Anatomy of an Upfront: Behind the Scenes of NBCU’s Road to Radio City – AdAge.com

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Every spring the big TV networks mount elaborate stage shows to promote their new seasons to ad buyers, trying to establish the best possible position before beginning talks for all the upcoming commercial time. Some buyers may just as soon skip the spectacle, but networks still consider them a key tool for framing their offering.

For NBC Universal, the stakes are some $6 billion in ad commitments that Linda Yaccarino, chairman of advertising sales and client partnerships, will negotiate in the weeks following the presentation.

NBC's show at Radio City Music Hall ultimately included 10 confetti cannons, six pyrotechnics cannons and over 100 hours of rehearsal. It left out the planned dancing football players and trampoline artists when John Shea, creative director of the event, cut them at 10 p.m. the night before.

Ad Age followed NBC Universal's team for the three months leading up to the annual pitch to see firsthand what it takes to pull it all off. Watch the video for an exclusive behind-the-scenes look.

By Jeanine Poggi, Nate Skid and David Hall.

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Anatomy of an Upfront: Behind the Scenes of NBCU's Road to Radio City - AdAge.com

Science in the sky: Anatomy of a rainbow – WRAL.com

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By Tony Rice

As summer unofficially begins this weekend (summer officially begins here in the northern hemisphere at the solstice, June 21) weve already begun seeing the staple of summer weather in our area: isolated thunderstorms in the afternoon and evening.

As those storms pass, we are often treated to rainbows.

That is just what happened Thursday evening when a series of small storms passed through the area.

Occasional sprinkles didn't impede preparations for Apex High School's year-ending pops concert at Koka Booth Amphitheater in Cary. Showtime was a different story. The combined choirs were barely into the opening song when a small but heavy storm put the show on pause.

Fifteen minutes later, the crowd was rewarded with one of the most brilliant rainbows Ive seen.

You probably know that rainbows are produced by sunlight passing through a raindrop. The light is bent or refracted because the denser water causes the light to travel more slowly. That light, now separated into its component wavelengths (colors), is reflected off the back of the raindrop and back out producing a colorful arc across the sky.

Rainbows are actually circles, centered on a point directly opposite the sun. We see just the portion of that circle above the horizon though. Rainbows most often appear in the early morning and late afternoon. The lower the sun, the more rainbow we see. Look closely and you'll sometimes find much more though.

The large raindrops of that storm and quickly clearing western skies produced an intense rainbow with narrow, well-defined bands of color. Small raindrops produce wider bands of color which overlap recombining those colors to appear more white.

Sometimes a broader, fainter bow appears above the primary bow. This happens as light is reflected once more inside the raindrop. That additional reflection reverses the color order in the secondary bow. Secondary bows are 1.8 times as wide as the primary and less than half the brightness.

Faintly visible just below the primary bow is a supernumerary arc. These alternate pink and green and are the result of interference of light as it exits the water drop.

Light is also reflecting off raindrops. This causes a noticeable brightening of the sky inside the primary bow. Similarly, a noticeable darkening of the sky between the primary and secondary bows is caused as light is reflected away from our eyes. This area is known as Alexanders Dark Band, named for Alexander of Aphrodisias, who first described the phenomenon in AD 200.

Several in the crowd insisted they saw a third dim bow above the secondary bow. They did not. They were looking in the wrong place. In 250 years, only five scientific reports of tertiary rainbows are known to exist.

While each bow is created through the same refractive and reflective process inside raindrops, third (tertiary) and even fourth (quaternary) bows are extremely rare. These form around the sun, not opposite the sun as primary and secondary rainbows do. These higher order rainbows are usually are hidden by the suns glare, conditions have to be just right to see them.

Raymond Lee, a professor of meteorology at the U.S. Naval Academy, and optics expert Philip Laven described the conditions needed to create higher order rainbows in their paper published in Applied Optics in 2011. The sun breaking through dark thunderclouds following a heavy downpour of nearly uniform sized raindrops is required.

The evening of music was topped off when, as if on cue, the International Space Station rose directly behind the stage and over the crowd during the combined orchestra and chorus finale.

Tony Rice is a volunteer in the NASA/JPL Solar System Ambassador program and software engineer at Cisco Systems. You can follow him on Twitter @rtphokie.

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Science in the sky: Anatomy of a rainbow - WRAL.com

Grey’s Anatomy Round Table: Is Bailey Cut Out For Being Chief? – TV Fanatic

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OnGrey's Anatomy Season 13 Episode 13the friction between members of the hospital got infinitely worse, and sides were being taken amongst the attendings. The other attendings, Maggie in particular, made April's first day as interim Chief of Surgery, difficult.

Eliza begin the second phase of her teaching program, which allowed Ben and Stephanie to perform solo surgeries with no aid. Ben's surgery was successful but Stephanie's went badly.

Join TV Fanatics Tiffany, Amanda, and Jasmine as they discuss whether it was fair that the others ostracizedApril, whether a truce is on the horizon amongst the fractured group of friends, and much more.

Do you think it was fair that the other doctors ostracized April for taking Meredith's position?

Tiffany: I know it may seem childish but yes. I didn't buy April's argument that she was just doing her job. I think she saw an opportunity to have a higher position, even if it belonged to someone else, and took it.

I understand it, a lot of people who do it but don't pretend like you did it for some other, nobler reason. Especially considering how strongly she felt about Webber's cause right before that.

Amanda: I think it was really unfair for the doctors to turn their backs. Was April really supposed to say no? The patients would suffer. Someone needs to help out and take charge without Meredith there.

I also find it really annoying that Meredith seems to do no wrong in the eyes of her friends, but April is constantly criticized or made fun of. The girl went into a war zone and helped people. That's a lot more than a lot of these other doctors have done. Give the woman some credit. She's a great doctor.

Jasmine: I'll fall somewhere in the middle with this. It was childish, but I completely understand it and I probably would have been the same way. It didn't spill over into them not being able to do their jobs.

I don't think April was being opportunistic. I do think that April is a chronic do-gooder, obsessively so, and that has been an issue for her ever since Derek brought her back after her mistake.

I feel like in April's mind she had to take it. She knew what it was like to lose her job before, and she didn't want a repeat of that again. She was offered the position after Meredith was suspended, so I get feeling like she had no choice.

Plus, if she didn't take it, and no one else would touch it, then somebody knew would potentially be brought in, and that is the root of the problem as it is. I don't like April's choice, and I would have shut her out too, but I get why she did it. And I agree with Amanda about Meredith. It's irritated me for all thirteen seasons.

Watch Grey's Anatomy Season 13 Episode 13 Online

Did finding out that Eliza never lost a child before this one make you sympathize with her more? Or does it make you question her methods even further?

Tiffany: Nope, still hate her. It was definitely her fault they lost the little boy. Stephanie is a great resident and I initially thought she'd be fine but why in the world would you risk a kid's life on a first-time solo surgery?

I think they got a little too caught up in their excitement and it became more about the surgery than the patient. This seems to happen a lot with Minnick. She's so focused on her methods and the residents that she doesn't consider anyone or anything else.

Amanda: I don't feel one way or the other about Eliza, but it does seem unrealistic that she would make it this far in her career without seeing a child die. If her reaction was any indication, she's a lot more fragile than she's been letting on.

Jasmine: Words cannot describe how little I care about Eliza. I'm just done with her. I find her character incredibly irritating for so many reasons. One of which, what Tiffany mentioned above. I can't deal with this woman's total disregard for patients.

She makes Yang look like Mother Theresa. I find her attitude and approach abhorrent, and the fact that she never lost a kid before, and has limited experience in things outside of her field, tells me she's not a good fit here.

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Is Bailey cut out for being Chief or do you think it would be better if someone else took over?

Tiffany: I think Bailey will ultimately be a great chief, but right now she's not acting like Bailey, she's impersonating Catherine and Catherine would not make a good chief. She's pushy, arrogant, stubborn, and thinks she knows what's best for everyone.

It was her whispering in Bailey's ear that caused all these problems to begin with. Bailey could have upgraded the teaching program and brought in Minnick without blindsiding Webber and pushing him out altogether. Now it's gone so far I think she's just too proud to stop it. At this point, I only see things getting worse.

Amanda: I think Bailey is a wonderful Chief. She has made some missteps along the way, but she's ultimately trying to do what she thinks is best for the hospital. Sometimes being the boss means you won't be popular with your employees when you make difficult decisions.

Jasmine: I think Bailey worked her whole life to get to this point. Hell, Richard trained and mentored her to get to this point. She's his legacy. I think she's great when she handles things on her own.

But the Bailey of late, she's not walking her own path and she's being too easily influenced by too many outside forces. I love Bailey. She's a force of nature, but I'm not seeing much of that Bailey right now.

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Do you think we're closer to a truce being called between the doctors involved in this Bailey and Eliza versus Richard and Meredith debacle?

Tiffany: I don't think so. If anything it looks like sides are forming -- Bailey, Minnick, Catherine and April against everyone else.

Amanda: I don't see an end in sight right now. Everyone is still fuming and both sides are drawing firmer lines in the sand.

Jasmine: Initially, I was thinking we may have been closer to a truce, what with Eliza breaking down and Bailey and Webber getting to share some of their feelings with each other, but now I'm thinking it's going to be a while.

It looks like more lines are being drawn in the sand, and with Alex coming back...who knows what's going to happen next? They may be more divided than ever.

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Are there other storylines or plots that you miss? Or are you enjoying the Webber and Minnick one?

Tiffany: I'm not necessarily enjoying the Webber/Minnick storyline but I'm definitely invested (#TeamWebber). I'm ready for Alex to come back to the hospital and wondering when we'll finally see Owen's mysterious sister.

Amanda: I want to get to Alex's transition back to working at the hospital. I have hated this Webber/Minnick storyline from day one. Everyone is acting like a child and it needs to stop!

Jasmine: I, too, am invested enough in this arc to not be too bothered by it. I like the fact that it does involve multiple characters. I just want some resolution on a few things, like the Omelia situation.

I also feel like they teased this potential story arc about Owen's sister, and we haven't seen anything else. And there are a few characters that are so underused or misused right now. It wouldn't kill them to show some other things too.

19 Steamy Grey's Moments That Will Put You In The Mood

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What was your favorite and/or least favorite part of the episode?

Tiffany: I think my least favorite part was seeing April and Catherine celebrate over dinner. One of the best doctors is suspended, there is nothing but conflict within the hospital staff, and they just lost a child but yeah, celebrate.

I'm all about strong females but the two of them, along with Bailey and Minnick, have
created an unhappy, cantankerous, atmosphere and the way they're forcing their new found power down everyone's throats bothers me.

Amanda: I liked seeing April stand up for herself against Jackson. She was right when she said no one takes her seriously. Someone needed to help out, and she had every right to step in and work with the patients.

Jasmine: My least favorite part was almost the entire situation with the kid. Stephanie reminds me of Yang sometimes, which I like, but I seriously disliked the way she got dragged into Eliza's cavalier attitude towards patients.

I can't quite put my finger on what makes it so different than what the original characters (especially Christina) used to do or say, but it is. Somehow it's...too far and unbecoming.

My favorite scene was Webber comforting Stephanie. Fantastic scene.

9 Times Michael Cordero Stole Our Hearts

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Who was the MVP?

Tiffany: Webber. He was resistant at first but when he joined Warren in the OR it really seemed like he was ready to assist him. Then after Bailey butted in, and screamed at him, he still stepped up for Stephanie when Minnick flaked on her.

Amanda: Arizona was great at playing both sides of the feud at the hospital. She's obviously on Webber's side, but she was still able to lend an ear to Minnick and give her some advice.

Jasmine: Ben. He kicked ass on his first solo surgery and it made me so proud. He also called Bailey and Webber out on behaving like children and ruining his moment, and I loved that. Go Ben!

Do you agree with our Round Table? Hit the comments below!

You can watch Grey's Anatomy online right here via TV Fanatic!

Grey's Anatomy Photo Preview of "Back Where You Belong"

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Jasmine Blu is a staff writer for TV Fanatic. Follow her on Twitter.

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Grey's Anatomy Round Table: Is Bailey Cut Out For Being Chief? - TV Fanatic

Anatomy Lab Live: Review of Solihull show where fine dining and autopsies are on menu – Birmingham Mail

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Solihull has played host to a new dinner show with real heart... and lungs, brains and intestines.

Because diners at the Village Hotel were offered an extra course with their meal - live dissection.

Welcome to Anatomy Lab Live, the brainchild of teacher Sam Piri, who was inspired to create this evenings infotainment after watching the delight of schoolchildren studying biology.

The event begins with a good dinner of salmon, served with roast potatoes, green beans and roasted butternut squash and carrots, followed by apple pie and custard or Eton mess - washed down with wine or lager.

The only clue of what is to come is an unsettling table centre piece, made up of medical waste sacks, syringes, and petri dishes.

After the food has been cleared away, a curtain is drawn back to reveal an operating theatre, complete with a body lying on a trolley, feet poking out from under a white sheet.

Dressed in full scrubs, pathologist Sam peels back the blanket and reaches carefully into the gaping chest.

There is a gasp from the audience as he pulls out the heart and lungs, holding them high for everyone to see, before setting them down on a stainless-steel table.

Former forensic science student Kellie Bown at the next table to me, is clearly enjoying herself. Its like the most macabre dinner party ever, she says.

Thankfully all is not quite as it seems - the body on the operating table is plastic, the insides pig organs, chosen because they are almost identical to humans.

The operating theatre is a decommissioned pathology laboratory from a Sheffield hospital, rebuilt inside the banqueting room at the Village Hotel in Solihull.

This is only the opening night in Birmingham, but the show is proving offally popular with tickets for Cardiff, Manchester, Newcastle and Blackpool performances already sold out.

Sam dissects the brain, heart and lungs for the audience to see how they work. He explains the left lung is smaller than the right to make space for the heart and demonstrates by feeding a plastic tube into the lungs, then putting the other end to his pursed lips and blowing them up like a ballon.

He even brings the organs round to each table so we can get a closer look.

If things start getting a bit too much for people, they are free to walk out, get some fresh air and compose themselves, then come back in, he says.

The brains look like blotches of blancmange spilt on the tabletop and smell like the bin in a butchers shop. Suddenly Im glad we werent served pork for dinner.

I take a deep breath and lean in for a closer look but Kellie keeps her distance, covering her mouth and nose as her face turns the same shade of pale pinks as the pig brains.

I wasnt expecting to get so close, she admits. I dont mind looking at them, its the smell I cant stand. I dont eat meat!

Not everyone is so squeamish. During the mid-show interval 100 diners don rubber gloves to poke and prod the organs, even picking them up to pose for photographs.

Eve Hubbleday is here to indulge her fascination with anatomy and rummages around inside the body as if she was digging through the discount bin at the Next sale.

The 32 year-old, from Birmingham, says: Ive always been interested in the human body, but this is the first time Ive seen anything like this. The chance to get hands on was too good to miss.

Her fianc Tom Ruthven, 30, is president of Coventry University Occupational Therapy Society and is one of many students in the audience.

This is a great chance to see the inner workings of the human body after learning all the theory during our lectures, he says. Its is a lot more interactive than the stuff we do in the classroom.

Fellow society member Beth Waudby, 20, adds: And a lot more fun. Im really enjoying it.

The second half starts with Sam pulling out the stomach and intestines, which resemble a deep sea monster and smell equally foul.

Sam points to the gallbladder, the luminous bile inside glowing green. It looks like a dinosaur egg, thats the only way I can describe it, he says.

Then comes the pancreas which feels a bit like a bunch of grapes.

The intestines and other organs are bought from slaughter houses that kill 3,500 pigs each day to meet demand for pork, sausages and bacon.

Sams company Vivit Apparatus which is Latin for Living Machine has a special licence from the Department for Environment, Food, and Rural Affairs (Defra) to put on these shows.

His team also use the organs and hand-drawn diagrams to explain how diseases like meningitis and strokes effect the body.

Sam says: With the NHS in crisis under unprecedented pressure, we want to educate people so they understand and can take ownership for their own health.

They even amputate a leg using an enormous pork thigh between the plastic torso and knee.

Medical student Alice Gwyn-Jones, 23, spends several minutes cutting through the flesh and bone with a giant hacksaw before Sam delicate carves it to show the audience the bone and artery.

Alice says: If this was a live patient, you would need to clamp the artery first to stop blood spurting everywhere.

At the end of the evening the discarded organs are tipped into the heavy duty yellow sacks labelled, Clinical waste for incineration only, to dispose of them safely.

Sams dad Kevin, the companys chief operating officer, says: Thats the worst part of the job, the smell is unbelievable. In summer its so bad we have to tape the bin lid shut.

With that I make my way home, taking time to digest everything I have learned before deciding Ill probably pass on those sausages I was intending to have for breakfast tomorrow.

*There are still a few tickets left for Anatomy Lab Live in London, Leeds, Plymouth, Exeter, and Cornwall at http://www.anatomylablive.co.uk.

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Anatomy Lab Live: Review of Solihull show where fine dining and autopsies are on menu - Birmingham Mail

‘Grey’s Anatomy’: Meredith Gets Caught Between Alex & Riggs in ‘Civil War’ – Moviefone

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"Grey's Anatomy" Season 13 finally has some semi-good news for Meredith Grey (Ellen Pompeo). ABC's scoop on Episode 15, "Civil War" sounds especially promising for fans who 1) want Meredith to get back in the hospital game after her suspension, and 2) want to see more of Meredith and Alex Karev (Justin Chambers). It's possible Mer and Alex may even get to work at the hospital at the same time again!

ABC just released details -- although not yet photos -- on "Civil War," and this time it doesn't sound like Eliza Minnick (Marika Dominiczyk) is the main focus of the war. Instead, there are multiple battlefronts, including a work (and love?) triangle between Meredith, Alex, and Nathan Riggs (Martin Henderson).

Here's ABC's tease for "Civil War," which airs Thursday, March 9:

"Richard, Jackson, April and Catherine tackle a grueling trauma case intensified by hospital politics. Amelia finally faces her feelings about Owen, and Meredith gets caught between Nathan and Alex over a patient."

Obvious question: Who gets to be Iron Man in this "Civil War"? On a slightly more serious note, it's good to see Amelia (Caterina Scorsone) might actually start talking to her own husband again. The rest of the episode sounds tense, but tense can be good (when it's not infuriating).

At this point, Episode 14 has yet to air. Here's the ABC synopsis for this Thursday's February 23 episode, called "Back Where You Belong":

"Alex returns to the hospital and discovers a lot has changed since he left. Meanwhile, Jo has to make a difficult decision on a case, and Arizona tries to distance herself from Eliza."

Here's that promo:Based on ABC's photos for this episode (including the shot above), it looks like Riggs and Maggie (Kelly McCreary) will be spending a lot of time together. Maybe they'll bond?

In case you're wondering about the week gap between Feb. 23's Episode 14 and March 9's Episode 15, it's because "When We Rise: The People Behind the Story" is airing from 8 to 9 p.m. on Thursday, March 2, before "When We Rise" airs from 9 to 11 p.m. There's no "Grey's" that week.

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'Grey's Anatomy': Meredith Gets Caught Between Alex & Riggs in 'Civil War' - Moviefone

Grey’s Anatomy’s Camilla Luddington Mindlessly Rubs Her Baby Bump During Scenes! – Just Jared

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Camilla Luddington is currently pregnant with her first child and shes opening up to Fit Pregnancy about filming her series Greys Anatomy while expecting!

Heres what the 33-year-old actress had to share with the mag for its March 2017 issue:

On rubbing a bump in scrubs: My character on the show, as of right now, is not pregnant, so I have to make sure I dont rub my belly on camera. When I start rubbing, which I do mindlessly, the director points to her belly, and I know to stop. On Scandal, Kerry Washington is able to block her own belly with elaborate outfits and gorgeous bags. For me, theres only so much you can do in scrubs, aside from carry an iPad. At some point, theyre going to need computer-generated imagery to fake things, and if they do, Ive already asked them to give me amazing six-pack abs!

On blasting Beyonc: I know the baby can hear at this point, so we have jam sessions during my commute. I think she really loves Beyoncand I love her even more for that. Whenever Beyonc plays, I feel her kick. I just cant tell if its a Yes! I love Beyonc! kick or a Please, God, stop singing along kick.

On remembering mom: My mother passed away when I was 19. She always made me feel confident, and Ive carried that feeling with me my entire life. Its helped me in this industry, where people are sizing up your looks. Because of my mom, I dont need to be validated by anybody else, and I want my daughter to have that too.

For more from Camilla, visit FitPregnancy.com/Camilla!

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Grey's Anatomy's Camilla Luddington Mindlessly Rubs Her Baby Bump During Scenes! - Just Jared

‘Grey’s Anatomy’ Season 16: Link and Amelia’s romance may be doomed just like the other couples before them – MEAWW

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'Grey's Anatomy' is not known for successful and happy relationships. Think for yourself, which couple on this show actually got to ride off happily into the sunset?

Meredith Grey and Derek Shepherd's epic love story spanning 11 seasons ended in a fatal car crash. Owen Hunt (Kevin McKidd) and Cristina Yang's break up (Sandra Oh's) was comparatively less painful than the rest as Cristina left for greener pastures. Jackson (Jesse Williams) and April Kepner's (Sarah Drew) passionate romance faded out too. Mark Sloane (Eric Dane) saw Lexie Grey (Chyler Leigh) die in a catastrophic airplane crash. Later, Mark died too. Callie Torres (Sarah Ramirez) and Arizona Robbins's relationship didn't make it either despite the tears and heartbreak. Richard Webber (James Pickens Jr) and Catherine Fox (Debbie Allen) are going to separate. Alex Karev (Justin Chambers) won't be seen anymore in the show and we're nervously biting our fingernails because we don't know what this means for Jo (Camilla Luddington).

So, after sticking with 'Grey's Anatomy' for 15 years, it seems rather improbable that the relatively new relationship between Amelia Shepherd (Caterina Scorsone) and Link (Chris Carmack) will survive the baby drama that has been thrust upon them. For a long time, Amelia was under the impression that the father of the baby was Link...except, uh oh, there's a chance it might be Owen Hunt's. Owen and Amelia's relationship was the most complicated and dragged out spectacle on the show and digging that up again, just spells doom for Link and Amelia. Also, Owen had just about found happiness with Teddy (Kim Raver), but that might just go south soon.

Link has asked Amelia to do a paternity test and she has asked for time and is avoiding him. When will that girl ever get happiness, Grey's? Going by the show's track record, this just *might* be the end. But, no harm in staying positive, right?

'Grey's Anatomy' airs on ABC, Thursday nights, 9pm.

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'Grey's Anatomy' Season 16: Link and Amelia's romance may be doomed just like the other couples before them - MEAWW

Gruesome new night out of dinner and dissection as real human body is dismembered in front of you – Mirror.co.uk

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It's a new show with real heart... and lungs, brains and intestines.

If youve had enough of dinner dances, maybe a morbid new night out is for you - dinner and dissection.

But not if youre at all squeamish, as watching a human body dismembered in front of you risks that dinner making a second appearance.

Welcome to Anatomy Lab Live, the brainchild of teacher Sam Piri, who was inspired to create this evenings infotainment after watching the delight of schoolchildren studying biology as they got to grips with pig penises and tried to burst pigs stomachs.

The event begins with a good dinner of salmon, served with roast potatoes, green beans and roasted butternut squash and carrots, followed by apple pie and custard or Eton mess - washed down with wine or lager.

The only clue of what is to come is an unsettling table centre piece, made up of medical waste sacks, syringes, and petri dishes.

After the food has been cleared away, a curtain is drawn back to reveal an operating theatre, complete with a body lying on a trolley, feet poking out from under a white sheet.

Dressed in full scrubs, pathologist Sam peels back the blanket and reaches carefully into the gaping chest.

There is a gasp from the audience as he pulls out the heart and lungs, holding them high for everyone to see, before setting them down on a stainless-steel table.

Former forensic science student Kellie Bown at the next table to me, is clearly enjoying herself. Its like the most macabre dinner party ever, she says.

Thankfully all is not quite as it seems - the body on the operating table is plastic, the insides pig organs, chosen because they are almost identical to humans.

The operating theatre is a decommissioned pathology laboratory from a Sheffield hospital, rebuilt inside the banqueting room at the Village Hotel in Solihull, just outside Birmingham.

This is only the opening night in Birmingham, but the show is proving offally popular with tickets for Cardiff, Manchester, Newcastle and Blackpool performances already sold out.

Sam dissects the brain, heart and lungs for the audience to see how they work.

He explains the left lung is smaller than the right to make space for the heart and demonstrates by feeding a plastic tube into the lungs, then putting the other end to his pursed lips and blowing them up like a ballon.

He even brings the organs round to each table so we can get a closer look.

If things start getting a bit too much for people, they are free to walk out, get some fresh air and compose themselves, then come back in, he says.

The brains look like blotches of blancmange spilt on the tabletop and smell like the bin in a butchers shop. Suddenly Im glad we werent served pork for dinner.

I take a deep breath and lean in for a closer look but Kellie keeps her distance, covering her mouth and nose as her face turns the same shade of pale pinks as the pig brains.

I wasnt expecting to get so close, she admits. I dont mind looking at them, its the smell I cant stand. I dont eat meat!

Not everyone is so squeamish. During the mid-show interval 100 diners don rubber gloves to poke and prod the organs, even picking them up to pose for photographs.

Eve Hubbleday is here to indulge her fascination with anatomy and rummages around inside the body as if she was digging through the discount bin at the Next sale.

The 32 year-old, from Birmingham, says: Ive always been interested in the human body, but this is the first time Ive seen anything like this. The chance to get hands on was too good to miss.

Her fianc Tom Ruthven, 30, is president of Coventry University Occupational Therapy Society and is one of many students in the audience.

This is a great chance to see the inner workings of the human body after learning all the theory during our lectures, he says. Its is a lot more interactive than the stuff we do in the classroom.

Fellow society member Beth Waudby, 20, adds: And a lot more fun. Im really enjoying it.

The second half starts with Sam pulling out the stomach and intestines, which resemble a deep sea monster and smell equally foul.

Sam points to the gallbladder, the luminous bile inside glowing green. It looks like a dinosaur egg, thats the only way I can describe it, he says.

Then comes the pancreas which feels a bit like a bunch of grapes.

The intestines and other organs are bought from slaughter houses that kill 3,500 pigs each day to meet demand for pork, sausages and bacon.

Sams company Vivit Apparatus which is Latin for Living Machine has a special licence from the Department for Environment, Food, and Rural Affairs (Defra) to put on these shows.

His team also use the organs and hand-drawn diagrams to explain how diseases like meningitis and strokes effect the body.

Sam says: With the NHS in crisis under unprecedented pressure, we want to educate people so they understand and can take ownership for their own health.

They even amputate a leg using an enormous pork thigh between the plastic torso and knee.

Medical student Alice Gwyn-Jones, 23, spends several minutes cutting through the flesh and bone with a giant hacksaw before Sam delicate carves it to show the audience the bone and artery.

Alice says: If this was a live patient, you would need to clamp the artery first to stop blood spurting everywhere.

At the end of the evening the discarded organs are tipped into the heavy duty yellow sacks labelled, Clinical waste for incineration only, to dispose of them safely.

Sams dad Kevin, the companys chief operating officer, says: Thats the worst part of the job, the smell is unbelievable. In summer its so bad we have to tape the bin lid shut.

With that I make my way home, taking time to digest everything I have learned before deciding Ill probably pass on those sausages I was intending to have for breakfast tomorrow.

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Gruesome new night out of dinner and dissection as real human body is dismembered in front of you - Mirror.co.uk

Anatomy of jihad – The Nation – The Nation

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The state has the work gloves on again to cut the revolting plantation down to size. The cordless reciprocating saw has all the power and velocity needed to chop down the smaller trees. If you attach a larger blade it can even reach out to cut down branches that are away from the base. But it never touches the roots.

The cross-section of a tree trunk tells you everything you need to know about its origins, nourishment, growth and demise. Dendrochronology is a comprehensive field of study on its own, but the anatomy of a tree trunk can be sufficiently understood through its five main components: bark, cambium, sapwood, growth rings and heartwood.

The bark protects the tree from the outside world; cambium produces new cells; sapwood transports water and minerals; growth rings highlight the age and the heartwood, at the core, defines the very nature of the tree. The concentric circles epitomised by the growth rings, and the various ingredients of the tree, help us study each section distinctly.

A cross-section of ideological violence shows similar concentric circles. Theres apologia shielding the inner structure, propaganda producing new adherents, ideologues propagating and justifying the violence, and the ideology at the core. The number of growth rings determines the extent to which the violent ideology has seeped to the branches.

The anatomy of armed jihad is all about studying these concentric circles: Mullah/madrassa, jihadism, Islamism, Muslim supremacy/takfir and the apologia that shields it all from the outside world. The latter could be anything, from using legitimate criticism of Western policies as smokescreen to claims that devotees at a religious shrine, or place of worship, were indulging in heresy and hence asking for trouble from brutal purists.

While the apologia, like any other gamut of excuses, ranges from the shameful to the criminal, its the other four parts of the jihadist structure that need to be carefully studied to curb this ideological savagery, which last week alone killed over 100 of our citizens, in all four provinces of Pakistan.

The mullah and the madrassa are the sapwood transporting the jihadist ideology to the various branches. While we lacerate those branches, the madrassa remains rooted. And it doesnt have to be uprooted all it needs is a revamp to sift the toxicity out of the ideology being distributed. That, in turn, needs state regulation and auditing for both funding and the curricula.

Even so, none of this is possible without an ideological substitute. For that one needs thorough dissection of jihad and restructuring of its core.

The ideological core of the tree bearing jihadist fruits is made of up three concentric circles, growing from supremacism to Islamism to eventually culminating in jihadism.

The idea that Islam is the most superior religion, and in turn Muslims the supreme people, is the foundation of jihad. While everyone believing in Muslim supremacy wouldnt necessarily take up arms to establish that superiority, the superstructure of jihad rests on Muslim domination over the rest of the world.

This concept, ubiquitous in the Muslim world, is the seed that grows into a beanstalk, elevating the vilest produce. At worst it lays the groundwork for massacre in the name of Islam, at best its anathema to religious tolerance and coexistence.

Unlike racial or ethnic supremacism, the religious superiority complex is often self-mutilating. In the case of Muslims, it doesnt rest with the establishment violent or otherwise of non-Muslim inferiority, it extrapolates into excommunication also known as takfir. When supremacy is attached to Muslims and Islam, its natural to put a ceiling on the identity and narrow down the scriptural interpretations.

This brings us to our second growth ring. Islamism, the idea that Islam should be imposed on a society or state, is the canonical corollary of Islamic supremacy. If an ideology has been divinely, and indubitably, established as superlative, does it not make sense to enforce it?

Of course, if mere preaching doesnt suffice and the state doesnt play ball on centralised propaganda, taking up arms to establish Islamic law is the next step. That is known as armed jihad, or jihadism, to separate it from other forms of struggles an individual might take up, without infringing upon the freedom of others.

The growth rings move from believing that Muslims are superior, to executing organised carnage for Islamic supremacy. And unfortunately, the vast majority of Muslims in our neck of the wood lie in one of these three concentric circles. The simple reason for this is the teaching of an unadulterated, literal version of Islam, which fails to incorporate modern thoughts into millennia old canonical texts. What is needed to be taught in madrassas and mosques is a diluted version that endorses pluralism through focus on individuality.

Were quick to distance ourselves from the jihadists, because most of us might not pick up a gun to murder someone over identity or belief. But wed involuntarily endorse Muslim or Islamic authority. And we, being the microcosm of the state we live in, are now watching the various institutions replicate the same.

Hundreds of alleged jihadists have been arrested in the aftermath of last weeks terror attacks. Hundreds of others have been killed. While the military action is important to nullify the immediate threat and those already indoctrinated with the genocidal ideology, but the action itself amounts to scratching the surface over and over again.

Deracination of jihad would need the state to eventually undo the privileges granted to its Muslim citizens, which form the raison detre for the spread of jihadism. A state that exercises takfir itself, or upholds Islam as the supreme religion through its Constitution, will never be able to muster the decisive victory against jihadism, till it rectifies its persistent howlers.

Instead of going on a chop-fest, the state would need to plant new trees and nourish their roots, if it wants better tasting fruit in the future. Sowing Islamic supremacy only yields jihad. Four decades of poisonous harvest shouldve made that clear.

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Anatomy of jihad - The Nation - The Nation

Greys Anatomy Taps Shameless Alum Richard Flood as the New Karev – Sunriseread

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A Flood warning has gone into impact at Gray Sloan Memorial.

Shameless vet Richard Flood (get it?) is becoming a member of Grays Anatomy in the recurring function of Dr. Cormac Hayes, the new head of Pediatric Surgical procedure at Gray Sloan. Dr. Hayes is introduced in to fill the void left by Justin Chambers Karev.

As followers of the venerable ABC medical drama know, Karev was sacked in final seasons finale, and has since segued to Pacific Northwest Basic Hospital (the place hes working with Richard, who additionally received fired from Gray Sloan). Floods first episode is about to air later this season.

On Shameless, Flood performed the boyfriend of Emmy Rossums Fiona in Seasons eight and 9. Though present Grays showrunner Krista Vernoff beforehand served as an exec producer on Shameless, her stint didnt overlap with Floods.

Our sister web site Deadline broke the information of Floods casting.

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Greys Anatomy Taps Shameless Alum Richard Flood as the New Karev - Sunriseread

Greys Anatomy: The Cristina treatment wont work on Alex Karev – Culturess

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Meredith Greys heart wasnt the only one to break when her Person left Seattle for good. Everyone in the fandom mourned. Plenty are still hopeful that Cristina Yang will make at least one more onscreen appearance before Greys Anatomycomes to an end.

But just because Sandra Oh has no current plans to return to the show years later doesnt mean her legacy has faded away. While other original cast members characters have mostly become ghosts ofGreys Anatomy past, Cristina has actually maintained a steady presence throughout the seasons since her departure.

The shows writers have made sure to mention more than once that Meredith and Cristina regularly keep in touch despite the distance. Cristina also wrote a touching letter in support of her best friend toward the end of the first half of season 16. She even played a pivotal role in bringing in a new character one that may or may not lead to new romance for her Meredith.

Now, fans are disappointed knowing this new man McWidow, as Cristina called him is likely not only taking Alex Karevs old job, but will probably replace him in the cast lineup, at least temporarily.

The news that Justin Chambers final appearance on the show had already aired mid-November 2019 shocked everyone in the fandom. Very few saw it coming, and even those who speculated he might be leaving the show figured hed get some kind of Cristina-level sendoff dance it out session pending.

So far, it doesnt look like well get that. In fact, the show has already begun leaning heavily on the Alex is in Iowa excuse as a passive way of addressing his absence.

Its likely the Iowa Explanation will remain throughout near-future episodes. Some fear it will stick for longer than just season 16. Alexs character will remain across the country taking care of his mother, presumably until the show ends, with regular mentions to remind viewers hes gone but not really gone. As if wed ever forget.

Lets be honest here: The occasional, casual Karev name-drop wont have the same impact as the effort to keep Cristinas character part of theGreys active universe. Why? Because Ohs exit was planned, smooth, and honorable. And so far, Chambers abrupt exit doesnt give off nearly the same vibes.

Whether you speculate that something happened behind the scenes to prompt his unexpected exit or his decision to leave was handled poorly by higher-ups we may never know what happened, at least not anytime soon the reality is, it happened. His last episode aired, and the audience had no idea. There was no proper sendoff, barely even a hint as to what might come. One episode he was there, the next he wasnt. And thats it.

Thats not to say they wont circle back around and deal with this directly on the show at some point. But how they do this is the question on everyones mind. Many fans expected him to die during the midseason premiere this past week which might have been better than dragging out the inevitable. As if they had any other choice at this point.

Would it be better for the writers to kill off his character than to keep him in the background, if for no other reason than to give fans a real chance to say goodbye?

Maybe. For all the criticisms the show has received over the years for ending the lives of an alarmingly large number of its characters, for Alex, it might fit. To have an original cast member simply disappear with barely another mention again would cast a dark shadow over Grey Sloan. And the show, ending its 16th season this year, really cant afford that.

Unless it can. Unless this really is the beginning of the end, and spending time on the presumably unexpected departure of a cast member isnt how the showrunner wants to handle things. Perhaps Chambers exit is, in a dark and twisty way, the green light we all need to say, Hey, lets go out on a high note before Ellen Pompeo quits too.

If youre a fan of the show, you know the feeling all too well no one really wantsGreys to end, yet were all sort of hanging around waiting for the announcement after we tune in each week. Fifteen years is a long time for a network drama. No one would really be upset to have an end date. It will be sad, sure. But all good things must, eventually, end.

Pompeo (Meredith Grey), James Pickens Jr. (Richard Webber), and Chandra Wilson (Miranda Bailey) are officially the only remaining members of the original cast. Its very unlikely one more will go without the other two also bowing out.

And though it would technically be possible, continuing the show without Pompeo has never been part of the plan. Once she goes, Shonda Rhimes will close the book. (Literally she is committed to writing the final episode, even after handing over her involvement completely several years ago, and that will be that.)

Its going to be frustrating watching the rest of this season knowing Alex has to be written out somehow. They might stick with Iowa, and that would prove disappointing. But if they can somehow manage to distract us with Maggie drama and McWidow awe, maybe maybe well all get used to it.

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Grey’s Anatomy Round Table: The Crossover Flopped, But Chandra Wilson Delivered! – TV Fanatic

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The special two-hour Station 19/Grey's Anatomy crossover took place, but all of our favorites survived the ordeal.

On Grey's Anatomy Season 16 Episode 10, there was an engagement, another lawsuit, and a rite of passage for the latest residents.

Join TV Fanatics Meaghan Frey, Paul Dailly, Jasmine Blu, and Grey's Fanatic Berea Orange.

Did the crossover event live up to the hype, and would you consider it a success?

Berea: It didnt live up to the hype. It was okay, sure, but not as epic as they advertised it to be. I think it was a success in that it boosted Station 19s ratings.

Meaghan: I'm going to be honest; I didn't watch the first half of the crossover event. I have never been able to get into Station 19, and it felt like I could get the gist of what happened by just watching Grey's.

However, even just looking at it from a purely Grey's perspective, it was a little bit of a letdown. It was a good episode, but not over the top amazing.

I am worried that with Station 19 being pushed into the 8 pm time slot, they are going to push more of these events on us to try to get more viewers to Station 19.

I understand that the One Chicago block has successfully been able to do this, but Grey's was an established show on its own for far too long to be able to try to switch up the approach now.

Paul: It was a failure. The Grey's Anatomy cast is being used to prop up Station 19, and I'm tired of it. Let Station 19 stand on its own two feet. If it can't, it shouldn't be an ongoing series.

Jasmine: It did not live up to the hype at all. And Meaghan, you didn't need to watch the Station 19 part to understand the Grey's part of everything. I found the first half very disappointing.

They are trying to make it a thing, but it's not working. They can't pull off the Chicago Universe crossovers.

It was designed to help Station 19 only, but it backfired, since the Grey's characters outshined on Station 19, and then none of Station 19 showed up in the Grey's part, so it wasn't a full-blown crossover.

Of all of GSM's own in peril, who were you most concerned about? Which person/case were/are you invested in the most?

Berea: I was most concerned about Helm. They made it seem like there would be a big death, and I thought it would be someone we cared about. To be honest, I was kind of disappointed there wasnt a big death.

I was very interested in Parkers PTSD episode. Ive been dying for some good Parker content.

Brody: I'm okay. I want to help.Bailey: Brody, those are your friends.Brody: That's why I want to help.

Meaghan: I too thought that we were going to get a death. The interns haven't suffered a major blow yet like the past intern groups. I feel like they are due for something, so while they might have all made it out of this one alive, I think something is coming soon for them.

In general, I was most concerned about Parker because of the PTSD aspect of things. A catastrophic event like this is a huge trigger, and I wasn't sure if Parker would recover as easily as he did.

I also really enjoyed all the newer cast coming together at the end. The new cast have all felt very expendable up until this point. It is nice for them to start developing them as more than just the annoying interns that are a thorn in the sides of the core cast.

Paul: I cared for Helm the most. There was a lot of foreshadowing, and her admission of love certainly made it seem like she was going to die.

I felt like all of the cases were interesting. However, I think I would have liked a death. We need some conflict, you guys!

Jasmine: I was expecting someone to die, and we didn't get it. I mean, you don't wish death on a character, but it was set up to kill someone off, and they didn't do it. Why tease it that way at all?

I also think it's unfortunate that all the characters in peril were those who were shoved to the background for so long. Did anyone remember or care about Blake?

I was most concerned about and interested in Parker. He was always one of my favorite of the new interns, and I loved him getting more exploration, especially with his PTSD.

Owen finally proposed to Teddy. React.

Berea: I. Do. Not. Care. This is so stupid to me. Sure theyve known each other forever, and shes pined for him forever, but I dont think they should rush into marriage.

If I were Teddy, Id want to wait and make sure hes not just dating her because she gave him the child hes been so desperate for, for years. I will say I hope she goes back to Tom because I just think he deserves everything. And Jackson is the last person to give someone advice on committing.

Meaghan: I'm happy for them. The other day I was looking over old reviews I wrote for my blog and found one from when Teddy made an appearance when Megan Hunt came back.

That storyline was when I finally was able to see Teddy and Owen together and really root for them, so watching them finally take that next step was nice to see.

The problem is that it is tainted a little bit by the looming possibility of Owen being the father of Amelia's baby. For the sake of all couples involved, I hope it's Link's baby.

Owen: Teddy, this ring is my mom's. She gave it to me the day Alison was born, and I've been carrying it around in my pocket ever since. And I love you, and there is no perfect moment, and I am not a perfect man, but you are the perfect woman for me. So, Theodore Grace Altman, will you --Teddy: Owen, no.Owen: No? Is it Tom?Teddy: Owen, stand up. Listen to me. You are not obligated to marry me. You do not have to do this. I want you to break the patterns not reinforce them. Owen: I'm not repeating a pattern. I'm staring a new one. Loving you. Loving our family, with my whole heart every day. That's my new pattern. I love you. I love you. Tedd. Marry me. Marry me. Marry me, Teddy.

Paul: It was about time. The showrunner wanted them together from the get-go. That much was clear, but I am glad there is a progression for Owen. This proposal felt different.

Jasmine: Meh. I mean, I remember feeling that way about them too, Meaghan, back when Megan returned. I was rooting for them in Germany too.

Now, I just don't care anymore. Good for them, though. Hopefully, it's drama-free, so please, end this baby daddy thing.

On a scale of 1-10, how emotional was Bailey's breakdown with Richard?

Berea: A solid 10 across the board. Chandra Wilson is so good. This brought me back to the hospital shooting when she broke down at the elevators. She is so good at those scenes. Im glad we got to see her and Ben feel and cope with this loss.

Meaghan: 10. Chandra is an incredible actress, and I love getting to see her shine. The moment of her, Meredith and Richard coming together was also a moment I loved.

They are officially the final three, so it is more important than ever for them to support each other.

I am hoping now that Bailey has opened up about her loss, that we have avoided the downward spiral that I feared she was heading into.

Richard: Bailey, everyone is fine.Bailey: Everyone. Everyone. Everyone I touched today. Everyone I held in my hands, I gave to another surgeon to put back together again. Fine. To lose you, and Grey, Hunt, and Karev. Fine. I made that work. But this. This I --I am not fine. She isn't fine. And I can't even hold her in my hands or put her in someone else's hands or put her back together again, and she just was, and now she just isn't, and I can't do anything but stand here. Stand here and lose her.

Paul: 10. Chandra delivered the best performance I have ever seen, and I could feel the emotion there. It was heartbreaking, and I want her to get awards for that scene.

Jasmine: 10. It was the best moment of the entire two hours. It made the entire crossover worth it. Chandra Wilson is a powerhouse, and I hope she gets the recognition she deserves for her performance. I got choked up.

Should Amelia have told Link about the baby? How are you feeling about
this "baby daddy'" arc?

Berea: Yes, she should. But Im sure she will soon enough. This paternity issue is actually pretty annoying for me. Amelink was the only bright spot in this season so far, and they have to ruin it with Owen.

Link: So you had something you want to tell me?Amelia:Uh, I didn't want to know, but, um, it's a boy.

Meaghan: She really needs to. Of course, it is going to be a major blow to him now that he has come to terms with the idea of being a father, but he is a great guy, and he will be understanding about this.

It isn't like Amelia cheated on him. It was just potentially awkward timing. The longer Amelia waits to tell him, the worse it is going to be.

I need this storyline to be over and have a resolution one way or the other, hopefully with Link being the father.

Paul: Yes! That was such an annoying scene. She clearly changed focus when she heard about Teddy and Owen. I dont actually mind the plot, but we need some movement in it.

Jasmine: I'm in denial, so I would rather pretend it isn't happening, and that includes telling my precious Link that the baby he's looking forward to may not be his.

I'm so sick of this contrived, redundant, cheap storyline. It's stupid.

Amelia and Link are what I have consistently loved about the season, and they won't let them be happy. If they already gave Bailey a miscarriage, why couldn't they leave Amelia's pregnancy complication-free?

Burn it with fire.

Do you think Jo will want to pursue motherhood after her time spent with the baby? How do you think they'll carry on with her storyline in Alex's absence?

Berea: Im sure Jo has some baby fever, so Im very interested to see how Alex will get written off, and what theyll do. They might kill him offscreen and send her back into a depression.

Meaghan: You would think the answer will be yes, but with the uncertainty surrounding Alex and how he will get written out, I'm not sure where this storyline is going.

I need them to let us in on how Alex is going to be "officially" written out. Right now we are stuck in limbo, and it doesn't feel right.

Paul: She wants a child, for sure, but Im not sure where her head will be at. Alex is out of town, and shes going to feel like shes alone if he doesnt arrive off-screen to, you know, leave for good.

Jasmine: I have no idea what's going on here anymore. What will they scramble to sort out? I don't know how they plan to resolve Alex's disappearance, but I can envision an adoption arc for Jo.

It's something about it coming full-circle that makes it potentially interesting, even if she does it alone.

Who was the MVP of the hour?

Berea: Miranda Bailey easily. End of discussion.

Meaghan: I'm with Berea, Miranda. She was incredible.

Paul: Its a full house, er, table. Miranda Bailey was outstanding.

Jasmine: Miranda motherf*cking Bailey.

I'll give an honorary mention to Teddy for how she handled the Casey situation, too.

What was your favorite scene/moment/quote?

Berea: Richard: Are you okay?

Warren: No. But Miranda comes first.

Warren: Thanks for coming.Richard: Thanks for calling. Well, she seems okay.Warren: She's not. She says she is, but she's working through a miscarriage. She hasn't had time to break yet. I can't be there in that OR with her, so someone else who loves her needs to be there. In case she breaks.Richard: Of course.Warren: Thank you.Richard: Warren are you okay?Warren: No. But Miranda comes first.

Ben Warren is the best man who has ever graced the halls of Seattle Grace Mercy West Grey-Sloan, and Ill stand by this statement until my dying day. Benley was the only inter show romance we ever needed.

Meaghan: I loved that moment too, Berea! It made me so mad that they took him away from Grey's. I have always loved Ben. Can they please cancel Station 19 and bring him back, or just have him be written out and go back to starring on Grey's?

I also loved Helm declaring her love for Mer.

Paul: The interns chatting in the aftermath of the accident. They all survived the night. It was very reminiscent of early Greys.

Jasmine: Yes, Meaghan and Berea! I got a little emotional when Ben said that. Honestly, for as much as we raved about Miranda, I have to acknowledge that Ben Warren was the MVP of the Station 19 hour, and Jason George was amazing too.

But yes, aside from that, and Bailey's breakdown, I agree with Paul, I loved the final moments with the interns/residents. It did have the old-school Grey's Anatomy vibe, I love.

Over to you, Grey's Fanatics.

Do you agree with us, disagree? Hit the comments below and let us know!

Grey's Anatomy airs Thursdays on ABC at 9/8c.

And we sure would appreciate a follow of our new Twitter account as we work to rebuild our audience!

Edit Delete

Jasmine Blu is a senior staff writer for TV Fanatic. Follow her on Twitter.

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Grey's Anatomy Round Table: The Crossover Flopped, But Chandra Wilson Delivered! - TV Fanatic

‘Grey’s Anatomy’s New Time Slot Will Bring the Show Back to Its Steamier, Sexier Roots – Showbiz Cheat Sheet

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In true Shondaland fashion,Greys Anatomysfall finaleended with a catastrophethat has viewers on the edge of their seats waiting for the return. The series will return in January 2020 with a new time slot.

Showrunner, Krista Vernoff, is excited that the show will now have the opportunity to get back to itssexier roots. Lets take a look at why it moved and what it might look like on Greys Anatomy. Warning: Season 16 Spoilers.

When ABCs critically acclaimed series, Greys Anatomy, returns for its 16th midseason premiere in January, it will be at 9 p.m. instead of 8 p.m. However, fans who are dying to know what happens afterthat car crashed into Joes barwill have to tune into Station 19 at 8 p.m. first.

Station 19 is the second spin-off to Greys Anatomy and is coming into its third season. The first spin-off was Private Practice, which ran for six seasons and garnished critical acclaim.

The firefighters from Seattle Fire Station 19 will arrive on the scene of the crash to work on rescuing those trapped inside the underground bar. Then, when 9 p.m. hits, the rescue will continue on Greys Anatomy. Characters from both shows will appear throughout the two-hour-long season premiere.

Ever since Station 19 premiered,Vernoff told Deadline, in the writers room, we always thought the better progression was from firefighters to the hospital. She continued, I didnt think it was going to happen, but I was thrilled ABC had made the decision. I literally cheered when they let me know that. Its really exciting and opens up the storytelling.

The flagship series initially aired at 9 p.m., so Vernoff is very excited that it will be able to return to its roots. There are very different guidelines for shows that air before 9 p.m. The earlier slots are considered family programming, so they are limited in what they show.

There are different rules for a 9 p.m. show than there are for an 8 p.m. show, Vernoff commented, and we hope to take advantage of those rules.

Greys was definitely allowed to be a sexier show when it was on at 9 oclock. So we are excited by the change back to our original [Thursday] time slot, she added.

The watershed begins at 9 p.m. and material unsuitable for children should not, in general, be shown before 9 p.m. or after 5.30 a.m.,according to Ofcom. Unsuitable material can include everything from sexual content to violence, graphic or distressing imagery, and swearing.

Therefore, we are about to see a move towards more sex scenes that involve more than kissing. There may be more nudity and graphic death scenes, as well.

Greys Anatomy initially aired at 10 p.m. on Sunday nights for its first season. Subsequent seasons were at the coveted 9 p.m. Thursday night slot through the tenth season.

During those early ten seasons, Greys Anatomy was known for an abundance of steamy sex scenes. The season 16 fall finale included a few make-out sessions, but everyone was fully dressed. In the early days of the show, it was not uncommon for the show to open with two people naked in bed together.

The Izzie (Catherine Heigl) and Alex (Just Chambers), take off your pants, sex scene is one of thetop ten steamiest ever. By the end of the scene, they have taken off almost all of their clothing and are having sex in an on-call room.

Then there was the time that Meredith (Ellen Pompeo) and McDreamy (Patrick Dempsey) had sex in a medical exam room. We watch as Derek gently takes off Merediths stockings. There is an endless amount of skin, rubbing, and kissing.

It looks like Greys Anatomy is about to get back to its sexy roots, and Vernoff isnt the only one excited about it. We cant wait to see what she has in store when the show returns to ABC on Jan. 23, 2020.

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'Grey's Anatomy's New Time Slot Will Bring the Show Back to Its Steamier, Sexier Roots - Showbiz Cheat Sheet

‘Worst one’: The anatomy of the Suns’ eighth consecutive loss – The Athletic

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SAN FRANCISCO The Warriors new home court is where Suns coach Monty Williams first became concerned about his teams potential for slippage, when Phoenix nearly blew a game in which it led by as many as 34 points.

So its fitting that Chase Center is also where the Suns longest losing skid of the season hit its nadir.

The Suns surrendered a 12-point fourth-quarter lead in their 105-96 loss to Golden State, marred by sloppy play. It was Phoenixs eighth defeat in a row to fall to 11-20. Without hesitation, veteran point guard Ricky Rubio called this the worst one of the tumble.

Right now, were showing (ourselves to be) the team that we dont want to be, Rubio said. But its the one we are right now. And its a losing team.

Here is the anatomy of such a defeat:

27 turnovers

That season-high figure is glaring, jarring...

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'Worst one': The anatomy of the Suns' eighth consecutive loss - The Athletic

Paramedic Technical Diploma – Northeast Wisconsin …

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EXCLUDESTARTIndustry Credentials

Students who complete the Paramedic program have the opportunity to be certified by NREMT to achieve eligibility for EMS licensure by the Wisconsin Department of Health Services EMS Section.

Transfer of credits will be evaluated on a case-by-case basis only.

Graduates of the Paramedic technical diploma who complete their coursework with a "C" or better and meet the program benchmark scores for the Fire Medic program, may qualify for advance standing within the Fire Medic Associate Degree program

Graduates of the Paramedic technical diploma who complete the following courses with a "B" or better, meet the program benchmark scores for the Nursing-Associate Degree program, AND successfully complete the General Studies courses for the Nursing-Associate Degree program may apply to that program for advanced standing:

10-543-127, Paramedic to ADN Theory 1, 3 cr.

10-543-128, Paramedic to ADN Theory 2, 3 cr.

10-543-129, Paramedic to ADN Clinical, 2 cr.

10-543-130, Paramedic to ADN Skills, 2 cr.

Refer to the program information for Nursing-Associate Degree on this website for benchmark scores and required General Studies courses.

NWTC is required to comply with the Wisconsin Caregiver Law (1997 WISCONSIN ACT 27). The completion of a caregiver background check includes the review of criminal records for convictions of serious crimes or a history of improper behavior. Students accepted into this program must complete a background check through http://www.castlebranch.com AND complete a Background Information Disclosure (BID) form disclosing any acts, crimes, or convictions prior to program entry. The information provided in the BID form must be truthful and match any findings on the criminal record check. Information regarding this process is provided to students immediately upon acceptance into the program. Students with a criminal history may be denied access to placement at the discretion of the clinical or practicum site. Consequently, should a student have a history of convictions of serious crimes or a history of improper behaviors, NWTC cannot guarantee clinical/practicum placement or guarantee graduation within typical program timing.

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Paramedic Technical Diploma - Northeast Wisconsin ...

Internal Carotid Artery and Its Aneurysms | neuroangio.org

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Tribute: The creation of this page is a direct result of the catastrophe wrecked on the United States Northeast by Hurricaine Sandy, which extensively damaged both NYU Langone Medical Center and Bellevue leading to their prolonged shutdown and our secondary over-indulgencein academic productivity. This page is dedicated, in small measure, to all who suffered loss as a result of this unprecedented disaster.

Introduction

The aim of this page is to review the anatomy of the internal carotid artery proper, from the cervical segment to its intracranial bifurcation, particularly asregardsits geometry (with secondary endovascular interventional implications) andlocation of its various, and often complex aneurysms. Patients seeking information on treatment ofcerebral aneurysms mayvisit the page titled Patient Information: Cerebral Aneurysm. The author of the website,Maksim Shapiro, MDis a practicing neurointerventional radiologist in at theNYU Langone Medical Centerin New York City, and can be reached with questions, comments, appointment requests, etc. via theContact Ussection.

The branches ofintracranial ICA are described in exhaustive detail on their respective pages. It would take take hundreds of pages, with associated surgical dissection images and videos, to describe surgical anatomy of the carotid siphon,and so we will touch upon this vast topic somewhat, mainlyin connection withstrategiesin aneurysm treatment. Our primary focus is endovascular, andwe will present information in angiogrpahic format, without too many diagrams, which often appear to the trainee sofrustratingly comprehensiblewhen comparedwithreality.

A brief overview of ICA anatomy. The ICA in the neck (cervical ICA) extends fromcarotid bifurcation to skull base. It then goes through the petrous bone of the skull base (petrous segment), and turns up within the foramen lacerum, existing the bone. It passes under a key landmark structure called petrolingual ligament, and enters the cavernous sinus, where it usually has an s-shaped look, though much variability exists. In the cavenous sinus, the artery is surrounded by venous plexus, such that carotid rupture there leads to a carotid-cavernous fistula. After an anterior turn (genu), the ICA leaves the cavernous sinus, passing through the dura cover of the sinus that is called the proximal dural ring. The ICA then goes through a small but important region where, though already out of the cavernous sinus, it is not yet subarachnoid, or intradural. This transitional or clinoid area has been subject of much surgical attention. After this short segment, the ICA goes through another dural ring, called the distal dural ring, and then becomes intradural, or subarachnoid.This transition is critical, since aneurysms past the distal dural ring are located in the subarachnoid space, and their rupture leads to subarachnoid hemorrhage. The ophthalmic artery is usually (90% of time) located just distal to the distal dural ring (i.e. intradural, i.e. subarachnoid), and this region is home to many kinds of complex aneurysms. Other times, the ophthalmic arises more proximally, from the transitional (extradural) or the cavernous segment, or from the external carotid all very important variants.Past the ophthalmic segment,artery continues into the hypophyseal region (with inconstantly observed superior hypophyseal arteries), where otherkinds aneurysms can form. The next major branch of the ICA is the posterior communicating artery, home to particularly notorious PCOM aneurysms, which seem to rupture with increased frequency for given size, when compared to other aneurysms of the ICA (ISUIA data). Next comes the anterior choroidal artery and its aneurysms, which can be mistaken for the PCOM type when the latter is hypoplastic. Finally, after a short terminus segment, home to some perforating branches, the ICA bifurcates into the MCA and ACA. This fairy tale has many variations and inconsistencies, but is useful as a general guide. Now that we have the general layout, before getting into pathology, we must review some segmental classifications of the ICA.

Segmental Classifications of the ICA

The ICAhas been repeatedlysubdivided into discrete parts, or segments, to aid description of its pathology. We, at NYU, are also to blame for one such scheme. A brief review of the more popular classificatons is necessary and useful for the trainee and lay professional.

The first classification was devised by Fischer in 1938, designating intracranial ICA from C1-C5, against direction of blood flow. Its aim was to help localize skull base lesions via their mass effect on different ICA segments, before the era of cross-sectional imaging. It was not designed to describe ICA aneurysms.

The Fischer classification endured until development of reliable microsurgical and catheter angiographic technique, which paved the way for development of predominantly non-lethal aneurysm neurosurgery.

In 1981, Gibo, Lenkey, and Rhoton, based on incredible supracliniod ICA dissections which became a landmark in vascular neurosurgery, classified their findings according the the Gibo system, which numbered 4 segments cervical, petrous, cavernous, and supraclinoid, with an alphanumeric designation of C1 thru C4, in direction of blood flow. The C4 segment is subdivided into ophthalmic, communicating, and choroidal (see below). The C3 segment began wherever the ICA emerged from the dural covers as a subarachnoid vessel. This simple and elegant classification, predating the era of dural rings and clinoid discussions, continues to be in use.

The landmark present-day classification, however, belongs to Bouthillier and collegues, whoproposed a Modified Fischer Classification in 1996, with alphanumeric designation of ICA segments in direction of blood flow. This system was also based on careful microsurgical dissections and optimized for present-day aneurysm clipping. Importantly, it formally recognized theclinoid segment as a transitional area between the cavernous and intradural ICA, as will be discussed below.

The Bouthillier classification was widely adopted, despite some criticism. For example, Ziyal and collegues questioned the need for a discrete Lacerum Segment, and dispensed with it based on their careful dissections. They also got rid of the ophthalmic and communicating segments, in favor of simple cisternal segment. This classification, shown below, did not achieve widespread use.

An entirely different approach was taken by the great Lasjaunias who, together with Santoyo-Vazquez, subdivided the ICA based on embryologic considerations rather than anatomical landmarks adjacent to the ICA. The article is available free of charge: http://link.springer.com/article/10.1007%2FBF01773165?LI=true#page-1Segment boundarieswere defined by intracranial ICA branches, such as mandibulovidian artery, MHT, ILT, ophthalmic. This systemmakes the most physiologic sense, andconceptualizes many variants of the ICA and its branches, but it was not designed to facilitate surgical dissections or emerging endovascular methods.

Much surgical work was done to address the complex anatomy of the ICA surrounding the region of the anterior clinoid process, including the transitional segment between the cavernous and intradual ICA, and the various ophthalmic segment aneurysms. Surgery which required removal of the clinoid process was rather complex, and aneurysms within the cavernous segment were regarded by many as either unclippable or clippable given superb skill and acknowledgement of higher stakes. Work on aneurysms near the ophthalmic artery (and optic nerve) was associated with a well-known risk of visual loss. At the same time, more reliable endovascular techniques were emerging with introduction of the GDC. This modified the conceptual framework, emphasizing aneurysm dome morphology and neck anatomy, with less critical attention to surgical landmarks. Finally, emergence of primary endoluminal (flow diversion) methods allowed for treatment of the un
derlying ICA dysplasia, which often transcends artificial segmental boundaries. Our own NYU classification of ICA segments, developed as aresult ofangiograhic and cross-sectionalreview anddiscussion, is based predominantly on endovascular considerations.

Finally, it is not the purpose of this page to advance a particular classification: the object is to illustrate the anatomy and pathology of the ICA; the NYU classification is used because we find it most useful at the moment as long as there is understanding of whatever anatomy the classification describes, any scheme is fine. For classical descriptive purposes, one can use the following system:

From an endovascular standpoint, however, we find that aneurysms which lie on the Transitional-Ophthalmic-Hypophyseal continuum have particular common endovascular (rather than surgical) features, which unite rather than divide them, as has been previously the case. We therefore hold, somewhat boldly, that all of these can be considered as paraophthalmic. This is not the system in current use, though we hope it gains following, which would look something like this:

This is nicely illustrated in the artwork below:

In the following section, each segmentis discussed in more detail, and relevant aneurysms are shown.

A note regarding aneurysms: The following section will repeatedly emphasize a key point: aneurysms in general, andthose of ICA in particular, are not perfect spheres with slender, elegant necks these can be encountered in diagrams, pamphlets, and other works of art and safely cured with a permanent marker, at zero risk. Real aneurysms tend to be irregular growths which arise on basis of underlying ICA dysplasia, and frequentlytranscending arbitrary and even embryologically-dictated boundaries. Images in this section will direct one towards recognition of this state and its therapeutic implications.

Cervical Internal Carotid Artery

The carotid artery usually bifurcatesbetween C3-5, except when it does not. High bifurcations are disadvantageous for vascular surgeons but not for carotid stents per se.

Atherosclerotic disease of the carotid bifurcation and its treatment is a separate topic. It is potentially important in terms of accessing the internal carotid artery with large-diameter catheters,increasingly utilized in modernendoscular procedures. In such cases, we try to keep the exchange wire in the ECA, and bring the guide into the ECA as well and flush it there, or keep it in the CCA, and go through the stenosis with a smaller profile and more compliant distal support catheter (these catheters are getting better and more numerous, which is excellent news). If additional support becomes necessary later on, the guide can then be more safely advanced into the internal carotid artery over the larger diameter distal access catheter, ratherthan primarily over a smaller cross-section guidewire, thereby minimizing the step-off

The cervical internal carotid artery is supposed to have no branches, except when it does. Persistent hypoglossal artery is one such branch (See neurovascular evolution). The ascending pharyngeal artery occasionally takes off from the proximal ICA also, as does the occipital. Aside from embryologic implications, it underscores the potential costs of catheterizing the ICA without a roadmap, which is also useful to visualize the not so rare Cervical Internal Carotid Artery Loops. They are felt to represent a kind of embryologic redundance, which can also be observed intracranially involving the PCOM and A1 segments for example (Lasjaunias and Berenstein)as opposed to the tortuous vessels seen in the vasculopaths.

Loops are, of course, significant from an endovascular access standpoint, presenting challenges for distal catheterization and delivery of larger caliber devices. This is fortunately becoming less problematic, as distal support catheter technology rapidly improves.

Retropharyngeal ICA: Distinct from loops are carotids with unusual courses, particularly those that swing anteromedially towards the back of the oropharyngeal wall, best appreciated on cross-sectional imaging. They are surgically important, particularly when it comes to procedures related to the posterior nasopharyngeal and oropharyngeal walls. Apulsatile mass in the back of the throat is probablythe ICA, and should be treated with appropriate respect.

Webs the cervical ICA, in particular its proximal aspect, are sometimes seen to harbor a particular narrowing which is caused by shelf-like proliferation of connective tissue, probably similar to that of fibromuscular dysplasia (FMD). The angiographic appearanceis very different, however, with a single shelf of stenosis. This can be occasionally a cause of embolic stroke due to blood stasis over the shelf, more likely than hemodynamic narrowing. This young man presented with a transient language dysfunction:

MRA and angio of the same patient, left ICA. A second patient, with a similar angiographic appearance of carotid web, noted incidentally. For more info, see dedicated Carotid Web page

Aberrant Carotid Artery fully treated in the Ascending Pharyngeal Artery Section, as this vessel is, in fact, not the ICA, but rather ascending pharyngeal reconstitution of the true ICA in the petrous segment, due to cervical ICA agenesis. The aberrant carotid is made up of the ascending pharyngeal artery, its inferior tympanic branch, and the caroticotympanic branch of the ICA. The vessel has a characteristic lateral swing within the petrous bone (red arrows), bringing it into the middle ear cavity, which can be appreciated on MR, CT, and angio. This variant comes up with unfortunate regularity as a middle ear pulsatile mass, subjected to an unwitting biopsy. Case courtesy of Dr. Howard Antony Riina, NYULMC

The same appearance angiographically, with a somewhat posterior course in the lateral projection (yellow arrow)

Finally, a VERY cool stereo 3D-DSA, visualizing the aberrant ICA within the ear canal.

Carotid Occlusion Vasa Vasorum Reconstitution

An occasionally seen, quite fascinating consequence of carotid occlusion. Since all tissues require blood supply, it stand to reason that walls of larger blood vessels, such as the aorta and carotid arteries, contain smaller arteries for the nourishment of the various connective, muscular, and other tissues which make up the wall. These are called Vasa Vasorum. On some occasions, occlusion of the primary carotid artery lumen is followed by hypertrophy and, possibly, hyperplasia of these vasa vasorum to reconstitute the carotid artery distal to the site of occlusion. When encountered, these vasa vasorum networks tend to be long, extending from the carotid bulb (usual site of atheromatous occlusion) to the pertous segment, where the native carotid artery is again opacified. This pathway is likely to be present only when the more typical collateral pathways (circle of Willis, ophthalmic artery) remain insufficient (see Collateral Circulation page for extensive discussion on the topic). Below is a typical example of carotid vasa vasorum (red) a tortuous channel or multiple channels, having no resemblance to the native lumen. A normal petrous carotid is artery is labeled (yellow).

Another example, with a duplicated channel (pink)

Aneurysms

In cervical ICA, these aretypically of dissecting type, and therefore pseudoaneurysms (white arrow), such as this one.

Dissecting aneurysms are a heterogeneous bunch. Many seem to be either asymptomatic or clinically benign, generating much harm in terms of patient anxiety but little beyond that. They can, when particularly large, act as embolic sources.

Carotid Dissection

This is an important topic, addressed in a dedicated Patient Information Carotid/ Vertebral Dissection page. While most carotid dissections do not lead neurologic dysfunction, a fact which patients should remember, the range of occasional issues is large, including em
bolic stroke from dissection-related thrombus formation and distal embolization, flow-limiting stroke due to insufficiency of distal collateral pathways, and occasional rare issues such as pulsatile tinnitus or lower cranial nerve dysfunction due to dissection-related mass effect.

Petrous Segment

Petrous segment This is the ICA segment inside the petrous bone and partially within foramen lacerum. The artery enters the skull at right angle and has an initially ascending course (vertical petrous subsegment), turning anteromedially (horizontal petrous subsegment) and exiting the petrous bone at foramen lacerum, where it turns up and travels a short distance before issuing from the foramen above the horizonal plane of the petrous bone (lacerum subsegment). At this point, it passes beneath the Petrolingual Ligament (PLL), an important landmark which defines entry of the ICA into the cavernous sinus (cavernous segment). The PLL cannot be angiographically seen, and the plane of the temporal petrous bone can be taken as its landmark (distal yellow line). As everyone knows, the ICA does not go thru and thru the foramen Lacerum, but runs into it, as T-intersection.Bouthillier defined a discrete Lacerum segment where the ICA ascends inforamen lacerum.The existence of this discrete segment was questioned by Ziyal. Weagree that a separate lacerum segmentdoes not seem to be necessary, both anatomically and pathophysiologically, as aneurysms of the petrous segment almost always extend into the Lacerum portion of the ICA, butvery rarely beyond the PLL. There is much variability in the lengths and angles of the petrous segments. At the genu between the vertical and horizontal segments, the ICA gives off the caroticotympanic branch, which courses posteriely towards the middle ear (this is the route aberrant carotid takes to hook up with the petrous carotid). This branch is rarely seen, as it is encased inthick temporal bone. At the distal horizontal petrous segment, before the artery heads superiorely into the lacerum (or transitional) segment, it gives off the mandibulovidian artery, which courses anteriorly through the vidian canal. A small waist (pink arrow) is sometimes seen where the artery enters the petrous bone.

Stereo 3D-DSA of petrous ICA.Short horizontal segment (white), vertical segment (red), lacerum subsegment (purple) and mandibulovidian artery (lower purple arrow) bifurcating into mandibular and vidian branches.

Purple arrow demonstrating a small mandibulovidian artery. Notice how the petrous carotid often appears somewhat attenuated and mottled due to overlap of the petrous bone, compared with the uniform dark color of the cervical and cavernous segments not to be confused with thrombus.

Petrous Segment Aneurysms

Aneurysms of the petrous segment seem to come in two types post-traumatic and other. Post-traumatic (not aneurysms but pseudoaneurysms) are usually created by skull base fractures involving the temporal bone, with secondary petrous segment tear/dissection/pseudoaneurysm formation. The other category usually looks like fusiform large/giant petrous bone blowout, often partially thrombosed, and often extending into the cervical ICA but rarely past the PLL into thesegment. When the bone is often extensively remodelled, attesting to long-standing anerysm presence, and the abnormality is easily appreciated on a non-contrast head CT. In my experience, most patients or parents cannot recall any impressive head trauma. Patients with such long, irregular, and partially thrombosed aneurysms can present withan embolic stroke. Historically, treatment was based on a deconstructive approach of carotid sacrifice, withor without bypass, depending on results of test occlusion. Now, many such cases are being treated with Pipeline or similar endoluminal devices.

Illustrations:

Frontal (top) and lateral (bottom) projection digital subtraction angiographic (DSA) and native images demonstrate a fusiform aneurysm involving distal cervical and petrous segments. The long-standing aneurysm, partially thrombosed, produced extensive remodeling (yellow arrows) and erosion (red arrow) of the petrous bone, with bowing of the posterolateral right sphenoid sinus wall and dehiscence of lateral petrous apex (red arrow); status post pipeline embolization. A coil mass in the posterior fossa (black arrows) also seen on CT scan, belongs within a dissecting aneurysm of the mid-basilar artery (purple arrow), also treated with Pipeline (rightmost three images); coils were placed into the aneurysm after documenting its rapid short-term expansion in a patient presenting with new headaches.The case highlights an innate predispostion for aneurysm formation in this patient population.

This incidentally discovered petrous segment aneurysm, with secondary osseous remodeling (yellow arrows), is associated with dorsal ophthalmic artery variant (red arrows), which I believe also supports thenotion of a congential predispostion; there is no history of trauma.

Three petrous segment aneuyrsms, all extending into the lacerum subsegment, but not distal to the petrolingual ligament, as landmarked by the horizontal plane of the temporal bone (white arrows). This is the pathophysiologic side of argument againsta separate Lacerum segment.

3D-DSA of petrous segment aneurysm, confined below the PLL.

A mirror image of giant holo-Fischer aneurysm which involves all post-petrous carotid segments, and also does not violate the PLL. Poster case for trans-segmentaldysplasia.A small mandibulovidian artery (white arrow) is seen.

CAVERNOUS SEGMENT

Defined as that portion of the ICA located within the cavernous sinus see dedicated Cavernous Sinus page for more venous details. In practice, the anatomy of Cavernous Segmentis dependent onsize and morphology of the cavernous sinus, which has a variable and complex anatomy, both in terms of size and compartmentalization. Injection of the ICA or, more appropriatelyCCA, does not necessarily visualize the entire ipsilateral cavernous sinus, particularly when its main cerebral tributary the superficial Sylvian venous system is underdeveloped. From an microsurgical standpoint, the cavernous sinus begins (lets assume, please) at the petrolingual ligamen, and ends at the proximal dural ring. Neither structure isvisible angiographically or bycross-sectional imaging. One can only guess, on angio, where cavernous sinus begins and ends. When the cavernous sinus is well-formed, and when itscompartmentsreceive amplevenous drainage from the ipsilateral common carotid territory, you can guesstimateits boundaries by superimposing arterial and venous phases on each other, as shown below. In practice, this is of little value, since ballpark estimates can be made anyway, and precise localization (say when a transitional aneurysm is present) leaves room for doubt anyway. In the image below, the posterior cavernous (dark blue)sinus is well-developed, receiving a large superficial sylvian / sphenoparietal sinus tributary (orange), allowing one to visualize the proximal boundary of the cavernous sinus (yellow arrow) as a line, against the background of the arterial phase. The inferior petrosal sinus is marked by light blue arrow. The same information can be gathered from a CT angiogram, whenever it is contaminated with venous state.

The more typical uncertainty of cavernous sinus borders, particularly at the distal aspect, has important clinical significance in terms of deciding whether a given aneurysm is purely intracavernous (and therefore extradural), or distal to the cavernous sinus (clinoid, paraophthalmic, or whatever your boss calls it, and therefore potentially intradural). Consequently, aneurysms in uncertain locations (probably distal to the cavernous segment, andprobably not yet intradural) are sometimes called transitional, underscoring the uncertainty.

The cavernous segment can be subdivided into various segments, as seen below. There exists simply endlessvariability in cavernous sinus and ICA cavernou
s segment geometry, withall manner of straight andcurved segments and subsegments to the great delight of computational fluid dynamics enthusiasts and classification junkies (like us). There are also immediately practical endovascular implications in terms of navigability, catheter support, and implant (stent) behaviour around the various curves.

The important Meningohypophyseal Trunk arises from the genu (bend) of this segment. Its prominence is variable, of course, as its territory is in balance with those of the ILT, clival branches of the Ascending Pharyngeal Artery, and with the MMA. It most typically will be seen as supplying the hypophysis, with a characteristic early blush and early venous phase (not to be mistaken for a dural fistula). The famed artery of Bernasconi-Cassinari comes from there also. In the image below, the lateral tentorial arcade arising from the proximal genu supplies a small sigmoid sinus fistula (orange).

The second important branch of the cavernous segment is the Inferolateral Trunk (ILT), which supplies the floor of the middle cranial fossa, cranial nerves of the cavernous sinus, and is in balance with the Middle and Accessory Meningeal Arteries. Therefore, it is a potential conduit to the ophthalmic artery, expressed in its full prominence as the dorsal ophthalmic (red arrow).

On occasion, one can appreciate slight enlargement in ICA caliber within the cavernous segment. Whether this is physiologic, within a particular cavernous compartment (akin to constriction of the vertebral or radiculomedullary artery when piercing the dura), or a marker for future Cavernous Segment aneurysmdevelopment is unclear. The distal constriction (distal yellow arrow) is as reliable an angiographic marker of the proximal dural ring as any other. This is a lateral left ICA injection in a young epileptic patient status post craniotomy (blue arrow) and subdural strip placement (purple arrow) for invasive EEG monitoring (study done as part of Wada evaluation). Notice enlarged ICA caliber of the cavernous and transitional segments, between two yellow arrows. The distal arrowpoints to vessel constriction which probably marks the location of the dural ring, and its corresponding intradural transition. The ophthalmic artery ostium may be extradural. Notice hypertrophied anterior meningeal artery, post craniotomy-related MMA sacrifice.

On the other hand, it is also important to recognize the physiologic variability in vessel size based on local and systemic factors spasm and vasodilatation. When catheter-related, these are usually straightforward, but it is not always so. As an example, see pre- and post- AVM resection angiograms of this patient, where the cavernous segment is perfectly delineated as a region or relative vascular constriction (left image, yellow arrow), whereas the subsequent study the same area (red arrow) actually marks a subtle change towards relative dilatation. This is not related to any catheter manipulation. The MHT is labeled with blue, and ILT with purple arrows.

ANEURYSMS

What is certain is that nontraumatic cavernous aneurysms are usually fusiform, and have a strong female predominance. The former observation seems to run somewhat at odds with the theory of preferred aneurysm origin at vessel ostia, as championed by the superb works of Rhoton. For example, the superior hypophysealaneurysms are felt to arise at the ostia of superior hypophyseal arteries, not to mention the ophthalmic, PCOM, choroidal, etc. Curiously,saccular aneurysms rarely form in association withthe more consistently visualized MHT and ILT, whichare first in line to receive the brunt of supra-petrous ICA inflow. The hypertension theory is also suspect, as there are many patients with such aneurysms having nohypertension, and incidence in men is rare. It seemsmuch more likelythat the underlying cause has a primary genetic basis.

The majority of cavernous aneurysms preferentially expand laterally, into the cavernous sinus.It is a fact of singular consistency that the proximal vertical subsegment (from the PLL to the posterior genu, yellow arrows) is very rarely involved, even when the remaining cavernous ICA is transformed into a monstrous deformity (see image below). The explanation for this observation seems to be missing in the literature (please correct me if you come across any!)

Even when involvement of the vertical segment is suggested by some images, angiograhic techniques such as earlier phase or 3D-DSA imaging can help clarify the situation (below). Note actual transition into the aneurysmal segment (red arrows). A small waist marks the petro-cavernous transition in the upper case.

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Internal Carotid Artery and Its Aneurysms | neuroangio.org

Art exhibit fuses human anatomy with nature | Culture – Indiana University The Penn Online

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Sprowls Hall is hosting a dual art exhibit in the Kipp Gallery for artists Elaine Quave and Jillian Dickson.

The showing of Pushing Petals runs from Oct. 8 to Nov. 1.

Both artists wanted to examine the complexities of the cycles of birth and death as well as highlight the numerous connections and similarities between the anatomy of the human body and structures found often in nature.

The driving idea behind the art was that we as a species are permanently connected to nature. The show is meant to exhibit how dependent we are on the ecosystems around us to sustain our lives. The art is meant to drive the mind toward the recognition that nature will always be vital to our survival.

Pushing Petals fuses the anatomy of the human body with structures in nature, such as plants and insects, and the work seeks to dissolve the imagined divisiveness we have assumed when it comes to our connection, or lack thereof, with the natural world.

This exhibit is a visual representation that humanity and nature are not separate entities at all, but one single unit.

Quaves works in the show consist of ceramic sculptures that depict interesting fusions of plant anatomy and human anatomy. She used porcelain human bones to simulate certain plant structures and to communicate how closely connected the cycles of life and death are.

Quaves works in the exhibit also remind the viewer to

acknowledge the many negative impacts we are having on our

environments and calls to mind the environmental losses, the losses of true biodiversity and how the age we are living in has been termed the Anthropocene, or the age of man, known to be characterized by the devastating impact human actions have caused to the planets natural processes and habitats.

Dicksons art in the exhibit is meant to remind the viewer of the female body and the incredible things it is capable of.

Dicksons works are illustrations fusing images of human organs, flowers, ribbons and creatures such as butterflies and birds to connect the female body with wild nature. The drawings are meant to depict the female body alongside natural processes such as the blooming of flowers to connect the two entities of human and nature and transform them into a single whole.

Dickson uses classic imagery of the female body being fragile and beautiful by creating blooming and budding flowers, the exquisite delicacy of butterfly wings and flowing, floating ribbon. She pairs these gentle features with contrasting images of starkly veined tissue, thick taught ropes colored with almost-violent shades of reds and purples and images of placentas to drive home the strength of the female bodys capabilities, despite the societal expectations for how a female body is to look. Her works remind the viewer of innate female strength and resilience and how nature is forever pushing onward in its infinite cycles.

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Art exhibit fuses human anatomy with nature | Culture - Indiana University The Penn Online

Anatomy of a Goal: Ola’s Dagger – Massive Report

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Welcome to the Anatomy of a Goal, where each week we dissect one goal (or near goal) from the previous weeks Columbus Crew SC match.

For match 15 of the 2017 MLS Season, we take a look at Ola Kamaras 59th minute goal that put Columbus Crew SC up 3-0 as the final goal in a win over the Seattle Sounders on Wednesday.

Heres a look at the finish from the Crew SC striker.

Crew SC came out firing on all cylinders, scoring two first-half goals and putting Seattle on the defensive almost immediately. The Black & Gold defense held firm for much of the match, with Zack Steffen playing one of his best games to date. Seattle, without Chad Marshall, Clint Dempsey, Jordan Morris and most of their first choice backline, struggled to slow the Columbus attack.

I chose this goal instead of one of Columbus first two, because this third goal is the epitome of the Berhalter system working at its best. Specifically, this goal features a 10-pass sequence (with every pass on the ground), where nine different Crew SC players touched the ball, which traveled from the right side of the field to the left side, and ended with a goal right running right up the middle of the pitch.

This goal starts with a Jonathan Mensah header to fellow center-back Josh Williams off of a Seattle clearance.

Williams receives Jonathans header and takes the ball up the right side of the field, where he finds a wide open Hector Jimenez. A center back playing a ball out wide to a wingback, it doesnt get much more Behalter-system than that.

With the ball out wide, Crew SC center midfielder Artur checks to Jimenez who plays the simple pass to the Brazilian. Artur then turns to the middle of the field to survey his options.

Notice Federico Higuain, making a run on the left side of the image. The Black & Golds No. 10 also checked back to Jimenez and, after the ball was passed to Artur, he immediately made a run up the field, taking a defender along and opening up space for the Crew SC offense. So far, none of these passes have been pressured by Seattle.

Artur plays a simple square pass to his midfield compatriot, captain Wil Trapp, who, seeing that he has ample time and space, lets the ball run in front of him as he surveys his many options.

Immediately, Trapp has four options: a drop pass to Jonathan, a pass to left-back Jukka Raitala; carry the ball up the field himself or a difficult pass up the field to Justin Meram.

As pressure from Alvaro Fernandez arrives, Trapp opts for the safe option and slots a pass into the path of Raitala.

To this point, the ball has moved from the center backs, to the right back, to both central midfielders and now to the left back, all without much defensive pressure.

Seeing space ahead of him, Raitala carries the ball up the left side of the field, waiting for pressure from Seattle.

Ive highlighted this image to show this nifty move by Raitala. As Cristian Roldan begins to pressure him, Raitala does a quick cutback which leaves Roldan a few yards ahead of him and gives the Crew SC left back time and space to make a decision.

With about two yards of space, after making a clever move on Roldan, Raitala slots the ball to an unmarked Meram.

As Meram receives the ball, he is open and thus able to survey all of his options. The Crew SC winger could pass the ball back to his left back, dribble the ball up the field until he is defended, find Federico Higuain or pass a square ball to Artur.

Meram decides to dribble forward until he is engaged by Seattle right back Jordy Delem. As Delem begins to defend Meram, the Crew SC winger will initiate a brilliant series of one-touch-passes with Higuain, confusing Delem and setting up Merams eventual assist to Kamara.

Lets take a look at Meram and Higuains quick passing combo before we break it down.

After Merams first pass to Higuain, the Crew SC attacking midfielder makes a one-touch pass back to his winger. Delem, the only defender engaged with these Black & Gold attackers, switched pressure to Higuain after Merams initial pass and now is switching back to Meram after Higuains one-touch pass. A hallmark of possession-based systems like Columbus is putting offensive players into these two-on-one situations with the defending team.

As we saw in the build up to Ola Kamaras great goal in New England, Crew SC will use these rondo opportunities to confuse defensive players and open up an offensive players options to pass or dribble.

As Meram receives the pass from Higuain, and as Delem shifts back to Meram and prepares to shift back to Higuain, the Crew SC winger makes his run into open space. By making this run, Meram forces Delem to decide whether he will run with him or defend Higuain.

Merams run slows Delem just enough to give Higuain the opportunity to play another one-touch pass into the space ahead of his teammate, who has gotten around the delayed defender.

With Delem out of the picture, and with slight pressure from Oniel Fisher, Meram has two immediate options: continue dribbling forward toward the middle of the field or slot a pass into Kamara who is running the channel between Seattles center backs.

Meram, still not pressured, slots the ball between Fisher and Seattles right center back Gustav Svensson, as Kamara continues running that center channel.

Now, Kamara is in a footrace with Seattles defenders. If Kamara wins this race, he will have to immediately decide what to do with the ball, be it a shot with his left foot or a quick stab forward to create more space.

Kamara decides to fire a one-time shot with his left foot, looking to beat Stefan Frei on the back post just like Crew SCs previous two goals.

Kamara is able to hit an inch-perfect ball that bangs in off of Seattles back post and in.

Take a closer look at just how tough Olas shot was.

Findings:

Continued here:
Anatomy of a Goal: Ola's Dagger - Massive Report

Anatomy of a Suicide review a startling study of mothers and daughters – The Guardian

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What determines our character? Nature or nurture? Genetic inheritance or social environment? It is an age-old debate, and Alice Birch now adds to it with this startling theatrical triptych about three generations of mothers and daughters. Whatever my doubts about Birchs conclusion, the play is odd, arresting and, in Katie Mitchells immaculate production, highly original in its form.

Birchs progress as a writer has been fascinating to watch. She delivered a short, sharp shock in 2014 with Revolt, She Said, Revolt Again which was a subversive, playful piece calling for revolution in everything from sexual relationships to the workplace. In 2015, the Orange Tree brought us an earlier Birch play, Little Light, about sibling rivalries, that suffered from too much withheld information. Since then Birch has written a polemical piece about porn, We Want You to Watch; the admired Ophelias Zimmer, which I missed; and the recent film Lady Macbeth, which transposed a Russian novel to Victorian England and got a five-star review from Peter Bradshaw.

On the evidence so far, I would say Birch has a gift for radical experiment in the style of Caryl Churchill and Sarah Kane. In her new play we are confronted by three women, Carol, Anna and Bonnie, who we learn are mother, daughter and granddaughter. They exist in three different time zones but the story of their lives is told simultaneously. As Birch herself says, the text has been scored and can be read, or viewed, horizontally. In practical terms that means that, as dialogue and action often overlap, we decide where to focus our attention.

It is simpler than it sounds. We first meet Carol when she is emerging from hospital having tried to kill herself by slitting her wrists; subsequently giving birth does little to quell her visible unease. While following Carols story, we also see her grownup daughter Anna suffering from drug addiction, joining a commune and marrying a documentary film-maker by whom she has a daughter. That daughter, Bonnie, has grown up to be a skilled physician who is gay, guarded in her relationships and determined to avoid the possibility of procreation.

If I say that panels above the stage reveal early scenes to be taking place in 1973, 1998 and 2033 and that by the end the story has moved on by roughly a decade, you will get the general idea.

So what is Birch suggesting? Evidently that inherited suicide is a possibility and that the trauma of Carols life is transmitted to the next generation and beyond. I am not qualified to say whether that is psychologically true, but behind the play lies a genetic determinism that I resist. We all know what Larkin said about what parents do to their children (They fuck you up) but Birchs play leaves little scope either for self-invention or the impact of social and economic forces. Even Bonnies choice of profession seems shaped by her grandmothers actions, and you are led to wonder whether Carols momentary surrender to a womans kiss has some connection with Bonnies sexual preference.

Even if I question many of Birchs assumptions, she has found the ideal form in which to explore her subject. I can, in fact, think of few exact parallels to this play. Charlotte Keatley in My Mother Said I Never Should interwove four generations of mothers and daughters and Edward Albee in Three Tall Women cross-cut between the different stages of his adoptive mothers life. But Birch not only presents three lives concurrently but deftly establishes overt and subliminal links between them: Carols anguish over childbirth is echoed in Annas experience and even a word such as radiant takes on varied associations when applied to all three characters.

Mitchells production is characteristically precise and detailed, and Alex Ealess design of a strip-lit institutional room with five doors proves highly adaptable.

Casting also ensures that the three women, although linked by blood, are idiosyncratically different. Hattie Morahan plausibly lends Carol the air of a once-golden girl infinitely baffled by her inability to find happiness in marriage or parenthood. Kate OFlynn exactly captures Annas congenital instability and resentment at being treated by her future husband as a case history. Adelle Leonce meanwhile is all wariness and isolation as Bonnie, and there is good support from Jodie McNee as her ardent suitor and Paul Hilton as Carols perplexed husband.

Its a play that raises many more questions than it answers but for two uninterrupted hours it kept me hooked. It also confirms that Birch is a questingly experimental writer who, even if she insufficiently acknowledges our capacity to escape our parental legacy, has a remarkable gift for reinventing dramatic form.

At the Royal Court theatre, London, until 8 July. Box office: 020-7565 5000.

In the UK, the Samaritans can be contacted on 116 123. In the US, the National Suicide Prevention Hotline is 1-800-273-8255. In Australia, the crisis support service Lifeline is on 13 11 14. Hotlines in other countries can be found here.

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Anatomy of a Suicide review a startling study of mothers and daughters - The Guardian