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Support Migdal Ohr by purchasing letters in the Torah Scroll that will be written in honor of Rabbi Grossman's 70th Birthday.
Posted on: April 3rd, 2013News & Views → Middle East → Iran
More than a year ago, I warned that Iran was impersonating Anonymous in an effort to turn it on Israel.
Posted on: April 3rd, 2013News & Views → Jewish
The question of the safety of the controversial ritual of sucking the baby's blood after the foreskin is cut in a circumcision has again been raised following another case of Herpes.
Posted on: April 3rd, 2013News & Views → Jewish → Antisemitism
Vandals painted swastikas and the word "skinhead" on an elementary school baseball field in metropolitan Los Angeles, according to school officials. Orange County's Kaiser Elementary School Principal Deborah Granger told the Los Angeles Times that school staff saw the hate messages when they returned to school on Monday. Swastikas were also were painted on trash […]
Posted on: April 3rd, 2013News & Views → Jewish
Rabbi James Diamond, the retired director of Princeton University's Center for Jewish Life, has died in a traffic accident after leaving a breakfast Talmud study group. Rabbi Diamond, 73, who retired from the center 10 years ago, was killed when a speeding car crashed into a parked car which the rabbi was entering on the […]
Posted on: April 3rd, 2013News & Views → Local
The timing was gruesome. The Port Authority showed off the view from the new WTC now under construction on day after there was a different view - possible remains were found of 9/11 terror victims.
Posted on: April 3rd, 2013News & Views → Jewish
The Doheny Glatt Kosher meat market controversy has reached the federal level, where the Dept. of Agriculture announced it is investigating accusations against Doheny owner Michael Engelmen that he sold meat that was not properly certified as kosher. Rabbinical councils usually take measures in similar cases, and legal action against improper kosher meat certification is […]
Posted on: April 2nd, 2013News & Views → US → NY
Six New York politicians, including Queens State Sen. Malcolm Smith, have been charged with bribery scheme aimed at placing Smith, a Democrat, as the Republican nominee for mayor. Others who were charged include New York City Councilman Daniel Halloran, a Democrat from Queens, and Republican Party officials Vincent Tabone and Joseph Savino. "A show-me-the-money culture […]
Posted on: March 29th, 2013News & Views → Jewish → Antisemitism
Pamela Geller, NYC's most outspoken Islamophobe and executive director of the AFDI, submitted the ads to the MTA Tuesday.
Posted on: March 29th, 2013News & Views → Business and Economy
The wise men of Chelm have a nifty solution to pay off Palestinian Authority debts for electricity. Use funds collected for the PA or use US aid? Nope. Just make Israelis pay more for electricity.
Posted on: March 28th, 2013News & Views → Jewish
Einstein Medical Center Philadelphia is offering free Tay-Sachs disease screenings to those of Irish descent until the end of May. The screenings, which involve a simple blood test, are free to those who are at least 18 years old and have at least three grandparents of Irish descent. Screenings will take place at the following […]
Posted on: March 27th, 2013News & Views → Jewish → Antisemitism
Naturally, they posted them in Harlem, where the big decisions about U.S. aid are made.
Posted on: March 25th, 2013News & Views → Media → Arts and Entertainment
Roger Waters, one of the biggest promoters of BDS - the economic warfare movement against Israel - is slated to appear at the 92nd St. Y in April.
Posted on: March 24th, 2013News & Views → Israel
Obama's aides have not explained to the president that Jews masquerade on Purim and not on Passover. Once again, Obama hosts a White House Seder. He plays Pharaoh, who never let the people go.
Posted on: March 24th, 2013News & Views → Middle East
The US State. Dept. has scored another colossal failure in the Middle East. It pressured rebels to from a shadow government despite warnings it would not work. but it did work – for a week. Game over.
Posted on: March 24th, 2013News & Views → News Briefs
In a letter timed for Passover, a broad array of Jewish groups urged President Obama and Congress to facilitate a path to citizenship for undocumented immigrants. "American Jews know too well the impact of restrictive immigration policies, and we have seen how the immigration issue can become a flashpoint for xenophobia," said the letter sent […]
Posted on: March 24th, 2013News & Views → Eye on "Palestine"
What will Israel get in return for Netanyahu's apologizing to Turkey for IDF soldiers defending their lives? A former senior adviser to Hamas says Abbas may visit Gaza with Erdogan.
Posted on: March 24th, 2013News & Views → Eye on "Palestine"
Young Palestinian activists referred to Obama's speeches as 'insipid' and 'sycophant.'
Posted on: March 24th, 2013News & Views → News Briefs
The trauma of being wrongfully convicted and incarcerated for 23 years had ruined Ranta's health.
Posted on: March 23rd, 2013News & Views → Israel → IDF & Security
Erdoğan pleased with Netanyahu's apology, diplomatic relations have returned to normal, also, Erdoğan will visit Gaza next month.
Posted on: March 23rd, 2013News & Views → Islamists
Geller says her speaking is nothing like yelling "fire" in a crowded theater. However, trying to convince people that there is no threat from jihadists and Islamic supremacists, is like telling people in a burning theater that there is no fire, and they should stay in their seats and watch the show.
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MPI outside of C and Fortran (part 2)High Performance Computing Networking
In my previous blog entry, I answered a user question about how MPI defines its global constants, specificallyRead More
MPI outside of C and FortranHigh Performance Computing Networking
Recently, a reader asked me about how MPI defines its global constants. More specifically, the user was asking how MPIRead More
EuroMPI 2015 Call for participationHigh Performance Computing Networking
EuroMPI 2015 is presented in cooperation with ACM and SIGHPC in Bordeaux France, 21st – 23rd September, 2015. EuroMPI isRead More
Open MPI new versioning scheme and roadmapHigh Performance Computing Networking
Open MPI recently updated its version numbering scheme and development roadmap. This new scheme aims to provide more semantic informationRead More
MPI-3.1: It's official!High Performance Computing Networking
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MPI newbie: What is "operating system bypass"?High Performance Computing Networking
The term "operating system bypass" (or "OS bypass") is typically tossed around in MPI and HPC conversations; it's generallyRead More

subset: commoncrawl


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Expanding Use of NGS Has Largely...
LC-MS Gains Favor Due To the...
As Immunotherapy Revolutionizes the Cancer Treatment...
NSCLC is "Major Battlefield" as Merck,...
Pro Bono Bio Group (PBB) exercised an option to take out an exclusive, global license to PolyTherics' TheraPEG™ platform for use in the development and commercialization of a TheraPEG-FVIII product designed to have a longer half-life than existing FVIII products. The firms inked an agreement in May evaluate the feasibility of using PolyTherics' TheraPEG technology for developing a long-acting PEGylated formulation of Factor VIII.
PBB already has exclusive global licenses to the technology for use in the development of long-acting forms of Factor IV for the treatment of hemophilia B, and Factor VIIa for the treatment of hemophilia A or B in patients who demonstrate immune responses to FVIII or FIX respectively, and also for use in trauma applications.
Exercising of the latest option for the Factor VIII product has triggered a milestone payment to PolyTherics. The firm will also receive development and regulatory milestones, plus sales royalties. "We are pleased to have been able to confirm that the significant increases in half-life we have seen with TheraPEG Factors VIIa and IX can also be shown with TheraPEG Factor VIII, remarks Michael Earl, PBB's COO. "The benefits of prophylaxis for patients with more severe forms of hemophilia are well-established, and the development of this further product will make patients' lives simpler and enhance compliance, whilst providing a significant opportunity for our alliance with PolyTherics."
PolyTherics has developed a range of technologies and polymers for the site-specific conjugation and PEGylation of proteins, peptides, and antibodies. These include the low-viscosity polymer PolyPEG, a glycopolymer technology GlycoPol™ for targeting specific cells and tissue, and three PEGylation platforms: TheraPEG (PEGylation across a native disulfide bond), CyPEG™ (PEGylation at a thiol on a free cysteine); and HiPEG™ (PEGylation at a histidine residue).
PBB is an Anglo-Russian pharmaceutical firm formed a year ago as a result of a three-year project by Celtic Pharma in the U.K., which combines global financial and pharmaceutical expertise from the U.K. with international capital and matched funding from RUSNANO in Russia. Its first marketed product, Flexiseq™, is a nonpharmaceutical, topically applied sequessome nanoparticle-containing gel for the treatment of joint pain associated with osteoarthritis. Formulations are also in development for the topical treatment of conditions including psoriasis, eczema, and seborrheic dermatitis. In addition to its blood products pipeline, PBB is in addition developing anti-infectives against key organisms including including MRSA, Clostridium difficile, and tuberculosis, based on the re-engineering of existing drug families. The firm has also invested in Dialog Devices, which is developing a five-minute point-of-care diagnostic for peripheral artery disease.
PBB has been established with a humanitarian ethos that aims to donate medicines to the East African Community (EAC), and spearhead research into the development of treatments for some of the most prevalent and devastating diseases on the continent. The firm says it aims to establish a charity to support this work.
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micoach is all you need to get the results you want.
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I like the product but i'm about 5'1 around 108 lbs I picked a size large and it was too big. I probably should have gone medium. But I think i'll stick to Women's sizing. Other than being too big/long it's comfortable and the quality is nice. I'd recommend it (Just make sure you know your size!) ... read more
they're very nice I get compliments everywhere I go, they've even been confused for yeezy's so that's just a hint at how nice they really are. I have adidas and I'm a 4 1/2 they fit perfectly but these are too small in that size, I reccomend you get a size bigger. They're very comfortable to every step (feels like stepping on marshmallows) except like I said mine are too small so they hurt my toes. I'm exchanging for a size bigger so please don't go through what I did and just get the size bigger because shipping back and waiting for your shoes again sucks! ... read more
I've ordered these in many sizes and editions and finally got it right. My son is 12 , measures 5ft. 2" , about 130lbs & normally wears a size 16 jeans, so i ordered a Kids large and it was too big. So I ordered a Kids Medium and it fit perfectly. I learned that a Youth Large is the same as a Kids Medium. ... read more
I have to say, my kids absolutely love these pants BUT, they wear holes in them so easily. I have purchased three pairs of these in the last 2 months and neither of them can be worn to school any longer. There are holes in every knee. I have purchased other brands and this is not happening. For 40.00 per pant, the quality should be much better. I am so disappointed as this is the pant that my kids want to wear every day. ... read more
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These training pants are "fine." That's it; just fine. My sons have loved the Tiro 13 Training Pants for years and they've been quite popular with all their friends. I know companies are always looking to upgrade, but these are looser (read: more baggy) at the top and the sizes listed online do not fit the same as the Tiro 13s at all. We had to return all of ours for different sizes. This is one family, who along with a lot of our friends, are incredibly disappointed in the discontinuation of a line of useful clothing. ... read more


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Announcing 101 Great NJ History Books
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Celebrate the Garden State's 350th Anniversary with "101 Great New Jersey Books"
One hundred and one books that document New Jersey's important role in the development of a nation, celebrate its people and their heritage, and honor the development of the human spirit are being featured on a special website dedicated to New Jersey's 350th anniversary in 2014.
As part of the year-long anniversary celebration, the New Jersey State Library, Rutgers University Library, and the New Jersey Historical Commission collaboratively produced the list of "101 Great New Jersey Books." Readers are invited to explore a variety of titles written about New Jersey, frequently by New Jerseyans. From the rich historical narrative of David Hackett Fisher's Washington's Crossing, and the Pulitzer-Prize winning The Brief Wondrous Life of Oscar Wao by Juno Diaz, to G is for the Garden State: A New Jersey Alphabet, by Eileen Cameron, the list is geared to readers young and old.
The volumes included in "101 Great New Jersey Books" not only tell the story of New Jersey, they also tell the story of America. With its significant Native American heritage and tangled colonial history, the development of New Jersey mirrors the history of the nation. Its ethnically diverse people reflect American ideals of liberty and freedom. Its advances in technology reflect American principles of growth and innovation that transformed this country into a major industrial power. Its stories of activism, political corruption, and racial and social tension mirror national conflicts with which contemporary America continues to struggle.
From recently published to classic titles, "101 Great New Jersey Books" features volumes that document the lives of immigrants who established long-time communities in New Jersey, such as Phillip Roth's Goodbye, Columbus. The classic Leaves of Grass by Walt Whitman captures the sentiment of a youthful nation, and Trees and Other Poems by Joyce Kilmer celebrate New Jersey's often overlooked natural beauty. The Age of Edison: Electric Light and the Invention of Modern America by Ernest Freeburg and The Idea Factory: Bell Labs and the Great Age of American Innovation by Jon Gertner explore innovation in New Jersey and the development of America as an industrial super-power.
Journey into the dark side of New Jersey's history of organized crime and corruption in The Soprano State: New Jersey's Culture of Corruption by Ingle and McClure and Marc Mappen's Prohibition Gangsters: The Rise and Fall of a Bad Generation. The information age and the rise of sensationalism is the topic of Mark Di Ionno's The Last Newspaperman. America's deep-rooted and unfortunate history of sexism, and social and racial tension are explored in Mary Walton's A Woman's Crusade: Alice Paul and the Battle for the Ballot, Herbert Kraft's Lenape-Delaware Indian Heritage, 10,000 B.C. – A.D. 2000, and Cathy D. Knepper's Jersey Justice: The Story of the Trenton Six.
For a complete list of titles visit www.officialnj350.com. Start a conversation in your community or online about your favorite New Jersey books. Follow NJ350 on Facebook and Twitter at www.offialnj350.com.
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Fixed PriceBudget: $40
Start DateMarch 15, 2013
Looking for secret shopper callers today!
I am running a secret shopper program to evaluate specific companies in California. This is a very simple task. You can do this at the comfort of your home.
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Baked Spaghetti RecipeRead Reviews Be the first to add a review
- 1 cup chopped onion
- 1 cup chopped green pepper
- 1 tablespoon butter
- 1 can (28 ounces) diced tomatoes, undrained
- 1 can (4 ounces) mushroom stems and pieces, drained
- 1 can (2-1/4 ounces) sliced ripe olives, drained
- 2 teaspoons dried oregano
- 1 pound ground beef, browned and drained, optional
- 12 ounces spaghetti, cooked and drained
- 2 cups (8 ounces) shredded cheddar cheese
- 1 can (10-3/4 ounces) condensed cream of mushroom soup, undiluted
- 1/4 cup water
- 1/4 cup grated Parmesan cheese
- In a large skillet, saute onion and green pepper in butter until tender. Add the tomatoes, mushrooms, olives, oregano and, if desired, ground beef. Simmer, uncovered, for 10 minutes.
- Place half of the spaghetti in a greased 13x9-in. baking dish. Layer with half of the vegetable mixture and 1 cup cheddar cheese. Repeat layers.
- In a small bowl, combine soup and water until smooth; pour over casserole. Sprinkle with Parmesan cheese. Bake, uncovered, at 350° for 30-35 minutes or until heated through. Yield: 12 servings.
Medium-Bodied Red Wine
Enjoy this recipe with a medium-bodied red wine such as Chianti, Sangiovese, Malbec or Zinfandel.
Reviews for Baked Spaghetti
"My husband and I really enjoyed this baked spaghetti. My only change I made was to leave out the olives because we aren't fans of them. Next time, to appeal more to the kids I will likely used crushed tomatoes instead of diced because they turned their noses up at the "tomato chunks", and be sure to dice up the peppers smaller than I did."
"Just made this dish, very tasty ?? I would not change a thing."
"Great recipe. I used 2 cans of 14 oz. Rotel tomatoes instead of the 28 oz can of diced tomatoes."
"This is the best baked spaghetti! It's great for the family and also perfect for making for others because everyone loves it. Something about it tastes better every time. We like it as the recipe is, but it's also good to mix sausage with the ground beef for a nice twist. Thanks so much for this favorite recipe!"
"This is THE ultimate comfort food. Anything baked spaghetti is always good!!"
"gad I love everything about the looks and sound of this, can't wait for a free night"
"Loved it, but used sausage instead of gr. meat."
"My husband liked this recipe but I didn't care that much for it. But I used canned spaghetti sauce and a can of mushrooms so maybe had I made it according to the recipe it would have been better. Don't know though as I doubt I'll try it again."
"Love This!"
"My neighbor made this for me when I was in the hospital; of course, I had to get the recipe.. I love it!! Next time I make it, I'm going to try Italian sausage instead of ground beef."


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|Boxing Champions | Boxing Schedule | Boxing Video | Boxing History | Pound For Pound | Lounge | The Wire | Arcade
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is Khan gonna say he was overtrained for Garcia
I heard before that some trainers overtrained, and considering the fact that he had a camp for Peterson, do y'all think he overtrained. I know nothing can fix his chin, but maybe he couldve lasted longer, etc
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lats of peace
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Leg cramps!!!
Thats Wildcard 101
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If he makes a single excuse he is done as a fighter~ he need to look in the mirror and truly take stock of his issues that is the only way he can possibly get better.
Now maybe he would say it publicly and act differently behind the scenes but even that to me is dangerous ground because it could lead back to him fooling himself again.
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Seirus Thermax Headliner
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|Publication number
|Publication type
|Publication date
|Nov 19, 1974
|Filing date
|Apr 19, 1972
|Priority date
|Apr 19, 1972
|Also published as
|Publication number
|Gutnick M
|Original Assignee
|Gutnick Morton
|Export Citation
|BiBTeX, EndNote, RefMan
|Patent Citations (7), Referenced by (63), Classifications (16)
|External Links: USPTO, USPTO Assignment, Espacenet
nited States Patent 1191 Gutnick ABORTION FACILITATING DEVICE AND PROCESS [76] Inventor: Morton Gutnick, 8329 Fairview Rd.,
Elkins Park, Pa. 19117 [22] Filed: Apr. 19, 1972 [21] Appl. No.: 245,310
[52] US. Cl. 128/344, 128/349 B, l28/36l [51] Int. Cl A6lm 29/00 [58] Field of Search 128/341, 343, 344, 345, 128/348, 351, 246, 276, 130, 129, 131,2 R, 1 R
[56] References Cited UNITED STATES PATENTS 2,330,399 9/1943 Winder 128/349 B 2,480,041 8/1949 Myller 128/2 R 2,493,326 H1950 Trinder 128/325 2,854,982 10/1958 Pagano 128/348 3,480,017 ll/l969 Shute 128/344 3,722,500 3/1973 Robinson 128/1 R FOREIGN PATENTS OR APPLICATIONS 439,636 4/1912 France 128/246 1111 3,848,602 1451 Nov. 19, 1974 Primary ExaminerDalton L. Truluck Attorney, Agent, 0r Firm Robert S. Bramson; James A. Drobile 5 7 ABSTRACT A process for cervical dilation prior to the perform ance of an abortion comprising the steps of inserting an abortion facilitator unit through the cervix and extending into the uterine cavity, gradually, uniformly radially expanding the portion of the dilator adjacent.
to the cervix at a controlled rate to dilate the cervix by introduction of a fluid, removing the fluid once the 16 Claims, 6 Drawing Figures PAH-INT nuv 1 91914 SHEEI 10F 2 SHEEI 2 [IF 2 PATENIwmv 1 slan- ABORTION FACILITATING DEVICE AND PROCESS BACKGROUND OF THE INVENTION 1. Field of the Invention The invention relates to a cervical dilating apparatus v and process for performing an abortion which has the effects of dilating the cervix and facilitating, and, on some occasions, spontaneously initiating an abortion.
2. State of the Art Although cervical dilators have been suggested for use in dilating the cervix to facilitate labor during fullterm birth, as disclosed in U.S. Pat. 3,480,017, satisfactory techniques and apparatus for dilating the cervix atraumatically prior to performing an abortion have not been developed, and no apparatus or process has been disclosed for generally facilitating and, on some occasions, spontaneously inducing an abortion.
ln performing abortions bythe technique in which dilation of the cervix is necessary to permit introduction of a vacuum device to accomplish the abortion, dilation of the cervix was previously accomplished by the use of steel dilators, which were manipulated in such a way as to stretch and stimulate the cervix to cause it relatively rapidly to dilate to the necessary degree to permit the abortion. The extent to which cervical dilation is required depends upon the stage of the pregnancy, ranging from approximately mm. for a pregnancy at approximately the fifth or sixth week of its progress to approximately 14 mm. for a pregnancy which is in the third or fourth month of its progress. This manipulation of the cervix with steel dilators could, and frequently does, cause tearing and laceration of the cervix, occasionally resulting in severe lacerations of the cervix, often needed to be closed by suturing, and also could and occasionally does result in the much more serious incident of the perforation of the uterus.
Moreover, prior to this invention, there has been no apparatus or process known for use in inducing abortions in advanced pregnancies, on the order of 17 weeks, to accelerate the period after injection of hyper tonic saline and prior to miscarriage and sometimes to induce miscarriage without the injection of hypertonic saline.
BRIEF SUMMARY OF THE INVENTlON The process of the invention comprises the insertion of the dilationdevice of the invention into and through the cervix, so that the distal end thereto extends into the lower segment of the uterine cavity, expansion ofan anchoring member by introduction of fluid thereinto, to prevent accidental dislodging of the dilation device, and uniform and gradual radial expansion of the dilating member which occupies the entire length of the cervix, up to a transverse dimension of between about 1.5 cm. and 4' cm. or more, depending upon the stage of the pregnancy of the patient being treated. When the maximum desired degree of dilation has been achieved, which will desirably be achieved in four or more hours, the abortion facilitator may be allowed to reside in place for a substantial period of time, preferably overnight. When it is time to complete the abortion, if it has not occurred spontaneously, the dilating member is deflated to its normal dimension which is almost the same as the transverse dimension of the shaft member body per se, the anchor member is also deflated to its normal dimension, and the abortion facilitating device is removed. During the presence of the dilating device in situ, fluid can be removed from the uterine cavity or introduced thereinto through a conduit which communicates the proximal end of the shaft member, which extends outside the patients vagina during the dilation procedure with the distal end thereof which is located within the patients uterus.
During the residence in utero of the abortion facilitator device of this invention, the pregnancy" is disrupted by the distal segment of the device and by the expansion of the anchoring member, and this tends to stimulate a spontaneous abortion due to the presence of a foreign body in the uterus.
The abortion facilitator apparatus of the invention comprises a thin, elongated shaft member, having a rounded distal end and a proximal end which preferably terminates in three separate conduits, each of which communicates with a distinct channel defined within the shaft member per se. One channel communicates with the dilating member of the shaft member, which is spaced a substantial distance from the distal end of theshaft member. The dilating member, in the deflated state, is of substantially the same dimensions and cross-section as the shaft member body per se, and
in the inflated state is of substantially cylindrical shape and has a transverse dimension of from about l'.5 cm. to about 4 cm., and a length of from about 5cm. to about 6 cm. In the expanded condition and in the expanding condition, the dilating member maintains the substantially cylindrical configuration, with rounded ends, so that, as it expands, the dilating member applies uniform pressure to the cervical as which surrounds it.
taneous abortion. The anchoringmember is supplied with fluid from a separate conduit formed in the shaft.
member body, and expands to a transverse dimension approximately equalto the expanded transverse dimension of the dilating member. it is inflated, in use, prior to inflation of the dilating member, and serves to an chor the cervical dilator unit in situ. In its expanded condition the diameter of the anchoring member is approximately equal to the diameter of the dilating member. Therefore, if spontaneous abortion occurs, the anchoring member will not interfere with the natural expulsion of the abortion facilitator, since its diameter will be equal to the dilated opening of the cervix.
Spaced from and proximate the proximal end of the dilating member is a pair of wings, extending transversely in the body of the shaftmember, and having an aperture in each of the wings. The wings function to assist in the location of the shaft member with the cervical dilating member properly located within the cervix, and the apertures in the wings facilitate temporary suturing of the shaft member in place, and allow passage of a tenaculum through the opening in each wing;
The proximal end of the shaft member terminates in three distinct conduits, one for supplying an inflating fluid to each of the respective dilating and anchoring members, and one leading to a main channel which is internal to the body of the shaft member and extends therethrough to a point proximate the rounded tip at the distal end thereof. This latter channel permits drainage of fluid from the uterus and the introduction of medication into the uterus. Each of the two conduits leading to the respective anchoring and dilating members may be equipped, and preferably is equipped at its proximal end with a suitable valve device, to permit the attachment of a member or means for introducing fluid to the two expandable member conduits. The conduit connecting to the main channel, for introducing to or removing fluid from the uterus is preferably left open, and fluid or medication can be introduced into the uterine cavity by an irrigating-aspirating syringe, for example.
In the preferred form of the invention, the abortion facilitating device of the invention is produced in a number of different sizes, having somewhat different dimensions for use with women in different stages of pregnancy. Each abortion facilitator unit is preferably formed of a medically acceptable, firm but flexible material, and is also preferably packaged in a sterile package for one-time use and disposal.
OBJECTS OF THE INVENTION It is therefore an object of this invention to provide a process for the atraumatic and relatively safe dilation of the cervix of a patient as a preliminary step to the performance of an abortion and including the insertion of a foreign body into the uterus to tend to stimulate spontaneous abortion..
Another object of this invention is to provide a process for the pre-abortion dilation of the cervix by slowly and gradually, at a controlled rate, expanding the walls of the cervix under the pressure of the dilating member of the invention.
Yet another object of the invention is to provide a dilating apparatus, for use prior to an abortion procedure, and comprising a dilating member for uniformly radially gradually dilating the cervix, relatively painlessly and without damaging the cervix or the uterus.
A concomitant object of this invention is to provide a cervical dilating apparatus including means obtruding into the cervix to act as a foreign body, to disrupt the pregnancy and to anchor the abortion facilitating apparatus in place during use, to prevent inadvertent displacement thereof during use, and further including means for facilitating drainage of liquid from the uterus and introduction of liquid into the uterus.
An attendant object of this invention is to provide a cervical dilation apparatus which can be produced in different sizes, for optimal use in performing abortions in persons at different stages of pregnancy.
A still further object of this invention is to provide an apparatus which may easily be inserted into the cervical and uterine cavity atraumatically and with a minimum of discomfort and pain to the patient;
A still further object of this invention is to provide an apparatus for cervical dilation that will also stimulate the lower uterine segment and make the uterus more responsive to oxytocics, thereby inducing rapid miscarriage in pregnancies of 17 weeks and greater duration,
and on occasion in such late pregnancies stimulate spontaneous abortion without the need of oxytocics.
DESCRIPTION OF THE DRAWINGS FIG. 1 is a fragmentary front elevational view of the apparatus of this invention, packaged in a sterile package prior to use;
FIG. 2 is a fragmentary front elevational view of the apparatus of this invention, in the fully expanded condition;
FIG. 3 is a cross-sectional view taken along line 3-3 of FIG. 2;
FIG. 4 is a cross-sectional view taken along line 44 of FIG. 2;
FIG. 5 is a cross-sectional view taken along line 55 of FIG. 2; and
FIG. 6 is a schematic representation of a uterus showing the operative end of the apparatus of the invention in place in the expanded condition.
DETAILED DESCRIPTION OF THE INVENTION Viewing FIG. 2, the abortion facilitator unit of this invention, generally designated by the numeral 8, is seen to comprise a shaft member, generally designated as 10, having an elongated body, formed of medically acceptable, sterilizable, firm, flexible material, more fully described hereinafter, and terminating at its distal end in a rounded tip 12 and at its proximal end in three discrete conduits, respectively designated l4, l6 and 18. The conduits l4, l6 and 18 are integrally formed with and connected to the shaft member member 10 at its proximal end 20. The shaft member member 10, between its proximal end 20 and extending toward its distal end 12, defines three discrete channels, respectively designated 24, 26 and 28, best seen in FIG. 4. The longest channel, channel 28, extends from the proximal end of the shaft member, where it is in fluid communication with conduit 18, to a point spaced proximate the distal end 12 of the shaft member where channel 28 communicates with a plurality of apertures 30 which extend to the surface of the shaft member 12, and which permit fluid flow from the ambient at the distal end of the shaft member, into channel 28 and therefrom into conduit 18, and exiting through the proximal end 38 of conduit 18.
It may be desired, to avoid any confusion, to label each of the conduits 14, 16 and 18 with some identifying language indicating the particular communication which each provides, such as by labelling conduit 14 anchor, conduit 16 dilator, and conduit 18 uterme.
Channel 24 extends to a point spaced inwardly from the distal end 12 of the catheter and is in fluid communication, via a transverse channel 34, seen in FIG. 3, wth the inflatable anchor section or member 44 of the catheter. Anchor section 44 is shown in the deflated condition in FIG. 1 and in the inflated condition in FIGS. 2 and 6. Anchor member 44 comprises a thin, expandable, peripheral membrane, like a balloon, formed at the outer surface of shaft member member l0, and having substantially the same cross-sectional the anchor member 44 preferably has a maximum diameter in the range from about 1.5 to about 4 cm., approximately equal to the inflated diameter of the dilating member 46; different sizes of abortion facilitators will have different maximum diameters, depending upon the stage of pregnancy for which the device of this invention is to be used.
Also formed at the outer periphery of the shaft member body 10, is an. inflatable dilating member 46. Dilating member 46 comprises a thin, expandable peripheral membrane, like a balloon, which, when in the deflated condition shown in FIG. 1, has a cross-section approximately equal to the cross-section of the shaft member body, and, when in the inflated condition, has the substantially cylindrical shape, with rounded ends, illustrated in FIG. 2. The dilating member 46 is in fluid communication with channel 26, through a transverse channel 36 in the body of the shaft member 10, to allow the dilating member to be inflated, by the introduction of fluid through conduit 16, into channel 26, and therefrom through transverse channel 36 into the dilating member 46. The upper end of dilating member 46 is spaced below the lower end of anchor member 44 a distance of about l.O cm. to about 1.5 cm., for purposes more fully to be described hereinafter.
The dimensions of dilating member 46 may be varied, in accordance with the stage of pregnancy of the patient whose cervix is being dilated, and the dimensional differences will also be more fully described hereinafter. However, in one embodiment of the invention, usable for patients during the sixth to twelfth week of pregnancy, the dilating member 46, in the expanded condition, will have a diameter of approximately 3 cm. and a longitudinal dimension of approximately 6 cm. The construction of the dilating member 46 is such that the longitudinal portions of the outer wall 48 of the dilating member are approximately parallel, and remain approximately parallel as the dilating member expands from the deflated condition of FIG. 1 to the inflated condition of FIG. 2.
Formed inboard the proximal end of dilating member 46, and spaced about 1 cm. therefrom, is a second an chor member 50, which is best seen in FIG. 5 to comprise two loop sections 52 formed on opposite sides of the shaft member body 10, each of the loops defining a central aperture 54. The function of the anchor member 50 is to assist in anchoring the shaft member in place, as will be more fully described hereinafter.
The distal end 12 of the unit has a rounded tip of approximately 0.5 cm. length, and the distance from the tip to the distal end of anchor member 44 is approximately 2.0 cm. to 3.5 cm.
The distance from the proximal end of anchor member 50 to the proximal end of conduit 18 is, in the preferred embodiment of the invention, about 30 cm. to about 32 cm.
The diameter of shaft member is preferably in the range from about 5 mm. to about 7 mm. The anchor members 50 are approximately 3 mm. in their longitudinal dimension.
The abortion facilitating device of the invention is formed of a medically acceptable, sterilizable, nontoxic, non-irritating material, of a type which is wellknown in the art, such as latex, rubber, silicone rubber, or Silastic, a silicone elastomer. It may be desirable, depending upon the particular rigidity of the material of which the shaft member is constructed, to mold a scrim of Dacron or similar material into the material of the shaft member, in a well-known manner, to give it greater rigidity, and thereby make it more convenient to handle. The abortion facilitator of this invention is preferably molded of a unitary body of material, in a manner which is known in the art, although it is withinsional integrity of the dilating member is maintained, in
substantially cylindrical form, as the dilating member is expanded against the walls of the cervix, in the manner described hereinafter.
As shown in FIG. 1, the abortion facilitator device of the invention is packaged in a closed, hermetically sealed envelope 60, of a type which is well-known in the art, and which is sterilized within the envelope, such as by initially evacuating the'envelope with the abortion facilitatordevice inside, and replacing the interior of the envelope with a sterilizing medium such as ethylene oxide, and subsequently evacuating and sealing the envelope. This would insure the sterility of the unit prior to its use.
In manufacturing the cervical dilator device of this invention, the respective terminal ends 34 and 36 of conduits 14 and 16 may be formed, in a manner which is well-known in the art, with a resealable membrane of rubber, latex, or the like, to permit the maintenance of the sterility of the interior of conduits l4 and 16 and channels 24 and 26 when the dilating unit is located in situ. Alternatively, each of the conduits or one or more of the conduits could be packaged with a Luer lock adapter inserted therein, to permit connecting of the respective conduits to suitable syringes or other devices for the introduction of fluids, having mating Luer lock members, in a manner which is well-known in the art.
The abortion facilitator device of this invention, and the process of its use of this invention, are utilized in connection with the performance of an abortion, which is usually performed by dilatation and curettage, or, in the case of pregnancies of 17 weeks or greater duration, the medicated inducement of spontaneous abortion (as by the use of hypertonic saline plus oxytocics). One currently popular way for performing such an abortion is by the use of a vacuum device. Such a vacuum device, using different-sized cannulae, each of which has a substantial cross-sectional dimension, on the order of 10 to 14 mm. of the cannula or suction tip portion which enters the uterus. A substantial amount of cervical dilation is necessary, prior to undertaking the actual abortion procedure, in order to allow the cannula or suction tip of the vacuum device to be inserted in the uterus. The particular size of the cervix, and the amount of dilation necessary in order to allow a properly sized vacuum device to enter the uterus and evacuate the uterus will depend upon the stage of the pregnancy. The earlier the pregnancy, the less the amount of dilatation of the uterus which is necessary prior to performing the abortion.
Also, pregnancies which are at orbeyond the 17 week stage, require, in addition to substantial dilatation, a stimulation of the lower uterine segment, in order to have an effective abortion. The stimulation of the lower uterine segment is desirable in order to cause spontaneous abortion to occur and expel naturally most of the products of conception; then the remaining products of conception in the uterus may be removed relatively easily by abortion curettage or the usual dila tation and curettage procedure. The commencement of abortion at the 17 week or later stage is usually commenced by the introduction trans-abdominally of hypertonic saline to stimulate spontaneous abortion to remove most of the products of conception, after which a conventional D & C is performed.
As previously noted, the currently accepted technique for cervical dilation prior to vacuum mechanism insertion to perform abortion, is by inserting into the cervix, which has a soft and pulpy consistency during pregnancy, metal dilators which are used to dilate and stretch the cervix to the dilated condition. The use of such metal dilators is undesirable for a number of reasons, including the likelihood that minor or even major lacerations of the cervix could occur, causing pain and requiring suturing, and occasionally the more disastrous possibility of a uterine perforation can occur. Such uterine perforations can result in bowel injury or an accidental hysterectomy. Also, traumatizing the cervix by the use of metal dilators may cause dangerous hemorrhaging and also may have deleterious effects on later pregnancies of the patient.
The apparatus and process of the instant invention provide for the gradual, controlled, uniform dilation of the cervix by the device of the invention which, because of the construction of the device and because it is formed of medically acceptable, flexible smooth materials, permits atraumatic dilatation to be achieved without damage to the cervix. The atraumatic nature of the process, without sacrificing safety or comfort of the patient, can avoid, to a substantial extent, the necessity for heavily anesthetizing the cervical area, which is otherwise necessary because of the pain and discomfort attendant upon dilatation of the cervix using metal dilators.
Moreover, the process and apparatus of this invention, by introducing a foreign body into the uterus and further disturbing the pregnancy by the expansion of anchoring device 44, create a reasonable prospect that spontaneous abortion will occur, leaving only a minor removal of residual pregnancy to be done by the medical professional.
It is also desirable, during the dilation of the cervix, on occasion, to permit drainage of fluid from the uterine cavity, and it is sometimes desirable to be able to introduce medication into the uterine cavity, such as Rivanol both of which desiderata are provided by the apparatus of this invention.
The process of this invention comprises the introduction of a foreign body into the uterus and gradual and uniform dilation of an otherwise undilated cervix, prior to the performing of an abortion, by gradually and radially uniformly mechanically expanding the cervix, and, after the cervix is fully dilated, allowing the foreign body to remain in utero for a period of up to about 24 hours. The expandable dilating member is uniformly and gradually radially expanded during a period of up to about four hours, while maintaining substantially along its entire length, and therefore substantially along the entire length of the cervix, a generally uniform cross-sectional dimension. The precise rate of expansion of the dilating member will be determined by the physician or medical professional, and may be varied as indicated by experience with the patient, until the cervix is dilated to the maximum necessary extent. It is to be appreciated that the extent of dilation of the cervix will vary in accordance with the duration of the pregnancy of the patient being aborted.
In the process of this invention the physician or other medical professional could either insert the abortion facilitator device on the evening before the day on which the abortion is to be performed, or on the day the abortion is to be performed. If done the previous evening, anchor 44 is promptly fully dilated, such within a one or two minute period, and dilator member 46 will be expanded gradually during a period of up to about four hours and the device, in fully expanded condition, is allowed to remain in place overnight. The next morning, if abortion has not occurred spontaneously, the abortion facilitator may be removed and the abortion completed. If the abortion facilitator device is inserted on the day of the abortion, it would be inserted, the anchor 44 would be inflated quickly, and the dilating member 46 would be expanded gradually during a period of up to about 4 hours. Thereafter, the abortion facilitator may be permitted to remain in place for several hours before removal to attempt to initiate a spontaneous abortion, or it may be removed promptly after it is fully expanded to perform the abortion. lf spontaneous abortion does occur, and this is a very desirable result, then all which remains to be done is to use vacuum curettage or evacuation and curettage to remove from the uterus the remaining products of conception. It is notable that the insertion of the abortion facilitating member of the invention may be done at a doctors office or clinic and the patient could be sent home overnight with the abortion facilitating member in place in the fully expanded condition. The patient would return the next morning for removal of the abortion facilitating member and completion of the abortion.
Generally, if the abortion is being performed during about the sixth week of the pregnancy, the amount of cervical dilation desired is at least about l mm. Therefore, for performing abortions during the first 6 weeks of pregnancy, the length of the dilating member 46 would be about cm., and its inflated diameter would be about somewhat greater than mm. and would preferably be expandable up to about mm. In a unit intended to be used during the first 6 weeks of pregnancy, the anchoring member 44 would have a diameter of about 1.5 cm. in the inflated condition and a length of about 1 cm.
For women having pregnancies of more than about 6 weeks and up to about 12 weeks duration, at least about 12 mm. of cervical dilation is desired, and, accordingly, the dilating member of a device intended to be used with a person in this stage of pregnancy would have an inflated diameter of at least about 12 mm. and would preferably be expandable up to a diameter of about mm. and would also have a length of approximately 6 cm. In such a unit, the anchoring member 44 would have an inflated diameter of at least about 12 mm. and preferably up to about 30 mm. and a length of about 1 cm.
The dilating member for use with women having pregnancy of a duration of more than about 12 weeks, would have an expanded diameter of at least about 14 mm. and preferably up to about mm. for the dilating member 46, which would also have a length of 6 cm., to achieve dilatation of at least about 14 mm., and the anchoring member 44 would correspondingly haVe an expanded diameter of at least about 14 mm. and preferably up to about 40 mm. and would have a length of 1 It is to be noted that the expandable member 46 is preferably designed to be-expanded substantially in excess of the minimum degree of cervical dilatation necessary to perform the abortion. This design preference is recommended in order to permit maximum flexibility in the use of the inventive device and to provide maximum dilatation for ease of abortion.
Accordingly, 3 different sizes of abortion facilitator units would reasonably be able to accommodate the different degrees of cervical dilatation desired for insertion of the currently used sizes of cannulae or suction tips for suction curettage during different stages of pregnancies. Of course, in the event that more limited and controlled amounts of expansion are desired, units can be made having smaller increments of difference of dimensions. Also, since the dimensions and conditions of a patient may vary, it may be necessary or desirable to use a smaller or larger unit than usual with a particular person, and it is to be noted that the dimensions of the abortion facilitator unit to be used asdescribed herein and the extent of dilatation to be achieved with patients with different stages of pregnancies are general recommendations only.
Once the desired degree of dilatation is achieved, the dilating member 46 and anchor member 44 are deflated to their original sizes, and the abortion facilitator member is removed from the patient to permit the remainder of the abortion procedure to take place.
More specifically, in the performance of the process of the invention, the examining physician or other medical professional would examine the patient to determine the condition of the patient and the size of the pregnant uterus, so that the appropriate size of abortion facilitating device would be selected. The physician or other medical professional would also determine whether the uterus is anteverted or retroverted. When this is determined, a non-traumatizing tenaculum could be attached temporarily to the anterior lip of the cervix in order to steady it, and an antiseptic applied to the cervix, this being done while visualizing the cervix through a speculum.
Using sterile gloves and maintaining a sterile set-up, the abortion facilitating device 8 of this invention of appropriate size, is then removed from its sterile envelope 60, and a small amount of KY jelly is applied to the distal end 12 thereof. The abortion facilitating device 8 would then be slid intothe uterus, it being appreciated that, at this point in the process, both anchor member 44 and dilating member 46 are in the deflated condition. Anchor member-50 determines the approximate maximum degree to which the distal portion of the dilating member of the abortion facilitator device of the invention can be inserted in the cervix, and, in the usual position, the anchor member 50 would be spaced approximately 1 cm. from the anterior end of the cervix. At this point, the deflated dilating member 46 is seated within the cervical canal or cervical s and the proximal end of shaft member 10 and conduits 14, 16 and 18 extend substantially without the patients vagina, for easy connection to suitable fluid introduction devices. At this point also, the distal end of the abortion facilitator unit, including anchor member 44, extend into the uterus in the manner shown in F IG. 6 (except that neither member 44 or 46 is yet inflated) and constitute a foreign and disruptive body in the uterus.
It may be desired to fasten initially the abortion facilitator unit 8 in place by applying a few sutures to the cervix and around the wings 50. The apertures 54 in wings 50 also allow thephysician to pass a tenaculum through the aperture in each wing and thus grasp the cervix on either side for possible carbocaine .injections of the parametria.
Anchor member 44 and dilating member 46 are next inflated to their appropriate maximum sizes which will be in the range of 1.5 cm. to 4 cm., depending upon the particular size of abortion facilitating unit being used. This expansion may be accomplished by injecting a suitable amount of sterile water into the respective conduits 14 and 16. This water can be introduced through a syringe having a suitable Luer lock connection member, for example, if a Luer lock connection is packaged as part of the abortion facilitation member of the invention. Liquid is introduced via conduit 14 to promptly and fully inflate member 44, and conduit 16 is then connected to a Harvard infusion pump (not shown) with a Luer lock or other suitable connection, for the purpose of introducing at a gradual and controlled rate, a controlled quantity of liquid to inflate member 46. If resealable closure members at the ends of conduit 14 and 16 are utilized, a syringe needle can be used for introducing the proper amount of liquid.
For an anchor member having an inflated diameter of 1.5 cm. approximately 3 cc. of sterile water would be required for proper inflation. In a dilating member in which the expanded diameter of anchor 44 is 3 cm., approximately 5 cc. of water would be required, and in the anchoring member which will be 4 cm. in diameter in the inflated condition approximately 10 cc. of water would be required for proper inflation. The anchoring members are usually inflated rapidly, within about a minute or two. However, it is to be understood that the exact timing and rate of introduction of fluid is quite variable and will depend on the physicians or other medical professionals judgement of the optimum conditions for the particular patient.
The amount of liquid which is required to inflate the dilating member 46 will depend upon the size of the dilating member. For a dilating member 46 which will have a diameter of 1.5 cm. and a length of 5 cm. in the inflated condition, approximately 12 cc. of sterile water or other fluid would be required for proper inflation. A dilating member 46 which, in the inflated condition, would have a diameter of about 3 cm. and a length of about 6 cm. would be inflated with approximately 30 cc. of sterile water, and a dilating member 46 which, in the inflated condition, would have a diameter of about 4 cm. and a length of about 6 cm. would be inflated with approximately cc. of sterile water. In inflating the dilating member 46, it will initially be desirable to introduce 10 to 20 percent of the filled capacity of the dilating member, recognizing that introduction of fluid can be dicontinued temporarily at any time if the patient is experiencing any substantial pain or discomfort. The remaining fluid may be introduced at a rate of about 10 percent of the filled capacity of the dilating member 46 during each half hour. However, it is to be understood that the exact timing and rate of introduction of fluid is quite variable and will depend upon the physicians or other medical professionals judgment of the optimum conditions for the particular patient.
It is to be noted that the anchoring member 44 will preferably be inflated relatively rapidly prior to commencement of inflation of dilating member 46.
The time period during which the dilatation takes place, will, of course, depend upon the amount of dilation which is to be achieved, and dilatation will most desirably be achieved gradually during a period of about 4 hours. The dilatation of the cervix can be accomplished in substantially less than 4 hours, but if done too quickly it may be painful to the patient thereby avoiding an important benefit of the practice of this invention. The precise timing and the rate will best be determined by the physician handling the patient, but it is quite desirable to do the dilating at a relatively uniform rate in order to achieve optimum results in the minimum time period with minimum patient discomfort.
As soon as the abortion facilitating device 8 of this invention is located in place within the uterus, any blood within the uterine cavity is allowed to drain out through the apertures 30 and channel 28 and exit through conduit 18. A suitable syringe may be connected to conduit 18, for the removal of any blood or other fluid. Similarly, if it is desirable to introduce medication into the uterine cavity, such as a Rivanol solution, for example, this can be introduced through a syringe suitably connected at the proximal end 38 of conduit 18.
Once the dilation has been completed, the liquid in anchor member 44 would first be removed, in the same fashion as was originally introduced, by the use of a suitable syringe, and any sutures fastening anchor member 50 to the cervix would also be cut and removed.
At this time, the liquid utilized to inflate dilating member 46 would be removed by using a syringe or pump connected to the proximal end 36 of conduit 16, as a result of which the dilating member 46 would deflate to its condition illustrated in FIG. 1. At this point in time, the abortion facilitator unit 8 would be ready for removal, and could easily be removed by the physician, at which time the cervix will be dilated to the desired degree, and the abortion can proceed.
It is to be noted that, although sterile water is preferred as the means for inflating anchor member 44 and dilating member 46, other sterile, medically acceptable fluids can be used, which could either be gases under pressure or liquids.
It will therefore be recognized that the apparatus and process of this invention provide a convenient, safe and effective method for initiating and facilitating abortions and for safely achieving cervical dilation and permitting uterine drainage and administration of medication prior to the performing of abortions.
It will be appreciated that, although particular materials, shapes and dimensions of the apparatus and of the process of this invention have been described, certain changes in these materials and shapes and dimensions and process conditions can be made without departing from the purview of this invention.
What is claimed is:
l. A process for performing an abortion to a uterus containing at least one human fetus during approximately the first 24 weeks of pregnancy, comprising steps of:
a. Inserting into the undilated cervix a radially expandable dilating member which is substantially coextensive therewith;
b. Substantially radially uniformly and gradually enlarging the expandable portion of said dilating member by the introduction therein of a fluid until the cervix is dilated an amount in the range from about l.5 cm. to about 4 cm.;
0. Exhausting said dilating member; and
d. Removing said dilating member from the cervix.
2. A process for performing an abortion to a uterus containing at least one human fetus during approximately the first 24 weeks of pregnancy, comprising the steps of:
a. Inserting substantially into the uterine cavity an abortion facilitating device extending from the vagina into the uterine cavity and comprising a radially expandable cervical dilating member and an expandable foreign body member;
b. Seating in the undilated cervix the radially expandable dilating member and seating in the uterus the foreign body member;
0. Expanding the foreign body in the uterus;
d. Substantially radially uniformly and gradually enlarging the expandable dilating member until the cervix is dilated an amount in the range from about 1.5 cm. to about 4 cm.;
e. Exhausting said dilating member and said foreign body member; and
f. Removing said abortion facilitating device from the uterus.
3. A process as set forth in claim 2, wherein said enlarging of said dilating member occurs during a period of up to about four hours.
4. A process for performing an abortion to a uterus containing at least one human fetus during approximately the first 24 weeks of pregnancy, comprising the steps of:
a. Inserting substantially into the uterine cavity an abortion facilitating device and simultaneously seating in the substantially undilated cervix a radially expandable dilating member;
b. Substantially radially uniformly and gradually enlarging the expandable portion of said dilating member during a period of up to about 4 hours until the cervix is dilated an amount in the range from about 1.5 cm. to about 4 cm.;
0. Exhausting said dilating member; and
d. Removing said abortion facilitating device from the uterus.
5. A process as set forth in claim 4, including the final step of inserting an aborting device into the uterus to complete the abortion.
6. A process as set forth in claim 5, including the step, after insertion of the abortion facilitating device into the uterus, and prior to expansion of the dilating member, of relatively fixedly immobilizing said abortion facilitating device with respect to the cervix by expanding an anchoring member of said device within the uterus.
7. A process as set forth in claim 4 including the step of allowing the expanded dilating member to remain in the cervix for at least several hours prior to removal of the abortion facilitating device.
8. A process as set forth in claim 4, including the step of introducing medication directly into the uterus through the portion of said device extending into the uterine cavity.
9. Apparatus for cervical dilation for and facilitation of an abortion, comprising:
a. An elongated, firm, flexible shaft member having a proximal end and a distal end and defining at least two conduits commencing proximate its proximal end;
b. An expandable peripheral dilating member integral with said shaft member and having a length in the range from about cm. to about 6 cm., said dilating member having a transverse dimension in the unexpanded condition of approximately the same size as the transverse dimension of the remainder of the shaft;
. Said dilating member when inserted in the cervix of a human up to about 24 weeks pregnant being expandable in the cervix substantially in the form of a cylinder with rounded ends in the fully expanded condition and in all partially expanded conditions and having a transverse dimension in the expanded condition in the range from about. 1.5 cm. to about 4 cm.;
d. An expandable peripheral anchoring member integral with said shaft member formed on the distal side of the dilating member and spaced at least in the range from about 2 cm.- to about 6 cm. therefrom, and having a fully expanded transverse dimension which is approximately equal to the expanded dimension of the dilating member; and
e. One of said two conduits communicating with the interior of said dilating member and the other of said two conduits communicating with the interior of said anchoring member.
10. Apparatus as set forth in claim 9, wherein said dilating means includes an inflatable wall having a fabric scrim substantially incorporated therein.
11. Apparatus as set forth in claim 9, wherein said shaft member defines a third conduit extending from a point proximate the proximal end thereof to a point axially through said stop member to permit the affixationof said member in situ.
13. Apparatus as set forth in claim 9, wherein said shaft member has a rounded distal end and the proximal end terminates in three separate, spaced conduits.
14. Apparatus as set forth in claim 9,. wherein said shaft member is formed of a sterilizable, smooth material.
15. Apparatus as set forth in claim 9, wherein the proximal end of each of said two conduits is closed by a resealable membrane.
16. Apparatus as set forth in claim 9, wherein said expandable anchoring member has a proximal end and said dilating member has a distal end and wherein the spacing therebetween is in the range from about 1 cm.
to about 2 cm.
|Cited Patent
|Filing date
|Publication date
|Sep 11, 1937
|Sep 28, 1943
|American Anode Inc
|Distensible bag catheter
|Dec 30, 1947
|Aug 23, 1949
|Myller Ernest
|Insufflation cannula
|Mar 1, 1949
|Jan 3, 1950
|John H Trinder
|Tampon for control of intractable nasal hemorrhages
|Jan 22, 1958
|Oct 7, 1958
|Vito V Pagano
|Nasopharyngeal tube
|Apr 5, 1967
|Nov 25, 1969
|Shute Wallace B
|Cervical dilator
|Dec 29, 1970
|Mar 27, 1973
|Robinson R
|Abortive device and method
|Title not available
|Citing Patent
|Filing date
|Publication date
|Dec 16, 1976
|Jul 18, 1978
|The Upjohn Company
|Extra-amniotic administration device
|May 21, 1975
|Feb 6, 1979
|Ortho Pharmaceutical Corp.
|Dilator for cervical canal
|Jul 28, 1980
|May 11, 1982
|Fogarty Thomas J
|Calibrating dilation catheter
|May 4, 1981
|Sep 13, 1983
|Hutchins Rhonda P
|Method to enhance artificial dog breeding
|Apr 19, 1985
|Jun 24, 1986
|Dastgeer Ghulam M
|Colo-rectal evacuator
|Aug 12, 1985
|May 12, 1987
|Kamran Ghodsian
|Dilator for cervical canal
|Apr 24, 1986
|Aug 18, 1987
|Lottick Edward A
|Anal dilator and occluder
|Oct 25, 1984
|Dec 13, 1988
|Alza Corporation
|Parenteral agent dispensing equipment with drug releasing member
|Jul 6, 1987
|Jun 6, 1989
|Landymore Roderick W
|Method for effecting closure of a perforation in the septum of the heart
|May 4, 1987
|Aug 15, 1989
|Alza Corporation
|Intravenous system for delivering a beneficial agent
|Jun 2, 1988
|Apr 16, 1991
|Advanced Surgical Intervention, Inc.
|Balloon dilatation catheter
|Dec 6, 1989
|Apr 23, 1991
|The Kendall Company
|Dual-lumen catheter apparatus and method
|Jun 1, 1989
|Jul 9, 1991
|Advanced Surgical Intervention, Inc.
|Balloon dilation catheter
|Sep 14, 1988
|Jan 21, 1992
|Linda Jonasson
|Device for preventing involuntary micturition
|Dec 20, 1990
|Apr 14, 1992
|C. R. Bard, Inc.
|Uterine access device with automatic cervical adjustment
|May 29, 1992
|Sep 28, 1993
|Michael Vigdorchik
|Single use intrauterine injector
|Jun 28, 1991
|May 17, 1994
|Rosenbluth Robert F
|Balloon dilation catheter
|Apr 28, 1993
|Dec 20, 1994
|Mahurkar; Sakharam D.
|Reinforced multiple-lumen catheter and apparatus and method for making the same
|Mar 2, 1995
|Jun 18, 1996
|Boston Scientific Corporation
|Flow obstruction treatment method
|Feb 6, 1995
|Jun 3, 1997
|Scimed Life Systems, Inc.
|Device for closing a septal defect
|Jun 5, 1995
|May 19, 1998
|Boston Scientific Technology, Inc.
|Method of treating a flow obstruction
|Jun 7, 1995
|Aug 25, 1998
|Vas-Cath Incorporated
|Multiple lumen catheter
|Jun 7, 1995
|Nov 17, 1998
|Boston Scientific Corporation
|Balloon dilation catheter
|May 12, 1997
|Apr 6, 1999
|Neuwirth; Robert S.
|Intrauterine chemical necrosing method, composition, and apparatus
|Feb 18, 1999
|Dec 26, 2000
|Neuwirth; Robert S.
|Intrauterine chemical necrosing method, composition, and apparatus
|Jul 15, 1997
|Feb 13, 2001
|Ablation Products, Inc.
|Intrauterine chemical cauterizing method and composition
|Sep 17, 1997
|Mar 6, 2001
|Robert S. Neuwirth
|Intrauterine chemical necrosing method and composition
|Aug 25, 1998
|Mar 27, 2001
|Vas-Cath Incorporated
|Multiple lumen catheter
|Feb 26, 1997
|Aug 7, 2001
|Scimed Life Systems, Inc.
|Device for closing a septal defect
|Nov 21, 2003
|Sep 12, 2006
|Hibler Timothy B
|Cervical medical device, system and method
|Mar 27, 2001
|Jun 12, 2007
|Vas-Cath Inc.
|Multiple lumen catheter
|Dec 6, 2011
|C. R. Bard, Inc.
|Waste management system
|Dec 13, 2011
|C. R. Bard, Inc.
|Waste management system
|Apr 21, 2008
|Jan 31, 2012
|Polyzen Inc.
|Extrusion blow-molded corporeal port mounting structure
|Apr 21, 2008
|May 1, 2012
|Polyzen Inc.
|Ostomy bag mounting structure
|May 15, 2009
|Dec 3, 2013
|C. R. Bard, Inc.
|Waste management system
|Jul 22, 2008
|Jul 15, 2014
|C. R. Bard, Inc.
|Waste management system
|Oct 11, 2007
|Jan 6, 2015
|C. R. Bard, Inc.
|Waste management system
|Feb 8, 2008
|Jun 16, 2015
|B & D Medical Development, Llc
|Balloon tamponade
|Dec 12, 2002
|Jun 17, 2004
|Jonathan Foltz
|Cervical canal dilator
|Nov 21, 2003
|Jun 24, 2004
|Hibler Timothy B.
|Cervical medical device, system and method
|Sep 28, 2004
|Mar 10, 2005
|Os Technology, Llc.
|Cervical canal dilator
|Feb 2, 2005
|Jul 7, 2005
|O.S. Technology Llc
|Cervical canal dilator
|Jun 10, 2005
|Apr 13, 2006
|Eben Howard And Pamela A. Howard
|Movable inflatable anchor for medical devices
|Sep 12, 2006
|Feb 8, 2007
|Hibler Timothy B
|Cervical Medical Device, System and Method
|Apr 17, 2007
|Dec 13, 2007
|Bruce Beyer
|Fluid-filled cervical dilator
|Aug 28, 2006
|Mar 27, 2008
|Femsuite, Llc
|Cervical dilator and methods of use
|Feb 8, 2008
|Sep 4, 2008
|Belfort Michael A
|Pelvic balloon tamponade
|Apr 21, 2008
|Oct 23, 2008
|Shah Tilak M
|Ostomy bag mounting structure
|Apr 21, 2008
|Oct 23, 2008
|Shah Tilak M
|Extrusion blow-molded corporeal port mounting structure
|May 8, 2009
|Sep 10, 2009
|C.R. Bard, Inc.
|Waste management system
|Jul 22, 2008
|Nov 4, 2010
|Vasu Nishtala
|Waste management system
|Aug 5, 1991
|Aug 31, 1993
|Intravenous system for delivering a beneficial agent
|Mar 28, 2000
|May 14, 2002
|Argomed Ltd.
|Thermal treatment apparatus
|Aug 13, 2012
|Dec 5, 2012
|Womb-distracting endoscopic device for visualized abortion
|Dec 24, 2013
|Mar 26, 2014
|Soft womb-enlarging probe
|Dec 24, 2013
|Dec 16, 2015
|Jul 24, 1981
|Feb 18, 1982
|T Fogarty
|Calibrating dilatation catheter method and apparatus
|Jun 2, 1989
|Dec 14, 1989
|Advanced Surgical Intervention, Inc.
|Balloon dilation catheter
|Sep 24, 1999
|Apr 6, 2000
|Smiths Industries Public Limited Company
|Uterine catheter
|Feb 17, 2005
|Apr 6, 2006
|Os Technology Llc.
|Cervical canal dilator
|Feb 17, 2005
|Mar 26, 2009
|Os Technology Llc
|Cervical canal dilator
|Oct 29, 2015
|May 6, 2016
|Glam Snc
|A system of curettage of the uterine cavity and dilation of the cervical canal
|U.S. Classification
|606/193, 604/101.5, 604/913, 604/919, 604/104
|International Classification
|Cooperative Classification
|European Classification


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Plextor PXLB950UE External 12x Blu-Ray Writer - BD-R 12x, BD-RE 2x, BD-R DL 8x, DVD�R 16x, DVD�R DL 8x, DVD+RW 8x DVD-RW 6x, DVD-RAM 12x, CD-R 48x, CD-RW 24, USB 3.0, eSATA, LightScribe, TrayItem#:� P67-2030 �|�Model#:�PX-LB950UE
Currently Out Of Stock!
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Plextor Ext USB/eSATA 12x BD Writer w/ Lightscribe Product Details
Plextor PXLB950UE External 12x Blu-Ray Writer
The Plextor PXLB950UE External 12x Blu-Ray Writer is perfect for those that demand clear and smooth high-definition viewing or need large data storage while on-the-go. The Plextor PXLB950UE External 12x Blu-Ray Writer is capable of handling ultra fast recording speed at 12x and plays amazing high-definition blu-ray movies. The Plextor PXLB950UE External 12x Blu-Ray Writer features the all-new Superspeed USB 3.0 and eSATA connections which provide bandwidth for super fast data transfer rate and shorten burn time The drive is backward compatible with USB 2.0 allowing great flexibility to connect any Notebook, Netbook, and PCs.
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Additional Resources: Product Manuals
Manufactured by: Plextor
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Mfg Part No: PX-LB950UE
Box Size:
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On this page:
Definition of the adjective thyroidal
What does thyroidal mean as an attribute of a noun?
adjective - degrees: -
- of or relating to the thyroid gland
- example: thyroidal uptake
- lexical domain: Relational Adjectives (pertainyms)
- synonym of thyroidal: thyroid
Printed dictionaries and other books with definitions for Thyroidal
Click on a title to look inside that book (if available):
Encyclopedia of Molecular Mechanisms of Disease (2009)
With 213 Tables by Florian Lang
Moreover, NIS is blocked by goitrogens inducing thyroidal growth (e.g., thiocyanate, isothiocyanate, and goitrin in brassica vegetables and cassava, Kojic acid used to ferment soy products, chlorate, and nitrate) [3]. Iodine export from the ...
The London encyclopaedia, or, Universal dictionary of science, art, literature, and practical mechanics, by the orig. ed. of the Encyclopaedia metropolitana [T. Curtis]. (1839)
by Thomas Curtis (of Grove house sch, Islington)
The arteries and veins are held susceptible of little or no sensation, except the carotid, the lingual, temporal, pharyngal, labial, thyroidal, and the aorta near the heart ; the sensibility of which is ascribed to the nerves that accompany them.
Encyclopedia of Cancer (2011)
by Manfred Schwab
Both N-terminal and C-terminal flanking peptides are detected in the plasma and thyroidal tissues of both normal and > medullary thyroid carcinoma (MTC) patients. However, no biological function for either of these two peptides has been ...
Schirmer's Complete Rhyming Dictionary (2010)
by Paul Zollo
testable testicle testimonial tetanal tetrahedral textile textual thankful theatrical theistical theological theoretical theosophical therapeutical thermal thermocouple thermometrical thimble thinkable thistle thoughtful threatful throttle thyroidal tibial ...
Elsevier's Dictionary of Vitamins and Pharmacochemistry (2006)
by Henry Philippsborn
the hypothalamic hormone – the hypophyseal hormone – the thyroidal hormone.) Stimilierungskaskade f; Anregungskaskade f cascade f ...
Online dictionaries and encyclopedias with entries for Thyroidal
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Photos about Thyroidal
If you need images about Thyroidal for an article or a report, you can download stock photos at a very small price:
Video about Thyroidal
Thyroidal Meaning
Video shows what thyroidal means. Of, pertaining to, or affecting the thyroid. Thyroidal Meaning. How to pronounce, definition audio dictionary. How to say ...
Scrabble value of T1H4Y4R1O1I1D2A1L1
The value of this 9-letter word is 16 points. It is included in the first and second editions of the Official Scrabble Players Dictionary.
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Go to the thesaurus of Thyroidal to find many related words and phrases!


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At an emergency meeting Wednesday night, the Homer City Council said it will petition the Alaska Supreme Court to review an April 3 judicial order that it cease its method for assessing condominium owners in the Natural Gas Homer Special Assessment District. Council member David Lewis made the annou...Thu, 04/09/2015 - 11:26am
In a harsh rebuke to how the city of Homer assessed condominiums for the Homer Natural Gas Assessment District, Kenai Superior Court Judge Charles Huguelet last Friday afternoon ordered the city to comply with his Jan. 6, 2014, ruling. In his decision in the Ken Castner v. City of Homer case, ...Wed, 04/08/2015 - 3:43pm
Extend your reach. Hang on tight. Jump high. Those all could be skills any athlete would want to develop for traditional sports, but crawl like a seal? In a demonstration of Native Youth Olympics last Thursday at Homer Middle Schools by Sam Strange and David Thomas of the Cook Inlet Tribal Council, ...Wed, 04/08/2015 - 3:36pm
Citing a family member's health issues, Anchor Point Fire and Emergency Services Chief Jim Dycus has resigned from his post. Dycus submitted his resignation to Kenai Peninsula Borough Mayor Mike Navarre on March 26, with an effective date of April 17. Navarre confirmed last Friday that he received...Wed, 04/08/2015 - 2:49pm
In a harsh rebuke to how the city of Homer assessed condominiums, Kenai Superior Court Judge Charles Huguelet on Friday afternoon ordered the city to comply with his Jan. 6, 2014, order in Ken Castner v. City of Homer where he called that method "arbitrary and unreasonable." "It is hereby orde...Fri, 04/03/2015 - 4:54pm
Now that spring has arrived, it's not just crocuses popping up around town. New venues also appear this month for First Friday shows, including a twist on the usual opening. At the Homer Elks Lodge, the artist becomes the show when painter Dan Coe does a four-hour stint on the back porch making an...Wed, 04/01/2015 - 1:29pm
A Homer City Council member has questioned the propriety of having the police chief sit as a member on a proposed nine-seat Cannabis Advisory Commission. At the council's March 23 meeting, council member Beau Burgess introduced Ordinance 15-07 creating a Cannabis Advisory Commission, but he ...Wed, 04/01/2015 - 1:22pm
Searchers found a 3-year-old boy missing for about 45 minutes last week in the best possible place — inside the boy's home. The boy's parent notified Alaska State Troopers about 4:30 p.m. on March 23 that the child had gone missing while playing outside near the home in the Bonnie Avenue...Wed, 04/01/2015 - 1:20pm
For the employees of the Homer Harbor, the job comes with one of the best perks around: a glorious view of the harbor, Kachemak Bay and the glaciers and peaks of the Kenai Mountains. At the old office on the west side of the harbor, that scene might not be as obvious. From the new Homer Harbor...Wed, 04/01/2015 - 1:17pm
In its second go-round of interviewing city manager candidates, the Homer City Council dipped into its own employee pool: Matt Clarke, deputy harbormaster, and Katie Koester, community and economic development coordinator. After interviews at a special meeting Tuesday, and in a unanimous decision, t...Thu, 03/26/2015 - 10:05am
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If there is one daunting task every couple must take on, it's probably deciding the seating arrangement for their wedding. Fear not, we can help to ensure your seating chart will look less like a rubix cube and fit together more easily like a kids' puzzle. From the types of elegant seating for your ceremony, to determining where or where not to seat guests at your reception, Manor blog readers, our Best of- Wedding Seating, you'll want to read comfortably sitting down, with your feet up.
Read more…
Best of Wedding SeatingMonday, September 12th, 2016 | Filed under: Bridal party, wedding ceremony, Wedding Seating Chart | author: By Christopher Gellings,
Best of Wedding GiftsTuesday, September 6th, 2016 | Filed under: bridal registry, thank you notes, wedding gifts, wedding registry | author: By Paul Keenan,
The amount of gifts you receive on your wedding is most likely totaled to be the most amount of gifts you will receive in your entire life. To better help you plan accordingly to ensure you receive what you expected on your wedding registry, we've gathered our most popular wedding gift-related blogs, carefully wrapped them all up, and tied them in a nice big bow, to give you, our Manor blog readers, we present to you our Best of Wedding Gifts.
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Best of Wedding CakesTuesday, August 30th, 2016 | Filed under: Cutting the Cake, Wedding Cakes, Wedding Trends | author: By Iwan Stoev,
On your wedding day, your reception is the place to celebrate your marriage with all of your loved ones. For many brides, months of planning also means paying attention to your health and weight to ensure you look extra ravishing on your big day. This also makes for an anticipated day of finally indulging and tasting your wedding cake. Why is a wedding cake important? How many fillings do you choose? When do you cut it? What style do you choose? To create a scrumptious cake and special cake-cutting event during your wedding reception, we've stirred up popular past blogs and baked you something truly special- our Best of Guide to Wedding Cakes.
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Best of Wedding MusicMonday, August 22nd, 2016 | Filed under: reception planning, Wedding Entertainment, wedding music, Wedding Trends | author: By James Levinsky,
After you make your commitment to that special someone, planning a wedding is the next string of decisions you will make together as a couple. Picking the right music to set the right tone for your wedding is important. From your walk down the aisle, dinner hour music, song dedications, to revving up the dance floor, we've complied our Best of Wedding Music blog from our most popular blogs to date, to make sure that years from now, talk of your wedding day will be sweet music to your ears.
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Best of Wedding PhotographyWednesday, August 17th, 2016 | Filed under: Best Of, wedding photo booth, wedding photography | author: By Rolf Shick,
A picture is worth a thousand words, especially your wedding day photos. When it comes to your big day, these precious moments need to be captured, so they can be treasured with family and friends for years to come. We've created a list highlighting our most popular photography blogs, including just some of the best ideas and trends for your wedding photography. From getting both bridal parties ready to the ceremony to the reception, our Best of Wedding Photography blog will make planning your blissful day a day to look back at and smile. Read more…
Best-Of Wedding Cocktail Party TipsTuesday, August 2nd, 2016 | Filed under: Best Of, Wedding Cocktail Party, Wedding Drinks, wedding menu | author: By Iwan Stoev,
Many wedding guests look forward to the wedding cocktail party most, given the wide range of fabulous catering options in those spectacular stations and buffet dishes, as well as the many passed hors d'oeuvres that circulate around the party space, thrilling guests with the delectable menu options and gorgeous food presentation. Add in signature drinks and top-shelf drink at the bar, and guests are ready for enjoying and mingling in this relaxed pre-reception portion of your wedding celebration. At our weddings, we take great pleasure in helping our NJ wedding couples select each option of their cocktail party menus, and pairing many dishes with the perfect drink options. There has been a return to indulging wedding guests, giving them a great variety of menu choices so that everyone in attendance can enjoy the entirety of the cuisine offerings. We know that wedding guests often have special dietary restrictions and preferences, so our chefs work endlessly to develop menu options to suit all dietary needs.
To help you plan your standout cocktail party, we offer some of our top-viewed, Best-Of blog posts all about the cocktail party details:
Read more…
Best-Of Our Wedding Rehearsal TipsTuesday, July 26th, 2016 | Filed under: Best Of, wedding planning, Wedding Rehearsal, Wedding Rehearsals | author: By Paul Keenan,
You'll gather your bridal party members, officiant, and other important participants in your wedding ceremony for your rehearsal, which is usually held the day or night before the wedding, giving everyone the chance to walk through all of the steps of the ceremony so that everyone is familiar and comfortable with the proceedings during the actual ceremony. Your wedding coordinator may lead the lessons, or you may ask a trusted friend or relative to assist, for a few run-throughs. If you have any questions about who should attend the rehearsal, and especially how to help child bridal party members learn their roles, we've collected some of our Best-Of blog posts about what goes on at the rehearsal and how to manage yours the best ways possible:
Wedding Rehearsal
Wedding Rehearsal Planning provides start-to-finish guidance on planning your wedding rehearsal, including who gets invited to the rehearsal, who runs the wedding rehearsal, and how a rehearsal is organized so that you and everyone in your wedding party is comfortable with each step of your ceremony.
Who Attends the Wedding Rehearsal? We help answer this important question with guidelines on who to invite to your rehearsal, from bridal party members to the people who will do readings during your ceremony, and especially child bridal party members and their parents, who can help motivate the little ones to listen and practice their steps and the tossing of flower petals.
Kids at the Wedding Rehearsal helps you guide the littlest members of your bridal party with their roles, and we also provide some smart tips to help prevent tantrums (note: make sure their outfits and hair décor are comfy!) We help the smallest stars of your bridal party shine on the big day.
Requesting Changes at the Wedding Rehearsal The practice run-though of your wedding ceremony is important also to bring to your attention any detail that needs changing, such as how to pair up your bridal party members, how to group odd numbers of bridal party members, timing the ceremony steps, and positioning where people will stand. You may think you know exactly how your ceremony will go, but in this rehearsal, you and your wedding planner or wedding venue site manager can spot essential changes to be made for the betterment of your perfect wedding ceremony.
Best-Of Our Wedding Ceremony TipsTuesday, July 19th, 2016 | Filed under: Best Of, Outdoor Wedding, wedding ceremony, Wedding Décor, wedding ideas, Wedding Signs | author: By Roman Bienkiewicz,
Your wedding ceremony is the center and the heart of your wedding day, filled with the promises you make to one another, expressions for your love of and commitment to one another, tributes to your families and expressions of your faith. A beautiful wedding ceremony gathers your loved ones around you to bear witness to one of the most momentous experiences of your life, and not just celebrate with you but support your married life through their own presence on your big day, as well as all the days of your future together.
As you plan your wedding ceremony, you'll start with choosing the best wedding ceremony location for you, whether an outdoor wedding ceremony or an indoor wedding ceremony, and begin designing the style of ceremony site you want, as well as write your wedding vows, choose wedding ceremony music, select the people who will participate in your wedding ceremony, and add your own personal touches to this unforgettable wedding day event.
We're very pleased to invite you to read our Best-Of wedding ceremony tips from our top-viewed blog posts, to help you design your perfect wedding ceremony. Visit these posts now:
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Best-Of Our Wedding Budget TipsMonday, July 11th, 2016 | Filed under: Best Of, Wedding Budget, Wedding Budget Mistakes, Wedding Décor, wedding flowers, Wedding Invitations, wedding planning | author: By Rolf Shick,
No matter what your wedding budget, you're likely interested in getting the most wedding from your money, using your wedding funds wisely to bring each of your wedding wishes to life for your ultimate dream wedding impressions and experience. We've worked with NJ wedding couples on every type of budget you can imagine, and we're always impressed when our couples and their NJ wedding coordinators make magic from the wedding budget in so many areas of the plans. The best wedding budget-saving tips help you create the details you've always wished for, without any savings showing. Your guests will never be able to tell that a particular wedding menu decision, or wedding décor choice, was made with savings in mind. The grand effect of your big day is one of opulence and the best wedding catering in NJ, a fine dining experience for all of your guests in a beautifully-designed ballroom or wedding gardens, with the best champagne flowing, and elegance in every detail.
We invite you to check out our top-viewed, Best-Of wedding blog posts on the following wedding budget topics:
Read more…
Best-Of Our Green Wedding TrendsWednesday, July 6th, 2016 | Filed under: Best Of, Eco weddings, Going Green, Green weddings | author: By James Levinsky,
We're so pleased to bring you our Best-Of green wedding trends, specially-selected from our blog archives to help you plan your NJ wedding with eco-friendly choices and sources for your dream wedding that fits with your sustainability values. A great many of our NJ wedding couples come to us with their eco-friendly wedding plans in décor, menu, invitation and other wedding planning categories, and top NJ wedding planners also help bring green wedding wishes to life in fabulous ways.
We've long been co-creators of beautiful green weddings at our NJ wedding venues, so we're right there with you in your wishes to have your big day fulfill your green wedding goals.
We invite you to check out our top-viewed wedding blog posts on the following eco-friendly wedding topics:
To make an appointment with a banquet manager, please contact us at 973-731-3100.


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Published 11 Aug 2011
http://DentistBloomfieldNJ.com Periodontist, Bloomfield NJ, Edward Shluper, speaks about Teeth Bleaching. B...
http://DentistBloomfieldNJ.com Periodontist, Bloomfield NJ, Edward Shluper, speaks about Teeth Bleaching. Bleaching of the teeth is permitted to be used only when the teeth can be whitened beyond their natural color. This applies strictly to products that contain bleach. Teeth whitening on the other hand refer to restoring a tooth's surface color by removing dirt and debris. So any product that cleans like a tooth paste is considered. The term whitening sounds better than teeth bleaching, so it is more frequently used either by dentists or patients. To obtain further information please visit your local dentist. For More videos, click on the following link: http://www.youtube.com/user/dentistBloomfield?feature=mhee Dr. Edward Shluper, Cosmetic Dentist, Bloomfield NJ, serves the following cities: Glen Ridge, Montclair, Belleville, Nutley, East Orange, North Arlington, Clifton, Newark, Verona, Lyndhurst, Kearny, West Orange, East Orange, Cedar Grove, Rutherford, Harrison, Passaic & Newark NJ.