text:
A flexible cover for mounting over the cargo area of a vehicle such as a pickup truck, boat or the like, having resilient, J-shaped extruded fasteners attached along the edges of the cover for fastening it to extruded aluminum rails mounted on the vehicle sidewalls. The J-shaped fasteners are formed of a resilient plastic which is mated with the rails in such a manner as to accommodate variations in the distance between the cargo box sidewalls, as well as variations in the flexibility of the flexible cover. The extruded members are adapted to be snapped together by applying a downward force on the J-shaped fasteners toward the rail until a lip on the rail snaps into the resilient fastener. The cover is removed by unzipping the J-shaped fastener from the rail to expose the cargo box area.
1. Tonneau means for covering the cargo area of a vehicle, such as a boat, a pickup truck or the like, said vehicle having a pair of spaced sidewalls, each sidewall having a lower edge, comprising:
a flexible cover having a side edge, the cover being adapted to fit over the cargo area of the vehicle;
a rail having a horizontal upper wall and a depending vertical wall, the rail being disposed on the top of the sidewall;
a clamping member having a slot receiving the lower edge of the sidewall and the depending vertical wall of the rail;
a fastener member mounted on the clamping member for engaging both the sidewall and the vertical wall of the rail in the clamping member slot; and
means for releasably fastening the cover to the rail whereby the cover is connected to the sidewall without the necessity for forming any holes in the sidewall for the fastener member.
2. A combination as defined in claim 1, including an elongated tonneau slat having its ends supported on opposite sides of the cargo area for supporting the flexible cover, and in which the clamping member has a second slot for receiving one of the ends of the slat.
3. A combination as defined in claim 1, in which the first mentioned slot is wider than the combined thickness of the depending sidewall and the rail vertical wall.
4. A combination as defined in claim 1, in which the rail is formed of an aluminum extrusion.
5. A combination as defined in claim 1, in which the fastener member is mounted on one side of the sidewall and the clamping member has a second slot on the opposite side of the sidewall for accommodating the end of a tonneau slat.
6. Means for covering the cargo box of a vehicle, such as a boat, pickup truck, or the like, said vehicle having a pair of spaced sidewalls, each sidewall having a vertical wall with a lower edge, comprising:
a stretchable cover having a pair of side edges and adapted to be disposed over the cargo area of the vehicle;
a rail mounted along the top of each sidewall, the rail having a horizontal upper wall disposed on the cargo box sidewall and a depending vertical wall disposed adjacent the vertical wall of the cargo box sidewall;
a pair of C-shaped clamps, one of the clamps engaging one of the sidewalls of the cargo box and the vertical wall of the rail mounted on such sidewalls, and the other clamp engaging the vertical wall of the other rail and the vertical wall of the other sidewall;
fastener means engaging each of the clamping members to its respective sidewall, each clamping member having a slot for receiving a tonneau slat;
a tonneau slat having its ends disposed in the slots of the clamping members;
the rails each having a lip facing in the opposite direction with respect to the other rail;
a resilient J-shaped extruded fastening member connected along opposite side edges of the cover, each J-shaped member having a curved section, the curved section having an extreme edge defining a resilient bight, the bight of each J-shaped member receiving the lip of a rail in such a manner that a tensile force applied to the cover causes the J-shaped member to unwind, thereby permitting the side edges to move away from the sidewall while remaining connected to the rails.
This application is a continuation-in-part of application Ser. No. 650,275, filed Sept. 14, 1984, for CARGO BOX COVER and now abandoned.
This invention is related to tonneau covers for enclosing the cargo area of a vehicle, and more particularly to a cover having a resilient "J" shaped extrusion stitched along a side edge of the cover, and a complementary, aluminum extruded lip mounted along the top edge of the cargo box which mates with a curved lip on the resilient fastener. The resilient lip is adapted to unwind like a clock spring to accommodate variations in the distance between the sidewalls of the cargo box as well as variations in flexibility of the cover material. This invention also relates to means for clamping the rail to the cargo box without drilling any special holes.
A tonneau cover is often mounted over the cargo box area of certain vehicles, such as pickup trucks and boats to protect the vehicle interior and contents. Such covers have several problems. For example, the cargo box sidewalls of commercially available pickup trucks frequently vary in width because of manufacturing tolerances. Thus, a cover adapted to accommodate a class of vehicles frequently will be loose on some vehicles and tighter on others because the means for connecting the cover to the sidewalls do not accommodate such dimensional variations.
Another problem is that the tonneau cover is usually formed of a flexible material that can be somewhat stretched. However, in cold weather, the material loses its flexibility and becomes stiff, and thus, hard to install and prone to tear. During warmer weather, the flexible material becomes very soft and flexible, and thus, difficult to tension.
Further, commercially available fastening devices for connecting a tonneau cover to a cargo box are difficult to attach, and in some cases require drilling several holes in the cargo box sidewall which detracts from the ultimate resale value of the vehicle, and in other cases, are relatively complicated and expensive to install.
The broad purpose of the present invention is to provide an improved cover and fastening structure for the cargo area of a vehicle, such as a pickup truck or boat, in which the fastening structure accommodates variations in the distance between the sidewalls on which the cover is mounted, as well as variations in cover flexibility.
The preferred embodiment of the invention includes a "J" shaped plastic extrusion stitched along the side edge of the cover. The J-shaped extrusion has a curved, resilient lip defining a bight.
A base member or rail, preferably formed of an aluminum extrusion, is mounted along the top of the cargo box sidewall, and has a lip facing away from the cargo box area. The resilient J-shaped fastener is formed in such a manner that applying a downward force on the J-shaped fastener snaps the resilient lip around the edge of the aluminum rail. A tensioning force applied on the cover causes the resilient lip to unwind, like a clock spring, permitting the edge of the cover to move toward the cargo box, without disconnecting the fastening structure.
The rail is mounted on the cargo box sidewall, adjacent an interior, downwardly depending wall, a structural feature of many commercially available pickup trucks. A clamp has a slot for receiving both the lower edge of the sidewall and a vertical wall of the rail. A threaded fastener, mounted behind the sidewall so as to be hidden from view, attaches the rail to the sidewall without drilling any holes. The clamp also has a slot for receiving the end of a wooden slat which spans the cargo box for supporting the midsection of the cover. Although the fastening structure is preferably formed of extruded sections, both the rail and the J-shaped extrusion can be formed of any structure having a uniform cross section along its length such as a plastic molding or a rolled form strip of metal.
Another advantage of the inventive fastening structure is that it provides a continuous connection along the cover edge, thereby preventing wrinkles and eliminating concentrated loads in commonly used materials such as automotive quality vinyl. When the cover is removed, the rail, preferably formed of a bright, anodized aluminum provides an attractive appearance and protects the top of the cargo box from damage.
Thus, the preferred tonneau cover protects the cargo in the cargo area. The resilient "J" section maintains an even tension for a taut wrinkle free cover. The aluminum rails mounted along the top edges of the cargo box walls provide an attractive appearance when the cover is removed. The rails can be easily installed without damage to the truck. The cover can be easily mounted on the rails, or quickly removed by an unzipping action in which the user grasps a corner of the cover and raises it to progressively separate the two extrusions along their length.
Still further objects and advantages will become readily apparent to those skilled in the art to which the invention pertains upon reference to the following detailed description.
The description refers to the accompanying drawings in which like reference characters refer to like parts throughout the several views, and in which:
FIG. 1 is a view showing the preferred tonneau cover mounted on the cargo box of a conventional pickup truck;
FIG. 2 is a view similar to FIG. 1, but showing the cover removed from the fastening rail;
FIG. 3 is a view showing the corner of the cover raised prior to being unzipped from the cargo box;
FIGS. 4-6 are views illustrating the manner in which the J-shaped extrusion is connected to the rail lip; and
FIGS. 7-8 show the manner in which the J-shaped extrusion is connected to the rail in a loose and in a taut cover condition, respectively.
FIGS. 1 and 2 illustrate a conventional pickup truck 10 having a pair of sidewalls 12 and 14, and tailgate 16. The sidewalls and tailgate partially enclose the cargo box area of the vehicle. A vinyl fabric cover 18 is mounted on the sidewalls to protect the interior of the cargo box as well as its contents. The cover is preferrably formed of a flexible, stretchable fabric.
Extruded aluminum rails 20, 22 and 24 are mounted along the top of sidewall 12, tailgate 16 and sidewall 14, respectively. The cross-section of the rails 20 and 24 are identical, and the tailgate rail is similar to the side rails. Rail 20 is shown in FIG. 4 for illustrative purposes.
Referring to FIG. 4, the cargo box sidewalls, such as sidewall 12, is formed of sheet metal with a horizontal wall 26 and a downward depending, vertical wall 28. Rail 20 has a horizontal section 30 mounted on horizontal wall 26, and a vertical section 32 which is mounted adjacent vertical wall 28. Liner 33 of a high density polyethylene material is mounted between the rail and the sidewall to prevent squeaks and scratches.
A plurality of clamping means identical to clamp 34 and fastener 36, are mounted along the sidewalls and the tailgate for fastening the rails to the cargo box walls. Clamp 34 has a comewhat "C" shaped configuration with a slot 38 receiving both the lower edge of wall 28 and vertical section 32 of the rail. The width of the slot is greater than the combined thickness of the sidewall and the rail. The vertical wall of the rail has a pair of lips 32A and 32B for locating the clamp, and another lip 32C for locating the lower edge of liner 33.
Fastener 36 is received through a threaded opening 40 in the clamp to securely attach both the clamp and the rail to the sidewall. Fastener 36 is preferably a cadmium plated fastener with rust resistant properties.
This clamping arrangement eliminates the necessity for drilling any holes into the cargo box sheet metal. Each fastener is concealed behind the sidewalls so as not to scratch the contents of the cargo box.
The side of each clamp has a slot 42 for receiving the end of a slat 44 preferably made of wood. Slat 44 is one of several, each mounted with their ends mounted in the slots 42 of the clamps 34 to support the midsection of cover 18.
The outer edge of the rail has a lip 48 which extends away from the cargo box area. A similar lip is mounted on the companion rail 24 on the opposite side of the cargo box which also faces away from the cargo box. Lip 48 is defined by an upper cam surface 50 and a lower cam surface 52 which intersect to define a pointed edge. The lower edge of cam surface 52 terminates in ridge 54 and slot 56. The entire lip area is raised above the body of horizontal wall 30.
A "J" shaped, extruded fastener 60 of a polyethylene plastic is stitched at 62 to the edge of cover 18. The cover is also stitched at 64 to a plastic, stiffening rod 65. Fastener 60 has a curved lower lip 66 forming a partially cylindrical bight 68 for receiving rail lip 48. Lip 66 is resilient such that the extreme edge 70 of the fastener can be moved toward or away from the bight and the lip can unwind like a clock spring. In its relaxed condition, edge 70 forms an opening for receiving rail lip 48.
FIGS. 5 and 6 illustrate how fastener 60 is connected to the rail by mounting lip 66 on the rail and then pressing downwardly. As the extreme edge of lip 66 engages cam surface 50 of the rail, lip 66 is cammed inwardly until it passes the extreme edge of the rail and then pops outwardly as illustrated in FIG. 6.
A tensile force on the cover in the direction 72, as illustrated in FIG. 8, will then cause rail lip 48 to be received into the bight of curved lip 66 until the extreme edge 70 of the curved lip slides over ridge 54 into slot 56. Lip 66 is trapped in slot 56 until the user deliberately makes a separating motion to release the cover from the sidewall.
FIG. 7 illustrates cover 18 somewhat slack such that there is a loose fit between rail lip 48 and resilient lip 66. However, in FIG. 8, the application of a tensile force on the cover will then cause the curved lip to essentially unwind in such a manner that, although it remains engaged in slot 56, the cover can move a distance "A" while being continuously in a taut condition. This unwinding feature permits the fastening structure to accommodate the stretching qualities of the vinyl cover as well as variations in the distance between the sidewalls of pickup trucks, where the dimensional tolerances may vary as much as a 1/4 inch. Further the resilient extruded lip accommodates changes in the flexibility of the cover that occur in response to temperature changes. For example, in extremely cold weather, the cover tends to become stiff whereas in warm weather it tends to become very loose. Thus, the preferred fastening structure eliminates wrinkles in the cover because it always applies a tensile force to the cover.
An identical "J" shaped fastener is connected to the opposite sidewall to cooperate with rail 24 in maintaining the cover in a taut condition.
Referring to FIG. 4, an extruded plastic molding 74 is adhesively attached to horizontal section 30 of rail 20.
Referring to FIG. 3, cover 18 is illustrated partially separated or unzipped from rails 22 and 24. The J-shaped fastener has the flexible curved lip trimmed away a couple of inches at 80 so that user 82 can grasp the cover corner and progressively slidably unfasten or unzip the cover from the top rail by an upward motion that unwinds curved section 66 so that the extreme edge 70 of the lip clears ridge 54 and is separated from the rail.
Thus it is to be understood that we have described an improved tonneau cover for the cargo area of a vehicle such as a pickup truck, a boat or the like employing a novel clamp for fastening the rail to the sidewalls without requiring any additional holes to be drilled and which also accommodates the tonneau slats. In addition, we have described a novel fastener structure which accommodates variations in flexibility of the cover as well as variations in the distance between the sidewalls, and which also permits the cover to be quickly and easily zipped to or unzipped from the top of the cargo box.
Patent Citations
Referenced by
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Lewis Lee describes the difficulties he faced when trying to acquire a normal-sized plunger in the UK.
Lewis Lee describes the difficulties he faced when trying to acquire a normal-sized plunger in the UK.
The author of these Travels, Mr. Leo Anthony Gallagher, Jr., is my ancient and intimate friend; there is likewise some relation between us on the mother's side, and a mutual appreciation for the comedic potential of the sledgehammer.
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Main News Page
Friday, March 5, 2010
California Paints (Andover, Mass.) said it has partnered with the London-based color-consultancy studio Global Color Research to issue a group of Spring-Summer 2011 color trends.
The colors, presented in Global Color Research's bi-annual color publication Mix Trends, consist of 20 forecast colors selected from California Paints' Perfect Palette® collection.
Global Color Research is a provider of color-trend information available to all design markets. Mix Trends used the California Paints colors to develop "color stories" titled Whisper, Spirit, Genteel, and Risk. The color stories "reflect optimism and growth for the 2011 year and help embrace the future," California Paints said.
California Paints said it worked closely with Global Color Research and Dunn-Edwards Corp., a major regional paint and coatings manufacturer in the West, to create the color-trend summary in a concise booklet form. Each color selection brings the color selections to life, while helping to "inspire and guide designers in their color selection," the company said.
The Spring-Summer 2011 color-trends booklet is included in all March-April issues of ASID ICON, the magazine of the American Society of Interior Designers. An electronic version is also available on the California Paints website (www.californiapaints.com ), in the architect/designer section.
Maryann Mantyla, California Paints director of marketing, said using Mix Trends, through ICON magazine, "is the ideal way to show the exceptional usability of the Perfect Palette system."
California Paints, a division of California Products Corp., is a manufacturer of paints, coatings, and sports-surfacing systems.
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Watch the Video from the 2015 One ʻOhana: Food, Justice, & Spirituality Gatherings.Learn More >
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Apple's iCloud data center to use 100% renewable energy by end of yearApple's main iCloud data center in Maiden, N.C., will be powered entirely by renewable energy by the end of this year with the construction of two solar array installations.
The feat will be accomplished with the construction of both new solar arrays around the existing North Carolina facility, Reuters reported on Thursday. Together, they will supply 84 million kilowatt-hours of energy per year.
The new solar installations will also reportedly rely on high-energy cells and an advanced solar tracking system. The announcement comes as Apple has been under fire from Greenpeace, which has called on Apple to build a "clean" iCloud rather than relying on coal-powered electricity.
Greenpeace's "How Clean is Your Cloud?" report, issued in April, accused Apple of lagging behind other technology companies like Facebook and Google in utilizing environmentally friendly power for its cloud-based services. Apple, however, rejected the estimates in Greenpeace's study, and provided its own figures, which claimed that renewable energy would provide more than 50 percent of the center's power needs than was originally projected.
That will all change with Apple's announcement on Thursday, however, as the data center will rely on entirely "green" energy by the end of 2012. Until then, the non-solar capacity will come from coal-fired power plants from Duke Energy.
The solar plants will also be supported by a 5-megawatt fuel cell installation that will open later this year. Apple has said it will be the largest non-utility fuel cell installation operating anywhere in the country, and will be powered by 100 percent biogas.
Plans first surfaced last October that Apple was planning to build a solar farm opposite its North Carolina data center. The solar array will exist on 171 acres of vacant land on Startown Road that was acquired by Apple.
Apple first announced its plans to build the server farm in Maiden, N.C. in July 2009. The $1 billion data center opened last spring and currently supports iTunes and iCloud services.
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Friday, October 24, 201410/24/2014
Hour 2: Bill Bray, William Watkins, Ashton Ryan
Bill Bray talks about his 50th anniversary in ministry, William Watkins discusses his book, Patent Trolls: Predatory Litigation and the Smothering of Innovation, and Ashton Ryan talks about his annual birthday coat drive.
Friday, October 24, 201410/24/2014
Hour 1: Derryck Green, Ilys Somin
Derryck Green shares who the real racists are and Ilys Somin talks about his book, Democracy and Political Ignorance: Why Smaller Government is Smarter.
Thursday, October 23, 201410/23/2014
Hour 1: Wayne Allyn Root, Lea Carawan
Wayne Allyn Root joins the show to discuss the potential financial implications of ebola and then Lea Carawan sheds light on a group of Houston-based Pastors under attack.
Wednesday, October 22, 201410/22/2014
Kim Walter
'THINK PINK. THINK PLATELETS' during Breast Cancer Awareness Month. Consider donating platelets through Virginia Blood Services.
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Peter King
The CDC held a teleconference today about Ebola. CBS News Correspondent Peter King has details.
Wednesday, October 22, 201410/22/2014
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Annie Merritt, mother to one of the first African-American men to play football on an a scholarship at UVA, will turn 100-years old and JABA has planned a very special day for her.
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CBS Legal Analyst Andrew Cohen joins us to deliver the Federal jury's verdict of the Blackwater Worldwide employees who used excessive force on civilians in Iraq.
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Hour 2: Eric Boehm, JR Hoeft, Philip Terzian
Eric Boehm talks about NIH and ebola budget myths, JR Hoeft discusses the EPA War on Coal, and Philip Terzian talks about the Biden cocaine scandal.
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Re: The funds could not be added to your wallet...
Yea, I also have the same issue. I went to purchase somethings for myself since it was my B-day and low and hehold that you cannot at funds, the information is incorrect. I went to Xbox Live and purchases some Microsoft Points to get a few things there aswell, and that worked 100% fine, I even changed my info to the new updated info and worked fine. 12 hours later I still can't update my PSN billing. So uh, Sony you want my monies? Fix issues please!
Re: The funds could not be added to your wallet...
I'm having the same problem as well, I wanted to buy Resident Evil 3, and I can't add funds to my wallet which is kinda dumb. PSN was taking my debit card just fine a couple weeks ago when I got RE2, and now I can't add funds .
I deleted the billing information and now it says my information isn't valid. I know my company isn't a problem,
Is there a workaround for this?
Re: The funds could not be added to your wallet...
Welcome to the club. A lot of people have been experiencing this over the last few months. Started for me in February after 2 years of flawless service; now 99% of the time I can't add funds to the wallet or use buy it now, or even add funds to the wallet online. There are numerous threads about this problem, but still no answers.
Re: The funds could not be added to your wallet...
The OP's problem is with a PSN card ... But I (like many of the other relpy-ers above) had that message from a credit card transaction last week. After a dozen failed attempts with little "tweaks" to my account info, I finally got it to work by deleting the CC and typing it in again, from scratch.
Sry, no advice for the OP ...
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Ring of Thrór
The Ring of Thrór was the first of the Seven Dwarf-rings to be forged, and the last to be recovered by Sauron. It was originally given to King Durin III of Khazad-dûm by the Elves of Eregion, and it remained in his line for thousands of years until it was inherited by Thrór, the King under the Mountain. It was during Thrór's reign that Smaug descended on Lonely Mountain and drove the Dwarves into exile. Long after his kingdom's destruction, Thrór passed the ring to his son Thráin, who dwelt for many years as an exile from his ancient home. At last, Thráin set out on an ill-fated quest to regain his kingdom, but he was captured by the spies of Sauron, and the Ring of Thrór was lost forever.


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1 Review
Very nice, moist, spicy cake. I did add a small amount of cream cheese frosting after the cake cooled, but would enjoy it just as is. I cut the apples in medium to large chunks and that was okay with us. I really liked the combination of spices. Thanks, Carole in Orlando


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tap water are you kidding, I didn't read any farther than that. Tap water spit it out.
- 10:56 a.m. April 24, 2012
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Twenty-first century crybaby! Big 1 go live in a foreign country that doesn't have clean water for a while!
- 11:29 a.m. April 24, 2012
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Great list! Thank you!
- 12:37 p.m. April 24, 2012
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What a superb article! Thank you for the terrific variety of helpful ways to save money by not paying full price on such useful items. Your excellent suggestions are greatly appreciated by those of us who are raising families on a budget. Thank you so much.
- 2:36 p.m. April 24, 2012
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The tap water from my home has a horrible taste unless it is run through the purifier and I love to buy bottled water just for the convenience. When you think of it, most carbonated drinks are nothing more than carbonated water with flavoring and coloring....go figure!
- 7:38 p.m. April 25, 2012
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Short Cuts
Joseph Djidjov, of Plovdiv, Bulgaria, entered the Assumptionist congregation at the age of nineteen, taking the religious name Pavel, and becoming a Roman rite priest six years later. Having earlier been a student at the College of Saint Augustine in Plovdiv, he returned to this school to serve under his fellow Assumptionist, (Blessed) Father Kamen Vitchev. Following the closing of the college by the Communists in 1948, Father Djidjov continued his apostolate to students in Varna. His scarcely concealed anti-Communist sentiments made him a target of Communist secret police surveillance. Learning of the arrests of fellow priests, Father Djidjov observed, "May God's will be done. We await our turn." On July 4, 1952, he and Father Kamen Vitchev were both arrested. In October, the two Assumptionists and a third priest of their congregation, (Blessed) Josaphat Chichov, were sentenced to death on the false charge of directing "a secret service agency of the Pope." They were executed by firing squad on November 11, 1952.
Margaret was an English princess. She and her mother sailed to Scotland to escape from the king who had conquered their land. King Malcolm of Scotland welcomed them and fell in love with ... continue reading
Famed visionary of Lourdes, baptized Mary Bernard. She was born in Lourdes, France, on January 7, 1844, the daughter of Francis and Louise Soubirous. Bernadette, a severe asthma sufferer, ... continue reading
Born in Spain in 1542, John learned the importance of self-sacrificing love from his parents. His father gave up wealth, status, and comfort when he married a weaver's daughter and was ... continue reading
Christians who breathed a sigh of relief when Constantine proclaimed Christianity the state religion, believing this would end the bloodshed and martyrdom. But it was all too short a time until they ... continue readingMore Saint of the Day
Little is known of her life, and the information was received by private revelation from her. Martyred at about age 14 in the early days of the Church. In 1802 the remains of a young woman were found in the catacomb of Saint Priscilla on the Via Salaria. It was ... continue readingMore Female Saints
St. Michael the Archangel - Feast day - September 29th The name Michael signifies "Who is like to God?" and was the warcry of the good angels in the battle fought in heaven against satan and his followers. Holy Scripture describes St. Michael as "one of the chief ... continue reading
The name Gabriel means "man of God," or "God has shown himself mighty." It appears first in the prophesies of Daniel in the Old Testament. The angel announced to Daniel the prophecy of the seventy weeks. His name also occurs in the apocryphal book of Henoch. He was the ... continue reading
Ava was the daughter of King Pepin. She was cured of blindness by St. Rainfredis, became a Benedictine nun at Dinart, Hainault, and later was elected Abbess. Her feast day is April 29th. continue reading
Founder of the Franciscan Order, born at Assisi in Umbria, in 1181. In 1182, Pietro Bernardone returned from a trip to France to find out his wife had given birth to a son. Far from being excited or ... continue reading
By Deacon Keith A Fournier
Over the centuries, the Jesuits have been relied upon by Popes as trustworthy, heroic soldiers for Jesus Christ and His Church. Yes, there have been times when the company seemed to lose its fervor. However, Jesus Christ the King has always sent His Spirit to ... continue readingMore Christian Saints & Heroes


text: Jordin Sparks at the Clive Davis Pre-GRAMMY Party By Shauna W February 10, 2013 3:12 PM Share on Facebook Share on Twitter Category: Share on Facebook Share on Twitter More Leave a comment Send to a friend! Print this page Pin it! Reddit This! Share on Tumblr! Best of WOBMAM How I Spent My Summer Vacation (staying within 75 miles of home) Still hot to start the week, but a cooldown is coming NJEA president calls for Christie's resignation after CNN comments North Jersey borough drafting a resident survey Recommended For You Best of the Web


text: Our Verdict The SP1s are enjoyable performers but are up against a lot of top-quality competition at this price level For A fast and engaging presentation expressive midrange entertaining balance Against Lack a little refinement Reviewed on 27th November 2012 Regular readers would be forgiven for spotting something familiar about Edwards Audio's new speakers, the SP1s. Understandable, as these compact standmounters are loosely based on EB Acoustics' EB1s, an old favourite of ours. Let's not overstate it, though. Despite the two products sporting the same mid/bass driver, and being pretty much the same size, the tweeter, crossover and certain elements of the cabinet are different. Edwards Audio SP1: Sound qualityImportantly, they have differing sonic characters too. The SP1s are tauter and more direct in their music-making. These are small, so deep bass isn't on the menu – but the low frequencies are tuneful. The SP1s are fast too, delivering vocals with finesse. Tonally, they're a tad on the lean and bright side, so avoid aggressive-sounding partners, particularly as the treble exhibits just a hint of coarseness. And they're up against some tough rivals – especially Tannoy's DC6s and KEF's R100s – and it's these rivals' sheer quality that costs the SP1s a star. More after the break See all our stereo speaker Best Buys Follow whathifi.com on Twitter Join whathifi.com on Facebook Related News Sonus Faber introduces Venere S flagship loudspeaker Fri, 31 Jul 2015, 04:26pm Leema Acoustics introduces updated Xen 2 loudspeaker Tue, 28 Jul 2015, 04:13pm PMC opens new HQ with a £40k Vertere turntable demo – and some classic cars Wed, 22 Jul 2015, 04:44pm Quad confirms S Series speaker range details Tue, 07 Jul 2015, 04:22pm Spendor announces new A5R speakers Thu, 02 Jul 2015, 11:34am Edwards Audio Hi-Fi Hi-fi speakers SP1


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All hotels in Mount Vernon, Washington, United States of America
1 room, 2 adults
1910 Freeway Dr, Mount Vernon, WA, 98273, United States of America, 855-239-9223
Quality Inn, Mount Vernon
Lowest price$125
Best Price Guarantee
City-center Mount Vernon hotel with indoor pool
- Free buffet breakfast, free WiFi, and free parking
Main amenities
- 68 guestrooms
- Indoor pool
- 24-hour front desk
- Air conditioning
- Front desk safe
- Self-serve laundry
- Conference space
- Free newspapers in the lobby
What's around
- Heart of Mount Vernon
- Children's Museum of Skagit County (2.2 mi / 3.5 km)
- Cascade Mall (2.4 mi / 3.9 km)
- Tulip Valley Winery (4.4 mi / 7.1 km)
The room was clean and neat, but the bathroom was small. I basically had to stand over…
our hotel was the jump off point to our trips to Anacortes and Bellingham. It was perfect…
TripAdvisor Traveller Rating: 3
From 108 reviews
Enter dates to check prices
Hotel Info: 866-539-8117from $125
- Standard Room, 1 King Bed, Non Smoking
- Standard Room, 2 Queen Beds, Non Smoking
- Standard Room, 2 Queen Beds, Smoking
Recommended hotels
At a glance
Key facts
Hotel size
- This hotel has 68 rooms
- This hotel is arranged over 3 floors
- Check-in time starts at 3 PM
- Check-out time is 11 AM
Required at check in
- Credit card or cash deposit required
- Government-issued photo ID required
Travelling with others
- Pets allowed *
- 2 per room
Extra people
- Roll-away beds available, charges may apply*
- Free WiFi in public areas
- Free WiFi in rooms
- Free self parking
- Free RV/bus/truck parking
Nearby Two Star Mount Vernon hotels
In the hotel
Food and drink
- Free buffet breakfast daily
Things to do
- Indoor pool
- Spa tub
Working away
- Conference space
- 24-hour front desk
- Laundry facilities
- Free newspapers in lobby
- Number of buildings/towers - 1
- Elevator/lift
- Safe-deposit box at front desk
- In-room accessibility
In the room
Home comforts
- Air conditioning
- Coffee/tea maker
- Iron/ironing board
Freshen up
- Hair dryer
Be entertained
- Pay movies
- Cable/satellite TV channels
Stay connected
- Free newspaper
- Free WiFi
- Free local calls
Food and drink
- Refrigerator
- Connecting/adjoining rooms available
Top Mount Vernon hotels
Recently reviewed hotels in Mount Vernon
- Econo Lodge Inn & Suites - BellinghamFrom
"I was surprised at how nice it was, i was not expecting that. I was bothered by so guests who had been drinking that made me extremely uncomfortabl, while at the vending machines."Jul 28, 2015
- Bay City Motor InnFrom
"Great place, if they had a pool and a hot tub they would hey an APlus!!!!"Jul 24, 2015
- Hotel PlanterFrom
"Very quaint. Location wonderful."Jul 22, 2015
- The Inn at Penn CoveFrom
"OVER ALL DIANE AND I WERE PLEASED WITH OUR STAY .. YOU COULD HAVE ADDED A MICROWAVE AND A SMALL TV OR DVD.. WE WOULD BOOK ANOTHER STAY AT THE INN NEXT YEAR FOR THE MUSSEL FESTIVAL…"Mar 9, 2015
Nearby hotels
Quality Inn, Mount Vernon's small print
Also known as
- Quality Inn Mount Vernon
- Quality Mount Vernon
- Comfort Inn Mount Vernon
The property has connecting/adjoining rooms, which are subject to availability and can be requested by contacting the property using the number on the booking confirmation.
Optional extras
Pets are allowed for an extra charge of USD 10 per pet, per night
We have included all charges provided to us by this hotel. However, charges can vary, for example, based on length of stay or the room you book.


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All hotels in Ayr, Scotland, United Kingdom
1 room, 2 adults
12 Fairfield Road, Ayr, Scotland, KA7 2AS, United Kingdom, 0203 027 9779
Fairfield House - Ayr, Ayrshire
Lowest price£79
available on 09/08/2015
Best Price Guarantee
4-star hotel in Ayr with indoor pool, restaurant
- Free WiFi and free parking
- Airport within 5 mi/8 km: Glasgow (PIK-Prestwick)
Main amenities
- 44 guestrooms
- Near the beach
- Restaurant and bar/lounge
- Indoor pool
- Breakfast available
- Fitness center
- Conference center
- Limo/town car service
- 24-hour front desk
- Coffee/tea in the lobby
- Library
- Lobby fireplace
What's around
- Wellington Square (0.4 mi / 0.6 km)
- Pirate Pete's Family Entertainment Centre (0.5 mi / 0.8 km)
- Ayr Pavilion (0.5 mi / 0.8 km)
- Ayr Town Hall (0.6 mi / 1 km)
- Auld Kirk (0.6 mi / 1 km)
stunning hotel absolutely spotless, great customer service! definetley be back
Excellent friendly staff first class food really good break ... Steak was cooked to…
TripAdvisor Traveller Rating: 4.5
From 380 reviews
Enter dates to check prices
Hotel Info: 020 3027 9803from £79
- Standard Double Room
- Executive Double Room
- Suite Carnegie
- Standard Single Room
- Standard Twin Room
- Standard Double or Twin Room
Recommended hotels
At a glance
Key facts
Hotel size
- This hotel has 44 rooms
- This hotel is arranged over 2 floors
- Check-in time starts at 2 PM
- Check-out time is 11 AM
- Express check-in
Required at check in
- Credit card or cash deposit required
- Government-issued photo ID required
Travelling with others
Extra people
- Rollaway beds available, charges may apply*
- Free WiFi in public areas
- Free WiFi in rooms
- Free self parking
Nearby Four Star Ayrshire hotels
In the hotel
Food and drink
- Cooked-to-order breakfast daily (surcharge)
- Restaurant
- Bar/lounge
- Coffee shop/café
- 24-hour room service
- Coffee/tea in the lobby
Things to do
- Indoor pool
- Children's pool
- Fitness facilities
- Spa tub
- Steam room
- Hiking/biking trails nearby
- Sauna
Working away
- Business center
- Number of meeting rooms - 2
- Conference space
- Conference space size (meters) - 149
- Conference center
- 24-hour front desk
- Concierge services
- Tours/ticket assistance
- Limo or Town Car service available
- Dry cleaning/laundry service
- Laundry facilities
- Luggage storage
- Wedding services
- Number of buildings/towers - 1
- Year Built 1890
- Elevator/lift
- Safe-deposit box at front desk
- Designated smoking areas
- Library
- Fireplace in lobby
In the room
Home comforts
- Climate control
- Coffee/tea maker
- Iron/ironing board (on request)
Freshen up
- Private bathroom
- Shower/tub combination
- Free toiletries
- Hair dryer
Be entertained
- Digital TV channels
Stay connected
- Desk
- Free WiFi
- Phone
Top Ayrshire hotels
Recently reviewed hotels in Ayrshire
- Queens Guest HouseFrom
"The hotel was fine, the breakfasts excellent and very friendly host. We would probably book again if we are in the area."May 6, 2015
- Carlton Seamill B&BFrom
"Booked here for one night when through for an event in West Kilbride. Wonderful setting with lovely host. Clean, comfortable with lots of character and good value for money."Apr 28, 2015
- The Fenwick HotelFrom
"Pleasant but lacking atmosphere and very close to the noise of a busy main road"Apr 20, 2015
- Burnhouse Manor HotelFrom
"The hotel was comfortable and clean, however the room had not been prepared properly. There was no toilet roll in the bathroom and the light in the hall outside didn't work. The…"Mar 20, 2015
Special features
DiningMartins Bar and Grill - Overlooking the ocean, this restaurant specializes in international cuisine and serves breakfast, lunch, and dinner. Guests can enjoy drinks at the bar. A children's menu is available.
Fairfield House - Ayr, Ayrshire's small print
Children under 16 years old are not allowed in the swimming pool, health club, or fitness facility without adult supervision.
We have included all charges provided to us by this hotel. However, charges can vary, for example, based on length of stay or the room you book.


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Property is in very high demand and likely to sell quickly, even if it is overpriced or not in the best condition. Sellers receive multiple offers and the price is usually bid up above the seller's initial asking price.
Rent prices are relatively stable, and availability is good. If your yearly income is around $55,000, you can afford to rent in this market. Rent prices have decreased by 4% over the past 3 months. This is 60% lower than the state average of $1,836 and 115% lower than the country average of $2,480.
The average home price in 75149 is $147,309, which is 43.8% higher than the average sold price in 75149 ($102,443) . The average home price per square foot in 75149 is $93 and about 2% of all homes in 75149 sold in the last 6 months. For 75149 home values, real estate prices, and city market trends, research the 16,034 property records or search our 263 recently sold or 133 homes for sale listings. The listings and properties in 75149 are only a part of the 7,498,290 properties and 132,875 homes for sale in Texas. Because of this, the average home price and average home value of 75149 also influence the average home price $154,787 and average sale price $130,673 of Texas. Listing counts, 75149 home prices and home values in 75149 are sourced daily from listing and property data on realtor.com®, which is the most up-to-date and accurate aggregation of real estate listings in the industry and includes approximately 800 regional MLSs and is the official website of the National Association of Realtors®.


text:
Tibial stress injuries have become an increasingly frequent reason for visits to sports medicine offices and clinics over the past decade. Unfortunately, these patients often leave the office with a diagnosis of shin splints. This nonspecific "diagnosis" has little clinical usefulness in light of the present day understanding of exercise-induced leg pain and, specifically, tibial stress injuries. The term "shin splints" merely describes a symptom of tibial stress injury and has little clinical or diagnostic value. Researchers have proposed many ... continue reading
Editorial Staff
Jeff Hall
Brian McCurdy
Bonnie Shannon
Alana Balboni
Editorial Correspondence
Suite 100, Malvern PA 19355
Fax: (610) 560-0501
January 2006 | Volume 19 - Issue 1
By John T. Hester, DPM, MSPT
144,985 reads | 3 comments | 01/03/06
144,985 reads | 3 comments | 01/03/06
By Gary Peter Jolly, DPM, FACFAS, and Michael M. Cohen, DPM, FACFAS
14,231 reads | 0 comments | 01/03/06
14,231 reads | 0 comments | 01/03/06
Yes. This author emphasizes the use of external fixation and ligamentotaxis for treating calcaneal fractures, citing key benefits including earlier post-op weightbearing. By Gary Peter Jolly, DPM, FACFAS Intraarticular calcaneal fractures have long been recognized as a devastating injury but, fortunately, they constitute only 2 percent of all fractures. While there is universal agreement on the severity of their impact, there has been anything but a consensus on how practitioners should manage these fractures. The history of the treatment of ... continue reading


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- 20 Jul, 2015
This marketer started a Small Business Revolution to reinvent a 100-year-old brand
Sacramento Business Journal: Amanda Brinkman knew what she didn't want. Old black-and-white photos. Retrospective interviews with long-time employees. A nostalgia-laced press release announcing that her company, Deluxe Corp., was celebrating 100 years in business.
- 17 Jul, 2015
Pluto flyby may have helped boost Aerojet share prices to record high
Sacramento Business Journal: Aerojet Rocketdyne stock rose this week its highest value since the early 1980s.
- 17 Jul, 2015
Growers say farm-to-fork movement provides a big business boost
Sacramento Business Journal: The farm-to-fork movement means more than just using local ingredients, said a panel of experts Thursday. The relationship between growers and restaurants creates jobs, motivates chefs and supports farmers.
- 17 Jul, 2015
High-tech AC system means big savings for businesses
Sacramento Business Journal: After more than a year of field testing, a radical new concept in cooling buildings has proven to work in Sacramento's hot, dry climate. The Climate Wizard system uses 80 percent less electricity than traditional compressor-cooled air conditioning.
- 16 Jul, 2015
Bayer CropScience expands West Sacramento R&D labs
Sacramento Business Journal: Bayer CropScience is continuing to expand and upgrade its 160,000-square-foot research and development lab in West Sacramento.
- 14 Jul, 2015
How to grow your business while staying lean
Sacramento Business Journal: If recent jobs reports are any indication, the economy is continuing to grow despite the slow growth reported in the first quarter's GDP.
- 14 Jul, 2015
In rare move, Roseville-based Rabobank sells a pair of California branches
Sacramento Business Journal: Roseville-based Rabobank N.A. in June got approval to sell off two of its branches, according to state records released Monday.
- 10 Jul, 2015
Aerojet's high-power space motor for Mars mission passes test
Sacramento Business Journal: Ionic thrusters designed to carry astronauts or cargo to Mars passed initial testing, Aerojet Rocketdyne announced Thursday.
- 9 Jul, 2015
Aerojet engines guide New Horizons space probe toward Pluto
Sacramento Business Journal: Sixteen Aerojet Rocketdyne engines guided the New Horizons spacecraft toward its historic rendezvous with Pluto, and that's cause for celebration at the Aerojet facility in Redmond, Wash.
- 8 Jul, 2015
Davis biotech company signs deal to develop super soybeans
Sacramento Business Journal: Arcadia Biosciences Inc. said Tuesday it is working with a Brazilian company to develop a stress-tolerant soybean.


text:
Software qa manager jobs in Milton Keynes, England (UK)3 Jobs
People Also Searched: senior test manager, senior qa manager, software quality assurance manager, software quality assurance manager, test manager, qa director, software qa engineering manager, quality assurance manager, software engineering manager, qa lead, senior software qa engineer, software test manager more
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- Software Test Manager / QA Manager Software Test Manager / QA Manager. Newly created position. This well-established internationalDupen Recruitment ServicesDupen Recruitment ServicesStevenage, England30+ daysSave
- Software Quality Assurance Manager (QA Manager) The Software Quality Assurance Manager (QA Manager) is a key role in the regional PracticeCarestream Health2.2 204 Reviews Carestream HealthStevenage, England30+ daysSave
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text:
Hello ladies! I've had 2 previous csections, 1st one was due to DD being breeched and 2nd well because I didn't know any better and thought a RCS was my only option. This time around I really want to experience a vaginal delivery and I was told by my OB that I have a 50/50 chance. I'm currently 39 wks and I'm debating whether to try for a vaginal delivery or to just go ahead n schedule my RCS since I was told by my OB that I could do after today. Like I said I really really want a vaginal delivery but I'm currently in so much pain and discomfort that's idk what to do. Thanks in advance for any comments!
Comments (2)
Posted 05/04/2014
I suggest trying for a vaginal delivery. Discomfort is a pain but you might feel a bit upset if you just decided for the c section. But it's a 50/50 chance. You may have to have a c section but you may have a vaginal delivery.
Posted 05/04/2014
Go for your VBA2C! So so much safer for you and future children (whether or not you are planning for them now). You've made it this far, don't give up!
What's on your mind?Create a new post
Your growing child
Your 14-month-old: Week 1
Your toddler is mastering new skills left and right these days — from waving bye-bye to drinking from a cup. Read More
Your 14-month-old: Week 2
Is your formerly fearless child terrified of things that never seemed to bother her before? Read More
Your 14-month-old: Week 3
Is your toddler cranky? Pulling at his ear? It could be an ear infection. Read More
Your 14-month-old: Week 4
At 14 months, eating is a hands-on learning experience. Read More


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Jets' Pavelec not thinking about possible buyout
Jun 18, 2014, 7:29 PM EDT
Recently, Winnipeg goalie Ondrej Pavelec conducted an interview with Czech news outlet Denik.cz about his current standing with the team. Courtesy SB Nation's Arctic Ice Hockey, here's a translation of what he said:
"We didn't make the playoffs this season. We ruined it by ourselves and because we weren't close to the playoffs and even if we made it, we wouldn't deserve it. Journalist actually asked us if there's anyway they will buy me out of the contract but the GM said that he count on me as the number one goalie for the next season. I've got three more years on my contract with the Jets, that's for sure.
"However, you can never be sure about the things on the other side of the sea. There could be trade or the redemption of the contract. I don't want to think about it now. The thing I am 100% sure about is, that I've got a contract for three more years in Winnipeg."
Pavelec, 26, just wrapped the second of a five-year, $19.5 million deal with a $3.9M annual cap hit. It was, for the most part, a season to forget — Pavelec had some of the worst numbers (22-26-7, .901 save percentage, 3.01 GAA) of any NHL starter and missed time near the end of the year with a lower-body ailment.
Despite that, the Jets appear more than keen to move ahead with Pavelec as their No. 1.
In April, GM Kevin Cheveldayoff gave Pavelec a full vote of confidence, saying he'd be Winnipeg's starting netminder going into next season; yesterday, the Jets told the Winnipeg Free Press they wouldn't be using either of their compliance buyouts during the open window.
Still makes you wonder why the Jets wouldn't at least explore the option, though.
Now is a pretty good time to be in the market for goaltending. UFAs include Ryan Miller and Jonas Hiller, both of whom could be seen as an upgrade on Pavelec. The option to get James Reimer out of Toronto is also out there, and there's belief Phoenix's Thomas Greiss could be primed to make a run at a No. 1 gig.
This is also a Jets team, remember, that could use a shakeup. The new car smell has worn off steadily over the last three years, as fans and media have become increasingly critical of a group that's spent a lot of money but failed to make the playoffs since coming from Atlanta in 2011.
- winnipegwonder - Jun 18, 2014 at 10:59 PM
Miller would be an upgrade that would get them into the playoffs!
- beermeone - Jun 18, 2014 at 11:53 PM
Except he wont go there. Keep the devil you know.
- daybit68 - Jun 18, 2014 at 11:45 PM
Would like to see miller in a jet uni but doubt he's willing to move there
Top Posts
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- Stepan seeks $7.25M in arbitration, Rangers counter at $5.2M 24
- Capitals investment: Holtby signs five-year, $30.5M deal 21
- Redemption time? Montreal, Semin agree to one-year deal 26
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text:
Wednesday, August 13, 2014
Event date: 8/27/2014 10:00 AM - 12:00 PM Export event
Join Student Activities and the SGA to welcome students back to campus.
Free giveaways, refreshments and information will be distributed at this time.
All students are welcome....
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text:
All Entries in the "ICD-10" Category
ICD-10 Tip of the Week: Staffing considerations
An experienced CDI specialist should have an average daily census of 12-15 new patients and five to 10 established/follow-up cases. A good rule of thumb is one CDI specialist for every 1,200-1,500 discharges per year. The more functions a CDI specialist is expected to perform, the higher the staff ratio should be. Smaller CDI staff should focus on condition clarification only. However, many CDI programs are understaffed—some only employ one CDI specialist. Such staffing will become even more problematic once ICD-10 implementation begins.
Reviews are going to take more time and require more resources. While CDI staff ratios and productivity expectations depend on the program's mission, CDI programs need to evaluate whether or not their program's focus is realistic for their staff size. More importantly, they must start considering whether or not they need to bring on additional staff to bridge those anticipated productivity gaps.
Most programs query to identify incomplete, vague [more]
News: AMA/CMS join forces while Congress misses the ICD-10 memo
Those following the episodic turns of the ICD-10-CM/PCS implementation saga witnessed another dramatic plot twist in the narrative this week when the American Medical Association (AMA) and CMS made a joint announcement essentially prioritizing physician ICD-10 education and allowing some flexibility in claims auditing and quality reporting.
"ICD-10 implementation is set to begin on October 1, and it is imperative that physician practices take steps beforehand to be ready," said AMA President Steven J. Stack, MD, in a joint statement with CMS Monday morning, July 6.
Stack's statement not only marks a sea change in opinion from the AMA. Yet those hoping the agreement might also resolve years of debate and back-room political attempts to delay ICD-10 implementation may just have to keep on hoping until the actual implementation date comes to pass. Last week (July 10) Reps. Marsha Blackburn, R-Tenn., and Tom E. Price, R-N.C., introduced H.R. 3018, the Code-FLEX Act, to allow submission of ICD-9-CM and ICD-10-CM codes for 180 days after implementation.
W. Jeff Terry, MD, a Mobile, Alabama, urologist, sounded off on the problems of ICD-10-CM/PCS implementation in a HealthLeaders Media article, "AMA Delegate Blasts ICD-10 Implementation Requirements," on Friday, July 1. And previous AMA leaders described ICD-10-CM/PCS' detriments in Star Wars terms, Healthcare IT News pointed out this week, recalling that past-AMA President Robert Wah, MD, indicated the group wanted to essentially freeze the code set in carbonite.
Despite the new Code-FLEX Act proposal, the AMA and CMS seem to be moving forward with ICD-10 education. Although the details of their agreement seem simple enough, many news headlines seems to state that CMS gave physician practices permission to code incorrectly. When actually, CMS for its part said Medicare review contractors "will not deny physician… claims …based solely on the specificity of the ICD-10 diagnosis code as long as the physician used a valid code from the right family." (Emphasis added.)
The problem comes, as Michelle Leppert points out in an an article on the ICD-10 Trainer Blog, that CMS does not define a family of codes. Is it a category of codes, such as 500, superficial injury of head? "That could be interesting," Leppert writes, since the category includes nine subcategories which each also have further subsections.
While those entrenched in ICD-10-CM/PCS drama may say that these concessions read more like snip-its from the Official Guidelines for Coding and Reporting, getting the AMA to effectively bury its opposition is, for once, a welcome shift in the ICD-10-CM/PCS implementation storyline.
Editor's Note: Portions of this article originally published in eNewsletter CDI Strategies. Subscribe now, for free.
ICD-10 Tip of the Week: No more excuses
By now, we're sure you've heard the news. CMS and the AMA made a joint announcement on Monday, stating that ICD-10 is a go, with a hard deadline of October 1, 2015. What's the catch, you ask? For one year after implementation, CMS will not deny or audit claims just for specificity, as long as the code is from the appropriate family of ICD-10 codes.
To gain cooperation from the AMA, CMS also agreed to a number of other policies involving claim denials, quality reporting, and the like. (For information on the changes, click here.)
So, what does this mean for CDI? Well, for starters [more]
Guest Post: Happy Fourth of July, ICD-10 style
By Michelle A. Leppert, CPC
Ah, the Fourth of July, picnics, parades, and pryotechnics. What could be better? Well, not having your family and friends end up at Fix 'Em Up Clinic the next day would be a good start. Alas, holidays here in Anytown never go off without a hitch, so let's see who has wandered in with a holiday malady.
Doug was running around with a lit sparkler and one of the sparks flew into his eye. So what kind of injury does Doug have? If the little metal shaving from the sparkler is still in his eye, he may have a foreign body in the cornea (T15.0-) or a foreign body in the conjunctival sac (T15.1-). Alternately, he could have a corneal abrasion without a foreign body (S05.0-).
The code we choose will ultimately depend on the physician's documentation [more]
ICD-10 Tip of the Week: Prepare for procedure codes
Traditionally, CDI specialists do not query regarding procedures. They may query to clarify excisional and nonexcisional debridement, but many CDI programs tend not to focus on MS-DRG assignment, since it typically bears little effect on CC and MCC reporting. However, with ICD-10-CM/PCS implementation, organizations may task CDI staff to ensure that the documentation necessary for accurate PCS coding is available. This means CDI specialists may require extensive PCS training, similar to the training offered to coding staff.
The PCS classification system is independent of ICD, even though it will be used alongside ICD-10-CM. Therefore, it's difficult to say how much or how little PCS will effect CDI and coder productivity. Both CDI specialists and coders should make sure their own training includes the ins and outs of PCS.
Similar to ICD-10-CM, PCS is composed of seven alpha (non-case sensitive) or numeric characters. Unlike ICD-10-CM codes, PCS codes will always be seven characters, and there are no placeholders. The numbers 0 through 9 are used, and O and I are not used to avoid confusion with the numbers zero and one. PCS codes also do not contain decimals.
ICD-10-PCS has its own set of coding guidelines [more]
Guest Post: Wrapping your CDI arms around ICD-10-CM/PCS
by Karen Newhouser, RN, BSN, CCDS, CCS, CCM
ICD-10 CM/PCS. To some, the utterance of this classification system produces much trepidation. I hope to dispel some concerns as I recount the undertaking of ICD-10 implementation at one CDI program.
First, please understand that I am not here to de-emphasize the seriousness of ICD-10-CM/PCS, but rather to equip you with a roadmap of tips and hints as you embark on this journey.
Yes, CDI specialists' productivity will likely decrease, mostly due to the sheer volume of queries needed for the added specificity vital for correct code assignment. The act of query writing, no matter how experienced one may be, takes time. I feel, though, that with preparation and open channels of communication, the impact on productivity can be assuaged, however.
This case example CDI program is housed within the HIM department of a large Midwestern hospital [more]
ICD-10 Tip of the Week: Assess your readiness
It's pretty uncommon for a facility to feel they are over-prepared for ICD-10. However, it is common for facilities to think they are more prepared than they actually are. With less than 100 days before ICD-10 implementation, CDI specialists need to be honest with themselves, and accurately evaluate their program's readiness. This is no time to underestimate your abilities to adapt to ICD-10-CM/PCS.
So, assuming you're educational efforts have already begun, how do you assess how far along your facility is in terms of ICD-10 readiness? First, try breaking down ICD-10 preparation into sections, or specific items that facilities should address before implementation. For example [more]
ICD-10 Tip of the Week: Practice makes perfect
One of the main pain points CDI specialists stress for ICD-10 preparation is physician education. But what about preparing the coders? After all, it is the code set that's changing. Coders are basically going to have to re-learn their jobs—they're going to have to adapt their daily routines to an entirely new, more specific set of codes and rules. The physician could have the most complete and accurate documentation in the world. But if the coder isn't up-to-speed with ICD-10, all of the physician education will have been for nothing.
As CDI specialists, you can help get coders in tip-top shape for implementation by facilitating and encouraging dual coding practices. If your facility hasn't begun to do so, start by revising electronic templates and query forms for ICD-10, and revising query policies. From there, encourage coders to begin dual coding to help identify risk areas and coding familiarity. You can start by having coders begin dual coding on a smaller scale, such as high-volume and/or high-dollar DRGs.
After coders [more]
ICD-10 Tip of the Week: Have a plan in place for queries
The ICD-10 code set is complex. The volume of codes and required increased documentation specificity alone is enough to overwhelm even the most sophisticated CDI programs. Do yourself a favor: plan out an updated query process and policy now.
The number of queries associated with a given health record will likely increase post-ICD-10 implementation. If you haven't already, start educating CDI and coding staff on documentation needs associated with the new code set, and prevent future documentation woes before they occur. Likewise, programs should begin including ICD-10-CM/PCS elements in targeted queries for high-volume diagnoses, specific to your facility. Practice documenting and querying for ICD-10 now, and CDI, coders, and physicians alike will be better prepared.
CDI departments also need to review their query policies [more]
Latest AMA ICD-10 proposals get it half right, in my opinion
The American Medical Association (AMA), aware that the national tide has turned in favor of ICD-10, has made what seems to be one final, desperate push for delay–not of the implementation of the new code set, but its impact. Physicians at the 2015 AMA Annual Meeting this week passed policy calling for CMS to put a two-year moratorium on payment penalties for physicians as a result of ICD-10 coding mistakes. You can find the full article here: http://www.ama-assn.org/ama/ama-wire/post/doctors-call-two-year-grace-period-icd-10-penalties.
Alongside this policy is to me a more interesting policy promulgated by the AMA, which wishes to join CMS, the National Centers for Health Statistics (NCHS), the American Hospital Association (AHA), and the American Health Information Management Association (AHIMA) as a 5th Cooperating Party. The Cooperating Parties, as most know, are the group in charge of updating and managing the ICD code set.
I've been asked by several people what my take is on the AMA's proposal for an ICD-10 payment grace period, and here it is: I do not support the concept of implementing a code set half way. While the AMA policy is an interesting proposal and not a completely unreasonable compromise, holding hospitals accountable to the ICD-10 codes they report, but not physicians, only deepens the divide between these two parties at a time when CMS is attempting to unify the professional/facility divide through bundled payments and other initiatives. It would also likely result in bad statistical data that would have a ripple effect for years to come.
ICD-10 has already been delayed several times at the behest of the AMA. There are a number of free ICD-10 training resources available at the disposal of physician practices from CMS and others. Early claims testing has proven remarkably successful. And as many have pointed out, the ICD-10 code set is not the monster it is made out to be: The rhetoric of "four times as many codes" is a smokescreen, as most physician practices will be using a far smaller subset of codes. Hospitals, at the behest of CMS, have been preparing for years, at enormous cost. The time is now to implement ICD-10 to the hilt, including for claims processing and payment.
However, the AMA's case to become a 5th Cooperating Party to me is a much stronger one. Physicians deserve an equal voice at the table when new codes are developed. Codes need to be 100% clinically congruent to the practice of medicine, not the other way around, as is frequently the case with anyone familiar with the quirks of ICD-9. In fact, I'd like to eventually see ICD replaced by a truly clinical language like SNOMED. But that's a battle for another day. While there are physician representatives among the four current Cooperating Parties, they seem to be a minority. More to the point, the critical work of the Cooperating Parties lacks transparency—try to find a website detailing their work or membership roster, for example—and there is no readily available method for groups affected by ICD changes to have their voices heard.
In summary, let's move forward with full implementation of ICD-10 on Oct. 1, 2015, both for hospitals and physicians. But let's also see a more transparent application process for the Cooperating Parties, allowing physicians/clinicians full representation at the table. While that physician group may not ultimately be the AMA, the time has come for more input on the ICD codes from those at the center of healthcare delivery.


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Report: Knicks' Woodson not on hot seat but management wants lineup changes
Nov 18, 2013, 3:18 PM EDT
Mike Woodson is not to blame for everything going on with the New York Knicks — he's a good NBA coach trying to do the best he can with an ill-fitting roster. Last season New York was able to knock down a lot of threes and get 54 wins thanks to Carmelo Anthony having a career year (as did a couple other Knicks), but after roster changes this summer the threes are not falling this season, J.R. Smith isn't himself and Tyson Chandler is out for a month as the defense swoons.
That sounds like a recipe for the front office to scapegoat a coach and ship him out of town, but Woodson's job is safe in New York, reports the New York Daily News.
However, management is pressuring him to change the rotations, Frank Isola says in the report.
Despite the Knicks' 3-6 start and five straight home losses, Woodson is not in imminent danger, according to a source, of being the next Knicks head coach to "resign" — which is Garden-speak for canned. If Lenny Wilkens and Mike D'Antoni both resigned, so will Woodson. Count on it.
Until then, the coach is safe, but the word from above is to tinker with the starting lineup, which likely will include shifting soon-to-be-traded Iman Shumpert to the bench and likely promoting veteran tough guy Kenyon Martin. The move allows Anthony to play small forward while placing a rebounding and defensive-minded forward next to Andrea Bargnani, a non-rebounding, defensively challenged forward/center.
Deck chairs on the Titanic comes to mind.
Actually, things are not that dire — at some point next month it is likely Chandler returns to help the defense and solidify them inside. Smith will find his stroke again. The Knicks are a playoff team in the East.
Just nothing more than that.
The Knicks thrived last year with Anthony having a career year playing mostly the four and everyone else fitting in around him, especially Smith. This season the Knicks seem committed to having him at the three again and using Bargnani to space the floor. The results have been uncomfortable. I'm not sure how you really can fit all these pieces together to make it work.
But that's Woodson's job. Combine all that with owner James Dolan's unpredictability and it's not hard to see how Woodson could become the scapegoat.
Kobe Bryant's popularity in China knows no bounds
Aug 3, 2015, 11:17 PM EDT
Kobe Bryant is Beatles during the British Invasion level popular in China.
Report: Nets doing Earl Clark a favor and waiving him
Aug 3, 2015, 9:59 PM EDT
Brooklyn could have easily kept Clark through training camp
Jerry Colangelo: Paul George will attend USA Basketball minicamp meeting, won't play
Aug 3, 2015, 9:03 PM EDT
Pacers star maintains status as lock for 2016 Olympic roster – if he wants to play
Klay Thompson's brother called up to the White Sox
Aug 3, 2015, 8:16 PM EDT
Trayce Thompson gives Thompson family yet another professional athlete
LeBron James to attend Team USA minicamp, leave early
Aug 3, 2015, 7:25 PM EDT
That'll keep him a viable candidate for 2016 Olympic roster
An excellent Kobe Bryant impersonation (video)
Aug 3, 2015, 6:33 PM EDT
…with one exception
Report: Mavericks give Salah Mejri fully guaranteed salary
Aug 3, 2015, 5:36 PM EDT
Dallas loading up on players. What will roster look like in November?
Nancy Lieberman says DeMarcus Cousins happy Kings hired her
Aug 3, 2015, 3:58 PM EDT
Will new Sacramento assistant coach improve Cousins' relationship with George Karl?
Walt Frazier wonders whether Carmelo Anthony will seek trade from Knicks
Aug 3, 2015, 3:04 PM EDT
Does Melo fit in New York?
Report: NBA nearly eliminates four-games-in-five-nights in draft of 2015-16 schedule
Aug 3, 2015, 2:08 PM EDT
NBA teams played 70 four-in-fives last season
Ray Allen: "I won't officially retire"
Aug 3, 2015, 12:50 PM EDT
"I didn't miss it. I realized how much time I missed not being home with my kids." —Ray Allen on last season
Report: Adidas makes $200 million offer to James Harden
Aug 3, 2015, 11:44 AM EDT
Nike may well match.
Contrary to prior reports, Nuggets not waiving Kostas Papanikolaou. Yet.
Aug 3, 2015, 11:10 AM EDT
Denver has until Oct. 4 to make a decision.
Report: Kings have no interest in Hedo Turkoglu
Aug 3, 2015, 9:55 AM EDT
The Kings were never a likely landing spot.
Glenn Robinson III dunks while riding a phunkeeduck (VIDEO)
Aug 3, 2015, 9:15 AM EDT
We bring you this, because it's August.
Report: 76ers to sign Jordan McRae a year after stashing him
Aug 3, 2015, 8:30 AM EDT
What will J.P. Tokoto, future Philadelphia second-rounders think of McRae's contract?
Timberwolves coach Flip Sauders returns to Twitter to say he loves three pointers
Aug 3, 2015, 8:00 AM EDT
The Timberwolves roster doesn't have a lot of quality three point shooters on it.
Magic guarantee Dewayne Dedmon's contract
Aug 3, 2015, 12:01 AM EDT
Orlando keeps backup center on minimum contract
New Blake Griffin, Superfly 4 shoe commercial suggests… Space Jam 2?
Aug 2, 2015, 10:30 PM EDT
I think the movie is coming, people.
With Nikola Pekovic still hurt, Flip Saunders says Karl-Anthony Towns could start. Or Gorgui Dieng.
Aug 2, 2015, 9:32 PM EDT
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Borussia Dortmund 3 Malaga 2 match report: Jurgen Klopp shocked by his side's great escape in the Champions League
Borussia Dortmund win 3-2 on aggregate
Wednesday 10 April 2013
Borussia Dortmund's dramatic Champions League quarter-final win over Malaga left the Germans dizzy with success while their opponents were fuming over the controversial late winner.
The former European champions scored twice in added time, including a seemingly offside winning goal from defender Felipe Santana, that saw them complete a sensational comeback and advance to the last four for the first time in 15 years.
Several Dortmund players in front of Malaga goalkeeper Willy Caballero looked offside when the ball was crossed for the winning goal and Santana also appeared offside when he scored.
"I just can't really believe this," said the Dortmund defender Never Subotic. "This is the craziest moment in all of my football career. Up until now it has been a Hollywood movie, hopefully it will have a Hollywood ending."
The Germans, who last reached the semi-finals in 1998, a year after winning the trophy, looked on their way out when Eliseu scored from close range to put Malaga 2-1 up in the 82nd minute. However, his goal should also have been ruled out for offside as the officiating team led by Scotland's Craig Thomson ensured this memorable contest would be tainted by controversy.
Dortmund, needing two goals to advance after their goalless draw in Spain last week, pulled one back through Marco Reus a minute into stoppage time to rekindle their hopes.
Santana then scrambled the ball over the line from what looked an offside position to complete a dramatic night and protect Dortmund's unbeaten Champions League run this season.
Earlier, Joaquin's 25th-minute opener for Manuel Pellegrini's visitors was cancelled out by Robert Lewandowski's superbly crafted goal five minutes before the break,
"I cannot explain what has happened to me after that," Dortmund coach Jürgen Klopp said. "I think I need to see a doctor. It feels like we have won the trophy."
For the Spaniards it was a complete contrast of emotions. "We are still trying to take in what has happened. The dressing room is very depressed," said the former Manchester City forward Roque Santa Cruz. "It was a game that incredibly we let slip out of our hands In the end they had a lot of luck. Not only for scoring goals but because of the situations as well. The third was offside. They had a lot of luck."
"We are very disappointed. We were four minutes from a semi-final and everything slipped out of our hands in those last few minutes."
Malaga's Qatari owner, Sheikh Abdullah al-Thani, appeared to blame the defeat on "racism", without saying who the accusation was aimed at, and urged European soccer's governing body Uefa to open an investigation into the match. "Thank you very much for the team you have been champions on the pitch. I'm sorry to go out this way injustice and racism," Thani tweeted. "I hope to open a thorough investigation [by] Uefa regarding the Spanish club [going] out this way. Which does not affect the spirit of sport," he added after the final whistle. "This is not football, but racism and clear of all."
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text: I recently participated in a fellowship program at Columbia where all we were served was vegetarian food. Being a Southern gal, I needed some real protein, so I set out early in the morning to find a breakfast spot that served more than just bagels. I came into Strokos, ordered the breakfast combo... read more


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Ao Principles of Fracture Management, Books and DVDHardback Ao Principles of Fracture Management
List price $579.26
You save $32.24 (5%)
Free delivery worldwide
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- Publisher: Thieme Medical Publishers Inc
- Format: Hardback | 1103 pages
- Dimensions: 241mm x 259mm x 69mm | 3,720g
- Publication date: 27 March 2007
- Publication City/Country: New York
- Edition: 2
- Edition statement: 2nd
- Sales rank: 1,112,501
Product description
The two-volume second edition covers the fundamental AO principles and state-of-the-art surgical techniques for fracture management. Expanded in this edition is the collection of high-quality illustrations--with more than 2,000 in total--that vividly demonstrate key concepts of management.
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The AO Foundation's expanded second edition of "AO Principles of Fracture Management" has proved hugely successful and even better than the first edition...Overall, both volumes are well written and organized. A 3-page abbreviations section appears at the beginning of each volume and a beautiful glossary at the end. The index is easy to use, and the bold page references allow quick identification of relevant illustrations. Each chapter is concise and of appropriate length. The text is large and the font easy to read. A particularly unique feature is that important teaching points and pearls are separately highlighted in blue text and clearly identified with a bullet. Furthermore, each chapter contains an appropriate number of high-quality, detailed color illustrations, figures, or algorithms (2,100 total) that are easy to comprehend and that adequately complement the subject material. In summary, "AO Principles of Fracture Management" is a timely and dramatic upgrade from its predecessor. Both volumes have been extensively rewritten and expanded and together should serve as an invaluable learning tool and reference for residents, trauma fellows, and practicing orthopaedists...Highly recommend[ed]...for any orthopaedic surgeon caring for the patient with trauma.--JAMAPraise for the critically acclaimed first edition: Provides all the core content and background information of the AO course in a format that is easy to refer to...superbly organized and well illustrated...As a course manual alone, this book is invaluable, but the combination of the book, the CD-ROMs, and the web access makes it one of the most revolutionary and innovative textbooks currently available...an excellent source of information...A superb work...I strongly recommend it to anyone involved in orthopaedic traumatology, from the resident to the established specialist.--Journal of Bone and Joint Surgery
Back cover copy
Hear the authors discuss "AO Principles of Fracture Management.""Volume 1" focuses on the basic knowledge and the principles of fracture management, covering biomechanics, tools for preoperative planning, soft-tissue management, different methods of reduction and fixation, and implants. This volume also addresses new issues pertaining to internal/external fixation, damage-control surgery, minimally invasive surgery, and biotechnology."Volume 2" presents the management of specific fractures in different anatomic areas. A separate chapter is devoted to each area to discuss the assessment of injuries, surgical anatomy, preoperative planning, surgical treatment, and postoperative care. The authors also highlight common pitfalls and complications.There are now more than 2,000 high-quality illustrations that vividly demonstrate key concepts of management. The accompanying DVD provides the entire text from the books and instructional AO teaching videos that demonstrate techniques and reinforce important teaching points. Electronic bookmarks and keyword search functions simplify navigation of the DVD. Links to abstracts and references on the Internet enable the user to fully utilize the wealth of information provided in this multimedia resource."AO Principles of Fracture Management" is an essential resource for orthopaedists, trauma surgeons, and residents in these specialties.


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Dash cam glitch in Seattle cruisers could threaten cases
Dash cams installed in the past year in patrol cars could possibly be dropping frames of video
SEATTLE — Attorneys with clients criminally charged by the Seattle Police Department could take advantage of a new glitch found in patrol car dashboard cameras.
The Seattle Times reports that dash cams installed in the past year in patrol cars could possibly be dropping frames of video.
The city attorney's office is saying they don't know how many cases could be affected, but they're trying to figure out where the glitch is.
Full Story: Police car dash cam glitch could lead to legal challenges
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Chelsea 1-0 Swansea City: Blues hold on to best Swans (video)
Dec 26, 2013, 12:18 PM EDT
Eden Hazard's moment of brilliance in the 29th minute was all Chelsea could manage in a dominant first half that only lacked finish, but it was enough to give the Blues a 1-0 win over Swansea City.
Swansea had its moments early and late, including a near goal off a Jonjo Shelvey free kick in the 7th minute, but the first half was decidedly blue.
Hazard fired wide from a tight angle in the 15th minute and John Terry nearly scored in four minutes later when he connected on a grounded shot that was tapped over the bar by Gerhard Tremmel, service from Oscar.
Chelsea heaped on pressure and finally capitalized when Hazard danced in from the left with clever dribbling before firing low past Tremmel.
Just after the goal, Petr Cech did well to touch Alvaro over the bar for a corner.
Still, it was largely Chelsea and Samuel Eto'o almost netted a handful of seconds into the second half with a point blank shot saved by Tremmel.
At a point early in second half, attempts read 16-5 in favor of the home side.
Swans did well to win some corners late and almost found a late equalizer when Angel Rangel found Wilfred Bony, but his shot went wide.
Ramires picked up the game's only card with a yellow in the 86th minute.
Chelsea: Cech; Ivanovic, D Luiz, Terry, Cole, Ramires, Mikel; Mata (Schurrle, 72), Oscar (Lampard, 67), Hazard (Willian, 82); Eto'o.
Swansea City: Tremmel; Amat, Taylor, Williams, Britton, Pozuelo (P. Hernandez, 46), Williams, Shelvey, Routledge (Bony, 76), Canas (De Guzman, 61), Rangel, Alvaro.
Goals: Hazard (29)
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