text:
Andrea Dworkin (1946-2005) was a radical feminist writer known for her work on pornorgraphy, war and sexual intercourse. Her account of being raped in Paris in 1999 was published exclusively by the New Statesman.
The Old Statesman
04 March 2013
A harrowing account.
22 September 2003
Amy Bloom has written a humane, liberal book about what I called, in Woman Hating (1974), "multisexuality" - the notion...
Human Rights
14 July 2003
Part of the Great Thinkers series.
30 June 2003
Alice Sebold is the author of the bestselling novel The Lovely Bones, in which a teenager who has been raped, murdered...
05 June 2000
I was in Paris. I was 52. It was Thursday, 19 May, 1999. I was in a garden in a hotel. I was reading a book. French...


text:
Ben's Best Delicatessen will officially unveil the sandwich on Tuesday.
The grant will pay for the design of the first phase of the project in Rego Park.
Queens College conducted a study to determine the best use for the abandoned rail line.
The Queensway plan calls for basketball courts, learning gardens and a recreational center.
Renderings will be discussed during community workshops next week.
Plans to convert an abandoned train track into a Queens version of the High Line can be viewed in March.
A local music teacher has worked for nearly a decade to make a Queens version of the High Line.
An online forum is among the social media tools to get public input for the QueensWay.
Locals' opinions will be taken into consideration for the final design.
The rail line is also being considered to become the Queensway, Queens' version of the High Line.
Two prominent architecture firms will lead a study of the viability of the QueensWay project.
Advocates for the Queens version of the High Line are preparing for a feasibility study on the project.
Two firms are in the running to complete a feasibility study for the Queens High Line.
Toxic cleanup is planned near the site of the proposed QueensWay park.
The Trust for Public Land is looking for a company to examine the feasibility of building the QueensWay.
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subset: commoncrawl


text:
Gear Review
Phil Santala
Freaking amazing!
I just love this, if you don't have one, get it! Nothing worse than bending down to fiddle with a ski boot and winter and getting drenched by your camelbak, NOTHING!
As for issues with freezing, I always open my bit valve up with my hand after I am down, and raise it above my head, this gets most of the water out f the lock area, the bite valve, and out of the tube, the places it is most likely to freeze in. Alternative to that, I make sure and take a sip on every chairlift, or every few hundred yards skinning, keeping things from freezing up.
View More Details on CamelBak Ergo HydroLock


text:
Wednesday, May 7, 2014
To the Editor:
I would like to take this opportunity to express my sincere thanks and appreciation to the two young men who helped my mom when she fell in our yard on Apr. 2. These fine men happening by on that day, notified me and stayed by her side until the ambulance arrived. They even prayed with her! In this day and age when we hear of so many young people getting into trouble and heading for the Detention Center it is so refreshing to find some who were brought up right and just doing the right things!
Thanks again to Brian Howard and Lee Burleson of Howard Mobile Homes Blessings to both of you.
Bruce Ward Georgetown
South Strand News is pleased to offer readers the enhanced ability to comment on stories. We expect our readers to engage in lively, yet civil discourse. We do not edit user submitted statements and we cannot promise that readers will not occasionally find offensive or inaccurate comments posted in the comments area. Responsibility for the statements posted lies with the person submitting the comment, not South Strand News.
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Quotes, Wishes & Thoughts
Start your day afresh with beautiful thoughts, quotes and wishes….RSS 2.0
- Beautiful Picture Quotes, Whatsapp Messages,Thoughts, Wishes, Greetings,Wallpapers, Messages - Happy Valentines Day, Inspirational, Motivational, Good Morning, Happy New Year, Happy Birthday,Happy Anniversary, Merry Christmas, Love and more
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- Authors
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Picture Messages
Merry Christmas wishes 2013
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Motivational quote by Denis Waitley on Moving on in life…
Beautiful quote on Anger Management by Mark Twain
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Happy Fathers Day dear Dad !!!
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I'm glad you're my mother and I'm glad I'm your child
I'm sorry if sometimes I act way too wild
but I know you wouldn't have it any other way
I love you, Mom.
Happy Mother's Day!
Now that I'm older I look back and see all that you did just because of me you gave up a lot for me….
I'll do the same for my kids someday…
Happy Mothers Day
Cutest Happy mothers day 2013 quotes, greetings cards, wishes, pictures and images
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Beautiful Inspirational & Motivational Picture quote by Friedrich Nietzsche – No price is too high to pay for the privilege of owning yourself
Family Quotes – Beautiful life quote by Barbara Bush – At the end you will regret…
Analyze yourself quotes – Some people are afraid of what they might find if they try to analyze
Funny picture message on work – Learn to finish your work
Beautiful picture message and greeting for aunt's happy birthday
Happy birthday wishes for aunt . Birthday greeting cards and pictures/images for auntie
Cute Happy Birthday messages for aunt – picture messages and images for auntie's birthday
Meditation sayings and quotes on anger management
Beautiful inspirational quote on life by C. JoyBell C. The only way we can live is….
"The only way that we can live, is if we grow.
The only way that we can grow is if we change.
The only way that we can change is if we learn.
The only way we can learn is if we are exposed.
And the only way that we can become exposed
is if we throw ourselves out into the open.
Do it. Throw yourself."
– C. JoyBell C.
Happy Birthday Messages for the worlds best mother from a daughter.
Beautiful Good Morning Picture Messages and images for your loved ones – Night has ended
70th Happy Birthday Wishes. Birthday greetings ecards picture images for 70 year old.
You are the most amazing
person i have ever met.
I love the way you always
keep yourself so cheerful.
A person like you deserves
the world's best
in everything you do
Happy 70th Birthday!!
May every unfulfilled dream of yours
during the past seventy years come true.
Happy 70th Birthday! More Birthday Wishes


text:
Home Future StudentsCurrent StudentsFaculty & StaffPatientsAlumni
Web Mail | MyCU | CU Access | SIS | Blackboard | eCollege
Retired Faculty AssociationCampus Box 137c/o Shelby ShaftoDenver, CO 80204
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News and Events Contact Us
© The Regents of the University of Colorado, a body corporate. All rights reserved.
All trademarks are registered property of the University. Used by permission only.


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Over 10 Million Orders Shipped
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Diamonds an emeralds .. has been one of my favorites for years wearing it comes with lots of complements in my opinion it's a must have!!!
Written by Karen on January 03, 2013
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- Products
- Olive Oil
- Extra Virgin Olive Oil
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- Extra Light Olive Oil
- Special Reserve
- Signature Series Olive Oils by Ferran Adrià
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Butterflied Basil Shrimp
Butterflied Basil Shrimp
Servings: 4
- 1 lb. large raw shrimp, shelled & deveined, leaving tails on.
- Butterfly shrimp by cutting along the inner curve.
- ⅓-1/2 cup STAR Extra Virgin Olive Oil
- 1 large garlic clove, finely chopped
- ½ cup fresh basil, finely chopped
- 3 Tbs. dry vermouth
- 3 Tbs. lemon juice
- salt and pepper to taste
- Garnish: Lemon slices & fresh basil leaves
- Heat oil over medium heat. Add garlic, minced basil, vermouth and lemon juice. Add shrimp and sauté, stirring for 2-4 minutes until they all turn pink. Salt and pepper to taste. Transfer to a bowl and chill to let flavors blend for an hour or two. Return to room temperature.
Serve as an appetizer to skewer with toothpicks or as salads by lining individual dishes with soft lettuce leaves, arranging shrimps & sauce on top & garnishing with basil leaves and lemon slices. For a lighter taste substitute STAR® Extra Light Olive Oil for the STAR® Extra Virgin Olive Oil.
Tagged with: Extra Virgin Olive Oil
Let's Get Cooking!
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UW-Utah Preview
Washington enters their second Pac-12 game with a mighty big test. Many picked Utah to compete or win the Pac-12 South division going into the season. Meanwhile Washington was usually predicted third or fourth behind Oregon and Stanford at minimum. They travel to Rice-Eccles Stadium at the University of Utah for their second road contest of the year with youth at key positions. The challenge will be mighty, but the winner of this contest just might find themselves ranked at the end of the weekend.
Led by suddenly superstar worthy quarterback Keith Price, the Washington Husky offense appears to be hard to stop entering this weekend. Averaging 34.8 points per game (6th in the Pac-12), they face a defense that has only given up 43 points total in three games (14.3 per game). The Dawgs will definitely need to put up more than 14 to win this one as Utah averages 31.7 per game and the Husky defense gives up 33.3 per game (11th in the Pac-12). I am going to go out on a limb and say: whoever scores more will win.
Key Positional Battles
John White IV vs. Husky Front Seven
Utah's running back is a 5 foot, 8 inch pain in the rear for defenses. His speed and power combo will be a challenge for the Dawgs. White put up 174 yards against BYU in a dominant performance including three touchdown runs. Additionally he rushed for 150 yards (7.9 yards per carry in both wins) in a win over Montana State. Yet in the loss to USC, White only rushed for 2.8 yards per carry with 56 yards on 20 carries. Clearly their offense is somewhat predicated on the success of White. The Huskies will need to control him in order to make QB Jordan Wynn throw the ball more and more. While last week I put the emphasis on the young outside linebackers, I think all members of the front seven will need to be a part of this week's success. Linebacker Cort Dennison has the ability to make plays in the run game and Alameda Ta'amu will have to up the middle. The more those two succeed, the better the whole front seven will look.
If you want to see what John White looks like, watch this clip. (Ok I dare you to watch the whole thing. It is a Utah fan filming his television while talking. And he put it on YouTube. It might be the worst thing on there and that is saying a lot).
Washington Passing Game vs. Utah Defensive Backs
Keith Price is putting up 245 yards per game through the air and has the second best rating (176.58) in the Pac-12, ahead of Andrew Luck, Darren Thomas, Nick Foles and Matt Barkley. He has thrown over 270 yards in each of the past three games while leading the nation in touchdown passes with 14. Basically Keith Price is the man right now. Utah meanwhile is 10th against the pass in the Pac-12 by allowing 263.3 yards per contest. They also feature two first year starters at corner in Ryan Lacy and Conroy Black. Lacy seems to be getting picked on a bit more. They both will face a talented Husky attack with receivers Jermaine Kearse, James Johnson, Devin Aguilar and Kevin Smith. Additionally the emergence of freshman tight end Austin Seferian-Jenkins will be a really tough match up for the Utah linebackers or safeties depending on the defensive look.
WR Dres Anderson vs. UW Cornerbacks
While DeVonte Christopher appears to have the best numbers among Utah wideouts, he racked up most of his catches in one game against USC when the Utes put the ball in the air 46 times. Christopher had 11 of his 16 catches in that game. Meanwhile freshman Dres Anderson (the son of Flipper – um, awesome!) is getting better and better. He caught six balls against USC and came back with three catches for 81 yards including a 59 yard touchdown. While Christopher may be blanketed by Desmond Trufant, Husky corners Quinton Richardson or Greg Ducre will have to shut down Anderson. That match up concerns me greatly due to the struggles of our two lesser corners.
Utah Tight Ends vs. Husky Linebackers
Aside from the two wide receivers mentioned, Utah gets a lot out of their tight ends in the passing game. With young linebackers possibly matching them in coverage, the Utes could take advantage of this match up at home this week. It remains to be seen if freshman John Timu will return, but if he doesn't, Jamaal Kearse (also a frosh) will get more reps. With Timu, Kearse, and Princeton Fuimaono in coverage, Utah tight end Dallin Rogers could have a field day. He has 10 catches this year, including four against BYU in their last game. Yet isn't just Rogers. TE Jake Murphy, who had a touchdown catch last game, is questionable with an injury, but Kendrick Moeai had five catches in the opener this year for the Utes. Clearly they have some depth here. The Huskies need to win this match up to get a road victory.
Keys for UW
1. Turnovers
Utah absolutely destroyed BYU two weeks ago in part because of the five fumbles they recovered in the first three quarters. The Utes are +9 in turnover margin and continually were on a short field in that game. Meanwhile the Dawgs are only +1 on the year. The Huskies got away with losing this battle against Cal last week, but Washington can't expect this to happen again this week. Winning on the road requires discipline and smart play. Forcing turnovers, while protecting the ball will be vital.
2. Make Plays on Special Teams
This seems like a vague, cliche type key for UW, but this isn't the case on Saturday. Utah is second in the Pac-12 in opponents punt returns at six yards per return and first in the Pac-12 in opponents kick returns at 15.75 per return (a really impressive number). Meanwhile UW is sixth in punt returns at 9.5 per game and second in kick return yardage at 26.81 per return. On the flip side, UW holds opponents to three yards per return on punts (#1 in the conference) and 11th in kick return yardage allowed at 24.5 per run back. Whoever can make some plays in this area or force the other team to make mistakes could gain a huge advantage in a game so closely matched.
3. Force Jordan Wynn to Pass
Crazy right? The Huskies are dead last in pass defense at 327.5 yards per game allowed and seem to really struggle against passing teams. Yet the Utah quarterback seems to be one of the most talked about players to play for the Utes in a long time. Many fans and pundits see his potential and hope he can get back to that type of play. Others point to an injured shoulder and make excuses. And then others simply don't think he is very good. The reason for all this is inconsistent play from Winn this season. He is only completing 54.5% of his passes, which is 11th in the Pac-12 (only ahead of Zach Maynard of Cal). With the success of John White IV in the run game, the Dawgs need to make the Utes one dimensional. Forcing Wynn to beat you is the way to go in this one.
Player to Watch
Chris Polk
This spot has been reserved for the opponents over the past few weeks, but this week's game will be heavily dependent on Chris Polk's success running the ball. After putting up 60 yards in the win over Cal, Polk will face another good rush defense in Utah. They are currently third in the Pac-12 by giving up only 79 yards per game. Polk will be looking to make more of an impact in this one on the ground then he did last weekend at home. The more Polk runs, the more UW keeps the ball. That will lead to a win for the Dawgs.


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NEWARK, Del. (AP) - Delaware State Police are looking for a man who robbed a Newark pharmacy.
It happened about 12:30 p.m. Tuesday at the Rite Aid on Ogletown Stanton Road. Troopers say a man presented a note to a cashier demanding money. The cashier gave the robber money from the register.
The robber took the money and ran away. No one was hurt.
Copyright 2015 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


text:
The University of New Mexico -Gallup is here to assist students to continue their academic success, even if a temporary injury occurs, such as a broken limb, surgery, etc. While the Americans with Disabilities Act (ADA) does not recognize temporary injuries as a disability for which accommodation is legally mandated, the appropriate departments will assist to direct students to where they can find resources for such situations. Students will be expected to show verification of their temporary injury to the appropriate faculty or staff member at UNM Gallup.
Should this type of injury occur, you should contact the following areas or individuals:
Contact Information for Assisting Offices:


text:
We offer discount to nonprofits, government agencies, and federal contractors
AILA created this PSA, in English and Spanish, to inform DACA grantees who received 3-year work permits erroneously issued or mailed after 2/16/15
AILA Doc No. 09040764 | Dated April 2, 2009
On 4/2/09, the Subcommittee on Homeland Security of the House Appropriations Committee held a hearing on "Priorities Enforcing Immigration Law."
Witness testimony is available below:Marcy Foreman
Cite as AILA Doc. No. 09040764.
American Immigration Lawyers Association
1331 G Street NW, Suite 300
Washington, DC 20005
Copyright © 1993-2015
American Immigration Lawyers Association.


text:
A-1 Self Storage Proudly Supports Grossmont
Hospital Foundation's Homes for Hospice!
San Diego, CA – March
30, 2012 – A-1 Self Storage, the
premier provider of self storage in California, announced today their monetary donation
to Grossmont Hospital Foundation Homes
for Hospice program. Sharp
Healthcare Hospice Homes offer support and hope with an alternative to nursing
home placement or hospitalization. A well-equipped and multidisciplinary staff
provides 24 hours a day and 7 days a week of patient care, as well as family
and friends support. Patients and their guests are cared for with
understanding, expertise, guidance and emotional support in the sunset of a
loved one's life.
"Considerate, kind
and encouraging support during a difficult season is a tremendous gift." said Brian Caster, President and CEO of A-1 Self Storage.
"You will receive nothing less at Grossmont Hospital Foundation's Hospice Homes.
You will meet friends who walk with you and your loved one during the most
difficult of times. We gladly support the Homes for Hospice at Grossmont
Hospital Foundation."
For more information, please visit: https://www.sharp.com/grossmont-foundation/programs-you-can-support.cfm
To find a San Diego County A-1 Self
Storage, please visit: http://www.a1storage.com/self_storage/San_Diego_Region/a-1_self_storage
Or to find an A-1 Self Storage location near you, please
About A-1 Self
A-1 Self Storage
is one of the leading providers of self storage and car storage in California with 16 locations in the San Diego County
area and over 40 locations statewide. A-1 is the Self Storage division of the
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storage owner/operators in California.
Janelle Bongiovanni
Self Storage
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7/2/2015CSSA Offers Updated Employee Handbook Through CEA
5/28/2015CSSA, Talonvest Slam a Homer with Peter Ueberroth Speaking at the Owner's Summit This July 23
5/21/2015HDFCCC and Kure It Announce Grant Recipient
8/13/2015CSSA 2016 Planning Meeting
8/21/2015Coffee Meeting - Bakersfield
9/16/2015CSSA Executive Board Meeting - Executive Directors Only
9/25/2015Coffee Meeting - Palm Springs
9/29/2015Nosh & Knowledge: Self Storage Legal Education Seminar - Northern CA


text:
If she is white with pink skin, then use quickcolor shampoo rather than quicksilver shampoo. Quicksilver shampoo works better on white hair with grey/black skin, and quickcolor shampoo works better on white hair with pink skin.
Also, miracle groom is the best poo stain remover I have ever used! That is good for removing manure stains in the winter when it is too cold to bathe.
I would also do a lot of currying, as it really helps lift up the dirt from her skin, making her actually clean, not just "looking" clean :)
Hope this helps!


text:
Top 20 World Cup 2010 Goals … Don't forget to subscribe, comment and rate !!!
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Suspect arrested in bank robbery
BARBOURSVILLE -- A man was arrested for robbing a Barboursville bank Wednesday afternoon following hours of questioning by authorities.
Jonathan Tyler Deaton, 22, of Barboursville will be charged with felony robbery in connection to a robbery at the Fifth Third Bank located at 101 River Road just off of U.S. 60 in Barboursville, said Cabell County Sheriff Tom McComas.
Deaton was picked up by St. Albans Police officers when he reported for work in the town at about 6 p.m. Wednesday. He was questioned by detectives with the Cabell County Sheriff's Office and local FBI agents for at least two hours before charges were filed against him. McComas described Deaton as being cooperative with investigators.
McComas credited the cooperation of several law enforcement agencies, dispatchers and the general public in ensuring a quick arrest was made Wednesday.
In addition to St. Albans and FBI personnel, investigators with the Huntington Violent Crime Task Force and dispatchers at the Cabell County 911 call center played a vital role in catching Deaton.
Tips poured into the sheriff's office after photos of Deaton were released to local media outlets and shared using social media.
Deaton was arraigned in Kanawha County Magistrate Court on Wednesday evening.
According to early dispatch reports, a man between the ages of 25 and 30 walked into the Fifth Third Bank at 2:22 p.m. Wednesday wearing a black scarf, ski mask, white hoodie, blue jeans and sunglasses. He fled on foot northbound toward U.S. 60 following the robbery.
Information about what took place or how much money was taken during the robbery was not available Wednesday night.
Investigators with the sheriff's office, the Barboursville Police Department and the West Virginia State Police responded to the scene.
Immediately following the incident, McComas said investigators were receiving conflicting witness reports. It was unclear if the suspect showed a weapon during the robbery, he said.
The Herald-Dispatch welcomes your comments on this article, but please be civil. Avoid profanity, obscenity, personal attacks, accusations of criminal activity, name-calling or insults to the other posters. Herald-dispatch.com does not control or monitor comments as they are posted, but if you find a comment offensive or uncivil, hover your mouse over the comment and click the X that appears in the upper right of the comment. If you do not want your comment to post to your personal Facebook page, uncheck the box below the comment.


text:
2 burned in South Texas drilling rig fire
Worker flown to SAMMC in critical condition
SAN ANTONIO - Two men were hospitalized following a drilling rig fire north of Tilden in McMullen County.
According to the Tilden fire chief, the workers were performing maintenance on the rig when oil began to leak, and the fire began when they tried to stop it.
One of the workers was critically injured with burns on 70 percent of his body, fire officials said.
He was flown to San Antonio Military Medical Center for treatment. His name has not been released.
The other worker was expected to recover. It was not immediately known what rig caught fire.
Copyright 2013 by KSAT.com All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


text:
Music publicist and advocate for LBGT rights Shane Bitney Crone was in Washington two weeks ago when the Supreme Court struck down the federal Defense of Marriage Act and left standing a ruling overturning Proposition 8, clearing the way for same-sex marriages in California.
"It was a surreal experience and a very bittersweet one," Crone, 27, said over the phone from his home in L.A.
Because of DOMA and Proposition 8, Crone was never able to marry his long-time companion, Tom Bridegroom, who died in May 2011 when he fell off the roof of an apartment building while taking photos.
PHOTOS: Celebrities react to prop 8 dismissal on Twitter
The two had met through a mutual friend shortly after Crone arrived in Los Angeles from his hometown in Montana and gotten a job as a production assistant at "Entertainment Tonight." Bridegroom, who was 29 when he died, had been an actor and co-host on MTV's "The X-Effect."


text:
Modpack errors
And then I run the CIOS PACK verify and all OK no error which seems to include the same 4 files but are OK.
Does this mean I am OK to run or not . Please help. So desperate to finish this Mod.
if there is no errors then yes continue
thanks to bmarlo for this signature
re download the ones that had errors and try again you need no errors to continue
thanks to bmarlo for this signature
Click here for useful links
hi all, need some help please.
i followed this guide to the T however when i try to start any usb loader they either load 4ever or load to a black screen with some words. any ideas??
would this problem indicate that i have an incompatible ext hd??
thanks for reading!


text:
Hang tight!
Recipe by DebbieG
"A light and creamy tuna salad with no mayonnaise. It's great cold for sandwiches or hot for a dip."
Hmm. None of these ingredients are on sale today.
Show ingredients on sale
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1 (12 ounce) package
silken tofu
1/2 cup
red wine vinegar
1 (6 ounce) can
tuna, drained
1 large stalk
celery, chopped
carrots, chopped
onion, chopped
1 clove
garlic, minced
1 pinch
cayenne pepper, or to taste
The replacement mayo was great. It tastes just like mayo without all the fat and grease!!
this was just ok.... i gave an extra star because i like the concept of the silken tofu instead of mayo - next time i'll use my favourite tuna salad recipe though and just steal the tofu idea from this. i didn't like the red wine vinegar - i prefer lemon, like i've used in the past.i also really didn't like the texture - i added another can of tuna to thicken it up
11 Ratings
The flavor was a little bland besides the subtle spice that hit you at the end leaving an odd taste in your mouth.
Kinda bland, I ate it as a topper for a spinach salad, and it needed a lot of ff Italian to give it some zip. Maybe more salt or some garlic powder or sweet pickle relish would have helped. It was ok, but nothing I'll be rushing to make again.
It turned out good, since it was put in a blender it was super creamy, so I choose to put it on sourdough bread and sprinkle cheese on top and put it in the broiler. It was very tasty!
I put it at 2 stars because I had trouble draining the tofu from the vinegar and it was bland and sour as well.
This was very good idea - to use tofu instead of mayo - but the end result needed some added spice. I added pickles and some black pepper at the end.
tastes good, but I added fat free italian dressing, peas, and pickles they gave it the zing it needed
* Percent Daily Values are based on a 2,000 calorie diet.
Tuna Tofu Salad
Serving Size: 1/6 of a recipe
Servings Per Recipe: 6
Amount Per Serving
Calories: 91
Calories from Fat: 17
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Monaluna, Under the Sea in FAT QUARTERS 8 Total
Each Fat QuarterĀ Measures: 18"x 21/22"
You will receive a Fat Quarter of each of the following:
Whale Trail
Octopus Party
Sea Life Patchwork
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Sea life
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Fiber Content: 100% Cotton
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A dispensing valve, particularly adapted for a squeeze bottle containing a viscous product, has a valve head in the form of a thin flat wafer of small diameter stationarily supported as freely as possible from obstructions, and above it an elastically deflectable diaphragm having a central opening with a periphery that seats on the periphery of the wafer. Internal pressure causes the diaphragm to move slightly from the wafer during a dispensing operation.
1. A dispensing valve having a base comprising a circular rim, means for connecting said rim to a squeeze bottle's mouth, a circular wafer, and spokes connecting with and radiating from the wafer's bottom and extending radially to the rim in a plane below said bottom and positioning the wafer on and normal to the rim's axis, said wafer being thin as compared to its diameter and having a small diameter as compared to the rim's diameter and forming an annular space between the wafer and rim; and a cap comprising an elastically flexible annular diaphragm positioned above said plane and having a central opening with a periphery normally resting on the periphery of said wafer, and a depending flange connected to said rim, said peripheries having substantially mating conical surfaces, wherein substantially the entire conical surfaces contact each other, said wafer having a flat top and bottom, said spokes having inner tips which connect with said bottom only and said bottom being otherwise free from obstructions in a downward direction.
2. The valve of claim 1 in which said flange of the diaphragm extends upwardly from said rim to a height above the level of said top of the wafer and said diaphragm has a conical shape and extends integrally from the top of said flange downwardly to said wafer, the top portion of said flange being free from restraint to radial elastic flexure and made of elastically flexible material.
3. The valve of claim 1 in which said wafer and diaphragm have substantially the same thickness.
4. The valve of claim 2 in which said spokes adjacent to the periphery of said wafer and slightly therebelow form stops preventing excessive downward movement of said diaphragm.
5. The valve of claim 2 in which said diaphragm has a downward conical angularity of from 3° to 15° with respect to the flat top of said wafer.
6. The valve of claim 2 in which the diameter of the wafer's said bottom is not more than one-third the diameter of the bottom of said diaphragm.
7. The valve of claim 6 in which the diaphragm's said bottom has a diameter not smaller than 0.65" and said base and cap are each integral plastic injection moldings, the thickness of the wafer and diaphragm ranging from 0.05" to 0.3", the diaphragm's said flange tapering upwardly in thickness from the base's said rim to the diaphragm's connection with said flange.
8. The valve of claim 2 in which said base has a squeeze bottle venting check valve formed by a transversely vertically oriented duck bill extending inwardly from the base's said rim with the duck bill's mouth terminating at a position outwardly offset from said wafer's periphery so as to leave the latter downwardly free therefrom, the duck bill having a vent opening extending transversely through and to the outside of said rim.
9. The valve of claim 8 in which said vent opening is of such small diameter as compared to the duck bill's diameter as to make the vent opening inconspicuous from the valve's outside.
10. The valve of claim 1 in which the thickness of said wafer and diaphragm are within the range of from 0.05" to 0.3".
Dispensing valves for collapsible tubes and squeeze bottles containing viscous products have been the subject of much experimentation as shown by various patents.
Such experimentation has followed the fundamental concept of an upstanding projection having a tip forming a valve seat, stationarily mounted by spokes or the like radiating from the projection's bottom to a rim fixed in one way or another to a collapsible tube or squeeze bottle mouth. Above the projection an elastically deflectable diaphragm is peripherally mounted by the rim, has a hole fitting the valve head more or less, and otherwise closes the space between the projection and rim. Product pressure moves the diaphragm from the projection for dispensing the product.
The above concept does not permit a viscous product such as hair shampoo, ketchup, etc., to be squeezed from the interacting valve parts for effective and prompt valve closing. The product clings to the projection and cannot flow from the valve seat promptly. If the diaphragm is strongly elastically biased to closing position, the normal user cannot squeeze the collapsible container adequately to obtain a valve-opening product pressure. To squeeze a viscous material from between mating surfaces of a valve using that fundamental concept, requires great pressure.
The 1929 Proctor U.S. Pat. No. 1,709,948 apparently started that concept, it disclosing a stationary upward projection having a top forming a semispherical seating member or valve head on which a diaphragm having a circumferential outer peripheral rib or corrugation seats via a centrally disposed opening.
This concept of an upwardly extending projection is repeated in an exaggerated form by the 1953 Schlocksupp U.S. Pat. No. 2,628,004. Here the diaphragm is designed to transmit linear motion to the part of the diaphragm having the hole working on the projection's top end.
The 1929 Proctor patent concept is repeated in the 1976 Clark U.S. Pat. No. 3,984,035, excepting that the stationary semispherical seating member is projected upwardly even further from its mounting means.
The Nilson U.S. Pat. Nos. 3,981,419 and 4,061,254, respectively issued in 1976 and 1977, provide further examples of the stationary valve head being formed as an upwardly projecting member.
To overcome the problem of a viscous product remaining between the fixed and movable surfaces of a dispensing valve, the present inventor, in his 1977 U.S. Pat. No. 4,057,177, discloses a dispensing valve for a squeeze bottle containing a viscous product, which features a sleeve valve actuation. Using a fixed valve head projection, and here again a projection was used, a diaphragm which is deflected by product pressure resulting from squeeze bottle finger squeezing, operates a sleeve valve which upon retraction from its open position has the characteristics of, in effect, shaving off viscous material from the relatively moving parts so that positive valve closing operation is effected.
In the present instance, the inventor's object has been to provide a valve which handles viscous products as effectively as does his valve referred to above, but which will be of simpler construction, opens under less product pressure, requires the use of less material, normally plastic, for its parts, and which permits the use of a simplified injection mold cavity design.
This object is attained by a new dispensing valve having a base formed by a circular rim, a circular wafer and spokes connecting with and radiating from the wafer's bottom and extending radially to the rim in a plane below that bottom and positioning the wafer on and normal to the rim's axis. This wafer has a small diameter as compared to the rim's diameter so an annular open space is formed between the wafer and rim. Combined with this, there is a cap comprising an elastically flexible annular diaphragm positioned above the plane extending from the wafer's bottom and having a central opening with a periphery normally resting on the periphery of the wafer, and a depending flange connected to the rim of the base. The peripheries of the diaphragm's central opening and of the wafer have substantially mating conical surfaces.
This contrasts with the prior art in that no projection extends upwardly from the hub of the spokes, the latter being thin and mounting the wafer only by its bottom so that the wafer, in effect, floats stationarily in open space. When a viscous product is squeezed against the bottom of the diaphragm, it deflects upwardly so that the two peripheries separate. When the two peripheries return together, the product is free to flow from the mating conical surfaces to close easily and provide a positive shut-off.
To promote the above positive shut-off, the wafer is made very thin with a flat top and bottom, the spokes having upstanding inner tips which connect with that bottom only adjacent to the wafer's periphery, in effect leaving the wafer's entire surface free from obstructions in any direction.
The diaphragm is made with a shallow conical shape and extends integrally from the top of its flange, so as to form a cap for the base, downwardly to the wafer, the top portion of the flange being free from restraint to radial elastic flexure. With the cap comprising the diaphragm and its flange made from elastically flexible material such as the typical plastic, viscous product pressure on the inside or bottom of the diaphragm causes the diaphragm to move upwardly with consequent radial elastic flexure of its flange which then acts as an annular hinge with the central part of the diaphragm having the opening, swinging with respect to the wafer's periphery so that the mating conical surfaces of the wafer and diaphragm opening separate and come together in a swinging or arcuate manner. The motion involved is very small, being in the order of possibly a few thousandths of an inch, keeping in mind that the orifice through which the dispensed product passes is annular. Because the diaphragm is downwardly conical, it resists deformation in a bulging manner, its displacement occurring largely by outward swinging or hinging action of the unrestrained flange mounting the diaphragm's outer periphery.
Anticipating the possibility that the domestic user of a squeeze bottle provided with this valve might by finger pressure force the diaphragm inwardly far beyond its intended motion, the spokes of the base adjacent to the periphery of the wafer and slightly therebelow are formed with flat surfaces providing stops preventing excessive downward motion of the diaphragm.
When made of plastic typically used for valves of the present kind, the diaphragm must be made characteristically small in wall thickness. The wafer itself can be made with the same wall thickness. In other words, the wafer contrasts with the usual valve head projection in that the wafer is very thin.
The diaphragm's downward conical angularity with respect to the flat top of the wafer which is normal to the valve axis, does not have great downward conical angularity. This angularity may range from 3° to 15° with respect to the flat top of the wafer. The wafer diameter is small as compared to that of the diaphragm and is preferably not more than about one-third the diameter of the bottom of the diaphragm. This leaves a large diaphragm bottom area, or piston area, against which the product pressure works, so that in the case of a squeeze bottle relatively little finger pressure is required to obtain dispensing action by the valve. For easy operating, the diaphragm's bottom should have a diameter not smaller than 0.65", and the thickness of the wafer and diaphragm should range from 0.05 inch to 0.30 inch. For easy swinging action, the diaphragm's flange should preferably taper upwardly in thickness from its attachment to the base's rim upwardly to the diaphragm's connection with its flange.
An example of the new valve as engineered for commercial production is illustrated by the accompanying drawings in which:
FIG. 1, on a greatly enlarged scale with respect to the actual valve, is a vertical section taken on the line A--A in FIG. 2;
FIG. 2 is a top view of the valve's cap; and
FIG. 3 is a top view of the valve's base.
The drawings show the base 1 in the form of an integral injection plastic molding and as having a skirt 2 which is internally threaded to fit the threads of a plastic squeeze bottle having a standard 28 mm threaded mouth, thus providing a means for connecting the base to the bottle mouth and, therefore, fastening the previously described circular rim 3 to the mouth. The thin circular wafer 4 has its bottom integrally joined with the inner tips of the upwardly inclined spokes 5 which radiate from that bottom and extend radially to join with the rim 3 in a plane well below the wafer's bottom, positioning the wafer on and normal to the rim's axis. As illustrated, the wafer has a small diameter as compared to the rim's diameter and forms an annular space between the wafer and rim.
In this specific example, the rim 3 has an outside diameter of 0.950" and the wafer 4 has a maximum diameter of 0.230" and a thickness of 0.015", these values being given to exemplify the small dimensions involved by the actual valve and not being intended to be restrictive.
The cap 6, also an integral plastic injection molding, has the elastically flexible annular diaphragm 7 positioned above the plane of the bottom of the wafer and having the central opening 8, coaxial with respect to the wafer 4 and the rim 3, and having the periphery which normally rests on the periphery of the wafer. The integral diaphragm flange is shown at 9 as depending from the diaphragm's periphery and connected to the rim 3 of the base. The connection is made by interconnecting peripheral parts formed by the base and cap respectively and which permit the assembly of the cap by it being pushed down and snapped onto the rim of the base, but other interconnecting means might be used.
The peripheries of the wafer 4 and diaphragm's opening 8 is shown as having the substantially mating conical surfaces, in this instance the conical angle being 45° in both instances.
With the spokes having their upstanding inner tips connecting with the wafer's bottom only adjacent to the wafer's periphery, this bottom is otherwise free from obstructions in radial and downward directions. There is practically nothing to prevent the entirely free flow of a viscous product downwardly from the valve's wafer. There is no projection extending upwardly from the base to this wafer on which viscous material can collect and retard free flow downwardly from the wafer's periphery.
The flange 9 extends upwardly from the rim 3 to a height above the level of the wafer's top and the diaphragm has the relatively shallow conical shape previously indicated, the diaphragm extending integrally from the top of the flange downwardly to the wafer. The conical angularity of this diaphragm can vary from 3° to 15° with respect to the flat top of the wafer 4, the angularity being 7° in the case of this illustrative example. Being conical, the diaphragm structurally tends to resist bending when a viscous product applies pressure to its inside or bottom, displacement of the diaphragm required for valve opening being obtained largely if not entirely via the top or upper portion of the flange, indicated at 9a, which is entirely free from restraint to radial elastic flexure. In addition to this hinging action, upward displacement of the diaphragm by pressure from below has a tendency to force the bottom portion of the flange 9 radially inwardly to force the interlock between the cap and the base into tighter engagement. As shown, the base has an annular groove 3a below its rim 3 while the cap's flange 9 has an annular inwardly extending rib 9b, the parts 3a and 9b snapping together when the cap is pushed onto the base during assembly of the valve. As just explained, this interlock is enhanced by what is, in effect, a rocking action of the flange 9 when its upper portion or top portion 9a is flexed outwardly due to upward motion of the diaphragm 7.
At this point it is best to explain that in the foregoing and hereafter, reference is made to tops, bottoms, etc., as the valve is illustrated by the drawings. Actually, when in use, a squeeze bottle is normally inverted so the positions of the parts are reversed, but this fact does not interfere with the present description of the drawings as they show the valve.
Without placing some limit on the inward motion of the diaphragm 7, it might be possible for a user by hard finger pressure to force the diaphragm completely down below the wafer 4 so as to render the valve inoperative. Therefore, although it would otherwise be desirable to have the periphery of the wafer free from all downward obstructions, the spokes 5 which extend from the bottom of the rim 3 diagonally upwardly to the wafer 4, are at a level slightly below the bottom of the wafer, extended radially outwardly to form shelves 10 with which the inner periphery of the diaphragm 7 normally does not contact but which do serve to stop downward motion of the diaphragm when it is forced downwardly by outer pressure. This keeps the valve operative under all conditions of normally expected use.
In this illustrative example, both the diaphragm and wafer are designed with a wall thickness of 0.015. This illustrates the extreme thinness of the wafer 4 and the fact that these two major valve components require very little plastic, the major amount of plastic required being for the base 1 which must have, in any event, the rigidity required for fastening to the bottle mouth, and the two interlocking portions required for easy valve assembly, keeping in mind that the upper diaphragm flange portion 9a should be kept with a thin wall thickness to promote the previously described hinging action. In this connection, this upper portion 9a is made to taper upwardly from the top of the rim 3 to the integral junction between the diaphragm 7 and the top of this portion 9a.
The diameter of the wafer's bottom should preferably be not more than one-third the diameter of the bottom of the diaphragm. In this illustrative example, the diameter of the wafer's bottom is 0.20" and the inside diameter of the diaphragm is 0.90". When in use on a squeeze bottle and the bottle is squeezed, the diaphragm has about the maximum imaginable piston area presented to the pressurized viscous product, this pressure being applied also to the inner surfaces of the flange tops 9a to promote the hinging action. Finger pressure on the normal squeeze bottle need not be very great to operate this valve.
In this inventor's prior patent, previously referred to, it is explained that a pressure relief valve or check valve is necessary in a valve of the kind here involved, and the use of the so-called duck bill type of valve was proposed. In this instance the duck bill is shown at 11 as extending transversely through the base 1 via the lower part of its rim 3 and with the duck bill's characteristic flat shape oriented vertically so as not to interfere to any substantial extent with the product flow through the valve's base 1.
FIG. 1 shows how this transversely vertically oriented duck bill extends inwardly from the base's rim 3 with the duck bill's mouth 11a terminating at a position outwardly offset from the wafer's periphery so as to leave the latter downwardly free from the duck bill. This, together with the duck bill's transverse vertical position, avoids entrapment of the dispensed product after the valve closes. The duck bill has a vent 11b extending transversely through and to the outside of the rim 3. This vent is formed by a radial slot 1b in the rim's top, the cap's flange 9 closing the outer end of the duck bill excepting for this slot located beneath the flange's bottom edge. The slot is of small dimensions so that the vent is of such small diameter as compared to the duck bill's diameter as to make the vent opening inconspicuous from the valve's outside.
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Making Sense of China's Markets
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For much of the twentieth century, leaders and policymakers around the world viewed the strategic importance of trade, and of international economic policy more generally, largely through the lens of military strength.
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The normal rhythm of politics tends to lead most nations' economies around in a circle, ashes to ashes. This life cycle starts with a crisis, which forces leaders to reform, which triggers an economic revival, which lulls leaders into complacency, which plunges the economy back into crisis again.
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Benn Steil's essay in the July/August issue of Foreign Affairs looks at the international consequences of U.S. monetary policy action. He argues that developing-nation governments are coming to see the need for engineering current-account surpluses and large dollar-reserve stockpiles as a means of insulating themselves against Fed-induced capital-flow whiplash. As this amounts to "currency manipulation" in the eyes of U.S. policymakers, trade tensions are apt to grow.
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Center for Innovation in Engineering and Science Education at Stevens Institute of Technology, which has created a variety of online, problem-based K–12 engineering curricula (McKay and McGrath, 2007). Students who had participated in "Engineering is Elementary," a program developed by the Boston Museum of Science that integrates engineering with science content for elementary students, showed improvement in a post-test measuring science and engineering knowledge (Lachapelle and Cunningham, 2007). Unfortunately, there was no control group for comparison in this study.
Engineering design has been shown to encourage mathematical thinking. Akins and Burghardt (2006) studied teams of middle and high school students who applied mathematical reasoning to solve problems in a design challenge. Pre-test results were used to disaggregate students into quartiles, and all quartiles showed improvement on math and science tests. (No tests of significance were conducted, but post-test scores were 21 percent to 125 percent higher than pre-test scores.) The authors noted that the lowest scoring teams had the highest score gains, which suggests that engineering design has the potential to narrow achievement gaps; this possibility was not noted by the researchers, however.
In some cases, standardized test scores were not impacted by student participation in engineering activities, but other measures, such as the ability to explain, analyze, predict, or reason about science, mathematics, or technology, demonstrate that the students had learned a great deal. For example, a program at one inner-city school involved designing remote-control vehicles. Although the scores of students who participated in the program did not show improvements on district-wide physics achievement tests, prepost measures showed that the students had a better understanding of the physics related to their vehicles (Barnett, 2005).
In the "Integrated Mathematics, Science, and Technology" (IMaST) curriculum project, participating students and non-IMaST students had similar gains on state mathematics and science achievement tests, but IMaST students scored higher on TIMSS math items than students in a control group (Satchwell and Loepp, 2002). Notably, IMaST students scored higher on measures related to "process" (i.e., mathematical problem solving and science inquiry) whereas the control students scored higher on measures related to "knowing" (i.e., understanding routine mathematics operations and scientific information).
A few studies have been done on the potential of K–12 engineering to differentially affect math and science achievement among girls and underrepresented minorities. In a middle-school study of modules in which engi-


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Venture Capital Blog
The P-I traces startups, venture capital and life in the Pacific Northwest technology community.
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Roundup: Marchex, Napera, Bezos laugh, etc.
There's a big local search conference starting in Seattle today. So no wonder Marchex is announcing partnerships with AdMob, 4INFO and Ringleader Digital to help the mobile companies better deliver local ads. Marchex will provide those companies with call tracking and measurement services to help them determine if mobile ad campaigns are working. [Read More]
Marchex debuts thousands of revamped local Web sites
Online local search provider Marchex has been gobbling up Internet domain names for the past three years. [Read More]


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Folks learn about quick, healthy meals
HUNTINGTON -- Several curious students took part in a lunchtime lesson at Huntington's Kitchen on Tuesday, the first in a series of Revolution Solution classes with Chef Holly.
Participants spent an hour learning new recipes for healthy meals that can be prepared quickly. The class is designed to give students time to cook and enjoy lunch before returning to work or other afternoon commitments.
Future classes take place from 11:30 a.m. to 12:30 p.m. Tuesdays through March 19. Each class is $15 per students.
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The Herald-Dispatch welcomes your comments on this article, but please be civil. Avoid profanity, obscenity, personal attacks, accusations of criminal activity, name-calling or insults to the other posters. Herald-dispatch.com does not control or monitor comments as they are posted, but if you find a comment offensive or uncivil, hover your mouse over the comment and click the X that appears in the upper right of the comment. If you do not want your comment to post to your personal Facebook page, uncheck the box below the comment.


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DINING REVIEW: A Colorado Springs diner that's the real deal
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AKC French Bulldog Puppy. (F) S/W, Blue genes, White/Honey Pied. 9 wks $2700 601-320-3809. My female Frenchie is the pick of the litter from four puppies. Her dad is a blue and white pied and mom is a honey colored with white markings. Both are family pets that live in our homes. Puppy is house trained. Her ears are standing some and sometimes not. When she plays they are more erect. She has up-to-date vaccines and worming. Comes with health guarantee and unlimited Akc registeration. Will meet you or can come to my house. I live in south Mississippi
Published in The Times-Picayune 7/29. Updated 8/4.
Two Black Dachshund Puppies. CKC, Shots Wormed $150 each 504-460-5038
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Bichon Frise Pups, Snow White Balls of Fur. CKC, $400 Up. shepuppies.com 985-474-0384
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A sensor is provided on a lead and senses various physical parameters that are indicative of a desired anatomical target, such as the coronary sinus. The data from the sensor is used to navigate to the anatomical target and/or confirm that the anatomical target has been reached. In one embodiment, the sensor is a temperature sensor and increased temperature values in and around the coronary sinus are used for navigational purposes.
1. A device comprising:
a lead body navigable within portions of a cardiac anatomy;
a sensor disposed on the lead body and sensing a physical parameter;
a navigation processor communicatively coupled with the sensor for receiving the sensed physical parameters and manipulating the sensed physical parameters into navigational data; and
a navigational output device communicatively coupled with the navigational processor, wherein the navigational data is output by the navigational output device.
2. The device of
3. The device of
4. The device of
5. The device of
6. The device of
7. The device of
8. The device of
9. The device of
a patient imaging device for providing patient image data; and
a supplemental patient parameter monitor for sensing supplemental patient parameter, wherein the patient image data and the supplemental patient parameter are provided to the navigational possessor so that the navigational data is based upon the supplemental patient parameter, the image data, and the sensed physical parameter.
10. The device of
11. The device of
12. A system comprising:
means for manipulating and directing a device within cardiac an anatomy;
means for sensing a physical parameter;
means for processing the physical parameter into navigational information; and
means for presenting the navigational information;
13. The system of
14. The system of
15. The system of
means for acquiring imaging data; and
means for combining the imaging data and the navigational information for presentation by the means for presenting.
16. A method of navigating a lead within cardiac anatomy, the method comprising:
passing a lead having a temperature sensor into a right atrial chamber;
sensing temperature values within the right atrial chamber to determine an averaged value;
sensing temperature values within the coronary sinus;
comparing the temperature values within the coronary sinus to the averaged temperature value and determining that the lead is within the coronary sinus based upon the comparison.
17. A method of navigating a lead within cardiac anatomy, the method comprising:
directing a lead having a temperature sensor into a right atrial chamber;
determining an average temperature value for the right atrial chamber;
moving the lead about the right atrial chamber to obtain temperature values; and
moving the lead towards a targeted area of the right atrial chamber based upon increased temperature values.
18. The method of
19. The method of
20. The method of
21. The method of
identifying one or more known anatomical features having a predetermined spatial relationship to the targeted area; and
defining a search area through which the sensor is moved based upon the identification of the one or more known anatomical features.
The present invention relates to implantable medical devices. More specifically, the present invention relates to a system and method for locating a specific anatomical position.
Various medical devices exist that utilize a lead to sense signals from or deliver electrical stimulation to cardiac tissue. For example, cardiac pacemakers often utilize a single lead having a distal tip disposed within the right atrium or right ventricle of the heart to sense and pace. Dual chamber devices have a lead in both the ventricle and the atrium and are quite commonly used. Implanting a lead within either right-sided chamber is relatively straightforward and typically presents little complication for a skilled practitioner.
More recently, a benefit has been recognized in pacing, sensing, stimulating or otherwise having communication with the left side of the heart. In general, leads are typically not implanted within the left atrium or left ventricle as oxygenated blood flows from the left side to the remainder of the body. As such, left sided lead placement has undertaken several alternative approaches.
An epicardial lead may be affixed to an external portion of the heart, i.e., the pericardium, at an appropriate location on the left side of the heart. While current techniques are being improved, the difficulty with the use of such epicardial leads is their guidance and manipulation from the implant site, through the chest cavity to the heart, and their affixation. The procedure is at least different, if not more complicated, than standard venous implantation for, e.g., right sided leads.
As such, a venous implantation technique is available and is presently the most commonly used technique for left-sided lead implantations. In summary, a lead is advanced into the right atrium and caused to enter the coronary sinus. The lead is then manipulated through the cardiac vein until it is properly situated against the exterior wall of the left ventricle or left atrium. Because of this disposition within a relatively narrow vein, the lead is often affixed by relying on a wedging action of a biased portion of the lead, though other affixation techniques may be utilized.
One of the more challenging aspects of such an implantation is initially inserting the lead or the guiding mechanism (e.g., catheter, stylet, guidewire) into the ostium of the coronary sinus. In fact, this step often accounts for a great deal of the total implantation time. In addition, the variability in this difficult step between patients leads to great variability in total implant time across patients. In some difficult cases, the coronary sinus cannot be located and the procedure is abandoned in lieu of an epicardial lead placement.
The difficulty in inserting the lead or guiding mechanism into the coronary sinus arises from several different factors. Entry into the right atrium is, as mentioned relatively straight forward. For example, following the superior vena cava will lead directly into the right atrium. However, the right atrium is a relatively large (with respect to the coronary sinus), chamber that is in rhythmic motion. For this reason alone, navigation, especially via remote manipulation, is difficult. In addition, more significant anatomical structures, such as the tricuspid valve or the inferior vena cava are more easily detected and in that sense, provide obstacles to manipulating the device to find the coronary sinus. The position, configuration, and orientation of the coronary sinus often make it somewhat occluded and thus, more difficult to find. Finally, the angle of entry is often not conducive to easy remote manipulation. Wide variation in patient anatomy may greatly affect the scope of any or all of these issues.
The implantation procedure often relies on a fluoroscope to permit the practitioner to view certain anatomical features and the leads current position with respect to those features. Fluoroscopy does not illustrate soft tissue very well and provides virtually no guidance with respect to locating the coronary sinus. Thus, the practitioner is working almost entirely be feel.
Thus, one of the major obstacles in left sided lead implantations, or other left sided procedures, is the initial location of the coronary sinus and the insertion of the lead, guiding mechanism, or other tool therethrough.
The present invention, in one embodiment is a system and method that provides for the guidance of a device to the ostium of the coronary sinus and/or provides confirmation that the device is located within the coronary sinus. The device is a lead that is being implanted or is a guidance device, such as a catheter, stylet, guidewire or the like that will facilitate the implantation of a lead. The device could also be various other tools such as an ablation electrode or various sensors that are used on a temporary or permanent basis.
The coronary sinus provides an entryway for return blood flow into the right atrium and, as previously indicated, is relatively small with respect to the right atrium. As such, the return blood flow generates a number of physical characteristics. For example, there is a temperature variance between the blood within the coronary sinus and that within the right atrium on the order of about 1° C. More precisely, the temperature differential is usually on the order of about 0.2° C. As such, there is a temperature gradient about the ostium of the coronary sinus. In addition, the pulsitile blood flow generates certain pressure characteristics as well as turbulent flow. The oxygen and/or carbon dioxide levels of the return blood from the coronary sinus are distinguishable from that present in the right atrium. In summary, the nature of the return blood flow from the coronary sinus presents certain detectable physical indicia.
Lead 10 is communicatively coupled with a navigation control display 18 via electrical connections 16. Navigation control display 18 takes data acquired from the sensor 14 and displays or otherwise presents the data (e.g., audible representations). Alternatively, or in addition thereto, navigation control display 18 processes the data and then displays or presents guidance information.
The sensor 14 may sense any criteria useful for locating the coronary sinus and/or confirming that the sensor 14 is disposed within the coronary sinus. In one embodiment, the sensor 14 is a temperature sensor. In another embodiment, the sensor 14 is for example, a pressures sensor, an oxygen sensor, a chemical sensor (e.g., lactate), senses PH balance, is a velocity sensor that senses flow, is an ultrasound sensor (with or without Doppler capability), or is an optical sensor. For any given parameter, multiple sensor options exist. Pressure, for example, may be sensed via compression of a calibrated element, a piezo-electric sensor, or an optical sensor. Likewise, blood oxygen may be sensed via an optical sensor or a chemical sensor that measures direct levels or derivatives.
As illustrated in
In use, the lead 10 is guided into the right atrium and the sensor 14 provides data to an external device. This data is used by the physician to manipulate and guide the lead 10 to the coronary sinus and/or confirm that the lead 10 is within the coronary sinus. Of course, the present invention could be used to navigate to any other desired anatomical location, based on appropriate sensed parameters.
In one embodiment, the sensor 14 is a temperature sensor. The temperature sensor 14 is a thermocouple, a thermistor, or any other temperature sensing device at least having sufficient ability to distinguish temperature variations within a range that is on the order of about 0.2° C., as this represents the temperature gradient about the ostium of the coronary sinus. While accurate calibration between sensed and actual temperature values is appropriate and may, in some embodiments, provide additional value, accurate sensing of temperature differentials provides sufficient basis for navigation. The temperature increase between the ostium as compared to the averaged right atrium may be used, rather than specific temperature values, in certain embodiments.
In one embodiment, the temperature sensor 14 is sufficiently sensitive and provides a sufficient signal to noise ratio to accurately detect temperature variations on the order 0.01° C. This temperature sensor 14 has a rapid response time of 50 milliseconds or better so as to provide tracking information relating to movement of the sensor 14. Finally, the temperature sensor 14 is stable so that indicated temperature variations reliably result from actual temperature differential and not from a drift in the sensor characteristics.
Various potential paths taken by the sensor 14 when moved within the right atrium are illustrated as solid lines 1-4. Path 1 causes the sensor 14 to remain sufficiently distant from the ostium 32 so as to only detect blood temperatures in the averaged range; that is, the average temperature of blood within the right atrium.
Path 2 represents movement of the sensor 14 from the right atrium past the ostium 32. The resultant temperature graph is illustrated in
More directional information is gathered by providing a plurality of sensors 14 that are arranged circumferentially about the lead 10, as illustrated in
The representations provided in
While such raw data provides value in certain embodiments, the present invention also provides for computational analysis of this raw data to generate navigational information and/or provide for confirmation of entry. For example, by recording temperature versus position, as represented in
In one embodiment, the navigational aides are used in concert with existing medical and sensory equipment to aide the physician.
The processor 58 takes the sensor data 52, and as previously discussed, generates the appropriate navigational information that is then displayed on or broadcast from a navigational display 60. The navigational display 60 is a display screen such as for example a CRT or LCD. This display 60 is viewed by the physician 62 and allows for manipulation of the lead 10 within the patient 50 in order to find, enter, and/or confirm entry into the coronary sinus.
The navigational display 60, in one embodiment, displays only information derived by the processor from the sensor data 52. In another embodiment, the derived information is correlated with image data 54 and a composite is generated. For example, current positional data from the sensor 14 and/or an identified position of the coronary sinus are superimposed or digitally combined on a given image or image feed. Thus, the normally transparent soft tissue of the coronary sinus may be represented on the image based on the processed navigational data. The particular technique used to combine the senor data 52 and the image data 54 will vary depending upon the types of each. For example, digitally created navigational data is superimposed over an analog image source or the image data 54 is digitally captured and manipulated to form a composite with the sensor data 52.
Various other physical parameters may have an affect on the data sensed by sensor 14. For example, when sensing temperature the patient's respiration and cardiac cycle cyclically affect the temperature. Thus, supplemental patient data 56 is gathered and utilized by the processor 58 to generate the navigational information. The supplemental patient data 58 includes, for example, EEG, EKG, blood pressure, respiration rate, tidal volume, patient position/orientation, ambient temperature, patient temperature, drug/pharmacology data (type, rate, dosage, etc.), implant data (e.g., if already in place), or other parameters that would affect the sensed data 52.
The processor 58 takes the various data available to provide a useful navigational result to the physician 62. The navigational display 60 provides meaningful visual and/or audio output that assists the physician in navigating a device, such as lead 10, within the anatomy of the patient. For example, the navigation display 60 assists the physician 62 in finding and/or confirming entry into the coronary sinus. As previously explained, the sensed data 52 indicates that the device is within the coronary sinus, however such data could be the result of having the device in another anatomical feature, e.g., the inferior vena cava. The processor 58 correlates the other data to effectively rule out such options.
The present invention, in various embodiments, provides for the confirmation that the lead 10 has entered the coronary sinus. This is a valuable data point for the physician as it is often very difficult to make this determination during an implantation or other type of procedure. Expanding beyond confirmation, various embodiments provide navigation aides to assist the physician in finding the coronary sinus. As explained, temperature gradients exist about the ostium that are detectable. Other parameters such as pressure, oxygen content, etc. also serve to distinguish the ostium from the remainder of the right atrium.
The particular parameter selected determines the approximate range of usefulness for navigation purposes. For example, easily measurable temperature variations are typically detectable at a distance of about 1 cm from the ostium. Thus, to rely on temperature data alone for navigation, the sensor 14 must be relatively close to ostium to then identify and navigate to the coronary sinus. Providing more accurate sensors or providing for sensors that sense a given parameter from some distance increases the useful range.
As previously explained, the lead 10 may be equipped with a plurality of sensors 14 (
In another embodiment, the present invention is utilized to determine an appropriate area to search, search for and identify the coronary sinus, and then navigate into the coronary sinus.
Thus, to ultimately locate the coronary sinus 72, one or more of these more easily identifiable anatomical features are first located to define the target area 74. Once the target area 74 is so identified, the physician has a general idea where the coronary sinus 72 is and uses the above described techniques to then located the coronary sinus 72.
Sensor 14 is deployed through the lumen 88 via an appropriate device such as lead 10, a catheter, a stylet or a similar steerable mechanism. After the anchoring members 90, 92 are secured to their respective anatomical structures, as schematically illustrated in
Various techniques may be employed to ultimately deliver a desired device such as a lead to the coronary sinus 72, with the various embodiments of the sensor 14. In one embodiment, the sensor(s) 14 are formed as part of the lead 10 and the lead 10 is simply deployed. Alternatively, the sensor(s) are attached to a catheter or a guidewire, which is deployed within the coronary sinus. The lead or other device is then deployed via the catheter or over the guidewire. A dedicated device having the sensor(s) 14 may be used to "map" the right atrium and identify the location of the coronary sinus. Once done, the sensor(s) 14 are removed and the lead or other device is inserted, using the know known or mapped position of the coronary sinus.
In this embodiment, the lock-in amplifier 108 measures a relatively small signal despite significant noise by taking advantage of an AC character of the signal. The illustrated embodiment measures the resistance changes of the thermistor 102 that forms portion of the wheatstone bridge 106, with the lock-in amplifier 108 providing an AC signal. The lock-in amplifier 102 provides a reference signal at the same frequency of the sensed signal with a constant phase difference via a phase locked loop. Demodulating the signal creates a DC signal that is proportional to the original AC signal. By passing this signal through a low pass filter, only a DC signal remains that is proportional to the sensed signal. The noise is determined by the bandwidth of the low pass filter. Such an arrangement provides fast response times and accurately measures temperature differential in the necessary range.
While multiple embodiments are disclosed, still other embodiments of the present invention will become apparent to those skilled in the art from the following detailed description, which shows and describes illustrative embodiments of the invention. As will be realized, the invention is capable of modifications in various obvious aspects, all without departing from the spirit and scope of the present invention. Accordingly, the drawings and detailed description are to be regarded as illustrative in nature and not restrictive.
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Death Certificate - Dimitry Pimenow, Treuchtlingen, Germany, 5 Oct 1949 Reg. No: HT 14860
- Summary:
- Death Certificate issued by the Registrar of births, marriages and deaths in Treuchtlingen, Germany, dated 5 October 1949. The certificate states that electrician Dimitry Pimenow died in a community camp on 11 April 1945 in Treuchtlingen. Dimitriy Pimenow was born on 27 October 1886 in the Ukraine. He married Polish born Natalia Nikolska on the 13 November 1913 in Minsk, Russia. The couple had a daughter, Kateryna, born in Poland in 1915. From 1916 to 1929 the family lived in the Ukraine and then between 1929 to 1943 in Russia, moving to Germany in 1943.
- Description:
- Soft browning paper with black printed text. Personal details are typed in black and there is a blue official stamp on the document.
- Acquisition Information:
- Bequest from (Estate of) Mrs Kateryna Caurs
|14.90 cm (Width), 21.00 cm (Length)
More information
|Tagged with:
|world war ii 1939-1945, immigration, death mourning, certificates, ukrainian immigration
|Themes this item is part of:
|Migration Collection
|Primary Classification:
|Secondary Classification:
|Processing - Planning & Departure
|Tertiary Classification:
|Text: Sterbeurkunde/(Standesamt Treuchtlingen Nr. 83/1949/Der Elektriker Dimitry Pimenow.
|Place & Date Issued:
|Treuchtlingen, Germany, 5 Oct 1949
|Place & Date of Event:
|Dimitry Pimenow, Treuchtlingen, Germany, 11 Apr 1945
Place and date of Dimitry Pimenow's death
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Our cost of living indices are based on a US average of 100. An amount below 100 means Vero Beach, FL is cheaper than the US average. A cost of living index above 100 means Vero Beach, FL is more expensive.
Overall, Vero Beach, FL cost of living is 94.00.
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re: May I link to your site? - 6/24/2010: We are thinking of moving to Vero Beach. My husband will retire I want to work. I am a Realtor in South Dakota and was also licensed in Wisconsin. We are familiar more... (read more)re: I love Florida! - 2/18/2010: We are thinking of moving to Vero Beach from South Dakota the Black Hills. Juust getting tired of winters. Do you still like Vero Beach? Is it really hot in the summer?... (read more)GOOD! Keep Crime OUT!: Thanks for sharing fun facts about Vero Beach but more over:
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After all...where ever the so called "fun" is...
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Jimmy DuPree: Wolfpack is climbing the mountain
RALEIGH — Two weeks ago, N.C. State was a program that hadn't had many signature wins against its closest rivals in recent years.
Now the Wolfpack has two.
N.C. State's 91-83 victory over North Carolina ended the Tar Heels' 13-game winning streak in the series, a string that wasn't lost on anyone in red.
In fact, N.C. State's most recent triumph over UNC was on Feb. 3, 2007, in Raleigh by an 83-79 margin during Sydney Lowe's first season.
"It's big, especially for the fans," N.C. State senior Scott Wood said after finishing with 12 points, including nine in the second half to help seal the win. "Somebody said I was in middle school the last time we beat them.
"We've got to continue to work hard. It's big for our program, but at the same time, we've got to get the next one."
It had been 14 days since the Wolfpack handed then-No. 1 Duke its first loss, an 84-76 thumping that set off a wild celebration at PNC Arena.
Maybe it was the Tar Heels' second-half rally from a 28-point deficit that made the postgame scene more muted Saturday night. Then again, maybe it's a sign that the Pack is more confidant.
"I definitely didn't come in thinking that we were going to lose to them," N.C. State senior Richard Howell said. "We didn't come here, to the ACC, to be second. We were coming to be better than Duke and North Carolina. We came to win it all. We feel like we have the team to do it.
"This is definitely a bigger win (than Duke), especially when you've been here four years and you haven't beaten a team and they're constantly kicking your (butt), it's definitely a good win."
The Pack's veterans carried a bulk of the load, with junior point guard Lorenzo Brown leading the way with 20 points and 11 assists and Howell scoring 16 and grabbing 14 rebounds.
Yet it was freshman T.J. Warren, a Durham native, who came off the bench to provide a spark with 19 points on 9-of-12 shooting. He and classmate Rodney Purvis, thus, are unbeaten against Duke and UNC.
"It feels great to get my first Carolina win," Warren said. "To be able to beat Duke and Carolina my first year, it's a good feeling for us, the program.
"Everybody was loud, everybody was supportive — I'm proud of the Wolfpack nation for that. I feel like this sets the tone; you can see the excitement now."
Warren and Howell admitted that they were exhausted in the second half when their big lead disappeared. But had learned from Tuesday night's 86-84 loss at Wake Forest.
"I feel it was all about effort and intensity and energy," Howell said of the loss to Wake Forest. "I'm definitely not making excuses. We know that we've got to come out a lot better than that. That's one of the reasons that we were so anxious to get on the court today, why we're so anxious to get on the practice court tomorrow.
"This is definitely another momentum booster, especially coming off a loss to Wake Forest."
Howell had no doubt about who had been troubled the most by the losing streak against UNC.
"The coaching staff; they hear it all the time," Howell said. "I feel like they were more tired of hearing it than the players. ... We wanted to get that done for them."
Second-year coach Mark Gottfried, now 1-3 against the Tar Heels, didn't want to put too much emphasis on the win. He also didn't shy away from trying to put it in perspective.
"I don't know about a cultural significance," Gottfried said. "I just know that our program has lost a lot of games to North Carolina. ... They are good and have been good; we're trying to get good. We're trying to climb up the mountain.
"At some point, you've got to turn it a little bit and this is a start. Now, I understand that doesn't guarantee anything in the future. But for tonight, for this one night, it does give us a step in the right direction because they have been terrific, and they were terrific tonight."
For now, N.C. State stands in second place in the ACC with 11 league games remaining. That's plenty of time to make a move up — or down.
"It's definitely a big win," Howell said. "But like I said, we're not satisfied. We let some games get away from us, like the Wake Forest game. If we come out and play like that again, it's going to be the same result.
"If we don't come out like we came out today, it's going to be trouble."
And if they do, it's trouble for any team they're facing.
You may contact Jimmy DuPree at email@example.com or 919-419-6674.