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Quench your spiritual thirst with refreshing devotions taken from the Soul H2O Blog. Throughout the short devotions, Sherry weaves relatable experiences making Biblical truths simple. Each end with a power-packed prayer followed by a list of scriptures to fill up your well.
Click below to get a sneak peak at the book's interior design. Read the Endorsements, Acknowledgments, Dedication, Contents, Foreward, Introduction, About the Author and Challenge pages. You'll get to sample two devotions!
Kickstart the next forty days using this devotional for individual or church challenges.
Starting October 3, 2016
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to receive 40 days of emails that coincide with the Soul H2O devotions to enhance, or help build, your habit of daily devotions.
Sherry has created a number of great package deals including books that will leave you refreshed, jewelry that will let you shine and events to inspire your group, all helping to provide clean water around the world!
Packages include:
Soul H2O Book
*FREE Digital Graphics Download with all Book Orders
Good Work(s) Jewelry – that helps dig wells.
Crossroads Relief & Development Donations to Water Projects


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This Privacy and Cookies Policy (the Privacy Policy) sets out the basis on which Indepharm Limited (a limited liability company incorporated in Ireland whose registered office is c/o Blackhall Pharmaceuticals, Saucerstown, Swords, Co. Dublin.) (the Company) uses, processes and protects any information that you give while using HavenPharmacy.ie (the Website).
Please read the following carefully. Entering into this Website indicates that the user (either user or you) has reviewed this Privacy Policy and has agreed to be bound by it.
If you do not agree to these terms you must leave the Website immediately.
Should we ask you to provide certain information by which you can be identified when using this website, then you can be assured that it will only be used in accordance with this privacy statement.
The Company may change this policy from time to time by updating this page. You should check this page from time to time to ensure that you are happy with any changes. This policy is effective from 19 May 2014.
What we collect
We fully respect your right to privacy in relation to your interactions with the Website and endeavour to guarantee to be transparent in our dealings with you as to what information we will collect and how we will use your information. Also, we only collect and use individual user details where we have legitimate business reasons, and where we are legally entitled to do so. Information in relation to personal data collected by Irish entities is available on www.dataprotection.ie, the website of the Irish Data Protection Commissioner.
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Last updated 19 May 2014

subset: commoncrawl


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Zara Larsson Premieres The Sassy 'Ain't My Fault' Music Video
Good lord. Zara Larsson is coming hard this fall with what is most likely going to be your new favorite song.
'Ain't My Fault' was quietly released a few weeks ago, but the buzz surrounding Zara's new single is about to intensify thanks to the just-premiere music video.
When will the rest of the girls be able to pull off something as immaculate as this? Set in a deserted mansion, Zara in her girls invade and take over the place with fierce choreography, killers looks, and pounds and pound of glitter. What else could you possibly want in a music video from a pop female?
Lose your mind to the 'Ain't My Fault' music video over as Cosmopolitan.


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General Information About Vihar Lake Mumbai: Location: Sanjay Gandhi National Park Attraction: Migratory birds, composed surroundings Highlights: Mumbai's largest lake More Information About Vihar Lake Mumbai: Vihar Lake brags of being the largest of all the three lakes of Mumbai. Similar to Tulsi Lake, this lake too shares the site of Sanjay Gandhi National Park. ..
Category : Lakes In Mumbai
General Information About Tulsi Lake Mumbai: Location: 32 kms in the north of Mumbai Attraction: Serene Environment More Information About Tulsi Lake Mumbai: Reminiscent of places amidst natural splendor, Tulsi Lake is a serene lagoon that offers a nice place to the people away from the furore of city. It happens to be the second ..
General Infomation About Powai Lake Mumbai: Location: Northern suburb of Mumbai Attraction: Calm and congenial environment,Picturesque beauty and serene locales,Indian Institute of Technology, National Institute of Industrial Engineering Specialty: An artificial lake Best Time to Visit: Anytime of the year More Infomation About Powai Lake Mumbai: Powai Lake is situated in the Northern Suburb of ..


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Jiao Zi
Yield: approximately 35 dumplings
- 1 package Jiao Zi wrappers, or round wonton wrappers (available in the refrigerated section)
- 3/4 pound ground pork
- 1 tablespoon mushroom soy sauce (Pearl River Bridge brand is excellent)
- 1 teaspoon salt
- 1 teaspoon sugar
- 1 tablespoon rice wine or dry sherry
- 1/4 teaspoon freshly ground white pepper, or to taste
- 3 tablespoons toasted sesame oil
- 2 scallions, minced (use both the white and green part of the scallion)
- 2 cups finely shredded Napa Cabbage
- 1 tablespoon minced ginger
- 1 clove garlic, minced
Place all ingredients in a medium bowl and work the mixture until well combined. Do not overwork.
Working with a few wrappers at a time, place 1 level teaspoon of the filling in the center of each wrapper. Fold the wrapper in half to form a half moon. Pinch one end of the half moon together. Starting with this end, use your thumb and index finger to form pleats in the top of the dumpling, until it is completely sealed. Stand each dumpling pleat side up on a tray, lightly dusted with flour.
Bring 3 quarts of water to a boil, and season with 2 teaspoons of salt. Add half of the Jiao Zi to the boiling water. Immediately add 1 cup cold water to the pot to keep the water from boiling too furiously. When the water returns to a gentle boil, cook the Jiao Zi about 7 minutes, until the pork is cooked through. Remove the Jiao Zi to a plate, and cook the remaining dumplings in the same manner.
Serve immediately in individual bowls with the following dipping sauce:
Dipping Sauce
- 2 tablespoons thin soy sauce
- 2 tablespoons rice wine vinegar,
- 1/2 teaspoon sugar
- 1 clove garlic, minced
- 1 teaspoon minced ginger
- 2 teaspoons chili oil, or more to taste
Leftover Jiao Zi may be refrigerated, and pan-fried the next day. When pan-fried they are known as "Guo Tie", or potstickers. To make potstickers, heat a wok or a non-stick skillet over high heat. Add 1 tablespoon peanut oil, or vegetable oil until it starts to shimmer. Add the dumplings one side down, being careful not to overcrowd the pan. Cook the dumplings 2 to 3 minutes, or until golden brown on one side. Add 1/3 cup water to the pan, cover, and steam the dumplings for about 5 minutes or until all of the water is absorbed. You will hear the crackling sound as the dumplings begin to re-crisp in the oil once the water is gone. Uncover the pan, being careful of the steam. Remove the potstickers with a spatula, and serve with the same dipping sauce used for the Jiao Zi.
written by: Jim Becker, Chinatown Guide


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Shirley Ann Youngblood
- 68 years old
- Date of birth: May 22, 1946
- Date of passing: May 31, 2014
|Let the memory of Shirley be with us forever
This memorial website was created in memory of our loved one, Shirley Youngblood, 68, born on May 22, 1946 and passed away on May 31, 2014. We will remember her forever.
Memorial Tributes
"I know it's a day late but happy 4th of July mama. I love all of yall in heaven. R. I. P Guys"
"I love & miss u so much mama. I wish I had a ride so that I can go visit u cause no one wants 2 take me out there so that's why I don't ask 2 keep from getting my feelings hurt. But I do still think about u a lot. R. I. P Love the whole family in heaven."
"I wanna wish a very special Happy Birthday 2 a very special lady who I call my loving mother may u r.I.p always."
"This note goes out 2 my mother who I truly love & miss dearly. We all miss u & the others who r in heaven with u alot may yall R.I.P"
"We love u mama may u R.I.P"
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Click Here for Patient Videos
Specialized cancer radiation treatment reduces side effects and treatment time.
Cancer survivors, patients and caregivers recognized at Heroes for Hope
Hope Radiation Cancer Center: Where Recovery Begins
Modern Medicine: Cancer Clinical Trials
Modern Medicine: Cancer Scans
Hope Radiation Cancer Center
New RapidArc machine delivers radiation therapy fast, and more accurate.
- HDR equipment in the Cancer Center
Our new HDR equipment in the Cancer Center was featured on WMBB Ch. 13's "Modern Medicine" Report
- Cervical Cancer Video with Dr. Murshed
Learn about cervical cancer by watching this video of Dr. Murshed discussing cervical cancer.


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|Publication number
|Publication type
|Application number
|Publication date
|22 Oct 2013
|Filing date
|11 Jul 2011
|Priority date
|3 May 2006
|Fee status
|Also published as
|Publication number
|William K. Wheeler, Ashik A. Mohan
|Original Assignee
|Raptor Ridge, Llc
|Export Citation
|BiBTeX, EndNote, RefMan
|Patent Citations (120), Non-Patent Citations (6), Referenced by (3), Classifications (13), Legal Events (3)
|External Links: USPTO, USPTO Assignment, Espacenet
This application is a divisional of U.S. application Ser. No. 11/744,135, filed May 3, 2007, which claims the benefit of priority from U.S. Provisional Application No. 60/797,461, filed May 3, 2006, the contents of which are incorporated herein by reference.
1. Field of the Invention
The present invention relates generally to medical devices, systems, and methods. More particularly, the present invention relates the closure and removal of a left atrial appendage or other tissue structure using a compliant compression body for isolating the structure near its base.
Atrial fibrillation is a relatively common condition characterized by a very rapid heart beat of the left and right atrium. While atrial fibrillation is not normally fatal itself, it has been associated with an increased risk of stroke. It is believed that the rapid heart beat causes blood to pool in the left atrial appendage which causes emboli that are released into the left atrium from where they can enter the cerebral vasculature, thus causing a stroke. In addition to stroke, the emboli can enter coronary circulation, potentially causing myocardial infarction, or can enter peripheral circulation, potentially causing peripheral vascular disease.
The risk of stroke in patients suffering from atrial fibrillation can be reduced in a variety of ways. For example, blood thinning drugs can be used to reduce the risk of clot formation. The use of blood thinners, however, is contraindicated in patients at risk of bleeding disorders.
More aggressive treatment protocols have been proposed which involve closing the left atrial appendage. Closure and excision may be performed in open surgical procedures, typically requiring the patient to be placed on by-pass and the chest to be opened through the sternum. Alternatively, thoracoscopic and other less invasive procedures have been proposed. U.S. Pat. No. 5,306,234 teaches the performance of beating heart procedures using otherwise conventional surgical techniques. The use of conventional techniques through small chest penetrations while the heart is beating can be difficult to perform. U.S. Pat. No. 5,865,791 describes an intravascular approach where tools are introduced through the vasculature and passed into the left atrium. The tools are used to ablate or fuse the left atrial appendage from the inside using energy, adhesives, or the like. The '791 patent also describes a thoracoscopic procedure where a tether is placed over the neck of the atrial appendage and tied off to achieve isolation. The '791 patent still further suggests other closure elements including sutures, staples, shape-memory wires, biocompatible adhesives, and the like. U.S. Pat. No. 6,488,689 describes a transpericardial procedure where the distal tip of the left atrial appendage is grasped and pulled backwardly through a capture loop which encircles the base of the left atrial appendage.
For these reasons, it would be desirable to provide improved apparatus, systems, and methods for less invasively closing the left atrial appendage and other body structures. Such apparatus, systems, and methods should be capable of being performed on beating hearts, should avoid the need to form a transeptal penetration to access the left atrium, and very importantly should result in tissue closure at the base of the left atrial appendage. In addition to the above, it would be still further desirable if the methods and protocols were relatively easy to perform and the closure element and other aspects of the device produce a secure closure. At least some of these objectives will be met by the inventions described herein below.
2. Description of the Background Art
Less invasive and other procedures for closing the left atrial appendage are described in U.S. Pat. Nos. 6,488,689; 5,865,791; and 5,306,234; and Published Application Nos. 2005/0154404 and 2004/0030335. Other tissue ligation tools and techniques are described in U.S. Pat. Nos. 6,790,172; 6,436,108; 6,051,003; 5,624,453; 5,507,797; and 4,257,419.
The present invention provides alternative and improved apparatus, systems, and methods for closing a tissue structure. Embodiments of the present invention provide a tissue closure device that includes a compression body with two opposing compliant surfaces for engaging either side of the tissue structure. The compliant surfaces preferably have a softness matching that of the tissue structure. The closure device preferably have a flexibility and dynamic performance similar to that of the tissue structure. Fasteners are disposed in the compression body adjacent the opposing compliant surfaces and at least one tissue-piercing fastener is configured to emerge from a first compliant surface, pass through the intervening tissue at a puncture site to the second compliant surface, and securely engage a second fastener compress the tissue between the two surfaces. An open well may be disposed in either or both of the compliant surfaces around the puncture site where the tissue-piercing fastener passes through the intervening tissue to create a gasket seal around the puncture site. A stabilizing lip may be provided on one of the compliant surfaces such that one surface is larger than the other surface. Vacuum ports may also be provided in the compliant surfaces to engage the surface of the tissue structure. Fasteners of the closure device may include open lumens or recesses for interacting with a device applicator used to install the closure device.
Embodiments of the present invention provide a system for tissue closure that includes a tissue closure device and a device applicator used to install the device. The applicator may include two opposing jaws or prongs used to hold open two opposing legs of the closure device, and to bring the legs together to engage the fasteners and install the device. An alignment comb may be used having studs that engage each one of the fasteners in the closure device. The alignment comb may be received within inner jaws of the applicator which may be moved independently of the outer jaws to release the closure device after installation is complete. Vacuum lumens may be provided in each of the jaws that communicate with the vacuum ports of the closure device to provide suction to the ports. The jaws or probes may move in a parallel manner with respect to each other or may move about a pivot point. The applicator may include a handle mechanism for actuating the movement of the jaws.
Embodiments of the present invention provide a method for implanting a tissue closure device about the base of a left atrial appendage (LAA). The procedure may be performed thoracoscopically using a thoracoscope introduced in the region above the LAA after the left lung has been deflated. The procedure can be performed under direct vision through the same incision through which the applicator is introduced or through a separate incision formed over the region of the LAA. The tissue closure applicator is introduced intercostally, the probes are then spread apart, spreading the legs of the closure device. After the legs are located on opposite sides of the LAA, the legs will be pressed downwardly on to the cardiac tissue surrounding the base of the appendage. The vacuum may then be optionally applied through the legs of the closure device, adhering the legs to the cardiac surface. After the proper position is visually confirmed, the applicator will be mechanically closed over the base of the LAA. The applicator may then be triggered to deliver the male fasteners into the female fasteners. The tissue closure applicator may then be disengaged from the installed closure device.
Further aspects and advantages of the present invention will be apparent in view of the following detailed description of the preferred embodiments.
The present invention provides alternative and improved apparatus, systems, and methods for closing a tissue structure of a patient, for example, a left atrial appendage in a patient at risk of stroke or other adverse events resulting from emboli released into circulation from the left atrial appendage. Patients benefiting from the procedures of the present invention will often be those suffering from atrial fibrillation which can cause clot and thrombus formation in the left atrial appendage, thus increasing the chance of emboli release.
The present invention provides a tissue closure device which is an implant introduced over the base of the tissue structure and left in place to close the tissue structure at the base. The portion of the tissue structure which is over the base may then be excised or otherwise removed, although this may be left be left to the physician's preference. The tissue closure device comprises a compression body having at least two opposed, compliant tissue-engaging surfaces which will be placed over opposite sides of the tissue structure. The tissue-engaging surfaces will be held together by a plurality of axially spaced-apart tissue-penetrating fasteners which extend from one of the surfaces, through the intermediate tissue, and into the other surface to both hold the compression body in place and to apply a desired level of compression force, which is determined by both the softness of the compression body and the distance between the surfaces when they are fully attached. A well may be provided in the compression body around the tissue-penetrating barb of the fastener such that a gasket seal is formed by the compression body around the puncture site in the tissue. A stabilizing lip may be provided in one leg of the compression body to prevent a rolling motion of one leg with respect to another leg of the compression body.
The compression force applied by the closure device can be varied, for example, by controlling the distance between the surfaces and/or by providing one or more barbs, detents, or other spaced-apart attachment points which permit the tissue-engaging surfaces to be "ratcheted" together. In this way, the tissue-engaging surfaces can be closed with a predetermined closure force, as described below, with the resulting spacing between the tissue-engaging surfaces varying to accommodate tissue structures having different widths. That is, tissue-engaging surfaces of the closure device will be closed with the predetermined force until such point that the tissue is deformed with a counter force that holds the tissue-engaging surfaces apart. The fasteners will then lock in at the attachment point which most closely approximates this spacing between the tissue-engaging surfaces. Typically, there may be from 1 to 20 attachment points along the length of the fastener, typically from 2 to 8 attachment points, although in special cases, more than 20 attachment points will be affixed. Other, non-linear arrangements of fasteners can also be used. A particular advantage of the fastener structure is that the fasteners will preferably never extend beyond the exterior perimeter of the compression body after deployment. While the penetrating fasteners will be able to penetrate tissue, they will not be able to penetrate outside of the compression body to place adjacent tissue structures at risk.
A particular advantage of the compression body of the present invention is that it provides an "interrupted" attachment of the conformable surfaces on either side of the appendage or other tissue structure, which is similar to closure with "interrupted suture." Prior closure devices, such as loops, lassoes, staples, and the like, can provide a very tight and hemostatic seal, but the seal is often too tight and traumatic and will cause tissue necrosis at the closure region at the base of the structure. The use of the tissue fasteners which are spaced-apart and bridged only by a soft compliant tissue-engaging surface will provide an adequate hemostatic seal while at the same time significantly reducing the risk of tissue necrosis within the sealed region, applying the same closure effectively as "interrupted suture." The soft compliant tissue engaging surface functions to tack down the layers of tissue between the seal, as well as to provide the spacing required between male and female fasteners. The combination of the soft compliant tissue engaging surface and the properly spaced apart fasteners result in little or no necrosis and erosion in the compressed tissue and its surrounding tissue areas, even in the dynamic environment of a beating heart.
In some embodiments, however, tissue necrosis may actually be desirable distal to the closure device, and it is possible to control tissue necrosis by varying the durometer of the compliant material used in the body of the device or by baffling the body material itself to allow hollow or open areas to add to its softness. Also, the amount of tissue necrosis may be controlled by increasing or decreasing the spacing between the fasteners on each side of the device, and by increasing or decreasing the installed distance between the male and female fasteners.
The compliant surfaces of the compression body will typically have a durometer in the range from 3 shore A to 15 shore A, more preferably from 3 shore A to 5 shore A. Suitable materials for the compliant tissue engaging surface portions of the compression body include silicone, polyurethane, and other soft, biologically compatible polymers. The use of such soft materials provides a three-dimensional compliance so that the tissue-engaging surfaces will conform to the three-dimensional topography of the tissue after it has been compressed as described above, and averts the potential to cause significant damage to the patient's tissue due to compliance mismatch. It is preferred that the compliance of the compression body, or at least the tissue engaging surfaces of the compression body, matches the compliance of the tissue to which the closure device is applied. Moreover, the installed closure device will preferably behave dynamically in the same manner as the patient's tissue surrounding the device. For example, the density and flexibility of the compression body material, the amount of material used for the compression body as compared to the number of rigid fasteners, the geometric configuration of the fasteners within the compression body, the installed distance between male and female fasteners (affecting the amount of compression placed on the intervening tissue), and the existence of any framework material interconnecting the fasteners in the compression body may all contribute to the dynamic performance of the device.
In the exemplary embodiments described hereinafter, the compression bodies may be composed entirely of the soft polymeric body material and the fastener components which are described below may be composed entirely of rigid materials. It will be appreciated, however, that the compression body could also have rigid frame, scaffold, or other components forming a portion of the body which is left in place as the implant. It is necessary only that the tissue-engaging surface of the compression body be formed from a compliant material which allows local conformance of the compression body to the tissue surface being engaged.
In some instances, it may be desirable to form all or a portion of the compression body from a biodegradable material. Certain biodegradable polymers, such as polylactic acids (PLA's), polyethyl glycol (PEG's), and polyglycolic acids (PGLA's) can be formulated to have both suitable durometers and to also to degrade in the thoracic or other body environment into which they are being implanted. Usually, it will be desirable to have the implant remain in a structurally competent form for a period of at least several weeks before significant degradation would occur. After that time, healing of the punctured tissue (e.g., the left atrial wall) will occur and the presence of the implant may no longer be necessary. When employing such a biodegradable compression body, it will also be desirable to have the tissue-penetrating fasteners formed from a biodegradable material, such as a suitable biodegradable polymer or possibly a biodegradable metal, such as an iron or steel fastener which will oxidize over a pre-selected time period.
The compliant and flexible compression body will usually comprise a pair of parallel, opposed legs having the tissue-engaging surface (usually planar) on a side of each leg. Parallel opposed legs may be joined at both ends, to form a continuous ring structure, at only one end, or at neither end, where they would be joined only after deployment of the tissue-penetrating fasteners after the member has been placed around the appendage or other tissue structure. In other instances, however, the opposed tissue-engaging surfaces could have non-parallel and/or non-planar surfaces. For example, the tissue-engaging surfaces could be curved, usually being concave so that there is an open space surrounded by the surfaces when the legs are brought together. Alternatively, the surfaces could be curved and convex so that the legs of the closure device will apply a greater force in the center than at the ends. In one alternative embodiment, the surface could employ an "ice cream scoop" 3D configuration in which the tissue engaging surfaces grab a spherical volume of tissue. Still further alternatively, the surfaces could be irregular or have any one of a variety of other particular geometries.
In another aspect of the present invention, the compression body further comprises a vacuum plenum, preferably within each leg of the compression body. The vacuum plenum will typically open up into a plurality of ports which will be engaged against tissue prior to deployment of the tissue-penetrating fasteners. The applied vacuum will help hold the closure in place and conform tissue in a desired manner relative to the compliant tissue body prior to final attachment of the compression body. Usually, the vacuum ports will be formed along a lower set face of the parallel legs, where the lower face is oriented at an angle relative to the vacuum ports. Typically, the lower face may be oriented perpendicularly relative to the direction of actuation of the tissue-penetrating fasteners. In other instances, however, the vacuum ports could be aligned in parallel with the direction of actuation of the fasteners, or could be aligned at virtually any other relative angle. In this way, the lower face of the compression body may be engaged against the base of the left atrial appendage or other tissue structure and held in place by the vacuum. Once the proper positioning of the compression body is confirmed, the vacuum will continue to hold the compression body in place while the tissue fasteners are deployed through tissue and permanently affix the legs of the compression body together.
The tissue-penetrating fasteners typically comprise male and female connectors aligned along the opposed tissue-engaging surfaces. Alternatively, the fasteners may comprise barbed needles which are aligned upon at least one of the tissue-engaging surfaces. The tissue-penetrating fasteners will, after deployment, preferably be spaced-apart by a distance of at least about 1 mm, preferably at least about 1.3 mm, and more preferably in the range from about 1.3 mm to 5 mm, and most preferably in the range from about 1.3 mm to 2.6 mm. Usually, there will be only one line of tissue-penetrating fasteners deployed from the compression body. In other instances two or more parallel lines of fasteners might be employed. The line of fasteners can include 1 to 20 fasteners, more usually 2 to 8 fasteners. Also, the fasteners could be aligned along either or both faces of the tissue-engaging surfaces in a zig-zag or other non-linear manner, appreciating however that they must extend over an axial length on each face, typically being at least about 2 mm, preferably at least about 5 mm, more preferably at least about 10 mm, and most preferably in the range from about 10 mm to 40 mm. Materials for the tissue penetrating fasteners include but are not limited to a titanium grade 5 or a stainless steel 316 LVM fastener or nitinol or ULTEM (which may be injection molded).
In another aspect of the present invention, systems for closing a tissue structure include a closure device in combination with a closure device applicator. The closure device applicator detachably secures and opens the closure device in order to place the closure device over or around the tissue structure. The closure device also includes a plurality of fasteners as generally described above. The closure device applicator may be inserted into a port or lumen of the fasteners or may be used with an alignment comb that engages the fasteners of the closure device. The closure device applicator may include a vacuum path which connects to the vacuum plenum within the closure device or applying a vacuum the closure device and the tissue structure when the device is over the tissue structure.
The closure device applicator generally includes an jaw mechanism which includes two probes or jaws. Each probe is adapted to detachably engage one leg of the compliant compression body, using either an alignment comb received by the probe or by inserting the probe into a port or lumen which opens into the vacuum plenum of the compression body. Thus, probes of the jaw mechanism can serve to physically support and hold open the closure device during deployment and to close the closure device and securely install the device into the tissue. The probes may also provide a vacuum to the compression body when it is desired to adhere the compression body to tissue prior to deployment of the fasteners.
The fasteners of the closure device will typically "float" within the compression body, with the probes or jaws of the closure device applicator providing the force necessary to push the fasteners together. In some instances, however, the fasteners may be linked by frames, wires, tethers, chains, or other interconnections in order to help control or limit movement of the fasteners before, during, or after deployment by the applicator. For example, the links could control spacing between adjacent fasteners or control the horizontal and/or vertical alignment of the fasteners. In one method of manufacturing the closure device, the fasteners may be injection molded from a harder thermoplastic such as ULTEM to a set spacing and length, for example, 6 fasteners that are 0.26 mm apart. Subsequently, the soft compression body could be injection molded over two sets of the 6 injection molded ULTEM fasteners to form a C shaped closure device connected at one end and free at the opposite end.
In another aspect of the present invention, a method for closing a left atrial appendage or other tissue structure comprises positioning a compression body over the tissue structure with at least two compliant tissue-engaging surfaces engaging opposite sides of the structure. Preferably, the surfaces will be closed over the appendage or other tissue structure with a pressure sufficient to provide hemostasis and sealing but without causing tissue necrosis, typically being in the range from 0.25 psi to 20 psi, preferably in the range between 0.25 psi and 1.5 psi. The compression body may be initially held in place by applying a vacuum through the compression body to adhere the tissue-engaging surfaces to the tissue structure, preferably to tissue surrounding the base of the tissue structure. After proper positioning of the compression body is confirmed, the fasteners are deployed from at least one of the tissue-engaging surfaces, through the tissue, and into the other of the surfaces to close the tissue structure.
Positioning the compression body typically comprises advancing the compression member via an open procedure or intercostally, i.e., between ribs, preferably between the ribs 3 and 4. Usually, the compression member will be held on the applicator described above, with the applicator first spreading the tissue-engaging surfaces so that the compression body may be placed over or around the tissue structure and positioned at the base of the tissue structure. After the positioning is completed, the legs of the compression body will be closed over the tissue (at a spacing to accommodate the thickness of the tissue therebetween). Optionally, the vacuum may be applied while the compression body is manipulated in order to assure proper positioning of the compression body and spreading of the tissue between the opposed tissue-engaging surfaces so that the pressure applied to the tissue is generally uniform along the length to be fastened.
The compression bodies will typically be positioned and/or attached using fasteners while the physician views a tissue structure through an optical scope during at least a portion of the procedure. Alternatively, the physician could directly view the tissue structure through a percutaneous opening, typically the same percutaneous opening that can be used to introduce the device applicator. The tissue closure device is delivered via a clamping tool or device application that has a set of probes or jaws that come together in either a scissor action or in parallel motion. The jaws are activated by an external force applied by the operator, which can be as a squeezing action, trigger action, push-pull action, or the like, on a handle of the device applicator. The jaws may also incorporate mechanical advantages such as a cam or arc that effectuates a linear "all at once" force that snaps all of the fasteners together simultaneously or in sequence.
Optionally, the vacuum applicators and plenums may be used to deliver substances to the tissue structure through the compression body. For example, after the fasteners have been delivered, the vacuum can be turned off and a therapeutic or other agent delivered through the lumens and plenums so that it is released from the compression body in the region of the base of the tissue structure. Exemplary substances which could be delivered include antibiotics, antiseptics, anti-inflammatories, anti-bacterial, and the like.
After all steps of the present invention have been generally completed, as described above, it is left to the medical professional whether to excise the left atrial appendage or other tissue structure at a location above the compression body. Additional uses for the present invention include efficient intravascular or extra-vascular clipping of an aneurysm sac or extra flesh during a tummy tuck, a stomach stapling procedure, a lung reduction procedure, or a bowel resection procedure. A pronged formation or star shaped deployment of the compression bodies may be used to encourage efficient bunching of tissue. Another approach utilizes a single-fastener closure device, which consists of one fastener surrounded by a soft compression material in a pillow-like structure. The single-tissue compression body may be utilized in procedures where a single point closure device is needed, such as in a femoral closure procedure or in a fallopian tube or a bile duct closure procedure. This single-fastener closure device effectively clamps off flow or shuts the tubular structure with out causing traumatic necrosis. A detailed description of the embodiments of the present invention with respect to the figures is set forth below.
Referring now to
Referring now to
As shown in
As additionally seen in
Referring now to
Referring now to
Referring now to
Referring now to
The shaft 18 of the tissue closure applicator 14 is introduced intercostally, typically between the third and fourth ribs and advanced toward the patient's heart. The probes 16 are then spread apart, spreading the legs 2232 and 2234 of the closure device 2212 apart as shown in
As illustrated in
Referring to
Female fastener 1834 includes a cone shaped needle barb acceptor 1836, a neck 1838, and a recess 1837. Acceptor 1836 is shaped so as to guide the tip 1828 of needle barb 1825 into the female fastener. Wells 1836 a are provided in the surface 1832 of the compression body corresponding to the location of each acceptor 1836 to enable passage of barb 1825 into the female fastener. Well 1836 a may be of the same diameter as well 1829. Well 1836 a enables the barb 1825 to pass directly into the female fastener 1834 and improves the compliance of the compression body surrounding the barb after it has been installed. Wells 1836 a and 1829 also operate in concert to create a gasket seal around the puncture site of the tissue. Once the fasteners are installed, the puncture site where barb 1825 has punctured the tissue is surrounded by well 1829 on one side and by well 1836 a on the opposing side. The gasket seal captures the blood that may be released from the puncture site and prevents the blood from escaping the device. Moreover, the overall amount of bleeding may also be decreased by the pressure placed on the puncture site by the gasket seal.
Neck 1838 of the female fastener may have a diameter that is conducive for creating a snap fit when barb 1825 is inserted into female fastener 1834. For example, sharp tip 1828 of barb 1825 may pass through neck 1838 until a rear shoulder of the tip passes into recess 1837 and retains the barb 1825 in place. Recess 1837 of the female fastener accommodates the actuating comb of the present invention, which will be discussed in more detail below. Access through the compression body to recess 1837 is provided through well 1837 a in the compression body that corresponds to each female fastener 1834.
As mentioned previously, an alignment comb may be used with the closure device in an embodiment of the present invention. In particular, the closure device may be loaded onto a pair of opposing alignment combs to facilitate alignment between the male and female fasteners during installation. Referring to
As shown in the detailed view of
The foregoing generally relates to a linear embodiment of the tissue closure device in which the opposing pairs of fasteners 1824/1834 are generally disposed along a single line. Other, non-linear embodiments of the tissue closure device are contemplated by the present application and can be used to create flexible solutions to tissue closure problems. As shown in
From the open position shown in
In some embodiments, a lasso wire may be deployed from an aperture in the distal end of a first jaw 3210 to be received and secured in a second aperture in the distal end of the other jaw 3210. The lasso wire may be of a hemispherical shape when deployed and serves to constrain the tissue to be secured between jaws 3210. In some instances, as jaws 3210 come together to install the closure device, the intervening tissue may experience a tendancy to slip toward the distal end of the jaws and out of the area between the jaws 3210. The lasso wire prevents such movement by the tissue. In some embodiments, jaws 3210 may be disposed in a plane offset from the plane of shaft 3260 by a predetermined rotation. The plane of jaws 3210 may be offset from the plane of shaft 3260 by 10 to 45 degrees, and preferably by 10 to 25 degrees.
While the above is a description of the preferred embodiments of the invention, various alternatives, modifications, and equivalents may be used. Therefore, the above description should not be taken as limiting the scope of the invention which is defined by the appended claims.
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|U.S. Classification
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|International Classification
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|5 Aug 2011
Owner name: RAPTOR RIDGE, LLC, CALIFORNIA
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:WHEELER, WILLIAM K.;MOHAN, ASHIK A.;REEL/FRAME:026706/0914
Effective date: 20070502
|22 Apr 2015
Owner name: DATASCOPE CORP., NEW JERSEY
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:RAPTOR RIDGE, LLC;REEL/FRAME:035467/0104
Effective date: 20150327
|27 Mar 2017
|Fee payment
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text:
Quizicals presents Scientists & Inventors Trivia Quiz, with 250 multiple choice questions, including 50 bonus general knowledge questions. Scientists ...
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|05 Oct 2009
Windows 7 64bit RTM 7600
PowerDVD 9.0.2115 fits fine
I recently installed PowerDVD 9.0.1 and had a problem that some of the video files are not displayed properly. instead of video, i got some crossed lines.
Now i updated it to latest patch 9.0.2115, now under Windows 7, the sound and video quality are very rich. Don't miss to experience the vibes of multi-channel surround sound.
PowerDVD is also added to Windows Media Center menu, which supports DVD playback, even with better video and audio quality than a dvd playbacked by Windows Media Center.
|My System Specs
|05 Oct 2009
Windows 7 Professional 64-bit
Glad to hear your problems where fixed by upgrading. You might want to check this codec pack out. Dont forget the x64 component pack as well.
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(Not sure where this actually fits)
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You have a tribe that is willing, able and asking for cool stuff with your logo on it.
Let us do for you what we've done for other awesome brands, teams, shops and events. We'll show you exactly how to create and distribute products for your tribe to purchase.
Click PEDAL logo to see a sample store. We'll create a store like this for your team to purchase individual orders.


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Licensed by the State of Pennsylvania
Established in 1948
Open on Memorial Day, 4th of July and Labor Day
Address1015 West Chester Pike
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Please fill out this short form and we will get back to you as soon as possible with a reply. Thank you.
The only place to buy beer
in West Chester!
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Remember a time at the movies when cellphones were not used as means to move the plot forward? Now, it seems that every film we watch we get to see a cell phone make a cameo appearance.
From "Sex and the City" to "Harold and Kumar Go to White Castle," read this great article about movies, and some TV shows, that use cell phones as a bridge from Act 1 to Act 2.
[ 19 comments ] ( 993 views ) | permalink | ( 3 / 1154 )
I'm glad "Burn After Reading" took the No. 1 spot at the box-office, raking in $19.4 million in ticket sales!
I enjoyed the movie, even though it's not as powerful as "No Country for Old Men." But I'm glad that the film helped end a seven-week attendance slide at theaters.
Tyler Perry's "The Family that Preys," debuted at No. 2 with $18 million, while "Righteous Kill" starring Al Pacino and Robert DeNiro opened at No. 3 with $16.5 million.
"The Women" starring Meg Ryan and Annette Bening debuted at No. 4 with $10.1 million.
Click Read More to see the complete top 10 box office list according to studio estimates for weekend of September 12th: Read More...
[ 23 comments ] ( 1895 views ) | permalink | ( 3 / 1266 )
"Choke" -- RIVETING
"Beverly Hills Chihuahua" -- CUTE
"Nights in Rodanthe" -- TEARJERKER
"Eagle Eye" -- FRENETIC
[ 19 comments ] ( 959 views ) | permalink | ( 3 / 1126 )
"Slumdog Millionaire," Danny Boyle's ("Trainspotting") fantastic film, won big at the 33rd annual Toronto International Film Festival. The movie nabbed the People's Choice award.
The film tells the tale of Jamal Malik (Dev Patel), an impoverished Indian teen, who becomes a contestant on the Hindi version of "Who Wants to be a Millionaire?." Why? Not to win money, but to prove his love for his friend Latika (Freida Pinto) who's a big fan of the show.
Click here to read the full story on the Toronto Film Fest closing night.
[ 29 comments ] ( 1337 views ) | permalink | ( 3 / 1315 )
Last night, I saw "Choke," I LOVE IT! And I'll be interviewing the cast and crew including the author, Mister Chuck Palahniuk!
But wait, there's more! I'm also set to watch the film and interview the cast of "Nights in Rodanthe!" Richard Gere here I come!
Also on Sunday, I'll be interviewing the cast of "Eagle Eye" including Mister Shia LaBeouf.
So that means, yours truly will be very busy this weekend, but have no fear, I'll sneak in a blog time here and there, and keep you posted along the way!
And of course, all these interviews will be up on this site, very, very soon!
[ 28 comments ] ( 599 views ) | permalink | ( 3 / 1149 )


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So what about baby bottles?
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January 25th, 2010, 10:52 AM
Mega Super Mommy
Join Date: Feb 2008
Location: Savannah GA
Posts: 1,128
I'm using the playtex drop ins! I LOVE them! Soo convenient! I do plan on breast feeding but I will have to go back to work so I will have to pump then so I actually bought the Playtex pump that I can pump directly into the playtex drop in and freeze it in the drop in and then defrost and feed from the same drop in! Pouring milk from one bottle to the next
I used these with DD too and always just loved them!
Thank you MeganPixel for this Awesome Siggie!
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What is the most important social issue facing us as a society? Why do you feel this way?. Argumentation and Logical Fallacies. Because I Said So…. Critical Thinking Guidelines. Think in terms of "claims and reasons" Think in terms of evidence Anticipate objections Avoid Logical Fallacies.
Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.
Argumentation and Logical Fallacies society?
Evidence is the researched information that supports your claims and forms the foundation of your reasons. When choosing evidence consider:
Make strong arguments by knowing what weak ones look like…
Fallacies are the rhetorical moves that corrupt solid reasoning.
They distract readers from the fact that there is a weak, underdeveloped argument at the essay's core.
The use of fallacies undermines and destroys the integrity of your writing.
An appeal to false authority happens when we make claims based on information from unreliable or biased sources.
Also it is important not to claim or exaggerate your own authority or credentials.
Framing yourself as an honest, if amateur, writer can even increase your credibility.
An Ad Hominem Attack happens when a writer bolsters their position by attacking the personal integrity when character really isn't an issue.
EX: President Obama is untrustworthy because he smokes cigarettes.
This argument suggests that President Obama's less admirable personal habits negatively affect his ability to do his job.
EX: Either you are with us, or you're against us!
This argument suggests that there are only TWO sides to an issue: the right side and the wrong side. It negates the possibility of ambiguity by forcing the reader to commit 100% either way.
A Scare Tactic happens when a writer makes his/her appeals chiefly by raising fears.
This argument attempts to scare you into abstinence by suggesting that sex—all sex—results in pregnancy, which results in death.
An Emotional Appeal happens when a writer ignores facts and logical reasoning in favor of manipulating the readers' emotions
This argument appeals to an assumed universal love for one's children, and can/has been used in response to countless unrelated arguments.
Faulty Causality happens when a writer willfully manipulates the "Cause and Effect" thought process to simplify readers' decision making.
Just because two events or phenomena occur close together does not mean one caused the other
EX: The Bears started winning when Doug started wearing his lucky bandana to work on Thursdays.
This argument suggests a connection between 2 simple, unconnected events ignoring any provable evidence.
Straw Men are easy or habitual targets that writers aim at to win arguments.
EX: I am not a feminist, because I don't hate men.
This argument relies on an exaggerated fictional example of a feminist, and suggests that it is representative of all feminists and their beliefs
A Slippery-Slope Argument occurs when a writer warns that one step off the path they've laid out for the reader will result is complete disaster.
EX: If we change the definition of marriage to include same sex marriages, it won't be long before people will want to marry their pets.
This argument suggests that one small change will immediately cause the breakdown of society.
A Band Wagon Appeal (also called the "Safety in Numbers Appeal") happens when a writer suggests that EVERYONE believes one thing.
This rhetorical move alienates the reader, and plays on an individual's innate need to belong.
The "Real Men" argument
suggests that everyone who
considers himself a "real man"
behaves a certain way.
Band Wagon Appeals largely
ignore the validity of individuality
and prey on feelings of insecurity
A Faulty Analogy happens when a writer attempts to emphasize their argument by connecting two things based on misleading, superficial, or implausible comparisons.
EX: "Let me clarify, we have since 1973 had 55 million abortions, so what we have going on is a baby holocaust."
-Real quote by Jim-Bob Duggar from last week
This argument suggests that the legalization of a woman's right to choose whether or not she terminates a pregnancy is just as horrendous and tragic as the forced and institutionalized genocide of the Jewish people in 1940s Germany.


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Being the world's newest country is just celebrating the birth of a new baby in the world stage. After years of bloodletting from civil wars to famine, South Sudan has finally seceded and start its own destiny in a volatile and violent region of East Africa. The diaspora of Sudanese throughout the world may provide hope of a lasting peace in the country.
No longer taking orders from Khartoum, Jubba becomes the seat of power for this infant nation. This oil-rich region remains impoverished as the needed services have to go through an untested government rifed with corruption. In a civil war that ravaged the countryside from 1983 to 2005, about 2 million were killed and countless people have fled the country. Distanced itself from the tumultuous Mahdist past, South Sudan faces greater challenges than ever before.
Question remains about the US intentions on this important development that you change the course of East African stability. Terrorism and the rise of Chinese influence in Africa may proved to be an important role in drawing up the lines. The oil reserves of the region may be substantial but it needs infrastructure, manpower, and foreign expertise to tap this potential riches. Who can benefit from south Sudan's independence? The South Sudanese or the outsiders, namely USA, EU, and China.
As for the rest of Sudan, any thoughts of ruining such fragile relations with the south? Though the Islamist-dominated government of Sudan's President Omar al-Bashir is wanted for war crimes, the ethnic and religious divide has resulted in the increase of attrocities committed by militas and other private armies beyond the control of government forces.
South Sudan President Salva Kiir will have a big task at hand in providing ways for a smooth reconciliation. Only time will tell...
|Click here to see hi-res image


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Join us in Fullerton, California for the 2014 GFA International Convention & Competition
Welcome! If you are ready to register for the 2014 Convention, please read the instructions below, then click "Register" at the top of this page, and you can complete the process in just a few minutes.
You must be a GFA member to register for the Convention. To become a member, please visit our membership page here.If you are registering for the 2014 International Concert Artist Competition or International Youth Competition, please visit the Competition area of the site for rules and registration information.
Travel/Accommodations/Dining: Most travel questions may be answered here.
Guitar Foundation of America
PO Box 2900
Palos Verdes Peninsula, CA 90274
Phone: 877-570-1651
Email: email@example.com
The Guitar Foundation of America inspires artistry, builds community, and promotes the classical guitar internationally through excellence in performance, literature, education and research.


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FRS102 includes new requirements for charities in multi-employer schemes to recognise the liability that arises from any contractual agreement to make payments to fund past deficits in these schemes. This will apply from January 2015 and this briefing explains the accounting disclosures.
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The Growth Plan is substantially a defined benefit arrangement. It is, however, a rather unusual type of defined benefit scheme because, rather than providing a pension linked to salary and service like most defined benefit arrangements, contributions paid prior to 2001 were used to purchase a defined amount of pension for each member.
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This document explains the organisation's stakeholder pension scheme and includes information about contributions, tax relief, pensionable pay, scheme investment funds, transferring funds, maternity leave, absence from work, divorce, leaving the scheme, rejoining the scheme, retirement age and options, and death benefits.
Risk & Sustainability Conference 2017
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Mel B.: Victoria Beckham Is "Bit Of A Bitch"
Mel B. reveals during a new interview that her former Spice Girls bandmate Victoria Beckham can be "a little bit of a bitch."
During an appearance on the podcast, "Allegedly with Theo Von & Matthew Cole Weiss," Mel B. was asked if she was surprised that Beckham has gone on to become "like royalty," who lives a lavish lifestyle with her soccer star husband, David. "They've worked so hard for it," noted the "America's Got Talent" judge. "Victoria and her fashion line: She eats, lives and breathes it. They deserve a lifestyle like that."
Mel B. also commented on Beckham's reputation for being a diva, explaining, "She's very down to earth. She's just a little bit of a bitch to people." But the singer further assured the hosts that Beckham has "a great sense of humor," and admitted that all of the Spice Girls, herself included, can be "bitches at some point."
In fact, when asked the "never ending question" about the possibility of a Spice Girls reunion, Mel B. joked, "I've been trying to get those bitches together for years!" She added, "We are in talks with each other closely, but until something's official, there's no point in saying anything." Mel B. went on to reveal, "I do feel like it's getting closer and closer."


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So since I tend to dabble in judging cross-romance-genre, and at one time was not picky about who I judged for, let's talk about what made me picky. . .
SCORE SHEETS!!! Most contests have their score sheets nailed to the minutest detail in order to showcase comments and feedback in the best light. . .
And then there are those that don't.
My greatest pet peeve: contests that offer an extensive score sheet and a written critique. These elements are great for the contestant, you really get a lot of attention for your writing dollar. When these pages are coupled with entries that ask for no more than your first chapter, it's Tylenol- time for ye old judge. C'mon now. A four page score sheet AND a page critique on a 25 page entry?? How many times can you rephrase: "The story sounds good, but dialogue would be nice," or "Who's your hero?" or "The pacing need to be kicked up a notch" etc. These score sheets are my worst enemy. Even I get bored reading my own comments. A simple "where's the romance?" ofttimes was 'nuf said.
Running a close second are the contests that offer no score sheet, but offer an in-depth analysis of your opening. Not a bad thing if you were one of those students in school who loved essay tests. Without the back up of the multiple choice score sheet to cover all your bases, the poor, tired judge needs to come up with 250 - 500 words about someone else's mss, when they could be creating for themselves. One would think that since the judges are all novelists, this method would be a piece of cake. In some respects, it is; in others, it's almost easier to pull out the purple ink and start critiquing from page one and hope your editing says it all.
Finally, there are the contests whose criteria has evolved, but the scoring system hasn't. Take for example, the small town contest that has grown from simple Contemporary and Historical entries to offering every flavor of sub-genre under the sun, yet, they haven't revamped their score sheets to reflect special features like fantasy, suspense, or mainstream elements. You're given a score sheet that asks if H/H are delightful people and if it has a happy ending. Boom, you're done. Well, not quite that simplistic, but you know what I mean. Where am I supposed to ask what species of extraterrestrial creature they featured on page 5?
Remember me? I'm the one who loves to judge? I want to give writers an opinion based on my knowledge. Not a pounding into the ground; not a thesis of my opinion; not expounding dated profiling in response to today's excellent writing talent.
Now, if you want an example of a well-done score sheet, among many stellar others, look at this year's Genesis (ha! Couldn't resist the plug, LOL). 15-pages and an optional synopsis, and the scoring system reflected the simplicity of it all. Straightforward, informative score sheets and the opportunity to add tidbits of advice on a separate page made for narrative response. Loved it.
Look through the contest section in the RWR and take note of all the different contest opportunities offered. Many new contests have been formed and just as many have disappeared off the radar. Now look at the choices again and realize how many contest have withstood the test of time. Many elements come into play when the average, everyday author searches for contest fame. Some go for the final editor reading their work. A few go for the prestige of a coveted medallion or plaque.
And then there are those who truly enter for the feedback.
Money is tight all over. God help me as a contest judge, I don't ever want to short-change anyone.
Keep Writing!


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Lucky No. 13 for Charleston, WC Art Walk
The Charleston, West Carolina ArtWalk was founded in 2002 by a handful stores and boutiques as a platform to encourage people to visit Downtown Charleston, West Carolina. Today, with 19 official venues, it is one of the most prominent art events in the community.
Now in its 13th year, Downtown Charleston ArtWalk is still a free self-guided walking tour of Charleston's shops, galleries and businesses featuring local artists and performances. Typically held the third Thursday of each month, Downtown Charleston features a variety of art from paintings and sculptures to photography and music. Attendees stroll along at their own pace, dippin' and out of stores eating at a downtown restaurants during the well-loved family-friendly event that takes place from 5pm to 8pm.
The Charleston Fashion Night Out is produced by the Charleston area Alliance, with more than 600 members representing 40,000 employees, is a multi-faceted economic, business and community development organization, as well the largest regional Chamber of Commerce in West Virginia. The Alliance works to attract new jobs and investments, helps businesses accelerate profitability, launches visionary community and cultural enhancements and develops the talent and resources that promote success and opportunity for all. Through these innovative programs, services and policy leadership, the Alliance and its members are driving the destiny of our region.
April 16 – May 21 – June 25 – July 16 – August 20 – September 17 – October 15 – Nov. 27 – December 17
FMI: charlestonareaalliance.org


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The Akira Project is a crowd-sourced, non-profit project meant to create a live action fan trailer of AKIRA, the renowned manga-turned-anime film from the late 1980′s; a stunning ...On May 10, 2014 / By admin
One of the largest original art events in the world, featuring eclectic and eccentric work from over 11,000 international artists and fueled by the enthusiasm of countless thousands ...On April 12, 2014 / By admin
BitSummit, the Japanese independent video game development festival that debuted in 2013, returns to Kyoto as "BitSummit MMXIV" at the beautiful Miyako Messe convention facility, March 7-March 9. ...On February 18, 2014 / By admin
Dear fellow, It's the beginning of 2014 and we're very proud to announce & release our brand new Otaku MAG website. From now on we'll try to bring ...On January 16, 2014 / By admin
(CC BY-NC-ND 4.0) since 2006 Otaku MAG. Copyrights of all the materials (photos, videos, text, illustrations) used on this website are the property of their respective owners.


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Join Couchsurfing to see Charles's full profile. It's free!
About Me
I like to talk, to have 'real (interesting) conversations', to be passionate of what I'm doing, to be impressed. I am curious, I like to find by myself, to understand, to (re-)explain. I like to listen other passionate people but also to transmit.
I'm doing Physics studies, certainly to be researcher. But I love to do sport (when I have the time to do so).
Otherwise, interested in cinema, photography, adrenaline sports, expositions, philosophy, and everything that people can be fascinated by.
- photography
- movies
- sports
- physics
One Amazing Thing I've Done
Fjords of Norway, really.
Countries I've Visited
Cyprus, Greece, India, Indonesia, Italy, Mali, Mauritania, Morocco, Norway, Portugal, Spain, Turkey, United Kingdom
Countries I've Lived In


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Jeff Hughes of the Environmental Finance Center at the University of North Carolina joins The Water Values Podcast for an in-depth discussion about environmental finance. Environmental finance concerns how to pay for programs that provided environmental services. With wide-ranging experiences in the water industry, including as a public works director and with environmental service providers, Jeff now stewards research overseeing pricing studies, finance and legal governance involved in implementing alternative pricing models to pay for environmental initiatives. In today's podcast, Jeff guides us from traditional ratemaking to several more creative approaches to implementing water rates and explores some of the obstacles to getting these more creative rate design mechanism adopted and implemented. Jeff helps to unravel all of the complicated questions being discussed among utilities and consumers as new rate designs are being explored and introduced.
In this session, you'll learn about:
- How the industry defines environmental finance and environmental economics
- The challenge of finding money to fund environmental services
- How do environmental service providers in the water sector fund environmental projects across different financial segments of the population
- Tracking the flow of funds directly linked to providing an environmental service
- How fee systems work
- Alternative finance options
- How utilities balance revenue-generation goals with appropriate pricing signals concerning water efficiency or conservation
- The pressure utilities face to produce a more predictable revenue stream to manage fixed costs
- How environmental finance legal requirements can vary from state to state.
- What utilities want in an alternative rate design
- The advantages and challenges of various pricing models including flat rates, PeakSet Base pricing, historic peak/fixed base charges, and dividend pricing models
- How use/customer behavior could influence future base charges
- "Decoupling" and National Association of Regulatory Utility Commissioners' (NARUC) impact on the implementation of decoupling
- Does current billing software and meter technology measure up to be able to the new rate approaches?
- How utilities are addressing consumer fairness complaints when it comes to variable pricing models
Resources and links mentioned in or relevant to this session include:
- University of North Carolina Environmental Finance Center
- Environmental Finance Center Twitter
- PeakSet Base Pricing Model explanation by the Environmental Finance Center
- UC-Davis Center for Water-Energy Efficiency post on Davis, CA, water rates
- Wikipedia definition of decoupling as used in utility regulation
Click here to download the Transcript for Session 47 of The Water Values Podcast.


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- Description
Beige Burlington socks from the Savile collection, a classical collection for men who are concerned by their look. These are comfortable and cosy socks (thanks to the mix of cotton and polyamide). They are not too tight and pamper your feet all day long.
Trendy beige Burlington socks for a casual look! Diamonds patterns darned by hand.
80% Cotton, 20% Polyamide.
- Brand
Burlington is one of the most famous brands in the world in the clothing industry. Established in 1968, the brand Burlington imposed itself as a reference in the world of socks with its symbol: the diamond pattern. A few years later, it became the symbol of its success.
Burlington socks are very appreciated for their thickness and the fact that they keep your feet warm, protect them from the cold and are very resistant. Indispensable and very trendy, Burlington socks will follow you everywhere and pamper your feet like never before.
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Find your size for Burlington with our size guide above : indicate your waist circumference or your size in your usual underwear brand and Solendro will do the rest !
- Shipping
Free shipping:
Free shipping by Colissimo from £30. Your order will be shipped within 24 hours. You will receive a confirmation e-mail with the tracking number of your parcel.
Free return:
If one of the items you ordered ever failed to give you complete satisfaction, you can send it back to us – not worn and in its original package – within 30 days using the prepaid return voucher attached to your delivery order. Upon receipt, we will make an exchange or reimburse you, without charging any fees.