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Publications (46)79.01 Total impact
Article: Übersichtsartikel: Patientensicherheit als nationales Gesundheitsziel: Status und notwendige Handlungsfelder für die Gesundheitsversorgung in Deutschland[Show abstract] [Hide abstract]
ABSTRACT: For some years patient safety has been an important topic for the design of the healthcare systems in many countries. In Germany we are still in the starting phase of this development. Here, patient safety is not a main focus for research and there is only little funding for these topics. Thus most findings on patient safety have been derived in foreign studies. Slowly, some find their way into the clinical routine in Germany. This paper summarises the state of development of patient safety from a trans-sectoral point of view and outlines essential fields of action for the German healthcare system.Zeitschrift für Evidenz Fortbildung und Qualität im Gesundheitswesen 01/2014; DOI:10.1016/j.zefq.2014.01.009
Article: [Review: Patient safety as a national health goal: current state and essential fields of action for the German healthcare system].[Show abstract] [Hide abstract]
ABSTRACT: For some years patient safety has been an important topic for the design of the healthcare systems in many countries. In Germany we are still in the starting phase of this development. Here, patient safety is not a main focus for research and there is only little funding for these topics. Thus most findings on patient safety have been derived in foreign studies. Slowly, some find their way into the clinical routine in Germany. This paper summarises the state of development of patient safety from a trans-sectoral point of view and outlines essential fields of action for the German healthcare system.01/2014; 108(1):6-14.
Article: Smartphone apps for cardiopulmonary resuscitation training and real incident support: a mixed-methods evaluation study.[Show abstract] [Hide abstract]
ABSTRACT: No systematic evaluation of smartphone/mobile apps for resuscitation training and real incident support is available to date. To provide medical, usability, and additional quality criteria for the development of apps, we conducted a mixed-methods sequential evaluation combining the perspective of medical experts and end-users. The study aims to assess the quality of current mobile apps for cardiopulmonary resuscitation (CPR) training and real incident support from expert as well as end-user perspective. Two independent medical experts evaluated the medical content of CPR apps from the Google Play store and the Apple App store. The evaluation was based on pre-defined minimum medical content requirements according to current Basic Life Support (BLS) guidelines. In a second phase, non-medical end-users tested usability and appeal of the apps that had at least met the minimum requirements. Usability was assessed with the System Usability Scale (SUS); appeal was measured with the self-developed ReactionDeck toolkit. Out of 61 apps, 46 were included in the experts' evaluation. A consolidated list of 13 apps resulted for the following layperson evaluation. The interrater reliability was substantial (kappa=.61). Layperson end-users (n=14) had a high interrater reliability (intraclass correlation 1 [ICC1]=.83, P<.001, 95% CI 0.75-0.882 and ICC2=.79, P<.001, 95% CI 0.695-0.869). Their evaluation resulted in a list of 5 recommendable apps. Although several apps for resuscitation training and real incident support are available, very few are designed according to current BLS guidelines and offer an acceptable level of usability and hedonic quality for laypersons. The results of this study are intended to optimize the development of CPR mobile apps. The app ranking supports the informed selection of mobile apps for training situations and CPR campaigns as well as for real incident support.Journal of Medical Internet Research 01/2014; 16(3):e89. DOI:10.2196/jmir.2951 · 4.67 Impact Factor
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ABSTRACT: BACKGROUND: Within cardiopulmonary resuscitation external chest compressions (ECC) are of outstanding importance. Frequent training in Basic Life Support (BLS) may improve the performance, but the perfect method or environment is still a matter of research. The objective of this study was to evaluate whether practical performance and retention of skills in resuscitation training may be influenced by the gender composition in learning groups. METHODS: Participants were allocated to three groups for standardized BLS-training: Female group (F): only female participants; Male group (M): only male participants; Standard group (S): male and female participants. All groups were trained with the standardized 4-step-approach method. Assessment of participants' performance was done before training (t1), after one week (t2) and eight months later (t3) on a manikin in the same cardiac arrest single-rescuer-scenario. Participants were 251 Laypersons (mean age 21; SD 4; range 18--42 years; females 63%) without previous medical knowledge. Endpoints: compression rate 90-110/min; mean compression depth 38--51 mm. Standardized questionnaires were used for the evaluation of attitude and learning environment. RESULTS: After one week group F performed significantly better with respect to the achievement of the correct mean compression depth (F: 63% vs. S: 43%; p = 0.02). Moreover, groups F and S were the only groups which were able to improve their performance concerning the mean compression rate (t1: 35%; t3: 52%; p = 0.04). Female participants felt more comfortable in the female--only environment. CONCLUSIONS: Resuscitation training in gender-segregated groups has an effect on individual performance with superior ECC skills in the female-only learning groups.Female participants could improve their skills by a more suitable learning environment, while male participants in the standard group felt less distracted by their peers than male participants in the male-only group.Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 04/2013; 21(1):30. DOI:10.1186/1757-7241-21-30 · 1.93 Impact FactorThis article is viewable in ResearchGate's enriched formatRG Format enables you to read in context with side-by-side figures, citations, and feedback from experts in your field.
Article: Prehospital digital photography and automated image transmission in an emergency medical service – an ancillary retrospective analysis of a prospective controlled trial[Show abstract] [Hide abstract]
ABSTRACT: BACKGROUND: Still picture transmission was performed using a telemedicine system in an Emergency Medical Service (EMS) during a prospective, controlled trial. In this ancillary, retrospective study the quality and content of the transmitted pictures and the possible influences of this application on prehospital time requirements were investigated. METHODS: A digital camera was used with a telemedicine system enabling encrypted audio and data transmission between an ambulance and a remotely located physician. By default, images were compressed (jpeg, 640 x 480 pixels). On occasion, this compression was deactivated (3648 x 2736 pixels). Two independent investigators assessed all transmitted pictures according to predefined criteria. In cases of different ratings, a third investigator had final decision competence. Patient characteristics and time intervals were extracted from the EMS protocol sheets and dispatch centre reports. RESULTS: Overall 314 pictures (mean 2.77 +/- 2.42 pictures/mission) were transmitted during 113 missions (group 1). Pictures were not taken for 151 missions (group 2). Regarding picture quality, the content of 240 (76.4%) pictures was clearly identifiable; 45 (14.3%) pictures were considered "limited quality" and 29 (9.2%) pictures were deemed "not useful" due to not/hardly identifiable content. For pictures with file compression (n = 84 missions) and without (n = 17 missions), the content was clearly identifiable in 74% and 97% of the pictures, respectively (p = 0.003). Medical reports (n = 98, 32.8%), medication lists (n = 49, 16.4%) and 12-lead ECGs (n = 28, 9.4%) were most frequently photographed. The patient characteristics of group 1 vs. 2 were as follows: median age -- 72.5 vs. 56.5 years, p = 0.001; frequency of acute coronary syndrome -- 24/113 vs. 15/151, p = 0.014. The NACA scores and gender distribution were comparable. Median on-scene times were longer with picture transmission (26 vs. 22 min, p = 0.011), but ambulance arrival to hospital arrival intervals did not differ significantly (35 vs. 33 min, p = 0.054). CONCLUSIONS: Picture transmission was used frequently and resulted in an acceptable picture quality, even with compressed files. In most cases, previously existing "paper data" was transmitted electronically. This application may offer an alternative to other modes of ECG transmission. Due to different patient characteristics no conclusions for a prolonged on-scene time can be drawn. Mobile picture transmission holds important opportunities for clinical handover procedures and teleconsultation.Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 01/2013; 21(1):3. DOI:10.1186/1757-7241-21-3 · 1.93 Impact FactorThis article is viewable in ResearchGate's enriched formatRG Format enables you to read in context with side-by-side figures, citations, and feedback from experts in your field.
Chapter: Telenotarzt auf dem Prüfstand Evaluation des Projekts Med-on-@ ix aus Sicht der RettungsassistentenAutomation, Communication and Cybernetics in Science and Engineering 2011/2012, 01/2013: pages 895-904; Springer.
Resuscitation 10/2012; 83(Supplement 1):e37. DOI:10.1016/j.resuscitation.2012.08.094 · 3.96 Impact Factor
Article: Practical skills training influences knowledge and attitude of dental students towards emergency medical care.[Show abstract] [Hide abstract]
ABSTRACT: Medical emergencies in dental practice are generally perceived as being rare. Nonetheless, recent studies have shown that incidents occur on a regular basis. Therefore, patients have the right to expect necessary skills to manage life-threatening situations from every dentist. To observe students' attitude and self-assessment towards emergency medical care (EMC) and its practical appliance. Students of dentistry took part in small group sessions for adult and paediatric basic life support. Participants filled out pre-post questionnaires regarding knowledge and attitude towards EMC (6, respectively, 10-point Likert scale). Additionally, feedback was asked for the quality of course and tutors. Forty dental students in their last 2 years of study registered for the EMC courses. The majority had never attended any first-aid course; the mean age was 25% and 75% were women. A comparison between pre- and post-evaluation showed that the participation in practical training easily enhances the students' awareness of EMC importance as well as self-confidence in managing emergencies. After the course, 71% shared the opinion that retraining should be obligatory for all medical personnel. At the same time, students' self-assessment of confidence for specific tasks got significant upgrades in every aspect. The evaluation data clearly show the participants' needs to deal with topics of EMC within the curriculum of dentistry. The proposed course is able to change participants' attitudes towards EMC and its importance for their daily practice. The considerable enhancement of self-confidence in performing EMC-techniques might also lead to more willingness to manage emergency situations.European Journal Of Dental Education 08/2012; 16(3):179-86. DOI:10.1111/j.1600-0579.2012.00740.x · 1.45 Impact Factor
Article: Comparison of physician staffed emergency teams with paramedic teams assisted by telemedicine - a randomized, controlled simulation study.[Show abstract] [Hide abstract]
ABSTRACT: PURPOSE AND BACKGROUND: Emergency medical services (EMSs) vary considerably. While some are physician staffed, most systems are run by paramedics. The objective of this randomized, controlled simulation study was to compare the emergency care between physician staffed EMS teams (control group) and paramedic teams that were supported telemedically by an EMS physician (telemedicine group). METHODS: Overall 16 teams (1 EMS physician, 2 paramedics) were randomized to the control group or the telemedicine group. Telemedical functionalities included two-way audio communication, transmission of vital data (numerical values and curves) and video streaming from the scenario room to the remotely located EMS physician. After a run-in scenario all teams completed four standardized scenarios, in which no highly invasive procedures (e.g. thoracic drain) were required, two using high-fidelity simulation (burn trauma, intoxication) and two using standardized patients (renal colic, barotrauma). All scenarios were videotaped and analyzed by two investigators using predefined scoring items. RESULTS: Non case-specific items (31 vs. 31 scenarios): obtaining of 'symptoms', 'past medical history' and 'events' were carried out comparably, but in the telemedicine group 'allergies' (17 vs. 28, OR 7.69, CI 2.1-27.9, p=0.002) and 'medications' (17 vs. 27, OR 5.55, CI 1.7-18.0, p=0.004) were inquired more frequently. No significant differences were found regarding the case-specific items and in both groups no potentially dangerous mistreatments were observed. CONCLUSION: Telemedically assisted paramedic care was feasible and at least not inferior compared to standard EMS teams with a physician on-scene in these scenarios.Resuscitation 06/2012; DOI:10.1016/j.resuscitation.2012.06.012 · 3.96 Impact Factor
Article: Evaluation of a newly developed media-supported 4-step approach for basic life support training.[Show abstract] [Hide abstract]
ABSTRACT: OBJECTIVE: The quality of external chest compressions (ECC) is of primary importance within basic life support (BLS). Recent guidelines delineate the so-called 4"-step approach" for teaching practical skills within resuscitation training guided by a certified instructor. The objective of this study was to evaluate whether a "media-supported 4-step approach" for BLS training leads to equal practical performance compared to the standard 4-step approach. Materials and methods After baseline testing, 220 laypersons were either trained using the widely accepted method for resuscitation training (4-step approach) or using a newly created "media-supported 4-step approach", both of equal duration. In this approach, steps 1 and 2 were ensured via a standardised self-produced podcast, which included all of the information regarding the BLS algorithm and resuscitation skills. Participants were tested on manikins in the same mock cardiac arrest single-rescuer scenario prior to intervention, after one week and after six months with respect to ECC-performance, and participants were surveyed about the approach. RESULTS: Participants (age 23 +/- 11, 69% female) reached comparable practical ECC performances in both groups, with no statistical difference. Even after six months, there was no difference detected in the quality of the initial assessment algorithm or delay concerning initiation of CPR. Overall, at least 99% of the intervention group (n = 99; mean 1.5 +/- 0.8; 6-point Likert scale: 1 = completely agree, 6 = completely disagree) agreed that the video provided an adequate introduction to BLS skills. CONCLUSIONS: The "media-supported 4-step approach" leads to comparable practical ECC-performance compared to standard teaching, even with respect to retention of skills. Therefore, this approach could be useful in special educational settings where, for example, instructors' resources are sparse or large-group sessions have to be prepared.Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 05/2012; 20(1):37. DOI:10.1186/1757-7241-20-37 · 1.93 Impact FactorThis article is viewable in ResearchGate's enriched formatRG Format enables you to read in context with side-by-side figures, citations, and feedback from experts in your field.
Article: Feasibility of prehospital teleconsultation in acute stroke--a pilot study in clinical routine.[Show abstract] [Hide abstract]
ABSTRACT: Inter-hospital teleconsultation improves stroke care. To transfer this concept into the emergency medical service (EMS), the feasibility and effects of prehospital teleconsultation were investigated. Teleconsultation enabling audio communication, real-time video streaming, vital data and still picture transmission was conducted between an ambulance and a teleconsultation center. Pre-notification of the hospital was carried out with a 14-item stroke history checklist via e-mail-to-fax. Beside technical assessments possible influences on prehospital and initial in-hospital time intervals, prehospital diagnostic accuracy and the transfer of stroke specific data were investigated by comparing telemedically assisted prehospital care (telemedicine group) with local regular EMS care (control group). All prehospital stroke patients over a 5-month period were included during weekdays (7.30 a.m.-4.00 p.m.). In 3 of 18 missions partial dropouts of the system occurred; neurological co-evaluation via video transmission was conducted in 12 cases. The stroke checklist was transmitted in 14 cases (78%). Telemedicine group (n = 18) vs. control group (n = 47): Prehospital time intervals were comparable, but in both groups the door to brain imaging times were longer than recommended (median 59.5 vs. 57.5 min, p = 0.6447). The prehospital stroke diagnosis was confirmed in 61% vs. 67%, p = 0.8451. Medians of 14 (IQR 9) vs. 5 (IQR 2) stroke specific items were transferred in written form to the in-hospital setting, p<0.0001. In 3 of 10 vs. 5 of 27 patients with cerebral ischemia thrombolytics were administered, p = 0.655. Teleconsultation was feasible but technical performance and reliability have to be improved. The approach led to better stroke specific information; however, a superiority over regular EMS care was not found and in-hospital time intervals were unacceptably long in both groups. The feasibility of prehospital tele-stroke consultation has future potential to improve emergency care especially when no highly trained personnel are on-scene. International Standard Randomised Controlled Trial Number Register (ISRCTN) ISRCTN83270177.PLoS ONE 05/2012; 7(5):e36796. DOI:10.1371/journal.pone.0036796 · 3.53 Impact Factor
Article: Telenotarzt auf dem Prüfstand: Evaluation des Projekts Med-on-@ ix aus Sicht der Rettungsassistenten (Originalien)Notfall & Rettungsmedizin 01/2012; 15(5):410-415.
Article: EMuRgency - Neue Ansätze zur Reanimationsunterstützung und für Reanimationstraining in der Euregio Maas-Rhein[Show abstract] [Hide abstract]
ABSTRACT: Lenssen, N., Biermann, H., Saša, S., Beckers, S., Felzen, M., Rossaint, R., Kalz, M., Haberstroh, M., Klerkx, J., Elsner, J., & Skorning, M. (2012). EMuRgency – Neue Ansätze zur Reanimationsunterstützung und für Reanimationstraining in der Euregio Maas-Rhein. In B. Bergh, R. Asarnush, & R. Röhring (Eds.), Proceedings NotIT 2012. 1st Symposium of Information and Communication Technologies in Emergency Medicine (pp. 39-42). June, 12-13, 2012, Düsseldorf, Germany: German Medical Science GMS Publishing House; 2012.
Article: Telenotarzt auf dem PrüfstandNotfall & Rettungsmedizin 01/2012; 15(5):410-415. DOI:10.1007/s10049-011-1535-8
Article: Teleconsultation in pre-hospital emergency medical services: Real-time telemedical support in a prospective controlled simulation study[Show abstract] [Hide abstract]
ABSTRACT: Teleconsultation from the scene of an emergency to an experienced physician including real-time transmission of monitoring, audio and visual information seems to be feasible. In preparation for bringing such a system into practice within the research project "Med-on-@ix", a simulation study has been conducted to investigate whether telemedical assistance (TMA) in Emergency Medical Services (EMS) has an impact on compatibility to guidelines and timing. In a controlled simulation study 29 EMS teams (one EMS physician, two paramedics) ran through standardized scenarios (STEMI: ST-elevation myocardial infarction; MT: major trauma) on high-fidelity patient simulators with defined complications (treatable clearly following guidelines). Team assignments were randomized and each team had to complete one scenario with and another without TMA. Analysis was based on videotaped scenarios using pre-defined scoring items and measured time intervals for each scenario. Adherence to treatment algorithms improved using TMA. STEMI: cathlab informed (9/14 vs. 15/15; p=0.0169); allergies checked prior to acetylsalicylic acid (5/14 vs. 13/15; p=0.0078); analgosedation prior to cardioversion (10/14 vs. 15/15; p=0.0421); synchronized shock (6/14 vs. 14/15; p=0.0052). MT: adequate medication for intubation (3/15 vs. 10/14; p=0.0092); mean time to inform trauma centre 547 vs. 189 s (p=0.0001). No significant impairment of performance was detected in TMA groups. In simulated setting TMA was able to improve treatment and safety without decline in timing. Nevertheless, further research is necessary to optimize the system for medical, organizational and technical reasons prior to the evaluation of this system in routine EMS.Resuscitation 11/2011; 83(5):626-32. DOI:10.1016/j.resuscitation.2011.10.029 · 3.96 Impact Factor
Article: Comparison of manually triggered ventilation and bag-valve-mask ventilation during cardiopulmonary resuscitation in a manikin model[Show abstract] [Hide abstract]
ABSTRACT: To compare a novel, pressure-limited, flow adaptive ventilator that enables manual triggering of ventilations (MEDUMAT Easy CPR, Weinmann, Germany) with a bag-valve-mask (BVM) device during simulated cardiac arrest. Overall 74 third-year medical students received brief video instructions (BVM: 57s, ventilator: 126s), standardised theoretical instructions and practical training for both devices. Four days later, the students were randomised into 37 two-rescuer teams and were asked to perform 8min of cardiopulmonary resuscitation (CPR) on a manikin using either the ventilator or the BVM (randomisation list). Applied tidal volumes (V(T)), inspiratory times and hands-off times were recorded. Maximum airway pressures (P(max)) were measured with a sensor connected to the artificial lung. Questionnaires concerning levels of fatigue, stress and handling were evaluated. V(T), pressures and hands-off times were compared using t-tests, questionnaire data were analysed using the Wilcoxon test. BVM vs. ventilator (mean±SD): the mean V(T) (408±164ml vs. 315±165ml, p=0.10) and the maximum V(T) did not differ, but the number of recorded V(T)<200ml differed (8.1±11.3 vs. 17.0±14.4 ventilations, p=0.04). P(max) did not differ, but inspiratory times (0.80±0.23s vs. 1.39±0.31s, p<0.001) and total hands-off times (133.5±17.8s vs. 162.0±11.1s, p<0.001) did. The estimated levels of fatigue and stress were comparable; however, the BVM was rated to be easier to use (p=0.03). For the user group investigated here, this ventilator exhibits no advantages in the setting of simulated CPR and carries a risk of prolonged no-flow time.Resuscitation 09/2011; 83(4):488-93. DOI:10.1016/j.resuscitation.2011.09.010 · 3.96 Impact Factor
Article: Technical and organisational feasibility of a multifunctional telemedicine system in an emergency medical service - an observational study[Show abstract] [Hide abstract]
ABSTRACT: We evaluated the technical and organisational feasibility of a multifunctional telemedicine system in an emergency medical service (EMS) from the user's perspective. The telemedicine system was designed to transmit vital signs data and 12-lead-ECG data, send still pictures and allow voice communication and video transmission from an ambulance. The data were sent to a teleconsultation centre staffed with EMS physicians (tele-EMS physician). The system was used in 157 EMS missions. The applications were used successfully on 80% of missions for real-time vital signs transmission and on 97% for video transmission. The quality of the transmitted still images (n = 64) was: 23% excellent, 50% good, 17% moderate, 9% rather poor and 0% unusable. The quality of the video streaming (n = 36) was: 33% excellent, 56% good, 6% moderate, 6% rather poor and 0% unusable. The tele-EMS physician was able to assist the EMS team in several cases and provided the preliminary information for the hospital in nearly all missions. Use of the telemedical system in EMS is feasible and the quality of the transmitted images and video was satisfactory. However, technical reliability and availability need to be improved prior to routine use.Journal of Telemedicine and Telecare 09/2011; 17(7):371-7. DOI:10.1258/jtt.2011.110203 · 1.74 Impact Factor
Article: Influence of pre-course assessment using an emotionally activating stimulus with feedback: A pilot study in teaching Basic Life Support[Show abstract] [Hide abstract]
ABSTRACT: Cardiopulmonary resuscitation (CPR) mastery continues to challenge medical professionals. The purpose of this study was to determine if an emotional stimulus in combination with peer or expert feedback during pre-course assessment effects future performance in a single rescuer simulated cardiac arrest. First-year medical students (n=218) without previous medical knowledge were randomly assigned to one of the study groups and asked to take part in a pre-course assessment: Group 1: after applying an emotionally activating stimulus an expert (instructor) gave feedback on CPR performance (Ex). Group 2: after applying the same stimulus feedback was provided by a peer from the same group (Pe); Group 3: standard without feedback (S). Following pre-course assessment, all subjects received a standardized BLS-course, were tested after 1 week and 6 months later using single-rescuer-scenario, and were surveyed using standardized questionnaires (6-point-likert-scales: 1=completely agree, 6=completely disagree). Participants exposed to stimulus demonstrated superior performance concerning compression depth after 6 months independent of feedback-method (Ex: 65.85% [p=0.0003]; Pe: 57.50% [p=0.0076] vs. 21.43%). The expert- more than the peer-group was emotionally more activated in initial testing, Ex: 3.26 ± 1.35 [p ≤ 0.0001]; Pe: 3.73 ± 1.53 [p=0.0319]; S: 4.25 ± 1.37) and more inspired to think about CPR (Ex: 2.03 ± 1.37 [p=0.0119]; Pe: 2.07 ± 1.14 [p=0.0204]; S: 2.60 ± 1.55). After 6 months this activation effect was still detectable in the expert-group (p=0.0114). The emotional stimulus approach to BLS-training seems to impact the ability to provide adequate compression depth up to 6 months after training. Furthermore, pre-course assessment helped to keep the participants involved beyond initial training.Resuscitation 09/2011; 83(2):219-26. DOI:10.1016/j.resuscitation.2011.08.024 · 3.96 Impact Factor
Article: Is paper-based documentation in an emergency medical service adequate for retrospective scientific analysis? An evaluation of a physician-run service[Show abstract] [Hide abstract]
ABSTRACT: To investigate if paper-based documentation in the authors' emergency medical service (EMS) satisfies scientific requirements. From 1 July 2007 to 28 February 2008, data from all paper-based protocols of a physician-run EMS in Aachen, Germany, were transferred to a SQL database (n=4815). Database queries were conducted after personal data had been anonymised. Documentation ratios of 11 individual parameters were analysed at two points in time (T1, scene; T2, arrival in emergency department). The calculability of the Mainz Emergency Evaluation Score (MEES, embracing seven vital parameters) was investigated. The calculability of the Revised Trauma Score (RTS) was also determined for all trauma patients (n=408). Fisher's exact test was used to compare differences in ratios at T1 versus T2. The documentation ratios of vital parameters ranged from 99.33% (Glasgow Coma Scale, T1) to 40.31% (respiratory rate, T2). The calculability of the MEES was poor (all missions: 28.31%, T1; 22.40%, T2; p<0.001). In missions that required cardiopulmonary resuscitation (n=87), the MEES was calculable in 9.20% of patients at T1 and 29.89% at T2 (p<0.001). In trauma missions, the RTS was calculable in 37.26% at T1 and 27.70% at T2 (p=0.004). Documentation of vital parameters is carried out incompletely, and documentation of respiratory rate is particularly poor, making calculation of accepted emergency scores infeasible for a significant fraction of a given test population. The suitability of paper-based documentation is therefore limited. Electronic documentation that includes real-time plausibility checks might improve data quality. Further research is warranted.Emergency Medicine Journal 04/2011; 28(4):320-4. DOI:10.1136/emj.2009.086538 · 1.78 Impact Factor
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ABSTRACT: Zusammenfassung Telemedizin erhält in immer mehr Bereiche der Medizin Einzug und zeigt ein starkes Marktwachstum. In der Notfallmedizin sind Systeme, die eine Vernetzung zweier stationärer Einrichtungen ermöglichen (interklinische Systeme) von den Systemen zu unterscheiden, die eine Vernetzung mit einem mobilen Partner ermöglichen (z. B. Rettungswagen). Für die 12-Kanal-EKG-Übertragung an einen beratenden Kardiologen wurde gezeigt, dass therapierelevante Zeitintervalle verkürzt werden können. Eine strukturierte telemedizinische Vorabinformation beim Schlaganfall kann die Zeit bis zur Bildgebung verkürzen und die Lyserate erhöhen. Im interklinischen Bereich sind ebenfalls Telemedizinsysteme eingeführt worden, deren Nutzen beim akuten Schlaganfall mittlerweile wissenschaftlich belegt ist. Auch in Deutschland kann präklinische Telemedizin rechtssicher erfolgen, jedoch sind vielfältige Aufgaben zu bewältigen, bevor sie als Bestandteil der Regelversorgung im Notfall zur Anwendung kommen kann. Neben der technischen Weiterentwicklung ist der wissenschaftliche Nachweis zu erbringen, unter welchen Bedingungen durch Telemedizin die Versorgungsqualität und letztlich das Outcome verbessert werden können.Notfall 04/2011; 14(3):187-191. DOI:10.1007/s10049-010-1397-5 · 0.32 Impact Factor
Top Journals
Open Universiteit Nederland
Heerlen, Limburg, Netherlands
- Centre for Learning Sciences and Technologies (CELSTEC)
RWTH Aachen University
Aachen, North Rhine-Westphalia, Germany
- Department of Anaesthesiology
University Hospital RWTH Aachen
Aachen, North Rhine-Westphalia, Germany
- Department of Neurology

subset: commoncrawl


text: I visited Disney World a year ago with my mother in December over Christmas and had a wonderful time but there is something I would really love to pick up from the showcase in Japan its a sleeping Green Maneki Neko (or luck cat) these little guys I saw all over the shop in Japan and I think they were about 2.99 or 3.99 somewhere around there for price. I collect these guys quite often and I would love to be able to find a green one to take home with me. I have heard of the service I believe its called deliver Ears where you can order items from within the parks would that be my best bet to get a hold of this item? Any advise would be wonderful I really would love to get this lil guy without making a trip out to the park again lol not that I don't want to go again but it just is a bit expensive for me being so far away from everything.


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News - Scam Alert
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An increase of scam artist activity is causing #Medford police to sound the alert to prevent you from being a victim
News - Airbus Crash
admin | Fri 27th March
While a French prosecutor says that the co-pilot of the Germanwings plane that crashed into the French Alps this week appeared to want to "destroy the plane", there are reports he could have a...
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admin | Fri 27th March
A hurdle in paying for roads improvement, schools, and law enforcement in rural Oregon has been cleared in congress
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Oregon's Marijuana Director Fired
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An official hired to lead Oregon's preparations to regulate recreational marijuana says he's been terminated.
The Oregonian reports (http://is.gd/siULnH) that Tom Burns confirmed his...
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Friday Sports Minute: March Madness, NASCAR, Golf
Jim McCoy | Fri 27th March
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Thursday Sports Minute: March Madness Preview, NBA Scores, NHL Scores, NIT
Jim McCoy | Thu 26th March
UNDATED (AP) - The NCAA Tournament resumes this evening with games in Cleveland and Los Angeles. On the home court of the NBA Cavaliers, the first game has Notre Dame playing Wichita State while...
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The 17-year-old O'Brien held...
Wednesday Sports Minute: NFL Replay Rules, Johnny Manziel, NHL Conference Race
Jim McCoy | Wed 25th March
PORTLAND (AP) - The Golden State Warriors have been the top team of the NBA pretty much all season long and last night they clinched the Pacific Division championship. By beating the Blazers in...
Vikings Coach Expects Peterson To Return To Team
Jim McCoy | Wed 25th March
Vikings coach Mike Zimmer "fully expects" Adrian Peterson to be with the team for the 2015 season, adding Wednesday there are "no plans" to trade the star running back.
Peterson has...


text:
I will share this with the world before my baby
Her eyes aren't open yet but i share her love and show it in the world… 139 more words
Tags » 5 AM
5 am on Valentine's day
I will share this with the world before my baby
Calvin Harris (feat. Tinashe) - 5 AM
Don't leave Tinashe waiting on you all night; she's got a voracious appetite.
Producer Calvin Harris teams up with the young singer on a collabo that, rumor has it, might be meant for Rihanna's upcoming… 78 more words
5 AM Challenge
A few weeks ago I challenged myself to wake up at 5 am for two weeks after reading Jeff Sander's The 5 AM Miracle. For a long time, I've wanted to wake up early, but was never able to get myself out of bed. 889 more words
5 am thoughts
Its 5 am and I'm wide awake. All I can think about is everything but nothing at all. I can feel my fears digging up to the surface, not staying in the back of my mind, the place I put them in. 105 more words
Running in the Dark
The text messages started at 5:06 AM: wind chill is minus 3. sorry I'm staying in :(
Mechelle was out, but Renee and I decided to give it a go. 273 more words


text: If you are looking for a combination of luxury and service the Placencia Hotel & Residences has both! While the resort is beautifully designed and full of all the amenities a guest would ever want it is their staff that makes the resort work. That begins at the front desk led by Adrian and people like Basilio and Ellerry among... More


text: Word of the Day – Germinal By Bradley James April 23, 2012 6:40 AM Share on Facebook Share on Twitter Tim Boyle, Getty Images Today's Word of the Day is: germinal Dictionary.com defines germinal as Being in the earliest stage of development or Of or pertaining to a germ or germs. Germinal: keep it in the dictionary or get rid of it? Category: Bob & Marianne in the Morning, Word of the Day Share on Facebook Share on Twitter More Leave a comment Send to a friend! Print this page Pin it! Reddit This! Share on Tumblr! Best of WOBM AM 1160 & 1310 Recommended For You Around the Web


text:
Shrek misses his glory days as a real ogre, so he signs a pact with the smooth-talking Rumpelstiltskin. But then Shrek finds himself in a world where Rumpel is king and he has never met Fiona! Join Shrek on a heroic quest to restore his world and win back his one true love.
Publisher: PSS Juvenile (April 20, 2010)
Format: EPUB
Page count: 144 pages
File size: 1.4 MB
Protection: DRM
Language: English


text:
To Slow the Deadly Virus' Spread,...
From Our April 1 Issue: Optimize...
From our April 1 Issue: To...
Biopharmas Increasingly Look to the East's...
Quest Diagnostics today said it has acquired the toxicology and clinical laboratory business of Humana subsidiary Concentra. Further, Quest has agreed to be Concentra's primary provider of workplace drug toxicology and clinical lab testing. Financial terms were not disclosed.
"With this transaction, Concentra's patients, physicians, and employer clients will gain access to Quest's industry-leading menu of innovative workplace drug and clinical lab diagnostic information services," Steve Rusckowski, Quest president and CEO, said in a statement.
Under the terms of the agreements, Quest has acquired the assets of Concentra's Memphis, TN-based Advanced Toxicology Network (ATN) lab business, and will provide Concentra and its employer clients and clinical laboratory testing services to patients and physicians in Concentra's network of primary care and urgent care facilities.
Quest added that the ATN business will be transitioned into its national lab network by the end of this year.
Do you find the association of a country's antibiotic resistance being tied to its degree of corruption rather than its wealth surprising?
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text:
Serious is not needed.
Ranked is nice because its draft plus people GENERALLY place their best stuff.
I have 6300 RP and am deciding on a new champ to buy. Vayne and Kog are on my list, along with Thresh.
I just don't know if I'd like the playstyle. It's the same with Ziggs. Not interested yet.Sorry I missed you last night for a game. Next time I see you on.
You literally have to play 100 games with Fizz to get good.You have to learn every matchup. Its a tedious lil champ.
This game is always more fun when you can poop on your lane to the point you can feel the opponants sadness.Fizz can do this to almost any mid laner if your are deceant.
Fizz its only good for ARAM. Get Vayne the destroyer of pugs.
Anyone else look at that and think Portal Blitz?


text:
Aaron Menikoff
Senior Pastor
Teaching, Discipling, Leadership, and Vision
Vision for your position
Aaron's heart is for the church and seeks to lead her to live under the authority of Christ and His Word.
Aaron and Deana have been married for 19 years and have three children, Rachel, Jonah, and Natalie. They also have a foster daughter named Trinity.
Hillsboro, OR
Education And Experience
Aaron became the senior pastor of Mount Vernon in 2008. He received both his M.Div. (biblical/theological studies) and Ph.D. (American church history) from the Southern Baptist Theological Seminary. He has served as an elder at Capitol Hill Baptist Church in Washington, D.C., and as interim pastor and elder at Third Avenue Baptist Church in Louisville, KY. Aaron also previously worked as a legislative assistant to U.S. Senator Mark O. Hatfield. He has written many articles for sites like The Gospel Coalition, 9Marks, and Christianity.com, and also worked for the Kairos Journal. He has published a book entitled "Politics and Piety: Baptist Social Reform in America, 1770-1860." Dr. Menikoff also serves as an adjunct professor for Reformed Theological Seminary.


text:
Help naming a plumeria
PlummiesSeptember 25, 2012
This plant was given to me many years ago along with a Celedine. Can anyone identify it from this photo? I tried to include a photo of the flower on the tree as well but the system would only take one.
Thanks for your help.
the "messiness" of the inflo and color of the flower lead me to think Japanese Lantern. The flower shape is somewhat off so i wouldn't bet the farm.


text:
New Taipei City's Ruifang District in northern Taiwan is currently hosting filming for Martin Scorsese's upcoming movie Silence. Scorsese, who is also filming in Taipei and Taichung cities, chose Taiwan after talking to director Ang Lee.
The movie follows 17th century Jesuit priests, Sebastião Rodrigues and Francis Garrpe, traveling to Japan which has, banned Catholicism. While in Japan, they witness the persecution of Christians at the hands of the government.
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text:
haptic(adj.) Of or relating to the sensation of touch. From the Greek haptesthai, to touch.
Haptics is the science of applying tactile sensation to human interaction with computers. A haptic device is one that involves physical contact between the computer and the user, usually through an input/output device, such as a joystick or data gloves, that senses the body's movements. By using haptic devices, the user can not only feed information to the computer but can receive information from the computer in the form of a felt sensation on some part of the body. This is referred to as a haptic interface. For example, in a virtual reality environment, a user can pick up a virtual tennis ball using a data glove. The computer senses the movement and moves the virtual ball on the display. However, because of the nature of a haptic interface, the user will feel the tennis ball in his hand through tactile sensations that the computer sends through the data glove, mimicking the feel of the tennis ball in the user's hand.
Perceptual computing is the ability for a computer to recognize what is going on around it. More specifically, the computer can perceive the... Read More »Apple Pay Promises to Strengthen Payment Security
Experts believe that Apple Pay and other competitive payment systems will be far more secure than cards, even cards equipped with EMV chips. Read More »The Great Data Storage Debate: Is Tape Dead?
Tape clearly is on the decline. But remember, legacy systems can hang for a shockingly long time. Read More »
A network is a group of two or more computer systems or devices, linked together to share resources, exchange files and electronic communications.... Read More »Computer Architecture Study Guide
This Webopedia study guide describes the different parts of a computer system and their relations. Read More »Webopedia Polls
The trend for the past two years has been for shoppers to spend more online during the holiday season. How do you typically shop for holiday... Read More »
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text:
Flying Angels Track & Field Academy is the premier track and field club in the Greater Toronto Area. The academy provides year-round training and competition opportunities for athletes of all ages, ability levels, and experience. Flying Angels' team of experienced coaches provide the best possible training environment to prepare athletes to showcase their talents in local, national, and international competitions.
Team members have fun while they develop their skills alongside other serious-minded athletes in all event areas including sprints, hurdles, throws, jumps, and distance/ cross country running.
Flying Angels demonstrates that track and field is a fun team sport. Our programs teach athletes the importance of attitude, discipline, hard work, pride, and teamwork - the qualities that have made Flying Angels a first-class track team.
Flying Angels offers programs in Toronto, North York, Etobicoke, Scarborough, Mississauga, Markham, Durham, and Brampton.
The academy offers recreational and competitive programs as well as a summer league and hosts track meets.


text:
(http://smile.amazon.com/)! Amazon donates 0.05% of the price of eligible AmazonSmile purchases to us!
We will miss a wonderful member of our community
Arlayne Dawn Cogburn
Feb 24, 1930 - Dec 24, 2014
"The life of the dead is placed in the memory of the living."
Marcus Tullius Cicero
Spring Quarter 2015
April 6, 2015 - June 12, 2015
Class information and all registration materials are now available at the Classes section of our website.
For inquires or registration payments:
Clallam Mosaic
P.O. Box 3081
Sequim, WA 98382
Parents of Minors with DD Support Group (PoM):
Next Meetings
Panel Presentation
IEPs: The Voice of Experience
Rachel Anderson
Anneene Catterson
Robin Fling
Dagny Lord
Tresa Stuber
Parent Advocates
Mar 28, 2015
3 pm - 4:30 pm
Holy Trinity Lutheran Church
(301 Lopez Ave, PA)
For more information check out the Parent/Caregiver section
of our webpage.
Parent/Caregiver Network Meeting
Check out the Parent/Caregiver section
of our webpage.
Do you like what we do and want to help? Read more about us.
More than 65 million people, 29% of the U.S. population, provide care for a chronically ill, disabled or aged family member or friend during any given year and spend an average of 20 hours per week providing care for their loved one.
-- Caregiving in the United States; National Alliance for Caregiving in collaboration with AARP; November 2009


text:
An improved plastic net product and its method of manufacture. Intersecting strands of plastic are extruded to form a net structure. Each strand is comprised of a plastic core of a first polymer sandwiched between layers of another polymer, all of which are co-extruded.
1. In a net product comprised of a network of intersecting extruded polymeric strands, the improvement comprising the provision of composite strands in the network, the composite strands each being comprised of a middle layer of a first polymeric material sandwiched between two outer, generally oppositely disposed layers of a second polymeric material, the outer layers being bonded to the middle layer by fusion adhesion and coextrusion of the strands.
2. The net product of claim 1 in which the two outer layers are of different polymeric material.
3. The net product of claim 1 wherein the first polymeric materials of a relatively low melt strength and the second is of a relatively high melt strength.
4. The net product of claim 3 wherein the first polymer is a polyester and the second is a polyolefin.
5. The net product of claim 3 wherein the first polymer is selected from the group consisting of polyamides, polyesters and copolymers of this group.
6. The net product of claim 3 wherein the second polymer is selected from the group consisting of polypropylene, high-density polyethylene, low-density polyethylene, linear low density polyethylene and co-polymers of this group.
7. The net product of claim 1 wherein the first polymer is polypropylene and the second is ethylene-methyl acrylate copolymer (EMA).
8. The net product of claim 1 wherein the first polymer is polypropylene and the second is ethylene vinyl acetate copolymer (EVA).
9. The net product of claim 8 wherein the second polymer is an ionomer resin.
10. The net of claim 1 wherein the first polymer is polypropylene and the second polymer is ethylene-methyl acrylate copolymer (EMA).
11. The net of claim 1 wherein the first polymer is polypropylene and the second polymer is ethylene vinyl acetate copolymer (EVA).
12. The net of claim 1 wherein the first polymer is of a low melt strength type and the second polymer is of a relatively high melt strength type.
13. The net of claim 12 wherein the second polymer is a polyolefin.
14. The net of claim 12 wherein the first polymer is a polyester.
This invention relates to the manufacture of plastic net products and in particular to an improved plastic net product and method for manufacturing same.
The continuous extrusion of plastic net started in about 1956 with the process described in the Mercer U.S. Pat. No. 2,919,467. Since that time, many patents have issued in the United States as well as in other countries describing improvements and refinements in the continous extrusion process.
The initial extrusion process has developed along two basic lines: the first, in which plastic sheet is extruded and holes are formed therein to provide a net-like structure, and the second, in which individual plastic strands are extruded in an interconnecting network to provide the net-like structure. This invention is specifically concerned with a variation in the latter of the two.
Methods for practicing the latter technique are well known. For instance, U.S. Pat. No. 3,700,521; U.S. Pat. No. 3,767,353; U.S. Pat. No. 3,723,218; U.S. Pat. No. 4,123,491; U.S. Pat. No. 4,152,479 and U.S. Pat. No. 4,190,692 show apparatus and methods for making net by continuous extrusion of strands.
The disclosures of the above-mentioned issued patents are incorporated by reference into the present specification as are all of the patents which may be referred to hereinbelow in further description of this invention.
In all of these patents at least one set of strands is extruded through a plurality of spaced individual orifices. A second set of strands in the net structure may be extruded through a second set of spaced individual orifices or a second set of strands may be preferentially extruded periodically through a continuous annular orifice slit. In all cases the two sets of strands are extruded such that the individual strands intersects at an angle and form integral joints in the extruded plastic net. The resulting extruded flat sheet in one process or tube of plastic net in another process is cooled to set the plastic in the strands, as for example in a water bath, and the net is drawn away from the extrusion orifices by nip rolls or other suitable drawing means. When a tube of net is extruded, it is usually drawn over a cylindrical mandrel which may stretch the strands and enlarge the openings in the net structure. Such stretching of the strands over the mandrel preferentially orients the plastic but in practice the net is characterized as being "unoriented".
For many applications, it is desirable to further stretch the net strands and more fully orient the plastic and this may be done, where as in the case of a tube of extruded net, the tube is heated and stretched longitudinally to further elongate and orient the strands. Stretching the tube causes it to collapse while the tube is being stretched longitudinally. If the tube has been slit and formed into a flat sheet of extruded net, the flat sheet may be heated and one set of strands may be stretched and oriented in one direction, and in a second separate step, the second set of strands may be stretched to orient the strands in a second direction. Some plastic net may be oriented at room temperature but as a practical matter the net is heated to speed up and facilitate orientation of the net.
A significant problem in the manufacture of high temperature oriented netting such as nylon or other polyamides and polyester netting is that such materials have a low-melt-strength and degrade easily. The low-melt-strength of such polymer resins makes it difficult to produce a uniform extruded net and also makes it difficult to produce a quality oriented product.
Also, while the extrusion process works very well for the extrusion of non-polar polyolefins such as polypropylene, other resins which are polar such as the aforementioned nylon or other polyamides, and other low-melt-strength resins tend to stick to the extrusion die. The degradation of molten resin during extrusion is a problem because degraded material builds up on the die lips. This makes an equipment shut down necessary approximately every six - eight hours to clean the die parts and interrupts the continuous process.
Both low-melt-strength and resin degradation have been found to present major problems in the extrusion of net-like products of nylon, polyester and the like.
This invention has as an objective, the successful and continuous extrusion of low-melt-strength polymer net product without die build-up.
Also, since fusible net products are being used in greater and greater quantities as a reinforcing structure in fabric-to-fabric laminates such as paper toweling, reinforced tissue and the like, the net product of this invention may be used to improve these laminates. In some forms of the invention, the net product may also utilize a co-extruded outer layer of heat sealable polymer carried by a high temperature core as a fusible adhesive for heat bonding or laminating such tissues, fabrics and the like, together with the reinforcing net product sandwiched therebetween. For such uses, the extruded fusible net product of this invention has, among other advantages, that of uniformity, dimensional stability and high strength as compared to other reinforcing products.
It is, therefore, another object of this invention to provide an improved co-extruded net product which not only functions to reinforce such laminates but also provides the adhesive necessary to hold the laminate together.
These and other objects of the invention will be apparent from the description provided hereinbelow.
In accordance with this invention it has been unexpectedly found that individual interconnecting strands of polymer individually extruded to form net-like structures can be co-extruded in the form of composite laminar strands. As provided by the invention, laminar flow of a plurality of polymers, including copolymers, through a co-extrusion die to form individual strands has been found, contrary to expectation, to result in extruded composite strands which exhibit laminar structure. It was fully expected to the contrary that extrusion of laminar flow through the relatively small strand orifices of the die coupled with the shear action created when intersecting strands are formed by the die would result in disturbance of the laminar flow and mixing of the plurality of polymers to provide a strand of mixed polymers without a distinguishing laminar structure, particularly at the strand intersections or joint areas.
In one preferred form, the invention provides a net-like structure composed of individually extruded strands, each strand of which is formed of a low-melt-strength polymer sandwiched between outer layers of a more stable polymer material as each strand emerges from a three-layered die. Three-layered strands are referred to herein as being "tri-extruded".
A more uniform extrusion results when the low-melt-strength resin is encapsulated between two high-melt-strength resins. Typical high-melt-strength resins are polypropylene, high-density polyethylene, low-density polyethylene and linear low-density polyethylene. Polyester is a preferred high temperature resin because of its relatively low cost and low orientation temperature. The encapsulation of polyester or the like between two high-melt-strength resins such as two polyolefins prevents build up of degraded resin at the die lips. The reduced build up minimizes extrusion down time and makes the operation more economical. The term polymer is used herein in a general sense to include various copolymers as well.
The composite net-like product of the invention may be oriented either uniaxially or biaxially in known manner. Even orientation of "tri-extruded" (referring to three laminar layered strands) net, such as polyester between polyolefins (a preferred form of the invention) does not pose a problem since polyester is oriented at about 200�-220� F. which is lower than the melting point of most polyolefins.
In another preferred embodiment of the invention, a net product is provided in which the outer polymer on the strands is heat sealable.
The co-extrusion and specifically tri-extrusion of a net-like product in the film form is known and described in U.S. Pat. No. 4,410,587. However, this patent does not suggest that laminar flow of polymers through a co-extrusion or tri-extrusion die can be accomplished to provide individual, composite, laminar extruded strands.
Further details of the invention and the preferred type of extrusion apparatus used in the process may be readily understood by reference to the following description and the drawings in which:
FIG. 1 is an elevational cross section on the vertical axis of a portion of an extrusion die;
FIG. 2 is an enlarged fragmentary detail of part of the extrusion die of FIG. 1 taken in the area marked 2 in FIG. 1;
FIG. 3 is a pictorial view of the preferred product, a tubular extruded net, with a small part of the netting cut on the longitudinal axis to illustrate how the tubular netting may be cut and made to open up into a flat sheet of netting;
FIG. 4 is a fragmentary view of a small portion of the flattened netting described in FIG. 3 in enlarged scale;
FIG. 5 is a sectional view of a strand of the netting taken along line 5--5 of FIG. 4 and greatly enlarged;
FIG. 6 is a fragmentary to plan view of the die head plate of the extrusion head only;
FIG. 7 is a fragmentary section in enlarged detail of part of FIG. 1 taken in the area marked 7 of FIG. 1 with the die striker in a lowered position;
FIG. 8 is a fragmentary view similar to that of FIG. 7 but with the striker in a raised position, and
FIG. 9 is a pictorial view of a form of the netting of the invention used as a sandwiched reinforcing element in a piece of reinforced tissue.
Generally, in accordance with the invention, plastic machine-direction strands are continuously extruded through a plurality of spaced orifice openings which are annularly disposed about an extrusion die head. An adjacent continuous orifice extending annularly about the die head is alternately covered and uncovered so as to provide, each time it is uncovered, an interconnecting transverse-direction strand. The mechanism which is moved to alternately cover and uncover the continuous annular orifice is referred to herein as a striker.
The extrusion produced by the above structure comprises a tube of plastic net which in general has rectangular-shaped openings extending along the length of the tube.
As is also known in the prior art, slitting the tube at the end remote from the extrusion die allows the net-like product to be flattened into a sheet-like form which may then be subjected to orientation procedures and other treatment as is well known in the art.
Turning now specifically to the drawing FIGS. preferred embodiments of the invention will be described in detail as involving the tri-extrusion of a network of composite strands each of which is comprised of a laminated, extruded structure exhibiting a distinct inner layer sandwiched between oppositely disposed outer layers of polymer material. It is to be understood, that the invention is also applicable to co-extruded forms generally such as a two-layer type. However, it will be described with respect to the three-layer or tri-extruded preferred type.
Referring to FIG. 1, an annular extrusion die 10 is shown in part as including an annular extrusion head 12. Die 10 is of the type generally known to the art and will include standard features such as support bolts and adjustment structures (not shown) as are known and familiar. However, the die differs in one important respect. In die 10, three separate reservoirs 18, 20 and 22 of polymer materials 18a, 20a and 22a (shown in FIG. 2), respectively, are maintained under pressure and provided to the die by an extrusion system (not shown) and individual polymeric material flow is supplied to die 10 as indicated to the annularly disposed reservoirs 18, 20 and 22. All of these reservoirs communicate and direct flow into a common annular reservoir 24. Reservoir 24 receives the three separate flows of polymer materials from 18, 20 and 22, respectively, which come together in annular reservoir 24 in a three-layer laminar flow pattern which exits from reservoir 24 into a common annular feed channel 26. This is best seen in FIG. 2 which shows three laminar layers of flowing polymer 18a, 20a and 22a. The three-layers flow past the die lips, generally indicated at 28, to form composite three-layer strands in an interconnecting network which provides the familiar tubular net-like structure 50 shown in FIGS. 1 and 3.
For the purpose of extruding machine direction strands 30 and transverse direction strands 32, lips 28 of the die are preferably formed as shown and include on the upper die head plate surface 14 a series of raised and spaced lands 34, best seen in FIG. 6, which form therebetween a series of annularly positioned lower die orifices 36 through which the machine-direction strands 30 are continuously extruded from the die.
As can be seen best in FIG. 1, lands 34 on die head plate 14 are spaced from portion 38 of die 10 so as to provide an upper passage 40 above the lands in the form of a continuous annular orifice which extends around the die. Associated with upper passage 40 is a reciprocable striker 42 which may be alternately lowered and raised by a suitable means indicated at 44 to cover and uncover passage 40 (shown uncovered in FIG. 1). Striker 42 contacts the upper surface of lands 34 on its downward stroke as shown.
When striker 42 is in the lower position, best seen in (FIG. 7), passage 40 is closed and only the continous extrusion of machine-direction strands 30 occurs through lower orifices 36 which remain open at all times to continuously extrude the spaced plurality of machine-direction strands 30 in annularly distributed pattern as shown in FIGS. 1 and 3. When striker 42 is raised to its upper position (best seen in FIG. 8), passage 40 is uncovered to allow the extrusion of an annular transverse-direction strand 32.
Reciprocating movement of striker 42, which is relatively rapid, provides for the spaced extrusion of transverse-direction strands 32 to interconnect the continuously extending machine-direction strands 30 thereby forming the tubular net-like structure 50 shown in FIGS. 1 and 3.
The resulting tube of net generally indicated at 50 is drawn downwardly away form the extrusion die head 12, preferably over a cylindrical mandrel (not shown) and through a water bath (not shown) preferably by a pair of nip rolls (not shown), as is already known in the art. After the plastic strands have set, the tube of net is preferably slit longitudinally in the known manner as generally indicated at 52 in FIG. 3 and opened into a flat sheet 54, a fragment of which is shown in FIG. 4. The sheet may be accumulated on a wind-up roll in the known manner (not shown).
In accordance with the present invention, the strands extruded with the die of FIG. 1 are composite and exhibit a laminated multi-layer structure as is shown in FIG. 5 when polymer 20a differs from polymers 18a and 22a. The multi-layer structure shown is the preferred three-layer tri-extruded structure comprising a core polymer 20s sandwiched between a first outer layer 18a and a second outer layer 22a, which are generally oppositely disposed relative to each other.
The unexpected advantage provided lies in the fact that the composite laminar structure provided by the three-layer flow within the die body is maintained and exhibited in the extruded strands even though extrusion is accomplished through the relatively small strand-forming orifices formed in extrusion head 12 coupled with the shearing action provided by the striker 42.
In accordance with a preferred embodiment of the invention, the outer polymer layers 18a and 22a may be relatively stable, high-melting strength polymers, which may be chosen from the group of polyolefin resins. These resins include polypropylene, high-density polyethylene, low-density polyethylene, linear-low-density polyethylene and co-polymers of this group. Layers 18a and 22a may be of the same polymer or different polymer, such as EVA and EMA. A preferred resin for both layers is low-density polyethylene. A more preferred high-melt strength polymer for both layers is polypropylene.
The core polymer material 20a may be chosen from those polymers which are generally described herein as being of the low-melt strength polymers and may be chosen from the group consisting of nylon and other polyamides, polycaprolactones, polyesters and co-polymers of this group.
It will be appreciated that the invention is not limited to the aforementioned groups of polymers, copolymers, and the like and that there exists a considerable number of polymers which will fall into the low-melt strength category and the high-melt strength category, relatively speaking.
In the tri-extruded form, a preferred combination comprises an inner core of polyester layer 20a encapsulated or sandwiched between outer layers 18a and 22a of polypropylene.
In another preferred embodiment of the invention (not utilizing the former polymer combination of a low-melt-strength inner core and a high-melt-strength outer polymer) a preferred combination comprises a core layer 20a of polypropylene while the two outer layers 18a and 22a comprise ethylene-methyl acrylate copolymer (EMA), ethylene-vinyl acetate copolymer (EVA), or an ionomer resin such as Surlyn�, a modified polyethylene marketed by E. I. DuPont de Nemours Co., the former being most preferred. This particular combination of materials when biaxially oriented provides a tri-extruded reinforcement net product particularly useful for tissue reinforcement when sandwiched between two layers of outer covering material such as paper, tissue, foil or the like as schematically indicated in FIG. 9 to form a composite reinforced laminate. The outer covering layers are indicated at 60 and 62, the reinforcing net structure being indicated at 64. The ethylene-methyl acrylate copolymer (EMA) has the advantage of providing a heat fusible adhesive function which heat bonds the reinforcing net-like structure to the outer fabric layers 60 and 62 when the composite is subjected to heat and pressure.
It will be understood that the claims are intended to cover all changes and modifications of the preferred embodiments of the invention herein chosen for the purpose of illustration.
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Who Are Considered UVU Alumni?
Membership in the Alumni Association includes all:
Who attended the institution under any of its various incarnations: CUVS, UTTI, UTC, UVCC or UVSC and UVU and accumulated at least 24 credit hours.
Who have served as faculty, adjunct faculty, staff or administration for at least 6 months.
Donors or board members, who do not qualify otherwise, upon their request.
What is the UVU Alumni Association?
The UVU Alumni Association is a volunteer organization chartered under the Foundation Board, a Utah non-profit corporation. All officers and members of the board are elected and serve without financial remuneration. The board determines policy, reviews programs, provides feedback, suggestions and support to the university administration and directs the generated funds of the association.
The full-time staff of the alumni relations office is provided by the University. The Alumni Relations staff is charged with the responsibility of providing programs for the alumni in behalf of the University. Through board members , marketing efforts and other means, we try to establish an effective two-way communication between the alumni and the college.
What we do in Alumni Relations?
The following programs and activities are a few of those sponsored by the Alumni Association:
UVU Magazine:
the key marketing piece of the Association and the University. Produced by College Marketing and funded by the Association, the magazine reports important campus news and events while relating stories about alumni, faculty and others.
Online Community:
A social network online where alumni register their current contact information, find each other and share information about themselves with other alumni.
uvu.edu/alumni. The official university website where we list information about the association and the programs available to alumni. We also maintain uvualumni.org that is specifically for alumni to engage with the association by registering for events, career help, alumni card, diploma re-issue, etc.
Alumni Card:
To keep alumni connected with the University the association offers an alumni card with discounts in affiliation with many campus departments such as the Bookstore, Library and Athletics.
graduates receive their primary introduction to the Association through events and gifts given to them during the week of Commencement. Outstanding Educators area also honored at each Convocation by the alumni board members.
Alumni Scholarships:
The Association currently has three endowed scholarships which are awarded to children of alumni. Additional scholarships are awarded to the Student Alumni Board leaders and other as funds allow.
Alumni Awards are given during the annual Awards dinner along with other Homecoming activities such as reunions, breakfast, etc.
Student Alumni Board:
a student leadership organization consisting of 15 student who organize programs and activities designed to connect students to alumni. They organize approximately 8-10 major events each year including "Giving of the Green" and networking events.
the Association currently supports two chapters based on affinity. These include the Woodbury School of Business, School of Computing and Technology.
Alumni Affinity Programs:
programs designed to provide benefits to alumni while raising operating funds for the Association. These include agreements with YTB Travel, Liberty Mutual, Applicant Search, Savings Connection, and Oak Hall.


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The Violet Hour
By Daniel Judson
(Minotaur Books, Paperback, 9780312383589, 304pp.)
Publication Date: October 12, 2010
Other Editions of This Title: Hardcover
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In Daniel Judson's powerful thriller, Bridgehampton mechanic Caleb Rakowski gets paid under the table at his friend Eric Carver's auto repair shop and lives in an apartment above it. He's good at his job and he's making a decent living, but right now he's sheltering a pregnant friend who'll do anything to keep her abusive husband away from her. Cal has sworn to protect her. Little does he know, though, the trouble destined to come down over the course of three days—Mischief Night, Halloween, and the Day of the Dead—when he learns the truth about his friend and boss Eric Carver and what he's been hiding all these years.
Daniel Judson is a craftsman of modern noir, an incredible talent in the vein of Ellroy or Chandler. Like his previous novels, The Violet Hour is tightly drawn, hauntingly atmospheric, and completely searing.
Daniel Judson, a Shamus Award winner and three-time finalist, is the author of four previous novels, most recently The Water's Edge. He attended Southampton College, and his time in the Hamptons (particularly the parts that don't make the society pages) was the inspiration for the setting and characters in The Violet Hour. He now lives in Connecticut.
Praise for Daniel Judson
"[Judson] mines Long Island' South Fork for glittering noir nuggets."
--Publishers Weekly on The Violet Hour
"In the cutthroat game of Survivalist Poker, Cal can wheel and deal with the worst of them."
--Kirkus Reviews on The Violet Hour
"Daniel Judson is so much more than a crime-fiction novelist. He's a tattooed poet, a mad philosopher of the Apocalypse fascinated with exploring the darkest places in people's souls."
--Chicago Tribune on The Water's Edge
"Action packed. . . . It's noir on ice."
--USA Today on The Darkest Place


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Four Seasons Pacifica
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... items we would have purchased if we had room! So many handmade trinkets to be bought, it was pretty cool. We were checking out all the food stalls for dinner but there wasn't much option for us. As we continued to walk around we found a row of cake stalls and a couple of vegan ones. We headed for the stall with the most selection and they looked unbelievably yummy! That was dessert but we still had to find dinner so we did another loop and spied a thai ...
Home Sweet Home
... movie we have seen a million times already, or in some exotic place in a foreign country, I always have the time of my life with this guy. He looks out for me and always makes sure everything is alright no matter what the situation was. When we were on the boat with the Whale Sharks we were both sea sick. But Jaime was a lot worse. He actually puked off the side of the ship, and for a Mexican became almost ghost white with nausea. His ...
Backpacking Gear List + Prices
... 63 Exofficio Boxers - Ebay $16/ea: These boxers are unbeatable! I have been trying these out for about a month now and they are amazing. The are anti-rash, anti-stink, breathable, light, dry quickly, and are made of an amazing material. These are the best rated boxers by travelers.
It was foretold in the scroll...
... Visual and Performing Arts in Europe
-GERM 101 (again............ I mean, oh joy!!)
-a Creative writing class
-a PE class in which I log my hours of working out
OC For The Holidays
... unofficial hit the road full time date is coming full speed and is currently set for January 21st. So soon, yikes! Yup, if you hadn't already read in that long long lost blog post we are taking our lives into our own hands and gonna live it to its fullest! We are headed out on the road with a goal to see every beautiful place that God has created, well within driving distance anyways. HA HA!
Last month we sold everything in our 2 ...


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1999 BMW 7 Series User Reviews
Average Ratings from 6 reviews
- Performance:
- Appearance:
- Build Quality:
- Overall:
Review Highlights Click to filter reviews below
User Reviews
Displaying all 6 1999 BMW 7 Series reviews.
BMW740iL writes:
1999 BMW 7 Series 740iL Review
strong engine nice comfortable ride
must use premium fuel at least 93% octane; gas prices are usually $4 per gal...to fill up you'll spend up to $85-90
Pretty Good — Likes: machine has all the options with very good feel while driving, interstate trips are made more comfortable because of actual leg and head room. Nice color combination too... Dislikes: can be expensive to repair when there's a problem and use of OEM parts are recommended, so getting after market parts are not "cool" for this vehicle.
Primary Use: Family transportation
Cvinci writes:
1999 BMW 7 Series 740iL Review
It's like a small yacht on wheels.
Excellent Automotive Craftsmanship. — everything I liked about this car. There was nothing I didn't like. The 740iL is truly a great automotive machine it has every option imaginable for this year. I have Mercedes and I've had Bimmers all I can say is I am very impressed with the Quality and performance.
Primary Use: Commuting to work
Tamer writes:
1999 BMW 7 Series Review
fun to drive
cost of owner ship
Mykhaylo writes:
1999 BMW 7 Series Review
Fast, good looking, luxury.
Insurance/Maintenance costs, fuel economy
1999 Bmw 740i Sport — As far as performance goes, this car has good acceleration for its class. Handling wise, car is equipped with sport package, meaning stiffer suspension, therefore it handles good. Car is fun to drive, you can do little power slides if needed. Car has classic appearance, not bulky, nothing is out of place. Car is reliable if maintained properly. Negative points are: expensive to insure and maintain, poor gas mileage.
Emmanuel writes:
1999 BMW 7 Series 750Li Review
best BMW out there
Parts can cost much more money than you can think of.
Its A Really Good Sporty Car Or It Can Also Be A Family Car. — I loved this car so much that i almost cried yeah right... but yeah it was an amazing awesome car! It had good top speed of 160 mph. Really good build quality with leather seats. Nice cool sporty look. Costs of parts are expensive. This car is so fun to drive because of its speed.
Primary Use: Sport/fun (spirited driving, track racing, off-roading, etc.)
Viliam writes:
1999 BMW 7 Series 750Li Review
Engine and luxury
750il, V12, 326hp, 590nm — Performance - acceleration - 0-100km in 6.5s brakes - so weak handling - very simple Build quality - first class Apperarance - exterior - black metalic,interior- cream coloured leather consumption- normal ride about 11 L, urban -18 L this car isnt for fun but for silent ride. I recommend it!Its really legend from BMW.
Displaying all 6 1999 BMW 7 Series reviews.
Reviews From Other Years
1979 BMW 7 Series Reviews
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Love The Car
I love this car. I bought it 5 years ago for 500 dollars off of one of my friends. Its a very well made car and a blast to ride in. The suspension takes dips and turns like a true champ. Read More
1985 BMW 7 Series Reviews
Awesome Car!!!
Nice handling , very robust engine high quality built and rare... I would recommend that you get yourself documented about them so to know how to maintain and understand what their needs are; and ir... Read More
1988 BMW 7 Series Reviews
This Car Is A Daily Driver To Keep My Nice New Car Nice.
Things I like: Seats, greenhouse, entry access and exit ease, power and did I mention the stick, it is a dream. Things I don't like are age related versus design, style, or performance items. Seats... Read More
Good Car It Was Gold In My Eyes And Silver In Others.
Got this car from the same guy i get all my cars from and i trust him alot. it was a great car at 16 the car was not as fast off the line as my saab but was much faster top end. i didnt know how to dr... Read More
1989 BMW 7 Series Reviews
Amazingly Robust
Honestly, when my dad first brought this E32 Bimmer home back in 2006, I wasn't really a big fan of its looks. I actually was disappointed at first cos I thought my dad had gotten the E38 model, the o... Read More
1990 BMW 7 Series Reviews
I've Always Underestimated The Joy Of A Good Driving Car. Nevermore!
For a 20 yr old car with 195k, she is outstanding. These were $50k+ new. Prone to electrical issues and quickly wearing suspension, they can be troublesome. I have a good mechanic and some skills myse... Read More


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[Mission] Patrol the Orion system
There seems to be something wrong with the "Patrol the Orion system" mission.
I've completed the Una system twice by now and the Kinjer system once, but both are still "open" to be completed.
I have only a screeny of the completion of the Kinjer system:
i had the same problem in closed beta.
so they still did not fix it? ay caramaba!
it was fixed in the final CB build, however they rolled the game back a patch for Open Beta.
Good to know the quest is fixed in release ;)
I did this in a group of 5 and HOLY COW it was awesome.
4 of us got the completed and 1 person did not get it, seems ot be random.
I have the same problem though it seems for me the objective was completed while still in the system. As I warped to Sector Space the objective was unchecked again. Weird stuff.
my group of 4 had this last night aswell and yet on returning to the system(we went back 3 times)it still says compleat
bump this...Ive completed several parts multiple times and have not gotten credit for it. Im just moving on to other missions now.
I have the same Ppoblem. I will try again.
|All times are GMT -7. The time now is 04:19 PM.


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Welcome to ringtones service Audiko.net, where you may use free ringtones for your mobile. Today we have a ringtone of "Wo die Liebe Deinen Namen ruft" by Nik P. as well as 117 other ringtones by Nik P.. "Wo die Liebe Deinen Namen ruft" is one of the best tracks from the "Der Junge mit der Luftgitarre" album that was created by Nik P. at their recording studio together with other 5 tracks. You can listen to all 7 Nik P. – "Wo die Liebe Deinen Namen ruft" ringtone variations available here and download it for free in a second. You can also get other 5 albums produced by Nik P. for all time. "Wo die Liebe Deinen Namen ruft" is referred to Deutsch, and we have a huge amount of Deutsch songs absolutely for free. And finally, we have collected lyrics for this track and you can view it here as well. So feel free to browse, listen, download ringtones at Audiko.net. Make your phone sound cool!
Nik P. Wo die Liebe Deinen Namen ruft Ringtone
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View Image
The Hunter
The Hunter
The Hunter
When You See It You Shit Bricks
this dolls scare me
As talented as there is in the industry.
Hunting season is starting all over the place and what's manlier than a lad...
Look, an idiot!
Nope. No one has seen it.
My tree was cut down, so I played
Watch the tree
You have to love this with all your heart. I am poor and I know how to hunt...
careful if he brakes abruptly
Milf Hunter
Elmer Fudd sleeping next to a gun
That's clearly not the real MILF hunter.
The Hunter Has Become The Hunted!
Hunter becomes the hunted
If you're scared, imagine how the dog feels


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News 76 - 90 of 465
Britney Spears Shares a Sneak Peek of 'Work B**ch' Music VideoSeptember 27, 2013 01:09:01
In the 10-second teaser, the former Disney star is seen sitting in her dressing room and joining several dancers in the middle of a desert.
Britney Spears' Breakup With Jason Trawick Inspired Her New AlbumSeptember 21, 2013 09:09:47
The 'Work B**ch' singer says her upcoming album helped her to get over her breakup with her fiance.
Britney Spears Announces Las Vegas Residency on 'Good Morning America'September 18, 2013 09:09:09
The former Disney star says that she will perform her old hits as well as her new songs at 'Britney: Piece of Me', her upcoming show at Las Vegas' Planet Hollywood.
Britney Spears Debuts 'Work B**ch' Following a LeakSeptember 16, 2013 09:09:19
The 'Toxic' singer decides to officially debut the track, in which she tells people to work in order to get what they want, after learning that a low quality version of the song surfaces online.
Britney Spears Bares Her Cleavage in 'Work B**ch' Single CoverSeptember 13, 2013 01:09:13
In the picture she shares on Twitter, the 'Womanizer' singer is seen wearing a low-cut sequined onesie and matching feather sleeves while standing in an elegant dressing room.
Brittany Snow Mistaken for Britney Spears at Awards ShowSeptember 11, 2013 03:09:21
The TV actress was mistaken for the pop icon while being presented with an award for her charity work.
Britney Spears to Release New Single 'Work B**ch' on September 16September 11, 2013 11:09:19
The lead single off the pop diva's upcoming new album will be premiered on iHeart Radio on Monday, September 16, at 6 P.M. ET.
Britney Spears to Perform on 'Good Morning America'September 06, 2013 10:09:37
The pop superstar is expected to debut new music when she performs on the morning show on September 17.
Britney Spears' New Single May Be Called 'Werk B**tch'September 03, 2013 11:09:54
Spears and songwriter Sia Furler have been teasing the new song's title by using the hashtag #WERK in their tweets.
Miley Cyrus' 'Bangerz' to Feature Collaboration With Britney SpearsAugust 28, 2013 11:08:38
Songwriter Sean Garrett, who confirms the collaboration, says that the two former Disney stars are working on a 'fun and exciting music.'
Britney Spears' Ex Kevin Federline Gets Hitched in Las VegasAugust 12, 2013 03:08:31
K-Fed got married to his girlfriend Victoria Prince in Vegas Saturday, August 10 at the Hard Rock Hotel and Casino.
Adrienne Bailon Says Britney Spears 'Can't Hold a Conversation'August 07, 2013 11:08:53
When 'The Real' hosts touch a subject of troubled child star in an episode, Bailon mentions Spears, saying that the 'Baby One More Time' singer 'can't hold a conversation.'
Britney Spears and Katy Perry Attend 'The Smurfs 2' PremiereJuly 29, 2013 06:07:30
Britney brings her kids and so does Neil Patrick Harris, while Katy opts to take her grandmother as her date to the special screening in California.
'The X Factor' Season 3 Promos: 'Britney Spears' on Stage and Different Demi LovatoJuly 17, 2013 03:07:16
Simon Cowell makes a sarcastic comment on a bad singer who performs '...Baby One More Time', and says that Demi is respectful of him this year.
Britney Spears Premieres 'Ooh La La' Video Ft. Sons Sean and JaydenJuly 12, 2013 09:07:13
The pop superstar mom gets her Smurf on as her boys make their debut in her brand new music video.


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This is an intense blackberry scented Cab, with decadent spices and succulent fruit in the mouth, while the closely woven tannin structure adds elegance and finesse. Lingering notes of lead pencil and cigar box are enhanced by the food-friendly dry finish.
Below is a listing of the wine review scores we frequently reference in our notes. While these sources remain an excellent source of information, we always recommend that you trust your own palate. Scores in these publications often represent the personal taste of an individual critic, which may not always coincide with your own. We have a huge team of excellent wine professionals that can match wines you've had in the past with new arrivals that meet your flavor profile.
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2010 Wiston Estate "South Downs Cuvée" Brut West Sussex England
2010 Kalex Wines Pinot Gris Central Otago
2006 Château Musar Blanc Bekaa Valley
2010 Antadze Mtsvane Republic of Georgia
2010 Iago's Wine Chinuri Republic of Georgia


text:
Lakewood#620-20144Adjustable Upper Control Arms
Lakewood Adjustable Upper Control Arms are engineered to bolt on and, when used with Lakewood Lower Control Arms, will eliminate wheel hop and improve traction by planting the rear tires. Their adjustability makes it easy to set your car's pinion angle for optimum traction.
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Hotel Yamunaview Accommodation & Rooms
Situated in Agra, Hotel Yamunaview is close to Sadar Bazar, Taj Mahal, and Agra Fort. Also nearby are Jama Masjid and Kinari Bazar.
Hotel Features.
The hotel offers a restaurant. Guests are served a complimentary breakfast. Wireless Internet access is complimentary in public areas. There is a business center on site. Self parking is complimentary.
Amenities in air-conditioned guestrooms at Hotel Yamunaview include minibars and hair dryers.
The check in time was 1200. I has requested an early check in. However the room was not…
Stayed one night (coming from a week in Delhi) after seeing Fatehpur Sikri, checked out…
Enter dates to check prices
Hotel Info: 800 1205131from S$99
- Deluxe Room, 1 Double or 2 Single Beds
- Standard Room, 1 Double or 2 Single Beds
Recommended hotels
At a glance
Key facts
- Check-in time starts at noon
- Check-out time is noon
Required at check in
- Credit card or cash deposit required
- Government-issued photo ID required
- Free WiFi in public areas
- Free self parking
Nearby Two Star Agra hotels
In the hotel
- Free buffet breakfast
- Restaurant
- Room service
- Business center
- 24-hour front desk
In the room
- Air conditioning
- Minibar
- Hair dryer
Top Agra hotels
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Hotel Yamunaview Accommodation & Rooms's small print
Mandatory fees
You'll be asked to pay the following charges at check in or check out:
- New Year's Eve (31 December) Gala Dinner per adult: INR 1000
We have included all charges provided to us by this hotel. However, charges can vary, for example, based on length of stay or the room you book.


text:
2009 pedestrian deaths to-date eclipse 2008 total
The Minnesota Department of Public Safety (DPS) reported last week that pedestrian deaths are surging.
The 26 Minnesota pedestrian road deaths for 2009 are already more than the 25 fatalities for 2008. At this time in 2008, 17 pedestrians were killed.
DPS is calling for increased motorist awareness of pedestrians and asking pedestrians to cross smartly and legally to combat a typically dangerous time of year for pedestrians.
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You will need your subscription account number and phone number. Not sure if you have an account? Email us at firstname.lastname@example.com and we can help you.


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RedAwning Club Newsletter
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Located in the Solamere area of Lower Deer Valley, this 4 bedroom (plus loft) home has amazing views of Deer Valley Resort and great for a family getaway. There is no problem accessing the slopes, as the property is serviced by a complimentary shuttle to the slopes.
Rates and min stay vary by date. Click Book Now and select your dates for an exact quote.Get Price & Book Now! Have a Question?


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Avengers: Earth's Mightiest Heroes season 2 discussion thread
View Single Post
April 3 2012, 05:56 AM
Nerys Myk
Fleet Admiral
Location: Spock of Ages
Re: Avengers: Earth's Mightiest Heroes season 2 discussion thread
TemporalFlux wrote:
Nerys Myk wrote:
All good points, but neither Fury is real. The role they play is the tough as nails military man turned superspy. That's their character.
I'm sorry, friend; but that's just a description and not a character. Character is nuance; it's not just "I wear a white hat so I'm a good guy.". The Sam Jackson Nick Fury is a different character from David Hasselhoff Nick Fury. They both have the same exact description on paper; both have this same "content of character" you mention; but they are not the same. Are you trying to argue they are the same?
Yes; Nick Fury is not real; but part of story telling is to convince us they are real. If we can not become somehow engaged, then what's the point?
Never saw Hasseloff's version. But the Nick Fury I know is a tough as nails military man turned superspy. That's who Jackson plays. So far I haven't seen enough background for Jackson's Fury to go beyond that. "White" Fury in the comics grew up poor and on the streets. He joined the military and went from enlisted man to officer eventually heading an international espionage organization. Seems to me that could be part of the background for Jackson's Fury as well. But I don't know if that's true because it hasn't been explored. Being a fan of comics, I think Jackson's take on Fury is probably influenced by "White" Fury.
Last edited by Nerys Myk; April 3 2012 at
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text: Photo by Jonathan Daniel/Getty Images) [ Gophers Top Northwestern Sunday Night By Dave Overlund February 16, 2014 The Gophers improve to 6-7 in the Big Ten with the win and are now 17-9 overall. Minnesota hosts Illinois Wednesday night at Williams Arena. Read More|Comment Category: college basketball, college sports Send to a friend! Share on Facebook Share on Twitter Pin it! Reddit This! Share on Tumblr!


text:
This photo juxtaposes perfectly the contrast between the growing gap between America's upper and poor classes. This man is begging on one of the preeminent symbols of American capitalism, prosperity, and materialism (Michigan Ave.) using a Starbucks cup (another sybmol of our socially unjust pursuit of wealth).
andrew_bisset, stacious, munchies_1306, and 1 other people added this photo to their favorites.
that is a great picture, very sad though.
wonderful photojournalism.. a very moving photo
hey - wondering if i can use this photo for a facebook group? thanks
Hmmm. They don't give those cups out for free so something tells me that he bought a coffee. I have tons of photographs of homeless people smoking too. Not a very good use for other people's hard earned cash.
Whenever I see a homeless person, I offer them a hamburger or something. 95% of the time, they won't accept it. They want the money for their vice.