text:
Black & White
Via: Medieval Dreams
Black & White
Via: Medieval Dreams
Tarot des Fées : Cernunnos
Okay so usually I only interpret dreams but I figured it might help for me to point out certain factors that hold significance.
the only dream
I wish to be true
is the one about
Photo by: Bathory Photography
1. How long have you been worshiping?
2. Do you have a deity that is particularly close to you?
3. Whats your favorite tale about your Gods?
4. Do you keep an altar?
5. Do you consider yourself an Oracle?
6. What brought you to your current path?
7. Do you believe in past lives?
8. Do you think plants, animals or stones have spirits?
9. What do you think your afterlife will look like?
10.Who's your favorite divine power couple?
11. Do you listen to devotional music?
12. What are your views on virginity? Is it worth anything spiritually?
13. What deity do you turn to most in times of trouble?
14. What are your views on dreams? Have they anything to do with divinity or the future?
15. Do you prefer to party and celebrate or quietly observe holidays?
16. Which deity do you find has the biggest sense of humor?
17. What made you choose your religion over any others?
18. Do you have any food or drink that is spiritually important?
19. Do you have any numbers that are spiritually important?
20. Do you believe in fairies, nymphs or nature spirits?
This crystal is a cosmic oasis. A divine creation that is a balanced blend of angelic and faerie energy.
Faery Tea
Tea Attributes: Faerie energy, psychic protection, peace, dream travel, calming, and enlightenment.
1992 | Dream Team
Among the highlands the ocean caresses the shore and the mossy stone mountains engulf castles ruins.
tl;dr I'm having god-y experiences and I'd like to hear what other people's god-y experiences have been.
Like it's really hard for me to get on board with god stuff. The more personified and human-like it is, the less I buy it. I've tired to conceptualize gods in a more symbolic way, but I still have a hard time. So, long story short, I'm not dedicated to any gods from any pantheon. I know a lot about Celtic mythology and I know basic stuff about Greek mythology. I don't find Greek mythology particularly interesting. I do like Persephone's story but that's about it.
The past few nights I've been having your run of the mill dreams. But somewhere in the middle of the dream content I get the overwhelming feeling of Ares. I sometimes have the thought that "This is Ares" or "Ares is here".
When I first started learning about Celtic mythology I was hyper-focused on The Morrigan. I had wrapped up a basic ritual in the middle of the night. At the time I had a red taper candle that I used during that ritual. I dreamt that my red taper candle fell off of my table and broke into three even pieces, all connected by the wick that ran through them.
These are the only intuition-y experiences that I've had relating to the gods. The candle dream was nearly two years ago. The Ares dreams have been just this past week.
I don't know what I'm hoping to get out of sharing this publicly. If anyone has any input or experience with god stuff, that'd be cool. I'd like to hear some other people's experiences with this stuff.


text:
If you've found this page after Googling that question, welcome! I'll have your answer shortly. But first, a few variations:
I inherited a stamp collection! Am I rich?
I used to collect stamps when I was a kid and the album is lying around somewhere. Am I rich?
The answer to all of these questions is…. Continue reading

subset: commoncrawl


text:
|Publication number
|Publication type
|Application number
|Publication date
|Jun 5, 2012
|Filing date
|Jan 6, 2009
|Priority date
|Jan 6, 2009
|Fee status
|Also published as
|Publication number
|Patrick D. Wells, Michael D. Baudino
|Original Assignee
|Medtronic, Inc
|Export Citation
|BiBTeX, EndNote, RefMan
|Patent Citations (16), Non-Patent Citations (2), Referenced by (1), Classifications (7), Legal Events (5)
|External Links: USPTO, USPTO Assignment, Espacenet
This disclosure relates to medical devices and more particularly to an implantable anchor for use in securing a therapy delivery element such as a stimulation lead or catheter in place within a living body.
The medical device industry produces a wide variety of electronic and mechanical devices for treating medical conditions. Depending upon the medical condition, medical devices can be surgically implanted or connected externally to the patient receiving treatment. Clinicians use medical devices alone or in combination with therapeutic substance therapies and surgery to treat medical conditions. For some medical conditions, medical devices provide the best, and sometimes the only, therapy to restore an individual to a more healthful condition and a fuller life.
Various types of medical devices exist to treat a wide variety of conditions. For instance, electrical stimulators such as neurostimulators and microstimulators are used to treat conditions associated with chronic pain, movement disorders, incontinence, gastric disorders, depression, sexual disfunction, and other types of conditions. As another example, devices such as pacemakers and defibrillators are used to treat heart conditions. Still other medical devices deliver substances to a living body, as may be used to treat diabetes, as one example.
Medical devices that deliver electrical stimulation may be provided with therapy delivery elements that comprise one or more stimulation leads. When a stimulation lead is inserted or implanted, it is typically anchored using a lead anchor to fix the stimulation lead to tissue. The lead anchor is provided to prevent the stimulation lead from migrating away from a specifically selected stimulation site.
Anchors may also be beneficially used to secure a therapy delivery element that comprises a catheter at a desired location. Such catheters may be used to deliver a substance to a predetermined position within a body. As was the case with stimulation leads, anchors may be needed to ensure that a catheter does not migrate such that the substance is no longer being delivered at the desired location. Anchors are also beneficial in providing support and structure to a catheter, which may have relatively thin, flexible walls.
Clinicians inserting and anchoring therapy delivery elements typically prefer to perform the procedure rapidly, in a minimally invasive manner, and fix the therapy delivery element in a manner that reduces the opportunity for the therapy delivery element to migrate if practicable. Examples of some previous anchors are shown in U.S. Pat. No. 6,134,477 "Adjustable Medical Lead Fixation System" by Knuteson (Oct. 17, 2000); U.S. Pat. No. 5,484,445 "Sacral Lead Anchoring System" by Knuth (Jan. 16, 1996); and, U.S. Pat. No. 5,843,146. "Adjustable Medical Lead Anchor" by Cross, Jr. (Dec. 1, 1998).
There is a need for an anchor that facilitates minimally invasive procedures, facilitates rapid placement to reduce procedure time, and has many other improvements.
The current disclosure describes an implantable therapy delivery system having an anchor that includes a fill port to introduce medical grade adhesive into a space of the anchor. When the therapy delivery element is positioned within this space, introduction of the medical adhesive into the space helps retain the anchor at a desired location relative to the therapy delivery element. Use of the fill port eliminates the need to apply the medical adhesive to a desired location on a surface of the therapy delivery element, slide the anchor into this desired location so that the anchor comes in contact with the adhesive, and remove the remaining excess adhesive from therapy delivery element, a process which is generally time-consuming, messy, and could have an potential impact to the product performance should excess adhesive remain in undesirable locations.
In one embodiment, the fill port extends from a surface of the anchor to the space (e.g., a channel) for receiving the therapy delivery element. The fill port may include a threaded neck that engages threads of a neck of a tube of adhesive. The fill port may alternatively include some other type of connector for coupling to a dispenser for dispensing the adhesive. When the dispenser is coupled to the fill port in this manner, the adhesive may be dispensed into the fill port and introduced into the space containing the therapy delivery element. In this manner, the therapy delivery element is affixed to the anchor.
Fill port may be coupled, either removably or integrally, to a fill port extension. For example, this fill port extension may comprise a tube that extends from the fill port to some type of connector. This connector may be a luer hub or another type of connector that receives, or mates with, a dispenser for dispensing the adhesive. Use of the fill port extension allows the clinician to more readily dispense the adhesive into the fill port in a scenario wherein the anchor is positioned in a location that is hard to access. Since the second end may be sized to extend outside the body, the clinician is free to work unencumbered and may therefore more quickly complete the procedure.
A fill port may optionally extend into the space that receives the therapy delivery element from multiple side channels. Each such side channel may provide access to a different location of the space so that the adhesive may be introduced more uniformly. As one example, when the space is a main channel that is adapted to receive the therapy delivery element, the multiple side channels may extend to different points along the main channel so that adhesive may be dispensed along the length of the main channel.
In one embodiment, multiple fill ports may be provided. These multiple fill ports may be provided to introduce adhesive at various locations within the space. For instance, in an embodiment wherein the space is a main channel that receives a therapy delivery element, a first and a second fill port may be provided, each being located at a different end of the main channel. In another embodiment, a first and a second fill port may be provided on opposite sides of the main channel. Any of the fill ports may be provided with multiple channels extending to a different point of the main channel in the aforementioned manner.
One aspect of the disclosure relates to an anchor for securing a therapy delivery element in a desired location within a living body. The anchor includes an anchor body having a space to receive the therapy delivery element and a fill port provided in the anchor body to introduce an adhesive into the space when the therapy delivery element is positioned within the space.
A method according to this disclosure relates to securing a therapy delivery element within a living body. An anchor is provided that is adapted to receive the therapy delivery element. The anchor is positioned to receive the therapy delivery element. The anchor is provided with a fill port to transfer adhesive into a space between the anchor and the therapy delivery element. Adhesive is introduced into the space via the port so that the adhesive affixes the anchor to the therapy delivery element.
A system to deliver therapy to a living body is also disclosed. The system includes a therapy delivery device, a therapy delivery element extending from the therapy delivery device to deliver therapy to the living body, and an anchor to receive the therapy delivery element. A fill port extends from a surface of the anchor to a location where the anchor contacts the therapy delivery element. The fill port transfers adhesive to this location to affix the anchor to the therapy delivery element after the anchor has been situated in a selected position relative to the therapy delivery element.
According to another aspect, a system to deliver therapy to a living body is provided that includes an anchor to secure a therapy delivery element to the living body when the therapy delivery element is positioned in a selected manner relative to the anchor. A port in the anchor is provided to transfer adhesive to a space lying between an inner surface of the anchor and the therapy delivery element.
These and other aspects of the disclosure will become apparent to those skilled in the art from the following drawings and accompanying description.
Delivery of therapy may be performed by one or more therapy delivery elements 6. Such therapy delivery elements 6 may be leads, and/or catheters, or some other extension member of therapy delivery device that is needed to provide the therapy.
The therapy delivery device 2 is typically implanted subcutaneously in the body of patient 4 at a location selected by the clinician. The therapy delivery elements 6 are typically fixed in place near the location selected by the clinician using a device such as an anchor (not shown in
As may be appreciated by
One way to affix therapy delivery element 6 to anchor 8 is by threading therapy delivery element 6 through an opening in the anchor. As discussed above, when anchor 8 is approximately at a desired location along a length of therapy delivery element 6, medical adhesive may be applied to the outer surface of therapy delivery element 6 at the target location that is to receive the anchor. The anchor 8 is then slid into this target location and into contact with the medical adhesive. Finally, the excess medical adhesive is removed from the outer surface of the therapy delivery element 6.
Fastening a therapy delivery element 6 to anchor 8 in the aforementioned manner may present challenges. For instance, first applying the adhesive, and then later removing the excess adhesive after the anchor is slid into position, may be difficult. This is particularly true when a small incision is being used to implant the therapy delivery element 6, or the therapy delivery device 2 is being implanted in a location that is difficult to access, leaving little room for the physician to work. These tasks increase the complexity of the procedure, and prolong the time required to complete the implant. These operations may further result in complications, as may occur when sliding the anchor into position causes displacement of some, or all, of the medical adhesive, leaving an insufficient amount of adhesive in proximity to the anchor to provide adequate fixation between the anchor 8 and the therapy delivery element 6.
The above-described concerns may be addressed by the use of one or more fill-ports that are provided in the anchor 8 to allow for infusion of medical adhesive into a space adjacent to both therapy delivery element 6 and anchor 8 after the anchor has been positioned in a desired location relative to therapy delivery element 6. Because an adequate amount of adhesive may be applied once the anchor is so positioned, better bonding results may be achieved. Moreover, because there is no need to slide the anchor into place after the adhesive is applied, excess adhesive need not be removed from therapy delivery element 6, a task that may be difficult, as discussed above.
Anchor 12 of the exemplary embodiment includes grooves 20 a and 20 b. Surgical thread that is wrapped around anchor 12 at the location of the grooves may be secured to tissue or bone of a patient to retain anchor 12 at a desired location. The thread may also compress anchor 12 around therapy delivery element 6, thereby operating along with the medical adhesive to secure the anchor to therapy delivery element 6 at the desired location. Grooves 20 a and 20 b maintain the surgical thread at a location around anchor 12.
In addition to securing therapy delivery device 6 at a desired location, anchor 8 further helps add structure to therapy delivery element 6, making it easier to secure therapy delivery element to tissue. This is particularly helpful in the case of a therapy delivery element having an open lumen, such as a catheter. Such therapy delivery elements are more flexible, and for this reason may be harder to work with when attempting to position them at a desired location. When an anchor is provided around this type of therapy delivery element, the body of the anchor provides structure and stabilization, allowing the element to be more readily affixed to tissue.
Fill port 16 is shown to include a neck 22 that extends from a side surface of anchor 12. This neck may be provided to couple to a dispenser for dispensing medical adhesive in a manner to be discussed below. In an alternatively embodiment, this neck 22 may be eliminated such that fill port 16 is substantially flush with the side surface of anchor.
Any type of biocompatible medical-grade adhesive may be employed with the anchor of the current disclosure. Such medical adhesive includes polyurethane and/or silicone adhesives. One example is Room Temperature Vulcanization (RTV) silicone adhesive which cures at room temperature. This type of adhesive is commercially available in tubes having a threaded neck similar to that shown and described below in reference to
Preferably, the selected adhesive has a viscosity that allows the adhesive to readily flow through port channel 18 and into main channel 14 so that the adhesive makes its way substantially to both ends of channel 14. This will provide for optimal adhesion between therapy delivery element 6 and anchor 12.
As discussed above, medical adhesive may be introduced into port channel 18, 30 of an anchor in a variety of ways. Several exemplary embodiments are provided in the following examples.
Other embodiments are provided for connecting tube 44 to fill port 40. For instance, the circumference of an inner surface of neck 46 may be slightly bigger than outer surface of fill port 40. This inner surface of neck 46 may be provided with threads for engaging threads provided on an outer surface of fill port 40. In this embodiment, some medical adhesive may be deposited onto a portion of the outer surface of fill port 40 and may remain after tube is removed. This may require an additional step of wiping off the outer surface of fill port 40.
In yet another embodiment, outer surface of neck 46 of tube may have a relatively smooth surface. Similarly, inner surface of fill port 40 may likewise have a relatively smooth surface to slid ably receive neck 46. An inner circumference of fill port may be sized only slightly larger than an outer circumference of neck 46 so that a snug fit results when neck is slidably inserted into fill port. This will prevent medical adhesive from flowing out of fill port 40 when pressure is applied to tube 44.
Other mechanisms may be provided to couple a dispenser of medical adhesive to a fill port. For instance, the dispenser may be provided with a connector that snaps into place on the fill port. As another example, a twist-lock mechanism of the type known in the art may be provided that allows a locking member on neck of the dispenser to be slid into place along of channel on the neck of fill port 40. The dispenser of adhesive may then be rotated relative to the fill port to allow the locking member of the dispenser to engage a locking lip of the fill port to secure the dispenser in position relative to the fill port. Many other types of connections may be utilized to couple a dispenser of adhesive to fill port 40 according to the current disclosure.
In yet another embodiment, neck 41 of fill port 40 may be eliminated. In this scenario, threads 42 may be provided within port channel 52 to engage threads 48 of tube 44. Alternatively, both the surface of port channel 52 and the neck 46 of tube 44 may be relatively smooth and sized to allow neck 46 to slidably engage port channel 52 to provide a snug fit.
As was the case in the embodiments described above, tip 60 of tube 58 may couple to fill port 52 is other ways, as by including threads that may be screwed into complementary threads provided on an inner surface of port channel 56. Fill port 52 may be provided with a cap or other type of cover to seal the fill port after the medical adhesive has been injected into the main channel 70.
Anchor 50 further includes tabs 72 a and 72 b. Similar tabs (not shown) may be provided on an opposite side of anchor 50. Medical thread may be threaded through holes 74 a and 74 b, respectively, in tabs 72 a and 72 b and attached to tissue or bone of a patient to secure anchor 50 at a desired location with a body. Any of the embodiments described herein may employ such tabs 72 a, 72 b and/or grooves such as grooves 20 a and 20 b (
Luer-style connector 92 and fill port extension 90 may receive a syringe 94 filled with medical adhesive. Depressing plunger 96 of syringe 94 forces the medical adhesive through fill port extension 90 into port channel, and further into main channel 88 to affix a medical therapy element positioned within main channel 88 to anchor 80. In another scenario, syringe 94 may be used to introduce medical adhesive into only a portion of second end 93. A pneumatic system may then be used to inject a short burst of compressed gas (e.g., air) into the second end 93 to force the injected adhesive into main channel 88 around the medical therapy element that is located within this channel.
Other types of connections may be provided instead of luer-style connector 92 at the second end 93 of fill port extension 90. For instance,
In either of the embodiments shown in
Other types of connection mechanisms other than threads may be provided at a first end of a fill port extension for coupling the fill port extension to a fill port in this manner. For instance, a snap-fit connection and a twist-and-lock mechanism are some additional examples that may be used at a first end of fill port extension for removably coupling the fill port extension to a fill port.
Once medical adhesive is dispensed via fill port extension 90 or 90A, this appendage may be removed, as by cutting it off. For instance, if fill port extension 90 is implemented as tubing, the tubing may be clipped off at fill port 86. Alternatively, fill port extension may be clipped off somewhere along the intermediate portion between the first end 91 and second end 93 of the fill port extension, as may be necessary if it is difficult to access the first end of the fill port extension located at fill port 86. In either case, it may be advantageous to tie a knot in the fill port extension prior to removing the remainder of the fill port extension (e.g., as by cutting it off) so that adhesive will not be discharged in an unwanted manner from the clipped end prior to the curing of the adhesive.
As may be appreciated, any number of fill ports may be provided for any of the embodiments disclosed herein. These ports may be provided anywhere on anchor that may be accessible to the physician. In one embodiment, fill ports may be provided at locations around the circumference of anchor, with the physician deciding which fill port to utilize after the anchor is in position, and it is evident which fill port is most easily accessed.
In the instant case, both of fill ports 122 a and 122 b are provided with fill port extensions 123 a and 123 b. However, this need not be the case. Any one or more of fill ports 122 a and 122 b may be provided within a fill port extension. In an embodiment wherein fill ports are provided that may not necessarily be used in the procedure, it may not be desirable to provide fill port extensions. This may be the case, for instance, when fill ports are provided around the circumference of anchor 120 such that some fill ports will invariably be inaccessible to the physician when the anchor is within a body.
Each of fill ports 142 a and 142 b extend into a fill port extension 148 a and 148 b, respectively. These fill port extensions each terminate in a respective luer hub 150 a and 150 b, although another type of connector may be provided in the alternative.
Anchor 140 may be positioned within a patient such that both fill port extensions 148 a and 148 b extend from the body. Each such fill port is adapted to mate with a dispenser (e.g., a syringe, tube, etc.) containing medical adhesive so that the adhesive may be introduced into a respective port channel (not shown in
In one embodiment, anchor 140, or any of the other embodiments of anchors shown or described herein, may include an RFID tag 147. Such a tag may include an antenna adapted to passively provide information when an electromagnetic waveform is generated in the vicinity of anchor 140 by an RFID reader. This tag may be used to identify the anchor after implant. The tag may provide information such as the type of anchor, type of adhesive employed with anchor, type of therapy delivery element used with the anchor, and so on. If desired, the chip may store patient-specific information.
Alternatively or additionally, radio-opaque marker may be provided in a portion of anchor 140 to allow the anchor to be visible on X-rays or other forms of radiation imaging.
When tabs are provided on same sides as anchor 140 as the fill ports 142 a, 142 b in the manner shown in
As discussed above, the current system and methods may be practiced using any type of medical-grade adhesive. Many such adhesives are formed of bio-compatible silicone. This type of silicone may not adhere in an optimal manner to therapy delivery elements or anchors made of polyurethane or other non-silicone materials. Similarly, if a polyurethane adhesive is used, the adhesive may not bond in an optimal way to a therapy delivery element or an anchor that is formed of something other than polyurethane. To address the foregoing challenge, enhancing the ability of adhesive to bond to a therapy delivery element that is made of a different material, a therapy delivery element may be provided with one or more anchor zones. Such anchor zones may be formed using a material that is the same as, or similar to, the adhesive. For instance, if a silicone adhesive is being employed, the anchor zones may be formed of silicone.
The anchor zones may be of a different color than the rest of jacket 168 so that a physician can readily identify, and optimally position, an anchor at one of these zones. Multiple anchor zones may be provided at various positions along the length of lead 160 to allow a physician to select an anchor zone that is most optimal for positioning an anchor based on an individual patient, the type of therapy delivery device in use, and the procedure that is being performed. Anchor zones 162 a and 162 b may be longer than the length of an anchor so that the anchor may be selectively positioned anywhere along the length of the anchor zone. Alternatively, the anchor zones may be the same size as, or smaller than, an anchor that will be used with catheter 180.
Anchor zones may extend around an entire circumference of a therapy delivery device (e.g., anchor zone 162 a and 162 a may be a single anchor zone extending around body of lead 160), or alternatively, anchor zones may include discontinuous segments around the circumference of a therapy delivery element.
Anchor zone 180 may be part of a single anchor zone that extends around the 5 circumference of lead 160A, or may be two of multiple discrete segments positioned around the circumference of lead 160A.
While all of the anchor zones of
In the above-discussed embodiments of lead anchors, all anchors are described and shown as having a space, such as a main channel, that slidably receives a therapy delivery element that is inserted into the space, as by threading the therapy delivery element through the space (e.g., channel). This need not be the case. Other embodiments of the disclosed anchor may have a space that is accessed by opening, or otherwise exposing this space, so that the therapy delivery element may be placed inside the space without using a threading-type operation. This is shown and described in reference to
Next, the anchor may be slid along a length of the therapy delivery device to a desired location, at which point the anchor may be secured by introducing medical adhesive into main channel 206 via port 212. In the example embodiment, this is accomplished using fill port extension 214.
It may be noted that in the embodiment of
In one embodiment, a fill port extension may comprise a tube that has been pre-loaded with a predetermined amount of medical adhesive. In one embodiment, to prevent this pre-loaded medical adhesive from curing at room temperature, it must be maintained under pressure until the time the anchor is to be deployed. In another embodiment, the pre-loaded medical adhesive is UV or visible-light curable. In this latter case, the adhesive is kept from exposure to UV or visible light until the time of anchor deployment, at which time a device that emits the required electromagnetic waves is used to promote the curing of the adhesive.
Port channel 226 extends into main channel 230 of anchor 228 in which a therapy delivery element 232 may be positioned. During a manufacturing process, and prior to use, first end 222 of fill port extension 220 is preloaded with a predetermined amount of adhesive 234 (shown hashed). The adhesive may be pressurized to prevent adhesive 234 from curing at room temperature. Alternatively, the adhesive may be UV or visible-light curable. A cap 236 or other covering may be provided at end 238, and a similar cap may be provided to cover end 222 (not shown in
At the time anchor 228 is to be deployed, the cap may be removed from end 222 so that neck 224 may be coupled to port channel 226, as by being screwed into place in the manner shown in
In a manner similar to the foregoing, adhesive may likewise be pre-loaded into channels of an anchor, as is shown in regards to
Side channels 252 a and 252 b ("side channels 252") and port channels 254 extend to a main channel 260 adapted to receive a therapy delivery element in the manner described above. At the time of manufacture, a tubular retention member 262 is positioned within this main channel 260. This retention member 262 is maintained within main channel 260 until the time anchor is deployed to prevent the adhesive which has been pre-loaded into side channels 252 and port channels 254 from flowing into main channel 260. In the case wherein adhesive is of a type that cures at room temperature when depressurized, retention member 262 further maintains adhesive under pressure so that it does not cure at room temperature.
In one example, anchor 250 is manufactured as follows. A mandrel is threaded through the middle of retention member 262 so that the retention member may be more readily handled. Retention member 262 may be formed of a stainless steel tube, a tube formed of MP35N nickel-cobalt alloy, or a tube formed of another alloy that will provide a suitable hoop strength. The walls of retention member are preferably as thin as possible while still having the hoop strength to withstand pressure that will be exerted upon retention member by the inner surface of main channel 260 of anchor 250, as well as the pressurized adhesive that will be introduced within side channels 252 and port channels 254. When using MP35N, the walls of retention member may on the order of between 1 and 0.1 mils thick, for example.
After retention member is positioned on a mandrel, an injection molding process is used to inject silicone or polyurethane into a mold to form an anchor such as that shown in
During use, a therapy delivery element 270 is threaded through retention member 262 so that anchor 250 is positioned at approximately a desired position along the length of therapy delivery element 270. A clinician grasps one side of retention member 262 (e.g., side 272) and exerts force to slide anchor 250 off of retention member 262 and directly onto body of therapy delivery element 270. In one embodiment, retention member 262 may include a lip 274 or some other structure to allow the clinician to more readily grasp retention member 262 and apply sideways pressure to slide anchor 250 from the retention member. The removal of anchor 250 from retention member 262 is possible because the stainless steel, MP35N or other alloy used to form retention member 262 has a non-stick coating such as medical-grade Teflon� that does not adhere to the silicone or polyurethane used to mold the body of anchor 250.
As anchor 250 is slid from retention member 262, elasticity of the anchor 250 provided by the polyurethane or silicone with which the anchor is formed causes main channel 260 to contract slightly around therapy delivery element 270 to help hold anchor 250 at the desired position along the length of therapy delivery element. Also at this time, this operation releases pressure from side channels 252 and main channel 254, causing adhesive to flow into main channel 260 around therapy delivery element 270. If the adhesive is of a type that cures at room temperature upon release of pressure, this operation will allow the adhesive to set, holding anchor in position. If the adhesive is curable upon exposure to electromagnetic waves, the appropriate waves are supplied, as by positioning a light wand in proximity to one or both ends of main channel 254.
It will be appreciated the embodiment of
As discussed above, the step of introducing medical adhesive may be performed during a manufacturing process. In one embodiment, the adhesive is prevented from curing by maintaining the medical adhesive under pressure within fill port extension, one or more port channels, and/or one or more side channels until the time the anchor is deployed. This may involve use of a retention member such as shown and described in reference to
After the anchor is deployed, and if fill port extensions are provided, at least a portion, or in some cases all, of the fill port extension may then be removed along with any retention member that may have been optionally employed to maintain pre-loaded adhesive within channels of the anchor (282). This may be accomplished, for instance, by cutting the fill port extension from the anchor at the fill port, or at another location along the fill port extension. It will be understood that this method is exemplary only. Many of the steps of this flow diagram may be re-ordered, and many steps may be eliminated entirely.
One skilled in the art will appreciate that the above-described embodiments are exemplary only. For instance, the exemplary figures illustrate a neurostimulator for use with the current system. However, the disclosed anchor may be employed with any type of therapy delivery device, including those for delivering electrical stimulation, a substance to a body, or some other type of treatment. The anchor may include additional features, such as radio-opaque markers to allow the anchor to be visible when x-rays, fluoroscopes, and other similar types of diagnostic tools are utilized. This type of anchor may be used to determine whether the anchor is still in a desired location within the body, for instance.
While the current disclosure describes several exemplary anchor form factors, including anchors that are generally tubular in nature, it will be appreciated that any size, shape, and form factor may be utilized with an anchor as disclosed herein. Moreover, the anchor as described herein is shown to optionally include tabs and/or grooves. However, any other type of fixation mechanism may be provided for use with the disclosed anchor in addition to, or instead of, those shown herein. As another example, any type of connectors may be utilized to couple a dispenser of adhesive to a fill port, to couple an optional fill port extension to a fill port, and/or to couple a dispenser of adhesive to the optional fill port extension. Side channels may, but need not, be provided to uniformly distribute adhesive within a space that is to receive the therapy delivery element. Moreover, if desired, multiple fill ports may be utilized to access different locations of this space that will receive the therapy delivery element to more uniformly distribute the adhesive. Thus, the disclosed system is not to be limited by the foregoing disclosure, which is exemplary, but by the claims that follow.
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|European Classification
|Jan 6, 2009
Owner name: MEDTRONIC, INC., MINNESOTA
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:WELLS, PATRICK D.;BAUDINO, MICHAEL D.;SIGNING DATES FROM20000105 TO 20090106;REEL/FRAME:022063/0774
|Oct 23, 2012
|Certificate of correction
|Jan 15, 2016
|Maintenance fee reminder mailed
|Jun 5, 2016
|Lapse for failure to pay maintenance fees
|Jul 26, 2016
|Expired due to failure to pay maintenance fee
Effective date: 20160605


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We detected that the Adobe Flash Player is either disabled or not installed.
If the Adobe Flash Player is not installed, click the button below to download it.Download the Adobe Flash Player
You need to install updated version of Adobe Flash Player to play Dirk Valentine. Download the Flash Player now.
Assume the role of the eponymous tyrant boss as you hire employees and then work them to the bone. Income we trust!
Take control of Britain's Greatest Explorer and Spy and save Europe from Baron Battenberg's Steam Powered War Machines!Help
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Lee Fernandes's profile
App Developer & UI Designer.
Latest Comments
The reference links rock! Thanks again Chris, every rap-battle I'm in the bathroom vomiting on my sweater in nervous anticipation, much like Eminem in 8 Mile, furiously flipping through pages of "PHP Essential Security" psyching myself up ; )
Posted in PHP Anthem.
Fri, 06 Aug 2010 at 00:58:28 GMT
- Twitter: @reelfernandes
- Location: Pacific Northwest
- Joined: August 2010
- Comments: 1


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Hey Fit Chicks. Honesty is key to any friendship. And I'm going to reveal something about myself that you will find quite shocking. When it comes to food and fitness, I'm not perfect. I know. Pick yourself up off the floor and read on. . .
This past week, I have consumed my fair share of wonderfully unhealthy foods. There has been pie. There has been pizza. There has been cookie dough. A Happy Meal may have slipped in there. Right now some of you are questioning if I am even a personal trainer. Others of you are wondering whether I have been wallowing in guilt (pizza in hand) over my seemingly heinous actions. You know what? I haven't. But that hasn't always been the case. An extra helping of Mini Eggs used to equal hours spent stewing over my worth as a woman and why I couldn't get it together. My state became further crazed by the expectation my body would suddenly quadruple in size overnight. And since I had already screwed things up for the day, I usually just went with it and rapidly consumed all chocolate within a fifty foot radius. How many of you do the same thing? Does a cookie or two for dessert (or breakfast) mean your day is 'ruined'?
Now, I'm not suggesting you throw caution to the wind and polish off that four litre pail of maple walnut in your freezer without a second thought. Your body needs proper nourishment to function at its' full capacity. What I'm saying is that the all or nothing approach doesn't work, and it's not healthy. And from a spiritual perspective, it's holding you back from life and the plan God has for it.
Can you imagine if God treated us the way we treat ourselves? Can you fathom Him saying: 'You messed up my entire plan today with that slip up. You may as well just stay where you are. Tomorrow we'll see if you can do better'. Of course not. Because that's not God. The God of this universe doesn't write us off. He continues to love, continues to give grace, encourages us to keep going. So what gives you the right to hold yourself to a standard that even He doesn't? Be inspired by the following passage:
"Not that I have now attained (this ideal), or have already been made perfect, but I press on to lay hold of (grasp) and make my own, that for which Christ Jesus (the Messiah) has laid hold of me and made me His own." Philippians 3:12
Did you get that? We're not perfect, but we don't let that fact freeze us in our tracks. Christ made us His own. So we move on. We press on. I love it.
So be encouraged and give yourself a break. Enjoy the things you love without the super sized serving of guilt. And keep moving forward.
Much love,


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The Meat Energy Bar Takeover
If you have too much self-respect to snap into a Slim Jim, yet bemoan how tough it is to toss a burger into your gym bag, the free market has heard your cry. A slew of new bars that use animal protein — mainly beef and bison — are your new meat outlet. A cut above their jerky brethren, these options from the heartland are typically organic, gluten-free, and contain no added sugar, giving them a solid Paleo/CrossFit following. Nutrition-wise, they're a good travel snack or a stopgap between meals, says Heidi Skolnik, nutritionist for the New York Giants, Knicks, and Mets. "Some of the appeal is a sweet vs. savory thing," she points out. "It can be part of your post-strength training recovery as long as you're getting enough carbohydrates." Depending on the workout, your body composition, and how meaty your meat bar is, this might mean having an apple and some cashews, too.
So what is out there? We did some serious investigating to find out.


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Robert C. Kelsey, MD; Alex Saker, MD; Michael Morgan, MD
Lymphomatous involvement of the heart is rare and is associated with short survival, with diagnosis usually made after death (1). We report the case of a patient with the acquired immunodeficiency syndrome (AIDS) and diffuse large-cell lymphoma involving the right atrium and atrioventricular node who had a complete and lasting response after cytotoxic chemotherapy. This case shows the efficacy of aggressive treatment of extranodal non-Hodgkin lymphoma in a patient with AIDS. This case is of particular interest because the patient had cardiac involvement at initial presentation.
A 44-year-old homosexual man was hospitalized at the James A. Haley Veterans
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Kelsey RC, Saker A, Morgan M. Cardiac Lymphoma in a Patient with AIDS. Ann Intern Med. 1991;115:370–371. doi: 10.7326/0003-4819-115-5-370
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Published: Ann Intern Med. 1991;115(5):370-371.
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Village News Online reports that the Planning Commission voted last week to defer a request from Shoosmith Bros. Inc. The company is seeking changes for acceptance of out-of-state trash in the new section of the landfill, landfill and quarrying operations in the quarry at the same time and the addition of more waste to an area of the landfill that has been capped. In its report on the case, the planning staff recommended approval of the request because "the proposed amendments should have no greater impact on the area than the approved uses as currently conditioned."
The article continues that Brennan Keene, an attorney representing the landfill, stated there has been discussion about odor management and control. Tim Vermaaten, of the Arbor Landing Homeowners Association, said the odor was never a problem when the former owners ran the landfill and stated "We don't feel like anything's being done to mitigate the odor."
Although we do not currently represent any residents near the Shoosmith Landfill, we have represented hundreds of people in lawsuits against negligently operated landfills. To find out if The Simon Law Firm can help with an environmental lawsuit, contact Todd Hageman toll free or via e-mail.


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Zero + Maria Cornejo
Illa sandals
Out of stock
Unfortunately this item is out of stock
Gold-tone leather Illa sandals from Zero + Maria Cornejo.
Designer colour: DUO METAL
Made in Italy
Designer Style ID: A17DMN307244
Farfetch ID: 12081597
Measurement Information
Below are the measurements for Sandals in size 8.5
- 5.5 cm
- 22.5 cm
- 6.5 cm
- 2.2 in
- 8.9 in
- 2.6 in
All measurements are made by Farfetch
Still need some help? Try our Size Guide
- Composition
- Leather 100%
One shipping fee, on multiple pieces, from multiple locations.
No matter how many items you purchase, or where in the world you order from, you will only pay one fee.
Click here to find out more about our shipping options, including Click & Collect and Same Day Delivery.
Free returns pick-up
We offer free global returns.
You have 14 days from receiving your order to return the item. We strongly recommend that you book your free returns pick-up within 7 days of receiving your order to ensure that it arrives back in time. Click here to read our full returns policy.
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Delivery duties are included in the item price when shipping to all EU countries plus USA, Canada, China, Australia, Puerto Rico, Switzerland, Singapore, Republic Of Korea, Kuwait, Mexico, Qatar, India, Norway, Saudi Arabia, Taiwan, Thailand, U.A.E., Japan. This means all import duties are included in your order. The price you see is the price you pay.
Delivery duties are not included in the item price when shipping to all other countries. This means you may be liable to pay import duties on receipt of your order.
Zero + Maria Cornejo originally opened in 1998 as a purely retail concept, until when wanting to connect with her design roots, Cornejo, opened up a space in New Yorks NoLita, and transformed it into a personal store and workshop. Maria Cornejo's work has often been described as spare, modern, architectural, minimal, feminine, and unpretentious and each season she reaches into her own international experience to develop a collection that is unexpectedly simple yet based on sophisticated cuts and angles.


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¡Bienvenidos a la Escuela Intermedia Sanford!
مرحبًا بكم في مدرسة سانفورد المتوسطة
Miigwech Bi-izhaayeg Sanford
Ku soo dhowaada Dugsiga dhexe ee Sanford
We are proud to celebrate 90 years of history as a part of an ever changing, lively river community with a rich multicultural heritage, located in the Longfellow neighborhood in southeast Minneapolis.. Sanford is an authorized International Baccalaureate (IB) World School. We follow the middle school model serving grades 6-8. Come visit us at 3524 42nd Avenue South. We would love to see you.
Our school day is 8:45am - 3:45pm for students. We are grateful that MPS continues to support the longer school day for secondary IB schools! Our before-school morning program runs 7:30-8:15am, Mon-Friday, and our after-school programs run 4:00-5:30pm, Mon-Thurs, starting 9/25. There is no cost for before/after school programs.
If you are interested in touring Sanford, please contact our Family Liaison Mara Bernick at email@example.com or 612-668-4914. We welcome your visit!
Chinook Book is a coupon book that supports local busineeses and is for things you use and need.
Clink on the link to get your mobile app now. https://chinook.co/SanfordMiddle
Books and apps are also available in the main office
Books are $22 and include a 12 month mobile app
Mobile apps are #15
The link is Sanford speciifc and half goes directly back to support our students.
If it asks for a partner id- it is sanfordmiddle
Conferences will be
Mon. Oct 16th- 5-8pm
Tues. Oct 17th 5-8pm
Wed. Oct. 18th 8:30 am- 12:00pm
Happy to announce that MPS is now serving fabulous hot breakfast at Sanford! Click to see the menu...
Click here for a letter from Superintendent Graff about Deferred Action for Childhood Arrivals (DACA)
Clcik here for an update on current happenings at Sanford!
Click here for updates from the principal! (Last update 9-11-17)
Parents can check out what's happening at Sanford from the student perspective - click here
Link for Costa Rica 2018 http://explorica.com/Becker-990
Link for Central European Cities 2019 explorica.com/Stuehringer-2263
Click here for info about Site Council & meeting minutes
There is lots to love about Sanford Middle School - check out this video to see us in action!
Update: The district has halted the project over concerns that students will damage the sprinklers & other systems that are not protected by a full ceiling. We are now working on finding capital funding to finish the ceiling so we can move forward with using the space. Click for more info...
Congratulations to all the staff, students and parents who participated in the hard work of implementing the International Baccalaureate (IB) Middle Years Programme (MYP) at Sanford, and in the IB authorization visit in May! Click to see the authorization letter from IB that we received on 6-17-15.
Click here for a great video about Project SUCCESS that features some of Sanford's students & staff
Click here for details and class options for after school programs.
Click here to take the Summer School Student Survey!
Main Office
(612) 668-4900
Attendance - Ms. Beltran
(612) 668-4944
Transportation - Ms. Alexis
(612) 668-4923
Health Office - Ms. Kocon & Ms Wright
(612) 668-4904
Community Ed – Ms. Thiboutot
(612) 668-4922
Family Liaison – Ms. Bernick (English)
(612) 668-4914
Family Liaison – Ms. Altoro (Spanish)
(612) 668-4917
Family Liaison - Mr. Abdi (Somali)
(612) 290-4089
Secretary - Ms. Daniels
Principal - Dr. Palmer
(612) 668-4901
Asst. Principal - Mr. Pitt
(612) 668-4902
Asst. Principal - Mr. Amin
(612) 668-4906
School Fax Number
(612) 668-4910
Tweets by @mps_sanford
3524 42nd Avenue S Minneapolis, MN 55406
Telephone: 612.668.4900 | Fax: 612.668.4910


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A Thought on that Creative, Signature-Swapping Sexism Experiment
I read that article today. You know, that one about the guy who switched email signatures with his female coworker and had a brutal realization of how much time he had to spend convincing clients of his expertise.
It makes me wonder, what about people with androgynous names? Take my name, for example. Cedar. Most of the time, people think I'm a dude. I never even considered that I might have an advantage over feminine-named coworkers Lizzie, Dana, Ashley, etc.
I'm curious to see what the difference is. I'd hypothesize that women with androgynous names have an easier time as far as initial email communications, but how would you measure that?
Read about the experiment here.


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It's Friday everyone, and you know what that means. Count down to Happy Hour!
This morning I had a little bit of extra time to myself, so I decided to blast myself with a quick full body workout before getting ready for work.
I have plans to head to Happy Hour after work with the girls from the office, so I knew that I wouldn't be able to workout afterwards.
I only had about 15 minutes and I wanted to target every area to feel a good burn throughout, so I came up with a quick routine.
It clocked in right at 15 minutes and I felt a good full body burn! Just enough to make me sweat a little and feel good and toned before heading to work… and Happy Hour!
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1 Comment on Friday Morning 15 Minute Workout


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Photo Gallery
- Around The Farm
- Barn Conference Venue
- Irene Farm Weddings
- Kiddies Party
- Kingfisher Marquee
- Nomadic Tent
- Photos by our guests
- The Barn Restaurant
- The Dairy Shop
- The Deck Restaurant
- The Loft Boardroom
Click pictures to view their large versions
↑ Back to TopAround the Farm
Our farm yard is a vibrant and ever-changing environment. Come and admire our lush green fields and bursting buds in springtime, visit the baby calves or marvel at the ancient avenue of old oak trees in the winter – you never know what you'll find!
↑ Back to TopBarn Conference Venue
↑ Back to TopIrene Farm Weddings
↑ Back to TopKiddies Party
↑ Back to TopKingfisher Marquee
↑ Back to TopNomadic Tent
↑ Back to TopPhotos by Our Guests
↑ Back to TopThe Barn Restaurant
↑ Back to TopThe Dairy Shop
↑ Back to TopThe Deck Restaurant
↑ Back to TopThe Loft Boardroom


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The report found that most financial organizations, particularly the small and medium sized companies, were failing to obseve basic good secuirty practices.
In particular, it found, a lack of appropriate vetting, inconsistencies in recruitment and insufficient understanding of security risks were making the job of the criminal easier.
"Hackers and fraudsters are refining and improving their techniques as we speak," said Phillip Robinson, the FSA's financial crime sector leader. "In the fight against fraud, firms will have to run to stand still if they are to protect their assets and those of their customers."
The FSA visited 18 small to large UK companies to conduct the survey. It highlights lack of technical expertise, poor staff training and the dangers of outsourcing as further areas the industry needs to tackle.


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Lyrics Depot is your source of lyrics to Outlaw's Honeymoon by Steve Earle. Please check back for more Steve Earle lyrics.
Outlaw's Honeymoon Lyrics
Artist: Steve Earle
Album: The Mountain
Come on pretty baby won't you take me by the hand
I thought maybe that I could be your man
And for a while €" we could go in style
Come on we're goin' on an outlaw's honeymoon
I gotta keep movin' €˜cause baby I'm a travelin' man
And there ain't a lotta women out there that understand
But if you do €" I'll be good to you
Come on we're goin' on an outlaw's honeymoon
Goin' up the country €" honey, don't you wanna go?
Gotta little money all you gotta do is let me know
I know a place we could disappear without a trace
Come on we're goin' on an outlaw's honeymoon
Steve Earle Lyrics
Steve Earle The Mountain Lyrics
More Steve Earle Music Lyrics:
Steve Earle - Billy And Bonnie Lyrics
Steve Earle - Billy Austin Lyrics
Steve Earle - Jerusalem Lyrics
Steve Earle - Nothin' Without You Lyrics
Steve Earle - Poor Boy Lyrics
Steve Earle - Telephone Road Lyrics
Steve Earle - The Seeker Lyrics


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|Living in North Torrance/South Lawndale (7 replies)
|Lawndale nowadays, is it still sketchy? (3 replies)
|Your Right to Change....Voter Notification Lawndale, CA (7 replies)
|Is it just me, or is most of Torrance hideous-looking? (45 replies)
|Venice/Santa Monica vs Manhattan/Hermosa (60 replies)
|Commuting Times/Best Routes from Lawndale to Santa Monica (5 replies)


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Well it IS for most parents. Today is the first day of high school for my prince. Yea that's what I'm going to call him from now on. He needed a nic and that is what it's gonna be. I just saw him get on the bus for his first day. He was actually in a GOOD mood. He was up and showered while I was still having nightmares of how horrific today will be. But then I woke up and saw that he was up and running and dressed in his new uniform and he gave me NO GRIEF whatsoever. Excuse muah for not being overly excited about this because I know all mornings will not be this good. BUT ITS A GOOD START! Especially for my boy. There truly IS a GOD. I have missed blogging, it's been over a week. I will check back in later and let y'all know how the day goes! QUEEN..........OUT
Thursday, August 27, 2009
It's The Most WONDERFUL Time Of The Year
Posted by Queenneenee at 6:40 AM
Labels: high school, prince
5 comments:
- Patty said...
- Thursday, August 27, 2009
- Bill said...
Enjoy today while it lasts.
- Thursday, August 27, 2009
- Cat said...
Agreed!!! Hurray for school starting again!
- Thursday, August 27, 2009
- sober white women said...
don't you love it when children do what they are suppose to do?
- Thursday, August 27, 2009
- Syd said...
I am sure that it will go well. He will be fine. And so will you.
- Thursday, August 27, 2009
Subscribe to: Post Comments (Atom)


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Latest Ofsted Report
Our latest inspection took place on 26-27 September 2012 and rated Malin Bridge Primary as a "Good School".
The full report can be viewed and downloaded from the Ofsted website or downloaded here:
The Ofsted report summarised our school as follows:
- Pupils enjoy positive educational experiences which prepare them well for the next stage in education and their future lives.
- Achievement is good. Pupils make good progress through the school and attain above average standards in English and mathematics by the end of Year 6.
- Teaching is consistently good. Teachers' class management is a strength and lessons are prepared effectively. This ensures that no time is wasted and lessons are well organised.
- Pupils have positive attitudes towards their work and invariably behave well during lessons. They are keen to do well and are enthusiastic about their learning. Pupils feel safe and secure, and readily describe their sense of pride in their school.
- The effective leadership of the headteacher and the senior team has ensured good improvement since the previous inspection. Following a recent period of significant change in the school, morale is high. Leaders at all levels, staff and the governing body work well as a team. As a result, the quality of teaching has improved and achievement has risen.
- Self-evaluation is accurate, based on excellent use of data about pupils' attainment and progress. This enables leaders and governors to target the correct areas for development.
Recent Ofsted Reports
26th June 2012 : ICT Subject Inspection Overall effectiveness graded 'satisfactory' with the curriculum graded as 'good'.
20th January 2011 : Inspection Overall effectiveness 'satisfactory' with the school described as 'rapidly improving'.
Ofsted Parent Questionnaire
Many of you will have filled in Ofsted questionnaires in the past; previously the option to do this has only ever been given during an Ofsted inspection. However, parents and carers now share their opinions on a school via an online questionnaire on the Parent View website.
Responses from parents can be viewed here – a big thank you to all parents who have taken the time to give their views.


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Berat Albayrak
Last quote by Berat Albayrak
Following the latest measures, the storage capacity will increase to 10 million cubic meters.feedback
Nov 08 2016
Berat Albayrak has been quoted in 1 different article. Most recently, Berat Albayrak has been quoted saying, "Following the latest measures, the storage capacity will increase to 10 million cubic meters." in an article called Turkey expects first unit of Akkuyu nuclear plant to be online by end 2023. This is only one of 1 quote from Berat Albayrak. To see more examples Berat Albayrak's views and opinions, check out the section below. You can filter Berat Albayrak's quotes by date and by topic to see, for example, what Berat Albayrak said about meter recently and in the past.
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text:
Getting Fit As A Busy Mom
Working out, exercising, jogging, walking, etc. How on earth can a very busy mom fit any of that into her already overflowing life? I know I can't seem to fit it in! Getting fit as a busy mom seems almost impossible. I desire to be healthy. I want to tone my post-pregnancy body. I wantRead more


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LIC Samridhi Plus
LIC Samridhi Plus is a Guaranteed Highest NAV ULIP plan. LIC Samridhi Plus (Plan No.804) is a close ended plan which is available for a maximum period of 3 months. Samridhi Plus Features: Entry age 8 to 65 years Policy Term 10 years Lock in period 5 years Limited Premium Payment (5 years or single… Read More »


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text: Since MP was such a big part, and I thought I remember seeing that the MP progress from the demo would transfer into the main game, is this true? I couldn't see a way to do it and it didn't detect it automatically. I'm probably wrong about the progress transferring, but I figured I would ask and at least verify I'm insane


text:
Catherine Deneuve dismisses retirement rumours
Veteran actress Catherine Deneuve has dismissed rumours she is planning to retire from the film industry. The Belle de Jour star was reported to be planning to step away from her acting career and out of the spotlight after she put her sprawling French home on the market in April (14).
The move came just months after she celebrated her 70th birthday in October (13), but Deneuve is adamant she has no plans to retire any time soon.
Speaking during an appearance at the Venice Film Festival in Italy this week (beg01Sep14), she told reporters, "Where did you read that? I'm sorry, it's not true. It's very strange, that you (the gossip columns) can write (that) without having the faintest idea…
"I do enjoy it (acting), otherwise I would stop. As long as I read interesting scripts and interesting parts. I don't think much of it – except maybe sometimes when I'm very tired and I think, 'Oh, that's enough. I can't be 10 hours working on a day'."


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Travel Spice Kit: Cooking while Traveling with the Family
One of the best ways to keep family travel budgets in check is to cook your own meals. What parent hasn't seen their travel money rapidly swallowed up by restaurant charges? Equally of value is the cultural experience of shopping for groceries in a given country. A number of the hotels we recommend have kitchenettes that provide the rudimentary facilities necessary. The first time we went to Florence this was the great cost saving plan I had in mind while staying at the Castello di Montegufoni. While the "apartementi" did not have ovens they did have a cook top with your basic pans, tableware and small refrigerators. We did find there was real cost saving to be had by cooking at least one or two meals at "home" a day. Breakfast and dinner were the most likely opportunities, but we often packed a lunch as well. One expense I did not account for was the cost of spices. Like many families we have acquired spices over time; replacing them as need be. Purchasing these same items abroad is an expensive and redundant proposition, I discovered.
The first trip we made do with just your basic pepper and salt while also purchasing fresh garlic and basil. The next time around I purchased the Travel and Spice Kit by Grapevine Trading Company from a local store here in Seattle (Mrs. Cooks-University Village). It can also be purchased online at Amazon.com:
or at Amazon.co.uk:
The kit has a small but reasonable amount of fifteen basic spices, including: cinnamon, kosher salt, chile flakes, mustard, Chinese 5 spice, French Herb Blend, Cajun Blend, BBQ blend, granulated garlic, curry, black pepper, lemon garlic blend, ginger, Mexican blend, and Italian herb blend. I'm not advocating ignoring the opportunity to purchase local specialty spices, but this has repeatedly been a great resource for us.
Additionally, when our family traveled to Nicaragua, at one of our locations there was a cook provided as we were part of a large service mission trip. I sadly do not speak Spanish and the cook did not speak English, but none-the-less cooking provided a bridge. I made an apple pie in order to share some US "culinary culture" and of course had my handy Travel Spice Kit. The cook motioned to my spices and so we opened them all up and she tried a little bit of each one to see how they tasted and so forth. I gave the Travel Spice Kit to her after that as a gift which appeared to be well received and appreciated. The other handy thing is that all those cute little containers can be refilled from home so that it is not necessary to constantly repurchase the kit.
This spice kit may only be available to our North American visitors–I did find an Indian spice gift set on on Amazon.uk. Alternatively you could create your own using either those plastic pill boxes grandma and grandpa us for the seven days of the week or visit your local storage store for other clever mini storage containers.
Alternative Amazon.co.uk ideas:
Alternative Amazon.com ideas:
Happy Travels and Happy Eating,


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While the Mets are still one game away from advancing in the 2015 playoff season due to the tactics of the super villain Chase "Loki" Utley, our New York Heroes will most likely be very angry and ready for revenge in tonight's showdown.
And Los Angeles, you wouldn't like us when we New Yorkers are angry!
Get an Insider's Look at Last Night's NLDS Game 3 Pregame Meeting Below.
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mgmcc 15:25 23 Feb 2011
Do you still have the original computer to which it was connected when the password was set? If so, reconnect the drive to that computer and remove the disk's password protection.
Then, if Windows 7 supports password protecting the disks, create another password while connected to the new PC.


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Hank Even, 73
The portfolio
Equities (45 per cent) include shares in BCE Inc., TransCanada Corp., Power Financial Corp., Western Forest Products Inc. and most of the Canadian banks; fixed-income securities (55 per cent) include corporate bonds, preferred shares and guaranteed investment certificates (GICs).
Before retiring, Hank Even worked in the forestry industry for 47 years. He did well investing his savings in real estate, then moved into stocks and income securities. "The best part about investing in the capital markets: no heavy lifting," he says.
How he invests
When his portfolio was launched in the early 1990s, an adviser guided Mr. Even into mutual funds and GICs (the latter yielded 12 per cent at the time). In 2008, he took control and switched his equity holdings to mostly solid, dividend-paying companies. Investing is "one of my retirement hobbies," he says.
To add growth, a substantial amount of Western Forest Products stock was acquired after it "had shrunk to penny status during the market crash of 2008 and 2009." He knows this company well as a result of his many years working in the industry.
It has "tremendous forest reserves" on Vancouver Island and British Columbia's West Coast, an area facing none of the pine-beetle issues threatening forests elsewhere in the province. "Who knows," Mr. Even muses, "Western Forest may be the only forest company left standing in B.C." The stock closed Friday at $2.46.
Like legendary investor Warren Buffett, he prefers to hold shares in good companies "forever." He also believes in diversification and has had to restrain himself "from overly investing" in sectors that are performing well, such as the Canadian banks.
Best move
Investing in Western Forest Products.
Worst move
In the 1990s, he bought shares of Woodward Stores, a B.C. department store no longer in existence. As his wife often reminds him, "Woodward is no more. Woodward is gone and so is our money."
"Start out young. Invest in sound dividend-paying companies and reinvest your dividends. Like all endeavours in life, you learn by doing and will get better with experience."
Want to share your strategies? E-mail email@example.com


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ChatterBank0 min ago
Looking For The Name Of A Perfume From The 80's???
can any one help with this-I think it was called meadowsong or something and smelled like freshly mowed grass really fresh .I recall it wasn't an expensive brand and would love to track down a bottle on ebay
Best Answer
No best answer has yet been selected by glenis. Once a best answer has been selected, it will be shown here.For more on marking an answer as the "Best Answer", please visit our FAQ.
This is the one I was thinking of which may not be the correct one
/www.wo rthpoin t.com/w orthope dia/goy a-meado wsweet- perfume -bottle -70s-53 8101810
-- answer removed --


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There are some new and not-yet-started quilters reading my blog and I got a question about which patterns are best for beginners. Something fast and easy, something that won't lead to a half finished quilt top. I took some time to think about it and here are my recommendations:
First, whole cloth quilts are the easiest of easy quilts. There's no piecing, no measuring, just two pieces of fabric with a layer of batting in between. I love this ultra modern quilt from Katie Did. The straight line quilting is easy and fun and you can pick any solid or patterned fabrics you like. I've been planning to make one of these for a while now but I can't decide which colors to use.
If you want to try your hand at piecing a quilt top, I recommend one that uses minimal patchwork and large portions of solid fabric, like this quilt. Or this, this, this, this or this. Or what about stripes?
Another easy one is a Stacked Coins quilt. Once you have your coins stacked, you just add a row of sashing in between. This means there's no points for you to line up. Also, this pattern is very versatile...see examples here, here, here, here and here.
If you want to try lining up points, you can't go wrong with a 9-patch or a squares quilt.
A zig-zag quilt (made with rectangles!) makes for a flashy quilt but it's as easy as sewing squares together.
And then we have my favorite! Log cabin quilts are also very easy but a bit more time consuming. That said, they're also more interesting (in my opinion) than simple squares quilts. They look complicated but they are actually very easy and fun to make. I prefer the scrappy look but you can plan your fabrics just as easily. I make my log cabins like this tutorial because I hate cutting fabric into pieces when it's not necessary. Log cabins can be pretty fast when you make them this way. She goes on to show some ways the cabins can be arranged to make the quilt top.
Here are two more log cabin tutorials that I like. Or you can use the same techniques to make one big log cabin! I've wanted to make one of these for a long time but keep forgetting.
Tips for speed:
-Sashing between blocks or borders on your quilt top adds inches without having to sew up more blocks.
-Chain piece and strip piece if possible
-Use a rotary cutter, clear quilting ruler and self healing mat.
-Piecing 12 large blocks takes as much time as piecing 12 small blocks...but 12 large blocks can be all you need to finish a quilt top. If your blocks are small, you'll need many more to finish a top which will require more work/time.
-Keep it simple. As you can see...these patterns are all very simple but the quilts are all gorgeous! Complicated does not always mean better or more beautiful.
Tips for finishing a quilt:
-Make a quilt that's large enough for you to enjoy. This will provide incentive to finish it without being so large that it's overwhelming. My favorite size is around 60"x80". This way I can piece the back out of two widths of fabric. Sew two pieces of 60" fabric along the selvedge edge and ta-da! Instant quilt back.
-If you want to make a smaller quilt, I suggest making a baby quilt. And if you don't know any babies, doll quilts, table runners and wall hangings are fun too (although not to everyone's tastes). Make it something you will use or give away, give it a purpose so you have a reason to finish it.
-Pick fabrics and a pattern that you simply cannot live without! Don't think "this is a practice quilt, I should make it out of these boring fabrics I already have lying around." Trust me, this plan will only lead to a quilt that is boring to sew and easy to abandon. Treat yourself to something fun and interesting, something you LOVE. It may be the only quilt you ever make so make it a good one.
-Don't get overwhelmed. If something's not working, if you get frustrated, take a break. I give you permission to take as long as you need...days, months, years? Quilting is supposed to be fun so if you're not having fun, take a break until it sounds like fun again.
So, that's it! I hope this helps out a few aspiring quilters and, of course, feel free to ask questions. I know quilting seems overwhelming but it's actually pretty easy once you break it up in parts.
For those of you who are already quilters, do you have any ideas for easy quilt blocks or patterns? Any tips?


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Rummel Klepper & Kahl LLP
- Employees in region:
- 497
- Sector:
- Services
- HQ location:
- Baltimore, MD
'14, '15, '16
Since our founding in 1923, the RK&K team has satisfied both public and private sector clients by providing multi-discipline planning, engineering, environmental, and construction phase services. We offer innovative and efficient solutions on a variety of projects nationwide from our Baltimore, Maryland headquarters and 15 branch offices in seven states and Washington, DC. RK&K's technical expertise places us 87th on the Engineering News Record's 2014 listing of the Top 500 Design Firms. Our award-winning and diversified staff is experienced in an array of design and construction disciplines, including planning; engineering design; and construction management, inspection and engineering for transportation, environmental, infrastructure, utility, site and surveying and energy/pipeline projects. Every one of our 917 team members understands what it takes to deliver success to our clients: Responsive People | Creative Solutions.
"I work with great people who improve people's lives through the projects they work on. I have the support to do the work I love and am given the opportunity to succeed."
"The people are great to work with. "
"It's a great place to work. Great benefits. "
"I work with caring people, and the work is meaningful, rewarding and challenging."
"I am always challenged and supported."


text: Humble Hobo 255 Report post Posted October 12, 2007 So... I'm planning an RTS, and I'm hitting a block. What I really want, is an RTS that plays like something classic, like StarCraft. I also want something new. I was deciding between: - something that is very classic, with workers, buildings, and units like the old games, and - something obviously new, like a physics-based RTS, where you attract magnet balls as resources or something, using physics to throw around enemies... With the classic model, the innovation would come through adding to classic gameplay. For example, a race might gain money by throwing resources in a furnace, which would increase the rate of income of that furnace. Or, a race might have buildings that slowly build other buildings... anything. The other model is radical, and uses sweet physics to manipulate the terrain, gain resources, and harm the enemy. I haven't worked out the details on this one. So which would you rather play? Which would perk your interest more? Is there anything left in the classic RTS model, or can nothing more be done? I ask you, -Humble Hobo 0 Share this post Link to post Share on other sites


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See how we compare...
The faculty and staff of Ernest R. Elliott welcome you and your family to our school community. Our student body consists of approximately 420 students in kindergarten through fifth grade. Our staff members work together closely to provide the best educational experience for your students. The success of our school system depends on the collaboration and commitment of all students, parents, and staff to high quality standards, expectations and performance.
Our school is blessed to have a very active and supportive Parent Teacher Organization. At Elliott, the doors are always open to volunteer opportunities both inside the classroom and for PTO events. We ask you to become an active volunteer.
Thank you for taking the time to learn a little about our school. Visitors are always welcome, so please stop in and experience the warmth of Elliott Elementary School. Elliott is a school with heart!!
Click here to sign up for Community Readers...
School Supplies 2017
Pickup Procedures Map
Arrival and Dismissal


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Events for April 22, 2017
Day Navigation
8:00 am
Van Vorst Park Farmers Market
Buy Fresh. Buy LocalFind out more »
12:00 pm
Cake Boss – Bow & Dot Cake Class
Join the Carlo's team in decorating our classic bow and dot fondant cake! You will learn all the ins-and-outs of covering a cake in fondant. From kneading the fondant to stretching and smoothing it down over your cake, our experienced decorators will be on hand to guide, assist, and answer any questions our soon-to-be experts […]Find out more »
3:00 pm
Taste of Downtown Jersey City Food Tour
Also known to locals as the sixth borough (as much New Yorkers want to deny it!) or "chilltown," Jersey City's downtown area has changed dramatically in the last few years, giving way to a culinary renaissance. Just a quick PATH ride from NYC, the Grove Street stop leaves you at the heart of downtown, where […]Find out more »


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Browse the library
Animation video on the Core Environment Program
This animation describes the work of CEP in securing natural capital in the GMS.
WGE 20th Annual Meeting & Natural Capital Knowledge Event
Nay Pyi Taw, Myanmar
The GMS Working Groups on Agriculture and Environment (WGE, WGA) held a joint knowledge event and their respective annual meetings in Nay Pyi Taw on 25 and 26 March.
Environmental and Social Safeguards Awareness Seminar
ADB and the Ministry of Environmental Conservation and Forestry (MOECAF) co-hosted a 2-day seminar in Nay Pyi Daw on 10 and 11 February to raise awareness about environmental and social safeguards.
Towards Climate Change Resilience: Integrating Urban Biodiversity with CCA
This three-day conference held in Chiang Rai was organized by the Asia-Pacific Adaptation Network to facilitate discussion and share lessons about climate change adaptation, resilience and urban biodiversity in Southeast Asia.
ADB: Agriculture, Natural Resources, and Environment Initial Sector Assessment, Strategy, and Road Map for Myanmar
This sector assessment, strategy, and road map highlights the Government of Myanmar's plans and strategies for addressing priority needs for the agriculture, natural resources, and environment se...
Welcome Remarks at the Second Asian Judges Symposium on Environment: Natural Capital and the Rule of Law
ADB SPEECH- 4 December 2013
Welcome remarks by ADB President Takehiko Nakao at the Second Asian Judges Symposium on Environment:
Natural Capital and the Rule of Law held in Manila, Philippines on 2 December 2013
The Second Asian Judges Symposium on Environment
An Asian Judges Network on Environment was officially launched at the Second Asian Judges Symposium on Environment to be held in Manila, 2 to 5 December.
Animation video on Payment for water ecosystem services
This animation produced by the James Hutton Institute explains why Payment for Ecosystem Services (PES) schemes are attracting increasing interest as policy mechanisms to improve conservation and achieve sustainable development outcomes. PES initiatives aim to reach mutually beneficial agreements between providers and users of ecosystem services, entailing a reward mechanism for ecosystem managers for maintaining or improving the provision of the services valued by beneficiaries.
The 4th Joint Committee Meeting for the GMS Cross-Border Transport Agreement
The 4th Joint Committee Meeting for the Greater Mekong Subregion Cross-Border Transport Agreement was held in Yangon, Myanmar on 21-22 November 2013.


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WHAT Is CASEIN?
Casein is a protein that is found in milk and used independently in many foods as a binding agent.
There are 3 varieties of the casein protein. Since the quality is different from one type to the other, it is good to know on which one to focus in order to get the best results. The 3 forms are:
- Calcium caseinate
- Micellar casein
- Milk protein
The first one is the less qualitative of the 3 and is more frequently used in food industry. The other 2 have comparable properties, but milk protein isolate contains both micellar protein and whey, and are more economical option. If your goal is to build muscle, milk protein should represent the main ingredient of your supplements.
This protein creates a gel in the stomach that lead to the release of amino acids in the blood stream over up to 7 hours. The peak, however, is reached in 3 to 4 hours.Compared to when taking whey protein, the blood amino acids peak is reached in 40 minutes and the effect wears out in around an hour.
Since casein is released in the blood stream at a slow rate, it does not affect protein synthesis very much. Despite that fact, it plays a tremendous role in blocking protein breakdown. Muscular mass increases when a certain balance is maintained between protein synthesis and protein breakdown. In conclusion, if you want to build muscles faster and more efficiently, you need to increase protein synthesis while decreasing protein breakdown. The first goal is achieved when taking protein shakes based on whey protein and the latter when taking casein.
If you decide to replace meals with protein shakes, then you are recommended to combine whey protein and casein protein in equal proportions. However, if your meals are spread throughout the entire day, each 2 to 3 hours, you can rely on whey protein only. Casein protein shakes, on the other hand, need to be taken right before going to bed.
Farah Nadhirah
XF Dietician & Nutritionist
Tel No: 012-6696195
Follow Us:
TWITTER: http://tinyurl.com/XFTwitter


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The first step upon entering a temple is cleansing yourself. This is a common practice in many religions the world over. In many churches there is a font, a basin of holy water, where upon entering one blesses oneself with a bit of water. Before a Jewish Passover meal those at the table wash their hands using a special pitcher and bowl. In Japan before entering a temple or calling upon any deities, one washes one's hands and face and rinses out one's mouth with water. In a Moslem mosque there is a place to wash hands and face and feet - for one removes one's shoes before praying. In ancient times there was, as in Qadash Kinahnu, a pool in the couryard; now in many modern mosques there is a room with faucets coming out of the walls - ah, the wonders of plumbing. It is also standard practice before a Neo-Pagan Wiccan ritual to take a sacred purifying bath. In a Catholic or Anglican church the priest may asperse the congregants with holy water - a practice also taken up by Wiccans.
Please pause for a moment to refresh and purify yourself at the sacred pool here. With water from the spring-fed pool, bathe your hands and your face. Please don't disturb the fish, they are sacred - they have even been known to divine the future, as did the oracular fish in the pool of the temple of Astarte Atargatis at Ashkelon. While you are bathing, feel yourself being cleansed, the cares of the moment dropping away. Breath slowly and regularly. Ahhh.
Next is the fire altar. Here you may make an offering to the deities, or one specific deity, if you choose. In ancient times it was common to bring animals to the temple for sacrifice. Generally they came from one's own flocks, usually sheep or goats; perhaps an ox or cow for a special occasion; and very, very rarely a bird, usually a dove or pigeon. Offerings of many animals were made only on major holy days and then there would be a huge feast afterwards for all the celebrants. If you brought more than one animal, the extra will join the temple flocks. And you will get to eat a part of whatever you have brought after its essence has fed the Divine Ones.
But it is not necessary to bring an animal, nor was it in the past. You can make offerings of grain, flour, or bread (beer is acceptable, too); of fruits, juices, or wine; other foodstuffs, such as nuts (especially almonds, pine nuts, and pistachios) and seeds (sesame and poppy, particularly), cheese (feta, for example), yogurt, honey, herbs, or incense. Obviously you don't eat the incense, but you do get to enjoy its scent.
Trained specialists were responsible for the sacred offerings in the past. No one priest or priestess was responsible for everything in the temple. There would be a specialist for animal sacrifices; an incense-offering specialist to prepare the incense and say the sacred incense prayer; a cantor who chanted the sacred texts; a divination specialist - or perhaps more than one, each specializing in a different method. There would be musicians, a treasurer, a scribe-librarian, and others. Watching over them all was the Rab Kahan or Rabat Kahanat, the Chief Priest or Priestess (See the Purple Book of Magic, Chapter Two for more details). Qadash Kinahnu is much simpler. Since the old days are gone, i am responsible for just about everything here.
If you have brought something, toss a little bit into the fire for the deities. Save the rest for the sacred meal later. If you haven't brought anything... but yes, you have, you have brought yourself! Stop for a moment before the fire and hold up your hands to it. Careful, not too close, just enough to see the flames flickering beyond your fingers. The fire is merely a spark from the great flame of the divine which enspirits and enlivens the universe. And within you, too, burns a spark of that divine fire. Pausing here for a moment, the two fires are become one.
Below is one example of a sacrifice from the myths of Ugarit, the major Canaanite city where an extensive number of tablets have been found. It is from Keret, the story of King Keret who despairs of ever having a son.
The Sacrifice of King Keret