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What to do when someone dies checklist | nidirect
Steps to take when someone dies with links to related articles - relevant for executors, administrators, family and friends
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People Who Liked This Video Also Liked
Audi R8 V10 vs Jeep SRT-8 vs Nissan GT-R
Audi R8 V10 vs Jeep SRT-8 vs Nissan GT-R
Audi R8 V10 VS Jeep grand cherokee SRT8
HD - Challenger SRT8 VS Jeep SRT8
Jeep Grand Cherokee SRT-8 Supercharged vs BMW X6M Stage 2
Did this video help you?
амир акишев: просто охуеть)
Lubo Mesaros: nissan gtr is power ! ...car the world !
Kaundike Dias: Buy Gt-r, 2 pax highways only,
buy jeep 5 pax (if have u can load them in the boot comfortably) you can go any were .
even u can take the campervan with u..
GT-R is good, but it's a crap comparing with Jeep SRT
TheRezume: Всётаки СРТэхи пришлось отсосать у ГТРа)
Kerry Alex: That jeep aint no pushover
Gamer Buri: átverés
Alex Sur: GTR
David Sloan: Where is this track? How many people wish they had the real estate to build a track like this in their backyard?
BrawndoScream: That's one bad ass Jeep. However, the second there's a curve, bye bye.
Jugnu Umair: I love GTR Japanese GODZILA
ДЕД ПЕРДЕД: по динамике бмв далеко до этих авто
David Wainaina: JEEP SRT8 VS R8 V10 + NISSAN GTR + X6M: http://youtu.be/6ydG9jVC7Rc
Олег П: литров 10 за один заезд зжигает, сколько там 400м
Darren Harbrow: American POS got spanked by the GTR. Love to see it roll over at a race track..........
Focfashion Foc: ok jeep done rally well on the race track which is the other cars environment now let go off road i bet we would even see site of then jeep overall good machine on or of road
AbRaHeM BM: poor jeep vs GTR :D
Luke Donnelly: Im suprised that jeep didn't catch fire and explode like so many other jeeps have.
David Sloan: FOR ALL THAT TALK crap ABOUT THE SRT8.. Look at the ET of the GTR vs SRT8. Then factor in the jeep weighs almost 5000lbs.. You do the math
zoomzoom909: Audi was sleeping at the line
JEEP SRT8 VS R8 V10 + NISSAN GTR + X6M 5 out of 5

subset: commoncrawl


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Star by Julien Macdonald Round faceted mirror
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Only stayed one day due to a Christmas party on this coast. Check in was quick, they upgraded us to a king size suite, which was nice with it's little living room and desk. Beds were great, room very clean. The only thing I wish they would change is the bathroom. Our's was large, but it had a narrow bathtub and hubby is a big football type guy. It was quite funny with him wrestling with the plastic sheet stuck to his body. Marriottt....please, please update your bathrooms to have a large shower stall !!!
We did not have breakfast there, since we had plans elsewhere. Check-out was quick and great. No annoying maids bamming on your door at 7:00 am either. Staff seemed very well trained, and spoke very good English, even the late night staff.
Yes, there is no on site parking. All the web sites for this hotel tell you that. But, it was fairly priced at $10, and the valet service was quick. Miami parking for $10.00 is a steal ! Trust me!
Overall, a great stay. Dadeland mall is right around the corner, Dixe Highway is right around the corner....great location, great hotel !
- Reservation Options:
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- Also Known As:
- Courtyard Miami Dadeland Hotel Miami
- Miami Courtyard
- Miami Marriott


text:
NAD News
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Federalism Enumerated Powers to Concurrent Reserved powers for national Powers to state governments: government: national and 1. Establish schools state 1. Coin money governments: 2. Marriage/divorce 2. Regulate interstate laws 1. Raise taxes and foreign trade 3. Regulate trade 2. Borrow money 3. Armed forces within the state (declaring war) 3. Provide for All powers not public welfare 4. Creation of federal specifically granted courts 4. Administer to the federal govt criminal justice are reserved for the states The Legislative Branch Congress House of Representatives Senate 435 members 100 members Represent portions of Two from each state the state Represent the whole Apportionment state – No state can gain rep unless one loses one Speaker of the House = Elected by other members House of Representatives 25+ years old US Citizen for 7 years Resident of the state Serve 2 year terms Can be elected unlimited times Senate 30+ years old US citizen for 9 years Resident of the state Serve 6 year terms – Terms are staggered so seats are up for election every 2 years Can be elected unlimited times What can Congress do Make nation's laws Control federal spending Ratifies treaties Confirm presidential appointments Can override veto Monitors Executive Branch House of Reps can impeach – Senate acts as court The Judicial Branch Judicial Branch District Courts – Lowest level of federal court system – Criminal and civil cases – 91 districts courts (1 in every state) Appellate Courts (appeal courts) – Losing side of district court hearing can appeal – 14 appeals courts in US The Supreme Court – Final authority in the federal court system – Most of Supreme Court cases are from appeals of lower courts – Only cases involving foreign ambassadors or disputes between states can begin in Supreme Court Supreme Court 9 total Judges Appointed for life = retires or passes away Not influenced by political parties No requirements = although every judge has been attorney What can Judicial Branch do Not described in much detail in Constitution Declare acts unconstitutional Declare executive actions unconstitutional Judicial review = gives Supreme Court the ultimate authority to interpret the meaning of constitutional provisions. Explain how words of Constitution apply today The Executive Branch Who is in the Executive Branch? President Vice President Cabinet Members – Department Secretaries The President 35+ years old Born in The United States U.S. resident for at least 14 years Americans vote every four years for President and Vice President 2 term limit VP takes over for President – Dies – Impeached – Resigns What a President can do Veto laws Executive orders – Command that has power of law Pardons – Freedom from punishment Arranging treaties Foreign relations Chooses department heads (Cabinet members) – Congress must approve Lyndon B. Johnson Quote "What a President says and thinks is not worth five cents unless he has the people and Congress behind him. Without the Congress I'm just a six-foot-four Texan. With Congress I'm President of the United States in the fullest sense." What does Lyndon B. Johnson mean by this quote?
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"The Executive Branch"Please download to view full document


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Gunmetal Black Ep 01
episode 14.25 / 5.00 4,774 Views
Lucina's First Day
A look at the first day of Lucina in Super Smash4.25 / 5.00 15,300 Views
BATMAN v SUPERMAN final showdown
SPOILERS!!4.18 / 5.00 14,035 Views
Larry, what the fuck is this?
5 Stars
its awesome very funny :D
is okay
The plot seems like it took 8 seconds to come up with, and it wouldn't hurt to improve your voice for the situation. I understand you're barely starting and I like your attempt at being random. But it doesn't help when you're so random nothing makes sense.
Uh-huh, the ".swf" messed up the lip-synch. Suuuure....
overall, this cartoon is insubstantial.


text:
A post-occlusion chamber collapse canceling system for a surgical apparatus that detects the breaking of occlusions by tissue fragments in the distal end of the aspiration path and produces a response consisting in a transitory blockage of the distal end the aspiration path to terminate the chamber collapse and a transitory venting of the aspiration line to relieve the vacuum, in a way that post-occlusion chamber collapses are cancelled.
1. A post-occlusion eye chamber collapse canceling system for a surgical apparatus comprising:
a) an aspiration system,
b) control means,
c) occlusion-break detecting means capable of detecting the breaking of occlusion at the distal end of said aspiration system,
d) aspiration line occluding means capable of occluding said aspiration system under command of said control means,
e) aspiration line vacuum relieving means to reduce vacuum in said aspiration system under command of said control means,
whereby when said control means receive a signal from said occlusion-break detecting means informing that an occlusion-break has occurred in said aspiration system said control means can temporarily activate said aspiration line occluding means and said aspiration line venting means in a way that collapses of said eye chamber occurring after occlusion-break events are terminated.
2. Said occlusion-break detecting means from
3. Said occlusion-break detecting means from
4. Said occlusion-break detecting means from
5. Said occlusion-break detecting means from
6. Said aspiration line occluding means from
7. Said aspiration line occluding means from
8. Said aspiration line occluding means from
9. Said aspiration line vacuum relieving means from
10. Said aspiration line vacuum relieving means from
11. Said aspiration line vacuum relieving means from
12. Said temporary activations of
13. Said temporary activations of
14. Said temporary activations of
15. Said temporary activations of
16. Said temporary activations of
17. Said control means of
18. Said control means of
19. Said control means of
20. A method for terminating post-occlusion chamber collapses of an eye chamber while using a tissue removal apparatus comprising the steps of:
a) providing occlusion-break detecting means,
b) providing control means,
c) providing aspiration line occluding means,
d) providing aspiration line vacuum relieving means,
e) having said control means process an occlusion-break signal from said occlusion-break detecting means and eventually activate said aspiration line occluding means and said aspiration line vacuum relieving means in a temporary fashion canceling chamber collapses secondary to occlusion-breaks.
This invention generally relates to the field of surgery inside a collapsible body chamber and more particularly to a lens removing surgical apparatus.
The human eye in its simplest terms functions to provide vision by transmitting light through a clear outer portion called the cornea, and focusing the image by way of the lens onto the retina. The quality of the focused image depends on many factors including the size and shape of the eye, and the transparency of the cornea and lens. When age or disease causes the lens to become less transparent, vision deteriorates because of the diminished light which can be transmitted to the retina. This deficiency in the lens of the eye is medically known as a cataract. An accepted treatment for this condition is surgical removal of the lens and replacement of the lens function by an artificial intraocular lens (IOL).
Optical aberrations such as myopia, hyperopia, astigmatism and presbiopia can also be corrected by the removal of the natural lens of the eye and the implantation of suitable IOL in a procedure known as refractive lens exchange identical to the cataract surgery procedure, except for the fact that the lens material is usually easier to remove. The best current standard of care procedure to remove cataractous lenses or perform a refractive lens exchange is a surgical technique called phacoemulsification. During this procedure, a hollow phacoemulsification probe is inserted into the eye though a small incision. The tip of the probe is placed in contact with the lens material and the tip is vibrated ultrasonically. The vibrating probe tip liquefies or emulsifies the lens material so that the lens content may be aspirated out of the eye. The lens content, once removed, is replaced by an artificial lens preferably placed inside the lens capsule bag.
A typical phacoemulsification surgical device suitable for ophthalmic procedures consists of an ultrasonically driven hand piece, an attached hollow lensectomy probe, a surrounding coaxial irrigating sleeve and a control console. The hand piece assembly is attached to the control console by electric cables and by flexible irrigation and aspiration tubing. Through the electric cables, the control console provides power to the actuator in the hand piece that is transmitted to the attached lensectomy probe. The flexible tubing supply irrigation fluid to and draw aspiration fluid from the eye through the hand piece assembly. Alternative methods for lens fragmentation currently available consider sonic wave, water-jet and laser powered lens disrupting hand pieces. The irrigation and aspiration systems of these alternative lens removing methods typically operate similarly to standard ultrasonic phacoemulsification.
The operative part of ultrasonic hand pieces is a centrally located, hollow resonating bar or horn directly attached to a set of piezoelectric crystals. The crystals supply the required ultrasonic vibration needed to drive both the horn and the attached probe during phacoemulsification and are controlled by the console. The crystal/horn assembly is suspended within the hollow body or shell of the hand piece by flexible mountings. The hand piece body terminates in a reduced diameter portion or nosecone at the body's distal end. The nosecone is externally threaded to accept the irrigation sleeve. Likewise, the horn bore is internally threaded at its distal end to receive the external threads of the probe. The irrigation sleeve also has an internally threaded bore that is screwed onto the external threads of the nosecone. The hollow probe is adjusted so that the probe tip projects only a predetermined amount past the open end of the irrigating sleeve. Ultrasonic hand pieces and cutting tips are more fully described in U.S. Pat. Nos. 3,589,363; 4,223,676; 4,246,902; 4,493,694; 4,515,583; 4,589,415; 4,609,368; 4,869,715; 4,922,902; 4,989,583; 5,154,694 and 5,359,996, the entire contents of which are incorporated herein by reference.
In use, the distal end of the lensectomy probe and irrigating sleeve are inserted into a small incision of predetermined width in the cornea, sclera, or other location. The probe tip is ultrasonically vibrated within the irrigating sleeve by the crystal-driven ultrasonic horn, thereby emulsifying the selected tissue in situ. Axis of vibration of the probe tip can be longitudinal, torsional or a combination. One of the advantages of the torsional system is reduced heat generation at wound level with reduced risk of incision thermal injury. The hollow bore of the probe communicates with the bore in the horn that in turn communicates to an aspirate out port in the hand piece. A reduced pressure or vacuum source in the console draws or aspirates the emulsified tissue from the eye through the probe and horn bores and the flexible aspiration line and into a collection device.
The aspiration of emulsified tissue is aided by a flushing solution or irrigant that enters into the surgical site through the small annular gap between the inside surface of the irrigating sleeve and the outer surface of the probe. The flushing solution is typically a saline solution and enters the surgical site with a positive pressure created gravitationally or by forced infusion means, such as an adjustable pressurized gas source. Typical irrigation pressures are set between 40 and 130 cmH2O. The preferred surgical technique is to make the incision into the anterior chamber of the eye as small as possible in order to reduce the risk of induced astigmatism. Up to date these small incisions have had typical widths between 3.5 and 1.8 mm and result in very tight wounds that squeeze the coaxial irrigating sleeve tightly against the lensectomy probe. Friction between the coaxial irrigating sleeve and a vibrating probe generates heat, and probe overheating causing a burn to the tissue is avoided by the cooling effect of the aspirated fluid flowing inside the probe. Occasionally the probe tip becomes occluded with tissue reducing circulation of the cooling aspirate and allowing the probe to build up heat with the risk of thermally damaging the incision.
An alternative technique called Micro Incision Cataract Surgery (MICS) has become popular as it allows further reductions of the incision dimensions. The main aspect of this technique is that the irrigant is no longer delivered into the eye through a coaxial irrigating sleeve located surrounding the lens disrupting hollow probe. With MICS a second irrigating instrument delivers the irrigant solution into the eye through a second small incision. The bare phacoemulsification probe is introduced without any surrounding sleeve through a tight, low leakage, micro-incision having a width in the range of 0.8 to 1.5 mm. The separate irrigating instrument is introduced through another incision having similar characteristics and dimensions. In this way, the MICS technique delivers the irrigant through a hollow instrument inserted into the eye through a second micro-incision. Aspiration of lens fragments and irrigant solution takes place through the aspiration channel of the hollow vibratory probe. The increasingly small incisions currently used in the micro coaxial phacoemulsification technique as well as in the MICS technique limit the flow of irrigant into the eye determining the use of low aspirate flow rates to avoid a negative fluidic balance that can progressively collapse the eye.
When fragments of cataractous tissue occlude the tip of the lensectomy probe, the aspiration pump remains operating and builds a vacuum in the aspiration line. This occlusion typically clears by the action of the built up vacuum aided by vibration of the lensectomy probe. An unwanted phenomenon known as post occlusion surge can occur when the occlusion clears. This phenomenon results in a transient collapse of the anterior chamber of the eye typically lasting fractions of a second. Post occlusion surge creates unstable surgical conditions such as anterior chamber shallowing, pupil contraction and corneal instability, all events that can lead to serious complications such as posterior capsule rupture, vitreous loss and lens luxation. The events that lead to chamber instability are as follows: When the tip of the lensectomy probe becomes occluded by lens fragments, the vacuum that builds up inside the aspiration line contracts the walls of the elastic aspiration tubing. Also, the built up vacuum expands eventual bubbles circulating in the aspirate fluid. These two phenomena add up a volume void. Once the occlusion becomes cleared, the gradient between the positive pressure inside the eye chamber and the negative pressure inside the aspiration line determines a fast inrush of liquid circulating from within the eye chamber toward the aspiration line through the now cleared aspiration probe. This inrush ends after the contracted tubing walls re-expand and the expanded bubbles are collapse due to the dropping vacuum. This inrush of liquid may exceed the rate of infusion of irrigant into the eye leading to a transient chamber collapse. As a mode of example, an occlusion-break occurring at a vacuum level of 500 mmHg can produce a transient inrush of fluid at a flow rate above 80 ml/min during a fraction of a second. A transient chamber collapse will occur until the irrigation solution refills the eye chamber and dynamic fluidic equilibrium is restored.
Several strategies have been implemented to attempt diminish the chamber collapse that results from the post occlusion surge phenomenon. To mention some, a) reduction of the maximum allowed vacuum level in the aspiration line, b) increase in the pressure of the irrigant solution, c) prevention of total occlusion by the incorporation of a small bypass port at the sidewall of the lensectomy probe, d) use of aspiration line tubing made from flexible but non-contracting polymers, e) use of high bore tubing in the irrigation line, f) splitting of the irrigation tubing to infuse the irrigant through two incisions, g) use of a particle retainer filter flowed by a narrow fluid passage in the aspiration line (Cruise Control System, Staar, USA), h) predicting that an occlusion-break will occur after a preset interval of occlusion (vacuum rise) and reversing operation of the aspiration pump to set a lower vacuum level before the occlusion actually breaks (CASE enabled, WhiteStar Signature System, AMO, USA). The method of increasing the pressure of irrigant solution delivered by an irrigation probe may indeed help to attenuate the magnitude of post occlusion-break chamber collapses. However there is concern about using techniques that increase the irrigant pressure to reduce the post occlusion surge phenomenon because of the risks of chamber instability, pupillary dilatation and contraction, ocular pain, hydration of the vitreous, optic nerve damage, herniated iris and others. Active infusion methods that pressurize the irrigant have been proposed but have the added risk of creating an overpressure inside the eye leading to serious complications.
Although the aforementioned techniques may help to reduce the problems associated with the post occlusion surge phenomenon, the increasingly popular tendency to reduce the size of the incisions makes all these measures less effective. In fact post occlusion surge is still a limiting factor to perform a more efficient lensectomy procedure, for example using higher vacuum levels what would allow removal of the lens using lower amounts of lens disrupting energy such as ultrasound, in less time, with lower amounts of irrigant solution.
From a medical standpoint, it would be ideal to perform a lensectomy procedure using the lowest amounts of irrigant solution and the lowest amount of lens disrupting energy. Both, irrigant solution circulation and lens disrupting energy are known to produce surgically induced trauma, such as endothelial cell loss. Therefore, a need continues to exist for an effective post-occlusion chamber collapse canceling system for lens removing surgical apparatus, especially to perform micro-incision cataract surgery.
The present invention improves upon the prior art by providing an post-occlusion chamber collapse canceling system for a surgical apparatus including a control system that prevents the anterior chamber instability associated with the phenomenon of post occlusion surge. This capability is achieved by detecting the occlusion-break events and by a) activating a transitory actuator mediated occlusion in the aspiration line, preferably in proximity to the hand piece, and b) activating a transitory actuator mediated vacuum relieving action. The vacuum relieving action can be in the form of a venting operation, reverse operation of the aspiration pump or other means for vacuum cancellation in the aspiration line. The incorporation of this control system in a surgical apparatus virtually eliminates the instability of the anterior chamber that results from post occlusion surges.
This system allows an operator to safely perform lens exchange procedures through very small incisions using low aspiration flow rates, high vacuum limit levels and low irrigant pressure levels, all factors that reduce surgical trauma. During the period in which the actuator mediated aspiration line blockage is active, lens disrupting energy delivered to the lensectomy probe can be adjusted in a direction that prevents thermal injuries related to poor probe cooling due to blocked outflow. Micro-coaxial phacoemulsification probes, bimanual micro-incision lensectomy probes, laser phacolysis probes, water jet based liquefracture probes, vitrectomy probes and other kinds of irrigation/aspiration probes used during eye surgery may all benefit from this invention.
Accordingly, one objective of the present invention is to provide a post-occlusion chamber collapse canceling system for a surgical apparatus that maintains a stable anterior chamber after occlusion-break events while using high vacuum levels together with small incisions.
It is another objective of the present invention to provide a post-occlusion chamber collapse canceling system for a surgical apparatus to perform cataract surgery that allows reducing tissue disruptive energy such as ultrasound, liquefracture energy and laser energy.
It is another objective of the present invention to provide a post-occlusion chamber collapse canceling system for a surgical apparatus to perform cataract surgery with reduced amounts of irrigant solution.
It is another objective of the present invention to provide a post-occlusion chamber collapse canceling system for a surgical apparatus that allows performing cataract surgery using low infusion pressure with improved eye chamber stability.
It is still another objective of the present invention to provide a post-occlusion chamber collapse canceling system for a surgical apparatus that allows performing perform cataract surgery more efficiently reducing the operative time.
These and other advantages and objectives of the present invention will become apparent from the detailed description and claims that follow.
As shown in
An irrigant pressure sensor 53 is operably connected to irrigation line 18 at console 11 to inform control module 50 about pressure of the irrigant solution through a cable 84. Fluid and tissue fragments can be aspirated from inside the eye by a vacuum force produced by aspiration pump 26 which is in fluid communication with the eye chamber through an aspiration line 22, hand piece 12 and hollow lensectomy probe 14. Vacuum in aspiration line 22 is monitored by control module 50 using a vacuum sensor 56 connected through a cable 88 usually located at console 11.
Fluid is aspirated into pump 26 through a pump input 24 and exits pump 26 as waste fluid through a pump output 28 across a waste fluid channel 64 into a waste fluid receptacle 30. The aspiration system described above includes an aspiration path 23 conformed by the aspiration fluid channel determined in sequence through lensectomy probe 14, hand piece 12, aspiration line tubing 22 and pump input 24. Pump 26 is typically a peristaltic or Venturi pump. An operator can instruct CPU 50 through user interface 48 to activate a power driver 52 to apply power to power actuators 60 inside hand piece 12 through a power cable 59. The energized actuators 60 transmit energy to hollow probe 14 delivering a lens tissue disruptive energy to disrupt the lens tissue allowing aspiration through the distal opening of hollow probe 14.
A venting liquid deposit 58 holds irrigant derived from pump output 28 that can serve as a source of venting fluid for a venting valve 57 actuated by control module 50 through a cable 66. Cable 66 can also provide a valve 57 status signal back to control module 50. Valve 57 provides aspiration line vacuum relieving means usually opening temporarily to relieve eventual vacuum inside aspiration path 23 after cycles of aspiration.
Deposit 58 is typically at atmospheric pressure but a pressurized source of venting fluid, preferably liquid, can also be implemented. User interface 48 operation typically includes a sequence of at least four distinctive command positions usually using a foot pedal as the input device. Position 0 is idle, 1 is only irrigation delivered to the eye, 2 is irrigation and aspiration, 3 is irrigation, aspiration and disruptive energy applied to tissues through hollow probe 14 inside the eye. Prior art system 10 may be a commercially available surgical console such as the Infiniti Surgical System from Alcon Laboratories, USA. Control module or CPU 50 may be any suitable microprocessor, micro-controller, computer or signal processor. Control module or CPU 50 exchanges data signals with user interface 48 through connector 90.
The post-occlusion chamber collapse canceling system for a surgical apparatus of the present invention incorporates the elements described above for the prior art system illustrated in
A valve-and-sensor fixture 400 can be implemented to accommodate occlusion valve 270 in a way that tubing 278 can be removably attached, for example as part of a disposable tubing set. In general aspiration line 22 should be made of a flexible material with a low contraction index with applied internal vacuum to allow faster response time of the present invention. The segment of collapsible elastic tubing 278 introduced for operation of pinch valve 277 should have the smallest allowable length not to degrade performance. An 8 mm segment of silicone tubing with an inner diameter of 1.6 mm and outer diameter of 3.2 mm has operated well while practicing this invention. Other forms of occlusion valves can be considered.
Depicted in
The principle of operation is based on the fact that after an occlusion-break event occurs, there is a rapid drop in vacuum in the aspiration system. The rate of change of pressure dP/dt provides information about the timing and about the prospective magnitude of the post occlusion surge being detected. Control module 50 can use the onset and the magnitude of the dP/dt signal provided by sensor 300 to compute the beginning and duration of the chamber collapse canceling response. The faster an occlusion-break event is detected, the faster the compensating actions can be started improving performance.
Practicing this invention has taught that the location of sensor 300 is determinant in the delay observed between the actual occlusion-break and the detection signal provided by sensor 300. When using a dP/dt sensor as sensor 300 installed in aspiration path 23, the response time increases with increasing distance between the site of occlusion-break and sensor 300 location. Installing occlusion-break sensor 300 inside hand piece 12 or at the distal portion of aspiration line 22 rendered optimum results. In a preferred embodiment shown in
Shown in
Fixture 400 can be a stand alone unit or it can be integrated to a surgical hand piece 12. Collapsible tubing 330 is selected to preserve a patent fluid channel and remain in effective contact with load cell 320 across the full range of vacuum levels produced by aspiration pump 26. The minimum possible inner diameter of tubing 330 should preferably be above 1.5 mm to avoid clogging by solid particles. A silicone tubing segment of about 8 mm having 3.2 mm ID and 4.8 mm OD has shown to be operative for practicing this invention. Fluctuations in pressure inside the lumen of tubing 330 typical of occlusion-break produce an expansion of the walls of tubing segment 330 exerting a force over load cell 320 that is a function of vacuum at that location. Load cell 320 produces an electrical signal that is proportional to the force detected from tubing 330 walls. This signal is transmitted across cable 310 to control module 50 for processing.
One advantage of using this load cell and elastic tubing approach for occlusion-break sensor 300 is that the more expensive load cell can be integrated into a non disposable element fixture 400 or hand piece 12, while the inexpensive elastic tubing can be integrated into a disposable tubing set. Alternatively to tubing segment 330 and for improved performance, a differentiated portion including an elastic element such as a chamber with elastic walls can be designed to get in contact with load cell 320 such as a bellows region or a diaphragm region to transmit a force to load cell 320 that is a function of the vacuum in aspiration path 23.
In general terms, sensor 300 must be accurate to detect the timing of the occlusion break event, but not necessarily accurate to provide a proportional signal to dP/dt. This because aspiration line vacuum sensor 56 is typically well calibrated and can complement vacuum information to control module 50. Other kinds of sensors capable of timely detecting the occlusion break events can be used, such as vacuum sensors, pressure sensors, position sensors, acceleration sensors, thermal dilution flow sensors, ultrasonic flow sensors. These sensors could also be installed in the distal portion of aspiration path 23 to operate as occlusion-break detector 300, the output signal being converted to an estimated dP/dt value using electronic or digital differentiating means.
Alternatively, occlusion sensor 300 could only provide a digital ON-OFF output signaling the occurrence of an occlusion break to control module 50, and the vacuum at occlusion break onset information can be extracted from aspiration line vacuum sensor 56. Occlusion-break events also propagate a pressure wave upstream into irrigation line 18. For this reason sensor 300 in the form of a dP/dt sensor could be installed in irrigation line 18 although this approach proved less reliable and with increased response time.
During a typical lensectomy procedure, an operator introduces irrigation and aspiration probes 16 and 14 inside the eye through one small incision 94. Alternatively, irrigation and aspiration probes 16 and 14 can also be introduced through separate incisions. The cataractous lens of the eye can be divided into fragments. The tip of lensectomy probe 14 is put in contact with the lens tissue and lens disrupting power can be applied typically in the form of ultrasonic vibration of the probe tip. Sometimes, the lens tissue can be removed by vacuum only. Setting console 11 foot pedal in positions 2 or 3 makes control module 50 to command having venting valve 57 closed, infusion valve 54 open and aspiration pump 26 operating up to a preset vacuum limit. With foot pedal in positions 2 or 3, when a lens fragment occludes the lensectomy probe tip, flow in the aspiration path 23 drops and vacuum can increase up to the maximum preset level.
In prior art systems, clearing of the probe tip from lens fragments allows fluid to escape the eye through aspiration path 23 at a rate faster than the rate at which irrigation probe 16 can replenish the eye, resulting in a chamber collapse caused by the post occlusion surge. Practicing the present invention, when occlusion-breaks at lensectomy probe 14 distal end, occlusion-break sensor 300 detects the onset and eventually also the magnitude for example of a vacuum drop in aspiration path 23, by providing a dP/dt signal to control console 50. On arrival of this signal reporting that an occlusion-break event has occurred, control module 50 can start an occlusion-break control response. This response can consist in the following actions:
1) Commanding temporary closure of occlusion valve 270 by delivering at least one closing signal. Closure of occlusion valve 270 blocks the passage between hollow lensectomy probe 14 and aspiration line 22, stopping any fluid and particles from further escaping the eye through aspiration path 23. This action cancels the surge flowing out of the eye. Occlusion valve 270 should be fast operating, ideally with a response time below 40 milliseconds both for opening and closure for improved performance.
2) About simultaneous with closure of occlusion valve 270 (action 1), control module also commands the temporary opening of venting valve 57, allowing free flow of liquid between venting liquid deposit 58 and aspiration path 23. After closure of the fluid communication between the eye chamber and aspiration path 23 by occlusion valve 270 (action 1), aspiration path 23 proximal to valve 270 can retain an unrelieved negative pressure. Opening venting valve 57 (action 2) produces a rapid cancellation of this negative pressure by allowing a volume of fluid to displace by pressure gradient from venting liquid deposit 58 into aspiration line path 23. This flow terminates when the pressure difference across valve 57 equalizes. Venting valve 57 should be fast operating, ideally with a response time below 40 milliseconds both for opening and closure for improved performance. Operation of aspiration pump 26 can be modified by control module 50 for about the duration of occlusion valve 270 closure to expedite the vacuum cancellation effect of venting valve 57. This modification can consist in a slow down, detent or even reverse operation. After ending of the occlusion and venting actions, the speed of pump 26 can be transitorily increased above normal for enhanced performance.
3) Control module 50 determines an optimal duration for the activation signals delivered to occlusion valve 270 and venting valve 57 (actions 1 and 2). These signals should be of the minimum effective duration in a way that chamber collapses are effectively cancelled while still allowing the system to resume normal operation rapidly. Control module can deliver fixed duration driving signals for valves 270 and 57. Alternatively, control module 50 can compute the duration of driving signals for valves 270 and 57 for improved performance, using for example the vacuum present at the onset of the occlusion break. As a mode of example, an algorithm that proved efficient to compute the duration of the driving signal for valves 270 and 57 in a particular setting was the following:
Finally, control module 50 can use a feedback loop to operate valves 270 and 57 until a determined level of vacuum in aspiration path 23 is achieved. The onset and duration of the driving signal for valves 270 and 57 can be synchronous or not. For computation of the optimal duration of these signals for effective pressure equalization, control module 50 can take into consideration factors such as lensectomy probe 14 resistance to flow, aspiration line 22 elastic properties, vacuum level at the onset of the occlusion-break provided by aspiration line vacuum sensor 56 or sensor 300 (when available), rate of change of vacuum during the occlusion-break event (dP/dt), aspiration flow rate, irrigation pressure at eye level, resistance to flow of irrigation path including resistance of infusion probe 16, wound size among others. Practice of the present invention using an Infiniti Console™, an Intrepid Cassette™, a 0.9 mm tapered Micro-Tip™ and an Ultra-Sleeve™ (all from Alcon Laboratories, USA.) has taught that when using actuator signals of similar duration for occlusion valve 270 closure and for venting valve 57 opening, the optimal duration of these pulses ranged between 100 milliseconds and 800 milliseconds depending on aspiration path 23 vacuum at the onset of the occlusion-break. Duration of actuator 270 and 57 driving signals had to be increased with increasing occlusion-break onset vacuum levels for proper chamber collapse control. Control module 50 can determine the optimal pulse duration for a given occlusion-break situation by using a pre-built look-up table stored in ROM. Alternatively a pre-built formula incorporating a set of the aforementioned parameters can be used. Also, a servo loop can be used to terminate the chamber collapse canceling actions 1 and 2 by monitoring the signals from aspiration line vacuum sensor 56 and/or from occlusion-break sensor 300 in real time. Once the signals coming from these sensors tell control module 50 that vacuum inside aspiration path 23 has reversed back to desirable levels, actions 1 and 2 can be terminated. Beginning and termination of actions 1 and 2 can occur simultaneously or not, depending of the chamber collapse suppressing algorithm used by control module 50.
4) An optional action can consist in having control module 50 deliver an inhibit signal to hand piece power driver 57 in a way that the lens disrupting power delivered by lensectomy probe 14 is reduced to safe levels during the programmed occlusion and venting. This action may be of particular importance with ultrasonically operated lensectomy probes 14 to avoid wound thermal injuries caused by lack of effective cooling during the programmed occlusion.
In an alternative embodiment, the vacuum relieving action 2 can instead be performed by reverse operation of aspiration pump 26. Speed and duration of this reverse operation may be controlled by control module 50 using a predetermined formula or a servo mechanism based on vacuum sensor 56 and/or detector 300 readings.
In another alternative embodiment, the vacuum relieving action 2 performed by venting valve 57 can be performed using pressurized fluid. Also normally closed valve 57 and normally open valve 270 can be replaced by a single three way pinch valve to simultaneously perform the actions of venting and of aspiration line occlusion. This three way valve modality can be installed at the distal portion of the aspiration path 23 for better performance.
When using irrigation line 18 as the source of the pressurized fluid, practice of this embodiment showed a reduced performance due to less fluid available to refill the eye chamber in the post occlusion-break period.
In an alternative embodiment depicted in
Thus, the reader will see that the post-occlusion chamber collapse canceling system of the present invention provides an effective and reliable improvement over the prior art allowing to perform lensectomy procedures with high vacuum levels through smaller incisions. This feature leads to more efficient surgical procedures. While the above description contains many specificities, these should not be construed as limitations on the scope of this invention but rather as an exemplification of the preferred embodiment thereof. In fact, the preferred embodiment has been selected aimed to provide optimum performance at the reduced cost required for disposable surgical consumables. Many other variations are possible. For example venting valve 57 can be any kind of valve. This valve can be an ON/OFF valve or a proportional valve and may be located in other position than console level. Aspiration line occlusion valve 270 can be any kind of ON/OFF valve or a proportional valve, such as a needle valve, acting in cooperation with a solid particles retaining filter to avoid clogging. Although valve 270 performs best when located at the distal end of aspiration path 23 near hollow probe 14, it can be located at other position between probe 14 and pump 26, assuming a compromise in performance. A similar consideration can be made for occlusion-break sensor 300 regarding location.
Although this invention has been designed for use in ophthalmic surgery, other surgical procedures performed inside collapsible body chambers may benefit from its implementation.
Accordingly, the scope of the invention should be determined not by the embodiments illustrated, but by the appended claims and their legal equivalents.
Patent Citations
Referenced by
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Sunset Cocktails and (free) Live Jazz
- Music
- 420 Park Avenue South, New York, NY, 10021
NULYP Join Week 2013
National Urban League Young Professionals
Saturday, January 19, 2013 at 9:00 AM - Saturday, January 26, 2013 at 12:00 PM (EST)
The National Urban League Young Professionals (NULYP) is a National Urban League volunteer auxiliary that targets young professionals ages 21-40 to empower their communities and change lives through the Urban League Movement. Our mission is to support the Urban League Movement through our volunteerism, philanthropy and membership development. To learn more about NULYP, visit www.nulyp.net.
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Main Menu
50 Must-Read Federal IT Blogs 2014
This year's list covers federal IT from all angles and offers something for everyone: citizens, IT professionals and contractors.
The new updates focus on credentials and cryptography.Read more
Agencies reduce costs and gain efficiencies from a single pane of glass.
Reality Check: Use of Shadow IT Is 10 Times Higher Than Believed


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Do you agree with this list? Are there any other character traits great youth leaders must possess? read more
Page 4 of 11
5 Traits Leaders Should Model for Students
Do you display these characteristics in front of the students in your youth ministry? Should they follow you if you don't? read more
The 2 Questions Ministry Leaders Need to Ask Over and Over
Are you taking notice of the finished product when a student moves on from your youth ministry? What other characteristics are you focusing on with your youth? read more
4 Things Kids Hate About Your Teaching
How are you doing in these four areas? Were you aware that you might need to tweak a few things? read more
4 Questions Every Youth Minister Should Ask
Do you ask these types of questions often, or do you find yourself stuck in a rut? read more
How to Empower Student Volunteers
How much do you value your student volunteers? What kind of responsibilities do you give them? read more
Do Your Students Understand When You Talk About Jesus Stuff?
Your students probably already know who Jesus is and what He did. But do they really understand the deeper meaning of their salvation? read more
5 Ways to Enrich Your Small Group Time
Many things can be done to make your small group time more engaging. Here are a few. read more
The World's Easiest Way to Get New Volunteers
You say you don't have enough volunteers for your ministry team? Here's a surefire way to get some. read more
Do You Know Your Community?
If you weren't born and raised in the town or city where you minister, you may not know much about the state of the area's youth. Here are a few suggestions to familiarize yourself with them. read more
5 Things Churches Should Do Immediately to Protect Themselves
With the Supreme Court's ruling on same-sex marriage, churches should take action quickly on ...
Become The Leader God Intended You To Be!
For Christian leadership insights and inspiration follow Dr. Steve Greene's Blog, Greenelines.
6 Tips For Leading Modern Worship in a Multigenerational Church
It's not a new struggle. As long as the church has been in existence, people have fought over ...
Little Things Are Big Things
It's time for a front-door checkup.
John Bevere Urges All Pastors to Speak Up Sunday About Supreme Court Decision
The internationally known author and evangelist has challenged pastors to stand up for God's ...
How We Went from Theological to Therapeutic Preaching
What went wrong?
15 Ways to Improve Your Preaching or Teaching
Do these things and you will be sure to get good response to your sermons.
5 Fears That Frequently Attack Pastors
Pastors aren't immune to fear. These things frequently bother people in the ministry.
7 of the Most Dangerous Church Cultures Out There
What toxic church cultures have you come across?
I Saw This Coming. Why Didn't I Act?
Be quick to connect vision with action.
Become The Leader God Intended You To Be!
For Christian leadership insights and inspiration follow Dr. Steve Greene's Blog, Greenelines.
9 Ways Not to Fix a Discipleship Problem in Your Church
Lack of discipleship is a problem in many churches, but don't go these routes in trying to ...
What Is the True Meaning of Stewardship?
Many Christians don't understand exactly what it is. This should help.
Are You Putting Your Team in Danger?
Avoid hurting those you lead by moving forward with unwavering purpose.
How Can Your Words Release the Spirit of Revival?
I am convinced that tomorrow's outpouring is wrapped up in today's answered prayer.
8 Thoughts About Hiring Church Staff When You Have No Money
Do alternatives exist?
Here is One of the Biggest Issues in Worship
What's keeping you from worshiping today? Two missionaries in a Philippian jail cell (Paul ...
10 Terrible Reasons to Be Done With Church
If you think you're done with church for any of these reasons, here's a challenge to prompt ...
Kingdom First: Starting Churches That Shape Movements
Do we realize that only God can create a movement through His divine and sovereign work?
How Finding Time Is a Lot Like Finding Money
As pastors and leaders, don't you think we must set an example with our time management as a ...
Leaders Do Not Have a Private Life
Personal freedom is sacrificed for the good of the whole.
Conflict Resolution
Mary Parker Follett Part 2


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text: Thor is amused, Bruce is not. Flag By: thatwonrandomguy (More by author: Most viewed, Newest, Most Thumbs) previous next random - Fav + Fav Comment Clearly i found this on tumblr thought it was funny wanted to share it with everyone here. No ***** will be given by me if its a repost its still funny. Tags: thor | Hulk | avengers Messages Bruce Banner an ... Recommend tagsx +321 Views: 12627 Favorited: 14 Submitted: 05/06/2012 Share On Facebook Remove from favorites Add to favorites Unsubscribe from thatwonrandomguy Subscribe to thatwonrandomguy


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I made this flyer for the opening party of the Winter Cabin Collections happening Dec. 7th, 5pm to 9pm at Wanderlust vintage & handmade. If you are in Portland, you should join us for drinks, snacks and cozy cabin goods.
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by Debi Pearl from No Greater Joy - Knittin' NateEditor's note: Sharing this because it seems like a particularly bad analogy of the whole King/Prophet/Priestly man teachings of the Pearls. Sadly enough the father losing it over the boy who likes to knit is not Michael Pearl. Michael would have likely forced the boy to do something manly for weeks, like break rocks, hunt animals or other macho endeavors to wipe away whatever he perceives as 'girly' or 'traditionally female.' Debi's take on it being alright to allow the boy to knit is almost liberal for her.Combined with last night's Vaughn Ohlman post about how you should teach your son masculine things like plumbing and balancing … [Read more...]
Quoting Quiverfull: God's Slave?
by Nancy Campbell from Above Rubies - A Love SlaveEditor's note: Nancy seems to think that being a wife and mother is a sort of slavery instead of an expression of free will and love in our lives. How does that fit with her idea that being a mother and wife is the highest honor and only role for a woman? … [Read more...]
Quoting Quiverfull: Wimpy Husbands?
by Ken Alexander (taking over his wife Lori's blog) from Always Learning - Wimpy Husbands With Rebellious WivesThis poor, poor male just does not understand why a wife with a zillion children to homeschool might not be able to fulfill all of her responsibilities in a timely fashion and is labeling it 'rebellion'? Reads like male Christian woman-bashing at it's finest. … [Read more...]
Quoting Quiverfull: Keeper of Seeds?
by Nancy Campbell from Above Rubies - The Blessers of Society … [Read more...]
Quoting Quiverfull: When Did Home Cooking Get Elevated to "Godly" Status?
Very interesting. Apparently Slate magazine posted a piece by a female writer who dared *gasp!* to say that putting a home cooked meal on the table nightly wasn't necessary and to stop fetishizing the entire idea. The ladies at Ladies Against Feminism became so outraged by that statement that they had to refute it not once, but twice on the same day. I am posting bits of each. Tell me what you think. Tempest in a teapot of the end of civilization as we know it?The article from Salon and the quoted pieces they seemed to object to the most Let's Stop Idealizing the Home-cooked Family Dinner by Amanda Marcotte … [Read more...]
Quoting Quiverfull: Women Shouldn't Say 'Amen' in Church?
by Steve L. Anderston of Faithful Word Baptist Church from a sermon at Youtube of last Sunday's sermon.From this sermon: "Let the woman learn in silence with all subjection. But I suffer not a woman to teach, nor to usurp authority over the man, but to be in silence." He quoted I Corinthians 14 as his reason "Let your women keep silence in the churches, for it is not permitted unto them to speak, but they are commanded to be under obedience as also sayeth the law. And if they will learn anything, let them ask their husbands at home: for it is shameful for women to speak in the church," … [Read more...]
Quoting Quiverfull: Cooking is Your JOB Woman!?
Stephen L. Anderson quotes from Ramblings of Sheldon and The Friendly Atheist. The Friendly Atheist link has a live blogging of Anderson's sermon with lots of content. For such a skinny guy Anderson seems particularly focused on food. … [Read more...]
Quoting Quiverfull: Don't Grumble About Cooking?
by Nancy Campbell from Above Rubies - Pass On The Tradition It's time to cook supper. "Not again," you sigh. "Why can't I have a break from cooking night after night?" Can I remind you that preparing a meal for your family is not insignificant. It's not a waste of time. It is very much part of your mothering anointing. We see a beautiful description of a godly woman in 1 Timothy 5:10 NASB. The description of her "good works" are, "If she has brought up children, if she has shown hospitality to strangers, if she was washed the satins' (sic) feet, if she has assisted those in distress, and if she has devoted herself to every good work." … [Read more...]
CTBHHM: In Which a Woman Dares to Assert Agency
by Libby Anne cross posted from her blog Love Joy FeminismCreated To Be His Help Meet, pp. 138-139In this section, Debi tells a story. A few years ago, I attended a meeting with my husband where a group of leading men were discussing grave matters, trying to come to a conclusion as to what course of action they should take. The men sat in a circle, with their wives sitting beside or right behind them. … [Read more...]


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Rainy June spikes Lake County's mosquito population
An abundance of rainfall in June is bringing an abundance of mosquitoes, Lake County Health Department officials are warning.
An abundance of rainfall in June is bringing an abundance of mosquitoes, Lake County Health Department officials are warning.
In March, just more than a month after Samantha Armes married her partner Meghan in Lake County, the Grayslake native said she felt there was still progress to be made for same-sex couples.
The baseline 3s were smooth and consistent, the dunks were the stuff of highlight reels, and his athleticism helped fuel many a decisive run.
Jordan Newman received a first-class education on the basketball court last season.
Here are a few of the local softball players looking to make an impact at the DeMarini Invitational Showcase in Glen Ellyn on June July 8-12.
The DeMarini Invitational Showcase provides area softball players and college coaches with a unique opportunity few venues in the country can match.
The following items were taken from Vernon Hills Police Department reports and press releases. An arrest does not constitute a finding of guilt.
A Vernon Hills man was convicted of aggravated criminal sexual abuse during a bench trial this week, but was found not guilty of a more serious charge of predatory criminal sexual assault.
Lake County Mental Health Court services are being considered as an option for the defense of a Vernon Hills woman accused of setting fires in several of the village's parks.
The trial of a Vernon Hills man charged with the sexual abuse of a 12-year-old girl began Monday morning, with a defense attorney claiming the victim had motives "to make this up."
Board meetings around Lake County.
Crumbling tile and water-damaged ceilings at Waukegan's Union Pacific North Metra station will be treated to a $530,000 renovation project this summer that will also address handicap accessibility in a facility that predates the Americans With Disabilities Act (ADA).
The garden pool that landscape architect Jens Jensen designed for the Highland Park summer estate of Sears Roebuck mogul Julius Rosenwald has fallen into decay, according to residents urging its restoration.


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Product Description
SSBC Front Disc Brake Conversion Kit for 1967-1969 Mustangs with Power Brakes and an Automatic Transmission.Caliper Specs:
Type of Caliper - Standard
Number of Pistons - 4
Piston Size - 43mm
Constructed From - Cast Iron
Rotor Specs:
Diameter - 11.25"
Thickness - 0.8125"
Venting - Uni-Directional (straight vane)
Standard Finish - Standard
Bolt Pattern - 5 x 4.5"
Kit Includes:
- New Brake Pedal
- Pair of Rotors
- Pair of Calipers
- Front Brake Pads
- Dual Bowl Master Cylinder & 7" Dual Diaphragm Booster
- 2 Brake Hoses
- All Brackets, Bearings, Seals & Hardware
- Instructions
Looking to add even more stopping power? Upgrade to slotted and plated rotors. Still not enough? Add SSBC's Big Bite rotors, which are slotted, plated and drilled. Upgrade packages substitute the original rotors for the upgrades.
*Bolts to All 1967 Spindles and only Drum Brake Spindles from 1968-1969 cars.
*NOTE: Most 6 cylinder cars have a 4 x 4.5" bolt pattern - this kit will convert the front only to a 5 x 4.5" bolt pattern.
Similar Mustang PartsMore Front Disc Brake Kits
Installation Instructions
Product ReviewsWrite a review
Product Questions
This is the best model that you have? It will be good if I have the rear break too. So may you please quote to me a kit with the rear and without? My wheels are 17". And how much it will cost the shipment? Peru at the Capital Lima Thanks
Find whatever parts you'd like on our website...costs are shown in big red numbers on the right hand side of the page. To calculate shipping, add whatever products you're interested in to your shopping cart and proceed to checkout. In checkout, fill in your address info and scroll down to see shipping options and costs to Peru.
Date published: 2015-03-23
What is the difference between a disk brake kit on manual transmission cars and automatic transmission cars?
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Ramblin' Man: Full-time RV Life
My blog is about an alternative retirement lifestyle – Full-Time RVing. Here you get to follow my travels and see many of the interesting places and people I encounter along my way.
Monthly Archive for February, 2009
You seldom see one of these anymore…
A genuine cobbler shop! [Read More]
Escanaba In Da Moonlight
Mary lived in Escanaba, Michigan, a small town on the shore of Lake Michigan, for seven years as a young girl. [Read More]
One Day At A Time!
Yesterday I recommended Dale Carnegie's book, How to stop worrying and start living! as a way to eliminate worry and stress from your life. It worked for me! [Read More]
More about simplyfying life
How very fortunate I am! [Read More]
Mark Twain slept here
Recently Mary and I traveled along CA State Highway 49 between Sonora and Angels Camp, CA. Just South of the Stanislaus River on the North side of the road there is a sign that says "Mark Twain Cabin – one mile". You can see this cabin in the below photo. Actually according to a sign there, the cabin belonged to the Gillis Brothers and Mark Twain stayed with them from December 4, 1864 to February 25, 1865. It's perched high atop a hill know as Jackass Hill and has a lovely view of the area below. [Read More]
Show More


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WCW June 2015
In This Issue
To think it all started with a pushcart in not-so-friendly-to-pushcarts downtown Sarasota. Longtime Sarasota resident and serial entrepreneur Nancy Krohngold decided to take her barbeque-making act on the road and devotees who liked her version of North Carolina barbeque followed. Then she disappeared for a while. Long story short, she opened Nancy's Bar-B-Q in downtown Sarasota and is now opening another restaurant in Lakewood Ranch.
It's a unique success story best summed up in Nancy's own words:
"I'm a white Jewish woman making pork BBQ." But that's not the whole story...seems that Nancy likes BBQ and did some experimenting and the rest is, well, you'll need to read Carol Darling's profile in this month's WCW.
I've known Nancy for years in a few of her former lives, but I was surprised to read she did secretarial work, sold life insurance and considered law school. Law school? Knowing Nancy, she's too creative for that. I first knew her through friends back when she was a graphic artist. Her company, Character Publishing, supplied ads for a few of my advertisers.
She was also my neighbor for a few years who turned a rundown little bungalow into a very cool house featured in one of those swanky "tour of homes" events. Nancy's very creative and that's been my lasting impression. So creating a restaurant (with super graphics in menus and in the decor) doesn't come as a total surprise.
Nancy also volunteers at Project 180 – a reentry program for male prisoners in Florida. She offers the men tips on how to go through a job interview.


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ACE Fit Share
Browse through a variety of lower and upper chest exercises designed by today's leaders in the health fitness industry. We have strength training exercises for beginner, intermediate and advanced users. These exercises will help you increase the strength and definition of your chest area. If you want more information on chest exercises or strength training of any kind, be sure to check out our Fit Facts section and Ask the Expert column. These chest exercises are also featured in full workout routines in our Workouts section.
Fit Life Articles
Are you excited to start training for your first race? Whether you're aiming to finish a 5K or a marathon, here are 10 great tips for getting yourself ready for race day.
You know the importance of exercise and good nutrition, but do you make getting enough sleep a priority, too? Sleep deprivation is responsible for a wide range of issues, such as weight gain, irritability and difficulty performing tasks, so it's worth taking the time to...
Think you need a lot of time and fancy equipment to get a full-body workout? Not true. With just nine exercises, this mini-circuit, full-body workout is super efficient, requiring only a barbell and a bit of space.
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Greeks voted on whether to accept the demands of the country's lenders, in a referendum that has laid bare stark divisions about the struggling country's future in the eurozone. 55
Follow the latest updates as Greeks vote on whether to accept European creditors' demands.
For many Greeks, any glimmers of economic improvement last year were a mirage and have masked the worsening conditions that helped pave the way to the country's momentous referendum.
How Prime Minister Alexis Tsipras and his Syriza party respond to the results of Sunday's referendum could determine whether Greece crashes out of the euro.
China's central bank will provide liquidity to help stabilize the country's crumbling stock market.
Key elements of a nuclear agreement between Iran and world powers appeared to be falling into place ahead of a July 7 deadline. 126
Malaysia's attorney general said a probe into a troubled state investment fund has uncovered documents related to allegations that money was transferred into the personal bank accounts of Prime Minister Najib Razak.
U.S.-led coalition aircraft unleashed a series of airstrikes targeting Islamic State's stronghold of Raqqa in eastern Syria, killing at least 10 militants and wounding many others, the coalition and the group said.
Rohan Dennis of Australia became the first man to wear the 2015 Tour de France's yellow jersey by clocking the fastest time trial in tour history, averaging 34.45 mph.
Former champions Roger Federer and Andy Murray advance at Wimbledon on Saturday, but defending women's champion Petra Kvitova was upset by Jelena Jankovic. American Madison Keys also won.
We asked expats what piece of advice they wanted someone to give them before they had gone abroad, and many found there were things they wish they didn't have to learn the hard way during their time overseas.
Toshiba is likely to mark down its past operating profit by at least $814 million as a result of accounting irregularities.
If General Electric sells its appliance business to rival Electrolux, will home builders and property managers have to pay more for stove tops?
Oil pipeline companies like to brag that their advanced testing methods and remote monitoring technology prevent spills. So why was a southern California beach coated in crude?
Matt Stonie upset Joey 'Jaws' Chestnut to win the men's July Fourth hot-dog eating contest at Nathan's Famous in Coney Island, N.Y., while the defending women's champ retained her title.
More than 170 people still face serious charges six weeks after a deadly gunfight at a Texas restaurant. 138
Oregonians woke on the Fourth of July to a significant jolt when a magnitude 4.2 earthquake struck near Springfield and Eugene, with no injuries or damage reported.
Mormon leader Boyd K. Packer, president of the faith's highest governing body, has died at age 90.
The GOP candidate used a little-known but perfectly legal tax strategy to set aside an annual average of $350,000 for the last five years for his company's retirement plan. 158
Taking barges, buses and boats from Laos to the South China Sea, a journey down the Mekong is a step back in time.
As art values soar, fierce competition has driven Sotheby's, Christie's and Phillips to seek new leaders. Here's how Tad Smith, Patricia Barbizet and Edward Dolman are transforming their houses and shaking up the art market.
The Wall Street Journal's Editor in Chief Gerard Baker on Greece's cash crunch, Fannie and Freddie's CEO payday, the DOJ airline collusion probe and more.SIGN UP
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Tuesday, September 4, 2007
Caramilk Maple
I guess if there were a national flavor for Canada, it'd be Maple. After all, there's a Maple leaf on their flag. How cool is it that a flag actually features a flavor? (I don't consider dragon or eagle to be a flavor ... though I suppose the Olive branches of Eritrea may count.)
Lately Canada has seen quite a few candy bars featuring Maple in it, including the shockingly red-centered Oh Henry! Oh Canada! bar and a version of the Coffee Crisp.
Caramilk are not found in the US, but its cousin, the Caramello is. It's just a Cadbury milk chocolate bar with a flowing caramel bubble inside each section. The simplicity Caramilk Maple bar really appealed to me, especially since I was hoping that the flavor of maple would cut through the intense sweetness that keeps me from eating Caramellos more often than every 5 years. (Yes, the sweetness is that satisfying!)
This Caramilk Maple bar was the full 100 gram version (3.5 ounces). A little too much Caramilk, really, but beggars can't be choosers (Amber brought this to me from Toronto back in April).
Even without breaking a section open to reveal the molten caramel, the bar smelled like sweet, woodsy maple.
Biting into the little section causes the caramel to ooze out. It's actually pretty nice, smooth and creamy and not too sweet ... it appears that the chocolate itself is the throat-burningly sweet part of this bar. The caramel filling is woodsy tasting without being too artificial and has a little salty hit to it. The milk chocolate, well it's Cadbury and it has a distinct milky flavor to it that many folks crave. I'm not one of them, but I find it interesting. It reminds me of baby formula or powdered milk.
It's a fun bar, and I think I'd probably like it in the single-portion size better (they also have a slightly different proportion of chocolate to caramel) and they also come in the Cadbury Caramel Egg for Easter. (I think they'll be back next year.)
Note: this was not marked Kosher, though American Cadbury products are.
Related Candies
Wednesday, August 29, 2007
The mint market is well, full of mints. So what's a company gonna do to distinguish themselves from the crowded field? Ver thinks it's hit on the right balance of novelty, quality and qualifications. Their line of six different flavors are vegan, Kosher and gluten free, nut free and all-natural (and featuring many organic ingredients).
Ver containers are cute little steel tins that are easy to open and close and feature eye-catching designs that reflect the flavors inside.
The blue tin was predictably Peppermint, their original flavor. Unlike a mint like Altoids, these aren't blindingly strong. Just simply, well, mints. The texture is pleasant. Not chalky, but a little crumbly but sufficiently dense. The intensity of the mint grows (though sometimes one mint may be stronger than another) as it dissolves and leaves a breath-freshening coolness when it's gone.
WinterMint is what I'm guessing is wintergreen since it features wintergreen oil in the ingredients. I think wintergreen flavor is undervalued in our culture and I blame Pepto Bismol for giving us the association of wintergreen with being sick. (Some additional blame goes to Ben Gay for making us think of locker-rooms and old people.) Upon reading a little more on the subject, wintergreen is not to be taken lightly as it can be toxic in very large doses, which you really can't achieve with a tin.
This was like one of those big Canada pink mints (wintergreen is also called Canada mint), but not as chalky. Smooth and peppery, I enjoyed these quite a bit. There were also little bits of real peppermint leaves in the pastilles.
With my motion sickness difficulties I tend to eat a lot of Ginger candies. I like to strike a balance between their spiciness, the amount of actual ginger in the candy and of course the overall taste. Too much spice and I can't maintain my intake (though fanning my mouth often takes my mind off of nausea ... so that's effective).
These crazy mints have a lot of ginger flavor in them and burn on my tongue right away. It dissipates after a moment and I forget about the inital scalding by the time I eat another one.
They have two kinds of ginger in them: ground ginger root and ginger flavor. I think ginger goes particularly well with Maple Syrup.
The bright red tin is hard to miss and easy to guess the flavor is cinnamon (well, they call it CinnaMint).
It's definitely cinnamon, completely spicy, kind of woodsy and a little sweet. There are peppermint leaves in this one too, but I think it would have been better to throw a few little bits of cinnamon in there while they were at it. But they didn't ask me.
For a while I was pronouncing this as Very Mints ... not realizing, first that they were spelled Ver with no I in there after the Ver. It wasn't until I got the VerMONT connection that I understood the name. I still think Very Mints is a good name, too. I might start calling the state it Very Mont.
The two flavors that set this set apart are the flavor combos. This one, Chai features Fair Trade teas from Honest Tea. Of course this means that this ingredients simply say that it contains "Organic Chai Tea" which is a pretty vague thing, kind of like "cake mix". I can taste a bit of the black tea background, some cinnamon and strong clove, a little nutmeg. I'd have liked, of course, more cardamom and perhaps vanilla notes. And less clove. Just make a clove mint and leave clove out of the other candies.
It's pretty good and a nice change of pace from the others. The spicy notes are refreshing and I think gives me pleasant breath.
The last flavor is Cafe Express which features Fair Trade coffee from Green Mountain Coffee Roasters. The ingredients list both coffee and natural coffee flavor and they certainly smell like sweet, sweet coffee. The flavor is a little less intense, mellow and coffee-ish. On the good side of that, there's no coffee breath afterwards. On the bad side, they feel more like candy than a breath mint. Not that there's anything wrong with that since they're pretty much gone now.
Overall I prefer the texture of these to Altoids, they're a little smoother and the binder gums in there give them a very slight slippery feel on the tongue as they dissolve. The flavors are more pleasing than the similarly-textured Pastiglie Leone and completely different from the also-vegan friendly St. Claire's Organic Mints.
Curiosities & other facts associated with these mints:
Related Candies
Friday, August 24, 2007
Jones Soda Grape Carbonated Candy
A couple of months ago I reviewed a dollar store find called Soda Can Fizzy Candy thinking that it was a cheaper and possibly cuter version of Jones Soda Co's new Carbonated Candy.
Allow me to say that I was wrong.
While it is true that the Soda Can was less expensive and had a nice variety of flavors in one package, the candies inside are not the same. It's not just that the Jones candy tablets are bigger, they're simply more flavorful and fizzier.
The nice tin from Jones is substantial. It's tall and has a firmly locking flip top. Inside the top is a little encouraging missive, mine said "jump up and down for no reason" which is somehow more encouraging than some of the sayings inside the Dove wrapped candies. I did have trouble getting the tin open much of the time, but unlike the difficulties with the York tin, I never spilled anything.
I bought these at Target, which had them for $1.39, not a bargain but certainly less than the $2.49 quoted on Amazon which scared me off of them in the first place.
The selection was limited at Target though, at least at the checkstands I checked, so I had a choice of M.F. Grape and Green Apple. Seeing how grape is an actual soda flavor I enjoyed as a kid, I thought that was the deal for me.
Later I pondered the "MF" part of the flavor name. I can imagine quite a few things that might fit into those initials:
Marty Feldman Grape
There's probably something I'm missing as a possibility ... but this is a family-friendly blog.
The little tablets are the size of a regular aspirin. The smell when opening the tin is absolutely grape, like the foamy head on a chilled grape soda or sitting next to a mouth-breathing child chewing Grape Bubble Yum.
The flavor goes through and through with a tart bite and pretty well rounded grape flavor of both the chemical variety and a small dose of the grape juice note. What is most notable is the carbonation. These are pretty much fizz bombs for your mouth. Not blisteringly sour ones, just a simple frothy foam.
Frankly, they're not that appealing to me. I enjoyed the flavor more than the Bawls mints (but there's no caffeine here). Carbonated things make me burpy and while a grape repeat isn't too bad, I'm not fond of the later revisit of flavors like green apple. This is pretty why I don't drink sodas anyway. But my husband liked the flavor of them, so I give them marks for appealing to him. The tin mentions that you can drop them in your soda as a flavor booster.
So, if you're a soda fan and are looking for a dried out capsule version to carry around with you, this might do the trick. The tin is pretty sweet looking and it's easy to share a little pep-me-up with friends. There are only three calories per tablet and 50 tablets in the tin. I feel a bit more confident recommending them since they're made in Canada and not China as the Soda Can candies were. Now, if they had a Root Beer version or perhaps Cola ... then I'd probably be more excited. I'll stick with Bottle Caps for now.
ZOMG Candy has a great review of the Green Apple.
Related Candies
Friday, July 13, 2007
Baby Bottle Pacifier Tarts
There are some candies that are placed very low on the shelves at drug stores and grocers for a reason, they're appealing to little people. And until I started shopping the bottom shelf, there was a lot of stuff that never even entered my candy radar.
This little baby bottle filled with compressed dextrose tarts is one such candy. It's made by a small company called Imperial Toy and they haven't even bothered to name the product. So I'm just going to call them Baby Bottle Pacifier Tarts. Once I took off the clear plastic shrink wrap, there's no branding on here at all.
The little bottle is an actual toy baby bottle, complete with a rubber nipple with a hole in it, so as to make a mess with your little baby doll that actually drinks, or maybe it doesn't. (Here's a tip, don't put actual milk in your doll that actually drinks. It's fun at first, but then your doll smells like spoiled milk.)
The bottle holds 1.5 ounces of candy, so it's a nice size and of course refillable with candy or kids can use it as a toy bottle for their dolls.
The candies come in cherry, orange, lemon, lime and ... um, I think the blue one is pineapple.
The little compressed dextrose candies are cute, a great size an the pacifier shape is nicely done. The flavor isn't very strong, certainly not as strong as SweeTarts. I'd liken these to Smarties, but perhaps a little harder and a little more flavorful (well, and a little more colorful).
I think these are called "Oh Baby! Pacifier Candy" and made in Canada by Concord Confections. I've seen them in bulk at candy stores and advertised as a favor-filler on sites that specialize in baby shows and the like. Since you can buy them in bulk, I suppose you can make your own little filled favors for parties. Since this was $1.09 at the drug store, it may be a less expensive way to go. (Concord also makes the super-fun Candy Blox.)
As a novelty item, this doesn't really do much for me, but then again I don't recall actually having a doll when I was a girl (I know I must have had one, but I don't remember her ... I remember my sister had that doll that grew her long blonde hair when you pushed a button on her tummy). I see this as more of a "favor" item or stocking stuffer. As a candy container, it's cute but of course once you take it out of its plastic wrap, it doesn't work very well to keep moisture out because there's a hole in the nipple.
Thursday, July 5, 2007
Sour Patch Kids
Sour Patch Kids were developed in 1970s by a candy sales manager named Frank Galatolie who was chasing the sour fad. They were first Martians, to take advantage with the consumer fascination with all things space related. They were later changed to little children and called Sour Patch Kids (to capitalize on the Cabbage Patch Kids fad) and introduced in the US in 1985. A lot of the super sour items from that time period are long gone, so who could have expected that some sour sanded Swedish Fish would be so enduring? Sour Patch Kids are now made by Cadbury Adams in Canada.
Sour Patch Kids are a soft jelly candy sanded with a sweet & sour coating. The candies are supposedly in the shape of little frizzy haired kids. They look rather like little feet to me or maybe rabbits with very puffy tails.
Sour Patch Kids come in the traditional four flavors they always have: Raspberry (red), Lime (green), Orange (orange) and Lemon (yellow). Yes, these are also the same flavors as the Swedish fish array that Cadbury Adams makes.
They're billed as "Sour then Sweet" and it's true. Some folks like to suck the sour coating off, which makes them bitingly sour (with an odd salty tang to it as well) but I prefer to chew mine, to combine the sour and sweet and get a little flavor at the same time.
Though the flavors aren't really that strong, as is the same with Swedish Fish, Sour Patch Kids are good whether they're soft and fresh or hard and tacky.
I don't buy them often, but they're a good "keep me interested" candy, which is great for movies, traveling or a little munching while at work. I see adults eating them as often as kids, which is nice that there's a sour candy that generations can share.
Note: there's a little fad going on YouTube where kids collect the sour sand from candies like Sour Patch Kids, Sour Skittles or Pixy Stix and then snort it. Please, don't do this. It really hurts ... you're not gonna get high, but you'll probably make some silly faces and your friends will laugh at you. There's a reason our tastebuds are on our tongues and not in our sinuses. Sour Patch Kids are meant to be ingested orally ... not nasally. PSA over.
Sour Patch Kids contain no gelatin (they're a jelly candy that uses corn starch as a jelling agent) and use all artificial colorings so they're suitable for vegetarians. There's no word in the label about gluten status.
POSTED BY Cybele AT 6:45 am
Thursday, May 17, 2007
The story of how LifeSavers were created is one of those classic happy accidents. They came about in 1912 when Clarence Crane was looking for a candy to sell in the summer when chocolate was difficult to store. He concieved of a hard mint and engaged a pill manufacturer to make them for him. They found that the candies were easier to make if they were donut shaped and thus the candy and name Lifesavers was born.
The Five Flavor LifeSavers are not a compressed dextrose candy, instead they're a boiled sugar candy. While the Pep-O-Mint was going strong, the fruit flavored versions were introduced in 1924 as simple hard candy disks. In 1929 technology caught up with demand and LifeSavers got their holes. The original fruit roll was all citrus - Lemon, Lime and Orange. In 1935 they became the Five Flavor Roll with Cherry and Pineapple joining the mix. And that's how it was until 2003.
Then the internet mucked it all up. Wrigley's, who now owns LifeSavers, decided to change up the flavors in the roll because they thought that the old flavors were hurting sales. So they let voters add their voice at their website. I think this was their first mistake. First, you could only vote for the flavors on their list. Second, they were only polling those people who visited their site ... I'm sure the great majority of LifeSavers consumers do not visit CandyStand.com, which appears to be designed for kids.
But I digress. Or ramble. And will continue to ... this is just one of those posts.
I had a yard sale over the weekend and my neighbor Robin brought some stuff over, which included a bunch of stuff from her desk that included a roll of LifeSavers. I, of course, wanted them. They looked like the original flavors (you can tell because it doesn't have the purple stripe) but I wasn't sure because it listed CandyStand.com.
I took them up to the Candy Blog labs for a look and found that they were in fact the original Five Flavor roll (the ones pictured above, not here to the left). They were not in great condition, as hard candies often get milky looking after about three years. But there they were, the original Five Flavors: Orange, Lemon, Cherry, Pineapple and Lime. They were stuck together and stood up easily for the photo. The package also spells out the word Five, and important distinction.
The new roll heralds that it has NEW FLAVORS! though it makes no mention of what they are. I understand not mentioning the flavors on the old roll, they'd been around since 1935 ... LifeSavers, a part of living.
The new roll also saves copoius amounts of ink by calling itself 5 Flavors, thus saving on those icky and expensive letters.
The flavors, in case you're wondering are: Pineapple, Blackberry, Cherry, Watermelon & Orange. (This article points out that Orange was dropped in '03 in favor of Blackberry, but it appears it was quietly restored ... or maybe that's the new flavor they're talking about on the package.) It could also be because Nabisco sold LifeSavers to Wrigley's in 2004.
Raspberry is good, nice and fruity with a good wine robustness. Watermelon is nice, fruity and floral. And of course the original pineapple is a glorious song that I hope will never end, orange is dependable and citrusy and cherry continues to be the epitome of medicinal-tasting candy. The old flavor set held one candy I would always give away ... the new one has three I don't care for. I can't just buy a LifeSavers 5 Flavor roll for orange and pineapple.
The saddest part of the whole LifeSavers story is that they stopped making the single flavor rolls that I loved so much. Tangerine was simply marvelous. More juicy, more zesty and more tangy that the simple orange, I could eat a whole roll in one sitting, no matter how long I was sitting down. While I might complain at the loss of flavors, I do have to applaud them for putting more in a roll. (I believe the old rolls used to hold 12 candies, the newer ones hold 14.) I might have to switch to Tropical Fruit as my go-to roll ... I wonder how much they've mucked that up lately.
Note: LifeSavers are now made in Canada. They also don't have those little green strings that help you start a roll anymore.
UPDATE 2008: LifeSavers are now: Watermelon, Pineapple, Cherry, Raspberry, Orange ... so blackberry is now raspberry but pretty much looks the same.
POSTED BY Cybele AT 6:56 am
Monday, April 16, 2007
I've been puzzling over this candy bar for years. It's called the Eat-More and is sold in Canada. It was originally made by Lowney but later Nabisco took them over but since 1987 they've been made by Hershey's.
The description of Dark Toffee Peanut Chew sounded to me like the inside of a Goldenberg's Peanut Chew (now Chew-ets), which I find pretty spectacular and the prospect of having that without the mockolate made me want one.
Amber brought two for me direct from Canada, and in the King Size to boot. I have to say that the bar isn't that attractive out of the package, which is probably
The King Sized bar is huge - 8.5" long. The slab is soft and chewy and has a pleasant smoky and roasted peanut scent. It's not a caramelly chew exactly as the bar contains chocolate, which gives the toffee a bit of a stiff crumble.
It's actually really satisfying and not at all sticky sweet. The 75 gram bar contains 8 grams of protein from the peanuts, so it's a pretty satisfying snack. I wouldn't say I wanted to eat more after about half the bar, but it was easy to just eat more later. As for the comparison to the inside of a Goldenberg's, it's not as smooth and doesn't have that molasses kick. But the dark and robust flavors will probably appeal to Goldenberg's lovers.
Since there's nothing else in the States to compare this to, I have to recommend anyone who has been looking for a dark chewy toffee with nuts and chocolate to seek out this bar. It's odd that something that I consider an "all weather" bar comes out of Canada. Since there's no chocolate coating, it should travel well and stand up to temperature extremes.
Friday, April 6, 2007
Pure Fun & Yummy Earth Organic Hard Candies
Just a few more days until Easter and I thought I'd throw out a few more "green" choices for the Easter baskets.
Pure Fun sent me some Fair Trade and Organic Cotton Candy last year (who knew such a thing existed?). It's really not that they created a more socially responsible treat that got me, it was that they made it in Root Beer and Maple flavors! This year I got to visit them at their booth at Expo West. Let me say that they're the best kind of candy people - friendly, inviting and eager to share. I see the whole ample samples as a sign of confidence in their product.
And I'm not let down. Their candies don't look like a compromise when it comes to all the best things about hard candies: they look tasty. Glossy, luminous, brightly colored and with a wide assortment to please most folks.
The Citrus Slices are drop dead gorgeous. And the taste does not disappoint. They're tart, flavorful and just the right size (a little smaller than a regular starlight mint). Lime, Orange & Lemon. (Everyone knows I would also like to see a grapefruit in this mix.)
Barrels of Fun - root beer float with vanilla. I would have preferred a straight root beer barrel, but this was nice. More on the smooth and creamy side of things than the zesty tingle of a root beer.
Chocolate Meltdowns - tangerine, raspberry & pepsin with chocolatey centers. These were the ones I liked the least of all of them. The flavorful outsides were great, but the lack of chocolate punch on the inside made me wish they were just plain old solid candies.
Fruit Rocks - goji berry, pomegranate, honey lemon & sour green apple. Really sassy and flavorful. I can't say that Goji Berry is really my favorite flavor in the world, but the honey lemon was great and a less artificial tasting green apple rocks.
I tried Yummy Earth last year at the All Candy Expo when they introduced their all natural Organic Lollipops. Not just the plain old flavors like lemon and orange but also pomegranate, raspberry and watermelon.
They have a line of hard candies to go with their lollies in both fruity flavors and peppermint. These are a little different, a little smaller than regular hard candies.
Larger than Altoids but smaller than regular hard candy disks.
I covered Wet Faced Watermelon, Cheeky Lemon & Pomegranate Pucker over here. The new flavors for me were:
Mango Tango - this pretty little swirled candy. I'm not sure what the mango was tango-ing with, but it was definitely tropical. Kind of like a Bonne Bell lipsmacker with a REAL kick of flavor.
Peppermint (not shown) - this was very strong, much like an Altoid only smoother. I took these on Whale Watching trips all winter.
Either one of these brands has the right attitude ... don't make your candy look all mousy and plain ... jazz it up with vibrant colors to match their vibrant flavors.
Of course they're a little more expensive, but my guess is that the economies of scale will kick in as more people demand organic and all natural stuff and the prices will drop.
I've seen some of the Yummy Earth in Whole Foods but you can also buy direct from them on their website and Pure Fun is available at Whole Foods.
Both products are organic, gmo-free, no artificials flavors, no synthetics, no gluten, no casein, kosher, vegetarian ... and vegan ... whew!
Meticulously photographed and documented reviews of candy from around the world. And the occasional other sweet adventures. Open your mouth, expand your mind.