text:
|Publication number
|Publication type
|Application number
|Publication date
|Mar 20, 1990
|Filing date
|Aug 29, 1988
|Priority date
|Aug 29, 1988
|Fee status
|Publication number
|Helmut T. Schaffron
|Original Assignee
|Schaffron Helmut T
|Export Citation
|BiBTeX, EndNote, RefMan
|Patent Citations (7), Referenced by (16), Classifications (10), Legal Events (4)
|External Links: USPTO, USPTO Assignment, Espacenet
1. Field of the Invention
This invention relates to a new and improved machine for folding and stacking plastic bags preparatory to packaging same. The bags concerned are of the type used for trash and as liners for garbage pails and the like. Such bags are produced from a sleeve of plastic material which enters the machine in the form of a web. By means of transverse heat sealed lines and adjacent transverse perforations, individual bags are defined by the web. In accordance with the disclosure hereinafter set forth, the individual bags are separated from each other, and then formed with transverse folds. The folded bags are conveyed to an assembly station where they are stacked in piles and then delivered to a loading station where they may be manually loaded into packages or may be handled by loading equipment
2. Description of Related Art
Conventional practice is to package an elongated section of web so that the consumer is required to separate the web into individual bags. Machinery to fold individual bags is not commonly used.
The web heretofore described passes vertically downward between snapper rolls which separate the web into individual bags by tearing along transverse perforations. Each bag separately continues vertically downward until its leading edge is sensed as by a photodiode. The middle of the bag is then pushed substantially horizontally inwardly between a pair of continuously rotating first and second rollers by a horizontally reciprocating first blade or pusher. The first and second rollers deliver the once-folded bag rearwardly. Thereupon a second blade or pusher which is vertically reciprocating forces the once-folded bag downward between the second and third rollers. The bag is then delivered forwardly having been folded twice. Thereupon a third pusher or blade pushes the twice-folded bag rearwardly between the third and fourth rollers, thereby performing a third fold. The thrice-folded bag is conveyed rearwardly by a belt conveyor, passed through corrugating rolls and dropped onto a first table, the successive bags accumulating in a stack. When a stack of desired count is accumulated it is dropped onto a second table. Successive stacks are moved rearwardly by a pusher and a plurality of stacks are positioned side by side. When the desired quantity has been thus accumulated, it may be removed manually or by equipment for packaging.
It will be understood that the sequencing of movement of the pushers and blades is computer controlled so that different patterns of folds may be formed depending upon the size of the bags and the wishes of the manufacturer. A sensor senses the approach of the leading edge of the bag as it drops from between the snapper rolls. Thereafter the movement of the various pushers and, consequently, the position at which they engage the bag to initiate the fold is subject to control by means of a program for the computer.
Other objects of the present invention will become apparent upon reading the following specification and referring to the accompanying drawings in which similar characters of reference represent corresponding parts in each of the several views.
FIG. 1 is a side elevational view of the machine in accordance with the present invention.
FIG. 2 is a top plan view thereof with certain parts removed for clarity of depiction.
FIG. 3 is an enlarged vertical sectional view taken substantially along the line 3--3 of FIG. 2.
FIG. 4 is a somewhat schematic sectional view taken substantially along the line 4--4 of FIG. 2
FIG. 5 is a fragmentary enlarged view taken substantially along the line 5--5 of FIG. 1.
FIG. 6 is an enlarged view taken substantially along the line 6--6 of FIG. 1.
FIG. 7 is a schematic view substantially along the line 7--7 of FIG. 6.
FIG. 8 is an enlarged elevational view of the assembly station of the machine.
FIGS. 9A through 9G are schematic views showing the sequence of operations in forming three folds in a bag, it being understood that this is merely one of numerous ways in which the bags may be folded.
As viewed in FIGS. 1 and 2, folding station 11 is at the right side of the machine, which is hereinafter designated the front of the machine. On either side of the machine are vertical sides 12 resting upon horizontal longitudinal supports 13 and horizontal transverse supports 15, all supported by vertical legs 14.
Extending between the sides 12 are transverse upper snapper roller 16, upper backing roller 17, lower snapper roller 18 and lower backing roller 19. The rollers 16 and 17 are horizontally opposed, as are the rollers 18 and 19. The rollers 16 and 18 are vertically aligned but spaced apart as are the roller 17 and 19. Directing attention to FIG. 4, the shafts of rollers 17 and 19 are driven from a drive sprocket 21 by means of a sprocket belt 22 which passes over sprocket 23 for the shaft of roller 17, thence forward around idler 24, thence around sprocket 26 for the shaft of roller 19 and back to sprocket 21. It will be apparent from FIG. 4 that the diameter of sprocket 26 is less than that of sprocket 23 and hence that roller 19 rotates more rapidly than roller 17. Roller 16 is driven by friction from roller 17 and roller 18 is driven by friction from roller 19.
Although not essential for the understanding of the present invention, it may be pointed out as best shown in FIG. 3 that the shaft of roller 16 on either side of the machine is received in a horizontally reciprocating block 28, the edges of which are received in ways 29. Cylinder 31 has a rod 32 which engages the block 28. In case of emergency, such as if the hand of a workman is caught between the rollers, or if the web of material is snarled, the cylinder 31 is energized, which pulls the shaft of roller 16 to the right, as viewed in FIG. 3, thereby alleviating the emergency. The roller 18 is similarly mounted, as is apparent from FIG. 3. In discussing other rollers used in the machine, similar mechanisms are used and the same reference numerals are used to indicate all of the blocks, ways, cylinders and rods.
Directing attention now to FIG. 3, vertical guide rods 36, which are longitudinally spaced apart, extend through grooves 37 formed in the surface of rollers 16-19. The upper ends 38 of rods 36 are bent horizontally and are fixed to transverse bars 40, which are supported by the sides 12. Similarly, the lower ends 39 of rods 36 are fixed to transverse bars 40.
Motor 42, by means of belt 22 (in FIG. 4), drives the shaft of roller 17 (see FIG. 2). Timing of the entire sequence of operation of the various parts of the machine hereinafter described is controlled from rotation of the shaft of motor 42 which is connected by belt 22 to a sprocket on the shaft of roller 17 (see FIG. 4).
Below snapper rollers 18 and 19 are transverse horizontal shafts 47, 49, 52 and 54, which turn first folding roller 46, second folding roller 48, third folding roller 51, and fourth folding roller 53, respectively. Roller 48 is below and somewhat forward of roller 46. Roller 51 is rearward and slightly below roller 48 and roller 53 is below and somewhat rearward of roller 51. Rollers 48, 51 and 53 are driven by friction from roller 46. Shaft 47 is driven from the shaft of lower snapper roller 19 (see FIG. 4) by means of a belt 56 passing around a sprocket (not shown) on the shaft of roller 19 and sprocket 57 on shaft 47. Tightener 58 maintains tightness of belt 56.
Immediately forward of roller 46 depending from transverse bar 63 fixed to sides 12 is a downward forward slanted guide rod 61 having vertical downward stretch termini 62 which are in line with the rearward vertical guide rods 36. Fixed to either of sides 12 are brackets 66. Reciprocating through holes in bracket 66 are the rods 70 of cylinders 69 and connected to the rods 70 is transverse first blade or pusher 68.
Above the level of second folding roller 48 and slightly rearward thereof is second blade 71 which is energized by the same instrumentalities as is blade 68. Blade 71 reciprocates vertically toward the intersections of rollers 48 and 51. Positioned below roller 48 is horizontally upwardly reciprocating third blade 72. The function of blade 68 is to fold and push the fold of a bag between the rollers 46 and 48. The function of the blade 71 is to push the once-folded bag discharged by rollers 46 and 48 downwardly into the intersection of rollers 48 and 51 forming a second fold. The function of the third blade 72 is to push the twice-folded bag forwardly into the intersection of rolls 51 and 53.
To sense the presence of the leading edge of the separated bag which is fed downward by rollers 18 and 19 is a light source 76 fixed rearward of the path of the bags and a photodiode 77 forward of the path of the bag. When the bag intercepts the light from source 76, the diode 77 causes a sequential, computer-controlled energization of the air cylinders 69 which control the blades 68, 71 and 72.
Turning attention now to the schematics of FIGS. 9A through 9G, as shown in FIG. 9A, when the leading (i.e., the bottom) edge of bag 79 fed downwardly from the snapper rolls intercepts the light from source 76 reaching photodiode 77, the cylinder 69 controlling blade 68 is energized causing the blade 68 to move forwardly (i.e., to the left as viewed in FIGS. 9A and 9B) so that the bag 79 is folded and forced into the intersection of rotating rolls 46 and 48.
As shown in FIG. 9C, the bag now once folded is discharged from rollers 46 and 48 and timing of the system causes the second blade 71 to move downward, forming a second fold in the bag and forcing the bag between the rollers 48 and 51.
As shown in FIG. 9E, the twice-folded bag is discharged from rollers 48 and 51. In timed sequence, as shown in FIG. 9F, the third blade 72 forms the third fold in the bag and forces it between the rotating rollers 51 and 53. The thrice-folded bag is discharged from rollers 51 and 53 as shown in FIG. 9G and conveyed rearwardly by belts 81.
The forward edges of a plurality of horizontally spaced apart belts 81 pass around grooves in roller 53 and are driven thereby, passing around an idler roller 82 (see FIG. 8) at the rearward end of the stretch. Thus the thrice-folded bags are conveyed toward the left of FIG. 3.
Directing attention now particularly to FIGS. 1, 2, 3, 5 and 8, stacking station 101 is illustrated. The folded bags discharged from belts 81 pass between upper and lower corrugating rollers 102, 103 which corrugate the cross-sectional shape of the bags and thus make them stiffer. Roller 103 may be driven in any suitable manner, here shown as being driven by a drive belt 104 connected to idler 82.
The corrugated bags drop off the rollers 102 and 103 and are guided vertically downward by guide rods 106 to rest upon floor plates 108 and 109, the latter being horizontally reciprocating in opposite directions so that when they are subsequently forced apart, the stacked bags drop vertically downward. Vertical cylinder 111 mounted on leg 14 has an upward extending rod 112 pinned to the leg 113 of a T-shaped member having opposed arms 114, 116. Arm 114 is connected by link 117 to a flange 118 formed on the end of floor plate 108. Rollers 119 are attached to flange 118 and slide in horizontal track 121. Thus when the rod 112 is extended, arm 114 pivots counterclockwise, causing floor plate 108 to move to the left, as viewed in FIG. 8--i.e., to contact floor plate 109. It will be understood that in FIG. 8 the floor plates 108 and 109 are shown in retracted position permitting the stack of bags to drop down. Arm 116 is connected by elongated link 126 to flange 127 on floor plate 109. Rollers 128 on flange 127 likewise roll in trackway 121. When the rod 112 is extended, arm 116 turns counterclockwise, pulling link 126 to the right and causing the floor plate 109 to move to the right until it contacts the floor plate 108.
Below floor plates 108 and 109, which may be considered to constitute an upper table, is a lower table 131 which may comprise parallel belts 137. Reciprocating along the sides of the machine at the level of table 131 are roller chains 132. These pass around sprockets 133 at either end and are suitably driven. Pusher 134 at its lower end has a connection 136 which is pinned to links in the sprocket chain 132. The chains 132 cause the pusher 134 to reciprocate, moving a stack of bags to the left, as viewed in FIG. 8, to packing table 138 and moving backwards to a position behind guide rods 106 so that another stack of bags may accumulate. Meanwhile, by means forming no part of the present invention and in fact by manual means if desired, the stacks of bags may be removed and packaged.
|Cited Patent
|Filing date
|Publication date
|Mar 24, 1939
|Aug 19, 1941
|Georg Spiess
|Buckling folding machine
|May 22, 1978
|Apr 8, 1980
|Ferag Ag
|Apparatus for stacking printed products
|Feb 23, 1983
|Jul 2, 1985
|Linear Films, Inc.
|Method of making flat bottom plastic bag
|Jan 5, 1982
|Feb 11, 1986
|Automatic cutting, folding and packing machine for sheets of flexible material which are usually paid out in rolled up webs
|Sep 18, 1986
|Aug 25, 1987
|Pitney Bowes Inc.
|Bursting machine
|Feb 17, 1987
|Feb 16, 1988
|Shin Osaka Zoki Co., Ltd.
|Apparatus for handling signatures before binding
|Dec 3, 1986
|May 24, 1988
|Komori Printing Machinery Co., Ltd.
|Chopper device for use in a folder
|Citing Patent
|Filing date
|Publication date
|Jul 13, 1993
|Aug 1, 1995
|Man Roland Druckmaschinen Ag
|Single or plural sheet folding apparatus for use with rotary printing presses
|May 22, 2003
|Jan 25, 2005
|Nisca Corporation
|Sheet post-processing device and image forming apparatus having the same
|Aug 19, 2004
|Jun 20, 2006
|Bescorp, Inc.
|Folder with telescoping stacker and set feeder
|Jun 5, 2003
|Jun 27, 2006
|Bescorp, Inc.
|Folder with set feeder and telescoping stacker
|May 21, 2004
|Jul 18, 2006
|Konica Minolta Business Technologies, Inc.
|Sheet folding apparatus, sheet folding method and image forming apparatus
|Aug 19, 2004
|Aug 22, 2006
|Bescorp, Inc.
|Method of folding and stacking multiple-sheet sets
|Jun 30, 2006
|May 29, 2007
|Bescorp, Inc.
|Method of folding and stacking multiple sheet sets
|Jun 26, 2007
|May 26, 2009
|Xerox Corporation
|Bookletmaker nip-idler assist creasing device
|Jul 21, 2011
|Dec 2, 2014
|Biztechone Co., Ltd.
|Paper folding apparatus for binding machine
|Nov 22, 2002
|May 22, 2003
|Hatto Hechler
|Folding unit with at least one folding-roller load and folding machine having the folding unit
|Jul 10, 2003
|Jan 22, 2004
|Hassick Denis E.
|Inorganic composition, process of preparation and method of use
|May 22, 2003
|Jun 3, 2004
|Eiji Fukasawa
|Sheet post-processing device and image forming apparatus having the same
|May 21, 2004
|Jan 27, 2005
|Kenji Kawatsu
|Sheet folding apparatus, sheet folding method and image forming apparatus
|Jun 30, 2006
|Nov 2, 2006
|Bescorp, Inc.
|Method of folding and stacking multiple sheet sets
|Jun 26, 2007
|Jan 1, 2009
|Xerox Corporation
|Bookletmaker nip-idler assist creasing device
|Jul 21, 2011
|Feb 23, 2012
|Jung Kijo
|Paper folding apparatus for binding machine
|U.S. Classification
|493/235, 493/442, 493/444, 493/360, 493/437, 493/445, 493/239
|International Classification
|Cooperative Classification
|European Classification
|Aug 30, 1993
|Fee payment
Year of fee payment: 4
|Feb 13, 1998
|Maintenance fee reminder mailed
|Mar 22, 1998
|Lapse for failure to pay maintenance fees
|Jun 2, 1998
|Expired due to failure to pay maintenance fee
Effective date: 19980325


text:
Pediatric Intraosseous Access
- Author: Pegeen Eslami, MD; Chief Editor: Marleta Reynolds, MD more...
In an acute resuscitation situation, after the airway is secured and adequate breathing and gas exchange are established, the next priority is to obtain vascular access. This is often difficult in infants and children. The physiologic processes of shock and hypothermia with resulting vascular constriction, which are often present in a resuscitative situation, may further complicate the problem; furthermore, the skill and experience levels of providers in caring for small children widely vary.
Intraosseous (IO) access has been used therapeutically since 1934 and has been proved to be a safe, reliable, and rapid means of introducing crystalloids, colloids, medications, and blood products into the systemic circulation.[1, 2, 3, 4, 5, 6, 7, 8, 9] The marrow cavity provides access to a noncollapsible venous plexus as blood flows from the medullary venous sinusoids into the central venous sinus and is then drained into the central venous circulation via nutrient and emissary veins.
With the development of the intravenous (IV) catheter, the IO needle fell into disuse. In the 1980s, however, IO access was rediscovered in the 1980s as an immediately available tool in resuscitation situations, when time is of the essence and conditions may be adverse.[10, 11] Since then, IO access has become widely accepted in pediatric settings, especially because these patients often provide a particular challenge to obtaining rapid intravascular access.
Initiation of IO access is indicated in adults, children, infants, or newborns in any clinical situation where vascular access is emergently needed but not immediately available via a peripheral vein. IO access provides a means of administering medications, glucose, and fluids, as well as (potentially) a means of obtaining blood samples. Such a situation would include any resuscitation; cardiopulmonary arrest; shock, regardless of etiology; life-threatening status epilepticus; or lack of venous access resulting from burns, edema, or obesity.
In comparison with child and infant peripheral IV access, central lines, or umbilical lines, IO access is safer, is associated with fewer complications, can be implemented with less delay, and requires less skill and practice on the part of practitioners who may use the techniques only rarely.[12]
IO needle placement does not constitute definitive therapy; rather, it allows the administration of life-saving medications and fluids in a context where intravascular access is vital. Often, definitive IV access is easier to obtain once a bolus of fluids and medications has been administered via the IO needle.
IO needles may be left in place in the marrow for up to 72-96 hours; presumably, the longer the needle remains in place, the greater the risk of infection and dislodgment. In practice, the needle is usually removed as soon as another means of vascular access (either peripheral or central) is available, ideally within 6-12 hours.
Contraindications to IO access include the following:
Ipsilateral fracture of the extremity, because of resulting extravasation and risk of compartment syndrome
Previous placement or attempted placement in the same leg or site (eg, sternum), because of consequent extravasation into soft tissue compartments through the previous puncture site
Osteogenesis imperfecta, because of the likelihood that puncture of the bone may cause a fracture
Osteopetrosis, because of the risk of fracture
Obvious overlying infection at the proposed puncture site, because of the risk of seeding infection (a relative contraindication)
Periprocedural Care
Preprocedural Planning
Intraosseous (IO) access was initially thought to be less applicable in patients older than 6 years. However, historical and current data (eg, in military populations[13] ), as well as guidelines from the American Heart Association[14] and the American College of Critical Care Medicine,[15, 16] support the consideration of IO techniques in patients of any age as rapid and equally effective alternatives to intravenous (IV) peripheral lines.
Moreover, IO access is considered more appropriate than attempted placement of central lines in situations when immediate resuscitation is essential.[17, 18] In addition, IO needles provide rapid access to the central circulation, with good bioequivalence to IV infusion.[19, 20]
The particular site used (see Technique) varies as appropriate for the age of the patient, the anatomic landmarks present, and the bone density. It should be noted that the blood chemistry, drug levels, hemoglobin concentrations, blood typing, and acid-base status[21] of the blood in the marrow aspirates obtained from the IO needle have been found to be reliable predictors of the corresponding serum values (although this may not be true of blood chemistry and acid-base status in the setting of prolonged resuscitation).
Over the past decade, attitudes regarding the different settings in which IO access might be considered have changed and broadened. IO access is now part of the recommendations for emergent intravascular access in patients of all ages, not just in pediatric and neonatal patients. In addition, the literature includes reports regarding IO access use for local anesthesia and other nonemergent applications in adults, as well as case reports of nonemergent use in specific pediatric situations.[22]
Clearly, the use of IO access in a battlefield setting remains applicable; this venous route continues to be accessible even in the most hypovolemic patient, and military and trauma literature attest to its usefulness in that setting.
The optimal duration of IO access is still the subject of controversy. On an intuitive basis, it would seem that long-term use of IO access should increase the risk of potential infection, but the infection and complication rates are actually very low, even in the most exigent circumstances. No data support the common informal recommendation that another access avenue must be obtained before transfer from the emergency department or that the IO needle should be removed as soon as possible.
Several needle types are available (see the images below). The traditional needles are inserted manually, but powered needle insertion devices are becoming more popular.
Intraosseous Needle Insertion Methods
With the exception of neonatal settings or neonatal intensive care unit (NICU) settings, in which spinal needles are occasionally used, the intraosseous (IO) needle should have a needle stylet to reduce the likelihood of bony spicules or a clot clogging the needle. In addition, the IO needle should have some means for the operator to gauge the distance to which the needle has penetrated, either with markings on the shaft or a covering flange that prevents insertion deeper than a predetermined distance.
Once the bony cortex has been penetrated, the needle usually need not be advanced more than 1 cm to provide stability and access to the marrow cavity.
The various types of IO needles currently available in pediatric emergency department (ED) and hospital settings are placed by means of different insertion methods.
The traditional needles (Cook, Jamshidi) are placed manually; the site, force required, and depth of insertion are determined by the operator.
However, powered insertion devices are used with increasing frequency in pediatric patients in US hospitals—in emergency departments (EDs), critical care units (CCUs), and even operating rooms (ORs).[22] Since 2006, 2 devices have been approved by the US Food and Drug Administration (FDA) for use in adult and pediatric patients: the Bone Injection Gun (BIG) device (Waismed) and the EZ IO (Vidacare).
The BIG device, which is more widely used outside of the United States, has a spring-loaded handle that injects the IO needle to a preset depth, determined by the patient's age. In the United States, the EZ IO is now widely used in field and transport settings (eg, emergency medical service situations). It has a battery-powered drill handle that powers the needle insertion; the length of the needle is determined by the patient's weight in kilograms, and the depth of insertion is determined by the operator (as with the manual devices).
Both the BIG device and the EZ IO are approved for use at the following sites:
Proximal and distal tibia (in both pediatric and adult populations)
Humeral head (in adult populations)
Neither device requires special removal equipment. Training videos are available on the respective Web sites (Vidacare and Waismed).
A retrospective review from Minnesota that compared the use of a manual IO access device with the use of the EZ IO in an emergency medical services (EMS) setting found that substituting an EZ IO for a manual device did not improve the first-attempt success rate or the success-per-attempt rate, but it more than tripled the rate at which IO access was used by EMS providers.[23]
The F.A.S.T.1 system (Pyng Medical Corporation) for sternal IO needle placement in adults includes both a marker patch and a special introducer device to simplify needle placement and the depth of needle insertion. In addition, this system uses a flexible infusion tube rather than a rigid stylet after needle removal to minimize displacement. It requires the use of a removal device, which is included with the kit.
Intraosseous Needle Insertion Sites
The sternum is the original site of IO access (see the image below) and is a useful site to consider in adult patients, as is the ilium. Studies suggest that IO infusion may be effective even in bones that do not contain a medullary cavity, such as the calcaneus and the radial styloid.[24, 25]
The insertion site of choice in children and infants is the proximal tibia; the distal tibia and distal femur are alternatives (see the images below). The proximal tibia provides a flat wide surface and has only a thin layer of overlying tissue, which allows easy identification of landmarks. Additionally, the proximal tibia is distant from the airway and chest, where cardiopulmonary resuscitation (CPR) is often in progress.
The anterolateral proximal humerus is another site that is often used in adults. As powered devices become more widely available and IO access becomes more commonly used in the prehospital setting and in adults, this site will become increasingly relevant.
With increasing age, the cortical thickness of long bones, particularly the tibia, increases, making penetration more difficult and forceful; thus, in older children and adults, using the distal tibia or the proximal humerus may be advantageous because it also provides reliable and evident landmarks, has a relatively thin cortex, and is distant from ongoing CPR (see the images below).
The distal femur (see the image below) may also be used for IO access, but it generally has much denser covering layers of fat, muscle, and soft tissue, which make identification of landmarks and bony penetration more difficult.
In adults, other insertion sites have included several different iliac sites (see the image below), the sternum, the distal radius or ulna, and, as mentioned above, the humerus.
Complications of Intraosseous Needle Placement
Complications of intraosseous (IO) needle placement are rare, especially if the correct techniques are followed and frequent subsequent evaluations of the needle's position within the bone are carried out.[26]
Failure to achieve effective IO placement may be the result of 1 or more of the following:
Incorrect identification of landmarks
A bent needle, which is more common with longer needles or spinal needles
Clogging of the needle with marrow, clot, or bone spicules, which can be avoided by frequent flushing of the needle or by continuous infusion
Through-and-through penetration of both anterior and posterior cortices caused by excess force after the needle has penetrated the cortex, which renders the punctures useless because of fluid extravasation and which may cause a compartment syndrome
Subcutaneous or subperiosteal infiltration, caused by incomplete placement of needle or by a dislodged needle
Fractures caused by excess force or by fragile bones (eg, marked osteoporosis or osteopenia, osteopetrosis, or osteogenesis imperfecta), which allows leakage, extravasation, and potential compartment syndrome to occur
Penetration of the mediastinal structures or space with the potential for pneumothorax, vascular injury, lung injury, in the case of a sternal needle
Complications even after effective placement and timely removal are rare but may include the following:
Local infection (cellulitis and osteomyelitis are quite rare) - The incidence was less than 0.6% in a literature review of 4000 cases over 35 years (though it was found that the rate may increase with prolonged placement) and less than 3% in another large review
Compartment syndrome secondary to fluid extravasation
Local hematoma
Potential for growth plate injuries (though this has not been reported in animals or humans [27] )
Fat embolus - This is rarely reported in adult patients and has not been reported when an IO needle is placed in the tibia rather than in other sites, such as the ilium or sternum
Bone embolus (though this has not been reported in humans)
Mediastinitis after sternal IO puncture
Helm M, Breschinski W, Lampl L, et al. [Intraosseous puncture in preclinical emergency medicine. Experiences of an air rescue service]. Anaesthesist. 1996 Dec. 45(12):1196-202. [Medline].
Josefson A. A new method of treatment--intraosseous injections. Acta Med Scand. 1934. 81:550.
Arbeiter HI, Greengard J. Tibial bone marrow infusion in infants. J Pediatr. 1944. 25:1.
Elston JT, Jayne RV, Kaump DH, et al. Intraosseous infusions in infants. Am J Clin Pathol. 1947. 17:143.
Heinild S, Sondergaard T, Tudvad F. Bone marrow infusion in childhood: Experiences from a thousand infusions. J Pediatr. 1947. 30:400.
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Tocantins LM, O'Neil JF. Infusions of blood and other fluids into the general circulation via the bone marrow. Surg Gynecol Obstet. 1941. 73:281.
Tocantins LM, O'Neil JF, Jones HW. Infusions of blood and other fluids via the bone marrow. JAMA. 1941. 117:1229.
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de Caen AR, Reis A, Bhutta A. Vascular access and drug therapy in pediatric resuscitation. Pediatr Clin North Am. 2008 Aug. 55(4):909-27, x. [Medline].
Brierley J, Carcillo JA, Choong K, Cornell T, Decaen A, Deymann A, et al. Clinical practice parameters for hemodynamic support of pediatric and neonatal septic shock: 2007 update from the American College of Critical Care Medicine. Crit Care Med. 2009 Feb. 37(2):666-88. [Medline].
Kissoon N, Orr RA, Carcillo JA. Updated American College of Critical Care Medicine--pediatric advanced life support guidelines for management of pediatric and neonatal septic shock: relevance to the emergency care clinician. Pediatr Emerg Care. 2010 Nov. 26(11):867-9. [Medline].
Banerjee S, Singhi SC, Singh S, Singh M. The intraosseous route is a suitable alternative to intravenous route for fluid resuscitation in severely dehydrated children. Indian Pediatr. 1994 Dec. 31(12):1511-20. [Medline].
Horton MA, Beamer C. Powered intraosseous insertion provides safe and effective vascular access for pediatric emergency patients. Pediatr Emerg Care. 2008 Jun. 24(6):347-50. [Medline].
Von Hoff DD, Kuhn JG, Burris HA 3rd, Miller LJ. Does intraosseous equal intravenous? A pharmacokinetic study. Am J Emerg Med. 2008 Jan. 26(1):31-8. [Medline].
Engle WA. Intraosseous access for administration of medications in neonates. Clin Perinatol. 2006 Mar. 33(1):161-8, ix. [Medline].
Kissoon N, Rosenberg H, Gloor J, Vidal R. Comparison of the acid-base status of blood obtained from intraosseous and central venous sites during steady- and low-flow states. Crit Care Med. 1993 Nov. 21(11):1765-9. [Medline].
Joseph G, Tobias JD. The use of intraosseous infusions in the operating room. J Clin Anesth. 2008 Sep. 20(6):469-73. [Medline].
Myers LA, Russi CS, Arteaga GM. Semiautomatic intraosseous devices in pediatric prehospital care. Prehosp Emerg Care. 2011 Oct-Dec. 15(4):473-6. [Medline].
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McCarthy G, O'Donnell C, O'Brien M. Successful intraosseous infusion in the critically ill patient does not require a medullary cavity. Resuscitation. 2003 Feb. 56(2):183-6. [Medline].
Zabala Arguelles JI, Maranon Pardillo R, Gonzalez Serrano P, Serina Ramirez C. [Main vascular access in situations of extreme urgency: intra-osseous infusion]. An Esp Pediatr. 1992 Dec. 37(6):489-92. [Medline].
Brickman KR, Rega P, Koltz M, Guinness M. Analysis of growth plate abnormalities following intraosseous infusion through the proximal tibial epiphysis in pigs. Ann Emerg Med. 1988 Feb. 17(2):121-3. [Medline].

subset: commoncrawl


text:
Saturday, 30 July 2016
Last updated 20 hours ago
Aug 9 2011 | 12:46pm ET
Hedge funds avoided most of the stock market's losses in July, but still suffered their third straight losing month.
The average hedge fund dropped 0.22% last month, according to the Hennessee Group. By contrast, the Standard & Poor's 500 Index fell 2.15%.
Through the first half, the Hennessee Hedge Fund Index was up 1.45%.
"With defensive positioning and low exposures, hedge funds were able to protect capital as the equity markets sold off in July amid concerns about economic growth and the political standoff around the U.S. debt ceiling," Hennessee's Charles Gradante told Dow Jones Newswires.
Jul 8 2016 | 7:01pm ET
Recent market volatility has investors seeking greater insight into alternative...
Jul 25 2016 | 6:29pm ET
If you are compelled by stories of entrepreneurial vision & drive, or simply...
Jul 22 2016 | 8:44pm ET
When the press reports extraordinarily strong relative or risk-adjusted returns...


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18-Carat, 24 Features: World's Most Expensive Watch
The most expensive watch in the world was originally bought at auction in 1999 for $11 million. The watch was created by Patek Philippe for financier Henry Graves Jr.
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54:00 - Japanese Prime Minister Shinzo Abe announced plans for more than 28 trillion yen ($265 billion) in economic stimulus in an effort to prop up the economy, Kyodo News reported. Abe, speaking in the southern city of Fukuoka on Wednesday, said the measures would be compiled next week, Kyodo said. It must then be presented to the parliament, where approval is a formality because the ruling coalition has a majority in both houses. Tatton Investment Management CIO Lothar Mentel discusses with Bloomberg's Anna Edwards and Manus Cranny on "Countdown."


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Central and Downtown Vancouver Show this location only
East Side Show this location only
West Side Show this location only
This property allows you to book online with a credit card. After submitting a reservation request, the owner or manager has 24 hours to accept, at which time your card will be charged and you will receive an email confirmation
Luxe 1BR Condo by Waterfront#4062785ha1 BR 1 BA Sleeps 4$194 avg/night1-3 night min stay
6 BR 3 BA Sleeps 22$644 avg/night1-30 night min stay
2 BR 2 BA Sleeps 5$182 avg/night3-4 night min stay
3 BR 2.5 BA Sleeps 7$530 avg/night7 night min stay
2 BR 1 BA Sleeps 4$108 avg/night7 night min stay
Modern Suite in Historic Building#4165571haStudio 1 BA Sleeps 2$183 avg/night3 night min stay
Robson Suites - Vancouver, British Columbia#3980443ha1 BR 1 BA Sleeps 2$89 avg/night0-1 night min stay
2 BR 1 BA Sleeps 4$141 avg/night3-5 night min stay
1 BR 0 BA Sleeps 2$137 avg/night4 night min stay
2 BR 2 BA Sleeps 6View listing for price4 night min stay
1 BR 1 BA Sleeps 2$98 avg/night2-3 night min stay
1 BR 1 BA Sleeps 2$55 avg/night30 night min stay
Vancouver Manor 3 - 5 Bedroom Home#4078077ha5 BR 3 BA Sleeps 12$587 avg/night7-30 night min stay
Garden Suite in East Vancouver#8639222 BR 1 BA Sleeps 5$114 avg/night2 night min stay
3 BR 1 BA Sleeps 9$313 avg/night1-21 night min stay
Stylish Executive Condo#4368462 BR 1 BA Sleeps 6$77 avg/night3 night min stay
Archie: the Indulger of Yaletown#8598491 BR 1 BA Sleeps 2$126 avg/night1-7 night min stay
2 BR 2 BA Sleeps 5$242 avg/night2 night min stay
2 BR 2 BA Sleeps 5$261 avg/night1 night min stay
Cultural Heart of Vancouver - Robson 4#4233036ha1 BR 1 BA Sleeps 3$73 avg/night30 night min stay
1 BR 1 BA Sleeps 4$58 avg/night30 night min stay
Studio 1 BA Sleeps 4$67 avg/night7 night min stay
2 BR 2 BA Sleeps 4$126 avg/night30 night min stay
4 BR 1 BA Sleeps 8$360 avg/night2 night min stay
3 BR 1 BA Sleeps 6$229 avg/night1 night min stay
Yellow Cottage 2BR Private Suite#4056955ha2 BR 1 BA Sleeps 6$185 avg/night1-3 night min stay
1 BR 1 BA Sleeps 4$86 avg/night14-30 night min stay
2 BR 1 BA Sleeps 6$133 avg/night3 night min stay
1 BR 1 BA Sleeps 4$106 avg/night7 night min stay
2 BR 1 BA Sleeps 6$226 avg/night5 night min stay
Serene, Bright Studio in Gastown#4045053ha1 BR 1 BA Sleeps 2$204 avg/night1-3 night min stay
2bdr Charming Suite in Kitslano#7493672 BR 1 BA Sleeps 4$91 avg/night4 night min stay
City Central -Vancouver Special Home#4080180ha3 BR 1.5 BA Sleeps 14$210 avg/night3 night min stay
Modern 2 Bedroom Commercial Drive Area#3910615ha2 BR 1 BA Sleeps 4$137 avg/night3-4 night min stay
Upscale Gastown City View#4104844ha1 BR 1 BA Sleeps 2$98 avg/night4-6 night min stay
L'Aria. This Rental Property is Located in Beautiful Vancouver, British Columbia, Canada and We Look Forward to Your Inquiry and/or Reservation.#4205614ha1 BR 1 BA Sleeps 3$84 avg/night1 night min stay
Studio 1 BA Sleeps 3$101 avg/night7-14 night min stay
1 BR 1 BA Sleeps 4$119 avg/night7 night min stay
Cozy Condo in Yaletown#4243712ha1 BR 1 BA Sleeps 2$131 avg/night0 night min stay
2 BR 1 BA Sleeps 4$142 avg/night1-2 night min stay
Studio 1 BA Sleeps 4$103 avg/night2 night min stay
1 BR 1 BA Sleeps 2View listing for price14 night min stay
2 BR 1 BA Sleeps 6View listing for price7 night min stay
Luxury Yaletown Vancouver#4082998ha1 BR 1 BA Sleeps 3$139 avg/night1 night min stay
Cozy Point Grey - Main and Upper Level Home#3848526ha3 BR 1 BA Sleeps 6$270 avg/night5 night min stay
1 BR 1.5 BA Sleeps 3$166 avg/night1-3 night min stay
2 BR 1 BA Sleeps 4$108 avg/night5 night min stay
3 BR 2 BA Sleeps 4$270 avg/night3 night min stay
Architectural Family Home Central Vancouver#3527729ha4 BR 4.5+ BA Sleeps 8$980 avg/night5 night min stay
Charming Studio - Dunbar-Southlands#4213516haStudio 1 BA Sleeps 2$110 avg/night1-3 night min stay
Recent Vancouver Coast & Mountains reviews
"Making this property our vacation destination this year was the best decision we could have made. The cottage was very cozy, extremely clean, had everything we needed, the beds were super comfortable but the extraordinary thing about this cottage was the absolutely incredible view of the ocean below. Sitting on the deck taking in the sheer beauty, the tranquility and the eagle soaring high above made us wish that life could stand still. We cannot wait to go back. Next time with our grandchildren so they can play on the playground and try the mini zip line that this property has. Amazing attention made for all age groups. A very quaint place and well worth a visit it, or many. Thank you for sharing your home away from home."Guest: karin c. Date of Stay: May 2016 Review Submitted: June 7, 2016View listing
"From our initial inquiry to the booking, the stay, and all our questions about Whistler, Janice and Lori are top notch to work with! The location is ideal, the unit is well equipped, the condo complex has few nice perks like the treadmill and elliptical. Absolutely thrilled with our decision to book this unit."Guest: B Date of Stay: February 2016 Review Submitted: March 4, 2016View listing
"Our overall experience in Dean's condo was wonderful. We were impressed by the cleanliness and the location was within walking distance to all the shops and restaurants. The staff at the front desk were always friendly and offered their help with booking tours. Dean is also helpful and friendly to correspond with and we had no issues booking with him. We appreciated all of his helpful tips he printed out for us (passwords, phone numbers, which detergent to use, etc.); we appreciated his organization. The only "complaint" we had was where to find the oven mitts, but we found them after awhile. Other than that we had everything we needed and had a great time!"Guest: Larissa K. Date of Stay: April 2016 Review Submitted: April 26, 2016View listing
"We stayed in the Spanish Banks suite for a week with our two children, ages 12 and 14. It was great for each of them to have their own bedroom space. The apartment is on the basement level of a large multi-suite home in a perfect location in Kitsilano - a two minute walk to the beach, parks, running trails, shopping and numerous food options. Hard to beat. If noise above your head bothers you, you might want to bring a noise machine of some sort - it didn't really bother us. Kitchen is large and fully functional. Large screen TV with cable, although we never used it. The outdoor patio was nice to use during our visit (an unusually warm and sunny stretch for April). Everyone we met was pleasant, and it was great having a washing machine and dryer available ($1.00 each). They provided us with recommendations for restaurants and where to find basics we might need. Shampoo/conditioner/soap, etc was provided, and they also left a lovely welcome basket with food items. I could see this apartment being a little dreary if you had a rainy week and/or unmotivated travelers, but we had neither and thoroughly enjoyed our stay. Our favorite sushi restaurant was Hitoe Sushi on 4th just past Blenheim - went twice we liked it so much. Also liked Thai Food by Montri on Broadway. Enjoy!"Guest: Sarah C. Date of Stay: April 2016 Review Submitted: April 24, 2016View listing


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Columbia Columbia Training School
Microsoft Store
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1. Columbia Training School
1730 Highway 44Columbia, MS 39429
2. Remington College
Serving the Columbia Area.
From Business: Remington College's online programs offer an education option that does not require a commute to and from classes. Coursework is designed to be challenging, yet pos…
3. Ashford University
Serving the Columbia Area.
From Business: The idea that earning a college degree is only for a privileged few has become obsolete because technology allows achievement to belong to all of us. Ashford Univer…
4. Childtime
@joey B. Yes. My son went there for 3 years and I (he) enjoyed it there. The turnover is a bit weird but the administration is great. They are on to…
5. Tutor Time
Serving the Columbia Area.
From Business: We have more than 200 corporate and franchise schools throughout the United States, Hong Kong, Indonesia and Portugal. Tutor Time is a subsidiary of Learning Care G…
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how to get La Petite Academy La Petite Academy has good customer service
7. William Carey University
498 Tuscan AveHattiesburg, MS 39401
From Business: For over a century, William Carey University has offered diverse programs in a faith-based environment. Campuses are located in Hattiesburg, Biloxi and New Orleans.…
8. Colorado State University - Global Campus
7800 East Orchard Rd Suite 200Englewood, CO 80111
From Business: Colorado State University-Global Campus (CSU-Global) is focused on facilitating adult success in a global marketplace through career-relevant education including Ba…
9. Campus Book Mart
2906 Hardy StHattiesburg, MS 39401
From Business: Book Stores, Gift Shops, School Supplies and Services, Clothing Stores, Schools
10. American InterContinental University - Online
Serving the Columbia Area.
From Business: Get Serious about Your Education. See How AIU Makes a Difference. You're serious about success – you want to focus on your goals – you need a degree to help you ach…
11. Colorado Technical University - Online/Stonecliffe
Serving the Columbia Area.
From Business: It's time for a new kind of online educational experience: one that is personalized, guided by industry trends, driven by technology, and designed to help you reach…
12. Montessori Children's House
This is a nurturing, safe, and wonderful place for my child. The Montessori method has been perfect for our son to grow and learn in. The teachers…
13. United Woodlawn Pentecostal Church
1452 Highway 98 EColumbia, MS 39429
From Business: Visit Our Website
14. Central Methodist University - Online
Serving the Columbia Area.
From Business: Offering quality, affordable online programs from a fully-accredited university that has been around since 1854.
15. San Joaquin Valley College
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16. Hinds Community College
608 Hinds BlvdRaymond, MS 39154
From Business: Hinds Community College is the largest community college in Mississippi. Hinds is accredited by the Commission on Colleges of the Southern Association of Colleges a…
17. Columbia Public Schl Special
1101 Broad StColumbia, MS 39429
18. Tlc
4 Lakeview RdColumbia, MS 39429
19. Woodlawn Preparatory School
1452 Highway 98 EColumbia, MS 39429
20. Southern Mississippi Planning & Development District Education For Employment Program
500 S High School AveColumbia, MS 39429
21. Jefferson Middle School
611 Owens StColumbia, MS 39429
From Business: Jefferson Middle School, located in Columbia, Miss., is operated by the Columbia School District. The school enrolls students in grades six through eight. Its acade…
22. Columbia High School
Columbia, MS 39429
23. East Marion School East Marion School
Columbia, MS 39429
24. Columbia Marion Career Ctr
1140 Highway 13 SColumbia, MS 39429
25. Columbia Public Schools
401 Mary StColumbia, MS 39429
From Business: Columbia Elementary School, established in 1937, serves students in grades four through five. The school offers a variety of academic and extracurricular options to…
26. Giggles
414 Broad StColumbia, MS 39429
27. Marion County Schools Administrative Offices
Columbia, MS 39429
28. Marion County School Attendance Officers
500 Courthouse SqColumbia, MS 39429
29. Columbia Public Schools Administrative Offices
706 Branton AveColumbia, MS 39429
30. East Marion High School
527 E Marion School RdColumbia, MS 39429


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Nando Costa
I created this animation in 2001 while I was living in Chicago. It was part of Nike Presto's ad campaign and was launched along with other animations in a custom DVD package that was sent along to number of customers.
I shot the live-action on a DV camera and animated the graphics in AE. The person in the video is my old friend, and co-worker at the time, Andre Stringer.
Music by Darrin Wiener.


text:
Sports |
July 20 (Infostrada Sports) - Results from the Swedish Open Women's Singles matches on Friday Round 2 Johanna Larsson (Sweden) beat 3-Anabel Medina Garrigues (Spain) 6-4 6-4 6-Klara Zakopalova (Czech Republic) beat Mariana Duque (Colombia) 6-0 6-1
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Any/Out-of-network Insurance Therapists in Arlington, VA
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Online Therapy
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"Do you have a hard time managing your emotions? Are you struggling with impulsive behaviors? Do your relationships suffer from conflict? I can help you acquire skills to manage life's problems in an effective way. I am an experienced therapist with specialized training in Dialectic Behavior Therapy. DBT is a comprehensive treatment that focuses on Mindfulness, Emotion Regulation, Interpersonal Skills, and Distress Tolerance."
Any/Out-of-network Insurance
Emotional Disturbance
Arlington, Virginia 22207
"Your search for inner peace is closer to fulfillment than you may realize. You have just made the first step toward healing, by looking for information that can help you make life changes and live the life you desire. Most of us expect to have a life surrounded by loving, intimate and meaningful relationships. Sometimes our expectations do not meet the reality of our lives. I will help you uncover your true potential and lead a life that is worth celebrating. I am here to listen and work with you during your journey towards healing and living the life you want."
Any/Out-of-network Insurance
Emotional Disturbance
"It's not easy finding a good psychotherapist today. There are so many choices and types of professionals. I've learned over the years that it takes time to decide who can best help you with your psychological growth. Choosing a therapist is such a personal decision. Learning to trust and feel safe is so important in the client-therapist relationship, and when that happens so much can change.With the difficult economy today, and the media that instills fear,clients who suffer from panic are having a difficult time sorting out the reality today. I can help."
Any/Out-of-network Insurance
Emotional Disturbance
Arlington, Virginia 22207
"If you are looking for a therapist with whom you can comfortably share your problems and everyday life issues that are interfering with your happiness and desires, I can help you develop a plan to address these concerns. I have worked in the mental health field for over 25 years. My undergraduate training at University of Virginia and graduate work at Catholic University focused on training in the psychodynamic approach. Today, I use a combination of that approach, which makes connections to previous experiences, with cognitive-behavioral techniques to help you think more positively and feel better in the present."
Any/Out-of-network Insurance
Emotional Disturbance
"When we are unhappy and discontent, so too are our relationships. We are often so closely involved with our own problems, we can't see a constructive way forward. We need the help of an objective, trained professional to facilitate change. My goal in therapy is to improve my client's relationship with themselves, to help them find meaningful insights, to apply these insights to their life, and thereby experience freedom and new-found energy in self discovery."
Any/Out-of-network Insurance
Emotional Disturbance
"I work collaboratively with people to help them create the lives they want -- in their relationships, families, recreation and work. This process of exploration and discovery is inspiring and taps into hopes, dreams and imagination through story and re-connecting and remembering memories and experiences of connection and joy in their lives. Clients who benefit most from working with me are usually bright, creative and interested in freeing themselves from the constraints of family, social and cultural expectations that have become internalized and held as truths. This is a way of finding your way home ... to where your heart is."
Any/Out-of-network Insurance
Emotional Disturbance
"For more than fifty years, Phoenix House Mid-Atlantic has been the area's leader in adolescent and adult behavioral healthcare, operating programs throughout metropolitan Washington, DC area. Phoenix offers a full continuum of care for clients struggling with substance abuse, addiction and co-occurring mental health disorders to include assessment, education, intensive outpatient and medically managed gender specific residential treatment programs. We know that with a thorough assessment, appropriate comprehensive care and individualized treatment, those struggling with substance abuse and dual diagnosis disorders can recover and reclaim their lives."
Any/Out-of-network Insurance
Emotional Disturbance
"You will encounter a counseling approach that focuses on building a strong, collaborative partnership between therapist and client. We will identify any challenges-limitations that may exist and will work to employ your personal strengths and tap into your resiliency. Emotional states such as depression, anxiety, anger, sadness, confusion, etc are often underlying symptoms of a deeper issue and not the problem itself. Effective therapy identifies the source(s) and addresses any root causes. Our goal will be to gain access into your intrinsic wisdom, into your inherent ability to heal, cope, adapt - and to grow from your life experiences."
Any/Out-of-network Insurance
Emotional Disturbance
Arlington, Virginia 22201
"Currently, I am NOT taking new patients. We all have strengths and weaknesses. It is through learning about ourselves that we make the best of ourselves. In my practice the focus is not only on alleviating acute symptoms, but also helping individuals fulfill their potentials. For that, it takes collaborative relationship between the patient and the therapist. If you are motivated to change, consider taking the next step and engage in therapy."
Any/Out-of-network Insurance
Emotional Disturbance
Arlington, Virginia 22202
"Depression? Anxiety? Difficulties in your relationships? Trauma? ... If you believe that there is anything that you would like to change, or that is not allowing you to enjoy your life, I invite you to come to take a look at your world, and together to start the process of figuring out how to make it better. I believe that therapy is a collaboration between client and therapist in a supportive and safe environment where you can explore how your past has impacted who you are now and how to make changes in your thoughts and actions."
Any/Out-of-network Insurance
Emotional Disturbance
"I work with clients to help them resolve troubling issues and as a behavior-change agent when it fits their goals, helping young adults and working professionals manage anxiety, panic, mood, ADHD, and other problems. Helping childrenP and teens with similar concerns or challenging behavior is also a special interest. I use practical Cognitive-Behavioral Therapy (CBT) with an interpersonal approach that deals with relationships as well as behavior. My special interests include dealing with long-standing stressors, as well as technology, education, and cultural issues."
Any/Out-of-network Insurance
Emotional Disturbance
"During initial sessions I gather information as to the nature of the problem and the outcome desired. Together we assess strengths, and then obstacles to be overcome, whether environmental, relational, emotional or physical. It can take a single session or a number of sessions. At this point I recommend specific therapeutic modalities to be used to support client(s) to attain their goals. For some, the process is slow and delicate, for others vigorous and brief, a place to come back to when life's crises inevitably occur. For all - an experience in discovering a larger life of Resilience and Reconnection."
Any/Out-of-network Insurance
Emotional Disturbance
Arlington, Virginia 22201
"Gay? Lesbian? Bi? Trans? Are you looking for a counselor or psychotherapist that truly understands and respects your feelings and experiences? Do you know you want an LGBT counselor or therapist but don't know how to find someone who is the best match for you? How do you navigate and choose among the many different psychotherapy and counseling approaches? We are a highly experienced group of ten lesbian, gay and bisexual mental health professionals dedicated to meeting the psychological needs of our diverse lgbt community. We have a wide variety of psychological approaches, specializations, office locations and fees."
Any/Out-of-network Insurance
Emotional Disturbance
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"In my practice I am guided by the belief that change is possible and that every person has the capacity for healthy growth and development but may at times need help in accessing inner resources for positive change. I believe a therapist-client relationship that is characterized by empathy, curiosity, acceptance and caring is what facilitates the therapeutic process. I aim to provide an environment where my clients feel safe and free to explore their feelings, thoughts, needs and goals - an environment where we can work together at understanding what is keeping them from living a more fulfilling life."
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text:
Friday, December 01, 2006 by: Jessica Fraser
Tags: Paxil, anti-depressants, pregnant women
The obstetric practice committee of the American College of Obstetricians and Gynecologists said pregnant women should not take Paxil -- a member of a class of antidepressants known as SSRIs (selective serotonin reuptake inhibitors) -- because two previous studies found that the drug posed up to double the risk of heart defects in fetuses.
Nearly a year ago, the U.S. Food and Drug Administration (FDA) and GlaxoSmithKline -- which makes Paxil -- changed the warnings on the drug to include the results of the studies. The FDA then advised pregnant women to merely switch from Paxil to another SSRI drug, such as Prozac or Zoloft.
The FDA's enhanced warning on Paxil followed the results of a review of Sweden's birth registry that found pregnant women who took Paxil were 1.5 to 2 times more likely to give birth to a baby with heart defects than women who took other SSRIs or who did not take antidepressants at all.
The most common defects caused by antidepressants were holes or other malformations in the chambers of the heart. Often the defects heal on their own, but more severe cases require surgical intervention. Glaxo said last December that it was investigating how Paxil could be causing the defects.
The obstetricians went a step further than the FDA in recommending that women avoid Paxil and reconsider using any SSRI antidepressant during pregnancy. Other physicians claim that the benefits of mothers getting treatment for their depression outweigh the risks to the fetus.
However, consumer health advocate Mike Adams calls the FDA's caution last year and the obstetricians' current opinion "after-the-fact warnings," since Paxil and other SSRIs are still being prescribed to pregnant women, often without warning of the possible harm to unborn children.
"It demonstrates yet again how patients are guinea pigs when it comes to pharmaceutical safety, and how the current drug safety testing system is entirely inadequate," Adams said.
"Plus, there's the fact that antidepressant drugs imbalance blood sugar metabolism, worsening gestational diabetes," he said. "This fact is almost never explained to expectant mothers who are prescribed such pills."
Paxil is currently one of the most popular antidepressants in the world, and roughly 25 percent of its users are women of childbearing age -- between 18 and 45.
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Coles Update: Team Trying to Deal Him
Feb 21, 2005, 6:09 PM EDT
The Redskins may be backing off of their deal to release Laveranues Coles in exchange for his returning part of his signing bonus, according to a wire service story that appeared on ESPN.com.
The Redskins, however, will have to pick their poison. They will either recoup some bonus and some salary cap space or they will get a player and/or picks for Coles and take the net $6 million cap hit.
'They can't have it both ways,' said one source. 'If he's going to repay part of [his signing bonus], it's because he can be a free agent, and choose where he continues his career, not to have them trade him. Honestly, it's a mess right now.
Shopping Coles would seem to be the prudent thing for the team to do. That way, they can weigh the cost of the salary cap hit against what they would receive in the way of compensation. In addition, they could keep Coles from going to a division rival.
It's highly unlikely that a trade will be made, but it makes sense for them to try.
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31 Halloween Craft Projects
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6 Crochet Pumpkin Patterns
By: Christine Weiher
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Click here to view your Craft Projects.
Get Halloween ready with some fun crochet patterns. You can crochet all kinds of pumpkin patterns for the fun holiday. Easy crochet patterns are the best. Pumpkins to me are what symbolizes Halloween the best. You see pumpkins as decorations all over the place. You can paint them, carve them and even crochet them. I love this spook-tacular holiday. Pumpkin picking is the greatest too, you can really get inspired for all your pumpkin easy crochet patterns. Here you can find a collection of free easy crochet patterns for Halloween.
- Baby Pumpkin Crochet Beanie- Dress your newborn up for Halloween this year. Although there may not be a tiny little costume for that bundle of joy you can still crochet this adorable pumpkin beanie. It fits newborns up to three months old.
- Crochet Jill O'Lantern- If you're looking for an easy crochet pattern for Halloween then you'll love this pattern. Crochet yourself a Jill O'Lantern for a fun Halloween decoration. She can keep your Jack O'Lantern company.
- Crochet Pumpkin Pin- Another easy crochet pattern is this pin. It's so easy that even kids can make it themselves. You can wear the pin around during the whole week of Halloween just to prepare for that fun time.
- Cute Polly Pumpkin- Polly Pocket has come back? Crochet this cute pumpkin pattern with Polly Pocket. Your kids will love this free crochet pattern especially your daughters and granddaughters, they can play with her too.
- Halloween Crochet Pumpkin- Work this pumpkin up using an amigurumi style technique. An easy crochet pattern such as this allows you to make many of them. Use different colors for a fun assortment.
- Jack O'Lantern Garland- Using black and orange DK yarn you can crochet this spooktacular garland to decorate your home. It will add some nice detail to your home around Halloween. It's an easy crochet pattern you will love to bring out every year.
If you're wanting more crochet patterns for Halloween but pumpkins aren't your thing, then check out these 8 Halloween Crochet Patterns! Easy crochet patterns are so much fun to make especially around the holidays. Not only will it keep you occupied but your home will look amazing.
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The average salary of a(n) Electrical Engineer in The Woodlands, Texas is $107,961.
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The goal of the Department of Computer Science is to provide individuals with a broad-based theoretical and practical understanding of Computer Science. Students who complete the program are prepared to pursue graduate study or to assume positions which include software engineering, technical programming, and the application of computers and related technologies to problems in industry such as computer security, network design and management, and Web design.
The curriculum offered by the Department of Computer Science is designed to serve these purposes:
To offer an undergraduate major program in computer science for individuals who wish to pursue a career in this field; To prepare students for graduate work in computer science; To offer a minor in computer science for those who feel the need for a less extensive concentration in computing; To serve students in other academic disciplines by offering instruction in computer applications that are useful in these disciplines.
Undergraduate Programs
The Department offers an undergraduate major with three choices of concentration. In each concentration, students are guided through a carefully selected sequence of courses designed to provide a thorough grounding in practical aspects of the field. Students will also acquire sufficient theoretical background to enable them to keep up with the rapid changes in computer technology and methodology. Students should consult a Department advisor to determine which concentration and electives to choose.
To learn more, Like us on Facebook, Follow us on Twitter and/or if you are a current student, sign up for our email group as follows:
- Go to The graduate student's group or to the the undergraduate's group
- Click on the Join button and follow the instructions.
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Can you take IR pix with the P7700?
Started Oct 19, 2013 | Discussions thread
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Terrier989 • Regular Member • Posts: 292
Re: Can you take IR pix with the P7700?
In reply to Gary Sibio • Oct 29, 2013
use the tabs at the top of the thread list, select photos and filter by product to P7700
this is the one I was looking for
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My Unbelievably True Life StoryTHE GREATEST IMMIGRANT SUCCESS STORY OF OUR TIME His story is unique, and uniquely entertaining, and he tells it brilliantly in these pages.He was born in a year of famine, in a small Austrian town, the son of an austere police chief. He dreamed of moving to America to become a bodybuilding champion and a movie star.By the age of twenty-one, he was living in Los Angeles and had been crowned Mr.
The New Encyclopedia of Modern Bodybuilding
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The Education of a BodybuilderFive-time Mr. Universe, seven-time Mr. Olympia, and Mr. World, Arnold Schwarzenegger is the name in bodybuilding. Here is his classic bestselling autobiography, which explains how the "Austrian Oak" came to the sport of bodybuilding and aspired to be the star he has become.I still remember that first visit to the bodybuilding gym. I had never seen anyone lifting weights before. Those guys were
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The personal development of Arnold Schwarzenegger and how he changed from a killing machine to a family man with moral valuesSeminar paper from the year 2005 in the subject English Language and Literature Studies - Culture and Applied Geography, grade: 1,7, University of Freiburg, course: Proseminar (Terrorism in Hollywood Movies), 9 entries in the bibliography, language: English, abstract: Christian Metz stated that a film is difficult to explain because it is easy to understand. (qtd. in Buckland & Elsaesser: 1). I
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Arnold Schwarzenegger: Biography and the Journey of His LifeArnold Schwarzenegger is an Austrian-American bodybuilder, model, actor, businessman, and politician. In September 1968, at the age of 21, Schwarzenegger moved to America where he began training at Gold's Gym in Los Angeles. In 1970, he was awarded his first "Mr. Olympia" title which he would go on to win several more times during his career. After winning Mr. Olympia, Arnold was given his
Arnold Schwarzenegger and the Rise of Blockbuster DemocracyCalifornia voters passed Proposition 13 in 1978. At the same time, a champion bodybuilder named Arnold Schwarzenegger was becoming a movie star. Over the past quarter century, the twin arts of direct democracy (through ballot initiatives designed to push the public to the polls on election day) and blockbuster moviemaking (through movies designed to push the public to the theaters on opening
Two Billion Cars : Driving Toward SustainabilityAt present, there are roughly a billion motor vehicles in the world. Within twenty years, the number will double to 2 billion, largely a consequence of China's and India's explosive growth. Given that greenhouse gases are already creating havoc with our climate and that violent conflict in oil-rich nations is on the rise, does this mean that matters will only get worse? Or are there hopeful signs


text:
I downloaded GTA V character transfer before transferred my characters from Xbox 360 to Xbox One. But the new special online cars, plane, monster truck, gun, axe are missing. When I tried to fix this issue, I get a message that there are no character information attached with my account but my characters appear online. I have no idea to fix this issue, please help.
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Jane Smith is the name of my girl character that I edited to my specification on PS4 in character transfer. But when I visited the barbershop I was shocked to see the characters age was too old with poor skin and wrinkles. Now I am trying to re-customize her. I am not able to fix this issue. I never have an idea of deleting my character. Can anyone provide me a better solution for fixing this issue?
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Now days my Xbox Live is becoming a piece of scrap. Two months back I was facing issues with friends list for more than 2 days. Since then I had several issues with party chat. Now when I tried playing NHL 2015, it broke down all of a sudden. I tried to login again but it is providing me several other options for creating new profile etc. I think I have lost HUT game on NHL 2015 which I had bought by investing more than 300 dollars. I am losing in Microsoft ability. Please provide me solution for this issue.
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Yesterday I installed GTA V on my playstation 4 and tried playing story mode for few minutes. Then I tried GTA online mode. Immediately it asked me to download an update from PSN and I tried downloading the same. But a pop up says it cannot download the GTA V update. Every time try it, the download stops in very few seconds. Even if I restart the PS4 and try downloading it again but nothing working. Can anyone provide me a solution for this please.
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I was very happy with the introduction of Share Play to PS4 with their recent update 2.00 update. I was expecting to share games with my friends through internet. But I think some bugs are preventing Share Play and creating other network issues. Every time I try Share Play I get errors displayed. Is there anyone else experiencing the same, kindly help me with a solution.
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I am looking for a way to write voluminous books. I am thinking one of the ways to do this will be to speak into a device and the device will transcribe for me. What I need to know is, do you know of any such device that is capable of transcribing my speech into words and automatically writing the words in Microsoft Word for example?
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How do I embed a radio station on my webpage where people can go and listen to any station of their choice? Are there any special codes I need to know to achieve this objective or do I need to develop my own code? If there are ready-made codes could you provide the necessary links for me to gain access to these special codes?
- 356 reads
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I would like to stream live images to my webpage but I do not have any clue how to go about doing this. Could someone assist me with critical assistance in getting this job done? I need to know which software to use and how to integrate this into the webpage source code. Please give a brief overview of the steps that I would need to take to achieve this.
- 252 reads
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How do you embed a video player in a webpage so that people could click and watch selected videos at a particular webpage? I would like somebody to kindly provide me with the procedure, code and any other requirements needed to achieve this objective. How can I make sure that the link to the video is not broken after a few months? Thank you.
- 326 reads
- 1 comment