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Neither Russia Nor Ukraine Will Easily Give Up the Sea of Azov
November 29, 2018 Topic: Russia Ukraine Region: Eastern Europe Tags: RussiaUkraineCrimeaSea Of AzovNATO
There will be no resolution of the Donbas conflict without progress on Crimea, and both of those matters ultimately need to be discussed in the context of Europe's future security architecture.
by Thomas Graham Jr.
A naval clash between Russia and Ukraine in the Kerch Strait was bound to happen sooner or later. Recent months have witnessed the militarization of the Sea of Azov, which the strait links to the Black Sea, as Russia seeks to dominate the body of water it shares with Ukraine and the latter resists. Russian forces have harassed Ukrainian ships, as have the Ukrainians Russian vessels, albeit to a much lesser degree. Moreover, the Russians are paranoid about potential threats to the Crimean Bridge, the sole, strategic link across the strait between Crimea and the Russian mainland that was opened to traffic this past spring. In these circumstances, it doesn't take much to spark a conflict.
We do not know in important detail what took place in and around the strait on November 25. Not surprisingly, we have diametrically opposed Russian and Ukrainian narratives, with the only common point that the incident was premeditated. The Russians speak of a Ukrainian provocation to challenge Russian sovereignty in Crimea and elicit further Western pressure on Russia, with some adding that it was all orchestrated by the deep state in Washington. The Ukrainians see Russian aggressive, imperialist designs to deny Ukraine's right of innocent passage through the strait to ports on the Sea of Azov, part of a larger effort to reinforce Russia's control of Crimea, all timed to a moment when Western countries are distracted by domestic controversies, such as the violent protests in Paris and the impending critical vote on Brexit in Britain.
The reality—if anyone cares to discover it—may turn out to be more prosaic, a case of local decisions made in the context of miscommunications and based on worst case thinking. Just a couple of months ago, Ukrainian naval vessels followed a similar route through the strait without incident. But in an atmosphere where each eschews anything that might prejudice its claim to sovereignty over Crimea, it is not difficult to imagine Ukrainian ship captains and Russian border force commanders misreading actions or lack of responses to communications as deliberate attempts by the other side to do harm to legal claims or physical structures, such as the Crimean Bridge.
Despite the mutual denunciations, neither side has an interest in escalation. The Ukrainians know they cannot stand up to the full might of the Russian military, particularly since they would have to stand alone. Neither the United States nor any European country, despite expressions of outrage, is prepared to enter armed conflict on the Ukrainian side. The Russians meanwhile have nothing to gain by a direct military confrontation with Kyiv when they are slowly achieving their strategic aims through constant low-level pressure that rarely provokes Western notice, let alone a response. Both sides will, however, play up the incident to the hilt for domestic political purposes.
Ukrainian president Petro Poroshenko undoubtedly sees the incident as a godsend that could lend a spark to his flagging reelection campaign. With the election set for next March, he is running well behind his chief nemesis, former prime minister Yulia Timoshenko, in public opinion polls. Because the economy is faltering, and Ukraine remains in the thrall of an oligarch-clan system, which the Maiden Revolution of Dignity that brought him to power sought to overthrow, Poroshenko is understandably running on his patriotic defense of Ukraine under the slogan "Army! Language! Faith!" There is no better way to polish his patriotic credentials than to act tough in the face of Russian aggression (although his mishandling of the declaration of martial law suggests he could bungle this opportunity).
Meanwhile, Vladimir Putin could also benefit from a show of great-power bravado. Although he is hardly in the same dire position as Poroshenko, his approval rating has collapsed by some twenty points since he decided to push through widely unpopular pension reform this past summer. Vigorously defending Russian territory, which Russians overwhelmingly consider Crimea to be, and standing defiant in the face of further Western sanctions will undoubtedly buoy his support, at least in the short run.
Beyond these domestic considerations, bigger geopolitical issues are in play. Kyiv has long been concerned with combating Ukraine fatigue in the West. In my meetings last month in Kyiv, senior Ukrainian officials insisted that, in fighting Russian aggression in the "heart of Europe," Ukraine was fighting Europe's battle and therefore deserving of more robust support, including stepped up military assistance and diplomatic backing, as well as crushing anti-Russian sanctions. They were disturbed by the growing chorus of voices in Europe calling for normalization of relations with Russia, which they were convinced could only come at Ukraine's expense. The Kerch incident has now refocused the West's attention on Ukraine for at least a moment, which Kyiv will want to extend for as long as possible.
For Putin, the incident has already derailed his meeting with Trump on the margins of the G-20 summit in Buenos Aires this weekend—should Trump not reverse his decision abruptly tweeted out while he was flying to the summit. Coming after the cancellation of the planned meeting in Paris earlier this month, this is a major setback for Putin's effort to stabilize relations with Washington. The damage could be limited if Trump's and Putin's teams meet and work from the agreed agenda absent the presidents. Whether the two presidents can agree on an early date for a summit remains to be seen.
How all these factors will play out—and what the consequences of the Kerch crisis will be for Russia's relations with Ukraine and the West—remains to be seen. But even now this incident should cause the West to reconsider its approach to the Ukraine crisis. Up to this point, the West has operated on the assumption that the dispute over Crimea, with the competing claims of sovereignty, would not prove ripe for resolution until long into the future and that efforts should therefore be focused on resolving the seemingly more tractable conflict in the Donbas. That was always an illusion. From the beginning, Moscow has implicitly linked the two issues—a settlement in the Donbas should come with Western recognition of Russian sovereignty over Crimea. Moreover, the Ukrainian issue—the question of Ukraine's geopolitical orientation—in Moscow's mind is part and parcel of the larger issue of European security architecture. It has sought to engage the West on that issue since the breakup of the Soviet Union without notable success. That failure lies at the heart of Putin's deepening disaffection with the United States, as he made clear in his infamous remarks at the Munich Security Conference in 2007.
The Kerch incident underscores the imperative of dealing with the Crimean issue head on. Even if the issue of Donbas were miraculously resolved, Crimea would remain a chronic source of tension with a high risk of dangerous incidents between Russia and Ukraine. Maintaining an open maritime route through the Kerch Strait between Ukrainian ports on the Black Sea and the Sea of Azov is critical to Ukraine's security and economic development. Kyiv will be repeatedly tempted to test Russian resolve to defend its interests in waters that Kyiv believes are rightly its own in and around Crimea, as well as to remind the West that Crimea is sovereign Ukrainian territory unlawfully seized by Moscow. Russia will also be just as ardent in defending its claim to Crimea against Ukrainian intrusion and Western objections.
To be sure, there is no easy solution to the Crimea dispute, but creative diplomacy has resolved no less vexing issues in the past, such as the status of Taiwan or Russia's right of access to Kaliningrad through Lithuanian territory. But what should be clear is that there will be no resolution of the Donbas conflict without progress on Crimea, and both of those matters ultimately need to be discussed in the context of Europe's future security architecture. In short, the West needs to engage Russian on all three issues simultaneously. That does not mean that all three must be resolved simultaneously. It does mean that none can be resolved in isolation from the others.
Thomas Graham, managing director at Kissinger Associates, was the senior director for Russia on the National Security Council staff 2004-2007.
Image: Three Ukrainian naval ships (L), which were recently seized by Russia's FSB security service, are seen anchored in a port in Kerch, Crimea November 28, 2018. REUTERS/Alla Dmitrieva.


Luncheon was finished, and we had all wrapped up warm as we were feeling the chill after staying still for a while.
We continued onwards and upwards towards the snowy ridge. When we finally got there, I was feeling pretty apprehensive. H went first, we held back to get a couple of pics.
I decided to pluck up my courage and go across next. I was worried I would chicken out if I left it too long…Not going to lie, it was a bit scary going across. The worst part was the hole in the snow half way along. I could see the side of the mountain and the path… Which was 3 foot below me.
This stick is Mr A's. It was set for his giant 6″3 height, and went that far into the snow.
Queasy? You bet. I was very glad to get across and make my way to the non snowy part of the path and rest for a few mins. Phew. This must be the most extreme outdoorsy thing I have ever done. I will tell you now, I was wrong.
The path continued along and up Ben, with intermittent snowy sections. Looking back across the valley was amazing. We were so high up now! I remember thinking that it would look even more amazing from the peak.
Now, as the title of this post suggests, nature did in fact, make a call…While up a mountain there are very limited options to deal with a situation like this…so…that happened.
By this point I had had enough. I was tired, uncomfortable in so many layers, and my body was screaming in protest at the notion of moving. Then came the million dollar suggestion that we go up the sheer snowy side of the mountain…um, what?! yepp. So that happened.
The snow was slippy, icy, and scary as hell. Sliding down a mountain is not something I had ever planned to do in my life, and with every single step I struggled to stay balanced and stop myself from sliding down. I was exhausted, and collapsed half way up. Full on face plant in the snow, with ugly crying. Again. Andrew, bless him, was amazing. He stayed with me the whole time and got me to get up and carry on. I love this guy. When I finally made it to the rocky part where the others were already waiting, I sat and had a sob. And sobbed some more when I realised we would have to get back down.


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AfricaHealthNews NowWorld
Home›Africa›Porcine Gelatine: Muslims raise concern over halal status of COVID-19 vaccine
Porcine Gelatine: Muslims raise concern over halal status of COVID-19 vaccine
London, Dec. 21, 2020 (AltAfrica)-In October, Indonesian diplomats and Muslim clerics stepped off a plane in China. While the diplomats were there to finalize deals to ensure millions of doses reached Indonesian citizens, the clerics had a much different concern: Whether the COVID-19 vaccine was permissible for use under Islamic law.
Muslims raise concern over halal status of COVID-19 vaccine over the presence of Pork-derived gelatine (Reuters)
As companies race to develop a COVID-19 vaccine and countries scramble to secure doses, questions about the use of pork products — banned by some religious groups — has raised concerns about the possibility of disrupted immunization campaigns.
Pork-derived gelatin has been widely used as a stabilizer to ensure vaccines remain safe and effective during storage and transport. Some companies have worked for years to develop pork-free vaccines: Swiss pharmaceutical company Novartis has produced a pork-free meningitis vaccine, while Saudi- and Malaysia-based AJ Pharma is currently working on one of their own.
READ ALSO: RWANDA MAKES COVID-19 TEST COMPULSORY BEFORE HOTELS BOOKINGS
But demand, existing supply chains, cost and the shorter shelf life of vaccines not containing porcine gelatine means the ingredient is likely to continue to be used in a majority of vaccines for years, said Dr. Salman Waqar, general secretary of the British Islamic Medical Association.
Margaret Keenan, 90, is applauded by staff as she returns to her ward after becoming first patient in Britain to receive the Pfizer/BioNtech COVID-19 vaccine at University Hospital, at the start of the largest ever immunisation programme in the British history, in Coventry, Britain December 8, 2020. Britain is the first country in the world to start vaccinating people with the Pfizer/BioNTech vaccine. (Image by PA/ES)
Spokespeople for Pfizer, Moderna and AstraZeneca have said that pork products are not part of their COVID-19 vaccines. But limited supply and preexisting deals worth millions of dollars with other companies means that some countries with large Muslim populations, such as Indonesia, will receive vaccines that have not yet been certified to be gelatin-free.
This presents a dilemma for religious communities, including Orthodox Jews and Muslims, where the consumption of pork products is deemed religiously unclean, and how the ban is applied to medicine, he said.
"There's a difference of opinion amongst Islamic scholars as to whether you take something like pork gelatin and make it undergo a rigorous chemical transformation," Waqar said. "Is that still considered to be religiously impure for you to take?"
The majority consensus from past debates over pork gelatin use in vaccines is that it is permissible under Islamic law, as "greater harm" would occur if the vaccines weren't used, said Dr. Harunor Rashid, an associate professor at the University of Sydney.
There's a similar assessment by a broad consensus of religious leaders in the Orthodox Jewish community as well.
"According to the Jewish law, the prohibition on eating pork or using pork is only forbidden when it's a natural way of eating it," said Rabbi David Stav, chairman of Tzohar, a rabbinical organization in Israel.
If "it's injected into the body, not (eaten) through the mouth," then there is "no prohibition and no problem, especially when we are concerned about sicknesses," he said.
Yet there have been dissenting opinions on the issue — some with serious health consequences
for Indonesia, which has the world's largest Muslim population, some 225 million.
In 2018, the Indonesian Ulema Council, the Muslim clerical body that issues certifications that a product is halal, or permissible under Islamic law, decreed that the measles and rubella vaccines were "haram," or unlawful, because of the gelatin. Religious and community leaders began to urge parents to not allow their children to be vaccinated.
"Measles cases subsequently spiked, giving Indonesia the third-highest rate of measles in the world," said Rachel Howard, director of the health care market research group Research Partnership.
A decree was later issued by the Muslim clerical body saying it was permissible to receive the vaccine, but cultural taboos still led to continued low vaccination rates, Howard said.
"Our studies have found that some Muslims in Indonesia feel uncomfortable with accepting vaccinations containing these ingredients," even when the Muslim authority issues guidelines saying they are permitted, she said.
Governments have taken steps to address the issue. In Malaysia, where the halal status of vaccines has been identified as the biggest issue among Muslim parents, stricter laws have been enacted so that parents must vaccinate their children or face fines and jail time.
In Pakistan, where there has been waning vaccine confidence for religious and political reasons, parents have been jailed for refusing to vaccinate their children against polio.
But with rising vaccine hesitancy and misinformation spreading around the globe, including in religious communities, Rashid said community engagement is "absolutely necessary."
"It could be disastrous," if there is not strong community engagement from governments and health care workers, he said.
In Indonesia, the government has already said it will include the Muslim clerical body in the COVID-19 vaccine procurement and certification process.
"Public communication regarding the halal status, price, quality and distribution must be well-prepared," Indonesian President Joko Widodo said in October.
While they were in China in the fall, the Indonesian clerics inspected China's Sinovac Biotech facilities, and clinical trials involving some 1,620 volunteers are also underway in Indonesia for the company's vaccine. The government has announced several COVID-19 vaccine procurement deals with the company totaling millions of doses.
Sinovac Biotech, as well as Chinese companies Sinopharm and CanSino Biologics — which all have COVID-19 vaccines in late-stage clinical trials and deals selling millions of doses around the world — did not respond to Associated Press requests for ingredient information.
In China, none of the COVID-19 vaccines has been granted final market approval, but more than 1 million health care workers and others who have been deemed at high risk of infection have received vaccines under emergency use permission. The companies have yet to disclose how effective the vaccines are or possible side effects.
Pakistan is late-stage clinical trials of the CanSino Biologics vaccine. Bangladesh previously had an agreement with Sinovac Biotech to conduct clinical trials in the country, but the trials have been delayed due to a funding dispute. Both countries have some of the largest Muslim populations in the world.
While health care workers on the ground in Indonesia are still largely engaged in efforts to contain the virus as numbers continue to surge, Waqar said government efforts to reassure Indonesians will be key to a successful immunization campaign as COVID-19 vaccines are approved for use.
But, he said, companies producing the vaccines must also be part of such community outreach.
"The more they are transparent, the more they are open and honest about their product, the more likely it is that there are communities that have confidence in the product and will be able to have informed discussions about what it is they want to do," he said.
"Because, ultimately, it is the choice of individuals." AP
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text:
TR 1999/15
may be releasedFOI number: I 1020656
Defintions
The number, subject heading, Class of person/arrangement, Date of effect and Ruling parts of this document are a 'public ruling' for the purposes of Part IVAAA of the Taxation Administration Act 1953 and are legally binding on the Commissioner. Taxation Rulings TR 92/1 and TR 97/16 together explain when a Ruling is a public ruling and how it is binding on the Commissioner.
1. This Ruling contains the Commissioner's opinion on certain motor vehicle lease novation arrangements. These arrangements involve the novation (or transfer) by an employee to an employer of some of the obligations under a motor vehicle lease. These arrangements are known as partial novations. The Ruling describes the consequences of such arrangements for both non luxury cars and luxury cars. The Ruling does not deal with any Capital Gains Tax consequences of these arrangements.
3. The class of persons this Ruling applies to is employers and employees who are parties to motor vehicle finance and/or operating lease novation arrangements.
4. A novation is a tripartite arrangement whereby the three parties (lessor, lessee and employer) agree to change or transfer all or some of the rights and obligations in a motor vehicle lease entered into between two of the parties.
Partial novation is an industry expression that describes a novation (transfer) of a finance lease payment obligation. A partial novation may also occur where there exists both a finance lease and a sub-lease. Under a partial novation the obligation to make lease payments is novated to an employer. Instead of the lessee making payments to the lessor, the employer makes these payments. Commonly, partial novation arrangements include an ancillary transaction whereby the lessee also subleases the vehicle to the employer.
Full novation is a novation (transfer) of all the rights and obligations in a finance lease or in a finance lease and sub-lease arrangement. As a result of a full novation the employer takes over all the rights and responsibilities contained in the original lease.
A variation on the full novation is an arrangement known as a split full novation whereby the lessee's rights and obligations under a finance lease (except the residual payment obligation) are transferred to an employer.
5. Draft Taxation Determination TD 98/D6 was withdrawn on the release of this ruling as a draft Taxation Ruling on 5 May 1999.
6. In full novations the lease obligations are transferred to the employer. Accordingly, there are no income tax consequences for the employee during the period when the employer makes the lease payments.
7. The employer in the novated lease is entitled to a deduction for lease expenses where the vehicle is used in the business or provided to an employee as part of a salary packaging arrangement. In the case of a luxury car the deduction is based on an accrual amount and depreciation subject to the luxury car depreciation limit.
8. A car benefit arises under the Fringe Benefits Tax Assessment Act 1986 (FBTAA) where the employer is lessee of a car that is provided for the private use of the employee or associate of the employee.
9. There has been some considerable doubt about the tax consequences of partial novations. Where the partial novation occurs in the context of the creation of a sub-lease, the sub-lessor is in receipt of a benefit under that sub-lease and is assessable on the value of that benefit. Where no sub-lease exists no income benefit is derived by the employee.
Partial novations entered into on or before 17 June 1998
12. In view of the commonly understood purpose and intention of these partial lease payment novation arrangements, the Commissioner accepts partial novation arrangements entered into on or before 17 June 1998 as full novations. Any existing sub-lease in these arrangements has no function for tax purposes.
22. Division 16D has no application to the types of arrangements covered by this Ruling.
23. This Ruling applies to luxury car and non-luxury car partial novation arrangements entered into up to and after 17 June 1998 (the date on which our view of these arrangements was first expressed in Draft Taxation Determination TD 98/D6).
24. This Ruling does not apply to taxpayers to the extent that it conflicts with the terms of a settlement of a dispute agreed to or to any private rulings on arrangements covered by this Ruling that were entered into up to the date of issue of this Ruling (see paragraphs 21 and 22 of Taxation Ruling TR 92/20).
30. A partial novation is where the employee takes out a finance lease for a car, then enters into a novation of the lease payment obligations which are transferred to the employer. The employee then sub-leases the car to the employer who becomes a sub-lessee. A partial novation may also occur where there is no sub-lease and the novation takes the form of a transfer of the lease payment obligations of the finance lease to the employer. In both cases no direct payments are received by the employee; however, the employer agrees to accept a novation of the finance lease payments obligations. In the sub-lease version, the novation of the lease payments is in lieu of the obligation to pay rent under the sub-lease. The sub-lessee agrees to pay the lease payments direct to the finance provider. The employer is able, by virtue of the rights it acquires as sub-lessee, to make the car available for the private use of the employee. Because the car is provided by the employer it is accepted that a car benefit arises. The arrangements are specified to continue only for so long as the employee is employed or the last lease payment is made. On the cessation of employment, for example, the arrangements are unwound and both the sub-lease and the novation are terminated. In that circumstance the (now ex) employee therefore resumes the role as lessee and the employer has no further responsibility for the vehicle.
33. The creation of the sub-lease calls for an analysis of the nature of the benefit enjoyed by the sub-lessor (the employee). In some arrangements, the sub-lessor foregoes the right to receive payments under the sub-lease in exchange for the employer's agreement to accept the transfer by novation of the lease payment obligations contained in the lease between the financier and the employee. In other documented arrangements no mention is made of sub-lease income. As the sub-lease is designed to mirror the rights and obligations inherent in the finance lease, it is accepted that the sub-lessor has, in fact, foregone lease income equal to the value of the lease payments made by the employer direct to the financier.
34. The partial novation can be compared to a split full novation. Split full novations occur where the finance lease rights and obligations are split between the employer and employee without a sub-lease. The right to use or possession of the motor vehicle and other obligations, for example the lease payment obligations, are novated to the employer. However, the residual value obligation remains with the employee. Thus the expression 'split full novation' came about because what took place was a novation of essentially the full lease notwithstanding that the residual payment obligation remained with the employee.
48. Division 16D is designed to prevent transfers of tax benefits in arrangements involving exempt public bodies. Division 16D has no application to the types of arrangements covered by this Ruling.
49. Below is a detailed contents list for this Ruling:
Partial novations 9
Previously released as TR 1999/D5
and TR 98/D6
You are free to copy, adapt, modify, transmit and distribute material on this website as you wish (but not in any way that suggests the ATO or the Commonwealth endorses you or any of your services or products).


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UK legal professions publish two guides on lawyers' practice rights after the end of the transition period
The UK legal professions published two guides on lawyers' practice rights after the end of the transition period. The guides cover practice rights of EU/EFTA lawyers in the UK, and of UK lawyers in the EEA and Switzerland.
The UK left the EU on 31 January 2020. The guides, therefore, cover:
the provision of legal services during the transition period which started at that date and will end on 31 December 2020;
the provision of legal services after the end of the transition period.
As the negotiations on the EU-UK future partnership agreement (FPA) are still underway, this paper does not aim to provide any insight to the future provision of legal services in the UK. As a comparison, the paper outlines the current position of third country lawyers in the UK and current rules applicable to third country lawyers in the EU (with relevant national laws aiming at regulating the situation of UK nationals and professionals therein).
The UK legal professions involved in producing these guides are members of the UK delegation to the Council of Bars and Law Societies of Europe (CCBE). These are: the Bar Council of England and Wales (BCEW), the Law Society of England and Wales (LSEW), the Faculty of Advocates (FoA, Scotland), the Law Society of Scotland (LSS), the Bar Council of Northern Ireland (BCNI) and the Law Society of Northern Ireland (LSNI).
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Home Analysis Arsenal vs Spurs: Who are North London's Best Team?
Arsenal vs Spurs: Who are North London's Best Team?
Chris Darwen
Even though Spurs suffered a shock defeat at the hand of Aston Villa last Sunday, they are still many people's firm favourites to beat Arsenal this weekend. And yes, Arsenal also suffered a defeat and were beaten 3-1 away to Liverpool. However, Liverpool is a much stronger side than Aston Villa.
So, maybe the forecasters of doom for the Gunners when they play Tottenham in the forthcoming game at the Emirates could be overly pessimistic?
Arsenal's performance at Anfield has come under heavy criticism. Ian Wright, for one, has said that he was mystified by the diamond formation that Unai Emery fielded. It allowed Liverpool far too much freedom in midfield.
The attempted stifling of the central midfield meant there was space on the flanks. The Reds took full advantage of that oversight. Liverpool's Trent Alexander-Arnold and Andy Robertson exploited the room that was left, and it led to all three Reds' goals.
By the time that Emery reverted the formation with Alexander Lacazette, Nicolas Pepe and Pierre-Emerick Aubameyang as his front three, the damage had already been done.
With the unsuccessful trialling of the diamond pattern, Emery will probably not use it again with the current squad. Certainly not against Spurs on Sunday. Their attacking full-backs Danny Rose and Kyle Walker-Peters (if fit) would have a field day.
For all Tottenham's claims to be the next best team to challenge Man City and Liverpool for the title this season, they are way off the pace. Uncertainty about Eriksen's and Vertonghen's future and Pochettino's resultant reluctance to play them are only part of their problems.
As Paul Merson said in a recent interview, Mauricio Pochettino has been reported as saying that he has never seen such unrest at Tottenham. Even Pochettino himself is unhappy. His comments a few weeks ago about changing his job title because he has no authority on transfer matters says it all.
Tottenham Hotspur is a team in trouble. Furthermore, being five points behind the league leaders after only three matches surely rule them out of any title challenge.
It all means that Arsenal has a great chance this Sunday of putting Spurs back in their rightful place. Yes, they are a good team and have some excellent players. But are they better than Arsenal? Certainly not on both teams' showings thus far.
As Arsenal legend Nigel Winterburn said when interviewed earlier this month, this season is the time for Unai Emery to deliver. Last season he was given license to settle in. Now he has to prove himself. He has got off to a good start -third in the league table and just one point behind City and three behind current leaders, Liverpool.
It's all to play for and what better time to prove it by getting one over on their North London rivals when they entertain them at the Emirates on Sunday.
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Professional nursing is one of the most rewarding, challenging and diverse occupations available today. Practiced in a variety of settings, nursing is an applied discipline devoted to promoting, maintaining, and restoring health for people of every age and walk of life.
Creighton University College of Nursing is the first in the state to offer the Doctor of Nursing Practice (DNP) degree, the highest level of preparation for clinical practice. The DNP is designed for nurses seeking a terminal degree in nursing practice and offers an alternative to research-focused doctoral programs.
With less than 100 schools offering the DNP degree, Creighton is among the universities setting the standard.
Classes for this program are available on the Creighton University College of Nursing – Mary Lanning Campus.


text:
The King James Bible and the Restoration
Kent P. Jackson, Editor
What the Bible Means to Latter-day Saints
Robert L. Millet
The English Bible
A Very Short History
Kent P. Jackson
William Tyndale and the Language of At-one-ment
David Rolph Seely
The Coming Forth of the King James Bible
Lincoln H. Blumell and David M. Whitchurch
The Text of the New Testament
Lincoln H. Blumell
The Endings of Mark and Revelation
Thomas A. Wayment
Chapters, Verses, Punctuation, Spelling, and Italics
Kent P. Jackson, Frank F. Judd Jr., and David Rolph Seely
"Appointed to Be Read in Churches"
John S. Tanner
The King James Bible in the Days of Joseph Smith
The King James Bible and the Book of Mormon
Daniel L. Belnap
The King James Bible and the Doctrine and Covenants
Eric D. Huntsman
The King James Bible and the Joseph Smith Translation
Joseph Smith and the King James Bible
Grant Underwood
Modern English Bible Translations
Gaye Strathearn
The Latter-day Saint Edition of the King James Bible
Fred E. Woods
The King James translation of the Bible celebrated its four hundredth anniversary in 2011. This historic text, the product of many hands and many years, has had a greater impact on the world than any other book in the English language. It is still in print today, four centuries since it first came off the London presses. This is not a book solely about the history of the King James Bible and its contributions to the world in general. Its primary goal is to shed light on the intersection of the King James translation and Mormonism—hence the title, The King James Bible and the Restoration. In important ways, the King James Bible was one of the contributors to the founding of the Latter-day Saint faith, and it has continued to play a significant role in its history to the present time, even in lands where English is not the spoken language.


Beauty In Nature New Zealand Paradise — Dr. Martha A. Castro Noriega, MD WMA FACS "Livingstrong And Happy"
Agriculture is the economic mainstay, but manufacturing and tourism are important. Visitors are drawn to the glacier-carved mountains, lakes, beaches and thermal springs. Because of the islands' geographical isolation, much of the flora and fauna is unique to the country.
I know I muse about the night sky or science fiction or horror fiction, but I love this post.


In order to become a physical therapy assistant, an individual must graduate from a physical therapy assistant educational program with an associate degree. There are approximately 300 programs, and a program typically takes two years to complete.... The highest paid in the physical therapist profession work in the metropolitan areas of Las Vegas, Laredo, Texas, and Brownsville, Texas. The Lake Havasu City, Arizona area also pays well, as does the city of Vallejo, California.
Schools for Occupational Therapists in Texas. There are many schools in Texas that offer academic courses for occupational therapists to make the aspirants ready for caring and assisting the patients going through some mental, physical, emotional or any other kind of problem, in … how to create server in rust CAPTE accredits entry-level programs in the U.S. for the physical therapist at the master's and doctoral degree levels and programs for the physical therapist assistant at the associate degree level. There are currently more than 400 PT and PTA programs accredited by CAPTE.


Jhen & Company: Dear "Amy"
I'm slightly at a loss for words, yet I find my brained filled with all kinds I'd like to say to you. But I'm stunned.
I've got nothing witty. Nothing cursed.
But I guess you have found this space of mine on the internet as a place to take images, create fake lives using my little girl, my husband and myself in order to communicate, for whatever reason, with young pregnant mothers. And I'm disturbed to my core.
I've reported you before when you claimed the same name, same images, same story. And facebook removed you. But you popped up again. And I have a feeling that you will continue to pop up! Over and OVER and OVER again.
But I refuse to be your victim.
I imagine you could be someone far away bored, and creating stories using many people's images. And you get a kick out of watching them vent, and rant, and rave against you. Like it's a thrill.
Or maybe, you were a young mom. One who lost her baby, so you've created an imagination to replace your reality. Maybe.
But worse, you could be a very bad guy with cruel intentions out to hurt people.
You have stolen some of the most precious images of my little girl and called her "Your Gracie". You have claimed the intimate images of me pregnant and plastered your name all over them. You label the handsome pictures of my husband and call him Darren. You have taken what is mine and created a false world to reach innocent people.
I am the one who gets to know that little girl.
I am the one who gets to hold her the way you claim you do.
I am the one who gets the chance to see her heart.
I am the one who gets to hear her soft voice say "I love you mommy".
I am the one who gets to touch the face of the man you claim to be your husband.
I am the one who gets to feel his arms wrapped around me.
I am the one who gets to hear that man say "I love you."
I am the one who gets to run her fingers through the hair you envy.
I am the one who lives the life of the ones in the pictures you use. I am the one who has the talent to capture MY FAMILY in such a way that has drawn you to it.
And although the images of the ones I love the most are being violated, reproduced, and re-purposed, the inner depth of who they are are intact, protected, and very much still in the GRACE of MY SAVIOR.
All of that you CANNOT steal from me.
I know you are out there. I know you have been out there. I know you will continue to try to be out there.
To my readers. Know that this is REAL. VERY REAL. And it could be happening to you. I was lucky, that although one of my readers is the one stealing the images, many of the other readers were the ones who caught the "fake" and presented me with the information. And this action is causing me to reevaluate this blog and my family's privacy.
Ok. That's just eerie! Oh man. I'm so glad that someone tracked this down for you. It surely makes me second guess what I share as well. Thanks for posting..
Wow Jhen! I can not believe that! I am so sorry... Now I am totally freaked out.
What the crap!? **Christian side coming out** you have to have a pretty pathetic life if you feel stealing the life of someone else's all the way down to every last detail will fulfill it.
Did you look into and report the 'Darren' profile as well? I don't know how people stumbled on this to let you know, but glad they did.
This is why G-man doesn't like or want his face or his life on the internet. Too many dumb crazies who might see and take it.
This is really really icky. I wonder how often things like this happen. I'm so very sorry this has happened to you.
Watermark your photos! It can be annoying and isn't the timeliest thing, but it prevents things like this.
Oh wow. This is so scary. Goosebumps. Thanks for the heads up on the crazies out there!
I'm a quiet reader, so I don't comment often. I am so terribly sorry this has happened to you. Thanks for making us all aware that this happens. Bloggers should occasionally Google themselves. I'm praying for you and your family. I hope this is harmless, but just take necessary precautions for your family. I think I read something a while back on Kelly's Korner that she dealt with something similar. She started putting watermarks on her photos. Maybe you could do this as well? My cousin had this happen as well. She put her blog on private for a few months and then reopened it. I think it helped. Good luck!
Oh no. So sorry Jhen.
I am so sorry this has happened to you. I've unfortunately seen this happen to one too many bloggers lately. I just don't understand and will never understand what type of person would do something like this. I hope that this "Amy" stops what she is doing, blogging should be a safe haven to share your hopes and dreams with dear friends and not to be taken advantage of by sick individuals.
Oh this makes me so, so sick for you! Makes me sad that there are people out there like that. Makes me question the privacy of my blog as well!
Oh my gosh. Makes me sick. And I might have to make my blog private now. Yikes. I'm so sorry!
I can't believe this happened to you! It makes me worry that it could happen to anyone. I'm so sorry Jhen.
Oh my god!!! I can't believe people and I am so sorry that this happened to you!!! I am always paranoid about this kind of thing and worry about this stuff. Definitely making me question the privacy of my blog or what I put on it.
This is so scary! At one point I coded my blog so that no one could copy anything (images or text) from my blog. I might go back and do that again.
This is so horrible Jhen. I'm so sorry that she is doing this again! That is so messed up. But you are right, you have your sweet family, not her. You're the one that gets to be with them! I know wordpress has a feature that doesn't allow you to right click and save images on blogs. I'd hate to see less of you and your amazing work!
wow! that is creepy, not fair for you and your family. good thing you were informed and hopefully they will stop.
this is so sad to read but thank you for posting it!!! I wrote a blog myself about this because it's now encouraged me to change the way I blog. Good for you for plowing through and making the neccesary changes to protect your family.
Oh my gosh....all i can say is that people are so sick these days and really need to get a LIFE !! I am sorry that this happened to you!
This is crazy! It never even crossed my mind that someone would do something like this! This is definitely an eye opener for me! I'm glad you decided to keep blogging, because it's refreshing to have other young ladies sharing their faith through their corner of the internet. Though I usually don't comment, I enjoy your photos and posts. I know it would be hard to not be hurt and angry about this, but be thankful that you have been blessed with a beautiful family and a life that others would love to have. So very sorry!
Wow. That's so awful. :( I recently experienced that, but just with one photo. Some woman posted it on her page on FB, and claimed my little girl was hers. So creepy, and so mind boggling. I really don't understand why someone would do that.


Our Flagship product assembled & tested. This device allows the user, among other things, to perform simple Inverse Geocaching, Multi-stage Geo-Guide, Wireless Twins (2 required), etc. Fully assembled & tested device is made up of (same components as the kit, but also includes the Pelican 1015 case): - LBE Pro PCB - Arduino Pro/Mini - SKM53 GPS - Parallel 1602 LCD - SD card Reader/Writer - NRF24L01 Wireless Transmitter/Receiver - N/O Button - On/Off Switch - IRF510 MOSFET - 3181 Opto-Coupler - 9 Volt Battery connector - Resistors - Header Pins - Pelican 1015 case You will also need an FT232RL USB to Serial Adapter to reprogram the Arduino Pro/Mini. Picture shows completed product in its Pelican 1015 case, and all individual components just for your information. No assembly required. As always, all our products are Open Source so the source code is available.


Hi er'body. I kept all the logistical point stuff in spoilers, so there's how all the technical whatnot will work. Please read the stuff outside of spoilers for any important information regarding this LC in particular. As always, any changes are in red.
You thought you were rid of me? Hah! Rhewin the Great and Powerful has returned to host yet another Lucidity Challenge (LC)***.
I'll just start by saying that I believe the LC is one of the most helpful tools for any aspiring lucid dreamer. If this is your first LC, you can expect to work for the challenges, but the reward is a lot bigger than just points. This is a chance to stretch your legs and really see what you can do in a dream.
In the spirit of competition, I'll be trying to balance the scoring as much as possible. As you can see below, I've kept the team system introduced in LC 42, but with a few twists. The teams will have equal points every week this time around, though due to the nature of some tasks, the difficulty may vary.
One relatively major change: this LC will consist of five (5) tasks rather than seven. A while back, tasks were only 3 days long. During this time, the LC only ran a few weeks. Extending the task time was a good idea, but the LC simply runs a long, long time. Participation tends to dry out near the end, so I hope to counter this with a shorter LC.
***OK, so I didn't win LC 42, but apparently first and second place were rather busy. I still had third place. Bronze is still good, right? Guys?
In the LC, you earn points for various things. There are points for becoming lucid, for trying new induction techniques, creativity... the list goes on. By far, however, the most number of points will come from doing challenges. You can do the challenges in either an LD or an ND, but you'll get extra bonuses for doing them in LDs.
The points are a way for your to measure your own progress. For some people, completing all of the tasks are the important part. For others, the competition from trying to outscore others is a huge motivation (myself included). Keep in mind, we use an honor system. We take your word for it whenever you claim points. If winning is important enough to you that you'd lie to get points, then you've missed the point of the LC.
Oh, and the honor of hosting LC 44. But who'd wanna host an LC, amiright?
You get 20, 30, 40, or 50 points for a lucid dream you would consider short, medium-length, long, or your longest ever (respectively) based on lucid dreams you have had in the past. If you are entering the LC without any past lucid dreams, note that you will get 75 points for your first lucid dream and that your length scale from your second lucid dream onward will be Short ≤ 1 minute < Medium-length ≤ 5 minutes < Long < Longest.
You get 10 points for losing and regaining lucidity either within a dream or via DEILDing, applicable only once per dream. Note that dreams connected by a period of no lucidity or by DEILD are considered one dream for the purpose of the LC to avoid giving ludicrous amounts of points to skilled DEILDers, and in this situation the overall length is the combined length of all lucid parts.
You get the listed amount of points for completing a generic subtask or a subtask designed for your team.
You get half of the listed amount of points for completing a subtask designed for teams other than yours.
You get 30 "Lucid" points, applicable once per task, for completing a subtask while lucid. Completing a second subtask for a task for which you already have this bonus will not award a second bonus.
You get 20 "Early" or "Combo" points, applicable once per task, for completing a subtask while it is part of the most recent task or for completing a subtask alongside a subtask from another task, respectively. You can earn only one of these two 20 point bonuses per task.
You get 40 points for completing your team's Team Dream, applicable once per task. Extra points beyond 40 may be offered in some situations.
You are free to calculate points to check your standing, but I am the official scorekeeper. If you feel I made an error in points, please PM me immediately and I will either explain or correct my scoring. We are here to have fun, so if you and I disagree on how many points you have earned, please do not make a scene in public. If you don't like how I award points, then win the LC so you can make up your own rules!
The idea of group work started as a behind-the-scenes activity during LC 37, was introduced into the LC proper in LC 39, was revised again for LCs 40, 41, and finally culminated in LC 42. The teams give you a chance to personalize your LC experience.
This is a new LC, so it's time for three new teams! Read each description and pick the one that interests you!
The Creation team is all about making something new. Does this mean you'll have to constantly summon up new DCs or items? Not at all. You could create a work of art, or design a new building that defies logic. Maybe you'll make a new form of life, or perhaps you'll pave a new way to visit the astral plane. If you don't see what you want, you make it.
The Investigation team is about learning what makes the dream tick. Sure, you might travel to new areas and explore new dreamscapes, but there's more. Why is that DC smacking a penguin on a piano? Where did they grow up? Do they know you're dreaming? How that rock suddenly turn into a jellyfish? You want to know why things happen in your dreams.
The Transformation team is all about change. Don't like the color of that DC's shirt? Change it. Wish it was sunny instead of raining? Change it. Want to be a giant, fire-breathing octopus with lazer tentacles? Change yourself. Rather than have to create something new, you'd rather change the world (or yourself) to fit your imagination.
You can choose your team based on your skills, based on what you want to improve, based on what you've never tried, based on the stated difficulty level, or whatever metric you desire; you get to decide your LC experience! Remember that you will get full credit for your team's subtasks and for generic subtasks but will only get half credit for subtasks belonging to other teams, and remember that you can't change your team later, although I may make exceptions to this if participants start disappearing and teams become weighed down by inactive members.
Each team will have its own special sub-task that I create. You're also allowed to create your own sub-task in addition to mine. The teams are responsible for choosing their sub-tasks within 48 hours after I post the main task. You can communicate however you wish, but if you miss the deadline your entire team will forfeit those points. Remember, you can always PM me if you don't see me online.
This LC will start after we have at least 10 participants.
When signing up, please quote the sign-up list from the most recent post containing it and add your entry to the bottom of the list. Your sign up should include your username your desired team, and your personal goal worth 100 points when completed. After the list, you should (but are not required to) say a bit about your motivations for lucid dreaming and your dream desires; if you want Team Dreams to fit your desires and motivations, then you need to be clear about what those are!
I do not require you to tell me the time your average LD takes. Just tell me if it is short, medium, or long.
One last note: I will read anything you want me to read. Feel free to post dreams here or in your DJ. However, I will have a lot to read. I will only read your DJ posts if you link them here. Also, please, please, please, give me a quick version that just shows what you did for the LC. I won't hold you to this, but your scores will be updated much faster if you could do this for me. I promise I will always go back to read the DJ post for creativity points.
When it comes to my luck with LC tasks, making things typically isn't a problem. I've even seen success with going places and talking to DCs. However, my control over the dream has been waning when it comes to changing things or changing myself, so I want to get that back even if my difficulty costs me victory in the LC.
So, I have barely been having any lucid dreams lately, as could be seen by the previous LC. I said back then that I needed to take a break, and I still do, but I can't resist. I think I might just have an ace up my sleeve that will allow me to get more lucids during this LC.
As for my personal goal, I have to become Iron Man, Thor and two of the following: Black Widow, Hawkeye, Wolverine, Spiderman. It doesn't have to be in the same dream. I've already been The Hulk a couple times, as well as Captain America. My goal is to become the Avengers from the movie, but Black Widow and Hawkeye are kind of boring to me, so I decided that I could also become Wolverine or Spiderman instead. If there's any issue with this personal goal, let me know.
Lately I managed to actually get lucid from LC hype, despite me not even being in the LC! I'm ready(I'm L@DY!) for some serious hype!
DDR Dream Mix is basically the name I give any Dance Dance Revolution games that appear in my dreams. I actually have more than just playing the game planned for this task in order to feel like I've really done it. I want to remember specific details and do other stuff. I feel like it will be a moderately challenging and fulfilling goal for me.
In the last LC I did improve on my frequency of realizing I'm dreaming, but the lucid dreams didn't last long enough for me to do even one of the tasks lucid. I'll have to make them last longer. Reaching the frozen planet has been my goal for a long time. I want to go there to investigate the town inside the mountain. There are also a lot of superhuman abilities and stuff I would like to study to find out how they work in my dreams. In the last LC I had several dream where I got to study how different abilities work and feel in dreams. Some DCs even helped me with this. I'll hopefully continue this studying and I think it fits the team.
I didn't know if I should sign up or not, since it is summer and vacation is around the corner, but now that it will only last for 5 weeks, it will be OK! And I couldn't resist a creation team.
Acceptable? I sure hope so. :> As for why I chose 'investigation', it's because, while the action-oriented tasks were quite easy, they felt a bit underwhelming. So I'm going with something different now.
Sign-ups are filling fast. Just a few more and we're good to go.
My LDs are short on average. In lucid dreaming, and dreaming in general, I'm looking for some adventure, and to try things which are otherwise out of reach in real life. In addition to my personal goal, I'd certainly like to try transforming something into something else.


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First-of-its-kind aortic root and valve surgery saves unique patient's heart
Neelan Doolabh, M.D. Director of Minimally Invasive Heart Valve Surgery Cardiovascular and Thoracic Surgery
Shelley Lynne Tucker lives in a rural area near Tyler with her Lab, Daisy. She said open-heart surgery to repair an aortic aneurysm and leaky heart valve just didn't seem like the best choice for her. Dr. Doolabh's mini-thoracotomy procedure saved her life and livelihood, she says.
More than 99% of aortic root aneurysm and valve replacements are performed through traditional open-heart surgery. It requires making a 10-12 inch vertical incision and splitting the breastbone to access the heart, replace the patient's own heart valve, and mend the aneurysm. The operation is typically followed by an ICU stay and eight to 12 weeks of recovery.
Though this is the standard of care at most medical centers, Shelley Lynne Tucker just kept thinking:
"There has got to be another way."
In fact, she was contemplating that very notion as she lay in a hospital bed in Tyler, Texas.
"I had the gown on and IV hooked up, getting ready for surgery," she said. "But I thought, with all the technology today, there had to be a better solution. So, I decided to put on my overalls and leave."
The 56-year-old, who is just shy of 5 feet tall, admits she has an independent streak.
Every day, Shelley climbs ladders, hauls lumber, and walks her 75-pound Labrador, Daisy, around her homestead in rural East Texas. It's just the two of them, so several months of recovery from open-heart surgery, during which she couldn't drive, lift, push, or pull, just wasn't feasible.
But left untreated, Shelley's aortic root aneurysm could rupture, causing internal bleeding, stroke, and even death. And her leaking valve could cause her heart to enlarge and possibly fail. So, she asked her cardiologist to help her find another option, one that suited her lifestyle, and he referred her to UT Southwestern.
Shelley Lynne Tucker listened to her heart and her independent spirit, both of which led her to Dr. Doolabh, she says.
When I first spoke to Shelley over a telehealth call and she described her unique circumstances, I thought she would be a good candidate for my team's "mini-valve" procedure, which requires only a 2-inch horizontal incision with no broken bones, and provides a much faster recovery time and fewer restrictions.
We have performed more than 3,000 minimally invasive valve replacement or repair procedures with excellent results.
But to treat Shelley's condition we had to adapt our mini-thoracotomy approach to perform an operation to treat both the aortic root aneurysm and the valve problem. We proposed doing this by using the world's first anatomically designed aortic root graft and tissue valve. This would mark the first time that implantation of this device had been attempted through a minimally invasive operation.
Because Shelley's aneurysm was repaired through a small, 2-inch incision on the side of her chest, and because we did not have to split her sternum, Shelley' recovery was remarkably quick: she spent one night in the ICU, went home within four days after surgery, and was able to resume her normal activities quickly with minimal restrictions.
Shelley believes her persistence paid off.
"We're talking my heart, so I needed to feel confident," Shelley said recently. "That's why I was so stubborn. But after talking to Dr. Doolabh and his team, I knew they could do it. When I was first referred to him, I had my list of questions ready. But he immediately asked about me, my situation, and he seemed really concerned. I knew right then he was my doctor."
"Before the (procedure) with Dr. Doolabh, I wasn't really living. I had to quit my exercise routine. Then COVID came along, and I had to quit my job. My life just came to a complete stop. Now I'm enjoying life again."
Shelley Lynne Tucker
Aortic root aneurysm risks and diagnosis
The aorta is the largest blood vessel in the body, and the aortic root is the section that is closest to the heart. Aneurysms, or bulges, can develop there for various reasons, such as:
Atherosclerosis (hardening of the arteries)
Physical trauma to the chest
Conditions that weaken the connective tissue, such as Marfan syndrome
Certain autoimmune conditions, such as Kawasaki disease
Early symptoms can include chest pain during exercise and shortness of breath. If the aneurysm ruptures, it becomes a life-threatening emergency. Nearly 10,000 people died of aortic aneurysms in 2018, according to the Centers for Disease Control and Prevention (CDC).
Often, these aneurysms, which are also called thoracic aortic aneurysms, or TAAs, are diagnosed incidentally, when a patient is getting another imaging test. This is what happened to Shelley.
"My primary care doctor in Tyler probably saved my life," she said. "When she listened to my heart, she heard a murmur and arranged for some tests. That got the ball rolling."
Prior to visiting us, Shelley was referred to a cardiologist, who performed a heart catheterization and a root injection, which puts dye in her aorta to see what was going on inside the heart. The doctors found an aortic root aneurysm measuring 5cm, alarming in size for its location.
"I'm a small woman. So five centimeters seemed like a pretty big aneurysm," Shelley said. "I was pretty nervous. But everyone at UT Southwestern was just so professional. They gave me a 24/7 phone number I could call with any questions, and everything went so smoothly."
In Shelley Lynne Tucker's case, Dr. Doolabh implanted an aortic root graft and tissue valve conduit using a 2-inch incision between the ribs. It's the first time that implantation of this device had been attempted through a minimally invasive operation.
About the procedure
Using our "mini" approach, we opened the chest through an approximately 2-inch horizontal incision in the cartilage between the ribs. Cartilage heals much faster than a fractured bone and requires fewer movement restrictions during recovery.
Though the work area is smaller in this approach, we have excellent visualization of the cardiac structures, allowing us to perform this complex operation.
Once inside the aortic root, we detached the coronary arteries from the tissue weakened by the aneurysm. The entire aortic root and diseased valve are removed.
For Shelley's procedure, we used the newest Edwards KONECT RESILIA aortic valve conduit, which contains the latest generation bovine valve as well as a gel weave graft to replicate the human aorta. The valve is designed for enhanced durability, exceeding what is currently available on the market, and should the valve ever need to be replaced it can be done without another surgery.
Once the device was in place and everything was repaired, the heart resumed beating and we checked Shelley's blood flow to ensure a perfect surgical result.
Faster, easier recovery
After a traditional open surgery, a patient spends several hours in the intensive care unit (ICU) on a breathing machine. But with our mini-valve approach, most patients are awakened in the operating room and no longer require a breathing machine. In Shelley's case, total operating time was 3 hours and 35 minutes – after which she was awake and talking to the entire team.
Traditional heart valve surgery requires cutting through the breastbone while Dr. Doolabh's approach avoids the breastbone altogether with a small incision between the ribs.
With our minimally invasive aortic root valve replacement procedure, patients can generally expect:
Less post-surgical pain due to a smaller incision, better chest wall stability, and no broken sternum
Less blood loss during surgery
Less downtime and restrictions – our patients can resume normal exercise, daily movement, driving, and work in a few weeks compared to several months with traditional open-heart surgery
Shelley was able to go home within four days after surgery. She was able to resume driving and began living independently almost immediately.
"Before the surgery, I wasn't really living," Shelley said. "I had to quit my exercise routine. Then COVID came along, and I had to quit my job. My life just came to a complete stop.
"Now I'm enjoying life again," she said. "I'm going back to work. And I'm able to walk Daisy, which is something we both needed."
Shelley's follow-up care will be minimal. She will not need to take blood thinners like she would have with a mechanical valve, and after our initial post-surgery check-in, she will only have annual visits with her cardiologist to ensure ongoing heart health.
By using a bovine tissue valve, the patient will not need medication that's required with a mechanical valve.
Second opinions matter
UT Southwestern is an academic medical center, which means we can take time to understand your personal needs and because of the broad spectrum of expertise here, we may be able to offer you an innovative approach to cardiac care that might not be available at other hospitals.
We often see patients for second opinions. Many of our heart surgery patients come to UT Southwestern when they're told they are out of options, and we ensure that they are offered access to the latest in surgical innovations.
In fact, the vast majority are candidates for our minimally invasive heart procedures.
"I knew that with all the amazing medical technology available today there had to be another way," Shelley said. "But I'm still in awe of what the team at UT Southwestern was able to do. The surgery gave me my life back again."
To request an appointment with Dr. Doolabh, call 214-74-VALVE. The phone is answered 24/7 by a registered nurse on his team who can assist you in setting up an appointment. We routinely offer visits within a week via telehealth to make it convenient for the patient.
The Magic of Minimally Invasive Aortic Valve Repair
Through a 2-inch incision, Dr. Neelan Doolabh routinely performs aortic valve replacement surgery. With the largest volumes for this surgical approach in the region, Dr. Doolabh has performed more than 3,000 minimally invasive valve repairs or replacements.
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A fourth chance at life: Susan's remarkable heart transplant story
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A softball player with heart: Kaitlynn's aortic valve replacement at age 19


text:
Idalia may refer to:

 Idalia (genus), genus of moths

Places
 Idalia, Queensland, suburb of Townsville, Queensland, Australia
 Idalia, Colorado, unincorporated community in Yuma County, Colorado, US
 Idalia, Missouri, unincorporated community in Stoddard County, Missouri, US
 Idalia Manor, historic home located at Mt. Pleasant, New Castle County, Delaware, US
 Idalia, a name of the ancient city of Idalium in Cyprus

People
 Sobriquet of Greek goddess Aphrodite
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City of Bellevue, WA City Council
City of Bellevue
Council Roundup: Lynne Robinson and Jared Nieuwenhuis win second terms as mayor and deputy mayor
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Published January 5 2022
Plus, utility fee changes to support affordable housing and Environmental Services Commission appointment
At the first meeting of 2022, the City Council unanimously elected Lynne Robinson to a new term as Bellevue's mayor. In a separate vote immediately following, Councilmember Jared Nieuwenhuis was also elected to a second consecutive term as deputy mayor. The vote was 4-3. Both will serve a two-year term expiring at the end of 2023. Councilmember Janice Zahn received three votes for the deputy mayor position.
First elected to the council in 2014, Robinson served as deputy mayor from Jan. 2018-Dec. 2019 and was then elected mayor by the council. Previously she held a seat on the Parks & Community Services Board for five years; chairing the body from 2011 to 2013. Robinson holds a doctorate in physical therapy, is a small business owner and has been a resident of Bellevue since 1997. She now joins a small club of five (now six) previously elected back-to-back, two-term mayors, since the city was incorporated in 1953.
Nieuwenhuis was elected to the council for a four-year term beginning in 2018. The council previously selected him as deputy mayor in 2020. Before joining the council, he also was a member of the Parks & Community Services Board. He manages marketing and communications for a Bellevue-based educational software company. An immigrant and son of Dutch-Canadian parents, he lives with his wife and daughter in the Lake Hills neighborhood.
Bellevue's mayor presides over council meetings and study sessions, helps set the meeting agenda, represents the city at public events, and acts as the primary spokesperson for the council.
Bellevue operates under a council-manager form of government, with the council hiring a city manager to oversee all city operations. The council is made up of seven members who are elected at large and serve staggered four-year terms. The councilmembers, in turn, select a mayor and deputy mayor from among themselves. More information on the council and Bellevue's form of government is on the city's Councilmembers web page.
Utility fee changes to support affordable housing
In other business, the council approved moving forward with waiving certain utility connection fees for shelters and affordable housing projects contingent on availability of non-utility funds to cover the amount of the waiver. This will support increasing the creation of affordable housing units by reducing the costs of development and ensure that Bellevue Utilities ratepayers would not be impacted. Waiving the fees will also allow the city to partner with A Regional Coalition for Housing (ARCH) to apply for the state's Connecting Housing to Infrastructure Program (CHIP) grant program to pay for the waived fees for affordable housing projects.
Councilmembers unanimously agreed to pursue changes to city codes to implement the connection fee waiver program and apply for the CHIP grant. More details and the presentation are available in the meeting materials.
Environmental Services Commission appointment
The council also voted unanimously to approve an appointment to the Environmental Services Commission, as recommended by Council Liaison for the commission, Councilmember Conrad Lee.
Andy Dupertuis will serve a partial term on the Environmental Services Commission expiring May 31, 2025.
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