text:
|Publication number
|Publication type
|Application number
|Publication date
|Feb 22, 2005
|Filing date
|Sep 7, 2001
|Priority date
|Sep 8, 2000
|Fee status
|Also published as
|Publication number
|Dean J. MacCarter, Andreas N. Hadjicostis, John K. Buckner
|Original Assignee
|Wireless Medical, Inc.
|Export Citation
|BiBTeX, EndNote, RefMan
|Patent Citations (27), Non-Patent Citations (12), Referenced by (76), Classifications (30), Legal Events (4)
|External Links: USPTO, USPTO Assignment, Espacenet
This application claims the benefit of U.S. Provisional Patent No. 60/231,410 filed on Sep. 8, 2000 which is incorporated by reference herein in its entirety.
This invention relates in general to medical monitoring and, more specifically, to cardiopulmonary monitoring.
Congestive heart failure (CHF) is a condition in which the heart is unable to pump enough blood to meet the requirements of the metabolizing tissues in the body, or can do so only at high and ultimately deleterious pressures. Main symptoms are dyspnea (shortness of breath), debilitating fatigue and exertional intolerance. At the advanced stages of CHF the patient is unable to carry out any physical activity without discomfort. Symptoms of heart failure are present even at rest, with increased discomfort upon any level of physical activity. The condition at this stage is inexorably progressive, leading to severe disability and, in the majority of cases, to death.
CHF is currently treated, through the use of drugs, interventional procedures and patient monitoring. Often, a cocktail of drugs is used to lower blood pressure, increase pump efficiency, reduce fluid buildup, limit heart rate, and to thin blood. Interventional procedures include transplants, heart assist devices, valve replacement, angioplasties, stents, and bypass surgery. Patient monitoring may include visits to the doctor's office (averaging 2 to 3 per month), hospital admissions (usually 3 to 4 per year), frequent phone calls to the patient's home by office staff, nurse home visits, home weight checks and home EKG's. Fundamental shortcomings of the current treatment approach are: great demands on physician time, inefficient "fine tuning" of the drug regiment, insufficient patient data collection which are spread far apart and associated high costs.
A tool for evaluating the effect that the above treatment protocols have on a CHF patient is an apparatus called the "metabolic cart." The metabolic cart measures "peak oxygen (O2) consumption" and CO2 output. This method, also known as spirometry, measures O2 consumption, either during resting states or during dynamic exercise (exercise spirometry), to evaluate and quantify by volume calibration, various basic lung volume and expired gas changes under stress effort conditions. These measurements include minute ventilation, tidal volume, inspiratory/expiratory capacity, functional vital capacity, inspiratory reserve, expiratory reserve, respiratory rate, and maximum voluntary ventilation. In addition, mercury-in-silastic strain gauge plethysmography has been used both experimentally and clinically to evaluate breathing patterns in patients with lung disease, sleep apnea, or congestive heart failure, who may present with respiratory trends of periodic breathing or Cheyne-Stokes patterns.
Results from the measurements help evaluate patient status, adjust treatment protocols and improve quality of life. The measurements are also used as a tool for monitoring heart failure deterioration and mortality. In particular, peak O2 consumption is the cornerstone of the cardiac evaluation to determine who is in need of heart transplantation. However, despite their power and usefulness in managing CHF patients, peak O2 consumption measurements are expensive, difficult to carry out and remain largely the domain of research laboratories and CHF specialty clinics.
Even with recent advances in CHF management and improved survival in coronary artery disease and hypertension, CHF mortality has increased fourfold over the last 25 years. Given its increasing prevalence and profound cost in treatment, CHF is a major public health problem. Heart Failure is the leading cause of hospital admission in the USA, accounting for 600,000 admissions per year. There are twice as many admissions for heart failure alone than for all other cardiovascular disease combined. This number continues to increase. Contributing to the increasing cost of CHF is the management aspect, which is physician and time intensive.
The present invention is described in conjunction with the appended figures:
In the appended figures, similar components and/or features may have the same reference label. Further, various components of the same type may be distinguished by following the reference label by a dash and a second label that distinguishes among the similar components. If only the first reference label is used in the specification, the description is applicable to any one of the similar components having the same first reference label irrespective of the second reference label.
The ensuing description provides preferred exemplary embodiment(s) only, and is not intended to limit the scope, applicability or configuration of the invention. Rather, the ensuing description of the preferred exemplary embodiment(s) will provide those skilled in the art with an enabling description for implementing a preferred exemplary embodiment of the invention. It being understood that various changes may be made in the function and arrangement of elements without departing from the spirit and scope of the invention as set forth in the appended claims.
The present invention provides systems and methods for monitoring health information for patients with heart and/or lung conditions. Small data gathering devices can be positioned on the patient's body to monitor the health of the patient. The medical data gathered is wirelessly relayed to an aggregation node that relays the data to a monitoring center. Medical professionals in contact with the monitoring center can provide health care to the patients from a remote location.
Referring initially to
In this embodiment, the patient 104 is remotely located from a medical professional 128 supervising care. The patient may be suspected of or diagnosed with having any type of cardiopulmonary disease, such as sleep apnea, congestive heart failure, sudden infant death syndrome, arrhythmia, ischemia, lung disease, and/or heart disease. Typically without medical supervision, the patient 104 attaches one or more data gathering devices 108 at the proscribed location on the body. Biocompatible adhesives or clothing harnesses are used to hold the data gathering device 108 in place. Examples of what the data gathering devices 108 could measure include chest wall movement (representative of ventilatory rate or tidal volume), exhaled CO2, heart rate, pulse pressure, blood pressure, oxymetry (O2 saturation), electrocardiogram, peripheral tissue edema, etc.
Each data gathering device 108 has one or more sensors that produce one or more signals that are digitized and wirelessly relayed to the aggregation node 112. In some embodiments, the data gathering device 108 may process the digitized signals prior to wirelessly relaying them to the aggregation node 112. For example, a respiration data gathering device 108 may actually measure chest wall movement. By loading some known, measured parameters of the patient in the data gathering device 108, it can calculate the tidal volume (VT) from the chest wall movement. The VT alone could reported to the aggregation node 112 without all the raw data used to calculate (via a calibration) the VT. Each data gathering device 108 is highly integrated and compact, for example, the two-dimensional skin area of the patient 104 covered could be less than two or four inches.
In some embodiments, a data gathering device 108 has two portions. A first portion is subcutaneous and is in communication with a second portion outside the body that digitizes, processes and wirelessly communicates with the aggregation node 112. The power for the first portion can be self contained or wirelessly provided by the second portion. Although the data gathering devices 108 for this embodiment wirelessly communicate with the aggregation node 112, some embodiments could also include data gathering devices that have wired communication with the aggregation node 112.
The aggregation node 112 is either worn on the body or near the body of the patient 104. The data gathering device transmitter has a limited range. Some embodiments could use Bluetooth™ and have a range of about thirty feet. Other embodiments could use technologies such as 802.11b that has a range of about 300 feet or more. The aggregation node 112 is, at least occasionally, in wireless range of the data gathering devices 108.
A memory on the data gathering devices 108 temporarily store medical data while out of wireless range from the aggregation node. When within range again, the memory sends whatever information is stored and begins to send real-time medical data. When out of range, the frequency of measurement may decrease. In some embodiments, new medical data may simply overwrite the oldest medical data in the memory such only the most recent medical data is stored.
The aggregation node 112 wirelessly communicates with all the data gathering devices 108 associated with the patient 104. The wireless communication includes configuration information and medical data. Configuration information may be sent to the data gathering device 108 by the aggregation node 112, for example, to modify the transmission rate of medical data or provide values used to calculate the medical data. Information sent between the data gathering devices 108 and the aggregation node 112 is secured with encryption, for example. Security allows other aggregation nodes 112 or eavesdroppers from receiving the medical information to protect a patient's privacy and to thwart hackers. Communication from the aggregation node 112 to the monitoring center 124 is also secured for the same reasons.
The aggregation node 112 is a computer that can display medical data, run software, further process the medical data, and communicate with the monitoring center 124. The user interface of the aggregation node 112 is geared for the patient 104 who may have little medical knowledge. Instructions for installation and debugging of problems on the aggregation node are included to reduce customer support demand. The aggregation node 112 can use medical data from a number of data gathering devices 108 to calculate new medical data. For example, respiration medical data could be combined with heart rate and blood pressure medical data to produce an index indicative of the real-time CHF status of the patient 104.
Other information can be entered into the aggregation node 112 such as weight, height, dietary information, sleep times, medication information, etc. to further supplement the medical data received from the data gathering devices 108. Questionnaires can be formulated by the medical professional 128 and supplied to the aggregation node by way of the monitoring center 124 to further aid in diagnosis.
One of the aggregation nodes 112-1 in this embodiment is carried next to the body and wirelessly communicates to the monitoring center 124 by way of a wireless data center 116. A personal digital assistant (PDA), a wireless phone, or other device could be used as the aggregation node 112-1. The wireless data center 116 provides the wireless service and connects to a wide area network (WAN) 120 that is coupled to the monitoring center 124. The service could be, for example, through a cellular data modem, a wireless Internet connection, a two-way pager network, etc.
The other aggregation nodes 112-2 could have a wired connection to the monitoring center 124 by way of the WAN 120. For example, the aggregation node 112-2 could be a personal computer with an Internet or WAN connection 120 to the monitoring center 124. The connection 120 could use a telephone line, a coaxial cable, a satellite link, optical fiber, a wireless link, etc. Virtual private network (VPN) software could be used to secure the connection over the WAN 120 to the monitoring center 124.
The WAN 120 could be any network that connects computers. In this embodiment, the WAN 120 is the Internet. In other embodiments, the WAN could be a dial-up connection, a leased line, a cellular data connection, a peer-to-peer connection, a point-to-point wireless connection, an ethernet network, etc. If the WAN 120 is insecure, VPN software or other security software may be used to secure the medical data while it passes through the WAN.
The monitoring center 124 is remote to the patients 104 and medical professionals 128 in this embodiment. The monitoring center 124 stores medical data received from the aggregation nodes 112. Configuration information, software and questionnaires are distributed by the monitoring center 124 to the aggregation nodes 112. Pre-designed and custom charts can be viewed by the medical professionals 128 who log into the center 124.
The monitoring center 124 may be staffed or automated. Monitoring software in the center 124 could review the medical data for satisfaction of threshold events entered by the medical professional 128. A staff person or an automated process could notify the medical professional 128 when the threshold event is satisfied. The communication with the medical professional 128 could be wired or wireless.
The monitoring center 124 has a web interface in this embodiment. The medical professional 128 can log into the web interface to view medical data for patients 104 assigned to that medical professional 128. The medical professional 128 could be a doctor or other technician monitoring the care of the patient 104.
With reference to
The sensor 204 monitors the patient to provide one or more output signals indicative of the monitoring. Some sensors 204 may have input signals for operating the sensor. The sensor includes an associated circuit that could have both analog and digital circuits to operate the sensor and produce the output signals. The output signals from the sensor 204 are converted to digital form by a digitizer 208 or analog to digital converter.
Once in digital form, the controller 212 may process the digital signal. In this embodiment, the controller includes a digital signal processor to allow refining of the output signals from the sensor 204. The controller 212 also manages communication with the aggregation node 112 using the wireless transceiver 216. A memory in the controller 212 can store the refined output signals if the aggregation node 112 is out of range.
The wireless transceiver 216 communicates using standard protocols in this embodiment. An antenna 224 can be integral to the silicon chip that implements the wireless transceiver 214. Other embodiments can have a compact antenna external to the silicon chip. The wireless transceiver 216 could use Bluetooth™, 802.11b or two-way paging technology. In some embodiments, the wireless transceiver 214 could have longer range to allow communication with the monitoring center 124 in a way that avoided the aggregation node 112 such as two-way paging.
Referring next to
The processor 304 manages the operation of the aggregation node 112-1. Medical data is processed and stored in the short-term database. The processor 314 may send medical data to the monitoring center 124 in real-time or may burst the medical data with occasional connections. The network interface 312-1 wirelessly communicates with a wireless data center 116 remote to the aggregation node 112-1. The patient 104 can interact with a display 308 on the aggregation node that has a touch screen for pen input. Other embodiments could have other input devices, such as mice, keyboards and/or voice recognition.
With reference to
Referring next to
Medical professionals 128 use a browser or other software interface to interact with the medical professional interface 412 through a wired or wireless connection. Web pages allow the medical professional 128 to ask questions or the patient or create questionnaires that are relayed to the aggregation node 112. The medical professional 128 can enter notes and other information into the long-term database 408 using the medical professional interface 412. Tools available through the medical professional interface 412 allow viewing the medical data using different diagrams and charts. To alert the medical professional 128 of potential problems discernable from the medical data, threshold events can be programmed into the data processor 404. The medical professional 128 can also indicate the action to be taken when a threshold event is satisfied. For example, a pager message could be sent to the medical professional 128 or a reminder message could be sent to the aggregation node 112 to remind the patient of something.
With reference to
This embodiment has two coin-shaped batteries to power the data gathering device 108-1. The batteries may or may not be end-user replaceable. Some embodiments may have rechargeable batteries. Because the power requirements are low, the device is expected to have a life of at least one year. In some circumstances, an embodiment may have no batteries at all and receive power with a wire from an aggregation node 112-2.
There are two adhesive pads 504 that couple the data gathering device 108-1 to the body of the patient 104. The adhesive pads are biocompatible with a patients skin. Some embodiments allow replacement of the adhesive pads 504, and other embodiments do not such that the sensor is for a single use. The adhesive pads 504 are shaped with a curve to conform with the shape of the chest wall.
The sensor 502 includes a low-power ultrasound transducer 516 that measures the distance between two points with a fluid path between those points. An inner cylinder 508 holds the transducer 516. The inner cylinder 508 is opened at the end enclosed by an outer cylinder 512. The transducer 516 produces a signal that is reflected off a closed end of the outer cylinder 512 and that signal is read once again. The transducer 516 is aligned in parallel and is coaxial with the closed end reflector.
The transducer 516 is ceramic and shaped like a disk, although other embodiments could use other materials and shapes. To act as a reflector, the closed end of the outer cylinder 512 is disk-shaped and made of stainless steel, but other shapes and materials could be used. The transducer 516 transmits a short signal that lasts less than a microsecond, for example. The short signal travels through the fluid path, is reflected by the reflector and then returns to the transducer 516 where it is detected and processed by the electronics. The time it takes for the signal to travel between the town points provides a means to calculate the distance between two points. This distance is given by the time-of-flight multiplied by the speed of sound in the coupling fluid divided by two. The short signal is repeated over time to determine a profile for the breathing patterns of the patient 104.
Referring to
The inside cylinder 508 is attached to a left side 552 of the data gathering device 108-1 with a fastener 550 or permanent adhesive. The outside cylinder is similarly attached to a right side 556 of the data gathering device 108-1. Four aligning rods 566 are employed to keep the left and right sides 552, 556 aligned during operation. Stainless steel or another rigid material could be used for the aligning rods 566. The aligning rods 566 are rigidly attached to the left side 552 by being embedded into the left top plate 542-1 and are free to slide in out of the right top plate 542-2 of the right side 556. A lubricant is used to reduce sliding friction between the rods 566 and metal plates 542. Alternatively, the aligning rods 566 may incorporate linear bearings to reduce friction.
Each side 552, 556 has four metal plates 542, 546, 562, 570 that act as enclosures to provide protection for the electronic and mechanical parts of the data capture device 108-1 as well as maintain parallelism and alignment between transducer 516 and reflector 508. Each of the left and right sides 552, 556 includes a middle plate 562, a top plate 542, a bottom plate 546, and an end plate 570. To complete the device assembly, the right and left middle plates 562 include an opening to allow insertion of the cylinders 508, 512 for each side 552, 556.
The plates 542, 546, 562, 570 that make up the enclosure can be made from a light metal such as aluminum, aluminum alloy, titanium, titanium alloy, or other light metals. Further, the plates 542, 546, 562, 570 can be made from a high impact engineering plastic or plastic composite such as carbon fiber reinforced plastic.
The bottom metal plate 546 on each side 552, 556 has a curved surface compatible with the curvature of the patient 104 in the chest area. Since variations exist in human measurements, a number of different curvatures may be available to the patient 104. The bottom of the curvature will allow the incorporation of a detachable two-sided adhesive pad 504 that enables the patient 104 to attach the pad 504 to the device 108 as well as herself. A thin layer of padding between two layers of adhesive will further facilitate attachment to varying chest topologies.
The electronic components of the data gathering device 108 are housed inside an electronics cavity 530. The components are surface mounted on a flex circuit 538 that includes the circuit traces to connect the electronic components. This embodiment includes electronic components such as two ICs 520, 524, one or two miniature batteries 528 and the sensor 502.
The first IC 524 is an analog device which incorporates a transmit circuit, a receive circuit and a receive pulse amplifier. The first IC 524 is powered from a low voltage source, for example, in the 1 to 2 V range. The first IC 524 receives signals from the second IC 520 to turn on, transmit pulses to the ultrasound transducer 516, receive return pulses off the reflector 508, amplify the return pulses and return them to the second ID 520. In this embodiment, the first IC 524 operates in the frequency range of between 5 and 20 MHz. The transmit pulse is between 0.5 and 10 Volts peak-to-peak and is a one to two cycle square wave or sinusoidal wave.
The pulses are applied to the ultrasonic transducer 516 and they are converted into ultrasonic waves. The ultrasonic waves travel through fluid-filled chamber 554, are reflected off the stainless steel plate 508 at the far end and travel back to the transducer 516 for conversion back into electrical pulses. The received pulses are amplified by about 15 to 30 db before being passed to the second IC 520.
The second IC 520 converts the received pulses to digital, digital stores the medical data, performs logic control, a tracks time with a clock, transceives medical data, and includes an RF transmit/receive antenna. In this embodiment, when the signals are received from first IC 524 they are digitized, the distance for each event is calculated and the data is stored until a monitoring cycle (one to five minutes) is complete. When data for a complete cycle is accumulated then the RF antenna transmits those data wirelessly to the aggregation node for further processing.
The RF antenna in the second IC 520 transmits and receives signals wirelessly up to 30 ft from the sensor at a frequency of 2.4 GHz and at the rate of 771 kbits/s, even though other frequencies and rates may be used. Some embodiments could have longer ranges, such as 300 ft. with other bitrates.
The data gathering device 108 gathers medical data in regular intervals, with the preferred interval being hourly, even though other regular intervals may be chosen. Some embodiments could gather medical data continually, for example, when monitoring respiration for sudden infant death syndrome. The data gathering device 108 is controlled by a timing device incorporated into the second IC 520 that regulates its powering-up, the collection and transmission of data as well as the "down" cycle implementation where the data gathering device 108 is in a sleep mode. At the same time, the data gathering device 108 can be made to initiate an acquisition cycle through an external command transmitted by the aggregation node 112 to the RF antenna of second IC 520. It is understood that these commands can also be relayed to the data gathering device 108 from the monitoring center 124.
Referring to
With reference to
Referring to
With reference to
Referring to
With reference to
With reference to
In step 1320, the aggregation node 112 receives digital medical data from the data gathering devices 108. The digital medical data is further processed, stored and may be displayed at the aggregation node 112 in step 1324. In some circumstances, the medical data is displayed, but the patient 104 may have control over the display ability. The medical professional 128 can design how the medical data is displayed on the aggregation node.
In a single data stream, the digital medical data is transmitted from the aggregation node 112 to the monitoring center in step 1328. The monitoring center 124 receives the digital medical data from all the aggregation nodes 112 in the system 100. Some embodiments may transmit the information directly to a computer system of the medical professional 128 such that the computer system fulfills the role of the monitoring center 124 for the patients 104 of the medical professional 128.
In step 1332, the monitoring center 124 stores the received digital medical data in the long-term database 408. Any further processing and automated analysis is performed on the aggregate medical data received from each aggregation node 112 in step 1336. Test are performed to see if any defined thresholds are satisfied such that any alarms are activated as determined in step 1340. The alarm conditions are acted upon in step 1344. One possible action is to notify the appropriate medical professional 128. Other alarms, for example, could result in questions being sent to the aggregation node 112 for the patient 104.
Referring to
In step 1408, the identity of the medical professional is verified using a user identifier and password or other method for verification. The medical professional 128 indicates which patient 104 to display information on in step 1412. The medical professional 128 interacts with the information stored in the long-term database 408 in step 1416. For example, ischemia risk stratification could be determined from this interaction. Different graphs and treatment scenarios are formulated by the monitoring center 124 to aid the medical professional 128. Some embodiments, could e-mail this information on patients 104 to the medical professional 128 a predefined intervals. In step 1420, the medical professional 128 may follow-up with a questionnaire or message to the patient 104. Further the medical professional may design new threshold conditions and alarms or may interact with the patient on the phone or in person.
Some embodiments could do trend analysis of the information in the long-term database 408 to predict progression of disease. The medical data for the patient 104 could be compared against models derived from historical profiles to predict how the disease may progress. Different therapies can be hypothetically applied to the patient data and the likely response to those therapies could be displayed for the medical professional 128.
With reference to
Following are brief descriptions of how the measurement of heart rate (HR) and ventilation (VE) with the invention can enhance the prognostic monitoring of congestive heart failure (CHF) patients and other cardiovascular disease patients. New terms are introduced for data presentation and analysis that describe how the CHF patient parameters can be derived from "gold standard" methods in order to provide accurate function of the proposed sensors for HR, VE and blood pressure.
Inference Templating (IT) is a term which has been selected for description of how known "gold standard" parameters can be derived via a proven, known high correlation of the "new" parameter to the "gold standard" one. In this way, monitoring the "new" parameter provides the "gold standard" parameter by an inferential relationship. An example of IT is with the correlation of the VE to the volume of CO2 expired (VCO2) slope, a proven independent, powerful predictor of CHF patient risk or mortality to the tidal volume (VT) changes during a known amount of exercise performed by the CHF patient such as a flight of stairs with a fixed distance and fixed percentage incline. Since the correlation between VT and the VE to VCO2 slope is high, the VT parameter and its changes during exercise can be used as a substitute or "inference template" for the "gold standard" parameter of VE to VCO2 slope. As a "back-up" or replacement technology to determine the VE to VCO2 relationship during rest or exercise in CHF or heart disease patients, a miniature, comfortable, light weight mouthpiece can be used to measure expired CO2 tension or "concentration" which then would provide an indirect correlate to the "gold standard" of measured CO2 volumes, using an IT algorithm, as described below.
Another example of IT is how the VE changes during linear, incremental, exercise in healthy or heart disease patients. The correlation is represented by a "curvilinear" function. VT also displays the same type of "curvilinear" relationship during incremental exercise. Since VT is known to correlate highly with VE, it is proposed that VT, as sensed by the herein the described sensor technologies, serve as the dominant, single sensor to "drive" a device such as an intracardiac pacemaker for restored rate response or HR reserve in an individual with the need for rate adaptive pacing without the need to measure the respiratory rate. We note that CHF patients display chronotropic incompetence during mild to moderate exercise due to their high sympathetic drive or autonomic imbalance. The VT sensor may also be used in patients with CHF who require or may benefit from bi-ventricular pacing. The VT sensor, either "external" from the pacemaker/defibrillator or incorporated in its internal circuitry could be used to adjust right ventricle (RV) to left ventricle (LV) synchronization intervals, atrial ventricular (AV) intervals or even the rate response curve profile when VT changes or reflects alterations in lung function due to changes in cardiac filling pressures and ventilation to perfusion matching.
Yet another example of IT is the correlation of increased VE to heart rate variability (HRV) in CHF patients. Since the correlation is high between VE and HRV, inferences can be made concerning the HRV estimates or changes in the CHF patient, aside from or supportive of. Aside from or supportive of actual calculation HRV via actual "Holter" HR monitoring. IT is not limited to the above mentioned physiologic parameters, but can be applied to other sensors for monitoring, acute or chronic, valuable, clinically prognostic data in patients with metabolic, pulmonary, or cardiovascular diseases.
In terms of new parameters which can be derived from the herein proposed sensors for HR and VE (VT), a "rolling" VE or VT dispersion or tidal volume variability (VTV) or ventillation variability (VEV) parameter can be calculated, similar to the way HRV is determined.
In addition, the VT or VE sensor can be used to analyze the chronic or acute or occurrence of periodic breathing, a known phenomena in CHF patients with "spin-off" applications for monitoring of changes in apnea in infants or drug-induced changes in lung function in patients on antiarrhythmic medications such as amiodarone or in CHF patients on medications known in some cases to adversely effect lung function. In addition, another application of the Doppler ultrasound sensor described in relation to
The methods and algorithms for the wireless transmission of key physiologic data, acute and chronic trending displays of data are provided to the physician by software which utilizes Frequent Point Analysis (FPA) or Frequent Point Plotting (FPP) techniques with "zoom-in" functions and filters. Such data displays will essentially eliminate "gap" clinical information which currently exists with technology based within the hospital, clinic, or even at the patient's home with intermittently scheduled visits. Trending display can provide single parameter trending graphics analysis or multiparameter displays based upon indexing of two or more parameters together to enhance the "power" of the trend. Kaplain Meyer Plots will also be ongoing to provide the physician on actual patient risk or mortality profiles. Multicongruent Data Trending (MDT) with graphic comparisons will enhance the physician's rapid recognition of the patient's stability, improvement, or deteriorization status. The physiologic parameters to be included in the above stated graphics techniques will include ventilation (VT or VE), heart rate, peripheral tissue edema, blood pressure and pulse pressure, HRV, VEV, VTV, rate pressure product, the VT to VCO2 correlate, HRV to VT ratio, and VT or HR to VE ratio, but not be limited to the above. For example, trending analysis could be incorporated for circulating brain natriuretic peptide levels (BNP) which is an indicator of the severity of and patient risk from CHF. Automatic Trend Scanning (ATS) may be used to alert the physician to potentially critical data points for immediate patient contact, scheduled clinic visit and altered therapy.
While the principles of the invention have been described above in connection with specific apparatuses and methods, it is to be clearly understood that this description is made only by way of example and not as limitation on the scope of the invention.
|Cited Patent
|Filing date
|Publication date
|Oct 3, 1978
|Jun 2, 1981
|University Patents, Inc.
|Vital signs monitoring system
|Nov 2, 1979
|May 4, 1982
|Respitrace Corporation
|Device for measuring respiration volume
|May 26, 1981
|Jun 5, 1984
|Respitrace Corporation
|Non-invasive method for monitoring cardiopulmonary parameters
|Mar 2, 1984
|Nov 18, 1986
|Cardiac Monitoring, Inc.
|User-worn apparatus for monitoring and recording electrocardiographic data and method of operation
|Nov 6, 1987
|Mar 28, 1989
|Respitrace Corporation
|Method and apparatus for monitoring respiration
|Jul 23, 1985
|Apr 30, 1991
|Charles J. Policastro
|Apparatus for monitoring, storing and transmitting detected physiological information
|Mar 8, 1990
|Nov 3, 1992
|Nims, Inc.
|Non-invasive estimation of individual lung function
|Nov 17, 1992
|Apr 26, 1994
|Raya Systems, Inc.
|Modular microprocessor-based health monitoring system
|Mar 10, 1993
|Jul 26, 1994
|Gerald Williams
|Inductive plethysmographic transducers and electronic circuitry therefor
|Jul 6, 1995
|Mar 25, 1997
|Instromedix, Inc.
|High functional density cardiac monitoring system for captured windowed ECG data
|Dec 22, 1995
|May 6, 1997
|Enact Health Management Systems
|System for monitoring and reporting medical measurements
|Jul 3, 1996
|Mar 31, 1998
|Enact Health Management Systems
|System for monitoring and reporting medical measurements
|Nov 13, 1996
|Jan 5, 1999
|Lai; Joseph
|Method and system for remotely monitoring multiple medical parameters
|Sep 2, 1994
|Jan 26, 1999
|Besson; Marcus
|Wireless medical diagnosis and monitoring equipment
|Oct 29, 1997
|Jun 22, 1999
|Health Hero Network, Inc.
|Method for diagnosis and treatment of psychological and emotional disorders using a microprocessor-based video game
|Nov 5, 1997
|Aug 3, 1999
|Instromedix, Inc.
|Medical patient vital signs-monitoring apparatus
|Oct 24, 1997
|Aug 24, 1999
|Instromedix, Inc.
|Concurrent medical patient data and voice communication method and apparatus
|Oct 7, 1997
|Dec 7, 1999
|Health Hero Network, Inc.
|Networked system for interactive communication and remote monitoring of individuals
|Mar 17, 1998
|Jan 18, 2000
|Nims, Inc.
|Method for analyzing breath waveforms as to their neuromuscular respiratory implications
|Mar 17, 1998
|Apr 4, 2000
|Nims, Inc.
|Physiologic signs feedback system
|Oct 28, 1997
|Jun 27, 2000
|Alere Incorporated
|Patient interface system with a scale
|Nov 3, 1999
|Jun 18, 2002
|Criticare Systems
|Medical monitoring and alert system for use with therapeutic devices
|Dec 3, 1999
|Jul 30, 2002
|Respironics, Inc.
|System and method for monitoring and controlling a plurality of polysomnographic devices
|Apr 28, 2000
|Sep 17, 2002
|International Business Machines Corporation
|Monitoring user health as measured by multiple diverse health measurement devices at a portable computer system
|Mar 6, 2000
|Sep 24, 2002
|Samuel W. Casscells, III
|Method and apparatus for predicting mortality in congestive heart failure patients
|Sep 4, 2001
|Oct 8, 2002
|Syn X Pharma
|Conjunctive analysis of biological marker expression for diagnosing organ failure
|Apr 17, 2001
|Apr 22, 2003
|Vivometrics, Inc.
|Systems and methods for ambulatory monitoring of physiological signs
|Applied Digital Solutions (ADS), What is a Digital Angel?, Welcome to ADS Digital Angel, Internet, Oct. 19, 2000, pp. 1-10.
|BROADCOM, BCM2033 Single-Chip Bluetooth(TM)System, BCM2033 Product Brief; Broadcom Corporation, Irvine, California, pp. 1-2.
|Health Hero Network, Eckard Corporation Partners with Health Hero Network, Inc. to Deploy Revolutionary Internet-Based Care Program, Health Hero Network, Inc., Internet, 1 page, Jan. 19, 2000.
|HomMed, Making a Difference in Chronic Disease Care, Internet, pp. 1-9, Apr. 12, 2000.
|INSTROMEDIX (India) PVT. Ltd., Patient Monitors Model M-011 and Model M-211, Internet, 1 page, Nov. 2, 2000.
|LifeChart.com, Clinical Monitoring Services, AirWatch(R)II, 1 page, Internet, Nov. 2, 2000.
|LifeChart.com, Managing Cardiovascular, 1 page, Internet, Nov. 2, 2000.
|LifeChart.com, News Archive, MedicaLogic/Medscape Strategic Partnership With LifeChart.com to Combine Internet with Wireless Disease Management Programs with Online Consumer Health Records and Clinical Content, 3 pp, Internet, Jun. 22, 2000, Hillsboro, Oregon and Mountain View, California.
|Mark Robbins, M.D.; Gary Francis, MD; Fredric J. Pashkow, MD; Claire E. Snader, MA; Kathy Hoercher, RN; James B. Young, MD; Michael S. Lauer, MD, Ventilatory and Heart Rate Responses to Exercise Better Predictors of Heart Failure Mortality Than Peak Oxygen Consumption, Circulation, Dec. 14, 1999, Cleveland Clinic Foundation, Cleveland, Ohio, www.circulationaha.org.
|Piotr Ponikowski, MD, Tuan Peng Chua, MD, Massimo Piepoli, MD, PhD, Waldemar Banasiak, MD, Stefan D. Anker, MD, Roman Szelemej, MD, Wlodzimierz Molenda, MD, Krzysztof Wrabec MD, Alessandro Capucci, MD, and Andrew J.S. Coats, MD, Ventilatory Response to Exercise Correlates With Impaired Heart Rate Variability in Patients With Chronic Congestive Heart Failure, The American Journal of Cardiology, vol. 82, Aug. 1, 1998, pp. 338-344.
|PULSEMETRIC, Inc., DynaPulse-Your Non-Invasive Heart Care Link, sales brochure for DynaPulse 50000A, pp. 1-8, San Diego, California.
|Yukiko Goso, MD, Hidetsugu Asanoi, MD, Hisanari Ishise, MD, Tomoki Kameyama, MD, Tadakazu Hirai, MD, Takashi Nozawa, MD, Shutaro Takashima, MD; Katsumi Umeno, BS; Hiroshi Inoue, MD, Respiratory Modulation of Muscle Sympathetic Nerve Activity in Patients with Chronic Heart Failure, Circulation, Jul. 24, 2001, pp. 418-423.
|Citing Patent
|Filing date
|Publication date
|Jan 31, 2003
|Jan 1, 2008
|Sanyo Electric Co., Ltd.
|System and method for health care information processing based on acoustic features
|Dec 27, 2002
|Mar 11, 2008
|Cardiac Pacemakers, Inc.
|Measurement of respiratory sinus arrhythmia using respiratory and electrogram sensors in an implantable device
|Jun 7, 2006
|Sep 29, 2009
|Edwards Lifesciences Corporation
|Wireless communication protocol for a medical sensor system
|Mar 24, 2006
|Mar 16, 2010
|Intelomed, Inc.
|Device and system that identifies cardiovascular insufficiency
|Sep 6, 2006
|Mar 23, 2010
|Vital Sensors Holding Company, Inc.
|Implantable pressure monitor
|Jun 15, 2006
|Mar 30, 2010
|Vital Sensors Holding Company, Inc.
|Implantable pressure monitor
|Mar 15, 2010
|Apr 26, 2011
|Vital Sensors Holding Company, Inc.
|Anchored implantable pressure monitor
|Mar 23, 2010
|Apr 26, 2011
|Vital Sensors Holding Company, Inc.
|Implantable pressure monitor
|Jul 24, 2006
|Oct 11, 2011
|Adidas Ag
|Computer interfaces including physiologically guided avatars
|Dec 3, 2004
|Nov 22, 2011
|Ela Medical S.A.S.
|Active implantable medical device with holter recording functions
|Dec 10, 2002
|Dec 20, 2011
|Medic4All Ag
|Visual medical monitoring system for a remote subject
|May 5, 2009
|Jan 24, 2012
|Cardiac Pacemakers, Inc.
|Regulatory compliant transmission of medical data employing a patient implantable medical device and a generic network access device
|Sep 12, 2008
|Feb 14, 2012
|Corventis, Inc.
|Adherent device with multiple physiological sensors
|May 23, 2007
|May 22, 2012
|Ip Holdings, Inc.
|System for seamless and secure networking of implantable medical devices, electronic patch devices and wearable devices
|Sep 12, 2008
|Aug 21, 2012
|Corventis, Inc.
|Adherent device for sleep disordered breathing
|Jan 24, 2012
|Sep 11, 2012
|Cardiac Pacemakers, Inc.
|Regulatory compliant transmission of medical data employing a patient implantable medical device and a generic network access device
|Jan 10, 2012
|Oct 9, 2012
|Corventis, Inc.
|Adherent device with multiple physiological sensors
|Mar 28, 2012
|Dec 4, 2012
|Ip Holdings, Inc.
|System for seamless and secure networking of implantable medical devices, electronic patch devices and wearable devices
|Dec 4, 2009
|Dec 18, 2012
|Nellcor Puritan Bennett Llc
|Visual indication of settings changes on a ventilator graphical user interface
|Sep 12, 2008
|Feb 12, 2013
|Corventis, Inc.
|System and methods for wireless body fluid monitoring
|Apr 25, 2011
|Feb 19, 2013
|Vital Sensors Holding Company, Inc.
|Implantable pressure monitor
|Apr 25, 2011
|Feb 26, 2013
|Vital Sensors Holding Company, Inc.
|Anchored implantable pressure monitor
|Oct 13, 2009
|Mar 12, 2013
|Tammy Lynn Kirk
|Kit and system for monitoring a person
|Apr 20, 2009
|Apr 2, 2013
|Corventis, Inc.
|Method and apparatus to measure bioelectric impedance of patient tissue
|Mar 15, 2010
|Apr 16, 2013
|Intelomed, Inc.
|Device and system that identifies cardiovascular insufficiency
|Sep 11, 2012
|May 7, 2013
|Cardiac Pacemakers, Inc.
|Regulatory compliant transmission of medical data employing a patient implantable medical device and a generic network access device
|Dec 16, 2010
|May 14, 2013
|Covidien Lp
|Visual indication of alarms on a ventilator graphical user interface
|Jul 23, 2010
|Jun 4, 2013
|Covidien Lp
|Three-dimensional waveform display for a breathing assistance system
|Sep 12, 2008
|Jun 11, 2013
|Corventis, Inc.
|Adherent cardiac monitor with advanced sensing capabilities
|Apr 1, 2010
|Jun 25, 2013
|Ottawa Hospital Research Institute
|Method and apparatus for monitoring physiological parameter variability over time for one or more organs
|Aug 31, 2010
|Jul 2, 2013
|Adidas Ag
|Physiological monitoring garment
|Jun 18, 2007
|Jul 2, 2013
|Adidas Ag
|Automatic and ambulatory monitoring of congestive heart failure patients
|Jul 27, 2010
|Jul 30, 2013
|Covidien Lp
|Display of respiratory data graphs on a ventilator graphical user interface
|Jun 17, 2011
|Oct 15, 2013
|Covidien Lp
|Ventilator breath display and graphic interface
|Jul 16, 2012
|Oct 15, 2013
|Covidien Lp
|Ventilator breath display and graphic user interface
|Sep 12, 2008
|Nov 26, 2013
|Corventis, Inc.
|Adherent device for respiratory monitoring
|May 27, 2011
|Dec 3, 2013
|Covidien Lp
|Work of breathing display for a ventilation system
|Dec 22, 2010
|Jan 14, 2014
|Adidas Ag
|Methods and systems for monitoring respiratory data
|Feb 22, 2013
|Feb 11, 2014
|Tammy Lynn Kirk
|Kit and system for monitoring a person
|Oct 31, 2012
|Feb 18, 2014
|Ip Holdings, Inc.
|System for seamless and secure networking of implantable medical devices, electronic patch devices and wearable devices
|Sep 12, 2008
|Apr 1, 2014
|Corventis, Inc.
|Injectable device for physiological monitoring
|Apr 30, 2013
|Apr 15, 2014
|Cardiac Pacemakers, Inc.
|Regulatory compliant transmission of medical data employing a patient implantable medical device and a generic network access
|May 16, 2008
|Apr 22, 2014
|Meridian Cardiovascular Systems, Inc.
|Image-guided intravascular therapy catheters
|Mar 11, 2009
|May 6, 2014
|Corventis, Inc.
|Heart failure decompensation prediction based on cardiac rhythm
|Nov 27, 2013
|May 27, 2014
|Ip Holdings, Inc.
|System for seamless and secure networking of implantable medical devices, electronic patch devices and wearable devices
|Jan 25, 2007
|Jun 24, 2014
|Adidas Ag
|System and method for identity confirmation using physiologic biometrics to determine a physiologic fingerprint
|Sep 22, 2011
|Jul 29, 2014
|Adidas Ag
|Computer interfaces including physiologically guided avatars
|Sep 12, 2008
|Jul 29, 2014
|Corventis, Inc.
|Multi-sensor patient monitor to detect impending cardiac decompensation
|Oct 22, 2010
|Jul 29, 2014
|Corventis, Inc.
|Method and apparatus for remote detection and monitoring of functional chronotropic incompetence
|May 25, 2007
|Aug 5, 2014
|At&T Intellectual Property I, L.P.
|Systems, methods, and devices for health monitoring
|Jan 26, 2012
|Oct 21, 2014
|Hospira, Inc.
|Ultrasonic monitoring device for measuring physiological parameters of a mammal
|Mar 26, 2012
|Oct 28, 2014
|Michael E. Sabatino
|Apparatus for acquiring, processing and transmitting physiological sounds
|Sep 12, 2008
|Nov 25, 2014
|Medtronic, Inc.
|Medical device automatic start-up upon contact to patient tissue
|Nov 20, 2006
|Dec 30, 2014
|Michael Edward Sabatino
|Apparatus for acquiring and processing of physiological auditory signals
|Jun 11, 2013
|Dec 30, 2014
|Ottawa Hospital Research Institute
|Method and apparatus for monitoring physiological parameter variability over time for one or more organs
|Dec 4, 2009
|Dec 30, 2014
|Covidien Lp
|Display and access to settings on a ventilator graphical user interface
|Mar 28, 2011
|Feb 24, 2015
|Corventis, Inc.
|Method and apparatus for personalized physiologic parameters
|Aug 26, 2010
|Mar 3, 2015
|Adidas Ag
|Multimodal method and system for transmitting information about a subject
|Mar 15, 2013
|Apr 7, 2015
|Intelomed, Inc.
|System and method for characterizing circulatory blood flow
|Apr 15, 2010
|Sep 1, 2015
|Covidien Lp
|Quick initiation of respiratory support via a ventilator user interface
|Nov 7, 2011
|Sep 15, 2015
|Cardiac Pacemakers, Inc.
|Automatic determination of chronotropic incompetence using atrial pacing at rest
|Nov 15, 2001
|May 16, 2002
|Masashi Yasuda
|Health control system and information processing apparatus
|Jul 21, 2003
|May 20, 2004
|Nils-Gunnar Holmer
|Method and apparatus for high energetic ultrasonic tissue treatment
|Dec 27, 2002
|Jul 1, 2004
|Hatlesad John D.
|Measurement of respiratory sinus arrhythmia using respiratory and electrogram sensors in an implantable device
|Dec 10, 2002
|Feb 10, 2005
|Moshe Cohen
|Visual medical monitoring system for a remote subject
|Dec 3, 2004
|Jun 23, 2005
|Ela Medical S.A.
|Active implantable medical device with holter recording functions
|Jul 24, 2006
|Mar 1, 2007
|Vivometrics, Inc.
|Computer interfaces including physiologically guided avatars
|Mar 24, 2006
|Apr 19, 2007
|Jan Berkow
|Device and system that identifies cardiovascular insufficiency
|May 25, 2007
|Oct 4, 2007
|Maria Adamczyk
|Systems, methods, and devices for health monitoring
|Jul 10, 2005
|Aug 28, 2008
|Dror Shklarski
|Wearable Device, System and Method for Measuring Vital Parameters
|Jul 3, 2001
|Apr 20, 2010
|Seely Andrew J E
|Method and apparatus for multiple patient parameter variability analysis and display
|Sep 6, 2006
|Sep 1, 2010
|Monitoring method and apparatus
|Aug 31, 2010
|Mar 2, 2011
|Adidas AG
|Physiologic database and system for population modeling and method of population modeling
|Sep 6, 2006
|Apr 5, 2007
|Toumaz Technology Ltd
|Monitoring method and apparatus
|Jun 19, 2007
|Dec 27, 2007
|P Alexander Derchak
|Automatic and ambulatory monitoring of congestive heart failure patients
|Jun 1, 2007
|May 8, 2008
|Rajiv Muradia
|Remote health care diagnostic tool
|U.S. Classification
|600/300, 128/920, 600/538, 128/903, 600/301, 128/904
|International Classification
|Cooperative Classification
|European Classification
|Jan 16, 2002
|Sep 1, 2008
|Maintenance fee reminder mailed
|Feb 22, 2009
|Lapse for failure to pay maintenance fees
|Apr 14, 2009
|Expired due to failure to pay maintenance fee
Effective date: 20090222


text: We'll Perform For Free Forever If Our Kickstarter Kickstarts By Studio 8 Entertainment ... more »https://www.kickstarter.com/projects/trew/a-bigger-better-home-for-the-new-orleans-comedy-sc? For the past 5 years, Studio 8 & The New Movement have been tirelessly working to put New Orleans & Austin on the comedy map. We've got a big, beautiful theater in downtown Austin, and now it's time to upgrade our theater and production facilities in New Orleans to match it. But we're a small business with no investors or rich relatives, so like always, we're raising every penny ourselves to make this happen. And we're willing to make a spectacle of our struggle. So this Kickstarter campaign is a fun way for you to be a part of something that's never been done before. TNM's co-owners, Chris & Tami, have agreed to perform their weekly 2-person show FOR FREE UNTIL THEY DIE if we reach our $50,000 goal. Free comedy forever. We did the math, and if they live another 50 years, they'll be giving away well over $1 million dollars' worth of shows in their lifetimes. We've also got plenty of other great rewards for donating! Get tons more info in the link above. If you like what we do, but you can't donate right now, then Like and Share that link everywhere you can. Every little bit helps! Thanks so much for your support and generosity. ------------------ FOLLOW us on TWITTER! Our comedy theaters: http://twitter.com/TNM_Austin & http://twitter.com/TNM_Nola Air Sex: http://twitter.com/airsex Brock: http://twitter.com/studio8 Chris: http://twitter.com/christrew ------------------- FAN us on FACEBOOK! http://www.facebook.com/learncomedy http://www.facebook.com/airsex http://facebook.com/studio8 ------------------- OUR WEBSITES! http://www.tnmcomedy.com http://www.studio8.net http://www.airsexworld.com « less Published May 22, 2014 1k views More Info » Full Credits Studio 8 Entertainment Uploader Stats & Data 13 Funny Votes 13 Die Votes 1,045 Views Published May 22, 2014 Categories: Real Life Keywords: brock laborde studio8 chris trew the new movement new movement theater tnm improv comedy standup comedian tami nelson nolacomedy nola new orleans theater kickstarter campaign Up Next: Nature's Wilderness - Ep. 1 AUTOPLAY Up Next In: 10 Nature's Wilderness - Ep. 1 Penis Jokes Uncensored Bootlegged Japanese Bikini Commercial Hell-O-Phone Follow Facebook Twitter Tumblr Instagram Browse Related Comments 130+ more View All ▶ Studio 8 Entertainment Vaguely Related Videos Vaguely Related Pics & Words Advertisement Advertisement

subset: commoncrawl


text:
Healthcare Equipment and Supplies
Company Overview of Calhoun Vision, Inc.
BOARD MEMBERS AFFILIATED WITH D. Verne Sharma *
*Data is at least as current as the most recent Definitive Proxy.
MOST CONNECTED PEOPLE TO D. Verne Sharma
|Richard B. Emmitt
|73 Relationships
|Christopher H. Porter
|56 Relationships
|Joseph M. Devivo
|39 Relationships
|Anthony P. Bihl
|38 Relationships
|Albert Jay Graf
|26 Relationships
Sponsored Financial Commentaries
Sponsored Links
Report Data Issue
To contact Calhoun Vision, Inc., please visit . Company data is provided by Capital IQ. Please use this form to report any data issues.
Please enter your information in the following field(s):
Your requested update has been submitted
Our data partners will research the update request and update the information on this page if necessary. Research and follow-up could take several weeks. If you have questions, you can contact them at firstname.lastname@example.com.


text:
Once folks understand that MBM is a management philosophy, most people wonder why MBM organizations bother to put so much energy and effort into a philosophy. Below are some common questions on the topic.
What is a management philosophy?
A management philosophy is a set of values, beliefs, opinions, and mental models that direct how a business should be managed. Usually philosophies have to do with the people side of business. For instance, a common business philosophy may include ideas about how to hire people. Whole Foods is famous for having a team approach to hiring. Whole Foods management philosophy includes strong beliefs about teams and empowerment through group decision making. Google is famous for giving employees time to work on their self-directed projects. This practice is rooted in a belief that autonomy breeds innovation. These practices are part of their management philosophies (even if they don't call it that).
Why dedicate resources to a management philosophy?
The reality is all leaders who are making decisions for businesses have management philosophies, even if they don't realize it. What happens in the minds of leaders is important, as their values, beliefs, opinions and mental models will determine how they behave.
Some companies go through the trouble of articulating their management philosophies. The upside is that employees (and candidates for jobs) can decide if they like the philosophy. This can lead to a couple of good outcomes:
- Employees and perspective employees can choose if they want to work for that type of company.
- Customers and business partners can decide if they want to do business (or boycott) because the approach to business is clear.
- Employees are more likely to adopt the behaviors necessary to uphold the philosophy because they understand the values and beliefs and opt in. So, when they make decisions on behalf of the company are more likely to faithfully represent the owners.
- Employees can bring their ideas, ask questions, and find better ways of managing.
The downside is that it is difficult to articulate a philosophy, remain open to changing the philosophy as it makes sense, and hold employees accountable for acting accordingly when they make decisions on behalf of the business.
Why did MBM take so long to evolve?
Like many management philosophies, MBM started with some deeply rooted beliefs. The earliest copy of the Guiding Principles was produced in the early 1980s – though many who have been around since before that will tell you there were mental models being used long before that. It wasn't until the mid-1980s that there was a group of people dedicated to articulating, teaching, and developing MBM. In the 1990s, MBM got its name. If I had time and energy, I could probably develop a timeline of what mental models and tools were added when.
Part of the reason MBM took so long to evolve into what it is today is just that: it wasn't designed, it evolved. For those of you who have studied spontaneous order or the rules of just conduct, you know that systems that are grown organically often take a long time to emerge and can be difficult to describe. Once they have evolved to a certain point, ensuring they continue to evolve and grow can be tough.
If you're interested, spend some time searching the internet you will see many companies have written down some of their management philosophies. It's not just MBM organizations that have discovered the benefits of articulating a management philosophy. What other questions do you have about the history of MBM or about management philosophies?


text:
Welcome to the World, Business Baby!
Getting things done, one tantrum at a time.
Return of the Vader Pitches
Author and illustrator of the Vader series, Jeffrey Brown, shares sketches of books that might have been!
Q&A with Tooth Fairy Box Author/Illustrator Elizabeth Evans
You'll never guess what the going rate for a tooth is these days…
Design Desk: Bay Area Kid's Boutiques
A preview of the latest children's trends, while exploring some of the Bay Area's sweetest boutiques!
Jedi Mind Tricks to Get Your Kids to Sleep
A long time ago in a galaxy far, far, away… Episode Eight PM: Bedtime


text:
Here is the link to the Gregg County Extension's Master Gardener class schedule. Next year's class need to be registered by December 11th. http://gregg.agrilife.org/files/2012/12/mg16.pdf
GCMG President Addendum to Randy Reeves Guidance Vision Plan.
My Vision for the Gregg County Master Gardener Program We have been talking to Randy extensively about trying to strengthen or Association because of all the great opportunities for enhancing gardening in Gregg County. The diversity of resources that the AgriLife Extension Office gives us in Gregg County is a treasure trove of education,agriculture certifications, volunteer programs and community outreach. That resource gives us well trained affordable training in a variety of fields. My Master Gardener training has helped me tremendously in turning my hobby into a full… Read More →
Learn at Lunch Sep 9th 2015 "Water is Life and Earthkind Landscaping"
GREGG COUNTY MASTER GARDENERS TO PRESENT SEPTEMBER 9, 2015, LEARN AT LUNCH, PROGRAM The Gregg County Master Gardeners Learn at Lunch program will be held on Wednesday, September 9. David Hackley, City of Kilgore Water Utilities Superintendent, retired, Kilgore, Texas, will present Program 1. His topic will be "Water is Life". Hackley's program will include the importance of water, where we get our water in East Texas and how water is treated and distributed to the public. Bruce Williams, President of the Gregg County… Read More →
Gardens and Greenway exceeded expectations!
The Gregg County Master Gardeners will present a Learn at Lunch program will on Wednesday, August 12. Pat McCrory, Founder and President of New Generation Farms, Kilgore, Texas, will be the speaker. His topic will be "I Want To Build A Green House." McCrory will explain all the necessary facts in building a green house, how to maintain it and use it effectively. The program will be held at the Gregg County AgriLife Extension Auditorium, 405 E. Marshall in Longview. The Master Gardeners' business meeting will… Read More →
GCMG Initiative Campaigns
We need a recruitment drive to attract new and old members alike. This involves creating a colored fold out flyer ASAP. Anyone with document design skills please help. These will be printed and distributed to all MGs. Pictures of JR Curtis Garden and First Baptist Community Garden as well as Newgate Mission and the Kilgore No Till/Specialty Garden listed as learning centers. We also need a group to start a contact campaign to bring back those who have taken the training but who did not get the necessary… Read More →
Extended Business Meeting Agenda 7/08/15
Hello fellow Gregg County Master Gardeners, July is a notoriously slow period for us and our Learn at Lunch has low attendance. We on the Executive Committee had decided to cancel it but after further consideration, a extended business meeting was needed. These are the projects and opportunities that are in need of discussion: 1. Continuing the J.R. Curtis for the Blind Garden documentation and maintenance. Start developing removal lists as well as new locations for large shrubs. Our goal now is to slow down and plan. Anyone… Read More →
GCMG Presidential Newsletter May 1st 2015
Gregg County Master Gardener's Presidential Newsletter 5/1/15 Hey there all, it has been a busy and exciting year so far. No time to look back as we head onto a bright future with a thriving interest in plant life giving us an opportunity to expand. The first thing that has happened with the support of Judge Stout and Commissioner McKinney was the Commissioners Court holding a forum to hear from the public the reasons why we need an Extension Office. Every program had a very effective and positive… Read More →
The Gregg County Master Gardeners, Learn at Lunch, program will be Wednesday, May 13.
The Gregg County Master Gardeners, Learn at Lunch, program will be 12:00 p.m.Wednesday, May 13 We will also have a Meet and Greet coffee talk for our new Extension Agent that day at 11:00 a.m. 2015-05, MAY 13, SHER DUNAWAY, P1 THE POLLINATORS, P2 HUMMINGBIRDS – NEWS ARTICLE .2015-05, MAY, 13, MG, SHER DUNAWAY, P1 THE POLINATORS , P2 HUMMINGBIRDS – FLYER (1) The program will be held at the Gregg County AgriLife Extension Auditorium, 405 E. Marshall in Longview. Master Gardeners' business meeting will begin at 11:30AM… Read More →
Texas Master Gardener March 2015 Newsletter
The newsletter must be a sign up only, it isn't a general public newsletter. Here is the link: http://txmg.org/ Scroll down a bit on the rightside widget You will notice that Gregg is on the list of not paying our dues on time, which is wrong we did and Pete verified it and we are waiting for a answer as to why they didn't document our submission.


text:
ABSTRAL is only available through a program called the ABSTRAL REMS program. To receive ABSTRAL, you must talk to your healthcare provider, understand the benefits and risks of ABSTRAL, agree to all of the instructions, and sign the Patient-Prescriber Agreement form.
You or a family member should call your healthcare provider or get emergency medical help right away if you:
These symptoms can be a sign that you have taken too much ABSTRAL or the dose is too high for you. These symptoms may lead to serious problems or death if not treated right away. If you have any of these symptoms, do not take any more ABSTRAL until you have talked to your healthcare provider.
ABSTRAL can cause your blood pressure to drop. This can make you feel dizzy or lightheaded if you get up too fast from sitting or lying down.
The most common side effects of ABSTRAL are nausea, sleepiness, and headache.
Constipation (not often enough or hard bowel movements) is a very common side effect of pain medicines (opioids) including ABSTRAL. Talk to your healthcare provider about dietary changes, and the use of laxatives (medicines to treat constipation) while you are taking ABSTRAL.
Please see full Prescribing Information and Medication Guide, including Boxed Warning.
About ProStrakan
ProStrakan is a rapidly growing specialty pharmaceutical company engaged in the development and commercialization of prescription medicines for the treatment of unmet therapeutic needs in major markets.
ProStrakan is a subsidiary of Kyowa Hakko Kirin Co. Ltd., the Japan-based global specialty pharmaceutical company.
|SOURCE ProStrakan, Inc.
Copyright©2010 PR Newswire.
All rights reserved


text:
Ducks keep streak going
Oregon stretched its winning streak to eight games with a 4-1 triumph over Gonzaga on Wednesday night at PK Park.
The 10th-ranked Ducks (42-11) used four pitchers, three of them with limited previous appearances this season to limit the Bulldogs (32-18) to four hits as Oregon kept its momentum going into a weekend series against Oregon State for the Pac-12 lead.
Clayton Crum, who had pitched only 6 1/3 innings this season and hadn't been in a game since his lone previous start on May 1, threw the first five innings before Cole Wiper (2-1) worked two innings and Jared Priestly one. Wiper had appeared in only six previous games and Priestly five.
Jimmie Sherfy then came in to pitch the ninth inning and record his 19th save of the season, matching his UO record set last year.
The Ducks broke it open with a three-run seventh inning, including two runs that came in on J.J. Altobelli's squeeze bunt with the bases loaded.
Craig Meredith, who tripled to open the inning, tallied the first of those runs and when the Bulldogs threw to first to retire Altobelli, Ryan Hambright rounded third and kept on running and was able to slide around the tag attempt at home to up Oregon's lead to 3-1. An RBI single from Brett Thomas then completed the scoring.
Bob Clark is a veteran sports reporter who has covered local and national events for more than 30 years.


text:
Save 10% on Laguna Tools
Your favorite Laguna Tools are on sale right now!
Browse Now
NOVA Precision Midi Chuck
Ideal for mini, midi lathes, or for smaller turnings on large lathes.
Save $45 Today!
Save 50% on WoodRiver® Bit Set
The 100-Piece Brad and Twist Bit Set makes a great addition to any shop.
Buy Now $24.99
Look up product instructions, videos and articles about your favorite tools using our Learning Center.
Join us on your favorite social network! Share your projects and learn from other woodworkers.
Please Note: This item can only be shipped ground to the 48 contiguous states. Some
items cannot be shipped via air due to being flammable, magnetic, contains batteries,
hazardous fumes or where contents are under pressure. Please use a physical address
not a PO Box during checkout.
(No reviews)
Product Information:
You're not likely to misplace this shop heirloom one you make it. Use it for measuring dadoes, mortises, and other recesses where precision is critical. Measures approximately 6in.long. This plan was proven in the WOOD magazine shop by its editors and master craftsmen.
Shipping / Billing Info:
©2015 by Woodcraft Supply LLC


text: We're sorry, Monopoly Hardback Notebook is no longer available Why not try one of these instead? Personalised Teacher's Notebook by Snapdragon £6.50$14.08€9.61$10.69 can be personalised Personalised Thank You Teacher Notebook by Made by Ellis £9.95$21.56€14.72$16.36 can be personalised Personalised Floral Thank You Teacher Note... by Made by Ellis £9.95$21.56€14.72$16.36 can be personalised Personalised Wedding Engagement Notebook by Made by Ellis £9.95$21.56€14.72$16.36 can be personalised Monopoly Hardback Notebook by the letteroom £6.95$15.06€10.28$11.43 This item is no longer available £18.50$40.08€27.37$30.43 delivery to United States Receive this item 5-10 working days from dispatch International delivery available gift wrapgift wraphappy birthday paper (+ £2.50)vintage map paper (+ £2.50)new baby paper (+ £2.50)alphabet paper (+ £2.50)gift wraphappy birthday paper (+ $5.41)vintage map paper (+ $5.41)new baby paper (+ $5.41)alphabet paper (+ $5.41)gift wraphappy birthday paper (+ €3.69)vintage map paper (+ €3.69)new baby paper (+ €3.69)alphabet paper (+ €3.69)gift wraphappy birthday paper (+ $4.11)vintage map paper (+ $4.11)new baby paper (+ $4.11)alphabet paper (+ $4.11) we're sorry we're sorry, This item is no longer available buy a gift voucher related categories baby & child > toys & games > stationery & creative activities > notebooks home > office & study > stationery & desk accessories > notebooks by the letteroom Location: ANDOVER, GB read seller's profile see seller's complete range more items from this seller Silver Embossed Personalised Book Of Nurse... £19.95$43.23€29.52$32.82 Paper Bag Letter Lantern £2.75$5.95€4.06$4.52 Wooden Name Train £6$13€8.87$9.87 Personalised Rustic Birch Wood Vase £34.95$75.73€51.72$57.49 Personalised Book Of Nursery Rhymes £19.95$43.23€29.52$32.82 Personalised Family Christmas Tree Decoration £9.95$21.56€14.72$16.36 view all you may also like PRODUCT DETAILS DELIVERY RETURNS gift wrapping available ask seller a question save for later A fun gift for all Monopoly enthusiasts. Need a place to write down your bright ideas? Now you can, in this Monopoly inspired Electric Company notebook! This fun notebook, will be familiar to all as being one of the property cards from the classic board game. The nostalgia inducing front cover will make you remember the times playing the game (and arguments!). made from: Officially licensed by Hasbro. Hardback and ruled. dimensions: A6 (105 x 148mm) product code: 224321 This product is dispatched to you by the letteroom. MAINLAND UK order now and receive this item by price Standard Delivery Thursday 15 October £2.75$5.95€4.06$4.52 Tracked Next Day Delivery Monday 12 October £7.70$16.68€11.39$12.66 Tracked Next Day 1pm Delivery Monday 12 October £9.70$21.01€14.35$15.95 Saturday Delivery Saturday 10 October £15.70$34.02€23.23$25.82 NON-MAINLAND UK estimated delivery price Highlands & Islands of Scotland 2-5 working daysfrom dispatch £2.75$5.95€4.06$4.52 Northern Ireland 2-5 working daysfrom dispatch £2.75$5.95€4.06$4.52 Other UK Islands 2-5 working daysfrom dispatch £2.75$5.95€4.06$4.52 INTERNATIONAL DELIVERY estimated delivery price Western Europe 2-5 working daysfrom dispatch £11.50$24.92€17.01$18.91 Rest of Europe 5-10 working daysfrom dispatch £11.50$24.92€17.01$18.91 USA & Canada 5-10 working daysfrom dispatch £18.50$40.08€27.37$30.43 Asia & Australasia 5-10 working daysfrom dispatch £19.50$42.25€28.85$32.08 Rest of the world 5-14 working daysfrom dispatch £19.50$42.25€28.85$32.08 You have 28 days, from receipt of cancellable goods, to notify the seller if you wish to cancel your order or exchange an item. Please note: goods that are personalised, bespoke or made-to-order to your specific requirements, perishable products and personal items sold with a hygiene seal (cosmetics, underwear) in instances where the seal is broken are non-refundable, unless faulty. Read more about our returns policy.Should you choose to return or exchange your order you will need to deliver the item(s) to the UK, where this seller is based. the letteroom's return policy


text:
Register with us or sign in
I only know hydrangea petiolaris, but it isn't evergreen. Mine doesn't get much sun.
Lily in France the keyboard is azerty as they are the letters starting the top row. The most common and least common letters are in the places they are, depending on the language used, to be easiest for the typist. "z" is used quite a lot in French but not in English.
I'm too afraid of pain to have one and some I've seen are very crude and ugly, but if you look on Google there are some gorgeous ones. I prefer the more discreet ones, like a dandelion seed head with the seeds blowing away, and some pretty butterflies.
But I have an azerty keyboard!
Sounds like Campsis to me. Was it like this?
Sweet Peas and Broad Beans.
Penstemons are fairly easy from seed too, but the bigger flowered ones aren't always hardy.
Yes, but good to have watered the young plants, you'd feel worse if they died. Roses can manage without being dead headed.
Oh OL, naughty, you just looked that up and so did I! But I did know horse.
I was going to say hydrangea petiolaris, but that is a climbing hydrangea.


text:
Florida offers more than just fun for the family!Published on

All over the world, people discuss Florida as the place for family fun at Disney World. Florida offers more than just fun for the family! Yep, it offers educational opportunities like those at Fort Lauderdale Fl top private middle schools for starters. Also check out all types of family sites like historic ones, beaches, and a while lot more throughout the southern state. For kids and adults of all backgrounds and income ranges, Florida offers something for everyone. Water sports, learning opportunities, fun family hot spots, vacation spots, condos and more abound. Tap into Florida for sunshine, smiles and so much more!

Learning How to Read Sheet Music With DyslexiaPublished on

It can be extremely difficult for individuals who have dyslexia to learn how to read sheet music. The exact same trouble they have when reading a book can affect them when they have to read sheet music to play the guitar, the piano, or almost any other instrument. One of the options that is available for an individual in this situation is to learn how to play by ear. They can completely bypass sheet music and play from why do they have remembered. Also, they can learn how to sing with relative pitch. There are some programs available to help individuals in this situation.

All Weddings Need MusicPublished on

No wedding would be enjoyable without music. This is true no matter if we are talking about the music that the bride walks down the aisle to or the music that is played at the reception. It is absolutely necessary to have music, even if it is just background music that will be enjoyed by the bridegroom and all the guests. Sometimes the bridegroom will decide to sing for each other or they will have someone sing for them. If this is the task that you have been assigned, click here to learn about perfect pitch. You will be able to see how you can improve your singing voice.

Slumber party ideas for middle school girlsPublished on

Interested in sharing some slumber party ideas for middle school girls? My mom is, so I am blogging for her. She is inviting local and other moms from top middle schools Fort Lauderdale and other places to comment and share ideas. Here are some from me. We young girls like good pizza snacks. nearly any type pizza is good, even Chef Boyardi box mixes with extras like some pepperoni and cheeses to add on top, plus sausage and ham and veggies. Don't forget plenty of pop (or sodas, some people call it), too – -in different flavors like orange, grape, cola and sprite.

Where to go for vacation this summerPublished on

Many people ponder where to go for vacation this summer. One place that is often suggested is Florida, and for many reasons. They say to check out Disney Land, of course, and attractions near that area. Also, take in the beaches, orange trees, Ft Lauderdale top rated private schools to consider if you have children, in case they want to move there and you think it would be a great idea, too. And consider other nearby hot spots like the eateries, historic places, museums, and especially the islands and water activities. Island hopping can rock! And so can surfing and swimming!

Main moving issues for childrenPublished on

Making a move to a new area and have children? If so, join the club! Main moving issues for children focus on issues like education, social activities, health care and basic necessities – not all in that order. So if you move to Florida, as one example, you might start seeking out sites with info on private schools in Ft Lauderdale and then see what social opportunities may also be in the area like kids' clubs, sports, fun hot spots and other places. THen also check doctors in the area for regular check ups for them and affordable shopping centers.

I want to be an expert musicianPublished on

I have always wanted to try and become a musician and now, I think that I can finally make it happen, thanks to Ear Training HQ. I recently visited the website of this school and I am aware that I can always take any of the ear training courses and lessons it offers. To make things better, the lessons take place online, so I can become an expert musician from the comfort of my own home. Last but not least, if I get stuck along the way, I can get in touch with an ear training expert called Scott Edwards.

Learn More About Singing ClassesPublished on

There are a lot of different classes that are available for individuals who are interested in learning how to sing or who would like to improve their singing voice. One of the best ways to find out about these classes is just to look online. There are classes that are available in most large cities across the United States and in large cities in other parts of the world. Find one that is located near you. This is going to help you to have perfect pitch. A class like this is especially helpful if you are preparing to sing in front of a large audience, perhaps at a wedding.

Middle school weekend fun ideasPublished on

Have a middle school child or two or more at home still? If so, ever need some weekend activities for them? I know I sure need some for mine. Fro starters check online at their school sites and other school sites in the area like the one at top middle schools Fort Lauderdale. Check their calendar of events for any school fairs, book fairs, sports activities and other events going on. Those can be ideal places for children to meet other kids to play with as well as find adventures and have a bunch of fun. See what you can find!

Summer time activities for kidsPublished on

It's almost that time of year once again where our school-aged children will be out for summer break. Oh the joys ahead, wow ;( OK, seriously, I do love my kids. But not 24/7, having them underfoot and always wanting to be looking at screens – television, movies, Internet, gaming, handheld smaller ones…you name it. I would rather they enroll in summer classes or workshops, at least, like some offered via schools like Ft Lauderdale top rated private schools where you can earn certificates of completion, and actually learn new skills. These could be crafts like candle making or anything.


text:
Henry picks Memphis over KU
Xavier Henry, a 6-foot-6 senior guard from Putnam City (Okla.) High, has decided to play college basketball at the University of Memphis, he announced on ESPN News Tuesday morning.
Bob Harvey 6 years, 10 months ago
Good, a one and done who cares for nothing but himself. He'd never be a Jayhawk.
raoulduke 6 years, 10 months ago
Bitterness does no good. KU is still the reigning national champion with a great recruiting class now incoming as well as for next year. Can't get them all. Let him enjoy staying united with his brother (longtime KU fans will obviously appreciate the past contributions of their parents). Let that national championship banner fly for those who truly want to be a part of the program. Rock Chalk Jayhawk!
Commenting has been disabled for this item.
Share this video
Wilkerson, Saunders & Anderson DDS 785-843-6060
Find more businesses on Marketplace
Arts & Entertainment · Bars · Theatres · Restaurants · Coffeehouses · Libraries · Antiques · Services


text:
Shahi tukda is a simple and delicious recipe make from milk and bread. This is a lovely dessert that can be easily made at home.
Added by: maherbankb
Views: 114 | Comments: 0
This is relatively easy because one does not need to make chana or paneer. Golap Jamun is very popular in India, Pakistan and other neighboring countries as well. Golap jamun is brown and tender on the surface. It is soft and juicy inside as well.
Added by: maherbankb
Views: 128 | Comments: 0
Easy Chocolate Fudge Sundae Recipe
Its tastes better when you put dark chocolate with condensed milk because the condensed milk is sweet already and makes it super yummy.
Added by: maherbankb
Views: 194 | Comments: 0
Banana Chocolate Cupcakes Recipe
Banana chocolate cupcakes where mashed ripe bananas are mixed in a batter along with cocoa powder. Their flavor is rich and their texture is moist and when you top each cupcake with a creamy smooth chocolate fudge frosting.
Added by: maherbankb
Views: 101 | Comments: 0
Sweet and sour chicken is a delicious and wildly popular dish found in most Chinese restaurants. Asian food instructor Chef Van Roo will show you a step by step easy way to make sweet and sour chicken.
Added by: maherbankb
Views: 148 | Comments: 0
This simple cheesecake is creamy and rich with just a tiny bit of sour to balance the sweetness. It's easy to make and delicious to eat.
Added by: maherbankb
Views: 147 | Comments: 0
The very famous chicken preparation with silky butter and tomato sauce. This is very delicious and tasty chicken.
Added by: maherbankb
Views: 284 | Comments: 0
A mouthwatering and taste buds tingling Mutton recipe from the Konkan region. Mutton Sukke means meat in dry masala or dry mutton with spices.
Added by: maherbankb
Views: 205 | Comments: 0
This fruit cake is very delicious and yummy. The preparation of fruit cake is very simple and you can make it at home because the ingredients are available locally.
Added by: maherbankb
Views: 135 | Comments: 0
This is a supper simple recipe. Marinate the mutton in with yogurt cumin seed,ginger garlic paste,tomato sauce,mint leaves and coriander leaves etc.
Added by: maherbankb
Views: 176 | Comments: 0
Chinese Lemon Boneless Chicken Recipe
Lemon boneless chicken is a Chinese restaurant classic. This version features pieces of chicken breast, lightly battered and fried until golden and crispy then smothered in a tangy lemon sauce. Serve with rice or vegetables.
Added by: maherbankb
Views: 181 | Comments: 0
Special Fried Rice is a classic Chinese takeaway favourite. Boiled rice is wok-fried with bacon, spring onion, omelette, baby prawns and mixed vegetables. Seasoned with soy sauce, this amazing dish will keep the family happy.
Added by: maherbankb
Views: 189 | Comments: 0
Quick and Easy Chocolate Fudge Recipe
It only requires 3 ingredients and a microwave, plus it can be thrown together in less than 5 minutes. Perfect for serving with coffee.
Added by: maherbankb
Views: 192 | Comments: 0
This looks like a pizza, but it's definitely not a pizza. The crust has a flaky pastry quality and the onions kinda play the part of a pie filling. This is a rich dish, bordering on decadent, it is super filling and super flavorful. For a meatless alternative, try faux sausage or no sausage at all this dish works well just as a Tomato Pie.
Added by: maherbankb
Views: 125 | Comments: 0
Vanilla Cupcakes have become so popular. Gone are the days when they were only served at children's birthday parties dressed with a quick swipe of frosting and a sprinkling of colored sugar. Today's cupcakes show up everywhere, from adult birthday parties to weddings and their decorations range from the very simple to stunning works of art.
Added by: maherbankb
Views: 149 | Comments: 0
Quinoa is a versatile food, similar to rice, but with enough 9 essential amino acids to make a complete protein. It's easy to prepare and super tasty. The salad recipe below makes an excellent meal, a tasty side dish, or a light snack.
Added by: maherbankb
Views: 111 | Comments: 0
Use any cream suitable for whipping and the kind of cream you would use if you were making whipped cream from a dessert. This is a home made version of ice cream. It does not contain the anti-freeze additives that shop bought ice cream has. When you take the ice cream out of the freezer, it will be solid like ice. simply leave the ice cream out of the freezer for 10-15 minutes to soften and then serve.
Added by: maherbankb
Views: 195 | Comments: 0
A fabulous way to add more raw food and phytonutrients to your everyday. Use tortillas, whole raw savoy cabbage leaves or nori sheets for wrapping with spicy hummus or cream cheese spread and fill with a rainbow of veggies.
Added by: maherbankb
Views: 165 | Comments: 0
Things might get pretty simple sometimes but sometimes that's just what a person needs. I hope you like the recipe for a jelly bean smoothie. It is very sweet smoothie and you can make it at home.
Added by: maherbankb
Views: 130 | Comments: 0
White Christmas Slice is a sweet dish and it is made with white chocolate. We can use dry fruits, cherries. This is a simple dish and very tasty also.
Added by: maherbankb
Views: 172 | Comments: 0


text:
You are using an outdated browser. Please upgrade your browser to improve your ReverbNation experience.
"Like a lot of young men inspired to take up guitar in the early 1990s, George Middlebrooks got his start penning "stupid angry teenage songs" and indulging the growing infection of rock 'n' roll. Unlike most of those same young men, Middlebrooks has found a later-in-life treatment for that bug, and when it doesn't involve rocking out on local stages as the three-man band Stolen Sheep, it has a lot to do with experimental soundscapes produced in a local coffee shop…"


text:
The color of debt
Paul Kiel
Oct 8, 2015 How collection suits squeeze black neighborhoods: a ProPublica investigation with Marketplace.
One photographer, 35 years of campaign history
Kai Ryssdal
Interview by
Produced by
Aug 28, 2015 Jim Cole follows one rule to get a good shot on the campaign beat.
Housing market is one upbeat note right now
Mitchell Hartman
Aug 25, 2015 The stock market meltdown could help drive down mortgage rates, economist says.
Credit: What's in your wallet?
Gigi Douban
Aug 21, 2015 Americans' FICO scores are on the rise. What's going on?
Do members of Congress take vacation time to campaign?
Kimberly Adams
Aug 17, 2015 A listener wonders how the Senate's presidential candidates can work and run.
Where you live will cost you
Tobin Low
Jul 27, 2015 A look at credit card burden in some of the largest U.S. cities.
The economics of a Los Angeles homeless shelter
Lizzie O'Leary
Interview by
Produced by
Jul 24, 2015 In the past 2 years, homelessness has jumped 12 percent.
Changing the perceptions of conservative politics
Kai Ryssdal
Interview by
Produced by
Jul 20, 2015 In his book, Arthur Brooks hopes to inject more optimism into political parties.
Many Marin workers can't afford to live in Marin
Krissy Clark
Jun 25, 2015 What happens when most of your county's workers can't afford to live in the county?
Finding affordable housing in an unaffordable place
Krissy Clark
Jun 25, 2015 Projects like Marin's Toussin Senior Apartments help but are tricky to finance.


text:
Barcelo Ponent Playa Hotel
The award-winning Barcelo Ponent Playa Hotel is a fresh and modern complex located on Cala Ferrera beach in the lively resort of Cala D´Or on the island paradise of Mallorca. ... Continue reading
The award-winning Barcelo Ponent Playa Hotel is a fresh and modern complex located on Cala Ferrera beach in the lively resort of Cala D´Or on the island paradise of Mallorca. Offering a wide variety of services from which to choose as well as excellent entertainment programs for adults and kids, this friendly 3 Star property makes a relaxing base for couples and families featuring spacious double rooms, fine dining, Spa facilities, and excellent service with warm hospitality. Guests to the Barcelo Ponent Playa Hotel can visit some of the nearest local ports such as Porto Colom, Portopetro and the Marina of Cala d'Or, and walk to a number of restaurants, bars and shops.
- Beachfront
- Bicycle rental
- Children's playground
- Evening entertainment
- Golf course (within 3 km)
- Hammam
- Indoor pool
- Mini golf
- Sauna
- Table tennis
- Tennis court
Other facilities
- 24-hour front desk
- ATM/cash machine on site
- Car hire
- Currency exchange
- Express check-in/check-out
- Fax/photocopying
- Laundry
- Luggage storage
- Meeting/banquet facilities
- Vending machine (drinks)
- Air conditioning
- Lift
- Non-smoking rooms
- Non-smoking throughout
All Inclusive
- Breakfast; Lunch; Dinner, Main Restaurant, Daily.
- Snacks, Daily.
- Afternoon Tea, Daily: 15:00 - 18:00.
- Ice Cream, Daily: 10:00 - 23:00.
- Locally produced Alcohol; Locally produced non Alcohol; Imported Alcohol; Imported non Alcohol, Soft drinks; Tea; Coffee, Daily: 10:00 - 23:00.
- Beer; Wine; Mineral water, Meal times.
- Entertainment.
Room facilities
The Barcelo Ponent Playa Hotel features double rooms that can accommodate up to 3 adults and can be booked for single use, with views of the pool or the gardens (some sea views available with supplement). All rooms have a bathroom with shower, two beds, terrace, telephone, Satellite TV, air-conditioning, heating and safe (at a charge).
Other Information
The area boasts a golf course (just 5 km from the hotel), scuba diving and horseback riding schools, and excellent conditions for water sports, such as windsurfing, sailing, or scuba diving.
Official rating is 4 Stars
24 hour reception, currency exchange, Concierge, lifts, disabled facilities, meeting room, TV room, computers and Internet (with charge), laundry service, doctor service, safe (with charge), take-out picnic lunches arranged, printer, fax-sending service, free Wi-Fi in hotel lobby, car rental, parking (with charge). The hotel has been awarded with the 'Q' award for quality by the Spanish Institute for Quality Tourism.
Price Overview
The prices shown below show the cheapest holiday offers for the Barcelo Ponent Playa Hotel in Cala d'Or. Please use the price links to see all holiday deals available for that month.
|Price Overview
|Holidays from
|Avg. Daily Temp (°C)
|Avg. Evening Temp (°C)
To make booking a holiday at Barcelo Ponent Playa Hotel in Cala d'Or easier for you, we provide a range of different payment options. To find out if you can book Barcelo Ponent Playa Hotel with a low deposit holiday option, please click the "Price and Availability" button above.
Like most holiday resorts in Mallorca, Cala d'Or (Golden Cove) evolved from a local fishing village after its charms and idyllic setting were 'discovered', in this instance, by a group of avant-garde artists who settled here in the 1930s. They built their white, flat-roofed houses around the picturesque fishing harbour, and soon the word spread. Cala d'Or became a desirable spot to have a holiday home, or for a relaxing seaside vacation.
The original village and harbour was situated in one of the small rocky coves with sandy beaches, called 'calas', which abound on Mallorca's east coast. The resort has now spread out to encompass several of these coves, all now beset with attractive hotels, apartment blocks and villas. It is a very chic resort, recommended for families because most establishments cater extremely well for children.
There are numerous adjacent smaller resorts and quaint villages clustered around the calas all along the south-east coastline, connected by a good bus service, which means visitors can make excursions to explore the delights of places like Cala Egos, Puerto Petro, Cala Mondrago, Cala Figuera, Cala Santanyi and Cala Llombarts. The Cala d'Or marina is the heart of the east coast resort area, attracting the fashionable yachting set.
Resort Rating
Cala d'Or has seven beaches, of which the largest is Cala Gran, all with fine white sand and clear shallow water for holiday makers to enjoy. The larger beaches have good facilities offering watersports including sailing, windsurfing and scuba-diving. Those wishing to venture further afield can take a 'champagne cruise' along the coastline, ride a mini-train to picturesque Cala Mondrago with its two lovely coves, or take excursions to the villages of Cala Figuera, Puerto Petro, Sa Colonia de Sant Jordi or the isle of Cabrera. Most hotels offer full entertainment programmes for children, and there are trampolines and mini go-karts at Mallorcalandia, as well as mini-golf in the town centre.
Cala d'Or's upmarket restaurants are situated around the marina, which is usually abuzz with a lively international crowd enjoying a variety of cuisines. The centre of town offers fast food outlets, tapas bars, pizza parlours, burger joints and several British pub 'n grub type establishments. Eateries that come highly recommended in Cala d'Or are Acuarius, Shangrila, Restaurante Vicente and Casablanca.
Nightlife in Cala d'Or is tasteful and stylish, rather than frenetic, centred around the many cocktail bars and discos. Don Ron Heroes Bar is one of the places to go for a good night out in Cala d'Or. The latest music rocks Linekers, and the most popular nightclubs in town are Disco Alfa and Farrahs Planet Ibiza. Hollywoods is the local karaoke bar, while the Dirty Duck pub is known as the gay-friendly establishment.
Cala d'Or is known as the best shopping district on Mallorca, its main shopping street, Avinguda Tagomago, filled with chic boutiques, leather shops and galleries appealing to locals and holidaymakers alike. Designer clothes and shoes, in particular, are available at reasonable prices. Souvenir shopping is fun with the wide variety of local crafts, traditional pottery and glass, and olive wood carvings available at several stores, and at the Sunday morning flea market in Felanitx. Visitors can also find bargains in designer sunglasses, jewellery and perfume. Those in self-catering apartments who need sustenance will find all they require at the resort's biggest supermarket, Caprabo, near the resort entrance. The supermarket opens until 9pm every night (except Sundays, when it closes at 2pm).
Cala d'Or is definitely a family-oriented holiday resort, not catering for the 18-30 single set, particularly those who enjoy a wild night-life. The music bars and discos are usually quiet by 2am. The main resort beaches can become enormously crowded, particularly during July and August, and holiday-makers have to be up and about early if they hope to secure a sunbed for the day. It is possible to bus, or hire a car, to travel to nearby less populated beaches and coves, but these are not likely to offer all the facilities of the resort beaches.
Essential Information
Time Zone
Plug TypeVoltage 220V 50Hz
€1 = £0.74
This week's weather forecast
Photos of the Cala d'Or area
Panoramio is a photo-sharing network designed for users to upload their own travel photos and place them on the map, giving you a better idea of what to expect from a location before you visit. We decided to use Panoramio because we want you to see images that reflect real life, not just the glossy photos that the brochures provide.
Photos provided by . Photos are under the copyright of their owners.
Hotel address : c/Avenida Felanitx, Cala d'Or, Majorca, Balearic Islands
Please wait while we load the map for Barcelo Ponent Playa Hotel
Questions and Answers about Barcelo Ponent Playa Hotel
If you can't find what you're looking for or if you have a question about this specific hotel, please get in touch via the Add a Question button below. Our knowledgeable team will aim to respond to your question within 72 hours. In the meantime, previously asked questions can be found below and answers to some of the most commonly asked questions can be found on our FAQs page.
is there wifi available in the hotel? 1 Answer
Hi Claire, Wifi is available at this property in public areas. Regards
Added 3 months, 3 weeks ago.
By Leanne, loveholidays.com team member
Do you have vegetarian menus? 2 Answers
Yes vegetarian options are available, thanks Esther
Added 5 months, 1 week ago.
By Esther, loveholidays.com team member
Hello, We do not have copies of menus but the hotel may be able to provide this for you. (email@example.com).
Added 5 months, 1 week ago.
By Leanne, loveholidays.com team member
How far is it to the town centre and is there transport available from the hotel 1 Answer
The centre of Cala D'or is a ten minute walk from the property, there are numerous bars and restaurants all within close proximity of the property. There is no shuttle bus propvided to the centre of Cala D'or.
Added 7 months, 1 week ago.
By Lisa.Weldon, loveholidays.com team member


text:
Annual food drive underwayOctober 16,2013Annual food
drive underway
The annual Fill the Cupboard Challenge food drive will aim to raise 27,000 items for the Rutland Community Cupboard.
Organizers of the event, sponsored by Green Mountain Power, called it the largest-ever goal for an annual food drive. Last years challenge brought in 26,000 items, according to coordinator Sue Bassett.
Businesses, clubs, schools, sports teams, churches and other organizations are encouraged to register for the Challenge, collect items through Nov. 6 and deliver them to the Rutland Community Cupboard.
GMP will donate 25 cents to the Community Cupboard for every item collected, up to a total of $6,250. The company will also donate $500 in the name of the group that collects the most food.
Participants can solicit food donations from employees, customers, vendors or others, and are encouraged to conduct their own food drives as part of the challenge.
For more information, call Chuck Piotrowski at 770-4088 or Sue Bassett at 747-6119.MORE IN This Just InKABUL, Afghanistan Confusion reigned in the wake of the deadly bombing Saturday of a hospital... Full StorySPRINGFIELD A fast-moving fire destroyed a freestanding two-bay garage on 432 South St. Full StoryIt will be a busy week in gubernatorial politics with two candidates holding formal campaign... Full Story
- Most Popular
- Most Emailed


text:
Heinz's green ketchup made headlines across the country when it first hit shelves in the fall of 2000. Blue french fries and color-morphing Cheetos would not be too far behind. However, grocers are not yet sold on the rainbow of options in the consumer packaged goods arena. Retailers polled by SN have seen little sustained growth in the multicolored categories after the initial novelty wore off. At Remke's Markets, Covington, Ky., green ketchup is now "just sitting on the shelves," ...
REGISTER TO VIEW THIS ARTICLE - Register for a Free Account
WhyRegisterfor FREE?
Registering for content on Supermarket News will give youINSTANTaccess to invaluable articles and media content that industry professionals rely on. You will have access to our special reports, feature articles, and industry analysis. It'sFREE, easy and quick. What are you waiting for!In addition you will also receive a complimentary copy of SN's salary survey sent to you by email.
Click here to read the FAQ page if you have any questions (opens in a new window)
Attention Paid Print Subscribers: While you have already been grantedfreeaccess to SNwe ask that youregister now.We promise it will only take a few minutes! Or visit your profile and add your print magazine account number and zip code.


text:
Welcome to
A very warm welcome to Wreake Valley's website
The curriculum is the whole experience of students during their time at Wreake Valley. At the heart is the need to provide a high quality experience leading to outstanding outcomes for every student. These quality experiences are dependent on effective teaching and learning. The Academy's Aims and Values underpin and should inform the development of […]
Continue Reading
Exam Results
Please click here to read Mr Pinnock's letter re GCSE English Language results and appeals.
It was a wet lunchtime at school today. In the past it has always been a problem to ensure that all the students have somewhere to go and are properly supervised. Today, now that we are getting towards balanced year groups it was not an issue. Studen […]
Read More »
For updates and information about the school and to keep up with the latest announcements.
Join us on Facebook
Tonight we celebrated the achievements of the Class of 2015. A few photos from the evening are on Facebook. facebook.com/pages/Wreake-V…
First day of term today. Welcome back to those now in years 8 to 13, and a very big hello to those joining us in year 7.
Follow us on Twitter
Wreake Valley Academy
Parkstone Road
Tel: 0116 264 1080
Fax: 0116 264 1089
Email: email@example.com


text:
Search the Collection
Sitter in 2 portraits
by Fred Daniels
by Fred Daniels
David Farrar(1908-1995), Actor
Sitter in 2 portraits
David Farrar as Mr. Dean in 'Black Narcissus'
by Fred Daniels
vintage bromide print, 1946
NPG x137782
David Farrar as John 'Jack' Reddin in 'Gone to Earth'
by Fred Daniels
vintage bromide print, 1949
NPG x137783
Tell us moreback to top
Can you tell us more about this person? Spotted an error, something missing, or do you know anything that we don't know? If you have any information to share please complete the form below