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41 year old woman | Dundalk, MD, USA | Seeking men 30-51 within 50 miles of Baltimore, MD
A Good Women Seeks A Good Man
im a mix single mom with 2 kids I work doing daycare I like to travel read and camping working out go to movies love to cook like all kinds of music im a very kind loving careing honest romantic women seeking a very kind loving honest man whos very understanding and a family man i hope to find one nice guy one that's very romantic honest careing kind hearted with no drama one who likes me for the good women that I am who looks on the inside and see that I have a good heart and not judge me for what on the outside of me like your figure or your looks I want a man who looks at me and makes me feel like im his and not look past, me I want a man who walks beside me not in front of me a man whos proud of his women and gives her chocs roses and always say sweet things to her and have romantic candle light dinners take romantic trips long walks treat me with a lot of love and respect as I would him I want a handsome man who dress nice smell good a man who likes holding hands ,its hard to find those type of men these days if your out there maybe just maybe you will find me.
Book club , Camping , Coffee and conversation , Cooking , Dining out , Gardening/Landscaping , Hobbies and crafts , Movies/Videos , Museums and art , Music and concerts , Exploring new areas , Religion/Spiritual , Shopping/Antiques , Travel/Sightseeing , Volunteering , Watching sports , Wine tasting
I exercise 1-2 times per week.
I like Cats, Dogs, Fish, Horses
Middle of the Road
Z{{Cta}} {{#if HasMoreInfo}} ?{{CtaSecondary}} {{/if}}
|What she is looking for
|5'4" (162cms)
|5'8" (172cms) to 6'7" (200cms)
|Body type:
|Slender, About average, Athletic and toned
|Black, Blue, Brown, Grey, Green, Hazel
|Light brown
|Black, Dark brown, Salt and pepper, Dark blonde
|No Way
|Yes, but trying to quit
|Medical / Dental / Veterinary / Fitness
|No preference
daycare and nurseing student
|I'll tell you later
|No preference
|Currently Separated
|Never Married, Widow / Widower, Currently Separated, Divorced
|Have kids:
|Yes, and they live at home (2)
|Yes, and they sometimes live at home, No, Yes, and they live away from home, Yes, and they live at home
|Wants kids:
|Not sure
|Definitely, Someday, Not sure, Probably not, No, No, but it's OK if my partner has kids
|Black / African descent, Latino / Hispanic, Middle Eastern, White / Caucasian
|Latino / Hispanic, Middle Eastern, Native American, White / Caucasian
|Christian / Catholic
|Agnostic, Atheist, Buddhist / Taoist, Christian / Catholic, Christian / LDS, Christian / Protestant, Hindu, Jewish, Muslim / Islam, Spiritual but not religious, Other, Christian / Other
|Some college
|High school, Some college, Associates degree, Bachelors degree, Graduate degree, PhD / Post Doctoral


text:
Last month, Painter participated in a tryout for the Ravens, along with 2003 first-round pick Kyle Boller and former Pittsburgh Steelers scrambler Dennis Dixon. Afterwards, the Ravens gave him a one-year deal.
- 2012 Ravens minicamps
- Anquan Boldin is ready to mentor, hungry to win
- Bernard Pollard on Ravens 'D': 'You can't stop us'
- Jeff Zrebiec analyzes the Ravens' 2012 schedule
- 2015 Ravens mandatory minicamp
- 2015 Ravens organized team activities
See more photos »
- Football
- Baltimore Ravens
- Peyton Manning
See more topics »
"I'm coming to a great team," Painter said. "It's always good to be in that situation. Now I'm just getting adjusted and trying to learn the playbook and all the new faces and everybody. It's been a good process."
Painter said Flacco, in his fifth season, and Taylor, who is in his second, have been helping him pick up the unfamiliar terminology of coordinator Cam Cameron's offense, and he has been watching film with Taylor.
"We've had a lot of good sessions," the 26-year-old passer said. "They're great guys and good players, so it's going to be fun to work with them and pick their brains a little bit to see how things go around here."
Painter, a sixth-round pick by the Colts in 2009, appeared in nine games in 2011, completing 51.7 percent of his passes for 1,624 yards, six touchdowns and nine interceptions. He was solid in his first few starts, tossing a pair of touchdown passes in losses to the Tampa Bay Buccaneers and Kansas City Chiefs. But Painter threw eight interceptions and just one touchdown pass in his final five starts before being replaced.
He knows it would take an injury to Flacco for him to see the field in Baltimore but says his ultimate goal is to be in a position to help the team, whether it's on game day or during the work week. And he hopes his experience learning from Manning for three seasons will be an asset he can bring to the quarterback room.
"There aren't too many guys like that," said Painter, who has stayed in touch with Manning. "To get to study behind a guy like that, as a young quarterback, I learned a lot from him and took a lot from that during my time there, so hopefully I'll be able to use that knowledge and experience going forward to help this team."

subset: commoncrawl


text:
Pet Owners Unintentionally Harming Thousands of Pets Each Year
BREA, Calif., March 20 /PRNewswire/ -- In the average household, many
pets are only one bite away from disaster. Veterinary Pet Insurance (VPI),
the nation's oldest and largest provider of pet health insurance, recently
analyzed its medical claims data to determine the most commonly ingested
household toxins and poisons. VPI ranked the toxic substances by the number
of claims received in 2007 for each type. Shockingly, the most dangerous
poisons by far are human medications intentionally given to pets by their
owners. Following is the list of top household toxins, with 2007 claim
counts and prevention pointers for each.
1. Drug Reactions (3,455 claims) -- VPI received more claims for drug
reactions than all other poisoning claims combined in 2007. Many of
these claims involved pets given drugs intended for human
consumption, such as over-the-counter pain relievers. Pet owners
often give pets over-the-counter or prescription drugs for their
ailments, unaware that even given in small amounts, many of these
drugs cannot be metabolized by pets fast enough to prevent an
overdose. Never give pets medications without consulting a
2. Rodenticide (870 claims) -- Even if these poisons, most often sold in
pellet form, are placed away from pets, rodents can carry them to
pet-occupied areas. The taste and smell of rodenticides is designed
to appeal to small mammals. Pet owners should consider other options
for eliminating rodents.
3. Methylxanthine (755 claims) -- The methylxanthine class of chemical
compounds includes theobromine and caffeine, both of which are common
ingredients in chocolate. Toxic amounts of theobromine can cause
vomiting, diarrhea, dehydration, hyperactivity, abnormal rh
|SOURCE Veterinary Pet Insurance
Copyright©2008 PR Newswire.
All rights reserved


text: The Call and Response: Part One of the Space Between; The City in the Space Between wiki last edited by fables87 on 04/27/13 08:30PM View full history Sex, suspicions and treachery erupt, and explanations are in order at the House of Mystery. Who is Fig Keele really? Who and what are the Conception? Where is the Space between, and why is this all very bad news for Harry Bailey? Find out here in part 1 of "The Space Between," featuring a violent history lesson illustrated by Jim Fern (CROSSING MIDNIGHT) with an evocative cover by new regular cover artist painter Esao Andrews (FABLES: 1001 NIGHTS OF SNOWFALL).


text:
Flash Forward | The Week Ahead
Hugh Bob and the Hustle brings big buzz to Turner Hall
Kristyna Wentz-Graff
Hugh Bob & The Hustle band members are Nicholas Stuart (from left), Quinn Scharber, Hugh Robert Masterson, Justin Krol and Bradley Kruse.
Turner Hall Ballroom will be open Friday to allow one of the city's brightest bands, Hugh Bob and the Hustle, to headline the stage for the first time. »Read Full Article


text:
Posted April 15, 2003 and updated on May 9, 2013
Why is Spirited Away rated PG?
Official MPAA Rating: Spirited Away is rated PG for for some scary moments.
Please read our content details for this movie to help determine if it is suitable for members of your family. We also encourage you to check our full review and our movie information page.


text:
Introduction Patriot has been in the market for a long time but it is the lesser known little brother in the memory game. However this has not kept them from making some very cool memory models among other devices such as USB flash drives, mobile wireless storage and even a ...Read More »
Kingston HyperX Fury 32GB 2666MHz DDR4 Review (HX426C15FBK4/32), Lets mix it up!
Kingston HyperX Fury 32GB 2666 MHz DDR4 Today we are going to mix it up a bit while testing a Kingst...
Seagate Wireless 500GB (SDTC500401)
Seagate Wireless 500 GB Drive The last few years have seen an emergence of a fairly new creature on ...
Rosewill Plasma 18,000 mAh power bank
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Not long ago we did a first review of the EVGA GeForce GTX 980 Ti Superclocked+ ACX 2.0+ which we of...
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XFX R9 380 4G DD, XFX Review, XFX Rocks the DD Coolers Again! The XFX R9 380 4GB arrived at the lab ...
ADATA Premier Pro SDXC UHS-I Speed Class 3 (U3)
The role that SD and MicroSD cards play in our ever-increasing mobile lifestyle is becoming more and...
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In the past few years, a new trend has emerged that not only aims to help drivers document their tra...
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VisionTek 240 GB Go Drive (900512) Driven by a LSI SandForce SF2200 controller and designed for the ...
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39 year old man | Los Angeles, CA, USA | Seeking women 26-36 within 50 miles
Active within 5 days
Timing is everything
A bit about myself...I was raised in San Diego but have lived in LA since '94 and call it home. I went to USC (Go Trojans!) on an athletic scholarship and stayed in LA to pursue my goals in the music business. After a long career in the corporate world, I decided to become an entrepreneur and have never been happier. I am currently running two entertainment investment based companies and only wish I took the leap sooner. Even though my work is sports and entertainment related, I am hardly the Hollywood type. I've been described as easy going, down to earth, spontaneous, insightful, witty, loyal, family oriented, and driven. I definitely work hard and play hard but appreciate and value good company, nice dinners, and stimulating conversation. I'm a big sports fan (football and basketball) and am a regular at many LA sporting events (USC, Lakers, Kings, Dodgers, Clippers). I'm also very passionate about live music and love going to the Greek, Hollywood Bowl, LA Live, Santa Monica Pier concerts, and other smaller venues around town. I love traveling, weekend get-aways, and living a healthy lifestyle by staying active and working out. I relax by catching up on some DVR which lately includes: Breaking Bad, Homeland, Ray Donovan, Dexter, Hard Knocks, Louie, and Shark Tank. I have a great network of family and friends from various times in my life but am missing that special someone in my life to share it with. I am looking for someone who shares some of my interests, values, keeps me on my toes, and generally just someone that I have a natural connection with. Smart and funny go a long way! I don't have any baggage, and am really just looking to settle down with the right person. Hopefully we complement each others strengths and weaknesses which everyone has. Feel free to contact me if you think we have some things in common.
Alumni connections , Coffee and conversation , Business networking , Dining out , Movies/Videos , Museums and art , Music and concerts , Exploring new areas , Nightclubs/Dancing , Performing arts , Playing sports , Political interests , Shopping/Antiques , Travel/Sightseeing , Volunteering , Watching sports , Wine tasting
Baseball, Basketball, Billiards / Pool, Bowling, Football, Golf, Running, Skiing, Soccer, Tennis / Racquet sports, Walking / Hiking, Weights / Machines
I exercise 3-4 times per week.
I like Dogs, Horses
I like dogs
I usually go out in the West LA / Santa Monica / Venice areas but also like downtown. I have recently been on trips to Vegas, Panama, Hawaii, Grand Cayman, Nassau, and, Cabo.
University of Southern California, Los Angeles, CA
Live music, a nice glass of wine, classes at Equinox, lazy Sundays, Costco, Trader Joe's, summer, 3 day weekends, spontaneous trips, daylight savings, nice hotel rooms, laughing hysterically, helping someone out, peanut butter, meeting someone new
Concerts, sporting events, movies, restaurants, weekend trips, dinner parties, exercising, hiking, skiing, beach, wine tasting, Las Vegas, playing piano, and visiting new places
The Soundtrack Of My LIfe
Z{{Cta}} {{#if HasMoreInfo}} ?{{CtaSecondary}} {{/if}}
|What he is looking for
|5'10" (177cms)
|5'0" (152cms) to 5'7" (170cms)
|Body type:
|Athletic and toned
|Slender, About average, Athletic and toned
|No preference
|Dark brown
|No preference
|No Way
|No Way, Occasionally, Yes, but trying to quit
|Social Drinker
|Social Drinker, Regularly, Moderately
|Self-Employed / Entrepreneur
|No preference
Founded 2 successful entertainment investment based start-ups that I juggle throughout the day.
|No preference
|Never Married
|Never Married, Divorced
|Have kids:
|Wants kids:
|Definitely, Someday
|White / Caucasian
|Asian, Latino / Hispanic, Pacific Islander, White / Caucasian, Other
|Atheist, Christian / Catholic, Christian / Protestant, Jewish, Spiritual but not religious, Christian / Other
More spiritual than religious
|English, Spanish
|Graduate degree
|Some college, Associates degree, Bachelors degree, Graduate degree, PhD / Post Doctoral
I went to USC for undergrad and also got my MBA at USC


text:
the turks are now beginning to understand the battle is lost.
If selected for publication, it will appear as soon as possible on Haaretz.com.
The leaders of the rebel Free Syrian Army say they have moved their command center from Turkey to Syria.
Brig. Gen. Mustafa al-Sheikh, who heads the FSA's Military Council, told The Associated Press that the move aims to unite all rebel groups. He said Saturday that the move was made the week before, without specifying its new location.
FSA commander Col. Riad al-Asaad issued a video titled "Free Syrian Army Communique Number 1 from Inside" that the command has moved to "liberated areas."
The FSA has been the most prominent of the rebel groups trying to remove President Bashar Assad from power. But its commanders have come under criticism in the past for leading from Turkey, and its authority over numerous locally-based networks of fighters is limited.
Earlier in the day, eyewitness reports claimed that Syrian rebel fighters trying to oust President Bashar Assad shot down a fighter jet as it flew over the northern Syrian town of Atarib in Idlib province, a witness said.
The witness, an independent journalist who asked to remain anonymous, said rebel fighters were attacking a military base near the town when the jet flew over and rebels shot it down with anti-aircraft guns.
Vastly outgunned, rebels say they need surface-to-air missiles to take down planes and helicopters used by the Syrian military to bombard opposition strongholds.
Fighters use outdated anti-aircraft machine guns that are welded to pickup trucks but they are inaccurate and useless if the military aircraft fly above a certain altitude.


text:
It's a dangerous thing to step out your door.... Step 1 New Zealand
View Single Post
Stelvio Dreamer!
Joined: Dec 2007
Location: Brisbane-Australia
Oddometer: 592
evenin, well the weather has turned against us big time.
If you are planning to come to NZ in summer, you definitely need to be prepared for variable conditions. The winds on the ride from Mt Somers to Lake Tekapo were gusting (so we found out later) to 110km/hr. It was a bit of an ordeal, worst part was riding behind a hedge in relative calm for a while and then popping out from behind it to be blasted, the bike was tossed across the road much like passing a road train.
Bloody hell it's cold. Coming from Brisbane we are not accustomed to clod weather in the middle of summer.
Wilmo - yep wire wheels, but we had a problem. Woody had a problem with the mob that do his custom hub machining they sent over two rear hubs that had manufacturing defects... basically they had machined the bore in the hub with a taper in it and the bearings wouldn't press in properly. So the bikes have a spoked front and the OEM cast rear until I can get it sorted out, just didn't get time to sort it out before we left with all the planned jobs that inevitably have been left to the last minute. Woody reckons they will fix em no worries, but for now I am sure the cast wheels will be fine... might be a different story when we get to Africa though, but that's for a later story.
With the weather turned against us we have been holed up in Wanaka for a few days doing tourist stuff, but tomorrow we are on the bikes to Glenorchy. We have a tip that it's a fantastic road from a local bloke who rides a Harley, apparently there is some dirt and with the forecast of very heavy rain we have been warned to expect problems getting through, should be fun.
Cheers, Mike
Don't just look at it - Ride the bloody thing!
Mike.C screwed with this post 01-02-2011 at
View Public Profile
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text:
20 pounds of methamphetamine
(Traffic stop results in drug bust)….It occurred earlier this week on Highway 98.
(Traffic stop results in drug bust)….It occurred earlier this week on Highway 98.
(Women 40 or over in need of an annual mammogram)…Contact Between Women, Incorporated.
(IVC must justify it's Ag Program)…That was determined by a state mandated evaluation.
(Tis the season)…The season to mail gifts and other packages.
(Quechan Pedestrian Crossing is open)…Cal Trans says the project is at the Andrade Port of Entry.
(Long lines pollute the air)….Very long traffic lanes were reported at the Downtown Calexico Port Wednesday.
(Fill the Brawley Police Swat Truck)…That is how they are collecting toys this year.
(Imperial Police Chief loses the confidence of his department)…A letter was presented to the Imperial City Council Wednesday.
Page 126 of 538


text:
Winter Fun
Lace up, NYC! Our ice skating rinks are open. Grab some skates and hit the ice with family and friends.
We're having a free day of sports and fitness classes in honor of girls and women in sports.
More information about National Girls and Women in Sports Day
Hit the slopes at one of your neighborhood's favorite sledding hill.
Looking for a special date? Check out our guide to NYC's most romantic winter settings.
During times of heavy snowfall, we may offer a free snow day in several parks.
Enjoy amazing views of the city while getting fit outdoors.
Play ball, swim, and work out in our affordable rec centers, located across the city.
We've got free fitness classes for all interests and activity levels, all year round.
Arts and Culture


text:
'Cool congregations': The Interfaith Power & Light story, part 1
In a special Earth Day, 2000, edition of Time Magazine, I came across an article on the Rev. Sally Bingham, an Episcopal priest serving Grace Cathedral in San Francisco. She, in partnership with Steve MacAusland, had founded Episcopal Power & Light. Episcopal Power & Light represented a coalition of Episcopal congregations that had purchased green power. Episcopal Power & Light soon became California Interfaith Power & Light with the participation in the collaborative of congregations from other Christian denominations and Jewish synagogues. The Interfaith Power and Light (IPL) movement has spread across the country where now 38 states and the District of Columbia have recognized IPLs.


text:
A proposed five cent increase in the street light levy by Knoxville aldermen did not sit well with some residents.
Posts Tagged 'Streets'
Knoxville Aldermen Discuss Street Repairs, Cost, Time
A discussion of Division Street in Knoxville came up during a Sidewalk and Streets Committee meeting prior to last night's Knoxville City Council meeting that left aldermen with more questions that answers.
Division Street was brought up and its need to be resurfaced, but aldermen are not happy with how long it would take Knoxville Public Works Supervisor Tom Myers and his crew to get the work done.


text:
Rick Pitino
Quote of the Day: Rick Pitino makes fun of his famous "walking through that door" press conference
Sep 8, 2013, 2:00 PM EDT
Rick Pitino is being inducted into the Naismith Memorial basketball Hall of Fame this weekend, and in terms of his relatively minimal NBA contributions, the video clip above might be the moment he's most famous for. In a rant following a tough loss while coach of the Celtics, Pitino told reporters, "Larry Bird's not walking…
Brad Stevens trying to escape loooong run of college coaches failing in NBA
Jul 4, 2013, 1:30 PM EDT
In 1987, the New York Knicks hired a hotshot college coach who had just led Providence to the Final Four. The new coach was smart, energetic and extremely promising. In his first year, he led the Knicks to a 38-44 finish. Although that record wasn't great, it sure beat the 24, 23 and 24 games…
Reggie Miller, Don Nelson, and Bernard King among 2012 Hall of Fame candidates
Feb 24, 2012, 12:39 PM EDT
Enshrinement into the Naismith Memorial Basketball Hall of Fame is a distinct honor to many in the basketball world, no matter how ridiculous and arbitrary the criteria for inclusion seem to be. With that in mind, here are the candidates for the Hall of Fame class of 2012, as announced by press conference on Friday:…
Rick Pitino to coach Puerto Rico, John Calipari may coach Dominican Republic. Why?
Dec 21, 2010, 12:41 PM EDT
Former NBA and current Louisville coach Rick Pitino agreed recently to spend three months this summer coaching the Puerto Rican national basketball team for free as they try to qualify for the 2012 Olympics. Now, according to multiple reports (via Sports by Brooks), Kentucky coach John Calipari may do the same thing for the Dominican.…
Rick Pitino in talks to coach Puerto Rico's national team
Dec 16, 2010, 4:43 PM EDT
We can say that this fits the PBT format because Rick Pitino once coached professionals (you can insert your Louisville basketball jokes here), or that the Puerto Rican national team features NBA players such as J.J. Barea and Carlos Arroyo. But the honest truth is we just find this fascinating. Pitino is in talks to…
Stoudemire tells teammates to forget about 'Melo
Oct 22, 2010, 10:05 AM EDT
Amar'e Stoudemire went Rick Pitino yesterday. He told his team that Carmelo Anthony is not walking through that door. Chris Paul is not walking through that door. He used different words, but that was the sentiment. His sentiment may or may not be true a couple months from now, but is true about the season…
Teams want to take a look at Antoine Walker, according to his family
Aug 23, 2010, 9:40 AM EDT
Give Antoine Walker credit — he's trying. He has spent this summer working out at the University of Louisville under the watchful eye of Rick Pitino. Maybe at the same time he has learned his lessons about life, having had to file bankruptcy and now working to pay back the $1 million a judge said…
Antoine Walker working out for NBA comeback. No, seriously.
May 5, 2010, 8:14 PM EDT
Antoine Walker needs money. Desperately. And the NBA pays very well. So, you can guess what he's thinking. We're all thinking this is a bad and sad idea. But he's thinking money. Walker is working out with the University of Louisville because one can always dream of a comeback. The Associated Press has the details…
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- Report: Greg Monroe signing a maximum contract with Bucks 56
- Lakers, Knicks struggle on hectic first day of free agency 64
- Trail Blazers assistant coach: 'We didn't publicize it, but we lost LaMarcus Aldridge' 9
- Who is left on the board after wild first day of NBA free agency? 30
- L. Aldridge (5239)
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text:
Depending on the account, whitey heard of criminal charges being brought against him in either December 1994 or January 1995.
Prosecutors later said that Connolly was the one who tipped off whitey of his coming arrest in 1994.
For more than 20 years crime boss whitey Bulger was protected by the FBI.
"'white' person, person of European descent," by 1830 (of a white horse by 1828), from white (adj.) + -y (2) and -y (3). Earlier as an adjective, and Whitey-brown was a 19c. descriptive color name, used to describe, among other things, mulatto skin.
Blackey will overreach if he finds an opportunity; but the probability is, that his rogueries are often but apt imitations of Mr. Whitey, who would fain always be thought to be a pattern of honesty. [Capt. Hugh Crow, "Memoirs," London, 1830]
Negro troops doing provost duty in Norfolk; keeping the white people in order. On a visit to Norfolk one can see white Southerners, arrested for sundry misdemeanors, working on the public streets, under negro guards. ... It is quite a change to see, in Norfolk, negroes forcing white men to work, at the point of the bayonet; calling out to them: "No loaf'n dar!" "Move quicker, Sah!" "Hurry up dar, Old Whitey!" and similar orders. Tables turned! [diary of Lieut. S. Millett Thompson, 13th New Hampshire Volunteer regiment, U.S. Army, Jan. 25, 1864; diary published 1888 by Houghton, Mifflin & Co.]
Frequent changes in the structure and environment of a company, like mergers, cutbacks, and reengineering: Some whitewater is fun, but it takes a lot out of you
[1990s+ Corporate; fr rafting or kayaking in turbulent and dangerous white water]


text:
Purchase any two or more Lancôme products, one to be skincare, and receive a free Summer Set worth £34.50.More Info...
Worked perfectly - hard to find perfume for my sister reasonably priced and delivered on schedule.
Puntuación del servicio : Buena cobertura de servicio avisando con anticipación de disponibilidad de productos preferidos.
Producto : Colonia de Lancome con un aroma muy fresco y agradable
Amazing product!! Lovely smell - was afraid of ordering it without tasting the smell before, because i am really picky about fragrances,(takes me ages of trying on befor actually buying anything) but its absolutely great, very refreshing, doesnt dominate perfume i use, immediately absorbed, leaves the skin moist and feeling great. one of the best things i ever bought.
well packaged, perfect
GORGEOUS!! Been hooked for years, a beautiful fresh scent!!
This is my favourite Summer fragrance and it makes me feel totally refreshed and energised. I initially purchased this to use after gym workouts but ended up just using it all the time. It's a great smelling fragrance and I always get complimented on how lovely it is. However, it is a light fragrance, so longevity is short and if you're like me (always spraying throughout the day) then it won't last very long). So a BIG Thank You feelunique.com for making this so affordable.
I am very pleased with my purchase.
Great service as usual
Ordering my products was easy however, I was a little disappointed with the delivery. The parcel was left outside overnight behind a dustbin. When I finally got it the box had a rip in it. The contents were ok.
One of the most lovely fresh fragrances. Always get compliments when I wear it. Great for Summer.
I love this and have been told it is discontinued. So I purchased two bottles if I had more money, I would have bought more! Thanks, feel unique, for enabling me to have a small supply of one of my favourite summer perfumes!
Fantastic service , superfast shipping , well packaged, great product just as described best prices on the internet, will definately use this company againthank you5*****
will use again
Excellent service once again. Won't hesitate to buy from feelunique again.
fast service and got exactly what I wanted. Happy person!
Excellent service, arrived quickly.
Good to see this light citrus fragrance back on the shelf.
i love it!
Love it
Love this product but not always easy to come by since this is never in any of the shops. The only time I have seen it in a shop is when abroad.
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text:
Product Details
Class 3/4 Black Utility Ball Mount for 2" Receivers by Draw-Tite®. 5000 lbs GTW / 500 lbs TW, 1" Ball Hole. These ball mounts fit an industry-standard receiver hitch mount. Simply choose the correct-rated and correct-sized ball to match. Lifetime warranty.
- Fits standard square receiver tube opening
- Mounts are powdercoated black over e-coat, unless marked otherwise
- Fabricated from steel tubing or solid bar stock, depending on weight rating
- All welds MIG welded for strength and security
- Close tolerances to reduce rattle in receiver
- Available different overall lengths for correct clearance from bumper
You'll need to choose your ball mount carefully. The most important consideration is the weight of the trailer you'll be towing, followed closely by the GTW (Gross Towing Weight) of your tow vehicle. Be certain that every single component – receiver, ball mount, and ball – on your vehicle is rated to tow the biggest trailer you'll ever tow. (Don't forget that odds are, eventually someone is going to ask you to tow their trailer, not yours. Their big, heavy trailer.) We recommend rating the ball mount and ball to match the maximum towing capacity of your vehicle, not the weight of the trailer you want to tow today.
Choose a ball mount that will make your trailer as level as possible when the hitch is coupled. You may need a mount with some drop or rise, depending on the trailer and tow vehicle's relative heights. Don't forget to account for the tow vehicle squatting when it takes the weight of the trailer on the hitch.
Remember to keep the ball mount as short as feasible, because the further the ball is behind the rear axle, the more the trailer will steer the tow vehicle on a windy day. Also, the further back the ball is, the more the tongue weight of the trailer will push down your rear suspension.21.58 31.73
Brand: Draw-Tite Part Numbers:
Draw-Tite is the premier brand of custom trailer hitches. Established in 1946 and created with a passion for outstanding performance the brand has come to represent one of the best custom fit vehicle products available today. Each hitch design must pass rigorous testing to become TESTED TOUGH™. The addition of increased tongue weight capacity and an all new accessory pairing guide make the Draw-Tite brand your best choice for years of dependable service.Product Reviews (3)
Every Customer can leave a review about our service and the product that was purchased. In order to leave your review for your new product, please follow the link in the email you receive after completing your purchase. You can rate appearance, ease of installation, price/value and product quality.Draw-Tite® - Class 3/4 Utility Ball Mount for 2" ReceiversAverage Rating: 5 of 5APPEARANCEEASE OF INSTALLATIONPRICE/VALUEQUALITYAll Draw-Tite Reviews(5)APPEARANCEEASE OF INSTALLATIONPRICE/VALUEQUALITY1999 Acura SLX | Posted by Lester | (Englewood, NJ)
Good, thanks.Was this review helpful for you? YesNoShare this review:(5)APPEARANCEEASE OF INSTALLATIONPRICE/VALUEQUALITY2012 Honda CR-V | Posted by Stephen | (Salisbury, MA)
Good quality.1 people found this review helpful.Was this review helpful for you? YesNoShare this review:(5)APPEARANCEEASE OF INSTALLATIONPRICE/VALUEQUALITY2000 Chevy Blazer | Posted by Kelvin | (Escondido, CA)
This was a very well constructed ball mount. It is a solid piece of metal extremely heavy. I was very pleased with the way it was made. If you are looking for a good ball mount to use with pulling a heavy travel trailer this is it.3 people found this review helpful.Was this review helpful for you? YesNoShare this review:
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You will never pay more with CARiD! Not only will we match prices from any competitor's website or other reputable source, we will continue to honor that promise for up to one year after your purchase.
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text:
Hsieh: "The tech world and social media world will become more and more unpredictable. Rather than try to predict the future, build Zappos and Downtown Project for flexibility, adaptability, and speed."
Coleman: What would you like your business legacy to be?
Branson: "Somebody who tried to make a positive difference to other people's lives, and had a lot of fun along the way."
Hsieh: "Someone who inspires people to follow their passions and companies to develop strong company cultures."


text: No recent wiki edits to this page. You'd think Hawkeye would welcome a new costumed hero, wouldn't you? Well, not when the "hero" is a brutal vigilante! Plus: Dr. Pym may not be able to grow and shrink anymore, but his old enemy Dr. Nemesis still can! When Dr. Nemesis returns for revenge, how can the scientific adventurer survive?


text:
Killed ABC Serials Get One More Breath
Three of its new shows -- "Day Break," "The Nine" and "Six Degrees" -- were pulled after a few weeks on the air, leaving what fans there were of each series on a limb. It looks, though, that ABC will offer some form of closure for all three shows.
"Day Break," which was to have plugged the
As for "The Nine" and "Six Degrees," "those two actually may get back on the air in [primetime]," he says. Neither show has a specific return date, but McPherson says it's likely they'll be back on before the season closes in May. "Six Degrees," in fact, remains in production after going dark for a while to retool.
Now, the bad news: Neither show is being extended beyond its initial 13-episode order this season. That means, in the case of "The Nine," that viewers won't get to see a complete resolution of the bank-robbery story that fuels the show.
"It wasn't designed to end at the end of the 13, so it doesn't answer that specific question," McPherson says. It's possible, though, that ABC would work with creators Hank and K.J. Steinberg to offer fans some way (short of shooting more episodes) of finding out how the story ends.
As for why the shows didn't click with audiences, McPherson can't point to any one reason. He does believe, though, that there wasn't anything wrong with the series creatively.
"The shows were incredibly well-produced. We loved the shows creatively," he says. "I don't look back in kind of hindsight and say, 'Boy, we should have done this differently, that differently,' about those shows. [It] may have just been timing."
Going forward, ABC is looking for a better balance between serialized shows and those that don't necessarily demand an every-week commitment from viewers.
"There's so much good drama on right now that you're asking a lot of the audience," McPherson says. "On every night there's two or three shows, not just on our network, but across the board. I think in the mix as we go into development this year, we have more stuff that is procedural or close-ended."


text: Hazel A. Flanagan, 82 Long Prairie November 22, 1929 – June 8, 2012 A Funeral Service will be held at 11:00 a.m. on Monday, June 11, 2012 at Peace United Church South in Long Prairie, MN, for Hazel A. Flanagan, age 82, of Long Prairie, MN. Rev. Gary Taylor will officiate and burial will be [.....Read More


text:
Global Observer successfully completes first flight
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Article Summary
After AeroVironment's recent announcement that its Global Observer unmanned aircraft system (UAS) had successfully completed a series of Wing Load tests the team apparently wasted no time getting the craft in the air for its maiden flight. On August 5 Global Observer 1001 took off from Edwards Air Force Base (EAFB) in California and climbed to an altitude of 4,000 feet where it performed a series of maneuvers before landing successfully one hour later.
Read the full article: Global Observer successfully completes first flight
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text:
Hey there duders,
I was just curious to know if any of you out there live in Toronto and use or have used GameAccess.ca for renting out games. I have a pretty sizeable backlog of single player games which I want to finish over the summer, but I think buying every single one of them won't be feasible. Most of them are games from last year like the Assassin Creed series, Infamous 2 and the likes .. so nothing super new I guess, so I am hoping getting them won't be a hassle. Also, how is the turnaround time in Toronto .. do I get a game within 2-3 days, considering the company is based in nearby Montreal ?
Anyway, any heads up on if it is worth getting a subscription would be truly appreciated.


text:
At least we can still discuss those vital topics!Originally Posted by GAC
At least we can still discuss those vital topics!Originally Posted by GAC
"Hey...Dad. Wanna Have A Catch?" Kevin Costner in "Field Of Dreams."
For the record, this was stated before ochre made me a mod on that political forum over yonder.Originally Posted by Red Leader
Anybody has any problems in a political thread over there---leave.
You are entering that forum at your own risk.
In all honesty, I'll try to do what I can, when I can, but I'm not promising comprehensive coverage for anyone.
'When I'm not longer rapping, I want to open up an ice cream parlor and call myself Scoop Dogg.'
-Snoop on his retirement
Your Mom is happy.
I kinda thought the non-baseball side of RedsZone was the same way.You are entering that forum at your own risk.
This decision really disappoints me. It was great to have one place to go to discuss Reds baseball as well as non-baseball issues. Now we've got two simultaneous (and often parallel) baseball discussions on RedsZone, and we have to go elsewhere to talk politics.
I understand why the decision was made, though. The mods got fed up with babysitting.
I think I'm more disappointed that we all couldn't act like mature adults and disagree without insults and personal attacks.
"I prefer books and movies where the conflict isn't of the extreme cannibal apocalypse variety I guess." Redsfaithful
I don't know what I'm going to do now, though.
I think about 300 of my 400 rep points came from the "Non B-Ball" board. I might actually have to talk some baseball on RZ!
We'll burn that bridge when we get to it.
Good decision Boss, as usual the mods have the best interest of redszone at heart. Thanks.
Let's play two!!!
Originally Posted by registerthis
I was thinking the same thing this morning Reg.
Or merely distinguish between a personal attack and an attack on a position.Originally Posted by Johnny Footstool
It's not that bloody hard.
Ochre know this?
I've been to dinner at Jimmy Buffet's house, and I've eaten it at a homeless shelter. And there's great joy and harrowing terror to be found in both places.
-Todd Snider
Well, he'll know when he reads this thread!Originally Posted by 919191
No, actually, he's well-aware.
Help stamp out, eliminate, and do away with redundancy.
Therein lies the problem.Originally Posted by Johnny Footstool
Good plan Boss.
Hope everyone plays nice, RL and Puffy don't take crap
Go Gators!
Yes, that would be nice.Originally Posted by registerthis
I could also use my signature to show how much I look down on people who disagree with my beliefs, but I choose to be better than that. This is, after all, a BASEBALL forum.
"Oh, look at me! I'm making people happy! I'm the Magical Man from Happy-Land, in a gumdrop house on Lollipop Lane!"
Now i have to read them all to see what the fuss is about.
And with this (not-so) veiled jab, can we close this thread?Originally Posted by capndees
I thought we'd called a ceasefire?
We did, and I have no problem with you, FCB. I just had to get my 2 cents in about reg's signature. I consider it a (not-so) veiled jab every time he posts. I'm not even asking that he change it (I'm not into censorship), I just wanted to get my feelings out there.Originally Posted by Falls City Beer
"Oh, look at me! I'm making people happy! I'm the Magical Man from Happy-Land, in a gumdrop house on Lollipop Lane!"
Board Moderators may, at their discretion and judgment, delete and/or edit any messages that violate any of the following guidelines: 1. Explicit references to alleged illegal or unlawful acts. 2. Graphic sexual descriptions. 3. Racial or ethnic slurs. 4. Use of edgy language (including masked profanity). 5. Direct personal attacks, flames, fights, trolling, baiting, name-calling, general nuisance, excessive player criticism or anything along those lines. 6. Posting spam. 7. Each person may have only one user account. It is fine to be critical here - that's what this board is for. But let's not beat a subject or a player to death, please.


text:
S. Fred Singer
S. Fred Singer
- B.E.E. (Electrical Engineering), Ohio State University.
- A.M. and Ph.D. (Physics), Princeton University.
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Israel will stop exporting poultry and dairy from settlements to the European Union, Israeli and European officials announced.
Effective Sept. 1, Israeli poultry and dairy exports to the EU will be restricted to products from within the Green Line, Israel's pre-1967 borders, the French news agency AFP reported.
An Israeli official involved in discussions with the EU told AFP that Israel does not export a significant amount from the settlements and that most of those products cater to observant Jews.
However, a Foreign Ministry official told The Jerusalem Post that certain technicalities in the EU legislation barring these imports, which were approved in February, could allow for a wider ban on settlement products.
The EU already labels such products, but has no ban on the sale of settlement products. The new policy concerning poultry and dairy stems from the European Commission's decision not to recognize the authority of inspection agencies over the Green Line.
Israel's Agriculture Ministry told dairy farms and factories that it plans to comply with the edict, even as it works to sway the EU to repeal it, according to The Jerusalem Post.
David Elhayani, who heads the Jordan Valley Regional Council, told the Post that the EU policy is "anti-Semitic" and that many farms are focusing on alternative markets, particularly Russia.
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text: a 15 µf capacitor is connected to a 50V battery and becomes fully charged. The battery is removed and a slab of dielectric that completely fills the space between the plates is inserted. If the dielectric has dielectric constant of 5. What is the voltage across the capacitors plates after the slab is inserted?


text:
The first step of self-improvement during the New Year is to pick up a personal planner to keep you organized and focused. With so many fun color and size options, there is one sure to represent the new you.
Baltimore blog celebrates re-launch
Our style pros help us carry our favorite summer staples into the cooler months


text:
An integrated disposable set for dialysis or ultrafiltration treatment of blood is disclosed that includes a memory "key" chip. The key contains information relating to the set, including calibration for sensors, model and date of manufacture and a proprietary secret code to prevent unauthorized duplication of a circuit. The key is activated when treatment of a patient begins to prevent reuse of the set and a delay in use of the set that is too long. Patient data and operational information can be stored in the key during treatment. The key can be returned to the manufacturer or entered into hospital database for analysis. The key is preferably an EEPROM chip that can be embedded in an integral circuit sensor or a separate plug in device, such as a code card.
1. A disposable set for filtration of blood comprising:
a first passage through which flows blood from and to a patient;
a second passage through which flows filtrates removed from the blood; at least one blood pressure sensor; and
a programmable memory device containing information regarding the manufacture and operation of the disposable set and capable of storing additional information regarding the use of the disposable set to filter a patient's blood and regarding the treated patient, the manufacturing or treatment information disabling operation of the disposable set after respective predetermined periods of time.
2. The disposable set recited in
3. The disposable set as recited in
4. The disposable set as recited in
5. The disposable set as recited in
6. The disposable set recited in
7. The disposable set as recited in
8. The disposable set as recited in
9. The disposable set as recited in
10. The disposable set as recited in
11. The disposable set as recited in
12. The disposable set as recited in
13. The disposable set as recited in
14. The disposable set recited in
15. The disposable set recited in
16. The disposable set as recited in
17. The disposable set as recited in
18. A blood filtration system comprising:
a filter;
a disposable cartridge comprising:
a first passage through which flows blood to and from a patient,
a second passage through which flows filtrates removed from the blood by the blood filter;
at least one blood pressure sensor; and
a memory device containing information regarding the manufacture and operation of the disposable set and capable of storing additional information regarding the use of the disposable set to filter a patient's blood and regarding the treated patient; and
a console on which the disposable set is detachably mounted for pumping the blood and the filtrates, the console including a microprocessor that uses the manufacturing and treatment information for either enabling and controlling the operation of the disposable set in combination with the console or disabling the operation of the disposable set.
19. The filtration system recited in
20. The filtration system recited in
21. The filtration system recited in
22. The filtration system recited in
23. The filtration system recited in
24. The filtration system recited in
25. The filtration system recited in
26. The filtration system recited in
27. The filtration system recited in
28. The filtration system recited in
29. The filtration system recited in
30. The filtration system recited in
31. The filtration system recited in
32. The filtration system recited in
33. The filtration system recited in
34. A disposable set for filtration of blood to be used on a single patient comprising:
an electronic memory device for storing information about the manufacture and operation of the set and capable of storing additional information regarding the use of the disposable set to filter a patient's blood and regarding the treated patient,
wherein the manufacturing and treatment information either enables or disables operation of the disposable set at a selected time and with a selected console on which the disposable set is detachably mounted for pumping the blood and filtrates; and
a tubing set for mounting on a roller blood pump, the tubing set including a plurality of pump segment loops for compression by rollers, and a plurality of tubes leading to and from the patient for blood access.
35. The disposable set of
36. The disposable set of
37. A method of preventing reuse or delayed use of a single use extracorporeal blood circulation set comprising:
providing an electronic memory device with the set containing information about the manufacture and operation of the set and capable of storing additional information regarding the use of the disposable set to filter a patient's blood and regarding the treated patient;
connecting the electronic memory device to a blood pump controller that controls activation of the set;
reading the memory device to ascertain whether and when the set has been previously activated for treatment of a patient;
if the set has been previously activated and the amount of time that has elapsed since such activation has exceeded a predetermined amount of time, precluding the set from being used to treat a patient.
38. The method recited in
39. The method recited in
40. A method of operating a single use extracorporeal blood circulation set comprising:
providing with the set a memory device containing information regarding the manufacture and operation of the set and capable of storing additional information regarding the use of the disposable set to filter a patient's blood and regarding the treated patient;
connecting a memory device to a controller that controls the operation of the set;
reading the manufacturing and treatment information in the memory device in connection with operating the set,
wherein the manufacturing or treatment information disables operation of the disposable set after respective predetermined periods of time.
41. The method of operating a set recited in
42. The method of operating a set recited in
43. The method of operating a set recited in
44. The method of operating a set recited in
45. The method of operating a set recited in
46. The method of operating a set recited in
47. The method of operating a set recited in
48. The method of operating a set recited in
49. A method of treating a patient suffering from a fluid overload condition, the method comprising the steps of:
inserting two catheters into suitable veins of the patient,
mounting a disposable blood filtration circuit cartridge on a blood pump console,
inserting a memory device into the blood pump console to enable operation of the disposable filtration cartridge and limit use of the cartridge to a single patient,
initiating blood flow through the disposable filtration cartridge, and
removing excess fluid from the patient by filtering fluid from the blood,
wherein the memory device contains information regarding the manufacture of the disposable filtration cartridge and stores additional information regarding the use of the disposable filtration cartridge to filter a patient's blood and the patient in connection with the blood filtration treatment, the manufacturing and treatment information limiting use of the disposable filtration cartridge to a single patient within a predetermined period of time.
50. The method of
51. The method of
52. The method of
53. The method of
54. The method of
55. The method of
56. The method of
57. A method of conducting renal replacement therapy, the method comprising:
inserting two catheters into suitable veins of a patient,
mounting a disposable blood filtration circuit cartridge on a blood pump console,
connecting pressure sensors that are part of the disposable filtration cartridge to the console,
inserting a key memory device into the blood pump console, the key memory device containing information regarding the manufacture of the disposable filtration cartridge and storing additional information regarding the use of the disposable filtration cartridge to filter a patient's blood and the patient in connection with the blood filtration treatment,
transferring information relating to the manufacture and use of the disposable filtration cartridge from the key memory device to a microprocessor located in the console,
enabling operation of the disposable filtration cartridge where the console determines from the key memory device that the disposable filtration cartridge has not been used before and has not expired since the cartridge's manufacture,
initiating blood flow through the disposable filtration cartridge, and removing excess fluid from the patient by filtering fluid from the blood.
58. The method of
This application is a continuation of application Ser. No. 09/696,642, filed Oct. 26, 2000, now U.S. Pat. No. 6,468,241, the entire content of which is hereby incorporated by reference in this application.
This invention relates to the extracorporeal treatment of blood, and more particularly to the Renal Replacement Therapy or Artificial Kidney.
1. Mechanical Fluid Removal Therapies
Different modalities of Continuous Renal Replacement Therapy (CRRT) have been used to treat patients suffering from excess fluid overload and acute renal failure. In the acute setting, CRRT has been performed previously using standard methods of hemodialysis and continuous arterio-venous hemofiltration (CAVH). More recently, continuous veno-venous hemofiltration (CVVH) has been used to reduce the complications associated with such issues as hemodynamic instability and need for arterial access.
Renal replacement therapy performs two primary functions: ultrafiltration (removal of water from blood plasma), and solute clearance (removal of different molecular weight substances from blood plasma). The filter, also called hemofilter or "dialyzer", can be set up to perform either or both of these functions simultaneously, with or without fluid replacement, accounting for the various modes of renal replacement therapy. "Clearance" is the term used to describe the removal of substances, both normal and waste product, from the blood.
Ultrafiltration is the convective transfer of fluid out of the plasma compartment through pores in the membrane. The pores filter electrolytes and small and middle sized molecules (up to 20,000 to 30,000 daltons) from the blood plasma. The ultrafiltrate output from the filtration pores is similar to plasma, but without the plasma proteins or cellular components. Importantly, since the concentration of small solutes is the same in the ultrafiltrate as in the plasma, no clearance is obtained, but fluid volume is removed.
Dialysis is the diffusive transfer of small solutes out of a blood plasma compartment by diffusion across the membrane itself. It occurs as a result of a concentration gradient, with diffusion occurring from the compartment with higher concentration (typically the blood compartment) to the compartment with lower concentration (typically the dialysate compartment). Since the concentration of solutes in the plasma decreases, clearance is obtained, but fluid may not be removed. However, ultrafiltration can be combined with dialysis.
Hemofiltration is the combination of ultrafiltration, and fluid replacement typically in much larger volumes than needed for fluid control. The replacement fluid contains electrolytes, but not other small molecules. Since the net effect of replacing fluid without small solutes and ultrafiltration of fluid with small solutes results in net removal of small solutes, clearance is obtained.
2. Limitations of Existing Devices for Ultrafiltration
Dialysis Machines historically used sets of disposables that can be assembled of various parts from different manufacturers. This allowed flexibility in use, but had certain disadvantages. Joints between parts will spring leaks, allowing ingress of air and facilitating clotting. A high degree of skill was required from users to assemble tubes, connectors, filters and accessories and then load them correctly into pumps, bubble detectors, pressure sensors and other interface elements of a dialysis machine. While in the setting of a chronic dialysis center, such practice was acceptable. In the acute setting, such as an Intensive Care Unit (ICU) of a hospital, it became an impediment.
This, among other factors, led to under utilization of mechanical fluid removal in the ICU of a hospital in the past. In the U.S., only recently was the sophisticated apparatus "Prisma" from Hospal-Gambro released. This device uses an integrated set where tubing, filter and accessories are all bonded together in the right order and no assembly is required. The filter, sensor interfaces and the four dedicated pump segments (for blood, dialysate, replacement solution and effluent) are also mounted on a flat plastic cartridge to simplify the loading of pumps. The manufacturer advertises the Prisma machine as "an integrated system for continuous fluid management and automated renal replacement therapy blood."
Recent changes in the dialysis technology introduced microprocessors, computer graphics interfaces and sophisticated control algorithms. The new generation of controls allows more accurate and safe ultrafiltration. The bases for the advances controls are the sensors. Dialysis equipment uses a variety of sensors that interface with the fluid flow. The sensors include standard configuration pressure sensors, blood leak (typically photometric) sensors and air detection (typically ultrasonic) sensors. Lately, some manufacturers have introduced flow sensors, conductivity sensors, and blood hematocrit sensors.
In all existing dialysis, ultrafiltration and hemofiltration equipment sensors are part of capital equipment. The single use dialysis sets, integrated or not, only include plastic parts with no built in intelligence. Properties of the plastic material as well as mounting conditions contribute to the uncertainty of measurement. For example a 1% accurate pressure sensor can be used to measure blood pressure in the blood return line. Pressure is transmitted from blood through the silicon diaphragm that is a part of the disposable set. Owing to manufacturing methods and properties of the material, the elasticity of the diaphragm has inherent variability of 10%. As a result, practical accuracy of the sensor is dramatically reduced. The sensor to media interface also reduces other performance parameters, such as frequency response, resolution, and stability.
Another noted limitation of the existing dialysis sets is the lack of traceability associated with the single use set. In some countries, dialyzers (the most expansive component) are reused, but sets of tubing are always disposable. All disposable sets have serial numbers and limited shelf life. It is the responsibility of the user to ensure that the serial number of the set is recorded, and that the set is not reused or kept out of the package and on the machine longer than is safe. Yet another limitation of the existing single use dialysis set technology is that it can be easily replicated by "after market" manufacturers after the original equipment manufacturer has invested in development. This way, dialysis equipment manufacturers have no means of preventing users from using sets that are made by competitors. There is also an associated danger of an incompatible or partially compatible set being used without the knowledge of the manufacturer of the capital equipment.
Digital technologies allow easy storage of significant amounts of digital information in relatively inexpensive miniature ROM (Read Only Memory) chips. In recent years the medical disposables technologies are making increasing use of them. There have been several devices where the disposable component of a medical device has an integral or added "memory" component. For example, U.S. Pat. No. 5,720,293 discloses a diagnostic catheter with a memory chip where calibration, patient and serial number information can be stored. Camino Neural Care of San Diego, Calif. manufactures a disposable intra-cranial pressure catheter for use in neurosurgery that comes with an individually programmed memory "key" that contains calibration information for the pressure sensor. None of the aforementioned devices addresses specific needs of an advanced dialysis set.
The present invention is a new and improved integrated disposable set with a memory device for storing useful information used in a dialysis or ultrafiltration set to improve accuracy of sensors, prevent reuse and incorrect use and to protect the set from replication and selling by competitor.
It is an object of the present invention to address the needs of fluid removal and dialysis in the acute and emergency settings. It is another object of the present invention to eliminate significant limitations of existing fluid removal and dialysis devices.
The present invention is directed to a memory device that is used with a disposable ultrafiltration set for dialysis or fluid removal in fluid overloaded patients. The memory device or "key" is preferably an EEPROM that is embedded in a blood circuit sensor used with the ultrafiltration set or a separate key code card that is plugged into the control panel of the set.
The key can contain information about the manufacture and/or use of the disposable ultrafiltration set, including:
Set Model Number;
Serial number;
Encoded Date of manufacture;
Encoded Expiration date of the set;
Proprietary secret code to prevent unauthorized duplication of a circuit;
Calibration coefficients for single use pressure sensors that are the part of the set;
Calibration coefficients for single use blood optometric leak detector that is the part of the set;
Calibration coefficients for the single use optical oximery sensor (SvO2) that is the part of the set; and/or
Encoded checksum of above data.
Patient data and operational information can be stored in the key during treatment.
The key can also store information written into the key relating to treatment of a patient:
Date and time when the circuit was mounted on the machine;
Machine serial number and model number;
Machine CPU software revision;
Machine hardware revision;
Date and time when the treatment started;
Duration of treatment;
Treatment modality (SCUF, CVVH, CVVHD etc.);
User actions;
User settings such as blood flow, fluid removal rate;
Actual sensor readings such as circuit pressures, blood and other fluid pump flows, oxygen and other gas contents of blood, hematocrit, venous blood pressure when the pump is stopped;
Total amount of fluid removed per treatment;
Date and time when the circuit was dismounted; and
Battery operation.
Preferably the key is returnable to the manufacturer or usable by a hospitable so that information stored in the key can be entered into databases usable for various objectives.
A preferred embodiment and best mode of the invention is illustrated in the attached drawings that are described as follows:
FIG. 1 is a perspective view of an intravenous blood ultrafiltration system using a disposable blood circuit cartridge with an integrated pressure sensor.
FIG. 2 is a schematic diagram showing a fluid path of blood and removed fluids for the blood circuit cartridge used with the blood ultrafiltration system shown in FIG. 1.
FIG. 3 is a schematic of an integrated pressure sensor and an EEPROM device.
FIG. 4 is a block diagram of the preferred embodiment of the EEPROM device of the present invention.
The present invention is a memory device that is used with a single use disposable set for dialysis or ultrafiltration of blood to treat fluid overload in patients in a on-ICU setting. The disposable ultrafiltration set is disclosed in commonly-owned U.S. patent application Ser. No. 09/660,195, filed Sep. 12, 2000, which application is incorporated herein by reference. The ultrafiltration set is mountable on a console equipped with two pumps (for blood and ultrafiltrate). The set contains a disposable circuit with an integral filter and three integrated pressure sensors. Unlike common dialysis disposables that come in separate pouches and need to be assembled, the disposable circuit comes in one organized tray similar to ones used by interventional cardiologists. Inside the tray are all the components that are needed to treat a single patient. The memory key of the present invention is tethered to the disposable circuit and sealed in the tray. A brief description of the disposable set and the console on which it is mounted follows.
FIG. 1 shows an intravenous blood ultrafiltration system 100 for treating a patient (not shown) suffering from fluid overload. To initiate ultrafiltration treatment, two standard 18G IV needles (not shown) are introduced into suitable peripheral veins (not shown) for the withdrawal and return of the blood. The needles are attached to a withdrawal tubing 104 and a return tubing 105, and secured to skin with attachments, such as adhesive strips (not shown). The withdrawal and return tubing 104 and 105, forms portions of a continuous blood fluid passage 108 that extends through a disposable blood circuit cartridge 109 (FIG. 2). The disposable blood circuit cartridge 109 is attached to a pumping console 110.
Tubing sections similar to the blood tubing 104 leading from and blood tubing 105 leading to the patient extend through cartridge 109 and form additional links in the blood fluid passage 108. These tubing links are coupled to a blood filter 111 and pressure sensors 112, 113, that are contiguous with the tubing and form sections of the blood fluid passage 108. In other embodiments it can be envisioned that the blood filter 111 is supplied separately and can be connected to the cartridge by the operator before treatment.
The filtrate disposable blood circuit cartridge 109 is supplied separate from the console and packaged in a sterile package. The cartridge is intended to be used for one single treatment, and not to be reused. The cartridge is inserted into the pump console 110 by threading the tubing loops 121 in the blood passage 108, and ultrafiltrate discharge tubing 119 over the rims of roller pumps 122 and 126, respectively. As pumps 122 rotate, they slidably engage the tubing and force blood and ultrafiltrate fluids to move through the cartridge fluid passages. Microprocessor pump drivers (not shown) control the flow rate of the blood and ultrafiltrate through the cartridge. The pump drivers are part of console 110 and are controlled by a microprocessor controller 128 (FIG. 3) within pump console 110. Electronic key 130 is supplied with the circuit in the same sterile package and inserted into the slot 125 in console 110 prior to treatment.
The tubing of the blood circuit cartridge 109 may be mounted in a molded-plastic housing 123 that fits into a recess in the surface of console 110 and snaps into console 110 with latches 124. A blood withdrawal pressure sensor 112 is mounted to an inside surface of the cartridge housing 123. A pressure sensor 113 for the blood return tube 105 and an ultrafiltrate pressure sensor 114 are mounted to an inside surface of the second cartridge housing 129. Blood pressure sensors 112 and 13 and ultrafiltrate pressure sensor 114 include transducers that convert pressures into electrical signals carried by signal wires 131 that are connected to microprocessor controller 128 in console 110.
In the preferred embodiment of the invention, sensors 112, 113 and 114 are MPX2300D sensors manufactured by Motorola. Filter 111 in the preferred embodiment is a custom-made filter made by Minntech of Minnesota. The filter uses polysulfone hollow fiber available from Minntech or Fersenius of Germany. Pump console 110 in the preferred embodiment is manufactured by Intellicardia.
FIG. 2 is a schematic diagram of the blood and filtrate flow through the ultrafiltration system 100. The system symbolically depicted in the FIG. 2 is designed primarily to perform SCUF (Slow Continuous Ultrafiltration) but can be easily converted for other RRT (Renal Replacement Therapy) modalities. The second hemofilter port 153 is plugged for SCUF. If dialysis is desired, a source of dialysate fluid can be connected to this port. Dialysis fluid will circulate through the filter casing and interface with blood through the hollow fiber membrane. This way clearance can be obtained via the diffusion of solute. For this mode, dialysate may need to circulate in the direction opposite to blood. This can be achieved by reversing the pump 126.
Alternatively access port 152 in the circuit tubing 108 can be used to infuse the replacement solution. Ultrafiltration rate can be increased proportionally by speeding up the pump 122. This way clearance can be obtained by convective transport of solute with ultrafiltrate. Similarly, the post-filter port 151 can be used to infuse the replacement solution if desired. With these simple additions well known in the field of RRT, the described apparatus can be used to perform dialysis and hemofiltration.
Regardless of the RRT modality desired, the basic principles of the apparatus design remain the same. Blood that is withdrawn from the patient flows into the withdrawal tubing 104 and enters the blood passage 108 of the cartridge 123. Blood travels inside the hollow fibers through the filter 111 and is returned to the patient via the return tube 105. Prior to return, blood enters the pressure sensor 113 mounted on cartridge 129. Ultrafiltrate, effluent or dialysis solution passes through the filter casing surrounding the blood filled hollow fibers. Pump 122 generates the flow. Pump segment tubing loops 121 are attached to cartridges 123 and 129 to assist loading of pumps and prevent tubes from kinking. In the preferred embodiment, ultrafiltrate line pressure sensor 114 is integrated into the same cartridge as the blood return sensor 113. Pressure sensors 112, 113 are integral to the blood passage 108 in the Cartridges 123 and 129. These sensors are disposed in blood passage 108, such that a diaphragm of the sensor, which is the device that is in fluid contact with the load and directly responds to the blood pressure, is adjacent the blood passage. The diaphragm does not form stagnant areas in the passage. Similarly, pressure sensor 114 (which also includes a diaphragm in fluid contact with the filtered fluid) for the ultrafiltrate is integrally formed in the filtrate tubing 119 between the filter 111 and the ultrafiltration bag 120. Pressure sensors 112, 113 and 114 are included in the disposable cartridge and are intended for one-time use. These pressure sensors each have a generally straight and hollow fluid passage that is coupled to the blood or filtrate tubing in the cartridge. The passages in the sensors are contiguous with the blood and ultrafiltrate passage of the cartridge.
The fluid flow passage in each sensor includes a peripheral wall, a pressure sensing diaphragm that is relatively small compared to the passage. As blood or ultrafiltrate flows across the diaphragm, the pressure of the flow displaces the diaphragm. This diaphragm displacement is converted by a mechanical-to-electrical transducer in the sensor to an electrical signal, e.g., a voltage level, that is indicative of the pressure of the flow. The electrical signal is output by the sensor to the pump console 110 through an electrical signal line, e.g., a wire 131. A microprocessor controller 128 in console 110 receives the pressure signals via the lines 131 and determines the pressure level of the blood or ultrafiltrate in the blood or ultrafiltrate passage in which the associated sensor is positioned.
Preferably, the memory device of the present is a serial EEPROM. The memory device can be integrated into one of the set components that has an electric connection to the console such as a pressure, blood leak, blood oxygen saturation, blood hematocrit or other sensor. Alternatively, the memory device can be a separate device, such as a key or a card, that is inserted into a slot on the faceplate of the machine. Such a device is available off shelf from Datakey, Inc., a leading provider of token-based systems and technology used by worldwide customers to record, store and transmit electronic information. Datakey products, such as "code keys" and "smart cards", are inexpensive, tested, and made in robust packages that can be sterilized and packaged together with the disposable ultrafiltration set. These products also include build in encryption and encoding that allow secrecy desired by the set manufacturer and the protection of a patient's privacy.
FIG. 3 illustrates one preferred embodiment of the memory device 130 used in the present invention. Memory device 130 is a code key ROM that is either integrated into the housing 123 of the pressure sensor 112, integrated into housing 129 of pressure sensors 113 and 114, or be a separate device which plugs into slot 125 in the faceplate 127 of the ultrafiltering device. Pressure sensors 112, 113 and 114 are conventional bridge type strain gauge devices.
The Code key 130 contains a serial EEPROM (FIG. 4) with the serial number, date of manufacture and other relevant information stored in the device. The preferred embodiment of the code key is a SlimLine Data Carrier from Datakey of Minnesota. The key is an economical, low-cost token with 1 K, 4 K, and 16 K-bit serial memories.
Each SlimLine token contains a serial I/O, read/write memory in either Microwire™ (LCS) or I2C™ (SDD) that holds more information than common magnetic strip cards. Data stored in the device can be read, written, and erased via a simple interface to host hardware with which the device is used. The SlimLine tokens can be programmed directly by the host's microprocessor (e.g., microprocessor controller 128) or accessed through a conventional RS232 reader/writer device. The key is nonvolatile and retains data for 10 years. Importantly, the key is sealed and rugged and can withstand sterilization with the rest of the patient circuit.
Code key 130's serial EEPROM has following inputs and outputs:
CS—chip select
CLK—clock input
DI—data input
DO—data output
VCC—supply voltage 5 VDC
ORG—organization of the memory array (64�16 or 128�8)
RDY/BSY—ready or busy signal
Referring, by way of example, to pressure sensor 112 shown in FIG. 3, both pressure sensor 112 and EEPROM device 130's wires 132 and 132, respectively, are bundled into the same cable 133. The plug in connector 134 is located on the front panel of the console 110. Signals from both the sensor 112 and the code key 130 are in electronic communication with the microprocessor controller 128 via standard A/D and digital I/O means.
FIG. 4 shows EEPROM device 130 that is used with the preferred embodiment of the invention. The device is preferably an 8 pin DIP chip 135. Internally it consists of a memory array 137, address decoder 139, data register 141, output buffer 143, mode select logic 145 and the clock generator 147.
In the initial release of the ultrafiltration set, the code key 130 is programmed with the following information at the factory.
Calibrations: Pressure transducer gains and offsets. 3 offsets+3 gains (Total 6-16 bit words);
Date of manufacture (1-16 bit word);
Number generated on Key code 130 that fits with a proprietary algorithm. If the number does not compute, key 130 does not allow the use of the disposable circuit. Set forth below is the algorithm used with the preferred embodiment of the invention:
CODE=A B C D E F G H (1-16 bit word)
The code is generated as follows A, B, C, H are random integer numbers between 1 and 9. ((A-B-B)-C-H)=EFG
If (((A-B-B)-C-H)=EFG) key is accepted, else it is rejected.
During operation, the ultrafiltration circuit 109 is connected to console 110. Console 110 will not proceed to priming or treatment of the circuit 109 until a) the memory key 130 is connected to microprocessor controller 128 and b) the memory code is successfully read and analyzed by microprocessor controller 128. When the key 130 is connected, certain data is read into microprocessor controller 128's memory and analyzed. The date and time of 130's key connection is written to key 130 when console 110 enters an operating mode that affects the life of disposable circuit 109. Thereafter, disposable circuit 109 is initialized. The user has 24 hours to use the circuit for treatment. During operation of the ultrafiltration machine, the key initialization time is periodically compared to the current time. If more than 24 hours have elapsed, treatment will continue but cannot be restarted. Any attempt to start the treatment with the key that has been active for more than 24 hours will result in a warning message to the user.
During treatment, useful information may be collected by microprocessor controller 128 and stored in the key 130. Key 130 can be later shipped back to the manufacturer so that the information can be used to collect valuable statistics or help troubleshoot failures. Alternatively, key 130 can be retained by the medical institution using it as a part of the patient history and the information later transferred to a central database for storage and analysis.
During the operation of disposable circuit 109, the following information is stored in key 130:
1) Settings used+duration of use for each setting (10-2-16 bit words);
2) Last technical 20 alarm codes generated (20-16 bit words);
3) Number of patient alarms generated. Each time one occurs, the counter for that alarm is incremented. (15-16 bit words);
4) Number of minutes the key battery was used+duration of use (up to 10 occurrences) (10-16 bit words);
5) Condition of battery during start up—voltage level. (1-16 bit word);
6) Number of times machined was turned on/off with the same circuit. (1-16 bit word);
7) Number of times manual mode was used. (1-16 bit word);
8) Number of times run mode was used. (1-16 bit word);
9) Number of times prime mode was used. (1-16 bit word);
10) Number of times stop mode was used. (1-16 bit word);
11) Serial number of SAFE console (1-16 bit word);
12) Hours of operation—can be duplicated in device embedded software in (1-16 bit word);
13) Revision of embedded software (1-16 bit word);
14) Circuit board revision (1-16 bit word);
15) Date that the treatment started—this is used to stop treatment after 24 hours. If the number of hours of use exceeds 24 hours or a day has elapsed, circuit 109 is rejected by microprocessor controller 128. (1-16 bit word); and
16) Number of times key 130 was inserted (1-16 bit word)
Information stored in key 130 can also contain data entered by the operator using the device keyboard. This information can include:
Patients age, sex and weight;
Any medication administered before and during treatment;
Blood pressure and blood gases.
At the beginning of treatment, a microprocessor controller 128 in console 110 can interrogate key 130 and determine if the shelf life of the disposable set 109 has expired. If so, microprocessor controller 128 will inform the user and will refuse to start treatment.
The model number of circuit 109 can help console 110 to setup the correct mode of treatment. For example if the set is designed for CVVH and the user attempts to initiate CVVHD treatment, microprocessor controller 128 will prevent it and inform the user. The model number can also help establish correct treatment settings. If filter 111, for example, is of pediatric size and the user attempts to set the ultrafiltrate rate to an adult value, microprocessor controller 128 will prevent the change based on the encoded filter model.
Other important checks can be performed based on the information stored in key 130. For example the software revision in microprocessor controller 128 in console 110 can be compared to the model or revision of circuit 109. An older revision of software may not support some features of a new circuit 109. Key 130 can also be used to activate different software segments included but inactive with simpler and less expensive disposables. Alternatively, key 130 can be loaded at the time of manufacturing with the software and hardware revisions that it is compatible with.
Although the present invention has been described in terms of a particular embodiment, it is not intended that the invention be limited to that embodiment. Modifications of the disclosed embodiment within the spirit of the invention will be apparent to those skilled in the art. The scope of the present invention is defined by the claims that follow.
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The current population of Farmington is 3,721 with the median age of 36. Farmington's median household income is $42,342, and the average household net worth is $336,481. 29% of Farmington's population are long term residents having lived in their homes for more than 5 years, while 15% of Farmington's population have moved in the last year.
|New Hampshire
|United States
|Median Household Income
|Average Household Net Worth
|Long-term Residents (5+ years)
|Annual Turnover
|Median Age
|36 years
|42 years
|37 years
Age distribution represents the distribution of the population in Farmington by age group. In Farmington, the male-to-female ratio is 1,829:1,892, which is 2% higher than the ratio of Strafford County, which is 61,054:64,210. Age demographic data is sourced from census, 2015.
Crime rate index represents the average crime rate for a local area in comparison to nearby areas and the national average. A crime index of 100 represents the national average. Boston Metro, has 62% less property crime than Massachusetts, and is 73% below the nation's average. Boston Metro, has 72% less personal crime than Massachusetts and when compared to that of United States, Boston Metro is 72% below the national average.
Marital status represents the percent of residents in Farmington that are single, married, widowed and divorced. In Farmington, 67% of people are married and 33% of people are single. The percent of people married is 9% lower than the ratio of Strafford County, which is 76%. Marital data is sourced from census, 2015.
Household income distribution represents the distribution of Farmington income brackets at the household level. Overall, the median household income for Farmington is $42,342, which is 30% lower than that of Strafford County ($60,078). Income data for Farmington is sourced from census, 2015.
Education data represents the highest level of education attained by residents in Farmington. In Farmington, 14% of residents 18 and over graduated from high school and 13% completed a Bachelor's degree or higher, which is 17% lower than that of Strafford County. Education statistics is sourced from census, 2015.


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The Favored Daughter One Woman's Fight to Lead Afghanistan into the Future (Hardcover)
|Author: Fawzia/ Gourhi Koofi
Learn more about The Favored Daughter:
Format: Hardcover
Publisher: St Martins Pr
Sku: 222675000
Publish Date: 1/3/2012
Pages: 272
See more in Women
|The nineteenth daughter of a local village leader in rural Afghanistan, Fawzia Koofi was left to die in the sun after birth by her mother. But she survived, and perseverance in the face of extreme hardship has defined her life ever since. Despite the abuse of her family, the exploitative Russian and Taliban regimes, the murders of her father, brother, and husband, and numerous attempts on her life, she rose above her fate to becoming the first Afghani woman Parliament speaker. Here, she shares her amazing story, punctuated by a series of poignant letters she wrote to her two daughters before each political trip--letters describing the future and freedoms she dreamed of for them and for all the women of Afghanistan. Today, Koofi is one of the most outspoken critics of human rights violations against Afghani women and children and uses her influence to bring global attention to the situation on the ground in Afghanistan, even as a frustrated American military considers relinquishing it to the Taliban. Herstory movingly captures the political and cultural moment in Afghanistan, a country caught between the hope of progress and the bitterness of history -- *Author: Koofi, Fawzia/ Gourhi, Nadene *Subtitle: One Womans Fight to Lead Afghanistan into the Future *Publication Date: 2012/01/03 *Number of Pages: 266 *Binding Type: Hardcover *Language: English *Depth: 1.00 *Width: 6.25 *Height: 9.75


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