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Ethan Phillips
Ethan Phillips

Ek ? The Power Of One [2009 ? FLAC]



Like the Nd:YAG laser, FSL uses a process of photodisruption, whereas argon and excimer lasers employ photocoagulation and photoablation, respectively [2]. The precisely focused FSL can increase the power density, on a targeted structure depth [3], and can cut tissue via photodisruption, which is the process of generating a plasma of free electrons and ionized molecules that rapidly expands and collapses to produce microcavitation bubbles and acoustic shock waves, resulting in incisions and separation of the target tissue [1, 4]. FSL is not only able to produce consistent and reproducible tissue incisions, but it can also allow the creation of various shapes of incisions, such as circular, decagonal, and zigzag shapes [1, 2].




Ek – The Power of One [2009 – FLAC]



Greatest Hits is the only compilation album by American rock band Boston. Released on June 3, 1997, the album features songs originally released on both the Epic and MCA record labels, as well as three previously unreleased recordings ("Tell Me", "Higher Power" and "The Star-Spangled Banner"). Tom Scholz, the band's leader, felt that the album's audio quality was not up to his standards, so a remastered version of the album was released in 2009 with a slightly different track listing. Boston embarked on a tour for this album both times it was released.


A review of the first 50 patients who underwent DMEK with the Melles group found that the procedure offered quick visual recovery with excellent final visual acuity (Ham 2009). Early graft detachment was the main complication, and DSEK was performed as a secondary procedure in 10 of those patients. Of the 40 remaining DMEK eyes, 95% had BCVA of 20/40 or better and 75% with 20/25 or better at 6 months. The Price group had similar results in their initial series, finding 63% with vision 20/25 or better and 26% with 20/20 or better vision at 3 months (2009).


Endothelial cell loss with DMEK appears to be comparable to DSAEK based on early follow-up data. The Melles, Price, and Kruse groups have reported their post-operative endothelial cell density results. In these studies, the mean donor endothelial cell density ranged from 2560 cells/mm2 to 3010 cells/mm2. Price et al, in a 60 case series, found a 30% endothelial cell decline at 3 months post-operatively and a 32% decline at 6 months (2009). In a report of 1-year prospective outcomes in 136 patients, the same group found similar results with a 31% loss of endothelial cell density at 3 months and a 36% loss at 1 year (Guerra 2011). Studies by the Melles group reported mean endothelial cell density ranging from 1674 cells/mm2 to 1815 cells/mm2 at 6 months post-operatively (Ham 2009, Dirisamer 2011, Van Dijk 2013). Six-month endothelial cell loss was similar for the series of first 50 cases (30%) and their next 200 cases after an initial learning curve (34%) (Ham 2009, Dirisamer 2011). The surgical learning curve does not appear to affect post-operative endothelial cell density significantly.


As surgeons gain experience, fewer patients require repeat procedures. Dapena et al. published an initial series of 135 cases, reporting a rebubble rate of 20% in the first 45 cases that decreased to 4.4% in the last 35 cases (2011). The Melles group, in their first 50 cases, reported that 10 of 50 cases required a secondary DSEK procedure because of complete or partial DMEK detachment (Ham 2009). Of the 200 cases reported after a learning curve of 25 cases, this complication rate decreased notably (Dirisamer 2011). Overall, 18 of 200 (9%) of patients in that series had a graft detachment that required a secondary surgical intervention by rebubble or regraft; 13 of these occurred within the first 100 cases and only 5 during the second 100 cases, demonstrating further decrease in the rate of this complication with surgical experience.


When DSAEK and cataract surgery are performed together, the choice is often made to leave the patient myopic by -1.00 to -1.25D. This adjustment is made to correct for the known hyperopic shift after DSAEK of approximately +1.00D (range of +0.80D to +1.50D). The hyperopic shift with DSAEK has been attributed to the shape of the donor tissue. A lenticule prepared by a microkeratome is thicker at the edges than in the center, resulting in a minus lens effect. With DMEK, since no additional stromal tissue is added, no hyperopic shift was predicted. However, Ham et al. found a smaller but statistically significant hyperopic shift with DMEK as well (2011). In 50 eyes that underwent DMEK, the mean increase in spherical equivalent was +0.30D. They also found an increase in posterior curvature along with the expected decrease in pachymetry. These findings suggested that instead of graft shape, the shift in corneal power with DMEK is secondary to decreased swelling in the posterior stroma with an associated steepening of the posterior corneal curvature (Ham et al. 2011). Similarly, van Dijk et al. reported a mean change in spherical equivalent of +0.33D at 6 months after DMEK. Refractive stability was shown at 3 months post-operatively with no significant change in spherical equivalent between 3 and 6 months follow-up (2013). Because of this hyperopic shift, surgeons performing cataract removal prior to DMEK may choose to select a lens that leaves the patient myopic by approximately -0.50D.


Ham L, Dapena I, van Luijk C, van der Wees J, Melles GR. Descemet membrane endothelial keratoplasty (DMEK) for Fuchs endothelial dystrophy: review of the first 50 consecutive cases. Eye (Lond). 2009 Oct;23(10):1990-8.


Ham L, van Luijk C, Dapena I, Wong TH, Birbal R, van der Wees J, Melles GR. Endothelial cell density after Descemet membrane endothelial keratoplasty: 1- to 2-year follow-up. Am J Ophthalmol. 2009 Oct;148(4):521-7.


Ham L, Dapena I, Moutsouris K, Balachandran C, Frank LE, van Dijk K, Melles GR. Refractive change and stability after Descemet membrane endothelial keratoplasty. Effect of corneal dehydration-induced hyperopic shift on intraocular lens power calculation. J Cataract Refract Surg. 2011 Aug;37(8):1455-64.


McCauley MB, Price FW Jr, Price MO. Descemet membrane automated endothelial keratoplasty: hybrid technique combining DSAEK stability with DMEK visual results. J Cataract Refract Surg. 2009 Oct;35(10):1659-64.


Price MO, Giebel AW, Fairchild KM, Price FW. Descemet membrane endothelial keratoplasty: prospective multicenter study of visual and refractive outcomes and endothelial survival. Ophthalmology. 2009 Dec;116(12):2361-8.


Hatlessi tried downloading these, and on the website, the songs sound great quality. but when you download the mp3 files, (flac as well) they come out glitchy and broken when the songs get just a bit too loud, "ground" being the most noticeable, so far. i won't be downloading these until these get fixed, sadly. was excited to add these to my collection.Are you using iTunes?


i tried downloading these, and on the website, the songs sound great quality. but when you download the mp3 files, (flac as well) they come out glitchy and broken when the songs get just a bit too loud, "ground" being the most noticeable, so far.


TailsIsCuteyou know wat new soup wii is actually the best one if ya tink bout it new soup ds was good but the ds wasnt THAT powerful but the wii made it good with epic music cool new items (finally the opposite of the fire flower) good level design and oh that final boss OMGactually I love that new soup wii... if I had the chance to play that game...


TailsIsCuteyou know wat new soup wii is actually the best one if ya tink bout it new soup ds was good but the ds wasnt THAT powerful but the wii made it good with epic music cool new items (finally the opposite of the fire flower) good level design and oh that final boss OMGnew soup 2 and wii u were bland or unoriginal


ddisgdactually I like this game too( I watch the gameplays and the levels are pretty good).If new soup 2 can be better...And the soundtracks are pretty good too!you know wat new soup wii is actually the best one if ya tink bout it new soup ds was good but the ds wasnt THAT powerful but the wii made it good with epic music cool new items (finally the opposite of the fire flower) good level design and oh that final boss OMG


Life satisfaction is commonly used as an indicator of general well-being (Diener, Emmons, Larsen, & Griffin, 1985), and has been found to be related to perceived stress, reported level of social support, and self-efficacy in university students (Coffman & Gilligan, 2002). However, few studies have looked at how life satisfaction relates to different aspects of sleep in student populations (Lund, Reider, Whiting, & Prichard, 2010), even though the importance of sleep for well-being has been documented in other populations. Paunio and colleagues (2009) found in a nationwide cohort study including 18 631 Finnish twins, that poor sleep can predict life dissatisfaction. Similarly, a longitudinal study by Kalak, Lemola, Brand, Holsboer-Trachsler, and Grob (2014) found that sleep duration in Swiss and Norwegian adolescents prospectively predicted psychological well-being (as measured by the Bern well-being questionnaire for adolescents-subscale). Considering that sleep problems have been found to also be present at alarming levels in college and university students (Buboltz, Brown, & Soper, 2001; Lund et al., 2010), more research regarding the relationship between sleep variables and well-being in college and university students is needed.


As the design of this study is cross-sectional, the directions of the temporal relations cannot be established. The relationships are also likely to be bidirectional, with disturbed sleep affecting how satisfactory the students judge their life, and the amount of satisfaction with their life affecting how well they sleep. On the other hand, some longitudinal studies have shown that sleep quality (Paunio et al., 2009; Totterdell, Reynolds, Parkinson, & Briner, 1994) and sleep quantity (Kalak et al., 2014) affects life satisfaction, whereas no evidence was found for the reverse relationship. These results suggest that, in the current study, sleep affected life satisfaction more than life satisfaction affected sleep.


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