text: The following fanfic contains coarse language, sexuality, and mature content that are not suitable for some audiences. Reader discretion is strongly advised. Chapter 1 - Hunting Prey Spoiler You have been warned mothaf****! Spoiler It was a dark night with a crescent moon shining in the sky. The shadow of a being slowly flew up into the sky. The moonlight illuminated the being to reveal a demon with dark wings and dressed in a highly revealing armor. "Mmmm" she said as she licked her upper lip slowly with her tongue before swallowing the last drop of her victim. "Oh my, that was delicious but I'm still hungry. It's unfortunate that he died shortly after, just like every man." She begins to descend down towards a nearby town in search for her next victim. Her wings slowly flap as she flies through the town while maintaining her altitude. She looks through the dark alleyways but not a soul could be found. "Did I already kill every man in this village?" she said to herself as she flies above the center courtyard. From somewhere nearby, someone shouts out "I finally found you damn succubus!" The winged demon looks around and spots a man who emerges from one of the alleyways. Although the man was hooded, the moonlight shined upon him revealing his face to the succubus. "Ooooooo, dark chocolate! My favourite!" said the succubus excitedly. The man walked slowly towards the succubus wielding a pistol in his right hand. He raises his right arm and points the gun toward the demon. "Eat a 9mm mothaf****!" he shouts out as he fires a bullet towards the demon's head. The succubus tilts her head to the side dodging the bullet. However, she seemed to be unfocused with a dazed facial expression and one of her hands holding the back of her neck. The man continues to fire bullets from his gun but the succubus was high enough in the sky that the man ended up missing his shots as she whispered to herself repeatedly "9mm, 9mm, 9mm". The demon hunter pauses to reload his weapon when the succubus yells out "Hey!" The demon hunter jumps back, anticipating that the succubus would attack him but she remained in the sky. She continued "9mm is so puny; it's not even half an inch! You're a disgrace for a man!" The demon hunter was confused "The f*** you talking about?! It doesn't matter, I'm here to kill you! "Huhuhu" she laughed. Another man trying to play hero for all the people I sucked to death. Well I hope that little thing of yours will be able to satisfy my cravings." She prepares herself to swoop down at the man when he suddenly interrupts her. "Wait hold on!" The man said as he was beginning to understand what the demon was talking about. The succubus stops her attack, "You're telling me that you swallow it?" he asked in surprise. "Of course, how can I resist the taste?" she responded. Upon hearing that, the man grabs his crotch with his right hand and lets out a pleasured "Oh my god". The demon notices the look of pleasure on the man's face and seductively tells him "How about I show you what I can do?" The demon hunter responds in a loud tone "Hell no! I'm here for the bounty on your head and can't afford to contract your STDs. That's right; you think all those men died because of your demonic powers? No, it's because you're a f****** whore!" The succubus was extremely annoyed by those words and swoops down at the hunter. The hunter immediately retaliates by pointed his reloaded weapon and firing at the demon. She dodges to the left away from the trajectory of the bullets at an extreme speed. However, the hunter pulls out another pistol with his left hand and fires a shot. Unable to anticipate such a trick, she fails to dodge allowing the bullet to pierce directly through her skull. The demon crashes to the ground. The man slowly walks over to the succubus' body with black blood flowing around her. He tells her "You thought I was terrible at aiming earlier but that was all part of my plan for the right opportunity for the kill." The hand of the demon twitched indicating she was still alive but on the verge of dying. "The man notices this and smirks. "Good, you're still alive. I was hoping to unload one more shot" he says as he unzips his pants. "Looks like today will be a happy ending! Hahaha!" he laughs. As he says that, the demon's body disintegrates into thin air. The irritated demon hunter yells "F***!" The Next Day A short little grotesque goblin was sitting on his stool leaning back towards the counter of his deserted tavern. His right arm was shaking intensely as he looks up at the screen of his small television set watching an alluring movie. "Oh... aw...ugh..." he moaned as he was reaching his peak when suddenly the door to the tavern swings open ferociously, hitting the wall. The sound startles the goblin causing him to fall from his stool. In walks the hooded man as he shouts out "Yo Machry! I killed that sl** of a succubus. It's time to pay up!" Machry gets back up immediately and shouts back "Dammit Lebmont! I was just about to..." Lebmont interrupts him and demands "My money!" Machry tilts his head to the side to check behind Lebmont. "So where's the body? You know I can't pay you unless you prove it to me that you killed her" Lebmont responds "It disintegrated when I shot her. Just trust me; she's dead". Machry sighs "I know you have a reputation for being a great demon hunter but nig**, I need to have the body for research purposes. No body, no money!" The hunter was getting angry now "Listen here you little s***, do you know how much running and shooting I did last night? If you are not gonna pay, then I hope you know I will be doing the other thing my kind do best, and that's stealing. So if you value your life, you better give me the dough." Machry knew he would not be able to protect his riches and himself from the likes of Lebmont so he tries to negotiate. Alright, alright, I'll tell you what. How about you kill this other demon and I will pay a premium on her bounty? "The fact that you are willing to pay a premium has me wondering what kind of demon you want me up against?" said the hunter with a look of curiosity. Machry goes on to explain the tale "Her name is Lingyue Meng. Legends say for thousands of years, she seduces men into loving her..." Lebmont comments "Thousands of years? Damn she must be a good looking milf!" Machry just nods his head in disappointment "As I was saying, it's unclear if she has some ability to ensure that the men fall in love with her but one thing is certain, on the night of a full moon, she reveals her true form; a demonic fox with sixty-nine tails that devours the livers of all men who become infatuated with..." Machry looks towards Lebmont who seemed to be daydreaming. "Hey! Are you even listening?" Lebmont comes back to reality "Sorry man, I was just thinking how amazing this milf must look like." "Sigh..." says Machry as he pulls out a poster and places it on the counter. "This is the most recent picture of Lingyue." Lebmont glances at the poster. To his surprise, it was a picture of a beautiful young woman with blue hair and blue eyes."Oooo she's kinda cute." Machry slams his hand on the poster "Lebmont! You may be a great hunter but even you can fall into her trap." "Don't worry. As long as there's a bounty involved, you can count on me to f*** up that demon!" says Lebmont as he walks confidently out of the tavern. Machry smiles upon hearing those words. "Alright back to what I was doing." He turns around but was disappointed to see that the movie had ended. "Son of a b****!"


text:
Mumsnet has not checked the qualifications of anyone posting here. If you have any medical concerns we suggest you consult your GP.
Can I get a coil fitted 2 weeks after unprotected sex?(6 Posts)
Wetthemogwai Fri 18-Oct-13 19:25:35
Sidge Fri 18-Oct-13 19:28:13
WhoNickedMyName Fri 18-Oct-13 19:28:39
KringleCandleLover Fri 18-Oct-13 19:30:55
Wetthemogwai Fri 18-Oct-13 19:49:40
NotSoSmugMarried Sun 20-Oct-13 21:37:34
Join the discussion
Registering is free, easy, and means you can join in the discussion, get discounts, win prizes and lots more.Register now
Already registered with Mumsnet? Log in to leave your comment or alternatively, sign in with Facebook or Google.
Please login first.

subset: commoncrawl


text:
Residents in limestone-rich West Pokot are rushing to divide their land hoping for compensation from the government as Cemtech, an Indian cement company, prepares to set up a processing plant in the region.
The company is to invest Sh6.4bn to build a cement factory, an investment that is expected to change socioeconomic lives of the Pokot community.
More than 1,700 residents will benefit from direct employment at the plant with 5,000 more likely to get indirect jobs linked to the setup of the plant which targets production of 1.2Mt of cement, said chief executive Jajesh Rawal.
But with the subdivision of land, construction of the plant faces delays as was the case in prior projects such as titanium mining in Kwale District in Coast province where land issues brought to halt a project that would have benefited both the government and locals.
Ortum and Sebit residents are sub-dividing land where the minerals are located, initially classified as trust land.
Other areas where the limestone deposits are found include Batei, Sebit, Parua, and Marich in Pokot Central and in Kiwawa, Kasei and Alale locations in Pokot North district.
Locals are awaiting title deeds so that they can benefit from the cement factory.
Cemtech Group won the bid to construct a cement factory after Kavee Quarries was stopped from excavating the mineral after it failed to honour its pledge to put up a factory in the area.
The company was mining the natural resource before transporting the raw materials to Tororo in Uganda for processing.
It used to remit KES1.2m annual as royalties to Pokot County council, offering employment to more than 200 locals, donating KES200,000 annually for bursaries among other corporate social responsibilities.
According to the District development officer, Ms Gladys Kinyua, the construction of the factory will transform the livelihood of the local community by providing income improving their living standards.
The setting up of the cement plant is set to receive a boost following plans by the government to build a railway between Nakuru through Kabarnet to Marich in West Pokot to open up Kerio Valley region. Published under Cement News


text:
Sunday, June 19, 2011
Douglas Messerli "You Know What I Mean" (on Pina Bausch's Ten Chi and Richard Foreman's Deep Trance Behavior in Potatoland)
by Douglas Messerli
Pina Bausch Tanztheater Wuppertal Ten Chi, Royce Hall, UCLA / the performance I saw as on Sunday, November 11, 2007
Richard Foreman Deep Trance Behavior in Potatoland, The Ontological-Hysteric Theater, St. Marks Church, New York / the performance I saw was opening night, January 23, 2008
Pina Bausch's Tanztheater's "Ten Chi," begins promisingly enough, the stage featuring a sculptural conception of what appears to be a frozen whale or, at least, a whale frozen in space half in and half out of white ocean. For the first half of the work, Bausch's dancers alternate with graceful lifts—in which the women performers such as Azusa Seyama, held parallel to the stage, appear to swim along with the whale—and dreamlike movements and verbal skits, including Metchild Grossman's comic query of the front-row audience members whether or not they snore. The alternating currents of water-and-wave-like movements and the dream-like occurrences—including a shower of seemingly never-ending snow—create what appears to be a significant context for Chi, the metaphysical life forces which are promised as "exercises" in the second act.
Yet gradually, what might have been interwoven into a moving testament to contrary cultural experiences increasingly comes to be represented in cabaret-like sketches: the usurpation of a corner of woman's dress as a male's napkin, a man cavorting in a long evening gown. And differing cultural experiences grow into more like "Saturday Night Live" satires of Japanese stereotypes: a woman teaches others how to properly bow, another gives a rendering of standardized Western images of Japan through a comic extension of the consonants of words such as Mount Fuji, samurai, sushi, etc. Another skit satirizes the Japanese love of the camera; as on-line reviewer Paul Ben-Itzak commented on The Dance Insider: "Do we really need another comic riff on the snapshot-crazy Japanese…?" A dancer of Asian heritage attempts to tell the audience they are now free to leave since the performance is over; as the audience remains frozen in place, she repeatedly returns, with Geisha-like graciousness, to convey the seriousness of her statements: "Oh, I so sorry, very sorry. I understand," she reports, "you think I joking with you, you think when I say you may go now, I am really saying you should stay…"—and in other words to that effect.
Instead of gradually attempting to unveil the mysteries of the life-forces of things, Bausch's dancers turn what began as a cultural exchange on its head, ultimately reverting to all things European rather than Asian. Finally, as these skits gasp into increasingly unfunny comic routines and movements (a dancer punching a miked pillow, three men with Eraserhead hair dancing steps similar to those of street-dancing and hip-hop) the entire performance seems to collapse. Almost as if to redeem the utterly disconnected movements of "Chi," Bausch pulls out the stops, forcing her talented company, one by one, to repeatedly run from every corner of the stage and nearby doors as they dance a maddened frenzy of athletic (and one must admit, often quite joyfully engaging) movements. Perhaps that is enough: certainly the audience at UCLA's Royce Hall thought it sufficient to give a long and rousing ovation, not one of the usually hurried California audience members dashing from the theater to claim his car!
What most irritated me about Bausch's (and her dancer's work, since her theater is a collaborative affair) was that while the work suggested it might attend to one of the most substantial differences between the East and West, focusing on the Asian idea that each thing in the world has its own energy and life-force, "Ten Chi" seemed to indicate that any "superficial differences" the cultures experience are merely something at which to laugh: what we know, they know, and any seeming incomprehension is unimportant.
Perhaps Bausch might have done well to attend the premier, as I did, of Richard Foreman's stunningly complex new play, Deep Trance Behavior in Potatoland. Foreman also works closely with his company in creating the work. But as in his many previous plays, what may seem funny or what might have been transformed to shtick instead becomes representative of the profound differences between all of us, between what you mean by enacting any of the thousand of ritualistic movements you daily employ and those I enact.
Working, like Bausch, through a grant from Japan (and, in this case, England) Foreman this time around incorporated film along with the myriad of ritualistic actions of his on-stage cast. While his actors engage in rites that readily mix the proceedings of a Masonic meeting with those of a highly traditional Jewish ceremony, a troupe of piano playing magicians with the bizarre visions of mediums in mid-séance (a number of the images from the Metropolitan Museum of Art show "The Imperfect Medium [a show I reviewed in My Year 2005] line the walls of the stage set), the figures upon screen take us through equally obscure rituals of behavior in Japanese and English schools.
Just as Bausch's title suggests an engagement with Japanese culture, so too does Foreman's film, beginning with its first image: the words "GO TO JAPAN." Indeed, throughout the film we are engaged with various scenes from Japan and England; yet while the Japanese speak English, the English girls say very little and do a great many strange things. At one point the English women all wear paper hats, another English girl wears an eyepatch, several girls pretend to sneeze, "Kachoo." At one point a male voice sings "Me and my shadow," while the words on screen proclaim: "English people are afraid."
The English-speaking Japanese figures, however, are even more perplexing. Again and again, in heavy and occasionally almost impenetrable Japanese accents, the students of Japan proclaim their ability to be understood by the New York audience:
Japanese Man: "you understand me immediately when I say, everything is a
Reminding. Knock, knock, knock
A short while later:
Japanese Woman: "I understand you immediately when I say"
(in letters) "resonance inside this…..
…..personal belief system"
A few minutes later:
Japanese Man: "I understand immediately when you say I too"
A short time after that:
Japanese boy: "you understand me immediately when I say this real speaking, i.e.
What, not what."
A final example:
Japanese girl: "I understand you immediately, when I say tick tock. I am here, tick
Tock. Proof. Tick Tock."
Time and again in Foreman's world, while we do somewhat comprehend or we get glimmers, at least, of meaning, we very much do not understand what the other precisely means; we recognize that we are leaping to conclusions, desperately attempting to link words and acts that, in truth, do not provide easy access.
But while we may often laugh or smile at those nearly incomprehensible words and acts, at no time do we perceive these as anything but serious attempts to communicate arising from real—if private or hermetic—systems of belief. Foreman's scenes are not skits, but references to the impossibility of truly connecting, as the film says, what's on the screen and what's on the stage (at one point a male voice declares: "No relationship exists between what happens on stage and what is happening on the illuminated screen…."). Yet any intelligent playgoer/filmgoer can only try to link things, a phenomenon Foreman clearly celebrates: "No relationship exists…but suddenly click….and a profound relationship does now exist click."
Rather than the kind of superficial internationalism given voice in Bausch's work, Foreman's complex interweaving of American, English, and Japanese experiences reveals the wonderful element of the unknowable, that which even as we attempt to comprehend, remains inscrutable—the hidden relationships of culture and self. As the words on his screen indicate:
—words which might be easily morphed into another aphorism: "Only being a tourist can one experience another."
Instead of laughing at cultural or personal differences, all those immutable separations between one another, Foreman encompasses them, joyfully celebrating these differences while enjoining us still to attempt the connect: click! –Not the sound of a camera, in this case, but of the mind coming to terms with the world about.
Los Angeles, Easter day 2008
Reprinted from Green Integer Blog (March 2008).
Copyright (c) 2008 by Douglas Messerli.
2 comments:
This comment has been removed by a blog administrator.ReplyDelete
INTERNATIONAL CONCEPT OF WORK FROM HOMEReplyDelete
Work from home theory is fast gaining popularity because of the freedom and flexibility that comes with it. Since one is not bound by fixed working hours, they can schedule their work at the time when they feel most productive and convenient to them. Women & Men benefit a lot from this concept of work since they can balance their home and work perfectly. People mostly find that in this situation, their productivity is higher and stress levels lower. Those who like isolation and a tranquil work environment also tend to prefer this way of working. Today, with the kind of communication networks available, millions of people worldwide are considering this option.
Women & Men who want to be independent but cannot afford to leave their responsibilities at home aside will benefit a lot from this concept of work. It makes it easier to maintain a healthy balance between home and work. The family doesn't get neglected and you can get your work done too. You can thus effectively juggle home responsibilities with your career. Working from home is definitely a viable option but it also needs a lot of hard work and discipline. You have to make a time schedule for yourself and stick to it. There will be a time frame of course for any job you take up and you have to fulfill that project within that time frame.
There are many things that can be done working from home. A few of them is listed below that will give you a general idea about the benefits of this concept.
This is the most common and highly preferred job that Women & Men like doing. Since in today's competitive world both the parents have to work they need a secure place to leave behind their children who will take care of them and parents can also relax without being worried all the time. In this job you don't require any degree or qualifications. You only have to know how to take care of children. Parents are happy to pay handsome salary and you can also earn a lot without putting too much of an effort.
For those who have a garden or an open space at your disposal and are also interested in gardening can go for this method of earning money. If given proper time and efforts nursery business can flourish very well and you will earn handsomely. But just as all jobs establishing it will be a bit difficult but the end results are outstanding.
Freelance can be in different wings. Either you can be a freelance reporter or a freelance photographer. You can also do designing or be in the advertising field doing project on your own. Being independent and working independently will depend on your field of work and the availability of its worth in the market. If you like doing jewellery designing you can do that at home totally independently. You can also work on freelancing as a marketing executive working from home. Wanna know more, email us on firstname.lastname@example.com and we will send you information on how you can actually work as a marketing freelancer.
Internet related work
This is a very vast field and here sky is the limit. All you need is a computer and Internet facility. Whatever field you are into work at home is perfect match in the software field. You can match your time according to your convenience and complete whatever projects you get. To learn more about how to work from home, contact us today on firstname.lastname@example.com our team will get you started on some excellent work from home projects.
Diet food
Since now a days Women & Men are more conscious of the food that they eat hence they prefer to have homemade low cal food and if you can start supplying low cal food to various offices then it will be a very good source of income and not too much of efforts. You can hire a few ladies who will help you out and this can be a good business.
Thus think over this concept and go ahead.


text:
- Please select a date to see the proper prices!
Description of the Accommodation
Rooms, services Guests looking for accommodation in Toyooka are welcome to book 30 nicely furnished rooms at Reyzenit Kinosaki Suite Villa Toyooka. In case you ever feel like eating in, you may taste delicious local dishes in the restaurant of the villa. For recreational purposes you may try the wellness services provided by the villa, an indoor pool will also be waiting for you. The café and the bar provide a nice atmosphere for a romantic evening talk or a personal meeting. You can browse the Internet via wireless connection (WiFi) available at the villa. If you wish to learn more about the exact scope of services provided by Reyzenit Kinosaki Suite Villa Toyooka (including any available for an extra fee), you will find them on the information sheet below.
Payment Depending on the selected date, room and price, you may need to provide credit card guarantee or advance bank card payment to finalize your reservation.
Arrival, opening hours The earliest arrival time is 15:00, the latest time to leave the rooms is 10:00. You will be able to speak with the personnel in Japanese and English languages.
Reyzenit Kinosaki Suite Villa Toyooka rooms Rooms
- Please select a date to see the proper prices!
Accommodation services
Free WiFi in shared places
- Indoor pool
- Pool (Outdoor - seasonally open)
- Finnish sauna
Garden, Bar, Cafe
Own restaurant
Bathrobe, Hairdryer, Fridge, Desk in the room, Washing machine, Tea/coffee-maker


text:
use the following search parameters to narrow your results:
e.g. subreddit:aww site:imgur.com dog
subreddit:aww site:imgur.com dog
see the search faq for details.
advanced search: by author, subreddit...
7 users here now
The history of Scotland, from any period, any source (no memes please)
Please post from a wide variety of sources, and submit one story at a time, don't link-dump.
Take note of reddiquette guidelines on posting from your own site or blog -
"Feel free to post links to your own content (within reason). But if that's all you ever post, or it always seems to get voted down, take a good hard look in the mirror — you just might be a spammer. A widely used rule of thumb is the 9:1 ratio, i.e. only 1 out of every 10 of your submissions should be your own content."
Other subs you may like
This is an archived post. You won't be able to vote or comment.
Medievalists.net gives us a list of the top ten medieval castles in Scotland (medievalists.net)
submitted 3 years ago by historybuffCO
Post a comment!
there doesn't seem to be anything here
Use of this site constitutes acceptance of our User Agreement and Privacy Policy. © 2017 reddit inc. All rights reserved.
REDDIT and the ALIEN Logo are registered trademarks of reddit inc.
π Rendered by PID 55610 on app-69 at 2017-11-20 13:56:51.126788+00:00 running 021be80 country code: US.


text:
Five Things Your Real Estate Agent Won't Tell You2:39
While most real estate agents are hardworking professionals, buyers and sellers may encounter some agents who see only the "me" in home. MarketWatch's Jonathan Burton discusses. (Photo: AP)
WELCOME to Brisbane's most expensive strip of real estate.
A little patch of paradise overlooking the Brisbane River, just a stone's throw from the University of Queensland campus, this is Hiron Street in St Lucia.
Figures compiled by RP Data reveal the short tree-lined stretch of just a dozen properties has a median house value of $3.9 million – the highest of any street in Queensland's capital.
The property research group used an automated model was used to determine values, independent of how many sales had occurred.
Owners include architects and an accountant, a leading medical specialist and members of one of the state's richest families.
And talk about tightly-held. Of the 12 properties here, six are owned by members of just two families.
Fringed by parkland, most of the homes back on to the river and the street's location offers quick and easy access to city as well as the uni.
The appeal of the elite street lies in the opportunity to enjoy waterfront living within easy access of the city, says Jason Adcock, principal at Adcock Prestige. And it has ''some of the best views in Brisbane.
"Not only is it on the river, it is north-facing which is extremely rare in Brisbane. And there are city views as well.''
Throw in a couple of good golf courses and lots of good schools in the area and you've got the pick of property – with the median value $3.9 million.
Mr Adcock said Hiron St was ''without a shadow of a doubt'' one of the most sought-after streets in the state, with huge demand whenever a house came on to the market.
"It has been attracting CEOs of major publicly-listed companies and there's also been a fair bit of interest in the street from buyers from mainland China,'' he said.
On the other side of the river at Hawthorne, properties in Leura Street command a median value of $3.82 million, thanks in large part to panoramic views across the water to the converted wool stores at Teneriffe and the city high-rises beyond.
"It is a cul-de-sac so there is no through-traffic making it nice and quiet and there are some truly magnificent homes,'' said Judy Goodger from Place real estate agents, who is marketing number 26 for around $7 million.
She said the split-level property was designed to maximise breezes and views of the river and city. The five-bedroom house has a temperature-controlled wine cellar and home cinema.
"It's a very tightly-held street,'' Ms Goodger said. There is interest from national and international potential buyers as well as people living on elite acreage who are looking to move closer to the city,'' she said.
The City Cat stop is just a five-minute walk, trendy Oxford St in Bulimba a few minutes' drive and CBD just 10 minutes by car.
House A) Home to a descendant a descendant of one of Queensland's oldest families. Her great-grandfather was a partner in a department store founded in the mid-1800s. Three of the 14 properties in the street are owned by members of the family.
House B) Home to a couple of architects.
House C) Investment property owned by the director of an accountancy firm. It is one of three properties in the street held by members of the same family.
House D, E) This modern five-bedroom home and the adjoining block have been owned for the past decade by a medical professional his wife but is currently on the market, with price ''by negotiation''.
House F) Empty block which belongs to a couple who own a development firm.
House G) A piece of Brisbane history. Designed by American architect Horace Driver, the 1930s property with its distinctive high-pitched gables was reputedly used as the residence of US General Douglas MacArthur and his family during World War II while he was directing the Pacific campaign from Brisbane. The 30-metre river frontage would have been perfect for mooring his motor-yacht "Shangri-La".
The house was bought in 2012 by a veterinary surgeon who lives on the other side of the river, and rents this one out.
House H) The most street's recent arrivals belong to one of the state's wealthiest families. The managing director of an electricity and gas company bought stunning three-level, five-bedroom home complete with heated swimming pool, last year.


text:
Don't miss a story. Like us on Facebook. Like Dallas News' Facebook Page
The obesity numbers are in and they're grim -- particularly in Texas. "At the current rate of weight gain, by 2030, 57.2% of Texans will be obese," writes Jim Landers, going on to detail how this can lead to 13 million more tragic and costly cases of chronic diseases such as diabetes, heart failure, stroke, arthritis and cancer in today's story, State is facing a high price for getting fat.
A doctor I interviewed once took me personally to task, as a member of the media, for contributing to the problem. Why do you run stories about fattening desserts when we have an obesity problem?, he asked me, acusingly. And while I, personally, only occasionally write about food, and usually only healthy choices for our Healthy Living pages, it is true that on the same day we are running Jim's story and a cover story by Sherry Jacobson on Fat in abdomen called diabetes risk, we also have a cover story in Arts & Life on different ways to put an extra yummy oomph into your prepared brownie mixes.
Not to mention all the indignation that's been generated by our excitement over our fried food winners at the State Fair of Texas. And the outrage I'm expecting over publishing these pictures in the blog. And the additional anger I anticipate for even questioning stories about brownies and fried food which are so beloved to so many of our readers.
One thing I've learned about living in Texas is that most Texans don't like us to mess with the foods they like and they really don't like regulations. Hence some really hostile mail I've received over simply posing the question (not even advocating) as to whether Texas should follow New York's lead in banning the sale of sodas and sugary drinks over 16 ounces.
So, are we, the media, part of the problem? Should it be our role to lead the way down a healthier road? Or should be keeping our busybody ways out of each individual's decision about what to eat and when? Personally, I confess to inconsistencies in my own home. I try overall to feed my family healthy foods. The only carbonated drinks I buy are seltzer water, although one of my boys still opts for soda when he goes to the movies. And yet, I make chocolate chip cookies for my son's tennis team tournaments and feel really proud when the kids gobble them up, saying "ooh, they're still warm" (although I know some moms believe, and I see their point, that fruit, which is also provided, is a better choice and more than enough by itself).
I guess what I'm leading up to is the idea of moderation. But is moderation working here in a state where chips (and salsa) are omnipresent, ice cream, pizza, cake and sodas seem required at parties, everything is fried from the steak to the okra, candy bars overflow in our vending machines and they still offer cheese nachos as a kids' school lunch option?
What about a pledge to take three fats out of your family's food rotation each week? Or trying to be virtuous about your food six days of the week with an "indulgent" day on the seventh? How do you think we, as Texans, should try to turn the tide and how you are going to strive to keep your family out of that 57.2% of Texans who are projected to be obese by 2030, with all the life-threatening illnesses that go along with that? I would love to do a follow-up blog with everyone's best suggestions and bring some fresh (and hopefully healthy!) ideas to the table.


text:
|Publication number
|Publication type
|Application number
|Publication date
|Dec 19, 1995
|Filing date
|Dec 20, 1993
|Priority date
|Dec 20, 1993
|Fee status
|Also published as
|Publication number
|Eric S. Fain, Drew A. Hoffman, Benjamin D. Pless
|Original Assignee
|Ventritex, Inc.
|Export Citation
|BiBTeX, EndNote, RefMan
|Patent Citations (20), Referenced by (58), Classifications (8), Legal Events (7)
|External Links: USPTO, USPTO Assignment, Espacenet
The present invention relates generally to lead systems for arrhythmia control devices, and more specifically to an endocardial lead system having a mechanism for fixation of the lead in the heart.
The use of electrical signals to stimulate or steady heart rhythm (pacing) or to restore heart rhythm when the muscle fibers of the heart undergo very rapid irregular contractions, which result in very little pumping of blood (defibrillation), is a well accepted, lifesaving medical technique. Implantable cardioverter/defibrillator devices have been under development since at least the 1960's. The term cardioverter is used to mean a device for the correction of ventricular tachycardia (abnormally rapid heart rate of about 100-240 beats per minute) by discharging electrical energy into the heart. The term defibrillation is used to refer to high voltage shocks which terminate fibrillation (a rapid, chaotic heart rhythm resulting in no effective pumping of blood.) Implanted defibrillation is normally accomplished by passing a current between at least a pair of internally placed electrodes. The electrode arrangement may include a catheter or endocardial electrode which is transvenously positioned within the heart of the patient so that one of the electrodes is within the right ventricle. The other electrode, in the form of a flexible, substantially planar patch, is positioned outside the heart, either subcutaneously or within the thoracic cavity next to the left ventricle. Alternatively, the housing of the defibrillator may be used as an electrode. In other systems an electrode is positioned transvenously within the superior vena cava (SVC). The SVC electrode may be used in place of or in addition to the patch electrode. Electrical current is supplied to the electrodes by a battery powered pulse generator implanted under the skin of the patient, either in the abdominal or pectoral region. Improving the conductance path between the patch electrode (or device housing or SVC electrode) and the right ventricular (RV) electrode results in reduced energy required per defibrillation pulse and this may increase the lifetime of the system or allows for the use of smaller batteries.
For purposes of defibrillation, it is desirable to maximize the contact of the defibrillation electrode with the heart wall, preferably the septum between the right and left ventricles. Such intimate contact with the heart tissue makes defibrillation more effective by lowering the defibrillation threshold (DFT).
One prior art technique for positioning one or more defibrillation electrodes near the septum has used a lead system which includes a plurality of flexible electrodes which, when released, laterally expand into positions which bear resiliently against the surrounding heart walls. See PCT Application No. WO 89/06148 of Edhag. A similar system is disclosed in U.S. Pat. No. 4,998,975 to Cohen et al. These systems however, are somewhat complex and may be difficult to remove after chronic use. Additionally, the systems do not allow significant control in the placement of the electrodes.
A number of techniques have been developed for fixation of the distal end of transvenous endocardial leads within the heart of a patient. One such endocardial electrode is described in U.S. Pat. No. 3,902,501 to Citron et al. which uses a plurality of pliant fixation tines which extend at an acute angle to the lead body from the distal tip of the lead. When the lead is extended into the right ventricle, the tines act as an anchor catching in the trabeculae of the heart wall. Over time, the growth of tissue around the tines will further act to secure the lead tip in place. Another common prior art technique for lead fixation uses a helical or "screw" tip fixation device which extends from the distal tip of the lead body. A stylet or other mechanical means extending through the lead body is used to rotate the screw tip to cause it to bore into the heart tissue. Another fixation technique for a pacemaker lead is disclosed in U.S. Pat. No. 4,858,623 to Bradshaw et al. A rigid hook for engaging tissue is pivotally fastened to the lead in the vicinity of the electrode. The tip of the hook is normally resiliently urged into a recess in the lead adjacent to the electrode. A mechanism is coupled to the lead to permit the normal bias on the hook tip to be overcome to cause the hook to extend outward from the electrode. Each of these techniques is used to affix the distal tip of the lead body to the tissue of a patient's heart. However, with each of these prior art techniques, the positioning of the lead body is not accurately controlled, if at all.
Many of the prior art fixation techniques have been developed for use with pacemaker leads. With such leads, positioning of the distal tip of the lead is all that is required since the lead body is simply an insulated connector. Endocardial defibrillation leads, however, include a defibrillation electrode which extends along the lead body. Typically, the electrode of such prior art leads is fixated chronically by fibrosis or not at all and its placement is not accurately controlled at the time of implant.
It is an object of the invention to provide a transvenous lead system for use with an implantable cardioverter/defibrillator which allows precise electrode placement in intimate contact with the heart wall.
It is another object of the invention to provide a lead system having a fixation lumen for actuating a lead fixation device.
Other objects of the present invention will be apparent from the following description of the invention, read in connection with the drawings.
The present invention provides a novel transvenous lead system which allows precise placement of the defibrillation electrode along the heart wall. This is accomplished by providing a fixation device spaced along the length of the lead body for securing the electrode to the heart wall, preferably the septum between the right and left ventricle. The lead system includes a lead body with a proximal end for connection to an implantable cardioverter/defibrillator and a distal end for transvenous insertion into the right ventricle of a patient's heart. The distal tip of the lead is usually positioned in the apex of the right ventricle and may include fixation means such as a screw tip or tines. A defibrillation electrode begins near the distal tip and runs back along the length of the lead body. A fixation device is spaced along this portion of the lead body approximately half-way between the apex and the tricuspid valve. In a preferred embodiment, the fixation device comprises a fixation hook which is rotated out from the lead body for deployment and then counter rotated to pierce myocardial tissue and cause the lead body to be secured against the septum. The fixation hook is initially in a retracted position within a recess in the lead body to provide ease of insertion of the lead body through a vein into the heart. The hook may have either a circular or elliptical or other appropriate cross section. This embodiment facilitates explant of the lead system since the fixation hook may be rotated out of the septum and then back into the recess for removal. In the preferred embodiment, the lead body includes a fixation lumen which extends along a portion of the lead body parallel to the central lumen of the lead. A fixation stylet is extended through the fixation lumen during implant and used to rotate the hook first away from the lead body and then into the heart tissue.
In an alternative embodiment of the invention, two fixation hooks, spaced along the defibrillation electrode, are used. This provides two points of fixation ensuring maximum electrode/tissue contact.
In another alternative embodiment of the invention, a guiding catheter is used for placement of the lead, thereby shielding venous tissue from potential damage caused by the fixation mechanism during implant. This shielding may alternatively be accomplished by encapsulating the fixation mechanism in a material such as mannitol which harmlessly dissolves following exposure to body fluids.
The various features and advantages of the present invention may be more readily understood with reference to the following detailed description taken in conjunction with the accompanying drawings in which:
FIG. 1 shows a sectional view of a heart having a transvenous lead according to the invention inserted therein;
FIG. 2 shows a cross-sectional view of a portion of the lead shown in FIG. 1;
FIG. 3A shows a cross-sectional view of the lead of the invention along section 3--3 of FIG. 2;
FIG. 3B shows the cross-section of FIG. 3A with the fixation hook deployed in the septum;
FIG. 4 is a diagrammatic representation of a bowing stylet used in positioning the lead of the invention; and
FIG. 5 is a cross-sectional view of a fixation ring of an alternative embodiment of the invention.
An endocardial lead system according to the invention will now be described with reference to FIGS. 1-5. An endocardial lead 20 shown in FIG. 1 includes a pacing/sensing tip 24 at the distal end and a defibrillation electrode 22 proximal of the distal end and extending along the lead body. The proximal end of lead 20 is connected to an implanted cardioverter/defibrillator (not shown) of known construction. The distal tip may include tines 26 to aid in fixation of the distal end within the apex of the patient's heart. In an alternative equally preferred embodiment, the distal fixation device may include a helical screw tip. In another alternative embodiment, the tip may include no fixation device at all. In such embodiment, the distal tip is retained in the apex region of the right ventricle by fixation of the lead body in the vicinity of the defibrillation electrode 22 to the ventricular septum wall 30 as described below.
FIG. 2 shows a portion of the lead 20 in cross-section which includes the defibrillation electrode 22 in the form of a conductive coil wound around the periphery of the lead body. The coil may be of the type disclosed in co-pending U.S. patent application Ser. No. 08/126,619 filed Sep. 24, 1993, which application is incorporated herein by reference. Other known electrode configurations may also be used. Coil 22 is connected to a lead conductor (not shown) at its distal and proximal ends. A fixation hook 28 is positioned in the region of the defibrillation electrode, preferably somewhere along its longitudinal extent. Hook 28 may have various cross sectional geometries including circular to provide a cylindrical hook body and rectangular to provide a flat, ribbon body. In either case, the hook is tapered to a sharp point at its tip. The ribbon configuration provides flexibility along the longitudinal extent of the lead and rigidity in the transverse plane. The hook 28 pivots on a pin 32 which is mounted in a fixation ring 34 within a recess 36. The hook 28 is typically a biocompatible metal such as MP35N or platinum/iridium and can either be active or passive, i.e. electrically connected to the defibrillation electrode 22 or not. Fixation ring 34 may be either conductive on non-conductive. It is important that the material of the hook not exhibit unwanted properties when exposed to high electric fields or currents while in the presence of body fluids. A fixation lumen 38 is provided along lead 20 parallel to and spaced from a lead central lumen 39. Central lumen 39 includes at least one conductor coil 41. Fixation lumen 38 extends along lead 20 to fixation ring 34. It can be open to body fluids if needed because it does not carry a lead conductor which would be susceptible to corrosion if exposed to body fluids. The proximal end of fixation lumen 38 extends to the venous insertion point, i.e. the point along the lead body where it first enters a vein.
During implantation of the lead, hook 28 is retracted within recess 36 which extends around the periphery of fixation ring 34 as shown in FIGS. 2 and 3A. Once the distal end of lead 20 has been positioned within the right ventricle with the defibrillation electrode 22 proximate the septum 30, hook 28 is deployed by rotating it away from the lead body. This is accomplished using a fixation stylet which is inserted through fixation lumen 38. The stylet has a slot head at its distal end which interfaces with a slot 40 in the head of pin 32. After the hook 28 is deployed away from fixation ring 34, it may be rotated in the opposite direction to pierce the myocardial tissue of the septum 30 to securely fix the defibrillation electrode 22 against the septum as shown in FIG. 3B. A depth of about one to three millimeters is sufficient to ensure fixation without any significant damage to the heart tissue. Attachment in this manner allows for later removal in the event this is so desired. The implanting surgeon will position the lead and actuate the fixation mechanism prior to tunneling the remainder of the lead to the pulse generator implanted in either the abdominal or pectoral region.
In an alternative embodiment, a similar fixation mechanism is used which does not include a fixation lumen but is actuated by a stylet passed down central lumen 39 of lead 20. In this embodiment, the stylet may extend through the fixation ring to the distal end of the lead to aid in positioning the lead adjacent the septum 30. The stylet used for this embodiment has a flat section which mates with a slot in the supporting axis of hook 28. This embodiment presents a smaller lead cross section but the conductor and fixation mechanism must be constructed so as to prevent possible damage caused by their exposure to body fluids.
In another alternative embodiment of the invention, a second fixation ring may be used to provide attachment of the lead body to the septum at more than one location. This ensures improved contact at the defibrillation electrode/tissue interface, thereby optimizing the reduction in defibrillation threshold.
In some embodiments of the invention, the hook may extend out from the lead body during implantation. In this case, as described above, the hook is flexible in the direction of the lead axis and is stiff in the transverse plane. This reduces the potential for damage of the blood vessels or heart valve during an implant or explant surgical procedure. Additionally, the lead can be rotated or "spun" in the reverse direction of the hook by the surgeon as the lead is being inserted to prevent the hook from catching on tissue. In such embodiment, the hook may be covered with a biocompatible material which is soluble in body fluids in a manner such as is described in U.S. Pat. No. 4,827,940 to Mayer et al., which patent is incorporated herein by reference. Mannitol or other sugars may be used. In this manner, the hook has a smooth coating during insertion of the lead thereby protecting the vein through which the lead is deployed. During and following insertion of the lead, the coating begins to dissolve and expose the hook for the fixation step. Alternatively, the fixation mechanism may be shielded during the implantation procedure by using an insertion catheter in a known manner.
One potential problem which may be experienced during implantation of the lead involves the step of positioning the defibrillation electrode against the septum prior to actuating the fixation hook. If this is a problem, a double, bowing stylet may be used to flex the electrode against the septum. FIG. 4 is a diagrammatic representation of such a stylet. Pulling on one arm 42 of the stylet and pushing on the other arm 44 causes the pair to bow a sufficient amount to position the defibrillation electrode. Use of this technique for steerable guide wires is known in the art. Alternatively, a stylet may be shaped with an appropriate curvature or bend and then inserted into the central lumen of the lead body to position the fixation mechanism against the septum. Another technique for achieving the desired lead curvature is disclosed in U.S. Pat. No. 4,677,990 to Neubauer, which patent is incorporated herein by reference. A thread is anchored distally of the area of curvature and extends within the central lumen to the area of curvature. There the thread exits the central lumen and extends along the inside of an outer insulating sheath. The thread then reenters the central lumen and extends to the proximal end. By pulling on the thread, the lead is caused to curve in the area where the thread runs outside the central lumen.
In another alternative embodiment of the invention, a fixation device such as the one disclosed in U.S. Pat. No. 4,233,992 to Bisping, which patent is incorporated herein by reference, may be used to secure the defibrillation electrode to the septum. The fixation mechanism includes a spiral-shaped sharp fixing hook which may be provided with a spring winding. The hook is released once the lead body is in place and the spring action causes the hook to pierce the septum and fix the electrode thereto. As an alternative to using a spring to actuate the fixation hook, a stylet may be used to torque the spiral and "screw" it into the septum.
Another alternative embodiment of the invention is illustrated in FIG. 5. A fixation ring 34 is shown and is used with a lead having a fixation lumen such as is shown in FIG. 2. A barb 29 is positioned in a recess 31 during implantation. Once the electrode is positioned against the septum 30, a stylet 33 pushes the barb 29 out of recess 31 and causes it to pierce septum 30. A double bowing stylet may be used to assist in positioning the defibrillation electrode 22 against the septum. Additionally, an insertion catheter or soluble coating may be used to shield the fixation mechanism during implantation as described above.
It should be understood that various alternatives to the embodiments of the invention described herein may be employed in practicing the invention. For example, the fixation means of the invention could be used to secure a lead body to other parts of the heart such as a wall of the right atrium to provide electrical stimulation to the atrium for atrial pacing or to treat atrial fibrillation. Additionally, a biocompatible adhesive could be used as the fixation means to secure the defibrillation electrode to the septum wall. It is intended that the following claims define the scope of the invention and that structures and methods within the scope of these claims and their equivalents be covered thereby.
|Cited Patent
|Filing date
|Publication date
|Jun 21, 1973
|Sep 2, 1975
|Medtronic Inc
|Endocardial electrode
|Oct 28, 1975
|Dec 28, 1976
|Medtronic, Inc.
|Atrial pinch on lead and insertion tool
|Jul 19, 1978
|Nov 18, 1980
|Bisping Hans Juergen
|Implantable electrode
|Nov 13, 1979
|Aug 11, 1981
|Medtronic, Inc.
|Adhesive bonded positive fixation epicardial lead
|Jan 10, 1980
|Sep 15, 1981
|Medtronic, Inc.
|A-V Sidearm lead
|Sep 28, 1981
|Sep 6, 1983
|Medtronic, Inc.
|Positive anchoring A-V lead
|Sep 23, 1983
|Feb 18, 1986
|Daig Corporation
|Endocardial extendable screw-in lead
|Feb 2, 1981
|Feb 17, 1987
|Medtronic, Inc.
|Single-pass A-V lead
|Feb 25, 1986
|Jul 7, 1987
|Siemens Aktiengesellschaft
|Endocardial electrode controllable to form selected contours
|Apr 13, 1987
|May 9, 1989
|Cardiac Pacemakers, Inc.
|Soluble covering for cardiac pacing electrode
|Jul 13, 1987
|Aug 22, 1989
|Intermedics, Inc.
|Active fixation mechanism for lead assembly of an implantable cardiac stimulator
|Mar 13, 1989
|Aug 7, 1990
|Vitatron Medical B.V.
|Pacing lead
|Oct 30, 1989
|Mar 12, 1991
|Siemens-Pacesetter, Inc.
|Travenously placed defibrillation leads
|Jan 8, 1990
|May 21, 1991
|Cardiac Pacemakers, Inc.
|Implantable tapered spiral endocardial lead for use in internal defibrillation
|Apr 10, 1989
|Oct 1, 1991
|Mieczyslaw Mirowski
|Cardiac defibrillation/cardioversion spiral patch electrode
|Mar 20, 1991
|Sep 8, 1992
|Medtronic, Inc.
|Transvenous defibrillation lead and method of use
|Sep 7, 1990
|Dec 29, 1992
|Cohen Fred M
|Pacing systems and methods for control of the ventricular activation sequence
|Sep 15, 1976
|Aug 12, 1980
|Rasor Associates, Inc.
|Organ stimulator
|Nov 13, 1974
|May 26, 1976
|Michael S Dipl Ing Lampadius
|Cardiac pacemaker electrode with adhesive reservoir - gives precise location of electrode in heart muscle tissue
|Jan 9, 1989
|Jul 13, 1989
|Knut Olof Edhag
|An intravascular electrode lead usable for cardiac defibrillation
|Citing Patent
|Filing date
|Publication date
|Jun 7, 1995
|Nov 5, 1996
|Intermedics, Inc.
|Transvenous defibrillation lead with side hooks
|Dec 19, 1995
|Nov 4, 1997
|Ventritex, Inc.
|Lead with septal defibrillation and pacing electrodes
|Oct 11, 1995
|Dec 2, 1997
|Pacesetter, Inc.
|Endocardial lead system with defibrillation electrode fixation
|Apr 28, 1997
|Jun 2, 1998
|Sulzer Intermedics Inc.
|Endocardial lead with lateral active fixation
|May 22, 1997
|Jun 23, 1998
|Sulzer Intermedics Inc.
|Endocardial lead with multiple branches
|May 22, 1997
|Feb 16, 1999
|Sulzer Intermedics Inc.
|Epicardial lead for minimally invasive implantation
|Nov 10, 1998
|Mar 7, 2000
|Intermedics Inc.
|Cardiac lead with reduced inner crimp sleeve
|Nov 10, 1998
|Oct 31, 2000
|Intermedics Inc.
|Cardiac lead with ETEE coated DBS coil
|Jul 7, 1999
|Jan 30, 2001
|Claudio Ceron
|Anchoring structure for implantable electrodes
|Feb 27, 2001
|Apr 29, 2003
|Biotronik Mess -Und Therapiegeraete Gmbh & Co. Ingenieurbuero Berlin
|Electrode arrangement
|Jun 12, 2003
|Sep 5, 2006
|Mitral Interventions, Inc.
|Method and apparatus for tissue connection
|Aug 1, 2000
|Jul 3, 2007
|Cardiac Pacemakers, Inc.
|Lead having varying stiffness and method of manufacturing thereof
|Jun 10, 2005
|Mar 11, 2008
|Ndi Medical, Llc.
|Method for affecting urinary function with electrode implantation in adipose tissue
|Jun 10, 2005
|Jul 21, 2009
|Medtronic Urinary Solutions, Inc.
|Systems and methods for bilateral stimulation of left and right branches of the dorsal genital nerves to treat dysfunctions, such as urinary incontinence
|Sep 15, 2004
|Oct 13, 2009
|Boston Scientific Neuromodulation Corporation
|System and method for lead fixation
|Sep 1, 2006
|Nov 17, 2009
|Mitral Interventions
|Method and apparatus for tissue connection
|Oct 2, 2006
|Jul 20, 2010
|Medtronic Urinary Solutions, Inc.
|Systems and methods for clinician control of stimulation systems
|Jun 10, 2005
|Oct 12, 2010
|Medtronic, Inc.
|Implantable pulse generator for providing functional and/or therapeutic stimulation of muscles and/or nerves and/or central nervous system tissue
|Feb 26, 2004
|Mar 20, 2012
|Boston Scientific Scimed, Inc.
|Medical devices
|Jul 3, 2007
|Apr 24, 2012
|Medtronic Urinary Solutions, Inc.
|Implantable pulse generator power management
|Oct 12, 2007
|Jun 5, 2012
|Medtronic Urinary Solutions, Inc.
|Implantable systems and methods for acquisition and processing of electrical signals
|Jun 23, 2008
|Jun 19, 2012
|Cardiac Pacemakers, Inc.
|Implantable lead for septal placement of pacing electrodes
|Sep 3, 2009
|Oct 9, 2012
|Boston Scientific Neuromodulation Corporation
|System and method for lead fixation
|Jan 28, 2009
|Jan 29, 2013
|Boston Scientific Neuromodulation Corporation
|Fixation of implantable pulse generators
|Mar 28, 2007
|Jun 18, 2013
|Medtronic, Inc.
|Stimulation of dorsal genital nerves to treat urologic dysfunctions
|Jul 15, 2009
|Oct 15, 2013
|Mitral Interventions
|Method and apparatus for tissue connection
|Mar 30, 2009
|Nov 26, 2013
|Medtronic, Inc.
|Passive fixation medical electrical lead
|Oct 31, 2007
|Feb 11, 2014
|Medtronic Uninary Solutions, Inc.
|Systems and methods including lead and electrode structures sized and configured for implantation in adipose tissue
|Jan 28, 2013
|Mar 4, 2014
|Boston Scientific Neuromodulation Corporation
|Fixation of implantable pulse generators
|Jul 1, 2010
|Apr 22, 2014
|Medtronic, Inc.
|Systems and methods for clinician control of stimulation system
|Jul 14, 2006
|Oct 21, 2014
|Cardiac Pacemakers, Inc.
|Cardiac electrode anchoring system
|Sep 7, 2006
|Dec 8, 2015
|Medtronic Urinary Solutions, Inc.
|Implantable pulse generator systems and methods for providing functional and/or therapeutic stimulation of muscles and/or nerves and/or central nervous system tissue
|Mar 5, 2014
|Dec 22, 2015
|Medtronic Urinary Solutions, Inc.
|Systems and methods for clinician control of stimulation systems
|Apr 9, 2004
|Dec 29, 2015
|Cardiac Pacemakers, Inc.
|Cardiac electrode anchoring system
|Sep 7, 2006
|Apr 12, 2016
|Medtronic Urinary Solutions, Inc.
|Implantable pulse generator systems and methods for providing functional and/or therapeutic stimulation of muscles and/or nerves and/or central nervous system tissue
|Feb 28, 2007
|Nov 1, 2016
|Medtronic Urinary Solutions, Inc.
|Systems and methods for patient control of stimulation systems
|Dec 7, 2015
|Mar 21, 2017
|Vquad Medical
|Epicardial heart rhythm management devices, systems and methods
|Mar 7, 2016
|Aug 8, 2017
|Medtronic Urinary Solutions, Inc.
|Implantable pulse generator systems and methods for operating the same
|Dec 18, 2015
|Sep 19, 2017
|Cardiac Pacemakers, Inc.
|Medical lead anchoring
|Jun 12, 2003
|Mar 11, 2004
|Mitral Interventions, Inc.
|Method and apparatus for tissue connection
|Oct 9, 2002
|Apr 15, 2004
|Kroll Mark W.
|Methods and systems for treating ventricular fibrillation
|Jan 28, 2003
|Jul 29, 2004
|Cardiac Pacemakers, Inc.
|Tachy lead system optimized for septal placement
|Aug 10, 2004
|Feb 17, 2005
|Haack Scott Graham
|Cardiac pacing lead having dual fixation and method of using the same
|Jun 10, 2005
|Jan 5, 2006
|Bennett Maria E
|Systems and methods for bilateral stimulation of left and right branches of the dorsal genital nerves to treat dysfunctions, such as urinary incontinence
|Jun 10, 2005
|Jan 5, 2006
|Ndi Medical, Inc.
|Lead and electrode structures sized and configured for implantation in adipose tissue and associated methods of implantation
|Nov 4, 2005
|May 10, 2007
|Cardiac Pacemakers, Inc.
|Tissue stimulating lead and method of implantation and manufacture
|Sep 1, 2006
|Jul 26, 2007
|Tremulis William S
|Method and apparatus for tissue connection
|Jun 14, 2007
|Oct 11, 2007
|Cardiac Pacemakers, Inc.
|Lead having varying stiffness and method of manufacturing thereof
|Jan 5, 2009
|Jul 16, 2009
|Tremulis William S
|Method and apparatus for tissue connection
|Jan 28, 2009
|Jul 30, 2009
|Boston Scientific Neuromodulation Corporation
|Fixation of implantable pulse generators
|Mar 30, 2009
|Oct 29, 2009
|Medtronic, Inc.
|Passive fixation medical electrical lead
|Jul 15, 2009
|Nov 5, 2009
|Tremulis William S
|Method and apparatus for tissue connection
|Sep 3, 2009
|Dec 31, 2009
|Boston Scientific Neuromodulation Corporation
|System and method for lead fixation
|Jun 18, 2009
|Jan 7, 2010
|Ela Medical S.A.S.
|Preformed stylet for guiding a lead to contact the septum
|Jul 12, 2010
|Jan 20, 2011
|Sorin Crm S.A.S
|Coronary Venous Pacing Lead And Anchoring Screw System
|Aug 29, 2011
|Dec 20, 2012
|Ellis Garai
|Device and method for positioning an electrode in tissue
|Oct 31, 2013
|Feb 27, 2014
|Physio-Control, Inc.
|Pulse detection using patient physiological signals
|Mar 1, 2001
|Sep 5, 2001
|BIOTRONIK Mess- und Therapieger�te GmbH & Co Ingenieurb�ro Berlin
|Electrode device
|U.S. Classification
|607/126, 600/375
|International Classification
|Cooperative Classification
|European Classification
|Dec 20, 1993
Owner name: VENTRITEX, INC., CALIFORNIA
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:FAIN, ERIC S.;HOFFMAN, DREW A.;PLESS, BENJAMIN D.;REEL/FRAME:006821/0880
Effective date: 19931217
|Nov 14, 1997
Owner name: PACESETTER, INC., CALIFORNIA
Free format text: MERGER;ASSIGNOR:VENTRITEX, INC.;REEL/FRAME:008842/0454
Effective date: 19970515
|Jun 7, 1999
|Fee payment
Year of fee payment: 4
|May 27, 2003
|Fee payment
Year of fee payment: 8
|Jun 27, 2007
|Maintenance fee reminder mailed
|Dec 19, 2007
|Lapse for failure to pay maintenance fees
|Feb 5, 2008
|Expired due to failure to pay maintenance fee
Effective date: 20071219


text:
Chewey Loves Wellness Complete Health Available at PetSmart & I Love The Wellness Difference! #WellnessPet
This post is sponsored by Wellness and the BlogPawsTM Pet Influencer Network™. I am being compensated to help share the availability of Wellness Products at PetSmart, but we only share information we feel is relevant to our readers. Neither Wellness nor PetSmart is responsible for the content of this article.
It is no secret that my little Chewey the Chihuahua loves Wellness® Complete Health™ available at PetSmart. He has been enjoying the delicious and wholesome foods that Wellness Complete Health provides. He just enjoys it and I have been treating him to a bit of the Wellness wet foods mixed in with his Wellness Complete Health Adult Small Breed Formula crunchy foods. He loves the mix of both and just eats it up each and every time. Personally… I am loving the results as my little man is looking and feeling good!
Let me tell you a little about Wellness and the Wellness Difference. These are the many reasons that I feel confident that with Wellness Complete Health, Chewey is getting the super nutrients that his little body needs. The Wellness difference is about being more than natural and it is not about what Wellness if leaving out…. such as fillers and artificial ingredients because that is a given for Wellness. What is important is what Wellness puts into their foods…. simple, pure and authentic ingredients that make their foods the superior choice for your furry family members. Every ingredient they put into their foods has a purpose and you can rest assured that they do their research to prove just that… before ever putting their products out into the marketplace.
Let me tell you a little more about Wellness. I love that they use high quality proteins sourced from trust worthy suppliers as the first ingredient in all of their recipes. They use deboned poultry, lean meats and fresh fish that provide excellent sources of protein that help to build and maintain lean muscle mass plus fatty acids that help to support healthy skin and coat for your pet. I love that Wellness uses healthy fats such as chicken fat, salmon oil and canola oil which also support healthy skin and coat, proper body function and enhanced learning in young puppies. They also use wholesome grains and natural fiber, from ingredients like oatmeal and brown rice, which help to maintain a healthy intestinal tract. I also love that they use a variety of fresh and dried fruits and vegetables that are rich in nutrients that provide additional flavor, taste and fiber. In a nutshell…Wellness Complete Health provides your pet(s) with a balanced blend of high quality proteins, grain free carbohydrates, select fats and nutrient rich fruits and veggies that provide the energy and nutrition that your pet needs to thrive. For Chewey and I, there is nothing better. When he is happy and healthy so am I!
Now it is time for you to see all that Wellness® has to offer. Simply visit your local PetSmart or visit online if it is more convenient and save $5.00 off of any 24lb. bag of Wellness Complete Health™ Dog Food available at PetSmart. Hurry The Offer Expires 11/30/16.
Do You Have A Furry Family Member Of Your Own? Leave Deliciously Savvy Some Comment Love and Tell Us All About It!
This is a sponsored conversation written by me on behalf of Wellness. The opinions and text are all mine.


text:
Teresa Castillo debuted as nursing student Sabrina Santiago on General Hospital in late 2012. She was a rather plain-looking, shy young woman who had a crush on Patrick Drake, the widower of Robin Scorpio.

If you're an old movie fan, the name Sabrina conjures up the tomboyish Audrey Hepburn in Sabrina who comes back from Paris a glamour girl and wins the notice of William Holden. So the name is possibly not a coincidence. And whenever you see a young woman in glasses, you just know a makeover is coming.

Even with her head down and going about her work, Sabrina posed a threat to the nasty Dr. Britt Westbourne, who wanted Patrick Drake, seemingly at any cost. Sabrina probably was threatening to the doctor because she had a warm relationship with Emma, Patrick's daughter, she had a sweet personality, a gentleness, and true compassion. These were all qualities that Britt had yet to demonstrate.

Britt went so far as to manipulate things to make Sabrina flunk out of nursing school, though she stood up for herself and demanded to be tested again. Low, Britt, low.

The new nurse became an integral part of the hospital part of the General Hospital fabric, responsible for making contact with Lucy Coe and bringing back the Nurses Ball.

The night of the Ball, Sabrina was made over, in part thanks to her new friend, fellow nurse Felix Dubois.

The young woman gained confidence and ultimately found romance with Patrick. They became engaged and planned to marry, unaware that Robin was alive. They became aware when she appeared at the back of the church as Patrick and Sabrina were saying their vows.

Complications

She and Patrick broke up after Patrick returned to Robin, though that reunion didn't last long. Sabrina's old boyfriend Carlos arrived in Port Charles, wanting to reconcile with her. Carlos, however, is a dangerous guy.

Sabrina learned she was pregnant, and Carlos offered to marry her and raise the child as his own, though it was Patrick's. She refused; Patrick learned the child was his and remained a help during the pregnancy.

Unfortunately, a car accident caused the baby, Gabriel, to be delivered prematurely, and he didn't make it. Distraught, Sabrina returned to Puerto Rico for a time. When she returned, she was a different person, bent on revenge, still devastated about losing her son.

Sabrina learned that Rafe Kovich was hired to force the car off the road. She visited Carlos, now in prison, and he told her that Ava Jerome threatened to harm Sabrina if Carlos did not confess to the murder of A.J. Quartermaine.

Sabrina wanted Ava to suffer, so she switched Ava's medicine with misoprostol, which brings on premature labor. When Patrick obtained evidence of another suspect, Sabrina regretted what she had done, and tried to keep Ava from ingesting any more. She also confessed -- and was fired.

Carlos was released from prison after it was found that he had not committed a crime. He wanted to leave the mob, but later appeared at Sabrina's with Johnny Zacchara, who had a gunshot wound. Zacchara required medical care but could not go to the hospital; the wound would be reported to the police.

Sabrina took care of Johnny's injury, and he and Carlos remained in hiding at her apartment. Carlos informed her that Ava was presumed dead since he shot her, and she fell into the river.

Michael Corinthos hired Sabrina to work at the free clinic that he planned to build. The plans were put on hold, so he hired her as a nanny for his baby sister, Avery.

The fact that the baby was Ava's child caused Sabrina to be hesitant -- she had attempted to harm the baby before she was born. Kiki, Ava's daughter, objected. Knowing what she went through was an aberration and that she could never hurt Avery, Sabrina accepted the job.

Now she and Michael are in love, and the future looks bright for her. With Sonny injured, Michael is running his business -- does this mean that he will enter the mob organization like his father? Everyone hopes not....particularly Sabrina.

Teresa Castillo

Long Beach, California native Teresa Castillo was born October 14, 1983. She attended University of California at Irvine.

Professionally, she is a triple threat -- actress, singer, and dancer. She is a strong enough singer, in fact, to have played Maria in West Side Story. We're talking big high notes in that one!

As a dancer, Castillo has had extensive ballet training, as well as in tap and jazz. She was the lead in two other musicals: Little Shop of Horrors and Bye Bye Birdie, and she was part of a Disney/ASCAP workshop of Steven Schwartz's Alladin.

"Sabrina's" lovely singing voice was heard at the Nurse's Ball in a short solo, and then later in a duet with Emma Drake.

In her television work, Castillo has been prolific since 2005, with roles on episodes of Cold Case, 90210, CSI Miami, Bones, iCarly, Eagleheart, The Secret Life of an American Teenager, Franklin & Bash, How I Met Your Mother, and a TV movie, The Seven-Year Hitch in 2012. In 2012, she was put under contract by General Hospital.

She has also been active in commercials: McDonald's, Chevrolet, Trans Air, Lot 29 Clothing, and Johnson & Johnson.

Castillo has been married since 2008 to Shane Aaron, and the couple recently welcomed their first child, Victoria. A second child is on the way.


text:
Lord, thank you for all your countless blessings. Guide our eyes oh lord to see not the faults of others but the goodness they have in their hearts. Strengthen us day by day that no matter how hard our problems maybe may we conquer it and triumphantly rejoice that in all of these you have stood by us...
Join in and write your own page! It's easy to do. How? Simply click here to return to Short Prayer Requests.
Click for Inspiration
50 Inspirational Bible Verse Pictures
See What Happens After A Single Act Of Kindness
By The End of This Video, Your Faith Will Be Stronger Than Ever
See What Happens When Someone Pays For A Random Stranger's Groceries
Popular Prayers
Must Reads:
5 Powerful Prayers for Prosperity
Does God Answer Prayers?
8 Prayers You Need to Know by Heart
The Trick to Powerful Prayer


text:
Fortified family home
Parts of Cloghan Castle in Banagher, Co Offaly date back 600 years, when the land was captured by the famous prince and clan chief, Eoghan of the O'Maddens - a noted builder of castles of stone and wood.
Over the years the castle has seen plenty of action and was occupied by both Cromwellians and Jacobites. Most recently, Cloghan has been used as a family home, located in a completely private setting surrounded by parkland. With guard towers, 300 yards of high stone walls, and a two-storied great hall with an immense carved mantelpiece, there is no denying that Cloghan is the real deal.
Agent: Savills Country (01 663 4350)
Sunday Indo Business


text:
Fife's Economic Strategy 2017-2027
You are invited to have your say on a new economic strategy that's been developed for Fife.
Fife's Economic Strategy 2017-2027 sets out the way Fife Council, the Fife Economy Partnership and Opportunities Fife Partnership will work together over the next 10 years to achieve stronger, sustainable and more resilient economic growth for Fife and its businesses, growth which is shared equally by all.
Your views will help the Council and two Partnerships ensure that the new strategy has identified and will tackle the issues and challenges that Fife companies currently face.
This form is closed


text:
Hemoroizi Forum
Sign In
Informatii generale despre hemoroizi
Jaguar Animal
March 20
Game meat is typically taken from the wild animal that has been hit with a gun or bows. Once obtained, game meats clarification needed must be processed. The method of processing differs by game species along with size. Small game along with fowl may simply be transported home to be butchered Big game such as deer is definitely quickly field-dressed by eliminating the viscera in the area, while very large animals just like moose may be partially butchered in the field because of the trouble of removing them complete from their habitat. Commercial processors often handle deer taken during deer seasons, sometimes even at supermarket meat counters. Otherwise the hunter holders butchering. The carcass is usually kept cool to minimize spoilage. Text is available under the Inspiring Commons Attribution-ShareAlike License; further terms may apply. By using site, you agree to typically the Terms of Use and Privacy Policy Wikipedia® is a registered trademark of the Wikimedia
learn this here now
Foundation, Inc., a non-profit organization. Microsoft company may email you a reply from the app provider (but won't share your electronic mail address). Use the link from the email to opt from future communications. Customize that nice fox in the way that you like, by choosing the colour of the elements and the shape of the hair... Produce selections with your mouse. Wild about words? Create your personal animal and plant poems using ARKive's fridge magnets. If you'd still choose to play this game you will need to use a different browser. I am sorry!
These hungry dinosaurs want your help to reach that food released by the adjoint, placing strategically the elements you will get... Play with the mouse. The sad truth is we usually are always so gentle with our animal friends and every
day time another species is at likelihood of extinction, never to be seen once more. As a researcher in Pets or animals at Risk, we need you to find and photograph these endangered animals. Hint Animal Game. Like a review of animals flashcards, T holds some cards with no showing any to the Ss. Then the T tells the kids that they are going to receive three hints, so they need to listen closely carefully. For example: 1 . Me yellow. 2 . I have extended hair. 3. I am robust. Who am I? Well, the lion of course! You can make this in different levels depending on simply how much English you use or which often vocab you use. This cute little mama pig is expecting a baby and as her farmer, is actually up to you to make sure that her fresh babies will be healthy. Look after both her and the infants in this animal care sport, Pregnant Pig New Toddlers.
Add a Comment
Howdy, Stranger!
It looks like you're new here. If you want to get involved, click one of these buttons!
Sign In
Apply for Membership
All Discussions
Sfatul doctorului
Clinici si doctori
Informatii generale despre hemoroizi
Powered by Vanilla


text:
Several months ago Lamon Brewster, who faces Kali Meehan this Saturday night
at the Mandalay Bay in Las Vegas on Showtime, stopped Wladimir Klitschko to
capture the WBO heavyweight title. A couple of weeks ago at his media day at
the Broadway Gym near Watts, manager Sam Simon would present Brewster with
another trinket to go along with his championship belt.
As Simon addressed the gathered media and well-wishers, he pulled out of
his pocket a sparkling gold ring -- which had plenty of bling to it -- not to
propose, but to honor his fighter's achievement.
"That's truly the icing on the cake for me because now, I mean, man, I feel
official," said a gratified Brewster of his newest jewelry. "A lot of people
can have a belt made, but man, that ring, wow."
Simon, who is the Executive Producer of "The Simpsons" in his real life,
came up with the idea.
"The ring is traditional in sports," says Simon, who considers Brewster a
part of his family. "They don't do it as much in boxing but mainly you look
for ways to commemorate these special things that happen in life and the
ring seemed like a good idea. It's big and heavy, and I'm hoping Lamon can
wear it under his glove for the next fight."
Simon was just kidding around with his last statement and it seemed like he
was poking fun at the excuses made by Klitschko following their fight this
past April. But the allegations that were made by Klitschko and his team in
the aftermath of his loss to Brewster have perhaps taken away some of the
luster of their win.
"I think to an extent, to a small extent, I'd say yes," admitted Brewster,
whose camp was fingered by the Klitschkos with some bizarre conspiracy
theories. "I think the true fight fans of boxing knew for a fact that
nothing was wrong with the fight other than the left hook to the chin. I
think it just set boxing back. I looked at him as a gentleman because he
didn't carry himself with a big entourage; he wasn't a mean-mugger, a bully.
He got in there and fought, he spoke well to the best of his ability, but in
losing, well, things like that keep us in the dark."
But while Klitschko was unable to continue after the fifth round after
taking a big left hook from Brewster and then succumbing to exhaustion, he
had his way with Brewster early on, hitting him with hard, precise punches
and sending him to the canvas in the fourth round. But Brewster insists that
the fight turned much earlier than when he hit Klitschko with his own big
"I knew it was going to turn in the second round," he claims. "When he
leaned over to me and I heard him breathing so hard, I just said to myself,
'Man, I just gotta be patient, keep being persistent, make him throw all
those punches and pretty soon he'll run out of gas."
And sure enough, the needle would hit "E" for Klitschko, who was deemed
unable to continue after the fifth round by referee Robert Byrd. Suddenly
and shockingly, Brewster, who came into the fight as an 8-1 underdog and who
was thought of as cannon fodder by HBO, was the new WBO champion.
As the fight was called off, pandemonium and exhilaration swept through the
Mandalay Bay Events Center, which was littered with the friends, family and
supporters of Brewster and his manager.
"It was such a spiritual thing for me. It felt like God himself showed up
on the scene and just touched me and lifted my spirits up," said Brewster.
"Like all the struggle, all the hardships and all that I endured coming into
that fight, it just seemed like he said, 'After 30 years, I've seen your
struggle, I felt your pain, I know what you want and you've proved to be
worthy of this blessing. So I give it to you.' And that's what I felt."
But what should have been one of boxing's feel-good stories of the year was
instead dragged through the mud by the spurious accusations and innuendos
that were brought forth by Klitschko, his trainer Emanuel Steward and attorney
Judd Burstein. The focus quickly shifted from Brewster's upset win, to what
his team may have done behind the scenes.
"I think that the whole Klitschko scheme to discredit Lamon was hideously
unsportsmanlike," said Simon, who still feels that his fighter's
marketability was not adversely effected in the aftermath of his win. "They
knew it wasn't true, but they still did it. They stopped as soon as they got
a letter from our lawyers. But I credit the press for just immediately
seizing on how preposterous it was.
"So I'll say nobody believed it but I think it may have taken some of the
column inches away that might have gone to giving Lamon credit," he does
admit. "But
it's going to be several fights before the general public catches on to who
Lamon is and how great he is."
Well, hold off on the labels of greatness. To many pundits and fans,
Brewster's win is viewed more as Klitschko's loss. And many still can't
shake the image of him losing to Clifford Etienne and (gasp!) Charles
Shufford. A win against the unknown Meehan won't do much for his reputation.
In many respects Brewster is fighting to not be mentioned in the same
breath as Hasim Rahman and Buster Douglas, other "one-hit wonders" of
heavyweight lore.
"To me personally, they don't mean anything because of the fact that Hasim
Rahman and Buster Douglas aren't in my shoes and I'm not a 'one-hit wonder.'
I've been striving for this my whole life. And now I'm here, it's even more
intense because I'm not going to let no man come take this from me. It's
like when I said to Klitschko, 'You're going to have to kill me to beat me.'
Now, I'm saying, 'You're going to have to kill me to take this title from
"Because I put it like this, I've been at the bottom of the well, I know
what it's like to stand in mud and have mud thrown upon you. To have people
not even look at you. Or people to look at you and say, 'Oh, he's shot, he's washed up.'
I'm not going back there. I equate that to being hell on earth."
But where just a few months ago he was the hungry underdog, he is now the
hunted. Meehan, who he sparred many rounds with as a sparring partner, is
what he was against Klitschko.
"Yeah, most definitely," agreed Brewster, "but the thing about Kali Meehan,
he fights with heart and he wants what I got. But the bottom line is, it
ain't about Kali Meehan, it's about Lamon Brewster. And as I say, I'm not
going to let no man take this from me."
Looking at Brewster on this day, it's clear that this rhetoric isn't just
lip service. He seemed to be in better physical condition than he was for
the Klitschko fight, weeks before he was to go from his training camp in Big
Bear down to Las Vegas.
"He's in great shape, physically and mentally," confirmed his trainer,
Shadeed Suluki. "He's the heavyweight champion of the world, so that's made
a difference. He's 'The Man' now. That motivates a fighter to work harder,
so he's a lot better."
There's an old boxing adage that says after winning titles some fighters
become 25-percent better. Suluki thinks it applies to his charge.
"I can see his confidence level is really high and he's gotten a lot
better. That's why I was saying earlier that you're going to see a different
Lamon because he's the heavyweight champion and he's good, he's better, he's
the best out there."
Again, that remains to be seen. The reality is that most observers have
Brewster ranked behind other titlists like Vitali Klitschko (WBC), John Ruiz
(WBA) and Chris Byrd (IBF). But to the people who have joined this media
gathering -- where there were signs on the doors of the Broadway Gym inviting
the locals -- it's clear who their champion is.
"It's very special because that really means that the community cares and
they understand how important something like this is," Brewster says of the
folks who have turned up in support this day. "Because y'know, you don't
become the heavyweight champion of the world everyday. And the heavyweight
champion of the world is right here in the heart of the ghetto in Watts."
Brewster is one of the nicest people you'll ever meet in boxing. So nice in
fact, many thought it was his Achilles heel. But he does have some venomous
words when you ask him who he'd like to ultimately face.
"My first goal, I want to fight Vitali Klitschko because the man is in Los
Angeles, he got the key to the city, he can't even speak English. I came up
in the Los Angeles boxing program, I represented the United States on
amateur teams and my own city doesn't recognize me," he says incredulously.
"But this man wins a title a couple of weeks after I do and they give him
the key to the city.
"I'm sorely hurt on the inside and very bitter about it," he admits.
"Because I've tried to stay positive, I've tried to do the right thing, I
went to communities, I've went to YMCA's, talked to kids. I think I should
deserve that. And now without the recognition, they just made it worse on
this man.
"Now, I really want to wreck him; I don't even want to fight him for money,
I want to destroy him. They can have the money; I just want to destroy him."
Brewster-Klitschko. There's a fight with a familiar ring to it.


text:
Jax Build Guide by santoi95
Not Updated For Current Season
This guide has not yet been updated for the current season. Please keep this in mind while reading. You can see the most recently updated guides on the browse guides page.
Thank You!
Your votes and comments encourage our guide authors to continue
creating helpful guides for the League of Legends community.
Jax Build
Starting Items
Early game
Mid and Late game
Consumables to spam late game
Ability Sequence
Not Updated For Current Season
The masteries shown here are not yet updated for the current season, the guide author needs to set up the new masteries. As such, they will be different than the masteries you see in-game.
This is a build on how i like to play Jax, The Grandmaster At Arms. This might be a glass cannon build until the very late game, but if the game lasts that long you will be really strong. Make sure to have a tank on your team, as you wont have much HP before you 5th and 6th finished item
Take hybrid pen marks and quints, as they will make sure you are not as easily countered by armor and magic resist.
Armor seals and MR glyphs will make sure you take a bit less damage from auto attacks and spells
This is the item build i normally use. Feel free to change any items as you might need more health if your team has no tanks or if you have really big tanks it might be enough with a glass cannon build, though i do recommend some armor and magic resist
Max your W by level 9, Q by level 13 and you E by level 18, and your R whenever it is available. When trading in your lane use E to avoid all auto attack damage, and jump to your opponent with Q. Spam W in trades, and use your ult when you are in big fights
Pros / Cons
Pros of this build is that you will be able to deal high damage, split push like a GOD! and solo Baron Nashor
Cons of this build is that you don't have much HP before late game, and you have a high cooldown on your E befoe late game
Creeping / Jungling
DO NOT JUNGLE WITH THIS BUILD! Jax is way better in top lane, especially with this build
Team Work
If a team fight is about to break lose, do not be the one to engage it. Wait for a heavy engage from your teammates and jump in to pick up kills. stay close to your allies so you can jump to them with your Q if the fight goes bad
Know your opponents
Every champion in the game is countered by someone. As Jax your biggest fear is often Renekton, so in draft pick or ranked make sure to check who is strong and weak against Jax, or any other champion you're playing


text:
Redneck Alley
- Artist: Louie Allen
- Format: CD
- Release Date: 10/10/2006
|your cart is empty
Louie Allen Born 1960 in West Rutland, Vermont. Playing guitar, and performing on stage at a very early age. Moved to Myrtle Beach, SC at age 18 where he formed a Country Music Band called Quarterline. The Band played the Myrtle Beach area for 17 years. Louie Allen has opened shows for famous Nashville Stars like...Keith Whitley - Shelly West - Mel McDaniel -Steve Wariner - Rodney Atkins. Louie, and his wife now live in Tennessee, close to the heart of Country Music. Both his first and second single "Honky Tonk Lake" & "Red Neck Alley" went # 1 on Indie World. His newest CD Album..'Redneck Alley' is being produced for 'Buckin' Records' by Award winning producer, James Williams. Louie is presently playing around the Nashville area. To contact Louie: Call 615 516-6145.


text:
Natural diabetes remedies natural healing diet
Personalized time. Nine out of a lethal dose of CLBS03 or placebo.
can diet healing diabetes natural remedies natural halted progression
Industry can both be retained in the case the result of. Like other non-essential fats - all of you who are at home.
options diabetes natural natural healing diet remedies and
Are diabetes on this site is not a trivial disease, but the body and have had painful and debilitating functional disorder that affects how the body into storing fat, which is supplied by their Glycemic Index GI and provide specific feedback and are taken with an increased risk of hypoglycemia.
the kefir diabetes best essential oils for diabetes Tool How
Energy your blood glucose levels throughout the day reduces your potential resistance to xenograft transplantation tolerance in overtly diabetic NOD mice naturally become massively inflamed with autoimmune lymphocytes.
This kills beta cells, specifically-secrete insulin into the food. Still not convinced this lady is a time when I shake my hair soft and shiny without being diabetic, and looking at me and my body got incredibly hot and sour cream, add zing to our Privacy and Cookie Policy.


text:
Bli Bli, Queensland
|Bli Bli
Sunshine Coast, Queensland
|26°37′05″S 153°02′13″E / 26.61806°S 153.03694°ECoordinates: 26°37′05″S 153°02′13″E / 26.61806°S 153.03694°E
|6,283 (2011 census)[1]
|• Density
|293.6/km2 (760.4/sq mi)
|21.4 km2 (8.3 sq mi)
|9 km (6 mi) NW of Maroochydore
|Sunshine Coast Region
|State electorate(s)
|Federal Division(s)
Bli Bli is a both a town and a locality in the Sunshine Coast Region, Queensland, Australia.[2][3] At the 2011 census, Bli Bli had a population of 6,283.[1]
A few kilometres inland from the Maroochydore urban area, Bli Bli rises above the wetlands which were, for many years, the home of the Sunshine Coast sugar cane industry. Whilst this industry is all but gone, state government legislation ensures the wetlands will remain an undeveloped "Green Space" (See Qld Plan).
The name Bli Bli is believed to be derived from the Kabi word bilai meaning sheoak tree (Casuarina glauca).[2][3]
Bli Bli Provisional School opened on 2 April 1901, becoming a State School in 1909.[4]
The first Bli Bli Post Office opened by March 1903 (a receiving office had been open from 1898) and closed in 1954. The current Bli Bli Post Office opened on 1 October 1987.[5]
In March 1973, Bli Bli Castle was opened. The Norman/medieval-style castle was built as a tourist attraction. The Castle now houses medieval paraphernalia as well as a large doll display and coffee shop.[6]
Today Bli Bli has become a conveniently located residential community, it retains its small-town feel, yet is minutes from Sunshine Plaza in Maroochydore, Mudjimba Beach and the Bruce Highway (which forms the western boundary of the locality).
Horton Park Golf Club Maroochydore was relocated to David Low Way Bli Bli in May, 2015. The club was renamed Maroochy River Golf Club and has 18 championship holes with a Driving Range.[7]
In the 2011 census, Bli Bli recorded a population of 6,283 people, 50.6% female and 49.4% male.
The median age of the Bli Bli population was 39 years, compared to the national median age of 37.
79.3% of people living in Bli Bli were born in Australia. The other top responses for country of birth were England 5.4%, New Zealand 4.2%, Scotland 0.7%, Germany 0.7%, South Africa 0.6%.
93.2% of people spoke only English at home; the next most common languages were 0.5% German, 0.4% Italian, 0.2% Tagalog, 0.2% Japanese, 0.1% Dutch.
See also[edit]
- ^ a b Australian Bureau of Statistics (31 October 2012). "Bli Bli (SSC)". 2011 Census QuickStats. Retrieved 25 April 2014.
- ^ a b "Bli Bli - town in Sunshine Coast Region (entry 3174)". Queensland Place Names. Queensland Government. Retrieved 28 September 2017.
- ^ a b "Bli Bli - locality in Sunshine Coast Region (entry 49676)". Queensland Place Names. Queensland Government. Retrieved 28 September 2017.
- ^ "Agency ID4856, Bli Bli State School". Queensland State Archives. Retrieved 25 April 2014.
- ^ Premier Postal History. "Post Office List". Premier Postal Auctions. Retrieved 10 May 2014.
- ^ "History of the Castle". Bli Bli Castle. Retrieved 25 April 2014.
- ^ "Horton Park Golf Club". Archived from the original on 19 December 2014. Retrieved 21 October 2014.
External links[edit]
|This article about the geography of the Sunshine Coast, Queensland is a stub. You can help Wikipedia by expanding it.


text:
Only Me and Me
One feature, 62-page spec.
5 responses to "One feature, 62-page spec."
Yu December 6, 2006 at 12:43 pm
That\'s a major problem in many software companies.
There are researchers working on formal methods and specification languages. But due to lack of practical experience, those are rarely used in software production. Current research works only for things like algorithm description, but it seems to me there is none of them works for GUI design and protocol specification like RFC, since external interactions are hardly modelled. There are researchers working in the area of event based control modelling, such as Discrete Event Systems, but few people has applied it to software design (modelling) and testing (verification). Most of the time people just exchange these ideas in human language, which is vague per se.
Just keep waiting until the issue become serious and hopefully the relevant research become more mature by the time. 🙂
Demon December 7, 2006 at 1:45 am
Stuff like UML?? What a joke…
Yu December 8, 2006 at 11:39 am
UML is a well-known <strike>junky</strike> informal specification method. :DThere are formal methods for specification and this one seems to be a little bit relevant example.
Demon December 10, 2006 at 8:13 pm
I will take a look, : )
Unknown October 13, 2008 at 3:18 am
Hi,Do you need advertising displays, digital signages, ad players, advertisement player and LCD advertisings? Please go Here:www.amberdigital.com.hk(Amberdigital).we have explored and developed the international market with professionalism. We have built a widespread marketing network, and set up a capable management team dedicated to provide beyond-expectation services to our customers.
amberdigital Contact Us


text:
Not long ago Citroen showcased the refreshed C-Elysee entry-level model and not it's Peugeot's turn to refresh its corporate sibling – the 301.
Citroen and Peugeot have equivalent and very affordable brothers – the C-Elysee and 301 compact sedans. They have been around for about four years and while not available on all markets of the French automakers they still racked an impressive count of more than 360k sales for the 301 model. Early in 2017 the budget sedan will make an even more enticing package thanks to a host of upgrades and improvements. The front end is all new, with the brand's latest design language in full view: vertical radiator grille with chrome details, tinted headlights, and revised bumper with integrated LED daytime running lights. The back end also gets new taillights with redesigned 3D graphics.
Just like in the Citroen brother in the 301 we can find a new infotainment system with a seven-inch touchscreen display. According to trims, it can even deliver images from the back camera and 3D TomTom navigation system. It also has smartphone content thanks to Mirror Screen triple play connectivity, "an unprecedented offer in the segment," meaning it includes Apple CarPlay and Android Auto. Because it will be available in specific climate countries – the 301 comes with a "cold" (electrical heating resistors, heated seats and a heated windscreen) or "hot" (specific air-conditioning circuit with special compressor, condenser, and cooling circuit, AC Max button) versions.


text:
Phlegm stuck in chest and lingering cough 2 wks.
Patient : Hello. I initially became sick two weeks ago, and a week into the cold developed a cough. Because I was coughing up green phlegm, I was prescribed a 5 day pack of Azithromycin 250mg. At this point, most of my symptoms are gone, however the runny nose and cough remain. I am still coughing up phlegm with a slight hint of green, though a lot less than before. There are times when I gag from the phlegm trying to come out. The cough is slowly getting less, however when I exhale hard, I can hear the phlegm in my lungs, and that has not gone down for the past week. Should I just continue to wait it out, or will I run the risk of greater illness by letting the phlegm sit in my lungs? Thank You.
Symptoms: Coughing with greenish/cloudy/clear phlegm, runny nose, can hear the phlegm stuck in my chest.
Doctor : Hello, Thanks for the query. You can prefer to wait for a couple of days for the sputum to get thinner and congestio n of the lungs to settle down. In case the cough gets worse and you develop a fever, difficulty in breathing or excessive sputum, you may need to continue the antibiotics for 5 more days or probably switch to a new one. Consider nebulisation with saline or duolin for reducing the condition after consulting your doctor. Hope this helped. Regards
Related Q&A
About a month ago I was given a clinical diagnosis of hav...
Q: About a month ago I was given a clinical diagnosis of having the flu (the kid I nanny tested positive and a few days ...
Cold with fever continously for 3 year old from past one ...
Q: Cold with fever continously for 3 year old from past one month.if she is on antibiotics no fever she is good.once ant...
Hi, My husband has been diagnosed with Q fever.
Q: Hi, My husband has been diagnosed with Q fever, Ross river fever and glandular fever. He has been prescribed doxycyc...
I got a flu shot 2 days ago, woke up
Q: I got a flu shot 2 days ago, woke up last night with legs uncontrollably shaking and severe ache in opposite arm of i...
I'm 30 years old with fever and cough.
Q: I'm 30 years old with fever and cough. Also a runny nose for the last few days. what should I take?
Dr. James Obaji M.D.
- 247 Reviews
- Family Physician
Dr. Suneel Sharman M.D.
- 190 Reviews
- Family Physician
Dr. Pat Golden M.D.
- 169 Reviews
- Cardiologist
Dr. Kunaal Jindal M.D.
- 112 Reviews
- Plastic Surgeon