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US 5810852 A Abstract An endoscopic intracorporeal suture tying aid allows a suture to be looped around itself multiple times and cinched, enabling a throw of a surgeon's knot to be easily made. The tying aid includes a needle holder connected to a proximal end of a shaft for releasably holding a needle; a hook that slides longitudinally with respect to the beaks; and the shaft being axially rotatable with respect to the hook.
Claims(18) 1. An endoscopic suture tying aid, comprising:
a. a shaft having: (i) an aperture near a distal end configured to allow a suture to extend therethrough; and (ii) a needle holder near the distal end, the needle holder being axially offset from the aperture; b. a sheath in longitudinally positionable contact with the shaft and configured to be positionable at least in a first position in the vicinity of the needle holder and a second position proximal to the needle holder; c. a hook connected to a distal end of the sheath and configured to engage a suture extending through the aperture and to pull the suture when moved from the first position to the second position; and d. the shaft and needle holder being axially rotatable in two directions with respect to the hook. 2. The endoscopic suture tying aid of claim 1, wherein the shaft includes a longitudinally slidable barrel having a lumen.
3. The endoscopic suture tying aid of claim 1, further comprising a lumen extending through the shaft and ending at the aperture, the lumen configured to receive the suture.
4. The endoscopic suture tying aid of claim 1, further comprising a handle, the handle having a trigger and a knob.
5. The endoscopic suture tying aid of claim 4, wherein the knob is connected to a proximal portion of the shaft and rotatably connected to the handle.
6. The endoscopic suture tying aid of claim 4, wherein the trigger is configured to selectively open and close the needle holder.
7. The endoscopic suture tying aid of claim 4, further comprising a sheath connected to the handle and longitudinally positionable with respect to the shaft, the hook being connected at a distal portion of the sheath.
8. The endoscopic suture tying aid of claim 7, wherein the hook is flexibly connected to the sheath.
9. The endoscopic suture tying aid of claim 7, further comprising a sheath positioner configured to retain the sheath so that the hook is selectively retained in at least one of the first and second positions.
10. The endoscopic suture tying aid of claim 9, wherein the sheath positioner comprises at least one receptacle in the sheath and a plurality of detents configured to engage the at least one receptacle.
11. The endoscopic suture tying aid of claim 9, further comprising sheath positioner means for automatically returning the sheath to the first position.
12. The endoscopic suture tying aid of claim 7, wherein the sheath is selectively positionable in a third position wherein the sheath substantially covers the needle holder.
13. The endoscopic suture tying aid of claim 1 where in the aperture is located distal to the needle holder.
14. The endoscopic suture tying aid of claim 1, wherein the needle holder is a grasper.
15. The endoscopic suture tying aid of claim 1, wherein the needle holder is a clamp.
16. The endoscopic suture tying aid of claim 15, wherein a distal part of the clamp is a knot pusher and the aperture is located on the knot pusher.
17. The endoscopic suture tying aid of claim 1, wherein the hook is configured to pivot with respect to the sheath.
18. The endoscopic suture tying aid of claim 17, wherein the hook comprises a hook configured to revolve around the shaft.
Description This application is a continuation division of application Ser. No. 08/408,829, filed Mar. 22, 1995, now U.S. Pat. No. 5,709,694. The present invention is directed to a surgical instrument and, more particularly, to an endoscopic suture tying aid. Endoscopic surgery is surgery performed intracorporeally without requiring a large incision. Endoscopic surgery is typically performed by inserting a number of ports through small incisions in the patient's skin to access the surgical site. One of the ports receives an endoscope, which is a video camera-like device. The surgeon views the surgical site via the endoscope and performs the surgery by inserting surgical devices through the ports into the patient. This avoids having to "open up" the patient, resulting in less invasive surgery than conventional procedures. FIG. 1 illustrates a typical laparoscopic surgery, which is one type of endoscopic surgery. FIG. 1 shows three tubes, or ports 30a, 30b, 30c, inserted through a patient's cutaneous region (skin) 32, through several tissue and muscle layers 34, past the peritoneal membrane 36, which encloses the abdominal cavity, and into the abdominal cavity 38. One port 30a receives a laparoscope 40. The laparoscope 40 is a type of endoscope. The laparoscope 40 provides a light source and may be connected to video equipment for displaying the surgical site on a TV monitor. The port 30a also receives an insufflator 42 which inflates the abdominal cavity with CO2 allowing the organs to be seen, and providing the surgeon with room to manipulate surgical instruments. Laparoscopic surgery is commonly used for many types of abdominal surgery and is also becoming increasingly common in other surgical areas, such as thoracic surgery. This specification describes the invention illustratively with respect to laparoscopic surgery, but a person skilled in the art readily understands that the invention described may be used in many types of endoscopic surgery. One difficulty facing surgeons performing endoscopic surgery is suturing through the ports 30. A surgeon may wish to tie knots during endoscopic surgery for many reasons. For example, a surgeon may wish to close an incision made in an organ or to tie off a portion of an organ to be removed. One reason suturing is difficult is because of the difficulty in tying knots for sutures located inside the patient, when the surgeon can only access the surgical site through the ports. This task is difficult for several reasons. The surgeon's approach to the surgical site is limited to the access provided by the available ports. In a typical laparoscopic surgery, for example, the surgical site is typically quite distant from the surgeon's hands. For example, a standard grasping tool used for tying sutures intracorporeally is 14 inches long. Thus, the surgeon's hands are more than a foot away from the surgical site. The surgeon has less control over the surgical instruments than if tying the sutures "hands on", making a simple task much more difficult. Another reason is that the surgeon is not directly viewing the surgical site. Rather, the site is often viewed by watching a video monitor. The surgeon must replace hand-to-eye coordination with hand-to-video coordination. The camera also presents other difficulties, such as difficulties adapting to the depth of field presented, viewing angle, and limited camera frame size. Intracorporeal suturing and knot tying require several series of movements involving passing the suture and needle from one surgical instrument to another. This series of passes is required for each "bite" of tissue in a simple running stitch. Even more difficult is knot tying the first and last passes of a run of continuous sutures. A typical knot tied during laparoscopic surgery is a "surgeon's knot". This knot consists of two or three half hitches or "throws" and one reverse half hitch, which is a "locking throw". Intracorporeally, this knot requires multiple passes with grasping the needle and suture. The loops of one throw of the knot are formed by wrapping the needle end of the suture around the shaft of a grasping instrument opposite to the instrument holding the needle. With loops around the grasper's shaft, the suture opposite the instrument holding the needle is picked up. The throw of the knot is then formed by pulling on the suture legs in opposite directions. To complete a surgeon's knot, this must be done three or four times (i.e., three of four throws), depending on the suture thickness. The final knot (the locking throw) must be looped in the direction opposite the other throws. Once the locking throw is complete, the two ends of the suture are secured by a grasper, cut, and removed from the site by withdrawing the grasper from a port. Several methods are currently used to tie sutures during laparoscopic surgery. One method passes an endoscopically introduced needle through tissue flaps. The needle and suture are withdrawn through a port and a knot is tied outside the patient's body. Using a knot pushing device, the knot is pushed back into the body, securing the tissue flaps. This method has several disadvantages. It requires a long suture length. This suture length makes it difficult to tie continuous sutures. Also, the instruments must be withdrawn from the ports to tie the knots. All of these disadvantages result in a time consuming and inefficient process. A second method is to use two grasping-type surgical instruments to tie a knot intracorporeally. This method requires greater than usual manual dexterity and replacing hand-to-eye coordination with hand-to-video coordination, because the surgeon must view the surgical site on a monitor screen. A third method is performed with a device illustrated in FIG. 2. This device is manufactured by Storz, a German company having offices in Culver City, Calif. and sold under the trade name Koninckx. This instrument 50 has a needle grasper 52 and a hood 54 attached to a shaft 56. To tie a knot with the Koninckx device, one end of a suture is grasped with a grasper and the other end is free. Using the Koninckx device, the suture is caught using a hook 55 attached to the hood. The rotating knob 56a is turned 360� to create a loop around the suture leg. Using the grasper, the other end of the suture is now grasped through the loop and pulled through the loop to complete the knot. This knot is not a surgical knot, as preferred by most surgeons performing endoscopic surgery. The Koninckx device cannot tie a true surgeon's knot because the hook cannot rotate around the suture in two directions. Thus, it cannot make the final locking throw in the opposite direction. It is an object of the present invention to provide an endoscopic device which facilitates tying surgical knots intracorporeally. This object is achieved by an endoscopic intracorporeal suture tying aid according to the present invention. The device allows a suture to be looped around itself multiple times and cinched. Preferably, the device allows the suture to be looped in two directions, enabling a surgeon's knot to be easily made. A preferred structure comprises a needle holder connected to a proximal end of a shaft for releasably holding a needle; a hook which is longitudinally positionable with respect to the needle holder; and a shaft which is axially rotatable with respect to the hook. The hook may be placed in at least two positions; the first position being in the vicinity of the needle holder and the second position being distal to the needle holder. This device is preferably used as follows. The needle holder holds a needle, which passes a suture through tissue. The hook is then positioned in the vicinity of the needle holder, and the shaft axially is rotated so that the needle rotates, causing the suture to be snared by the hook. The hook is withdrawn, creating a loop and pulling additional suture through the tissue. The shaft is again axially rotated, looping the suture a desired number of times around itself. The hook releases the suture and then the knot is cinched, forming one throw. Multiple "throws" may be formed. A final throw in the opposite direction may be made, thus forming the locking throw of a surgeon's knot. Another preferred structure includes a longitudinally rotatable hook and a longitudinally extending suture barrel through the shaft. This device is used in a manner similar to the first embodiment, except that when the suture is snared, the hook is rotated longitudinally and distally to withdraw additional suture length through the tissue. The barrel extends to facilitate looping the suture. The barrel is withdrawn into the shaft and the shaft is extended to cinch the suture into a knot. The hook is rotated longitudinally and proximally to release the suture. Yet another preferred structure has a sheath which rotates with respect to the needle holders. This and other features of the invention will become apparent from the following drawings, wherein: FIG. 1 is a cross-sectional view of a patient undergoing a laparoscopic surgical procedure; FIG. 2 is side elevational view of a prior art intracorporeal knotting device; FIG. 3 is a side elevational view of a preferred embodiment of an endoscopic intracorporeal tying aid according to the present invention; FIGS. 4a and 4b are cutaway views of the device illustrated in FIG. 3; FIGS. 5a and 5b illustrate alternative embodiments of the needle holders according to the present invention; FIG. 6 is a front view of the device illustrated in FIGS. 4a and 4b; FIG. 7 is a perspective view of the device of FIG. 3 holding a needle and having a sheath covering the needle; FIGS. 8-15 illustrate a method for tying a suture intracorporeally using one or more throws using the device of FIG. 3; FIGS. 16-21 illustrate a preferred structure and operation of an alternative embodiment of an endoscopic intracorporeal tying aid according to the present invention; and a method for tying of a suture intracorporeally using this tying aid; and FIG. 22 is a cutaway view of a third embodiment of an endoscopic intracorporeal tying aid according to the present invention. FIGS. 3, 4a, and 4b illustrate a preferred embodiment of an endoscopic intracorporeal suture tying device 60 according to the present invention. The device 60 has a handle 62 and trigger 64. Distal to the trigger is a hollow shaft 66 (see FIGS. 4a, 4b). At the distal end of the hollow shaft 66 is a needle holder 68a, 68b. The shaft may be rotated by turning a knob 70. A positionable sheath 72 runs the exterior length of the hollow shaft 66. At the distal end of the sheath 72 is a hook 74. The hook 74 may be either integrally or fixedly attached to the sheath 72. It is preferable that the hook 74 be flexibly connected to the sheath 72 so that it can fold slightly inward when passed through a port 30. This flexibility is preferably limited to a single plane. That is, it should fold inward but not move side-to-side. The sheath may be retained in several different positions by a sheath positioner 76. The handle 62, trigger 64, and sheath positioner 76 may be made of any material commonly used for surgical devices such as plastic, stainless steel, or other suitable material. The shaft 66 is preferably made of a suitable biocompatible material such as stainless steel, titanium, or other material. The sheath 72 is preferably made of a relatively stiff, biocompatible material such as stainless steel or an extruded or injection molded polymer. FIGS. 4a and 4b illustrate an exemplary embodiment of a trigger 64 according to the present invention. A person skilled in the art readily understands that the trigger 64 may be designed and implemented in a number of ways. In this illustrative embodiment, the trigger 64 is pivotally connected to the handle 62 by a hinge 79. The trigger 64 may be, for example, a ratchet and pall arrangement with the release 78. Pressing a trigger release 78 causes the pall 80 to disengage from the ratchets 81. The trigger 64 is also connected to one end of an arm 82. The opposite end of the arm 82 is connected to a beak 68a. Pulling the trigger 64 causes the beak 68a to close in order to grasp a needle or suture. The needle holder 68a, 68b, may be either a grasper 68a', 68b', as shown in FIG. 5a, or a clamp, as shown by needle holder 68a", 68b", as shown in FIG. 5b. The dashed-line arrows indicate the needle holder movements. The grasper 68a', 68b' may be preferable because the surgeon is provided with more degrees of freedom to angle the needle held in the needle holder than with a clamp 68a", 68b". The very distal end of the needle holder 68a, 68b includes a surface 83 which may be used as a knot pusher. The clamp 68a", 68b" provides a larger surface 83 than the grasper 68a', 68b'. As seen in FIGS. 4a and 4b, a lumen 84 extends through the hollow shaft 66 and the handle 62 to allow a suture 86 to pass through. At the distal end of the shaft 66 (seen in FIG. 4b), in the vicinity of the needle holder 68, is an aperture 88 which connects to the lumen 84, allowing the suture 86 to exit the distal end of the device 60. Similarly, a second aperture 89 is located near the proximal end of the device (seen in FIG. 4a) on the handle 62. The shaft also includes a device 90 for holding the suture taut while preparing the device for use. As illustrated in FIG. 4b, this device may be a flexible membrane made of, for example, an elastomeric membrane such as silicon, that will hold the suture taut. A person skilled in the art recognizes that any number of structures are equally suitable for holding the suture taut, such as a mechanical clamp, a clasp, reel, or other device. The hollow shaft 66 may be axially rotatable. As shown in FIGS. 4a and 4b, this rotation may preferably be accomplished by connecting the handle 62 to knob 70. In this illustrative embodiment, the proximal end of the shaft 66 is fixedly connected to the knob 70. The knob 70 is axially, rotationally connected to the shaft 66. The sheath 72 is not connected to the shaft 66, and the shaft 66 is free to axially rotate with respect to the sheath 72. The sheath 72 may be longitudinally positionable into a number of desired positions. Three positions are illustrated in FIG. 4b. The first position, which is optional to the operation of the present invention, is a fully extended position, shown in dashed lines. In this position, the sheath 72 covers the needle holder 68. The second position is an intermediate position, shown in solid lines in FIG. 4b. This position exposes the needle holder 68 and generally aligns the hook 74 with the needle holder 68. The third position is a fully retracted position, also shown in dashed lines in FIG. 4b. This position withdraws the hook 74 proximal to the needle holder 68. The purpose of these positions will be made apparent below. The sheath may be retained in any of these three positions by the sheath positioner 76. As seen in FIG. 4a, the sheath positioner 76 may comprise a series of detents 92, at least one detent for each desired position. The sheath 72 may have one or more complementary-shaped indents 94 for mating with one of the detents 92. When the sheath is placed in the desired position, the indent 94 will mate with the appropriate detent 92, thus retaining the sheath in the desired position. Alternatively, the sheath positioner 76 may be self-centering to automatically return to a predetermined position, for example, the intermediate position, when not retained another position. This self-centering mechanism may include a spring 95 or other resilient device to return the sheath to a predetermined position, for example the intermediate position. FIG. 6 shows the front of a device 60 according to the present invention holding a needle 110 connected to a suture 86. The suture exits the device 60 through aperture 88 and is tied to an end of a needle 110. The needle is fly held in the needle holder 68. FIGS. 8-15 illustrate a preferred method of forming several "throws" of a knot, using the device illustrated in FIG. 3-7. Before the device 60 is inserted through a port to the surgical site, it should be prepared. To prepare the device for introduction to the surgical site, a proximal end of a suture 86 is placed into the hooked end of a guide wire. The guide wire is pulled through the distal end of the suture 86 through the shaft's lumen 84. The proximal end of the needle 110 is held within the lumen 84 and the sheath 72 may be placed in the fully extended position to cover the needle 110 and needle holder 68, as seen in FIG. 7, when inserted through a port (e.g., either 30b or 30c of FIG. 1) to the surgical site. The suture may be held taut by a suture holding device 90. The guide wire is removed from the suture 86. Once the device 60 is introduced to the surgical site, the sheath 72 is placed in the fully retracted position and a needle 110 is held in the needle holder 68 (a grasper is shown) and passed through tissue T to be sutured, as seen in FIG. 8. The needle 110 is disengaged from the needle holder 68 by releasing the tension by pulling the trigger 64. As seen in FIG. 9, a grasping instrument 112, introduced through another port, may be used to reposition the needle 110 back into the needle holder 68 and resecured by squeezing the trigger 64. An additional length of suture may be withdrawn by pulling proximally on the device 60. Additional suture may be needed, for example, to form suture loops or to chain multiple stitches. An alternative method for withdrawing additional suture length is by pulling on the needle 110 with the grasping instrument 112 before returning the needle to the needle holder 68. As seen in FIG. 10, the sheath 72 is moved forward to the intermediate position so that the hook 74 is in the vicinity of the needle holder 68 (an arrow indicates the direction of motion in FIGS. 10-15 and 17-21). The knob 70 is rotated so the shaft 66 rotates, causing the needle 110, held in the needle holder 68, to rotate. The rotation of the needle places the suture 86 in the hook's 74 path. The hook 74 snares the suture 86. Placing the sheath 72 into the withdrawn position, as seen in FIG. 11, causes the hook 74 to withdraw the suture 86 and creates a suture loop. The knob 70 is now rotated so the suture 86 loops around the shaft 66, as seen in FIG. 12 (illustratively, the shaft is rotated clockwise). The shaft 66 may be rotated multiple times. Preferably, the shaft 66 is rotated twice to create two loops. Because the suture extends through the shaft 66, the loops are formed around the suture 86. Thus, there is no need to pull the needle 110 through the loops. Because the suture extends through the shaft there is no need to use a grasping instrument to hold the second leg of the suture 86. As seen in FIG. 13, the sheath 72 is moved forward to the intermediate position to release the suture 86 from the hook 74 and then placed in the withdrawn position to remove the hook from the vicinity of the needle holder 68. As seen in FIG. 14, the grasping instrument 112 may be used to remove the needle 110 from the needle holder 68. The throw may be cinched by pulling on the needle 110 with the grasping instrument 112 or, while pulling on the suture from the distal end of the device 60, the distal surface 83 of the device 60 may be used to push the knot into a closed stitch. Alternatively, pulling the proximal end of the suture 86 through the lumen 84 cinches the stitch. A third alternative is to pull proximally on the device 60 and with the grasping instrument 112 pull the suture 86 to cinch the stitch. A locking throw may be formed by repeating these steps, but the shaft 66 is axially rotated in the opposite direction. For example, the throw illustrated in FIGS. 7-14 is formed by rotating the shaft clockwise. A locking throw for this knot is formed by rotating the shaft 66 counterclockwise. Continuous sutures may be tied by providing enough suture and by placing the needle 110 back into the needle holder 68 and continue suturing. Additional single sutures may be performed by withdrawing and reloading the instrument. FIG. 15 illustrates an alternative method for releasing additional suture for another knot after the step illustrated in FIG. 9. The entire device 60 may be withdrawn proximally, or a forceps may be used to pull out additional suture. FIGS. 16-21 illustrate an alternative embodiment and operation of the intracorporeal endoscopic suture tying aid of the present invention. This alternative device 260 has a pivotable hook 274 which is connected to a second arm 282 (shown in dashed lines in FIG. 16). Pulling the second arm 282 proximally causes the hook 274 to pivot upwards. The hook 274 may be a pivotal unit having a first portion that is a rod 275 and a second portion that is a hooked element 276. The distal end of the rod 275 is connected to a sheath 272 by a first pivot 278. The sheath 272 is substantially as described above. The shaft 266 is also substantially as described above, except that it has a longitudinally slidable suture barrel 285 having a lumen 284 (the barrel and lumen are shown in dashed lines in FIGS. 16 and 18). Pushing on this barrel 285 distally causes it to extend out of an aperture 288 in a distal end of the shaft 266. The device 260 is prepared and introduced as described above. A needle 210 is passed through tissue T to be sutured and repositioned into the needle holder 268 and resecured as described above, with the sheath 272 in the withdrawn position, as seen in FIG. 16. An additional length of suture 286 may be withdrawn from the device 260 by sliding the sheath 272 and barrel 285 forward so that the hook element 276 contacts the suture and the barrel 285 is located near the tissue to be sutured, as seen in FIG. 17. Extending the barrel 285 forward creates a larger controlled loop for the hook 274 to snare. With the sheath 272 and barrel 285 in this position, the second arm 282 is moved proximally to pivot the hook 274 on pivot 288 so that the rod 275 and hook element 276 rotate backwards, as seen in FIG. 18. This pivoting movement pulls additional suture 286 from the barrel 285. The additional suture allows continuous suturing and a loop having a larger diameter than the loop created by the device illustrated in FIGS. 3-15. If a knot is desired (i.e., the beginning or end of a run of stitches), the shaft 266 is rotated, for example twice, looping the suture around the barrel 285, which is extended to the tissue being sutured. FIG. 19 shows the suture 286 having loops as the barrel 285 is withdrawn into the shaft 266. The hook 274 is further rotated proximally to secure the suture and its loop. This further rotation also increases the available suture length for continuous suturing. The shaft 266 is pushed distally towards the tissue to be sutured to operate as a knot pusher to cinch the throw closed with surface 283, as seen in FIG. 20. The pivotable arm 274 may then be rotated forward by pushing the second arm 282 distally so that the rod 274 and hook arm 276 rotate distally to release the suture 286, as seen in FIG. 21. Additional suture length is available for continuous suturing. FIG. 22 illustrates another embodiment of an endoscopic suture tying aid according to the present invention. The endoscopic suture tying aid 300 has a hollow shaft 366 fixedly connected to a handle 362. A needle holder 368 is located at the distal end of the hollow shaft 366. A sheath 372 having a hook element 374 connected to a distal end of the sheath, is fixedly connected to a knob 370. Turning the knob 370 rotates the sheath 372 and therefore the hook 374 axially with respect to the needle holder 368. This device 300 is used in the same manner as illustrated in FIGS. 7-15, except that the hook 374 axially rotates with respect to the needle holder 368. While the invention has been described by the reference to specific embodiments, this was for purposes of illustration only and should not be construed to limit the spirit or the scope of the invention. For example, although the invention has been illustrated with respect to laparoscopic surgery, a person skilled in the art readily appreciates that it may be applied to many areas of endoscopic surgery. Patent Citations
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Safe Harbor is teaming up with the Bark Bar for this Fall Fun Event
- all proceeds help with Safe Harbor Lab Rescue's medical expenses
Bring your dog to play and support Safe Harbor Lab Rescue!
Join the wonderful volunteers of this great organization that rescues and re-homes stray, abandoned, or surrendered labs in the Colorado region. Lots of success stories (labs) on hand!
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LabFest 2014 was a huge success. Thanks to our sponsors and to everyone who participated!
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Hale Pet Door offers a Rescue Rewards Program. Purchase a pet door from them and they will not only give you a 10% discount if you mention you rescued a Lab from Safe Harbor Lab Rescue, but Hale will also donate 10% of your purchase price back to Safe Harbor Lab Rescue! Hale offers 10 different models of pet doors in 11 standard sizes and four colors!
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Come see us and Celebrate Spring with events and activities at the Lab loving Orvis store in Cherry Creek. We'll have our volunteers and some rescued Labs there to add to the fun. Your Lab will be happy to know Orvis is a dog friendly store!

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Gilmer burn ban won't affect planned fireworks display
Longview, TX — Gilmer City Council members on Tuesday enacted a burn ban for the city.
All outdoor burning is outlawed, as are the use of fireworks of any kind inside Gilmer's city limits.
Gilmer Fire Marshal Johnny Taylor said the ban does not affect Sunday night's community fireworks display. The show is operated by a professional pyrotechnics company that is licensed, bonded and insured, Taylor said.
"Grilling is fine as long as it is in an enclosed cooker and is tended," Taylor said.
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CFOs Plan Moderate Hiring Activity in Second Quarter
The national poll includes responses from 1,400 CFOs from a stratified random sample of U.S. companies with 20 or more employees. It was conducted by an independent research firm and developed by Robert Half International Inc., the world's largest staffing services firm specializing in the accounting, finance and information technology fields.
"The financial hiring outlook remains conservative," said Max Messmer, chairman and CEO of Robert Half International. "While there are signs of increased optimism among many businesses, the majority of companies appear to be maintaining existing personnel levels pending more definitive signs of economic recovery and business growth."
Accounting and Financial Hiring -- By Region
The East North Central states will lead the nation in financial hiring activity, according to the survey. Eight percent of CFOs plan to expand their accounting and finance departments and none anticipate reductions. "Companies in the East North Central region that operated with reduced staff over the past year are beginning to invest in additional personnel," Messmer said. "As a result, there is heightened demand for accounting professionals at all levels."
CFOs in the Mid-Atlantic region of the United States also forecast notable employment gains in the second quarter. Ten percent of executives plan to add accounting and finance staff, and 4 percent foresee personnel cutbacks, for a net hiring increase of 6 percent. "Businesses in the Mid-Atlantic states report a need for junior and staff level accounting and finance professionals," Messmer said. "Job titles in demand include accounts receivable specialists, senior accountants and financial analysts."
Accounting and Financial Hiring -- By Industry
CFOs in the finance, insurance and real estate sector are most optimistic about hiring activity in the second quarter, according to the survey. Twenty-nine percent of executives plan to expand their accounting and finance departments and 8 percent foresee staff cutbacks, for a net hiring increase of 21 percent. "Low interest rates and an active real estate market in many areas of the country are creating a need for additional accounting personnel in businesses that support this industry," Messmer said.
Financial hiring activity should also exceed the national average among retail and wholesale businesses. CFOs in both industries anticipate a net 7 percent increase in the hiring of accounting and finance personnel. Financial executives in the manufacturing sector project a net 5 percent increase in hiring, slightly above the national average.
For charts illustrating the Hiring Index by region or by industry, please view the complete online version [1]
Robert Half International Inc. was founded in 1948 and is traded on the New York Stock Exchange (NYSE: RHI). Its financial staffing divisions include Accountemps®, Robert Half® and RHI Management Resources®, for temporary, full-time and senior-level project professionals, respectively. The company has more than 330 offices throughout North America, Europe, Australia and New Zealand, and offers online job search services at www.rhi.com.


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The bar is set for top end CBs in the league based on Clements in SF. I know there is funny money in the deal but 8 yrs 80M with what, 18M gauranteed.? Now with big names/contracts of Thomas, Seymour, Wilfork/Warren (hopefully being locked up ASAP for 4+ yrs), can you see another multimillion dollar contract on the BB/SP defense. The bench becomes that much thinner when you have 4 players making 5,6,7,8 million a year on defense. Do you think that Asante's agent has a handshake deal with the Pats about not being franchised again? Is this the last year for Samuel with the Patriots?
i think it's business and no handshakes. i think he plays for one year under the franchise and pats draft his replacement this yr.
Agree with this assessment. It is also one of the reasons I don't think the Pats trade down in this years draft. They know they need to draft a replacement for Asante and there is talent in the secondary in the bottom third of the draft. Would not be surprising to see S/CB instead of LB just for the idea of this being Asante's last Patriot year.
Why can't they just franchise him again? (Other than the fact Asante will hate the organization for it because it defers his life retirement contract payday)
i doubt samuel expects an $80 mil deal b/c a player did. Champ is highest paid but i dont think its $80 mil but has more per year. If Samuel gets another solid year he definatley gets top 3 money
This is Asante's last year with the Patriots. I think that's pretty clear. I expect him to perform well, and then someone will offer him $8 million per next season. The Patriots are not going to offer him that much with Warren and Wilfork coming up. Speaking of Warren, when are they going to do his deal? August?
At that salary level, if you want to be a Pat, you have to take below-market money. (Well, Seymour got market money, but he got it in about the worst possible year, so the extension was below-market before it started paying him.) Asante seems unlikely to do that, so unfortunately he seems likely to be gone soon.
Believe the franchise tag salary goes up 20% for a player the second year in a row. Agree with previous posts that the Pats will look to draft a CB this year and hope that Asante is able to reproduce his career year 2006 in 2007. Asante is gone in 2008. They really have two drafts and one remaining FA season to find his replacement.
If the Pats really want to move up in the draft he could be gone sooner as trade bait. Something to consider anyway.
Being a multi-millionaire could be a curse, if he gets carried away. Look at Pacman Jones, throwing his money (for visual effects?) worth 80 grand to showgirls. I believe being franchised could be a blessing in disguise for Asante. He gets guaranteed 7.8 M and yet there is still a goal and a challenge in front of him so that he does not lose his focus. Being young, he really needs to maintain the effort so he can really reach the level of Champ or even exceed it. Hope he does not relax or worse, regress. Go Pats:rocker:


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Andrei Kirilenko and Dante Cunningham each scored 12 points but the Timberwolves fell to the Bulls last night, 92-81. Chase Budinger added 10 points off the bench for Minnesota, which fell to 3-and-2 in the preseason. The Wolves are back in action Wednesday when they face Detroit.
Bulls Defeats Wolves


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The World Perceived: A Theological And Phenomenological Approach To Thinking, Perceiving, And Living In-The-World The World Perceived
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The World Perceived [BOOK]
Category Archives: Charity
Thoughts on Christ and the Border Crisis
"For I was hungry and you gave me food, I was thirsty and you gave me drink, I was a stranger and you welcomed me…" ~ Jesus (Matthew 23:35) Continue reading
Posted in Bible, Charity, Drug War Violence, Religion, Violence
Tagged Adrienne Pine, Bible, border, border crisis, Borderland Beat, Central America, Christ, Christians, Fox News, Honduras, immigration, Jesus, Mexico, teachings of Jesus, War on Drugs
1 Comment
3 Y-12 Peace Activists Sentenced
"What kind of peace do we seek? Not a Pax Americana enforced on the world by American weapons of war. Not the peace of the grave or the security of the slave. I am talking about genuine peace — the kind of peace that makes life on earth worth living — the kind that enables man and nations to grow and to hope and to build a better life for their children — not merely peace for Americans by peace for all men and women — not merely peace in our time but peace for all time." ~ US President John F. Kennedy Continue reading
Posted in Activism, Bible, Charity, Church, Culture, Law, nuclear weapons, Society, Theology, Violence, War
Tagged antiwar, Catholic Worker, consistant life ethic, culture of death, Dorothy Day, federal government, federal prison, Greg Boertje-Obed, Michael Walli, no nukes, nuclear disarmament, nuclear war, nuclear weapons, peace, protest, Sister Megan Rice, US federal courts, Y-12
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Santa arrives via armored police state vehicle
"When Santa Claus rides through Silver Spring on Wednesday, Dec. 18, he'll be on a BearCat. The BearCat—an acronym for Ballistic Engineered Armored Response Counter Attack Truck—is an armored police tactical vehicle. It's not commonly driven around Montgomery County, so when Santa rides the BearCat from Germantown to Bethesda, he'll be sure to be spotted…" Continue reading
Posted in Charity, Crime, Culture, Espionage, Government, Government Agents, Politics, Society, Terrorism, Theology, Transportation, Violence, War
Tagged America, anti-Christ, armored vehicles, Ballistic Engineered Armored Response Counter Attack Truck, Bearcat, Catholic Church, Christ, Christmas, Department of Homeland Security, DHS, Hugh Akins, Israel, Jews, Lenco, Mark Dankof, Maryland, militarized police, Montgomery County Police, NSA, police, police state, Santa, Synagogue Rising
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The danger of suicide lies in logic, not in imagination
"Martin Manley hated waking up early, but on his 60th birthday he did — or more likely, never went to sleep the night before.
"At 5 a.m. he entered a police station parking lot in a suburb of Kansas City, Kansas, walked to a spot beneath a tree on its far south end and pulled out his phone.
"He dialed 911.
"He said this:
"I want to report a suicide at the south end of the parking lot of the Overland Park Police Station at 123rd and Metcalf."
"Then, the blogger and former sports reporter for the Kansas City Star pulled out his Saturday Night Special, a .380 pistol, and shot himself in the head… Continue reading
Posted in Accident Prevention, Bible, Charity, Church, Crime, Culture, Ethics, Gun Control, Law, Philosophy, Psychology, Religion, Society, Theology, Violence
Tagged aging, Albert Camus, Bible, compassion, crime, death, elderly, emotions, family, friends, G K Chesterton, hope, hopelessness, humility, imagination, Jesus, Jesus Christ, Kansas, Kansas City, logic, madness, Martin Manley, murder, new world, people, pride, reason, resurrection, sports, statistics, suicide, theology, writers
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Teens, schools, military recruiters, pedophiles, Satan, deception, and death
Amy Hagopian, a professor at the University of Washington compares military recruiters to child sex predators… Continue reading
Posted in Activism, Bible, Charity, Crime, Culture, Education, Government, Government Agents, Mind Control, Politics, propaganda, Psychology, Religion, Society, Terrorism
Tagged Borough of Chambersburg, Buddy Chapel, CASD, CASHS, Chambersburg Area School District, Chambersburg Area Senior High School, death, deception, drivers education, economy, education, evil, exploitation, good, grooming, Joe Padasak, kids, life, military recruiters, murder, pedophiles, Pennsylvania, predators, prey, Satan, teens, US Army, US Navy, USAF, USMC, war
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Sex, Sinners, and Stigmas – Toward the Creation of a Culture of Life
Our culture should applauded women for becoming pregnant, and celebrate the new life they carry, no matter what the circumstance surrounding how they became pregnant. We should offer them any and all assistance they need to raise their children or give their children to someone else to raise.
Our historically and predominantly Protestant puritanical attitude created, long ago, an "I'm not married and I'm pregnant; therefore I'm now a social outcast and a sinner" cultural mentality, which is horrible, and is the exact opposite of the sort of mentality a culture that embraces life should have.
Imagine a culture wherein a young, unmarried woman becomes pregnant, due to having had sex with her boyfriend, and, when she discovers she is pregnant, she doesn't say "Oh shit, my parents will kill me" but says instead "Wow, my parents will be so happy for me!"
This may seem impossible, but it's not impossible when we get out priorities straight: sex outside of marriage is a sin, according to Christian teaching, tradition, and the Church, but it's nowhere near as great a sin as is the sin of abortion on demand… Continue reading
Posted in Bible, Charity, Church, Culture, Ethics, Law, Literary Theory, Society, Theology, Violence
Tagged abortion, adultery, babies, celebration, children, culture, culture of death, culture of life, death, divorce, fornication, Jesus, life, love, marriage, Men, New Testament, Old Testament, parents, pregnancy, sex, sin, stigma, teens, whore, whoredom, women
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Are the times of the Gentiles about to be fulfilled?
Lest you be wise in your own sight, I want you to understand this mystery, brothers: a partial hardening has come upon Israel, until the fullness of the Gentiles has come in.
And in this way all Israel will be saved, as it is written,
"The Deliverer will come from Zion, he will banish ungodliness from Jacob"; "and this will be my covenant with them when I take away their sins."
As regards the gospel, they are enemies of God for your sake. But as regards election, they are beloved for the sake of their forefathers. For the gifts and the calling of God are irrevocable. For just as you were at one time disobedient to God but now have received mercy because of their disobedience, so they too have now been disobedient in order that by the mercy shown to you they also may now receive mercy.
For God has consigned all to disobedience, that he may have mercy on all.
Oh, the depth of the riches and wisdom and knowledge of God! How unsearchable are his judgments and how inscrutable his ways! ~ Saint Paul (Romans 11:25-33)
Continue reading
Posted in Bible, Charity, Church, Crime, Eschatology, Government, history, Literary Theory, Media, Mind Control, Occult, Politics, propaganda, Psychology, Religion, Society, Symbolism, Theology, Violence
Tagged Abraham, Abraham Foxman, Acts of the Apostles, Adam Gorightly, alchemy, Alex Jones, Alice Bailey, Alta Vendita, America, Anthony Hilder, anti-semitism, antichrist, apostles, Babylon, Beast, Ben Urwand, Bible, Bishop Williamson, Book of Revelation, Catholic Church, Chabad, Christianity, communism, control, covenant, David Ovason, Dome of the Rock, E. Michael Jones, ecumenism, end times, eschatology, externalizing the hierarchy, faith, Father Paul Kramer, Freemasonry, fulness of the Gentiles, futurism, Gary North, Gentiles, God, good news, Gospel of Matthew, government, Henry Makow, hermeneutics, Humanum Genus, Illuminati, Israel, Jeff Rense, Jerusalem, Jesus, Jews, Joel Stein, John F Kennedy, John Travolta, Jordan Maxwell, judgement, Kabbalah, Ken Gentry, Killing of the King, Leo XIII, Masons, media, Michael Dimond, Michael Hoffman II, Michael Voris, Modernism, Moses, Muslims, Nathan Abrams, Nazis, New World Order, Nostra Aetate, occult, Our Lady in Akita, Our Lady of Fatima, Paul Joseph Watson, Paul VI, Pharisees, Pope Francis, Pope John Paul II, pornography, prayer, preterism, propaganda, prophecy, Protocols of the Learned Elders of Zion, psychological warfare, remnant, repentance, ritual murder, Robert Sungenis, Romans, Saint Mary, Saint Paul, salvation, Satan, Scientology, scripture, Second Coming, Sir James Frazer, society, subversion, symbols, Talmud, temple, The Great Seal of the United States of America, the revelation of the method, The Third Secret of Fatima, theology, Theosophy, timelines, times of the Gentiles, Traditional Catholics, US Catholic Bishops, USA, Ut Unum Sint, Vatican, Vatican II, Vladimir Lenin, Washington DC, Ze'ev Jabotinsky, Zionism
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Whale Watching & Dolphin Cruise With Newport Landing Tours
* Additional fees apply. No coupon or promo codes necessary to enjoy the displayed discount price.
Turn any event into a gift that's…
- Exchangeable
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Experiences that create memories make the greatest gifts.
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Reviews & Ratings
Featured review from Albert R.
Red Velvetview more less of this reviewNo whales spotted on our Labor Day mid afternoon trip, but some had been spotted in the recent days according to sign they had out front, but we did encounter a very entertaining school of dolphin, some of which were swimming right next to the boat. Before that not many people moved around the boat, and I didn't see anybody going between the top and bottom decks. Would have been nice to have more seat choices, but it was still okay, and nice to stand up every once in awhile and take in the view. Ocean was cold, but I was prepared with layers. Took on a bag with snacks and drinks, no problem.
star this review starred report as inappropriateVery nice day out on the water. We did see one whale and tons of dolphins.
star this review starred report as inappropriateDo not park in the multi level parking structure as it costs $12 for a full day and there was a very long line. Park across balboa street in the public parking for $8 for a full day. As we arrived we were told that the card had not been charged...continued
star this review starred report as inappropriateWe went on a Saturday noon trip - didn't have any whale sightings, but hung out with a pod of common dolphins - hundreds of them swimming right next to the boat for about 2 hours. Overall, it was a good afternoon and worth the half-priced tickets.
Newport Landing provides multiple whale watching trips daily departing from Newport Beach. Newport Landing is centrally located in Orange County and minutes from Los Angeles. Newport Landing offers whale watching tours all year.
Year-round cruises view many varieties of whales including the giant blue whale (which attains lengths over 80 feet) during the summer/fall months, the gray whale migration during the traditional winter and spring months, several types of dolphin year-round, seals, and many other types of marine life. Each cruise is a unique experience; you may never know what you might encounter. A recent cruise encountered a huge pod of killer whales numbering over 30 killer whales including adults and young.
The waters surrounding Newport Harbor offer deep, nutrient-rich waters, which attract all types of marine creatures. The Laguna Beach coastline is just south of Newport Harbor and offers some of the most beautiful coastline in Southern California. The gray whales very commonly seen on these cruises seem to enjoy the beauty of the Laguna Beach coastline as well, with many whales spotted just a couple hundred yards off of the beach. Most of Newport Landing's whale watching cruises take in the scenic backdrops of Laguna Beach, Newport Beach and Huntington Beach. Due to the geography of the Orange County coastline and the protection of Catalina Island, the ocean conditions are incredibly calm and comparable to a fresh water lake, allowing whale watchers to fully enjoy the amazing viewing experiences.
The primary whale watching ship is 65 feet in length with a large upstairs sundeck, wrap-around outside seating, snack bar with food and beverages, and indoor seating with large windows. It was designed just for viewing marine life. Captains and crews have backgrounds in marine biology and are incredibly knowledgeable, providing details on marine creatures, environment, and ecosystems.


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Tax-exempt hospitals provisions in new health care law |
News Releases - Business & Economy | |||
Written by Sen. Charles Grassley | |||
Thursday, 25 March 2010 08:37 | |||
Sen. Chuck Grassley, ranking member of the Committee on Finance, with jurisdiction over taxes, has worked to hold tax-exempt hospitals accountable for the federal tax benefits they receive. The health care legislation signed into law yesterday includes provisions Grassley co-authored to impose standards for the tax exemption of charitable hospitals for the first time. The bill requires that a hospital complete a community needs assessment once every three years and adopt and publicize a financial assistance policy; prohibits billing those who qualify for financial assistance the top rates; and prohibits a hospital from taking extraordinary collection actions if the hospital has not made reasonable efforts to notify patients of its financial assistance policy. The bill also requires the IRS to review the tax-exempt status of each hospital every three years; requires Treasury and Health and Human Services to submit an annual report to Congress on the level of charity care, bad debt expenses and the unreimbursed costs of means-tested and non-means-tested government programs; and requires Treasury and HHS to provide a report in five years on the trends on the items reported on an annual basis. Grassley made the following comment on the advancement of these provisions. "Tax-exempt hospitals don't have many measures of accountability for their special status. The law hasn't given them much direction, and so they've defined standards for themselves. Sometimes that's resulted in providing very little charitable patient care or other community benefits, failing to publicize charitable care to patients, charging indigent, uninsured patients more than insured patients, and using very aggressive collection practices. The Government Accountability Office and others, including the former IRS commissioner, have said for a long time that there is often no discernible difference between the operations of taxable and tax-exempt hospitals. These new provisions are modeled after principles and polices that the Catholic Health Association has had in place for years. I appreciate the association's willingness to have honest, forthright conversations about charitable hospitals' activities. The provisions take steps to differentiate tax-exempt hospitals from for-profit hospitals and provide further transparency about tax-exempt hospitals' fulfilling their charitable mission. Congress, the IRS, and the public will now have additional tools and information to ensure that charitable hospitals act charitably." The provisions enacted in the new health care law are the result of Grassley's leadership on tax-exempt organizations' accountability and transparency, including hospitals. In 2005, he sent letters of inquiry to some of the nation's largest tax-exempt hospitals. In 2006, he convened a hearing and released a summary of the hospitals' responses. In 2007, he released a staff discussion draft of potential legislative reforms and convened a roundtable of experts to discuss the potential reforms. In 2008, he followed up with letters of inquiry to more hospitals and received a report he'd requested from the Government Accountability Office. In 2009, he drafted legislative reforms and succeeded in persuading the Democratic majority to include several of the reforms in the new health care law.


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NEW YORK A New York City third-grader and his father have been arrested after the boy sold a loaded 9mm pistol to a classmate for $3, police said on Friday.
New York third grader charged with selling loaded gun - US news - msnbc.com
Who gets the spanking son, or father.
This isn't going to be pretty from any perspective.
$3 for a 9mm, some people have all the luck.


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Hi I am a white male! I am pleased to meet you.
I am automatically racist and privileged. I make more money than you. I cannot grasp the concept of racism nor can I feel its effects because I am white, hence empathy is impossible for fair skinned folks like me. I am a bad person for being White. Shame on me! Thanks for teaching us so much about equality and prejudice, MLK!
#AlphaSapphireI am one of Jehovah's Witnesses.
If you have a question about my religion, or wish to discuss my religion, the Bible, or anything related to this topic, feel free to PM or VM me, take a look at the information in my profile or visit our official website.
I can wear a sweatshirt over a t-shirt with jeans on in 100- degree (Fahrenheit) weather. Without sweating.
The most unique thing about me is that I'm exactly like everyone else.
Yes, this, tha--
. . .
Man, the urge to post emot_suicide.gif is really high, but I'd loathe for that to be the thing to get people pissed at me or to get me banned.
I am a human of the universe, that is REALLY unique to me!
In all serious though, to the above posters, just ignore it, you know your all awesome
something weird about me:
Sometimes when i go to sleep i dream about being another person named Angel, and the events that happen in the dream are similar to the ones i had. it feels so real to me, that when i wake up, I feel like my real existence is fake, and the dream was real. it takes me about 2 or 3 days to snap out, and thats why when i tell someone i dont feel right, its usually because this happend to me.
Credits to FairyWitch for the buttons and Sworn Metalhead for the Userbar!
Ive actually Had them since i was 12, so its been 3 years now. back then it was like a week before i could snap out of it, and i would act like Angel in real life.
weird thing was when i got a GF, he doesnt and if he does, i dont, and it works like that for just about everything.
Credits to FairyWitch for the buttons and Sworn Metalhead for the Userbar!


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About a month ago, someone got into my truck in my driveway and made off with less than $5 worth of stuff. Luckily, nothing damaged. The officer said there has been a rash of it in my neighborhood lately.
Well, Saturday morning I noticed one of my wife's large outdoor potted plants on the back porch knocked over, and a set of 3 smaller ones knocked the other direction. A chair knocked over, and my son's deck box full of toys opened. I straightened everything up and just sort of blew it off.
Well, this morning that same plant was knocked over the opposite direction and another plant on the other side of the porch knocked over, and all of the screen doors for the sliding glass doors were opened about 6 inches. Looked like someone opened them to check the doors and just left them all slightly opened. Since I was out there yesterday, I know they were all closed.
I called the NEN and an officer came out. He dusted for prints. It is concerning that this stuff has been escalating. First it was pranking by moving yard art stuff around and switching it from one yard to another. Then they were going in unlocked cars. Next, they used a garage door opener in a car to go into a neighbor's garage and steal stuff. Now it seems they are checking for unlocked house doors. What next? Breaking in?
I have a home security system with contacts on all doors and windows, motion detectors, and glass break detectors. Monday, I'm having security cameras installed inside and out and motion lights.
It will be interesting to see what's going on when we're not home and when we're asleep.


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So if you were given the chance to ride any trail you want for your last ride before the end tomorrow. What trail would you ride? Something local? Some trail far away? As much as I love Otero, I would have to go for the Mag 7 trail in Moab for the last one.
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In Stock
Ships Within 24 Hours Sellout Risk: Extremely High
The DC Elko Snowboard pants have winter sports lovers talking for many reasons! Durability is one of the most important things to have in winter wear and these pants pack it in. 100% polyester material gives a pleasant feeling to the skin while also being highly resistant to tearing at the same time. The DC Elko pants are rated as being waterproof up to 5,000mm and are highly breathable. Join the crowd of raving fans that surround the DC Elko Snowboard Pants!


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What does VSY mean in Hobbies?
This page is about the meanings of the acronym/abbreviation/shorthand VSY in the Miscellaneous field in general and in the Hobbies terminology in particular.
Find a translation for VSY in other languages:
Select another language:
Discuss this VSY abbreviation with the community:
Use the citation below to add this abbreviation to your bibliography:
"VSY." Abbreviations.com. STANDS4 LLC, 2015. Web. 5 Mar. 2015. <http://www.abbreviations.com/term/224966>.
VSY also stands for:
- Vancouver Shipyards
- Varlibaslar Saglik Yatirimlari
- very sincerely yours
- Virginia Shuman Young Elementary School
... see them all »
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First off, the earth's surface is made up of over 70% water. In short, there will never be a lack of water*. Now, yes, the issue here is drinkable/potable water. Well, that's where technology and human ingenuity comes in. Right now we have fully functional desalination plants all over the world. And more will be created in the future. So, unless you kill all the scientists right now who are researching better means of desalination (the process of removing salt and other substances to produce clean, drinking water), the future is bright when it comes to water. Another issue is transporting water from the coast to the inland areas. But then transport is transport--human simply have to create better ways to transport huge amounts of water "uphill" rather than "downhill" (i.e. like ancient Roman aqueducts). Pipelines etc. that pump/carry water inland are not impossible to build.
So my stand is NO: There will never be a war over water. Man will only remain warlike as long as he still feels the need for these three "G's"...Guns, Gold, and Glory. I personally believe that somehow, if mankind as a whole gives up these three things, the world will be a more peaceful place to live in.
*well yes, in about 25 billion years or so, the sun will undergo a slow growth to become a "red giant"...and thus while it is growing to this immense size, the oceans of the earth will start to boil away because of the excessive heat...but you don't get to live up to 25 billion years old right hehehe so that's not our worry.


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I feel his hand over my throat,
His cold and bony fingers.
He's finally got his grip on me,
Still my struggling lingers.
I stare into the blank black eyes,
I suddenly grow calm.
He's here to help me from my pain,
This is what I wanted all along.
He releases my soul from within me,
And holds me to his chest,
He carries me across the sky,
My spirit finally at rest.
Death's lovely angel,
Has rescued me from pain,
I was taken away from it all,
with nothing left to remain.


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In conjunction with the American Association of Community Colleges' 94th Annual Convention, NACCE is hosting a Leadership Breakfast for presidents on Sunday, April 6, 2014 from 7:00 to 8:00 am at the Marriott Wardman Park, Wilson Room A in Washington DC.
Join NACCE's Board of Directors and Heather Van Sickle, President & CEO, for a breakfast buffet as you connect with fellow entrepreneurial leaders across the country.
Remember Me
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1/20/2015The National Association for Community College Entrepreneurship (NACCE), Names New President & CEO
1/15/2015NACCE Names President of Patrick Henry Community College to Board
1/15/2015Ten Colleges from North and South Carolinas to Establish Regional Collaborative for a Global Economy
2/2/2015 » 5/8/2015NACCE's Entrepreneurship Specialist Certificate Online Training
10/11/2015 » 10/14/2015NACCE 2015 Conference - Save the Date!


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Well I investigated bubble that I found doing wheel bearing last week. Turns out its not simple surface rust. Its frame rusting through inside. Picture says all. Its not official hole yet but it will be soon.
On the pic you can see area where rust is coming out, surrounding metal is nice and even, rusted metal is all pitted. I painted that spot few times and cleaned but its just keeps coming out. Now short of taking grinder I can not remove rust because its rusted through. I took pictures and will be calling Toyota corp on Monday. But my 2gen officialy had joined my 1gen in crap frame fest..
Also I officialy start 2gen "Frame rusted through" club


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Low-Cost Clothing Crafts
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Pretty Collaged Shoes
By: Tiffany Windsor
Step out in style with upcycled ideas for spring! Make Pretty Collaged Shoes from Tiffany Windsor using sandals you already have. All you need is pretty tissue paper and some Aleene's Collage Pauge glue and you can make your own cool kicks.
- Aleene's Collage Pauge
- Paint brush – soft bristle
- Sandals of your choice
- Decorative papers – I used hand-painted tissue paper. Rice paper also works well.
- Scissors
- For my project, I used hand-painted tissue papers. Rice paper also works well for this technique. Select a paper that is soft yet durable.
- Brush Aleene's Collage Pauge onto surface of shoe.
- Brush Aleene's Collage Pauge on wrong side of painted tissue.
- Lay paper over sandal strap.
- Brush another coat of Aleene's Collage Pauge on top of tissue paper.
- Cut off excess. Dip finger into Aleene's Collage Pauge and rub it over the surface of the tissue until most wrinkles have been pushed out. I prefer to cut off excess along sides (rather than folding them to the back side because any wrinkles can potentially rub your foot.) Let dry completely.
For a comprehensive video tutorial of this project, check out Pretty Collaged Shoes.
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K & B tatooing is an ok place to go. They are always booked and the prices are not that great. They were kind of rude and didn't make me feel comfortable when getting my tatoo. I probably would not go there again.
I went here with a friend to get his tattoo. They seem to have a great selection and quality artists, but the wait was ridiculous. We had to opt for a different store because he would have to have waited for over a month just to get a…
I went here and the owner was very rude and the prices are way to high. i didn't not feel comfy here at all. I will not go back or refer anyone else. i found this place to be very uncomfortable.
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Cylinder Head, Vortec, Cast Iron, Assembled, 67cc Chamber, 175cc Intake Runner, Chevy, 5.7L, Each
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Brand: Summit Racing
Manufacturer's Part Number: SUM-151124
Part Type: Cylinder Heads
Product Line: Summit Racing® Vortec Cylinder Heads
Summit Racing Part Number:
Cylinder Head Style: Assembled
Cylinder Head Material: Cast iron
Cylinder Head Finish: Natural
Combustion Chamber Volume (cc): 67
CNC-Machined Combustion Chamber: No
Intake Runner Volume (cc): 175cc
CNC-Machined Intake Runner: No
CNC-Machined Exhaust Runner: No
Intake Port Location: Standard
Exhaust Port Shape: Square
Exhaust Port Location: Standard
Spark Plug Style: Straight
Intake Valves Included: Yes
Intake Valve Diameter (in): 1.940 in.
Exhaust Valves Included: Yes
Exhaust Valve Diameter (in): 1.500 in.
Valve Springs Included: Yes
Maximum Valve Lift (in): 0.520 in.
Outside Diameter of Outer Spring (in): 1.250 in.
Damper Spring Included: Yes
Number of Springs Per Valve: Single
Retainers Included: Yes
Retainer Material: Steel
Locks Included: Yes
Lock Style: 7 degree
Valve Stem Seals Included: Yes
Valve Stem Seal Style: Umbrella
Rocker Arm Studs Included: Yes
Rocker Arm Nut Thread Size: 3/8-24 in.
Rocker Arms Included: No
Rocker Arm Nuts Included: No
Guideplates Included: No
Valve Cover Mounting Style: Centerbolt
Accessory Bolt Holes Drilled: Yes
Valve Guides Included: Yes
Valve Guide Material: Cast iron
Valve Seats Machined: Yes
Valve Seat Machine Style: 3-angle
Valve Seat Material: Ductile iron
Steam Holes Drilled: No
Oiling Style: Through pushrod
Machined for O-Ring: No
Heat Crossover: No
Quantity: Sold individually.
Notes: Vortec style cylinder heads must be used with Vortec style intake manifolds, no exceptions. Click the "Suggested Parts" tab for Vortec style intake manifold options. Machine work must be done to accommodate guide plates.
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Are you looking for a good set of heads to up the performance factor of your Vortec engine? Our Summit Performance® Vortec cylinder heads have what it takes to get the job done. Featuring wide-open intake runners, efficient combustion chambers, and a high-performance valve job, these heads deliver all of the power-building airflow you need. Made from superior iron alloy, these heads come ready-to-run for improved performance straight out of the box.
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Spanish DJ Sampled by M.I.A. Has No Idea Who M.I.A. Is or Where She Got His Song
From mákina to 'Matangi': Bakalao icon Chimo Bayo responds to the singer's 'Warriors', which samples his 1991 hit 'Así Me Gusta a Mí'
While few Americans are likely to be familiar with the sample that bookends M.I.A.'s "Warriors," Spanish listeners were quick to identify the source of those minor-key rave stabs: Chimo Bayo's "Así Me Gusta a Mí (X-Ta Sí, X-Ta No)," a 1991 song that went from mákina clubs and the Ruta del Bakalao — a weekend-long rave circuit in and around Valencia — to the top of the national pop charts.
Surprisingly, the 52-year-old musician had no idea that his music had been used by M.I.A. — nor, indeed, who she is — until Iago Fernandez, of Vice's Spanish edition, called him up for comment.
Bayo's initial reaction is one of mystification. "Do people really listen to this?" he asks. "Do they put it on at breakfast, or what? I think I'm getting old. It sounds like the music they play in my dentist's waiting room." (Read SPIN's review of Matangi, which begs to differ.)
When the reporter asks if Bayo has plans to contact M.I.A.'s management, he says that he has not considered it — and it doesn't sound like he harbors much of a grudge. "Why don't you contact them yourself?" Bayo asks Fernandez. "Ask her where she got it. Or who recommended that she put it in there. Find out who told her, 'Hey, put this in the beginning — it's an electronic-music classic from Spain.' I'll bet that neither she nor the person who gave it to her know who Chimo Bayo is. Tell her that I'm a loveable sonofabitch."
Twenty years on from mákina's heyday, Bayo is enjoying a slight boost in his stature; he's preparing, he says, for an exhibition at Valencia's MuVIM (Valencian Museum of Illustration and Modernity) that will display costumes, flyers, and ephemera from his career. "But don't think that just because my suit is in a display case, I'm going to stop performing," he tells Vice. M.I.A.'s music may even serve as inspiration for his own music, he says. "In fact, it gives me ideas, because what I'm doing now is a little harder, more like Steve Aoki, but if the young people are listening to that, maybe I should do something like that too. Something boring."


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To the MJM organisation: I want to give you a big compliment: accurate information, delivery at the promised time, no problems with the tricks, no...Read More ->
MJM Magic is the best magic shop in the world. It offers the lowest prices and best service. That was only the second package that I ordered from you...Read More ->


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Nov 18, 2011 11:46 PM|xmiax66|LINK
hi everyone i want a button like the one in the url.and when i click i want it to invoke a method.the button will be an asp.net button not linkbutton how can i do that? http://www.buttonshut.com/Google+-Buttons/Google+-Buttons-40-77-.jpg
Nov 19, 2011 12:13 AM|RichardY|LINK
The easiest way is to create an image with the look you want and use it as the background for the button. Then just add the OnClick="YourMethod" property to the button markup.
Nov 19, 2011 12:42 AM|xmiax66|LINK
is this the way facebook and google uses to show buttons?i don't think so.That wouldn't change the shape of the button and it would cause a performance hit probably. any other solutions?


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Product Information
- Type: Combo Pack
- Designer: Keystone Scraps
- Download Size: 213.9 MB (approximate)
Design Elements
- Digital Papers: 22
- Page Elements: 50
- Monograms Characters: 72
Designer Notes
Snips, snails and puppydog tails! This collection of 50 unique elements are perfect for all you young boys, tomboys, and adolescent pages! These fun and unique elements are sure to please... and make it oh so hard to stop creating with! Retro and old-fashioned toys, mud and grass stains, denim pieces, and bits of cardboard really gives this kit a casual fun feel!
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Would a Glock 30 be an alright choice for a subcompact concealed carry weapon?
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Texan By Birth & Choice USMC/VIET NAM VET
The Glock will conceal just fine,just get you a comfortable concealment holster. I carry a fullsize 1911 everyday
Semper paratus.....virtute et armis
The Glock 30 is just a tad bigger than my M&P40C. I carry that with ease


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Cave of Forgotten Dreams (2011)
Critics Consensus: Hauntingly filmed and brimming with Herzog's infectious enthusiasm, Cave of Forgotten Dreams is a fascinating triumph.
Critics Consensus: Hauntingly filmed and brimming with Herzog's infectious enthusiasm, Cave of Forgotten Dreams is a fascinating triumph.
Movie Info
Cave of Forgotten Dreams follows an exclusive expedition into the nearly inaccessible Chauvet Cave in France, home to the most ancient visual art known to have been created by man. It's an unforgettable cinematic experience that provides a unique glimpse of the pristine artwork dating back to human hands over 30,000 years ago - almost twice as old as any previous discovery. -- (c) IFC Films
- Rating:
- Genre:
- Documentary , Special Interest
- Directed By:
- Werner Herzog
- Written By:
- Werner Herzog
- In Theaters:
- Apr 29, 2011 Limited
- On DVD:
- Nov 29, 2011
- Box Office:
- Runtime:
as Narrator
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LoginCritic Reviews for Cave of Forgotten Dreams
All Critics (129) | Top Critics (34) | Fresh (122) | Rotten (5) | DVD (6)
Why shoot a documentary about cave paintings in 3D? Is Werner Herzog crazy? The answer to the second question has always been, "quite possibly," but the answer to the first becomes apparent the first time he trains his camera on the cave walls.
Even those who have found Herzog's work lacking in the past will have a hard time writing off Cave of Forgotten Dreams. It's a superb film.
Fascinating artworks by early man, sure, but they're let down by Herzog's long, rambling soliloquies about the history of homosapiens, albino crocodiles, and Baywatch... These sequences would have been right at home in a 45-minute IMAX film.
Another lovely stanza in the epic poem of humanity that Herzog has been writing for half a century.
Es indudable la capacidad del director por intentar, a trav�s de la c�mara, lo mismo que intentaron aquellos hombres y mujeres del Paleol�tico unos 30.000 a�os atr�s: comunicarse, expresar sentimientos y emociones, crear belleza.
... captures the space, the texture, the quality of color of these ghost-like paintings, like shadows of the past captured on the cave walls.
Confirmation, if any was needed, that culture and civilization existed 25,000 years ago and that we have gone downhill since the introduction of private property.
These images of what the world was increase my sense of awe at what the world is.
Werner Herzog's exploration of the miraculous Chauvel Cave comes with it evidence that human kind is indeed wired to believe in the hypnotic and poignant Cave of Forgotten Dreams.
Cave of Forgotten Dreams is one of Herzog's most memorable films. Its subject, the 32,000-year-old drawings on the wall of the Chauvet Cave in southern France, is so astonishing that even Herzog's amiable sidetracks can't destroy the wonder.
There is nothing gimmicky about Herzog's use of 3D in Cave of Forgotten Dreams. The depth of field afforded by the 3D format gives the viewer an uncanny spatial awareness of the site.
Herzog has used the 3D process with tremendous creativity to make this very beautiful film.
This is what 3-D was made for, puncturing the proscenium and taking us somewhere ''not yet offended''.
Making superb use of the 3-D, and marked by Werner Herzog's idiosyncratic sensibilities, this contains enough captivating moments to make it a must-see.
What is astonishing about the (32,000 year old) drawings discovered in the Chauvet Caves ... in southern France is that they look much like the drawings of competent contemporary art students
It's hard not to think of Han Solo's neck unnaturally shifting to dodge a CG bullet as French archaeologists gape in awe at the beautiful untouched works created by Homo sapiens past
To puzzle over these questions with Herzog makes for a singular and rapturous viewing experience.
This nature and art documentary by Werner Herzog delivers an astonishingly privileged look at a subterranean time capsule.
Cave of Forgotten Dreams is a 30,000-year leap of faith. Werner Herzog, after tiptoeing through the transforming cave, says, "Nothing is real. Nothing is certain." As an artist, he seems to like it that way.
...might have been a worthy film at 60 minutes long, but then it wouldn't have been a Herzog film. The difference is the difference between a film about art, and a film that is art.
Audience Reviews for Cave of Forgotten Dreams
Director Werner Herzog has been making some exceptionally great documentary films lately, and this foray into a long forgotten cave in France is no exception. Much of the film relies on showing the audience what it takes to get into the cave, which is cordoned off from the viewing public to keep out mold and particles that could destroy the cave paintings. (Which are the oldest in the known world.) In the last twenty minutes of the documentary we get to see all the paintings up close, without narration, and only simple music to soothe and calm. The film played extensively in the IMAX theaters in 3D, and the effects of that would probably have been transient. Still, without that glorious illusion the paintings still look beautiful, as is the way they are filmed. We learn the history of them before we see many of them, so their meaning is all the more fluid and histrionic, making the spectacle into one unmatched in modern cinema.
MoreSuper Reviewer
It is unfortunate that the Chauvet Cave in France is nearly inaccessible, as it is home to the oldest cave drawings in the world. Fortunately, the best possible choice for a documentarian on the cave was given unprecedented access to embark on an expedition to film what is hidden down there.
The film was shot on a strict set of rules, and in 3D. I didn't unfortunately get to see it this way, but I could tell that it was used effectively given how the paintings are done on the curves of the cave walls instead of flat canvases. The film is actually really straightforward and seems like a typical documentary. Of course, it's not completely that way, as Herzog's unmistakable voice and way of speaking dominate the proceedings, but it really is pretty basic stuff. Granted, it's still a good film, despite this, and its important due to the subject matter, but it doesn't stand out like Herzog's other stuff does. I do appreciate how the paintings are treated and analyzed as art though, but while I do like it when he features eccentric talking heads, it all felt really repetitive and tedious here.
I'm probably being just a tad kind to this film, mostly because I love Herzog, am a history student, and work as a tour guide in a cave, but those biases aside, this is some good stuff, just kinda uneven in its presentation.
Super Reviewer
More than "art appreciation," Cave of Forgotten Dreams aims to meditate on the possible birthplace of what makes you and I mentally unique in the animal kingdom. Herzog has a beautiful opportunity to show what 30,000 years looks like through the development of stalactites and stalagmites layered over ancient bones and footprints. He states at the very beginning that the drawings on this cave are twice as old as the next oldest known drawings. We would expect them to be primitive, but they are far, far from it. We see the emotions of the animals, we see their movements, their breath. We see a legendary myth still alive today. Our abilities to think abstractly, focus, and document our experience are all present here -- all necessary to create our sense of presence and spirituality.
MoreSuper Reviewer
"Mankind's Lost Masterpiece"
Cave of Forgotten Dreams is only the second Herzog documentary I have seen; the other being Encounters at the End of the World. Both of which have taken me to a place where I can only dream of going, and have done so with magnificent beauty. That's what this film is all about. Everyone who has complained about Herzog not answering or even asking a lot of questions, is missing the point. This isn't about answers because there really aren't any. Everything about how those paintings came to exist is purely speculation. We can't be transported back tens of thousands of years ago. What it is about is transporting us to a beautiful place that we will never be able to visit and to show us the enormity of human existence. To think about the time between when these paintings were created, relative to where we are now is mind blowing; at least to me anyway.
Herzog does everything right because he lets the cave paintings do the talking. His narration isn't there to give us countless facts about what we are seeing, but is there to show an admiration for what we are seeing. He almost lyrically embraces every painting we see, in such a beautiful way. Then he'll just stop talking, play music, and show us the paintings because that's what we are watching for.�
Making guesses as to how these paintings were made and by whom is just not important, and is really below Herzog. The enormity of what we are looking at wouldn't come across if all he was doing was asking experts their opinions as to a variety of pointless questions. No, this movie is all about the silence. I especially enjoyed the part where he told everyone in the cave to be quiet and just filmed the silence in the cave. These paintings have existed for thousands and thousands of years without anyone even knowing it. They existed in silence, yet they still existed. I love how he brings us back to this moment at the end with the heartbeats.�
If this bores you, I really do feel sorry for you, because you would have to be so out of touch with the human soul that Herzog talks about, to not be completely moved by it. Cave of Forgotten Dreams is a one of a kind film that only Herzog could make.�
In many ways, this film is almost too breathtaking to describe. To describe its beauty in a way that is respectful is damn near impossible.�
Super Reviewer
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Gaylord CEO Colin Reed has "big-time questions for the Army Corps."
Flooding at Gaylord Opryland Hotel and parking lots is from the sky on Monday afternoon, May 3, 2010. / SAMUEL M. SIMPKINS / FILE / THE TENNESSEAN
Gaylord Opryland Resort & Convention Center may open even earlier for CMA Awards:
� Gaylord previously had announced it would reopen the Opryland Hotel on Nov. 15, but CEO and Chairman Colin Reed is shooting for an even earlier opening to accommodate the CMA Awards on Nov. 10. The Grand Ole Opry will reopen Oct. 1.
� Once the hotel opens, visitors can expect some changes. Fuse, the hotel�s nightclub, will be refashioned as a sports bar during the day and evening before reverting to a Vegas-style club and dance venue for late-night patrons
� The Jack Daniel�s restaurant will be moved from the Garden Conservatory to the location of the old sports bar in the Magnolia area, and, in its place, a new Mexican eatery will open; the revolving bar in the Cascades Atrium will be replaced by a new bar that doesn�t revolve.
� Convention re-bookings are building at Gaylord�s three other properties in Florida, in Texas and near Washington, D.C., as 40,000 room nights have been transferred from Opryland.
� Reed is optimistic about the health of the company in 2011 and 2012, saying that three-fourths of its convention regulars are high-performing companies and that bookings should grow as the economy improves.
Gaylord Opryland executives said they will demand answers about dam releases that swelled the Cumberland River to flood stage, long-term water levels before early May's torrential rains, and what they see as flawed weather and flood forecasts when they meet with government officials today.
The question of who will pay to improve the system of levees that circle the Opryland Resort & Convention Center property also will be debated during the meeting with the U.S. Army Corps of Engineers, Gaylord CEO and Chairman Colin Reed told investors in a conference call on Tuesday.
"We have big-time questions for the Army Corps and government agencies that regulate the water," Reed said. Had hotel officials been given accurate information earlier on May 2, they could have minimized flood damage, saving more vehicles and memorabilia, especially at the Grand Ole Opry House, the Gaylord CEO said.
At the same time that Gaylord is seeking answers about the adequacy of its levees and flood forecasts, it is working to secure a portion of city hotel taxes to help cover flood repairs at the $1 billion property.
Gaylord has asked for Mayor Karl Dean's help to redirect 1 percent of hotel taxes it collects � about $1.5 million annually over a period of years � to help pay for flood repairs.
Dean is reviewing Gaylord's request, which would need Metro Council approval, Dean spokeswoman Janel Lacy said.
In the aftermath of the flood that has shut down the grand hotel for six months, led to layoffs of more than 1,700 employees and caused millions of dollars in damage, the company is exploring whether there are grounds for legal claims against the Corps or other government agencies.
The Army Corps of Engineers' Nashville commander, Lt. Col. Anthony Mitchell, will listen to Gaylord's concerns and talk about the actions the Corps took during the flood, said Bill Peoples, spokesman for the Corps' Nashville district. As to discussions about who might pay to bolster Opryland's levee system, that's "not appropriate," Peoples said. "It's a private levee. We don't traditionally work on private levees," he said. It would take an act of Congress for federal dollars to be used for such improvements.
The levee stretching along the Gaylord complex and the nearby Opry Mills shopping center is a mostly earthen rise covered with grass and topped with perhaps a 2-foot concrete wall in spots.
The short floodwall was added atop the levee as a kind of splash guard in case waters reached the 100-year-flood level, smacked the levee and splattered higher onto the property.
Gaylord has said its levees were "accredited" by the Federal Emergency Management Agency, yet the embankments failed to protect the hotel and resort's property as floodwaters rose on May 2, finally topping the levee system and the splash guard.
"The key is to make sure the levees will go up," Reed said. "They will go up, but who will pay for them? That is one of the debates we will have ... with the Army Corps of Engineers."
'Catastrophic' loss
Meanwhile, Gaylord's request for a portion of the city hotel tax revenue is not new. Rather, it's a tweak of a previous agreement Gaylord had with the city.
A 1 percent hotel tax increase was approved three years ago and is now being used to help fund a new convention center. The portion collected at Opryland had been held in reserve to help a proposed $400 million expansion at Gaylord's massive hotel complex.
The expansion was shelved, and now Gaylord wants its portion to go toward flood repairs at the Opryland complex, which are expected to total a net cost between $169 million and $179 million.
"What's happened has been catastrophic," Reed said. "Our business means so much to (Nashville)."
Opryland's 2,881 hotel rooms represent 10 percent of all rooms in Nashville, and the resort known for its garden-filled atriums generates nearly 25 percent of the city's total hotel tax revenue. The overall hotel/motel tax is a 6 percent levy on room rentals.
"The Grand Ole Opry is synonymous with Nashville's identity as Music City," Dean said in a statement. "If there is a way for the city to help this iconic institution reopen its doors, I think it's certainly something we should consider."
Some 800,000 square feet of Opryland's 4 million square feet of space was damaged in the flood, including 117 guest rooms, all the exhibit halls, the garden atriums, Cascades Lobby and the hotel's complex mechanical, electrical and power systems.
Contact Bonna Johnson at 615-726-5990 or email@example.com.
Tennessean reporter Anne Paine contributed to this story.