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You wake up in a room and you have forgot everything so you struggle to find a way out, this mod has some tricky part to. You play as Robo, a student. As I said you hallucinate alot and can't remember what happend last night.
Aug 12th, 2012 2 people agree 0 people don't
A lot of jumpscares and creepy atmosphere. Unfortunately, several annoying parts (finding rusty key on greyish-brown floor in a dark room without possibility to use lantern, for example), things which don´t make logical sense and, the worst of all for me, no story.
Story 0/10
Gameplay 7/10
Atmosphere 10/10
Total: 6/10
Jul 13th, 2015 0 people agree 0 people don't
Jumpscares and sound-scares... teleporting naked guy decreased the score by 1, and "forbidding turning on lantern" in a certain area decreased the score by 1 as well. Definitely not worth playing.
Mar 12th, 2014 0 people agree 0 people don't
Barely any existant story and oh the jumpscares...
Dec 25th, 2013 0 people agree 1 person doesn't
Jun 9th, 2013 0 people agree 0 people don't
Good scary atmosphere. I enjoyed this mod.
Mar 12th, 2013 0 people agree 1 person doesn't
Sep 27th, 2012 0 people agree 1 person doesn't
This is a nice, detailed and bug-free mod. Consists of nearly all jumpscares you can imagine. I was really scared, thanks!
Jun 15th, 2012 0 people agree 1 person doesn't
I love the jump scares, not going to spoil but that ending man. Why....
May 24th, 2012 0 people agree 0 people don't
nothing that really WOWed me. plenty of jump scares and poofers. pretty short mod.
it wasn't great but also wasnt bad. just average. if you have 30 minutes give it a try.
Apr 14th, 2012 0 people agree 2 people don't
Altough the mapping was pretty neat you could not really make sense out of the story and it was way too many jumpscares that ruined the ambience. The pussles could have been made harder and more intellectualy challenging, after some time i almost felt remorse when i was about to open a door or pick up a key since i knew that it would trigger some ridiculous jumpscare.
Aside of that this mod was great, taking all of it´s shortcomings into consideration it was still an enjoyable mod and that is why this gets 8/10.


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Software Developer
India - Tests: 7 - Portfolio: 21
I am a full time PHP Developer having 5 years of experience in PHP, Magento, WordPress , Joomla and Drupal frameworks. My more competencies include building complex websites and polished using HTML5 , CSS3 , MySql, JavaScript and jQuery. My availability is around 40 hours per week and can devote more hours to meet specific deadlines. I possess the self discipline and time management skills necessary to have served as a virtual employee for the past four years.

subset: commoncrawl


text:
Credits & Info
- Uploaded
- Aug 19, 2010 | 1:14 PM EDT
If you liked this, check these out!
Author Comments
Rated 4.5 / 5 stars
Are you serious is this first?
Well then it was pretty good
Its me first flash. i have studied a lot for this you know , but i wasnt sure at first to upload some of the games i made :P
Rated 4.5 / 5 stars
This is a very funny game with a lot of humour and originality.
Tell me, is it normal that the items you block with the guitar stays in the gutter ?
Maybe it's just a little oversight :)
Anyway very good job !
Its just a little mistake , and i tought it wouldnt change anything from the gameplay.
Rated 4.5 / 5 stars
The game is pretty simple, but the stuff it includes is enough to keep me drawn to it. One problem, though. why does running into something dangerous kill you if it is falling down? Better than most "First Time Flashes" I ever played.
Thanks A lot Dude!


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Rocky Top Country Cafe
Jim Hendricks, Jim HendricksAdd Your Review
Starting at $9.99On Rocky Top Country Cafe Jim Hendricks plays traditional country favorites on guitar, hammered dulcimer, dobro, mandolin, autoharp and the fiddle. Fans of Hendricks or southern gospel in general are sure to appreciate the prowess with which he plays every instrument.Track L... Learn More
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Bookstore DetailsWhen you need the book today, the University of Virginia Bookstore may be your best bet. And now with our CampusBooks.com Local Library and Bookstore feature, you can compare online prices and University of Virginia Bookstore prices and see if your book is in stock at University of Virginia Bookstore. The choices for students at University of Virginia has never been more abundant or more convenient!
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James Bacon
Telephone: 020 7465 4300
Fax: 020 7465 4400
Address: 10 New Square Lincoln's Inn London WC2A 3QG
James advises on trust and succession law and tax. His work covers estate planning, trust variations, contentious trust and estate work, heritage property taxation (in which park and landscape maintenance fund settlements are a particular speciality) and the commercial use of trusts.
His clients are UK and overseas individuals and families, landed estates throughout the UK, and trustees, trust protectors and beneficiaries in the UK and abroad.
James is the English contributor to Bloomsbury's International Succession Laws and was one of a number of contributors to Maggioli Editore's Il Trust Nella Nuova Legislazione di San Marino.
James joined Payne Hicks Beach from Lawrence Graham where he had been a partner since 2000.
He is a member of the Association of Contentious Trust and Probate Specialists and of the Charities Property Association.
The Legal 500 UK recommends James on the estate planning side and recognises James and his team for their art and cultural property work. In particular, the directory notes that James has "niche expertise in garden, park and estate maintenance fund settlements and is also an expert in heritage property taxation". It writes that James is a "name to note" and "the stand out figure" for charities and not-for-profit.
James is also listed in the Citywealth Lawyers List 2015 in the Honours List for Contentious Trusts.
Qualified 1991, joined Payne Hicks Beach 2006, partner 2006.
British Legal Awards 2015: Payne Hicks Beach shortlisted more>
Payne Hicks Beach: Winner at Lawyer Monthly 2015 Legal Awards more>
Private Client Team shortlisted for STEP Awards 2015/16 more>
Citywealth Leaders List 2015 more>
Eprivateclient's Top 25 Law Firms 2015: Private Client listed more>
Citywealth Leaders List 2014 more>
Citywealth Awards 2014: Private Client Team & Alice Palmer shortlisted more>
What acceptance in lieu of Churchill's paintings tells about pre-eminence more>
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Welcome to CAELD
National & International Scholarships and Fellowships
The National & International Scholarships and Fellowships office provides UNM students with merit-based nationally competitive scholarship opportunities.
Undergraduate Research
Undergraduate Research Opportunity program actively recruits undergraduate students to participate in research that is happening across campus.
Helpful programs on campus!
Recent News
Truman Scholarship Information Session on September 3 (4-5 pm) & 4 (1-2 pm & 4-5 pm).
Schwarzman Scholars is the first scholarship created to respond to the geopolitical landscape of the 21st Century. Enrolling the inaugural class in 2016, the program will give the world's best and brightest students the opportunity to develop their leadership skills and professional networks through a one-year Master's Degree at Tsinghua University in Beijing.


text:
Dark Blue Galaxy Google
Supports Google Search, Google Translate, Google+, Google Drive, Google Play, and many more. If something isn't working, then please leave a message and I will fix it ASAP. The background is optional.
3 optional grim reaper images and cursors...
Because Google has disabled custom background in November 2012. I don't own this pictures.
google space
Dark style for google: Images, translate and webmasters supported.
By a3cAnton Google search, translator, maps, books, videos, play, finance.. With CSS3 transitions & hover effects. (Firefox, Chrome & Opera). See more at https://www.facebook.com/AntonFerreiroFerrero?ref=hl
Basically two themes and a new wallpaper (may have errors on Google Chrome recommended for Firefox) check out my other theme Battlefield 3 Tribute Theme For Google http://userstyles.org/styles/89620/battlefield-3-tribute-theme-for-google
Anonymous Google by LordSantaZ
Changes the Google logo to one with Rias


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ri-scope® otoscope L3 3.5V with
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Contact Innkeeper
We have been voted "the best porch view in Ohio" and are listed in the top 35 B&Bs and Country Inns in the Great Lakes States by "The Unofficial Guide to B&Bs etc...,Mary Mihaly, Hungry Minds Press. We are situated on a ridge high on Harmar Hill;the house enjoys a panoramic view of the confluence of the Ohio and Muskingum Rivers and the city of Marietta. The woodwork throughout the house, from the first floor hall to the third floor ballroom reflects the finest in master craftsmanship. The intricately carved mantels, dentil molding, tower archway, and acorn finials on the grand staircase are of a bygone era. There are four well-appointed bedrooms and 3 full baths. The house is furnished with Antiques and interesting pieces collected from several corners of the world. The garden area blooms from early April to late October, giving guests colorful views from their rooms.
Innkeepers: Judy and Doug Grize
Guests: 2
BedandBreakfast.com gift cards are the perfect gift for anyone who needs a relaxing getaway.
Score Breakdown based on48 Reviews
Write A Review
on October 09, 2014
My husband and I met two other couples here for a weekend get-together. Doug and Judy are wonderful to talk to and the story of the house is so interesting. The food could not be beat and the price was better than a hotel. The only addition I would have liked, was a table accessible to play games on.
on November 23, 2013
My visit to Marietta, OH, was made extra special by my heart-warming stay at this B&B. What a wonderful experience I plan to enjoy many more times in the years to come. Judy makes the most delicious breakfasts you will ever eat and Doug is always handy for stories and helpful information about this historical area. The rooms are beautiful and soooo comfortable. I slept very well every night and especially enjoyed a nice soak in the clawfoot tub - ahhhhh! The home is breathtaking as is the view. This is by far the most comfortable B&B I have had the pleasure to enjoy. I can't wait to plan my next stay. Judy and Doug are the best hosts!!
on September 22, 2013
My husband and I were first timers to the whole bed and breakfast thing before staying here on Harmer Hill. I must say that we were quite spoiled right off the bat! The house was absolutely charming and Judy and Doug were so down to earth it seemed like we were old friends :) Judy made a fantastic breakfast and Doug provided the entertainment with stories from the past. We are so glad to have visited here and will always return if we are in the neck of the woods! Thanks again to such a wonderful couple :) Jon and Leanne
on July 17, 2013
We have stayed here several times, and each time it feels like coming home to family. Doug and Judy are the best!! It feels like Heaven every time we stay. It is so peaceful. Judy makes a breakfast you will never forget. Outstanding does not describe how wonderful they or the B&B really are.
Gene and Becky
on July 11, 2013
My wife and I thoroughly enjoyed our visit to The House on Harmer Hill. The house and rooms are beautiful, clean, and roomy. Breakfast was fantastic, as is the view from the spacious porch. The hosts, Judy and Doug, were awesome and made us feel welcome in their home.
We will definitely return.
on July 02, 2013
I've stayed her twice and have sent friends over. Judy and Doug have a most beautiful home full of exquisite artifacts from their world travels. Their friendliness and warmth make you feel like you are old friends, and the breakfast is 5 star plus!
on May 05, 2013
What a wonderful gracious place Judy and Doug the hosts have. They go out of their way to provide a awesome place to get away from it all. Only was able to stay one night, but plan on going back for at least a two night stay The Boathouse is a wonderful place to eat. Great safe atmosphere if you are traveling along. The sumpticious breakfast is a feast. I finished my scones and pineapple on the road for my lunch. Like a retreat back to the early 20th century.
on November 13, 2012
We felt like we were treated as family! Doug and Judy are the greatest! They treated us to an evening getaway and a wonderful breakfast. Since it was Veterans day, they offered us a free night and refused to take our money. I would recommend this place to anybody. Its like stepping back into the early 20th century and Doug is knowledgeable about every aspect..
on August 29, 2012
I thought we were going to re-connect with family in that area but it was so much more. Loved that area and my accomadations.
on May 07, 2012
The location is marvelous - high on Harmar Hill overlooking the Ohio River and Marietta. The rooms are beautifully appointed and luxurious and the breakfasts are fantastic. If you like flowers, you'll love it here. The Rhododendrons were in bloom plus the beautiful Iris and the peonies were getting ready to add their color. It's very convenient to anywhere in Marietta with its wonderful restaurants, museums, etc. A truly relaxing, comfortable place to spend an enjoyable time.
View More Reviews
Small town
Columbus, OH (CMH-Port Columbus Intl.) 115 miles
From I-77 take Exit One. At Pike Street, follow signs showing Route 7 south, turn right onto 3rd St., then left onto Washington St., cross bridge over Muskingum River, following Rte. 7 south, then turn right onto Maple St. House is at top of hill on left side where Maple, Bellevue, and High Sts. meet. Using any routes heading east, turn onto Rte. 7 north. Turn left onto Maple. House at top of hill where Bellevue, Maple, and High Sts. meet.
Antique Shopping,
Historical interests,
Live Music,
Movie Theater,
National/State parks,
Nature area,
Blennerhassett Island, Lee Middleton dolls, Fenton Glass Factory, Sternwheeler rides, River lock system, Indian burial mounds,
Outlet Stores,
Performing Theater,
Religious Services,
Private Home Bed and Breakfast
Board games, Fax Machine, Piano, Wi-Fi, Wired internet
Bath robes, Hairdryer, Ironing Board, Turndown Service
Bicycle rental, Bicycle riding trails, Bird watching, Fishing, Golfing, Hiking trails, Lee Middleton Doll Factory, Antiquing, Fenton Art Glass, Underground Railroad Tour, Museums, Marietta College, Shopping, Sight-seeing, Swimming
Judy and Doug Grize
We enjoy antiquing, reading, meeting new people, traveling, history, spending time with family, and Doug enjoys fishing. After spending 23 plus years as an Air Force family, we chose to settle in Marietta because of the people friendly community that we found here.
Low fat , Restrictive , Vegetarian
Baked French ToastThick slices of French bread baked in a rich caramel sauce, with just a hint of cinnamon and nutmeg. Served with a dollop of whipped cream.
$80 per night
Simple! BedandBreakfast.com guarantees you're getting the best price on your bed and breakfast stay when you book your room on BedandBreakfast.com. Within 24 hours of your booking, if you find a better price for the same room on the same date(s) at the same B&B, BedandBreakfast.com will refund the difference to you!
The Best Price Guarantee covers any Bed and Breakfast booked online through BedandBreafkast.com. The Bed and Breakfast must be booked using the Book It button on BedandBreakfast.com in order to qualify.
Just call 1-512-322-2710 within 24 hours of booking and give our customer support representative the details on the lower price you found.
The BedandBreakfast.com Best Price Guarantee ensures that when you book and pay for your reservation online through the BedandBreafkast.com website, you are booking your room at the lowest available price. If you find a lower price for the same room on the same dates at the same B&B, and contact us within 24 hour of making your booking, we will refund the difference in price to you. This guarantee does not apply to bookings made over holidays and/or for special events. All requests are subject to verification by BedandBreakfast.com. BedandBreafkast.com will not accept screenshots or other purported evidence of a lower price that cannot be independently confirmed by BedandBreakfast.com personnel. Nor will BedandBreakfast.com verify any requests that it believes, in its sole discretion, is the result of a printing or other error or is made fraudulently or in bad faith.


text:
(PRWEB) May 30, 2013
The Semi Truck Accident Victims Center's free service has specifically been designed not just for innocent victims of a semi truck, or commercial truck accident, but for the victim's family members as well, because frequently the injuries involved in a car, semi truck accident are so severe, the passenger vehicle victims need their families to reach out for them, to give them a voice to protect their rights. To make certain this happens with uniformity in all states, the Semi Truck Accident Victims Center offers an unequaled services including instant access to the nation's leading truck accident lawyers, because when it comes to innocent victims of a semi truck accident the victim, or their family members need to move very quickly to preserve the rights of the victim, or victims, and they need skilled, and experienced lawyers in their corner-to ensure this happens. No other group, or organization in the United States offers a service of this quality. For more information, innocent victims, or family members of innocent victims involved in a semi truck, or a commercial vehicle accident are encouraged to contact the Semi Truck Accident Victims Center anytime at 866-714-6466. http://SemiTruckAccidentVictimsCenter.Com
The Semi Truck Accident Victim Center now offers a Victims Bill of Rights that includes:
|Source: PRWeb
Copyright©2012 Vocus, Inc.
All rights reserved


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|Search | About | Preferences | Interact | Help
|Find any book at the best price.
by JOHN O'FARRELL
Publisher:TRANSWORLD DIGITAL
"Nothing gets my hackles up more," writes John O'Farrell, "than people who should know better copping out of the political system because they think they are above it." No-one could question O'Farrell's commitment to the political process after reading this hysterical, trenchant and admirably self-aware account of 'eighteen miserable years in the life of a labour supporter'.
Born in Maidenhead to a family so irredeemably middle-class that as a student he found himself carefully punctuating his graffiti ("Jobs, comma, not bombs. Full stop."), O'Farrell maps the unglamorous underbelly of politics--the cold community centres, the estates you can never canvas because the security doors won't let you in, the pleasure to be had in aggressively doorstepping Jehovah's Witnesses. Most impressively, O'Farrell records the psychological cost of it all. "There is," he admits, "something perverse in the fact that the task of making the world a happier place required us to stop having fun." His account of his joyless, sexless, right-on youth will surely have bells jangling in many a balding graduate pate.
Growing up in a world where the Tories had trade-marked common sense, it was inevitable that O'Farrell's primary political release should be writing for Spitting Image. Now that Labour have, at terrible ideological cost, retaken the common ground, O'Farrell has turned that humour on himself. People of all political persuasions will enjoy this book. O'Farrell would hate us saying that--sadly for him, it is true. --Simon Ings
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Interactive Seating Charts
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Originally posted on Goon's World | Last updated 5/29/12
The Toronto Marlies got some bad news today when they learned that former Fighting Sioux forward Matt Frattin has suffered a knee injury and will need surgery. That's a big loss for the Marlies because Frattin is tied for the lead in scoring for the Toronto Marlies with (10g-3a-13 pts). Frattin is a restricted free agent and will need to be signed in the off-season. Lance Hornby,Toronto Sun --- Winger Matt Frattin, who was a force physically and on the scoresheet, will be lost for the rest of the American Hockey League playoffs with a knee injury that will require surgery. Frattin, who has a league post-season best 10 goals and shares the team lead with 13 points, was hurt in Game 5 of the Western Final in a bold play to score an empty netter to eliminate the Oklahoma City Barons. Frattin crashed into the net in a race for the puck. Related articles Frattin Scores two as Marlies win Frattin's goal against OKC Marlies injury situation Marlies move on to the Calder Cup finals
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Tide gymnast O'Neal wins Aurthur Ashe award
Published: Thursday, July 17, 2008 at 12:59 p.m.
Last Modified: Thursday, July 17, 2008 at 12:59 p.m.
The University of Alabama announced that gymnast Ashley ONeal has been named a 2008 Arthur Ashe Jr. Sports Scholar by Diverse Issues in Higher Education magazine.
Diverse Issues in Higher Education established the Ashe Awards to honor undergraduate students of color who have made achieving both academically and athletically a winning combination. To be included, students have to compete in an intercollegiate sport; maintain a cumulative grade point average of at least 3.2; and be active on their campuses or in their communities.
This award encompasses everything our program strives for success in the classroom and the gym as well as being active and positive members of the community, Alabama head coach Sarah Patterson said. I am very proud of Ashley and what she has accomplished through hard work and determination. She is certainly very deserving of this honor.
Reader comments posted to this article may be published in our print edition. All rights reserved. This copyrighted material may not be re-published without permission. Links are encouraged.
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IL POSTINO /// (The Postman 1994) Film Night in the Park
/// Screening begins at dusk or 830PM WASHINGTON SQUARE
Films presented free of charge on a giant outdoor screen and you are encouraged to picnic before the screening. (bring no chairs)
Sponsored by the ‹San Francisco Neighborhood Theater Foundation›
*** FEAR NO BIKE THIEVES Valet bicycle parking provided by the mighty SFBC at most Film Night at the Park events ***
Tuesday, September 2, 2008
Events: Film in the Park. This Saturday Sept. 6th
Posted by m e l i g r o s a at 9/02/2008
Labels: events_2008, free, fun, San Francisco Bike Coalition, SFNTF, valet bike parking
1 comment:
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HOME NBA Dallas Mavericks Gear Dallas Mavericks Collectibles Dallas Mavericks Collectibles Figurines & Globes (5 items) Product ID: 820569
Main Content
- Approximately 8" tall
- Hand-painted resin doll
- Imported
- Officially licensed NBA product
- Spring-bound neck for extra bobble action
Mavericks Customers also liked:
Special event items are produced by manufacturers only after the outcome of a game or event. These are advanced sale items and will ship immediately after they are received in our warehouse.
Manufacturer direct items are shipped directly from the manufacturer. These items are not available for international or expedited shipping.
Customized items can be personalized with options such as your name, your favorite number, and/or designs. Some options may be limited by league rules.


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Median Salary by Job
20 Year Net ROI
Annual ROI
Total 4 Year Cost
Early Career Salary
Mid-Career Salary
% High Meaning
44 %
300 College Park
Dayton, OH 45469
Private School, Research University, Religious, For Sports Fans
77 %
20 %
54 %
12 %
Professionally, public K-12 education, the financial services industry, and the aerospace and defense industry are popular business areas among the UD alumni. The manufacturing industry is the sector most highly represented among alumni. Following graduation, UD students earn an average of approximately $73K.
There's a noticeable difference between the genders; where the average man hauls in about $77K after graduating from UD, the average woman earns only around $63K.
The most lucrative professionals among UD alumni are Senior Financial Analysts and Electrical Engineers; they earn a median annual salary of $80K. Software Engineers aren't slouches either, bringing in $70K. Financial Analysts wrap up the bottom of the pay scale, earning $47K.
Many UD alumni seem to stick around Dayton after wrapping up their studies; just under one in five grads remain to find permanent work. It is no surprise that New York, N.Y., which hands out the biggest paychecks (the average salary is $95K), is another of the most popular spots for former UD students. For comparison, the lowest-paying city popular with UD alumni is Chicago, Ill., which offers a median salary of $51K. Other popular cities for UD alumni include nearby Cincinnati, Ohio and Columbus, Ohio.
UD grads who hold a medical degree can expect to fare better than most fellow alumni, earning an average $195K per year. A Bachelor of Science in Mechanical Engineering Technology (MET) is less advantageous in terms of earnings; alums with this degree are the lowest earners with a median annual pay of about $55K.
For former Flyers, proficiency in Budget Management warrants a paycheck that is 23 percent more than other alumni salaries. Project Management is a popular skill among UD alumni, with nearly one in five workers reporting using it on the job. Microsoft Office, Engineering Design, and Microsoft Excel are among other dominant skills.
Just two-fifths of alumni enjoy paid vacation and merely one-fifth of alumni get paid sick time. Most alumni receive health insurance, and a fair number of graduates get dental coverage. Most grads participate in a 401(k) program. University of Dayton grads are also lucky enough to receive life insurance, a company-subsidized cell phone, a casual working environment, and tuition reimbursement.
Median pay for Clarkson University grads is around $72K, making their salaries most similar to those of UD grads. Other schools similar to UD include Duquesne University, the Illinois Institute of Technology, and Drexel University.
|25th Percentile
|75th Percentile
|SAT Scores
|ACT Scores
36 %
64 %
$36,276 - $82,687
$44,062 - $100,974
|Extremely satisfied
Rated 5 out of 5
based on 51 votes.
4 Reasons Humility Is a Virtue Worth Embracing
It's often said that, in business, confidence is king. In fact, it is good to project confidence at work – or rather, timidity and lack of confidence ...>
From /r/CareerGuidance: How Do I Apply for an Entry-Level Job ... Before Graduation?
Picture this: You're in your junior year of pursuing a computer science degree. And one day, while your working your crappy college retail job, it hit...>
5 Salary Negotiation Lessons From Amy Schumer
Unless you're a huge standup comedy nerd – the kind who can justifiably brag that you've seen everyone "before they were cool" – you probably hadn't h...>
Tell us about your current job and your skillset, and we'll let you know how much employers are paying in your area.


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NEFAR is serious about giving to RPAC; learn... All Videos >>
NEFAR's new Purchase and Sale Agreement, which conforms to the CFPB Rule that took effect Oct. 3, is available. Read More..
NEFAR recently mailed, plus emailed, annual ActiveKey lease renewal invoices to members who have ActiveKeys. Payment is due no later than Oct. 26. Read More..
Ten gallon hats, boots and bandannas were on full display at the 2016 Realtor-Builder Tradeshow. Read More..
On Oct. 24, NEFAR is partnering with the St. Johns Housing Partnership for Make A Difference Day. Join your NEFAR peers volunteering on this national day of good works! Read More..
Headquarters: 7801 Deercreek Club Rd.,Jacksonville, FL 32256
Telephone: (904) 394-9494 | Fax: (904) 398-8025
9 a.m. - 5 p.m.
NEFAR is serious about giving to RPAC; learn... All Videos >>


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This job posting is no longer available on Indeed.
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We are looking for a full-time candidate to work in Morgantown, WV. We are looking for a dedicated receptionist to happily greet patients, verify demographics and insurance information, answer telephones and schedule patient appointments. Your pleasant and positive attitude could make you a great candidate for our prosthetic and orthotic compay. Please fax resume to: 724-430-1472
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People tend to check in during these times:
Add hours
All of Lebanon is here, no space in the parking 😳
Steroids and 5 days in, fuck you ms
Hope. U will never visit unless for something good
If you are checking here, that might be bad. Good luck.
I recommend 5 ccs of sodium chloride..gets u through
Make sure to pass by blood bank to donate blood! It only takes a minute of your time and you could save up to 3 lives :)) btw the blood bank staff is very kind and welcoming :D


text:
Communications Equipment
Company Overview of ECI Telecom DND, Inc.
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Chief Executive Officer of ECI Telecom and President of ECI Telecom
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|Número de publicación
|Tipo de publicación
|Número de solicitud
|Fecha de publicación
|1 Dic 2005
|Fecha de presentación
|27 May 2004
|Fecha de prioridad
|27 May 2004
|También publicado como
|Número de publicación
|Guy Vanney
|Cesionario original
|Vanney Guy P
|Exportar cita
|BiBTeX, EndNote, RefMan
|Citas de patentes (35), Citada por (7), Clasificaciones (12), Eventos legales (4)
|Enlaces externos: USPTO, Cesión de USPTO, Espacenet
a. Field of the Invention
This invention relates to catheters for diagnosing and treating tissue, particularly human cardiac tissue. In particular, the invention relates to an ablation catheter with a collapsible tip that contains a virtual electrode interposed between two sensor arrays at a distal portion of the catheter.
b. Background Art
Catheters have been in use for medical procedures for many years. Catheters can be used for medical procedures to examine, diagnose, and treat while positioned at a specific location within the body that is otherwise inaccessible without more invasive procedures. During these procedures a catheter is inserted into a vessel near the surface of the body and is guided to a specific location within the body for examination, diagnosis, and treatment. For example, one procedure utilizes a catheter to convey an electrical stimulus to a selected location within the human body. Another procedure utilizes a catheter with sensing electrodes to monitor various forms of electrical activity in the human body.
Catheters are also used increasingly for medical procedures involving the human heart. Typically, the catheter is inserted in an artery or vein in the leg, neck, or arm of the patient and threaded, sometimes with the aid of a guide wire or introducer, through the vessels until a distal tip of the catheter reaches the desired location for the medical procedure in the heart.
A typical human heart includes a right ventricle, a right atrium, a left ventricle, and a left atrium. The right atrium is in fluid communication with the superior vena cava and the inferior vena cava. The atrioventricular septum separates the right atrium from the right ventricle. The tricuspid valve contained within the atrioventricular septum provides communication between the right atrium and the right ventricle.
In the normal heart, contraction and relaxation of the heart muscle (myocardium) takes place in an organized fashion as electro-chemical signals pass sequentially through the myocardium from the sinoatrial (SA) node, which comprises a bundle of unique cells disposed in the wall of the right atrium, to the atrioventricular (AV) node and then along a well-defined route, which includes the His-Purkinje system, into the left and right ventricles. The AV node lies near the ostium of the coronary sinus in the interatrial septum in the right atrium. Each cell membrane of the SA node has a characteristic tendency to leak sodium ions gradually over time such that the cell membrane periodically breaks down and allows an inflow of sodium ions, thereby causing the SA node cells to depolarize. The SA node cells are in communication with the surrounding atrial muscle cells such that the depolarization of the SA node cells causes the adjacent atrial muscle cells to depolarize. This results in atrial systole, wherein the atria contract to empty and fill blood into the ventricles. The atrial depolarization from the SA node is detected by the AV node which, in turn, communicates the depolarization impulse into the ventricles via the bundle of His and Purkinje fibers following a brief conduction delay. The His-Purkinje system begins at the AV node and follows along the membranous interatrial septum toward the tricuspid valve through the atrioventricular septum and into the membranous interventricular septum. At about the middle of the interventricular septum, the His-Purkinje system splits into right and left branches which straddle the summit of the muscular part of the interventricular septum.
Sometimes abnormal rhythms occur in the heart, which are referred to generally as arrhythmia. For example, a common arrhythmia is Wolff-Parkinson-White syndrome (W-P-W). The cause of W-P-W is generally believed to be the existence of an anomalous conduction pathway or pathways that connect the atrial muscle tissue directly to the ventricular muscle tissue, thus bypassing the normal His-Purkinje system. These pathways are usually located in the fibrous tissue that connects the atrium and the ventricle.
Other abnormal arrhythmias sometimes occur in the atria, which are referred to as atrial arrhythmia. Three of the most common atrial arrhythmia are ectopic atrial tachycardia, atrial fibrillation, and atrial flutter. Atrial fibrillation can result in significant patient discomfort and even death because of a number of associated problems, including the following: an irregular heart rate, which causes patient discomfort and anxiety; loss of synchronous atrioventricular contractions, which compromises cardiac hemodynamics, resulting in varying levels of congestive heart failure; and stasis of blood flow, which increases the likelihood of thromboembolism.
Efforts to alleviate these problems in the past have included significant usage of pharmacological treatments. While pharmacological treatments are sometimes effective, in some circumstances drug therapy has had only limited effectiveness and is frequently plagued with side effects, such as dizziness, nausea, vision problems, and other difficulties.
An increasingly common medical procedure for the treatment of certain types of cardiac arrhythmia is catheter ablation. During conventional catheter ablation procedures, an energy source is placed in contact with cardiac tissue to heat the tissue and create a permanent scar or lesion that is electrically inactive or noncontractile. During one procedure, the lesions are designed to interrupt existing conduction pathways commonly associated with arrhythmias within the heart. The particular area for ablation depends on the type of underlying arrhythmia. One common ablation procedure treats atrioventricular nodal reentrant tachycardia (AVNRT). Ablation of fast or slow AV nodal pathways is disclosed in Singer, I., et al., "Catheter Ablation for Arrhythmias," Clinical Manual of Electrophysiology, pgs. 421-431 (1993).
Another medical procedure using ablation catheters with sheaths to ablate accessory pathways associated with W-P-W utilizing both a transseptal and retrograde approach is discussed in Saul, J. P., et al., "Catheter Ablation of Accessory Atrioventricular Pathways in Young Patients: Use of long vascular sheaths, the transseptal approach and a retrograde left posterior parallel approach," Journal of the American College of Cardiology, Vol. 21, no. 3, pgs. 571-583 (1 Mar. 1993). Other catheter ablation procedures are disclosed in Swartz, J. F., "Radiofrequency Endocardial Catheter Ablation of Accessory Atrioventricular Pathway Atrial Insertion Sites," Circulation, Vol. 87, no. 2, pgs. 487-499 (February 1993).
Ablation of a specific location within or near the heart requires the precise placement of the ablation catheter. Precise positioning of the ablation catheter is especially difficult because of the physiology of the heart, particularly because the heart continues to beat throughout the ablation procedures. Commonly, the choice of placement of the catheter is determined by a combination of electrophysiological guidance and fluoroscopy (placement of the catheter in relation to known features of the heart, which are marked by radiopaque diagnostic catheters that are placed in or at known anatomical structures, such as the coronary sinus, high right atrium, and the right ventricle).
The energy necessary to ablate cardiac tissue and create a permanent lesion can be provided from a number of different sources. Originally, direct current was utilized although laser, microwave, ultrasound, and other forms of energy have also been utilized to perform ablation procedures. Because of problems associated with the use of direct current, however, radiofrequency (RF) has become the preferred source of energy for ablation procedures. The use of RF energy with an ablation catheter contained within a transseptal sheath for the treatment of W-P-W in the left atrium is disclosed in Swartz, J. F. et al., "Radiofrequency Endocardial Catheter Ablation of Accessory Atrioventricular Pathway Atrial Insertion Sites," Circulation, Vol. 87, pgs. 487-499 (1993). See also Tracey, C. N., "Radio Frequency Catheter Ablation of Ectopic Atrial Tachycardia Using Paced Activation Sequence Mapping," J. Am. Coll. Cardiol. Vol. 21, pgs. 910-917 (1993).
In addition to radiofrequency ablation catheters, thermal ablation catheters have been used. During thermal ablation procedures, a heating element, secured to the distal end of a catheter, heats thermally conductive fluid, which fluid then contacts the human tissue to raise its temperature for a sufficient period of time to ablate the tissue. 100141 Conventional ablation procedures utilize a single distal electrode secured to the tip of an ablation catheter. Increasingly, however, cardiac ablation procedures utilize multiple electrodes affixed to the catheter body. These ablation catheters often contain a distal tip electrode and a plurality of ring electrodes.
To form linear lesions within the heart using a conventional ablation tip electrode requires the utilization of procedures such as a "drag burn." The term "linear lesion" as used herein means an elongate, continuous lesion, whether straight or curved, that blocks electrical conduction. During a "drag burn" procedure, while ablating energy is supplied to the tip electrode, the tip electrode is drawn across the tissue to be ablated, producing a line of ablation. Alternatively, a series of points of ablation are formed in a line created by moving the tip electrode incremental distances across the cardiac tissue. The effectiveness of these procedures depends on a number of variables including the position and contact pressure of the tip electrode of the ablation catheter against the cardiac tissue, the time that the tip electrode of the ablation catheter is placed against the tissue, the amount of coagulum that is generated as a result of heat generated during the ablation procedure, and other variables associated with a beating heart, especially an erratically beating heart. Unless an uninterrupted track of cardiac tissue is ablated, unablated tissue or incompletely ablated tissue may remain electrically active, permitting the continuation of the stray circuit that causes the arrhythmia.
It has been discovered that more efficient ablation may be achieved if a linear lesion of cardiac tissue is formed during a single ablation procedure. The ablation catheters commonly used to perform these ablation procedures produce electrically inactive or noncontractile tissue at a selected location by physical contact of the cardiac tissue with an electrode of the ablation catheter. Conventional tip electrodes with adjacent ring electrodes cannot perform this type of procedure, however, because of the high amount of energy that is necessary to ablate sufficient tissue to produce a complete linear lesion. Also, conventional ring electrode ablation may leave holes or gaps in a lesion, which can provide a pathway along which unwanted electrochemical signals can travel.
During conventional ablation procedures, the ablating energy is delivered directly to the cardiac tissue by an electrode on the catheter placed against the surface of the tissue to raise the temperature of the tissue to be ablated. This rise in tissue temperature also causes a rise in the temperature of blood surrounding the electrode, which often results in the formation of coagulum on the electrode, which reduces the efficiency of the ablation electrode. With direct contact between the electrode and the blood, some of the energy targeted for the tissue ablation is dissipated into the blood. To achieve efficient and effective ablation, coagulation of blood that is common with conventional ablation catheters should be avoided. This coagulation problem can be especially significant when linear ablation lesions or tracks are produced because such linear ablation procedures conventionally take more time than ablation procedures ablating only a single location.
As noted, before treatment by ablation, clinicians attempt to determine the actual path of travel of the stray electrical signals through cardiac tissue that cause the arrhythmia. Once an ablation procedure has been performed, it is necessary to determine whether the lesion formed is effective in circumventing the unwanted electrical pathways. At present this involves the alternate or concurrent use of sensing catheters. This means that either the ablation catheter is removed from the cardiac cavity and a sensing catheter is inserted in its place to measure the efficacy of the procedure, or additional sensing catheters are introduced simultaneously into the cardiac cavity. Both of these options are problematic. If the ablation catheter is removed and replaced with a sensing catheter, it is difficult to reposition the ablation catheter in the original position should additional energy need to be applied to increase the size or depth of the lesion to arrest the signals if the first ablation attempt was unsuccessful. In the alternate method, the introduction of additional sensing catheters simultaneously with the ablation catheter means that additional incisions must be made in the patient and additional vessels used to navigate the catheters into the heart. This increases the risk of the procedure to the patient and also causes greater patient discomfort.
In some instances, stray electrical signals find a pathway down the pulmonary veins and into the left atrium of the heart. In these instances, it may be advantageous to produce a circumferential lesion at or near the ostium of one or more of the pulmonary veins. Desirably, such a circumferential lesion would electrically isolate a pulmonary vein from the left atrium, completely blocking stray signals from traveling down the pulmonary vein and into the left atrium. It is desirable to have a catheter with a distal portion for forming such circumferential lesions in tissue while avoiding problems with existing designs.
The information included in this background section of the specification, including any references cited herein and any description or discussion thereof, is included for technical reference purposes only and is not to be regarded subject matter by which the scope of the invention is to be bound.
A sensing and ablation electrode includes bifurcated sensing limbs separated by an ablation web. The electrode is disposed on the distal end of a catheter. The sensing limbs each support an array of sensors that are individually wired for mapping and post ablation efficacy testing. The web includes a pair of pliable membranes that define a lumen and are adapted to collapse the cross-section of the electrode. One membrane defines a plurality of apertures for dispersing a conductive fluid medium as a virtual electrode. The sensors and the apertures all lie within substantially the same plane.
One embodiment of the invention is a cardiac sensing and ablation device for intravascular insertion in a patient. The cardiac sensing and ablation device is composed of a bifurcated sensing portion and an ablation portion. The bifurcated sensing portion is further composed of a first sensing limb, a first set of a plurality of sensors disposed upon the first sensing limb, a second sensing limb, parallel with but spaced apart from the first sensing limb, and a second set of a plurality of sensors disposed upon the second sensing limb. The ablation portion is disposed between the first sensing limb and the second sensing limb. The ablation portion is further composed of an electrode. The first set of sensors, the second set of sensors, and the electrode lie substantially within the same plane. The bifurcated sensing portion and the ablation portion may also assume a pre-shaped curved form. When assuming the curved form, the first set of sensors is positioned on a surface of the first sensing limb defining an outer surface of the curved form and the second set of sensors is positioned on a surface of the second sensing limb defining the outer surface of the curved form.
Another embodiment of the invention is a cardiac sensing and ablation system composed of a catheter and a sensing array and ablation electrode. The sensing array and ablation electrode is disposed on a distal end of the catheter. The sensing and ablation electrode is further is further composed of a first sensing limb with a first set of a plurality of sensors disposed upon the first sensing limb and a second sensing limb, parallel with but spaced apart from the first sensing limb with a second set of a plurality of sensors disposed upon the second sensing limb. A first membrane and a second membrane are additionally disposed between the first sensing limb and the second sensing limb. The first membrane defines a plurality of apertures adapted to disperse a fluid. The first set of sensors, the second set of sensors, and the plurality of apertures lie substantially within the same plane. An electrode lumen is defined between the first membrane, the second membrane, the first sensing limb, and the second sensing limb. An electrode conductor is positioned between the first membrane and the second membrane adjacent the plurality of apertures. The cardiac sensing and ablation system may further have a shape retention wire positioned within the sensing array and ablation electrode that assumes a curved form when not otherwise restrained and causes the sensing array and ablation electrode to assume a ribbon-like form following the curved form of the shape retention wire.
A further embodiment of the invention is a bifurcated, collapsible electrode for intravascular insertion in a patient. The electrode is composed of a first limb with a plurality of sensors disposed upon the first limb, a second limb, parallel with but spaced apart from the first limb, an electrode supported by the second sensing limb, and a flexible membrane connected with and disposed between the first limb and the second limb. The plurality of sensors and the electrode lie substantially within the same plane. The first limb and the second limb may assume a curved form. In this case, the plurality of sensors is positioned on a surface of the first limb and defines an outer surface of the curved form. A tissue contacting portion of the electrode is positioned on a surface of the second limb and also defines the outer surface of the curved form.
Other features, details, utilities, and advantages of the present invention will be apparent from the following more particular written description of various embodiments of the invention as further illustrated in the accompanying drawings and defined in the appended claims.
The instant invention is directed to a unique sensing/ablation electrode provided on a distal portion of a catheter/introducer assembly. The sensing/ablation electrode is bifurcated providing two sets of sensor arrays separated by a virtual electrode for tissue ablation. The sensing/ablation electrode can be used for pre-treatment diagnostic sensing and for post ablation efficacy testing of a lesion formed by the ablation component without having to move the electrode or introduce additional catheters with sensor arrays into the patient.
As shown in
The proximal end 14 of the catheter 22 may include a catheter boot 10 that seals around several components to allow the introduction of fluids and control mechanisms into the catheter 22. For example, at least one fluid introduction valve 8 with an attached length of tubing 16 may be coupled with the catheter boot 10. An optional fluid introduction valve 8′ and correlative tube 16′ (shown in phantom) may also be coupled with the catheter boot 10, for example, for the introduction of pressurized air in an embodiment incorporating a pneumatically controlled catheter or sensing/ablation tip (as further discussed below). A handle interface 4 for connection with a control handle, a generator, and/or sensing equipment (none shown) may be coupled with the catheter boot 10 via a control shaft 24. The control shaft 24 may enclose, for example, control wires for manipulating the catheter 22 or sensing/ablation electrode 18, conductors for energizing an electrode in the sensing/ablation electrode 18, and/or lead wires for connecting with sensors in the sensing/ablation electrode 18. The catheter boot 10 provides a sealed interface to shield the connections between such wires and fluid sources and one or more lumen in the catheter 22 through which they extend.
The distal end 12 of the catheter 22 including the sensing/ablation electrode 18 is shown in greater detail in
Each of the different sections of the catheter 22 may be constructed from a number of different polymers, for example, polypropylene, oriented polypropylene, polyethylene, polyethylene terephthalate, crystallized polyethylene terephthalate, polyester, polyvinyl chloride, and Pellethane®. Alternatively, the different sections of the catheter 22 may be composed, for example, of different formulations of Pebax® resins (AUTOFINA Chemicals, Inc. Philadelphia, Pa.), or other polyether-block co-polyamide polymers, which can be used to create desired materials stiffness within the different sections of the catheter 22. By using different formulations of the Pebax(& resins, different mechanical properties (e.g., flexibility or stiffness) can be chosen for each of the sections along a catheter 22.
The catheter 22 may also be a braided catheter wherein the catheter wall includes a cylindrical braid of metal fibers, for example, stainless steel fibers. Such a metallic braid may be included in the catheter 22 to add stability to the catheter 22 and also to resist radial forces that might crush the catheter 22. Metallic braid also provides a framework to translate torsional forces imparted by the clinician on the proximal end 14 of the catheter 22 to the distal end 12 to rotate the catheter 22 for appropriate orientation of the sensing/ablation electrode 18.
The straight section 32 is generally the portion of the catheter 22 that remains within the vasculature of the patient while a sensing or ablation procedure is performed by a clinician. As shown in
As depicted in
Both the distal sensing limb 30 a and the proximal sensing limb 30 b define a series of apertures that form sensor windows 46 that expose corresponding distal sensors 44 a on the distal sensing limb 30 a and proximal sensors 44 b on the proximal sensing limb 30 b. The sensor windows 46 are dispersed linearly along the lengths of both the distal and proximal sensing limbs 30 a, 30 b. As indicated in
The sensor windows 46, and correspondingly the distal and proximal sensors 44 a, 44 b are arranged on the distal and proximal sensing limbs 30 a, 30 b such that a line tangent to both the distal and proximal sensing limbs 30 a, 30 b would likewise interface with the sensor windows 46. It should be understood, however, that the sensor windows 46, and correspondingly the distal and proximal sensors 44 a, 44 b may be otherwise arranged about the surfaces of the distal and proximal sensing limbs 30 a, 30 b in order to effect the desired clinical result.
The ablation web 20 similarly defines a series of apertures that form dispersion ports 42. As depicted in
The separation distance between the distal sensing limb 30 a and the proximal sensing 30 b increases as the sensing/ablation electrode 18 is deployed from the inner guiding introducer 28 due to the collapsible design of the sensing/ablation electrode 18. As shown in
The collapsible design of the sensing/ablation electrode 18 thereby allows the maximum cross-sectional width W of the sensing/ablation electrode 18 to be larger than the diameter D of the inner guiding introducer 28 when deployed.
As shown in
In one embodiment, the distal and proximal coils 48 a, 48 b can be formed of a shape-retention or a shape-memory metal wire. The shape-retention or shape-memory wire is flexible while the clinician negotiates the catheter 22 through the vasculature to reach the heart and enter an atrial chamber. Once the distal end of the catheter 22 reaches the desired cardiac cavity and the sensing/ablation electrode 18 is deployed, the distal and proximal coils 48 a, 48 b of shape-retention or shape-memory wire can be caused to assume a pre-formed shape form the C-shaped configuration of the sensing/ablation electrode 18 to accurately orient the sensing/ablation electrode 18 within the cardiac cavity for the procedure to be performed. As shown in
For example, a shape-memory wire of NiTinol, a nickel-titanium (NiTi) alloy with shape-memory properties may be used to form the distal and proximal coils 48 a, 48 b. Shape-memory metals, such as NiTinol, are materials that have been plastically deformed to a desired shape before use. Then upon heat application, either from the body as the sheath 6 is inserted into the vasculature or from external sources, the shape-memory material is caused to assume its original shape before being plastically deformed. A shape-memory wire generally exhibits increased tensile strength once the transformation of to the pre-formed shape is completed NiTinol and other shape-memory alloys are able to undergo a "martenistic" phase transformation that enables them to change from a "temporary" shape to a "parent" shape at temperatures above a transition temperature. Below the transition temperature, the alloy can be bent into various shapes. Holding a sample in position in a particular parent shape while heating it to a high temperature programs the alloy to remember the parent shape. Upon cooling, the alloy adopts any temporary shape imparted to it, but when heated again above the transition temperature, the alloy automatically reverts to its parent shape. Alternately, or in addition, shape-memory materials may also be super elastic—able to sustain a large deformation at a constant temperature—and when the deforming force is released they return to their original undeformed shape.
Common formulas of NiTinol have transformation temperatures ranging between —100 and +110° C., have great shape-memory strain, are thermally stable, and have excellent corrosion resistance, which make NiTinol exemplary for use in medical devices for insertion into a patient. For example, the distal and proximal coils 48 a, 48 b may be designed using NiTinol with a transition temperature around or below room temperature. Before use the catheter 22 and sensing/ablation electrode 18 are stored in a low-temperature state. By flushing the catheter lumen 72 with chilled saline solution, the NiTinol distal and proximal coils 48 a, 48 b can be kept in the deformed state while positioning the catheter 22 at the desired site. When appropriately positioned, the flow of chilled saline solution can be stopped and the catheter 22 warmed by body heat, or warm saline can be substituted, to allow the NiTinol to recover its "preprogrammed" shape, forming the C-shaped curve of the sensing/ablation electrode 18.
The distal and proximal coils 48 a, 48 b, extend proximally within their respective coil sleeves 50 within a lumen 72 of the catheter 22. The catheter lumen 72 is depicted to good advantage in
In addition to providing the structure for the distal sensing limb 30 a, the distal coil 48 a also provides a mounting support for the distal sensors 44 a. The even spacing between each loop of the distal coil 48 a provides for even spacing of each of the distal sensors 44 a. The distal sensors 44 a may be hollow metal cylinders or tubes 64, for example, a stainless steel hypo tube, as shown in
As indicated in
As shown to good advantage in
Although in the embodiment depicted in the figures, both the distal and proximal sensors 44 a, 44 b are grouped in pairs, and similarly corresponding pairs of distal and proximal sensors 44 a, 44 b are symmetrically arranged along the sensing/ablation electrode 18, there need not be any electrical coupling between such pairs of sensors either as a result of the arrangement of the sensor leads 52 or by the sensor diagnostic system. In fact any sensor may be coupled with any other sensor for diagnostic purposes, for example, by the use of a patch board within the sensor diagnostic system.
As shown to good advantage in
A conductor 77 extends from the proximal end of the catheter 22 between the distal and proximal coils 48 a, 48 b into the sensing/ablation electrode 18. The conductor 77 may be insulated until it reaches the interface between the transition section 38 and the beginning of the ablation membrane 68. At this point the conductor 77 may extend distally uninsulated to act as an electrode 76 within the sensing/ablation electrode 18. The electrode 76 may be a platinum flat wire for biocompatibility. The electrode 76 may be positioned against the ablation membrane 68 between the pairs of injection ports 70 in order to efficiently energize the fluid 75 as it flows through the injection ports 70 into the dispersion ports 42. The proximal end of the conductor 77 is connected through the handle interface with an appropriate source of ablation energy, for example, a radio frequency energy generator (not shown). This mechanism, wherein energy is transferred from an electrode 76 to the fluid 75, which in turn contacts the tissue 82, without direct contact between the electrode and the tissue 82, is often referred to as a virtual electrode.
The conductive fluid medium 75 flowing through the injection ports 70 and dispersion ports 42 prevents blood from flowing into the sensing/ablation electrode 18 and pushes blood from the area adjacent to the dispersion ports 42. This helps prevent coagulum from forming on the sensing/ablation electrode 18, which can have undesirable effects on the patient. The conductive fluid medium 75 is regulated to flow at a rate that prevents the electrode 76 from overheating the conductive fluid medium 75 and producing vapor in the electrode lumen 74. If the conductive fluid medium 75 were to boil and create a vapor, the ability of the sensing/ablation electrode 18 to form a desired lesion in adjacent tissue 82 would be impaired because of the insufficient transfer of RF energy through the fluid to the tissue 82. Thus, the flow of conductive fluid medium through the electrode lumen 74 and out the injection ports 70 and dispersion ports 42 is managed or regulated so that there is sufficient flow of the fluid 75 to prevent vaporization, but not so much flow that the electrode 76 is unable to sufficiently heat the adjacent tissue 82 to form a desired lesion. Further, if too much conductive fluid medium flows out of the dispersion ports 42, the hemodynamics of the patient may be adversely affected by the excess quantity of fluid 75 mixing with the patient's blood. The desired flow rate is achieved by, for example, adjusting the pressure driving the conductive fluid medium 75 through the electrode lumen 72, changing the diameter or distribution of the dispersion ports 42 and/or the injection ports 70, and altering the spacing between the dispersion ports 42 and/or the injection ports 70. Another factor that may be taken into account when adjusting the flow rate of the conductive fluid medium 75 is the specific configuration of the distal portion of the sensing/ablation electrode 18 since the flow of conductive fluid medium 75 is affected by the curvature of the catheter 22 and the sensing/ablation electrode 18.
The dispersion ports 42 are formed by the combination of apertures in the ablation web 20 and corresponding recessed areas within the ablation membrane 68. In the embodiments depicted in
In order to impart the desired curvature to the sensor/ablation tip of this embodiment, a shape-retention or shape-memory wire 112 may be disposed along an interior wall of each of the braided limb supports 48′ as shown in
In an alternative embodiment of the invention, a first limb of the sensing/ablation electrode may be provided with an array of sensors while a second limb of the sensing/ablation electrode may function as a virtual electrode. The second limb in this embodiment defines a fluid-filled lumen and a plurality of apertures including, for example, injection ports and dispersion ports of the previous embodiments. An uninsulated portion of a conductor may be placed within the fluid-filled lumen of the second limb to act as an electrode and energize the fluid exiting the second limb through the apertures. The membrane or web between the first limb and the second limb in this embodiment merely functions as a structural connection between the first limb and second limb to provide a set-off distance between the first and second limbs, to maintain a consistent spacing between the first and second limbs, and to allow the sensing ablation electrode to collapse while within the sheath. Such an embodiment may be desirable in a circumstance where the sensing of signals before or after ablation treatment need only be unidirectional.
The distal ends of the distal and proximal sensing limbs 30 a, 30 b of the sensing/ablation electrode 18 may be plugged with caps 47 to seal the lumen of the distal and proximal sensing limbs 30 a, 30 b (see
The distal end of the sensing/ablation electrode 18 is positioned adjacent to the ostium 110 of the left superior pulmonary vein 90 using known procedures. For example, to place the sensing/ablation electrode 18 in the position shown in
While the sensing/ablation electrode 18 is in the left superior pulmonary vein 90 as shown in
Although various embodiments of this invention have been described above with a certain degree of particularity, or with reference to one or more individual embodiments, those skilled in the art could make numerous alterations to the disclosed embodiments without departing from the spirit or scope of this invention. It is intended that all matter contained in the above description and shown in the accompanying drawings shall be interpreted as illustrative only of particular embodiments and not limiting. All directional references (e.g., proximal, distal, upper, lower, upward, downward, left, right, lateral, front, back, top, bottom, above, below, vertical, horizontal, clockwise, and counterclockwise) are only used for identification purposes to aid the reader's understanding of the present invention, and do not create limitations, particularly as to the position, orientation, or use of the invention. Connection references (e.g., attached, coupled, connected, and joined) are to be construed broadly and may include intermediate members between a collection of elements and relative movement between elements unless otherwise indicated. As such, connection references do not necessarily infer that two elements are directly connected and in fixed relation to each other. It is intended that all matter contained in the above description or shown in the accompanying drawings shall be interpreted as illustrative only and not limiting. Changes in detail or structure may be made without departing from the basic elements of the invention as defmed in the following claims.
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|13 Nov 2001
|Epicor, Inc.
|Method of ablating tissue from an epicardial location
|5 Abr 1999
|4 Dic 2001
|Medtronic, Inc.
|Ablation catheter and method for isolating a pulmonary vein
|19 May 2000
|23 Abr 2002
|Cardiofocus, Inc.
|Catheter system with working portion radially expandable upon rotation
|13 Mar 2000
|11 Jun 2002
|Ep Technologies, Inc.
|Branched structures for supporting multiple electrode elements
|21 Feb 2000
|24 Sep 2002
|Ep Technologies, Inc.
|Loop structures for supporting multiple electrode elements
|18 Abr 2001
|3 Jun 2003
|Biosense, Inc.
|Catheter having multiple arms with electrode and position sensor
|Patente citante
|Fecha de presentación
|Fecha de publicación
|2 Jul 2003
|26 Jun 2007
|St. Jude Medical, Atrial Fibrillation Division, Inc.
|Ablation fluid manifold for ablation catheter
|16 Mar 2007
|15 Jun 2010
|Microcube, Llc
|Devices and methods for creating continuous lesions
|11 Ago 2010
|19 Feb 2013
|Boston Scientific Scimed, Inc.
|Systems and methods for making and using medical ablation systems and having mapping catheters with improved anchoring ability
|19 Feb 2013
|20 May 2014
|Boston Scientific Scimed, Inc.
|Systems and methods for making and using medical ablation systems having mapping catheters with improved anchoring ability
|9 Nov 2011
|28 Jul 2015
|Boston Scientific Scimed, Inc.
|Renal denervation catheter with RF electrode and integral contrast dye injection arrangement
|2 Jul 2003
|6 Ene 2005
|Guy Vanney
|Ablation fluid manifold for ablation catheter
|11 Ago 2010
|17 Feb 2011
|Boston Scientific Scimed, Inc.
|Systems and methods for making and using medical ablation systems and having mapping catheters with improved anchoring ability
|Clasificación de EE.UU.
|606/41, 600/381, 600/374
|Clasificación internacional
|Clasificación cooperativa
|Clasificación europea
|3 Feb 2005
Owner name: ST. JUDE MEDICAL, DAIG DIVISION, INC., MINNESOTA
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:VANNEY, GUY P.;REEL/FRAME:015655/0596
Effective date: 20040831
|29 Mar 2006
Owner name: ST. JUDE MEDICAL, ATRIAL FIBRILLATION DIVISION, IN
Free format text: CHANGE OF NAME;ASSIGNOR:ST. JUDE MEDICAL, DAIG DIVISION, INC.;REEL/FRAME:017383/0713
Effective date: 20051221
|6 Ene 2010
|Fee payment
Year of fee payment: 4
|10 Feb 2014
|Fee payment
Year of fee payment: 8


text:
The Beatrice Hill Tinsley Lecturer for 2016 will be Dr Michael Person.
RASNZ's 2016 Conference will be held in Napier and hosted by the Hawke's Bay Astronomical Society and held 13 - 15 May 2016. The Conference venue will be MTG Hawke's Bay, Napier's recently reopened museum, theatre and art gallery. The Conference will be followed by a two day astrophotography workshop.
Watch this space for further details as they come to hand.
RASNZ President John Hearnshaw has just returned from the International Astronomical Union's 29th General Assembly.
RASNZ has strong links with the Aoraki Mackenzie International Dark Sky Reserve Board. Our President John Hearnshaw is also chairman of the board. His latest blog discusses the Starlight Festival that takes place in Twizel in October.
John's second instalment following the activities at Tekapo covers the Mt John 50th Anniversary Symposium.
RASNZ President, John Hearnshaw, describes the recent outstanding RASNZ Conference in Tekapo.
The excellent 2015 RASNZ Conference at Lake Tekapo has finished. We hope to see you all in Napier next year.
Watch this space for articles from the conference over the next little while.
RASNZ members should log in from time to time for a preview of the conference CD contents, conference photographs and more as material comes to hand.


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After one week, I have accomplished my goal. I'll continue with my 10 min per day (at least 5 d/wk) goal this week.
Favorite stretch so far: Modified Lunge- Lunge position but with the toes of the front foot at a 45 degree angle. Then sink into the lunge. It really gets into the hip flexors.
Biggest Barrier- when my day goes different than expected and my plan is out the window. It is easy to reprioritize the stretching out of my day.
How to overcome my barrier: Think to myself...if I get nothing else done today, I'm going to find 10 minutes for myself.


text:
BEST WESTERN Hotel Silva
No prices found through our partners. Please contact the business directly or check some of our recommended alternatives.
How has this hotel rated in the past?
- Suites
- Continental Breakfast
- Room service
- Restaurant
- Free High-Speed Internet
- Wheelchair accessibility
Travelers also recommend:
TripAdvisor Reviews BEST WESTERN Hotel Silva Sibiu
Travel Blogs from Sibiu
... Hmmm. Not an easy place to turn in and where to go from there? These side streets were surprisingly empty. Perhaps being a residential area people were at church or in their houses. Unexpectedly a smiling, well gently chuckling, fellow approaches from around the corner. He only spoke Romanian but understood that we were definitely lost. We showed him where we wanted to go. There was much chuckling from him and shaking of his head as it was ...
Dracula's Castle and a Rally
... shortly after opening time and there was no queue to get in. By the time we came out there was a queue of about 100 metres long. It's believed that Bram Stoker who wrote the Dracula novel used Bran Castle as the home for Dracula.
We headed for the Transfargaran Road which is the road described by Top Gear as the best
in the world. We saw a couple of rally cars on ...
Apparently this is still summer
... later with a change over cylinder. Fantastic and off we
set very grateful for their help.
However whilst we were stuffing around time had marched on
and when we crossed into Romania we were in for a big shock. Romania is
definitely the poor peripheral country, road were not so good and the traffic a
little more random.
The first town is dominated by a coal burning power station
and the place just looked like we had seen in India. So we pushed ...
And God Opened The Heavens
Holy fire and brimstone! I made it almost to the bus station when it just poured. I ran across this intersection where the wind was pushing the rain and me. My entire lower left side was soaked. Eventually the right lower part of my body became wet. I looked like a soaked rat when I arrived at the train station. Luckily I have extra clothing so I ...
... was like going back in time. The streets are all cobblestone, and the buildings are brightly painted different colours. We had to rush through which was too bad, but we didn't want to miss our train back to Sibiu. One cool thing we did see (from the outside) was Vlad the Impaler's birthplace. We woke up early on the 7th and hopped on the train to Brasov, central Romania, to meet up with Dimity and Rich again ...


text: WPXI [ Child of Slain Officer Gets Police Escort to Kindergarten By TheFW Staff 4 weeks ago | TheFW While some kids had a disappointing first day of kindergarten, others had a memorable one. Read More|Comment Category: News, Television Tags: child, policeman Send to a friend! Share on Facebook Share on Twitter Pin it! Reddit This! Share on Tumblr!


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Smartline Cosmopolitan Hotel
No prices found through our partners. Please contact the business directly or check some of our recommended alternatives.
How has this hotel rated in the past?
- Suites
- Continental Breakfast
- Restaurant
- Swimming pool
- Business Services
Travelers also recommend:
Historical Traveler Reviews Smartline Cosmopolitan Hotel Ixia
Could not do enough!
We've just returned from a lovely, chilled week at the Cosmopolitan. Our room (509) was great and far more modern than we expected (due to other reviews) Air con is for winners!! The hotel staff were very friendly and the food was great (we didn't eat there every night but could have if we were on a budget) If you don't have a main meal you can have lunch instead which we did a few times. The pool bar entertainment wasn't really our bag and we ventured out every night to the various restaurants and pubs nearby.
Main Likes:-
The breeze (made sunbathing very bearable)
Yanni's bar - what a star....could not do enough!!!
Capri Italian - right next to the hotel, fantastic Italian food but service can be a little slow if busy! But don't let this put you off!
"Klick" Internet Bar - again right next to the hotel, great Cocktails, and the barman is a legend........Thank you Sir!!
Main Dislikes :-
Sun Loungers are in short demand and although there are posters saying they cannot be reserved with a towel, everybody does....so prepare to act like a German if you want a place by the pool!
The hotel lifts can be a little unpredictable at times....who knows what floor you'll end up on....if there actually working!
Annoying Dad by the pool - leave your youngest kid alone, you big bully!!!! :)
All in all, a great week and would recommend it to anyone after a chilled out relaxing time on a beautiful island!
Mark & Lou
Pleasant hotel
In July I spent a week in this hotel and I really enjoyed it! The food was absolutely delicious and unrepetative, the room (N210) in the main building was convenient and the staff was polite.
The air-condition is free (in Greece usually must pay 6 euros/day for using)
I suggest this hotel chiefly for family with kids (I was with my friend there)
Bad point: although the line is changed every day according to the statement of the hotel, it was just 5 times. Otherwise the cleaning service O.K..
Rhodes city is very near, 6 minutes by bus or taxi (taxi fare: 6 euros, bus fare 1,70 ) The bus stop and the taxi station at the front of the hotel.
The beach is windy and pebbled, isn't able for swimming, but you can enjoy the waves. For small children I suggest the hotel swimming pool instead of it.
The island has a pleasant climate thank to the wind called "melt�mi".
Tre stelle e greco
Htl di cat. 3 stelle, soprattutto x quanto riguarda le camere, almeno quelle non del corpo centrale.
Cambiano asciugamani e teli ogni giorno.
Si mangia bene, tutto a buffet, piatti internazionali, poco pesce.
Posizione buona anche se sul lato dove c'� sempre vento e il mare � spesso mosso.
Al ristorante e in giro prezzi in generale un p� alti: bottiglia piccola di vino 8,80 euro, un caff� 2,80.
Dipendenti cortesi e disponibili mi � sembrato anche se nn ho avuto particolari richieste.
Per un prezzo pieno da catalogo nn ci verrei , con un 2x1 come ho fatto, un buon rapporto qualit�/prezzo.
Makis hat unseren Urlaub gerettet!! Poolbar
Wir kommen gerade von einer Woche im Cosmo zur�ck - die Zimmer sind sehr einfach, wenn man sie mit der Eingangshalle des Hotels vergleicht. Viele �ltere Leute und entfernt vom Zentrum Ixias. Aber was ich kann nur sagen, dass Makis an der Poolbar und Mikey fantastische Bartender und noch besseres Unterhalter sind!!! Der Urlaub wurde durch sie zu dem gemacht, was es war und wir haben uns nicht weit entfernt, um sicherzustellen, dass wir um 20 Uhr auf unseren Barhockern waren! und um 1 Uhr morgens wieder herunterzu fallen!
Hoffe, dass Makis im November sehen, wenn er nach England kommt, um Fu�ball zu sehen!!!
Judy Chris Nick und Judi - Bristol!!!
Ausgezeichneter Aufenthalt im Cosmopolitan
Sobald man in die Lobby l�uft, merkt man, dass dies ein klasse Urlaubsplatz ist. Ich war im Anbau mit Seeblick untergebracht (siehe Bild) und das war ok, einfach - Ich w�rde es nicht mit 4 Sternen bewerten - es war sauber mit Klimaanlage und das Zimmer und die Laken wurden t�glich ges�ubert. Ich war auf Halbpension hierr, es kommt darauf an, wann man zum Fr�hst�ck und Abendessen kommt, aber es gab immer reichlich Auswahl, besonders bei den Nachtischen!
Der Strand ist nur einen Katzensprung entfernt! Rhodosstadt ist die Stra�e hinauf.
Es gibt einn Gesch�ft mit freundlichem Personal. Yannis Bar ist nebenan. Das Personal ist die T�pfelchen auf dem i, besonders Makis & Gregory an der Poolbar und Adam an der Hotelbar, echt klasse. Fahren Sie als Paar hin oder, wenn Sie Kinder haben, wird es denen auch sehr gut gefallen. Ich habe vor innerhalb der n�chsten paar Jahre wieder hinzufahren. Man wird nicht entt�uscht.
Excellent stay at the Cosmopolitan
As soon as you go into the lobby area you realise this is a great place to spend your holiday. I stayed in the annex area with a sea view (see picture) and ok basic - I wouldn't say it was to 4* rating - it was clean, had air conditioning and the room and sheets cleaned daily.
I went for half board, it did depend when you got down for break fast and evening meal, but there was always good variety, the deserts especially!
The beach is a stones throw away
Rhodes town up the road
There's a shop with friendly staff
Yanni's pub next door
The staff are the icing on the cake, especially Makis & Gregory in the pool bar and Adam in the hotel bar, brilliant.
Go as a couple or if if you have children, you'll love it, I intend to go back within a few years and won't be dissapointed.
Makis made our holiday!! pool Bar
Just returned from a weeks hol at the cosmo - Rooms very basic compared to foyer of hotel lots of older people and away from main ixia.But what can i say about Makis at the Pool bar ad Mikey fantastic bar men and even better entertainers!!! The holiday was made by them so we didnt venture far to make sure we were on our bar stools by 8pm!! and falling off again at !am! hoping to see Makis when he visits England in november to watch the Footie!!!Judy Chris Nick and Judi - Bristol!!!
Good hotel
good clean hotel, food fine,staff excelent, bar staff employee called Mekes just could not do enough for everyone,well done Mekes. location ideal for us,fairly quiet but near to rhodes town to visit if you like the night life.Taxi 6 euros bus1.50 euros. For car hire and Trips I would recomend a small and friendly company called MANOS tours which is not far from the hotel on the main road. the owner is a most friendly and obliging young man, and gives a first class service.
Fantastic Holiday
We stayed at the Hotel in September 2004 and 2005, although the rooms are basic, they are kept clean and sheets and towels are changed each day. The food is okay but if you get down at the right time the food is hot. They try to cater for the English but not every day. My son is 17 and a fussy eater but he managed to find something to eat each day. The staff are very friendly and nothing is too much trouble. Yannis bar just below the hotel is brilliant you don't have to go anywhere else. Ixia hasn't changed in 20 years but what a chilled out holiday. It wouldn't do for everyone to like the same thing. We are about to book for the third time. Roll on Cosmopolitan and Rhodes.
Nice Hotel, Great Staff
Just spent a very pleasant fortnight at the Cosmopolitan, although situated at the far end of Ixia. Nice clean hotel with friendly, helpful staff. Good buffet selection at breakfast and dinner but can become a bit predictable after a while. Nice clean pool with ample sunbeds and Pool Bar. Inhouse entertainment can be a little lacking. Small selection of shops & bars close to hotel but main Ixia shops a short stroll away. Taxi rank opposite hotel, all destinations clearly priced, eg 6 euros to Rhodes Town. Beach is stoney, so don't bother with a bucket & spade! Overall very nice stay but more suited to adults than families with children.
TripAdvisor Reviews Smartline Cosmopolitan Hotel Ixia
Travel Blogs from Ixia
The Carian & Lycian Coasts
... I knew there was a lot to see. The guide, Aladdin, picked us up in his boat early for our
personal tour. His boat would seat about 50 people, and there were 2 of us. :-) We meandered up the river though 'avenues' amidst the bull rushes – the river mouth must be a couple of km's wide. At the entrance is turtle beach where, obviously, turtles lay their eggs every year. The beach has been formed over the years from the ...
Day 3: Tom, Amy and baby arrive & BEACH
... it was delicious. After a light walk around tom and Bridget take Asher home for a nap and Amy and I go jewelry shopping for gifts and of course ourselves. Amy knows her stuff. We finish all gift shopping first, then we find a beautiful white gold and pearl ring for me. Being in decisive we decide to get a juice. Naturally we make friends with some locals at the cafe who ...
We arrive in Rhodes! Staying in the old town
... to our accommodation. We arrive in the large square that our apartment is situated off. We get chatted to some Greek men who call our air bnb host for us to collect us. Within 2 mins of conversation one man points out to me (with a confused/concerned tone) that I am very pale. My heart sinks a little, as only I know that I actually have two layers of gradual tan moisturiser on. Our host shows us the digs and it's beautiful. We are right above the ...
... talk politics but the guy, Stavios, seemed very defensive of the Greeks and saying how it's not their fault the country has gone to hell in a hand basket. I think it's exactly that attitude that's got them in the **** in the first place. We were dropped back at the old city which is a stones throw from the port and so we had a wander. The Cohens and Jaffes found the local synagogue and so we went in for a look. I actually found it to be really interesting as they have a type ...
Absolute Luxury!
... than one occasion we were in a restaurant and ordered off their menu.
Then we watched as the items came in from other places. (This happened in several places so it's clearly the norm.) The classic was a Kebab place. Paul had scouted it the day before. We arrived and there was no space on their pavement. "No problem. Wait one minute please." The adjacent business was an internet caf� with an empty pavement. Our table was set ...


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Book your room at Econo Lodge
Get an overview of this hotelFamily-friendly hotel with free breakfast and 24-hour front desk
This family-friendly hotel is located in the city center, within 3 mi (5 km) of Geary County Historical Museum and Playground Park. Rolling Meadows Golf Course and Fort Riley Military Base are also within 12 mi (20 km).
Hotel Features
This hotel features coffee/tea in the lobby, laundry facilities, and a 24-hour front desk. Free WiFi in public areas and free self parking are also provided. Other amenities include free breakfast.
Room Amenities
All 58 rooms provide conveniences like refrigerators and microwaves, plus free WiFi and cable TV. Other amenities available to guests include coffee makers, free local calls, and ironing boards.Information missing or incorrect? Tell us!
Hotel Amenities
Hotel Amenities
A complimentary breakfast is offered. High-speed wireless Internet access is complimentary. This family-friendly hotel also offers coffee/tea in the lobby and laundry facilities. Complimentary self parking is available on site.
- 24-hour front desk
- Coffee/tea in lobby
- Free breakfast
- Free RV, bus, truck parking
- Free self parking
- Free WiFi
- Laundry facilities
- Number of buildings/towers - 1
- Number of floors - 3
- Total number of rooms - 58
Family Friendly Amenities
- Free Wi-Fi
- Laundry facilities
- Microwave
- Refrigerator
- Rollaway/extra beds available
Available in all rooms: Free WiFi
Available in some public areas: Free WiFi
Free self parking, Free RV, bus, truck parking
Room Amenities
- Air conditioning
- Cable TV service
- Climate control
- Coffee/tea maker
- Cribs/infant beds (surcharge)
- Desk
- Free local calls
- Free WiFi
- Hair dryer (on request)
- Iron/ironing board
- Microwave
- Pay movies
- Premium TV channels
- Refrigerator
- Rollaway/extra beds available
Where to Eat
A complimentary breakfast is offered.
Hotel Policies
Check-in time starts at 3 PM
Check-out time is 11 AM
Payment types
Children and extra beds
- Children are welcome.
- Rollaway/extra beds are available for USD 5 per night.
- Cribs (infant beds) are available for USD 5 per night.
You need to know
Extra-person charges may apply and vary depending on hotel policy.
Government-issued photo identification and a credit card or cash deposit are required at check-in for incidental charges.
Special requests are subject to availability upon check-in and may incur additional charges. Special requests cannot be guaranteed.
Optional extras
- Crib (infant bed) fee: USD 5 per night
- Rollaway bed fee: USD 5 per night


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Kit yourself out from the get go with cordless power tool bundles with Anglia Tool Centre. We understand that you want to work with only the best tools, and sometimes you need to purchase several at the same time. Perhaps you're looking for a gift, or you're in need of an overhaul, whatever the reason, we're sure to have exactly what you're looking for with us. Browse the range today.
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text:
Select Local Merchants
Old Chicago PizzaRead MoreIf you have yet to try Old Chicago on E Central Texas Expy, now is the perfect time to check out the well-known restaurant. It's a favorite spot for guests seeking a delicious meal. Defined by its outdoor seating, the restaurant is a fantastic option when the Texas weather cooperates. No specific attire is required, so feel free to dress casually and comfortably. Also, it's often reported that the background noise can get a little loud here. It's been tabbed as a nice option for both families with children and large groups. WiFi is available if you want to get some work done, and in addition to its convenient take-out offerings, the restaurant even provides catering for events around town. Or, if you just want to stop by for a beverage, the restaurant has a pretty broad selection at its bar. One of the better pizza chains in the area, a trip to Old Chicago is definitely worthwhile, no matter how you slice it. Its buffet is known to be "good." Don't worry about trying to find a spot on the street, as visitors to the restaurant do have access to a private parking lot nearby.2901 East Central Texas ExpresswayKilleen, TX US
Pizza PalaceRead MoreDeemed "pizza of the year" every year by Pizza Palace's loyal fans, this deliciously-cheesy pizza will have you reaching for seconds, thirds, and even fourths. Calling all gluten-free and low-fat diners! Pizza Palace has a multitude of dishes right up your alley that are freshly-prepared and taste amazing. Turn your living room into a five-star restaurant with takeout or delivery from this pizzeria. Don't waste time searching for parking, we've done all the work for you. Spaces available here. Store your bike at one of the many racks outside of Pizza Palace. You'll typically spend about $30 per person to dine at Pizza Palace, so plan your budget accordingly. Who doesn't love pizza? And who doesn't love pizza with great ratings? Pizza Palace is home to some of the best slices in the neighborhood, so order a hot one today. After learning about Pizza Palace, you definitely just found your new pizza place.515 West Veterans Memorial BoulevardKilleen, TX US
Little ItalyRead MoreContemporary Italian cuisine can be found at Little Italy. If you're avoiding fat or gluten, you can still eat great at Little Italy, which offers a number of low-fat and gluten-free choices. Go ahead and bring your rug rats with you — Little Italy has kid-friendly food and seating. Carry-out is also available for those who prefer to enjoy Little Italy's cooking from the comfort of their own home. Looking for something delicious to serve at your next party? Little Italy also offers catering. Drivers can make use of the parking lots near Little Italy. Your bill at Little Italy will typically run less than $30 per person, so bring the whole gang! Paying with your major credit card is one payment option at Little Italy. Head on over to Little Italy first thing in the morning or last thing in the evening — Little Italy is open for breakfast, lunch, and dinner.1218 South Fort Hood StreetKilleen, TX US
Domino's PizzaRead MoreWhether you are looking for a slice of pizza or a whole pizza pie, Killeen's Domino's Pizza offers a wide variety of pizza types and sizes. Gluten-free, dairy-free, fat-free, no matter what free you are, Domino's Pizza has great dishes ready for you. Crowds are boisterous at the pizzeria and the music is blaring, so get ready for a very loud night out. Good luck spotting a suit and tie at Domino's Pizza — casually-dressed diners are the norm here. Love the food at Domino's Pizza but don't have the time to stay? You can pick up your food to eat when you're ready, or have them deliver straight to your home. Domino's Pizza is known for serving great food, and they are able to serve it at your next event with their excellent catering. null There's no need to bust your budget at Domino's Pizza, with most meals costing under $15.1606 South Fort Hood StreetKilleen, TX US
Pizza Pro'sRead MorePizza Pro's in Killeen is one of the better-priced restaurants in the area, offering a flavorful menu that won't cost a fortune. Whether you are stopping in for the good quality, lightning-fast service, or both, you are sure to leave this restaurant with a smile on your face. Though the overall price can be a bit on the low side, you won't be sacrificing any quality. There really is something for everyone, with gluten-free options, as well as low-fat and vegetarian items on the robust menu. Plus, it's been tabbed by the locals as a really solid option for large groups. If you don't feel like eating in, you can always grab your food to go, or just place an order for delivery. To sum it all up, Pizza Pro's definitely won't leave you disappointed, no matter how you slice it.617 West Veterans Memorial BoulevardKilleen, TX US
Little Caesars PizzaRead MoreMake your next meal a pizza party! Little Caesars Pizza in Killeen's Killeen neighborhood is a tasty departure from your weekday routine. Feel satisfied but not stuffed with Little Caesars Pizza's gluten-free and low-fat alternatives. Keep it casual at Little Caesars Pizza, and save that little black dress for a different occasion. Throwing a big party? Count on Little Caesars Pizza to provide top-notch catering with the same great dishes you love. Easily accessible parking options are located near this dining establishment. You can fill up on Little Caesars Pizza's delicious fare without spending an arm and a leg — in fact, typical meals there run under $15. If you are looking for a creative and fun pizza joint in town, check out Little Caesars Pizza.902 West Central Texas ExpresswayKilleen, TX US


text:
See the test case to the report #1883425. If after a first attempt to open a segment, I opt to expand the segment, segmentation stops over the second part of the abbreviation, thus the segment ending with "e.g.". Normally, this should be avoided. I see two ways of coping with the problem:
a) either to have list(s) of abbreviations for languages, or
b) simply not to break a segment, if a point is followed by a minuscule letter (for Latin/Cyrillic/Greek scripts, at least).
Logged In: YES
Originator: NO
Solution b won't work for German, where we have "z. B.", "i. A." and "m. E."
Marcin Miłkowski
The easiest solution would be to support SRX format for sentence segmentation:
There is open-source library that supports SRX:
It's Java but since Anaphraseus uses Java, it might work at least for Anaphraseus-Java projects.
Ole Yansen
Thank you. I'll take look at this.