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The Beatles: Magical Mystery Tour Blu-ray
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Stephen Sondheim's Company with the New York Philharmonic Blu-ray
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Set firmly in, and often about, New York,ĀCompanyĀfollows five married, once married, or soon to be married couples and their mutual friend, Robert, a 35 year old bachelor who has been unable to connect in a long-term relationship.More >
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Comments about PBS Stephen Sondheim's Company with the New York Philharmonic Blu-ray:
Fantastic. This Sondheim classic (that I saw on Broadway in my college days) gets unexpected new life. This is much more than a mere revival. Neil Patrick Harris gives emotional resonance to a character that can become an outdated cartoon in less capable hands. Wonderful ensemble cast. All the interpretations of the characters are fresh and fun to watch. Nothing about Colber's performance will make you think of his show....which serves the production well.
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Southwest Minnesota party-wedding.info is a party and wedding directory striving to provide the most complete listings of SW Minnesota area event vendors. Whether you're looking for a photographer, wedding planner, disc jockey, bartender, party favors, bounce houses, kid parties or anything else party related our website can help in your search. Our vendor list grows each week so please bookmark and check back often. Thanks for visiting!
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:DDD my very first full length animation ever made is finally out.
check it out in my flash submission :]
like i said i got a whole lot better than the last time i posted something.
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Whitney S01E15
English | avi | 624x352 23.976 fps | MP3 128 Kbps | 21mn | 174 MB
Genre: Comedy
"Whitney" is around the life of Whitney Cummings, a repaired comedian who sees that she and Alex (Chris D'Elia) are closing in ~ward the boredom of their relationship. It is the identical old story of how if you close into that category, you are not going to be as happy as you were before. Whitney is not going to suffer that happen and talks to her friends round the issue at hand. After ending up at the Emergency Room by Alex getting a concussion when they tried something new, they realize that they are alright and that at the very time though a relationship might not have ~ing perfect, they still love one another.


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Dredd 3D (USA 2012) – Judge, Jury & Executioner
In a violent metropolis in the dystopian future, peace-keeping is a job for the cops, who are judge, jury and executioner combined.
Mega City, a vast metropolis of 800 million souls stretching from Boston to DC, is run by gangs and drug lords. Only the Judges, known and feared – and equipped with the latest technology – have the power to keep the lid on crime and Judge Dredd (Karl Urban) is the most feared of all. Masked, helmeted, metal-suited and fully obscured, his latest challenge is ridding the city of its current scourge – a new drug known as "Slo-Mo", which dramatically slows reality for its users. Every feeling and emotion can be experienced for longer – ecstasy as well as agony.
On the day Dredd is assigned to train Cassandra Anderson (Olivia Thirlby), a new recruit with powerful psychic abilities springing from a genetic mutation, they are summoned to a crime scene at Peach Trees – one of the most violent spots in the city. 200 Stories of savage high-rise slum run by Ma-Ma (Lena Headey), prostitute turned crime boss, and her ruthless gang. A vicious triple-murder has been committed – the bodies, flayed and tossed off the top of the building.
After the dynamic duo captures one of Ma-Ma's key henchmen (Wood Harris), she manages to over-ride the compound's security control and puts the high rise into lockdown. No loss of life is too great to protect her empire and the two judges must fight overwhelming odds if they hope to survive.
More blood-thirsty and hard core than the bland 1995 JUDGE DREDD starring Sylvester Stallone, director Pete Travis and screenwriter Alex Garland have ramped up the action and brutality to adapt to these darker times and appeal to a more extreme target group. As a superhero, Dredd has little to commend him to a wider target audience. A man of few words and those in a gruff "Batman" voice, he is hardly allowed to show any humanity or expression – never mind his face – which leaves Thirlby to transport such emotion and sympathy as is to be found in the script. And she does this with a modicum of success. Even more successful to my mind is Lena Headey's portrayal of arch-villainess Ma-Ma, A sense of profound sadness can be sensed beneath the character's hard exterior.
But the focus here is on merciless carnage in vivid 3D and a $50 million budget. Blood splatters, bodies are dismembered – much of it in Slo-Mo – a technique I initially found interesting, and then over-used and tedious – all underlaid with a pulsing score by Paul Leonard-Morgan, most of it below the stave. The goodies and the baddies are equally savage, but justice, such as it is in this post-apocalyptic world, wins through.
DREDD 3D (USA 2012); Distributor: Lionsgate Films; US release: 21st Sept/Germany: 15th November; Running time: 96 mins: Director: Pete Travis; Writers: Alex Garland (screenplay), Carlos Ezquerra, John Wagner (characters) Cast: Karl Urban, Olivia thirlby, Lena Heqadey, Carlos Ezquerrs, Wood Harris;Langley Kirkwood ; MPAA Rating: R
Liked it
On November 17, 2012 at 10:36 pm
good film
On November 18, 2012 at 3:39 pm
I\'m sorry but while you are entitled to your opinion I don\'t agree with you here. The original Judge Dredd is by far the superior movie. The new Dredd tries to hard to be important and falls short epically. How the over the top special effects earn this a 77% on rotten tomatoes vs the originals 18% I have no idea. The movie is dull, boring and does not stay true to it\'s source material at all. It\'s a complete rip off of \" The Raid\" a movie that came out earlier and is a better action film it\'s self. The Dredd plot is predictably tried and true, rookie cop learns the ropes while out in the field. This has been done before in Hollywood movies so much. Not being able to see Karl Urban sucks , him keeping that mask on the entire movie dehumanizes the character. It makes him feel like a robot, like Robocop or the Terminator. The slow motion is not even new and is stolen from movies like the Resident Evil franchise. A slow moving pace and a hero you can\'t connect with make this a waste of time. I have watched the 1995 film with Stallone several times. \" I am the law\" who doesn\'t remember that line from the movie. I don\'t recall one line from this 2012 remake at all. This is one film I hope doesn\'t have a sequel. The film at best is average with a 5/10, big thumbs down. Just another way for Hollywood to use a established name and the tired 3D gimmick to make money. Adding 3D to movies doesn\'t make it better. 3D has been around forever and is so old.
On November 22, 2012 at 7:51 am
Nice article, like this


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Merchant Account
"A merchant account is a type of bank account that allows businesses to accept payments by debit or credit cards. A merchant account is established under an agreement between an acceptor and a merchant acquiring bank for the settlement of payment card transactions. In some cases a payment processor, independent sales organization (ISO), or merchant service provider (MSP) is also a party to the merchant agreement."
BancBox currently operates under a "bring your own" merchant account model. BancBox allows the flexibility for companies to use a solution they have already integrated and prefer, or work with a BancBox partner to acquire a merchant account. The BancBox platform can then collect funds from the merchant account, store these in an FDIC insured account(s), and send these funds all using our APIs. BancBox is built to handle the most complex funds flows and working with a merchant account is no different.
Visit www.bancbox.com for more information.


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Easton Cycling is the leader in composite design, engineering and manufacturing for the bicycle industry. Located in Scotts Valley, California, Easton provides a range of carbon and aluminum wheelsets and components to manufacturers and consumers. Easton products include innovative manufacturing techniques, category-leading performance and consistently great value. Easton wheels and components were ridden to victory at the 2011 Tour de France by Cadel Evans and the BMC Racing Team, who Easton continues to sponsor alongside the world's best athletes in the road, mountain, track, triathlon and cyclo-cross disciplines.


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CBS is ready to renew deal with U.S. Open Talk of warming trend in relations gets cool reception NFL, partners push Back to Football Super sales for NFL and Fox Is football the next Farmville? Paciolan, StubHub launch ticket partnership PGA Tour adds women's, youth apparel licensees UFC gets ex-NBA exec to lead Far East push Diverse cast vies for NASCAR ride on BET show No Headline
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DLA Piper hires Nixon Peabody sports partners
Published May 10, 2010
Global law firm DLA Piper has hired the four partners who make up the sports practice of Nixon Peabody.
Peter White, the now former Nixon partner who will manage the group, said they switched because of the international opportunities offered by his new firm's global reach.
The four partners are White; Charles Baker; who specializes in mergers and acquisitions; Mark Whitaker, who represents borrowers and lenders in sports finance deals; and Katie Baynes, a public finance specialist.
There are a handful of law firms that specialize in sports. The most prominent, Proskauer Rose, is known for its representation of sports leagues and teams. The new DLA practice is geared toward the finance side of sports, representing buyers and sellers of sports team, and the different entities involved in financing those deals and venues.
White said it was a trip overseas to represent an English Premier League team that convinced him of the need to expand globally. Stadium infrastructure in Europe is years behind the U.S., he explained, underscoring the opportunities overseas. He noted that the new group now counts the English Premier League as a client.


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A 3½ months old boy born of non-consanguineous marriage presented with abdominal distension for 8 days, jaundice and ecchymoses over trunk for 1 day. There was no clay coloured stools or fever. He was...
What is the long term outcome in patients with galactosemia_...
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Prof. Dr. N. L. Phuljhele*
Department of Pediatrics Pt. J.N.M. College & Dr. BRAM Hospital, Raipur.*
Recent advancement of neonatal survival new technique are adapting in which one of blood transfusion and blood component is useful, sequential description.
Whole Blood
Blood from which components are not separate. With the advent of component therapy use of whole fresh blood has reduced.
Indication of use in neonates
In neonates dot is used for exchange transfusion in condition like
Hemolytic disease of newborn due to materno-fetal ABO incompatibility
Hypercoagulability like Polycythemia
Septicemia fulminant
Red cell replacement in acute blood loss with hypovolemia
In condition of shock
In neonate undergoing open heart surgery or over operative procedure
Packed RBC are prepared by centrifugation of 1unit of whole fresh blood with removal of plasma & are suspended in the anticoagulant preservation storage solution.
Hematocrit value in 60 % (for children & adults)
In neonate RBC concentrate is 70-90 %
Definite Guidelines for Transfusion of RBC concentrates:
In infants within first 4 months of life
Hb <13gm/dl & severe pulmonary distress
Hb <13gm/dl & severe cardiac disease like CCF
Hb <10gm/dl & moderate pulmonary disease
Hb <10gm/dl & major surgery
Hb <8 gm/dl symptomatic anemia
In preterm infants who are sick
To replace blood sample taken for lab tests
To treat hypotension & hypovolemia
To treat the combined effect of anemia of prematurity and blood loss due to sampling
In neonates with late anemia to maintain to their Hb level to 13-14 gm/dl to ensure adequate tissue perfusion
In neonates with late anemia to maintain to their Hb level to 13-14 gm/dl to ensure adequate tissue perfusion
Poor weight gain
Fatigue with feeding
Tachypnea & Tachycardia
Other sighs of decompensation
The usual indication of RBC transfusion is to increase O2 carrying capacity of blood in patients of anemia.
This is based on various factors:
Presence or absence of symptoms or signs of anemia like tachycardia tachypnea, lethargy
Level of hematocrit
The presence of cardiorespiratory, vascular or CNS disease
Whether anemia is acute or develop slowly
In symptomatic anemia premature RBC transfusion:
Shows increased weight gain
Decrease risk of apneic spells
Improvement of systemic O2 transport
Concentrate of platelets are prepared from 1 unit of donated whole by first removing RBC & then concentrating the platelets. The concentrated platelets are suspended in 50 ml plasma constituting one unit.
Guidelines for Transfusion of Platelets:
Platelet at any count but with platelets dysfunction like von Willebrand disease, bleeding or undergoing invasive procedure
Platelets <100 x10/ L & bleeding
Platelets <50 x10/ L invasive procedure
Platelets <20 x10/L & clinically stable
Platelets <100 x10/L & clinically unstable
Platelets <50 x10/L in premature infants in ventilatory support or risk of IVH
Condition requiring plate late transfusion in neonates:
Bleeding due to thrombocytopenia during septicemia
In idiopathic thrombocytopenic purpura in life threatening hemorrhage
Von Willebrands disease
Immune mediate neonatal thrombocytopenia
Prolonged antimicrobial therapy
Neonatal alloimmune thrombocytopenia which is a cause of cerebral hemorrhage
Up to 72 hr at 20 to 24 C
Shelf life is 5 days
Should be used in at 2 hr from collection
Longer storage increases risk of bacterial proliferation & septicemia in recipient
1 unit of Platelet/10 kg body weight
Transfusion of 10 ml/kg is adequate as it add 10 x10 platelets to 70 ml of blood and increase plates by 100 x10.
Patient requiring repeated platelet transfusion should given leucocyte reduced blood products, including platelet concentrates to decrease alloimmunisation & platlate transmitted CMV infection.
RBC that are preserved with a cryoprotective agent usually glycerol, may be stored upto 10 yrs. This can be stored for longer time. Draw back - Costly and not easily available.
Uses high frequency filter which can remove over 99% of leucocytes.
I. H/O febrile transfusion reaction
II. Preterm infants <1.2 kg susceptible to CMV infection
IV. Allogenic leucocyte transfusion reaction
NEUTROPHIL (Granulocyte Transfusion)
Granulocyte concentrates should be used severely neutrophilic patient with life threatening bacterial or fungal infection not responding to antibiotics therapy after 24 to 48 hrs.
Neonates are susceptible to bacterial infection because of decrease in body defense mechanism. These abnormalities are much accentuated in sick premature infants, fulminate septicemia, relative neutropenia, decrease bone marrow storage and congenital neutropenia.
Guideline for neutrophilic transfusion
In infants within 1st 4m of life
Neutrophil <3 x 10/L (with in 1st wk of life) +fulminant
Neutrophil <1 x 10/ L& fulminant bacterial infection + fulminant
Granulocyte obtained by apheresis of a single CMV negative ABO & Rh compatible donor prepared with corticoids are preferred.
The dose is 1-2 x 10 granulocyte/kg/day repeated fro at least 4 days until the infection resolved and count exceeds 1 x 10
Fresh frozen Plasma is plasma is separated and rapidly frozen to -18c or less. About 180 to 250 ml plasma is obtained from a single unit of blood & half-life is 1yr.
Guide for transfusion in infants, children and adolescents:
Severe clotting factor deficiency and bleeding
Severe clotting factor deficiency and invasive procedure
Emergency reversal of warfarin effects
Dilutional coagulopathy and bleeding
Anticoagulant protein (AT-3, protein c, s) replacement
Plasma exchange replacement fluid for TTP
Transfusion of FFP is effective for treatment of deficiency of clotting factor II, V, X, XI.
Transfusion of FFP in patient with chronic liver disease & prolonged clotting time is not recommended unless bleeding is present or an invasive procedure like biopsy is planned.
In neonates, FFP in transfusion is required because clotting time are prolonged due to development deficiency of clotting protein & FFP should be transfused only after reference to normal value expected for the birth weight and age of patient.
Indications for FFP transfusion in neonates:
Reconstitution of RBC concentrated to whole blood for use in massive transfusion (e.g. Exchange transfusion or Cardiovascular Surgery)
Hemorrhage secondary to Vit K deficiency
Bleeding in congenital congenital factor deficiency when more specific treatment is
The usual initial doses of FFP for treating coagulopathies is 10-15 ml/kg. Allergic reaction such as urticaria is common with transfusion reaction.
Cryoprecipitate is formed from FFP which thawed and each bag contain about 150 mg of fibrinogen & 80 unit of factor VIII. It also contain factor XIII.
It is more in bleeding infants because if its small infusion volume.
The minor indications for cryoprecipitate is correction of:
Congenital factor VIII deficiency
Hemophilia A & Hemophilia B
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Phuljhele L N D P.. Available From : http://www.pediatriconcall.com/fordoctor/ Conference_abstracts/report.aspx?reportid=376
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A 3½ months old boy born of non-consanguineous marriage presented with abdominal distension for 8 days, jaundice and ecchymoses over trunk for 1 day. There was no clay coloured stools or fever. He was a full term delivered child with birth weight of 3 kg and no antenatal or ...
What is the long term outcome in patients with galactosemia_...
Should doctors charge the patient for telephonic consultation_?
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A "sophisticated" tunnel presumably intended as a hidden and secret route for illegal activities such as smuggling prohibited drugs and migrants across the U.S.-Mexican border have been discovered, Mexican authorities reported.
Considered as the most ingenious of such structures found in recent years, the tunnel which is about 10 meters deep and 30 meters long has a ventilation system and lighting, and its discovery was due to an anonymous tip assumed to be from a concerned citizen, Mexicali police chief Mario Antonio Carillo told AFP on Jan. 5th, Saturday.
The entrance of the still under construction tunnel is located in a warehouse approximately 300 meters (328 yards) from the border between the Mexican city of Mexicali and Calexico, California, Carillo added.
Underground passageways along the U.S.-Mexican border are not uncommon, and authorities say they were constructed and used by organized crime groups to facilitate their illicit activities of drug and human trafficking, mostly used as drug mules, into the United States and discoveries of such passageways in Mexico is not something novel.
In relation to drug- induced violence, Police chief Carillo also stated that just in the past 24 hours only, at least 26 people were killed in Mexico in apparent drug-related crimes, including those of the six men who were shot dead and whose bodies bears evidences of torture.
According to the New Mexican government that took over power and governance in December 2012, when troops were deployed by the previous administration to battle drug cartels, at least 70,000 people died in the process since 2006.
A man was arrested at the scene during the time the tunnel was uncovered, and he is being investigated by the authorities.


text:
Gay K. Gloege, 79 of Spicer, died Wednesday, February 22, 2012 at Rice Memorial Hospital in Willmar. Funeral services will be 11:00 a.m. Saturday, February 25, 2012 at Hope Presbyterian Church in Spicer. Visitation will be 5:00 to 7:00 pm. Friday at the Johnson Funeral Home in New London and for one hour prior to the services at the church.
Gay Kathleen Gloege was born on November 26, 1932 in Cedar Mills, the daughter of Walter and Thelma (Doring) Froemming. She attended Lake Hook country grade school and Hutchinson High School. In 1949 she was the first girl to attend "Girl's State" from Hutchinson. On July 4, 1951, Gay was united in marriage to James Gloege. She worked for the 3M Company in Hutchinson from 1950 to 1953. Upon, Jim's return from the Korean War, they moved to Willmar and then to Green Lake in 1956. Gay worked for the Burlington Northern Railroad in Willmar as a regional accounting officer for 32 years. Gay and Jim were able to share in 60 years of marriage.
Gay enjoyed living on the lake and all activities that go along with it. Her and Jim spent many winters in Hawaii in their retirement and numerous fishing trips to Canada. Her favorite times were the annual July 4th family picnic at their home, Christmas activities and the monthly luncheons with her siblings. She was an active member of Hope Presbyterian Church, where she served on many committees as well as a Trustee, Elder, and participated in choir and hand bell choir.
Gay died on Wednesday, February 22, 2012 at Rice Memorial Hospital at the age of 79. She is survived by husband, James; sister, Gail Popp; brothers, James Froemming, Walter (Kathryn) Froemming, Russlie (Sally) Froemming; sister-in-law, Joan Froemming, and numerous nieces and nephews.
Gay was preceded in death by her parents; brother, John Froemming; brothers-in-law, Willard Popp and Caryl Gloege; and sister-in-law, Carol Gloege.


text:
A monitoring system for monitoring a patient using a device, such as an orthosis system is provided. The system includes a monitor that can be incorporated or otherwise coupled to the device. The monitor can have a position sensor, a temperature sensor, and a device type sensor for monitoring the patient's implementation of a protocol. The data obtained from the monitor can be remotely analyzed by a healthcare professional and the protocol can be adjusted accordingly.
1. A physical therapy apparatus comprising:
an orthosis device including a first carriage member, a second carriage member pivotally connected to the first carriage member, a control assembly operably connected to the first and second carriage members such that an operation of the control assembly rotates the first carriage member with respect to the second carriage member about an axis intermediate to the first and second carriage members, and an electrical identification;
a monitor system including a memory having a plurality of control programs for directing operation of different orthodic devices stored therein and for storing patient use data, and a micro-controller being operable for executing at least one of the control programs and for monitoring use of the orthosis device by a patient, wherein the micro-controller utilizes the electrical identification to identify the orthosis device and select the at least one control program; and
a plurality of sensors operable connected to the monitoring system and including device sensors, for monitoring the orthosis device, and patient sensors, for monitoring a patient,
a computer having applications software for processing patient use data from the memory, wherein the monitoring system includes a data communications interface to electrically coupled to the micro-controller and the memory to the computer,
wherein the monitor system is operable between a first mode, data transfer mode, and a second mode, operations mode, in the first mode operating parameters are downloadable from the computer to the memory and the patient use data is uploadable from the memory to the computer, in the second mode the operation of the orthosis device is controllable by the monitor system based on the operating parameters and the use of the orthosis device is monitorable by the monitor system and storable in the memory for downloading at a later date.
2. The physical therapy apparatus according to
3. The physical therapy apparatus according to
4. The physical therapy apparatus to
5. The physical therapy apparatus according to
6. The physical therapy apparatus according to
7. The physical therapy apparatus according to
8. The physical therapy apparatus according to
9. The physical therapy apparatus according to
10. The physical therapy apparatus according to
11. The physical therapy apparatus according to
12. The physical therapy apparatus according to
13. The physical therapy apparatus according to
14. The physical therapy apparatus according to
15. The physical therapy apparatus according to
1. Field of the Invention
The present invention relates to a patient monitoring system and method that can be used, for example, with an orthosis for physical therapy.
2. Description of Related Art
In the field of medicine, rehabilitation after surgery or other major medical procedures has been an important issue for researchers. As shown in U.S. Pat. Nos. 5,395,303; 5,285,773; 5,213,094; 5,167,612; 6,502,577; 6,113,562 and 5,848,979, continuous passive motion has been used to treat conditions such as the glenohumeral joint adhesive capsulitis. These patents teach using stretching principles in order to treat one of the major problems patients are referred to physical therapists for: lack of a full range of motion in their joints. The orthosis devices of these patents simulate manual therapy techniques used in clinical settings, combining the principles of stress relaxation and progressive stretch to achieve permanent elongation of soft tissue.
Once a patient has been prescribed treatment with one of the rehabilitation orthosis devices, a major concern is patient education and compliance. To maximize improvement in range of motion the patient must comply with the prescribed protocol and the patient improvement must be tracked. The exercise protocol for these orthosis devices is well established, and should be followed closely to ensure the best treatment possible. First, the patient fits the orthosis as specified by the device specific instructions. Then the patient rotates the knob of the orthosis device until a slight stretch is felt. This stretch should not be painful. Now the patient holds this position for a predetermined time period (e.g., five minutes), and then this procedure is repeated for a predetermined number of stretches (e.g., 6 stretches). During the first week of the patient's treatment, typically one session a day is performed. During the second week, typically two sessions per day are performed. During the third and following weeks, typically three sessions per day are performed.
The above described orthosis devices allow the patient to do these sessions outside of the confines of the doctor's or physical therapist's office. Due to the fact that there are no medically trained personnel to oversee this treatment, the opportunity to stray from the protocol is introduced. In addition, the patient is responsible for the tracking of his or her own progress until reporting back to the physical therapist or doctor. Both of these conditions have the possibility of introducing a high margin of error. Most recently, physicians have expressed an interest in keeping better records of an individual patient's progress during the rehabilitation process. Unfortunately, in many cases, since the rehabilitation process occurs mostly within the confines of the patient's home, it is difficult for a physician to keep an accurate record of the patient's progress.
There are other areas in which patient education and compliance outside the immediate supervision of a health care professional remain problematic. For example, electrical stimulation of bone growth for treatment of fractures requires a regime of therapy that demands patient adherence in order to optimize the stimulatory effects.
Thus, there exists a need for an improved patient monitoring system and method.
The present invention provides a monitor for use with a device, such as an orthosis device, that detects the type of orthosis device to which the monitor is attached, so that the monitor may access the correct parameters and/or firmware appropriate for the attached orthosis device without the need for such parameters and/or firmware being downloaded to the monitor.
The present invention also provides a monitor for use with an orthosis device that provides assurances the patient is actually wearing the orthosis device during his/her exercise period and is not falsifying usage, such assurances being provided by taking temperature measurements showing that the orthosis device is being properly used.
The present invention also provides a monitor used with an orthosis device having first and second carriage members for rehabilitative stretching by a patient during physical therapy. The monitor takes position measurements of the carriage members to determine if a stretch is being held in accordance with a stretching protocol.
In another embodiment, the monitoring system notifies the patient that the time period for holding a stretch has terminated in accordance with a stretching protocol.
Consistent with the title of this section, the above summary is not intended to be an exhausive discussion of all the features or embodiments of the present invention. A more complete, although not necessarily exhaustive, description of the features and embodiments of the invention are found in the section entitled "Detailed Description Of The Preferred Embodiments".
A more complete appreciation of the present invention and many of the attendant advantages thereof will be readily obtained as the same becomes better understood by reference to the following detailed description when considered in connection with the accompanying drawings, wherein:
Referring to
As shown in
In operation, the orthosis device 10 of the prior art may provide for distraction of the joint through an entire range of motion. Movement of the cuff arms to extend the joint results in distractive forces being applied to the joint. These distractive forces are limited and controlled by having the cuffs 12 and 16 slidable on the cuff arms 22 and 40, respectively. The cuffs 12 and 16 are selectively moved along the cuff arms 22 and 40, during relative movement of the cuff arms 22 and 40, to provide the proper amount of distractive forces to the joint and to limit compressive forces on the joint. Thus, the orthosis device 10 illustrates one of many orthosis devices that are well suited for stretching therapy.
It should be understood that the orthosis device 10 can be used to extend or flex other joints in the body, such as a knee joint or a wrist joint or ankle joint, with the construction of the orthosis 10 in such case being varied to fit the particular application. A few more illustrative examples are shown in U.S. Pat. No. 6,502,577 for finger joints orthosis, U.S. Pat. No. 6,113,562 for a shoulder orthosis, and U.S. Pat. No. 5,848,979 for a hand orthosis. Moreover, it is contemplated that the monitoring unit of the present invention may also be used for other types of devices, including, but not limited to, rehabilitative devices implementing isometric exercises and those in the continuous passive motion (CPM) area.
To generalize the description of the one class of orthosis devices that may be used with the present invention, such as orthosis devices including (but are not limited to) the stretching orthosis device 10 of
In the illustrative embodiment of the stretching orthosis shown in
In the case of using the temperature and device identification sensors, the monitoring system of the present invention may be used with any number of different types of orthosis devices. More specifically, any orthosis device needing assurances that the user is actually wearing the orthosis device during his/her exercise period using the orthosis, and not falsifying usage, may make use of the monitoring system of the present invention for temperature measurements which provides evidence that the orthosis is being properly used. Likewise, with monitors using different parameters or firmware for different orthosis devices, the family of orthosis devices may make use of the device type identification sensor, which will allow the monitor to access the correct parameters and/or firmware appropriate for a particular orthosis device without the need for parameters and/or firmware to be downloaded to the monitor.
Referring to the block diagram of
As an overview of the monitoring system 100 when applied to a stretching orthosis such as that shown in
In a second mode of operation (treatment mode), the user connects the sensors 105 to the data acquisition unit 104. The monitor 102 controls each exercise session with the patient by stepping the patient through his or her treatment following the previously described stretching protocol. During the critical sections of this treatment in a first mode of operation, the monitor 102 monitors the operation by taking measurements from the sensors 105 and storing them in memory. These retrieval and storage operations are accomplished via a micro-controller and an EEPROM, which will be described in detail hereinafter. Preferably, the unit 104 is able to store approximately two months worth of sessions. Alternatively, the data can be transmitted to another data storage unit. This transmission can occur instantaneously or at set intervals.
At the time of the follow-up appointment with a physician or physical therapist, the user disconnects the unit 104 from the orthosis device and disconnects the sensors 105. Then the user brings the unit 104 to the physician or physical therapist. At this point, the unit 104 again uses the data transfer mode of operation. The information is transferred from the unit 104 to a computer 112 at the office of physician or physical therapist. The memory containing such data in the unit 104 is then erased. This computer 112 uses data analysis software to further manipulate the data and present it for display by the computer 112.
Overviews of the hardware of the data acquisition unit 104, as configured in the above-described modes of operation, are provided in
With reference to
It should be noted, that with the above protocol, the device id (identification) is set by the computer 112. In this embodiment, the device type sensor 110 shown in
The treatment mode is used when connected to the sensor 105 through the data acquisition unit interface 132. The sensor hardware unit contains all the necessary circuitry for the operation of the current sensors 105 as well as power and ground for the expansion ports. Referring back to
Modifications to the tower 26 shown in
Referring to
Referring to
After the patient/user begins his or her treatment session, the monitor 102 has already been set for the treatment mode of operation. First, a splash screen is displayed with the name and version of the firmware included in the data acquisition unit 104. The session runs according to the following flow chart shown in
Upon the program determining that the patient has started to hold a stretch, the program proceeds to step 156, where the power is turned off on the sensor bus and the program waits a preset amount of time, e.g., 5 minutes. As specified in the previously described stretching protocol, the user is to hold the stretch for 5 minutes and the time is displayed on the LCD 124 (see
Upon completion of the hold for the stretch, the program 140 proceeds to step 158, where power is turned on to the sensor bus, all measurements of the sensors are recorded and a sound buzzer is triggered to indicate the end of the period for holding the stretch. More specifically, all of the analog conversions of the sensor 106 are repeated and stored into the memory 122. When all the measurements are saved, a 16 bit address pointer for the memory 122 is updated in the micro-controller. If the user interrupts a stretch before it is completed, then that session will automatically be overwritten by the next session without the need for more complicated error checking. At step 152, if the number of stretches is less then the amount defined by the treatment protocol, the stretch loop is repeated via loop 160. If the number of stretches completed is equal to the amount defined by the treatment protocol at step 152, then a session complete prompt is displayed on the LCD 124 and the program 140 proceeds to step 162, where the power is turned off and then the program goes to sleep at step 164.
Referring to the right side of the flow chart in
When the program 140 takes the "transfer" branch, at step 178, the program sends the product ID to the computer 112. Then at step 180, all the sensor data is transferred from the memory 122 to the computer 112. When the program 140 takes the "delete branch", at step 182, the program 140 obtains from the computer 122 the product ID (see TABLE I above), then sets the product ID at step 184 and erases the existing sensor data by setting all sensor data to 0�FF (see TABLE I above). Then the program 140 proceeds to its sleep state at step 188. With this embodiment, it should be clear that the device sensor 110 is not included, because the computer 112 sets the device ID.
The external memory 122 is a Microchip 24AA64 I2C EEPROM. The memory 122 is connected to the controller 120 via the I2C serial communications bus 192. The memory 122 has 64K bits of EEPROM and is used for the storage of the patient data. The operation of this device is limited to the low speed bus operation due to the use of a 4 MHz crystal. The LED 124 is a Hitachi 44780 compatible LCD operating in 8 bit parallel mode. The Hitachi LCD is an industry standard, and was chosen because any 14�2 LCD could then easily be substituted. A Dallas Semiconductor DS1307 I2C real time clock 194 is provided, which is connected to the I2C bus 192 along with the EEPROM memory 122. This clock 194 is used to record, to the nearest hour, when the actual stretch sessions were performed. This allows the PC software for the computer 112 (see
This micro-controller 120 has an onboard port capable of 8-channel analog to digital conversion at 10-bit resolution making it a powerful tool in data acquisition. The controller 120 also supports both SCI and I2C serial communication. The SCI module of the controller 120 is used to communicate with the computer 112 through standard RS-232 port of a RS-232 communications interface 196. This communications, for example, allows for further analysis of the data by the physical therapist or doctor. The I2C protocol will used to interface with the memory 122 and the real time clock 194. The use of external memory 122 will be needed as the 128 bytes of EEPROM storage for the internal memory of the controller 120 is insufficient to store the data acquired from the sensors. The controller 120 is electrically coupled to a Piezo buzzer (not shown) via the pin RCO being connected to the terminal 199.
In an alternative embodiment of the sensor hardware of
Referring to
With reference to
Another function provided by the system software is the form for actually acquiring data from the data acquisition unit 104 (
When the user clicks on the "Acquire" command button, as in other forms, the system checks to see first if all proper text fields have been filled in, and then if the patient name entered is valid. Also, it informs the user to make sure that the data acquisition unit is securely connected to the selected communication port. Next, the system sends out a zero byte on the communication port, which informs the data acquisition unit to begin sending data. The patient monitoring system software then reads in the raw data from the unit, one byte at a time, and stores it into a temporary file called "output.dat". After the data acquisition unit has completed sending all of its data, the system software sends out a byte equal to 0xFF in hexadecimal to inform the data acquisition unit to wipe out its memory and the serial communication is complete.
The next major task that the software application does involves manipulating data. This includes converting the raw data obtained from the data acquisition unit into meaningful values, saving them in the proper patient's file, and displaying them in the grid for the user to examine. First, the system goes through and converts all of the data received from the data acquisition unit into actual integers, instead of the binary form that they are initially sent in. The first major changing of any data occurs with the data representing the time and the date. Actually, the date is composed of a byte representing the month, and one representing the day. The data acquisition unit transmits all three of these values: month, day, and hour, in BCD form (see TABLE I). To do this, the system subtracts a factor of six from the data based on the value of its upper four bits. For example, the BCD value of thirty-one is stored in binary as 0011 0001. The system will subtract eighteen (six times the value of the upper four bits, three) from the integer value of the number, forty-nine, to produce the correct result of thirty-one.
The next major conversion occurs with the "Position" readings taken by the position sensor 106 (
The final conversion that the system makes involves the readings from the temperature sensor 108 (see
When the node 212 is electrically coupled to the lead 210 of the resistor R2, the resistor R2 and C are in parallel. The voltage VADC applied to the ADC 214 is as follows:
As discussed above, this alternative embodiment is utilizable where it is desirable to identify a given orthosis device out of a plurality of possible orthosis devices so as to eliminate the need for downloading parameters, commands and/or firmware for that specific orthosis device. In other words, like the use of the temperature sensor, the orthosis devices making use of this embodiment of the monitor 100 do not need to be directed toward those implementing stretching exercises.
An additional feature that may be added to the Patient Monitoring System software is a "non-programmers" interface wherein a Microsoft� Windows based graphical user interface (GUI) is provided with a plurality of predetermined unit configurations for the monitor system 100 of
Referring to
After thorough testing of the data transfer capabilities of the monitor 102, it has been concluded that a higher crystal frequency may be more suitable for transmitting the required data over the RS-232 port. Operating the micro-controller at 20 MHz would significantly decrease the data transfer time and would not add much to the cost of the product, but allow the I2C bus to operate in high speed mode as well as allow a higher baud rate for the RS-232 communications.
Having a spring measure the amount of extension/flexion may be a very cost-effective solution for the position sensor 106 of
While various values, scalar and otherwise, may be disclosed herein, it is to be understood that these are not exact values, but rather to be interpreted as "about" such values, Further, the use of a modifier such as "about" or "approximately" in this specification with respect to any value is not to imply that the absence of such a modifier with respect to another value indicated the latter to be exact.
Changes and modifications can be made by those skilled in the art to the embodiments as disclosed herein and such examples, illustrations, and theories are for explanatory purposes and are not intended to limit the scope of the claims. For example, one embodiment of the invention has been described as utilizing cables to transfer data. In this regard, the data transfer can be implemented using fiber optics, a phone line, a cellular phone link, an RF link, and/or other communications channels. Thus, the present invention also envisions the use of wireless means for data transfer. Such wireless means could use technology like the CENTRINO mobile technology and personal digital assistants (PDA's).
Furthermore, the invention has been described as being used by patients and health care professionals. However, limited access to the system and/or data by others could be allowed if authorized by the patient and/or health care professional. On such scenario in which limited access could be granted would be for proof of assurance to an insurance company for a worker's compensation carrier. Others may also have a need to have some assurance that a patient is indeed following through with a compliance protocol.
Although the monitoring system and method have been described primarily in the context of an orthosis device, other applications are contemplated by the present invention. These include other aspects of physical therapy; electrostimulation; bone growth stimulation; drug delivery systems; cardiac rehabilitation; generalized rehabilitation, including compliance; implantable pumps, such as insulin pumps for diabetics; intravenous or implantable pump medication; and implantable or wearable chemical sensors to monitor various physiological parameters such as blood coagulation, blood profile, and blood enzyme content.
For example, in known pharmaceutical delivery systems, a rotatable wheel has a number of compartments, each containing an incremental dose of medications. As programmed, a door opens at a prescribed time and the pill either by weight or by size would be opened up for patient access.
With the present invention, we can externally monitor these drug deliveries systems or internally monitor them. The delivery systems could be used with an implantable pump or implantable blood chemistry sensor. A wireless readout from the pump or sensor could attach, for example, to a wrist watch which would monitor the compliance through a digital readout. A patient could monitor their own blood chemistries or response to particular medications and then these results would be broadcast to physician, extended care, nurse practitioner, nurse, insurance carrier, etc. This would then monitor the changes to a specific drug and then monitor the serum chemistries, for example, blood sugar, etc. These are monitored and then the patient can be monitored through a wireless format to see how they respond to certain medications and have an instant readout through this chemistry monitor without actually having the patient in the office or in the hospital. If the response is not as desired, the delivery protocol can be remotely changed based on the measurements.
In light of the foregoing, it should be understood that while various descriptions of the present invention are described above, the various features could be used singly or in any combination thereof. Therefore, this invention is not to be limited to only the specifically preferred embodiments depicted herein.
Further, it should be understood that variations and modifications within the spirit and scope of the invention might occur to those skilled in the art to which the invention pertains. Accordingly, all expedient modifications readily attainable by one versed in the art from the disclosure set forth herein that are within the scope and spirit of the present invention are to be included as further embodiments of the present invention. The scope of the present invention is accordingly defined as set forth in the appended claims.
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text:
Hang tight!
Recipe by FABA1228
"Family favorite to use that beautiful summer zucchini! Very simple recipe that tastes great accompanied by garlic bread! Very good for vegetarians, too."
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1/4 cup
olive oil
1/2 medium
onion, finely chopped
3 cloves
garlic, minced
1 large
zucchini, peeled and cubed
1 (15 ounce) can
tomato sauce
2 cups
1 teaspoon
dried oregano
1 teaspoon
dried basil
1/8 teaspoon
crushed red pepper flakes
1/2 cup
white sugar
1 (8 ounce) package
uncooked pasta shells
1/4 cup
grated Romano cheese
I loved this dish! I thought it was very easy and healthy! I only made a few changes....... I added more garlic because my husband and I love it!! I also added fresh mushrooms and a can of diced tomatoes (drained). I used rigatoni instead of shells because thats all I had. I also only used 1/4 cup of sugar due to what others had stated. I simmered it for 1 hr like the recipe said and it turned out wonderful! Iadded low fat parm cheese and that topped it off!!! Great dish I will make again!!
PS this dish is just as good the next day! (and I am not a "left-overs" type of girl!! Yum!
This recipe was good, but it had *way* too much sugar in it. It was like eating candied zuchini sprinkled with oregano. I would cut down on the sugar by half, and not simmer for a full hour if I was to make this again. I prefer a little more sauce and there wasn't much left after condensing for 60 minutes.
22 Ratings
This recipe came out pretty good! I only used 1 Tbsp of olive oil, omitted the sugar and the water. There is no reason to add water here, it's much better a nice and thick sauce. I also added some fresh tomatoes, basil and cooked for only 30 minutes because I wanted the vegetables nice and tender. Served over whole wheat pasta shells. Next time I want to try a little more "cheesy", some mozzarella and extra Romano. Thanks for the recipe I will definitely make this again!
I decided to make this in an attempt to use up some extra Zucchini we had and wow, I am impressed! Very simple to make and very, very delicious. I didn't add the sugar and only let it simmer for roughly 30 minutes and it came out great. Will definitely be making this again!
WOW WAAAAAYYY to much sugar! I love sugar and have a really big sweet tooth but gosh. Hubby said he could feel the diabetes starting. This was super easy to make and would have been really good except for the sugar. I served it with mini meatballs.
We really enjoyed this! I doubled the recipe and used a bottle of spaghetti sauce in place of the tomato sauce. I omitted the sugar and cut the water down because I wanted it to be thicker. Also, I had some sliced mushrooms to use up, so I threw them in there as well. This was very tasty and hearty, yet light. I will definately be making this again! Thanks for sharing. :)
After reading prior reviews I cut sugar out completely. Taste was great, but cooking zucchini an hour was too long as it got too mushy. Next time will do the same thing only cooking 30-45 minutes.
I had already shredded my zucchini before finding this recipe. I added some chicken which I sautéed at the beginning with the onion. I followed the advice of others and halved the amount of sugar. The whole family enjoyed and I would definitely make again.
* Percent Daily Values are based on a 2,000 calorie diet.
Zucchini and Shells
Serving Size: 1/4 of a recipe
Servings Per Recipe: 4
Amount Per Serving
** Calories: 515
** Calories from Fat: 155
Hard to believe, but many kids will be back in school at the end of the month. Get ready.
You won't believe all the things you can do with cauliflower. It's a great low-carb option.
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Discover the secret that makes these crabless cakes taste like the real deal.
Baked pasta shells with spaghetti sauce and Parmesan cheese.
A re-imagined version of fried green tomatoes using zucchini.


text:
Indiana hopes bold football uniforms help recruiting
Jun. 06, 2013 @ 10:25 PM
Indiana has taken the prize so far this offseason for most out-there college football uniform changes.
The Hoosiers have exactly one winning season (2007) this century, so this certainly can't hurt. IU head coach Kevin Wilson told reporters Thursday he's already felt a positive impact on recruiting.
Indiana sported the new look, which includes six helmet designs, at a recent reveal. These unveilings are becoming all the rage in college football. North Carolina had a similar one in April.
Flashy, loud, colorful, chrome, black - This is the wave of the future in college football. Fan reaction is mixed, but the players seem to love it.


text:
The England winger cost £10million but, unlike fellow summer signing Steven Fletcher, Johnson has yet to really get going on Wearside.
The 25-year-old admits he needs to improve but is confident he and his fellow midfielders will soon start producing chances on a regular basis.
"I must work harder," he told The Sun.
"There are a lot of things we can do better. We haven't created that much going forward but hopefully that will change and we'll be able to score a few more goals.
"Sometimes it's the way teams set up against us because they know we're a threat, especially with the front four we've got and when me and James McClean stay wide.
"We've got Fletch plus Stephane Sessegnon and Louis Saha, who are proven quality goalscorers, but we need to create more chances.
"Me and James on the flanks - and the other midfielders - need to work harder for the strikers. Hopefully it will come."
Johnson also backed Irish winger James McClean to start reproducing the form which he showed last season.
"I remember when I was just coming through," he said.
"As wingers you can get frustrated. I could see a bit of that with him but he's strong enough."


text:
Twist up jewelry for multiple looks
Looking for a spot-on-trend wardrobe that is always fresh without the complications of a multimillion-dollar closet? The easiest way is to get multiple looks out of your favorite jewelry. Going from casual to business to evening can be an effortless snap, and you'll never suffer wearing the same hum-drum outfit again.
Convertibility has been a mantra of Twisted Silver, the independent jewelry line by Debra Mitchell, for years. Thousands of Twisted Silver fans have learned that long necklaces have the best convertibility potential. Try these effortless twist-ups:
1. Wear your necklace as a belt. Weave them through just two belt loops, allowing the chain to casually drape. If you need a bit more length, add on a simple chain bracelet to make an extender.
2. Long necklaces create an entirely different look when double wrapped as a choker. Multiple layers give you an eye-catching statement, drawing attention to your face.
3. Wearing your necklace long and lean lengthens the torso. Try layering a few long necklaces to turn up the style volume, or attach the clasp at different parts of the chain to switch up the emphasis.
For more convertibility inspiration, follow Twisted Silver's Convertibility pinboard on Pinterest. After all, getting the most out of your jewelry is just good fashionomics.
About the author
Tina Gregory is the social media director for Twisted Silver, an independent jewelry line by Debra Mitchell. She writes for the Twisted Blog and administers the company Facebook page, Twitter profile and Pinterest boards.
When you aren't twisting up your favorite long necklaces, keep them organized in a beautiful cheap jewelry armoire!


text:
I love this time of year. The sun is out, the leaves are turning and, as the astute comedians behind Shit Girls Say have said, "I'm excited to wear layers again." The weather has been beautiful in Calgary, so I've been trying to maximize my time outdoors. The recent adventures have included hiking Sulphur Mountain in Banff National Park, running two races — the Canmore Rocky Mountain 5K and the Ronald McDonald House Rock the House Run — and partaking in yesterday's AIDS Walk for Life. I've also had brunches, lunches and dinners on many patios around town, which I would not say has been "adventurous" but very tasty, indeed.
There's something about fall that feels romantic and breezy and special. I want to soak it all up. To do this, I plan on hiking at least one more time before snow hits. Last week, both Chris and our good friend Colette wrote about some great hikes for this time of year (blog post and story, respectively), so I'll take their suggestions. I will also run as much as possible (and as much as my recovering knee will permit). I'm really looking forward to a long, lovely run next weekend through Edmonton's river valley. I do it every time I'm home for Thanksgiving weekend and the views are gorgeous.
We're celebrating Thanksgiving a week early because I'll be flying away to the Dominican Republic the following week. (I've been invited on a media trip and will fill you in upon my return. *SO EXCITED*) I can't wait to see my family this weekend. Seems like a while since we've all been together and fall reminds me of some happy family times from when I was younger — walks, hikes, playing in our backyard. We always seemed to take family photos in the fall, too, like the one below. This picture makes me want to hug every one of them tight, and I will on Friday.
Wishing you all a lovely, outdoorsy fall!
P.S. On the patio front, I plan on hitting some up while sipping coffee and/or vino and reading the next two books on my fall reading list: How Should a Person Be? by Sheila Heti and The Great Gatsby by F. Scott Fitzgerald. I haven't read the latter since high school and want to check it out again before the movie opens on Christmas Day. (Have you seen the trailer?)


text:
Cumberbatch To Guest Star on Sesame StreetPosted by T'Bonz - 03/02/14 at 01:02 pm
PBS has announced that Star Trek into Darkness' Benedict Cumberbatch will be paying a visit to the children's show Sesame Street.
According to a tweet from PBS, Cumberbatch will "[shed] the serious Sherlock to share some laughs with these two [Murray Monster and The Count)."
TrekToday will update this article when a date for Cumberbatch's appearance is announced.
Source: Geeks of Doom
Tags: Cumberbatch, Sesame Street


text:
In the Magazines
October has been good to us! First, Men's Journal released their annual America's Best Beers article recognizing The Dissident, Hop Trip and the Portland Pub. Then, Sunset came out with a great beer pairing article written by Portland's Jeff Alworth that pairs Black Butte Porter with shellfish. And then for the hat trick, the new issue of Dirt Rag hit the stands this past week and their one-page "Beer Me" article about funked up beers featured The Dissident.
After reading this I know the million dollar question is going to be, "So where can I find The Dissident?" Well, The Dissident is probably the least available beer we ever released and the first batch is long gone. The good news is that the second batch is brewing and will be released sometime in late 2010. Cheers ~


text:
TropiClean Fresh Breath Clean Teeth Gel for Dogs
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Dental Care
TropiClean Fresh Breath Clean Teeth Gel for Dogs
TropiClean Fresh Breath Clean Teeth Gel for Dogs-Remedy Bad Breath in Dogs and Freshen Dog Breath Today with TopiClean Fresh Breath Gel Available Online at petco.comSpecially formulated with the care and needs of dogs in mind, TropiClean Fresh Breath Clean Teeth Gel for Dogs makes for an easy and convenient way for you to maintain good dog dental health. Developed to work fast, this special teeth gel for dogs naturally helps to reduce plaque and tartar in dog teeth without requiring a toothbrush or doggie toothpaste. In addition, this innovative gel works to freshen dog breath. Featuring a proprietary blend of natural and holistic ingredients that produce a healthy oral environment, this gel works to effectively remedy bad breath in dogs by killing the canine oral germs that cause bad breath, plaque and even gingivitis. Meanwhile, this special formula helps to soothe minor gum irritations.Without proper dental care on a regular basis, 70% of dogs begin to show signs of oral disease by age 3. Oral disease can eventually lead to canine tooth loss or other serious health problems. Promote good dog dental health by implementing proper dog dental maintenance today with this fast-acting dog teeth gel as well as other dog dental products.
Teeth gel: Apply teeth gel directly to the teeth with plaque and tartar build up. Apply once daily in the evening. You will soon notice your dog licking their lips repeatedly. This is normal and helps the gel mix with the saliva and coat all surfaces of your dog's teeth. For maximum effect, withhold food and water for 30 minutes before and after treatment. Begins removing plaque and tartar immediately when used as directed. Tooth brushing is not necessary but will speed up the removal of softened plaque and tartar. Ordinarily after 30 days application can be reduced to 2 times per week for regular maintenance.
TropiClean Fresh Breath Clean Teeth Gel for Dogs
Size: 4 fl. oz.
Teeth Gel: Purified water, grain alcohol, natural mint, glycerin, natural cleanser, aloe vera leaf juice, carbopol, chlorophyllin, green tea leaf extract.
Click a tab above to view more information on this product.
TropiClean Fresh Breath Clean Teeth Gel for Dogs
4 fl. oz.
Shipping Weight:
.50lbs. (Usually Leaves Warehouse the Next Business Day)
Sale $11.99
Reg. $19.99
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By Jim GaramoneAmerican Forces Press Service
CAMP LIBERTY, Iraq, Dec. 19, 2007 There must be a "full and complete" partnership between coalition and Iraqi security forces for success in the country, the coalition's day-to-day commander of ground operations in Iraq said here today.
Army Lt. Gen. Raymond T. Odierno, commander of Multinational Corps Iraq, spoke as the 1st Cavalry Division – commanded by Army Maj. Gen. Joseph F. Fil – transferred authority for Multinational Division Baghdad to the 4th Infantry Division – under Army Maj. Gen. Jeffrey Hammond – during a ceremony here.
Odierno said that when the 1st Cavalry took command of the Multinational Division Baghdad in November 2006, they and their Iraqi partners "walked into an area that was once shrouded in the dark shadow of al Qaeda and other extremist groups as well as considerable sectarian violence. They leave in their wake a city and its residents touched by a shining ray of hope."
Multinational Division Baghdad has been successful because of its partnerships with Iraqi security leaders and forces, the general said.
"Because of their shared concern, genuine care and daily engagement, they earned the trust and confidence of Baghdad's people," Odierno said. "In turn, it sparked a grassroots movement among the millions of residents and empowered them to feel in control of their own destiny."
The division and Iraqi partners cleared neighborhoods and then built joint security stations and combat outposts to ensure the enemy could not creep back in, the general said. "They patrolled Baghdad's most dangerous mulhallas by foot, enforcing the law and ridding the streets of criminals," he said.
The two forces worked together, lived together and sometimes died together, the general said. "Their daily presence in dangerous and extreme conditions provided Baghdad's citizens with the opportunity to reject the malicious influence of terrorists and extremists."
While Iraq has come a long way, much remains, the general said. Reconciliation is happening at the local level, but it must spread nationally, he said. Concerned local citizen groups are making a difference in local security, but the Iraqi government must transition these groups to the Iraqi security forces, he added.
The national government must make economic progress not only to improve the lives of its people, but also to cement security progress in place, Odierno said.
Iraqi leaders must make the tough choices to shape the future of the country, the general said. "The Iraqi people are counting on their leaders to improve their capacity and effectiveness," he explained. "The Iraqi people are counting on their leaders in this crucial time for resolute support, lucid direction and impassioned inspiration."
Odierno thanked all the troopers of the Multinational Division Baghdad for their 15 months of service on this deployment. "The First Team rose up to every challenge, never wavering and in total commitment to protecting Baghdad's population," he said.
He said the 4th Infantry Division – the division Odierno commanded during the initial push into Iraq – is up to the challenge that security in Baghdad represents. "There is no doubt that you will continue to build the partnership with the Baghdad Operational Command and will bring sustainable security to the Iraqi people," he said.
Finally, Odierno asked all present to remember the men and women of the U.S. and Iraqi forces who have lost their lives in defense of freedom. "It is up to all of us to ensure their sacrifices are not in vain," he said.
Related Sites:Multinational Corps Iraq


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At Center for Advanced Medical Care, improving the overall wellness of our community is our goal. We believe you deserve the best healthcare available and strive to provide exceptional care in a friendly and professional manner.
At Center for Advanced Medical Care you will find a dedicated physician and staff you can count on as well as a caring and comfortable environment. Dr. Craig Silver is a board certified osteopathic family physician whose main focus is providing exceptional health care to his patients. He and his staff work together to be a partner with you in the long range planning for your total healthcare needs. Through this preventative approach we hope to help you achieve and maintain a healthy lifestyle.
We focus on the primary healthcare needs of adults, beginning at age 15. We pride ourselves on our personal relationships with our patients as well the comprehensive services we provide. We believe in open communication and work with our patients to get all questions answered. It is our duty to make sure your visit to our office exceeds all of your expectations. We welcome your feedback concerning our staff, physician, and other aspects of your visit.
We are a growing practice accepting new patients and we participate with most insurance companies. We look forward to serving you and appreciate you choosing Center for Advanced Medical Care for your healthcare needs.
For more information or to schedule an appointment, contact us at (305) 830-3650
Same day appointments are available in most cases. Our hours are 8:00AM - 6:00PM except Wednesday when we are closed.
Patients should arrive at least 20 minutes early for registration.


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Davis Breast Implants reviews
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"24 Mommy of 1, A to D UHP Silicone..."
Please help! I'm writing because my dr is recommending UHP implants which make me a little nervous I'm not finding a lot of photos or reviews on them. And I'm 5'2 5'3 ish 126 lbs going with 455 cc on the Right and 485 cc on the left to balance the asymmetry. I never thought of myself as petite but I do think I'm small. most people say UHP look rounder and more projected "bubbly" which is what... more
"35 Years Old, 2 Daughters..."
I have been wanting a breast augmentation for the last 5 years after breastfeeding my youngest daughter for 14 months and then seeing how awful my breasts looked. Every year we said we would use our tax return for it, but other things have always took precedence. I wavered back and forth for a long time with being completly comfortable and OK with the way they looked, and then going the... more
"32 5ft 117 2kids 400cc Saline High..."
So I been wanted this for 10 years. I knew i wanted to have 450cc. But since I had barely any breast tissues I knew that was not going to happen. So I saw my PS for conso and he said he recommed max 400 cc. I was okay with that. So surgery day come and I was so nervous. It felt like you were in and out. when I work up I had pain so they gave some pain killers and I was fine. On drive home I... more
"36 with 3 Kids - Stockton,CA"
I wanted to wear a 36b I hope my boobs get bigger after it drop..but I luv it my boobs.. I don't need push up bra..475cc on left 500cc on right .. I got silicone .. After breast feeding 3 kids.. Now it's time to fix my boobs.. I was 34a .. Still don't know what bra size yet .. It's only been 2week a And half MIT gotten smaller now.. But I'm happy .. I'm a small girl with small rib cage ..... more
"22 with Boobs to my Knees Lol -..."
I'm so thankful that I decided to meet with dr hause, he really did chang my life. I'm 22 with 2 kids and my boobs were someones worst nightmare. I couldn't look at my self naked. Dr hause has completly changed my life my boobs look awsome natural not super high bt not too low. My scares are hardly visible I had a lift with implants. I plan on getting a tummy tuck very soon by him. He's a... more
Like most people on here, I have devoured hundreds of reviews over the past few months, anxiously awaiting my own surgery. Now that I (finally!) scheduled my consultation, I figured I would share my information, as I found others to be so helpful. Plus, it seems like not many people get smaller implants, which is what I am leaning towards. My stats: 5'3" 102 lbs 32A/AA 23 years old Never had... more
"Made it through and love them! 5..."
I've been reading through the stories on here for a month or two, and because I decided to finally go through with it, feel it's only fair if I share my story as well. First, I'm turning 30 on April 20th, 5'5 and 128lbs, and I wear a 34B (however at my consultation the Dr said I'm more like an A!). I've thought about getting a boob job off and on for years, but I always thought that it... more
"Breast Implants - Very Happy! -..."
I decided to get breast implants earlier this year because of the damage done by the birth of my twins 8 years ago. I am incredibly happy with my breasts, and don't regret the procedure at all. more
"Breast Implants and SlimLipo -..."
Surgery Day Surgery day February 23, 2012 and I didn't feel nerves until I was being wheeled back into the surgical suite. Dr. Klink and his entire staff were awesome at easing my mind before the procedure. He reiterated everything we had discussed to ensure we were still on the same page with my expectations, which was helpful. He is very meticulous in his procedures. He asked all... more
"Breast Implants - Sacramento, CA"
Dr and staff were great. I was a full B small C when I went in. He added 400 & 450cc silicone implants to put me at full D small DD. Incision on the nipple. So far recovery hasn't been at all, I barely feel any pain unless I reach for something or stretch my arm. My surgery was at 9a.m. This morning. At approx 6 pm I got up to use the restroom (did not use my arms) and while... more
"Breast Implants and Lip Injections -..."
I got my lip injections and breast augmentation surgery to better my overall appearance. I would recommend Dr K because my lips and breasts look extremely natural. The surgery itself wen't very quickly and was relatively painless. My husband dropped me off at 8 AM and was back to pick me up by 11 AM. The recovery from the surgery was nothing like i had anticipated. It was a... more
"Recovery = Difficult. Results = Outstand"
The recovery was difficult; however the results were outstanding. I went from an A cup to a full C and they were absolutely perfect. Many of my friends were interested in a referral after they saw my results. I must say, after 15 years no one can tell I have had implant surgery.I had saline breast implant surgery approximately 15 years ago. Recently, I have noticed that my left breast is... more
"37 Yrs Old, 5'9" - Silicone..."
I am 37 yrs old, 5'9" and had breast implants done 6 months ago. I did silicone implants, 400cc placed subglandularly and right after surgery I had a big hematoma on the left side. This resulted in capsular contraction which, after singulair and time, did not resolve. 13 days ago I had a capsulectomy. I'm still swollen and the br more
"Hard Lump in Breast Implants"
I had breast impants about a month ago, since then my left breast hurts more so than my right.I had breast impants about a month ago, since my left breast hurts more so than my right. Recently while laying down I noticed a hard lump in my breast directly under my nipple and about an inch in length. What could this be? more
"High Profile Saline Implants - Very..."
Hello everyone, I just recently got breast implants about 2 months ago. I am 20 and Asian therefore I'm very petite. I am 4'11'' and weigh 98lbs. The measurement under my breasts was 26''. I got 370cc on my left breast and 350cc saline high profiles on my right breast (my right breast was a little bigger to begin with).My treatment experience went great. The surgery was the scariest part in... more
"Had Silicone Implants Moved from..."
I had silicone implants 18 months ago over the muscle. It was a good choice for me however I developed a contracture in my left breast that would not go away and it was painful.Last week I had them put under the muscle and had a breast lift as well. The left breast has started to drop and the swelling subside but the right breast is still high, hard and very uncomfortable. I have noticed... more
I love my breast implants but the right one keeps rupturing. I had a size A and went to a C and they are perfect.I had my initial surgery in February. Since then I have ruptured the right breast implant two times. Once in May paddling out on a surf board and again in July while wakeboarding. Neither of these was due to impact but my arms were moving. I was wondering if there was an underlyin more


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Quataruius Smith works on the Zoogvogel, a 100-foot spinning swingset, as the ferris wheel looms over the Appalachian Fairgrounds Saturday afternoon. (Photos by Max Hrenda/Johnson City Press)
Staff and crews of the Appalachian Fair are making final preparations for the fair's opening on Monday.
The Appalachian Fair will run through Saturday and feature the theme "Blue Ribbon Days, Hot Country Nights."
"'Blue Ribbon Days' refers to all the competitive events we have, and then of course 'Hot Country Nights' refers to our main stage entertainment in the evenings," said Sherry Shadden, the fair's administrative assistant.
Shadden said the fair's workers have been doing a variety of things in preparation for the event.
"We took nonperishable entries over last weekend for some of the contests, and we'll be taking perishable entries this weekend," Shadden said. "We'll have people working on displays to get those to look pretty before the fair opens, and we have folks out here working on commercial booths."
This year's fair will feature many favorite contests and events, including the youth talent contest and the Fairest of the Fair pageant. In their second years will be the Battle of the Bands Contest and the "So You Think You Can Dance" competition. New events will be arriving this year as well, including a tractor pull on Wednesday.
The fair's rides are always popular, and this year will feature a new one.
"It's 110-feet high," Shadden said. "It's called The Skyflyer. I know a lot of people will be lined up for that one because it's going to be a very exciting ride."
Agricultural and livestock exhibits have long been beloved attractions.
"The barnyard nursery is always very popular," Shadden said. "We promote agriculture; that's the main thing about this particular fair."
Shadden said fair attendance usually remains pretty steady every year, but last year saw an increase from previous fairs.
"We had 239,000 last year, which was up from 235,000," Shadden said. "If the weather holds up, we have no reason to expect less."
The "Hot Country Nights" aspect of the fair is a costly one. Shadden said bringing the main stage entertainment to Gray is a big expense and the price tag for this year's entertainment is $200,000.
This year's concert lineup is a diverse one and include artists from many genres.
"We feel that we've spread out the week really well," Shadden said. "We don't really have one big entertainer this year, but we have a lot of good people coming out to the main stage."
Shadden said country singer Thomas Rhett's show seems to be selling the most tickets, and the shows for Francesca Batistelli and For King and Country are selling well, too.
Shadden also said that in spite of the expensive entertainment, admission to the fair is extremely reasonable.
"I don't think people realize all that they can do for the admission price of $8," she said.
From the rides and contests to the music and exhibits, Shadden said the atmosphere of the Appalachian Fair is one that everyone can enjoy.
"It's a family fair," Shadden said. "People can feel good about bringing their children. It's a meet-and-greet event where you can socialize with people you haven't seen in a long time."
Shadden said the fair is not only a place for kids to have fun, but also to learn.
"There's a lot of educational value in it, especially with the agriculture and wildlife displays," Shadden said. "The fair isn't just rides and music; it's also an educational opportunity."
For more information about the Fair, visit www.appalachianfair.com or call 477-3211.


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STANFORD, Ky.— DecoArt, Inc., maker of the popular acrylic paint brand Americana®, proudly announces the addition of a new craft medium that will extend the Americana® line to include an all-in-one glue, sealer and finish product, aptly named Americana® Decoupage.
"While this is a new addition to our line, decoupage glues have been around for quite some time," said Stan Clifford, CEO and owner of DecoArt, Inc. "However," he continued "we didn't want to add a product into our line until we knew we had something special. As more and more artists are using a decoupage product in their arts and crafts, now is a great time for DecoArt to release our new Americana® Decoupage."
"I am amazed at how much this glue far outshines the products I've relied on in the past," said Bethany Kartchner, an acclaimed and highly-published Mixed-Media artist. "I'm now a firm convert to Americana® Decoupage. No other brand will do."
As a working mixed-media artist, Kartchner says she has a great deal of experience working with decoupage glue, which she described as her "go to adhesive medium of choice."
"I figured decoupage glue was decoupage glue," she said. "How could DecoArt possibly do it differently? Well, after putting it through some artistic hoops, I realized I was seriously mistaken. DecoArt Americana® Decoupage far outshines the products that I've used in the past."
Bethany continues that the new Americana® Decoupage features include "a low-odor, thick consistency that not only makes [the product] less messy to apply, but it also means quicker dry-time and no warping of paper! Not only that, but when using Americana® Decoupage with thin materials like tissue paper, I found that the thick consistency prevented many of the unsightly tears that I had experienced previously."
DecoArt's Americana® Decoupage is available in 2-, 4- and 8-oz squeeze bottles, as well as in a 16-oz value jar.
4 Responses to "NEW AMERICANA® DECOUPAGE "OUTSHINES" OTHER BRANDS"
Is your Decoupage made with P-tert-butylphenol formaldehyde resin? I am severely allergic and want to know before I buy this product. Please email me if you can. Thanks!
[...] is a beautiful and easy to make papercrafted ornament using Decou-Page and buttons. It is perfect for a fifteen minute Friday or any other day holiday craft. The [...]
[...] scrapbook paper scraps to cover the tree then add another layer of Decou-Page over the [...]


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SAU At A Glance
Saint Augustine's University (SAU) was established in 1867 in Raleigh, N.C. SAU, which sits on 105 acres, is a four-year liberal arts university with an average enrollment of approximately 1,100. SAU offers more than 25 undergraduate degree programs and is accredited by the Commission on Colleges of the Southern Association of Colleges and Schools.
Saint Augustine's University provides a healthy learning environment where students are prepared to excel academically, socially and spiritually in order to be equipped for leadership roles in a complex, diverse, and dynamically changing world. The University is committed to offering rigorous academic programs and research opportunities at the undergraduate level to achieve its core values.
Schools and Colleges
- School of Applied Health and Medical Science
- School of Business and Technology
- School of Continuing Education
- School of Liberal Arts and Education
- Division of Military Science
- School of Sciences, Mathematics and Engineering
- School of Social and Behavioral Sciences
General Information
- Address: 1315 Oakwood Avenue Raleigh, NC 27610-2298
- Phone: 919-516-4000/800-948-1126
- Fax: 919-516-5805
- Web: www.st-aug.edu
- Type: 4-year, Private
University Characteristics
- Carnegie Classification: Baccalaureate Colleges – Diverse Fields
- Student Population:More than 1,000 (All undergraduates)
- Campus Setting: City; Large
- 2014-15 Tuition, Fees, Room & Board: $25,582
Student Characteristics
- Percentage Receiving Grants of Scholarship Aid: 76%
- Percentage Receiving Pell Grants: 73%
- Percentage Federal Student Loans: 72%
- 2013 Freshman class received an average of $12,700 in grants from SAU
- $29.1 million in financial aid was distributed during the 2013-14 academic year to 98% of the student body
Student Financial Aid
- Attendance Status: 97 % (Full-time) / 3% (Part-time)
- Residency Status: 51% (In-state) / 48% (Out-of-state)
- Student Age: 88% (24 and under) / 12% (25 and over)
NCAA Division II; Central Intercollegiate Athletic Association (CIAA); Southern Division; 14 intercollegiate sports; 56 student organizations.Learn more about our athletic program at www.saintaugfalcons.com


text: Blog | View Post Adventure Blog Belize Family Vacation August 07, 2012 | Clicks: 1439 This blog was posted to warn all families who plan to come to Ian Anderson Caves Branch for a vacation. Beware! Ian Anderson Caves Branch Jungle Lodge is not just good for family vacations – it is perfect. Almost two decades ago the idea of families and Caves Branch did not seem feasible, it was too dangerous, it was too cool – it was for professional adventurers. This is not the case today since Ian Anderson realized how wrong he was! It is a perfect place for a Belize family vacation. Our world famous adventure tours are fun and safe for kids as young as 6 years old as well as for adults. There are also on-site activities for both parents and kids to enjoy either independently or as a family. These shared adventures and activities can serve as a means to bringing the family closer together and sharing a couple more memorable moments together in which you and your kids feel totally connected. Click here to see our Kids Gallery and send us photos of your kids so that they can be a part of our family too!


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0845 300 0005
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Let the taxman help pay for your clients' life cover.
Scottish Provident is a division of The Royal London Mutual Insurance Society Limited, which is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and Prudential Regulation Authority.


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First in Libya, and now in Somalia, the Europeans, amazingly enough, seem to be taking the lead in Western military operations. European Union warships off the coast of Somalia are now attacking pirate lairs inland, targeting and destroying pirate vessels. This is a long-overdue step to put some teeth into the anti-piracy campaign.
As long as a dozen or even two dozen Western warships are forced to police an area of ocean the size of Texas, hoping they will catch pirates in the act, they have little hope of stopping pirates. The only way to be effective is to hunt down the Somali pirates, on both the sea and on land, and mete out swift and certain justice.
The U.S. has mounted a few daring operations that show the spirit required; in 2009, for example, SEALs killed three pirates who were holding an American merchant skipper. The U.S. Special Operations Command and CIA have also launched some strikes against Islamist terrorists in Somalia. But we have resisted doing what the Europeans just did–attacking pirate lairs. Presumably, this is another example of President Obama's "lead from behind" doctrine which is thrusting European military forces, willy nilly, into the lead in all sorts of areas. It is a good thing the Europeans are doing more, but one can only imagine how much more effective anti-piracy efforts would be if the U.S. were to be as aggressive as our European partners, who have seldom been noted in recent years for a surplus of martial spirit.


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Mom Punishes Daughter For 'Twerking'
Ok, Miley Cyrus...I think we've had just about enough of your influence.
This 7th grader 'twerked' at her school dance. Mom found out and now she's being punished.
In a unique way.
Ok, Miley Cyrus...I think we've had just about enough of your influence.
This 7th grader 'twerked' at her school dance. Mom found out and now she's being punished.
In a unique way.
I'm always looking at the Adult Education flyers for ways to broaden my horizons. They have classes for fitness, computer knowledge and crafts.
But this one caught my eye.
AND raised my eyebrows.
Back=to-school season is in full swing, and even though the end of summer pretty much stinks, heading back to class doesn't have to. Why? For starters, it's the perfect time to sport some apples and notebooks and maybe even a pencil or two on those nails.
Kids all over Central Maine have gone back to school and several families in the Lewiston-Auburn area have been touched by the Back To School Angel.
Yes, you could go out and spend a bunch of money on your kids lunches for school.
You could save money and feed them something that parents have known for generations is good for them.
While kids may be dreading going back to school, their parents are dancing in the streets.
For the last 20 years, Randy McCoy has read a poem on the air all about a little girl going to school for the very first time.
The poem, 'I Trust You'll Treat Her Well', by Dan Valentine from the book "American Essays: Sentimental Classics Designed to Make the Heart Sing", has been around for nearly 60 years and each time Randy reads it, I cry. A lot.
Big day! BIG DAY!!
I take every first day of school off for Anderson because it is the start of his new adventure!
Our back-to-school journey continues with finding the best ways to take advantage of your student status.
There is something special about this time of year in Maine. The changing of the seasons from summer to fall, the best time of year in Maine. A tradition from generations is passed on, back to school shopping.


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Reflect observed
Reflect observed
Video, 14:32 min.
Three channel video installation Reflect Observed of the TRUTEC Building (Barkow Leibinger Architects) in Seoul, Digital Media City, South Korea. Exhibited in the Berlin State Museums at Kulturforum (curated by Andres Lepik), in the Architecutal Association (AA) in London and in the Deutsches Architekturmuseum (DAM) in Frankfurt, Germany.
Documentation of Exhibition in Berlin State Museums:
© by corinne rose all rights reserved


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LAS VEGAS, NV. (CNN) – Several billboards around Las Vegas this morning (Wednesday) certainly grabbed drivers' attention. One billboard sported the slogan "Dying for Work" with a mannequin in a business suit dangling from the sign.
A second billboard with the words "Hope You're Happy Wall Street" also featured a hanging dummy.
But it seems the campaign is somewhat of a mystery.
The billboard space apparently belongs to Lamar Advertising.
But the company says no one has paid for the sign.
One of the billboards has already been taken down.


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Squirrel Steals Spotlight At Phillies-Cardinals Game
The Philadelphia Phillies played the St. Louis Cardinals Wednesday night, and for the second straight game a squirrel stole the show. This time the creature darted in front of the batter's box and dashed into the stands at Busch Stadium. The Cardinals' 5-3 victory was celebrated on Twitter by a new user called @BuschSquirrel.


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Neymar has been linked with the likes of Barcelona, Real Madrid, Juventus, Chelsea and Manchester United.
"It will be very difficult for Neymar to become the best player in the world in the Brazilian league. That's why he should make the move to La Liga," Robinho told Lancenet.
"If he decides to leave Santos and he has the choice to join Real Madrid or Barcelona, I would advise him to pick Barca.
"Barcelona are a great club and Brazilians have always done well there."