text:
Privacy Policy
Our Policy:
Welcome to www.aesynt.com (the "Site"). This Site is operated by Aesynt Incorporated and has been created to provide information about our company and our capabilities to our Site visitors ("you", "your"). This Privacy Policy sets forth Aesynt policy with respect to information including personally identifiable data ("Personal Data") and other information that is collected from Site visitors.
Information We Collect:
When you interact with us through the Site, we may collect Personal Data and other information from you, as further described below:
Personal Data That You Provide Through the Site:
We collect Personal Data from you when you voluntarily provide such information, such as when you contact us with inquiries. Wherever Aesynt collects Personal Data we make an effort to provide a link to this Privacy Policy. Aesynt asks for Personal Data such as your name, email address, phone number and address when you are requesting us to contact you.
By voluntarily providing us with Personal Data, you are consenting to our use of it in accordance with this Privacy Policy. If you provide Personal Data to this Site, you acknowledge and agree that such Personal Data may be transferred from your current location to the offices and servers of Aesynt and the authorized third parties referred to herein located in the United States.
Other Information:
Non-Identifiable Data: When you interact with Aesynt through the Site, we receive and store certain personally non-identifiable information. Such information, which is collected passively using various technologies, cannot presently be used to specifically identify you. Aesynt may store such information itself or such information may be included in databases owned and maintained by Aesynt affiliates, agents or service providers. This Site may use such information and pool it with other information to track, for example, the total number of visitors to our Site, the number of visitors to each page of our Site, and the domain names of our visitors' Internet service providers. It is important to note that no Personal Data is available or used in this process.
In operating this Site, we may use a technology called "cookies." A cookie is a piece of information that the computer that hosts our Site gives to your browser when you access the Site. Our cookies help provide additional functionality to the Site and help us analyze Site usage more accurately. For instance, our Site may set a cookie on your browser that allows you to access the Site without needing to remember and then enter a password more than once during a visit to the Site. In all cases in which we use cookies, we will not collect Personal Data except with your permission. On most web browsers, you will find a "help" section on the toolbar. Please refer to this section for information on how to receive notification when you are receiving a new cookie and how to turn cookies off. We recommend that you leave cookies turned on because they allow you to take advantage of some of the Site's features.
Aggregated Personal Data: In an ongoing effort to better understand and serve the users of the Site, Aesynt often conducts research on its customer demographics, interests and behavior based on the Personal Data and other information provided to us. This research may be compiled and analyzed on an aggregate basis, and Aesynt may share this aggregate data with its affiliates, agents and business partners. This aggregate information does not identify you personally. Aesynt may also disclose aggregated user statistics in order to describe our services to current and prospective business partners, and to other third parties for other lawful purposes.
Our Use of Your Personal Data and Other Information:
Aesynt uses the Personal Data you provide in a manner that is consistent with this Privacy Policy. If you provide Personal Data for a certain reason, we may use the Personal Data in connection with the reason for which it was provided. For instance, if you contact us by e-mail, we will use the Personal Data you provide to answer your question or resolve your problem. Aesynt and its subsidiaries and affiliates (the "Aesynt Related Companies") may also use your Personal Data and other personally non-identifiable information collected through the Site to help us improve the content and functionality of the Site. Aesynt and its affiliates may use this information to contact you in the future to tell you about services we believe will be of interest to you. If we do so, each communication we send you will contain instructions permitting you to "opt-out" of receiving future communications. In addition, if at any time you wish not to receive any future communications or you wish to have your name deleted from our mailing lists, please contact us as indicated below. In addition, Aesynt may use the data to better understand customer and potential customer's solution needs.
If Aesynt intends on using any Personal Data in any manner that is not consistent with this Privacy Policy, you will be informed of such anticipated use prior to or at the time at which the Personal Data is collected.
Our Disclosure of Your Personal Data and Other Information:
Aesynt is not in the business of selling your information. We consider this information to be a vital part of our relationship with you. There are, however, certain circumstances in which we may share your Personal Data with certain third parties without further notice to you, as set forth below:
Business Transfers: As we develop our business, we might sell or buy businesses or assets. In the event of a corporate sale, merger, reorganization, dissolution or similar event, Personal Data may be part of the transferred assets.
Related Companies: We may also share your Personal Data with our Related Companies for purposes consistent with this Privacy Policy. Agents, Consultants and Related Third Parties: Aesynt, like many businesses, sometimes hires other companies to perform certain business-related functions. Examples of such functions include mailing information, maintaining databases and processing payments. When we employ another company to perform a function of this nature, we only provide them with the information that they need to perform their specific function.
Legal Requirements: Aesynt may disclose your Personal Data if required to do so by law or in the good faith belief that such action is necessary to (i) comply with a legal obligation, (ii) protect and defend the rights or property of Aesynt, (iii) act in urgent circumstances to protect the personal safety of users of the Site or the public, or (iv) protect against legal liability.
Your Choices: You can use the Site without providing any Personal Data. If you choose not to provide any Personal Data, you may not be able to use certain functions of the Site, such as sending inquiries to request additional information or to have Aesynt contact you.
Exclusions: This Privacy Policy does not apply to any Personal Data collected by Aesynt other than Personal Data collected through the Site. This Privacy Policy shall not apply to any unsolicited information you provide to Aesynt through this Site or through any other means. This includes, but is not limited to, information posted to any public areas of the Site, such as bulletin boards (collectively, "Public Areas"), any ideas for new products or modifications to existing products, and other unsolicited submissions (collectively, "Unsolicited Information"). All Unsolicited Information shall be deemed to be non-confidential and Aesynt shall be free to reproduce, use, disclose, and distribute such Unsolicited Information to others without limitation or attribution.
Children: Aesynt does not knowingly collect Personal Data from children under the age of 13. If you are under the age of 13, please do not submit any Personal Data through the Site. We encourage parents and legal guardians to monitor their children's Internet usage and to help enforce our Privacy Policy by instructing their children never to provide Personal Data on this Site without their permission. If you have reason to believe that a child under the age of 13 has provided Personal Data to Aesynt through this Site, please contact us, and we will endeavor to delete that information from our databases.
Security: Aesynt takes reasonable steps to protect the Personal Data provided via the Site from loss, misuse, and unauthorized access, disclosure, alteration, or destruction. However, no Internet or e-mail transmission is ever fully secure or error free. In particular, e-mail sent to or from this Site may not be secure. Therefore, you should take special care in deciding what information you send to us via e-mail. Please keep this in mind when disclosing any Personal Data to Aesynt via the Internet.
Other Terms and Conditions: Your access to and use of this Site is subject to the Terms of Use.
Changes to Aesynt's Privacy Policy: The Site and our business may change from time to time. As a result, at times it may be necessary for Aesynt to make changes to this Privacy Policy. Aesynt reserves the right to update or modify this Privacy Policy at any time and from time to time without prior notice. Please review this policy periodically, and especially before you provide any Personal Data. This Privacy Policy was last updated on the date indicated above. Your continued use of the Site after any changes or revisions to this Privacy Policy shall indicate your agreement with the terms of such revised Privacy Policy.
Access to Information; Contacting Aesynt:
To keep your Personal Data accurate, current, and complete, please contact us as specified below. We will take reasonable steps to update or correct Personal Data in our possession that you have previously submitted via this Site. Please feel free to contact us by phone at 800-594-9145 or via email firstname.lastname@example.com if you have any questions about our Privacy Policy or the information practices of this Site.


text: Convenient access off I-75 exit 382 with drive up rooms. Hotel offers continental breakfast with great friendly service. Only minutes drive to Shands Hospital, University Florida, and lots of natural springs for diving. All rooms offer microwave and refrigerator, coffee maker, iron and ironing board, hairdryer, free wireless high-speed Internet and cable television. This is a pet-friendly hotel.

subset: commoncrawl


text:
The 924-3 Houseplan for Houseplans.com (Truoba)
49 minutes ago
"It was many and many a year ago, in a kingdom by the sea..." Edgar Allan Poe
Very fun - I went to the Tiny Charleston blog, and boy - they are really interesting images! I agree with the Spirit of Charleston! (Are they mostly taken from above, that is - looking down on the sites, or is that a result of the software?) Yours are really nice too - it'd be fun to see some of a busy day on King Street or the Farmer's Market. Maybe the Farmers Market taken from the outdoor place on the corner?ReplyDelete
Pam - Isn't it fun! I think the shots from above just work better and show off the effect nicely. You can play with anything you like. Right - a busy Calhoun & King should would work nicely. I may have one.ReplyDelete


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Cressida was dressed in her favorite (and Leonidas's for that matter) green dress. It had been Yuletide and as Queen she needed to look nice. Ever since she was crowned Queen she brought countries to her knees with knowledge, wisdom, and compassion, as had her father had said before he died.
Things had deeply changed since Cressida's marriage. Cressida had become Queen of Icemark and Polypontus. Thirrin had a mansion made for her and Titus. Sharley as well as Mekhmet were now 19 and had girlfriends from the Desert Kingdom. Eodred and Howler found their mates as well. The biggest change was that the Great Hall had been remodeled so that the Polypontians could fit in.
Thirrin had visited from her mansion in a few clicks from Frostmarris. Sharley, Mehkmet, Kirimin, and Im-Pious had visited from their latest journey to visit Ketshaka III Queen of Lusuland. Kirimin was now finely educated with all languages of the North and South.
All of the boys' girlfriends were invited the Yuletide party which had almost brought a tear to Thirrin's eyes. Her boys were growing up! But it wasn't the time to reminisce, because Titus wanted to see the Great Tree being decorated.
Titus had given Thirrin a reason to live. The little boy was so filled with energy that she was running around with him non-stop. Not only that but Titus taken to her as if she was his real mother.
The celebration was about to begin and Leonidas greeting his father and other friends he had made in his time in the army. When he was done he made his way to where Thirrin and Titus sat.
"Thirrin and Titus how are you?" Leonidas said with a great smile.
"Great Uncle Leo." Titus said with gleaming smile.
"I'm fine Leonidas just a little tired is all." Thirrin said.
Cressida joined Leonidas and hugged her mother and nephew. Leonidas continued the greetings as Cressida caught up with her mother. A weird feeling had crept on him. Ever since Oskan's death he'd been having dreams. Each ended with a dragon reciting a strange poem.
Knowledge, power, wisdom, fame,
All of it ends the same,
Death, life, dark, light,
Face the Goddesses' might,
Where the enemy's arms shall lie,
That is where you shall hear the dragon cry!
He was sure it was a message from the Goddess or Oskan. But for now he decided to keep it to himself. Anything Magical he decided to keep to himself. He sat down and sipped some wine. But as soon as he put down the glass he fell into a deep trance.


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The numeral one billion has nine zeros. This number is equal to one thousand million. In scientific notation, one billion is written as 1x10 to the ninth power.Continue Reading
When trying to get a feel for a number this large, it is helpful to put it in everyday terms. For example, to save $1 billion, a thrifty saver would have to deposit $100 in the bank each day for over 27,000 years. If a person wanted to count to one billion and could spit out numbers at the rate of three per second, it would still take over 95 years to finish.Learn more about Numbers


text:
Most listings are in the $20's per square foot per year. The Carmel Hamlet region is experiencing a an increase in rates. In the last 3 months, the median rate went up $24 per sqft per year.
In the last 90 days, 0 listings have been made available, which means leases are probably leasing quickly. You'll want to be prepared to make an offer immediately. About NaN% of the available leases in the Carmel Hamlet are subleases, so you will probably need to sign a longer term lease with the landlord directly. There aren't many listings below 2,000 square feet on the market, so finding a space for a small business might be tough.
The standard measurement for office space in this area is around 1,200 sqft. Most properties in this market are around 1 stories. Most buildings in this region were built in 1975 and are Class B.
Trends and status of the commercial real estate market in Carmel Hamlet.
Market Report
Real time and historical data on commercial real estate listings in Carmel Hamlet.


text:
Fotos taken in the rain forest are contained in this screensaver. Animals, plant
Use this security logo:
Freeware is computer software that is available for use at no cost or for an optional fee.
Tutorial not found. Let know us about any useful video tutorial.
animals, plants, trees
New Release


text:
Adil Ray follows the inaugural Architecture for Everyone campaign, launched in Stephen Lawrence's memory to correct UK architecture's glaring ethnic imbalance.
Stephen Lawrence wanted to be an architect, so when his mum Doreen discovered that only two per cent of the UK's practising architects come from black and ethnic backgrounds she set up the inaugural Architecture for Everyone scheme, with RMJM Architects, to readdress the balance.
Through a series of workshops in Birmingham, Liverpool, Glasgow and London, six young people were selected for a scholarship to Harvard's School of Design.
They are Paula McDonald, 25, from Glasgow, Callum Gilbert, 21, from Liverpool, Oni Hinton, 20, and Luke Henry-Powell, 18, from London, and Yohanna Iyasu and Nick Ackers, both 19, from Birmingham.
They all come from radically diverse backgrounds.
Nick was adopted as a baby from a Romanian orphanage, Yohanna came to Britain by way of Eritrea and Holland, Luke rebelled at school and wanted to prove himself, Oni was escaping from a chaotic home life, Callum had been a young knife crime victim, and Paula, the eldest of the six, had been made redundant and needed to boost her self-esteem.
The common theme among them was that this break had the potential to change everything.


text:
BUZZ-U.S. STOCKS ON THE MOVE-SanDisk, Logitech, GM, Cigna
(For faster updates on individual market-movers, Eikon users please use search string "STXBZ US"; for the Day Ahead newsletter, link.reuters.com/mex49s; for the Morning News Call newsletter, link.reuters.com/nex49s)
U.S. stock index futures were little changed on Thursday after two days of losses amid a raft of earnings results. Dow Jones industrial average futures were down 0.14 percent at 17,760, S&P 500 futures were down 0.04 percent at 2,107.25 and Nasdaq 100 futures were unchanged at 4,617.
** SANDISK CORP, Wednesday close $54.18, +12.11 pct premarket
Data storage products maker reported a quarterly profit that was double what analysts had expected, helped by higher retail sales and new products.
** LOGITECH INTERNATIONAL SA, Wednesday close $13.28, +12.42 pct premarket
The Swiss-American gadget maker posted better-than-expected quarterly revenue and earnings per share.
** GENERAL MOTORS CO, Wednesday close $30.3, +7.55 pct premarket Continued...


text:
Downloads: 640,129,772
All Wallpapers: 1,461,195
Tag Count: 9,948,936
Comments: 1,631,080
Members: 1,034,461
Votes: 12,971,712
4,243 Users Online46 members, 4,197 guests
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Most users ever online was 150,759 on 9/11/14.
26,375 Images
Autumn Wallpapers
reflection season fall Golden beauty Autumn leaves grass colors pretty park nice water serenity view trees blue forests Autumn Colors painting beautiful clouds river red tree landscape sky flowers branches forest lovely colorful woods mountain Splendor photography bridge leaf path mountains orange yellow foliage peaceful lake seasons green house leaves road falling
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payment gateway
luxury beauty brand
Kukui Nut Oil naturally conditions hair, adds body and enhances sheen. Perfect for dry hair and scalp. It is safe and effective for the whole family. The shampoo is delicately scented with just a touch of citrus fragrance from natural essential oils. Use a modest amount of shampoo and massage gently into hair and scalp. Rinse thoroughly and enjoy the refreshing squeak of clean, healthy hair. About Kukui Nut Oil: Hundreds of years ago Hawaiians discovered that when the shells were removed from Kukui nuts and the kernels lightly roasted a clear oil could be pressed out. This was an excellent penetrating oil that when smoothed on the skin soothed and softened sunburns and irritations. New born babies were bathed in this easily absorbed oil.
|Shipping Weight
|1 pounds
|Shipping Country
|Shipping Time
|Approximately 2-5 weeks.
Disclaimer: All products sold on Zabiva are brand new. We tend to provide accurate information, yet certain information may vary as actual information on the product may differ from the content available on our website. So when you are doubtful, we advise you to read the details mentioned on the product before using or consuming the product. If you require further information on the product we recommend you to directly contact the manufacturer. All the content provided at Zabiva is for informational purpose only and is not intended to diagnose or treat problems. The skin care products are not to cure, and while buying skin care products, customers are advised to check the suitability of the product with their skin type before using the product. We suggest you to consult from the perfect guide before utilizing the product. Hair care treatment products are not intended to entirely diagnose, treat or prevent hair related problems. Zabiva.com undertakes no responsibility for incorrectness of the product. Buy ordering from Zabiva.com, buyers have confirmed to have read this disclaimer.


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Logans roadhouse
Jelajahi topik terkait
Logan's Roadhouse Rolls. If I make these and they're as good as the ones served at Logan's, I myself will soon be larger than a roadhouse. Good eats.
Parmesan Peppercorn Dressing is listed (or ranked) 1 on the list Logan's Roadhouse Recipes
Bread Rolls @ Logan's Roadhouse copycat recipe. I've probably pinned this a thousand times but I DON'T CAREEEE
The Farmers Wife: Cinnamon Apples (these are supposed to be like the ones at Logan's Roadhouse). They're amazing!!!
Texas Roadhouse Restaurant Copycat Recipes: Baked Potato Soup
The ultimate comfort food! Logan's Roadhouse Copycat Mac and Cheese
Logan's Roadhouse Recipes: How to Make Logan's Roadhouse Food at Home - Parmesan Peppercorn Ranch Dressing
Logans Roadhouse Loaded Baked Potatoe Soup!
LOADED SKINS! LOGANS ROADHOUSE STYLE. Made these the other night for the Cowboys game. My husband request. Anything to satisfy my king :)
Logan's Roadhouse Rolls homemade


text:
Judge gives Duke Energy more time to respond to filings
by: Tina Terry Updated:
CHARLOTTE - A federal judge decided Wednesday to give Duke Energy more time to respond to several filings in a major lawsuit against the company.
This summer the Catawba Riverkeeper filed the lawsuit claiming coal ash is polluting water in Mountain Island Lake and asking the company to clean it up.
"Clean up the contamination and store the ash in a safe, lined facility where it will not leak into drinking water and there will not be a risk that it will break as on the Dan River," said Frank Holleman, senior Attorney with the Southern Environmental Law Center. He is representing the Catawba Riverkeeper in the federal lawsuit.
Last week he submitted two new filings in the case. He said one brought attention to the recent coal ash spill at Duke's Dan River Steam Station and the federal grand jury that is now investigating it.
"The second thing we were bringing is that now even DENR agrees with us on how the Clean Water Act would apply to one aspect of this federal suit," he said.
Attorneys for Duke Energy protested the filings and asked for more time to respond. Wednesday a judge granted the company more time.
Attorneys for Duke wouldn't comment after the meeting.
Holleman wasn't opposed to the decision.
"I think the judge made a reasonable decision to give enough time so that he would have all the legal issues before him and be in a position to make the best ruling," he said.
Eyewitness News contacted Duke's media line for a comment, but a spokeswoman wouldn't comment on the hearing. She said she wanted to inform the public that Mountain Island Lake water is safe.
Judge gives Duke Energy more time to respond to filings
No arrests made after man shot to death inside west Charlotte bar
Charlotte family honors sister, mother killed in Charleston church shooting
Police chase started with warrant in Gastonia
Trump doesn't hold Ramadan dinner, breaking White House tradition


text:
MedPartners Locum Tenens
Anchorage, Alaska
Locum Tenens
Hopsitalist - Locum Tenens Physician - Alaska
Hospitalist coverage needed in Alaska
Do you want to work for a company that Understands the Urgency, Never Gives Up, and Has the Courage to Excel in the forever changing medical industry? Then MedPartners Locum Tenens is the place for you! We have numerous opportunities for experienced Hospitalist Physicians with highly competitive pay rates.
* 7 On/Off
* 8 am - 8 pm and/or 8 pm- 8 am
* 6-8 patients per day
* We can license for this role
* Procedures welcomed but not required
* Excellent Comp
The benefits of working with MedPartners Locum Tenens include:
* Flexibility – work when, where and how often you'd like to work
* Paid malpractice insurance
* Pre-paid travel and housing expenses
* Competitive compensation paid on a Weekly Basis
* One-on-one attention and 24-hour access to your personal MedPartners consultant
* Dedicated medical staff services that assist with credentialing and facility paperwork
MedPartners Locum Tenens is a leader in healthcare staffing throughout the United States. We specialize in placing well-qualified Physicians in Locum, Locum-to-Perm and Direct Hire staff and leadership positions. With more than 25 years of combined healthcare and Physician staffing experience, MedPartners Locum Tenens has the knowledge, resources, and proven industry commitment to help healthcare organizations and providers execute with the increasing demands of t oday's rapidly changing healthcare landscape.
Are you read to make an impact with MedPartners Locum Tenens?
Call today at 954-282-6074 or email
Interested candidates please send resume in Word format Please reference job code 46571 when responding to this ad.
Application URL: http://www.aplitrak.com/?adid=am1heXMuMDUzNjYuMzU3N0BwMnAuYXBsaXRyYWsuY29t


text:
10 reasons to become a Credit Union SA member
1. We're straight-up
No silly product names, just easy-to-understand financial solutions.
2. Friendly, personal service
From our branch staff, Mobile Managers and Member Contact Centre.
3. Complete range of financial products and services
Savings and Investments, Loans, Insurance, Foreign Exchange and Financial Planning.
4. Easy access to your funds
Through Internet and Mobile Banking, the nationwide network of 3,400+ rediATMs, EFTPOS network and the worldwide Visa network.
5. Profits come back to members, not shareholders
In the form of low fees, outstanding customer service and better interest rates.
6. Extensive SA community support
Through local programs focusing on education and community development.
7. You'll have a voice
All our members are shareholders, and can attend our Annual General Meetings and vote in elections for our directors (if over 18).
8. Your money will be safe
Your deposited funds are guaranteed by the Financial Claims Scheme (subject to the scheme terms and conditions), just as they are in banks.
9. We're proudly South Australian
With our head office right here in Adelaide, where we employ over 140 South Australians.
10. We've got some of the best products in the country
Like our Visa credit card, Access Account and 55+ Account.
Still like to know more?
No problem - contact us for more information.
How we can help
This is general advice only and you should consider the terms and conditions before determining whether any of our products are suitable to your situation.


text:
|Publication number
|Publication type
|Application number
|Publication date
|Nov 11, 1980
|Filing date
|Aug 21, 1978
|Priority date
|Aug 21, 1978
|Publication number
|George J. Veth
|Original Assignee
|United States Surgical Corporation
|Export Citation
|BiBTeX, EndNote, RefMan
|Patent Citations (13), Non-Patent Citations (4), Referenced by (61), Classifications (16)
|External Links: USPTO, USPTO Assignment, Espacenet
This is a continuation of application Ser. No. 769,887, filed Feb. 18, 1977 now abandoned.
The present invention relates to physiological parameter monitoring and measuring systems useful in hospitals or the like for simultaneously measuring the temperature, pulse rate, and respiration rate of a patient. The measurements are then retained in the instrument for visual display to the operator.
At the present time there are numerous electromechanical systems for measuring physiological parameters such as temperature, blood pressure, respiration rate, heart rate and any number of other signs of physical condition which should be monitored for proper health care. Because such systems are generally intended to be portable and carried by the operator from patient to patient in a hospital or other health care facility, the systems must necessarily be contained in rather small packages. Also, because time is generally the limiting factor, accuracy is generally sacrificed for speed. When measuring temperature, most systems take several measurements at a relatively early time before the temperature sensor reaches the equilibrium temperature and then attempt to predict the final temperature. Because speed is essential, it is desirable for such temperature predicting systems to utilize only a limited number of readings in order to arrive at a prediction of the final temperature within a reasonable amount of time. When measuring respiration rate, since it has a relatively low rate, only a few exhalations are detected and then that number calculated to produce the final result. When measuring the pulse rate a major problem has long been in taking enough time to take sufficient readings so as to accurately produce the actual pulse rate. It is noted that it is very easy for the pulse rate to vary in a short period of time. For example, such variations are often the result of anxiety of the patient brought on by the pulse measuring operation itself. Although in the past multi-purpose instruments have been proposed for measuring more than one physiological parameter, these instruments have all operated sequentially, i.e., it was necessary for one measurement cycle to be complete before the next measurement could be taken. This, of course, presents the problem discussed above, that is, expending too much time in performing the measurements. Another failure of all previous measuring instruments has been the inability to sense any abnormalities which may occur at the patient/instrument interface. More specifically, if a temperature probe has been moved about in a patient's mouth during a measurement cycle thereby causing clearly erroneous readings, the prior systems were not able to detect these anomalies and the bad readings were used in the calculations. Accordingly, it may be seen that although in the past electronic device and systems have been available for sensing and measuring various physiological parameters of a patient, such devices have all suffered major drawbacks relating to accuracy and speed. These drawbacks are due chiefly to restrictions on the amount of time available to take the measurements and on the integrity of the patient/instrument interfaces.
It is therefore an object of the present invention to provide a unitary, portable, electronic system which simultaneously measures selected physiological parameters in a short time span, and which produces accurate results.
It is also an object of the present invention to provide a system with a means for measuring a patient's temperature and arriving at an estimated final temperature at a time before the temperature sensor reaches its steadystate equilibrium temperature.
It is a further object of the present invention to provide a physiological parameter measuring instrument utilizing a digital processor which is powerful in terms of its computing ability in comparison with past measuring systems.
It is a still further object of the present invention to incorporate within such digital processor a novel algorithm for computing the pulse and respiration rates based upon a minimal number of valid data points.
Finally, it is an object of the present invention to reduce the criticality of the patient/instrument interface by analyzing the measurement data and making decisions as to the validity of such data.
The apparatus according to the present invention achieves the above objects, as well as others, by utilizing an essentially digital system for processing the signals which have been produced by the appropriate sensors. In this digital system, a digital processing unit performs the desired temperature anticipation function by using a wellknown curve-fitting technique. This curve-fitting technique has not been employed in previous monitoring systems because it requires a larger amount of digital processing memory or space than was heretofore available in such systems. Additionally, a novel algorithm is provided for use by the digital processor to determine the actual pulse rate and respiration rate of a patient based upon a minimum number of samples which may contain spurious noise signals. The present invention operates to take all measurement readings simultaneously and calculates all three above-noted physiological parameters within a thirty second time span.
FIG. 1 is a representation of the apparatus of the present invention in block diagram form.
FIG. 2 is a schematic circuit diagram of a typical amplification and filtering unit of FIG. 1, shown in more detail.
FIG. 3 is a schematic circuit diagram of the interrupt unit of FIG. 1, shown in greater detail.
FIG. 4 is a schematic circuit diagram of the temperature counter of FIG. 1, shown in more detail.
FIG. 5 is a schematic circuit diagram of the system clock of FIG. 1, shown in greater detail.
FIG. 6 is a representation of the digital processing unit of FIG. 1, shown in block diagram form.
FIG. 7 is a flow chart in conventional notation showing the steps of the novel algorithm utilized by the digital processor in determining pulse and respiration rates.
FIG. 8 is a flow chart in conventional notation showing the algorithm of the display program which is processed by the digital processor.
FIG. 9 is a flow chart in conventional notation showing the algorithm of the interrupt routine which is utilized in the digital processing unit.
FIG. 10 is a schematic circuit diagram of the buzzer unit of FIG. 1, shown in more detail.
Referring to FIG. 1, the apparatus provided by the present invention is shown represented in block diagram form. Suitable sensors are provided, shown generally at 10, and include: a pulse sensor 12, which may comprise an electro-optical finger-coupling to sense the flow of blood in the flesh of the patient; a respiration sensor 14, which may comprise a highly sensitive thermal element in contact with the respiration exhalation from the patient; and a temperature sensor 16, which may comprise a thermistor for placement in a suitable cavity of the patient. These sensors 12, 14, 16 are then connected to the present invention such that the patient's pulse signal is fed on line 18 to a pulse signal amplification and filtering unit 20, which will be described in more detail later. Similarly, the patient's respiration rate signals are fed on line 22 to a respiration signal amplification and filtering unit 24. The temperature information sensed by the thermistor is fed on line 26 to a voltage controlled oscillator 28. This voltage controlled oscillator 28 may be of a conventional design and is sometimes referred to as a resistance controlled oscillator. The oscillator operates to vary the pulse rate or frequency of its output signal in relation to the change in resistance of the thermistor 16, or the change in voltage drop across the thermistor. As in past systems, the problem in measuring temperature has never been in accurately detecting the variations of temperature but, rather, the problem has been processing the detected information in an accurate and time economical manner. The manner in which this problem is solved by the present invention will be subsequently discussed in detail below. Timing for the entire system of the present invention is provided by a system clock 30 which utilizes a conventional oscillator with an adjustable output frequency as a standard. The varying frequency output signal on line 32 from the voltage controlled oscillator 28 is then fed to a digital temperature counter 34 which may comprise conventional binary counters. The temperature counter 34 is gated and reset by the system clock 30 on line 36 and the temperature data, which is represented by eight parallel lines shown generally at 38, is sent to the digital processing unit 40, which will be described in detail below. The digital processing unit 40 of the present invention is intended to process all physiological parameter information as it comes in, and, accordingly, some manner of interrupt system is required to break into the continuously operating digital processing unit 40. This technique of interrupting a continously operating digital processing system in order to read-in or read-out data is well-known to those familiar with programming and digital processing systems. This technique may be generally described by stating that the processor continuously operates according to some program, e.g., a display program, and when an interrupt signal is presented the program is halted at that position and the specific operation is performed, e.g., new data may be read in, and then the program resumes operation where it was halted. Accordingly, the data signals produced by the pulse amplification and filtering unit 20 are fed on line 42 to an interrupt unit 44 connected to the digital processing unit 40. Similarly, the signals from the respiration signal amplification and filtering unit 24 are fed on line 46 to the same interrupt unit 44. Two system clock signals are also fed to the interrupt unit 44 on lines 48 and 49 in order to properly gate the interrupt signal and read in temperature data into the digital processing unit 40 respectively. When temperature, pulse rate, or respiration rate information are available, the interrupt unit 44 will produce an interrupt signal on line 50 which stops or interrupts the digital processing unit 40 during its continuous operation, indicating that data for use in calculating one of the parameters is being supplied. Of course, not only must the operation be interrupted but an indication of what specific parameters are being made available must be given to the digital processor. This is accomplished by the interrupt unit 44 by producing a flag signal on one of three lines 52 which are fed to the digital processor 40. In this way a signal appearing on a particular one of the three lines will indicate that either temperature, pulse rate or respiration rate data is available. In order to commence the pulse and respiration operations of the apparatus of the present invention, a start key is provided at 54 which signals the digital processing unit 40 on line 57 to start the measurement. The actual operation of the system will be described in more detail below. It is noted that according to the apparatus of the present invention the start key 54 is not intended to switch the main battery power ON or OFF, rather this function is performed by interaction of sensors 10 with suitable microswitches located in the instrument housing. Because this type of power-up interlock switching is so conventional, further discussion is not required. In any event, the temperature sensor 16 and voltage control oscillator 28 and temperature counter 34 are initially enabled so as to begin collecting data to calculate the patient's temperature. However, although the temperature sensor immediately begins to collect data, the digital processing unit 40 will not utilize any data points which are not in excess of ninety-four degrees Fahrenheit, since this temperature is below the expected temperature reading of all but a few patients. Similarly, pulse beats and respiration exhalations are being detected by the sensors 12 and 14 and fed to the interrupt unit 44 so that an interrupt signal and the proper flag signal may be sent to the digital processing unit 40. When it is desired to read out the measured pulse rate, a pulse key 58 is depressed which is connected to the instrument state control unit 60 which signals the digital processing unit 40 on multi-line 62, and also signals a light control unit 64 on multi-line 66. The light control unit 64 produces a signal on multi-line 67 which serves to control the illumination of the appropriate pilot lights, located in visual display unit 56. Each parameter has a key similar to the pulse key 58, such as a respiration key 68 and a temperature key 70. The light control unit 64 is also connected to receive the pulse amplification and filter output signal on line 42, as is the respiration amplification and filter output signal on line 46, so that the appropriate indicator lamp may flash at pulse or respiration rate each time a parameter data point is detected during the measurement period. Upon being enabled by the depression of the pulse key 58 or the respiration key 68 a signal will be placed on the appropriate one of lines 66 from the instrument state control unit 60. In the pulse mode for example, each time the leading edge of a pulse signal is present on line 42, the light corresponding to the pulse measurement will be gated on so as to flash during the measurement period on to provide a visual indication to the operator that the instrument has a proper patient interface and is functioning correctly. A buzzer 72 is provided which will produce an audible signal to the operator when parameter data has been detected which can not properly be calculated. A signal on one line of multi-line 71 to light control unit 64 before and after the measurement time, will cause the pulse or respiration light to remain on continuously. A signal on line 73 from the digital processing unit 40 to the buzzer 72 will indicate this condition. To produce the sound an 800 hertz signal is fed to the buzzer on line 74 from the system clock 30. A battery monitor unit 76 is also provided to detect when the battery output voltage falls below a minimum voltage level. Should this occur a signal is sent from the battery monitor 76 on line 78 to the buzzer 72. In order to permit the operator to differentiate between an erroneous reading indication and a low battery voltage condition an additional signal is fed to the buzzer 72 from the system clock 30 on line 49. This signal will provide a pulse of 1.28 seconds duration which will gate on and off the 800 hertz signal, thereby causing the buzzer to produce an intermittant sound only when a low battery voltage condition is detected. Two multi-lines 67 and 79 are used to control the visual display 56. Multi-line 67 controls the start, pulse, respiration and temperature lights, and multi-line 79 controls and transmits the calculated parameter data to the visual numeric display.
Referring now to FIG. 2, the pulse amplification and filtering unit 20 of FIG. 1 is shown in more detail. Because this circuit is essentially the same as the respiration amplification and filtering unit 24, only the one relating to the pulse rate need be shown and discussed in detail. The pulse signal which has been detected by a suitable finger clip or the like is sent on line 18 to a first amplifier stage 100 which serves to increase the amplitude of the detected signal. A major problem in pulse detection has been found to be the wide variations in amplitude among the pulses of different individuals. In other words, a strong pulse has a substantially greater amplitude than the amplitude of a weak pulse beat. The present invention solves this problem by the use of a three stage amplifier utilizing amplifiers 100, 102 and 104, so that any input signal is driven to a maximum gain, thereby performing hard-limiting on the detected pulse signal. In this way all pulse signals of whatever strength will be accomodated. Digital filtering of the first-order is accomplished by the use of a monostable multi-vibrator or non-retriggerable one-shot 106. In this way any noise or spurious signals which may have been detected by a sensor and passed through to the amplifier stage will be ignored unless they reoccur with a frequency which is less than the pulse-width of the first-order digital filter, i.e., the one-shot 106 of the present embodiment. In the pulse rate filter the one-shot 106 is set to have a output pulse width of 300 millisecond duration. The monostable multivibrator used in the respiration rate signal filter is chosen, however, to have a one second pulse width, although it may be chosen to have any other suitable pulse width. The output signal from the monostable multivibrator 106 appears on line 42 and consists of a 300 millisecond pulse train with each pulse being triggered by the detected patient pulses on line 18.
Looking now at FIG. 3, the interrupt unit, 44 of FIG. 1, is shown in greater detail. The pulse rate signal appearing on line 42, which has a 300 millisecond pulse, for each patient pulse detected, is fed to a monostable multivibrator 108, and the respiration rate signal which has a one second pulse for each patient exhalation detected is fed on line 46 to another monostable multivibrator 110. The temperature strobe is supplied by a signal from the system clock 30 on line 49, which is fed to another monostable multivibrator 112. The output signals from each of these multivibrators will have a pulse width of approximately 20 milliseconds and will be used as flag signals to indicate which particular parameter the interruption is for, and are fed to the digital processing unit 40 on lines 52. These output pulses are also fed to an OR gate device 114. This OR gate 114 serves to determine that at least one parameter has data ready for the digital processing unit 40, and takes three separate random inputs and gates them onto a single line 116. Therefore, upon an occurrence of a pulse from any of the three monostable multivibrators, 108, 110, 112 an output signal will appear on line 116 which is fed to an AND gate device 118. This device has as a second input a signal from the clock on line 48 which serves to develop an interrupt strobe to synchronize the interrupt signal on line 50 which will be fed to the digital processing unit 40. Since each monostable multivibrator 108, 110, 112 is used to flag the specific parameter data being fed to the digital processing unit 40, each one-shot must be immediately reset to insure that the interrupt is recognized only once, since these interrupt signals are random with respect to the system clock. This will be recognized as the conventional "handshaking" operation an reset is accomplished by an appropriate signal from the digital processing unit 40 on one of the three lines shown at 120.
Looking now at the operation of the temperature counter 34, as mentioned earlier, a thermistor probe is inserted into the appropriate patient cavity and the resulting variation in resistance used to vary the frequency of a voltage controlled oscillator output signal. The varying frequency counts from the oscillator are then collected by a temperature counter, unit 34 of FIG. 1, which is gated and reset by the system clock on line 36. In operation, the counts corresponding to the temperature sensed are gated into the counter and, upon reaching a predetermined count level a signal corresponding to ninety-four degrees Fahrenheit is produced. Referring then to the temperature counter shown in more detail in FIG. 4, the pulses from the voltage controlled oscillator 28 corresponding to the temperature are fed on line 32 to an AND gate 122 which has as a second input a gate signal appearing on line 36. This signal also resets the binary counter 124 and acts to gate the temperature signal every 0.32 seconds. The gate is opened for a time nominally 0.16 seconds. The pulses are accumulated and upon reaching a level corresponding to ninety-four degrees, this is indicated by a one on the output line of each of the last three stages. By choosing the temperature oscillator base frequency judiciously, the binary counter 124 may be made to have a one on the last three lines 126, 128, and 130 and all zeroes on lines indicated at 38, thereby corresponding to ninety-four degrees. In this way, when all the lines at 38 have a one on them, this corresponds to 106.75 degrees. This signal appears then on line 134 from the AND gate 132. Because the temperature counter 34 is desired to sense increments of 0.05 degrees, the first stage of the counter will correspond to 0.05, and accordingly the second stage 0.1 and third stage 0.2 and so forth. Turning now to the actual computation of the temperature, it is not desirable from a time stand-point to wait until the entire temperature sensing mechanism has reached an equilibrium temperature, but rather it is desirable to predict or anticipate what the final temperature will ultimately be. In the present embodiment a preselected number of data points indicated by the output signals on parallel lines 38, from the temperature counter 34 are utilized. As discussed in relation to FIG. 4, since ninety-four degrees Fahrenheit is the base temperature, each signal on one of the lines 38 will correspond to some increment above that, with the maximum being 106.75 which is the summation of the eight output lines plus ninety-four. In any event, this preselected number of these temperature values is used by the digital processing unit 40 in such a manner so as to predict the final equilibrium temperature prior to the entire probe and thermistor actually reaching that temperature.
The digital processing unit 40 operates on this data by the use of the mathematical tool know as the leastsquares fit in order to anticipate the final temperature. It has been found, experimentally, that the temperature versus time response curve of the temperature sensor utilized in this preferred embodiment most closely approximates a hyperbolic curve. Accordingly, the digital processing unit will then operate on the temperature data on lines 38 in accordance with the least-squares fit rules and attempt to fit the data to a hyperbolic curve. Because curve fitting by use of the least-squares technique is exceedingly well know, the actual steps performed by the digital processing unit 40 in predicting the temperature will not be described.
Referring now to FIG. 5 the system clock oscillator and system clock counter identified only as a system clock at 30 in FIG. 1, are now shown in more detail. A variable resistor 142 controls an oscillator unit shown generally at 144 to produce an output at 12.8 Khz. The heart of this oscillator is a commercially available oscillator microcircuit shown at 146. The output signal from the oscillator is then fed to the base of a transistor 148 where the signal is buffered by the transistor. The output signal on line 150 is the desired frequency rate of 12.8 kilohertz. This fixed frequency signal is fed to the counter portion of the clock which comprises two binary counters 152 and 154. The clock signal on line 150 is fed into the first binary counter 152, having outputs which correspond to the powers of two as in conventional digital circuits. The first binary counter 152 then overflows on line 36 into the second binary counter 154. The signal corresponding to the overflow of the first register is fed back on line 36 to the AND gate 122 of the temperature counter shown in FIG. 4, which is used to gate the temperature signal from the voltage controlled oscillator. The second binary counter 154 accumulates the counts also in the conventional manner. One of the counter portions of binary counter 154 is utilized on line 49 to gate on the buzzer shown at 72 in FIG. 1. This same signal appearing on line 49 is also fed to the interrupt unit 44 of FIG. 1 and there acts to trigger the one shot 112 shown in FIG. 3 to provide a strobe which causes the digital processing unit 40 to measure temperature and to trigger the OR gate 114 to provide the interrupt signal for the digital processing unit as discussed above. These output signals from the binary counters 152 and 154 are then used by the digital processing unit 40 as data points corresponding to pulse and respiration and are shown generally at lines 158 in FIG. 5, and are also shown as an eleven parallel line input at 158 in FIG. 1. These pulses on lines 158 then are the pulse and respiration data from which the digital processor can calculate the patient's pulse and respiration rate as detected by the sensors. The digital processing unit uses the numbers, or more correctly the bit patterns, in the binary counters 152, 154, which correspond to some system-based time in conjunction with the interrupt signal to measure the real time which occurs between the successive pulse or respiration interrupt signals. The specific pulse and respiration lines of the group of lines at 158 from the binary counters 152 and 154 are chosen as shown because the respiration and pulse rates naturally occur at different frequencies.
Referring now to FIG. 6, the digital processing unit 40 of FIG. 1 is shown in more detail. The digital processing unit may be built-up of commercially available microprocessor sections which generally have approximately 40 pins or input/output connections. For example, a suitable microprocessor might be the model F8 produced by the Mostek Corporation or Fairchild Corporation. In the present embodiment of the digital processing unit first and second microprocessor sections 200 and 202 may be utilized as program storage units. These units will contain the particular algorithms to be utilized in calculating the temperature and pulse and respiration rates. Similarly, a central processing unit 204 is required to perform the actual mathematical operations and, as is well known, is the heart of all digital processing systems. As may be seen from FIG. 6, these three units are interconnected by sixteen common lines on which the three sub-units can communicate. All necessary data points required to permit the processing unit to calculate the temperature and pulse rate and respiration rate are fed into the digital processing unit as seen in FIG. 1. More specifically, the temperature data which is produced by the temperature counter 34 of FIG. 1 is fed in on the eight parallel lines shown at 38 into an input/output section of the program storage unit 204. The pulse and respiration data which consists of pulse data from the counter of the system clock are fed into an input/output section of program storage unit 204 and the input/output section of the central processing unit 200 on the multiple parallel lines 158. Because the program storage unit 200 has been programmed to perform the specific algorithms of the present invention, these algorithms will now be discussed. Of course, as mentioned above, in order to calculate the temperature the algorithm utilized is the least squares fit of a hyperbolic curve and accordingly it is not necessary to describe this well known procedure.
Turning then to FIG. 7 the algorithm for calculating the pulse rate and respiration rate is shown. Because this algorithm contains steps utilizing certain constants, by changing these constants it is possible to use the same algorithm for both the pulse rate and the respiration rate calculations. The present algorithm shown in FIG. 7 determines whether or not an average exists when more than a certain number of data points are within a tolerance of an average. If there are more than this certain number of data points within the pulse or minus tolerance of the average then that average is certified as valid and if such points are not within the tolerance range the average is certified as invalid. If the average is certified as invalid a signal is sent from the digital processing unit on line 73 to the buzzer 72 to alert the operator that incorrect data has been supplied to the instrument. FIG. 7 shows a flow chart corresponding to this algorithm and, as may be seen from this flow chart, which is done in the conventional format, the steps of the present algorithm beginning at the first block are: (1) set the average equal to a minimum or maximum value, set the upper limit to a maximum value and the lower limit to a minimum value. As mentioned above, it is necessary to generate new averages, hence the next step in the present algorithm is (2) generate a new average utilizing data points which are less than the upper limit and greater than the lower limit. The next step then is to (3) compare the previous average with the new average and if the two values are within an allowed variance then the next step is to continue and to (4) check the number of pulse data points which were used to generate this average. If this number of data points of M is equal to or greater than a predetermined value which as mentioned is the certain number of data points, then the average is labelled valid. However, if this number is less than the predetermined number of data points the average is labelled invalid and an error signal is sounded.
Referring back to the previous step (3), if the variance between the previous average and the new average is not within the allowed variance, then (5) the old averge is replaced with the new average and new upper and lower limits are calculated from the new average, and the loop reentered at step (2). The steps are again repeated until an average is achieved wherein the old average is plus-or-minus the allowed variance of the old average.
In regard to the flow chart of the present algorithm, the abbreviations utilized in the flow chart are as follows:
N=pulse (respiration) data point
M=valid pulse (respiration) data points
X=required number of valid phase (respiration) data points
Y=percentage (constant used to determine distance of upper limit and lower limit from average)
UL=upper limit
LL=lower limit
Δ=allowed variance.
As mentioned, this same algorithm may be used in calculating the respiration rate and, of course, since the respiration rate is significantly lower than the pulse rate, a lesser number of data points are used to calculate the respiration rate. Accordingly, the amount of variance, indicated as delta in the flow chart, will be adjusted to a different value than the pulse algorithm when calculating respiration rate, also the valid number of data points changes. Specifically, the pulse rate measurement can tolerate only a 25% variance, i.e., delta will equal 25% whereas in the respiration rate measurement, since the respiration rate has a tendency to be less constant than the pulse rate, a larger variance must be used and, accordingly, delta will equal 50% in the algorithm.
Looking now at FIG. 8, a flow chart is shown using the conventional format. As discussed earlier, the digital processing unit of the present invention is intended to operate continuously in some predetermined mode in which it awaits data to be supplied it. More particularly, the digital processor continuously operates in some mode and when an interrupt signal appears, on line 50, it stops the continuous program at that particular instant and than looks to see what flag is raised to determine what manner of data is being supplied, i.e., temperature, pulse or respiration. This data is then accepted and the continuous program mode is resumed. When the proper amount of data has been input to the processing unit the continuous program mode will automatically calculate the appropriate measurement, as may be seen from the "calculate" block of FIG. 8. FIG. 8 then is a conventional flow chart of the continuous mode of the digital processing unit of the present invention. More particularly the digital processor is caused to continuously operate in a display type mode where it is constantly attempting to display some operational condition or some calculated parameters. Looking at the actual information contained in the blocks of the flow chart of FIG. 8 it may be seen that the display loop is attempting to display some sort of validly calculated data, either temperature, respiration or pulse, and that it continuously attempts to display such data.
FIG. 9 is a conventional format flow chart showing the interrupt flow chart of the present invention. As may be seen, the decisional blocks relating to the particular flags are present and are the first that are interrogated. It will be noted that in looking at the statements made in the decisional blocks or the instructional blocks of the interrupt program of FIG. 9, that many of the inputs and outputs generated and utilized in the preceeding schematic diagrams are originated in the decisional block and instructional blocks. For example, it will be noticed that if a parameter flag is found to be present that the very next step to be taken is to reset the flag. This was shown and discussed for example in relation to resetting the interrupt unit 44 by signals appearing on one of the three parallel lines 120 of FIG. 1. Turning then to the particular interrupt routine which relates to the temperature measurement operation, it will be seen that the first decision that is to be made is whether or not the temperature is above ninety-four degrees. Should this not be the case the information will not be permitted to be entered into the digital processing unit so that such data is never utilized in the calculating the temperature. A set number of initial data points after the temperature is above ninety-four degrees Fahrenheit are also neglected. Once however the ninety-four degree temperature has been reached by the sensing unit, and this initial number of data points have been rejected, the interrupt routine will, of course, permit the number of frequency counts corresponding to the voltage control oscillator output signal to be entered into the digital processing unit for calculating the temperature in accordance with the least-squares rule. It has been found that approximately nine readings are necessary to accurately predict the final temperature. Accordingly, it may be seen from the portion of the interrupt routine corresponding to temperature, that nine readings are in fact taken and entered into the digital processing unit 40. It has been found that a period of time between the successive temperature measurements may be approximately 1.25 seconds and in this way a sufficient number of valid data points may be taken to accurately predict the final temperature.
Upon examining the flag after the occurrence of an interrupt signal, should it be found that a pulse flag has been raised, in same manner corresponding to the discussion of the temperature cycle, the first instruction is to reset the pulse interrupt unit. The remaining portion of the pulse interrupt routine then serves only to permit the required number of data points to be input to the digital processing unit. It has been found through experimentation, that sixteen readings of the intervals between the detected pulses are sufficient to accurately calculate the pulse rate by the use of the algorithm shown in FIG. 7. Accordingly, the duty of the pulse interrupt group is merely to assure that sixteen pulse readings are in fact taken. Similarly the respiration group operates in the same way and upon seeing a respiration flag the flag is reset and the number of respiration rate readings is permitted to be entered into the digital processing unit. As mentioned previously, because the respiration rate is less than the pulse rate a fewer number of readings are taken. Therefore, it has been found that only four readings of the intervals between successive respirations need be utilized in the algorithm of FIG. 7 to accurately calculate the patients respiration rate. Looking now at FIG. 10, the other unit 72 of FIG. 1 is shown in more detail. The buzzer unit operates to produce a continuous output when an erronous or invalid calculation has been performed. Such condition is indicated by a signal appearing on line 73 from the digital processing unit such signal is fed to a OR gate. Upon such signal appearing at the OR gate 210 an output will appear at line 212 which is fed to an AND gate 214, also input to the AND gate 214 is a 800 hertz signal from the system clock appearing on line 74. Gating these two signals together in the AND gate 214 produces a signal in the audio range suitable for alerting the operator. Such signal is passed through an inverting amplifier 216 and a buffering amplifier 218, shown as a transistor, and then fed from the transistor 218 to a miniature speaker shown at 220 which is provided with a suitable energizing voltage V3 such that an audible tone is produced to the operator. In the case that the battery monitor 76 detects a low battery voltage condition, an output signal is produced on line 78 which is fed through a second AND gate 224, also input to AND gate 224 is a pulse signal from the system clock appearing on line 49 which occurs every 1.25 seconds. Accordingly, the output from AND gate 224 will be a pulse signal which is fed to OR gate 210, from this point the operation is the same as if the alarm signal were indicated on line 73 except that the speaker 220 will be caused to modulate or pulse the 800 hertz signal, thereby producing a beeping tone rather than a continuous buzzing tone.
It is of course understood that the above description of the preferred embodiment is given by way of example only and that various other components could be utilized to achieve the apparatus taught by the present invention. For example, the digital processing unit need not be built up of three separate micro processor circuits but may be made up of only one larger micro processor ciruict or in fact several smaller more discret components.
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|Ethicon Endo-Surgery, Inc.
|Reorientation port
|Dec 10, 2007
|May 29, 2012
|Ethicon Endo-Surgery, Inc.
|Methods for implanting a gastric restriction device
|Jan 28, 2008
|Jun 5, 2012
|Ethicon Endo-Surgery, Inc.
|Methods and devices for measuring impedance in a gastric restriction system
|Feb 7, 2008
|Jul 17, 2012
|Ethicon Endo-Surgery, Inc.
|Powering implantable restriction systems using kinetic motion
|Mar 6, 2008
|Jul 31, 2012
|Ethicon Endo-Surgery, Inc.
|System and method of aligning an implantable antenna
|Mar 9, 2010
|Oct 30, 2012
|Invensys Systems, Inc.
|Temperature prediction transmitter
|Jan 28, 2008
|Dec 25, 2012
|Ethicon Endo-Surgery, Inc.
|Methods and devices for diagnosing performance of a gastric restriction system
|Dec 27, 2007
|Feb 19, 2013
|Ethicon Endo-Surgery, Inc.
|Constant force mechanisms for regulating restriction devices
|Jan 28, 2008
|Nov 26, 2013
|Ethicon Endo-Surgery, Inc.
|Gastric restriction device data handling devices and methods
|Feb 12, 2008
|Nov 26, 2013
|Ethicon Endo-Sugery, Inc.
|Automatically adjusting band system
|Aug 6, 2012
|Nov 26, 2013
|Invensys Systems, Inc.
|Temperature prediction transmitter
|Feb 28, 2008
|Oct 28, 2014
|Ethicon Endo-Surgery, Inc.
|GUI for an implantable restriction device and a data logger
|Jun 12, 2003
|Dec 16, 2004
|Gruszecki Gary A.
|Patient temperature repeating system and method
|Apr 1, 2005
|Oct 5, 2006
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|Temperature prediction system and method
|Mar 15, 2006
|Oct 26, 2006
|Furuno Electric Company, Limited
|Ultrasonic bone evaluation apparatus
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|Sep 15, 2011
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|Temperature Prediction Transmitter
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|Sep 15, 2010
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|Dec 21, 1983
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|Terumo Corp
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|Personal health monitor
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|Oct 15, 1981
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|Cardinal Health 303, Inc.
|Temperature prediction system and method
|U.S. Classification
|International Classification
|Cooperative Classification
|European Classification


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The Daily Star's Chief Football writer, Danny Fullbrook, is backing a draw at the Hawthorns and Aguero to net twice (5/1, Totesport)
West Brom v Everton, Sun 1st, 12.30, Skysports 1
The Sunday games will not be as emphatic with West Brom taking on Everton. The Baggies did brilliantly last time out agaisnt Man City and are on a roll, but they find it difficult to win games. At the same time Everton find it hard to score goals.
On that basis I fancy a draw at 9/4 (William Hill); a 1-1 result is 6/1 (Coral). Both goals are to come in the second half so back 0-0 at half time at 15/8, also with Coral.
Sunderland v Man City, Sun 1st, 15.00, Skysports 1
Also on New Year's Day is Sunderland against Manchester City. Roberto Mancini will have been stunned by the Baggies' result and not scoring a goal. They will be on all out attack. The Stadium of Light is a tricky place to go but with City in the mood, they are 8/15 to win (bet365), I don't think the Black Cats will keep them at bay. I fancy Sergio Aguero to score twice (7/2 first goal, Stan James – 9/2 to net twice, Totesport) in a 2-0 win (6/1, )
Compare all Premier League odds and bet at the best prices.
Happy Punting


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Drapers Arms lunch box: ham hock triple decker sandwich
Last week, Laoise Casey took us to her favourite farm shop in East Dulwich which inspired her recipe for flaky sausage rolls. This week, she heads north of the river:
The Drapers Arms in Islington is run by Nick Gibson, and his head chef Gina Hopkins has recently joined and is doing amazing things with the menu. After I'd been there I knew just what type of lunch box this had to be – a pimped up one.
Each Saturday The Drapers Arms has a 'pimped-up burger' on its menu with £1 for each one sold donated towards Action Against Hunger. Now I'm not suggesting you need to fry lasagne for your lunch box - although Nick might do that for you - but I do want to consider one of my favourite things there, the ham hock dish, and I was thinking about what would happen if I did a pimped-up sandwich with it.
So this is what I call a proper sandwich, a version with ham hock, charcuterie, juicy pickled red onions, mustard dressing and cheese. Ham hock is an often over-looked meat but has a beautiful flavour and you can buy ready cooked versions in many supermarkets. With special thanks to Gina for her time and kindly providing her recipes.*
What you will need:
4 thin slices of red onion
1 egg
1 ½ tbsp. red wine vinegar
1 tsp. sugar
1 tsp. water
1 tsp. Dijon mustard
1 tbsp. olive oil
Handful salad leaves
80g cooked ham hock
3 slices smoked sausage or your choice of charcuterie, e.g. prosciutto/chorizo
2 slices cheddar cheese
3 slices ciabatta or sourdough bread, toasted
Sea salt, to season
Water to boil
Whisk or fork
Cost to make per portion: £3.10
Preparation time: 10 minutes
How to make it:
Place the red onion slices in 1 tbsp. of the red wine vinegar and the sugar mixed together. Leave them to marinate and they will become juicy and sweet. Drain before serving.
Cook the egg until hardboiled, in boiling salted water for 10 minutes. Allow to cool then peel and slice into quarters.
For the mustard dressing whisk the Dijon, ½ tbsp. of the red wine vinegar and water together. Slowly add the olive oil and whisk until blended. Spread the dressing on the toasted bread.
Then start to layer salad leaves, ham hock, charcuterie, boiled egg, cheese and red onions. Keep going until you're satistfied.
* And there is just one more thing. This is the type of sandwich you might want to be alone with for a little while.
Follow Laoise Casey on twitter @cuisine_genieReuse content


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Our Services
Contact Us
Our Services /
Residential Agency
A Clearer View
Lack of gas safety certification will have major consequences
Residential overview
British Gas has revealed that 14 per cent of landlords among their customers who took part in a survey knew nothing about gas safety regulations.
It would be nice to think they had just sampled the wrong customers but that's not likely to be the case.
With recent prosecutions seeing several landlords fined heavily for not having gas safety certificates for their properties and the startling results of that survey, perhaps it's timely to remind all our landlords that gas safety inspections are a vital part of being a responsible landlord.
Sometimes it's easier to remember essential electrical safety checks just because the signs of the power source are so obvious with sockets and plugs in virtually every room.
Gas, though, especially when powering hidden equipment such as boilers, is less apparent and much easier to ignore. Sadly, when things do go awry it's also more difficult to detect. True, straightforward leaks are apparent by the smell of the escaping gas but when a gas appliance malfunctions in its combustion or exhaust processes the resulting leak of CO, a highly toxic and invisible gas with no odour, can have disastrous consequences. Victims of CO poisoning can, at worst, drift totally unaware into a deep sleep from which they never awaken.
Every landlord should ensure that all gas supplies and appliances are checked and certificated every year without fail.
According to a survey from Axa Business Insurance, 60 per cent of rental properties have no carbon monoxide alarm, and only 30 per cent of tenants said their landlord arranged an annual gas inspection. That's alarming when it's considered that some 200 people are hospitalised each year with suspected carbon monoxide poisoning, with about 40 fatalities.
Tory MP Andrew Bingham has Government backing for his Household Safety (Carbon Monoxide) Bill, which has now received its second reading. His private member's Bill would make it a legal requirement to install a functioning carbon monoxide detector in every rental property as well as every new-build.
More alarming for landlords who neglect the need for a gas safety certificate is a new private member's Bill from Liberal Democrat MP Sarah Teather. The Government has agreed to back her Bill and allow it time to progress through the essential Parliamentary stages – its second reading is scheduled for November 28. Find out more at http://services.parliament.uk/bills/2014-15/tenanciesreform.html
It seeks to ban retaliatory evictions by landlords when tenants have requested repairs – once a repair has been requested it would be impossible to serve a Section 21 notice for repossession.
But this restriction to Section 21 notices would also apply where no valid gas safety certificate exists or where the tenant has not been given an EPC for the property. As this Bill is quite likely to receive Royal Assent before Parliament dissolves for the General Election next May there is even more reason to ensure that all necessary paperwork is up together.
Our property managers arrange gas safety certificates for our managed properties. It is a legal requirement for Houses of Multiple Occupation (HMO) to have a carbon monoxide alarm fitted. However, we advise all landlords to consider the installation of alarms to protect the occupier and help prevent any legal action being taken against a landlord.
Lisa SimonMARLA
Partner - Head of National Residential Lettings
Lisa is the head of Residential Lettings at Carter Jonas; she is based in our Knightsbridge and Chelsea office where she started her career and advises on all aspects of letting and managing propert...
Read more
Lisa is the head of Residential Lettings at Carter Jonas; she is based in our Knightsbridge and Chelsea office where she started her career and advises on all aspects of letting and managing property. Having spent over 20 years working in London and the Home Counties Lisa can offer a wealth of experience to our Clients. She resides in West London with her husband and two daughters and enjoys a wide variety of sporting and social activities and where possible loves to travel.
0207 518 3234
At Carter Jonas we can provide a dedicated manager for your property, who will work hard to get to know your property inside out.


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Order now to get it by: Tuesday July 11 - Thursday July 13
This product ships with limited tracking information, and may take longer than usual to be delivered.
Condition: New
Product ID: 274687
Delivery Information |Returns & Exchanges |Payment Methods
STABILicers Ice Cleats slip over your shoes to keep you standing firm on icy surfaces! The choice of postal workers,
police and rescue crews when the job must get done! When your job or location forces you to get through snowy, icy
conditions, depend on the amazing gripping action of these STABILicers. They provide non-slip traction to get you where
you need to go. The long-lasting soles have case-hardened steel cleats that bite into the slickest ice and snow. Other
premium features: Attaches over your favorite shoes or boots easily with Velcro fasteners; Flexible sole provides
comfort and traction; 34 case-hardened cleats in each pair are replaceable to save you money; Straps fit on snugly with
easy on / off design; Custom designed self-cleaning chevron tread sheds snow and prevents build-up; Perimeter cleat
placement maximizes traction and stability; Durable construction, hand-stitched and glued in Maine; Also works well for
stream fishing on slippery, moss covered rocks. Don't let this deal slip out from under you! State Size. Order Today! 32
North STABILicers Ice Cleats


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Illstorp's Östergård
Your Home Away From Home
Illstorp 126273 57 BrösarpSwedenph: email@example.com
Peace of Mind in a Historical Setting
Östergård was first built in the 15th century, but Viking chief Ighul already lived in this location around a millennium ago and it is likely that the farm was built on the foundations of a Viking stronghold. This historic building is situated in the rolling fields of Brösarp's famous hills in Österlen on the edge of a nature reserve while the Verkeån, one of Sweden's most beautiful streams, flows along the back of the farm.
For an audio-visual impression of what we can offer you, click here: Slideshow
We offer many places to sit and relax, have a meal or a drink.Enjoy the sun during the day.
In the evening there is the peace and quiet of our courtyard.
Where a barbecue is available to prepare your evening meal.
Had enough of rushing around in your busy life? Ready to enjoy the peace and quiet of the most beautiful part of Sweden?
Come and have a leisurely stroll in our rose garden.
We offer comfortable and stylish rooms with all modern amenities.Please contact us anytime! We look forward to hearing from you.
Copyright 2012 illstorpsostergard.com.


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It only takes a minute to get started. Fill out our uncomplicated sign up form and login to the website.
This step is elective but will dramatically raise your chances of people actually reading your profile and contacting you. Write a little something about yourself, your interests and upload a nice photograph of yourself.
Utilise our website's cutting-edge search to uncover members who are up to your requirements. Or just flip through listings and uncover daters that you like.
Found someone who ticks all the boxes? Send a letter to them or just a wink and see what happens next. With a little luck you'll be on your way to uncover the love of your life.
It doesn't take long


text:
The Electronic Product Environmental Assessment Tool (EPEAT) is a system based on IEEE 1680 - 2006 environmental performance standard to evaluate how green the electronic products are. Currently, EPEAT covers desktop computers, notebooks, and monitors.
Recognizing the environmental impacts become growingly essential, both purchasers and manufacturers are seeking for standard environmental rules to define a green product. EPEAT meets the needs of both parties. With its standard criteria, purchasers can compare products while manufacturers know how to get green with their products design. The products with EPEAT logo are considered as green product for reducing the environmental impact.
For more information about EPEAT, please visit: epeat.net (http://www.epeat.net/) .
As part of the EPEAT Gold standard, AOC provides free recycling of the card board and foam filler packaging materials. For information on how to recycle your packaging materials, please refer to your local service center.


text:
ETMA 110W U Series
110 W, Medical, PFC, Level V Efficiency, Three Prong (C14) Inlet, Desktop Adapter, Ac-Dc Power Supply
The ETMA 110 W medical desktop ac-dc power supply series meets Level V efficiency standards, exceeds the current US EISA 2007 efficiency regulations, and meets April 2011 ErP regulations. Featuring 60601-1 3rd edition safety approvals for 2 x MOPP applications, this high efficiency medical power supply is a continuation of CUI's initiative to provide customers with global solutions for medical, dental, and home healthcare equipment.
- Up to 110 W continuous power
- Universal input voltage range
- Efficiency meets EISA 2007, CEC Level V, ErP 2011 Phase II
- No load power consumption < 0.3 W
- Power factor correction
- Over voltage, over current, and short circuit protections
- Medical 60601-1 3rd edition safety approvals
- Designed for 2 x MOPP applications
- Modified and custom designs available
Input Voltage (Vac)90 ~ 264
Package TypeDesktop
Dimensions LxWxH (in)6.7 x 2.6 x 1.5
Dimensions LxWxH (mm)170 x 64.8 x 38.5


text:
No AC in Cabin for three days, terrible service, nasty staff only dining room staff were professional and pleasant
Sail Date: March 12, 2016
Reviewed: 9 months ago
Traveled As: Singles/Friends
Room Type: Oceanview
I don't ask for too much but when a cruise line staff member tells me that 74 degrees cabin temp is within there normal parameters I find it very hard to believe From ordering room service to the temp in the room whenever a request was made and the staff messed up they accused the paying customers of not putting out room service tags early enough and even being hyper sensitive to the heat. The final answer from Carnival Pride was to stick a fan in the cabin which only moved the hot air around. if I didn't already have three other cruises booked with my cruise group on Carnival they would never get me back on one of their ships. Very disappointed.
Category Ratings
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Click table then swipe to view all columns.
|Cabin / Stateroom
|Captain and all his management needs to get a handle on the nasty attitudes of all the staff. By far of all the Carnival cruises to date this was my very worst experience
|Embarkation and Disembarkation
|Embarking out of Miami their home port was a nightmare. Took them 3.5 hours to board a disabled party who had reservations to board at a certain time but were left sitting in hot sun with nothing to drink for hours.
|Ship Quality
|Destinations and Excursions
|Onboard Activities
|Service and Staff
|Instead of making excuses they should find solutions.
|Food and Dining
|Stay out of the Pay restaurants service and food is substandard.
Port Ratings
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Click table then swipe to view all columns.
|Miami, Florida
|George Town, Grand Cayman
|Mahogany Bay, Roatan, Bay Islands, Honduras
|Belize City, Belize
|Cozumel, Mexico
8 Comments
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Remember: Be polite and respectful. Our diverse community is home to members with different opinions and a broad range of cruise experiences.


text:
BERLIN (AFP) – The European Central Bank (ECB) cannot entirely rule out the risk of the deflation in the eurozone, but that danger is limited, its chief Mario Draghi said in a newspaper interview Friday.
"The risk cannot be ruled out completely, but it's limited," Draghi told the business daily Handelsblatt.
"If inflation is too low for too long, then it can happen that people will bet on a further fall in prices and postpone spending. We haven't reached that point yet. But we have to prepare for that risk," Draghi said.
At just 0.3 per cent in November, eurozone inflation is alarmingly low and could even fall further as a result of falling oil prices.
Low inflation or even falling prices may sound good for the consumer. But from a central bank's point of view, they can trigger a vicious spiral where businesses and households delay purchases, throttling demand and causing companies to lay off workers.
The ECB has already rolled out a raft of different measures to try and push inflation back up to the 2.0 per cent it regards as economically healthy.
But the risk that the central bank will not be able to fulfil its price stability mandate "has increased compared to six months ago," Draghi said.
As a result, the ECB "is currently technically preparing to adjust the size, speed and composition of our measures at the start of 2015, should it become necessary to react to too long a period of too low inflation," Draghi said.
The ECB's policy-setting governing council "is unanimous about this," he said.
So far, the ECB has cut its interest rates to new all-time lows, made unprecedented amounts of cheap loans available to banks via its LTRO and TLTRO programmes, and embarked on asset purchase programmes (ABSs and covered bonds) to pump liquidity into the financial system.
But given the stubbornly low level of inflation, the ECB has also started considering possibility of large-scale purchases of sovereign debt, so-called "quantitative easing" or "QE".
This is a policy used by other central banks to help jump-start their moribund economies, but which the ECB has so far shied away from, not least because the measure has many opponents in Europe, including the mighty German central bank or Bundesbank.
Critics see QE as a licence to print money to get governments out of debt, which the ECB is strictly forbidden from doing under its statutes.
Turning to the economic situation in the euro area, Draghi said the single currency bloc likely faces "a long period of weakness more than a crisis".
But he said he was "cautiously optimistic" that the bank's measures would be enough to return all eurozone members to growth in 2015.
Governments must press ahead with much-needed structural reforms to get their economies in order, Draghi said.
"My complaint is that there is too much bureaucracy and taxes are too high," he said.
"In Europe, the tax burden is one of the highest in the world. That is a serious competitive disadvantage."
All the necessary structural reforms – more flexible labour markets, less bureaucracy and lower taxes – "these are all going much too slowly", Draghi complained.


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Disclosure Rule's Mixed Reception: Could Lawsuits Eclipse Investors' Savings?
Traders Magazine, April 2001
Regulation is a cure for some and a pain for others.
A Securities and Exchange Commission regulation scheduled to go into effect this month is designed to give small investors more information about how and where their trades are executed. It will also result in creating additional record-keeping chores, more expenses and possibly exposure to costly litigation for many broker dealers.
All TradersMagazine.com articles are archived after 7 days. REGISTER NOW for unlimited access to all recently archived articles, as well as thousands of searchable stories. Registered Members also gain access to exclusive industry white paper downloads, web seminars, online technology directory, the iPad App, and conference discounts. Qualified members may also choose to receive our free monthly magazine and any of our e-newsletters covering the latest breaking news, opinions from industry leaders, developing trends and trading strategies.