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A support post of each alveolar retractor, which is adjustably supported in a clamp means terminating each opposite end of a transverse inferior bar of a surgical mouth gag for both axial rotational and sliding movement, has a superior arcuate bar which at its medial end terminates in an upper jaw engaging member and is mounted in the upper end of said post for lateral-medial sliding adjustment to provide increased surgical exposure. Several modifications of the superior arcuate bar provide pivoting of the upper jaw engaging member to insure an optimum fit. Additional modifications of the transverse inferior bar provide mandibular engaging members which coact with the upper jaw engaging members to mount the mouth gag in operative position independently of the tongue retractor, the latter being removably mountable from the front of the transverse inferior bar without disturbing the position of the mouth gag. Curved tooth-contacting portions of the upper jaw and mandibular engaging members have double bevels to provide non-slip engagement between the teeth.
1. In a jaw retractor instrument, an inferior transverse arcuate support bar sized and shaped to conform to the face at about the level of the lips, a tongue retractor slideway centrally located on said inferior bar extending at right angles thereto, a clamp terminating each opposite end of said inferior bar, an alveolar retractor comprising a cylindrical post adjustably and removably supported in each of said clamps, each of said posts having a diametric slot located adjacent the upper end thereof, a superior arcuate bar slidably mounted in said slot and terminating at a medial end thereof in an upper jaw engaging member for selective positioning along the alveolus of the patient by said superior bar slidability, and a thumb screw threaded into said post releasably engaging and locking said superior bar in said selected position in said slot.
2. The jaw retractor instrument defined in claim 1, in which said post has an axially extending threaded bore communicating the upper end of the post with said slot and said thumb screw is threaded in said bore.
3. The jaw retractor instrument defined in claim 1, in which a coiled spring is mounted on the front facing side of said superior bar and a front facing wall of said slot has the central portion thereof cutout as clearance for the spring to permit said sliding movement of the superior bar in the slot.
4. The jaw retractor instrument defined in claim 1, a tongue retractor having an elongated handle terminating at an upper end in an angularly disposed tongue blade, said handle being removably and slidably mounted in said slideway for adjustment of said blade with respect to said inferior bar, said superior arcuate bar being of a length sufficient to position said upper jaw engaging member at the medial line of the patient's face and in alignment with said tongue retractor providing a two-point balanced suspension for the instrument.
5. The jaw retractor instrument defined in claim 1, in which said upper jaw engaging member is pivotally mounted on said superior arcuate bar medial end on an axis perpendicular to the length of the bar for angular adjustment to said alveolus for optimum engagement therewith.
6. In an alveolar retractor of a jaw retractor instrument, a lateral support post having an upper end, a superior arcuate bar terminating at a medial end thereof in an upper jaw engaging member, said bar being slidably mounted in the upper end of said support post for selectively positioning said jaw engaging member along the alveolar arch of the patient, said jaw engaging member being pivotally mounted at said superior bar medial end on an axis perpendicular to the length of the bar for angular adjustment to said alveolar arch for optimum engagement therewith, and means for controlling the tension on said pivotal mounting.
7. The alveolar retractor defined in claim 6, in which said pivotal mounting and means for controlling the tension thereon includes an enlargement on said medial end of said superior arcuate bar, a slot through said superior arcuate bar located centrally and extending longitudinally from the medial end laterally beyond said enlargement dividing the latter into bifurcated halves, said jaw engaging member having a pair of ears spaced for receiving said bifurcated enlargement therebetween, aligned openings in said bifurcated enlargement and ears, a pivot pin extending through said openings, and pressure exerting means applied to separate said halves of the enlargement to apply a friction pressure between the enlargement and said ears of the jaw engaging member.
8. The alveolar retractor defined in claim 7, in which said pressure exerting means includes a lock washer on said pivot pin in compressed condition in said slot.
9. The alveolar retractor defined in claim 7, in which said pressure exerting means includes said pivot pin as a pair of set screws, said ear openings being sized for pivoting on said set screws, said openings in each of said enlargement halves being threaded to receive one of said set screws in opposite directions to abut at the bottom ends thereof at said slot whereby tightening of one of said screws against the other provides adjustability of said friction pressure from a relative looseness to a locking tightness and removal of said set screws provides for interchangeability of jaw engaging members.
10. The alveolar retractor defined in claim 7, in which said pressure exerting means includes a tapered threaded opening formed in a midportion of said slot, and an adjustable tapered screw engaged in said threaded opening.
11. In a jaw retractor instrument, an inferior transverse arcuate support bar sized and shaped to conform to the face at about the level of the lips, a tongue retractor slideway centrally located and rigidly formed on said inferior bar extending at right angles thereto in an inferior-superior direction and having a longitudinal front opening, means located at each opposite end of said inferior bar adjustably supporting an alveolar retractor having laterally adjustable upper jaw engaging members, a pair of mandibular retractors mounted for lateral adjustability on said inferior bar, one of said pair of mandibular retractors being located on each side of said slideway, a tongue retractor having an elongated handle slidingly engaging said slideway and terminating at an upper end in an angularly disposed tongue blade, said handle having a portion of reduced width for passing through said slideway front opening for removal and replacement of the tongue retractor while said instrument is mounted on the patient's mouth by upper and lower jaw engagement of said alveolar and mandibular retractors.
12. The jaw retractor instrument defined in claim 11, in which each of said mandibular retractors has an angular configuration providing an attachment portion formed with a transverse slot through which said inferior bar extends, an outer wall of said slot having a central opening, said inferior bar having a reduced width portion adjacent said alveolar retractor supporting means sized and shaped to fit through said central opening when said mandibular retractor is in registered alignment therewith, and removable screw stop means on said inferior bar normally preventing said registered alignment.
13. In a jaw retractor instrument, an inferior transverse arcuate support bar, a tongue retractor slideway (medially) centrally located on said bar extending at right angles thereto and comprising a pair of opposite sidewalls, a front wall and a rear wall defining a track in said slideway, a tongue retractor having an elongated handle terminating at an upper end in an angularly disposed tongue blade, said tongue retractor handle having an upper portion adjacent the tongue blade being of a width to slidingly engage (a) said track (in said slideway), a lower portion of said handle being of reduced width formed by a cutback along one longitudinal edge, the opposite edge having a detent engaging portion formed as spaced notches, said slideway (track having a) front wall being formed with a centralized cutout extending the entire length of the track for removably mounting said handle therethrough, the width of the cutout approximating that of (the) said handle reduced width portion for passage of the latter therethrough when fully in register therewith, and pressure operated detent means having a detent element extending through an opening in one of said sidewalls (the sidewall of said slideway) communicating with said track normally selectively engaging one of said spaced notches for unidirectional downward adjustability of the tongue retractor.
14. The jaw retractor instrument defined in claim 13, in which said detent means includes an elongated depression formed in said slideway sidewall tapering downwardly and inwardly creating said opening to said track, and a leaf spring mounted in said depression having a free end normally extending through said opening as said detent element, a plunger extending through a transverse bore formed in said rear wall of the slideway communicating with said elongated depression, said plunger contacting a midportion of said spring and having a free end extending from an opposite side of said slideway for application of finger pressure to disengage said spring from said notches for freeing said handle for two-way sliding movement in said track.
15. In a jaw retractor instrument, an alveolar retractor comprising a lateral post having an upper end and a supporting bar having a jaw engaging member terminating a medial end thereof, said supporting bar being mounted in said post upper end for sliding adjustability along a path for selectively positioning said jaw engaging member along the alveolus of the patient, said jaw engaging member having one end thereof pivoted to said supporting bar medial end on an axis perpendicular to said path for angular adjustment to said alveolus and an opposite free end for projecting into the mouth of the patient, said jaw engaging member having two spaced prominences and two curved troughs in tandem relation, a first of said prominences being located at said opposite free end, a first of said troughs being located between said prominences to engage the teeth, the other trough being formed inwardly of said free end and beyond the second prominence serving as clearance for the lip, said first trough having double beveled side surfaces providing a wedge-shaped cross-section with a relatively thin edge to lodge between any two adjacent teeth and prevent sidewise shifting of the member along said alveolus.
1. Field of the Invention
This invention relates to surgical instruments and particularly to jaw retractors, also known as mouth gags, for positioning and retaining the jaws in a desired open position during mouth surgery.
2. Description of the Prior Art
This invention is an improvement of the instrument disclosed in U.S Pat. No. 4,024,859 by David H. Slepyan and Jack Nestor entitled Mouth Gag Having Three Dimensional Alveolus Retractor Adjustability.
Whereas the adjustability of the Slepyan and Nestor instrument provides a superior fit and great versatility as compared to the prior Dingman mouth gag, there is a present need for additional surgical exposure accomplished by freedom from supporting elements not actually in use, greater stability in mounting by three point suspension and capability for a balanced, symmetrical two point suspension.
The wide variety of facial configurations presents difficulty encountered by the prior instruments in providing preciseness of fit. This appears to be due to the fixed arcuate shape of the superior support bar and the fixed angle between the latter and its jaw engaging member of the alveolar retractor.
Also, the use of the tongue retractor as the sole lower jaw engaging means has proved to be unreliable, permitting the mouth gag to loosen and shift during surgery and on occasion to be ejected from its properly mounted position. Means for engaging the teeth or gums of the mandible independently of the tongue retractor as well as providing for removably mounting the latter while the mouth gag is being retained in position by coaction between the alveolar and mandibular retractors, as herein provided, will eliminate this problem. The problem of slippage on the teeth by the jaw engaging elements of the alveolar and mandibular retractors is obviated by shaping the contact surfaces for positive engagement between adjacent teeth.
Among the objects of the invention is to provide jaw retractor instruments having universal adjustability capable of precisely fitting all facial configurations which may be encountered, as for example, maxillary retrusion, collapse or protruding premaxilla, and which will eliminate the disadvantages of prior art devices, meet the needs and achieve the desired results hereinbefore described.
The bilateral alveolar retractors of this mouth gag, as described in the hereinbefore mentioned patent application, comprise lateral support posts which are mounted for both axially slidable and rotatable adjustment in finger actuated clamps terminating opposite ends of the inferior transverse bar which also medially mounts the tongue retractor. The embodiment of the invention provides additional adjustability and, what is equally, if not, more important, greater surgical exposure where needed by affixing each upper jaw engaging member to the medial end of its superior arcuate support bar and mounting the latter in a longitudinal diametric slot formed adjacent to the upper end of the post for sliding therein in a lateral and medial direction to effect positioning of the jaw engaging member and eliminate all obstruction medial thereto. A thumb screw operates in a threaded axial bore of the post and has the finger actuated head thereof projecting coaxially above the post for easy yet unobtrusive access providing means for locking the superior bar in a desired position. Each superior bar may be of a length sufficient to position the jaw engaging member along the medial line of the patient's head to oppose the tongue retractor in perfect alignment for a balanced two point suspension, the other superior bar and post being removable for complete exposure on one side of the mouth. In several modified refinements, each jaw engaging member is hinged to the medial end of its support bar for pivoting on an axis perpendicular to the length of the bar to provide movement and adjustability in the angular relation to the jaw engaging member with its support bar. The hinges incorporate spring means providing a preset tightness of pivot action or a capability for selectively varying such tightness.
The scope of the invention also contemplates an alternative form of inferior transverse bar with tongue retractor mounting means wherein laterally adjustable mandibular retractors in the form of a pair of jaw engaging members are slidably and removably mounted on the inferior transverse bar to coact with the alveolar retractors and operatively mount the mouth gag independently of the tongue retractor. The tongue retractor mounting means includes a slideway having a front wall formed with a central cutout extending the entire length thereof sized to coact with and receive therethrough a reduced width portion of the flat elongated handle of the tongue retractor in the mounting and dismounting of the latter for its detent controlled adjustability in the slideway while the mouth gag is in position on the patient. A longitudinal edge of the handle is formed with a series of spaced notches which are selectively engaged by a detent formed as a free end of a leaf spring mounted along one side of the slideway in a normally notch-engaging position and adapted to be flexed by the curved surface provided as one sidewall of each notch to permit one-way downward movement of the tongue retractor and also to be flexed completely out of said engagement to release the tongue retractor for two-way movement by a plunger positioned behind the slideway and having a head extending from the opposite side of the slideway accessible for finger pressure to effect said release.
FIG. 1 is a front elevational view of the mouth gag embodying the invention showing the bilateral alveolar retractors symmetrically positioned with the lateral posts substantially fully extended and the superior bars, which terminate in jaw engaging members, in a medially extended position.
FIG. 2 is a rear elevational view of the mouth gag in FIG. 1, but showing a unilateral alveolar retractor with the superior bar in full medial extension to oppose the tongue retractor for balanced two point suspension.
FIG. 3 is a top plan view of the mouth gag shown in FIG. 1.
FIG. 4 is an enlarged fragmentary vertical sectional view taken through the centerline of the mouth gag in FIG. 1, but showing a modified form of alveolar retractor having a pivotally mounted jaw engaging member.
FIG. 5 is a rear perspective view of a superior bar of the alveolar retractor shown in FIG. 1 removed from the post.
FIG. 6 is an exploded perspective view of the modified form of superior bar shown in FIG. 4.
FIG. 7 is a vertical sectional view taken through the hinge of the superior bar shown in FIGS. 4 and 6.
FIG. 8 is a fragmentary top view of the pivoted jaw engaging member of FIGS. 4, 6 and 7, an alternate adjusted position being illustrated in broken lines.
FIG. 9 is a sectional view taken on line 9--9 in FIG. 4 showing details of the slidable mounting of the superior bar in the post.
FIG. 10 is an exploded perspective view of a modified form of hinge construction for mounting the jaw engaging member under preset pivotal tension with respect to the supporting superior bar.
FIG. 11 is a vertical sectional view taken through the hinge showing the elements of FIG. 10 assembled.
FIG. 12 is an exploded perspective view of another modified form of hinge construction for mounting the jaw engaging member under adjustable tension with respect to the supporting superior bar.
FIG. 13 is a vertical sectional view taken through the hinge showing the elements of FIG. 12 assembled.
FIG. 14 is a front elevational view of an alternative form of mouth gag having mandibular retractors coacting with the alveolar retractors and freeing the tongue retractor from the jaw opening function, the tongue retractor being removably mountable from the front while the instrument is in position between the patient's jaws.
FIGS. 15 and 16 are sectional views taken on lines 15--15, and 16--16, respectively, in FIG. 14 showing details of the slidable and removable mounting of a mandibular retractor on the inferior transverse bar.
FIG. 17 is an enlarged fragmentary front elevational view of the tongue retractor and its removable and detent adjustable mounting in the slideway of the inferior transverse bar shown in FIG. 14, parts being broken away to show details of construction.
FIG. 18 is an enlarged sectional view taken on line 18--18 in FIG. 17 showing details of the finger pressure operable detent means for adjustably positioning the tongue retractor in the slideway.
FIG. 19 is an enlarged fragmentary perspective view of the medial end of the supporting superior bar shown in FIG. 14 illustrating another modified form of hinge construction with adjustable tensioning means and a jaw engaging member having a double beveled contact element for non-slip engagement between the teeth.
FIG. 20 is a sectional view taken on line 20--20 in FIG. 19 showing details of the adjustable tensioning means for the hinge of the jaw engaging member, and
FIG. 21 is a sectional view taken on line 21--21 in FIG. 19 showing the double bevel of the jaw engaging member contact element.
Referring in detail to the drawings, 20 generally denotes a jaw retractor, also known as a mouth gag, constructed to embody the invention, seen in FIGS. 1, 2 and 3 to comprise an inferior transverse support bar 21 of arcuate configuration, that is, bowed to approximate an average contour of the face at about the level of the lower lip and of a length in excess of the width of an open mouth. Inferior support bar 21 terminates at opposite ends in split collars forming clamps 24 in which posts 32 of alveolar retractors 30 are adjustably mounted for both rotation therein and sliding movement therethrough. Each clamp 24 is provided with a thumb screw 25 for adjusting the clamping pressure applied to post 32 in the well understood manner.
Midway between clamps 24 and positioned to normally extend along the midline of the face, inferior support bar 21 is formed with a slideway 22 in which handle portion 23a of tongue retractor 23 is removably and adjustably mounted. Ratchet or detent means 22a is normally spring pressed into cooperative engagement in one of the transverse notches 23b formed in spaced relation along handle portion 23a for permitting unidirectional incremental downward movement of tongue retractor 23, as is well known in the art. Finger pressure on detent means 22a disengages the latter from the notches 23b and releases tongue retractor 23 for movement in both upward or downward directions.
Alveolar retractors 30, except for being mirror images of each other, are structurally identical so that a description of either side applies to the other and corresponding parts are given the same reference numerals. Each alveolar retractor 30 is seen to comprise a cylindrically shaped laterally positioned post 32 having a longitudinal, diametric slot 32a located adjacent the upper end thereof in which superior arcuate bar 34 is slidably mounted for selectively positioning jaw engaging member 35, which terminates the medial end thereof, along a medial-lateral axis. Superior bar 34 is rectangular in cross-section having its larger dimension, or width, parallel to the length of post 32. As shown in FIG. 2, bar 34 may be of a length sufficient, when fully extended, to position jaw engaging member 35 on the midline of the face in alignment with tongue retractor 23, and, as will be clear from FIGS. 1 and 3, has an arcuate configuration corresponding to that of inferior support bar 21. Each half section of inferior bar 21 and each superior bar 34 are formed on the front facing sides thereof with longitudinally extending centralized depressions or grooves 21a and 34a, respectively, in which coil springs 36 seat and are attached at opposite ends thereof by suitable screws, coil springs 36 being well known in the art as quick attachment and release means for sutures. As will be apparent from FIGS. 1 and 9, the front facing wall of slot 32a on post 32 has a centralized cutout 32c sized to provide clearance for coiled spring 36 and associated fastening screws permitting free sliding movement of bar 34 in slot 32a.
An axial threaded bore 32b communicates the upper end of post 32 with slot 32a and receives therein the threaded stem of thumb screw 33 which releasably engages superior bar 34 for locking the latter in any selected position, thumb screw 33 being of the flat head type with knurled edges projecting slightly beyond the periphery of, and located for accessibility just above, the upper end of post 32.
One form of the invention contemplates superior bar 34 terminating in a relatively fixed integrally formed upper jaw engaging member 35 having spaced prominences 35a and 35b providing curved troughs 35c and 35d serving, respectively, as clearance for the lip and as a concave surface to engage the teeth or gum in the absence of dental structure.
The fixed mounting of the jaw engaging member on the medial end of its superior arcuate bar, as shown in FIG. 5, may be modified to provide pivotal mounting of each jaw engaging member for adjusting the angular relation of the latter with its superior bar as will be clear from FIG. 8 to provide an optimum fit to the patient's alveolar arch as superior bar 34 is adjusted in slot 32a along its medial-lateral pathway. To this end, several forms of hinge constructions embodying the invention are shown in FIGS. 6, 10 and 12. The hinge construction of FIG. 6 is also illustrated in FIGS. 4, 7 and 8 as superior bar 44 which terminates in an integral, substantially cylindrical, enlargement 44a forming a central hinge element on which upper jaw engaging member 45 is pivoted on an axis perpendicular to the length of bar 44. Jaw engaging member 45, having spaced prominences 45a and 45b and curved troughs 45c and 45d similar to those of member 35, is also formed with spaced ears 45e, projecting as coacting hinge elements, to receive central hinge elements 44a therebetween. Hinge element 44a and ears 45e have aligned openings through which pivot pin 46 extends. Pin 46 may be a split spring, also known as a roll pin, which is compressed when assembled in the hinge to a degree for providing the required tightness between bar 44 and pivoting member 45 as hereinafter more fully described. Where desired, suitable stop means to prevent accidental disengagement of the superior bar from its post may be provided, as for example, screw 44b having its head located on the rear facing side of bar 44 adjacent the lateral end thereof, as is clear from FIG. 4.
The hinge constructions shown in FIGS. 10, 11 and 12, 13 have jaw engaging members 55 and 65 formed with prominences 55a, 55b and 65a, 65b, and troughs 55c, 55d and 65c, 65d, respectively, similar to those of members 35 and 45 and also provided with spaced ears 55e and 65e as hinge elements similar to ears 45e of member 45. Likewise, superior bars 54 and 64 are similar in configuration to bar 44 but have medial enlargements 54a and 64a providing the hinge elements formed as bifurcated structures by slots 54b and 64b, respectively, which are located centrally and extend longitudinally from the medial end laterally beyond enlargements 54a and 64a to permit slight relative movement between the bifurcated halves.
As shown in FIGS. 10 and 11, jaw engaging member 55 is hinged to bar 54 on a suitable pin, preferably split spring pin 56, similar to pin 46, which extends through aligned openings in ears 55e and bifurcated enlargements 54a. Pin 56 also extends through lock washer 57, which is lodged in compressed condition in slot 54b. The inner end of slot 54b may be formed with an enlargement 54c to facilitate flexing of bifurcated enlargements 54a under the action of lock washer 57.
Jaw engaging member 65 and superior arcuate bar 64 are shown in FIGS. 12 and 13 constructed to provide a hinge having means for adjusting the tension on the pivot, for locking the hinge in a desired position and for readily removably interchanging member 65. Thus, a pair of set screws 66 of uniform cross-section and having heads formed to be driven by a screw driver or Allen wrench are sized to pass through openings 65f in ears 65e to serve as a pivot pin. Each screw 66 is threaded from an opposite side into threaded opening 64c formed in each bifurcated enlargement 64a and are adapted to contact each other in the region of slot 64b.
The practical utility and operation of mouth gag 20 will now be apparent. Where three point suspension is desired, mouth gag 20 is initially assembled with bilateral alveolar retractors 30 as shown in FIG. 1, and applied to the patient's mouth in the well understood manner. Finger manipulation of thumb screws 25 loosens and tightens posts 32 for sliding movement in clamps 24 for individually adjusting the vertical separation between each superior bar 34 and inferior bar 21, and for rotational movement in clamp 24 to individually adjust the spacing of each superior bar 34 with respect to the patient's upper jaw. Likewise, finger manipulation of thumb screw 33 loosens and tightens each superior bar 34 for sliding in slot 32a in a lateral-medial direction to individually locate jaw engaging member 35 where desired along the patient's alveolar arch. These adjustments provide an effective three point suspension and enable inferior bar 21 to be properly aligned, particularly in conditions where the alveolar arch is deformed, and also render the space between the jaw engaging members 35 entirely free of obstruction for maximum surgical exposure.
It will also be apparent that each of the superior bars 44, 54 or 64, when slidably mounted in slot 32a of post 32, will not only function in a manner similar to that hereinbefore described for bars 34 in posts 32 but will also provide precise adjustability of the angular relation of each jaw engaging member 45, 55, or 65, with respect to its supporting superior bar by permitting each member 45, 55 or 65 to be properly disposed in relation to the patient's alveolar arch for achieving an optimum fit in all selected positions of bars 44, 54 or 64.
As will be clear from FIG. 7, pivotable member 45 is retained in its adjusted position by the fashioning of openings in enlargement 44a and in ears 45e so that split spring pin 46 may turn with enlargement 44a and permit movement under frictional pressure on ears 45e, or alternatively, pin 46 may turn with ears 45e and frictionally engage enlargement 44a.
FIGS. 10 and 11 illustrate a hinge construction providing greater tightness between jaw engaging member 55 and bar 54 than that afforded by the hinge construction shown in FIGS. 6 and 7 for use where such tightness, that is greater resistence to displacement of the jaw engaging member from an adjusted position, is desired. Lock washer 57, by exerting a predetermined force separating the halves of bifurcated enlargements 54a, provides friction between the latter and ears 55e augmenting the friction provided by split spring pin 56 and also compensates for wear on the friction surfaces ensuring a longer serviceable life. It will also be understood that an ordinary or solid pin (not shown) may be used in place of split spring pin 56, in which case the action of lock washer 57 is solely relied on to provide the predetermined tightness to the hinge.
The hinge construction shown in FIGS. 12 and 13 permits tightening of either of the set screws 66 to bring pressure against the opposite set screw at the abutting bottom ends thereof causing the bifurcated enlargements 64a to spread apart and thereby increase the friction applied to ears 65e. This provides adjustment for a wide range of tension from a loose pivot condition to a very tight pivot action and ultimately to locking engagement. The removal of both set screws 66 permits easy dismounting of jaw engaging member 65 from enlargements 64a and provides for an interchange of such members having prominences 65a, 65b and troughs 65c, 65d of different sizes and configurations. Where the interchangeability feature is not desired, one of the set screws 66 may be replaced by a pin (not shown) which is free of opening 65f for pivoting but is press fitted into opening 64c to abut the remaining set screw 66 which will provide the tension and locking adjustability.
An alternative construction of mouth gag is shown in FIGS. 14 and 17, generally designated 70, seen to comprise an inferior transverse bar 71 supporting alveolar retractors 30, mandibular engaging members 75 and tongue retractor 76. The inferior transverse support bar 71 is similar to support bar 21 of mouth gag 20 in respect to the curved configuration thereof, in having its opposite ends formed with clamps 74 and thumb screws 74a adjustably mounting posts 32 and in grooves with seat coil springs 36.
To serve as a mandibular retractor, inferior transverse support bar 71 mounts bilateral mandibular engaging members 75 for sliding adjustability between central slideway 72 for tongue retractor handle 77 and heads of screws 71a which project from the rear side of bar 71 located just medially of reduced width portions 71b, as shown in FIG. 16.
Each mandibular engaging member 75 has an angular configuration providing an attachment portion formed with a transverse slot 75e through which bar 71 extends. The outer wall of slot 75e has a central opening or cutout 75f which is sized to accommodate coil spring 36 and the opposite end attachment screws thereof and also to permit passage therethrough of reduced width portion 71b for removably mounting member 75 on bar 71 when screw 71a is removed to permit member 75 to slide into register with portion 71b. The jaw contacting portion of member 75 which extends at right angles to slot 75e is formed with spaced prominences 75a, 75b and with curved troughs 75c, 75d.
The coacting structure of slideway 72 and tongue retractor 76, which enables the latter to be mounted and dismounted from the front of mouth gag 70 while in operative position on the patient, is shown in FIGS. 17 and 18. Tongue retractor 76 has an elongated flat handle 77 terminating at the upper end in a rearwardly bent tongue blade 78 of conventional construction, as for example, having a central opening 78a and a channel 78b for receiving a tracheal tube (not shown) therethrough. Handle 77 has an upper portion adjacent tongue blade 78 sized to slidingly fit the track portion of slideway 72 into which access is had through a centralized cutout 72a in the front wall extending the entire length of slideway 72 between opposite side flanges 72b. A reduced width portion 77a, formed in the lower part of handle 77, is sized to pass through cutout 72a when brought into register therewith in the manner hereinafter more fully described.
Detent means, provided for controlling unidirectional sliding adjustability for tongue retractor 76 in slideway 72, is seen to comprise a leaf spring 73 mounted in an elongated depression 72c formed in a sidewall of slideway 72 to taper downwardly and inwardly creating an opening 72d communicating the lower portion of depression 72c with the track of slideway 72. A screw 73c fastens the upper end of leaf spring 73 in position in elongated depression 72c to project the inwardly curved free end 73b thereof through opening 72d to normally engage speced notches 77b which are located along an edge of handle reduced width portion 77a. Notches 77b are best seen in FIG. 17 as having a cam surface for flexing leaf spring 73 to permit downward movement of handle 77 and an opposite flat angular surface for engagement by spring end 73b to prevent upward movement of handle 77. Finger pressure responsive means for disabling the detent comprises plunger 73c disposed in a transverse bore 72f formed in slideway rear wall 72e to extend from elongated depression 72c to a small depression 72 h formed in the opposite sidewall of slideway 72 to accommodate head 73e which terminates the opposite end of plunger 73c and is threaded onto a reduced diameter extension 73d which projects through a constricted end 72g of transverse bore 72f. Leaf spring 73 in its normal notch engaging position retains plunger 73c against the inner end of bore 72f thereby projecting plunger extension 73d and head by 73e beyond depression 73h. Finger pressure inwardly exerted on head 73e against leaf spring 73 flexes the latter to disengage curved free end 73b from notches 77b releasing handle 77 for free two-way sliding movement in slideway 72. To reduce the weight and conserve material, a large central opening 72j may be provided in rear wall 72e of slideway 72.
Mouth gag 70, shown in FIG. 14, adjustably mounts in clamps 74 alveolar retractors which are identical to alveolar retractors 30 in mouth gag 20, and are therefore similarly designated 30. Such similarity relates to posts 32 formed at the upper ends thereof with diametric slots 32a having cutouts 32c for sliding adjustable support therein of suitable superior arcuate bars terminating at the medial ends thereof in jaw engaging members, which bars are locked in selected position by thumb screws 33 disposed in axial threaded bores 32b.
Superior arcuate bar 84, shown in FIGS. 14, 19 and 20, is interchangeable in slot 32a with any of the superior bars 34, 44, 54 or 64 for use in both mouth gags 20 and 70 and has a pivotal mounting for jaw engaging member 85 formed as medial enlargements 84a bifurcated by slot 84b. Jaw engaging member 85 may be pivoted by spaced ears 85e and 85f to medial enlargements 84a by any suitable pivot pin passing through openings therein, such as, split spring pin 86 and is formed with prominences 85a, 85b and troughs 85c, 85d. As another modification of means for adjusting the tension on the hinge between medial enlargements 84a and ears 85e, 85f, slot 84b, along a midportion thereof, has threaded tapered opening 84c receiving therein a similarly tapered screw 84d which when tightened will spread medial enlargements 84a apart exerting pressure on ears 85e, 85f.
In order to improve the grip on the teeth by the alveolar and mandibular retractors and prevent sidewise shifting, the trough which engages the teeth, namely, trough 85d in jaw engaging member 85, has double bevel surfaces 85g to provide a wedge-shaped cross-section with a relatively thin edge to lodge between any two adjacent teeth. Trough 75d of of mandibular engaging member 75 is also illustrated in FIGS. 15 and 16 as having similar beveled surfaces. Where desired troughs 35d, 45d, 55d and 65d of jaw engaging members 35, 45, 55 and 65, respectively, may likewise be provided with the double bevel construction. The thin edge of trough 85d is sufficiently blunt so that, where gum contact is required due to absence of teeth, the wedge-shaped contour will create a depression in the gum to reduce the sidewise shifting without cutting into the tissue.
Assembly of slideway 72 with the separate parts of the detent means, namely, leaf spring 73, fastening screw 73a, plunger 73c and head 73e, is performed by first inserting threaded end 73d through sidewall depression 72c and then into and through bores 72f, 72g to extend beyond depression 72h for threading head 73e thereon. Thereafter leaf spring 73 is secured in position in depression 72c by screw 73a so that curved end 73b extends through opening 72d for operative engagement with notches 77b when handle reduced width portion 77a is located in the track of slideway 72.
Mouth gag 70 is intended to be initially mounted between the jaws of the patient with tongue retractor 76 removed from slideway 72, which removal is readily accomplished by applying finger pressure to head 73e of plunger 71 thereby releasing handle 77 for upward movement in slideway 72 until the upper full width portion of handle 77 clears the upper end of slideway 72 to register reduced width portion 77a with the entire length of centralized cutout 72a for passage therethrough as will be clear from FIG. 17. Then, after mouth gag 70 is mounted on the patient by jaw contact of the alveolar and mandibular retractors utilizing the sliding adjustability of mandibular engaging members 75 along inferior transverse bar 71, the sliding and rotational adjustability of posts 30 in clamps 74, the sliding adjustability of a selected superior arcuate bar 44, 54, 64 or 84 in slots 32a and the pivotal adjustability of a selected jaw engaging member 45, 55, 65 or 85, tongue retractor 76 may then be mounted in slideway 72 by bringing reduced width portion 77a of handle 77 into registered alignment with centralized cutout 72a so as to pass therethrough into the track and then moving handle 77 downwardly so that the full width portion enters the track and is retained therein by opposite side flanges 72b. Handle 77 may now be adjusted downwardly by pressure applied at finger grip 77c for proper positioning of the patient's tongue. Finger pressure on head 73e releases handle 77a for upward adjustment when required and for removal of handle 77 as hereinbefore described.
Where a two point suspension is indicated, as when maximum exposure on one side of the mouth is desired, post 32 on the work area side is removed from clamp 24 and superior bar 34 on the opposite side is fully extended to position jaw engaging member 35 at the midline of the head in alignment with tongue retractor 23, as is clear from FIG. 2. Likewise, utilizing mouth gag 70, a single alveolar retractor with jaw engaging member in midline alignment may be used coacting with the pair of mandibular retractors 75.
The jaw retractor instruments, or mouth gags, herein disclosed are seen to achieve the several objects of the invention and to be well adapted to meet conditions of practical use. As various possible embodiments might be made of this invention, and as various changes might be made in the disclosed instruments, it is to be understood that all matters herein set forth or shown in the accompanying drawings are to be interpreted as illustrative and not in a limiting sense.
Patent Citations
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3621 Tulsa Way
Fort Worth, TX 76107-0761
Fort Worth, TX 76107-0761
Tel: (817)732-8522
School Overview
|School Type
|Early Childhood / Day Care
|School Membership(s)School Assoc.
|Evangelical Lutheran Education Association (ELEA)
National Association for the Education of Young Children
|Religious Affiliation
|Evangelical Lutheran Church in America (formerly AELC, ALC, or LCA)
|Grades Offered
|Grades Nursery/Preschool - Prekindergarten
Student Body
|Total Students
|Student Body Type
|% Students of Color
State avg.: 37%
Academics and Faculty
|Total Classroom Teachers
|26 teachers
|Admission Deadline
|None / Rolling
Nearby Schools:
All Schools | High Schools | Elementary Schools | Preschools | Public Schools
Show me:
- School Location Miles Students Grades
Fort Worth St. Paul Lutheran School
1800 West Freeway
Fort Worth, TX 76102
(817)332-2281(Lutheran Church -- Missouri Synod)1.4 mi | 214 students | Gr. PK-8
Fort WorthThe Jane Justin School
1300 West Lancaster Ave
Fort Worth, TX 76102
(817)390-2831Special Education School1.8 mi | 57 students | Gr. PK-6
Fort WorthKids Place Child Development Center
901 Southland Ave
Fort Worth, TX 76104
(817)335-2755Daycare / Preschool1.8 mi | 255 students | Gr. K
Fort WorthUniversity Christian Church Weekday School
2720 S University Dr
Fort Worth, TX 76109
(817)926-3960Daycare / Preschool (Disciples of Christ)2.4 mi | 315 students | Gr. K
Fort WorthMontessori At Sundance Square
201 Jones St
Fort Worth, TX 76102
(817)334-0036Montessori School2.5 mi | 80 students | Gr. PK-K
School Reviews
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Recent Articles
Updated June 28, 2015
When it comes to choosing a private school, there are so many choices to consider that the project can be a huge challenge to most of us. We offer some help and advice to help you get started.
Sending your child to a foreign language school makes good sense when you have been posted to this country from abroad and in other circumstances as well.
Do you need financial aid? Not sure? Confused by how financial aid works? Here are some answers.

subset: commoncrawl


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Volunteers place wreaths to honor fallen soldiersUPDATED 11:44 PM EST Dec 15, 2012
Volunteers in Boscawen placed wreaths on veterans' graves Saturday, remembering the lives lost.
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Stein World Ava Aged Floral 2 Drawer Cupboard
Special Offer:
12 Issues of Food & Wine
Included with purchase ($20 value).
Stein World Ava Aged Floral 2 Drawer Cupboard
Weights & Dimensions
|Product Type: Accent cabinet
|Top Finish: Multi-colored
|Base Finish: Multi-colored
|Mirrored Finish: No
|Hardware Finish: Antique brass
|Distressed: No
|Base Material: Manufactured wood
|Top Material: Manufactured wood
|Hardware Material: Aluminum
|Solid Wood Construction: No
|Number of Items Included: 1
|Hand Painted: Yes
|Shape: Rectangular
|Lift Top: No
|Feet/Legs Included: Yes
|Exterior Shelves: No
|Drawers Included: Yes
|Cabinets Included: Yes
|Eco-Friendly: No
|Product Care: Wipe with clean soft cloth
|Country of Manufacture: China
|Assembly Required: No
|Additional Parts Required: No
|Product Warranty: 1 year
|CARB Compliant: Yes
|ISTA 3A Certified: Yes
|ISTA 1A Certified: Yes
About the ManufacturerStein World is dedicated to discovering and bringing to the market place the finest hand-painted accent furniture from around the world including accent chests, pedestal tables, and bathroom vanities.
Stein World Ava Aged Floral 2 Drawer Cupboard
Questions & Answers (4)
"Hi, how many shelves does this unit have inside?" asked by Burl
"Hi, what are the dimensions of this cupboard?" asked by Linda
"Hi, what is the interior width of this cupboard?" asked by Randy
"Hi, does this cupboard require assembly?" asked by Sandra
Customer Reviews
|5 star
|4 star
|3 star
|2 star
|1 star
Customer Photos
Beautiful Chest
Michelle from Oak Ridge, TN
This chest was delivered very quickly with no damage at all. It looks exactly as it does in the picture. It is a beautiful piece! The only problem for me is I thought it would be bigger than it was so I wasn't able to place it where I had planned. That's not the seller's fault it's mine for not getting out the measuring tape! Pros: No assembly required, beautiful, proud to display in my home Cons: None
Beautiful and vintage
Kristen from Boston, MA – Verified Buyer
It is a gorgeous piece of furniture, vintage-looking with lovely detail, and the narrow shape fits perfectly in my small room. I gave it four stars instead of five because the feet are not too sturdy and one came damaged in shipment. Wayfair was super speedy about a generous partial refund. I used the money to repair the foot so it looks good as new.
Beautiful Piece!
Donna from Mount Juliet, TN – Verified Buyer
This fits perfectly in our foyer, it's narrow depth leaves more floor space & the storage is wonderful. It arrived fast & without a blemish! It was well packaged in a large cardboad box with plywood in the top & bottom of the box to protect the cupboard (which was wrapped meticulously with foam) I love the drawers for keys & sunglasses, etc. The storage below is icing on the cake. It came fully assembled & the shipping was very fast. I'm impressed with Wayfair all the way around. The cupboard looks just like the photo & my husband even loves it!
Great product
ALvadayia from Huron, OH – Verified Buyer
It is a beautiful accent piece for my dining room. I needed a small, narrow piece that would accommodate the small area and this fit the bill perfectly. There was some damage to the piece on delivery, but Wayfair solved the problem immediately with no hassle. That is so much appreciated in today's world. Have received many compliments.
The Cupboard matches its picture!
Karen from Murrells Inlet, SC – Verified Buyer
I was very happy with my first purchase from Wayfair! It looked exactly like the picture. The quality of the cupboard, for the price, was exceptional! It was just what I was looking for. Pros: No assembly required!
Nice piece of furniture that matches description.
sally from fort wayne, IN
Unique piece of furniture that looks as good as pictured. Came very well packaged so no damage in shipping. Drawers are small but deep enough to hold china cups--was hoping to put dinner plates on shelves but not deep enough. Would recommend purchasing this item--no assembly required.
I love the cupboard
Ruth from California
It was good. It has a little scratch somewhere on the back. You can't tell now that the scratch is there being up against the wall. It came packaged really well. It is beautiful and I love it. It is a very nice quality cupboard.
perfect match
Kathleen from United States – Verified Buyer
Cabinet came well packed and completely assembled. The one corner was rubbed, but it was an easy fix with a furniture touch up marker. This was purchased for extra storage for my main bathroom and it was a perfect match for my vanity. I have already had many positive comments on it and was pleased with how fast it arrived.
Really pretty!
Annie from Pittsburgh, PA – Verified Buyer
This is a very pretty piece of furniture. The shelves aren't very deep (so please be sure to check dimensions to make sure it's what you're looking for!), but this was perfect for what I needed. Solidly constructed so it's functional. Even prettier in person than in the picture!
What you see is what you get!!!
Kenneth from Westhampton, NY – Verified Buyer
This piece is just lovely. Beautifully finished with hand painted flowers. I couldn't figure out what to put in my foyer until I saw this piece. Lots of compliments from everyone that sees it. Beautiful accent piece, exceptionally finished with hand painted flowers & great value. None
OUR SKU # SM1831Ava Aged Floral 2 Drawer Cupboard is also sometimes listed under the following manufacturer numbers: 58587


text:
Aviation Security:
Transportation Security Administration Did Not Fully Disclose Uses of Personal Information During Secure Flight Program Testing in Initial Privacy Notes, but Has Recently Taken Steps to More Fully Inform the Public
GAO-05-864R: Published: Jul 22, 2005. Publicly Released: Jul 22, 2005.
Additional Materials:
- Full Report:
- Accessible Text:
(202) 512-3000
Office of Public Affairs
(202) 512-4800
We have been reviewing the Department of Homeland Security's (DHS) Transportation Security Administration's (TSA) efforts to develop and implement the Secure Flight program. The purpose of Secure Flight is to compare information on domestic airline passengers against information on known or suspected terrorists to identify passengers who should undergo additional security scrutiny. As we reported in February and March 2005, to develop Secure Flight, TSA has been conducting tests to compare data from airline reservation systems, such as name and flight number, with data from the government's consolidated terrorist watch lists, which include names of known and suspected terrorists. We also reported that TSA has been testing the use of selected data available from commercial data sources--private companies that maintain records on individual names, addresses, phone numbers, and other information--as a means of verifying the accuracy of passenger-provided data. In this letter, we report on key aspects of TSA's disclosure of its use of personal information during commercial data testing for Secure Flight as required by the Privacy Act, and TSA's actions to more fully disclose its use of personal information. We will continue our assessment of Secure Flight privacy protections as part of our ongoing review of the Secure Flight program.
During the course of our ongoing review of the Secure Flight program, we found that TSA did not fully disclose to the public its use of personal information in its fall 2004 privacy notices as required by the Privacy Act. In particular, the public was not made fully aware of, nor had the opportunity to comment on, TSA's use of personal information drawn from commercial sources to test aspects of the Secure Flight program. In September 2004 and November 2004, TSA issued privacy notices in the Federal Register that included descriptions of how such information would be used. However, these notices did not fully inform the public before testing began about the procedures that TSA and its contractors would follow for collecting, using, and storing commercial data. In addition, the scope of the data used during commercial data testing was not fully disclosed in the notices. Specifically, a TSA contractor, acting on behalf of the agency, collected more than 100 million commercial data records containing personal information such as name, date of birth, and telephone number without informing the public. As a result of TSA's actions, the public did not receive the full protections of the Privacy Act. On June 10, 2005, we briefed TSA on our concerns about privacy protection issues related to Secure Flight testing. TSA officials stated that they recognized the merits of GAO's concerns, and on June 22, 2005, the agency published revised privacy notices to more fully disclose the nature of tests being conducted. The revised notices clarified the purpose of commercial data testing for Secure Flight and expanded the categories of records and individuals covered by the system of records as it applied to commercial data tests. In moving forward, TSA officials stated that they will put procedures in place to ensure that prior to making any change in testing procedures, the TSA Privacy Officer and TSA counsel would be consulted to determine whether a change to TSA's privacy notices would be required to inform the public. TSA officials also stated that no adverse consequences resulted from the use of commercial data because the data were used only in a test environment and not to make passenger prescreening decisions prior to actual flights. TSA officials further stated that data collected from commercial sources will not be used during the initial operation of Secure Flight, which is expected to begin in late 2005 or early 2006. TSA is, however, considering the use of such data in the future, if the data can be shown to improve the ability of Secure Flight to identify known or suspected terrorists.
Jun 10, 2015
Screening Partnership Program:TSA's Cost and Performance Independent StudyGAO-15-612R: Published: Jun 10, 2015. Publicly Released: Jun 10, 2015.
Jun 2, 2015
Border Security:Progress and Challenges in DHS's Efforts to Address High-Risk Travelers and Maritime CargoGAO-15-668T: Published: Jun 2, 2015. Publicly Released: Jun 2, 2015.
State Department:Preliminary Observations on the Bureau of Counterterrorism's Resources, Performance, and CoordinationGAO-15-655T: Published: Jun 2, 2015. Publicly Released: Jun 2, 2015.
May 13, 2015
Aviation Security:TSA Has Taken Steps to Improve Oversight of Key Programs, but Additional Actions Are NeededGAO-15-559T: Published: May 13, 2015. Publicly Released: May 13, 2015.
Border Security:Progress and Challenges in DHS's Efforts to Implement and Assess Infrastructure and TechnologyGAO-15-595T: Published: May 13, 2015. Publicly Released: May 13, 2015.
Apr 30, 2015
Southwest Border:Issues Related to Private Property DamageGAO-15-399: Published: Apr 30, 2015. Publicly Released: Apr 30, 2015.
Homeland Security:Actions Needed to Better Manage Security Screening at Federal Buildings and CourthousesGAO-15-445: Published: Mar 31, 2015. Publicly Released: Apr 30, 2015.
Apr 22, 2015
Homeland Security Acquisitions:Addressing Gaps in Oversight and Information is Key to Improving Program OutcomesGAO-15-541T: Published: Apr 22, 2015. Publicly Released: Apr 22, 2015.
Homeland Security Acquisitions:Major Program Assessments Reveal Actions Needed to Improve AccountabilityGAO-15-171SP: Published: Apr 22, 2015. Publicly Released: Apr 22, 2015.
Apr 6, 2015
Coast Guard:Timely Actions Needed to Address Risks in Using Rotational CrewsGAO-15-195: Published: Mar 6, 2015. Publicly Released: Apr 6, 2015.
Looking for more? Browse all our products here


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Pronunciation: Lambesc
Added on: 2010-01-03 Listened: 97 timesin: place in Arles, France
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psychic advice for a job. A simple yes or no is what I'm asking.
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[quote:Anonymous Coward 24926363:MV8yMDQ5NDUzXzM0NDQwOTgwX0U5N0VDNjkz] [quote:Anonymous Coward 18786031:MV8yMDQ5NDUzXzM0NDQwOTMwX0E4QTFGNTg=] Just a thought but if you're pretty, friendly and have a nice body you will probably make enough in tips to cover the cab. [/quote] Don't strip.. find a way to be self employed..for you it is possible..I see you selling door viewers and teaming up with someone to install them... and dump the cat. Get a new cat after you can afford one. [/quote]
Original Message
I don't have many skills, except that I'm a Reiki certified Master/Teacher. That was my dream what I wanted to do. Be a healer. I spent a lot of money for my attunements and now having trouble making money at it, because of demographics around here. I live in a poor city(rent is cheap) and most of the people here in my city are Portuguese/Catholic and for some English is a SECOND language.. Another thing IS I do NOT have a car and can't afford one at the moment, but could take a cab, at this place if it was worth it, because I would be making tips$$$.
I was wondering if I would have a chance, to make enough money being a waitress at a high end strip joint, after I pay the 70 or 75 dollars to and from, by a cab.
HOLD ON BEFORE YOU JUDGE ME! I also have a connection/friend, that is a photographer for the strip joint, because I did modeling, in my 20s, on onemodelplace.com and am still friends with this photographer. I did a lot of modeling, in my 20s, from onemodelplace.com and he was on that site also! I'm not sure if I'll make more than 70 dollars a night, because waitresses, in strip clubs around here don't get an hourly pay and have to tip out a percentage of what they make.
If I make only make 70 dollars a night, then I will be working for free, because of paying for the CAB/TAXI and who knows, I might make more or less than that! Any psychics think I'll do good??? I'm in my thirties and been told I still am pretty, but it IS a superficial job, with competition with other girls, and not sure if I'm up to par, or to old to be walking around with a short skirt and cleavage, at my age. :/
Should I go for it or will I end up wasting 70 dollars to and from, the place, and be dissapointed?
Psychics? Intuitive gut feelings about this? I'm so depressed, because I'm broke and can barely take care of my stray cat I took in and am thinking of trying to find a home for her(breaks my heart because she is VERY attached to me). I picked her up off the street and she was skin and bones and had no front claws, so she couldn't even eat out of the trash. I would hate to give her up but cat food and litter and vet visits are a lot of money.
I would appreciate ANYBODY that has a strong feeling on what I should do and will send you Reiki, and it can be done with just knowing your first initial of your name or will pull a tarot card for you.
With L&L and future THANKS!
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2007 Chevrolet Silverado 1500 Q&A
2007 Chevrolet Silverado 1500 Question: Where is the PCV Valve located?
I have a 2007 Silverado Classic V6. We can't find any information about the PCV valve. My husband has decided that it doesn't have one. Now the Check Engine light is on and we're going to replace the Oxygen Sensors, but I thought I would check to see if there is a PCV valve and where is it hidden at? - Visitor
2 Answers
Answer 1
The PCV valve on the V6 engine in your 2007 Chevrolet Silverado should be located in the left (drivers) side valve cover - a hose will be attached which runs to the intake manifold. Do you know the fault code that is triggering the check engine light to come on? If you can tell me the code I can be of more help. - Jim Taddei
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Fortyfivedownstairs hosts an exhibition of past and present posters from the iconic furniture brand
With 2931 articles and counting, catch the latest with the HL newsletter.
"Nice ad for my brother.Nice tones in old timber made square under the watchful carpenters eye.BJNicholls."
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Join the action this summer and have a blast at the Summer Reading Program at Queens Library. This summer celebrate real-life and fictional heroes, cool books, popular fantasy and graphic novels to the latest in your favorite series.
Summer Reading 2015 begins Thursday, June 4.
The Mayor and the New York City Council have announced their FY 2016 Budget Agreement. We are very pleased and grateful to share that NYC libraries will receive $43 million citywide in additional funding for FY 2016!
This additional funding will increase access to library programs and services, and allow us to ...
Borrow eBooks and Audiobooks for free! Queens Library offers a variety of methods to access digital books and articles in any language for all age groups. eBooks can be used on a variety of devices such as PCs, laptops, and supported PDAs.
Axis 360 delivers digital Audiobooks and eBooks for library users in ...
Looking for new music? Look no further than your local Queens Library!
Every month, our expert staff will bring you the best of what's new in our collection.
This month features music from Emmylou Harris & Rodney Crowell, Florence + the Machine, Passion Pit, Murs, Tech N9ne, Todd Rundgren, Muse, Ciara and ...
Maker Camp is a free summer program for kids ages 8 to 12, and Makers of all ages! Join young inventors and artists from around the world too. We make awesome projects, go on epic virtual "field trips," and meet the world's coolest makers.
Visit the web page to register or more information.
Rockaways Summer of Health is a series of programs and events designed to educate and get the Rockaways fit and healthy. Participate in a variety of classes and workshops for a healthy lifestyle such as stress reduction, nutrition and exercise classes.
Get Fit! Get Healthy!
Visit the web page for more ...
Alicia Olatuja sings with a strong, lustrous tone, and mixes elements of classical, jazz, gospel, and pop into her fluid vocalism. She has played alongside giants like Chaka Khan, Christian McBride, and Bebe Winans.
Free tickets are available on Eventbrite
The Library Journal will honor the best self-published ebooks in the following genres: Romance, Mystery, Science Fiction, Fantasy. There will be a winner in each genre and each winner will receive $1,000.00 USD from Library Journal.
Visit our Self Publish page for more information.
Welcome to our brand-new publication!
Queens Library Magazine combines great library-themed feature stories and information about all our programs and special events, and it's available now at your neighborhood library or ...
Queens Library is partnering with the NYC Department of Education to provide FREE meals for kids and teens all summer long.
Summer meals are open to all children, 18 and younger, from now until September 4 at twenty-one Queens Library locations.
Enrollment is not required. Meals will be provided ...
ShapeUp NYC: Dance Fitness
Location: Broadway
Registration: Not required
Instructor Jadwiga Wachonicz leads an exciting workout that uses easy-to-follow dance steps to increase cardiovascular fitness and tone the body. Bring a towel and bottle of water. Space is limited. Participation is on a first-come, first-served basis.
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Location: Broadway
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Diabetes affects over 26 million Americans. Family physician Hang Fong Kitty Chan, DO, of Mount Sinai Queens and registered dietician and certified diabetes educator Celia Chu Diep, RD, CDE of Mount Sinai Hospital will explain steps to help you reduce your risk, take control of the disease and navigate challenges in everyday life, such as eating out, exercising and finding a doctor. For more information, call 718-267-4333.
The Rhythm Is Going to Get You: A Latin and Jazz Concert
Location: Broadway
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Issa Cabrera wows audiences with a wide range of musical selections in English, Spanish and Portuguese. Enjoy songs like "Nature Boy," "Pick Yourself Up," "Besame Mucho," "The Look of Love" and many more.
Ask the Pharmacist
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Bring your prescriptions, vitamins, over-the-counter medicines, herbal supplements and a list of your questions to ask the pharmacist. Learn what medications you are taking and why and get tips on how to remember to take your medications. Call Tamara at 718-990 5197 or email firstname.lastname@example.com to make an appointment to minimize your wait time!


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Overview: The Accounting Manager, Shared Services, a key member of the Accounting department, is responsible for supporting the day to day accounting operations of the Shared Services team, providing leadership, and ensuring that financial activities are aligned with company6/15/2015 Austin, TX Save This Job
Demand Media is seeking inventive, ambitious go-getters fascinated by influencing new media evolution who want to work in a fun environment with an energetic team. The Account Manager is responsible for the maintenance of relationships with sales partners across the6/3/2015 New York City, NY Save This Job
Quantcast is seeking senior engineering leaders to steer our market-leading products to even greater greatness.5/19/2015 San Francisco, CA Save This Job
Job Tracking ID: 512449-497132Job Location: Santa, CAJob Level: AnyLevel of Education: AnyJob Type: Full-Time/RegularDate Updated: June 03, 2015Years of Experience: AnyStarting Date: ASAP «Back to job search Invite a friend: Print Job Description: Centrify is7/1/2015 Santa Clara, CA Save This Job
COMPANY BACKGROUND Park IP Translations, a Welocalize company, provides translation, litigation and filing solutions for patent and legal professionals. We protect our clients? most valued assets and global brands in nearly every jurisdiction in the world. We provide complete6/30/2015 Houston, TX Save This Job
90 Day Deliverables ? Demonstrate a working knowledge of Alert Logic back end systems, data processing, message transport and monitoring ? Demonstrate a working knowledge of Alert Logic customer deployment environments, including AWS and direct customers ? Conduct weekly6/30/2015 Houston, TX Save This Job
What you?ll do As a Demand Planning Manager, you will be responsible for building, review and maintenance of account or product based demand plans. The MDP leads a planning team responsible for developing sales forecasts, combining Belkin shipment history with POS sales and6/30/2015 Los Angeles, CA Save This Job
As a Manager, Engineering Program Management you will lead/manage the engineering program management staff which includes individuals supporting both waterfall and Agile Scrum development methodologies. You will also develop, manage, and execute programs for Belkin. The job6/30/2015 Los Angeles, CA Save This Job
Partner and Events Marketing Manager Overview SailPoint is seeking an energetic individual with channel/partner marketing, event and tradeshow coordination experience to help our growing marketing team. Reporting to the Director of Demand Generation, this individual will work6/30/2015 Austin, TX Save This Job
Location: Field The Project Manager is responsible for leading the implementation and deployment of Xactly?s on-demand ICM solutions. Specific responsibilities include: Manage end-to-end solutions delivery and customer expectations Develops project plan and monitors scope,6/30/2015 San Jose, CA Save This Job
DESCRIPTION Pangea is a venture capital backed FinTech start-up looking to disrupt the global money transfer space. We have a growing team that has tripled in the last 18 months. We are looking for an Office Manager/Executive Assistant to immediately join our entrepreneurial6/29/2015 Chicago, IL Save This Job
Company Information Empyrean Benefit Solutions, Inc. is a Human Resource Technology and Services company that provides health & welfare benefits administration solutions to employers, insurance brokers and health insurance exchanges. Leveraging our proprietary, web-based6/26/2015 Houston, TX Save This Job
at Blue Apron New Jersey Fulfillment Center What We Are Looking For: We?re looking for a Food Safety Manager to manage all aspects of Food Safety throughout the fulfillment center. As Food Safety Manager, you?ll be responsible for operations including: employees, materials,6/25/2015 Jersey City, NJ Save This Job
Scope: As a member of the Marketing team, this role is responsible for supporting the marketing organization with operations and production processes for the department?s digital and print campaigns. This role requires expertise in project management and using spreadsheets to6/25/2015 San Bruno, CA Save This Job
Job description The position: If you like rolling up your sleeves, thinking about creative ways to make customers happy and dream about checklists, we want you to manage our events. IronPlanet is hiring its first Events Coordinator/Manager to focus on onsite auctions, as well6/25/2015 Pleasanton, CA Save This Job
t Blue Apron California Fulfillment Center What We Are Looking For: We?re looking for a Food Safety Manager to manage all aspects of Food Safety throughout the fulfillment center. As Food Safety Manager, you?ll be responsible for operations including: employees, materials,6/25/2015 Arlington, TX Save This Job
Scope: As a member of the Marketing team, this role is responsible for supporting the marketing organization with operations and production processes for the department?s digital and print campaigns. This role requires expertise in project management and using spreadsheets to6/25/2015 San Bruno, CA Save This Job
Morrisville, NCFull-time Company Description Liquidia Technologies, founded in 2004, is a privately held biotechnology company located in Research Triangle Park, North Carolina. By leveraging precise fabrication techniques of the semiconductor industry, Liquidia has become the6/24/2015 Morrisville, NC Save This Job
at Sumo Logic (View all jobs) Redwood City, CA We are Sumo Logic and we are building the Next Generation Log Management and Analytics solution --- delivered as a cloud-based service. Sumo Logic enables IT operations teams to perform rapid root cause analysis of critical IT6/22/2015 Redwood City, CA Save This Job
Job Summary Reporting to the Company's Vice President of Sales, this senior sales leadership position with a key role in driving business growth and results will: Drive the business development process and revenue results from targeted OEM's and market segments. Drive results6/19/2015 Inglewood, CA Save This Job


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Tilda Swinton performs 'The Maybe' at the Museum of Modern Art
Tilda Swinton performs the art of sleeping in her one-person piece called "The Maybe" at the Museum of Modern Art in Manhattan. Swinton, who first performed as a sleeper at the Serpentine Gallery in London in 1995, sleeps in a glass case for day. The case will move to locations throughout the museum every time Swinton performs. (March 25, 2013)
Peek into Long Island's most lavish homes LI people on the move! Promotions, new jobs Puppies from Southampton Animal Shelter 26 surprising relics from WWII Photos: 97 celebrities remember life on Long Island Long Island and New York City's top photos 18 things only Long Islanders would understand 58 signs you're from Suffolk LI notable deaths Notable Long Island celebs Recent LI fires Recent LI mug shots


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Kevin Martin Leads Streaking Rockets – Weekly NBA Roundup [VIDEO]
Which NFL Team Has the Craziest Sports Fans? [PICTURES]
There's just something about NFL football that makes us want to slap on some war paint, throw back some beers and make drunken messes of ourselves. Some fans are clearly more into this than others and it's those hardcore sports nuts that we all get our inspiration from.
LSU Puts 5 On AP All-American Team
LSU Tiger cornerbacks Tyrann Mathieu and Morris Claiborne both received first-team AP All-American honors, marking the first time two CBs from the same school shared first-team honors. Punter Brad Wing made first-team as well, with guard Will Blackwell was named to the second-team. Defensive End Sam Montgomery earned third-team honors.
Hornets Trade Paul, Receive 4 Players In Return
The New Orleans Hornets have made a three team trade that will send All-NBA point guard Chris Paul to the Los Angeles Lakers. The Houston Rockets would receive All-Star power forward Pau Gasol. The Hornets will receive Lamar Odom from the Lakers, PF Luis Scola, SG Kevin Martin, and PG Goran Dragic from the Rockets, and a draft pick.
NFL 2011 Season – Week 11 Preview
NCAA College Football – Week Seven Recap
NFL 2011 Season – Week Two Preview
After players used week one of the 2011 NFL season to reward the football faithful with NFL records for passing yards, special-team return touchdowns and sacks, week two brings several early season games that could be future playoff, or, perhaps, conference championship previews. With temperatures turning fall-like in the east, fans will likely be treated to great football in near-perfect football weather.
College Football Top 25 Weekend Recap – Week Two
While many of this weekend's games were just tune-ups for showdowns to come, there were several great battles to keep things exciting, including Michigan's last-second win over Notre Dame, South Carolina's shootout victory over Georgia and Auburn stuffing Mississippi State at the goal line to win their 17th straight game.
With that, here are the highlights from the top 25 and other games of interest this week:
QB Trade Market Can Be Deceptive
Before the NFL lockout began 118 days ago, the Seattle Seahawks reportedly offered the Philadelphia Eagles a trade package that included a first-round pick in exchange for quarterback Kevin Kolb. Matt Hasselbeck is set to become a free agent when the lockout is lifted, and Charlie Whitehurst is not starter material. However, a look at the recent history of trades for quarterbacks might make the Seahawks reconsider their offer for Kolb.


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June 27, 2015
Exploring the Heritage Vineyards of Sonoma County: A Trip Well Taken Cohn Vineyard Bacigalupi Paris Tasting Block Rochioli Vineyards & Winery West Block Lynmar Estate Quail Hill Vineyard Dehlinger Winery Old Vines Pellegrini Wine Co. Olivet Lane Vineyard Hanzell Vineyards The Ambassador's 1953 Vineyard Patz & Hall Sonoma House Visit & Tasting with James Hall Hyde Vineyard Saturday Night Dinner Bacchanal Pinot Briefs A Reader's Letter Brightens My Day
One of the real joys in life is browsing a wine store filled with a cache of Pinot Noirs, handling the bottles, reading the labels and purchasing a wine that lacks a recognizable name but seems to hold promise. Anticipation follows and if you are lucky, a big smile breaks out on your face when you take that first sip. This happened to me recently when I came across Kasuari Pinot Noir.
Kasuari is a rare and dangerous flightless bird that inhabits Indonesia, New Guinea and Australia. It belongs to the family of birds known as Cassowaries from the Indonesian name Kasuari. The third largest bird in the world, it has the capability of killing humans, but fortunately prefers to eat snails, snakes, frogs and fruit.
I asked Michael Peters, who along with Drake Johnson founded this label in 2004, why he chose this name. His response was, "Kasuari is a rare bird, perfection and paradise all in one… .i.e. do it well and enjoy it more!" Now if you can figure that out let me know. Michael has been crafting wine for fifteen years and this label is the result of him "simply chasing his dream to make great wines and enjoy them with every one!" His cousin, Randy Peters, farms the Peters Vineyard located in south Sebastopol, the site of a former apple orchard. The soil is loamy Goldridge type and the clone is Pommard.
Kasuari wines (they also produce a Rosé, Zinfandel and Cab) are available on the website. The phone is 707-322-7055.
Articles About Kasuari
Reviewed Wines
2006 Kasuari Peters Vineyard Sonoma Coast Pinot Noir
14.1% alc., 48 cases, $30. Aged 15 months in 50% new French oak barrels. Unfined and unfiltered. · The nose is shy but sexy featuring red fruits and roseate aromas. Delicious strawberry and cherry fruit are carried on a light and elegant frame. The lingering strawberry-scented finish is flamboyant and vivid with just the right amount of acidic tang. No tannins in sight. This is what Pinot Noir should be, but so often isn't. If you like strawberries, this is your wine. I'm buying more of this one for drinking now. Reviewed February 18, 2008 ARTICLE »
2006 Kasuari Peters Vineyard Sonoma Coast Pinot Noir
14.1% alc., $30. · Wilted red roses and red cherries in the nose and a dazzling dose of strawberry and cherry fruit which lingers on the finish for over ten seconds. No tannin in sight. Ready now for prime time. What Pinot Noir should be, but so often isn't. Reviewed April 7, 2008 ARTICLE »
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Daniel Cremer Plus
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put this on 4 video comments within 15 mins,if u do, sum one u love will surprise u sum how!! If u don't , u will lose ur love.!!.
OMG WOW!!! did you see the ghost at 2:21?? it's sooo f****** scary!!!
Daniel Cremer is an artist-assemblage, established 1983 in West Germany. Daniel has been practicing theatre, opera and social sculpture as a director at various theaters since 2006, at first at Schauspiel Köln, where he also worked as an assistant director, later at Theater Heidelberg and most recently at Junges Schauspielhaus Düsseldorf, HAU Berlin und Studio Я / Maxim-Gorki-Theater.
Daniel's work as a performance artist intervenes at the intersection of theatre and reality, using means like simulation, re-enactment, travesty and the distortion of language, seeking to examine, alienate and challenge seemingly familiar situations and established social institutions. Under the label Talking Straight, Daniel has been disassembling coachings, conferences, seminars, theatre festivals, religious rituals, school books, a gay pride parade and guided tours in broken English, misspelled German and Fremdsprache, an invented foreign language. Venues include Dockville Kunstcamp Hamburg, Berlinische Galerie, Theater Bremen and, among various smaller gallery spaces, at nGbK and Basso in Berlin-Kreuzberg. Academic invitations made him perform at TU Berlin and Viadrina University Frankfurt (Oder).
Aussöhnen mit Deutschland II
Erstes anonymes Treffen der Menschen mit Meditationshintergrund
Studio R, Maxim-Gorki-Theater Berlin
26. & 27. März 2015, 20:30 h


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ATTENTION RIC STUDENTS: If you can no longer log into RIC email, Blackboard or MyRIC, visit the Student Account Page.
Writing in the Discipline
Each department has identified a required course or courses at the 200-level or above within the major in which students learn to write for that discipline. Since writing is integrated into the disciplinary program students meet this requirement in the process of completing their majors.
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Real-world profilers have to be careful, and are, not to indulge in facile ethnic, racial or religious "profiling."
So subsequent headlines made a facile connection with media violence.
Then I picked up a book that shredded my facile preconceptions—Hard Stuff: The Autobiography of Mayor Coleman Young.
resourceful, quick; expert
Latin facilis 'easy to do'
late 15c., from Middle French facile "easy," from Latin facilis "easy to do" and, of persons, "pliant, courteous," from facere "to do" (see factitious).
Latin, literally "easily first." An acknowledged leader or chief.


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Supernatural: Meetings with the Ancient Teachers of MankindPaperback
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- Publisher: Disinformation Company
- Format: Paperback | 480 pages
- Dimensions: 142mm x 229mm x 38mm | 612g
- Publication date: 1 October 2007
- Publication City/Country: New York
- Edition: Revised
- Edition statement: Us REV ed.
- Sales rank: 97,359
Product description
Less than fifty thousand years ago mankind had no art, no religion, no sophisticated symbolism, no innovative thinking. Then, in a dramatic and electrifying change, described by scientists as "the greatest riddle in human history," all the skills and qualities that we value most highly in ourselves appeared already fully formed, as though bestowed on us by hidden powers.In "Supernatural" Graham Hancock sets out to investigate this mysterious "before-and-after moment" and to discover the truth about the influences that gave birth to the modern human mind. His quest takes him on a detective journey from the stunningly beautiful painted caves of prehistoric France, Spain, and Italy to rock shelters in the mountains of South Africa, where he finds extraordinary Stone Age art. He uncovers clues that lead him to the depths of the Amazon rainforest to drink the powerful hallucinogen Ayahuasca with shamans, whose paintings contain images of "supernatural beings" identical to the animal-human hybrids depicted in prehistoric caves. Hallucinogens such as mescaline also produce visionary encounters with exactly the same beings. Scientists at the cutting edge of consciousness research have begun to consider the possibility that such hallucinations may be real perceptions of other "dimensions." Could the "supernaturals" first depicted in the painted caves be the ancient teachers of mankind? Could it be that human evolution is not just the "meaningless" process that Darwin identified, but something more purposive and intelligent that we have barely begun to understand?
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Author of the major international bestsellers "The Sign and The Seal," "Fingerprints of the Gods" and "Heaven's Mirror," Hancock's books have sold more than 5,000,000 copies and have been translated into 27 languages. His TV appearances and lectures have put his ideas before audiences of tens of millions. "Hancock has invented a new genre" (The Guardian).
Review quote
"Graham Hancock is no stranger to controversy. The former journalist, whose books have sold five million copies in the past 10 years, has repeatedly dared to challenge scientific shibboleths, taking a run at entrenched thinking in archaeology, geology and astronomy." -The Globe and Mail


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