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Heart & Vascular Institute
Sydell and Arnold Miller Family Heart & Vascular Institute 9500 Euclid Avenue, Cleveland, OH 44195 ClevelandClinic.org 2016 Outcomes 17-OUT-413 108369_CCFBCH_Cov_acg.indd 1 8/31/17 12:22 PM Measuring Outcomes Promotes Quality Improvement This project would not have been possible without the commitment and expertise of a team led by Umesh Khot, MD; Mouin Abdallah, MD; Sandra Hays; and Jagina McIntyre. Graphic design and photography were provided by Brian Kohlbacher and Cleveland Clinic’s Center for Medical Art and Photography. © The Cleveland Clinic Foundation 2017 108369_CCFBCH_Cov_acg.indd 2 9/19/17 10:57 AM Measuring and understanding outcomes of medical treatments promotes quality improvement. Cleveland Clinic has created a series of Outcomes books similar to this one for its clinical institutes. Designed for a physician audience, the Outcomes books contain a summary of many of our surgical and medical treatments, with a focus on outcomes data and a review of new technologies and innovations. The Outcomes books are not a comprehensive analysis of all treatments provided at Cleveland Clinic, and omission of a particular treatment does not necessarily mean we do not offer that treatment. When there are no recognized clinical outcome measures for a specific treatment, we may report process measures associated with improved outcomes. When process measures are unavailable, we may report volume measures; a relationship has been demonstrated between volume and improved outcomes for many treatments, particularly those involving surgical and -
The Tipping Points and Early Warning Indicators for Pine Island Glacier, West Antarctica
The Cryosphere, 15, 1501–1516, 2021 https://doi.org/10.5194/tc-15-1501-2021 © Author(s) 2021. This work is distributed under the Creative Commons Attribution 4.0 License. The tipping points and early warning indicators for Pine Island Glacier, West Antarctica Sebastian H. R. Rosier1, Ronja Reese2, Jonathan F. Donges2,3, Jan De Rydt1, G. Hilmar Gudmundsson1, and Ricarda Winkelmann2,4 1Department of Geography and Environmental Sciences, Northumbria University, Newcastle, UK 2Earth System Analysis, Potsdam Institute for Climate Impact Research (PIK), Member of the Leibniz Association, P.O. Box 60 12 03, 14412 Potsdam, Germany 3Stockholm Resilience Centre, Stockholm University, Kräftriket 2B, 10691 Stockholm, Sweden 4Institute of Physics and Astronomy, University of Potsdam, Karl-Liebknecht-Str. 24–25, 14476 Potsdam, Germany Correspondence: Sebastian H. R. Rosier ([email protected]) Received: 30 June 2020 – Discussion started: 4 August 2020 Revised: 21 January 2021 – Accepted: 31 January 2021 – Published: 25 March 2021 Abstract. Mass loss from the Antarctic Ice Sheet is the main 1 Introduction source of uncertainty in projections of future sea-level rise, with important implications for coastal regions worldwide. Central to ongoing and future changes is the marine ice The West Antarctic Ice Sheet (WAIS) is regarded as a tip- sheet instability: once a critical threshold, or tipping point, is ping element in the Earth’s climate system, defined as a ma- crossed, ice internal dynamics can drive a self-sustaining re- jor component of the Earth system susceptible to tipping- treat committing a glacier to irreversible, rapid and substan- point behaviour (Lenton et al., 2008). -
Big Time Passion
Youth Spotlight Small Town Girl Big Time Passion Caylee Harris et’s take it back to ten years ago when a little An active TPPA member and Certified Texas Bred Oklahoma panhandle with the Texas Pork Producers girl was preparing for her first time to enter Registry breeder, Caylee has the opportunity to raise and Association for the Texas Pork Leadership Camp. the show ring, this is how she explains her first show some of her own stock. Because of this, she has “I would recommend the Texas Pork Leadership showing experience…“I was in the 3rd grade gotten to experience an even better feeling of winning Camp to others because it was such an eye-opening whenL I began showing pigs. While working with my pigs with some of her own genetics. She said, “My most experience. I can’t wait to take all that I learned back prior to the show, I would use my steering device to drive memorable moment showing will always be, when I got and apply it to my own swine operation. If I could and guide my pig around the ring we had set up. My first 2nd place at a major stock show with a pig I raised. I’ll go back I definitely would.” She was exposed to the show was the Irion County Livestock Show. I remember never forget how cool it was to hear my name as the entire industry from farm to fork and everything in watching the lamb, goat and cattle shows and being exhibitor and the breeder over the loudspeaker.” Her between. -
Film Reviews.6
Page 75 FILM REVIEWS Black Swan (Dir. Darren Aronofsky) U SA 2010 20th Century Fox International “Done to death, I know. But not like this.” When Vincent Cassel’s leery ballet school director, Thomas Leroy, introduces his cast to the new season’s programme featuring ‘Swan Lake’, he describes how he will reinvent the classic ballet by stripping it down and making it visceral. To do this, he needs a new lead dancer, a woman capable of embodying the characters of both the innocent white swan and the seductive black swan. Darren Aronofsky’s Black Swan takes us on a journey from rehearsal to the stage as a delicate young woman, Nina Sayers (Natalie Portman), prepares for the role and undergoes a tragic transformation. Aronofsky’s latest film doesn’t so much delve into the world of ballet as use it as a pretty setting for his psychological tale of artistic obsession. Nina’s life consists of dancing and not much else. She appears to have no interests outside ballet and lives at home with her mother (Barbara Hershey as a truly terrifying composite of stage mother and classic horror psycho mother), whose grip on her daughter is far tighter than Nina’s own grip on reality. Already unpopular with the other dancers, and with suspicion surrounding her sudden elevation to prima ballerina, the introduction of a new dancer to the company (Mila Kunis) quite literally throws Nina off balance and forces the viewer to reel with her for the rest of the film as she tries unsuccessfully to regain her footing. -
DDS Parent/Teen Driving Guide
40-HOUR PARENT/TEEN DRIVING GUIDE GEORGIA DEPARTMENT OF DRIVER SERVICES GOVERNOR’S MESSAGE DDS Customer Service Centers 62 STATE OF GEORGIA DDDS Commissioner OFFICE OF THE GOVERNOR 3 ATLANTA, GA 30334 and Board Messages My Fellow Georgians, 14 AroundSTATE the OF world, GEORGIA Georgia is recognized as a Acknowledgements OFFICE OF THE GOVERNOR beaconATLANTA, of opportunity GA 30334 for economic prosper- ity. Year after year, our state achieves remark- InIntroduction 6 able growth and solidifies its reputation as an unmatched destina- tion to live, work, and thrive. Our success stems from a multitude 10 of factors, including our business-friendly climate, streamlined Sessions 1 & 2 government, and robust infrastructure cohesively connecting our communities. Sessions 3-5 112 As an international transportation hub, Georgia’s navigational sys- Sessions 6 & 7 tem – from Atlanta’s bustling Hartsfield-Jackson Airport, vast Port of 13 Savannah, and efficient network of railroads and roadways – facili- tates travel and commerce across every region. This interconnectiv- Sessions 8-10 15 ity propels the economy forward, connects Georgia’s people, and offers travelers a truly breathtaking experience wherever they go. Sessions 11-13 217 As you navigate the Peach State’s rolling pastures and farmland, traverse impressive heights in mountainous terrain, or coast along- Sessions 14-16 19 side beautiful waterways and diverse wildlife, the Department of Driver Services and I wish you safe passage and encourage you to exercise good judgment, follow driving laws, and prioritize safety Sessions 17-18 21 for yourself, fellow motorists, and passengers. Together, we can all take action to ensure safe arrivals at our Sessions 19-21 23 respective destinations. -
The Convergence of Morality and Aesthetics in Nabokov's Lolita
Georgia State University ScholarWorks @ Georgia State University English Theses Department of English 6-12-2006 Aesthetic Excuses and Moral Crimes: The Convergence of Morality and Aesthetics in Nabokov's Lolita Jennifer Elizabeth Green Follow this and additional works at: https://scholarworks.gsu.edu/english_theses Part of the English Language and Literature Commons Recommended Citation Green, Jennifer Elizabeth, "Aesthetic Excuses and Moral Crimes: The Convergence of Morality and Aesthetics in Nabokov's Lolita." Thesis, Georgia State University, 2006. https://scholarworks.gsu.edu/english_theses/9 This Thesis is brought to you for free and open access by the Department of English at ScholarWorks @ Georgia State University. It has been accepted for inclusion in English Theses by an authorized administrator of ScholarWorks @ Georgia State University. For more information, please contact [email protected]. AESTHETIC EXCUSES AND MORAL CRIMES: THE CONVERGENCE OF MORALITY AND AESTHETICS IN NABOKOV”S LOLITA by JENNIFER ELIZABETH GREEN Under the Direction of Paul Schmidt ABSTRACT This thesis examines the debate between morality and aesthetics that is outlined by Nabokov in Lolita’s afterword. Incorporating a discussion of Lolita’s critical history in order to reveal how critics have chosen a single, limited side of the debate, either the moral or aesthetic, this thesis seeks to expose the complexities of the novel where morality and aesthetics intersect. First, the general moral and aesthetic features of Lolita are discussed. Finally, I address the two together, illustrating how Lolita cannot be categorized as immoral, amoral, or didactic. Instead, it is through the juxtaposition of form and content, parody and reality, that the intersection of aesthetics and morality appears, subverting and repudiating the voice of its own narrator and protagonist, evoking sympathy for an appropriated and abused child, and challenging readers to evaluate their own ethical boundaries. -
Neurological Institute
Neurological Institute This project would not have been possible without the commitment and expertise of many individuals, but in particular Irene Katzan, MD; Christine Moore; Janet Perryman; Ken Kula; Steven Shook, MD; Nicholas Thompson; and John Urchek. Graphic design and photography were provided by Cleveland Clinic’s Center for Medical Art and Photography. Photo on p. 4 by Russell Lee. © The Cleveland Clinic Foundation 2017 9500 Euclid Avenue, Cleveland, OH 44195 clevelandclinic.org 2016 Outcomes 17-OUT-417 108118_CCFBCH_Neuro_Cov_acg.indd 1 8/30/17 12:28 PM Measuring Outcomes Promotes Quality Improvement Clinical Trials Cleveland Clinic is running more than 2200 clinical trials at any given time for conditions including breast and liver cancer, coronary artery disease, heart failure, epilepsy, Parkinson disease, chronic obstructive pulmonary disease, asthma, high blood pressure, diabetes, depression, and eating disorders. Cancer Clinical Trials is a mobile app that provides information on the more than 200 active clinical trials available to cancer patients at Cleveland Clinic. clevelandclinic.org/cancertrialapp Healthcare Executive Education Cleveland Clinic has programs to share its expertise in operating a successful major medical center. The Executive Visitors’ Program is an intensive, 3-day behind-the-scenes view of the Cleveland Clinic organization for the busy executive. The Samson Global Leadership Academy is a 2-week immersion in challenges of leadership, management, and innovation taught by Cleveland Clinic leaders, administrators, and clinicians. Curriculum includes coaching and a personalized 3-year leadership development plan. clevelandclinic.org/executiveeducation Consult QD Physician Blog A website from Cleveland Clinic for physicians and healthcare professionals. Discover the latest research insights, innovations, treatment trends, and more for all specialties. -
Modelling the Effect of Driving Events on Electrical Vehicle Energy Consumption Using Inertial Sensors in Smartphones
energies Article Modelling the Effect of Driving Events on Electrical Vehicle Energy Consumption Using Inertial Sensors in Smartphones David Jiménez 1,* ID , Sara Hernández 2, Jesús Fraile-Ardanuy 3 ID , Javier Serrano 1, Rubén Fernández 2 ID and Federico Álvarez 1 ID 1 Grupo de Aplicación de Telecomunicaciones Visuales (GATV), IPTC, Universidad Politécnica de Madrid, 28040 Madrid, Spain; [email protected] (J.S.); [email protected] (F.Á.) 2 Grupo de Aplicaciones de Procesado de Señales (GAPS), IPTC, Universidad Politécnica de Madrid, 28040 Madrid, Spain; [email protected] (S.H.); [email protected] (R.F.) 3 Grupo de Sistemas Dinámicos, Aprendizaje y Control (SISDAC), IPTC, Universidad Politécnica de Madrid, 28040 Madrid, Spain; [email protected] * Correspondence: [email protected]; Tel.: +34-913367344 Received: 15 November 2017; Accepted: 7 February 2018; Published: 10 February 2018 Abstract: Air pollution and climate change are some of the main problems that humankind is currently facing. The electrification of the transport sector will help to reduce these problems, but one of the major barriers for the massive adoption of electric vehicles is their limited range. The energy consumption in these vehicles is affected, among other variables, by the driving behavior, making range a value that must be personalized to each driver and each type of electric vehicle. In this paper we offer a way to estimate a personalized energy consumption model by the use of the vehicle dynamics and the driving events detected by the use of the smartphone inertial sensors, allowing an easy and non-intrusive manner to predict the correct range for each user. -
The Wild Side of the Neolithic
The Wild Side of the Neolithic A study of Pitted Ware diet and ideology through analysis of stable carbon and nitrogen isotopes in skeletal material from Korsnäs, Grödinge parish, Södermanland Elin Fornander CD-uppsats i laborativ arkeologi 2005/2006 Handledare: Gunilla Eriksson & Kerstin Lidén Arkeologiska forskningslaboratoriet Stockholms universitet Abstract The Pitted Ware Culture site Korsnäs in Södermanland, Sweden presents a, for the region, unique amount of preserved organic material suitable for chemical analyses. Human and faunal skeletal material has been subjected to stable isotope analysis with the aim of examining whether the diet of the Korsnäs people correlates with the seal-based subsistence of Pitted Ware Culture groups on the Baltic islands. Further, the relationship between the faunal assemblage and the human diet has been studied, and the debated question of whether the Pitted Ware people kept domestic pigs has been adressed. Ten new radiocarbon dates are presented, which place the excavated area of the site in Middle Neolithic A, with a continuity of several hundred years. The results show that the diet of the Korsnäs people was predominantly based on seal, and seal hunting was probably an essential part of the Pitted Ware Culture identity. Based on the dietary pattern of the species, it is argued that the pigs were not domestic. The faunal assemblage, dominated by seal and pig bones, does not correlate with the dietary pattern, and it is suggested that wild boar might have been hunted and sacrificed and/or ritually eaten on certain occasions. Cover illustration: Anthropomorphic bone/antler figurine from Korsnäs. From Olsson et al. -
2021 4H & FFA Livestock Rules
2021 4-H/FFA LIVESTOCK RULE BOOK (Table of Contents) Beef (Dept. 4 ......................................... Page 16-17 4H Bucket Calf (Dept. 7) ……………… Page 18 Code of Ethics……………………………. Page 6-7 Dairy (Dept. 8)……………………….…… Page 22 4-H Dog Obedience (Dept. 11) ………... Page 26-27 Entry Fees and Premiums Paid…………. Page 5 Goat (Dept. 9) …………………………… Page 22-23 Health Requirements……………………... Page 3 Herdsman…….………………………….… Page 11 Horse, Pony & Mule (Dept. 1) ………… Page 12-13 Judging Contest (Dept. 3).……………. Page 15 Officers and Committees………………… Page 2 Livestock Show Schedule………………. Page 4 Poultry (Dept. 5) …………………………. Page 19 Premier Exhibitor (Dept. 12) ………….… Page 28 Rabbit (Dept. 6) ……………………………Page 20-21 Rules and Regulations……………………Page 8-10 Sheep (Dept. 2).…………………………. Page 14 Showmanship……………………………… Page 11 Swine (Dept. 10) ………………………... Page 24-25 1 PLEASE READ CAREFULLY 2021 OFFICERS OF THE FAIR President ............................................. Jon Baltes, Hampton DEPARTMENTS Vice President…………………… Jake Showalter, Hampton General Superintendent - Jon Baltes Secretary……………………………Jacob Ackerman, Ackley Treasurer – Tanner Brass Treasurer……………………….……Tanner Brass, Hampton Board Representative……………..Rodney Peters, Hampton Livestock Scott Ites*, Sarah Sturges, Randy Freerks Joe Showalter DIRECTORS Entertainment Adam Stock ............................................................ Hampton Mark Lettow*, Amy Craighton, Scot Horner, Alan Brown ............................................................. Hampton Dustin Odem, James Sprung, -
This-Momentary-Marriage.Pdf
This Momentary Marriage MomentaryMarriageDG.i03.indd 1 8/12/08 11:22:02 AM BOOKS B Y JOHN PI P ER God’s Passion for His Glory Don’t Waste Your Life The Pleasures of God The Passion of Jesus Christ Desiring God Life as a Vapor The Dangerous Duty of Delight A God-Entranced Vision of All Things (with Justin Taylor) Future Grace When I Don’t Desire God A Hunger for God Sex and the Supremacy of Christ Let the Nations Be Glad! (with Justin Taylor) A Godward Life Taste and See Pierced by the Word Fifty Reasons Why Jesus Came to Die Seeing and Savoring Jesus Christ God Is the Gospel The Legacy of Sovereign Joy Contending for Our All The Hidden Smile of God What Jesus Demands from the World The Roots of Endurance Amazing Grace in the Life of The Misery of Job and the Mercy of God William Wilberforce The Innkeeper Battling Unbelief The Prodigal’s Sister Suffering and the Sovereignty of God (with Justin Taylor) Recovering Biblical Manhood and Womanhood 50 Crucial Questions What’s the Difference? When the Darkness Will Not Lift The Justification of God The Future of Justification Counted Righteous in Christ The Supremacy of Christ in a Postmodern World (with Justin Taylor) Brothers, We Are Not Professionals Spectacular Sins The Supremacy of God in Preaching Beyond the Bounds (with Justin Taylor) MomentaryMarriageDG.i03.indd 2 8/12/08 11:22:02 AM This Momentary Marriage A Parable of Permanence John Piper CROSSWAY BOOKS WHEATON, ILLINOIS MomentaryMarriageDG.i03.indd 3 8/12/08 11:22:02 AM This Momentary Marriage Copyright © 2009 by Desiring God Foundation Published by Crossway Books a publishing ministry of Good News Publishers 1300 Crescent Street Wheaton, Illinois 60187 All rights reserved. -
Utilization of Frozen Thawed Semen in Large Black Pigs
UTILIZATION OF FROZEN THAWED SEMEN IN LARGE BLACK PIGS; GROWTH AND CARCASS CHARACTERISTICS OF LARGE BLACK PIGS FED DIETS SUPPLEMENTED WITH OR WITHOUT ALFALFA by Katharine Grace Sharp A Thesis Submitted to the Faculty of Purdue University In Partial Fulfillment of the Requirements for the degree of Master of Science Department of Animal Sciences West Lafayette, Indiana August 2020 THE PURDUE UNIVERSITY GRADUATE SCHOOL STATEMENT OF COMMITTEE APPROVAL Dr. Kara Stewart, Chair Department of Animal Science Dr. Brian Richert Department of Animal Science Dr. Brad Kim Department of Animal Science Dr. Zoltan Machaty Department of Animal Science Approved by: Dr. Alan G. Mathew 2 Dedicated to my Aunt Eunice (1925-2020) 3 ACKNOWLEDGMENTS I would like to thank Dr. Kara Stewart for giving me the opportunity to pursue a Master’s degree, and to do research in an area of agriculture that will help small pork producers and more importantly assist the pigs found on small farms. I would like to thank Dr. Stewart for her guidance and knowledge during this project and for her patience helping me develop as a student, and researcher. I would like to thank my committee, Dr. Brad Kim, Dr. Zoltan Machaty, and Dr. Brian Richert for providing support and knowledge helping me improve. Many thanks to Dr. Richert for teaching me about finishing swine, and for formulating the finishing diets. I would like to sincerely thank Dr. Harvey Blackburn for funding this project, for your advice the past two years and helping me. Thank you to Dr. Charlene Couch for her passion for these special pigs, and for teaching me to how to connect with the breeders.