text:
A method and apparatus for treating heart failure includes applying a bioabsorbable material around at least a portion of a patient's heart. The bioabsorbable material can be applied in conjunction with a nonbioabsorbable structure such as a cardiac harness or in lieu of such a harness. The harness and/or bioabsorbable material is configured to apply a mild compressive force on the heart.
1. A method for treating heart failure of a patient, comprising:
introducing a plurality of detached strips adjacent the heart each of said strips oriented generally corresponding to directional expansion and contraction of heart muscle to stimulate growth of scar tissue in a direction generally corresponding to directional expansion and contraction of heart muscle;
the scar tissue at least partially ensapulating the heart and resisting expansion of the heart beyond a predetermined size.
2. The method of
3. The method of
4. The method of
This application is based on and claims priority to U.S. Provisional Application No. 60/346,788, filed Jan. 7, 2002, the entirety of which is hereby incorporated by reference.
This application relates to a method and apparatus for treating congestive heart failure, and more specifically relates to methods and apparatus using bioabsorbable material to treat congestive heart failure.
Congestive heart failure ("CHF") is characterized by the failure of the heart to pump blood at sufficient flow rates to meet the metabolic demand of tissues, especially the demand for oxygen. One characteristic of CHF is remodeling of at least portions of a patient's heart. Remodeling involves physical changes to the size, shape and thickness of the heart wall. For example, a damaged left ventricle may have some localized thinning and stretching of a portion of the myocardium. The thinned portion of the myocardium often is functionally impaired, and other portions of the myocardium attempt to compensate. As a result, the other portions of the myocardium may expand so that the stroke volume of the ventricle is maintained notwithstanding the impaired zone of the myocardium. Such expansion may cause the left ventricle to assume a somewhat spherical shape.
Cardiac remodeling often subjects the heart wall to increased wall tension or stress, which further impairs the heart's functional performance. Often, the heart wall will dilate further in order to compensate for the impairment caused by such increased stress. Thus, a vicious cycle can result, in which dilation leads to further dilation and greater functional impairment.
Historically, congestive heart failure has been managed with a variety of drugs. Devices have also been used to improve cardiac output. For example, left ventricular assist pumps help the heart to pump blood. Multi-chamber pacing has also been employed to optimally synchronize the beating of the heart chambers to improve cardiac output. Skeletal muscle, such as the latissimus dorsi, has been used to assist ventricular pumping. Researchers and cardiac surgeons have also experimented with prosthetic "girdles" disposed around the heart. One such design is a prosthetic "sock" or "jacket" that is wrapped around the heart. Presently, a device is being marketed as the CorCap™, available from Acorn, Inc. The CorCap™ apparatus comprises a woven and/or knitted sock-like device that restricts cardiac expansion beyond a predetermined size.
Although some of the above-discussed devices hold promise, there remains a need in the art for an improved method and apparatus for treating CHF to prevent a remodeled heart from further remodeling and/or to help reverse remodeling of a diseased heart.
In accordance with one aspect of the present invention, a method for treating heart failure comprises introducing a substance adjacent the patient's heart so as to stimulate growth of scar tissue about the heart so that the scar tissue at least partially encapsulates the heart and resists expansion of the heart beyond a predetermined size.
In accordance with another aspect of the present invention, a method of treating cardiac failure comprises providing a cardiac wall tension reduction device configured to fit at least partially around the heart and to exert a generally inwardly directed force on the heart during at least a portion of the cardiac cycle. The wall tension reduction device is formed of a bioabsorbable material and is combined with medicaments for restricting growth of scar tissue by the patient's body. The cardiac wall tension reduction device is positioned about the heart so that the tension reduction device reduces the load on the heart until the device dissolves.
In accordance with another aspect, the present invention provides a cardiac wall tension reduction device for treating heart failure of a patient. A first member is configured to fit generally around a portion of the patient's heart and is configured to apply a pressure to the heart. A second member is configured to fit generally around a portion of the patient's heart and is configured to apply a second pressure to the heart. The second pressure is greater than the first pressure. The second member is constructed of a bioabsorbable material and is adapted to dissolve over time within the patient's body, while the first member is constructed of a substantially durable material that will remain in place after the second member dissolves.
In accordance with still another aspect, the present invention provides a cardiac harness configured to fit generally around a patient's heart and to resist expansion of the patient's heart beyond a desired size by applying a mild compressive force on the heart. The harness is adapted to expand and contract with the heart. A change in size of the harness of about 20% within an operating range of the harness corresponds to a change in pressure applied by the harness of less than about 4 mmHg.
This application presents a method and apparatus for supporting a patient's diseased heart in order to resist and possibly reverse remodeling of the heart. As discussed in the co-pending application entitled "Expandable Cardiac Harness For Treating Congestive Heart Failure", Ser. No. 09/634,043, which was filed on Aug. 8, 2000, the entirety of which is hereby expressly incorporated by reference, it is anticipated that remodeling of a diseased heart can be resisted or even reversed by alleviating the wall stresses in such a heart. The present application discusses certain embodiments and methods for supporting the cardiac wall. Additional embodiments and aspects are also discussed in Applicants' co-pending applications entitled "Device for Treating Heart Failure," Ser. No. 10/242,016, filed Sep. 10, 2002, "Heart Failure Treatment Device and Method", Ser. No. 70/287,723, filed Oct. 31, 2002, and "Method and Apparatus for Treating Heart Failure," Ser. No. 60/409,113, filed Sep. 5, 2002. The entirety of each of these applications are hereby expressly incorporated by reference.
The term "cardiac harness" as used herein is a broad term that refers to a device fit onto a patient's heart to apply a compressive force on the heart during at least a portion of the cardiac cycle. Other devices that are intended to be fit onto a heart and are referred to in the art as "girdles," "socks," "jackets," or the like are included within the meaning of "cardiac harness."
The cardiac harness 32 illustrated in
In the embodiment illustrated in
With reference to
In the embodiment shown in
As discussed above, the undulating spring elements 34 exert a force in resistance to expansion of the heart 30. Collectively, the force exerted by the spring elements tends toward compressing the heart, thus alleviating wall stresses in the heart as the heart expands. Accordingly, the harness helps to decrease the workload of the heart, enabling the heart to more effectively pump blood through the patient's body and enabling the heart an opportunity to heal itself. It should be understood that several arrangements and configurations of spring members can be used to create a mildly compressive force on the heart so as to reduce wall stresses. For example, spring members can be disposed over only a portion of the circumference of the heart or harness.
Experimental evidence indicates that application of a compressive or restrictive force can help a diseased heart resist enlargement. Such a compressive or restrictive force can be applied by any type or embodiment of a cardiac wall tension reduction device such as, for example, any cardiac harness 30, 50 embodiment disclosed above and/or in the above-referenced applications, a device similar to the Acorn CorCap™, or any type of cardiac sock or girdle.
When foreign objects or substances, such as a cardiac harness, are introduced onto or adjacent the heart, the body will tend to deposit tissue on or around the foreign object. For example, fibrin and collagen deposits will tend accumulate on and around the heart after a cardiac harness is placed thereon. This scar tissue tends to be tough, though flexible, and will additionally resist expansion of the patient's heart.
In one preferred embodiment, a cardiac wall tension reduction device is constructed of a bioabsorbable material. As such, the device will dissolve after a predetermined period of time. When in place, however, the device will relieve cardiac wall tension. Once the device is installed on the heart, the patient's body will respond by depositing scar tissue on the device and around the heart. Preferably, the tissue at least partially encapsulates the heart. After the device dissolves, the scar tissue remains. Thus, although the implanted device no longer restricts or resists further cardiac expansion, the scar tissue resists such expansion. As such, a long term treatment for resisting further cardiac expansion is established without requiring a permanent implant.
A bioabsorbable cardiac wall tension reduction device can be formed of any bioabsorbable material. It is to be understood that many types of materials can be used, including bioabsorbable materials typically used in sutures, stents and the like. For purposes of this disclosure, bioabsorbable materials include materials that degrade or dissolve over time when placed within a human body, and include biodegradable materials. In preferred embodiments, FDA-approved materials such as polylactic acid (PLA) and polyglycolic acid (PGA) can be used. Other materials, including both synthetic and naturally-derived polymers can suitably be employed.
A bioabsorbable cardiac harness can be formed in accordance with any acceptable method and fashion. For example, a sheet of PGA or PLA can be molded to a shape that fits about the heart. Similarly, a sheet can be formed having holes or gaps that lend themselves to increased flexibility. Further, a device can be molded or cut to have a series of undulating spring members, as in the embodiments discussed above. Still further, a lattice structure may be used to provide elasticity and facilitate and/or direct scar growth in a desired manner and direction. Still further, bioabsorbable material can be provided as extruded fibers or filaments that can be woven, braided, knit, or the like so as to fit about the heart and constrain expansion thereof.
As discussed in the above-referenced applications, when a force is applied to relieve cardiac wall stresses, the working load on the heart is reduced. Reducing the working load allows the heart to at least partially rest, and appears to provide an opportunity for the heart to at least partially heal itself. For example, it is anticipated that a remodeled diseased heart can reverse-remodel so as to become more healthy if cardiac wall stresses are reduced. The effect of reducing wall stress can indeed lead to valuable and beneficial healing consequences.
In another preferred embodiment, a cardiac wall tension reduction device can be at least partially made of a bioabsorbable material that is combined with medically-beneficial medicaments so that the beneficial medicaments are released as the bioabsorbable material dissolves. For example, bone marrow or stem cells can be provided so as to possibly stimulate myocardial regeneration. This type of treatment may help resolve an infarct, and promote healing of the heart. Of course, it is to be understood that any type of medicament anticipated to aid the heart can be combined with a bioabsorbable apparatus.
In another embodiment, a bioabsorbable cardiac harness can be combined with anti-fibrin drugs and/or other medications that resist the deposit or growth of body tissues around the installed harness. As such, the harness reduces heart wall stresses, giving the heart an opportunity to begin healing, but will not form extensive scar tissue. In this embodiment, the harness is adapted so that it will dissolve after a period of time sufficient to rest the heart so that it can continue its work without developing worsening symptoms of disease. Since little or no scar tissue is left behind after the harness dissolves, the rested heart will not be restricted by such tissue.
As discussed above, it is anticipated that the heart will reverse remodel when a harness reduces cardiac wall stress. As such, the heart may be smaller when a bioabsorbable harness dissolves than when the harness was installed. In accordance with one embodiment, a new, smaller harness is then be placed on the heart, thus prompting further reverse remodeling. This process can be repeated as often as desired, until the heart has reached a desired size and health level. When the desired size is achieved, further harnesses may not be needed because the heart is healthy enough to maintain its size. Alternatively, a permanent harness may be installed to maintain the heart at the desired size. In a further embodiment, another bioabsorbable harness is installed, but without anti-tissue-growth drugs. As such, the heart becomes at least partially encapsulated in body tissues that will resist enlargement of the heart from the desired size. This helps the heart maintain the desired healthy size.
In still another preferred embodiment, foreign bodies are introduced about the heart so as to stimulate tissue growth that will at least partially encapsulate the heart. These foreign bodies need not be in the form of a cardiac harness, and need not impart any compressive force on the heart. However, these foreign bodies will stimulate fibrin/collagen or other tissue growth about the heart so as to at least partially encapsulate the heart in the tissue. The tissue will act as a sock or jacket to resist further expansion of the heart.
It is to be understood that such foreign matter can be bioabsorbable, but is not necessarily so. For example, the foreign matter can comprise a liquid or powder irritant specially adapted to stimulate fibrin or collagen growth. Such irritants may include shredded or powderized polyester or other plastics.
In the embodiment shown in
In a mammalian heart, the heart muscle cells in the base region tend to expand and contract in a generally transverse direction during pumping of the heart. In the apex region, the heart muscles tend to expand and contract in a longitudinal direction. Between the apex and base regions of the heart, the heart muscles generally expand and contract in directions between the longitudinal and transverse directions. In the embodiment illustrated in
A harness having the above-described directional configuration helps to decrease the workload of the heart, enabling the heart to more effectively pump blood through the patient's body and enabling the heart an opportunity to heal itself. It should be understood, however, that other arrangements and configurations of spring members can be used to create a mildly compressive force on the heart so as to reduce wall stresses.
In another embodiment, foreign matter or a cardiac harness can be arranged around the heart so as to stimulate tissue growth at specified locations and in desired directions. For example, matter can be placed so as to stimulate tissue growth in a configuration that generally follows the directional expansion and contraction of heart muscle. For example, in
Introduction and placement of foreign material around the patient's heart can be performed via minimally-invasive methods. Minimally invasive methods can also be used to install a Nitinol, woven and/or bioabsorbable harness around the heart. Even less invasive methods can be used to place loose or detached foreign matter about the heart.
As a patient's heart enlarges during congestive heart failure, the annulus of certain valves, such as the mitral valve, tends to grow with the heart. Eventually, the valve annulus may increase in size to a point at which the leaflets are not large enough to completely close the valve. Another factor contributing to valve dysfunction is that as the heart enlarges, the geometry of the heart changes somewhat. Portions of the heart, such as the papillary muscles, are moved outwardly from the leaflets to which the papillary muscles are attached via the chordae tendinaea. These papillary muscles may be stretched so much that they prevent the valve leaflets from adequately approximating each other during valve closure. As such, the leaflets will not be able to fully close, and the valve will leak. Such valve leakage simply makes the patient's heart problems worse.
As discussed in the above referenced application entitled "Heart Failure Treatment Device and Method", a harness or collar can be configured to exert a compressive force on specific portions of a heart so as to help prevent or diminish valve dysfunction. For example, a collar-type device can be specially configured to fit around the AV groove region of the heart.
With continued reference to
As discussed above, a cardiac harness applies a mild compressive force on a patient's heart. It is anticipated that embodiments of an AV groove collar 80 and papillary muscle band 75 will exert a more aggressive compressive force than a typical cardiac harness. In another embodiment, a permanent cardiac harness implant is coated with an irritant in the portions configured to engage the AV groove and/or papillary muscle regions of the heart so as to produce a more dramatic stimulus for tissue growth in these portions. Thus, tissue growth in the AV groove and papillary muscle areas of the heart will be increased, providing further resistance to expansion in these areas.
In another embodiment, a bioabsorbable woven or knitted AV groove collar 80 stimulates tissue growth in and around the AV groove so as to provide similar benefits without a permanent implant. A bioabsorbable papillary muscle band 75 is similarly provided. The AV groove collar and papillary muscle band can be used independent of one another or in conjunction with one another and either independent of or in conjunction with a permanent or bioabsorbable cardiac harness. For example, a papillary muscle band can be placed on the heart before or after installation of a cardiac harness.
In still further embodiments, an AV groove collar and papillary band can be incorporated into a cardiac harness so as to apply specially-directed forces to the specific portions of the heart and to create specific regions of increased tissue growth.
In still another embodiment, an AV groove collar and/or papillary band is constructed of a bioabsorbable material and is configured to exert a force on a patient's heart within a first force range. A cardiac harness is provided and is configured to exert a force on the patient's heart within a second force range. The first range of force, which is to be exerted by the papillary band or AV groove collar, is greater than the second range. As such, when the combination is installed on the patient's heart, a greater force is exerted at the AV groove or papillary band region of the heart than elsewhere. As time passes and the collar or band is absorbed, the applied force on the heart becomes more equalized. This arrangement enables treatment of acute valvular dysfunction by applying a greater degree of force in one area of the heart than is needed for the rest of the heart. Over time, as the rest of the heart remodels, no extra force is needed to treat valvular dysfunction and, in this embodiment, is no longer exerted.
In a variation of the above embodiment, the AV groove collar and/or papillary muscle band is formed from a bioabsorbable material and is configured to have a maximum dimension beyond which the collar/band will not deform. As such, a selected portion of the heart can be constrained to a specific size while not so constraining the rest of the heart. This enables more passive treatment of the heart as a whole while addressing an acute issue. It is to be understood that, in other embodiments, a bioabsorbable member can temporarily apply a targeted, increased force in a desired portion of the patient's heart while an accompanying cardiac harness provides a more even, mild and permanent compressive force over a larger portion of the heart.
In the embodiments described above, the cardiac harness preferably applies a mild compressive force on the heart in order to achieve therapeutic benefits. An applied force or pressure within a therapeutic range is defined herein as a pressure of sufficient magnitude that, when applied to an organ such as the heart, results in a benefit to the organ. In one embodiment, the therapeutic range for a cardiac harness is between about 2–20 mmHg. More preferably, the therapeutic pressure is about 5–15 mmHg.
With next reference to
In the illustrated embodiment, the cardiac harness exerts a pressure in response to strain of the harness. For example, if the harness is strained about 100%, it will exert about 10 mmHg on the heart. As the heart becomes smaller as a result of reverse remodeling, the percent strain of the harness will decrease, and the corresponding pressure exerted by the harness also will decrease. In the preferred embodiment, the harness is configured so that the applied pressure varies relatively little over a broad range of deformation. As such, the harness provides a therapeutic pressure even after the heart has reverse remodeled extensively.
For example, with continued reference to
In accordance with another embodiment, the harness represented by the test data of
Although this invention has been disclosed in the context of certain preferred embodiments and examples, it will be understood by those skilled in the art that the present invention extends beyond the specifically disclosed embodiments to other alternative embodiments and/or uses of the invention and obvious modifications and equivalents thereof. In addition, while a number of variations of the invention have been shown and described in detail, other modifications, which are within the scope of this invention, will be readily apparent to those of skill in the art based upon this disclosure. It is also contemplated that various combinations or subcombinations of the specific features and aspects of the embodiments may be made and still fall within the scope of the invention. Accordingly, it should be understood that various features and aspects of the disclosed embodiments can be combined with or substituted for one another in order to form varying modes of the disclosed invention. Thus, it is intended that the scope of the present invention herein disclosed should not be limited by the particular disclosed embodiments described above, but should be determined only by a fair reading of the claims that follow.
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July 31, 2015
30 Dec 2012
This year, NBC brought the magic — and backstage drama — of Broadway into households around the world with the new musical drama "Smash." Here, Playbill Video looks back at "Smash" coverage from 2012, including interviews with the cast and creatives, performances from Megan Hilty, Christian Borle and more.
Playbill Video visits "Smash" on set:
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25 Jun 2015 -- Marriage! Prison! Scarves! Where Are the Characters of "Smash" Now?
22 Jun 2015 -- "Smash" Musical Bombshell Headed to the Stage
09 Jun 2015 -- "That Went Well, Right?" — A Recap of How Bombshell Stormed Broadway
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Johnsburg The Johnsburg Town Board on Tuesday, May 15 agreed to proceed with asbestos testing at one of three buildings at Riverfront Park.
Town Councilwoman Katie Nightingale, who also sits on the Riverfront Park Committee, said the testing is necessary to determine the fate of the middle building at the site. Nightingale described the building as "falling down" and said the committee received an estimate of $150,000 to stabilize the building. That sum would not restore the building, but rather, would stabilize it and prevent it from falling down further.
Whether the town ultimately decides to restore the building or tear it down, it will need to know whether there is asbestos present, Nightingale said.
"Either way, we'll need to know," she said adding that the testing is an important first step in the decision-making process. If the town wishes to simply stabilize the building and leave it, testing isn't necessary. But that option seems unlikely, she said.
The testing will be paid for, on a reimbursable basis, through a First Wilderness Heritage Corridor grant. The town acquired the park, formerly known as the Kellogg property, from the Open Space Institute. As part of that transaction, the First Wilderness Heritage Corridor grant came with it.
Riverfront Park is located southeast of the North Creek Train Station between the railroad tracks and the river. According to its website, the First Wilderness Heritage Corridor master plan envisions several possibilities for Riverfront Park including a New York State ski museum and/or ski hall of fame, an Adirondack cultural museum and visitor center and a farmers' market. The North Creek Farmers' Market already uses the property on Thursdays (3-6 p.m.) and will be held from June 14 to Oct. 4 this year.
But first the committee must decide the fate of three buildings on the property. The middle building is in the worst condition and therefore is the first to be evaluated.
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Bill Ruddy passed away this week after a battle with cancer. He was 76 years old.
Ruddy came to Alaska in 1964 to work for the state attorney general's office, recruited from the Federal Maritime Commission to evaluate Alaska steamship contracts.
He later joined local law firm Robertson, Monagle, Eastaugh and Annis, then in 1986, Ruddy, his wife Kathy Kolkhorst, and Jim Bradley opened Ruddy, Bradley & Kolkhorst law firm.
After the fall of the USSR, Ruddy used his knowledge of Russian language and experience in the Russian Far East to open an American law firm in Vladivostok.
He and his wife Kathy purchased the Princeton Hall in 1978 then renovated the old wooden boat. It was built by Sheldon Jackson College students, lauched just before the attack on Pearl Harbor, and seized by the U.S. Navy. After World War Two, the boat returned to Southeast Alaska and used by the Presbyterian Church to link island villages. Since restoration, the Princeton Hall is a member of the Classic Yacht Association.
Memorial services for Bill Ruddy are Thursday, at 3 p.m. at Chapel by the Lake.
Donations in his name can be made to Multiple Myeloma Research Foundation Inc. and Hospice and Home Care of Juneau.


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And the winners are . . .
Jean Lefebvre
February 02 2010 10:55AM
Typically, the first thing we try to do in the monthly Northwest Division Awards is determine which of the group's Canadian entries has been the best over the past 30 or 31 days.
Oilers Vs. Hurricanes Postgame: What's A Win?
Jonathan Willis
February 01 2010 10:29PM
Edmonton Oilers: 4
Carolina Hurricanes: 2
February 01 2010 10:04PM
GDB LIV: What a difference a goalie makes!
Jason Gregor
February 01 2010 01:41PM
Eight days ago tonight's game looked like an epic battle for 30th place, but after four straight wins the Hurricanes are seven points ahead of the Oilers. Have the Canes being playing great hockey all of a sudden? Not really, but their goalie, Sherwood Park native Cam Ward sure is.
The Hurt Continues
January 31 2010 04:12PM
We'd rather jam a nail into our eye and wiggle it around until we passed out from the pain than discuss the Oilers and Flames game Saturday night. We would rather pull that same nail out and sprinkle drops of lemon juice into the open wound than think about the implications of being swept in a seasonal series by the Flames and being so far down the Conference Standings that the Oilers could soon be technically eliminated from the 2010/11 playoffs too.


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TGIF, Weekend Outfit
Thank god the weekend is here. I am sure we are all ready to chill get somethings done unwork related. As we are in the midst of the winter we are here to lead the way to warm and fashionable dressing. This outfit is perfect for running errands, catching the game, and going to visit your girl. There is nothing we like more then a pair of fresh kicks and a t- shirt.
Canada Goose Calgary Jacket
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Band Of Outsiders Beanie Bobble Hat
Stay ahead of the game with Band Of Outsiders' dark green and navy beanie bobble hat. This wool design features a stylish striped trim and will lend cold-weather looks a dash of preppy cool.
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Alexander McQueen Skull Embroidered Fine Knit Cashmere
Detailed with the label's iconic skull motif, Alexander McQueen's black cashmere cardigan will give an effortlessly cool touch to every outfit you wear it with. Layer this fine-knit piece over a polo shirt and slim-fit jeans for a no-nonsense ensemble with flair.
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Champagne In The Morning T- Shirt
'Champagne in the Morning', this the way of living according to Selwyn Senatori. This sentence is important in many of the art and paintings this dutch artist makes. By Champagne in the Morning you think of a luxurious hotel with roomservice in te morning, or a great party last night and you didn't go to bed or just every morning you celebrate life! The Champagne in the Morning shirts are exclusive and a must for every guy and lady who lives their lifes to the max!
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Balenciaga Slim Fit Denim Jeans
Balenciaga is renowned for a refined and progressive approach, and these black denim jeans are a case in point. With concealed fastenings and blackened hardware, this minimalist pair is a sleek, contemporary take on a wardrobe essential. The narrow fit will ensure you cut a streamlined silhouette – wear them to balance boxy bomber jackets and complete a cool urban look with leather sneakers.
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Supra S1W
This new, high performance, mid top comes with a lightweight, cored out, cup sole that features a new SUPRAFOAM® footbed with impact technology. Extra protection and comfort is provided by the padded side gill design, as well as the ankle protection pod, which is perforated for breathability. The padded heel-pull insert delivers both functionality and added comfort.
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Michelle Maslanka | Elite.


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Posted On:7/05/2009 10:35pm
Originally Posted by maofas
The proper way to watch grappling is to boo and yell "STAND THEM UP" at your TV if they've been on the floor longer than .02s without a KO.
I thought the proper way to watch grappling is to stand with your back to the cage, beer in hand, and scream into the camera as it pans the crowd. Advanced grappling watchers also get into drunken fights in the parking lot after the event.
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These items cannot be shipped to a Washington state address.
Can't say enough about this wonderful blend. The burley has a great slightly creamy, woody, sweet note that pairs wonderfully with the bold, tangy fruit flavors of the perique. Full flavored but with no real bite. Truly a unique and enjoyable blend


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Felix Rey
Antigua Straw Clutch
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- Large clutch bag
- Straw with shell and raffia design on front
- Felix Rey logo plate on back
- Flap opening with magnetic snap closure
- Cotton interior lining with two slip pockets
- Body length 11 inches; height 7 inches; width 2 inches
Material: Straw, Raffia
Brand: Felix Rey
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Wednesday, April 17, 2013
A reward is being offered for information that leads to the arrest and conviction of whoever is responsible for committing the federal crime of vandalizing the Georgetown Lighthouse last week.
According to David Browne with the U.S. Coast Guard, several structures on North Island, including the lighthouse, were broken into. The crimes were discovered by the Department of Natural Resources April 9.
The next day the Coast Guard investigated and saw two locks had been cut off the lower door of the lighthouse and another had been cut off the hatch to the lantern room, where the spotlight is located.
The lighting equipment was damaged to the point that the light is inoperable. The power cables were pulled out and some parts were burned.
Browne said its likely the person received a shock which may be why the power cords were tampered with and what caused the equipment to melt.
The glazing lens and five lightbulbs were stolen. Browne said without the lens, the light shines straight up and not over the water. Several piles of beer cans were found inside the lighthouse.
Browne said because the lighthouse is on the National Register of Historic Places, and the lighting equipment is owned and maintained by the Coast Guard, the vandalism and theft is a federal crime.
He said the penalty for such vandalism is a maximum of up to 20 years of imprisonment and as much as $2,500 fine per day for each violation.
An investigator from Charleston has been looking into the case, Browne said.
The lighthouse was built in 1811 and is a popular attraction for boaters.
Anyone with information about the vandalism and theft should call the Sheriffs Office at 546-5102.
By Scott Harper
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Manchester Art Gallery Trust is a charity that supports the good work of Manchester Art Gallery. Each year we must raise nearly half of our funding. We depend on the support of companies, individuals and grant making trusts and foundations to help us continue to care for, display and grow our exceptional collection of fine and decorative art.
Annually the gallery welcomes around 400,000 visitors, including nearly 52,000 families, young people and adults who participate in education and community projects. Our generous supporters help us to host 4 major temporary exhibitions per year, purchase new art works for the collection and enables us to refresh our renowned collection displays. With your support you can help us to inspire our current and future visitors and enable us to continue to provide access for everyone to appreciate the riches of the city's art collection.
We rely on donations of all sizes and there are many ways you can support our work and receive some excellent benefits, to bring you or your company closer to the art. Please read on to see how you can get involved or contact a member of the Development team to learn how your donation can make a real difference.
Tel: 0161 235 8873 or
Email: firstname.lastname@example.com
Donations and income raised through the galleries fundraising initiatives is gifted to Manchester City Galleries Trust, an independent charity that fundraises to support the good work of Manchester City Galleries. Registered Charity Number 1048581.


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Chinese Olympic officials said yesterday they supported bans on athletes engaging in political protests. "I hope that the Olympic spirit will be followed and also the relevant IOC regulations will be followed in every regard," said Sun Weide, spokesman of the Beijing Organizing Committee for the Olympic Games. Sun's statement came in the midst of an uproar over the attempted gagging of British athletes.
On Saturday, the Mail, the London paper, reported that athletes qualifying for the British Olympic team would be required to sign a contract preventing them from speaking out on "any politically sensitive issues." Athletes not agreeing to the ban of the British Olympic Association would not be allowed to travel to Beijing. Those who broke the ban while at the Olympics would be shipped home on the next available plane. On Sunday, British Olympic chief Simon Clegg said, in the face of widespread condemnation, that he would review the wording of the contract and agreed that the proposed language "appears to have gone beyond the provision of the Olympic Charter."
The Olympic Charter forbids demonstrations or propaganda at Olympic sites, but the British ban would have gone further, especially if viewed in the context of China, where most topics are considered "political" and virtually everything is "sensitive." A British competitor could have found himself on the first flight home for commenting on, for instance, polluted air or tainted food.
Up to now, only Belgium and New Zealand have prohibited political opinions from their Olympic athletes. Clegg's hasty retreat means that, unlike in 1938 when the British soccer team was forced to give the stiff-armed Nazi salute in Berlin, the British will not, in the words of former sports minister David Mellor, be "sucking up to dictators."
Chinese dictators, no matter how obsessive or efficient, will be unable to stage a politics-free Games on their own. They will need help in suppressing democracy advocates, Tibetan activists, and Falun Gong adherents, and so far some Western nations seem willing to lend a hand. Unfortunately, it does not appear that we can engage China's rulers without being compromised by them. At least there is now one reason we can thank the craven and utterly reprehensible British Olympic Association. Simon Clegg and his colleagues show us that sometimes the price of good relations with bad leaders is much too high.


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Monrovia — An American Non Governmental Organization [NGO] Trusted Angles Foundation has donated nine solar energy power plates to an orphanage home in Buchannan Grand Bassa County.
The Mission for Disable and Unfortunate Children (MODUC) is a home for orphans and disable children who were neglected and abandoned by family members.
The solar power project which is intended to provide electricity to the MODUC orphanage home was initiated by Trusted Angles Foundation Director of Children Service Megan Scott who during her visit in Liberia, January of this year saw the need for light at the home, for orphans to be able to live better life despite their condition.
Back in the United States Scott begin fund raising for the solar power project in which philanthropist like Mike Weir, Glen Meakem and Robert N. Peirce decided to sponsor the project.
"We raised money for the past couple of months with our donors to begin the solar system project", Scott said.
Scott continued:" I came to Liberia for the first time and that was in January and I visited this place [orphanage] and saw the need for the children to have all life can offer."
According to Scott the solar energy power system to the orphanage is phase one of the project adding that in October Trusted Angeles is hoping to do more.
Scott furthered:"This is the first phase of this project and we are doing the second phase in October to give them more power so that they can learn, we hope to have a water tower in the future and Television, I hope it work for them."
The nine solar powers are valued over fifteen thousand United States dollars according to the philanthropist and it was installed by Pickering Energy Solution.
An Orphan at the Home Philip Charles thanked, the sponsors and Trusted Angles Foundation for the solar power project adding that lights will enable them study at night.
"I am very happy with the light because it gives us more time to study and sometimes at night the rogue want to break in the light will clear the place so that they cannot come around", Charles said.
Charles continued: "I want to give thanks and appreciation to them[sponsor] that they were able to give their money and time to provide the light for us, I am happy."
The head of the orphanage home Mary Beh said, the solar power will be used to light the mission and for recreation.
"We will use this for light and recreation, we will be getting video for children to watch educative movies, this is orphanage and a school, we have forty-three children in the orphanage and the school has over six hundred children," Beh said.
"I just don't have words to say for this blessing that has come to us I am grateful to those that sponsor this project," Beh continued.
Madam Beh recounted, that the orphanage Home was established about eighteen years ago adding that it was for the purpose of catering to children who were abandoned or lost their parents.
"I began this orphanage in 1996 during the war when children were roaming all around and my two sons has gotten lost and died in the war one was handicap we felt that there were lots of children who would need attention some of them are motherless, fatherless, some of them were one day old," Beh said.
Beh continued: "I'm hoping that the children will take advantage of the opportunity and want to go higher and want to take this school from primary level to secondary level."
The head of the orphanage called on other philanthropist to follow the good example of Trusted Angeles Foundation and the sponsor of the solar energy project.
"I want more support to the children so that they can be good citizen for tomorrow, pay tuition for them, Beh added.


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Gospel concert set for June 8
Get ready for a Gospel Explosion.
The Religious Ministries Team at Naval Base Ventura County is hosting a gospel concert Saturday, June 8, from 5 to 7 p.m. in the Seabee Chapel courtyard.
The event is free, and everyone with base access is invited to bring a picnic dinner and picnic blanket to enjoy the music.
Local praise groups have been invited to perform.
For more information, call the Seabee Chapel at 982-4358.


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The Observation Deck
A blog of opinions on local, state and national issues
Posts filtered on Tag
Narnia mystery a story in waiting
It's the 50th anniversary of C.S. Lewis's death, and we still don't know the fate of Susan Pevensie, a character whose absence in the last book of the Narnia Chronicles upset readers and prompted the author to challenge a fan to write about Susan's journey, says Jeremy Lott in Real Clear Religion. [Read More]


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DALLAS (AP) - Monta Ellis scored 22 points, and the Milwaukee Bucks spoiled Dirk Nowitzki's first game in nearly 10 years with at least 20 points and 20 rebounds with a 95-90 victory against the Dallas Mavericks on Tuesday night.
Ellis twice put the Bucks ahead in the final 2 minutes, the last time on a jumper for a 92-90 lead with 1:03 remaining.
Nowitzki had 21 points and 20 rebounds for the Mavericks, who had two chances after Ellis' go-ahead basket. Vince Carter missed a 3-pointer and Darren Collison's wild shot on a drive wasn't close.
Nowitzki's last 20-20 game was April 3, 2003, against the Los Angeles Lakers, when he had 25 points and 22 boards.
J.J. Redick, playing his second game in Dallas in six days but in a different uniform after he was traded from Orlando to Milwaukee, had 14 points and Mike Dunleavy added 13.
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Neither defensive tackle Haloti Ngata (knee) nor wide receiver Marlon Brown (knee) will play Sunday against the Bears. Both players were on the Ravens inactive list that also included safety Omar Brown, running back Bernard Scott, wide receiver Brandon Stokley, center Ryan Jensen, and linebacker John Simon.
Ngata injured his knee during last week's game against the Bengals. Even though he returned to that game, the injury bothered him throughout the week, and he only practiced Friday on a limited basis. Brown was added to the injury report Friday, and he was limping during pre-game warmups.
Without Ngata, the Ravens will rely on Arthur Jones, Chris Canty, DeAngelo Tyson, Brandon Williams, and Terrence Cody on the defensive line. Jones and Tyson both had excellent games against the Bengals last week.
Without Brown and Stokley, the Ravens will only dress four wide receivers – Torrey Smith, Jacoby Jones, Tandon Doss, and Deonte Thompson. However, it was good news for the Ravens that cornerbacks Jimmy Smith and Lardarius Webb were active. Both have been bothered by hamstring injuries.


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Some of my last PS2 concepts
Recent Posts
Recent Comments
It has a pretty cool loading mechanism. The front housing lifts up and the cylinder splits in half and pulls out. The halves then rotate for easier loading.
The last look at the studio. I'm moved out now, the paintings packed away and the easel sold. So to all the artists, friends, and patrons, who came to visit, chill, and even collab with me through out the years, thank you. Thank you for giving me some of the best moments ever.
I will still have art up in the gallery hallway. I plan to work from home for now, so expect to see some new smaller pieces in a month or two.
"Piece of the Pie"
Acrylic on Canvas
Did this piece for Distinction Gallery's "8th Year Anniversary – Studio Artist Show"
Opening Juy 14th
I didn't realize my A.D. has been tweeting concept art from Planetside 2. Here are some pieces I did a couple weeks before E3, which got built in time for the show:


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The red carpet at tonight's Emmy Awards contained very few duds and a whole lot of "dayum!" Underdog and relative red carpet rookie Aubrey Plaza took our crown for Best Dressed in her Juan Carlos Obando white gown and retro fabulous hair. The Vampire Diaries' Nina Dobrev was a close runner-up in a dramatic, hourglass supreme Donna Karan. Best Actress in a Comedy Series winner Julie Bowen dazzled in an uber deep v-neck Oscar De La Renta and we loved Amy Poehler's unique Peter Som navy frock.
Star of tomorrow and Best Dressed honorable mention Kiernan Shipka confirmed she will essentially be a teenager by the time Mad Men returns in an adorable metallic dress and glittery heels. Check out our 15 Best Dressed at the 2011 Emmys below! [Photos: Getty Images]


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WSIU InFocus Recipes
Potato Latkes
Provided by Ruth Grater, Carbondale, IL
|Makes about 30 2-1/2 inch latkes
|2 lbs
|Yellow potatoes (Yukon Gold preferred)
|Medium sized onions, peeled and cut into chunks
|1/4 to 1/2 cup
|Matzo Meal
|2 tsp
|Oil for frying
• Scrub the potatoes, but you don't need to peel them.
• Cut half of the potatoes into chunks.
• In a food processor using the steel blade, process batches of the potatoes including a handful of onions in each batch.
• Place the potato onion mixture in a mesh strainer over a bowl to drain.
• Using the grating blade of the food processor, grate the remaining potatoes and place in another sieve.
• Mix and press the finely chopped potatoes to remove as much liquid as possible, then pour off the liquid leaving the remaining starch.
• Mix the finely chopped potatoes back into the starch.
• Add the eggs, Matzo meal, and salt.
• Add the grated potatoes and mix well.
• Heat a frying pan with 1/4 inch of oil until shimmering or use an electric frying pan set at 375 degrees.
• Fry one small pancake and check the salt level, adding more if necessary.
• Place about 1/4 cup of the potato mixture into the pan an press down lightly to form an approximate circle. You can get 5-6 latkes in the pan at one time.
• Fry until crisp and golden, about 3-4 minutes, then turn and fry the other side another 3-4 minutes.
• Drain on paper towels.
• Continue making more batches until all the batter is used.
• As you make the latkes, transfer them to a baking sheet and keep them warm in the oven as you make more batches.


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Planes 2: Fire & Rescue
Posted: August 20, 2014|
- Date(s):
- Location:
- Details:
- During a flight with his mentor Skipper, Dusty Crophopper suffers a malfunction and learns that his gearbox is failing. Unfortunately, the model of his gearbox is now out of production, so Dusty must limit his revs or risk a fatal crash.
Price: £8.30, Mon-Fri before 5pm £7.20, NUS/OAP/concs £6.30, family £24-£26.20, Tue £5.80, Kids Club £1.50, 3D Films additional £2.10, concs £1.50, 3D glasses 80p
Times: Fri/Mon-Thu mat 10.35 12.40; Sat/Sun mat 10.35 12.10
Cineworld Burton Upon Trent Middle Yard Leisure Park, Guild Street,Burton-on-Trent,DE14 1NQ
0871 200 2000
Book a Cab
Local World In Partnership with Minicabit. Easily plan your local or long distance trip by instantly comparing prices from hundreds of licensed cab operators. Now you can book the cheapest and most convenient way to get to your destination in cities, towns and airports across the UK.


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The goal of PBIS is to promote and teach appropriate pro-social skills and behaviors to maximize academic success for all students.
PBIS is an acronym for Positive Behavior and Intervention Supports. It is a school-wide integration of:
- A systems and process approach for teaching behavior
- A continuum of behavioral supports
- Prevention focused efforts to reduce behavioral problems
- Specific instruction of academic and personal/social behavior
- Research-based practices
- Ongoing use of data to make decisions regarding needs and successes at the building level
Positive behavioral support is an approach to enhance the capacity of schools, families, and communities. PBIS improves the link between practices and the environments in which teaching and learning occurs. Attention is focused on creating and sustaining primary (school-wide), secondary (classroom), and tertiary (individual) systems of support that provide positive results (personal, academic, health, social, family, work, recreation) for all children and youth by making desired behavior more functional, and problem behaviors less effective.
PBIS offers three tiers of behavioral supports to students. In the first tier, behavioral expectations are established and taught to all students. In the second tier, students needing additional support are offered group level interventions. Students needing significant support for behavioral challenges are provided evidence-based interventions tailored specifically to their needs in the third tier.
In the past, school-wide discipline has focused mainly on reacting to the specific student misbehavior by implementing punishment-based strategies including reprimands, loss of privileges, office referrals, suspensions, and expulsions. Research has shown that the implementation of punishment, especially when it is used inconsistently and in the absence of other positive strategies, is ineffective. Teaching, modeling, and reinforcing positive social behavior is an important step of a student's educational experience. Teaching behavioral expectations and rewarding students for following them is a much more positive approach than waiting for misbehavior to occur before responding. The purpose of school-wide PBIS is to establish a climate in which appropriate behavior is the norm.


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Our Lawsuites-Tribeca executive offices located at 305 Broadway make up the 7th, 9th, and 14th Floors. Conveniently located just one block from the City, State, and Federal Courts, City Hall, and Federal Plaza.
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Located directly across from the iconic Wall Street "Bull", we occupy 12,000sq" of executive office space on the 21st Floor of the historic Standard Oil Building, right in the heart of the financial district. The 21st floor in the building, which was completed by the Rockefellers in 1928, features the elegant Rockefeller Boardroom with many of its flourishes still intact. Located only a block away from the Bankruptcy Court. Boasting beautiful views of the Hudson and Lady Liberty our executive offices are also just a short walk to the Staten Island Ferry.
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The Increasing Visibility of Driver Health
The Ever-Expanding Scope of Social Media Discovery
Wearables and the Future of Intellectual Property Law
BakerHostetler Partner Paul Karlsgodt Discusses Privacy Class Actions
BakerHostetler Partner Alan Friel Talks Big Data and Data Collection
Wearable Technology: A Perfect Fit For Litigation
Reigniting their previous bipartisan attempts to amend the Children's Online Privacy Protection Act (COPPA) and add greater privacy protections for children and younger teens, U.S. Senator Edward Markey (D-Mass.) and Rep. Joe...more
Earlier this year Google launched an app called YouTube Kids, which it describes as offering "popular children's programming, plus kid-friendly content from filmmakers, teachers, and creators all around the world." In...more
We read every day about the myriad of purposes for which enterprises are embarking on Big Data projects. Securing C-suite buy in and funding may be a significant endeavor, as is implementing an analytic approach to yield...more
"How did we have sweepstakes before Facebook?" That question, which I heard during a call last week, summarizes the tremendous impact that social media has had on the use of sweepstakes and contests. These promotions are more...more
Yik Yak arrests. For several months now we at Socially Aware have been writing about how college students have been using the purportedly anonymous messaging app Yik Yak to communicate deeply offensive remarks and threats of...more
As online activity shifts to mobile devices, regulators are watching. Last week, Yelp agreed to settle a claim with the FTC for $450,000 for its alleged violations of the Children's Online Privacy Protection Act (COPPA). As...more
The Federal Trade Commission (FTC) has made good on its promise to actively enforce the recently amended Children's Online Privacy Protection Act (COPPA). Here is what you should know about the latest enforcement actions...more
As we predicted in prior blog posts, the Federal Trade Commission has begun its vigorous enforcement of the Amended COPPA Rule. And one of the players is not a child-related site, so read on. The Commission just announced ...more
The Federal Trade Commission (FTC) has announced that it approved iKeepSafe's Safe Harbor Program application, allowing the company's self-regulating framework to serve as a safe harbor under the Children's Online Privacy...more
The Federal Trade Commission announced that it has approved a new method for companies to obtain parents' verifiable consent for online collection and use of children's personal information under the Children's Online Privacy...more
Of all the "Days of Privacy" looking forward to 2014, we believe that the issues surrounding mobile applications and privacy will see some of the most intense regulatory focus …. read on, and be prepared…....more
Significant compliance obligations with children's privacy rules!
Last December, the FTC gave to us the long awaited (or maybe not so much by covered entities!) final amendments to the 14-year old Children's Online...more
FTC Shoots Down COPPA Compliance Request Based on Social Networking -
The Federal Trade Commission has denied an application from AssertID seeking the agency's approval of a proposed method of verifiable parental...more
Child-Directed Sweepstakes Ran Afoul of COPPA -
A sweepstakes conducted by a magazine for tween girls raised concerns under the Children's Online Privacy Protection Act, the Children's Advertising Review Unit...more
I've hesitated to write this post because the law is always changing and you can't cover it all in one blog post (thank goodness for linking). I did a presentation to the Houston Interactive Marketing Association this week...more
New technologies enable marketers to collect and analyze more — and more specific— data than ever before. Marketers can track consumers across the internet and mobile applications, and can deliver advertising based on...more
California became the first state to sign into law a bill that requires websites and apps to provide an "eraser button" to its users under the age of 18. The law, S.B. 568 signed by California Governor Jerry Brown, has two...more
On July 1st of this year, new amendments to the Children's Online Privacy Protection Act Rule (COPPA Rule) came into effect, with perhaps the most pronounced changes being the expansion of COPPA to apply to geolocation...more
New amendments to the Children's Online Privacy Protection Rule go into effect today, July 1, 2013. Amongst the significant changes introduced by the new Rule, the newly expanded definition of "personal information" and new...more
What is COPPA?
The Children's Online Privacy Protection Act of 1998 (COPPA), and the COPPA Rule, 16 C.F.R. Part 312, promulgated by the Federal Trade Commission (FTC) under that Act, require that website operations...more
A Friendly Reminder from the FTC: You May Be in Trouble -
Continuing the countdown to the effective date of the amended Children's Online Privacy Protection Act Rule, the Federal Trade Commission sent "educational...more
The FTC posted on its website an updated version of its COPPA FAQs. (The FTC amended its COPPA Rule in December 2012, which we summarized in this Alert.) The deadline for complying with the amended COPPA Rule is July 1, 2013....more
Regulators have historically taken a reactive approach to privacy and information security issues related to websites and mobile apps, often waiting to take action until a potential violation has been brought to their...more
The Federal Trade Commission has made it quite clear that it is serious about advising mobile app developers that the rules of the road will be changing very soon. Since 2011, the Commission has been working to update the...more
Today, the FTC sent more than ninety (90) "educational" letters to domestic and foreign businesses whose Web sites and online services (including mobile apps) appear to collect personal information from children that are 12...more
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Home > Seminar rooms at AHHAA Science Centre
Official tourist information website
Home > Seminar rooms at AHHAA Science Centre
Source: http://www.ahhaa.ee/et/ruumide_rent
The Lektoorium conference room with its inclined floor can accommodate conferences for up to 150 people. It also has an interpretation booth. The room is equipped with modern conference facilities.
Welcome to Estonia
European Union Structural Funds


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Mayfair Games Promo ProgramFeb 19, 2013
As part of Mayfair Games' continuing program to support the hobby trade, we are pleased to announce the next pre-order bonus expansions for Road Rally USA™ as well as our new poster program, which is coming soon to your friendly neighborhood hobby retailer.
- Limited edition expansions: When you pre-order Mayfair Games from your hobby retailer, you receive exclusive promo tiles containing mini-expansions for at least three Mayfair Games. As a pre-order bonus for Zen Garden™ the promo tile sheet includes variants for Bacchus' Banquet™, Family Business™ and Zen Garden™. As a pre-order bonus for Road Rally USA™, the promo tile sheet includes variants for Ablaze™, Elkfest™ and Road Rally™!
- Posters (NEW!): Mayfair's new poster program will release 2 posters with each new product. One 22" x 34" poster will highlight the new release and the second poster will focus on backlist or an existing product line. The first two are Zen Garden and Empire Builder.


text: Print World Health Organization report on dementia 2012 Landmark data from the World Health Organization (WHO) and Alzheimer's Disease International (ADI) in their report Dementia: A Public Health Priority show that around the world a new case of dementia occurs every four seconds. That is the equivalent of 7.7 million new cases each year. In the words of global health expert Dr. Peter Piot, dementia is a 'ticking time bomb.' The report challenges world governments to replicate some of the solutions and approaches already adopted by countries to tackle the skyrocketing numbers of dementia affecting 35.6 million people worldwide. To date, eight countries have created national Alzheimer's plans: Australia, Denmark, France, Korea, the Netherlands, Norway, the United Kingdom (within the UK, England, Scotland, Wales and Northern Ireland each have plans) and, most recently, the United States. In India and other countries, plans developed by "civil society" may shortly become government-endorsed. FAQ's about the WHO report Media release Why not Canada? The Alzheimer Society is urging Canada to get on the world map and develop its own plan. In 2010, we sounded the alarm with our own seminal report, Rising Tide: The Impact of Dementia on Canadian Society. In 2012, we released A new way of looking at the impact of dementia in Canada. Read about the sharp rise in the number of Canadians with cognitive impairment, including dementia. Key findings Key statistics from the WHO report include1: The number of people living with dementia worldwide is currently estimated at 35.6 million. This number will double by 2030 and more than triple by 2050. Between 2% and 10% of all cases of dementia start before the age of 65. The prevalence doubles with every five-year increment in age after 65. The total estimated worldwide costs of dementia were US$ 604 billion in 2010. In high-income countries, informal care (45%) and formal social care (40%) account for the majority of costs, while the proportionate contribution of direct medical costs (15%) is much lower. Dementia is one of the major causes of disability in later life. It accounts for 11.9% of the years lived with disability due to a noncommunicable disease. It is the leading cause of dependency (i.e. need for care) and disability among older people. Footnotes World Alzheimer Report 2012, A public health priority. (2012). World Health Organization (WHO) Last Updated: 04/14/14 Back to top↑


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HAZARD — A Perry County man who escaped from a jail work detail in Perry County Park almost a month ago turned himself in to authorities in Hazard on Friday.
James Herald, 33, of Combs, ran away while part of a detail cutting weeds at the park on July 3. A search effort involving both the Hazard Police Department and the Perry County Sheriff's Office took place after he was found to have escaped. After several hours of searching, authorities were unable to locate him and continued working the case for several weeks.
Herald turned himself to the Kentucky State Police on Friday at 1:20 p.m., according to an official at the Kentucky River Regional Jail in Hazard. He was arrested by Detective Randy Combs before being taken back to the jail.
Herald was 33 days into a one-year sentence for shoplifting and public intoxication, according to court records. These cases date from 2011 and 2012. However, with his new charge of second degree-escape he could be facing up to an additional five years in jail.


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While a mouse-and-keyboard setup is often optimal for PC gaming, there are times when you just want to plug in a gamepad and use it instead.
Games like Dark Souls and Tomb Raider and even—and this is all in my own, humblest of opinions—The Witcher 2 all feel better with controller in hand. And for all of these games, I tend to use an Xbox 360 controller.
Now, however, that may change. Microsoft's Major Nelson announced today the "early access" release of PC drivers for the Xbox One controller. While the official Windows update isn't out yet, you can download the drivers at MajorNelson.com and plug your Xbox One controller in starting today.
The two gamepads aren't all that different, to be honest, but for those of you who prefer the Xbox One controller to its last-gen counterpart, this is good news. For my part, I'll give it a whirl just to try out Dark Souls II with a new-gen gamepad, and wish a little forlornly to myself that the game had been designed with the PS4 and Xbox One in mind. Perhaps that would have averted the graphics downgrade for that title.
Microsoft has more announcements in the wings, many of which we'll learn about next week at their E3 2014 Media Briefing. Stay tuned on Monday, June 9 at 9:30 PST for that and the rest of Forbes' coverage of this year's E3.
Both Microsoft and Sony really need to hit this E3 out of the park. Between game delays and just a general dearth of games on new-gen systems, gamers need something to look forward to—preferably something that's not being pushed back into 2015.
Download the Xbox One controller PC drivers here.


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62 Shouts - 60,877 Scrobbles
Seduced by Suicide is Earth's (also a Blood Tears' member) gothic rock project formed in the end of 2004 under the influences of The Sisters of Mercy, HIM, David Bowie, Garbage, Type O Negative, Poisonblack, Marilyn Manson as well many other icons of dark/gothic music. During the second half of 2005, Seduced by Suicide worked in the production of Gothic Dream, the band's first MCD, with five new songs, released in January/2006.
Read more about Seduced by Suicide on Last.fm.
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Possible Justice For Biggie Smalls
Biggie Smalls was gunned down in L.A. after a music industry party at the Petersen Automotive Museum. Now thirteen years later, police are reopening the case. Fueled by new information, the police have actually set up a task force and are actively pursuing new leads. The Wallace family attorney Perry R. Sanders Jr. told TMZ that they are "greatly pleased with any advancement" of the murder case — but they don't want to get too involved. Sanders explains the family wants to "make certain [they] don't interfere in the investigation" … adding, "Their number one concern has always been the resolution of the criminal investigation."


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In today's Washington Post, Eugene Robinson has an op-ed on Hillary's recent boast about getting white voters and what it says about her:
As a statement of fact, that's debatable at best. As a rationale for why Democratic Party superdelegates should pick her over Obama, it's a slap in the face to the party's most loyal constituency — African Americans — and a repudiation of principles the party claims to stand for. Here's what she's really saying to party leaders: There's no way that white people are going to vote for the black guy. Come November, you'll be sorry.
How silly of me. I thought the Democratic Party believed in a colorblind America.
He did? Perhaps someone can pull Eugene Robinson aside and lend him some footage from the past year. From the Clintons' race strategy to Obama's racial justification of Jeremiah Wright to John Kerry's political faith in Obama's melanin count, the one thing we know Democrats believe in is color visibility. To be part of the Democratic electorate is to receive your Crayola label, stand in the box, and hope to be used.
Robinson goes on:
From the beginning, Hillary Clinton has campaigned as if the Democratic nomination were hers by divine right. That's why she is falling short — and that's why she should be persuaded to quit now, rather than later, before her majestic sense of entitlement splits the party along racial lines.
By this logic, Obama is sure to destroy the Dems. Since February, he's done everything but don robes and walk on water. Without a shred of irony, Robinson writes: "Clinton's sin isn't racism, it's arrogance." And the sin of Democratic supporters is unstinting gullibility.


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WMN 2012 Christmas quiz answers
Posted: January 12, 2013|
Here are the answers to our Christmas quiz, which proved quite a challenge for our readers.
The five winners, who each receive a Wyke Farms cheese hamper are: Sharon Raggett of Buckfastleigh, Peter Walker of Millbrook, Flo Bowman of Ivybridge, Sara Richards of Redruth and Mrs Anne Vallely of Truro.
How well would you have done?
Westcountry food and drink
1. Which Padstow chef won a Michelin star this year? Paul Ainsworth at No 6 in Padstow
2. He's fought for fish and won awards this year, and created a new cookbook where the recipes feature Three Good Things. Who is he? Hugh Fearnley-Whittingstall
3. Which former Atomic Kitten won Celebrity MasterChef and brushed up her skills at Ashburton Cookery School? Liz McLarnon
4. Chef Anton Piotrowski won MasterChef the Professionals in December. But what's the name of his Devon pub? The Treby Arms
5. Earlier this year, a Cornish sparkling wine was named one of the best in the world for the second year in a row. What is the name of the vineyard where it is made? Camel Valley
6. Thom, Tim and Trevor have foraged and cooked their way around the British Isles on TV. How are they best known? The Three Hungry Boys
7. At the Taste of the West Awards in the autumn, excellence by the Westcountry's producers and growers was recognised. The Carol Trewin South West Producer of the Year trophy, named in memory of the WMN's late food editor, went to which Devon company? The Exmouth Mussel Company
8. And talking of awards... one Devon company won the accolade of best Raw Milk Cheddar at the British Cheese Awards this year. What is the name of the family-run firm? Quickes
9. A winery near St Austell produced its first bottles earlier this year – instantly picking up awards and finding their way on to top menus in the Westcountry. It's name? Knightor Winery
10. Which former Michelin starred chef at the Abbey in Penzance is now dishing up delicious food at the Tolcarne Inn in Newlyn? Ben Tunnicliffe
Westcountry culture
1. The film version of War Horse was screened this year and next year opens at the Theatre Royal Plymouth as part of a national tour. But which Westcountry author wrote the book? Michael Morpurgo
2. Which author, now resident in Budleigh Salterton, won the Man Booker prize in 2012 – the first woman to win the title twice? Hilary Mantel
3. Which Westcountry resident wrote the book for the Spice Girls musical Viva Forever? Jennifer Saunders
4. A popular literary festival in Cornwall has been renamed the Fowey Festival of Words and Music... but which local author's name was used for the original festival? Daphne du Maurier
5. Performances by an Israeli dance company led to protests at the Theatre Royal Plymouth in November. What was the name of the company? Batsheva Ensemble
6. Which award-winning indie folk band kicked off their sell-out UK tour with an intimate show at Torquay's Princess Theatre in November? Mumford and Sons
7. In August a stand-up comedian sold out six consecutive shows at Plymouth Pavilions, breaking a record set by Lee Evans. What was his name? Michael McIntyre
8. Plymouth's Theatre Royal celebrated its 30th birthday in May 2012. Who officially opened the building in 1982? Princess Margaret
9. The Eden Sessions welcomed plenty of big names in 2012. But which top comedian brings his Force Majeure tour to the venue this year? Eddie Izzard
10. Britpop giants Blur staged a triumphant show in London's Hyde Park for the closing of the 2012 Olympics in August. Which Westcountry venue did they choose for a warm-up show? Plymouth Pavilions
Westcountry news
1. Sailor Ben Ainslie was the first person to carry the Olympic flame when the Olympic torch relay left Lands End on Saturday, May 19 2012…but who did he pass it on to? Surfer Tassy Swallow, from St Ives
2. Which blood-sucking Hollywood couple were reportedly out and about house-hunting in Cornwall in September/October time? Robert Pattinson and Kristen Stewart stars of vampire hit series Twilight
3. In October 2012, the owners of South Crofty put a value on the tin, copper, zinc and other metals yet to be extracted from the mine. How much was it? £1.5billion
4. The banks of which canal suddenly gave way during torrential rain and floods in November? The Grand Western Canal
5. What £35million lottery funded attraction billed as the UK's Biggest Cultural Playground opened in April? Heartlands at Pool
6. What was said to have caused the loud bang residents from Harrowbarrow in south east Cornwall to the South Hams heard in October and reported to police? A meteorite was said to have fallen to earth
7. Which unlikely Westcountry apple-scented location features a work by world famous artist? Wilkins Cider House has a Banksy
8. How much would a £2.50 Cornish pasty have cost if the Government had fully succeeded in slapping VAT on the region's favourite dish? £3 – The "pasty tax" would have seen VAT at 20% added to all take-away pastries bought "hot"
9. Which West Midlands town did South West Devon MP Gary Streeter suggest boasted buildings more ugly than Plymouth's city centre? Dudley
10. The Government has just announced that veterans of which two Second World War campaigns will finally receive recognition? The Arctic Convoy and Bomber Command
Westcountry sport
1. What was the name of the horse on which Mary King won Olympic team eventing silver? Imperial Cavalier
2. Who scored Torquay United's only goal in the League Two play-off semi-final against Cheltenham Town? Taiwo Atieno
3. Which Indian football team did Alan Gow play for before he signed for Exeter City? East Bengal
4. How many Olympic gold medals did sailor Ben Ainslie win? Four
5. Who partnered Penzance rower Helen Glover to Team GB's first gold medals of the summer? Heather Stanning
6. Which Exeter Chiefs player made his full international debut for England against South Africa in June? Tom Johnson
7. Who beat Cornish Pirates in the 2012 RFU Championship play-off final? London Welsh
8. Which Plymouth-born cyclist won last summer's Tour of Britain? Jonathan Tiernan-Locke
9. Which Somerset cricketer made his England Test debut against India in November? Nick Compton
10. Plymouth Argyle signed two strikers from non-League teams last summer, who were they are where did they sign from? Rhys Griffiths (Port Talbot Town) and Paris Cowan-Hall (Woking)
Westcountry Business
1. Who was named Business of the Year at the WMN's business awards in November? Vi-Spring, based in Plymouth
2. Which Irish renewable energy developer is bidding to become the first to deploy a device on the region's pioneering Wave Hub? Ocean Energy Ltd
3. When did Exeter's new John Lewis store open? Friday, October 12
4. Australian company Wolf Minerals announced it has accelerated plans to reopen the Hemerdon Mine near Plymouth and exploit which mineral? Tungsten
5. Which long-awaited road schemes have won substantial government funding this year? Kingskerswell bypass and dualling of A30 at Temple
6. Which Cornish market town won a share of the Government's £1.2 million Portas Pilot funding? Liskeard
7. Who was named the fastest growing business in the region in the WMN's Fast Growth 75 supplement in November? Mi-Space, based in Exeter
8. Which Somerset-based aviation giant provided helicopters for both the Olympic opening ceremony and the James Bond film Skyfall? AgustaWestland, based in Yeovil
9. Which Westcountry university celebrated its 150th anniversary in 2012? Plymouth University
10. Two innovation centres, Pool and Tremough, are now up-and-running in Cornwall. What is the name of the third, which is due to open this month? January The Health and Wellbeing Innovation Centre, based at Treliske
Westcountry people
1. A popular Cornish author died this year. His last book was published in November called The Bonds of Earth. Who is he? EV Thompson
2. Which entrepreneur from Cornwall received a knighthood in December? The Eden Project's Tim Smit
3. Which Westcountry resident published her second novel this year, called Oh Dear Silvia? Dawn French
4. He's published a best-selling calendar, an autobiography and shone at the Olympics. And this Plymouth boy is still at school! Who is he? Tom Daley
5. Which Avenger woke up the village of Porlock with a speech this year? Diana Rigg
6. Which Westcountry MP was nominated as Backbencher of the Year? Andrew George
7. Which Westcountry MP became a media sensation at Prime Minister's Questions in July when, wearing a grey sling, she gave a shrieking, lung-bursting performance when asking about cash for university technical colleges? Anne Marie Morris, Newton Abbot, Conservative
8. Which international opera singer returned to Cornwall this year to perform in Miracle Theatre's production of Tin? Ben Luxon
9. Judy Finnigan has published her first novel this year... what's it called? Eloise
10. Which well-known Westcountry adventurer is planning a 1500-kilmometre circumnavigation of Tasmania in a kayak? Pete Goss... and he set off as planned this month


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Unitech - Battery charger - for Unitech PA600 PE HF
Partner SP1000 - All-in-one - 1 x Core i5 520M / 2.4 GHz - RAM 4 GB - HDD 160 GB - GigE - Win XP Pro - Monitor : LCD 15" 1024 x 768 ( XGA )
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Unitech - Handheld holster
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Consider Becoming a Psychoanalyst
Registration for any term is not complete, nor is a candidate listed on class rosters, until tuition and fees have been paid in full. A schedule of course offerings covering the academic year is provided to candidates well in advance, including names of instructors, days and times of courses, and separate registration forms for each term. Extra copies of such materials, as well as all other NPAP forms, can always be requested by contacting the NPAP office.
A. Tuition and fees: Tuition is $400 for a 12-week course and $200 for a 6-week course. (Candidates not granted a leave of absence must take at least 1 course per year.) A registration fee of $250 per year is due at the Fall registration and covers registration for the rest of the academic year. This fee includes $40 for the Members In Training Organization. Additional yearly fees due at the Fall registration include (a) a $10 library fee; (b) a $30 fee for a subscription to the NPAP Journal, The Psychoanalytic Review; and (c) a $10 fee for a subscription to the NPAP News and Reviews.
This total of $300 for yearly registration is non-refundable and is required of all candidates, whether they are taking courses each term or not, whether they have elected to take a year's leave of absence or have been granted an extension of this absence. Otherwise, the candidate will become ineligible to participate in TRCC and also will have to apply for re-enrollment in the Institute (accompanied by a $50 fee).
B. Late registration: Late registration will be accepted (a) if accompanied by a $25 late fee, (b) with the consent of the instructor (if the class has already met once), and (c) only if the class has not met more than once.
C. Refunds: Candidates who are unable to attend a course for which they have registered may obtain a partial tuition refund if they notify the Registrar in writing no later than one week after the class has met. An administrative charge will be incurred for schedule changes and cancellations.
D. Transcripts: An official transcript of course work completed at the Institute may be obtained upon written request to the Registrar, accompanied by a fee of $10.
E. Electronic communications: NPAP's web page is located at www.npap.org and updated regularly. E-mail for the Institute or Association may be sent to firstname.lastname@example.com (although candidates should note that registration requires forms and payments that cannot be submitted electronically).
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Gear Review
Di Colby
4x4 Shoes
If you are looking for a fairly light weight (in comparison to a boot) shoe, that can take a beating - this shoe will do it. I would say that they run true to size - i wear a size 8 in just about every other shoe brand, and these fit about the same- however, i would say that if you have a wider foot, this may not be the right shoe for you. I thought there might be a lengthy break in period with these shoes, since they have a very stiff sole, but i changed out the footbed to some gel insoles, and they are heaven. Able to cradle your feet in an array of conditions, from craggy rough, rocky, scree, to shallow bogs of weeds and swamp. I wore these out in BFE for some field work, and they were looking pretty wrecked - just hosed 'em off, and they were good as new. Never had that feeling of soppy feet - GO Gortex!!! And when i got stuck in a mini mud bog, they hung on tight (can't say that about any old shoe).
View More Details on Salewa Alp Trainer GTX Hiking Shoe - Women's


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Bank robbery
November 22, 2013 - Harry Eagar
Ever since the Republicans crashed the stock market, they have desperately spun a story that shifts the cause away from Reaganomics. The story comes in versions from mild to wild but it boils down to: if it hadn't been for the Community Investment Act that required banks to make loans to deadbeats (brown deadbeats at that), it never would have happened.
From time to time, factoids are reported that demonstrate this cannot be so. Here is another.
"Europe's biggest banks, led by Lloyds Banking Group Plc and Deutsche Bank AG, have racked up more than $77 billion in legal costs since the financial crisis, five times their combined profit last year.
"Since September 2008, the 18 banks with the highest litigation expenses paid at least $24.9 billion settling lawsuits and probes, set aside $31.5 billion to compensate U.K. clients improperly sold products including mortgage insurance and earmarked $20.9 billion for further penalties, data compiled by Bloomberg show. The sum equates to spending $42 million a day. The total may be higher as many settlements aren't public."
The ACA did not operate in Europe but Reaganomics did, in various guises.
Bloomberg gives the comparable cost for US banks as $100 million. It does not say how much of the European banks' chicanery occurred in the US or how much of that was related to home mortgages, but some of it was.
Article Comments(4)
Nov-24-13 7:08 PM
johnornellas is a fact, he did nothing while in office. Since full of it. Layoff the Golytely johnornellas.
Nov-24-13 7:06 PM
"releives" like you did while in office. You don't lift your leg but squat and diddly. Keep coming back for more johnornellas. Layoff the *** that you were on or still is.
Nov-23-13 1:32 AM
$100 Billion not $100 million, and if you didn't read any more carefully than that, I'm not sure I should spend more time on it.
The story tells the sources of the numbers. Unless you have evidence to impeach them, the mere fact that you don't like them is irrelevant.
Nov-22-13 9:50 PM
Aloha Harry, Its easy to sit where ever you sit and spout off this spin without any facts. Where is your proof to back your spin? Bloomberg is a kool aid manufacture. A $100 million? The present Adminstration lift its leg and releives its self of that amount almost every day at our expense. I know its hard to provide true facts, not the kool aid verity so pls try harder. A bronze medal for you today......
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About Us
The Department of Medicine and Therapeutics, formed in 1997 by the merger of the previous Departments of Medicine and Clinical Pharmacology, represents the largest clinical department in the Faculty of Medicine. With 26 clinical academic staff, 6 consultants and 7 associate consultants working closely together, we provide comprehensive clinical service to patients, offer teaching throughout the 5-year integrated medical curriculum and chart into new frontiers of research in both clinical and basic sciences.
Our Department has a comprehensive coverage of 12 specialties in Medicine including Cardiology, Clinical Pharmacology, Dermatology, Endocrinology and Diabetes, Gastroenterology & Hepatology, Geriatrics, Haematology, Infectious Diseases, Nephrology, Neurology, Respiratory Medicine and Rheumatology. Besides undergraduate teaching, we offer plenty opportunities in postgraduate training for our fellows and medical practitioners outside the hospital. Our annual scientific meeting, Advances in Medicine, is well received with subscription close to 2,000 each year. Our diploma course, Advances in Medicine, is recognized by the Medical Council as a quotable qualification.
In the last 5 years, with the generous support from the University and our donors, we have established the Institute of Vascular Medicine, Institute of Digestive Disease, Hong Kong Institute of Diabetes & Obesity and SH Ho Centre for Gerontology and Geriatrics. Our major research interests include Acute Coronary Syndrome and Heart Failure, Cerebro-vascular Diseases, Diabetes and complications, Gastrointestinal Bleeding and Cancers, Replacement Therapy for End-stage Renal Failure, Respiratory Infections such as Influenza and Tuberculosis, among others.
Our colleagues have received awards of research such as the State Scientific and Technological Progress Award of the People's Republic of China, the Most Outstanding Contribution Award (Clinical Therapeutics) of the Food and Health Bureau, SAR Government of Hong Kong, to name just a few.
In 2003, we faced the unprecedented challenge shaking up the healthcare system of Hong Kong and the whole world. An outbreak of unknown infectious disease, subsequently named Severe Atypical Respiratory Syndrome (SARS), swarmed the Prince of Wales Hospital leading to many of our colleagues came down with life threatening illness. In a period of 3 months, our colleagues worked around the clock in heavy protective gears looking after over 330 patients and healthcare workers infected by SARS coronarvirus. With the first-hand experience of managing this condition, we shared our clinical protocol with other hospitals in Hong Kong, as well as public health agencies around the world and medical centers from other cities including Beijing, Singapore, Taipei and Toronto. After the epidemic, the SARS team at the Prince of Wales Hospital received numerous public recognition and awards locally and internationally. More importantly, the historic event put our hearts and our spirits together with our patients.
Looking forward into the future, we are grooming a new generation of young academics with passion and talent in Science and Medicine. We are building further collaborations with renowned institutions and research groups around the world to excel our research. We are striving to innovate and improve on our undergraduate and postgraduate training and education. Last but not the least, we are emphasizing on holistic care and medical professionalism in caring for our patients.