text:
Become a Nanny/Au Pair in Australia
If you want to work in Australia, becoming an Au Pair is one of the best ways to; move to Australia, get a guaranteed job in Australia, spend time working with children and take the opportunity to travel and live in Australia for up to 12 months!
As an Au Pair you'll get to experience what life is really like down under by living with one of our carefully selected Australian host families and caring for their children. The word 'Au Pair' means 'on par' or equal, which is exactly what you will be – an equal member of your host family in a role similar to a nanny or live in childminder. The Australian Working Holiday Visa will allow you to work with your chosen family for 6 months. Following your placement you can then spend a further 6 months working and travelling in Australia, with the opportunity to work and apply for your second year Australian Working Holiday Visa.
After being accepted onto our programme, we will find you a nanny job in Australia before you leave, by matching you and your skills to a carefully selected host family. These live in jobs ensure at least six months of guaranteed work in Australia and include food, accommodation and a weekly salary of up to $360 AUD.
You must have childcare experience and a passion for working with children. So if you have previously been an Au Pair, teacher, teaching assistant, nursery nurse or childminder – this is your chance to spend up to a year in Australia!
Interested in this; ready to enquire?
Find out more by filling out the form below and clicking send. Au Pair in Australia should then be in touch shortly to help with your enquiry.


text:
This website requires cookies to provide all of its features. For more information on what data is contained in the cookies, please see our Privacy Policy page. To accept cookies from this site, please click the Allow button below.
We use cookie for our website to work flawlessly. By using our website, you agree to our use of cookies. Please read our Privacy Policy for details.
DIZ AND THE DOORMEN : BLUECOAT MAN CDTrack listing:No Buts No Maybe's ~ Mardi Gras In New Orleans ~ She Walks Right In ~ Are You Going My Way ~ Swannee River Jump ~ Bluecoat Man ~ Go On Fool ~ Byrd's Bop ~ Sick and Tired ~ Blow Wind Blow ~ On Bended Knee ~ Diz's Dream ~ The Sheik Of Araby.The original album "Bluecoat Man" from Diz & The Doormen, London's legendary purveyors of New Orleans inspired Rhythm 'n' Blues and Rock 'n' Roll who gained popularity in the early 1980s. Great swingin' R&B with boogie piano and great blasting saxophone. Saxophone legend Lee Allen guests, and previously unissued bonus cuts and liner notes are added for this CD release.
Raucous Records is the longest establisted 1950s Rock 'n' Roll, Rockabilly and Psychobilly CD, DVD and vinyl specialist on the internet.A world of Rockabilly, Psychobilly, Surf, Swing and 1950s Rock 'n' Roll delivered to your door.
© Raucous Records 2017 All Rights Reserved

subset: commoncrawl


text:
Hold down Control (PC) or Command (Mac) key + mouseclick to select more than one option
Home >
Capitol Hill / SW >
Brookland / Far SE >
Today's Pizza
All salads come with your choice of: ranch, caesar, blue cheese, thousand island or italian house dressing
Hot, fresh and made with 100% real cheese and the finest toppings. thin crust available at no extra charge
Includes leg, thigh, breast and wing
Prepared on grill and served with fresh roll. all subs come with your choice of free fixings.
Garlic bread included with all pasta orders. Available pasta selection: spaghetti, manicotti, stuffed shells or lasagna.
Regular calzones consist of 100% real cheese, ground beef and pizza sauce wrapped in our fresh dough
All platters served french fries and cole slaw


text:
Each month, Rated People connects over 50,000 homeowners with quality tradesmen - simply enter your job details in the form above to get started.
We'll match your job to the relevant tradesmen in your area - those interested will pay to see your contact details and call you to quote.
As each tradesman expresses interest in quoting on your job, we'll send you their profile and ratings to help you choose the right one for you.
After the work is complete, return to the site and rate your tradesman based on their quality of work, reliability and value for money.
Kitchen Specialist
Added 17/02/2014
Refurbish unit doors Kitchen size: medium Additional information: Hi. Iv purchased new kitchen...
Kitchen Specialist
Added 05/06/2012
Installation of a classic style kitchen from BandQ and dishwasher/sink. Possibly some wall...
Kitchen Specialist
Added 18/02/2012
i would like my new kitchen fitted , there should be no changes to electrics or plumbing. and...
Kitchen Specialist
Added 18/01/2009
to replace council kitchen units with modern units
Very pleased with what they did. Good prices.
Absolutely brilliant workmanship for this job, they were vocal when needed on any issues that occurred the quality of the work is exceptional.We will definitely be using them again.
Found Modernization reliable and excellent craftsmen,and have no problem recommending them at all.
Excellent service from the 2 guys who installed worktops, sink and hob. Very professional and a quality job. Would highly recommend and use again.
Managing your job is easier with the Rated People Homes App, download it today.


text:
Call 800-522-2025M-F 8:30am - 7pm EST
Shopping Cart($0.00)
FREE SHIPPING No Minimum Order!
SHOP MARKERTEK EVERYDAY for all of your needs. Free shipping on almost every order placed on our website.
Special order & oversized freight intensive items ship at an additional cost. Continental US orders only.Ask about our new Economy International Shipping Options.
Secure LoginClose X
Returning Markertek Customers
New Markertek Customers
Why Create an Account?
Creating a Markertek account now will save you time on future orders. You'll have full access to your order history and a personalized shopping experience.
Home > Product Categories > Pro-AV & Presentation > AV Presentation > Video Scalers > EXT-VGAA-HD-SC
Item #: GEF-EXTVGAAHDSC MFG #: EXT-VGAA-HD-SC
List Price:$339.00Our Price:$249.99Quantity Pricing
+ Add to Wishlist + Add to Quote
Recommended Accessories
Camplex CMX-HDMIF HDMI to Fiber Optic Converter / Extender
Item #: CMX-HDMIF
Our Price: $295.00
Delvcam DELV-HD7 HDMI / VGA / Composite 16x9 Camera Top 7-Inch IPS LCD Monitor
Item #: DELV-HD7
Our Price: $169.95
DustAll CCS-2000 from Caig Laboratories 10 Ounce Canned Air
Item #: CCS-2000
Our Price: $12.95
Gefen ADA-VGA-FF VGA Female to Female Gender Changer
Item #: ADA-VGA-FF
Our Price: $3.99
HDMI to DVI-D Cable - 6 Foot
Item #: HDMI-DVID-6
Our Price: $16.16
Scale and convert video and audio from a VGA source for use with an HDMI DisplayThe Gefen EXT-VGAA-HD-SC scales and converts video from a VGA source to digital video from an HDMI output. It can also embed analog L/R audio into HDMI. Video can be scaled up to 1080p Full HD and 1920 x 1200 (WUXGA). An intuitive and comprehensive on-screen display (OSD) menu allows easy set-up and control. This product can be configured and updated using the Gefen Syner-G software suite. The Gefen Syner-G is a powerful set of software tools specifically designed to help discover, configure/customize, manage, monitor, and upgrade Gefen products. Wide power supply operating range of 6V to 24V DC offers installation flexibility for mobile use, in complex studio systems with a common power supply, and with remotely located power sources. A locking power supply connector, small footprint, and a surface-mountable enclosure facilitate easy and secure installation.
How It WorksUse the included VGA cable to connect a VGA source to the VGA input. Connect the included 3.5mm mini-stereo cable from the source to the L/R audio input. Use a Gefen locking HDMI cable to connect a display to the HDMI output. Connect the included 12V DC power supply to the unit and to an available electrical outlet. The power LED will glow in blue once the power supply is plugged in. Once the unit is connected, powered on, and displaying video, press the Menu button to bring up the On-Screen Display (OSD). The Up and Dn (down) buttons are used to navigate through the various functions of the OSD.
Item Includes
Add Accessories for your EXT-VGAA-HD-SC:
Industrial Size Caig Laboratories CCS-503 Screen Cleaning Kit
Item #: CCS-503
Our Price: $9.40
Ocean Matrix OMX-HDMI-COAX HDMI to HD Over Existing Coax Extender Pair
Item #: OMX-HDMI-COAX
Our Price: $299.95
Techflex 1/2In-1 1/4In Expandable Tubing Black 100 Foot Roll
Item #: PET4-C-BK
Our Price: $54.05
TecNec 4K/2K HDMI Cable v1.4 Ethernet Type-A Male to Male - 6 Foot
Item #: HDMI-14-6
Our Price: $8.99
TecNec HDMI Female to Female Adapter
Item #: HDMI-FF
Our Price: $15.25
TecNec HDMI Right Angle Horizontal Flat Bottom Adapter
Item #: HDMI-RA
Our Price: $10.99
TecNec Premium Stereo Mini Male - Stereo Mini Male Audio Cable 3ft
Item #: TN-MZMZ-3
Our Price: $7.99
TecNec UltraThin HD15 VGA/UXGA Tri-Shield Cable - 6ft
Item #: TN-UTHD15-6
Our Price: $13.80
TecNec UltraThin HD15 VGA/UXGA Tri-Shield Cable with Audio - 3ft
Item #: TN-UTHD15A-03
Our Price: $17.59
TecNec v1.4 Male to Male HDMI Cable with 180 Degree Swivel Ends 6 Foot
Item #: HDMI-14-6SC
Our Price: $16.13
USB 2.0 Type A Male to 5-Pin Mini-USB B Male Cable 6 Foot
Item #: USB-AMINIB-6
Our Price: $7.59
Recently Viewed Items:
Newsletter Sign Up
Weekly email with exclusive deals, unique new products, how-to videos and so much more!
Download the Newest Catalog!
© 2017 Markertek, Division of Tower Products Incorporated • Legal Notice & Code of Ethics


text:
Dissenting Gothic
Dissenting Gothic is an architectural style associated with English Dissenters, that is, Protestants not affiliated with the Church of England. It is a distinctive style in its own right within Gothic Revival architecture that emerged primarily in Britain, its colonies and North America, during the nineteenth century.[1]
The style[edit]
In contrast to the pure copying of English mediaeval Gothic that was being advocated and promoted by some influential ecclesiologists during the early Gothic Revival period in Britain, most particularly by Augustus Welby Pugin and to an extent in the pages of the Camden Society's quarterly journal (The Ecclesiologist, 1841–68), Dissenting Gothic provided a less Anglo-centric interpretation of the Gothic style, and purposefully introduced modernising elements to meet clients' needs.
In Dissenting Gothic, the interests of good design could over-ride historical purity; the role of the architect was seen as originating a design solution, rather than promoting specific Gothic forms as a cause célèbre in pursuit of an idealised high church and mediaeval belief system.
Departing from the narrow confines of the approach adopted by some of the leading British ecclesiologists during the early Gothic Revival period, architects who were willing to respond to the demand for Dissenting Gothic enlarged their portfolio, drawing on mainland European Gothic architecture as well as English forms.[2] Moreover, they could be more creative about relationship between form and function, seeking novel but appropriate ways to introduce elements not found in mediaeval Gothic churches, so as to create interiors that met the particular congregational needs of the independent or nonconformist chapel-builders of the nineteenth century;[3] accommodate Sunday Schools and meeting rooms, with sometimes distorting effects on the physiognomy of the building; use confined city plots in efficient ways by varying from strict gothic floorplans and orientations; and experiment with a wide range of materials, and polychromatic designs, not found in mediaeval buildings.
The Early Gothic Revival Period[edit]
Although the earliest examples of Dissenting Gothic were commissioned by trustees of independent churches and chapels at about the same time as the beginnings of the purist Anglo-Catholic-dominated Gothic Revival movement, namely during the second quarter of the 19th century, the latter so profoundly dominated and led this early period of 'Gothic Revival' that there were relatively few examples in Britain or elsewhere of Dissenting Gothic before the third quarter of that century.
This limited use of Dissenting Gothic in the early Gothic Revival period of the second quarter of the century, reflected a marked reluctance by trustees and sponsors of independently funded and managed churches or chapels (in Britain, commonly referred to as 'nonconformist' churches or chapels) to commission neo-Gothic whilst the ecclesiologists were portraying it as 'high church' architecture. Equally, there was a refusal by some 'Gothic Revival' architects to accept commissions for 'low church' buildings, including nonconformist chapels. For philosophical reasons, some architects in the early 'Gothic Revival' period considered that the style should remain the exclusive preserve of the 'high church'.
Later Gothic Revival period[edit]
By the mid-nineteenth century, these early controversies had weakened. In England, the case for commissioning neo-Gothic designs for nonconformist chapels was persuasively argued by the trained architect and Wesleyan Methodist minister Frederick James Jobson (commonly styled, F. J. Jobson), in his book Chapel and School Architecture (1850); and in America by the Rev. George Bowler's publication setting out examples of elevations and floor plans for nonconformist churches in the Gothic revival style.[4]
By then, it was becoming fashionable to adopt neo-Gothic for artistic reasons and intrinsic appeal alone, superseding its early associations with 'high church' buildings and their clients. Also, for more prosaic reasons, ''Dissenting Gothic'' began to become commonplace from the mid-nineteenth century onwards; by that date, the trustees of independent chapels could more easily afford the high building costs associated with the neo-Gothic style. For example, in Britain the 1851 census recorded, for the first time, a greater number of people attending independent chapels than Anglican churches; the higher level of philanthropic donations and membership fees this provided, could now become reflected in more costly building designs.
By the time the Gothic Revival had matured into a commonly accepted building style for all manner of building types (referred to as the "High Victorian Gothic" period (1855–85) in Britain), the influence of the ecclesiologists with their vision of neo-Gothic as befitting only high church buildings and favouring only pure 'English Gothic' forms with historically correct mediaeval detail, had passed by. This later 'Gothic Revival' period saw a willingness to innovate by many influential architects, reflecting the success of the less narrow approach of Dissenting Gothic. The architect James Cubitt embodied such forward-looking principles in his book Church Design for Congregations (1870), in which he noted the unsuitability of the conventional Gothic plan for nonconformist chapels, adding "there is every reason why our churches should be fitted for their destined use. It is not enough that they can be used...." His book gave further encouragement to looking at models besides traditional 'English Gothic', referring for example, to designs from Santa Sophia, Torcello, Gerona and Cologne.
Amongst these, northern European Brick Gothic was perhaps the best known alternative to English styles at that time; partly on account of its lower cost than stone blocks, but also its appeal to a section of nonconformist though to whom highly extravagant and ornamented building styles and monuments were either too vulgar, or associated with mediaeval superstition - Spurgeon cautioned against the Gothic fashion leading to "hobgoblins and monsters on the outside of their preaching houses".[5]
In Australia, Dissenting Gothic became known as "Victorian Free Gothic" and whilst the established Protestant Church followed its English counterpart in favouring "Academic Gothic", the independent or nonconformist denominations often chose Victorian Free Gothic. They more freely experimented with picturesque silhouettes and polychromatic surfaces; taking more from Ruskin's interest in 'impure' Gothic styles and the artistic merits of Gothic, than from Pugin's High Church and mediaevalist approach.[6]
As the nineteenth century wore on, Dissenting Gothic became widespread not only as old chapels were rebuilt, but also amongst the new city suburbs that were being established in England and elsewhere. for example, as [7] notes: "'Dissenting Gothic' was the style in Bowden, 'Manchester's most relaxed suburb'". Nonetheless its appeal amongst independents or nonconformists was not universal. The Baptists, quite unlike the Wesleyan Methodists and most notably the Unitarians, did not come to a generally accepted accommodation of the neo-Gothic style [8] and indeed Spurgeon advanced the idea that the Grecian style was most appropriate for church buildings because the New Testament was written in Greek. His London Metropolitan Tabernacle of 1861 dramatically illustrated this alternative view.[9]
Buildings of note[edit]
Fine examples of Dissenting Gothic include:
- The Union Chapel, on Upper Street, Islington, London - by James Cubitt (1877-9)
- The Abney Park Chapel, Stoke Newington, London - by William Hosking FSA and his client George Collison (1838–40)
- St. Paul's Presbyterian Church, St. James' Street, London - by William Thomas (1854)
- The Unitarian Chapel/Welsh Baptist Chapel/Islamic Academy, Upper Brook Street, Manchester - by Charles Barry (1837–39)
- Mill Hill Chapel, Leeds - by Bowman & Crowther (1847–48)
- The Unitarian Chapel, Gee Cross, Hyde, Cheshire - by Bowman & Crowther (1846–48) - a commission refused by Pugin
- Cavendish Street Congregational Church, Chorlton-on-Medlock, Manchester - by Edward Walters (1847–48) (demolished)
- Friar Lane Congregational Chapel, Nottingham (1828)
- St. Matthew's United Church, Halifax, Nova Scotia (1857)
- Rosman, Doreen (2003) The Evolution of the English Churches, 1500-2000, Cambridge: Cambridge University Press ISBN 0521642051
- Bebbington, David (1989) Evangelicalism in Modern Britain: a history from the 1730s to the 1980s, London: Unwin Hyman ISBN 0049410180
- Bowler, Rev. George (1856) Chapel and Church Architecture with Designs for Parsonages, Boston: Jewett & Company. Cleveland, Ohio: Jewett, Proctor & Worthington. New York: Sheldon, Blakeman & Company
- Powell, Ken (1980) The Fall of Zion: Northern chapel architecture and its future, London: SAVE Britain's Heritage ISBN 0905978064
- Daunton, Martin, ed. (2000) The Cambridge Urban History of Britain; vol. 3: 1840-1950, Cambridge: Cambridge University Press ISBN 0521417074
- Homan, Roger (2006) The Art of the Sublime: principles of Christian art and architecture, Aldershot: Ashgate ISBN 0754650731
Further reading[edit]
- Cherry, Bridget, ed. (2007), Dissent and the Gothic Revival: papers from a study day at Union Chapel, Islington, London: The Chapels Society ISBN 9780954506117
- Jobson, F. J. (1850; reprinted 1991) Chapel and School Architecture, Peterborough: WHMS (Methodist Publishing House) ISBN 0951562118 (1850 ed. Hamilton, Adams & Co., London)


text: Zombie Panic: Source is a free Co - Operative game mod downloadable of Steam. This game mod is more along the lines of a whole other game. It lets you play as either a zombie or a survivor. Because you can play as a zombie, it gives the player a new perspective, allowing you to make more intuitive descisions as a survivor. Mission types vary from survival to escape to antivirus retrival. A previously available mission even had you run to a bunker and set off a nuke, eleminating the remaining zombies. however, this mission is now unavailable.


text:
Senior Moment: For a group that has done so much for this program, it's great to see them get sent off with a huge victory. What is even better is that several seniors have landmark performances in this game.
Super Seniors: A special tip of the hat to several seniors who tore it up in this game; Deon Butler had three catches for 133 yards and three touchdowns, Jordan Norwood had five catches for 127 yards, Derrick Williams had four catches for 51 yards and a touchdown, Anthony Scirrotto and Lydell Sargeant each had an interception and Gerald Cadogan, Rich Orhnberger and A.Q. Shipley blocked for over 500 yards of total offense.
Simply 'D' Best: The defense came to play from the outset. What's amazing is that Bradley's boys shut down heralded running back Javon Ringer, allowing a mere 42 yards on 17 carries - 2.5 YPG. It's amazing to think how good this young unit could be in coming years.
Fasten Your Seatbelts: After much critcism, Daryll Clark had a career day, throwing for a stellar 341 yards, four touchdowns and not interceptions. Clark was much sharper, protected the ball well and made good all-around decisions. Hats off for a great bounce-back performance and leading this team to a Big Ten title.
Layin' the Lumber: One guy who deserves so much credit for putting his head down and laying the lumber is Dan Lawlor. Lawlor plowed lanes all day and even tore into the endzone for a rare touchdown.
Crowded House: The fans came and came big, with over 109,000 pouring into a frigid Beaver Stadium to give PSU a true home advantage. A great tribute to the seniors and this team for what they have accomplished this year.
No. 800: That's right, with today's win PSU posted it's 800th victory ever in football, only the sixth program to ever hit the 800 mark.
There weren't too many low points in this game, but there were a few to review.
Slow Start: Once again the offense had a slow start with an immediate three and out at the outset of the game. Luck for Penn State it was short-lived and they managed to post seven points in the first quarter and 21 in the second.
Elementary ABC: Can someone please help ABC-TV get some additional human interest stories? Yup, we all know Royster was a standout lacrosse player - you showed the same photo during the Ohio State and Iowa games. Yes, we know the colors were originally pink and black, but thanks for the reminder. Wait, Joe Paterno is old? Well, there you go, who knew? Come on guys, let's not mail it in for the Rose Bowl and break out the famous people born the same year as Joe.
Big Ten Benefits: Some one should check the Big Ten vision plan for referees, because the conference is seemingly getting ripped off based on some of the calls in this game, particularly the uncalled touches on fair catches and that early Christmas gift Dave Witvoet game MSU on that endzone pass interference call on Scirrotto.
Like School on a Saturday: What's up with D'Antonio calling his timeouts down by 31 points with less than a minute left? Way to prolong the agony and try to toss a wet blanket out. His move gets was like school on a Saturday - no class.
Go bowling with Penn State football and Fight On State. Secure Your Rose Bowl Spot Now


text:
We have 1 AKC Plain Fawn Male Puppy available. He has his tail docked, dew claws removed, first shots done, worming, vet health certificate, and will come…$850
Golden retriever puppies for sale. Mother is American golden and father is English cream golden. Puppies were born May 7 and will be 8 weeks old July 2…$800
Just Two MALES available, both are Charting to be 4 to 5 pounds full grown, we do take Applicatations for future litters! We have many references as to…$1,000
APRI ShihTzu Pups we have 2 girls and 2 boys FRom Blue and Mooshu They are imperial and will be 7 to 10 pounds full grown. We are an AKC Breeder of H.E…$1,200
We have 3 AKC registered Westie puppies that were born on July 16th and will be ready for new homes the weekend of Sept. 9th, at 8 weeks old. Our puppies…$575
Taylor is an absolutely stunning AMERICAN KENNEL CLUB Pembroke Welsh Corgi. She will be a pretty red and white girl with a full wide white collar. Taylor…$950
Suki is an extra adorable AMERICAN KENNEL CLUB Pembroke Welsh Corgi girl. She will be a pretty tri-color with a wide white blaze up her nose. After getting…$800
This little sweetheart is so precious and kissy. Approx 10 pounds when adult. Mom is mini American Eskimo dad is pure breed Pomeranian. Check out web sitexxxxxxxxxx…$800


text:
DOWNEY - The Rancho Los Amigos Foundation's 22nd Annual Rancho Golf Classic will feature a special appearance by Rancho patient and Paralympian Katy Sullivan and the debut of Rancho's new Paragolf carts which will allow paralyzed patients to stand and golf.The tournament will be held Monday, August 13, at the Friendly Hills Country Club in Whittier. Los Angeles County Fourth District Supervisor Don Knabe is the honorary chair, with Matt Knabe of Englander, Knabe and Allen and Mike Silacci of AT&T co-chairing the tourney. Katy will be attending the tournament dinner just a few days before she leaves to represent the United States in the 2012 Paralympic Games in London. She recently made a stirring comeback in the 100 meter event in her classification at the Paralympic Trials in Indianapolis, as she came from 10 yards behind to win the race and a berth on the U.S. team for the Paralympic Games. Katy, whose singing earned a two-minute standing ovation at the Rancho Foundation's Amistad Gala this spring, will kick off the tournament dinner by singing our national anthem. "This incredible young woman has captured our hearts with her talent, her hard work, and her determination," Supervisor Knabe said. "We are all part of Team Katy and we are thrilled that she'll be singing The Star Spangled Banner at the tournament. It is going to be a magical moment," he said. A special edition T-shirt commemorating Katy's Paralympic run will be available for the first time at the tournament. The shirt was created by world-renowned fashion designer Zandra Rhodes and underwritten by Rancho Chief Medical Officer Mindy Aisen. The tournament will also mark the coming-out party for Rancho's new state-of-the art Paragolf carts. Supervisor Knabe recently donated five of the carts to the hospital so that Rancho patients with paralysis could experience the joy of playing golf while standing up, rather than trying to play out of their wheelchairs. "This is the official start of Rancho's new patient golf program, and our patients and staff are very excited to have these state-of-the-art devices not only to play golf, but to stand and do activities of daily living," said Rancho CEO Jorge Orozco. Proceeds from the tournament will benefit the patient programs of the Rancho Los Amigos Foundation. "We wish to thank all our sponsors, including the Annenberg Foundation, Supervisor Knabe, Sodexo, A-Med Health Care, Reimbursement Services Group, Lunday-Thagard, Care Ambulance, Presbyterian Intercommunity Hospital (PIH) McCormick Ambulance, Hunt Construction and Chevrolet of Montebello," said Rancho Los Amigos Foundation President Connie Martinez. "The contributions of our sponsors and players will make it possible for the Foundation to continue to provide world-class, cutting edge programs, such as our new ReWalk Exoskeleton robots which will allow many patients with paralysis to walk again," she said. "The bottom line of this tournament is that is all about the patients," co-chair Matt Knabe said. "When you see someone who is normally wheelchair bound standing in his or her Paragolf carts and hitting the ball, it is a real-life example of the innovation that has made Rancho one of America's Best Hospitals for 23 years in a row." "This will not only be a great day of golf, it will be a day when we will get to meet a number of Rancho patients with disabilities who will amaze us with what they can accomplish, thanks to Rancho," co-chair Mike Silacci said. After the golf is done, tourney participants will be treated to Katy's special performance. "Patients like Katy are the reason we work so hard to make this tournament a success each year," Connie said. "Her story is like those of many of her fellow Rancho patients, who overcome significant challenges to realize the power of their dreams." Here, is Katy's story of her personal journey, in her own words: "I was born without legs and have worn prosthetic legs all of my life. I was raised in Alabama and spent my early years trying to be just like my siblings, flipping around in gymnastics and practicing three times a week with the local swim team. Sports became frustrating because it was hard for me to keep up with the other kids so I turned all of my energy into becoming an actor. "My performing career has taken me all over the country. I have worked on stage in Chicago, in movies in New York, on different television series in Los Angeles, and even had the opportunity to sing at the 1996 Olympic opening ceremonies in Atlanta. "Moving to Los Angeles in 2004 brought me not only tremendous opportunity with acting but it also brought me the blessing of meeting Will Yule at Hanger Prosthetics. I was gifted a pair of running legs from Hanger, and a new chapter in my life was created. With the help of Rancho therapist Julie Kasayama, and my prosthetist, I learned how to run with my new legs. This has opened a whole new world for me. As I began to run faster, through the generous support of Hanger Prosthetics and Ossur, I received custom made running legs built especially for my body. In my new carbon fiber sprinting legs, I began to compete at a higher level and started to excel in the competitive world of physically challenged track and field. "When I was a child I saw a production of Charlie and the Chocolate Factory at a local theatre in Alabama. One of the girls in the play attended my school, and before the play was over I decided that I was going to be an actor. "I spent the next 10 years doing anything in the theatre from building sets to stage management - just to be involved in the process. I was cast in numerous plays and even in a singing group that performed at the opening ceremonies at the 1996 Olympics in Atlanta, Georgia. I decided to get my degree in theatre and I went to a fantastic conservatory in the Midwest where I blossomed as an actress. My favorite time at school was when I was cast in the starring role in Hedda Gabbler. Upon graduating, I was given a job at the prestigious Goodman Theatre in Chicago. I worked in theatres throughout the Windy City before deciding to relocate to Los Angeles. "Working in television, movies and independent films in Los Angeles keeps me very busy. A few years ago, I appeared on the television series "My Name Is Earl" on NBC, and starred in an independent film, which played on the film festival circuit. "When I was young my parents were very worried about me when I told them I was going to be an actor, however, I set my mind to it and became successful at what I love doing. Now I have also conquered the world of track and field, having set a world record for 200 meters in my classification and qualifying for the Paralympic Games.". "My motto is and always will be 'If you believe in what you are doing and you want to do it, go for it, and don't let anyone tell you that you can't do it.'" "It is a great honor that Katy and several other Rancho patients will be participating in our tournament, because they represent the miracles that happen at Rancho each and every day," Supervisor Knabe said. "No matter what happens in London, Katy has already shown us that she is winner in life, and that she has the heart of a true champion. "We want Katy to know that she won't be alone as she runs her Paralympic 100 meters in the Olympic Stadium in London," he said. "Because as she carries the hopes and dreams of America down the track, we will be with her every step of the way." For more information on the Rancho Golf Classic, call the Rancho Los Amigos Foundation at (562) 401-7053.
********** Published: August 02, 2012 - Volume 11 - Issue 16


text:
Boy there's a scary one. I've got chills and don't think I'll be able to sleep tonight. Tell me it aint so, Grandpa, say its not so.
Randy Mc
BRYNA RAEBURN: "My name is Barko, Barko the mutt, and I love 'Yum, yummy' and nothin' else but "ruff ruff ruff". " LARRY HAINES: "Well, uh, it scans, doesn't it?" BRYNA RAEBURN: "It'll never get you buried in Westminster Abbey." Their dialogue as ad agency exec husband and wife in this program. Dave, I told you there's some amusing stuff in the RMT...especially when playwright Sam Dann's doing his stuff. Some of you all have reviewed another Larry Haines RMT called "The unthinkable", where he plays a laid off engineer who becomes a househusband and ends up plotting (with another stay at home dad) the ultimate bank robbery. "The unthinkable" in that play meant what it was for Haines' character to believe that a man would have to stay home while his wife brought home the bread. (I won't comment on the social implications there.) This episode takes the concept one step further. Haines, at the beginning of the play in a hospital for the criminally insane, tells his female doctor who reports to a female chief of staff appointed by his state's female governor, that he believes he's the victim of a plot by women to essentially take over the world. The plot: "Strip 'em (men) of their job. Rob them of their manhood. Take away their sanity." He confesses to the lady shrink that his troubles started when he was told to take over (by his female boss a.k.a. "Big Momma" (ANOTHER RMT play title)) the "Little Lucy's Lively Libation" (soft drink) account. He thinks it's a dead end to his career as a once rising ad agency exec. "Little Lucy" (also played by Raeburn...I thought for sure she'd be Evie Juster) is the queen of this beverage empire and she's also kind of a sad character. Haines says her picture (as a young girl) is on all LLLL bottles, and Lucy herself has that youngish face on an old woman's body (Haines wonders who her plastic surgeon is). She also insists on being called "Little Lucy". Pushing her husband to work that account is Raeburn as Haines' wife. She plays a critical role in the play which, unfortunately, sounds about 80% complete. Another one that, IMO, needed a few more minutes. Still an intriguing listen. (Sorry to be politically incorrect here but it's amusing if only to hear Earl Hammond as Little Lucy's, er, effeminate-sounding aide-de-camps.)
Norman Warrior
Perfect metaphorical narrative for episode 666! Is it a conspiracy? Or am I just being paranoid? No! They're everywhere!
J Stewart
This is one of those rare tongue and cheek satire episodes that were rare and so wonderful on Radio Mystery Theater. I loved Sam Dann's sense of ironic humor. The cast led by the wonderful Larry Haines makes this one one of my favorites. It was a reflection of the times and performed with a bit of an eye wink. Give it a listen! Highly recommended.
Paul Liberti
It's tongue-in-cheek, not "tongue and cheek".
I love Sam Dann he makes the best shows!!! I love the theme with 666 I'm watching it the day before Halloween at 10:00 at night whale I'm sleeping


text:
Used Car - 2014 Dodge Charger V6 in Zephyrhills, Fl
About This 2014 Dodge Charger V6
Vehicle Location:
Zephyrhills, Fl
6 Cylinder
Fuel Type:
Stock Number:
Fuel Economy Estimates
City MPG
Highway MPG
Combined MPG: 22
Estimated Monthly Fuel Cost: $101.14*
*Based on $1.78 per gallon and 15k miles per year.
Actual costs may vary.
Actual costs may vary.
Send This Vehicle To Your Smartphone
Seller's Description and Comments:
Located at Thomas And Son, Inc. in Zephyrhills, Fl. Call Thomas And Son, Inc. today at 813-308-0577 for more information about this vehicle.
Vehicle Options:
- Exhaust Tip Color Chrome
- Exhaust Dual Exhaust Tips
- Grille Color Black
- Grille Color Chrome Surround
- Headlamp Bezel Color Black
- Mirror Color Body-color
- Rear Bumper Color Body-color
- Window Trim Black
- Cargo Area Light
- Center Console Trim Alloy
- Floor Mat Material Carpet
- Floor Material Carpet
- Floor Mats Front
- Interior Aluminum Accents
- Reading Lights Front
- Reading Lights Rear
- Rear Floor Mats
- Front Suspension Classification: Independent
- Front Suspension Type: Strut
- Suspension Front Arm Type: Short And Long Arm (sla)
- Suspension Front Spring Type: Coil Springs
- Suspension Rear Coil Springs
- Engine Alternator: 160 Amps
- Engine Federal Emissions
- Engine Push-button Start
- Satellite Communications Uconnect
- 2-stage Unlocking
- Abs Brakes (4-wheel)
- Air Conditioning - Air Filtration
- Air Conditioning - Front
- Air Conditioning - Front - Dual Zones
- Airbags - Front - Dual
- Airbags - Front - Side
- Airbags - Front - Side Curtain
- Airbags - Passenger - Occupant Sensing Deactivation
- Airbags - Rear - Side Curtain
- Assist Handle Front
- Assist Handle Rear
- Audio - Antenna: Element
- Audio - Radio Data System
- Audio - Radio: Am/fm
- Audio - Radio: Touch Screen Display
- Audio Auxiliary Input: Ipod/iphone Integration
- Audio Auxiliary Input: Jack
- Audio Auxiliary Input: Usb
- Audio In-dash Cd: Single Disc
- Audio Mp3 Player: Cd Mp3 Playback
- Audio Streaming: Bluetooth
- Audio System 6 Speakers
- Audio System 66 Watts
- Audio Voice Recognition
- Auto-lock
- Braking Assist
- Braking Assist Hill Start Assist
- Capless Fuel Filler System
- Center Console Front Console With Armrest And Storage
- Clock
- Cruise Control
- Daytime Running Lights
- Digital Odometer
- Drivetrain 4wd Type: On Demand
- Drivetrain Center Differential: Mechanical
- Electronic Brakeforce Distribution
- Emergency Braking Preparation
- Exterior Mirrors Manual Folding
- Exterior Mirrors Power
- External Temperature Display
- Front 12v Power Outlet(s)
- Front Brakes Ventilated Disc
- Front Seatbelts: 3-point
- Fuel Economy Display Mpg
- Headlights Auto Delay Off
- Headlights Auto On/off
- Headlights Halogen
- Inside Rearview Mirror Auto-dimming
- Multi-function Display
- Multi-function Remote Controls Fuel Filler
- Multi-function Remote Keyless Entry
- Multi-function Remote Keyless Entry With Panic Alarm
- Multi-function Remote Trunk Release
- One-touch Windows: 2
- Overhead Console
- Power Brakes
- Power Door Locks
- Power Steering
- Power Windows
- Power Windows: With Safety Reverse
- Rear Brakes Ventilated Disc
- Retained Accessory Power
- Seatbelts Seatbelt Force Limiters: Front
- Seatbelts Seatbelt Pretensioners: Front
- Seatbelts Seatbelt Warning Sensor: Driver And Passenger
- Seatbelts Second Row 3-point
- Security Engine Immobilizer
- Stability Control Electronic
- Steering Wheel Mounted Controls Audio
- Steering Wheel Mounted Controls Cruise Controls
- Steering Wheel Tilt And Telescopic
- Storage Accessory Hook
- Storage Cargo Net
- Storage Front Seatback
- Storage Sunglasses Holder
- Tachometer
- Tail And Brake Lights Led
- Traction Control
- Trip Computer
- Vanity Mirrors Dual Illuminating
- Warnings And Reminders Low Fuel Level
- Windows Front Wipers: Variable Intermittent
- Windows Laminated Glass: Acoustic
- Windows Lockout Button
- Windows Rear Defogger
- Spare Tire Inside Mount Location
- Spare Tire Temporary Size
- Spare Wheel Steel Rim Type
- Child Safety Locks
- Child Seat Anchors Latch System
- Crumple Zones Front
- Crumple Zones Rear
- Emergency Interior Trunk Release
- Energy Absorbing Steering Column
- Impact Sensor Post-collision Safety System
- Adjustable Rear Headrests Integrated Headrests
- Driver Seat Active Head Restraint
- Driver Seat Manual Adjustments: Recline
- Driver Seat Power Adjustments: 6
- Front Headrests Adjustable
- Number Of Front Headrests 2
- Number Of Rear Headrests 2
- Passenger Seat Manual Adjustments: 4
- Passenger Seat Manual Adjustments: Recline
- Rear Seats 60-40 Split Bench
- Rear Seats Center Armrest: Folding With Storage
- Rear Seats Rear Heat: Vents
- Rear Seats Split Folding
- Seats Cloth Upholstery
- Seats Front Seat Type: Bucket
Carfax Vehicle History Report:
View the CarFax vehicle history report and protect yourself from:
Major Accidents, Lemon History and Odometer Problems
» Get A Free CARFAX Record Check
Major Accidents, Lemon History and Odometer Problems
» Get A Free CARFAX Record Check
Financing Information:
Visit our website or call us at 813-308-0577 for more financing information.
Payment Calculator:
2014 Dodge Charger ReviewThis car review is specific to this model, not the actual vehicle for sale.
The Dodge Charger is a boldly designed full-size four-door sedan which can be factory equipped from mild to wild to suit virtually any buyers needs or desires. The Charger is available in SE, Rallye, R/T and SRT8 trims. SE and Rallye models come equipped with a 3.6-liter V6. A 370-hp 5.7-liter Hemi V8 comes on R/T models. SRT8 features a 6.4-liter Hemi V8. Rear-wheel drive is standard and all-wheel drive is available on Rallye and R/T trims. Safety features include anti-lock brakes, traction control, stability control, brake assist, active head restraints, curtain airbags and an ignition immobilizer. Available features include HID headlights, heated front and rear seats, satellite radio, blind spot detection, leather trimmed power seats, power adjustable pedals, navigation system, power sunroof and more. The Dodge Charger carries over for the 2014 model year unchanged.
4532 Gall Boulevard
Zephyrhills, Fl. 33542
Email This Seller
Contact: Joe Simmons
More Dodge Charger's On The Lot
More Cars From This Seller
2012 Jeep Wrangler Sport
Mileage: 78,893
Price: $23,995
2012 Hyundai Sonata GLS
Mileage: 68,873
Price: $12,995
2014 Nissan Altima 2.5
Mileage: 35,165
Price: $14,995
2002 Toyota Tundra Limited V8
Mileage: 273,380
Price: $7,995
2010 Chrysler Sebring Limited
Mileage: 41,823
Price: $13,995
2006 Ford Expedition Xlt Sport
Mileage: 116,737
Price: $8,995
2010 Buick Lucerne Cxl Special Edition
Mileage: 88,554
Price: $11,495
2013 Ford Fusion SE
Mileage: 53,821
Price: $13,495
1999 Jeep Wrangler Sport
Mileage: 120,330
Price: $10,995
2008 Dodge Ram 1500 ST
Mileage: 79,370
Price: $11,995


text:
- in advance of
- phrasal ahead of
New Collegiate Dictionary. 2001.
New Collegiate Dictionary. 2001.
In Advance of the Broken Arm — Infobox Album Name = In Advance of the Broken Arm Type = studio Artist = Marnie Stern Released = February 20, 2007 Recorded = Genre = Experimental, indie rock Length = Label = Kill Rock Stars Producer = Zach Hill Reviews = * Allmusic Rating|3.5|5 … Wikipedia
in advance — or[in advance of] {adv. phr.} 1. In front; ahead (of the others); first. * /In the parade, the band will march in advance of the football team./ * /The soldiers rode out of the fort with the scouts in advance./ 2. Before doing or getting… … Dictionary of American idioms
in advance — or[in advance of] {adv. phr.} 1. In front; ahead (of the others); first. * /In the parade, the band will march in advance of the football team./ * /The soldiers rode out of the fort with the scouts in advance./ 2. Before doing or getting… … Dictionary of American idioms
In advance — Advance Ad*vance , n. [Cf. F. avance, fr. avancer. See {Advance}, v.] 1. The act of advancing or moving forward or upward; progress. [1913 Webster] 2. Improvement or progression, physically, mentally, morally, or socially; as, an advance in… … The Collaborative International Dictionary of English
Advance of the Islamic Courts Union — Infobox Military Conflict conflict=Advance of the Islamic Courts Union partof= the Somali Civil War and War on Terrorism date=June 4 ndash; December 20, 2006 place=Somalia caption= result=Ethiopian intervention combatant1= Alleged:… … Wikipedia
In Defense of Global Capitalism — Infobox Book name = In Defense of Global Capitalism title orig = Till världskapitalismens försvar translator = image caption = Cover of the US version of the book. author = Johan Norberg illustrator = cover artist = country = Sweden language =… … Wikipedia
Cash-in-advance constraint — The cash in advance constraint (sometimes known as the Clower constraint after American economist Robert Clower)[1] is an idea used in economic theory to capture monetary phenomena. In the most basic economic models (such as the Walras model or… … Wikipedia
Time in Advance — (no ISBN) is a collection of four short stories by science fiction writer William Tenn (a pseudonym for the sci fi work of Philip Klass). The stories all originally appeared in a number of different publications between 1952 and 1957. Time in… … Wikipedia
Committee for the Advance of Money — On 26 November 1642 the Committee for the Advance of Money for the Service of the Parliament was established[1] at Haberdashers Hall under Lord Howard of Escrick.[2] The committee was established by the Long Parliament under An Ordinance for the… … Wikipedia
Indiana Jones in Revenge of the Ancients — is a computer game developed by Angelsoft released by Mindscape in 1987, for the Apple II and PC DOS computer platforms.Based on the Indiana Jones series, this is a text adventure game that is not based on any of the films; it is rather a whole… … Wikipedia


text: Sorting type: Most visited Most visited Alphabetical | Category with all of Casey's Pokémon. Pages in category "Casey's Pokémon" Casey's Meganium Casey's Beedrill Casey's Elekid Casey's Rattata Casey's Pidgey Casey's Weedle Retrieved from "http://pokemon.wikia.com/wiki/Category:Casey%27s_Pok%C3%A9mon?oldid=803149" Ad blocker interference detected! Wikia is a free-to-use site that makes money from advertising. We have a modified experience for viewers using ad blockers Wikia is not accessible if you've made further modifications. Remove the custom ad blocker rule(s) and the page will load as expected. Categories: Character Pokémon


text:
- Designer products, not at designer prices
- Expansive selection, truly galore
- Our signature line of window treatments
- Handmade, built just for you
- Exceptional design and construction
- Practical solutions for every room
- Exclusive, custom collections
- Quality craftsmanship built to last
- 100% custom, tailored for a perfect fit
The Blindsgalore brand offers a robust and affordable product range of blinds and shades complete with an array of customizable options to tailor treatments to meet any window's size, operational, and decorative requirements. From top selling cellular shades and designer soft treatments to economical vertical blinds and low maintenance faux wood blinds, Blindsgalore window treatments feature the same high quality as popular top name brands with a more reasonable price tag. Products have been sourced and crafted from select, top-tier partners to create a trusted brand that provides the latest styles at the best value.
Blindsgalore® Solar Shades
retail $91.04 $61.00 + an extra 10% off
Certified Best for Kids
Products with this label meet or exceed safety recommendations approved by the Window Covering Manufactures Association (WCMA) and have undergone rigorous third-party testing.
Blindsgalore® Expressions Solar Shades: Solids
retail $150.74 $101.00 + an extra 10% off
Certified Best for Kids
Products with this label meet or exceed safety recommendations approved by the Window Covering Manufactures Association (WCMA) and have undergone rigorous third-party testing.
Stripes (1)
Choose subtle tonal variations or multi-colored stripes to spice up your decor
Easy Cleaning (1)
Remote Control / Motorized (1)
Take a look at our wide selection of motorized blinds and window treatments
Free Cordless Upgrade (1)
Save big on your next blinds or shades order with a FREE upgrade to Cordless lift on these select products.
Top Seller (1)
- Free Cordless Upgrade (1)
- Top Seller (1)
- refine
Classroom (1)
Office (1)
Take a look at all of our recommendations for window treatments for your office
Utility Rooms (1)
- Classroom (1)
- Office (1)
- Utility Rooms (1)
- refine
French Doors (1)
Take a look at our wide selection of French Door Window Treatments.
- French Doors (1)
- refine
Expressions (1)
Choose your style, color and fabric for a one-of-a-kind expression of yourself
- Expressions (1)
- refine
customer reviews for blindsgalore
"Best purchase ever"
By from Parker, Co
This was my second time I purchased blinds from blinds galore. I love the product and installation is easy. I should have done a long time ago. Just purchased another honeycomb blinds for our master bedroom window. Few more windows to go.View this product
"Great solar shades"
By charlie from Meadow Vista
They look great, are easy to install, and work well. It is hard to tell they are down, but they filter the sun very well.View this product


text:
|Publication number
|Publication type
|Application number
|Publication date
|Mar 30, 2010
|Filing date
|Nov 25, 2003
|Priority date
|Nov 25, 2003
|Fee status
|Also published as
|Publication number
|Fred H. Burbank, Greig E. Altieri, Michael L. Jones, Ed Olson
|Original Assignee
|Vascular Control Systems, Inc.
|Export Citation
|BiBTeX, EndNote, RefMan
|Patent Citations (138), Non-Patent Citations (27), Referenced by (2), Classifications (12), Legal Events (4)
|External Links: USPTO, USPTO Assignment, Espacenet
The invention is generally directed to the treatment of uterine disorders by detecting and regulating blood flow through one or both of the patient's uterine arteries.
Hysterectomy (surgical removal of the uterus) is performed on approximately 600,000 women annually in the United States. Hysterectomy is often the therapeutic choice for the treatment of uterine cancer, adenomyosis, menorrhagia, prolapse, dysfunctional uterine bleeding (abnormal menstrual bleeding that has no discrete anatomic explanation such as a tumor or growth), and muscular tumors of the uterus, known as leimyoma or uterine fibroids.
However, hysterectomy is a drastic treatment, having many undesirable characteristics. Thus, any method which can approximate the therapeutic result of a hysterectomy without removing the uterus would be a significant improvement in this field. Newer treatment methods have been developed for some diseases which may spare these women a hysterectomy.
In an article published in 1964, Bateman reported that uterine artery vessel ligation or division. achieved via infra-abdominal surgery similar to hysterectomy, was effective in treating menorrhagia both with and without myomectomy. Bateman, W., M. D., "Treatment of intractable menorrhagia by bilateral uterine vessel interruption", 89 Am. J. Obstet. Gynecol. 825-827 (Harcourt Health Sciences, Jul. 15, 1964). While Bateman reported some success, this procedure involves opening the abdominal cavity, with the known attendant risks and disadvantages.
In 1995, it was demonstrated that uterine fibroids could be treated without hysterectomy using a non-surgical therapy, specifically comprising bilateral intraluminal occlusion of the uterine arteries (Ravina et al., "Arterial Embolization to Treat Uterine Myomata", Lancet Sep. 9, 1995; Vol. 346; pp. 671-672, incorporated in its entirety herein). This technique is known as "uterine artery embolization". In this technique, uterine arteries are accessed via a transvascular route from a common femoral artery into the left and right uterine arteries by means of an intravascular catheter and embolic material, such as small metallic coils, polyvinyl alcohol particulate and the like, is delivered through the catheter to the uterine arteries which quickly become occluded.
See also Burbank, Fred, M. D., et al, Uterine Artery Occlusion by Embolization or Surgery for the Treatment of Fibroids: A Unifying Hypothesis Transient Uterine Ischemia, The Journal of the American Association of Gynecologic Laparoscopists, November 2000, Vol. 7, No. 4 Supplement, pp. S3-S49. U.S. Pat. No. 6,254,601, to Fred Burbank et al, entitled "Methods for Occlusion of the Uterine Arteries", describes numerous devices and methods useful for occluding a uterine artery by penetrating the tissue of the patient to access the uterine artery. The devices and methods described in Burbank '601 have been useful in occluding a uterine artery, however there have been some difficulties encountered with their use.
The uterus has a dual (or redundant) blood supply, the primary blood supply being from the bilateral uterine arteries, and the secondary blood supply from the bilateral ovarian arteries. Consequently, when both uterine arteries are occluded, i.e. bilateral vessel occlusion, the uterus and the fibroids contained within the uterus are both deprived of their blood supply. However, as demonstrated by Ravina et al. and Burbank et al., the ischemic effects on the fibroid is greater than the effect on the uterus. In most instances, the fibroid withers and ceases to cause clinical symptoms.
However, many physicians do not possess the training or equipment necessary to perform catheter-based uterine artery embolization under radiologic direction. Accordingly, there are substantially fewer uterine artery embolizations performed, worldwide, each year than hysterectomies for symptomatic uterine fibroids.
Recently, fibroid treatment procedures have been described wherein the uterine arteries are temporarily occluded by an intravaginal device which is non-invasively pressed against the patient's vaginal fornix and clamped or otherwise pressed against tissue bundle with the patient's uterine artery being within the bundle. Pressure on the tissue occludes the underlying uterine artery. While these procedures have shown much promise, they are not always successful with many female patients who have asymmetrical uterine artery anatomy.
What is needed, therefore, are intravaginal devices and procedures for using such devices to occlude blood flow in a female patient's uterine arteries that can be easily used by physicians with limited training and equipment with patient's having asymmetrical uterine artery anatomy.
The invention is directed to a relatively non-invasive intravaginal uterine artery occlusion device and the procedure for using the device and system for treating a female patient's uterine disorder by occluding one or both of the patient's uterine artery. The devices and their use may be utilized in the treatment of uterine fibroids, dysfunctional uterine bleeding (DUB), post partum hemorrhage (PPH) and other uterine disorders by reducing or terminating blood flow through a patient's uterine artery. The invention is particularly useful for occluding asymmetrical uterine arteries.
An occlusion device embodying features of the invention has at least one and preferably a pair of occluding members with adjustable pressure applying surfaces. The occluding members have an elongated shaft with a proximal shaft section which is configured in part to extend out of the patient during the procedure and a distal shaft section which has occluding elements on the distal shaft section with pressure applying surfaces for artery occlusion. The occluding elements which are movable with respect to the distal shaft sections to adjust the relative position of the pressure applying surfaces for improved uterine artery occlusions with a female patient's asymmetrical uterine anatomy. Movement of the occluding elements is controlled by operative elements on the proximal shaft section which are configured to extend out of the patient during the occlusion procedure.
The occluding elements may be configured for movement along the longitudinal axis of the distal shaft section of the occluding member, for rotation about a pivot point on or adjacent to the distal shaft section, for radial movement away from the longitudinal axis of the distal shaft section, rotational movement about the longitudinal axis of the distal shaft section or a combination of such movements to accommodate a particular uterine anatomy.
The movement of the occluding elements may be effected by a fluid pressure actuated device, a suitable mechanism such as a screw actuated mechanism electromechanical systems and other suitable systems.
The elongated shafts of the occluding members are preferably pivotally mounted so that movement of the proximal shaft sections of the occluding members. which extend out of the patient during the procedure, will adjust the spacing between the distal shaft sections and as a result, the pressure applying surfaces of the occluding elements on the distal shaft sections.
The pressure applying surfaces of the occluding elements are configured to apply pressure against the patient's uterine cervix or against the patient's vaginal fornix or both to occlude underlying uterine arteries. Adjustment of the occluding element position is employed to optimize the orientation of the pressure applying surfaces thereof to effectively press against the patient's uterine cervix and/or vaginal fornix to occlude the patient's underlying uterine arteries in a variety of different anatomical structures.
The occlusion device should be stabilized with respect to the patient's uterus by a positioning member such as a tenaculum to facilitate a more effective application of pressure by the pressure applying member to the exterior of the cervix or the vaginal fornix to ensure occlusion of the patient's uterine artery.
In one embodiment of the invention, the occluding members are provided with blood flow sensors to aid in the location of the patient's uterine arteries, and to monitor the occlusion thereof. When the pressure applying surfaces of the occluding elements are pressed against the wall of the vaginal fornix, the vaginal wall is distended so as to more closely approach a uterine artery. Applying tension to the uterine cervix by the tenaculum or other suitable device or implement, including forceps, suction devices, and the like, help to reduce the distance from the patient's vaginal fornix to the patient's uterine artery.
The blood flow sensors on the occluding elements may sense sound, pressure, strain, stress, chemical entity, electromagnetic radiation and the like, and may be a combination of such sensors. A preferred blood flow sensor is one based on Doppler ultrasound. The blood flow sensor is preferably mounted to the face of a tissue-contacting, pressure applying surface of the occluding element and is preferably oriented perpendicularly to the pressure applying surface. Other orientations may be employed. Ultrasound energy useful for sensing a location of a blood vessel or of blood flow in a blood vessel has a frequency of less than about 20 MegaHertz (MHz), such as between about 5 MHz and about 19 MHz, and preferably between about 6 MHz and about 10 MHz. In commercially available Doppler sensors, the frequency is typically about 8 MHz. For sensors based on electromagnetic energy useful for sensing a location of a blood vessel or of blood flow in a blood vessel, the EM energy should have a wavelength of about 500 nanometers (nm) to about 2000 nm, preferably about 700 nm to about 1000 nm.
A method for occluding a patient's uterine arteries which embodies features of the invention includes advancing the occluding device through the patient's vaginal canal, preferably slidably mounted on a previously deployed tenaculum or tenaculum-like device. The stabilizing bar of the tenaculum, which is deployed within the patient's uterine cervix, guides the occluding device so that the occluding elements of the device are disposed adjacent to the patient's cervix. The position of the occluding elements on the occluding device is adjustable so that the pressure applying surfaces of the occluding elements may be pressed against the patient's vaginal fornix on both sides of the cervix. The position of the occluding elements is adjusted utilizing the blood flow sensors on the pressure applying surfaces of the occluding elements to ensure the pressure applying surfaces are properly positioned with respect to the uterine arteries for effective occlusion thereof. Positional adjustment of the occluding elements may be in-line with the distal shaft sections, rotation within a plane in line with the distal shaft section, radial extension away from distal shaft section, rotation about the longitudinal axis and combinations of these movements. Pressure is applied to the uterine arteries by the occluding elements to occlude the arteries for a period of about 0.5 to about 48 hours, usually about 1 to about 24 hours for effective treatment of the uterine disorder.
The invention allows for the non-surgical location and occlusion of blood vessels such as the uterine artery, providing effective therapeutic treatment. Importantly, the present invention allows for the occlusion of a female patient's uterine artery without the need for radiographic equipment or for extensive training in the use of radiographic techniques. The devices and methods are simple and readily used for treating uterine fibroids, dysfunctional uterine bleeding (DUB), adenomyosis, post-partum hemorrhage, and other uterine disorders. The devices, systems and methods embodying features of the invention allow for the occlusion of both uterine arteries in those situations in which the uterine anatomy is not symmetrical.
These and other advantages will become more apparent from the following detailed description when taken in conjunction with the accompanying exemplary drawings.
The occluding elements 20 and 21 on the distal portion of the distal shaft sections 17 and 18 are shown pivotally mounted to the distal ends 25 and 26 of the distal shaft sections 17 and 18 respectively at pivots 27 and 28. The occluding elements 20 and 21 are rotated about the pivotal connections 27 and 28 by control cables 30 and 31 which are connected to control arms 32 and 33 respectively mounted on the proximal shaft sections 14 and 13. The control arms 32 and 33 are provided with a ratchet mechanism (not shown) to hold the control arms, and thus the occlusion elements 20 and 21 in a selected position. The pressure applying occluding bars 34 and 35 of the occluding elements 20 and 21 may be axially extended by hydraulic systems 36 and 37 as depicted in
The occluding elements 20 and 21 are formed of yokes 38 and 39 with arms 40 and 41 and arms 42 and 43 respectively which are configured to slidably receive the legs 44 and 45 depending from occluding bar 34 and legs 46 and 47 depending from occluding bar 35. Blood flow sensors 48 and 49 are secured to the pressure applying surfaces 22 and 23.
The occlusion device 10 is advanced within the patient's vaginal canal with the occlusion elements 20 and 21 in a straight, forward position until the occlusion elements reach the patient's uterine cervix. The shoe 50 on the device 10 preferably slides along the positioning rod of a previously positioned tenaculum (not shown) to ensure that the occluding elements 20 and 21 are positioned on opposite sides of the patient's uterine cervix. The control cables 30 and 31 are pulled by the control arms 32 and 33 to rotate the occlusion elements 20 and 21 into position with the pressure applying surfaces 22 and 23 are oriented transverse to the patient's uterine arteries. The knobs 51 and 52 of the hydraulic mechanisms 36 and 37 are rotated clockwise to compress the fluid within the hydraulic systems to advance the legs 44 and 45 within the arms 40 and 41 and legs 46 and 47 within the arms 42 and 43 so the occlusion bars 34 and 35 connected to the legs advance against the patient's vaginal fornix to occlude the patient's uterine arteries. The blood flow sensors 48 and 49 on the occluding elements 20 and 21 help the physician to properly position the pressure applying surfaces 22 and 23 of the occluding elements for effective artery occlusion. The physician may then squeeze the finger grips 15 and 16, to adjust the spacing between the occluding elements 20 and 21 to occlude the underlying uterine arteries. The ratchet locking members 53 and 54 on the proximal shaft sections 13 and 14 which interact to releasably lock the occluding members 11 and 12 together when the finger grips 15 and 16 are squeezed. Upon completion of the procedure, the ratchet locking members 53 and 54 may be released and the occluding device 10 removed from the patient's vaginal canal.
The blood flow sensors 48 and 49 are preferably Doppler ultrasonic sensing systems to allows the operator to more easily guide the occlusion members 11 and 12 to the location of the patient's target uterine arteries. Sensors 48 and 49 are provided with a signal transmission cables 56 and 57 which are operatively connected to sensor control device (not shown). Cables 56 and 57 may be insulated wires, a plurality of wires, optical fibers, waveguides, or other connection effective to carry signals and/or energy or power between the sensors and a sensor controller.
Suitable Doppler ultrasonic systems include the MedaSonics� CardioBeat� Blood Flow Doppler with Integrated Speaker (Cooper Surgical, Inc., Trumbull, Conn.). Other commercially available suitable Doppler ultrasound sensors are the Koven model ES 100X MiniDop VRP-8 probe (St. Louis, Mo.) and the DWL/Neuro Scan Medical Systems' Multi-Dop B+ system (Sterling, Va.).
While not shown in the drawings, the pressure applying surface of the occluding elements may be provided with a serrated or other tissue-grasping surface which is configured to engage and hold onto tissue when the pressure applying surfaces are pressed into tissue of the patient's vaginal fornix.
The occluding elements 72 and 73 have yoke member 80 which receives legs 81 and 82 and yoke member 83 which receives legs 84 and 85 extending from the underside of occlusion bars 78 and 79. The yoke 80 has arms 86 and 87 and yoke 83 has a pair of arms 88 and 89 which slidably receive the legs 81 and 82 and 84 and 85 of the occlusion bars 78 and 79. As shown in
As shown in more detail in
The uterine arteries in human females are located adjacent the vaginal mucosa at a location within a few centimeters of the vaginal fornix. As a result, for accessing and occluding a uterine artery from within the patient's vaginal canal, the dimensions of a vagina determine what size occluding device is suitable, taking into consideration that the occluding device should readily reach the vaginal fornix and be manually operated from outside of a patient's body. For example, a occluding device may be between about 6 inch to about 12 inches (15.2-30.5 mm) in length for most applications.
The uterine artery occluding devices embodying features of the invention may be made from any suitable material or combination of materials, including metals such as stainless steel, cobalt-chromium alloys, cobalt-chromium-nickel alloys, chromium-cobalt-molybdenum alloys and superelastic alloys such as nickel-titanium alloys having a stable austenite phase at body temperature, high strength plastics, ceramics, and other materials known in the art to be suitable for the uses contemplated herein. Biocompatible polymers such as polycarbonate, polysulfone, polyester, polyacetal and a variety of fluoropolymers can be suitable for a variety of embodiments of the invention. The occlusion devices and systems embodying features of the invention may be designed for single use (disposable) or may be sterilizable and capable of multiple use.
While particular forms of the invention have been illustrated and described, it will be apparent that various modifications can be made to the invention and that individual features shown in one embodiment can be combined with any or all the features of another embodiment described herein. For example, the mechanism shown in
|Cited Patent
|Filing date
|Publication date
|Jul 29, 1943
|May 14, 1946
|Nagel Charles E
|Gynecological instrument
|May 4, 1962
|Oct 5, 1965
|Hanna Jay S
|Intestinal clamps and the like
|Dec 15, 1965
|Nov 19, 1968
|Paul D. Nobis
|Device for interrupting arterial flow
|Oct 21, 1971
|Dec 11, 1973
|Administrator For Veterans Aff
|Method and apparatus for non-invasively visualizing blood vessels
|Oct 18, 1971
|Dec 18, 1973
|Medical Concepts Inc
|Oct 8, 1976
|Oct 17, 1978
|American Hospital Supply Corporation
|Disposable pads for surgical instruments
|May 30, 1979
|Oct 7, 1980
|Walker Jr William E
|Surgical foreceps
|Apr 30, 1979
|Oct 6, 1981
|Rca Corporation
|Apparatus and method for application of radioactive and microwave energy to the body
|Jul 11, 1980
|Jan 31, 1984
|Auburn Robert M
|Umbilical cord clamping assembly
|Jan 7, 1982
|Jan 31, 1984
|Technicare Corporation
|Passive ultrasound needle probe locator
|Jul 15, 1982
|Apr 9, 1985
|Harvinder Sahota
|Hemostat with blood flow sensor
|Nov 1, 1985
|Mar 17, 1987
|Angiobrade Partners
|Angioplasty device
|Jan 27, 1987
|Jul 19, 1988
|Hofmeister John F
|Method and apparatus for measuring uterine blood flow
|Dec 9, 1988
|Jul 31, 1990
|Hasson Harrith M
|Laproscopic instrument with pivotable support arm
|Jan 24, 1989
|Aug 7, 1990
|Gade George F
|Surgical retractor assembly having tissue viability sensor embedded therein
|Nov 13, 1989
|Feb 12, 1991
|Pfizer Hospital Products Group, Inc.
|Doppler guide wire
|Nov 2, 1988
|Feb 19, 1991
|Target Therapeutics
|Vaso-occlusion coil and method
|Jul 17, 1987
|Aug 6, 1991
|Hasson Harrith M
|Clamp for gynecological instruments
|May 17, 1990
|Aug 6, 1991
|Wilk Peter J
|Endoscopic suturing device and related method and suture
|Jul 20, 1989
|Jan 21, 1992
|Vance Products Incorporated
|Echogenic devices, material and method
|Apr 20, 1990
|Apr 28, 1992
|Lally James J
|Uterine-ring hysterectomy clamp
|Jan 21, 1992
|Apr 13, 1993
|Vance Products Incorporated
|Echogenic devices, material and method
|Oct 2, 1991
|Jul 13, 1993
|Target Therapeutics
|Vasoocclusion coil with attached fibrous element(s)
|Apr 27, 1992
|Nov 16, 1993
|Sulzer Brothers Limited
|Puncturing device for blood vessels
|Nov 16, 1992
|Jan 4, 1994
|Ethicon, Inc.
|Method and apparatus for performing ultrasonic assisted surgical procedures
|Apr 21, 1992
|Mar 1, 1994
|Vance Products Incorporated
|Surface-treated stent, catheter, cannula, and the like
|Feb 9, 1993
|Aug 9, 1994
|Laparomed Corporation
|Dual ligating and dividing apparatus
|Nov 23, 1992
|Aug 9, 1994
|Adair Edwin Lloyd
|Parallel channel fixation, repair and ligation suture device
|Mar 15, 1993
|Jan 24, 1995
|Medtronic, Inc.
|RF lead fixation and implantable lead
|Mar 31, 1994
|Jun 27, 1995
|Bollinger; Armin
|Ultrasonic Doppler probe with needle guide
|Aug 25, 1994
|Oct 10, 1995
|Vitaphore Corporation
|Embolization plugs for blood vessels
|May 6, 1994
|Oct 17, 1995
|Dorsal Orthopedic Corporation
|Method and apparatus for controlled contraction of soft tissue
|Nov 7, 1994
|Feb 6, 1996
|Vance Products Incorporated
|Surgical cutting instrument for coring tissue affixed thereto
|Jul 27, 1994
|Mar 5, 1996
|Terumo Kabushiki Kaisha
|Knot-forming instrument and method of forming knots
|Apr 30, 1993
|Apr 16, 1996
|Scimed Life Systems, Inc.
|Apparatus and method for sealing vascular punctures
|May 12, 1994
|Apr 30, 1996
|United States Surgical Corporation
|Percutaneous surgical retractor
|Sep 23, 1994
|Aug 6, 1996
|Bhatta; Krishan M.
|Surgical device and method
|Jun 24, 1994
|Aug 27, 1996
|Target Therapeutics, Inc.
|Fibered vasooclusion coils
|Mar 2, 1995
|Aug 27, 1996
|Ing. A. Maurer Sa
|Filter apparatus including stacked intake and discharge plates
|Mar 28, 1995
|Sep 17, 1996
|Endovascular, Inc.
|Method for tubal electroligation
|Mar 20, 1995
|Oct 8, 1996
|Hasson; Harrith M.
|Apparatus for assisting the performance of pelvic endoscopic procedures
|May 19, 1995
|Nov 5, 1996
|Hayashi Denki Co. Ltd.
|Ultrasonic doppler blood flow detector for hemorrhoid artery ligation
|Oct 11, 1994
|Dec 10, 1996
|Charles H. Klieman
|Surgical instrument for endoscopic and general surgery
|Dec 1, 1994
|Dec 31, 1996
|Vidamed, Inc.
|Transurethral needle delivery device with cystoscope and method for treatment of urinary incontinence
|Jul 28, 1994
|Jan 7, 1997
|Michael Schifano
|Schifano obstetric scissors
|Sep 15, 1994
|Feb 4, 1997
|Kowa Company Ltd.
|Blood flow measurement system
|Jan 23, 1995
|Mar 25, 1997
|The Regents Of The University Of California
|Angiographic vascular occlusion agents and a method for hemostatic occlusion
|Jul 20, 1995
|Aug 19, 1997
|Applied Medical Resources
|Surgical ligating device and method for using same
|Jun 23, 1993
|Sep 2, 1997
|K.U. Leuven Research & Development
|Instrument set for laparoscopic hysterectomy
|Oct 28, 1994
|Sep 2, 1997
|Desai; Ashvin H.
|Endoscopic surgical instrument
|Mar 7, 1995
|Sep 9, 1997
|Yoon; Inbae
|Needle driving apparatus and methods of suturing tissue
|Sep 26, 1994
|Sep 30, 1997
|Vidamed, Inc.
|Medical probe device and method
|Jun 6, 1995
|Sep 30, 1997
|Vros Corporation
|Surgical instrument with ultrasound pulse generator
|Aug 3, 1995
|Oct 7, 1997
|Hale; Theodore Mark
|Obstetrical forceps
|Mar 18, 1996
|Nov 25, 1997
|The Medical College Of Hampton Roads
|Adjunctive therapy
|Feb 23, 1996
|Dec 16, 1997
|Toma; Doina
|Surgical clamp with manipulable guide means
|Nov 15, 1996
|Dec 16, 1997
|Palti; Yoram
|Internal vascular clamp
|Nov 27, 1995
|Dec 30, 1997
|Olympus Optical Co., Ltd.
|Ligating apparatus
|Jul 7, 1995
|Feb 3, 1998
|Sherman; Dani
|Method of monitoring cervical dilatation during labor, and ultrasound transducer particularly useful in such method
|May 10, 1995
|Feb 3, 1998
|Medical Scientific, Inc.
|Impedance feedback electrosurgical system
|Jun 7, 1995
|Feb 3, 1998
|Vesta Medical, Inc.
|Body cavity ablation apparatus and model
|Feb 28, 1995
|Feb 10, 1998
|Boston Scientific Corporation
|Deflectable biopsy catheter
|Nov 13, 1995
|Feb 10, 1998
|Walinsky; Paul
|Cardiac ablation catheter arrangement with movable guidewire
|Jun 7, 1996
|Feb 24, 1998
|Bischof; John C.
|Thermally insulating surgical probe
|Feb 24, 1993
|May 12, 1998
|Medtronic, Inc.
|Device or apparatus for manipulating matter
|Dec 23, 1996
|Jun 2, 1998
|C. R. Bard, Inc.
|Print mask technique for echogenic enhancement of a medical device
|Oct 17, 1996
|Jun 16, 1998
|Terwilliger; Richard A.
|Echogenic needle tip
|Jun 12, 1996
|Jul 7, 1998
|Ethicon Endo-Surgery, Inc.
|Endometrial ablation apparatus and method
|Nov 26, 1996
|Aug 11, 1998
|Esaote S.P.A.
|Intraoperative probe, specifically intended for direct-contact observations
|Nov 25, 1996
|Aug 25, 1998
|Hewlett-Packard Company
|Ultrasound imaging system and method using intensity highlighting to facilitate tissue differentiation
|Mar 20, 1996
|Sep 1, 1998
|Vidamed, Inc.
|Medical probe device and method
|Mar 11, 1997
|Oct 6, 1998
|Sonometrics Corporation
|System for displaying a 2-D ultrasound image within a 3-D viewing environment
|May 22, 1996
|Nov 17, 1998
|Somnus Medical Technologies, Inc.
|Method and apparatus for treatment of air way obstructions
|May 16, 1997
|Nov 24, 1998
|Ge Yokogawa Medical Systems, Limited
|Method and apparatus for ultrasound imaging
|Dec 20, 1996
|Apr 20, 1999
|Electroscope, Inc.
|Bipolar coagulation apparatus and method for arthroscopy
|Jul 17, 1997
|Apr 20, 1999
|Yeung; Teresa T.
|Partial to full thickness suture device & method for endoscopic surgeries
|Oct 8, 1996
|May 4, 1999
|Siemens Medical Systems, Inc.
|3-dimensional volume by aggregating ultrasound fields of view
|Oct 28, 1996
|May 18, 1999
|Ep Technologies, Inc.
|Systems and methods for visualizing tissue during diagnostic or therapeutic procedures
|May 30, 1997
|Jun 8, 1999
|The General Hospital Corporation
|Treatment of ischemic cardiac malfunction
|May 21, 1997
|Jun 15, 1999
|Aloka Co., Ltd.
|Ultrasound image processing apparatus and method of forming and displaying ultrasound images by the apparatus
|Feb 26, 1997
|Jun 29, 1999
|Kirsner; Vaclav
|Methods and apparatus for monitoring fertility status in the mammalian vagina
|Aug 17, 1998
|Jul 13, 1999
|Medtronic, Inc.
|Medical devices with echogenic coatings
|Aug 28, 1997
|Jul 13, 1999
|Gimpelson; Richard J.
|Surgical forceps
|Oct 14, 1997
|Aug 24, 1999
|Civco Medical Instruments Inc.
|Multiple angle disposable needle guide system
|Nov 6, 1996
|Nov 9, 1999
|Femrx, Inc.
|Needle myolysis system for uterine fibriods
|Nov 17, 1998
|Jan 11, 2000
|Karavidas; Theocharis
|Surgical clamp with removable tips
|Nov 3, 1997
|Jan 18, 2000
|Micro Therapeutics, Inc.
|Radioactive embolizing compositions
|Feb 8, 1996
|Feb 1, 2000
|Gronningsaeter; Aage
|Method for ultrasound guidance during clinical procedures
|Aug 15, 1997
|Mar 7, 2000
|Femrx, Inc.
|Methods and devices for tissue removal
|Mar 4, 1997
|Mar 7, 2000
|Vnus Medical Technologies, Inc.
|Method and apparatus for treating venous insufficiency using directionally applied energy
|Dec 8, 1998
|Mar 7, 2000
|U.S. Philips Corporation
|High-pressure discharge lamp
|Aug 13, 1997
|Mar 7, 2000
|Surx, Inc.
|Noninvasive devices, methods, and systems for shrinking of tissues
|May 29, 1998
|Mar 21, 2000
|Mayo Foundation For Medical Education And Research
|Volumetric image ultrasound transducer underfluid catheter system
|Feb 27, 1997
|Apr 4, 2000
|Acuson Corporation
|Ultrasonic probe, system and method for two-dimensional imaging or three-dimensional reconstruction
|May 14, 1996
|May 23, 2000
|Sherwood Services Ag
|Apparatus and method for sterilization and embolization
|Sep 20, 1996
|Jun 20, 2000
|Vidacare, Inc.
|Ablation of rectal and other internal body structures
|Feb 25, 1999
|Jun 27, 2000
|Blythe; Cleveland
|Vaginal probe and method of using same
|Mar 19, 1999
|Aug 1, 2000
|Scimed Life Systems, Inc.
|Endoscopic suture systems
|Nov 6, 1997
|Aug 22, 2000
|Sts Biopolymers, Inc.
|Echogenic coatings
|Sep 25, 1997
|Nov 28, 2000
|Genzyme Corporation
|Adjustable multi-purpose coronary stabilizing retractor
|Jan 13, 1999
|Jan 2, 2001
|Urometrics, Inc.
|Devices and methods for monitoring female arousal
|Mar 16, 1999
|Jan 16, 2001
|Allen Maizes
|Apparatus and method for sensing oxygen levels in a fetus
|Jul 27, 1999
|Feb 13, 2001
|Asahi Kogaku Kogyo Kabushiki Kaisha
|Sector scanning, intracavitary ultrasonic probe
|Aug 4, 1999
|Apr 3, 2001
|Rontech Medical Ltd.
|Apparatus, system and method for real-time endovaginal sonography guidance of intra-uterine, cervical and tubal procedures
|Jan 13, 1999
|May 15, 2001
|Scimed Life Systems, Inc.
|Safety mechanism and method to prevent rotating imaging guide device from exiting a catheter
|Dec 8, 1998
|Jul 3, 2001
|Hysterx, Inc.
|Methods for occlusion of the uterine arteries
|May 7, 1998
|Jul 17, 2001
|Diasonics Ultrasound, Inc.
|Method and apparatus for ultrasound imaging with biplane instrument guidance
|Dec 15, 1997
|Aug 28, 2001
|Sherwood Services Ag
|Apparatus and method for RF lesioning
|Jun 21, 1999
|Sep 25, 2001
|Novare Surgical Systems, Inc.
|Surgical clamp with replaceable clamp members
|Jun 18, 1999
|Oct 9, 2001
|Novare Surgical Systems, Inc.
|Surgical clamp pads with elastomer impregnated mesh
|Jan 4, 1999
|Apr 9, 2002
|William W. Malecki
|Clamp assembly and method of use
|Jan 24, 2000
|Apr 16, 2002
|Ron-Tech Medical Ltd.
|Forceps useful for intrabody guiding and/or positioning of a medical instrument
|Sep 17, 1999
|Jul 30, 2002
|University Of Washington
|Noise-free real time ultrasonic imaging of a treatment site undergoing high intensity focused ultrasound therapy
|Mar 16, 2000
|Jun 24, 2003
|The University Of Sydney
|Device for use in surgery
|Apr 17, 2001
|Aug 5, 2003
|Vascular Control Systems, Inc.
|Device and methods for occlusion of the uterine artieries
|Feb 9, 2001
|Aug 26, 2003
|Albert N. Santilli
|Aorta cross clamp assembly
|Oct 31, 2000
|Dec 2, 2003
|Karl Storz Gmbh & Co. Kg
|Instrument with two independent forceps
|Feb 27, 2002
|Apr 6, 2004
|Hol-Med Corporation
|Instrument for bone distraction and compression having ratcheting tips
|Sep 28, 2001
|May 3, 2005
|Kabushiki Kaisha Toshiba
|Mar 28, 2002
|Jun 14, 2005
|Vascular Control Systems, Inc.
|Multi-axial uterine artery identification, characterization, and occlusion pivoting devices and methods
|Mar 14, 2002
|Aug 15, 2002
|Taylor Charles S.
|Surgical instruments and procedures for stabilizing the beating heart during coronary artery bypass graft surgery
|Mar 28, 2002
|Nov 7, 2002
|Burbank Fred H.
|Multi-axial uterine artery identification, characterization, and occlusion devices and methods
|Mar 28, 2002
|Dec 5, 2002
|Vascular Control Systems, Inc.
|Method and apparatus for the detection and ligation of uterine arteries
|Mar 28, 2002
|Dec 12, 2002
|Burbank Fred H.
|Multi-axial uterine artery identification, characterization, and occlusion pivoting devices and methods
|May 22, 2002
|Jan 23, 2003
|Makin Inder Raj. S.
|Tissue-retaining system for ultrasound medical treatment
|Nov 19, 2002
|Jun 26, 2003
|Vascular Control System
|Method and apparatus for the detection and occlusion of blood vessels
|Aug 2, 1995
|Sep 10, 1998
|Harald Dr Med Kuebler
|Chirurgisches Schneidinstrument
|Apr 18, 2000
|May 10, 2001
|Hofstetter Alfons
|Medizinische Klemme
|Aug 15, 1991
|Jun 28, 1995
|Med Institute, Inc.
|Ablation catheter
|Nov 15, 1993
|Jan 15, 1997
|Ethicon Inc.
|Methods and apparatus for performing ultrasonic-assisted surgical procedures
|Jul 10, 1998
|Sep 17, 2003
|Ethicon, Inc.
|Instrument for operations on the uterus
|Jul 19, 1999
|Jan 31, 2001
|EndoArt S.A.
|Flow control device
|Title not available
|Title not available
|Title not available
|Title not available
|Title not available
|Nov 1, 2001
|May 23, 2002
|Vascular Control Systems, Inc.
|Doppler directed suture ligation device and method
|"Mick 200-TP Applicator Package", Mick Radio-Nuclear Instruments, Inc., advertisement.
|"Multiplanar Biopsy Transverse Scan", Bruel & Kjaer Medical Systems, Inc., advertisement.
|"Seeding Device-Proscan Urologic Ultrasound Imaging System", Teknar, advertisement.
|"Seeding Device—Proscan Urologic Ultrasound Imaging System", Teknar, advertisement.
|"Transrectal Biopsy of the Prostrate Gland", Bruel & Kjaer Medical Systems, Inc., advertisement.
|Barth, Klemens H. et al., "Long Term Follow-Up of Transcatheter Embolization With Autologous Clot, Oxycel and Gelfoam in Domestic Swine", Investigative Radiology, May-Jun. 1977, vol. 12, pp. 273-290.
|Bateman, William M.D., "Treatment of intractable menorrhagia by bilateral uterine vessel, Interruption", Am. J. Obst. & Gynec. 89(6):825-827 (Jul. 15, 1964).
|Brigato, G. et al., "A Noninvasive Instrumental Method in Severe Postpartum Hemorrhages", Minerva Ginecologica 50(7-8):337-339 (1998).
|Brohim, Robert M. et al., "Development of Independent Vessel Security After Ligation With Absorbable Sutures or Clips", The American Journal of Surgery, Mar. 1993, vol. 165, pp. 345-348.
|Burbank, Fred et al., "Uterine Artery Occlusion by Embolization or Surgery for the Treatment of Fibroids: A Unifying Hypothesis-Transient Uterine lschemia", The Journal of the American Association of Gynecologic Laparoscopists, Nov. 2000, vol. 7, No. 7 Supplemental, pp. S3-S49.
|Fuchs, Karl, "Afibrinogenemia Treated by Ligation of Uterine Arteries", Gynacologic 148:407-411(1959).
|Garza Leal, J. et al., "Myoma Treatment by Transient Uterine Ischemia", The Journal of the American Association of Gynecologic Laparoscopists 7(3):S31 (Aug. 2000).
|Hay, D.L. et al., "Hemostasis in Blood Vessels After Ligation", Am. J. Obstet. Gynecol., Mar. 1989, 160:3, pp. 737-739.
|Hunerbein, M. et al., "Endoscopic Ultrasound-Guided Real Time Biopsy of Peri-Intestinal Tumors", Surgical Technology International VII, 1998, pp. 91-95.
|International Preliminary Report of Patentability for Serial No. PCT/US04/01935, mailed Jul. 8, 2005.
|International Search Report for PCT/US03/35815 mailed Jun. 30, 2004.
|International Search Report for PCT/US04/01935 mailed Feb. 15, 2005.
|International Search Report for PCT/US04/03023 mailed Feb. 9, 2005.
|International Search Report for PCT/US2004/038111, mailed May 3, 2005.
|International Search Report for PCT/US2004/038276, mailed Mar. 15, 2005.
|O'Leary, James A., M.D., "Uterine Artery Ligation in the Control of Postcesarean Hemorrhage", The Journal of Reproductive Medicine, Inc., 40(3):189-193 (Mar. 1995).
|O'Leary, James L., M.D. et al., "Uterine artery ligation in the control of intractable postpartum hemorrhage", Am. J. Obst. & Gynec. 94(7):920-924 (Apr. 1, 1966).
|Ravina, J.H. et al., "Arterial Embolisation to Treat Uterine Myomata", The Lancet, Sep. 9, 1995, vol. 346, No. 8976, pp. 671-672.
|Schaefer, C.J. et al., "Absorbable Ligating Clips", Surg. Gynecol. Obstet., 1982, 154:513-516.
|Sonopsy Ultrasound Guided Breast Biopsy, NeoVision, advertisement.
|Translation of FR 1 220 773.
|Written Opinion for PCT/US2004/038111, mailed May 3, 2005.
|Citing Patent
|Filing date
|Publication date
|Sep 26, 2011
|Dec 4, 2012
|Soulor Surgical, Inc.
|Apparatus for treating a portion of a reproductive system and related methods of use
|Aug 22, 2011
|Dec 17, 2013
|Soulor Surgical, Inc.
|Apparatus for treating a portion of a reproductive system and related methods of use
|U.S. Classification
|International Classification
|Cooperative Classification
|European Classification
|Apr 14, 2004
Owner name: VASCULAR CONTROL SYSTEMS, INC., CALIFORNIA
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:BURBANK, FRED H.;ALTIERI, GREIG E.;JONES, MICHAEL J.;ANDOTHERS;REEL/FRAME:015600/0406;SIGNING DATES FROM 20040130 TO 20040202
Owner name: VASCULAR CONTROL SYSTEMS, INC.,CALIFORNIA
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:BURBANK, FRED H.;ALTIERI, GREIG E.;JONES, MICHAEL J.;ANDOTHERS;SIGNING DATES FROM 20040130 TO 20040202;REEL/FRAME:015600/0406
|Nov 8, 2013
|Maintenance fee reminder mailed
|Mar 30, 2014
|Lapse for failure to pay maintenance fees
|May 20, 2014
|Expired due to failure to pay maintenance fee
Effective date: 20140330


text:
A bachelor is an academic degree program that helps prepare students for a future career or to continue their education. Bachelor's degrees can be earned in about three to five years depending on student achievement as well as the requirements of each specific degree program.
Education in the United States is mainly provided by the public sector, with control and funding coming from three levels: state, local, and federal, in that order. The common requirements to study at a higher education level in United States will include your admissions essay (also known as the statement of purpose or personal statement), transcript of records, recommendation/reference letters, language tests
Top Bachelor Degrees in Molecular Medicine in Kenmore in USA 2017
Bastyr University's herbal sciences degree completion program trains professionals who can respond to the growing demand for herbal medicine experts. By studying with master herbalists, students undertake a thorough and scientifically rigorous education. Graduates complete the program in two years and are prepared to enter the herbal products field directly, begin work as botanical medicine experts or pursue further education in related areas. [+]


text:
|Start new thread in this topic | Flip this thread | Refresh the display
Extended Looks like my 3yr 3month ds2 has stopped bf. Feeling a bit sad - but proud(34 Posts)
I havent fed him since monday morning This is the longest he's gone without a bf. He's missed the odd feed here and there either if I've been out or he's forgotten. But if he's missed a night time one he will have had a morning one. He has only been having one before bed and one in the morning since he was about 2 - I think, I can't really remember.
Dh has been wanting him to stop breast feeding for a while now, maybe a year.
Hi, well this morning ds2 asked for milky but he really wasn't that distressed when I said it was all gone. So I didn't feed him.
And this evening as we came down for stories and what used to be milky time he said 'Milkys broken' and I said yes ds2 and made a sad face. Then he had stories and went to bed beautifully . Dh was out with the kids and for a second I thought "ooh I can feed him - nobody's here..! " but I didn't . Ds2 wasn't even really upset it would have been silly if I had. Gosh as I'm writing this my boobs are tingling :-/
I think dh knows how I feel about his attitude .... I've been telling him for a year that he needed to stop going on about how ds2 needed to stop milky - and for a while he did stop saying it. It just sort of started happening again. I don't want to keep having an argument about it . And when I talk about it , I feel upset .
I'm hoping that I've turned a corner with how I feel though. I am feeling more positive and less sad and teary.
Reading your messages in really helping . X
Garlic, Your thread has actually made me cry. I must be feeling particularly hormonal.
I also BF my DD who is 18 and as much as I want her to self wean, she is very firmly attached and I doubt she will consider it before 3 or later. My DH is supportive, I would say very supportive, but not sure if he is going to be when DD is older. She still doesn't sleep through and DH thinks it's because she is BF and has a very strong boob/sleep association. To the point that her word for milk is the same as her word for sleep!
Your thread has really hit home with me-I am not sure wether it is because it reassured me that it's ok to feed way into toddler years (I don't know anyone who does, and come from FF family, so does DH) or whether your weaning story was so sad, clearly not what you wanted to happen and I feel for you.
I am sorry that I have no advice, just wanted to send you hugs and thank you for sharing your story.
Another one here, blubbing.
I hope it's getting easier for both you and your DS, garlic. Sorry that the end came before you were both ready though.
Thanks for your messages Satine and winged. I am feeling less sad about it and I haven't cried since the weekend. Ds2 was asking for it yesterday eve but the difference is, before , when he was feeding , there would be no way I could calm him and not feed him, but last night I did. He went to sleep happily after a little chat and a cuddle about what he'd done that day.
He asked again this morning but it was as if he knew he wasn't going to get is as he was asking iykwim.
I'm sorry this has made you cry But if it has helped in anyway then it's also a good thing.
You said you don't know anyone else that has fed this far- well I don't/didn't either. I was alone! The only one! By about 2 years!!! My friends were all totally cool with it though.
I loved loved breastfeeding and so did ds2.
Garlic, it's great to hear that you are feeling more positive about it. Can I just ask you what was your experience of sleep/bf association with your DS?
I am a bit worried that my DD entered a phase when there is no way she will fall asleep without sucking if I am around. On occassions in the past, she was able to fall asleep after a feed, but in my arms but that phase is gone. She needs to have my nipple in my mouth to sleep and although most of the time I don't mind, I would like to have a choice, but she gets so tantrum-y and hysterical, I started to worry a bit and just get on with it for her/my own peace at bedtime.
Hi Satine5 . ds2 used to always fall asleep whilst feeding - as a very young baby. Then at around 4-6 months I did the pat/shush nap method to try and get him to sleep without being fed. This worked for naps but he still fell asleep at night time during a breast feed. Gradually as he got older he would not fall asleep during his milk ( unless i fed him for ages till late...!) so we started to take him up awake. We were amazed when he first went to sleep ( at night time) from being awake. So pretty much for the last year, most nights he went up to bed awake . After milk and stories. Unless he was incredibly tired and then he'd fall asleep during milk.
He definitely associated night time ( and morning) with having milk . But in the end not actually physically falling asleep with milk . ( is this making sense?!)
About a year ago he had started to become interested in stories AS WELL as milk - as apposed to his only goal at bedtime being MILK!! He would feed - sometimes very quickly on both sides , and then say he was finished. It was as if he wanted it as that was his routine but sometimes it was almost like it was a cursory 'ill do this as its the routine' feed. And If he didn't remember to have both sides he'd get upset when he went to bed and then remembered! Funny little thing! Xxx
He asked again tonight btw but we just had stories and chatted about his teddies
Hi Garlic, sounds like my DD is a bit different, she is s 'sucker' still and I wonder whether I should have done something about it earlier on. She started throwing almighty tantrums if I try shush/pat or just cuddle instead of falling asleep with a boob in her mouth.
However, she was such a poorly baby with silent reflux and a comfort feeder, she still has gastric issues and it brings her comfort. I think I am going to stick with what we know and try to change routine when she gets more teeth (she is a very late teether and I expect that's also why she is such an adamant comfort sucker.
I may start a thread to ask other extended bf mums about their experience. I have no one to talk to about this and it feels lonely!! xx
Glad it's going ok
It might not have been the best thing but is happened in a good way
I felt the need to write it down at the time too. Talking does help
(Tame under a change)
Thanks all Yes start a thread , it might help x
We're nearly at the end of the second week. He's still asking every morning and every night. But he's not crying when we explain its all gone. He has tried to get into 'position' a few times which was hard but I just distracted him. He'd jump at the chance to feed if he could :-/
But I'm thinking positive and forward .
|Start new thread in this topic | Flip this thread | Refresh the display
Join the discussion
Registering is free, easy, and means you can join in the discussion, get discounts, win prizes and lots more.Register now
Already registered with Mumsnet? Log in to leave your comment or alternatively, sign in with Facebook or Google.
Please login first.


text:
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!
Can an employer create an employee handbook and use it against employees that worked there for over a year prior to that creation without a contract?
Also, there was a manager that was accused of stealing over a year ago that still works there because of lack of evidence. Now, a year later, the employer is going to start having management search all personal belongings of only employees under management level.
Without prior notice (i.e. being part of employment agreement or handbook)
can employees be searched or is this invasion of privacy? Also since management is invulnerable to this policy can this be considered discrimination?
Employment is at will in California, absent a collective bargaining agreement (union) or an individual employment contract. So, the employer is free to change the rules applicable to the workplace -- by adopting an employee handbook or manual -- at any time and for any reason. Employees who find the changes unacceptable are free to leave the position.
Management has the right to make an individualized decision in cases of employee misconduct. Here, management decided for some reason not to fire the manager accused of stealing. It is not required for management to disclose its reasons, and the failure to fire that employee does not give rights or protections to other employees who are suspected of stealing or lesser forms of misconduct.
Management directions for searching of employees are allowed if the search is not unreasonable. Inspections of bags, pockets, purses, etc. have been upheld as within management's discretion for combatting theft and breaches of security re proprietary information. A full-body search of each employee at the end of every shift would not be upheld -- it is too great an intrusion and out of balance with the managerial interest on which it is based.
Unless the employee handbook and/or management policies are applicable only to employees of a certain race, religion, gender, etc. (i.e., a prohibited basis for personnel decisions) management's rules do not constitute unlawful discrimination.Ask a similar question
It is not clear from your question what kind of "searches" the employer intends to implement. A search of an area where an employee has a reasonable expectation of privacy such as a desk, office or locker secured by a personal lock is very likely unconstitutional under the California and U.S. Constitutions. Nor can the employer conduct a personal search of an employee's personal belongings without a showing that the search was both work-related and reasonable under the circumstances. If the employer is conducting these types of searches, I strongly advise you and your colleagues to immediately consult with an attorney.
The response given is not intended to create, nor does it create an ongoing duty to respond to questions. The response does not form an attorney-client relationship, nor is it intended to be anything other than the educated opinion of the author. It should not be relied upon as legal advice. The response given is based upon the limited facts provided by the person asking the question. To the extent additional or different facts exist, the response might possibly change. Attorney is licensed to practice law only in the State of California. Responses are based solely on California law unless stated otherwise.Ask a similar question
Employee management and lone worker protection and solutions - health and safety UK - http://www.loneworkersystems.co.uk
Criminal defense Criminal charges for theft Employment Privacy law Discrimination in the workplace Gender discrimination in the workplace Employment forms Employee handbook Employment contracts Employee privacy rights Types of employment At-will employment Gender discrimination Discrimination Expectation of privacy
Post a free question on our public forum.Ask a Question
- or -
Search for lawyers by reviews and ratings.Find a Lawyer


text:
0 jobs
7 ms
Within a radius of mi of
Filter by date ▼
Last 24 hours
Last 3 days
Last 7 days
Last 30 days
Filter by source ▼
Job boards
Placement agencies
Jobs » New Edlington
Jobs 1 - 10 of 0
Jobs in New Edlington
11 job opportunities are indexed in New Edlington on neuvoo.co.uk. Apply now and land the best job in the city.
Careers in New Edlington
New Edlington is located in the county of England. neuvoo.co.uk indexes 11 job opportunities in the area, particularly in industries such as Hospitality, Customer Service, Administration, Healthcare, Education or Communication. Currently, qualified candidates are sought after for jobs like Cashier or Sales Support. Nearby cities like London, Manchester, Birmingham, Leeds, Bristol or Sheffield also have multiple jobs to offer.
Job statistics in the city
On average this month, 6 jobs in New Edlington were indexed on neuvoo.co.uk, 2 during last week.
Employers hiring in the city
Corporations such as Compass Group are actively looking for candidates in the city.
neuvoo.co.uk: the largest job board in New Edlington
neuvoo.co.uk lists over 714857 job vacancies across the United Kingdom, 11 of which are in New Edlington.Show more...
Never miss a job. Get new jobs emailed to you everyday.