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Publications (48)201.86 Total impact
Article: Comparison of bivalirudin and heparin in patients undergoing rotational atherectomy: a subanalysis of the randomised ROTAXUS trial.[Show abstract] [Hide abstract]
ABSTRACT: Bivalirudin has emerged as a meaningful alternative to heparin in patients undergoing percutaneous coronary intervention (PCI). To date, it is unclear whether bivalirudin has advantages in patients undergoing rotational atherectomy (RA).EuroIntervention: journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology 08/2014; 10(4):458-65. DOI:10.4244/EIJV10I4A79 · 3.76 Impact Factor
Article: Transcatheter aortic valve implantation in patients with severely reduced left ventricular systolic function: a single-center experience[Show abstract] [Hide abstract]
ABSTRACT: Current guidelines consider severe systolic left ventricular dysfunction [ejection fraction (EF) ≤20 %; left ventricular dysfunction (LVD)] a contraindication for transcatheter aortic valve implantation (TAVI). The purpose of this study was to evaluate the efficacy and safety of TAVI in this extreme risk subset of patients. The study population (253 patients) was divided into two groups; the LVD group [21 patients with left ventricular ejection fraction (LVEF) ≤20 %] and the control group (232 patients with LVEF >20 %). TAVI was generally performed transfemorally under analgosedation without mechanical circulatory support. Clinical and hemodynamic variables, as well as procedural and follow-up outcomes, were compared, and all events were defined according to the Valve Academic Research Consortium criteria for event definition. Mean EF in the LVD group was 18.3 ± 2.9 % compared to 50.9 ± 11.3 % in the control group. Patients in the LVD group were younger, more commonly males, had higher logistic EuroSCORE and lower mean aortic pressure gradients. Immediate procedural mortality was low and similar in both groups (0 vs. 2.2 % in the LVD and control group, respectively, p = 0.49). At 30 days, post-procedural vascular and bleeding complications as well as strokes were similar, but all-cause mortality was higher in the LVD group (14.3 vs. 3.4 %, p = 0.05). In the survivors of the LVD group, New York Heart Association functional class and LVEF significantly improved at 30 days and 6 months. Survival at 1 and 2 years was 70.2 vs. 86.0 % and 56.1 vs. 78.3 % in the LVD and control group, respectively (log-rank p = 0.03). TAVI without mechanical circulatory support appears feasible, safe and effective in patients with severe aortic stenosis and severe LVD, but short- and long-term mortality remain high. TAVI should be considered a viable treatment option in this subset of extremely compromised patients.Clinical Research in Cardiology 03/2014; 103(8). DOI:10.1007/s00392-014-0691-5 · 4.17 Impact Factor
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ABSTRACT: Die folgende Kasuistik berichtet von einer 64-jährigen Patientin mit typischen Zeichen einer akuten Stanford Typ-B-Dissektion. Die Behandlung erfolgte mit einem endovaskulärem Stentgraft. Die Okklusion des Dissektionsentrys durch den Stentgraft war erfolgreich. Am Tage nach der Intervention entwickelte die Patientin eine akute rechtsseitige Halbseitensymptomatik aufgrund einer retrograden Stanford Typ-A-Dissektion. Die Aorta ascendens und der proximale Aortenbogen wurden durch eine 28mm Dacron-Velourprothese ersetzt und die Aortenklappe mittels einer modifizierten Yacoub-Operation resuspendiert. Nach der Operation verschwanden die neurologischen Symptome. Mögliche Ursachen der Typ-A-Dissektion als Komplikation einer, mit einem endovaskulärem Stentgraft behandelten Typ-B-Dissektion werden diskutiert. Acute aortic dissection is a disease with high mortality. Whereas acute dissection of the ascending aorta (Stanford type A) is treated surgically, acute dissection of Stanford type B (descending aorta) is principially treated conservatively, but surgically in case of complications. Recently, another therapeutical option for the treatment of type B dissection has been developed using endovascular stent-grafts. We report on a 64-year-old woman with typical signs of acute aortic dissection. Computer tomography and transesophageal echocardiography demonstrated Stanford type B dissection. The patient was treated with an endovascular stent-graft, because of malperfusion of the right leg and chest pain. After successful closure of the entry by the stent, the patient developed acute right-sided hemiplegia one day after the intervention due to retrograde dissection into the aortic arch and ascending aorta. Upon immediate operation, the origin of the initially type B dissection was still sufficiently occluded by the endovascular stent-graft; however, there was another entry between the innominate artery and the left carotic artery near one proximal end of the stent's strut. Using deep hypothermia and selective antegrade cerebral perfusion, the ascending aorta and proximal arch were replaced with a 28mm Dacron-Velour tube and the aortic root was remodelled with a tongue-shaped Dacron graft preserving the valve cusps according to a modified Yacoub procedure. After the operation, neurological symptoms diminished and the patient could walk on the ward on day eleven. This case demonstrates retrograde type A dissection as a complication after interventional treatment of type B dissection using an endovascular stent-graft. The reason for this delayed complication is speculative. Aortic wall damage during stent inserting could be a possible cause. It is also likely that the patient initially had type B dissection with retrograde dissection of the distal part of the aortic arch. Therefore, one of the straight struts of the proximal end of the stent may have caused additional damage to the vulnerable dissected aortic wall in the arch, leading to retrograde type A dissection. Careful patient selection, detailed diagnosis of the aortic arch, improved stent designs and materials, especially regarding the stent's ends and careful insertion of the stent into the aortic arch, could contribute to prevention of the described problems.Zeitschrift für Kardiologie 03/2014; 91(3):274-277. DOI:10.1007/s003920200024 · 0.97 Impact Factor
Article: Aortic Regurgitation After Transcatheter Aortic Valve Implantation With Balloon- and Self-Expandable Prostheses : A Pooled Analysis From a 2-Center Experience[Show abstract] [Hide abstract]
ABSTRACT: Objectives This study sought to assess aortic regurgitation (AR) after transcatheter aortic valve implantation (TAVI) with the self-expandable Medtronic CoreValve (MCV) (Medtronic Inc., Minneapolis, Minnesota) versus balloon-expandable Edwards Sapien XT valve (ESV) (Edwards Lifesciences, Irvine, California). Background AR after TAVI has been associated with poor survival, but limited data exist comparing MCV with ESV. Methods We pooled the prospective TAVI databases of 2 German centers. The primary endpoint was more-than-mild post-TAVI AR assessed by echocardiography. We also assessed device success and survival within 1 year. Endpoints were adjudicated according to the Valve Academic Research Consortium criteria and analyzed by unadjusted and propensity-score–adjusted models. Results A total of 394 patients were included, 276 treated with MCV and 118 with ESV. More-than-mild AR was significantly higher with MCV than with ESV (12.7% vs. 2.6%, p = 0.002). This difference remained significant after propensity adjustment (adjusted odds ratio [OR]: 4.59, 95% confidence interval [CI]: 1.03 to 20.44). The occurrence of any degree of AR was also higher with MCV (71.6% vs. 56.9%, p = 0.004). Device success was mainly influenced by the occurrence of AR and was consequently higher with ESV (95.8% vs. 86.6%, p = 0.007), but this was not significant after propensity adjustment (adjusted OR: 0.34, 95% CI: 0.11 to 1.03, p = 0.06). At 1 year, survival was comparable between both valve types (83.8% MCV vs. 88.2% ESV, p = 0.42), but was significantly worse in patients with more-than-mild AR (69.8% vs. 87.4%, p = 0.004) and in those with device failure (65.6% vs. 87.4%, p < 0.001). Conclusions More-than-mild AR after TAVI was more frequent with MCV than with ESV. This finding deserves consideration, as more-than-mild AR was associated with higher mortality at 1 year.JACC Cardiovascular Interventions 01/2014; 7(3):284–292. DOI:10.1016/j.jcin.2013.11.011 · 7.44 Impact Factor
Article: Aortic Regurgitation and Left Ventricular Remodeling After Transcatheter Aortic Valve Implantation A Serial Cardiac Magnetic Resonance Imaging Study[Show abstract] [Hide abstract]
ABSTRACT: BACKGROUND: AORTIC REGURGITATION (AR) AFTER TRANSCATHETER AORTIC VALVE IMPLANTATION (TAVI) HAS BEEN ASSOCIATED WITH POOR OUTCOMES, BUT LITTLE IS KNOWN ABOUT HOW IT EVOLVES OVER TIME. WE EVALUATED LEFT VENTRICULAR (LV) FUNCTION, REMODELING, AND THE OCCURRENCE AND EVOLUTION OF AR AFTER TAVI BY USING CARDIAC MRI.METHODS AND RESULTS: FORTY-THREE PATIENTS TREATED WITH TRANSFEMORAL TAVI UNDERWENT CARDIAC MRI 1 WEEK AND 6 MONTHS AFTER TAVI. LV VOLUMES AND FUNCTION WERE ASSESSED BY USING STANDARD CINE MRI SEQUENCES. PHASE-CONTRAST IMAGING WAS PERFORMED TO QUANTIFY THE DEGREE OF AR. THE MEAN AGE OF THE EVALUATED PATIENTS WAS 80 YEARS, AND 65% OF PATIENTS WERE WOMEN. AT BASELINE MRI, THE MEDIAN LV EJECTION FRACTION WAS 58.1%, WHICH IMPROVED SIGNIFICANTLY AT FOLLOW-UP TO 63.4% (P0.0001). A SIGNIFICANT REDUCTION OF LV END-DIASTOLIC VOLUME (149.741.4140.143.9 ML; P=0.014) AND OF LV MASS (156.332.8142.739.3 G; P0.001) WAS OBSERVED. OVER TIME, AORTIC REGURGITANT FRACTION INCREASED SLIGHTLY BUT SIGNIFICANTLY FROM 5.2% TO 7.8% (P=0.04). SUBGROUP ANALYSIS REVEALED THAT SIGNIFICANT CHANGES OF LV EJECTION FRACTION, VOLUMES, AND MASS ONLY OCCURRED IN PATIENTS WITH NO OR MILD AR AT BASELINE MRI, WHEREAS THOSE PARAMETERS REMAINED UNCHANGED IN PATIENTS WITH AR MORE THAN OR EQUAL TO GRADE II.CONCLUSIONS: By using cardiac MRI in patients with TAVI, a significant improvement of LV function, volume, and mass can be documented. Mild-to-moderate AR is commonly seen, and AR shows a small increase over time. More-than-mild AR seems to prevent LV functional and structural recovery after TAVI.Circulation Cardiovascular Interventions 08/2013; 6(4). DOI:10.1161/CIRCINTERVENTIONS.112.000115 · 6.54 Impact Factor
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ABSTRACT: Aims: Rotational atherectomy (RA) is frequently performed to modify complex fibrocalcific coronary lesions with high procedural success. A stuck rotablator is a rare but life-threatening complication. However, its description remains sporadic and it has never been systematically analysed. The aim of this analysis is to present our experience and summarise the available literature about stuck rotablator, and to identify risk factors and possible management strategies for this complication. Methods and results: We analysed our experience of 442 RA procedures and identified four cases of stuck rotablator. Two of these cases were rotablations in freshly implanted stents. All cases were managed percutaneously. We further analysed the available literature and identified a total of 11 reports with 14 cases of a stuck rotablator burr; seven were managed surgically and seven with endovascular approaches. Based on our experience and the literature review we developed an algorithm to guide operators while managing this complication. Conclusions: Entrapment of a rotablation burr is a rare but very serious complication of RA. Operators performing RA should be aware of this risk and be prepared to manage it adequately. In our experience, the risk seems to be higher when rotablating freshly implanted underexpanded stents.EuroIntervention: journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology 06/2013; 9(2):251-8. DOI:10.4244/EIJV9I2A41 · 3.17 Impact Factor
Article: Long-term safety and efficacy of dual therapy with oral anticoagulation and clopidogrel in patients with atrial fibrillation treated with drug-eluting stents[Show abstract] [Hide abstract]
ABSTRACT: BACKGROUND: The optimal antithrombotic treatment for patients on oral anticoagulants (OAC) undergoing percutaneous coronary intervention (PCI) is controversial. We analyzed the safety and efficacy of dual therapy with OAC plus clopidogrel in atrial fibrillation (AF) patients receiving drug-eluting stents (DES). METHODS AND RESULTS: In this retrospective analysis, all AF patients treated with dual therapy were retrospectively identified. Efficacy endpoints included cardiac death, myocardial infarction (MI), stent thrombosis (ST) and cerebrovascular stroke at follow-up, while safety was assessed by bleeding events defined by the Bleeding Academic Research Consortium (BARC). Between January 2008 and August 2010, 221 patients with high-risk AF received a DES and a dual therapy with OAC and clopidogrel. At a mean follow-up of 19 months, bleeding complications occurred in 22 patients (10 %), more than half of them (n = 12) were related to the index PCI. We observed 11 cardiac deaths (4.9 %), 9 MIs (4.1 %), 3 definite (1.4 %) and no probable ST at follow-up. All definite ST occurred after cessation of clopidogrel at 8, 22, and 30 months after PCI in patients not adequately anticoagulated. Eight patients (3.6 %) had an ischemic stroke, five of which after temporary or permanent cessation of OAC. CONCLUSION: The data generated from this large single-center experience in AF patients treated with DES revealed that dual therapy with OAC plus clopidogrel for 6-12 months followed by monotherapy with OAC appears both safe and effective at long-term follow-up. However, after clopidogrel cessation, maintaining therapeutic anticoagulation with an INR >2 is essential to prevent both thrombotic and embolic events.Clinical Research in Cardiology 06/2013; 102(11). DOI:10.1007/s00392-013-0592-z · 4.17 Impact Factor
Article: Long-term clinical outcome of rotational atherectomy followed by drug-eluting stent implantation in complex calcified coronary lesions[Show abstract] [Hide abstract]
ABSTRACT: OBJECTIVES: To assess long-term outcome after rotational atherectomy (RA) is followed by drug-eluting stent (DES) implantation in complex calcified coronary lesions. BACKGROUND: RA can favorably modify heavily calcified coronary lesions, but long-term outcome is poor when it is used as a stand-alone therapy or combined with bare-metal stents. DES have reduced rates of restenosis in a wide range of patient and lesion subsets, but little information is available on long-term clinical outcome when RA is followed by DES implantation (Rota-DES) in complex calcified lesions. METHODS AND RESULTS: Two hundred and five patients with de novo complex calcified coronary lesions treated with Rota-DES were analyzed. Mean age was 69.7 ± 9.3 years, 63 patients (31%) had diabetes mellitus and 21 patients (10%) had chronic renal failure. Total stent length/patient was 32 mm. The majority of patients were treated with paclitaxel-eluting stents (64%) or sirolimus-eluting stents (30%). Angiographic success rate was 98%. The incidence of in-hospital major adverse cardiac events (MACE), defined as death, myocardial infarction (MI), and target vessel revascularization (TVR), was 4.4%. Long-term follow-up was available for 188 patients (92%). At a median follow-up period of 15 months (range, 1-84), the cumulative incidence of MACE (Kaplan-Meier estimate) was 17.7%. Death occurred in 4.4%, MI in 3.4%, TVR in 9.9%, and target lesion revascularization (TLR) in 6.8%. One definite (0.5%) and one probable (0.5%) stent thrombosis were observed. In a multivariate analysis, low ejection fraction (<40%) was the only independent predictor of MACE, and both age and diabetes were independent predictors of TLR. CONCLUSION: This study represents the largest European data set of patients treated with RA in the DES era. RA followed by DES implantation in calcified coronary lesions appears to be feasible and effective, with a high rate of procedural success and low incidence of TLR and MACE at long term considering this complex patient and lesion subset. © 2012 Wiley Periodicals, Inc.Catheterization and Cardiovascular Interventions 02/2013; 81(2). DOI:10.1002/ccd.24367 · 2.51 Impact Factor
Article: High-Speed Rotational Atherectomy Before Paclitaxel-Eluting Stent Implantation in Complex Calcified Coronary Lesions The Randomized ROTAXUS (Rotational Atherectomy Prior to Taxus Stent Treatment for Complex Native Coronary Artery Disease) Trial[Show abstract] [Hide abstract]
ABSTRACT: OBJECTIVES: This study sought to determine the effect of rotational atherectomy (RA) on drug-eluting stent (DES) effectiveness. BACKGROUND: DES are frequently used in complex lesions, including calcified stenoses, which may challenge DES delivery, expansion, and effectiveness. RA can adequately modify calcified plaques and facilitate stent delivery and expansion. Its impact on DES effectiveness is widely unknown. METHODS: The ROTAXUS (Rotational Atherectomy Prior to TAXUS Stent Treatment for Complex Native Coronary Artery Disease) study randomly assigned 240 patients with complex calcified native coronary lesions to RA followed by stenting (n = 120) or stenting without RA (n = 120, standard therapy group). Stenting was performed using a polymer-based slow-release paclitaxel-eluting stent. The primary endpoint was in-stent late lumen loss at 9 months. Secondary endpoints included angiographic and strategy success, binary restenosis, definite stent thrombosis, and major adverse cardiac events at 9 months. RESULTS: Despite similar baseline characteristics, significantly more patients in the standard therapy group were crossed over (12.5% vs. 4.2%, p = 0.02), resulting in higher strategy success in the rotablation group (92.5% vs. 83.3%, p = 0.03). At 9 months, in-stent late lumen loss was higher in the rotablation group (0.44 ± 0.58 vs. 0.31 ± 0.52, p = 0.04), despite an initially higher acute lumen gain (1.56 ± 0.43 vs. 1.44 ± 0.49 mm, p = 0.01). In-stent binary restenosis (11.4% vs. 10.6%, p = 0.71), target lesion revascularization (11.7% vs. 12.5%, p = 0.84), definite stent thrombosis (0.8% vs. 0%, p = 1.0), and major adverse cardiac events (24.2% vs. 28.3%, p = 0.46) were similar in both groups. CONCLUSIONS: Routine lesion preparation using RA did not reduce late lumen loss of DES at 9 months. Balloon dilation with only provisional rotablation remains the default strategy for complex calcified lesions before DES implantation. (Rotational Atherectomy Prior to Taxus Stent Treatment for Complex Native Coronary Artery Disease. A Multicenter, Prospective, Randomized Controlled Trial [ROTAXUS]; NCT00380809).JACC. Cardiovascular Interventions 12/2012; 6(1). DOI:10.1016/j.jcin.2012.07.017 · 7.40 Impact Factor
Article: Longitudinal Deformation of Contemporary Coronary Stents: An Integrated Analysis of Clinical Experience and Observations from the Bench[Show abstract] [Hide abstract]
ABSTRACT: Objective: To report clinical experience with longitudinal stent deformation (LSD) and observations from the bench. Background: LSD was recently reported with thin-strut coronary stents. Whether it is related to a particular stent or constitutes a class-effect remains debatable. Methods: After 2 cases of LSD were reported, information was sent to operators to warn of this event and identify possible cases. All cases were reviewed to ensure LSD had occurred. Simultaneously, bench testing was conducted to identify the susceptibility of stents to longitudinal compression and whether LSD detection is influenced by fluoroscopic stent visibility. Results: Between July 2010 and November 2011, 2,705 coronary interventions were performed with 4,588 stents (Promus Element = 41.6%, Xience Prime = 24.4%). Six patients with LSD were identified, all with Promus Element (0.31%). Wire bias was a predisposing factor in 4 cases. All patients were treated with postdilatation and/or additional stenting. No adverse events occurred (mean 5.8 months). In bench testing, LSD occured in all examined stents, but at different levels of applied force (weight). Most shortening at 50 g was observed with Promus Element (38.9%), as was the best visibility of LSD on x-ray images. With postdilatation all stents showed some re-elongation. Conclusion: In our practice LSD was a rare observation only seen with the Promus Element stent. When subjected to longitudinal compression in a bench test all contemporary stents can be compressed. Compression of Promus Element occurs at a lower force, but it is the only stent where deformations are detected with x ray. Postdilatation can partially improve LSD. (J Interven Cardiol 2012;**:1-10).Journal of Interventional Cardiology 09/2012; 25(6). DOI:10.1111/j.1540-8183.2012.00765.x · 1.50 Impact Factor
Article: Temporal changes in left ventricular function and paravalvular aortic regurgitation after transcatheter aortic valve implantation: a cardiac magnetic resonance imaging studyJournal of Cardiovascular Magnetic Resonance 02/2012; 14 Suppl 1(Suppl 1):P94. DOI:10.1186/1532-429X-14-S1-P94 · 4.44 Impact Factor
Article: Long-Term Clinical Outcome of Thin-Strut Cobalt-Chromium Stents in the Drug-Eluting Stent Era: Results of the COBALT (Comparison of Bare-Metal Stents in All-Comers' Lesion Treatment) Registry[Show abstract] [Hide abstract]
ABSTRACT: Despite widespread penetration of drug-eluting stents (DES) in clinical practice, a relevant percentage of patients with coronary artery disease are still treated with bare-metal stents (BMS). Contemporary BMS, however, are less well investigated and comparative data on clinical outcome are lacking. This single-center registry aimed to assess characteristics and outcome of patients treated with 2 different new-generation cobalt-chromium BMS, the MULTI-LINK VISION and PRO-Kinetic stents. During the study, adopted criteria for BMS selection were: (1) limited compliance to dual antiplatelet therapy, (2) ST-elevation myocardial infarction (MI) or saphenous vein graft (SVG) interventions, and (3) noncomplex lesions located either in the right coronary artery or in the nonproximal segments of the left coronary artery. During a 24-month period 1,176 patients were treated with the VISION (n = 438) or PRO-Kinetic stent (n = 738). Median duration of follow-up was 549.5 and 528.5 days, respectively. Target lesion revascularization (TLR) and target vessel revascularization were numerically lower in the VISION group (10.4 vs. 12.3% and 11.9 vs. 15.2%, P = 0.24 and 0.11). Death (4.1 vs. 4.3%, P = 0.85), MI (2 vs. 2.3%, P = 0.78), and ARC definite stent thrombosis (0.5 vs. 0.5%, P = 0.84) were similar. By multivariate analysis, variables associated with TLR were SVG interventions (HR 2.21, 95% CI 1.26-3.86), total stent length (HR 1.01, 95% CI 1.00-1.02), and smoking (HR 1.51, 95% CI 1.05-2.16). In the DES era, the use of last-generation thin-strut BMS in selected patients is associated with acceptable clinical outcome, with similar clinical results for both the MULTI-LINK VISION and PRO-Kinetic stents.Journal of Interventional Cardiology 12/2011; 24(6):496-504. DOI:10.1111/j.1540-8183.2011.00672.x · 1.50 Impact Factor
Article: Comparison of Outcomes in Patients Having Isolated Transcatheter Aortic Valve Implantation Versus Combined With Preprocedural Percutaneous Coronary Intervention[Show abstract] [Hide abstract]
ABSTRACT: Coronary artery disease negatively affects the outcome of patients undergoing surgical aortic valve replacement and practice guidelines recommend revascularization at time of surgery. In patients undergoing transcatheter aortic valve implantation (TAVI), the impact of preprocedural percutaneous coronary intervention (PCI) on TAVI outcome has not been examined. We aimed in the present study to assess the feasibility and safety of performing PCI before TAVI and to evaluate procedural, 30-day, and 6-month clinical outcomes. We retrospectively analyzed 125 patients who underwent successful TAVI at a single institution and divided them into an isolated TAVI and a PCI + TAVI group. During the study period, a strategy of preprocedural PCI of all significant (>50%) lesions in major epicardial vessels was adopted. Study end points were adjudicated in accordance with the Valve Academic Research Consortium consensus on event definition. All patients were treated with the Medtronic CoreValve prosthesis (n = 55 with PCI + TAVI and n = 70 with isolated TAVI). Thirty-day mortality was 2% versus 6% for patients treated with PCI + TAVI versus isolated TAVI, respectively (p = 0.27). Neither periprocedural nor spontaneous myocardial infarction occurred in either group. Rates of 30-day stroke, major bleeding, major vascular complications, and the Valve Academic Research Consortium-defined combined safety end point (11% vs 13%, p = 0.74) did not differ between the 2 groups. Patients' symptoms significantly improved in the first month after TAVI, and extent of improvement did not differ between groups. Adverse events at 6 months were comparable. In conclusion, PCI before TAVI appears feasible and safe. Based on these early results revascularization should become an important consideration in patients with coronary artery disease undergoing TAVI.The American journal of cardiology 11/2011; 109(4):581-6. DOI:10.1016/j.amjcard.2011.09.053 · 3.58 Impact Factor
Article: Haemodynamic evaluation of aortic regurgitation after transcatheter aortic valve implantation using cardiovascular magnetic resonance[Show abstract] [Hide abstract]
ABSTRACT: Echocardiography may underestimate the degree of paravalvular aortic regurgitation (AR) after transcatheter aortic valve implantation (TAVI) using the Medtronic CoreValve bioprosthesis due to inherent limitations of ultrasound imaging in the evaluation of implanted cardiac prostheses. We aimed to evaluate the accuracy and feasibility of cardiovascular magnetic resonance (CMR) in quantifying regurgitant volume (RV) and regurgitant fraction (RF) in patients treated with this bioprosthesis for severe calcific aortic stenosis, and to compare the results with echocardiography and aortography. This study included 16 patients with a mean age of 78.7 years (eight women, eight men) who underwent successful TAVI using Medtronic CoreValve bioprosthesis. AR was evaluated by CMR, echocardiography, and aortography. Angiography was performed immediately after valve implantation. CMR and echocardiography were performed four weeks after valve implantation. There was a highly significant correlation between the CMR-derived and the angiographically-estimated degree of AR (r=0.86, p<0.001). On the other hand, there was only a limited correlation between CMR and echocardiography (r=0.374, p=0.15) as well as angiography and echocardiography (r=0.319, p=0.23) regarding the degree of AR. The weighted kappa for agreement between echocardiography and angiography was 0.14, for agreement between echocardiography and CMR 0.20, and for agreement between angiography and CMR 0.72. Echocardiography underestimated AR by one degree compared to CMR in five patients and 2 degrees in two patients; in six of these, the degree of AR obtained by CMR was similar to angiography. In patients undergoing TAVI, comparisons between purely quantitative measurements of AR by CMR and qualitative assessment by angiography showed better correlations than those with echocardiography. This suggests that echocardiography may underestimate the degree of AR and CMR in these circumstances has a great potential in reliably measuring the severity of AR in a quantitative manner.EuroIntervention: journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology 05/2011; 7(1):57-63. DOI:10.4244/EIJV7I8A12 · 3.17 Impact Factor
Article: Ad-hoc percutaneous coronary intervention and transcatheter aortic valve implantation as a combined transfemoral procedure.[Show abstract] [Hide abstract]
ABSTRACT: Coronary artery disease has been reported in more than 50% of patients with severe aortic stenosis above the age of 70 years. Combined surgical aortic valve replacement (SAVR) and coronary artery bypass grafting (CABG) is associated with a higher operative risk. Concomitant coronary artery disease also increases the procedural risk of transcatheter aortic valve implantation (TAVI), and hence, a combined strategy for treating both entities needs to be carefully considered. Data regarding TAVI and percutaneous coronary intervention (PCI) as a combined percutaneous procedure are scarce. We report the case of an 84-year-old woman who presented with non-ST segment elevation myocardial infarction and impending pulmonary edema who was diagnosed with severe aortic stenosis and two-vessel coronary artery disease. Because of an elevated logistic Euroscore of 25% and her unstable presentation, percutaneous coronary revascularization and TAVI were successfully performed in a combined percutaneous transfemoral procedure. She had a smooth recovery and rehabilitation period with significant improvement in her symptoms and functional capacity. Thirty-day follow-up, including transthoracic echocardiography and cardiac magnetic resonance imaging, showed a well-functioning prosthetic valve and no signs of residual myocardial ischemia. We therefore conclude that combined PCI and TAVI is feasible and can be associated with good clinical outcomes in selected cases. Further data and experience are needed to evaluate this strategy.The Journal of invasive cardiology 05/2011; 23(5):E102-5. · 1.57 Impact Factor
Article: Impact of smoking on the outcome of patients treated with drug-eluting stents: 1-year results from the prospective multicentre German Drug-Eluting Stent Registry (DES.DE)[Show abstract] [Hide abstract]
ABSTRACT: Cigarette smoking strongly increases morbidity and mortality from cardiovascular causes, but the relevance of smoking in patients treated with drug-eluting stents (DES) is unknown. To assess the impact of smoking on the presentation and outcome of patients treated with DES. We analyzed data from the prospective multicentre German Drug-Eluting Stent Registry (DES.DE) and identified 1,122 patients who had never smoked and 1,052 patients who were current smokers. Smokers were younger (56.5 vs. 69.4 years, p < 0.0001), more often males, with less frequent diabetes and hypertension compared to non-smokers. Smokers presented more often with acute coronary syndromes. After a mean follow-up of 12.5 months, smokers had both higher mortality (4.6 vs. 2.7%, p < 0.05) and myocardial infarction (MI) rates (4.9 vs. 3%, p < 0.01). There was no significant difference between smokers and non-smokers in the rate of target vessel revascularization (9.8 vs. 11.4%, p = 0.26). Major adverse cardiac and cerebrovascular events (defined as the composite of death, MI and stroke, MACCE) were higher in smokers (10.6 vs. 6.1%, p < 0.001). Moreover, after adjustment for baseline clinical and angiographic variables, smoking continued to be a strong independent predictor for MACCE (OR = 2.34, 95% CI 1.49-3.68). In a subgroup analysis, we found that the increased risk of smoking was most prominent in patients presenting with stable angina pectoris (OR = 3.71, 95% CI 1.24-2.57, p < 0.05). Smoking almost doubled the risk for MACCE in acute MI patients, though this did not reach statistical significance (adjusted OR = 1.91, 95% CI 0.93-3.94, p = 0.74). This large multicentre DES registry provides evidence that smokers treated with DES, despite lower incidence of predisposing risk factors for atherosclerosis, experience higher rates of death and MI compared to non-smokers, particularly in the setting of stable coronary artery disease. Smoking has only marginal effects on target vessel revascularization rates in patients treated with DES.Clinical Research in Cardiology 12/2010; 100(5):413-23. DOI:10.1007/s00392-010-0259-y · 4.17 Impact Factor
Article: Anatomic and Procedural Predictors of Paravalvular Aortic Regurgitation After Implantation of the Medtronic CoreValve Bioprosthesis[Show abstract] [Hide abstract]
ABSTRACT: The purpose of this study was to determine the predictors of aortic regurgitation (AR) after transcatheter aortic valve implantation (TAVI). TAVI has been associated with a high rate of paravalvular regurgitation, usually mild. Nevertheless, moderate to severe regurgitations still occur and may have negative clinical consequences. Fifty patients with severe aortic stenosis were recruited and underwent successful TAVI with the Medtronic CoreValve bioprosthesis through the transfemoral route. The end point of this study is the early occurrence of significant AR, defined as the occurrence of grade II or more AR by post-procedural aortography. The study population's mean age was 80.5 ± 7.9 years, with a mean aortic valve area of 0.64 ± 0.17 cm². Post-procedural AR was absent in 3 patients and was grade I in 27 patients, grade II in 13 patients, and grade III in 7 patients. Using univariate analysis, the chance of significant AR increased with increasing angle of left ventricular outflow tract to ascending aorta (∠LVOT-AO) (odds ratio: 1.24, p < 0.001). For the depth of the device in relation to the noncoronary cusp, there was a minimum chance of AR corresponding to depth = 9.5 mm (odds ratio: 1.1, p = 0.01). Using multivariate analysis, we found a greater chance of significant AR with a greater angle (odds ratio: 1.24, p = 0.001), and that the chance of significant AR is a minimum when depth of the device in relation to the noncoronary cusp is ∼10 mm (odds ratio: 1.1, p = 0.024). A predictive model was generated, and if 2 ×∠LVOT-AO + (depth to noncoronary cusp - 10)² ≥ 50, the likelihood of occurrence of significant AR could be predicted with a sensitivity of 85% and a specificity of 87%. The occurrence of significant AR after TAVI can be predicted by anatomic and procedural variables. A model such as that presented can be used to select suitable patients for this procedure and guide operators during implantation of the device.Journal of the American College of Cardiology 11/2010; 56(20):1623-9. DOI:10.1016/j.jacc.2010.06.035 · 15.34 Impact Factor
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ABSTRACT: The conventional surgical aortic bioprostheses used for treatment of aortic stenosis (AS) are inherently stenotic in nature. The more favorable mechanical profile of the Medtronic CoreValve bioprosthesis may translate into a better hemodynamic and neurohormonal response. The early hemodynamic and neurohormonal responses of 56 patients who underwent successful transcatheter aortic valve implantation (TAVI) using the Medtronic CoreValve bioprosthesis for severe symptomatic AS were compared with those of 36 patients who underwent surgical aortic valve replacement (SAVR) using tissue valves in the same period. At baseline, patients in the TAVI and SAVR group had comparable indexed aortic valve area (0.33 ± 0.1 vs 0.34 ± 0.1 cm² , respectively; P = .69) and mean transvalvular gradient (51.1 ± 16.5 vs 53.1 ± 14.3 mm Hg, respectively; P = .56). At 30-day follow-up, mean transvalvular gradient was lower in the TAVI group than in the SAVR group (10.3 ± 4 vs 13.1 ± 6.2 mm Hg, respectively; P = .015), and the indexed aortic valve area was larger in the TAVI group (1.0 ± 0.14 vs 0.93 ± 0.13 cm²/m²; P = .017). There was a trend toward a higher incidence of moderate patient-prosthesis mismatch in the surgical group compared with the TAVI group (30.5% vs 17.8%, respectively; P = .11). The overall incidence of prosthetic regurgitation (any degree) was higher in the TAVI group than in the SAVR group (85.7% vs 16.7%, respectively; P < .00001). The left ventricular mass index decreased after TAVI (175.1 ± 61.8 vs 165.6 ± 57.2 g/m²; P = .0003) and remained unchanged after SAVR (165.1 ± 50.6 vs 161 ± 64.8 g/m²; P = .81). Similarly, NT-ProBNP decreased after TAVI (3,479 ± 2,716 vs 2,533 ± 1,849 pg/mL; P = .033) and remained unchanged after SAVR (1,836 ± 2,779 vs 1,689 ± 1,533 pg/mL; P = .78). There was a modest correlation between natriuretic peptides and left ventricular mass index in the whole cohort (r = 0.4, P = .013). In patients with severe AS, TAVI resulted in lower transvalvular gradients and higher valve areas than SAVR. Such hemodynamic performance after TAVI may have contributed to early initiation of a reverse cardiac remodeling process and a decrease in natriuretic peptides.American heart journal 11/2010; 160(5):862-9. DOI:10.1016/j.ahj.2010.07.017 · 4.56 Impact Factor
Article: Plaque characteristics of nonobstructive coronary lesions in diabetic patients: an intravascular ultrasound virtual histology analysis[Show abstract] [Hide abstract]
ABSTRACT: Patients with diabetes mellitus are known to be at increased risk for acute cardiovascular events. We used intravascular ultrasound virtual histology (IVUS-VH) to examine whether nonobstructive coronary artery lesions of diabetic patients have distinct plaque composition and morphology compared with nondiabetic patients. A total of 41 patients (13 diabetic and 28 nondiabetic) with proximally located angiographically nonobstructive coronary lesions were prospectively enrolled. In addition to plaque geometry, IVUS-VH lesion evaluation of the fibrous, fibro-fatty, necrotic core and calcified plaque components was performed. An IVUS-derived thin-cap fibroatheroma (IDTCFA) was defined as a lesion with a confluent necrotic core of at least 10% lumen cross-sectional area without evident overlying fibrous tissue and a plaque atheroma volume of at least 40% in at least three consecutive frames. Coronary artery lesions of diabetic and nondiabetic patients had similar plaque geometry. Lesions of diabetic patients were more likely to be positively remodeled than those of nondiabetic patients (67 vs. 27%, respectively, P = 0.02). Plaques of diabetic patients had significantly higher necrotic core percentages (23.3 +/- 6.1 vs. 17.1 +/- 8.7%, P = 0.03) and lower fibro-fatty tissue percentages (8 +/- 5 vs. 14.2 +/- 7.5%, P = 0.01) than those of nondiabetic patients. In addition, IDTCFAs were significantly more prevalent at the minimal lumen area site of diabetic patients compared to nondiabetic patients (92 vs. 54%, respectively, P = 0.02). After adjustment for various confounders, diabetes mellitus remained as the only independent clinical predictor of IDTCFAs at the minimal lumen area site [odds ratio (OR) 9.43, 95% confidence interval (CI) 1.06-84.04, P = 0.04]. Nonobstructive coronary artery lesions of diabetic patients have distinct compositional and morphological features, suggesting that these differences may explain the increased likelihood of coronary events in diabetic patients.Journal of Cardiovascular Medicine 05/2010; 11(5):345-51. DOI:10.2459/JCM.0b013e328333ebb2 · 1.41 Impact Factor
Article: Comparison of Hospital Mortality With Intra-Aortic Balloon Counterpulsation Insertion Before Versus After Primary Percutaneous Coronary Intervention for Cardiogenic Shock Complicating Acute Myocardial Infarction[Show abstract] [Hide abstract]
ABSTRACT: Primary percutaneous coronary intervention (PCI) and intra-aortic balloon pump counterpulsation (IABP) are established treatment modalities in acute myocardial infarction complicated by cardiogenic shock. We hypothesized that the insertion of the IABP before primary PCI might result in better survival of patients with cardiogenic shock compared to postponing the insertion to after primary PCI. We, therefore, retrospectively studied 48 patients who had undergone primary PCI with IABP because of cardiogenic shock complicating acute myocardial infarction (26 patients received the IABP before and 22 patients after primary PCI). No significant differences were present in the baseline clinical characteristics between the 2 groups. The mean number of diseased vessels was greater in the group of patients treated with the IABP before primary PCI (2.8 +/- 0.5 vs 2.3 +/- 0.7, p = 0.012), but the difference in the number of treated vessels was not significant. The peak creatine kinase and creatine kinase -MB levels were lower in patients treated with the IABP before primary PCI (median 1,077, interquartile range 438 to 2067 vs median 3,299, interquartile range 695 to 6,834, p = 0.047, and median 95, interquartile range 34 to 196 vs median 192, interquartile range 82 to 467, p = 0.048, respectively). In-hospital mortality and the overall incidence of major adverse cardiac and cerebrovascular events were significantly lower in the group of patients receiving the IABP before primary PCI (19% vs 59% and 23% vs 77%, p = 0.007 and p = 0.0004, respectively). Multivariate analysis identified renal failure (odds ratio 15.2, 95% confidence interval 3.13 to 73.66) and insertion of the IABP after PCI (odds ratio 5.2, 95% confidence interval 1.09 to 24.76) as the only independent predictors of in-hospital mortality. In conclusion, the results of the present study suggest that patients with cardiogenic shock complicating acute myocardial infarction who undergo primary PCI assisted by IABP have a more favorable in-hospital outcome and lower in-hospital mortality than patients who receive IABP after PCI.The American journal of cardiology 04/2010; 105(7):967-71. DOI:10.1016/j.amjcard.2009.11.021 · 3.58 Impact Factor
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Christian-Albrechts-Universität zu KielKiel, Schleswig-Holstein, Germany
Universität zu Lübeck
Lübeck Hansestadt, Schleswig-Holstein, Germany
- Department of Internal Medicine I


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Harry Styles, 20, is somewhat of a ladies man but what about his love life?
Harry and Niall Horan, bandmate from One Direction, ga...READ MORE ▶
Niall Horan13 September 1993, Mullingar, Irland
21 years
Niall James Horan is one of the members of British boy band One Direction.
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Latest news!
Harry Styles says that he has never been in love (sorry Taylor)!
Friday 8:30 AM, 28/11/2014
Tags: Harry Styles / One Direction / Celebrity couples / Cool celebrities
Latest news
One Direction Announce New Album Release!
Tuesday 8:24 AM, 09/09/2014
One Direction has another album coming up! The boyband announced yesterday that they're releasing their new record called "Four".
"We...READ MORE ▶
"We...READ MORE ▶
Tags: Harry Styles / One Direction / Celebrity Gossip
Niall Horan Celebrates His 21st Birthday!
Monday 6:44 PM, 08/09/2014
Tags: Niall Horan / Paparazzi
Latest news
Niall Horan Hurt On Stage By Fan: "Please, Stop!"
Thursday 11:18 AM, 26/06/2014
Niall Horan was hurt on stage when performing in Amsterdam yesterday. The One Direction star now begs fans not to throw things on stage - si...READ MORE ▶
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She Is Reportedly Niall Horan's New Fling!
Tuesday 1:06 PM, 17/06/2014
Niall Horan shared a kiss with 19-year-old model Thalia Heffernan last month, and now the One Direction star reportedly is desperate to find...READ MORE ▶
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Picture special
10 Ways To Know You're A True One Direction Fan!
Friday 12:10 PM, 13/06/2014
We know there are tons of One Direction fans out there - but as always, some of you guys are more deep down to it than others. We've listed 10 signs that you're a real 1D superfan - so click on the pics and check out if you're one of them!
Tags: Picture Special / One Direction


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Birthday: Louise Nysather
Louise Nysather and her family invite you to help celebrate her 80th birthday party on Sunday, July 3rd, from 3-6pm at her home.
Louise was born in Madison, Wisconsin on July 14, 1931. No gifts please
This will also be in loving memory of her husband, Harry, who died unexpectedly on July 8, 2006.
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iAudit - Health & Safety Quality Environmental
The iAudit app from Play it Safe allows you to streamline your entire workplace inspection or auditing process, saving you time, money...
The iAudit app from Play it Safe allows you to streamline your entire workplace inspection or auditing process, saving you time, money...
If you're a Dropbox user who owns an iPhone or iPad, then your life is about to get a lot more productive.
Apple was forced to drop a raft of health-related features from its upcoming smartwatch following issues with the built-in sensors, claims a report.
The Here apps will add a robust location services engine to the glasses, with features such as turn-by-turn guidance without an internet connection and public transport maps.
Jealous of the tight integration between iOS and OS X 10.10 Yosemite? Feel left out because you use an Android device on Windows? Wish there was an easy way to send files to your Android device? You need AirDroid 3.
Packed with new features for non-Office 365 subscribers, Microsoft's updates to its Office apps for iPhone and iPad are highly welcomed, but device limitations reach a peak.
The Christianity Simply Explained is an app which explains, in simple terms, what we Christians believe: the beliefs common in all...
Microsoft and Dropbox are partnering to improve integration between Dropbox and Microsoft Office.
Google's Nexus 9 and the Android 5.0 that comes with it includes some business friendly security features as well as an interface that could make it a bring your own device play. There's a need for more tablet-first business apps though.
IMPORTANT NOTE: IBM Connections for Citrix is only for users whose companys IT organization uses Citrix XenMobile for mobile device...
The latest version of Apple's mobile operating system is out, and so is its wireless payments system, Apple Pay, designed for the latest iPhone 6 and iPhone 6 Plus.
Developers won't have to hurry to update their apps for the larger iPhones, but if they want to take advantage of new features they'll have to get to work.
As Apple did with last year's smartphone offering, it's sticking with two new iPhones. From specs to features, screen size, and its release date, here's what you need to know.
Docs, Sheets and Slides are now available for the iPhone and iPad, making Google's full suite of productivity apps accessible on all of its major platforms.
The latest snapshot release of custom Android ROM CyanogenMod brings a slew of new features, including the hidden Heads Up notifications feature and more controls to lockdown private apps.
New features in the cloud customer service application include the ability to create individualized consoles, plus additional APIs for integrating data from other apps.
The folks at Apple have long had a "my way or the highway" policy when it came to modifying the inner workings of iOS. However, as this article shows, things may be changing in iOS 8.
Continuing its cross-platform push, Microsoft has updated its OneNote for iPhone and Mac apps with some noteworthy new features.
I don't like everything in the new version of Windows Phone. For all the excellent new features, the change from social integration to apps is a step backwards for the Metro philosophy.
The platform helps enterprises provision software on private clouds or in public cloud environments including Amazon Web Services, Google Cloud Platform, HP Public Cloud and Microsoft Azure.
Google's office suite may not be as feature rich as Microsoft's Office, but the apps are easy to use. These simple features make it even easier to build Google Slides presentations.
It took four years, but Microsoft has finally released full-featured Office apps for the iPad. As expected, the new Word, Excel, and PowerPoint apps are free to install but require an Office 365 subscription to unlock the full set of features. Here's what you can expect.
The latest version for iPhones and iPads landed on Monday, with new features, user interface tweaks, and a number of bug fixes that aims to appease those who have yet to upgrade.


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This is a huge, light blue, spiral molded plastic bangle bracelet. This massive bangle is 1 5/8" wide with super thick ribbed walls. It measures 2 5/8" across the opening and 8" around the inside. It has a foil label on the inside which reads "Made in Western Germany".
The bracelet is in excellent condition and is featured on page 121 of Plastic Bangles by Lyn Tortoriello & Deborah Lyons., Schiffer Publishing,c. 2005.
Item ID: RL-03807
Eclectic Vintage Collectibles ~ Purses ~ Jewelry ~ Glass ~ Books ~ Toys ~ Ephemera & Holiday Items
Welcome to Vintage Vault: PLATINUM-rated and one of Ruby Lane's "Top 50" Most Visited Shops! Offers welcome.


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Looking Ahead
At three p.m. on April 3rd, the day traditionally called 'Good Friday', a Meeting for Worship and Remembrance for Dwaine Williams and his family will be held in the Meeting House.
This Sunday, April 5th, is Easter. Activities will begin at 8:30 a.m. with a Breakfast prepared by the Elders. The Meeting House will open at 8:00. Worship will follow our regular pattern of persons gathering at 9:30 to enter a time of intentional, unstructured corporate worship. At 10:00 worship will continue in a more structured manner. F/friends are encouraged to participate as you feel led.
On Tuesday, April 7, the Missions Committee will host the Gideons.
Caritas will keep its regular schedule: Monday, Wednesday and Thursday – 10:oo – 1:00


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KBTX Analog Signal to be Shut Down For Maintenance
Posted: 05/27/2008 - Tuesday night, KBTX Engineers will turn off the analog off-air signal for a few hours in order to perform maintenance.
Posted: 05/27/2008 - Tuesday night, KBTX Engineers will turn off the analog off-air signal for a few hours in order to perform maintenance.
Updated: 05/27/2008 - It's not completely finished, but the long-awaited underpass at Villa Maria and Finfeather is officially opened.
Updated: 05/28/2008 - The man accused of murdering two Burleson County men in April is speaking out.
Posted: 05/27/2008 - Improvements are coming to Coulter Field in Bryan thanks to the Federal Aviation Administration.
Updated: 05/27/2008 - 4:45 PM: A SEVERE THUNDERSTORM WARNING is in effect for Grimes, Montgomery, Walker, and Waller counties until 5:45 p.m.
2:00 PM: A Severe thunderstorm watch is in effect for Houston, Leon, and Trinity counties until 7:00 p.m.
Posted: 05/27/2008 - At the heart of Habitat for Humanity are its volunteers. For ten years now, the organization has been building up whole subdivisions for families in need, and to raise the walls of each home, it takes a lot of help.
Posted: 05/27/2008 - The Conroe Police Department says the body dumped on Highway 21 in Madison County has been identified as 18-year-old Christopher Garcia. Garcia's body was found Monday in a ravine on Highway 21, three miles west of I-45 near Madisonville.
Posted: 05/27/2008 - A 10 year old boy was killed while taking a tractor ride with his dad.
Updated: 05/27/2008 - The Memorial Day festivities were in full swing at the Brazos Valley Elks lodge.
Updated: 05/27/2008 - About 100 veterans and families of service members filled the Earl Graham Post in Bryan for a somber Memorial Day service.
Updated: 05/27/2008 - Investigators say a body that was dumped on Highway 21 in Madisonville may be related to a drug overdose. Conroe Police have taken the lead on the investigation, but say it is not a murder investigation at this time.
Updated: 05/26/2008 - Over in Hearne, the American legions had a veterans memorial where many gathered to honor those who made the ultimate sacrifice to our country.
Updated: 05/26/2008 - Today the Carriage Inn Retirement Community woke up to the sight of 55 flags flapping in the breeze.
Updated: 05/26/2008 - The dream of an affordable home will become a reality for one Bryan family that has been living in unimaginable conditions. It's Habitat for Humanity's offer and hard work that will make the Davis' dream a reality.
Updated: 05/26/2008 - Texas child-welfare caseworkers are finding themselves strapped for cash because of the state's slow reimbursement of their out of pocket expenses.
Posted: 05/26/2008 - A neighbor's watchful eyes and open ears helps College Station police catch up with an alleged burglar.
Updated: 05/27/2008 - In 1984, the people of Bryan had their eyes on the intersection of Villa Maria and Wellborn. A bond issue was passed that year for a grade separation at that intersection, something that's just now complete.
Updated: 05/27/2008 - Brenham's school board wants to get on with the work of the district. Now, with two complaints we told you about a week ago resolved, they have a few less issues to deal with.
Updated: 05/26/2008 - Countless men and women have lost their lives fighting to preserve our freedom. On this memorial day weekend, a College Station woman pauses to tell her family's story. She says she's the only left to tell it.
Updated: 05/26/2008 - In honor of Historic Preservation Month, the Brazos County Historical Commission is showcasing its new interactive website.
Updated: 05/25/2008 - College Station Police arrested numerous people for possession of marijuana in a 24-hour period. Ten people were arrested, in six different incidents, at the start of this Memorial Day weekend.
Updated: 05/26/2008 - Law enforcement agencies all over the Brazos Valley asked parents to take 25 today: twenty five minutes to talk to their kids about safety.
Updated: 05/26/2008 - It has come to the attention of the National Propane Gas Association that propane cylinders are being used in the manufacturing of Methamphetamines.
Updated: 05/25/2008 - Texas A&M freshmen Rhiannon Kliesing and Natalie Villarreal combined for a six-hit, five-run effort at the plate as the fifth-seeded Aggies punched their second-consecutive ticket to the Women's College World Series in Oklahoma City with a 9-4 victory over the Stanford Cardinal on Sunday.
Updated: 05/26/2008 - Anyone who stepped outside Saturday knows how hot and humid it felt in the Brazos Valley.


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Should I splice or replace underground
electric service? Yday I dug through 2" pvc conduit, and the 4AWG thhn individual conductors within. The conduit contains 2 phase and 1 neutral, powered through a 60 amp breaker, feeding a breaker panel in a workshop.
Conduit is 18" below ground, has been in continuous service for 18 years. The break is in the middle of a 90' run. Counter man at electrical supply suggested installing a water proof box (12" by 12" by 6") and splicing.
So my decision is whether to splice, or pull new wire. Heck, I suppose I could install sweep bends to bring the j box up to surface level, or even slightly above ground and mount it flush w the sidewalk that it runs next to, and help keep inside of box dry.
I'd stay away from underground splices, even if they can be done legally. For the above ground box you'll need more conductor length so you'll either need to replace half of the entire length or use two j-boxes several feet apart with new conductors between.
IMHO, the best way is the 'right' way which is to replace the entire run.


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This is a family owed and run restaurant. They have all kinds of different items on the menu. The portions are very generous and the prices are great. This is a place that I would return to.
Johnny's is the type of place that's been around for years and hasn't changed much. The five of us had a variety of dishes - everything from breakfast plates to salads to burritos - and nobody raved and nobody complained. Food was okay, service was fine.
I went here yesterday with a friend. I've only been here one other time. Yesterday they were really busy, but the service was great. We hardly waited at all to be waited on and they were very friendly. The food is good and prices are average.
Try the Split Pea soup and you will find yourself being reminded by your belly every week to not miss the Tuesday soup. Saving a bit for Wednesday morning makes a delicious breakfast, too.
The Chicken Noodle soup on Thursday and the Navy Bean on Saturday are winners with me also.
But that Split Pea has a fan in me...
From the sign to the furniture, to the formica counter, to the blue haired servers, this place is built for seniors. Decent food, cramped parking, adequate service. Nothing special here, but it is a local favorite, expecially for the retired crowd.
Good food, good service, good price. We have been here many times.
Great food, freiendly service. What more can you ask for?
Good food, great special and breakfast is anytime!
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Bus tragedy hits home in DL -- DL residents lose 9-year-old niece, granddaughter
DETROIT LAKES -- The tragedy of four young lives ended and more children injured Tuesday in a school bus crash near Cottonwood, has touched the hearts of many throughout the nation, and broken the hearts of family members and friends.
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Hampton Inn Commerce, Commerce
Situated in Commerce, Hampton Inn Commerce is close to Tanger Outlets. Additional area attractions include Hurricane Shoals Park and Heritage Village.
Hotel Features.
Hampton Inn Commerce has an outdoor pool and a fitness center. There is a business center on site. Guests are served a complimentary breakfast. The hotel offers a bar/lounge. Additional amenities include a safe deposit box at the front desk and express check-out. Complimentary self parking is available onsite for guests.
The 61 guestrooms at Hampton Inn Commerce include complimentary newspapers and coffee/tea makers. Additional amenities include hair dryers and irons/ironing boards.
Very pleasant stay. Liked this hotel and all of the amenities close by. Perfect for an…
Beds are a little to hard for my liking, but I would stay her again.
Enter dates to check prices
Hotel Info: 866-539-8117from $83
- Two double bed smoking
- Two Double Beds ns
- One king bed nonsmoking
Recommended hotels
At a glance
Key facts
Hotel size
- This hotel has 61 rooms
- This hotel is arranged over 3 floors
- Check-in time starts at 2 PM
- Check-out time is 11 AM
- Express check-out
Required at check in
- Credit card or cash deposit required
- Government-issued photo ID required
- Free self parking
Nearby Two Star Commerce hotels
In the hotel
- Free hot/cold buffet breakfast
- Bar/lounge
- Outdoor pool
- Fitness facilities
- Business center
- Conference space
- Safe-deposit box at front desk
In the room
- Coffee/tea maker
- Iron/ironing board
- Hair dryer
- Cable/satellite TV channels
- Free newspaper
Top Commerce hotels
Recently reviewed hotels in Commerce
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"Wonderful!!"Mar 7, 2015
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"The hotel were nice and clean. Would stay again."Mar 3, 2015
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"Nice motel. Relatively new and in good shape. A little far out of downtown for my preference, but Athens was busy this weekend. Staff were all very friendly and accomodating.…"Mar 2, 2015


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Gallery: Marek Tomasik Creates a Spectacular Room Installation from Ele...
Electronic waste is a serious problem that seems ever-mounting with the newest and hottest gadget always ready to replace yesterday's "outdated" dud. And while we've seen some truly special ideas for e-waste reuse, this spectacular room installation by Marek Tomasik takes the cake. Dubbed "You sometimes have to be open", this latest sculpture from the artist is situated in a historic castle in Świecie, Poland, constructed within a 16' x 14' x 15' high room. The project took nearly three years to complete and uses everything from dead computers, wood and pallets.
A collection of decades worth of hundreds of computers and other electronics, Tomasik's installation takes on a new life that also harks back to an age-old favorite: Tron. The walls of the sculpture are a veritable what's what of the computer-age, and are sure to evoke a sense of nostalgia, even within the most cutting-edge, unwavering gadget geek.
For a closer look at the installation, check out Tomasik's site for a mind-blowing panoramic view.
Marek Tomasik is a graphic artist, a sculptor, a space – time continuum compositor and a street actor. Since the age of 4 he's sculpting, primarily employing abandoned and waste objects as his base medium.
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Diane PhamCutting back on your energy usage is one of the best ways to bring down your electricity bill. But did you know that making simple changes to not just your wattage consumption but the way your home retains and expels air can dramatically transform the wayREAD MORE >
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Water wasters
We are in severe drought. Everyone's being asked to conserve water. New regulations are passed to fine wasters $500 per day for water running in the gutters.
Why is it then that in the last month, I have personally observed fire hydrants opened and dumping water full blast on the roads and gravel for a solid thirty minutes each at Mather Air Field? This has happened seven times. How many gallons would that be?
-- Allen Clay, Sacramento
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London has never been an English city. It has always been an international city, living off trade and conquest and migrants. London's cosmopolitan nature is obvious in the East End, populated first by French Protestant refugees (Huguenots) around Spitalfields market, then by persecuted European Jews at the turn of the century, and post-WWII, by a Bangladeshi community who worship at the Jamme Masjid mosque. Brick Lane curry houses are a major foodie draw and Brick Lane market offers vintage fashion bargains. Stylists shop for film props at Beyond Retro, and Hackney's Columbia Road flower market is ideal for photo ops amid parrot tulips and tuberose.
© 2015 Hipmunk, Inc. Hipmunk is a trademark of Hipmunk, Inc.


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This easy Easter craft is a modern day take on those lovely Victorian era panorama sugar eggs. And believe it or not, all you need is some light-brown sugar.
Just when parents were letting it go, the princess trend is buzzing again. Party Planning Expert Molly Blanton shares tips for throwing the ultimate princess party.
If you are stuck with how to design your wedding tables on your special day then we have a beautiful idea for a purple wedding theme. The use of lavender, tea light candles and purple confetti really sets the theme off well.
Throw a fun, beautiful beach-themed shower for the bride-and-groom-to-be.
Celebrating a loved one's birthday can be just as fun as celebrating your own - and the MOST fun when it is your pet! We have a beloved one-year-old pup named Jack and recently decided to throw him a 1st birthday party that he'll remember for all of his doggy days.
We went all out with decor, the treats, and of course toys! Check out our video for tips on throwing the ultimate doggy birthday.
Are you having trouble choosing a theme for your beautiful day? This episode shows you how to style a stunning rustic wedding theme to make your big day as special as you imagined.
Throw a fun backyard barbecue couples shower for the bride-and-groom-to-be.
Almost a month after the series finale of "Two and a Half Men" aired, Charlie Sheen is speaking out.
From a New York townhouse to a Beverly Hills home with a Hollywood pedigree, WSJ's Erin McCarthy reveals the contenders for WSJ House of the week. Photo: Marco Franchina
If you are looking for wedding theme inspiration then this is the right series for you! This week we show you how to perfectly achieve a classic coral and grey look.
Jessica Seinfeld's shows you how to do a casual cocktail party the right way. See how she puts together an easy and crowd-pleasing spread.
Carri Wilbanks highlights some great gift ideas to consider for special occasions.
Camille rocks the Casbah with a Moroccan-themed bridal shower.
In a skit meant to parody this Toyota commercial about a dad dropping off his daughter at the airport to join the army, the '50 Shades of Grey' star and the rest of the SNL cast was criticized for taking things a little too far, too soon.
Do parties intimidate you? Jessica Seinfeld arms you with easy hostess tips and teaches you how to set up the perfect bar.
St. Patrick's Day is one of our favorite holidays of the year, and with it comes a chance to throw a party that is fun for kids and adults! Kids love the traditions of wearing green (and eating green treats!) and of course what adult doesn't love Irish beer, whiskey, or both?
We have a couple clever ideas for you to throw a St. Patrick's Day party that is fun for all ages!
Take your Oscars viewing party to the next level with these cocktails worthy of their own awards.
Celebrity event planner David Merrell shares how to bring the glitz and glamour into your home for the Oscars.
Lifestyle expert and Sipteaze.com founder Nicole Young will demonstrates easy, at-home strategies and recipes designed to channel the glamour and gourmet offerings of an A-list Hollywood fete.
If your anything like me, you are always looking for easy ways to decorate and get in the holiday spirit. Join Holly Clegg, as she shares simple, easy, and affordable tips for get togethers or holiday events.
Coryanne Ettiene shows you how to candy pansies for spring cupcakes.
Coryanne Ettiene shows you how to make quick and simple Cascarones and glitter filled Easter Eggs for Easter.
Blogger Alexandra Hedin shares fun ways to celebrate Valentine's Day with your whole family.
If you're thinking of staying home this year, our design expert Jennifer Adams says: why not go big? She has some low budget ideas to help you create the most romantic table setting ever!
Margaret Joseph of the Macbeth Collection has a gift for every taste and décor. Learn how to make your house a love castle! Watch this!
Steve Harvey is probably used to hearing some pretty dumb answers on "Family Feud" - but a recent contestant on the show may have just won the award for weirdest response.
Blogger Chrissy Jones shares DIY Valentine's Day party ideas for kids.
Tis' the season (and month) of Love. February always makes us giddy because red and pink heart-shaped everything fills window fronts and nearly every aisle in the grocery store. This year, if you're single or just opting to spend Valentine's with your girls, we've got a couple of great Gal-entine's ideas for your love-filled fiesta.
Friend to the show and Sr. Editor of RetailMeNot.com Trae Bodge gives us the best of the best. Are you ready to make the most of your man (or woman) cave? Find out here!
Trae Bodge, Sr. Editor of RetailMeNot.com, walks through the must-haves for a man-cave. What are they? Find out here!
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Dingmans Ferry Vacation Rentals(5)
5 Results
Special Offer! $119 Midweeks and $200 off weekends through April 30! March 25 - April 30
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View all 16 Dingmans Ferry Vacation Rentals or all 18 Delaware River Valley Vacation Rentals
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Perfect vacaciones
Two Thumbs Up
Best selection here. The house was amazing, behind what I imagined. Have no negative comments whatsoever. House is squeaky clean, extremely comfortable and great for a group of friends. Hot tub was a genius idea. And kitchen was stocked with anything you need. Def a great selection. Planning on coming back next year!!
Had a great stay!
We stayed here with our dog and two other couples and had a great time. The house had plenty of room and the hot tub was a nice perk! We watched movies, play ping pong, ate, drank, slept, BBQ'ed....you name it! My person favorite thing was the fire stove in the living room - the flames from a fire are so relaxing! Zero complaints!


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when someone baits another person out.
av red-dra-gun 12. august 2003
You cum in a girl's face, then give her a bloody nose.
That bitch bitched at me when I have her a Red Dragon. She needed a nose job, anyways.
av StONY 25. januar 2004
When a guy eats out a girl during her periods.
She had her periods but he still fuckin' licked her out! He gave her a fuckin' red dragon man!
av O.G.BaBii 25. mai 2006
when your fucking a girls mouth and you knock out her front tooth with your balls. Not only will she have dragon teeth, but blood will drip from her mouth like she just ate a live animal, thus the look of the red dragon.
Don't you give me that red dragon face....clean that shit up!
av Daillestpimp 1. januar 2004
When a male is fucking a girl on her, he pulls out his bloody dick and presses it against her body, leaving an imprint known as the red dragon
she was on her rag so I gave her a red dragon
av Brazier 31. juli 2003
when you lift a chubby disabled kids shirt up to expose his body to the public
you see that kid Trevor? yea i red dragoned him so bad, he almost fell out of his wheelchair
av kenneth wu 14. mars 2011
just like the white, gold and brown dragon but with a girls periods.
Omg i love it when i red dragon my boyfriend, S E A N.
av motgtht 12. desember 2006


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HMAS Newcastle has handed over security operations for Operation SLIPPER in support of the Combined Maritime Forces (CMF) in the Middle East to HMAS Melbourne.
Newcastle has provided maritime security around the Horn of Africa, conducted counter-piracy and anti-smuggling operations in the Gulf of Aden and executed counter-terrorism activities since May 28, 2013.
The Guided Missile Frigate handed over to sister ship HMAS Melbourne on September 24, 2013.
HMAS Newcastle's Commanding Officer, Commander Paul O'Grady CSM, RAN said the ship's company of 230 personnel will conduct a logistical stop at Fleet Base West before making the final voyage home to Sydney to reunite with family and friends.
"Since 28 May 2013 HMAS Newcastle has provided maritime security from the Horn of Africa to the Red Sea, conducted counter-piracy and counter-smuggling operations from the Gulf of Aden to the Arabian Gulf and performed counter-terrorism activities throughout the wide area of operations," Commander O'Grady said.
"These operations were supported by coalition air assets, including Newcastle's own S-70B-2 Seahawk helicopter, which has flown more than 300 hours in support of boarding operations, search and rescues and medical evacuations."
Commander O'Grady said the deployment has included many highlights including some that made international news headlines.
"There can be no greater responsibility than to assist fellow mariners in distress and Newcastle did so on two occasions.
"Firstly in providing emergency assistance to the disabled Merchant Tanker Perla who had suffered a main machinery fire in the Somali Basin and had two burned crewmen. We were able to winch on a medical team and evacuate the crewmen for further treatment.
"Later in the deployment we conducted a search and rescue in conjunction with a Chinese Navy frigate for fishermen lost at sea in the Indian ocean.
"During the deployment Newcastle was also utilised as the venue for the Ministerial signing of two important documents that have a direct relationship to why the Royal Australian Navy deploys to the Middle East Area of Operation.
"These important bilateral agreements between Australia and the Republic of Seychelles will help prevent and combat piracy.
"Newcastle's achievements over the course of the deployment are due to her close knit team and esprit de corps.
"The crew has worked hard together in the preparation and conduct of this mission and their determination and collective experience has united them into a cohesive force, willing to undertake any challenge.
"Newcastle's professionalism and performance has been of the highest standard. Every one of our team should be proud of their contributions to Australia's reputation in the region and the effectiveness of the Combined Maritime Force."
HMAS Newcastle's deployment has been a 58,000km journey with more to come during her return home.
She has conducted 13 underway refuelings with support ships from the U.S., U.K. and France, visited seven different ports throughout Africa and the Middle East and conducted 157 separate boarding actions.
Newcastle has remained on task at sea for over 80% of her deployment and most importantly the dedicated maintenance and engineering crews have ensured the ship has not missed a single day of tasking.
All this was done in the extreme heat of an Arabian summer and the often arduous sea conditions of the monsoon season.
HMAS Melbourne takes over operations with the Combined Maritime Forces and will hand over to HMAS Darwin later this year.
HMAS Melbourne is the 56th rotation of a Navy warship to the Middle East since the first Gulf War in 1990 and is the 32nd ship to deploy to the Middle East since as part of Operations SLIPPER and CATALYST since September 2001.
The future USS John Finn (DDG 113) was launched at the Huntington Ingalls Industries (HII) shipyard March 28.
During launch the drydock was flooded allowing the
Gladding-Hearn Shipbuilding, Duclos Corporation, has begun construction of the first of three new sightseeing vessels for Circle Line Sightseeing Cruises, Inc., in New York City.
Warships shelled a column of Houthi fighters and troops loyal to former president Ali Abdullah Saleh as they tried to advance on the southern port city of Aden on Monday,
Severe vibrations and shocks of up to 9G over an average of 1000 hours per year. That's what instructors of fast small ships such as the Fast Raiding, Interception
Weeks after Syria said it had no need for wheat imports, the government plans to import 150,000 tonnes and has introduced ways to conserve grain stocks in signs
The United States Merchant Marine Academy Hosts 7th Annual Women on the Water Conference.
Last week, The United States Merchant Marine Academy (USMMA) in conjunction with the U.
Swedish ferry operator Stena Line has announced that it has converted the Stena Germanica to run on methanol, an industry first.
The company spent $24 million on converting the ship to methanol.
U.S. oil trains delivered more than 13.5 million barrels of crude oil from the Midwest to the East Coast in January, according to government data that gives a first
China's air force conducted its first drill above the western Pacific Ocean on Monday, the Defence Ministry said, in a move that could exacerbate tensions with
China has managed to export a large shipment of crude oil from Yemen over the weekend, ship-tracking data showed on Monday, despite mounting chaos in the country
It is too early to say when Libyan oil ports Es Sider and Ras Lanuf can reopen after a force loyal to a self-declared Tripoli government pulled out troops from frontlines near to the terminals,


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Music of various genres and styles that individual users consider to be beautiful. Due to the subjective nature of the tag, it is applied to a vast collage of different artists that not all users may agree with as being beautiful, instead reflecting an overall opinion of those who use the tag.
Tagged: Chillwave Electronic Experimental Ambient Instrumental
Blackbird Blackbird
Tagged: Chillwave Electronic Glo-fi Noise-gaze Dream Pop
Tagged: Glitch Ambient Electronic Experimental Electronica
The World Is a Beautiful Place & I Am No Longer Afraid to Die
Tagged: Emo Post-rock Indie Indie Rock Twinkle Daddies
Tagged: Folk Melodic Death Metal Alternative Metal Metal Nu Metal
Sithu Aye
Tagged: Progressive Metal Djent Instrumental Math Metal Progressive
Tagged: Djent Progressive Metal Math Metal Ambidjent Metal
Adam & Alma
Tagged: Electronica Indietronica 23 Seconds Netlabel Creative Commons
Lethian Dreams
Tagged: Doom Metal Atmospheric Doom Metal Death Doom Metal French Gothic Metal


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The Nutcracker
The Nutcracker From Georgia Metropolitan Dance Theatre
Full Price
Our Price
2011 Ovation Award winner Georgia Metropolitan Dance Theatre presents its annual holiday performances of The Nutcracker. In this perennial winter favorite, a young girl receives a wooden Nutcracker for Christmas as a gift. That night, she dreams of a Nutcracker Prince who travels with her through the Land of Sweets. GMDT will also be hosting a toy drive with the U.S. Marine Corps "Toys for Tots." If you wish, you may bring a new, unwrapped toy to the performance to brighten the holiday of a less-fortunate child.
* Additional fees apply. No coupon or promo codes necessary to enjoy the displayed discount price.
All offers for The Nutcracker have expired.
The last date listed for The Nutcracker was Sunday November 27, 2011 / 6:00pm.
Currently at Jennie T. Anderson Theatre - Cobb Civic Center
Baseball Musical Comedy Damn Yankees -- Winner of 11 Tonys
- Full Price:
- $47.70 - $53.00
- Our Price:
- $23.85 - $26.50
Swing for the fences with the hit baseball musical Damn Yankees and experience the story of Joe… More
Venue Details
Just FYI~ The way the theatre is arranged there is NOT a bad seat in the house.star this tip starred
The weather was cool autum afternoon. I wore casual .star this tip starred
Reviews & Ratings
Featured review from Goldstar Member
view more less of this review
Excellent performance and outstanding dancers. Loved the props.....really enjoyed the performance.
More Information


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Implem ERP sys. Anlyz proc data & valid metrics. Position HQ in Danbury w travel to proj sites t/out US. Rel MS deg & 8 yrs rel exp req. Resume & cover letter to: A. Byrapogula, 11911 Freedom Dr, Ste 900, Reston, VA 20190. Indicate code "GSMACT0315" when applying. Genpact is an EOE.(less)
support to customers. Dvlp product implemtn strategy. Monitor/ support installation process. Maintain Oracle 11g & SQL Server '05/' 08 d/bases. Provide operational support, backup, & disaster recovery strategy for customer data ctr production systems. Research & propose tech'l/bus. solutions related to RAC/ ASM/ VERITAS/ OCFS & capacity planning/ configuration mgmt w/in DB infrastructure. Train customer tech'l team. Compile prospect environmt info. Dsgn data security architecture. Measure product performance & d/base optimization w/ AWR/ ADDM/ Xplan/ TKPROF. Match environmt reqs & solutions. Manage product shipmts. Travel reqd 20% of time. Reqs: Master's deg in S/ware Systems or foreign equiv & 5 yrs post-Master's deg exp in job offered or as Sr. D/base Admin dvlpng scalable security-solutions. Exp must incl: d/base dsgng, implmtg, trouble-shooting & supporting s/ware solutions in high volume transactional environment; & setting up replication topologies (Oracle Golden Gate/ Advanced replication), disaster recovery strategy planning, & troubleshooting performance/ scalability/ replication issues. Exp w/ following also reqd: implmtn of security products/ application security; encryption & crypto algorithms; SQL & Shell scripting d/base prgmg on Oracle 10.x/11.x/12.c, SQL Server '05 & '08 R1/R2; SAN concepts & Network attached storage; & working w/ int'l remote teams & projects. Apply to: Protegrity USA, Inc ATTN: SRDC, 5 High Ridge Park, Stamford, CT 06905, yvor.fernandez@ protegrity.com or 203-569-4631(less)
$1950/m +utl. Saugatuck Area, exquisite furnished apt, 1 BR, bright airy, skylights, lrg windows, waterview, w/d in unit, frplc. Conv. to Saugatuck Area and train station. $1850/mo. Leiferproperties.com Call 203-226-6969(less)


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_-={An Angel Dies}=-_
Credits & Info
- Date
- 01/05/2010
- File Info
- Loop
- 1 min 37 sec
- Score
- 4.37 / 5.00
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- You may not use this work for commercial purposes unless you make specific arrangements with the artist.
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- Score:
- Rated 4.37 / 5 stars
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- 13,060 Plays | 1,298 Downloads
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Rated 5 / 5 stars
such a gorgeous song
I really like it.
Rated 5 / 5 stars
feels like halo.
It's a really nice song. Reminds me of Halo...
Rated 5 / 5 stars
Lord of the Rings flashback
I don't know if you were accomplishing this, but it reminds me of a scene which I think is in the first one Fellowship of the Ring (correct me if I'm wrong). It makes me think of the scene where Baramir dies (I think that's his name). Well done sir
Rated 5 / 5 stars
Just awesome
I can see it now; "The battle is won! But, it wasn't worth it..."
Rated 5 / 5 stars
Great song
The day wanes, as so does the LMM Serina's life force... So many scars and wounds adorn her body as the glowing blue liquid flows from her form... weakened, she tries to stand, but fails. However, she's accomplished her mission.
Now that the LMM wars are finally over and the Gear Bashers have disbanded and seen that the LMMs mean humans no harm, she can die happily knowing that the world is safe for her kind. However, as her systems begin to fail, the city she helped to create and had fought for, mourns the loss of it's greatest hero. As she dies, she recants her tale, from life to death, from creation to destruction. The story... Of LMMPT-001... S.E.R.I.N.A.
We soon see that this sad event marked the end of her story, and the end of a time when LMMs were nothing more than pets or property. But, sparked the beginning... of a series.
Great song man, keep it up.


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ACT Research Day
ACT Research Day '15: Treatment and wellbeing: getting to the end of HIV?
The line-up for ACTRD 2015 features:
- a keynote presentation and discussion on Ontario's soon-to-be-available new Strategy on HIV
- concurrent knowledge building sessions on:
- why sex positivity matters to your program or organization
- telling your story – communicating with the public
- a panel of three researchers presenting their recent and current research on
- the difference a job makes to the health of people living with HIV
- Aboriginal women, health and HIV
- HIV-positive South Asian women
Online registration opens April 24.
If you have any questions, please contact email@example.com.
About ACT Research Day
ACT Research Day is a free event for service providers, researchers, people living with HIV, community members, policy makers, students and others to discuss current HIV research and the implications for programs and policy.
ACT Research Day is organized by a steering committee made of members from ACT, CATIE, the OHTN and community members. Funding is provided by the Ontario HIV Treatment Network (OHTN).
Video: ACT Research Day


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It will enable the needy to locate a voluntary donor
First website in Orissa to promote blood donation and interlink voluntary blood donors of the State was launched on Saturday.
This website 'www.avbd.org' has been established by the Association of Voluntary Blood Donors (AVBD) of the State . It was formally inaugurated by the Berhampur sub-collector Ajit Mishra at the headquarters of the AVBD in the city. Secretary of AVBD J.Suresh said it was first of its kind website on the State- aimed at uniting the regular blood donors of Orissa especially the Internet savvy younger generation.
The AVBD has urged all regular voluntary blood donors of the State to get themselves registered in the website so that it could become a data base for them at a time when they are in need. The registered blood donors would be able to contact directly with the other voluntary blood donors near them at the time of need of blood for a patient. This website would also keep track of voluntary blood donation of its registered members. In case of male blood donors their names would be available for others only after 90 days of their last blood donation and in case of women it will be after six months of last blood donation. But all registered members are to donate blood at least once in a year to continue as member.
Mr. Suresh said this website would help a person to locate a voluntary blood donor of needed blood group in any particular area in case of need. This would save time and life of many. He added that their next move would be to build up a separate platform for Rh negative persons and persons with rare blood group. "In case of need it is really hard to locate AB+ donors and extremely hard to get AB- donors in case of need. So, this website within few months would help people with rare groups develop friendship with persons of their own blood group in their area as they can prove to be life savers for them", he added.
This website would also highlight and publicise various activities related to blood donation and blood donation camps. This website is part of efforts being taken up in Orisa to make it cent per cent blood donor State by the end of 2012. At present only a few states in the country like Tamil Nadu, Gujarat, West Bengal and Tripura are hundred per cent blood donor states. Due to ample amount of voluntary blood donation in these states any patient can get required blood from the blood banks without the compulsion to arrange a replacement donor. The AVBD aims to make Orissa such a State.


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ATLANTA - Taking matters in its own hands, the local CBS news affiliate tracked down 10 illegally listed motorcoach operators to see what they found. For the full story, click here.
The groups urged planners to add parking near the National Mall for the millions of people who will visit by bus and car over the next several months, kicking off with the National Cherry Blossom Festival.
In their meetings, UMA members shared information about their own businesses and rallied for backing of three critical needs: opposition of FMCSA's proposal to raise the Federal financial responsibility limits, support of Rep. Barletta's proposal to remove CSA scores from public view until the data used to calculate the score can be improved, and support to preserve the current charter service rule.
David Cooper of Pacific Coachways Trailways in Garden Grove, Calif., was presented by Bob Crescenzo, VP, safety & loss control, at Lancer Insurance, the awards event sponsor.
State police said the driver did not speak or understand English and did not know he was supposed to stop in Richmond, Va. The driver was reportedly dragged out of his chair, while the bus was swerving in and out of lanes for a half mile or so.
Suzanne Te Beau Rohde will succeed ABA's sr. VP, Government Affairs and Policy, Clyde Hart, who is retiring after 14 years.
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1 hour wristband $13.95 per person
Includes Laser Tag, Laser Maze, Bumper Cars, Balladium, & Time Freak
2 hour wristband $21.95 per person
Includes Laser Tag, Laser Maze, Bumper Cars, Balladium, Time Freak, Bowling & Mini Golf (weather permitting)
Add 2 Go Kart Rides OR $10 arcade card for $7 more
Not available on Saturdays from December 1 to April 1.
Bowl Your Head Off
Sunday & Thursday, 9 PM – Midnight
Only $8 per person, shoes included
Must have 4 people bowling entire time
Half Off Tuesday
All regularly-priced activities are half price all day
Does not include wristbands
Not valid with coupons, on holidays or during special events
Pancake & Pins
$10 per person, shoes included
A wonderful way to spend your Sunday mornings with family and friends.
All-you-can-bowl and all-you-can-eat pancakes.
Must have 4 people per lane for entire time.
Sundays from 9 AM – Noon