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Sesame Oil
Sesame Oil
Olive Oil
Wasabi-ginger Grilled Grouper
April 13, 2006
ENTREE WASABI-GINGER GRILLED GROUPER 2 tablespoons wasabi powder 1 tablespooon water 4 scallions, finely chopped 4 cloves garlic, minced 2 tablespoons peeled and minced ginger root 1/2 cup soy sauce 1/2 cup mirin 1/4 cup brown sugar 2 teaspoons Asian sesame oil 2 pounds grouper fillets Combine wasabi powder and water in a small cup. Set mixture aside 10 minutes to make a thick paste. Place scallions, garlic and ginger root in a medium bowl. Stir to mix. Whisk in soy sauce, mirin, brown sugar and sesame oil. Add wasabi paste and mix well.
Chinese Eggplant With Ginger and Scallions
October 25, 2007
Appetizer/Side DishChinese Eggplant With Ginger and Scallions 1 1/2 pounds Chinese or Japanese eggplant 1 teaspoon Asian sesame oil 3 tablespoons low-sodium soy sauce 2 tablespoons rice wine vinegar, or more 1 tablespoon sugar 1 tablespoon cornstarch 1 tablespoon canola oil 3 cloves garlic, minced 2 teaspoons minced ginger root 3 scallions, white part minced, green part thinly sliced, for garnish Preheat gas or charcoal grill to medium high....
Chicken and Pepper Saute with Ginger-herb Sauce
By Jill Wendholt Silva and McClatchy Newspapers
April 20, 2010
Makes 4 servings 1 (1-inch) piece fresh ginger, peeled 1/3 cup flat-leaf Italian parsley 1/3 cup fresh mint leaves 2 tablespoons olive oil, divided cup rice vinegar 1 teaspoon sesame oil 2 teaspoons honey { teaspoon ground coriander Salt and pepper to taste 1 pound boneless, skinless chicken breasts 1 red bell pepper, cut into thin strips 2 cups cooked brown rice ...
Asian Sesame Grilled Tofu Steaks
November 16, 2006
ENTREE Asian Sesame Grilled Tofu Steaks Use firm or extra-firm tofu for this dish. Mirin, sweetened rice wine, can be found inAsian markets along with chili paste and garlic. Serve with rice, lo mein noodles or over stir-fried vegetables. 1 tablespoon toasted sesame oil 2 tablespoons low-sodium tamari or soy sauce 2 tablespoons mirin 1 tablespoon rice vinegar 1 teaspoon chili sauce with garlic 1 pound firm tofu, cut into 1/2-inch-thick steaks the long way 1 tablespoon sesame seeds Combine the sesame oil, tamari, mirin, rice vinegar and chili sauce and pour over the tofu steaks in a small dish with raised sides.
Chinese Honey Garlic Chicken Wings
February 2, 2006
APPETIZER 3 pounds chicken wings (16 wings) 1/2 cup soy sauce 1/2 cup honey 1/4 cup lemon juice 1/4 cup water 3 tablespoons ketchup 2 cloves garlic, minced 1 teaspoon minced ginger root 1 teaspoon Asian sesame oil 1 teaspoon Chinese five-spice powder 2 tablespoons sherry 1 tablespoon black sesame seeds 1 teaspoon salt 1/2 teaspoon fresh-ground black pepper 1/2 cup chopped basil leaves Wash and pat the chicken wings dry. Cut wings into...
Asian Slaw
August 21, 2008
SALAD/SIDE DISH Asian Slaw * 5 scallions, both white and green parts, divided * 1/4 cup light soy sauce * 1/4 cup rice vinegar * 2 tablespoons honey * Cayenne pepper, to taste * 1/2 cup canola or corn oil * 2 tablespoons Asian sesame oil * 10 ounces napa cabbage, cut in 1/4- to 1/2-inch thick shreds (1 small cabbage; about 8 cups) * 2 carrots, peeled and shredded * 1/2 cup salted peanuts, chopped or whole In blender or food processor fitted with the metal blade, mince 1 scallion, then add soy sauce, vinegar, honey and dash cayenne.
Lake Tung Ting Shrimp
February 15, 2007
ENTREE Lake Tung Ting Shrimp Marinated Shrimp: 1/2 pound shrimp in the shell (16 to 25 to the pound), shelled, deveined and sliced in half horizontally 1 tablespoon plus 1/4 teaspoon salt Water 1/2 egg white 2 teaspoons Chinese cooking wine* or dry sherry 1 tablespoon cornstarch Pinch white pepper Asian Sauce: 2 tablespoons Chinese cooking wine* or dry sherry 2 tablespoons chicken broth 1/4 teaspoon salt 1 1/2 tablespoons cornstarch ...
Great ribs without the grill
By Deborah S. Hartz-Seeley Food Editor
August 21, 2008
I think cooking tender ribs is a bother. Especially on a small grill where they tend to char unless constantly watched. So I was pleased to find this simple recipe for ribs that bake in the oven. It's also great for condo and apartment dwellers who don't have grills. It comes from Kitchen Playdates (Chronicle, 2007) by Lauren Bank Deen. Although the recipe is designed to cook for kids, it has plenty of adult flavors. Round out the meal with the usual barbecue suspects or make our Asian Slaw based on napa cabbage with a light dressing of soy sauce and Asian sesame oil. SALAD/SIDE DISH Asian Slaw * 5 scallions, both white and green parts, divided * 1/4 cup light soy sauce * 1/4 cup rice vinegar * 2 tablespoons honey * Cayenne pepper, to taste * 1/2 cup canola or corn oil * 2 tablespoons Asian sesame oil * 10 ounces napa cabbage, cut in 1/4- to 1/2-inch thick shreds (1 small cabbage; about 8 cups)
Korean Salad With A Sexy Little Dressing Packs Punch
BY MARK BITTMAN The New York Times
August 10, 2006
The Korean food that is probably most familiar to non-Koreans is barbecue. Yet the more I learn about Korean food, the more I recognize its reliance on vegetables -- and, of course, spices: I have come to think of Korean cooking as Japanese cuisine with guts. This little salad is a perfect example. It is based almost entirely on chives and served with a very sexy sesame-and-soy dressing. I've seen it served with and without lettuce. The first way would make an intriguing side dish, almost a condiment and akin to a salsa or relish.
Sauteed Shrimp With Star Anise and Rice
April 22, 2007
Test kitchen tip: Typically star anise, a star-shaped spice, is sold whole, so you'll need to grind it in a clean coffee grinder or with a mortar and pestle. Don't want to bother with star anise? Substitute a blend of cinnamon, nutmeg and/or allspice to taste. 1/2 teaspoon ground star anise 20 frozen peeled, deveined shrimp, thawed 1 clementine or tangerine, peeled, seeded, divided into segments 2 teaspoons toasted sesame oil OTHER INGREDIENTS 1 cup short-grain rice 1 tablespoon vegetable or olive oil 4 cloves garlic, minced 8 scallions, minced 1/2 cup orange juice 1/2 teaspoon salt Fresh-ground black pepper, to taste 1/4 cup plus 2 tablespoons minced cilantro PUTTING IT TOGETHER Prepare rice according to package directions.
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Shruti Hassan Latest Hot Photos in Poojai Movie Images, Sruti Hassan Latest Hot Pics, Shruti Hassan New Hot Images Continue Reading »
Dhanush with Trisha Late Night Party Photos Tamil
Dhanush with Trisha Late Night Party Photos, Actress Trisha with Dhanush in Night Pub Party Images, Tamil Actor Dhanush with Trisha Party Leaked on Internet Continue Reading »
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Actress Parvathy Nair stills, Actress Parvathy Nair hot. Actress Parvathy Nair photoshoot. Actress Parvathy Nair hot photoshoot. Actress Parvathy Nair . Continue Reading »
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Top Actress Hot Stage Dance Photos | Tamil | Telug
Top Actress Hot Stage Dance Photos, Tamil Actress Hot Stage Dance Stills, Tollywood Actress Hot Stage Dance Images Gallery, Shriya SAran, Priyamani, raai laxmi, Meera Jasmine, Anjali, Vidya Balan New Continue Reading »
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Shruti Hassan Latest Wallpapers | Actress Sruti Ha
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Willam Randolph Hearst, newspaper magnate, and barely disguised leading role in the movie "Citizen Cain" heard that the
Spanish Army had occupied a Cistercian Monastery, during the Spanish Civil Way. He determined to save it from the ignomeny of being a refuge for many horses, and succeeded in buying these cloisters, and shipped them to Miami, enroute to Heast Castle, his Palace in California.
Unfortunately, US Customs balked at allowing the straw that the stones were wrapped in, into the US, and the whole shipment was quarentined.
Heast Castle's loss is South Florida's gain, and although the Church is not the original, it is still nice to visit. Strange that it should have Anglican services, next to this part of a former Catholic Monastery!
The history is really more impressive than the attraction, but if you are spending a week or more in Miami, consider driving here on the way to Fort Lauderdale!
If you own or manage Cloisters of the Monastery of Saint Bernard de Clairvaux, register now for free tools to enhance your listing, attract new reviews, and respond to reviewers.


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Windsor Hills Condo Rental Photos and Description
Perfectly Located! Redesigned 3BR/2BA Condo, Free Calls Free WiFi, Sleeps 6-8
Just added! Enjoy 1000's of programming choices on our brand new HD 60 inch HD Wi-Fi enabled smart TV with complimentary streaming Netflix.
Check our calendar and call or email for last minute and gap rates. Save $$$
We JUST completed a $10000 renovation! Some of the upgrades include- 32' HDTV's in all bedrooms, a brand new living/dining area, new carpet and new paint. Be one of the first to stay in our stunning new home.
Enjoy 3 large bedrooms, 2 full baths, fully equipped kitchen and
laundry, and 4 cable TV's, for less than the cost of a hotel! Our spacious 1447 square foot fully furnished luxury condo at Windsor Hills Resort in Kissimmee is just 5 minutes from Disney's main gate.
Location is the key! Within the resort our home is perfectly located just a 1-minute walk from the stunning double Olympic size lagoon pool with water slide, spa and dancing fountains, clubhouse with games room, video arcade, movie theater, state of the art exercise room and sundry shop. Further into the resort you will find a castle themed playground and picnic area.
Basketball, volleyball, putting green and tennis courts are offered at the recreation area just around the corner from our condo.
- Suitability:
- Long-term Renters Welcome
- children welcome
- non smoking only
- pets not allowed
- suitable for elderly or infirm
- wheelchair accessible
About Janice Haas
Hi, we're Jan & Dave Haas from Bethlehem, CT. We love visiting our condo a couple times a year and in between we love renting it to vacationers to the Disney area. Most of all we love the nice things guests say about our vacation home.
Janice Haas purchased this condo in 2006
Why Janice Haas chose Windsor Hills
We chose our home for its wonderful location just a 5 minute drive from Disney's main gate and for its ideal location within the resort itself. We're just a one minute walk from the pool gate but far enough so the pool noise is never a problem.
What makes this condo unique
We're often told we have the best equipped unit our guests have ever seen and we strive to constantly stay a bit ahead of the competition by offering 'just a bit more value'. Our new 60 inch Wi-Fi enabled Smart TV with complimentary streaming Netflix that makes a family night in extra special is just one example. Our guests love it!
Guestbook comments from the owner
Hi Jan we just arrived and let me tell you we rented villas and condos in
Windsor hill for the last 5 years and not a lot of them are up to yours.
everything is just perfect. don't worry we will take good care of it.
Happy holidays,


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Moving to cyber lounge.
yeah I read something about that, its healthier to sleep betweem 6-8 hours....Originally Posted by raven2424
during week dys I sleep like 6 to 7 hours..... but on weekends... from 7 to 11... hehe
Thank you SasuraiHell for making my sig. ur the best."I came, I saw, I conquered" - Julious Cesar
Moving to cyber lounge.
-Just another green eyed angel, distorted by mans love for hate-|THE INFAMOUS CHEETOS OVERLORD||IceNineKills|
6 hours school days,and on vacation 11-12 hours.
"I let all that kind of blood away" Thanks Viper
like 6 or 7 hrs.
to put it simply, not enough. 6 or less hours a day. i have dark circles under my eyes (visible from 2 feet or 3 feet) and never wanna get up in the morning. sometimes my joints are stiff.
I won't let this world exist without me! If I die, we all die! / Avatar & Signature by anime_8000.
Power naps are the best and most of the time last no longer then an hour or 2.
Code Name Wind
if i have no exam,, i sleep for 5 hours i think.. if i have exam i only sleep for 2 hours.. if it is vacation i sleep for more than 8 hours..
you're right.. if you doesnt sleep.. you will feel that ur weak..
but i need you here tonight
i need you here inside
i need you here tonight
i really really need you here tonight
3-5 hours during school...
8-10 on weekends...
9-12 on vacations...
i stay up talking with my lover, doing homework, cleaning, playing games...
but, mostly the first two...


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Ask Search Post
Vehicle for Sale > USA > FL > Fort Myers Area
Cars and Vehicles for Sale in 33901(1 - 15 of 31,633)
$3,000 2003 Bmw Z493,219 miles · Fort Myers, FLLeft Fender: Clean Left Front Door: Clean Left Rear Quarter Panel: Clean Trunk Lid: Light scratch Rear Bumper: Small chip Right Quarter ...Albert D. · 5 days ago
$5,000 2010 BMW 5-Series57,124 miles · Arcadia, FL2010 BMW 535i Base Sedan 4-Door 3.0LGarrison I. · 5 days ago
$5,995 car109,000 miles · North Fort Myers, FLCadillac DeVille Base 4dr Sedan Automatic 4-Speed SILVER 109572 V8 4.6L V82004 Sedan Lucky's SW Premier Motor Group Inc 239-599-2725 ww...
$3,995 1997 Ford Ranger128,000 miles · North Fort Myers, FLFord Ranger XLT 2dr Extended Cab SB Automatic Teal 128261 V6 4.0L V61997 Pickup Truck Lucky's W Premier Motor Group 239-599-2725
$3,995 Car90,000 miles · North Fort Myers, FL1999 Mercury Grand Marquis - V8 WHITE 239-599-2725 www.luckysusedcars.com GUARANTEED CREDIT APPROVAL!
$3,995 car50,000 miles · North Fort Myers, FLHyundai Elantra GLS 4dr Sedan Automatic 4-Speed RED 50964 I4 2.0L I42001 Sedan SW Premier Motor Group Inc 239-599-2725
$6,500 2014 Toyota Corolla9,402 miles · Fort Myers, FL… LE AutomaticPaul P. · 6 days ago
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$6,995 Nice Trucks, Vans, Suvs, Cars for Sale, $500 down, $45per Week, See Our Inventar149,000 miles · Arcadia, FLGREAT TRUCK 2002 CHEVROLET AVALANCHE 1500 THE NORTH FACE EDITION, RED, 5.3L, V8, 4 WHEEL DRIVE, RUN EXCELENT, LEATHER SEAT IS A LITTLE WO...
$4,500 2005 Nissan Maxi-ma 3.5 SL 4dr SedanAlva, FL… this car is for for more info's text me on this number (619) 413-7518Viloer S. · 1 week ago
$14,495 $500 down in All Cars and Trucks, $45 Per Week, See Our Inventary20,000 miles · Naples, FL2012 HONDA ACCORD, 22000 MILES, LIKE NEW, ONE OWNER, 5 YEARS/60000 MILES FACTORY WARRANTY MPG: CITY 24/ HWY 34 $500 DOWN, PAYMENT UNDER ...
$13,695 Nice Cars, $500 down, $200/ Month, Compare Our Price, Buy Smart35,000 miles · Punta Gorda, FL2012 HONDA CIVIC, 36000 MILES, OWNER OWNER, PROVIDING FUEL ECONOMY TO A NEAR 40 MPG MPG: CITY 29/ HWY 39 USB CONNECTOR, MP3 1.8l Sohc Mpf...
$6,300 2003 Mitsubishi Eclipse Spyder GTS112,000 miles · Cape Coral, FLUp for sale is a well kept 2003 Mitsubishi Eclipse Syper GTS. This is a second owner vehicle and has been adult owned and garaged kept si...Croket_71 · 6 days ago
$6,500 1957 Volkswagen Beetle74,699 miles · Cape Coral, FL1957 VOLKSWAGEN BEETLE 2011 AACA NATIONAL CHAMPION 1ST PRIZE CAR! STUNNING FOR ITS CONDITION AND ORIGINALITY!Braxton B. · 6 days ago
$53,977 2012 Ford Super Duty F-450 DRW Lariat Diesel, 4x4, Leather, NavFort Myers, FLThis Super Duty F-450 DRW Lariat Diesel, 4x4, Leather, Nav, comes equipped with 4 wheel drive, which means no limitations as to how or wh...Al A. ·1 listing · 12 hours ago
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The five starters for the Concordia boys basketball team will playing college ball in the future, but the question for some is where and what sport?
Senior Marq Rogers is signed with Montana to play football and senior Ryan Gross will play basketball at Wabash.
Senior Brian Gremaux's future appears to be in college baseball.
Senior Thomas Starks has had a lot of interest for his services, including Boston College.
And then there is the lone junior, D.J. McCall.
McCall currently has an offer from Chicago State, but according to Cadet coach Josh Eggold, that number should go up with the team's deep postseason run.
Wherever the five are headed, the present is one more game, against Greensburg in the Class 3A state title game Saturday at Bankers Life Fieldhouse.


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Can You Eat Food After Its Use-By Date?
By Samantha Cassetty, M.S., R.D.
Special Offers
QuestionIs it safe to eat a food after its use-by date?
Probably, as long as it's been stored and handled properly and there are no signs of spoilage. But it may not taste as good. Any date stamped on the product refers to the food's quality not its safety; it's a recommendation from the manufacturer. (The FDA mandates "use-by" dates only for infant formula and some baby food.) The types of dates you'll see:
- "Use By" is the last date by which the manufacturer recommends the food be consumed so as to still be at peak quality.
- "Best if Used By" indicates that quality may decline after the date.
- "Sell By" dates tell stores how long to display the product.
Latest Stories
31 Essential Thanksgiving Desserts
7 Things You Should Never Store in Your Basement or Attic
The One Thing Americans Fear the Most
6 Mistakes You're Making Washing Your Face
4 Surprising Things Men Don't Notice About Your Body
12 DIY Wreaths to Get You in the Christmas Spirit
Toy Awards: The Best Picks for 2014
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|NSFW Content
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Im on a pig, seriously!
Im on a pig! lol funny to watch also a response to the minecraft comic posted about oldspice being on a pig, congrats to that genius man. hope you guys like this vid
Tags: im on a pig | monkey | pig | ride a pig | im a pig
Top Rated Controversial Best Lowest Rated Newest Per page:Order:
What do you think? Give us your opinion. Anonymous comments allowed.
#6 - Raze (03/26/2011) [+] (1 reply)
[insert "TO THE FRONT PAGE" pic here]
#4 - colestep (03/26/2011) [+] (1 reply)
Reminds me of a crazy night after drinking. Doing whatever I can to ride a pig, Ugh.
#2 - Raze (03/26/2011) [+] (1 reply)
i think i just raped the replay button


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It could be a big breakthrough in stem cell research.
Scientists from the U.S. and Japan have made ordinary human skin cells take on the chameleon-like powers of embryonic stem cells.
They use a "direct reprogramming" technique that avoids the ethical, political and practical obstacles that have held up attempts to produce human stem cells by cloning embryos.
One expert says this scientific milestone is "a bit like learning how to turn lead into gold."
But researchers caution that the work is far from providing medical payoffs, saying it's still important to pursue the embryo cloning strategy. At this point, the technique requires disrupting the skin cells' DNA, creating the potential for developing cancer. That wouldn't be acceptable for developing tissue for transplant.


text:
Design your home
137 Eighty Four, PA Carpenters
Remodeling your basement? Chances are you'll want to hire a carpenter. Carpenters work with all types of wood and can specialize in many different areas. More
Aaron Agosto Custom Carpentry (412) 482-4277
We are a full service remodeling and renovation company specializing in fine carpentry and woodwork Read More
full serve renovations Read More
David Schuller (412) 341-3059
Home remodeling, diy advice Read More
Patalsky Homes (724) 327-3600
Builder Read More
Maintain It! (647) 828-3159
Maintain It! is an experienced and professional handyman and renovation service serving the GTA. We pride ourselves on speedy and quality renovations, repairs and maintenance... Read More
Ed Poturich Contracting (412) 580-3149
general contractors carpenters Read More
Holmes Properties & Management (724) 747-2823
Home Improvement Contractor Read More
Chris Doerschner/Quality Home Renovations (412) 478-7284
Chris Doerschner Quality Home Renovations operates out of Pittsburgh, PA and holds a Completes Full Interior Home... license according to the Pennsylvania contractors license... Read More
List your business here for free - Learn More


text:
Pardon our appearance as our site is currently in development.
Owners James and Idella Shepard have transformed this historic building into an elegant expression and celebration of food. The Market offers a full service deli, bakery, and is well stocked with groceries and other provisions including a large selection of local products.
Hot Sandwiches$2.50
Hot Sandwiches$4.99
Cold Sandwiches$4.99
Cold SandwichesBase Price $5.99
Hot Sandwiches$7.99
Hot Sandwiches$7.99
Hot Sandwiches$7.99
Cold Sandwiches$7.49
Get your Turkeys
Wednesday is the cut off for ordering your Fresh All Natural, Hormone,...
Throwback Thursday
Throwback Thursday to Monroe's Gen Store! Circa 1960's!
Good Morning!
Did you set your clocks back?? Come get some breakfast!!
New Site
Welcome to our new site currently in development.


text:
Elfen Lied - Nana - Dream Tech - 1/8 (Wave)Elfen Lied - Nana - Dream Tech - 1/8 (Wave)
- Partner shops approved by MFC - View more
- J-Figure.com
- The Anime Corner Store
- MH ToyShop
- ELiveShop
- Anime-Island
- Hobby Search
- CDJapan
- Ixu's Deviance
- Kirin Hobby
- Standard
© Wave / Misumaru Mashii
View moreComments (33)
01 day agoDBZfantomStrikR o Hario Harima o
The thought of being broke hurts T-T
(ext link)
128 days agoPoyanyo
Not gonna lie. I particularly disliked Elfen Lied and thought it was overrated, but Nana was the best thing about it and I couldn't help but love her. T-T Of course, I still don't like her character design too much.
04 months ago (4 months ago)Darkfrog
I am selling both my Lucy and Nana figures (preferably as a set.) The extra parts are included, but I don't have the boxes anymore which means you get a better price than what they usealy sell for :) PM me if you are interested.
04 months ago (3 months ago)se7en7
I am selling Nana + extra hair, in excellent condition, pm for interest. sale #55091
07 months ago (6 months ago)Mia
I am selling Nana and Lucy + extra parts in excellent condition, pm for interest
01 year agoHarumiku
(ext link) for her and Nyuu with extra parts (if anyone's game)
01 year agoshizu_murasaki
Thank you based Yahoo Auctions! 5200en plus shipping!!
01 year agoWindsorSeven SHSL Vegone
Saw this one and Lucy at the Mandarake store in Akihabara. 47,000 Yen for Lucy/Nyu and 417,000 Yen for this one...Holy.
Holy shit.
11 year agoShashi
Saw this one and Lucy at the Mandarake store in Akihabara. 47,000 Yen for Lucy/Nyu and 417,000 Yen for this one...Holy.
02 years agoYurikoRaine
(ext link)
230€, 9 days to go
Related Clubs (3)
- Elfen Lied FC
4 years ago
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text:
Red Herring Reveals the Award Winners of the 'Red Herring 100 Asia'.
HONG KONG, Aug. 29 /Xinhua-PRNewswire/ -- Red Herring today announced Red Herring 100, a selection of the 100 private companies in North America that play a leading role in innovation and technology. To view the Red Herring 100 list, please visit http://www.redherring.com/rhasia06 . To honor the Red Herring Top 100 Asian companies, Red Herring has invited each CEO to present his or her company at the Red Herring Asia 2006 conference, a forum for technology's most exciting companies to share their insights on the future of innovation and the entrepreneurial journey. Scheduled from August 28 - 30 at the Fours Seasons Hotel in Hong Kong, this intimate, three-day conference will give hands-on insights about the up and coming companies.
''Red Herring's lists of private companies are an important part of the magazine's tradition of identifying new and innovative technology companies and entrepreneurs. Companies like Google and eBay were spotted in their early days by Red Herring editors as those that would change the way we live and work,'' said Red Herring editor-in-chief Joel Dreyfuss."
The prestigious award, now in its second year and open only to private technology companies headquartered in Asia Pacific, is given to the top 100 Asian tech companies on the basis of technology innovation, management strength, market size, investor record, customer acquisition and financial health. Red Herring's editorial staff rigorously evaluated more than 1,000 private companies through a careful analysis of financial data and subjective criteria, including quality of management, execution of strategy, and dedication to research and development.
About Red Herring
Red Herring is a sophisticated insider's guide to the business of technology, featuring unparalleled insights on the emerging technologies driving the economy from the Internet to wireless communications and digital entertainment. Red Herring reports on how innovation and entrepreneurship are transforming business and how the business of technology is transforming the world, providing readers with a deep understanding of venture capital and capital markets. Recognized as an essential resource in today's fast-changing business world, Red Herring gets the right answers before anyone else even thinks to ask the questions. More information on Red Herring is available on the Internet at http://www.redherring.com/ .
The ''Red Herring 100 Asia'' are (in alphabetical order): Company Country Industry 247 customer India Outsourcing 24X7 Learning India Software 9 You China Internet and Services 51show China Internet and services Abkey Singapore Computing ACL Wireless India Communications Actela Korea Security Advanced Radio Engineering India Communications Aigo China Computing Allyes China Internet and services Antig Taiwan Energy Avesthagen India Biosciences Baihe Online Technology China Internet and services Bbmao.com China Internet and services BuzzCity Singapore Internet and services CGEN media China Entertainment and media China Broadband Communications China Communications Chipnuts China Semiconductor Clipcomm Korea Communications colorme-happyChina China Internet and services Comsenz China Internet and services Converge Labs India Communications Coruscant Tec India Internet and services CSDN China Internet and services Daumsoft Korea Internet and services Dideonet Korea Communications Dratek China Internet and services Drishtee Dot Com India EC Navi Japan Internet and services eDuShi China Internet and services Euglena Japan Ensoltek Korea Biosciences Esqube India Communications Evalueserve India Outsourcing Ewarna Malaysia Internet and services Exist Software Engineering Philippines Business software Gammastar China Biosciences GetData Australia Security Gmedia China Communications GNI Ltd. Japan Biosciences Gopets Korea Entertainment and media Gpans Korea Security Hansuntech China Internet and services HiChina China Internet and services icon lab Korea Communications Imagis Korea Semiconductor IndiaIdeas.com India Internet and services Innoviti Embedded India Communications Innoxius Singapore Communications Jiangxi Solar Hi- Tech China Solar Madhouse China Internet and services MakeMyTrip India Internet and services MassMedia Studios Australia Internet and services Mauj Telecom India Communications Mcubeworks Korea Communications MetricStream India Business software Miartech China Semiconductor Mobile2Win India Internet and services Morpho Inc Japan Software Netinfinium Malaysia Naukri.com India Internet and services Naviblog Japan Internet and services Nayio Media Korea Internet and services NeoAccel India Communications Netpia Korea Internet and services n-Logue India Internet and services Noah Education China Computing Novatium Solutions India Computing Oak Pacific Interactive China Internet and services ocimum biosolutions India Biosciences Payease China Internet and services pentamicro Korea Semiconductor people interactive India Internet and services Photop Technologies China Phi Microtech Japan Semiconductors PI R&D Japan Electronics Posdaq Korea Internet and services Rockmobile China Communications/wireless Shangai Hintsoft China Internet and services SiBiono China Biosciences SIMmersion Holdings Australia Software Singular ID Singapore Nanotech SoftJin India Semiconductors Taiwan Liposome Company Taiwan Biosciences tenCube Pte. Ltd. Singapore Handsets TERUTEN Korea Security Tomato LSI Korea Semiconductors Toodou China Internet and services Toonz Animation India Entertainment and Media Ubicod Korea Media and entertainment Veredus Laboratories Singapore Biosciences Waawoo Korea Computing Wealink China Internet and services winitech Korea Business software Worksoft Creative Software China Services WSO2 Sri Lanka Business software xplus China Internet and services YourAmigo Australia Internet and services zhongsou China Internet and services Zio Interactive Korea Entertainment and media For more information, please contact: Amber Li Tel: +86-10-8591-1166 x805 Email: firstname.lastname@example.com
CONTACT: Amber Li of Red Herring, +86-10-8591-1166 x805, or firstname.lastname@example.com
Web site: http://www.redherring.com/
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A novel device and method for fusions inside a forward widely tapering human disc space. A stabilizing/guiding system is driven into and against the disc space. The device is further stabilized by spreading and gripping means inside both vertebral end plates. Rod retaining members hold calibrated rod units whose adapted tips perform reaming and threading of the disc space. Subsequently, the tapered cage or implant can be inserted by a free-hand method under direct vision into the prepared and tapered bed. Rod unit divergent angulation is preferably set to match that of the disc space as well as the implants so they obtain optimal distributed purchase of vertebral bone. In one embodiment, inserts are confluent with parallel medial walls rather than their long axes, increasing torsional or lateral translational stability and simplifying placement of additional bone chips. No tubular guide means are required.
1. A system for implanting a pair of fusion cages or similar fusion-inducing devices into a spinal disc space, the system comprising:
a guide body defining a proximal end, a distal end adapted for engagement with the disc space, and a central axis extending through the proximal and distal ends; and
first and second rod retaining members positioned at opposite sides of the guide body, respectively, each defining a guide axis and adapted to selectively retain a rod unit, respectively, along the corresponding guide axis, wherein the guide axes are aligned along a transverse plane;
wherein the guide axes and the central axis are co-planar, and the guide axes are angularly positioned relative to the central axis such that the guide axes intersect the central axis adjacent and distal the distal end of the guide body and extend in a laterally spaced manner relative to corresponding sides of the distal end,
wherein the proximal end of the guide body is proximal the rod retaining members, and the distal end of the guide body is distal the rod retaining members, and further wherein the distal end of the guide body includes an expandable tip, which expandable tip is expandable only in a direction perpendicular to the transverse plane.
2. The system of
3. The system of
a first rod unit selectively retained by the first rod retaining member; and
a second rod unit selectively retained by the second rod retaining member.
4. The system of
5. The system of
6. The system of
7. The system of
8. The system of
9. The system of
10. The system of
11. The system of
12. The system of
13. A system for implanting a pair of fusion cages or similar fusion-inducing devices into a spinal disc space, the system comprising:
a guide body defining a central axis, a proximal end, and a distal end including an expandable tip adapted for engagement with the disc space;
first and second rod retaining members positioned at opposite sides of the guide body, respectively, each of the rod retaining members defining a guide axis, wherein the guide axes are aligned along a transverse plane;
wherein the guide axes are angularly positioned relative to the central axis such that the guide axes intersect the central axis distal the expandable tip; and
first and second rod units provided apart from the guide body and selectively retained by a respective one of the rod retaining members, each of the rod units terminating in a working end;
wherein upon final assembly, the rod units are selectively positionable such that the respective working ends extend distally beyond the corresponding rod retaining member, and further wherein the system is configured such that the expandable tip is expandable only in a direction perpendicular to the transverse plane.
14. The system of
15. The system of
a striking block removably assembled to the guide body and configured to translate a user-applied force onto the proximal end of the guide body.
16. The system of
17. The system of
18. The device of
19. A system for implanting a pair of fusion cages or similar fusion-inducing devices into a spinal disc space, the system comprising:
a guide body defining a proximal end, a distal end adapted for engagement with the disc space, and a central axis extending through the proximal and distal ends, wherein the guide body includes:
opposing tip bodies at the distal end forming an expandable tip,
a shaft operably connected to the opposing tip bodies such that movement of the shaft selectively causes expansion of the tip bodies relative to one another; and
first and second rod retaining members positioned at opposite sides of the guide body, respectively, and each defining a guide axis;
wherein the guide axes and the central axis are co-planar, and the guide axes are angularly positioned relative to the central axis such that the guide axes intersect the central axis adjacent the distal end of the guide body and extend in a laterally spaced manner relative to corresponding sides of the distal end,
and further wherein the proximal end of the guide body is proximal the rod retaining members and the distal end of the guide body is distal the rod retaining members.
This application claims the benefit of U.S. Provisional Patent Application Ser. No. 60/533,622, filed Dec. 31, 2003 and entitled �Tapered Bone; Fusion Cages or Blocks, Implantation Means and Method�, the teachings of which are incorporated herein in its entirety.
The present invention relates to fusions of the spine, more specifically to intradiscal or interbody fusions utilizing hollow, formed, perforated, threaded cages in severe, disabling discogenic back pain problems, with or without a herniation (protrusion) of the disc.
Degenerative changes of the human spinal column often are accompanied by severe, disabling back pain; one method of success in eliminating such pain originating from within the disc, called discogenic pain, is to surgically eliminate the disc and create a fusion or bony union between adjacent vertebrae, eliminating the offending, painful disc. Several successful surgical devices and methods are now available to obtain the desired bone or suitable substitute fusion. One such valid method utilizes fusion cages that are hollow, usually threaded devices, to contain and protect the bone graft material; the cage is driven or screwed into the prepared disc space to facilitate the development of a solid bony fusion. Into these cages morcelized bone graft or substitute fusion inducing material is placed with the fusion developing by a growth of the contained material from one vertebra, through the multiple perforations in the cage walls, into the adjacent vertebra. Such devices are nearly all cylindrical with parallel walls; however, at some disc spaces having a forward-opening taper, it is preferable to use inserts having the same taper so they will more closely conform to that disc space taper and provide an improved distributed attachment of the insert along essentially all of the tapering disc space. Further, tightness of the laminated, circumferential collagen fibers of the annulus, the outer part of the flexible disc structure, is essential for early stability of the movable spinal segment. Thus, the goal is to immediately stabilize the segment by the implant while the fusion slowly develops. The device or material used to facilitate a fusion formation must initially be able to support the vertical forces, roughly up to 1.8 times the body weight and to induce or conduct the fusion formation.
The threaded fusion cage system was designed to simplify the surgery for spine fusion. Each cage of the pair ordinarily used in the procedure is inserted into the surgically prepared and tapped or threaded hole formed between the two adjacent vertebrae, penetrating into the bone of each. Although shaped bone grafts or substitute material may be used instead of the cages to accomplish the fusion in many cases, the cages permit the use of disorganized bone chips being held into position by the cage structure. The optimal penetration, called purchase, of each cage into each of the opposing vertebral bodies to be united by bone growth, known as a fusion process, has led to substantial success in fusing the spine for over 14 years and cages of various manufactures have been implanted in perhaps 500,000 patients worldwide. Cages are hollow threaded titanium devices nearly always formed as straight non-tapering cylinders and are appropriate for most applications since the end plates of the vertebral bodies are generally quite parallel.
Anatomically, however, some of the disc spaces are not parallel, particularly at the lowest lumbar space which adjoins the top of the sacrum bone. This space, called Lumbar 5-Sacral 1 (or L5-S1) is commonly involved in the disabling, degenerative discogenic pain process. The L5-S1 disc space normally has a taper, with a larger opening at the front. When parallel-walled fusion cages are inserted into the L5-S1 disc space, more commonly from a frontal or anterior approach through the abdomen, sections of the usual parallel walled cages maybe too deeply purchased towards the posterior portion of the disc space and essentially have little or no purchase into the more anterior or frontal portion of the tapering disc space. One solution to this problem to obtain good purchase along the majority of the disc space is to use a tapered fusion cage whose angle of taper is chosen to more closely match the forwardly widening angle of the disc. To suit a variety of anatomical variations, a range of tapering angles of cages is needed, usually 6�, 9� and 12�, larger towards the front. In addition, with this normally greater forward opening of the taper, it is extremely unlikely that it would be practical or safe (relative to posterior nerve issues) to utilize a posterior approach for implantation. Various tapered cage designs and methods of implant are described in Ray C. D, Dickhudt E. A: V-threaded fusion cage and method of fusing a joint. U.S. Pat. No. 4,961,740; and, Ray C. D, Dickhudt E. A: Surgical method and apparatus for fusing adjacent bone structures. U.S. Pat. No. 5,026,373; and Ray C. D: Surgically implanting threaded fusion cages between adjacent low-back vertebrae by an anterior approach. U.S. Pat. No. 5,05.5,X04; and Ray C. D: Instrumentation and method for facilitating insertion of spinal implant. U.S. Pat. No. 6,042,582; and Winslow C. J, Mitchell S. T, Jayne K, Ray C. D: Open posterior lumbar fusion cage insertion set and method. U.S. Pat. No. 6,083,225 Systems presently manufactured by Stryker Spine, Inc., of Allendale, N.J., as the Ray Threaded Fusion Cage and associate instruments are also instructive. Additionally, other tapered cage systems have been allowed U.S. patent coverage by other inventors.
Related Art�in the past various instruments and methods have been developed for anterior insertion of various appropriately shaped supportive materials that can induce or conduct the formation of a solid fusion. Such materials have included solid bone autografts (the patient's own shaped bone) or allografts (shaped cadaver bone), shaped artificial bone substitutes (bioceramics or ocean coral) or a variety of appropriately shaped cage-like devices, each of which is cut or formed to match the desired angle of forward taper. The greatest problems associated with the instrumentation used for the implantation of these materials or devices to be implanted have been: (1) rigidly attaching a guiding assembly (usually tubular) onto or within the disc space of adjacent vertebrae for subsequent preparation of the bed and subsequent insertion of the appropriately tapered devices or cages while maintaining the proper spacing (for a plurality of implants) and angulation of the devices to be used, (2) reaming (tapered drilling) the recipient bed while rigidly maintaining the direction and depth of this process, creating the appropriate recipient bed, (3) tapping the recipient bed, or utilizing self-tapping cages, while maintaining the same initial angulation and spacing used in the above earlier stages, and (4) appropriate tightening of the circumferential fibers of the annulus with stabilization of the operated segment through a means to expand the disc. For such procedures, most commonly utilized is an essentially tubular guiding means through which the preparation and steps of implantation are performed. Such tubular means are temporarily attached across or within the disc space. This tubular means, usually a singular or double-barreled device, is forcefully driven onto or into the disc space. Through this stabile tubular device, the bed for the paired cage is formed by boring or reaming, then the tapping, and followed by cage or device insertion. Subsequently or prior to insertion, the utilized cages are filled with appropriate bone chips or substitute. Importantly, all such procedures place the tapered cages or materials with their long axes parallel to each other. Since the disc space and matching angulated cages are larger in front, and after insertion may even touch, the placement of ancillary bone outside and between the implants, as many surgeons prefer, is inhibited. Further, because the overall width of the two adjacent implants is twice their diameters, the pair of implants may be excessively wide for that disc space.
The novel system in accordance with one embodiment utilizes a variety of related instruments. Following adequate anterior lumbar transabdominal surgical approach and preparation of the affected disc space, including the scraping of end plate cartilages away from the adjacent vertebral bodies, a rod stabilizing/guiding instrument is driven into the disc space using a hammer striking against a removable plate. The guide has means to expand vertically to appropriately tighten its grip inside the tapering disc space while minimally changing the disc taper angle, by its expanding/lifting upper and lower knurled surfaces engaging the end plates along the majority length of their angulated central disc space surfaces. Each desired angulation, preferably 6�, 9� or 12� has a set of reaming or boring, threading or tapping instruments coded for ease in matching their various angulated components. The stabilizer/guide of this novel set of instruments is adjustable to accommodate various disc taper angles. Once the guide device is driven and stabilized inside the disc space and tightened, appropriately guided ancillary rod-mounted instruments are used to ream and tap for the later insertion of suitable tapered cages with great precision. These rod-mounted components pass through lateral guiding members, fixably removable and changeable as the procedure progresses. These rod guiding members are appropriately marked as to depth of penetration into the disc space. At conclusion of the prepared threaded recipient bed, the stabilizing/guiding unit is unlocked and removed from the vertebrae. The tapered insert is attached to the insertion rod and following the visible tapped recipient bed, screwed into position freehand under direct observation and by intraoperative fluoroscopy, a technique familiar to skilled surgeons such as is performed routinely in the insertion of pedicle screws and the like. When a prepared cage with arcs cut into the outer sides is used, it is implanted as first of the pair where the second may or may not have such side cuts. The pair of cages will this be nestled closer together, with a narrower total width, than if cages with no such side cut arcs were used. Since the insert is tapered, the disc space does not require a support to keep it open after the guide unit is removed; the taper will reopen the disc according to the depth of insertion of the tapered insert. Additional bone may be packed posterior and lateral to the cages.
In the following Detailed Description, reference is made to the accompanying drawings, which form a part hereof, and in which is shown by way of illustration specific embodiments in which the invention may be practiced. In this regard, directional terminology, such as �top,� �bottom,� �front,� �back,� �leading,� �trailing,� etc., is used with reference to the orientation of the Figure(s) being described. Because components of embodiments of the present invention can be positioned in a number of different orientations, the directional terminology is used for purposes of illustration and is in no way limiting. It is to be understood that other embodiments may be utilized and structural or logical changes may be made without departing from the scope of the present invention. The following detailed description, therefore, is not to be taken in a limiting sense, and the scope of the present invention is defined by the appended claims.
After driving the system 1 against the vertebrae 2, the striking block 5 is removed and the tightening knob 54 is rotated which pulls the wedge or other means 8 inside the knurled stabilizer tips (9) causing their knurled surface to be temporarily imbedded into the opposing walls of the vertebral end plates (not shown). The knurled stabilizer tips 9 are hinged 10 so they may spread apart inside the disc space 3. The lateral guide or rod retaining members 11 for guidance of rod units 12 having suitable knobs 13 for hand drilling or reaming, tapping or threading of the bed for later free hand cage 14 insertion is thus under firm and repeatable control. The lateral guide members 11 are opened for changing the rod units 12 then firmly held in proper position using winged knobs 15, or similar means, as needed to drill or ream the recipient bone bed, thread or tap the bed and provide the suitable bed for subsequent freehand implantation of the suitable tapered cages 14. The angulation 16 of the lateral guide members 11 relative to the midline is selected and fixably alterable to be the same as the angulation of the tapered cages 14. The lateral guide members 11 are removably attached to the guide body 50. A hinged screw 15 on the lateral guide member 11 fits into the rounded socket 18 and held firmly by means such as winged knobs 15. The adjoining surfaces of the subsequently implanted, paired cages 14 are closely paralleled to each other.
The sector plate 25 has a flat upper surface and a keystone mortised under surface 26 into which a sliding guide 27 closely and fixably fits. The sliding guide 27 is adapted to receive one of the rods units 12. The upper surface of the sector plate 25 has a curving slot 28 through which a screw 62 provided with the rod attachment member 60 passes to be movably fixated at a desired position by tightening a wing nut 15. This fixation simultaneously fixates the sliding guide 27, and thus the associated rod unit. Markings 29 on the sector plate 25 denote the chosen angulation. Markings 30 on the rod units 12 indicate the depth of penetration into the disc space by their tip structures.
The structure of the principal stabilizing/guiding unit or system of the present invention may be constructed essentially oval in cross section as well as essentially flat as shown. Depending on the width of the surgical approach and the depth to the target vertebrae, varying with the obesity of the patient's abdomen, various implantation/guidance units may be of different size or may be constructed with length telescoping/expanding capability. Other variations may include torque knob design, internal low friction bearing surfaces of the lateral guiding members or methods of attachment of these members to the main unit as well as variations in means of closure of the guiding surface halves of these members. Design of the cages may be simple tapered adaptations of the present Ray threaded fusion cages, similar to considerably smaller, tapered ones now manufactured by Stryker Spine for fusions of the cervical spine (neck).
A suitable patient having discogenic, painful degenerative disc disease is examined using x ray techniques and on finding that the angulation between the particular vertebral end plates is 6 degrees or greater, the surgeon may decide-to use tapered rather than parallel cylindrical cages for his patient. If the segment to be operated is at L5-S1 (the usual one), the surgeon then notes the anatomical position of the top of the symphysis pubis, where the pelvis joins at the front of the body. He then draws a line through the middle of the disc to be operated extending it in the direction of the symphysis. If this line extends below the top of the symphysis, it indicates that the stabilizing/guiding unit may be too large, vertically, and therefore not usable on this patient. This means that the angle of taper as well as the segment tilt angle through the disc centrum relative to the symphysis are both important in patient selection. In some patients the tilt angle is so vertically severe that an anterior approach to the L5-S1 disc space may not be possible. Fortunately, this situation is quite uncommon.
The appropriate tapered cages or suitable insert and associated instruments are chosen and made ready. The patient is anesthetized and appropriately positioned, the abdomen is prepared with an exposure usually via a retroperitoneal dissection (moving the abdominal organs from the patient's left to the right side, along with the intact peritoneal sac). The abdominal exposure must be wide enough to accommodate the angulation of the rods used in the procedure to ream, tap and then insert. The major anterior vessels and other important structures are mobilized and handled as for any routine anterior retroperitoneal fusion approach, a common technique during anterior spinal fusion procedures. The anterior annulus is removed sufficient only to accommodate the width of the pair of cages or inserts; the entire cartilage of the end plates is scraped away down to bleeding bone but not to penetrate the bone of the end plates. The stabilizing/guiding unit is driven into position against the anterior aspect of the vertebra and its locking tip is expanded to fully stabilize the unit and this stability is evaluated by moving the unit in several planes, showing that the two vertebrae and the unit move essentially as though a single structure. The reaming and tapping into the disc space as indicated above. The guide unit is removed and the tapered cage is inserted free hand using its rod, carefully inserting the first arcuate side cut cage then the fully round one. The final positioning of the cage pair is demonstrated by intraoperative x-ray fluoroscopy then the cages are filled with morsels of bone or substitute and the procedure finished by routine closure of the tissue layers and the skin incision. In that the procedure closely parallels common anterior fusions, patients should respond quite well to the procedure and post-operative care. Patients ordinarily wear a corset but in some cases a rigid brace may be needed for a few months. Subsequent office visits should include repeat x-rays to determine the progress of the fusion and if any displacements or other problems have arisen before the fusion becomes fully solid (in about 3-5 months).
The invention has the novel ability to utilize a pair of fusion cages or suitable material blocks having The selected angulation of taper to, match the tapering angles found in several patients having disabling discogenic pain and disc degeneration, particularly at the L5-S1 space. The divergent angulation of the approach to insert the cages or blocks of material being the same as the actual taper angle of the disc space permits the facing or medial edges of the implants inside the disc space to be parallel along their lengths, uniquely improving the availability of surrounding disc space for a narrower overall width of the implant pair plus additional bone graft placement. The angulation of the set of appropriate instruments and the cage pair to be used is determined preoperatively and the overall procedure is uniquely well controlled by the means of central stabilization of the disc space and the ancillary guidance components. The stabilizing/guiding unit firmly controls the approach angle bilaterally throughout the procedure without slipping or dislocation assuring excellent matching of the steps of the procedure and therefore the overall fusion rate and success. Further, the vertical opening or expansion of the knurled fixation member is placed at or close to its virtual disc center of flexion/extension motion of the disc and therefore on distraction, elevation and tightening of the circumferential annuls fibers, the taper angle is largely unchanged. If the disc space is tilted laterally, as in cases with localized scoliosis, the taper angle is generally the same but the height of the disc space is different on the two sides. By inserting the tapered cage of block more or less into the depths of the disc space, thus difference in height can be adjusted or even corrected; not possible when using straight cylindrical cage implants. Therefore, the require accuracy of the implantation is controlled throughout the reaming and threading steps of the procedure in preparation for the final direct visual free-hand insertion of the tapered cages, all of which expectedly will improve on the overall results where occasional surgical problems have arisen from other instrument methods not so well controlled. Since the entire procedure is as well under direct vision by the surgeon, the steps are better controlled than with implantation techniques utilizing essentially blinded tubular guides for each stage from the reaming to the insertion. Lastly, the angulation for the final position of the implants has a confluent and not parallel insertion path, there should be an improvement in the rotary and lateral translocation stability of the final result.
The novel system places the tapered cages or fusion inducing devices material with their long axes convergent posteriorly where the convergent angle is the same as the taper angle of the disc space. Therefore, the cages come close together at a constant distance between them, throughout their lengths. Cages machined with arcs cut from one or more outer surfaces equal to their circumferential contour permit them to be brought into close contact at a width less than the combined diameters, throughout their lengths. At the deep converging tip of the implants, sufficient width within the vertebrae remains so additional graft material can be placed, as may be desired by the surgeon. Additionally, with the cage's long axes nested together, the disc is more stable against lateral translocation or �side roll�. The depth of insertion of the tapered implants is useful to wedge tighten the annular fibers, promoting immediate stability over parallel walled implants. The novel system stably achieves the boring or reaming and tapping in preparation for cage insertion quite accurately, utilizing a rod alignment/guiding instrument and attachments. A tubular guide unit is not employed for any of these steps and the common rod guidance is utilized only for the boring or reaming and threading or tapping steps. That is, once the reaming or boring and tapping are performed, the guiding assembly is removed and the insertion of cages installed by hand into the provided appropriately oriented and tapered cavities. The angulation and orientation for boring and tapping provided by the adjustable long rod/guide assembly are selected and fixed according to the required taper angle of the disc space and selected cage implant. Further, prior to attachment of the guiding/stabilizing assembly, the deep central disc space may be prepared laterally into the vertebral bone for ancillary bone placement outside the anticipated confluence of the cage tips. The fixed (static) and opening up or spinal extension position (dynamic) tapering angles which the implants should closely match are determined in advance of the surgery utilizing lateral x-ray views of the lumbar spine in neutral, forward flexion and reverse extension positions. In addition to determining the taper angle of the disc space, this maneuver aids in assessing the flexibility of the space. That is, the more flexible the disc the more it will open on extension and the greater the cage taper angle that may be needed following the attachment of the stabilizing/guiding assembly. The novel stabilizing/guiding instrument is adjustable to the same angular taper as the implants to be used, primarily 6�, 9� or 12� or other suitable angle as indicated. Those skilled in these arts may provide other means for adjustment of the guiding instrument to suit various taper angles, in addition to the rod assembly herewith disclosed without departing from the intent and novelty of this document system.
Although specific embodiments have been illustrated and described herein, it will be appreciated by those of ordinary skill in the art that a variety of alternate and/or equivalent implementations may be substituted for the specific embodiments shown and described without departing from the scope of the present invention. This application is intended to cover any adaptations or variations of the specific embodiments discussed herein. Therefore, it is intended that this invention be limited only by the claims and the equivalents thereof.
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Louie Anderson, Mo'Nique, Jamie Kennedy and Jerry Seinfeld form all-star comedy lineup at venues all over Northeast Ohio this weekend
By Michael K. McIntyre
July 16, 2014, 12:05PM
This weekend in Cleveland comedy: Louie Anderson, Mo'Nique, Jamie Kennedy and a sold-out Jerry Seinfeld. Full story »
Brendon Urie of Panic! at the Disco talks 'AP Music Awards' and his love of Cleveland
By Troy L. Smith, Northeast Ohio Media Group
July 16, 2014, 8:31AM
Panic! at the Disco will head to Cleveland for the third time in 2014 this month. Full story »
Jo Koy is one of the funniest comics working today and he'll be telling us all about his son and his mom this week at Hilarities
By Michael K. McIntyre
July 09, 2014, 1:05PM
Jo Koy headlines Hilarities, Michael Blackson is at the Improv and Russ Nagel has the stage at the Comedy Zone this week in Cleveland comedy. Full story »
Sara Bareilles discusses how she builds her Grammy-nominated songs; she plays Jacobs Pavilion on Friday
By Chuck Yarborough, The Plain Dealer
July 08, 2014, 9:00AM
Sara Bareilles is known for her lyrics, so it's a bit of surprise to learn how the Grammy-nominated singer-songwriter's tunes are born. Bareilles plays Jacobs Pavilion on Friday. Full story »
Little Big Town builds on soggy night when Keith Urban was a no-show, returns to headline own gig at Jacobs Pavilion on Saturday
By Chuck Yarborough, The Plain Dealer
July 07, 2014, 3:00PM
Little Big Town ended up as the de facto headliner last year at Blossom Music Center when weather kept top-billed Keith Urban in New York City. Jimi Westbrook, Karen Fairchild Westbrook, Kimberly Schlapman and Phillip Sweet return to Northeast Ohio on Saturday as the de jure headliner at Jacobs Pavilion. Full story »
Ringo Starr and his All-Starr Band wows fans at Jacobs Pavilion (review)
By Michael Sangiacomo, The Plain Dealer
June 30, 2014, 10:19AM
Ringo Starr and his All-Starr Band wowed a sold-out crowd Sunday night. Full story »
Comedy in Cleveland: Gary Owen headlines at the Improv, SNL's Jay Pharoah is at Hilarities, Chris D'Elia performs at the Comedy Zone
By Michael K. McIntyre
June 25, 2014, 12:15PM
Gary Owen headlines the Improv, Jay Pharoah is at Hilarities and Chris D'Elia is at the Comedy Zone this week in Cleveland comedy. Full story »


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- Shopping Bag ( 0 items )
Children's LiteratureKids love field trips but they are not always possible or practical. This book offers a colorfully illustrated alternative beginning with a list of "things to find out" that helps to focus readers before the fictional field trip begins. Mrs.Pippin is the guide for the tour of Shiny Apple Farm. After the initial introduction, Mrs. Pippin teaches readers about pollination, apple tree care and maintenance, and proper apple picking procedure. Readers will learn that after the many varieties of apples have been harvested at Shiny Apple Farm, they are inspected and then sent to many different places and turned into dozens of different products including juice, cider and applesauce. Written for the pre-K to first grade audience, this is a very simple introduction to what a student might expect to experience on an actual field trip. The only negative aspect to this otherwise well-written book is the addition of information in italic type on every two-page spread. The information, while relevant, could have just as easily been incorporated into the main body of text and therefore been less distracting to young readers. Adding to the overall usefulness of this book is a related activity (floating fruit experiment), a Learn More list including books and Web sites, Fun Facts, an index and a Words to Know list. This is part of the "Out and About" series. 2003, Picture Window Books,
— Trina Heidt


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Important: On the 25th November 2014 volunteer opportunity and job vacancy listings will be removed from ivo.org.
These services are being transferred to Do-it.org where you will continue to enjoy a first rate service whilst reaching a much broader range of volunteers and candidates. We are accepting new listings up until this date but it is important to note that all volunteer opportunity and job vacancy data, including candidate information will be deleted on 25th November. Please ensure you retain any information you need to keep before this date.


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"Turn The Radio Off" is the title of mp3 albums released by Reel Big Fish on 1996. The mp3 songs on Reel Big Fish - Turn The Radio Off (1996) albums classified as a Punk Rock music albums.
Full mp3 album downloads Reel Big Fish - Turn The Radio Off (1996) rather than download single track is also available for free on this page.
Give your support for Reel Big Fish great works on Turn The Radio Off mp3 albums with purchase the original copies. Share this mp3 album with your friends.
Reel Big Fish ("RBF") is a ska punk band from Huntington Beach, California, United States who broke into the mainstream in the mid to late 1990s, formed in 1992.
Their debut album, "Everything Sucks" (1995), was an underground hit and led to a deal with MOJO RECORDS (see also Mojo), an indie label. "Turn The Radio Off" (1996) established the band in the underground music scene, and they began touring throughout the USA. After the single "Sell Out" began breaking into the mainstream, including MTV, the album made an appearance on the charts. The ska revival was short-lived, however, and "Why Do They Rock So Hard?" (1998) did not lead the group to the mainstream.
Reel Big Fish released "Cheer Up" (2002) which began a movement into harder rock and pop sounds, with much less ska than the previous albums. The song "Where Have You Been?" was aimed at a wider audience, trying to drop the less popular ska sound, but was met with little mainstream success, despite the video. Their second most recent studio album was "We're Not Happy Until You're Not Happy" (2005).
They recently released "Our Live Album is Better Than Your Live Album" (2006) which includes 2 discs worth or their own tunes and a few covers of popular songs along with a DVD. They have worked on the soundtrack to BASEketball, which included a cover of a-ha's Take on Me.
In 2006, they split from Jive records, who produced a "Best of" album against the will of the band, who could not prevent the release. The band has made a campaign to try and stop people buying the album.
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Parallel Synthesis SsytemDecember 14, 2004 12:32 pm | Articles | Comments
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Microfluidic, Automated ElectrophoresisDecember 14, 2004 12:32 pm | Articles | Comments
Experion automated electrophoresis system (Bio-Rad Laboratories) uses LabChip microfluidic technology (Caliper Life Sciences) to speed 1-D protein and RNA separation and analysis. A run typically lasts 30 minutes, including image analysis and quantitation.
Multi-Detection Plate Reader (4499)December 14, 2004 12:32 pm | Articles | Comments
SpectraMax M5 five-mode multi-detection microplate reader system has primary applications for fluorescence intensity, absorbance, luminescence, Time-Resolved Fluorescence (TRF) and Fluorescence Polarization (FP) assays.
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Naturally inhibits VEGF production
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IntelliFlash 280 fully automated flash chromatography system is compact enough to fit within tight flume hoods, and minimize set-up time and maximizes purification results by integrating a pump, column, detector, collector and controls. The control system has a built-in computer with touch screen.
Proteomics Analysis SystemsDecember 14, 2004 9:17 am | Articles | Comments
The Proteineer-LC is an LC-ESI-MALDI system for LC-based expression proteomics workflows. Its manufacturer, Bruker Daltonics, also offers Top-Down Proteineer capability on the apex-Qe Q-q-FTMS mass spectrometry system.
Refractive Index DetectorDecember 14, 2004 9:17 am | Articles | Comments
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Microwave Synthesis Using Low-Temperature ChemistriesDecember 14, 2004 9:17 am | Articles | Comments
Discover CoolMate microwave synthesis system performs sub-ambient temperature chemistries for temperature-sensitive reactions including carbohydrate chemistry and the formation of carbanions and other highly reactive intermediates. The system also allows the safe use of highly reactive species.
Multifunction Microplate ReaderDecember 14, 2004 9:17 am | Articles | Comments
Multifunctional microplate reader PHERAstar provides sensitivity and quick read-times in plate
Process LC SystemsDecember 14, 2004 9:17 am | Articles | Comments
Two new bench-top Pilot Bioprocess LC systems (500 ml/min and 1 liter/min) for liquid chromatography feature sanitary flow paths.
Real-time, Multiplex PCR KitDecember 14, 2004 6:38 am | Articles | Comments
QuantiTect Multiplex PCR Kit quantifies up to 3 cDNA or genomic DNA targets in the same reaction from as few as 10 copies of starting template. Reliable data is provided through quantification of target and reference genes in the same tube.
CDNA Synthesis KitDecember 14, 2004 6:38 am | Articles | Comments
On-column cDNA synthesis kit is based on Miltentyi Biotec's MACS technology. Within one-step mRNA is magnetically isolated from cells, tissue or blood, and first-strand cDNA synthesized. This method on the temperature-controlled thermoMACS Separation Unit takes approximately 1.
Plates For Real Time PCRDecember 14, 2004 6:38 am | Articles | Comments
Both 96 and 384-well polypropylene PCR plates meet quality standards for heat exchange properties and dimensional tolerances, and they are DNase/RNase free and non-pyrogenic.


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MADISONVILLE, Ky. (8/16/13) – The Hopkins County Art League sponsored a Chamber After Hours Art Auction at their new home at the old Train Depot building on 38 West Arch Street on Thursday, August 15, 2013.
The Art League members displayed and auctioned their own personal work which all proceeds were going to be donated to the Light of Chance youth arts organization.
The Hopkins County Art League hosts events and contributes work to help support and promote the awareness of culture and arts within the community.
For more information about the Hopkins County Art League you can visit their website at http://hcartleague.weebly.com/index.html or you can visit their Facebook page at https://www.facebook.com/pages/Hopkins-Co-Art-League/138976616154888.
Amber Mena
SurfKY News
Photos by Amber Mena
© Copyright 2014 SurfKY News Group, Inc. All rights reserved. This material may not be published, broadcast, or rewritten without permission. SurfKY News encourages you to share this story by using one of the social media links below.
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NORTONVILLE, Ky. (11/20/14) ― The Kentucky State Police is currently investigation an injury collision at the 34.5 mile… Read More
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9595 Jones Rd, Houston, TX 77065
(281) 955-2800
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Mothers Help / Housekeeping in Trumpington
An energetic, kind and reliable person is required to help family 3-5 days a week. Job includes pick-up two children (a boy of 7 and a girl of 5) from local school (walking distance, no car is required) and help with household chores. Hours requ
- Permanent


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Joseph has received 3 client reviews
Current or former client? Write a review
Posted by: Cody, a Child Custody client 8 months ago.
I recommend Joseph Emmerth
I hired Joseph 6-12 months ago.
Joseph handled my Child Custody matter.
Joseph was helpful and professional from the first phone call to the last email. My parantage case was less than enjoyable and at times, quite a headache. He handled every annoyance that came around with great candor and care. Joseph never misguided me. Even if the result was not exactly what I wanted (because lets be honest we want everything to go exactly our way reagrdless of the law), he made sure I had no false expectations and explained to me the reasoning behind everything. Joseph was very understanding of my situation and helped me accourding to my needs. At the end of it all, I really feel that I came out of my case with everything that I needed to make my family happy. I am so thankful that I had Joseph to take the lead on a case that went from a disaster to a happy ending. I highly recommend him for your parantage related case.
Posted by: Annette, a Divorce client almost 4 years ago.
I recommend Joseph Emmerth
I hired Joseph more than 3 years ago.
Joseph handled my Divorce / Separation matter.
I have previously worked with no lawyers.
When my husband moved out of the house, he left me and my children with no money and no car. Joseph was able to get my husband to pay child support, alimony, and contribute to the home bills very quickly. My divorce was finished in six months and now my children and I can move on with our lives with some financial security, thanks to Joseph.
Posted by: a Divorce client about 4 years ago.
I recommend Joseph Emmerth
I hired Joseph more than 3 years ago.
Joseph handled my Divorce / Separation matter.
I have previously worked with 1-2 lawyers.
I was in the middle of a horrible divorce and had just fired my first lawyer when I met with Joe. He brought a sense of calm to the chaos that was going on, and sat down with me to develop a strategy and plan to achieve my goals. The rest of my divorce went much more smoothly and ended very well for me. I would recommend Joe to anyone. He didn't just do my divorce, he prepared me for life after my divorce.


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the FIOG Training Catalog
For more information on these upcoming events or to schedule a customized training/workshop,
please contact Becky Clayton at (813) 974-9627 or email@example.com.
Registration is a two-part process. You must register for the class and exam separately.
F.A.C.E. Members: $85.00 if payment is postmarked no later than two weeks (14 days) prior to the exam date. Late Member fee of $120.00 if payment is received after that date.
P.O.'s must be provided prior to the cut-off date to avoid the higher fee.
Non-Members: $135.00 if payment is postmarked no later than two weeks (14 days) prior to the exam date. Late Non-Member fee of $170.00 if payment is received after that date.
Refunds must be requested in writing no less than three days prior to the exam date. Fees will be refunded less a $20.00 administrative fee. Beyond this date all monies are forfeit.
A $15.00 fee applies to all rescheduled exams.
Click here to Register for an Exam and Info on Becoming a F.A.C.E. Member
You will be directed to another site. The registration link is at the bottom of the page.
November 3-7, 2014
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Search Results: 'cybercrime'
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In the real world there are people who enter the homes and steal everything they find valuable. In the virtual world there are individuals who penetrate computer systems and "steal" all... More > your valuable data. Just as in the real world, there are uninvited guests and people feel happy when they steal or destroy someone else's property, the computer world could not be deprived of this unfortunate phenomenon. It is truly detestable the perfidy of these attacks. Cybercrime is a phenomenon of our time, often reflected in the media. Forensic investigation of computer systems has a number of features that differentiate it fundamentally from other types of investigations. The computer itself is the main source of information for the investigator.< Less
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In the waning years of the Soviet Union, scientific research falls far behind. Vasili, head of the KGB, tries to gain Western knowledge by espionage. He persuades Dmitri, a physicist, to defect to... More > the USA. Dmitri obtains a position at NSF and later at FermiLab,while remaining entangled in the KGB web. After the disintegration of the Soviet Union, Vasili becomes very powerful and wants to strengthen science in the new Russia. He asks Dmitri to return home, because Russian knowledge needs upgrading. Dmitri is appointed director of IHEP in Moscow. He is not successful, because the best Russian scientists have emigrated to the West. Blackmail and intimidation pursue him. To escape Vasili's influence, Dmitri accepts a job at CERN in Geneva, where the largest particle accelerator in the world, the Large Hadron Collider,is under construction. Vasili now wants revenge. When he does not succeed in obtaining Western knowledge through espionage and cybercrime, he wants to ruin Dmitri and to obstruct research at CERN.< Less
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Then why is it $40 to add a smart phone and only $10 for tablets? They still charge you for minutes and texts on top of the data.
The pricing still makes no sense. Why is there a sliding scale based on the device you add? They should all be $10 by that logic. Plain and simple - devices that can utilize calling and texting cost more per month than those that can access only data.
Well they're at least double-dipping.


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Home » News » Weather » Storm Blog
Durham shutters offices in preparation for worst of storm
Many Seacoast businesses were also preparing to close up shop early with hastily printed signs warning customers that Saturday openings might also be delayed.
Information from Durham Public Works indicated the town could get between 20 and 30 inches of snow once all is said and done on Saturday, but "time will tell whether this will come to pass."
The LaRoche Transfer Station and Recycling Center is closed on Saturday so facility staff can be ready to assist with snow removal around town if needed and because the volume of snow predicted would likely make operations at the facility dangerous for the public.
Durham residents were also asked to move their parked cars off of roadways so plows can get by more easily.
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- Police obtain warrants for suspect wanted in Dover, Manchester bank robberies - 0
- Abby Dion, 9, records a 10 in gymnastics meet - 0
- St. A skaters fall to Norwich - 0
- Monarchs lose in OT; win streak stops at 6 - 0
- Police searching for person stealing from cars in Manchester - 1
- College Football: Maine seniors want the coveted musket - 0
- College Hockey: Ice-making problem postpones UNH-PC - 1
- Pinkerton backfield a combination of power and speed - 0
Robbery at pizza house in DoverREADER COMMENTS: 0
Jury acquits Mont Vernon driver, who was checking text, in death of former Amherst fire chief
Offend someone? To jail with you!
Obama to illegals: Come out of shadows
Plaistow town planner arrested
Driver acquitted in Amherst ex-chief's death
A kinder, gentler House Speaker?
Pipeline's NH route moves to top choice
College Hockey: Providence blanks UNH


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Michael Steele
"It's not the wrong moment to inject race. I think race is a part of it. … It is an underlying theme or feeling that particularly the African-American community takes away from that, and it has to be addressed. You just can't leave it on the table because you don't believe it's there," former Republican National Committee chairman Michael Steele on NBC's Meet the Press.
(Photo: Larry Busacca/Getty Images for People)
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Bulgarian Parliament to Debate No-Confidence Motion
Bulgaria's Parliament will convene on Friday to debate the no-confidence motion submitted by the opposition GERB party.
This would happen only if there is the necessary quorum in Parliament. It is not yet known how many deputies of the ruling coalition will be present on Friday, as the debate is not part of a regular parliamentary session. The leader of the Bulgarian Socialist Party (BSP) Sergey Stanishev commented that it would be more appropriate to discuss the motion after the European Elections, Dnevnik reports.
This is the fourth no-confidence motion submitted by ex-Prime Minister Boyko Borisov's GERB, and concerns the energy policies of the current government.
GERB's motives for the no-confidence vote are for alleged political pressure over the national power regulator DKEVR to strip the licenses of the foreign-based electricity distribution companies in Bulgaria. Another motive is the South Stream gas pipeline, a project that according to Borisov is failing because of the current Energy Minister Dragomir Stoynev.
At least 121 MPs must vote in favour of the no-confidence motion in order to take down the government. GERB has 94 representatives in Parliament.
- » Bulgaria To Criminalise Participation in IS
- » Bulgaria's Answer To US Tanks Is 'No' – Chief Of Defence
- » Bulgaria Denounces Russia-Abkhazia Agreement
- » Bulgaria to Get 6% of Requested EUR 300 M under EU Solidarity Fund
- » National Security Head: No Direct Terror Threat to Bulgaria
- » Bulgaria's Labor Minister to Push for Minimum Wage Hike


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Blog: 2014 Holiday Shipping Schedules & Dates
Read More
in stock :)
Or are we watching Big Brother? This Big Brother Poster depicts hackers watching big brother and big brother watching hackers. The image goes in depth and offers hidden images in its collage of imagery. Add this poster to your wall, keep an eye on big brother, know that everything you are doing he is watching and everything he is doing we're watching.
From the hacker chick in the front, to the guys in the back, the cameras overhead and the trucks with the hardware. Watching over everything they are doing.....
Keeping an Eye on Big Brother...
DImensions: 11" x 17"
Getting your warez in time for the Holidays is important! We love that you want HackerStickers.com to be a part of your gifts this season and we want to make sure you get everything in time! We've setup a shipping calendar to let you know about the dates to keep in mind in order to get your shipments in time!
Read more...
copyright © hackerstickers.com 2001-2014


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Early on Wednesday morning, Oct. 8, the bright full moon will undergo a total lunar eclipse. It should be well worth rising before dawn and taking a look in the western sky.
By Ed SymkusMore Content Now
October 3Word of the Day, This Day in History, Number to Know, Website of the Day, Today�s Featured Birthday and Daily Quote.Word of the Dayclerisy \ KLER-uh-see \ noun; The well educated class; the intelligentsia. � Dictionary.com
I�m a big fan of mixed 12 packs. There are rarely any beers that I want to buy 12 of at any one time.And now, there are two new mixed 12 packs I�m looking forward to trying � the …
Do you plan to follow�A to Z�through the rest of its romantic alphabet? Will you make a standing...
Where exactly are�The Vampire Diaries' Bonnie and Damon? Viewers are finally about to get that...
An Ohio woman has sued a Chicago-area sperm bank after she became pregnant with sperm donated by a black man instead of a white man as she and her partner had intended.
This week,�Bill Hader�and�
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