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Previous poll Next poll
Should crimes against animals carry the same penalties as crimes against humans?
|Not sure.
notajayhawk 8 years, 9 months ago
No.The penalties should be more severe.
preebo 8 years, 9 months ago
"Humans rank above animals for sure..."Would you think this to be the case if you were to be dropped into the Serengeti plains with nothing more than your wit to protect you?Your sense of superiority would evaporate rather quickly, I surmise.
BigPrune 8 years, 9 months ago
Humans rank above animals for sure, but people who torture small animals sometimes become serial killers.
meggers 8 years, 9 months ago
Intentionally harming a domesticated animal is actually WORSE than, for example, someone pulling out a gun and shooting another person in a fit of rage. I know this isn't necessarily a popular view, but I don't think humans are necessarily better or more valuable than animals- we're just more intellectually evolved and therefore, have more power over other creatures. Anyone who would abuse that power to commit cruel and heinous acts upon the domesticated creatures that trust and depend on us the most should be removed from the human race using any means necessary. Period.
situveux1 8 years, 9 months ago
No. Can I go eat my hamburger now?
LeslieJeanne 8 years, 9 months ago
Some of these postings make me ashamed to be human. Maybe I can pretend I am from another species, maybe Vulcan.It is morally wrong to deliberately hurt any living thing. There has to be a way to stop people from doing this. I believe humans and animals to be equal in the rights to life, safety and well being.I am a vegan because in the world we live in here in the US it is not necessary to kill animals for protein. Soy works quite well.Enough of the cracking wise. Time to get serious because this is a serious issue that is only going to escalate as time goes by and the criminal is not caught. The person will become jaded with what they are doing and try to think of something more extreme to give them that little thrill they are looking for in this way.
woodenfleaeater 8 years, 9 months ago
So, if I go hunting and kill, for example, a turkey or a deer, I could be tried for murder?
monkeyhawk 8 years, 9 months ago
Considering the legal climate in Lawrence and you might only get 14 days in jail for killing an animal, I would have to vote no.
sally87 8 years, 9 months ago
I agree. It is worded poorly. If it were worded more specifically toward acts of animal abuse (e.g. setting a cat on fire) I would agree that punishment shouldn't be lax.
preebo 8 years, 9 months ago
"A foray into speculation about humans pitting their wits against those of wild beasts in the Serengeti is utterly missing the point. Sounds like you just needed some flimsy excuse to slam someone."Actually, my comment was intended as a tongue-in-cheek critique on Prune's statement as a whole. I am aware that Prune was referring to the self-fulfilled heirarchy of life, placing sentient beings above "lesser" lifeforms. He used the term animals not pets and spoke with such a certainty that I felt it necessary to present a situation where, Prune, (a human) might not be the more superior being in a setting. It was simply a change of perspective.I am aware that this article is referring to the self imported superiority some people place on humans over animals. It's a simple man vs. nature or seperate from such as opposed to man amongst nature.
MeAndFannieLou 8 years, 9 months ago
How many times have you heard someone say, "it's only a matter of time before so-and-so snaps and hurts someone, why do we have to wait until he (or she) actually commits a crime to do something about it?"Well, in the case of animal-abusers, here's our opportunity to do something before a loose cannon hurts another person. There is such a strong link between animal abuse and future violent crime, that, even if I didn't care a whole lot about animal welfare, I think I'd still support really, really serious penalties in response to it. Definitely come down hard on animal abusers, and also make sure they get intensive counselling and therapy.
50YearResident 8 years, 9 months ago
There is no way crimes against animals can be punished the same as crimes against Humans. Think of it like this: Pit Bull bites human, Human kills Pit Bull. Human arrested for murder. It goes to trial. Public lawyer assigned to represent pit bull, Human gets his lawyer. Jurors have to decide which one is at fault, was it self defense or premeditated murder? More story..............? Anyone see a problem with this?
notajayhawk 8 years, 9 months ago
RedwoodCoast (Anonymous) says: "Where do we draw the line between cruelty and husbandry?"We draw the line somewhere before taking an aged domestic pet from it's yard, mutilating it, and dumping it back in the yard for it's owners to find. Pretty sure the perp didn't do that to breed the animal.
notajayhawk 8 years, 9 months ago
Do we have to draw straws to see who gets to perform the first test?
andrew11 8 years, 9 months ago
After reading the Jake Deckert story, I'm not so sure the penalties for crimes against humans are really very strict to begin with.
booze_buds_03 8 years, 9 months ago
"but people who torture small animals sometimes become serial killers." -BigPrunePeople who don't torture small animals sometimes become serial killers too.
tangential_reasoners_anonymous 8 years, 9 months ago
When will perpetrators realize that crimes against "others"-humans or animals-indeed are crimes against themselves.( And no crime is "perfect"... someone always knows... if only the perpetrator himself. )
avaholic 8 years, 9 months ago
I'm pretty sure humans are animals
MeAndFannieLou 8 years, 9 months ago
I think the issue is unnecessary cruelty and/or killing - for its own sake. ~sick and tired of being sick and tired
tvc 8 years, 9 months ago
Animals are almost always killed if they attack a human.
Puff_Dragon 8 years, 9 months ago
The answer is so easy a cave man could answer it.
Daniel Kennamore 8 years, 9 months ago
This is a joke question right?When do we round up everyone from the beef industry for the executions?
Kylee Manahan 8 years, 9 months ago
My personal opinion is that we, as humans domesticated the dog and the cat and because of that we have a responsibility to take care and protect them.
ForThePeople 8 years, 9 months ago
I think the poll should be worded differently. But I think certainly crimes against "family" pets, and that are violent and disturbing such as the recent events involving the horrific things done to cats, should be punished more severely. As it has been pointed out over and over, someone that would do things like this is a very SICK individual and needs to be taken out of society for everyones safety!
RedwoodCoast 8 years, 9 months ago
Autie: some vegans don't eat honeyI personally don't think crimes against animals should be punished the same as crimes against humans. Where do we draw the line between cruelty and husbandry?Horse meat has been in the news lately. Our ancestors in Europe, Asia, and North America all ate horse. Horse is an ancestral foodsource for most of us on this planet. I might even try it just to see what it is like. I guess the short answer to why we don't eat horse (or dog) today is that we have developed an economic relationship to them that revolves around productivity. In other words, they are tools to increase productivity; horses and dogs provide labor. So we form different relationships towards these particular species. This, I believe, is why a Texas horse meat plant was recently shut down. I think the government has actually banned horse meat production in the US.Some people in the world eat dog, cat, horse, guinea pig, etc. Where do we draw that line?
gontek 8 years, 9 months ago
My friend had cats pooping in his yard when he moved to lawrence and he shot them with an airsoft rifle. He shot me a few times with it too. The cats went away, it stings a little but leaves no damage.
jhawks1234 8 years, 9 months ago
Thank you logicsound.... PETA is a joke!.
jaywalker 8 years, 9 months ago
I thought the Peta/Ben and Jerry story HAD to be a joke when I first heard it. There's ridiculous, and then.....I've also heard that Sweden just re-wrote their constitution to include plants and animals with virtually the same rights as humans. What the...?
jumpin_catfish 8 years, 9 months ago
So if PETA has its way someday, I will be charged with murder for catching and eating a delicious catfish (pan-fried of course). That would truly be a crime. Also, Solomon raises a good question, will animals suffer the same when animals "commit" a crime?
RedwoodCoast 8 years, 9 months ago
Oh, NAJ, I was merely being rhetorical with my last post. I once watched a documentary about the Philippines (and I could be wrong about the location) where they kept cats in cages and sold them at a market. As a cat owner, myself, I found the practice abhorrent.I guess what I was wanting to point out is that how a society treats its domesticated animals is a reflection of certain aspects of that society. Hey, I'm a social scientist. Someone up there mentioned something about the human responsibility to take care of domesticated animals (I believe it was cats and dogs). We raise cattle for slaughter, but certain Asian religions would find that abhorrent.Case study: The guinea pigGuinea pigs were originally domesticated in the Andes in South America. Rather than having a compost pile, Andean peoples keep guinea pigs ('cuy' in Quechua) essentially as garbage disposals. Some even have a few running around in their kitchen. But they have an economic relationship with their guinea pigs, as they eat them. When I was in Cuzco, Peru, last summer, they were selling guinea pig on the street. In our society, the thought of eating that fat little guinea pig in the cage in the kids' room disgusts us. Indigenous Andean folks, on the other hand, love the taste of the little things. One person's pet or beast of burden may have originated as somebody else's dinner.Don't get me wrong, I think what happened to Sugar the cat is despicable within the context of our culture and society. Whoever did it either needs intensive psychiatric treatment or institutionalization.
RedwoodCoast 8 years, 9 months ago
Well, NAJ, since you were the only person to raise their hand, I guess you can be first.
tangential_reasoners_anonymous 8 years, 9 months ago
RC: "Whoever did it either needs intensive psychiatric treatment or institutionalization."I say we just subject the perpetrator to the "nine lives" test.
RedwoodCoast 8 years, 9 months ago
Tange: I say we set up a betting pool and see how that test turns out.
ReadingSports 8 years, 9 months ago
Yea, I would like a Double cheese hold the onions, no mayo, fries, and a milkshake.
RedwoodCoast 8 years, 9 months ago
Reading!!!!! Check out Ween's album 'The Pod,' and the song 'Pollo Asado.''I would like some guacamole on my 'ReadingSports post,' and a basket of chips... what is, what is, what is the... carne asada?'
Emily Hadley 8 years, 9 months ago
"When do we round up everyone from the beef industry for the executions?"If you want to feed your kids animals, why wouldn't you raise your children to care for and respect those animals through their development, then to slaughter them humanely? If you can't handle that, perhaps you could reconsider what you feed and teach your children by example. How an they not be desensitized when they see that an animal's life is only valued by the pound in a supermarket? Many children in the US learn that animals are not to be respected but are to be reared and killed however is cheapest, then chopped to pieces and sold to eat.Teaching children that killing animals and people is acceptable while sheltering them from its realities adds to the kind of confused, pathological behavior going on in backyards in Lawrence.
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Discussion in 'Installation, Upgrade, and Import Support' started by Stuart Wright, Nov 21, 2014.
Happens while rebuildiung admin templates I think.
Keeps happening. Can't get past it. Help!
This looks identical to the problem when you upgraded from 1.4.1 to 1.4.2.
Thanks. What a short memory I have. Please delete this thread.
Separate names with a comma.

subset: commoncrawl


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Welcome to the ineedhits Search Engine Marketing blog, where we share the latest search engine and online marketing news, releases, industry trends and great DIY tips and advice.
Google have announced a new tool that aims to make AdWords bidding less time consuming for advertisers.
Enhanced CPC is a bidding feature that you can use with your maximum CPC (cost per conversion) bids in an effort to get more conversions and higher ROI. The feature offers advertisers the ability to allow automatic adjustment of their campaign bids based on historic conversion tracking data. In other words, Google does all the work for you!
If a search term is highly likely to lead to a conversion, Enhanced CPC will bid up to 30 per cent above the maximum CPC. On the other hand, if the adjusted bidding price is harming your campaign performance, Enhanced CPC will automatically trim down its impact.
Dan Friedman from the Inside AdWords Crew said "you should receive more conversions while maintaining or reducing your overall CPA and hopefully spend less time managing your max CPC bids." Sure, sounds good to me!
Google has outlined three ways Enhanced CPC is able to help:
Of course there is a video to accompany this features launch. So, here it is:
The tool certainly looks very promising but I wonder how many advertisers will be willing to hand over control to Google?
So whats the difference between this and conversion optimiser that they already run with? They sound extremely similar in their concept?
By sherrers - August 24, 2010
Keep up to date with the latest from our blogs.
Google's Favorite Chrome Extensions: Are They On Your List?
It's hard to believe it has been two years since the Google Chrome browser was launched. Since then, there have ...


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Related Labs, Activities, and Other CoolStuff
Newton's Rings are the interference pattern seen when light passes through two glass pieces, one convex and the other flat, pressed together.
The colorful rings that result from this simple arrangement, even in normal room light, are quite amazing, and will prompt discussions of light interference, refraction, and the visible spectrum. Apparatus consists of glass plates 1.6 inch (40mm) in diameter, visible 1.33 inch (34mm) in a frame, adjusted with three screws.


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- Cars
- New cars
- Honda
- Honda Brio
- Questions and Answers Honda Brio
- What is the fuel tank capacity of Honda Brio?
What is the fuel tank capacity of Honda Brio?
By: Abhishek on 8 june 2014
1 Answers:
This cute small hatchback suprisingly can hold 35 ltr of fuel, which is adequate for long drives.
Sonal Gupta 2014-06-08
Related Questions on Honda Brio
What is the difference between 2012 Honda Brio VMT and 2016 Honda Brio VMT?
Leela Krishna 2016-06-241Answer
Anil 2015-08-162Answers
Is Brio a low maintainance car?
abhishek 2015-08-162Answers
Difference between Honda Brio VXMT 2014 and Honda Brio VXMT 2015 ??
jayendra adhangle 2015-06-122Answers
Which variants does Honda Brio come in?
Param 2015-01-058Answers
What is the list of specs of Honda Brio?
Sunaaksh 2015-04-0213Answers
4.67...6.75 Lakh
Read more →
More on Honda Brio


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As I still recover from the profound disappointment that was Creature, at least I can count on The Asylum to bring a smile to my face as I feast my eyes on all the giddy rubber shark goodness in these first production stills from 2 Headed Shark Attack.
Carmen Electra and Charlie O'Connell star as semester at sea college instructors leading a group of coeds stranded on an atoll terrorized by a mutant shark with two heads. Brooke Hogan plays a shark phobic student.
Mega Shark vs. Crocosaurus director Chris Ray looks to be eschewing the all-CGI philosophy typical of Asylum giant creature movies with the use of a prop two-headed shark head, the toothy sight of which already prompts me to give this production a two thumbs up response.
Below you'll find ten images from The Asylum's gallery showcasing some of the bloody twin-skulled shark carnage and bikini babes you'll see in 2 Headed Shark Attack when it hits DVD and VOD January 17, 2012.
Got news? Click here to submit it!
Try to survive in the comments section below.


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Poison Dice Bag featuring the artwork "The Death of Socrates" by Jacques-Louis David, painted in 1787.
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Our dice bags bring these classic works of art to life and are made with the finest materials.
Collections: Best Selling Products, Classic Art Dice Bags, Classic Art Gaming, Marble Edition, Playmat & Dice Bags, Playmats & Bags
Type: Dice Bag
Category: Dice Bag, Jacques-Louis David, Poison


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Power closing sentences that work for salespeople
July 6, 2016
By Bob Berting
Sales Advice
In sales training for publication salespeople, there are always the obligatory closing techniques, which are sometimes mind boggling and at times hard to remember, especially when the prospect continues to be in denial of the publication's benefits after a thoroughly wonderful presentation. Some of the important points of closing techniques can be described in the following:
• Establish value before closing.
• Empathy versus sympathy.
• Emotion versus logic.
• Transference of feeling.
• Giving testimonials.
However, in my sales training, I have found that salespeople need to be armed with ways to close with power selling sentences that have an impact on converting the prospect so he or she is motivated and will sign a contract for a meaningful campaign or long-range program. They are:
• "Let's get started on this campaign in our next issue."
• "I think this is the best program for you that money can buy. I think you ought to go with it."
• "Can we move forward on this?"
• "I understand what you want, and this ad series, in my view, will solve many of your problems. I think we should go with it."
• "After careful market research, we think this advertising plan will really build your image. Let's set it up today."
These closing sentences have been used by me in countless real-life situations and are effective. If the ad salesperson can say them using the right voice inflection with a high degree of sincerity, he or she can achieve better closing results. If you, the reader, use them, I'd like to hear from you about how effective they are. You can e-mail me at firstname.lastname@example.com. © Bob Berting 2016
Bob Berting is a professional speaker, newspaper sales trainer, and publisher marketing consultant who has conducted more than 1,500 seminars for newspaper sales staffs, their customers, print media associations and trade associations in the U.S. and Canada. Bob's advertising sales record in the industry is impressive. For 15 years, he averaged two cold contracts a week, sold 20 shopping centers on yearly contracts, and rarely sold an advertising contract for less than 52 weeks or 1,000 inches during a year. He is the author of the E-Book "Advanced Selling Skills For The Advertising Sales Pro" which can be ordered on at www.bobberting.com. Bob also conducts tele-seminars and webinars for advertising salespeople, their customers, print media associations, merchant groups, and trade associations. Contact Bob at 800-536-5408 and firstname.lastname@example.com. He is located at 6330 Woburn Drive, Indianapolis, IN 46250.


text:
|Publication number
|Publication type
|Application number
|Publication date
|Oct 4, 2011
|Filing date
|Apr 3, 2009
|Priority date
|Oct 28, 1998
|Fee status
|Also published as
|Publication number
|James H. Price, Geoffrey Locke Taylor, James Milton Cherry Thomas, James R. Stolpmann, Karl Caldwell, Marla Repik, Nick Bries, Kerry J. Mensching
|Original Assignee
|Hill-Rom Services, Inc.
|Export Citation
|BiBTeX, EndNote, RefMan
|Patent Citations (67), Referenced by (5), Classifications (43), Legal Events (3)
|External Links: USPTO, USPTO Assignment, Espacenet
This application is a continuation of U.S. patent application Ser. No. 11/942,032, filed Nov. 19, 2007, now U.S. Pat. No. 7,515,059, which is a continuation of U.S. patent application Ser. No. 10/827,810, filed Apr. 20, 2004, now U.S. Pat. No. 7,330,127, which, in turn, is a continuation of U.S. patent application Ser. No. 09/673,437, filed Oct. 16, 2000, now U.S. Pat. No. 6,721,980, which is a national phase of PCT/US99/25311, having an International filing date of Oct. 28, 1999, which claims the benefit of U.S. Provisional Patent Application No. 60/105,942, filed on Oct. 28, 1998, all of which are hereby expressly incorporated by reference herein.
The present disclosure relates to controllable surfaces, and particularly to surfaces for preventing and treating pressure ulcers.
Pressure ulcers in bedridden patients can be caused by excessive forces between the patient and a surface upon which the patient is resting. It is known to provide controllable mattresses that allow for adjusting pressures within a mattress surface. For example, it is known to adjust air pressure within multiple chambers of an air mattress, to reduce interface forces over a given bony protuberance based on sensed air pressures within the chambers.
According to the present disclosure, an interface sensing system eliminates the need to conduct independent interface force testing for a patient at each body and bed position on an ongoing basis. An intelligent control system is provided for adjusting internal cushion pressures in a mattress surface based on interface force measurements.
In the present disclosure, a method of minimizing a force between a modifiable support surface and a patient located thereon includes the steps of establishing an initial recorded force between the patient and the support surface, performing a first procedure including modifying the support surface in a first manner for a predetermined time increment, measuring the current force between the patient and the surface, comparing the current force to the recorded force, and replacing the recorded force with the current force. The first procedure is repeated so long as the current force is less than the recorded force, then a second procedure is performed including modifying the support surface in a second manner for a predetermined time increment, measuring the current force between the patient and the support surface, comparing the current force to the recorded force, and replacing the recorded force with the current force. The second procedure is repeated so long as the current force is less than the recorded force.
In the present disclosure, a support surface apparatus includes at least one support member for supporting a person, and a force sensor located on the at least one support member. The force sensor is configured to measure a force between the person and the at least one support member. The apparatus also includes a mechanism configured to adjust a support characteristic of the at least one support member based upon the force detected by the force sensor to minimize the force between the person and the at least one support member.
In an illustrated embodiment of the present disclosure, a support surface apparatus includes at least one air bladder for supporting a person, a force sensor located on the at least one air bladder, an air supply coupled to the at least one air bladder, and a controller coupled to the force sensor. The force sensor is configured to measure a force between the person and the at least one air bladder. The controller is configured to adjust air pressure within the at least one air bladder based on the force detected by the force sensor to minimize the force between the person and the at least one bladder.
In addition, sensors contained within the force optimization surface of the present disclosure eliminate the need for individual equipment and monitors for measuring specific patient parameters such as heart rate, temperature, and respirations. An apnea monitor is provided to reduce and/or prevent occurrences of episodes of apnea. A built-in weight sensor system eliminates the need for external, cumbersome scales.
Additional features, which alone or in combination with any other feature(s), such as those listed above and those listed in the appended claims, may comprise patentable subject matter and will become apparent to those skilled in the art upon consideration of the following detailed description of illustrative embodiments exemplifying the best mode of carrying out the embodiments as presently perceived.
The detailed description particularly refers to the accompanying figures in which:
Referring to
In the illustrated embodiment, air mattress 12 includes individual cylindrical cushions 44 divided into four independently controllable zones or groups referred to as head chamber 46, upper torso chamber 48, lower torso chamber 50 and foot chamber 52, two headers or plenums 54 per chamber, and four side bladders 56 per chamber (not shown in
Illustratively head chamber 46 includes four individual cushions 44 and upper torso chamber 48 includes four individual cushions 44 so that each chamber 46, 48 has an overall length of sixteen inches (40.64 cm). Lower torso chamber 50 includes seven individual cushions 44 and thus has an overall length of twenty-eight inches (71.12 cm). Foot chamber 52 includes five individual cushions 44 and thus has an overall length of twenty inches (50.8 cm).
The manner of inflation of side bladders 56 is not illustrated but may be accomplished through manual inflation valves (not shown) or by having side bladders 56 in fluid communication with one of the chambers 46, 48, 50, 52. Side bladders 56 allow the width of mattress 12 to be adjusted to accommodate common intensive care unit ("ICU") and medical-surgical ("med-Surg") frames. Typical ICU and Med-Surg frames include patient support surfaces having a width of 32-35 inches (81.28-88.9 cm). Illustratively air mattress 12 has a length of approximately 80 inches (203.2 cm) and a width adjustable between thirty-two inches (81.28 cm)(with side bladders deflated) and thirty-five inches (88.9 cm)(with side bladders inflated).
As shown in
Each foam segment 70 of head, upper torso, and lower torso zones 76, 78, 80 is thirty-two inches (81.28 cm) in overall length and includes a mid-section 84 extending between two end caps 86. Each foam segment 70 is four inches (10.16 cm) wide by four inches (10.16 cm) tall. Head and upper torso zone 76, 78 illustratively include four foam segments 70 each and thus each zone 76, 78 has an overall length of sixteen inches (40.64 cm). The mid-sections 84 of the foam segments 70 in the head and upper torso zones 76, 78 are a High Resiliency ("HR") grade foam of 2.25-2.5 density, support factor 2.4 minimum, 17-21 ILD, CAL 117, antimicrobial foam. Lower torso zone 80 illustratively includes seven foam segments 70 and thus has an overall length of twenty-eight inches (71.12 cm). The mid-sections 84 of the foam segments 70 in the lower torso zone 80 are a HR grade foam of 2.25-2.5 density, support factor 2.5 minimum, 31-34 ILD, CAL 117, antimicrobial foam.
End caps 86 of all of foam segments 70 of zones 76, 78, 80 combine to form side rails on lower support 36 and are thus referred to as side rail foam. These side rails facilitate patient ingress to and egress from surface 10. In addition, end caps 86 and mid-sections 84 combine to create a cradle zone to facilitate adequate centering of patient to assist in keeping patient from sliding into the side rail and reducing the need for the caregivers to frequently reposition the patient. End caps 86 are bonded to mid-sections 70 with acetone heptane and resin base spray adhesive. Each end cap 86 is two inches (5.08 cm.) in overall length, four inches (10.16 cm) wide, and four inches (10.16 cm) tall to conform to the mid-section 70 to which it is attached. End caps 86 are made of conventional foam grade such as Foam Grade H45XF, 1.8-1.9 PCF, 53-60 ILD, support factor 2.0, Cal 117, antimicrobial foam.
Illustratively foot zone 82 includes air support segment 72 having five air bladders 88 extending between and fluidly coupled to two spaced apart plenums 90. Bladders 88 and plenums 90 are four inches (10.16 cm) in diameter. Thus foot zone 82 has an overall length of twenty inches (50.8 cm). Bladders 88 and plenums 90 are made of urethane coated nylon twill material, IAW material specification 100-001-0032. Bladders and plenums 90 are in fluid communication with the two plenums 54 that supply air to the foot chamber 52 of air mattress 12.
Force optimization surface 10 provides for sensing multiple interface pressures or forces exerted by the modifiable support surface 9 on a patient 16 atop sensor layer 14. Those skilled in the art will recognize that interface pressure measured in a defined area is the integral over the area of all of the forces exerted normal to the area. Therefore, the term force or interface force will be used to refer to the interface force or interface pressure unless otherwise stated to avoid confusion between pressure in an air bladder and the interface pressure. Support surface 11 is coupled to a controller 18 configured with software for regulating air pressure within each chamber 46, 48, 50, 52 of mattress 12 based on measured interface force values exerted by the chambers 46, 48, 50, 52 on the patient 16. Various interface sensors 15 are known which detect the interface pressure and the interface force. In the illustrated embodiment, zones of the modifiable support surface 9 are modified in response to the maximum force exerted within the zone using resistive force sensors located on each zone. A multiplicity of sensors detecting interface pressure can be used to detect this maximum force exerted within the zone, however in the illustrated embodiment an interface force sensor is described. To avoid confusion, the term interface sensor will be used to refer to both a multiplicity of interface pressure sensors or an interface force sensor.
Force optimization surface 10 with its controller 18 uses multiple interface sensor readings to decide how to modify pressure within a given chamber or chambers within mattress 12 to optimally reduce the interface force. The nature of the optimization can vary as desired, such as controlling air pressures to achieve a minimum average value for all interface sensor signal values, to maintain all interface sensor values below a threshold, or to achieve certain force profiles over various surface areas, etc.
Illustratively sensor layer 14 includes a peripheral downwardly extending sidewall 92 and a surface 94 extending between and combining with sidewall 92 to form a modifiable support surface-receiving cavity much like a fitted sheet, as shown for, example, in
In the illustrated embodiment of sensor layer 14, head zone 96 is sixteen inches (40.64 cm) long and thirty-two inches (81.28 cm) wide and is positioned to lie adjacent to head chamber 46 of air mattress 12. Upper torso zone 98 is sixteen inches (40.64 cm) long and thirty-two inches (81.28 cm) wide and is positioned to lie adjacent to upper torso chamber 48 of air mattress 12. Lower torso zone 100 is twenty-eight inches (71.12 cm) long and thirty-two inches (81.28 cm) wide and is positioned to lie adjacent to lower torso chamber 50 of air mattress 12. Foot zone 102 is twenty inches (50.8 cm) long and thirty-two inches (81.28 cm) wide and is positioned to lie adjacent to foot chamber 52 of air mattress 12.
Alternative integrated interface sensing material in sensor layer 14 can be any material that provides multiple interface sensors 15 such as a resistive or capacitive film providing a grid or matrix of interface sensors. These interface pressure mapping technologies are well known to those of skill in the art, and provide for sensing and mapping interface pressures against the entire body contact area of patient 16. Illustrative interface pressure sensing and mapping devices include capacitive devices such as the X-SENSOR™ pad available from the X-sensor company in Calgary, Canada or the EMED™ system from Novel GmbH in Munich, Germany, resistive force sensing devices such as those available from Vista Med in Winnipeg, Canada or Tekscan in Boston, Mass., or other sensor types such as pneumatic pressure sensors, etc. It will be understood that in order to determine the maximum force exerted within a zone, like the illustrated interface sensor does, a multiplicity of capacitive or pneumatic sensors would be required within each specific zone.
It will be understood that in the illustrated embodiment, lower support layer 42, air mattress 12, and sensor layer 14 are all divided into the same number and size of segments, chambers, or zones. Each segment, chamber, or zone corresponds and is associated with the chamber, segment, or zone underlying or overlying it. Thus, hereinafter the terms zones of modifiable support surface or zones of support surface assembly are occasionally used.
Referring again to
Illustratively, top cover 42 and bottom cover 34 each include one half of a peripherally extending zipper 35. The half of the zipper 35 coupled to top cover 42 is sewn to urethane strips for sealing to the host material of top cover 42. Illustratively the host material of top cover 42 is a polyurethane coated, bi-directional stretch nylon substrate material. The half of the zipper 35 coupled to bottom cover 34 is sewn directly to the host material of bottom cover 34. The host material of bottom cover is illustratively a monomeric vinyl laminate fabric. The zipper starts and ends on the center line of the patient foot end 29. Anti shear lining 40, fire barrier 38, upper and lower support layers 12, 36 are received between top and bottom covers and enclosed therein by joining halves of zipper 35 to form support surface structure 11.
Controller 18 includes a smart board 19, a power supply 21, an air supply 23, a control I/O panel 25, and a pneumatic system 27. The illustrated power supply 21 is one of a 220 volt 50 Hz input, 24 volt DC, 110 volt AC output power supply or a 110 volt 50 Hz input, 24 volt DC, 110 volt AC output power supply coupled to power cord 17. Air supply 23 includes an air pump 31 such as a Thomas 0.35 cfm 24 VDC air pump and a blower 33 such as Amatec centrifugal blower each of which are mounted in controller 18, electrically connected to power supply 21 and fluidly coupled to pneumatic system 27. Blower 33 is a high volume low pressure blower used for rapid inflation of the air mattress 12 to bring the mattress to initial set pressures and to bring all zones of the mattress to maximum pressure during a max inflate mode 134. Pump 31 is a high pressure low volume pump used to increase pressures in chambers of air mattress 12.
Illustratively, control I/O panel 25 includes an alarm silence button 37, an alarm silence LED 39, a max inflate button 41, a max inflate LED 43, a zone 1 LED 45 which blinks when selected, a zone 2 LED 47 which blinks when selected, a zone 3 LED 49 which blinks when selected, a zone 4 LED 51 which blinks when selected, and a call for service LED 53. Illustratively, panel 25 is a membrane keypad adhesively secured to controller 18 and is connected to control electronics (not shown) on smart board 19 through a ribbon cable and PCB connector (not shown). Control panel 25 will provide operator feed back via the use of LEDs 39, 43, 45, 47, 49, 51, 53 including alarms and sensor malfunctions.
To meet CPR requirements, a one step manual emergency dump valve 55 is incorporated in a known manner into support surface assembly 11. The purpose of valve 55 is to dump air in the head, upper torso, and lower torso chambers 46, 48, 50 in fifteen seconds. Once CPR is completed, dump valve 55 is reset.
Pneumatic system 27 includes four stepper motor controlled zone selector needle valves (not shown), five pressure transducers 7 (shown diagrammatically in
Controller 18 provides for measuring sensed interface forces in real time and modifying the modifiable support surface 9, i.e., controlling chamber pressures in air mattress 12 in the illustrated embodiment, as required to reduce interface forces between a patient and support surface assembly 11. Controller 18 is illustratively coupled to a mattress control system 20 that regulates pressure within chambers of mattress 12. For an example of a system that determines an index using pressures for evaluating interface pressure performance of a support surface see U.S. Pat. No. 5,970,789, entitled Method and Apparatus for Evaluating a Support Surface, which is hereby incorporated by reference.
Controller 18 can be provided within force optimization surface 10 or as a separate component coupled to force optimization surface 10 via an appropriate communication interface, such as wires or a wireless communication link. In the illustrated embodiment top and bottom wires 116, 118 from each sensor zone are coupled into an eight wire bundle 120 forming a portion of lead/tubing assembly 13 extending between support surface assembly 11 and terminating in a 9-pin D sub-miniature connector with finger twist lock screws 122 coupled to controller 18. Controller 18 further provides for coupling force optimization surface 10 to other external systems (not shown) over various types of links, such as a peer-to-peer communication network.
Software in controller 18 is configured to scan or monitor interface forces from interface sensors 15 to maintain desired support characteristics, such as minimizing the force between the patient and each zone of support surface assembly 11, regardless of the body position or the bed position. Thus, for example, if patient 16 rolls over onto his or her side, or if support surface assembly 11 is coupled atop an articulated bed frame that assumes a non-flat orientation, controller 18 will adjust pressures in air mattress 12, i.e., modify modifiable support surface 9, automatically to minimize forces between each zone and the patient. These adjustments can be made at a predetermined periodic rate or can be event-driven as required. The rate at which adjustments are made can further be limited or filtered as desired.
The software or firmware loaded into controller 18 includes a start phase 130, a force management phase 132, a max inflate mode 134, and a service mode 136. In describing these phases the term "zone" will be used to refer to the sensing zone 96, 98, 100, 102 and the underlying associated chamber 46, 48, 50, 52 respectively. These zones are referred to as zone 1 (head zone 96 and head chamber 46), zone 2 (upper torso zone 98 and upper torso chamber 48), zone 3 (lower torso zone 100 and lower torso chamber 50) and zone 4 (foot zone 102 and foot chamber 53). "Pressure in a zone" refers to the air pressure in the chamber underlying and associated with the sensing zone. "Force on a zone" refers to the interface force or pressure sensed by interface sensor 15.
The algorithm for start phase 130 is shown, for example, in
The software includes a force management phase 132 which operates after the start phase 130 to adjust the pressure within each of the chambers underlying the sensor zones to minimize the force exerted between the surface and the patient. As shown, for example, in
It will be understood that with a plurality of zones overlying a plurality of associated independently inflatable chambers that each zone and its associated chamber could be simultaneously controlled with a dedicated pump, valves and controller or with a single controller, valve manifold, pump, and control algorithm which cycles through the zones. It will also be understood that if modifiable support surface 9 is not an inflatable surface but an otherwise modifiable surface, similar subroutines will be included in pumping and venting procedure 131, 133 to ensure that limits of the modifiable surface are not exceeded and to modify the surface in different manners to facilitate reduction in forces between the surface and the patient. At a very high level force management phase 132 performs a first modification to the support surface so long as it continues to reduce the force between the surface and the patient and then performs a second modification to the surface for so long as it continues to reduce the force between the surface and the patient. Typically after performing the second modification, force management phase returns to the first modification, however if the modifiable support surface 9 can be modified in more than two manners, a third or more modifications may be performed.
One algorithm for implementing force management phase 132 for multiple zones and a single vent valve and pump is shown in
As long as the current pressure does not exceed the maximum pressure for the zone, the step of comparing the current force to the last recorded force on the zone 182 is performed. If the current force on the zone is less than the last recorded force, the goal of minimizing forces is being achieved by what is currently being performed, i.e., pumping, so the steps of replacing the recorded force with the current force (F#old=F#) 184 and pumping the zone for a set period of time 186 are performed during a loop that returns to the select zone step 172 of pumping procedure 131.
If during the comparison step 182 it is determined that the current force is not lower than the previously recorded force (F#≧F#old), then whatever is currently being performed, i.e., pumping, is not working to achieve the desired results for the selected zone. Therefore the zone is not pumped anymore and the step of setting a No Pump Flag (NPF#) to establish that the zone is in a "no-pump mode" 180 is performed as part of a possible pumping procedure exit loop. Anytime the No pump mode step 180 is performed for a zone, that zone cannot be selected anymore during the current pumping procedure as the zone will no longer be a zone without a no pump flag. To avoid a continuous loop, the step of determining whether all of the zones are in no pump mode 188 is performed. If all zones are not in the no pump mode then the select zone step 172 is performed. However if all zones are in the no pump mode, the pumping procedure 131 is exited and the venting procedure 133 is performed. During the exit from pumping procedure 131 to venting procedure 133 the steps of clearing each zone out of no pump mode by clearing the no pump flags 190 and turning off the pump 192 are performed.
Venting procedure 133 includes the steps of opening the vent valve 200, selecting the valve to the next zone which is not in a no vent mode 202, measuring the current pressure (P#) in the selected zone 204, comparing the current pressure (P#) in the selected zone to a predetermined min pressure for that zone (P#min) 206. If the current pressure is greater than the min pressure (P#>P#min) for the zone the step of reading the current force (F#) on the zone 208 is performed, however, if the current pressure is less than the minimum pressure then the step of putting the zone into no vent mode by setting the no vent flag for the zone 210 is performed as part of a loop described later either returning to the zone selection step 202 of venting procedure 133 or exiting to pumping procedure 131.
As long as the current pressure does not dip below the minimum pressure for the zone, the step of comparing the current force to the last recorded force on the zone 212 is performed. If the current force on the zone is less than the last recorded force, the goal of minimizing forces is being achieved by what is currently being performed, i.e., venting, so the steps of replacing the recorded force with the current force (F#old=F#) 214 and venting the zone for a set period of time 216 are performed during a loop that returns to the select zone step 202 of venting procedure 133.
If during the comparison step 212 it is determined that the current force is not lower than the previously recorded force (F#≧F#old), then whatever is currently being performed, i.e., venting, is not achieving the desired results for the selected zone. Therefore the zone is not vented anymore and the step of setting a No Vent Flag (NVF#) to establish that the zone is in a "no-vent mode" 210 is performed as part of a possible venting procedure exit loop. Anytime the no vent mode step 210 is performed for a zone, that zone cannot be selected anymore during the current venting procedure as the zone will no longer be a zone without a no vent flag. To avoid a continuous loop, the step of determining whether all of the zones are in no vent mode 218 is performed. If all zones are not in the no vent mode then the select zone step 202 is performed. However, if all zones are in the no vent mode, then the venting procedure 133 is exited and the pumping procedure 131 is performed. During the exit from venting procedure 133 to pumping procedure 131 the steps of clearing each zone out of no vent mode by clearing the no vent flags 220 and closing the vent valve 222 are performed.
The control algorithm also includes a max inflate mode 134, shown, for example, in
The control algorithm also includes a call for service mode. A maximum service time will be selected. If the maximum service time has elapsed, the return from any pressure transducer equals zero, or if pressure does not rise in any zone after max service time, or if force readings are open or short circuit for max service time, the call for service LED 53 is illuminated.
While the disclosure thus far has been described as including four chambers and four sensing zones positioned between the four chambers and a surface on which a patient is located with each zone being responsive to changes in interface pressure or force over an associated chamber, it is within the teaching of the disclosure to include more or less than four chambers and four zones. Those skilled in the art to which this disclosure relate will recognize that higher resolution and greater control can be achieved by increasing the number of independently inflatable chambers or modifiable zones and associated sensor zones. It should also be recognized that independently inflatable chambers or modifiable zones and associated sensor zones can assume any configuration, orientation, or arrangement to facilitate controlling interface forces between patient and a surface on which patient is situated. In other words, zones can extend along a separate the support surface along both a length dimension and a width dimension of the support surface.
Controller 18 is configured to monitor peak interface force on a zone between patient 16 and mattress 12 and can reduce that force by adjusting pressure in one or more chambers. Controller 18 includes memory for storing and recording data such as sensor values and adjustments made over time. The data recorded by controller 18 can be used to analyze system performance and make assessments regarding patient 16. Controller 18 is further configured to interface with a display and/or printer output device 22 to provide for either visual or hard copy output both for recorded data and for data as it is acquired in real time.
Force optimization surface 10 further can be configured with a weighing system to sense, monitor, record, display, and print patient 16's weight. When a large number of force sensors are used, by integrating measured force values, interface sensors 15 can be used to derive weight information. However in the illustrated embodiment separate weight sensors 24 (diagrammatically illustrated only) are provided, such as force sensors in a bottom layer (not shown) of surface 10. One such force sensor includes a single bladder (not shown) internally lined with conductive material to indicate bottoming out so that the pressure in the bladder will be proportional to the weight of the patient when bottoming out is not indicated. A separate reference chamber is provided to determine the weight differential. As with interface sensors 15, a grid of weight sensors 24 can capture patient weight without adverse effect from either the orientation of force optimization surface 10 atop an articulated frame or the orientation of patient 16 atop surface 10. Although weight sensors 24 can provide an absolute weight value, controller 18 can be configured to determine accurate weight change values from weight sensors 24 even if a precise absolute weight is not easily obtained. Even without an accurate absolute weight of patient 16, a caregiver can derive meaningful information concerning patient 16 based on knowledge of weight changes over time. Controller 18 can further be configured to detect a bed exit by patient 16 based on information from weight sensors 24, and provide an alert to caregivers accordingly.
An embodiment of force optimization surface 10 also includes integrated diagnostic sensors such as heart rate, respiration, and temperature sensors 26, 28, 30. Interface sensors 15 are used to obtain this information by monitoring pressure changes in real-time and analyzing the data to derive the vital characteristics. Software filters detect the appropriate respiration or heart rate signals. Non-invasive sensor systems for obtaining these patient parameters as are known in the art can also illustratively be integrated into force optimization surface 10 by embedding them into sensor layer 14. Temperature can be obtained through temperature sensing transducers or fabrics as are also known in the art. For example, thermistors may be provided in the piezo resistive sensing layer discussed above. These technologies provide diagnostic capabilities in that controller 18 can monitor and display vital signs of patient 16 such as heart rate, respiration rate, and skin temperature. Useful information about a patient 16 is provided both by display of the current values of these parameters and by analysis of this information recorded by controller 18 over a period of time.
Controller 18 includes software to monitor these conditions and provide alerts 32 when vital signs go out of predefined bounds. Various levels of alerts 32 can be provided, ranging from informational alerts for relatively minor deviations to emergency alerts upon detection of life threatening conditions. Controller 18 can be coupled to other systems to signal these alerts, such as a system at a nurse station, an automated paging system, etc.
Controller 18 uses information from sensors 15, 26, 28, 30 to derive other diagnostic information related to patient 16, such as an apnea condition based on monitoring of respiration rate based on interface pressure sensors 15 or from respiration sensor 28. Vital sign information from sensors 15, 26, 28, 30 can also be correlated to other measurements such as patient core temperature, pulse oximetry, etc. Force optimization surface 10 can further be configured with a vibrating mechanism that is activated by controller 18 upon detection of an apnea condition, in order to vibrate patient 16 gently to induce recovery. An alarm can be indicated if the apnea condition persists beyond a predetermined amount of time.
Force optimization surface 10 can further be configured to measure interface shear forces or pressures between patient 16 and surface 10 which can also restrict blood flow to patient 16 and contribute to development of pressure ulcers. Interface pressure sensors 15 as discussed above provide measuring a normal force. By providing sensors 15 that also sense shear forces, or separate shear force sensors (not shown), controller 18 can be configured to adjust air pressures in chambers of mattress 12 based on both normal and shear forces if the anti-shear layer 40 is not incorporated in support surface assembly 11.
Although certain illustrative embodiments have been described in detail above, variations and modifications exist within the scope and spirit of this disclosure as described and as defined in the following claims.
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|Filing date
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|The Regents Of The University Of California
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|U.S. Classification
|340/666, 73/172
|International Classification
|Cooperative Classification
|European Classification
|Mar 18, 2015
|Fee payment
Year of fee payment: 4
|Sep 10, 2015
Owner name: JPMORGAN CHASE BANK, N.A., AS COLLATERAL AGENT, IL
Free format text: SECURITY INTEREST;ASSIGNORS:ALLEN MEDICAL SYSTEMS, INC.;HILL-ROM SERVICES, INC.;ASPEN SURGICAL PRODUCTS, INC.;AND OTHERS;REEL/FRAME:036582/0123
Effective date: 20150908
|Sep 26, 2016
Owner name: JPMORGAN CHASE BANK, N.A., AS COLLATERAL AGENT, IL
Free format text: SECURITY AGREEMENT;ASSIGNORS:HILL-ROM SERVICES, INC.;ASPEN SURGICAL PRODUCTS, INC.;ALLEN MEDICAL SYSTEMS, INC.;AND OTHERS;REEL/FRAME:040145/0445
Effective date: 20160921


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About MeI am an eclectic, free spirited dancer at heart searching and exploring new forms of self expression, my craft. Most my experience has been in runway, as I love to move and walking comes naturally. Thus, I am always looking to further my portfolio, constantly seeking to challenge myself, broaden my horizons, and keep things fresh.
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Mon 1 Jan 0001 - Sun 23 Apr 2017,
This is a new company for anyone aged 40+ with an enthusiasm to explore classic and contemporary plays on their feet.
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by William Shakespeare
Haydn op.74/1 Janacek no.1
Early Music by Candlelight Summer Festival
The Oxford Piano Festival is honoured to welcome back Menahem Pressler for what is sure to be a captivating recital in the historic Holywell Music Roo...
Join us for a very special work-in-progress with the "top-to-toe hilarious" (Telegraph) Michael McIntyre.
Test your knowledge of books, films, fairy tales, music and more in an informal and friendly setting
12 ensemble
Škampa String Quartet
Played by The League of Harmony
Early Music by Candlelight Summer Festival
Develop your comic-making skills and share ideas with like-minded enthusiasts.
The perfect festive treat, all wrapped up and ready to charm little ones and their grown-ups.
Music and song for little ones
The Howken Field: When the 'Other' draws close, shapes shift. "Beneath the low sky there is a field. At its edge two ravens speak of those that have...
Nick Sharratt introduces You Choose In Space, the latest book in the million-selling You Choose series.
Nick Sharratt introduces You Choose In Space, the latest book in the million-selling You Choose series
11am CONCERT FOR CHILDREN
A free, nationwide festival of arts and science, and a fun and enlightening day for young theatre and science enthusiasts.
Jocelyn Freeman - piano
Brahms and the British Minature
The Festival's participants take to the stage with fresh guidance from the world's most esteemed pianists echoing in their ears. Be sure not to miss t...
Following a critically-acclaimed, sold-out season at the National Theatre and in London's West End, People, Places & Things comes to Oxford Playhouse....
Petr Limonov (piano) Scarlatti: 3 sonatas: E major K.162, E minor K.197, E minor K.98 Beethoven Sonata op. 109 Chopin Sonata no. 3 op. 58
Piatti String Quartet Beethoven String Quartet op.130 Beethoven Grosse Fuge
A story-themed exploration led by story and arts professionals.
A week of story-themed exploration led by story and arts professionals.
Join Jack and Jill for a fun filled week exploring the land of giants.
REMOTE is an interactive live game interrogating the politics of choice...
MOZART - Piano Sonata No. 8 in A minor, K. 310/300d; JANACEK - Selections from 'On the Overgrown Path'; BRAHMS - 6 Klavierstücke, Op. 118; DEBUSSY - S...
A vivid portrait of two girls caught between a brutal childhood and an unpromising future, both hungry for adult adventure.
A tale of survival told with live music, humour and heart.
Ruth Rendell's brilliant plot unravels a lifetime of deceit which, when revealed, brings a shocking revelation almost as grizzly as murder itself.
Oxford Piano Festival
Choral Music for Remembrance
Bingham String Quartet
The last of four concerts exploring Schubert's piano sonatas
London Mozart Players Chamber Ensemble
Sheku Kanneh-Mason, cello, with Isata Kanneh-Mason, piano
Explore the bookshelf of American folk singer and activist Peggy Seeger.
Following a series of critically acclaimed, sold out international tours, Simon Amstell begins his fifth stand up tour in the UK (supported by Mawaan...
Early Music by Candlelight Summer Festival
1pm Lunchtime Concert
Spotlight is for anyone aged 50 or over with an interest in theatre. Each session is a friendly and relaxed lunchtime meet-up to socialise and talk.
Following two critically acclaimed sell-out Fringe runs, Steve Bugeja brings his latest solo show to the Burton Taylor Studio.
*Extra shows added in September - two more chances to catch this sell-out show* Legendary comedian and Oxford Playhouse Patron Stewart Lee has sold o...
Whether you're attending drama school, starting your career, retired and seeking new challenges or just looking to develop new skills, come along and try something new for a day or...
A story-themed exploration led by story and arts professionals.
A week of story-themed exploration led by story and arts professionals.
Following a hugely successful 2016 tour, Things I Know To Be True returns to Oxford Playhouse this autumn.
by Angela Carter
Tim Horton (piano) Ravel Valse Nobles et Sentimentales Schubert Sonata in B flat d960
Tring Chamber Music
Oxford Playhouse and the Bodleian Library are delighted to present one of Shakespeare's finest comedies in this stunning outdoor setting.
Early Music by Candlelight Summer Festival
Viv Mclean (piano) Mozart Piano Sonata K282 in E flat Grieg Lyric Pieces - Arietta op.12 no.1 Berceuse op.38 no.1 Butterfly op.43 no.1 Notturno op.54 no.4 Chopin - Polonaise fanta...
Regulars at the BT, Take the Space is a company that "punches way above its weight" (Reviews Hub).
Don't miss this major new revival of Terence Rattigan's classic family drama...
Ian Hislop and Nick Newman's The Wipers Times tells the extraordinary true story of the satirical newspaper created in the mud and mayhem of the Somme.
Enjoy spellbinding tales featuring real and imaginary animals from around the world
Reinhardt Ensemble
12 ensemble
Škampa String Quartet
Ning Kam, Katherine Jenkinson, Melvyn Tan Mendelssohn Piano Trio no 1 in D mino...
Bingham String Quartet
London Mozart Players Chamber Ensemble
Tring Chamber Music
Haydn Quartet in D op 20 no 4
Ravel String Quartet
Schubert String Quartet in D minor Death and the Maiden
A famous Haydn quartet, Ravel's luminous masterpiece of musical impressionism and Schubert's great D minor quartet performed by one of the finest of the younger UK ensembles
Note: Young people aged 8 to 25 will be admitted free of charge to individual concerts (subject to ticket availability) – only available at the door, not in advance.
Running Time: Approx 2 hours inc interval
Sacred and Secular Songs for Sopranos Monteverdi—Salve regina (Selva morale); Venite sitientes (Concerti ecclesiastici 1624); Pur...
Tue 25 Jul & Fri 18 Aug
An opportunity to hear Eton's College's collection of five very fine instruments, including: a Snetzler chamber organ; a Baroque D...
Wed 26 Jul
The enduring friendship between the two giants of the high baroque, G.Ph. Telemann and G.F. Handel A Telemann 250th anniversary special: sonatas, concertos, an...
Wed 26 Jul & Sun 13 Aug


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Randjesfontein (South Africa): India's bowlers took a hammering as Jacques Rudolph hit a century for the Nicky Oppenheimer XI at the Mining Magnates private ground North of Johannesburg on Monday.
The 20-year-old smashed 109, hitting 13 fours and a six off 151 balls, as the Oppenheimer XI scored 244 for three declared in 52 overs in the first match of India's tour. India surprisingly chose to field first in a match designed as a low-pressure warm- up for touring sides. Traditionally there is no toss and the touring side gets the choice of innings. India was the first side since the fixture was launched in 1992 that spurned the chance to bat first. Rudolph, a left-hander who will play against the Indians again for South Africa 'A' in Benoni Wednesday, is regarded as one of South Africa's most talented batsmen and he batted fluently against a side which included all of India's main bowlers, except fast bowler Javagal Srinath. Initially, though, Rudolph was overshadowed by Loots Bosman, 24, who thrashed 62 off 77 balls in an opening partnership of 100 in 22.5 overs. Bosman hit four sixes and four fours. Rudolph was then joined by another 20-year-old left-hander, Graeme Smith, and the pair shared a second wicket stand of 117 before Rudolph was caught in the deep shortly before his team's innings was declared. Smith was run out in the last over of the innings after hitting 54 off 73 balls with four fours and a six. The only bright note for the Indian bowlers was that leg spinner Anil Kumble, making a comeback after a long-term shoulder injury, took both wickets for 47 runs. He bowled 10 overs and showed no ill effects after his absence from the game.


text:
News By Tag
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Mathews Volkswagen Kia Give The Ladies a Day
Gary Mathews North Volkswagen Kia Ladies Day is August 21st all day long. Special Vehicle Pricing for Ladies Only including 10% off Service & Parts and Voucher for $1,000 off the Purchase of a New Vehicle
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text:
Spin 10 - Unique state handpulled silkscreen print
One of a kind handpulled silkscreen print on Stephens soft white 360gsm paper.
69cm x 69cm hand cut edge.
Multiple layers of ink in many colours are built up slowly, creating colour overlays and texture with a ridged ink profile.
Each silkscreen print is handmade and unique. Subtle variances are to be expected within the edition with texture from the silkscreen which is inherent and embraced within my practice.
Colour may differ slightly due to monitor settings.Packaging and shipping is included and posted via courier, or Australia Post - Registered service, with a signature for domestic and international. Buyers are responsible for all import duties and taxes specific to their country of import from Australia.


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Each of us has four paired cavities (spaces) in our head that are connected to the nose by narrow channels. These cavities, known as sinuses, produce thin mucus that drains out of the channels of the nose. This drainage helps keep the nose clean and free of particles and bacteria.
Normally, sinuses are filled with air. But when sinuses become blocked and filled with fluid, bacteria can grow and cause an infection (bacterial sinusitis).
Conditions that cause sinus blockage include:
- the common cold
- allergic rhinitis (swelling of the lining of the nose due to allergies)
- nasal polyps (small growths in the lining of the nose), or
- a deviated septum (the wall between the left and right nostril is crooked).
Allergies, such as hay fever, can also cause swelling and poor drainage of the sinuses.
One confusing factor to consider is that many people with "sinus headaches" are actually suffering from migraines. In fact, in large clinical studies, up to 90% of people who reported sinus headaches were diagnosed with migraines instead. Migraines can cause headaches in combination with facial pressure over the sinuses, a runny nose, and nasal congestion. If you have symptoms that involve the sinuses, it may be difficult to tell if you have sinusitis, a cold, nasal allergy, or even a migraine. This article will describe the symptoms, diagnosis, and treatment of sinusitis, and how to tell the difference between sinusitis, cold, migraines, and nasal allergy.
What is sinusitis?
Sinusitis is an inflammation, or swelling, of the tissue lining the sinuses. There are two types of sinusitis:
- Acute bacterial sinusitis: a sudden onset of cold symptoms such as runny nose, stuffy nose, and facial pain that does not go away after 10 days, or symptoms that seem to begin improving but return worse than the initial symptoms. It responds well to antibiotics and decongestants.
- Chronic sinusitis: a condition defined by nasal congestion, drainage, facial pain/pressure, and decreased sense of smell for at least 12 weeks.
Who gets sinusitis?
Every year, approximately 1 billion Americans have at least one episode of viral sinusitis. About 37 million will develop a bacterial sinusitis. People who have the following conditions have a higher risk of sinusitis:
- Nasal mucus membrane swelling, as from a common cold or allergies
- Blockage of drainage ducts, leading to trapping of mucus
- Structure differences that narrow the drainage ducts
- Conditions that result in an increased risk of infection
- Polyps (growths)
In children, common factors in the environment that contribute to sinusitis include allergies, illness from other children at day care or school, and smoke in the environment.
In adults, the contributing factors are most frequently viral infections, allergies, and smoking.
What are the signs and symptoms of acute sinusitis?
The primary symptoms of acute sinusitis include:
- Facial pain/pressure/tenderness
- Nasal stuffiness
- Nasal discharge (thick yellow or green discharge from nose), especially if it is long-lasting
- Loss of smell and taste
- Cough/congestion
Additional symptoms may include:
- Fever of 102° or higher
- Ear pain
- Headache
- Bad breath
- Fatigue
- Ache in upper jaw and teeth
How is sinusitis diagnosed?
To diagnose sinusitis, your doctor will discuss your symptoms and examine your nose for swelling and drainage. Your personal history is most important in diagnosing sinusitis.
A physical exam of the ears, nose, and throat is performed to look for signs of obstruction (blockage) or infection. An endoscope (a small lighted/optical instrument) may be used to look inside the nose. In general, X-rays or CT scans do not play any role in the diagnosis of acute sinusitis.
Some patients may have conditions that may need to be referred to a specialist, such as an ear, nose, and throat (ENT) physician. Additional diagnostic tests may be needed. Tests for these more complicated cases may include cultures, allergy testing, CT scan of the sinuses, or nasal endoscopy. Nasal endoscopy allows doctors to look directly inside the nose to see sinus drainage pathways.
How is sinusitis treated?
Acute sinusitis. If you have a simple sinusitis infection, your health care provider may recommend treatment with decongestants like Sudafed and over-the-counter medications for cold and allergy, nasal saline irrigation, and drinking fluids (as most sinusitis is viral).
If symptoms do not improve after at least 10 days, if the symptoms seem to be getting worse, or if medications for cold or allergy do not improve symptoms, a bacterial infection may be causing the sinusitis. In this case, antibiotics are given for 7 days in adults and 10 days in children. Antibiotics should improve symptoms within 48 hours.
Oral or topical decongestants may be prescribed to relieve symptoms. Use of prescription intranasal steroid sprays might be added to help control symptoms. However, non-prescription drops or sprays should not be used beyond 5 days -- or they may actually increase congestion.
Chronic sinusitis. Treating chronic sinusitis begins with controlling the underlying condition, which is most often allergies. Standard treatments include intranasal steroid sprays, topical antihistamine sprays, or antihistamine pills, and leukotriene antagonists such as montelukast. Often you will be encouraged to rinse the nose with saline irrigations. Sometimes medications may be added to these irrigations.
If sinusitis is not controlled, the next step is a CT scan of the sinuses. This allows for a direct view of the nose and surrounding sinuses. Based upon CT findings, surgery may be recommended.
Will I need to make lifestyle changes?
If you have indoor allergies, avoiding triggers -- such as animal dander and dust mites – is recommended in addition to medications.
Smoking is never recommended, but if you do smoke, strongly consider a program to help you stop smoking, as this may be the main reason you have sinus infections. No special diet is required, but drinking extra fluids helps to thin nasal secretions.
What are the symptoms of the common cold?
An upper respiratory infection (the common cold) is usually caused by a virus that infects the nose and throat. Most upper respiratory infections are not bacterial and do not respond to antibiotics. A cold may cause swelling in the sinuses, preventing the outflow of mucus.
Cold symptoms include nasal congestion, runny nose, post-nasal drip (drop-by-drop release of nasal fluid into the back of the throat), headache, achiness, and fatigue. Cough and fever may also go along with these symptoms.
Cold symptoms usually build, peak, and slowly disappear. No treatment is necessary for a cold, but some medications can ease symptoms. For example, decongestants may decrease drainage and open the nasal passages. Analgesics (pain relievers) may help with fever and headache. Cough medication may help, as well. Colds will typically last from a few days to about a week.
What is the harm in getting an antibiotic for a common cold?
Viral infections like the common cold are not cured by antibiotics. Taking an antibiotic for a viral infection unnecessarily puts you at risk for side effects related to the antibiotic. In addition, the overuse of antibiotics leads to antibiotic resistance, which may make future infections more difficult to treat. Finally, the use of inappropriate medication increases health care costs unnecessarily.
What are the symptoms of nasal allergy?
Symptoms of nasal allergy include:
- Sneezing
- Itchy nose
- Clear, watery nasal discharge
- Nasal blockage
- Feeling fatigued
How is nasal allergy treated?
Usually medications are prescribed to relieve symptoms. These may include antihistamines, with or without decongestants, or steroid nasal sprays. Other nasal sprays, which deliver antihistamines or cromolyn sodium, are sometimes helpful. If allergy symptoms are chronic (long-term), allergy testing and allergy shots (immunotherapy) may be helpful.
How can I tell if I have a sinus infection, cold, or nasal allergy?
Although the symptoms of sinusitis and nasal allergy may occur with a common cold, in general, cold-related symptoms disappear within 1 week.
The point at which a normal cold ends and a sinus condition begins is not always easy to know. If you are fighting off a cold and develop symptoms of a sinus infection or nasal allergy, see your health care provider. You will be asked to describe your symptoms and medical history.
How do I know if my sinus condition requires the care of an ear, nose, and throat specialist?
Most routine sinus conditions are easily cared for by primary care physicians. If, however, you are bothered by ongoing abnormal symptoms, recurring infections, or have abnormal X-ray findings or complications, a referral to a specialist is appropriate.
- Chow, A. et al., IDSA Clinical Practice Guideline for Acute Bacterial Rhinosinusitis in Children and Adults. Clinical Infectious Diseases; 2012;54(8):1041-1045.
- Radojicic, C, Sinusitis: Allergies, antibiotics, aspirin, asthma. Cleveland Clinic Journal of Medicine 2006; 73(7): 671-678
- National Institute of Allergy and Infectious Diseases: Sinusitis (Sinus Infection)
- American Academy of Allergy, Asthma, and Immunology: Sinusitis
- American College of Allergy, Asthma & Immunology: Sinus Information
- Schreiber, C.P., Prevalence of migraine in patients with a history of self-reported or physician-diagnosed "sinus" headache. Arch Intern Med, 2004. 164(16):1769-72.
© Copyright 1995-2017 The Cleveland Clinic Foundation. All rights reserved.
This information is provided by the Cleveland Clinic and is not intended to replace the medical advice of your doctor or health care provider. Please consult your health care provider for advice about a specific medical condition. This document was last reviewed on: 11/10/2015...#15285


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BUENA VISTA TOWNSHIP — Will Morris couldn't even finish his sentence.
Morris, St. Augustine Prep's public address announcer, was attempting to let the crowd know about Caleb Chapman's second-half score with only one small problem: Chapman was busy scoring another.
Chapman scored twice and the Prep fought off a late Vineland comeback attempt to hold on for a 3-2 win against the Fighting Clan in a Cape-Atlantic American Conference game.
The two tallies were the first two of Chapman's career.
Chapman started the game but was pulled early in the first half in favor of another player.
Chapman got another chance in the second and made sure to take full advantage of the opportunity.
"I guess it worked out for the best," Chapman said. "That did kind of make me motivated, I guess, to play my heart out."
Chapman beat everyone to the ball and blasted home a rebound from point-blank range that ripped through a small hole in the top of the net in the 66th minute.
After some confusion, the officials gathered and correctly ruled it a goal.
As Morris was announcing the Prep's newfound 2-0 lead, Chapman scored another less than 60 seconds later.
"It's amazing," Chapman said. "It was pretty surreal when I scored the second one."
Chapman was involved in the Prep's first goal as well.
He made a run down the left side of the field, cut back against the defense and tried to unleash a shot.
The ball found its way on to Samuel Mitcho's foot to break the scoreless tie.
Amandeep Singh and Ernie Scoma each scored in the final five minutes to make a game of it but it wasn't enough.
The final whistle blew just seconds after Scoma's goal in injury time.
Vineland coach Eric Spinnato was happy his team didn't pack it in after falling behind by three scores.
"You would have thought it would take the wind out of our sails, but the team proved that they are a team that is going to be in this this season," Spinnato said. "They're not going to give up. I don't want to say I'm happy about a loss, but I'm extremely proud of the way these guys handled the game today."


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Rumours: Jurgen Klopp set for immediate return following illness
The latest football gossip suggests that Jurgen Klopp will return to work just two days after his appendicitis, while the club will consider a change in their ticket pricing structure after Saturday's Anfield walkout.
Klopp is set to return to work just 48 hours after having his appendix out. The Liverpool manager was rushed into hospital on Saturday with a bout of appendicitis and underwent emergency surgery. However, the Daily Mirror writes that he has discharged himself and is ready to get back to work.
Meanwhile, the Daily Express says that the club's owners Fenway Sports Group will conduct a review of the new ticket pricing structure at Anfield following a walkout by a huge amount of fans in the 77th minute of Liverpool's 2-2 home draw against Sunderland.
Further demonstrations by the club's fans could take place during home clashes against Manchester City and Chelsea.
In Liverpool transfer news, the Daily Star says that Newcastle United could make a shock move for Reds forward Daniel Sturridge in the summer.
Details of bonuses that may have been available to Manchester United players since the 2009/10 season, including £2.5m for winning the Premier League and £5.25m for securing the Champions League trophy, have been released by Football Leaks.
Manchester City are keen to extend Sergio Aguero's contract, according to the Sun. The Argentinian has a deal until 2019 but City want to tie him down for even longer before Pep Guardiola arrives in the summer.
But City's hopes of landing Robert Lewandowski have been dented after Bayern Munich opened talks on a new contract. Polsat Sport is reporting that the 27-year-old's agent has said that negotiations are under way.
Alexis Sanchez could be about to earn a new five-and-a-half year deal at Arsenal, reports the Football Insider. The Gunners have opened talks on a long-term contract that could be worth a reported £51.5million to the striker.
Title contenders Leicester are lining up a summer bid for CSKA Moscow striker Ahmed Musa. The Daily Mirror reports that the Foxes are ready to bid £27million bid for the 23-year-old.


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|Property type
BREATHTAKING VIEWS OVER BIDEFORD BAY TOWARDS LUNDY ISLAND SATURDAY CHANGEOVER FOR 2017 - FRIDAY CHANGEOVER FOR 2018 This superb detached property is situated in one of North Devon s most prestige locations and benefits from some of the finest views over Northam Burrows Westward Ho! the beach and Lundy Island. On the outskirts of Appledore you will be a 15 minutes stroll to the quayside as well as the Maritime Museum restaurants shops and numerous family pubs all serving good food. Westward Ho! beach is also an easy walk and offers 2 miles of golden sands popular with bathers surfers and sun seekers. There are a variety of leisure activities on your doorstep including National Trust cliff-top walks tennis championship golf course riding swimming pool and more. The market town of Bideford is a 10 minutes drive and offers high street shops pannier and open-air market and is also the home to the Oldenburg for day trips to Lundy Island. Further afield are attractions to suit all tastes which include Tapeley Park Clovelly with its steep stepped cobbled streets The Milky Way and The Big Sheep. In the evenings relax in the large garden and watch the unrivalled sunsets from the raised decked area which overlooks the home and sea beyond. The accommodation offers FOUR bedrooms: 2 doubles both with en-suite shower rooms and WC and 2 twins. All bedrooms have TVs. Bathroom: with whirlpool bath shower and WC. Lounge: triple aspect with flatscreen TV full SkyTV package DVD electric fire and wonderful views. Kitchen/diner: contemporary style with range cooker fridge freezer dishwasher microwave and doors leading to patio and garden. Washing machine located in integral garage. Outside: large enclosed garden with raised decked area which overlooks the home and sea beyond patio seating. Amenities: off-road parking for 3 cars. Bed linen towels electric and central heating included. 2 dogs welcome. Regret no smoking in property. Location: beach shops and pubs all under 1 mile.
Pub nearby
Appledore, North Devon
*Plus compulsory or optional charges based on actual occupancy or consumption. The payment has to be made in the currency offered by the property manager, before use of conversion tool. Payments in other currencies have to be negotiated beforehand with the property manager. The currency conversion tool is provided for your convenience only and is non-binding.


text:
Kattbank Kattbank
useful and nice idea
Wow, what an amazing set of cat products for those who love modern design. This set of a scratching post, litter box, door and pillow are all handmade and environmentally friendly in addition to looking great!
The modern 'litter box', make sure your pet, in this case your cat is up to date! Sleek, stylish, modkat litter box.


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What is JotForm?
JotForm is a free online form builder which helps you create online forms without writing a single line of code. No sign-up required.
At JotForm, we want to make sure that you're getting the online form builder help that you need. Our friendly customer support team is available 24/7.
We believe that if one user has a question, there could be more users who may have the same question. This is why many of our support forum threads are public and available to be searched and viewed. If you'd like help immediately, feel free to search for a similar question, or submit your question or concern.
How can I add all the Terms & Conditions text to the pdf that gets emailedAsked by MarieMonforte on May 04, 2016 at 04:51 PM
I have the box for "Attach pdf" checked on my form when emailing submission, but not all the fields are included. I want my clients to receive a copy of the entire form, including all the text I have written in (which are my full terms and conditions) so they can reference it later.
How can I add that in?
JotForm Support
Please enable a 'Show Headers and Texts' option from Submissions page to include the text information into submission PDFs.
Related guide:
How to show headers or text for contracts/terms/agreements in the PDF format of a submission
If you need any further assistance, please let us know.
Hi Mike,
Thank you for helping me with this, but I'm not sure this sufficiently answers my question. I followed these instructions, step by step, and then tested it by submitting a new form, and once again none of the text was included in the pdf that is emailed out.
I want both my submitter and myself to automatically receive an email with a pdf of the full contract, in its entirety including the text (almost as if it were just printed out) upon submission.
When I tested it the email that was sent to both submittor and myself only included the fields filled out and a copy of the signature.
Thank you,
Marie Monforte
JotForm Support
I checked the submission on the form and I noticed that the "Show headers and Texts" option was not checked as my colleague suggested.
I have now checked the said option so that on the next submissions, the PDF you receive on the email should have all the verbiage included in the form.
Please test on your end to confirm that the verbiage is there. If you need further assistance, please let us know.
I did check that - I just couldn't figure out how to "save" it so it would STAY checked. Every time I went back into it the box was unchecked again
JotForm Support
Once you check the "Show Headers and Texts" option, simply click on the Gear icon again to close it. A working icon on the bottom right of the page will appear to indicate that the new checked options have been saved.
If you need further assistance, please let us know.
I did check it - it just won't STAY checked (next time I go back to it). I would like to do the same for all the forms I have in my account. How would you suggest I proceed?
Thank you,
Marie Monforte
JotForm Support
That seems odd. Clicking the gear icon to close the options should automatically save your checked options. I viewed your submissions again and I did notice that the "Show headers and Texts" is still checked.
I unchecked and then checked the option again and I can see that the option is being saved. The "Show headers and texts" remains checked on my end. You can do the same on the rest of your forms.
Please check on your end and let us know if you do encounter any issues.