text:
La vall de l'Orcia és una àmplia vall situada a la província de Siena, a la Toscana, al nord-est de monte Amiata i prop de la frontera amb Umbria.Travessada pel riu Orcia pel centre, que li dona el nom, es caracteritza pels paisatges agradables i variats centres de paisatge medieval, dos d'aquests molt coneguts, com Montalcino i Pienza.

La vall és també un important parc natural, artístic i cultural, i des del 2 de juliol del 2004 va ser reconegut per la UNESCO Patrimoni de la Humanitat, per l'excel·lent estat de conservació del paisatge, que ha tingut una important influència en molts artistes del Renaixement.

Els municipis que formen part de la vall d'Orcia són Castiglione d'Orcia, Montalcino, Pienza, Radicofani i Sant Quirico d'Orcia. Altres ciutats en són Monticchiello, Bagno Vignoni, Rocca d'Orcia, Campiglio d'Orcia i Bagni San Filippo. Moltes cases d'agroturisme, cases rurals i castells amb torres es dispersen en el tranquil paisatge.

Es caracteritza pel xiprer, aliments i begudes típiques, il pecorino di Pienza, el brunello di Montalcino i la nova denominació de DOQ Orcia.

Patrimoni de la Humanitat
 Criteri (iv): la vall d'Orcia és un reflex excepcional de la manera en què el paisatge va ser reescrit en els temps renaixentistes, que reflecteix els ideals del bon govern, i per crear unes imatges atractives estèticament.

 Criteri (vi): el paisatge de la vall d'Orcia va ser celebrat pels pintors de l'escola de Siena, que van florir durant el Renaixement. Imatges de la vall d'Orcia, i representacions de paisatges, particularment en què les persones estan representades vivint en harmonia amb la natura, s'han convertit en icones del Renaixement i han influït profundament en el desenvolupament del pensament paisatgístic.

Patrimoni de la Humanitat a Itàlia


text:
MA Governor: Many COVID-19 Clusters Stem from Religious Services
BOSTON (AP) — Massachusetts Gov. Charlie Baker is urging those attending services at houses of worship to adhere to COVID-19 precautions, like wearing masks and practicing social distancing, particularly for indoor services.
Hundreds of motorists line up at the Whale's Tooth parking lot in New Bedford, Massachusetts, to be tested for COVID-19. (Peter Pereira/The Standard-Times via AP)
The state is still seeing too many COVID-19 clusters that can be traced back to houses of worship, the Republican said at a Tuesday (Dec. 1) press conference. Since the start of the pandemic, houses of workshop have experienced a total of 36 clusters, Baker said.
"We know that houses of worship have always served as a place of refuge especially in difficult times like this," Baker said at a press conference. "But as with all gatherings, protocols have been put in place to ensure that services and other functions that happen in houses of worship happen as safely as possible."
Baker said many of the state's faith leaders have stepped up by moving services online or holding them outside if possible.
"It's critically important that if you do attend an in-person service please do wear a mask," he said. "Keep your distance."
Bakers comments come after the Supreme Court last week barred New York from enforcing certain limits on attendance at churches and synagogues in areas designated as hard hit by the virus. Baker said the issue with the New York case was the decision to have one standard for formal gatherings generally and a separate standard for religious institutions. Massachusetts doesn't run afoul of the court ruling because the state for the most part is applying the same rules about distancing and capacity to all gathering places, Baker said.
coronavirusMassachusetts
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redpajama_set_name: RedPajamaCommonCrawl


Jaji Nana Asmau | Your Light, of the Age.
The author of this text was Umm Abd'l-Qaadir, Asma', the daughter of Shehu Uthman ibn Fuduye' Muhammad ibn Uthman ibn Saalih ibn Harun ibn Muhammad Ghurtu. Her mother was Maymuna, whose nickname was Muna, the daughter of the learned Muhammad Haaj ibn Ibrahim ibn Maani ibn Muhammad ibn Haaju bint Latti. The mother of this Maymuna was Inna Kabbu, the blood sister of Muhammad Fuduye'. The husband of Asma' bint Shehu Uthman was the learned Wazir and Envoy Uthman Gidadu ibn Muhammad Laima.
She had four boys: Waziri Abd'l- Qaadir; Waziri Ahmad, Uthman and Muhammad Laima. Nana Asma' was a polyglot haven mastered her mother tongue Fulfulde`, Hausa, Arabic and Tedmeket. Waziri al- Junaydu ibn Muhammad al-Bukhari said about his great-grandmother in his `Urf ar- Rayhaan: "She, may Allah be pleased with her, was a righteous sage, ascetic, erudite, fearfully aware and a giver of sound admonition.


text:
US8858535B2 - Catheter - Google Patents
Catheter Download PDF
retention member
Ahmad Riaz
2008-06-12 Priority to IES20080485 priority Critical
2008-06-12 Priority to IES2008/0485 priority
2009-06-12 Application filed by Ahmad Riaz filed Critical Ahmad Riaz
2009-06-12 Priority to PCT/EP2009/004229 priority patent/WO2010142310A1/en
A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
A61M25/00—Catheters; Hollow probes
A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
A61M25/02—Holding devices, e.g. on the body
A61M25/04—Holding devices, e.g. on the body in the body, e.g. expansible
A61M25/10—Balloon catheters
A61M25/1002—Balloon catheters characterised by balloon shape
A61M2025/1043—Balloon catheters with special features or adapted for special applications
A61M2025/1065—Balloon catheters with special features or adapted for special applications having a balloon which is inversely attached to the shaft at the distal or proximal end
A61M2025/1093—Balloon catheters with special features or adapted for special applications having particular tip characteristics
A61M27/00—Drainage appliances for wounds or the like, i.e. wound drains, implanted drains
The present invention is concerned with a catheter which includes an inflatable balloon operable to retain the catheter in position during use, and which is located and configured to both reduce discomfort during use by preventing contact between the end of the catheter and the urinary tract/bladder wall, and reduce the force required to remove the catheter by reducing cuffing of the collapsed balloon.
This invention relates to a catheter, in particular, an indwelling catheter, which finds utility in a number of catheterisation practices, including urinary catheterisation.
Catheters find particular utility in the medical field where they are used as an instrument for accessing a body cavity, duct, or vessel, to allow drainage or injection of fluids, or access by surgical instruments.
In urinary catheterisation, for example, the distal tip of the catheter is inserted into the urethra of a patient and a balloon is inflated to retain the catheter. Once inserted, the distal tip of the catheter comes into physical contact with the walls of the urethra and/or bladder. During prolonged periods of catheterisation, this contact can lead to bladder cystitis and spasms.
Most conventional urinary catheters use a balloon located around the exterior of the catheter, and stepped back from the distal tip of the catheter, which is inflated once the catheter is in position in order to retain the catheter in place. When it is time to remove the catheter the balloon must be deflated to permit retraction of the catheter. However, all solid materials have a property known as hysteresis. This is a phenomenon where a material is stretched and does not then return to its original state/length. The effect of hysteresis is proportional to the time and degree of stretching. The balloons used on urinary catheters traditionally were made from latex rubber but since it emerged that there was high incidence of latex allergies, silicone balloons were designed. Compared to latex, silicone experiences a higher degree of hysteresis. When urinary catheter balloons are deflated prior to removal, the membrane that forms the balloon folds into a cuff or ridge around the exterior of the body of the catheter. This is a major cause of concern in silicone catheters which have a higher degree of hysteresis, hence larger cuffs. Although the silicone balloons have a higher degree of cuffing/ridging, it should be noted that latex balloons also form the same cuffs but to a lesser extent. The presence of the cuffed balloon results in an increase in both the effective diameter of the catheter, and the friction generated between the cuffed balloon and, for example, the wall of the urinary tract.
Many research articles have addressed the issues and problems related with cuffing. A number of countries including England and Australia have issued safety notices to warn health workers of probable harm/injury that may be caused due to cuffing. A study in Bristol showed that retention forces due to cuffing of urinary catheter were up to 3N, when removing the catheter, due to the friction generated by the cuffed balloon against the inner wall of the urinary tract. All of the studies identified higher incidence of complications in suprapubic catheters, this being due the fact that supropubic tracts are fibrotic and more resistant to stretching.
Another problem experienced with urinary catheter is that they can be blocked due to obstruction by clots, encrustation, prostate chips or lubricating jelly. In current practice blocked catheters are either irrigated with fluid or changed, which exposes patients to higher chances of infection. In intensive care setting if catheterised patients become anuric (don't produce urine), un-necessary catheter changes are done to out rule possible blocked catheter. Further still in patients with prostate or urethral surgery catheter has to remain in situ for a period of at least two weeks, changing the catheter in this period can jeopardise the surgery. However once a catheter does become blocked it is very difficult to unblock.
Removal of the catheter involves deflating the balloon, the deflated balloon usually forming a wrinkled collar structure, also referred to as a "cuff" or "cuffing" around the, normally smooth, outer surface of the catheter. This enlarged and irregular structure impedes retraction of the catheter, and causes discomfort and pain to the patient. Moreover, damage can be caused to the urethral lumen, which increases the risk of acquiring infection.
Indwelling catheters are subject to blockage by, for example, blood clots, debris, and/or crystallisation, requiring irrigation and replacement. This is a time and resource consuming process, which subjects the patient to unnecessary pain, and the stress and anxiety associated therewith. Moreover, the repeated replacement of catheters also greatly increases the risk of infection.
It is therefore an object of the present invention to provide a catheter, which reduces the risk of irritation to the patient, and decreases the discomfort experienced during catheterisation.
According to the present invention there is provided a catheter comprising a tubular body having a distal end and a proximal end; a retention member displaceable between expanded and contracted states; wherein at least a portion of the retention member, when in the expanded state, projects beyond the distal end of the body.
Preferably, at least a portion of the retention member, when in the expanded state, forms a shroud around and partially beyond the distal end.
Preferably, the retention member, when in the expanded state, prevents contact, in use, between the distal end of the body and a passage into which the catheter is inserted.
Preferably, at least a portion of the retention member, when retracted from the expanded to the collapsed state, is located or can be displaced beyond the distal end.
Preferably, the retention member comprises a resiliently deformable element mounted about an exterior of the body at the distal end.
Preferably, the retention member comprises an inflatable balloon.
Preferably, the retention member, when in the expanded state, is substantially toroidal and extends longitudinally beyond the distal end.
Preferably, the retention member, when in the expanded state, permits fluid flow through the distal end of the body.
Preferably, the retention member, when in the expanded state, is shaped to channel fluid into the distal end of the body
Preferably, the catheter comprises a probe operable to remove or reduce blockages about or beyond the distal end of the body.
Preferably, the probe comprises a head located beyond, and displaceable towards and away from, the distal end of the body.
Preferably, the head and the distal end have a complimentary fit in order to occlude the distal end to fluid flow when the head is seated directly against the distal end.
Preferably, the probe comprises an actuator on which the head is mounted, the actuator extending into the body of the catheter and being operable to effect displacement of the head towards and away from the distal end.
Preferably, the actuator comprises a hollow shaft having a bore which is in fluid communication with a conduit which extends through and exits from the head.
Preferably, the probe comprises a plug mounted to the actuator at an end opposite the head, the plug being displaceable into engagement with the proximal end of the body in order to occlude the proximal end to fluid flow.
Preferably, the catheter comprises at least first and second channels about the body, each of the first and second channels being adapted to allow the flow of fluid therethrough.
Preferably, the retention member is in fluid communication with the first channel.
Preferably, the proximal and distal ends of the body are open.
Preferably, the first and/or second channel is formed integrally with a wall of the catheter.
As used herein, the term "user" is intended to mean a person who will undertake the operation of the device during routine use. Usually, this will be a medical professional, where routine use includes insertion of the catheter into the body of a patient. When in use, the invention is oriented so as to have a proximal end and a distal end, each relative to the user.
As used herein, the term "patient" is intended to mean a person on, or in, whom the device will be used during routine operation.
Embodiments of the invention will now be described by way of example, and in reference to the accompanying drawings, in which;
FIG. 1 illustrates a perspective view of a first embodiment of a catheter according to the present invention;
FIG. 2 illustrates an alternative perspective view of the catheter illustrated in FIG. 1;
FIG. 3 illustrates a sectioned view of the catheter as illustrated in FIG. 2, revealing the internals of the main body of the catheter;
FIG. 4 illustrates an enlarged view of a distal end of the catheter illustrated in FIGS. 1 to 3;
FIG. 5 illustrates a sectioned view of the distal end illustrated in FIG. 4;
FIG. 6 illustrates a sectioned view of a proximal end of the catheter;
FIG. 7 illustrates an enlarged view of a distal end of the catheter of FIGS. 1 to 6, with a balloon forming part of the catheter in an inflated state; and
FIG. 8 illustrates a schematic view of a catheter according to a second embodiment of the present invention.
Referring now to FIGS. 1 to 7 of the accompanying drawings there is illustrated a catheter according to a first embodiment of the present invention, generally indicated as 10, and for use in a number catheterisation practices, for example, urinary catheterisations. The catheter 10 comprises a main body 12 which in the embodiment illustrated is a substantially cylindrical tube having a distal end 14 and a proximal end 16, both of which are open to permit the passage of fluid through the body 12, as will be described in detail hereinafter. The hollow body 12 defines a bore 18 therein, which extends between the distal end 14 and the proximal end 16, and through which fluids such as urine or the like can pass to exit the patient via the catheter 10. The body 12 of the catheter may be formed from any suitable material, and the dimensions may vary to suit the procedure with which the catheter 10 is to be used.
The catheter 10 further comprises a retention member in the form of an inflatable balloon 20 which is mounted to the exterior of the body 12 and about the distal end 14. The balloon 20 may be fixed to the body 12 in known fashion. The balloon 20 is shown in FIGS. 1, 2, 4 and 5 in a collapsed or retracted state, while FIG. 7 illustrates a schematic representation of the distal end 14, with the balloon 20 in an expanded or inflated state. It can be seen that when in the inflated state the balloon 20 has a flared portion 22 which projects longitudinally beyond a terminal edge 24 of the distal end 14, and thus effectively forms a shroud around the terminal edge 24, which during use of the catheter 10 prevents contact between, for example, the urinary tract/bladder walls and the terminal edge 24 of the catheter 10. This provides a number of benefits, for example, reduction in the possibility of perforation or peritonitis due to erosion of the urinary tract/bladder wall, and the avoidance of tip cystitis, as set out in detail hereinafter.
The balloon 20 is displaceable between the collapsed and expanded states, and in the embodiment illustrated this displacement is achieved by filling or emptying the balloon 20 with a fluid or gas, for example, a saline solution. In order to achieve this, the catheter 10 comprises a first channel 26 extending along the length thereof, and in the embodiment illustrated formed integrally with the side wall of the body 12 as shown in FIGS. 3 and 5. It will, however, be appreciated that this first channel 26 could be provided separately of the body 12, for example extending through the bore 18, or possibly located on the exterior of the body 12. The first channel 26 extends rearwardly from the distal end 14 and into a first arm 28 located adjacent the proximal end 16. The first channel 26 terminates at a valve 30 mounted at the end of the first arm 28, which is operable to allow the fluid/gas to be pumped into the balloon 20, following which the valve 30 can be closed during use of the catheter 10 in order to maintain the fluid/gas within the balloon 20 and thus maintain the balloon 20 in the expanded state. Similarly, when it is desired to remove the catheter 10 the first valve 30 can be opened to allow the fluid/gas within the balloon 20 to be drained and thus permit the balloon 20 to be displaced back to the retracted or collapsed state, as will be described in detail below.
The design and position of the balloon 20 result in a significant reduction in the above-mentioned cuffing and thus result in a significant reduction in the force necessary to remove the catheter 10 from a patient. In particular, as the flared portion 22 of the balloon 20 extends beyond the terminal edge 24 of the distal end 14, when the balloon 20 reverts back to the collapsed state, a portion of the collapsed balloon 20 will hang over the end of the terminal edge 24 and thus reduce the amount of the material of the balloon 20 which remains wrapped around the body 12. Thus, the diameter of the catheter 10 at the distal end 14 is substantially the same as the remainder of the body 12. To further reduce the diameter of the catheter 10 about the collapsed balloon 20, the body 12 is preferably provided with a stepped portion 32 (only visible in FIG. 5) of reduced diameter, within which the balloon 20 is located. In this way, and as can be seen, for example, in FIG. 5, the diameter of the catheter 10 about the collapsed balloon 20 can be maintained relatively close to the diameter of the remainder of the body 12, again helping to reduce the force necessary to remove the catheter 10.
By positioning the balloon 20 directly at the distal end 14 of the body 12, and by providing the flared portion 22 which extends longitudinally beyond the terminal edge 24, a number of benefits are achieved. Contact between, for example, the urinary tract/bladder wall and the terminal edge 24 is avoided, thereby reducing or eliminating a number of known issues/complications which arise through the use of conventional catheters, on which the retaining balloon is normally located a significant distance back from the distal end thereof. In addition, the flared portion 22 acts as a shroud, guiding fluids such as urine towards and into the distal end 14, to be withdrawn from the patient by the catheter 10. Finally, when the catheter 10 is to be removed and the balloon 20 is collapsed, by allowing a significant portion of the collapsed balloon 20 to extend beyond the terminal edge 24, cuffing is significantly reduced, thereby reducing the force necessary to remove the catheter 10 and thereby reducing or eliminating the associated problems.
The catheter 10 further comprises a probe 34 which consists of a head 36 located beyond, and displaceable towards and away from, the distal end 14, and an actuator in the form of a tube 38 on which the head 36 is located. The tube 38 extends rearwardly through the bore 18 in the body 12 and through a second arm 40 extending from the body 12 adjacent to the proximal end 16. The tube 38 terminates at the second arm 40 in a coupling 42 which allows the connection of a syringe or the like to the tube 38. The hollow tube 38 defines a second channel 44 which extends into the head 36 and exists from the side of the head 36, as clearly illustrated in FIGS. 4 and 5. In this way, a fluid can be introduced at the coupling 42, and pumped through the second channel 44, to be dispensed from the head 36 of the probe 34. In addition, the tube 38 can be displaced longitudinally within the body 12 by pulling and pushing the coupling 42. In this way, the head 36 can be displaced towards and away from the distal end 14 of the body 12. Thus, the probe 34 and, in particular, the head 36 thereof, can be used in the manner of a plunger to dislodge or break up any blockages which may form in the urinary tract in front of the distal end 14. In addition, in order to minimise the formation of such blockages, the urinary tract/bladder can be irrigated by the pumping of fluid through the second channel 44, which will therefore be ejected or sprayed from the head 36.
It can also be seen, in particular from FIG. 4, that the head 36 tapers inwardly to join the tube 38. In this way, if the head 36 is drawn towards and into contact with the terminal edge 24 of the distal end 14, the head 36 can form a fluid-tight seal with the terminal edge 24, thus occluding the bore 18 to fluid flow. Thus, the probe 34 can double as an on/off valve for the distal end 14 of the catheter 10. During insertion of the catheter 10 the head 36 is preferably drawn into contact with the terminal edge 24 in order to provide a smooth round and thus atraumatic tip to the catheter 10. Once the catheter 10 has been inserted the coupling 42 is displaced into contact with the end of the second arm 40 in order to displace the head 36 away from the terminal edge 24 so that the drainage of urine can begin. The outer surface of the tube 38 should have a close fit with the internal surface of the second arm 40 in order to prevent the leakage of urine from the second arm 40, in particular during manipulation of the head 36 via the coupling 42. The coupling 42 is also preferably provided with a stopper or plug (not shown) locatable in the open end thereof in order to seal the second channel 44 when not being used for irrigation purposes.
It will be appreciated that the tube 38, rather than having an elbowed transition between the main body 12 and the second arm 40, could extend straight out of the proximal end 16 of the main body 12, with the second arm 40 then being used as the drainage channel for urine. It should also be noted that if the catheter 10 is being used for suprapubic drainage the probe 34 and second arm 40 may be omitted.
Referring now to FIG. 8, there is shown a second embodiment of a catheter according to the present invention, generally indicated as 110. In this second embodiment like components have been accorded like reference numerals, and unless otherwise stated, perform a like function. The catheter 110 has a generally cylindrical shaped body 112, having a distal end 114 and a proximal end 116, between which extends a bore or lumen 118 for the passage of fluid through the catheter 110. A retention member in the form of an inflatable balloon 120, depicted in the inflated or expanded state, is located adjacent a terminal edge 124 of the distal end 114 of the catheter 110.
In the collapsed or retracted state, the balloon 120 is retained about the outer surface of the body 112, and may be contained within a stepped or recessed portion (not shown) of the body 112. In the inflated state, the balloon 120 is generally toroidal in form, and is substantially heart shaped in cross section, with a flared portion 122 of the balloon 120 extending longitudinally beyond the terminal edge 124 of the distal end 114. A first channel 126, having open opposing ends, is provided within the lumen of the catheter 10. The first channel 124 is generally cylindrical in shape, the distal end of which is in fluid communication with the balloon 120. A fluid (not shown) can be introduced at the proximal end 116 using, for example, a syringe (not shown), to inflate the balloon 120. A valve 130 is provided at the proximal end of the first channel 124, which allows the fluid to be retained in the balloon 120 and the first channel 124.
A second channel 144, having open opposing ends, is provided within the central bore or lumen 118 of the catheter 110. The second channel 144 is generally cylindrical in shape, the distal end of which opens adjacent the terminal edge 124 of the distal end 114 of the catheter 110. The proximal end of the second channel 144 has a coupling in the form of an open mouth 142, which is adapted to receive a syringe (not shown), or similar device, to allow a fluid (not shown) to be introduced into the second channel 144, facilitating irrigation of the distal end 114 of the catheter 110. The lumen 118 of the catheter 110 is adapted to allow the passage of a fluid (not shown) therethrough, for example urine. The proximal end 116 of the catheter is open and adapted to be in fluid communication with a receptacle, such as a drainage bag, or similar device (not shown).
The catheter 110 further comprises a probe 134 having a head 136 located about the distal end 114, and an actuator in the form of a wire 138 extending from the head 136 along at least part of the length of the lumen 118 of the catheter 110. The head 136 is generally tapered in form, and is shaped and dimensioned to be reversibly retained at the terminal edge 124 of the distal end 114. An outlet 50 is located at the proximal end 116 of the catheter 110. The end of the wire 138 passes from the lumen 118 of the catheter 110, and through the outlet 50. A stopper 52 is located at the proximal end of the wire 138. The stopper 52 is shaped and dimensioned to be reversibly engageable with the outlet 50, and capable of forming a fluid-tight engagement therewith.
When used, for example, for male urinary catherisation, the catheter 110 is provided having the balloon 120 in a collapsed state, and with the head 136 engaging the terminal edge 124 of the distal end 114. Following insertion into the urethra, a fluid such as sterile saline can be introduced into the first channel 126, in order to inflate the balloon 120. The shape and dimension of the inflated balloon 120 provides a barrier or shroud between the urethra and the catheter 10, in particular the terminal edge 124, thereby reducing the risk of irritation of the urethra. The valve 130 will retain said fluid, thereby retaining the balloon 120 in the inflated state. A drainage bag or similar receptacle (not shown) can be secured in fluid communication with the open proximal end 116 of the catheter 110.
The stopper 52 can then be engaged with the outlet 50 (depicted in broken lines), thereby providing a fluid-tight seal. The wire 138 is advanced along the lumen 118 of the catheter 110, and as a result the head 136 (depicted in broken lines), is disengaged from the terminal edge 124 of the distal end 114 thereby allowing the passage of fluid such as urine through the lumen 118 of the catheter 110 to the drainage bag or similar receptacle. The urethra can be irrigated by a fluid such as sterile saline by introducing said fluid at the coupling 142 of the second channel 144 using a syringe or similar device (not shown). Blockages occurring due to, for example, blood clots in the urine can be removed by manipulation of the wire 138 in order to displace the head 136 in the form of a plunger to dislodge and/or break up such blockages.
To remove the catheter 110, the fluid is removed from the first channel 126, in order to collapse the balloon 120. During withdrawal of the catheter 110, the collapsed balloon 120 will occupy the space succeeding the distal end 114 of the catheter 110. As a result the collapsed balloon 120 does not increase the outer diameter of the catheter 110, reducing discomfort of the patient during removal thereof.
Thus in summary the catheter 10; 110 of the present invention provides a number of advantages over conventional catheters, namely:
1. Non Cuffing helps during removal of the catheter because
a. Facilitates easier and quicker removal of catheter
b. Less pain/bladder spasms
c. Minimal urethral damage
d. Prevents anastomotic damage in patients with urethral surgery/injury
e. Prevents bladder-urethral anstomosis breakdown after prostate surgery
f. Minimises spontaneous tract closure when changing supra pubic catheter
g. Less bleeding from suprapubic site
2. The absence of a closed tip on the catheter helps because
a. Less foreign material in bladder
b. Less chance of perforation/peritonitis due to erosion of bladder wall
c. No tip cystitis
d. Less bladder spasms
e. Less chance of bladder muscle over activity
f. Since minimises cystitis chance of bladder cancer decrease
3. No Blocking helps
a. In haematuria with clots
b. Allows from breaking bladder clots
c. More thorough irrigation
d. Minimises infection since clots can be broken down and drained
e. Prevents unnecessary catheter changes
f. User friendly unblocking mechanism
g. Helps differentiate between anuric patient or blocked catheter
h. Dislodges any debris within lumen
1. A catheter comprising:
a tubular body having a distal end and a proximal end and a first exterior facing surface; and
a retention member displaceable between expanded and contracted states;
wherein at least a portion of the retention member, when in the expanded state, projects beyond the distal end of the body;
the catheter further comprising a probe which comprises a head having a tip with an end, where the end is smooth and rounded, where the head is located beyond and displaceable towards and away from the distal end of the body, and an actuator on which the head is mounted, the actuator extending into the body of the catheter and being operable to effect displacement of the head towards and away from the distal end of the body,
in which the head is tapered inwardly so that it is shaped to be drawn into the distal end of the body to form a fluid-tight seal;
wherein the actuator comprises a hollow shaft having a bore which is in fluid communication with a conduit which extends through and exits from the head at a port located on a second exterior facing surface of the head such that after the head is drawn into the distal end of the body to form the fluid-tight seal, the port remains exposed to an exterior outside of the first exterior facing surface and the second exterior facing surface.
2. A catheter according to claim 1 in which at least a portion of the retention member, when in the expanded state, forms a shroud around and partially beyond the distal end.
3. A catheter according to claim 2 in which the retention member, when in the expanded state, prevents contact, in use, between the distal end of the body and a passage into which the catheter is inserted.
4. A catheter according to claim 1 in which at least a portion of the retention member, when retracted from the expanded to the collapsed state, is located or can be displaced beyond the distal end.
5. A catheter according to claim 1 in which the retention member comprises a resiliently deformable element mounted about an exterior of the body at the distal end.
6. A catheter according to claim 1 in which the retention member comprises an inflatable balloon.
7. A catheter according to claim 1 in which the retention member, when in the expanded state, is substantially toroidal and extends longitudinally beyond the distal end.
8. A catheter according to claim 1 in which the retention member, when in the expanded state, permits fluid flow through the distal end of the body.
9. A catheter according to claim 1 in which the retention member, when in the expanded state, is shaped to channel fluid into the distal end of the body.
10. A catheter according to claim 1 in which the probe comprises a plug mounted to the actuator at an end opposite the head, the plug being displaceable into engagement with the proximal end of the body in order to occlude the proximal end to fluid flow.
11. A catheter according to claim 1 comprising at least first and second channels about the body, each of the first and second channels being adapted to allow the flow of fluid therethrough.
12. A catheter according to claim 11 in which the retention member is in fluid communication with the first channel.
13. A catheter according to claim 1 in which the proximal and distal ends of the body are open.
14. A catheter according to claim 11 in which the first and/or second channel is formed integrally with a wall of the catheter.
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IES2008/0485 2008-06-12
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Defund Defined
How Federal Funding Works
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Who Defunding Hurts
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Become an Action Fund Member
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Current: Cecile Richards on Hillary Clinton: "The …
Cecile Richards on Hillary Clinton: "The choice is clear."
For Immediate Release: Nov. 1, 2016
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Contact: Planned Parenthood Action Fund Media Office, 212-261-4433
For Immediate Release: 11.01.16
New York, NY -- Cecile Richards, President of Planned Parenthood Action Fund, today released the following statement in response to Hillary Clinton's speech in Florida:
"Today Hillary Clinton passionately laid out her commitment to supporting and defending women and families while vigorously denouncing Donald Trump and I couldn't be prouder to have her in our corner.
"While Hillary Clinton has spent her lifetime advancing the rights of women and families, Trump has spent his entire career degrading women and has never been held accountable for his dangerous actions or demeaning rhetoric. That will change come next week. Women like former Miss Universe Alicia Machado are refusing to be silent, they are speaking out and standing up and saying 'enough is enough. On Election Day, women will hold him accountable and we will be the reason he isn't elected President. '
"Women have the chance to make history this election in seven days by putting the greatest champion of equal pay, access to health care, and reproductive rights in history in the White House while sending a rampant misogynist who brags about assaulting women into obscurity. The choice is clear."
Planned Parenthood Action Fund is an independent, nonpartisan, not-for-profit membership organization formed as the advocacy and political arm of Planned Parenthood Federation of America. The Action Fund engages in educational and electoral activity, including voter education, grassroots organizing, and legislative advocacy.
This page is controlled and operated by Planned Parenthood Federation of America Inc. and Planned Parenthood Action Fund, Inc.
The Planned Parenthood Action Fund works to advance access to sexual health care and defend reproductive rights.
© 2021 Planned Parenthood Federation of America Inc. © 2021 Planned Parenthood Action Fund, Inc.


The theme of my life this week is "surrender". Surrender to what is. Everything in my life, whether it's work, friendships, diet, the weather, everything…it is what it is. When I surrender to what is, I'm not giving up or giving in to anything. It means I'm accepting the way life sits at the moment. Usually this happens when I'm tired.
This tiredness usually comes from keeping my eye on the destination, to some point in the future, too much and not being mindful of the present. Tiredness happens when I've put too much energy and thoughts and fears into how I'm going to get to that wonderful future destination where everything is going to be OK. Tiredness comes from giving my power away to the future…to the unknown.
Then I get those words in my head…"Surrender…Surrender to what is". I've learned now that when I hear those words, I just stop. I let go of the wants, the needs, the have to's and the shoulds. I just sit in the present, not judging it, just accepting what is. It is what it is.
Then I feel relief pour through my body. The struggle eases. I haven't given up. I'm just on a time out. And that's OK. It's OK to take a time out, to regroup, to appreciate what I already have, to give my intuition, heart and brain a chance to realign and work together in the present.
Surrendering to the present means I am being happy in the present. Even if it's not where I want to be yet. It means being happy in the present so I can be happy in the future.
Just for today, I surrender.


Incorporating a large, colour touchscreen panel with an intuitive software interface, proSET fermentation systems are very user friendly allowing productive use even by occasional operators.
The proSET One combines space-saving design with operational versatility and affordability. The heating system in the proSET One allows you to use any fermentation vessel type up to 20-litres enabling a wide range of applications to be undertaken. The fermentation temperature, anti-foam, pH and DO probe are all included in the standard package. Optional expansion modules allow you to add additional devices to further enhance the capability of the system.
The proSET Evo System is an all-in-one automated fermentation solution designed to provide easy, smooth and productive bioprocessing. The controller is pre-configured to support both thermostat and dry heating. Drawing upon its ability to accommodate vessels from 0.5 to 20L, the proSET Evo enables productive cultivation of cell lines including aerobic and anaerobic bacterial, yeast, plant, algae, fungal, mammalian and insect. The proSET Evo System is equipped with the latest control software with many advanced functions to boost your experiment efficiency. In addition to manual control of agitation, temperature, pH, DO level and feeding, you can also execute 15-step scheduled sequence controls on the above parameters as well as pH and DO feedback controls. A broad selection of plug-and-play optional devices is also available to meet specific fermentation requirements.
The proSET Parallel System is the ultimate high productivity system for fermentation labs. Whether you need to run two identical experiments or different experiments at the same time, the proSET Parallel System allows you to run two thermostat heating, two dry heating or one thermostat and one dry heating experiment simultaneously. This state-of-the-art design is constructed with the utmost versatility and flexibility to work with all types and sizes of fermentation vessels. PC software enables remote control of up to 16 vessels for true parallel operation.


Possession of Amphetamine, Dextroamphetamine and Marijuana: On 2/4/19 at 5:01 pm, Trooper First Class Barlow and Trooper Stull working a stopping team stopped a vehicle for traffic violations on Armory Road in Prince Frederick. A moderate odor of raw marijuana was emitting from inside the vehicle. A probable cause shearch revealed marijuana, marijuana wax, amphetamine and dextroamphetamine pills. Mariah C. Gray, 23 of Lusby was arrested and incarcerated at the Calvert County Detention Center.
Possession of Heroin and Switchblade: On 2/7/19 at 3:16 pm, Cpl. Esnes stopped a vehicle at Route 4 near Parran Road in St. Leonard for traffic violations. Several criminal indicators were observed and Cpl. Esnes requested assistance with the traffic stop. Tpr. Strong, TFC McCombs and K-9 Benelli responded to assist. The K-9 scan resulted in a positive alert. A probable cause search revealed K2/Spice-Synthetic Marijuana, Heroin and Marijuana and a switchblade. Robert D. Harrod, 31, and Ashley L. Markart, 25, both of Lexington Park were arrested and incarcerated at the Calvert County Detention Center. Charges for Concealed Dangerous Weapon are pending for Dale L. Waul, 39 of Lexington Park.
DUI / Possession of Heroin: On 2/8/19 at 23:56 pm, Trooper First Class Davis responded to the Prince Frederick Walmart for a reported unconscious subjects inside a vehicle. The vehicle was located with the motor running and tranmission in park. Both the driver and passenger appeared to be asleep. A strong odor of burnt marijuana was emitting from inside the vehicle. A probable cause search revealed marijuana and heroin. William M. Stallings Jr, 27, and Tara L. Burket, 26, both of St. Leonard were both arrested and incarcerated at the Calvert County Detention Center.


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Q: Winform custom control in WPF I'm inserting a custom winform control in a WPF/ XAML window, however i'm realising that the sizing seems to be very different, what i designed in winform to be 730pixels wide for instance, when placed via a WindowsFormsHost, in a container 730pixels (or at least i think they're pixels..) wide, the control looks much larger and doesnt fit in the host and results in clipping from the right and bottom.
Would anyone know how to make these sizes match or something? I'm really at a loss and its very difficult to fix a custom control to make it look as it should off hand on WPF! Please help!

A: WPF sizes are not in pixels, they are in units of 1/96 inch.  Your video adapter is probably set to 120 DPI, you'd have to make it 730 / 96 * 120 = 913 units wide.

redpajama_set_name: RedPajamaStackExchange


I dont think he is allowed to dismiss her for sickness/illnesses etc. Its not her fault if she's ill. How long was her temp contract for?
I think she could claim a slight amount of SMP depending on how many hours she worked in the 52 week period.
She'll be entitled to the ??500 surestart if her OH is earning under 16k a year, and the ??190 grant. Also up until 36 weeks you can actively seek work so if she felt up to it she could probably claim JobSeekers.
If you give me her due date, I can let you knwo when the 66 weeks start from.
If she was working from at least 14weeks before she found out she was pregnant, I believe that she will be entitled to it.
From what i cant wortk out, she wont get smp as u have to be employed continuously for at least 26weeks up to and into the 15thweek before the week baby is due.
If you click this link, they click the first suggestion it will download the information and table which will show the 66week test period.
I thought you could earn something around 350-??60 if you ahvent worked at all, but i cant seem to find any information right now.
just a thought and i'm sure someone will correct me, but i thought if your illness was related to your pregnancy then your employer can't hold it against you or discipline you for it. I had terrible absence from work due to being pregnant but beacause it was pregnancy related they couldn't put me on special measures.
If you are dismissed from employment whilst pregnant, you are entitled to have the reasons for your dismissal in writing. If you have been dismissed for reasons relating to your pregnancy, your dismissal will be automatically unfair and you may have an employment tribunal claim against your employer.
I agree with girlinleeds. Dismissing her, or not keeping her on due to sickness in pregnancy or ANY type of sickness for that matter just seems really unfair.
Should help you and your sis work out what she is entitled to and how to claim.


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(i Want) No One But You - Buck Owens - (i Want) No One But You (Vinyl)
Posted on 31.12.2019 31.12.2019 by Tebar
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8 thoughts on " (i Want) No One But You - Buck Owens - (i Want) No One But You (Vinyl) "
Dataur says:
Sep 20, · C G7 I don't want to be a movie star with riches and things C And I don't even care if anybody knows my name C7 F I don't want to be the president he got too much to do C G7 C Well I just want someone to love and that someone is you G7 C So darling put your arms around me and let your charms surround me F G7 C And tell me that you love me cause I want no one but you G7 I don't want .
Taukasa says:
Watch the video for (I Want) No One But You from Buck Owens's Before You Go - No One But You for free, and see the artwork, lyrics and similar artists. Playing via .
Nigami says:
I Want No One But You Recorded by Buck Owens Written by Red Simpson and Buck Owens C G7 I don't want to be a movie star with riches and things C And I don't even care if anybody knows my name C7 F I don't want to be the president he got too much to do C G7 C.
Kezil says:
Well I just want someone to love and that someone is you So darling put your arms around me and let your charms surround me And tell me that you love me cause I want no one but you. I don't want a Cleopatra she might cheat on me She had too many boy friends back in history I don't want to be a millionaire to sail the ocean blue.
Tojajin says:
Discover releases, reviews, track listings, recommendations, and more about Buck Owens - Before You Go / (I Want) No One But You at Discogs. Complete your Buck Owens collection/5(4).
Buck Owens - Before You Go Album. Artist: Buck Owens. Album: Before You Go. 1: I Betcha Didn't Know: 2: I Want No One But You: 3: No Fool Like An Old Fool: 4: There's Gonna Come A Day: embed I Want No One But You Lyrics: 3. No Fool Like An Old Fool Lyrics: 4. There's Gonna Come A Day Lyrics.
Owens teamed with fellow Bakersfieldian Red Simpson to write, "Gonna Have Love," featuring a stellar guitar solo from Don Rich and swingin' drums from Willie Cantu, and "(I Want) No One But You." Owens added two more solo compositions, "There's Gonna Come a Day," recorded in and held until this release, as well as the instrumental, "Raz-Ma /5(5).
Tushicage says:
I Want No One But You Buck Owens Buy This Song. FAVORITE (1 fan) Buck Owens. Alvis Edgar Owens, Jr. (August 12, – March 25, ), better known as Buck Owens, was an American singer and guitarist who had 21 No. 1 hits on the Billboard country music charts with his band, the Buckaroos. They pioneered what came to be called the Bakersfield.
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Mesar on (i Want) No One But You - Buck Owens - (i Want) No One But You (Vinyl)


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Ranching Employers: Labor Department Tightening H-2A VISA Rules For Employing Range Workers
Ranching businesses that employ foreign workers with H-2A VISAs to herd sheep, goats, cattle or other range livestock ("Herders") should begin preparing to comply with significant changes in the Labor Department regulations governing the recruitment and employment of Herders made in the new Labor Department Final Regulation on Temporary Agricultural Employment of H-2A Foreign Workers in the Herding or Production of Livestock on the Range (Final Rule).
The Final Rule available for review here significantly modifies the Labor Department's existing rules on the employment of Herders under the H-2A VISA program in ways likely to affect the practices of virtually all ranching businesses that current employ such workers. These changes include the consolidation of the currently separate set of rules for Herders working cattle versus those working other hooved livestock into a single rule, significant changes to the wage and other employment conditions that ranching businesses must meet when employing Herders, and streamlining certain procedures employers can use to apply for H-2A visas for Herders.
Ranching businesses and other employers that presently employ or contemplate employing Herders under the H-2A VISA program will want to consult with legal counsel for assistance in evaluating the effect of these rules on the employment of Herders to adjust practices and budgets as necessary to comply with these new requirements.
Single Rule For All Herding Jobs
As a starting point, the new Final Rule establishes a single regulation covering all H-2A VISA jobs related to the herding or production of livestock on the range. The Department currently administers separate procedures through two distinct Training and Employment Guidance Letters; one covering the herding and production of only sheep/goats and the other covering other livestock (e.g. cattle). The Final Rule will apply to Herders working in jobs relating to the herding of all species of domestic hooved animals customarily raised on the range under a single, integrated rule. It generally will cover jobs typically performed on call 24 hours per day, 7 days per week. It will apply to work:
Performed on the range for the majority of workdays (more than 50 percent);
Generally requiring the use of range (including remote, non-mobile) housing, where the work sites are not near enough to the worker's residence or ranch to permit the worker to reasonably return to a fixed housing location; and
Consisting entirely of duties and activities that are, or are closely and directly related to, herding and livestock production. (An enhanced definition includes examples of duties that are and are not closely and directly related.)
For this purpose, the Final Rule defines "range" as any area located away from the ranch headquarters where the herder is required to constantly attend to the livestock, evaluated based on the totality of the circumstances using a multi-factor test. Factors include whether the land is uncultivated, involves wide expanses, such as thousands of acres, and/or is located in remote, isolated areas; and whether the work typically requires range housing to enable the herder to constantly attend to the herd.
Wage Requirement Changes
The Final Rule also will change the rules for determining the wages that employers must pay Range Workers. The Final Rule mandates that employers pay a wage, that equals or exceeds the highest of the monthly AEWR (described more below), collective bargaining agreement, or applicable minimum wage set by court or law (e.g., Federal, State or local minimum wage), free and clear at least twice monthly during the entire certified period of employment.
The new AEWR will be an amount set by the Labor Department on the effective date of the Final Rule or thirty days from its publication. The new AEWR will apply to all pending and future requests for prevailing wages, as well as all open certifications. Relative to the new AEWR, the Final Rule establishes a new methodology for setting the monthly AEWR for all range occupations using the current Federal minimum wage ($7.25/hour) as the basis for an initial national monthly wage rate, calculated based on a 48-hour workweek. This initial AEWR for range occupations will be adjusted annually based on the Employment Cost Index for wages and salaries (ECI), beginning in 2017. The Final Rule also specifies that to convert the hourly wage rate to a monthly wage rate, the Labor Department multiplies the hourly wage rate by 48 hours and 4.333 weeks. Finally, the Final Rule provides for a a two-year transition phase in of the new AEWR starting with requiring 80 percent of the full wage from the effective date of the Final Rule through calendar year 2016, then 90 percent in calendar year 2017, and full implementation beginning in calendar year 2018.
The Department of Labor says these changes are needed to correct "wage stagnation" over the past 20 years. In other words, employers should expect to see wage costs rise.
Stricter Rage Worker Housing & Other Employment Condition Requirements
The Final Rule also tightens the required housing and other employment conditions that ranchers must fulfill when employing Herders on the range. The Labor Department says these changes are made to better protect U.S. workers doing essentially the same jobs as H-2A workers by preventing adverse effect on U.S. worker's wages and working conditions. For instance, the Final Rule:
Establishes specific standards for range housing used for range workers, identifies the circumstances in which heating equipment is required. It also states that "range housing" includes housing that is remote, but need not be mobile and provides for SWA inspection at least every three years, while permitting SWAs to inspect more often.
Clarifies that the employer must disclose in the job order and provide range workers all tools, supplies, and equipment required by law, by the employer, or by the nature of the work to perform the duties assigned in the job offer safely and effectively, without charge or deposit charge. Additionally, the Final Rule continues the requirement that employers provide workers with an effective means of communicating with persons capable of responding to the worker's needs in case of an emergency.
Requires employers to provide adequate food, free of charge, and adequate potable water to range workers. The Final Rule also quantifies the minimum amount of potable water the employer must provide (4.5 gallons per day for drinking and cooking purposes). Where potable water cannot be transported to the worker by motorized vehicle, the Final Rule allows the employer to rely on natural sources of water provided that it provides the worker with the means to test and render that water potable.
Streamlined Filing Requirements
The Final Rule also streamlines the H-2A VISA application process by allowing employers to file H-2A applications directly with the Chicago National Processing Center (NPC) simultaneously with the H-2A Application for Temporary Employment Certification, Form ETA-9142A. This change eliminates the current requirement that employers first file the H-2A application with the State Workforce Agency (SWA), It also allows and allowing agricultural associations of employers, who file as joint employers with one or more of their members in more than two contiguous states, to file a single "master application" and job order covering the workforce needs of each association-member. Identifies specific eligibility criteria for jobs covered by these procedures and provides that non-range duties and activities are governed by the general H-2A procedures and standards.
Changes To Recruitment Requirements
The Final Rule also modifies certain of the recruitment rules. Some of the more notable recruitment rule changes are that the Final Rule:
Brings consistency to job order clearance by having job orders for all range occupations remain active until 50 percent of the work contract period has elapsed.
Requires that all range occupation jobs appear in the DOL's national electronic repository until 50 percent of the work contract period for the job opportunity(ies) has elapsed, so U.S. workers may easily learn about these job openings and make themselves available for work to employers from across the nation.
Expands the waiver previously applied to range sheep and goat herding occupations to all range herding and livestock production occupations so that newspaper advertisement is not required.
Period of Need
The Final Rule specifies that employers hiring range workers for herding or production of sheep or goats may list a period of up to 364 days on the application and job order, consistent with longstanding practice. In contrast, employers hiring range workers for herding or production of other livestock may list a maximum period of 10 months, consistent with longstanding practice.
These impending changes will require most employers of Range Workers to make significant adjustments in their practices as well as their budgets. To help prepare for these changes and preserve valuable lead time to respond, employers of Range Workers should consult with qualified legal counsel for assistance in evaluating the implications of these new rules on their current practices and with planning to respond to these changes.
For Help With Investigations, Policy Updates Or Other Needs
Recognized as a "Top" attorney in employee benefits, labor and employment and health care law extensively involved in health and other employee benefit and human resources policy and program design and administration representation and advocacy throughout her career, Cynthia Marcotte Stamer is a practicing attorney and Managing Shareholder of Cynthia Marcotte Stamer, P.C., a member of Stamer│Chadwick │Soefje PLLC, author, pubic speaker, management policy advocate and industry thought leader with more than 27 years' experience practicing at the forefront of employee benefits and human resources law.
Ms. Stamer helps management manage. Ms. Stamer's legal and management consulting work throughout her 28 plus year career has focused on helping organizations and their management use the law and process to manage people, process, compliance, operations and risk.
Highly valued for her rare ability to find pragmatic client-centric solutions by combining her detailed legal and operational knowledge and experience with her talent for creative problem-solving, Ms. Stamer works with businesses and their management, employee benefit plans, governments and other organizations deal with all aspects of human resources and workforce management operations and compliance. She supports her clients both on a real-time, "on demand" basis and with longer term basis to deal with daily performance management and operations, emerging crises, strategic planning, process improvement and change management, investigations, defending litigation, audits, investigations or other enforcement challenges, government affairs and public policy.
A Fellow in the American College of Employee Benefit Counsel, past Chair and current Welfare Benefit Committee Co-Chair of the American Bar Association (ABA) RPTE Section Employee Benefits Group, Vice Chair of the ABA Tort & Insurance Practice Section Employee Benefits Committee, former Chair of the ABA Health Law Section Managed Care & Insurance Interest Group, an ABA Joint Committee on Employee Benefits Council Representative and Board Certified in Labor & Employment Law by the Texas Board of Legal Specialization, Ms. Stamer is recognized nationally and internationally for her practical and creative insights and leadership on health and other employee benefit, human resources and insurance matters and policy.
Ms. Stamer helps public and private, domestic and international businesses, governments, and other organizations and their leaders manage their employees, vendors and suppliers, and other workforce members, customers and other' performance, compliance, compensation and benefits, operations, risks and liabilities, as well as to prevent, stabilize and cleanup workforce and other legal and operational crises large and small that arise in the course of operations. Best-known for her extensive work helping health care, insurance and other highly regulated entities manage both general employment and management concerns and their highly complicated, industry specific corporate compliance, internal controls and risk management requirements, Ms. Stamer's clients and experience also include a broad range of other businesses. Her clients range from highly regulated entities like employers, contractors and their employee benefit plans, their sponsors, management, administrators, insurers, fiduciaries and advisors, technology and data service providers, health care, managed care and insurance, financial services, government contractors and government entities, as well as retail, manufacturing, construction, consulting and a host of other domestic and international businesses of all types and sizes. Common engagements include internal and external workforce hiring, management, training, performance management, compliance and administration, discipline and termination, and other aspects of workforce management including employment and outsourced services contracting and enforcement, sentencing guidelines and other compliance plan, policy and program development, administration, and defense, performance management, wage and hour and other compensation and benefits, reengineering and other change management, internal controls, compliance and risk management, communications and training, worker classification, tax and payroll, investigations, crisis preparedness and response, government relations, safety, government contracting and audits, litigation and other enforcement, and other concerns.
Ms. Stamer also uses her deep and highly specialized health, insurance, labor and employment and other knowledge and experience to help employers and other employee benefit plan sponsors; health, pension and other employee benefit plans, their fiduciaries, administrators and service providers, insurers, and others design legally compliant, effective compensation, health and other welfare benefit and insurance, severance, pension and deferred compensation, private exchanges, cafeteria plan and other employee benefit, fringe benefit, salary and hourly compensation, bonus and other incentive compensation and related programs, products and arrangements. She is particularly recognized for her leading edge work, thought leadership and knowledgeable advice and representation on the design, documentation, administration, regulation and defense of a diverse range of self-insured and insured health and welfare benefit plans including private exchange and other health benefit choices, health care reimbursement and other "defined contribution" limited benefit, 24-hour and other occupational and non-occupational injury and accident, ex-patriot and medical tourism, on site medical, wellness and other medical plans and insurance benefit programs as well as a diverse range of other qualified and nonqualified retirement and deferred compensation, severance and other employee benefits and compensation, insurance and savings plans, programs, products, services and activities.
As a key element of this work, Ms. Stamer works closely with employer and other plan sponsors, insurance and financial services companies, plan fiduciaries, administrators, and vendors and others to design, administer and defend effective legally defensible employee benefits and compensation practices, programs, products and technology. She also continuously helps employers, insurers, administrative and other service providers, their officers, directors and others to manage fiduciary and other risks of sponsorship or involvement with these and other benefit and compensation arrangements and to defend and mitigate liability and other risks from benefit and liability claims including fiduciary, benefit and other claims, audits, and litigation brought by the Labor Department, IRS, HHS, participants and beneficiaries, service providers, and others.
She also assists debtors, creditors, bankruptcy trustees and others assess, manage and resolve labor and employment, employee benefits and insurance, payroll and other compensation related concerns arising from reductions in force or other terminations, mergers, acquisitions, bankruptcies and other business transactions including extensive experience with multiple, high-profile large-scale bankruptcies resulting in ERISA, tax, corporate and securities and other litigation or enforcement actions.
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text:
Eleven top notch skippers earn their spot at the 2022 International Masters Regatta
by San Diego Yacht Club 6 Oct 2022 04:01 PDT 21-23 October 2022
International Masters Regatta © Mark Albertazzi
There comes a point in your sailing career when you are no longer the mentee on board. When you find yourself passing down words of wisdom to those around you. And when you can take a moment to look back on your accomplishments, count your championship titles (and your birthdays), and remember that you're finally eligible for San Diego Yacht Club's International Masters Regatta. Each year, San Diego Yacht Club invites sailors from all over the world who have earned their place on the roster, whether it's National and World Champions, Hall of Famers, or past Olympians.
This year's running of the International Masters Regatta falls on October 21-23, 2022. Traditionally sailed in San Diego Bay, you can expect to see a similar race format from previous years. Eleven skippers will lead their crews through the finish line in a series of races sailed in rotating J/105s.
International Masters Regatta - photo © Mark Albertazzi
The 2022 International Masters Regatta Roster:
Bill Abbott
Thomas Carruthers
Nigel Cochrane
Augie Diaz
Alan Field
Annie Gardner
Craig Healy
Don Jesberg
Tad Lacey
Philip Lotz
Terry McLaughlin
Tad Lacey, Craig Healy, Don Jesberg, Alan Field, and Tom Carruthers all competed in the 2021 Masters and bring with them experience and knowledge of the regatta. However, each skipper invited comes with their own resume of impressive successes, making for intense competition...newbie or not.
Lacey explained, "At the Masters, skipper and crew have an opportunity to race against other top national and international grand master sailors. The competition among the teams is very high. The races are relatively short with the competitors racing in close proximity."
"Come to the Masters to have fun and enjoy the camaraderie of friends you have sailed with and against for many years. San Diego Yacht Club hosts a very fine regatta with good winds and pleasant conditions. The race management on the water is excellent, as are the post-race and shore side activities," added Lacey.
New to the competition, but certainly not to the water, is Nigel Cochrane, visiting us for the regatta from his home in Vancouver, BC. Like many others, Cochrane brings with him an Olympic resume, an impressive crew, and plenty of anticipation to sail.
"I have represented Canada in two Olympic Games - Seoul and Barcelona - and coached three different countries: USA, Canada, and Spain in Beijing, London, and Rio respectively," said Cochrane. In addition, some of Cochrane's most cherished accomplishments include a 4th place finish at the 470 World Championships in 1988, a Gold medal at the 1991 Pan Am Games in Cuba, and a Gold medal at the 1990 Goodwill Games in Seattle.
Cochrane continued, "This event has given RVYC the opportunity to reach across our fleets and accept applications from multiple sailors. We had over 20 members apply to sail the event and a selection committee picked the team. It's a great opportunity to increase the racing level in our fleet, entertain our members who follow the racing and help to motivate our sailors to keep racing for future opportunities in Corinthian events."
The only female skipper on the roster is Annie Gardner - SDYC local. Gardner has crewed in two Masters regattas before and is thrilled to be coming back as skipper. "We have a great team representing SDYC with a Staff Commodore, a current Women's National Match Racing Champion, and some strong, smart talented people who race J/105s all year," she said.
With a simple internet search for Gardner, you can find her Silver medal in the 1984 Olympics in Windsurfing, three world titles in Hobie 16s, an induction into the Windsurfing Hall of Fame 2022, and 20 National and International titles in Boards and Catamarans...just to name a few.
These are only three of the outstanding skippers contributing to the competition.
Philip Lotz, coming from New York, has sailed J/105s for many years. Recently, he won the Grandmaster Team Race Champs in 2017, is owner of Arethusa, one of the first multihulls to compete in the Bermuda Race (2018), came in second in the Etchells Jaguar Series in 2016 and 2017, and came in 8th in the Etchells Worlds in 2014.
Terry McLaughlin recently finished sailing in the Canada's Cup match racing event in IC37s. He sailed three IC37 regattas in Newport, RI this summer, an IOD at Chester Race Week, Catalina 37s in the Butler Cup and Seawanhaka Cup regattas at LBYC and the J/105 when he was able to in Toronto. In addition to Terry's Olympic past and impressive resume of sailing successes, he was the winning skipper of the J/105 North American Championships in 2014, 2016, and 2018.
Bill Abbott is a three-time Soling World Champion, three-time Olympian in Solings, and has earned several North American Soling titles.
Augie Diaz is a returning champion, having won the Masters in 2014. He earned US Sailor of the Year in 2003 and was inducted in National Sailing Hall of Fame in 2021. Diaz is a two-time Snipe and four-time Snipe Masters World Champion, a 2016 Star World Champion, ten-time Snipe National Champion, and six-time North American Champion. Diaz won Silver at the Pan-Am Games in Snipes in 1971 and 2022, and won Bronze in 2015. His lengthly sailing resume proves he has certainly earned a spot in this regatta.
One part of the International Masters Regatta (and the Sir Thomas Lipton Challenge Cup that follows the weekend after) that makes it so unique is the rotation dock floating off to the side of the course. In order to make for an even, fair event, every team rotates boats after each race. To make a boat swap of 65+ sailors on one dock run smoothly takes an army of volunteers.
As explained by Louis Abbott, Rotating Floating Dock Volunteer, two mobile docks are towed at the start of the Masters from SDYC to the course starting location, a 2 hour journey at about 2.5 knots, depending on the tide. Once Race Committee determines the start line location and the general course direction (moving target), they direct the docks where to anchor, typically about 100 yards to the side and a little below the start line. Each morning, volunteers put two large water canisters on the docks with ice so that the racers can refill their water bottles in between races. During race events, the mobile dock volunteers stand by on the docks to help the race teams manage the boat swaps. After each day of each event, the docks are so kindly stored at Fiddler's Cove, saving volunteers over an hour of time each morning.
International Masters Regatta - photo © Cynthia Sinclair
A huge thank you goes to every volunteer who assists through this process and the entire regatta. Without these volunteers, world-class events like this would not be possible.
JR Young is excited to be chairing the Masters Regatta. "This event has a very special place in my heart. San Diego Yacht Club is very volunteer-driven and it takes dozens of folks to help get the boats ready leading up to race day. And even more to help with the change docks, Race Committee, regatta headquarters, social events...and more. Many of our folks put in 4 to 10+ full days making the Masters and Lipton Cup happen."
"Each year we really work hard to bring the best Master skippers we can, and this year is no exception with an awesome slate of prior Olympians and World and National Champions. I think we'll have some great racing in South Bay this year," finished Young.
While the Masters is known for its epic sailing, it's also known for a weekend of camaraderie and on-shore fun. When you ask the competitors what they're looking forward to, you'll likely get an answer about seeing old sailing buddies and enjoying three days on and off the water with friends.
The weekend kicks off with a San Diego Yacht Club staple evening, the Taste of Point Loma, on Thursday, October 20. Dozens of local food and beverage establishments come ready for hundreds of guests to taste their cuisine, cocktails, and unique flavors. This popular night is being held for its 11th year and is always a great way to start the celebrations of the weekend.
On Friday, races will begin with a 0900 Skippers' Meeting and an 1125 Warning Signal. Following a hopeful 3-5 races, competitors and guests can partake in a Dockside social back at the Club.
After the racing on Saturday, teams are invited to the iconic Masters Banquet, where Skippers often share old tales of the racing days, and maybe even throw a few embarrassing stories about the competition in the room. The final races will conclude on Sunday followed by an Awards Ceremony on the SDYC Main Deck.
Spectators are encouraged to bring out their boats or hop aboard a friend's for one or all of the racing days on the water! Remember to hashtag #sdycmasters when posting about the event!
Notice of Race available [PDF].
Event website: sdyc.org/masters
Offshore Islands Race offers competitive sailing
Competitive sailing and serene experiences in February Each January, the turn of the new year marks the month when you can finally break out your planners, call your racing buddies, and mark your vacation days for Southern California's much-anticipated, offshore racing season. Posted on 12 Jan SDYC Women's Winter Invitational wins award
The international competition returns February 4-5, 2023 San Diego Yacht Club's Women's Winter Invitational Regatta has been selected to receive the US Sailing 2022 One Design Regatta Award. Posted on 10 Jan J/22 California Dreamin' Match Race Series
This longstanding series features events at three prominent clubs on the West Coast This longstanding series features events at three prominent clubs on the West Coast, beginning with San Diego YC on January 28-29 then St. Francis YC on March 4-5 - in J/22s at both clubs - and the final regatta at Long Beach YC in Catalina 37s. Posted on 8 Jan San Diego Hot Rum Series update
With 128 entries, the event is as popular as ever for Southern Californians The San Diego Yacht Club's incredibly popular Hot Rum Series started on time again on November 5th with races scheduled on November 19th and December 3rd, 2022. Posted on 25 Nov 2022 Sir Thomas Lipton Challenge Cup overall
The home team has done it again It's official - San Diego Yacht Club is the winner of the 2022 Sir Thomas Lipton Challenge Cup! The home team has done it again. Posted on 31 Oct 2022 Sir Thomas Lipton Challenge Cup day 2
Tricks and treats In the spirit of Halloween weekend...San Diego Yacht Club cast their web across the Lipton Cup fleet. While some teams got tricks, others earned treats...and among them was Team SDYC. Posted on 30 Oct 2022 Sir Thomas Lipton Challenge Cup day 1
It's clear this weekend is going to see extremely tight racing After day one of the 2022 Sir Thomas Lipton Challenge Cup, it's clear this weekend is going to see extremely tight racing. Posted on 29 Oct 2022 2022 International Masters Regatta overall
Augie Diaz wins the title in San Diego And there you have it! Augie Diaz has officially been named the 2022 International Masters Regatta Champion. It's only ever so often that a regatta stays this unpredictable down to the last leg of the last race. Posted on 24 Oct 2022 2022 International Masters Regatta day 2
Moving day in San Diego The 2022 International Masters Regatta saw just as many shifts in the wind today as it did in the leaderboard. Posted on 23 Oct 2022 2022 International Masters Regatta day 1
The competition is playing no favorites in San Diego As we wrap up day one of the 2022 International Masters Regatta (IMR), it's clear this anticipated competition is playing no favorites. Posted on 22 Oct 2022


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text:
Q: Java 8 : groupby with Comparator I have a list of int for example (1,2,4,6,7,8).
I want to know if there is away in Java 8 to create a list of lists.
If
(x,y)->x+1=y

it should be in the same list.
In this example the output should be:
(1,2), (4), (6,7,8)

I can write in this way :
public static List<List<int>> group(List<int> list, GroupFunctionByOrder groupFunction) {

    List<List<int>> result = new ArrayList<>();

    for (int l : list) {

        boolean groupFound = false;
        for (List<int> group : result) {
            if (groupFunction.sameGroup(l, group.get(group.size()-1))) {
                group.add(l);
                groupFound = true;
                break;
            }
        }

        if (! groupFound) {
            List<int> newGroup =  new ArrayList<>();
            newGroup.add(l);
            result.add(newGroup);
        }
    }

    return result;
}

public class GroupFunctionByOrder {
    public boolean sameGroup(int l1, int  l2){
        return l1+1 == l2;
    }
}

A: You can do this with the StreamEx library:
List<List<Integer>> grouped = StreamEx.of(1,2,4,6,7,8)
        .groupRuns((x, y) -> x + 1 == y)
        .toList();

A: No, this likely isn't possible.
Because of the very nature of streams - you do not have any insight into what value is next processed, nor can you pull values in from an arbitrary point in the stream - doing something like this is not feasible from a Java streams standpoint.
Chiefly, you cannot gain access to BiFunction or BiPredicate in a stream context.  If you could, then you'd stand a chance at splitting the values up based on the sequence of what came prior.

A: What works in java7 works in java8 as well :)
import java.util.*;

public class Main {
    public static void main(String[] args) {
        List<Integer> list = Arrays.asList(1,2,4,6,7,8);
        List<List<Integer>> result = new ArrayList<>();

        List<Integer> prev = new ArrayList<>();
        prev.add(list.get(0));

        //iterate over the list
        for (int i = 1 ; i < list.size(); i++){
            // Add to list if does not satisfy condition
            if (list.get(i) != list.get(i-1) +1){
                result.add(prev);
                prev = new ArrayList();
            }
            prev.add(list.get(i));
        }

        result.add(prev);

        // print result
        for(List<Integer> p : result) {
            Object[] arr = p.toArray();
            System.out.print(Arrays.deepToString(arr));
        }

    }
}

A: I'm not aware of a straightforward way in Java 8, but here's an alternative solution:
List<Integer> list = List.of(1, 2, 4, 6, 7, 8);

List<List<Integer>> result = new ArrayList<>();
int start = 0, i = 1, size = list.size();
while (i < size) {
    while (i < size && list.get(i - 1) + 1 == list.get(i)) i++;
    result.add(list.subList(start, i));
    start = i++;
}

System.out.println(result); // [[1, 2], [4], [6, 7, 8]]

This uses List.subList, which returns a sublist view backed by the original list. The idea of this code is to shift the index until the condition is broken, add the sublist to the result and then start again from that point.


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