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The KDA has completed and published, 140 Years, 140 Stories, a coffee table style book of photography highlighting 140 different dentists and their stories. Additional copies of the book can be purchased for $19.99 + shipping and handling by calling the KDA office at 785.272.7360.
Give the gift of 140 Years, 140 Stories. We'll even send the book for you wrapped and with a personal message from you. Contact the KDA for more information.
140 Years, 140 Stories incorporates different Kansas Dental Association member dentists and their stories. This book features 140 photographs and stories about Kansas dentists and their unique hobbies, locations, practices and life stories.
Every person who reads these stories will likely learn something new and perhaps friendships will develop based on similar interests discovered in this book. It is our hope that this project encourages engagement, conversation and a new connection with others in the profession.
We traveled the state, photographing KDA members at their offices, their homes and diverse geographic and historic locations in Kansas, each posing with their "number" that corresponds to the page in the book. For some dentists, we focused on the unique sense of place in which they practice and live, as a way to celebrate Kansas.
We attempted to provide a snapshot of KDA member dentists as they exist in 2011. Today, the profession is more diverse than ever before with a growing percentage of female dentists. We also tried to fairly represent the membership of the KDA's ten geographic component district societies and feature the vast differences in age of our youngest dentists with those who have long since retired.
We hope we will add a new dimension to your knowledge of both Kansas and the dentists of our state through the stories and photographs we proudly bring you in this book.
Kevin Cassidy, DDS Adam Lukens, DDS
Ronald J. Finley, DDS Charles Squire, DDS
As we traveled west to take photographs in Northwest Kansas, we posted clues to our location on Facebook. When we arrived at our destination, we produced sent back this video with the answer and some history of the location.
As we traveled the state, we photographed images and locations from across Kansas. Here are a few of those photographs.
I express my heartfelt thanks to the Kansas Dental Association for the privilege to participate in the 140 Years, 140 Stories project. This opportunity has allowed me to incorporate my interest and passion for travel, my joy of photography and the arts, along with meeting Kansas dentists. The visual experience of traveling in Kansas is always new and unfolding.
From new towns to new geographic locations, landmarks and sites that may have been passed by in previous travels were a delight to see. Each community visited and each dentist photographed was part of the journey of discovering more about our state. Most of all, the stories you shared about what is dear to you and your communities were a pleasure to hear and have allowed me to grow as a native Kansan.
Jennifer Jones, Co-author, 140 Years, 140 Stories
I have always enjoyed listening to a good story. This project has not only given me a chance to hear 140 great stories; it has given me the chance to reflect upon and to retell in words and photographs those things that are tremendously important to our members. Traveling the state of Kansas, from the eastern border with Missouri to the western with Colorado and to countless points in between, has given me a new appreciation for the beautiful state in which I have the pleasure of living. Thank you to the members of the Kansas Dental Association for allowing me to take part in the telling of your story.
Greg Hill , Co-author, 140 Years, 140 Stories
Watch our Google+ Hangout Discussion of 140 Years, 140 Stories


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For Patients
What to Expect at Colorado Pain Specialists
We understand the effect that chronic back and neck pain can have on you and your family. Chronic pain often brings stress, uncertainty and a host of questions. It is normal to feel overwhelmed at first — wondering what to expect from your diagnosis and treatment.
At Colorado Pain Specialists, we are dedicated to serving you. We do everything we can to put you and your family at ease and help you through this process. We work as a team to provide you with the best treatment options and answer all of your questions along the way.
Your first visit to CPS
During your initial evaluation, a board certified pain management specialist in conjunction with other health professionals will perform a thorough assessment and develop a plan for your care. This plan will be shared with your referring physician as well as the health care team assembled to address your needs. As requested by your referring physician, additional treatment will be provided and the physician and health care team will evaluate your progress.
Throughout the entire treatment process, Colorado Pain Specialists will communicate your progress to your referring physician. As you near the end of your treatment plan, your referring physician will spend additional time providing you with information about how to manage your condition.
We are confident that your experience with us will be beneficial and ultimately result in a better quality of life for you and your loved ones.
We welcome out-of-state patients. If you are coming to Colorado to see us, please contact us at 1-866-356-4040. We would be happy to help you coordinate your travel plans.

subset: commoncrawl


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The city of Eilat and the surrounding rural region of Eilot cover 13% of Israel's land resources, but are home to only 0.7% of the population.
Due to the region's geographic remoteness – far from the urban centers and professional opportunities of central Israel – it suffers from a lack of educational facilities and medical services, as well as limited employment possibilities. Most local people are employed in low-paying jobs in tourism and agriculture.
UJA Federation of Greater Toronto's partnership with Eilat-Eilot dates back to 1997. Its involvement is focused on three main areas -- education, innovation and healthcare. Current investments include the following:
Higher Education
The Eilat campus of Ben Gurion University
With over 1,000 students in various tracks, BGU Eilat is Israel's fastest growing campus. Before its establishment in 2002, there were no real opportunities for higher education in Eilat. This effectively meant that only well-off residents could afford to study for a bachelor's degree. Not only does the Eilat campus provide opportunities for locals, it also brings skilled young adults to the area.
UJA Toronto funded construction of the campus's first dormitory building, which offers affordable housing to students who move to Eilat to study. It is also helping to develop innovative degree courses in renewable energy and marine biology.
UJA Toronto offers tuition scholarships to students studying at the Eilat campus. In return for assistance, students volunteer within the community throughout the year, mostly tutoring underprivileged children.
Renewable Energy
With significant support from UJA Toronto, Eilat-Eilot has established itself as a leader in the field of alternative energy. The region has created a world-class research and development center, as well as a renewable energy incubator which encourages and nurtures private investment. These programs are drawing highly-qualified professionals to the region and will create an estimated 400 new jobs over the next three years.
The annual international conference on renewable energy held in Eilat attracts some 2,000 delegates, including investors, entrepreneurs, scientists, engineers and policy-makers.
Marine biology and bio-technology
UJA Toronto is working to create a new employment sector in Eilat in these fields.
Yoseftal Hospital
Yoseftal hospital is the only advanced medical facility in the southern Negev. It provides medical care to the region's 55,000 residents, as well as to the hundreds of thousands of tourists who visit Eilat each year. It also treats Israeli soldiers serving in and around Eilat, as well as trauma victims involved in traffic and other accidents.
UJA Toronto is playing a major role in upgrading and modernizing the hospital's medical infrastructure and human resources, in order to provide a level of service equivalent to that provided in the center of Israel. It has funded a new, much-needed emergency wing at Yoseftal. It has also developed various incentive programs which are successfully attracting doctors and nurses to Eilat.
These initiatives are creating additional educational and employment opportunities in Eilat and Eilot, in order to encourage skilled residents to stay and to attract highly-qualified newcomers. In time, this will create a fundamental demographic change in the region.


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Federal Government Invests in Improvements for Palliser Regional Library system
Moose Jaw, SK – Today, Ray Boughen, Member of Parliament for Palliser, on behalf of the Honourable Lynne Yelich, Minister of State for Western Economic Diversification, announced support for the Moose Jaw-based Palliser Regional Library system under the Harper Government's Community Infrastructure Improvement Fund (CIIF).
"Our Government is committed to creating jobs, growth and long-term prosperity in our communities across Canada," said MP Boughen. "By making these investments in local infrastructure, we are helping boost economic activity and maintain a high quality of life for Canadians."
The Harper Government's investment of $26,167 will enhance the services provided by the Palliser Regional Library's Moose Jaw Headquarters and will create jobs. Upgrades to the building will include:
- Repurposing and enlarging of the publically-accessible computer lab/video-conferencing facility, which also serves as a training room;
- The creation of a wheelchair-accessible main floor washroom;
- The replacement of the front door;
- Insulation of the walls;
- The building of new offices; as well as
- The reconfiguration of the reception and common areas.
Renovations to Palliser's Regional Headquarters will improve public access and energy efficiency of the building while enhancing the experience for its patrons.
"The Palliser Regional Library Board is grateful for the support of the federal government through the Community Infrastructure Improvement Fund," said Terry Gabel, board chairman. "With the growing financial demands of technology and new media in maintaining library services, we have been saving for over eight years to allow us to make these infrastructure changes. We are very excited to see it moving forward. It will help us better serve the citizens Moose Jaw and Saskatchewan."
The Palliser Regional Library consists of 20 branches including the Moose Jaw public library and 19 rural branches. Palliser Regional Library serves approximately 53,515 people located in 78 municipalities, which cover an area of 10,640 square miles.
In Economic Action Plan 2012, the Harper Government announced further support to help communities across the country modernize their infrastructure. Our Government committed $150 million over two years for the Fund. The Fund supports projects that look to improve existing community infrastructure accessible for use by the public, such as community centres, recreational buildings, local arenas, cultural and other community facilities.
Since 2006, the Harper Government, through WD, has invested in job-creating small and medium-sized businesses, aerospace, marine and defence industries, and supported innovative entrepreneurs in pursuing emerging markets. By continuing to promote new economic opportunities, WD is helping to create jobs, economic growth, and long-term prosperity.


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Have you seen Britney Spears lately? She's all sorts of messed up – fake blue contacts a blazin', stains on her 1980's purple Fashion Bug button down tank-blouse, with some serious bra-less boob action going on underneath. She doesn't need a stylist, she needs a mom. Considering her current state of nastiness, the above ad for her new perfume – appropriately named Believe – is all that more amazing. This isn't airbrushing, it's editorial welding! And seriously, has she ever had hair that looks like organic corn silk? Even when her locks were real, they still had that crispy, "been ruined since her first perm at age 6″ look to them. Also, she's got some serious finger balancing skills. Look at that perfume bottle go! [DListed]
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Britney's Nutty, Naked Photoshoot
Britney's Naked Hot Tub Makeout Session


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Upgrade your geek with Dwight Silverman
Posts filtered on Tag
Linkpost | 7.9.2013
• Microsoft Restructuring Set for Thursday – That's the last day of the Worldwide Partner Conference, now underway in Houston. The company is expected to shuffle chairs to focus on devices and services, according to AllThingsD. • Justice Dept. defends secret rulings in new spy court filing – The feds want the surveillance court to […] [Read More]
Linkpost | 9.26.2012
• Apple had over a year left on Google Maps contract, Google scrambling to build iOS app – The Verge reports that a Google Maps app for iOS likely won't be ready until the end of the year. • Garmin capitalizes on Apple Maps issues, updates its iOS apps with Google Street View, Transit directions, […] [Read More]


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tag:blogger.com,1999:blog-2623834231718414708.post5512674602728786082..comments2015-08-02T23:32:52.158-07:00Comments on Cluck Cluck Sew: So far so firstname.lastname@example.com:blogger.com,1999:blog-2623834231718414708.post-59492687958530350222010-02-28T17:33:52.998-08:002010-02-28T17:33:52.998-08:00I dont either! :)I dont either! :)Amandahttp://firstname.lastname@example.com:blogger.com,1999:blog-2623834231718414708.post-54186733585780222682010-02-28T17:33:49.713-08:002010-02-28T17:33:49.713-08:00I dont either! :)I dont either! :)Amandahttp://email@example.com:blogger.com,1999:blog-2623834231718414708.post-82147035816268426262010-02-23T21:09:04.483-08:002010-02-23T21:09:04.483-08:00Love your blog - just found it. Never had a dishw...Love your blog - just found it. Never had a dishwasher either :( At least I only have one kid so far! I am definitely jonesing for a dw, but no internet? Now that's really rough!Mrs. Katie Picciottolihttp://firstname.lastname@example.com:blogger.com,1999:blog-2623834231718414708.post-68607668649638977812010-02-23T07:24:35.327-08:002010-02-23T07:24:35.327-08:00no dishwasher here and never had one.no dishwasher here and never had one.Eileenhttp://email@example.com:blogger.com,1999:blog-2623834231718414708.post-82652920688842943582010-02-17T21:50:16.351-08:002010-02-17T21:50:16.351-08:00I don't have a dishwasher, a washer/dryer, or ...I don't have a dishwasher, a washer/dryer, or a bathtub. I miss civilization!M'Reciahttp://email@example.com:blogger.com,1999:blog-2623834231718414708.post-43199022095438651052010-02-11T05:19:17.109-08:002010-02-11T05:19:17.109-08:00I also have no dishwasher and sometimes I have to ...I also have no dishwasher and sometimes I have to do three loads of dishes because our sink is so small!

It is cold in Denmark, too. We have had snow for months.Emilyhttp://email@example.com:blogger.com,1999:blog-2623834231718414708.post-79782301804734645272010-02-10T22:53:47.819-08:002010-02-10T22:53:47.819-08:00Wowzers, lotsa comments! Good luck with that dishw...Wowzers, lotsa comments! Good luck with that dishwasher... I went a little while with two babies and washing by hand but that got old real fast! Now since my hubby does renos, we have a dishwasher but it'e second hand...one of these years it'll be brand new and all mine!

I just wanted to let you know that I tried your scrap saver pillow tutorial this evening and I just loved it! Thanks a bunch, KimberlyKimberlyhttp://email@example.com:blogger.com,1999:blog-2623834231718414708.post-55156034085253148842010-02-09T19:09:19.525-08:002010-02-09T19:09:19.525-08:00I didn't have a dishwasher for my first 13 yea...I didn't have a dishwasher for my first 13 years of married life and four out of 5 kids born! You can do it. I just got used to it...Cottage Cozyhttp://firstname.lastname@example.com:blogger.com,1999:blog-2623834231718414708.post-23957449000854340902010-02-09T11:54:46.684-08:002010-02-09T11:54:46.684-08:00I don't have a dishwasher. But I don't ha...I don't have a dishwasher. But I don't have a child with another on the way, either. Sometimes, though, doing dishes turns into a nice, quiet time. No one bothers you when you're doing dishes, and the running water has a soothing sound after awhile.... sometimes I pretend it's the ocean. HA.Alicehttp://email@example.com:blogger.com,1999:blog-2623834231718414708.post-28965389659104330302010-02-09T10:12:48.077-08:002010-02-09T10:12:48.077-08:00I bet you're glad to be here in Ohio right in ...I bet you're glad to be here in Ohio right in the midst of these snow storms, eh?! I don't know about in Cleveland, but down here in Columbus we're all having a snow day!

As for the dishwasher, we have one, but somehow my husband's parents and his grandparents manage without one their entire lives. I don't know how they do it!Sewing-Chickhttp://email@example.com:blogger.com,1999:blog-2623834231718414708.post-20266828875037061942010-02-09T09:57:25.215-08:002010-02-09T09:57:25.215-08:00Welcome Back! I am so sorry you had to move back ...Welcome Back! I am so sorry you had to move back in February (Yuck!!!Cleveland is awful this time of year!!!)
I'm afraid I do love a good dishwasher. Didn't have one for many, many, many years. Now, if it breaks, so will I. But worse is the laundromat. I hate having to go to one of these awful places.mary'smomhttp://firstname.lastname@example.com:blogger.com,1999:blog-2623834231718414708.post-54001959337678048052010-02-09T06:13:12.970-08:002010-02-09T06:13:12.970-08:00Ha Ha that is funny. We moved to Cleveland and I ...Ha Ha that is funny. We moved to Cleveland and I don't have a dishwasher either. Well we do. It's in a box in the garage. My husband promised me one when we moved but hasn't had the time (due to school) to install it. So I am totally with you on the paper plates. Happy Washing :)Lee Postonhttp://firstname.lastname@example.com:blogger.com,1999:blog-2623834231718414708.post-38407868437806720862010-02-09T04:49:11.246-08:002010-02-09T04:49:11.246-08:00We sold our dishwasher and now do all our dishes b...We sold our dishwasher and now do all our dishes by hand and love it!johannahttp://firstname.lastname@example.com:blogger.com,1999:blog-2623834231718414708.post-74637872580033851892010-02-07T19:38:19.168-08:002010-02-07T19:38:19.168-08:00Six years of marriage till I used I clean dishwash...Six years of marriage till I used I clean dishwasher. The first eights months we had a dishwasher in the apt. but it was so yucky we didn't use it. Then for two years we lived in apt. with no dishwasher. Then the next 4 years we lived in apts. with dishwashers but again, too yucky we never used them. Finally, we moved into a 5 year old home with clean dishwasher. Although, I still find myself washing by hand, ya know pots and pans.Strictly Sewinghttp://firstname.lastname@example.com:blogger.com,1999:blog-2623834231718414708.post-75949570241948784342010-02-07T17:31:56.026-08:002010-02-07T17:31:56.026-08:00I do have a dishwasher, 2 in fact...in the form of...I do have a dishwasher, 2 in fact...in the form of my husband and myself. I have a real one but very rarely use it. Will be getting rid of it when we redo our kitchen.Cindyhttp://firstname.lastname@example.com:blogger.com,1999:blog-2623834231718414708.post-75911792968502593572010-02-06T18:55:55.641-08:002010-02-06T18:55:55.641-08:00Laughing out loud at your P.S. Sometimes paper pla...Laughing out loud at your P.S. Sometimes paper plates are the best!winterpeachbloghttp://email@example.com:blogger.com,1999:blog-2623834231718414708.post-91715897314849467642010-02-06T18:31:42.309-08:002010-02-06T18:31:42.309-08:00I've found that a great way to keep on top of ...I've found that a great way to keep on top of dishes without a dishwasher is to cut down on the number of dishes you use. Keep out one of everything per family member and put the rest away. It keeps things from piling up and becoming overwhelming.Melynnahttp://email@example.com:blogger.com,1999:blog-2623834231718414708.post-87321537803103824092010-02-06T15:19:31.305-08:002010-02-06T15:19:31.305-08:00We do have a dishwasher, but we have a certain amo...We do have a dishwasher, but we have a certain amount of dishes that don't go in the dishwasher(aluminum strainer, sharp knives, fiesta ware, etc...)

 I would be very sad to move now and not have one, now that I DO have one, though... because I am kind of addicted!

 Sorry to hear about that... and if the forest had to wash your dishes by hand it would volunteer to be made into paper plates... I think. :DTaiyahttp://email@example.com:blogger.com,1999:blog-2623834231718414708.post-16152354999962253532010-02-06T09:42:53.700-08:002010-02-06T09:42:53.700-08:00I don´t have dishwasher and I don´t miss it. Maybe...I don´t have dishwasher and I don´t miss it. Maybe my dishes do.Beazhttp://email@example.com:blogger.com,1999:blog-2623834231718414708.post-54937031070602934082010-02-05T20:00:53.298-08:002010-02-05T20:00:53.298-08:00No dishwasher either. We just remodeled our kitch...No dishwasher either. We just remodeled our kitchen and I opted to have the cabinet space instead of putting one in, glad I did.Carriehttp://firstname.lastname@example.com:blogger.com,1999:blog-2623834231718414708.post-18138629382192627552010-02-05T18:03:01.405-08:002010-02-05T18:03:01.405-08:00I lived w/ out a dishwasher until my two boys were...I lived w/ out a dishwasher until my two boys were about 1&3. It wasn't too bad.

As for potty training. Training boys early is rough. Unless they are super into it & are showing signs of being ready. We tried to train our oldest when he was about 2 1/2. It was torture for everyone. It took a good 9-10 months for him to be fully potty trained. For our 2nd son we waited till he was just over 3. It was SOOO much easier & only took about 3 weeks.Pumpkin Head Baby Cohttp://firstname.lastname@example.com:blogger.com,1999:blog-2623834231718414708.post-37902719766444114102010-02-05T13:54:16.159-08:002010-02-05T13:54:16.159-08:00we are renting a house that was built in 1910. no...we are renting a house that was built in 1910. no dishwasher here. AND it has the original gas stove from the 1900's. best wishes for settling in nicely.Rachel Carlsonhttp://email@example.com:blogger.com,1999:blog-2623834231718414708.post-64132622688696862062010-02-05T12:31:48.985-08:002010-02-05T12:31:48.985-08:00nope no dishwasher...for the last 5 years. before ...nope no dishwasher...for the last 5 years. before that i had one, but we moved into an older home and there's not space for one. it's given us ALL good practice learning teamwork --esp our older boys. they wash and dry dishes about 60% of the time now. YAY.Laurahttp://email@example.com:blogger.com,1999:blog-2623834231718414708.post-12666150461017120212010-02-05T11:29:27.368-08:002010-02-05T11:29:27.368-08:00no dishwasher here... and my husband used to be th...no dishwasher here... and my husband used to be the dishwasher, until he got sick, so now it's my responsibility, so we usually have a huge pile of dishes!Katie Jeanhttp://email@example.com:blogger.com,1999:blog-2623834231718414708.post-60952277697179080542010-02-05T10:26:33.997-08:002010-02-05T10:26:33.997-08:00I just moved into a rent house (Chicago to Amarill...I just moved into a rent house (Chicago to Amarillo, TX!) and although we have a dishwasher, it sucks. It's like a fancy rinse cycle, and...no garbage disposal. So I feel your pain... funky rent house, transition, excitement, grief, and good gracious... potty training... last night I found myself sitting on a restaurant floor trying to descretely clean poop our of my son's cowboy boots. Ugh! :)Sallyhttp://firstname.lastname@example.com


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Conoce a Nuestros Estudiantes Cara a Cara
¿Quieres saber porqué decidí estudiar en ACU? ¿Quieres saber lo que ACU significa para mí? Pregúntame.
Wildcat Video Minute
Combine a few hundred Wildcats, plenty of pens and post-it notes - What do you get? This month's Wildcat Video Minute takes a look at how the Student Alumni Association helped celebrate "I love ACU" day.
Explore Majors
Find majors or programs that interest you.
Visit Campus
Satisfy your curiosity about what it means to live and learn at ACU!
Apply to ACU
Learn more about our application and admissions process.


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Entertainment Law
McAlpine PLLC represents the interests of its entertainment clients in film, music, television, literature (including children's books) and multi-media projects. McAlpine PLLC can assist you and/or your entit(ies) in feature film financing and production, television and video production, film and video distribution, and music production, publishing and distribution. McAlpine PLLC is the legal solution for film and music studios, artists (recording, performance and visual), film, entertainment finance company, publishing company, independent record company, film or television production company, film and music distributors, individual producers, directors and executive producers, and multi-media companies.
McAlpine PLLC advises its clients on matters of entity selection, financing and capitalization, licensing, drafting and negotiation of complex documents and other matters related to the entertainment industry such as: production agreements, licensing, leases, distribution, recording agreements, publishing agreements, syncronization licensing, management, videography, employment agreements, financing, studio musicians, scoring, soundtracks, assignments, duplication, clearances, permissions, options, offers, talent attachments/commitments, tousing, merchandising, and much more . In addition to handling industry-specific matters we can assists with copyright, trademark, licensing and other issues related to protecting your intellectual property.
Individuals: Most artists and/or individuals don't know what it is that entertainment lawyers do. A lot of other attorneys don't either. Typically, the entertainment lawyer consults on prospective agreements that may determine the artist or company's rights in a deal; reviews, revises, and/or drafts critical documents related to the artist or company's deals or projects; and learns the goals of the client and negotiates agreements' deal points to assist the client in achieving various goals in all aspects of the clients entertainment related legal affairs. The entertainment lawyer is the first and last line of defense against being taken advantage of when dealing with companies or other individuals in the entertainment industry. Moreover, the entertainment lawyer assists the client in ensuring the overall success of their entertainment career. Because artist and entrepreneurs in the entertainment industry typically aren't well versed in what various industry standards are, how to leverage their experience and/or talent, and would be better served to focus on their career and leave the legalities to their counsel entertainment attorneys are a vital peice of the artist management and success team.
Attorney Alston in Entertainment
- Entertainment Industry Involvement - http://www.avvo.com/attorneys/28206-nc-alonzo-alston-1942479.html?ref=header
- Speaking Engagements - http://www.avvo.com/attorneys/28206-nc-alonzo-alston-1942479.html?ref=header
- Writings - http://www.scribd.com/McAlpinePLLC
- Articles
- Facebook - http://www.facebook.com/NCEntertainmentLawyer
- Twitter - @CLTENTLAWYER
- Entertainment Website - http://wwww.CharlotteEntertainmentLawyer.com
Arts Resources:
North Caroina Arts Council - http://www.ncarts.org/
North Carolina Department of Cultural Resources - http://www.ncdcr.gov/
North Carolina's Piedmont Triad Film Commission - http://www.piedmontfilm.com/
Carolina Entertainment Network - http://www.carolinaentertainmentnetwork.org
Recent News:
N.C. Creative Industry $41 Billion, Employs Nearly 300,000


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- Hospitals
- Patient & Visitor Information
- Our Physician Practices
- Primary Care Practices
- Cardiovascular Practices
- Hospitalist Practices
- Medical Specialty Practices
- OB/GYN Practices
- Orthopedic Practices
- Palmetto Health Dental Center
- Pediatric Practices
- Senior Primary Care
- Surgical Practices
- Urgent Care
- Specialty Centers
- Da Vinci Robotic Surgery Center
- Patient Care Services
- Education, Residency Programs & Research
- Community Outreach
- Patient Stories
- Palmetto Health Foundation
- Volunteer Programs
Our Physician Practices > Cardiovascular Practices > Palmetto Heart > MyHealth-Palmetto Heart
Manage your health care online with MyHealth–Palmetto Heart
MyHealth-Palmetto Heart
Manage your health care online with MyHealth–Palmetto Heart
We know you're busy. That's why Palmetto Heart is offering a way for you to manage your health care online.
MyHealth is a convenient and easy-to-use online patient portal that allows you to communicate with your doctor's office, refill prescriptions, review your lab results, request an appointment, fill out forms and view your personal health information. Anytime. From any device with Internet capability. MyHealth is encrypted and password-protected, too, so health data remains secure.
Sign up at your next visit, and make managing your health care a little easier.
Access Palmetto Heart's portal.
Learn more about MyHealth.


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To the Editor:
The Carroll County District Library's Adult Summer Reading Program, "Water Your Mind," was a great success this year!
We did some fantastic programs and had great presenters. We learned a lot and laughed even more. It's hard to know where to begin to thank everyone who contributed to such a fun summer! Ponderosa Gift Certificates always helps make our summers successful! Dollar General Market and Griffith's Green House donated prizes that everyone loved as well! Tim Simon of Briarpatch Tobacco and Donna Gilbraith donated wonderful cigar boxes which we turned into purses, treasure boxes and memory boxes.
Our presenters, Heidi Sammons, Cake Decorating; Jessica Hale, soft, satin "Mary Kay" hands; Jamie Matoszkia, Massage Therapy for our Spa and Smoothies program; Chad Steele, How to Install a Backyard Pond; Ellen Finnicum taught us Scrapbooking and Janet Dillon loaned us games for the "Minute to Win It." See what you missed?
And, of course, a big thank you goes out to the entire community for your support through these trying financial times! We are so fortunate to live in such a great community! Thanks Carroll County and we'll see you next summer!
Cindy Ray
Carroll County District Library
The Free Press Standard invites you to post your thoughts on the story in the box below.
These posts do not reflect the views of the The Free Press Standard or its employees.
©2010 The Free Press Standard
Contact the webmaster at: email@example.com


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Eight Cowboys Selected for League Academic Honors
Western Wrestling Conference announces yearly awards
Nine UW Wrestlers Earn All-Conference Honors
Woods earns first team honors
Six UW Wrestlers Tabbed For All-Conference Team
Three winners and three finalists honored
Four Wyoming Wrestlers Ready For NCAAs
Three juniors and one redshirt freshman make up UW contingent
Road Test Wraps Up Regular Season For Cowboy Wrestling
UW faces conference leader North Dakota State
Career record
2013-14: Stroh exceeded expectations in his first collegiate season, winning four tournaments and going unbeaten versus conference foes. He was the 184-pound champion of the NCAA West Regional, going 2-0 to earn his first berth to the NCAA Championships. Stroh became just the 12th freshman in program history to earn a conference title. He went 1-2 at nationals to end his season.
The talented rookie began the season 7-0 with titles in the Cowboy and Northwest Opens. He placed fifth in the Las Vegas Invitational, and won the Reno Tournament of Champions. After a tough start, he finished 8-4 in duals and was 9-0 against Western Wrestling Conference opponents. He posted five wins over ranked opponents, along with eight falls and five major decisions.
For his efforts, he was named the WWC Freshman of the Year. Additionally, D1CollegeWrestling.net named Stroh as the WWC Rookie of the Year.
Stroh posted a 3.03 GPA in business administration to make the WWC Coaches' Honor Roll, the the second-straight season he made the squad.
2012-13: Redshirting in his first year in the program, he finished with 16 wins in 17 matches, winning 10 of those by fall to tie for second on the team. Eleven of his 16 wins came via bonus points, and he was first in four tournaments. He began the season with a second-place showing at the Cowboy Open, but reeled off first-place finishes at the Northwest, UNK Holiday Inn, Battle of the Rockies and Utah Valley Opens. To end the season, he won 13-straight bouts.
Stroh was recognized by the UW coaching staff for keeping a GPA above 3.0 for the season.
Stroh went 3-2 at 84 kilograms (185 pounds) at FILA Junior Nationals in April 2013.
High School: Stroh was a two-sport star for Chinook High, lettering in football and wrestling all four years. He was a four-time state champion in wrestling and won one championship with football.
He was ranked third in the nation in wrestling his senior year, and strung together an incredible 101-consecutive wins, all by fall. He won the Reno Tournament of Champions crown as a freshman and sophomore, and finished sixth at the ASICS/Vaughan Junior and Cadet National Championships. In high school competition, he went 156-2, winning 146 bouts via fall. Stroh was accomplished in the classroom, too, and was a three-year honor roll recipient and Academic All-State honoree his last three seasons.
Personal: Stroh was born in Powell, Wyo., and he is the son of Robin and Lisa Stroh. He has one sister, Rebecca, and his older brother Robert wrestles for Wyoming. He is pursuing a degree in agricultural business at UW. He received interest from Nebraska, Iowa, Boise State and Oregon State.


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The north-facing Windward Pavilions offer expansive, postcard views of the Coral Sea and Whitsundays.
qualia's north-facing Windward Pavilions each complete with its own private plunge pool, provide flawless design, soothing decor and expansive Coral Sea and Whitsunday Island views.
Shaded by Eucalypts, the Windward Pavilions' breezy louver windows, polished timber floors and floor-to-ceiling glass provide a uniquely Australian hideaway.
A private sundeck and infinity-edge plunge pool melting into the Coral Sea complete the luxury accommodation of qualia's Windward Pavilions.
Classic Rate (breakfast only)
Gourmet Rate (dinner and breakfast)
Rates quoted above are per pavilion per night based on twin share. Single rates also available. Subject to availability. Blackout periods may apply. ^A minimum 2 night stay applies. *A minimum stay applies for bookings during Festive Season. For qualia Classic bookings incorporating the night of 31 Dec, a supplement fee of $195 per person is applicable which includes dinner at qualia. Blackout dates may apply. qualia caters for guests 16 years and over only. qualia Classic rates and qualia Gourmet rates cannot be combined within the same booking. Velocity Points are only earnt only on bookings made directly with qualia (conditions apply).
Wake to the breathtaking views of the Coral Sea outside your window, then step from the beautifully appointed living room onto the north-facing sundeck to bathe in the private infinity-edged pool.
Freestanding and spacious, with expansive waterfront views, the Hamilton Island luxury accommodation provided by the Windward Pavilions at qualia have a sunny northern aspect and provide four times the living space of a standard hotel room.
Book Now | View our Luxury Holiday Packages
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We would love for you to share our secluded paradise in the Whitsundays with your friends.
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text: Hearing-impaired is a broad term that refers to varying degrees of hearing loss from partial to total deafness. The age of onset plays a crucial role in the development of language; persons with a prelingual hearing loss often have weaker oral communication skills than those whose loss occurred after speech development. The causes and degrees of hearing loss vary across the deaf and hard of hearing community, as do methods of communication. Hard of hearing refers to those individuals who may use speech, lip-reading and/or hearing aids to enhance oral communication. Students who are deaf or hard of hearing may utilize a wide range of services depending on the language or communication system they use.


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The following are all the court-approved provider agencies for approved Parent Education programs. Click on the blue arrow next to the town where you wish to attend education for more details. Please note that some towns have multiple agencies providing education, therefore multiple listings.
No Photo Available
Norwood Address Child & Family Psychological Services, Inc. Dr. Coakley Middle School work Phone: 781-551-0999work Program Name: Parents Aparthome Dates: Callhomefax Website: ww.cfpsych.org


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Commercialization By Design
University of Arizona's Tech Launch hosts a meeting of the minds to discuss the...
Still under construction, the new Diamond Children's Medical Center will add substantially to the region's infrastructure.
Diamond Children's Medical Center, set to open later this year at University Medical Center in partnership with the University of Arizona Steele Children's Research Center, will inject an estimated $5.5 billion into the local economy over the next five years, according to an economic analysis by Tucson Regional Economic Opportunities, known as TREO.
TREO, which conducted the economic analysis in conjunction with Applied Economics, estimated the combined economic impact of Diamond Children's Medical Center and of UMC and the Steele Center, a center of excellence at the UA College of Medicine. Among their findings:
"This new medical center represents a huge, urgently needed leap forward for pediatric health care in the entire region" said former UMC President Greg Pivirotto, who retired last week. "In indispensable partnership with UMC and the Steele Center, Diamond Children's will have a huge impact upon the economy of Tucson and Southern Arizona through increases in jobs, revenues, institutional, business and individual spending, tax revenues and more."
Diamond Children's Medical Center, currently under construction at UMC, will occupy the top three floors of the six-floor Diamond Building. Parts of Diamond Children's Medical Center will be ready for pediatric inpatients beginning this spring. A formal grand opening is planned for September.
Even before its completion, the Diamond Building – which in addition to housing the children's medical center also is home to UMC's expanded Emergency Department and Trauma Center – is providing an economic boost to Pima County of nearly $200 million during its five-year construction. "That translates into nearly 2,000 construction jobs and $83.6 million in payroll, which is great news in this economic recession," Snell said.
The Diamond Building and Diamond Children's Medical Center is named for the family of Tucsonans Don and Joan Diamond, who donated $15 million toward construction costs. The rest is financed by UMC through bonds and donations.
When completed, Diamond Children's Medical Center will boast 100,000 square feet and 116 licensed beds over three floors. It will be the only children's hospital in Arizona associated with an academic medical center. Highlights include:
A complete copy of TREO's 23-page economic report, and further information on Diamond Children's Medical Center, is available online.
Katie Riley
AHSC Office of Public Affairs


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Hearing aids take some getting used to. Give yourself every chance to adjust successfully and get the most from your hearing aids by following these 5 steps.
Find Top-Rated Arnold Hearing Aid Stores
Angie's List helps you hire the best - and avoid the rest!
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If you've suffered hearing loss, it is important that you protect your residual hearing while you can. Here are simple ways to guard the hearing you have left.
Returning to school requires a lot of planning and adjustment. Help your hearing impaired child succeed with these tips to keep them safe and well-cared for.
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The Standard hotels are our primary hotel choices in this location, though availability is not guaranteed. If a given hotel is not available for your tour date, we will reserve you a room at a hotel of similar appeal and quality in the same area.
Santa Cruz island is the most important of the inhabitated islands of Galapagos archipelago. Puerto Ayora is the largest town, 15.000 people live and work here mostly in the tourism industry. Built in 1995, this lodge has a unique architecture design which blends with mangrove forest and seafront, its location allows you to observe the mangrove ecosystem.
The Galapagos Archipelago is one of the last places on earth to remain largely untouched by mankind. Only three percent of this island chain is inhabited, providing fascinating opportunities to encounter wildlife and nature. The luxurious Galapagos Safari Camp creates and instills wonder in the lives of travelers who are seeking adventure on a Galapagos tour.
Hotel Fernandina is a warm place where you will enjoy your vacation letting Hotel Fernandina offer you their personalized service. The hotel is located in a peaceful, residential neighborhood, just 10 minutes away from the Charles Darwin Station. They offer 23 rooms with air conditioning, private bathroom, hot water and the rooms are surrounded by beautiful gardens.
Hotel Silberstein is located in Puerto Ayora on the Island of Santa Cruz, five minutes walk to Charles Darwin Scientific Station and 50 Mts. to the sea.
Coming by air from Quito or Guayaquil to Baltra Island airport, the passengers will take the bus to Itabaca Channel which is crossed by a ferry to the north of Santa Cruz Island.
The Isla Sol hotel has 14 room. Each room is spacious, immaculate, and secure, and comes with air conditioning and a bar - the perfect place to enjoy your Galapagos tour!
Surrounding a garden and a jacuzzi, the Santa Cruz Divers Lodge is ready to indulge their guests in the Galapagos style. Guests enjoy the 9 comfortable en-suite rooms decorated in native lava rock, beautiful grounds and convenient location in Puerto Ayora on Santa Cruz.
Step into another world and experience firsthand the beauty and awe of the Galapagos Islands during a stay at Semilla Verde (the "Green Seed"). This rural forest lodge offers a unique and intimate experience for friends, family, and group retreats. Escape from your busy life and enjoy the sea air, unique flora and fauna, and personal service while staying in one of the hotel's six ensuite bedrooms. A natural alternative to mainstream hotels in town, Semilla Verde features air conditioning and private terraces in all guest rooms as well as two large lounge areas, 12 acres of native forest with walking trails, a fully equipped yoga studio and gym, restaurant, bar, laundry service, and WiFi.
The Angermeyer Waterfront Inn is a first class Galapagos hotel built using natural materials to create a unique atmosphere and the feeling of being close to nature. Located on Santa Cruz Island, the Angermeyer Inn boasts 21 fully equipped rooms along with the historical significance of the Angermeyer legacy.
The charming Finch Bay - named after the famous Darwin's Finches abundant in the surroundings - is just steps from the beach on a private seaside location, surrounded by mangroves. Here guests can cherish the privacy, natural surroundings and superb service offered by the Finch Bay.
The Hotel Sol y Mar has 17 rooms, each with a private balcony and stunning sea view. Each room is spacious, immaculate, and secure, and comes with air conditioning and a bar - the perfect place to enjoy your Galapagos tour!


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- Making Instruments with Children ~ Easy, and safe for small children under supervision with an adult.
- Beginners Homemade Instruments ~ 6-10 year old kids who can use sharp tools. Easy tuning.
- Intermediate Home Made Instruments ~ Children between 10-14. Sharp tools, Tuning skills. Low cost.
- Advanced Homemade Musical Instruments ~ Complicated designs. Costlier materials. Tricky tuning.
- Utilities to help you Make Your Own Instruments ~ Fret placement. Inventing instruments.
For Small Children
Little children can make these with a little adult supervision. Scissors needed for cutting. Some gluing. Tuning unnecessary or minimal. Recommended by your homeschool guide.
The Bullroarer
Children's Music by Nancy Stewart – Homemade Instruments
Here are some musical instruments you can make with your child from everyday items: Plastic Egg Shakers, Paper Mache Fruit Shakers, Jingle Sticks, African Tambourine, Sand Blocks, Juice Can Shakers, Jingle Bracelets, and Quilting Hoop Drum.
9 Easy to Make Musical Instruments
Children love music as much as they enjoy making things. Why not join these two creative forces and make one or all of these fun and easy musical instruments to encourage play and creativity.
Preschool Musical Instruments
Very simple musical instruments little children can make and play.
Children 6-10 will find these easy to make. Scissors or box cutting knife or glue gun may be needed. Tuning not difficult.
Guitars As Sculpture
I'm not sure that these artistic electric guitars can really play music, but they are fun to look at.
Inventing Homemade Instruments with Math and Measurement
You will learn how musical instruments vibrate in a series of fractions called the harmonic series, and how to design your own musical instruments by measuring length, liquid volume and weight/mass.
Make Your Own Musical Instruments
The Atlanta Symphony gives you instructions on how to build your own orchestra at home. Needs adult supervision.
Panpipes by Phil Tulga
Building pan pipes is a fun way for students to apply their knowledge of measurement and length. As they will hear: longer tubes produce a lower pitch, and shorter tubes produce a higher pitch.
Satisfied Mind
Make a banjo, bass, a dancing lumberjack, dulcimer, drum, rainstick, or a thumb piano.
Singing Glasses
What dinner party is complete without a song from the Wine Glass Symphony? You'll need a few wine glasses, some water, and a tune in mind to demonstrate the sounds of science. Amaze everyone and display incredibly bad manners all at once.
Tongue Depressor Harmonica
People of all ages love the razzy, jazzy Kazoo sounds that come from this fun-to-make and easy-to-play musical instrument. Vibration is the key to making sounds and this harmonica uses a rubber band trapped between tongue depressors (Jumbo craft sticks). If you don't have the supplies, RAFT has the kit for a low price for 1 or 10 harmonicas.
For Small Children | Beginners | Intermediate | Advanced | Utilities


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Massive Attack's Teardrop played through vegetables? Yes please!
Remember in childhood science classes there was that experiment where you all stood in a circle and held hands, formed a circuit and then lit a tiny LED in a ping-pong ball with the minute current that passes through your bodies? It was the one thing that completely blew my mind as a six-year-old scientist, but rather than do anything with the information I'd just been given, I forgot about it. Which is where J.Viewz and I clearly differ, because he held on to the magic of that technology and developed it into something bigger and better.
Using the same principles of circuit completion the New York musician has hooked up a bunch of vegetables that correspond to various samples on his synthesiser. By touching them and completing the circuit he can play them as instruments. Which is VERY cool indeed. So why not sit back and watch him play Massive Attack classic, Teardrop, with the aid of some strawberries and a carrot? Science, 18 years on you're still blowing my mind.


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Below is the poem entitled A Little Angel which was written by poet
Carrillo. Please feel free to comment on this poem. However, please remember, PoetrySoup is a place of encouragement and growth.
Read Poems by
Lucilla Carrillo
A little angel came to Earth one day.
but he didn't come here to stay.
Three years was his time limit. His
parents did not know it then, but
God for him, had a plan.
The day he was born, to everyone he
brought joy. His parents loved him from
the start. Manuel Zachary was his name.
He grew up pretty quick.
While he was here, he spread smiles, love
and star dust everywhere. His family loved
him very much. He was their little Angel
from above.
Three years he was here to spread his love
and joy. One day he heard a call. It was God
calling him home. His parents couldn't
understand - why with them - he couldn't stay.
Now he is back where he belongs and from
there he watches over them. Every now and
than he gives them a sign. He spreads some
star dust, to let them know that he is still
around... center>
Written by Lucilla M. Carrillo
Comments: This did happened. I was
asked to write this poem. Hope you
like it.


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My name is Susan Skinner, and I want to be your judge for County Court #14, a misdemeanor criminal court. I have dedicated my career to our legal system, and I would bring 30 years of experience to the bench if elected. In those three decades, I have worked in a variety of roles in the criminal justice system. As a child protective services worker, I have assisted people who were victims of crime. As a probation officer, I have supervised people who have been convicted of crimes. As an assistant criminal district attorney, I have prosecuted people who committed crimes. And as a criminal defense attorney in private practice, I have represented people who were charged with crimes. Add it all up, and I think it's fair to say that I have worked on every side of the typical criminal case.
Why does experience matter so much in this election? It matters because a judge must be fair to all parties in a case—the victim of the crime, the government as the prosecutor, and the defendant as the accused. But it's difficult to be truly fair to all parties if you haven't been on each side of a case before. If your only experience is on the prosecutor's side, you might forget the importance of a defendant's constitutional rights. If your only experience is on the defendant's side, you might underestimate the negative impact crime has on society. And if your only experience is on the victim's side, you might not appreciate the significance of the legal issues that are often contested by the government and the defendant in any given case.
I've sat at the defendant's table as defense counsel and at the government's table as the prosecutor. I've even been called to testify as a witness, both for child protective services and for the probation office. The one place I haven't had the opportunity to serve yet is on the bench, and that's why I need your help. I think my well-rounded experience, which has allowed me to see a criminal case from all sides, has specially prepared me to serve as your judge for County Court #14.
I have created this website so that you can get to know more about me. If you click on the tabs above, you can learn more about my experience, education, and personal background. You can also find my contact information and learn more about the campaign. Although I encourage you to spend some time reading about my qualifications and about my life outside of my career, I realize that some of you might just want the highlights. Here are some of them:
If you have any questions, please do not hesitate to contact me. You can send me an email at firstname.lastname@example.com or call me at (210) 621-3620.
I would be honored to serve you and our community as Judge of County Court #14. I am asking for your support and vote in the 2014 Republican primary.
Your VOTE will Make SKINNER a WINNER!
Thank you,
Susan Skinner
Susan with her first granddaughter, Emma Lou Rose (age 1).
As the picture shows, Emma Lou was very excited to attend Susan's first campaign event. Unfortunately, however, Emma is not old enough to vote.


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Sorry, no items were found that matched your search. Try using more general search terms.
We thought so. However, the product you're looking for is no longer available on the Apple Online Store.
We do have some similar products to show you.


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Batesville, AR Locksmiths
Serving Mountain Home, Pocahontas, Walnut Ridge, Hoxie, Jonesboro, Paragould,and the surrounding areas.
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Mamath Key & Lock Service has been a trusted family-owned business since 1971. We offer commercial, residential, and auto opening services. We carry a wide variety of brands. Our factory-trained locksmiths will provide you with quick response whenever you call for help.
Our services include:
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We are bonded, insured, and registered for your protection. Your security is important to us.
We also offer senior and veteran discounts.
Contact Mamath Key & Lock Service today at 870-257-5773.
Contact Information
Mamath Key & Lock Service


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A fastener for insertion into pierced openings of a tissue wound has a body formed of a generally bioabsorbable polymer defining an initial capture area internal to the body. The body includes a pair of arms, each with an inwardly projecting cleat operably joined at an elbow portion defining an internal elbow angle. The arms are operably joined to a backspan at a shoulder portion defining an internal shoulder angle. A durable tissue retention zone is defined between the cleat and the arm. The elbow portion and the internal elbow angle define an insertion width greater than a width of the pierced openings resulting in the pierced openings stretching over the cleat and being elastically retained within the durable tissue retention zone. The fastener initially captures wound tissue in the initial capture area and then dynamically reforms in response to lateral stresses applied by the wound tissue without a fracture failure of the fastener until a minimum degradation period.
1. A dynamic bioabsorbable staple for use with a wound in living human tissue having opposed sides, the staple comprising:
a bioabsorbable staple body including a pair of staple arms operably joined at a shoulder portion by a backspan, each arm further including an elbow portion having an inwardly projecting cleat, the staple arms, the inwardly projecting cleats and the backspan defining an internal tissue capture zone; and
each shoulder portion including an interior shoulder angle generally defined by the backspan and the staple arm, the shoulder portion constructed so that the interior shoulder angle is between 70°–100° in a first position at an insertion time, the interior shoulder angle transitioning to between 120°–180° in a second deformed position at a second time subsequent to the insertion time in response to lateral forces naturally exerted by the opposed sides of the wound and deformation of at least the shoulder portions of the bioabsorbable staple body caused by polymeric creep and adsorption of the bioabsorbable staple body in the living human tissue.
2. The staple of
3. The staple of
4. A dynamic bioabsorbable staple for joining living tissue, comprising:
a staple body made of a bioabsorbable material including a pair of staple arms operably joined by a backspan, each staple arm including:
means for dynamically transitioning the staple arm over a range of positions from an initial deployed position to a subsequent deformed position in response to forces exerted by living tissue on the staple arm after deployment of the staple body in living tissue; and
means for retaining tissue throughout the range of positions and longer than a minimum degradation period of the bioabsorbable material in living tissue.
5. The dynamic bioabsorbable staple of
6. The dynamic bioabsorbable staple of
7. The dynamic bioabsorbable staple of
8. The dynamic bioabsorbable staple of
9. The dynamic bioabsorbable staple of
10. The dynamic bioabsorbable staple of
11. The dynamic bioabsorbable staple of
The present application is a continuation application of co-pending U.S. patent application Ser. No. 10/603,397, filed Jun. 25, 2003, entitled "DYNAMIC BIOABSORBABLE FASTENER FOR USE IN WOUND CLOSURE, " which is a Continuation-in-Part of U.S. patent application Ser. No. 10/179,628, filed Jun. 25, 2002, now allowed in U.S. Pat. No. 6,726,705, entitled, "MECHANICAL METHOD AND APPARATUS FOR BILATERAL TISSUE FASTENING," and co-pending U.S. Divisional application Ser. No. 10/448,838, filed May 30, 2003, entitled "MECHANICAL METHOD AND APPARATUS FOR BILATERAL TISSUE FASTENING," all of which are herein incorporated by reference in their entirety.
The present invention relates generally to the field of surgical fasteners for use in wound closure. More particularly, the present invention relates to a design for a dynamic, bioabsorbable fastener designed for through-and-through insertion across a wound having a capacity to reform when exposed to wound stresses greater than the initial static strength of the fastener while continuously retaining and approximating opposing sides of a wound during the healing process.
When an opening in tissue is created either through an intentional incision or an accidental wound or laceration, biological healing of the opening commences through the proximity of the opposed living tissue surfaces. If the opening is very large or if its location subjects the wound to continual movement, a physician will seek to forcibly hold the sides of the opening together so as to promote the healing process.
In the case of skin tissue, for example, healing occurs best when the opposing dermal layers of the skin tissue are held in tight, primary proximity with each other. Human skin tissue is comprised of three distinct layers of tissue. The epidermal layer, also known as the epidermis, is the outermost layer and includes non-living tissue cells. The dermal layer, or dermis, is the middle layer directly below the epidermal layer and comprises the living tissue of the skin that is the strongest of the three layers. The subcutaneous, or hypodermis layer, is the bottom layer of skin tissue and includes less connective tissue, making this the weakest layer of skin tissue.
The most prevalent method for forcibly closing a tissue opening is through the use of a suture or "stitches." As early as the second century, the Greeks were using sutures to physically close skin openings. In its simplest form, a suture is simply a length of material that is attached to a tissue-piercing device, such as a needle, and looped through the opposing sides of a tissue opening. The suture is then pulled tight and the loop closes, causing the opposing sides of the tissue opening to come into close physical contact. The suture loop is held tight by the tying of a knot, or knots, or some other locking mechanism. The first sutures were made of animal gut. Eventually other natural suture materials including leather, horsehair, flax, cotton and silk came into use. As the sciences of medical and materials technology have advanced over the course of the past century, new bioabsorbable materials have been developed to further improve upon the basic suturing concept.
While traditional suturing remains a popular method of effectuating closure of skin openings, the use of fasteners, for example staples and staplers, as a skin closure technique has become increasingly popular, especially in surgical settings where the opening is created through a purposeful incision. In these settings, the incision tends to make a clean, straight cut with the opposing sides of the incision having consistent and non-jagged surfaces. Typically, stapling of a skin opening, for example, is accomplished by manually approximating the opposing sides of the skin opening and then positioning the stapler so that a staple will span the opening. The stapler is then manipulated such that the staple is driven into the skin with one leg being driven into each side of the skin opening and the cross-member of the staple traversing the skin opening. Generally, the staple is made of a deformable material such as surgical stainless steel and the legs of the staple are driven into an anvil causing the staple to deform so as to retain the skin tissue in a compressed manner within the staple. This process can be repeated along the length of the opening such that the entire incision is held closed during the healing process.
The earliest medical staple designs were manufactured of metal and designed to deform aroand the captured tissue. Examples of these staples include U.S. Pat. Nos. 2,684,070, 3,273,562 and 4,485,816. Although effective, metal staples suffer from the drawback of requiring post-operative removal. As the science of medical polymers developed, staple designs incorporating bioabsorbable materials became available. The use of these bioabsorbable materials eliminated the need for post-operative removal of the staples. Examples of these staples include U.S. Pat. Nos. 4,317,451, 4,741,337, 4,839,130 and 4,950,258. Due to the nature of bioabsorbable polymers; however, bioabsorbable staples could not be inserted with the same deformation approach used by metal staples. In fact, bioabsorbable staples were purposefully designed to avoid any deformation requirement, as deformation was seen as a potential failure mechanism. An example of such a design is illustrated by the inwardly biased skin fastener of U.S. Pat. No. 5,089,009. Thus, as the physical and chemical properties of bioabsorbable surgical staples evolved, the development of designs and insertion methods associated with bioabsorbable staples have focused on avoiding deformation of the bioabsorbable fastener.
One potential use for bioabsorbable fasteners is in the subcuticular application of such fasteners for use in closing skin wounds as shown, for example in a series of patents to Green et al. in U.S. Pat. Nos. 5,292,326, 5,389,102, 5,423,856, 5,489,287 and 5,573,541. These patents disclose the use of a bioabsorbable, rod-like fastener inserted in a subcuticular manner to assist the healing process. Another bioabsorbable fastener design contemplated for subcuticular wound closure is U.S. Pat. No. 5,618,311 to Gryskiewicz, in which a more traditional staple design is promoted.
If they could effectively retain tissue, the bioabsorbable staples of these designs would have many advantages over conventional metal staples, such as no visible scarring and no need for subsequent removal by a physician. Unfortunately, none of the designs for bioabsorbable staples to date has been incorporated into a medically or commercially efficacious fastener. It would be desirable to provide a bioabsorbable fastener for use in wound closure that could achieve the advantages of a bioabsorbable material and still provide for an efficacious wound closure.
The present invention is a bioabsorbable fastener for insertion into pierced openings on opposed sides of a tissue wound. A fastener body is formed of a generally bioabsorbable polymer material and defines an initial tissue capture zone internal to the fastener body. The fastener body includes a pair of fastener arms, a cleat operably joined to each fastener arm at an elbow portion and a backspan operably joined to each fastener arm at a shoulder portion. Each fastener arm is insertable into one of the pierced openings. Each cleat projects backward into the initial tissue capture zone with an internal elbow angle defined between the cleat and the fastener arm. A durable tissue retention zone of each fastener arm is defined between the cleat and the fastener arm. Each fastener arm has a maximum insertion width defined between outermost surfaces of the cleat and the fastener arm. Corresponding internal shoulder angles are defined between the backspan and each fastener arm and an internal midspan angle is defined between a midpoint of the backspan and the apex of each durable tissue retention zone.
The elbow portion and the internal elbow angle of each fastener arm are constructed with the maximum insertion width being greater than a width of the corresponding pierced opening such that at least a portion of the tissue surrounding the pierced opening is stretched over the cleat and elastically retained in the durable tissue retention zone for longer than a minimum degradation period of the bioabsorbable polymer material. The shoulder portions and the internal shoulder angles are constructed so as to capture wound tissue within the initial tissue capture zone during deployment of the fastener and then dynamically reform in response to lateral stresses applied by the wound tissue after deployment such that a sum of the internal elbow angles and the internal midspan angle remains less than 360 degrees without a fracture failure of the bioabsorbable polymer material until the minimum degradation period of the bioabsorbable polymer material.
While the use of bioabsorbable materials for a tissue fastener offers many advantages, the present invention is the first to recognize that the effective use of bioabsorbable materials in the design of a surgical fastener must both understand and overcome a number of issues related to the nature of bioabsorbable materials and human tissue, as well as the dynamic process of tissue healing.
First, the thermoplastic polymers used in typical bioabsorbable staples possess a viscoelastic quality or polymer creep when subjected to continuous stress loading due to the nature of their molecular level bonding and entanglements. Traditionally, bioabsorbable fastener designs have compensated for this creep by either thickening the backspans or staple legs to prevent or reduce the deformation of the staple, or adding retaining clips or latches to preclude such deformation. Instead of trying to counteract the viscoelastic qualities of the polymer, the present invention takes advantage of these properties to provide for a dynamic response to lateral tissue forces that can deform the fastener, but not so far that the cleats of the fastener would release the tissue in the durable tissue retention zone.
Second, if tissue is being retained as opposed to skewered, large amounts of subcuticular tissue must be retained by the fastener because subcuticular tissue tends to be elastic. Grabbing smaller volumes of tissue with a fastener might not ensure that the tissue will be approximated to achieve an efficacious closure. The fastener of the present invention accommodates this requirement without the need for an excessively large or excessively strong fastener. The fastener of the present invention utilizes two different types of tissue capture zones, a first larger initial tissue capture zone that can capture a sufficient amount of tissue when the fastener is deployed to counteract the initial elasticity of the tissue and still obtain an efficacious fastening. A second set of much smaller durable tissue retention zones within the cleats are then used to provide long term holding force while the main body of the fastener can dynamically reform in response to the lateral forces exerted by the tissue during the healing process.
Finally, when fastening opposing sides of a wound, the opposing sides must be physically approximated during placement of the fastener. Once the opposing sides have been retainably fastened, the opposing sides tend to return to a more relaxed disposition during the healing process, thereby increasing lateral pressure on the bioabsorbable fastener. In conventional practice, the bioabsorbable fastener ends up being over-designed in order to assist in the initial approximation of the tissue that can result in a design that is more susceptible to failure as a result of the longer term lateral pressures applied during the wound healing process. In contrast, the bioabsorbable fastener of the present invention is designed for use with an insertion apparatus that mechanically approximates the opposing sides of wound tissue to insure the creation of consistent and repeatable pierced openings into which the fastener is positioned in a through-and-through manner to take advantage of elastically securing the tissue within the durable issue retention zones created by the cleats of the fastener.
Depicted in
Depending from each of tips 108, 110 at an elbow region 115, 117 is a rounded cleat 116, 118. As is more clearly depicted in
Design elements of fastener 100 are further depicted in
For purposes of a description of the present invention, fastener 100 is comprised of a generally bioabsorbable polymer selected to maintain effective retention strength for a period of at least 5 to 21 days within the body, and optimally at least 14 days before eventually being fully absorbed within the human body. Most preferably, bioabsorbable polymer comprises a blended bioabsorbable copolymer comprised of 63% polylactide and 37% polygycolide, commonly referred to as PLGA. While the PLGA copolymer is used in a preferred embodiment, other bioabsorbable polymers such as polylactide, polyglycolide and polycaprolactone, either individually, in blends or as copolymers, sharing similar traits including absorption traits, injection molding traits and polymer creep traits could be used as well. Similar to other polymers, the PLGA copolymer used in the preferred embodiment exhibits viscoelastic properties in which the entangled molecules under stress tend to slide past one another, creating a viscoelastic creep.
Due to the expense of bioresorbable polymer resins, it is preferable to avoid unncessary waste during the molding process. In order to reduce waste, fastener 100 is preferably formed using a micromolding injection molding process. Micromolding injection molding is typically used when the molding shot size is less than 1 gram. Using an appropriate micromolding injection system, for example a Battenfeld Microsystem M50, resin waste can be significantly reduced during production of a fastener 100 in accordance with the present invention. In addition, a micromolding injection system has other processing advantages such as allowing high injection speeds to promote dimensional stability, low residence times at elevated temperatures and integrated pan handling capabilities.
For purposes of maintaining wound closure during the healing process, fastener 100 is designed to supply a minimum dry initial closure strength of greater than 1.2 lbf per centimeter of wound length. In a preferred embodiment used in subcuticular wound closure, the dry initial closure strength correlates to a minimum fastener strength of 1.2 lbf per fastener 100 measured laterally between the durable tissue retention zones 129. One way to achieve a dry initial closure strength of 1.2 lbf per centimeter of wound length is to increase the amount of bioabsorbable polymer present in fastener 100 as opposed to current fastener designs. In an embodiment of fastener 100, the additional polymer is added proportionally to both the arms 102, 104 and backspan 106 to optimize the strength of fastener 100. In this embodiment, proportionally adding polymer eliminates weaknesses in fastener 100, for instance along the backspan 106, in the shoulder regions 140, in arms 102, 104 or in elbow regions 144. Such weaknesses may ultimately lead to fastener 100 failure. In this embodiment of fastener 100, the combination of the arcuate perimeter surface 112 and the arcuate interior surface 114, distribute lateral forces supplied by the tissue along the shoulder regions 103, 105. By proportionally increasing backspan width 146 and arm width 147, fastener 100 can accommodate the concentration of lateral forces without suffering a failure. Such a design optimizes the use of the expensive, bioabsorbable polymer thus eliminating unnecessary waste and expense in meeting the dry initial strength goals.
A preferred use of fastener 100 is in the subcuticular bilateral fastening of dermal tissue to close a skin wound 158, depicted in
Generally as depicted in
In a preferred use of fastener 100, subcuticular bilateral fastening of dermal tissue present in wound 158 is accomplished using a through-and-through bilateral tissue fastening technique described in the concurrently filed U.S. Patent Application entitled "Mechanical Method And Apparatus For Bilateral Tissue Fastening," which is commonly assigned to the assignee of the present invention, a copy of which is attached and the disclosure of which is hereby incorporated by reference in its entirety, In this bilateral tissue fastening technique as shown, for example, in
Through precise dimensioning of capture zones 194, 196, a pair of target tissue zones 208, 210 defined in the dermis 168 of opposing skin surfaces 160, 162 are presented to tips 182 of piercing members 174, 176 as depicted in
Using trigger assembly 178, piercing members 174, 176 are sequentially withdrawn from bores 202, 204, target tissue zones 208, 210 and capture zones 194, 196. However, fastener 100 remains within target tissue zones 208, 210 as cleats 116, 118, durable tissue retention zone 129 and especially cleat bases 128 cooperate to retain the captured dermis 168, preventing fastener 100 from being withdrawn. Backspan 106 traverses gap 164, such that opposing skin surfaces 160, 162, and especially dermis 168, are forcibly approximated to promote the biological healing process. The through-and-through insertion method is typically repeated along the length of skin wound 158 such that a plurality of fasteners 100 cooperate to forcibly close skin wound 158 as depicted in
As depicted in
To prevent fastener 100 from failing when exposed to lateral forces 216, fastener 100 is manufactured of a bioabsorbable polymer specifically selected to have polymeric creep during the healing period. If the sum of lateral forces 216 exceed the minimum dry initial closure strength of fastener 100, fastener 100 will immediately begin to reform. Once fastener 100 is placed within wound 158, the closure strength of fastener 100 begins to decrease as the combination of body temperature and body moisture begins to soften, then degrade the bioabsorbable polymer used in fastener 100. Even if the sum of lateral forces 216 do not initially exceed the maximum dry initial closure strength of fastener 100, degradation of bioabsorbable polymer will typically cause fastener 100 to reform at some time T2 subsequent to wound closure.
Depicted in
Depicted in
While a preferred embodiment of fastener 100 and its method of use has been described, a variety of other staple configurations featuring the same dynamic reforming traits as well as through-and-through insertion method can be utilized. For example,
Depicted in
Depicted in
Although an overall U-shape for the fastener 400, as shown in
As shown in
Although it is possible for fastener 400 to be deformed during delivery and application, preferably the majority of dermal tissue retained within cross-sectional area 409 is captured in a compressed state by a fastener 400 that is sufficiently rigid so as to retain the dimensional integrity of cross-sectional area 409 within +/−30% of its designed area for a period of preferably at least 10 days. Most preferably, structural integrity of fastener 400 is maintained for at least 21 days. In this way, the dermal tissue captured in fastener 400 is retained in a compressed state for a period sufficient to allow the biological healing process to occur without the dermal tissue being under tension during the healing process. Preferably, the dimensions of the fastener 400 and the operation of the applicator assembly 100 coordinate to create a compression ratio of dermal tissue within the inner cross-sectional area 409 that is greater than one. The compression ratio is defined either as a ratio of area or a ratio of width. In the case of width, the compression ratio is the ratio of the dimension defined by the position of the skive relative to the vertical interface 51 when the dermal tissue is at rest divided by the position of the skive relative to the vertical interface as held by the fastener 400. In the case of area, the compression ratio is the ratio of the area of dermal tissue that will be retained by the fastener 400 when that dermal tissue is at rest divided by the actual cross-sectional area 409.
Alternatively, it is possible to take advantage of the bilateral tissue fastening in the tissue target zone as taught by the present invention with a deformable fastener where the deforming of a bioresorbable or bioabsorbable fastener serves to provide at least some of the compression of the dermal tissue such that the need for a mechanical tissue manipulator is reduced or potentially eliminated. In this embodiment, a bioresorbable or bioabsorbable fastener would be deformed by the applicator apparatus in order to appropriately compress the dermal tissue. Deformation of a bioresorbable or bioabsorbable fastener could be accomplished in a number of ways, including prestressing the fastener into an open configuration such that it returns to a closed configuration, with or without mechanical assistance from the applicator, application of ultrasound, heat or light energy to alter the shape of, or reduce or relax stresses in, the fastener in situ, designing a polymer material with appropriate shapes and compositions that the material is deformable upon deployment without fracturing, or any combination of these techniques.
Fastener 400 is preferably formed from any suitable biodegradable material. The currently most preferred biodegradable material is a lactide/glycolide copolymer where the ratio is never less than at least 10% of one element and preferably in a range of 60%–70% lactide. Examples of other suitable materials include poly(dl-lactide), poly(l-lactide), polyglycolide, poly(dioxanone), poly(glycolide-co-trimethylene carbonate), poly(l-lactide-co-glycolide), poly(dl-lactide-co-glycolide), poly(l-lactide-co-dl-lactide) and poly(glycolide-co-trimethylene carbonate-co-dioxanone). In addition, other suitable materials could include compositions with naturally occurring biopolymers such as collagen and elastin, or stainless steel, metal, nylon or any other biocompatible materials in the case of a non-absorbable fastener, or even various combinations of such materials depending upon the desired application and performance of the fastener.
While a preferred embodiment of a dynamic, bioabsorbable fastener of the present invention has been described, it will be apparent to one skilled in the art that a fastener in accordance with the present invention is capable of numerous other embodiments without departing from the scope and spirit of the present invention.
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About this event
- Web site
- www.cnt.net.in…
- When
- 23 Sep–4 Oct 2013
- Where
- Roorkee, Uttarakhand, India
- Registration deadline
- May 15, 2013
- Organiser
- Dept. of Physics, Indian Institute of Technology - Roorkee, India
- Contact address
Dept. of Physics
Indian Institute of Technology -Roorkee
- email@example.com…
Modern theories of nuclear reactions
A two-week school on Nuclear Physics will be held from September 23 - October 4, 2013, at the Indian Institute of Technology – Roorkee with the theme focused on 'Modern theories of nuclear reactions'.
During the first week, courses will be presented on the basics of non-relativistic and relativistic nuclear reaction theories. The second week will be devoted to lectures on advanced topics that include:
1) Theory of transfer and breakup reactions
2) Transport theories of nuclear collisions
3) Theory of elementary reactions
4) Nuclear reactions for astrophysics
The faculty of the school include:
P. Banerjee (ABN Seal College, West Bengal)
D. Baye (ULB, Brussels)
R. Bhalerao (TIFR, Mumbai)
R. Chatterjee (IIT Roorkee)
S. Roy (SINP, Kolkata)
S. Santra (BARC, Mumbai)
O. Scholten (KVI, Groningen)
R. Shyam (SINP, Kolkata)
H. van Hees (FIAS, Frankfurt)
J. Weil (FIAS, Frankfurt)
Online application forms can be found at www.cnt.net.in. For Ph.D.
students and post-doctoral fellows, the research supervisor of the applicant
should send a letter of recommendation preferably by email to firstname.lastname@example.com. Local hospitality will be provided to the participants from outside India. More details regarding the application process and other relevant information are at www.cnt.net.in


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For the Portrait Society of America Conference in Atlanta this year, I
was invited to participate in a panel on Professionalism, Leadership,
and Service. I was asked to speak to "Building a Career for the Long
Term." Now, anyone who saw my tax returns for 2010 would NOT have put
me on a short list for advice on professional success, but I guess
there are different kinds of success. For artists, commercial and
financial success is only one goal. So, don't ask me for financial
advice, but I am happy to share my thoughts on what have been some
guiding principles for an oil painter's long-term career goals.
When we start making art, we don't start from a position of, "I want to
paint like so-and-so," or not even, necessarily, "I want to paint
well." We should start from a position of, "I have a need to make art."
This is an important principle; it gives us the strength to overcome
our own bad work, and it illustrates that our first loyalty is to our
vision, not a technique.
Perhaps sometime over the last couple of years, you looked at your most
recent drawing or oil painting and thought "Why am I doing this?" The
economic recession has caused all of us to rethink our commitments and
has given many artists reason to doubt that "making it" as a
professional is a realistic goal. For most of us, sales and money in
your pocket make you feel like a "real" artist, and give (maybe false)
validation of one's accomplishments at the easel.
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Soldiers from the 1/214th Artillery Division located in Elbert County will be honored with a parade next Friday, February 15th.
On that Friday, troops will participate in a convoy that will be visiting each of Elbert County's schools starting at 10:00am.
The parade will start at 1:00pm in the Granite Bowl. The route will be the annual ECCHS Homecoming parade route. Elberton Main Street Director Sissie Herring encourages everyone who can attend, to do so.
"We have not had a parade like this in many years, so take your lunch time to come and support the troops", said Herring. "The main thing I am asking Elberton to do for this parade is to line these streets. I don't want these troops walking through the streets and there is no body there."
A special ceremony will follow the parade on the downtown square.
The ceremony features several speakers including Elberton City Mayor Larry Guest and Representative Tom McCall among others.
Herring says that the division is made up of several members who are not from Elbert County.
"Most of them are from the surrounding counties, but I know of one that comes from Savannah", says Herring. "Some even come from South Carolina, and they come from great distances, so that is the reason for the timing of this parade."
Elbert County School Superintendant Rick Higginbotham is also chipping in to help make this a great event.
"If you would like to get your children out of school for that day for the parade at 1:00pm, it will be an excused absence", explained Herring. "I encourage everyone to get your kids, because this type of event does not happen every day."
Of the 240 soldiers in the 1/214th, only 40 have been apart of a deployment, which means that this deployment will be the first one for 200 soldiers and their families.


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DECATUR, Ala. (WHNT) – Early Thursday morning, a group of thirteen high school seniors across Morgan and Lawrence Counties took off for Japan. The trip is all expenses paid. Daikin Industries in Decatur is making the trip possible. A Daikin spokesperson says it's one of many ways the company is giving back to the community.
"Congratulations, today is your day. You're off to great places, you're off and away. You have brains in your head and you have feet in your shoes, and you will steer yourself in any direction you choose."
A send-off luncheon for the 13 students and two teachers who are bound for Japan early Thursday morning, thanks to Daikin Industries. This is the 20th year Daikin has sponsored the Homestay Trip, some 242 high school students and 38 teachers in all thus far. Each will live with a host family while in Japan.
This sharing of cultures is designed to enrich their lives.
"It promotes an inter-cultural understanding between the peoples of Japan and America, and more specifically Morgan County, Alabama," explains Daikin spokesperson Forrest Keith.
"You are well representing us today as you move forward through this journey. And we look forward to you coming back safe but yet a different person in the experiences you will have there," State Representative Ken Johnson told the students.
Each student had to formally apply, write an essay and go through several interviews before being chosen for the trip.
"I want to learn about the culture, try the food, learn about the students at the different schools. how they differ from us and also learn about my family and their language and how they interact with each other and spend time together," says Austin High School senior Ivy Watkins.
"I'm going to be swimming in the Sea of Japan. My host family is taking me to swim in the Sea of Japan," says Priceville High School senior Whitney Clark.
It's a once in a lifetime opportunity, made possible by a company that prides itself on giving something back to its community.
The group will spend 10 days in Japan. They were all encouraged to remember they will become the first Americans that many of the Japanese people they meet will ever know.


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