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Blogiversary IV: Goal Tending
It's time for some annual goal declaring (because nothing lights a fire under your arse like a big ol' public proclamation). Let's do this thang.
Goal #1: Find Balance- We mentioned that we were aiming for more balance in our lives during this 2011 resolutions post. We basically said that we're going to try our darndest not to fall into the trap of putting all of our time, money, and energy into the house to the point that we have no life, no savings, and Clara is trapped in our casa for her entire childhood (we actually haven't been on a big vacation since our honeymoon four and a half years ago other than some low key road trips and family beach weeks). Well, we're bringing it up again because we need to be better about it.
We've had a very busy and exciting year (John came on full time, we moved, Clara is running and talking, we're writing columns for BabyCenter and Do It Yourself magazine along with a 260+ page book, we've tackled tons of house projects, we redesigned the site, etc). But what has slipped to make room for all those amazing opportunities is recharging away-from-the-computer time. Since the internet is 24/7, we're still plugged in on nights and weekends and even on vacations and over the holidays. Heck I had a baby last year and didn't even miss a post. So one reason that we started Young House Life was to remind ourselves to take a minute to actually live and have fun and be spontaneous and step.away.from.the.laptop.
Goal #2: Not drone on in every post. This actually might be the key to accomplishing more of the balance that we crave above. See, some of our favorite posts don't have 2,000 words and 20 pics. We even admit that we skim each other's posts when they're too long. So we know everyone at home probably doesn't read every word of every post that we write either. The point is that sometimes short and sweet is a-ok. And not every post needs to be a novel. Sometimes an update is quick, or we buy something simple that we want to share, or something funny happens and we catch it on video and slap it up. That's the joy of blogging. Not everything has to be super polished and verbose. Ooh, I just used the word verbose. Ten points? Anyone?
Goal #3: Bring back before & after inspiration. A year ago we used to share Reader Redesigns twice a week along with two weekly giveaway posts (one to announce the giveaway and a second one to announce the winner) and a little poll post on Fridays that we called a Burning Question (about something decor-related, like if you prefer painted cabinets or wood ones, or if you're a wall-to-wall carpet person or into tile or hardwood floors). But at our last blogiversary we realized that five posts a week about not-our-house stuff was really taking our blog away from the good ol' DIY diary feel (which is definitely how it started, and something that we wanted to maintain).
So during our last blogiversary we decided to turn the focus back to our house (since we had a big move ahead of us, and a lot to talk about). We eliminated those Friday Burning Questions, along with our weekly follow up giveaway winner post (we just post that info as a p.s. at the bottom of another post), and we bid a fond farewell to both of our weekly Reader Redesigns (we invited folks to share their before & afters on our Facebook page instead). We didn't miss the giveaway winner post or our weekly Burning Question, but we definitely mourned the loss of Reader Redesigns since they're so inspiring and full of eye candy and ideas. So we've decided to bring them back. Not two a week, and maybe not even once a week – but they're going to be making regular appearances again. There's just too much amazing stuff that can leave us all inspired/encouraged. So if you have any awesome transformations to submit for consideration (like the stunning card-catalog-turned-buffet seen below), just send them to firstname.lastname@example.com.
Goal #4: Be Secure In Our Own Bloghood. Sure, we'd love for every single person who drops by to love every single one of our 2,000+ posts, but we'd also love a
goose chihuahua that lays golden eggs. The truth is that in putting our lives out there for everyone to see, we have to be ok with not everyone loving everything, or even anything. And in turn they'll hopefully understand that projects, decor choices, and post-writing is as subjective as favorite foods and hairstyles. So there's not really one right way to do it.
This is just our personal DIY diary of sorts (the good, the bad, the ugly, and the blissfully mundane). One day we're gutting a bathroom & one day we're organizing a junk drawer or even talking about breastfeeding (tangents definitely occur). Strangely enough, four years of that "blogging formula" is exactly what got us here. Over four million hits a month?! We're humbled and so very thankful. My brain actually threatens to explode when I think about it (I pretend I'm writing to ten people to combat blog stage fright). So sure, some folks might do things differently if this were their blog, but that's the beauty of blogging: everyone can do it in their own way.
Goal #5: Be Grateful. Sometimes the stress of a harder-than-we-thought project or 150 pending comments to respond to can make us momentarily forget that this is a dream job. Because as much as we love what we do, at the end of a day it's still a job. We do it because we love it (heck, it was born from pure never-thought-we'd-make-a-dime passion), but we also currently rely on it to feed our family – so there's definitely pressure sometimes (as anyone who runs their own business will tell ya). So this goal is more of a mental shift than anything else. Whenever we're feeling overwhelmed by looming projects or mounting comments or magazine assignments and book chapters to complete, we just want to remember to stop, breathe, and remind ourselves that we're living the dream (corny but true). So in those oh-crap-I'm-stressing moments we just have to think about how geeky giddy we are over this amazing opportunity that has somehow materialized (no one is more surprised about where we have ended up than we are – and we lay awake in bed at night perma-smiling and excitedly chattering about our next project). Life is good. Even when it's busy and full of chaos. We are oh so grateful.
Goal #6: Try New Things. Whatever they are. Maybe it's just having an open mind about some weird half-baked decorating idea that pops into our heads. Or embarking on some other new adventure like House Crashing or Window Shopping (who the heck knows what that could be). With our book coming out next fall we imagine that will open up a ton of new (aka: potentially scary) experiences for us (starting with a bunch of photoshoots in the next few months for hundreds of secret projects that will be photographed). So we just want to be open to those new (aka: potentially scary) experiences. And try not to fear them or dread them or turn into a big ol' ball of stress. I guess this goes hand in hand with being grateful. We want to remember to try new things and take chances and be spontaneous (all of which are what got us here in the first place).
So there they are. Six probably-won't-all-be-accomplished-but-we'll-try-our-darndest goals for year five of blogging our pants off (figuratively speaking). While we're on the goal tending topic, we also like to annually revisit the prior year's goals to see how we did.
You can read them a bit more in depth right here, but we thought we'd just summarize the ones from last year in bullets to evaluate our progress:
Last Year's Goal #1: Move On - This goal was all about moving into a new house and enjoying it and documenting our adventures and projects and tribulations, which we definitely did. Yay. The verdict: Mission accomplished.
Last Year's Goal #2: Loosen Up - This goal was about feeling less machine-like and blogging in a looser more real-time format (we were doing projects so far in advance that things sat in the hopper for up to two weeks before we could share them) so we could get back to posting things as they happened. Now things usually go up a day or two after they're done (just because editing pics and post writing takes some time). So we definitely accomplished the less-lag-time thing. Score! But we also mentioned getting back to the balance of long meaty posts interspersed with quick updates and small real-life details that weren't 2,000 words long (sometimes short and sweet beats heavy and wordy, so we wanted to get back to a nice balance of both). The verdict: Still gotta work on that. Hence goal #2 this year.
Last Year's Goal #3: Get Real - In the first year of blogging we shared ordinary in-progress and spur-of-the-moment stuff all the time (like this, this, this, this and this), but somehow we fell off. So we couldn't wait to get back to chronicling those real & random moments between before & after (you know, the stuff that you don't get to see on 30 minute makeover shows). This year we definitely kept it real (sharing messy house tours, fridge before & afters, and even a cloth diaper update) but a lot of the fun off-the-cuff posts that we linked to as inspiration were quick and random (everything doesn't have to be 20 photos long and full of wordy breakdowns). The verdict: 50% accomplished. Still gotta work on tossing things up that are light and spur-of-the-moment like the good ol' days.
Now we're turning the love train in your direction. We appreciate you all so much and thank you
violently profusely for dropping in on us. Without you guys our goal would be: get back into the advertising thing because we'd be out of a job. Haha. All in all we can't believe where we are four years after starting a tiny blog for friends and family members to watch our little kitchen makeover back in 2007. Life is crazy like that. But I better stop waxing poetic about the whole who-woulda-thought-we'd-be-here thing. We could talk about how shockingly random our little blog's evolution has been for days, but this post is already 1,819 words. Looks like we'll have to keep working on the old "short and sweet" aspiration. Is anyone really surprised?
Psst- First image found here and last image found here (without our heads on them of course, we added those). Oh and that cute photo of the bean was taken by Katie B.
Psssst- We announced this week's big $500 West Elm gift card winner. Click here to see if it's you.
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233 Comments
First, I wanted to say that the picture of Clara spying on Sherry is fantastic–I love the huge happy grin you can see on Sherry's face. That's definitely a keeper.
Second, on the subject of "being secure in your own bloghood," I wanted to remind you of what you said in your Q&A video–for every nasty comment, there are 200+ good ones. I'll add that for every nasty comment, there are mature readers that can express opinions without being rude and insulting. I've been reading your blog for over 2 years now (you were refinishing your hardwood floors at the same time we were in 2009 and that's when I started reading) and I loved nearly every design choice you made in your first house. When you moved, your style changed pretty dramatically from my point of view and I haven't liked a lot of the choices you've made . . . but I like you guys. I like reading your posts and seeing what you're up to, so I've kept reading, day after day, even when you made choices that seemed crazy to me.
So, know that however your style diverges from that of your readers, many of us would stick around just for the side show: ) I'm not one of those readers that fancies we could be BFFs in real life, but just as I wouldn't walk into my friend's home and insult her new wall-to-wall carpeting, I wouldn't come to your blog and insult your home. I hope you understand what I meant to convey here–that the readers who matter are the ones that aren't taking time each day to demean your decor choices, but rather the ones that come back no matter what.
I think it would be cool to incorporate your goals into some DIY office art! Then you could look at them every day!
I'm so jazzed about reader redesigns coming!
Just have to chime in – I love the natural, chatty voice from your blog. And I understand you wanting to loosen up a bit and not chatter on so long – but here's one fan who enjoys that! I've even started to go backwards through your blog, because it's fun to see how your style has evolved. I first came across your blog this past spring, through the Apartment Therapy annual blog awards. And I'm so glad I did! I think it's helped my husband and me to think about how our own home style has evolved – especially as we've made an international move (coming back home to the U.S.) and had to downsize by clearing out about 2/3 of our stuff, which has actually been a cathartic and ultimately grateful experience – and your blog ideas have been instrumental in helping us branch out and go for more patterns! I was so pleased that day when you posted about how many patterns you had in your living room, and I realized we had 12 different patterns in ours! My personal faves are the House Crashing and Window Shopping posts. And any goofy personal pics – those are the best! I'm also glad you'll be bringing back some inspirational Reader Redesigns! (And this is a small thing, but I really, really appreciate that all your links open into new tabs.) So Happy 4th Anniversary, and I can't wait to see where this new year takes you! :)
Do you think you'll do a book tour??? My friends and I would skreech with excitment if you did! You'd have SO MANY people show up to book signings!
YES YES YES!!! You would have to come up north, either Chicagoland, or South Bend/NotreDame area!!
I love that you talk about how even a dream job has its challenges. It's so important to remember that nothing is ever perfect, and that we're all just humans striving to do the best we can. Perception is everything :). I think God purposely makes some things challenging so that we have to look to Him for strength and guidance :).
If you do go on vacation, can you promise not to have "Guest Bloggers?" I used to think Guest Posts were great ways to "meet" new bloggers and check out their spaces; I found a few great blogs that way. But, it seems that many bloggers don't screen their guests very carefully; one blog in particular (and it's a BIG blog) frequently has guest bloggers and I've seen them pimp their Stella & Dot business, including unlabeled affiliate links; put a long list of their past design projects up linked to their own blog, rather than a real post; and one guest blogger was so scathing when describing her ordinary, average and not-that-ugly pre-remodel kitchen that I left my first and (to this day, only) nasty comment on a blog post! All that on top of the strange change of pace and tone that come along with a guest blogger. I've stopped reading a few blogs that are always populated with guest posts and have appreciated your lack of those here. In fact, I'd rather the blog feel silent for two-weeks than have to skim over a dozen guest posts.
I love that you used a picture of the Calgary Flames…. absolutely fantastic, thank you!
Gosh, I love you guys. seriously, you should soak in the fact that you have made 1M+ people take on projects intheir home and made them see that not everything has to be expensive or replaced, just some paint and elbow grease. Its a wonderful thing and you may not be saving the world or stopping world hunger. But you are truly helping people be happy in their homes. Thank you for that.
also, maybe I missed something somewhere…but, like any toddler, does Clara ever have just total melt-down days where its almost impossible for either of you to really work? she just seems so happy and content.
I have to say the first picture really cracked me up. Especially, your legs Sherry!
I am also excited about your goal #1. After reading the day in the life of blog post the other day I almost felt guilty for enjoying the blog so much because it keeps y'all so busy. Finding that right balance is important. Who knows it might also help when looking for new post ideas.
I think you should keep in mind that part of the reason you get so many hits is not just that you have great ideas but you also appear to be such charming genuine people. Mean commenters are lame but it seems to be a problem. As far as work life balance — it is a struggle for everyone. But I think even more so when you are self-employed. An idea I got for a friend you might want to try is creating a list of small random goals with a set time frame (mine is 50 in 500 days) and then document as you accomplish them. Things like "go to a farm and pick our own food" was on that list and last week a friend and I took our kids berry picking ($3 a pound raspberries, um yes). Anyway just a suggestion but that little trick has helped me accomplish some of those "I've always wanted to do that but never make time" type of goals that get pushed aside for things like laundry, computer time, work, etc…
Now I just need to make time to go on that tandem bike ride I've been talking about for years…
LOVE THE CALGARY FLAMES PICTURE!!!! Go Calgary!!! I love your new goals- I hope you are able to stick with them and able to take a vacation- maybe to Calgary to watch a Flames Game????
As a new blogger, I love your behind-the-scenes posts. It's great to see how you've made the move of turning blogging into a job. Loved your goal update, especially the one about not making posts so wordy. My husband gave me the same advice when he said he liked my shorter posts better. Of course he couldn't even get through the whole first Harry Potter book, but still . . . it's good advice. As a writer you feel like more is better-it makes it more legit and professional. But as a reader, I agree, short, sweet and visually stimulating is great.
Still, you guys are awesome, and my blogging and home decorating inspiration! You've nudged me into doing some projects I would never have dreamed of attempting, and helped evolve my style. So thanks!
Ok, first of all, I read every word and you are on the top of my reader too. So make the posts shorter only if you want…I think the way you both write is so funny, entertaining and revealing.
I also play a little game by starting to read a post and then try to figure out who is writing it…you or John. I'm right 99% of the time! You two have your own voice, I love it
I've been loving all the "over-sharing" this week…keep up the good work!
I don't think your readers would be upset if you took a break from blogging for a family vacation! We would miss you for sure, but you deserve a break, too! When my son's daycare lady took a vacation every summer, people gave her a hard time about how she was making their lives difficult, but I disagreed! That was a great week for me, I had an excuse to stay home from work and hang out with my kid. Your family taking a (much needed) vacation might inspire your readers to do the same. Just take lots of pictures so those of us who don't get to travel can live vicariously through you! ;)
Take a vacation!! Just schedule some of your old favorite posts to come up. I LOVE looking back through the archives! I'll still be here when you get back. Promise! Love you guys too much to walk away due to a week or two off of posting!
Yay for less verbose blog posts! Love you YHLovers!
I'm going to join the chorus and say that I'd love if you guys took a vacation! It sounds creepy and stalkerish, but I feel like I know you guys and it seems like you work way too hard, so I'd love it if you took off to Hawaii or something for a week. Like everyone else has said, I'm willing to bet you could easily find a week of guest bloggers or entertain us with some throwback posts.
I vote for 4 posts a day! Not broken up, just for long windy posts – I love them!! Usually I see a long post and just skim or click away but yours are always so entertaining and useful so I relish them.
Take a vacation after the book – perhaps as a celebration maybe?
Great idea to bring the reader redesigns back! I know i am in the minority but i still miss the good old moodboards :-)
Please, please, please take much deserved family vacation! We went to Hawaii back in January with our toddler and had a fantastic time! It was a blissfull time to just build sand castles together as the sun was rising and splash in the pool and the ocean without thinking about work or other ccommitments for a few days.
I loved your 20 minute video! You joked that you can rename your blog into "young at heart" house love, i actually made the same EXACT same crack in the comments when a similar question came up in the post few months back :-) Great minds think alike :-)
I have been a devoted follower for the last one and a half years and I come to your site daily. I've used quite a few of your projects (DIY baby book, lining a dresser for the nursery, painting the closet in our nursery etc) and have quoted your work many a time to my friends!
I will agree that your posts can be somewhat long and to be fully transparent sometimes I lose interest because the commentary on word play, or inside jokes, make it longer. But that is also what makes this blog fun, so it's hard to suggest that you scale back. Maybe I need a better attention span. ;)
My favotite things are what you do best – projects and before/afters. It's inspiring and fun to watch play out (almost) live on this blog! You can't please everyone, so be sure that you two keep doing what makes YOU happy!!!
Also, how ironic that I said I didn't love the long posts, but yet I wrote a LONG comment. HA!
Stumbled across your site about 6 months after you started the blog and have followed every since. You are my one and only "Soap"! I have really appreciated you sharing your experiences as DIY'ers, bloggers, as a couple, and now parents (love Clara and cloth diaper posts). What a great week of reflection! You deserve a vacation! Don't worry, we'll all be here when you get back!
Great post! I'm so excited to see the reader redesigns make an occasional comeback.
i like before & after inspiration!
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MUCH Contest: Win Tickets to See Lieutenant The Latest From Foo Fighters' Nate Mendel
Enter now!
OMG Rihanna Just Dropped Her New Single: Hear It Now!
Our new fave song
Ed Sheeran Surprises A Couple At Their Wedding And Remains Coolest
Prepare to cry
Zayn Malik Has Officially Left One Direction
October 14th, 2011
Compton's finest, Kendrick Lamar brings the horns and the line "I'm Marilyn Manson with madness" with the latest single off his Section.80 LP. Choice lyric: "I'm on the toilet when I rhyme / If you the shit then I decline." Directed by the mighty talented ICU crew.
Tags: Kendrick Lamar, RapCity, Rigamortis, Video
Posted on Friday, October 14th, 2011 at 4:28 pm by Cam and is filed under Blog.Tweet


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"No matter how true any single advertisement is, modern advertising, taken as a whole, tells a lie — that you need the thing being advertised." – P. Lutus
In his article entitled Consumer Angst written in 2007 , Paul Lutus claimed that No matter how true any single advertisement is , modern advertising , taken as a whole , tells a lie - that you need the thing being advertised To explain his point , Paul Lutus further claims that valuable consumer goods need not be advertised because it is a necessity by itself and no promotion is needed for it to attract and obtain sales . Moreover , he explained that the quality of the product should speak for itself and there is no need to waste
To explain his point , Paul Lutus further claims that valuable consumer goods need not be advertised because it is a necessity by itself and no promotion is needed for it to attract and obtain sales . Moreover , he explained that the quality of the product should speak for itself and there is no need to waste
company 's money asserting the obvious
In his above-mentioned arguments , Paul Lutus obviously focuses only on one aspect of advertising which is to sell . He missed to appreciate the other function of advertising which is to inform
Advertising , as defined by Wikipedia .org , is the form of communication whose purpose is to inform potential customers about products and services and how to obtain and use them . The primary purpose of advertising is to create public awareness about a certain product or service that is being advertised . It aims to communicate to the intended audience that such a product or service exists . As Taflinger (1996 claims the basic purpose of advertising is to identify and differentiate one product from another in to persuade the consumer to buy that product in preference to another
Advertising is usually used to create a unique image that will be identified to a product or service . The message that is being communicated usually highlights the best features of the product - its uniqueness , usability , best characteristics , etc . - that will customer 's attention to it
After providing information on the product or service features advertising 's goal is to entice customers to try out the product . It is therefore safe to claim that the end-goal of any advertisement is to generate sales in terms of product or service . However , while it is true that every advertising campaign is aimed at generating revenue for the brand that is being advertised , it is not proper to claim that all advertisements are lies
Even premium brands such as Nike , Armani , Prada and others do advertise their products . These brands are sought after and have all proven to be of good quality . But these brands still invest on advertisement
Advertising has become an important part of today 's business . With new products sprouting like mushrooms everyday , competition has become stiff and advertising has taken a big role in allowing the product or service to compete in the market . In his article entitled Educating the Consumer about Advertising : Some Issues ' Stephen Gotlieb (1991 explains that advertising promotes competition among producers of products and services , keeps prices low through the development of mass markets , encourages store owners to stock a variety of items , supports free expression by funding media sources , and spurs invention . The more you are seen and understood by your customers , the bigger chance you have to stay in the mainstream . It is therefore important to get you...
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Harold Briercliffe
Harold Briercliffe (1910-1994) was a Rochdale born author of a series of cycle touring guides. These were a spin-off from the magazine Cycling (a magazine now published as Cycling Weekly). They were cheaply made volumes with attractive colour print covers, designed to be kept in the pocket of saddlebags.[1]
In 2010, Clare Balding presented a BBC TV series that retraced some of Briercliffe's routes using his old Dawes Super Galaxy.[2]
As a result of the publicity arising from Clare Balding's television series, the popularity of the books rose greatly and three (north, south and central England) were republished by Batsford Books in 2012; with brief additions by Mark Jarman and Sustrans indicating that alternative routes exist to those suggested by Harold Briercliffe where those routes have become subject to heavy road traffic.
- (1947) Cycling Touring Guides. no. 1. Northern England
- (1947) Cycling Touring Guides. no. 2. Wales
- (1948) Cycling Touring Guides. no. 3. Scottish Highlands
- (1948) Cycling Touring Guides. no. 4. South-West England
- (1949) Cycling Touring Guides. no. 5. The Midlands
- (1950) Cycling Touring Guides. no. 6. Southern England
All published by Temple Press
Unpublished or abandoned[edit]
- ^ Cycling-books.com: Cycling Touring Guides, Howard Briercliffe (1947 - 1950) Retrieved 14 September 2010
- ^ BBC Britain by Bike:The Cotswolds (Broadcast 23rd August 2010 Retrieved 14 September 2010
|This article about a writer or poet from the United Kingdom is a stub. You can help Wikipedia by expanding it.
|This biographical article related to English cycling is a stub. You can help Wikipedia by expanding it.


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I am new to iphone app developing, Now am developing an In-App purchase application.
Developing an application which implements In-App purchage with trial period os one week time, The user install the app & uses it upto the trial period and then he reinstall the from itunes and used one more trial period. What my question is, If he didn,t purchaged app so was not able to reinstall it again. How can I control the user erasing & reinstalling the not purchages the app from itunes.


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Narrow your search
Several smartphone apps are designed to help couples conceive. CNET's Kara Tsuboi reports on how they work and what fertility experts say is the best way to use them.
Researchers find that those who received five text messages every week about the importance of flu shots were 30 percent more likely to get one than those who only received phone calls.
Glow, the app founded by Max Levchin that helps women trying to conceive, announces a partnership with popular app MyFitnessPal to try to increase the odds of conception.
The growing number of crimes and attacks related to online classifieds has states like Florida seeking ways to make these transactions safer.
An Australian man working 4,000 kilometres from home attended the birth of his child in real-time using virtual reality.
Technically Incorrect: Samsung's small print says that its Smart TV's voice recognition system will not only capture your private conversations, but also pass them onto third parties.
Max Levchin, co-founder of PayPal, Stripe, and most recently Glow, has visions for the future of technology that are both incredible and totally out there.
While not technically color-blind, dogs have a very different way of seeing the world than humans. This TED video shows how dogs actually "see" the world not only with their eyes, but also their noses.
Technically Incorrect: In Texas, they do not take kindly, it seems, to fantasy threats from 9-year-olds. In this case, Aiden Steward allegedly threatened another child that he could make them disappear with his One Ring.
For women trying to fall pregnant, knowing the best time to try for a baby is key. Bloom by Prima-Temp and Wink by Kindara are two fertility trackers that can help.


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pot sizes?
I have three tropical hibiscuses that live inside during the winter and outside during summer. I've noticed that all three probably need repotting--there are roots coming out the drainage holes. So my question is, given that I'm going to have to haul these guys in and out each year and, probably most significantly, find space for them inside!, how large a pot will I end up needing!?
If I need to stay with one final size for reasons of space, is there anything I should do to compensate?
You can keep them to whatever size you find convenient, within reason.
Unpot and shake the excess soil out of the rootball. You may find that there was a lot of empty space in the middle of the roots and you can just put new soil in and reuse the same pot. If the pot is actually full of roots, go up a size (2" larger in diameter than what you were using before).
When the pot gets to the maximum size you want to lug around, you can rootprune annually to rejuvenate the plant and keep it suited to its pot (do a search for rootprune on gardenweb for help if you need it). Some varieties are easy to root for cuttings, so you can also start baby plants to eventually replace your big monster.
I have some varieties (mostly fancy hybrids) that seem happy in a 10 to 12" pot for many years. Others are huge (single red flowered garden varieties like 'President') and want much larger pots.


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Located in Carmel, the Center for Ear Nose Throat & Allergy (CENTA) is the Midwest's premier provider of otolaryngology-head and neck surgery and allergy services. Our team of highly trained physicians and staff provides the highest quality ENT care available anywhere. We offer comprehensive hearing evaluations and hearing aid services delivered by experienced, licensed professionals.
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Kirk Cameron. "He clearly is a pro-life advocate, and for that, I respect him," said the former "Growing Pains" star, speaking on CNN's "Starting Point." "He said that he misspoke and that he misphrased something and that he apologized." … "I'm the kind of person that believes that I would like to be evaluated by [Read More...]
Guess Who's Defending Rep. Todd Akin Now?
South Carolina Education Head Opposes ACLU's Religious Freedom Campaign
The ACLU of South Carolina has launched a "Religious Freedom Goes to School" campaign in the state by sending this letter (PDF) to every district: … the campaign seeks to ensure that schools do not impose or promote religion. Unfortunately, based on complaints received by the ACLU, many school districts are failing to honor this [Read More...]
After Losing His Battle Over Euthanasia, Tony Nicklinson Has Died
Last week, the High Court ruled that Tony Nicklinson, a paralyzed man, could not be euthanized: Today, just days after the ruling, his family informed the world that Nicklinson died of pneumonia late last night: Police said they would not be investigating Nicklinson's death. "We can confirm he passed away," a police spokesman said on [Read More...]
Jerry DeWitt Featured in New York Times
Preacher-turned-atheist Jerry DeWitt will be featured in the The New York Times Magazine this Sunday and the article by Robert F. Worth is already up: DeWitt quickly repurposed his preacherly techniques, sharing his reverse-conversion story and his thoughts on "the five stages of disbelief" to packed crowds at "Freethinker" gatherings across the Bible Belt, in [Read More...]
My Night at a Faith Healing Service
This is a guest post by Michelle. Michelle was raised Lutheran, attended a Christian college, and graduated as an agnostic. She now lives in Oswego, IL. … Andrew Wommack is a Southern pastor with a worldwide ministry based in Colorado Springs, Colorado. Like other televangelists, he preaches the "health and wealth" prosperity gospel. He doesn't [Read More...]


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Gosier, Guadeloupe Hotels & Resorts - The Salako Beach Resort is a deluxe resort which includes the Prao, Clipper and Salako hotels.
Gosier, Guadeloupe Hotels & Resorts - The Mahogany Hotel & Residence, part of the Creole Beach Hotel & Spa, is located at the end of the Verdure peninsula, between Basse-Terre and Grande-Terre
Gosier, Guadeloupe Hotels & Resorts - Just near Pointe-a-Pitre the Auberge de la Vieille Tour, MGallery hotel has become a regular port of call in the French West Indies for those seeking gourmet
Gosier, Guadeloupe Vacations - Travel guide to Gosier, Guadeloupe accommodations and vacation packages. Visit Gosier, Guadeloupe for getaways and adventure travel. Plan your Gosier, Guadeloupe vacation today.


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Mrs Stenchtrouser's quest to make the mythical beast presentable
More attacks by household appliances
Teaching carrots to fly
...for the Achievement of Outstanding Celebrity Without Really Doing Very Much
Case study #523: Parker Stropp (UK) Ltd
You like chips. You like lots of chips.
It was with great excitement that Apple announced the impending launch of its new iSpong. We caught up with Ken Probably who spared us a few moments of his valuable time to answer some of the burning questions that technophiles the world over are dying to ask.
So, tell us, what exactly can the iSpong do?
Well, everything that a regular spong can do, of course, but with internet connectivity and full data backup. We're really excited about the whole project.
What advantages will it have over traditional spongs?
Oh this is really exciting. It can be linked to your phone or to your computer at home and give real-time feedback. This is something that has never been done before and we think that it has real potential for totally changing the way that people spong in the future.
This isn't the first time someone has tried to improve on traditional manual spongs. How will this device be different?
Previous electronic spongs were cumbersome, unwieldy and prone to go off unexpectedly. The iSpong has solved many of these problems. It's smaller, it's sleeker and it has a little blue flashing light at the end.
Who is your target audience? Is it aimed at hardcore spongophiles?
We're thinking, initially, of traditional early adopters - those same people who were quick to get on board with the iTwunt and the iFlob. But we hope to create a groundswell of interest and reach people who may never previously have considered owning a spong of any sort.
Do you expect to meet with any resistance from the sponging community?
We hope they will see that the iSpong compliments their regular sponging activities rather than competing. But while we can see the iSpong being used as a training or demonstration aid in professional sponging, I can't imagine it replacing the traditional competition spongs made from walnut, granite or lard.
It was recently rumoured that Microsoft are in the process of developing a Windows Spong. Do you see this as being a serious competitor for your product?
Well, I can't really comment on what they may or may not be doing. Ultimately, of course, any kind of competition is good for the market. But I can't really comment. Anyway, I gather they've had some trouble with the operating system. But, as I say, I can't really comment.
So you see the iSpong being an important brand for you going forward?
We think it has that potential, yes. In fact, we're in the early stages of planning iSpong2, which will have advanced GPS capabilities and an extra cup holder.
That's great. So finally - probably the most important question - will it be available in any other colours?
Yes. Yes it will.
Grateful thanks to Ken Probably for answering our questions, and for the loan of the trousers.
Movie fans set the internet ablaze yesterday when it was announced that Christian Bale is to play the eponymous hero in the new Mr Bean reboot. Bean Legacy will start shooting next month and promises to take the franchise in a new and exciting direction. "This is something that I've wanted to do for some time," said director Quentin Parks. "I grew up watching Mr Bean as a kid, but I always thought that there was a darkness lurking behind that gawky, clumsy exterior. You realise that what you're watching is a wounded and damaged soul that can only really find peace by venting his frustration in fighting crime and wreaking vengeance on those who sought to destroy him."
The new Bean promises to be very different to Rowan Atkinson's comic original. Gone are the tweedy suits, the battered teddy bear and the clapped out Mini. Instead, Bean will have moulded Kevlar body armour, a secret lair packed with surveillance equipment and a specially designed 'Beanmobile'.
Meanwhile, Bale is eagerly anticipating bringing his interpretation to the screen. "Yeah, this character Bean," he told us. "I think I understand the guy. We've talked about it a lot. We've workshopped it. And yeah - I totally get him. He's a loner. He feels that society has passed him by. But there's something that drives him - I don't know what you'd call it. A sense of justice, maybe. An anger that needs to be quenched. Whatever. I just totally know that he is he kind of guy who spends his nights stalking the lawless street of Gotham - or wherever - protecting the weak and helpless, taking down the bad guys. No question."
The movie is expected to hit cinemas next summer and pundits are already debating how it will perform against next year's other big hitter Teletubbies: Rise of the Machines.
Government Minister Rick Boils has been forced to apologise for suggesting that using unemployed people as ballast for the new HS2 project was 'inhuman'. HS2, or High Speed 2, is the name given to a new high speed rail connection between London and somewhere grim and rainy in the north. With a planned completion date of the second Wednesday in June, 2032, the scheme is a major undertaking and it had been suggested that using unemployed people as ballast on the trackbed would be one way of keeping down the costs.
Reaction to the idea has been mixed, ranging from cautious expressions of interest and enquiries about pension packages, to wholehearted enthusiasm for the opportunity of involvement in such an exciting and progressive enhancement to the country's transport infrastructure.
Unions, on the other hand, have slammed the scheme, claiming that being ground up into small lumps and strewn along a hundred miles of railway line is both an appalling waste of skilled workers and a contravention of the Working Time Directive.
Mr Boils initially appeared to support this view and was reported to have denounced the idea, although it appears that he has now changed his mind. "Using unemployed workers is an essential part of our reforms to end the something for nothing culture," the spineless time-server said in his most recent statement, which he was at pains to stress was not made as a result of being told to keep his fat mouth shut and stay on message by party bosses. "I am a strong supporter of the scheme in both in principle and practice. Those who can work should work. And those who can lie down in the middle of a railway track and let trains run over them should stop being so selfish and be grateful that've finally found a vocation that gets them out into the open air."
Next week... ooh, let's say Tuesday... Naples plays host to the 40th Annual Awards for Excellence in Television and Film. Otherwise known as 'The Plinthies', the event is one of the most hotly anticipated in the industry and is so called because winners take home a Golden Plinth. Originally the organisers gave out statuettes but in 1979 these were stolen on the night before the ceremony. All that the thief left behind were the wooden plinths that they stood on, so it was decided to spray them gold and give them out instead - the thinking being that if two great sporting nations can fight tooth and nail over the possession of a burnt cricket bail, then some unbearably pretentious actor will be more than happy with a small disc of wood covered in shiny paint. This reasoning proved correct and the tradition of handing out a Golden Plinth continues to this day.
Despite the underwhelming character of the trophy, the real prize is to be recognised in one of the most prestigious and highly-regarded occasions of its kind. The awards typically eschew the glitz and glamour of other, more frivolous, ceremonies and instead celebrate genuine technical and artistic merit. Nominees for a Golden Plinth have demonstrated a mastery of their art, showing that hard work and a willingness to innovate can set them above their peers and push forward the boundaries of the medium. For this reason, there is a great deal of speculation about the possible winners and, although organisers have remained tight lipped, this year there is a strong suspicion that the award for Best Tits will go to Gwyneth Paltrow.
The British Museum is pleased to announce that this summer visitors will be able to view one of the Seven Wonders of the Ancient World as it plays host to the Great Pyramid of Giza. This is the first time that Egyptian authorities have loaned out any of its pyramids, although Disneyland Paris did borrow the Sphinx for six months back in 1998.
Members of the public will be able to explore many of the hidden chambers for themselves and museum guides will be on hand to explain how the pyramid was constructed, provide details about some of the extraordinary treasures found within and help visitors avoid the fiendish death traps that were built into the structure. There will also be plenty to occupy the children, with interactive displays, costumed re-enactments and a big slide from the top.
See the full list
We're very very sorry
Across the Atlantic by land
The word on the street
Roly Coconut pays a visit
Quality beards for busy professionals
Adventures in marketing
"Top class swanky restaurants..."
"A sofa on the surface of Mars..."
"...flap... butterfly... earthquake... China..."
"Rogue cookers..."
Aquasafe, a company based in Portsmouth, has just introduced a revolutionary new kind of nasal plug, which is designed to prevent deep sea divers from getting prawns up their nose. City analysts predict that they will be bankrupt by the end of the month.
"The police haven't always taken such a proactive approach to enlistment..."
"One of the most controversial musicians of recent years..."
"What do you do when you find that your parrot's got jet lag..."
"...madcap antics ..."more...
Stuffed with new material and old favourites, Recalled to Life is 280 pages of plumptiousness and very probably exactly what you need to prop up that wonky old table in the kitchen.
Find out more here.
You Don't Have to be Mad to Work Here...
Machiavelli Management Solutions
The University
of the Bleeding Obvious
All material Copyright © Paul Farnsworth 2000-2015, and may not be reproduced without the express permission of the author. All characters, companies and organisations are fictitious, and any similarity to persons living or dead is entirely coincidental.


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An apparatus for detecting loosening of an implant imbedded in a bone of a limb of a patient, includes a vibrator is pressed into engagement with the limb to impart vibratory motion to the bone. The vibrator is controlled to cause the vibratory motion to have a predetermined recurring pattern. A pickup device is pressed into engagement with the limb spaced from the vibrator over the same bone near the implant, for detecting the vibratory motion transmitted through the bone implant composite to generate an output signal. Implant loosening is determined when the recurring pattern of the output signal transmitted through the bone implant composite demonstrates sustained superimposition on the oscilloscope and/or significant secondary harmonics on the spectrum analyzer.
1. A method for determining, without the utilization of base line information, the integrity of a heterogeneous composite substrate of an implant fixation in a bone of a limb of a patient, the substrate including a bone to cement interface and a cement to implant fixation interface, comprising:
using a vibrator having a smoothly contoured member;
compressing firmly with the contoured member, the flesh of the limb to the bone and to the implant fixation, of the substrate, over a large outer surface area of the limb, to enable vibrations to be imparted through the compressed flesh and through said heterogeneous composite substrate, to the bone, with little discomfort or damage to the limb;
supplying to said vibrator an input energizing electrical signal having a predetermined recurring pattern of a single non-resonant frequency;
vibrating the heterogeneous composite substrate, including each one of the interfaces thereof in response to the vibrator being energized by said input signal;
using a single pick-up device;
pressing the pick-up device into engagement with the outer surface of the limb spaced from the vibrator at the same bone, for detecting the vibratory motion of the bone implant heterogeneous composite substrate, to generate a single output electrical signal;
analyzing said input energizing electrical signal relative to the recurring pattern only of the single output electrical signal transmitted through the bone implant heterogeneous composite substrate and each one of said interfaces, without the utilization of base line information; and
determining implant loosening when said recurring pattern of said output signal is persistently distorted.
2. An apparatus for determining, without the utilization of base line information, the integrity of a heterogeneous composite substrate of an implant fixation in a bone of a limb of a patient, the substrate including a bone to cement interface, and a cement to implant fixation interface, comprising:
vibrator means for imparting to the heterogeneous composite substrate, including each one of the interfaces thereof, vibratory motion having a predetermined recurring pattern, said vibrator means including a smoothly contoured member adopted to compress firmly the flesh of the limb to the bone and to the implant fixation, of the substrate, over a large outer surface area of the limb, to enable vibrations to be imparted through the compressed flesh and through said heterogeneous composite substrate, to the bone, with little discomfort or damage to the limb;
means for generating a vibrator energizing electrical signal having a predetermined recurring pattern of single non-resonant frequency;
single pick-up means adapted to be pressed into engagement with the outer surface of limb spaced from said vibrator means for detecting the vibratory motion of said bone implant heterogeneous composite substrate, to generate a recurring single output electrical signal; and
means for analyzing said input energizing electrical signal relative to the pattern of said single output electrical signal only transmitted through the bone implant heterogeneous composite substrate and each one of said interface, without the utilization of base line information, to determine implant fixation loosening when said single input recurring pattern is persistently distorted;
wherein said means for analyzing includes means for detecting subharmonic frequencies of said signal output signal to indicate a lack of implant fixation integrity.
3. An apparatus of claim 2, wherein said vibrator means includes a spherical head for engaging the limb, and means for vibrating said head.
4. An apparatus of claim 3, wherein said spherical head is between about 15 mm and about 25 mm in diameter.
5. An apparatus of claim 4, wherein said diameter is about 19 mm.
6. An apparatus of claim 2, wherein said signal generator means is a sine wave generator.
7. An apparatus of claim 2, wherein said pick-up device means is an accelerometer.
8. An apparatus of claim 2, further including an amplifier coupled to the output of said pick-up means.
9. An apparatus of claim 2, further including a spectrum analyzer means for analyzing the signal received via said pick-up means.
10. An apparatus of claim 2, wherein said means for analyzing the pattern of the single output electrical signal only includes an oscilloscope for analyzing the presence or absence of sustained wave superimposition.
11. An apparatus of claim 10, further including a chart recorder.
12. An apparatus of claim 2, wherein said means for analyzing the pattern of the single output electrical signal only is a spectrum analyzer said spectrum analyzer being adapted for analyzing the presence or absence of significant secondary harmonics in an output signal.
13. An apparatus of claim 12, further including an oscilloscope for displaying graphically said output signal.
This is a continuation of application Ser. No. 07/290,240, filed on Dec. 21, 1988, abandoned.
The present invention relates, in general, to diagnostic methods and apparatus for determining the integrity of bone implants and, more particularly, to diagnostic methods and apparatus for detecting the loosening of a cemented femoral hip implant.
Total hip replacement is one of the most commonly performed orthopedic procedures. In such a procedure, the acetabulum of the hip is replaced with a cup-shaped socket device which receives and articulates with a prosthetic femoral implant which consists of a ball portion and a stem portion which inserted fixedly in the femur. The femur is the longest bone in the skeleton, and is almost perfectly cylindrical in the greater part of its extent. At its proximate portion are the head, the neck, a greater trochanter and a lesser trochanter. The head is globular and generally hemispheric in shape. The surface of the femur head is smoothly contoured and, under normal conditions, moves freely within the acetabulum of the hip.
The neck of the femur is a pyramidal process of bone connecting the head with the femur body, disposed at approximately a 135� angle relative to the shaft of the bone. The greater trochanter is a large, irregular, quadrilateral eminence which projects from the angle of the junction between the neck of the femur and the body. The lesser trochanter is a conical imminence which projects posteriorly from the base of the neck. An intertrochanteric line runs obliquely from the greater trochanter to the lesser trochanter on the anterior surface of the femur.
Because of the affects of age, injury and/or disease, patients all too frequently require hip replacement. In such a surgical procedure, the prosthetic cup-shaped device, generally composed of a high molecular weight polyethylene (sometimes supplemented by a metallic shell), is fixed into the acetabulum with use of bone cement or by other mechanical means, and the replacement of portions of the femur with the usually metallic "ball and stem" device, stem portion of which fixed into the femur with either cement or other mechanical means. The prosthetic devices cooperate swivelly to permit articulation between the femur and the hip. As a result, the patient gains mobility of the lower extremity and freedom from pain. During surgery, the proximal portion of the femur comprising the head and neck, are removed, generally by incision above the intertrochanteric line.
In general, the femoral prosthetic device is also composed of corrosion resistant metal alloy. The femoral device includes a head, a neck, and a stem. The stem is adapted for insertion rigidly and securely within an opening formed in the femur, after the femoral head and neck have been surgically removed. The proximal femur os filled with bone cement, then the femoral implant is inserted.
After the acrylic cement solidifies it acts as a filler to firmly secure the implant to the femur. After patient has recovered from the surgical procedure, in successful cases, the patient is able to move about with more freedom and less pain than previously. With such an increasing number of hip replacement surgeries being performed, there is a concomitant increase in failure of the implant. This failure may be caused by infection. However, it is frequently caused by a mechanical loosening between the osseous tissue and implant. Fixation failure is a very serious condition which, in most cases, necessitates early surgical intervention.
Whatever the cause of implant failure, a common characteristic is noted. It is loosening either at the tissue/cement interface, or at the cement/prosthetic stem interface.
When fixation at either interface fails, a serious condition exists, because of the occurrence of movement of the stem in relation to the bone. In such cases, the stem acts as a rasp to abrade the bone tissue. Debris causes inflammation reaction which in turn causes more bone reabsorption. If not diagnosed and corrected early, such abrasion and inflammation can result in such a large amount of bone loss, that subsequent implantation may be impossible, or at least difficult to achieve. In addition to the problem of bone loss experienced in implant failure, the condition, if not corrected, results in great pain for the patient.
Therefore, in order to prevent bone loss due to implant loosening and to alleviate pain caused by a loosened implant, it would be highly desirable to have a method of discovering prosthetic implant fixation failure at an early stage. However, from the diagnostic aspect, it should be noted that pain experienced by the patient is not always a reliable indicator of implant failure, because the pain may be caused by other factors. Thus, a need exists for a reliable method for discovering fixation failure, which method does not depend upon the occurrence of pain in diagnosis.
Generally, two procedures have been utilized in the attempt to diagnose prosthesis implant integrity. One of such procedures is to inspect the bone/implant area by x-ray examination. This technique has several limitations. In the first place, the technique is not entirely accurate, since it frequently fails to identify areas of implant loosening. Additionally, the x-ray technique entails the exposure of the patient to unwanted radiation. In addition, such techniques are generally ineffective in diagnosing implant failure at an early stage. Further, the x-ray use in such a technique presents a health hazard to the patient.
Another technique for attempting to evaluate bone implant fixation integrity utilizes conventional or digital subtraction arthrography methods. These methods are limited, because they utilize a contrast medium which must be introduced in close proximity to the area of cement failure, otherwise the medium does not effectively disclose the failure.
In addition, the arthrographic techniques often produce false negatives. Reliance on such false negatives can lead to injury to the patient. Another important limitation of arthrographic techniques is the fact that it is invasive, causes patient discomfort and, has a risk of introducing infection.
Therefore, it would be highly desirable to have a method and apparatus for determining implant fixation integrity, without the necessity of employing harmful radiation. Also, such techniques should be non invasive, painless and substantially risk free.
Chung et al., (1979) reported a limited anatomical study of the alteration of natural resonant frequency of the femur during curing of the cement. They alluded to the possibility of diagnosing prosthetic loosening by small alterations in the natural resonant frequency of the bone-implant unit in secure and loose prostheses. Van der Perre (1984) reported that in the case of a loose prosthesis, there was a decrease in the resonant frequencies, and that the frequency spectrum was `rather noisy`. He also proposed that monitoring of the resonant frequencies over time would be the best method of determining loosening of the prosthesis. In previous studies, a considerable variation in the natural resonant frequency of whole cadaver femurs and in femurs with secure prosthetic implants in situ has been observed consistent with the individual differences in the mass and shape of the bones. Hence, if the phenomenon of frequency shift on loosening of the prosthesis is to effectively used, as proposed by Chung and his coleagues and by Van der Perre, prior knowledge of the resonant frequency of the bone-implant unit before loosening has ocurred is required for every patient. This information would not realistically be available in the clinical situation.
A further limitation of the Chung technique is that it is invasive, utilizing a needle driven by a speaker diaphragm. In this regard, in clinical practice, measurements could only be made by using a hypodermic needle brought into contact with the underlying bone. Such a technique would certainly be highly painful and carry the risk of infection.
Therefore, in light of the limitations in the prior known techniques, it would be highly desirable to have a method and apparatus, which would be useful in the dynamic analysis of bone implant composite integrity, in a painless and non-evasive manner. Such a technique would provide reliable clinical data, irrespective of age, bone differences. Further, it would be highly desirable if such a method and apparatus could be developed in such a manner that they could be utilized at any time after prosthetic implantation, without the requirement for acquisition of base-line reference values immediately after implantation surgery.
It is an object of the present invention to provide a new and improved method and an apparatus for determining the integrity of implants fixation in the bone without the need for the utilization of X-rays, in a noninvasive relatively painless manner.
It is a further object of this invention to provide such a new and improved method and apparatus for determining the integrity of bone implants in such a manner that a determination can be made at any time after surgical implantation, in an absolute manner without the need for prior base-line reference values for comparison.
Briefly, the above and further objects of the present invention are realized by providing a method and apparatus for determining hip implant integrity by detecting loosening of the implant imbedded in a bone of a limb of a patient.
The implant fixation integrity determining apparatus includes a vibrator, which is pressed into engagement with the limb to impart vibratory motion to the bone. The vibrator is controlled to cause the vibratory motion to have a predetermined recurring pattern. A pick-up device is pressed into engagement with the limb spaced from the vibrator, over the same bone near the implant for detecting the vibratory motion transmitted through the bone implant composite to generate an output signal. The recurring pattern of the output signal transmitted through the bone implant composite is analyzed. Implant loosening is determined when the sustained wave superimposition is noted on the oscilloscope and/or significant secondary harmonics are noted on the spectrum analyzer.
Therefore, the present invention provides a noninvasive method and apparatus for determining bone implant fixation integrity. In addition, the inventive technique is substantially risk free and generally painless to the patient. Further, the present invention does not involve the introduction of any harmful radiation, or substances into the body of the patient and, for that reason, may be utilized repetitively with decreased patient risk. Additionally, the inventive apparatus may be used conveniently in the physician's office to monitor limb implant fixation integrity.
The above mentioned and other objects and features of this invention and the manner of attaining them will become apparent, and the invention itself will be best understood by reference to the following description of an embodiment of the invention in conjunction with the accompanying drawings, wherein:
FIG. 2 is a diagrammatic, fragmentary representation of a hip implant fixation integrity determining apparatus, which is constructed in accordance with the present invention; and
FIGS. 2-5 are waveform diagrams useful in understanding the invention.
Referring now to the drawing, there is shown an apparatus 9, which is constructed according to the present invention, and which is adapted to perform a limb implant fixation integrity diagnosis. A partially sectioned human femur 10 has a hip replacement prosthesis 20, under test by the apparatus 9, applied at the distal end of the femur. While a bone is shown for illustration purposes, it should be understood that the apparatus 9 is adapted to test a live person, and thus the apparatus 9 comes into contact with the outer skin (not shown) and not directly into contact with the bone.
The apparatus 9 generally comprises a signal generator, such as sine wave generator 30, controls a vibrator 40 to impart vibratory motion to the bone 10 to determine the fixation integrity of the prosthetic implant. Spaced apart from the vibrator 40. A signal pickup device, such as accelerometer 50, receives the vibrations transmitted through the bone implant composites 10, 20, 28. An amplifier 60 enhances the output of the accelerometer 50 to enable the amplified signal indicative of the transmitted vibratory signal to be supplied to an oscilloscope 72 for graphical display purposes. A spectrum analyzer 76 also processes the output of the amplifier 60 to facilitate the analysis of the signal transmitted through the bone implant composite under test. A tape recorder 70 and/or a chart recorder 80 are also used to record the transmitted signals.
Prosthesis implant loosening can be determined when a recurring signal having a predetermined pattern, for example, in the form of a sine wave signal produced by the sine wave generator 30, is imparted to the femur, and the output signal transmitted through the bone implant composite displaying wave superimposition. This is the case, because the input signal and the output signal are substantially identical (in this example, regular sinusoid pattern without superimposition) in a nonimplanted bone, as well as in a bone in which prosthesis is firmly implanted.
Considering now the generator 30 in greater detail, the signal generator 30 produces the recurring input signal having a predetermined pattern in the form, for example, of a sine wave signal. A generator output cable 32 supplies the input signal to the vibrator 40, which has an arm 42 connected to an enlarged spherical head or tip 44 at its outer distal end. Vibratory motion is imparted at the skin tissue (not shown) surrounding a condyle 12 of the bone 10 by the spherical tip 44.
The spherical tip 44 provides an effective method for imparting vibratory motion to the femur of a patient. In a preferred form of the invention, the spherical tip is about 15 to about 25 millimeters in diameter. In a more preferred form of the invention, the spherical tip 44 is about 19 millimeters in diameter.
Because of its shape and size, spherical tip 44 has a large surface area to engage the skin over a large area. The tip 44 is effective in depressing the skin and underlying muscle of the patient to engage firmly the tissues without causing pain to the patient. Because of its size and shape, the tip 44 is effective in imparting substantially distortion free vibratory motion to the femur in accordance with the present invention.
Referring to the drawing, the hip prosthesis 20 implanted in the femur 10, is conventional and includes a head 22 which is adapted to fit within acetabular cup. A neck 24 interconnects the head 22 and a stem 26.
During hip replacement surgery, the stem 26 is cemented into the femur 10. In a successful surgical procedure, a cement layer 28 provides a firm, uninterrupted interposition between the surfaces of the stem 26 and the bony tissue of the bone 10.
Subsequent to hip implant surgery, the integrity of the bone implant composite can be determined by the present invention. As discussed above, vibratory motion having a predetermined recurring pattern in the form, for example, of a sine wave signal is imparted to the bone 10 at the lateral condyle 12. The signal pickup device 50 is spaced from the lateral condyle and, as depicted in the drawing, is near the greater trochanter 14. The signal from the accelerometer 50 is supplied via an accelerometer output cable 52 to the amplifier 60. After amplification, the signal is transmitted by an oscilloscope input cable 62 to the oscilloscope 72, by means of which the output signal can be analyzed and displayed.
It will be readily clear to one skilled in the art of electronic diagnostic procedures that the output signal from the amplifier 60 can also be transmitted by, for example, an analyzer input cable 64 from the amplifier 60 to an analyzer 76 which is used for further analysis of the output signal In addition, the signal can be transmitted, for example, to the tape recorder 70 by means of a tape recorder input cable 66 whereby the output signal can be stored for later retrieval and analysis.
It will be further apparent to those skilled in the art of utilizing electronic equipment for diagnosis, that the output signal can be transmitted by, for example, a chart recorder input cable 74 from the oscilloscope 72 to the chart recorder 80, in order to obtain an easily readable tracing of the output signal to be used for documentation.
By utilizing the methods and apparatus herein disclosed, replacement hip implantation integrity can be readily determined by analysis of the output signal received via the pick-up device 50, with the input signal supplied from the generator 30. In cases where successful implantation has occurred and a firm implant fixation has resulted, the output signal will demonstrate a pure tone without wave superimposition. Where a sustained wave superimposition is observed, a diagnosis of a loose prosthesis can be made.
The method and apparatus herein disclosed have been utilized in both in vitro and in vivo tests. In the in vitro tests, femurs derived from cadavers were utilized while, for the in vivo tests, the integrity of hip implantations in living patients was performed.
Following are examples of the in vitro and in vivo tests of the present invention.
Ten fresh cadaver femurs were obtained from postmortem specimens and deep frozen until required. Specimens were taken from patients in the age group 31-82 years and known to be free from pathological bone disorders. The specimens were obtained from six females and four males and comprised equal numbers of right and left femurs. After defrosting, the bone was supported by clamping each end in resilient plastic foam in an attempt to simulate anatomical supports. A vibration of known frequency and power was applied over the lateral aspect of the lateral femoral condyle using a "mini-shaker" vibration apparatus 40 fitted with a 19 mm diameter spherical tip 44 and driven by a sine-wave generator 30.
Care was taken to ensure firm contact with the bone as intermittent contact gave rise to distortion of the signal due to rattling between the vibrator and hard bone surface. The output was recorded using a PCB Piezotronics 303A03 low mass accelerometer 50 applied to the greater trochanter and connected, through an amplifier 60, to a digital storage oscilloscope 72 and an X-Y plotter 80. The input frequency was scanned from 100-1000 Hz, and the resonant frequency was determined. The output waveform was studied and recorded throughout the frequency range.
A Charnley femoral prosthesis was then cemented in standard fashion, and vibration testing of the femur with the prosthesis firmly implanted was repeated. The femoral implant was then deliberately loosened at the cement-implant interface. This was achieved by removal of a small amount of proximal cement 28 and separation of the implant from its cement mantle (cement layer). The vibration testing was again performed. A frequency analysis was obtained in both the above groups using the spectrum analyzer 76.
A further experiment was performed on five of the femurs where cement/bone interface loosening was simulated by allowing the cement mantle to cure on a prosthesis before inserting it in a prepared femur. All of these cases underwent similar vibration testing and frequency analysis of the output signal.
In intact cadaveric femurs, a sinusoidal output waveform was observed on the oscilloscope. Harmonic content, as detected by the spectrum analysizer, was a small percentage of the primary signal. There was considerable variation in the natural resonant frequency of the specimens, determined as the excitation frequency at which the amplitude of the output signal was seen to reach a maximum. The natural resonant frequency of intact cadaveric femurs varied from 220 to 375 Hz, with a mean of 302 Hz, and was unaffected by repositioning in the plastic foam clamps (not shown). With a firmly implanted femoral prosthesis in situ, the natural frequency varied from 230-325 Hz (mean = 293 Hz).
Markedly differing output waveforms were observed between the cases of firmly implanted and loose femoral implants (at both the prosthesis/cement and bone/cement interfaces). Where the prosthesis was firmly cemented, the application of a vibration throughout the frequency range (100-1000 Hz) consistently produced a visibly regular sinusoidal output in all the specimens tested (FIG. 2). Frequency analysis of this output demonstrated that it was a pure tone with no significant superimposed harmonics (FIG. 3).
In the groups of loose prostheses (at the bone/cement and prosthesis/cement interface) the applied vibration produced, in every case, an output signal displaying distinct and sustained wave superimposition (FIG. 4). For each femur this pattern of distortion was observed over a narrow frequency band within a few tens of Hz about the resonant frequency. When this signal was frequency analyzed, the magnitude of the secondary harmonics relative to the primary frequency was observed to be markedly increased (FIG. 5).
To test the efficacy of the vibration technique as an in vivo diagnostic tool, a number of in-patients were examined. Seven of these patients (with ages ranging from 76-85 years, mean = 80 years) had been admitted for revision on the basis of symptomatic "loosening" of the prosthesis. Subsequently, four of these subjects had aspiration arthrograms performed pre-operatively. At surgery, the adequacy of fixation of the femoral component was assessed. A further four patients who were approximately two weeks following total hip replacement were also tested.
During testing, the patient was placed in the lateral position with the test hip uppermost. The vibration signal was applied over the lateral femoral condyle, just above the joint line and output signals were recorded using the accelerometer placed over the greater trochanter. The output signals were recorded, displayed and processed as described above. Although the vibration signal was applied and detected through a significant thickness of flesh, an adequate output signal was obtained. The maximum power applied was 0.5 watts. The patients reported no feelings of discomfort.
Seven patients underwent revision surgery for symptomatic "loosening." In five cases a loose femoral prosthesis was demonstrated at operation. In all five of these cases, the vibration test was positive, showing distortion of the waveform. Four patients underwent pre-operative arthrograms, two of which were falsely negative. In the remaining two cases, although clinical evaluation and plain X-rays were suggestive of loosening, both vibrometry and arthrogram were negative. The femoral components were found to be securely fixed at operation. In the four cases tested two weeks after total hip replacement, no output distortion was observed.
While a particular embodiment of the present invention have been disclosed, it is to be understood that various different modifications are possible and are contemplated within the true spirit and scope of the appended claims. There is no intention, therefore, of limitations to the exact abstract or disclosure herein presented.
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The Home Depot Names Menear CEO
Thursday August 21st, 2014 - 4:58PM
These are shortcuts to your favorite social networking and bookmark sites. Add this story to your Facebook page, del.icio.us, DiggIt, and many others!
The Home Depot has announced that Craig Menear, currently president, U.S. retail, has been named CEO and president, effective November 1, 2014, and has been elected to the company's board of directors, effectively immediately. Current chairman and CEO Frank Blake will remain chairman.
Menear, who was named president, U.S. retail in February of this year, is a 34-year retail veteran. In addition to his role as chief merchant, Menear has overseen the company's supply chain efforts, its rapidly growing online and private brand businesses and the company's marketing and global sourcing.
"Craig has taken on increasing leadership responsibility over the last several years and has excelled in all his roles," said Blake. "As a long-time Home Depot veteran, Craig lives our values and embodies our culture. He'll do an outstanding job leading our company in the years ahead."
Blake has been chairman and CEO of The Home Depot since 2007.
"On behalf of the board, I want to thank Frank for the job he has done over the last seven years," said Greg Brenneman, the board's lead director. "Among his many accomplishments, Frank has built a world-class leadership team. We are fortunate to have a leader of Craig's capabilities as our new CEO."
Tags: Home Depot • Craig Menear • Frank Blake • home centers • home improvement • hardware stores • hardware retailing • Housewares • Retail •
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Ice dream day 40 of flowering ice x white widow
- from: h3rbalizer
- uploaded: Feb 2, 2011
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Here is another video of the Ice Dream being tested for the greenhouse seed company in Amsterdam. Ice x White widdow another great strain From Franco and arjan the ice dream will be released in 2011 check out greenhouseseeds.nl for more up and coming strains.
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Arizona State Sun Devils
ASU basketball ranked among top 15 most watchable teams
In the interest of full disclosure, Deadspin.com's Matt Giles admits his weekly ranking of the top 15 most watchable teams in college basketball isn't based on records or the schools most likely to make a deep run in March.
With that said, Valley fans will take a nod in their direction any which way they can get it at this point.
Through 16 games, the ASU Sun Devils are off to their best start since 2007-08, when James Harden and Co. raced out to an identical 14-2 record. While the road will get tougher for Herb Sendek's squad following Thursday's third straight win in Pac-12 play against Oregon State, it's never a bad thing to get a little national attention.
For their surprising sprint out of the gates this season, the Sun Devils came in at No. 6 on Giles' list.
Under coach Herb Sendek, the ASU offense historically had been a dull exercise in arranging five pieces of statuary around the halfcourt�and then guard Jahii Carson showed up. Carson, ruled ineligible by the NCAA last year, has been as good as advertised. Streaky from the perimeter, he has quite possibly the quickest first step in D1, and he has readily assumed the role of orchestrating the break.
Through the non-conference slate, ASU used 72 possessions per game�a brisk pace for any team, let alone a Sendek bunch. A quarter of Carson's assists were handed out in transition, and his teammates, like Carrick Felix, have benefited. Before this season, Felix was known primarily for being the first junior college player ever to get a Duke scholarship offer, but after 13 games, Felix is now making a name for himself as a slasher filling the right wing (and scoring 1.4 points per fast break).
In addition to the play of Carson and Felix, junior center Jordan Bachynski has been much-improved at the offensive end, averaging 10.5 points and 7.3 rebounds per game heading into Sunday's road clash against Oregon. Bachynski also is third in the nation with 4.5 blocked shots per game.
ASU wasn't the only local team to make the weekly list. Despite a 5-10 start, NAU came in behind the Sun Devils at No. 8.
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Risk Of HIV Transmission From Eating Food Made By Someone With HIV
Here's a taste of what TheBody.com has to offer on this topic:
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pre-chewed food + donation question PRE-CHEWED FOOD, HIV TRANSMISSION RISK, 2010)Dear Doctor, I read the CDC article about exposure through pre chewed food for infants. Apparently HIV mothers/fathers passed it to their infant babies through chewing food for them. How is this possible? I understand that passing the virus while...
Response from Robert J. Frascino, M.D.
The Robert James Frascino AIDS Foundation...systems, and there may well have been extenuating circumstances. (See below.) There is absolutely no HIV-acquisition risk from eating in restaurants, unless you have unsafe sex with an HIV-positive waiter.As for soccer, also no risk, unless you... Read more »
Re: HIV transmission Risk, WILL DONATE (CASUAL CONTACT, 2010)Hi Doc,I just thought of another question after typing my original ones (below). #4. Would the fact... Read more »
Risks of unprotected anal sex (HIV TRANSMISSION BETWEEN TWO HIV NEGATIVES, 2009)With a negative testing couple, are there any risks of unprotected anal sex? For example, the semen... Read more »
HIV Transmission...cases of HIV transmission from performing oral sex on a person infected with HIV. While no one knows exactly what the degree of risk is, evidence suggests that the risk is less than that of unprotected anal or vaginal sex. If the person... Read more »
Pregnancy and HIV...These procedures are effective. However, they are very expensive and not easily available. Use antiretroviral medications: The risk of transmitting HIV is extremely low if ARVs are used in pregnancy and labor, and the mother does not... Read more »
Stopping the Spread of HIV...past 2 or 3 months) are most likely to transmit HIV to others. This is when their viral load is the highest. In general, the risk of transmission is higher with higher viral loads. This fact sheet provides an overview of HIV prevention, and... Read more »
HIV and Cardiovascular Disease...Disease Why Should People With HIV Care About CVD? What Causes CVD? How Do We Measure CVD Risk? How Can You Reduce the Risk of CVD? What About Changing Medications? HIV and Cardiovascular Disease Cardiovascular disease... Read more »
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Posted by jkhjkjkhg, 1 Reply...the park and afterwards, i saw a cm sized wound. now he was at the table about 8-15 minutes before me, and what would be the risk of hiv or any std if there was hiv+ blood on the table, got on his shirt, and that wound (when it was open) touched... Read more »
How big is my risk?
Posted by annie, 1 Reply...antigen test done at 3.5 weeks, it came back negative. Tomorrow I am going to get retested at 11.5 weeks. First what was my risk of contracting HIV...am I freaking myself out over nothing? Right now I have swollen tonsils muslce aches,... Read more »
HIV via infected food!
Posted by Anonymous, 1 Reply...Dear Experts, I have some trouble, I need your help. Although you establish that HIV could transmit in three ways: Unprotected sexual intercourse, used syringes, and blood transfusion ..But I have one question: Read more »
transmission throgh food?
Posted by Anonymous, 1 Reply...If an HIV + man cut his hand and get some blood onto food, does the person who eats the food(without being aware of the blood) run into Read more »
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Quick Squarespace Website Set up
Closed - This job posting has been filled and work has been completed.
Job Description
Need someone to set up a 7 page website using Squarespace. Except for home page, pages 2 - 7 will have the same overall layout/blocks. Need to customise template to include header/footer info and colour style.
A full brief with specifics details including the template will be provided to the successful contractor. Any questions, please do ask.
Please include 2 squarespace url's that you have set up and start your reply with: Squarespace is not wordpress.
This is a 1 - 2 hour job for someone who knows what they are doing. 24 hour turnaround expected.