text:
Looking for a job? Trying to find a date? Looking for an apartment? Have a job to advertise? An apartment to rent? Please call 575-622-7710 and speak with a classifieds representative today or email to email@example.com.
© 2015 Roswell Daily Record | Roswell Area News
Site Design by Sean Hennington


text:
More than half of the 354 million doctor visits for acute care made each year are not with a primary physician and more than one quarter take place in the emergency room.
Acute Care in the ER… Expensive and Wasteful
Acute medical care is generally a flare-up of a previous condition or a sudden onset of symptoms like cough, sore throat, stomach problems, respiratory illness, fever, etc.
A New York Times article details the problem of wasted time and money. Among the uninsured, more than half receive acute care in emergency rooms, which are required to screen all and treat those whose lives are in danger. Each visit increases the workload and financial burden of hospitals. Basic care provided through the hospital emergency rooms adds to long wait times, increased expenses, and for the uninsured, not much access to important follow-up care.
Two-thirds of acute care visits to emergency departments take place on weekends or after office hours on weekdays. With few primary care doctors to go around these days, many have schedules that do not allow for same-day visits for acute care.
Primary care doctors generally stick to a Monday through Friday 9:00 a.m. to 5:00 p.m. schedule, precisely the hours when most of their patients are working. For those who work without paid sick days, that is no small matter.
Unfortunately, the uninsured and even the under-insured often have nowhere to turn but the emergency room.
The Affordable Health Care Act is expected to increase reimbursement for primary care practitioners, improve incentives for medical students, and expand community health centers, but authors of the study warn that it may not be enough.
From Ezra Klein's column on the subject:
"I'd also note these sentences, which pose a problem for the view that in America, all care is speedy and convenient because we don't live in a socialist hellhole: 'One survey reported that 87 percent of primary care practitioners in the United Kingdom and 95 percent in the Netherlands manage patients after hours without referring them to emergency departments. In the United States, only 40 percent of primary care practitioners see patients after hours.'"
Defensive Medicine Costs
Another study published in the journal Health Affairs estimates that medical-liability and defensive medicine are taking a smaller bite of our health care dollars than previously thought, adding $55.6 billion to the cost of health care for Americans in 2008. That's about 2.4 percent of total health care spending. More than $45.6 billion was attributed to defensive medicine — doctors ordering unnecessary tests and procedures to protect themselves from potential malpractice lawsuits.
A Medscape article points out that a 2007 study by the National Center for Policy Analysis estimated that the annual cost of defensive medicine alone was between $100 billion and $178 billion in 2005, while a 2006 study by PriceWaterhouseCoopers reported that the cost of malpractice insurance and defensive medicine topped $200 billion.
Read more: acute care, defensive medicine, doctors, emergency room, ezra klein, health care costs, health policy, healthcaretmc, medical malpractice, physicians
Image from MorgueFile.com
What New that doesn't surpise me because I take my 8year son to the emergency room and my insures don't cover nothing
I like that nurse line idea. Actually the 911 system should have something like nurse-line. The dispatcher who receives the incoming calls should quickly sort out the callers who need advice on first aid and/or home nursing and transfer those calls to the nurse line. That will leave the dispatcher with calls from people who really do need professional help promptly.
Universal health care is needed urgently!
With the job market the way it is many people are afraid to take time off work so without after care available the ER is the only place to go. I live in a city where ER rooms close too often when overloaded and can't take emergeny patients.
Also, without the expansion of the healthcare act that paid some of the premiums for laid off workers it's going to get worse.
You shouldn't have to go bankrupt to get medical care.
Mary L I have dealt with both in helping family and frankly the private groups were easier than traditional Medicare. I am glad you haven't had the challenges, YET. Hope you don't.
In British Columbia we have what is called the "NurseLine". It has been going one for some years now, is paid for by provincial taxes.
One calls the "NurseLine" with medical questions and a Registered Nurse, will answer most of them. If there is any doubt the nurse will transfer the call to a physician, pharmacist or other medical practitioner with specific knowledge.
This has been a great service to us in that it helps cut down on many unnecessary ambulance call outs, unnecessary visits to the ER and saved lives by directing severe cases to hospital if required.
This service SAVES MONEY for us taxpayers by providing quality care.
It is surprising how many people do not have basic knowledge of first aid.
Chris L.: The nightmare you describe is with private Medicare policies, not traditional Medicare which is all I have. True, it doesn't cover everything but it is slick as a whistle! Not content, the privateers sold the government on the notion the "private companies could do a better job" and so was born Medigap, Medicare Advantage, and the demonic Medicare Prescription Drug "Benefit" that is completely privatized - none offered through Medicare! Even for the poorest, the feds buy drugs from private firms. You don't seriously believe that Tom DeLay pulled out all the stops to pass a law that would not fill the coffers of private businesses, do you? Dig deeper to find the truth.
Ann the last thing I want is Medicare for all. I have carried private insurance all my life and it is not always roses and wine. However, I have never required assistance in figuring out my coverage. I have always been able to figure out what was covered and what I needed to do to get service.
Why is it that we need senior social workers to help seniors negotiate medicare? It is a bloody nightmare. I have helped several relatives through the process and it is ridiculous the amount of paperwork, the denials, and the petty issues that you go through to get the services that people are supposed to get for the coverage promised. This is what I am supposed to surrender my free market coverage for? Yeah, RIGHT.
THE LAST THING I WANT IS MEDICARE. If there was a way to keep private insurance in my elderly years and avoid government Medicare I would. In fact I don't expect Medicare will be in business when I get there so hopefully there will be a free market option since I suspect Medicare and SS will be things the next generations only read about in history books. I don't ever expect to see a dime of what I put into the system. I do hope that for those that do not have enough time to make alterntavie plans, that the plans last long enough for them to survive.
You truly think Social Darwinism doesn't occur with Medicare? Please dream on. Government health care does not provide unlimited access to all.
Yes Debbie calling people sexual slurs is such a way to open up dialouge and communication with people you disagree with on issues. You hope by intimidating them they will not have the courage to speak out against you.
Well as for all the elderly in this country that so many of you are angry about we have given them no option but to BE dependent on medicare and SS because we took everything from them to keep it going. So now they have nothing less. Sure ask them to cut off their only source of retirement in order to argue against universal healthcare. Many of them did work towards getting the younger generations the freedom to have tax free options to save for retirement. They also worked to get us Health Care Savings accounts because they realized that having control of OUR MONEY would make us LESS DEPENDENT on the government who tells them how much they are going to get, what kinds of medical services they can get and if they are deserving to continue to get it. Yes, many of them have fought for those of us coming after them to have more options to get off of government dependency in old age. We aren't there yet, but there are many who realize the danger of handing the government total control and becoming dependent on its goodwill towards you to get what you need.
As for complaining about the insurance companies denying care, how is medicare any different? I have never needed help figuring out my insurance coverage, only wish I could say the same for Medicare
Urgent care clinics have been going out of business for a long time - hospitals too. They weren't profitable enough and our system is about Ins Co & Wall St profits and top execs' multimillion dollar compensation packages, not about health care. They don't treat patients, but take a significant cut of health dollars - middle men taking money that could go to improved access, primary care providers, R&D, health care education grants, preventative care...
The solution would have been a type of Medicare for All in which everyone pays in and is covered, the healthy, sick, young, old - so the risk pool is broad, making it less expensive for all. Instead we had millions from Wall St, Ins Co, Koch, etc. funding astroturf groups. Millions going to convince the gullible to fear "socialism" and "government run health care." Yet how many of them wanted to keep their "SOCIAL" Security and "government" run MEDICARE.
Some are so eager for their health care decisions to be made, not by their doctors, but by those who whose fiduciary responsibility is maximizing investors profits NOT providing care. The higher the premiums and the less care they provide the more money they make. An inherent conflict of interest. Every industrialized country has figured that out. But we have folks eager to join the third world - with no public services, protections, education, health care, safety nets, regulations, oversight... Libertarian = Social Darwinism, or those who want Theocracy.
Disclaimer: The views expressed above are solely those of the author and may
not reflect those of
Care2, Inc., its employees or advertisers.
david f.~~~~~~` World Net Daily?????? REALLY??????????? LMAO!!!!!!!!! You Cons are practically…
USA, you should be ashamed of the atrocities you allow to be committed against your precious Wildlife…
Cathleen K., you're only beginning to hate people? What's taken you so long? I'm not watching the…

subset: commoncrawl


text:
|Instructor Info:
|Olla Al-Shalchi
Brahim Oulbeid
|Meeting Info:
A yearlong course that introduces the basics of Modern Standard Arabic, this course concentrates on all four skills: speaking, listening, reading and writing. Beginning with the study of Arabic script and sound, students will complete the Georgetown text Alif Baa and finish Chapter 13 in Al Kitaab Book I by the end of the academic year. Students will acquire vocabulary and usage for everyday interactions as well as skills that will allow them to read and analyze a range of texts. In addition to the traditional textbook exercises, students will write short essays and participate in role plays, debates, and conversations throughout the year.
|Course Objectives:
See syllabus
|Evaluation Criteria:
See syllabus
Skip Course Information
Course Information


text:
The Churubusco boys' basketball team traveled to Fairfield Friday night and pulled out an overtime victory over Fairfield 38-35. The win keeps the Eagles one game back of North East Corner Conference leader Westview who suffered a non-conference loss in overtime to Wawasee 61-54. The Warriors are 9-0 while 'Busco's 8-1 record had its only loss come to Westview. Both teams have one conference game remaining. Westview hosts Fremont (11-7, 4-4) Tuesday. Churubusco ends its season at home against Eastside (3-14, 3-5) Friday.
FORT WAYNE — A familiar face rejoined the Wildcat sideline earlier than expected Friday night.
Three weeks to the day since he left the hardwood for chemotherapy treatment, Whitko boys' basketball head coach Rob Irwin was on the bench for the No. 2 Wildcats' road game at Fort Wayne Wayne.
In late January, Irwin was diagnosed with a rare form of Leukemia. After a receiving intense treatment over a seven-day period, Irwin set out a goal to be back by the sectional round in the first week of March.
NORTH MANCHESTER — In baseball, it's not always necessary to swing for the fences when singles will do. In basketball, its not always necessary to hit the long three-point bomb when going inside for the close shot is working.
The Columbia City Eagle boys' basketball team worked that adage to near perfection Friday night as they used a strong inside game to build a commanding first half lead on their way to a 54-39 win over the hosting Manchester Squires.
WARSAW — The Indiana high school boys' swimming and diving sectional at Warsaw started with a school record performance for the Columbia City Eagles and ended with Eagle swimmers qualifying for Saturday's 9 a.m. finals in every event including several swimmers with legitimate shots at sectional titles.


text: A hollow cubical box is 0.30 m on an edge. This box isfloating in a lake with one-third of its height beneath thesurface. The walls of the box have a negligible thickness. Water ispoured into the box. What is the depth of the water in the box atthe instant the box begins to sink?


text:
has_attached_file :asset,
:path => ":rails_root/public/system/:class/:id_partition/:style/:basename.:extension",
:url => "/system/:class/:id_partition/:style/:basename.:extension"
I have the above code in my model. This makes a path like /public/system/uploads/000/000/001, where 1 would be the id number of the record. Now the directory contains the original image but it also contains a thumbnail as well. When I want to delete the record the original file gets deleted but the directory remains, since the thumbnail still exists in the directory. How do I go about deleting the directory entirely?


text:
Machop I transferred from LeafGreen gained No Guard when it evolved in SoulSilver. You situation should work out the same way.
Machop I transferred from LeafGreen gained No Guard when it evolved in SoulSilver. You situation should work out the same way.
OK, I have a crazy stupid question. Considering after just playing pokemon since Gen 3 I now want to experiment and get into the more hardcore stuff.
I'm wondering if it is possible to breed 3 egg moves into one pokemon. Not all at once, mind you, but systematically.
I think I heard that the offspring learn one move from the father. But is more possible?
I've been trying to breed Thunder Fang, Fire Fang, and Poison Fang into a poochyena using Stoutland and Seviper as fathers.
If not, say I breed Stoutland to Mightyena or Poochyena for a Female Poochy with Thunder Fang and then breed her back to Stoutland to get Fire Fang? But then would the offspring pick up both moves?
Thanks, all.
Smeargle. Eliminates practically all need for chain breeding.
So would that mean that it is possible for the offspring to learn more than one move from the father? That would be great. I do have a Smeargle, but unfortunately I think it is female. I will have to check...
If you have a female just breed it until you get a male, get some heart scales, some route 3 low level double battles, a lagging tail to give your higher level/faster pokemon with the moves you need smeargle to sketch, and just have smeargle sketch the moves you need of your other pokemon during the battle (and just have smeargle relearn sketch after each battle until you have all the moves you want to pass on during breeding). and tada.
Thanks! That helps immensely. Will keep plugging away at this crazy project. Then maybe when I get my ultimate Mightyena I might try the online battles...
Breed a foreign Pokemon and one from your language game. The odds are 1/1,366 as of Gen 5, also known as Masuda Method, as Junichi Masuda,game developer for Game Freak revealed it himself.
Shining charm to increase your chances of finding shinies either in the wild or by breeding. Additionally, you can use the Masuda method in any Gen IV/V game to make breeding shinies more likely.
Other than that, it all comes down to luck. Find a place with the Pokémon you want, and start hunting. Keep in mind, though, that even with the boosts, shinies are still quite rare, and it's still probably going to take a long time to find one.
Demographics section of the White Forest page of Bulbapedia and it saysDoes this mean when White Forest reaches the maximum population of 10 trainers those trainers will never leave and if you want different trainers you will have to start a new game?New NPCs can be brought into White Forest by inviting them from Black City via the Entralink.
NPCs that have left will be visible to other players in Entralink. If this area becomes full, no more will leave, even if their score reaches zero.
Last edited by Water Max; 24th September 2012 at 05:43 PM.
Staff member of Bulbanews (Senior Writer). Original Poster of the Kingdom of Pokémon [v1.5]-[v5]. I've claimed Cacturne, Suicune, Hustle, Hydro Cannon and Gary.
What are some decent moves to breed onto Minccino? I know Iron Tail is one, but that requires chain breeding and the luck of getting a male child, which in the species isn't common (lucky me, I have a male Minccino already to father the egg, but he of course doesn't know Iron Tail). Anyways, any others?
Seel, Buizel, or Oshawott, or any of their evolutions. If you want, you can go here.
Anyway, I have a truck load of questions, and here they are:
Can I order Black 2 and White 2 when they come out in America, but order them in Europe? If you don't get this question, please don't hesitate to ask me to rephrase it. By the way, this question is super urgent.
Can I receive event Pokemon off of Wi-fi that are hosted in America, using an American 3DS, but in Europe?
Can I receive event Pokemon that are hosted at Gamestop, in Europe, with an American 3DS?
Is Blaziken + Meganium + Blastoise better, or is Blaziken + Venusaur + Feraligatr better?
I think thats all for now.


text:
Parmigianino's Iconic Painting Newly Interpreted and Set for NYC, San Fran in 2014
Born in Parma and known as Parmigianino after his native city, Francesco Mazzola (1503-1540) lived only thirty-seven years, yet his eloquent, innovative art inspired his contemporaries to name him a "Raphael reborn" and praise him as one of the greatest painters of his age.
During his brief lifetime, Parmigianino was especially esteemed for his portraits. Today his Schiava Turca, an exquisite depiction of a young woman, is an icon in the city of Parma and admired as an expression of ideal female beauty that exemplifies a tradition established by Leonardo's Mona Lisa.
Rarely seen outside its home institution, the Galleria Nazionale di Parma, this masterpiece crosses the Atlantic for the first time for its presentation in 2014 at New York's Frick Collection and the Legion of Honor, part of the Fine Arts Museums of San Francisco.
The showing at the Frick marks the museum's third collaboration with the Foundation for Italian Art & Culture, a series of loans focused on the female portrait in the Renaissance. The collaboration previously featured Raphael's La Fornarina (Rome, Galleria Nazionale d'Arte Antica) and Parmigianino's Antea (Naples, Museo di Capodimonte).
The Poetry of Parmigianino's "Schiava Turca" will be accompanied by a catalogue and numerous public programs, and is organized by The Frick Collection with the Foundation for Italian Art & Culture. The guest curator is Aimee Ng,Research Associate at The Frick Collection and Lecturer in the Department of Art History and Archaeology at Columbia University.
The New York presentation is made possible by Gabelli Funds, Aso O. Tavitian, The Gladys Krieble Delmas Foundation, Mr. and Mrs. Hubert L. Goldschmidt, and the Foundation for Italian Art & Culture.
About Author
- Casting Roundup: Sarah Chalke, Kim Raver Headline New Pilots
- ADVENTURE TIME Headed to the Big Screen?
- Pilot Season Roundup: Colm Feore, Daniel Stern, Dave Annable to Star in New Shows
- James Franco to Star in New Fox Comedy, WHY HIM?
- Christopher Meloni to Star in WGN America's Slave Drama UNDERGROUND
- Check Out Alex Dunphy's Full College Essay from Latest MODERN FAMILY Episode
- Photo Flash: HBO Reveals Key Art for GAME OF THRONES Season 5
- Syfy to Honor Leonard Nimoy with Special Programming This Sunday
- Grammy Winner Kelly Clarkson Exclusively Premieres New Music from New Album on MTV, VH1 & CMT First
- CONSTELLATIONS' Jake Gyllenhaal and Ruth Wilson Set for THEATER TALK This Weekend


text:
Project Ideas for All Occasions From Paper to Fabric
Bonus: Get our newsletter & special offers for free. We will not share or sell your email address. View our Privacy Policy
Clay Bird Pendant
By: Reese Dixon for Reese Dixon Blog
We are adding the craft to your Craft Projects.
The project was added to your Craft Projects.
Click here to view your Craft Projects.
Complete any outfit with this sweet Clay Bird Pendant. This easy and simple DIY pendant is a great project for kids and makes a sweet gift for a friend. Attach it to a necklace strand, key chain, or make cute ornaments for the holiday season.
- Crayola clay
- Wire (optional)
- Sandpaper (optional)
- Acrylic paint (optional)
- Artist's Sealer (optional)
- Start with a hunk of clay, rolled into an oval shape.
- Take one end of that oval and pinch it between your thumb and forefinger while giving it a gentle pull upwards. One pinch and you've already got a tail.
- Now push the other end up and smooth it over to make the bird head. It's almost like you're making a V-shape, but one end is skinnier than the other.
- From the front of the bird head, pinch forward a little bit of clay until it comes to a point to make the beak. That's it. You've sculpted. The airdry clay can be softened with water, so if you get your fingers just a little bit damp you can smooth out any roughness you created with your pinching.
- If you want to use this bird as a little trinket, then you're done. But if you want to use it as a pendant then push a piece of wire through the clay from top to bottom to create a hole for beading.
- Give your bird a couple of days to dry. If you make it pretty big you might want to wait a couple more. A light sanding with finish sandpaper will remove any fingerprints.
- From here you could decorate it however you wanted to. I painted these birds with a coat of ice blue acrylic paint, a coat of pearly white acrylic paint, and then a couple coats of clear artist's sealer. Once it's all dry you can use this bird like any other bead. Since I was going for simple, I put it on a head pin, attached it to a jump ring, and threaded it on a silk cord.
Your Recently Viewed Projects
Images from other crafters
Love these projects? Get MORE delivered to your Inbox – FREE Click Here!
Something worth saving?
- SAVE all your favorite crafts
- ADD personal notes
- QUICKLY reference your crafts
Free eBooks
- 14 Toilet Paper Roll Craft Ideas
- 23 Fabulous Picnic Craft Ideas + Restaurant Copycat Recipes
- 25 Easy to Make Homemade Jewelry Crafts
- Family Fun Crafts: 16 Craft Ideas for Kids
- Garden Crafts
- Graduation Crafts
- How To Make Tie Dye Shirts, Decor & More: 18 Tie Dye Patterns
- Learn How to Knit for Beginners: 27 Easy Knitting Patterns
- The Best Blogger Craft Ideas 2015: Home Decor Ideas, DIY Jewelry, Easy Crochet Patterns and More
Our Newest Projects & Articles
- Shooting Star Baby Blanket Crochet Pattern
- 12 Days of Christmas in July Giveaway
- Houndstooth Wallpaper Stencil
- Quilted Paper DIY Wall Art
- Sweet Decoupage Picture Frame
- Super Simple Painted DIY Wall Art
- Scrap Fabric Hair Accessories
- Metal Stamped Floral Stakes
- Easy Patriotic Rag Wreath
- Ultimate Plaid Home Decor Assortment


text:
An apparatus for determining fluid pressure and inflation diameter in the balloon of a dilation catheter includes a pressure sensing transducer in fluid communication with the interior of the catheter balloon. The transducer provides a balloon pressure signal which is processed by a microcomputer to determine a balloon diameter or circumference as a function of the balloon pressure. The microcomputer produces a signal representing the balloon diameter or circumference. A digital display responds to the pressure signal and diameter signal to display both balloon pressure and diameter in order to provide an added degree of safety and control to a vascular physician conducting balloon angioplasty or similar procedures.
1. An apparatus for determining fluid pressure and inflation diameter or circumference in a balloon catheter, said apparatus comprising:
a pressure sensor for sensing fluid pressure in said balloon and providing a balloon pressure signal;
means for determining a balloon diameter or circumference when fluid has been injected into said balloon; and
means for producing a signal representing said balloon diameter or circumference for display of said fluid pressure and said balloon diameter or circumference; said means for determining a balloon diameter or circumference is a microcomputer provided with at least one balloon compliance curve.
2. The apparatus of claim 1 wherein said pressure sensor is a piezoelectric transducer.
3. The apparatus of claim 1 wherein said means for determining a balloon diameter or circumference is a look-up table stored in a memory of said microcomputer and incorporating data corresponding to said at least one balloon compliance curve.
4. The apparatus of claim 1 wherein said microcomputer is provided with means for inputting at least one dilation balloon standardized diameter.
5. The apparatus of claim further comprising means for converting said signal for display into a visual image.
6. An apparatus for determining fluid pressure and inflation diameter or circumference in the balloon of a dilation catheter, said apparatus comprising:
means for sensing fluid pressure within said balloon and providing a balloon pressure signal;
means for determining a balloon diameter or circumference as a function of said balloon pressure signal;
means for producing a balloon diameter or circumference signal;
means for displaying said balloon pressure signal and said balloon diameter or circumference signal; said means for determining a balloon diameter or circumference as a function of said balloon pressure signal is a microcomputer; and said microcomputer is provided with a memory incorporating data corresponding to at least one balloon compliance curve.
7. The apparatus of claim 6 wherein said means for sensing fluid pressure is a piezoelectric transducer.
8. The apparatus of claim 6 wherein said means for displaying said balloon pressure signal and said balloon diameter or circumference signal is a digital readout.
9. The apparatus of claim 8 wherein said digital readout is a liquid crystal.
10. The apparatus of claim 8 wherein said digital readout is a light emitting diode.
11. The apparatus of claim 8 wherein said digital readout is an electroluminescent panel.
12. A method for determining fluid pressure and inflation diameter or circumference in the dilation balloon of a balloon catheter, said method comprising the steps of:
sensing fluid pressure in said balloon and providing a balloon pressure signal;
determining a balloon diameter or circumference as a function of said balloon pressure signal by a microcomputer provided with a memory incorporating data corresponding to at least one balloon compliance curve;
producing a signal representing said balloon diameter or circumference; and
displaying said balloon pressure signal and said signal representing said balloon diameter or circumference.
The present invention relates in general to the field of dilatation or balloon catheters employed in the treatment of vascular diseases. More particularly, the present invention relates to an apparatus for accurately determining and displaying the inflation pressure and associated diameter or circumference of a balloon catheter during balloon angioplasty and similar medical procedures.
A major factor associated with both acute and chronic heart problems is the reduction in blood flow to the heart muscle resulting from restrictions in the coronary blood vessels. In many cases such restrictions are caused by deposits of atherosclerotic plaque deposited on the walls of blood vessels which cause an abnormal narrowing of the lumen or blood vessel channel. When the lumen is sufficiently narrowed that the rate of blood flow restriction becomes critical a variety of medical procedures and techniques are available to the intervening cardiologist in order to restore adequate blood flow. The most common of the currently available medical procedures for treating such stenotic lesions (the abnormal narrowing of a blood vessel due to injury or vascular disease) include pharmacological treatments which dilate the blood vessels, bypass surgery to shunt blood around the lesions, and balloon angioplasty to reopen the narrowed vessels.
Each medical procedure has its own benefits and drawbacks. However, over the last decade balloon angioplasty has become widely accepted as a safe and effective method for treating such vascular diseases in appropriate circumstances. The most common form of angioplasty is called percutaneous transluminal coronary angioplasty or PTCA. Generally, this procedure utilizes a dilatation catheter provided with an inflatable balloon at its distal end. Using a fluoroscope and radiopaque dyes for visualization the interventional cardiologist guides the distal end of the dilation catheter through the vascular lumen into a position across the stenotic lesion. Once positioned the balloon is inflated for a brief duration to displace or otherwise reopen the lesion and reestablish adequate blood flow.
Typically, inflation of the balloon is accomplished by supplying a pressurized fluid through an inflation lumen in the catheter which is connected to an inflation apparatus located outside of the patient's body. Similarly, applying a negative pressure to the inflation lumen collapses the balloon to its minimum dimension for initial placement of the balloon catheter within or removal from the target blood vessel.
A wide variety of angioplasty balloon catheter designs and constructions are available to the vascular physician. Typically, the catheter is constructed of resilient or elastomeric materials configured to produce a specific balloon inflation diameter at a standard inflation pressure of six atmospheres. Because vascular lesions differ in size most balloon catheters are available in stepped dilation diameters ranging from approximately 1.5 millimeter to 4.0 millimeter in 0.5 millimeter or 0.25 millimeter increments. Accordingly, after locating the stenosis in an artery or vessel utilizing a procedure such as an angiogram, a cardiologist is able to guage the size of the lesion and select the appropriately sized balloon to effectively open the lesion.
However, in spite of the high level of training and skill exhibited by today's cardiologists, selecting the appropriately sized balloon catheter is complicated by a variety of factors. In many cases, stenotic lesions exhibit a markedly irregular cross sectional configuration which, when viewed from differing angles, may present deceptively narrow profiles. Additionally, the composition of the stenotic lesion itself may vary from hard, calcified materials to soft, readily displaceable deposits. Because utilization of an inappropriately large balloon may result in undesirable damage to the vascular tissue surrounding the lesion, out of an abundance of caution, balloon size selection generally is biased toward the smallest inflation diameter that will effectively open the stenosis without inducing trauma to the vascular tissue. As a result, when unexpectedly soft or irregularly shaped lesions are encountered what would appear to have been an appropriately sized balloon at first may in fact be undersized and less than effective.
In order to address these problems without the need to replace the initially sized balloon catheter with a larger sized apparatus, many of the current generation of dilation balloons are constructed with a predetermined overinflation diameter which may be as much 20% greater than the standard reference inflation diameter. As a result, the intervening cardiologist may reinflate the balloon catheter to a higher pressure in order to achieve a slightly greater dilation diameter that may effectively open the lesion.
During such initial inflation or reinflation it is desirable for the physician to know the pressure to which the balloon is being inflated in order to insure that the proper diameter has been achieved. At present, inflation pressure usually is displayed by an analog pressure gauge or digital readout which enables the cardiologist to determine that the balloon catheter is being used within its operational pressure range (typically 6 to 12 atmospheres) and below its burst pressure (typically ranging from 10 to 20 atmospheres depending upon balloon construction and materials). Though the current generation of analog pressure gauges are reasonably accurate and easy to read, their accuracy is no better than one half the smallest increment (typically 1/2 to 1/4 atmospheres). More importantly, at present there is no convenient way for the cardiologist to determine balloon inflation diameter with any degree of accuracy beyond that expected at the reference inflation pressure of 6 atmospheres. Current technology requires the cardiologist to refer to a graph of balloon inflation diameter versus pressure which is routinely supplied by the catheter manufacturer. Visual interpolation of this graph during angioplasty is difficult at best due to the darkened lighting typically present in the operating room (to assist flouroscopic visualization) and the demanding aspects of the procedure itself.
Accordingly, there is a need for an apparatus and method that will effectively communicate real time inflation balloon diameters and pressures to a vascular physician during a balloon dilation procedure. Additionally, there is a need to enable a vascular physician to accurately manipulate the effective diameter of an inflation balloon over as wide a range of dimensions and pressures as possible while remaining below the balloon burst pressure. Such an apparatus should be simple and easy to use, relatively inexpensive, and capable of interfacing with existing operating room monitors and displays if desired.
These and other objects are achieved by the apparatus of the present invention which, in accordance with broad structural aspects thereof, includes a pressure sensor and means for determining balloon diameter of circumference as a function of fluid pressure and means for displaying this information to the vascular physician. Preferably, the pressure sensor includes an element for providing an electrical signal which is a function of the pressure in the interior of the balloon or inflation lumen. Balloon diameter or circumference is determined from this signal utilizing the characteristic compliance curves of the inflation balloons and both the fluid pressure and balloon inflation diameter or circumference are displayed in a manner that can be readily discerned by the vascular physician utilizing the apparatus.
In a broad aspect, the apparatus of the present invention enables the vascular physician to determine both fluid pressure and inflation diameter or circumference in a balloon catheter by sensing the fluid pressure in the balloon and providing a pressure signal, determining the resultant balloon diameter or circumference, and producing a representative signal for display of the balloon diameter or circumference and fluid pressure. In this manner, the vascular physician is able to accurately control balloon diameter while maintaining the balloon pressure below the specific balloon burst pressure.
In alternative embodiments of the present invention, the apparatus may be provided with its own, self-contained digital or auditory display or the output signal may be interfaced with existing operating room display monitors. In one exemplary embodiment of the present invention, the display data of balloon pressure and inflation diameter or circumference is provided in conjunction with the X ray or fluoroscopic images of the vascular lesion being treated to provide the vascular physician with the physical data regarding balloon operation in direct conjunction with the visual aspects of the procedure.
Further adding to the advantages of the present invention, the individual components or element of the apparatus are readily available from commercial sources in bulk quantities. Thus, the apparatus of the present invention is simple and inexpensive to operate and produce. Moreover, the apparatus is compact, easily sterilizable or packaged in sterile configuration and incorporated can be simply into existing angioplasty procedures.
Additional features and advantages of the present invention will become apparent to those skilled in the art from the following detailed description of exemplary embodiments thereof, taken in conjunction with the accompanying drawings which illustrate, by way of example, the principles of the present invention.
FIG. 1 is a schematic representation of an exemplary embodiment of the present invention.
FIG. 2 is an exemplary balloon compliance curve illustrating representative balloon sizes as a function of pressure for use in accordance with the teachings of the present invention.
FIG. 3 is an elevational view illustrating an embodiment of the present invention used in conjunction with a conventional dilation balloon catheter.
Referring more particularly to the drawings in which similar reference numerals indicate similar parts throughout the several views of the drawings, FIG. 1 shows a schematic diagram of the basic elements comprising the apparatus of the present invention. Pressure sensing transducer 10 is in fluid sensing communication with the fluid conducting lumen 30 of a balloon catheter (not shown in FIG. 1). Pressure sensing transducer 10 senses the fluid pressure within lumen 30 and provides a pressure signal in response thereto. Preferably, pressure sensing transducer 10 utilizes a piezoelectric diaphragm or crystal to generate an electrical signal corresponding to the fluid pressure monitored by transducer 10 These pressure signals are transmitted to microcomputer 12 as represented by cable 14. Utilizing the fluid pressure signal from transducer 10 microcomputer 12 determines the corresponding balloon diameter or circumference and produces a corresponding signal representing this balloon diameter or circumference. This signal is transmitted to balloon display 16 as represented by line 18. Concurrently with this function, microcomputer 12 also produces a corresponding signal representing the fluid pressure which is transmitted to pressure display 20 as represented by line 21. In this manner, the fluid pressure within lumen 30 is utilized to produce an accurate, simultaneous, real time display of inflation balloon diameter or circumference as a function of the correspondingly displayed fluid pressure. Thus, as pressure is varied by the vascular physician the corresponding dimensions of the inflated balloon also will vary and be reflected in the appropriate display.
As those skilled in the art will appreciate, while inflation balloons generally are standardized to specific inflation diameters at set pressures, it is not uncommon for the balloon to assume a less than circular cross sectional configuration when inflated across an irregularly shaped stenotic lesion. Accordingly, it may be desirable to display the calculated balloon circumference as opposed to the balloon diameter. Regardless of the dimensional perimeter utilized, the present invention is not limited to either diameter or circumference as it is the concept of displaying an appropriate dimensional characteristic as a function of inflation pressure that is more fundamental to the apparatus and process of the present invention.
Similarly, as those skilled in the art will appreciate, calculated balloon diameters are only accurate after the balloon is unfolded fully inside the vessel. Generally, this point is determined by the physician who visually recognizes the appropriate cylindrical shape of the balloon in the fluoroscope. This condition also applies to the current practice of estimating balloon diameters by referring to the appropriate compliance curves supplied with the device.
Pressure sensing transducer 10 may be any of the commercially available pressure sensing devices such as the piezoelectric transducer disclosed in U.S. Pat. No. 4,610,256. Alternatively, appropriately calibrated transducers (engineered to measure pressures ranging from approximately 1 to 20 atmospheres) may be obtained from Motorola and other commercial manufacturers and utilized in accordance with the teachings of the present invention.
Generally speaking, as known in the art the apparatus of the present invention will provide an electrical voltage to transducer 10 (for example, 5 V) which is modulated by transducer 10 in response to the inflation pressure in lumen 30. The output voltage of transducer 10 (for example, approximately 5 mV per atmosphere) is returned to microcomputer 12 for further processing. Regardless of the type or source of pressure sensing transducer utilized, the operative fact is that fluid pressure is sensed and a balloon pressure signal is provided to microcomputer 12.
Microcomputer 12 preferably includes all of the necessary interface circuitry for receiving input and control signals and for transmitting display signals to balloon display 16 and pressure display 20. If desired, microcomputer 12 also may include a buffer/amplifier to condition the balloon pressure signal received from transducer 10 as well as functions for filtering, temperature compensation and the like, as known in the art. It will also be appreciated by those skilled in the art that discrete electrical components may be utilized to control the functioning of the apparatus of the present invention in place of microcomputer 12. However, microcomputer 12 is preferred for reasons of simplicity and packaging.
Balloon display 16 and pressure display 20 preferably are electronic digital displays of conventional construction such as liquid crystal, LED, or electroluminescent displays. Preferably, balloon display 16 will display balloon diameter in large, easy to read characters calibrated in fractions of a millimeter or other suitable unit of measure. Similarly, pressure display 20 preferably will display fluid pressure in large, easily read characters calibrated in tenths of hundredths of an atmosphere, pounds per square inch or other suitable unit of pressure. At present, atmospheres are the preferred units of measure as currently available dilation balloon catheters are dimensionally calibrated at whole unit atmospheric pressures. Thus, providing fractional pressure readouts in increments of 0.1 to 0.01 atmospheres provides a vascular physician with an unprecedented degree of pressure control.
Microcomputer 12 also includes means for determining balloon diameter or circumference as a function of fluid pressure. Preferably, this means for determining balloon diameter or circumference is a look-up table stored in the memory of microcomputer 12 incorporating the features of one or more representative balloon compliance curves as represented in FIG. 2. As shown in FIG. 2, the diameter of an inflation balloon will vary as a function of pressure. In the exemplary, balloon compliance curve of FIG. 2 four reference balloons are standardized at specific diameters ranging from 2.0 millimeters to 3.5 millimeters at 6 atmospheres of pressure. Because of the material properties of the various polymers and elastomers forming these exemplary and most typical balloon catheters, varying the balloon inflation pressure, for example, from 2 to 12 atmospheres will change the inflated balloon diameters by several tenths of a millimeter above or below the standard reference diameter. The rate of diameter change is relatively constant and increases from low pressure to high pressure along a generally smooth positive slope with the greatest slopes appearing in the largest diameter standard sized balloons.
It is contemplated as being within the scope of the present invention to code in different balloon dimensions or compliance curves into microcomputer 12 as necessary corresponding to different balloon characteristics. Similarly, where different size balloons are utilized it may be necessary to input the standard reference balloon diameter into microcomputer 12 such that microcomputer 12 can select the appropriate compliance curve from its memory to determine the appropriate balloon diameter or circumference as a function of fluid pressure sensed at transducer 10. Along these lines, it is also contemplated as being within the scope of the present invention to provide microcomputer 12 with the capacity to receive such input in any suitably convenient manner such as through switches or keys (not shown) as known in the art.
Turning to FIG. 3, an exemplary embodiment of the present invention is shown in use during a coronary angioplasty procedure in conjunction with a conventional balloon catheter. Dilation catheter 22 is provided with an inflatable balloon 24 at its distal end 26. Y-fitting 28 connects fluid conducting lumen 30 (not shown in FIG. 3) to an inflation/deflation syringe 32 to provide a fluid path between the interior of balloon 24 and the external source of balloon inflating fluid, the inflation/deflation syringe 32.
Pressure sensing transducer 10 is disposed within housing 52 in fluid conducting communication with lumen 30. As those skilled in the art will appreciate, in the present invention housing 52 replaces the prior art analog pressure gauges utilized to monitor balloon pressure. Additionally, it should be emphasized that pressure sensing transducer 10 is illustrated within housing 52 as exemplary of the present invention only. As long as transducer 10 is in fluid conducting communication with the interior of inflation balloon 24, the function of the present invention can be achieved. Accordingly, transducer 10 can be located in any convenient position within the apparatus and may be connected directly to the source of balloon inflation fluid or anywhere further downstream that would not interfere with the angioplasty function of the apparatus.
Cable 14 connects pressure sensing transducer 10 to casing 34. It should be emphasized that cable 14 is exemplary only and that transducer 10 may be integrated into casing 34 such that the integrated unit resides as a part of or attached to dilation catheter 22.
Casing 34 contains the majority of the electronics of the present invention. More particularly, casing 34 holds microcomputer 12 (FIG. 1) and the interface circuitry between balloon display 16 and pressure display 20. Casing 34 may be hand held or pole mounted as desired.
Alternatively, it is also contemplated as being within the scope of the present invention to incorporate balloon display 16 and pressure display 20 within existing operating room monitors This can be accomplished through a simple electrical interface or telemetry as is known in the art. In this manner, it is possible to display the balloon pressure and inflation diameter in conjunction with additional information already present on the operating room monitor (not shown).
Because the apparatus of the present invention provides a vascular physician with the ability to determine both fluid pressure and balloon inflation diameter during angioplasty or similar vascular procedure, it results in a safer medical procedure. The physician is provided with an added degree of control over the inflation diameter plus a significantly enhanced safety margin. This latter benefit is accomplished by providing the vascular physician with the ability to clearly know the balloon inflation pressure relative to the balloon failure point. Thus, where necessary, the vascular physician is able to achieve maximal balloon dilation without fear of balloon failure. Additionally, the ability to accurately control balloon dilation may provide the vascular physician with the ability to open a troublesome vascular lesion without having to retract and replace the inflation balloon with a large diameter balloon catheter.
In closing it is to be understood that the embodiments of the present invention disclosed herein are illustrative of the principles of the invention and that other modifications may be employed which are within the scope thereof. Thus, by way of example, but not of limitation, alternative transducers may be utilized in place of the exemplary piezoelectric transducer disclosed. Similarly, the location of the transducer may be modified as desired and alternative forms of electronic circuitry may be utilized to determine balloon diameter as a function of balloon inflation pressure. Accordingly, the present invention is not limited to that precisely as shown and described in the specification.
Patent Citations
Referenced by
Legal Events
Original Image


text:
…cannot ship to Hawaii, Alaska, Puerto Rico, or a P.O. Box. Lead your team into the end zone and ride off to victory in this officially licensed Montana Grizzlies Uniform Set. The maroon and white team logo football jersey comes complete with pants, helmet with chin strap and iron-on number kit…
First you make the money in this officially licensed Scarface Tony Montana adult costume. Show the world who's boss in this white jacket, complete with white pants and a red shirt. Say hello to my little friend!
Add some creeptastic flavor to your costume when you add the Twisted Wig. This dark, polyester, bob-length wig is perfect for Goth-ing up any costume of your liking.
Rock out in the Rockabilly Wig, and have everyone follow you onto the dance floor. This retro style auburn wig features a red rose and bandana headband.
Get your Einstein look together when you wear the E=mc2 Wig. This incredible white, synthetic wig comes complete with a matching mustache, so you can solve all types of equations on Halloween.
Some of us have a lazy day every now and then, but you'll look like you've had a lazy life when you wear the Slacker Wig. This unkempt, brown wavy wig is comprised of synthetic fibers and would be perfect for any kind of grunge funny costume.
Tumble through the rabbit hole when you decide to top off your Alice in Wonderland costume with the Alice Wig. This straight, golden blonde wig features an attached black bow detail, so you can really get into character.
Felling blue? You'll feel all-new when you don this stunning black and blue Chromatic wig and create a whole new you. Release your inner star and shine on Halloween in this fabulous wig; use it to create or complete your costume.
Lead the gang and rule the school when you create or complete your costume with this jet-black bad boy adult men's Greaser wig
Give those groovy babes and seafarin' wenches something to grab onto with this hilarious chest wig! Thick, brown, and oh so touchable, this funny wig shows off you manliness whether you're a funky disco dude or a fearsome pirate.
Create or complete your transformation into a total nerd with this dorky brown Nerd wig.
Celebrate New Orleans style when you don the rainbow-tipped Carnival wig. White blonde hair culminates in a colorful medley or stripes - stand out in a crowd and party loud on Halloween or any time in this fantastic wig.
You'll get a rainbow of compliments when you create or complete your costume with this multi-color Kaleidoscope wig. Color outside the lines and live large on Halloween in this divine do that will reveal a whole new you.
Get the wicked hair style you want when you have the Girl's Hair Bow Wig. This black and red wig features a large red and black bow and it's perfect for any monster or vampire costume.
Entertain the party and look the part when you wear the Enchanted Geisha Wig. This long, black, curly wig comes complete with chopstick up-do!
The Officially Licensed Strawberry Shortcake Girls Wig tops off your child's Strawberry Shortcake Costume (sold separately). Features a long pinky red wig, that can only be Strawberry Shortcake's.
Complete your hand of the king costume when you wear the Medieval Son Wig. This brown, shaggy wig will top of any medieval warrior costume perfectly!
Turn water to wine and gain a following of disciples when you wear the Jesus Adult Wig Beard. This luscious golden brown wig features a manly beard.
If you're discoing back to the 70's this Halloween, it's not a time machine you'll need - It's a groovy wig! Be at peace with your look wearing this long blonde wavy wig that will compliment any stylish hippie costume. Three thick braids hold hair back from your face so your locks can hang zen…
If you solve the case, all credit goes to the 90's Detective Wig on your head. This wild wig features a front poof detail that only the top private eyes can get away with.
Be powerful on Halloween when you add the Gilded Goddess Wig to your already amazing costume! This super curly, red wig is made of synthetic fibers and features cornrow-like details on the top.
Top off your elaborate costume with the elegant Viking Princess Wig. This luscious silver wig is comprised of synthetic fibers and super wavy hair with two front braids on either side.
Embody the sultry Mistress of the Dark with this officially licensed Elvira wig! Both scary and sexy, this classic character wig comes with teased up black locks, layers, and bangs--sure to vamp up any witchy costume.
The crowds will worship you on Halloween when you wear the Blonde Princess Wig. This 30-inch blonde, braided wig is fit for none other than the most beautiful princess.


text:
What Happened to the Red Sox?
Oct 12, 2009, 8:50 AM EDT
Despite their late season charge, everyone kind of figured that the Twins would fall to the Yankees in the ALDS. While some morons totally blew the call on the Cardinals-Dodgers series, it's not like the Dodgers winning was a total shocker either. But did anyone really think that the Red Sox would simply roll over and play dead like they did against Anaheim?
Actually, maybe some folks did. Here's Theo Epstein after yesterday's loss: "I don't think anything that happened in this series was completely out
of the blue. We saw things that
were reflected early in the season."
What kinds of things? For one thing, the shakiness of Papelbon. No, you can't pin this all on him — and let's be 100% clear here: the Sox "fans" booing Paps after the top of the ninth was a totally bush league move from folks who should know better — but the fact is that Papelbon v.2009 was not the same pitcher we grew used to seeing in 2006, 2007 and 2008. His velocity is down and when you have a merely superior fastball as opposed to an otherworldly one like he's had in the past, you're going to get smacked around a bit. And you get the sense that he knows his kung-fu isn't what it used to be. He went 3-0 on Chone Figgins before getting anything over in the ninth. The same Chone Figgins who had been 0-12 prior to that at bat. Papelbon should have been throwing his version of batting practice fastballs to him, challenging him to do something with the ball. Except now Papelbon's version of a batting practice fastball is no longer an above-average major league fastball, and his tentativeness simply underscored this.
But like I said, hanging this on Papelbon is to miss the real story here, and that's the story of an aging and incomplete offense that feasted on the Orioles and in home games all year but which was really exposed against the Angels pitching. Ortiz was 1-12 with zero extra base hits. Lowell had an RBI yesterday, but was 0-7 in the two games in Anaheim. Jason Bay was 1-8. There was a lot of that. It's just not a team with a bat that strikes fear into the heart of a pitching staff anymore. The Boston Globe's Bob Ryan went so far as to pine for Manny Ramirez yesterday.
I don't know if it's that bad, but the 5-1 lead in yesterday's game was, in hindsight, a mere blip on the radar screen. The one run and eight hits they gathered in two losses in Anaheim was far more indicative of the state of the Sox against good pitching.
It's going to be a slightly longer offseason than expected in Boston this year, but from the looks of things Theo Epstein is going to need all of the extra time he can get in order to cure what ails the Red Sox.
- bh0673 - Oct 13, 2009 at 7:23 AM
BAck off there a minute, don't include Yankee fans in that comment. No post season from 1982-1994 and in 94 the Yankees had a chance to make it but the strike killed that. No World Series since 2003, no getting passed the first round since 2004 and no post season at all last year. Just like everyone else we get dissapointed but we don't considerate the end of the world, we just start watching the Giants and Jets.
Top Posts
- Anibal Sanchez loses his bid for a no-hitter with one out in the eighth inning 11
- The Yankees, A-Rod resolve their dispute over the $6 million milestone bonus 28
- Yankees donate $150,000 to charity to get Alex Rodriguez his 3,000th hit ball 18
- Mike Scioscia says Josh Hamilton should apologize to Angels owner Arte Moreno 86
- Settling the Scores: Thursday's results 56
- Breaking: Cardinals fire their scouting director, likely due to the Astros hacking scandal 61
- Bryce Harper is naked in ESPN's "Body Issue" 55
- Today is the day: Marlins ace Jose Fernandez returns from Tommy John surgery 4
Most Commented
- Settling the Scores: Sunday's results (99)
- Mike Scioscia says Josh Hamilton should apologize to Angels owner Arte Moreno (86)
- What Yasiel Puig being a pain in the butt means. And what it doesn't mean. (78)
- Report: Jerry Dipoto "definitely out" as Angels GM (77)
- Brian Dozier is the best second baseman in baseball (72)
- M. Moore (3396)
- J. Hamilton (3309)
- J. Ellsbury (3116)
- M. Cain (2959)
- M. Sano (2879)
- H. Ramirez (2729)
- J. Fernandez (2536)
- P. Corbin (2475)
- B. Harper (2457)
- S. Matz (2373)


text:
| Sign In
control panel
| Log In
| Sign In
Create a Travel Blog
Travel Guide
Travel Photos
Cheap Travel Insurance
C. America & Caribbean
Middle East
N. America
Oceans & Seas
S. America
Create a Travel Blog
Travel Guide
Travel Photos
Cheap Travel Insurance
C. America & Caribbean
Middle East
N. America
Oceans & Seas
S. America
Travel Blog
South America
Tierra del Fuego
» The End of the World
The End of the World
Previous Entry
Next Entry
Latin American Adventure
South America
Tierra del Fuego
January 29th 2012
Published: February 3rd 2012
Chris and Liz
Fin del Mundo
How fitting that in 2012, we should find ourselves in a place known as "the end of the world". Of course the world is not coming to an end, rather we are visiting the southernmost city on Earth, Ushuaia. (There are 2 other cities vying for this title, but since this is the one we are in, it wins). This stop marks an extreme of our journey, the farthest we will be away from home on the entire trip. It was also a highlight of our travels... we think you'll understand why!
We arrived on Friday (January 27) and settled into our accommodations at Aves del Sur, a lovely family-owned B&B with separate cabanas - ours had a nice living area, kitchenette, view of the mountains, and the coziest, most comfortable duvets we've slept in so far... particularly required for the chilly nights!
Saturday afternoon we took a bus ride to Estancia Harberton, an important historic location as it was the first to be founded (in 1886) on the island of Tierra del Fuego. From here a short zodiac trip on the Beagle Channel brought us to Isla Martillo (so named because it is shaped like a hammer), home
Penguins on Isla Martillo
to Magellanic and Gentoo penguins. We were also lucky enough to see one King penguin, who swam all the way from Antarctica (a 1000 km journey)! Apparently he is "lost" or "on vacation" here... either way we certainly hope he finds his way home! The experience was amazing as we were literally walking amongst hundreds of penguins... and even interacting with some of them! As this is breeding season, there were molting youngsters and protective parents, as well as lots of little guys swimming and playing in the water and on the beach. There were two gentelemen there from ABC filming a short documentary - so if you happen to catch this piece on their news show in the near future, we were there! Anyway, our time on the island was over all too quickly, and we headed back to the shore, where we spent some time in the museum there, which houses an impressive collection of whale/dolphin/penguin skeletons and lots of interesting marine information. Our visit ended with a rainbow sighting (actually a double rainbow!) before heading back to Ushuaia.
Our dream of a separate journey to Antarctica quickly deteriorated upon researching the costs, and when we arrived
in Ushuaia the prices were no different... no last minute offers affordable enough to get us there! Taking that, and adding the celebration of Chris' birthday being away from home (and possibly Liz' too), our decision was to go on a helicopter ride while we were in one of the most remote places in the world... it was our birthday present to each other! And so 11:30am Sunday came around, the clouds provided some clearing, and the helicopter service picked us to head to the naval airport. We got some logistics out of the way, met our pilot and snapped a few shots before boarding the chopper. This single engine, two blade rotor, Robinson 44 helicopter lifted off with such smoothness and elegance... we were in for the ride of a lifetime! Climbing up to an altitude of just over 700 feet we first slowly passed over the city of Ushuaia, quite different viewed from above! Our next stop was to fly around the highest peak in Ushuaia, Mount Olivia. Standing at nearly 1500 meters above sea level the exhiliration of being merely meters away from the mountain made it hard for us to lift our bottom jaws... all I
Cerro le Cloche
On top of the (end of the) world! Do you think we were excited?
could think was I hope those blades don't hit the side of the mountain! On our other side was the mountain known as Cinquo Hermanos (five brothers), so named for its 5 distinct peaks, an iconic image of Ushuaia. Climbing a little higher we then flew over Lago Esmeralda - buried within three different mountains the aptly named lake clearly displayed its colours reminiscent of the gem! Mid-way through our flight our next stop was at the top of Cerro le Cloche and yes we actually landed on the top of the mountain! At 1000 meters above sea level we were now staring out into the Bay of Ushuaia and beyond, toward the further south... and at this point our emotions were beyond control! As we headed back toward the bay of Ushuaia we dropped to an altitude of about 150 feet off the ground (at times it felt like we were gonna brush the top of the treeline) and traversed through a 1/4 km wide valley between two mountains. Here we were exposed to the true mosaic of the Tierra del Fuego eco-systems... from the dense forests to the peated marsh land, to the glaciers and snow peaked mountain
View from the Helicopter
One of many amazing views during the helicopter ride!
tops... the beauty of this natural land cannot be characterized! Every which way we looked we were spoiled with unbelievably beautiful views, ones we surely would not have experienced through any other means, making our first helicopter ride one we will truly never forget!
As we returned from our flight, the adrenaline rush continued to surge through us and so we challenged oursleves to a yet another hike, this time to Glacier Martial! We opted to forego the chairlift, which provided only half the trip up the mountain. So we ascended, following the river/stream that flowed down from the glacier, and arrived at the first check point. Here we decided no challenge was too hard on this day and went for the trail labelled "dificil" and they were correct. It took a while to hike up the steep slope with large, loose rocks as the trail, but in the end we made it to Glacier Martial. And looking back onto the city with the glacier at our back we were rewarded with an amazing view of Ushuaia City, the bay, and the mountains beyond. After a significantly quicker hike down the hill, we made it to the cafe for
Martial Glacier
a hot drink before heading back for dinner.
This Argentine day would not be complete without a traditional parilla (BBQ). We went to the highly recommended La Estancia Parilla and we were not disappointed! An amazing, perfectly cooked 350 gram tenderloin steak with a side of french fries for Liz, two 350 gram sirloin steaks smothered in mushroom sauce and veggies for Chris, a mouth-watering chorizo sausage and bottle of Alamos Malbec shared by us both, made for two very satisfied travelers, especially for the minimal price (the price is right in Argentina). The perfect joint birthday celebration after a perfect day... and one of the best recorded to date!
On Monday, our last day in Ushuaia, we went to Tierra del Fuego National Park. Unfortunately the weather was not as nice as the previous days, and the overcast sky with intermittent rain made this small park seem a little underwhelming. We were also feeling the effects of the Martial Glacier hike in our sore and tired muscles, so we opted to take some easy trails through the park to see what we could see. In spite of the weather we saw many birds (including finches, swallows and
End of Route 3
That's it.. the farthest south you can drive in the world!
black-necked swans), several bunnies, and even a culpeo fox only a meter away, staring back at us! Along our way we also saw evidence of many busy beavers, with lots of fallen trees, spikey stumps and misconstrued dams mostly deserted because of the low water level. Our day in the park was complete once we made it to the end of Route 3, aka the end of the Pan-American Highway, which travels through 14 countries and is the world's longest "motorable road". After reaching this milestone, we headed back to pick up our bags and grab a taxi to the airport.
To make a long story short, our flight to Buenos Aires was cancelled due to "technical issues" with the plane. Obviously better to find out while still on the ground (rather than in the air), but still an inconvenience. Thankfully, however, we were somehow able to get on the very last flight out, which brought us to arrive back in the city at 2:30 am! However not even a cancelled flight and severely delayed make-up flight could put a damper on our experience to the "end of the world"!!!
Previous Entry
Next Entry
Additional photos below
Photos: 14, Displayed: 14
Follow (
Chris and Liz
Chris and Liz
Our Final Thought And so our journey has come to an end. Four months of travelling around Latin America and to say the least we were truly blessed in this journey! Even though we may not have had any epiphanies during our travels we were afforded many new experiences. We grew both individually and together, met some great people along the way, shared some wonderful cultural experiences and most importantly we strengthened our relationship with each other! This opportunity has opened doors, broadened our cultural knowledge and provided us with many new perspectives; in particular those for whi...
full info
November 3rd 2011
Last Login
August 27th 2013
Forum Posts
Blog Options
Blog Map
Print Version
Brief history of Argentina
Following independence from Spain in 1816, Argentina experienced periods of internal political conflict between conservatives and liberals and between civilian and military factions. After World War II, a long period of Peronist authoritarian rule an...
more history
Latin America
Map Legend: 0%, 1 of 263 Territories
© worldmapmaker.com
Travel Insurance
Latin American Adventure
November 5th 2011 -» ongoing
Gentoo Penguin
Liz & Friends
Up close and personal!
Mount Olivia (left) and 5 Hermanos (right, background)
Lago Esmerelda
It's steeper than it looks
Liz on the hike up to Martial Glacier
Chris on Martial Glacier
It's like "where's waldo", but he is in there somewhere!
Culpeo Fox
It's not just the lens - we were almost this close!
Travel Blog
South America
Tierra del Fuego
» The End of the World
Tot: 0.366s; Tpl: 0.024s; cc: 7; qc: 45; dbt: 0.2738s; 1; m:jupiter w:www (18.104.22.168); sld: 2;
; mem: 1.8mb
Copyright Notice: All Rights Reserved
Do not copy images or text from this page without requesting and
receiving permission
. All rights are reserved by the author and photographer.
Contact Chris and Liz (Chris and Liz)
- a lack of a response does not mean that you have permission to use material from this page.
Confirm Email


text:
Current Pointer Litter
Planned Pointer Litter
Current Spinone Litter
Planned Spinone Litter
Individual Dogs
Interested in a Puppy?
If you are interested in a puppy or individual dog please contact us at 517-648-1666 or email@example.com.
We will be happy to talk with you about our puppies. For every litter, we make our best efforts to match the best puppy to your criteria. For this reason please see the important information about our breeding program.
Puppy Pricing
Pointer puppies are $1200
Spinone puppies are $1950Forms of Payment:
At Birdsboro we understand that your new family member is also an investment and that the timing of your personal finances does not always coincide with our puppy availability. With that in mind, besides the usual forms of payment such as cash or personal check we also accept Visa, MasterCard, Discover and American Express.
Credit card payments are securely processed through the PayPal Here app and card swipe device on our mobile phones. There is a convenience charge (of 2.7%) for using your credit card to cover the cost of PayPal charges on our side. Thus, using a credit card is an additional $33.00 for Pointer puppies and additional $50.00 for Spinone puppies will be applied to the puppy price (or less if only a portion of the puppy cost is paid by credit card).
Other Ways To Follow our Litters
We work hard to keep our website updated, but (with four young kids) it is a work in progress. For the latest information about litters, available puppies, and to stay in touch with all of our Birdsboro puppy families and friends, visit our public (no account required) facebook page.


text:
Sumit Sinha
In field of research it is always tedious to maintain your research material. To ease the task of PHD students trying to gather Monkey's data we have "bandar". It provide below features 1. Gather data on monkey behaviour 2. Gather data on monkey's response to tourists 3....
RenABit allow its users to manage personal as well as common expenses with other group members (if any). It provides statistical data and help manage daily expenses in an easy and efficient way. All the expenses made in RenABit is collected inside a group. A group can contain one or multiple...


text:
latest from Bacolod Opinion
A RECENT Provincial Board resolution blames the floods on clogged up drainages.Read more
Would you allow your daughter out after the stroke of midnight? Or allow yourself to go out in some darkly lit streets?Read more
RA 10533 and public opinionRead more
THE devotees of Sto. Niño de Cebu wholeheartedly welcome the visit of the Pilgrim Image of Santo Niño de Cebu in the Diocese of Bacolod. We look forward to celebrating the 450 years of Augustinian presence in the Philippines.Read more
THIS is the second part of the Papal Encyclical to mankind regarding the environment.Read more
FOR Negrenses, now is the time to buckle down and formulate strategies for the inclusive growth in the sustainable development of the Negros Island Region.Read more
LAST November, Central Negros Electric Cooperative (Ceneco) general manager Sulpicio Lagarde Jr.Read more
NEWS headlines are focused on local and national events. Local politicians in the region are fixing their political machinery while adjusting their radars to the frequency of national political parties.Read more


text:
Have a Question? We Are Here to Help!
Home / Promotional Products and Promotional Items / Apparel & Custom Caps / Sandals / Maui Flip Flop (M-XL)
Maui Flip Flop (M-XL)
View More Images
Cart Status
Price Details:
Product Description
Maui Upscale beach flip flop sandals are made with embroidered ultrasuede fabric straps, a recessed utrasuede insole, and arch support on a 3-layer EVA rubber sole. Optional de-bossed, die cut "Logo Footprint" leaves an imprint in the sand. Excellent upscale incentive travel gift. Imported


text:
the best headphones for 50 bucks, plus it has noise-cancelling and sony performence.
I have a different pair of sony headphones..but wantedto comment anyway...my cordless headphones fromsony only lasted two years...they convienantly put a battery that IS ...NOT.....REPLACEABLE....in the headphones..I paid well over $100.00 and I think only 2 years ....and then they break...is not a good product.Very dissapointed and will not buy from sony again.
i bought these expecting awesome sound and quality noise canceling without problems i got the opposite this is the worst Sony product I've ever purchased the noise canceling sucks you can barely call them these noise canceling headphones so when you put this Lil battery in and turn on the power it sounds fine but without it is sucks it should cancel the noise also the mics that attempt to cancel sound are extremely sensitive and the fold able design is faulty because one of the pieces snapped off and i had to return them I'm glad that i did also these headphones barely even fit on your head they slip off very easily come on Sony wheres the quality i thought you had?
This headset must be the most comfortable equipment I've ever used. It wasn't too heavy, and folds up neatly. I was happy to see that the cord was longer than the previous headphone I used, thus was not restricting. Not all, but most noise was eliminated, making the experience of listening an enjoyable one. The bag and travel plug is appreciated. It is worth the price entirely.
These headphones are really really good for the price. Bose and other companies are like 100s of dollars, but these are affordable, and so the fact that they dont block ALLL the sound once you flick the switch (w/o music playing) is acceptable however a few things i dont like is the fact that if ur on a bus, bumps and shakings of the bus causes the music to get all shaky...like the vibrations affect the music. and also it picks up bits of static frequencies from around. other than that, i love it. sleek, small, not all hugeand eskimoearmuff-looking...really good as a gift.


text:
University of Redlands > Academics >
College of Arts & Sciences >
Undergraduate Studies >
Chemistry >
Research >
Dr. Henry Acquaye
The focus of my research is on coordination compounds of transition metals. My major area of research is the development of transition metal oxidants. I am pursuing research in this area with the ultimate goal of its application to environmental pollutants. This part of my research is based on the following: (i) synthesis and the characterization of transition metal oxidants (ii) the oxidation of alkenes, alkanes, sulfides, amines, and other environmental pollutants such as polychlorinated biphenyls.
Another area of my research interests involves conducting polymers. I am particularly interested in the development of composite materials utilizing polyaniline and transition metal complexes.
In April 2010, it was designated a Tree Campus USA by the Arbor Day Foundation. Redlands is among just three other colleges or universities in California to receive this designation.
© 2015 University of Redlands. All Rights Reserved.


text:
Wine Cellar Innovations Designer Series 6 Case Double Deep Storage Table
Special Offer:
12 Issues of Money Magazine
Included with purchase ($20 value).
Wine Cellar Innovations Designer Series 6 Case Double Deep Storage Table
Weights & Dimensions
|Material: Wood
|Mount Type: Floor
|Style: Traditional
|Country of Manufacture: United States
|Assembly Required: Yes
About the ManufacturerWine Cellar Innovations is the world's foremost designer and manufacturer of custom home wine cellars and wooden wine racks, as well as commercial wine display racks for wine stores, grocery stores, vineyards, wine wholesalers, and the hospitality industry. They have created aesthetic masterpieces worldwide by perfectly blending architectural elements and artistic creations in their wine cellar designs. Wine Cellar Innovations has been providing quality custom wooden wine storage since 1985. Their lifetime guarantee on wooden wine racking is a testament to the fine craftsmanship found in their products.
Wine Cellar Innovations Designer Series 6 Case Double Deep Storage Table
Customer Reviews
Tell Us What You Think!
Tell us what you think about this product. It will help us provide you with better products in the future and help your fellow shoppers make better purchases.Write the first review
OUR SKU # WC1567Designer Series 6 Case Double Deep Storage Table is also sometimes listed under the following manufacturer numbers: DAH-CM-CASE, DAH-DW-CASE, DAH-LI-CASE, DAH-MB-CASE, DAH-UN-CASE, DPI-CM-CASE, DPI-DW-CASE, DPI-LI-CASE, DPI-MB-CASE, DPI-UN-CASE, DPM-CM-CASE, DPM-DW-CASE, DPM-LI-CASE, DPM-MB-CASE, DPM-UN-CASE, DR-LI-CASE


text:
This Is What Happens When A Beer Sommelier Ranks A Bunch Of 40s
Thrillist | Posted 05.12.2014 | Taste
Read More: 40 Ounce, Beer Ranking, Beer, Taste News
When in the mood to relive your golden years, there's a pretty good chance you'll reach for an equally golden beverage.
Travel and Leisure rated San Francisco number nine in its America's Best Beer Cities readers poll. While our vote would put the 415 a little hig...


text:
Originally written on Fox Sports | Last updated 12/6/11
EAST RUTHERFORD, NJ - NOVEMBER 29: Kellen Clemens #11 of the New York Jets on the sideline against the Carolina Panthers at Giants Stadium on November 29, 2009 in East Rutherford, New Jersey. (Photo by Nick Laham/Getty Images)
The Houston Texans cut quarterback Kellen Clemens and placed punter Brett Hartmann on injured reserve. The 28-year-old Clemens joined the Texans (9-3) on Nov. 23 after quarterback Matt Schaub was injured and needed season-ending surgery to repair a Lisfranc injury in his right foot. Backup Matt Leinart was injured in the next game, rookie T.J. Yates became the starter and Houston signed Jake Delhomme to back up Yates. Yates completed 12 of 25 passes for 188 yards and a touchdown in the Texans' 17-10 win over Atlanta on Sunday. Hartmann, an undrafted rookie out of Central Michigan, tore his left anterior cruciate ligament late in the game. Coach Gary Kubiak said Monday that Houston will sign another punter after holding tryouts. Houston plays at Cincinnati (7-5) on Sunday.
Comments are closed.
What do you think?To leave a comment, you can:
NFL News
Delivered to your inbox
You'll also receive Yardbarker's daily Top 10, featuring the best sports stories from around the web. Customize your newsletter to get articles on your favorite sports and teams. And the best part? It's free!
Follow us on Twitter
|Best of Yardbarker
|NFL News
|MLB News
Today's Best Stuff
For Bloggers
Join the Yardbarker Network for more promotion, traffic, and money.
Company Info
What is Yardbarker?
Yardbarker is the largest network of sports blogs and pro athlete blogs on the web. This site is the hub of the Yardbarker Network, where our editors and algorithms curate the best sports content from our network and beyond.
|© 2015 Yardbarker, Inc. All rights reserved. Use of this website (including any and all parts and components) constitutes your acceptance of these Terms of Use and Privacy Policy. (What's New?)


text:
|Only valid on specific products
|On valid on specific products-exclusions apply
|This code may apply only to select orders from AutoAnything.com.
|Shoppers can use code AA15 to get 15% off brakes and more orders at AutoAnything.com.
|Shoppers can use an AutoAnything promo code for up to an extra 15% off.
|Shoppers an use an AutoAnything coupon code to save up to an additional 15% off.
|Get discounted floor mats, exhausts, covers, and more discounted 10% or more with today's featured sales at AutoAnything.
|One Time Use Per Customer
|AutoAnything is offering discounted car parts, batteries, oil, brakes, and more for July 4th savings. Shoppers can use an AutoAnything coupon to save up to an additional 20% off.


text:
Press release from Marketwire
WesternZagros Announces Stock Option Grant
Wednesday, January 30, 2013
WesternZagros Announces Stock Option Grant11:12 EST Wednesday, January 30, 2013CALGARY, ALBERTA--(Marketwire - Jan. 30, 2013) - NOT FOR DISTRIBUTION TO U.S. NEWSWIRE SERVICES OR DISSEMINATION IN THE UNITED STATESWesternZagros Resources Ltd. (TSX VENTURE:WZR) ("WesternZagros" or "the Company") announces, as part of its annual employee compensation program, it has granted 4,881,000 stock options to directors, officers and employees of WesternZagros pursuant to the Company's approved stock option plan. These options are exercisable at a price of $1.15 per share representing the closing price of the Company's shares on the TSX Venture Exchange on January 29, 2013.About WesternZagros Resources Ltd.WesternZagros is an international natural resources company engaged in acquiring properties and exploring for, developing and producing crude oil and natural gas in Iraq. WesternZagros, through its wholly-owned subsidiaries, holds two Production Sharing Contracts with the Kurdistan Regional Government in the Kurdistan Region of Iraq. WesternZagros's shares trade in Canada on the TSX Venture Exchange under the symbol "WZR".WESTERNZAGROS RESOURCES WAS RECOGNIZED AS A TSX VENTURE 50® COMPANY IN 2012. TSX VENTURE 50 IS A TRADE-MARK OF TSX INC. AND IS USED UNDER LICENSE.FOR FURTHER INFORMATION PLEASE CONTACT: NEITHER THE TSX VENTURE EXCHANGE NOR ITS REGULATION SERVICES PROVIDER (AS THAT TERM IS DEFINED IN POLICIES OF THE TSX VENTURE EXCHANGE) ACCEPTS RESPONSIBILITY FOR THE ADEQUACY OR ACCURACY OF THIS RELEASE Contact Information: WesternZagros Resources Ltd.Greg StevensonChief Financial Officer(403) firstname.lastname@example.com Resources Ltd.Tony KraljicVP Business Development(403) firstname.lastname@example.com Resources Ltd.Lisa HarrimanManager of Investor Relations(403) firstname.lastname@example.com GroupJohn Kiely+44 (0) 20 7360 email@example.com GroupJames McFarlane+44 (0) 20 7360 email@example.com


text:
Originally written on Fox Sports | Last updated 8/1/12
With newborn twins waiting at home and plenty of work to do on the field, NaVorro Bowman is feeling a great sense of responsibility this summer with the San Francisco 49ers. That comes with the territory after Bowman's emergence last year as one of the NFL's best linebackers in just his second season. Bowman went from a reserve role as a rookie to becoming a first-team All-Pro after the 49ers (No. 4 in the AP Pro32) moved him into the starting lineup last year. He quickly asserted himself as a force in the middle while helping San Francisco assert itself as one of the NFL's best defenses. Now he's eager to build on what he and the 49ers accomplished last year while continuing to grow as an individual.
Comments are closed.
What do you think?To leave a comment, you can:
NFL News
Delivered to your inbox
You'll also receive Yardbarker's daily Top 10, featuring the best sports stories from around the web. Customize your newsletter to get articles on your favorite sports and teams. And the best part? It's free!
Follow us on Twitter
|Best of Yardbarker
|NFL News
|MLB News
Today's Best Stuff
For Bloggers
Join the Yardbarker Network for more promotion, traffic, and money.
Company Info
What is Yardbarker?
Yardbarker is the largest network of sports blogs and pro athlete blogs on the web. This site is the hub of the Yardbarker Network, where our editors and algorithms curate the best sports content from our network and beyond.
|© 2015 Yardbarker, Inc. All rights reserved. Use of this website (including any and all parts and components) constitutes your acceptance of these Terms of Use and Privacy Policy. (What's New?)


text:
2013 August 8 - 10 US Coins Signature Auction - Rosemont #1188
|Sold for:
|Sign-in or Join (free & quick)
|Claim Item:
|Sign-in or Join (free & quick)
|Auction Ended On:
|Aug 9, 2013
|Item Activity:
8 Internet/mail/phone bidders
627 page views
Hyatt Rosemont
6350 N. River Road
Rosemont, IL
|Printable auction results for all items in the 2013 August 8 - 10 US Coins Signature Auction - Rosemont.
1848 Seated Quarter, PR661848 25C PR66 NGC. Ex: P. Kaufman. The 1848 proof quarter is an incredible rarity. The former Phil Kaufman coin, earlier pedigreed to Louis E. Eliasberg, Sr., is tied for the finest certified by NGC or PCGS.
Finest Certified, Ex: Kaufman
Apparently Rarer Than the Population Data Imply
Finest Certified, Ex: Kaufman
Apparently Rarer Than the Population Data Imply
Walter Breen, in his treatise on proof coins, enumerates seven 1848 proof quarters, two of which are in the Smithsonian Institution and American Numismatic Society collections. Larry Briggs, in his series reference, estimates eight to 10 specimens, and David Akers (1998), in his cataloging of the Pittman coin, accounts for five distinct coins, but says one or two additional pieces may exist.
NGC and PCGS combined have certified a total of six 1848 proof quarters. The former service has seen a PR66 (the present Kaufman coin), and two PR65 pieces, while PCGS has graded a PR66, PR65, and PR62. Aside from the Kaufman specimen, we are unable to account for any of the other certified coins. We did, however, offer a PCGS-graded PR63 in our August 1996 ANA Signature. We show no other public trades in our records; if these rare certified coins exist, they are trading privately, if at all.
The roster updates the listing provided by Akers:
1848 Proof Seated Quarter Roster
1. PR66 NGC. The present coin. Louis E. Eliasberg, Sr. Collection (Bowers and Merena, 4/1997), lot 1443; Phil Kaufman Collection / Baltimore ANA Signature (Heritage, 7/2008), lot 1818, which realized $63,250.
2. Gem Proof. Newcomb, part II (J.C. Morgenthau, 5/1945), lot 833; John J. Pittman Collection (David Akers, 5/1998), lot 1314.
3. Proof. New Netherlands 49th Sale (6/1957), lot 1154.
4. Proof. American Numismatic Society.
5. Proof. Smithsonian Institution.
Light golden-brown patina graces each side of this magnificent quarter formerly in the Kaufman Collection, accented with splashes of electric-blue, russet, and lavender concentrated along the margins. The sharp proof strike appears full throughout both sides, and the frosted devices stand out against mirrored fields. Close inspection reveals no mentionable marks. The closest to a pedigree marker we could mention is a tiny dark toning spot in the horizontal shield lines on the reverse, directly above stripe 1. The cataloger of the Eliasberg sale says of this coin: "From an aesthetic viewpoint this piece rates a '10,' " -- a comment with which we wholeheartedly agree.
From The Greensboro Collection, Part IV.(Registry values: P4) (PCGS# 5542)
View all of [The Greensboro Collection, Part IV]
View large image(s) of this item
Service and Handling Description: Coins & Currency (view shipping information)
Sales Tax information | NGC Coin Grading Guarantee | Terms and Conditions
Guides and Pricing Information:
Previous Prices from Heritage Auctions
|Sign-in or Join (free & quick)
Price Guide
|Sign-in or Join (free & quick)
Population Guide
|Sign-in or Join (free & quick)
Find Auction Prices for Comparable Items:
Sign-in or Join (free & quick) to see the full image


text:
This is a selection of the most dramatic, most revealing and sometimes the most farcical computer communications that flowed through the national security offices of the Reagan/Bush White House.
Free ShippingGet Free Shipping on orders over $25 (not including Rental and Marketplace). Order arrives in 5-10 business days.
Need it faster?We offer fast, flat-rate expedited shipping options.
Take advantage of Guaranteed Cash Back. Send your book to us in good condition before the end of the buyback period, we'll send YOU a check, and you'll pay less for your textbooks!
When you're done with this book, sell it back to Textbooks.com. In addition to the best possible buyback price, you'll get an extra 10% cash back just for being a customer.
We buy good-condition used textbooks year 'round, 24/7. No matter where you bought it, Textbooks.com will buy your textbooks for the most cash.
Being online is not required for reading an eTextbook after successfully downloading it. You must only be connected to the Internet duringthe download process.
Minimum Requirements:
What is the Marketplace?It's another way for you to get the right price on the books you need. We approved every Marketplace vendor to sell their books on Textbooks.com, so you know they're all reliable.
What are Marketplace shipping options?Marketplace items do not qualify for free shipping. When ordering from the Marketplace, please specify whether you want the seller to send your book Standard ($3.99/item) or Express ($6.99/item). To get free shipping over $25, just order directly from Textbooks.com instead of through the Marketplace.
FREE UPS 2nd Day Air Terms


text:
There are currently no items in your cart.
Lee Hyla Hammered Dulcimer Sheet Music: 2 items found
Lives Of Saints, Part I
Composed by Lee Hyla. For Solo mezzo-soprani fl.), cl. (b. cl.); vln., vla., vlc.; pno., perc., hammered dulcimer, fl. (a. fl., b. fl.), cl. (b. cl.), vln, vla, vc, pno, perc, hammered dulcimer. Full score. 46 pages. Duration 20 minutes. Published by Carl Fischer (CF.CY3003F)
Usually leaves our warehouse: Within 2 to 3 weeks
Amnesia Variance
Composed by Lee Hyla. For Clarinet (Bass Clarinet), Vln, Vla, Vlc, Hammered Dulcimer, Pno.. Published by Carl Fischer (CF.CY3291)
Usually leaves our warehouse: Within 2 to 3 weeks
Hammered Dulcimer


text:
Thanks for redeeming.{{else}}
Success! Thanks for repurchasing.{{/if}} {{else}} {{#if Expired}}
Increase my visibility!{{else}} {{#if IsMultiPack}}
{{#if HasMultiPack}} You have {{MultiPackCount}} top spot(s) left. Now loading you into the search listings... {{else}} You have used all top spots. Now loading you into the search listings... {{/if}}{{else}}
We are loading you into the search listing pages...{{/if}} {{/if}} {{/if}} {{/if}}
{{Current}} just saw you!{{/if}} {{#if LastTopSpotPurchaseIsMulti }} {{#if HasAnyTopSpot}}
{{#if HasFreeTopSpot }} {{ UnclaimedTopSpotFree }} Free {{/if}} {{#if HasPaidTopSpot }} {{#if HasFreeTopSpot }} & {{/if}} {{ MultiPackCount }} {{/if}} Top Spot{{#if Plural}}s{{/if}} Left{{else}}
0 Top Spot{{#if Plural}}s{{/if}} Left{{/if}} {{else}} {{#if HasFreeTopSpot }}
{{ UnclaimedTopSpotFree }} Top Spot{{#if Plural}}s{{/if}} Left{{/if}} {{/if}} {{else}} {{#if HasResults}}
{{Current}} see you now!{{else}} {{/if}} {{/if}}
You can now invite anyone to meet at your favorite Starbucks.
Limited-time feature
32 year old woman | Chandler, AZ, USA | Seeking men 31-38 within 1000 miles
Active within 24 hours
I know it's only a matter of time, looking forward to meeting you :)
I am a very sweet, caring, down to earth girl with a big heart, but I am also confident and I have a very strong work ethic. I am looking for someone who is not afraid of a successful working girl and understands that my job can be demanding at times. But that doesn't mean I don't know how to have a good time, or don't make time for it either :) Balance is important. I sing and song write, and occasionally do a little modeling on the side. The gym and fitness are important to me, so I workout often and take good care of my body. I'm completely over the night scene, but do enjoy an occasional night out with the girls to catch up on what's new in our lives. I prefer quality time with friends vs time at the clubs. I am at a point in my life where I have everything I want in life, but it would be that much better (not necessary, because I am an independent woman, but appreciated) if I had someone to share it with. I am looking for a man that is ambitious, successful, genuine, takes care of himself inside and out, appreciates me for all that I am, respectful, responsible, a positive thinker, and a romantic. I am also looking for a man that is ready for marriage and family life (OMG I said the M word lol jk ), and is just waiting for the right girl. I know exactly what I'm looking for and it's only a matter of time before I find you, and I am looking forward to it. :)
Camping , Coffee and conversation , Business networking , Cooking , Dining out , Hobbies and crafts , Movies/Videos , Museums and art , Music and concerts , Exploring new areas , Performing arts , Playing cards , Shopping/Antiques , Travel/Sightseeing , Video games , Volunteering , Wine tasting
Aerobics, Billiards / Pool, Dancing, Running, Walking / Hiking, Weights / Machines
I exercise 5 or more times per week.
I have Cats
Middle of the Road
don't really have any, looking forward to making some :)
University of California, Davis, Davis, CA
Favorite music is mostly top 40's, love action suspense thrillers and super hero movies, but I def enjoy a good comedy as well :)
Anything and everything :)
answer later
Z{{Cta}} {{#if HasMoreInfo}} ?{{CtaSecondary}} {{/if}}
|What she is looking for
|5'5" (165cms)
|5'10" (177cms) to 6'4" (193cms)
|Body type:
|Athletic and toned
|Slender, Athletic and toned
|Blue, Brown, Grey, Green, Hazel
|Dark brown
|Black, Light brown, Dark brown, Blonde, Dark blonde
|No Way
|No Way
|Social Drinker
|Never, Social Drinker, Moderately
|Financial / Accounting / Real Estate
|No preference
|I'll tell you later
|No preference
|Never Married
|Never Married, Divorced
|Have kids:
|Wants kids:
|Definitely, Someday
|Middle Eastern, White / Caucasian
|Middle Eastern, White / Caucasian
|Agnostic, Christian / Catholic, Christian / Protestant, Jewish, Spiritual but not religious, Other, Christian / Other
|Bachelors degree
|Some college, Associates degree, Bachelors degree, Graduate degree, PhD / Post Doctoral


text:
|Advanced Inspire Academic Resources (WEBINAR)
Event Type: ISL Workshop
Date: 12/14/2011
Start Time: 10:00 AM
End Time: 12:00 PM
After you show students how to use Inspire databases, they'll never need to come to the library again for homework help! Well, maybe not, but after attending this session, you'll be able to help students and faculty with research. A hands-on portion of the class will allow attendees to answer potential reference questions using the Inspire academic databases.Library: Indiana State Library
Databases Include: Academic Search Premier, Directory of Open Access Journals, ERIC, Google Scholar, Library Information Science& Technology Abstracts, LItFinder, NetLibrary, Professional Development Collection, Project Guttenberg, Testing and Education Reference Center
Location: Webinar, Live Online
Other Information:
This webinar is on eastern time.Contact: Jessica Jacko Barnes
Contact Number: 317-650-8492
Presenter: Jessica Jacko Barnes
Link: To register for the webinar, please click here.