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Presentations of 12 June 2015
Download the Cider Market presentations.
At the General Assembly of 12 June 2015, the AICV adopted the 6th Edition of the AICV 'Code of Practice'.
This edition of the Code of Practice is based on the original version prepared by the members of the AICV in 1998, and subsequently updated in 2006.
It takes account of changes in commercial practice and/or legislation in the EU. The Code is based on our individual and collective understanding of industry practice and legislation affecting the production, packaging and labelling of cider, perry and fruit wines throughout those countries within the European Union that are represented by the AICV.
If you are interested in the AICV Code of Practice, see here how to become a subscriber.
At the Executive Committee of 26 November 2014, the AICV adopted the 'Labelling and Ingredients Listing Guideline'.
The purpose of this document is to provide best practice advice, in the form of labelling guidelines, for providing ingredient and nutrition information and responsible drinking messaging on pack, for those companies that wish to provide this information on a voluntary basis.
If you are interested in the AICV Labelling and Ingredients Listing Guideline, see here how to become a subscriber.


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Surf City Civil War
CrossFit Surf City
Saturday, April 27, 2013 from 7:00 AM to 5:00 PM (PDT)
Event Details
Two person coed team competition (1 Male and 1 Female). This is a single day competition consisting of 3 WOD's spaced throughout the day. Teams can register as beginner, intermediate, or advanced. We're looking for volunteers and judges as well.
For all of the most up to date information check: www.crossfitsurfcityusa.com/surfcitycivilwar
Have questions about Surf City Civil War? Contact CrossFit Surf City
When & Where
CrossFit Surf City
18421 Gothard Street
Huntington Beach,
Saturday, April 27, 2013 from 7:00 AM to 5:00 PM (PDT)
Add to my calendar
CrossFit Surf City
Surf City Civil War
Huntington Beach, CA Events
Sports & Fitness

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77 Ratings
Chateau Cantemerle Haut-Medoc
Wine Details
Wine Description
(From 2009 Vintage) Soft and silky on the palate with an almost Right Bank feel, the 2009 Ch. Cantemerle is full if generous, mulberry fruit and supple tannins. The fruit is well balanced by the refreshing acidity, leading to a crisp, clean finish.
Winemaker's Notes
(From 2011 Vintage) Attractively aromatic, fruit, charm and spice from the Merlot, elegant firmness from the Cabernet and overall finesse and balance.
Expert Reviews
Wine Spectator(From 1996 Vintage) Rating: 85/100 - As reviewed by Wine Spectator on 01/01/07.
Wine Advocate(From 1989 Vintage) Rating: 91/100 - As reviewed in Wine Advocate # 80 on Apr-92
Wine Spectator(From 1989 Vintage) Rating: 95/100 - As reviewed by Wine Spectator on 05/31/99
Connoisseurs' Guide to California Wines(From 2005 Vintage) Smelling a bit riper than many from this section of the Left Bank, the wine starts with aromas of currants and berries with toasty oak in hot pursuit. It is, however, less complete in its flavors that suggest a bit of concentration but fall short on depth and drift into muscular dryness at the finish. It has a good chance to find a more open stance in time, and it would not be the worst idea to take a chance by laying away a few bottles.
Wine & Spirits(From 2005 Vintage) Rating: 86/100 - As reviewed by Wine & Spirits Magazine on 10/08


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Letson Loft Hotel
No prices found through our partners. Please contact the business directly or check some of our recommended alternatives.
How has this b&b rated in the past?
Historical Traveler Reviews Letson Loft Hotel Bisbee
Top of the Line !
We really enjoy Bisbee, Arizona as a quaint sort of hidden away city/town with so much "atmosphere". And with our first (and it will not be our last) stay at Letson Loft Hotel we feel that it just can't get any better. The look and feel of the historic building both outside and in, it's high ceilings and our handsome room with it's large bay window (good for people watching after combing the antique shops) all made for a unique experience. Really good for a romantic time away. And the best towels in the world my husband says. We will remember our breakfasts in our bay window looking up & down - at the downtown old buildings for a long time.
Letson Loft hotel - Perfect Retreat
We spent a delightful weekend at this hotel right in the heart of Bisbee. The guest book suggested that we weren't the only ones to enjoy our anniversary there either. I would definitely recommend a weekend away from it all at the Letson Loft Hotel. Huge bonus - the whole hotel is smoke-free, which beats the stale smoke smell of the Copper Queen.
Great experience
What a great place to spend a weekend. This is a recently remodeled old-west style hotel right in the heart of Bisbee. The rooms are beautifully decorated and very modern. I was made to feel lke a real guest there. I will go back and take my wife.
Great hotel...for a show
Wonderful hotel, beautiful remodel, nicely restored and authentic. Great location. Staff was extremely nice. Baked good and coffee were excellent. Dinner suggestions (Roka) was very good.
The only thing to be aware of is you can hear EVERYTHING in the rooms around you. You can hear people walking down the wooden hallways, opening doors, talking, breathing and of course moaning in pleasure late at night. The staff should notify guests upon check-in that the wooden floors have ZERO sound dampening and to keep your walking, talking and pleasure quiet unless you wish to share with others. We'd go back, but with earplugs for after the show.
The Beautiful New Letson Hotel
We arrived in Bisbee from Tombstone at dusk after a long day of sightseeing. When we saw the sign Letson Hotel on the building, we were quite happy to have found our accommodations for the evening. When we rang the bell and Pat answered the door, we were not prepared for what we saw. There in the middle of this old western town was a new, beautifully appointed hotel. The hotel is in a renovated mill building and has all the charm of an older building, yet it has every updated convenience travelers could possibly want.
We were able to park in the back of the building and brought our luggage up the stairs. (There is no elevator in this building, but there are only two floors to this hotel, so it is not inconvenient) The room we had for the evening was absolutely elegant. The furnishings were tastefully appointed, the linens were some of the best I have every used. The robes that were provided were soft and warm. The basket of toiletries were an extra pleasant touch. The shower was outstanding. The linens on the bed were superb. Not only were the very attractive the bed was extremely comfortable. Everything about this room was perfect.
As I always do when I see an open door at a hotel, I peek in to check to see what the other rooms look like. The door across the hall from my room was open and there stood another room just as elegant as the one I was staying in.
When I made the reservation at the hotel, I was asked if I wanted them to make a dinner reservation for me. I thought it would be a good idea since I didn't know the area. The restaurant they recommended was excellent. The food was spectacular and the service could not have been any better.
If you are looking for a reasonably priced elegant hotel in southern Arizona, call the Letson Hotel. You will be pleasantly surprised.
The Letson Loft is Fabulous
The Letson Loft Hotel has been completely refurbished and it's an absolutely wonderful place to stay. It's right downtown in Old Bisbee, the accomdations are first class and the rates are very reasonable. We stayed in late October so the weather was to die for too. We will go back again and I have no interest in checking out other B&B's or hotels. This is the best!
The Best
Letson Loft is the finest "boutique" hotel in which we've ever had the privilege to stay. A beautiful and very recent restoration of an old property has been completed with incredible attention to detail. The needs of the guests are obviously paramount. There are only eight rooms, at reasonable rates. The towels are Turkish, the coffee is a special mix that should put a well known chain out of business, and the morning baked goods, piping hot were the best. After just a couple of days there, I'm retraining my wife to get up early enough to bake treats for me every morning (FAT CHANCE!!!). All of the history of Bisbee is within walking distance.
Great place to stay in Bisbee AZ
Letson Loft Hotel came highly recommended and we weren't disappointed. We stayed in the suite with a kitchen, which was handy for enjoying dinner leftovers. It was a very lovely room with all the amenties for a comfortable 4 day stay. Pattie was a cordial hostess and shared information and was very helpful with dinner reservations and sights around town.
Patty & Glen, Oceanside CA
A Bisbee Gem
The town of Bisbee captures the essential Arizona spirit. So, too, does the Letson Loft Hotel, an historic building lovingly restored to a very high standard but maintaining the feel of the original period. Upon check-in we were warmly greeted by Tom, one of the owners of the inn. He showed us to our goregous queen bedded suite. WOW!! Tom then preceeded to show us some of the other rooms. Each room has its own unique character and I would have been pleased staying in any one of them. I was particularly struck by the exposed brick, the restored tin work and the wonderful paint treatments as I wandered through the hallways. Our suite offered such ammenities as sumptuous robes, a small flat screen TV, a beautifully restored claw footed tub/shower with accompanying thick, terry towels and a bed and bedding one melts into. After a great night sleep we awoke to a nicely presented continental breakfast of excellent coffee, juice and fresh blueberry muffins. We already have plans for a return visit. Can't wait.
Letson Loft Hotel - nicest hotel in Bisbee
My stay at the Letson Loft Hotel was wonderful! I can easily say that this is the nicest hotel in Bisbee. The rooms are beautifully decorated, the beds are extremely comfortable and the hotel staff was very accommodating - helping me with everything from reservations for dinner and attractions to preparing fresh coffee and scones in the morning. I will definitely be staying at the Letson Loft Hotel in the future.
TripAdvisor Reviews Letson Loft Hotel Bisbee
Travel Blogs from Bisbee
The Wild Wild West
Zach had a hankering to visit Tombstone, AZ. Unfortunately by the time we got there, most of the attractions were closed. We did grab a beer at Doc Holiday's bar and play some pool. Then we got a hotel in Deming. It was over 100 degrees out- way to hot to ...
The best about Sonora: COYOTAS
... drives herds of people to dance ... It was quite amazing to see so many people arriving to that one spot. I also saw the dancing horses. It was cute to see but I got bored quick so I left. Overall the experience was interesting to see.
Back in Hermosillo I actually did stay with a Couch surfing girl, her name is Estefania and she is studying physics in the University of Sonora. She had a roommate called Manuel, he was studying his master on indigenous ...
The Heavy Weight of Hospitality
... back in five years, when he is allowed to apply for a visa again. I also wanted to voice my doubts that the government would make his return home very feasible. But, I didn't say any of those things. I only that said the whole situation was bad.
The Heavy Weight of Hospitality
A fellow YAGM here in Mexico compared US/Mexican boarder issues to a house without its lights on. A house without light appears cold and ...
Ridem cowboy
Three verrrrrrryyyyyyyy
veeerrrrrrryyyyyyy llllloooooonnnnngggggg days driving later we hit
the border and as expected were pulled over - I would if I was a
customs officer. We had chosen the most remote and quietest border
post to make life easy and it worked a treat, we confused the heck out of them. When the answer to their question "Sir
is this your vehicle?" was "No it belongs to an Australian ...
Chiricahua and copper
... fire. The rock formations were amazing. This area is where Geronimo and his Apaches gathered. After this scenic drive we went on to Douglas on the Mexican border. Along the way there were beautiful farms with thick grass probably due to the extensive irrigation we noticed. Douglas was a town built by Phelps Dodge for a copper smelter in the early 1900's. The smelter ...


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HND2 Graphic Design Project
Self-set design briefs.
HND1 promotional campaigns for Tokyo and Sydney
Design students are the target audience for these campaigns promoting Tokyo and Sydney.
Future Textiles identity competition
Congratulations to Jamie Stein on winning the competition to design a logo for Future Textiles. Future Textiles is an innovative programme designed to introduce young people into the Scottish Textile Industry with skills workshops based at Dumfries House, Ayrshire.


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Anxiety & Panic Disorders Health Center
Panic Attacks and Panic Disorder - Treatment Overview
Successful treatment reduces how many panic attacks you have and how often you have them. It lowers the anxiety you feel because of the fear of future attacks. And it improves the quality of your life. Treatment may include:
- Professional counseling, such as cognitive-behavioral therapy. To learn more, see Other Treatment.
- Medicines, such as an antidepressant or a benzodiazepine.
- Home treatment, such as relaxation exercises.
Unfortunately, many people don't seek treatment for anxiety disorders. You may not seek treatment because you think the symptoms aren't bad enough. Or maybe you think that you can work things out on your own. But getting treatment is important.
Recommended Related to Anxiety Panic
Important It is possible that the main title of the report Adult PanicAnxiety Syndrome is not the name you expected. Please check the synonyms listing to find the alternate name(s) and disorder subdivision(s) covered by this report.
Read the Adult Panic Anxiety Syndrome article > >
If you need help deciding whether to see your doctor, see some reasons why people don't get help and how to overcome them.
If your panic attacks were caused by a specific trigger, such as a medicine reaction, you may not need treatment after the trigger has been removed. In this case, that would mean stopping the medicine with the help of your doctor.
But sometimes panic attacks caused by outside factors can continue after the trigger has been removed. They may turn into panic disorder.
Panic attacks may also start suddenly without a known trigger.
Recurring panic attacks
You may have mild to severe panic attacks off and on for years, especially if you also have agoraphobia (avoiding places where you fear another attack will occur).
Even after treatment is stopped because the attacks appear to be under control, attacks can suddenly return. Learn your early warning signs and triggers so you can seek treatment early.
If your panic attacks get too severe or happen too often, you may need to be hospitalized until they are under control. You also may need a brief hospital stay if you have panic attacks along with another health condition, such as agoraphobia or depression. Panic attacks combined with these conditions can be harder to treat.
Ongoing treatment
An important part of ongoing treatment is making sure that you are taking your medicine as prescribed. Often people who feel better after using medicine for a period of time may believe they are "cured" and no longer need treatment. But when medicine is stopped, symptoms usually return. So it's important to continue the treatment plan.
You will be continually checked to see if you have other conditions linked with panic disorder, such as depression or problems with drugs or alcohol. These conditions will also need treatment.
In this article
This information is produced and provided by the National Cancer Institute (NCI). The information in this topic may have changed since it was written. For the most current information, contact the National Cancer Institute via the Internet web site at http:// cancer .gov or call 1-800-4-CANCER.
WebMD Medical Reference from Healthwise


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Career Explorers
Introducing Youth to Career Possibilities
Not all positions at the zoo require employees to have an interest in working directly with animals. The Career Explorers program let Chicago-area high school students immerse themselves for three weeks in different career paths at Lincoln Park Zoo—from biologist to graphic designer.
Career Explorers Details:
As a Career Explorer, participating youth enjoyed a firsthand look at a number of necessary departments, learning more about each career path while simultaneously gaining experience working in a zoo setting. The program provided participants with support to fully integrate the experience into their academic goals, career plans and areas of personal strength.
Learning continued throughout the school year with Extended Connections, a program that included both Career Explorers and Research Apprentices in monthly sessions. Group activities helped participants develop career awareness and tie their summer experiences to school studies.
Career Explorers was generously supported by the Caerus Foundation.
Learn More
Post from the President—Not Just a Summer Job
Zoo Summer Jobs 2013
- Programs
- Zoo Explorers
- Sing Along with Neeleo
- Second Saturdays Garden Tours
- Evening Sculpture Stroll
- Animal Enrichment Workshop
- LEAP: Learn, Explore and Play
- Wine & Wildlife
- Educator Workshop
- Columbus Day Zoo Camp
- Veterans Day Zoo Camp
- Sleepover with the Animals
- Winter Break Camp
- MLK Day Zoo Camp
- Presidents Day Zoo Camp
- Conservation Camp
- Zoo Crew
- Initiatives
- Malott Family Zoo Intern Program (ZIP)
- Community of Conservation
- Career Explorers
- Chicago Environmental Stewards
- Conservation Ambassadors Board
- Dreamnight at the Zoo
- Observe to Learn
- Partners in Fieldwork
- Primates Don't Make Good Pets
- Research Apprenticeship Program
- Sensory Tour
- Young Researchers Collaborative
- Hurvis Center for Learning Innovation and Collaboration
- Zoo Explorers
- Educator's Resources


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City scene is back on song
Published at 11:27, Thursday, 15 March 2012
It has been a long time coming, but finally we have a big-name follow-up to Radio 1's Big Weekend last year.
After the visit of Lady Gaga, Black Eyed Peas, The Foo Fighters and all the other top pop and rock names last May, we were promised that Carlisle would build on the success and create a name as a destination for big music events.
We heard nothing, but obviously the Radio 1 event left its mark.
It seems that the city is now on the map for mega bands to consider playing.
Bands don't come much bigger than JLS and they are an amazing follow-up to last year's Big Weekend.
Tickets for the 20,000 capacity show next August at Bitts Park will sell out in record time.
We've proven we can put on a huge show, there's no reason why we can't do it again.
Apart from the fun factor, these events provide work and vital extra income for the local economy.
While The Sands Centre has hosted Chase & Status, The Saturdays and Pixie Lott in recent times, Carlisle needs to attract both bigger and slightly lesser names to play regularly in the city, just as Newcastle, Leicester and even Preston do.
Elsewhere, quiet meetings have been taking place, plans have been planned and negotiations have been made to set up a week-long music festival in the city.
Carlisle Music City festival takes place this June at venues across the city.
One of the CMC aims is to eventually attract the calibre of chart stars the city enjoyed at Radio 1's Big Weekend.
It's unlikely that any of the acts will measure up to the global profile of JLS, Gaga or Foo Fighters, given the size of venues involved, but as Cumbria's music scene sees festivals continue to mushroom across the county (this year sees the start of Nuts In May near Workington and Stepping Stones near Brampton) the old city can't afford to be overlooked.
Published by http://www.newsandstar.co.uk
Anne Pickles
Mark Green
Have your say
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- Plans unveiled to revamp Carlisle's Castle Way (139 comments)
Quick links
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|Publication number
|Publication type
|Application number
|Publication date
|Jan 19, 1999
|Filing date
|Feb 9, 1998
|Priority date
|Feb 10, 1997
|Fee status
|Also published as
|Publication number
|Martin Obel, Josef Vock
|Original Assignee
|Pacesetter Ab
|Export Citation
|BiBTeX, EndNote, RefMan
|Patent Citations (6), Non-Patent Citations (4), Referenced by (39), Classifications (6), Legal Events (4)
|External Links: USPTO, USPTO Assignment, Espacenet
1. Field of the Invention
The present invention relates to a heart stimulating device having a capability to adapt its stimulation energy to the current capture threshold value in a patient's heart.
2. Description of the Prior Art
The invention concerns solutions to problems arising in sensing the activity of the heart when myopotential noise, external electromagnetic noise, or other noise is present.
Particularly, noise may severely affect sensing carried out with a unipolar lead connecting the heart and the stimulating device. For unipolar electrode systems the noise level is typically an order of magnitude higher than the noise level of bipolar electrode systems. Aggravating polarization problems may thus arise when stimulation and sensing employ the same polarity configuration, e.g., unipolar configuration.
Pacemakers may employ a unipolar or bipolar lead, i.e., a cardiac electrode arrangement plus a single or dual insulated wires or conductors connected to the pacemaker's connection terminal, for stimulating and sensing the activity of a patient's heart. A bipolar lead may be operated in bipolar or unipolar mode, but a unipolar lead can be operated only in unipolar mode.
Stimulation and sensing carried out on a common unipolar lead would be generally desirable provided that safety can be maintained. Two advantages of unipolar systems are the greater possibilities of using an already-implanted lead when the pacemaker needs to be replaced, and a lower number of components which may fail.
Some terminology used in this disclosure is explained below.
An abbreviation for intracardiac electrogram. IEGM signals are emitted by active cardiac tissue and sensed through electrodes placed on or within the heart.
QRS or QRS complex
The ventricular depolarization as seen on the electrocardiogram or in the IEGM signals.
Inherent or belonging to the heart itself. An intrinsic beat is a naturally occurring heartbeat.
Evoked response
The electrical activation of the myocardium caused by a pacemaker output pulse. The ability of heart cells to respond to a pacemaker output pulse depends on the extent to which the cells are in a refractory state.
Escape interval, basic interval, or basic escape interval
The period, typically of the order of 1000 milliseconds, between a sensed intrinsic cardiac event or a stimulation pulse output and the next pacemaker output pulse.
The insulated wire plus electrode(s) and terminal pin used to connect the pulse generator to cardiac tissue. The lead carries the stimulus from the pulse generator to the heart and, in demand modes, relays intrinsic cardiac signals back to the sense amplifier of the pulse generator. A single-chamber pulse generator requires one lead, while a dual-chamber pulse generator usually requires two (one for the atrium, another for the ventricle)
Bipolar lead
A pacing lead with two electrical poles that are external from the pulse generator. The negative pole or cathode is located at the extreme distal tip of the pacing lead, while the positive pole or anode is formed of an annular electrode located at a distance in the range of 10 millimeters from the cathode. The cathode is the electrode through which the stimulating pulse is delivered. Bipolar leads are characterized by relatively small spikes on the paced ECG.
Unipolar lead
A pacing lead with a single electrical pole at the distal tip of the pacing lead (negative pole). The anode (positive pole) is the pulse generator case. The cathode is the electrode through which the stimulating pulse is delivered. Unipolar stimulation or sensing via a unipolar lead is of course bipolar in the sense that, e.g., a conductive casing of the pacemaker constitutes a second pole.
Stimulation, capture, or pacing threshold
The minimum electric output from the pacemaker which consistently elicits a cardiac depolarization and contraction.
Stimulation energy
The energy of the electric output from the pacemaker. The energy is used herein to quantitatively describe the stimulation effectiveness of a stimulation pulse. Alternatively, it could be expressed in terms of voltage, current, width, shape, and/or charge of the pulse.
IEGM signal amplitude
The amplitude can be defined in two different ways: the peak value, i.e., the maximum distance (positive and/or negative) from the signal baseline, or the peak-to-peak value, i.e., the distance between the maximum positive and negative deflections of the IEGM signal. An implantable heart stimulating device usually senses the peak-to-peak value. Thus, a threshold for sensing could refer to either of these definitions.
In U.S. Pat. No. 4,969,460 a pacemaker is described having a spontaneous event and noise detector for sensing inter alia noise. When noise is detected a noise flag is set and capture detection and automatic output regulation is suspended (see e.g. col.24, lines 26-48). Instead pacing takes place with a comparatively large output. Criteria for setting the noise flag are not discussed.
The Pacesetter� REGENCY™ pacemaker with AUTOCAPTURE™, described in Pacesetter� User Manual, ordering no. 63 46 493 E500E, published in 1995, uses a bipolar arrangement connecting the pacemaker to the heart when operating in a mode wherein the stimulation pulse energy is adjusted in relation to the patient's changing capture threshold. In that AUTOCAPTURE mode, only one pole of the lead is used for delivering stimulation pulses, while both poles are used for sensing IEGM signals that are indicative of the heart's stimulation response and natural activity. In other modes of operation the pacemaker may be programmed to deliver stimulation pulses and sense heart activity in either bipolar or unipolar mode. The pacemaker may always completely inhibit a pulse, in order to favor natural heartbeats. In that way a long life of the battery-powered heart stimulating device may be achieved.
The adaptive function is advantageous, but to ensure correct evoked response (ER) detection, bipolar sensing is deemed absolutely necessary. In the described pacemaker, unipolar sensing could endanger correct ER detection, since that sensing is more sensitive to noise, especially myopotential, influence than bipolar sensing, as mentioned above. Depending on the sign and magnitude of the noise, ER sensing could erroneously indicate capture or non-capture, which could lead to an inappropriate reaction by the pacemaker.
Also, when sensing and stimulation are carried out with the same polarity, the sensing can be complicated due to polarization at the electrode(s) caused by the stimulation pulse, however, that is a problem not specifically related to the occurrence of noise.
If sensing and pulse adjustment based thereon could be performed reliably with a unipolar lead instead of a bipolar lead, one would also benefit from the advantages of a less complicated conductive means for transferring both the stimulation and sensing signals.
The general operation of a prior art pacemaker of the type initially described will now be described in greater detail.
Such a pacemaker operates in a sensing mode that incorporates a refractory period. Immediately following a pacemaker output or a sensed intrinsic event, the pacemaker ceases to be responsive to detectable signals for a predetermined period of time. This prevents the pulse generator from detecting the terminal portion of the depolarization signal and, in some circumstances, the repolarization signal which might result in timing errors.
In atrial applications, longer refractory periods should be employed to prevent detection of terminal portions of the QRS complex which, if detected, would reset the pulse generator timing, resulting in a lower pacing rate than the programmed rate.
The refractory period (=total refractory period) consists of a programmable absolute refractory period during which detection of all signals is blocked, and a non-programmable relative refractory (or noise-sampling) period (100 ms) during which detected signals cause a restart of the relative refractory period. Continuous detection of signals at a frequency of 10 Hz or more causes the pulse generator to revert to asynchronous operation at the programmed basic rate as long as noise is present. During periods of noise detection, the pulse generator stimulates at the programmed pulse amplitude and pulse width if the adjustment mode (AUTOCAPTURE™) is "OFF". If the adjustment mode is programmed "ON", the algorithm is interrupted and the output set to 4.5 V/0.49 ms to ensure pacing. High stimulation energy is necessary when the adjustment mode is "ON" because the noise will probably give false ER detections. As soon as the noise is absent, the pulse generator reverts to the normal inhibited mode with the same amplitude and pulse width as before the noise mode was entered, when operating in the adjustment mode. In this pacemaker, the noise is detected by the same circuit, with the same amplitude threshold, as used to sense heartbeats.
The programmable refractory periods, including the relative refractory period of 100 ms, range from 250 ms to 550 ms in steps of 50 ms.
Signals which occur at a frequency of 10 Hz or more are interpreted as noise and will cause the pacemaker to revert to asynchronous operation at the programmed rate while continuing to monitor for the presence of noise. This protects the patient by preventing the pacemaker from being totally inhibited by external interference.
Signals which occur at a frequency below 10 Hz have no effect upon pulse generator timing, unless the signal is detected during the normal sensing (or alert) period following the noise sampling period. Should this occur, pulse generator output either will be inhibited or triggered depending on the operating mode.
It is an object of the present invention to improve the prior art heart stimulating device and to provide a solution to its shortcomings regarding the use of an unipolar lead and, in particular, unipolar sensing.
The above object is achieved in accordance with the principles of the present invention in a heart stimulating device having a pulse generator which can operate in a first mode wherein stimulation pulses are emitted having a pulse energy which is adjusted relative to a varying capture threshold of the patient's heart, or in a second mode wherein stimulation pulses each having a predetermined energy are emitted, and evoked response detector which senses IEGM signals in order to detect capture or non-capture subsequent to an emitted stimulation pulse and which emits a corresponding detection signal, and a lead arrangement connecting the pulse generator and the evoked response detector to the patient's heart. The heart stimulating device of the invention also includes a noise detector which senses IEGM signals in order to detect noise IEGM signals having predetermined signal characteristics, the noise detector, after detecting noise, setting the pulse generator to operate in the second mode. The predetermined signal characteristics include an IEGM signal voltage which exceeds a predetermined threshold for a predetermined number of times during a time interval having a predetermined duration. The evoked response detector also employs a threshold, and the absolute value of the threshold employed by the noise detector is lower than the absolute value of the threshold employed by the evoked response detector. The pulse generator remains in the second mode for at least one basic interval subsequent to the detection of noise by the noise detector.
The lead arrangement also connects the noise detector to the patient's heart.
FIG. 1 is a block diagram of one embodiment of a heart stimulating device according to the invention.
FIG. 2 shows an example of IEGM input signals to the device in FIG. 1 illustrating a noise-free situation and a situation where a myopotentials and other noise are intermittently present.
FIG. 3 is a diagram showing the probability of a myopotential amplitude as a function of the amplitude value.
FIG. 4 is a block diagram of an alternative embodiment of the heart stimulating device according to the invention.
Effects relating to myopotentials have been documented, e.g., by Zimmern et al. in Characteristics and Clinical Effects of Myopotential Signals in a Unipolar DDD Pacemaker Population, PACE, Vol. 9, November-December, Part II, 1986. In their study, the authors conclude that knowledge of myopotential characteristics could allow pacemaker sensitivity settings to be chosen that prevent myopotentials from being erroneously detected as heartbeats. For that purpose, pacemakers were set up to record myopotentials. Average peak-to-peak maximum myopotential amplitudes were found to range between 0.9 and 1.0 mV for both atrial and ventricular unipolar sensing, while the measured maximum values were 1.9 and 2.2 mV, respectively. This article provides basic information on myopotential characteristics and effects in pacemaker applications.
FIG. 3 is a measurement-based diagram describing the probability of the occurrence of myopotentials versus myopotential amplitude. As seen in this diagram, a probability of a 1.0 mV amplitude is about 50% and the probability vanishes at about 2.4 mV.
To describe an embodiment of a heart stimulating device according the invention, reference is made to FIG. 1. The described type of device has unipolar stimulation and sensing and has two different modes of operation. In a first mode, the device detects evoked response and continuously adjusts the stimulation pulse energy so as to match a varying stimulation threshold of a patient's heart. In a second mode, the adjustment is turned off and the heart is paced at a fixed pulse energy (amplitude and duration), whenever the detection of the evoked response is considered less reliable due to noise of high amplitude being present in sensed IEGM signals.
Further, the device has sensing inputs 1 and 2 that feed IEGM signals to a sense amplifier 3 of the heart stimulating device. The first sensing input 1 is typically connected to a lead (not shown). The second sensing input 2 is typically connected to a housing of the device. The sense amplifier provides amplified IEGM signals to three detection units 4, 5 and 6. An R-wave detection unit 4 is operable to detect intrinsic QRS complexes, and may also have the ability to detect P waves if processing thereof is to be performed by the heart stimulating device. An evoked response (ER) detection unit 5 is operable to detect stimulation-evoked QRS complexes. A noise detection unit 6 is operable to detect the occurrence of noise in the IEGM signals. Each of the detection units 4, 5 and 6 is connected to a logic unit 7 to which it indicates a detected QRS complex or noise according to their respective functions.
The logic unit 7 controls a pacing pulse generator 8 and a back-up pulse generator 9 which are operable to transmit stimulation pulses to a patient's heart. The pulse generators 8 and 9 may be connected via the same lead (not shown) to the same cardiac electrode (not shown) as the sense amplifier 3. A charging unit 10 is connected to both pulse generators 8 and 9 to provide them with the necessary stimulation energy.
The logic unit 7 includes timing circuitry in order to stimulate the patient's heart at an appropriate rate when needed and to distinguish between the different detections made in the detection units 4, 5 and 6. The logic unit 7 may also deactivate any of the detection units 4, 5 or 6 during selected time intervals.
FIG. 2 includes an upper IEGM curve showing two consecutive stimulation-evoked QRS complexes and a lower IEGM curve similar to the upper one, but including also bursts of noise subsequent to the first stimulation-evoked QRS complex. As the noise bursts are detected by the noise detection unit 6, the logic unit 7 switches to the second mode of operation, wherein pulses of a fixed higher energy are delivered to the patient's heart.
In FIG. 2 times t0, t1, t2, t3, and t4 have been marked with dashed lines to indicate an emission of a stimulation pulse to evoke a QRS (t0), an end point of a time interval for sensing evoked response subsequent to a stimulation (t1), an end of a basic interval at which a new stimulation pulse is emitted a first point of detection in the noise detection unit 6 of a noise amplitude exceeding a predetermined amplitude threshold +a (t3), and an end of a noise detection interval wherein three noise amplitudes have been detected exceeding either the positive threshold +a or a negative amplitude threshold -a (t4), respectively. As an example, the noise detection unit 6 indicates the presence of noise in case the IEGM signal amplitude exceeds a given amplitude at least three times within a predetermined time window.
In order to illustrate the operation of the inventive heart stimulating device a sequence to be described is assumed to start by the delivery of a stimulation pulse at t0. Then the evoked response detection unit 5 is activated after a predetermined delay to detect evoked response until t1. When an evoked response is detected in the absence of disturbing noise, as shown in the upper part of FIG. 2, the logic unit 7 maintains the first mode of operation. It may then lower the stimulation energy according to a predetermined adjustment algorithm, in order to adapt the stimulation energy in subsequent pulses to the stimulation threshold of the patient's heart. If no evoked response is detected, the heart stimulating device generally emits a back-up pulse. Also, non-capture is of course an important input to the adjustment algorithm.
At t2, which is the end of the basic interval ranging from t.sub.) to t2, the IEGM curves indicate a new stimulation pulse. The stimulation energy of the upper curve may then have been adjusted slightly, while the lower curve indicates operation in the second mode, wherein the stimulation pulse has a pulse energy substantially higher than that of the preceding pulse. In FIG. 2, both its amplitude and width have been increased, although the proportions are exaggerated, however, other combinations would be possible. In the second mode of operation, generally, the evoked response detection unit 5 is deactivated and, consequently, no back-up pulse can be delivered.
According to the invention, the noise detection unit 6, whose activation may be restricted to the time interval between sensed cardiac events, indicates the presence of noise to the logic unit 7 when certain signal characteristics are detected. In the example of FIG. 2 the noise detection unit 6 senses a first noise amplitude exceeding +a at t3. A timer starts at and runs until t4. The time interval between t3 and t4 may be 250 ms. In that interval, the noise detection unit 6 detects two other noise amplitudes reaching outside the amplitude interval from -a to +a. Subsequent to detection of the third amplitude peak, the noise detection unit 6 will indicate the presence of noise to the logic unit 7, which in turn can respond by switching to the second mode of operation.
The logic unit 7, however, will normally ignore any indication from the noise detection unit 6 if the R-wave detection unit 4 indicates the presence of an intrinsic event. In that case the logic unit 7 inhibit the next stimulation pulse. Each of the three detection units 4, 5, and 6 may include a signal level detector (for detection through the filtered IEGM signal) having a respective threshold. The threshold in the noise detection unit 6 is the lowest and that of the evoked response unit 5 and the R-wave detection unit 4 have a higher threshold.
A safe and long operation of the inventive heart stimulating 10 device is effectively maintained since it is only the presence of disturbing noise that automatically deactivates the continuous adjustment of the stimulation energy. The higher pulse energy is intended to be used in exceptional situations only so that the extra energy consumption in the second mode can be expected to be very small, over the entire life of the heart stimulating device.
It has been estimated to be sufficient and advantageous for the pulse generator to remain in the second mode for 10-50 stimulation pulses subsequent to a most recent detection of noise in the noise detection means. An interval of 1-5000 stimulation pulses, however, seems to be an interval wherein energy preservation and safety can still be maintained by the inventive device. Moreover, in order to save energy when in the second mode, the noise detection unit 6 may be temporarily disabled and the presence of noise presumed.
It should be noted that FIG. 2 is not drawn to scale but rather illustrates the relative timing and magnitude of typical phenomena monitored through the IEGM signals.
FIG. 4 shows a block diagram of a further embodiment of the embodiment of the heart stimulating device according to the invention. In the embodiment shown in FIG. 4 the sensing inputs 1 and 2 are connected not only to the sense amplifier 3 for providing an amplified IEGM-signal, as described in connection with FIG. 1, but also to an impedance measuring unit 12 for measurement of the total impedance between the electrode tip and the stimulator case. The impedance measuring unit 12 delivers amplified impedance signals to an evoked response detection unit 14 and a noise detection unit 16. The evoked response detection unit 14 is operable to detect stimulation evoked response from changes in the measured impedance reflecting contraction and relaxation of the heart and the noise detection unit 16 is operable to detect the occurrence of noise in the impedance signals.
The impedance measurements are performed a certain number of times during a pacing cycle, e.g. at intervals of the order of 10-30 msec. For the measurements relatively short, high current measuring pulses are used. The pulse length is typically 10-30 μsec and the pulse current intensity is on the order of mA.
Each of the detection units 14 and 16 is connected to a logic unit 18. This logic unit 18 essentially corresponds to the logic unit 7 in FIG. 1. Output signals from the three detection unit 4, 5 and 6 are also supplied to this logic unit 18.
The logic unit 18 controls the pacing pulse generator 8 and back-up pulse generator 9 according to information received from the five detection units 4, 5 ,6, 14 and 16. Different criteria or algorithms can be used in the logic unit 18 for making decisions from the input signal information for how to control the pulse generators 8 and 9. Also in this embodiment an indication from the R-wave detection unit 4 of the presence of an intrinsic event will result in an inhibition of the next stimulation pulse, regardless of the indications from the noise detection means 6 and 16. The logic unit 18 can further include an AND-gate 20 connected at its inputs to the two evoked response detection units 5 and 14 for delivering an output signal indicating capture only if both these detection units 5 and 14 indicate capture, whereas all other possible situations are interpreted as loss of capture or noise. This improves the safety in the detection of capture and gives a very robust, noise resistant and reliable detection of capture.
If e.g. the IEGM signal indicates evoked response but the 5 impedance signal does not, there is a risk that polarization disturbances or other kinds of disturbances are detected as an evoked response in the IEGM measurement. This risk of false detection is eliminated with this embodiment of the device according to the invention.
The logic unit 18 can also include e.g. an OR-gate 22 connected at its inputs to the noise detection units 6 and 16 for delivering an output noise signal for control of the generators 8 and 9 if one of the two noise detection units 6 or 16 indicates the presence of noise. Noise can be detected in the same way as described in connection with FIG. 2.
Also other logic combinations of the information from the signals from the detection units 4, 5, 6, 14 and 16 can be realized in the logic unit 18 for obtaining an optimal control of the pulse generators 8 and 9.
The impedance measurement values reflect the contraction and relaxation of the hearth as mentioned above and the response is therefore relatively slow. The blood filling of the heart is influencing the impedance, and the T-wave constitutes the proof for the relaxation of the heart. An evaluation period of up to a few hundred milliseconds is necessary before a capture or loss of capture information is available. The logic unit 18 therefore includes a memory 24 for storing at least the information from the impedance measurement from the preceding pacing cycle for combining this stored information from the preceding cycle with information from the IEGM measurements of the ongoing pacing cycle. As an alternative, information both from the IEGM measurement and the impedance measurements can be stored in the memory 24 and used in the logic unit 18 together with information from the IEGM measurement of the ongoing pacing cycle for the evoked response or loss of capture decision.
Thus, in the embodiment according to FIG. 4 information from 5 both IEGM measurements and impedance measurements are combined in a decision logic which in its turn controls a suitable AUTOCAPTURE™ algorithm. The impedance measurement then provides additional safety and constitutes an acknowledgment whether or not sensed evoked response or loss of capture is correct or not.
The noise detection units 6 and 16 are operating also when the pulse generator 9 is delivering back-up pulses for stopping the pulse generator 9 and triggering the pulse generator 8 when a noiseless state is detected.
The logic unit 7 (or 18) can automatically cause the pulse generator 8 to revert to operation in the first mode following a predetermined time after entry into the second mode.
The addition of the impedance measurement is of particular value for heart stimulating devices of the unipolar type, however, the impedance measurements can also be used in heart stimulators of bipolar type for detecting heart movements.
It is to be understood that this embodiment description includes merely illustrative examples of the application of the invention. Thus, many further variations and modifications may be made without departing from the scope of the invention as defined by the appended claims. For example, noise could be detected by comparing the IEGM signal to a predetermined noise morphology template.
Although modifications and changes may be suggested by those skilled in the art, it is the intention of the inventors to embody within the patent warranted hereon all changes and modifications as reasonably and properly come within the scope of their contribution to the art.
|Cited Patent
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|Characteristics and Clinical Effects of Myopotential Signals in a Unipolar DDD Pacemaker Population, Zimmern et al., PACE, vol. 9, Nov. Dec. 1986, Part II, pp. 1019 1025.
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|U.S. Classification
|607/11, 607/28
|International Classification
|Cooperative Classification
|European Classification
|Feb 9, 1998
Owner name: PACESETTER AB, SWEDEN
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|Jun 23, 2006
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Year of fee payment: 8
|Jun 23, 2010
|Fee payment
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Melvin James Odelli
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Windward from Carl Rosen on Vimeo.
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While her Emerald Odyssey took her to Ireland instead of Indonesia, the trip definitely checked the rest of the boxes she spoke about seven years ago. It's a pleasure to watch Courtney surf Ireland's long lefts and it's easy to see how much she enjoys the uncrowded power of the Emerald Isle's rugged coastline.
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Sandel Avionics Inc., has debuted its first all-digital AHRS, the SG102/D, which is identical to the SG102 (MOD2) without the analog interfaces.
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BendixKing unveiled the BendixKing AeroWave 100, a high-speed in-flight Internet solution, at the Aviation Electronics Association International Convention & Trade Show last week.
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AEA unveils 2013 year-end Avionics Market Report
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Incorporate the growing environmental consciousness into your professional or academic life by using this new line of environmentally friendly notebooks containing paper made of recycled materials. Wirebound securely to keep notebooks contents intact, they are both attractive and stylish in design and function. Available in four soothing earthtone colors. Top Opening Flipper Pad Type: Notebook; Sheet Size: 8 1/2 x 11; Ruling: College; Number of Sheets per Pad: 80.PRODUCT DETAILS:Post-Consumer Recycled Content Percent [Nom]: 30 %Height [Nom]: 8 1/2 inWidth [Nom]: 11 1/2 inPunched/Unpunched: UnpunchedCover Color(s): Assorted EarthtonesSheet Size: 8 1/2 x 11Sheet Perforation: PerforatedPaper Pads/Note Pads Special
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|Product Type: Wirebound
|Subjects: 1-Subject
|Rule: College
|Size: Letter
|Sheet Count: 80
|Country of Manufacture: United States
About the ManufacturerRoaring Spring Blank Book is now one of the largest independently owned producers of school and office supplies. Special high speed equipment not only produces notebooks, pads, and tablets, but construction paper, poster board, and pocket folders. Complimenting the production equipment is an in-house printing operation that provides fast service and assures consistent quality for the numerous direct order print jobs received from private customers such as colleges and universities.
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Steals & Deals
On Sale!
We regularly update this page with great deals on espresso machines, coffee makers, grinders, accessories, coffee and more.
Saeco Poemia Espresso Machine - Certified RefurbishedA certified refurbished Saeco Poemia is an excellent way to build your budding barista skills. A great learning machine, it is easy to use and forgiving of many rookie mistakes. With a pressurized portafilter, there is no need to perfectly tamp your espresso in order to pull a great shot. The built-in panarello will have you making lattes for your friends in no time! Taking design cues from higher end Saeco machines, the Poemia is stylish, compact and affordable. Learn More
Regular Price: $129.00
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Saeco Odea Go Espresso Machine - Certified RefurbishedA powerful superautomatic without the hefty price tag? Introducing the Saeco Odea Go, a straightforward, simple to use and affordable espresso machine that's been updated to allow for more choice in beans and grind settings. Saeco's Odea Go Espresso Machine is the ideal option for those who'd like to upgrade to automated shot extraction without breaking the bank. Learn More
Regular Price: $499.00
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Breville Smart Grinder Stainless Steel - RefurbishedGrind your way into the 21st century with Breville's Smart Grinder. With its auto and manual grinding modes, the Smart Grinder lets you adjust the amount of coffee, how course or fine you want the grind, and the number of cups or espresso shots. Learn More$119.99
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Rancilio Silvia Espresso Machine - Version 3 - Open BoxSturdy stainless-steel casing, brass components throughout and an upgraded commercial-grade steam wand make the Rancilio Silvia Version 3 one of the most popular machines on the market. Simple, reliable and powerful, the Silvia espresso machine produces excellent espresso and silky microfoam milk for your lattes and cappuccinos. Add even more consistency to your Rancilio Silvia with the addition of a PID controller. Installed by our own Seattle Coffee Gear tech department before the machine goes out, these units enable you to control the temperature variance on this machine by as little as one degree. Learn More
Regular Price: $629.00
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Saeco Via Venezia Espresso Machine - Certified RefurbishedThe Refurbished Saeco Via Venezia has the great looks of a stainless steel case and employs some of Saeco's most time-tested features. The Via Venezia produces creamy, robust espresso each and every time. How? You'll find a panarello style frothing tip for perfect foam, a large water reservoir to draw from, a powerful pump rated at 15 BAR of pressure and a safe, rapid recovery boiler that keeps the hot water coming. When combined with the included pressurized portafilter it makes pulling espresso shots easy and reliably delicious. Learn More
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Saeco Aroma Espresso Machine - Certified RefurbishedThe Saeco Aroma is a compact and durable espresso machine that makes brewing you favorite espresso, cappuccino or latte beverage a snap. With the Aroma Espresso Machine, you have the option to use already ground espresso or E.S.E compatible pods using the included special adapter. The Aroma's pressurized portafilter makes it one of the best performing home espresso machines we have tested. Place this cool and compact espresso maker just about anywhere in your kitchen or coffee space. Learn More
Regular Price: $299.95
Saeco Poemia Espresso MachineFor those of you who want to be your own home barista but feel like you don't have the experience, the Saeco Poemia is your new best friend. A great learning machine, it is easy to use and forgiving of many rookie mistakes. With a pressurized portafilter, there is no need to perfectly tamp your espresso in order to pull a great shot. The panarello wand on makes milk frothing a breeze! You'll be making lattes for your friends in no time! The design is similar to higher end Saeco machines, stylish and affordable. Learn More
Regular Price: $179.00


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Hot newbie Cameron is so horny she can't help but to fuck herself shamelessly for the camera. Spread oiled bondage, fisting, sybian ride - watch this
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Browse through a variety of lower and upper chest exercises designed by today's leaders in the health fitness industry. We have strength training exercises for beginner, intermediate and advanced users. These exercises will help you increase the strength and definition of your chest area. If you want more information on chest exercises or strength training of any kind, be sure to check out our Fit Facts section and Ask the Expert column. These chest exercises are also featured in full workout routines in our Workouts section.
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Yoga practitioners tout the benefits of this physical activity, which extend far beyond what many traditional workout regimes can offer. Discover why rolling out the mat can improve your quality of life.
If you've eaten out at a restaurant lately, you know that portions sizes are huge, especially compared to those served just a few decades ago. For many of us, this has skewed our perception of what a normal portion size should look like. Here are some easy tips and...
Feeling strong and durable and loving the skin you are in are wonderful goals to consistently train for throughout the summer and all year long. This summer-inspired lower-body circuit will help you develop powerful, well-defined muscles, burn calories and feel great while...


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Perry & Co Denver Real Estate
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Perry & Co Denver Real Estate Mobile allows you to search for MLS listings in the Denver, Colorado area. The image gallery, detailed information, nearby listings, GPS turn by turn directions, satellite overview of the property or neighborhood, and easy contact with an agent ensure a premium experience while searching for a home.
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If you're looking to help yourself or someone you love struggling with substance addiction in West Babylon, NY, Rehabs.com offers access to a huge online database of exclusive executive programs, as well as a wealth of other alternatives. We can help you discover drug and alcohol abuse care clinics for a range of addictions to Suboxone, crystal meth, alcohol or other addictive substance. Search for a top rehabilitation program in West Babylon now, and take off on the road to sober living.
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Getting clean and sober from Dextropropoxyphene, Percodan, alcohol or other drugs you or your loved one is addicted to takes an individualized treatment arrangement. Two options of substance abuse treatment programs in West Babylon can help you succeed: either Inpatient or Outpatient Rehabilitation. Residential care offers continuing benefits with extended residence in a highly-rated rehab clinic. From-home plans may be more opportune, but lack the permanence and resources of 45-day programs to get sober. Ultimately, the choice is your own, and we are here to help you find the best option for you.
Mr. Jerry Brown is a co-founder of Baldwin Research Institute, Inc. He is also BRI's Senior Research Fellow. Throughout his entire career, Jerry has been a researcher, whether it was with General Electric Co., or with one of the several privately owned and publicly traded companies. Jerry has served...
Saint Jude Retreats
A co-occurring disorder refers to a person who is simultaneously coping with both drug or alcohol abuse issues and behavioral or mental issues. For instance, an addiction to Suboxone, benzodiazepines, marijuana or heroin combined with an addiction to porn or OCD. For these people, a residential treatment center is often imperative, incorporating quality inpatient treatments with support group aid, such as one might see in Alcoholics Anonymous. Luxury drug rehabs in West Babylon, New York will provide the latest treatment with upscale amenities for anyone requiring the very best drug rehab experience, just as West Babylon alcohol rehab centers will help those battling alcohol addiction to attain sobriety.
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Sorry it's been so long since I posted to the blog. What can I say. We've been very busy.
Tomorrow, if you're interested, you can join me at 1 pm for a presentation on growing succulent plants at the Portland Nursery on Division (9000 SE Division St. in Portland). Even if you've been to another class I've given, no two are the same as I try to direct my comments to the needs of the people in attendance. You can register for the class here.
Saturday, August 8, 2015
Wednesday, July 8, 2015
x Gasteraloe 'Royal Highness'
We are busy preparing plants for the Oregon Cactus & Succulent Society Show & Sale, July 17-19 at Portland Nursery, 5050 SE Stark St. in Portland. If you're in the area, be sure to show up.
Friday, June 26, 2015
Heat Wave
We're having an early heat wave here...and a very dry June. Today it was 98 F and the same or higher is expected for tomorrow. We're just not used to this!
Tuesday, June 23, 2015
Echinopsis 'Barber Pole'
Thursday, June 18, 2015
Hosta flower
Wednesday, June 17, 2015
Rebutia albipilosa
Tuesday, June 9, 2015
Echeveria 'Emerald Ripple'
Friday, June 5, 2015
Epicactus 'Sparkling Burgundy'
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Edinburgh Scotland Bluepainted Revelers At The Ancient Celtic Festival Of Beltane Stock PhotoBody Paint,Capital Cities,Celebration,Clothing,Color Image,Cultures,Decoration,Edinburgh - Scotland,Europe,Horizontal,Midlothian - Scotland,Night,People,Photography,Portrait,Scotland,Tradition,Traditional Clothing,Traditional Festival,UKPhotographer Jim RichardsonCollection: National Geographic The event has been going on for years and has grown ever larger, now boasting over 300 performers and 10,000 to 15,000 spectators. For many in the festival it is a sacred event, welcoming spring. The central figure is the May Queen who marches from station to station to receive the admirations of Earth, Air, Fire. Her White Women are tempted by Red Men. Eventually the foliage of last year is stripped from her escort whom she then brings back to life. Blue men act as security and crowd control, whipping those who will not obey.


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PwC thought leadership:
BoardroomDirect August 2015 (Issue in focus: Compensation committees facing a wave of Dodd-Frank disclosures)
This edition reports that in the coming year, public company compensation committees face the task of overseeing the disclosure of information related to clawback policies, executive pay versus company performance, and the ratio of CEO pay to the median employee.
ProxyPulse Third Edition 2015
This edition reports that shareholder support for say-on-pay strengthened this season, with 90% of proposals attaining support of at least 70% of the shares voted.
ProxyPulse Second Edition 2015 (Mid-season review)
This edition provides a snapshot of key shareholder voting metrics from 2,082 U.S. public company annual shareholder meetings held between January 1, 2015 and May 15, 2015. This season has been characterized by an uptick in many forms of shareholder activism including several high profile proxy battles, an increase in "Vote No" and "Vote Yes" campaigns, and a wave of shareholder proposals for proxy access.
ProxyPulse First Edition 2015
This edition offers data and analytics on share ownership, director elections, "say-on-pay," shareholder proposals, retail voting participation, proxy access proposals, cybersecurity disclosure, amended proxy advisor policies, and director communications with shareholders.
Executive Compensation Clawbacks: 2014 Proxy Disclosure Study
This study presents analysis of the compensation clawback policies of 100 large public companies as disclosed between 2009 and 2013 in their year-end proxies.
2014 Annual Corporate Directors Survey (executive compensation and director communications)
This publication focuses on shareholder proposals and executive compensation data from PwC's Annual Corporate Directors Survey.
2014 Annual Corporate Directors Survey – The gender edition
Are there really differences in how male and female directors approach their oversight roles? And, do the practices of boards with female directors vary from those of other boards? This report addresses these questions and more.
What matters in the boardroom? Director and investor views on trends shaping governance and the board of the future
This research compares the responses of PwC's 2014 Annual Corporate Directors Survey and PwC's 2014 Investor Survey on such issues as risk management, strategy, executive compensation, and IT/cybersecurity.
Additional information:


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Indulge in some harmless video-binging while being awed by the talent in this community of data buffs. The voting period for the Power BI Demo Contest ends soon. So get to it! Watch as many demos as you can, then cast your vote by 5 pm PT today, January 30th. Remember, at the end of community voting, up to 10 entries with the most votes will be considered potential Semi-Finalists.
To cast a vote, visit www.powerbicontest.com and click "View Entries" at the top of the page. From here you'll be able to scroll through the pages of fantastic entries we received and view individual submissions. Once you decide on your favorite, click "Vote for This Entry" at the bottom of the video page, and follow any subsequent login prompts. Done!
Check out the contest rules for more details.
Will there be an official announcement of the 10 entries with highest votes that would be selected as the semi finalists?
Comments in this blog are open and monitored for each post for a period of one week after the posting date. If you have a specific question about a blog post that is older than one week, please submit your question via our Twitter handle @MSPowerBI


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SHERIDAN — The Sheridan County Chamber of Commerce's monthly luncheon will take place from 11:30 a.m. to 1 p.m. Wednesday at the Sheridan Holiday Inn.
At the event, representatives from Cloud Peak Energy will discuss hurdles facing the energy industry. In addition, the graduates of the 2015 class of Leadership Sheridan County will be recognized.
The luncheon is open to the public. The cost is $15 per person for the lunch buffet.
For additional information, call the Sheridan County Chamber of Commerce at 672-2485.
The Sheridan Holiday Inn is located at 1809 Sugarland Drive.
SHERIDAN — St. Peter's Episcopal Church will host renowned organist Samuel Carabetta in concert Wednesday at 7 p.m.
Carabetta is an organist and choirmaster from Saint John's Episcopal Church in the Georgetown Parish in Washington, D.C.
Carabetta has association with the Washington Performing Arts Society, one of America's leading nonprofit, multi-disciplinary presenting organizations. In this capacity, he coordinated the development and launching of WPAS, Music in the Country in Middleburg, Virginia, which provides additional performance opportunities for young artists who appear at the John F. Kennedy Center for the Performing Arts in Washington.
The proceeds for this concert, the cost of which is a suggested donation of $15, will benefit the Foundation for Freedom and Reconciliation in the Middle East.
The FFRME was started by Canon Andrew White, the Episcopal priest of St. George in Bagdad. His foundation works to help relocate displaced Iraqi Christians resettle in Jordan and Turkey. The proceeds go to food, clothing, medical care and basic needs for the displaced refugees.
For additional information, call St. Peter's Episcopal Church at 674-7655.
The church is located at 1 S. Tschirgi St.
Cheer on Sheridan High School girls as they compete in the powderpuff football matchup as part of Homecoming Week.


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Mika Brzezinski got mugged this morning waiting for her cab outside a DC hotel. That just sucks. So Joe Scarborough just keeps talking about it, while Mika says, "It's fine. MOVING ON." [Washington Times]
D.C. crime is unstoppable
Dec 18 9:14 am 2008
Hey there, Wonkeputians! Shypixel here to remind you to remember our Commenting Rules For Radicals, Enjoy!


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Our Best Aunt
The title character in Mame is a wild, liberal, rich, eccentric, irresponsible, artistic type who when her brother dies and she becomes guardian to her young nephew. The musical, based on the book by Patrick Dennis, goes from the end of the 1920s to the Great Depression and beyond, as Mame does some growing up herself while struggling to keep Patrick from becoming an upper class snob. There's lots of singing and dancing in the show--with songs that may feel permanently fixed in your head--but it all comes down to the message. Auntie Mame declares, "Live! Life's a banquet and most poor sons of bitches are starving to death!" You'll be inspired to get out there and make sure you aren't one of the hungry ones. See Garland Summer Musicals' production of Mame at Granville Arts Center, 300 N. 5th St. in Garland. Show times are 8 p.m. Fridays and Saturdays and 2:30 p.m. Sundays through July 26. Tickets are $19 to $22. Call 972-205-2780.
Fridays, Saturdays, 8 p.m.; Sundays, 2:30 p.m. Starts: July 17. Continues through July 26, 2009
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Law student affairs news
Call for Legal Methodology Tutorial Leaders
Me Helena Lamed, who runs the Legal Methodology program, is running a call for Applications for Tutorial Leaders for 2012-2013. Deadline: 12 April 2012.
Focus online: From the back room to the front lines
The year 2012 marks the 60th anniversary of the McGill Law Journal as well as the 30th anniversary of the signing of the Canadian Constitution. To reflect on these milestones, the Journal's annual lecture in early March featured one of the final drafters of the Constitution Act, Mary Dawson, BCL'66.
Dear Lord Denning...
McGill law students have a history of paying tribute to Lord Denning, one of the best-known and oft-quoted common law judges in recent memory. In the lead-up to the Faculty's annual Skit Nite on March 20, Focus online looks at a few student encounters with the beloved British jurist.
Focus online, March 2012 edition
This month, Focus online takes a behind-the-scenes look at the Course aux stages with new CDO director, Maryse Chouinard. We also examine the long-standing fascination with British judge Lord Denning and speak to Ethics Commissioner Mary Dawson about her role in shaping Constitutional history.
Rod Macdonald honoured by the Canadian Bar Association
Professor Roderick Macdonald was awarded the Paul-André Crépeau Medal by the Canadian Bar Association, Quebec Division, at a reception held on January 12, 2012.
Video interview with Professor François Crépeau on the rights of migrants
Following his appointment as UN Special Rapporteur on the Rights of Migrants and in the run-up to International Migrants Day on December 18, Professor Crépeau speaks about public perceptions of immigrants and how migrants are treated by states and tribunals.
Focus online - The McGill/Hebrew U. Human Rights Summer Program: Tough questions, challenging answers
Ten McGill Law students and three Faculty members travelled to Hebrew University in Jerusalem for three weeks in August. Partnered with ten counterparts from Hebrew University, they discovered some challenging – and unexpected – points of view.
Focus online: Turning tragedy into triumph: Thomas Shearer Stewart, BCL 1908
Left blind by a botched eye operation at the age of 16, Thomas Shearer Stewart nevertheless graduated from the Faculty in 1908, winning the Faculty's gold medal award for academic excellence. His granddaughter, Lesley Stewart, tells his remarkable story.
Focus online: Building bridges with Asia
Driven by student interest and new partnerships with institutions abroad, the Faculty unveils an exciting agenda for academic and professional opportunities in Asia. Read the rest in Focus online, October 2011.
First X Prize Design Course (INTD 597) in Canada offered during 2012 Winter term
The Institute for the Study of International Development is pleased to announce a new partnership with the X Prize Foundation, leading to the offering of the first X Prize Design Course (INTD597) offered in Canada.
Remembering Alexandra Dodger (1983-2011)
The Faculty of Law is mourning the loss of Alexandra Dodger, a student whose commitment to social justice and human rights distinguished her both in her studies and her work.
Professor Desmond Manderson made a Fellow of the Royal Society of Canada
The Royal Society of Canada announced 78 new Fellows this week, including nine McGill researchers and scholars from the faculties of Medicine, Law and Arts. Among them is Professor Desmond Manderson, who holds the Canada Research Chair in Law and Discourse. Find out more in the McGill Reporter.
Announcing the Aisenstadt Equality and Community Initiative
The McGill Centre for Human Rights and Legal Pluralism is pleased to announce that through a gift from the Aisenstadt Foundation, the Aisenstadt Equality and Community Initiative, has been established. This initiative aims to enhance engagement between universities and community-based organizations on issues relating to equality and access to fundamental social and economic rights.
Maryse Chouinard, new director of the CDO
The Faculty welcomes Me Maryse Chouinard, BCL'00, LLB'00, as the new Director of the Law Career Development Office.
Welcome to our newest colleagues at the Faculty of Law
The Faculty of Law extends a warm welcome to the five new colleagues who will be joining us in September or later during this academic year: Vincent Forray, Jennifer Langlais, Mark Massoud, Ruth Sefton-Green and Andrea Bjorklund.


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Hollywood keeps us on the edge of our seats with action movies, from James Bond to Jason Bourne.
About StumbleDNA StumbleDNA
Alejandra's Interests
Advertising is everywhere. Learn the tricks of the marketing trade, from billboards to commercials.
Obsessed with Radiohead? Play Nirvana on repeat? Alternative rock music is awesome. Check out more.
From baby animals to wild creatures to exotic pets, discover cute pictures and more about animals.
From Disney to Flash, the art of animation has brought our favorite cartoons to the screen.
Flex your creativity by exploring performing arts, literature, music, visual arts and more.
When you're not recording your newborn's first steps, explore baby names, toys, parenting advice and more.
Love March Madness? Obsessed with the playoffs? Explore the best of NBA and NCAA basketball.
We all need a little pampering sometimes. Explore makeup trends, hairstyles, skincare and more.
Quench your thirst by Stumbling through the best recipes for refreshing drinks and beverages.
If only Monopoly money were real, you'd be a billionaire. Explore the best board games for kids and adults.
Are you a bookworm? Do you dream of a Pulitzer? Explore the literature of your favorite authors.
From bittersweet symphonies to champagne supernovas, explore the best Britpop artists, bands and songs.
Find out more about buzzfeed-com.
In the woods or on a beach, are you happiest in a tent? Learn more about camping sites, gear and more.
Interested in Canada, eh? Explore Canadian culture, from ice hockey in Toronto to maple syrup in Montreal.
Miss Saturday morning cartoons? Get your dose of cartoons - funny, political and more - here.
Fascinated by the lives of the rich and famous? Don't miss the latest celebrity news and gossip.
From Curious George to The Lorax to Goodnight Moon, find the best children's books to read with kids.
What's your style? From your shoes to your accessories, make a statement with your clothing.


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Yoga practitioners tout the benefits of this physical activity, which extend far beyond what many traditional workout regimes can offer. Discover why rolling out the mat can improve your quality of life.
You need a strong core to get the most enjoyment from summer activities like water skiing, hiking, rock climbing and surfing. This summer-inspired core circuit will help you build powerful, yet stable core musculature to protect your spine and give you the durability you...
Strong shoulders not only look good, they also make it a lot easier to perform a wide range of everyday activities, especially those involving bringing the arms overhead, like getting an item down from a shelf. This 10-minutes circuit is a fast and efficient way to...


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