Minimally invasive video-assisted thyroidectomy. Two small retractors are used to maintain the operative space. The endoscope and the instruments are all insert

BACKGROUND: In 1998, we developed a technique for video-assisted thyroidectomy (VAT). In this article we report on the entire series of patients who underwent VAT and discuss the results obtained. STUDY DESIGN: Forty-seven patients were selected for VAT. Eligibility criteria were: thyroid nodules of 35 mm or less in maximum diameter; estimated thyroid volume within normal range or slightly enlarged; small, low-risk papillary carcinomas; neither previous neck surgery nor irradiation; and no thyroiditis. After a learning period, VAT was proposed also for completion thyroidectomy (of previous video-assisted lobectomy) and nodules with maximum diameter up to 45 mm. The procedure is performed by a totally gasless video-assisted technique through a single 1.5- to 2.0-cm skin incision. Dissection is performed under endoscopic vision using a technique very similar to conventional operation. RESULTS: Fifty-three VATs were attempted on 47 patients. Thirty-three lobectomies, 10 total thyroidectomies, and 6 ...

After a long experience and a considerable number of procedures performed in a single center, MIVAT is confirmed as a safe operation, with a complication rate comparable with open thyroidectomy. MIVAT offers a cure rate for the treatment of low-risk and intermediate-risk malignancies that is compara …

To investigate the surgical methods and clinical results of robot-assisted laparoscopic antegrade inguinal lymphadenectomy. A retrospective study was performed on clinical data from 19 patients with penile cancer admitted from March 2013 to October 2017. Among them, nine patients underwent robot-assisted laparoscopic antegrade inguinal lymphadenectomy (robot-assisted group) and 10 patients underwent open inguinal lymphadenectomy (open group). In the robot-assisted group, preoperative preparation, patient position, robot placement, design of operating channel and establishment of operating space are described. Key surgical procedures and techniques are also summarized. In addition, the number of lymph nodes removed, postoperative complications and follow-up in both groups were statistically analyzed. For the 9 patients in the robot-assisted group, surgery was successfully accomplished at 17 sides without intraoperative conversion to open surgery. The surgery time for each side was 45~90 min using

TY - JOUR. T1 - Video-assisted parathyroidectomy. AU - Raffaelli, Marco. AU - Miccoli, P. AU - Berti, P. AU - Conte, M. AU - Materazzi, G.. PY - 2001. Y1 - 2001. N2 - Aim of the study. In 1997 a personal minimally invasive video-assisted technique for parathyroidectomy was ideated. In this paper we analyzed the results on one hundred fifty nine cases of minimally invasive video-assisted parathyroidectomy (MIVAP). Methods. The procedure is a gasless technique which is based on a single central skin incision of 1.5 cm at the notch level. Through the incision small endoscopic instruments and a 30° 5 mm endoscope are inserted. The operative space is maintained by external retraction, without any gas insufflation. Results. MIVAP was successfully carried out in all but 12 patients.THe conversion rate was 7.5%. One recurrent laryngeal nerve palsy was registered (0.6%). and one case of persistent hyperparathyroidism. Two thyroid lobectomies were associated using the same minimally invasive access. ...

Waller, D.A. and Rengarajan, A. (2001) Thoracoscopic Decortication A Role for Video-Assisted Surgery in Chronic Postpneumonic Pleural Empyema. The Annals of Thoracic Surgery, 71, 1813-1816.

A multi-disciplinary team at Brigham and Womens Hospital (BWH) that includes radiologists is demonstrating success with a new surgical procedure that combines video-assisted surgery with real-time imaging guidance to remove lung nodules while preserving healthy tissue.. While guidelines recommend surgical removal of lung nodules less than 2 centimeters in diameter that are suspicious for cancer, such removal presents a significant challenge for surgeons. Nodules located on pre-operative CT scans change position once the lung is partially collapsed for surgery.. Its like taking one point inside an inflated balloon and trying to find it after you deflate the balloon, said Jayender Jagadeesan, PhD, a co-investigator of the clinical trial and a research scientist at the National Center for Image Guided Therapy (NCIGT), a National Institutes of Health (NIH)/National Institute of Biomedical Imaging and Bioengineering (NIBIB)-funded program at BWH and Harvard Medical School. The late Ferenc A. ...

Background: Several factors may affect volume and dimensions of the working space in laparoscopic surgery. The precise impact of these factors has not been well studied. In a porcine model, we used computed tomographic (CT) scanning for measuring working space volume and distances. In a first series of experiments, we studied the relationship between intra-abdominal pressure (IAP) and working space. Methods: Eleven 20 kg pigs were studied under standardized anesthesia and volume-controlled ventilation. Cardiorespiratory parameters were monitored continuously, and blood gas samples were taken at different IAP levels. Respiratory rate was increased when ETCO2 exceeded 7 kPa. Breath-hold CT scans were made at IAP levels of 0, 5, 10, and 15 mmHg. Insufflator volumes were compared to CT-measured volumes. Maximum dimensions of pneumoperitoneum were measured on reconstructed CT images. Results: Respiratory rate had to be increased in three animals. Mild hypercapnia and acidosis occurred at 15 mmHg IAP. ...

Ideas for working space - ce mobila sa-ti alegi, cum sa iti pozitionezi biroul acasa, ce decoratiuni nu ar trebui sa iti lipseasca.

A controllable damper for resisting movement between two relatively moveable members includes a first member and a second member coupled for relative movement having a working space between them, and a controllable medium retaining structure, for example, an absorbent matrix, to hold a controllable medium only in the working space. A cage preferably supports the matrix. A field generating coil is mounted to one of the first and second members to generate a field acting on the first and second members and the controllable medium in the working space. The rheology change in the medium produced by the field results in resistance to relative movement of the first and second members. A device according to the invention may be used in apparatus, such as washing machines, exercise equipment, air supported tables, and a range of other apparatuses that would benefit from controlled damping or braking. Devices including a two-piece outer housing are described.

The introduction of new surgical techniques, that allow rapid functional recovery, and short-lasting anesthetics has made it possible to include a wider range of procedures in day surgery regimes. Videolaparoscopic colecistectomy (VLC) , a video-assisted surgical model, is one of these. The University Hospital of Pisa has responded to the growing needs of clients by creating an autonomous unit for this purpose, the Day Surgery Service for general surgery, in order to identify an efficient model in terms of organization, management and quality ...

TY - CHAP. T1 - Role of Neuromonitoring in Minimally Invasive Lateral Approaches to the Spine. AU - Than, Khoi. AU - Wang, Anthony C.. AU - Bush, Brian. AU - Park, Paul. AU - Marca, Frank La. PY - 2014/1/1. Y1 - 2014/1/1. N2 - Minimally invasive approaches allow surgeons to achieve clinical outcomes similar to traditional open approaches but with decreased blood loss, postoperative pain, and length of hospital stay. In 1998, a minimally invasive retroperitoneal transpsoas approach to the lumbar spine was described that provided surgeon access to the anterior lumbar spine with less morbidity than that associated with the traditional retroperitoneal approach [1] while providing equivalent biomechanics [2]. In this procedure, the patient is typically placed in the right lateral decubitus position (so as to avoid the liver). Incisions are planned with the aid of fluoroscopy over the appropriate disc space(s) and the retroperitoneum is entered. The disc spaces are then sequentially accessed through ...

Improved methods and devices for performing an endoscopic surgery including a system for performing minimally invasive procedures including a flexible catheter having a first lumen, a first flexible tube positioned in the first lumen, and a second flexible tube positioned in the first lumen. The first lumen defines a first space configured and dimensioned to receive an endoscope. The first flexible tube and second flexible tube are fixed at a proximal portion and configured to float within the first lumen of the catheter. First and second flexible guides are slidably positioned within the first and second flexible tubes and dimensioned to receive a first instrument for axial movement therein, the first and second flexible guides movable to an angled position with respect to a longitudinal axis. A working space expanding system positioned at a distal portion of the flexible catheter, the working space expanding system movable from a non-expanded insertion position to an expanded position forming an

Question: My urologist started a lap prostatectomy. Mobilizing the bladder revealed a high prostate with limited working space for dissection. Given the patient s morbid obesity, limited working space, and the patient s age, the urologist determined it was best to abort the procedure. Is there a separate code for bladder mobilization [...]

This is undoubtedly the most important step of your risk assessment. Just recording the hazards in your working space doesnt leave your clients any less at risk - you need to take the necessary action to eradicate these hazards. Anything you spot that could be deemed a hazard needs to be acted upon before you hold a class or session. If you are hiring the location, inform the renter of the issue and make sure they or you take appropriate steps.. So, for example, if you spot water on the floor, either grab a mop and make sure the surface is completely dry to avoid slippages or put up a sign to notify others. If you spot that there is an issue in your working space and you need to consult with the gym manager, you should postpone your class while you come up with a solution. If youve finished a class and theres equipment lying around, make sure you store it all away safely to avoid someone tripping over it and hurting themselves.. Although this might seem like common sense, youd be amazed at ...

Slip Tubes customizable steel-framed sheds and shelters offer several distinct advantages over wood shelters and other permanent structures. No matter what

I recently talked to Matt Owens, Executive Director of Harlem Biospace. For anyone interested in biotech, startups, or the up and coming New York biotech scene, his interview below is a must-read. Check it out!. Q: Why was Harlem Biospace created?. Matt: There was so much incredible research taking place at the institutions in New York City, but there was no support system for developing that research into a company. One important first step to building those companies and commercializing that research is affordable lab space. So we built an affordable lab and working space for early-stage life science companies.. Q: What is the goal of Harlem Biospace?. Matt: The goal is to lower the barrier for commercializing a hypothesis into a technology.. Q: What kind of companies are you looking for? Whats the ideal stage and mission of the companies that apply?. Matt: The stages are very early, 1-4 people. That still covers a wide spectrum of readiness to ship a product, because the ideas are very ...

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The Solution for Demanding Requirements. Optimum ergonomics and the use of cutting edge technology ensure ideal working conditions. Physicians benefit from this just as much as their patients.. The unique rotation facility of the stationary X-ray system creates sufficient working space above the patient, an unlimited field of view and free access to the table.. This means that the MODULITH® SLX-F2 »connect« with its integrated lithotripter is the only system on the market that meets all the demands of a modern, urological X-ray workstation.. The MODULITH® SLX-F2 »connect« provides users with all the instruments they need to carry out any type of intervention in modern kidney stone therapy safely and conveniently.. ...

Laptop screens are not known for their grand size but you cant take a second monitor everywhere you go, or can you? The SPUD is a 24-inch display that collapses like an umbrella so you can take it wherever you go.. This screen is basically a projector and screen, rolled into one portable device. You connect via HDMI port and you can use the screen for whatever you want whether its watching movies or extra working space. Its portable nature means that you can take it anywhere and its all in one set up means that you dont have to fuss with a lot of extra moving parts.. ...

to raise awareness among workers involved in hazardous operations of their rights to a safe working space, to health and compensation wherever exposure to hazard occurs either due to lax occupational safety practices or otherwise ...

Economy Color-Coded Spring ScalesFrom generic manual scales to electronic moisture analyzers, high quality calibrated balances are simple to operate for quick weighing calculations. Using the latest technology available, scales provide reliable mass measurements with fast stabilization timing. With durable flat platforms, the instruments are easy to clean to remove dust or spills. Compact designs do not require much working space and allow the devices to be stowed away when not in use.

We assessed spatial designs and behaviors among professionals delivering integrated care in 19 practices located across the United States. Two spatial layouts emerged from our analysis, and were distinguished by the amount of separation between PCCs and BHCs. Close proximity of BHCs and PCCs promoted situational awareness, bumpability, and on-the-fly communication among professionals. In addition, clinicians working in closer proximity engaged in significantly more face-to-face interactions to coordinating patient care than clinicians separated by distance. Our findings show that when designing or reconfiguring space for delivery of integrated care, practices must strike a balance between professional proximity and adequate private working space, given that private space was need for focused work and consults with patients or clinical team members.. Meaning is encoded within physical space.2,17,18 By asserting control over a space and changing it (eg, from private to shared offices), ...

We apply especially active methods, as we understand that real knowledge is a process of self-formation in which one ends up being the artisan of him/her-self. The student learns best when he does it personally - experimenting, observing, reflecting - through a process of auto-creativity.. Multilingual learning. At this stage we work daily with English. Moreover, continuing the trend created in Primary, we offer linguistic itineraries where the student chooses either French or German. Also, our students access external assessment of certification (Cambridge, Goethe) of their linguistic level within the European frame of languages.. Technological Resources. Our program is imparted, to a large degree, in smart and audio-visual classrooms. The smart classrooms (8) have 35 working spaces for the students and in them, the technological resources find their natural habitat and acquire the sense of working tool. We also have two additional audio-visual classrooms.. Following the trend initiated in ...

There are very limited jobs available where you can get to have total control over your working space. Obviously, you wont be able to make any structural alterations to the in your cab, but as a professional HGV driver who has completed your HGV training, you have the freedom to make the space your own. You can install mini-fridges, decorate your sleeping space, hang some decors (so long as they dont impede your vision), and can generally make the place nicer to spend time in. You also get to play whatever podcasts, audiobooks, or music you want (as loud as you want), dress how you want, and stock up whatever snacks you want in your cab without stressing that someone might nick them. Flexibility in the workplace is usually something that office workers complain about - but this isnt anything you should worry about if youre an HGV driver.. ...

Add a touch of class to your working space with the Savoy suite. A range of elegant and classy seating designed to raise the profile of any environ.... View full details ...

Accurate Image Manipulation for Desktop Publishing (AIM) is devoted for the best possible quality in the desktop publishing workflow. This calls for accurate calibration and correct choice for the working space ...

Accurate Image Manipulation for Desktop Publishing (AIM) is devoted for the best possible quality in the desktop publishing workflow. This calls for accurate calibration and correct choice for the working space ...

About Finely Sorted Organizing: Founded by Kim Corey in 2000 has helped hundreds of living and working spaces perform better and be more peaceful for living.

Introduction: Minimally invasive approches in treatment of acute necrotizing pancreatitis and/or infected pancreatic necrosis gain a notable advantage compared with open surgery.. Aim: We present our experience in treatment of acute necrotizing pancreatitis by an original minimally invasive retroperitoneal necrosectomy technique, evaluate feasibility and safety of this method, compare our results to other studies.. Patients and methods: A retrospective analysis of 22 patients with acute necrotizing pancreatitis and large fluid collections in retroperitoneal space was performed. All patients underwent retroperitoneal necrosectomy as an initial interventional procedure in treatment of infected pancreatic necrosis.. Results: Sixteen males and six females aged between 24 and 60 with an average age of 42.59 ±7.3 years were included. Alcohol abuse was an etiologic factor of acute necrotizing pancreatitis for 18 patients (81.8%). Average time between diagnosis and performance of necrosectomy was 28.6 ...

The lumbosacral plexus anatomic considerations for minimally invasive retroperitoneal transpsoas approach | Harley street physiotherapy anatomic considerations|article link|lumbosacral|lumbosacral plexus Best UK Spinal Clinic Surgeons Revolutionary treatments

We investigate the current status of endoscopic thyroidectomy in Korea. A representative questionnaire was sent to 21 members of the Korean Association of Endocrine Surgeons who were thought to be performing endoscopic thyroidectomy. All the reply letters were collected and analyzed. The response rate was 95%. A total of 1616 cases of endoscopic thyroidectomy were performed from the year 1998 to the year 2005. The patients included 71 men and 1545 women, with a mean age of 36.17 years. The mean operation time was 124.18 minutes and overall length of hospital stay was 4.31 days. Thyroid lobectomy and nodular hyperplasia were the most common procedures and prominent pathologic findings. Axillary approach was the most popular operative approach method. Gas insufflation and skin-lifting gasless method were used in 800 cases and 816 cases, respectively. Postoperative complication rate was 14.2%. Skin paresthesia was the most common complication. Conversion rate to conventional thyroidectomy was 2.2%. ...

Surgery is the standard of care for early-stage lung cancer, but the best surgical approach is yet to be determined. Minimally invasive surgery, such as Video-Assisted Thoracoscopic Surgery (VATS), is now the preferred approach over traditional open surgery.1 In a study presented at the International Association for the Study of Lung Cancer (IASLC) 2019 World Conference on Lung Cancer (WCLC) at Barcelona, Spain, the data showed VATS is equivalent to open lobectomy for early-stage lung cancer in terms of oncologic outcomes and patients quality of life.2 VATS in the early-stage lung cancer. Complete anatomic resection via open thoracotomy has been the conventional approach in the early-stage lung cancer, but since the introduction of VATS, better clinical outcomes can be achieved. Nowadays, VATS is being performed more commonly as a first-line treatment for the early-stage lung cancer.3. The VATS procedure is conducted through small incisions, called key holes in the chest wall. Then, a tiny ...

Introduction: Currently, minimally invasive esophagectomy (MIE) is being performed using Video-Assisted Thoracoscopic Surgery (VATS) for mediastinal esophageal dissection. The VATS approach is still associated with pulmonary and cardiovascular morbidity, as well as incisional pain. This study investigates the feasibility of MIE using a single-incision transcervical videoscopic esophageal dissection (TVED). A simultaneous laparoscopic and transcervical videoscopic approach would allow MIE without the need for patient repositioning or single lung ventilation.. Methods: Technical steps of the procedure include a standard cervical incision large enough to accommodate a modified hand-assisted access device. Cervical esophageal dissection was done in standard fashion. The modified access device was placed, and pneumomediastinum was established with laparoscopic trocars placed through the access port. The tracheoesophageal plane was developed above and below the thoracic inlet. Vagal nerves were ...

Ke Gong, MD, Qiuqiang Zhang, MD, Nengwei Zhang, MD, Yiping Lu, MD, Dexiao Du, MD, Xia Zhao, MD. Department of General Surgery, Beijing Shijitang Hospital. Beijing, China. Backgroud The aim of this study was to identify the conditions that are associated with a better application of endoscopic thyroidectomy technique. Methods We retrospectively reviewed 80 patients diagnosed with thyroid diseases who undertook endoscopic thyroidectomy in the general surgical department of Beijing Shijitan Hospital between April 2004 and April 2009. Eighty patients were equally classified into 2 groups chronologically. The clinical data in two groups were then collected and compared.. Results Among the total 80 patients, 20 are males and 60 females with a mean age of (36±12) years. Pathological diagnosis found 66 cases of nodular goiter, 5 cases of thyroid adenoma, 2 cases of Craves disease, 2 cases of Hashimotos thyroiditis and 5 cases of thyroid cancer. There was no significant difference in age, gender and ...

One discussion this week included the question of step-up approach versus open necrosectomy for pancreatitis. Summary: BACKGROUND: The 2010 randomized PANTER trial in (infected) necrotizing pancreatitis found a minimally invasive step-up approach to be superior to primary open necrosectomy for the primary combined endpoint of mortality and major complications, but long-term results are unknown. NEW…

Although rare, tracheobronchial foreign body aspiration in adults can occur in various clinical settings. High clinical suspicion is necessary for diagnosis. Removal of foreign bodies can usually be accomplished with bronchoscopy.

TY - JOUR. T1 - Longstanding tracheobronchial foreign body in an adult. AU - Wu, Ti Hei. AU - Cheng, Yeung Leung. AU - Tzao, Ching. AU - Chang, Hung. AU - Hsieh, Chih Ming. AU - Lee, Shih Chun. PY - 2012/5. Y1 - 2012/5. UR - http://www.scopus.com/inward/record.url?scp=84860512055&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=84860512055&partnerID=8YFLogxK. U2 - 10.4187/respcare.01445. DO - 10.4187/respcare.01445. M3 - Article. VL - 57. SP - 808. EP - 810. JO - Respiratory Care. JF - Respiratory Care. SN - 0020-1324. IS - 5. ER - ...

The investigators had performed more than 250 cases of breast approach endoscopic thyroidectomy (BAET). The goal of this study is to evaluate whether BA

During the last two decades, the management of penile carcinoma patients with impalpable regional lymph nodes has improved, making the procedure considerably less morbid than before. There are some reasons to explain these improvements: the selection of patients has improved and surgery has been avoided in patients with a low risk of lymphatic disease;2,15 additionally, some authors perform a limited area of dissection with preservation of the saphenous vein.8-11 Although their morbidity has decreased, all of these techniques failed to reach optimal oncological control.. More recently, DAncona and colleagues reported fewer complications with a simplified staged lymphadenectomy compared with the radical dissection. On the other hand, 5.5% of patients with negative simplified dissection had inguinal disease during the follow-up.9 Another strategy that has been accepted worldwide is the use of lymphoscintigraphy to attempt to detect the functional sentinel lymph node.10 Despite the excellent ...

Post-operative pain after minimally invasive video-assisted thoracoscopic surgery (VATS) in adults is commonly managed with oral and parenteral opioids and invasive regional techniques such as thoracic epidural blockade. Emerging research has shown that the novel erector spinae plane (ESP) block, can be employed as a simple and safe alternative analgesic technique for acute post-surgical, post-traumatic and chronic neuropathic thoracic pain in adults. We illustrate this by presenting a paediatric case of VATS, in which an ESP block provided better analgesia, due to greater dermatomal coverage, as well as reduced side-effects when compared with a thoracic epidural that had previously been employed on the same patient for a similar procedure on the opposite side ...

Motivations. Building the Burrows-Wheeler transform (BWT) and computing the Lempel-Ziv parsing (LZ77) of huge collections of genomes is becoming an important task in bioinformatic analyses as these datasets often need to be compressed and indexed prior to analysis. Given that the sizes of such datasets often exceed RAM capacity of common machines however, standard algorithms cannot be used to solve this problem as they require a working space at least linear in the input size. One way to solve this problem is to exploit the intrinsic compressibility of such datasets: two genomes from the same species share most of their information (often more than 99%), so families of genomes can be considerably compressed. A solution to the above problem could therefore be that of designing algorithms working in compressed working space, i.e. algorithms that stream the input from disk and require in RAM a space that is proportional to the size of the compressed text. Methods. In this work we present algorithms and

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Fingerprint Dive into the research topics of Endoscopic thyroidectomy is safe in patients with a high body mass index. Together they form a unique fingerprint. ...

International Scholarly Research Notices is a peer-reviewed, Open Access journal covering a wide range of subjects in science, technology, and medicine. The journals Editorial Board as well as its Table of Contents are divided into 108 subject areas that are covered within the journals scope.

We performed tumor resection by a video-assisted thoracic surgery approach. There was strong fibrous adhesion between the tumor and right lung

This paper introduces Delaunay graph into path planning for mobile robot for the shortest path. Delaunay Graph is used for modeling the working space, an a

We are building a two-story woodshop and recording studio across the driveway from our home in the Shenandoah Valley. Each level is ~ 1100 sqft. of workspace. We used two steel beams on the first floor to eliminate 2 posts to open up the working space for larger projects. Equipment in the shop will include 2 table saws, jointer, planer, shaper, band saw, lathe-essentially capable of building almost any type of project. The second level includes an open recording area (live room) with roof peak at 18, a fully equipped control room, vocal booths and a lounge area ...

Professional tablet with 255 x 150 mm working space for the most demanding designers who design, illustrate, animate and edit pictures and videos

Professional tablet with 255 x 150 mm working space for the most demanding designers who design, illustrate, animate and edit pictures and videos

We would like to inform the brotherly organizations, national and international cooperatives institutions the incident that touched the lives of more than 5.000 Honduras workers/ the markets workers in Tegucigalpa, of which 1,800 are affiliated to our federation that lost as much as they had invested on their stalls /working areas. All and each one of the companions remain at the mercy of the government support. The government does not build nor maintains again their working spaces in order to continue exercising their activity with which they have earned themselves the life for more than thirty years. The incident was caused by huge fire that burnt into ashes five markets located in the centre of the capital of the republic of Honduras specifically in Comayagüela municipality of the central district. The incident took place in the framework of a series of incidents that happened in the period of the recent past week. Some are related to incidents that were never seen in our country such as: ...

Low Profile Scooptram: Higher Capacity, Quicker, Safer and Cleaner. Atlas Copco says its new Scooptram ST7LP represents the next generation of underground loaders for low headroom operations.. By Kyran Casteel, European Editor. For load-haul-dump (LHD) machines used in large-scale underground mines, cutting edge technology development is addressing autonomous, automated or at least sophisticated remote-controlled operation. But in narrow vein and thin reef metal mines the emphasis remains on basic machine improvements able to achieve loading and transport that is economic and safe in working spaces that avoid dilution, with machines that can attain high availability with normal maintenance. Performance has been significantly improved over the past 20 years or more, aided by the introduction of more powerful, suitable engines.. The latest LHD designed to meet these needs, Atlas Copcos Scooptram ST7LP, continues the trend, providing higher tramming capacity under a lower back height, greater ...

Quiet enclave ,steps from the multi- use Rideau River Eastern Pathway with mature trees parkland,bike path and the Adawe foot bridge connecting to Strahcona Park to downtown.Four season recreation. Many renovations and improvements. Open living and dining with the warmth of gas fire place . Kitchen features ample cabinets and working space. Stainless appliances, gas Stove and modern hard wood flooring . Access from the kitchen to oversize deck for entertaining and BBQing. 3 bedrooms 2 baths.Primary bedroom with a picturesque Juliet balcony overlooking the patio, good closet space.Large secondary bedroom functioning as an office/den/music rm. Most windows upgraded 2017. Upgraded main bath adjacent to 2nd level laundry room .Main level has 2 piece powder room. The basement offers lots of storage .This home retains the charm of yesteryear,the comforts of modernism and the conveniences of today.Parking at the rear .Many recent improvements. (id:34193). ...

A space elevator is just the thing that is needed to open up the high frontier of space. A working space elevator is still not a reality as of yet. But s

This is all simple in theory. The trick is of course in the details: First the TUM researchers had to build a selective binding unit. The over-dimensioned printer fills an entire laboratory room in the basement at the Chairs premises: Sand is distributed using an automatic scattering system. A three-dimensional system of tracks makes sure the print head can be positioned at any desired point in the working space and a nozzle can apply fluid to exactly the desired points. The researchers tinkered with the process for three long years: Success depends among other things on the thickness of the layers, the grain size of the sand, the speed at which the print head moves and the selection of the right nozzle. The engineers have optimized the various parameters together with the TUM Centre for Building Materials. Together with partners from industry, the team is currently developing a 3D printer whose print head will be equipped with several thousand nozzles. The device will make it possible for the ...

Re-Pair [5] is an effective grammar-based compression scheme achieving strong compression rates in practice. Let n, σ, and d be the text length, alphabet size, and dictionary size of the final grammar, respectively. In their original paper, the authors show how to compute the Re-Pair grammar in expected linear time and 5n + 4σ2 + 4d + √n words of working space on top of the text. In this work, we propose two algorithms improving on the space of their original solution. Our model assumes a memory word of [log2 n] bits and a re-writable input text composed by n such words. Our first algorithm runs in expected O(n/ε) time and uses (1+ε)n+√n words of space on top of the text for any parameter 0 ,∊ ≤ 1 chosen in advance. Our second algorithm runs in expected O(n log n) time and improves the space to n + √n words ...

A single-acting pump only discharges water when the piston rises (if mounted vertically) and the down stroke is utilised simply to displace more water into the working space ready for the next stroke. It is possible to arrange things so that while one side of the piston displaces water to discharge it, the other induces more water, so that discharge takes place on both the up and the down stroke. Such pumps are known as double-acting pumps and are significantly more productive for their size than single-acting ones.. Fig. 32, diagrams A to H, illustrate various reciprocating displacement pump principles, and shows various single and double-acting configurations:. Diagram A in the figure shows a conventional single acting pitcher pump, as in Fig. 29.. Diagram B shows how, if the water needs to be delivered to a level higher than the point at which the pump rod enters the pump, a sealed lid is needed to prevent leakage. The seal is usually achieved by fitting a stuffing box through which the ...

Saga still rocks; Sex Criminals is fun reading; G. Willow Wilsons work on Ms. Marvel is awesome but G-Force is over-rated; Gene Yang is amazing and his Secret Coders is such a great idea for a book. Im puzzled that Nimona is getting as much critical attention as it has based on its quality, which is, well, meh, in my opinion. Id hoped reading Stevenson, Ellis, Watters and Allens Lumberjanes would reveal that Nimona was a working space for a new comics writer to hone their skills before nailing it with their next efforts, but Ive read enough summer camp comics already. I do feel Lumberjanes has merited the positive attention it has received, though. Bitch Planet continues to challenge me, engage me and enrage me (Well, consternate me, anyway). Writers and critics need to let a series actually debut before they critique it for shortfalls. Also, it would be nice if writers would address a characters entire history and mediated representations before making claims about race, gender, or ...

Surgical videos are available of open and endoscopic thyroidectomy procedures using the MicroFrance® Terris Thyroidectomy Instruments, NIM® Nerve Monitoring System, and NIM EMG Endotracheal Tube.

Necrosectomy, intensive care treatment (costs for program #152681) ✔ University Hospital Tubingen ✔ Department of General, Abdominal and Transplant Surgery ✔ BookingHealth.com

Global warmings problem and also the deterrence of illegal signing increasingly being echoed in our ears. baby crib veil. Additionally, as being a tropical state that likewise competed with a job as the lungs of the entire world and a role.

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Opposite worlds. An impossible dream. A forbidden wish. Im so so excited to share this cover for Girl Behind The Veil. It totally captures what the story is about. I hope you guys love it as much as I do. And, the best part? Its available for preorder for a special introductory price of only…