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A method and apparatus are provided for imaging a narrow body lumen, the method comprising maintaining separation between a distal end of an optical viewing scope and a lumen wall with a spacing structure which extends distally from the distal end of an access catheter. Optional spacing structures include distal cages and a guidewire which is fixed to and extends distally from the access catheter body. The invention is particularly beneficial during retrograde imaging of the fallopian tube, as it prevents the tubal wall from coming into such close proximity to a falloposcope as to produce "white-out" on the imaging monitor.
1. A catheter for viewing a wall of a narrow body lumen, the catheter comprising:
an optical viewing scope including illumination fibers and viewing fibers within a single shaft;
a flexible elongate tubular body having a proximal end, a distal end, and a central lumen therebetween, the lumen slidably receiving the shaft of the optical viewing scope such that the optical scope extends distally to a viewing position adjacent to the distal end of the body; and
a spacing structure, comprising a plurality of diagonal tips extending distally from the distal end of the body so as to maintain separation between the scope viewing position and the lumen wall.
2. A catheter as claimed in claim 1, wherein the catheter body includes a single axial lumen.
3. A catheter as claimed in claim 1, wherein the plurality of tips have angles between 45� and 80� from the normal to the lumen.
4. A catheter as claimed in claim 3, wherein the diagonal tip angle of the plurality of tips extend along the length of the tip.
5. A catheter as claimed in claim 3, wherein the diagonal tip angles of the plurality of tips are not constant along the diagonal tips.
6. A catheter for viewing a wall of a narrow body lumen in combination with an optical viewing scope of the type including illumination fibers and viewing fibers within a single shaft, the catheter comprising:
a flexible elongate tubular body having a proximal end, a distal end, and a central lumen therebetween, the lumen slidably receiving the shaft of the optical viewing scope to a scope viewing position adjacent to the distal end of the body; and
a spacing structure extending distally from the distal end of the body so as to slidably contact the lumen wall and maintain separation between the scope viewing position and the lumen wall, wherein the spacing structure comprises a diagonal tip extending from the distal end of the body,
wherein the diagonal tip comprises a stiff material relative to the material used to form the elongate tubular body, and an intermediate material disposed between the stiff material and the elongated tubular body and wherein the diagonal tip is defined by a curve or angle.
7. A catheter as claimed in claim 6, wherein the diagonal tip comprises a plurality of intermediate materials.
8. A catheter as claimed in claim 6, wherein the diagonal tip has an axial flexibility and length suitable for the diagonal tip to provide the functionality of a distal guidewire.
9. A catheter as claimed in claim 6, wherein durometers of the materials increase toward the distal end.
This is a Division of U.S. patent application Ser. No. 08/544,384, filed Oct. 10, 1995, now U.S. Pat. No. 5,716,321 the disclosure of which is incorporated by reference.
1. Field of the Invention
The present invention relates generally to endoscopic surgical methods and apparatus. More particularly, the present invention provides an access catheter having a distally protruding structure which maintains separation between a viewing scope and a lumenal wall.
Diseases of the fallopian tubes are a major cause of infertility and tubal pregnancy. Until recently, diagnosis and treatment of tubal disease has been hampered by the difficulty in accessing and imaging the interior of the fallopian tube. Such difficulties, however, have been largely overcome by the recent availability of very small guidewires, catheters, and fiberoptic viewing scopes, usually referred to as falloposcopes. Using these instruments and systems, a physician can gain atraumatic access to the interior of the fallopian tube through a hysteroscope positioned within the uterus. Such falloposcopic imaging techniques were described by Kerin et al. in Fertil. Steril., Vol. 54, pp. 390-400 (1990), and in J. Laparoendoscopic Surg., Vol. 1, pp. 47-56.
Falloposcopic access and imaging techniques are generally performed as follows. A hysteroscope is positioned within the uterus and an irrigating solution is introduced to distend the uterus and permit video monitoring. A very small guidewire is then introduced through the hysteroscope and advanced past the ostium and into the fallopian tube. The guidewire will continue to be advanced until it approaches the distal fimbria. A small tubular access catheter may then be advanced through the hysteroscope and over the guidewire into the fallopian tube, again preferably approaching the distal fimbria. After removing the guidewire, the falloposcope (which is a small diameter fiberoptic bundling including both imaging and illumination fibers in a single shaft) is advanced until its distal end reaches the distal end of the access catheter. Imaging may then be performed in a retrograde manner with the falloposcope and access catheter being drawn outwardly together through the fallopian tube while producing an image on the associated video monitor. The lumen of the tubular access catheter will also provide an access path for devices, such as drug delivery catheters, small instruments, and the like, for treatment of tubal lumen disease.
While such retrograde falloposcopic imaging techniques represent a significant improvement, they still suffer from certain limitations. In particular, falloposcopes having both illumination and imaging fiberoptics require a minimum separation between the imaging lens at the end of the fiberoptic bundles and the tissue to be imaged. Unfortunately, the narrowly confined lumen of the fallopian tube contracts soon after the access catheter has been withdrawn. Hence, the tubal wall often collapses in on the withdrawing falloposcope during retrograde imaging, intruding upon the required imaging separation. As the tubal wall tissues come in close proximity with the imaging and illumination fiberoptics, excessive illumination light is reflected back to the imaging system, causing a partial or total "white-out" of the viewing monitor. These white-outs are a common and undesirable limitation on the effectiveness of retrograde imaging of the fallopian tube and other narrow body lumens.
It would therefore be desirable to provide improved methods and systems for imaging fallopian tubes and other narrow body lumens. It would be particularly desirable to provide improved access catheters and methods for their use which would reduce the incidence of white-out associated with the fallopian tubal wall approaching too close to the optical viewing scope. It would further be desirable if such improved methods and devices were compatible with and able to enhance the effectiveness of retrograde tubal imaging systems and methods.
2. Description of the Background Art
Kerin et al., Fertil. Steril., Vol. 54, pp. 390-400 (1990), and in J. Laparoendoscopic Surg., Vol. 1, pp. 47-56, have been described above. U.S. Pat. No. 4,793,326 describes an industrial endoscope having an elongated arm member to facilitate advancing separate illumination and observation windows past the abrupt steps of piping elbow joints. U.S. Pat. No. 4,717,387 describes an intercardiac catheter having a distal balloon for positioning the catheter with respect to a body surface to be viewed through an optical scope. U.S. Pat. No. 5,263,982 describes an endoscopic catheter having a laterally offset movable guidewire.
U.S. Pat. Nos. 5,047,848 and 4,825,259 disclose borescope having specialized distal tip gauges which permit optical measurements of imaged features. U.S. Pat. No. 4,608,965 discloses an endoscopic sheath having a Malecott-type structure for anchoring the scope in a body cavity.
U.S. Pat. No. 5,358,496 is representative of numerous instruments intended to be inserted through endoscopes. U.S. Pat. Nos. 3,866,601; 4,306,566; 4,350,147; 4,846,812; 5,099,827; 5,263,928; 5,279,596; 5,306,261; 5,307,814; 5,308,342; 5,385,152; are also relevant.
An exemplary falloposcopic imaging system is described in copending application Ser. No. 08/027,475, the full disclosure of which is incorporated herein by reference.
In a first aspect, the present invention provides a method for viewing a lumenal wall of. a narrow body lumen. The method of the present invention comprises introducing a catheter within a body lumen and positioning an optical viewing scope within a lumen of the catheter so that a distal end of the scope is at a scope viewing position adjacent to a distal end of the catheter. A spacing structure affixed to the distal end of the catheter maintains separation between the lumen wall and the scope. This separation helps prevent imaging white-out conditions which would otherwise occur when the optical viewing scope and body lumen wall are in close proximity. The lumenal wall is imaged through the scope while the distal end of the scope is in the scope viewing position proximate the spacing structure. Although the spacing structure will typically appear in the viewing monitor, blocking some portion of the lumen wall from imaging, the image quality and availability are nonetheless substantially enhanced. Preferably, the catheter is advanced distally of a target region of the body lumen during the introducing step, and the catheter and scope are proximally withdrawn while imaging through the distally oriented scope. This is generally referred to as "retrograde imaging."
In some embodiments, the imaging step comprises viewing the lumen wall at least in part through a cage disposed over the distal end of the scope. Alternatively, the spacing structure may comprise a guidewire which extends distally from the catheter, which guidewire may also be rotated during introduction of the catheter to maneuver the catheter through a body lumen system. Alternatively, the spacing structure may comprise a wire loop extending distally from the catheter body. Such a wire loop may be expanded by advancing a proximal length of the wire relative to the proximal end of the catheter. In this way, the size of the loop can be adjusted maintain separation between the body lumen wall and the optical viewing position.
In another aspect, the present invention provides an improved method for viewing a target region of a fallopian tube. The method is of the type including transcervically accessing the fallopian tube with the catheter and inserting an optical viewing scope within a lumen of the catheter so that distal ends of the scope and catheter are adjacent to each other, and then retrograde imaging the fallopian tube by withdrawing the scope and catheter together. The improvement comprises promoting axial alignment between the tubal wall and the distal end of the scope with a structure extending distally from the distal end of the catheter. Axial alignment between the distal end of the scope and the tubal wall will optionally comprise axially rotating the catheter to engage the structure against the tubal wall, where the structure is unsymmetrical about an axis of the catheter lumen. Advantageously, such an unsymmetrical spacing structure can be used to selectively engage only that portion of the tubal wall which is necessary to avoid a white-out. The unsymmetrical spacing structure further avoids blocking of the imaging view where not required to prevent intrusion of the tubal wall toward the viewing scope.
In another aspect, a catheter for viewing a wall of a narrow body lumen according to the principles of the present invention comprises an elongate tubular body having a proximal end, a distal end and a central lumen therebetween. The lumen receives a shaft of an optical viewing scope of the type including both illumination fibers and viewing fibers. The scope is received at a scope viewing position adjacent to the distal end of the body. Additionally, a spacing structure extends distally from the distal end, usually being fixed or coupled thereto, so as to separate the scope viewing position from the lumen wall. Advantageously, the catheter of the present invention need only include a single axial lumen, thereby minimizing its cross-sectional size. Preferably, the spacing structure is affixed with a coupler ring which fittingly engages the body, the coupler ring ideally being disposed within the body lumen and having an outer diameter which is larger than a relaxed lumen diameter. In some embodiments, the spacing structure comprises a cage disposed over the scope viewing position. The cage itself may comprise a distal extension of the body having a plurality of viewing slots, or may alternatively comprise a separate structure attached to the distal end of the catheter.
In some embodiments of the catheter of the present invention, the spacing structure comprises a guidewire which extends distally of the body, typically being cantilevered from the distal end of the catheter at the edge of a distal lumen opening. Ideally, the guidewire comprises a coiled distal section and an uncoiled section between the catheter and coil. This provides an increasing distal flexibility comparable to that of distally tapering guidewires, but with a decrease in proximal guidewire cross-section. The flexibility of the guidewire is ideally similar to tapered guidewires sold under the tradenames "Traveler" and "Robust" by Conceptus, Inc. of San Carlos, Calif., the present assignee. The guidewire may thus find use in maneuvering the catheter through the body lumen, and may also allow the catheter to be advanced while "antigrade" imaging through a scope at the scope viewing position. Such antigrade imaging will potentially provide a means for directing the catheter distally, and also provide a simultaneous image of the tubal wall. Alternatively, the spacing structure may comprise an expandable distal loop actuable by advancing a proximal portion or extension of the loop relative to the proximal end of the body. This provides a controllable separation between the lumen wall and the scope viewing position to overcome white-out conditions as they are encountered along the body lumen. As a further alternative, the spacing structure comprises one or more diagonal tips extending from the distal end of the body.
FIG. 1 illustrates a prior art access catheter and optical viewing scope used for retrograde imaging of a fallopian tube.
FIG. 2 is a detail view showing the distal ends of the access catheter and optical viewing scope of FIG. 1 in close proximity to the tubal wall, which is typical of the white-out conditions encountered when using the access catheters of the prior art.
FIG. 3 illustrates a preferred combination of a hysteroscope, access catheter, and falloposcope for use in imaging a fallopian tube, according to the principles of the present invention.
FIG. 4 illustrates a preferred method for supporting the proximal end of the hysteroscope according to the method of the present invention, wherein the proximal end is immobilized by a support structure attached to a table.
FIG. 5 illustrates a falloposcope which is separated from a tubal wall by an access catheter having a distal cage structure, according to the principles of the present invention.
FIG. 6 illustrates an alternative cage structure formed by cutting axial viewing slots in a distal extension of the catheter body.
FIG. 7 illustrates a falloposcope which is separated from a fallopian tube wall by an access catheter having a distally protruding diagonal tip, in accordance with the principles of the present invention.
FIG. 8 illustrates an access catheter having a plurality of diagonal tips extending from the distal end of the catheter body, in accordance with the principles of the present invention.
FIGS. 9A and B illustrate an access catheter having a plurality of side openings and a central lumen opening which provide a balanced flow path for irrigation fluid to maintain separation between the falloposcope and the tubal wall.
FIGS. 10A, B and C illustrate a preferred access catheter having a distal guidewire for maintaining axial alignment and separation between a falloposcope and a surrounding fallopian tube.
FIGS. 11A, B, C, and D illustrate access catheters having a guidewire which extends from the distal end of the catheter body to form a distal loop, which distal loop can be expanded by axially advancing a proximal extension of the guidewire, in accordance with the principles of the present invention.
FIGS. 12A and B illustrate an access catheter having an extended diagonal tip formed by joining different tubes and cutting the joined tubes along a curve.
Referring to FIGS. 1 and 2, a prior art retrograde fallopian tube viewing system 10 includes an access catheter 12 and a falloposcope 14. Prior art viewing system 10 is inserted to the distal portion of a fallopian tube 16, and is withdrawn proximally as indicated to provide retrograde imaging. Fallopian tube 16 is quite narrow and tortuous, and the tubal wall is highly flexible. Hence, as prior art imaging system 10 is withdrawn proximally, the tubal wall is distended by the access cover 12, and then collapses down to its relaxed shape after a distal end 18 of the access catheter has passed. As optimal imaging occurs when the distal end of the falloposcope is substantially aligned with the distal end of the access catheter, the tubal wall often comes into close proximity with distal end of falloposcope 20.
Falloposcope 14 generally includes two distinct types of optical fibers. The first group of optical fibers is used to transmit light to the distal end of falloposcope 20 to provide illumination for optical viewing. The second type of optical fiber, often comprising a single optical fiber bundle called a "coherent image fiber optic bundle," transmits an optical image from a lens at a distal end of falloposcope 20 to a proximal imaging apparatus. The image itself comprises the illumination light from the illumination fibers which is reflected by objects located within a field of view 22 of distal end of falloposcope 20. As the tubal wall comes into close proximity with both the illumination and optical viewing fibers at the distal end of the falloposcope, the imaging apparatus is unable to produce a coherent picture, and a partial or a total white-out occurs on the viewing monitor.
A particularly preferred method and apparatus for performing hysteroscopic and falloposcopic procedures, including retrograde imaging, is described in copending U.S. patent application Ser. No. 08/207,475, the full disclosure of which is herein incorporated by reference. As more fully explained in that application, a preferred method for performing falloposcopic procedures makes use of a hysteroscopic viewing scope 30 having a working shaft 32 with a deflectable distal end 34, as shown in FIGS. 3 and 4. Working shaft 32 is introduced to the uterus U, ideally using an adjustable support system 40. Deflectable distal end 34 is directed toward an ostium 36 of fallopian tube F. The uterus will be distended by introduction of irrigation fluid so that a guidewire may be directed into the fallopian tube using visualization through hysteroscope 30. Optionally, the guidewire 42 is disposed at the distal end of a catheter, as described hereinbelow. Alternatively, a conventional guidewire is first introduced to the fallopian tube, so that an access catheter 50 may be advanced over the guidewire in a conventional manner. Where such a conventional guidewire is used, it must generally be removed from a central lumen of positioned access catheter 50 to make room for falloposcope 14.
In order to further simplify the falloposcopic procedures of the present invention, support structure 40 immobilizes the viewing scope 30 on a table T or other surface, once the scope has been properly positioned in the uterus. Support structure 40 includes a plurality of arms 62 and joints 64 which are designed to freely articulate so that a support base 66 at a distal end of support structure 40 can be moved freely in space until locked into position. Preferably, the support structure is firmly secured to a table leg L. Such systems commercially available from suppliers such as Lino Manfrotto & Company.
Referring now to FIG. 5, a caged access catheter 70 slidably receives falloposcope 14 to a scope viewing position at which falloposcope distal end 20 is adjacent to a distal end of the catheter 72. A distal cage structure 74 surrounds distal scope end 20 to prevent the tubal wall of fallopian tube 16 from coming into such close proximity with the distal end of the scope that a white-out occurs.
Distal cage 74 separates the tubal wall from the scope viewing position by any of at least three different mechanisms. First, cage 74 prevents the tubal wall from collapsing immediately after catheter distal end 72 has passed, restraining the tubal wall in its distended position, thereby preventing encroachment of the tubal wall toward the scope. Second, distal cage 74 may reposition the entire distal portion of access catheter 70 away from the tubal wall to provide the necessary separation. Finally, distal cage 74 promotes axial alignment of catheter distal end 72 with the fallopian tube by providing an elongated distal moment arm through which the access catheter and tubal wall engage each other. This also promotes alignment between the falloposcope field of view 22 relative to the orientation of the local fallopian tube axis.
Referring now to FIG. 6, an alternative caged access catheter 80 is formed with a simplified cage 82. Simplified cage 82 comprises a continuation of the catheter body beyond catheter distal end 84, in which a plurality of viewing slots 86 have been cut. Both caged embodiments of the present access catheter generally provide substantially axisymmetric viewing through an open distal end of the caged structure and through viewing slots 86, or the analogous gaps between the cage structural elements. Rotation of such caged access catheters is generally not necessary to insure separation between the falloposcope and tubal wall, but will allow viewing of tubal wall elements which would otherwise be blocked during at least a portion of the scan.
Referring now to FIG. 7, a diagonal tip access catheter according to the present invention comprises a diagonal tip 92 extending distally from catheter distal end 94. It can be seen that diagonal catheter 90 must be rotated so as to engage tubal wall 16 with diagonal tip 92. It can also be seen that the field of view 22 is clear in much of the area where distal structure is not required to engage the tubal wall. The angle of diagonal tip 92 will typically be in the range between 45� and 80� from normal, and need not be constant nor extend the entire catheter width. A multiple angle access catheter 100 reduces the need for rotating the catheter, as seen in FIG. 8.
Referring now to FIGS. 9A and B, a fluid separating catheter 110 comprises a plurality of radial distal passages adjacent to the catheter distal tip 116. Radial passages 112 direct clear flush solution against the tubal wall of fallopian tube 16 to promote separation between falloposcope 14 and the tubal wall. Flush solution also flows out the distal tip 116 of fluid catheter 110 around falloposcope 14, thereby promoting separation between the distal end of the falloposcope and the tubal wall. The fluidic paths represented by the radial passages 112, are preferably balanced by varying the sizes of the radial passages relative to the open gap 114 between the catheter and falloposcope at the distal end.
A fixed distal guidewire access catheter 120 will be described with reference to FIGS. 10A through C. Guidewire catheter 120 comprises a distal guidewire 122 extending distally from a distal end of the catheter body 124, typically by a distance from 0.5 to 5 cm, ideally being 1 to 3 cm long and less than 0.02"in diameter. The catheter body includes a distal portion 126, typically being between 2.2 and 3.0 F, and first and second enlarged portions 128, 130. First and second enlarged portions 128, 130 reduce the pressure required for the introduction of clear flush around the falloposcope 14, as is more fully explained in copending U.S. patent application Ser. No. 08/207,475, the full disclosure of which has previously been incorporated by reference. A Touhy-Borst valve 132 is provided near the proximal end of the catheter to seal the proximal end and also allow access for falloposcope 14. An irrigation port 134 is also provided.
A particularly advantageous structure for supporting distal guidewire 122 comprises a distal ring coupler 125 which is fittingly inserted within distal portion 126 of guidewire catheter 120. The ring coupler provides effective support for the guidewire, but does not increase the proximal size or stiffness of the catheter body, and also maintains a smooth outer surface. Typically, the coupler ring and guidewire will comprise stainless steel, platinum, or a shape memory alloy such as Nitinol™, or the like. The guidewire will typically be coiled, but will ideally include an uncoiled portion extending to internal coupler ring 125, thereby minimizing the blockage of the catheter lumen.
Distal guidewire 122 is offset distally at an edge of guidewire catheter 120, and thereby allows the rotational engagement of the tubal wall described above regarding FIG. 7. Advantageously, the guidewire blocks the smallest possible imaging area, and also provides increased functionality for the catheter by allowing the catheter to be self-guided during introduction. Furthermore, the central lumen is not occupied by a conventional guidewire during advancement of the catheter into the fallopian tube, thereby providing the attending surgeon the option of advancing the falloposcope to the viewing position of guidewire catheter 120 to visually direct catheter advancement.
Referring now to FIGS. 11A through D, a looped guidewire access catheter 140 generally comprises a guidewire which extends distally from a distal catheter body end 143, the guidewire forming a distal loop 142. A proximal extension 144 of the guidewire runs along the length of the catheter body, allowing the distal loop to be manipulated by axially advancing and retracting extension 144 relative to the proximal end of the catheter body. As shown in FIGS. 11B through D, extension 144 may be disposed within the lumen of the catheter body, or may alternatively pass through guides 146 on the outer surface of the catheter. Alternatively, a separate lumen may be included in the catheter body, although this will require an increase in the cross-sectional size of the catheter. The guidewire may be attached to the distal end of the tip using coupler ring 125 (FIG. 10C), or may alternatively extend from a distal outer ring 148, or from the catheter lumen wall itself.
Advantageously, distal loop 142 provides an active mechanism for the surgeon to control the separation between the tubal wall and the falloposcope. By advancing extension 144 distally only when a white-out condition occurs, the distance between the tubal wall and the scope may be varied without having to move the scope itself. The guidewire loop may further be retracted when not in use, and may also be biased to assume a particular distal shape, as seen in FIG. 11C.
FIGS. 12A and B illustrate a particularly advantageous access catheter 150 which is formed by joining an intermediate tube 151 and an end tube 152 to catheter body tubing 153. The tubes may be adhesively bonded, or preferably melted together. The durometer of the tubing increases toward the distal end 154. A curved cut forms an extended diagonal tip 157. Proper selection of tubing materis, together with careful shaping of the extended tip 157, provides control over the flexibility of the distal structure. Clearly, the tip shape may comprise a smooth curve or a series of angles, and any number of tubing sections may be joined, within the scope of the present invention. Advantageously, extended diagonal tip 157 provides the functionality of a distal guidewire, but with an easily fabricated, uninterrupted structure.
Although the foregoing invention has been described in some detail by way of illustration and example, for purposes of clarity and understanding, it will be obvious that certain changes and modifications may be practiced within the scope of the appended claims.
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According to Tokyo Kantei, the average monthly rent of a condominium apartment in greater Tokyo was 2,602 Yen/sqm in October, up 1.0% from the previous month and up 2.8% from last year. This is the first time in four months that the rent has exceeded 2,600 Yen/sqm. The average apartment size was 60.20 sqm and the average building age was 19.2 years.
The average monthly rent in Tokyo's 23-ku was 3,233 Yen/sqm, up 0.8% from the previous month and up 4.9% from last year. The average apartment size was 56.74 sqm and the average building age was 17.4 years. Starting with Tokyo's central 6 wards, almost all areas in the 23 wards have been seeing either stable or strong growth in rent.
Yokohama City is seeing a continued downwards trend. In Kobe City, the average building age increased from 19.9 years to 21.3 years, which caused a corresponding drop in average rent. Read More

subset: commoncrawl


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H1N1 Vaccine Available at the Health CenterPosted Dec, 15, 2009
The H1N1 vaccine is available to Kent State students, faculty and staff at DeWeese Health Center. All members of the university community wishing to be vaccinated are now eligible to be vaccinated.
There is no cost for the H1N1 vaccine. Flu mist and injection doses are available on a first-come, first-served basis. You must provide proof of Kent State affiliation and provide your current Banner identification number.
To schedule an appointment to receive the H1N1 vaccine, call University Health Services at 330-672-2322. The health center is open Monday through Friday. For hours of operation, visit www.kent.edu/uhs. The health center will be closed Christmas Eve, Christmas Day, New Year's Eve and New Year's Day.
Please continue to regularly check the university's flu site at http://www.kent.edu/flu for news and updates.


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A single polycell (top left), one of the ISGRI camera's building blocks, seen without its ceramic cover to show the detectors
January 5, 2013
A 5 centime coin conveys the scale of the polycell (top left). These polycells form the building blocks of the INTEGRAL Soft Gamma-Ray Imager (ISGRI).
Topics: Spaceflight, Radiation, Physics, X-ray telescopes, Space telescopes, INTEGRAL, Gamma ray, Space, Nuclear physics


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|Property type
|Minimum Stay
|3 - 7 nights
Enjoy this spacious and tastefully furnished 2200 sq. ft. home minutes away from breathtaking views of Grand Traverse Bay and the charming downtown of Elk Rapids. This 1887 historic home has been totally remodeled and completed for use. Two years of renovations touched mostly every room! This home is decorated in pottery barn style with Martha Stewart colors on the wall that extend your stay from the beach to the beach house. Perfect location in town is ideal with walking distance three streets from the marina boat launch and walking distance to the Lake Michigan beach, with tennis courts, basketball courts and children's jungle gyms. The home features an enclosed porch with screens, a new kitchen with nice appliances including a black gas cooktop, dishwasher, fridge, and microwave. There is a separate dining room with a table to accommodate 6-8 people. There are 2 newly finished bathrooms which include one with full vanity, toilet, tub-shower combination and one with a new shower, vanity and toilet. The family room is spacious with 2 large sofas and a 32" inch LCD flat screen TV with Direct TV satellite. Need more room? There is also a gaming room equipped with an entertainment center with a 27" TV and game cube (just in case you need the break!) The first floor has re-finished hardwood floors in the kitchen and dining room. To add in the comfort of your stay is a first floor laundry room with full capacity washer and dryer. Upstairs has 3 bedrooms-1 with a full bed, 1 with two twins and the loft bedroom with a day bed and ANOTHER full bed! Master bedroom is downstairs and has a queen bed.
Elk Rapids is a wonderful community with lots of activities for kids. There is also a local ice cream shop, toy store, antique stores, movie theater, bar and grille, Siren Hall for fine dining, and a Subway with free WIFI two streets away! The Elk Rapids Library which was once owned by the 'Noble Family' is downtown across the walking bridge and has free internet on computers or WIFI if you bring your own.
The property in the back has fences on both sides for privacy, a paved alley for additional parking, a small BBQ for use and a newly added deck.
Short term rental agreement required. 50% of rental period due at time of reservation. Balance due 21 days before stay. No refunds if cancelled. Rental period is weekly from Saturday to Saturday- although would consider shorter/longer stays. Check in at 3:00, check out at 10:00. Can call for more information.
Keywords: Elk Rapids ,Traverse City, Lake Michigan ,Vacation House, Beach, Grand Traverse Bay, Marina
We spent a lovely two weeks in this great vacation rental during August 2013. The house was fabulous, providing comfortable accommodation for a family of five (children aged 3 to 8) plus two grandparents.
Perfect location, providing easy access to the town and beach. The neighbourhood is very friendly and the neighbours were welcoming. We would love to visit again.
On a final note, Val and Paul were very helpful, providing us with reassurance and references when we booked - very helpful especially as we were traveling from the UK and had not used VRBO before.
Our family has rented a cottage each summer in a different locations for many, many years. My husband and I, two teens, my sister and her spouse rented this house for a week last summer. The place is clean, spacious and decorated like a home in Crate and Barrel catalog. The location is within walking distance of main street and the beach. When we weren't out exploring the area, we mostly hung out on the really nice back deck. We all enjoyed the Tether Ball in the backyard, and bonfires most nights. Elk Rapids is such a wonderful town to vacation in, it was our second time. As mentioned in another review, both (really nice) bathrooms are on the first floor. Not easy to navigate in the middle of the night. My daughter LOVED the pink bedroom upstairs. My sister and her husband loved the Master Bedroom on the main floor. The bedroom upstairs that my husband and I picked only had a full size bed (bouncy if you have a spouse that turns a lot during the night) and one outlet in the opposite corner of the room. Also, no nightstands; so no place to plug in a cell phone or have a lamp. I ended up sleeping in the room with the two twin beds with my son. That was very comfortable. Minor inconvenience for such and beautiful, well-stocked home (except for having to bring our own toilet paper). I would highly recommend this home!
This was the perfect place for our family vacation!! We loved the proximity to downtown and the beach (we walked there every day), the fire pit outside and the number of rooms and beds were perfect for our group!!
We stayed in this lovely, historical home prior to and after our daughter's wedding in Elk Rapids, which is a nice place for a "destination wedding". The landlord allowed us to stay for a shortened stay as the wedding was not during the peak season. She was married at the Sacred Heart Catholic Church and the reception was at the Elk Rapids township hall. The home and the hall were both historical landmarks, which was very interesting. The location of the house was perfectly accessible for both venues. We enjoyed the services of the Beehive salon, which provided many spa services and helped to make the bride feel like a princess.
The house was perfect with planning of room for our guests including my 91 year old mother, who had no trouble getting around the first floor. Everything that we needed was there. The decor was lovely... the colors and amenities made us feel very special. We have no complaints and would certainly use this home again... perhaps the next time for a vacation instead of to host and facilitate a wedding.
The landlord was available by phone to answer any questions that we had. The only thing that we had difficulty with was the Direct t.v. as we were not familiar with how to access it for our 91 year old guest.
Dear Val and Paul,
Your cottage reminded us of our stay in Maine. It is so beautifully decorated and so serene at your home.
We enjoyed the surroundings and downtown Elk Rapids. We loved walking along the beach viewing the crystal clear Lake Michigan. The shops are so quaint and the people in town are so down to earth and nice. The wine shop had some great wines I never heard of. You are so close to the lake and there is so much to do. We were centrally located, so we rented a boat and went pontoon boating, wine tasting, We took the kids to several places. We loved your place and hope to come back annually. I could live up here all summer long. Thank you so much for opening your beautiful second home to us.
The Cuttles
|Rate Period
|Weekend Night
Pre-Summer 2015
May 16 2015 - Jun 19 2015
3 night minimum stay
Jun 20 2015 - Sep 7 2015
7 night minimum stay
Cherry Festival
Jul 5 2015 - Jul 11 2015
7 night minimum stay
Flat fee
My Standard Rate
3 night minimum stay
|Refundable damage deposit
Payment is usually accepted in the quoted currency (USD) unless the currency and the amount is specifically agreed in advance with the owner / advertiser.


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The Pelco BK3512-2 is a continuous running blower designed to install in Pelco's EH3512 and EH3515 series outdoor camera housings, keeping the viewing window clear in high humidity conditions.
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Jones Angell
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. A graveside service will be held at Oakdale Cemetery on Friday May 22 at 2 PM for Eleanor Nanney Michalove, who passed away on February 18th in San Antonio, Texas. A reception will immediately follow the service at Agudas Israel Synagogue. Link to Full Story
The Henderson County Sheriff's department reports that after an investigation by federal agents and detectives with the Henderson County Sheriff's Office Violent Crimes Unit, a Henderson County Grand Jury has returned True Bills of Indictment for... Link to Full Story
The Henderson County Heritage Museum, Henderson County HonorAir and Henderson County Veterans Services will present "A Salute to Our Veterans, Past and Present" at 1:30 p.m. Friday at Veterans Hall. Among the honored guests will be Zeb Kilpatrick, one of... Link to Full Story
NO PARKING ALLOWED ON MAIN STREET AFTER 4PM FRIDAY NO DOGS OR OTHER PETS ALLOWED AT GARDEN JUBILEE THIS YEAR OVER 150,000 EXPECTED THIS YEAR OVER 250 VENDORS WEATHER SHOULD BE IDEAL FOR IT May 23 & 24, 2015 Saturday & Sunday 9:00am-5:00pm Historic... Link to Full Story


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Tag Archives: mindfulness
Skinny Bits 5.11.13
This week in the world of SBG:
Last Friday while out and about after seeing Iron Man 3 (I went at 10:45 am. Yes, the thirst was real and yes, the movie was dope), I wandered into Marshalls to do some window shopping and learned that lo and behold, my body has curved out and aged into women's wear. I tried on a size 2 coral wrap dress from Ralph Lauren's Lauren line and it hugged my boobs and hips like a dream. It took every shred of restraint in my soul not to walk out of the store with that dress, but I left with something just as satisfying: happiness that I'm no longer shaped like a wiry teenager.
Continue reading
Skinny Bits 11.29.12
"I want to be nurturing when I want to be. But then I want to be left the hell alone." – As spoken from one of my co-workers, a 50+ year old Libra woman who has been married for I believe about thirty years.
Apparently, the dilemma presented in Little Brother's "Slow It Down" carries over into mature married life. I can't front like hearing that wasn't comforting. You know, in the event there's a #MrCommonLawSBG in my future.
I promise this is completely unrelated to the two aforementioned thoughts, but you know what's dope? When a person with whom you share engaging conversation and nakedness says "I think you're amazing."


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"I am beyond happy with the way these invites turned out. I originally bought them with the glitter background in the matte paper (my error, the part about the glitter is noted in the product description and I was very excited when I was ordering them) I was disappointed when I received them (it just looked too plain on the back) and ended up returning them. The customer service rep I worked with during the return process was very helpful and I had my money back in no time. Then I re-ordered them in the Pearl White Shimmer paper which looks BEAUTIFUL. It's really makes a difference in how the invites look. Very high quality paper. Just to play it on the safe side I got purple on the back and it looks wonderful with the wedding colors. I also ordered the enclosure cards and put another photo of us on the back. It was a perfect touch! The flowers on the front add just enough and really tie in with our garden venue. I can't wait to send these out to our guests."
"I NEVER review products and felt compelled to share my thoughts on the finished product of our wedding invitations. I'm sharing because I picked these invites based off previous reviews and photos. So helpful! The designer I worked with was fantastic. The edited version was sent back to me so quickly, and was always what I asked for. Print quality and paper quality are fantastic. The paper is a nice recycled beige colour. Other reviews said they were white. The quality of the image is pretty good. Not amazing but we are perfectly happy. My invitations also arrived early. 5 Stars! Overall I'm thrilled with the invites and have been getting lots of nice compliments on them!"
"I ordered these wedding invitations and they came out even better than I expected! They are so pretty! I couldn't be happier with them! Thanks WPD!"
"I LOVED my invitations! I originally did not love the design but chose it because I am having a destination wedding and liked the idea of the tri-fold having all the travel information in one. The designer worked with my several changes. I chose the almond paper and added the pearl shimmer which made them look so nice. I highly recommend the pearl. I changed the color of the font to a hot pink type color for our names and the star like symbol this made a huge difference. For our initials I changed it to a heart instead of & this was a cute touch. Also I did not like the last page design and asked if I could use a 2nd photo. I received so many compliments. My only regret is I did not put our address on the envelopes it would have saved time."
"I was so happy with these invites the almond color card, the picture everything was perfect, and great quality. I ordered 30 of these to Australia and 70 to Switzerland, both packages arrived on time with no issues. We have received many compliments on how great our wedding invites look. The reason I chose this design is because i could fit so much information into the space and becuase its a destination wedding that was handy. Thanks wedding paper divas for making things easy!"


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'Dog bites reported in the city have come down by nearly 15,000 due to the coordinated effort of the Greater Hyderabad Municipal Corporation'
Owing to the effective implementation of vaccination and sterilisation in the city, the number of dog bite cases had come down drastically, and no rabies death resulting from dog bite was reported in the last three years, claimed Amala Akkineni, founder of Blue Cross of Hyderabad, on Wednesday.
Speaking at 'Clean India 2013', organised by Sukuki Exnora on World Environment Day, Ms. Amala cited the records of the Institute of Preventive Medicine (IPM) to state that there were no deaths due to stray dog bites in the last few years.
But there might be instances of deaths in cases where people come to the city for treatment from other places.
"Even dog bites reported in the city have come down by nearly 15,000 due to the sincere and coordinated effort of the Greater Hyderabad Municipal Corporation (GHMC)," she said.
Ms. Amala underscored the link between garbage and stray dogs and called upon residents to keep their colonies free of garbage heaps.
She said the high plastic usage, which ends up in streets and garbage piles, causes severe problems for cattle.
The event was organised in association with the Programme for Environment Awareness (PEAS) of United Federation of Residents' Welfare Association (U-FERWAS).
Keywords: World Environment Day, Amala Akkineni, Programme for Environment Awareness, dog population, dog bites, stray dogs, garbage, plastic, Sukuki Exnora, Institute of Preventive Medicine, IPM, Blue Cross of Hyderabad


text: Quick View Wine Gums Tin by Waterbridge Out of stock online $12.50 Skilled confectioners maintain the traditional chewy texture and the full rich flavour that has made Wine Gums a preferred choice among candy lovers for over a century. All natural colours and flavours. Comes in a beautifully embossed tin. See Details $12.50 was $12.50


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Delhi, India
My Rating
Top quality tour... four of us had a private driver (Arif) for the whole tour and thoroughly enjoyed it. All guides were very helpful and knowledgable. It was a great way to get around a large park of India in a short space of time. Our driver Arif also recommened dinner locations so we could see Indian dancing whilst in Jaipur. He was a class act and really made the trip for the 4 of us.
Munich, Germany
My Rating
Quick, Easy and efficient. So must better value than a taxi
Munich, Germany
My Rating
Excellent tour round Munich was a good break from the beer festival. The tour guide was very knowledgable and enthusiatic scotsman who made the tour funny and interesting and posed many interesting views on all aspects of the third reich in Munich. Well worth it and a great tour guide.
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Christine Sinclair RSS
The Morning Skate, Oct. 28: A hurricane rolls in, Dallas Eakins on diving and John Scott
It's almost Hallowe'en. Peckish? This past weekend our Tournament of Hallowe'en Treats wrapped up. I'm pleased to see Reese's won. There were some ridiculous upsets – Kit Kat knocking off Coffee Crisp being the most egregious. But Reese's is … Continue reading
Vote now! Round 2 of the Most Overrated and Underrated Canadian contest
The Biebs could be tough to beat. Justin Bieber cruised to the easiest victory in the first round of our Most Overrated Canadian competition, ousting fellow musician Tom Cochrane by a score of 945 to 74. It was the most … Continue reading
Herdman names roster for Germany game
Five B.C. players could feature for Canada in their June 18 match against Germany at B.C. Place (7 p.m., Sportsnet One). John Herdman named his 22-player squad on Tuesday. It included goalkeeper Karina LeBlanc, defender Emily Zurrer, midfielders Sophie Schmidt … Continue reading
Herdman names 20-player squad for Brazil tourney
Five B.C. players are headed to Brazil as part of Canada's squad for the Torneio Internacional Cidade de Sao Paolo, which kicks off Dec. 11 in Brasilia. Goalkeeper Karina LeBlanc (Maple Ridge), defender Emily Zurrer (Cowichan Valley), midfielders Sophie Schmidt … Continue reading
Herdman names Canada's roster for U.S. friendly
Canada's roster is again a blend of youth and experience as coach John Herdman keeps the 2014 U20 World Cup and 2015 Women's World Cup in mind. But the focus on June 2, when Canada hosts the U.S. at BMO … Continue reading
The Province's Head of the Class Part 1: A look back at some of our most distinguished alums
HEAD OF THE CLASS, A LOOK BACK The 2013 Head of the Class section will be published in June 17. Go on line to watch the first part of our two-part tirbute to some of the more famous alums of … Continue reading
It's Head of the Class season: New group of 2013 honourees will join alums like Sacre, Lawrie
VANCOUVER — Here in the sports department at The Province, when it comes to our coverage of high school and university sports in B.C., it's all about a four-season labour of love. First comes the fall season, then comes winter, … Continue reading
Sinclair: "The proudest Canadian you'll ever meet"
Christine Sinclair arrived in Portland after midnight on Sunday, a quick stop to grab her things for this week's training camp in Vancouver and the holiday break. The Burnaby native awoke Monday to around 30 emails and a maxed out … Continue reading
Whitecaps won't field W-League team in 2013
For the first time since joining the USL W-League in 2001, the Vancouver Whitecaps will not field a women's team in 2013. The club, citing an evolving women's landscape, made the announcement in a press release on Friday. Next spring … Continue reading
CSA to honour Sinclair for record-breaking season
Burnaby's Christine Sinclair isn't a finalist for FIFA's women's player of the year award, but the CSA will recognize its women's captain for a remarkable 2012 season. Ahead of the Dec. 12-20 camp in Vancouver, the Burnaby striker … Continue reading


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Winter Wonderland in Hyde Park – The Start of the Christmas Season
Posted On 17 Nov 2011 By andy. Under Feature, For your diary.
Psst! This post has been updated - read our latest post on Hyde Park Winter Wonderland 2014 With only 38 days to go until Christmas - it really is time to get in ... Read MoreNo Comments
Dazzle Jewellery Exhibition
Posted On 07 Nov 2011 By andy. Under For your diary.
Add a little sparkle to the festive season with a visit to the National Theatre's Dazzle Exhibition, which is now running until 8th January 2012. This gem of an exhibition has been ... Read MoreNo Comments
Guy Fawkes Night in London
Posted On 04 Nov 2011 By andy. Under For your diary.
This year there are more than 35 separate fireworks events throughout London's parks for Guy Fawkes night including Barking Park, Bishops Park, Brockwell Park, Crystal Palace Park, Battersea Park and Ravenscourt ... Read MoreNo Comments
Flemings Flash Sale
Posted On 01 Nov 2011 By andy. Under Bar & Restaurant, For your diary, Rooms, Suites & Luxury Apartments.
Christmas has most certainly come early here at Flemings, as for a limited 48 hour period we are offering rooms in December and January from just £125 per night. Our central ... Read MoreNo Comments
Culinary Carnival in Mayfair – London Restaurant Week
Posted On 06 Oct 2011 By andy. Under For your diary, Mayfair & London.
London Restaurant Festival runs until the 17th October with a host of culinary events taking place across London from big named restaurant showcases to wacky pop-ups, big debates and gastronomic road trips around ... Read MoreNo Comments


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|Half Baths
|Property type
|Minimum Stay
|5 nights
Imagine your vacation to Sunny Aruba. Beautiful beaches, gorgeous sunsets, some of the finest restaurants in the Caribbean await you. What could be better? Now picture yourself in a beautiful brand new 2500 sq ft Luxury Villa. The pool area will make your friends from the hotels want to come over and visit. The problem is you won't be able to get them to leave. An amazingly beautiful Aruba pool awaits you, along with a Large BBQ grill that would make some serious Chef's say, "Wow!" The patio and the house are walled in very privately with gorgeous outside lighting.
My family of four stayed a Villa Ruby for one week after Christmas. We had a wonderful stay and candidly can't think of anything we did not thoroughly enjoy. The electronics all worked flawlessly, the kitchen has everything you could imagine, and the pool was divine. You can't go wrong staying here.
My husband & I chose Aruba as our destination to celebrate our 45th anniversary and chose Ruby 59.
We had problems at the airport with the rental SUV not being there & had to travel elsewhere to pick it up, meet with Eve to take us by the Super Foods & then to the villa.Our first impression was outstanding with all the beautiful flowers out front & after the tour of the villa.We had an outstanding anniversary celebrating at Passions on the Beach Restaurant enjoying a gorgeous sunset & being spoiled completely! The villa was very relaxing and had everything we needed to do the little cooking that we did do. Our only dislike was that the master bath had very small lights and dark when trying to apply makeup or shave. The ceiling light & fan were not bright enough and noisy. Also, the master bath & second bath did not have any electrical plug ins for hair dryers, etc. The ceiling light in the kitchen did not work until we called & JP came by to fix that situation. The main concern that we had and what turned out to be very time consuming & stressful for us was that our rental SUV was parked outside in front of the villa & the driver & passenger mirrors along with the antennae were stolen. After much anxiety, talking & meeting with car rental staff, rental insurance claims staff, the police, then trying to replace the SUV for two days it was hard to get back to our vacation. The car rental staff along with the police both stated that it would have been safer had we been able to park our rental SUV inside the villa gate that might have helped to deter these items being stolen. After a call to Eve, JP came by later that night to show us how to open and close the gate when we parked our second rental SUV inside the gate. To date, we still have not received a report from the car rental company as to how much it will cost to replace these items. We had travel insurance, of course, but who knows when something like this will happen. We just wished that it had not!
All in all, we managed to enjoy the remaining days we had at villa Ruby 59 & continue our exploring the island & enjoying some warm sun, food and fun in Aruba.
As for being one happy island...we think not!
Our thanks to Eve & JP for your kind assistance while staying at Ruby 59.
Thank you Larry & Doreen for allowing us to share your slice of paradise....if only for a week
Villa Ruby was just amazing. It was all we were hoping for and more for our vacation - super safe, super clean, super comfortable, and super easy (thank you JP and Eve)! Everything was immaculate and beautifully furnished, and the location could not have been better. It was a nice, easy drive to beaches, windsurfing, and the hotel/restaurant areas. On top of all that, when we needed a little break from the salt water and hot sun, the house had everything else we could wish for: the beautiful private pool, TV, computer with internet, of course air conditioning, and even washer/dryer to get the dirt out of our clothes from our off-roading adventures. The kitchen was well equipped for whatever we wanted to do (we found some wonderful restaurants during our stay, but we also were able to cook a few spectacular meals in). It was even more relaxing and comfortable than staying in a hotel, and we hope to come back for our next visit soon!
This place was perfect since we have friends staying with us. Our daughter got married at the Marriott and the villa was very close. I would recommend it to anyone who doesn't want to stay in a hotel.
We (3 adults and 3 children under10) stayed at Villa Ruby over our Christmas holiday. The house is conveniently located (5 minutes from the main thoroughfare leading to all major beaches and amenities). It was close enough for late-night movie outings and spontaneous swims at the beach. The property itself is super-clean and perfectly maintained. Nice touches include stainless steel appliances (dishwasher), washer/dryer on the property, flat-screan TV's and of course, the big privately-enclosed pool. As demanding New Yorkers with a big family and a large primary home, the transition was effortless and pleasant. We'll definitely be back.
My husband, our six month old son and I had an amazing stay at Villa Ruby. The house felt like home. We had everything we needed to cook and entertain ourselves. The patio area is great but bring lots of bug spray and citronella candles. It worked out wonderfully that there was an umbrella we could take to the beach to keep our baby in the shade. They had chairs and towels for us as well.
Due to the weather from hurricane sandy we changed our flight last minute and left two days early. I sent an email and got a reply back at about 1:30 in the morning much to my surprise. I am so thankful we didn't have to go unpack somewhere else before getting to Villa Ruby. Jp even came to get us at the airport because the car rental was already closed. Edna had to clean the house on her day off to get ready for us. We never met but she was great. If you want privacy, you'll get it at Ruby. Yes, there are houses right next door but you look down on their pool rather than them looking at you.
We absolutely plan to stay at Villa Ruby again. The staff and the house get five stars from me!
The Villa is in one of the best neighborhoods in Aruba. Close to the major hotels (about a 3 minute drive), but even closer to the Tierra Del Sol Golf Course and Country Club which is a one minute drive, or a 4 minute bike ride! Tierra Del Sol has a beautiful Spa and Gym and of course Golf Course which are not to be missed. The famous Malmok beaches and Boca Catalina beach are even closer than the hotels.
Other Activities: Kitesurfing
|Rate Period
|Weekend Night
Mid Season
Apr 15 2015 - Aug 14 2015
5 night minimum stay
|Tax Rate
Maximum occupancy of 6 people.
Weekly rates are based on 6 nights/7 days.
Nightly rates also available.
Rates do not include 9,5% tax and service charge.
Also $3 environmental levy per night per bedroom
30% Visa or MasterCard deposit required to confirm reservation.
Cancellation at least 12 weeks prior to arrival will be charged 15% of the total.
Cancellation within 12 weeks to arrival will
Payment is usually accepted in the quoted currency (USD) unless the currency and the amount is specifically agreed in advance with the owner / advertiser.


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With Nick Cannon and Mariah Carey's marriage appearing to be over, sources claim the diva singer is drinking her sorrows away by sipping on champagne until dawn and obsessing over why the America's Got Talent host left her.
According to a new report from Us Weekly, Cannon's priorities have changed and the dissolution of their picture perfect marriage is more than Carey can take.
"She stays up all night, looking at every frame of herself in every photo and dissecting it to death," a source told the magazine, claiming Carey will sometimes stay up until 7 a.m. drinking prosecco.
PHOTOS: Don't Get Mad, Get Everything! Inside The 16 Most Expensive Celebrity Divorces Of All Time
"She is beautiful but has major body issues. She wants to look like a teenager in every photo and won't approve anything until it's airbrushed to an insane level."
And it was Cannon who piled on the compliments to his wife for six years, but now that he's bailed, she's left heartbroken and self-conscious.
"Nick is going to file for divorce," the source told Us.
PHOTOS: Heartbreak Home: Divorced Celebs and Their Former Love Nests
"He hung in there way longer than anybody could have expected. I would like to say she is horribly upset, but she lives in a fantasy world… He's in a different stage of his life and his priorities have changed. He's on his way up and she's on her way down."
Cannon has as many as 12 gigs on the go, making his check-ins with Carey harder and harder.
"She always suspected when he was working that he was somehow out there cheating, and she'd be home alone, calling Nick 100 times a day," the insider said.
PHOTOS: The Shortest Celebrity Marriages Of All Times
"It got to be too much. And he was always faithful."
But the dynamic between the spouses changed and Carey hasn't been getting what she needs.
"She is used to being treated like a princess and waited on hand and foot. Nick treated her that way at first, but then his career took off and his priorities shifted," the source added.
"He thought she had this incredible work ethic, but she's become more like a housewife… She is in her own world. And now Nick is seeing there's a new world for him out there."


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Fans camp out as early as Monday for tickets to LeBron PH tour
More News from Mark Giongco
More News from INQUIRER.net
MANILA, Philippines – Over a hundred people are already waiting in line just to catch a glimpse of NBA superstar LeBron James when "The King" reigns over basketball-crazed Manila at the Mall of Asia Arena on July 23.
A Nike Park representative at the company's flagship store at Bonifacio High Street in Taguig, where tickets to the event will be given away for free Wednesday at 12 nn, told INQUIRER.net that some have camped out outside the store as early as Monday night.
"Kagabi 6 p.m. may mga tao na [waiting in line]. Mga eight persons," said assistant store supervisor Raymond Capistrano Tuesday afternoon. "Umuwi ako kagabi mga 1:30 a.m., mga 30 na yung tao."
Only two tickets will be given per person in a first-come, first-served basis.
The two-time NBA champion James, inarguably the best basketball player today, validated his greatness after leading the Miami Heat over the San Antonio Spurs in a heart-stopping seven-game series for their second consecutive championship last June.
Nike Philippines announced James' one-day Philippine tour last Friday.
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: For Sale
OEM Black Honeycomb Grille Inserts
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Lifted Cummins Fanatic
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Location: Abbotsford, BC, Canada
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Vehicle: 2012 Dodge Ram 3500 CCSB 4x4
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OEM Black Honeycomb Grille Inserts
Looking to sell my OEM black honeycomb grille inserts out of my 2012 Ram. They were only on the truck for about 7 months and are in perfect condition. No cracks, chips, broken tabs or anything.
I'm looking to get $100 in my pocket out of the deal. Shipping costs would be by the buyer. Because of the size of this item shipping is fairly expensive. You're probably looking at around $60-$80 depending on where you live. I will ship anywhere in Canada or the US.
If by the off chance a local wants them I am willing to meet anywhere in the Fraser Valley/Greater Vancouver area.
Send me a PM or email
if interested.
I don't have any pictures of them since I removed them from the truck but here they are the day I took them out.
And a few older ones that show up better....
2012 Ram 3500 Laramie Limited Cummins Build Thread
8" BDS Long Arm Lift with Fox 2.0 Shocks | Dual Fox 2.0 Steering Stabilizer | 37x13.5 Toyo MT's | AMP Powersteps & Bedstep | Bakflip G2 | Mag-Hytec Rear Diff Cover | 5000K Morimoto HID's (lows and fogs) | 30" curved LED Light Bar
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Dinner for Two
Need to plan tonight's date? Friends coming over in an hour to witness your self-proclaimed culinary genius? From entertaining friends or finding the perfect, quick meal for a romantic evening, this book is your simple solution.
by Brian W. Sheppard
Dinners and appetizers for two or more! Enjoy!
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|ECOMPLETE, LLC Patent applications
|Patent application number
|Systems and Methods for High Efficiency Reliable Catalyst Delivery to Internal Combustion Engines - The present disclosure relates to improved systems and methods for providing a catalyst to an internal combustion engine. To this end, the systems and methods described herein may redirect a measured flow of pressurized air from an existing engine air flow through a catalyst reservoir to create a catalytic aerosol or mist. The aerosol or mist may be reinjected or delivered to the air intake of an engine. In various embodiments, the systems and methods disclosed herein utilize an existing engine air flow to produce a catalytic aerosol and/or mist rather than utilizing electric pumps or Venturi draws. Air flow may be controlled, adjusted, and/or optimized based upon an engine to which the disclosed systems are coupled based upon one or more passive flow control components (e.g., filters, restrictors, orifices, and/or valves).


text: New Republic Publisher Basically Agrees with Pat Robertson PareeneProfileFollowUnfollow PareeneFiled to: Assholes marty peretz Haiti Voodoo The New Republic New Republic 2/10/10 3:03pmEditDelete Invite manuallyPromoteXDismissXUndismissBlock for gawkerHideShare to KinjaShare to FacebookShare to PinterestShare to TwitterGo to permalinkMarty Peretz blames Voodoo for Haiti's troubles. (Tell it to the Saints, Marty!) 6Reply 6Discuss


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Klinefelter syndrome is a genetic disorder that affects males.
Normally, males have one X and one Y chromosome; males with Klinefelter
syndrome have at least two X chromosomes and, in rare cases, as many as three
or four.
Symptoms, when present, vary from one male to another depending on
the number of extra X chromosomes and how many cells in the body are affected.
Symptoms may include a lack of fully developed secondary male sexual
characteristics—such as the growth of the testicles and penis, deeper voice,
and body hair—by adulthood. These men usually cannot father children (are
infertile). Other symptoms may include delayed speech development, poor verbal
skills, below-average intelligence, or emotional and behavioral problems. Males
with more than one extra X chromosome generally have more severe
Klinefelter syndrome usually goes undiagnosed until the preteen
years (around ages 11 to 12), when males often begin puberty. In some males,
Klinefelter syndrome is never diagnosed and does not cause problems.
The main treatment for Klinefelter syndrome is hormone replacement
therapy to increase testosterone. Other treatments vary depending on the
symptoms and may include educational support for language and learning
difficulties and counseling or social skills training for behavior
Last Revised:
February 7, 2011
Healthwise Staff
Medical Review:
Susan C. Kim, MD - Pediatrics & Stephen LaFranchi, MD - Pediatrics, Pediatric Endocrinology
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The 2012 International Pool | Spa | Patio Expo showcased a variety of innovative new products from all segments of the industry.
Since 1960, the success mantra for marketing has been about the five Ps (originally four Ps by E.J. McCarthy).
A year ago I bought a car, and ever since the day I drove it off the lot I've regretted the purchase.
Neal Schaffer gets it. He knows what it's like to be a newcomer to social media, wondering how to derive the most value from it.
After more than 36 years, longtime BioLab executive and APSP office holder Charlie Schobel has left the firm.
For 20 years, Elite Pools & Spas has built and maintained pools and spas around Houston.
Question: Given the unpredictable economy and the number of dealers who have gone out of business, why haven't more hot tub manufacturers folded?
Who doesn't love a good giveaway?
Instead of an official theme this year, organizers of the Atlantic City Pool & Spa Show decided to go high-tech.
Two years ago, Paul Alfano decided to rethink some of his marketing strategies.
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