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Plus defence spending as a giant STEM jobs programme and Tanya Monro moves up to CSIRO

One and the same

“It’s never too early to plan your career (or find a casual job),” the University of Sydney advised yesterday. Of course it would never occur to UoS staff that for some graduates the latter will be the former.

Campus Morning Mail

Monro moves up

Did the University of Adelaide realise how big a gap Tanya “photon girl” Monro would leave when she left? Arriving there in 2005 she soon exceeded her KPIs, to build the university’s rep in phototonics. She served on state and federal committees and became a poster-person for women in science and for SA’s research standing.

Such a poster-person, that the University of South Australia lured her away in 2014 to become DVC R. While she left a bunch of research money at UoA she took her prestige with her, which is very good for UniSA. Professor Monro’s appointment to the CSIRO board yesterday is another win for her but also the university.

APP of the day

Is from Built Environment (architecture, urban planning, construction management, that sort of stuff) at the University of New South Wales. People at BE teamed up with architects Cox Richardson to create the Urban Pinboard App, which makes building and planning information available across the fragmented fiefdoms that are state and local government jurisdictions in Sydney.

More than just numbers

It’s a golden age of influence for the National Tertiary Education Union, which is certainly accomplishing more with the same membership it had a decade ago. The union now claims 28 000 members whereas in 2004 it reported just under 27 000. This isn’t much of a rise, especially as overall higher education employment has risen from 92 000 to 123 000. But it’s not bad at all compared to the overall decline in union membership across the country, down to 15 per cent in the overall workforce. Then again, some 39 per cent of public sector workers, think nurses, teachers and emergency service workers, are unionised.

Many mates

The University of South Australia is celebrating its 25th anniversary with a web page where its friends post congratulations. And what a diverse bunch of mates they are; politicians and polemicists, students and sportspeople, comedians and cyclists. Stars of screen and space are there – actor Stephen Fry and NASA boss Charles Bolden. So are local heroines, former VC Denise Bradley and workplace researcher Barbara Pocock. By a university’s friends shall you know it.

Deakin’s big biz

The ratings biz is brisk at Deakin U’s Business School. Last week it rated 16th in the QS online MBA top 30 (CMM February 26) and yesterday the European Foundation for Management Development renewed its MBA and B Comm accreditation. Deakin is one of nine Australian schools accredited by the EFMD.

More please, in the national interest

The First Law of Funding Announcements holds the bigger the bucket of money the greater the number of organisations who will see an opportunity. Thus Engineers Australia responded to the $30bn in increased spending in the Defence White Paper within a couple of days, warning that engineers would be needed.

Yesterday the University of Tasmania was spruiking the role of its ARC Research Training Centre for Naval Design and Manufacturing, which “aims to transform Australia’s naval manufacturing industry.”

In case other academics aren’t quick on the uptake Innovation Minister Chris Pyne showed them how it’s done in Reps Question Time, taking a dorothy to  explain how defence spending and in particular last week’s White Paper  are great for STEM discipline employment. “The government’s policies on defence and innovation are doing exactly what the Australian people want us to do, create jobs and get our economy growing again,” he said.

Moran moves west

Chris Moran is leaving the Sustainable Minerals Institute at the University of Queensland for Curtin U where he will be DVC Research. He replaces Graeme Wright who will retire mid year.

CMM ads10

Local hero

Andrew Southcott is the member for Boothby, the federal electorate covering Flinders University and he is obviously keen to keep it that way. He was on his feet in the Reps last week praising the university, which is about to turn 50. Listing initiatives, be added he was looking forward to seeing what Flinders will have accomplished when it turns 60. With 50.35 per cent of the primary vote and a 6 per cent swing to him in the 2013 election Mr Southcott could still the university’s MP when that anniversary rolls around.

Publishing pain

The Australian Universities Review is always a great guide to what HE practitioners think and the issue about to be out reflects anxiety with an ever-more competitive campus culture. There is an essay on “talent management” in universities, a title that will still alarm plenty of people and Andrew Bonnell from the University of Queensland, worries about the impact of research metrics.

“Driven by competition for international student numbers, not to mention the quantified KPIs of individual managers, and seeking to justify charging higher fees than their competitors, academic managers chase rankings, and use crude quantitative levers to try to extract more and higher-profile publications from their staff. It is not sustainable,” Dr Bonnell writes.

Editor Ian Dobson demonstrates just how demanding the push to publish makes things in a piece outlining the impact on editors of having to assess evidence and then decide what constitutes first publication of original research.

Setting standards

Rod Camm did well last year, presenting the legitimate for-profit training industry as an essential part of voced right through the VET FEE HELP storm. And now the Australian Council for Private Education and Training chief is setting out a strategy to present his members as meeting new federal standards. In this first case it is on behalf of his NUHEP (as in non university higher education providers) members.

ACPET has established a joint-venture consulting service to assist members meet the finally in place Higher Education Standards Framework. It will benchmark providers on required data, create plans for required improvement and measure NUHEPs against their peers (anonymity assured). For a $4000 starting price this looks a less good than essential deal.


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text:
Kinlyside bee swarm relocation

Bee swarm relocation in Kinlyside, ACT 2913

Bee swarms are a natural phenomenon each year as bee hives increase their population.
We can collect these swarms and provide them a new home.

If you are lucky enough to have a swarm of bees visit and share a small part of their lives with you, and you would like to see them moved from harms way please call us using the details below to arrange their collection.

0414 501 578

Not in Kinlyside? find a swarm collector in your area using our swarm list.

warcinfo:
isPartOf: CC-MAIN-2021-43
publisher: Common Crawl
description: Wide crawl of the web for October 2021
operator: Common Crawl Admin (info@commoncrawl.org)
hostname: ip-10-67-67-180
software: Apache Nutch 1.18 (modified, https://github.com/commoncrawl/nutch/)
robots: checked via crawler-commons 1.2-SNAPSHOT (https://github.com/crawler-commons/crawler-commons)
format: WARC File Format 1.1
conformsTo: https://iipc.github.io/warc-specifications/specifications/warc-format/warc-1.1/


text:
Be safe at work

Cancer-causing substances at work are responsible for a small percentage of cancers. Know your risk and protect yourself.

Your work environment may expose you to harmful chemicals or radiation that are linked to cancer. These cancer-causing substances are called carcinogens. Scientific evidence tells us that being exposed to carcinogens on the job is responsible for a small percentage of cancers.

Since higher exposure means greater cancer risk, the most important thing you can do to prevent cancer is to avoid being around these harmful substances – or reduce the time you’re around them.

Find out what you can do to protect yourself at work, and learn more about what kind of substances are harmful to your health.

Protect yourself

Governments, employers and employees must all do their part to reduce exposure to carcinogens in workplaces.

Asbestos is a naturally occurring fibrous mineral used in construction and other industries because it is durable and resists high heat. Exposure to asbestos is highest for people who work with it.
A man is standing in an industrial workplace putting on personal protective equipment

Formaldehyde is a chemical widely used in various industries and as a preservative and disinfectant. People who are exposed to formaldehyde at work have higher levels of exposure than people who may be exposed in their homes.

Radiation is energy that travels through space in the form of waves or particles. There are 2 types of radiation: ionizing and non-ionizing. Exposure varies by type of radiation.

Sun and UV

UV rays are a source of non-ionizing radiation. Outdoor workers are at greater risk of developing skin cancer than indoor workers.

Shift work and the circadian rhythm

The circadian rhythm is the body’s internal clock. If you have a job or schedule that disrupts your sleep and wake hours, it’s hard on your body and may increase your risk of health concerns.

Pesticides are chemicals used to kill or control insects, plants, animals or other pests. Occupations like farmers and golf course workers use pesticides in their work.


text:
Hackathons for Startups

Connect with Patient Leaders and Innovators

Our Mission

Our mission is to accelerate patient-led solutions to cancer-care problems.

The Challenge

Patients and their families are overwhelmed.

An explosion of new treatment options and health data about each individual (genomics, proteomics, imaging, monitors, new biomarkers, increased frequency of sensor readings) is overwhelming oncologists and patients. Patients and their friends and family feel lost and despondent.

Impersonal Care

Batch thinking and rigorous adherence to a safe standard of care optimizes for the population but can be suboptimal for an individual patient.

Separate services are hard to integrate, and competing incentives (profit, cost, safety) are often at odds with the patient outcomes. Data is hoarded and local.

Who We are & What We Do

The startup hackathons are led by a team of three:
We host Hackathons which are curated communities of brilliant patient innovators for learning.

Who Participates

  • Entrepreneurs – patients looking to make a difference in cancer care
  • Key Opinion Leaders – patient advocates
  • Sponsors and funders – clinicians, researchers, foundations, VC’s, investors

Benefits of Participating

person stepping in front of crowd - leadership

Access Patient Leaders

  • Access the patient audience and patient advocacy influencers
  • Access vetted ventures
  • Associate your brand with the cause of patient leadership
  • Drive business to your brand
  • Build partner and customer relationships
  • Boost brand awareness and loyalty
  • Speak at events
child looking at beaker in lab - learn

  • Get unique early exposure to disruptive changes – a listening post
  • Develop a deeper understanding of patient problems and potential solutions
  • Participate in events
people connected around the world

Be part of a community of mission-driven startups solving patient problems

Please contact us with any questions.


text:
Candy Crush Level 485 Tips and Walkthrough Video

Candy Crush Saga Level 485 Goals

  • Objectives: Break all jellies
  • Moves: 50
  • Target Score: 30000 Points.
  • Difficulty: Hard

Candy Crush Level 485 Tips or Cheats:

You need to break the jellies and for it you could play more from where more candies are available to play. Or play from bottom to shuffle and move candies everywhere. That could help you to break candies automatically and will give chance to make special candy by mixing more same color candies. You could play with remaining jelly candy to break them instead of wasting moves. Or use more special candy to reach the 30000 score. You could get some more help or technique by playing walkthrough video that is below.
special candies combo

Candy Crush Saga Level 485 Walkthrough Video

Share your comments or tips

Your email address will not be published.

Candy Crush Saga Tips © 2016 | Privacy Policy | Contact


text:
Candy Crush Level 782 Tips and Walkthrough Video

Candy Crush Saga Level 782 Goals

  • Objectives: Break all jellies
  • Moves: 45
  • Target Score: 40000 Points.
  • Difficulty: Hard

Candy Crush Level 782 Tips or Cheats:

You need to break the jellies and for it you could play more from where more candies are available to play. Or play from bottom to shuffle and move candies everywhere. That could help you to break candies automatically and will give chance to make special candy by mixing more same color candies. You could play with remaining jelly candy to break them instead of wasting moves. Or use more special candy to reach the 40000 score. You could get some more help or technique by playing walkthrough video that is below.
special candies combo

Candy Crush Saga Level 782 Walkthrough Video

Share your comments or tips

Your email address will not be published.

Candy Crush Saga Tips © 2016 | Privacy Policy | Contact


text:
On-the-move side table, small (5065)

On-the-move side table, small (5065)

Type: Accessories
SKU: 5065ABR

The chosen variant is sold out

***· Modern design · High lightfastness · Long lifespan · Minimal maintenance and cleaning ***

This lightweight and elegant side table is the result of an exciting design process with the designers Strand + Hvass. The goal of the side table was to create a modern, stylish and functional side table. On-the-move side table is equipped with a handle so you easily can move the table around as needed. On-the-move countertop is a removable plate that can transform the table from a beautiful side table into a convenient serving tray in no time. The table is made of aluminium and requires minimal maintenance and cleaning. The side table is available in several different colours.

Height: 54 cm | 21.3 inches *

Diameter: 44 cm | 17.4 inches *

Weight: 2.91 kg | 6.5 lbs *

* Measurements & weight displayed do not include any selected add-on

Aluminium maintenance manual

Technical sheets


text:
Wikia implemented the new navigation menus across all wikis on October 3, 2012. See:

Some suggestions for improvement:

In the past (before October 3, 2012) the Cannabis Wiki used custom site navigation. See full-size screenshots linked below. It is better in some ways than the new expanded Wiki Navigation.

Search menu. Full size.

Global Marijuana March menu. Full size.

The best navigation menus, by far, were the nested menus in the left sidebar before the Oasis/Wikia skin got rid of the left sidebar. See example from June 26, 2010 here:

The nested part does not activate in the archive page, but you can see that the arrows in the sidebar navigation menus point to nested menus.

See below for info on a variety of nested hover menus on various skins whose code might be adapted for use elsewhere.

Vector sidebar and nested site navigation[]

Nested site navigation on the Vector skin. See mw:Extension:CSS MenuSidebar. See also: mw:Extension talk:CSS MenuSidebar#MediaWiki version 1.16.x for the 1.16.x version.

Vector nested hover menus.jpg

See nested hover menus in the sidebar on the Vector skin here on the ACC Wiki:

Monobook skin[]

There are some well-implemented nested hover menus in the sidebar of the Nimbus skin here:

Here is a treeview extension below for Monobook. Deeper levels in the sidebar menus are accessed by clicking the plus signs.

See also[]

See also:


text:
Crain Buys Green Market Report

We say congrats to Debra… Crain Communications has acquired Green Market Report, a digital media brand that covers financial news of the rapidly growing cannabis industry. Green Market Report was launched in 2017 by co-founders Debra Borchardt, a financial journalist and former Wall Street executive, and Cynthia Salarizadeh, a seasoned public relations expert and legal cannabis industry insider. The acquisition will be finalized on Sept. 30, 2021. “We are excited to add Green Market Report to our now 21-brand portfolio,” said KC Crain, president and CEO of Crain Communications. “They focus on the financial, business and economic side of the cannabis industry, so it’s a natural fit with our other business brands.” Green Market Report, which includes a network of freelance journalists and garners 150,000 monthly page views, is led by Borchardt and located in New York. “Crain is one of the highest quality business news organizations in the country,” said Borchardt, CEO and co-founder of Green Market Report. “Their team, resources, and respected journalism will make the perfect partner as Green Market Report continues into the future. The combination of Crain’s experience and Green Market Report’s expertise will turn us into a leader in the industry, and I’m personally excited to be a part of that growth.” This deal comes two years after Crain’s acquisition of GenomeWeb — an online news organization covering trends in genome sequencing — in 2019, both contributing to the company’s overarching goal of portfolio diversification. Green Market Report will join Crain Communication’s family of brands that spans across 10 offices and includes 650+ employees, with headquarters in Detroit and additional main offices in Chicago and New York.

Excerpt only …
Source : Crain Buys Green Market Report

reposted by Cannabis News World

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text:
A resource for both professional and armchair canonists.

Also including the GIRM, GILH, CCC, CCEO, DC, SST, USCCB Norms, and Vos estis.

  • Section Numbers
  • Text Search

  • Documents

Processes » Trials in General » The Competent Forum
Canon 1412. In penal cases the accused, even if absent, can be brought to trial before the tribunal of the place where the delict was committed.
Previous Next
Page generated in 0.0023 seconds.


text:
Sig Sauer Silencer SRD22x

2 in stock

22LR suppressor with a titanium tube and stainless steel baffles.

SKU                                            SRD22X
CALIBER                                    22 LR
WEIGHT                                     5.1 oz (144 g)
DIAMETER                                 1.0 in (25 mm)
OVERALL LENGTH                    5.8 in (147 mm)
THREADS                                   1/2 in – 28 tpi
ATTACHMENT TYPE                  Direct Thread
MATERIAL                                   Titanium

The SRD22X 22LR can be used on both pistols and rifles and features a Grade 9 Titanium outer tube with 17-4 stainless steel baffles. Due to the durability of its materials, the SRD22X can be used with .22LR pistols and rifles chambered in .17HMR/.17 Mach II and .22 Magnum. The SRD22X comes with a 1/2x 28tpi mount, with an available M9x.75 rear mount, and is fully user-serviceable.

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text:
mta international

Case Study

Logo mta international

London, UK

MTA exists to provide a voice for our audience and to portray the interests and concerns of our community today. The integrated Cantemo Portal solution helps us explore new programming possibilities as well as ensure that the material in archive is secure and available to the wider community.

Community Broadcasting to a global audience

Engaging Viewers

mta international camera

From the very start MTA was founded to be a different kind of channel, one that would establish a uniquely independent voice and provide “a positive alternative in the broadcasting world.” As it approaches its third decade on air, the station continues to deliver on that early promise, producing a comprehensive roster of programmes, including news coverage, educational content, religious issues, current affairs, documentaries, outside broadcast of events and sports updates that is always free from both commercial sponsorship and subscription. It is a considerable undertaking for the largest organisations to broadcast 24 hours a day, 365 days a year, for the team at MTA the challenge is also to meet the needs of an audience that spans five continents. The accommodation of “viewers from Moscow to Melbourne and from Tokyo to Toronto” not only requires a highly developed global awareness, but often includes simultaneous translation in up to nine languages.

Another crucial aspect of MTA’s approach is the principle that programming not distinguish between adults and children in the audience. When it comes to shaping content and defining the schedule, this type of inclusivity presents its own challenges. It has also kept MTA at the forefront of emerging technologies and led to the early embrace of mobile applications and You Tube, as well as a committed engagement with social media.

mta international cantemo portal system

Assets Managed. Content Created.

Production at MTA extends from the headquarters in London to 12 satellite studios around the world. A lot of the staff are young volunteers from the community and MTA works hard to equip them with industry-relevant skills and experience. Many alumni from this initiative have gone on to pursue careers in the media, then bring that wider exposure back to inform and support advancements at MTA in turn. In practice that means that MTA are always researching new ways to work and implement the latest production techniques. Any fundamental change to established workflows must recognise all of these factors. In this regard Portal offered MTA a unique opportunity to introduce a highly sophisticated and scalable asset management solution with minimal disruption. The reality is that the plan MTA devised with integrators NMR meant the complete overhaul of the post production pipeline. Everything from ingest to shared storage and network infrastructure to delivery and archive has changed. For the creative teams the only substantive difference was the switch of NLE to Adobe Premiere Pro.

The browser-based interface of Portal provides unparalleled ease-of-use for anyone who has ever used a modern web site. NMR took advantage of the theming feature to provide a custom look and feel that reflects MTA’s defined style. Because Portal is built with HTML5 and makes use of the latest web technologies to support video playback without the need of third-party plugins, media can be accessed on any device within the organisation. Comprehensive support for defined user groups and roles means that access can be easily controlled.

mta international editor

The market, like MTA, is moving to a tiered storage approach with more content being protected on scalable nearline digital preservation platforms like MatrixStore that offer high levels of resilience with little or no management effort. Organisations also require tight integrations between the platforms they rely on to further reduce the administrative burden. The API integration with Portal from Cantemo and MatrixStore allows MTA to build more value into their content by having a seamless platform from which to share content with its global audience.

Portal is also distinguished by its integration with Premiere Pro. Cantemo® have taken advantage of the Adobe API to create a custom panel. This means editors can search for media directly in the NLE and retrieve items that have been stored in their personal MediaBin. Additional integration with Tools on Air JustIn for ingest and Object Matrix MatrixStore for long-term archive complete the pipeline picture. With Portal managing media assets in the background, the creative teams are freed to focus on the task of producing high-quality television.

ToolsOnAir is pleased to be an integral part of the complete ingest solution at MTA helping to make their valuable tape archive accessible to production teams around the world. The seamless ToolsOnAir / Cantemo integration is a great choice for digitizing and cataloguing analog tape libraries. We are always excited to be part of projects that preserve and make culture heritage accessible to the world at large.

Twenty Years of Tape

At MTA the role of Portal extends beyond the current production roster to also encompass the needs of the large library of historic content. And when an organisation has been broadcasting as long as MTA all those hours of programming add up to a lot of tapes. Shelves upon shelves of them. In fact the oldest item in the archive, is a small reel of film dating from 1914, just 25 years after the founding of the Ahmadiyya movement. Until the introduction of Portal the task of managing all this media has been ably undertaken by a dedicated librarian, Shahid Ahmad. His tireless commitment to his work and encyclopaedic knowledge of the archive means a specific clip can be easily located, but when a physical tape has to be checked-out and digitised, timely access to footage becomes a challenge, especially with tight schedules and looming transmission dates.

It is a bold decision to make the MTA archive completely tapeless, but it is in keeping with the drive to use the latest technological advances. With Portal in place all of the media is now available to browse by any of the editors. If they need a clip that’s in the archive Portal will automatically move the original file to production storage. The ability of MatrixStore to securely archive large pools of data objects across multiple sites means that instead of spending time maintaining the condition of the physical tapes, MTA can invest in additional research of the collection and further enhance its value.

The combination of Cantemo Portal and MatrixStore has created tremendous new possibilities in terms of how MTA will preserve the archive and who has access to it.

The process of ingesting all of the footage has been accelerated by JustIn, which enables real-time capture of multiple streams on a single workstation. Portal utilises MatrixStore integration to move data between production storage and archive, where the legacy of MTA can be securely protected for future generations. The long-term goal for MTA is to make the archive accessible to production teams around the world and after that the wider community.

Our integrated technology solution, deployed at MTA, reflects not only an elegant end-to-end workflow, but also a highly scalable and cost effective solution from ingest, through to delivery. The beauty of Cantemo Portal is its scalability for the long term and also its customizability for deep integration (such as with Tools On Air’s JustIn ingest application), making it an ideal long-term investment for Digital Asset Management (DAM).

NMR is a leading post-production and broadcast systems integrator. With an established client base that runs the gamut from tier one broadcasters and in-house production teams for some of the world’s largest corporations, through to specialist boutique facilities, NMR is focused on developing comprehensive solutions for storage, post-production and play out of digital film and video content.


text:
Take the leap: What it’s like to take a gap year before med school

Emily Brown graduated from MIT in June 2013 with a Bachelor of Science in Biological Engineering and Biology. She spent the year after graduation doing clinical work in a private dermatology practice in Boston and started medical school in the fall of 2014. Learn about Emily’s experience in her own words.

When I originally decided to take a gap year before medical school, I thought, like many MIT pre-med students, that I should engage in an in-depth research project during the year. As I thought about it more, however, I realized that I already had several research experiences and was ready for something new. What I really wanted was more clinical experience, as my previous experience was limited to shadowing doctors in the hospital. Through the MIT Prehealth Office, I learned that an MIT alum, Dr. Louis Kuchnir, was looking for gap year students to work as medical assistants in his private practice dermatology clinic in the suburbs of Boston. Although I had no experience in dermatology, I jumped at the chance to work in a clinic for my gap year.

After interviewing for and receiving the position, I started working as a medical assistant in June 2013. The job offers exactly the kind of clinical experience I was looking for: I spend every day interacting with patients. I have learned to take patient histories, to scribe for the physicians, to assist in skin biopsies and surgeries, and to educate patients about various topics, including sun protection, wound care, and medication usage. In addition, I have learned how it feels to be a member of a health care team, the satisfaction that comes from an excellent surgical result or a resolved disease, and the guilt and sadness that arise when my patients do not get better.

By working in a private practice, I have also gained a much better understanding of the real issues that affect health care today, such as the convoluted world of insurance and the difficulties that stem from the shortage of health care providers. This experience was incredibly valuable during medical school interviews, as I had many realistic clinical experiences to draw upon while answering the interviewers’ questions.

My gap year has taught me much about medicine that I did not know before. I plan to attend medical school next year either at UPenn or UCLA, and I know that my experiences in my gap year will help me become a better and more knowledgeable clinician. In addition, witnessing first-hand the problems that the medical field currently faces has inspired me to work to change these problems during my future medical education.

Wondering if a gap year is for you? Speak to Prehealth Advising staff. Determine how to make the most of your gap year and explore your opportunities. Check out the MIT Prehealth Advising Facebook group which regularly posts job openings, internships, and volunteer positions.

By Lydia Huth
Lydia Huth Communications Specialist Lydia Huth


text:
White-browed Scrubwrens

This 3-page article was published in Audiowings, the journal of the Australian Wildlife Sound Recording Group, Volume 5 no. 1, June 2002.  It shows that there can be a large repertoire of song types from any one location, and shared by all the birds at that location.  A medley of the songs in mp3 format is included at the start of the article, and will play in the same order as the sonograms.  You can also download the article in pdf format (1.2 mb) here.

AUDIO: medley of song types, White-browed Scrubwren

ARTICLE: White-browed Scrubwren songs

This page was created in 2012 and upgraded 4 June 2017.  WBSW.MONO.


text:
Register Login Contact Us

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Farmer Pick Up Lines

Here are some Farmer Pick Up Lines to impress Someone.

Don’t worry about the John – just call me dear.

I forgot my reusable bag, can I borrow one of yours?

Pollinating those petals them with my piston will cost an additional fee.

Come on baby, gimme your seed.

Hey, I’m outta work and I heard you needed some plowing.

How would you like to switch the gears on my tractor?

Baby, why don’t you come on over here and ride my pony.

I’m no Jackie Howe but you’ve got to admit this is shear attraction.

I would love to see the way you farm.

Hey girl did you grow up on a farm? CAUSE YOU SURE KNOW HOW TO RAISE A COCK

Are you a chicken farmer? Cause you sure know how to raise a cock.

I have celeriac seedlings in the back of my car.

Did you grow up on a chicken farm? ‘Cause you sure know how to raise a cock.

Funny Farmer Pick Up Lines

It sure is hot under this tent.

Baby, why don’t you come on over here and ride my horse.

Can this hog feast in your slop tonight.

How many horses can you fit in your barn?

Want to show me how to make steamy greens?

I’ll bring you a sammich while you’re working hard.

Hey honey… oh, sorry. I’m a beekeeper and it’s a force of habit. I’ll buzz off now.

I hear lavender makes underwear drawers smell nice, does it?

I’m looking to turn my greenhouse into more of a green home, if you’ll help me.

Are you sustainable agriculture? Cuz you’re all I need to survive.

I’ll take a half dozen organic eggs and one of you.

I’d love to do a vegetable wash for you.

I’ve also got black boots, you know, just in case a wedding comes up or something.

If you were a chicken, you’d be impeccable!

My farmers tan is all over my body.

The way you moo attracts me like no other!

I would love to grease your fittings.

Well shut the gate because my heart just bolted.

Meet me at the back with a forty.

Can I help you pitch your stand?

Sure, I grow vegetables, not jewellery, but even I know the more carats the better.

Boy are you a tractor? Cause you’d make life on the farm easier.

My dear, you look radishing tonight.

Let’s get dirty.

So, can I be your apprentice? I want to learn all about this farm to fork movement…

I don’t know which horse is the favourite but my heart’s sure racing.

I’m country born, I’m country bred.

Dirty Farmer Pick Up Lines

Cottons not the only thing i’ll be picking up tonight.

If you were a chicken, you’d be impeccable.

You seem more cultivated than my cornfield.

I’m a stud owner. Would you like to be one too?

I have a crockpot and I know how to use it.

I’d like to raise your barn.

Now you know I’m a veggie grower, can I call you pumpkin?

I get fresh eggs daily.

Isn’t it tuber time?

Are you a farm?Cause I’m pretty sure I’m gonna plant my seed in you this spring.

Let me show you my magic garden.

I have a six pack and an empty buddy seat.

Hey, I’m outta work and I heard ya needed some plowing.

Were you raised on a chicken farm?Becuase you sure know how to raise a cock

I didn’t know this was a stonefruit conference but I’m sure glad I found a peach like you.

Baby, we’ll never have to run to the store for milk.

You can tell a lot about a man by the size of his yield.

Your father must’ve been a pumpkin because you look gourdgeous.

I’m thinking of getting a new cattle brand just now- UMe.

Does your father spray pesticides? Because you look like you sprinkled down from heaven.

So, can I be your apprentice? I want to learn all about this farm to table movement.

Smooth Farmer Pick Up Lines

I’m all for sensible firearm laws but I’ll be blowed if I know when that Cupid is going to rein things in. He’s just shot me.

I’m a fifth generation farmer.

If I were a tractor and you were a plow, I would definitely hook up with you.

There’s room under this big hat for two.

Why don’t you come to my farm and check out my high tunnel?

Wanna come over Friday night and till my fields?

I find myself grazing deep into your eyes.

How many native pollinators do you have at your place?

Do you live in a chicken farmCause you you sure know hoe to raise a cock

As an apiarist, I know a sweet flower when I see one.

How about we go over to my beds and spread some of my heirloom seeds.

So, how long have you been pickling these cucumbers?

I’ll starch your shirts AND your jeans.

We might be in drought but I’m having a flood of emotions right now.

As a wool classer I can tell you’re superfine.

Pick up lines for  Farmer

Are you farming equipment?…Cuz you look like a hoe

How about I wear these Carhartts and we plant seeds together.

Have you been eating 00 bait because you’re drop-dead gorgeous.

If I’d known I’d be meeting a Miss Showgirl I would have put on my town Akubra.

I’d cultivate your crops so hard.

Do you want to see the most carrots you’ve ever seen in your life?

Do you want to plow this field?

I usually pull a rotary hoe so let me know if I’m moving too fast.

Will you drive the truck while I load bales?

I have the biggest power shaft in town.

Are you a dozer, because I want you to plow me all night.

You smell like silage and sunshine.

I’d like to grease you up like a pig and chase you round the barnyard.

As a mango grower, I’m used to seeing blushed cheeks. Not usually my own, though.

I wanna put your pork on my fork.

These bags of organic spinach would make some great pillows don’t you think?

I’ll be the John to your Deere, and we can run together forever.

I know you make artisan cheese, but what else can you do with your hands?

Cheesy Pick up lines for  Farmer

You have beautiful calves.

That’s not a cob of corn in my overalls.

A tractor? That’s what I’m trying to do!

Yep, I’m immunised against Q-fever but there’s no vaccination for love.

Can we cuddle? ‘Cause I’m fresian!

Have you got a licence for those guns?

Do you know much about insecticides? Because I’ve just been bitten by the love bug.

You’re a fine piece of acreage.

Look at all that fertile land waiting for me.

How long does it take for your bread to rise?

Hey baby, I’d love to hand pollinate you!

Do you combine here often?

Submitted by Stephen

If you had eleven roses and you looked in the mirror; then you’d see twelve of the most beautiful things in the world.

That hand spun sweater looks big enough for two to get cozy in

I’m good on the farm but better in bed.

Hey baby, I’d love to pollinate you!

I’ve always wanted to be a farmer’s wife.

Cheesy Pick up lines for  Farmer

Mmm, these honey samples are so mouthwatering.

Have you ever frolicked in the fields of [name of your favorite farm]?

You must’ve grown up on Pepperidge farm,Cause you like a snack that I’ll always remember

Want to melt my beeswax candles tonight?

Can I offer you a slice of my pie?

Excuse me did you grow up on a farm?Cuz you sure know how to raise a cock!

Are you farm raised or do you need to be wild-caught?

Can i grow some of you on my farm?

I’ve got some new rubbers, so it’s ok to sow my wild oats if it gets too wet in the field.

I wish I could harvest you at peak season.

Is that a pole shed, or are you glad to see me?

There should be government regulations against all your goodness.

What’s your favorite way to eat rhubarb? [Wait for answer] I’d love to make it for you.

Wanna go for a drive…and check crops?

Look, I can’t wheat to tell you; you make my heart sorghum.

What do you do in your off season?

Is that corn in your silo, or did you have to plant barley this year too?

The back seat of my new Dodge lays right down.

Are you a composting pile? Cause you look hot.

Cool Farmer Pick Up Lines

Would you like to come out to the farm and help me with the bees?

Whoa girl, do you own a dairy farm?Because you got some nice calves! (baby cow)

These plums are so soft.

My name must be John Deere, because I’m totally a tractored to you.

Darlin’, I love your dairy air!

Do you work on a chicken farm? Cause you sure do raise my cock

Is that a wrench in your pocket or are you just happy to be harvesting?

Are you a tractor? Cause you’d make life on the farm easier.

Do you work on a farm?…because you sure know how to raise a cock

We’re you born on a farm? Cause you sure know how to raise a cock

Are you as loud as your chickens?

I’ll tell you how many acres I farm.

I would love to take you out on a date. I am outstanding in my field.

Is that a phone in your pocket or is your rooster happy to see me?

Do you work on a chicken farm? Cuz u sure know how to raise cocks!

You’d sure look good in my milking boots.

You’re so tasty, I bet you don’t need a certification.

Top  Farmer Pick up lines

I don’t normally sow wild oats, but for you I’d make an exception.

Did you perhaps grow up on a farm? Because you are very talented with raising cocks.

So what’s your moisture level?

If you were a bouquet of fresh cut flowers, I would take you home.

My tractor only has 000 hours.

Of all the beautiful faces I just can’t look pastures.

I won’t tell you what I grow but I’ll give you a hint, sweetpotato.

Are you still looking for seasonal labor?

Like vertical farming, I need to know more about you.

Would you mind if I tested your Brix level? You seem sweeter than most.

Do you want to check out my home quarter?

What’s a stud heifer like you doing in a commercial place like this?

Nice set of silos you got there.

Are you a decomposing pile? Cause you look hot.

I’m a grain producer but I’m sure tired of going silo.

 Best Pick up lines for  Farmer

This bushel is so dry, let’s change that.

It’s funny how slippery this jam is!

Meet me in the corn field and I’ll kiss you between the ears.

You can treat me like a stack of hay, and you can bale with me.

Roses are red. Lilies are white. We’d make a great couple, You know that I’m right.

Can I plow you instead of this field?

I’ve always wanted to be a farmer’s wife.

Do you live in a cornfield? Because I’m stalking you.

You look like you have excellent genetics and would be a fine mother. Wanna breed?

I’m not a climate change denier but when you walked in things just got hot.

I’ll be the John to your Deere, and we can run together forever.

My name must be John Deere cause I’m totally a Tractored to you.

Do you have a shovel in your back pocket? Cause I’m diggin that ass!

Forget the 00 mile diet, we do the 00 yard diet.

Why don’t we head over to my pick-up truck and turnip the beet?

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Making Time to Take a Break

This week I’ve been pushing hard toward the end of the second draft of A Theft of Magic. I turned in the draft to my editor on Wednesday and now have a few days off until she comes back with the next round of notes. It’s also the last weekend before my son goes back to school, so we’ve decided to slip away for a short trip to the beach.

I love going to the ocean. My favorite thing to do is rent a house right on the beach for at least a week, so that I can go down to the sand and the surf whenever I want. This year, my family and I can only manage a long weekend at a hotel, so I won’t have that same sense of spontaneity available, but it will be nice to be there all the same. I need some time away from my story and away from my desk to recharge my creative batteries.

This brings me around to the inverse principle of “make time to write,” which I promoted in my Making Time blog post a while back. Because, as important as it is to take a break from any job, taking a break from creative tasks is almost necessary. After a while of pouring bits of your heart and blood and soul into your art, there’s nothing left inside you.

And, at the same time, you can never really take a break from your creativity. I see it as a sort of input-output relationship. Those times you spend away from your keyboard (or easel, or dance studio, or onstage, or INSERT YOUR ART HERE), whether you’re going on a hike or relaxing with a book, are refilling your creative well.

There are also people who can’t stand the thought of not doing something with their art every day. Nora Roberts famously writes for at least several hours a day, even on vacation. And if that’s you, great! But if that’s not you, don’t worry. Find the pace and the balance that works for you, that keeps you on track with your long-term goals.

While you’re taking your breaks, don’t forget to consume your art, as well as producing it. If you’re a writer, read. If you’re a dancer, go watch other people dance. If you’re an artist, go to a gallery or browse online. If you’re a musician, listen to music. If you’re an actor, go to plays. If you make handcrafts, go to a craft show. If I haven’t mentioned your art here, you know what you do! Go look at some other people’s examples in your field.

And then go cross-pollinate yourself with all of these other art forms just to broaden your horizons.

Then get back to work and make good art!

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Announcing: Love Across the Universe

Now available from Stars and Stone Books.

Summer love is summer love, no matter the planet. Climb aboard your spacecraft and travel across the universe with these twelve tales of love on beaches in the future and among the stars. Includes stories by USA Today Bestselling Author Traci Douglass, Cara McKinnon, A.E. Hayes, Sheri Queen, M.T. DeSantis, L.J. Longo, K.W. Taylor, Mary Rogers, Elsa M. Carruthers, Emmerite Sundberg, Serena Jayne, and Oriana Maret.

Convention Report: Balticon

I hung out with some great broads, learned about podcasting, and saw some good friends. A great convention!


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Management of hyperglycemia in type 2 diabetes: evidence and uncertainty

Access & Citations

Citation counts are provided from Web of Science and CrossRef. The counts may vary by service, and are reliant on the availability of their data. Counts will update daily once available.

Online attention

Altmetric score 5
  • 6 tweeters
  • 1 Facebook pages
  • 54 Mendeley

This article is in the 78th percentile (ranked 20,129th) of the 94,081 tracked articles of a similar age in all journals and the 88th percentile (ranked 3rd) of the 25 tracked articles of a similar age in Cardiovascular Diabetology

View more on Altmetric

Altmetric calculates a score based on the online attention an article receives. Each coloured thread in the circle represents a different type of online attention. The number in the centre is the Altmetric score. Social media and mainstream news media are the main sources that calculate the score. Reference managers such as Mendeley are also tracked but do not contribute to the score. Older articles often score higher because they have had more time to get noticed. To account for this, Altmetric has included the context data for other articles of a similar age.


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Clinical outcomes of a combined transcatheter and minimally invasive atrial septal defect repair program using a 'Heart Team' approach

Contemporary transcatheter and minimally invasive approaches allow for improved cosmesis and eliminate sternotomy; however, access to a ‘Heart Team’ approach to minimally invasive atrial septal defect (ASD) repair remains limited in Canada.

Retrospective chart review of all minimally invasive atrial septal defect repairs performed between 2009 and 2017 at a quaternary cardiac care centre were included. We compared residual shunt, functional status, periprocedural complications, and hospital lengths-of-stay between patients undergoing transcatheter and minimally invasive endoscopic ASD repair.

Between 2009 and 2017, 61 consecutive patients underwent ASD repair at a single centre: 28 patients underwent transcatheter closure (64.3% female; median age 57, interquartile range 43–70.5) and 33 patients underwent minimally invasive endoscopic repair (72.7% female; median age 37, interquartile range 24–50). Patient demographics were similar between the two groups with the exception of transcatheter patients having smaller defect size (1.65 cm versus 2.35 cm, p = 0.002). Procedural success was 93% (26/28) and 100% (33/33) for transcatheter and minimally invasive groups (p = 0.21), respectively. Periprocedural complications were similarly low between the two groups with the exception of longer hospital length-of-stay in the surgical patients (5 days vs 1 day, p < 0.0001). Over a follow-up period (transcatheter: 0.5–56.5 months, surgical: 0.25–89 months), there was no difference in residual shunt (14.3% versus 6.1%, p = 0.4) or NYHA I Functional Class (88.5% versus 96.9%, p = 0.21).

Transcatheter and minimally invasive approaches to ASD repair are safe and feasible in selected patients using a ‘Heart Team’ approach and represent attractive alternatives to median sternotomy.

Peer Review reports

Brief Summary

Atrial septal defects have traditionally been surgically corrected using a median sternotomy approach. Contemporary transcatheter and minimally invasive approaches allow for less invasive atrial septal defect repair with  improved cosmesis and eliminate the need for median sternotomy. Clinical outcomes of a Canadian multidisciplinary ‘Heart Team’ atrial septal defect repair program are presented.

Repair of atrial septal defects (ASD) have traditionally been performed through median sternotomy for many decades, however contemporary practice includes transcatheter-based approaches and minimally invasive endoscopic mini-thoracotomy approaches [1,2,3]. Long-term data show that median sternotomy repair of ASD is effective [4]. Catheter-based approaches have the benefit of no surgical scar, but require ongoing antiplatelet therapy and favourable anatomy for procedural success [5]. Minimally invasive endoscopic mini-thoracotomy has previously been shown to improve cosmesis with similar outcomes as median sternotomy for ASD closure [6,7,8,9,10]. Although research into minimally invasive surgical approaches is being actively pursued, access to minimally invasive approaches is limited to select centers of excellence in Canada [11]. A hybrid approach involving both cardiac surgery and interventional cardiology expertise is emerging as the preferred strategy for minimally invasive intervention [11, 12]. At our centre in London, Ontario, Canada, ASD repair is evaluated by a combined multidisciplinary team approach involving both interventional cardiology and cardiac surgery services since 2009. We present our single centre ‘Heart Team’ experience comparing early and late clinical outcomes of transcatheter device closure and mini-thoracotomy ASD repair in a Canadian setting.

Patient population and study design

All patients who had undergone minimally invasive atrial septal defect (ASD) closure from 2009 to 2017 were included in the study population. The inclusion dates were chosen based on the time when both therapies were available at our institution, and a multidisciplinary approach to minimally invasive closure had been formalized. All patients were initially evaluated by the London Structural Heart Team (interventional cardiology, echocardiography and cardiac surgery) to determine if a transcatheter option was feasible based of defect type, size, and morphology. Those patients deemed appropriate were planned for transcatheter device closure. In those patients unable to undergo device closure, or in those who failed device closure, a surgical referral was made to undergo ASD pericardial patch repair by either a 3–4-cm right anterolateral mini-thoracotomy (n = 26) or right peri-areolar approach (n = 7). Defects considered inappropriate for device closure were: larger than 38 mm in diameter, non-secundum defects, secundum defects with insufficient tissue rims, multiple defects thought better closed surgically, and “Swiss cheese septum” type defects. Patients were allowed a choice of therapy if both were considered equivalent by the multidisciplinary cardiac care team, which included both interventional cardiology and cardiac surgery, in accordance with established guidelines [13].

Available data had been prospectively collected from the time of the patient’s procedure and kept in an institutional database. Data regarding a patient’s current clinical condition was taken from their most recent clinical follow-up. Those patients not followed within 1 year of this study were brought back for additional clinical follow-up including transthoracic echocardiography (TTE). The Health Sciences Research Ethics Board at Western University approved the study protocol.

The primary outcome of interest was the presence of any residual intra-cardiac shunt at most recent follow-up. Secondary outcomes included the patient’s current functional status (indicated by the patient’s New York Heart Association (NYHA) class), presence of post-procedure headaches, and post procedure stroke or transient ischemic attack (TIA). Peri-procedural secondary outcomes included all cause mortality, stroke, myocardial infarction, infection, major bleeding, blood transfusion, and length of stay in hospital and intensive care. Categorical outcomes were recorded as a presence or absence of the condition, as documented in the institutional database, as well as the patient’s medical record.

Statistical analysis

Normally distributed continuous variables were compared using a 2-sample t-test. Non-normally distributed continuous variables were compared using the non-parametric 2-sample Wilcoxon rank sum test. Binary variables were compared using the chi-squared test, or Fisher’s exact test if individual group cell numbers were fewer than 5. The unadjusted relationship between closure method and presence of any residual shunt was modelled using Kaplan-Meier time-to-event methods, with the 2 curves compared using the log-rank test statistic. This was repeated for the composite outcome of residual shunt greater than mild, device erosion, embolization, thrombosis, endocarditis, thromboembolism, or stroke. An adjusted analysis for presence of any residual shunt was performed using Cox proportional hazard modelling. Covariates included in the Cox model were age, sex, shunt fraction, defect size, and non-secundum defect. The proportional hazard assumption was tested by generation of log-log plots and by use of Schoenfeld residuals.

Confidence intervals were set at 95%; all p values were 2-sided and considered statistically significant if < 0.05. When possible, exact p values have been reported. All statistical analysis was performed using Stata 13.1 (StataCorp LP, College Station, TX, USA).

In total, 61 patients underwent a minimally invasive approach to ASD closure. Twenty-eight patents underwent transcatheter device-based closure, and 33 underwent surgical closure. Figure 1 shows an Amplatzer septal occluder device (St. Jude Medical, St. Paul, MN, USA) in Panel A, along with a fluoroscopic image of the device immediately after deployment (Panel B). Figure 1 also shows a typical right mini-thoracotomy incision in the post-operative setting, showing excellent cosmesis (Panel C) along with an intraoperative view of the autologous pericardial patch being sewn to close the ASD (Panel D).

Fig. 1

Panel a - Ex-vivo photograph of Amplatzer septal occluder device (St. Jude Medical, St. Paul, MN, USA). Panel b - Fluoroscopic view of deployed Amplatzer device. Panel c – Postoperative result of right mini-thoracotomy incision Panel (d) – Intraoperative view of atrial septum showing partially repaired septal defect

Surgical patients were younger than the transcatheter group, with a median age of 37 versus 57 (p < 0.001). Surgical patients also had a lower overall body mass index (BMI), with a mean of 25 versus 28.2 (p = 0.01). Otherwise, preoperative patient characteristics were similar between groups, as shown in greater detail in Table 1.

Table 1 Baseline patient characteristicsa

Predictably, all ASDs in the transcatheter group were secundum defects with the exception of a single patent foramen ovale (PFO). The surgical group contained 5 sinus venosus defects with partial anomalous pulmonary venous connections, 3 PFOs, 1 unroofed coronary sinus, and 1 partial atrioventricular septal defect (AVSD). Similarly, defect size was significantly larger in the surgical group (2.35 versus 1.65 cm, p = 0.002). There were 2 device failures, necessitating referral for surgical repair at similar rates as previously reported [14]. In the surgical group, 26 were approached through a right anterior mini-thoracotomy, while 7 were female patients who underwent a peri-areolar incision. Three patients underwent concomitant tricuspid valve repair, 2 patients underwent mitral valve repair, and 2 patients underwent cryoablation. Detailed procedural data is shown in Table 2.

Table 2 Procedural dataa

The median hospital length-of-stay for the transcatheter group was 1 day, with no patient requiring admission to intensive care (ICU). Length of stay was longer in the surgical group with median ICU length of stay of 1 day, with a median hospital stay of 5 days (p = < 0.0001 for each versus the transcatheter group). Otherwise, no significant peri-procedural outcome differences were detected between the intervention groups. Five patients in each group experienced paroxysmal atrial fibrillation post-procedure. A single patient in the transcatheter group suffered a bleeding complication from the femoral puncture site that resolved with additional manual pressure and did not require blood product transfusion. A single patient in the surgical group received 2 units of packed red blood cells for an asymptomatic hemoglobin level below 70 g/L during the post-operative ICU stay. No patients required transfusion of additional products such as plasma, platelets, cryoprecipitate, or recombinant activated factor VII. Detailed results for peri-procedural outcomes are shown in Table 3.

Table 3 Peri-procedure outcomesa

Follow-up time ranged from 0.5–56.5 months in the transcatheter group and 0.3–89.0 months in the surgical groups. Median follow-up time was 8.3 months in the transcatheter group and 15 months in the surgical group (p = 0.3). Four residual shunts were identified on post-operative TTE versus 2 in the surgical group (p = 0.4). All residual shunts were asymptomatic, and graded as trace to mild. On Kaplan-Meier analysis, the 2 curves appeared divergent; however, they were not found to be significantly different by the log-rank test statistic (Fig. 2). The proportional hazard assumption was not violated. Log-log plots showed parallel curves, and the hazard function between groups was not statistically significant using Schoenfeld residuals (p = 0.27). The adjusted Cox proportional hazard model failed to show a significant difference in risk of residual shunt between groups (HR 0.41, 95% CI: 0.02–8.60). Detailed adjusted results of the multivariable Cox proportional hazard model are shown in Table 4. Similarly, there was no significant difference in late complications, defined as a composite of significant residual shunt (greater than mild on Doppler colour flow), device erosion, endocarditis, device thrombosis, thromboembolism, or stroke (Fig. 3). When subdividing the surgical group by defect complexity/additional procedures, no differences in any residual shunt were found (p = 0.45, Fig. 4).

Fig. 2

Time to event analysis for freedom from any residual shunt

Table 4 Predictors of residual shunt on multivariable analysis
Fig. 3

Time to event analysis for freedom from death and/or major complications.**Major complications was defined as significant residual shunt defined as greater than mild, device erosion, embolization, thrombosis, endocarditis, thromboembolism, or stroke

Fig. 4

Time to event analysis for freedom from any residual shunt showing secundum versus complex intervention in the surgical group

Functional status was not significantly different between groups at follow-up, with a similar spread of follow-up NYHA status (p = 0.21). No patients suffered from headaches at follow-up. A single patient in the transcatheter group suffered a stroke following discharge from hospital secondary to device thrombosis. This patient has been followed by Haematology for a hypercoagulable state, which had previously resulted in multiple peripheral arterial interventions requiring femoral embolectomy, infra-inguinal bypass, and bypass graft thrombosis. Detailed results of patients at follow-up are presented in Table 5. A subgroup analysis of surgical patients was completed for those with simple defects (secundum defects and PFOs) compared with more complex, as well as those with isolated ASD repair compared with those receiving additional procedures. Predictably, cardiopulmonary bypass and cross clamp times were longer in repairs of complex defects and in multiple procedures. In the complex defect group, the median bypass time was significantly longer at 164 min (IQR 149–189 min) versus 112 min (IQR 99–127 min), p = 0.001. Cross-clamp time was also longer, with a median complex defect time of 103 min (IQR 81–123 min) versus 60 min (IQR 54–71 min), p < 0.001. This finding was consistent in the additional procedures group with median cardiopulmonary bypass times of 152 min (IQR 136–211 min) versus 112 min (99–135 min), p = 0.012. Cross-clamp times were similarly longer in those receiving additional procedures, with median times of 110 min (IQR 72–123 min) versus 61 min (54–72 min), p = 0.009. Although surgical times were consistently longer in both the complex defect and additional procedure surgical groups, significant complications were not detected.

Table 5 Follow-up outcomesa

Interest in minimally invasive options for ASD closure has increased with the advantage of better cosmesis in younger patients. Surgically, the right minithoracotomy and peri-areolar approaches in female patients allow avoidance of median sternotomy and reduced scar length. Our data shows that outcomes of transcatheter and minimally invasive surgical ASD repair are similar overall, with no significant difference seen in functional outcomes, headache, or amount of residual shunt. Although residual shunt in particular trended higher with transcatheter intervention, these tended to be mild, clinically insignificant shunts that did not result in a difference in functional status.

The number of peri-procedural complications was low in both groups and it is expected to be difficult to show a significant difference between the groups at small sample sizes. Similarly, showing a mortality difference between the two groups is also expected to require much larger sample sizes. As previously reported for other minimally invasive surgery, hospital and ICU length-of-stay was much shorter for transcatheter methods [6]. However, this immediate benefit was balanced by a trend toward higher residual shunt in the transcatheter group.

Late device migration or embolization is always a concern in transcatheter patients, although we did not see any such events in early follow-up. Delayed device erosion and embolization remains a possibility.

One patient in the transcatheter closure group experienced device thrombosis in the setting of multiple arterial thromboses and interventions. The importance of predisposition to arterial thrombosis is especially important in transcatheter closure and should be taken into account when selecting patients for device versus surgical closure.

Our centre uses an integrated, multidisciplinary ‘Heart Team’ approach in the evaluation of such patients, involving both cardiac surgery and interventional cardiology physician expertise. The collaborative nature of atrial septal defect closure at our institution allows for open discussion and facilitates optimal care. A ‘Heart Team’ approach is increasingly encouraged as the preferred method by which patient care decisions are made [15]. The closure approach selected is largely driven by patient-specific criteria outlined in the Methods section.

To the best of our knowledge, this is the first Canadian study directly comparing transcatheter and minimally invasive ASD closure and our data shows that both approaches can be used successfully. As with any new team-based approach, there is a learning curve that must be negotiated to develop a fruitful program however our data shows that overall complication rates are low with high procedural success rates.

Our observational study has a number of important limitations including limited sample size, single-centre data, and differences in follow-up duration. The small sample size increases the risk of Type 2 error. Also, it can lead to failure of detection of rare outcomes or complications. The possibility that a larger sample size could result in different comparative results between the two groups cannot be excluded.

With any observational study, the risk of systematic error is present. In our case, unavoidable selection bias exists, in that there are specific criteria for transcatheter ASD closure. Taking into account the limitations of a small sample size outlined above, this bias could lead to more favourable results in a larger population. Patients undergoing transcatheter closure were older and had a larger BMI but were otherwise comparable for baseline demographics. Notwithstanding the above, there remains the issue of unmeasured confounding inherent to the interpretation of non-randomized studies. Finally, referral bias may be a factor given that patients were selected from a single quaternary care centre.

Overall, given the similar clinical outcomes of both groups, transcatheter and minimally invasive approaches to ASD closure are both safe and feasible in appropriately selected patients and represent attractive alternatives to traditional median sternotomy.

Atrial septal defect

Atrioventricular septal defect

Body mass index

Intensive care unit

New York Heart Association

Patent foramen ovale

Transient ischemic attack

Transthoracic echocardiography

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Availability of data and materials

The datasets used and/or analysed during the current study are available from the corresponding author on reasonable request.

Author information

SNB maintained the database for percutaneous closure and contributed to the writing of the manuscript. DJPB performed statistical analysis, maintained the database for surgical closure, and contributed to the writing of the manuscript. PD and KS performed device closures used in the database, and provided assistance with manuscript editing. BK performed surgical closures and provided assistance with manuscript editing. MWAC contributed to study design, obtained consent for photographs submitted, performed minimally invasive ASD repairs, data collection, and contributed to writing of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Shahrukh N. Bakar.

Ethics declarations

Ethics approval and consent to participate

The Health Sciences Research Ethics Board at Western University approved the study protocol.

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Written consent for showing photographic evidence of cosmetic result after surgical intervention has been obtained for publication and is available upon reasonable request.

Competing interests

The authors declare that they have no competing interests.

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Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.

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Cite this article

Bakar, S.N., Burns, D.J.P., Diamantouros, P. et al. Clinical outcomes of a combined transcatheter and minimally invasive atrial septal defect repair program using a 'Heart Team' approach. J Cardiothorac Surg 13, 11 (2018).

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  • Atrial Septal defect
  • Minimally invasive
  • Transcatheter
  • Percutaneous


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Salesforce Consultant/Senior Consultant

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Date Posted: Oct 15, 2021

Reference Code: 66401-en_US

Job Type: Permanent
Primary Location: Montreal, Quebec, Canada
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Bach 24AW Tuba/Sousaphone Mouthpiece

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