![]() ![]() In the NASCET 3,4 and ECST 5 studies, in which carotid endarterectomy is indicated for symptomatic patients, carotid stenosis is quantified using conventional angiography. Measuring carotid stenosis using sonography 14 This review explains sonography methods used in evaluating carotid stenosis and follows the consensus recommendations issued by the Spanish Society of Neurosonology (SONES). Likewise, the usefulness of performing transcranial Doppler or duplex sonography to assess distal effects of carotid stenosis is unclear. 10 Although different expert consensus groups have attempted to set down criteria for diagnosing and quantifying carotid stenosis using ultrasound, 11–13 they do not agree on which haemodynamic parameters should be used. Vascular imaging techniques used to diagnose carotid stenosis have advanced considerably in recent years, especially ultrasound imaging. Recall that benefits are less marked in cases of moderate stenosis (50%–70%) and marginal in cases of asymptomatic stenosis. 4 Although surgery may be beneficial for patients with symptomatic stenosis of 50% to 70% or asymptomatic stenosis, surgical treatment – whether endarterectomy or angioplasty with/without stenting – must be considered on a case-by-case basis. Risk levels were higher for stenosis exceeding 90% (35% of all vascular events/year) than for stenosis in the 70% to 79% range or stenosis >99% (yearly risk of 11%). The recurrence rate was only 7.2% in patients who also underwent surgical treatment. 4,5 In cases of stenosis ≥70%, 24.4% of patients receiving medical treatment experienced recurrence during a 2-year follow up period. The procedure was assigned a recommendation level of A since it decreased overall risk of new cerebrovascular events by about 50% compared to a group receiving medical treatment only. The NASCET 3,4 and ECST 5 studies showed that under certain conditions, carotid endarterectomy effectively prevented stroke recurrence in patients with symptomatic stenosis ≥70% who had experienced TIA or mild cerebrovascular event. 2 The degree of stenosis of the internal carotid artery (ICA) is the most important indicator of risk of stroke, and the basis on which doctors decide if endarterectomy is needed. The risk of recurrence is particularly high in strokes with an atherothrombotic mechanism. 1 With this in mind, identifying and treating arterial stenosis correctly is a top priority. 1 TIA precedes a disabling infarct in up to 43% of patients with a stroke of atherothrombotic origin. It is estimated that 28% of ischaemic strokes occurring in Spain are atherothrombotic in origin, and that most are caused by carotid stenosis. Se revisan los hallazgos que permiten cuantificar el grado de estenosis carotídea extracraneal utilizando tanto el estudio ultrasonográfico carotídeo como el transcraneal, con un especial énfasis en la importancia de la valoración de signos indirectos. En esta revisión se detalla la metodología para la evaluación de la estenosis carotídea desde el punto de vista ultrasonográfico, siguiendo las recomendaciones de consenso establecidas por la Sociedad Española de Neurosonología (SONES). Las alteraciones de la velocidad de flujo en el punto de máxima estenosis junto con los cambios hemodinámicos en regiones proximales (arteria carótida común) y distales (carótida interna postestenótica, arteria oftálmica y polígono de Willis) permiten cuantificar con precisión la estenosis carotídea. La ultrasonografía es la técnica más habitual para el diagnóstico de la estenosis carotídea. Common problems in interpreting and diagnosing carotid stenosisĮn España se estima que aproximadamente un 28% de los ictus isquémicos son de etiología aterotrombótica y mayoritariamente se deben a una estenosis carotídea.Internal carotid stenosis following endarterectomy or affecting a stent.Findings in the transcranial doppler/duplex study.Severe internal carotid artery stenosis (80% to 90%).Direct and indirect findings in the carotid.Internal carotid artery stenosis of 70% to 79%.Internal carotid artery stenosis of 50% to 69%.Indirect findings in the transcranial doppler/duplex study.Direct and indirect findings in the carotid artery.Internal carotid stenosis of less than 50%.Haemodynamic criteria for quantifying carotid stenosis.Parameters to be analysed in a carotid stenosis study.Measuring carotid stenosis using sonography. ![]()
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![]() ![]() Keeping your RRSP as an RRSP provides flexibility to manage withdrawals when you having other income sources that are variable. Once you RRIF you cannot “un-RRIF” and taxable income will be generated each year by the minimum required withdrawal. Be sure you are not likely to return to work or have any other type of significant income like a large capital gain before converting your RRSP to a RRIF before age 71. Again, this doesn’t mean that you don’t owe tax, but rather you could use other funds to pay the tax rather than from the RRIF. If you do this and only withdraw the minimum amount required, then there is no withholding tax at all. The last thing to note is that you can convert your RRSP to a RRIF before age 71. Make sure you have the funds to cover the balance. Therefore, cashlfow planning around RRSP withdrawals is important, especially if you owe more than the tax withheld at source on the withdrawal. Withholding tax is a prepayment of tax only. Remember tax withheld at source is not necessarily the amount of tax that is actually payable on your income earned.
![]() ![]() It allows surfing the web faster and safer than ever, by using a new and improved rendering engine and featuring various tools for improving security and privacy. Internet Explorer features a whole new rendering engine, which can display even complex web pages very accurately, even if we are talking about web animations or Flash video players. ![]() He can also delete all the browser's cache and cookies using a single click, for improving privacy. As such, he can export all its settings, history, favorites and more to a file and can import it later on. Hitting the Alt button will open the classical menu, from where the user can access all the browser's features. Speaking about these, IE features an efficient pop-up blocker, which manages to block all those annoying and dangerous windows which are automatically opened by certain websites without the user's consent. When downloading a file from the web, the user can pause the download process and resume it at any moment and can also have the file scanned for viruses automatically, when the download process is over. What's more, IE supports different kinds of add-ons, which can extend its functionality and bring new features. One of them is the possibility to add any website to a favorites folder in a much easier way then other web browsers. After completing this step, one will be able to surf the web just by typing the address of his desired website into the address bar.īut the similarities with other web browsers stop here, as Internet Explorer has many more features than similar programs. Beginners can choose the automatic mode, which automatically adjusts the web browser for best experience. Still, it displays a configuration window when it's launched for the first time, giving the user the possibility to configure all its settings or to select an automatic mode. It allows surfing the web in a whole new way.Īs it's included in the operating system, Internet Explorer doesn't need installing. The newest version of Windows, 7, includes the latest Internet Explorer 9, which is a true revolution in the world of web browsers. As time passed and newer versions of Windows were developed, Internet Explorer became better and better, having a better browsing speed and more features. If I have missed anything, please share it in the comments below.Since the early ages of the Windows operating system, users could use the included Internet Explorer web browser for browsing the web. Internet Explorer 11 for Windows 7 and Windows Server 2008 Internet Explorer 10 for Windows 7 and Windows Server 2008 Direct download links to IE11: Internet Explorer 9 for Windows Vista, Windows 7 and Windows Server 2008 Direct download links to IE10: Internet Explorer 8 for Windows Vista, Windows Server 2008 and Windows Server 2003 Direct download links to IE9: Internet Explorer 7 for Windows XP / Windows Server 2003 Direct download links to IE8: If you want to test your apps on IE6, you can use services like browserstack for testing. Internet Explorer 6 has been discontinued by Microsoft. ![]() If you are running apps that still require Internet Explorer, we have shared different alternatives that can be used to run Internet Explorer apps. Note: Microsoft has discontinued Internet Explorer in favor of Microsoft Edge. One sign of this is that recently Chrome surpassed the popularity of IE in the US for the first time in history. Internet Explorer is Microsoft’s Internet browser which has improved constantly over the years but the improvements have been quite slow compared to other competing browsers like Google Chrome and Mozilla Firefox. In this article, you will find direct download links to the offline installers of almost all Internet Explorer versions from 6 to 11 along with their service packs and language packs where applicable. ![]() ![]() ![]() There are other services where we do not set the exchange rate, such as when you use your debit or credit card outside of Canada to withdraw cash from an ATM or make a purchase. The exchange rate we use is our applicable exchange rate in effect when the deposit is posted to your account. When funds to be deposited into your account with us are in a currency that is different from that account, such as with an incoming wire transfer, we convert the funds into the currency of your account, and then deposit them into your account. Receive a wire payment or deposit a cheque in a currency that is different from the currency of the account into which you are depositing the funds.įor these services, we will quote to you our applicable exchange rate for the transaction and you may choose whether or not to complete the transaction.Send a wire transfer in a currency that is different from the currency of the account you are sending from or.Purchase a draft in a currency that is different from the currency you are using to buy the draft.Purchase foreign currency in cash from us, or we purchase foreign currency in cash from you.We set the exchange rate for foreign currency purchases associated with many services, such as when you: Exchange rates fluctuate throughout the day. For example, the exchange rate determines how much in Canadian Dollars it will cost to purchase U.S. A foreign currency exchange is a purchase that occurs when you purchase foreign currency from us or we purchase foreign currency from you.Īn exchange rate is the price at which one currency can be purchased or sold for another currency. ![]() When we refer to foreign currency, we are referring to a currency other than Canadian Dollars. This information is for our Personal Banking Customers. ![]() ![]() ![]() Each texture plug charges via magnetic charging, 2 hours of charge provide an hours play. Get creative and ready to enter a wonderland of good vibes and mind-blowing orgasms.Īll b-Vibe Texture Plugs are hypoallergenic and made from premium 100% body-safe silicone. The swirl texture plug features 6 vibration patterns for endless anal play possibilities. Use the one-touch button to indulge in six vibration patterns that deliver sensual orgasms! 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It’s possible that Dustin courted Cassie, something happened (or didn’t happen) briefly and then they moved on. Liesman Elisa Leal Sherilynn Moore Mimi Ten Worms Mousetrap Present for Mom. That could just be teenage posturing - Cassie was probably 15 or so, and Blackwell has been ID’ed as maybe 19/20 (although he does have a picture with kids in it, but they could be nephews or something). The descendants of John Ed and Olive Compton White met at the Breaks Interstate Park on the Virginia/Kentucky state line near Grundy for a family reunion. Stefan Compton Taylor Agan Tyler Clark Zachary Lara Keri Petersen Cassie K. Here’s a bit more from Blackwell’s Facebook. I personally doubt the stepfather/mom’s boyfriend is involved, but … it’s always something to consider. Authorities in the area have said they don’t believe she was abducted, but they are involving the FBI and missing children resources. There’s been some speculation online - you saw a little of the same in the Natalee Holloway case with her stepfather - that maybe the Brandon Rhodes guy was messing with her and she ran away. (That typically doesn’t happen.)ģ. The mother (Judy) and her boyfriend/fiancee ( apparently named Brandon Rhodes) were heavily involved in contacting law enforcement during the early parts of this situation. There’s also some story that the boyfriend called law enforcement and was told to wait 72 hours. Her mom, Judy Compton, tells us her reaction when she first watched the video. You can’t buy cigs at 15, and even if you have a friendly local 7-11 or something, it seems like a weird dynamic. Police also said their investigation remains open. Stuttgart police revealed in a Facebook post that the FBI spoke with the woman seen in the video and confirmed she was not Cassie Compton. ![]() ![]() It looks suspect, but that doesn’t mean Blackwell did anything here, FYI.Ģ. Something could be weird with the family here - the party line on the night she disappeared is that she went out to get cigarettes, presumably by herself, and her family knew. 630 Shares Tweet Police in Arkansas announced Friday that a woman seen in a viral video is not a missing person who vanished in 2014. Here’s the last thing posted on her Facebook page prior to the disappearance:Īs has been noted by a few other people - online sleuths, so take it with a grain of salt - that was essentially the last time either of them posted on Facebook. Let’s dive in.ġ. There’s a guy based in her town named Dustin Blackwell. Although he has not been charged with anything in connection to Compton's disappearance, he had a sit-down interview with local TV station KATV to bring closure to Compton's family. This one is an interesting case that’s gotten some attention, but not a great deal - she did disappear around the same general time frame as Hannah Graham, which has gotten tons of attention, and Christina Morris, which has gotten almost none - and it seems like most of the theories loom in two directions, with a possible third. Rhodes was engaged to Compton's mother, Judy Compton Kimsey, in September of 2014 when she went missing. I'm LIVE - join me on is #CassieCompton? /apCQoEBdbH ![]() ![]() ![]() For tips on locating your product key, check Find your Office 2010 product key or Enter the product key for your Office 2007 program. If you have Office 2010 or earlier and choose to perform a clean install of Windows 10, you will need to locate your Office product key. For more information, check How to upgrade to Windows 10 on new devices that include Office 365. To redeem your copy of Office, please see Download and install Office 365 Home, Personal or University on your PC. 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![]() Jewel Samad/AFP via Getty Images Lana Del Rey has faced consistent backlash since early 2020. Callie Ahlgrim Updated Lana Del Rey at the 2018 Grammys. Here's a complete timeline of how the singer soured her own reputation. Let us present your WFH soundtrack for the months ahead: the 45 best albums of 2021. Home Celebrity Some fans have turned on Lana Del Rey. Here, we celebrate the LPs that really made their mark on the year that music returned. The album, as ever, remained an important medium for telling stories, creating worlds and conveying meaning. Pop-punk made a comeback, women continued to dominate the pop sphere and a song about a bit of antique furniture buzzed around our heads all summer. Del Rey confronted the pap in a very calm, p. We had breakout stars, the return of old favourites and a lot in between. Lana Del Rey couldnt bite her tongue when she spotted a non-X17 paparazzo snapping a shot of her license plate. Music that had been held back, pandemic albums, new artists finally getting a chance to build a fanbase the old-fashioned way, show by show. The return of live music caused the music industry to breathe a collective sigh of relief – although it feels strange writing that with the tragedy of Astroworld still so fresh in our minds and with Omiicron threatening shutdown once again. ![]() After the horrors of 2020, it wasn’t hard for 2021 to be a step up but regardless, there was definitely plenty to celebrate. Which brings us up to speed to today.How’s that, kids! Another year down the pan. Lana Del Rey seems to have a new man in her life Back in July, she and fellow singer Jack Donoghue posed together for a since-deleted IG hard. But then she entered her “ Maxxinista period” when she wore a gown she bought at the mall on the Grammys red carpet and dressed like a casual Midwestern mom when spotted by the paps with her cop ex-boyfriend. Their hard launch practically broke the internet. Born to Die put her on the map with a 1950s Americana aesthetic, including lots of American flags, cocktail dresses, and updos Ultraviolence included a dramatic shift into LA dirtbag-core territory and then she went back into nostalgia, dabbling in the flower-child thing before landing Gucci campaigns under Alessandro Michele. More than 2,000 people have already signed a petition on to 'ban Lana from PicsArt. While many fans were excited, others were horrified by the sepia-toned cover art. This is not the first time people are talking about Del Ray’s style. Lana Del Rey announced on Tuesday that her new album, 'Blue Banisters,' will be released on July 4. I love lana del reys low budget looks not everyone wanna dress like this /DZmwMpkkTh- GOTHICC December 6, 2021 Idc if lana's dress was cheap she looked amazing /UoShu2iR1T- archie December 5, 2021 Lana pulling up in a SHEIN dress is the definition of camp- □ □ December 4, 2021 In a world where everyone is pulling off the same manicured y2k, faux-bottega/row looks, this randomized sim vibe is a breath of fresh air. She looks terrible and I love her so much for it. i mean some of you actually try really hard and still look like shit-, December 5, 2021 ![]() Here are some more reactions supporting Del Rey:Ībsolutely losing my mind at Lana Del Rey wearing an $18 Shein dress to the Variety Awards /UuVDiKafj7- anna December 4, 2021 ![]() “she literally can wear anything and it won’t affect her,” adding that “if she wanted to have a career in high fashion and go to shows everyone would still have her and gag because she’s Lana … that’s the power of becoming oneself … people follow you.” “IDGAF, I love it lol,” she shared a post on her Instagram. Del Rey herself, when accepting the award, said: “I’m grateful for all the criticism - I get a lot.” She wasn’t talking about the dress specifically, but still others, including Lourdes Leon, model and Madonna’s daughter, applauded her. Wearing an $18 dress on a red carpet shouldn’t be news but on Twitter, some took hater stances. Del Rey was born Elizabeth Woolridge Grant in New York City, to Patricia Ann (Hill), an account executive, and Robert England Grant, Jr. She paired the dress with a mechanic’s jacket and tall suede boots. Vocalist Lana Del Rey makes atmospheric, orchestral, retro-60s-sounding pop that showcases her torchy image and sensuously husky singing style. On the red carpet the songstress wore a strappy, malachite-printed dress supposedly from Shein, the online fast-fashion retailer, that’s priced at $18 (the site is known to copy indie designers, which could be the case here). 30 - Vancouver, BC - Pepsi Live at Rogers Arena. 21 - Wantagh, NY - Northwell Health at Jones Beach Theater. On Sunday, Lana Del Rey received Variety magazine’s artist of the decade award in Los Angeles. Lana Del Rey Tour Schedule - 2019 Norman F-cking Rockwell Tour Dates. Photo-Illustration: by The Cut Photos: Shutterstock, SHEIN ![]() ![]() A regular haircut from the barber will compliment your fine choice in attire and a cut throat shave will have you looking one hundred percent on point. Basically, a versatile closet that never fails you. You are streamlining the number of items you own, while trying to maximize the function and outfit options. Regular, detailed grooming of self is even more important than all of our other stylistic choices. A capsule wardrobe is a set of men’s clothing essentials that can be worn year-round and eliminates the extra pieces in your closet. They say that the devil resides in the details, which means that they must never be overlooked. Check on the integrity by asking about the manufacturing, the sole of the shoe should be stitched on and replaceable if need be. When purchasing, don’t be duped by inferior knock offs. Stick to clean designs, no pointy or square toes and you’ll be on a winner that never goes out of fashion. ![]() This is a shoe that is truely timeless and an investment that can last you twenty years. Yes a pair of round toed, re-soleable, goodyear welted classics. Tending to your clothes can be tedious but having ironed shirts and polished shoes will show that you value and respect not only your clothes but also yourself. Having a wardrobe full of luxury clobber is useless if it’s worn crinkled and creased. Play around and see what works for you.Ī big proponent of perfecting your style can happen before you even get dressed. Try swapping a shirt for a plain tee or pants for jeans. This is a very relaxed and cool approach that works well in a variety of situations. In this technique, everyday casual pieces are mixed and matched with more formal pieces. Often less is more and a splash in one garment is all it takes to lift an entire outfit.Ī great way to spice up your style is to experiment with high low dressing. For the wolves on the other hand, color makes an impact and can be timeless too. This is fine if you wan’t to remain forever a sheep in the flock. Many men shy away from color and follow the traditional norms of navy and grey, especially with business dress. Feeling comfortable instills self confidence and helps a man project his genuine image. ![]() Attire should be a second skin and no matter the advice on offer, comfortable should always be first and foremost. When choosing what clobber to wear, on no occasion should a man ever suffer in pursuit of style. ![]() |
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