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Download Now – 3rd Quarter 2016 Market Review (pdf 245k)
The third quarter of 2016 was a historically uneventful quarter for markets. The S&P 500 went through a 17 trading day period in August without a move of more than 0.75%, the longest such stretch since 1970. The S&P 500 closed out August without a move of greater than 1%, an unusual feat for what has historically been one of the more volatile months of the year. Going back to August of 2015, concerns over China caused three straight declines of greater than 2%, including a brief drop of 1,000 points. Although low volatility is welcomed by many, subdued periods tend to be followed by periods of increased volatility. With the upcoming election and focus on the Federal Reserve and interest rates through the end of the year, we expect to see an increase in volatility.
Markets continued their strong run that started in early March, extending full year returns to healthy levels. The sharp selloff in the first two months of the year make year-to-date returns even more impressive, as the S&P 500 is up almost 19% from its February low. As volatility increases, we would not be surprised to see the market give back some of these gains during the fourth quarter. However, the current bull market has survived numerous scares including the Brexit vote and concerns over a slowdown in China over the last year, and we don't see any near-term risks great enough to dramatically change the course of the market.
This year's presidential election is still a very tight race, although Hillary Clinton has increased her lead over Donald Trump following the first debate. Since the stock market favors predictability and continuing the status quo, and given that Donald Trump represents neither of these, a victory by Secretary Clinton would be the best outcome for stocks. It does appear that stocks have started trading with the polls as volatility increased while Trump gained ground, bringing the race to about even. With Hillary Clinton pulling away over the past few weeks, volatility has fallen and stocks have started to recover. Wall Street has dismissed Donald Trump's chances of winning the election since becoming the Republican nominee, and a Hillary Clinton presidency looks to be priced into stocks. We therefore do not expect too much movement in prices were she to win the election.
The presidential election is a single event that attracts much investor focus, however congressional elections and resulting economic policy play a bigger role on economic growth. The House of Representatives looks very likely to remain under Republican control, with the Senate a coin toss of either going Republican or Democrat. The system of checks and balances spelled out in the constitution is designed to prevent any one individual from gaining too much power. Given this mix, a Clinton presidency would have to work with a split government. As such, there appears to be broad support for some infrastructure spending which would provide some fiscal stimulus to the economy that has been lacking in this recovery. It is unlikely that major tax increases would clear a Republican Congress, although there appears to be support from both sides on corporate tax reform that would close loopholes and make the U.S. tax rate more competitive to other developed economies.
Should Donald Trump win the election, he will face heavy opposition from Congress for his mostly anti-growth policies. Although a President has the right to negotiate trade policy, existing policy can be more difficult to change as proposals are written into law and many would require an act of Congress to unwind. The last time trade tariffs were increased was the Tariff Act of 1930, known as the Smoot-Hawley Tariff, in an attempt to protect American jobs as the country was entering into what would become the Great Depression. In the ensuing years, American imports and exports were cut by more than half and many economists believe this contributed to the length and depth of the depression. Representatives on both side of the aisle are well aware of this and likely will do all they can to avoid a repeat of history. Donald Trump may be able to get broader tax cuts through a Republican led House and Senate, which would be stimulative to the economy, albeit at the cost of a higher budget deficit that would challenge growth over the long-run.
The Federal Reserve and central banks globally have aggressively tried to stimulate the economy through accommodative policies. Following the UK vote to leave the European Union, the Bank of England cut short-term interest rates and resumed quantitative easing through the purchase of government bonds, and for the first time, corporate bonds. In Europe, the European Central Bank commenced its corporate bond purchase program that had been announced earlier in the year, and is already the second largest holder of Euro investment grade corporate bonds. The Bank of Japan announced it would use asset purchases to target a 0% yield on its 10-year bond, adding further stimulus to its negative short-term rate policy. Currently about one-third of global government issued debt has a negative yield and 71% yields less than 1%. By comparison, U.S. interest rates are attractive with a 1.6% yield on the 10-year treasury bond and a Federal Funds target rate of 0.25%-0.50%. Although economic data in the U.S. has started to rebound with fairly strong employment data, the Federal Reserve chose not to increase rates at its October meeting. The Fed meets again the week before the election and again in December to discuss rate policy. Currently, the market is assigning a 60% probability to a December rate increase, however this will likely depend on economic data and thus far, the Fed has been very hesitant to increase rates.
The biggest question surrounding U.S. markets is whether corporate profits start to rebound. Although markets have remained relatively flat, valuations have become richer given falling profits over the past five quarters. With low oil prices and an appreciating dollar no longer the headwinds they have been over the past 18 months, analysts are forecasting 10% earnings growth in the fourth quarter and 16% growth for 2017. Although this seems very optimistic, there are indications that the tide is starting to turn as earnings should at least turn slightly positive for the third quarter.
Investors have also been closely watching the Federal Reserve after a string of strong jobs reports led to the belief that officials may elect to tighten interest rates. The Fed chose not to raise rates at its September meeting, the last realistic opportunity ahead of the election. Although the Fed meets in November, it has not historically announced policy decisions that close to a presidential election. Despite the decision to hold rates unchanged, markets have already done the work for them as financial conditions have already tightened. Most of this tightening is the result of rising costs for short-term borrowers, as the three month LIBOR rate recently reached its highest levels since 2009. As a result, we believe it is unlikely the Fed will touch interest rates through the end of the year. Looking into 2017, however, early signs of rising inflation may force their hand regardless of overall economic strength.
As long as economic growth remains slow and under control, the current recovery should continue for the foreseeable future. One of the biggest risks to the recovery could come from the economy's structural inability to handle higher demand driven growth. As businesses have invested very little in capital, worker productivity growth has remained subdued. Combined with very limited growth in the workforce due to an aging population and declining immigration, the economy could rapidly overheat if we were to see a return to higher GDP growth.
Stock market volatility should increase during the fourth quarter as investors monitor the elections and the December Fed meeting. Although stocks are a little expensive relative to historical trading ranges, they do not appear wildly overvalued. An earnings recovery is likely as we enter 2017, which should help support current prices. At current levels, stock market returns will likely be lower than the past several years, but have historically been able to produce positive results over the long-term. The bull market that began in 2009 still appears intact, and we do not advise trying to time pullbacks, but rather stick with long-term asset allocations to cushion the volatility. With interest rates at very low levels, bonds also appear fully valued. However, given that the U.S. still has some of the highest interest rates in the world, foreign investors should support bond prices in search of better yields. Individual bond ladders are a defense against rising interest rates when they do eventually happen, as returns are locked in at the time of purchase and not subject to swings in market price.
We want to meet with you at least once a year to review and update any changes in your goals and objectives. We want you to understand the decisions we are making on your behalf and be comfortable with your asset allocation. Please call us with any questions or concerns.
Stephen C. Biggs, CFP®, CFA
October 14, 2016


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GraphicRiver Fresh Cuisine Outdoor Banner 46 10777831
Category: Print Template | Comment: ( 0 )
GraphicRiver Fresh Cuisine Outdoor Banner 46 10777831
Print Template \ Signage
Menu \ Restaurant \ French \ Food \ Prices \ Pasta \ Salads \ Pizza \ Steak \ Sausages
Print Template - Fresh Cuisine Outdoor Banner 46 10777831 by 21min @ GraphicRiver
Print Template \ Signage
Layered: Yes; Graphics Files Included: Photoshop PSD; Minimum Adobe CS Version: CS5; Print Dimensions: 120x60.
-|| - The Pack include -|| -
- Fully Layered PSD file
- Easy to Customize
- PSD Outdoor Banner Template
- 120×60 inches (view size)
- 122×62 inches (print size)
- CMYK, 100dpi
- Bleed 1 inch all side
- Print Ready
- High Quality
- Read me file
- Online Help
|| The Images are not included. See them in Help file! ||
-|| - Fonts used: -|| -
Myryad ,
Lobster ,
Feel Free to contact me for any help.
In order to improve the quality of my work i would appreciate if you vote for this item in download panel!
Will appreciate if you rate and share the item with your friends!
Hope you will like the stuff.
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Hockey Match Night Invitation; Soccer Madness Flyer Template 77; Photography Studio 3-Fold Brochure 21; Sweet Time Voucher Template 20; Photo Studio Rollup Banner 38; Thalasso and Spa Center Flyer Template 78; Wellness and Health 3-Fold Brochure 22;
Keywords: antipasti, bacon, chocolate, cuisine, food, food outdoor, france, french, french menu, french restaurant, gourmet, gusto, kitchen, meal, Menu Card, menu flyer, menu template, pasta, pizza, prices, pub, restaurant, restaurant menu, salads, sauce, sausages, spaghetti, steak, tasty.

subset: commoncrawl


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A lot of Apple smartphones are locked to particular carriers. The companies offer some discounts to customers who purchase such models. The cheaper price at the beginning becomes a long 2-year contract when you can't switch to a different mobile operator unless you order iOS 7 iPhone unlock service.
There are several methods that make it possible to start using different carriers with your iDevice. Most of them don't support iOS 7 devices. For example, Ultrasn0w is for iOS 6 only and can't unlock this firmware. SAM activation tickets support older models like iPhone 4 / 4S and GEVEY unlocking tool is good for iPhone 5 GSM smartphone only.
Users with iPhone 5S and 5c can now unlock with R-SIM or IMEI. The safest way to go is to select factory IMEI unlock for iPhone iOS 7 handsets by selecting the carrier. This tool is guaranteed to all users with clean IMEI code and activated iPhone. You have to meet some requirements but they are easy so most users will be fine ordering this service.
IMEI is good for everyone who has iPhone iOS 7 and older firmware. It supports any model and all basebands / firmware releases. The service is affordable to those who wish to start using different SIM cards with their gadget. It works for most carriers but you should make sure your mobile operator is supported before ordering the service.
Once you made sure your iPhone / carrier is supported, run IMEI checker to know the status of your handset and be sure it is activated with your carrier. Find a trusted company that offers the service and provide your clean IMEI number along with your name and email. Wait for about 24 hours till the distant unlock is performed.
The company will email you a letter saying your new status is unlocked. There will be instruction you need to follow in order to complete the procedure. Connect iPhone to iTunes and finish the process.
This is as easy as it looks like. Your iOS 7 iPhone will be unlocked and your warranty will remain safe.


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I goofed on marriage of George W. Lumpkin in Granville Co. NC
In my posted message to Bob Lumpkin, I goofed and typed the wrong marriage date for George W. Lumpkin and Martha C. Hicks.Should be as follows:
30Jan1840 Granville Co. NCGeorge W. Lumpkin & Martha C. Hicks; Thos. D. Hayes, bm.
23Mar1840 Granville Co. NC George W. Lumpkin bm. for William Crews & Sarah W. Ussery and J. M. Wiggins was wit.
Sorry, Carol J. McCraw


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Training & Workshops
Workshops and Training Sessions | Develop the skills, and gather the information needed to make the decisions and build relationships with employees and key stakeholders.
It is now more important than ever before that the skills and information be made available to all levels of workers and employees within the
Services Include
Employee training provides an opportunity to develop the skills and acquire the knowledge needed for
Social Media
With Laura's extensive knowledge in social media, she trains sales and leadership teams on how to effectively use Linkedin and other social media platforms for brand development and lead generation.
With a focus on best
New Technology
Leveraging digital technology, the right tools can create a collaborative, flexible workspace for employees and workers to connect and respond as needed.
Laura offers her clients knowledge on emerging technology and best practices for communicating more effectively. She works to assist
Learning tools, such as manuals and educational curriculum, that are accessible, easily updated, and engaging, prove to be effective. Laura works with her clients to create manuals that are designed to maintain their relevancy, be user-friendly, and increase understanding.
Communicating with key stakeholders is important to the success of all
Whether it is to discuss the details of a new project, brainstorm new ideas, or explore collaborative partnership opportunities, workshops provide the opportunity for face-to-face, open, and engaging dialogue for the corporate office, municipal meetings, and volunteer based environments.
Working in a collaborative effort with her clients, Laura helps create a unique, creative, and meaningful experience through her skills and expertise in the areas of leadership, graphic facilitation, public speaking, and current communications best practices.
How Laura works with various consultants, including
Laura presents to a variety of audiences on the topic of social media, communications best practices in the digital era, and environmental communications. Past presentations & workshops include;
- Promoting Sustainability & Avoiding Greenwashing
- Communication | The Journey to Now and Beyond
- Internet & Social Media | Parent Tips - Elementary School Parent Education Session
- Linkedin | Getting Started - B2B Sales Team
- Linkedin | Social Selling - B2B Sales Team
- Blueprint for Social Media Success - B2B Industry Group
- B2B | Social Media Strategy - B2B Sales Conference
- Telling your Green Story - NSI Members
- Business Case for Sustainability - Niagara College Environmental Program
"It is a challenge to meet the high demands and costs of operating a business or organization. In our social media workshops, our attendees get the opportunity to update their personal profiles, and learn hands-on how to make their social media work best for their roles in the organization during our sessions. Working with consultants, such as Susan Gesner (GAEL), we collaborate with our clients to ensure that our stakeholder engagement workshops gather the information needed, while providing a creative, unique, and engaging experience.
If you are interested in booking a social media workshop, a presentation to your group regarding communications in the digital era, or looking for facilitators for your next brainstorming or stakeholder engagement workshop, let us know!" - Laura Dunkley, L. Dunkley Communications


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Posts Tagged 'Animation'
Medtronic HydroDebrider Animation – Elara Systems
Heart Animation: Coronary Angiography (Cardiac Catheterization)
Visit cardiology.healthanimations.com for FREE videos, illustrations and patient handouts for healthcare providers. This 3D heart animation shows a coronary angiography (cardiac catheterization) procedure. It begins by showing the buildup of plaque in an artery wall of the heart, slowing the flow of blood and shows the heart valves pumping. Afterwards, the patient lies on a testing table while contrast dye is injected into the arteries of the heart, showing the location of the blockage. ANCE00182 For information on Atherosclerosis, visit http
You asked, so here it is! I present to you with much honor the product that I am convinced lifted my skin out of it's years of on and off acne. Not only can it greatly improve the condition and texture of skin, but you can even eat it or use it for many types of conditioning. It's inexpensive, has multi-uses and tastes great! Can't go wrong with that. That's extra virgin olive oil for you. I noticed smoother skin after one day of using it. It started to greatly improve my skin and stop my chronic acne within 2-4 weeks. Love it! EVOO is claimed to… – overtime soften and smooth skin and wrinkles – lower cholesterol when ingested – help balance body oil levels without clogging pores – helps stimulate metabolism for better digestion – moisturize hands and nails – strengthen nails – use as a hair conditioner for dandruff control or deep conditioning (me, I prefer using a little on the tips of my hair occasionally) – soothes skin irritation & inflamations – can stop pimples from growing – soothes itchiness – can makes breasts firmer? – rumor is it can help prevent tumors and skin cancers by rubbing onto skin – use it as a gum toner – use as a body or facial moisturizer (i use it on my face at night or on days I'm just staying home) – has powerful antioxidants and vitamin E – use on tummy or butt to help prevent sagging – use as a makeup remover (i do this now) – use with a warm wash cloth or sponge in the shower to massage onto face or apply after showering like a moisturizer …
Video Rating: 4 / 5
Endocannabinoid System Network (ECSN) – ECS Full Length Animation
replay.waybackmachine.org The mission of the Endocannabinoid System Network (ECSN) is to serve as a multifaceted educational resource that will help scientists and clinicians understand and communicate the mechanisms and functions of the endocannabinoid system (ECS) integrating knowledge of the cellular/molecular basis with the neural and systemic effects. endocannabinoid.net
Congestive Heart Failure Animation
This is one particular of our most intricate animations to date. With a total runtime of more than 8 minutes across three modules, the system incorporated above 50 separate types, from the molecular (Angiotensin I, BNP, Endothelin), to the microscopic (red blood cells, platelets, endothelial cells), to entire organs (heart, lungs, kidney, liver, vascular system) and even a total entire body. Producing, managing, and animating all of these digital assets into a coherent software with a sturdy narrative making use of a group of four modelers and animators doing work concurrently – was a challenge. Our consumer also had a particular tradeshow in head to premiere the final movie, which was only twelve weeks from task initiation and gave us a fixed deadline. We maintained to provide the entire software in on time and on spending budget – an modern achievement.
Video Rating: 4 / five
Cholesterol Absorption – 3D Animation Mechanism of Action
Digestive animation Food for thought
Scientific animations results in stunning health-related animation movies. This video clip is a digestive animation depicting necessity of meals for thoughts. Reveals in depth mechanism of action by which the brain understands satiety. For a lot more details about medical animation check out www.scientificanimations.com
Video Rating: / five
Gastric Bypass animation
gastric bypass animation, Dr. David Geller. View this brief video clip to see how gastric bypass is carried out. Dr. David Geller performs laparoscopic bodyweight loss surgical treatment, such as gastric bypass, Lap-Band, Understand Band and laparoscopic revision bariatric surgery in Louisville, KY. For far more info call (502) 893-7151
Video Rating: 4 / 5
Cholesterol 3D Medical Animation
For much more information about customized 3D animations, pay a visit to www.amerra.com.This animation reveals how cholesterol is a lipidic, waxy alcohol located in the cell membranes and transported in the blood plasma of all animals. It is an important component of mammalian cell membranes exactly where it is needed to establish proper membrane permeability and fluidity.
Video clip Rating: three / five
This is my "review" of Lekair Cholesterol Plus. It was a kind of request from barbeeluv1. Lekair is labeled as a deep conditioner. It strengthens, deep situations and rejuvenates the hair. (thats what the jar says LOL)
Diabetes Education – 3D Medical Animation
For much more info about 3D medical animations, visit www.amerra.com. This health care animation is aimed at educating patients about diabetes and the significance of heath factors involved with it.
Video Rating: 5 / 5
Calculating how much insulin diabetics require is a difficult and day lengthy approach. Shortly, an artificial pancreas could be all set to do the job for them. Harry Smith reports.
Video clip Rating: 4 / five
Duodenal switch animation from hawaiiweightloss.com
The duodenal change restricts the quantity of food that you are able to consume, as effectively as restricts the amount of extra fat that the body digests. The DS has a 4-5 ounce lengthy vertical pouch, as properly as the duodenum connecting to the final 5 ft of the little intesting. This outcomes in the separation of foods and juices for far more than 12 feet. Dr. Cirangle has completed the most laparoscopic surgical fat loss DS techniques in the State of Hawaii with the lowest complication price. His fat reduction clinic has the most thorough fat loss prepare with a full time therapist and dietitian. Video clip courtesy of Ethicon.


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Reuters Staff
1 Min Read
July 3 (Reuters) - Wuxi Hodgen Technology Co Ltd
* Says its partly-owned unit signs strategic agreement with Ant Financial
Source text in Chinese: bit.ly/2si8PIw
Further company coverage: (Reporting by Hong Kong newsroom)
All quotes delayed a minimum of 15 minutes. See here for a complete list of exchanges and delays.
© 2017 Reuters. All Rights Reserved.


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It's beluga's birthday !
A hand drawn white shrink plastic beluga whale on an A6 white card with envelope.
As i hand draw and hand make each one of my cards and the shrink plastic images are not printed, each of my cards is unique and the actual card you receive may differ slightly from the photograph and colours may be slightly different to screen image.
All cards are wrapped and then sent in hard-backed envelopes to protect them in the mail.
Please note that this card is delicate and may require extra packaging if posted.
Not suitable for young children.
© sally and the freckles 2017


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Andrew mcchristion
- 24 years old
- Date of birth: Jan 26, 1975
- Date of passing: Aug 1, 1999
|Let the memory of Andrew be with us forever
This memorial website was created in memory of our loved one, Andrew mcchristion, 24, born on January 26, 1975 and passed away on August 1, 1999. We will remember him forever.
Memorial Tributes
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Superbly located in a tranquil New Zealand rural setting, the beautifully renovated Redwood Lodge Bed & Breakfast is ideally situated in close proximity to the world famous Waitomo Glowworm Caves (as seen on Sir David Attenborough's 'Life in the undergrowth' and 'Planet Earth' series).
Innkeepers: Julie Neuhoff
Guests: 2
View calendar
BedandBreakfast.com gift cards are the perfect gift for anyone who needs a relaxing getaway.
Hamilton, New Zealand (HLZ) - Hamilton 35 miles
Visit Website
Hot tub/whirlpool tub ,
Heating, Swimming pool, Sauna
Air conditioning, Coffee/Tea facilities, Hairdryer
Contact Innkeeper
Visit Website
Julie Neuhoff
Cooked or continental
$NZD 110 per night
Contact Innkeeper
BedandBreakfast.com guarantees you're getting the best price on your bed and breakfast stay when you book your room on BedandBreakfast.com. Within 24 hours of your booking, if you find a better price for the same room on the same date(s) at the same B&B, BedandBreakfast.com will refund the difference to you!
The Best Price Guarantee covers any bed and breakfast booked online through BedandBreakfast.com. The bed and breakfast must be booked using the Book Now button on BedandBreakfast.com in order to qualify.
Just call 1-844-271-6829 within 24 hours of booking and give our customer support representative the details on the lower price you found.
The BedandBreakfast.com Best Price Guarantee ensures that when you book and pay for your reservation online through the BedandBreakfast.com website, you are booking your room at the lowest available price. If you find a lower price for the same room on the same dates at the same B&B, and contact us within 24 hours of making your booking, we will refund the difference in price to you. This guarantee does not apply to bookings made over holidays and/or for special events. All requests are subject to verification by BedandBreakfast.com. BedandBreakfast.com will not accept screenshots or other purported evidence of a lower price that cannot be independently confirmed by BedandBreakfast.com personnel. Nor will BedandBreakfast.com verify any requests that it believes, in its sole discretion, is the result of a printing or other error or is made fraudulently or in bad faith.


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Mission Life
Mission Economy
Father Junipero Serra
Missions of California Video
American History Index
American History Timeline
Social Studies Main Index
The Santa Cruz Mission was the 12th mission, and was founded on
September 25, 1791.
Top of Page
The Santa Cruz
Mission was founded on September 25, 1791. The mission
construction was completed in 1795. Unfortunately, the
mission had many problems.
The pueblo of Branciforte
was set up near the mission. It was created to
criminals exiled from Mexico. The town became a center
for thieves and smugglers. This had a corrupting
influence on the natives and created a serious conflict
between the mission and the town.
In 1805, one of the padres from the mission was
murdered. A few years later the pirate Bouchard
threatened the mission, forcing the padres into the hills
for safety. While the padres were gone, men from the town
stole the valuables from the mission. This started the
mission on the road to failure.
An earthquake damaged the mission in 1825. Shortly
after the repairs were complete, a flood in 1830 caused
several buildings to collapse. An earthquake in 1857
finally destroyed the mission, leaving only the soldiers
quarters standing.
In 1858 a simple wooden church was built for use as a
local parish. In 1931 a small chapel was built based on
sketches of the original church.


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Are you loving all the drama surrounding the upcoming presidential election? Check out Time's list of the 15 Best Political Movies of All Time.
Excited for tomorrow night's VMAs? Check out these photos of some past VMA red carpet fashion disasters. Who will be added to the list this year?
The new trailer for Hansel and Gretel: Witch Hunters is pretty awesome.
If you're trying to firm up your fall TV watching schedule, Entertainment Weekly has a handy chart with all the premiere dates.
Wow: Romanian artist Mihai Marius Mihu created Dante's Nine Circles of Hell in Lego form using 40,000 of the plastic bricks.
We're loving these Lord of the Rings stained glass by fantasy artist Jian Guo.
Dragon*Con is well-known for it's impressive cosplay. They definitely did not disappoint this year at the 2012 convention in Atlanta. Check out this slideshow of some of convention's best costumes.


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The 10-micrometer-long flagellate cell might have a big story to tell about the evolution of eukaryotes.
Something Is Killing Asian Carp
April 29, 2014|
Half a million invasive silver carp are dead in a Kentucky river, and nobody knows why.
April 29, 2014|
Half a million invasive silver carp are dead in a Kentucky river, and nobody knows why.
April 10, 2014|
A comparative genomic study shows that researchers can use genetic signatures to predict the toxicity of methicillin-resistant Staphylococcus aureus isolates.
April 1, 2014|
Cancer Virus, A Window on Eternity, Murderous Minds, and The Extreme Life of the Sea
April 1, 2014|
Turning a patient's immune cells into cancer-fighting weapons
April 1, 2014|
University of Texas at San Antonio microbiologist Karl Klose discusses the problem of antibiotic resistance in a 2013 TEDx talk.
April 1, 2014|
In the face of bacterial threats that can evade modern medicines, researchers are trying every trick in the book to develop new, effective antibiotics.
March 31, 2014|
Most drug manufacturers agree to follow the Food and Drug Administration's new labeling guidelines for antibiotics used in farm animals.
March 20, 2014|
Invasive snakes in Florida show evidence of a compass sense they use to navigate back to home territory.
March 18, 2014|
Experienced fish may be critical for keeping migrating populations on track, a study finds.
March 18, 2014|
Antarctic moss beds that have been frozen for more than 1,500 years yield plants that can be brought back to life in the lab.


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SuperJet International is readying itself to support Sukhoi Superjet 100 customers worldwide. The company's chief executive Alessandro Franzoni brings Flight Daily News up to speed on latest developments
The economic crisis has impacted heavily on airlines sales. What effect is this having on the Superjet 100 programme?
The Superjet 100 has a backlog of 98 firm orders, including 30 from Russian flag carrier Aeroflot, and 10 from Italy's ItAli company. Notwithstanding programme delays and the impact of the economic crisis on short-term sales, the Superjet 100's demonstrated 12-14% reduction in direct operating costs makes it attractive to different customers and elevates it to the medium-haul passenger aircraft class. It is able to satisfy the emerging needs of airlines and will allow our company to better address the opportunities that will arise with the market revival. Weak signals [of recovery] are already visible in some world markets.
Superjet International aims to set up a worldwide Superjet 100 sales and support network. How is the ramp-up progressing?
The current headquarters and support team numbers around 160 people from 15 countries, mainly recruited from airlines and aircraft and engine support areas. We have established a Russian branch in Moscow, sales offices in Toulouse and Washington DC, as well as appointing a customer service representative in Beijing, China. We have selected Lufthansa Technik as our exclusive global logistics provider to manage the Superjet 100 spares distribution centres worldwide.
Currently housed at temporary facilities at Venice Marcon airport, the company's commercial, training, support and delivery infrastructures are expected to move into a completely new centre nearby with enhanced facilities, including an aircraft interiors "showroom" with an aircraft mock-up and "virtual display" capability. To be operational in less than two years from late 2009, it will allow deliveries of three aircraft a month from 2013.
How is SuperJet International preparing to support the Superjet 100's entry into service?
We are implementing a structural and personnel certification plan to be ready for entry into service. We received the first-stage flight training organisation approval from the Italian aeronautical civil authority ENAC in October last year, while Part 145 certification that will allow SuperJet International to carry out aircraft maintenance, completion and customisation activities was obtained in mid-April.
We are now working towards obtaining the EASA/ENAC Part 147 this month, necessary for training activities, and Design Organisation Approval, essential to design and develop the Superjet 100 VIP and cargo variants, by the end of 2009. Thanks to our training and maintenance certification for the Airbus A320, we can easily switch on the Superjet 100 as soon as it obtains Russian type certification, planned for November this year, followed by EASA certification in the second half of 2010. Activities on special aircraft versions are progressing with priority given to the corporate/VIP configuration, respectively planned to carry 30-34 and six to eight passengers with a complete range of VIP features.


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|Publication number
|Publication type
|Application number
|Publication date
|Jan 27, 1998
|Filing date
|Sep 17, 1996
|Priority date
|Jul 19, 1994
|Fee status
|Publication number
|Raymond A. Carr, David A. Cianciolo
|Original Assignee
|Linvatec Corporation
|Export Citation
|BiBTeX, EndNote, RefMan
|Patent Citations (20), Non-Patent Citations (11), Referenced by (86), Classifications (21), Legal Events (4)
|External Links: USPTO, USPTO Assignment, Espacenet
This is a continuation application Ser. No. 08/276,979, filed Jul. 19, 1994 and abandoned Nov. 6, 1996.
1. Field of the Invention
The invention relates to a control mechanism for selecting and operating various functions performed by a surgical device control system. More particularly, the invention relates to a foot switch and method for controlling a powered surgical device such as a drive system for powering surgical cutting instruments.
2. Description of the Prior Art
Surgical drive systems are used for powering and controlling a variety of surgical cutting instruments. With respect to arthroscopic or endoscopic surgical procedures, surgical drive systems are generally controlled by the surgeon via hand or foot control devices. This invention pertains primarily to those devices which are operated by foot switches having a plurality of functions.
The foot switch and method of the present invention will be described in the context of a drive system for use in controlling a rotatable surgical shaver although it will be understood that the invention is applicable to other powered surgical devices such as irrigation/aspiration pumps, etc. A rotatable surgical shaver comprises a handpiece having an elongated, inner tubular member situated within a fixed elongated outer tubular member. The proximal ends of both inner and outer members are attached to a handpiece with the proximal end of the outer tubular member being fixed relative to the handpiece and the proximal end of the inner tubular member being rotatable by a motor situated within the handpiece. The distal end of the inner member is provided with a cutting or abrading element and the distal end of the outer member is provided with a window or opening through which the cutting element of the inner member may operate. In certain embodiments, the inner and outer member assembly is generally known as a shaver blade wherein the cutting element of the inner member may cooperate with the window of the outer member to achieve a shearing-type cutting action. In other embodiments the assembly is known as a burr wherein the inner member abrades the tissue through the opening in the outer. The term "cut"refers to all types of cutting or abrading. The cut tissue is aspirated away from the work site through the lumen of the inner member. The rotational speed of the inner member relative to the outer member as well as the direction of rotation and the acceleration of the inner member are parameters which are controllable by surgeons in the use of the devices.
Depending upon the particular surgical procedure, the aforementioned surgical instruments may be used by a surgeon with either a hand or foot control, with the surgeon either sitting or standing. Hand control devices incorporate control switches on the handpiece manipulated by the surgeon and foot control devices incorporate the control switch within a foot switch. It has been found desirable to have a foot switch controller for controlling various functions of the surgical drive system. For example, known foot switch controllers control the direction of rotation of the inner member relative to the outer member (i.e. forward or reverse), the mode of rotation (i.e. single direction of rotation or oscillation). In some instances, the speed of rotation is able to be increased or decreased by adjusting the degree to which a foot switch is depressed.
Prior art foot switches are generally flat rectilinear structures having a plurality of foot actuated levers which in turn move microswitches or activate Hall-effect switches in order to produce either a simple on/off signal or a variable signal, the signals being then used by a control console to produce the desired function in the instrument. These prior art foot switches are able to operate with only one degree of sensitivity. That is, once the switch is designed and manufactured a user may operate the switch to achieve a desired function by depressing a selected button or lever with a predetermined amount of force, the amount of force being determined by the built-in springs, pads and other elements of the foot switch. Thus, prior art foot switches do not enable any variability of the sensitivity of the various switches on the foot switch to accommodate different situations. For example, a surgeon operating a foot switch in a sitting position may desire to depress the foot switch with a different amount of force than if the same foot switch is operated in a standing position.
Moreover, known foot switches, because of their rectilinear construction are unable to easily provide for the control of a large number of functions. Generally, the four corners of a rectilinear switch are the most easily identifiable areas for a surgeon to control especially given the fact that the foot switches are generally used in a tactile mode since the surgeon is unable to directly view the foot switch during use.
Accordingly, it is an object of this invention to produce a foot switch controller for a surgical drive system in which the controller provides a tactile element to the surgeon during use.
It is another object of this invention to produce a foot switch for a surgical drive system in which the various controls provided by the foot switch are easily located by a surgeon without an undue amount of movement of the surgeon's foot during a surgical procedure.
It is yet another object of this invention to provide a drive system having a foot switch in which the sensitivity of the foot switch to pressure may be adjusted to accommodate personal preferences and/or varying operational positions.
It is yet another object of this invention to provide a drive system having a foot switch with no moving parts.
It is yet another object of this invention to provide a drive system having a foot switch which may be controlled in a programmable manner.
It is still another object of this invention to provide a surgical drive system capable of communicating with associated surgical systems such as an irrigation/aspiration system.
It is also an object of this invention to produce an ergonomically designed foot switch to facilitate its use during the performance of an endoscopic surgical procedure.
These and other objects of this invention are achieved by the preferred embodiment disclosed herein which is a foot switch for an endoscopic cutting apparatus comprising a hollow, elongated rotatable inner shaft adapted to rotate within an elongated outer shaft, the foot switch comprising a C-shaped base plate, a C-shaped printed circuit membrane affixed to one side of the base plate and a plurality of force sensitive resistors operatively connected to the printed circuit membrane. The force sensitive resistors are arranged in a substantially arcuate pattern on the printed circuit membrane. A flexible C-shaped molded cover is adapted to receive the base plate and printed circuit membrane. The cover comprises predetermined function-activating areas in alignment with the force sensitive resistors, the predetermined areas being sufficiently flexible to enable selected ones to be depressed to apply force to a corresponding underlying force sensitive resistor to activate a predetermined function associated therewith.
The invention also comprises a method for adjusting the sensitivity of a control switch for controlling the speed of a surgical cutting instrument. The method comprises the steps of providing a switch having a force sensitive resistor for controlling a predetermined parameter of the surgical cutting instrument and monitoring a characteristic of the force sensitive resistor, the characteristic being a function of the pressure applied to the force sensitive resistor. A sensitivity control means responsive to this characteristic is then used for producing a signal representative of a predetermined force sensitivity and the value of the signal at which the force sensitive resistor becomes operational is adjusted.
Another invention disclosed herein comprises a method of controlling the speed of rotation of a rotatable surgical shaver having a rotatable elongated inner member within a fixed elongated outer member, the outer member having a distal cutting window and the inner member having a cutting means which cyclically covers the cutting window. The method comprises the steps of adjusting the speed of rotation of the inner member to a predetermined slow rate and monitoring the size of said window opening at the distal end of the shaver. The method further comprises stopping the rotation of the inner member at a predetermined point to thereby create a predetermined size window opening which may be made as large as possible to facilitate aspiration of fluid from the work site.
FIG. 1 is a schematic view of a surgical shaver drive system showing a front perspective view of a foot switch and a surgical shaver control console, constructed in accordance with the principles of this invention, and a handpiece.
FIG. 2 is a top plan view of the foot switch of FIG. 1.
FIG. 3 is a left side elevation view of FIG. 2.
FIG. 4 is a right side elevation view of FIG. 2.
FIG. 5 is a top plan view of FIG. 2.
FIG. 6 is a bottom plan view of FIG. 2.
FIG. 7 is a rear elevation view of FIG. 2.
FIG. 8 is a front perspective view of a foam insert molded to conform to the interior of the covering of the foot switch of FIG. 1.
FIG. 9 is a top plan view of the foam insert of FIG. 8 partially in cross-section.
FIG. 10 is a cross-sectional view of FIG. 9 taken along the lines 10--10.
FIG. 11 is a top plan view of the base plate which forms a part of the invention.
FIG. 12 is a plan view of the printed circuit force sensitive membrane used in the preferred embodiment of the invention disclosed herein.
FIG. 13 is a cross-sectional view of FIG. 2 taken along the lines 13--13.
FIG. 14 is a diagrammatic representation of the sensitivity adjustment control system used in the preferred embodiment of the invention.
Referring now to FIG. 1, there is shown a diagrammatic representation of a surgical cutting system 10 designed primarily for controlling rotatable, motor driven arthroscopic cutting blades. The invention is equally applicable to any endoscopic motor driven cutting type device. System 10 comprises foot switch 12, console 14 and handpiece 16. Handpiece 16 forms no part of the present invention and is shown merely for explanatory purposes. A prior art drive system and a handpiece similar to handpiece 16 are described in U.S. Pat. No. 5,269,794 (Rexroth) assigned to the assignee hereof and incorporated by reference herein. Handpiece 16 is designed to selectively receive arthroscopic cutting instruments comprising a rotatable elongated inner member situated within a fixed elongated outer member. Cutting edges at the distal end of the inner member serve to resect or abrade tissue during endoscopic surgical procedures, the debris being removed from the surgical site through the lumen of the inner member via an aspirating suction port 17 as will be understood by those skilled in the art.
The present invention is embodied in foot switch 12 and in certain portions of console 14 which affect the manner in which the blades attached to handpiece 16 are operated during a surgical procedure. As used herein, the term "blades"means any cutting device operated by system 10 including rotatable blades, burrs, etc. Console 14 incorporates several control buttons on its front panel, the purpose of which will be discussed below in conjunction with foot switch controls.
Foot switch 12, shown in greater detail in FIGS. 2 through 13, comprises a flat arcuate body 20 joined via an electrical cable 22 to connector 24 which is adapted to mate to a corresponding socket in the front of console 14. Body 20 comprises a generally C-shaped structure having a plurality of unique force sensitive switches arranged in an arcuate pattern about a central point 26. In the preferred embodiment, five discrete switch locations 30, 32, 34, 36 and 38 are arranged arcuately around center 26. The arcuate inside and outside edges 40 and 42, respectively, of foot switch body 20 need not necessarily be semicircular or concentric relative to point 26 and the precise shape of these edges and of the overall foot switch may be changed without departing from the spirit of the invention.
Foot switch 12 has been ergonomically designed to enable a user to activate a plurality of functions with minimal effort. As will be noted from FIGS. 3 through 6, foot switch body 20 is inclined relative to center 26 and discrete switch areas 32 and 36 are raised relative to top surface 46 of body 20. The raised aspect of switch areas 32 and 36 defines peripheral surfaces 50 and 52, respectively, surrounding these switch areas and facilitating their location by a user's foot without the user having to actually look at the foot switch. Additionally, as will be understood below, the operational characteristics of foot switch 12 are adjustable to suit a user's preference. This feature is particularly useful in adapting the foot switch so a user may use it while either standing or sitting.
In the preferred embodiment, the switches at the discrete switch locations are associated with different modes of operation of handpiece 16 and some of them are wired in parallel with switches on the front panel of console 14 (and in parallel with control buttons on the handpiece in some cases, not shown). For example, switch 30 is an on/off "vacuum actuation" switch for controlling an associated irrigation/aspiration system (not shown) to indicate whether or not a vacuum should be applied to the suction port 17 attached to handpiece 16. Switch 32 is the "Variable/Normal" switch which controls the type of rotation of the blades attached to handpiece 16 and operates in conjunction with the "Blade Activate" switch 34 which controls the rotational speed of the inner member within the outer member. The rotational speed may be either varied within a certain range (i.e. variable) or fixed at a set rate (i.e. normal). In the "variable" mode, switch 34, when depressed and held, varies the rate of blade rotation (within the particular predetermined limits for each blade) depending upon the amount of pressure applied. In the "normal"mode, switch 34 merely acts as an on/off switch. Switch 36 is the "Reverse/Forward/Oscillate" switch which controls the direction of rotation of the blades and also can place the blades in an oscillating mode. Switch 38 is the "Aspirate Mode" switch which, when depressed and held, rotates the inner blade at a slow rate of speed (e.g. 60 revolutions per minute) so that a user may, under arthroscopic viewing of the cutting window, stop the inner blade at a precise location to achieve a window opening of desired size through which liquid and/or debris may be aspirated by an associated irrigation/aspiration system (not shown). While the size of the opening is monitored visually in the preferred embodiment, alternative ways of doing this could include automatic means such as monitoring an electrical signal representative of the blade portion and using this to stop the blade at a predetermined position. Switches 32, 36 and 38 are wired in parallel with switches 32a, 36a and 38a on console 14, thus enabling the "variable/normal ", "forward/reverse/oscillate "and "aspirate"functions to be controlled from either location.
As will be understood below, the sensitivity of each switch on foot switch 12 is adjustable and, therefore, the force with which the switches may be activated may be adjusted to a user's preference. Additionally, each switch activation may be accompanied, if desired, by an audio prompt to audibly identify for the user which function has been selected. For example, the words "aspirate", "forward", "reverse", "oscillate", "variable", "normal"and "vacuum" could be programmed to occur when the associated switch is depressed.
Referring to FIG. 1, console 14 includes a foot switch sensitivity button 54 which, by cycling through discrete settings (e.g. low, medium, high) allows a user to adjust the pressure required to activate functions via the foot switch (as will be explained below). Speed control buttons 56a and b, respectively, allow the user to decrease and increase the blade speed in RPM (revolutions per minute) which is displayed on display 58. Buttons 56a and b each have two functions: in the Normal mode of operation the blade speed is controlled, and in the Program Setup Mode, the display is cycled through a menu selection. Indicator 59 shows an arrow pointing up to the variable foot switch icon 59a when the system is in the variable speed mode. "Audio " button 57 enables a user to select the audio level or turn off the audio prompts and "help"button 53 provides the user with a brief explanation at various stages in the menu.
Foot switch body 20 comprises a unitary, molded hollow shell 60 which is formed with a minimal number of openings in order to facilitate the production of a waterproof foot switch suitable for use in an arthroscopic surgical environment. While many polymeric, water-impermeable materials may be suitable, in the preferred embodiment, molded shell 60 is formed of a resilient polyvinylchloride material having a cable strain relief extension 62 with an opening 64 for receiving cable 22. The only other opening in shell 60 is a relatively large arcuately shaped area 64 along the rear surface of shell 60 which facilitates the insertion of the internal components of the foot switch as will be understood below. Opening 64 is bounded by a closed peripheral edge 65. As best seen in FIG. 7, a plurality of fluid passing channels 66 are formed in the outer surface of peripheral edge 65 on the bottom or rear surface of the shell surrounding open area 64. Channels 66 aid in preventing the foot switch from hydroplaning along a wet surface.
The majority of the hollow interior of shell 60 is filled with an elastomeric (e.g. molded polyurethane foam) insert 70 best seen in FIGS. 8 through 10. As shown in FIG. 8, insert 70 is uniquely shaped in areas 70, 72, 74, 76, 78 and 80 to conform to the interior of shell 60 adjacent switch areas 30, 32, 34, 36 and 38, respectively. The elastomeric filler helps to distribute the force as well as to assure some degree of switch activation even if the point of force application varies slightly during use. As best seen in FIGS. 9 and 10, the rear surface of insert 70 is formed with an arcuate recess 82 in order to receive a base plate and cable connection as will be explained below.
FIG. 11 shows an arcuate base plate 86 which is another component of foot switch 12. Base plate 86 is provided with a pair of apertures 87 and 88 for retaining a cable connector (98 described below) and a leak-testing aperture 90 for enabling the pressurization of the interior of foot switch 20 during manufacture. The elevated pressure is used to test the seals used to seal openings in the foot switch and, once the test is completed the interior is vented through aperture 90 which is then sealed itself. In the preferred embodiment, base plate 86 is aluminum and provides mechanical support and weight to the foot switch. The base plate may be coated with a suitable material if necessary to enhance the seal between the plate and the peripheral surface around opening 64 of shell 60. As shown in FIG. 12, base plate 86 is adapted to receive on its top surface a printed circuit membrane 92 which contains force sensitive resistors R1, R2, R3, R4 and R5 arranged in a generally arcuate pattern designed to underlie switch areas 30, 32, 34, 36 and 38 respectively. While other suitable force sensitive transducers may be used (e.g. conductive elastomeric materials, etc.) either individually or arranged in a matrix, the force sensitive transducers used in the preferred embodiment are available from Interlink Electronics of Carpinteria, Calif. in the form of resistors and a membrane having two layers of film substrate, one supporting interdigitating conducting electrodes and the other supporting a semiconductive polymer laminated together with a spacer in between. A characteristic of the force sensitive resistor is that an increase in pressure applied to the resistor results in increased shunting of the conductive layer and ultimately a decrease in resistance. The system monitors this varying resistance in order to control the operation of the shaver blades. The various printed conducting paths are terminated at a connector 94 which mates with jumper cable assembly 96 which is in turn connected to cable connector 98.
The term "force sensitive transducer" is used to refer to any device which has no moving parts (such as levers, plates, springs, etc.) and which can produce an output signal which may vary proportionally as a function of the force applied to the device. Conventional on/off mechanical switches are excluded from this definition. Devices such as the aforementioned force sensitive resistors which have a slight movement are included in this definition since no gross or perceptible movement occurs in such devices. Piezoelectric, conductive elastomers and similar devices are also suitable.
FIG. 13 shows the assembled foot switch as a cross-section of FIG. 2 taken along the lines 13--13. The hollow interior of shell 60 is shown essentially filled with a foam insert 70. The printed circuit membrane 92 and base plate 86 are shown nested into recess 82 in the rear of the foam insert. Once this assembly is completed, the peripheral edge 65 is sealed with a suitable adhesive sealant and the interior of the unit is leak-tested via aperture 90 which is then also sealed.
The actuation thresholds of the various switch functions are easily programmed through the use of force sensitive transducers. This enables a user to adjust the force required to control the various functions depending on personal preference (e.g. the force desired when using the foot switch while seated may be less than when using it while standing). As shown diagrammatically in FIG. 14, the signal outputs of foot switch 12 and console sensitivity selector 54 are provided to a sensitivity adjustment software comparator 100 within microprocessor 102. The output of comparator 100 is, therefore, a function of the threshold selected by the user via sensitivity selector 54 and the force with which the discrete areas of foot switch 12 are depressed. The comparator output signal is provided by microprocessor 102 which ultimately controls handpiece 16 in the manner directed by the foot switch. The microprocessor output can also be provided to a communications bus 104 to control other functions (not shown). For example, if the aspirate mode is selected, not only can the motor be stopped in a desired position but the vacuum applied to the handpiece may be increased by communicating an appropriate signal to an associated integration/aspiration system (not shown). Numerous other functions could be affected by bus 104.
The function of comparator 100 is, in the Normal mode, similar to an on/off switch in that the output of the comparator is a given value when the signal from the force sensitive resistor exceeds a given sensitivity threshold. In the Variable mode, the sensitivity selector button 54 produces discrete ranges (corresponding to, e.g., low, medium and high sensitivity values) and comparator 100 performs a scaling adjustment function. Each sensitivity range is a range of levels with a minimum and maximum value. When the signal from a force sensitive resistor (e.g. digitized to be a value between 0 and 256 , depending on force) lies outside the selected min/max sensitivity range, the comparator output will be fully on or fully off, accordingly. If the signal is within the sensitivity range, the comparator output will be scaled proportionally. That is, using speed as an example, if the low sensitivity range is the full speed range of a given blade (for example, 400 to 4000 rpm) will be controlled over the sensitivity range of values from, say, 4 to 40 . If the level signal corresponding to the resistance of the force sensitive resistor is 20 coming out of an analog/digital converter (i.e., within the selected range), the output of comparator 100 will be a signal level sufficient to produce a speed of 2400 rpm (i.e. proportional to the signal output of the force sensitive resistor at a rate of 100 rpm per single level --400 rpm +(100 rpm/level) (20 levels)). The maximum values of each range represent the minimum amount of force necessary to activate the blade at its lowest speed (the resistance of the force sensitive resistor is inversely proportional to the force applied). Any foot switch output corresponding to a force below this minimum amount of force on the foot switch has no effect and the blades do not turn. As more force is applied to the foot switch, the digitized output signal decreases and the rpm increases until level 4 when the speed will be at its maximum. At this minimum value of each range one reaches the maximum amount of force beyond which variability is not produced. An amount of force above this level does not change the maximum speed of the blade.
Because system 10 is microprocessor controlled, numerous programs may be tailored for each user of a group via a menu driven selection process. For example, if the "Help" button 53 is held depressed, a menu prompt "Select Setup Name" appears on display 58 and then the word "Default" is displayed. Pressing the "increase" and "decrease" buttons 56a and 56b enables the user to scroll through four user name setups: Default, Setup 1, Setup 2 and Setup 3. Pressing the "Audio" button 57 will cause the system to accept one of these choices and continue to the next menu item: "Record Setting OFF "or "Record Setting ON". Scrolling (via button 56a/b) through the menu at this point and accepting (via button 53) the selection enables the user to save in memory various user adjustable functions or not. Numerous other programming operations may be designed into the system to, for example, enable or disable any handpiece controls, edit any setup, replace the display "Setup 1" with the name of a particular doctor, etc.
It will be understood by those skilled in the art that numerous improvements and modifications may be made to the invention disclosed herein without departing from the spirit and scope thereof.
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|Sep 18, 2003
|Mar 24, 2005
|Timothy Forrester
|Mobile communication devices having high frequency noise reduction and methods of making such devices
|Feb 2, 2005
|Jun 16, 2005
|Warner Thomas P.
|System and method for remotely controlling devices
|Mar 31, 2004
|Aug 11, 2005
|Midmark Corporation
|Foot control
|May 29, 2003
|May 4, 2006
|Blaha Derek M
|Illuminated foot-switch
|Dec 12, 2005
|Jul 6, 2006
|Bayerische Motoren Werke Aktiengesellschaft
|Operating element
|Aug 2, 2005
|Feb 8, 2007
|Warner Thomas P
|Device selection module and method for selecting devices
|Aug 2, 2005
|Feb 8, 2007
|Warner Thomas P
|Device control module and method for controlling devices
|Aug 2, 2005
|Feb 8, 2007
|Warner Thomas P
|System and method for remotely controlling devices
|Aug 2, 2005
|Feb 8, 2007
|Warner Thomas P
|System and method for remotely controlling devices
|May 30, 2007
|Oct 4, 2007
|Blaha Derek M
|Illuminated foot-switch
|May 6, 2008
|Nov 20, 2008
|Logue Rebecca L
|Foot-operated key pad
|Jun 26, 2007
|Jan 1, 2009
|Charles Steven T
|Force Sensitive Foot Controller
|May 24, 2006
|Aug 20, 2009
|Ralf Kuehner
|Foot switch for electromedical apparatus and method of manufacturing such a foot switch
|Jun 30, 2009
|Jan 7, 2010
|Beckmer Products, Inc.
|Foot-operated computer input device
|Sep 3, 2009
|Apr 15, 2010
|Steute Schaltgeraete Gmbh & Co. Kg
|Multifunctional foot switch
|Mar 5, 2009
|Jan 20, 2011
|Ellafrits David J
|Foot-Activated Controller for Medical System
|Apr 5, 2010
|Apr 14, 2011
|Beckmer Products, Inc.
|Foot-operated input device
|Sep 13, 2013
|Jan 16, 2014
|Dentsply International Inc.
|System including a wireless dental instrument and universal wireless foot controller
|Oct 31, 2014
|Apr 30, 2015
|Conntrol Internatonal, Inc
|Ergonomic foot switch
|Mar 26, 2014
|Oct 1, 2015
|Ethicon Endo-Surgery, Inc.
|Surgical instrument utilizing sensor adaptation
|Nov 3, 2003
|Jun 30, 2005
|Erbe Elektromedizin Gmbh
|Steuereinrichtung zur Steuerung elektromedizinischer Ger�te
|Jun 24, 2005
|Dec 14, 2006
|Erbe Elektromedizin Gmbh
|Bet�tigungsvorrichtung f�r elektromedizinische Ger�te, insbesondere Fu�schalter, und Verfahren zur Herstellung einer derartigen Bet�tigungsvorrichtung
|Jun 24, 2005
|Jun 2, 2010
|Erbe Elektromedizin Gmbh
|Bet�tigungsvorrichtung f�r elektromedizinische Ger�te, insbesondere Fu�schalter, und Verfahren zur Herstellung einer derartigen Bet�tigungsvorrichtung
|Sep 16, 2011
|Mar 20, 2013
|ARTHREX MEDIZINISCHE INSTRUMENTE GmbH
|Mar 26, 2015
|Sep 30, 2015
|Ethicon Endo-Surgery, Inc.
|Surgical instrument utilizing sensor adaptation
|May 17, 2001
|Nov 22, 2001
|O.R. Solutions, Inc.
|Remote controlled thermal treatment system and method
|Sep 24, 2003
|Apr 8, 2004
|Depuy Products, Inc.
|Method and apparatus for controlling a surgical burr in the performance of an orthopaedic procedure
|Mar 11, 2015
|Oct 1, 2015
|Ethicon Endo-Surgery, Inc.
|Surgical instrument utilizing sensor adaptation
|U.S. Classification
|200/86.5, 338/153, 338/108
|International Classification
|Cooperative Classification
|European Classification
|Jun 29, 2001
|Fee payment
Year of fee payment: 4
|Aug 1, 2003
Owner name: JPMORGAN CHASE BANK, AS ADMINISTRATIVE AGENT, TEXA
Free format text: SECURITY INTEREST;ASSIGNOR:LINVATEC CORPORATION;REEL/FRAME:014327/0097
Effective date: 20020828
|Jun 30, 2005
|Fee payment
Year of fee payment: 8
|Jun 22, 2009
|Fee payment
Year of fee payment: 12


text:
This is a simple block signal for use on rail lines away from station areas. The signal aspects change from Hp0 (red) to Hp1 (green). Track current can be controlled by means of the 72751 control box. Maintenance-free LEDs. Height without base approximately 78 mm / 3-1/16 .A suitable control box is 72751. The 74391 signal cannot be operated with other controllers!
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So it's now May and you may wonder if I did, in fact, manage to get through April on my insane budget of €5 per day? Well, the answer to that is a resounding oui!!! It was pretty difficult the first couple of weeks, but working at the bar was the key - not only did I spend all my time there (thereby not going out and spending elsewhere), but they fed me exceedingly well (my 6'2" macho Italian boss gets really irked that I call him my Italian mama - hee! But really, that's how he feeds me - I've eaten enough pasta to sink a battleship), which meant I hardly had to buy any food at all. So the end result of this was that I ended the month not only on budget but actually €30 ahead - woohoo!!!
So now I can relax and have a bit more fun this month, but it was an extremely useful exercise; I know articles advising on budgeting always tell you how much we waste on unnecessary things but it's not until you really buckle down and try to live on a tiny amount of money that you realize how much just gets frittered away - a magazine, a coffee, a pair of Christian Louboutins (okay, that one might just be me - but that was in the past when I was more gainfully employed). Ahem. Anyway, the point is this: even if you don't need to do it, give it a try for maybe a week on whatever daily sum looks reasonable to you and see if you can do it, it's a pretty interesting experience.


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Negotiators for Gov. Chris Gregoire and the Washington Federation of State Employees have struck a tentative two-year pay deal that ends the 3 percent pay cuts of the past two years and holds out the possibility of 1 percent pay increases in the second year. The contract, once ratified, would take effect July 1, 2013, and the small cost-of-living increase to take effect in mid-2014 is dependent on an improved economy boosting revenues to the state.
"It helps get back some of what we lost the last two years," federation spokesman Tim Welch said by telephone this afternoon.
Leaders in the governor's budget office did not immediately put out statements on the deal.
The union announced the partial agreement in an email alert to members. Copies of the agreement went into the mail today to about 30,000 affected members, who must ratify it by Oct. 1 if the estimated $171 million general-fund cost is to be included in the governor's next budget proposal.
The wage agreement is the first major agreement of more than two-dozen contracts the governor's Labor Relations Office is negotiating, and the health-care piece of the puzzle appears to be the stickier piece.
Welch said talks over health benefits for more than two-dozen state employee unions are continuing in a separate stand-alone agreement.
The agreement includes a 2.5 percent pay raise – known as a step increase – for 16,893 general-government workers who have been at the top pay step for their job classification for at least six years. The state has 12 steps – A through L.
The 1 percent cost-of-living increase would be the first since 2008. None were included contracts for 2009-11 or 2011-13, although step pay increases of 2.5 percent were included in those. But for the COLA to take effect, the state's revenues expected in fiscal year 2015 must exceed by $200 million whatever the Economic and Revenue Forecast Council puts in its preliminary forecast this coming Thursday.
The agreement also has what the union is calling a "me too" clause giving higher adjustments if wage agreements for other unions are richer. The deal also has provisions on personal leave days, granting them to institutional workers for the first time, and compensatory time.
As I reported here, the federation's leaders had held out the possibility of working without a contract – in which case the 3 percent reductions in pay and hours worked for most general-government employees would have ended in July 2013.


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This is my end-of-the-season swan song to the tomatoes in our orto. As the vines wither at the bottom, there are yellow blossoms still sprouting at the top, and green fruit just hanging on in the middle. We spent the cold, wet spring together, you endured hail and high winds, while we…(Read More)
Mother Nature is giving us one last sensory overload before the dark and quiet of winter. Colors are vibrant but tinged with decay. The air carries the scent of earth and smoke; the smell of sunlight and freshness is relegated to the back of the closet along with t-shirts and sandals. Our Umbrian fall…(Read More)
Screen shot 2011-11-06 at 5.12.16 PM Alberto Il Magnifico was a capon, raised with loving care and surrounded by our growing appetites. In case you are wondering, a capon is a castrated rooster. According to Wiki, the Romans 'invented' capons as a way to get around grain rationing for chickens. Those…(Read More)
Some flavor combinations are classic; and sausage and peppers fall into that category. Remember the old cartoons where the vapor would rise from the dish, and then beckon you to eat? That's what happens when you saute peppers and sausage. This dish is perfect just as the weather turns cool, and the last of…(Read More)
It's soup season here in Umbria. Chilly days, wind and rain all mean it's time to get out the soup pot. Soup doesn't have to be a long drawn out, multi-hour event. You can make this creamy red onion soup in about half an hour. That's about the time it…(Read More)
t's olive picking time in Umbria. Olive picking, followed by pressing is fragrantly joyous; there is something comforting about knowing you will have oil. It means there will be food on the table and it will be good. This past weekend, a small group of us were invited by Mario Ciampetti of Terre Rosse…(Read More)


text:
Treatment: 1/3 of patients do not respond to therapy or SSRIs
Goals: develop treatments for OCD that work more effectively
Ways of Showing Symptoms
"Just right" OCD
Ways to Categorize OCD Symptoms
Neurological Mechanisms
The scientific community is not completely aware of the causes of OCD
Genetic Contributions
Association on chromosome 9 near PTRPD gene
Vulnerability to OCD can be inherited
OCD can run in families
Obsessive Compulsive Disorder (OCD)
Animals with OCD-like behaviors
Horses - stall vices
Dogs - tail chasing or ADL
Cats - pica or wool-sucking
Pigs - chain-chewing or bar-biting
most animals responded well to SSRIs: Prozac and Zoloft
Research into genetics
Anxiety disorder
Patients must succumb to compulsions to alleviate stress
Sliding scale - not an on/off switch
Anti-anxiety medications
Many side effects
usually coupled with psychotherapy for best resuls
Cognitive Behavior Therapy
Exposure and Response Prevention is most effective
Selective Serotonin Reuptake Inhibitors
Clomipramine (Anafril)
Side effects include anticholinergenic effects
Fluoxetine (Prozac) - similar to clomipramine
Sample 1: patients with OCD
High levels of glutamate in CSF for sample 1 patients
Sample 2: control patients
Neurological Mechanisms
often linked with other disorders
45 - 60% of TS suffer from OCD
about 2/3 of OCD patients have at least one other disorder
Neurological Mechanisms
Many circuits in the brain
cortico-striatal-thalamus-cortical loop (CSTC)
orbitofrontal cortex
neuronal loops
starting to research into genetics using twins
Thanks for listening!!
Irregular amounts of neurotransmitters in CSF
The areas of the brain affected in obsessive compulsive disorder. Digital image. Cnsforum.com. Lundbeck Institute. Web. 29 July 2014.
Genetics in OCD. Digital image. Jamanetwork.com. Web. 31 July 2014.
Graybiel, Ann M., and Scott L. Rauch. "Toward a Neurobiology of Obsessive-Compulsive Disorder." Review. 343-347 28 (2000). Web. 27 July 2014.
Humble, Mats B., Kerstin Uvnäs-Moberg, Ingemar Engström, and Susanne Bejerot. "Plasma Oxytocin Changes and Anti-obsessive Response during Serotonin Reuptake Inhibitor Treatment: A Placebo Controlled Study." National Center for Biotechnology Information. U.S. National Library of Medicine, 23 Dec. 2013. Web. 27 July 2014.
Jiang, Kevin. "Genetic Analysis Reveals Insights into Genetics of OCD, Tourette's - See More At: Http://news.uchicago.edu/article/2013/11/01/genetic-analysis-reveals-insights-genetics-ocd-tourette-s#sthash.64xfPuog.dpuf." U Chicago News. 1 Nov. 2013. Web. 27 July 2014.
Nestadt, Gerald, Marco Grados, and Jack F. Samuels. "Genetics of Obsessive-Compulsive Disorder." Psychiatric Clinics of North America 33.1 (2010): 141-58. Psychiatry Online. Focus. Web. 27 July 2014.
"Obsessive-Compulsive and Related Disorders." Stanford.edu. Stanford School of Medicine, 2014. Web. 20 July 2014.
OCD Checklist. Digital image. Web. 31 July 2014.
Pauls, David L. "The Genetics of Obsessive-compulsive Disorder: A Review." Nih.gov. PMC. Web. 31 July 2014.
The Serotonin Pathways in OCD. Digital image. Cnsforum.com. Lundbeck Institute. Web. 29 July 2014.
SSRI. Digital image. Ocduk.org. OCD-UK. Web. 29 July 2014.
Subirà, Marta, Pino Alonso, and Cinto Segalàs. "Brain Structural Alterations in Obsessive-Compulsive Disorder Patients with Autogenous and Reactive Obsessions." National Center for Biotechnology Information. U.S. National Library of Medicine, 30 Sept. 2013. Web. 27 July 2014.
"What Is OCD, or Obsessive Compulsive Disorder?" International OCD (Obsessive Compulsive Disorder) Foundation. Web. 27 July 2014.
Williams, Alishia D., and Jessica R. Grisham. "Cognitive Bias Modification (CBM) of Obsessive Compulsive Beliefs." National Center for Biotechnology Information. U.S. National Library of Medicine, 09 Oct. 2013. Web. 27 July 2014.
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We check over 450 retailers daily. Be the first to know when it comes back in stock.
Last seen for $22 at J.Crew.
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Indego Africa is a nonprofit enterprise that partners with women artisans in Rwanda to bring their brilliantly colored and completely handcrafted pieces to the rest of the world. And that's just the beginning of the company's commitment to social change: Indego went above and beyond in the name of empowerment, creating a business training program to encourage entrepreneurship and independence among the artisans. Woven from locally sourced Dutch wax cloth—and individually signed by the artists—these brightly hued pieces might just be the ultimate friendship bracelets. Color: pink
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Wal-Mart's supercenter expansion has reached Meijer's home turf. Has it also met its match?
The answer will play out in towns and cities throughout Michigan in the coming months and years as Meijer, the Grand Rapids-based retailer that pioneered the food and general merchandise hybrid store, defends its home state against an invasion from the mass merchant from Bentonville, Ark., whose supercenter, observers said, owes much to Meijer's innovation.
Though Wal-Mart Stores h


text: Advance and DeBartolo Redeveloping 450K SF Roxbury Township Retail Mall Site Steve Lubetkin, contributor Rendering of The Shops at Ledgewood Commons, Roxbury Twp., NJ ROXBURY TOWNSHIP, NJ—A partnership between Advance Realty and DeBartolo Development has received approval to redevelop The Shops at Ledgewood Commons, a 450,000-square foot, power center on Route 10 in Roxbury, NJ. To attract a diverse mix of shopping and dining that will appeal to residents of Ledgewood and the surrounding area, the partnership will make extensive capital improvements, including removal of the existing Ledgewood Mall to create a modern open-air shopping center with a mix of anchor, junior-anchor and pad-site opportunities. Demolition and construction of the new shopping center is expected to commence late summer, with an estimated completion date in 2019. "For the last two years, we've been carefully designing a plan to transform this prime commercial property into a place where locals can meet, eat and shop," Advance Realty founder and CEO Peter Cocoziello says. "We're grateful and excited that Roxbury Township supports our vision for the property, and we look forward to delivering a world-class shopping destination." Key to the vision for The Shops at Ledgewood Commons is the center's prime geographic location amid a thriving trade area. The property is conveniently located in Morris County on Route 10, a quarter of a mile from Route 46 and two miles from I-80. More than 100,000 people reside within a five-mile radius, with an average household income in excess of $125,000. Advance and Debartolo acquired the former Ledgewood Mall property in 2015. "We could not be more excited to progress to the next phase of our partnership with Advance and begin work on The Shops at Ledgewood Commons," says Ed Kobel, DeBartolo's president and chief operating officer. "We look forward to transforming this formerly aging property and adding new energy to this already vibrant corner of Morris County." Mike Testa, Bill Farkas and Shane Wierks of Jeffrey Realty are serving as exclusive leasing agents for the shopping center. Copyright 2017. ALM Media Properties, LLC. All rights reserved.


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Get the Best Priced GMC V2500 Release Bearing
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GMC V2500 Replacement Release Bearing Information
Search our online release bearing catalog and find the lowest priced discount auto parts on the web. We sell wholesale to the public. We offer high quality new, OEM, aftermarket and remanufactured GMC V2500 Release Bearing parts. We specialize in a wide-variety of high-quality car parts and accessories for your car, truck or SUV. Call toll free to order or place your order online via our secure checkout system. Our online parts catalog uses real-time inventory, so you can be assured the parts you buy are in stock at the time of ordering. Most orders are shipped the same day. They are available for the following GMC V2500 years: 1987, 87. This part is also sometimes called GMC V2500 Clutch Bearings. We stock release bearing parts for most GMC models including Sonoma, Sierra 1500, Sierra 2500 HD, K3500, K25, C1500, K2500, C15/C1500 Pickup, Jimmy, C3500, C35, Yukon, K1500, Safari, Savana 3500, K1500 Suburban, Sierra 2500, Savana 2500, Sierra 3500, Sierra 1500 HD, Savana 1500, Yukon XL 2500, C1500 Suburban, C2500, K2500 Suburban, G2500, S15, S15 Jimmy, G3500, C2500 Suburban, Caballero, P3500, C15, V1500 Suburban, R1500 Suburban, G1500, Syclone, Typhoon, C25/C2500 Pickup and R1500.
We stock these Release Bearing brands for the GMC V2500: Timken, Hays, National and Sachs.
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Product SKU: 614018
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Product SKU: 70-201
Product Note: Self-Aligning; Bearing W-0.714 in.; 1.375 in Shaft Diameter
Inventory: In Stock
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Product SKU: 614083
Product Note: Clutch Release Bearing -- Bearing Assembly - Sealed Self-Aligning
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Product SKU: W0133-1941819
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- 87 1987 GMC V2500 Clutch 4.8L 6 Cyl Valeo
- 87 1987 GMC V2500 Clutch Master Cylinder LUK
- 87 1987 GMC V2500 Flex Plate 5.7L V8 Hays
- 87 1987 GMC V2500 Flywheel 5.7L V8 LUK
- 87 1987 GMC V2500 Pressure Plate 5.7L V8 Centerforce
- 87 1987 GMC V2500 Slave Cylinder PBR
best price, even with shipping. Fast delivery. Part fit great.
The parts received were exactly as described, shipped on time and in appropriate packaging. No issues whatsoever.


text:
A Living Tradition
In the Astanga Yoga traditon we are taught to practice yoga six days a week, taking off for moon days.
Traditionally, Saturday is the day of rest. On this day Pattabhi Jois recommends his students take an oil bath to reduce excess internal heat which can be felt as pain and stiffness in the body, a short temper, red skin, redness in the eyes, or pinkish acne.
To learn why Ashtanga Yoga practitioners take off practice on new moons and full moons visit Tim Miller at www.ashtangayogacenter.com.
Women should not practice inverted asanas during menstration, and if you practice daily, it is suggested to take rest for the first 2-3 days of your cycle.
2017 Moon Days
All traditional Ashtanga Yoga classes will be cancelled on the following days in observance of the Moon:
Full Moon
January 12 (Thursday)
February 10 (Friday)
March 12 (Sunday)
April 11 (Tuesday)
May 10 (Wednesday)
June 9 (Friday)
July 9 (Sunday)
August 7 (Monday)
September 6 (Wednesday)
October 5 (Thursday)
November 4 (Saturday)
December 3 (Sunday)
New Moon
January 27 (Friday)
February 26 (Sunday)
March 27 (Monday)
April 26 (Wednesday)
May 25 (Thursday)
June 23 (Friday)
July 23 (Sunday)
August 21 (Monday)
September 20 (Wednesday)
October 19 (Thursday)
November 18 (Saturday)
December 18 (Monday)


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Hide Images
1Cut off ends of zucchini. Cut each zucchini in half crosswise; cut each half into 8 (3-inch) spears. Place spears in colander over bowl; sprinkle with salt. Cover; let stand at room temperature 4 hours so zucchini spears can dry.
2Once zucchini spears are dry, rinse spears and pat completely dry with paper towels; set aside.
3Heat oven to 425°F. Line cookie sheet with parchment paper; spray paper with olive oil cooking spray. Place flour in shallow bowl. Beat eggs in another shallow bowl. Place bread crumbs in third shallow bowl.
4Coat each zucchini spear with flour; dip into eggs and coat with bread crumbs. Place on cookie sheet.
5Bake 15 to 20 minutes, turning spears over halfway through baking time, until golden brown. Serve warm.


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text:
Nokia and Lonely Planet have teamed up to distribute Lonely Planet
content via Nokia Maps.
The agreement means users can purchase and download city guides,
offering information on where they can find places to eat, shop, drink and
The downloads are available now and cost £5.99. They can befound in Nokia Maps in the Guides section of the Extras menu. Information on over 100 destinations is currently available, and more
Nokia says it is continuing to expand its location database.
Maximilian Schierstadt, head of media partnerships, said: 'Lonely Planet is a well-known
brand amongst travellers and stands for adventure and editorial independence.
'We are very excited to offer their expert local recommendations and
itineraries to our Nokia Maps consumers, which will allow Nokia to continue to
innovate and enable compelling location aware experiences.'
Mobile Industry Awards 2017 - B2B & Distribution Finalists
Mobile Industry Awards 2017 – Retail Finalists announced
Mobile Industry Awards 2017 - Best Ruggedised Device
Nazish Dossa Joins Brighstar as UK Managing Director.
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Huawei - 'Our 2017 focus is premium products'
Retail Special
S6 to re-ignite the market
Brightstar 20:20 and HTC join forces
Meeting the challenge of in-building coverage


text:
Brilliant! Spurs Brazilian midfielder Sandro shows off his guitar and singing skills
Tottenham midfielder Sandro is certainly multi-talented.
He finally returned from injury at the beginning of this season but it appears he's been improving his guitar skills during his times on the sidelines.
In this video for BT Sport, with a bit of help from his friends, Sandro plays and sings the famous Brazilian song Balada by Gusttavo Lima.
He's not bad, you know.
Check out the clip here:


text:
LEORY Protable Mini Mp3 Clip Music Player Earphone Support Micro TF Card Slot USB MP3 Sport Port Iphone - Wonder Digital Tribe Store store at AliExpress
Price: $1.69
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Strange Case of Dr. Self
- Artist: Lindsey Hall
- Format: CD
- Release Date: 4/21/2009
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This album was written and recorded in a just a few weeks by Jake Worley and Dan Forsythe. It was initially made as a senior project for their high school. The album, which debut in 2006, was recorded in analog and bypassed any post-production. Creative songs, high-energy, with sparks of brilliance. This will certainly be a collectors item some day.