Saturday, Dec. 26
10 a.m. ET on Wednesday, Dec. 30, to 6 a.m. ET on Saturday, Jan. 2
FILE - A family sits for shiva, a traditional Jewish time of mourning for the dead on April 11, 2020 in New Canaan, Connecticut.
RELATED: How much are the stimulus payments and who will get them?
The company, which has become a staple of communication since the onset of the COVID-19 pandemic, advised users to practice extra caution for unwanted "Zoom bombings," and gave tips on how to add a festive background to video to boost the holiday spirit for those who are homebound.
The holidays are wreathed in danger for those who travel and may spread the virus — and those who don't and may suffer from isolation. Small gifts of normalcy, like in-person schooling and indoor dining, are being interrupted again.
"We need to hunker down and get through this fall and winter, because it's not going to be easy," Dr. Anthony Fauci, the country's top infectious-disease expert, was saying as early as September.
More than 1 million people have passed through U.S. airport security checkpoints over the weekend in a sign that public health pleas to avoid holiday travel are being ignored, despite an alarming surge in COVID-19 cases.
In a bid to encourage social distancing during the holiday season, virtual visits with Santa Claus are becoming the new norm.
RELATED: Sam's Club offering free virtual visits with Santa from the North Pole
Companies such as HouseParty and WhatsApp, which have been around for some time, are getting new attention as more and more people utilize the apps to remain in contact while also having fun with friends and family who are far away. | {
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Leaving clinical medicine behind wasn't an easy decision to make. The difficulty of this choice weighed heavily on me because I knew it would affect many more lives than just mine when I made it.
For my parents, it was especially hard. They had cheered me on, along the sidelines, with quintessential pride and joy. Their only daughter—an immigrant at the age of 10—had successfully navigated hurdle after hurdle of the treacherous medical journey. When she came out on the "other side" having earned that coveted medical degree, it was pure parental magic at its finest.
My departure was also difficult on my husband who went through similar arduous steps to jump-start his own medical career. We had done it together, and we always pictured ourselves dedicated until the very end, gray hair and all.
For me, the gray-haired ending had simply arrived prematurely and much sooner than anyone imagined.
Mine was a decision that had been long in the making, as regulation after regulation tightened its grasp where beautiful health decision-making was concerned.
As far as actual closure goes, I didn't end things abruptly. Mine was a decision that had been long in the making, as regulation after regulation tightened its grasp where beautiful health decision-making was concerned. It was the "healthcare noose."
I stuck with it longer than I had intended to; in fact, I worked through the "burn." I had dedicated my life to healing patients, so it felt like a betrayal leaving them behind.
Protecting their health and happiness ironically kept me from preserving my own. Danielle Ofri, MD, PhD, describes this concept beautifully in her New York Times piece, "The Business of Healthcare Depends on Exploiting Doctors and Nurses". My patients were—no, are—not only innocent bystanders in physicians' inner struggle but also the ones ultimately most affected by it.
Sometimes to Step Forward, You Have to Step Back
So no, my decision wasn't an easy one at all. It came about after painstakingly long and drawn-out deliberation. At the end of the day, I needed to turn attention to myself upon realizing the shape I was in required major readjustment.
That's where I am today: staring down the murky abyss of change. The bright side of my exit is that I've taken on a new angle to tackling this and other healthcare issues. Having recognized the power of the online world as the fastest-growing form of communication, I foreshadowed years back that the Internet would serve as a major healthcare connector. As far as I was concerned, I needed to figure out a way to leverage my online skills—skills I discovered on a past stint away from medicine—to empower physicians like myself.
With burnout at an all-time high, we need to consider a thorough restructuring of how the healthcare system is now run. To do it effectively, we must listen to the valiant warriors of the system (I say this because of the long haul physicians commit to, including financial obligations, missed opportunities, and more) and restore the magic of the basic healthcare relationship: the one between the physician and patient.
Although I leave behind beloved patients and clinical work that sparked relationships I will never forget, I look forward to pursuing a new angle to innovating healthcare. I founded SoMeDocs (short for Doctors on Social Media) 3 years ago in order to give physicians space in which to effectively network, share and discuss tools that can uniquely amplify our voices online, and start making a positive impact both individually and collectively. I hope the rapid growth of our group (while I was working) is indicative of its potential, now that I pivot and dedicate my full time to the cause.
Here's the bottom line: I may have stopped seeing patients, but I haven't given up on healthcare. What I've experienced over the years of clinical practice has helped me truly value how important human connection is, and it has served to fuel my passion. Among my dreams is to provide a safe space where we can effectively connect, outside of the white coat, in order to spark change. I'm able to do this better now that I've stepped past my own barriers and can lead without restrictions.
Here's to changing healthcare one virtual physician voice at a time.
Dana Corriel, MD, is an internist living in Tenafly, New Jersey; a blogger; and founder of SoMeDocs, promoting the use of social media for physician networking and online growth. She was also featured in Medscape's 20 Top Physician Social Media Influencers.
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