text:
|Publication number
|Publication type
|Application number
|Publication date
|Jan 6, 2004
|Filing date
|Nov 12, 2002
|Priority date
|Oct 30, 2000
|Fee status
|Also published as
|Publication number
|Barry A. Easterling
|Original Assignee
|Steris, Inc.
|Export Citation
|BiBTeX, EndNote, RefMan
|Patent Citations (49), Referenced by (44), Classifications (14), Legal Events (4)
|External Links: USPTO, USPTO Assignment, Espacenet
This a divisional of U.S. application Ser. No. 09/699,812, filed Oct. 30, 2000, now U.S. Pat. No. 6,499,158, priority to which is claimed under 35 U.S.C. �120.
The present invention generally relates to a surgical table top and an accessory clamp for use therewith. More particularly, the present invention relates to a surgical table top having a geometric or beveled edge and at least one ridge on each of its upper and lower surfaces, and a clamp adapted to be attached to the table by receiving the geometric edge and the table's ridges.
Surgical table tops have been employed to perform a variety of procedures. Oftentimes, during these procedures, the patient requires fluoroscopy or other imaging procedure. Metal table tops or those with metal supports interfered with proper imaging of the patient. To that end, surgical table tops have more recently been constructed of radiolucent materials such as, for example, carbon fiber or other composites. Such table tops lacking metal components provided a patient supporting surface that did not interfere with imaging procedures.
Unfortunately, the radiolucent materials are unsuitable for supporting the attachment of accessories commonly required during medical procedures. For example, during surgical procedures, it is often necessary to use attachments, armboards, retractors, etc. for supporting the patient's limbs, trays for surgical instruments, specially designed surgical equipment, such as cameras, or robotic surgical devices, among others, in conjunction with the table top.
To accomplish this, known surgical table tops typically are provided with side rails permanently attached at opposite long sides of the table top. These rails provide an attachment point for accessories, which may be clamped or otherwise attached to the rails. While these rails were easily affixed to a conventional metal table top by fasteners, attachment to a composite table top, such as a carbon fiber composite table top, required metal inserts molded into the table top to receive those fasteners. The inserts were provided with threaded openings such that the rails could be fastened by screws and removed as necessary. Even with the rails removed, however, the metal inserts interfered with the results of the imaging process. Moreover, the metal inserts can create scatter radiation and require an increased amount of radiation and require an increased amount of radiation to be used, thereby cause potential safety problems.
Still further, since the rails extended the entire length of the table top, these rails hinder the surgeon's access to the table top. The rails prevent the surgeon and other persons providing treatment to the patient from standing immediately next to the table top. This may cause the treating personnel to function in an awkward position increasing fatigue or interfering with access to the surgical area.
To alleviate these concerns, at least one manufacturer has provided a removable clamp for a radiolucent surgical table top. Since the clamp relies on compressive force instead of fasteners for attachment to the table, the table top may be constructed without metal inserts. In this way, accessories may be removed prior to conducting imaging procedures such that the table top may be made free of metallic objects that would appear on the image if the x-ray field of view were close. The presently known clamping device includes a generally C-shaped clamp having top and bottom legs held in spaced relation by a vertical side member. The legs and side members form a single solid member defining an open-ended channel that receives an edge of the table. A clamping bar supported on the bottom leg of the clamp is selectively moveable in the vertical direction to apply a compressive force to the table top when the table top is between the bar and the first leg. The clamping bar is made flat to engage a flat bottom surface of a surgical table top and the top leg angles downwardly defining a crook or a recess for receiving the raised edge of a conventional surgical table top. The flat clamping bar may be prone to lateral deviation because it is not restrained. This deviation may be most prevalent when the clamp is loosened for longitudinal movement. Deviation may be problematic when attempting to slide the clamp to a new position. Since the clamping bar is unrestrained in the lateral direction, it may deviate causing the upper portion of the clamp to rub against the raised edge on the upper surface increasing the effort necessary to move the clamp or in extreme cases the clamp may bind against the edge of the table top. This rubbing may also abrade or gouge the surfaces of the table top or its raised edge leading to further clamp-moving difficulty.
As a further disadvantage, the edges of most conventional surgical table tops are square. Despite the use of radiolucent material, when x-raying from an oblique angle, the squared edge of the conventional table appears on a flouroscopic image as a thin line. As will be appreciated, this line may obscure important details of the image.
It is, therefore, an aspect of the present invention to provide a surgical table top capable of having an accessory clamp removably mounted thereon.
It is another aspect of the present invention to provide an accessory clamp which is removable from an at least partially radiolucent surgical table top.
It is still another aspect of the present invention to provide a medical accessory clamping system comprising a surgical table top and a removably mounted accessory clamp, wherein the clamp is capable of supporting attachments thereto when mounted on the surgical table top.
At least one or more of the foregoing aspects, together with the advantages thereof over the prior art relating to medical equipment such as tables and clamps, which shall become apparent from the specification which follows, are accomplished by the invention as hereinafter described and claimed.
In general, the present invention provides a medical accessory clamping system including a table top having an upper surface and a lower surface, and at least a first ridge positioned on the upper surface and at least a second ridge positioned on the lower surface of the table; and an accessory clamp having a first clamping member and a second clamping member coupled to but separate from the first clamping member, the first and second clamping members defining a cavity for receiving a portion of the table top, the first clamping member having a first recess for receiving the first ridge and the second clamping member having a second recess for receiving the second ridge.
The present invention further provides a clamp for receiving a geometrically shaped article, the clamp including a first clamping member having a first recess; and a second clamping member having a second recess and being operatively coupled to but separate from the first clamping member, wherein the first and second clamping members and their respective recesses define a cavity for receiving the geometrically shaped article such that the recesses engage at least a portion of the geometrically shaped article.
The present invention further provides a medical table top including an upper surface, a lower surface, at least a first ridge positioned on the upper surface near the periphery of the table top, and at least a second ridge positioned on the lower surface near the periphery of the table top. At least a patient receiving portion of the table top may be made from radiolucent materials.
FIG. 1 is a perspective view of the medical accessory clamping system according to the present invention wherein a removable accessory clamp is attached to a surgical table top.
FIG. 2 is a perspective view depicting a accessory clamp in an open position.
FIG. 3 is an end view of the accessory clamp of FIG. 2 shown in cross-section through the coupling mechanism of the clamp.
FIG. 4 is a bottom elevational view of the accessory clamp of FIG. 1 attached to the table top shown partially cut away.
FIG. 5 is a perspective view of the medical accessory clamping system showing a medical accessory (partially cut away) supported on a surgical table top (also partially cut way) by an accessory clamp according to the concepts of the present invention.
FIG. 6 is a end view of the accessory clamp attached to a table top shown in cross section.
FIG. 7 is an end view of the accessory clamp of FIG. 2 shown in cross-section through the accessory rail connecting mechanism of the clamp.
In the description which follows like parts are marked throughout the specification and drawing figures with the same reference numerals, respectively. The drawing figures are not necessarily to scale and certain elements may be shown in schematic or generalized form or omitted from certain views in the interest of clarity and conciseness.
A representative medical accessory clamping system according to the concepts of the present invention is generally shown in FIGS. 1 and 5 and is generally indicated herein to by the numeral 10. This clamping system 10 generally includes a table top, referred to generally by the numeral 12, and an accessory clamp, referred to generally by the numeral 14.
Table top 12 is used to support a patient in need of care, such as for purposes of surgery or the like. It has an upper surface 16 and a lower surface 18, on which are positioned at least a set of first and second ridges, 20 and 22 near the periphery of each surface 16 and 18, respectively. First and second ridges 20, 22 may be of any shape or cross-section capable of receiving or attaching and/or, more preferably, capable of permitting the guiding movement of the accessory clamp 14 as described hereinbelow, while holding the clamp in a rigid and stable manner. To reduce the likelihood of clothing or other items catching on ridges 20, 22, they are preferably smooth as shown in FIG. 5. Each ridge may have the same or different shape from another depending upon the construction of the table top, and may be made integral with or separate from the table top itself. Each ridge may be continuous or made of discrete sections collinear with each other.
Each first ridge 20, formed on the topside 16 of table top 12 is generally positioned near the perimeter or periphery of the upper surface 16 and preferably extends substantially along the entire length of table top 12, or at least along the length of that portion of the table top defined herein as the patient receiving portion. Each second ridge 22 may be similarly formed on the underside 18 of the table top 12 and preferably extends substantially vertically parallel to its opposed first ridge 20 along the entire length of the table top 12, or at least along the length of the patient receiving portion of the table top 12.
The table top 12 further includes a side edge 24 connecting the periphery of each surface. For purposes of clarity, the side edge 24 will be differentiated as a first side edge 24 a defining the right hand side of the table top 12 and a second side edge 24 b defining the left hand side of the table top 12.
In a preferred embodiment and as shown in at least FIG. 5, a pair of first ridges 20 are formed on the upper surface 16 of the table top 12, both first ridges 20 being parallel to one of the respective side edges 24 a or 24 b of the table top 12. Similarly, as best seen in FIG. 5, a pair of second ridges 22 are formed on the lower surface 18 of the table top 12, with each second ridge 22 being parallel to one of the respective side edges 24 a, 24 b of the table top 12.
As best shown in FIGS. 1 and 6, side edge 24 is preferably irregular to the extent that it is not a vertical edge between the surfaces of table top 12. To that end, the side edge 24 may be straight, curved or staggered. Preferably, side edge 24 is beveled, extending downwardly and inwardly from the upper surface 16 to the lower surface 18. More particularly, the beveled edge 24 is angled at approximately 45�. Such an angle promotes better image visualization and gives the user the ability to make a more accurate diagnosis when imaging a patient at the edge of the table top, specifically long the beveled edge in an anterior/posterior position. That is, the beveled edge reduces the dominance of the side of the table 12 in oblique fluoroscopic or x-ray images. In imaging with a 90� edge of a table top, the vertical edge may still appear as a thin line on a flouroscopic image.
As noted hereinabove, it may become desirable to perform imaging, such as x-rays, during procedures performed on patient. To facilitate this, radiolucent materials may be substituted for conventional stainless steel or aluminum in the construction of at least a major portion, if not the entirety of the table top 12, so as to create a metal-free imaging area. In a preferred embodiment, the table top is capable of supporting a 500 lb. patient weight capacity with no metal included in at least 55 inches of its preferred 92-inch length. This 55-inch portion is referred to hereinafter as a patient receiving portion and is preferably constructed of carbon fibers or other radiolucent materials. That is, the patient receiving portion, which is essentially the entire table top portion shown in FIGS. 1 and 5 and is therefore not renumbered, is constructed entirely of carbon fiber or, as shown, of a carbon fiber shell 26 surrounding a foam 28 interior.
It will be appreciated that table top 12 may be mounted on a base (now shown) as is known in the art. The base may take any form conventional in the art including that of a single pillar, a plurality of legs or other supporting structures used to support the table top 12. Alternatively, the table top could even be suspended by various suspension mechanisms. In addition, the table base itself may be stationary or mobile as necessary, while the table top 12 may also be stationary or moveable with respect to the base. In a preferred embodiment, at least the patient supporting portion of the table top 12 is cantilevered from the base such that there is nothing beneath that portion of the table top 12. With the patient supporting portion in this arrangement, the table top 12 provides a large surface usable for taking x-rays or other imaging.
The table top 12 of the present invention, like other conventional table tops, may further include strap retainers (not shown) attached to the table top. Such strap retainers, used to maintain any straps that may be used to restrain the patient to the table top, are also preferably constructed of similar radiolucent materials to lessen the chances of interference with imaging. Strap retainers, where used, are typically placed on the underside 16 of the table top 12 in pairs at or near the side edges 24. These strap retainers also may be made removable from the table top 12 allowing complete removal of the retainers during imaging or whenever removal is desired.
The other major part of the medical accessory clamping system of the present invention is the clamp 14. It will be appreciated that, given the uniquely constructed table top 12, a conventional clamp, such as one with a square opening or a standard C-clamp, is basically unusable and will not adequately clamp to the irregular side edges 24 of the table top 12. The clamp 14 of the present invention solves this problem, and can be of any size or configuration useful in the art.
The accessory clamp 14 of the present invention, depicted best in FIGS. 2, 3, 6 and 7, includes at least a first clamping member 32 and a second clamping member 34 coupled to but separate from or independent of the first clamping member 32. These first and second clamping members 32, 34 define a cavity 36 for receiving at least the side edge 24 of the table top 12 or other geometrically shaped article needing clamped. Notably, the first clamping member 32 includes a first recess 40 for receiving the first ridge 20 of the table top 12 and the second clamping member 34 includes a second recess 42 for receiving the second ridge 22 of said table top 12, the recesses 40, 42 also forming a part of the cavity 36.
In a preferred embodiment, the cavity 36 defined by at least the first and second clamping members 32, 34 is of a geometry that substantially conforms to that portion of the table top 12 received by the cavity 36. In other words, cavity 36 is preferably defined by the first clamping member 32 having a first clamping surface 44 with the first recess 40 defined therein and a tapered conforming surface 46 extending from the first clamping surface 44 distal to the open end of the cavity 36, while the second clamping member 34 likewise has a second clamping surface 48 with the second recess 42 defined therein and another tapered conforming surface 50 extending from the second clamping surface 48 distal to the open end of the cavity 36. In order to conform to the geometry of the table top 12, first clamping surface 44 with its first recess 40 and second clamping surface 48 with its second recess 42 are in opposed, essentially parallel relationship to each other and engage the upper and lower surfaces 16, 18 of the table top, respectively. As such, first and second recesses 40, 42 also engage their mating ridges 20, 22 on the upper and lower surfaces 16, 18 of the table top 12 and are preferably vertically planar to each other. That is, a first recess 40 engaging a first ridge 20 of the table top 12 and an opposed second recess 42 engaging a second ridge 22 of the table top 12 are all in vertical alignment. Further, tapered conforming surfaces 46 and 50 each conform to the beveled angle of the side edge 24 of the table top 12 and are more particularly aligned to be co-planar with each other when the clamp 14 is closed and clamped to the table top 12.
The clamping and conforming surfaces 44,46,48 and 50 defining cavity 36 of the clamp 14 thus essentially mirror those surfaces and side edges of the table top 12. It is believed that this arrangement spreads the clamping forces over a larger surface area on the table top 12 thereby reducing the likelihood of localized deformation including gouging of these surfaces by excessive application of clamping force.
Clamping members 32, 34 may generally be of any dimension, size or shape provided that they are large enough to define a cavity 36 suitable for receiving the side edge 24 of the table top 12. Furthermore, the clamping members 32, 34 may have any surface characteristics, but preferably their surfaces machined relatively smooth with the edges rounded over or tapered to reduce a likelihood of a patient's or medical personnel's clothing or bodies from being snagged on the clamp 14. For example, both the first and second clamping members 32, 34 include a generally smooth external surface 52, 54, respectively, which then gradually tapers toward the cavity 36 as an angled surface 56, 58, respectively, to an end surface 60, 62, respectively, the end surfaces 60, 62 being adjacent the first and second clamping surfaces 44, 48, respectively, at the mouth of cavity 36.
When used with the table top 12 having first and second ridges 20, 22, the first and second clamping members 32, 34, by way of their first and second recesses 40, 42 communicate with and otherwise engage these ridges. Preferably the recesses and the ridges are rounded and smooth to allow for the gliding of the clamp 14 alone the table top without having to remove the clamp 14 completely. That is, the rounded, smooth surfaces of the recesses 40, 42 are generally of any shape capable of engaging the like smooth surfaces of the ridges 20, 22 and are sized such that they conform closely to the width of the ridges 20, 22, thereby allowing the clamp 14 to glide or slidingly move along the length of the table top 12, if not clamped tightly.
In addition to the surfaces already discussed, first and second clamping members 32, 34 also include opposing parallel surfaces 64 and 66 which define a bore therein for receiving a coupling mechanism 68. The coupler 68 may be any known mechanism suitable for bringing the clamping members 32, 34 into clamped engagement with table top 12 or for releasing the clamping members 32, 34 from the table top 12. Examples of known couplers include but are not limited to screws, levers, gears, ratchet or cam mechanisms. As will be understood, the means for actuating or coupling the first and second clamping members 32, 34 are well known and any of these conventional couplers may be substituted within clamp 14 with little modification. Thus, while only one exemplified embodiment of a coupler is shown in the drawings, any conventional coupler or actuator may be used in accordance with the spirit of this invention.
As shown in the drawings, a coupler, generally referred to by the numeral 68, is received by first and second clamping members 32, 34. Coupler 68 more particularly for this embodiment includes a threaded shaft 70 running between the first and second clamping members 32, 34 and a knob 72 rotatably mounted to the shaft 70 adjacent one of the clamping members and distal to the other of the clamping members. A spring 74 biases the clamping members 32, 34 apart, but rotation of the knob 72 causes the knob 72 to move axially along the threaded shaft 70, bring the clamping members 32, 34 closer together or farther apart. Rotational direction of knob 72 controls the selective opening or closing of the clamping members 32, 34.
The spring 74 is preferably a helical spring and is compressed between first and second clamping members 32, 34 such that it exerts an axial outward force against each of the clamping members 32, 34 that aids in driving the clamping members 32, 34 apart when the knob 72 is loosened. While spring 74 may simply rest between clamping members 32, 34, a spring recess may be formed within one or both of the clamping members 32, 34 to receive and radically confine either or both of the ends of spring 74 thereby aiding in the proper positioning of spring 74.
A nut or other stop mechanism 76 is also shown to prevent the knob 72 from coming off of the threaded shaft 70. The stop mechanism 76 may be made adjustable to selectively control movement of the knob 72.
In the embodiment shown in FIG. 3, clockwise rotation of knob 72 moves clamping members 32, 34 toward each other and counter clockwise rotation allows the clamping members 32, 34 to move away from each other. A washer 78 may be mounted between the knob 72 and the lower surface 54 of second clamping member 34 to prevent contact between the rotating knob 72 and lower surface 54 that might gouge or otherwise abrade the lower surface 54. Additionally, washer 78 may reduce the likelihood of knob 72 binding when fully tightened. The lower surface 54 of second clamping member 34 may be recessed to at least partially receive washer 78 when knob 72 is tightened. It will also be appreciated that, while the knob 72 is shown beneath the second clamping member 34, knob 72 may be placed in other locations including the upper surface 52 of first clamping member 32 or at other exterior surfaces of the clamp 14. As previously discussed, other structures may be used to actuate or couple the clamping members 32, 34 between open and closed positions and the location of the actuator/coupler 68 may vary accordingly.
As shown in FIG. 2, a post 80 may be housed between first and second clamping members 32, 34 to prevent relative rotation thereof caused by torquing of knob 72 and maintaining longitudinal alignment of the clamping members 32, 34. Additional posts may be added to further aid in the alignment of these members, and absorb torque created by actuation of knob 72. Post 80 is spaced from threaded shaft 70 and held in a fixed location in a plane parallel to the threaded shaft 70. In the depicted embodiment, post 80 is sized such that it maintains simultaneous contact with first and second clamping members 32, 34 when these members are in the fully open position such that post 80 acts as a rotational stop throughout actuation of the clamp 14. It is foreseeable, however, that such stopping action may not be strictly required at all points during vertical movement of the members 32, 34, such as the open position when the clamp 14 is being removed. Thus, post 80 need not extend into both clamping members 32, 34 when clamp 14 is opened. Post 80 may also be of any cross-section and have any shape provided that it does not unduly interfere with movement of the clamping members 32, 34 between open and closed positions.
As will be appreciated, some irregularities in the surfaces of table top 12 may be present. Accordingly, the clamp 14 may be provided with some structure which will enable it to accommodate these irregularities. For example, as best shown in FIGS. 2, 3 and 7, a protrusion 82 may be formed on one of said surfaces 64 or 66 of said first or second clamping members to provide lateral play. Protrusion 82 may extend the entire length of clamp 14, or it may extend to a lesser extent, or be formed by a plurality of staggered protrusions. The protrusion 82 may be of any shape or cross-section, although the outermost portion should be flat for engagement with the other surface of the opposing clamping member.
As shown in FIG. 6, when clamping members 32, 34 are brought into clamping engagement, protrusion 82, here positioned on and extending from surface 64 of the first clamping member 32, engages the surface 66 of second clamping member 34 leaving a very small gap adjacent the protrusion 82. The gap allows play in the lateral direction between the clamping members 32, 34 to allow the clamping members 32, 34 to adjust to irregularities in the surfaces 16, 18 of the table top 12 or ridges 20, 22. Moreover, as shown, protrusion 82 is formed at an outside edge of the surface 64 or 66 of said first or second clamping member 32, 34.
In the longitudinal direction, play may preferably be introduced by using only a single post 80 located on one side of a centrally positioned coupler 68. In this way, the angular movement of the clamping members 32, 34 in the longitudinal direction is somewhat restricted on one side by the post 80, but unrestricted on the post-free side. This freedom allows angular play over the length of the clamp 14 accommodating irregularities in the clamped, geometrically shaped article found along the length of the clamp 14. By introducing some play between the clamping members 32, 34, contact may occur between the clamping members 32, 34 without unduly deforming the article when an irregularity would cause the article to be slightly larger than the cavity 36. When not relying on play, a slight loosening of knob 72 allows the gap to open and clamp member 14 may be more easily slid along ridges 20, 22, or removed altogether. That is, loosening knob 72, opens clamp member 14 by separating clamping members 32, 34. To remove the clamp 14, the clamping members may be opened sufficient wide to allow the clamp 14 to be removed from the table top over the ridges 20, 22, or may be opened to allow sliding movement along the table top. In other words, the clamp 14 may be clamped over the table top 12 by opening the clamping members wide enough to permit placement of the clamp 14 on the table top 12, or may be slidingly positioned on the table. Of course, either method may be used to remove the clamp as well.
The clamp 14 further may include an accessory rail 86 for attaching accessories to the clamp. Such a rail 86 is essentially a shorter version of the conventional rails typically used in attaching accessories to surgical table tops. The rail 86 may be mounted to the clamp 14 by any manner known in the art. In the preferred embodiment shown in FIG. 7, the rail 86 is attached to the first clamping member 32 by a plurality of threaded screws or other fasteners 88 received through bores located in the back of the clamping member 32. In other to protect the threads of the screw 88 and to provide supporting strength to the rail 86, a spacer 90 is preferably positioned around each screw 88 between the rail 86 and the first clamping member 32 so as to space apart the rail 86 from the clamp 14.
Retractors, arm extensions, or other known accessories (not shown) may be directly attached to rail 86 of clamp 14, or as shown in FIG. 5, may be provided with a mounting bracket 92 that provides a point of attachment for these accessories. In the embodiment shown, the bracket 92 is attached to rail 86 of first clamping member 32 by a well known technique. Bracket 92 is preferably attached such that top surface of the bracket 92 is approximately at the same approximate height as the top surface 52 of first clamping member 32. The bracket 92 is generally an elongated member that provides sufficient area and structure for the attachment of an accessory such as 94. For example, as shown in FIG. 5, the bracket may include a rotational piece 96 for tightening or loosening the accessory 94 from the bracket 92 or the bracket 92 from the rail 86.
It should therefore be apparent that the present invention reduces interference with imaging by providing a table top having a geometric side edge and a removable clamp for mounting accessories to this side edge. The present invention further provides more secure attachment of the clamp to a table top. It is, therefore, to be understood that any variations evident fall within the scope of the claimed invention and thus, the selection of specific component elements can be determined without departing from the spirit of the invention herein disclosed and described. Thus, the scope of the invention shall include all modifications and variations that may fall within the scope of the attached claims.
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|Jul 16, 2009
|Nov 8, 2011
|Bob Kring
|Surgical bed clamp apparatus
|Apr 19, 2004
|Jan 24, 2012
|Flamel Technologies
|Microparticulate oral galenical form for the delayed and controlled release of pharmaceutical active principles
|Oct 24, 2008
|Jul 10, 2012
|Civco Medical Instruments Co., Inc.
|System and method for positioning a laparoscopic device
|Oct 12, 2005
|Jul 24, 2012
|Okamura Corporation
|Table with a panel
|Oct 7, 2010
|Apr 23, 2013
|Civco Medical Instruments Co., Inc.
|System and method for positioning a laparoscopic device
|Nov 7, 2011
|Oct 22, 2013
|Bob Kring
|Surgical bed clamp apparatus
|Dec 10, 2012
|Jan 7, 2014
|Bob Kring
|Surgical bed clamp apparatus
|Nov 4, 2010
|Jul 22, 2014
|New York Society For The Ruptured And Crippled Maintaining The Hospital For Special Surgery
|System, method, and apparatus for patient positioning table
|Dec 14, 2011
|Jul 7, 2015
|Allen Medical Systems, Inc.
|Lateral surgical platform with rotation
|Aug 28, 2013
|Dec 22, 2015
|Pro Med Instruments Gmbh
|Table adapter with joint assembly
|Mar 7, 2013
|Nov 22, 2016
|Allen Medical Systems, Inc.
|Dual column surgical support system
|Jun 5, 2013
|Feb 14, 2017
|Hansen Medical, Inc.
|Mounting support assembly for suspending a medical instrument driver above an operating table
|May 12, 2015
|May 23, 2017
|Allen Medical Systems, Inc.
|Brake release mechanism for surgical table
|Aug 20, 2002
|Feb 26, 2004
|Aktina Corp.
|Patient support system and elements thereof
|Nov 16, 2001
|May 13, 2004
|Guido Koch
|Arrangement for holding accessory parts to a patient support surface
|May 1, 2003
|Nov 4, 2004
|Bradko Medical Corporation
|Attachment mechanism for medical table
|Apr 19, 2004
|Nov 25, 2004
|Valerie Legrand
|Microparticulate oral galenical form for the delayed and controlled release of pharmaceutical active principles
|Jun 12, 2004
|Jan 13, 2005
|Nick Zacharopoulos
|Radiotherapy treatment and imaging patient support table
|Oct 9, 2002
|Feb 17, 2005
|Valerie Legrand
|Galenic microparticulate oral formulation for delayed and controlled release of pharmaceutical active principles
|Oct 20, 2004
|Apr 21, 2005
|Malcolm Roger J.
|Surgical table width extension and angularly orientable attachment
|Apr 1, 2005
|Jan 26, 2006
|Whitmore Willet F Iii
|Support system for use when performing medical imaging of a patient
|Apr 7, 2003
|May 25, 2006
|Catherine Castan
|Oral pharmaceutical formulation in the form of aqueous suspension of microcapsules for modified release of amoxicillin
|Oct 14, 2006
|Jun 21, 2007
|Limpert Clifford P
|Medical table clamp and accessory including same
|Mar 21, 2007
|Sep 6, 2007
|Flamel Technologies
|Oral pharmaceutical compositions with controlled release and prolonged absorption
|Mar 14, 2007
|Sep 20, 2007
|Qfix Systems, Llc
|Radiolucent Patient Treatment Table with Removable Tip Extension Base and Accessories
|Sep 15, 2006
|Mar 20, 2008
|Robert Slappay
|Card table, card table topper and card serving track
|Oct 24, 2008
|Oct 1, 2009
|Wilson Roger F
|System and method for positioning a laparoscopic device
|Dec 27, 2005
|Jan 21, 2010
|Iso Medical Systems Inc.
|Universal fixing metal fitting for operating table
|May 18, 2010
|Jan 27, 2011
|Hopf Steven L
|Adjustable storage system
|Oct 7, 2010
|Jan 27, 2011
|Civco Medical Instruments Co., Inc.
|System and method for positioning a laparoscopic device
|Nov 4, 2010
|Jul 14, 2011
|New York Society For The Ruptured And Crippled Maintaining The Hospital For Special Surgery
|System, method, and apparatus for patient positioning table
|Jan 19, 2012
|Dec 6, 2012
|Kimball International, Inc.
|Table and privacy screen assembly
|Jun 5, 2013
|Oct 17, 2013
|Hansen Medical, Inc.
|Mounting support assembly for suspending a medical instrument driver above an operating table
|Dec 14, 2015
|Jun 14, 2017
|Elringklinger Ag
|Klemm- und Haltevorrichtung
|U.S. Classification
|5/601, 5/732, 108/27
|International Classification
|Cooperative Classification
|European Classification
|Jul 6, 2007
|Fee payment
Year of fee payment: 4
|Mar 29, 2011
Owner name: AMERICAN STERILIZER COMPANY, OHIO
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:STERIS INC.;REEL/FRAME:026041/0880
Effective date: 20110324
|Jul 6, 2011
|Fee payment
Year of fee payment: 8
|Jul 6, 2015
|Fee payment
Year of fee payment: 12


text:
|Home > Music Genre > Dramatic Music > Energizing Music > Track Summary >
Track Summary
Music Track Title: Romantic Embrace
Catalog ID: 549455 ISRC: US5UL1233745
Description: He sprints to the gate as she prepares to board the plane & lifts her off her feet for the inevitable passionate kiss. Passengers waiting applaud the deeply romantic moment & our jangle pop tune fades in. Soft pads, cheery guitars & steady drums, with an 'ascend to the stars'/'live your dreams feel.
Social Media Link: https://www.audiosparx.com/sa/archive/Dramatic/Energizing-Music/Romantic-Embrace/549455
Artist or Group: Marc Filmer
Keywords: lovey dovey love adoration affection appreciation attachment crush delight devotion friendship infatuation passion tenderness cuddle embrace hold hug kiss
Music Genre > Sub-genre
Dramatic Music
Energizing, inspiring, positive music
Extended Properties
Duration: 1:00 Tempo: Med Fast BPM: 130
Arrangement: Band / Ensemble
Instruments: Drum Kit, Electric Guitar, Synthesizer, 12-String Guitar, Bass Guitar
Vocal Mix: Instrumental
Moods: Beautiful, Bright, Dramatic, Dreamy, Ecstatic, Heartwarming, Jangly, Joyful, Loving, Magical, Passionate, Romantic, Shimmering, Soft, Summery, Swirling, Uplifting, Vibrant, Wholesome, Wondrous
Styles: Corporate, Dramatic Soundtrack, Film Instrumental, Indie, Infomercial, Romantic Comedy, Romantic Drama, Romantic New Love, Romantic Passion, TV Instrumental
Cross-Reference Genres:
Extended Keywords: radiohead coldplay tv commercial spot radio campaign guitar driven muse alternative indie epic pop rock jangle soundscape wall of sound mainstream british uk usa beautiful say With or without you lush international huge global talk speed of sound keane trendy cool winning infomercial sales marketing success goal setting logo slogan brand identity snow patrol self help personal development cheerful spark stimulant aim achievement ambition effort enterprise empowering corporation businesses where the streets have no name advertising theme sports airline loyalty jingle corporate enterprise meetings podcast online video website music upbeat motivational inspiration action desire drive encouragement jolly impulse happy good push high energy hi nrg billboard charts radical melodic melody reactionary positive car target training showreel automotive hr recruitment message mood tone voice uplifting stylish coldplay u2 radiohead

subset: commoncrawl


text: Anticipated obituaries Paz de la Huerta anticipated obituary ("anticipated" means that she is not dead). Tweeter ABCDEFGHIJKLMNOPQRSTUVWXYZ Paz de la Huerta1984 - 2017Paz de la Huerta is deadPaz de la Huerta, born on September 3, 1984 in New York, was an American actress and model. She died on November 20, 2017 at the age of 33.Translations :FrançaisEspañolDeutschItalianoPortuguês中文


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9 MONTHS, 5 BACKPACKS, 4 CONTINENTS, 3 KIDS, 1 HUSBAND.'I have an idea...'
What type of weather is your favorite?
Get the Book Club Guide!
Read At Home in the World in your book club. Download this free guide full of 45 questions written by Tsh, 6 international recipes to serve at your gathering, and a link to a global playlist.
(You'll also get occasional short email updates from Tsh—unsubscribe at any time.)
Meet Tsh Oxenreider
Not too long ago, Tsh's husband looked at her one evening after the kids had gone to bed and said, "Let's do this—let's finally buy the tickets and hit the road." It was time to embark on a dream they'd been planning for years: to travel around the world with their three kids and discover places new and old. And so, they did. They each strapped on a backpack and headed westbound, first for Asia.
Traveling taught Tsh more about home than she ever imagined.
Tsh is the author of Notes from a Blue Bike and Organized Simplicity, the founder of the community blog The Art of Simple, and the podcaster behind The Simple Show. Her writing has been featured in the Washington Post, CNN, Real Simple magazine, and more. A Longhorn graduate of the University of Texas, where she studied English and anthropology, Tsh currently lives just outside Austin, Texas with her family and eats tacos several times a week. HI!
Fellow Wanderers & Homebodies
"Many people have the fantasy of leaving everyday life behind to travel for a year. Tsh Oxenreider and her husband actually did it—with three young children! In this candid, funny, thought-provoking account, Tsh shows that it's possible to combine a love for adventure and travel with a love for family and home."
Gretchen Rubin
New York Times bestselling author of
The Happiness Project and Better Than Before
"Tsh is a remarkable example of how to balance the rooted stability of family with the winged adventure of wanderlust. This book takes you country by country and shows you how she's found the best of both worlds."
Chris Guillebeau
NYT bestselling author of
Born for This and The $100 Startup
"Possibly this book should come with a warning label, something like 'only read this book if you want to upend everything in the name of travel, adventure, family and love.' Because that's exactly what I want to do after reading it. It was a beautiful reminder of how travel shapes us, how beautiful the world is, and how parenting doesn't need to mean the end of adventuring."
Shauna Niequist
NYT bestselling author of
Present Over Perfect and Bread & Wine
"As a devout homebody I'm used to being shamed by books about travel. Not this time. In At Home in the World, Tsh's words will have you longing for home even if you're sitting in your favorite chair. My view of home is forever changed for the better. I cannot stop thinking about this book."
Myquillyn Smith
author of
The Nesting Place and Homebody Extraordinaire
"As a homebody with a healthy dose of wanderlust, I've been fascinated by Tsh's around-the-world adventure since the moment I first heard about it. I so enjoyed getting to tag along on her family's global adventures, which were nothing at all like I expected—both more strange and more familiar than I had imagined."
Anne Bogel
author of Reading People: How Seeing the World
Through the Lens of Personality Changes Everything
"A welcome counterpoint to the 'burn it all down' travel memoir genre, Tsh travelled the world for a year with her husband, their three young children and her job along for the ride. I couldn't put this inspiring book down, not only because of Tsh's glorious and interesting travel stories, but because of the underlying permission to include our children and our significant others in what we love most about being alive."
Sarah Bessey
author of Jesus Feminist and
Out of Sorts: Making Peace with an Evolving Faith
"This book is one of a kind, and for that it's a must read. It's not a stereotypical travel memoir from a single person about 'finding yourself', but rather a family that adventures because they already have. It made me wrestle deeply with questions of belonging, home, family and hospitality--while giving full permission to be ok with the paradox of wanderlust but also being a homebody."
Jefferson Bethke
New York Times bestselling author of
It's Not What You Think and Jesus > Religion
"Tsh Oxenreider is the only person I know who makes traveling around the world with her family of five sound not only normal, but downright cozy. Her beautifully written stories and intentional perspective offer clarifying reminders of what it means to belong and be well no matter where we may go."
Emily P. Freeman
author of
Simply Tuesday and A Million Little Ways
"No one leads us better through adventure and family better than Tsh! This expansive story of people, places, presence, and pluck is an absolute page-turner. She went on the adventure I always dreamed of but didn't know was possible. You are going to love this book. You'll close the last page, hug your family tight, then call your travel agent."
Jen Hatmaker
NYT bestselling author of
For The Love
In the News:
• Bustle: 11 New Travel Memoirs to Inspire Your Adventures in 2017
• Nesting Place: When You Love to Travel & You Love Being At Home
• Sorta Awesome Show Podcast: 10 Tips for Traveling Bliss with Tsh Oxenreider
• Courage & Clarity Podcast: Your Life's Purpose, Simplicity & World Travels with a Family
• Courage & Clarity Podcast: Exactly How to Take Your Business & Family On the Road
• That Sounds Fun with Annie F. Downs Podcast: World Traveler. Great Friend.
• Pantsuit Politics: Global Citizenship with Tsh Oxenreider
• Austin American Statesman: Ever think about taking a global trip with the kids?
• The Happy Hour with Jamie Ivey Podcast: Episode #134 with Tsh Oxenreider
• Christian Market: March 2017 Issue – New Releases: Memoirs & Biographies
• Booklist Review
• Notes on Bookmarks: Author Interview – Tsh Oxenreider
• Austin Woman Magazine May 2017: Pack Mentality
• Austin American Statesman: Local Bestseller List
• Dear Daughters Podcast: Tsh Oxenreider | The Art of Simple
• Real Style: Travel Books to Read Before Your Next Adventure
• The Shauna Niequist Podcast: Episode 01 – Tsh Oxenreider
• Recapture Self Podcast: Episode 234 – Creativity in Living Simply: Tsh Oxenreider
• Coffee with The Author: Tsh Oxenreider
• TODAY Parents: Travel With Kids: The 6 Keys to Keeping Your Sanity
• Smarter Travel: 10 New Spring 2017 Books You Can Read at the Airport (or Anywhere Else)
• Travel with Hawkeye: Ep 9 – Actor Hector Elizondo on his travels, Tsh Oxenreider on traveling the world with her kids and the Mystery of Gargoyles
• Austin Monthly: 7 Page-Turning Reads From Austin Authors
• Peter Greenberg Worldwide: Virtuoso Summit, Fairmont Pacific Rim, Vancouver, Canada
• Modern Mrs. Darcy: 2017 Summer Reading Guide
• Ann Voskamp: The #1 Key when deciding How to Make a Home
• The New York Times: Destinations Await in the Summer's Best Travel Books
• Seminary Dropout 161: Tsh Oxenreider, Author of At Home in the World
• Young House Love Has a Podcast: Episode #51 Why We Want to Tear the Deck Off Our House
• Chrystal's Chronicles Podcast: #116 Reflections on Traveling the Globe – Tsh Oxenreider
• Mothering.com: What's it like to travel the world with 3 kids?
• Austin Family Magazine: Wayfayer's Homecoming: Traveling Family Returns to Central Texas
• Minnesota Parents July 2017: On Mama's Bookshelf
• This Good Word, Episode 104: At Home in the World with Tsh Oxenreider
• Vibrant Happy Women: Episode 71: How to Live Simply and Put People Before Stuff
• Typology: Episode 4: Tsh Oxenreider, The Art (and Angst) of Living an Unconventional Life
• Experience Life: The Best of All Worlds
• The Good Trade: 8 Solo-Travel Memoirs Written by Women That Will Inspire You To See The World On Your Own


text:
The Little Kidnappers Trailer (1990)
17 August 1990 Drama, Crime, TV Movie 92 mins
Loosely based on a '50's movie of the same name, it tells the story of two young orphan boys who travel by themselves from the Old country to join their father's family in Canada. There they encounter their stern disciplinarian grandfather who has alienated himself from some of his neighbors. There is particularly no love lost between the grandfather and his Dutch neighbors, who he generalizes as being responsible for his son's death in the Boor War. A side product of this animosity is that it is keeping apart the boy's aunt and her Dutch doctor suitor. The two boys change everything though when they find a young baby on the beach...
Watch the official The Little Kidnappers 1990 trailer in HD below or find more The Little Kidnappers videos on Vidimovie.


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You know your racist, sexist uncle who won't shut up during Thanksgiving? Well, just be glad he isn't Chucky. Sure, everyone's favorite ginger doll has some great one liners, but I'd be afraid of what he'd do with a giant ball of twine. Check out Chucky, Tiffany, and Glen/Glenda's family slide show. It'll make you thankful that your family isn't that weird:
Have horrifying family stories? Let me know below and on Twitter
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It's no coincidence that The Handmaid's Tale, the Hulu original series based on the Margaret Atwood book of the same name, is being released now, more than 30 years after the book's publication. Capitalizing upon a the parallels between its fictional American dystopia and the distress that many people feel at the current state of American politics, The Handmaid'sTale has been celebrated as a timely entry into the conversation about where we are headed as a nation. In particular, the show makes an uncomfortable connection between the contemporary political language of a "war on women", as heard in the last several presidential election cycles, and the actual war on women in The Handmaid's Tale, where women are enslaved, mutilated, raped, beaten, and killed.
The villains of The Handmaid's Tale are fundamentalist Christians who, after a violent revolution, run a totalitarian theocratic republic called Gilead in place of the secular state—an echo of the Islamic Republic established in Iran after the 1979 Revolution, around the time when Atwood penned her novel. The highest function of women in this fearful new world is to bear children. Infertility and infant mortality rates, however, are through the roof, so when a member of the pious ruling class cannot have a child, the state sends her a "handmaid" to conceive in her place.
The handmaid system provides sexual surrogacy, the depiction of which, once seen, will not soon be forgotten—especially as it is set against a track of "Onward Christian Soldiers" in the show's most heavy-handed moment. The whole scenario is reminiscent of the story of Hagar in the Old Testament, in which Sarah arranges to have her husband sleep with her handmaid Hagar as an unauthorized workaround in fulfilling God's promise that Sarah and Abraham would have a child.
Of course, for a theocratic state run by biblical literalists, emulating Sarah's example is a mighty strange interpretation, since, as any kid in Sunday School knows, Sarah's circumvention of God's plan didn't exactly turn out well for everyone involved. And unfortunately, that confusion is just one of the many narrative elements that make little sense in The Handmaid's Tale. Much of this incoherence is the result of utilizing fundamentalist Christianity as the basic framework for this particular dystopia without demonstrating any understanding of what fundamentalist Christianity is actually about.
Admittedly, what the story lacks in coherence, it nearly makes up for in visual beauty. The muted tones and carefully considered aesthetic of this society provide a chilling (and effective) contrast to the horrors it contains. A few minutes into the first episode, we see Offred (Elisabeth Moss), handmaid of the title, wearing a simple red dress and white cap, sitting in a chair, her hands folded in her lap. She is in a sparsely furnished bedroom with light streaming through a window across the hardwood floor, a Whistler painting come to life. Offred is entirely still. If we didn't see the previous scene—a flashback in which she was terrorized and abducted, her young daughter stolen from her as they tried to flee to the Canadian border—we might even be lulled into thinking that everything is alright in Offred's world, even beautiful.


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Click image to view or link below
Bill Lucas and Janet Hanson spent a day with staff at Highlands College, Jersey, to celebrate the end of their year-long action research project called How to Teach Vocational Education. Over 80 lecturers participated in the project, each undertaking an action research inquiry in their own classroom, lab or practical areas. Inspired by How to teach vocational education (Lucas, Spencer and Claxton, 2012), their individual projects explored the use of vocational pedagogies to enhance vocational and expansive learning outcomes. The pedagogies included flipped learning, peer learning, and assessment for learning. The outcomes for the students included expansive dispositions such as perseverance and resourcefulness and real-world communication skills. The lecturers were delighted with the impact on their students:
"Overall engagement was at a significantly higher level that I expected. There also seemed to be 'fun' involved; students appeared to enjoy the process." (IT lecturer) Talbot
As well as developing expansive habits of mind, the lecturers' interventions also enhanced students' achievement and progression, so they did better in tests and exams that they had done the previous year:
"Some unexpected characters emerged triumphant; this cohort had HIGH success at exams." (Maths lecturer)
All going to show that developing learning dispositions and subject knowledge need not be mutually exclusive activities, teachers can achieve both by foregrounding dispositions in their classrooms.
If our starting point is about building the capabilities and talents of children and young people, their motivation to learn, and a future beyond school, what do we need to do differently to maximise opportunities and engage and challenge all young people in learning?
The challenge is to develop the road map of how to get there.
More here
In this article, the authors suggest that current notions of advocacy in early childhood education should be expanded to include a view of young children as citizens. The authors ground their discussion in a how-to book project in Providence, Rhode Island, consider different concepts of children and citizenship, share commentary from City Hall and propose four key features of their perspective:
(a) highlighting the civic nature of schools as central to the teaching and learning process;
(b) focusing on young children's distinctive perspectives and competencies, not just their needs;
(c) providing professional development around shared projects that promote literacy and higher order thinking skills; and
(d) documenting children's learning in order to challenge assumptions about their capabilities and put forth an alternative image of teaching and learning.
On Thursday 20th March 2014 the second Our South Downs conference will take place at the University of Sussex, Brighton.
This conference is FREE for teachers to attend and it will be a platform for you to explore the unique, diverse and rich learning resources within the South Downs National Park.
Come and be inspired by some great speakers, including:
and take part in a number of experiential workshops, including:
These practical workshops will cover a wide range of subject areas through the use of the South Downs National Park. You will be also be inspired to take teaching outdoors through hands on activities and networking with other teachers.
The subject of vocational pedagogy has been sorely neglected for far too long. Now it's time for practitioners to lead the debate
In almost 500 years of formal vocational education, it seems as though the conversation about vocational pedagogy has never really happened.
Admittedly, there have been pockets of research - Germany and Switzerland are routinely held up as exemplars of apprenticeship success, and academic work exploring the Australian vocational education and training system has recently emerged - but these are exceptions rather than the rule.
It is an oversight that is increasingly being highlighted by high-profile figures. In her Review of Vocational Education, published in 2011, Professor Alison Wolf asserted that many young people in England were on courses that provided little realistic chance of progression towards work or higher study. She added that the vocational education on offer to 14- to 19-year-olds was "not good enough".
This sentiment was shared by James Calleja, director of Cedefop, the European Centre for the Development of Vocational Training. He told TES recently that adult education was failing because "too often it is assumed that if [teachers] have got the skills from doing the job themselves they can step up and teach others…but everyone benefits from proper, structured teaching and learning" ("EU chief complains that those who can't, teach adults", 17 January).
But is anyone listening? Will anything come of these warnings? To answer that question, we must first ask why the concept of vocational pedagogy has so rarely been discussed.
Read the full article
The 'nature or nurture' question has long interested educationalists. Can children get smarter? Or are they stuck with whatever intelligence they inherit from their parents.
This issue is at the heart of our thinking in the Expansive Education Network and we believe that there is compelling evidence for the learnability of much of what we currently refer to with the term 'intelligence'. Indeed the emerging science relating to this topic is one of four dimensions of the way we use the word 'expansive'. Readers please accept this declaration of our position and read what follows with appropriate open-mindedness!
We are by no means alone in our thinking about the learnability of intelligence. The former president of the American Educational Research Association, Lauren Resnick, describes intelligence as "the sum of one's habits of mind." (1999). Intelligence, she suggests, can be thought of as comprising an orchestra of skills and attitudes brought to bear at the appropriate time in order to meet the challenges of life. In this sense it is a matter of common sense that we can all get more intelligent.
Undoubtedly there is a part of intelligence that is predisposed by genetics in each of us, and our temperament is also inbuilt to a degree. Yet just as any habit can be developed, so habits of mind such as self-discipline and resilience can be taught and learned. And these habits of mind (or dispositions) are just as likely – if not more so - to be indicators of exam success than IQ (Angela Duckworth and Martin Seligman, 2005). Learning dispositions also develop through experience – either positively, or negatively – and so the aspect of intelligence determined dispositionally is, to a large degree, learnable. Exactly the size of this 'large degree' is debatable. But the message to educators is positive: you CAN influence the academic chances of those you teach.
Increasingly, approaches that focus on the so-called fixed 'ability' of students are being replaced by those that focus on the expandability of intelligence. Research in the US by Carol Dweck has demonstrated that those children who believe they can get smarter actually do so.
Without that belief that mental capacity can grow, there would be little point focusing on developing learning dispositions and 'habits of mind'. It would not make sense to try to cultivate deliberate practice, risk taking, and creativity.
In this issue we show how the debate about intelligence has moved beyond testing. We explore some of the recent and current research, and ask what this means for teachers.
Bill Lucas, Ellen Spencer and Janet Hanson
Angela Duckworth and Martin Seligman (2005) Self-Discipline Outdoes IQ in Predicting Academic Performance of Adolescents. Psychological Science. 16(2):939-44
Lauren Resnick (1999) Making America Smarter. Education Week Century Series. 18(40): 38-40 http://ifl.lrdc.pitt.edu/index.php/download/index/mas
Inside This Issue
2 What is intelligence?
5 Why I.Q. is not enough
7 Learnable intelligence: an emerging science
8 The importance of mindset
10 Training for intelligence; {signature pedagogies}
10 {thinking skills}
11 {optimism}
{grouping by ability}
12 Putting ideas into practice
{some principles}
{expansive talking}
{normalizing confusion}
{dispositional thinking}
{assessing intelligence}
For full access to this digest login or become a member
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Rowe & Maw has lost its second partner this week, this time to Baker & McKenzie.
Bernd Ratzke, a corporate partner specialising in M&A and cross-border transactions at Rowe & Maw, is leaving the firm after 11 years.
Ratzke says: "Rowe & Maw has done extraordinarily well in the last few years, especially in corporate, and we have been able to pull in some very good clients.
"But it is becoming a global marketplace and when you are approached by a firm with a global presence you do re-evaluate if a mid-tier firm is correctly positioned."
Commenting on the close proximity of Ratzke's and Devas' departures, a spokesman at Rowe & Maw says: "I think it is a consequence of the marketplace. They are two entirely unrelated departures."
He adds: "Hugh wanted to do something that we couldn't offer him here and as for Bernd, he has always been a corporate cross-border M&A lawyer.
"Baker & McKenzie has scope in a greater capacity because of its place in the international market."
He says that Rowe & Maw will be replacing Ratzke.
Russell Lewin, managing partner at Baker & McKenzie, says: "Corporate is an important practice area for us and it is one we are investing a lot of resources in across the firm."


text:
Supporting independent designers as the world's largest Marketplace for eco-friendly,
Preview scale: 21.0 x 18.0 inches. Show Rulers

Change DPI Base size is 150
Collection: Summer Time
I am an Arch Drafter, Designer, and fabric hoarder, er, I mean enthusiast. I have had to step away from my shop for now to design amazing spaces and chase after my kiddos, but know that every like, comment, and order is so very much appreciated!
Visit this designer's shop
Have a tough girl? She needs some rhino gear!:)
Can be sized up to ~6.5"W ea for pillows or appliques, or reduced smaller for clothing!
whimsical (24201),
animals (22254),
Baby (15788),
bird (11022),
girl (5795),
rhino (468),
rhinoceros (402),
rhinos (53),
ttoz (3)
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to add a comment.
moirarae says:
A very neat graphic rendition of rhinos - love it!
Posted over 3 years ago.
claire-elise says:
I just put this adorable sleeping bag for sale on Etsy. Thanks for sharing your rhinos!!
claire-elise uploaded a project image link for
ttoz's design
Spring Rhinos :
Posted over 5 years ago.
inscribed_here says:
Wow, love the combination of tough rhino and pretty colours. It really works well!
Posted over 6 years ago.
ttoz says:
Thank you Zoe, Amy, and Annelie! This one was a super fun one to design...with more animals and coordinates on their way!:)
mrshervi says:
Oh wow. Just came across these fabulous designs - this one's awesome!! You are super talented!
amel24 says:
This printed out so nicely!
zoebrench says:
Lovely! I really like the way you drew the rhinos tails. The little detail of the bird hitching a ride is just great too!
ttoz says:
I will take the picture in better light tomorrow, but I just couldn't wait to post!:)
ttoz uploaded a fabric image for
ttoz's design
Spring Rhinos :
ttoz says:
Aw, thank you so much, Rhonda! I'm a bit of a rhino in the morning, but hopefully I turn into one of these cute ones by the afternoon!:)
rhondadesigns says:
Drea, you have created a delightful design based on a creature that is reknowned for it's cantankerous ill-humour! The sweet, girlie colours have worked well at softening the image of rhinos from cranky to cute!
ttoz says:
Oh, wow, thank you all so much! I found it funny that girl = hippo and elephant, so why not the tough rhino, right?! My order was just shipped yesterday so I'm hoping to post the fabric sample in the next day or two! Yeah for the super speedy turn-around time!
minniemeatdaydreamstudio says:
Where do you come up with these ideas? brilliant~ I absolutely love it.
kristopherk says:
Wonderful design and colours :)
jellyfishearth says:
Very cute! Love the colors and i love the rhinos!
scrummy says:
I love this!
katrinazerilli says:
Super, duper cute. I love the soft colors and the way you designed the tail as negative space.
demigoutte says:
I love everything! Beautiful!!
victorialasher says:
This is so sweet. I really like the addition of the bird; there are always birds with rhinos.
newmomdesigns says:
This is great! Modern and clean and the colors are so sweet and sophisticated!
amel24 says:
This is so lovely!
ttoz says:
Thank you, Joanne! Tough mommy, tough girl! I'm excited to see this printed up--not sure if it's too busy/if I should reduce the colors and/or patterns in it or not...
uzumakijo says:
Haha I do have a tough girl, and she would love this design! Love all the colours and textures, and of course the rhino's so cute, so hardcore! brilliant!
Shop unique pillows, tea towels, chairs and more home décor designed by Spoonflower's independent artists from around the world. Discover your one-of-a-kind piece today.
Create custom garments and accessories with any Spoonflower design.
Sew your own one-of-a-kind projects or have our White Glove service do it for you.
Create custom garments and accessories with any Spoonflower design.
Sew your own one-of-a-kind projects or have our White Glove service do it for you.
Shop unique pillows, tea towels, chairs and more home décor designed by Spoonflower's independent artists from around the world. Discover your one-of-a-kind piece today.


text:
New Websaver Coupons for Nivea Products!
Check out these 2 new Websaver coupons! Both coupons are available for print :)
- Save $5.00 on your next purchase of the 3-step Nivea Visage face care routine.
- Save $1.00 on your next purchase of any Nivea Visage product from the 3-step face care routine.
I especially like Nivea's moisturizers. I think I might give the face care products a try!


text:
This teeny-tiny article needs some work. You can help us by expanding it.
|Bleach: Versus Crusade
|Developer: Treasure
|System(s): Wii
|Genre: Action
|Number of players: 1
Bleach: Versus Crusade (BLEACH バーサス・クルセイド) is a Wii game based on the Bleach franchise.
|Bleach games by Sega
|Bleach Advance: Kurenai ni Somaru Soul Society (2005)
|Bleach GC: Tasogare ni Mamieru Shinigami (2005)
|Bleach: The Blade of Fate (2006) | Bleach: Dark Souls (2007) | Bleach: The 3rd Phantom (2008) | Bleach DS 4th: Flame Bringer (2009)
|Bleach: Shattered Blade (2006) | Bleach: Versus Crusade (2008)


text:
In this third edition of his text, Sakwa (Russian and European politics, U. of Kent at Canterbury, UK) updates and restructures his analysis of post-communist Russian institutional, political, and social development. A thematic approach has been taken with separate chapters dealing with the fall of communism; political institutions and processes; federalism, regionalism, and nationalism; the economy and society; foreign policies; and dilemmas of democratization. The volume has been updated to take into account events of Putin's presidency, but some of the material related to the October 1993 crisis, the evolution of the constitution, and other issues from earlier editions has been removed. Distributed by Taylor & Francis. Annotation c. Book News, Inc.,Portland, OR
Sakwa's Russian Politics and Society is THE place to begin to understand how Russia found itself in its current perilous position.


text:
Description:She was alone at home and then waring her best erotic stockings she sat on the armchair and slowly and gracefully touched her tits and rubbing her raspberries she got down and rubbed her love button.
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What planet is the closest to the sun?
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Safe Harbor Trailer (2006)
05 April 2006 Drama, Crime, Mystery
Detective Carly Segan,( Tracy Gold), is investigating the Satanic murders of young women who all seem to have one thing in common... their time at a place called 'Safe Harbor'. Little does Joe Avery, her partner know, that she too has her own history with 'Safe Harbor'. As her past begins to unravel Carly is torn between two loyalties, should she trust her heart or trust her instincts.
Watch the official Safe Harbor 2006 trailer in HD below or find more Safe Harbor videos on Vidimovie.


text:
ae Thip seems to be a well-kept secret. Ive been coming here for lunch and dinner for 4 years and thoroughly enjoy it. The service is always friendly and punctual, the prices are ...
All reviews seem positive
Find a variety of Thai dishes including seafood, noodles, salads, beef, chicken and pork entrees, vegetarian options and more.
From family friendly trips with kid friendly activities to local plumbers lawyers, spas, and contractors. Judy's Book has millions of listings and reviews for the best and not so great. Whether you're looking for a specific business or just trying to discover great places we make it easy. We're a family oriented site focusing on bringing trusted reviews and recommendations to moms and others. Green and Sustainable places are becoming more relevant to Judy's Book users, have a favorite place? Write a review and tell users why it's Green!


text:
By: Eric Donnelly
After being robbed at gunpoint in Paris, Kim Kardashian-West needed to make some major security improvements.
According to the New York Daily News — which cites TMZ — Kim "has allegedly hired former members of the Secret Service who will be heavily armed."
RELATED: The Kardashian-Jenner Sisters Cancel Appearances In Wake Of Kim Kardashian-West's Robbery
She will now have two of these security members with her at all times and her vehicle will be "armored." "The mother-of-two reportedly met with several different types of security including Israeli army commandos and ex-CIA agents…Kanye West has also reportedly met with two top security firms."
Naturally, they state that Kris Jenner has amped up security plans for Khloe, Kourtney, Kendall, and Kylie — no word on Rob. This news comes after a Huffington Post article — which has since been deleted — claims that Kim faked the robbery as a publicity stunt for their KUWTK show to spike ratings.
We'll have to wait and see what happens when they break their silence on the event!


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Adysoft is more than a software company. We are a company born of a vision of real solutions for real customers. Adysoft is one of supplier of customized software applications and offers high quality technology solutions and software products. Adysoft products and services help customers achieve success in these areasrn rnmissionrnour aim is to provide software solutions that are well thought-out, heavily tested and
Anand Vrindawan Tower Sanjay Palace Agra, Uttar Pradesh - 282005, India
If you want to stand tall from the rest of the other competitors, try to create a distinct image of your organization that will speak volume for your organization.
Compact Technologies
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Deals in Graphic Designing, Content Management System, Web Applications, website maintenance, Logo Designing, Web Development, Website Designing, Web Hosting
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Deals in Website Designing Services, Graphics Designing Services, Software Development Services, Web Hosting Services, Multimedia Services
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Post your Buy Requirement
Deals in Offset Printing Service, Graphic Designing Services
Dots Graphics
Shop No. 3, 17/272, Sharma Complex, Chilli Ind Road, Near Allahabad Bank, Uttar Pradesh - 282003, India


text:
Tarzan Secret Treasure Original Lobby Card USA 1941 #4
Sold for:
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- Sold Date:
- Source: eBay
Tarzan'sSecret Treasure Original Lobby Card USA 1941. Bright and clean. Pinholes ateach corner. Old brown tape top back center. Nice example!TERMS: Winning bidder pays postage. We offer combined shipping on orders of more than one item. An estimate is shown in the eBay shipping calculator within this listing. Items will be shipped Priority Mail by US Post Office with delivery confirmation, unless you request otherwise. International bidders are welcome. However, I will not understate the value of the item on the customs declaration. All purchases are professionally packaged and will be shipped within 48 hours of my receiving cleared payment. I will not accept any offers to end an auction early. Thank you for participating in my auctions and


text:
GraphicRiver Multicolored Alphabet 9951417
Stock Vector \ Decorative \ Decorative Symbols
Vector \ Typefaces \ Quickly \ Project \ Successful \ Advertising \ Effectively
Stock Vector - Multicolored Alphabet 9951417 by dgbomb @ GraphicRiver
Stock Vector \ Decorative \ Decorative Symbols
This is a unique vector letters (typefaces) with exclusive typefaces.
Do You need quickly and inexpensively create effective marketing stuff? Banner, slider, presentation?
In a short time to agree with the customer quality successful project?
It will help you quickly and effectively to make this! Nothing superfluous. Only the most necessary.
Files were designed to work in all major graphics programs.
Attention! This is not the fonts. This is vector objects.
Layered: Yes; Graphics Files Included: Vector EPS; Minimum Adobe CS Version: CS.
Old Lamp Alphabet; Light Board Neon Alphabet; Alphabet Symbols of Bubbles; Isometric Alphabet ; Summer Compact Alphabet; Summer Bold Alphabet; Alphabet of Children's Blocks.
Keywords: abc, advertising, alphabet, carnival, character, colorful, education, festival, font, funny, graphic, illustration, letter, mosaic, motley, multicolored, patch, patchwork, ragged, sign, style, symbol, text, toy, trendy, type, typeface, typography, vivid.


text:
Your donations keep RPGWatch running!
Mount & Blade - v0.955 & Official Product Page
by Dhruin, 2008-06-05 22:09:44
Oops. The installer for Mount & Blade v0.954 yesterday didn't include the executable, so you'll need to move on to v0.955 for the latest version.
In other news, Paradox has kicked up a new official product page for their published version.
Newsbit options: Add / View Comments (0) | Forward this newsbit | Link to this Newsbit
Information aboutMount&Blade
SP/MP: Single-player
Setting: Fantasy
Genre: Action-RPG
Platform: PC
Release: Released


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Paper Chase is a research database designed to offer abstracts of research articles published in journals that have a highly rated impact factor as determined by ISI Impact Factor and PageRank. Abstracts are organized by date, with the most recently published papers listed first.
Paper Chase
Phenformin enhances the therapeutic benefit of BRAF(V600E) inhibition in melanoma.
Cutaneous Biology Research Center, Massachusetts General Hospital and Harvard Medical School, Charlestown, MA 02129.
Biguanides, such as the diabetes therapeutics metformin and phenformin, have demonstrated antitumor activity both in vitro and in vivo. The energy-sensing AMP-activated protein kinase (AMPK) is known to be a major cellular target of biguanides. Based on our discovery of cross-talk between the AMPK and v-Raf murine sarcoma viral oncogene homolog B1 (BRAF) signaling pathways, we investigated the antitumor effects of combining phenformin with a BRAF inhibitor PLX4720 on the proliferation of BRAF-mutated melanoma cells in vitro and on BRAF-driven tumor growth in vivo. Cotreatment of BRAF-mutated melanoma cell lines with phenformin and PLX4720 resulted in synergistic inhibition of cell viability, compared with the effects of the single agent alone. Moreover, treatment with phenformin significantly delayed the development of resistance to PLX4720 in cultured melanoma cells. Biochemical analyses showed that phenformin and PLX4720 exerted cooperative effects on inhibiting mTOR signaling and inducing apoptosis. Noticeably, phenformin selectively targeted subpopulations of cells expressing JARID1B, a marker for slow cycling melanoma cells, whereas PLX4720 selectively targeted JARID1B-negative cells. Finally, in contrast to their use as single agents, the combination of phenformin and PLX4720 induced tumor regression in both nude mice bearing melanoma xenografts and in a genetically engineered BRAF(V600E)/PTEN(null)-driven mouse model of melanoma. These results strongly suggest that significant therapeutic advantage may be achieved by combining AMPK activators such as phenformin with BRAF inhbitors for the treatment of melanoma.
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"Michael Farquhar doesn't write about history the way, say, Doris Kearns Goodwin does. He writes about history the way Doris Kearns Goodwin's smart-ass, reprobate kid brother might. I, for one, prefer it." (Gene Weingarten, two-time Pulitzer Prize winner and Washington Post columnist)
Scandal! Intrigue! Cossacks! Here the world's most engaging royal historian chronicles the world's most fascinating imperial dynasty: the Romanovs, whose 300-year reign was remarkable for its shocking violence, spectacular excess, and unimaginable venality. In this incredibly entertaining history, Michael Farquhar collects the best, most captivating true tales of Romanov iniquity. We meet Catherine the Great, with her endless parade of virile young lovers (none of them of the equine variety); her unhinged son, Paul I, who ordered the bones of one of his mother's paramours dug out of its grave and tossed into a gorge; and Grigori Rasputin, the "Mad Monk", whose mesmeric domination of the last of the Romanov tsars helped lead to the monarchy's undoing. From Peter the Great's penchant for personally beheading his recalcitrant subjects (he kept the severed head of one of his mistresses pickled in alcohol) to Nicholas and Alexandra's brutal demise at the hands of the Bolsheviks, Secret Lives of the Tsars captures all the splendor and infamy that was Imperial Russia.
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A good introduction to the Romanovs
I think that this book was a nice overview of the Romanov family. I am in no way any sort of expert in this area, but I feel like I was given a good taste of the families history. It has mad me want to learn more about this dynasty in Russian history. I am sure if you are a history buff you may know all the stories of the Russian royalty in this book and probably more. For those who may not know the history this is a wonderful starting point.
- Daniel Burgon
Russia Out Loud
Having just return from Russia and walked in the palaces of St.Petersburg and Moscow I found this book fascinating. A truly grand performance.
That it was true.
No just facination of Russian history
- William D. Pappas


text:
The govt of Bihar is working hard to give the best facilities for their state living citizens. The government is providing various schemes related to the BPL, APL and Antyodaya families. The department of Scheduled Caste and Scheduled Tribes Welfare Association is also giving the various facilities to the candidates who had low income and wants to continue their studies. The official website of www.bihar.gov.in provides all the information online for all the services running under the state govt. The portal also gives facility to make registration online for those services. Here we are going to let you know that how can you apply for the SC & ST Welfare Scholarship of Post matric. See the mention process and get the registration form now.
The online services or e-services is giving the facility to get the application form for this scheme which has started for the scheduled caste / scheduled tribes candidates of state. The e-services which means electronic services which is authorized to provide the online facilities in Bihar through the help of Communication Technologies ICT of state. This portal is a combined service pack to get all the facilities in one online page. The website of www.bihar.gov.in/e-services gives the registration form through the welfare association for the SC / ST candidates if they are interested to get the higher studies see the more information is mention below.
What is Post Matric Scholarship?The state govt of Bihar is providing the scholarship for students who belong to the poor families or who are not able to provide the financial help to their childrens to get the higher education. This scheme provides the fund to them so that they can continue their education without of any money problem. The welfare dept is specially working for the reserved category who comes under the Scheduled Caste SC / Scheduled Tribes ST level. The dept gives them a registration form through the help of e-services page and gives funds.
The applicants who want to get services have to visit on the official portal of Bihar Online where they can find the application request form through which they can register their name for this scheme. The department is working to help all the candidates who are talented and not able to continue their higher education due to the money issue. The govt works to help them and pays them to get the college / university / institute fees.
How to Get Registration Form OnlineAs we had mention above the website of e-services is giving the online registration form. See the below given process to get the form and to apply for it.
Step 1 The candidates who want to apply for this may have to get the following documents before going to apply for it.
1. Caste Certificate (SC / ST)
2. Date of birth certificate (age proof)
3. In case not have caste certificate a document need from SDM / MP / MLA
4. In case not have DBO certificate use your 10th class passing certificate
5. Address proof (domical / ration card / electricity bill / phone bill)
6. Bank Account Details
7. Income certificate
Step 2 Visit to the below given page and select the option fill online application.
Step 3 If applicants need the application form to download visit to the below given page and download it. http://www.bihar.gov.in/offline_download/0938/SCST
Step 4 Fill the complete application form and attach your documents.
Step 5 Visit to your nearest collector office and submit the application form.
After submitting the application form takes the slip of it. The department will let you know through the notification for your SC ST Welfare Post Matric Scholarship and provides you fund in your bank account.
If you need more online help send mail in contact.examresultinfo.com and get live staff help. The candidates also can submit their issue in Ask Question section of this website.
NOTE Make Registration in www.examresultinfo.com and get live online help through our department regarding to the scholarship.