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Koo HP, Bunchman TE, Flynn JT, Punch JD, Schwartz AC, Bloom DA. Renal transplantation in children with severe lower urinary tract dysfunction. . 1999 Jan. 161 (1):240-5. .

DeFoor W, Tackett L, Minevich E, McEnery P, Kitchens D, Reeves D, et al. Successful renal transplantation in children with posterior urethral valves. . 2003 Dec. 170 (6 Pt 1):2402-4. .

Casey JT, Hagerty JA, Maizels M, Chaviano AH, Yerkes E, Lindgren BW, et al. Early administration of oxybutynin improves bladder function and clinical outcomes in newborns with posterior urethral valves. . 2012 Oct. 188 (4 Suppl):1516-20. .

Salam MA. Posterior urethral valve: Outcome of antenatal intervention. . 2006 Oct. 13 (10):1317-22. .

Nassr AA, Shazly SAM, Abdelmagied AM, Araujo Júnior E, Tonni G, Kilby MD, et al. Effectiveness of vesicoamniotic shunt in fetuses with congenital lower urinary tract obstruction: an updated systematic review and meta-analysis. . 2017 Jun. 49 (6):696-703. .

Bani Hani O, Prelog K, Smith GH. A method to assess posterior urethral valve ablation. . 2006 Jul. 176 (1):303-5. .

Horowitz M, Harel M, Combs A, Glassberg K. Surveillance cystoscopy in the management of posterior urethral valves. . 2009 Apr. 181 (4):172.

Shirazi M, Farsiani M, Natami M, Izadpanah K, Malekahmadi A, Khakbaz A. Which patients are at higher risk for residual valves after posterior urethral valve ablation?. . 2014 Jan. 55 (1):64-8. .

López Pereira P, Ortiz R, Espinosa L, Martínez Urrutia MJ, Lobato R, Alonso A, et al. Does bladder augmentation negatively affect renal transplant outcome in posterior urethral valve patients?. . 2014 Oct. 10 (5):892-7. .

DeFoor W, Clark C, Jackson E, Reddy P, Minevich E, Sheldon C. Risk factors for end stage renal disease in children with posterior urethral valves. . 2008 Oct. 180 (4 Suppl):1705-8; discussion 1708. .

Capitanucci ML, Marciano A, Zaccara A, La Sala E, Mosiello G, De Gennaro M. Long-term bladder function followup in boys with posterior urethral valves: comparison of noninvasive vs invasive urodynamic studies. . 2012 Sep. 188 (3):953-7. .

Media Gallery
Note hypertrophied bladder neck and dilated posterior urethra proximal to valve narrowing.
Note irregular trabeculated bladder and high-grade vesicoureteral reflux.
of
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Contributor Information and Disclosures
Author

Martin David Bomalaski, MD, FAAP Pediatric Urologist, Alaska Urology; Clinical Assistant Professor, Seattle Children's Hospital Martin David Bomalaski, MD, FAAP is a member of the following medical societies: Alpha Omega Alpha , American Academy of Pediatrics , American Urological Association Disclosure: Nothing to disclose.

Martin David Bomalaski, MD, FAAP
Specialty Editor Board

Mary L Windle, PharmD Adjunct Associate Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug ReferenceDisclosure: Nothing to disclose.

There will always be people who tell you what you can and cannot do. They will provide the statistics and data that will discourage you from pursuing your dreams. And then there is that little voice inside of your head that says “what am I doing? I should throw in towel.” Don’t listen to him! Believe in yourself. Visualize your success and persevere through the pressure.

Don’t let anyone keep you from living your authentic life. You know what you want. You know it is within you to create an extraordinary life for yourself and those connected to you. If anyone is currently trying to hold you back from living your best life (intentionally or not), take the necessary steps to disconnect from them so you don’t become trapped in a life of mediocrity.

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Focus on what you can do in the present moment. Don’t worry about what you should have done last week or what you might be able to do tomorrow. The only time you can affect is the present. If you focus too much on your past or your future, you will miss living your today. And today is what counts because you cannot change what happened yesterday and you cannot predict what will happen tomorrow.

It is time to experience your best life. Ignore what the naysayers have to say. Because if you allow them they will keep you locked into yesterday, scared to live today and fearful of what might happen tomorrow. Do not let a naysayer talk you out of going after a goal.

If you desire to start an exercise program, a new business venture, a new career or anything that makes your life better, do not wait. Take action now. But, you must eliminate the things from your life that distracts you from taking action. That means turning off the television, silencing the phone, closing down social media and refusing to listen to naysayers. The longer you hold on to an idea without acting on it, the weaker it becomes and the more leverage you give the words of your naysayers.

“The greatest prison people live in, is the fear of what others think”

Question: What can you do to diffuse a naysayer in your life? Leave a comment below.

Question: What can you do to diffuse a naysayer in your life? Leave a comment below.

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For example, to sort companies that haven’t been contacted ( last_contacted is null) after companies that have been contacted:

Func() expressions are the base type of all expressions that involve database functions like COALESCE and LOWER , or aggregates like SUM . They can be used directly:

or they can be used to build a library of database functions:

But both cases will result in a queryset where each model is annotated with an extra attribute field_lower produced, roughly, from the following SQL:

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The Func API is as follows:

A class attribute describing the function that will be generated. Specifically, the function will be interpolated as the function placeholder within ALDOCYFORIEN Casual laceups black gQMyYY
. Defaults to None .

A class attribute, as a format string, that describes the SQL that is generated for this function. Defaults to '%(function)s(%(expressions)s)' .

If you’re constructing SQL like strftime('%W', 'date') and need a literal % character in the query, quadruple it ( %%%% ) in the template attribute because the string is interpolated twice: once during the template interpolation in as_sql() and once in the SQL interpolation with the query parameters in the database cursor.

A class attribute that denotes the character used to join the list of expressions together. Defaults to ', ' .

A class attribute that denotes the number of arguments the function accepts. If this attribute is set and the function is called with a different number of expressions, TypeError will be raised. Defaults to None .

Generates the SQL for the database function.

The as_vendor() methods should use the function , template , arg_joiner , and any other **extra_context parameters to customize the SQL as needed. For example:

django/db/models/functions.py

To avoid a SQL injection vulnerability, extra_context PARFOISHeeled mules black ZOk9E1
as these values are interpolated into the SQL string rather than passed as query parameters, where the database driver would escape them.

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