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that can also land you in jail in some placesOriginally Posted by zombie-a-go-go
that can also land you in jail in some placesOriginally Posted by zombie-a-go-go
whisper words of wisdom
I wrote a book!
My AmazonShort
My other AmazonShort
I'm already planning a 2006 visit to the GAB. Let me know when ya'll are meeting.
I'll go the weekend after.
"But I do know Joey's sister indirectly (or foster sister) and I have heard stories of Joey being into shopping, designer wear, fancy coffees, and pedicures."
Well im glad so many people are interested, lol, i didn't think that so many of you would want to try this, we need to get some dates of ST games and meet up somewhere, maybe a softball game?.......
Let's make some noise!
No softball for me. Softball + Beer = torn ACL. I'm not doing that again.Originally Posted by Sean_CaseyRules
You say just don't drink beer? I'll have none of that tomfoolery.
"And the fact that watching him pitch is like having someone poop on your soul." FCB on Gary Majewski
Well that sucks, i tore my MCL, ACL, Misniscus, Cartledge, and broke my knee this past year in football, but im 100% healed now to do anything, so i hope there is more people who would like to play a softball game because i missed the gathering last yearOriginally Posted by StillFunkyB
Let's make some noise!
You have the phrasing wrong.Originally Posted by StillFunkyB
It's "Just drink beer. Skip all the rest of that tomfoolery"..
Teach tolerance.
My wife proposes June 17th against the White Sox. It's a Saturday.
Just saying.
Championships for MY teams in my lifetime:
Cincinnati Reds - 75, 76, 90
Chicago Blackhawks - 10, 13, 15
University of Kentucky - 78, 96, 98, 12
Chicago Bulls - 91, 92, 93, 96, 97, 98
No, softball game is OUT... we couldn't get that off the ground last year because most fields (that were free) do not allow alcohol on the premises.Originally Posted by Sean_CaseyRules
2015 Reds record when I'm attending: 4-92015 Dragons record when I'm attending: 1-2
"We want to be the band to dance to when the bomb drops." - Simon Le Bon of Duran Duran
Nobody would listen to my "disguise it as apple juice" planOriginally Posted by KittyDuran
Go Gators!
That's cause Rosie and I were at ST, and what's a party without Rosie and me? :Originally Posted by KittyDuran
Will trade this space for a #1 starter.
We do have a cool White Sox fan around here..not a bad ideaOriginally Posted by Joseph
Go Gators!
Considering that it's against the defending world champs and given the number of Chicagolanders who regularly find their way to Cincinnati when the Cubs are in town, I'd peg that series as the Reds hottest interleague ticket for 2006.Originally Posted by Joseph
I think we should have a redszone version of the Winter Meetings.
We should just meet somewhere to drown our collective sorrows.
"Baseball players are smarter than football players. How often do you see a baseball team penalized for too many men on the field?" ~ Jim Bouton
wheels i love your sig, i think that its the funniest one on here. LOL
Let's make some noise!
Board Moderators may, at their discretion and judgment, delete and/or edit any messages that violate any of the following guidelines: 1. Explicit references to alleged illegal or unlawful acts. 2. Graphic sexual descriptions. 3. Racial or ethnic slurs. 4. Use of edgy language (including masked profanity). 5. Direct personal attacks, flames, fights, trolling, baiting, name-calling, general nuisance, excessive player criticism or anything along those lines. 6. Posting spam. 7. Each person may have only one user account. It is fine to be critical here - that's what this board is for. But let's not beat a subject or a player to death, please.


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Photo by Michael La Riche
YIELD: Makes 6 tartlets
For crust:
Blend flour, sugar, caraway and salt in processor. Add butter and process, using on/off turns, until butter is cut into pea-size pieces. Add 5 teaspoons ice water. Blend until moist clumps form, adding more ice water by teaspoonfuls if dough is dry. Gather dough into ball; flatten into disk. Cut into 6 equal pieces. Press each piece of dough into 4 1/2-inch-diameter tartlet pan with 3/4-inch-high sides and removable bottom. (Can be made 1 day ahead. Cover each crust; chill.)
For filling:
Place 3/4 cup Cider-Caramel Sauce in heavy large skillet. Add apples and cinnamon. Cook over high heat until apples are crisp-tender, about 8 minutes. Cool filling completely.
Place rack at lowest position in oven; preheat to 375°F Divide filling among crusts, overlapping apples, if desired. Place tartlets on oven rack; bake until apples are tender and crust is brown at edges, about 40 minutes. Transfer to rack; cool 30 minutes. Push up pan bottoms, releasing tartlets. (Can be made 8 hours ahead. Let stand at room temperature.)
Rewarm remaining sauce in small saucepan. Place tartlets on plates. Top with ice cream and some warm sauce. Garnish with grapes and mint, if desired.

subset: commoncrawl


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Mercedes-Benz CL500 Problem Report
Mercedes-Benz CL500 Replace air filter when replacing failed mass air flow sensor
(7 reports)
The mass air flow (MAF) sensor tends to fail. The engine air filter should be replaced when the mass air flow sensor is replaced; a dirty filter can allow debris to damage the new sensor.
Related Items:
How do you change the charcoal cabin air filters that are located in the dash in a 1999 CL500
Due to the size and material used on the brakes of these vehicles, the brakes may start to squ...
<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN" "http://www.w3.org/TR/REC-html40/...
Where is the cabin air filter located on the CL 500. I would like to replace it myself if it i...
on what side and under which shield is the fuel filter located


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Comment: Re:I love Apple (Score 1) 86 86
Comment: Ben Heck (Score 1) 107 107
Comment: Why doesn't Google challenge Microsoft's patents? (Score 1) 103 103
Comment: Proxy or VPN (Score 1) 153 153
Comment: Re:Except... (Score 1) 153 153
Comment: Re:Curated Collection (Score 1) 139 139
Apple does not allow sideloading, and does not allow use of any other marketplace. Google does.
This is simply not true. For example Apple allows many companies to have their own stores: Person App . In education and business administrators can side-load their own specialty apps.
Comment: You can download ISOs without a key here: (Score -1, Troll) 132 132
Comment: Other computer manufactures (Score 3, Interesting) 134 134
Comment: Re:Different markets... (Score 1) 458 458
Microsoft sell to people who want to use computers without learning how they work.
What? Isn't it the opposite? Apple Sells Computers to people who just want to do work and not spend hours figuring out how to use the OS. Example, I have spent countless hours showing people how to do the simplest of things on Windows 8.0 / 8.1.
Comment: Re:Japan: and the $0.02 market analysis. (Score 4, Informative) 458 458
Apple's market share is dwarfed by Android's, but Apple's profitability makes the Android people look like peasants.
One major reason for this is that the Android market is inundated with very low-end Android phones. These phones are often underpowered and have very little storage. I work at a large public school corporation and have kids come to me asking for help on installing apps on their phones or asking why they can't load music or download games. The hardware just doesn't support it, which limits the app and content Android market.


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Minehead seaside holiday cottage, 6 Bed, 3 Bathroo
From $156 / night
Description from the owner
Description from the owner
Bedrooms: 6/
Bathrooms: 4/
Sleeps: 12/
Type: House
A Superb Semi Detached Home Ideally Situated In A Popular Holiday Resort Within Walking Distance Of Beach, Shops, Pubs, Restaurants And Somerset World Sleeps 12 (6 Bedrooms)
'Westwood' is an attractive, well presented, light, spacious, semi-detached holiday home situated in a peaceful, tree-lined road within easy level walking distance of the beach and all amenities. It has an open fire in the living room, parking for 4 cars and a large private rear garden. Westwood provides an ideal base for all types of holiday, either a peaceful relaxing break, or a more active holiday.
Another plus for this property is its location. There is always plenty ...Read more
About the owner
About the owner
Alex K.
Alex K.
- Response rate: 88%
- Response time: A few hours
- Calendar updated: 4 weeks ago
Overall rating:
Minehead seaside holiday cottage, 6 Bed, 3 Bathroo Minehead, West Country, England
Additional Location Information
Minehead is one of the larger seaside towns in Somerset, and famed for its holiday camps and tourist facilities. Just a minute or 2 walk away is the long sandy beach, ideal for the summer months. As you would expect for a holiday town, there's plenty of parking, and lots of shops to cater for all your holiday needs.
In addition Minehead is on the edge of Exmoor National Park which is excelent for exploring all year round.
More About This Location
Beach or lakeside relaxation, Rural retreats
Getting There
Nearest train station: Minehead, 1 miles
Nearest airport: Bristol, 40 miles
Car is not necessary


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Mrideep Impex Private LimitedNew Delhi, Delhi
Products & Services
Company Profile
Mrideep Impex Pvt. Ltd. was incorporated in 1999 by Mr. K.D.Rajbanshi and since 2004 is owned and operated by Ms. Suvriti Rajbanshi with her team.
Fact Sheet
|Year of Establishment
|Legal Status of Firm
Private Limited Company
|Nature of Business
Supplier, Distributor, Manufacturer, Service Provider
Contact UsMrideep Impex Private Limited Suvriti Rajbanshi+91-11-26343953
90-A, Pocket-C, Sidhartha Extention
New Delhi - 110014
Delhi, India
New Delhi - 110014
Delhi, India
Send your enquiry to this supplier


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Product Information
On My Mind by Brian Culbertson - Digital Sheet Music
At a Glance
Even though Brian Culbertson might be categorized as lite jazz, his music has just enough "oomph" to keep you interested. The talented young composer / arranger / keyboardist / trombonist's music has maturity that is, at times, beyond his years, and Culbertson credits his dad with helping him develop an ear for the type of music that he makes. His father, Jim Culbertson, a respected high school jazz band director and trumpeter, cultivated a love of sanguine sounds for young Brian who eagerly listened to anything his dad listened to. Their Decatur, IL, home would be alive with the recorded sounds of Maynard Ferguson, Buddy Rich, the Brecker Brothers, and David Sanborn. Growing up, Culbertson also listened to '70s R&B/pop/funk bands like Blood, Sweat & Tears, Tower of Power, and Earth, Wind & Fire.
* This product is available worldwide
Arrangement Details
The Arrangement Details Tab gives you detailed information about this particular arrangement of On My Mind - not necessarily the song.
Song Details
The Song Details Tab gives you detailed information about this song, On My Mind.
Related Products
The Related Products shows you other products that you may also like, if you like On My Mind.
There are No Reviews written for "On My Mind"
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text:
Here at Cazue we recently worked with a small independent business on their website redesign. When chatting through ideas and options with the business owner, it became apparent that she was completely intimidated by the prospect of writing copy for her site. Despite being an expert in her field, she simply did not know where to begin. This got me thinking about the basics of content writing and I thought it might make a useful article for those that are starting out.
If you are embarking on writing copy for your website, check out these simple tips.
In the case of the above business, they opted to take advantage of Cazue's professional content writing services. After all, it isn't for everyone. If you want to chat through your options, feel free to call us for an obligation-free chat on 03333 110 233 or email firstname.lastname@example.com.
give us a call on 02392 123 538
Here are some of the local areas we provide with web design and digital marketing services. These are just some examples, we work with clients all over the UK and across the globe.


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Dr. James Gruber II specializes in general podiatry in Palmerton, Pennsylvania.
Primary Location for Dr. Gruber
Board Certification, Specialty and Expertise
Dr. James Gruber has been identified as specializing in General Podiatry.
Patients may also know Dr. James Gruber II DPM as:
Compare Similar Podiatrists
We found 5 podiatrists nearby Dr. Gruber who also specialize in General Podiatry
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text:
Related Searches: chatty cathy dress, chatty cathy dresses, chatty cathy doll, chatty cathy shoes
7 Results for Black Chatty Cathy - For Sale Classifieds
Check out my other items!Be sure to add me to your favorites list! 2 piece Red and Black Poodle Set was made to fit the Chatty Cathy Doll. Doll Not Included. This beautiful poodle skirt is made with red felt with an1 month ago on ebay.com
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French Potato Salad
20 Oct 2009
French Potato Salad is a delicious side dish recipe that is simply easy-to-prepare. Once you have this recipe, I am sure you will always crave for it.
|8 Medium
|1 Teaspoon
|Freshly ground black pepper
|1⁄2 Teaspoon
|Wine vinegar
|1⁄4 Cup (4 tbs)
|Dry white wine
|2 Tablespoon
|Tarragon leaves
|1⁄2 Tablespoon, dried
|1 Tablespoon, chopped
|1⁄2 Cup (8 tbs)
1. Cook the potatoes in boiling salted water until tender but still firm, about thirty minutes.
2. Peel the potatoes while still warm and cut into slices one-quarter inch thick. Place in a salad bowl.
3. In another bowl, combine the salt, pepper, vinegar, consomme and wine. Mix until the salt dissolves. Add the remaining ingredients and mix well. Pour over the potatoes and toss gently but thoroughly, until all the liquid is absorbed. May be served warm or cold.
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French Potato Salad Recipe


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Viewers: in countries Watching now:
This weekly course covers the most common questions videographers encounter when shooting and editing with DSLR cameras, from choosing a frame size and frame rate to understanding moiré. Authors Rich Harrington and Robbie Carman will also help you understand the impacts of compression and the difference between cropped (or micro 4/3rds) and full-sized sensors in cameras, and much more. This continual FAQ guide is a handy way to find the answers to the questions that plague you the most.
So, Rich, we just came down to our studio. >> Yeah. >> To talk about sort of the post side of matching shots. And when we were shooting earlier, we kind of got it close, right? >> Yeah, we got the settings lined up. >> Yeah, we got the settings lined up, we looked at the waveform monitor. We got the exposure just about right. And when we were in the studio, we said really close we would like to actually get it a little closer. >> Mm-hm. >> But we were rushed so we didn't spend the time and I think that's actually a key point now I want to 99.9% of the time not resort to I'm going to fix it in post right.
>> Yeah you hate to say that as a post guy. >> Right. >> But its close. >> But sometimes you need to get to 98% and see what's there so we actually have the shot. Of Pat Patrick Inhofer, a friend of ours. Colorist who's actually going to join us in just a moment to actually match these shots even better. >> Yeah. And, and this is him, when you applied the actual video LUT in camera. >> Wait. So I was on a Blackmagic Cinema Camera. Shooting ProRes. And sort of in the sort of rack 7 or 9 or sort of the video mode if you will on the camera. >> Yeah, yeah that looked pretty good and you know you shot that two different Kodak's I don't see any major changes between the Kodak's.
>> Yeah one is ProRes one is DNXHD. >> Pretty close. >> There, there about equivalent the azazure. >> And there's the log file. >> Yeah now obviously the log files going to look a ton different right it looks like its shot wrong. Nothing wrong with it, as we discussed in, in in previous episodes and as well as when we were up in the studio. When you're shooting log, you're just going to get that nice flat desaturated look. The way it's supposed to look. >> Yeah. And we got a whole episode all about working with log files. >> Yeah. >> So we're not going to worry about that today. >> Right. >> But let's compare that to the pocket camera. >> Okay. >> Which was a smaller sensor.
>> Yup. >> So, you know, let me load up the log version of the pocket camera. And in here's the thing that's interesting, there's my log file, there's your log file. >> Those are relatively close. >> I think they're extremely close. More so than here is your video look. >> Yep. >> Right? Really rich and saturated. >> Yep. This is the video lookout of the pocket camera. I mean think about it, these cameras were manufactured at different times. Depending on firmware. We didn't, that's the one thing we didn't actually check when we were in the city yesterday. >> Mine was the latest one.
>> I might have been a version behind, who knows. But no they, they are off. But the thing about it that I'm noticing. Is that I'm not completely off right yeah our background is still our background its still nice and blown out. Overall exposure looks to be accurate I can put it up on some scopes we'll let Pat do that in a moment when he joins us what looks to be about the same. What I'm noticing is that the saturation seems to be a little off and I'm not surprised about that this is a different sensor we were using different glass. >> Yeah. >> You were using a native MFT glass on your pocket camera. I was using a Nikon Mount cinema style glass.
It could just have better contrast and better saturation just in the lens even. >> Yes, yes I think the best thing here that I'd love to see I'm going to get out of here and let you guys take a stab at this. >> Okay. >> I'd love to see you put the two, log files head to head. >> Okay. >> And match those really quick and then in the second movie, go ahead and take the two video looks and see how quick you can get these to match. >> So join, join us back in a second. We'll bring back Patrick Inhoffer. Lynda.com author onto the set here and he'll help us mash these shots together.
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|Reviews for Neverland: Part 3
| Batfan3 chapter 6 . 10/23/2014
I love the tie-ins with the original
| Batfan3 chapter 5 . 10/23/2014
I love that you took the original quote! I love love love Peter Pan. In practically everything
| savannaharaiza chapter 18 . 4/2/2014
you need to make a part 4 with Jane, Wendy's daughter and I enjoyed this story very much
| Casey chapter 17 . 11/30/2013
I might be a little late for this, but this fanfic is simply AMAZING. I've been sitter here for two hours reading it and I absolutely love it! Do wish you'd make more!
| Neverland chapter 1 . 10/31/2013
I honestly dont think anyone else who wrote a sequel to Neverland could top this! :)
| Neverland chapter 1 . 10/31/2013
Dont feel discouraged by lack of readers/reviews. Just because other people dont love Neverland Part 3 (for what reason i cant comprehend, i mean seriously? Who wouldnt absolutely LOVE this fanfic? I know i do!) doesnt mean that there arent plenty of people who DO love it (including me, totally!). I saw the authors note near the end about another Neverland fanfic, and i got reeeeeeeeeally excited! But that was a year ago and still nothing. I mean i only just found this fanfic like tuesday and ive already read it like 2 1/2 times, so i wasnt reading it while you were writing it so you probably wont see all my reviews...but i was really hoping you'd write another one, you would do tremendously awesome on another one just cuz youre so creative and talented and i know it would be awesome if you wrote another one, and i am appalled that more people havent read this fanfic and loved it and left raving reviews! :O lol I think of this story as if it were the official sequel to Neverland, u know why? Because ITS THE MOST AWESOME FANFIC EVER! AND THE MOST AWESOME PETER PAN RELATED STORY EVER WRITTEN BESIDES THE ACTUAL NEVERLAND MINISERIES!
PLEASE WRITE MORE! Am i being slightly ridiculous?...lol sorry, i just love this a lot...lol :)
| Neverland chapter 18 . 10/30/2013
I mean i like love the "Neverland" mini-series to death. And its not like i dont like th original, the weird music just kinda puts me off...lol
| Neverland chapter 18 . 10/30/2013
Also, everything you added to and changed about the original story was magnificent, amazing, and the entire story was jaw-dropping. I was actually never really crazy about the original Peter Pan story, but the way you changed it made me actually love it (your version of the original story that is) You have a gift, seriously. You are a jaw-droppingly talented writer, not to mention extremely creative...not joking :)
| Neverland chapter 18 . 10/30/2013
...the "Neverland" style and individual storyline...i could go on and on about this, really. :) ill just say it...I LOVE THIS STORY! AS IF IT WAS PART OF THE ACTUAL MINI-SERIES! PLEEEEEEEASE WRITE MORE! I have no idea why people arent loving this, its amazing! Please please please please please please please write another Neverland fanfic! I enjoyed it immensely! I may just go back and read it AGAIN lol (*_*)
| Neverland chapter 18 . 10/30/2013
Okay, i just read the whole thing again (what? i cant help it, its just so unbelievably awesome) and i think i may have enjoyed it even more than the first time through! I cant help it, its an amazing story, and ive decided that there actually was not too much kissing. I love the dialogue (its exactly "Neverland" style, i love that) and you described everything so amazingly and wonderfully and with such talent! I love the relationships, the cute "thimble" thing with Peter and Wendy, and on the Jolly Roger when Peter was captured and he and Wendy shared those few moments, and how you tweaked the story to fit the Neverland
| Neverland chapter 18 . 10/28/2013
Oh, and the characters were so intricate and complicated, i love that! Also, the battles between Peter and Hook were awesome. I could totally see them in my head. Ive been on the edge of my seat the entire story, unable to stop reading! And everything you added to the story was amazing too. Again, please write more! :D
| Neverland chapter 18 . 10/28/2013
WOW WOW WOW you are an amazingly talented writer. I just finished reading the whole story, and i loved it. I had quite a few questions after watching Neverland (of which im like the #1 fan) and you answered them all! Thank you! I love how you adapted the original story to fit the Neverland story, but im not crazy about the baby teeth and infant laugh. I just cant see the Charlie Rowe Peter like that. I love how you wrote his inward struggle, and just the whole thing. Also, you said Peter had the watch, but when it fell in the caves, the crocadile ate it there, Peter never got a hold of it. And why did Hook die here? Whos gonna be the villain now? But, all in all, i think Neverland Part 3 was creative,amazingly written, an awesome story, had great story twists, with a touch of romance (there was tad too much kissing in my opinion though), and just generally AWESOME! No, really, i couldnt stop reading it. Please write more :) Great job! Applause has commenced
| Chris chapter 11 . 10/14/2013
Okay, I don't know how long this has even been up or what. But I just discovered it the other day, and I've been reading the entire thing all night. My God, this is well-written. The detail of the characters is spectacular so far. I am so fond of how you've taken the original novel and incorporated the 2011 miniseries so flawlessly. It reads as though this is the screenplay for an actual upcoming film. Very well done. I SO appreciate chapters such as this one and the one before it. It makes me see the love between these characters, and it makes me care about them all over again. Without details like these, this fanfic could easily fall flat. My only complaint so far is that the pocketwatch belonging to Peter's father was swallowed by the crocodile at the end of the miniseries, and in this fanfic, Peter has it. Other than that, I'm seeing no inconsistencies. I very much look forward to concluding this adventure. Bravo.
| Jessica chapter 18 . 9/9/2013
This was the most wonderful story I have read in a long time! The writing style was beautiful and I couldn't tell the difference between the old story and the new, with how well the writing styles mixed together. I wished the ending was different, but I'm a romantic at heart and always want true love to concur. Should you ever write anything else I would love to read it. You're a very talented writer, I look forward to seeing more from you. 3 I absolutely loved it!
| Daziy is SoniQ chapter 18 . 8/14/2013
And so, the amazing novel of Peter & Wendy was born :)
This fanfic is just... I don't know what to write. All I can say is that this fanfic is very great! The plot, the way you write, it's all very amazing. Honestly, I was very surprised by the lack of reviews. I mean, only 48? Seriously?


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'Glee' Christmas Guest: Chewbacca (Yes, Really)
By Kimberly Potts (The Wrap) "Glee" is paying tribute to the still-baffing "Star Wars" holiday special with help from a very special guest: Chewbacca. "Glee" star Matthew Morrison, who directed… More
By Kimberly Potts (The Wrap) "Glee" is paying tribute to the still-baffing "Star Wars" holiday special with help from a very special guest: Chewbacca. "Glee" star Matthew Morrison, who directed… More
From cable channels' signature reality shows and cartoons for the kiddies to classic movie series like "The Godfather" and "Lord of the Rings" to more dysfunctional sitcom families than you… More
Nothing is off limits in Carrie Fisher's one-woman show, 'Wishful Drinking,' which makes its HBO debut on Dec. 12. From her famous parents (the late '50s singer Eddie Fisher and… More
Just as 'Family Guy' did with 'Star Wars: The Empire Strikes Back,' the Fox series has put together a dead-to-rights riff on 'Return Of The Jedi,' the final entry in… More
NEW YORK – May the force be witty. Lucasfilm Animation said Monday that 'Star Wars' is coming to TV as an animated comedy series. The sitcom is still in development… More
'Family Guy' and 'The Cleveland Show' will be seeing stars next season. 'Family Guy' series creator Seth MacFarlane hosted a star-studded holiday party at his home in Hollywood on Saturday… More
Much has been made of how much the Shatnerless Kirk is going to make or break the new Star Trek film, but the real emotional crux of this film is… More
Family Guy's executive producer David Goodman is no stranger to deep space – he served as a consulting producer on Star Trek: Enterprise, and of course has previously sent the… More
A blog about health, food, beauty, fitness, fashion, parenting and travel focused on how we, as individuals and as a society live our lives.
An up-to-the-minute blog covering celebrities, gossip and entertainment news.
Covering the latest news, opinions and analysis across the world of sports.
A blog about television, characters, programming, actors, and the business of the small screen.
A blog about movie news, movie stars, movie premieres and the business of the big screen.


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How to Choose the Right Makeup
Whether you're your skin tone is fair, light, medium or dark, there's great makeup for everybody's skin tone.
1If you're fair, go for a small amount of blush around a pinkish color for the cheeks. But, the fist thing you MUST know is that if you put on eyeshadow don't ever put on lipstick or gloss at the same time. So for the eyes it really depends on your eye color, for blue eyes you shouldn't go for a blue eyeshadow go for earth-tones. If you want to jump out of earth tones light pink always looks good, Brown eyes can get away with wearing almost any color of eyeshadow. But if you really want to make them pop out go for aether green, pink or blue eyeshadow. In order to get green eyes to pop, you should try wearing various purple shades. If you want your eyes to stand out but look more natural, you may want to try warmer mocha brown shades or warm colors with slight orange undertones for green eyes.Keep in mind that you should have fun with your eyeshadow and it shouldn't be a bothersome process. A general rule of thumb with eyeshadow is to first compliment your eye color and then it shouldn't contrast your clothing. In other words, don't wear a purple based eyeshadow on your blue eyes while you are wearing a coral toned shirt. And for lipstick and gloss: gloss always looks better for people that have a fair skin tone a light pink would look Perfect!AdAd
1If you're light, you should wear bronze or lavender purple eyeshadow. Apply it up to your crease. For the blush, you should choose a medium rose. Because your probably slightly dark-haired, you should choose black mascara. For finish put on a natural medium pink or coral/orangey.Ad
1If you have medium skin, choose chocolate brown or olive green. (make sure the olive is a bit shimmery, so it doesn't drag your eyes down) the blush should be a natural dark coral. You should definitely choose either black or blue mascara. Blue really brings out the eye colour. This only works for medium skin: Put on a matte bronzer on the bridge of your nose, forehead and chin. Make sure it looks very natural, and that you barely notice it. Brown stains on your face - not a good look. Choose a matte, light red lipstick.Ad
1If you have dark skin, choose a dark plum or black-brown matte eyeshadow. The blush should be dark plum or bronze. It really makes the cheekbones pop. The mascara should be a very black one. And the lipstick should be a creamy wine or plum tone.Ad
Thanks for reading this and i hope it works for you all! THANK YOU :)
We could really use your help!
Philippine Dishes?
Clothing Stains?
Anxiety Management?
Downloading Music?
- Don't over apply. Less is always' more.
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Things You'll Need
- An eyeshadow that matches your skin tone
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- If you're medium, a bronzer
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Restore the Lands to Original Families of Cowichan
The Native Women carry the Word of Law, the Law of the Land.
Jack of all trades, master of none. Work full time for equality and peace and a better world for all. Create music and art and films. Guerilla gardening.
The Native Women carry the Word of Law, the Law of the Land.
Sign this petition to pressure the government of Argentina to release Arturo
Native Women have lived under the longest and most violent Act of Cultural Genocide in the History of the World. Native
In support of Accountability from Canada. We, the people from the west are trying to save First Nations Peoples Rights
CCTV footage of the dog running through a car park while engulfed in flames was shown on national TV news channels and
Does an Animal Abuser Live in Your Neighborhood? Our communities have good reason to be concerned about the whereabouts


text:
Lesions, biopsy sites, and other target sites in solid tissue are localized by positioning an illumination source adjacent the lesion in the solid tissue. Usually, the illumination source is positioned using a localization wire which is percutaneously introduced to the lesion. Alternatively, the illumination source may be provided by an implantable capsule which is introduced using a cannula or needle. In both cases, the illumination may be visually or optically detected and used to guide a surgical procedure to the lesion. Kits comprising the localization wire illumination capsule, and instructions for use are also described.
1. A method for localizing a target site in solid tissue, said method comprising:
percutaneously introducing an illumination source through solid tissue to the target site in the solid tissue;
emitting illumination from the illumination source into the tissue; and
detecting the emitted illumination to mark the target site.
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16. A device for localizing a target site in solid tissue, said device comprising:
a wire having a proximal end, a distal end, and an anchor near the distal end; and
an illumination source on the wire which emits visually observable illumination.
17. A device as in
18. A device as in
19. A device as in
20. A device as in
21. A device as in
22. A kit comprising: a localization wire having an anchor and an illumination source; and instructions for use according to
23. A method for localizing a biopsy site, said method comprising the steps of percutaneously removing tissue from a target site; and placing a detectable marker that emits illumination at or near the site from which tissue was removed.
24. A method for localizing a biopsy site, said method comprising the steps of percutaneously removing tissue from a target site; placing a detectable marker at or near the site from which tissue was removed, said detectable marker comprising a power source at an illumination source that emits illumination that can be detected, analyzing the removed tissue to determine if further removal of tissue is necessary, and when further removal is necessary, said method further comprising the steps of selectively activating the illumination and power sources, detecting the detectable marker and removing additional tissue in the region of the marker.
This application claims priority from provisional application No. 60/080,963, filed on Apr. 7, 1998, under 37 CFR �1.78(a)(3). The full disclosure of the provisional application is incorporated herein by reference.
1. Field of the Invention
The present invention relates generally to medical devices and methods. More particularly, the present invention relates to devices and methods for localizing lesions and other target sites in solid tissue, such as breast tissue.
Radiography is quite effective in determining the presence, size, and general location of tumors and other lesions in breast and other solid tissues. Relying directly on radiographic images to locate the site of a lesion in surgical and biopsy procedures, however, can be very difficult. In particular, since tissue is soft and subject to deformation when accessed with scalpels and other surgical instruments, the lesion can move from an initial location indicated in the radiographic image, making surgical access very difficult.
To at least partly alleviate this problem, tissue localization wires have been developed. Such wires are small diameter, flexible rods having a barb, hook, or other anchor at their distal tips. Such wires can be introduced through a needle or cannula under fluoroscopic guidance so that the tip can be anchored immediately adjacent to the site of the lesion. The surgeon can then follow the shaft of the wire to its tip, and remove the lesion adjacent to the tip with a reasonably high degree of precision.
While the use of such tissue localization wires has been a significant improvement, the need to follow the shaft of the wire to its distal end is problematic. Most surgical procedures for removing tumors and other lesions still rely on manual use of a scalpel to access the lesion site. Following the wire shaft with a scalpel is difficult, and the surgeon will often inadvertently and excessively cut into healthy tissue surrounding the shaft. Moreover, the presence of the shaft can damage the scalpel blade and interfere in other ways with the procedure being performed. In addition, the need to follow the wire shaft precludes alternate access routes that may be advantageous, e.g., by providing a more direct access route or by passing through less healthy tissue.
In addition to biopsy and removal of primary lesions, breast cancer surgery often involves the removal of lymph nodes which may have received metastatic cells as the result of lymph drainage. While it is most common to remove all of a patient's axillary nodes when nodal involvement is suspected, such removal is associated with significant morbidity and patient discomfort. A less traumatic alternative is to remove only those lymph nodes which have received lymphatic drainage from the primary lesion. These lymph nodes, referred to as the sentinel node(s), may be identified by injecting a radioisotopic or other detectable marker to the region of the primary lesion and detecting to which node(s) the marker drains. It has been found that the lymph drainage path from a primary tumor will usually go to one or a very few of such sentinel node(s). When using radioactive markers, the sentinel node(s) can then be generally located using a scintillation counter passed over the patient's skin. The node(s) can then be surgically removed using a scalpel, but such removal can be difficult since lymph nodes are hard to locate.
For these reasons, it would be desirable to provide improved methods and devices for localizing target tissue sites within solid tissue particularly including tumors and other lesions within breast tissue. The localization methods and devices will preferably permit visual or optical detection of the target site without the need to surgically follow the shaft or other path created by a localization wire. In particular, it would be desirable to provide localization markers which are visible through relatively thick layers of solid tissue in order to permit surgical access over preferred routes without interference from localization wires or other physical structure. Such improved methods and devices for localizing target tissues should be useful for the identification of sentinel node(s) which have previously been marked with a radioisotopic or other marker, as well as with primary tumors and other lesions. At least some of these objectives will be met by the invention described hereinafter.
2. Description of the Background Art
Breast lesion localization and/or biopsy devices are described in U.S. Pat. Nos. 5,660,185; 5,647,674; 5,556,410; 5,409,004; 5,353,804; 5,221,269; 5,197,482; 4,966,583; 4,774,948; and 4,592,356. U.S. Pat. No. 5,158,084 discloses a particular localization wire having palpable markers for assisting a surgeon in locating the site of a lesion.
The use of infrared light for illuminating the ureter during abdominal surgery is described in U.S. Pat. Nos. 5,517,997 and 5,423,321. The purpose of the illumination is to warn the surgeon of the ureter location and avoid accidental injury to the ureter.
The use of infrared and other light radiation for imaging and/or evaluating tissue structures is described in U.S. Pat. Nos. 5,792,215; 5,014,713; 4,817,622; 4,813,422; 4,541,438; and 4,248,214.
The removal of a sentinel lymph node in breast cancer surgery is described in Krag (1999) J. Natl. Cancer Inst. 91:302-303; Veronesi et al. (1999) J. Natl. Cancer Inst. 91:368-373; and McMasters (1998) N. Engl. J. Med. 339:990-995.
The full disclosures of each of the above listed U.S. patents are incorporated herein by reference.
The present invention provides improved methods, devices, and kits for localizing target sites in solid tissue. While the present invention is particularly useful for marking tumors and other lesions in breast tissue to facilitate subsequent biopsy and/or tissue removal, it will also find use in the marking of virtually any fluoroscopically visible target site in any type of solid tissue for virtually any purpose. A significant advantage of the present invention is that the localization may be performed visually or optically and does not depend on surgically following a path defined by the shaft of a localization wire. While in most cases a wire will be employed to mark the target site, surgical access to the site can be obtained from virtually any direction and does not need to follow the shaft of the localization wire itself. Moreover, even in cases where it is desired to follow the shaft to the target site, the ability to concurrently visualize or optically detect the target site facilitates following the shaft.
A method according to the present invention for localizing a target site in solid tissue comprises percutaneously introducing an illumination source, and detecting the emitted illumination transmitted through tissue to mark the target site therein. Usually, the method will further comprise removing a portion of the solid tissue in the region of the emitted illumination, either for purposes of biopsy or for removal of a tumor or other diseased tissue. The removal step may comprise manually cutting tissue while detecting the emitted illumination, where the direction of cutting is based at least in part on the observed position within the tissue of the emitted illumination, i.e., the illumination acts as a beacon guiding the surgeon to the target site.
In a first exemplary embodiment, the introducing step comprises anchoring a wire in the solid tissue, where the wire carries the illumination source. The illumination source may be a passive source for transmitting externally generated illumination down the wire to an emitting element, such as an optical fiber having a dispersive element therein. Alternatively, the illumination source may comprise an active element, such as a light generating element, typically a light emitting diode.
Usually, the illumination source will be a point source. By point source, it is meant that the illumination source is not extended or distributed along a significant length or area. In particular, the point source will usually have a maximum width, length, or other dimension of 1 cm, preferably being less than 0.5 cm. Also preferably, the point or other illumination source will emit radiation isotropically, i.e., generally equally in all directions. In some cases, however, the illumination source need not be isotropic and can instead be directional, particularly when it is known or controllable in what orientation the illumination source will be within the solid tissue. For such directional sources, it will then be necessary to point the source in a desired direction so that it can be observed or detected while the procedure is being performed. The illumination source may be of any detectable type, usually being visible light or infrared radiation. Infrared radiation is particularly preferred since infrared radiation (preferably at a wavelength from 600 nm to 900 nm) will penetrate tissue.
The emitted illumination may be detected visually or via an electronic detector. For example, a surgeon performing tissue excision or biopsy may visually observe the emitted light and use the light as a guide or beacon when manually cutting the tissue with a scalpel or other surgical instrument. Alternatively, optical detection may be performed using an infrared or light detector and the position of the illumination source presented or analyzed electronically. In particular, the detected illumination can be presented on a video display.
As an alternative to utilizing a localization wire, the methods of the present invention can be performed using an injectable or implantable illumination source. For example, a small capsule containing a light-emitting diode and a battery can be percutaneously introduced using a cannula or needle. The cannula or needle will be used to inject the capsule under fluoroscopic observation at the target site. The capsule will remain at the target site after the needle or cannula is withdrawn. Illumination from the capsule may then be used for detecting the target site by any of the techniques described above.
In an alternative aspect of present invention, detectable markers may be positioned in tissue during or immediately following a biopsy procedure, such as a percutaneous stereotactic biopsy of breast or other tissue. The detectable marker will usually be fully implantable (i.e., it will not be part of a localization wire which extends transcutaneously through tissue), and it may be placed using the same cannula or other instrument(s) used to perform the tissue biopsy. In a simple form, the marker may be a radiopaque capsule, cleat, anchor, or other implantable component that permits subsequent fluoroscopic, x-ray, energy-mediated detection. Preferably, however, the detectable marker will comprise an illumination source as described above. Even more preferably, the illumination source will be associated with a power source which is remotely switchable so that the marker can be initially implanted in a non-powered or switched-off state on order to conserve power and reduce the size required for the power source. Then, when it becomes necessary to locate the marker for any reason (e.g., if the biopsy indicates that a lesion is cancerous and needs to be removed), the surgeon can then ultrasonically or otherwise signal the implanted marker to initiate illumination to permit detection. In other cases, even when the biopsy is negative, the radiopaque or other markers will be useful to indicate the site(s) of prior biopsies for future reference.
In addition to marking primary lesions and tumors in breast and other tissue, the methods of the present invention may be used to assist in the localization of lymph nodes, such as sentinel lymph nodes, which have been marked with radioisotopic or other markers according to well known techniques. By aligning the illumination source of the present invention with the labeled lymph node, subsequent biopsy or surgical removal can be greatly facilitated. Alignment can be achieved using an external scintillation counter where the illumination source of the present invention is then introduced according to the best judgment of the treating physician. Optionally, after the general location of the labeled node is determined, the node can be ultrasonically imaged and the wire more precisely positioned based on the image. Alternatively, the illumination source can be combined or used together with a scintillation counter or component thereof which is percutaneously introduced to help localize the radioisotopic marker. In some instances, it may be advantageous to provide the marker or shaft carrying the marker with scintillation counting capability, as described in more detail below in connection with the devices of the present invention.
Devices according to the present invention comprise a wire having a proximal end, a distal end, and an anchor near the distal end. The wire further comprises an illumination source on the wire, where the illumination source provides for emitted illumination useful in methods as described above. Usually, the illumination source is a point source. For example, the illumination source may comprise an optical fiber disposed axially on or within the wire, where the optical fiber is adapted to transmit light from an external source and to emit the transmitted light in a generally isotropic pattern from a point on the wire. Alternatively, the illumination source can comprise a light generating element, such as a light-emitting diode.
In some instances, the devices of the present invention may further comprise a scintillation counter or a component thereof. For example, an optical fiber which is coated with a scintillation material may be disposed on or in the localization wire. In some cases it may be possible to utilize the same optical fiber which is also used to deliver optical energy to the illumination source. Thus, in a first mode of operation, the wire may be introduced to the region of a lymph node which has been labeled with a radioisotope. Once in the general region, the wire can be more specifically positioned based on detection of the emissions from the radionuclide based on scintillation material on the optical fiber, i.e., light will be generated and appear at an end or portion of the optical fiber which is external to the patient. Once the wire has been properly positioned, the light source can be coupled to the same optical fiber in order to transmit infrared or other optical energy to the region of the lymph node.
The present invention further comprises kits including a localization wire having an anchor and an illumination source thereon together with instructions for use according to any of the methods set forth above. Usually, the kit will further comprise packaging, such as a pouch, tray, tube, box, or other conventional package type. The instructions for use may be printed on a separate sheet of paper or may be printed in part or entirely on the packaging material. Other system components, such as needles, cannulas, and the like, may also be included in the kit. Usually, all kit components will be maintained sterilely within the package.
FIG. 1 illustrates a first embodiment of a localization wire constructed in accordance with the principles of the present invention.
FIG. 2 is a detailed view taken along line 2—2 in FIG. 1.
FIG. 3 illustrates an exemplary dispersion element useful in the localization wires of the present invention.
FIG. 4 illustrates an alternative localization wire according to the principles of the present invention, where the wire includes multiple illumination sources axially spaced-apart over its length.
FIG. 5 illustrates a dispersion element suitable for the localization wire of FIG. 4.
FIG. 6 illustrates the distal end of an alternative construction of the localization wire of the present invention.
FIG. 7 illustrates an implantable capsule having an illumination source useful in the methods of the present invention.
FIGS. 8A and 8B illustrate use of the localization wire of FIGS. 1 and 2 in performing the method of the present invention.
FIGS. 9A and 9B illustrate use of the implantable capsule of FIG. 7 in performing a method according to the present invention.
FIGS. 10A and 10B illustrate use of the implantable capsule of FIG. 7 in performing a localization procedure following tissue biopsy according to the principles of the present invention.
FIG. 11 illustrates a kit constructed in accordance with the principles of the present invention.
FIG. 12 illustrates a further embodiment of a localization probe having radiation detection and emission capabilities instructed in accordance with the principles of the present invention.
FIGS. 13A through 13C illustrate use of the probe of FIG. 12 in localizing a lymph node which has been previously labeled with a radioisotopic marker.
Referring to FIGS. 1 and 2, a localization wire 10 constructed in accordance with the principles of the present invention comprises a shaft 12 and an anchor 14 in the form of a barb disposed at a distal end of the shaft 12. The construction of the localization wire 10 may be generally conventional, as described in the listing above of breast lesion localization and/or biopsy devices, except that it will include at least one illumination source 20 usually located near its distal end, typically within 0.5 cm of the distal end, and preferably within 0.1 cm of the distal end. As best illustrated in FIG. 2, an optical fiber 22 extends from a proximal end 24 of the shaft 12 to a plurality of windows 26 formed about the shaft 12. Optical wave guide 22 terminates at or near a dispersion element within the window 26 so that light transmitted down the fiber 22 will be dispersed through the windows, preferably in a generally isotropic pattern. Light may be directed down the optical fiber 22 from a light source 30 connected to the optical fiber 22 via a cable 32.
An exemplary dispersion element may comprise an irregular reflective surface 27 disposed to receive coherent or other light from the optical fiber 22, as illustrated in FIG. 3. Light from the optical fiber 12 strikes the reflective surface 27 and is reflected randomly and generally in a proximal direction through the windows 26. A wide variety of other dispersion elements could be employed, including lenses, e.g., spherical lenses, refractive surfaces, refractive gratings, and the like.
In some instances, it will be desirable to distribute a number of illumination points along the length of a localization wire, as illustrated in FIG. 4. Localization wire 30 may be generally the same as localization wire 10, including a shaft 32 and an anchor 34, but will further include a plurality of windows 36 spaced apart axially along its length. An optical fiber or wavelength 33 runs axially through the shaft 32 and includes a plurality of optical dispersion elements or points along its length generally aligned with each of the windows 36. For example, optical waveguide 33 may comprise a plurality of individual fibers, where a number of the exterior fibers terminate adjacent to each of the windows 36, leaving inner wires to extend down the shaft to the additional windows 36 located distally. This is observed in FIG. 5 where a pair of optical fibers 33 a and 33 b are shown as terminating adjacent the window 36. Usually, a number of additional individual fibers will also be terminated in order to provide sufficient illumination in each window.
In addition to barbs, the localization wires of the present invention may have a wide variety of other forms. For example, the anchors may be in the form of a helix or spiral 40, as shown in FIG. 6. Additionally, the light source may take forms other than single or multiple fiber optical wave guides. As shown in FIG. 6, a light-emitting diode 42 is disposed within an open or transparent region of the shaft of the localization wire. The light-emitting diode may be connected to an external power source via wires 44.
In addition to localization wires, the methods of the present invention may employ light-emitting implantable capsules, such as capsule 50 illustrated in FIG. 7. Capsule 50 may comprise any low power illumination source, such as a light-emitting diode 52 together with a battery typically located in adjacent compartment 54. The capsule 50 will be capable of emitting illumination, preferably infrared illumination, after it is implanted within solid tissue, as described in more detail hereinafter. Optionally, the light-emitting implantable capsule may be configured to permit remote activation, e.g., an ultrasonic, infrared, or other signal detector may be included within the capsule to permit the capsule to be turned on (and in some instances off) after the capsule has been implanted in tissue. It would be appreciated that the illumination source will have a limited lifetime dependent upon the power available from the battery. Thus, permitting the ability to externally actuate the life can significantly reduce the size of battery required and thus the physical size of the capsule itself. Inclusion of the remote activation switch will be particularly useful when the device is planted as part of a biopsy procedure, as described hereinafter.
Referring now to FIGS. 8A and 8B, use of the localization wire 10 for marking a target site (lesion L) within solid tissue T will be described. The localization wire 10 will typically be introduced through a needle or cannula 60 which may be positioned fluoroscopically so that its distal tip 62 lies adjacent to the lesion L. In some instances, the localization wire 10 will be positioned following stereotactic biopsy so that the distal tip 62 lays adjacent to the site from where the tissue was removed. After the needle or cannula 60 is properly positioned, the anchor portion 14 of the wire 10 will be advanced out through the distal tip 62 so that it deploys and anchors within the tissue, as shown in FIG. 8B. For example, the barb of anchor 14 may be resilient so that it may be radially collapsed as it is advanced through the needle or cannula 60 and then outwardly deploy after it is released from the distal tip 62. By drawing back slightly on the localization wire 10, the anchor then becomes firmly positioned within the tissue so that it is resistant to accidental movement. After the wire 10 is properly positioned, the external light source 30 can be connected via cable 32 and illumination from the illumination source 20 initiated. The surgeon may then rely on visual or optical detection of the illumination in order to guide a surgical procedure toward the illumination source and the adjacent lesion 30.
Referring now to FIGS. 9A and 9B, the implantable capsule 50 may be introduced to a target site adjacent lesion L in an analogous manner. The needle or cannula 60 is positioned via fluoroscopic imaging and the capsule 50 is axially advanced until it emerges from the distal tip and is implanted in tissue adjacent to the lesion, as illustrated in FIG. 8B. The capsule 50 will then emit infrared or other illumination and act as a beacon to guide a subsequent surgical procedure in the manner described above.
Referring now to FIGS. 10A and 10B, the methods and devices of the present invention may also find use following stereotactic or other tissue biopsy. As shown in FIG. 10A, a void V or other space will remain within the tissue T following biopsy. The capsule 50 may then be introduced through the cannula 60, as illustrated in FIG. 10B. The capsule 50 may be identical to that described previously, but will preferably include a remote actuation feature which will permit the surgeon to initiate illumination at some time following the initial implantation, typically hours, days, or even weeks later. The ability to precisely locate the prior site of tissue removal is of great benefit to performing subsequent excision or other procedures. Tissue biopsy will often at least partly remove the initial lesion which is present on the images taken prior to the biopsy procedure. Thus, relocating the site of biopsy can be problematic. The ability to place the marker of the present invention precisely at the site of biopsy is thus of great benefit.
Kits according to the present invention (FIG. 11) will comprise a localization wire 10 having a distal anchor 14 and illumination source 20, as generally described in connection with FIG. 1 and 2. The kit 100 will further comprise instructions for use 102 setting forth any of the methods described above. Both the localization wire 10 and instructions for use 102 will usually be packaged together in a conventional package 104, shown as a pouch. The package could also be in the form of a tube, tray, box, or the like. Other system components may also be included in the kit if desired. In addition to the kit 100, kits comprising the implantable capsule 50 could also be put together with instructions for use and optionally packaging in an analogous manner.
Referring now to FIG. 12, a localization probe 100 useful for localizing and marking a radioisotopically labeled tissue site, such as a radioisotopically labeled lymph node, includes a shaft 102 and apertures or opening 104 near a distal end 106 thereof. The distal end 106 is sharpened to facilitate percutaneous introduction to a target tissue site. The probe 100 will include both an illumination source and a scintillation detector or counter so that the probe may first be positioned near the radioisotopically labeled site prior to initiation of illumination. Most simply, the scintillation detector may comprise an optical fiber having a distal end coated with a scintillation material which produces visible or otherwise detectable light when struck by radioactive particles of the type emitted by the radioisotope. The light fiber is then connected to a light detector 110 which will have some indication of proximity of the distal end 106 of the probe to a radioisotopic source. For example, a visual signal (such as a gauge) or an audible signal may be provided to the treating physician so that the physician can tell when the probe tip is getting closer to or further from the radioisotopically labeled tissue, such as the sentinel node in a breast cancer patient.
Use of the probe 100 in localizing a radioisotopical sentinel node SN located percutaneously beneath a patient's skin SK will be illustrated. The sentinel node SN will be radioisotopically labeled by injecting or otherwise introducing the radioisotope to the region of a primary tumor or lesion. The radioisotope will drain to the sentinel node, and an approximate location for the node may be determined using an external scintillation counter, i.e., scanning the scintillation counter over the patient's skin SK. Once the approximate location is determined, the probe 100 of the present invention may be percutaneously introduced through the skin SK until the distal end 106 is positioned within or adjacent to the sentinel node. Positioning will be based on light transmission through the optical fiber to the detector 110, as illustrated by arrow 120 in FIG. 13B. Once the probe 100 is properly positioned, light from a light source 112 may then be directed to the same or a different light fiber in the direction of arrow 122. The light transmitted to the region of the sentinel node acts as a visual beacon as previously described.
Alternatively, a probe without an integral scintillation detector (such as probe 10) may be positioned at a labeled sentinel node by first generally locating the labeled node (usually using a surface scintillation scanner) and then ultrasonically imaging the region identified by the surface scanner. The probe may then be positioned very closely to the sentinel node to provide the desired infrared or other visible signal.
While the above is a complete description of the preferred embodiments of the invention, various alternatives, modifications, and equivalents may be used. Therefore, the above description should not be taken as limiting the scope of the invention which is defined by the appended claims.
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Codemasters' Website Breached, Users Informed
Written Friday, June 10, 2011 By Lee BradleyView author's profile
Codies have confirmed that codemasters.com was hacked last week and some cosumer information was comprimised.
The publisher sent out an email to users of the site today, warning of the breach. All the data on the Dirt 3 code redemption page, the E Store, and the Codies database has been accessed. That includes customer names, addresses, email addresses and passwords, as well as Xbox Live Gamertags and IP addresses. Payment info remains safe.
"Whilst we do not have confirmation that any of this data was downloaded onto an external device," said the email, "we have to assume that, as access was gained, all of these details were compromised and/or stolen."
Codemasters has said that it shut the site down immediately upon realising the issue. They're working on a whole new site, but are planning on redirecting users to the Codies Facebook page until then.


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This is a "machine-selection optional" part.Please choose a vehicle to see products specific to your machine, select a product below.
User Tip: If you're unsure of your vehicle type, you may skip the machine type selection box.
As great as ATV winches are, sometimes you just need a few extra parts to really enhance your quad's setup. That's why when you need a few good ATV winch accessories, you know you can rely on Rocky Mountain ATV/MC to be here for you.
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We've got everything you need, from replacement hooks to roller fairleads. And of course, don't forget the cable. If your four wheeler is currently fitted with wire rope, but you'd rather switch it out to synthetic ATV winch rope, you'll find exactly what you need right here. And if you need a few replacement parts such as the winch switch, you'll find a few options to choose from. Even if you'd just like a good winch accessory kit to make sure you get the most out of your existing winch, we've got several great choices. Aside from winch accessories, we also have a number of ATV tow straps in stock – perfect for those times when you need to help out a friend.
The great thing about ATV winch accessories is that there are so many different types of products. Take a look at our inventory right now to see if anything catches your eye.
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Seems to be a quality tow strap. Luckily, I have yet to use it. I'm positive it will hold up fine when used for intended purpose.Read All Reviews
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For the price it's hard to beat.Read All Reviews
Tim in Ohio
I recently purchased this item for my Superwinch LT2500. I had one heck of a time pulling the cable loop through the slot in the stop, despite using WD40 as a lubricant, as suggested. I had to remove my cable eyelet in order to compress the cable loop before it would pull through the stop, then reinstall the eyelet. Once on, the stop slides on the cable down to the hook. While it does work, I think this was manufactured for thicker cables such as those found on vehicle winches. I would recommend purchasing the Tusk cable stop bumper for ATV winches.Read All Reviews
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I bought this for my old Jeep. It is well built, has plenty of tensile strength, good price, and is a great strap. I highly recommend this strap!Read All Reviews
EDGARD R in AZ
Perfect size and qualityRead All Reviews


text:
IRVINE, Calif., April 18 /PRNewswire/ -- Accenx Technologies, Inc., a leading company in electronic medical record (EMR) interoperability and health care data integration solutions, announces today R. Scott Harper as the new Executive Vice President of Sales & Marketing.
Mr. Harper is a results-driven executive with over 20 years of executive sales experience in establishing strong sales organizations working in unison with strategic alliance partners. Scott has held various executive positions at the top healthcare IT companies. Most notable were Harper's 9 years as VP of Healthcare at SeeBeyond Technologies Corp. (Sun Microsystems) where he oversaw dramatic growth in both client base and revenues that led to their IPO. Most recently, Scott held the position of Senior Vice President and General Manager of Healthcare for Initiate Systems where he managed their overall global strategic direction and execution for their healthcare line of business.
"The exchange of healthcare information to all constituents in the healthcare eco-system is now more than ever a critical requirement. Yet, interoperability solutions to enable such exchange of information are sorely lacking. I have joined Accenx Technologies because I truly believe they are uniquely qualified to address these pressing technology and implementation issues," said Harper.
"Scott will be a tremendous asset to our already seasoned leadership team," said David Cheng, CEO of Accenx Technologies. "His experience and knowledge of the healthcare market will certainly propel Accenx Technology's growth efforts and help solidify our leadership position in the industry."
About Accenx Technologies, Inc.
Accenx Technologies is celebrating its 10th anniversary of serving national and international health care organizations with health data integration and interoperability solutions.
Accenx Technologies' EMR Interoperability solution, RyTRAK(TM) HIE,
enables the secure exchan
|SOURCE Accenx Technologies, Inc.
Copyright©2008 PR Newswire.
All rights reserved


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Cosmic Portals | Sacred Geometry in the Home
I have worked for many years establishing means by which people can enhance their personal energy by incorporating high-energy objects into their homes and accessories. That is the founding principle for Crystal Life Technology. So I am absolutely thrilled to be able to provide you - our wonderful customers - with a brand new line of high-quality core sacred geometry images on useful products - mugs, coaster, mouse pads and pendants!
Gemstone Prayer BeadsCrystal Life's Gemstone Prayer Beads bring together the power of prayer, the power of tradition, and the power of gemstones. Sometimes also called Gemstone Malas - which means a garland of flowers (prayers) in Sanskrit – we recommend you follow the ancient yogic practice of placing your intent into your prayer beads – then wearing your "garland" around your neck or wrist. This enables your prayerful intent...
Jewelry with PurposeResonance® - Jewelry with Purpose® helps you to change your life by changing the energy of your environment. Our handcrafted jewelry and – and our other Products with Purpose® – help you create your own personal, positive, portable environment. The founder and the staff of Crystal Life Technology®, Inc. are energy workers.
Atala Toy Art GalleryCrystal Life President Atala Toy is a noted nature photographer. Her favorite subjects are nature spirits – the gnomes, elves, trolls, Greenmen and Greenwomen who share earth with us. The beauties of nature that these spirits preside over is another topic. This gallery features her work.
Comments from Our Customers"I just received my necklace and I had to take time out to thank you. It's absolutely beautiful. I put it on and noticed a change in my aura immediately. I appreciate your kindness and your prompt attention to all of my questions." ...AJ
"I just received my package with the rose quartz mala. It has brought me utter joy and I can't thank you enough. I was so appreciative of the education literature as well. The guidance for the prayer beads was invaluable and just what I needed." - TS


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SF Giants Rumors: Vogelsong Not Concerned With Offense, Main Goal Right Now Is To Prove 2011 Wasn't A Fluke
Originally written on San Francisco Giants Baseball (SF Giants... | Last updated 2/1/12
Rael Enteen of CSNBayArea.com says Ryan Vogelsong isn't concerned about the San Francisco Giants offense heading into the 2012 season. "Not concerned at all. We're getting two really good players back from injury (Buster Posey, Freddy Sanchez) so it's almost like we signed two free agents," said Vogelsong. Vogelsong is going to be the number four starting pitcher in the Giants rotation. He's coming off a spectacular 2011 season, and this is what Vogelsong said when asked about proving that 2011 wasn't a fluke and it was legit. "That's the main goal right now. I'd be lying if I said it was different then that because it's not. I know that as soon as I take one bad step or have a bad game. That's what's going to be said and I'm going to have to try to keep that down to a minimum and put up as many quality starts up as I can," said Vogelsong. What's your thoughts on the Vogelsong not worried about the Giants offense, and do you think he can relive his 2011 magic? ~King of Cali (
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New London - City Council President Michael Passero said there was a time in the not-too-distant past when City Council members were kept informed by the city administration of major happenings in the city.
In the wake of a sexual assault in the downtown area that was first reported three days after the incident and was never formally reported to the council, Passero is calling for change.
He said media outlets have referred to the assault as a violent stranger rape, and information should have been released to both the council and citizens immediately.
"If that didn't happen, the administration has to get to the bottom of why it didn't happen. If there was a breakdown in protocol, we need to know what they're doing to correct it," Passero said Thursday. "I think at this point, somebody from the administration is going to have to come to the council and explain the situation. With the new form of government, we know nearly nothing, and we have to learn about it in the paper."
The sexual assault was reported to have occurred at about 1:30 a.m. on July 20 in an alleyway off Bank Street.
In a statement, Mayor Daryl Justin Finizio said any assertion that information was deliberately withheld by his office is untrue.
"All dissemination of information in this case has been handled directly by the New London Police Department and an internal review is ongoing within the department to assess how the information was released and to ascertain if any errors were made," Finizio said.
New London Police Deputy Chief Peter Reichard explained that the decision on whether or not to release information about any ongoing investigation is typically taken on a case-by-case basis.
He said he made the decision, in conjunction with investigators, not to immediately release details because of the sensitive nature of the case and the fact that it is an active, ongoing investigation. With any investigation, Reichard said the release of information could help or hinder investigators by alerting suspects and causing them to flee.
Reichard said the mayor's office had nothing to do with release of information.
"They don't control what we release from the police department," Reichard said.
Reichard said there were initially several suspects being considered, but they were later ruled out. Once they were ruled out, he said he sent out a statewide notification to other law enforcement agencies with a description of the suspect.
The description was released to The Day last week in response to a request for more information on the incident.
The suspect is described as a bald, overweight dark-skinned black man in his 40s, about 5 feet, 10 inches tall, who was wearing a white T-shirt and dark sweat pants. The man had no visible tattoos or scars and was reported to have foul body odor.
Detectives are still working the case, Reichard said, and physical evidence was recovered from the scene and from the victim. He said DNA evidence was submitted to the state crime lab - something that can help rule out or convict a suspect.
While Reichard said he believed it was an isolated incident, he said residents should always be aware of their surroundings when walking the streets late at night. He also recommended walking with others and parking or walking in well-lit areas.
Passero said he expects a conversation to continue at Monday's council meeting.
Portion of Ocean Avenue in New London is closed after car snaps utility pole
Once again, there's a few sports parents who could use some decaf
New London middle school to get nearly $3 million to fund new programs
The Rev. Michel Belt set to retire from St. James Episcopal Church later this summer
Eastern Pequot chairman vows to fight new tribal recognition rule
Newly signed state budget changes funding for cities and towns
High Hopes offers equine experience to Camp Harkness campers
Police: Maine man shoots off fireworks mortar tube from top of his head, dies
New London man charged with failing to safeguard gun discharged at middle school
Former East Lyme couple accused in string of residential burglaries
Huge crowds clog region's beaches as holiday weekend draws to close


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Ah the Central Park Treehouses... my vision of a soothing modern space done in soft grays with a tree to remind me of Central Park has come to fruition. As HGTV informed me… Soft grays started being the new neutral (replacing tan) for 2012 & have been such a success with the designers that they will continue thru at least 2013 if not forever!
There are TWO "Central Park Treehouses"!
Since there is a slight difference in exterior facades, the exterior picture is just an example of what to expect. Walkways will differ slightly for both of them, but the interiors are identical.
The Central Park Treehouses are at our other location. You will check in at Oak Crest and then be given a map to your Treehouse. It is still on the trolley route and just as convenient as Oak Crest is!
Now for those of you who are wondering why we named these the Central Park Treehouses, let me explain.
A few years ago while we were in New York we spent several evenings wandering thru Central Park. One evening when the sun was just setting, we stopped and got an iced cappuccino at this little outdoor Coffee Bar. All the seats were taken, so we walked a little further and found a bench that was perfectly situated as to enjoy the softly lit New York Skyline, which just seemed to pop up out of the trees from across a pond.
We're just sitting enjoying the view, and pretty soon probably not more than 50 feet from us across the pathway a group of people start gathering. There are two elegantly dressed women walking around carrying a box and giving everyone a little box out of the big box. Everyone seems to be rather dressed up to be standing in the middle of Central Park. Well than here comes the groom in his tuxedo, we were about to witness a wedding!
Someone starts playing a flute and the bride just magically appears from around a bend by a rose garden that was maybe 100' from where we sat. I was mesmerized. She was in a simple white, well kind of like a flowing Grecian gown. She walked right by us. I turn to where the crowd of people were and they are all holding what I had thought were little boxes but they turned out to be little lanterns that are now candle lit. They had made an aisle for her to walk down thru the grass to her waiting groom.
It was just so romantic. I don't think Don & I talked for at least 20 minutes as we just sat there spell bound watching this romantic interlude. We couldn't hear anything except for the flute and then when that stopped, you could just hear the crickets, it was such an unexpected treat.
So with this memory…we dedicate these two Treehouses to Central Park…
I feel so lucky that that little outdoor Coffee Bar didn't have any remaining seats.
So at night when you turn on the twinkly tree lights and & dim the spot light on the special artwork that you can gaze at from your bed, just imagine walking thru Central Park, holding hands, cuddling and becoming one.
Oh I am such a romantic…
There are TWO "Central Park Treehouses"!
Since there is a slight difference in exterior facades and locations, the exterior picture is just an example of what to expect. Walkways will differ for each of them.
Your booking will be for a Central Park Treehouse, not a particular I or II, as they all have identical interiors.
The Central Park Treehouses are at our other location. You will check in at Oak Crest and then be given a map to your Treehouse. It is still on the trolley route and just as convenient as Oak Crest is!
The "Central Park Treehouses" all feature a Jacuzzi for 2, Fireplace and Air Conditioning (in season only), Living Room with 40" Flat Screen TV with Cable & DVD, Kitchenette with Refrigerator, Microwave & Coffeemaker with Coffee, Bedroom with a King Bed, Cable TV/DVD and a bathroom with stall shower.
And to top it all off a wonderful deck with a glider swing, bistro table & chairs and of course wireless Internet!
Minimum stay requirements are 2 nights except when reflected on the Availability Calendar as a 3 night minimum, which will be shown in Red.
Holidays, Special Events & October Weekends are a 3 night minimum, which will be reflected on the Availability Calendar.
Rates are as posted.
You can check Availability & Rates online.
The Availability Button is right next to the Cottage Name above.
If you want to CHECK AVAILABILITY & RATES for ALL LODGING,
Click on the Large "Check Availability" button at the top left of this page.


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Pippa's tonal purple ensemble can go from the office to out-on-the-town.
She's ready for the summer!
Work it, girl.
Mariah Carey, her boobs and her new beau James Packer, aka the fourth richest man in Australia, took their love to Ibiza, Spain where they gallivanted on a yacht with her kids.
Bad Girl RiRi? More like Braless RiRi.


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text: 'Home Sweet Home' Bunting by Handmade By LucyLu £52.50$109.89€76.28$85.43 In stock £18.50$38.72€26.88$30.10 delivery to United States - Receive this item 5-10 working days from dispatch International delivery available quantity by Handmade By LucyLu Location: East Sussex, GB read seller's profile see seller's complete range more items from this seller 'Welcome' Bunting £24.50$51.28€35.60$39.87 'Home Sweet Home' Cushion £30$62.79€43.59$48.82 'Just Married' Wedding Bunting £49$102.56€71.20$79.74 Make Your Own Bunting Letters Small Size £0.89$1.86€1.29$1.44 Make Your Own Bunting Kit £16.50$34.53€23.97$26.85 'Happy Birthday' Bunting £49$102.56€71.20$79.74 view all you may also like PRODUCT DETAILS DELIVERY RETURNS Made in Britain ask seller a question save for later Handmade By LucyLu 'Home Sweet Home' Bunting adds colour and fun when hung up in any room! This bunting is perfect for your home to brighten up your day. Great as a gift for a friend or loved one's happy new home present! Handmade By LucyLu bunting is made with love and careful attention to detail. Fabrics may vary very slightly due to seasonal stock. If you would like to ask about different colour options simply use the 'ask seller a question' button above. This double-sided bunting is handmade using bright quality fabrics and individually hand-cut felt letters stitched onto the flags. A funky red gingham length along the top of the bunting holds it together. made from: Bunting flags made from quality, bright, funky cotton fabrics with felt letters. dimensions: This bunting measures approximately 195cm long with each flag measuring 11cm in length from top of triangle to bottom point. product code: 186771 This product is dispatched to you by Handmade By LucyLu. MAINLAND UK order now and receive this item on or before price Free Delivery Saturday 11 July FREEFREEFREEFREE NON-MAINLAND UK estimated delivery price Highlands & Islands of Scotland 2-5 working daysfrom dispatch £2.75$5.75€3.99$4.47 Northern Ireland 2-5 working daysfrom dispatch £2.75$5.75€3.99$4.47 Other UK Islands 2-5 working daysfrom dispatch £4.95$10.36€7.19$8.05 INTERNATIONAL DELIVERY estimated delivery price Western Europe 2-5 working daysfrom dispatch £11.50$24.07€16.71$18.71 Rest of Europe 5-10 working daysfrom dispatch £11.50$24.07€16.71$18.71 USA & Canada 5-10 working daysfrom dispatch £18.50$38.72€26.88$30.10 Far East & Australasia 5-10 working daysfrom dispatch £19.50$40.81€28.33$31.73 Rest of the world 5-14 working daysfrom dispatch £19.50$40.81€28.33$31.73 You have 28 days, from receipt of cancellable goods, to notify the seller if you wish to cancel your order or exchange an item. Please note: goods that are personalised, bespoke or made-to-order to your specific requirements, perishable products and personal items sold with a hygiene seal (cosmetics, underwear) in instances where the seal is broken are non-refundable, unless faulty. Read more about our returns policy.Should you choose to return or exchange your order you will need to deliver the item(s) to the UK, where this seller is based. Handmade By LucyLu's return policy


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Congress grass has gripped the entire city with its invasion in parks, government buildings and roads. It has been home to mosquitoes, snakes and is affecting livestock and human health, yet the authorities have turned a blind eye to it.
According to sources, there were two deaths in June due to snake bite; the snakes have been nesting under the congress grass. Despite several warnings issued by the health department regarding dermatitis and respiratory malfunctions in people after coming in contact with the plant, the Public Works Department (PWD) has taken no measure to curtail its growth.
A recent survey conducted by HT around the city revealed that even in posh areas and government housing colonies the plant had spread its roots.
PWD sub-divisional officer Surjit Singh said, "The department already has a shortage of manpower, most of the Class-4 employees have retired and the posts are lying vacant. For us, maintaining the government buildings has become a herculean task. For managing the entire city, a high-level initiative should be taken by the police and the municipal corporation authorities."
Singh said the department employees had been made to work on holidays in order to maintain the grass.
District health officer Harsh Malhotra said congress grass could trigger allergies and is a common cause of pollen. During monsoon, it becomes a breeding ground for mosquitoes and other insects. However, it is the duty of the PWD authorities to make sure that the grass is cut, he added.
Gurnam Kaur, a resident of Passi Road, said, "The grass has grown wild and in the evenings people fear going for walks and sending their children to play as the grass has become a breeding ground for mosquitoes. The authorities must take quick action in this regard."


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The Minnesota Vikings cut veteran Ryan Longwell today, paving the way for 6th-round pick Blair Walsh to take over as the starting kicker.
It shouldn't come as much of a surprise based on the fact that you don't typically draft kickers without a plan to immediately make them the starter. But given Longwell's track record and Walsh's lack of one, it's a questionable move.
Walsh immediately steps in as the starter
Entering his senior year, Walsh looked like an elite prospect and was potentially on track to become the first kicker selected within the first three rounds since Mike Nugent in 2005. But Walsh crumbled under pressure as a senior, connecting on just 21 of 35 field goal attempts.
Walsh stood out for his impressive accuracy and range, connecting on 17 of 20 kicks from beyond 40 yards in his sophomore and junior years. But in 2011, Walsh made just 7 of 17 kicks beyond 40. Walsh also missed four kicks from under 40 yards, twice as many as he had missed during the previous two years combined.
Clearly he has the talent, but how will he handle the pressure of the NFL? That's something the Vikings probably should have figured out before cutting ties with Longwell.
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Spinach And Pimento Omelette
|Frozen spinach
|10 Ounce, thawed and squeezed dry (1 Box)
|Chopped pimentos
|1 Cup (16 tbs)
|Dried thyme
|1 Teaspoon
|Chopped scallions
|1⁄4 Cup (4 tbs)
|Olive oil
|1 Teaspoon
|Shredded part skim mozzarella cheese
|2 Tablespoon
|Fat free egg substitute
|2 Cup (32 tbs)
|2 Tablespoon
|2 Teaspoon
|Diced tomatoes
|1⁄2 Cup (8 tbs)
If necessary, chop the spinach.
Place in a medium bowl.
Add the pimentos and thyme.
In a large no-stick frying pan over medium heat, saute the scallions in the oil until soft, about 5 minutes.
Add the spinach mixture and warm through.
Return to the bowl, add the mozzarella, and set aside.
In another medium bowl, whisk together the eggs and water.
Place the frying pan over medium-high heat and let stand for about 2 minutes.
Add 1 teaspoon margarine and swirl the pan to distribute it.
Add half of the eggs.
Lift and rotate the pan so that the eggs are evenly distributed.
As the eggs set around the edges, lift them to allow uncooked portions to flow underneath.
When the eggs are mostly set but not dry (in 2 to 3 minutes), spread half of the spinach mixture over the eggs.
Use a spatula to fold the omelet in half.
Cut in half and transfer to individual dishes.
Repeat with the remaining 1 teaspoon margarine, eggs and spinach mixture.
Sprinkle each serving with about 2 tablespoons tomatoes.


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Facebook reportedly hires former Apple manager Richard Williamson
Back in November, word surfaced that Apple's Richard Williamson was given the boot as part of a change in the Maps team. Now sources have again talked to Bloomberg, this time saying that Facebook has hired him as a manager with its mobile software group. The alleged hiring is said to have happened sometime in the "past couple of weeks." The info comes from two sources who are said to be familiar with the dealings.


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The salon, always buzzing with blow-dryers and chitchat, is spacious, equipped with 20 stations to accommodate ...Upper Greenville
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This cute, Hawaiian-themed nail bar offers more than just manicures and pedicures. Facials, waxing, spray ...Upper Greenville
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Europa Country Perspectives
The new Europa Country Perspectives series, from Routledge, examines a wide range of contemporary political, economic, developmental and social issues from areas around the world. Complementing the Europa Regional Surveys of the World series, Europa Country Perspectives will be a valuable resource for academics, students, researchers, policy-makers, business people and anyone with an interest in current world affairs.
While the Europa World Year Book and its associated Regional Surveys inform on and analyse contemporary economic, political and social developments at the national and regional level, Country Perspectives provide in-depth, country-specific volumes written or edited by specialists in their field, delving into a country's particular situation. Volumes in the series are not constrained by any particular template, but may explore a country's recent political, economic, international relations, social, defence, or other issues in order to increase understanding.
Haiti: From Revolutionary Slaves to Powerless Citizens: Essays on the Politics and Economics of Underdevelopment, 1804-2013 – Alex Dupuy
Darfur's Political Economy: A Quest for Development - Hamid Eltgani Ali
Catalonia: A New Independent State in Europe - Xavier Cuadras Morató
Political Change in Switzerland - Clive H. Church