text:
The Chest-positioner/pad Cardio Pulmonary Resuscitation System (CCPRS) provides improved resuscitation during one-person or two-person CPR. The simple, compact, portable and cost-effective system provides for manual, mechanical or electrical driven external chest compressions via a socket connection to a chest-positioner/pad unit. The chest-positioner/pad unit provides greater control of compression positioning providing adequate and reproducible chest compressions while preventing rib fractures and damage to vital internal organs. A module gives providers feedback to enable a provider to apply an appropriate compressive force in an appropriate direction, recurringly under emergency conditions. The present invention also provides improved blood circulation, oxygenation and gas exchange by expanding the chest past its normal relaxation point during diastole. Providers are able to administer adequate CPR for longer periods of time with reduced or minimal effort while improving survivability of cardiac arrest victims.
1. An apparatus for assisting in the application of CPR to a thorax of a body, comprising:
a means for applying compressions;
a means to protect the thorax to be mounted on the thorax including a means to stabilize the means for applying compressions;
a means for determining a stroke rate connected to the stabilizing means;
a means for determining a compression force connected to the stabilizing means;
a means for determining whether a tilt condition exists in the application of the compression force connected to the stabilizing means; and
wherein the means for applying compressions is attached to the means for determining a compression force.
2. The apparatus according to claim 1 wherein said means to protect the thorax comprises a chest positioner/pad.
3. The apparatus according to claim 1 wherein said stabilizing means is a socket having a base and four sidewalls.
4. The apparatus according to claim 1 further including a means for maintaining said means to protect the thorax at a position upon which it is mounted on the thorax.
5. The apparatus according to claim 1 wherein the means for applying compressions is a rounded grip.
6. The apparatus according to claim 1 wherein the means for determining a compression force includes a pressure sensor which contacts a plate having a plurality of legs wherein the legs contact the stabilizing means.
7. The apparatus according to claim 1 wherein said means for determining whether a tilt condition exists includes a plurality of microswitches which contact a plurality of edges on a plate having a plurality of legs wherein the legs contact the stabilizing means.
8. The apparatus according to claim 1 further including a means to expand the chest beyond a normal diastole relaxation position including a chestplate having an adhesive strip and a grip mounted on the chestplate.
9. The apparatus according to claim 1 further including a means for applying an abdomen compression.
10. An improved method for applying CPR to a thorax of a body by applying a pad to a chest of the body, applying a manual compression force on the chest, and monitoring a compression force which is applied, comprising:
sensing a direction in a which a compression force is applied;
determining whether the sensed direction and the compression force violate a tilt condition; and
communicating the existence of the tilt condition to a person interested in applying CPR.
This application is based in part on U.S. Provisional Application Ser. No. 60/062,299 filed Oct. 17, 1997 now abandoned.
The heart and lungs work together to circulate oxygenated blood. However, the heart may stop due to heart attack, drowning, suffocation and electric shock. Consequently, oxygenated blood may not flow to vital organs, particularly the brain. Brain cells begin to suffer and die within six minutes after the heart stops circulating blood. In the event of heart pumping failure, Cardio Pulmonary Resuscitation (CPR) is often administered to temporarily sustain blood circulation to the brain and other organs during efforts to re-start the heart pumping. This effort is directed toward reducing hypoxic damage to the victim.
Generally, CPR is administered by a series of chest compressions to simulate systole and relaxations to simulate diastole, thereby providing artificial circulatory support. Ventilation of the lungs is usually provided by mouth-to-mouth breathing or by means of an externally activated ventilator. Successful resuscitation is determined primarily by three factors: 1. the time delay in starting treatment, 2. the effectiveness of a provider's technique, and 3. prior or inherent damage to the heart and vital organs. Considering these factors, the present techniques of resuscitation have shortcomings.
Manual CPR as taught in training courses worldwide can be easily started without delay in most cases. When properly administered, basic CPR can provide some limited circulatory support. Unfortunately, there is considerable variability in provider skill, endurance and strength. Furthermore, a person who does not perform CPR very often may not maintain those skills. Even in trained persons there is considerable variation in application of force, timing, and dwell time of the duty cycle. The American Heart Association recommends a 50% dwell time in compression. The position of the hands on the victim's chest may vary or shift during CPR, thereby risking damage to ribs or internal organs and lessening the effectiveness of CPR. With prolonged CPR, provider fatigue may limit effectiveness and indeed, is an indication to terminate rescue efforts.
Various mechanical, electrical, pneumatic, and hydraulic devices have been devised to address these problems and to improve resuscitation efforts. Devices have included chest squeezers, chest thumpers, and sternal depressors in various configurations. Some systems include means for ventilatory support, abdominal counter-pulsation or binding, defibrillation, chest decompression, and electrical monitoring of cardiac electrical activity. A timer device has also been developed which can monitor manually applied CPR forces.
None of the devices reported to date has the capacity to provide all the beneficial functions of CPR; including adequate compressions/decompressions, ventilation, abdominal support, and data logging in a configuration which is compact, portable, mobile, simple, and cost-effective. None of these devices can effectively provide circulatory support in a variety of adverse conditions such as moving ambulances, flying airliners, sports arenas, remote or irregular terrain or woodlands, victims trapped in limited space, or victims in a soft bed.
The chest-positioner/pad cardio pulmonary resuscitation system (CCPRS) provides improved resuscitation during one-person or two-person CPR. The simple, compact, portable and cost-effective system provides for manual, mechanical or electrical driven external chest compressions via a socket connection to a chest-positioner/pad unit. The chest-positioner/pad unit provides greater control of compression positioning providing adequate and reproducible chest compressions while preventing rib fractures and damage to vial internal organs. The present invention also provides improved blood circulation, oxygenation and gas exchange by expanding the chest past its normal relaxation point during diastole. Providers are able to administer adequate CPR for longer periods of time with reduced or minimal effort while improving survivability of cardiac arrest victims.
Certain embodiments of this invention are not limited to any particular individual features disclosed, but include combinations of features distinguished from the prior art in their structures and functions. Features of the invention have been broadly described so that the detailed descriptions that follow may be better understood, and in order that the contributions of this invention to the arts may be better appreciated. There are, of course, additional aspects of the invention described below. These may be included in the subject matter of the claims to this invention. Those skilled in the art who have the benefit of this invention, its teachings, and suggestions will appreciate that the conceptions of this disclosure may be used as a creative basis for designing other structures, methods and systems for carrying out and practicing the present invention. The claims of this invention are to be read to include any legally equivalent devices or methods which do not depart from the spirit and scope of the present invention.
The present invention recognizes, addresses and meets the previously-mentioned preferences or objectives in its various possible embodiments and equivalents thereof. To one of skill in this art who has the benefit of this invention's realizations, teachings, disclosures, and suggestions, other purposes and advantages will be appreciated from the following description and the accompanying drawings. The detail in the description is not intended to thwart this patent's object to claim this invention no matter how others may later disguise it by variations in form or additions of further improvements. These descriptions illustrate certain preferred embodiments and are not to be used to improperly limit the scope of the invention which may have other equally effective or legally equivalent embodiments.
FIG. 1 is a view of a Chest-positioner/pad CPR System (CCPRS) attached to a victim, showing also an endotracheal tube in place for ventilation support, and an adjustable abdominal binding strap.
FIG. 2 is a front view of an electrical CCPRS driven by a strap winding shaft, secured to a victim's chest.
FIG. 3 is a top view of the "chest-positioner/pad" chest positioner/pad.
FIG. 4 is a cross-sectional view of the chest-positioner/pad chest positioner/pad taken along line 4—4 of FIG. 3.
FIG. 5 is a top view of the back strap with the stiffeners removed from the pocket.
FIG. 6 is a top view of an uncoiled recoil spring.
FIG. 7 is an exploded view of a tensioning buckle-hook.
FIG. 8 is a cutaway top view of the compression device shown in FIG. 2.
FIG. 9 is a cutaway side view of the compression device shown in FIG. 2.
FIG. 10 is a cutaway end view of the compression device shown in FIG. 2.
FIG. 11 is a block diagram of the electronic control system.
FIG. 12 is a perspective view of a mechanical compression device with a compression augmentation lever apparatus.
FIG. 13 is a perspective view of another embodiment of a compression device.
FIG. 14 is a top, sectional view of the compression device shown in FIG. 13.
FIG. 15 is an exploded view of another embodiment of the invention.
FIG. 16 is an exploded elevational of view of the embodiment shown in FIG. 15.
FIG. 17 is an elevational view of the grip base.
FIG. 18 is a top view of the grip base.
FIG. 19 is an elevational view of the sensor cover.
FIG. 20 is a top view of the chestpiece socket.
Referring to FIGS. 1 and 2, the present invention is for use with a victim 10 in need of CPR and generally comprises a chest-positioner/pad 20 (referred to below as chest-positioner/pad unit 20), compression device 40, control system 50, an assembly 60 for securing the compression device 40 to victim 10, dorsal strap 70, connector 80 and recoil spring 90 for exerting an upward recoil force to lift the compression device 40 and victim's anterior chest wall 12. A pressure sensor 52 is located in the base of the compression device 40.
Referring to FIGS. 3 and 4, chest-positioner/pad unit 20 generally comprises a rim 21, elastic sheet 22, sternal pad 23, and socket 27. The primary functions of the chest-positioner/pad unit 20 are: (1) to protect the thorax 13 including the ribs 15, costal cartilages 16, sternum 14, and internal organs (not shown), and (2) to provide a stable platform for the compression device 40. Other designs for a chest-positioner/pad unit which achieve these same functional features may be incorporated into the invention.
The rim 21 is shaped like a rectangular ring. The outer boundary of the rim 21 may be 7″�5.75″. The inner boundary of the rim 21 may be 5.5″�4.25″. The rim 21 is preferably semi-rigid on the lateral bands 33 a,b and flexible on the end bands 33 c,d. The rim 21 may be fabricated from various materials including plastic, rubber and aluminum. A rubber gasket 31 may be attached to underside of rim 21. The rubber gasket 31 may be {fraction (1/16)} inch thick and provide additional padding and electrical insulation for the victim 10 as providers of medical assistance may use CCPRS concurrently with electrocardiographic monitoring (ECM) and electrical defibrillation (shocking the heart). Adhesive strips 32 a,b are bonded to the underside of rim 21 along the two lateral bands 33 a,b of rim 21. The chest-positioner/pad unit 20 may be formed from a single piece of plastic, and adhesive strips 32 a,b attach to the underside of lateral rim 21/gasket 31 and adhesive strip 26 attaches to the underside of sternal pad 23. X-ray lucent materials should be used where possible. Markings (not shown) on rim 21 will indicate proper positioning of the chest-positioner/pad unit 20 on the anterior chest wall 12. The sternal pad 23 is positioned on the lower half of the sternum 14. The rim 21 of chest-positioner/pad unit 20 attaches to the anterior chest wall 12 by adhesive strips 32 a,b.
An elastic (rubber or plastic) sheet 22 stretches across top of rim 21. The chest-positioner/pad unit 20 is radiolucent and disposable. Sternal pad 23 attaches to the under side of the center of chest-positioner/pad unit 20.
Sternal pad 23 is composed of Neoprene rubber or biocompatible plastic, and will meet FDA standards. The top portion 24 of sternal pad 23 is flat and affixed to the elastic sheet 22. The base 25 of sternal pad 23 is 0.5″ thick, 2.5″ wide and 3.5″ in length. Base 25 of sternal pad 23 has convex margins 25 a and contains adhesive strip 26 which attaches to the anterior chest wall 12.
The socket 27 attaches to the top of the elastic sheet 22. Socket 27 may be fabricated from plastic, metal or hardwood material. Socket 27 is 0.5″ tall, 2.5″ wide and 3.5″ in length. Socket 27 has walls 28 which define a cavity which may be 0.25″ deep, 2″ wide and 3″ in length. Electrical, mechanical or manual compression devices 40 may snap into the socket 27.
Referring to FIGS. 2 and 5 dorsal/backstrap 70 secures via connector 80 to compression device 40. Compression device 40 is snapped into socket 27 of the chest-positioner/pad unit 20 on the chest 12 of victim 10. The dorsal strap 70 is a fabric or plastic band which may be up to 42″ in length. Fabric is preferred because it is durable, flexible, disposable, and economical. The middle section 71 of dorsal strap 70 may be 10″ in length and 8″ wide. Dorsal strap 70 tapers from a 6″ wide middle section 71 to a 2″ wide end section. The 2″ wide strap section 72 may 10″ in length, attaching to the connector 80. Middle section 71 of strap 70 includes a first 74 and second 75 piece defining a pocket (See FIG. 2).
Two stiff plastic pieces 76 and 77 are hinged together at their ends and inserted into the pocket. First plastic piece 76 is rectangular and may have dimensions of 6″ wide and 10″ in length. Second plastic piece 77 is rectangular and may have dimensions of 5″ wide and 12″ in length. Second plastic piece 77 is thinner and longer than first plastic piece 76. First plastic piece 76 rests on top of second plastic piece 77 and is positioned closest to the victim's body 10. Flap 79 folds over first and second plastic pieces 76 and 77. Plastic pieces 76 and 77 are connected by hinge 78 at the ends and provide a simple support or stiffener whereby the recoil spring 90 may be quickly inserted into the pocket of dorsal strap 70. Dorsal strap 70 connects to the compression device 40 via connector 80.
Referring to FIG. 6, an uncoiled view of the recoil spring 90 is shown (FIGS. 1 and 2 show installed views). The recoil spring 90 is a tapered or semi-triangulated sheet of spring steel or flexible composite plastic. Base portion 92 is 6″�10″. Upper end 94 is approximately 3″ long and up to 2″ wide. Referring to FIG. 2, upper end 94 is bent to form a hook 96. The recoil spring 90 tapers from 6″ wide at the base portion 92 to �-2 inches wide at the upper end 94. Other types of recoil devices may also be used.
As illustrated in FIG. 2, base portion 92 slips into the dorsal strap 70 pocket between the plastic pieces 76, 77. The recoil spring 90 curves around the right side of the thorax 16 upward to upper end 94. Upper end 94 hooks under bail 98 of compression device 40. The tapered design of spring 90 allows greater rigidity at lower end 92, flexibility at upper end 94 and stability for the whole system.
Recoil spring 90 lifts the compression device 40 away from the anterior chest wall 12. Lifting the compression device 40 likewise exerts an upward force on chest-positioner/pad unit 20. Chest-positioner/pad unit 20 is adhered to anterior chest wall 12 of victim 10 by adhesive strips 26, 32 a,b. The result is that an upward force is exerted on the anterior chest wall 12 of the victim 10. The preferred force exerted on the anterior chest wall 12 is from two to ten pounds. If the compression device 40 weighs six lbs., then a recoil spring 90 which creates an up lift of approximately eight to sixteen lbs. may be used.
Recoil spring 90 lifts compression device 40 and anterior chest wall 12 during relaxation (diastole) phase of CPR. This "passive" decompression enhances blood return to the chest and heart and likewise enhances air/oxygen influx. The recoil spring 90 provides a passive means to expand the chest wall 12 beyond normal diastole relaxation position. Recent studies have shown that expanding the chest beyond the normal diastole relaxation position increases blood circulation, oxygenation and gas exchange. Such studies are referred to in Active Compression-Decompression; A New Method of Cardiopulmonary Resuscitation, Todd J. Cohen, et. al., JAMA, Jun. 3, 1992-Vol. 267, No. 21, pp. 2916-2923; Effects of Active Compression-Decompression Resuscitation on Myocardial and Cerebral Blood Flow in Pigs, Karl H. Linder, et. al., Circulation, (88), 1993, No. 3, pp. 1254-1263; A Comparison of Active Compression-Decompression Cardiopulmonary Resuscitation with Standard Cardiopulmonary Resuscitation for Cardiac Arrests Occurring in the Hospital, Todd J. Cohen, et. al., The New England Journal of Medicine, Dec. 23, 1993-Vol. 329, pp. 1918-1921; Abdominal Compressions During CPR: Hemodynamic Effects of Altering Timing and Force, J. M. Christenson, et. al., The Journal of Emergency Medicine, 1992, Vol. 10, pp. 257-266; and Effects of Various Degrees of Compression and Active Decompression on Haemodynamics, End-Tidal CO 2 , and Ventilation During Cardiopulmonary Resuscitation of Pigs, Lars Wik, et. al., Resuscitation, 1996-Vol. 31, pp. 45-47, which are intended to be incorporated herein by reference.
Referring to FIGS. 2 and 7, one embodiment of a connector 80 is shown. This connector 80 is a quick-release tension-indicator buckle/hook 80 a and includes a casing 81, hook 82, friction-grip crossbars 83 a,b, two spring shafts 84 a,b, two springs 85 a,b, and spring plate 86. A slot 87 cut into the casing 81 allows an operator to see the spring plate 86 which becomes a tension indicator. Springs 85 a,b and spring plate 86 are enclosed inside casing 81. Springs 85 a,b are placed around spring shafts 84 a,b. The preferred spring load is from one to two pounds. The ends of springs 85 a,b contact interior wall of casing 81 and spring plate 86.
The spring plate 86 is secured to both shafts 84 a,b. Spring plate 86 moves concurrently with the shafts 84 a,b when tension changes. The other end of shafts 84 a,b pass through holes in the end of casing 81 and attach to hook 82. As tension increases, springs 85 a,b compress against the interior of the casing 81 and the spring plate 86 moves towards the hook end of casing 81. As tension decreases, springs 85 a,b decompress and spring plate 86 moves toward rest position. Spring plate 86 also serves as tension indicator when viewed through slot 87. System tension must be adequate to eliminate slack in dorsal strap 70 and to secure and stabilize compression device 40. Connector 80 may be capable of supporting tensions up to one hundred pounds. Other connectors 80 having similar functional features may be implemented into the system.
Referring to FIG. 11, the block diagram indicates the control system 50 which operates on a twelve Volt source. Control system 50 preferably provides audio and visual (LED) indicators and a display panel to control and monitor chest pressure, motor 56 performance, and ventilation parameters. The control system 50 may also log the time and sequence of events during its use. Either a 110/220 AC source with AC/14V DC converter or a fourteen Volt DC source may be used to power the Electrical Compression Devices 40. The design and construction of a control system 50 to be implemented into the invention is within the level of skill of one ordinary skill in the art.
Referring to FIGS. 1,2,8,9 and 10, one embodiment of a compression device 40 is shown. This compression device 40 is capable of producing "hands-off" electrically driven chest compressions and generally comprises a motor box 120, gear box 130, motor 56, worm gears 141, 142, strap winding shaft 150, vertical drive shaft 143, bearings 122 a-h, hinges 160 a,b, torsion springs 161 a,b, hinge arms 162 a,b, angular sensor 164 and winding strap 42.
Compression device 40 is approximately 4″ in height, 6″ in length and 4″ wide and is divided into motor box 120 and split gear box 130 a,b sections. Motor box 120 contains motor 56, bearings 122 d,h for strap winding shaft 150 and bearing 122 a for motor shaft 58, and pressure sensor 52 in base of motor box 120. A stepper or servo motor may be used as motor 56.
Gear box 130 contains upper 130 a and lower 130 b sections. Upper section 130 a of gear box 130 contains bearings 122 d,e for strap winding shaft 150, strap shaft drive gear 144, a worm gear shaft 143 with worm gear 141 and bearings 122 c,f. Lower section of gear box 130 b contains bearings 122 a,b for motor shaft 58, worm gear 142 and bearings 122 c,g for shaft 143.
When motor 56 is activated and motor shaft 58 rotates, motor worm gear 142 likewise rotates. The worm gear 142 drives the lower gear 59 in lower section of gear box 130 b.
A portion of the vertical drive shaft 143 in upper gear box section 130 a is threaded to form a worm gear 141. As drive shaft 143 rotates, worm gear 141 drives winding shaft gear 144. The winding shaft gear 144 is fixed to the horizontal winding shaft 150. The winding shaft 150 likewise rotates when winding shaft gear 144 rotates.
Strap winding shaft 150 extends through motor box 120. Strap winding shaft 150 freely rotates between bearings 122 d,e,h. A portion of the winding shaft 150 in motor box section 120 is trimmed away to form flat face 152. Strap 42 attaches to flat face 152 via anchor screws 154 which secure to flat face 152 of strap winding shaft 150. When strap 42 is wound, strap 42 passes though slots 112 a,b in adjacent sides of motor box 120. Slots 112 a,b are wider than the thickness of strap 42 and located near the top of motor box 120. Strap glides or rollers 118 a,b are attached to motor box 120 to form the lower edge of slots 112 a,b. Strap glides 118 a,b decrease friction and provide smooth movement of strap 42 through slots 112 a,b of motor box 120. Ends of strap 42 pass through slots 112 a,b and secure themselves to the back side of the hinge arms 162 a,b. Hinge arms 162 a,b are attached to hinges 160 a,b. Hinges 160 a,b are attached to side walls of motor box 120. Hinges 160 a,b provide system stability, redirect and concentrate opposing forces and help define the angles of hinge arms 162 a,b with respect to the motor box 120. Sensor 164 and the hinges 160 a,b can detect angular changes and report these to the control system 50. The angular displacement of hinge arms 162 a,b is set by control system 50 by motor 56 rotational drive. Other devices may be implemented to limit such displacement. Tension springs 161 a,b initially set hinge arms 162 a,b to rest/zero position. Zero position is approximately ten degrees above horizontal. Tension springs 161 a,b hold hinge arms 162 a,b open during rest position. Tension springs 161 a,b also provide stability during operation when hinge arms 162 a,b rotate downward to rest and overshoot positions. Hinge arms 162 a,b also contain hook catch rods 163 a,b. Hooks 82 of quick-release tension buckles 80 a attach to hook catch rods 163 a,b. Dorsal strap 70 which is placed around body of the victim 10 is attached to quick-release tension buckle 80 a. With the above configuration, the compression device 40 may be activated.
Quick-release tension buckles 80 a attach to dorsal strap 70 and hook over hook catch rods 163 a,b to secure the system to victim 10. Dorsal strap 70 passes around victim 10 and slack in dorsal strap 70 is removed via quick-release tension buckles 80 a. The display 87 in quick-release tension buckles 80 a allows the provider to achieve proper tension prior to starting motor 56.
Motor 56 weighs approximately one pound. When motor 56 is activated, motor shaft 58 rotates a predetermined amount as determined by control system 50.
Strap 42 is taken-up into the motor box as it wraps around strap winding shaft 150. The strap 42 may be replaced by chains, wire components or other materials including plastics and various reinforced strap materials. Decreased strap 42 length causes hinge arms 162 a,b to rotate in unison upward towards bail 98 from rest position, but not more than sixty degrees from rest position. The sixty degree limitation is set by the control system 50 and the configuration of the motor box 120 and hinge arms 162 a,b.
Consequently, an upward displacement of hinge arms 162 a,b produces a small compressive force on the body/ribs 15 of victim 10, but a relatively large (fifty to one hundred pounds) downward force on chest wall 12 of victim 10 by sternal pad 23 for the systole phase of CPR since forces are directed by hinge arms 162 a,b and strap glides 118 a,b to motor housing 120.
The motor 56 reverses after hinge arms 162 a,b reach their electronically/mechanically limited peak and/or the sternal pad 23 is driven to compress chest 12 a preferred distance ranging from 1.5″ to 2″ or pressure sensor 52 detects a preset pressure of up to 100 lbs. Hinge arms 162 a,b then rotate downward away from bail 98 and overshoot past rest (zero) position. The overshoot is assisted by recoil spring 90 lifting the compression device 40 and anterior chest wall 12 (spring 90 is capable of lifting fifteen to twenty pounds). The overshoot will not be greater than negative twenty degrees past rest position. This downward overshoot of hinge arms 162 a,b is set by control system 50 and the unwound length of strap 42. Recoil spring 90 attached to compression device 40 via bail 98 helps take up slack in strap 42 and keep it taught. The result is that chest wall 12 is passively expanded beyond normal chest relaxation position during diastole.
An optional dust boot cover (not shown) may be applied around or over hinges 160 a,b and hinge arms 162 a,b. A suitable dust boot cover is flexible (made of rubber or the like) and prevents dust or other particles and foreign bodies from interfering with hinge function.
Referring to the FIG. 12, mechanically driven chest compressions may be administered in one embodiment by inserting compression augmentation device (CAD) 300 into socket 27 of chest-positioner/pad unit 20. CAD 300 may replace or provide backup to compression device 40. CAD 300 generally comprises a box 310, strap 320, pump handle system 330 and plunger 331. Box 310 is approximately three inches wide, four inches in length and four inches in height. Strap 320 is two inches wide, and passes through horizontal slots 312 a,b (with or without rollers) in box 310. Slots 312 a,b are on two parallel faces of box 310 approximately one-half inch from the top of box 310. Hinges 313 a,b and hinge arms 314 a,b attach to respective sides of box 310 similarly to configuration of the motor box/hinges on the compression device 40. Cross bars 315 a,b are attached to hooks 82 of connector 80 on dorsal strap 70 to secure CAD 300 to victim 10. The foot plate 316 of box 310 sits in socket 27.
In operation, CAD 300 is snapped into socket 27. Connector hooks 82 a,b are attached to crossbars 315 a,b and cinched down to a predetermined resting tension as indicated by slot 87. In this resting position, the strap 320 passes straight through slots 312 a,b so that footpad 332 rests on the middle of strap 320. Footpad 332 may be anchored to strap 320 by glue or screw(s) (not shown). The plunger arm 331 is attached via a hinge pin 333 to the middle part of lower lever arm 334. Lower lever arm 334 is attached by hinge 335 to upper lever arm 336. Hand grip 337 is attached to the upper end of upper lever arm 336. Also attached to the upper end of upper lever arm 336 by hinge pin 342 are stabilizer arms 340 a,b. Hinge pin 343 attaches upper stabilizer arms 340 a,b to lower stabilizer arms 341 a,b. Lower stabilizer arms 341 a,b pass downward toward guide rails 350 a,b. Hinge pin 333 is attached, at midpoint of the lower stabilizer arms 341 a,b and at the lower end is pin 344 which slides in slots 351 a,b. The guide rails 350 a,b, are firmly affixed to the upper rim of box 310. The lower end of lever arm 334 is attached to guide rails 350 a,b by hinge pin 345.
At the rest (diastole) position the pump handle system 330 is fully extended upward a distance predetermined by the position of pin 344 in slots 351 a,b. During the power stroke (systole) the handgrip 337 is pushed downward toward the victim's sternum 14 until it is stopped by the pin 344 being moved to the opposite ends of slots 351 a,b. Plunger 331 is forced downward into the box 310 cavity, thereby drawing strap 320 into the box 310 through slots 312 a,b. This motion raises hinge arms 314 a,b thereby lifting connectors 80. This tightens dorsal strap 70 and forces the foot plate 316 downward toward the sternum 14, increasing the downward force of sternal pad 23. The mechanical advantage of handgrip 337 motion to plunger 331 motion is approximately three to one. This serves to amplify the operator's applied force, so that a sternal force of approximately sixty pounds requires only about twenty pounds of force on the handgrip 337.
An alternate manual backup system for CCPRS is realized by snapping a simple palm pad (not shown) into socket 27. Palm pad may be of various materials including wood, plastic, ceramic, etc. Palm pad may be round or dome-shaped to comfortably fit the contour(s) of the hand.
Referring to FIGS. 13 and 14, an alternative compression device 40 a generally includes a motor 56 a, gear system 148 and rocker arms 168 a and b. In operation, motor 56 a drives gear system 148 which drives rocker arms 168 a,b. In many other ways, compression device 40 a is similar to compression device 40.
Chest-positioner/pad unit 20 provides proper positioning over sternum 14 and distributes forces over anterior chest wall 12 to protect ribs 15 and costal cartilage 16 from fracture during CPR.
Referring to FIG. 1, an adjustable abdomen compression/binder device 500 may be applied to victim 10 after CPR has been initiated and after endo-tracheal intubation has been performed. Abdomen compression 500 is an extended Disposa-Cuff 2505 made by CRITIKON. Other abdominal binder or compression devices may also be utilized. The effect of applying abdominal compression device 500 is an increase in abdominal pressure forcing blood from abdomen into chest during diastole. Increased blood return to the chest increases cardiac output and improves CPR. Abdomen compression device 500 comprises a wrap containing a blood pressure cuff (cuff/wrap 502), pressure gauge 510, bulb pump 520 and Velcro type attachments (not shown). Velcro attachments are on ends of cuff/wrap 502. Cuff/wrap 502 is of sufficient length to wrap around victim 10 of various sizes. The length of cuff/wrap 502 may be adjusted to accommodate a waist of up to fifty inches girth. Cuff/wrap 502 is wrapped around victim 10 snugly and secured with Velcro attachments. Bulb pump 520 is repetitively squeezed until a desired pressure is attained. Pressures of approximately 50-100 Torr may be provided.
Referring to FIGS. 1 and 11, an optional respirator system (not shown) such as those known to one of ordinary skill in the art of rescue and resuscitation may be used with the CCPRS. A bag-valve-respirator (not shown) or other available respirator may be employed to provide breathing in concert with chest compressions.
The above disclosed invention enables providers to administer effective CPR with less effort. Besides overcoming weaknesses in the prior art, other novel and unique capabilities are realized with the CCPRS.
First the CCPRS may be used in hospitals, homes or mobile units where space is often limited. Providers are able to administer CPR with the CCPRS in an airplane, ambulance or other mobile unit. Typically space is very limited in mobile units considering space occupied by providers, seats and equipment. Many of the prior devices lack mobility. They further lack adaptability for positioning the patient in limited space. With the small size and adaptability of the CCPRS, victims may be positioned supine, upright or at various angles to accommodate mobility and space limitations. A stable platform or firm back board is not required for the electrical compression device 40.
Second, a significant benefit of positioning the victim at varionus angles is that the head of the victim is not required to be at the same horizontal level as the heart. The head may now be elevated above the heart, thereby enhancing blood return from the head. Since CPR elevates intra cranial pressure, as reported in the publications identified above which are intended to be incorporated herein by reference, elevation of the head may help reduce this undesired effect.
Third, the CCPRS could also be used to transport donor organs. Typically donor organs are removed from the donor body after death and placed in a cooler, then transported. With the CCPRS, the whole body could be transported while the organs continue to be perfused as occurs in vivo. When the body reaches its destination, the CCPRS is disengaged and organ(s) are removed from the body for transplantation. This allows for preservation of organs in a more natural state until just prior to transplant.
Fourth, the CCPRS may provide short-term left ventricular assistance during electro mechanical dissociation. The EKG can be employed to trigger chest compressions. Thus, the CCPRS may be employed to augment contractions of a failing heart.
Fifth, the gentle application of CPR via CCPRS may allow thrombolytic drugs to be given during CPR.
Certain changes can be made to the invention to address issues such as proper chest positioning; applying proper force at the proper time in a proper downward direction; and in maintaining such proper forces at the proper time in the proper direction. Referring to FIGS. 15 and 16 another embodiment of the invention is shown. This embodiment generally includes a grip 600, an electronic display module 640 and a position assurance device 680.
The grip 600 is made to fit the palm of the hand and includes a palm grip or grip cover 602, a gasket 604 and a grip base 606. The grip 600 also includes snaps 608 and 609, battery pack 610 and a hinge 612. The palm grip 602 is a rounded disk for fitting the palm of the hand and may be made of pour molded polyurethane. The grip base 606 may be made of A.B.S. and cut from a lathe. Generally, it may have a top diameter of 3� inches, a bottom diameter of 2 inches and a height of 2⅛ inches. The sidewall 607 may be angled at 27 degrees from the vertical (see FIGS. 17 and 18). The grip base 606 includes a battery compartment 605.
The electronic display module 640 allows one to determine and measure the force applied during a chest compression, to display the force so that one can determine whether they are applying a proper barehand force, feed back on whether the force is being applied at the proper rate and a way to measure and display whether the force is applied in the proper direction, all under emergency conditions. The circuit design for same is within the range of one of ordinary skill in the art.
The display module 640 generally includes a display face 642, an array of sensors 670, a foot piece 682, and a sensor cover 684.
Electronic display module 640:
(a) functions as a metronome to report the pace selected by a user (such as, for example, 60, 80, or 100 communications per minute). The report may be by light 646 and/or sound.
(b) displays stroke or compression force with running light display 650. This gives the user feedback as to whether they are applying an appropriate barehand force.
(c) counts strokes up to, for example, 15 strokes and reports at counter display 654, then gives a report, for example, by a double beep to remind single rescuer to give two breaths; (it may reset to zero if for example there is no stroke for three seconds). One may turn the counter off for two rescuers.
(d) monitors force and angle of applied force, and alarms if force from grip is applied with a "TILT" condition and reports direction of tilting with LED array 658 (four directional display shown).
(e) has data output 662 to allow interface with PC computer or laptop. This is useful when it is desired to be in a teaching mode.
(f) may be set to turn itself off if no strokes are detected, for example, in five minutes.
The array of sensors 670 includes a pressure sensor 672 to determine/measure the pressure to be transduced to a force signal. The pressure sensor 672 is preferably a Motorola MX200 and can be set to start reading or displaying at various levels, such as for example, twenty pounds at running light display 650. The array 670 also includes multiple micro switches 674 (in this case four are shown). The amount and direction of force applied is used to determine the triggering of each micro switch 674. In this case, the four micro switches 674 transduce a signal to the four LED's 658 mounted on the display face 642 to indicate whether and in which direction the tilt limits have been violated. The array of sensors 670 may be buffered by bumpers 678. The bumpers 678 may be made of cylindrical neoprene rubber to provide support and stability to the array 670. The display face may be made of A.B.S. or other suitable materials. The array of sensors 670 may be adhered to the underside of the electronic display module 640.
The foot piece 682 has a foot plate 690 which contacts pressure sensor 672 and four, for example, Neoprene bumpers 678. Each of the four top edges 691 of the foot plate 690 should not contact one of the four micro switches 674 unless excessive downward force is applied to the grip 600 or device such as in a "tilt" condition. This configuration enables each micro switch 674 to determine a "tilt" condition in its corresponding direction. Whether or not a "tilt" condition exists is a variable dependent on the applied force vector which includes the quantum of force and the angle of force. One of ordinary skill can determine the appropriate conditions.
The sensor cover 684 has a base 694 and four sidewalls 696. Four holes (e.g. {fraction (9/16)} diameter) are made through the base 694 proximate each of the corners 697. The legs 692 in the foot piece 682 correspond with and when assembled protrude through the holes in the sensor cover 684 leaving a {fraction (1/32)} inch gap between each hole and each leg 692 allowing a pressure relief while maintaining alignment of the foot piece 682. The legs 692 then rest on the base 685 of the chestpiece socket 686. This allows the foot piece 682 to wobble during CPR operations so that edges 691 move for potential interaction with microswitches 674 for determining whether the force is applied in a correct direction or whether a "tilt" condition exists. The foot piece 682 and sensor cover 684 may be made of A.B.S. or metal or some other suitable material.
The position assurance device 680 generally includes a chestpiece socket 686 and a chestplate 688.
The chestplate 688 may be made of PVC, polyethylene or a similar semi-rigid but flexible plastic and may be 5 inches by 6 inches by ⅛ inch thick. The chestplate 688 may be releasably adhered to the chest of the patient, protects the thorax including the ribs of the patient, does not interfere with defibrillator pads, and is transparent to x-rays.
The chestpiece socket 686 may be made of a rigid plastic such as PVC or A.B.S. and attaches to the chestplate 688. Socket 686 (FIG. 20) has a base 685 and four sidewalls 687 defining inner dimensions of 3{fraction (1/16)}″ by 2{fraction (1/16)}″ by ⅜″ deep to receive sensor cover 684 with a loose fit. Sensor cover 684 fits within socket 686 and legs 692 rest on the base 685 of the socket 686.
In conclusion, therefore, it is seen that the present invention and the embodiments disclosed herein and those covered by the claims are well adapted to carry out the objectives and obtain the ends set forth. Certain additional changes can be made in the subject matter without departing from the spirit and the scope of this invention. It is realized that changes are possible within the scope of this invention and it is further intended that each element or step recited in any claims is to be understood as referring to all equivalent elements or steps. The claims are intended to cover the invention as broadly as legally possible in whatever form it may be utilized.
Patent Citations
Non-Patent Citations
Referenced by
Legal Events
Original Image


text:
USA Hockey confirms Olympic management team
Jun 28, 2013, 2:29 PM EDT
USA Hockey has unveiled their management team for the 2014 Olympics and it matches up with what sources were saying.
Nashville Predators GM David Poile will serve as Team USA's general manager while Pittsburgh Penguins GM Ray Shero will be the associate general manager. Brian Burke, who was the general manager of the 2010 team, will stay on as the director of player personnel.
"We couldn't be more pleased than to have David as our general manager," said president of USA Hockey, Ron DeGregorio. "He continues to have a remarkable management career in the National Hockey League and the vast experience and expertise he brings to the table will serve us well in our goal to bring the gold medal back to the United States."
One thing USA Hockey didn't confirm today was their head coach, which will reportedly be Penguins bench boss Dan Bylsma. They'll announce their choice tomorrow.
Team USA will also have an advisory board of Chicago Blackhawks GM Stan Bowman, Florida Panthers GM Dale Tallon, Los Angeles Kings GM Dean Lombardi, Philadelphia Flyers GM Paul Holmgren, and Pittsburgh Penguins scout Don Waddell.
- billysabre - Jun 28, 2013 at 2:41 PM
That's a great management staff.
- kastout11 - Jun 28, 2013 at 3:27 PM
Outstanding management team, but I just don't think we can put a good enough team on the ice to win the gold (especially looking at who will probably be on the roster for Team Canada).
- freestyle1022 - Jun 28, 2013 at 3:38 PM
Canada doesn't have US goaltending. They'd be glad to take the USA's fourth best goaltender of Quick, Schneider, Miller (guaranteed to have a better year next season), or Howard. Maybe Crawford steps up, Luongo comes alive next season, Price? But they are out matched here and brings the gap considerably closer in a tournament-type structure.
- aldog83 - Jun 28, 2013 at 5:00 PM
Agree with Freestlye.
How well did the offensive powerhouse Penguins
Do against great goal tending…..
USA should have a chance with depth in NET.
- pmonte3122 - Jun 28, 2013 at 6:56 PM
Miller starts, quick backup
- rushledger - Jun 29, 2013 at 5:40 AM
Bylsma can coach a team well without a ton of offense. Most of 2011 he had no Crosby or malkin and they were still a tough team to beat and helped win the jack Adams award for Bylsma. Plus USA wont be helpless for scoring, you've got Kessler Kane and Bobby Ryan, not too shabby.
- pavelfitzgerald - Jun 29, 2013 at 10:13 AM
Howard is better then Canada's top tender? Keep smoking bud !!
USA performed well at the last Olympics (even with Miller in net) so I'm sure they will put up a formidible club. They have an infusion of young talent from the last few years.
What I don't understand is how Don Waddell even has a job in the NHL, nevermind being associated to USA hockey. The Jets are still dealing with the piss poor drafting/trading he did with the Thrashers (Brayden Coburn for an aging/over the hill Alexi Zhitnik). I hope for the USA's sake that the extent of his responsibilities are limited to choosing the lunch spread. The only person whose more ill-suited for the job is Mike Milbury
- joeyg88 - Jun 29, 2013 at 12:22 PM
I'd take Howard over price any day. I'd take Howard over a lot of people
- snak10 - Jun 30, 2013 at 6:13 AM
USA does have outstanding goaltending with Quick, Schneider, Miller. But Canada also has some pretty good goalies too. Price, Lou, Ward, Smith and even Crawford proved he can hold the fort. Heres the difference….Crosby, Stamkos, Tavares, Girioux, Toews, Weber, Letang, Doughty…shall I keep going???
Top Posts
- Report: Plotnikov paid $500K to get out of KHL contract 12
- Philadelphia signs '15 first rounder Provorov 10
- Brandon Saad brings championship experience to Blue Jackets 22
- Sharks sign Joel Ward to three-year deal 24
- Sabres lock up O'Reilly through 2022-23 73
- Locked in: Columbus signs Saad to six-year, $36M deal 27
- Oilers sign McDavid to entry-level contract 29
- 'Hawks would like to re-sign Oduya, but still working through 'financial hurdles' 17
- Trade: Caps acquire Oshie from Blues for Brouwer, Copley and draft pick 73
- Voynov takes plea, gets 90 days in jail plus probation 66
Most Commented
- Blockbuster: Kessel traded to the Penguins (131)
- Trade: Flyers send Rinaldo to Bruins for 2017 third-rounder (105)
- Trade: Jackets land Saad; Anisimov and Dano headed to Chicago (93)
- Bypassing a buyout? Kings terminate Richards' contract for 'material breach' (90)
- Trade: Caps acquire Oshie from Blues for Brouwer, Copley and draft pick (73)
- Z. Kassian (2536)
- M. Richards (2436)
- S. Voynov (2411)
- B. Saad (2375)
- P. Kessel (2314)
- B. Richards (2133)
- R. O'Reilly (2052)
- M. Green (2038)
- M. St. Louis (1945)
- A. Sekera (1778)

subset: commoncrawl


text:
Warrior HeirPaperback Heir Chronicles
List price $12.45
You save $2.29 18% off
Free delivery worldwide
Dispatched in 2 business days
When will my order arrive?
- Publisher: Hyperion
- Format: Paperback | 426 pages
- Dimensions: 140mm x 208mm x 25mm | 522g
- Publication date: 11 March 2008
- Publication City/Country: New York
- Edition statement: Reprint
- Sales rank: 82,624
Product description
Before he knew about the Roses, 16-year-old Jack lived an unremarkable life in the small Ohio town of Trinity. Only the medicine he has to take daily and the thick scar above his heart set him apart from the other high-schoolers. Then one day Jack skips his medicine. Suddenly, he is stronger, fiercer, and more confident than ever before. And it feels great-until he loses control of his own strength and nearly kills another player during soccer team tryouts. Soon, Jack learns the startling truth about himself: He is Weirlind; part of an underground society of magical people who live among us. At the head of this magical society sit the feuding houses of the Red Rose and the White Rose, whose power is determined by playing The Game-a magical tournament in which each house sponsors a warrior to fight to the death. The winning house rules the Weir. As if his bizarre magical heritage isn't enough, Jack finds out that he's not just another member of Weirlind-he's one of the last of the warriors-at a time when both houses are scouting for a player.
Add item to wishlist
Other people who viewed this bought:
The Wizard Heir
The Dragon Heir
USD$10.73 - Save $0.16 (1%) - RRP $10.89
Hex Hall
Miss Peregrine's Home for Peculi...
USD$10.09 - Save $3.91 27% off - RRP $14.00
The Dragon Heir
USD$11.78 - Save $3.78 24% off - RRP $15.56
The Seven Realms: The Complete S...
Other books in this category
Room on the Broom
USD$6.23 - Save $0.76 10% off - RRP $6.99
Possum Magic
USD$6.99 - Save $2.36 25% off - RRP $9.35
The Hunger Games
USD$10.05 - Save $0.94 (8%) - RRP $10.99
USD$9.11 - Save $3.34 26% off - RRP $12.45
The Gruffalo's Child
USD$6.98 - Save $0.01 - RRP $6.99
The Maze Runner Series
USD$27.23 - Save $10.11 27% off - RRP $37.34
- Categories:
Author information
Cinda Williams Chima made her debut as a young adult author with The Warrior Heir. Cinda is a graduate of the University of Akron, where she now teaches. A freelance writer, she has published more than 100 reviews, feature articles, and essays in local and national media. Her nutrition column appears regularly in the Taste section of the "Plain Dealer." Chima lives in Ohio with her husband and two sons.
Customer reviews
By TeensReadToo 02 Oct 2010
Jack enjoys his normal life in Trinity, Ohio. He spends time with his best friends, goes to school, and is extremely excited about soccer tryouts. Jack is very healthy, despite the thick scar that resides above his heart and the medicine he has to take every day. Life is ordinary - until he forgets to take his medicine.
Soccer tryouts are a breeze. Jack has never felt so alive, and when his nemesis, Lobeck, gets in his way, Jack slams him into the goal - without touching him. Jack doesn't realize he is Weirlind, part of an underground society of magical people, and when he sent Lobeck flying into the soccer net, the magic he released acted as a signal to others around him.
Jack, destined to be a wizard but born without his stone, was saved by a leader of the White Rose. The moment Jack's life was saved, his destiny changed. Now, with a warrior stone behind his heart, he is meant to fight for the White Rose in a magical tournament - if he survives until his magic fully manifests.
Jack is one of the last warriors and both the Red and the White houses want him to fight for them. Whichever house wins the fight-to-the-death tournament has the power to control the magical community.
In a world full of wizards, warriors, seers, sorcerers, and enchanters, Jack doesn't know who to trust. Nothing around him is as it seemed.
THE WARRIOR HEIR is the first in a trilogy by Cinda Williams Chima. The story contains many lovable characters, including Jack's two Anaweir (non-magical) best friends. Even though Fitch and Will don't have magical powers, they find a way to be instrumental in Jack's struggle for survival.
THE WARRIOR HEIR is a delightful fantasy. You'll definitely want to read the next two in the series, THE WIZARD HEIR and THE DRAGON HEIR.


text:
I have some MP3 files that were either not encoded with LAME or were encoded without gapless options enabled. Is it technically possible for LAME to make these files gapless without lossily reencoding them? If so, is there currently a way for the user to do it?
Mike Brown
There are two kinds of gapless MP3s. The kind produced by LAME's old gapless options is just a single stream chopped into sections on frame boundaries, and you (or the player) are supposed to concatenate them before or during playback. This technique was largely abandoned before it gained much traction. The other, currently popular kind is what LAME produces by default (no special options needed), where each file is a separately encoded stream, with metadata in it telling the player how many delay & padding samples to skip on each end to get the part of the stream that corresponds to the original sample set. This may not be perfectly seamless but is the definition of gapless that people generally want.
If the encoder was LAME, the encoder delay is known, and for CD-sourced material (multiples of 588 samples), the padding can be guessed at, or even confirmed if you have access to the exact track length from the original CD. Otherwise, there's no way to know for sure. If the encoder is unknown, then not even the delay is certain. So I don't think there's really a way to do what you want automatically. Further reading: http://wiki.hydrogenaudio.org/index.php?title=Gapless_playback


text:
Manhattan Portage has designed bags that meet the needs of people from all walks of life since 1983. The Windbreaker Tote is a colorful, lightweight weekender with tons of room on the inside and durable, reinforced Cordura bottom and handles. This windproof and water-resistant bag can easily handle a weekend's worth of clothes, along with books, magazines, and all your personal tech.
Features a large main compartment with an interior open pocket, plus an open exterior compartment.
This product has no reviews yet. Be the first to review this product. Write a review
Enjoy 10% off your first order*


text:
Learn more about BlackBerry Visor Mount Speakerphone - Wireless - Bluetooth:
The BlackBerry Visor Mount Speakerphone VM-605 is a hands free Bluetooth speakerphone from RIM. Enjoy your calls and your favorite music from your BlackBerry smartphone with the convenience and sound quality of your car's FM stereo system. It's easy to use. Just clip it to your car's visor, turn it on, and you're ready to start making and taking hands free calls on the go. And because it supports voice activated dialing, caller ID, and verbal notifications to let you know who's calling, you can stay in touch while keeping your hands on the wheel and eyes on the road.
Customer Reviews of BlackBerry Visor Mount Speakerphone - Wireless - Bluetooth
Bottom line: AWESOME1/23/2010
This is one of the best purchases I've ever made. I've had mine for over two months and I haven't even had to charge the battery yet. Simply unbelievable. The FM transmitting function is very weak but I expected it as every FM transmitter I've seen out there is far from good. I wasn't planning to use it in this case and I just bought is as a handsfree speakerphone and it rocks. No need to transmit to our stereo system honestly. However, if you want that functionality, you will be disappointed. Outside of that, I would call it almost perfect. The only con is that it always announces the whole number of who's calling. A feature that I personally find annoying and wish could be disabled at users choice.


text:
Canacol Energy Ltd. and Shona Energy Company, Inc. Announce Business Combination Leading Independent Proxy Advisors ISS and Glass Lewis Endorse the Canacol Energy and Shona Energy Plan of Arrangement CALGARY, ALBERTA -- (Marketwire) -- 12/06/12 -- Canacol Energy Ltd. ("Canacol") (TSX:CNE)(COLOMBIA:CNEC) and Shona Energy Company, Inc. ("Shona") (TSX VENTURE:SHO)(OTCQX:SHOAF) are pleased to jointly announce that Institutional Investor Services (ISS) and Glass Lewis & CO. (GL), leading proxy advisory firms, have recommended that shareholders of Canacol and Shona vote in favour of the plan of arrangement under which Canacol will acquire all of Shona's outstanding shares. The ISS report concludes that "in view of the expected strategic benefits and absence of any significant governance concerns, a favourable vote by shareholders for the merger is warranted". The transaction will enable the combined company to take a leading role in Colombia's expanding energy market at a low entry price, resulting in an expanded reserves base and more diversified asset portfolio. Shona will add three conventional heavy oil exploration contracts to Canacol's extensive exploration position in the Caguan - Putumayo basin. Both firms also endorse Canacol's proposal for a 1-for10 stoc k consolidation as part of the transaction. "Stock consolidations, while not immediately adding to shareholder value, should enhance the long-term growth prospects of the company by broadening its financing alternatives", ISS notes. "Continued low trading prices of the company's shares can put them below investment grade for many institutions, limiting the potential capital base for the company and its prospects for raising new capital as needed." Reaffirming the ISS report GL concludes: "We agree with the board that it is in the best interest of the Company to reduce the number of shares outstanding and thereby attempt to proportionally raise the per share price of the Company's ordinary shares. Further, the share consolidation will have no substantive economic effect on shareholders, whose ownership percentage in the Company will remain unchanged. Having reviewed the proposal, we see no cause for shareholder concern. Accordingly, we recommend that shareholders vote FOR this proposal." Welcoming the recommendations, Charle Gamba, Canacol's CEO and president, said: "The findings confirm our confidence that the transaction will strengthen our base with stable, low-cost production and associated cash flows under long-term sales contracts. These benefits will give the combined company easier access to capital and open up new consolidation opportunities, especially in Colombia." James Payne, Shona's CEO and chairman, added: "We encourage our shareholders to vote in favour of the combination with Canacol. We see this as a great opportunity to take part in the continuing consolidation of oil and gas exploration and production in South America." Attention Canacol and Shona shareholders: Be sure to vote your proxy before the respective deadlines: Canacol: Voting Deadline: Wednesday, December 12, 2012 at 9:00 AM (Calgary time) For more information and assistance in voting your proxy, please contact Kingsdale Shareholder Services Inc. at 1-866-228-3049 or by email at firstname.lastname@example.com. Shona: Voting Deadline: Wednesday, December 12, 2012 at 9:00 AM (Houston time) For more information and assistance in voting your proxy, please contact Kingsdale Shareholder Services Inc. at 1-866-229-8651 or by email at email@example.com. About Canacol Energy: Canacol is an exploration and production company with operations focused in Colombia and Ecuador. Canacol shares trade on the TSX and the Colombia Stock Exchange under ticker symbol CNE and CNE.C, respectively. About Shona Energy: Shona is an international oil and natural gas exploration, development and production company focusing on South America, specifically Colombia and Peru. Shona's assets include interests in the Shona-operated Esperanza block located in Colombia's Lower Magdalena Basin, the non-operated Serrania, Los Picachos and Macaya Blocks in Colombia's Caguan Putumayo Basin, and the non-operated Block 102 in Peru's Maranon Basin. Permission to quote from the ISS and GL reports was neither sought nor obtained. Neither the TSX nor the TSX Venture Exchange nor its Regulation Services Provider (as that term is defined in the policies of the TSX Venture Exchange) accepts responsibility for the adequacy or accuracy of this press release. Contacts: Kingsdale Communications Inc. Bernard Simon Vice-President 416-867-2304 firstname.lastname@example.com Canacol Energy Ltd. 214-235-4798 firstname.lastname@example.com Shona Energy Company, Inc. Shetal Mentlewski VP Admin & Legal 713-622-8809 email@example.com
Canacol Energy Ltd. and Shona Energy Company, Inc. Announce
Press spacebar to pause and continue. Press esc to stop.


text:
Home Theatre Tickets Conferences and Speaking Tours World Youth Day
World Youth Day Tickets
Find the World Youth Day tickets you're looking for on viagogo, the world's largest ticket marketplace. Select an event to view the range of tickets available or view the calendar to see all the dates available with tickets. You can also sell your spare World Youth Day tickets on viagogo, and listing tickets is free. All World Youth Day tickets are covered by the viagogo Ticket guarantee!
Sign Up for World Youth Day Ticket Alerts
Sign up here for information on upcoming onsale dates, times and venue information. Be the first to know when World Youth Day tickets go on sale!
The email address you entered is invalid
Can't find the event you're looking for? Tell us about it!


text:
By: Vohuman
This is the demonstration clip from the PS2 game Disgaea: Hour of Darkness. This is the sequence that plays if you do nothing for about a minute at the menu.
Views: 546 | Posted: 05/25/2011
By: Benj1989
Many of the pics in my collection, and most of my vg-related ones.
Views: 633 | Posted: 05/25/2011
By: sonie
Views: 1,531 | Posted: 05/25/2011
By: sonie
it the frist disgaea user movie ever bwh hah ha ha ha
Views: 3,769 | Posted: 05/25/2011
By: pecorre
The original US trailer for the first Disgaea game.
Views: 703 | Posted: 12/17/2010
By: tigersnake86
New Disgaea 3 Trailer [url=http://tigersnake86.gametrailers.com/gamepad/index.php][img]http://users.gametrailers.com/showimage.php?id=93705[/img][/url]
Views: 2,786 | Posted: 10/26/2009
By: lvl54spacemonkey
Soul Nomad trailer from ign.com. This is the latest strategy RPG from Disgaea devs Nippon Ichi. Enjoi!
Views: 1,721 | Posted: 09/21/2009
By: Vohuman
The automated portion of the first combat tutorial in Disgaea: Hour of Darkness for the Sony PS2.
Views: 661 | Posted: 04/10/2009
By: PNT510
This is the 5 minute preview episode of the disgaea anime.
Views: 7,695 | Posted: 01/20/2009
By: panzerdrako
my fist laugh in this game...in the ps2 version...
Views: 1,010 | Posted: 12/08/2008
Week of
Jul. 05
Week of
Jul. 12
Release Date: 07/08/2015
Team17 brings a classic Worms battle back to PC with Steam integration.
Android, PC, Windows Phone 8, iOS
Release Date: 07/12/2015
Combine the skills of multiple characters to solve puzzles and the mystery.
Release Date: 07/14/2015
Kratos' epic on PS3 is coming to PlayStation 4 in full HD and with new features.


text:
WASHINGTON: The top question on defense lawmakers' minds right now is: "Can we trust you with the people's money?" And no large military organization has a worse record in that respect than the US Army, with its unhappy track record of canceled programs and wasted billions dating to before 9/11. It's such a sensitive and high-stakes question that, when I started to ask Army… Keep reading →
AUSA: The Honorable Shyu, as everyone in the military calls the head of Army acquisition, is often bright, humorous and insightful. Today, she got passionate in public, clearly frustrated at the painful limits that the automatic budget cuts known as sequestration have forced her to adopt. American military power has traditionally rested on technological overmatch. We… Keep reading →
Tank Goodness: Armor Programs Will Recover Despite GCV Kill, SequesterBy Sydney J. Freedberg Jr.
Sometimes dark clouds really do have silver linings. The winding down of two wars and the automatic spending cuts called sequestration have been brutal for the Army budget. The service recently had to cancel its top-priority weapons program, the tank-like Ground Combat Vehicle. But even if sequestration continues, said one leading analyst, ground vehicle spending… Keep reading →
Shyu Sings The Army Electric: 2015 Budget Sacrifices Weapons For ElectronicsBy Sydney J. Freedberg Jr.
UPDATED 2:00 pm Tuesday with detailed 2015 budget figures WASHINGTON: The 2015 budget effectively kills the Army's top priority weapons program, the 60-plus-ton Ground Combat Vehicle — as we've been predicting since November — but GCV did not die in vain, the Army's acquisition chief insists. "We sacrificed the GCV" to save programs upgrading electronics… Keep reading →
Massive government documents typically hide some gold nuggets of information. In today's report from the Pentagon's independent Director of Operational Test & Evaluation, a famously tough grader known as DOT&E, there's one detail that is going to make defense contractor BAE Systems very happy: "Results from the third underbody blast test also demonstrate that the… Keep reading →
- Air, Intel & Cyber, Land, Sea
Bird Dogs & Drones, Terminators & Swarms: The Race Towards Robotic WarfareBy Sydney J. Freedberg Jr.
More robots, fewer people. That's where the US military is headed in the future. But what kind of robots? Army Gen. Robert Cone, four-star commander of the powerful Training and Doctrine Command (aka TRADOC), said that the service is studying how robots could help replace 25 percent of the soldiers in each of its 4,000-strong combat brigades. That's because the… Keep reading →
As storm clouds loom over the Army's controversial Ground Combat Vehicle, both contractors competing for GCV say they're focused on completing the program of record still on the books. But if the Army slows the program down — a near-certainty at this point — both BAE Systems and General Dynamics told me they are ready to adapt. In… Keep reading →
WASHINGTON: "It's not his call," the Army general said. The general was the Army's director of strategy, plans, and policy, Maj. Gen. Jeffrey Snow. "He" is the Vice-Chairman of the Joint Chiefs of Staff, Adm. James Winnefeld, Snow's superior by two stars and about three layers of bureaucracy. And "it"? "It" is all about how… Keep reading →
PENTAGON: Do we still need a big Army that can wage big wars? Hell yes, the Army generals say. Will the Army get a new Ground Combat Vehicle to replace the 1981-vintage Bradley Fighting Vehicle that currently carries foot troops into battle? Probably not for a long, long time. That's my assessment based on an exclusive… Keep reading →
Pay Raise, Sequester Cut Will Eat Army Budget, GCV At Risk: Gen. OdiernoBy Sydney J. Freedberg Jr.
By voting to raise troops' pay at almost twice the rate the Pentagon has requested, the House of Representatives risks suffocating other defense priorities, from combat training to much-needed weapons programs like the Army's flagship Ground Combat Vehicle, Chief of the Staff of the Army Gen. Ray Odierno said today. "We made a recommendation this… Keep reading →


text:
Learn more about Dane-Elec 4GB zMate Pen High-Speed USB 2.0 Drive:
|Awarded for its very ergonomic shape and neat design, the range of Nacre USB Zmate keys extends to the 4 GB capacity with a fashionable red colour. Like the other ones of the same range, it is USB 2.0 certified and compatible with USB 1.1. It is warranted for 5 years.
Customer Reviews of Dane-Elec 4GB zMate Pen High-Speed USB 2.0 Drive
Flash Drive - Awesome7/15/2009
This little flash drive is really nice to have on a key chain. No fumbling in my purse for it. Its small and rounded corners make it easy to keep in your pocket.
Excellent Product5/18/2009
This one is a cute, little, excellent product, using it now for more than 10 months. Fast read-write, would surely recommend it.
Great Price, Fast Delivery.4/12/2009
I purchased these for drop-off gifts to prospective clients. I baught 5, the maximum allowed. I have used the Dane flash-drives before and they are a solid quality item. Buy.com delivers fast.
Will reorder this product4/7/2009
I am pleased with the product, and the price. Deliverery was fast. When the time comes I will reorder. Would recomend this flash drive to all.
Good buy!4/5/2009
The price was very good and shipping was quick. It will come in handy for my college classes. I would definitely recommend this product especially for the price. Couldn't find anything even close to this price for 4 Gigs.
Very nice, works as good as any other expensive flash drive for a much chaper price; prompt delivery. A little wider than common flash drives, but still good.
Perfect, exactly what I wanted4/5/2009
This flash drive was exactly what I needed to transfer files and music to my new iMac. It worked just as advertised.
Cool flash drive4/1/2009
This is a very good and inexpensive flash drive. The only con is that it does not have a string to tie unto it. I have bought a flash drive like this one from another website and it had a string to tie around one's neck.
Buy.com was fast as usual.This Dane 4 GB is a decent product. The body is a bit oversized and you will find it difficult to use it when another usb port is close and the other prot is being used. Usually in laptops. I usually have to unlpug or move whatever is next to it if that is the case. Other than that, it has alot of storage. I sent my rebate information in and I have never heard back from the company. After reading around a bit I see I am not the only one.
easy storage3/15/2009
I was pleased with the flash drives - they will make great gifts.
compact and cute3/15/2009
I bought this because it looks very compact and cute. Besides, shipping is free. I wish there are even smaller units.
Great Product...3/14/2009
Fantastic Product..Fit VERY comfortably in my pocket on my key chain. I have 1400 songs on it and it works well with my Sync system in my Ford product. BUY.com service was all that was promised. Delivery timely and good e-mail confirmation and shipping notices. Ordered this along with a 3.5 inch floppy drive. got both for less than $40.00 Shipped separate both work well.. Very happy..
great price3/14/2009
great price and works great. Very happy with it,
storage disk3/10/2009
buy.com was extremely nice to work w/. I had a problem that was taken care of ASAP and my stuff was shipped quickly after ordering. One of my tops was stuck on really tight but once off it work well. thanks!
love the extra space3/7/2009
I used this to hold different multimedia while teaching a social studies unit. The 4GB was great to hold the different videos and pictures I wanted to use. I bought this on sale for a great price. The item arrived to my house quickly and I've had no problems with it.
Will Never Use Buy .com again3/3/2009
i would love to tell you that i am really happy with the product i bought but i can't because it's been over a month and i still haven't got it.i have ordered stuff from china and i receive it within 5 days. this is the first time i have used buy dot com and will be my last.0 Helpful | 1 Not Helpful
Handy item to have...3/2/2009
Item came Fed/USPS...No problem on the wait time...Handy to have and a great price...Have told my friends about the cost, speed and over-all value...If you can order one do so now...This one is only 4g and the 8g is a great value as well, but I wanted the red one so it was easier to see...As soon as they make the 8g into any color other than black I will order one as well...
So darn cute...3/2/2009
I ordered one for my wife for Valentine's Day (it is red, and it looks a little different then the other flash drives on my desk). No excitement, no problems, plenty of storage. She'll use it to carry around photos and print them at CVS.
plug it in and use it3/1/2009
fast delivery. works great - love the red color! makes it easy to find with all the black things I have.
Great Flash Drive. Great Price.3/1/2009
I never thought I'd see a 4gb flash drive for under $10. Buy.com always has the best deals.
Cute, Apt and well performed3/1/2009
Its handy, quick set up and performs GREAT for its price. This is my third piece from Dane Elec.
Good for the money3/1/2009
I bought a couple of these things when they were on sale for around 8 bucks, and for the money they're fine. They do seem a bit slower than other drives I have, and one of them had the top stick on it so bad I had to finally crack it to get it off, and I didn't "jam" it on or anything close to make it stick so bad. But for the money, it was worth it.
Excellent customer service and delivery TIME2/28/2009
I purchased my product and was very satisfied it was delivered in a timely manner and I'm useing it as we speak
The color is better then the picture, I know that's a stupid reason to buy a flash-drive but ,of course it was low priced also. Anyhow, as quick as any I've owned and worked perfectly. Very pleased. Nice shape for fitting in a pocket, no sharp edges.
As Advertised2/7/2009
This product worked exactly as it should, easily "discovered" by my Win XP system. It's a slightly different shape, more fat than long, but fits fine in any USB slot I've tried. I like the red color as it is a little easier to see and not leave behind.
Good deal, excellent price.2/6/2009
So far the product meets my expectations. Very pleased.
Love it2/4/2009
I am very satisfy with this Dane-Elec 4GB zMate Pen High-Speed USB 2.0 Drive. This is the best USB flash-Drive I've ever had. It is working flawlessly and transferring data files really fast. Highly recommend it.
Good deal2/3/2009
The flash drive does everything that it's suppose to do, quickly and efficiently. No one would ever regret buying it.
SATISFIED customer!2/3/2009
Item was as advertised, arrived promptly, and operated perfectly! AND "The PRICE was RIGHT!"
love it2/3/2009
received promptly, item just as advertized, great deal. another great experience with buy.com
Fair price, fast service! Great deal!! Thank you B1/19/2009
I purchased this for my brother who is in college, He just loved it!
Nicer looking in person1/5/2009
I bought this for my wife. She didn't want "just another thumbdrive" and wanted a color. The picture does not do the color justice on this one. It has a sheen to it that really makes the rose red jump out. She is feeling very stylish... Oh...and it does a good job as a thumbdrive as well...
Slick little unit12/13/2008
This jump drive is very good for the price. It's easy to use and is fast enough for what I need it for which is passing data between two non-networked computers.
Great deal12/12/2008
Small, easy to carry flash drive with plenty of storage for the cost. Thanks as always buy.com
Great Product12/10/2008
They must be improving these flash drives because this one is extremely fast. Only one concern. It is "fatter" than most flash drives and makes for a tight fit if you have another in the next slot. Performance is outstanding.
Great Flash Drive12/9/2008
Works great. No problems. I love that it is a bright red color, making it pretty hard to forget it! I was able to get a lot of documents from 1 computer to another. Nice upgrade for myself. I say - get this drive over another simply for the color!
Son loves it12/9/2008
Purchased this for my son who is a freshman in college. Can't beat the product for the price!
Flash drive,...what can I say,....it works.12/9/2008
I needed a larger flash drive to replace a 2G that had a broken cap. Saw the BUY.com ad for this Dane Elec 4G with free shipping and purchased it thinking it was a low risk investment of 10 bucks. The drive does what it's supposed to do,...holds data. I have USB 2.0 at work and it's pretty fast. I have a USB 1.0 at home and it works there too,...just slower. The cap doesn't give the impression that it will last long, but to date, it still stays on. Drive is a little thicker than most and has trouble fitting into a USB slot that is side by side with another populated slot. Fits fine if the USB slots are over and under. So far I am pleased with the purchase.
New, but seems to be ok12/8/2008
Just begun using, but no problems~
Great Buy12/7/2008
Great product with a great price and great service as well.
Super Flash!12/7/2008
Fantastic amount of storage for such a tiny device.
Excellent product12/7/2008
looks stylish.. good finish.. works as good as any USB drive... 5 stars....
Good Performer12/7/2008
Easy to set up and use - No problems - This is my second unit - Bought this one because of the performance of the first one -
Don't leave home without it12/6/2008
Dig the nice small size, a true thumb drive. Just plug and play on Vista, XP, and 2000. This is my third one from Dane. All have worked great, the only nag is the fragile attachment ring
great buy and ease of use12/6/2008
this is a great buy for size and money very efficient
This is great for me.12/6/2008
This product works great for me. I have a lot of autocad drawings to transfer. They are to large for e-mail.
Good Product12/6/2008
Wonderful product. Great price offer with free shipping!! what more can you ask?
great value flash drive12/6/2008
Good value but slow12/6/2008
This is a nice flash drive if you are only moving around small files. Compared to other flash drives I have, this one take about twice as long for reads and writes. A folder of songs ripped to MP3s took about 30 seconds to copy onto this flash drive. The other problem is that it is too wide. It may not fit into some USB port if the port next to it is already occupied. However, you can't beat the price and free shipping!
Totally satisfied12/4/2008
I bought three of these for my employees so that they can back up files on their computers. I'm totally satisfied. Great product and great price.


text:
CH-46 Reception & Fly-in / Retirement Ceremony & Panel Discussion
- Other
- 14390 Air and Space Museum Pkwy, Chantilly, VA, 20151
Congressional Staff Briefing--No Entry: A National Survey of Criminal Justice Diversion Programs and Initiatives
Center for Health and Justice at TASC
Monday, January 13, 2014 from 2:00 PM to 3:00 PM (EST)
In response to economic realities and overburdened justice systems, counties and jurisdictions across the country are implementing justice diversion programs that redirect certain eligible defendants into alternative sanctions, especially when individuals need treatment for substance use or mental health problems.
The Center for Health and Justice at TASC, a national public policy group focused on criminal justice and health issues, has undertaken a national survey of these diversion programs and initiatives, focusing on their strategies and lessons learned for reducing recidivism, improving health interventions, and achieving public cost savings.
The briefing will give an overview of the scope and variety of justice diversion programs across the country, offering implications and recommendations for public policy and criminal justice practice.
The Center for Health and Justice (CHJ) offers practical, results-driven strategies to reduce recidivism by addressing addiction and mental illness among criminal justice populations.
In partnership with researchers and program experts from across the country, we provide consultation, training, and public policy solutions that improve community health, reduce rearrest, and save money. We have a solid track record of developing data-driven strategies and results for local, state, federal, and international bodies.
We are committed to fair, practical, and evidence-based strategies that balance treatment with accountability, public health with public safety, and investments with results.
Established in 2006, and grounded in four decades of direct criminal justice experience at TASC, the Center for Health and Justice is a leader in state and national criminal justice and behavioral health policy.
Join millions of people on Eventbrite.
In order to purchase these tickets in installments, you'll need an Eventbrite account. Log in or sign up for a free account to continue.


text:
Need to know: CV cliches Why you can`t find a jobHF interviews
Billabong International founder and major shareholder Gordon Merchant and fellow non-executive director Colette Paull have mandated boutique Greenhill Caliburn as independent financial advisers following an 841.8 million Australian dollar (US$865.6 million) offer from global buyout firm TPG, people familiar with the matter said.
Mr. Merchant owns 15.6% of the boardsports retailer while Ms. Paull owns less than 2%.
This post has been updated.
Global private equity firm TPG is making another run at Billabong International, five months after the boardsports retailer ended talks, claiming a sweetened 841.8 million Australian dollar (US$865.6 million) or A$3.30 a share offer did not reflect fundamental value.
Tuesday's A$1.45 a share offer which values the company at US$713.4 million comes after Billabong downgraded its forecast for fiscal 2012 earnings and completed a A$225 million equity raising.
Billabong International has rebuffed TPG Capital for the second time in as many days.
Billabong said Tuesday that TPG indicated it would be prepared to increase the indicative price under its proposal to A$3.30 a share from A$3 a share, valuing the company at 841.8 million Australian dollars (US$905.8 million).
Looks like TPG will need to paddle a little further.
Billabong International's board has deemed that TPG's non-binding indicative proposal, which values the retailer at 765.3 million Australian dollars (US$818 million), does not reflect the fundamental value of the company.
The company's founder, major shareholder and director Gordon Merchant has advised Billabong he will not accept an offer of A$3/share, TPG's offer amount. Mr. Merchant has a 14.9% stake in Billabong.
Deal Journal Australia is an up-to-the-minute take on the deals and deal makers that shape the Australian landscape, including mergers and acquisitions, capital raisings, private equity and debt markets. In short, wherever money changes hands. Deal Journal Australia is updated throughout each trading day with exclusive commentary, analysis, data, news flashes and profiles. The Wall Street Journal's Gillian Tan is the lead writer, with contributions from other Journal and Dow Jones reporters and editors. Send news items, comments and questions to email@example.com.
Content engaging our readers now, with additional prominence accorded if the story is rapidly gaining attention. Our WSJ algorithm comprises 30% page views, 20% Facebook, 20% Twitter, 20% email shares and 10% comments.
FINS has become a part of DHI in order to improve your job search experience. eFinancialCareers will provide you with the best possible service, the best job opportunities and editorial content and the best talent. With our long track record of helping finance professionals develop their career, from graduating to landing top positions in the industry, we will continue to deliver.
For technology jobs outside the financial industry users can visit Dice.com


text:
I haven't been following this series, so I'm just wondering how it is? Should I pick up the first trade, or is it not worth it. I've been hearing a lot of hate about the series, but I figured thats from people who don't want to accept her as batgirl.
Stephanie as Batgirl
The important question is: Do YOU like Stephanie Brown? If you do, then get the trade... If you don't, then avoid it like the plague ;)
- Forum Posts: 63
- Wiki Points: 0
- Followed by: 6
- Reviews: 0 Lists: 0
Hmm, my take on the series is that its not really worth buying right now, not many bat titles are atm.
Nothing of any difference is happening outside of batman and robin.
Stephanie or not its a very mediocre series, if you have money to burn, buy it. Just don't expect it to blow you away.
- Forum Posts: 396
- Wiki Points: 5223
- Followed by: 24
- Reviews: 3 Lists: 8
"yea ive liked all the batmans family books since Batman reborn "
Me too
- Forum Posts: 19002
- Wiki Points: 486
- Followed by: 926
- Reviews: 2 Lists: 6
I love Steph, and if you do too, then go out and get that trade!
Picked it up the other day, and I'm loving her as Batgirl she has a sense of humor to her. And with Oracle being so connected to her, and all the advice it feels very Batman Beyondish to me in the relationship between the two. Defiantly worth the recommendations you all gave it, thank you.
- Forum Posts: 215
- Wiki Points: 0
- Followed by: 11
- Reviews: 0 Lists: 0
Steph was the best choice for Batgirl. Maybe as Spoiler she was not the best but Batgirl has addressed the shortcomings of the character and infused it with a very charismatic and distinctive voice. Within the bat family everyone failed Steph and in spite of it she is back stronger and with the conviction to prove herself as worthy of having the bat on her chest. The new series has blown me away I never imagined I was going to enjoy it so much. So to everyone out there bat girl is a great adition to your collection.
This edit will also create new pages on Comic Vine for:Beware, you are proposing to add brand new pages to the wiki along with your edits. Make sure this is what you intended. This will likely increase the time it takes for your changes to go live.
Comment and Save
Until you earn 1000 points all your submissions need to be vetted by other Comic Vine users. This process takes no more than a few hours and we'll send you an email once approved.


text:
Guilty Simpson
Beat Goliath/Coalmine Records
Artist: Don Miguel
Song: Merciless Manuscript
A couple weeks after he gave us Forever (However), Don Miguel is back with Merciless Manuscript, the latest leak off of his forthcoming debut LP. This time, the New York beatmaker enlists the services... More
Posted 3 months ago
Artist: Trick Trick
Featuring: DeJ Loaf | Guilty Simpson | Black Milk | Boldy James
Detroit vs. Everybody isn't an all-time great posse record, but as far as major mainstream collaborations go it's arguably one of the best and brightest of the calender year. The original... More
Posted 6 months ago
Artist: Black Milk
Featuring: Sean Price | Guilty Simpson
Song: Scum
Album: If There's a Hell Below
It's very easy to greet every new Black Milk release with excitement, he has consistently suppressed our every expectation by being one of the most compelling creators despite criminal... More
Posted 8 months ago
Editor's Pick
Song: Rap Stampede
Guilty Simpson is only one man but, when he's rocking the mic, it feels like a Rap Stampede. Don't believe me? Just hit play on the Motown mainstay's latest feature, and feel your... More
Posted about 9 months ago
Artist: The Audible Doctor
Song: Leave Me Alone
Some musicians love to shoot the breeze with their fans. The Audible Doctor apparently ain't one of 'em. On a new single off his next EP, the Wisconsin-born beatsmith and emcee urges... More
Posted 10 months ago
Editor's Pick
Artist: Skyzoo x Torae
Featuring: Sean Price | Guilty Simpson
Song: All In Together
Album: Barrel Brothers
Beef is entertaining, to be sure, but there are few things more beautiful than seeing two or more talented emcees check their egos long enough to go All In Together on a joint project. Skyzoo and... More
Posted one year ago
Artist: Action Figures
Song: Hey MuthaF*Cka
Only in rap can you greet someone with an upraised middle finger and a "Hey MotherF*CKa!" and be welcomed with open arms. At least, that's the attitude the Action Figures cop on their latest... More
Posted one year ago
Artist: Kuniva
Featuring: Jon Connor | Boldy James | Guilty Simpson
Song: Michiganish
Previously featured as part of veteran crew D12, Motown rhymesayer Kuniva makes his first foray into the solo Booth spotlight with a new promo single that I can only describe as… Michiganish. In... More
Posted one year ago
Artist: Alterbeats
Song: Fruit Punch
Some rap is about diamonds, girls, and chains, which is cool, but sometimes you want to feel like you've learned something. For some grown-man, elevated hip-hop, I will definitely be checking... More
Posted one year ago
Featuring: Boldy James | Statik Selektah
Song: I'm The City
Fresh off scoring stellar reader reviews for the AG-assisted It's Nuthin, Guilty Simpson and Small Professor return to our pages with another brand new single off their debut collaborative set.... More
Posted one year ago
Featuring: Small Professor
Song: It's Nuthin
Dodging bullets, chasing paper, swilling whiskey with gangsters—Guilty Simpson's daily agenda might seem harrowing to your average Joe, but It's Nuthin to the Motown street vet. The... More
Posted one year ago
Editor's Pick
Featuring: Small Professor | DJ Revolution
Song: On the Run
Based on the promotional pic accompanying the record, you might assume that Guilty Simpson and Small Professor's latest collaborative single found them skipping town with the law on their... More
Posted one year ago
Artist: Slum Village
Song: Decadence
Album: Dirty Slums 2
The expression "the more the merrier" is often overused and is occasionally incorrect. For example, in the case of elevators or amusement park lines, the more is definitely not the merrier.... More
Posted 2 years ago
Song: Parkour
In the past few weeks, Apollo Brown has been touring Australia and New Zealand, while Guilty Simpson is fresh off a run all the way from Los Angeles to Seattle. Now that they have a little downtime,... More
Posted 2 years ago
Editor's Pick
Featuring: Guilty Simpson | Planet Asia
Song: Nasty
If I were to say that I find black licorice to be Nasty—and I do—there's bound to be at least one person who challenges my opinion in the comment section below. When it comes to Apollo Brown... More
Posted 2 years ago
Editor's Pick
Song: Reputation
When it comes to hard-hitting underground hip-hop, Apollo Brown and Guilty Simpson's respective Reputations precede them—and a merger of two such established brands is practically guaranteed... More
Posted 2 years ago
Editor's Pick
Featuring: Apollo Brown
Song: Truth Be Told
Scared to face the truth? Then you'll want to steer well clear of Guilty Simpson and Apollo Brown's forthcoming collaborative set. If you prefer the Truth Be Told, no matter how painful it... More
Posted 2 years ago
Artist: Oh No
Featuring: Guilty Simpson | Montage Øne
Song: Devastation
Listeners beware: the sounds you're about to hear may be devastating to your ears. Those who don't mind a ruptured cochlea or two, however, are sure to enjoy what rapper/beatsmith Oh No... More
Posted 2 years ago
Artist: Ruste Juxx
Featuring: Guilty Simpson | Shabaam Sahdeeq
Song: The Walking Dead
You'd think that a creature as slow-moving, mindless, inarticulate and unfashionable as the zombie would be an unlikely role model for a rapper. On the other hand, you can't expect to... More
Posted 2 years ago
Artist: Montage Øne
Featuring: Ras Kass | Guilty Simpson
Song: Beat2Def
Last featured at DJBooth back in February, thanks to the release of Nomah's Heat Seekers, Montage One makes a hearty return to our pages with the premiere of his brand new single Beat2Def. The... More
Posted 2 years ago
Artist: Mike Beatz
Featuring: Guilty Simpson | Sean Price
Song: I Love You
Normally when a group of slightly intimidating rappers release a song titled I Love You I tend to get a little nervous. But despite it's title something tells me that we're in good hands... More
Posted 2 years ago
Artist: The Accomplices
Featuring: Guilty Simpson | MaG
Song: The Burner
Click… click… bang! That's the sound of The Accomplices cocking back the hammer and firing a bullet made of pure hip-hop directly into… well, whichever part of your brain... More
Posted 3 years ago
Artist: Small Professor
Featuring: Guilty Simpson | Reef the Lost Cauze
Song: Spare Razor
When putting together a gully street record, grabbing an emcee from Detroit and another from Philadelphia to flow over a simple yet effective gutter trodden beat is an unbeatable combo. Beatsmith... More
Posted 3 years ago
Artist: hasHBrown
Song: Break The Chain
In a rap game that sometimes seems obsessed with sex, money and luxury goods, hasHBrown is determined to spread a very different message through his music. On the second single off his forthcoming... More
Posted 3 years ago
Artist: Oh No
Song: The Guns
What would rap be without The Guns? Though many would rather firearms didn't loom so large in hip-hop's visual and aesthetic lexicon, the bloody consequences of their prevalence in the... More
Posted 3 years ago
Artist: ShimEBangO
Song: Al Bundy
It's always amazing to hear the references artists make when throwing down on a track. From Wayne's ridiculous pop culture references to Asher Roth's 90's nostalgia, I thought that I'd heard... More
Posted 3 years ago
Artist: Mike Beatz
Featuring: REKS | Guilty Simpson
Song: You Know
Last week, Mike Beatz made his triumphant return to our site with My World. Less than seven days later, the South Florida native and his production partner Adonis return with You Know. For... More
Posted 4 years ago
Artist: Trick Trick
Song: Can't F*ck With My City
Detroit may still be recovering from the effects of our ongoing economic crisis but, as far as Trick Trick is concerned, his hometown's still numero uno. On the latest single off his forthcoming... More
Posted 5 years ago
Artist: JR & PH7
Featuring: Black Milk | Guilty Simpson
Album: So Far, So Good
Here's a head-scratcher for you: what do the cities of Detroit, Michigan and Cologne, Germany have in common? As far as I know, the answer was "very little" until this song came... More
Posted 6 years ago
Sample Text - Sample Link


text:
The following newsletters demonstrate patients treated by the clinicians of The Denver Clinic for Extremities at Risk.
|Denver Clinic Orthopedic Surgeon Interviews
|Denver Clinic Research
|Social Work Services
|Limb Preservation Foundation
|Internet Resources
|Presbyterian/St. Luke's Medical Center
|Rocky Mountain Hospital for Children @ P/SL
|Denver Clinic Newsletters
|William C. Brown, MD
Dr. Bill Brown is Co-Medical Director of The Denver Clinic for Extremities at Risk. He is particularly interested in reconstructive microsurgery and surgery of the hand. He and the plastic surgery team are recognized in the Rocky Mountain region for their expertise in vascularized bone flap procedures and difficult soft tissue reconstructive procedures. He is one of three surgeons who work in the upper extremity replant service provided at The Denver Clinic.
|Read more...


text:
This job posting is no longer available on Indeed.
Find similar jobs:Atelka jobs
ATELKA, the largest independent customer contact center in Canada is looking for customer service agents in Montreal who wishes to contribute to the success of the company. ATELKA offers a complete range of customer care, telemarketing and back office services to large Canadian companies. Our business solutions are bilingual and cover all existing client contact platforms. ATELKA currently employs more than 2,000 people across seven sites in Quebec, Ontario, New Brunswick and Prince Edward Island.
Your responsibilities as a representative of customer service will be to help existing customers, monitor and perform after-sales service. In addition, it will promote, sell and deliver products and services that meet the specific needs of clients. You will need to establish a relationship of trust with the client in perspective of increasing their level of satisfaction.
The ideal candidate should:
Many benefits are available to you when working Atelka:
Schedule: Split Shift Monday to Friday (exemple: 8h00 until 11h00 and 3h00 until 7h00)Position Type: Customer service agentLocation: Montreal
There are 3 easy ways to apply:
1.In person: Come and meet us in one of our recruitment centers2.By fax: Send your CV to 514.448.49063.Online: by filling in the following application form: http://www.atelka.com/en/candidature-job-montreal-canada.html


text:
Check Availability
I have lived here less than a year. .There are some attractive features -- a library, card room, tv room, on site laundry. The apartments are small, though nicely engineered. I have one of the apartments in the newer section, with… Full Review ▶
My mother has lived here for the last 2 years, there have been a couple of issues fom time to time, but the building is over 45 years old and some things are to be expected. Office staff and maintenance staff… Full Review ▶
My grandmom live here,and she is really happy. The personnel are awesome with her.Thank for be a family for my family. Full Review ▶
This Apartment have many problems! Well No Heat or No Hot water !!! i pay my rent every month ..but... i am suffering here...during summer time no A/C. Full Review ▶
I live in the older section where the apartments do not have individual air conditioning units. They have to depend on management to decide when it is appropriate to turn on the large unit that cools all of the apartments in… Full Review ▶
this is the place to send your family memeber if you want them living in disgusting and unsafe conditions Full Review ▶
|Estimated Rent
|$ 571
|$ 887
Laundry On-Site
Rent Trends
|Avg. Monthly Rent
|$ {{complexPricing.averageMonthlyRent}}
|$ {{complexPricing.minMonthlyRent}} - $ {{complexPricing.maxMonthlyRent}}
Disclaimer: Rental rates have been collected from Internet users and represent snapshots of a rental prices over time. These rates may not be a reliable indicator of current rents or the price offered to new residents. How to use this information.
0 Images for this Property
Nearby Apartments
- 53%
Greenbriar Club3901 Conshohocken Ave, Philadelphia, PA 19131 62 Reviews
Park Tower Apartments4001 Conshohocken Ave, Philadelphia, PA 19131 0 Reviews


text:
Top Definition
After a weekend of mind altering activities, the realisation that you are not clever, attractive or funny. You revert to the rather useless creature you were on Friday. The Monpression kicks in and you sink into despair and depression.
I need either my life or Monday to end really very soon, this Monpression is deep
by squapstars+ October 17, 2011