text:
|Publication number
|Publication type
|Application number
|Publication date
|Mar 9, 2010
|Filing date
|Jul 8, 2008
|Priority date
|Dec 14, 2001
|Fee status
|Also published as
|Publication number
|Toshiyuki Nagamoto
|Original Assignee
|Toshiyuki Nagamoto
|Export Citation
|BiBTeX, EndNote, RefMan
|Patent Citations (17), Referenced by (3), Classifications (14), Legal Events (3)
|External Links: USPTO, USPTO Assignment, Espacenet
This is a Division of application Ser. No. 11/377,677 filed Mar. 17, 2006, now U.S. Pat. No. 7,462,193, which in turn is a Divisional of application Ser. No. 10/295,856 filed Nov. 18, 2002, now U.S. Pat. No. 7,037,338. The disclosure of the prior applications is hereby incorporated by reference herein in its entirety.
1. Field of the Invention
The present invention relates to an accommodating intraocular lens to be implanted in a lens capsule (or a capsular bag) of human or natural eye in a surgical procedure subsequent to extracapsular cataract extraction. In particular, the invention is directed to a novel intraocular ring assembly and a novel artificial lens kit for implantation in the lens capsule or capsular bag, which are designed to enable the eye to have an optimal accommodation to gain near and distant visions.
2. Description of Prior Art
A human eye has a crystalline lens which is endowed with accommodation, i.e. a natural focal function in the lens to adjust its focus on an object being moved from a far distance to a nearby distance, or vice versa, so that a human being with the eyes can keep a clear vision for the moving object.
It is generally believed that the accommodation of human eye is based on the following actions: When the eye gazes at an object located at a far distance, a crystalline lens in the eye, which substantially serves as an artificial optical lens, is kept in a flattened state. Now, when the eye changes its gazing from the object at a far distance to a new object located at a nearby distance, a circular ciliary muscle (a circular muscle of ciliary body (at 50 in
By contrast, when the eye changes its gazing from the nearby object to a far distant object, the actions are reversal: the circular ciliary muscle mentioned above is then relaxed to cause traction of the crystalline lens via the zonule, thereby stretching the crystalline lens outwardly, with the result that the lens is transformed into a flattened shape from the spherical shape, thus decreasing the refractive power of the lens so as to properly adjust focus on the far distant object.
The crystalline lens is normally transparent, but, for some reasons or other, the lens itself is subjected to opacification. In that case, a light entering the eye is scattered by the opacified crystalline lens before reaching a retina, and therefore, a precise image can hardly be formed at the retina or fundus, which results in a misted or dim vision. In most cases, this symptom is what is generally known as "cataract". The nature of the cataract varies according to different causes, such as an age-related cataract, a congenital cataract, a diabetic cataract, a traumatic cataract, and a glass-blower's cataract due to an occupational disease caused by exposure to infrared rays. Recent years witness an increased number of cataract patients.
A brief explanation will be made as to the crystalline lens. Crystalline lens is in the form of a biconvex lens and has a transparent outer thin capsular membrane with an elastic property, which covers the entirety of an inner lens matrix. Such capsular outer membrane is what is referred to as "lens capsule". Ophthalmologically stated, the lens capsule is divided into a forward portion facing to a cornea (see the designation 52 in
The boundary between those anterior and posterior capsules is the so-called "equator" which expends along the outer circumference of the lens capsule. Integrally fixed to the periphery of the lens capsule substantially corresponding to the equator is the zonule which connect the crystalline lens and the ciliary body.
Typical treatment for the foregoing crystalline lens disease, or the cataract, includes an intraocular lens implantation to replace an opacified natural lens. This sort of procedure normally entails the steps of making an incision to the anterior capsule of the lens to form a circular opening therein, then extracting an inner matrix from the lens capsule via such circular opening to leave an empty capsule or the so-called capsular bag, and thereafter, implanting an intraocular lens in that capsular bag.
Conventional intraocular lenses, however, do not provide a sufficient accommodation since they are incapable of increasing and decreasing the thickness of the lens itself, and do not insure a precise forward and backward movement of the lens in the direction anteriorly and posteriorly of eye. Yet, almost all of the conventional intraocular lenses are not designed to gain an optimum focus on near and distant objects, and, in most cases, they still rely on a fixed focus, resulting in a wearer of the intraocular lenses requiring eyeglasses. As a consequence thereof, it can be mentioned that the conventional intraocular lenses can not work with ciliary body and zonule to a satisfactory degree, and therefore, have not yet achieved an optimum focus on every object located at near or far distance, raising the problem that the lens wearer can not have a satisfactory clear vision for various objects at all ranges of distances and will encounter any unexpected inconvenience and trouble postoperatively.
With the above-stated shortcomings in view, it is a purpose of the present invention to provide an intraocular ring assembly that is of such a structure that allows its ideal implantation in a lens capsule or capsular bag of natural eye, while achieving a high sensitivity to changes in shape of the lens capsule due to contraction and relaxation of the ciliary body via the zonule, and also preventing after-cataract problem.
In order to attain such purpose, the intraocular ring assembly in accordance with the present invention is basically comprised of:
It is another purpose of the present invention to provide an artificial lens kit which can be effectively used for implantation in a lens capsule or capsular bag of natural eye in order to realize a proper accommodation of the eye with a high sensitivity to changes in shape of the lens capsule due to contraction and relaxation of the ciliary body via the zonule, while preventing after-cataract problem.
For that purpose, the artificial lens kit in accordance with the present invention is basically comprised of:
In a first aspect of the invention, the support means may comprise at least two support recessions defined in the first ring means, and each of the at least two haptic portions may include a base area connected with the peripheral end of optic portion and is so formed as to be movably supported in each of the at least two support recessions at a point adjacent to the base area thereof.
In a second aspect of the invention, each of the at least two haptic portions may include a bendable means defined adjacent to the base area thereof, the bendable means being adapted to render each of the at least two haptic portions bendable at that base area in a vertical direction relative to the optic portion.
In a third aspect of the invention, the bendable means may comprise a cutout formed in one side of each of the at least two haptic portions in proximity to the base area.
In a fourth aspect of the invention, a first securing means may be provided in the first ring means, while a second securing means be provided in the second ring means, and the biasing means be secured by and between the first and second securing means.
In a fifth aspect of the invention, the biasing means may comprise at least two elastic elements each having a generally figure-of-eight or circular configuration.
In a sixth aspect of the invention, each of the first and second securing means may comprise at least two grooves and at least one securing cavity formed in each of the at least two grooves, and further may include at least one anchor portion formed in the biasing means, so that the at least one anchor portion is securely engaged in the at least one securing cavity and the biasing means is partway fitted in the groove.
In an eighth aspect of the invention, a guide means may be provided between the first and second ring elements, the guide means being adapted to assist in a rectilinear coaxial movement of the first and second ring elements.
In a ninth aspect of the invention, the biasing means may be integrally and directly connected between the first and second ring elements.
In a tenth aspect of the invention, a fibronectin or fibronectin-like substance may be included, which is applied to a part of or a substantially whole of said at least two haptic portions of said intraocular lens element.
Other various features and advantages of the present invention will become apparent from reading of the descriptions hereinafter, with reference to the annexed drawings.
Referring to
In particular,
The artificial lens kit 2 is basically comprised of an intraocular lens 24 and an intraocular ring assembly 4 in which the lens 24 is movably supported. As will be described later, this artificial lens kit 2 is to be implanted within a lens capsule of natural crystalline lens, or in most cases, it is to be implanted within a capsular bag 34 (see
Both anterior and posterior ring elements 6, 8 are depicted in the figures to assume a perfect circular configuration, but, in general, they may be formed in any desired fashion analogous to a circle for optimum implantation in the capsular bag 34. Both two ring elements 6 and 8, a principal part of the intraocular ring assembly 4, may preferably be formed from a soft elastic material, such as acrylic or silicon, that can be easily and resiliently deformed. Needless to mention, an optic portion 26 of the intraocular lens 24, which is to be incorporated in the intraocular ring assembly 4, may be formed from the foregoing soft elastic material, as well. This is because, in most cases, the recent intraocular lens implantation procedure involves folding or rolling an elastic intraocular lens into a small piece which is then inserted into a capsular bag so that it resiliently unfolds into an original lens shape therein, and, for that purpose, both intraocular lens 24 and intraocular ring assembly 4 may preferably be formed from the soft elastic material. However, where no soft elastic material is used, the corresponding portions of intraocular ring assembly 4 may be formed in any desired structure or shape (not shown) that permits it to be folded or rolled and then recovered into its original shape.
Preferred dimensions of the anterior and posterior ring element 6, 8 are commonly such that the outer diameters of those two ring elements 6, 8 may be set in the ranges of from 7.0 mm to 8.0 mm, whereas the inner diameters of the same (6, 8) be set in the ranges of from 6.0 mm to 7.0 mm, and the height-wise thickness of each ring element 6 or 8, as viewed from the side elevation of
In the illustrated embodiment, the anterior ring element 6 is formed by four first sectorial ring portions 6A and four second sectorial ring portions 6B in such a manner that those first and second sectorial ring portions 6A, 6B are disposed equidistant in an alternately offset way. Otherwise stated, each second sectorial ring portion 6B is recessed vertically from the adjoining two first sectorial ring portions 6A that extends horizontally along the circumference of anterior ring element 6, thereby, in the aggregate, defining four generally "U" shaped ring portions (i.e. 6B) protruding equidistantly from the respective four first sectorial ring portions 6A in a vertical direction along the central axis of the ring element 6 as viewed from the figures. Hereinafter, the second sectorial ring portion 6B will be referred to as "generally U-shaped ring portion 6B" for a better understanding of the present invention.
Each first sectorial ring portion 6A has a first end surface 6Au and a second end surface 6Ab opposite thereto. The first end surface 6Au slopes upwardly in a gradual way (at a relatively small angle of inclination) as it proceeds toward the center (or central axis) of the anterior ring element 6 (i.e. in a direction from the outer arcuate wall thereof to the inner arcuate wall thereof), as can be seen from
On the other hand, the second end surface 6Ab is flat, in which is formed a first securing groove 13 extending therealong in an arcuate manner, as best seen from
Designation 10 represents a support recession defined in each of the generally U-shaped ring portions 6B, the support recession 10 being adapted to receive and support a haptic portion 28 of intraocular lens 24 therein, as will be described.
Accordingly, it is seen that four sectorial ring portions 6A are disposed in an equidistant spaced-apart fashion along the circumference of a circle, with their respective four first end surfaces 6Au laying on a same level with one another along that circumference, whereas four support recessions 10 are alternated with the respective four sectorial ring portions 6A and thus defined in a diametrically facing relation with one another with respect to the center of ring assembly 4.
The posterior ring element 8 is shown as being simply of a circular ring shape and having outer and inner diameters equal to those of the anterior ring element 6. In contrast to the anterior ring element 6, the posterior ring element 8 has a first flat end surface 8A and a second sloped end surface 8B opposite thereto, wherein the second end surface 8B slopes downwardly as it proceeds to the center (axis) of the anterior ring element 6 (i.e. in a direction from the outer arcuate wall thereof to the inner arcuate wall thereof), as can be seen from
But, the illustrated sloped formation thereof is preferable to allow smooth placement of the ring element 8 within the capsular bag 34 in a moderate and intimate contact with and along the generally concave inner surfaces of capsular bag 34. This will advantageously avoid damage to the capsular bag 34. Hence, it is observed from
In each of the first flat end surface 8A of posterior ring element 8, four second securing grooves 12 are disposed equidistantly, such that each of them extends therealong in an arcuate manner. As indicated in
As illustrated, the elastic biasing element 16 is interposed between the anterior and posterior ring elements 6, 8. With particular reference to
As best seen from
The biasing or repercussive force of the biasing element 16 may be preset to a suitable degree, depending upon the elasticity of capsular bag 34 of individual patients' eye, or other conditions required in surgical operation.
As shown, the four figure-of-eight-shaped biasing elements 16 are arranged in equidistant manner between the anterior and posterior ring elements 6, 8 such that each of the biasing elements 16 is disposed between each anterior ring element sectorial ring portion 6A and the corresponding local area of posterior ring element 8.
The shape of the elastic biasing element 16 is not limited to the figure-of-eight mode in
As understandable from
The first and second securing grooves 12, 13 may be formed in an appropriate shape and size, depending on the configuration of the elastic biasing element 16. In the case of the illustrated figure-of-eight mode having arcuate distal end portions, it is preferable to form two groove extensions in the respective two extremities of each securing groove, thereby to allow both two lateral arcuate portions of the biasing element 16 to become protrudent outwardly and stored partway in the respective two groove extensions, when the biasing element 16 is subjected to elastic depression or contraction. Namely, as best indicated in
In this context, as indicated by the phantom lines in
It is noted that the elastic biasing element 16, be it of the figure-of-eight shape or of a circular shape, may be formed directly and integrally between the anterior and posterior ring elements 6, 8, without using the aforementioned anchoring or securing means (e.g. at 14, 15 and 18). In this regard, as suggested in
Or, alternatively, as suggested in
In accordance with the present invention, a guide means 22 may be incorporated in the intraocular ring assembly 4 to assist in rectilinear coaxial movement of the anterior and posterior ring elements 6, 8. Reference is made to
Reference being now made to
The illustrated two haptic portions 28 are each of a generally "T" shape which basically comprises: a base portion 28B integrally connected with the circumferential end of optic portion 26; a curved distal end 28E; and a generally rectilinear body portion 28A defined between the base portion 28B and curved distal end 28E, wherein it is seen that the body portion 28A has a divergently widened region near to the distal end 28E. Preferably, a generally triangular or sector-shaped hole 28H is formed in such divergently Widened region of the body portion 28A in the proximity of the curved distal end 28E. Also, preferably, the curved distal end 28E is so formed to extend a certain distance along the circumference of a circle whose center is at the center of the optic portion 26. With this structure, both two end portions of the haptic portion 28 are provided with a proper elasticity to render themselves resiliently deformable according to different shape and size of capsular bag 34, so that the whole intraocular lens 24 can be smoothly set in position and retained within a different capsular bag 34 of different patient's eye. In this respect, preferably, the whole size of the two haptic portions 28 is slightly larger than the diameter of capsular bag 34 to attain a positive resilient attachment of the former (28) to an inside of the latter (34). Moreover, due to its circumferential elongation, each curved distal end 28E increases an area for contact with and along the inner surface of capsular bag 34 corresponding to the equator 40 thereof. This allows the entirety of intraocular lens element 24 to be adjustably and stably fitted in any different diameter of capsular bag 34, and also makes the elastic action of both two haptic portions 28 more sensitive to a contour change of the capsular bag 34 being caused by the contraction and relaxation of zonule (at 42 in
As can be seen from
A reinforcement core element 32 is preferably embedded in the rectilinear body portion 28A of haptic portion 28. Provision of such core element 32 effectively serves to reinforce the haptic portion 28 and prevent the same from being bent together with the above-stated bending action of bendable area 28F. This is also effective in transmitting most of force applied to the haptic portion 28 directly to the cutout 30, thereby inducing more smooth bending action of the haptic portion 28 relative to the cutout 30. The core element 32 is preferably formed from such a rigid material as a hard plastic or metallic material. The artificial lens kit 2 may preferably include a fibronectin or fibronectin-like substance. Namely, it is preferable to apply an appropriate amount of suitable fibronectin or fibronectin-like substance to the haptic portions 28 in advance, so that, in practical surgical operation to place the intraocular lens element 24 in the capsular bag 34, both two haptic portions 28 may be positively adhered via the fibronectin or fibronectin-like substance to and along the inner surface regions of capsular bag 34 corresponding to the equator 40 thereof, wherein the fibronectin or fibronectin-like substance induces a biological fibrous adhesion of the haptic portion 28 to such equator regions of capsular bag 34. Here, the term, "fibronectin-like substance" is defined as a substance containing a fibronectin, a fibronectin-related substance, or any other substance exhibiting the same fibrous adhesion effect as the fibronectins. Referring to
In accordance with the present invention, the above-described intraocular ring assembly 4 and intraocular lens 24 constitute one artificial lens kit 2 usable for implantation in the capsular bag 34. In the shown embodiment, the two haptic portions 28 may be set in place in the corresponding selected two of the four support recessions 10 of the intraocular ring assembly 4. Of course, while not shown, it is optionally possible to define only two support recessions 10 in the ring assembly 4 so as to receive and support the two haptic portions 28, respectively. But, the illustrated formation of four equidistant support recessions 10 is superior to such formation of only two support recessions 10. This is because, when putting together the lens 24 and ring assembly 4 within the capsular bag 34, it is easier and quicker to drop and set the two haptic portions 28 of the lens 24 in the corresponding two of the four recessions 10 than in the only two respective recessions 10, due to the fact that, in the case of such four recessions 10, the distance between the adjacent two recessions 10 is quite small and therefore requires a less amount of rotation of the lens 24 upon the ring assembly 4 to drop and set the two haptic portions 28 in selected two of the four recessions 10, respectively. However, the number and shape of the support recessions 10 are not limitative and may be varied, depending on the configuration of haptic portions 28 to be received therein.
In this context, a brief description will be made of an after cataract. In the case of extracapsular cataract extraction procedure, it is with a high frequency that an opacification will occur along the capsular bag 34 postoperatively and the opacification may progress on to a pupil region of the eye (i.e. a point adjacent to the center of capsular bag 34), which may result in a decreased visual acuity. This symptom is what is called "after-cataract". Such decreased visual acuity due to the after-cataract is a critical problem among ophthalmologists, but, there is no effective measure to prevent the after-cataract.
The after-cataract can be classified into the following two typical cases: "fibrous opacification" and "Elschnig's pearls". The fibrous opacification (or fibrosis) is a state where the posterior capsule area of capsular bag 34 becomes white and cloudy due to the production of extracellular matrix such as collagen. In other words, after cataract operation, a part of the epithelial cells of natural crystalline lens is transformed into myofibroblast-like cells which in turn produce a great amount of the extracellular matrix composed of fibrous tissues (including "type I" collagen and "type II" collagen). Thus, the extracellular matrix so produced causes the fibrous opacification (fibrosis) in a part of posterior capsule 38. More specifically stated, in cataract operation, an incision is first made to the anterior capsule of lens 36 in a circular manner relative to the center thereof (i.e. anterior capsulotomy), the anterior capsule 36 having a lens epithelial cell thereon (the lens epithelial cell exists only in the anterior capsule). Hence, defined in the anterior capsule 36 is a circular edge (see 44E in
On the other hand, upon such adhesion of the entire circular edge 44E of anterior capsule 36 to the inner surfaces of posterior capsule 38, an annular closed space is defined between the anterior and posterior capsules 36, 38 in a doughnut-like fashion. In the annular closed space, a new natural crystalline lens is gradually formed. The major constituent tissue of the new natural crystalline lens comprises lens fiber cells regenerated in the space. When the natural crystalline lens occupies that closed space, the plural lens fiber cells thereof keep on proliferating and passing through the adhesion area at which the anterior capsule annular edges 44E are adhered to the posterior capsule 38. At last, the lens fiber cells reach a humor chamber outside the posterior capsule 38 and are exposed to aqueous humor in the anterior chamber. Given a certain influence of the aqueous humor, the lens fiber cells become swollen into a plurality of the so-called "Elschnig's pearls", another case of the after-cataract. The Elschnig's pearls scatter a light entering the eye and decrease the visual acuity.
To prevent both foregoing two types of after-cataract, it is important to avoid the adhesion of the anterior capsule edge 44E to the posterior capsule 38. In accordance with the present invention, the intraocular ring assembly 4 works effectively for that purpose. Namely, shortly after completion of the anterior capsulotomy, the ring assembly 4 is inserted through the circular opening (see 44 in
In this connection, it is preferable to form grooves and holes in the anterior ring element 6 for the purpose of allowing free circulation of aqueous humor, though not shown. In view of an intimate contact between the anterior ring element 6 and the corresponding area of inner surface of the anterior capsule 36, those grooves and holes will allow a proper amount of the aqueous humor to be flowed between the ring 6 and anterior capsule 36, thereby eliminating a possible increase of transdifferentiated cells and other factors which may produce a great amount of fibrous extracellular matrixes. In that case, therefore, any biological adhesion will not cause between the circular edge 44E and both anterior and posterior capsules 36, 38, and neither will be formed any closed space in the capsular bag 34, the closed space being a place allowing regeneration of lens fibrous cells and incidental formation of Elschnig's pearls therein as mentioned above. Such provision of grooves and holes is a matter of choice to effectively prevent a lowered visual acuity due to the Eischnig's pearls.
Now, reference being made to
At first, an anterior capsulotomy is effected by making a circular incision to the anterior capsule 36 of crystalline lens so as to form a circular opening 44 therein. An inner matrix is then extracted from the crystalline lens via the opening 44 to leave an empty lens capsule or a capsular bag 34. Provided now is one artificial lens kit 2 of the present invention, which is a normally available mode complete with both intraocular ring assembly 34 and intraocular lens 24. First, the intraocular ring assembly 34 is taken from such kit 2 and inserted through the opening 44 into the inside of capsular bag 34. And then, the intraocular lens 24 with a pair of bendable haptic portions 28, taken also from the kit 2, is likewise inserted through the opening 44 into the capsular bag 34 and placed upon the ring assembly 34 therewithin. At this point, a surgeon should rotate the intraocular lens 24 generally coaxially of the ring assembly 34 so that the two haptic portions 28 of the former are respectively dropped and received in a selected diametrically-opposing pair of support recessions 10 of the latter. Thereafter, due to the fibronectin or fibronectin-like substance applied to a part of or a substantially whole of each haptic portion 28 as indicated by Fb or Fb′ in
In this way, both intraocular lens 24 and ring assembly 4 are assembled and retained in position within the capsular bag 34 in a coaxial relation with each other, wherein their axes extend along the optic axis l, as can be seen from
Referring now to
Conversely, referring to
In this connection, preferably, provision of the previously described guide means 22 in the intraocular ring assembly 4 will assist in precise rectilinear movement of the lens 24 along the optical axis l.
In the foregoing ways, the thus-implanted unit of intraocular lens 24 and ring assembly 4 in the eye E works finely and precisely in response to contraction and relaxation of the zonule 42 as well as to change in shape of whole capsular bag 34, whereby the optic portion 26 is quickly subjected to a proper variation in refractive power and smoothly changes its focus upon a near or distant object being viewed.
It should be understood that the present invention is not limited to the illustrated embodiments, but any other modifications, replacements and additions may be applied thereto without departing from the scopes of the appended claims.
From the descriptions above, it is appreciated that the intraocular ring assembly 4 and the artificial lens kit 2 in accordance with the present invention has the following effects and advantages:
(1) The intraocular ring assembly 4 in characterized by comprising an anterior ring element 6, a posterior ring element 8, an elastic biasing element 16 securely connected between those two ring elements 6, 8, and support portions 10, The artificial lens kit 2 comprises a novel combination of such intraocular ring assembly 4 and an intraocular lens 24, such that the two bendable haptic portions 28 of intraocular lens 24 is to be movably received in the support portions 10 of the intraocular ring assembly 4, respectively, when implanting an assembled unit of the ring assembly 4 and lens 24 in the lens capsule or capsular bag 34.
(2) The assembled unit of intraocular ring assembly 4 and lens 24 is fitted in substantially a whole inner area of the capsular bag 34 and provides a far increased sensitivity to every change in shape of the capsular bag 34 which is caused by contraction and relaxation of the ciliary body 50 via the zonule 42 adjoining the capsular bag 34, while serving to not only retain an optimum shape of the capsular bag 34, but also preventing after-cataracts as elaborated earlier. Further, the optical portion 26 is precisely moved anteriorly and posteriorly along the optic axis l responsive to change in shape of the capsular bag 34. Thus, even after extracapsular cataract extraction, the eye, in which this assembled unit of intraocular ring assembly 4 and lens 24 is implanted, can not only accommodate itself to different distances as naturally and smoothly as a natural crystalline lens does before cataract, but also is prevented from after-cataracts.
(3). In addition, the guide means 22 insures a precise rectilinear movement of both anterior and posterior ring elements 6, 8, which makes positive the rectilinear displacement of the intraocular lens 24 coaxially of the capsular bag 34 along the optic axis l, thereby realizing an optimum accommodation of the eye (s) without defocusing problem.
|Cited Patent
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|Jun 27, 1989
|Smith S Gregory
|Accommodating intraocular lens and method of implanting and using same
|Nov 18, 1991
|Jan 4, 1994
|Faezeh Sarfarazi
|Elliptical accommodative intraocular lens for small incision surgery
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|Jul 5, 1994
|Cumming J Stuart
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|Oct 6, 1994
|Jun 4, 1996
|Klaas; Dieter W.
|Intraocular lens
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|Jan 11, 2000
|Acuity (Israel) Limited
|Accommodating intraocular lens implant
|Aug 27, 2001
|Sep 3, 2002
|Randall Woods
|Intraocular lens implant having eye accommodating capabilities
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|Oct 15, 2002
|Bernt Christian Skotton
|Two-lens adjustable intraocular lens system
|Apr 9, 1999
|Dec 3, 2002
|Faezeh Sarfarazi
|Open chamber, elliptical, accommodative intraocular lens system
|Dec 11, 2001
|Jul 13, 2004
|Visiogen, Inc.
|Translation member for intraocular lens system
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|Sep 26, 2002
|Khalil Hanna
|Intraocular implant and an artificial lens device
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|Jul 10, 2003
|Sarfarazi Faezeh M.
|Haptics for accommodative intraocular lens system
|Title not available
|Title not available
|Jan 28, 1994
|Aug 3, 1995
|Jacob Labarre Jean T
|Intraocular prostheses
|Apr 10, 2000
|Oct 19, 2000
|Faezeh Mona Sarfarazi
|Open chamber, elliptical, accommodative intraocular lens system
|Apr 28, 2000
|Nov 9, 2000
|Allergan Sales, Inc.
|Intraocular lens combinations
|Feb 13, 2001
|Aug 23, 2001
|Humanoptics Ag
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|Citing Patent
|Filing date
|Publication date
|Jun 10, 2011
|Dec 29, 2015
|Z Lens, Llc
|Accommodative intraocular lens and method of improving accommodation
|Mar 13, 2013
|Jun 14, 2016
|Z Lens, Llc
|Accommodative-disaccommodative intraocular lens
|Dec 28, 2012
|Jul 4, 2013
|Anew Optics, Inc.
|Intraocular lens rings
|U.S. Classification
|623/6.37, 623/4.1, 623/6.39
|International Classification
|Cooperative Classification
|European Classification
|Oct 18, 2013
|Maintenance fee reminder mailed
|Mar 9, 2014
|Lapse for failure to pay maintenance fees
|Apr 29, 2014
|Expired due to failure to pay maintenance fee
Effective date: 20140309


text:
This project is abandoned and its default file will likely not work with the most recent version of World of Warcraft. Whether this project is out of date or its author has marked it as abandoned, this project is no longer maintained.
Adds simple coordinates to minimap frame
I'm changing the slug for you.
Also mark it as active.

subset: commoncrawl


text:
UTEST applications are now closed for the 2017-2018 cohort. If you have questions regarding our next application intake please email Kurtis – email@example.com
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Dalriada Therapeutics Wins RBC Innovation & Entrepreneurship $25K Grand Prize!
Congratulations to Dalriada Therapeutics for winning the inaugural RBC Innovation & Entrepreneurship Prize! CEO Diana Kraskouskaya did a tremendous job telling the Dalriada story and walked away with $25K in prize money. Full event details found here Pictured above: Professor Cynthia Goh, Gabriel Woo, RBC's vice-president of innovation, Dalriada CEO, Diana Kraskouskaya and CSO, Professor Patrick Gunning.
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text:
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Comments about Large Stonewood Guitar Effects Pedal Board by Protec:
The instructions for applying the Velcro suggests covering the entire bottom. A small piece at the top and bottom is all that's needed or in all 4 corners of larger pedals. I covered the bottom of my first pedal I placed on it and when I tried to reposition it, it pulled the stitching on the interior. Planning to buy some spray adhesive next time I do a complete reorganization of my layout. Other than that, I have no complaints of my board.
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text:
how pregnancy
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How to predict the sex of a baby during pregnancyThe rise in frequency of urination is usually more pronounced in the first eight weeks. Symptoms of low blood count in pregnancy am very anxious to see my Dr. The risk of recurrence was considerably larger in girls who discontinued treatment with temper stabilizers (eighty five. By the end of the first trimester the fetus will have finger and toenails and may have buds in its mouth space that may go on to turn into baby enamel. The age when fertility starts to say no varies from lady to woman. Nevertheless, in some circumstances, these may also be signs of an ectopic being pregnant. Response to Steve about honey - honey was a suggestion that may be placed above sugar and below different more healthy sweeteners. You may call for information or a phone back for support. But, in case you are trying to get pregnant and you understand that you just ovulated and you had sex around that time it may be a very good indication that you how to predict the sex of a baby during pregnancy in actual fact pregnant. The hormone progesterone is LARGE.
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Association of Indian Universities (AIU) is going to celebrate 89th annual general meeting as scheduled during 23rd -25th of May 2015. Which is being organized by a top Inter-University, body of Higher Education; this event is going to take place in the lovely professional University, Phagwara, Punjab.
This special event of AIU is going to invite around 200+ National and International professional educationalists belonging to higher education followed by Vice Chancellor, Director of Member Universities and Institutes that frame the General Body of AIU. The major target of this event is to work out over the important issue facing in higher education and more discussion about the policies and initiatives in future.
The Chairman of University Grant Commission, the professor, Ved Prakash, will light the candles in this event on the day, 23rd of May 2015 at 11 in the morning,
Another prominent personality professor, H.M.Desai, vice chancellor from Dharmsinh Desai University, AIU president will preside the event joining their hands with Professor Furqan Qamar, Secretary General. The promotion of the University news in India, special issue about the 'Promotion of Excellence in Higher Education in India will be released by Chief Guest in the event, Dr S Rama Devi Pani.
Apart from the annual ceremony, valedictory functions and AIU's achievement of past years; the highlights of the AGM will set a discussion over Indian Higher Education Functionaries, transit business, aims and objectives of AIU, discussion about the financial statements and delineate the policies for future.
The interface session to discuss regarding the topics like new education policy, global initiatives on developing skills, quality assurance, utilizing technology and worldwide ranking followed by the vision for Indian higher education to avail the educational opportunities.
The Interface Session of AGM with International Dignitaries is going to participate with luminaries of education, vice chancellor, entrepreneurship and researches.
An important action of the session is, academic exchange related to cross border education with foreign universities and institutes for studies of excellence will be seen with around 25 international dignitaries from the several countries such as UAE, UK, Bangladesh, Columbia, Malaysia, and more along with international delegates, European Union in India and Australian High Commission.
Another important part of the session is discussion with the heads of the top dignitaries of higher education. This session will be graced by the responsible authorities from the department of HRD & ministry of skill, National Council for Technical Education, Heads/Representatives of University Grants Commission, Council of Architecture (CoA), Rehabilitation Council of India (RCI), Central Board of Secondary Education (CBSE),Pharmacy Council of India (PCI), and some more different offices of Secondary Education & Higher Education.
At the time of wrapping the AGM a significant Session will be held with a colorful cultural performance and it will be introduced by the students of Lovely Professional University to make the farewell memorable by giving warm welcome to the dignitaries.


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In June of 2017 "The Influence Of The Agricultural Cluster On The Fayette County Economy" study was released. The study highlighted the importance of Fayette County Agriculture and it economic importance on the County as a whole. This Ag study was just released in June of 2017. It was Authored by, Alison Davis, PhD,…Read more
Health and Wellness Ladies Day Out
We had a great turn out to our Health and Wellness Ladies Day Out! Pictured above we have Vendors and Fayette County Farm Bureau Members and Employees. We had around 21 Vendors that set up at the event and spoke to the Ladies. The goal of this event was to educate women of alternative practices…Read more
13th Annual Fayette County Farm Bureau Spelling Bee
Ashley DeVore a 7th grade homeschool student won the Fayette County Spelling Bee on February 6, 2017. Ashley competed against 71 other youth from public, private, parochial and home schools across Fayette County and was awarded with a trophy and $75.00 cash. Fayette County Farm Bureau sponsored the county wide spelling bee for all students…Read more
Young Farmer Winter Meeting
Fayette County Farm Bureau Federation at Young Farmer Winter Conference in Cincinnati, KYRead more
American Farm Bureau Federation National Convention
Fayette County Farm Bureau Delegation at 2017 National Convention.Read more
Christmas Parade
Board Memebers, Insurance Agents, and Officers joined to walk with our parade float. Volunteers decorated the float and passed out candy. We would like to extend a huge thank you to Central Equipment for letting us borrow a tractor and to Locust Trace students for walking with us.Read more


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Hotel Castello
Loc.Castello- San Rocco A Pilli, 53018 Sovicille, Italy –
|Room Type
Single Room
Double or Twin Room
Triple Room
Quadruple Room
Area Info –
Closest Landmarks
- La Foce 0.7 miles
- National Picture Gallery Siena 5.2 miles
- National Museum of Etruscan Archaeology 5.3 miles
- Duomo of Siena 5.3 miles
- Palazzo Chigi Saracini 5.3 miles
- Dolce Siena 5.4 miles
- Basilica di San Domenico 5.4 miles
- Mangia Tower 5.4 miles
- Piazza del Campo 5.4 miles
- Casa di Santa Caterina 5.5 miles
Most Popular Landmarks
- Stadio comunale "Artemio Franchi" 5.5 miles
- San Cristoforo 5.5 miles
- Siena train station 6.1 miles
- Palasport Mens Sana 6.2 miles
- Parco Sculpture Del Chianti 13 miles
- Castello di Meleto 15.9 miles
- San Gimignano 1300 19.5 miles
- Piazza Cisterna 19.5 miles
Restaurants & Markets
- Supermercato Coop Supermarket 0.6 miles
Natural Beauty
- Fiume Merse River 1.2 miles
- Lago il Delfino Lake 0.3 miles
- Lago il Moro Lake 0.4 miles
Closest Airports
- Peretola Airport 38.6 miles
- Galileo Galilei Airport 54.4 miles
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5 Reasons to Choose Hotel Castello
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Facilities of Hotel Castello
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- Terrace
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Health & Wellness Facilities
- Massage (additional charge)
Pets are allowed. Charges may apply.
- Cycling
- Hiking (additional charge)
- Fishing (additional charge)
- Golf Course (within 2 miles) (additional charge)
Food & Drink
- Special Diet Meals (upon request)
- Snack Bar
- Restaurant With Dining Menu
- Breakfast in the Room
- Bar
Free! WiFi is available in all areas and is free of charge.
Free! Free private parking is available on site (reservation is not needed).
Front Desk Services
- Baggage Storage
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- Express Check-in/Check-out
- 24-Hour Front Desk
Entertainment and Family Services
- Babysitting/Child Services (additional charge)
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- Air Conditioning
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- Italian
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English 10: Writing Portfolio
|Essay the first: Origins
|Essay the second: Literature
|It was one cold night, only I and my mother were in the
house. I was watching a movie called "THE FULL 8 MILES". My mother was
fixing up her hair getting ready to go to the next door neighbor's house.
She was always competing with the lady next door about hair. I was very
anxious so I ask "why are you always competing with Mrs.Geniveve. She
answered me by telling me a story that became my most funniest family story.
She began the story telling me that she was at a high school party, which she never used to go to, but when seeing her face I knew it was a lie. She said that if she entered parties she would always wear her best clothes so the boys will say "Whoo...Whee...". I stop her there saying "Mom you if dad hears this you will be saying "Oh...! No...!" she slaps me up side the head saying "What if Dad hears about the story about the wrong trip to school". I begged for forgiveness saying "NO DON'T TELL HIM ABOUT MS.PRETTY", she looks at me confused and continued. She continued saying their was always one girl or woman to ruin things up "Mrs.Geniveve". The reason why the students called her "Mrs.Geniveve" wasn't weird. She was a teacher for ten years in the school, but she looked like she was a student for two. When I heard this I laughed at my mother saying "Your competing with a 50 year old women, who has no husband. She said "Shut up their Dozie, she has a husband, but she was doesn't want to be answering her husbands name (even the husband is answering her maiden name. Who do you think that man in her house"?" I though he was her maid". She said that she was so evil she; use to throw my mom out of parties. So this time she said it was enough, she told her "If you want to hit me, then hit me".Mrs.Geniveve said "okay" and knocks her out. My mom cried home to my grandmother and told her that "A....dog... bit ....me on the butt". My grandmother was confused because the wound was on her face, but my mom had nothing else to think of. She said that the only reason Mrs.Geniveve doesn't bully her any more is because she has children (and she doesn't).
My mother said that this story taught her that she can always count on her children to be their for her (in sickness and in health. I told her "This is not a wedding ceremony". I learned not all mother and father stories can be boring. I also learnt that my brother and sister's and I are always a pat of my parent's life. The last thing I learned is that I to can tell my children childhood stories and maybe they will learn what I learnt. That is the most funniest family story of my life. I hope you laugh as much as I did.
Out of all the poetry and prose I have read there is only one author that has caught my eye of failure for next year's book edition. That is you, Robert Browning. I am Chidozie Gusiora from Catholic Memorial High School writing back to you why you could not be in this year edition of Prentice Hall Literature. My decision was very difficult to confirm. I noticed that other writers seen there was something wrong with your work. Like Eileen Gillooly from Mas Ultra – School Edition which reports "Robert Browning is one of the most beloved English poets – and one of the most difficult to read."
One reason why I could not put you in this years edition was you liked to talk about death in your poems. For example the character "The Last Duchess" (line 46-47) which says "there she stands as if alive". This tells us sophomores that you are a killer and a poet which does not mix. Another reason I can't let you in this year's edition because you write about lost happiness. For example in "Love Among the Ruins" (lines ) which you write " the site once of a city great and gay". I think that sophomores already go through this when they are broken up with there exboyfriends/exgirlfriends. You are just bringing painful times to them. The last "but not least" reason you can not be in next year's book edition because you put words that match perfectly in sound between an unmatched words. For example in lines 11-13 of " Home- Thoughts, from abroad". Sophomores are already confused with the book they are reading. Why confuse them more? I think not! I hope you've understood and realized the reasons why you could not make the cut for next year's edition. I also require you to work on these problems for next year. You have great potential.
Do people believe in superstition? Do or do not I know they can recall many superstitious authors and their works. For example Shakespeare who had Hamlets father plays a ghost after being killed by his brother, in "Hamlet". Or in the tragedy of Macbeth where Macbeth sees the ghost of Banquo which he killed. Another example is William Wordsworth who has the speaker mock and criticizes his wife in a painting. One of the many poets people have not heard about superstition is Ronald H. Buchanan, the great unknown poet who wrote the story Grandfathers Ghost in 1956.
Judging by the title people can notice this story can get people to believe in ghosts. It also gets people to believe that ghosts come in different descriptions, not only the ones on television (white and gloomy). For example he writes "There was a man standing at the door with a long-trawled coat, a beard and a hard hat on him" (4-6). The story also gets people to believe that ghosts come to those they want to or are trying to see. For example Buchanan writes "When my parents went down to the room together, they could see nothing" (11). Here Buchanan uses the typical invisibility of ghosts to make us believe in its ability to be secretive.
These superstitions reveal a lot about British people in the 20th century. It shows us that the children had greater imaginations that the adults. For example Buchanan writes "I told him what the old man looked like, he shook his head. It was your grandfather" (13-14). Or where he writes "They both went down to the room together, but they could see nothing", Buchanan uses the description an invisibility of a ghost to make us believe that the older ones in the family had already seen the ghost in there child hood and it passes down to the children's imagination. This work has not been taken seriously for many reasons. One reason is because it is very short, and people like to occupy themselves with a book they can read for a long time. Another reason why is because most great superstitious stories have at least one scene where someone gets killed and this story has not one. For example in Frankenstein, the monster kills many of Victor's friend and family. Or in the Macbeth, Macbeth kills many people. This story should be taken seriously because it has valid information that might change your feeling of superstition about one thing or another. For example it taught me ghost don't only kill people.
There are not many critiques that agree with what I believe about this story. But one critique that believes is Mr. Freeman, who writes "He had a broad command of his literature and his book deserves to be widely read". I hope that all people will enjoy and notice those works that have been overlooked
French the language of love. This language and considering all languages have unique meanings. English the most common and latest language also falls into this group. English contains the most words (800,000) in the world and these words all have different purposes, some for good others for ill. The word "war" describes dangerous things and is sometimes used for the wrong purposes. "War' is a word stolen by many countries, first by the Anglo- Saxons, then to the Germans, and now back to England. In the Oxford American Dictionary "war" is "strife (especially between countries) involving military or naval or air attacks." But in the Oxford Dictionary of English Entomology it means "hostile conventions of armed force." "An armed conflict between nations or states or between different parties in the same state" is also a definition of war used by Funk and Wagnall's Dictionary. According to the Oxford English Dictionary there were 13 different definitions to the word "war." Some interesting ones are "to harass or persecute". Can you imagine war being used to harass someone? It also meant "a contest between armed forces carried on in a campaign or series of campaigns" Now tell me, have you seen the word war as a contest? "A battle, engagement" was another definition used in the O.E.D for "war".\ Although the word "war" does not have an effect it had on people in the past, I asked what it meant to them. Joseph McGonagall, a teacher and news editor at Catholic Memorial High School says "that reminds me of the Iraq War (were my brother is fighting), the El Salvador War, and the Vietnam War. I also asked Obinna Nwosu, a student at Boston Latin Academy who says "it means death and hardship! It means fatherless and motherless families. War is not a game, so it can not be won." Explaining here the fortune of war what it has done to the world. Mike Hechavaria, a student at Catholic Memorial High School says "war" is a bloody array of civilization, gone to heaven." A majority (33%) of these speakers define war in a negative and bloody way. How do you? A few writers also show us that "war" has not been a helpful word. For example, Chaucer uses it in 1380 in "A Knights Tale" where he writes "Thou mayst make a werre so sharpe on the Citee", Explaining that war must kill a city. Another writer is Lydgate who used it in" Reason & Sensuality" during 1407 where he writes "For to sette hem at werre." Explaining here that to keep peace they must go to war, and can not do it any other way. You can see that war is even written in negative ways even in literature to show that one or a group of characters are greater than others. There are people around the world that are using the word "war" in new ways that do not help. For example, Sandra Tsing from "Kiddies Class Struggles", who writes "THE TRUTH BEHIND MOMMY WARS", explaining here that war is a secret. So why should she tell the world other peoples secrets. Another example is Drew Christiana from "Of Many Things" who writes "the time is right for moral theologians and other just-war analysts", explaining that war solution is the solution to all things. War along with all words in the English language should go back to their origins. There should be no superior language. Everyone should speak the language of the country, so there will be no bilingualism. Those who speak two languages just want to prove their smarter and greater than others, and that is cause less equality in the world. If you feel what I feel about the English language I hope you to can send my message further across the world.
My hands were sweaty, holding this celliod roundness.
My body was weak and disabled.
My mind was stressed out from the dizzyness.
I looked at my right the right corner of my eye
I saw those who were fierce and intimidating,
thiking that some will ruin their day.
I looked at the left side of my eye
I saw those who were eager and unpatient wonder
what will happen in a few seconds.
I looked from side to side I saw those unable to stay-put,
like if they were wild mokeys.
Each of them having their wide eye on me.
I shifted my hair from my face
and looked at that space between my hands
so others won't know that I am looking
at my glooing fingers.
I released my fingers in a upward direction
and close my eyes.
When I heard the sound soot of like "Swush",
I brusted in shock.
Even others in shock
seeing my eyering on my left ear.


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Let's celebrate an autumn bride! Themed for an elegant autumn wedding, this beautiful autumn bride photo invitation uses beautiful patterns and fonts to begin your elegant shower celebration. You can keep any photos in original color, as shown here, or we can convert them for you to a rich sepia which harmonizes beautifully with the brown, orange, and ivory colors. Change the wording to celebrate your own overflowing blessings for any occasion and season as needed also. When printed on cardstock, additional text, photos or room to handwrite can be shared (flat or folded options available). You can see more ideas & personalize this design for your own celebration here: Chic Autumn Bridal Shower Invitation.
Beautiful Autumn Bride Photo Invitation
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6 Fall Wedding Trends to Love Right Now
Deep in the midst of wedding planning of our own family Duck wedding, the beauty of autumn lends itself perfectly to this season of love! Here are 6 fall wedding trends to love right now: Burlap. Whether anchoring a backdrop runner on tables or used as…
Rustic Cottage Flowers Wedding Invitation
Distressed and chic, this vintage rustic cottage flowers wedding invitation celebrates lasting love with your own beautiful style! Summer shades of dark coral and bright blue pop against a warm brown backdrop. An old cottage style brick pattern in a go…


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Most of the people with Dhami last name can be found around Hoshiarpur district of Punjab and Himachal Pardesh in India. There are 21 villages in Hoshiarpur that have the same last name.
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Drashti's rendezvous with God
Television actress Drashti Dhami aka Geet of STAR One's Geet-Hui Sabse Parayi visited the Golden Temple, Amritsar for the very first time.
More on Geet -Hui Sabse Parayi : Discuss here | Watch full episodes | Official Website
Bubbly Drashti reveals about her experience and more...
"It was wonderful shooting at the Golden Temple. We reached Amritsar at night and then visited the Golden Temple right away. Believe me, it was sparkling like gold with all the lights, which covered the temple and I had never witnessed such a sight in my life time. I felt really blessed to see this."
About her very first visit to Amritsar, and to the holy shrine Golden Temple, she says, "In these years I haven't got a chance to visit this holy shrine of ours though my parents have visited but I think Babaji didn't call me but now through this show I feel very lucky that I got this golden opportunity to visit this place. While at the Golden Temple, I sat at the Langer and overall it was a wonderful experience of visiting this holy shrine and I felt blessed. I am thankful to Babaji who gave me this show thus I visited this holy place," she said.
An excited Drashti also got to see historical landmarks on this shoot, she said, "I visited every historical place like Jalianwala Bagh, Wagah Border and the Golden temple. I saw the bullet marks on the walls of Jalianwala Bagh. That place and the Wagah Border made me very patriotic and I feel very proud of being an Indian. At the same time, I was sad and paid homage to the innocent people who got killed at the Jalianwala Bagh."
The cast and crew of Geet are like one big Punjabi family, and as is typical of any Punjabi who is separated from her family, Drashti missed having her reel family around, "I missed my co-actors - Rajji, Ranu, Brij, Darjee and others and if they could have been over here it would be real fun."
And the shopaholic that she claims to be, Drashti did pack in some time for some window shopping at the bazaar with the members of the crew. "Then my other crew members of the show and I went to Amritsar market to do window shopping and I bought wadis (made of moong dal) which are specially made to be added in Punjabi sabzi. But one thing which I won't forget is that the temperature was high - 46 degrees and in that, due to over eating (as I ate Amritsari dal then kulche) I got food poisoning and then on the sets itself a doctor was called and then he gave me medicines but yet I was shooting in the scorching heat," she adds.
Drashti's popularity has given new heights to the show as everyone is watching Geet's life. We took out some interesting comments from channels website:
Chanuv said, "Looking forward to this new track, wish you all the very best. You went through enough pain, you deserve love and to be loved. Hope you and Maan will get to know each the very soon. God Bless you both." To this she replied, - "Oh thanks for all the support... Chanuv!"
Geet's popularity has reached Nepal as one of her fan from there, Sindhiya Sharma said, "Hi Geet! I'm Sindhiya Sharma from Nepal. I like you very much. I have great expectations from your unborn child. Be well and do well! Thank You!"
To this an elated Drashti replied, "Hi Sindhiya, I am happy that my show is being appreciated and you all are supporting Geet, thank you so much."
"Best of luck! Geet tum zindagi ki is ladayi mein jarur jeetogi" said Navkiran Kaur
"Thanks Navkiran..." she replied.
According to the current track, Naintara sends a message to Geet as Dev and asks her to meet in Amritsar. Brij and his men follow Gurvinder to kill him. Geet meets Maan and tells him that she will come with him to Amritsar. Naintara leaves for India. Rajji hides Gurvinder in her house.
So watch Geet and Maan at Golden Temple every Monday to Friday at 9.30 pm only on STAR One
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Coffee has attracted many people into the Mobile Catering Business – it's easy, clean and offers great profit margins.
In essence, a Mobile Coffee / Tea business consists of a vehicle fitted with a coffee machine and other ancillary equipment, selling products similar to static coffee shops. If you were thinking of opening a coffee shop but don't want or can't afford the set up costs, then a good alternative could be a Mobile Coffee Business.
It has certainly attracted many start-ups in the last few years, and in all sorts of vehicles! Transit style vans, three wheelers, vintage VW campers, teardrop trailers, electric carts, golf buggies and almost every other type of vehicle imaginable – in fact, it seems the more unusual the vehicle, the more appealing it is!
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You can start a mobile coffee / tea business for very little. If you're looking for a great business without a large outlay coffee vans offer you a fantastic smart affordable set up to get you started. You have the option of a brand new vehicle or fitting out your existing van. There is even Eco Friendly LPG power system to reduce costs even further.
2. Coffee is a Growing Trend
The coffee business is growing, and rapidly. There are many coffee connoisseurs who will no longer accept a cup of drab, powdered instant, and want high quality coffee. This is only going to continue with more coffee van business.
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Coverage of President Trump dominates the media, and most of it's negative
Donald Trump dominates the elite media's news coverage, with much of the coverage negative, "setting a new standard for unfavorable press coverage of a president," according to a new study of the press via Harvard University.
The study from the Shorenstein Center on Media, Politics and Public Policy exhibits a firm if still intriguing grasp of the obvious when it comes to a certain slice of press coverage.
Indeed, as tends to be the case with such dissections, it analyzes coverage by those media that academia (and the press itself) tend to be most drawn to: The New York Times, The Wall Street Journal, and The Washington Post, the primary newscasts of CBS, CNN, Fox News and NBC. It includes Europe's Financial Times, BBC and Germany's ARD.
There's nothing about a vast array of other outlets, especially news outlets, that tend to have far greater audiences, especially in local markets. How much time have they devoted to Trump and what's been the editorial thrust?
Still, to the extent that a narrow slice sets influential news agendas, the report is useful as it scrutinizes coverage of Trump's first 100 days and finds he was "the topic of 41 percent of all news stories — three times the amount of coverage received by previous presidents."
"Trump has received unsparing coverage for most weeks of his presidency, without a single major topic where Trump's coverage, on balance, was more positive than negative, setting a new standard for unfavorable press coverage of a president," reads the report by Thomas Patterson, a respected government and press analyst.
"Fox was the only news outlet in the study that came close to giving Trump positive coverage overall, however, there was variation in the tone of Fox's coverage depending on the topic."
Patterson's larger historical analysis offers the helpful reminder that bashing the media is not a new phenomenon for a president. There's a long history and, while the report argues that Trump is different by being so public and so obviously relishing a fight, it notes how others, notably Richard Nixon, threatened the press with serious injury (in Nixon's case, the never-executed threat of yanking broadcast licenses).
The report portrays a media that was initially solicitous to Trump, later more critical and, now, distinctly combative. And, all along, he was fascinating and clearly a positive influence on ratings and circulation, especially on the digital side of elite newspapers.
"Our studies of 2016 presidential election coverage found that Trump received more news coverage than rival candidates during virtually every week of the campaign. The reason is clear enough. Trump is a journalist's dream."
"Reporters are tuned to what's new and different, better yet if it's laced with controversy. Trump delivers that type of material by the shovel full. Trump is also good for business. News ratings were slumping until Trump entered the arena. Said one network executive, '[Trump] may not be good for America, but [he's] damn good for [us].'"
The report serves as a window, too, onto the mentality of journalists — in ways that might ruffle Fox News and other exemplars of conservative conventional wisdom in portraying the "mainstream" press as driven by liberal bias.
"Although journalists are accused of having a liberal bias, their real bias is a preference for the negative."
Patterson harkens to the Vietnam War and Watergate eras in arguing that an anti-political mindset overrode personal political ideology and has remained in place.
"Journalists' incentives, everything from getting their stories on the air to acquiring a reputation as a hard-hitting reporter, encourage journalists to focus on what's wrong with politicians rather than what's right."
And there's this interesting empirical tidbit: "Of the past four presidents, only Barack Obama received favorable coverage during his first 100 days, after which the press reverted to form."
Trump coverage has accelerated what had been a norm, it appears, setting what the report deems "a new standard for negativity." And that's despite the disproportionate amount of the time that Trump himself is quoted, which is seemingly unusual in a world in which politicians tend to bitch that their low esteem partly reflects the press not airing or giving space to their own declarations.
Reliance on Trump's own comments aside, "Of news reports with a clear tone, negative reports outpaced positive ones by 80 percent to 20 percent. Trump's coverage was unsparing. In no week did the coverage drop below 70 percent negative and it reached 90 percent negative at its peak."
The report also takes subject categories, such as immigration and the economy, to assess how they've been handled.
There are some differences — immigration was overwhelmingly harsh, economic coverage not nearly as much — but one common denominator is that while most of the elite press was negative, Fox News was less so (interestingly, The Wall Street Journal resembled the others more than it did Fox).
At the same time, the elite media caricature of Fox as unremitting Trump shill gets its comeuppance under this more empirical lens (that also includes interesting results on the dominance of Republican newsmakers in commenting upon Trump).
Yes, Fox gave Trump favorable coverage but not overwhelmingly so. By this analysis, the "split was 52 percent negative to 48 percent positive." Liberals' assumption that Fox is handmaiden to the White House Press Office needs more than one asterisk.
No surprise, Fox coverage differed as a function of the topic at hand, with some very negative, some very positive. And, "As was true at the other outlets, Fox's reporters found few good things to say about the public and judicial response to Trump's executive orders banning Muslim immigrants or the collapse of the House of Representatives' first attempt to repeal and replace Obamacare."
"Fox's reporting on Trump's appointees and Russian involvement in the election was also negative in tone."
The report ultimately demurs from concluding if the press has been unfair. But it seems to strain to straddle a fence that includes its own deep suspicions (perhaps typical in academic halls these days) about Trump and the arguable implication that negative coverage is warranted.
"If a mud fight with Trump will not serve the media's interests, neither will a soft peddling of his coverage. Never in the nation's history has the country had a president with so little fidelity to the facts, so little appreciation for the dignity of the presidential office, and so little understanding of the underpinnings of democracy."
Yes, it agrees, the credibility of the press is low. But, it also underscores, "the Trump presidency is not the time for the press to pull back" even while conceding, "the sheer level of negative coverage gives weight to Trump's contention, one shared by his core constituency, that the media are hell bent on destroying his presidency."
It concludes with brief reference to one seeming legacy of 2016 campaign coverage: the press missing the concerns of "Main Street."
"The lesson of the 2016 election has been taken to heart by many journalists. Since Trump's inauguration, the press has been paying more attention to Main Street. But judging from the extent to which Trump's voice has dominated coverage of his presidency, the balance is still off."
Of course, that might also apply to elite academics, too.


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When most people think of Assassin's Creed, they picture a sprawling single-player adventure spanning multiple timelines and spectacular open-world environments.
Ever since Assassin's Creed: Brotherhood, however, Ubisoft has placed increased emphasis on multiplayer, experimenting with a wealth of brand new and traditional game modes.
This game needs a CO-Op open world online game..... no more walking around just killing in a circle.


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You have the potential to be super productive when you're feeling energetic and I don't want you to waste that time. For me if doesn't come very often but when it does, I like to maximize it.
Author: The January Issue
Quit Being Passive Aggressive
7 Tips on how to identify and destroy passive-aggressive behavior.
Dealing With Unmet Expectations
Everyone has expectations. Everyone should have expectations of themselves. Some people are better at achieving them than others.
My Eczema Horror Story
Summer of 2015 started out like any normal summer would. But a few weeks later, things took a turn...
Elevate Your Space in 4 Easy Steps
If you have a traditional nine to five like I do, you probably get bored, especially with your space. Well guess what? It's time to jazz it up!Doing the same things everyday is very routine and get can very boring, very fast. For me, I swear it's faster than normal because I can be fleeting … Continue reading Elevate Your Space in 4 Easy Steps
Honesty Policy: Keeping it Real With Your Girls
Life has a way of getting in the way of things. It's our responsibility to speak up and make sure the air is clear between us and the people that we love.
Worth the Read?
This year, I'm determined to read at least a dozen books! What are some of your suggestions?


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2012 Nissan Juke SV
$11,240 CARFAX Value
No Accident or Damage Report
No accident or damage reported to CARFAX
CARFAX 1-Owner
Purchased on 06/09/12 and owned in PA until 03/06/17.
Personal Use
Driven an estimated 13,367 miles/year.
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Last serviced at 59,360 miles in Hainesport, NJ on 09/07/16 • Maintenance inspection completed • Oil and filter changed, Timing chain replaced, Tire condition and pressure checked, Vehicle washed/detailed


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Goodale (GNIS FID: 1660688) is a populated place located in Tulare County at latitude 36.378 and longitude -119.044.
The elevation of Goodale is 476 feet. Goodale appears on the Woodlake U.S. Geological Survey Map. Tulare County is in the Pacific Time Zone (UTC -8 hours).
Tulare County: Cities & Towns | ZIP Codes | Features (airports, churches, hospitals, etc.)
BIG Map |
Driving Directions |
Data Source - USGS GNIS FID: 1660688
BOUNDARY MAPS: Exeter CCD | Tulare County
Lemon Cove CDP, CA
(< 0.1 mile)
Lindcove, CA (1.9 miles SW)
Woodlake, CA (3.9 miles NW)
Tooleville CDP, CA (7.4 miles SSW)
Exeter, CA (7.9 miles SW)
Three Rivers, CA
(8.9 miles ENE)
Tonyville, CA (9.3 miles SSW)
Ivanhoe, CA (9.7 miles W)
Farmersville, CA (10.6 miles WSW)
El Rancho CDP, CA (10.9 miles S)
Lemoncove, CA
(1.4 miles ENE)
Citro, CA (1.4 miles NE)
Naranjo, CA (1.9 miles NNW)
Saint Johns, CA (3.1 miles W)
Yokohl, CA (4.1 miles SSW)
Woodlake Junction, CA
(4.7 miles WNW)
Merryman, CA (4.9 miles SW)
Fane, CA (5.1 miles W)
Sequoia, CA (5.3 miles NW)
West Venida, CA (5.5 miles WSW)