text:
A blower pressure source has been integrated into a vest cardiopulmonary resuscitation (CPR) system. The vest includes a bladder that cyclically inflates and deflates to provide automatic CPR to a patient in cardiac arrest or needing circulatory assistance to a patient with a beating but weakened heart. The blower continuously provides air at relatively low pressure to inflate a bladder in the vest. The maximum pressure of the blower corresponds to the desired peak vest pressure. A relatively simple valve, solenoid and timing controller is used to apply the blower air in cycles to inflate the bladder.
1. A cardiopulmonary resuscitation or assist system as in claim 1 further comprising a valve coupling the blower to the hose; and
a timing controller for periodically switching the valve between a first state of routing the inflation air from the blower to the bladder and a second state of venting air from the bladder.
2. A cardiopulmonary resuscitation and assist system as in claim 1 wherein the timing controller maintains the valve in the first state for a period of between 300 to 600 milliseconds and maintains the valve in the second state for a period between 500 and 900 milliseconds.
3. A cardiopulmonary resuscitation and assist system as in claim 1 further including a heartbeat sensor for generating a signal indicative of the heartbeat of the patient, and
wherein the timing controller switches the valve to the first state in accordance with the signal.
4. A cardiopulmonary resuscitation or assist system as in claim 1 wherein the blower outputs the maximum pressure while the valve is in the second state of venting air from the bladder.
5. A cardiopulmonary resuscitation or assist system comprising:
a vest to be fitted around a thorax of a patient, and having a bladder cyclically inflatable to facilitate blood flow in the patient;
a pneumatic hose connectable to the vest to provide inflation air to the bladder;
a blower coupled to the hose and supplying the inflation air to the hose, said blower having a maximum pressure output for a given operating speed substantially equal to a desired peak pressure of the bladder;
a valve in an air path formed between the blower and the vest, wherein at least a portion of the air path is formed by the pneumatic hose; and
a timing controller for periodically switching the valve between a first state of routing the inflation air from the blower to the bladder and a second state of venting air from the bladder.
6. A cardiopulmonary resuscitation or assist system as in claim 1 wherein the blower operates continuously while the vest cyclically inflates and deflates.
7. A cardiopulmonary resuscitation or assist system as in claim 1 wherein said blower operates at the maximum pressure output after the vest is inflated to the desired peak pressure.
8. A cardiopulmonary resuscitation or assist system as in claim 1 wherein said blower comprises a centrifugal compressor.
9. A cardiopulmonary resuscitation or assist system as in claim 1 wherein said blower comprises a centrifugal compressor impeller rotating at a substantially constant operating speed.
10. A cardiopulmonary resuscitation or assist system as in claim 1 wherein the blower moves a maximum mass flow rate of air into the bladder during an initial inflation period of the bladder.
This is a divisional of application Ser. No. 08/731/049, filed Oct. 9, 1996, now U.S. Pat. No. 5,772,613, issued Jun. 30, 1998.
1. Field of Invention
The current invention relates to emergency medical equipment and treatment for cardiac arrest. In particular, the invention relates to cardiopulmonary resuscitation and cardiopulmonary circulatory assist devices that cyclically apply compressive pressure to a patient's thorax to increase intrathoracic pressure to force blood flow through the heart and other body organs.
2. Background of the Invention
More than one in four Americans have cardiovascular disease, which is the leading cause of sudden cardiac arrest (SCA) and a leading cause of death in the United States. It is estimated that each year in the United States, approximately 1.5 million people suffer a heart attack, resulting in more than 400,000 people experiencing an SCA episode, of whom at least 85% will die as a result. Approximately every minute there is a sudden cardiac arrest in the United States.
SCA is generally due to ventricular fibrillation, a life-threatening condition, in which the heart's normal electrical signals become chaotic, causing the cessation of effective pumping of blood by the heart. Blood carries oxygen to the body. If the blood flow stops, the body stops receiving oxygen. Irreversible organ damage will occur if blood flow is not restored promptly. The body, especially the brain and heart muscle, cannot survive beyond a few minutes without oxygenated blood flow.
The optimal first line of treatment for ventricular fibrillation, the most common cause of cardiac arrest, is defibrillation (the delivery of a high-energy electrical shock to the chest). Successful defibrillation stops the chaotic electrical activity and allows regular electrical activity to again produce normal heart rhythm. If the heart muscle has been deprived of oxygen by a lack of blood flow for more than a few minutes, defibrillation attempts are usually unsuccessful at restoring the heart to a normal rhythm. Similarly, the lack of oxygenated blood flow through the body will rapidly cause irreversible damage to vital organs including the brain. Medical defibrillation equipment is expensive, and dangerous in the hands of unskilled persons. Such equipment is usually only found in hospitals, doctors offices, and well-equipped mobile emergency units. Accordingly, medical defibrillation equipment is not often nearby when a patient suffers cardiac arrest.
Manual cardiopulmonary resuscitation (CPR) is most often used on cardiac arrest patients in the first critical minutes of cardiac arrest. Since 1960, manual CPR has been promoted as the standard means for providing oxygenated blood to the heart and brain until appropriate definitive medical treatment can restore normal heart and ventilator action. A primary objective of CPR is to generate blood flow to restore the heart to a condition that will allow successful defibrillation thereby causing the heart to resume normal beating. Another key objective of CPR is to provide blood flow to the brain and other organs to prevent irreversible organ damage while attempts at defibrillation are made.
Despite the widespread application of standard manual CPR, the average long-term survival rate from SCA is only about 15%, and may be lower if the SCA event occurs out of a hospital. Approximately 90% of the 350,000-400,000 persons who experience out-of-hospital sudden cardiac arrest in this country per year are served by local emergency medical teams whose directive is to initiate and maintain a resuscitative effort. The emergency teams transport patients to the hospital, but only 20% of individuals struck with cardiac arrest and who are treated by an emergency medical team survive to be discharged from the hospital. The poor survival rate for SCA is due, in part, to the inability of manual CPR to generate substantial blood flow, as well as the variability in the skill, strength, experience, fatigue or emotional state of the rescuer.
Most SCA episodes occur outside the hospital. The first medical professionals to reach a patient suffering from cardiac arrest are emergency paramedics. Upon arrival of an emergency medical vehicle, the emergency personnel applies a series of defibrillation attempts, which, if they fail to restart the heart, are followed by a rigorous procedure combining CPR with ventilation and additional defibrillation applications. If the heart muscle has been deprived of oxygen by a lack of blood flow for more than a few minutes, defibrillation attempts before administering CPR are usually unsuccessful at restarting the heart. Given that emergency medical response times to out-of-hospital SCA episodes are generally six to ten minutes, initial defibrillation attempts generally fail, thus necessitating that the combined routine of CPR and defibrillation be utilized. If the emergency medical vehicle is not equipped with a defibrillator, then the emergency response personnel generally relies on manual CPR to restart the victim's heart.
In manual CPR, a patient is placed on his back and the hands of the rescuer applying CPR are rhythmically pressed firmly against the center of the sternum on the patient's chest, i.e., thorax. By pressing on the sternum, the rescuer compresses the patient's thorax (chest cavity) to increase the pressure within the thorax and around the heart and intrathoracic vascular system. A primary aim of manual CPR is to increase intrathoracic pressure due to a decrease in thoracic volume produced by the displacement of the sternum. The rhythmic press and release by CPR of pressure around the heart forces blood to flow through the heart and the rest of the body.
A principal problem with conventional closed chest CPR is the inability to adequately produce sufficient blood flow to the brain and heart needed for survival. Animal studies have documented coronary and cerebral blood flows during CPR to be less than 5% and 10% of the pre-arrest values, respectively. Animal and human studies have determined that coronary perfusion pressure (CPP) is the best predictor of the success of myocardial recovery. During arrest, the coronary vasculature is believed to be fully dilated due to global ischemia (lack of blood flow and tissue perfusion). Accordingly, coronary blood flow should be directly related to the amount of CPP that can be generated with CPR. Studies indicate that a CPP of at least 15 mm Hg is required for successful myocardial resuscitation. If CPP is maintained at a level approaching 25 mm Hg, then many patients in cardiac arrest should be resuscitated. Restoration of coronary and cerebral perfusion flow are major determinants of the outcome of CPR. The duration of time during which the patient has no flow (from cardiac arrest to initiation of CPR) and the duration of CPR to return of spontaneous circulation (ROSC) are both crucial to the survival of the patient.
Chest compression occurs when the anterior and posterior thorax surfaces are moved toward one another, "flattening" the chest (anterior refers to the front of the thorax, posterior to the back). Chest compression is accompanied by an increase in the pressure within the thoracic cavity, and a decrease in the volume of the lungs. The decrease of the volume of the lungs is minimized by quickly trapping air in the lungs when starting compression of the chest. The increase in intrathoracic pressure forces blood through the heart and out toward the brain and extremities.
The amount of pressure needed to be applied to the chest for effective CPR is relatively great. Manual CPR often fails because inadequate pressure is applied to the chest by the hands of the person applying CPR. Moreover, the amount of force needed to achieve effective CPR is slightly below the force level which will traumatize the patient. Manual CPR often results in trauma to the patient's thorax because the person applying CPR applies excessive force to a small area on the chest in an effort to compress the heart. The most common injuries from manual CPR include injuries to the skin, bony thorax and upper airway. The reported incidence of injuries from CPR ranges from 21% to more than 65%. Accordingly, even properly executed manual CPR can lead to injury.
Applicants designed a vest-CPR system to increase intrathoracic pressure and intravascular pressure to produce blood flow using a continuous blower to directly pressurize the vest. The maximum output pressure of the blower corresponds to the desired peak vest pressure. The blower is a self-regulating source of vest pressure that does not require the complex and expensive regulators used in prior vest systems.
A CPR-vest is a belt that fits snugly around the thorax of a patient in cardiac arrest or requiring a cardiac assist. The vest includes a bladder underneath the belt and covering at least the front of the patient's thorax and preferably covers at least three fourths of the circumference of the chest. The bladder is connected by a pneumatic hose to an air supply and controller that rhythmically pressurizes and depressurizes the bladder. When pressurized, the bladder presses against the entire front of the thorax, from the armpits to the bottom of the rib cage to increase intrathoracic pressure.
By applying circumferential compression to reduce chest volume, vest-CPR increases intrathoracic pressure to increase the vascular pressure and force blood flow through the heart, lungs and other body organs. An initial rapid inflation of the vest bladder and corresponding increase in intrathoracic pressure traps air in the lungs to prevent excessive deflation of the lungs. By trapping air in the lungs, the continued inflation of the bladder results in fast increases of intrathoracic pressure with minimal inflation of the bladder because the trapped air in the lungs assists in increasing intrathoracic pressure. In addition, defibrillation electrodes may be positioned underneath the CPR vest to apply an electric shock while the CPR vest is operating.
Prior vest-CPR systems, such as shown in U.S. Pat. No. 4,928,674, have employed sources of high pressure air, e.g., air tanks (50-70 psi) to rapidly inflate the vest. High pressure air was believed to be necessary to provide enough force to quickly move the necessary amount of air into the vest bladder to achieve the desired rapid vest inflation and compression of the patient's thorax. Because the vest has to be cyclically inflated and deflated approximately 50 to 60 times per minute, the vest must inflate in less than 100 to 150 milliseconds. To provide high pressure air, air tanks were pressurized to levels much higher than the desired peak vest pressure. When the vest was inflated, air rushed from the tank to the vest, and the pressure in the tank dropped as the pressure in the vest rose. Computer controllers and pressure regulators monitored the vest pressure and stopped the air flow from the tank as the vest reached the desired peak pressure. The tank was repressurized by pumps, e.g., rotary-vane pumps, that continually provided highly pressurized air to the tank. The mass of air provided by the pump was relatively small as compared to the air needed to pressurize the vest. The pumps worked continually during the vest inflation and deflation cycles, and the mass of air pumped into the tank over time was sufficient to inflate the vest during the relatively-brief inflation period of the entire cycle of the vest.
The high pressure source typically included a positive displacement pump, e.g., a piston in cylinder pump, and a high pressure metal air tank. Such sources of high pressure air are capable of pressurizing the CPR-vest to a pressure that would burst the bladder, and potentially harm the patient. Accordingly, during normal operation, a CPR vest is pressurized to a much lesser pressure than the pressure of the source of pressurized air used to inflate the vest. To inflate the vest to the same pressure as the source of pressurized air could result in too much compression being applied to the patient's thorax, trauma to the patient, and damage to the CPR vest.
The high pressure air used to inflate CPR vests required safeguards to prevent over-inflation and sophisticated controllers to control the inflation and deflation cycles. While high pressure air provides rapid inflation, it presents a danger in that the vest may be over inflated. Because the forces needed for effective CPR are only slightly below the level of forces that will harm and traumatize the chest of the patient, safeguards were included in prior vest inflation systems to ensure that the vest was sufficiently pressurized for effective CPR, and to avoid applying excessive and harmful forces to a patient's chest.
To avoid over-inflation of the vest, computer controllers and complex valve systems have been used. For example, prior vest-CPR systems have included microprocessors programmed to monitor the pressure in the vest as the vest is inflated and activate the closing of pressurization valves prior to the pressure in the valve attaining the desired pressure. The activation of the pressure valves was precisely timed in advance of the vest reaching the desired pressurization because an inherent delay in activating the valves allowed additional high pressure air to continue entering the vest and further increase vest pressure. The microprocessor for the vest-CPR system was programmed to advance the valve activation command to compensate for the valve activation delay. In addition, the peak pressure at each vest inflation cycle fluctuates from cycle to cycle because of the rapid pressure rise in the vest occurring when the pressure valve is closed and because the valve is closed based on a prediction made by a microprocessor of when the vest will be fully pressurized. Due to the uncertainties in predicting when full pressurization will occur during a rapid pressure rise and the rapid pressure rise occurring in the vest at the peak pressure, the peak pressure actually attained in the vest varies from cycle to cycle.
Prior microprocessor independent controlled safety systems monitored the pressure in the CPR vest in addition to the monitoring performed by the microprocessor controlling pressurization of the vest. For example, the safety system would close the inflation valve and vent the vest if the pressure in the vest became too great. Moreover, the high pressure source required that prior vest-CPR systems have high pressure hoses and couplings that tend to be expensive and difficult to operate. Accordingly, the high pressure air needed to rapidly inflate the vest required expensive and complex control and safety systems that increased the cost of vest-CPR systems, increased the number of components and systems that could malfunction, and increased the difficulty in operating the vest-CPR system.
The efforts to develop a commercially viable vest-CPR have encountered difficulties due to the need for a high pressure air source. While high pressure air has been considered essential to rapidly inflate a vest and to allow for sufficient capacity in the inflation system for all sizes and shapes of patients, supplying and controlling air under high pressure is complex, expensive and problematic. An electric positive displacement pump, e.g., a piston or rotary vane pump, is the most common source of high pressure air in existing vest-CPR systems. Electric air pumps are one of the more expensive components of existing vest-CPR systems, often require electrical power greater than that supplied by ordinary 120 volt AC outlets, and require maintenance. The cost of an electric air pump that supplies 18-22 scfm of 50-70 psi air may be $500-$2,000 (U.S.), which adds substantially to the cost of a vest-CPR system. Most electric air pumps this powerful require a 220 volt AC connection, which are not readily available in hospital emergency rooms or other locations where vest-CPR systems are used. Accordingly, there has been a long-felt need in CPR-vest systems to solve the problems associated with high pressure air sources.
A vest-CPR system has been developed that has a self-regulating blower air source selected to have a maximum output air pressure equal to the desired maximum pressure of an inflatable CPR vest. The system does not require a high pressure air source as do the prior art systems. The problems and complexities associated with high pressure air have been solved by using a source of relatively-low pressure air, but provided by a relatively high volume air source. Breaking from the conventional wisdom that a source of high pressure air is needed for vest-CPR systems, applicant has developed a system in which a source that provides high volume air at relatively low pressures can rapidly inflate a CPR vest. The low pressure source of air may be a centrifugal compressor or blower (collectively referred to here as blowers) that are sized to provide the large volume of air needed to rapidly inflate a CPR vest, without over pressurizing the vest or subjecting the vest-CPR system or patient to high pressure air.
The operating characteristics (see FIG. 4) of a blower are such that as the pressure rises, the air mass flow through the blower decreases. At low pressures, the blower provides its maximum mass flow rate and rapidly inflates the vest. This rapid initial inflation of the vest is sufficient to rapidly compress the patient's thorax and trap air in the lungs to facilitate the application of intrathoracic pressure. As the outlet pressure of the blower rises (which outlet pressure corresponds to the back pressure from the vest), the air mass flow rate gradually slows. The slowing of the mass flow through the blower results in a slowing of the rate of pressurization of the CPR vest. The pressurization of the vest will rise gradually until the back pressure applied to the blower stops the air flowing through the blower at the maximum blower pressure. The entire vest inflation phase will occur in a few hundreds of milliseconds, which is fast enough to accomplish air trapping and effective chest compressions.
The blower is sized, e.g., flow rate and pressure characteristics, so that its maximum discharge output pressure corresponds to the desired peak pressure for the vest. Since the blower cannot exceed its maximum discharge pressure (which is fixed for a given rotating speed for a specific blower), the blower cannot over pressurize the vest. The positive displacement air pumps previously used in vest-CPR systems tended to have maximum attainable pressures much greater than the peak pressure desired in the vest and could pressurize the vest to levels that were potentially harmful to the patient and the vest. While positive displacement air pumps, e.g., rotary vane pumps, tended not to be limited by the back pressure applied the vest, blowers are limited by back pressure from the vest. Accordingly, once the vest back pressure reaches the maximum output pressure of the pump, the blower is not capable of pumping more air into the vest. In the present invention, the blower is selected such that its air mass flow and pressurization characteristics match the desired inflation rate of the CPR-vest, and the maximum blower pressure corresponds to the desired peak vest pressure.
Despite the conventional wisdom that small high-pressure pumps should be used, applicant conceived of an application in a vest-CPR system where a blower is allowed to pressurize a vest up to and until the back pressure in the vest prevents the blower from moving more air into the vest. By matching the maximum blower pressure to the desired peak vest pressure, the inflation of the bladder ceases as the pressure in the vest rises to the desired peak pressure. The blower and vest back pressure regulate the bladder inflation such that the pressure in the vest does not rise substantially above the desired peak vest pressure.
Applicant has devised a vest-CPR system that does not require the complex and expensive pressure control and safety systems used in prior high pressure vest-CPR systems. By sizing a blower to have a maximum pressure corresponding to the desired peak vest pressure, and by driving the blower to its maximum pressure as the vest becomes fully inflated, the blower is the safety and control mechanism that ensures the vest will not be over inflated or pressurized. Accordingly, the use of a blower in a vest-CPR system increases the safety of the system, and reduces the system's expense and complexities by eliminating a high pressure air source and associated regulators and safety components.
FIG. 1 is a simplified schematic diagram of a vest-CPR system constructed in accordance with the present invention,
FIG. 2 is a functional diagram of the CPR vest system shown in FIG. 1;
FIG. 3 is a chart of vest pressure verses time to illustrate the performance of the vest-CPR system shown in FIG. 1, and
FIG. 4 is a chart of the performance of a blower for use in the vest-CPR system shown in FIG. 1.
The vest-CPR system 100 shown in FIGS. 1 and 2 includes a CPR vest 102 and a blower-control system 104. The CPR vest includes a inextensible belt that fits around the thorax of the patient. Once the belt is wrapped around the patient, the belt is secured by a belt-hook or by Velcro strips. An inflatable bladder 105 is attached to an inner surface of the belt and the bladder is positioned over the front of the chest of the patient. The bladder may also be formed of an inextensible material to direct the expansion of the bladder towards the patient's chest. The CPR vest is described in more detail in co-pending application Ser. No. 08/404,442, entitled "Vest Design for a Cardiopulmonary Resuscitation System", filed by Mark Gelfand et al on Mar. 15, 1995, now U.S. Pat. No. 5,769,800, is issued Jun. 23, 1998 and commonly assigned with this application. The co-pending application is incorporated by reference with respect to its disclosure of the CPR vest.
The CPR vest 102 is connected via a pneumatic hose 107 to a blower-control system 104. The blower control system in the disclosed embodiment includes a relatively-simple pneumatic three-way valve 112 that cycles between coupling the vest to the blower and exhausting the vest bladder to the atmosphere or a vacuum. Pressurized air from the blower 106 inflates the vest when the valve routes the blower output air to the vest bladder. The timing of the compression and release cycles for the vest are controlled by a control circuit 122 in the blower control system.
The blower 106 draws ambient air in through an inlet port 108 and exhausts pressurized air from an outlet 110 in the range of 235�15 Torr. The blower may comprise a rotating axial fan or compressor, a centrifugal impeller or other equipment air or gas moving device. A suitable blower is the Windjammer� (Lamb Type B Model E-8698-9) manufactured by AMETEK of Kent, Ohio. This blower has a three-stage centrifugal fan/impeller (7.2 inch diameter) driven by a 1200 watt brushless motor at approximately 19,000 rpm. The blower is powered by a power supply 126 that may draw electrical power from a 120 volt AC wall socket and/or from a battery system 128.
The blower operates continuously while the vest CPR system is in operation. During most of its operating cycle, the blower will be operating at its maximum output pressure because the bladder is only inflated during a short period of the vest cycle. When operating at maximum pressure, the power consumed by the blower is minimal because the blower is not working to move air.
The outlet 110 to the blower 106 is connected to the three-way pneumatic valve 112 having an inlet 114 connected to the blower, an outlet 116 that is open to ambient air, and a common coupling 118 that is open to the outlet 116 or inlet 114 depending on the switch setting of the valve. The valve switch setting is controlled by a solenoid 120 which is governed by a timing control circuit 122. When a control voltage is applied to the solenoid by the control circuit, the valve 112 routes compressed air from the blower to the CPR vest pneumatic hose 107 connected to the common coupling 118. When the control voltage is turned off, the solenoid is de-energized and the valve returns to its rest state in which the common coupling is open to the exhaust outlet 116 to vent the pneumatic hose and vest bladder to the atmosphere.
A typical inflation-deflation cycle 200 shown in FIG. 3 shows that during the compression phase 202 the pressure in the vest 102 initially increases rapidly as the air flow rate from the blower is relatively high. The compression phase starts when the control circuit 122 energizes the solenoid which switches the valve 112 and routes pressurized air from the blower to the vest through the hose 107. Because the vest pressure is initially relatively low, the blower quickly moves a large mass of air into the vest to achieve rapid inflation. For example, a properly sized blower can pressurize the vest to between 50 to 100 Torr in 100 to 150 milliseconds.
Because of rapid pressurization, the vest compresses the patient's thorax to rapidly collapse the intrathoracic airways and trap air in the lungs. With trapped air, the lungs augment the compression of the chest by the vest to increase intrathoracic pressure. In addition, the inflation of the vest does not have to compensate for the shrinkage of the chest as the lungs deflate. Accordingly, the period of rapid pressurization during the initial period of the compression phase is a desirable characteristic provided by using a blower to inflate the vest.
As the vest reaches full pressurization (e.g., 400 to 500 milliseconds), the pressure in the vest applies increasingly more back pressure on the outlet 110 of the blower 106. The back pressure reduces the mass of air that flows out of the blower and slows the rate of pressurization of the vest. As the vest pressure approaches the desired pressure level 204 the rate of pressure increase in the vest slows, as is shown by the curve at 206 in FIG. 3. The blower is sized such that its maximum pressure corresponds to the desired peak pressure level 204 of the vest. For example, the desired peak vest pressure and maximum blower pressure may be 235 Torr, plus or minus 15 Torr. When the vest pressure rises to the desired peak pressure 204, the blower continues to operate at its maximum pressure level. If the vest leaks air or there is a loss of pressure in the vest, the continually operating blower quickly increases the vest pressure to the desired peak pressure. The valve 112 does not close the air path from the blower to the vest until the end of the compression phase 202. Even though the blower is not physically capable of pressurizing the vest beyond its maximum pressure level, the vest or pneumatic inflation line may have a safety pressure release valve 124 to depressurize the vest if its pressure exceeds a maximum safe pressure level 208.
At the start of the release phase 210, the valve switches to vent the air from the bladder to reduce the air pressure and deflate the bladder. The blower continues to operate at peak pressure during the release phase 210 when the blower outlet is capped by valve 112 such that the blower operates at its maximum pressure output and, coincidentally, its lowest energy consumption state. The output pressure from the blower does not drop from its maximum until the valve opens the vest to the blower air to start the compression phase 202 of another cycle. The blower operates continuously throughout the cycles 212 of the system.
The timer-control circuit 122 monitors the time of the compression period and the pressure in the vest 102 with a pressure sensor 130. The circuit 122 may include a microcontroller that tracks the time periods for the compression phase 202 and pressure release phase 210. The time of the compression period is pre-set in the control circuit 122, and may be 400 ms, the compression period may be in a range of 300 ms to 600 ms. To start the pressure release phase 210 at the end of the compression phase, the timer-control circuit deenergizes the solenoid 120 which switches the valve 112 and allows air in the vest to exhaust through the hose 105 and valve to the atmosphere. The pressure in the vest bladder quickly drops to ambient pressure or some other relatively low level. As the vest is depressurized the compression applied to the patient's thorax is released. The release phase 210 of the cycle 212 continues until the start of the next compression phase. The valve remains open to vent the vest throughout the release period 210 which is a preset period, such as 600 ms. The release period may be in a range of 500 ms to 900 ms
In addition, the patient will be periodically, such as every fifth CPR cycle, ventilated, i.e., allowed breath by natural or artificial means. While the patient is being ventilated, the CPR vest is fully deflated and the release phase is extended to about 850 ms, to allow the patient to breathe.
In addition, the timer control circuit 122 may switch the valve 112 to start an inflation cycle based on signals from monitors sensing the patient's heartbeat. When the vest-CPR system is used to assist a weakened but beating heart, the timing of the vest inflation phase must coincide with the actual heartbeat of the patient. To monitor the heartbeat, an electrocardiogram (ECG) instrument 123 may be used to sense the patient's heartbeat and generate a signal indicative of the heartbeat. The heartbeat signal is used by the timer control circuit 122 to determine when to switch the valve 112 so as to start the vest inflation phase. For example, the timing control circuit 122 may initiate the inflation phase of the vest a predetermined period of time following the QRS complex wave of the ECG signal. By timing the inflation of the vest to coincide with the actual heartbeat, the vest can be used to assist a beating, but weakened heart.
FIG. 4 shows an exemplary performance chart for a blower operating at a constant speed. The curve 402 shows the operating states of the blower and demonstrates that the mass of air moved by the blower, i.e., flow 404, gradually reduces as the pressure rise 406 through the blower increases. The pressure rise is the pressure difference between the outlet and inlets to the blower. The maximum flow rate (Qo) of the blower occurs when the blower does not substantially increase the air pressure. The maximum pressure (Pmax) occurs when no air flows through the blower, such as when the back pressure on the blower equals the maximum pressure Pmax. The blower pressure in a vest-CPR system will cycle 408 between Pmax and a deflated vest pressure 410 that approaches atmospheric air pressure, which corresponds to zero (0) pressure rise across the blower. Applicants have found by experimentation that the operating curve 402 of a blower corresponds well to the desired inflation cycle of a CPR-vest, such that the actual operating curve 408 for the blower in a vest-CPR system matches advantageously with the desired performance of the vest-CPR.
The invention has been described in connection with its preferred embodiment, but is not limited to the disclosed embodiment. The invention covers the various modifications and equivalent arrangements included within the spirit and scope of the appended claims regardless of whether the modifications and equivalent arrangements were known to the inventor(s) when filing the application for this patent.
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Posted 09/16/2009 11:52:51 EDT
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Posted 09/16/2009 11:48:23 EDT
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text:
1) In a bowl whip the egg whites till fluffy and stiff.
2) In the next bowl add the yolks and sugar and beat until smooth.
3) Add flour, milk, Lemon Juice and Lemon rind and beat further till smooth.
4) Fold in the egg whites lightly. DO NOT STIR BRISKLY.
5) Grease the baking dish with some melted butter and pour the remaining into the mixture.
6) Pour this mixture gently into the baking dish and place it in a baking pan filled half way with water.
7) Bake in an oven at 180 degrees Celsius/ 350 degrees Fahrenheit for 50 mins.
8) Plate the pudding after letting it cool down.
Can be served both hot and cold and with ice cream as well.


text:
Originally posted by TNTarheel
Something to do while waiting
The Mysterious Message: Project "FanMade"
The Codex: Molasses
Originally posted by Forevever
Thank you to Everyone!
Just in case I have not said it enough, it was an absolute pleasure working with all of you, who were involved in this thread. It is a true testament of teamwork and cooperation.
I hope everyone enjoyed themselves as much as I did. And even if you were disappointed with the ending, I hope that you also learned some things. I know I did
Reminder to newcomers! we solved this mystery last week
If you would like to read the major recap of everything we did in the thread prior to the identity/facebook work, its on Page 187 - a wealth of information!
The identity/facebook work is on pages 218 through 222
John's explanation
Formspring Q&Aedit on 2-8-2011 by Forevever because: added thanks, tweaking for efficiency
Originally posted by Forevever
reply to post by voyger2
Believe what you want to believe, you're going to anyway.
You clearly didn't do any real research on your own. Otherwise you would see all your questions answered in his explanation and his formspring.edit on 2-8-2011 by Forevever because: (no reason given)
Originally posted by Forevever
reply to post by voyger2
you're trolling


text:
Hedge funds Scout Capital and Joho Capital to close
31 January 2014
Two major stock-focused hedge funds announced they are shutting down after reporting strong performance during the global equity rally of 2013.
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text:
Ultra-bitter spray
This article or section is in need of more or better images. Particularly:
To do: Confirm that petrification lasts 8 seconds.
Ultra-bitter spray is the purple colored spray that the player can get from ten purple Burgeoning Spiderwort berries, or by finding a concentrated dose. When used, it temporarily turns any nearby enemy or bomb-rock into stone, rendering them unable to do anything. In 2-Player Battle, this spray can also be used to disarm the opponent's Pikmin by planting them in the ground, and reverting all flower and bud Pikmin to leaves. Although the Pikmin will automatically jump back out of the ground after ten seconds, they will not regain their buds or flowers.
There are fewer ultra-bitter berry carrying Burgeoning Spiderworts, which makes the spray harder to obtain in comparison to ultra-spicy sprays. In addition, this spray is normally discovered after the ultra-spicy spray, because while ulta-spicy spray is found on the required path in the Awakening Wood, ultra-bitter spray is not found until after the acquisition of White Pikmin, near the Bulblax Kingdom. Unlike the ultra-spicy spray, this spray type does not return in Pikmin 3.
To do: Confirm that petrified enemies really have less defense. Exact values for that, the drop chances, and the boss defense increases would be nice. Confirm if some bosses can give only four doses of liquid, as that's what the Pikmin Wiki page claims. Finally, add the chances of drops for bosses and the Titan Dweevil.
This spray can be deployed by pressing / . Any enemy or bomb-rock in front of the captain instantly becomes mobilized and slowly turns into stone. After eight seconds, the enemies or bombs break free and resume their normal activities, but before they reach this point, they will begin shaking, as to warn the player that the petrification is ending. When an enemy is defeated while petrified, it will crumble to dust and leave behind one dosage of a liquid, this being either nectar or a spray. Bosses, however, will drop five doses of liquid. The Titan Dweevil will drop ten doses. The perceived chances of a single drop being nectar or a spray are as follows: [1]
|Ultra-bitter spray drop
|Ultra-spicy spray drop
Any regular enemy that becomes petrified will have its defense decreased, however, any petrified boss will have its defense increased. Plants and Candypop Buds cannot be petrified at all, nor can hazards or other objects. Petrifying enemies that are in the process of eating any Pikmin will make it possible to save those Pikmin from dying.
If there are no enemies nearby, the leader will still spray it in the air, wasting one dosage. In the Piklopedia, the player can deploy ultra-bitter spray by pressing / . This does not affect the ultra-bitter spray quantity in the main story mode. It should also be noted that a petrified dormant bomb-rock will become active after the petrification ends, even if it wasn't attacked during.
- Each enemy type has an individual multiplier setting for how long the petrification should last, but it is never given any use, as all of them have this value set to 1.0.
- ↑ These values are obtained from a fan-driven experiment, rounded to what are the most likely real values.


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Partner: University of Texas at Arlington Library
Resource Type: Photograph
County: Hardeman County, TX
Chief Quanah Parker Visiting Quanah, Texas
Date: July 4, 1896
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Description: Photograph of Quanah, Texas when Chief Quanah Parker visited on July 4, 1896. The Fort Worth and Denver Railway station is at the left. Over 250 Comanche braves rode horses in the parade with Parker and three of his wives.
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Another example of Knog's brilliant design and function. A light to be seen by, with 4 super-bright LED's housed in a waterproof silicone body, everybody will have the chance to see you. The flexible body will wrap around seat-posts, frame stays and bags easily making it super versatile and ideal for everyone.
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Shortbread Discs
|Sifted all purpose flour
|1⁄2 Cup (8 tbs)
|Baking soda
|1⁄2 Teaspoon
|1⁄4 Teaspoon
|Soft butter
|1 1⁄2 Cup (24 tbs)
|Sifted confectioner's sugar
|1 1⁄2 Cup (24 tbs)
|Vanilla extract/Rose water
|1 Teaspoon
Sift flour with soda and salt; set aside.
In large bowl, with wooden spoon, or portable electric mixer at medium speed, beat butter, sugar, and vanilla until light and fluffy.
Add flour mixture; mix well, with hands, to make a soft dough.
Refrigerate 30 minutes.
Turn out dough onto lightly floured surface.
Divide in half.
With hands, shape each into a roll 8 inches long.
Wrap each in waxed paper or foil; refrigerate until firm—several hours, or overnight—before baking.
(Rolls may be stored in refrigerator a week or 10 days; bake fresh as needed.) Preheat oven to 375F.
With sharp knife, cut as many 1/8-inch slices as desired for one baking.
Rewrap roll; refrigerate.
Place slices, 1 inch apart, on ungreased cookie sheets; bake 8 to 10 minutes, or until lightly browned.
Let stand 1 minute.
Remove to wire rack; cool.
Makes about 8-1/2 dozen.


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29 year old woman | Austin, TX, USA | Seeking men 27-37 within 15 miles
Let's do this.
Im a midwestern girl... bouncing around for college and grad school... Chicago, LA, and now Austin. I love this city. After finishing grad school and moving out here, I figured I needed to branch out and meet people in a new way, so here I am! I think that Im funny. But not in a weird egotistical way, just that I like laughing and try to do it as much as I can. I am nice, but not a doormat, and I maintain a low level of drama in general. An even keel is a good thing. Im a good communicator, and I like to demystify vague and implied stuff. I like to see how I get more or less funny with who Im with. Id say humor is the most important thing to me in a match. Be funny dammit!! I am amazing at rock-paper-scissors. Seriously, I am good. I have great hand-eye coordination, and doesnt everybody love that in a woman?! Soo, what's my type you ask? I probably will like you if you think on your toes, make me laugh, if you like animals and naturey things, and coffee and crosswords. If you can teach me something or take me somewhere new. If you are smart, laid back, decisive, kind, and physically active. I'm a sucker for a cute smile, and I have a weakness for tall guys. wink wink, nudge nudge :)
Coffee and conversation , Cooking , Dining out , Movies/Videos , Museums and art , Music and concerts , Nightclubs/Dancing , Playing sports , Travel/Sightseeing , Watching sports
Bowling, Football, Running, Swimming, VolleyBall, Walking / Hiking, Weights / Machines, Yoga
I exercise 3-4 times per week.
I like Dogs
Rainey Street, 2nd street, I tend to avoid 6th, Barley Swine, Elizabeth St, Violet Crown/Alamo, The trail, fair bean. I am loving Austin.
running, not running, spinning, music, the ocean (scuba, swimming, beaching, etc) nature, science, sleeping, NPR. snowboarding, yoga, and that dried mango from trader joes. WHEN IS AUSTIN GETTING A TRADER JOES?
If I said that I like going out, but dont mind relaxing with a movie at home, would you hold it against me? Only because every human has that in common? Also, doesn't everyone enjoy being outdoors? Add me to the list.
Gone Girl. It was gripping. Now Im (slowly) reading the hobbit. I want to be a real reader, but I am not the best at just sitting down, turning the phone/computer off, and actually doing it. So I am slow.
Z{{Cta}} {{#if HasMoreInfo}} ?{{CtaSecondary}} {{/if}}
|What she is looking for
|5'9" (175cms)
|5'8" (172cms) to 7'0" (213cms)
|Body type:
|Athletic and toned
|About average, Athletic and toned
|No preference
|No preference
|No Way
|No Way, Occasionally, Yes, but trying to quit
|Social Drinker
|Social Drinker, Moderately
|Medical / Dental / Veterinary / Fitness
|No preference
I am a physical therapist, I work in a clinic in south austin, and most days it is amazing - rewarding, fun, and I use my brain all day. Some days it is draining, you guys with your achy shoulders are so high maintenance!
|I'll tell you later
|No preference
|Never Married
|Never Married
|Have kids:
|Wants kids:
|Definitely, Someday, Not sure
|White / Caucasian
|No preference
I burn a little bit but then it turns to tan.
|No preference
|English, Spanish
|Graduate degree
|Some college, Bachelors degree, Graduate degree, PhD / Post Doctoral
B.S. in Biology, Doctor of Physical Therapy


text:
Ferry travel to the Isle of Wight has never been more convenient or enjoyable. Wightlink Flexi-Pricing keeps our ferry fares as attractive and competitive as possible.
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Save money and buy your ferry tickets with Tesco Clubcard Boost token codes.
The perfect choice for travelling to the Isle of Wight, offering discounted travel to and from the Island.


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YIELD: Makes 30
Preheat oven to 350°F. Mix flour, baking powder and salt in small bowl. Stir bittersweet chocolate and butter in heavy large saucepan over low heat until melted. Remove from heat. Using electric mixer, beat eggs, sugar, espresso powder and vanilla in medium bowl until well blended. Stir egg mixture into warm chocolate mixture. Stir in dry ingredients. Stir in chocolate chips and chopped walnuts.
Immediately drop dough by heaping tablespoonfuls onto nonstick baking sheets, spacing 1 1/2 inches apart. Bake until tops crack but cookies are still soft inside, about 12 minutes. Transfer baking sheets to racks; cool 5 minutes. Transfer cookies to racks; cool completely. (Can be prepared 1 day ahead. Store cookies in airtight container at room temperature.)


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2M / 220 / 440 MHz SWR/Power Meter
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Reads true peak or average power and SWR simultaneously on a 3-inch illuminated Cross-Needle meter. Covers 144, 220 and 440 MHz bands, has 300/30W forward and 60/6W reflected power ranges. SO-239 connectors. Requires 12V DC to function. Dim: 6"w x 3.5"h x 4.5"d.
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Best projector for 110'' screen?
View Single Post
Join Date: Jul 2004
Location: Georgia, USA
Posts: 827
Re: Best projector for 110'' screen?
if you don't the cash for a panasonic ae 1000 the panasonic ax100 kicks ass as well. It's brighter up to 2,000 lumens. Only catch is that the ax100 is 720p. I have a 110" fixed frame screen as well and the ax100 and I think it looks really sweet. It is the brightest projector I've ever owned. I play xbox, ps3, and pc on it and blue ray and hddvd movies look great!
I'd wait on 1080p projectors till they hit 2000 lumens or more. Right now they are too dim for me. I've had 1,000 lumen projectors and didn't like them.
good luck!
Consoles: Xbox Elite with HDDVD drive and PS3.
Panasonic AX200U Widescreen Projector (1280x720), 160" HighPower Screen, AND A BIG COUCH.
[FONT="Courier New"] HTPC: Intel Wolfdale 3ghz, 4 gigs DDR2 800 ram, 500gig HDD, Craptastic 7600GS, Windows 7 32bit, XBMC installed [/FONT] :D
[B]My Video Encoding/Office rig:[/B] [I] Intel QX9650 @ 3ghz, 1333mhz FSB, 4gigs Patriot Extreme DDR3 @ 1333mhz, XFX 790i 3-way Sli mobo, Xf-Fi Extreme Gamer, 400watt Fanless Power Supply, 9500GT 64-bit bus(ouch!), 8.750TB HDD, Windows 7 64-bit Ultimate. [B][FONT="Arial Narrow"]Everything at stock and completely boring..[/FONT][/B][/I] :type:
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But I, but I love you
from Jhené Aiko – The Worst Lyrics on Genius
She knows she doesn't need him because he's messed up a lot, but she still has feelings for him regardless. A lot of people have this problem when they truly love someone. The stuttered use of the phrase "but I" could represent hesitance and indecisiveness.
To help improve the quality of the lyrics, visit Jhené Aiko – The Worst Lyrics and leave a suggestion at the bottom of the page


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Buzz Bomb
Why everyone's wrong about Assad's zombie gas.
- By Jeffrey LewisJeffrey Lewis is director of the East Asia Nonproliferation Program at the James Martin Center for Nonproliferation Studies.
Since the government of Syria's Bashar al-Assad began to totter, the nonproliferation community has been waiting to see if he will unleash what is believed to be a large stockpile of chemical weapons, including VX, sarin, and mustard gas. The possibility that Assad might use chemical weapons is widely regarded as a possible trigger for U.S. intervention. In December, President Obama warned Assad of "consequences" in the event Syria used its chemical weapons. A few days earlier, Hillary Clinton warned that the United States was "certainly planning to take action" in the event of "credible evidence that the Assad regime has resorted to using chemical weapons against their own people."
So, what makes for "credible evidence"? Enter Josh Rogin, reporter at Foreign Policy, who published a pair of stories detailing a State Department cable regarding possible chemical weapons use by Syrian forces in Homs. An administration official described the cable as having "made a compelling case that Agent 15 was used in Homs on Dec. 23."
The implication, obviously, is that the "compelling case" is the "credible evidence" that should prompt Washington to rethink its policy limiting itself to "non-lethal" aid to Syrian opposition forces and take action. A reconsideration might be in order, though not for the reason you think.
For starters, somehow, no one has bothered to mention that Agent 15 doesn't exist.
Yep. Agent 15 is one of the bogus bits of intelligence that helped make the case for invading Iraq. Like many good fish stories, this one has a kernel of truth. A single document found by U.N. inspectors (at the infamous Chicken Farm, if you must know) mentioned something called "Agent 15." UNSCOM and others believed Agent 15 was a glycollate, related to laboratory experiments that Iraq admitted to with chemically similar incapacitants usually referred to as BZ or "buzz." But Iraq never produced BZ, Agent 15, or similar incapacitants.
"Agent 15" entered our collective lexicon in 1998, however, when the British announced they had "received intelligence, believed to be reliable, which indicated that, at the time of the Gulf War, Iraq may have possessed large quantities of a chemical warfare mental incapacitant agent known as "Agent 15." George Robertson, then defense secretary, described it as "one more filthy uncivilised weapon of war in [Saddam's] armoury." He warned that Agent 15 could result in: "dilated pupils, flushed faces, dry mouth, tachycardia, increase in skin and body temperature, weakness, dizziness, disorientation, visual hallucinations, confusions, loss of time sense, loss of co-ordination and stupor." In other words, it turns you into the stars of Absolutely Fabulous. (I've placed a copy of the MOD report on my blog, ArmsControlWonk.com.)
Robertson refused to divulge further details, claiming that the Ministry of Defense had yet to evaluate the report. In fact, he'd done quite enough. The always restrained British press went — and I am going to use the technical term here — apeshit. (My favorite headline: "Iraqi 'zombie gas' arsenal revealed.")
The claim didn't stand up to scrutiny, even before the war. The United Kingdom doesn't seem to have asserted the existence of Agent 15 stockpiles after March 2002, which is about the time the CIA put out a fact sheet stating clearly that "Iraq never went beyond research with Agent 15." For all the bullshit reasons we invaded Iraq, Agent 15 was not one of them.
I don't want to spoil the ending if you still haven't gotten through Bob Woodward's Plan of Attack, but we didn't find any chemical weapons stockpiles in Iraq. No VX, no sarin, no Agent 15. The British government has not publicly revealed the source of the information, but one can get a flavor of the bum dope being peddled by Iraqi "sources" on chemical weapons from British and American reviews of the intelligence. Without naming names, these reports describe a litany of fabricators in surprising detail. (You want to read pp 100-101 of the Butler Report and pp. 126-130 of the Robb-Silberman Report.) In theory, this experience should be a cautionary tale.
On the other hand, CRAZY DICTATOR HAS ZOMBIE GAS!
Once "Agent 15" entered the debate, it stuck. It routinely appeared in laundry lists of Iraqi chemical agents from nongovernmental experts, presumably compiled by overworked interns. Eventually, there were reports of Iraqi insurgents in Fallujah getting high on Agent 15 before battle. David Hambling wrote a hilarious, and appropriately skeptical, post about this silliness.
Now, to be clear: BZ is a real chemical incapacitant. The United States, the United Kingdom, and others stockpiled it. U.S. scientists discovered BZ in 1951, producing it as a byproduct of peaceful chemical production (though not in a pure or isolated form). Iraq did research on BZ, including importing a sample from Egypt. There is no evidence that Syria has a BZ program, which is probably why the National Security Council released a statement describing the allegations outlined in the cable as "not consistent with what we believe to be true about the Syrian chemical weapons program."
Incapacitating agents, by the way, are not what one usually thinks of as "chemical weapons" — nerve gas and the like. BZ and other chemical incapacitants arise out of the same deep well of craziness that led the government to develop LSD. The Chemical Weapons Convention largely dried up the crazy. We haven't seen something spectacularly stupid since 1994, when the predecessor of the Air Force Research Laboratory was considering a proposal to develop a chemical agent that would "cause homosexual behavior" in the hopes of adversely affecting "discipline and morale." Incapacitating agents like BZ are controlled under Schedule 2 of the Chemical Weapons Convention. Schedule 1 is where are all the interesting things like mustard gas, sarin, and VX are listed. States do not even need to declare Schedule 2 chemicals if they are present in "low concentrations." In 2004, the states party to the CWC had a very boring, technical debate about when states should declare incidental production of BZ and two other Schedule 2 chemicals.
I don't want to minimize the dangers of incapacitating agents. As an impressionable research assistant at CSIS, I participated in a study on non-lethal weapons which made very clear that all "non-lethal" weapons can still kill some people, who react in all sorts of unique and individual ways. (There was a proposal for a sticky foam that would harden into something like concrete to immobilize rioters. It seemed like a really good idea — for about 15 seconds, until someone asked how Han Solo breathed in carbonite.) At a simpler level, you can imagine the carnage if someone fired "just" tear gas into a nursing home.
But the allegation that Syria has used a chemical weapon isn't really about the dangers of BZ or incapacitating agents. It is really an argument about the Syrian government violating a norm that places them outside the family of nations and compels us to intervene. Sure you can torture people or shell their villages, but poison gas?
Not surprisingly, one finds plenty of evidence-less allegations of chemical weapons use by groups seeking to encourage foreign intervention. In July 1995, for example, the Bosnians alleged that Yugoslav forces gassed them with BZ — at a time when the United States was still following Colin Powell's suggestion to let Bosnia burn. (A few weeks later Clinton would authorize an air campaign, Operation Deliberate Force, a decision Powell now says was the correct one.) Kosovar Albanians made similar allegations of BZ use in April 1999 during Operation Allied Force. There is not a lot of evidence for either claim and, to my knowledge, the International Criminal Tribunal for the former Yugoslavia has never charged any Serbs with regards to this. Perhaps it's too cynical to put allegations of chemical weapons use in the bin with bayonetting babies or dumping them out of incubators, but truth is the first casualty and all that.
Which brings us to the State Department cable. The United States does not have an embassy in Syria at the moment. The cable in question was sent from the U.S. consulate in Istanbul, which last I checked was in Turkey. So, who actually went to Homs to investigate these claims? According to portions of the cable reprinted by Rogin, a State Department "implementing partner" called Access Research Knowledge, using a local Syrian group called Basma, talked to three "contacts" in Syria. Stop me if you see where this is going.
We actually know a little bit about Access Research Knowledge (ARK) and Basma. Justin Vela wrote an article for Foreign Policy titled "Holding Civil Society Workshops While Syria Burns," which describes the two organizations:
ARK also provides funds and consulting to a new opposition media outlet founded by a group of liberal-minded Syrian activists called BasmaSyria.
A State Department spokesperson described ARK as "an implementing partner" of the U.S. nonlethal-aid program.
"ARK is currently undertaking activities to support the nonviolent Syrian opposition and Syrian civil society," the spokesperson said. "Project activities involving hundreds of beneficiaries have taken place in Syria and neighboring states since the onset of the Syrian crisis. It shares the inclusive vision of a future Syria for all Syrians where the rule of law is applied equally and the people of Syria are represented by a legitimate, responsive, and democratically elected government."
The activists themselves see the projects as a way to get their message out to the world more effectively.
"They are just helping us. We didn't study media; we didn't study photography," said an activist who works for BasmaSyria, which has distributed videos via YouTube, Facebook, and the Saudi-owned news channel Al Arabiya since August.
To make it clear: These appear to be U.S.- and U.K.-funded groups that produce anti-regime propaganda. Are we really surprised that they are alleging chemical weapons use? (And don't get me started on these people diagnosing which chemicals were used based on grainy YouTube videos. Two words: Terry Schiavo.) Look, I am no seasoned intelligence professional. But perhaps this is not up to the standard set by Sherman Kent.
That is to say nothing of the leak. Let's face it: Leaks are often dissatisfied officials appealing a decision in the press. The Obama administration has clearly indicated that it does not think chemical weapons were used at Homs. Don't like the president's decision? Let me get you Josh Rogin's email.
Watching a U.S.-funded propaganda group "confirm" claims by Syrian opposition, I am reminded of the first rule of drug dealing: Don't get high on your own supply. (What? I saw Scarface.) The use of the non-existent Agent 15 moniker is too clever by half. What it tells you is that someone got on the internet.
I have no objection to the State Department or intelligence community making up terrible lies about Bashar al-Assad. Maybe we can dust off the old plan to film a Saddam-double screwing a rent boy. Or we can ring up Jerry Post to talk about Bashar's womb issues! All is fair in love and war.
And it may make humanitarian or strategic sense to intervene in Syria. The world would be a better place without the Assads, and vulnerable populations like the sick, elderly, and very young suffer and die disproportionately in protracted conflicts like this. One can certainly make a case for doing more than we are.
But we should not take a decision to intervene on the basis of the disinformation or propaganda we pay Syrian activists to create. I mean, imagine the consequences if the president were to order hundreds or thousands of U.S. servicemen and -women into harm's way to prevent an evil dictator from using weapons of mass destruction that turn out to be completely imaginary?
Oh, nevermind. When do we bomb Damascus?
Related Stories
Exclusive: Secret State Department cable: Chemical weapons used in SyriaJosh Rogin
Josh Rogin covers national security and foreign policy and writes the daily Web column The Cable. His column appears bi-weekly in the print edition of The Washington Post. He can be reached for comments or tips at firstname.lastname@example.com.
Previously, Josh covered defense and foreign policy as a staff writer for Congressional Quarterly, writing extensively on Iraq, Afghanistan, Guantánamo Bay, U.S.-Asia relations, defense budgeting and appropriations, and the defense lobbying and contracting industries. Prior to that, he covered military modernization, cyber warfare, space, and missile defense for Federal Computer Week Magazine. He has also served as Pentagon Staff Reporter for the Asahi Shimbun, Japan's leading daily newspaper, in its Washington, D.C., bureau, where he reported on U.S.-Japan relations, Chinese military modernization, the North Korean nuclear crisis, and more.
A graduate of George Washington University's Elliott School of International Affairs, Josh lived in Yokohama, Japan, and studied at Tokyo's Sophia University. He speaks conversational Japanese and has reported from the region. He has also worked at the House International Relations Committee, the Embassy of Japan, and the Brookings Institution.
Josh's reporting has been featured on CNN, MSNBC, C-Span, CBS, ABC, NPR, WTOP, and several other outlets. He was a 2008-2009 National Press Foundation's Paul Miller Washington Reporting Fellow, 2009 military reporting fellow with the Knight Center for Specialized Journalism and the 2011 recipient of the InterAction Award for Excellence in International Reporting. He hails from Philadelphia and lives in Washington, D.C.| The Cable |


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These two teen girls just turned 18 so they wanted to act shy. They took their sweet time to flash their tits and teased the camera until they had taken off everything, down to their hands covering their nipples. Do you think these two stacked babes will show us their fine big tits?
As always, things got wild when the Girls Gone Wild team visited a packed club. We found these two crazy girls who started stripping and kissing each other's tits. They also licked each other's pussy and wanted us to capture it all on video.
Playful and cute, Erin indulged the cameraman as he gave an account of what happened earlier that night. This hot, busty redhead teased us with glimpses of her big tits as she wore a provocative top. When we asked her for a preview she showed us one of her lovely pink nipples and natural big tits.
These two party girls named Kim and Alyssa had the courage to show us how kinky they are in the bedroom. When we asked them about their favorite sex position, one of them replied "I just like to fuck!". The scene gets hotter when the girl in a tight dress pulls down her top and bra to let her friend suck on her nipples.
The dance area was crowded and these two cute girls needed more space to really let loose. We invited them to this private room that looked like an attic and asked them to show us their moves for the camera. They loved the attention and got into the music, dancing and gyrating their bodies to the music.
After clubbing all night and rubbing their tight little bodies together, these two petite amateurs wanted to get naked together. We knew it. The Girls Gone Wild crew has a sixth sense for this sort of stuff. And we use our skill to make videos for your enjoyment. Watch as these two brunettes strip each other's clothes off before doing much more.
The event was over, but the fun was just beginning. We invited these two girly babes aboard the Girls Gone Wild tour bus to show us what they've got. They were definitely into each other, that's for sure. One thing the tour bus gives these girls is privacy. From there, the camera gives them the national attention and potentially even fame if their video is good. These two girls gave each other a very long, hot and passionate wet kiss that turned into an extended make-out session. Near the end of the clip, it only gets better as they suggest taking off their shorts.


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A reader named Matt wrote the following questions to me, quite some time ago (sorry it's taken me so long to get back to you, Matt!):The Reformed, and Protestant traditions have been quite suspicious of some of the practices of "Mysticism", why is that, and what would be a response to Protestant concerns? What is the theology behind Christian Mysticism? Does Christian Mysticism have Biblical Support? How does one go about practicing the more Mystical aspects of the Christian faith?Any … [Read more...]
Four questions about Mysticism
A Chat with a Methodist Minister
The other day at the Abbey Store I struck up a conversation with a Methodist minister who was making a short retreat at the Monastery. We chatted up books and authors and it became apparent that we had a similar interest in contemplative spirituality."So tell me," I asked him, "What is it like to advocate for contemplative spirituality in your congregation?"He smiled ruefully. "It's not easy," he said."Are people afraid of it?" I wondered, mindful of the small but vocal presence of … [Read more...]
The Jewel and the Setting
In response to my post yesterday of Annemarie S. Kidder writing on the relationship between postmodernity and the rediscovery of mysticism, one commenter writes: Her insights resonate with me, both in words and practice. What I wonder though, is what kind of church this individual movement will form. How will the creeds be written or will creeds be simply experienced in similar ways? How will be able to share with the youth from our own inward experiences? I understand where we are, but I feel … [Read more...]
Quote for the Day
People in the postmodern era have lost confidence in the idea of perpetual progress advanced by the sciences and technology. They have become distrustful of and disenchanted with authority, which includes that of the church. They value experience over against outside authority, a faith based on experience over against one that is ecclesiastically pre-formulated, and a plurality of voices that are of equal value over against a singular voice that makes all final decisions. Authenticity, being … [Read more...]
Forthcoming Books from Liturgical Press
Recently I received an email announcing new titles from Liturgical Press, one of the leading publishers on Benedictine, monastic, and general Christian spirituality. I'm taking the liberty of posting the contents of that email here on my blog, because pretty much every title listed looks wonderful to me — and, I suppose, will interest anyone visiting this blog as well. Michael Casey on the prologue to the Rule of St. Benedict, anyone? Joan Chittister exploring the radical nature of the B … [Read more...]
Images from the Wild Goose Festival
I'm home from the Wild Goose Festival. What an amazing experience it was!Hopefully I'll find the time sometime soon to write about the experience. But in the meantime, here are a few photos to give you a glimpse of the experience. The first two photos I took using my iPhone; the other two are courtesy of conference attendee Christine M. Anderson. … [Read more...]
Mark Your Calendars…
These dates are subject to change, but will probably stay as they are. If you'd like to participate in a retreat that I will be leading or co-leading at the Monastery of the Holy Spirit in Conyers, GA, in 2012, here are the dates to hold: June 15 - 17, 2012: The Spirituality of George MacDonald and C. S. Lewis July 13 - 15, 2012: Spiritual Writing and Journal Keeping August 10 - 12, 2012: Of Gods and Men: Cistercian Spirituality and Interfaith Relationships September 14 - 16, 2012: Spirituality … [Read more...]


text:
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Dustin Mills
Wilmore, KY, United States
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A redeemed sinner, I am a follower of Jesus Christ of Nazareth, the Son of God, who gives me new life and calls me to repentance. I live to glorify Him, learning through His Word how to live an authentic life of worship.I have been married to my wife, Angela, for three and a half years. We have a dog (Lady) and a hedgehog (Fenwick). We are excited for the birth of our first daughter, due in March of 2015. I graduated from Bowling Green State University with a major in Spanish Education. During my time there, I studied globalization in Mexico, taking a trip to Xalapa for a week. I also lived in Alcalá de Henares, Spain for 4 months. I taught middle school Spanish for two years, before earning my Master of Theological Studies degree at Calvin Seminary. Now I am in the process of earning my doctorate in Biblical Studies: Old Testament at Asbury Theological Seminary in Kentucky.
I started playing chess when I was in Boy Scouts. The other guys and I would challenge each other during campouts. I don't get the chance to play in person very often, because not many of my close friends and family play it. I like Chess.com for the chance to interact with other people and keep up my skills. Challenge me if you want!
Here's a recent game of mine.
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text:
Changes related to "Translations"
← Translations
This is a list of changes made recently to pages linked from a specified page (or to members of a specified category). Pages on your watchlist are bold.
26 June 2015
13:48 (Page translation log) MATsxm (Talk | contribs) marked Joomla info page for translation
11:30 Joomla info page (diff; hist; +35) Aaleksanyants


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Mate-dialogs allows dialog boxes to be created and displayed from the
commandline. This provides a simple way to create a GUI for
a shell script.
WWW: http://mate-desktop.org/
NOTE: FreshPorts displays only information on required and default dependencies. Optional dependencies are not covered.
This port is required by:
To install the port: cd /usr/ports/x11/mate-dialogs/ && make install cleanTo add the package: pkg install x11/mate-dialogs
cd /usr/ports/x11/mate-dialogs/ && make install clean
pkg install x11/mate-dialogs
===> The following configuration options are available for mate-dialogs-1.8.0_1:
NOTIFY=on: Desktop notification support
===> Use 'make config' to modify these settings
gettext gmake pkgconfig tar:xz
Number of commits found: 7
Get rid of gnomehier
cleanup plist
- Set CPPFLAGS and LIBS in a number of ports so configure can find libintl.h
and libintl.so. This fixes a problem where DATADIRNAME gets an incorrect
value which causes locale files to be installed in the wrong place.
- The only configure checks that still need to be patched are related
to intltool so move DATADIRNAME patching from USES=pathfix to
- games/klavaro: remove excessive dependencies
- japanese/libskk: add INSTALL_TARGET=install-strip
- math/libqalculate: add INSTALL_TARGET=install-strip and remove pthread
- multimedia/freetuxtv: remove excessive dependencies
- science/gramps: fix shared-mime-info use
Exp-run by: antoine
Approved by: portmgr (antoine)
Welcome Mate Desktop 1.8
The porting work as been done by gnome@ (kwm) and Eric Turgeon
Convert a bunch of USE_XZ to USES=tar:xz.
Approved by: portmgr (not really, but touches unstaged ports)
Update to 1.6.2.
Rework CONFIGURE_ENV=LIBS into LDFLAGS.
Say hello to Mate 1.6.
Mate is a lite desktop forked from gnome2.
Most of the work is done by Jeremy Messenger (mezz@). The only thing I did
was update a few ports to later 1.6 release and attempting to keep up with
ports infra changes. Resulting bugs are all mine.
Mate is a sort of replacement for Gnome 2. So people wanting to keep a
Gnome 2 like desktop should switch. Gnome 2 will be replaced by Gnome 3
in the near future. This switch will be announce with a transition time
so people have more time to switch if they haven't already.
This release was made possible by everyone that send friendly pokes to
keep mate on my mind.
Approved by: portmgr (bapt)
Servers and bandwidth provided byNew York Internet, SuperNews, and RootBSD
30 vulnerabilities affecting 46 ports have been reported in the past 14 days
* - modified, not new
All vulnerabilities


text:
Name: Cyrus (Old Persian: Kuruš; Hebrew: Kores)
Dates: c. 600 - c. 530 B.C.
Parents: Cambyses I and Mandane
Occupation: Ruler and Military Leader
Cyrus the Great, son of Cambyses, is the first (founder) of the Achaemenid dynasty of the Persian Empire. In Biblical History, Cyrus is the king of the Persians who allowed the Hebrews who had been driven from their homeland, in Judaea, by Nebuchadnezzar, to leave Babylon and end the exile.
"Also Cyrus the king brought forth the vessels of the house of the LORD, which Nebuchadnezzar had brought forth out of Jerusalem, and had put them in the house of his gods...."
(KJV) Book of Ezra I.7
Cyrus was the son of Persian and Median parents. His father was Cambyses, an Anshan (Persian) king who was the son of another Cyrus, and descended from Anshan's great king Teispes/Chishpish, descended from the eponymous Achaemenes; his mother, Mandane, daughter of the last Median king, Astyages (Arshtivaiga 'lance-hurler' aka Ishtumegu) (r. c. 585-550). Anshan was a vassal kingdom of Media. Astyages appears to have been unpopular enough with his subjects that part of his army may have deserted to Cyrus.
The Heroic Birth Legend
Legend (History of Cyrus the Great,by Jacob Abbott), followed by Herodotus, says the Median king feared the offspring of his daughter and so arranged that she should give birth while under his control. The infant was given to a loyal follower, Harpagus, to be killed. Harpagus couldn't do the deed, so he gave the infant to a shepherd (Mitridates) whose wife's newborn had just died. In The Heritage of Persia, author Richard N. Frye says the wife's name (Spako) means dog in the Median language, and suggests that this is a copying of the birth legend of Romulus and Remus who were suckled by a close relative of a dog -- a wolf, or a woman referred to as a wolf (a prostitute). Mitridates left the already-dead baby as if he had been exposed and kept the newborn prince. Eventually, when Cyrus was 10, the truth came out; Harpagus was punished with the presentation of his son as the main course at Astyages' feast.
Cyrus then made his way back to his Persian family at its less regal court where he was educated for two years before returning to the splendid Median court.
Imperial Accomplishments
Cyrus became king of Anshan in about 559. He united the Medians and Persians and then expanded his Persian empire into Lydia in Asia Minor. He also took Babylon. It's possible he captured Bactria. In Sogdiana, he established the city of Kyresskhata (Cyropolis), perhaps a garrison town at the frontier. He may have gone into India.
"Now this was the state in which Cyrus found the tribes and peoples of Asia when, at the head of a small Persian force, he started on his career. The Medes and the Hyrcanians accepted his leadership willingly, but it was through conquest that he won Syria, Assyria, Arabia, Cappadocia, the two Phrygias, Lydia, Caria, Phoenicia, and Babylonia. Then he established his rule over the Bactrians, Indians, and Cilicians, over the Sakians, Paphlagonians, and Magadidians, over a host of other tribes the very names of which defy the memory of the chronicler; and last of all he brought the Hellenes in Asia beneath his sway, and by a descent on the seaboard Cyprus and Egypt also."
Cyropedia 1.4, by Xenophon
His first capital city was Pasargadai, which was replaced by the Median capital, Ekbatana.
Death of Cyrus
Cyrus was buried at Pasargadae. His son Cambyses succeeded him in 530, the year in which Cyrus the Great was defeated by the nomadic Massagetes (in modern Khazakhstan) (Jona Lendering: Cyrus).
"I.201: When Cyrus had achieved the conquest of the Babylonians, he conceived the desire of bringing the Massagetai under his dominion. Now the Massagetai are said to be a great and warlike nation, dwelling eastward, toward the rising of the sun, beyond the river Araxes, and opposite the Issedonians. By many they are regarded as a Scythian race."
"Tomyris, when she found that Cyrus paid no heed to her advice, collected all the forces of her kingdom, and gave him battle. Of all the combats in which the barbarians have engaged among themselves, I reckon this to have been the fiercest. The following, as I understand, was the manner of it: First, the two armies stood apart and shot their arrows at each other; then, when their quivers were empty, they closed and fought hand-to-hand with lances and daggers; and thus they continued fighting for a length of time, neither choosing to give ground. At length the Massagetai prevailed. The greater part of the army of the Persians was destroyed and Cyrus himself fell, after reigning nine and twenty years. Search was made among the slain by order of the queen for the body of Cyrus, and when it was found she took a skin, and, filling it full of human blood, she dipped the head of Cyrus in the gore, saying, as she thus insulted the corpse, "I live and have conquered you in fight, and yet by you am I ruined, for you took my son with guile; but thus I make good my threat, and give you your fill of blood." Of the many different accounts which are given of the death of Cyrus, this which I have followed appears to me most worthy of credit."
Herodotus I.201; 214
Greek Sources on Cyrus
We can read about Cyrus (the Elder) in the works of two important ancient Greek historians, the Carian historian Herodotus (born about 50 years after Cyrus died) and the Athenian military commander Xenophon (born about 30 years after Herodotus) who served under Persian King Cyrus the Younger.
Era-by-Era Greek Timeline
Go to Other Ancient / Classical History Glossary pages beginning with the lettera | b | c | d | e | f | g | h | i | j | k | l | m | n | o | p | q | r | s | t | u | v | wxyz
Also Known As: Cyrus II, Cyrus the Elder
Alternate Spellings: Kuruš, Kores


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First, I'll admit I was pleased to read that Terry Reynolds at least gave lip service to my own bent in examining "prospects" in relation to the organization as a whole:
"For me it's, what are you doing? How did they perform this past summer? What do we think of them as an organization and where can they help us and WHEN can they help us."
Besides the fact that while creating my list I only considered last year's performance I was relieved to read this.
I think this says a lot about staying practical about players, as well as setting up a structure where scouting reports and signing bonuses are not stunting development, causing animosity, creating lazy check collectors, etc. Turns out the Reds are just about as "what have you done for me lately" as many fans.
Throughout the voting for Redszone's prospects, I favored Maloney in the early going (I think I might have started voting for him at 5 - a bull headed mistake as I was forming my ideas). I believe more in a meritocracy (results) and like to avoid the "Wily Mo" effect of clinging to what "should" happen. Bleh!
I'm not afraid of projections and scouting reports, but miserable failure is just too strong of a sign to ignore (Duran, etc.) They've got to PROVE IT.
I feel this list is a pretty good, concurrent, list of both who can help the Reds and when they can help them. If a player was no higher than Dayton last year, it almost certainly hurt them in my list. Only players like Soto or Mesoraco could fight past their stations due to overwhelming youth and / or likely high expectations not utterly ruined - yet.
Where possible, I took SP's over position players. I also tried to prize defense when comparing two close players (although this was after the more measurable offensive numbers were in place so it's not perfect).
1 Travis Wood
2 Todd Frazier
3 Michael Leake
4 Zachary Cozart
5 Yonder Alonso
6 Juan Francisco
7 Matt Maloney
8 Chris Heisey
9 Devin Mesoraco
10 Bradley Boxberger
11 Enerio Del Rosario
12 Matthew Klinker
13 Christopher Valaika
14 Daniel Tuttle
15 Neftali Soto
16 Matt Fairel
17 Josh Fellhauer
18 Logan Ondrusek
19 Samuel Lecure
20 Ezequiel Infante
21 Jordan Smith
22 Miguel Rojas
23 Tyler Cline
24 Yorman Rodriguez
25 Mariekson Gregorius
26 Mark Serrano
27 Billy Hamilton
28 David Sappelt
29 Juan Silva
30 Mace Thurman
31 Donnie Joseph
32 Wes Bankston
33 Lance Janke
34 Nathan Driessen
36 Daniel Dorn
35 Byron Wiley
37 Brian Pearl
38 Philippe-Alexandre Valiquette
39 Cody Puckett
40 Juan Duran
Wood was the statistical leader and most complete option available. He's surprisingly my #1. I wasn't that convinced, but I'm really trusting this model I came up with for the sake of the exercise.
Frazier was alone at #2.
The next 5 were lumped together and sorted out according to position (SP, SS), then defense (Alonso, Juan). It didn't bother me seeing Alonso at #5 because the world will have to continue to wait for his power to show and defense to improve.
Cozart = great d + efficient batting, and seeing him at # 4 was another delightful twist in perspective for me. I'd have thought him around 7 or 8.
Anyway, thoughts?


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4 bed, 2 full bath, 1 half bath. This Quick Move-in home is already under construction and will be available in September.. LocatedMore info
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text:
Viewers: in countries Watching now:
In this course, photographer and author Ben Long details the features, controls, and options in the Nikon D800 digital SLR. The course begins with an overview of what a digital SLR is and a tour of the camera's basic components. Ben then discusses the camera's basic operation: changing lenses, navigating the menus, shooting in automatic mode, reviewing and managing photos on the camera's LCD screen, and transferring photos to a computer.
Next, the course introduces more advanced exposure options: program mode, exposure compensation, ISO adjustments, and more. After Ben briefly defines each option, he shows how to adjust it using the camera's controls.
Ben also discusses white balance options, advanced metering and autofocus controls, flash, live view, and video shooting. The course ends with a chapter on maintenance, including sensor- and camera-cleaning and care tips.
Using the AF fine-tune command here in the Setup menu, I can refine my camera's understanding of a particular lens's optical characteristics. In other words, I can make it focus better with a very specific lens. Now in the real world, you really only going to notice the difference if you're working with a lens that can open to a very, very wide aperture, so a 2.8 lens or a 1.8, or faster. Anything that's slower than that, there's really no point in fine-tuning. Also, this fine-tuning process is pretty complicated.
You need some special gear to really do it well, and a company called Michael Tapes Design makes an excellent product called the LensAlign that's designed specifically for going through this particular process, so you probably want to invest in some of that hardware. You can find instructions on how to use this feature on page 338 on your manual. Note that it also does warn you that fine- tuning is not recommended in most situations and that it is possible to screw up your focus. Now, I've never actually messed up a lens.
I have, before, found through fine-tuning process that my lens needed some adjustment. I've done that and not really noticed any difference at all in my final results. So whether this is worth dealing with really depends on the type of shooting you do. If you do a lot of shooting at f1.2, and are finding that maybe your focus is a little bit off--more than you can compensate for with sharpening software--than you might want to take a look at this.
There are currently no FAQs about Shooting with the Nikon D800.
Access exercise files from a button right under the course name.
Search within course videos and transcripts, and jump right to the results.
Remove icons showing you already watched videos if you want to start over.
Make the video wide, narrow, full-screen, or pop the player out of the page into its own window.
Click on text in the transcript to jump to that spot in the video. As the video plays, the relevant spot in the transcript will be highlighted.


text:
As of Monday, December 30, 2013
© Copyright 2015 Gwinnett Daily Post
DACULA — Gwinnett Police have arrested Wolf Griffin, 35, in connection with the murder of Peggie Robinson, 62, on Saturday.
Gwinnett Police are still investigating the homicide at 2995 Evergreen Eve Crossing near Dacula, but have enough probable cause to charge Griffin with aggravated assault and felony murder.
According to Cpl. Troy R. Tobler, Robinson the suspect knew the victim, but a motive hasn't been determined.
"At the time of her death, Ms. Robinson was acting as a third party intermediary and had just dropped off Wolf Griffin's child at the incident location on Evergreen Eve Crossing when she was suddenly attacked for unapparent reasons," Tobler said.
Police involvement began at 1:05 p.m. on Saturday, when an unidentified man, now revealed as the child's grandfather, met with authorities at the Gwinnett County Police headquarters off Hi Hope Road in Lawrenceville to report suspicious activity at another address.
The man also requested that a police car go to the home off Evergreen Eve Crossing to check on the residents there, Tobler said. Officers responding to the home found a deceased person.
According to Jeremiah Vantroostenberghe, a former co-worker, he came to the residence to help the suspect work on a car. But once arriving at the residence, things began to unravel. He said he's known Griffin between 6 to 8 years.
"We knew each other from our days working at Walmart," Vantroostenberghe said. "I got here at noon (Saturday) and we moved the car we were going to work on inside since it was raining. After we pushed the car inside, he immediately closed the garage door."
That's when things took a turn as Vantroostenberg said Griffin began to act weird.
"He pulled a tarp out of the car with her body in it," Vantroostenberghe said. "He then asked, 'Who was going to tattle on him?' I got scared — scared for my life.
"I couldn't run because I didn't know if he had a gun and if he would use it on me. I tried to keep things calm and went inside the house. Once the door was open, I bolted and ran as far away as I could."
Authorities arrived at the scene shortly after he left.
Three vehicles were removed from the scene, including that of Vantroostenberghe's, which was parked on the property. A mid-1990s Chevy Impala was one of the vehicles removed and is believed to be the vehicle Vantroostenberghe and Griffin were going to work on.
Griffin is being held at the Gwinnett County Jail without bond.
Location of homicide
More like this story
- Murder suspect reportedly confessed, but mental health argument on horizon ( January 8, 2014 )
- Murder victim was key figure in ongoing custody battle ( January 2, 2014 )
- Dacula man gets life for sudden, brutal killing of woman, 61 ( May 29, 2015 )
- Motorcyclist killed in crash, driver of vehicle charged ( July 27, 2013 )
- Top 10 most popular stories from Dec. 30 to Jan. 5 ( January 5, 2014 )


text:
Today we are proud to announce Instagram 5.0. We're very excited about this version as it's a big one!
The biggest feature is Instagram Direct; the ability to send Instagram photos and videos to just a select bunch of friends.
What we really want to touch on with Instagram Direct is that every photo and video that a person gets is like a gift. It's meaningful. It's the start of a conversation. It sends a universal message: "I thought of you."
Next to that Instagram 5.0 includes:
- iOS 7 camera design,
- a new optimised on-boarding flow — including one-click login with Facebook,
- and many more small tweaks
We're super excited about this one, and hope you love it as much as we do.
More Maykel Loomans
keyboard shortcuts: ← previous shot → next shot L or F like Z toggle zoom


text:
We have an exciting story to tell at Synovus, and we welcome inquiries from the media.
- Lee Underwood, External Communications Manager
Welcome to the Synovus Newsroom, your online resource for the latest news and information from Synovus. If you are working on a deadline or need additional information, please call one of our Public Relations Contacts. Our PR Contacts help reporters get their jobs done by providing timely and useful information. Need a story idea? We will be happy to help. And we can get you in touch with experts within our company who can be valuable resources for you as you prepare your story angle.
Obtain information about our Corporate Leadership Team by accessing their biographies and printable pictures, available in this section or access our archive of News Releases for story ideas or support material.
Contact Us
Lee Underwood
External Communications Manager
P.O. Box 120, Columbus, GA 31902
(706) 644-0528


text:
Layered Spinach Salad
13 Jan 2010
This Layered Spinach Salad with tomatoes, green onions, cheese tortellini, onions and cabbage, and dressed with ranch salad dressings garnished with bacon strips is fast turning out to be an accompaniment that I simply cannot live without ! Include this in your meal just once and you'll feel the same way about it. Do try and let me know what you think about this Layered Spinach Salad.
|Refrigerated cheese tortellini
|9 Ounce (1 Package)
|Shredded red cabbage
|2 Cup (32 tbs)
|Torn fresh spinach
|6 Cup (96 tbs)
|Cherry tomatoes
|2 Cup (32 tbs), halved
|Sliced green onions
|1⁄2 Cup (8 tbs)
|Ranch salad dressing
|8 Ounce (1 Bottle)
Cook tortellini according to package directions.
Drain and rinse with cold water; set aside.
In a large glass bowl, layer cabbage, spinach, tortellini, tomatoes and onions.
Pour dressing over top; sprinkle with bacon if desired.
Cover and refrigerate for at least 1 hour
Recipe Summary
Difficulty Level:Easy
Course:Side Dish
Rate It
0 Comments
Layered Spinach Salad Recipe


text:
Bethel, Alaska, in the Diocese of Fairbanks, is the largest of all 600 Bush villages. Bethel is a "hub" for planes in and out of the region, serving 56 villages. It's a hub because the only way to get in and out of Bethel and the rest of the Bush country is by boat or p
The sheer size of Alaska is hard to wrap your head around, especially when you think of serving the Catholics spread throughout the state. One estimate is that the Diocese of Juneau stretches 700 miles, roughly the size of Florida. The Archdiocese of Anchorage is about
Ever since Fr.
Never give up. That is the attitude of Catholics in rural Virginia. Last week, I met with communities where Catholic Extension has provided support and others in which we are exploring ways to provide new support. These people are worth getting to know.