Ventilatory Management of the Obese Patient. In: Hess DR, Kacmarek RM. Hess D.R., Kacmarek R.M. Eds. Dean R. Hess, and Robert M. Kacmarek.eds. Essentials of Mechanical Ventilation, 4e New York, NY: McGraw-Hill; . http://accessanesthesiology.mhmedical.com/content.aspx?bookid=2493&sectionid=199647211. Accessed April 25, 2019.
. "Ventilatory Management of the Obese Patient." Essentials of Mechanical Ventilation, 4e Hess DR, Kacmarek RM. Hess D.R., Kacmarek R.M. Eds. Dean R. Hess, and Robert M. Kacmarek. New York, NY: McGraw-Hill, , http://accessanesthesiology.mhmedical.com/content.aspx?bookid=2493&sectionid=199647211.
Describe the obesity epidemic in the United States.
Describe the pulmonary pathophysiologic changes that occur in healthy obese patients.
Describe the relationship between body mass and lung size in the obese patient as applies to selection of tidal volume.
Discuss the use of lung recruitment maneuvers and decremental positive end-expiratory pressure (PEEP) in obese patients.
Discuss the limitations of lung protective ventilation in the obese patient.
Discuss the ventilator liberation process for the obese patient.
Discuss the use of continuous positive airway pressure (CPAP) and noninvasive ventilation (NIV) for obese patients post extubation.
Normal body mass index (BMI) is 18.5 to 24.9 kg/m2. A BMI greater than 25 kg/m2 is overweight and a BMI greater than 30 kg/m2 is obese (Table 27-1). Obesity is epidemic in the United States, as 38% of the population is obese and 8% has a BMI greater than 40 kg/m2. Of concern when defining approaches to ventilatory support for this growing population is that almost every study protocol for ventilator support and liberation has excluded patient with a BMI greater than 30 to 35 kg/m2. Thus, evidence for ventilator management of these patients is limited.
Note: Body mass index (BMI) = (weight)/(height)2 = kg/m2.
The BMI of obese patients has a marked effect on their respiratory system even when those patients are healthy. The larger the subject, the lower the lung volume, with the primary volume affected being the expiratory reserve volume. As a result, positional atelectasis and airway closure is common even when patients are healthy. Most of these patients have sleep apnea and require as much as 20 cm H2O nocturnal CPAP. It is most likely that the high levels of CPAP are needed not just to overcome their upper airway obstruction but to prevent atelectasis and airway closure during sleep. The BMI increases metabolic rate, resulting in increased oxygen consumption and carbon dioxide production. These patients may also have obesity hypoventilation syndrome (OHS), contributing to hypercapnia and the need for noninvasive ventilation (NIV) when asleep. Patients with OHS might require high levels of both expiratory and inspiratory pressures with NIV.


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Trackers taking over the market: An interview with Eb Russell, RP Construction Services
In this interview, RPCS founder & President Eb Russell explores the factors behind how trackers are taking over the utility-scale solar market, as well as giving insights on the solar contracting business in the wake of the Section 201 tariffs.
June 29, 2018 Christian Roselund
Image: Array Technologies
pv magazine: Can you give our readers a brief background on the history of RP Construction Services, and your relationship with Array Technologies?
Eb Russell
Image: RP Construction Services
Eb Russell: Our relationship with Array Technologies really initiated back in 2007. I was in a business development role with Suntech, and it was M&A activity that Suntech wanted to pursue.
Array was a very small company at that time, mainly known for their dual-axis trackers, and the utility-scale solar market really had not begun. The first couple of projects were the Nellis Air Force Base, which was an MMA Renewable Ventures and SunPower project, and then Alamosa, which was a SunEdison project. SunEdison was one of my Suntech customers, and they were also using this new, horizontal single tracker from Array. It was Array's first product in that marketplace.
Dr. Shi, the founder and CEO of Suntech, agreed in my assessment of Array, so he and I visited Albuquerque to meet with Ron Corio, the CEO and founder of Array. Suntech was moving forward with an acquisition of Array Technologies. And if it were not for the collapse of the worldwide markets at the end of 2008, that would have happened.
I decided to leave Suntech and set up Russell Pacific, LLC, as a manufacturer's rep firm, and using some of my contacts in the industry, Ron allowed me to be his sales force. He really had no sales force. He had a few engineers, but no actual sales team.
From 2009 through 2014, Russell Pacific did sales for Array Technologies. Most of the industry thought that I was direct with Array. I carried the title of VP of sales at Array Technologies, had an Array email address, handed out cards, everything else. But from a business standpoint, it made more sense for Array to pay Russell Pacific via a rep agreement.
In mid-2014, in talking to Ron about future growth, we looked at two big areas of growth: international growth in the utility market, and then taking care of that sub-10 MW market in the United States.
From 2009 to 2014, we had tremendous success. We sold 3,000 MW, 250 projects. We really had no time to address projects less than 20 MW. We had success in all the largest projects in the United States. To name a few, the Mount Signal project was 268 MW, Centinela was 250, Arlington Valley was 175—those kinds of projects.
So in 2014, Ron discussed what the domestic market would need, in that smaller project arena. I was very adamant that you had to offer the project in a DirecTV kind of approach: fully installed, designed. Solar contractors selling ground-mount systems, they don't want to have to deal with the ground-mount tracker installation complexity.
He did not want to add construction to an arm of Array Technologies. He thought that would be dilutive to his valuation. And I can't disagree with him. So I sought to help hire my replacements, and to help build a U.S.-based team, and Ron knew he was going to start to build an international team. In 2014, I partnered with a long-time friend in the solar industry, Adam Larner. He had all the contracting licenses, and we started RP Construction Services, Inc., the contracting arm of Russell Pacific.
It is a separate entity, and that business focuses only on designing, laying out, and typically installing the Array Technologies tracker. Occasionally customers will have their own installation team that they would like to use. In 2018, about 90% of the product we design and sell, we also install. There is about 10% that others would like to install.
pv magazine: Since you are so deep in the tracker industry, can you qualify the importance of the choice of tracker for utility-scale solar projects? What makes this such a critical consideration?
Russell: The horizontal single-axis tracker, the north-to-south row, tracking east-to-west, capturing the big move that the sun makes every day and not worrying about the angle of the sun in the southern sky…. the closer to the equator you are, the better it works.
It works significantly well to about the Canadian border. However, you do still see horizontal single-axis tracking even into Canada.
Early on, the returns on solar were very very good. The PPA rates at the utility level were very high, and investors could make their target rate of return with fixed-tilt. They knew they could make a higher rate of return with trackers, but they didn't have to, and they decided not to take the technology risk.
We had 90% market share during that time. Array Technologies in a sense created the tracker market. The reliability of the Array product allowed more and more folks to understand that the tracker does not add a lot of technology complications or product reliability risk.
Economics for solar have come further and further down, PPA rates are lower and lower, costs are lower. Now tracking has almost become a requirement, especially at the utility level. Looking at the different data sources, about 95% of the larger utility-scale market in the United States is now going horizontal single-axis tracker.
You pay, on average, 6 to 7% more at the project level, and you are gaining anything from 10 to 25% more, depending on your geography. There's a very clear economic benefit.
Trackers also correlate very well to the time of use. So typically the highest demand on public utility power companies is between 11 AM to 7 PM on May 1 to September 30, and the horizontal single tracker outperforms fixed-tilt the most in the summer months, when the sun is making that high arc over the array. The economic gain can be even more significant than your total kilowatt-hour harvest gain. The economic gain, because of TOU rates and generating power late into the evening in the summer, you are still harvesting energy, and a fixed-tilt system has peaked out about noon. That's where trackers are really making significant gains in states like California.
Several states are now adopting time-of-use rates at the utility level. It has become a necessity, in what we call distributed utility, it is really behind the meter distributed generation sites, because they project site looks more like a micro-utility site. Their trackers in 2017 represented around 50% of the market, with fixed-tilt representing about 50%. Our belief is that this will increase to 100% tracker by 2022.
It's a lot bigger market to penetrate, a lot more companies that you have to convince, a lot more minds to change, but that market is moving towards tracker. It really doesn't make a lot of sense not to track, in almost any location.
pv magazine: So when you say that you think the whole market is going to go over to trackers by 2022, is that the entire utility-scale sector, or just the distributed utility-scale sector?
Russell: I believe that the entire ground-mount solar market—utility and distributed utility—will move toward trackers, and that fixed-tilt will become almost negligible in its market share. I think it is evident in almost all companies that were competing in that fixed-tilt space. Almost everyone has brought a tracker to market, and is putting almost all their market development and focus on the tracker.
The market is driving this. It doesn't take that much more, incrementally, to install a tracker than it does to install a fixed-tilt. In fact, some of the tracker products go in so fast that they have installation rates that are less than the fixed-tilt products. So the cost differential to now track is very small. The tracker market in general has offered a very reliable product from all manufacturers, not just Array Technologies, and so why not?
Why would you not track if you can increase your energy harvest, and you can increase your return on investment?
pv magazine: What about sites in the Northeast? Do you expect some sort of geographical limits to the penetrations of trackers, given the natural conditions of the sunlight?
Russell: That is where some fixed-tilt will still survive. You are more challenged, for sure, the further north you go. Because they track, and most track somewhere between 45 degrees and 60 degrees, maximum. But they are sweeping in a fairly large angle, from 90 degrees to 120 degrees, depending on the brand.
Because of that the system has to go up higher, and rows cannot be interconnected with other rows.
Why is that important? In fixed-track systems you can create a resistance to uplift by interconnecting rows, so that the whole array is resisting the uplift force, versus a single row having to deal with all the force within that row.
Fixed-tilt mounting might be ideal for snow load and wind. A 25-degree tilt is that perfect spot where wind doesn't get a good chance to have uplift, and it also doesn't hold snow.
By contrast, trackers have to deal with the completely dynamic sweep of the tracker, which means greater loads.
So a lot of what drives that decision: the economic returns are already a little less, the further north you go, but then if you have site-specific constraints, say if for instance the site is a brownfield and you can't penetrate the earth, that is where fixed-tilt will still make more sense, because it is feasible to do a ballasted or minimal penetration fixed-tilt, where a tracker system is going to need more of a foundation. The ballasted system would become too large, and the cost-benefit would become unaligned.
The same is true if you have really challenging rock or other kinds of foundation work. And perhaps if you have very narrow sites—north-to-south—or long—east-to-west—all trackers are going to have a certain kind of equipment and hardware on each row, related to the tracking. And if you can't put many modules in that north-to-south direction, you still have to have all that same hardware, electronics, and equipment to make it track, then a fixed-tilt system might be more cost-effective.
If you have a more open space, and you don't have extreme subsurface conditions, I think trackers will prevail.
pv magazine: So to move over, can you talk about the general condition of the solar EPC business in the United States these days? Has the market recovered from the initial shock of the Section 201 tariffs?
Russell: We are involved with a lot of the large EPCs, and we are doing a lot of their distributed projects. Our perception is that everyone has been experiencing a very large, what we call "air pocket," as a result of the tariff. You had indicated in one question what is more damaging—the uncertainty around the tariffs, or the tariffs themselves.
I think the uncertainty has been more damaging. That long period of time between last June and the end of this January. None of the tax equity money coming into solar could actually close on a return to be able to come to a full understanding of what the numbers are and be able to close.
It created a real air pocket. And solar can't turn on a dime. There are a number of development milestones: PPAs, permits, land rights, land-use acceptance, that developers will not spend on until they have financial commitment from their investor partners.
What we've seen in 2018, January first to date, we've seen a 4x increase in proposals, in both the quantity of proposals and the number of megawatts related to the proposals, than we saw in the comparative quarter or timeframe in 2017. But hardly any projects have been started.
They all look to be back-ended into the back half of this year. This backend of 2018 looks to be insane. We are picking this up from almost all the EPC businesses we are speaking with. We are usually one of their sub providers. All of their projects are pushed out a little bit. Most of their projects are real, they are moving further along, but the uncertainty of this tariff created this air pocket, and now we are seeing it finally turn. A number of projects are starting up here in May, more start in June and July, and we could finish the year with one of the best years in solar, but it is all going to be in the back half of the year.
pv magazine: Can you comment on any impact that you are seeing from the pending steel and aluminum tariffs so far?
Russell: In that, too, again, it creates uncertainty. The tracker manufacturers, the steel I-beam providers. . . . Fortunately, in utility-scale solar pricing, the modules represent probably more than 40% of the cost of these projects. So tariffs looming on modules really made it hard for the tax equity to put a stake in any of these projects and commit financially.
On the mounting system, whether it is tracker or fixed-tilt, yes, those steel and aluminum tariffs are going to have an effect.
Whether it is tracker or racking, that product is probably more like 10 to 15% of the project. So the risk of a looming tariff can be absorbed. A project can move forward, knowing that there will be some effect on their return on investment by the time it is done. It's not restricting as much, although for very large projects, the 100 MW+ projects, for sure those little bits of tariffs are meaningful. Those projects are so razor-thin on return, so the make-it or break-it point is more narrow. There is probably a bigger effect on the large utility projects than there is on our world, which is the 20 MW and under market.
pv magazine: Interesting. So anything we haven't talked about that you think our readers need to know?
Russell: You asked about the general condition of the EPC business. One trend that we are seeing right now is to avoid the margin stack. We are seeing that developers who would traditionally go to an EPC to avoid all the risk, are now turning to various trades—mechanical, civil and electrical—to provide those independent contracting services. We're seeing developers, at least in our market, are starting to become interested in direct relationships with folks like ourselves.
They will become an EPCM, where they can get comfortable around the engineering and the procurement and direct hire us, for our tracker layout supply and installation. They will direct hire an electrician, and they will direct hire civil.
We are seeing, at least in the 20 MW and under segment, the avoidance of a market stack, and maybe a shift away from traditional EPC business towards a developer directly contracting with the individual trades.
Interview conducted for pv magazine USA by Christian Roselund
Carl L. McWilliams says:
This is an informative article.

redpajama_set_name: RedPajamaCommonCrawl


Last November, Dr. Gosine indicated his interest to be renewed. In accordance with the procedures governing the appointment, review, promotion and tenure of academic administrators, a committee was established to complete a review of Dr. Gosine's performance. Chaired by Dr. Richard Marceau, vice-president (research), the committee also included faculty, staff and a graduate student.
While serving as associate vice-president (research), Dr. Gosine has supported, contributed to and led a number of pan-university strategic research priorities. These have included the development of the Research Strategy Framework; the Strategic Research Intensity Plan; the integration of Genesis Research within the vice-president (research) portfolio; the creation of the Strategic Internationalization Plan; and the ongoing facilitation of major partnerships with funders and stakeholders.
Dr. Gosine is also the chair of an independent panel conducting a public review of the implications of hydraulic fracturing operations in Western Newfoundland. He has also been heavily involved in the creation of the new Technology and Commercialization Strategy, which was approved by the board on Dec. 3. This progressive strategy aims to bolster the economic impact of Memorial's research outcomes. One of his primary responsibilities during his new term will be the implementation of the strategy.
"There are 18 different recommendations in that strategy, ranging from policy and procedure review to establishing different support structures for tech transfer, commercialization and support of project management," said Dr. Gosine. "There are lots of interesting challenges associated with implementing the recommendations and I look forward to playing a key role in addressing those challenges.


The family that plays together stays together. It has been observed that parents are more likely to play video games with their children in order to socialize with them plus they can monitor the game content as well. But I guess the real reason is they equally enjoy playing video games. Ever since the video games arrived onto the stage in 1950's we have witnessed and quite naturally played many of them. To say, Mario, Tetris, Contra used to be every child's fantasy. Technology has come a long way since then. Games like Call of Duty, Halo, Need for Speed, FIFA have completely changed the gaming environment. If you think that games have undergone drastic change then you are wrong because it's not just the game but the player as well. People of all ages play video games. There is no longer a stereotype game player but instead a game player could be your boss, your grandparent or even your professor. Nowadays people of all ages love games. The average game player is 31 years old, as surveyed.
Developing games has become very popular these days. Irrespective of their technical or non technical background people are getting attracted in high numbers towards this section of technology. From our experience after holding numerous Game Development Workshops we can say that students; graduates or non graduates or post graduates or with any kind of education background turn up to learn game development. And to their surprise they end up making beautiful games that too with a feeling of pride. But these were those students who wanted to stand different from the crowd. In spite of lack of such courses in their colleges or schools, they tried to accomplish something on their own. They didn't blame the education system for the absence of this course in their curriculum rather they took the initiative and held the workshops in their colleges.
So how did they do it? With the noticeable increase in demand on how to develop games, we at Code Instruct came up with an idea to teach Game Development. When you think of developing a game with a brilliant idea of yours, with the help of internet everything is at your disposal. But sometimes you find yourself nowhere to start. That's where Code Instruct comes to the rescue. Sometimes all you need is a ray of light to guide you the way. Here at Code Instruct we focus on nurturing the talent into a productive game developer. We prefer teaching game development through Unity software which is open source. Unity is a cross-platform game creation system developed by Unity Technologies which includes a game engine and integrated development environment (IDE). It is used to develop video games for web plug-ins, desktop platforms, consoles and mobile devices. And to everyone's surprise a person can develop games for Mac, Windows, Wii, Android and IPhone.
Duration of our Game Development Workshop is 2 days and the course focuses on training the mind of the engineers to think like a professional game developer. As the workshop progresses students are acquainted with the working of Gaming Industry and pros and cons of the decision making process during the development of a game as the programming skills of the students are provided a finishing touch. By the time is over, they have a proper working game like space shooter, ping pong, brick game etc. At the end of the workshop what cheers us the most is the smile on student's faces, who earlier thought that developing a game is for geniuses and nerds, but now they have a game of their own, which means they did everything on their own. The trainer's guidance serves as the stars leading the way at night but it was all their effort which pays off.
Our relation with the students isn't over after the workshop; we continue to be in constant touch with them for further guidance and 24*7 help to make sure that their game is never incomplete. They manifest our help to a greater idea of theirs and develop something which can help them in their future. Knowledge of developing games, hard work, will power and determination are four things required to get into the gaming industry. We take care of the knowledge; you take care of the rest. Enjoy Gaming!


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Saints and Sinners: Women in Late Antiquity (AH2150A)
This unit will provide students with a comprehensive overview of women in Late Antiquity (the period of transition from the ancient to the medieval world, 3rd to 8th century AD), and attitudes towards them. By reading selected primary sources, this unit will introduce students to some of the most powerful and influential women in antiquity, and the role they played in religious and theological debates. Religion will be the backdrop in directing our discussions given that it provided one of the most important ways in which women participated in the public sphere in Late Antiquity.
Women such as Hypatia the philosopher, Melania the aristocrat, Theodora the Empress, Pelagia the harlot, and Syncletica the desert mother will be considered. In addition, by studying the Upper Egyptian town of Jeme, we will look at women's lives in a typical Coptic town in Late Antique Egypt to understand the status of women and the role they played in the home as well as in religious, social and economic life.
Unit Code: AH2150A
Unit Discipline: History
Proposing College: St Athanasius College
Provide a historical overview of women's history in Late Antiquity and evaluate the various roles they played;
Articulate how attitudes towards women changed in the transition from Ancient to Medieval times;
Compare and contrast the various theologies that were prominent in Late Antiquity and the role some of the women (considered in the unit) played in these debates;
Develop a critical framework for reading and interpreting historical events contained in the primary sources.
Face to Face: 12 weekly sessions consisting of lectures, presentations, and class discussion.
Essay 2000 words
Oral presentation + 1250 word written summary
Unit approved for the University of Divinity by John Capper on 1 Nov, 2017


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Imperial Reports First Quarter 2018 Financial Results
Vancouver | May 10, 2018 | Imperial Metals Corporation (the "Company") (TSX:III) reports financial results for the three months ended March 31, 2018 and 2017, as summarized in this release and discussed in detail in the Management's Discussion & Analysis. The Company's financial results are prepared in accordance with International Financial Reporting Standards. The reporting currency of the Company is the Canadian ("CDN") Dollar.
Select Quarter Financial Information
expressed in thousands, except share and per share amounts Three Months Ended March 31
Total revenues $117,912 $115,749
Net loss $16,166 $18,752
Net loss per share $0.14 $0.20
Diluted loss per share $0.14 $0.20
Adjusted net loss(1) $4,754 $22,296
Adjusted net loss per share (1) $0.04 $0.24
Adjusted EBITDA(1) $36,392 $15,187
Working capital deficiency $743,096 $214,646
Total assets $1,662,528 $1,511,120
Total debt (including current portion) $829,698 $846,067
Cash flow (1)(2) $35,958 $15,065
Cash flow per share (1)(2) $0.31 $0.16
(1) Refer to Management's Discussion & Analysis heading Non-IFRS Financial Measures for further details.
(2) Cash flow is defined as the cash flow from operations before the net change in non-cash working capital balances, income and mining taxes, and interest paid. Cash flow per share is defined as Cash flow divided by the weighted average number of common shares outstanding during the period.
Revenues increased to $117.9 million in the March 2018 quarter compared to $115.7 million in the 2017 comparative quarter, an increase of $2.2 million or 1.9%.
Revenue from the Red Chris mine in the March 2018 quarter was $81.9 million compared to $54.6 million in the 2017 comparative quarter. This increase was attributable to a higher quantity of copper concentrate sold along with higher copper prices compared to the 2017 quarter.
Revenue from the Mount Polley mine in the March 2018 quarter was $36.0 million compared to $61.0 million in the 2017 comparative quarter. The decrease was attributable to a lower quantity of copper concentrate sold.
In the March 2018 quarter, there were 4.0 concentrate shipments from Red Chris mine (2017-3.0 concentrate shipments) and 1.0 concentrate shipment from Mount Polley mine (2017-1.7 concentrate shipments). Variations in revenue are impacted by the timing and quantity of concentrate shipments, metal prices and exchange rates, and period end revaluations of revenue attributed to concentrate shipments where copper and gold prices will settle at a future date.
The London Metals Exchange cash settlement copper price per pound averaged US$3.16 in the March 2018 quarter compared to US$2.65 in the 2017 comparative quarter. The London Metals Exchange cash settlement gold price per troy ounce averaged US$1,329 in the March 2018 quarter compared to US$1,219 in the March 2017 quarter. The average CDN/US$ Dollar exchange rate was 1.265 in the March 2018 quarter, 4.38% lower than the exchange rate of 1.323 in the March 2017 quarter. In CDN dollar terms the average copper price in the March 2018 quarter was CDN$4.00 per pound compared to CDN$3.51 per pound in the 2017 comparative quarter and the average gold price in the March 2018 quarter was CDN$1,681 per ounce compared to CDN$1,613 per ounce in the 2017 comparative quarter.
Revenue in the March 2018 quarter decreased by $5.6 million negative revenue revaluation compared to a $5.1 million positive revenue revaluation in the 2017 comparative quarter. Revenue revaluations are the result of the copper price on the settlement date and/or the current period balance sheet date being higher or lower than when the revenue was initially recorded or the copper price at the last balance sheet date.
Net loss for the March 2018 quarter was $16.2 million ($0.14 per share) compared to net loss of $18.8 million ($0.20 per share) in the 2017 comparative quarter. The decrease in net loss of $2.6 million was primarily due to the following factors:
Income/loss from mine operations went from a loss of $5.7 million in March 2017 to income of $17.6 million in March 2018, a decrease in net loss of $23.3 million.
Interest expense went from $18.2 million in March 2017 to $19.0 million in March 2018, an increase in net loss of $0.8 million.
Foreign exchange gains/losses on current and non-current debt went from a gain of $3.4 million in March 2017 to a loss of $11.4 million in March 2018, an increase in net loss of $14.8 million.
The Company's equity loss in Huckleberry went from loss of $1.6 million in March 2017 to $nil in March 2018, a decrease in net loss of $1.6 million.
Idle mine costs went from $nil in March 2017 to $1.4 million in March 2018, an increase in net loss of $1.4 million.
Tax position went from a recovery of $5.0 million in March 2017 to $nil in March 2018, an increase in net loss of $5.0 million.
The March 2018 quarter net loss included foreign exchange loss related to changes in CDN/US Dollar exchange rate of $11.8 million compared to foreign exchange gain of $3.1 million in the 2017 comparative quarter. The $11.8 million foreign exchange loss is comprised of an $11.3 million loss on the senior notes, a $0.1 million loss on long term equipment loans, and a $0.4 million loss on operational items. The average CDN/US Dollar exchange rate in the March 2018 quarter was 1.265 compared to an average of 1.323 in the 2017 comparative quarter.
Cash flow was $36.0 million in the March 2018 quarter compared to cash flow of $15.1 million in the 2017 comparative quarter. Cash flow is a measure used by the Company to evaluate its performance, however, it is not a term recognized under IFRS. The Company believes Cash flow is useful to investors and it is one of the measures used by management to assess the financial performance of the Company.
Capital expenditures were $9.1 million in the March 2018 quarter, down from $24.0 million in the 2017 comparative quarter. The March 2018 expenditures included $1.8 million for tailings dam construction, $5.0 million on mobile equipment and $2.3 million for other capital items. The 2017 quarter included $7.2 million of mobile equipment purchases as well as higher costs for tailings dam construction and other capital items.
The Company reports four non-IFRS financial measures: Adjusted net income, adjusted EBITDA, cash flow and cash cost per pound of copper produced which are described in detail below. The Company believes these measures are useful to investors because they are included in the measures that are used by management in assessing the financial performance of the Company.
Adjusted net income, adjusted EBITDA, and cash flow are not generally accepted earnings measures and should not be considered as an alternative to net income (loss) and cash flows as determined in accordance with IFRS. As there is no standardized method of calculating these measures, these measures may not be directly comparable to similarly titled measures used by other companies. Reconciliations are provided below.
Adjusted Net Loss and Adjusted Net Loss Per Share
Adjusted net loss in the March 2018 quarter was $4.8 million ($0.04 per share) compared to an adjusted net loss of $22.3 million ($0.24 per share) in the 2017 comparative quarter. Adjusted net loss reflects the financial results excluding the effect of items not settling in the current period and non-recurring items. Adjusted net loss is calculated by removing the gains or losses, resulting from mark to market revaluation of derivative instruments, net of tax, unrealized foreign exchange gains or losses on non-current debt, net of tax and other adjustments.
Adjusted EBITDA in the March 2018 quarter was $36.4 million compared to $15.2 million in the 2017 comparative quarter. We define Adjusted EBITDA as net income (loss) before interest expense, taxes, depletion and depreciation, and as adjusted for certain other items.
Cash Flow and Cash Flow Per Share
Cash flow in the March 2018 quarter was $36.0 million compared to $15.1 million in the 2017 comparative quarter. Cash flow per share was $0.31 in the March 2018 quarter compared to $0.16 in the 2017 comparative quarter.
Cash flow and cash flow per share are measures used by the Company to evaluate its performance however they are not terms recognized under IFRS. Cash flow is defined as cash flow from operations before the net change in non-cash working capital balances, income and mining taxes, and interest paid and cash flow per share is the same measure divided by the weighted average number of common shares outstanding during the year.
Cash Cost Per Pound of Copper Produced
The cash cost per pound of copper produced is a non-IFRS financial measure that does not have a standardized meaning under IFRS, and as a result may not be comparable to similar measures presented by other companies. Management uses this non-IFRS financial measure to monitor operating costs and profitability. The Company is primarily a copper producer and therefore calculates this non-IFRS financial measure individually for its three copper mines, Red Chris, Mount Polley and Huckleberry, and on a composite basis for these mines.
The cash cost per pound of copper produced is derived from the sum of cash production costs, transportation and offsite costs, treatment and refining costs, royalties, net of by-product and other revenues, divided by the number of pounds of copper produced during the period.
Variations from period to period in the cash cost per pound of copper produced are the result of many factors including: grade, metal recoveries, amount of stripping charged to operations, mine and mill operating conditions, labour and other cost inputs, transportation and warehousing costs, treatment and refining costs, the amount of by-product and other revenues, the US$ to CDN$ exchange rate and the amount of copper produced. Idle mine costs during the periods when the Huckleberry mine was not in operation have been excluded from the cash cost per pound of copper produced.
expressed in thousands, except cash cost per pound of copper
Three Months Ended March 31, 2018
Red Chris Mount Polley Composite
Cash cost of copper produced in US$ $34,260 $7,463 $41,723
Copper produced - pounds 19,725 5,372 25,097
Cash cost per lb copper produced in US$ $1.74 $1.39 $1.66
Cash cost of copper produced in US$ $39,695 $10,852 $50,547
Metal production target ranges from Red Chris mine and Mount Polley mine for 2018 are 89-96 million pounds copper and 75-80 thousand ounces gold. At March 31, 2018, the Company has not hedged any copper, gold or CDN/US Dollar exchange. Quarterly revenues will fluctuate depending on copper and gold prices, the CDN/US Dollar exchange rate, and the timing of concentrate sales, which is dependent on concentrate production and the availability and scheduling of transportation.
Metal production for the March 2018 quarter was 19.7 million pounds copper and 12,215 ounces gold, up 21% and 110% respectively from the 2017 comparative quarter.
Copper recoveries were lower for the March 2018 quarter than the last quarter of 2017, as more high clay ore was found in the mineralized fault in the lower benches of the phase 3 pushback. Diagnostic and modelling work is underway to identify the extent of this zone, and whether special processing of these high clay zones may yield better recovery. The gold recovery improved significantly (about 26%) on higher gold grade.
Five haul trucks from the Huckleberry mine are now in operation at Red Chris, and a new electric shovel is expected to arrive on site by mid-year. This equipment will enable an increased mining rate, and access to deeper higher grade ore.
Mining in the phase 3 pushback in the Main zone pit was completed. Mill feed for the remainder of 2018 will come from the phase 4 pushback of the Main zone.
Red Chris Production Three Months Ended March 31
Ore milled - tonnes 2,590,490 2,403,501
Ore milled per calendar day - tonnes 28,783 26,706
Grade % - copper 0.447 0.388
Grade g/t - gold 0.310 0.201
Recovery % - copper 77.22 79.49
Recovery % - gold 47.37 37.43
Copper - 000's pounds 19,725 16,328
Gold - ounces 12,215 5,811
Silver - ounces 34,881 27,952
Exploration, development and capital expenditures were $4.9 million in the March 2018 quarter compared to $11.0 million in the comparative 2017 quarter.
Metal production for the March 2018 quarter was 5.4 million pounds copper and 12,280 ounces gold, down 1.6% and 11% respectively from the 2017 comparative quarter.
Compared to the 2017 fourth quarter, metal recoveries in the March 2018 quarter increased, with copper recovery at 75.67% compared to 56.77% and gold recovery at 73.75% compared to 62.47%. Throughput in the March 2018 quarter was 17,917 tonnes per day compared to 19,635 tonnes per day in 2017 fourth quarter. The decrease was the result of milling a greater proportion of harder but less oxidized ore from the lower benches of the Cariboo pit. Dredging of tailings from the Springer pit began this quarter.
Mount Polley Production Three Months Ended March 31
Copper - 000's pounds 5,372 5,461
Gold - ounces 12,280 13,811
Silver - ounces 8,965 10,877
Exploration, development and capital expenditures were $4.2 million in the March 2018 quarter compared to 13.0 million in the comparative 2017 quarter.
The collective agreement with the unionized workforce at the Mount Polley mine expired on December 31, 2017. Since late 2017 the Company has been in the process of negotiating a new contract. On May 7, 2018 the Company served the Union with 72 hour lockout notice. After expiry of the 72 hour period, the Company will have the legal right to lockout the employees at a date and time of the Company's choosing.
Refer to Imperial's 2018 First Quarter Report on imperialmetals.com and sedar.com for detailed information.
An Earnings Announcement Conference Call
is scheduled for Friday, May 11, 2018 at 10:00am PDT | 1:00pm EDT
Management will discuss the Company's First Quarter 2018 Financial Results. To participate in the earnings announcement conference call dial 1.833.231.8250 (North America-toll free)
A recording of the conference call will be available for playback until 8:59pm on May 21, 2018 by calling 1.855.859.2056 (North America-toll free) playback code 9188769
About Imperial
Imperial is a Vancouver exploration, mine development and operating company. The Company, through its subsidiaries, owns the Red Chris, Mount Polley and Huckleberry copper mines in British Columbia. Imperial also holds a 50% interest in the Ruddock Creek lead/zinc property.
Brian Kynoch | President | 604.669.8959
Andre Deepwell | Chief Financial Officer | 604.488.2666
Gordon Keevil | Vice President Corporate Development | 604.488.2677
Sabine Goetz | Shareholder Communications | 604.488.2657 | investor@imperialmetals.com
Forward-Looking Information and Risks Notice
The information in this news release provides a summary review of the Company's operations and financial position as at and for the period ended March 31, 2018, and plans for the future based on facts and circumstances as of May 10, 2018. Except for statements of historical fact relating to the Company, certain information contained herein constitutes forward-looking information which are prospective in nature and reflect the current views and/or expectations of Imperial. Often, but not always, forward-looking information can be identified by the use of statements such as "plans", "expects" or "does not expect", "is expected", "scheduled", "estimates", "forecasts", "projects", "intends", "anticipates" or "does not anticipate", or "believes", or variations of such words and phrases or statements that certain actions, events or results "may", "could", "should", "would", "might" or "will" be taken, occur or be achieved. Such information in this news release includes, without limitation, statements regarding: the necessity to extend or refinance the Senior Credit Facility and the Second Lien Credit Facility prior to their maturity in the fourth quarter of 2018 and the Senior Unsecured Notes in the first quarter of 2019; metal production target ranges from Red Chris and Mount Polley for 2018; ongoing diagnostic and modelling work to identify the extent of high clay ore at Red Chris and determine whether special processing of these high clay zones may yield better recovery; a new electric shovel anticipated to arrive on site by mid-year which is expected to increase the mining rate and access to deeper higher grade ore at Red Chris; expectations that mill feed for the remainder of 2018 will come from the phase 4 pushback of the Red Chris Main zone; the use of proceeds from financings and credit; production and marketing; capital expenditures; the adequacy of funds for projects and liabilities; the receipt of necessary regulatory approvals or other consents; the expected outcome and impact of litigation; cash flow; working capital requirements; the requirement for additional capital; results of operations, production, revenue, margins and earnings; future prices of copper and gold; future foreign currency exchange rates and impact; future accounting changes; and future prices for marketable securities.
Forward-looking information is not based on historical facts, but rather on then current expectations, beliefs, assumptions, estimates and forecasts about the business and the industry and markets in which the Company operates, including, but not limited to, assumptions that: the Company will be able to successfully extend or refinance the Senior Credit Facility, the Second Lien Credit Facility and the Senior Unsecured Notes prior to their maturity dates and adequate additional financing will be available on terms acceptable to the Company; the Company will have access to capital as required and satisfy and/or obtain amendments of financial covenants and/or terms contained in its credit facilities and other loan documents; the high clay ore encountered in the mineralized fault in the lower benches of the phase 3 pushback at Red Chris is limited and special processing of these zones may yield better recovery; expectations that Mount Polley mine will reach a new contract with the unionized workforce; the Company will be able to advance and complete remaining planned rehabilitation activities within expected timeframes; there will be no significant delay or other material impact on the expected timeframes or costs for completion of rehabilitation of the Mount Polley mine and implementation of Mount Polley's long term water management plan; the Company's initial rehabilitation activities at Mount Polley will be successful in the long term; all required, project-related permits and approvals will be obtained in a timely manner; there will be no material operational delays at the Company's mines; equipment will operate as expected; there will not be significant power outages; there will be no material adverse change in the market price of commodities and exchange rates; and the Company's mines will achieve expected production outcomes (including with respect to mined grades and mill recoveries). Such statements are qualified in their entirety by the inherent risks and uncertainties surrounding future expectations. We can give no assurance that the forward-looking information will prove to be accurate.
Forward-looking information involves known and unknown risks, uncertainties and other factors which may cause Imperial's actual results, revenues, performance or achievements to be materially different from any future results, performance or achievements expressed or implied by the statements constituting forward-looking information.
Important risks that could cause Imperial's actual results, revenues, performance or achievements to differ materially from Imperial's expectations include, among other things: that the Company may not be able to successfully extend or refinance the Senior Credit Facility, the Second Lien Credit Facility and the Senior Unsecured Notes prior to their maturity dates and adequate additional financing may not be available on terms acceptable to the Company or at all; that the Company may be unable to satisfy and/or obtain amendments of financial covenants or terms contained in its credit facilities and other loan documents; that the Red Chris mine may encounter unexpectedly extensive high clay ore and is unable to achieve better recovery through special processing of such ore; risks relating to the timely receipt of necessary, project-related approvals and consents; risks relating to the remaining costs and liabilities and any unforeseen longer-term environmental consequences arising from the Mount Polley Breach; uncertainty as to actual timing of completion of rehabilitation activities; risks relating to the impact of the Mount Polley Breach on Imperial's reputation; the quantum of claims, fines and penalties that may become payable by Imperial and the risk that current sources of funds are insufficient to fund liabilities; risks that Imperial will be unsuccessful in defending against any legal claims or potential litigation; risks of protesting activity and other civil disobedience restricting access to the Company's properties; failure of plant, equipment or processes to operate in accordance with specifications or expectations; cost escalation, unavailability of materials and equipment, labour strike, unrest or lockout, power outages or shortages, and natural phenomena negatively impacting the operation or maintenance of the Company's mines; changes in commodity and power prices; changes in market demand for the Company's concentrate; inaccurate geological and metallurgical assumptions (including with respect to the size, grade and recoverability of mineral reserves and resources); and other hazards and risks disclosed within Management's Discussion and Analysis for the three months ended March 31, 2018 and other public filings which are available on Imperial's profile at sedar.com. For the reasons set forth above, investors should not place undue reliance on forward-looking information. Imperial does not undertake to update any forward-looking information, except in accordance with applicable securities laws.
Back to the Press Releases page


text:
Pete's Poles Apart From His Beloved Clarets
Meet arguably our most distant supporter...
Clarets fans are everywhere!
But our guess is that few follow the daily fortunes of the club from afar as Pete Smith.
For as the new season gets ready to kick off this weekend, the lifelong Clarets fan is itching to keep up to date with all things Claret and Blue... despite being based in Antarctica!
Pete Smith is currently spending 18-months at the southern outpost working as an electrical service technician for the British Antarctic Survey, at the Halley 6 Research Base on the Brunt Ice Shelf.
And although it's a long, long way from Turf Moor, we spoke to the former Burnley Grammar School student about his passion for the club.
Pete, who remembers Clarets Chairman Mike Garlick from his schooldays, said: "I grew up in Burnley and it is still home! I have been a lifelong supporter, and started going to matches in the early 1970's. At that time there was just waste ground down one side of the pitch as the Bob Lord stand hadn't been built.
"Most of my memories of that time are of the 1974 season and standing in the Bee Hole End. The team at that time consisted of the likes of Martin Dobson, Peter Noble and Paul Fletcher to name a few.
"I have to say that my favourite memory is much more recent though and has to be the 2009 Championship Play-Off final and promotion to the Premier League.
I think we won a lot more fans that year due to the way we played, with a determination and passion that seemed to be lacking in the top teams of the top flight."
Life following the Clarets 9,000 miles away can be testing at times, with limited Internet broadband bandwidth.
He explained: "Here in Antarctica we have access to the internet via a satellite link.
"It does mean that we have email but any websites that depend heavily on graphics are difficult to access as our bandwidth is only 256k for the entire station.
"It does make keeping up with matchday results difficult at times but we manage ok!"
Pete, who is on his second visit to the Halley 6 base, is tasked with ensuring the Winter team have power, lighting and heating.
He added: "All our power here is created using four generators housed in the modules on base. We are totally cut off from the rest of the world here and have to be self-sufficient.
"During the winter months, access to the base is impossible and our nearest neighbours here on the ice is the German Neumeyer Station, which is 760Km away."
Pete plans to return home in Easter, 2016, by which time he hopes a promotion push will be well and truly in progress!
Why not tell us about your support from afar?
Overseas-based Burnley fans are being asked to 'Stand Up & Be Counted' for the Clarets by registering here, with those who register being given the chance to win a trip to come and see us play!
The campaign has been launched by The Football League for all 72 clubs, and asks fans to register their country and city of residence to show their support of their club.
The site includes an overall leader board so fans can see where our global fan base ranks compared to the other 71 Football League clubs, as well as a map displaying where in the world our fans are from.
By registering their support for a club, fans have the chance to enter a prize draw to win a trip for two to the United Kingdom, including flights, accommodation and match tickets to see their team play.
Register now at http://po.st/SUBC4Burnley


His teammates played like the Clippers.
It added up to a depressing loss for the Lakers.
"Give credit to the Pistons," Lakers coach Phil Jackson said.
composure and found a way to get to the foul line."
mistakes and the fouls went in their favor."
The Lakers were 11-of-22 from the line.
that now. We still had major opportunities to win the game.
"We had too many ill-advised shots, we had too many turnovers.
I know that we can all play better. We haven't played well yet."
because he should have had 50 tonight."
their three losses, he's 22-of-65.
over every time I have a penetration."
overcome a 3-1 deficit to win the finals.
"I think everybody is a little down right now," Bryant said.
having scored two points and taken five rebounds.
getting frustrating, but we have to play through it."


text:
Pouncey Twins Birthday 'Bash' Victims Face Skepticism Over Accusations
By Matthew Marczi
Posted on July 26, 2014 at 7:08 am
It didn't take long for the alleged victims of a Pouncey brothers melee to take their grievances to court, as the trio of self-described socialites filed a joint suit against Pittsburgh Steelers center Maurkice Pouncey, his brother Mike Pouncey, and the nightclub that hosted the twins' birthday celebration for failing to protect its patrons from "foreseeable criminal activity".
The three all immediately took to social media to exhaustively chronicle the ordeal they'd just gone through, and naturally created hashtags for themselves seeking "justice" for having fallen victim to the drunken violence of these large athletes.
Evidently, justice comes in the form of money, in excess of $15,000, for an incident for which there as of yet appears to be no witnesses that corroborate the story of the plaintiffs, and for which there is yet to be any news regarding surveillance footage.
For the time being, it doesn't appear as though there are many who buy into the plaintiffs' arguments outside of their own socialite circles and Instagram and Twitter followers.
There seems to be good reason for that in light of a lack of evidence that the incident occurred as they claim, though visual evidence does confirm their injuries, including but not limited to broken teeth and lacerations requiring stitches.
The three claim that the Pounceys and their supposed security detail harassed the male plaintiff with derogatory homophobic remarks before pushing him out of the way, after which the security detail of the twins proceeded to continue the assault.
When the primary female plaintiff attempted to intervene, she was reportedly punched in the face and knocked unconscious, while the other female plaintiff was merely the victim of being in the wrong vicinity at the time of the incident.
Even though this story came out yesterday, the Steelers media seemed to have no interest whatsoever in discussing the matter, indicating to perceived frivolity of the lawsuit.
Pouncey spoke to the media for a few minutes yesterday without having to address a single question about his birthday bash earlier in the month. As it rightfully should until evidence indicates otherwise, the story was about his returning to the field after missing almost all of last season with a torn ACL.
The plaintiffs may find that they face an uphill battle at least in the court of public opinion, as their preferred lifestyle leads many to believe that they are deliberately seeking to create drama and attention and to profit from it.
It's not inconceivable that at least some aspect or another of their claim can be corroborated by surveillance video, though even that will certainly not paint a complete picture. And then again, as far as punishment is concerned, the league doesn't seem to find visual evidence all that compelling to begin with in light of recent events.
Related Items:Maurkice Pouncey, Mike Pouncey, Steelers
2021 South Side Questions: How Do You Assess Steelers' Season?
Latest Defeat Marks New Franchise Record For Most Consecutive Postseason Losses In Steelers History At Four
2021 Wild Card Round Steelers vs. Chiefs – What To Watch For


text:
Data supporting TIN-117m
Radiosynoviorthesis (RSO)
Preclinical Studies
Synovetin OA™ Safety
Tin-117m, A Novel Conversion Electron
Radiosynoviorthesis: A new therapeutic and diagnostic tool for canine joint inflammation.
Donecker JM, Stevenson NR. In: Fox SM (editor). Multimodal Management of Canine Osteoarthritis (2nd Edition) CRC Press. 2017:75-80.
Radiosynoviorthesis using Sn-117m colloid to treat canine elbow osteoarthritis demonstrates efficacy and safety.
Doerr CA, et al. Accepted for poster presentation at the 32nd Annual Congress of the European Association of Nuclear Medicine, October 11-16, 2016, Barcelona, Spain.
Monte Carlo simulation of the dose from radiosynoviorthesis using Sn-117m, Er-169, and Re-186 including stochastic macrophage motion.
Gupta AC, et al. Oral presentation at the American Association of Physicists in Medicine 2018 Annual Meeting, July 29-August 2, 2018, in Nashville, TN.
Experience using homogeneous Sn-117m colloid for RSO.
Doerr CA. Invited lecture at the Canadian Association of Nuclear Medicine 2018 Annual Meeting, March 22-25, 2018, Vancouver, BC, Canada.
A Monte Carlo study of Sn-117m radiosynoviorthesis to treat arthritic joints.
Gupta AC, et al. Oral presentation at the Society of Nuclear Medicine and Molecular Imaging 2018 Annual Meeting, June 23-27, 2018, in Philadelphia, PA.
Simulation of Sn-117m radiosynoviorthesis including phagocytotic migration within the joint.
Wendt RE, et al. Abstract accepted at the 9th International Conference on Isotopes, November 12-16, 2017, Doha, Qatar.
Radiosynoviorthesis: Radioisotope therapy for arthritic conditions.
Liepe K, et al. Abstract accepted at the 9th International Conference on Isotopes, November 12-16, 2017, Doha, Qatar.
Global experience with radioisotopes used for RSO.
Liepe K. Oral presentation at the Society of Nuclear Medicine and Molecular Imaging 2017 Annual Meeting, June 14, 2017, Denver, CO.
Characteristics and comparison of RSO isotopes including Sn-117m.
Stevenson NR. Oral presentation at the Society of Nuclear Medicine and Molecular Imaging 2017 Annual Meeting, June 14, 2017, Denver, CO.
A comparison of tissue doses from colloidal Sn-117m, Re-186, Y-90 and Er-169 for radiosynoviorthesis using Monte Carlo simulation.
Wendt RE, et al. Oral presentation at the Society of Nuclear Medicine and Molecular Imaging 2017 Annual Meeting, June 12, 2017, Denver, CO.
Improving radiosynoviorthesis using a Sn-117m colloid. (Scroll halfway down page)
Liepe K, et al. International Conference on Radiopharmaceutical Therapy 2016 Annual Meeting, November 13-17, 2016, Kerala, India. World J Nucl Med. 2016;15(Suppl 1):S3-S39.
117mSn colloid as a potential candidate to replace 169Er colloids in radiosynovectomy of small joints.
Liepe K, et al. European Association of Nuclear Medicine 2016 Annual Meeting, October 2016, Barcelona, Spain.
A comparison of Er-169 and Sn-117m radiation synoviorthesis using Monte Carlo simulation.
Wendt RE, et al. Oral presentation at the Society of Nuclear Medicine and Molecular Imaging 2016 Meeting, June 14, 2016, San Diego, CA.
Stevenson NR, et al. World Council on Isotopes Newsletter, 2016;5(3).
A novel Sn-117m colloid for radiosynovectomy.
Srivastava SC, et al. Society of Nuclear Medicine and Molecular Imaging 2015 Meeting, January 2015, San Antonio, TX.
A novel Sn-117m colloid for human radiosynoviorthesis clinical trials.
Stevenson NR, et al. Accepted for oral presentation at the 32nd Annual Congress of the European Association of Nuclear Medicine, October 11-16, 2016, Barcelona, Spain.
Sn-117m colloid distribution and autoradiography in the normal canine elbow.
Gonzales GR, et al. European Association of Nuclear Medicine 2016 Annual Meeting, October 2016, Barcelona, Spain.
A novel molecule for the systemic imaging and treatment of rheumatoid arthritis.
Stevenson NR, et al. E-poster presented at the European Association of Nuclear Medicine 2018 Annual Meeting, October 12-16, 2018, Dusseldorf, Germany.
Retention and radiation field of a Sn-117m colloidal suspension in canine intra-articular injections.
Stevenson NR, et al. Abstract accepted at the 9th International Conference on Isotopes, November 12-16, 2017, Doha, Qatar.
Preclinical trials using Sn-117m homogeneous colloid in radiosynoviorthesis.
Doerr CA. 12th International Conference on Radiopharmaceutical Therapy, October 19, 2017, Vienna, Austria.
Preclinical evaluation of tin-117m colloid as a radiosynoviorthesis agent for the treatment of canine elbow joint osteoarthrosis.
Lattimer JC, et al. American College of Veterinary Radiology, October 2016, Orlando FL.
Validation of the use of homogeneous Sn-117m colloid radiosynoviorthesis in a GLP osteoarthritis rat model.
Doerr CA, et al. Oral presentation at the Society of Nuclear Medicine and Molecular Imaging 2016 Meeting, June 14, 2016, San Diego, CA.
Homogeneous Sn-117m colloid radiosynovectomy results in rat models of joint disease.
Doerr CA, et al. Poster presented at the Society of Nuclear Medicine and Molecular Imaging 2015 Meeting, June 2015, Baltimore, MD.
Intra-articular injection of a tin-117m radiosynoviorthesis agent in normal canine elbows causes no adverse effects.
Lattimer JC, et al. Veterinary Radiology & Ultrasound. 2019;1-8.
Misadministration of Sn-117m colloid during radiosynoviorthesis presents no safety concerns.
Doerr CA, et al. Oral presentation to the Canadian Association of Nuclear Medicine 2019 Annual Meeting, February 7-10, 2019, Quebec City, Canada.
Canine Sn-117m colloid intra-articular injection release guidance.
Donecker JM, et al. Presented to the American College of Veterinary Radiology 2018 Annual Meeting, October 14-19, 2018, Fort Worth, TX.
Release of dogs following Sn-117m colloid intra-articular injections.
Wendt RE, et al. Oral presentation at the Society of Nuclear Medicine and Molecular Imaging 2018 Annual Meeting, June 23-27, 2018, Philadelphia, PA.
U.S. experience using new isotope Sn-117m homogeneous colloid for RSO in canines with OA.
Lattimer JC. Oral presentation at the Society of Nuclear Medicine and Molecular Imaging 2017 Annual Meeting, June 14, 2017, Denver, CO.
External radiation exposure following Sn-117m colloid intra-articular injections.
Wendt RE, et al. Poster presented at the Society of Nuclear Medicine and Molecular Imaging 2017 Meeting, June 13, 2017, Denver, CO.
Sn-117m colloid radiosynoviorthesis effects on canine OA synovitis as evaluated by PET, MRI, and behavioral measures. (Scroll halfway down page)
Doerr CA, et al. International Conference on Radiopharmaceutical Therapy 2016 Annual Meeting, November 13-17, 2016, Kerala, India. World J Nucl Med. 2016;15(Suppl 1):S3-S39.
Retention and biodistribution of Sn-117m colloid in intra-articular injections.
Lattimer JC, et al. Oral presentation at the Society of Nuclear Medicine and Molecular Imaging 2016 Meeting, June 14, 2016, San Diego, CA.
Evaluation of homogeneous Sn-117m colloid radiosynovectomy in normal dogs using scintigraphy, PET-MRI and other modalities.
Lattimer JC, et al. Poster presentation at the World Molecular Imaging 2015 Congress, September 3, 2015, Honolulu, HI.
Radiation Safety Considerations in the Treatment of Canine Skeletal Conditions using Sm-153, Y-90, Sn-117m.
Richard E.Wendt III, Kimberly A. Selting, Jimmy C. Lattimer, et al. Health Physics. March 9,2020;1-9. doi:10.1097/HP.0000000000001222
Novel treatments for arthritis in humans and animals using the theranostic isotope Sn-117m: Colloids and labeled molecules. Stevenson NR, et al. Poster presentation at the International Chemical 2015 Congress of Pacific Basin Societies, December 17, 2015, Honolulu, HI.
Production of Sn-117m in the BR2 high-flux reactor.
Ponsard B, et al. Poster presentation at the Theranostics 2019 World Congress, March 1-3, 2019, Jeju, Korea.
Applications of Sn-117m and the potential world supply and demand.
Stevenson NR. Presentation at KARA Radiation Promotion 2018 Conference, September 14, 2018, Busan, South Korea.
Manufacturing and applications of Sn-117m in nuclear medicine.
Stevenson NR. Invited lecture at the American Chemical Society Spring 2018 National Meeting, March 18-22, 2018, New Orleans, LA.
Sn-117m–A new isotope for treating arthritis.
Stevenson NR. Oral presentation to the International Isotope Society Symposium 2018 Meeting, June 3-7, 2018, Prague, Czech Republic.
Advances in the global use of isotopes for medicine, industry and environmental science.
Stevenson NR. Invited lecture at the American Physical Society Q2C Meeting, April 14-17, 2018, Columbus, OH.
Tin-117m: A new isotope and approach to radiosynoviorthesis and other therapies.
Stevenson NR. Invited lecture, 39th High Country Nuclear Medicine Conference, March 3-7, 2018, Sun Valley, ID.
Nuclear medicine applications of the novel theranostic isotope Sn-117m.
Gonzales GR, et al. Abstract accepted to the 9th International Conference on Isotopes, November 12-16, 2017, Doha, Qatar.
Novel treatments for arthritis in humans and animals using Sn-117m colloids and labeled molecules.
Stevenson NR. Abstract accepted at the 9th International Conference on Isotopes, November 12-16, 2017, Doha, Qatar.
Production and preparation of Sn-117m from the BR2 reactor.
Ponsard B, et al. 9th International Conference on Isotopes, November 12-16, 2017, Doha, Qatar.
Manufacturing and characteristics of Sn-117m based radiopharmaceuticals and medical devices.
Stevenson NR. 12th International Conference on Radiopharmaceutical Therapy, October 19, 2017, Vienna, Austria.
Nuclear medicine applications of Sn-117m.
Gonzales GR. 12th International Conference on Radiopharmaceutical Therapy, October 19, 2017, Vienna, Austria.
Preclinical evaluation of Sn-117m colloid as a radiosynoviorthesis agent for treatment of canine elbow joint osteoarthrosis.
Lattimer JC, et al. Oral presentation at the Veterinary Orthopedic Society 2017 Annual Meeting, March 13, 2017, Snowbird, UT.
My biz on isotopes: Serene, LLC.
Doerr CA. World Council on Isotopes, February 2017 Newsletter, pp 8-11.
Production and characteristics of a novel Sn-117m particulate suspension for application in human and veterinary radiosynoviorthesis. (Scroll halfway down page)
Stevenson NR, et al. International Conference on Radiopharmacuthical Therapy 2016 Annual Meeting, November 13-17, 2016, Kerala, India.
Manufacturing and nuclear medicine applications of the novel isotope Sn-117m.
Stevenson NR, et al. Invited oral presentation at the International Conference on Translational Research in Radio-Oncology | Physics for Health in Europe, February 15-19, 2016, Geneva, Switzerland.
Methods of producing high specific activity Sn-117m with commercial cyclotrons.
Stevenson NR, et al. Journal of Radioanalytical and Nuclear Chemistry. 2015;305(1):99-108.
Enabling simultaneous imaging and treatment with the theragnostic radionuclide Tin-117m.
Srivastava SC. TERACHEM 2014, September 2014, Italy.
Stevenson NR. 8th International Conference on Isotopes, August 2014, Chicago, IL. Journal of Radioanalytical and Nuclear Chemistry. 2015;305(1):99-108.
Therapeutic radionuclides: Production, physical characteristics, and applications.
Srivastava SC, Mausner LF. In RP Baum (Ed.), Therapeutic Nuclear Medicine, Springer, 2014:12-46.
Production and applications of high specific activity Sn-117m-DOTA-Annexin.
Srivastava SC, et al. WIPR 2013: Latest Progress in the Field of RadioImmunoTherapy, July 2013, France.
Production and applications of high specific activity Sn-117m labeled compounds.
Stevenson NR. Radiometals 2013 Conference, June 2013, Sonoma Valley, CA.
Production and applications of very high specific activity Sn-117m.
Stevenson NR, et al. ACS, April 2013, New Orleans, LA.
Paving the way to personalized medicine: Production of some promising theragnostic radionuclides at Brookhaven National Laboratory.
Srivastava SC. Semin Nucl Med. 2012;42:151-163.
Ponsard B, et al. Applied Radiation and Isotopes. 2009;67:1158-1161.
Synovetin OA™ delivers sustained OA pain relief.1
Learn about once-yearly treatment
Synovetin OA™ provides targeted, non-systemic therapy.2
Review the safety data
Data on file, Exubrion Therapeutics.
Donecker JM, Fox SM. Safety and effectiveness of Synovetin OA™: Results of three randomized trials evaluating treatment of naturally occurring canine elbow osteoarthritis. Exubrion Therapeutics, July 2019.


The First-Aid Equipment General Information Sign can be bought in either ABS Plastic or Chromadek® in various standard sizes as approved by the South African Bureau of Standards.
The First-Aid Equipment (GA1) safety sign has a white cross on the green square shaped safety sign.
The first-aid equipment safety sign is also available as a Photoluminescent (glow in the dark) sign as a single safety sign or as a combination of more than one safety sign.


text:
package eu.javaspecialists.tjsn.examples.issue211;

public class NormalizeTest {
  public static void main(String[] args) {
    Normalize norm = new Normalize();
    norm.testEquals("Genève", "Gene\u0300ve");
    norm.testEquals("ha\u0301ček", "hác\u030cek");
  }
}

redpajama_set_name: RedPajamaGithub


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File #: Res 0763-2005 Version: * Name: Conduct hearings on the findings of the October 15, 2004 Report of the National Institutes of Health.
Committee: Committee on Youth Services
Title: Resolution calling upon the appropriate committee of the Council of the City of New York to conduct hearings on the findings of the October 15, 2004 Report of the National Institutes of Health, concluding that counseling programs for families and youth-at-risk are more effective in deterring adolescent violence than "get tough" programs, group detention facilities, treating juveniles as adults in the criminal justice system and adult lecturing programs.
Sponsors: Helen D. Foster, Charles Barron, Yvette D. Clarke, Alan J. Gerson, Robert Jackson, Letitia James, Margarita Lopez, Annabel Palma, Christine C. Quinn, Larry B. Seabrook
Attachments: 1. Cover Sheet
12/31/2005 * Helen D. Foster City Council Filed (End of Session) Action details Meeting details Not available
1/19/2005 * Helen D. Foster City Council Referred to Comm by Council Action details Meeting details Not available
1/19/2005 * Helen D. Foster City Council Introduced by Council Action details Meeting details Not available
Resolution calling upon the appropriate committee of the Council of the City of New York to conduct hearings on the findings of the October 15, 2004 Report of the National Institutes of Health, concluding that counseling programs for families and youth-at-risk are more effective in deterring adolescent violence than "get tough" programs, group detention facilities, treating juveniles as adults in the criminal justice system and adult lecturing programs.
By Council Members Foster, Barron, Clarke, Gerson, Jackson, James, Lopez, Palma, Quinn and Seabrook
Whereas, The National Institutes of Health, a branch of the U.S. Department of Health and Human Services, released a report on October 15, 2004 detailing the results of a study of the causes of youth violence and effective ways to prevent it; and
Whereas, That study determined that the most effective intervention methods include intensive counseling programs for families and youth-at-risk; and
Whereas, The report further determined that "get tough" programs, group detention centers, treating juveniles as adults in the criminal justice system and adult lecturing programs such as Drug Abuse Resistance Education (DARE) do not significantly deter criminal behavior; and
Whereas, These programs bring together youths already inclined to violent behavior who may share their criminally oriented aptitudes with one another; as the report notes, "the more sophisticated instruct the more naïve in precisely the behaviors that the intervener wished to prevent;" and
Whereas, The report finds that youth violence can be traced to a variety of conditions, including inconsistent or callous parenting, poor peer relations, gang involvement, lack of connection with school and violence in their neighborhoods; and
Whereas, The report cites two counseling programs: one a therapeutic plan in which youths and their families attend twelve, one-hour sessions over a period of three months, and a community based clinical treatment program focusing on violent and chronic juvenile offenders at risk of being removed from their families who attended approximately sixty hours of counseling over roughly four months with therapists available at all hours; and
Whereas, Juveniles attending counseling programs showed reduced arrest rates and decreased out-of-home placements, and continued to demonstrate positive effects four years after treatment; and
Whereas, A significant factor in the effectiveness of these counseling programs was that counselors observed families and youths together, offering suggestions for better parenting; now, therefore, be it
Resolved, That the appropriate committee of the Council of the City of New York conduct hearings on the findings of the October 15, 2004 Report of the National Institutes of Health, concluding that counseling programs for families and youth-at-risk are more effective in deterring adolescent violence than "get tough" programs, group detention facilities, treating juveniles as adults in the criminal justice system and adult lecturing programs.
LS#2012


Young people in South Africa face a high risk of HIV, teenage pregnancy, school dropout, and unemployment, and are further disadvantaged by the actual or potential loss of one or both parents to HIV and conditions of poverty, inequality, and food insecurity. These circumstances make the transition from childhood to adulthood especially difficult, and many of the most disadvantaged are in danger of falling even farther behind socially and economically due to illness, stigma, and the loss of key supportive adults such as parents and teachers. Many programs fail to recognize that young people's vulnerabilities differ by ethnicity, age, gender, SES, social connectedness, and orphanhood status. Additionally, not many programs for young people have been evaluated for impact.
This research presents baseline findings from an intervention randomized at the classroom level in peri-urban secondary schools within the Durban metro area of KwaZulu-Natal Province, South Africa – the "Siyakha Nentsha" program. The intervention is designed to provide vulnerable young people residing in poor, HIV/AIDS-affected communities with increased capabilities for building health, social, and economic assets over the life course. The strategic skills proposed are geared to help offer protective strategies against HIV and early pregnancy and to build economic assets. As the vast majority of adolescents in South Africa attend secondary school, this is an effective and replicable strategy for reaching a representative group and reducing the possibility of selection bias.
Baseline findings from the study show program participants to be a vulnerable group, facing situations of orphaning, poverty, and lack of supportive structures to deal with such circumstances. However, these factors seem to have a variety of connections with behaviors and experiences that affect sexual and reproductive health and HIV. In some cases, protective factors for females and males are common but their influence may be on different behaviors. In other cases, factors associated with healthy outcomes and behaviors differ by gender. A second round of data collection is currently underway, and will allow for assessment of the program's short-term impacts on young people's vulnerabilities and experiences.
Grant, Monica J. & Hallman, Kelly K. (2008). Pregnancy-related school dropout and prior school performance in KwaZulu-Natal, South Africa. Studies in Family Planning, 39(4), 369-382. DOI: 10.1111/j.1728-4465.2008.00181.
Hallman, Kelly. (2009). Social exclusion: The gendering of adolescent HIV risks in KwaZulu-Natal, South Africa. In The Fourth Wave: An Assault on Women-Gender, Culture and HIV in the 21st Century.
Hallman, Kelly & Roca, Eva. (2011). Siyakha Nentsha: Building economic, health, and social capabilities among highly vulnerable adolescents in KwaZulu-Natal, South Africa (Population Council Brief No. 4).


It's a balmy 89 degrees under a baby blue sky in the middle of spring break and Goodyear Estrella Foothills freshman Max Schell is accepting and returning balls on the hard court at the Phoenix Tennis Center.
Orange trees hug the chain-link fence that borders the court where Schell dances back and forth with his racket, his sandy brown hair curling over the black baseball cap he wears as coach Joey Blake stands in the background.
The week off from school has afforded 14-year-old Schell the opportunity to have more time with Blake, and there's no place Schell would rather be.
"I make tennis my first priority pretty much," Schell said, who sits 65th in the Unites States Tennis Association national rankings and is rated fourth in the Southwest Region.
tutelage of Blake, who runs Topnotch Tennis, a program dedicated to developing high-performance junior players. Blake's coaching has been so invaluable that Schell has forgone participating in the high school tennis season because it would require him to cut his time with Blake. In order to play in matches, the team required Schell to attend three practices a week, Schell said.
"I thought that might have brought my game down a lot, and I kind of wanted to keep my game sharp for the upcoming tournaments," he said.
So instead of joining classmates on the courts at Estrella Foothills after school, Schell's mother drives him 35 minutes to the tennis center in Phoenix where he trains with Blake for two and a half hours every weekday. And considering Blake's background, skipping out on the chance to represent his school was a no-brainer for Schell.
Blake "has been kind of a hidden gem here, not just in the West Valley but in the state and the region," said Schell's dad, John.
Blake has been mentoring tennis athletes for more than 20 years but has only operated his academy in the Valley for six. He started his own playing career when he was 6 years old, trailing behind his dad to the local tennis court.
"I just took my racket and hit ball after ball after ball against the wall," Blake said.
By the age of 10, Blake was playing in national tournaments. He started getting home schooled because by age 16 he was traveling to Europe and South Africa to compete. He won the NCAA Indoor title as a freshman at the University of Arkansas before turning pro the next year.
He carried a No. 4 world ranking as an International Tennis Federation junior, was a U.S. Open Junior Doubles Champion and singles finalist and competed on the ATP Pro Tour before he tore all the ligaments in his wrist and forced to retire when he was 22 years old.
"To this day, I can't accept change with my right hand," said the 43-year-old Blake.
But he renewed his passion for tennis through coaching and has helped players reach the No. 1 U.S. ranking, national, Grand Slam titles and NCAA accolades.
In the Valley, Blake trains about 20 athletes from elementary-aged kids to teens like Schell. The majority of his students are home schooled so they can maximize their training time with Blake. Schell is one of the few who trains part-time while attending public school, and Blake sympathizes with Schell's dilemma in wanting to play high school tennis but not wanting to sacrifice his growth within the sport.
"It's really unfortunate, but tennis is different than football, basketball and these other sports," Blake explained. "Tennis is based on what you do nationally. Unfortunately, all these high school matches these kids play don't count towards national rankings."
So for now, Schell is committed to Blake's program. He's considering switching to home schooling next year to have more time with Blake, but also to explore a hybrid option that allows home-schooled kids to participate in high school events such as playing with school teams.
Competing for a Division I school, like UCLA, is the goal.
"And then just see how it goes from there," Schell said.


A map of the Aegean shortly after the war.
Livy, translated by Henry Bettison, (1976). Rome and the Mediterranean. London: Penguin Classics. ISBN 0-14-044318-5.
Polybius, translated by Frank W. Walbank, (1979). The Rise of the Roman Empire. New York: Penguin Classics. ISBN 0-14-044362-2.
Theocharis Detorakis, (1994). A History of Crete. Heraklion: Heraklion. ISBN 960-220-712-4.
Peter Green, (1990). Alexander to Actium: The Historical Evolution of the Hellenistic Age. Los Angeles: University of California Press. ISBN 0-500-01485-X.
Philip Matyszak (2004). The Enemies of Rome:From Hannibal to Attila. London: Thames and Hudson. ISBN 0-500-25124-X.


Home / 2-4-6-8, Who Do We Appreciate?
If customers don't feel appreciated, they might shop elsewhere. How can you make customer appreciation a core part of your business model? You don't have to work hard or spend big to show your customers that they matter to you. There are plenty of little ways to say "thank you" before, during and after a sale.
For starters, stock up on note cards or personalized thank-you cards with your brand logo. Create a handwritten note for your customers at each major step of the buying process, and consider celebrating a big sale by giving a gift basket. Have chocolate and other small gifts available for browsing customers. At the point of sale, use high-quality bags and packaging to make customers feel special.
Magnets, hats and other promotional swag serve double duty as thank-you gifts and brand reminders. If you really want to show your customers some love, buy invitations, cutlery and other supplies for throwing a fun customer appreciation bash. Whatever your plans, explore Office Depot for thank-you supplies customers are sure to love.
Greeting cards aren't just for the holidays. Sending cards to customers to commemorate personal events can help drive brand loyalty and customer retention. Check your customer database daily, and send out greeting cards on birthdays, after major purchases or just because you feel like making someone's day.
You can send out handwritten mailers printed with your company's name for an elegant personal touch. Including a header makes the letter look professional, and a handwritten note tends to stand out in today's digital world.
Giving a gift basket is a big gesture that's always appreciated. You can send out gift baskets to entice potential customers and clients, or you can use them as a way of saying thanks after a successful sale or completion of a project.
Sometimes the little details can make the biggest impression. You can make sure you're remembered by delivering boxes of chocolates to appreciated customers, clients and other associates or you can also keep a bowl of chocolates on your desk to make visitors feel as welcome as possible.
Special events can help keep your customers interested in your company and increase brand awareness. You can send out customized invitations with fun patterns to generate interest. Receiving an invitation in the mail makes an upcoming event feel more real, and personalized invitations make potential attendees feel valued.
You can give out branded apparel to turn your customers into walking billboards for your company or you can hand out hats, t-shirts and sweatshirts as prizes for your customer loyalty program or for raffles and giveaways, and provide free apparel at trade shows to boost brand awareness.
Branded backpacks, drawstring bags and totes can make excellent promotional gifts, especially at trade shows. Attendees can put all their swag in your branded bag, exposing your company logo to a big audience. Prepare for your booth to be the busiest at the show.
Calendars can make fantastic promotional items because people use them all year. Make sure your calendar is interesting so people want to display them for the world to see. Use beautiful or funny photos so customers can own a unique item they want to show off.


Dr Amy Prendergast completed her PhD at the University of Cambridge in the Department of Archaeology, using marine and terrestrial gastropod shells to study paleoclimate, seasonality and seasonal foraging strategies at archaeological sites in Libya and Lebanon. De Prendergast currenlty works at the University of Melbourne and her research interests include palaeoclimate recontruction, human-environment interaction and natural hazards, particularly palaeotsunamis. She has also worked as a research scientist at Geoscience Australia, examining the Holocene geological record for evidence of past tsunamis.


text:
Монтеро Ламар Гілл (,  9 квітня 1999, Атланта, Джорджія, США), більш відомий як Lil Nas X — американський репер, співак і автор пісень. Прославився завдяки своєму кантрі-реп синглу «Old Town Road», який отримав вірусну популярність у відеододатку TikTok. Сингл опинився на першій сходинці чарту Billboard Hot 100. З чарту Hot Country Songs пісня була вилучена, коли перебувала під номером 19.

Життєпис
Монтеро Ламар Гілл народився в Атланті, штат Джорджія. Його батьки розлучилися, коли йому було шість років, тож він жив разом з мамою і бабусею. Через три роки переїхав з батьком на північ у місто Остелл, передмістя округу Кобб. Відвідував середню школу Lithia Springs, яку закінчив у 2017 році. Покинув університет після першого року навчання.

Особисте життя
30 червня 2019 року, в останній день місяця прайду, Lil Nas X опублікував серію твітів у своєму Твіттер-акаунті. Він попросив прислухатись до слів його нового треку «C7osure»: «Хтось з вас уже знає, комусь з вас начхати, дехто після цього від мене відвернеться. Але до кінця цього місяця я хочу, щоб ви уважно послухали трек C7osure», «Більше ніякого вдавання». ЗМІ та громадськість сприйняли це як спосіб Ламара таким чином зізнатися у своїй гомосексуальності.

Наступного дня він опублікував веселкову будівлю з обгортки його міні-альбому 7, з підписом, що він «дійсно думав, що зробив це очевидним». Реакція на його камінг-аут була в основному позитивна, проте також отримав велику кількість гомофобних реакцій в соціальних мережах, на які також відповів. Негативна реакція також йшла від хіп-хоп спільноти, що привернуло увагу до гомофобії в хіп-хоп культурі.

Дискографія

Студійні альбоми
 Montero — 17 вересня 2021

Мікстейпи
 Nasarati — 2018

Міні-альбоми
 7 — 2019

Сингли

Примітки

Посилання

Музиканти Columbia Records
Уродженці Джорджії
Народились 1999
Афроамериканські репери
Музиканти-геї

redpajama_set_name: RedPajamaWikipedia


text:
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Quake of magnitude 7.1 in southern Peru. In February, a deep magnitude-7.5 natural disaster struck...
Alexandria Ocasio-Cortez threatened disloyal Dems with primary 'list.' Now she's backtracking
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At a time when a lighter note is much needed, he could have talked about another topic that could be...
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