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Home > Chennai Bars & Pubs > Chennai > Vadapalani Bars & Pubs > Escape, Green Park Hotel
6 Reviews / 7 Ratings
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Paavalan KM, Software Professional
August 07,2012
February 18,2012
Aweful place! dont go!
After reading the review on Burrp i went all the way to vadapalani! The experience was soo bad.. there is hardly anything on the menu that is available. Also the music system is so awful .. so pls dont expect that you can dance there.
make sure you carry some headache tablets with you cos of the hangover that you may experience as a result of the bad experience.
definitely not worth a visit even once!
Dont even think of it !!
To all the people who want to check this place out, do not even bother. There is a reason no one has reviewed it since 2009. Kudos to these guys for having a nice place and providing a really bad experience.
Went as a group on valentine's day. Was quite impressed with the place as we walked in. unfortunately the good things ended there.
They could not seat us properly ( we had more people than the couch could accommodate ).
They did'nt have pretty much whatever we asked for.
Listening to random old songs at high volumes is definitely not my idea of music.
It is a shame that they have a really good dance floor an which is not used at all.
And speaking of the crowd, all i would say is 'what crowd ?'
Finally, this is a place totally worth a miss. (was wondering if i can give a 0/5)
February 17,2012
You wuld definitely "Escape" away from this place
Just do NOT rely on any of the information provided here... We went thinking its bollywood night and it was a nightmare! Who plays old tamil songs in pub?! The singers were supposed to be "popular".
The sad part is they do not make use of awesome ambiance and dance floor they have. Just miserable it is I feel when you have such a awesome dance floor but the songs put you to sleep!!!
Don't make me start on service! They didn't have beers, full bottles or any other drink we asked. Finally when we left just a glass of rum, it was 600 bucks! Are you frigging kidding me? First of all its in Vadapalani, then pathetic music, no proper drinks available AND expensive!!! I would definitely prefer Dublin over it anytime!
Worth your money
I went there a few days and was able to gulp in a few Corona Beers.I have been to a few pubs here in Chennai and I dont find Corona in many of them.But here you get it.
And there is some discount on account of IPL .It was a good experience to watch an IPL match on a big screen sipping beer on a comfortable Sofa.
All in all I think its a good place to check out,to spend a late evening on a weekend.
Ambience - Good.
Sound - Can be improved.
Drinks - Good.You get variety
Food - Quite decent.
April 13,2009
Great & Little known Place to relax
Hi, I have gone there few occasaions... it (was) a night club due to poor patronage... converted into a water house (Bar). I haved listed the Pluses and Minues of this place to decide yourself.
(+) Excellant Ambience, A/C, Lighting, Rare collections of music. flexible seating arrangement. (-) Nothing.
(+) It has Bartenders... (-) they hardly display any activities...
(+) Demostrate fire-works on the Bar front table... (-) that also not done regularly.
(+) Beautiful Dance-floor, (-) locked up always ( not even opened on Saturdays).
(+) Inside the city, a cool, calm place, with resort type atmosphere with ample parking facility, (-) No promos for this place.
(+) Very comfortable seating arrangement and less crowded. (-) Service is not that great it is just ok.
(+) Schemes for foreign liquors (-) No happy hours and no scheme for inidan liquors. Per bottle price is on the higher side Rs.1750+ Service charge + tax.
(+) Food prices are moderate (-) Quantity is very poor. I have tried Alu tikka which was half-boiled and NOT good at all. Chilly paneer was good, but, again, quantity is very poor.
bye... EEKAY 9884481202
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Posted 02 Apr 2009
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I have a RadGridView, I need to add two controls is a single cell (i.e. Combobox and image button ).
Posted 03 Apr 2009
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Hi Sharma,
Thank you for the question.
You can find the answer to your question in your support ticket. I would like to post the answer here as well. Your scenario is possible with RadGridView and I am attaching a sample project to demonstrate this. In order to have a RadGridView with a complex editor (RadComboBoxEditor and RadButton), I am creating a custom cell where I am arranging the RadComboBoxEditor and the RadButton (RadHostItem). Then, on BeginCellEdit I am adding the RadButton with the help of a RadHostItem. When the editor is closed, the RadHostItem is removed.
I hope this helps. If you need additional questions, feel free to contact me.
Sincerely yours,
the Telerik team
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How i can change the width of GridVScrollBar in the GridView,I changed it in properity,but when it run ,the width of the GridVScrollBar is not changes.
Thank you !
Posted 09 Feb 2010
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Hello Adonis,
In order to change the size of the vertical scrollbar, you should set the MinSize, but not the Size property. Programmatically, you can do it using the following code snippet:
.radGridView1.GridElement.VScrollBar.MinSize =
Size(50, 0);
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Vince Vitrano: Not For Broadcast
The Milwaukee Journal Sentinel is just jealous. Must be. It's what mom always taught me.
Remember when you'd complain to your parents about some kid making fun of you at school? You'd say, "Jimmy made fun of my shoes or my hat."
Mom always said that kid was just jealous. That never made any sense to me at the time. Then Jimmy would show up wearing the same shoes a couple weeks later. Mom was right.
Seems like that's what's going on with our friends at the newspaper.
The Milwaukee Journal Sentinel takes any and every opportunity to rip us here in TV land. The journalists there have taken particular pleasure this year in criticizing our extended weather coverage during this second snowiest winter of all time.
I'm not saying we're above criticism. I've posted on this very blog some emails from our own viewers who thought we went too far. I don't argue that's not a valid opinion out there among some people.
I am, however, calling out the local fish-wrap for being hypocritical. Anyone notice yesterday's FRONT PAGE story? Oh, snow! was the headline. It was a story about the possibility that it could snow the next day.
My favorite part of the paper trying to jump into the weather forecasting business is that by the time the paper ended up in doors and on porches throughout Southeast Wisconsin, their story was already wrong! The National Weather Service had canceled the Winter Storm Watch that was the basis for the article.
The article then went on to quote several people about the height of their snowbanks, and efforts to shovel the snow throughout the season.
As I searched the internet for an image of the JS, I couldn't find yesterday's front page. Funny. One of them that shows up in a quick google search is from last year. Front page story on... you guessed it... the weather.
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From searching, I have found a lot of suggestions for synchronizing the unix account and the samba account using smbpasswd, but how do I tell which accounts need synchronizing, and which accounts are already synchronized? If I cannot get this information, is it at least possible to get a list of those user accounts that have a samba password set?
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ST. MARYS - A note stating a potential bomb was present at Elk County Catholic High School Wednesday morning was determined to be a hoax with the help of St. Marys City Police, according to school officials.
ST. MARYS - The Pennsylvania Game Commission (PGC) has charged four St. Marys residents with shooting and killing four antlerless deer out of season.
The Pennsylvania Farm Bureau will be hard at work this year as the consortium will be eyeing several key issues coming before the Legislature.
The Ridgway Area School District Board of Directors discussed several potential expenses to be drawn from the Long Term Maintenance Fund during a workshop held Tuesday night in the library of the Francis S. Grandinetti Elementary School.
Speaking at a press conference at the Pennsylvania Game Commission's Harrisburg headquarters on Monday afternoon regarding the discovery of Chronic Wasting Disease (CWD) in samples collected from three hunter-harvested deer from Blair and Bedford counties, PGC officials indicated there is not believed to be any danger to individuals who consume meat from other deer harvested in those areas, even if the animal had not been tested for CWD.
Surveillance efforts to monitor for Chronic Wasting Disease (CWD) cost the Pennsylvania Game Commission (PGC) and Pennsylvania Department of Agriculture (PDA) hundreds of thousands of dollars last year, and expenses will likely continue to increase now that the disease has been detected in a small portion of the state's free-ranging deer herd.
ST. MARYS – The popular Relay for Life of Elk County Comedy Night is around the corner, taking place on Saturday evening at The Edgewood in St. Marys. The SGL Warriors team's ninth show, the event typically sells out.
Since 1983, the Good Samaritan Food Bank of Ridgway has been dedicated to providing food to local individuals and families in need.
A St. Marys woman was sentenced in Elk County Court Monday on charges that she stole $20,000 from the Walmart Supercenter Store #1792 in Fox Township while employed there over a two-year period.
The Pennsylvania Game Commission (PGC) announced additional information regarding the three hunter-killed deer that tested positive for Chronic Wasting Disease (CWD) in Blair and Bedford counties during a press conference held at the PGC's Harrisburg headquarters on Monday afternoon. According to Cal DuBrock, Bureau Director of Wildlife Management for the PGC, the three deer were tested through the commission's aging field checks during the general firearm season.


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News from Church Eaton
Posted: March 22, 2014|
ST EDITHA'S CHURCH: On Sunday at 10am there is a benefice communion service with the rector in St Mary and All Saints Church, Bradley. In St Editha's at 3.30pm on Tuesday there is the new weekly 'Twenty is Plenty' service for children with their parents, grandparents and carers.
The annual parish meeting of St Editha's Church is in the church at 8pm on Monday. All are welcome to attend.
INSTITUTE: Last week's coffee morning made a profit of £148. The next coffee morning is on 10th April.
The Zumba fitness class is on Tuesday from 6pm until 7pm. Each session is £4 for an hour. More information from Liz on 07817728815 or email email@example.com .
On Wednesday the Church Eaton and District Dog Society has its class at 7pm. Contact Doug or Sandra on 823317.
To hire the hall contact Jenny on 824882.
SCHOOL: Congratulations to the following pupils who gained awards for caring: Libby Price and Lola Corcoran (class 1); Scarlett Barker and Josie Stockhall (class 2); Phoebe Dair and Jessica Yardley (class 3).
Children's Popcorn Night, organised by the PTA, is tomorrow.
READY,STEADY COOK: Whether you can't cook, won't cook or love cooking there is something for you at this cookery demonstration in the institute on 4th April. As well as meals being cooked, there will be kitchen utensils on sale, tasty food to sample and an opportunity for you to have a go. Tickets are only £3 each available from Karen on 01785 823674 or any member of the institute committee. Proceeds to the building fund.
PARISH COUNCILLOR: David Massie has been co-opted and welcomed onto the parish council. It was felt that David would bring a wealth of local knowledge to his role, given his family's long association with Church Eaton.
NEIGHBOURHOOD and RURAL WATCH: Villagers and farmers have been made aware of suspicious vehicles being driven around isolated rural properties in the area. If you see any such vehicles, please note down registration numbers and alert the local police by calling 101.
CIVIC AMENITIES VISITS 2014: This year's visits will take place on 5th April, 26th July and 22nd November from the Royal Oak car park from 9.00am – 10.00am. Please do not leave items for collection unattended. We are very grateful to the Royal Oak for allowing these collections to take place.
VILLAGE WEBSITE: For more information about Church Eaton there is our website at www.churcheaton.org.uk


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The Dallas Morning News: We recommend Burgess in the 26th Congressional District
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Cape Cod Today - Principles are good: Our opposition to the Affordable Care Act (Obamacare) is based on our principles.
San Antonio Business Journal: Texas Medical Association reaching out to Congress about Medicare fix.
Keep up with Michael as he travels around the 26th Congressional District of Texas


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Whilst these statements aren't necessarily true, it is almost factual that knowing something is silver automatically adds worth to it for the recipient. Antique silver dealers know that the worth in a piece of silver is defined by the age and condition of the item, its hallmarks and in some cases by the silvermaker who made it.
Generally speaking, antique silver items can be given for important occasions – primarily weddings, anniversaries and christenings. It's not uncommon for newly-wed couples to receive silver cutlery or piece of silver that can be used in the home as a gift, which signifies the coming together of two people who want to live together for the rest of their lives. Something to indicate that a home has now truly been made. Whilst these ideals may seem outdated and strange in today's world, and not something we would outwardly say, tradition still runs strong. While silver in itself is a lovely wedding present, antique silver adds that special something; age. It has proven that it can withstand the test of time and still be useful, and so in a sense it symbolises the whole meaning of marriage.
As a gift for a wedding anniversary, this can be a bit trickier, especially if you come from a family who tend to follow tradition. Anniversaries generally have traditional gifts that go with however many years the marriage has lasted, so for example, a first wedding anniversary traditionally is marked by paper gifts, a twelfth anniversary by silk or linen gifts, a fortieth anniversary warrants ruby gifts, but in the case of silver, it's the twenty-fifth year that coincides with that. After this specific length of time, it is deemed traditionally suitable for married couples to receive all kinds of silver as presents, including antique silver. If you do wish to purchase some silver for the happy couple, Warners antique silver dealers will be more than happy to help you choose precisely the right gift.
We have a variety of silver salts, goblets, salvers, baskets, fruit bowls, tankards and much more all of which would make much appreciated silver wedding gifts.
Can we suggest an ideal gift - one for each partner? The elegant pair of Georgian silver tea caddies displayed are by William Vincent, London 1774.


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"I ordered Save the Date cards in blue with grey ink. The paper quality and printing is very nice. I love the design on the back as well. The only thing I didn't like was the logo on the back, but I guess they have to advertise somehow. I am not into picture save the dates, and I thought this was a simple, nice looking, and well designed card that would have all the information needed for our guests."
"Great quality for a simple yet eligant invitation/save the date. We are getting married in Maui at a restaurant called the 5 Palms, and there just happens to be 5 palm trees on this invite. It was perfect! Highly recommend for a beach wedding."
"We were torn between two different save the dates on this site and after we were able to personalize the card to our needs, we immediately fell in love with this one. We chose the light blue palm trees with the Deco Sans font. Once it came in the mail, we couldn't wait to share it with our friends and family. The customer service and ordering process was so great and easy and our order actually came earlier than expected! I will definitely be back to order more from wedding paper divas!"
"I purchased the Sweet Peonies Save the Date cards in Strawberry. The pink color was exactly what I was looking for! The card was well made and gave a simple, yet elegant look. I love them so much that I am ordering the invites to match in a few months. This was perfect!"


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Jakle's picks
: February 9, 2012 : Updated: February 10, 2012 12:21pm
A scene from AMC's "Comic Book Men"
"Comic Book Men"
Who doesn't know at least one fanboy these days? "Clerks" and "Chasing Amy" director Kevin Smith is banking on viewers relating to "Comic Book Men," his new six-episode series premiering after "The Walking Dead." The hour takes us inside his New Jersey comic book store to eavesdrop on the antics of crazy staffers as they geek out with their customers.
Rachel Berry (Lea Michele) devotees will get a special Valentine's Day treat. Viewers finally will be introduced to her two gay dads, portrayed by Jeff Goldblum ("Jurassic Park," "The Fly") and TV's lesser-known Brian Stokes Mitchell, whose roots, like Michele's, are in musical theater ("South Pacific," "Les Miserables"). Will we get a family sing-off?


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Vladimir Putin's $51 billion, two-and-a-half week party is over.
The Sochi games are history, and in the scheme of things, pretty much a disappointment. Breakout stars were few. Attention focused on the eye woes of NBC's Bob Costas as much as it did on any of the athletes. Before the games, we asked a couple of sports marketing experts which Winter Olympians figured to be in the best position to capitalize on Madison Avenue from a good performance. Now that the games are over, we turn to our post-big event (Olympics, Super Bowl, World Series, etc.) go-to guy, Bob Dorfman, for his take on who parlayed their stay in Sochi into endorsement megabucks and who didn't.
To Dorfman, a veteran sports marketing expert who is Executive Creative Director of Baker Street Advertising in San Francisco, only one pre-Olympic breakout hopeful truly made good: 18-year-old skier Mikaela Shiffrin, whose success, recently chronicled by my colleague Kurt Badenhausen, ought to be worth $1 million a year in new marketing opportunities. Of the gold medal winner in women's slalom, he says this:
Immensely talented, pleasantly attractive and surprisingly poised, she's the closest thing to a Winter Olympics "It Girl" to come out of Sochi, and could be medals and marketing force for the nest two or three Winter Games. Call now, bring a big check book, and plan on a five-to-ten-year deal.
Shiffrin is the lone athlete to earn a marketing gold medal in Dorfman's playbook, but that doesn't mean everyone else gets shut out completely. Here's a sample of Dorfman's stable of silver and bronze winners:
Silver Medal
Ted Ligety – saw heavy time in Olympic ads for Visa Visa, Citigroup Citigroup, P&G and Kellogg's; as the only U.S. male to win Alpine gold, he takes over for a likely-to-retire Bode Miller as poster boy for men's alpine skiing. Founder of his own ski accessories company, Shred Optics. And he really deserves his own Ben & Jerry's ice cream flavor – Ligety Split.
Julia Mancuso – the most decorated female alpine skier in U.S. Olympic history, but overshadowed by Vonn in Vancouver and by Shiffrin in Sochi (Mancuso took a bronze in the super combine). But with talent, charisma, ESPN Body Issue looks, Mancuso is no slouch….team her up with Vonn and Shifrin racing for the last Diet Coke or Chicken McNugget.
Charlie White & Meryl Davis – Ice dance gold medalists are two of just four Americans leaving Sochi with a pair of medals. With their Disney action figure looks, grace on ice and charm on camera, they make a lovely product-pitching pair. Their solid resume already includes Kellogg's, P&G, AT&T and Ralph Lauren. White and Davis are the perfect couple to star on the next season of Dancing With the Stars, play themselves in a live action Disney skating flick and turn their ice dancing "twizzles" into a pitch for Twizzlers.
Bronze Medal
T.J. Oshie – America's favorite hockey player after notching four shootout goals in a dramatic win over Russia, even as the magic eventually dissipated after the squad failed to medal. But now that he's a household name and face, expect more off-the-ice ops for Oshie.
Kaitlyn Farrington – The cowgirl's parents sold off their livestock to finance her Olympic dreams, and it paid off with her gold in the snowboard halfpipe. Should qualify the Idaho native for a "Got Milk?" or American Beef Council campaign.


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Out and About
8:00 am
Fri August 23, 2013
Out and About - August 23, 2013
By Nathan Irwin
Nate Downs joins us to talk about Corn Stock Theatre's production of "Company." A fan of composer and lyricist Stephen Sondheim, Downs says this was one of his "bucket list" shows. Through the stories of perennial bachelor Bobby, his girlfriends and his married friends, the show presents multiple takes on love, marriage and relationships. "Company" runs August 23rd through 31st at Corn Stock Theatre in Peoria.
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Make-Ahead Pea Soup with Shallot, Lemon, and Parmesan
Not to be confused with the thick-as-fog, sits-in-your-stomach-like-a-brick winter-time version, this pea soup is subtle and light, fragrant with lemon and mint. The soup is only simmered long enough to cook through the peas and let the flavors come together; a handful of Parmesan at the end adds salt and a touch of creaminess. More


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Hold down Control (PC) or Command (Mac) key + mouseclick to select more than one option
|Avg. Dinner Entrée
|Greater than $25
|$18.01 - $25
|$12.01 - $18
|$7.01 - $12
|Less than $7
Posted by Janice S on 01/03/2012
Colibri is fantastic We go there for lunch every time we drive up. Love the bar and all the tequila. Food is great. I love the salsas and the soft tortillas. Their carnitas meal is super flavorful. Everything I have had here is good. Service is good too. Attentive wait staff. Keep up the great work.
Posted by Anonymous on 02/20/2011
The trio of salsas and handmade white corn tortillas served before the meal were very tasty. Made to order guacamole...yum. The Sunday brunch menu was brief, but I found the Enchiladas Divorciadas. They were fantastic! Zagat rated, but that wasn't known before hand.
Posted by roadrunner on 02/03/2010
I am sorry to say we didn't like this restaurant at all. The atmosphere is okay but it is way too packed full of tables. It isn't at all comfortable. The noise level is fairly high as well. The service was just okay--nothing to rave about. We tried the sangria and it was nothing special. In fact, we didn't get enough ice in our glasses so we had to take some ice from our water glasses and add it in. Don't expect a basket of complimentary chips. If you want chips it will cost you. How cheap is that not to even give you some chips to munch on? As for our meals, we had the tamales and they were so small you needed a magnifying glass to find them. The salad we had was joke. It was beyond sparse. As for the complimentary tortillas, they tasted like rubber which was so disappointing considering we had heard they were good. Oh and everything is "a la carte" which is ridiculous for Mexican food. Imagine having to order rice separately. It's rice, for godsake--one of the cheapest things you can make. Needless to say, we left hungry and obviously won't return.
Posted by loribo on 06/18/2007
Lovely, warm setting, tasty fresh tortillas and salsas to start off the meal. Prawns in mole sauce with cornbread - delicious! Complex flavours - a meal to remember, and absolutely worth coming back for.
Posted by Billhi on 12/13/2006
Authentica Mexico City. Don't expect your Cal-Mex or Tex-Mex offerings here. Not all fine restuarants in Mexico serve typico tacos, chips and enchiladas, and this is one of them. Once seated you will be served warm homemade tortillas with three salsas. Most items on the menu are in the form of small plates. Pozole, carnitas, filet mignon chipolte, mole poblano, hongos, calabacitas and freshly made quacamole (prepared tableside) are but a few of the many items on the menu. Nice bar area with a full selection of tequilas and Mexican beers are featured.


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Wedding professionals are going mad for orange of all varieties at the moment as Pantone announced its colour for 2012 is Tangerine Tango at the end of last year. There are so many ways this colour can be used from fiery bridesmaids dresses to linens and florals. This is not a soft colour that fades into the background rather one that stands out as a primary colour instead of an accent.
Personally I love this colour and in the mood board above I have teamed it with brown in the background to show how it can be softened slightly for those wishing to move away from the vibrancy and strength of a colour like this.
Here is what Pantone had to say about the colour for 2012. Tangerine Tango, a spirited reddish orange, continues to provide the energy boost we need to recharge and move forward.
"Sophisticated but at the same time dramatic and seductive, Tangerine Tango is an orange with a lot of depth to it," said Leatrice Eiseman, executive director of the Pantone Color Institute®. "Reminiscent of the radiant shadings of a sunset, Tangerine Tango marries the vivaciousness and adrenaline rush of red with the friendliness and warmth of yellow, to form a high-visibility, magnetic hue that emanates heat and energy."


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A recent study suggests loneliness is bad for your health. The results of the study presented recently at the annual meeting of the Society for Personality and Social Psychology reveals that not only is loneliness an unpleasant condition, it can harm the body's immune system.
There are definite links that show feeling socially disconnected is associated with poor health and chronic disease. Makes sense to me. I know I feel better being around friends and even co-workers. So how will I handle retirement?
Research shows that close and connected relationships are necessary to help people thrive and without them, people are under a constant stressful cloud of missing social connections. People who are lonely also tend to react more strongly to negative events in their lives.
It's certainly easier said than done to tell these lonely hearts to get out and find more close friends. But, if researchers can figure out exactly how loneliness causes poor health, chances are they may be able to come up with treatments that make loneliness less of a burden, at least physically.
Here's the good news…those who feel close to friends and family can feel good in knowing that their health is likely getting a boost from those relationships.
That's Land's View. I'd like to hear yours. I'm Dave Land.
Email your response or opinion to:


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Saturday, January 22, 2011
Foton Quartet - Zomo Hall (Not Two, 2010) *****
By Stef
There is nothing like pure and free musicality, flowing notes moving slowly forward, embracing one another in a common one-directional stream, yet totally unpredictable like the water sliding between rocks in a mountain river. So is this music.
The band is Gerard Lebik on tenor sax and contra alto clarinet, Artur Majewski on trumpet, Jakub Cywinski on bass, and Wojciech Romanowski on drums. And yes, you're right: yet again another stellar band from Poland. Both horn-players were recently reviewed in separate duo settings, but hearing them together is a pure joy.
The music reminds of "Other Dimensions In Music" because of its small band coherence and freedom, or more recently "Nuts", or "Les Fées Du Rhin", and the "Collective 4tet", bands that combine great musical adventure with fragile sensitivity, and albums that received top-ratings.
The most stunning aspect of the music is its great natural and organic sound, as if every note grows out of the previous one, without the need to demonstrate skill or use special effects or to be different in form. And the end result is skillful, and special, and different ... as the result of talent and creative vision.
Extremely beautiful! The year has only just begun, and this is to me already a strong contender for the best of the year lists.
© stef
Labels: *****, Avant-garde jazz
2 comments:
why you resigned from "*" rating?
- January 23, 2011 at 12:04 PM
- joesh said...
- This comment has been removed by the author.
- January 23, 2011 at 10:43 PM
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Truck loses control, goes off overpass in Saskatoon
Driver not badly hurt because he was wearing seatbelt
First Posted: Mar 14, 2013 12:21pm | Last Updated: Mar 14, 2013 1:55pm
A driver in Saskatoon is lucky he wasn't badly hurt after his truck went off the Circle Drive overpass and landed on College Drive.
Around 10:30 a.m. this morning, a half-ton truck going north on Circle Drive lost control and went over the concrete barrier.
It landed in the west bound lanes of College Drive.
The 20-year-old man in the truck was taken to hospital. Police said he has a sore back, but no other injuries. Officers believe, considering the extensive damage of his truck, that he wasn't more seriously hurt because he was wearing a seatbelt.
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Mix & match living room
Choose graphic leaf prints for your living room as an alternative to florals. Coordinate matching prints for blinds, upholstery and wallpaper.
Updated September 2008
Corner sofa
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Generic: fluoxetine
It helps to treat mood problems such as depression, obsessive compulsive disorder, and panic attacks
What is this medicine?FLUOXETINE (floo OX e teen) belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It helps to treat mood problems such as depression, obsessive compulsive disorder, and panic attacks. It can also treat certain eating disorders.
What should I tell my health care provider before I take this medicine?They need to know if you have any of these conditions:
How should I use this medicine?Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. You can take this medicine with or without food. Take your medicine at regular intervals. Do not take it more often than directed. Do not stop taking this medicine suddenly except upon the advice of your doctor. Stopping this medicine too quickly may cause serious side effects or your condition may worsen.
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Talk to your pediatrician regarding the use of this medicine in children. While this drug may be prescribed for children as young as 7 years for selected conditions, precautions do apply.
What if I miss a dose?If you miss a dose, skip the missed dose and go back to your regular dosing schedule. Do not take double or extra doses.
What may interact with this medicine?Do not take fluoxetine with any of the following medications:
This medicine may also interact with the following medications:
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Sunny, clear skies are expected for the Lowcountry today, the National Weather Service says.
Highs will be in the upper 50s with lows in the upper 20s, according to the Weather Service.
West winds will be from 15 to 25 mph.
Saturday: Sunny skies in the morning will become partly cloudy in the afternoon. Highs will be in the upper 50s with lows near 40.
Sunday: Partly cloudy skies in the morning will become sunny in the afternoon. Highs will be in the low 60s with lows in the upper 30s.
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Lazy Click 0.8.2.1-signed
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Showing children letters based on subjects they like follows their interest. They are more likely to remember the letter that way than if you drill them. The book Monkey and Me by Emily Gravett has a monkey on the cover, an animal that is usually popular among children. Point out the letter "M" and say its name and sound.
–Tip by Barb M., Youth Programming and Outreach Assistant
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HIGHLY RECOMMEND THIS CO. FOR ALL YOUR FLIGHT JACKET NEEDS. (Posted on 12/6/2012)
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A system for displaying a 2-D ultrasound image in a 3-D viewing environment. Within the same 3-D viewing environment, various surgical instruments can be tracked and displayed, thus correlating 3-D virtual surgery with ultrasound imaging for verification. A detachable housing (220) containing position transducers (222) is attached to a conventional 2-D ultrasound imaging head (200) to provide position data of an imaging plane generated by an image transducer (204).
1. A method for generating a 2-dimensional ultrasound image in a 3-dimensional viewing environment, the method comprising:
mounting a plurality of mobile transducer means to an ultrasound image transducer means adapted for generating a 2-dimensional echo image plane;
mounting a first reference transducer means to a first fixed location;
mounting a second reference transducer means to a second fixed location;
generating three-dimensional coordinates of the mobile transducer means relative to a reference frame established by the first and second reference transducer means;
registering the 2-dimensional echo image plane with the three-dimensional coordinates; and,
displaying the 2-dimensional echo image plane at the three-dimensional coordinates, in relation to the reference frame established by the first and second reference transducer means.
2. A method according to claim 1, wherein said first fixed location is a patient's back, and said second fixed location is a patient's abdomen.
3. A method according to claim 1, wherein said method further comprises the steps of:
mounting a plurality of mobile transducers means to a surgical instrument means;
generating 3-dimensional coordinates of the mobile transducer means mounted to the surgical instrument means, relative to the reference frame established by said first and second reference transducer means;
generating an outline image of the surgical instrument means from the 3-dimensional coordinates of the mobile transducer means mounted to the surgical instrument means; and
displaying the outline image of the instrument means.
4. A method according to claim 3, wherein the step of displaying the outline image of the instrument means displays the outline image of said surgical instrument means piercing the 2-dimensional echo image plane.
5. A system for generating a 2-dimensional ultrasound image in a 3-dimensional viewing environment comprising:
image transducer means for generating a 2-D echo image plane;
mobile transducer means mounted to the image transducer means;
first reference transducer means located at a first fixed location;
second reference transducer means located at a second fixed location, wherein the first and second reference transducer means establish a reference frame;
coordinate generation means for generating 3-dimensional coordinates of the mobile transducer means relative to the reference frame;
registration means for registering the 2-dimensional echo image plane with the 3-dimensional coordinates; and
display means for displaying the 2-dimensional echo image plane at the 3-dimensional coordinates, in relation to the reference frame.
6. A system according to claim 5, wherein said first fixed location is a patient's back, and said second fixed location is a patient's abdomen.
7. A system according to claim 5, wherein said mobile transducer means are arranged on a detachable housing means mounted to said instrument.
8. A system according to claim 5, wherein said mobile transducer means is comprised of at least three transducers to generate the 3-dimensional coordinates of a plane perpendicular to an imaging beam generated by said image transducer means.
9. A system according to claim 8, wherein image transducer means includes:
an imaging head that is articulatable relative to said mobile transducer means; and
potentiometer means for relating the angle of the imaging head relative to the 3-dimensional coordinates of the plane generated by the mobile transducer means.
10. A system according to claim 5, wherein said first reference transducer means is comprised of at least four ultrasonic transducers.
11. A system according to claim 5, wherein said second reference transducer means is comprised of at least four ultrasonic transducers.
12. A system according to claim 5, wherein said system further comprises:
a plurality of mobile transducers adapted to be secured to an associated surgical instrument means;
coordinate generation means for generating 3-dimensional coordinates of at least one the plurality of mobile transducer means mounted to the surgical instrument means, relative to the reference frame established by said first and second reference transducer means;
outline generation means for generating an outline image of the surgical instrument means from the 3-dimensional coordinates of the mobile transducer means mounted to the surgical instrument means, and for displaying the outline image of the surgical instrument means on said display means.
13. A system according to claim 12, wherein the outline generation means displays on said display means said outline image piercing said 2-dimensional echo image plane.
This is a continuation-in-part of International application Ser. No. PCT/CA96/00194, filed on Mar. 24, 1996 and which designated the U.S., which is a CIP of Ser. No. 08/411,959 filed Mar. 28, 1995, now U.S. Pat. No. 5,515,853.
The present invention relates in general to a system for generating images, and more particularly to a system for displaying a 2-dimensional ultrasound image within a 3-dimensional viewing environment.
A large number of diagnostic and surgical procedures are performed with the assistance of conventional 2-D echo imaging techniques. In this respect, the physician manipulates a surgical instrument (e.g., a probe or catheter) inside the patient's body, and at the same time tilts the imaging head of the echo machine until the ultrasound beam transects the instrument and the instrument becomes visible on a display monitor. Very often, the instruments are located after considerable "hunting", and the process itself is quite cumbersome. This procedure is often used in the case of amniocentesis and biopsies. In each case, needle or "biting" tools are inserted under ultrasound imaging guidance. In the case of amniocentesis, a physician inserts a needle through the abdomen into the uterus, while at the same time an assistant holds the ultrasound probe steady, making sure that it transects the amniocentesis needle, so that the needle can be visualized.
Conventional 2-D echocardiography provides less-than-adequate information to the physician since the cardiac structures, such as the mitral valve, are very complex and their shape is difficult to interpret from these images. 3-D echocardiography has the potential of solving many of the current visualization problems of cardiac anatomy. As 3-D echo has become developed, however, it has become clear that there are a new set of problems. The first problems deals with the ability to acquire the data in a reasonable time frame. The fundamental issue is time of flight of ultrasound. In this respect, to image the heart, ultrasound must be sent into the tissue to a depth of 15 cm and back again. Given that the speed of sound in cardiac tissue is about 1500 m/sec, that process takes 0.2 msec. To get a good picture, 200 lines are needed. Therefore, 40 msec are required for each image. This results in an imaging rate of 25 Hz. Since this rate is just barely high enough for 2-D, there has been a push in the technology to reach rates of 30 Hz or 50 Hz. To get 3-D ultrasound volumes, about 100 of the 2-D images must be acquired. This means that using conventional technologies, a new volume is acquired every 2 to 3 seconds. This process can generate good 3-D images for most internal organs and other static structures, such as the prostate or a fetus, but does not work for the heart, which is constantly moving.
Other known systems aim to increase the data rate by a factor of 100 so that volumes can be obtained instead of just 2-D images. One such system is described in U.S. Pat. No. 4,949,310 (hereinafter the '310 patent). This system attempts to produce real time 3-D ultrasound images through an exercise in compromise and optimization of many parameters that affect the speed of ultrasound image acquisition. Some of these schemes involve receiving data from several channels at once through dynamic focussing, and reducing the resolution of the images both spatially and temporally.
Once these 3-D image sets are acquired, however, the next issue is how to display the information. In this respect volume thresholding and surface rendering have proven to be extremely difficult in ultrasound images, since they are inherently very noisy. 3-D surfaces cannot be easily extracted, since considerable image processing needs to be done on the data sets. Such post-processing can involve schemes such as (i) dilation of seed points, (ii) skeletonization of larger structures, and (iii) continuity checking and filling to generate some reasonably looking 3-D surfaces. None of this can presently be done in real time, even if the 3-D ultrasound data can be acquired with technology described in the '310 patent.
The system described in the '310 patent uses a multiple plane display. In this respect, the real time volume data sets are intersected by a number of planes, and the intersection of the volume data set with that plane is "mapped" onto that plane. If the plane is placed in a direction orthogonal to the data set axes, then mapping of the data plane onto the visualization plane is relatively straight forward. In this respect, an appropriate 2-D matrix of pixels is extracted from a 3-D set. If the plane is inclined to the original axes, then image extraction and interpolation of pixels needs to be done. There are a number of established algorithms for this process. The system of the '310 patent therefore makes use of multiple viewing planes passed through the 3-D data set, onto which the appropriate 2-D images are "texture mapped" using the appropriate graphical hardware. Such texture mapping hardware can be found on many high end computers, such as those from Silicon Graphics, Inc.
A simpler alternative to the real-time 3-D ultrasound system is one in which images are built up over a large time frame, and then played back in a way to visualize the data set. In the case of the heart, one can acquire high resolution images of the beating heart for many cardiac cycles. If a volume data set is to contain 100 slices of the heart, then one can acquire these slices in 100 heart beats, assuming the 2-D ultrasound system acquires data 30 times per second, and that each heart beat lasts one second. During the first heart beat, the ultrasound imaging transducer is located at one viewing position, such as the apex of the heart, and records 30 images during the heart beat. Therefore one slice of the heart is obtained, imaged 30 times during the heart beat. On the next heart beat, the ultrasound imaging transducer is positioned at an imaging plane slightly away, beside the first imaging plane and another 30 images are obtained during the second heart beat. This process is repeated so that 100 adjacent imaging planes are acquired over 100 cardiac cycles. In each case, each set of 30 images describes the motion of the heart at that particular slice location. In total, the complete heart has been imaged in 100 sections, over 30 time points in the cardiac cycle. These images are then reformatted such that they are expressed not as 100 data sets of 30 images, but rather as 30 sets of 100 images. Each set of images is a snap shot of the 3-D volume of the heart at a particular instant in the cardiac cycle, and there are now 30 copies of this 3-D data set, as it changes through the cardiac cycle. This one cardiac cycle can then be played back on the computer screen in some appropriate format.
As in the system of the '310 patent discussed above, the format that is often chosen is to project a portion of the data set onto a plane that cuts through the data set, and play back the cardiac cycle over and over. U.S. Pat. Nos. 5,454,371 and 5,562,095 describe a means of acquiring and displaying 3-D ultrasound images. The system for displaying the 3-D images operates in the following manner. A cube of data is displayed in perspective on a computer screen, with each of the 6 faces having the corresponding plane of ultrasound image data mapped onto them. These faces can be pushed into the cube interactively by moving a computer mouse. As the face of the cube is moved inward, a new intersection plane of the data set is computed, corresponding to the position of the face, and the appropriate image is mapped onto that plane. During this process, the visible faces of the cube represent the moving ultrasound images, as the whole 3-D data set is played back over and over through the single cardiac cycle reconstructed from the original many cardiac cycles. Like the system of the '310 patent described above, this approach makes use of mapping a particular imaging plane of a previously acquired data set onto a given plane that the user chooses to visualize at that time. The wire frame box that describes the position and orientation of the original 3-D data set and the current plane is very useful in helping to orient the user of the system to the anatomical position of the image that is being displayed. In this respect, FIG. 1A illustrates an orthogonal slice, and FIG. 1B illustrates an oblique slice.
One of the disadvantages of this system is that it can only show a play back of the previously acquired ultrasound data set. It must also be realized that such a visualization scheme provides only one imaging plane at a time. The user selects the imaging plane and watches the playback of the data set. While a user can push the imaging plane back and forth and tilt it sideways to view alternative imaging planes, only one imaging plane is viewed at a time. The utility of this display format is that the user retains information in his mind about where the previous imaging plane was located and how the structures change as the imaging plane is moved and tilted. Ultimately, the 3-D model of the structure is built up in the user's mind, as the user manipulates the 2-D planes and interactively builds up enough information in the user's head. In reality, the complete volume of information is not necessary, only the ability to view an arbitrary plane at a given time (see FIG. 2).
It is known that using the time-of-flight principle of high frequency sound waves, it is possible to accurately measure distances within an aqueous medium, such as inside the body of a living being during a surgical procedure. High frequency sound, or ultrasound, is defined as vibrational energy that ranges in frequency from 100 kHz to 10 MHz. The device used to obtain three-dimensional measurements using sound waves is known as a sonomicrometer. Typically, a sonomicrometer consists of a pair of piezoelectric transducers (i.e., one transducer acts as a transmitter while the other transducer acts as a receiver). The transducers are implanted into a medium, and connected to electronic circuitry. To measure the distance between the transducers, the transmitter is electrically energized to produce ultrasound. The resulting sound wave then propagates through the medium until it is detected by the receiver.
The transmitter typically takes the form of a piezoelectric crystal that is energized by a high voltage spike, or impulse function lasting under a microsecond. This causes the piezoelectric crystal to oscillate at its own characteristic resonant frequency. The envelope of the transmitter signal decays rapidly with time, usually producing a train of six or more cycles that propagate away from the transmitter through the aqueous medium. The sound energy also attenuates with every interface that it encounters.
The receiver also typically takes the form of a piezoelectric crystal (with similar characteristics to the transmitter piezoelectric crystal) that detects the sound energy produced by the transmitter and begins to vibrate in response thereto. This vibration produces an electronic signal in the order of millivolts, that can be amplified by appropriate receiver circuitry.
The propagation velocity of ultrasound in an aqueous medium is well documented. The distance traveled by a pulse of ultrasound can therefore be measured simply by recording the time delay between the instant the sound is transmitted and when it is received. Three-dimensional coordinates can be determined from the distance measurement.
The present invention applies the foregoing principles to overcome the drawbacks of prior art 2-dimensional echo imaging systems to provide a system which allows manipulation of 2-D ultrasound images in 3-D space, within a coordinate system that provides a reference frame. This enables the user to interactively make up a mental construct of the structure under analysis.
According to the present invention there is provided an echo imaging system for displaying a 2-D ultrasound image in a 3-D viewing environment.
It is an object of the present invention to provide an echo imaging system wherein the user has the ability to visualize the position and progression of surgical instruments.
It is another object of the present invention to provide an echo imaging system that provides image feedback and verification that the intended bodily structure is being operated upon.
It is still another object of the present invention to provide a detachable device for modifying a conventional 2-D ultrasound imaging head to include 3-D tracking capability .
It is yet another object of the present invention to provide a device attachable to a conventional 2-D ultrasound imaging head to provide the 3-D position of the 2-D ultrasound image.
Still other objects and advantages of the invention will become apparent to those skilled in the art upon a reading and understanding of the following detailed description, accompanying drawings and appended claims.
The invention may take physical form in certain parts and arrangements of parts, a preferred embodiment and method of which will be described in detail in this specification and illustrated in the accompanying drawings which form a part hereof, and wherein:
FIGS. 1A and 1B are exemplary displays provided by a conventional 3-D ultrasound system;
FIG. 2 is an exemplary display of the usable information provided by a conventional 3-D ultrasound system;
FIG. 3 is a block diagram of a 3-D ultrasound tracking and imaging system, in accordance with a preferred embodiment of the present invention;
FIG. 4 is a perspective view of an ultrasound imaging head with a detachable tracking clip attached thereto, according to a preferred embodiment of the present invention;
FIG. 5 is an exploded view of the ultrasound imaging head and detachable tracking clip attached thereto, as shown in FIG. 4; and
FIG. 6 is a 3-D scene showing a reference frame, location and direction of a surgical instrument and an ultrasound sector image.
Referring now to the drawings wherein the showings are for the purposes of illustrating a preferred embodiment of the invention only and not for purposes of limiting same, FIG. 3 shows a three-dimensional (3-D) tracking and imaging system 100 for use in connection with the echo imaging system of the present invention. 3-D tracking and imaging system 100 is generally comprised of a computer system 110, mobile transducers 132, reference transducers 134, an instrument 130 and an optional robotics subsystem 140.
Computer system 110 is generally comprised of a 3-D tracking system 112, an imaging modality system 114, an image registration system 116, an image warping and geometry transformation system 118 ("warp system"), a user interface 120 and a display 122. It should be appreciated that 3-D tracking system 112 may take the form of a sound-based system or an electromagnetic-based system. Both time of flight and phase relationships may be used to determine distance. Preferably, 3-D tracking system 112 takes the form of the 3-D ultrasound tracking system described in U.S. Pat. No. 5,515,853 and PCT Application No. WO96/31753, both of which are incorporated herein by reference.
Instrument 130 may take the form of a catheter, a probe, a sensor, a needle, a scalpel, a forcep or other device or instrument used in a surgical or diagnostic procedure. Mobile transducers 132 and reference transducers 134 may take the form of an ultrasonic transducer or an electronic transducer. However, for purpose of illustrating a preferred embodiment of the present invention, transducers 132 and 134 will take the form of ultrasonic transducers (i.e., piezoelectric crystals).
A plurality of mobile transducers 132 are fitted to instrument 130. One or more reference transducers 134 provide a reference position relative to mobile transducers 132. In this respect, reference transducers 134 may be located to provide an internal reference frame inside a patient's body or on the surface of a patient body to provide an external reference frame.
As indicated above, reference transducers 134 may be transmitters, transceivers or receivers that can generate ultrasound or electromagnetic radiation, that can be detected by mobile transducers 132.
3-D tracking system 112 transforms the multiple distance measurements between all of the transducers 132, 134 into XYZ coordinates relative to a referenced axis, as described in detail above. It should be appreciated that the reference frame provided by reference transducers 134 must be self-determining that is, if the reference frame becomes distorted, this distortion needs to be detected by reference transducers 134. Detection is typically done by using transceivers that can determine the distance between any combination of two transducers, and hence their relative spacial coordinates in 3-D space. In this regard, the position of the transducers is obtained in 3-D from the images acquired of the bodily structure (e.g., tissue/organ) that show "dots" where the transducers are located, and also from the transducers themselves when they are in the bodily structure. If there is some discrepancy in the distances between all combinations of transducers, then the bodily structure must have deformed (i.e., "warped") after the images were acquired. A mathematical coordinate transformation can be used to specify exactly how to correct the image set and account for the warping. The distance between any combination of two transducers is determined by having each transducer send a signal to all other transducers. In this way, all the distances between the transducers is known. From these distances, XYZ coordinates can be calculated, in reference to some transducer as the origin.
Imaging modality system 114 acquires 2D, 3-D or 4-D image data sets from an imaging source, such as an MRI (magnetic resonance imaging), CT (computerized tomography) or 2-D or 3-D ultrasound device, to provide a "template" through or against which the shape, position and movement of instrument 130 being tracked can be displayed. The template typically takes the form of an image of the environment surrounding the instrument (e.g., a bodily structure). It should be noted that if multiple (3-D) volumes are acquired at different time intervals, a 4-D image is obtained (i.e., 3-D image changing over time).
Image registration system 116 registers the position of instrument 130 within the spatial coordinates of the image data set provided by imaging modality system 114. The position of instrument 130 is provided by the 3-D tracking system 112. Image registration system 116 will provide a display of instrument 130 at its proper 3-D location inside the bodily structure and orientation relative to the bodily structure itself It should be appreciated that registration system 116 may be user assisted, or completely automated if image processing algorithms are implemented to automatically detect the spacial locations of the transducers (typically the reference transducers) in the image data set.
Warp system 118 is a software-based system that transforms or "warps" the image data sets by the appropriate values to correspond to a deformation that has occurred in the reference frame between the time that the image data set were acquired and the time that the procedure is to be implemented during surgery. Accordingly, warp system 118 is typically comprised of a matrix transformation routine that maps the deformed geometry onto the original image data set, and distorts it appropriately.
User interface 120 enables a user to interact with computer system 110, including programming computer system 110 to perform a desired function. For example, a particular view for display can be selected. Instruments 130 (e.g., probes or catheters) can be activated using user interface 120. Display 122 displays to the user registered images provided by image registration system 116.
Optional robotics system 140 is generally comprised of a robotics control system 142 and a robotic manipulator system 144. Robotics control system 142 controls robotic manipulator system 144 to follow a programmed path that can be appropriately changed, based on shifting, warping or changes in the shape of a bodily structure at the time of surgery. Robotic manipulator system 144 physically moves instrument 130 as instructed by robotic control system 142.
The present invention is directed to an echo imaging system which displays a 2-D ultrasound image in a 3-D viewing environment. In this regard, several reference transducers are placed on the back and/or abdomen of the patient and a simple coordinate system is generated on the computer display, showing the direction towards the head and feet, the left and right sides of the patient, and the front and back. Initially, this would appear on the display as an empty box with simple graphics or arrows, as well as the surface transducers shown graphically. A plurality of mobile "position" transducers are mounted to the ultrasound imaging head of an imaging probe. Accordingly, when the imaging probe is placed on the chest or the abdomen, the location and angle of the imaging plane being acquired by the imaging head's imaging transducer can be displayed within a 3-D environment. This 3-D scene can be visualized from any viewpoint by simply moving the mouse and rotating the visual scene on the computer display.
A preferred embodiment of an echo imaging system according to the present invention will now be described in detail with reference to FIGS. 3-5. A typical echo machine ultrasound imaging head 200 has a plastic hand held component with a cable 210 that connects to a main unit (not shown). Imaging head 200 has a window through which ultrasound is transmitted and received by an ultrasound transducer 204. The ultrasound imaging head 200 is fitted with a transducer housing 220 which takes the form of a detachable tracking clip that is attachable to imaging head 200. An exploded view is shown in FIG. 5.
Transducer housing 220 holds three or more position transducers 222 that form a plane perpendicular to the imaging beam. Thus, position transducers 222 reside between imaging head 200 and the skin that imaging head 200 contacts. It should be appreciated that while four position transducers 222 are shown in FIGS. 4 and 5, only three position transducers 222 are need to measure all angles. Reference transducers 224 (see FIG. 6) are mounted to the patient's skin (e.g., back and chest).
As imaging head 200 is tilted and angulated while pressed against the abdomen, the coordinates of position transducers 222 define a plane that is perpendicular to the ultrasound imaging beam. Accordingly, the 3-D coordinates of the imaging plane are determined from the coordinates of position transducers 222. It should be noted that transducer housing 220 makes contact with the abdomen. Alternatively, the imaging head can articulate relative to the transducer plane by means of a gimbal fitted with electronic potentiometers that can relate the angle of the imaging plane relative to the transducer plane that glides flat along the patient's skin. Once the position and orientation of the imaging plane is known in 3-D space relative to the coordinate system of the patient, the typical pie-shaped sector scan produced by ultrasound imaging head 200 can be inserted into the 3-D scene of the patient. Since, the 3-D scene will therefore contain a perspective rendering of the patient frame of reference, the pie-shaped ultrasound sector scan image, is properly oriented within the 3-D scene, as shown in FIG. 6.
The ultrasound image may be shown in real-time in perspective by texture-mapping the video signal onto a pie-shaped polygon drawn in the 3-D scene. The current generation of graphics computers enable this type of real-time image transformation. It should be noted that the location of all of the transducers with respect to each other can be determined in the manner discussed above. One of the transducer locations is chosen as the origin, another as the x axis, and a third as the y axis, and a fourth as the z axis. The coordinates system may be defined by the user. The orientation of imaging plane is calculated from the angle of the four imaging head position transducers 222, and the coordinate system defined by the reference transducers mounted to the patient's body.
By visualizing the location of the imaging plane relative to the inserted surgical instrument, the imaging head 200 can be more quickly manipulated and angled until it transects a surgical instrument (e.g., an amniocentesis needle). In this respect, mobile transducers are mounted to the surgical instrument in order to provide an outline graphic of the instrument and its current position relative to the reference transducers. Moreover, the shadow of the surgical instrument becomes visible in the texture mapped, real time ultrasound image, and the instrument outline graphic can be shown piercing the ultrasound image where its shadow is visible. Accordingly, a physician can immediately determine in which direction to angulate imaging head 200 or move the surgical instrument to get proper orientation within the visual scene (FIG. 6). Accordingly, the present invention allows for safer, faster and more precise surgical procedures.
The invention has been described with reference to a preferred embodiment. Obviously, modifications and alterations will occur to others upon a reading and understanding of this specification. For instance, electromagnetic waves could be substituted for sound waves, as a means for determining position. Accordingly, the ultrasonic transducers are suitably replaced by electromagnetic transducers. It is intended that all such modifications and alterations be included insofar as they come within the scope of the appended claims or the equivalents thereof
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A Saturday. A man. A motorbike. A lot of time. A Gopro Hero. A 99 dollar point and shoot camera. A little help from The Box. Ok, a lot of help from The Box. Remember The Box?
Todays ride
Started by Keski, Aug 08 2010 01:03 AM
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I got into COS on Saturday about 12:30, called Mike Q who was on the summit to see how the ascent played out, grabbed the bib, some lunch, and headed to the hotel. Mike was excited to meet PPA legend Scott Elliott on the summit. It rained the entire way down and I was a bit nervous about the weather after talking to Mike. I spent the afternoon watching the Olympics and then went to REI and bought a pair of thin SmartWool socks and a higher quality pair of gloves than I'd brought. Swung over to the awards ceremony and ran into a few other Fleet Feeters (George, Ken, and Andy) and checked out the who's who list of mountain running in attendance. Grabbed some dinner at the pasta dinner and went back to the hotel to watch the women's 'thon. I wasn't very social at any of the events and generally avoided convo. I had things on my mind, namely the race and how I'd handle the weather. I wanted to run well and I was a bit nervous. In contrast, GZ was jumping around, high-fiving, yelling, and entertaining the kids. Clearly, he loves this weekend. Got hungry again and ate a Clif Bar being going to bed at 9 PM.
The Start
I got one last pee break in and headed to the start a minute before the cannon fired. I'd done my usual 10 minute warm-up and was wearing a long-sleeve Dri-Fit under my FF singlet, SmartWool socks, short shorts with non-cotton briefs underneath and four Gu's clipped to the waistband, the Brooks T5's, a cheap Big Lots toboggan, REI gloves in the waistband, and an old, cheap jacket wrapped around my hand. I'd planned to go out behind Bryan Dayton and Bernie Boettcher, thinking that Matt Carpenter would be off the front, a chase group would form of the 2-7 contenders, and another chase group for the rest of us hoping to break the top 10. At the start, all you hear is "Go Matt!" over and over. The town loves him. Everyone was strung out pretty quick.
Early Miles
Six minutes in, I caught Bernie on the first gentle uphill and wanted to just stay with him, knowing that I shouldn't be ahead of him, but moved ahead anyway – it felt too easy. We've exchanged emails before and met at BB10K, but I wasn't sure he remembered me and didn't say anything. Further up, I caught Bryan Dayton and also moved ahead somewhat reluctantly. Eventually I caught the second place guy, who had initially gone out with Matt Carpenter, and moved ahead of him. I didn't know how to pace the ascent, having never ran on Pikes before, and planned to rely on placing, but I felt good and decided to just go with it, knowing that I shouldn't be in 2nd. We went through the W's together and on one switchback, I looked back to see bib #2 behind us, so I realized that it wasn't Dave Mackey that I was running with. Ended up being ascent ace Daryn Parker. About 30 minutes into the race, he said something about working together and took over the pacing duty. He told me were on sub-2:20 pace and I about pooped my pants. I knew I couldn't run a 2:20 ascent and gradually let him go. If he'd have said that we were on 2:40 pace, I probably would've thought "great" and went with him. Inexperience on the mountain.
About 10 mins later, Dave Mackey caught me and saved me from making a wrong turn. Continued pushing, feeling relaxed, but with the heart rate definitely up. Bryan Dayton passed me about an hour into the race on a flatter section and then I leap frogged back ahead when the climbing returned. I went through Barr Camp in 1:15 flat (4th) and saw Jeff Valliere spectating after doing the ascent the day before. Bryan soon passed me back above Barr Camp and gradually pulled away. He was moving well and picking it up.
Above A-Frame, I missed a left-hand turn. I kept going straight, the trail looked questionable, so I stopped and looked back until I saw someone. Greg Voelkel was coming and I yelled, "is this the trail?" He must not of heard me and didn't answer me, but was coming in my direction, so I took off. After a minute or so, I didn't see anyone, didn't see him, and backtracked, initially back down towards A-Frame and then back up until I saw the turn I'd missed. Everyone ahead was out of view when back on the trail and unfortunately, he ultimately beat me by 2 mins. John Beech had said not knowing the course would cost me 2-3 places, turns out it was prob just 1 place, but the difference between 6 and 7 isn't too big of a deal. Coulda, shoulda, woulda. Apparently this turn is well-known as a tricky spot and many veterans knew the exact spot.
I ditched the jacket about this point as we went above treeline and gradually slowed on the snowy, steeper, upper slopes. The T5's weigh 5.9 ounces and are largely mesh, so my feet got wet in this stretch. I wasn't worried about that, but it would turn into a problem late in the race. No one else caught me, although someone was only a minute back. I didn't walk any until the last mile, when I mixed in hiking as fast as I could with running where practical. The guy behind didn't seem to be making any time up on me while I hiked. At the summit, someone was yelling "RUN! COME ON! RUN DAMN IT!" Thanks to whoever that was because it definitely helped.
At the summit in 2:47, I tagged a guy who was holding his hand out and then headed back down. He called me back up to make a little loop around a post, marked my bib, and I took the opportunity to grab some Gatorade while there. Looking at my summit time and splits, most would say I went out too hard. I'm a little less convinced though as I really maintained a pretty consistent effort and heart rate the entire time up. Making the turn back down, I immediately felt great and started blasting it back down through the snow, keeping my feet low to the ground and just above the rocks while weaving through runners going the opposite direction. Thanks to all of the runners heading up who stopped and moved out of the way for me to pass and sorry to the few women who I clipped with a shoulder.
The Descent
I saw GZ on the way down and he let me know that I was in 7th and I asked how many I could catch - 1 or 2. He paused and said 2 if I worked. I knew Greg V summited probably 5 minutes ahead, so I knew it'd be tough. Regardless, I was sure that no one who summited after me would catch me. Nothing against those guys, but I was pretty confident in my ability to blast the downhill.
Back around A-Frame, I very nearly bit it on some rocks. I took a few steps completely stretched out and managed to stay upright. I was very fortunate here as I was running sub-6 pace and likely would've been down for a few minutes after a hard fall. With about 8 miles to go, my left heel started hurting incredibly bad. Again, I wasn't worried about anyone catching me, but I hated to stop as I really wanted to see what my descent time would be. But, it hurt so bad that I stopped, took the shoe off, and fished some rocks out. Back running, the heel started hurting right away again and I thought it could be a blister. With 4 to go, I took my first spill of the race and was smart enough to tuck and roll, rather than doing a Superman-dive. I scraped up my knee and elbow and didn't think it was that bad until getting home and seeing the scrapes all the way up my right quad. Still, it didn't affect my running any and I kept the momentum from the fall going and was immediately back on my feet. With 3 to go, my right heel started hurting incredibly bad, joining my left that had been hurting since 8 to go. I stopped a second time and took both shoes completely off, got all of the rocks out, laced up again, and it did nothing - they both just hurt like hell still. I knew both were likely blisters at that point then, but I was running the race I'd trained all summer for and couldn't slow the pace down.
I hit the 1 to go mark and had to run a 5:30 last mile to go under 4:15. I ran 5:42 and finished in 4:15:12 for 7th. 2:47 up, 1:28 down. Matt ran a 1:25 descent, so I'm looking forward to seeing the splits and see how my time down compares – not that the race down matters, but still. If I can take 10 mins off that ascent time next year, not get any blisters on the descent, I may be able to give 4 flat a shake.
I was ushered straight to the medical tent where they cleaned off my blood. I made the doc cut the blisters off and here is what remains of my heels. It hurts bad to walk right now. I'll be lucky to run anything this week while the skin returns.
The field didn't turn out to be as competitive as I'd hoped. Greg Feucht, Dave Heald, Kyle Skaggs, and Mike Smiley didn't toe the line. Still, I was competitive and got the top 10 finish that I wanted, while wearing bib #128 based on my sandbagging prediction of 4:45 when I registered. I was pretty surprised to beat a 2:30 marathoner and also beat a former SkyRunner champion pretty handily. It was a really fun race though and training for it this summer was a blast. I loved getting up on the high mtn trails.
GZ completed his double. I believe he was 2nd doubler and he ran slower during the marathon than he'd hoped, but a double is a pretty serious accomplishment regardless of the time and he had a blast doing it. Matt won his 20th PPA/PPM then and picked up $2K and Dave Mackey, as much as he wanted to, couldn't challenge Matt today. Bernie was once again a beast with the top 3 from last year returning to their same places this year.
Looking forward to a quick recovery, healing of the heels, enjoying GZ's home brew later this week, and getting back on the trails before winter hits.


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Macdonald's Case
To the Editor:
A little of the old steam
A little of the bold steam—
That's what will keep the kramer1 from the
You can snarl at second-rate books,
Find the fraud in all those Great Books,
Twist the tail of Adler, Mortimer J.2
You can polemize with Trotsky,3
Show the Bible's gone to potsky,4
Colin Wilson's epidermis you can flay.5
You can judge the Ford Foundation,6
Discourse on cinematization,
With instances from Griffiths to today.7
A little of the old steam,
A little of the bold steam,
Or Hilton Kramer's baying at the door.
It don't count (no it don't count)
If it's in that strictly no count
That provincial adolescent schizophrenic
Languid effete and congenitally non-
Rag—and I don't mean COMMENTARY.
1According to Miss Florabel Spurgeon's Myth and Ritual in the Black Forest (Chatto & Windo, 1905), those woodcutters who had not chopped down their quota of Established Reputations were visited at night by a "kramer," a small rodent-like creature which nibbled at their toes, until they got back to work.
2"The Book-of-the-Millennium dub," New Yorker, Nov. 29, 1952.
3"Varieties of Political Experience," New Yorker, March 28, 1959.
4"The Bible in Modern Undress," New Yorker, Nov. 14, 1953.
5See "Reader's Indigestion," New Yorker, Oct. 13, 1956, in which I performed for The Outsider much the same service I later did for another best-seller in COMMENTARY.
6See New Yorker, Nov. 26-Dec. 17, 1955.
7"The Lost Art," New Yorker, March 15, 1958.
8The adjectives are mostly authentic kramerisms. In my intellectual retirement, I like to compare the holiday doodlings of mine listed above with the kramer's apodictic sentence on the New Yorker's treatment of art & letters: "Yet, behind this air of relaxation, one could not help detecting the terrifying relentlessness with which a serious subject—and a subject, moreover, in which the writer's vital personal response counts for a great deal—had been parodied, trimmed, ridiculed, and finally made boring and absurd by the author's attempt to make it seem completely effortless, utterly common-sensical, and open to the most easygoing attention" (wow).
Dwight MacDonald
New York City


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The driver of a Washington County school bus that crashed last month, injuring 27 students on board has been fired, according to Director of Schools Ron Dykes.
Brenda K. Gray, 54, of Jonesborough, was terminated following a number of charges brought against her Wednesday. She had been on unpaid leave since the crash.
"The (Tennessee) Highway Patrol investigation indicated speeding, reckless driving and those things alone would constitute termination," Dykes said.
Gray was jailed Wednesday on eight counts of reckless aggravated assault, 31 counts of felony reckless endangerment, speeding, reckless driving and failure to exercise due care.
The 39 total charges of reckless aggravated assault and felony reckless endangerment equal one charge for each of the 39 students on the bus.
While it's rare for a bus driver to be terminated, Dykes said the system has fired drivers in the past for various issues, including inappropriate behavior and unprofessional conduct.
Dykes said the safety record of the school system's bus drivers and overall bus safety is very high.
A bus crash on the scale of the one that occurred last month is rare, Dykes said.
"We have an extremely safe record. ... The overwhelming majority (of bus drivers) simply do obey policy, laws and regulations. I'm very proud of our drivers in general," he said.


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In 2002 David Knott established his own Sydney based design studio. With a strong emphasis on attention to detail, his signature clean and simple lines are evident in a growing range of low volume and bespoke furniture and lighting pieces featured in both local and international interiors.
Specializing in industrial design has given David invaluable experience in materials and manufacturing processes as well as vital insights into low and high volume manufacturing capabilities. David draws his inspiration from a number of areas with a particular interest in the combination of new materials and in the application of old materials into new settings.
The design studio has been established not only as an outlet for David's personal product development, but as a means by which to share his expert commercial design experience and knowledge with design-led clients.
Driven by a desire to design simple, beautiful and clever products, David can provide a complete design service from initial design research, ideation and realistic CG rendering through to tooling CAD files and production management. With over 10 years experience in both local and international design development, David can provide a complete design service specializing in the fields of product, furniture and lighting.
Ultimately he strives to make beautiful things.
Please contact David for more information or advice.


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Thank you. If a matching email exists we will send you an email in a few minutes with instructions on how to reset your password.
Don't forget to check your spam folder if you cannot find the email. For further assistance please contact us at firstname.lastname@example.com .Okay
The distressed blue design gives this cotton pillow a sophisticated and classic look. The feather-and-down fill ensures it is as comfortable as it is stylish.


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About the Internship: Work and Learn in Olympia
One of the country's most highly regarded legislative internships, our program offers students the opportunity to gain professional, paid work experience and study the legislative process at the state level. During the internship, which takes place in winter quarter or spring semester, interns work for members of the Washington State House of Representatives or Senate while earning academic credit from their schools. Interns work alongside legislative staff to learn first-hand about public policy, build real-world professional skills, and serve the citizens of Washington State.
Interns are placed with legislators' offices and work in Olympia as full-time staff while the Legislature is in session (January through March or April every year). In addition to their office work, interns take part in hands-on activities including training in legislative ethics, writing and research, a budget exercise, mock committee hearings and floor debate, and a job shadow at a state agency. Interns also participate in seminars and workshops with state officials, policymakers, journalists, and lobbyists, offering networking opportunities and a global view of the political process.
The Legislative Internship is a paid, full time (40 hours per week) commitment. The internship must be taken for undergraduate academic credit at a four-year college or university. Credit amounts and other academic requirements are determined by the school. Washington college juniors and seniors of any age and any major are eligible to apply.
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Career and academic advisors: contact us to request electronic or hard copies of internship materials for your campus.
Applications for 2016 are open! Apply by the priority deadline of October 6 to get first consideration for interviews at your school.
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PORT HENRY March is Women's History Month. This year the theme is Womens Art, Women's Vision. The Sherman Free Library in Port Henry would like to have a display of local women artist's work. The art would be on display for the entire month of March. Space is limited. Any local artist who would like to participate should contact Jackie or Janelle at the library at 546-7461.
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The American Society of Plastic Surgeons' (ASPS) Patient Safety Committee has compiled these resources to assist plastic surgeons in clinical decision making.
Patient Safety Questions?
Are you an ASPS member who has a question about patient safety issues for the ASPS Patient Safety Committee? You can email your questions or suggestions to the Patient Safety Committee. Please include your name and ASPS member ID number in the email.
Resources by Topic
Choosing Wisely
- Choosing Wisely aims to promote conversations between providers and patients by helping patients choose care that is: supported by evidence, not duplicative of other tests or procedures already received, free from harm, and truly necessary.
Ambulatory and Office Based Surgery Center
- Resources for ambulatory and office based surgery centers
Operating Room Safety
- Resources to promote patient safety in the operating room
Patient Selection Resources
- Helpful resources when assessing your patients for plastic surgery procedures
Risk Management Resources
- Risk management topics impacting patient safety
Suggested Website Links
- Links to patient safety websites