text:
Mediterranean Diet Cuts Heart Disease Risk by Nearly Half
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Infant Gut Bacteria and Food Sensitization: Associations in the First Year of Life
Mar. 4, 2015 New light has been shed on changes in intestinal bacteria of infants that can predict future development of food allergies or asthma. The research reveals that infants with a fewer number of ... full story -
X-Ray Imaging of a Single Virus in 3-D
Mar. 4, 2015 By imaging single viruses injected into the intense beam of an X-ray free-electron laser, researchers have determined the three-dimensional structure of the mimivirus. The technique could be applied ... full story -
Mechanism Behind Most Common Form of Inherited Alzheimer's Disease Revealed
Mar. 4, 2015 For the first time, a study reveals exactly how mutations associated with the most common form of inherited Alzheimer's disease produce the disorder's devastating effects. The paper upends ... full story -
Mental Health Soon After War-Zone Concussions Predicts Disability
Mar. 4, 2015 Evaluating military personnel with blast-related mild traumatic brain injuries, researchers have found that early symptoms of post-traumatic stress, such as anxiety, emotional numbness, flashbacks ... full story -
Treatment Guidelines for Pediatric Hodgkin Lymphoma Outlined
Mar. 4, 2015 A guideline has been issued that outlines the use of 3-D computed tomography (CT)-based radiation therapy planning and volumetric image guidance to more effectively treat pediatric Hodgkin lymphoma ... full story -
Older, White Males With Advanced Bladder Cancer at High Risk for Suicide
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Insight Into Inflammatory Bowel Disease
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Genome Replication May Hold Clues to Cancer Evolution
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New Models Yield Clearer Picture of Emissions' True Costs
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Can Exercise Training Prevent Premature Death in Elderly?
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Twitter Helps Smokers Kick the Habit, Study Finds
Mar. 4, 2015 When subjects in a smoking cessation program tweet each other regularly, they're more successful at kicking the habit, according to a study. Specifically, daily 'automessages' that ... full story -
Novel Drug Mechanism That Fights Brain Cancer Described by Researchers
Mar. 4, 2015 Researchers have developed and characterized a molecule that interferes with the internal regulation of cancer cells, causing them to self-destruct. The investigators performed a series of studies ... full story -
Study Sheds Light on How Malaria Parasites Grow Exponentially
Mar. 4, 2015 The mysterious process by which malaria-related parasites spread at explosive and deadly rates inside humans and other animals has been uncovered by researchers for the first time. As drug-resistant ... full story -
Politics of Inequality and the Inequality of Politics
Mar. 4, 2015 Economic inequality is at historic highs. The wealthiest one percent own 40 percent of the nation's wealth. This staggering inequality raises the question, what are the psychological causes and ... full story -
Obesity Is Associated With Brain's Neurotransmitters
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Basis for Cadmium Toxicity Uncovered
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- Mediterranean diet cuts heart disease risk by nearly half
- Strong genetic risk factor for MS discovered in family of five affected siblings
- Change in Medicare fee linked to rise of vascular treatment
- Infant gut bacteria and food sensitization: Associations in the first year of life
- X-ray imaging of a single virus in 3-D
- Mechanism behind most common form of inherited Alzheimer's disease revealed
- Mental health soon after war-zone concussions predicts disability
- Treatment guidelines for pediatric Hodgkin lymphoma outlined
- Older, white males with advanced bladder cancer at high risk for suicide
- Insight into inflammatory bowel disease
- Genome replication may hold clues to cancer evolution
- New models yield clearer picture of emissions' true costs
- Can exercise training prevent premature death in elderly?
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- Novel drug mechanism that fights brain cancer described by researchers
- Study sheds light on how malaria parasites grow exponentially
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- Neuropsychological, neuropsychiatric, functional assessments help follow course of Alzheimer's disease
- 'Cardiovascular revolution' has increased life expectancy in Spain
- Gorilla origins of the last two AIDS virus lineages confirmed
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- US spends more on cancer care, saves fewer lives than Western Europe
- Myelin-maker: How an FDA-approved drug boosts myelin synthesis
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- Sequencing the hookworm
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text:
I've been thinking alot about getting myself an AK. Anyone have any ideas/experience on a cheap (in price not quality) model AK?
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What's your cheap? I just got my first AK, an M&M M10, $599 and its got lots of extras. I'm very pleased with it
Lower is better lol
Just picked up a Bulgarian M74 Sporter (AK74) from Century Arms for $395.
That's what I'm talking about! Nice piece do me a favor and post back and tell me how you like it.
I didn't get a chance to get it to the range last weekend but will let you know as soon as I do. My first impression is it seems well made.
Unconverted SAIGAs seem to be the best value these days as even WASRs have gone up.
If everyone is thinking alike, then somebody isn't thinking.George S. Patton
So what's the difference between a 47 and a 74?

subset: commoncrawl


text:
Reader comments are listed below. Comments are currently closed and new comments are no longer being accepted.
When people don't believe in their bank, they withdraw their savings. Its not a matter to meet ends meet but rather to survive. Give it time. Soon the bank will prove its self through efficiency, like an effective merger, and hope will be restored. People will flock back and order will be restored. It has been a rough year economically for the world and as a result every market is getting hit.
World economy is OK. South America is doing fine, Asia (without Japan) is on track. Crisis is emerging only in areas of the world that live irresponsible, spending more than they can print, on things they do not need, forcing others to do the same mistakes as them and in the process borrow money from the ones that do not have it.
Leave administration and politics aside. Don't be ignorant, react if you think your governments are not doing what they should. Don't be brainwashed by the big mighty corporations into paying for their irresponsible selfish moneymaking policies. Do you really think you have to pay 5-10% mortgage interest? If prices of housing go up, money should be borrowed to developers to built homes, in order to lower prices, not to people that want to pay 50% overpriced homes just because the same bank give them a raise!!
The cyclic shift in the economy is a natural process, that will allow us to get into a better, more prosperous future, for more of us. This set-up doesn't work no more!
Re: Lafiel
I'll admit that there have been incredible levels of disunity (and corruption) in the Democratic party. I'll admit that President Obama has not been as forceful as he should have been. But the first two years of his Presidency were actually, by historical accounts, quite productive. The last 1 1/2 years however...not so much...I wonder why??? Let's look at what the Republicans have had to offer on the biggest issues:
Financial Reform - Who needs it? There's nothing wrong!
Health Care - The private sector is doing a superb job!
Climate Change - It doesn't exist! It doesn't exist!
Wars - We're so patriotic, but don't ask us to pay!
The Debt - We hate it, but don't think of raising taxes!
Even after the most calamitous financial collapse since the 20s, most Republicans are still pretending that unbridled, unregulated banking is a good thing for society. That's an indication of ideological bullheadedness and greed. Stupid
Our health care system is broken. Compared to other industrialized nations, we spend the most as a share of GDP by a large margin and receive relatively shitty treatment (measured by outcome, not fancy clinics and the number of tests administered). The legislation Obama passed only goes 1/4 of the way, but the Republicans want to roll it all back and do.....nothing. In their minds, our health-care system is the best in the world (which is true, if you're incredibly rich). Our debt can not be contained without breaking run-away health care inflation, and that can only happen through intelligent rationing and some government involvement in what is undeniably a public good. Stupid.
We're definitely altering the world's climactic patterns (with unknown consequences), and most Republicans think it's a conspiracy. This is the party that rejects science. Stupid
The Republicans are unabashedly pro-war, but they never seemed to figure out how much that jingoism contributes to the debt. And still, still they refuse to countenance tax rises. There is never a moment in their minds when they recognize the necessity of raising taxes. Never. A nuclear bomb could go off in Kansas City, and they would reject raising taxes to rebuild. Our sewer systems need replacing. Cut taxes. We need to pay more money to get better teachers. Cut taxes. Stupid.
As for the debt, anyone reasonably intelligent recognizes that swingeing spending cuts are going to be necessary. I think most recognize that closing the gap will involve way more spending cuts than tax hikes (4 to 1 ratio seems fair to me). However, there do have to be tax hikes. It just doesn't work any other way without ripping the country to shreds. Again, the Republicans will not accept any tax rises, no matter what. Stupid.
So yeah I blame the opposition for most of the gridlock. Obama has been pretty conciliatory and gotten nothing in return, because they are too ideological. What deals could Obama have made with this lot? God knows he's tried. Maybe that was his mistake. I guess that's politics but in times like these, it's really irresponsible.
The idea that some taxpayer, domestic or foreign, will pay 60 percent interest is criminal.
The EU should at once do the following:
Declare that the Greek government is bankrupt.
Declare that all Greek bonds are worthless and will never be redeemed.
Declare that no EU government may borrow anything ever again.
Borrowing for current spending should be a capital offense.
@ dtmurphy: thanks for the funny post.
It is amazing how quick you are to blame the opposition party that couldn't even mount a filibuster for the first year of Obama's presidency, then the second year were still a minority with barely filibuster ability that depended upon about 2 to 3 republicans who could depending on the issue easily be swayed by the Obama agenda.
Only in the past 8 months have the Republicans held any real power that can stop anything the democrats/obama wanted by control of the house.
So to recap: first two years Obama had huge majorities in Congress and in the last 8 months Republicans have controlled only HALF of ONE branch of government. Yet all the problems that exist because of them? seriously are you applying logic at all?
if anything the lack of leadership and lack of unity among the Democrats is why they couldn't get anything done efficiently and what they did get done has been so convoluted and badly designed that it is no surprise things are still bad.
I also think you forgot why the Republicans ended up being labeled the "party of no" as the propaganda says. At start of Obama admin, he handed several pieces of legislation over to Pelosie and Reed, who pretty much cut out the Republicans. So the republicans said fine if you really want it to be that way we will dig our heals in and became very unified in the face of overwhelming majorities who were un-unified.
Re: Seafarer20
To put the blame on Obama's lack of "patriotism" is childish. He did not create the financial collapse - that was 30 years in the making - nor has he failed to take political action to try to mitigate the effects. Ever since 2010 however, he has been hamstrung by a group of morons in Congress who think doing nothing is "patriotic" and that this epic collapse will solve itself without engendering consequences far worse than what we've seen so far. It's true that he has dropped the ball on entitlement reform, but he expended all his political capital getting a health reform bill through Congress, an attempt (sadly failed) to reign in long-term health care costs. Had the smarter set in the Republican Party been a bit more constructive in getting good health care reforms through the House, the world would now have more confidence in America's long-term outlook. So, he is not perfect by a long stretch, but no matter who would have got into office following the 2007 meltdown, things would still be shitty today. All I'm saying is that he is not a TERRIBLE president. Be reasonable.
Greeks are withdrawing money from their banks, also because they are afraid something bad will happen to the banks and don't want their money to be stuck there when it does.
Heracles was mortal, too. And he, too, had to clean up a mess a ruler had created.
The world's economy gets worse by the day and, unfortunately, the U.S. does not have a rabbit in its hat to solve the problem. What do we have? As Shelby Steele so fittingly put it in today's WSJ, "America gained a president [Obama] with ambivalence, if not some antipathy, toward the singular greatness of the nation he had been elected to lead."
The Economist explains: Rising dough in the pizza industry
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A different immigration measure for Britain: Not adding up
The view from Paju: Buds of change
IS in London: The unmasking of "Jihadi John"
Daily chart: Never gonna put you down
Graphic detail
Ebola in graphics: The toll of a tragedy
Graphic detail
Booking flights with bitcoin: Taking off
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International Association of
Assistance Dog Partners
In Memorium
Ed Eames, Ph.D.
IAADP's President
March 7, 1930 - October 25, 2009
IAADP Home
About Ed
Share your thoughts
View others' comments
Make a donation in Ed's memory
Number of entries: 82 Number of pages: 9
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I had the pleasure of sitting with Ed at a lunch break at an ADI conference last year. He was so friendly and encouraging to be with me. I have also be in the audience as he presented at conferences and was always impressed with his compassion to help assistance dog users and programs. He will be missed
Jen Rogers
Added: March 4, 2010
I am so sad to hear that Ed has left us behind. IAADP has been a life line in a sea of ignorance of the laws regarding service dogs, and was a HUGE help when my husband's great pyrenees, Hannah, had to have hip surgery! We would have had to have given her up to a rescue because there was no way for us to pay such a large vet bill.
I would be willing to bet that my service dog, Patches, who crossed the bridge last June, welcomed Mr. Eames with a wagging tail and a welcoming warm, wet and sloppy tongue! We never got to meet him but I talked to her all the time and told her about IAADP. She was a good listener.
THANK YOU to Ed and Toni for starting up this wonderful organization!
Viki Gentilman
Added: February 24, 2010
I met Ed at an NFB convention and liked him on the spot. I also remember his devotion to guide dog users and his work to make convention life with a service dog a good experience for both dog and handler.
Joseli Walter
Added: February 8, 2010
In Ed Eames memory we must never let service dog advocacy slow down. Toni, I am sorry for your loss and wish you much comfort in the months and years ahead.
Added: January 23, 2010
As I understand it, IAADP was founded in response to a problem which could not be solved through existing organizational means.
IAADP has emerged as a moving force in the assistance dog arena and gives credence to the notion that if one can't go through the door, try the window or, make another door.
Cheree Heppe
Added: December 31, 2009
I was always inspired by Ed. He was the reason I have used a SD and have successfully lobbied for SD law changes in NE. I always read his commentary in Dog World when I was young!
Roxann Hamilton, M.Ed.
Added: December 24, 2009
While I never had the honor of meetig Ed, I am one of many people who have benefited from his hard work on behalf of service dog owners. My service dog and I are very grateful for the things Ed and Tony have made possible for us by founding IAADP. The world has lost a wonderful man and my prayers and thoughts are with those mourning his loss.
Holly and Tetra Davis
Added: December 22, 2009
I was pleasantly surprised that my first contact with IAADP resulted in an encouraging e-mail exchange between Ed Eames and myself regarding my service dog, GiGi. He was gently helpful and clarified public access rules for a wee service dog such as GiGi (3.5 pounds). I will be forever grateful for his (and Toni's)persistant advocacy - especially opening doors for folks with invisible disabilities such as myself. Thank you Ed. God bless you! Amena
Amena Reess
Added: December 21, 2009
In 2002 I was running into some real stone-walling in my attempts to obtain a guide dog. Time after time the response was, "You use your vision!". (True, all 20/420 of it.) Someone, in answer to one of very many email forays, suggested contacting Ed as a good source of support. With his help and encouragement, I persevered and, in the summer of 2003,was paired with a Leader Dog. I don't think I need explain to any of you what a tremendous event this was for me and the great changes it has made in my life. Over the intervening years I had intermittent contact with Ed, and was always warmed by his personal interest and response. Ed, I'll miss you.
Phyllis Collett
Added: December 20, 2009
Over the many years we have had the pleasure of knowing Ed and Toni,we have enjoyed discussing Ed's research and his work with IAADP. He and Toni have made a big difference in the quality of life for many Fresno citizens. We will miss his humor, his grin, and his humanity.
Bob and Olivia Palacio
Added: December 10, 2009
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This 1965 Chevrolet Corvette Sting Ray 2 Door Convertible (Stock # P10027) is available in our Pleasanton, CA showroom and any inquiries may be... More
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text:
*As of 5/31/2014. Reflects bed space capacity analysis as outlined in the July 1, 2014 Quarterly Report to the Legislature. **As of 7/1/14
Visitor ADA Accommodations
IDOC Visitation Rules and Information—please review before visiting
Visitors to any correctional facility will be required to produce photo identification and verification of date of birth. Please be sure to bring 2 forms of identification with you; these would include a current photo ID such as a driver's license, a state ID card, government ID card, military ID/driver's license, or acceptable documentation of non-U.S. citizenship including a current Passport, or Visa, documentation must contain the visitor's date of birth. Expired forms of identification will not be accepted. Visitors will also be required to provide vehicle information and other pertinent data, such as government identification, official credentials, attorney registration, and or law student certification. General population 8:30 a.m. to 5:30p.m. seven (7) days a week. Offenders are permitted six (6) visits per month, with no more than two (2) on weekends or holidays. All visitors must arrive by 2:30p.m. Segregation and diagnostic program inmates 10:00am to 2:00pm, Monday through Friday Visitors must arrive by 12:00pm
Physical Address: 1300 W. Locust Street Canton, IL 61520 Business Mail: P.O. Box 999 Canton, IL 61520 Inmate Mail: Inmate Name & IDOC# P.O. Box 999 Canton, IL 61520
Phone: (309) 647-7030 Fax: (309) 647-0353
The primary mission of Illinois River Correctional Center is to protect the public from criminal offenders through a system of incarceration, supervision, programs and services designed to return appropriate offenders to the community with skills and attitudes that will help them become useful and productive citizens.
Illinois River Correctional Center is a medium security adult male correctional facility consisting of a total of 29 buildings, which comprise more than 409,000 square feet. The living units consist of four X-type housing units, one receiving and orientation unit, one segregation unit and a 15-bed health care unit. In addition, the center has a special management unit, which provides special security for inmates housed there. The facility sits on a 100-acre site, with 40 acres enclosed by fencing. The facility also houses general population inmates. Inmate Programs


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Pandora's Indie Partner Plan: Thursday's Chart of the Day
Pandora's stock has been disappointing to start 2014, down single-digits, but the streaming music company is looking to change that with a big partnership with Merlin Entertainments artists that could keep adding subscribers to its top line. Lately,
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Average price of Toronto detached home shoots past $1 million
Sales were up a stunning 16.9 per cent, year over year. While the average sale price briefly touched on $1 million last April, it had dipped down by the end of that month to $965,670.


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Road Dream MeaningPsychological Meaning: Your dream may be a metaphor for the roads you travel through life. The twists, turns and obstacles are the difficulties you encounter in ordinary life. A fork in the road or a crossroads may represent a difficult decision you have to make. Mystical Meaning: Flowers or trees bordering a road predict success say the dream books of long ago. Online
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@mowgli, the frozen ones are cheaper. Hobo, have you got a hob? The microwave performs a role a lot like a steamer, I can't imagine wanting to steam everything I ate.... |
#9273426, By Metalfish What's for DINNER tonight then?
Metalfish 8,922 posts
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Product Number: | LU51724 |
Item Price: | $31.49 |
Availability: | Currently Out of Stock, click the alert icon to be notified when product is available. |
Shipping Weight: | 0.34 lb. |
The Leupold 1- Piece Steel Standard Base for Ruger is built of solid metal and able to withstand even heavy-duty recoils. The one-piece design is made to provide a mounting platform that is extremely solid and durable.
The metal is sturdy and of the highest quality to ensure that the mount is very secure. The design holds alignment steady, even after many rounds have been used. This is an ideal base to add to the collection of any hunter, marksman, or occasional range-goer.
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The Howard County Public School System announced Wednesday night that schools would close Thursday, March 5, as residents braced for a snowstorm threatening to hit the region overnight Wednesday and continue through Thursday.
The Howard County Public School System announced Wednesday night that schools would close Thursday, March 5, as residents braced for a snowstorm threatening to hit the region overnight Wednesday and continue through Thursday.
When Anne Segal immigrated to the United States from Uganda in 1992, she said she was fascinated by the American business climate.
Orioles players are wearing orange Lungevity T-shirts for their spring training workout today, the one-year anniversary of the death of former public relations director Monica Barlow from lung cancer.
At Mt. Hebron High School, some students are dancing their way to popularity. The school's break dancing club, comprised of 14 students — all boys — has become wildly popular, performing at halftime of basketball games and at pep rallies.
The Howard County Board of Education on Tuesday approved a $776.3 million operating budget request, $4.4 million less than the original proposal from Superintendent Renee Foose as school officials were told it would be unlikely that they receive full funding.
At the end of every week, Howard County Times boys basketball beat reporter Brent Kennedy will rank the Howard County teams based on their body of work this winter. You can tweet at him @BKHoCoSports with comments or questions about the rankings. *Previous week rankings will be shown in ()...
After several delays, a project to build a new branch for the Laurel Library is set to break ground this spring, according to a library official.
A 35-year-old Laurel woman filed a lawsuit Monday against the president of the Rams Head Group and the company's Savage restaurant, where Howard County police say he secretly videotaped women who were using the restroom.
As the lone defender under the Laurel High School basket, junior Kirk Hawkins braced himself as Bowie High began a three-on-one fastbreak against the Spartans.
Many top American basketball players, especially those not drafted by the NBA, head overseas to continue their playing careers.
Bargain hunter alert! Marriotts Ridge High School cafeteria is set to be a sea of flea market tables on Saturday, March 7, when the annual indoor yard sale brings out bargain hunters from winter hibernation.
March 1970
Glenelg High School will perform "Hello, Dolly!" as its spring musical in March. This will be theater teacher Sue Miller's final performance at Glenelg after 16 years and 48 school productions. The Glenelg community celebrates Miller's contribution to the performing arts with this family...
Spring is right around the corner (I promise) and St. Patrick's Day celebrations are being planned! The St. Alphonsus Knights of Columbus will hold a St. Patty's Day celebration on Saturday, March 14, from 7 until 10 p.m. at St. Alphonsus Rodriguez Church Hall, 10800 Old Court Road, Woodstock.
The Women's Giving Circle of Howard County is accepting applications for its residential summer camp, Journey 2015. The camp will include 25 girls entering 8th or 9th grade in the fall of 2015.
Columbia Cleanup Day is set for Saturday, March 21, with volunteers simultaneously picking up trash accumulated at open space locations in all 10 villages.
A bill before the County Council that had sought to reorganize the county's Human Rights Commission has been stripped of its most significant changes after commissioners complained they had not received enough input in the decision-making process.
I was taken aback when I saw the headline of the editorial "Election of GOP governor opens door to fairer election redistricting." Yes, Maryland may have gerrymandered congressional districts. However, this isn't solely a Maryland or Democratic party problem. It's a national problem.


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The ASA Racing Schedule for May 4-6, 2012.
The first weekend of May will be busy one in ASA Racing. The ASA Midwest Tour will kick off their sixth season and 18 ASA Member Tracks will be in action.
Here are the details to this weekend's action.
MADISON INTERNATIONAL SPEEDWAY (Oregon, WI)
Twitter: @asamidwesttour
Sunday, May 6, 2012
Divisions: ASA Midwest Tour Super Late Models, Madison Late Models
Time: Qualifying 1pm, Racing 2:30pm.
read more
A busy weekend is on tap this weekend in ASA Racing. Many of the ASA Member Tracks will crown their track champions this weekend. The ASA Midwest Tour will be competing at Iowa Speedway on Friday night and the ASA NSRA Series will c... Read Post
More ASA tracks are cranking up their 2012 seasons this weekend. Easter Weekend will be busy in ASA Racing. The ASA Truck Series will kick off their 2012 season along with seven ASA Member Tracks in action. Here are the details to t... Read Post
It will be another busy weekend in ASA Racing. Two ASA series are in action and 15 ASA Member Tracks are in action from the west coast to the east coast. Here are the details to this weekend's action. ASA MIDWEST TOUR MADISON INTERN... Read Post


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Food Allergy Resources: Managing Food AllergiesManaging Food AllergiesHow to keep your child safe when you travel, eat out at restaurants, attend parties and more. These tips will help you manage food allergies at home and beyond. Checklist for Managing a Food Allergy LifestyleThis is a must-have checklist for parents of children with food allergies! By adding these habits into your lifestyle, you can effectively manage food allergies. Disaster and Emergency Preparation for Families with Food AllergiesMany families are masters at managing daily life with food allergies, but few are prepared for emergencies such as major weather events or power outages. These tips can help ensure that your food allergic child's needs will be met during an emergency. Hiring a New Baby Sitter for Your Food Allergic ChildHow can you ensure your child stays safe under the watch of a new babysitter? Printable Peanut-free Signs for Peanut AllergyKeep your peanut allergic child safe by downloading a
peanut-free poster.
Speak to the Restaurant Manager About Food Allergies Before Your VisitBefore visiting a restaurant, take precautions to ensure your food-allergic child's needs are met. Teens and Kids with Food Allergies Need to Be Careful About KissingKissing (ranging from passionate to a peck on the cheek) can prompt an allergic reaction. The Food Allergy Awareness Act Increases Food Allergy Awareness in Massachusetts RestaurantsMichael Pistiner, MD MMSc, and medical advisor to KFA, has been on a mission to make dining out safer for kids with food allergies. For years, food allergy advocates have been encouraging legislation directed at restaurant and other eating establishments — but food allergy education has not been a requirement in the U.S. until recently. Top 11 Organization Tips to Managing Food AllergiesOne KFA member shares organization strategies to help you manage your child's food allergies. Vigilantly Watch Your Young Food-allergic Child at PartiesIn a party situation, do not assume other adults will follow your instructions not to feed anything to your child. If you have additional questions, you are welcome to become a member and connect with our volunteers and other members on our online support forums who can be of additional help. |


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What does CUTS mean in Non-Profit Organizations?
This page is about the meanings of the acronym/abbreviation/shorthand CUTS in the Community field in general and in the Non-Profit Organizations terminology in particular.
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- Corporal punishment at school.
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"CUTS." Abbreviations.com. STANDS4 LLC, 2015. Web. 27 Feb. 2015. <http://www.abbreviations.com/term/315343>.
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US 5330424 A Abstract A medical lavage apparatus for body cavities comprising a housing having parallel irrigation and aspiration cylinders with captive plungers extending in bores thereof from a first end and pairs of check-valves positioned in parallel, smaller, offset cylinders located at second ends such that reciprocal movement of the each plunger in each cylinder performs the function of a one-way pump. The plungers are held captive and aligned by guide-stops proximally disposed in each cylinder. Each plunger comprises a seal disposed at the distal end thereof which inhibits communication between the pairs of check-valves in each cylinder when the plunger is fully seated in the cylinder. Novel jam-free dome shaped, slit check-valves are disposed to be the pair of check-valves in the aspiration cylinder in one embodiment and in irrigation cylinders as well in other embodiments. The dome shaped valves are described for use in other medical fluid control applications, as well. A septum formed of intersecting semi-circular-in-cross-section baffles joins the adjacent outer ends of the irrigation and aspiration check-valve cylinders so as to allow full fluid streams flowing from these outer ends to flow together at an angle. The septum and associated irrigation and aspiration check-valve cylinders are enclosed in a common exchange tube which leads to a common patient tube connecting nozzle. A special patient tube securing attachment is disposed on the connecting nozzle.
Claims(5) 1. A method for removing aspired physiological liquids through check-valves which remain competent during a lavage procedure comprising the steps of:
connecting a double cylinder medical lavage apparatus to a patient body cavity communicating tube; proximally reciprocating a pair of plungers of the double cylinder medical lavage apparatus to draw wash liquid into one cylinder while drawing physiological debris through the communicating tube toward and into the other cylinder; passing liquid through a first centrally disposed flow pathway formed by a first dome-shaped, slit stop valve for liquid flowing from said communicating tube to said other cylinder; distally reciprocating said pair of plungers to flush wash liquid through the communicating tube toward and into the patient body cavity while competently closing the first centrally disposed flow path of said first stop valve and pumping the physiological debris to a waste container out of the other cylinder; passing the physiological debris through a second centrally disposed flow pathway formed by a second dome-shaped, slit stop valve for liquid flowing from the other cylinder to a waste container, said second stop valve competently closing the second centrally disposed flow pathway during the proximally reciprocating step. 2. A method of introducing lavage into a patient comprising the steps of:
connecting a source of medical liquid to a syringe mechanism to accommodate selective influent liquid flow; limiting liquid flow between the source and the syringe mechanism to one-way flow by positioning a one-way slit valve between the source and the syringe mechanism; causing influent liquid flow to the syringe mechanism by creating a predetermined pressure differential across the slit valve sufficient to flex a slit thereof distally; preventing reversal of flow between the syringe mechanism and the source by creating a predetermined pressure differential across the slit valve sufficient to close the slit thereof proximally. 3. A method of aspirating liquid and physiological debris from a body cavity of a patient comprising the steps of:
placing a liquid and physiological debris influent port of an aspirating cylinder comprising an interior in selective flow communications with the body cavity; placing a liquid and physiological debris effluent port of the aspirating cylinder in flow communication with a discard site; manually reciprocating a plunger in the aspirating cylinder to create pressure to thereby displace liquid and physiological debris along a flow path comprising the influent port, the interior of the aspirating cylinder and the effluent port, said pressure causing normally closed contiguous directly abutting edges of at least one slit in an arched wall of a diaphragm disposed int he flow path to separate thereby creating an opening through which said liquid and physiological debris facilely passes. 4. A method of irrigating and aspirating a body cavity of a patient comprising the steps of:
providing a liquid irrigation cylinder having an interior and a plunger, the irrigation cylinder having a liquid influent port and a liquid effluent port; providing a liquid and physiological debris aspiration cylinder having an interior and a plunger, the aspiration cylinder having a liquid and debris influent port and a liquid and debris effluent port; displacing irrigating liquid to the body cavity via the liquid influent port, the interior of the liquid irrigation cylinder and the liquid effluent port responsive to manual reciprocation of the liquid irrigation plunger; displacing liquid and physiological debris from the body cavity along a flow path comprising the liquid and debris influent port, the interior of the aspiration cylinder, and the liquid and debris effluent port responsive to the manual reciprocation of the aspiration plunger, pressure due to said reciprocation accommodating displacement of the liquid and debris across at least one dome-shaped slit valve having at least one slit disposed in the flow path by spreading normally contiguously and abuttingly closed lip edges at the slit into spaced relation while retaining the edges in generally opposed alignment to create a flow opening at the slit. 5. A lavage method comprising the steps of:
supplying medical irrigating liquid from a source; displacing medical irrigating liquid from the source selectively into a body cavity of a medical patient via an irrigating syringe; aspirating liquid and physiological debris from said body cavity using an aspirating syringe including passing the liquid and physiological debris across at least one rounded normally closed one-way slit valve diaphragm by flexing the diaphragm along at least one curved slit comprising normally closed opposed contiguous slit edges to spread the slit edges apart thereby defining an opening between the edges to accommodate facile flow of liquid and physiological debris through the opening. Description This application is a division of our co-pending U.S. patent application Ser. No. 07/923,706, filed Jul. 31, 1992, now U.S. Pat. No. 5,254,086. This invention relates broadly to medical lavage apparatus including medical valves and particularly to medical lavage apparatus comprising at least one novel slit valve selectively accommodating one-way flow of lavage solution and/or other physiological liquids. Lavage is defined as the washing out of hollow organs by copious injection and reinjection of liquid. Gastric lavages, for example, are used for a wide variety of medical situations including poisonings, upper GI bleeding, ulcers, etc. The normal current method of performing such a gastric lavage involves the insertion of a tube into a patients's stomach through his nose or mouth. According to principles disclosed in U.S. Pat. Nos. 4,842,581, 4,872,866, and 5,049,135 one lavage apparatus for delivering lavage solution quickly and efficaciously to a patient comprises a rigid housing defining side-by-side parallel irrigation and aspiration cylinders in which plungers are inserted from first ends thereof. The irrigation and aspiration cylinders have respective irrigation and aspiration check-valves at second ends thereof and inlet and outlet check-valves at sides thereof. An anti-venturi septum extends to an intersecting line from the second ends of the cylinders. This septum comprises two tapered, semi-circular-in-cross-section, baffles which meet at a sharp V-shaped apex which also forms a U-shaped intersection line to provide a full opening between a separate common exchange tube and both cylinders. The separate common exchange tube, with the common nozzle is attached to the housing surrounding the second ends of the cylinders and said septum. The internal size of the nozzle is about the same size as the inlet and outlet openings at the sides of the cylinders. Check-valves disclosed in the above-mentioned U.S. Patents comprise flat resilient membranes attached to an exterior transverse wall of a valve bore which flex to open when pressure is exerted into the bore of the check-valve and return to a flat, closed disposition against the transverse wall of the valve when pressure is exerted in an opposite direction against the resilient membrane. One of the problems related to the use of flat membrane check-valves, as noted in U.S. Pat. Nos. 4,842,581 and 4,872,866, is jamming such as is caused by incomplete valve passage of non-liquid or high viscosity matter which is a common by-product of lavage procedures. In an attempt to find a solution for the jamming problem, flow orifice reducing shelves are installed in the flow path of the lavage solution upstream from the valves in order to allow larger surface-area membrane valves to be used because larger surface area flat membrane check-valves are not as susceptible to jamming as smaller surface area flat membrane check-valves. One of the primary applications for this invention is in lavage devices similar to the apparatus disclosed in U.S. Pat. Nos. 4,842,581, 4,872,866, and 5,049,135. In brief summary, this novel invention alleviates known problems related to jamming in lavage delivery apparatus by liquids containing non-liquid and high viscosity matter trapped in flat membrane check-valves. While the instant invention comprises lavage apparatus and novel one-way valving structure therefor, the novel valving structure eliminates the need for special shelving and for larger-than-flow orifice flat membrane check-valves in lavage apparatus. The present invention embraces a lavage delivery apparatus comprising a novel one-way slit valve wherein highest velocity liquid flow occurs generally across the valve. The lavage slit valve, in its preferred configuration, comprises a hollow dome-shaped flexible membrane comprising at least one but preferably two medially intersecting slits. The slit lips comprise smooth opposing parallel walls such that when a positive pressure differential is applied toward the convex side of the dome, the lips are pushed together to form a tight seal thereby preventing reversal of flow. Conversely, when a positive pressure differential is applied toward the concave side of the dome, the slit lips separate medially to accommodate one-way controlled flow. Accordingly, it is a primary object to provide a medical lavage apparatus comprising a novel one-way slit valve which selectively passes a physiological liquid. It is another primary object to provide a medical lavage apparatus comprising a novel dome-shaped, one-way slit valve which functions as a check-valve in an aspirating line. It is another primary object to provide a medical lavage apparatus comprising a novel dome-shaped, one-way slit valve which functions as a check-valve in an inspirating line. It is a principal object to provide an improved medical lavage syringe apparatus comprising guides for plungers reciprocated therein such that handles attached to such plungers for manual reciprocation thereof are held in a desired predetermined alignment at all times. It is another principal object to provide a medical lavage apparatus comprising a stop within a cylinder within which a plunger reciprocates to prevent the plunger from being totally withdrawn from the cylinder during operation. It is a fundamental object to provide a medical lavage apparatus comprising a slit valve defining a pathway for selective one-way liquid flow and check valve features preventing fluid flow in the opposite direction. These and other objects and features of the present invention will be apparent from the detailed description taken with reference to accompanying drawings. FIG. 1 is a perspective of the lavage apparatus of an embodiment of this invention with some parts illustrated diagrammatically; FIG. 2 is an exploded perspective of the lavage apparatus of FIG. 1; FIG. 3 is a perspective of a flat membrane check-valve; FIG. 4 is a perspective of a dome-shaped, slit check-valve with parts broken away for clarity; FIG. 5 is a cross-section taken along lines 5--5 of FIG. 4; FIG. 6 is a top view of the dome-shaped, slit check-valve of FIG. 4 in a partially open condition; FIG. 7 is a top view of the dome-shaped, slit check-valve of FIG. 4 in a closed condition; FIG. 8 is a perspective of a plunger guide-stop; FIG. 9 is a cross-section taken along lines 9--9 of FIG. 8; FIG. 10 is a fragmentary perspective, with parts broken away for clarity of a port associated with a cylinder in the lavage apparatus of FIG. 1, with the dome-shaped, slit valve mounted in the port in a direction causing the cylinder to be part of an inspirating pump; FIG. 11 is a perspective of a housing comprising parts associated with a port attached to the cylinder shown in FIG. 10, with parts broken away for clarity, wherein the dome-shaped, slit valve is mounted in the port in a direction which causes the cylinder to be part of an inspirating pump; FIG. 12 is a fragmentary perspective of a line from a liquid source to a patient with some parts shown diagrammatically, the line having a dome-shaped, slit check-valve disposed therein; FIG. 13 is a cross-section taken along lines 13--13 of FIG. 2 of a portion of the distal end of a plunger and an associated seal used in a cylinder of the lavage apparatus of FIG. 1; and FIG. 14 is a cross-section of a seal taken along lines 14--14 of FIG. 2, the seal shown attached to a portion of a plunger. In this description, the term proximal is used to indicate the segment of the device normally closest to an operator or user of the device. The termdistal refers to the other end. Reference is now made to the embodiments illustrated in FIGS. 1-14 wherein like numerals are used to designate likeparts throughout. A lavage apparatus 10 is shown in FIG. 1 for use with a supply container 12, supply tube 14, a waste container 16 and a waste tube 18. As better seen in FIG. 2, lavage apparatus 10 comprises a rigid housing 20, a commonexchange tube 22 permanently affixed to housing 20 when assembled, an irrigation plunger 24, an aspiration plunger 26, and a system of seals andvalves associated therewith. Rigid housing 20 is preferably molded as one piece of medical grade, translucent styrene acrylonitrile plastic. Rigid housing 20 has an irrigation cylinder 28 defining an irrigation-cylinder bore 30, an aspiration cylinder 32, defining an aspiration cylinder bore 34, first andsecond supporting flanges 36 and 38 holding together first ends of irrigation and aspiration cylinders 28 and 32, a third flange 40 holding together second ends of irrigation and aspiration cylinders 28 and 32, an inlet port 42 located near the second end of irrigation cylinder 28, an outlet port 44 located near the second end of aspiration cylinder 32, an irrigation check-valve cylinder 46 located at the end of irrigation cylinder 28 and an aspiration check-valve cylinder 48 located at the second end of aspiration cylinder 32 and an anti-venturi septum 50 joiningthe second ends of irrigation and aspiration check-valve cylinders 46 and 48. As can be seen in FIGS. 1 and 2, first, second, and third flanges 36, 38, and 40 hold irrigation cylinder 28 and aspiration cylinder 32 in a side-by-side, parallel, relationship. The bores 30 and 34 of the respective irrigation and aspiration cylinders 28 and 32 are the same size, each preferably providing approximately 160 cc's in actual stroke volume, The inlet and outlet ports 42 and 44 are close to second ends 52 of irrigation and aspiration cylinders 28 and 32, in the form of small, equalsized valve cylinders extending perpendicular to axes of irrigation and aspiration cylinders 28 and 32. Such small sized valve cylinders increase the turbulence of fluid flow allowing for increased mixing and dissolutionof aspirated contents, thereby, reducing incompetence in valves which may be subject to jamming and clogging. As seen in FIG. 2, equal sized irrigation and aspiration check-valve cylinders 46 and 48 are connected to their respective irrigation and aspiration cylinders 28 and 32 by tapered bonnets 54 and 56, respectively,so as to be close to, and parallel with, one another. In this respect, the circumference of check-valve cylinders 46 and 48 is preferably about half that of irrigation and aspiration cylinders 28 and 32 and their axes are offset from those of irrigation and aspiration cylinders 28 and 32 so thatirrigation and aspiration check-valve cylinders 46 and 48 are close to one another with their bores aligned with irrigation and aspiration cylinder bores 30 and 34. Septum 50 has an irrigation baffle 58 and an aspiration baffle 60 each of which is semi-circular in cross-sectional shape. These baffles intersect at an outer tip 62 which forms a U-shaped line. In this regard, septum baffles 58 and 60 are only positioned on the inside sides of check-valve cylinders 46 and 48 so as to guide fluid from and to check-valve cylinders46 and 48. A fourth flange 64 interconnects the outer ends of check-valve cylinders 46 and 48 and forms an oval with these outer ends. Plungers 24 and 26 are molded to be identical, each having shafts comprisedof crossed slats 66 and 68 supported by centrally disposed intermediate ribs 70 and end ribs 70'. Also molded integral therewith are finger-engaging handles 72 and seal mounting ribs 74. Each seal-mounting rib 74 is separated from the nearest supporting rib 70' by a space 76 intowhich internally directed rib 78 of seal 80 is inserted (see FIG. 13). There are three cylinder bore contacting rings 83a, 83b, and 83c on the outer surface of seal 80. It should be noted from FIGS. 1 and 2 that finger-engaging handles 72 of plungers 24 and 26 are respectively turned so that they provide mirror images, one of the other. In this respect, finger-engaging handles 72 are not symmetrical, being flat at first sides 86 thereof and rounded at second sides 88 thereof. The reason for this is so that the first sides 86can be as close together between two adjacent fingers as possible where it is desirable to operate the syringes simultaneously. Thus, although the plungers are not connected, these finger engaging portions are designed toallow easy use of one of the plungers individually or both together, as is desired. This allows one to "prime the pump", so to speak, with the irrigation half of the system prior to beginning a lavage procedure. As seen in FIG. 2, each cylinder 28 and 32 comprises two access holes 86', 86", 88', and 88" respectively. A plunger guide-stop 90' is inserted into each access hole 86', 86", 88', 88" after each plunger 24 and 26 has been inserted into each cylinder 28 and 32 during final assembly. Referring to FIGS. 8 and 9 each plunger guide-stop 90' comprises a cap 90" having an inferior side 91' which has a curvature which corresponds to the exterior curvature of cylinders 28 and 32. From the inferior side 91' of cap 90" two legs 93' and 93" distend to form a U-shaped guide slot 95' therebetween. Referring again to FIG. 2, portions of each intermediate rib 70 are removedproviding a free strip 95" along slat 68 about which legs 93' and 93" can pass unencumbered as each plunger 24 and 26 is reciprocated within each respective cylinder 28 and 32. Note that such portions are not removed from rib 70'. Thus, when guide-stops 90' are fully inserted into access holes 86' and 88', each distal rib 70' engages an associated guide-stop 90' as each plunger 24 and 26 is withdrawn proximally to cause plungers 24and 26 to be permanently retained in cylinders 28 and 32. Further, each slat 68 is disposed between at least one pair of legs 93' such that rotational travel of each plunger 24 and 26 is limited, thereby keeping handles 72 relatively disposed as seen in FIG. 1. As part of the assembly of lavage apparatus 10, seals 80 are attached to each plunger 24 and 26 which is inserted into each cylinder 28 and 32 and handles 72 are oriented as seen in FIG. 2. When handles 72 are so oriented, slats 68 align with holes 86', 86", 88', and 88" in each respective cylinder 28 and 32. Legs 93' and 93" of one guide-stop 90' are inserted into each hole 86', 86", 88', and 88" such that each U-shaped 95'guide slot engages slat 68. Each guide-stop 90' is permanently affixed to each cylinder 28 and 32 by sonic welding or by adhesive techniques well known in the art. Each guide-stop 90' is preferably made from the same material as used for cylinder's 28 and 32 and formed by injection molding. The common exchange tube 22 is oblong, or oval, in cross section as can be seen in FIGS. 1 and 2 to thereby form an oblong chamber in which fluid flows to and from irrigation and aspiration cylinders 28 and 32. The common exchange tube 22 includes an apron portion 90, a manifold portion 92, a common nozzle portion 94, and an attachment ridge 96. Attachment ridge 96 is of a size to sealingly fit about the side-by-side irrigation and aspiration check-valve cylinders 46 and 48 and the fourth flange 64 which joins them. In use, these members are preferably joined together by sonic welding or by an adhesive. The apron portion 90 makes the entire apparatus more streamlined in appearance and for handling, however, it is not necessary for operation of the lavage apparatus. Manifold portion 92 encloses and seals with outer ends 98 and 100 of irrigation and aspiration check-valve cylinders 46 and 8 as well as septum50 so that all material flowing to and from outer ends 98 and 100 are guided by septum 50 and manifold portion 92. Similarly, all fluids flowingto and from manifold portion 92 flow through common nozzle 94. It should benoted that septum 50 is so arranged and designed that fluid streams flowingfrom irrigation check-valve cylinder 46 is directed into nozzle 94 and fluid flowing from nozzle 94 is directed to aspiration check-valve cylinder 48 without restriction and without causing undue turbulence. In this manner, such fluid streams are not caused to cross mix. The U-shaped outer tip line 62 particularly aids in avoiding undue cross mixing by not causing a venturi restriction to create a negative pressure in manifold portion 92 which improperly opens a check-valve. Sidewalls of septum 50 press against interior surfaces of the manifold to create a seal therebetween. To assure a secure attachment to a patient connection tube (not shown) nozzle 94 comprises a tube retaining apparatus 94' seen in FIGS. 1, 2, and14. Referring to 14, tube retaining apparatus 94' is therein seen in cross section. Tube retaining apparatus 94' comprises two identical molded, sections 97 and 97' which oppose each other about nozzle 94. As both molded sections 97 and 97' are identical, only one section 97 will described in detail. Tube retaining apparatus 94' is attached to nozzle 94 through an offsettingring 97" which encircles nozzle 94 and provides attachment for both sections 97 and 97'. Distending proximally from offsetting ring 97" is an ear-shaped part 99 which is shaped for engagement by an operator's thumb and fingers. Extending distally from offsetting ring 97" is a tube engaging part 99' which is shaped to engage the patient tube when disposedupon nozzle 94. A strengthening member 100' is disposed between parts 99 and 99' to transfer at least a portion of the forces exerted upon part 99 to part 99'. So disposed, when parts 99 of both sections 97 and 97' are forced inward, by squeezing such as by a thumb and forefinger, parts 99' are moved away from nozzle 94 to permit the patient connection tube to be facilely connected thereto. After insertion of the patient connection tube, the compressive force against sections 97 and 97' is released and each part 99' compressively engages the patient connection tube. A secure engagement is further secured by a plurality of grooves 100" molded into each part 99' to act as teeth which bite into the patient connection tube to better secure the patient connection tube after release of parts 99'. With regard to the check-valves, two different types of check-valves are seen in the embodiment of FIG. 2. A first check-valve 102, valve 101, comprising a flat, resilient membrane 104 is disposed in inlet port 42 of irrigation cylinders 28. A second, like check-valve 102, valve 101' is disposed in irrigation check-valve cylinder 46. Each check-valve 102 is oriented with each cylinder 28 and 46 in a direction permissive to fluid flow toward nozzle 94. As seen in FIG. 3, each check-valve 102 has a cylindrical outer wall 102" with a planar cylindrical edge 103 and cross wall struts 104' carrying resilient membrane 104. Between cross wall struts 104' a plurality of membrane supporting tines 104" project radially inward from outer wall 102". In combination, planar cylindrical edge 103, cross wall struts 104' and tines 104" define a membrane supporting planar surface 103'. Referring again to FIG. 2, as an example of check-valve 102 operation, resilient membrane 104 on valve 101' flexes open when pressure is exerted from the irrigation cylinder bore 30 toward nozzle 94 but closes when pressure is exerted in the opposite direction. It should be noted that flow through an open check-valve 102 courses radially outward across surface 103' and around a peripheral edge 105 of membrane 104. Thus flow about membrane 104 is a relatively thin stream, cylindrically disposed about the outer edge 105 of membrane 104, best seen in FIG. 3. Any material resident upon surface 103' when membrane is forced thereagainst to close check-valve 102 can cause check-valve 102 to be incompetent. Suchproblems are not common for irrigation solutions, but when physiological debris is recovered from a patient during a lavage procedure, solid or highly viscous matter is commonly carried in aspirated solutions. For thisreason, flat membrane check-valves are not as effective in aspirating pathways as in inspirating pathways of lavage apparatus. For this reason in the embodiment seen in FIG. 2, a first dome-shaped, slitcheck-valve 106, valve 106" is used in aspiration check-valve cylinder 48 to restrictively control flow only into cylinder 32. Dome-shaped, slit check-valve 106 comprises novel non-jamming features more particularly qualified for use in check-valve applications involving valving solutions comprising physiological debris. A detailed description of dome-shaped, slit valve 106 is provided hereafter. A second dome-shaped, slit check-valve 106, valve 106' is disposed in outlet port 44 to serve as a physiological debris containing solution valve in the same manner and direction as valve 106". As mentioned earlier, valve 101' is disposed in irrigation check-valve cylinder 46 and allows fluid to flow into irrigation cylinder 28, but doesnot allow flow from irrigation cylinder 28. Outlet valve 106" allows fluid flow from aspiration cylinder 32, however, it does not allow flow into cylinder 32. Funnel-like inlet and outlet adapters 116 and 118 are respectively attached to inlet port 42 and outlet port 44. Regarding inlet and outlet ports 42 and 44, each port 42 and 44 preferably comprises a diametral opening substantially the same size as ports irrigation check-valve cylinder 46 and aspiration check-valve cylinder 48 such that valves may be used interchangeably in ports 42 and 44 and check-valve cylinders 46 and 48, as appropriate. Ports 42 and 44 open unobstructedly into cylinder bores 30 and 34, respectively. The approximate matching of the sizes of ports 42 and 44 and check-valve cylinders 46 and 48 balances pressures within the system so as to avoid improper opening check-valves during operation and thereby avoid cross mixing of contaminated and pure fluids. Referring once more to FIG. 13, the distance between rings 83a and 83c is sufficient to cover each associated port 42 and 44 when each respective plunger 24 and 26 is fully seated in the respective cylinder bore 30 and 34, allowing ports 42 and 44 to be fully sealed by seal 80. Through the use of dome-shaped, slit check-valves 106, a previously taken precaution of shelving in each port opening between a port 42 or 44 and a respective cylinder bore 30 or 34 in embodiments of similar lavage apparatus is not required. In manufacture of the lavage apparatus of this invention, rigid housing 20,two plungers 24 and 26, the common exchange tube 22 (assembled to be a partof the housing), and the various cylinders of the two check-valves 102 and 106, and inlet and outlet adapters 116 and 118 are molded of hard resinousplastic. In this respect, all of the check-valves are of the same size to eliminate undue proliferation of molds for these elements. All of the rigid components of this invention can be made of a rigid hard resinous plastic such as styrene acrylonitrile. Plunger seal 80 and the various check-valve membranes are molded, or purchased off-the-shelf of pliant synthetic resinous material. The dome-shaped, slit membrane material and method of manufacture is describedin detail hereafter. The plunger seals 80 are attached to plungers 24 and 26 and as seen in FIG. 3, membranes 104 are attached by outwardly distending portions 102' of knobs 105' medially disposed on check-valve 102 cross wall struts 104'. Exteriors of cylinders of check-valves 102 andcheck-valves 106 are preferably attached by sonic welding into rigid housing 20 in their respective positions as is depicted in FIG. 2. After attachment of check-valves 102 and 106, as appropriate, attachment ridge 96 of common exchange tube is sealingly adhered to irrigation and aspiration check-valve cylinders 46 and 48 and flange 64 which adjoins these two ridges, also preferably by sonic welding. As seen in FIG. 1, thevarious valves cannot be easily serviced, but that is not necessary since the lavage apparatus is designed to be a single use disposable product. To utilize lavage apparatus 10, one places a saline liquid in supply container 12 which is joined via a supply tube 14 and inlet adapter 116 toinlet port 42. See FIG. 1. The waste container 16 is similarly attached viatube 18 and outlet adapter 118 to outlet port 44. The saline solution is tobe instilled into a body cavity, left for a short length of time and then sucked out. A tube (not shown) is attached to nozzle 94 of the common exchange tube 22 and is inserted through an opening in the human body of apatient 119 in the direction of arrow 119' into an organ to be lavaged. Where fluid from more than one irrigation cylinder 28 is to be inserted into the organ before any is aspirated, aspiration plunger 26 is driven completely into aspiration cylinder 32 as is depicted in FIG. 1. In this position, aspiration plunger seal 80 completely seals outlet port 44. Thus, while the aspiration plunger 26 is left in this position, no fluid can flow through outlet port 44. With aspiration plunger 26 so situated, the irrigation plunger 24 is pulled outwardly to cause a vacuum in the irrigation cylinder 28. This vacuum respectfully opens membrane 104 of inlet check-valve 101 and closes membrane 104 of check-valve 101'. Thus fluid is drawn from supply container 12 into irrigation cylinder 28. Thereafter, irrigation plunger 24 is driven into irrigation cylinder 28 which closes inlet check-valve 101, opens irrigation check-valve 101', anddrives fluid out of irrigation cylinder 28 into manifold portion 92 of common exchange tube 22 and out nozzle 94 of common exchange tube 22. In this respect, irrigation baffle 58 of septum 50 guides the outwardly flowing fluid to ensure that it enters nozzle 94 rather than being driven through aspiration check-valve cylinder 48 to open aspiration check-valve 106" and thereby drive plunger 26 from its blocking position. The irrigator plunger 24 is moved in and out, functioning as a pump, until thebody cavity is filled with the right amount of fluid. After the irrigation fluid has been left in the body organ for a period of time, irrigation plunger 24 is driven fully into irrigation cylinder 28 soseal 80 covers port 42 thereby not allowing flow of fluid through port 42. Once irrigation plunger 24 is so seated, aspiration plunger 26 is pulled and pushed in, thereby drawing contaminated fluid from the body organ through nozzle 94, and aspiration check-valve cylinder 48, into aspirationcylinder 32 during the pull and driving contaminated waste fluid out of port 44 and into waste container 16 during the push. Ordinarily, most body organs requiring lavage will be of such size as to hold multiple loads of irrigation cylinder 28, with the skill of an operator protecting against over distension of a cavity. Once the appropriate amount of irrigant is instilled, irrigation and aspiration plungers 24 and 26 are gripped together and moved in and out simultaneously thereby maintaining a constant steady-state volume of fluidflow into and out of the organ. On the out strokes irrigation cylinder 28 is loaded with fresh fluid from supply container 12 and aspiration cylinder 32 is loaded with contaminated, physiological debris containing waste solution from the organ. On in strokes, the fresh fluid in irrigation cylinder 28 is forced into the organ and contaminated waste fluid in aspiration cylinder 32 is forced toward and into waste container 16. During these strokes, since ports 42 and 44 have the same cross-section size as the internal bore of nozzle 94, the pressures applied at each of these by the equal size plunger 24 and 26 are approximately equal, there being only a small drop across each of the various valves to cause them to act as check-valves in the appropriate directions. Similarly, the shape of the U-shaped outer tip line 62 of septum 50 does not cause undue venturi or eddy effects which create undue changes in pressure at nozzle 94 to improperly open irrigation and aspiration check-valves 101' and 106" to cause mixing. A unique feature of the design of this lavage apparatus is that it can be used to clear itself of debris. In this regard, the most likely occlusion will occur on the aspiration side of the device because it is the part which is exposed to particulate matter. If a clog should develop, one can clear it by pulling back on aspiration plunger 26 until outlet port 44 is open, crimping of the tube attached to nozzle 94, and pumping irrigation plunger 24 in and out to force fresh fluid through aspiration check-valve 106" and outlet check-valve 106'. The tube attached to nozzle 94 can be cleared by pushing aspiration plunger 26 fully forward to seat and close port 44, followed by forcefully operating irrigation plunger 24. A significant improvement in lavage apparatus operation as a result of a reduction in need to clear debris from valves and improved operational valve competency while operating an lavage produced physiologic debris containing solution environment is accrued through use of check-valves which open a medially disposed pathway to fluid flow rather than a pathwayabout a planar edge as is true of flat membrane valve 102. As described earlier, such check-valves 106 are used in the embodiment seen in FIG. 2 as valves 106' and 106". Magnified views of check-valve 106 are seen in FIGS. 4-7. As seen in FIG. 4, valve 106 comprises a slit membrane surrounding cylindrical housing 200. Housing 200 comprises an outer cylindrical surface 202, a top circular edge 204, an inner cylindrical surface 206, and a bottom circular edge 208. While surface 202 is smooth and of uniformdiameter for being inserted and affixed to an inward disposed surface such as to a port 44, inner surface 206 comprises a series of steps and groovessuch that circular edge 204 is thinner in radial width than edge 208. As seen in FIG. 4, inner surface 206 comprises a surface of revolution which comprises a side wall 210 which departs from edge 204 travelling parallel to outer wall 202 to a radially inwardly projecting ledge 212 which is truncated by a second parallel surface 214 which is parallel to outer wall202. More proximal to edge 208, parallel surface 214 intersects with a surface 216 radially distending outwardly therefrom. Surface 216 intersects with a third parallel surface 218 which is parallel to outer wall 202. Surface 218 is truncated by a surface 220 which radiates inwardly from surface 218 to a fourth parallel surface 222 with is parallel to outer wall 202. So disposed, surfaces 216, 218, and 220 form aretaining groove for a dome shaped, slit valve membrane 230. As best seen in FIG. 4, dome shaped, slit valve membrane 230 comprises a base 232, a hollow cylindrical side wall 234, and a hollow dome 236. As seen in FIGS. 4 and 5, base 232 comprises an anchoring ring 238 which extends radially outward from side wall 234, is formed and shaped to fit tightly within the groove formed by surfaces 216, 218, and 220 and is hermetically secured in housing 200 by insertion into the groove formed bysurfaces 216, 218, and 220. From base 232, membrane 230 is seen in FIG. 4 to extend upward to form cylindrical side wall 234 to which is attached enclosing dome 236. Dome 236 comprises at least two intersecting slits 240 and 242, which preferably intersect medially at the top of dome 236 at right angles. Eachslit 240 and 242 comprises a pair of smooth, planar, opposing lips 244, 246, 248, and 250, respectively, best seen in FIG. 6. Referring briefly toFIG. 5, dome 236 comprises a hollow, circular concave inner surface 252 andan outer convex surface 254 which is circularly parallel to surface 252. Asbest seen in FIG. 7, when a positive pressure is exerted upon surface 254, opposed lips 244, 246, 248, and 250 are forced closed by a radial force vector of the surface imposed pressure while the dome shape of membrane 230 resists eversion, even to pressures which are large compared pressuresexerted during a lavage procedure. As seen in FIG. 6, when a positive pressure is applied to inner surface 252, lips 244, 246, 248 and 250 are forced apart, creating a centrally disposed orifice which is permissive to flow therethrough. As is well known in the art of fluid flow, fluid flow velocity is higher, the fartheraway from a wall fluid is flowing in a tube. As such, it has been shown that the best valve for transport of physiologic debris carrying solutionsis one which opens widely and centrally to permit solution to medially flowacross the valve with highest possible velocity. Also, as membrane 230 presents a slick, surface with nearly unattachable edges of lips 244, 246,248, and 250, jamming of valve 106 due to solids or high viscosity liquids in contact therewith is rare, making use of membrane 230 ideal for valvingof physiological debris carrying solutions. Housing 200 may be made by injection molding and may be made from rigid synthetic resinous material such as the material from which housing 20 is made. Membrane 230 may be made from a flexible, resilient synthetic resinous material such as KRATON, a product of GLS Plastics, 740 B, Industrial Park, Carey, Ill., 60013. Membrane 230 is preferably made by injection molding with each slit 240 and 242 being individually cut therein by using a razor sharp blade which cuts one slit of the membrane at a time while residing upon a membrane 230 form-fitting tool which comprises slits matching the width and direction of cut of the sharp blade. It can be appreciated by those skilled in the art that the lavage apparatusdescribed herein is relatively easy to manufacture and use but yet allows non-messy lavaging of organs. Medical personnel can perform lavage procedures without the lavage liquid escaping outside the system and therefore not contaminating lavage personnel, a patient, nor surrounding areas and not otherwise causing an unsanitary or disagreeable problem. The designs of smaller, offset, irrigation and aspiration check-valve cylinders 46 and 48, pointed plunger seals 80 and the common exchange tube22 which is welded directly to housing 20 creates a minimum of "dead space"between irrigation and aspiration check-valve cylinders 46 and 48 and nozzle 94 which improves pumping efficiency. The design of septum 50 prevents undue eddy and venturi effects. In another embodiment of the invention, a valve 106 is used to replace valve 102 in port 42 as seen in FIG. 11. As valve 106 comprises a housing 200 which is substantially the same size as outer wall 102" replacement isa direct one-to-one substitution. In yet another embodiment of the invention a valve 106, is used instead of valve 102 in irrigation check-valve cylinders 46 as seen in FIG. 10. As isthe case in the embodiment of FIG. 11, valve 106 is a direct replacement for valve 102 in this embodiment as well. A different application for valve 106 is seen in an embodiment shown FIG. 12 wherein a valve 106 is used in a medical line 258 from a source 260 to a patient 262. Connections and fluid flow from source 260 to line 258 and from line 258 to patient 262 are symbolized by arrows 264 and 266, respectively. As seen in FIG. 12, valve 106 is disposed in line 258 in a direction permissive to flow from source 260 to patient 262. So disposed, valve 106 blocks block bleed back when line 258 transmits a higher than source pressure from a vessel or cavity in patient 262. The invention may be embodied in other specific forms without departing from the spirit or essential characteristics thereof. The present embodiments are therefore to be considered in all respects as illustrativeand not restrictive, the scope of the invention being indicated by the appended claims rather than by the foregoing description, and all changes which come within the meaning and range of equivalency of the claims are therefore intended to be embraced therein. Patent Citations
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I am having a big problem with coyotes trying to corner my dogs, eating my cats and now have started in with the horses. They only come at night which limits my weaponry to two of my shotguns. I go after them with 12ga 00 and a light, but half the time as soon as I get close enough for the light to hit them, they're gone. One round, maybe. So what do I need to do to get more than one at a time. I have an AR, 10/22, several shotguns and a 30-06 I am entertaining buying one of those cheapo $300 night vision scopes and throwing it on the 10/22 or buying a bait kit for daytime/dusk hunting and getting 4 buck. But what I think might work probably won't, so I need some help.
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Well, when i was younger some coyote's killed one of my cats. I talked around to people and a game warden suggested i get a .22lr and pop them when i see them (they are considered pests here so no tags or anything necesary). What i would suggest doing is going hunting. Either try to find their den and kill them all or bait them with meat and wait. If you go for the first option you might want to bring your dogs with you or a couple of friends. I don't know what kind of terrain we are talking about here and my suggestions may be useless if you live in big wide open spaces. You can also find some electronic noise makers that alledgedly sound like wounded rabits and such you can place somewhere and leave there to atract the yotes then put them down. The 10 22 or the ar would probably be your best bet as semi auto is the way to go for inflicting massive casualties quickly.
The area I am in is flat and wide open. Their den...I don't have the first clue how/where to find it. Thanks for the advice, I'll look into the bait options.
On what state you live in or what the current laws in your area cover! In north Idaho, as long as you are protecting humans, livestock & pets... you can legally kill a pest,(but the courts are still "out to lunch" about wolves)! We have 2 recent high profile encounters in the press recently about encounters with wolves by women in a rural area,(search the Spokesman- Review) for the details. And read the december American Hunter about coyotes! Ten years ago a friend of mine in the Post Falls/Coeur d Alene area lost his cocker spaniel to coyotes & I provided him with an old Remmington autoloader loaded with #4 buckshot. A few days later he killed an adult female with it, but the male & female pups that traveled with her left the area! (I had warned him about letting his dog out after dark unsupervised on his 10 acres, but he chose to ignore that warning)! Our dogs are protected by a 6 foot fence & a dog door into our house as sometimes larger creatures like mountain lions & bears are not "strangers to our area"! AND, though not "lethal", skunks also wander our area when their #s reach a "high in population"!
live traps a 22lr firearm and some raw meat rabbit works best. that way if you trap a pet you can release if its a yote...
"Gun control: The theory that a woman found dead in an alley, raped and strangled with her panty hose, is somehow morally superior to a woman explaining to police how her attacker got that fatal bullet wound." L. Neil Smith The problem with being stupid is you cannot simply decide to stop doing dumb things... "I crapped my pants to avoid the draft!!" -Ted Nugent
Lock up your cats and dogs, Then set out a tape recorder with a squealing rabbit. And around this area set out a dozen or so leg traps. Check your local laws on ridding your land of these useless critters. If any are caught, it makes killing a whole lot easier. And if you don't have a recorder use bait, and set traps. Good luck and Happy Hunting.
Will a 22 kill a yote. Sure it will if you are close enough. I shot one at maybe 15 feet and it ran for over 100 yards before dropping dead. get a spot light with a red filter on it. Look for the eyes and aim between them. You could also try a Laser Genitics flashlight. Careful with it though as if you hit a yote in the eyes they are gone. Results for laser genetics flashlights - Sorted by Best Match, on Page 1 (20 Items) - OpticsPlanetNight Hunting For Coyotes - Techniques and Gear For Hunting Coyotes at Night Go check out AL's web site. Varmint Al's Hunting Page Al is a great guy and one hell of a yote hunter. Also look up Randy Anderson, Less Johnson, and Fred Eichler. Check your local and state laws to see if baiting is legal. If it is. get you some chicken livers, chicken, and other animal parts allow to rot a little throw some sweet corn in the mix then about 100 yards from a window put it out. Then build a bench inside the window and set your gun up and sit near the window. Check often and when you see a yote slowly open the window and shoot that dirty rotten SOB. The only good yote is the dead one. You can also build a cheap ecaller from varmint al's web page. It works great and I have made one. Or you can go buy cheap mouth calls or a cheaper ecallers.
What we do in the winter is dig a pit in the snow fill with bait and get to where you will be hunting from before light and as they come out of the pit shoot them. I would imagine this would work in milder climes with digging the pit in the dirt. My 2 cents F.K.
Thats why they call it hunting and not grocery shopping
In my part of the state of Texas, all you have to do is let the word out you have a coyote problem and you'll get people bangin on your door. Seriously there are people who already have the night time equipment to help take care of your problem. Unless you plan on doing a lot a night time hunting, I would let someone else clean up your problem rather than spend the money for a night scope. Plus, I don't like the idea of staying up all night calling and searching. That's just me.


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A director of product development has many responsibilities related to product development within their organization. Their main task is creating and then implementing a development strategy for their company. They are also responsible for the implementation of procedures related to product development. Directors of product development are also accountable for setting annual performance goals and conducting evaluations of the staff. In addition, they also need to develop and implement best practices for product designs. They train and guide subordinates within their staff and work well in a team setting.
Read More...Survey results suggest that Directors of Product Development use a fairly large toolkit of professional skills. Most notably, facility with Strategic Planning, Product Management, and Leadership are correlated to pay that is significantly above average, leading to increases of 26 percent, 23 percent, and 19 percent, respectively. Those listing Design as a skill should be prepared for drastically lower pay. Sourcing and People Management also typically command lower compensation. Those educated in Product Development tend to be well versed in Product Marketing.
Median of all compensation (including tips, bonus, and overtime) by years of experience.
Directors of Product Development with a lot of experience do not necessarily enjoy more money. The average beginner in this position makes around $100K, but folks who have been around for five to 10 years see a markedly higher median salary of $116K. Directors of Product Development who work for 10 to 20 years in their occupation tend to earn about $133K. Individuals who report more than two decades of experience seem to make only slightly more than folks in the 10-to-20 year range; the more senior group sees median earnings in the comparatively modest ballpark of $136K.
Surpassing the national average by 37 percent, Directors of Product Development in Houston receive some of the highest pay in the country. Directors of Product Development can also look forward to large paychecks in cities like San Jose (+34 percent), San Francisco (+29 percent), San Diego (+10 percent), and Washington (+8 percent). Directors of Product Development in Atlanta take home the lowest salaries, earning a whopping 26 percent less than the national average. Workers in Cleveland and Los Angeles earn salaries that trail the national average for those in this profession (15 percent less and 8 percent less, respectively).
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Rated 4 out of 5 based on 170 votes. |
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Medical: 94% | Dental: 86% | ||
Vision: 67% | None: 5% |