Veteran Kerala actor Sathar passes away

first_imgKochi: Veteran Kerala actor Sathar passed away on Tuesday at a hospital near here due to prolonged illness, his family said. He was 67. The actor who has acted in more than 300 films, majority of them in Malayalam, was unwell for the past three months. He began his film career in the mid-70s and established himself as the villain especially in the film where the hero was played by legendary actor Jayan. After a brief hiatus, he returned to the industry in 2012 and with a flurry of films, the last film he did was in 2014, following which he became inactive. The biggest surprise in his film career came, when he married yesteryear heroine Jayabharathi in 1979 and their son Krish Sathar is also an actor besides running his own business in London. His last rites will be held on Tuesday evening at Aluva.last_img read more

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Fabric or fire Trump tweet spreads humour online

first_imgWASHINGTON – US President Donald Trump’s Twitter account is often used to attack, belittle, and outright insult his opponents but on Monday it was a source of humour for many.That’s because President Trump not once, but twice spelt smoking with a “C” in one Tweet, referring to a ‘Smocking Gun’.“Democrats can’t find a Smocking Gun tying the Trump campaign to Russia after James Comey’s testimony. No Smocking Gun…No Collusion.” @FoxNews That’s because there was NO COLLUSION. So now the Dems go to a simple private transaction, wrongly call it a campaign contribution,…— Donald J. Trump (@realDonaldTrump) December 10, 2018As you can imagine, many Twitter users have “knitted together” witty replies to the error.A #SmockingGun doesn’t kill people, improper spelling kills people. #Twatwaffle— Valarie Vogel (@shinysparkly) December 10, 2018 Where there’s “smock” there’s #covfeve.#SmockingGun https://t.co/6R1kGxGFA1— Pièce de Résistance (@PieceDeReSister) December 10, 2018On a more serious, make you think note, comedian Nat Baimel tweeted “Refreshing to see a debate about a gun in America take place over something other than a mass shooting”.That tweet has since been removed from Baimel’s page.last_img read more

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SC seeks details on detenues release in Assam

first_imgNew Delhi: The Supreme Court on Tuesday ordered the Assam Chief Secretary to file an affidavit before April 25 recommending better measures for the release of detenues in the state detention centres. The Bench, headed by Chief Justice Ranjan Gogoi, observed that the centres were in a dilapidated condition. The court directed the government to come up with possible methodology to release the alleged illegal foreigners, especially those who have been held up for long. Also Read – India gets first tranche of Swiss bank a/c details The Bench took into consideration the government plea that observations made during the hearing of the case could impact the parliamentary elections in the state, and therefore, the plea should be heard after April 23, when Assam goes to the polls. The petition will be heard on April 25. The court discarded the government’s claims that the detention centres were “not in extremely bad shape” and said it was not a place where anybody would like to be. Also Read – Tourists to be allowed in J&K from Thursday The court was informed that 915 people were in the detention centres. The CJI directed the Chief Secretary to conduct a meeting with all stakeholders in the case and file an affidavit on or before April 23, with all the details of releasing the detenues. During the hearing, advocate Prashant Bhushan suggested the detenues could be released on the assurance or surety of being Indian citizens, and in case of criminals, technology could used to keep a track of them. Bhushan mentioned radio tagging the people with criminal background.last_img read more

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Praising Eritreas engagement with neighbours Ban urges compliance with resolutions

28 June 2010Eritrea deserves credit for its recent constructive engagement with its neighbours and the international community, Secretary-General Ban Ki-moon says in a new report in which he urges the country to provide evidence that it is complying with a Security Council resolution that imposed sanctions for the country’s destabilizing activities in Djibouti and Somalia. “Despite the Government of Eritrea’s long-standing positions on Somalia and Djibouti, it has recently taken a number of steps towards constructive engagement with its neighbours and the wider international community,” Mr. Ban says in a report to the Security Council on Eritrea’s compliance on resolution 1907, issued in January last year.“While recent developments represent a move in the right direction, I urge the Government of Eritrea to do more to provide evidence of its compliance with resolution 1907 and the practical measures set out in it,” the Secretary-General says.The resolution imposed an arms embargo on Eritrea and a travel ban and an assets freeze on Eritrean political and military leaders who violated the embargo, provided support to armed opposition groups destabilizing the region or obstructed implementation of a previous Council resolution that demanded that Eritrea withdrawal its troops from Djibouti.The resolution followed a request by the regional Intergovernmental Authority on Development (IGAD) and the African Union (AU) for the Council to take such action.The positive steps referred to by the Secretary-General include Eritrea’s reception of the Sanctions Committee in Asmara, its participation in the Istanbul Conference on Somalia, and its engagement in regional mediation efforts led by Qatar on Eritrea’s border dispute with Djibouti.“I am encouraged that Eritrea is now engaging in an effort to arrive at a peaceful resolution to the border conflict and normalize relations with Djibouti,” Mr. Ban writes.However, he notes that the UN’s ability to verify Eritrea’s compliance with resolution 1907 is very limited, and expresses hope that the new monitoring group on Somalia and Eritrea, which will be established in due course, will provide for independent monitoring and reporting on the implementation of measures imposed by the resolution.The Secretary-General also welcomes recent reports that indicate that Eritrea is taking measures to restore its representation at the headquarters of the AU and encourages the Horn of Africa country to make a similar effort in re-establishing its membership in IGAD.“Eritrea’s enhanced engagement with regional organizations and international partners would be an important contribution to strengthening peace and stability in the Horn of Africa,” he adds.He says that long-term peace and stability in the region require a comprehensive approach to address the interlinked conflicts. read more

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Shoppers Drug Mart applies to be a distributor of medical marijuana

This Feb. 13, 2013 file photo shows a marijuana bud at the grand opening of the Seattle location of the Northwest Cannabis Market, for sales of medical marijuana products. Shoppers Drug Mart says it has submitted an application to be a distributor of medical marijuana. THE CANADIAN PRESS/AP/Elaine Thompson by Alexandra Posadzki, The Canadian Press Posted Oct 25, 2016 8:51 am MDT Last Updated Oct 25, 2016 at 3:49 pm MDT AddThis Sharing ButtonsShare to TwitterTwitterShare to FacebookFacebookShare to RedditRedditShare to 電子郵件Email Shoppers Drug Mart applies to be a distributor of medical marijuana TORONTO – Shoppers Drug Mart has submitted an application to distribute medical marijuana — a move that, if permitted, could change how patients get access to the drug.But although the pharmacy chain says allowing it to dispense cannabis would improve patient care, some industry players are voicing concerns that users could face higher prices and have access to fewer strains.Federal regulations only allow registered patients to buy cannabis directly from licensed producers, who send the product to clients by mail.That means that even if Shoppers Drug Mart’s application is approved, Canada’s largest pharmacy chain won’t be permitted to sell medical marijuana through its stores unless Ottawa revises the rules.Shoppers Drug Mart spokeswoman Tammy Smitham says the company is hopeful that the federal government will do so, arguing that it would improve “access, safety, quality and security” for patients.Industry association Cannabis Canada says adding a middleman such as a pharmacy could provide some benefits — for example, medical marijuana users would be able to consult with their pharmacists face-to-face — but it may also come with some downsides.Consumers may end up paying a higher price, says Colette Rivet, executive director of Cannabis Canada.“There’s a dispensing fee on all pharmaceuticals,” Rivet said.“At Shoppers Drug Mart they pay a certain price for the pills but then they add a dispensing fee to cover their administrative costs.”Another concern is that the variety of strains available on store shelves could be quite limited, Rivet said.“That is critical for patients because they react differently to different strains,” she said.Mark Zekulin, president of licensed producer Canopy Growth Corp., said it would be vital that pharmacists are educated about the drug if they’re going to sell it in stores.“What if you show up at the pharmacy for assistance … and they haven’t been properly trained and they’re not necessarily engaged in understanding the product? You end up ultimately with a disservice,” Zekulin said.The number of clients registered with Health Canada to use medical cannabis has grown. At the end of June there were 75,166 registered clients under the medical marijuana regime, according to the Health Canada’s website.That’s up 40 per cent from the previous quarter, when there were 53,649 clients, and more triple the number from a year ago when only 23,930 people had registered to receive the drug.Smitham said Shoppers, which is owned by Loblaw Companies Ltd. (TSX:L), has applied to Health Canada to become a licensed medical marijuana producer — but only for the purpose of distributing the drug.The retailer has “no intention” of producing cannabis, she said, calling the application an administrative requirement in order to be able to distribute medical marijuana to patients.The Canadian Pharmacists Association has said it is concerned about a lack of clinical oversight and that pharmacies should play a leading role in the distribution of medical marijuana.When asked if they plan to follow Shoppers’ lead, pharmacy chains Rexall and Jean Coutu said Monday that there are still a number of issues that still need to be resolved.Rexall spokesman Derek Tupling said the company continues to monitor the situation, while Jean Coutu spokeswoman Helene Bisson said the issue “raises many questions” to which the various levels of government have yet to provide answers.When asked about Shoppers Drug Mart’s application, federal Health Minister Jane Philpott highlighted the “strict regulatory regime” in place for access to medical marijuana.“There is an appropriate process by which people can become a licensed producer,” Philpott said. “It’s a rigorous process that I am not a part of … they will work their way through the process.”Follow @alexposadzki on Twitter. read more

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Video column Irelands young and diverse population deserves to be heard

first_imgTHE AVERAGE AGE of presenters on our national radio stations is 55 – and only one in three voices belong to women.Yet Ireland has a young, diverse population with many perspectives to offer to the national conversation. Are the media really representing them?Uploaded by Katie VarvosKatie Varvos is a Canadian-born, Dublin-based vlogger who created the ‘The Unemployed Graduate’- a show about current news and issues. She is a recent graduate, with a BA in Journalism and MPhil in International Relations from Trinity. Each week she discusses a range of topics, asks for your opinions and gives away some pretty awesome prizes. Check out The Unemployed Graduate’s YouTube channel and Facebook page. Read: An Post launches 4 new stamps to highlight Ireland’s diversityRead: Irish transgender woman Lydia Foy nominated for European Diversity AwardColumn: Ireland’s political system must embrace diversity to foster justicelast_img read more

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Makeshift migrants camp firebombed in Patra

first_imgPolice in the western port of Patra are seeking the perpetrators behind an arson attack on a small makeshift settlement close to a derelict paper factory where dozens of undocumented immigrants had been camping out.Unidentified assailants pelted the settlement with makeshift firebombs in the early hours of the morning, causing no injuries but serious damage to the camp, according to local reports.Hundreds of migrants aiming to leave Greece and seek a better life in Western Europe regularly try to sneak onto ferries leaving the western port for Italy.Source: Ekathimerini. Facebook Twitter: @NeosKosmos Instagramlast_img

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Eizo lance un nouveau moniteur IPS et LED

first_imgEizo lance un nouveau moniteur IPS et LEDLe constructeur japonais Eizo vient de lancer sur le marché français un nouveau moniteur. Doté d’une dalle IPS, le FlexScan EV2335W bénéficie d’un rétro-éclairage à LED qui lui permet d’économiser l’énergie.Eizo vient de lancer en France son moniteur informatique FlexScan EV2335W. Cet appareil est doté d’une dalle IPS et offre un rétro-éclairage à LED. Avec ce modèle, le constructeur japonais mise sur les économies d’énergie puisque le moniteur ne consomme que 16 W en moyenne, et 35 W au maximum. Lorsqu’il est en veille, il ne consomme pas plus de 0,1 W. À lire aussiE Ink élargit l’horizon de son papier électroniqueDes performances qu’il doit à la fonction EcoView Optimizer, qui ajuste la luminosité en fonction de ce qui apparaît à l’écran. Elle s’ajoute à l’Auto EcoView, qui règle la luminosité selon l’éclairage de la pièce où se trouve le moniteur. La dalle IPS de 23 pouces offre quant à elle une définition Full HD (1920 x 1080 pixels), et une luminosité maximale de 250 cd/m2. Le moniteur, qui repose sur un pied FlexStand2 permettant de le retourner en mode portrait, est en outre équipé des entrées VGA, DVI-D et DisplayPort, ainsi que d’un haut-parleur d’appoint de 0,5 W. Pour s’offrir l’Eizo FlexScan EV2335W, qui sera commercialisé dans les jours à venir en France, il faudra débourser 475 euros.Le 9 janvier 2012 à 10:30 • Maxime Lambertlast_img read more

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Fewer trees for Grinch to steal

first_imgThere’s a thinner crop of Christmas trees this year, which could be good or bad depending on who’s holding the axe.Oregon and Washington Christmas tree sellers say this holiday season will see fewer noble firs, Douglas firs, grand firs and other popular species. A recent oversupply sunk prices. Farmers planted fewer trees or closed shop. Now, those remaining say the market is in a giving mood.“Prices had been really poor for the last six or eight years,” said Mark Schmidlin, owner of Schmidlin Farms in Banks, Ore. and a board member of the Pacific Northwest Christmas Tree Association. “There’s a lot of demand right now for the trees that are there.”Licensed Christmas tree growers in Oregon, the largest producer in the country, have dropped from 668 in 2011 to 437 in 2016, according to the Oregon Department of Agriculture. There are close to 90 in Washington, according to the Washington Department of Agriculture.“If you shop early, you will find your Christmas tree,” said Schmidlin. “There will be enough to go around. If there are fewer lots, go out to a choose-and-cut (farm).”Wholesalers and tree lot operators say they are seeing higher prices that could get passed to buyers.Beau Leech, owner of Bo’s Trees on the corner of Northeast 78th Street and Highway 99, said he saw the price spike coming. After 26 years in the Christmas tree industry, he said he’s waded through this supply cycle three times.last_img read more

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Robinson puts Taylor Parnell in Office of Premier

first_img Recommended for you Facebook Twitter Google+LinkedInPinterestWhatsApp Electricity Cost of Service Study among the big agenda items at September 11 Cabinet meeting ALERT # 2 ON POTENTIAL TROPICAL CYCLONE NINE ISSUED BY THE BAHAMAS DEPARTMENT OF METEOROLOGY THURSDAY 12TH SEPTEMBER, 2019 AT 9 PM EDT #MagneticMediaNews`center_img Facebook Twitter Google+LinkedInPinterestWhatsAppProvidenciales, TCI, December 23, 2016 -In her inaugural message as Premier of the Turks and Caicos Islands, Hon Sharlene Cartwright-Robinson laid out some key appointments outside of her Ministers and House of Assembly selected members.Madame Premier Robinson revealed that in the Office of the Premier, she will have at her side, Hon Derek Taylor in Grand Turk and Hon Douglas Parnell in Providenciales.There are more appointments to come said Premier Robinson in that address to the country via national radio on Tuesday evening; hours before the new PDM Ministers were in debriefs with their Permanent Secretaries who have now all been given the ‘Change Document’ or PDM Manifesto so that they are aware of the priority areas of the newly elected People’s Democratic Movement Administration.There was a Christmas Message also from Madame Premier; in it she said we must remember the Christ child and now focus on unifying the nation after what was a tough election season.  Yesterday marked one week since the General Elections where the PDM party secured 10 House of Assembly seats; four of the All Island and six of the constituency seats.You can read the message from the country’s first female premier, Hon Sharlene Robinson at MagneticMediaTV.com. The Luxury of Grace Bay in Down Town Provo Related Items:#magneticmedianewslast_img
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Ancient Roman Air Pollution Cooled Europes Climate – New Study

first_imgThe people of the Ancient Roman Empire lit so many fires that it caused a level of air pollution that slightly cooled the climate in Europe, scientists say. This recent finding supports evidence that human societies have been affecting Earth’s climate for thousands of years. Researchers have estimated the amount of air pollution, including soot and organic carbon particles, that would have been produced by Ancient Roman citizens. From this they concluded that the dominant cooling effect of air pollution would have lowered the European climate of the time by 0.3°F.Anina Gilgen of ETH Zurich, Switzerland, and her colleagues estimated the impact of the air pollution produced by the Romans on the climate of Europe. “We looked for the first time at whether anthropogenic aerosol impacts had an impact on climate a long time ago,” Gilgen told the New Scientist.Nero fiddling while Rome burnsResearchers used existing research and statistics on how much land the Romans used for farms, homes, and other purposes to estimate the amount of air pollution that would have created and then factored this into a model of European climate at the time.Interestingly, an exceptionally warm climate during the same period likely countered the cooling effect. The Roman Warm Period, which lasted from around 250 B.C. to 400 A.D., was a very hot time. Previous studies have shown that this was a natural phenomenon.The Great Fire of Rome burned for 6 days in 64 ADNonetheless, the team believes that human activities such as burning crop residue or using wood to heat homes would have potentially altered the climate in different ways.Scientists have been studying the effect of past human activity on the planet, estimating if major pollution-caused changes were first seen during the Industrial Revolution. Célia Sapart of Utrecht University led a team of fifteen scientists examining a 1,600-foot-long ice core taken from the Greenland ice sheet. They wanted to know whether methane levels increased during warmer periods because of increased bacteria in wetlands.  However, they did not find a straightforward relationship. “The changes we observed must have been coming from something else,” Sapart says.The Roman Empire at its height under Emperor TrajanAir pollution undeniably goes back quite a way. Smithsonian said, “First it was wood fires in ancient homes, the effects of which have been found in the blackened lungs of mummified tissue from Egypt, Peru, and Great Britain. And the Romans earn the dubious credit of being perhaps the first to spew metallic pollutants into the air, long before the Industrial Revolution.”“We saw the harmful effects of air pollution even in Roman times,” said Mark Z. Jacobson, professor of civil and environmental engineering at Stanford University, author of the textbook Air Pollution and Global Warming: History, Science, and Solutions.Related Video:Ancient Romans referred to their city’s smoke cloud as gravioris caeli (“heavy heaven”) and infamis aer (“infamous air”), much like the smog to be found in some large modern cities. Several complaints about its effects can be found in the written record, said Smithsonian. “No sooner had I left behind the oppressive atmosphere of the city [Rome] and that reek of smoking cookers which pour out, along with clouds of ashes, all the poisonous fumes they’ve accumulated in their interiors whenever they’re started up, than I noticed the change in my condition,” wrote the philosopher and statesman Seneca in 61 A.D.Related Article: Hyper-Realistic Sculptures Portray Famous Faces of Roman Emperors – Warts and AllIn 535 A.D.,  Emperor Justinian proclaimed the importance of clean air as a birthright. “By the law of nature these things are common to mankind—the air, running water, the sea,” he wrote.Nancy Bilyeau, a former staff editor at Entertainment Weekly, Rolling Stone, and InStyle, has written a trilogy of historical thrillers for Touchstone Books. Her new book, The Blue, is a spy story set in the 18th-century porcelain world. For more information, go to www.nancybilyeau.comlast_img read more

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first_img 360 Photos | Ultrasound Imaging | July 09, 2019 360 Degree View of a Mitral Valve Ultrasound Exam on a Vivid E95 System A view of a mitral valve on a GE Healthcare Vivid E95 … read more The ScanTrainer transvaginal simulator is one example of Intelligent Ultrasound’s simulation technologies. News | Cardiovascular Ultrasound | August 05, 2019 Digital Health Devices Used at Point of Care May Improve Diagnostic Certainty A West Virginia-based rural medical outreach event showcased the use of point-of-care technology in an ambulatory… read more read more Related Content 360 Photos | Ultrasound Imaging | July 08, 2019 360 Degree View of an Echocardiography Exam on the SC2000 System This is a 360 degree view of a live cardiac echo demonstration for the Siemens Healthineers Acuson SC2000… read more 360 Photos | Ultrasound Imaging | July 11, 2019 360 Degree View of a Smartphone Performing a Cardiac Ultrasound Exam This 360 degree photo shows a basic, point-of-care cardiac echocardiogram being performed using a smartphone turned i read more News | Ultrasound Imaging | July 31, 2019 Studies Confirm Clinical Value of ShearWave Elastography for Liver Fibrosis Evaluation SuperSonic Imagine announced the publication of the results of its prospective multicentric clinical study conducted in… read more March 20, 2009 – MEDRAD Inc. Multi Vendor Service has launched TotalRepair, reportedly the first and only guaranteed repair solution on select ultrasound probes. Enabled by 100 percent repair capabilities, TotalRepair aims to allow healthcare facilities to spend less on costly exchanges and replacements by maximizing the use of probe repair.”MVS is committed to developing new repair techniques that will make equipment service budgets go farther. This has immense value to healthcare systems during grueling economic times like these,” said Diane Watson, executive director of MEDRAD Multi Vendor Service. “With our ever-increasing repair capabilities and new offerings like TotalRepair, MVS can help hospitals and imaging centers save money by extending the life of their equipment.”TotalRepair not only helps healthcare facilities reduce service costs, but also mitigate overall financial exposure with a capped, guaranteed “worst case scenario” price provided up front. MVS supports its repair guarantee on eligible probes with an extended six-month warranty. (Extended six-month warranty applies only to MVS-applied service on standard probes. Transesophageal (TEE) probes are covered under a 90-day warranty.)For more information: www.medrad.com FacebookTwitterLinkedInPrint分享center_img News | Pediatric Imaging | August 14, 2019 Ultrasound Guidance Improves First-attempt Success in IV Access in Children August 14, 2019 – Children’s veins read more News | Ultrasound Imaging | July 26, 2019 Intelligent Ultrasound Group Collaborating With the National Imaging Academy Wales Artificial intelligence (AI)-based ultrasound software and simulation company Intelligent Ultrasound Group plc (AIM:… read more Technology | Interventional Radiology | August 16, 2019 Profound Medical Receives U.S. FDA 510(k) Clearance for Tulsa-Pro Profound Medical Corp. announced it has received 510(k) clearance from the U.S. Food and Drug Administration (FDA) to… read more News | March 20, 2009 MEDRAD Launches TotalRepair on Select Ultrasound Probes News | Ultrasound Women’s Health | July 11, 2019 FDA Clears Koios DS Breast 2.0 AI-based Software Koios Medical announced its second 510(k) clearance from the U.S. Food and Drug Administration (FDA). 3D Auto RV application image courtesy of Philips Healthcare Technology | Cardiovascular Ultrasound | July 02, 2019 Philips Extends Advanced Automation on Epiq CVx Cardiovascular Ultrasound Platform Philips recently announced new advanced automation capabilities on its Epiq CVx and Epiq CVxi cardiac ultrasound… read morelast_img read more

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first_imgFeature | April 03, 2012 | Michael Gensheimer, M.D.; Mark Phillips, Ph.D. and Shilpen Patel, M.D. Recent Advances in Arc Therapy During the past five years, intensity modulated arc therapy has seen a surge in activity, with significant improvements in planning and delivery tools VMAT reduces treatment times compared to IMRT, since gantry rotation, MLC movement and radiation delivery happen simultaneously, as with the Elekta VMAT above. News | Brachytherapy Systems | August 14, 2019 Efficacy of Isoray’s Cesium Blu Showcased in Recent Studies August 14, 2019 — Isoray announced a trio of studies recently reported at scientific meetings and published in medica read more Feature | August 05, 2019 | Dave Fornell, Editor Most Popular Radiology and Radiotherapy Topics in July 2019 August 5, 2019 — Here is the list of the most popular content on the Imaging Technology New (ITN) magazine website fr read more Following radiation, the bone marrow shows nearly complete loss of blood cells in mice (left). Mice treated with the PTP-sigma inhibitor displayed rapid recovery of blood cells (purple, right). Credit: UCLA Broad Stem Cell Research Center/Nature Communications Figure 1: An axial view of a VMAT plan for prostate cancer treatment. With VMAT, gantry rotation, MLC movement and radiation delivery happen simultaneously, which saves treatment time. Images courtesy of Myra Lavilla Figure 1: An axial view of a VMAT plan for prostate cancer treatment. With VMAT, gantry rotation, MLC movement and radiation delivery happen simultaneously, which saves treatment time. Images courtesy of Myra LavillaIn arc therapy, a linear accelerator gantry moves in a continuous arc around the target while delivering radiation dose. Patients have been routinely treated with this technology since the 1980s, when it was put into use for stereotactic radiosurgery (SRS) of the brain. The advantage was that the low-dose region was spread out over a larger amount of healthy brain, reducing treatment toxicity.At the same time that arc treatments were becoming routine in certain applications, intensity modulated radiation therapy (IMRT) was being developed. IMRT entered wide clinical use in the late 1990s. In this technique, the beam intensity of each beam is modulated in such a way that the target volume receives a relatively uniform dose, but nearby normal structures can be spared to a greater extent than is possible without modulation. This enables a reduction in the radiation dose received by nearby critical normal structures.In 1995, Cedric Yu, then at William Beaumont Hospital, described the merging of arc therapy and IMRT into what he called intensity modulated arc therapy.1 The goal was to harness the strengths of both techniques to further increase the ratio between target dose and dose to important nearby tissues.The concept of intensity modulated arc therapy lay fairly dormant until the last five years, which have seen a burst of activity from researchers and vendors, culminating in sophisticated, robust planning and delivery tools. Newer linear accelerators are able to dynamically vary the multileaf collimator (MLC) position and rotation, dose rate and gantry rotation rate through an arc. And with the explosion in computing power, clinically practical algorithms for rotational plan optimization have become available.The general approach has come to be known as volumetric modulated arc therapy (VMAT). The biggest appeal of VMAT is the reduction in treatment times compared to traditional IMRT, since there is no wasted time, as gantry rotation, MLC movement and radiation delivery all happen simultaneously. (See Figure 1, which shows an axial view of a VMAT plan for prostate cancer treatment.)Several vendors have introduced full-featured, flexible VMAT solutions. These include Varian’s RapidArc, Elekta’s VMAT, Philips’ SmartArc and Nucletron’s Oncentra VMAT (the latter two are software products that can be used with Varian or Elekta linear accelerators). The Accuray TomoTherapy system uses an intensity modulated fan beam rotating helically around the patient and has more degrees of freedom than linac-based VMAT techniques.Planning is a Complex ProcedurePlanning a VMAT treatment places high demands on the optimization software. Because radiation is delivered from a continuous array of directions, the treatment is usually approximated in the software by a non-rotational treatment delivered from many closely spaced beams. The method implemented in the Varian RapidArc software, developed by Karl Otto, illustrates this point well.2 A draft treatment plan is created using only a few beam directions, then new beam directions are inserted halfway in between the existing beams. The starting point for the new aperture shapes is the average of the neighboring beams’ apertures, which helps to ensure that the final plan will be deliverable in a single arc (i.e., not asking the MLC leaves to move faster than physically possible).This is an important limitation on linac-based VMAT, since the modulation at any one angle is dependent on the modulation from adjacent angles. Once the new beams have been added, the whole plan is re-optimized. The process of adding beams and re-optimizing is repeated until there are many finely-spaced beams that will be well approximated by a rotational delivery. The need to consider MLC leaf speed, machine output and linac gantry speed makes this a very complex optimization problem.  An important question is whether VMAT is able to produce good-quality treatment plans in situations with intricately shaped targets and normal structures. This issue has prompted some spirited exchanges in the scientific literature. (For an example, see the article and accompanying letters to the editor in reference 3, below). A number of groups have published comparisons with standard IMRT that indicate VMAT is able to produce good plans even for more complex disease sites, like the head and neck.An interesting new study from the University of Jena in Germany compared sophisticated head and neck plans from two VMAT systems, TomoTherapy and several IMRT technologies.4 Several findings were surprising.The VMAT systems did not produce universally reduced treatment times compared to IMRT. An IMRT technique called direct aperture optimization had the lowest number of monitor units, which helps prevent radiation scatter into normal tissues. The two VMAT implementations were able to provide good target coverage, but only one could meet the goal for the median parotid gland dose. In general, treatment planning comparisons have reported faster treatment times with fewer monitor units for VMAT relative to IMRT. With respect to target coverage and normal tissue sparing, no general conclusions can be drawn.5Another issue is the new challenges that VMAT poses for quality assurance. Tools such as field fluence measurements cannot be easily used for VMAT, since there are no discrete field directions. Many commercial VMAT quality assurance products have emerged, and when the right tools are used, VMAT treatments are considered to be as safe and reliable as IMRT.Finally, physicians must be aware that rotational therapy tends to distribute a bath of low radiation dose to a large volume of normal tissue around the target. This is likely not clinically significant for adult patients, but must be considered in pediatric cases because of the increased possibility of secondary malignancies in this population.In the next 10 to 15 years, we can expect to see VMAT integrated with systems for tumor tracking, with on-the-fly plan optimization and adaptive gantry/MLC motion. Sophisticated planning tools like multicriteria optimization are a natural fit for VMAT.6 These tools will likely see widespread clinical adoption and will make it easy to balance plan quality and delivery time for each patient’s unique situation. In that scenario, VMAT techniques may find their niche for treating tumors when reduced treatment time is an important consideration. Michael Gensheimer, M.D., is resident physician at the University of Washington Medical Center, Seattle, Wash.; Mark Phillips, Ph.D., is professor and Shilpen Patel, M.D., is assistant professor at the University of Washington Medical Center.References1. Yu CX. “Intensity-modulated arc therapy with dynamic multileaf collimation: an alternative to tomotherapy.” Phys Med Biol. 1995 Sept;40(9):1435-49.2. Otto K. “Volumetric modulated arc therapy: IMRT in a single gantry arc.” Med Phys. 2008 Jan;35(1):310-7.3. Bortfeld T, Webb S. “Single-Arc IMRT?” Phys Med Biol. 2009 Jan 7;54(1):N9-20.4. Wiezorek T, Brachwitz T, Georg D et al. “Rotational IMRT techniques compared to fixed gantry IMRT and tomotherapy: multi-institutional planning study for head-and-neck cases.” Radiat Oncol. 2011 Feb 21;6:20.5. Phillips M, Holdsworth C.  “When is better best?  A multiobjective perspective.” Med Phys 2011, 38: 1635-1640.6. Craft D, McQuaid D, Wala J et al. “Multicriteria VMAT optimization.” arXiv:1105.4109v3 [physics.med-ph] http://arxiv.org/abs/1105.4109. FacebookTwitterLinkedInPrint分享 Catalyst PT image courtesy of C-RAD The top piece of content in July was a video interview explaining how Princess Margaret Cancer Center is using machine learning to create automated treatment plans. This was a hot topic at the American Association of Physicists in Medicine (AAPM) 2019 meeting in July.  News | Proton Therapy | August 06, 2019 IBA Signs Contract to Install Proton Therapy Center in Kansas IBA (Ion Beam Applications S.A.) recently signed a contract and received the first payment for a Proteus One solution… read more News | Radiation Therapy | August 15, 2019 First Patient Enrolled in World’s Largest Brain Cancer Clinical Trial Henry Ford Cancer Institute is first-in-the-world to enroll a glioblastoma patient in the GBM AGILE Trial (Adaptive… read more center_img Related Content News | Patient Positioning Radiation Therapy | August 07, 2019 Qfix kVue One Proton Couch Top Validated by Mevion Medical Systems Qfix and Mevion Medical Systems announced that a special version of the kVue One Proton couch top is now both validated… read more News | Radiation Therapy | August 02, 2019 Varian Showcases Cancer Care Systems and Software at AAPM 2019 Varian showcased systems and software from its cancer care portfolio, including the Identify Guidance System, at the… read more The MD Anderson Proton Therapy Center expansion is expected to be completed in 2023. Rendering courtesy of Stantec. News | Proton Therapy | August 08, 2019 MD Anderson to Expand Proton Therapy Center The University of Texas MD Anderson Cancer Center unveiled plans to expand its Proton Therapy Center during a… read more PreviousNext News | Patient Positioning Radiation Therapy | August 15, 2019 Mevion and C-RAD Release Integration for Improved Proton Therapy Treatment Quality Mevion Medical Systems and C-RAD announced the integration between the C-RAD Catalyst PT and the Mevion S250i proton… read more News | Radiation Oncology | July 31, 2019 Laura Dawson, M.D., FASTRO, Chosen as ASTRO President-elect The members of the American Society for Radiation Oncology (ASTRO) elected four new officers to ASTRO’s Board of… read more News | Radiation Therapy | August 16, 2019 Drug Accelerates Blood System’s Recovery After Radiation, Chemotherapy A drug developed by UCLA physician-scientists and chemists speeds up the regeneration of mouse and human blood stem… read more last_img read more

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From air safaris to spas Goway releases 201718 Downunder brochure

first_img Travelweek Group Share TORONTO — Several months in the making, Goway’s 2017/18 Downunder brochure has more than 450 travel ideas for travel in Australia, New Zealand and the South Pacific, from private touring and cruises, to family vacations and youth working holidays, to luxury VIP travel.Brand new for 2017-18 are:Live Like a Local: A travel highlight for most globetrotters is to mingle and interact with locals. But to actually live amongst them, even for just a short time, “is an experience of a lifetime”, says Goway.Australian Air Safaris: The highlights of Australia travelling by private aircraft.Downunder Farmstays: Spend a night or two on a Downunder farm.True North Cruises: Luxury expedition cruising in Australia in the Kimberley Region, from Sydney over the holiday season, and also in Papua New GuineaNew Zealand Voyager: First class escorted cruise & tour vacations with APT.Norwegian Cruise Line in Australia and New Zealand.Cruise ship shore excursions in Australia and New Zealand.Polynesia Spa: Hotel mineral bathing and spa treatments in Rotorua.Zealandia in Wellington: The world’s first fully-fenced urban eco-sanctuary, with a 500-year vision to restore a Wellington valley’s forest and freshwater ecosystems as close as possible to their pre-human state.Train it to the Hunter Valley: An overnight trip to the Hunter Valley wine production region outside of Sydney.Dragonfly Dreaming: Kakadu 4WD safari, “a great way to visit the Top End”, says Goway.Mike Ball Dive Expeditions on the Great Barrier Reef: Liveaboard expeditions, especially suited to divers.Cooktown 4WD safari: Overnight safari in Far North Queensland.Best Western Hotel Passes in Australia.Sydney Discovery tour for 18 – 39s: A five-day trip around Sydney and surrounds, just for the youth market.More news:  Flights cancelled as British Airways hit by computer problemAgents can call now to request their copy at 1-888-469-2944, email info@goway.com or visit goway.com/brochures. Posted by Tuesday, December 13, 2016 From air safaris to spas: Goway releases 2017/18 Downunder brochure << Previous PostNext Post >>last_img read more

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Higher and ampler sales tax recommended

first_imgFinally, Brys insisted that the complex Costa Rican tax system that should be simplified for easier collection and tracing taxpayers. He drew attention to high informality, avoidance, and tax evasion. The combination of these three factors undermines the efficiency and capacity of revenue growth through the current system. Facebook Comments The OECD study also recommendsPrimarily deal with evasion and avoidance with the reinforcement of the tax administration.The country should rebalance the combination of taxes, moving away from social charges towards VAT, income tax, and environmental taxes.That the country should move away from the excessive allocation of specific destinations for tax revenues and reduce tax exemptions.The base of companies that contribute to income tax be expanded, with measures such as taxing the income from foreign sources. The analysis suggests raising the tax rate – currently at 13% – to 15%. Costa Rica needs to convert the current general sales tax into a modern, broad-based value-added tax (VAT) that the cuts services, an increasingly large sector in the country. Last Thursday, economist Bert Brys, explained the results of the Fiscal Policy Analysis: Costa Rica 2017, a study that was made at the request of the Costa Rican government. Their proposal coincides with what the Solis administration has promoted since the last elections. According to the study, the Costa Rican tax system does not contribute to a redistribution of wealth in society or reduction of inequality, which are the purposes of a modern tax system. The Costa Rican government is very interested in forming part of the Organization for Economic Co-operation and Development (OECDhttp://www.oecd.org/ ). The OECD is formed by 35 nations to promote policies that will improve the economic and social well-being of people around the world. Related posts:Government wants to hike taxes to boost income Finance Ministry submits tax reform bills to Legislative Assembly Finance Ministry could lower Costa Rica income tax brackets Government tables draft bills aimed at approving fiscal reformslast_img read more

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End of a long and painful road for Gesy Updated

first_imgHEALTHCARE in Cyprus reached the end of “a long and painful” road on Thursday after the House health committee signed off on three bills for the national health scheme (Gesy), which will be put to a vote at the plenum on June 16.Health Minister Giorgos Pamboridis, who attended the committee meeting to convey the cabinet’s final decisions on healthcare reform, welcomed the development.“A long and painful procedure has been completed today at the House health committee on the reform of the healthcare sector, (state hospital) autonomy, employment issues concerning the autonomy, and the Gesy,” Pamboridis said.The minister told MPs that the government’s intention is to make state hospitals the flagship of healthcare once Gesy kicks in.Pamboridis said that the government will support any overruns in public hospitals for the first five years, but that there will be strict controls and monitoring for proper utilisation of the resources absorbed by Gesy.He reiterated that they would not give a blank cheque to anyone to waste public money.The addition of this clause by the government, Pamboridis said, settles all pending matters, therefore the committee decided to refer the bills to the plenum.Government support for state hospitals was a demand voiced by all political parties, who argued that this is imperative to ensure they do not collapse financially once Gesy kicks in.Regarding contributions, Pamboridis told MPs that in the first phase, starting on March 1, 2019, the cost of outpatient care for workers and pensioners will be 1.7 per cent of their salary, for employers 1.85 per cent, for the state 1.65 per cent, and for the self-employed 2.55 per cent.In the second phase, he said, which will kick in a year later and will cover outpatient and inpatient care until the full implementation of Gesy, pensioners and workers will pay 2.65 per cent, employers 2.9 per cent, the state 4.7 per cent and the self-employed 4 per cent of their income.Pamboridis thanked the committee and all political parties for their constructive stance during the discussion of the billsThe head of the House health committee, Costas Constantinou, said that it had been a “persistent and arduous process” that ended with a consensus between all parties, even though it seemed impossible at the beginning.He added that it was now up to the plenum.“It is a conclusion that has been achieved with the contribution of everyone,” Constantinou said.He also thanked Pamboridis “for his decisive stance and will”.Akel MP Giorgos Georgiou welcomed the development but said that a road map is in order, on the support of state hospitals.Diko and Edek MPs – members of the committee – said their respective parties would upvote the bills.Meanwhile the Social Alliance for the Implementation of Gesy – comprised of 38 patients’ associations, left-wing and right-wing workers’ unions and consumers’ and pensioners’ associations – launched on Thursday an online signature campaign to raise as much support as possible for the implementation of the new health scheme.Members of the public are invited to visit the website the group launched and sign a petition calling on all political forces to “remain focused on the unanimous decisions taken and to support the reform bills on the Gesy”.The website, in Greek only, may be found at http://gesyedokaitora.com. You May LikeClassmates.comLook For Any High School Yearbook, It’s FreeClassmates.comUndoFigLeaf Beta AppHow to Become Fully Anonymous Online in Less Than 3 Minutes? Better safe than sorryFigLeaf Beta AppUndoTruthFinder People Search SubscriptionOne Thing All Liars Have in Common, Brace YourselfTruthFinder People Search SubscriptionUndo Concern over falling tourism numbersUndoAuthorities release five of 12 Israeli rape suspects, seven due in court FridayUndoPensioner dies after crash on Paphos-Polis roadUndoby Taboolaby Taboolalast_img read more

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Last Abortion Clinic in Cincinnati May Fall to New Law

first_imgShareTweetShareEmail0 SharesOctober 24, 2014; Cincinnati EnquirerThe only remaining abortion clinic in Cincinnati, a Planned Parenthood clinic, received a citation this week from the health department—and that very likely means that it will be closed, making it the sixth to close out of a field of 14 since the start of 2013. This closure could leave women having to drive to Louisville, Columbus, or Indianapolis to have an abortion.Ohio law requires abortion clinics to have a “transfer agreement” with a private hospital, and all of the local hospitals have declined this clinic’s request, although the group does have agreements with individual doctors at a local hospital, a measure that in the past has been sufficient. Recently, however, the health department declined to approve such a measure for a Sharonville provider Women’s Med, which then stopped performing abortions.“We have received the letter, and it is accurate in its statement that we do not have a transfer agreement,” Planned Parenthood spokesman Rick Pender said. “But what we have pending, for more than a year, is our variance request, which the health department has not acted on.”“I’m flabbergasted that the Ohio Department of Health sent a notice to Planned Parenthood to tell them they don’t have a transfer agreement or variance, when ODH has sat on a request from Planned Parenthood to approve a variance for over a year,” said Kellie Copeland, executive director for NARAL Pro-Choice Ohio, in a statement. “This is the sort of behavior we expect from political hacks, not public health professionals.”Another Women’s Med clinic, this one in Dayton, also is lacking a hospital transfer agreement. The issue of accessibility in terms of erecting barriers that would necessitate long travel times has been looked at before in the case of the last remaining clinic in Mississippi, where a similar law is in place and where the clinic was ordered to be kept open by the court because closing it would have placed an “undue burden” on women seeking services.—Ruth McCambridgeShareTweetShareEmail0 Shareslast_img read more

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Does the First Amendment Extend to Vehicle License Plates

first_imgShareTweetShareEmail0 SharesJune 4, 2015; The Post-Standard (Syracuse, NY)If someone asked you to recite a memorable bumper sticker, you can probably recall at least one that caused you to stop and think. Maybe the bumper sticker made you happy, or even angry. The reality is that people have been using bumper stickers for many years to get their points across, no matter how controversial—even pushing the envelope to be shocking. After all, it’s the quintessential form of free speech to craft a message and slap it onto the back bumper of a car.But, when it comes to back-of-car signage, the issuance of license plates by state governments is an entirely different matter. While many nonprofits are using specialty (also called special interest) plates to raise awareness, provide a call to action, and raise funds, state governments across the country are deliberating the approval of these license plates.Nonprofit groups in New York are allowed to apply for specialty plates as a method of fundraising. The plates are issued by the state for a fee, and the DMV and the organization then split the proceeds. For years, the State of New York has been debating what constitutes free speech when it comes to license plates. Recently, the Second U.S. Court of Appeals ruled in a 2-1 vote to support the Department of Motor Vehicles’ uniform policy of determining whether to issue plates if their subjects were contentious and politically sensitive.The debate has been brewing since 2004 when the Children First Foundation first went to New York’s Department of Motor Vehicles with the request to issue a plate promoting their anti-abortion message. The plate in question shows a cartoon drawing of children with the text, “Choose life.” Based in Westchester County, this nonprofit promotes adoption over abortion. For several years, it has attempted to negotiate by reducing the size of the print on the license plate and stressing its “adoption over abortion platform.” The court believes that these changes were purely cosmetic.According to Judge Rosemary Pooler, who wrote the majority opinion in The Children First Foundation v. Fiala, the content of custom plates was “private speech” and the plates themselves a “nonpublic forum.” Therefore, the DMV’s uniform policy of excluding controversial, politically sensitive messages from plates, which the agency said stemmed from highway safety concerns, was “reasonable and viewpoint neutral, which is all that the First Amendment requires.”The case of New York State is significant because it mirrors other deliberations around the country. The U.S. Supreme Court is deliberating a similar case in which the Sons of Confederate Veterans want Texas’s Department of Motor Vehicles to issue a plate featuring the Confederate flag, but the state would not issue plates with this divisive symbol because it is associated with racist views.But consider other specialty plates. California offers a variety of plates. One plate protects the California coastline and the Pacific Ocean. Another promotes arts education. Another supports helping law enforcement fight terrorism threats. Still another funds the preservation of Lake Tahoe and Yosemite. Another supports the prevention of child abuse. Another supports veterans. And lastly, another provides funding for no-cost or low-cost spaying and neutering programs for pets. While the State of California doesn’t see any of these topics as controversial, there are probably some Californians who do.One proposed plate in California, just shy of production by about 2,000 pre-orders, features one of the most famous dogs in cartoon history, Charlie Brown’s pet beagle, Snoopy. Proceeds from purchases of this plate will support California museums. Another proposed plate, while not yet in production, will send its future funds to the California Department of Health Care Services (DHCS) to provide free clinical breast exams and mammograms to California’s underserved women.So, where does the First Amendment come into play for vehicle license plates? In the case of the lawsuit mentioned above, “Abortion was such a contentious political issue, the DMV said, that having a plate like that on the road might lead to conflict or even contribute to ‘road rage.’ The DMV also argued that the issuance of an official anti-abortion-rights license plate might make it appear as if the state itself were taking sides in the debate.”So, what do you think? Or are you hesitant to take a stand? We invite you to chime in.—Debbie Laskey and G. Meredith BetzShareTweetShareEmail0 Shareslast_img read more

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Pamunkey Tribe Gets Federal Designation Despite Business Pushback

first_imgShare28TweetShareEmail28 SharesJuly 7, 2015; Indian Country TodayUntil this month, there was no federally recognized Indian tribe in the state of Virginia, an oddity since Virginia’s Native Americans have long been visible in American history going back to Pocahontas who supposedly saved British settler John Smith from execution by her father, Chief Powhatan, and married another, John Rolfe, accompanying him back to England in 1616. As of this month, Pocahontas’s people, the Pamunkey tribe, received federal government recognition, becoming the 567th federally designated Indian tribe in the nation and the first in Virginia.What makes the Pamunkey designation an item for commentary in the NPQ Newswire? Consider the Pamunkey Tribe during its long history as a constituent part of American civil society. Over that time, it provided community and political identity to the members of the tribe and operated pursuant to documents outlining governance procedures and membership criteria. The designation and federal status will open up access to various federal government housing and social services and, according to Pamunkey tribe member Ashley Atkins Spivey, even funding to improve the tribe’s Pamunkey Museum and cultural center.The 35-year journey for the Pamunkey tribe through the federal bureaucracy was by no means automatic. During the past decade, the Department of Interior has approved 18 tribes but rejected 35 others. As the DOI issued its approval of the Pamunkey tribe’s petition, it rejected the application of the Duwamish Tribal Organization in Washington State, even though that is the tribe of the legendary Chief Seattle, from whom that city gets its name.The approval process wasn’t simply between the Pamunkey tribe and the Interior Department, either. Other entities weighed in with their opinions, sometimes in opposition to the designation. For example, the Pamunkey application was opposed by MGM Grand, which is building a casino at National Harbor across the Potomac River in Maryland and feared the possibility that the tribe, once federally designated, would develop its own casino. In addition, the designation was opposed by members of the Black Congressional Caucus as recently as this past January because the tribe had in the past banned interracial marriages, though that ban no longer exists. (The ban, related to a unfathomably racist Virginia state law, the 1924 Racial Integrity Act, was formally repealed in 2012, but had really not been enforced by the tribe even before that time.)As is the case with other nonprofits, the Pamunkey tribe was also opposed in its request for federal recognition by the Association of American Convenience Stores and by the Virginia Petroleum and Grocery Association, which feared that the tribe could choose not to charge taxes on retail stores on its land, giving those stores an advantage over competitors outside the reservation selling to non-tribe members.In the end, the Pamunkey Tribe prevailed, though with some unusual twists. It seems like the MGM behemoth somehow got the tribe’s leaders to acknowledge that while tribal designation means that they could build a casino, the site doesn’t look good for accommodating that kind of facility or the traffic it would put on roads in and out of the reservation and therefore they probably won’t. According to the Associated Press, there are 493 Indian casinos and 1,262 non-Indian commercial casinos. MGM may well have browbeaten the tribe into all but promising not to build a casino, which might be a good thing to keep away from the Richmond, Virginia area, but that hardly means that MGM Grand, which spent millions lobbying and sweet-talking Maryland legislators for the National Harbor approval, should get a get-out-of-jail-free pass given the likely impacts of its own gambling house on the region.Nevertheless, the Pamunkey tribe joins the others as federally acknowledged and recognized, and just as importantly, as a legitimate entity reflecting the freedom of speech, freedom of assembly, and freedom of identity rights that Pamunkey tribal members wanted enshrined in the approval from the Department of the Interior.—Rick CohenCorrection: This article has been altered from its original form. The Duwamish make their home in the state of Washington.Share28TweetShareEmail28 Shareslast_img read more

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