text:
|Publication number
|Publication type
|Application number
|Publication date
|Jun 15, 2010
|Filing date
|Jul 10, 2006
|Priority date
|Aug 24, 2000
|Fee status
|Also published as
|Publication number
|Gust H. Bardy
|Original Assignee
|Bardy Gust H
|Export Citation
|BiBTeX, EndNote, RefMan
|Patent Citations (48), Referenced by (10), Classifications (11), Legal Events (8)
|External Links: USPTO, USPTO Assignment, Espacenet
This patent application is a continuation-in-part of U.S. patent application, Ser. No. 11/345,617, filed Feb. 1, 2006, pending; which is a continuation of U.S. patent application, Ser. No. 11/025,770, filed Dec. 20, 2004, abandoned; which is a continuation of U.S. patent application, Ser. No. 10/222,719, filed Aug. 15, 2002, abandoned; which is a continuation of application Ser. No. 09/644,666 filed Aug. 24, 2000 now U.S. Pat. No. 6,436,068, issued Aug. 20, 2002, the priority dates of which are claimed and the disclosures of which are incorporated by reference.
The present invention relates in general to subcutaneous implantation instruments and methods and, in particular, to a subcutaneous implantation instrument with dissecting tool and method of construction.
Health care assessment includes the review and analysis of physiometry collected and recorded by electronic data sensors. The type and quality of physiometry can depend upon the type and location of sensor used. External sensors, such as thermometers, blood pressure cuffs, heart rate monitors, and the like, are limited in the kinds of information, which they are able to collect, and can encumber the patient. Implantable in situ sensors can provide a direct stream of recorded physiometry, but are invasive and require surgical implantation.
Recent advances in microchip technology have created a new generation of highly integrated, implantable sensors and medical devices, such as implantable cardioverter defibrillators, pacemakers, and insertable loop recorders. For instance, PCT Application Nos. PCT/GB99/02389, to Habib et al., filed Jul. 22, 1998, pending, and PCT/GB99/02393, to Habib et al., filed Jul. 22, 1998, pending, respectively describe an implantable sensor chip and treatment regiment, the disclosures of which are incorporated by reference. Each sensor chip can collect and transmit physiometric data by wireless telemetry to a receiver external to a body. Similarly, the emerging Bluetooth wireless communication standard, described at http://www.bluetooth.com/developer/specification/specification.asp, proposes a low cost, small form factor solution for short range data communications, potentially suitable for use in implantable sensor technology.
Nevertheless, microchip sensors must still be implanted via some form of surgical procedure. Minimally invasive implantation using large bore needles or flat-edged blades is impracticable because sensors, particularly when embodied using microchip technology, favor a prismatic shape with substantially rectangular cross sections that are incompatible with circular bores. As well, large bore needles can core out flesh, skin, or hide, when used in animals, as the instruments are inserted subcutaneously, which creates a risk of infection. Moreover, wider-tipped instruments, such as a hollow point chisel, can potentially cause tearing, gouging, or similar injury due to the width of the cutting edge.
In addition, although current surgical implantation approaches attempt to minimize the size of incision and degree of invasiveness, implantation is, at best, costly, time-consuming, traumatic, requires multiple instruments and maneuvers, and potentially risky to the patient. For example, anesthetizing is conventionally performed using a topical or local anesthetic agent on the implantation site.
Subcutaneous implantable sensors offer the best compromise between in situ sensors and external sensors and are potentially insertable with a simple injection, rather than surgical procedure. These sensors are typically implanted below the dermis in the layer of subcutaneous fat. Several approaches to the subcutaneous implantation of solid materials have been described.
An insertion and tunneling tool for a subcutaneous wire patch electrode is described in U.S. Pat. No. 5,300,106, to Dahl et al., issued Apr. 5, 1994. The tunneling tool includes a stylet and a peel-away sheath. The tunneling tool is inserted into an incision and the stylet is withdrawn once the tunneling tool reaches a desired position. An electrode segment is inserted into the subcutaneous tunnel and the peel-away sheath is removed. Although providing a tool for subcutaneous implantation, the Dahl device requires an incision into the subcutaneous fat layer and forms an implantation site larger than the minimum sized required by the electrode segment. Further more, the cylindrical bore precludes the injection of non-conforming solid sensors or materials.
An implant system for animal identification that includes a device for implanting an identification pellet in a fat layer beneath the hide or skin of an animal is described in U.S. Pat. No. 4,909,250, to Smith, issued Mar. 20, 1990. The device includes a curved needle-like tube that terminates at a tapered, sharpened point. An elongated, flexible plunger is slidably received within the needle-like tube. The pointed tip is inserted through the hide or skin and the plunger is actuated to drive the identification pellet from the tip into the fat layer. However, the Smith device uses an oversized open bore which can cause coring of the hide or flesh.
A trocar for inserting implants is described in PCT Application No. PCT/US99/08353, to Clarke et al., filed Oct. 29, 1999, pending. An implant retention trocar includes a cannula for puncturing the skin of an animal and an obturator for delivering the implant. A spring element received within the cannula prevents an implant from falling out during the implant process. The cannula has a distal tip design which causes a minimum of trauma and tearing of tissue during implant insertion. However, the distal tip design is specifically directed to cannulas having a substantially circular bore and thereby limits the size and shape of implant which can be inserted through the Clarke trocar.
An instrument for injecting implants through animal hide is described in U.S. Pat. No. 5,304,119, to Balaban et al., issued Apr. 19, 1994. The instrument includes an injector having a tubular body divided into two adjacent segments with a hollow interior bore. A pair of laterally adjacent tines extend longitudinally from the first segment to the distal end of the tubular body. A plunger rod has an exterior diameter just slightly larger than the interior diameter of the tubular body. With the second segment inserted beneath the animal hide, the push rod is advanced longitudinally through the tubular body, thereby pushing the implant through the bore. As the implant and rod pass through the second segment, the tines are forced radially away from each other, thereby dilating or expanding the incision, and facilitating implant. The instrument is removed from the incision following implantation. Though avoiding the coring of animal hide or flesh, the instrument forms an implantation site larger than the minimum sized required by the implant and causes potentially damaging compaction of the implant against the laterally adjacent times during implant delivery.
Therefore, there is need for a non-surgical instrument and method for subcutaneous implantation of sensors and solid materials that preferably does not require an incision preparatory to instrument insertion.
There is a further need for a subcutaneous implantation instrument and method capable of implanting sensors and other solid materials that are not readily disposed to implantation through a substantially circular bore.
Moreover, there is a further need for a subcutaneous implantation instrument and method which is minimally invasive, preferably creating the smallest needed implantation site, and capable of implantation without exposing the implant to longitudinal stresses.
There is a still further need for an implantation instrument that provides a progressive widening of an implantation site. Such progressive widening would facilitate the use of wider-tipped instruments that provide sufficient girth to admit implantable sensors and medical devices with lowered patient trauma. Preferably, such an instrument would include provision for application of an anesthetic agent.
An implantation instrument and method of use for implanting sensors and other solid materials in a subcutaneous or other site is provided. As used herein, "subcutaneous" refers generally to those implantation sites located within a body below the skin. The implantation instrument consists of an incising shaft attached to a syringe body. The syringe body and incising shaft both define a substantially non-circular hollow bore for accommodating the sensor or solid material. The subcutaneous site is formed by a cutting edge on the distal end of the incising shaft. The subcutaneous site can be cleared using a clearing trocar slidably received within the hollow bore. The sensor or solid material is advanced through the hollow bore and delivered into the subcutaneous site. The depth of the subcutaneous site can be limited using a penetration limiting mechanism.
One embodiment provides a subcutaneous implantation instrument with dissecting tool and method of construction. An incising shaft longitudinally defines a substantially non-circular bore continuously formed to communicatively receive an implantable object and further includes a beveled cutting blade formed on a distal end. A dissecting tool includes a needle tip forming a pair of longitudinal cutting edges progressively defined outwardly from the needle tip planar to the beveled cutting blade and removably affixable to the distal end of the incising shaft through a proximal coupling. A delivery mechanism longitudinally defines a substantially non-circular bore formed to deploy the implantable object into the incising shaft.
A further embodiment provides a subcutaneous implantation instrument with a scissored dissecting tool assembly and method of construction. An incising shaft is fashioned to longitudinally define a substantially non-circular bore continuously formed to communicatively receive an implantable object and further including a beveled cutting blade formed on a distal end. A dissecting tool assembly is assembled to provide a longitudinally split needle tip to form a pair of blades with cutting edges progressively defined outwardly from the needle tip. The dissecting tool assembly further includes a pair of handles that are each distally attached to one of the blades and pivotably coupled and disposed for transverse operation. The dissecting tool assembly is removably affixable to the distal end of the incising shaft. A delivery mechanism is provided to longitudinally define a substantially non-circular bore continuously formed to deploy the implantable object into the incising shaft.
A further embodiment provides subcutaneous implantation instrument package and method of construction. A non-liquid implantable object is selected. A subcutaneous implantation instrument is packaged with the non-liquid implantable object and includes an incising shaft longitudinally defining a substantially non-circular bore continuously formed to communicatively receive the implantable object. The incising shaft further includes a beveled cutting blade formed on a distal end. The subcutaneous implantation instrument further includes a delivery mechanism longitudinally defining a substantially non-circular bore formed to deploy the implantable object into the incising shaft.
A further embodiment provides a method for implanting a non-liquid object. A subcutaneous implantation site is formed by urging a subcutaneous implantation instrument that includes an incising shaft with a beveled cutting blade formed on a distal end subdurally to a predetermined depth. The incising shaft longitudinally defines a substantially non-circular bore. A non-liquid object is deployed into the subcutaneous implantation site by progressively urging a delivery mechanism distally through a syringe body proximally affixed to the incising shaft to deploy the implantable object into the incising shaft and thence to insert the implantable object into the subcutaneous implantation site. The incising shaft is withdrawn from the subcutaneous implantation site, which is subsequently closed.
One principal value of such a subcutaneous implantation instrument and method would be to enable the subcutaneous insertion of implantable objects and devices, such as sensors, without an operating room or special procedures room. In essence, the subcutaneous implantation instrument and method reduce insertion of implantable objects and devices having non-conforming shapes to be the functional equivalent of an injection.
Still other embodiments of the present invention will become readily apparent to those skilled in the art from the following detailed description, wherein is described embodiments of the invention by way of illustrating the best mode contemplated for carrying out the invention. As will be realized, the invention is capable of other and different embodiments and its several details are capable of modifications in various obvious respects, all without departing from the spirit and the scope of the present invention. Accordingly, the drawings and detailed description are to be regarded as illustrative in nature and not as restrictive.
The incising shaft 11 is a hollow point chisel that is formed with a beveled and rounded tip 12 that tapers into a surgically sharp cutting edge 13 formed on a distal edge. The beveled tip 12 includes a distal bore opening 14 through which the implantable object is delivered into the implantation site.
The implantable object includes medical monitoring and diagnostic devices, such as an implantable physiometry sensor, and non-medical monitoring devices, such as an environmental or activity monitor. Such sensors generally record data for subsequent retrieval and can be autonomously triggered or triggered manually by the implant recipient. One implantable sensor microchip suitable for use in the present invention is described in PCT Application No. PCT/GB99/02389, to Habib et al., filed Jul. 22, 1998, pending, the disclosure of which is incorporated by reference. Such a sensor could be used for monitoring and collecting physiological or chemical measures. A further implantable monitoring device suitable for use is the Reveal insertable loop recorder, manufactured by Medtronic, Inc., Minneapolis, Minn., which is an implantable heart monitor for diagnosing the causes of syncope and other transient heart symptoms involving rhythm-related disorders, as described in U.S. Pat. No. 5,331,966, issued Jul. 26, 1994 to Bennett et al; U.S. Pat. No. 6,230,059, issued May 8, 2001 to Duffin; and U.S. Pat. No. 6,317,626, issued Nov. 13, 2001 to Warman, the disclosures of which are incorporated by reference. Other medical monitoring and diagnostic devices are possible.
The implantable object also includes non-sensor-type implantable medical devices, including implantable medical devices for therapeutic uses, such as administering cardiac pacing or rhythm therapy; providing neural, muscle, or organ stimulation; cancer treatment; and delivering or dosing medication. As well, the present invention has equal applicability to implantation of other types of non-medical sensors, including location and identification sensors, such as radio frequency identification (RFID) tags. Such sensors could include data transmitters with which to exchange recorded data and instructional signals.
Finally, the implantable object can include solid or semi-solid materials, such as a gelatinous drug bolus. In one embodiment, the implantable object has approximate dimensions of 5 mm by 10 mm by 20 mm, although other dimensions can be equally suitable. The critical dimension is the cross-sectional profile, that is, the height and width, of the implant, which must conform to passage through the syringe body and incising shaft bores. Other non-linear, prismatic shapes are equally usable provided the implantable object can fit within the confines of the syringe body and incising shaft bores. The implant could also be folded or compacted to minimize the cross-sectional profile with the implant unfolding or expanding upon implantation. As well, the implant is preferably protected against damage by encasement within, for example, a mannitol pellet in the case of a solid drug delivery system or epoxy in the case of an implantable sensor or medical device. Other sizes, shapes, and types of non-liquid implantable objects are possible.
The incising shaft 11 is fixably attached to the syringe body 15 through frictional, adhesive, or preformed constructive means, as is known in the art. Both the incising shaft 11 and syringe body 15 define a substantially non-circular hollow bore extending continuously along a shared longitudinal axis, as further described below with reference to
The plunger assembly includes a plunger 16, an interconnecting plunger shaft 17 and a plunger end piece 18. The plunger 16 is conformably shaped to fit within the syringe body bore. The plunger end piece 18 facilitates deployment of the plunger assembly through the syringe body bore and is preferably shaped to fit a thumb or palm impression. In a further embodiment, the non-circular hollow bore opens to the distal end of the incising shaft 11 and extends only partly through to thereby form a cavity, rather than a tube, but with provision for the sliding of the plunger shaft 17.
In the described embodiment, the implantation instrument 10 is designed for inexpensive and disposable use utilizing low-cost, sanitizable materials. The implantation instrument 10 can be used for out-patient or non-surgical subcutaneous implant and insertion of an implantable object, as further described below beginning with reference to
In a further embodiment, the syringe body 15 and plunger assembly can be replaced by an automated injection system, such as used with immunization injection guns or similar devices. These devices typically employ compressed air or other inert gases to administer medication in lieu of manual plungers. Other automated variations include spring-loaded and similar mechanical injection systems. The incising shaft 11 is fixably attached to the automated injection system which functions as a delivery mechanism in place of the syringe body 15 and plunger assembly. Thus, the implant would be pushed through the incising shaft bore using the compressed air or gas, or mechanical equivalent.
The syringe body 15 preferably includes a circular collar 21, pair of winglets, ears, or eyelets, or similar structure, optionally formed on a proximal end of the syringe body 15 to assist a user in depressing the plunger assembly 20.
Prior to implantation, the clearing trocar 29 is slidably received-into the syringe body 15 and is advanced until the cutting tip 30 is even with the proximal bore opening 19 of the incising shaft 11. During operation, the incising shaft 11 and clearing trocar 29 are inserted through the dermis 25 and guided into the layer of subcutaneous fat 26, above the layer of muscle 27.
The cutting edge 13 of the beveled tip 12 makes an entry incision through the dermis 25 and is laterally pushed into the subcutaneous fat 26 until the cutting edge 13 is adjacent to the subcutaneous site. The clearing trocar 29 is then urged through the subcutaneous fat 26 by advancement of its handle or plunger assembly to prepare the implantation site for delivery of the implantable object 28, including an implantable sensor, medical device, or other solid material. The clearing trocar 29 is then withdrawn from the subcutaneous site and out of the implantation instrument 10.
The pushing stylet 31 is used while the incising shaft 11 is in situ in the subcutaneous layer 26. Prior to delivery, the implantable object 28 is fed through the proximal bore opening 19 of the syringe body 15 and further advanced within the syringe body bore 23 by contact with the plunger 16. The pushing stylet 31 is slidably received into the syringe body 15 and is advanced until the blunt tip 32 contacts the implantable object 28. During operation, the implantable object 28 is urged through the incising shaft bore 22 by the pushing stylet 31 and into the subcutaneous site by advancement of the plunger assembly. Upon delivery of the implantable object 28 into the subcutaneous site, the incising shaft 11 and pushing stylet 31 are withdrawn.
Although operation of the implantation instrument 10 is described with reference to the implantation of sensors or solid materials into a subcutaneous site situated within the layer of subcutaneous fat 26, implantations could also be effected in other subcutaneous, intramuscular, intraperitoneal, intrathoracic, intracranial, intrajoint, as well as other organ or non-subcutaneous sites, as would be recognized by one skilled in the art. In addition, the foregoing procedure could be modified to forego the use of the clearing trocar 29 for small implantable objects 28. The clearing effect of the clearing trocar 29 can be approximated by use of the incising shaft 11 alone whereby the incising shaft 11 is inserted into the subcutaneous site and then withdrawn by reverse deployment, thereby forming a slightly overwide implantation site.
The operations of subcutaneous implantation can be carried out over a plurality of sites and with the same or different implantable objects 28. Similarly, several implantable object 28 could be implanted at the same subcutaneous site during a single implantation operation.
In the described embodiment, the rectangular bore 36 has the dimensions of approximately 10 mm by 5 mm. The syringe body bore 23 has a length of approximately 5 cm.
During a clearing operation, the clearing trocar 45 is fully extended from the distal bore opening 14 of the incising shaft 11. The clearing trocar shaft 46 is only long enough to clear out the subcutaneous site. The plunger 16 acts as a stop that limits the extent of penetration of the clearing trocar 45, thereby preventing the clearing trocar 29 from incising too deeply into the subcutaneous fat 29. In addition, the clearing trocar 29 is sized to approximate the girth of the incising shaft bore 22 and will clear a subcutaneous site only as wide as minimally necessary to facilitate implantation of the implantable object. In the described embodiment, the clearing trocar 45 has a length of approximately 2 cm beyond the tip of the syringe body 15.
During a delivery operation, the pushing stylet 50 is extended from the distal bore opening 14 of the incising shaft 11. The pushing stylet shaft 51 is only long enough to clear the distal bore opening 14. The plunger 16 acts as a stop that limits the lateral travel of the pushing stylet 50. In the described embodiment, the pushing stylet 50 has an additional length of approximately 2 cm beyond the tip of the syringe body 15.
In addition to being flat and chisel-like, the cutting edge of the incising shaft can be shaped as a progressive cutting or clearing blade, or a dissecting tool suitable for use in facilitating subcutaneous insertion.
The subcutaneous implantation instrument 130 can be sold or marketed as part of a package that combines an implantable object 134 with the subcutaneous implantation instrument 130, particularly where the subcutaneous implantation instrument 130 is provided as a single-use disposable unit. Thus, the subcutaneous implantation instrument 130 can be offered with an implantable 134 object already disposed within the syringe body 131, with the entire package sealed ready for use inside sterile packaging (not shown). Alternatively, the subcutaneous implantation instrument 130 can be offered in combination with an implantable object 134 that is packaged separately.
At the outset of the procedure, an implantation site 137 can be locally anesthetized using the subcutaneous implantation instrument 130 by fitting the incising shaft 132 with a dissecting tool assembly 136, as provided in a further embodiment, described above with reference to
Referring next to
Referring finally to
While the invention has been particularly shown and described as referenced to the embodiments thereof, those skilled in the art will understand that the foregoing and other changes in form and detail may be made therein without departing from the spirit and scope of the invention.
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|Dec 4, 2009
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text:
A's rally to beat M's, continue push for playoff spotSep 30, 2012 - 3:31 AM
The A's -- winners of their last two -- reduced their magic number to three for clinching a playoff berth.
"We focus on playing one game at a time," Donaldson said. "Every game out there is the biggest game of the year for us. We've been playing playoff baseball for the last month."
Josh Reddick walked with one out in the ninth, and Donaldson followed with a homer to center field off Tom Wilhelmsen.
In the 10th, Coco Crisp singled to lead off against Oliver Perez (1-3). Stephen Pryor entered from the bullpen with one out and he walked Yoenis Cespedes prior to Moss' blast to right field.
Oakland starter Dan Strailey lasted just 4 1/3 innings, giving up four runs -- three earned -- on three hits. He walked four and struck out three.
But Pedro Figueroa, Pat Neshek, Evan Scribner and Ryan Cook combined for 4 2/3 innings of scoreless relief for Oakland, giving the A's lineup a chance to tie the game back up in the ninth.
In taking a no decision, starter Jason Vargas pitched seven solid innings for Seattle, allowing just one run on five hits, while striking out seven and walking none.
"He easily could've had 17 or 18 wins," Mariners manager Eric Wedge said of Vargas. "I love the way how he finished it off today and how he pitched and the way he competed. He put together a complete season and really came into his own this year."
He was backed by Seattle's bats in the early going, which got him a four-run lead to work with. Michael Saunders hit a two-run homer and Kyle Seager added a solo shot for the Mariners, losers of their last two.
Seattle jumped out to an early 1-0 lead, taking advantage of a leadoff walk and two consecutive errors in the second.
After John Jaso was issued a free pass from Straily, Justin Smoak hit a grounder to Moss at first base, who tried to throw to second for the force out. But Moss sailed his throw into left field for one error -- and then Cespedes committed a second error when his throw back to the infield was errant, allowing Jaso to go all the way home.
In the fourth, Seager hit a leadoff shot, and was followed three batters later by Saunders, who jacked a two-run homer to right to make it a 4-0 game.
Oakland responded in the bottom of the frame, with Moss hitting an RBI single to right to drive in Cespedes, who had singled in the previous at-bat.
Vargas then retired 12 of the next 13 batters he faced before reliever Carter Capps came in to start the eighth.
Though Capps began by striking out Cliff Pennington, he surrendered a single to Coco Crisp and then walked Stephen Drew to put runners at first and second with one out.
Wilhelmsen came into the game to face Cespedes, who popped on a foul ball to first. Crisp then stole third and scored on Moss' double to right, making it a 4-2 game, but the inning ended when Drew was gunned down at home plate.
In the ninth, the A's got a one-out baserunner when Reddick worked a walk off Wilhelmsen, who then surrendered Donaldson's two-run, game-tying homer.
Grant Balfour (3-2) tossed a 1-2-3 10th to earn the win.
Game Notes
The A's are now 11-7 in the season series against the Mariners ... Saunders hit his 19th home run of the season, to go along with 20 steals. The Mariners have not had a 20-20 player since Mike Cameron in 2002 ... Entering the game, Wilhelmsen hadn't allowed a run in his last 12 1/3 innings of relief.
- Brandon Moss one-out, three-run Home Run (21) to right scored Coco Crisp and Yoenis Cespedes to end the game.
Mariners 4, Athletics 7 Bot 10, 1 OutSep 29 7:18 PM
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Mariners 4, Athletics 4 End 9Sep 29 7:00 PM
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Mariners 4, Athletics 4 End 9Sep 29 6:59 PM
- Josh Donaldson one-out, two-run Home Run (9) to center scored Josh Reddick. Derek Norris due up.
Mariners 4, Athletics 4 Bot 9, 1 OutSep 29 6:56 PM
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Mariners 4, Athletics 4 Bot 9, 1 OutSep 29 6:56 PM
- Brandon Moss doubled to right scored Coco Crisp. On the play, Stephen Drew thrown out at home to end the inning.
Mariners 4, Athletics 2 End 8Sep 29 6:38 PM
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Mariners 4, Athletics 1 Bot 8, 1 OutSep 29 6:32 PM
- Brandon Moss singled to right scored Yoenis Cespedes. Runner on first with none out and Jonny Gomes due up.
Mariners 4, Athletics 1 Bot 4, 0 OutsSep 29 5:12 PM
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Mariners 4, Athletics 1 Bot 4, 0 OutsSep 29 5:12 PM
- Michael Saunders one-out, two-run Home Run (19) to right scored Justin Smoak. Miguel Olivo due up.
Mariners 4, Athletics 0 Top 4, 1 OutSep 29 5:03 PM
- Kyle Seager lead-off Home Run (19) to center. John Jaso due up.
Mariners 2, Athletics 0 Top 4, 0 OutsSep 29 4:58 PM
- Michael Saunders walked. Runner on first with one out and Miguel Olivo due up.
Mariners 1, Athletics 0 Top 2, 1 OutSep 29 4:28 PM
Top 1, 1 Out
Sep 29 4:09 PM
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rootsRUWTbot Added 11 roots
Mariners vs. AthleticsDec 20 6:03 AM
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subset: commoncrawl


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Typically, poor households lack access to nutritious foods, such as fruits, vegetables, animal source foods (ASF) (fish, meat, eggs, and dairy products), and indigenous foods of high nutrient content. A diet without diversity leads to inadequate nutritional intake and the risk of essential micronutrient deficiencies. Such diets, therefore, have far-reaching short- and long-term health and nutrition consequences. Economic constraints, lack of information and know-how, and the related lack of demand for nutritious foods are critical factors that limit poor populations' access to nutritious food.
Food production is just one factor in the consumption and availability of nutrients. Food is stored, distributed, processed, retailed, prepared, and consumed in a range of ways that affect the access, acceptability, and nutritional quality of foods for the consumer. Producing for consumption in the home or for local markets remains important in many places; but today, the more market-oriented nature of agricultural policies means that more farmers are net-food buyers and are thus affected by commercial markets.
Value chains concepts and approaches have been widely used in international development (and in the CGIAR) with the objective of enhancing the livelihoods of food producers. This component will build on the work carried out on the value chains of nutritious (usually high-value) foods.
- We will develop new approaches and tools to analyze the value chain, using a "nutrition lens" combined with a consumer focus.
- We will implement research to identify leverage points to enhance the nutritional value of select nutrient-rich foods.
- We will develop tools to assess and correct information asymmetries regarding nutrition among different value chain actors, including consumers.
The overall objective of this component is to leverage the value chains for select nutrient-rich (high value) foods to increase the demand for, access to, and consumption of affordable nutritious foods among poor rural and peri-urban marginal households, with a particular focus on benefiting vulnerable women, infants, and young children.
Documentation related to Flagship 1:
- Value Chains for Nutrition Framework, (Oct. 2014, PDF 915KB)
- IFPRI Discussion Paper on value chains for nutrition framework (Gelli et al. Jan. 2015, PDF 2.41 MB)


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The idea for these Gluten Free Maple Bacon Oatmeal Cookies came to me while I was walking down the breakfast aisle of the grocery store. At the time I needed to replenish my stock of quick cooking oats. As I grabbed the oats and tossed them into my cart I glanced the maple syrup that was across the aisle. Right then and there I had my light bulb moment!
Chocolaty Almond Joy Coconut Macaroons
Crispy and chewy. These Chocolaty Almond Joy Coconut Macaroons are a cross between a piece of Almond Joy candy and a cookie. What's not to love?
Soft and Chewy Peanut Butter Banana Chocolate Chip Cookies
The addition of mashed bananas and rolled oats fill the bill nicely for these Peanut Butter Banana Chocolate Chip Cookies. The result is a deliciously soft cookie that can also fit seamlessly into the breakfast category. LOL! You can thank me later!
Foolproof Strawberry Cobbler Bars
Beyond the flavor of these bars, what you're really going to love is how fast and easy they are to assemble, and bake. There is no electric mixer required and the ingredients are basic refrigerator and pantry staples such as flour, sugar, butter, eggs, strawberry jam and a handful of fresh strawberries. These bars are so easy to make that even a novice baker can turn these out like a pro, and then stand back and take a big bow because you'll be hearing some applause.
Double Chocolate Malted Chip Cookies
I've been away for a bit. My family needed me (and I needed them) as my dad transitioned into heaven. It's been a very difficult time for all of us, but it's also been a very beautiful time for many reasons. I was fortunate enough to spend a lot of time with my dad before he passed, and we had some really great conversations early on. And as I love to do, I got to bring him cookies, candies, and as the end neared, his favored chocolate malteds.
Christmas Cream Cheese Sprinkle Cookies
Christmas Cream Cheese Sprinkle Cookies are tender on the inside and crunchy on the outside, thanks to the fun and […]
Soft Cinnamon-Sugar Gingerbread Cookies
Make Christmas, even more, delicious with these Soft Cinnamon Sugar Gingerbread Cookies. They're sugar and spice and all things nice. […]
White Chocolate Banana Walnut Cookies
Soft , plump and tender, these White Chocolate Banana Walnut Cookies taste like a slice of fresh banana bread, only […]
Crunchy Pumpkin Banana Biscotti with Maple Syrup Glaze #PumpkinWeek
Crunchy Pumpkin Banana Biscotti with Maple Syrup Glaze are the perfect autumn treat to dip in a cup of tea, […]
Choco-Oat Toffee Chip Cookies
Chocolate lovers, do I have a cookie for you! These crispy Choco Oat Toffee Chip Cookies will satisfy your desire […]


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Category:People from Silver Spring, Maryland
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"You have zero privacy anyway. Get over it." - Scott McNealy, chairman of Sun Microsystems, 1999
There are still many people who have no objection to the government surveilling them. Many of my friends say "I've got nothing to hide" arguing that whatever the government does in the way of monitoring their telephone calls, Web browsing, and email messages doesn't bother them because they are not one of the "bad guys."
On the other hand, when asked if they value their privacy, every single one of them says that their personal privacy is very important.
The problem is that most people understand the concept of the state monitoring public and private communications to find out what the bad guys are up to and hopefully thwart them, but they don't connect the accumulation of data about themselves over a long period combined with a lack of rigorous controls on who can access that trove with a risk to their privacy. And the idea that over-reach is somehow not inevitable seems to go hand-in-hand with a belief that the government watchers are "good guys" in the broadest sense; that the authorities are somehow on the public's side.
What my friends, and probably yours too, fail to see is that the more they simply acquiesce as intelligence collection becomes increasingly comprehensive, the more those who are concerned about their privacy will be singled out for defending their privacy and how "transparent" citizens should be will become increasingly legislated.
For example, if you use encryption to secure data on your desktop, laptop, or smartphone and, for whatever reason, the police or customs should decide to search your property they may well demand the decryption key. In a case last year:
A Colorado federal court has ruled that decrypting a computer hard drive does not constitute self-incrimination from a Fifth Amendment perspective. Judge Robert Blackburn ordered accused fraudster Ramona Fricosu to release a decrypted version of her computer's hard drive. Fricosu's attorneys had argued that doing so would mean testifying against herself, which is prohibited by the US Bill of Rights.
Wired reported:
Her attorney appealed, hoping to win a reprieve based on the assertion that being forced to decrypt her laptop amounts to a breach of the woman's Fifth Amendment right against compelled self-incrimination.
The 10th U.S. Circuit Court of Appeals, however, sided with the government's contention that an appeal was not ripe - that she must be convicted or acquitted before the circuit court would entertain an appeal. Appellate courts usually frown on hearing appeals until after there's been a verdict. / The appellate court wrote (.pdf) Wednesday that it lacks "jurisdiction to consider the resulting proceeding under any exception to our usual finality rules."
In the end Federal authorities "successfully decrypted Fricosu's hard drive without her involvement" which left the whole issue of whether her decryption key could be demanded without violating her fifth amendments rights up in the air. And then there's the problem of what could be done by Federal authorities if she had claimed that she had "forgotten" the key? The judge could have thrown her in jail for contempt until she complied but, of course, if she had really forgotten the key then she would wind up being held indefinitely.
Now, what if this was you at a customs checkpoint in, say, Russia and a mean-looking guy flanked by guards with guns is demanding to examine your computer. And what if you're using TrueCrypt? TrueCrypt is free, open source encryption system that can not only secure your data but also creates a hidden volume on a drive. This hidden volume is designed to be truly hidden:
The principle is that a TrueCrypt volume is created within another TrueCrypt volume (within the free space on the volume). Even when the outer volume is mounted, it should be impossible to prove whether there is a hidden volume within it or not*, because free space on any TrueCrypt volume is always filled with random data when the volume is created and no part of the (dismounted) hidden volume can be distinguished from random data. Note that TrueCrypt does not modify the file system (information about free space, etc.) within the outer volume in any way.
So, when you enter one key the outer volume is decrypted and when you enter the other key, the inner, hidden volume is decrypted. Great, but there you are at customs being threatened and they know you're using TrueCrypt. You can claim that you don't have a hidden volume but they say "But you're using TrueCrypt, prove there's no hidden volume." Of course you can't so depending on if they are feeling ornery or not you could well wind up going to jail for what you don't have because you can't prove you don't have it.
While what happens when you are trying to negotiate customs in an unfriendly land (which could be the US if you're not a US citizen) may be a risk today tomorrow's risks might be to US citizens and could start out much as it did for the Catalanos who I wrote about yesterday.
The Catalanos were fingered by an ex-employer as possible terrorists on ridiculously specious grounds and, as a consequence, their home was searched by the police. But what if this family had had an encrypted computer and they had refused to reveal its decryption key? They were already under suspicion so how would the authorities feel if the Catalanos had refused to be transparent? And if the Catalanos had been using TrueCrypt how could they ever prove they weren't hiding anything even if they did choose to cooperate?
And we know the Feds don't like encryption. Remember that back in 2010 there was an effort by the Federal government to regulate the use of encryption online:
Federal law enforcement and national security officials ... want Congress to require all services that enable communications - including encrypted e-mail transmitters like BlackBerry, social networking Web sites like Facebook and software that allows direct "peer to peer" messaging like Skype - to be technically capable of complying if served with a wiretap order. The mandate would include being able to intercept and unscramble encrypted messages.
Thankfully that effort was derailed but you can bet that the idea of this legislation is not dead but, zombie-like it, or its hideous offspring, will rise again to stalk the halls of Washington.
The way things are going at some point in the future the mere use of anything that could obfuscate your trail in the world, hide your data, and or secure your privacy could be interpeted as suspicious behavior and that could be enough to warrant your in-depth surveillance and with that whatever privacy you thought you had.
Today you have some privacy left but one day Scott McNealy could well be right.


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Best Of :: Food & Drink
Dallas had to wait years for Uchi to make its way to Dallas, but now that the Maple Avenue location is open for business, the wait has proved worth it. The Austin-based Japanese restaurant, which has received multiple nods from the James Beard Foundation, offers a new spin on sushi that's filled with creativity. The best part about Uchi, though, is that you don't have to spend a fin and a tail to eat well here. Every day from 5-6:30 p.m., a happy hour special will fill you to the gills without breaking the bank.
When you dine out, how often do you receive a bonus side of feel-good? Chad Houser's Café Momentum has been a long time coming, and now that the official restaurant is open, diners don't have to chase pop-up events from neighborhood to neighborhood. Café Momentum employs at-risk, non-violent youths, giving them solid training and a chance to earn an honest living. Diners get ricotta gnocchi with rapini and sage from one of the most inspiring culinary teams Dallas has to offer.
This town needed a shake-up. Not only has Dallas' dining scene been overrun with meat and potatoes, but the most notable chefs have often been men. Enter Misti Norris, whose kitchen at Small Brewpub is turning out the most innovative bar food Dallas has ever seen. While folks at watering holes down the road nibble on chicken wings, Norris' customers dine on chicken feet. Her charcuterie, condiments and even the vinegar are made on-site, and the results are as delicious as they are interesting. Don't miss this chance to see where Dallas' dining scene could be headed.
For the longest time, the term slider was reserved for thin-pattied mini-burgers you could down in one bite. They were bready and dry and only slightly better than the alternative of having no burgers at all. Then Easy Slider came around and the slider was turned on its head. Forget nickel-thin meat patties and picture meatballs instead. Now dream up every flavor combination you think even remotely belongs on a burger and know that Easy Slider has likely tackled those dreams already. Combine juicy burgers with interesting flavors, then put them on wheels, and you've got the best food truck in town.
With so much focus placed on brisket in matters of Texas barbecue, it's easy to forget there are other cuts of meat that benefit from some time in a hot, smoky environment. A perfectly smoked sausage, for instance, is a thing of true beauty, especially when the links are expertly prepared. Cattleack Barbecue has excellent brisket for sure, but the links coming out of that kitchen are works of art. Plump and rarely collapsed or wrinkly, these sausages retain their fat and ooze with moisture when your teeth pop through the snappy wrapper.
A morning trip to CBD Provisions is worth it for the oatmeal alone. Each bowl is topped with nuts, drizzled with sorghum and finished with a dollop of crème fraiche. You'll never be able to go back to Quaker again, and all of the morning options here are good enough to make you want to open up your newspaper, blow off work and put in an extended breakfast session. The eggs are expertly cooked and the coarsely ground sausage is made in-house. There's also a baker toiling away: The biscuits, breads and other baked goods are on point.


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OMG! Don't you hate it when you go to a gay bar, make out with TWO gay men (even though you are a woman), and then totally don't remember it because you were, like, too drunk?
How do you tell your on-again, off-again lover that you are suddenly into kink? This includes a bonus anti-choking sermon from Father Dan Savage. Don't do it.
A lost lesbian bemoans the fact that she is a butch dyke attracted to other butch dykes. Can she meet anyone like her? Maybe if she moved out of Tulsa, Oklahoma…
And more.
You can and should comment on this show over at www.thestranger.com/lovecast


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The 19-year-old singer won five prizes at the American Music Awards yesterday, including artist of the year.
She made an acceptance speech via satellite link from the Wembley Arena, where she will tonight perform a concert.
But hours earlier she had been browsing in Portobello Road with her friends and mother, despite crowds of fans surrounding her to take pictures. After looking at clothes and necklaces at a jewellery stall, she left with three bagfuls of goodies.
She won favourite female artist in the pop/rock and country categories, and favourite adult-contemporary artist. Her album Fearless, the best-selling release in America this year, was named favourite country album.
More pictures: The American Music Awards
Swift, who went head-to-head in the artist of the year category with the late Michael Jackson, said in her acceptance speech: "Music has never been ultimately about competition."
She then added it was an "unimaginable honour" to be cited in the same category as Jackson, who ended up with four awards.
Performers at the ceremony in Los Angeles included Shakira, Rihanna, Jennifer Lopez and Lady Gaga in a trademark bizarre costume.
Former X Factor winner Leona Lewis also attended, wearing a black Vivienne Westwood dress.
More pictures: The American Music Awards
- More about:
- Contemporary Art
- Country Music
- Jewellery
- Necklace


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Let us know when your receive great advice so we can thank our lawyers and point others with similar questions in the right direction.Got it!
do i need to send four photographs with my iv packet two for NVC and two for CDJ Consualte? i was reading on travel.state.gov website that ciudad juarez consulate has additional instructions which are sending two passport style photographs but im not sure if those are the same ones NVC is asking for or are these two additional photos i need to send?
You sent 2 to the NVC. As a precautionary matter, I like clients to bring 2 more when they go in to the interview, just in case.
This is not legal advice and a client attorney relationship is not created.Ask a similar question
great legal tip.
For consular processing through Ciudad Juarez it depends on your case number. If it starts with MEP, you should send a copy of two passport-size photographs and then bring the actual photographs to your interview. If your case number begins with CDJ, you need to send the actual photographs (2) along with the rest of your civil documents. There is no need to send two (2) photographs to the NVC and another two (2) to the Consulate. The NVC forwards your entire file to the Consulate at the appropriate time.Ask a similar question
The advice given to you by my colleagues is correct.
Mr. Shusterman's (former INS Trial Attorney, 1976-82) response to your question is general in nature, as not all the facts are known to him. You should retain an attorney experienced in immigration law to review all the facts in your case in order to receive advice specific to your case. Mr. Shusterman's statement above does not create an attorney/client relationship.Ask a similar question
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Surface roughness for solid wall boundary
Is there any way to define roughness for a boundary designated as a solid region? I only see this option for fluid regions. If I have a solid/fluid interface where the surface of the solid has ridges, would I just change the roughness of the fluid boundary shared by that solid?
Set the roughness on the boundary of the FLUID re
gion, then build an interface between the adjected boundaries of the fluid and solid. The interface ingherites the roughness of the fluid boundary.
|All times are GMT -4. The time now is 08:35.


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Looks like Pine Lake Terrace Apartments is no longer available on Rent.com which means this information is likely out of date.
Pine Lake Terrace Apartments in Garden Grove, CA 92840 are only 2 miles from Disneyland and 4 miles from Anaheim. Apartments have walk in closets, breakfast bars, private balconies, extra storage space, separate bathroom vanities, oversize bedrooms and central air conditioning. Most apartment homes also have lake or stream views. Gated community is pet friendly and soon to be smoke free and has a fitness center, swimming pool, recreation room with Ping Pong table, laundry facility, on site recycling and available assigned carports. Located 13 miles from John Wayne Airport, 17 miles from Long Beach and just minutes from I 5, I 405 and the 22, 57, and 91 freeways. Guarantors welcome!
Our lease terms are: We offer 7-15 month leases. Guarantors welcome. (Please note that lease terms may vary, are subject to change without notice, and are based on availability. Inquire with property staff for complete details).
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Alkaline Diet: The Key to Longevity and Fighting Chronic Disease?
There are all types of diets out there — some good, some bad — but there is perhaps no diet better for longevity and staving off disease than an alkaline diet. Don't just take my word for it. A 2012 review published in the Journal of Environmental Health found that balancing your body's pH through an alkaline diet can be helpful in … Read More0


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3 Min Read
* FTSEurofirst 300 up 0.2 percent at 1,159.67
* European set for first monthly fall in a year
* Schroders boosted by Exane upgrade
* Vodafone climbs as Deutsche upgrades
By David Brett
LONDON, June 28 (Reuters) - European shares opened marginally higher on Friday, with trading expected to be subdued as investors avoided making large bets at the end of a volatile quarter and before U.S. economic data.
Rising markets benefited financials, with asset manager Schroders, up 2.5 percent, also aided by an upgrade from Exane BNP Paribas to "outperform".
By 0730 GMT, the FTSEurofirst 300 was up 2.25 points, or 0.2 percent, at 1,159.67, with the index on course to suffer its first monthly loss in a year, despite having rallied around 3 percent from Monday's lows.
"We are higher on window dressing for the month/quarter/half-year end," said Jawaid Afsar, sales trader at SecurEquity.
He said that having bounced off Monday's year lows, a hold above the 200-day moving average could be enough to see indexes push higher.
He targeted a return to the 6,400 level on Britain's FTSE 100 over the next few sessions after central bankers sought to defuse concerns over slowing support for the global economy.
Soothing words from policymakers have helped calm volatility - a crude gauge of fear among investors - from 10-month highs on Monday.
With central bankers saying any scaling back of stimulus in the United States will depend largely on economic data, the market will focus on Chicago's June index of manufacturing activity at 1345 GMT and Thomson Reuters/University of Michigan's final June consumer sentiment index at 1355 GMT.
Citi increased its exposure to financials and said it was using the recent market pull-back as an opportunity to raise insurers back to "overweight", citing, among other reasons, valuation, improving return on equity, positive earnings momentum and correlation to rising bond yields.
Its top picks are Axa and Aviva.
Telecoms firm Vodafone rose too, up 1 percent.
The stock was helped by Deutsche Bank's upgrade to "buy" and reports that John Malone, chairman of Liberty Media, is sounding out options for cable operator Charter Communications to acquire larger rival Time Warner Cable.
Analysts said that if true, it could be good news for Vodafone as it meant it might not be forced to raise its bid further for Kabel Deutschland.


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Four months ago, Staples kicked off online sales of Apple's iPad tablets and now the retailer is offering the latest iPad tablets through its website, as well. Cnet's Lance Whitney was the first one to spot the change:
Staples is only offering the iPad Air starting at $499 and the Retina iPad Mini starting at $399. If you are a Staples customer you can also choose trade in your older iPad and earn as much as $300. Also, there's the option to earn 5 percent back in rewards credits. Older iPad version are still available for an online purchase. With this move, Staples is expanding its partnership with Apple, which began in the spring of 2013 when the retailer started selling Apple products like the Apple TV and the AirPort wireless networking lineup.
Source: Cnet
iPad Air and iPad Mini 2 land at Staples brick-and-mortar stores
Discussion in 'Apple iPad News' started by RaduTyrsina, Jan 9, 2014.
Discussion in 'Apple iPad News' started by RaduTyrsina, Jan 9, 2014.
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Home > Product Categories > Expendables > Hardware & Safety Gear > Flashlights > 2365
Item #: PEL-2365 MFG #: 2365
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The new 2365 LED flex neck light from Pelican lets you shine light where it's needed. Whether you are working in the engine bay of your car or under the fuselage of a jet, the 2365 ensures you can work hands free in bright LED light.
A magnetic base attaches metal surfaces and the 15" flexible neck directs 56 lumens of bright LED light. A push button tail switch activates the efficient 2365 for 7 hours of burn time on two standard AA batteries.
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Staybridge Suites NW Near Six Flags Fiesta
Staybridge Suites NW near Six Flags Fiesta Texas in San Antonio welcomes you and your family. We are within close proximity to Six Flags Fiesta Texas, The Shops at La Cantera, UTSA- University of Texas San Antonio, Valero Corporate Headquarters, Victory Medical Center, Forest Park Medical Center, Nustar Energy, The Rim and Paladium IMAX Movie Theatre, TopGolf, I10 and 1604W.
Business and military travelers in San Antonio for an extended stay will appreciate our hotel's location near USAA, BAMC, Fort Sam Houston, Lackland Air Force Base and Camp Bullis. For added convenience, the 24-hour Business Center is available to meet your business needs.
You can choose from our one or two bedroom suites all with fully equipped kitchens and enjoy amenities such as the complimentary laundry facilities, 24-hour Fitness Center, DVD lending library, storage lockers, pet friendly, complimentary shuttle within a 3 mile radius, two barbeque grills accompanied with a gazebo and an outdoor heated pool and hot tub, not to mention a 24-hour Pantry with all the snacks you crave.
For great memorable stay at our Staybridge Suites NW near Six Flags Fiesta Texas Upscale San Antonio Extended Stay Hotel, book your stay with us today.
Pet Fees Apply.
Quick Info
- Check In: 4:00 PM
- Check Out: 12:00 PM
- Minimum Check-In Age: 21
- Parking: Free
- Print Fact sheet
- Chat Online
- Important Update
Hotel Highlights
- On-site Guest Self-Laundry Facilities
- Complimentary Breakfast Buffet
- Standard Wireless Internet service is free for all members
- On-Site Fitness Center Available
- Complimentary Shuttle Available
Guest Reviews
Overall Experience
Great breakfast
July 26, 2017
Very good variety in the buffet, but the swimming pool open late.
Great stay
July 23, 2017
Friendly staff, clean, comfortable room! Enjoyed the social and breakfast was different each morning!
Comfortable bed
July 22, 2017
Clean room. Friendly staff. Comfortable bed. Good tv. Spacious rooms. Pet friendly.
Just an average stay
July 21, 2017
Average hotel, we have stayed here in the past several times. Unfortunately the hotel has really degraded. The bed was uncomfortable, the couch swayed in the middle you couldn't sit on it comfortably. The shower faucet one day was freezing cold and wouldn't get hot, the next day it was extremely hot. The last night of our stay we went to the pool, i came inside and my hotel key wouldn't work and i was stuck outside my hotel room dripping wet in the cold. My husband and my daughter got locked outside the hotel dripping wet......for 15 mins until someone happened to come into the hotel. We informed the front desk and they advised the GM would contact us. We told them we were planning on sleeping in and we would talk to him/her upon check out the next day. Just before 8am our hotel phone rings and scares the heck out of us..and woke us up. It was the GM stating he would like to talk to us. My husband told him we said we would talk to him upon checkout...We were told they were giving us 5,000 points and then ended up telling us we got 20,000 we had no clue what they were talking about. it was a slap in the face to us. My whole weekend was ruined and I was very unhappy overall with the incidents. (their were several other issues)
I do have to say the staff was apologetic and kind during our stay. I felt after all that the GM should have been given a discount or a free night stay rather than points that will never add up to anything for our benefit.


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AUSTIN, TEXAS – Buffalo Technology partners with eInfosystems.net to provide TeraStation III iSCSI rackmount network storage devices to Fiberoptic Components for their new data backup and archive project.
Fiberoptic Components recently began to expand its customer base to include healthcare. Due to the expansion and business growth, the project required a systems integrator. John Roche, president of einfosystems.net, was approached to be the systems integrator for Fiberoptic Components' solution to create, store and access electronic documents, which were currently being stored in hard copy format.
"Due to the new regulations Fiberoptic Components were facing now that they had expanded their industry reach into the medical field, it became critical to store mass amounts of paper docs so they could be preserved and accessible for years to come," Roche said. "I'd used Buffalo products in other projects before and knew a TeraStation would be the right fit for this project."
Buffalo Technology's TeraStation III iSCSI rackmount network storage device was selected as part of the archive and backup storage solution. The staff at Fiberoptic Components now scans thousands of documents, creating a 50KB PDF for each "package" file, thus removing the boxes from the floor and the storage room, which saves them floor space and allows for easy data retrieval. Fiberoptic Components estimates thousands of document packages need to be created and have scheduled at minimum one year just to back up the current archives. The project of scanning began in late 2010, and it is expected to continue for at least one more year.
"One reason the TeraStation III iSCSI was such a good fit for this project is they needed to add a large amount of storage to an existing server, with capacity for the next 24-36 months," Roche said.
The TeraStation III iSCSI Rackmount network storage device offers a high performance data backup solution with business-class features that makes use of existing Ethernet infrastructure, providing a simple way to consolidate data storage systems for workstations and servers. The user-friendly iSCSI interface makes it easy to attach network storage to multiple PCs or servers or monitor controllers, which will help during the next upgrade.
About Fiberoptic Components
FiberopticComponents, LLC, is one of the world's leading manufacturers of OEM fiber optic light guides, cables and subassemblies, with products that are used in both medical and industrial illumination applications. For more information, visit www.lightguides.com.
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text:
Goldilocks Books
Goldilocks Books
Not too hard, not too soft... just right. Good for bedtime reading.
Spiffany created this book list on IndieBound.org because buying local and independent is important to your economy and your community.
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My favorite bookstores:Politics & Prose Bookstore and Modern Times Coffeehouse
5015 Connecticut Avenue, NW
Washington, District of Columbia 20008-2024
(202) 364-1919
American Univ. Campus Bookstore Follett #412
American University
Washington, District of Columbia 20016
(202) 885-6301
Kramerbooks & Afterwords, Inc
1517 Connecticut Ave NW
Washington, District of Columbia 20036-1103
(202) 387-1400
Published by: Europa Editions
Edition: Paperback (ISBN #9781609450519)
Published by: Fairwood Press
Edition: Paperback (ISBN #9781933846309)
Published by: It Books
Edition: Hardcover (ISBN #9780062121660)
24) Orlando
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Edition: Paperback (ISBN #9781604444353)
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text:
So very disappointed - never again: MSC Opera Cruise Review by disappointed60
Overall Member Rating
So very disappointed - never again
Destination: Baltic Sea
Embarkation: Southampton
Food - largely inedible, ended up with grated carrot and cheese mostly. Used self service because prefer to - huge mistake - but paperwork said first sitting, card said 2nd!!! No fresh food available, or local produce, right in the middle of one of the largest fishing grounds going and ours was cheap frozen fish. Fruit only in the morning and very small selection. Juice only in the morning, yogurt only in the morning. Pasta and pizza in excess.menu never change and noticed same food repeated and things More made up of left overs from the day or meal before, weird cold salad dishes - broccoli, we expected food like on the Royal Caribbean, not bad works canteen. Also restaurants closed regularly and no food available from last sitting till 11.30 when a few rolls were produced and handed out by a waiter (tiny rolls). Ended up dreaming of vegetables and fresh fruit (both of which were in very short supply)
Hotel - had stayed night before in the De Vere in Southampton - really nice, made what came next even worse
Embarkation - suprisingly good - very quick which cant say for Royal Caribbean last year - only thing that was better though Children - grown up but would despair of the very Italian kids club, and hate to think how much drink would have cost for my boys + 15% on everything
Excursions - good,one brilliant at Flam - hotel in Voss food just like on Royal Caribbean, other cruise line passengers would probably not accept anything less - we on Opera were over the moon, fresh salmon (several dishes),potatoes (did not see one on Opera that wasnt fried), and hot cooked vegetables which did not appear on the Opera. Also mousse, jelly, cream and proper cakes, not nasty frozen ones as on the Opera.
Entertainment - dont find people changing red hats funny! Amauteurish, expect more when paying over £1100 each for a cruise.
Stateroom - ok, small, clean but no fun things like towel animals or choccys on the pillow.
Service - what service, 1 english tv channel.1 night no broadcast went to reception told satellite signal not strong when it is obviously a tape no action taken by staff. Got the 7 Euro service charge taken off - 15% ridiculous when most staff nearly chuck the stuff at you, got fed up with being pounced on every time I sat down by a waiter/waitress trying to sell drinks Conclusion - Never again with MSC, I feel like I havent been on holiday, and the experience has overshadowed the lovely places we went to. Has put me off cruising again, but if I do it will be with the Americans or on a British line.
I was right to feel dubious about a very Italian line but was mis sold by my agents. It was like Butlins(circa 1963) on sea, but without the entertainment. Also sorry to go on but the shops, expensive,not relevent to the occasion and with no connection to the countries visited, and not exactly humming with cstomers in fact whole Opera experience comes under the heading CRAP!!!!!!!!!!!!!!!!! Less
Published 07/07/11
Cabin review: 10
cabin not bad, bit small, basic not luxury
Port and Shore Excursions
Read Cruise Critic's MSC Opera Review >>
Good cruise for a range of age...
Northen Europe and the Baltic ...
Great Cruise, Service Could Be...
Terrible Service
Loved Havana but not the best ...
Close, but yet so far
Beautiful Ship But....
Worse cruise service ever!
Sponsored Links


text:
Generally speaking, Shuck was a well-trained dog.
This tended to come as a surprise to people meeting him for the first time. Barghests were not widely known to be obedient house pets. They were, rather, more associated with legends of Black Dogs that roamed lonely moors by the dark of the moon, their blazing red eyes and terrifying howl a presage of violent death. Typically, one did not expect passerby to stop and say, "Who's a good boy, Shuck? Who's a good boy?" and offer a skritch behind the ears, causing a flaming tongue to loll from his mouth in a doggy grin while his tail thumped on the floor.
The Royal House of Magic, though, was not an ordinary place. The magicians and apprentices scurrying by did not all recognize the pet of Mage Consul Lillet Blan's eight-year-old daughter, but even the majority who did not know him weren't inclined to stop and stare. Seeing a sorcerous beast who stood nearly six feet high at the shoulder lying peacefully in a nook, they were much more likely to think, "Huh, someone's familiar" than "Giant monster in the palace!"
Observational context meant a lot that way.
Being a well-behaved dog, Shuck was generally inclined to follow his mistress's orders. Cressidor Blan-Virgine had told him, "Now you stay here while I go find Mama," and Shuck had every indication of doing just that. He'd have much preferred to follow along, as in typical dog fashion he'd rather be with his people whenever he could, but he understood that it was his job to follow directions. And he'd detected the scent of pork jerky from Cress's pocket that morning, suggesting that there could be treats if she was happy with his behavior!
Besides, if he left the Royal House of Magic, people in other parts of the palace tended to be more...excitable than magicians. Like most sociable animals, Shuck got a little depressed when people didn't like him. And screaming was hard on his sensitive ears.
Still, in a place with so many people, filled with so many unusual sounds and smells, it was hard for Shuck to fully relax. Just then, for example, a strange click-clack noise from the stone-flagged corridor caused him to prick his ears up. A moment later, what appeared to be a skeletal hand walked by, its fingers moving on their own like the legs of a crab.
Mmm, crab...
Thoughts of seafood distracted Shuck from the odd sight, and he settled his head back down between his front paws. He was just relaxing into a happy contemplation of last night's dinner, during which Cress had kept slipping him tidbits under the table, when more clicking noises disturbed his pleasant reverie. Shuck looked up again and saw what seemed to be a very large leg bone, perhaps from a cow or horse, flipping end over end down the corridor.
He blinked. This was, to his experience, a rather odd thing for a bone to do. In point of fact, it was fairly unusual in his experience for bones to do anything other than taste good unless they were accompanied by that scary pale light that made him want to hide behind the bed, but when one spends one's life in the kind of household that keeps a barghest as a child's pet, well, a dog learns to expand his expectations of "normal." Even so, ambulatory bones seemed a trifle odd.
Nonetheless, Shuck was a well-behaved dog (pork jerky!) and he settled back down again, only to once again hear the clickety-clack of bone on the corridor flagstones. This time, it was two sets of arm-bones, each set somehow connected at the elbow despite there being no sign of wire or connective tissue holding them together. The arms moved along like a pair of inchworms, bending up and flattening out. Just then, an apprentice and an elf came by from the other way, and paused in their chatting when they saw the arms. They watched the bones move by, then glanced at each other, shrugged, and kept on walking, continuing their discussion. It seemed that, while unusual, such an event was not enough to catch more than a moment's attention.
At least it wasn't giant fleas again. He gave a little shiver at the memory; they'd tasted bad! And Cress had gotten scolded for not giving him his flea bath! And he'd had to go take that bath! Sometimes, it was a truly a dog's life being a dog...
Once again the click-clack of animated bones broke up Shuck's descent into memories, though this time it was a welcome relief.
This bone was a ribcage, the sternum in place but with no sign of a spine. This left one end of each rib unattached to anything and it was on these empty tips that it walked along, like some monstrous arachnid with far too many legs.
Shuck whimpered. This was just getting too strange! One or two such odd events was within the kind of thing he might expect in daily life, but four? He wrestled with his doggy conscience, and after three solid minutes of a bitter internal conflict he rose to his feet. He knew he'd been told to stay, but...those were special circumstances! Surely this was one of those situations where the original command had been given in ignorance of the new events?
The clicking sounds had faded by this time, so as he started down the passageway he sniffed at the floor, following the dusty scent of the bones. He was happy that the scent did not carry with it the touch of that frightening pale light—that might well have convinced him that it was better for him to go back and lay down again. But he kept along, turning a corner and then another, passing a few people on the way.
A sudden crash and a strangled gasp made Shuck raise his head in surprise. Those were not good noises! He scurried ahead past a couple of closed doors and burst through an open one into a fairly large room, outfitted with benches, tables, and metal contraptions, several of which had open doors revealing burning flames. Indeed, the room much resembled the "Don't Go In Here, Shuck" room at home that his people called a laboratory. In the center of the room, one of the metal things had been knocked over, spilling coals out onto the stone floor. A robed human lay on his back next to it, unmoving.
The bones, meanwhile, were very much in evidence. In fact, they looked to have put themselves together with many others, for there was a positively gigantic skeleton on one side of the laboratory. It was at least eight or nine feet tall, basically looking human, but with legs that had an extra joint, feet that had splayed toes and claws like a bird, and a cow's elongated, horned skull but with jaws that sported reptilian fangs. The third arm attached to the top of its breastbone didn't seem any different from the normal two, except that its hand was squeezing the throat of an apprentice wearing ruby skirts.
It was the sort of scene where the plain facts were apparent even to the understanding of the family dog.
When Shuck hit the creature, he'd leapt up at it, forepaws striking the collarbones and using a quarter-ton or so of weight to knock it over, tearing it free from its victim. The skull-head turned on Shuck, pale yellow sparks in the depths of its empty eye sockets glaring balefully. Two sets of jaws snapped as the battle was joined in earnest.
"I know that nearly getting killed ought to be enough of a lesson, Master Freixenet, but in this case sterner measures need to be taken. Yes, there are wards and safeguards shielding the Royal House of Magic from the rest of the palace compound and yes, accidents will happen, particularly in Alchemy, but ignoring basic safety procedures because of 'should'ves' and 'ought tos' isn't acceptable. My daughter's dog isn't going to be around every day."
The head of the Royal Magicians nodded solemnly.
"I agree. Master Malbec will have to be sanctioned for this." He stroked his long, flowing gray beard with a spindly-fingered hand that looked a bit like a long-legged spider itself. "He endangered Miss Moët's life with his foolishness as well, which is even more unacceptable. One has a certain leeway to take risks for one's own ends, but not to involve others."
"So what was the problem, anyway?" Lillet Blan's professional interest rose up almost instantly after the administrative issue was dealt with.
"The bone golem did not properly respond to binding; it appears that the use of pre-existing organic matter to construct it, as opposed to minerals, interfered with the control functions. Master Malbec disassembled it, but the connection between the parts and the animating alchemic force was too strong to be severed by mere separation of the bones. Apparently, the components sought each other out and reassembled themselves, even more out of control."
"I see. Can you send me a copy of the full report? I'm interested in the specifics."
"Certainly. It was a fortunate thing that your daughter's barghest happened along when he did. As a creature of Sorcery, his magic was able to easily disrupt the alchemic power of the golem and render it permanently inert."
Shuck wagged his tail happily. He liked being a hero.
"Even so," the old wizard went on, "I am surprised that the golem inflicted so little damage upon him. The creatures are of relatively equal power; the mere magical advantage should not have made such a complete difference."
Lillet giggled.
"Master Freixenet, you're forgetting something. The interaction between the magic of Sorcery and Alchemy is nothing compared to the long and very one-sided history between dog and bone."


text:
Courtney Brown
Her Life Story Of Bulling.
Courtney Brown as a 17 year old girl who lived in Parrsboro, Nova Scotia. She died from suicide on March 30th 2011. All her life she was happy and loved everything until she became depressed after the boy named Jordan she wanted to marry died in a car accident.One night her parents were out having dinner on a Wednesday night when they got a text from Courtney saying "I hope I am dead when you get home." She sent that text right after she had smoked and then began to hang herself. Her parents rushed home. Her father rushed in the house that night and opened the basement door. He saw Courtney hanging at the bottom of the stairs. He sat there sobbing as her mother Sharon called 911. Her father cut her down and began to preform CPR but it was no used his daughter was dead. She had no life left in her.
Before this she was bullied and not only did the death of the guy she adored push her to suicide but the bulling that had happened to her. She got nasty posts about her on Facebook and rumors and her and her boyfriend. Sometimes Courtney would pretend to be sick and stay home from school to stay away from everyone. She told her principle she wanted to die so her parents began to get her counseling.
My feelings on this is very harsh. She went through so much and had a very hard time. Not only with a death but also with bullies. I feel really bad for her because no one should be treated like that. She choose the worst way to die with her parents not being there and smoking before. She could have blocked it out and thought about the good things. She choose not to go out for dinner witch was her worst choice.


text:
Gov't Mule Announces The Tel-Star Sessions Tour
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This is a fun one! Southern jam band Gov't Mule just announced a new tour this summer in support of their latest album, "The Tel-Star Sessions." There will be 13 stops on this tour kicking off Aug. 1 in Augusta, GA and will wrap up Aug. 18 in Papillion, NE. Other stops include Charlotte, Atlanta, Boston, Pittsburgh and Indianapolis. Special...
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text:
Tabards of the Illidari
Collect 10 Illidari Tabards.
- Illidari Tabard × 10
The wind riders must return to Shadowmoon Village to prepare for the next phase of our assault. What I need from you now are the tabards that these blood elves wear.
When you have collected enough tabards, call for a wind rider using the Kor'kron flare gun. Prepare yourself for a bit of espionage, <race>!


text:
52 year old seeking more youthful appearance
*Treatment results may vary
Was this photo helpful? {{ voteCount + ' other' + (voteCountOthers == 1 ? '' : 's') }} found this helpful
Our facelift patient was deeply disturbed at her reflection in the mirror. Healthy, active and fit she felt her outward appearance did not match how she felt inside. She requested that Dr. Braden Stridde restore her to her previous, more youthful self. In particular she was very concerned about her neck and jowls. Dr. Stridde recommended a full face lift with attention to the lower face and jaw.


text:
About the Book
Claludette and Tony Young went on vacation to Alaska. This is a journal with photographs of thet trip. They traveled by rental car and cruise ship. They chose bed and breakfasts for lodging.
Features & Details
- Category Travel
Standard Landscape, 10×8 in, 25×20 cm
46 Pages
- Publish Date Oct 25, 2008
- Tags Claudette Young, Tony Young, Lake Louise, spirit. floatplane, Alaska, Homer, Anchorage, moose, bear, glacier, supercub, 2005, journal, adventure, vcation
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text: 5/26/14 5/21/14 POPSUGAR Celebrity Celebrity Couples Kardashian Family in Paris For Kim and Kanye's Wedding Kim Kardashian Squeezes In Another Party Ahead of Her Big Day May 21, 2014 by Alyse Whitney 118 Shares Chat with us on Facebook Messenger. Learn what's trending across POPSUGAR. View on One Page Photo 15 of 18 Start Slideshow ADVERTISEMENT () Share This Link Copy What's Your Reaction? Thanks for your reaction Don't forget to share this with your friends! ← Use Arrows Keys → 15 Previous Next Kylie JennerKendall JennerKris JennerCelebrity CouplesKhloe KardashianKim KardashianKanye West


text:
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Elway on Tebow: "I've never seen anything like him."
Tim Tebow's magic doesn't make sense
How does Tebow do it?
Tebow defies NFL conventional wisdom
Somebody stop him!
Tebowmania takes control of the NFL
Tim Tebow and the Miracles
"He shocked me," Revis said, "probably shocked a lot of people."- Jets star cornerback Darrelle Revis


text:
*10 Week Class*
Class start Tuesday, January 10th or Thursday, January 12th (two separate classes)
from 6:00 – 8:00pm
Teen & Adult
Cost: $260.00 (payment made in 2 installments)
In this 10 week class you will learn skills used in basic upholstery projects. Instructor will demonstrate proper use of basic upholstery tools and techniques used in basic upholstery work.
The first 4 weeks will be a lecture based demonstration of how to prepare, breakdown, correctly measure fabric and reupholster a actual chair. This will give students the chance to see the whole process at once before they individually reupholster their own furniture.
During the following 6 weeks students will start and complete their own project. Each student is responsible to bring their piece of furniture to be reupholstered. Only ottomans, kitchen chairs, dining room chairs or piano benches may be reupholstered in this basic class. Specific pieces will be accepted at the teachers discretion. (Rule of thumb…If you can't lift it yourself it is too big for this class.)
Just bring a note pad and pencil to the first class and please wait until week 5 to bring your furniture! (Unless otherwise specified by instructor)All tools needed will be provided.To guarantee your place in this class we must receive a $50 deposit by January 9th which will be applied to the cost of the class.
Portside Arts Center
2531 East Lehigh Avenue
Philadelphia, PA 19125
Phone: 215-427-1514
Fax: 215-427-1514
Website portsideartscenter.org
Blog: http://www.portsideartscenter.blogspot.com/
Portside Arts Center
Wed, 2012-01-04 13:39
I'd love to take this but can't this January. will it be offered again?
tracey mccandless
Thu, 2012-01-05 00:47
diy.com is full of these classes for free
Tracey McCandless
Thu, 2012-01-05 08:27
diy.com is full of these classes for free
the class is with a professional upholsterer. i believe it's a bit more in depth and hands on than an online video.
"my pockets are empty, i've spent my last dime,
but i just got to hear that song one more time."
Thu, 2012-01-05 08:42
i would be much more motivated to actually learn upholstery if i were taking a class with a professional. if i were to rely on diy.com, upholstery would just end up in a pile with all of the other things i've wanted to learn but flamed out on.
"Try to learn to let what is unfair teach you." – David Foster Wallace
Thu, 2012-01-05 09:11
plus, it's great to support a local business!
tracey mccandless
Thu, 2012-01-05 09:28
i meant no direspect I have just reread what I wrote and I'm am truely sorry. I meant that chairs ans smaller items are available. What I would love to learn is the darn couch and love seat my lovely dogs seems a dire need to scratch everytime I go out
Tracey McCandless
Fri, 2012-03-16 09:50
the upholstery class had a write up in the inquirer today.
"my pockets are empty, i've spent my last dime,
but i just got to hear that song one more time."


text:
Twentieth Century Literary Theory: A Reader
A thoroughly revised edition of this successful undergraduate introduction to literary theory, this text includes core pieces by leading theorists from Russian Formalists to Postmodernist and Post-colonial critics. An ideal teaching resource, with helpful introductory notes to each chapter.
Please visit Help Page for Questions
regarding ISBN / ISBN-10 / ISBN10, ISBN-13 / ISBN13, EAN / EAN-13, and Amazon
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text:
Definition Edit
"There are three main kinds of EAS. . . . Some EAS programs are mass market PC-based applications of fairly limited 'functionality' (meaning capability). Other EAS programs are developed by or for a specific enterprise and its particular needs; . . . The third, intermediate category of EAS [is] enterprise resource planning (ERP) system software. ERP is packaged software that integrates most of an entity's data across all or most of the entity's activities."[1]
References Edit
- ↑ United States v. Oracle Corp., 331 F.Supp.2d 1098 (N.D. Cal. 2004) (full-text).


text:
We have some super ShopRite deals starting on Sunday 8/23. Here are the newest ones we spotted.
At ShopRite starting 8/23:
BUY ONE FRENCH'S SPICY DELI MUSTARD 12 OZ, on sale $0.99
Use one $0.50/1 French's Mustard coupon, 5/10 SS newspaper insert – doubles to $0.99
BUY THREE BETTY CROCKER HAMBURGER HELPER, on sale $0.88
Use one $0.75/3 Helper Regular or Ultimate Skillet Dishes coupon, 8/2 SS newspaper insert – doubles to $1.50
NET PRICE FOR ALL: $1.14 (or 38 cents each!)
BUY TWO FLIPZ CHOCOLATE COVERED PRETZELS 4-5 OZ, on sale $0.99
Use one $1/2 Flipz 5 oz or larger printable coupon (preclipped)
NET PRICE FOR ALL: $0.98 (or 49 cents each!)
***Watch sizes here. Not all items in the sale will meet the size restrictions on the coupon.
Thanks to LRWC for the tips.Extreme Couponing Tip: You can usually get two prints of most internet coupons. To find them in the easiest possible way, use our preclipped links that take you right to the coupon. Then come back and click the same link to get your 2nd print. This will save you the time spent searching for the coupon.
Never miss another hot coupon, deal or freebie again! "Like" Couponaholic .NET on Facebook, Follow us on Pinterest, Follow us on Twitter, Follow us on Instagram or Subscribe to our Daily Email Newsletter!


text:
Chef Works BEBL Poly/Cotton Black Beret
Ships in 2-3 days
Availability: In Stock
✔ 65/35 poly/cotton 6.2 oz fabric✔ Metal grommet air vents✔ Full elastic back✔ Color: blackSee more product details
Earn $0.12 Loyalty Reward Points! More Info
Item Details
Designed to provide a sleek and professional look, the Chef Works BEBL Poly/Cotton Black Beret is the perfect accessory to complete your staff's uniform. Designed with a full elastic rim, this beret ensures a secure and comfortable fit while its metal eyelet air vents facilitate proper air flow to keep your staff cool and dry. Thanks to its 6.2 oz. 65/35 poly/cotton fabric, this beret is easy to maintain and will hold up to the rigors of a busy dining establishment.
- Chef Beret
- 65/35 poly/cotton 6.2 oz fabric
- Metal grommet air vents
- Full elastic back
- Color: black
To personalize this item, click here
- Brand:
- Chef Works
- Model #:
- Ship weight:
- 3 lbs 4 oz
- Sold As:
- 1 ea
- Item Number:
- TigerChef ID:
- 168838