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Patent application title: ACTIVE IMPLANTABLE MEDICAL DEVICE HAVING ANTITACHYCARDIA ATRIAL AND ANTIBRADYCARDIA VENTRICULAR PACING
Elodie Vincent (Antony, FR)
IPC8 Class: AA61N1362FI
USPC Class:
607 4
Class name: Light, thermal, and electrical application electrical therapeutic systems combined cardioverting/defibrillating and pacing
Publication date: 2010-06-17
Patent application number: 20100152797
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An active implantable medical device of the cardiac prosthesis type,
including antitachycardia atrial pacing and antibradycardia ventricular
pacing therapies. The device includes circuits and control logic for
detecting electrical atrial and ventricular spontaneous events (R),
delivering low energy antitachycardia atrial pacing, and antibradycardia
ventricular pacing, and able to deliver a ventricular pacing (V) in the
absence of a detected spontaneous ventricular event (R) after a
calculated ventricular escape interval (IE). The device includes a sensor
delivering an endocardiac acceleration signal (EA) representative of the
movements produced by the contractions of the ventricle. The ventricular
sensing switches from detection of an electric potential of spontaneous
ventricular depolarization (R), to detection of an endocardiac
acceleration peak (PEA1) associated with a ventricular contraction in
case of activation of the antitachycardia atrial pacing while post-atrial
pacing refractory periods mask the detection of ventricular electrical
1. An active implantable medical device of the cardiac stimulation,
resynchronization and/or defibrillation prosthetic type, comprising:means
for providing an atrial pacing, including an antitachycardia atrial
pacing therapy, by delivering an atrial pacing pulse to an atrium;a
sensor of mechanical activity having an output mechanical activity signal
representative of movements produced by contractions of a ventricular
cavity;means for detecting an occurrence of spontaneous atrial events
(P);means for detecting ventricular activity, comprising:primary means
for detecting an electrical potential representative of a spontaneous
ventricular depolarization (R);auxiliary means for determining in the
mechanical activity signal a peak component associated with a mechanical
ventricular contraction; andan atrial post-pacing refractory period
during which ventricular electrical activity detection is blocked;means
for calculating a ventricular escape interval (IE); andmeans for
providing an antibradycardia ventricular pacing therapy in an absence of
a detected spontaneous ventricular event (R) after said calculated
ventricular escape interval (IE),wherein the means for calculating the
escape interval comprises:means for calculating a first value of escape
interval (IERR) from the successive moments of potential occurrence
of spontaneous ventricular depolarization (R) detected by the primary
means;means for calculating a second value of escape interval
(IEPEA) from the successive instants of occurrence of the peaks
detected by the auxiliary means, andmeans for selecting the second value
of escape interval as the calculated ventricular escape interval in
response to a delivery of an antitachycardia atrial pacing therapy.
2. The device of claim 1, wherein the means for calculating the second value of escape interval further comprises means for providing the calculated value with a predetermined minimum value.
3. The device of claim 1, wherein the means for calculating the second value of escape interval further comprises means for averaging a plurality of second value escape intervals identified during successive cardiac cycles.
4. The device of claim 1, wherein:the mechanical activity sensor further comprises an acceleration sensor generating an endocardial acceleration (EA) signal, andthe auxiliary means further comprises means for recognizing and isolating in the EA signal a component corresponding to an endocardial acceleration peak associated with said ventricular contraction.
5. The device of claim 4, wherein the acceleration sensor is selected from among the group comprising: an endocardial sensor; an epicardial sensor, and a myocardium wall motion sensor.
6. The device of claim 1, wherein the mechanical activity sensor is selected from among the group comprising a pressure sensor, and an intracardiac impedance sensor.
7. An active implantable medical device for anti-tachycardia pacing, comprisingmeans for providing an antitachycardia pacing therapy to an atrium, said therapy comprising a sequence of low energy atrial pacing pulses;A sensor of mechanical activity having an output signal representative of mechanical movements produced by contractions of a ventricular cavity;auxiliary means for determining in the mechanical activity output signal a peak component associated with a mechanical ventricular contraction;means for calculating a mechanical escape interval as a function of successive ones of said determined peak components;means for detecting an occurrence of an atrial event including spontaneous events (P) and paced events (A);primary means for detecting an electrical potential representative of a spontaneous ventricular depolarization (R), said primary means having an atrial post-pacing refractory period responsive to a detected atrial pacing event during which ventricular electrical potential detection is blocked;means for calculating an electric escape interval (IERR) from successive detected spontaneous ventricular depolarizations;means for providing an antibradycardia ventricular pacing therapy in an absence of a detected spontaneous ventricular event after (R) after a calculated ventricular escape interval (IE);wherein said calculated escape interval is selected from among the electric escape interval and the mechanical escape interval, the mechanical escape interval being applied during delivery of an antitachycardia atrial pacing therapy.
8. The device of claim 7, wherein the mechanical escape interval has a predetermined minimum value.
9. The device of claim 7, wherein the mechanical escape interval further comprises an average of a plurality of mechanical escape intervals calculated for successive cardiac cycles.
10. The device of claim 7, wherein:the mechanical activity sensor further comprises an acceleration sensor, having as an output signal an endocardial acceleration (EA) signal, andthe auxiliary means further comprises means for recognizing and isolating in the EA signal a component corresponding to an endocardial acceleration peak associated with said ventricular contraction.
11. The device of claim 10, wherein the acceleration sensor is selected from among the group comprising: an endocardial sensor; an epicardial sensor; and a myocardium wall motion sensor.
12. The device of claim 7, wherein the mechanical activity sensor is selected from among the group comprising: a pressure sensor, and an intracardiac impedance sensor.
[0001]The present invention relates to "implantable medical devices" such as those defined by the Jun. 20, 1990 Directive 90/385/EEC of the Council of European Communities, specifically to implantable devices that continuously monitor heart rhythm and deliver to the heart, if necessary, electrical stimulation pulses for cardiac resynchronization and/or defibrillation, in response to an arrhythmia detected by the device. The present invention relates more particularly to those devices that deliver an anti-tachycardia pacing ("ATP") therapy, that is a programmed high-frequency stimulation of the atrium, or a pulse train of stimulations (notably including 30 Hz stimulation. The WO95/03086 A1 discloses such an implanted device able to deliver if necessary an ATP stimulation to the patient.
[0002]ATP therapy is indicated to treat certain arrhythmias caused by disturbances of the action potentials in the atrium. Therapy by stimulation of the atrium can be applied in case of detection of an abnormal fast heart rhythm of atrial origin (atrial fibrillation or other atrial arrhythmia). It will be called hereinafter "antitachycardia atrial pacing" (also referred to as "ATP-A").
[0003]Overall, the decision to apply antitachycardia therapy, and the choice of this therapy (whether an application of a defibrillation shock, or an ATP therapy or a similar type antitachycardia stimulation) is made by an algorithm for detecting and classifying different tachyarrhythmias based on several discrimination criteria. These criteria include, for example, the ventricular rate, the stability of ventricular intervals (namely, RR intervals), the analysis of the atrio-ventricular association revealed by the stability of the PR interval, and the start-up mode of the tachycardia (presence of an abrupt acceleration and identity of the cavity of origin, ventricular or atrial).
[0004]Some of these tachycardias can be treated by activating an antitachycardia atrial pacing (ATP-A).
[0005]However, when an antitachycardia pacing in the atrium therapy is delivered, the device is unable to detect ventricular events. This is because the duration of the post atrial pacing ventricular refractory periods, relative to the interval between two consecutive atrial stimulations, effectively blocks any detection of any ventricular depolarization.
[0006]Further, ventricular contractions during these arrhythmia episodes can be very irregular or even non-existent, causing the onset of ventricular pauses. It is therefore important to maintain a detection of the ventricular activity during the application of antitachycardia atrial pacing so as, if necessary, to stimulate the ventricle if no spontaneous ventricular event is detected. As will be discussed below, the term "antibradycardia ventricular pacing" refers to this conditional stimulation of the ventricle.
[0007]More specifically, disturbances of the atrium and/or ventricle action potentials can cause ventricular arrhythmias. These are generally classified as Supraventricular Tachycardias (SVT) or Ventricular Tachycardias (VT). The SVT are characterized by an abnormal rhythm in the atrium or at the atrio-ventricular node. The most common SVTs are atrial flutters and atrial fibrillations: [0008]During atrial flutters, the action potentials have a circular atrial path, causing an acceleration of the rate of contraction of the atrium with atrio-ventricular intermittent conduction (2:1 or 3:1, for example); [0009]As for atrial fibrillation, these are common arrhythmias that correspond to uncontrolled atrial depolarization, leading to a sometimes rapid and often irregular activity of the ventricles thereby reducing the hemodynamics efficiency of the ventricular contraction.
[0010]During these atrial arrhythmias, the patient may experience palpitations and complain of malaises, dyspnoea and chest pains. It can be important to treat these arrhythmias in some cases, and the application of antitachycardia atrial pacing is one treatment option.
[0011]However, in the presence of a stimulation of the atrium--and thus, especially during the application of an antitachycardia atrial pacing therapy--the electrical detection of the ventricular activity by the device can be masked by the atrial post-stimulation refractory periods.
[0012]One solution to this masking problem is to always deliver a ventricular pacing for the duration of the antitachycardia atrial pacing therapy. However, such a ventricular stimulation will always be an asynchronous pacing, because of the refractory periods subsequent to the stimulation and the blanking periods, corresponding to the disconnection of the detection circuits of the amplifier to allow the discharge of the stored energy in the heart at the heart/electrode interface after stimulation. Because of this asynchrony, there is a risk of stimulating a T wave, with the possible consequence of triggering ventricular arrhythmias.
[0013]It is therefore an object of the present invention to overcome these difficulties by proposing a new technique for the detection of ventricular activity during an application of antitachycardia atrial pacing, whereby, if necessary, an antibradycardia pacing stimulation is applied to the ventricle, during the duration of an ATP-A therapy, in a controlled manner (i.e., applied only where needed) and a synchronous manner, so as to minimize any risk of triggering ventricular arrhythmias.
[0014]Broadly, the present invention proposes to detect the contraction, or lack of contraction, of the ventricle by detecting a mechanical activity of the ventricle through an acceleration signal produced by a sensor that is responsive to the mechanical activity of the ventricle. In one embodiment, the acceleration signal is an endocardial acceleration signal delivered by an implanted endocardial accelerometer sensor. Such an endocardial acceleration sensor may be present on the ventricular lead, or on another lead, said lead being placed directly into the ventricle (namely, an endocardial lead) or in another position, e.g., in the atrium, to collect the endocardiac acceleration (EA) signal representative of the ventricular contractions. Although the invention will be discussed in the context of an endocardial acceleration sensor, it should be understood that any sensor that allows measuring the mechanical activity of the ventricle may be used, e.g., a pressure responsive sensor, a bio-impedance sensor.
[0015]In one particular embodiment, the invention is directed to methods and apparatus for using, during antitachycardia pacing of the atrium, a functional signal (e.g., the EA signal) representative of the mechanical contraction of the ventricle. The mechanical activity signal is used instead of a signal that has originated from the electrical propagation of the depolarization wave. The detection of the ventricular mechanical activity will thus replace the detection of the electrical cardiac activity for the duration of the antitachycardia atrial therapy.
[0016]One aspect of the invention is thus directed to an active implantable medical prosthesis that is able to provide cardiac stimulation, resynchronization and/or defibrillation. One suitable device is an improvement of the known type, such as the one disclosed in international publication WO95/03086 A1, having circuits and logic control for atrial and ventricular detection, namely able to detect the occurrence of spontaneous atrial events and spontaneous ventricular events; antitachycardia atrial pacing, able to deliver sequences of low energy atrial pacing pulses at a higher frequency than that of the patient's sinus rhythm in case of a detected atrial arrhythmia; a calculator that can calculate a ventricular escape interval; and antibradycardia ventricular pacing, able to deliver a conditional ventricular stimulation pulse in the absence of a spontaneous ventricular event detected by the ventricular detection circuits at the end of a ventricular escape interval. In accordance with the present invention, the device also includes a sensor responsive to mechanical activity the myocardium (herein also called a "mechanical activity sensor"), able to deliver a mechanical activity signal representative of the mechanical movements produced by the contractions of the ventricular cavity; and ventricular detection, able to detect the mechanical activity of the ventricle, including: a primary detection means, able to detect a spontaneous ventricular depolarization electrical potential (R), and an auxiliary detection means, able to recognize and isolate in the mechanical activity signal delivered by the sensor a component associated to a ventricular contraction.
[0017]In a manner characteristic of the present invention, the antitachycardia pacing is provided by the circuits that produce atrial pacing, and the auxiliary detection means are implemented in response to an initiation of an antitachycardia atrial pacing stimulation therapy, in order to supplement, and more preferably replace, the primary detection means during the presence of post-atrial pacing refractory periods that might block the detection of a ventricular electrical activity (R) by the primary detection means. In addition, the escape interval calculator includes: means for calculating a first escape interval value (IERR) from the successive moments of occurrence of the spontaneous ventricular depolarization potentials (R) detected by the primary detection means; means for calculating a second escape interval value (IEPEA) from the successive moments of occurrence of said ventricular contractions detected by the auxiliary detection means; and means to select the second escape interval value in the response to an activation of the antitachycardia atrial stimulating means.
[0018]In calculating the second escape interval value, the escape interval calculator preferably limits the escape interval value to a predetermined minimum value, and also averages a plurality of successive escape interval values identified during successive cycles.
[0019]The mechanical activity sensor of the myocardium is preferably an acceleration sensor able to deliver an endocardiac acceleration (EA) signal, the auxiliary detection means thus being able to recognize and isolate the endocardiac acceleration signal component that corresponds to a peak of endocardiac acceleration associated with said ventricular contraction. This acceleration sensor may be an endocardial sensor, an epicardial sensor, or a myocardium wall motion sensor.
[0020]Alternatively, the mechanical activity sensor may be a pressure sensor or an intracardiac impedance sensor. A combination of one or more of the foregoing sensors (with or without correlation of their signals) may be used.
[0021]Further features, advantages and characteristics of the present invention will now be described in accordance with the following detailed description of a preferred embodiment of the present invention, made with reference to the drawings annexed, in which the same numerical references designate items that are identical or functionally similar from one figure to the next, and in which:
[0022]FIG. 1 illustrates an example of endocardiac acceleration signal EA collected during three successive cardiac cycles;
[0023]FIG. 2 is a series of three timing diagrams illustrating various signals characterizing the cardiac activity during a given cycle;
[0024]FIG. 3 illustrates endocardiac acceleration and electrogram signals over five successive cardiac cycles representing how the invention manages ventricular pacing on the basis of an endocardiac acceleration signal during the duration of an antitachycardia atrial stimulation; and
[0025]FIG. 4 is a flow-chart illustrating exemplary steps for ventricular pacing management.
[0026]With reference to the drawings, a preferred embodiment of a device in accordance with the present invention will now be described. As regards its software aspects, the invention can be implemented by an appropriate programming of the control software of a known pacemaker, for example, of the cardiac pacemaker, resynchronizer and/or defibrillator type, including circuits and control logic or software for the acquisition of mechanical activity signal provided by endocardial leads and/or one or more implanted sensors.
[0027]As for hardware, the invention may particularly be applied to implantable devices such as those of the Reply and Paradym families produced and marketed by ELA Medical (also known as Sorin CRM), Montrouge, France. These devices include programmable microprocessor circuitry to receive, format, and process electrical signals collected by implanted electrodes, and to deliver pacing pulses to these electrodes. It is possible to transmit by telemetry software that will be stored in a memory of the device and that can be executed by the device to implement the functions of the present invention. The adaptation of these devices to implement the functions of the present invention is believed to be within the abilities of a person of ordinary skill in the art, and therefore will not be described in detail.
[0028]It is known how to detect a mechanical activity signal, in particular an endocardiac acceleration signal. One suitable technology is disclosed and described, for example, in EP-A-0 515 319 (Sorin Biomedica Cardio SpA) as an endocardial lead that is equipped with a distal stimulation electrode implanted at the ventricle apex, incorporating a micro-accelerometer to measure the endocardiac acceleration. The endocardiac acceleration signal thus measured during a cardiac cycle forms, among others, two peaks corresponding to the two major noises that are recognizable in each cycle of a healthy heart. EP-A-0 655 260 (Sorin Biomedica Cardio SpA) describes a way of processing the endocardiac acceleration signal delivered by a sensor located in the lead tip to derive, in particular, the temporal position and the amplitude of the two endocardiac acceleration peaks. These data are particularly useful for detecting cardiac disorders and triggering or not a defibrillation therapy.
[0029]With reference to FIG. 1, variations in three consecutive cardiac cycles of a detected endocardial acceleration (EA) are shown, as measured by a sensor, for example the sensor described in EP-A-0 515 319 cited above, incorporated into an endocardial lead tip placed at the apex of the ventricle. As can be seen, the EA signal forms during a cardiac cycle two main peaks corresponding to the two major noises (sounds S1 and S2 of the phonocardiogram) that are recognizable in each cycle of a healthy heart. Specifically: [0030]The first peak endocardiac acceleration ("PEA1") corresponds to the closure of the mitral and tricuspid valves, at the beginning of the phase of isovolumetric ventricular contraction (systole). Its variations are closely related to variations in pressure in the ventricle (the amplitude of the PEA1 peak being more specifically correlated with the maximum positive change of pressure dP/dt in the left ventricle); [0031]The second peak endocardiac acceleration ("PEA2") corresponds to the phase of isovolumetric ventricular relaxation, and is produced by the sudden deceleration of the moving blood volume in the aorta.
[0032]The EA signal also contains at least two other components, of a much lower amplitude, referred to as EA3 and EA4, corresponding to the S3 and S4 sounds of the phonocardiogram.
[0033]With reference to FIG. 2, the various signals characterizing the activity of the heart during a cardiac cycle are illustrated, including: profile of intracardiac pressures at the top third, a record of a surface electrocardiogram (ECG) at the middle third, and the variations in the endocardiac acceleration (EA) signal at the lower third.
[0034]On the profile of intracardiac pressures, the PA characteristic shows changes in aortic pressure, the PVG characteristic shows pressure changes in the left ventricle, and the POG characteristic shows pressure changes in the left atrium. Points A to E correspond to different phases: A, contraction of the left atrium, B, closure of the mitral valve, C, opening of the aortic valve, D, closure of the aortic valve, and E, opening the mitral valve.
[0035]The ECG signal includes successively: the P wave corresponding to the depolarization of the atrium, the QRS complex corresponding to the ventricular depolarization and the T wave of ventricular repolarization.
[0036]The EA endocardiac acceleration signal is decomposed as follows: the contraction of the atrium (P wave) is followed by the EA1 component, which begins after the QRS complex and is caused by a combination of the closure of atrio-ventricular valves, the opening of the semilunar valves, and the contraction of the left ventricle. The EA2 component that follows is associated with the end of a ventricular systole and is generated by the closure of the semilunar valves.
[0037]The temporal position of each peak of endocardiac acceleration, including the peak PEA1 of the EA1 component, can be determined in each cycle by an appropriate processing of the signal delivered by the acceleration sensor.
[0038]In FIG. 3, the successive time markers M1, M2, M3, . . . Mi delivered by the device are shown on the top line, corresponding to the moments of the beginning of the PEA1 peaks that are detected on the EA signal. The second line gives the EA signal from which these markers are obtained, while the third line is a plot of the EGM signal corresponding to the electrogram.
[0039]In general, antibradycardia stimulation of the ventricle involves the calculation by the device of an "escape interval" (IE), which is the time interval counted after a ventricular event (detection of an R spontaneous depolarization or of a V stimulation), after which a stimulation is delivered to the ventricle if no spontaneous event is detected in the same cavity.
[0040]The escape interval is usually calculated from the successive moments of occurrence of spontaneous ventricular depolarization potentials (R peaks), on the basis of electrical events detected in the ventricle. This value will then be referred to as "electrical escape interval" and noted IERR. The calculated escape interval is triggered by the detection of a spontaneous or stimulated ventricular event.
[0041]In accordance with a preferred embodiment of the present invention, the device also calculates, in conjunction with the electrical escape interval IERR, a second escape interval, referred to as a "mechanical escape interval" and noted IEPEA, is based not on the RR interval but rather on the moments between mechanical contractions of the ventricle, preferably determined from successive determined PEAL peaks.
[0042]Indeed, from the cycle to cycle detection of the PEA, the PEA-PEA interval (i.e., the interval between markers Mi and Mi+1) is determined and monitored. The monitoring of the PEA-PEA interval may be performed: [0043]continuously, or [0044]only in case of suspicion of a sustained atrial arrhythmia (a situation corresponding to, e.g., a switch of the device operation to a classic fallback mode), or [0045]only from the last ventricular detection (detection of spontaneous activity having its origin in the ventricle, corresponding to an R peak on the EGM electrogram, see FIG. 2) before the onset of an antitachycardia atrial stimulation.
[0046]The mechanical escape interval IEPEA is triggered on each detected spontaneous or paced ventricular event, and calculated using rules similar to the rules used for calculating the electrical escape interval IERR. However, the calculation of the mechanical escape interval in this embodiment is based on successive PEA-PEA intervals instead of successive RR intervals.
[0047]FIG. 4 illustrates the different steps of an example of an algorithm for the management of ventricular pacing, according to one embodiment. The initial value of the escape interval (step 10) used by the device is the value of the electrical escape interval IERR triggered upon detection of a spontaneous (R) or stimulated (V) ventricular event. On the last ventricular cycle preceding the application of an antitachycardia atrial therapy (test at step 12), the device starts an escape interval IE.
[0048]The electric escape interval IERR may not be reliably used during an ATP-A therapy because the ventricular refractory periods that follow rapid atrial stimulation may mask the electrical detection of a ventricular spontaneous depolarization. This situation corresponds to the second cardiac cycle illustrated in FIG. 3: the atrial stimulation indicated by the marker triggers both a post-atrial pacing blanking period BL and a safety window SW. During these periods no ventricular sensing is detected by the device. Specifically, in this example, the spontaneous depolarization R at time t3 cannot be detected by the sensing amplifier of ventricular electrical depolarization. However, the ventricular event occurring at time t3 is reliably detected by analyzing the EA signal thanks to the presence of a PEA1 peak, giving a temporal marker M3.
[0049]The escape interval IE takes one of the following values (step 14): [0050]the last value of IERR (or an average value of a last number of (e.g., four) values of IERR), in case the PEA is neither monitored continuously or during atrial arrhythmias, or [0051]the last value of IEPEA (or an average value of a last number of (e.g., four) values of IEPEA), if the PEA is already monitored before the onset of the atrial therapy, particularly when the PEA is continuously monitored by the device.
[0052]At the end of the escape interval IE, if the device has not detected any PEA, a ventricular pacing is delivered, and a new escape interval IEPEA is calculated and started. This situation corresponds to the fourth cycle of the example shown in FIG. 3: whereas for the previous cycles a ventricular contraction was detected (e.g., M1, M2 and M3 markers), in the next cycle no contraction is detected (no M4 marker indicating a contraction of the ventricle). A ventricular pacing (V marker) is then applied by the device to cause a contraction of the ventricle that did not contract spontaneously.
[0053]The range of values of IE escape interval is limited firstly by the maximum frequency stimulation programmed by the physician, and secondly by the base stimulation frequency, and/or the value of maximum ventricular pause, and/or any other appropriate previously defined criterion.
[0054]Moreover, some R events produced, e.g., by ventricular extrasystoles (ESV) can lead to a low but detectable amplitude PEA1 signal. To avoid the risk of stimulation in the vulnerable period following such an event, the escape interval IE may be limited to a minimum value, e.g., 1000 ms.
[0055]If the antitachycardia atrial pacing ends before the end of the escape interval IEPEA (test at step 16), then (step 18) an atrial stimulation is applied with a delay (IEPEA-DAV), if it occurs more than 500 ms after the last atrial pacing, otherwise a ventricular stimulation is applied, so as to allow a satisfactory resynchronization of the atrium and the ventricle.
[0056]After the end of the antitachycardia atrial stimulation therapy, the escape interval is preferably recalculated and managed in the usual manner, namely returning to use of the electric escape interval (IE=IERR).
[0057]This situation corresponds to the period between times t4 and t5 in the example illustrated in FIG. 3: The device has terminated the atrial stimulation, but the atrium and the ventricle are resynchronized (in the illustrated example, the device detects at the instant t5 a spontaneous depolarization R, also revealed by the M5 marker signal from EA) and the device continues to monitor the ventricular activity.
[0058]One skilled in the art will appreciate that the present invention can be practiced by other than the described embodiments, which are presented for purposes of illustration and not of limitation.
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Adulterers beware - or pay the price
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BOGOTA (Reuters) - Married Colombians engaged in passionate extra-curricular activities may soon have to think twice about their philandering ways if a senator's proposed legislation punishing adultery gets the green light.
Sen. Edgar Espindola said he has proposed a law that would impose fines and enforced community service as punishment for adulterers in an effort to protect family values and shield children from broken homes.
"I believe a lot of my companions are going to support this initiative," Espindola said on Tuesday. "This project should motivate Colombians to reflect on the importance of the marriage, the home and the importance of family."
He said aggrieved parties could take complaints and evidence such as photographs to local family judges, who would decide to impose fines of up to 20 minimum monthly salaries -- around $4,000 -- and obligatory welfare service.
Spouses forgiven by partners would escape punishment.
Some local radio commentators joked the proposal would get short shrift in Colombia's Congress because lawmakers were likely to want to hide their own indiscretions in the mostly Roman Catholic country.
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- South Korea to make announcement on air zone; expansion is anticipated |
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Lucille Ball and Desi Arnaz
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Desi Arnaz was a Cuban-born actor and musician who is remembered for his marriage to Lucille Ball and their TV show, I Love Lucy.
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by Paul L Maier, Ph.D., Francisco Ordaz (Illustrator)
About this title: Examines the Nativity story as the origin of Christmas, viewing it in both scriptural and secular contexts.
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EsmokeHub.com educates people about Which is the Best Smokeless E Cigarette Brand. The site even mentions about the performance of e cigarette batteries.
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We created Pandora to put the Music Genome Project directly in your hands
It's a new kind of radio –
stations that play only music you like
Careless Whisper
Features of This Track
pop rock qualitiesminor key tonality
string section beds
a prominent saxophone part
These are just a few of the hundreds of attributes cataloged for this track by the Music Genome Project.
show moreSimilar Tracks
It so beautiful.. Melodic. Symphonious. ~


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admin | Sep 07, 2013 | Comments 0
SATURDAY NIGHT: MOWA OUTLAW SPRINTS + 4CYL, MOD LITES & 305 SPRINTS! PIT GATES OPEN 4PM, GRANDSTANDS 5PM, HOTLAPS 6:30 Saturday Admission: GS $22 Adults, $20 Seniors, $13 Students, $30 Pit Pass
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will be held at The Comfort Suites in Burlington on Saturday, February 1, 2014. You will be recognized and Congratulations goes out to all drivers if you have finished in the 34 Raceway top ten in points standings and have raced a minimum of 75% of all 34 Raceway points events! (CLICK SCHEDULE FOR DETAILS)


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Wonderful mountain chalet that sleeps up to 14 and has direct ski-in/out access to Blue Knob Four Season Resort. Chalet is ideally located a short walk to the Mid-Station lift and easy access to the on-site golf course.
*** Take advantage of o...
Read more about this property at: www.homeaway.com
Contact OwnerView owner's insider tips
Pricing |
Accommodations |
Sleeps: 14 |
Bedrooms: 4 |
Full Baths: 2 |
Tribes: Who likes this place?
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These scores tell you how well-liked a place is in each Tribe. Gogobot Tribes are groups who share a certain travel style, like Family Travelers or History Buffs.
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Guest Reviews from Homeaway (3)
- Mark B.Submitted: Aug 22, 2013 | Stayed: Aug 18, 2013
One of our favorites.
As someone with a long-time association with this "home", we feel very fortunate that Lance & Co. - another "family-based" ownership group - assumed the house at the end of 2012. Although always a wonderful house, the new owners have breathed new... ...read more - Matt M.Submitted: Apr 29, 2013 | Stayed: Mar 15, 2013
Great House!!!!
We had a great weekend at The Cedar Haus with our friends. The house comfortably accommodation three families which included 8 kids under the age of 11. The locations is perfect with easy access to the slopes. The indoor hot tub was a real bonus... ...read more - AnonymousSubmitted: Apr 24, 2013 | Stayed: Mar 15, 2013
Perfect getaway weekend for the family!
St Patrick's weekend was approaching and we were talking with 2 other families in our neighborhood about plans and someone brought up skiing. We looked into options for Blue Knob and happened upon the Cedar Haus. We grabbed it up and headed ther... ...read more
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2014 Volkswagen Jetta Sedan
More Volkswagen Jetta Sedan News and Reviews
Volkswagen North America boss Browning steps down
December 12,2013
In a rather sudden move, Volkswagen has announced that, effective immediately, Michael Horn is replacing Jonathan Browning (shown above) as CEO of VW of America. Horn has been with VW since 1990, taki...
Read Full Review -
Volkswagen Design Vision GTI, a 503-hp fantasy: Motoramic Drives
November 26,2013
As car enthusiasts, we don't need much cajoling to get behind the wheel of Volkswagen's charismatic GTI, a car that VW has more or less perfected over three decades. With its turbocharged four-cyl...
Read Full Review -
2014 Volkswagen Tiguan R-Line
November 26,2013
The Tiguan pledged Volkswagen's R-Line fraternity way back in 2008, survived the hazing and humiliation to become a certified member of the ancient German trim-package society (by "ancient," we mean 1...
Read Full Review -
2015 Volkswagen E-Golf debuts as Crossblue Coupe tags along
November 21,2013
The long-awaited Volkswagen e-Golf has made its official North American debut at the 2013 Los Angeles Auto Show, and when it arrives in dealerships about a year from now, it will be the first pure ele...
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A wartime regiment deals with an epidemic turning fellow soldiers into bread people.
4.49 / 5.00 14,907 ViewsMinecraft: TNA Part 19
Upon examining their loot, our heroes find more than they expected...
4.42 / 5.00 8,744 ViewsMy senior thesis animation I did at SVA in New York. It is a science fiction/horror story about a man who is trying to escape his past but has his conscious and ghosts from his past to deal with.
Damn that was good. Right in my soul. I love Si-Fi alot and generally enjoy anything on the creepier side. 5/5 from me.
that was kinda cool but wat was those thing groing around
was that a black hole?
you know how big the ship must be, to fit in a black hole?
Incredible, was looking at this and wondering if it was worth watching, im glad it was 5/5 for everything though the animation suited it, was trying to work out where their noses went lol


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Coffee service for offices
Nowadays, various companies are thinking about different ways to minimize their expenses which are uncalled for. One of the practical way by which these companies can reduce their expenses, is to buy a coffee machine or to make coffee supply available in the office. This is sounding good and might minimize as much cost as you want. There are various small enterprises which cannot afford these coffee systems. So, how can these mediocre companies take advantage of these coffee systems?
In today's market, there have been numerous agencies which are providing coffee services for offices as well. This method can help in cutting down the unnecessary expenses. These services can be beneficial as they can understand the type of needs, different companies have. One of the coffee blends which is famous and liked by most people is cappuccino and espresso. Many companies might think that they will get their own coffee machine but, if they think wisely then, they will realize that the time and effort it would take to find the best coffee systems and the maintenance it would need, will not be cost effective.
There are various providers of coffee services for offices, present in the market, which have a lot of experience in handling these sorts of problems. They are there to take all your problems related to coffee machines and you would enjoy your cup of coffee while working in the office.
There are providers of coffee services for offices in Cambridge which offer various benefits like they provide free espresso machines and free servicing and maintenance along with it. Also, there are agencies that provide coffee services for offices in Guelph with the benefit of one year free service along with free coffee machines. In return, these service providers require the complete and thorough details about the amount of consumption of coffee, most liked type of coffee, etc.
There are various kinds of coffee maker available in the market. One of the providers of coffee services for offices in Hamilton which has one coffee machine that offers 25 varieties of coffee and 15 varieties of teas. So, throw out the problems of these coffee systems out of your mind and hire one coffee service provider to handle these problems.
What do you think of this story?
iReport welcomes a lively discussion, so comments on iReports are not pre-screened before they post. See the iReport community guidelines for details about content that is not welcome on iReport.


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St. Louis' R&B and Back in the Day Jamz
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Ringo Starr
Ringo Starr
Original Release Date: March 25, 2003
Track Listing
1. Eye to Eye
2. Missouri Loves Company
3. Instant Amnesia
4. Memphis in Your Mind
5. Never Without You
6. Imagine Me There
7. I Think Therefore I Rock 'N' Roll
8. Trippin' on My Own Tears
9. Write One for Me
10. What Love Wants to Be
11. Love First, Ask Questions Later
12. Elizabeth Reigns
13. English Garden
Willie Nelson: Vocals
Shawn Colvin: Vocals
Roy Orbison: Trumpet
Van Dyke Parks: Accordion
Ringo Starr: Guitar (Acoustic), Bass, Percussion, Composer, Drums, Guitar (Electric), Keyboards, Vocals, Vocals (Background), Producer, Slide Guitar, Photography
Mickey Raphael: Harmonica, Bass Harmonica
Gary Burr: Guitar (Acoustic), Bass, Composer, Guitar (Electric), Vocals (Background)
Jack Blades: Vocals (Background)
Eric Clapton: Guitar, Soloist
Jim Cox: Piano, Organ (Hammond), Horn Arrangements, String Arrangements, Wurlitzer
Cliff Downs: Guitar (Acoustic)
Steve Dudas: Bass, Composer, Guitar (Electric), Engineer, Soloist
Grant Geissman: Dobro
David Gilmour: Guitar, Soloist
Gary Grant: Trumpet, Piccolo Trumpet
Charlie Haden: Bass (Upright)
Dan Higgins: Clarinet, Flute, Saxophone
Mark Hudson: Guitar (Acoustic), Bass, Composer, Guitar (Electric), Keyboards, Vocals (Background), Producer, Mellotron, Photography, Wurlitzer, Cover Illustration
Jay Dee Maness: Pedal Steel
Gary Nicholson: Guitar (12 String)
Herb Pedersen: Banjo
John Rosenberg: Production Coordination
Victoria Shaw: Vocals (Background)
Barbara Starkey: Composer, Photography, Background Music
Bruce Sugar: Engineer
Ada Ray: Vocals (Background)
Timothy L. Schmidt: Vocals (Background)
Damon Iddins: Assistant Engineer
Dave Way: Mixing
John Franck: Editing, Design
Paul Santo: Bass, Composer, Guitar (Electric), Engineer
Matt Marrin: Assistant Engineer
Tim LeBlanc: Engineer, Assistant Engineer
Amy Galland: Production Coordination
Sarah Hudson: Vocals (Background)
Christina Rumbley: Vocals (Background)
Dean Grakal: Guitar (Acoustic), Composer, Photography
Tyrone Drake: Art Direction, Design
Brent Carpenter: Editing, Design
Mercy Growl: Trumpet
Nicole Renee Harris: Vocals (Background)
Mark O'Shea: Vocals (Background)
John O'Shea: Vocals (Background)


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For the past year or more, Daryl Morey has been on a quest to get the Rockets an elite player to build around. He went hard after Dwight Howard even with Howard's people saying he wouldn't re-sign there. He knows you need an elite player to win in this league.
He's now got James Harden. The Rockets made a huge move to get the All-Star and Sixth Man of the Year from Oklahoma City. You can bet a max contract extension offer of five years is coming. Of course, the question is will Harden sign it (most guys do their first contract after their rookie deal).
Is Harden the guy the Rockets can build around?
Morey told CSNHouston.com it is.
"We think James is a guy we can build our team around," Rockets general manager Daryl Morey said on Comcast SportsNet Saturday night. …
"Yeah, we're very excited," Morey said. "He's an All-Star caliber player we've been looking to add to the team. Obviously, on the recent Dream Team, youngest player on that team.
"We're excited. This is an elite offensive player who is solid in all other areas of the game as well."
For Houston, this is a first big step. They are on the road to relevancy. But this move alone does not have them in the playoffs this year in the West, they still have a long way to go. A lot of pieces to fit in. And that starts with the two stars they already have.
Harden and also acquired Jeremy Lin are both guys who thrive running the pick and roll, so expect to see a lot of that in Houston. That and the team running and getting in the open floor. Because of that Morey thinks his two stars will mesh well.
"They complement each other very well," Morey said on Comcast SportsNet Houston. "You know, James is a guy who is an elite shooter. Jeremy can break people down, find shooters. James is also great in the pick-and-roll. Both are good in transition, which is how we want to play this year."
I'm not as sold, at least not yet anyway. I'm not sold on them as a defensive unit in the back court. On the other end of the floor, I think there at the least will be an adjustment period for the two to get used to each other.
My other question is who will be the good pick-and-roll big man for Houston, or more likely do they still need to go get one. Omer Asik was pretty average in limited time in that role in Chicago (just 28 times he got a shot as the roll man and he shot 50 percent according to Synergy). Can just acquired Cole Aldrich be that guy? What about European rookie Donatas Motiejunas?
Morey has to put a lot of pieces still together for the Rockets. They are not in the playoffs.
But to win in the NBA you need stars, you need talent. The Rockets just acquired a lot of talent in the form of Harden. It's a start.
Wade finds LeBron with pass off the glass for dunk in transition (VIDEO)
Dec 7, 2013, 11:00 PM EST
LeBron James and Dwyane Wade are simply devastating together when the Heat get out in transition, and this highlight from Miami's easy win over a Timberwolves team playing without Kevin Love is a perfect example. Now of course, a two-on-none fast break will always result in points. But LeBron and Wade often make a spectacle…
Fan wanders onto court while game is going on during Cavaliers-Clippers (VIDEO)
Dec 7, 2013, 9:30 PM EST
Remember last season when an idiot fan in Cleveland ran into the court during live game action? Apparently, there are plenty more like him in that lovely city. During the second quarter of Saturday's contest between the Cavaliers and the Clippers, we once again had a fan walk onto the court while the game was…
Luol Deng missed Saturday night's game against the Pistons with a sore left Achilles, head coach Tom Thibodeau confirmed before tip-off. Deng's status is listed as day-to-day, and it's not believed to be anything serious. After averaging 48.5 minutes per game over the last two contests thanks to logging 56 minutes in a triple-overtime loss…
So, I had this whole thing written and ready about how Sixers coach Brett Brown doesn't believe that Michael Carter-Williams is injury-prone, despite the fact that after sitting out Saturday, the rookie will have missed six of his team's first 21 games. But then the news broke that Carter-Williams had been hospitalized with a bacterial…
D'Antoni says Kobe's minutes will be 'somewhere in the 20s' in Sunday's return vs. Raptors
Dec 7, 2013, 5:00 PM EST
Kobe Bryant will take the court on Sunday against the Raptors, seeing his first action of the season since suffering a torn Achilles injury this past April. The buzz surrounding Bryant's long-awaited debut continued at the Lakers practice facility on Saturday, when Mike D'Antoni answered questions about how much Bryant will play, at what level,…
League execs on Kyrie Irving's recent struggles: 'He's pouting'
Dec 7, 2013, 2:00 PM EST
Kyrie Irving has been far from the dominating, game-changing point guard he showed capable of last season, and people around the league are beginning to take notice. He's had games where he's put up some decent numbers, but has done so inefficiently in recent weeks. After an 0-9 performance in Cleveland's blowout loss to the…
Report: Knicks have 'zero intention' of trading Carmelo Anthony
Dec 7, 2013, 11:00 AM EST
The Knicks have won two straight in blowout fashion, looking a little like last year's club with the hot three-point shooting and briefly returning some sense of sanity to the team and its fan base. The media has yet to catch up, however, as the reports and rumors continue to fly about Carmelo Anthony's future…
The Knicks rolled the Magic 121-83 on Friday to earn a much-needed second straight victory, but Orlando rookie Victor Oladipo came up with at least one play that was worthy of the highlight reel. As Carmelo Anthony drives the lane for what looks to be a certain slam, Oladipo rises up and rejects him at…
PBT Podcast for Dec. 7: Kobe's back and for the Lakers that means….
Dec 7, 2013, 8:00 AM EST
Kobe Bryant's return — and the Lakers' decision to announce it with a video on Facebook of Kobe's jersey — is the focus of the latest edition of NBC's ProBasketballTalk Podcast with myself and Eyton Shander of NBC Sports Radio. We talk about what this means for the Lakers, both in the short-term this season…
Paul Millsap hits a shot to beat first quarter buzzer vs. Cavs (VIDEO)
Dec 6, 2013, 11:47 PM EST
Russell Westbrook wasn't the only one showcasing his range under pressure on Friday. Paul Millsap of the Hawks heaved a shot from well beyond half court to beat the first quarter buzzer against the Cavaliers, and it found nothing but the bottom of the net. We'd like to tell you that this particular heave mattered…
Russell Westbrook drains a shot from near half court against Pelicans (VIDEO)
Dec 6, 2013, 10:31 PM EST
Anytime a player on either team hits a shot from a distance that borders on the absurd, the announcers on the telecast seemingly can't wait to break out the local references in describing just how far away the attempt actually was. In this case, we had Russell Westbrook hitting a shot from near halfcourt to…
Kyle Korver breaks record for consecutive games making a three (VIDEO)
Dec 6, 2013, 9:23 PM EST
Ray Allen couldn't do it. Neither could Reggie Miller or Stephen Curry or any of the other three-point marksman you can name. Kyle Korver has now made a three in 90 consecutive games, breaking the record Dana Barros set in 1996. He did it midway through the first quarter from above the break on the…
Kobe Bryant's jersey has faced snow, rain and wind. Yet, it's endured. That's the lesson I took from the above video, which Kobe posted to Facebook today. Oh, and that Kobe will return Sunday against the Raptors. I guess he's been through a lot, too. Sunday will mark just 240 days since he tore his…
Kevin Love will not suit up Saturday night when the Timberwolves host the Miami Heat for the one time this season. Love's grandmother has passed away and he is not with the team right now. Timberwolves assistant coach Terry Porter said Friday Love will not play Saturday, tweets the St. Paul Pioneer Press. The Timberwolves…
Mike D'Antoni: Chances "pretty good" Kobe plays Sunday… he sold that short
Dec 6, 2013, 3:22 PM EST
UPDATE 5:37 pm: Kobe Bryant will make his return on Sunday night — he made the announcement in a Facebook video. Apparently he owns some FB stock. 3:22 pm: The Lakers are in Sacramento tonight. Kobe Bryant will be at his home in Newport Beach, trying to get his daughters to turn off the "Muppets…
Kyle Korver will fire from arc Friday to set new NBA all-time three point streak
Dec 6, 2013, 3:02 PM EST
Dana Barros, a little point guard out of Massachusetts who got to play for the Celtics as part of a 14-year NBA career, and while there he set a record: Eighty-nine consecutive games with a made three. If Kyle Korver knocks down a three Friday night when the Hawks host the Cleveland Cavaliers Korver will…


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"Two decades have passed since I opened this store in Manchester, yet the available choice of quality fashion clothing for plus-size women in this country remains abysmal," said the businesswoman who founded her store when a thyroid condition caused her to gain weight.
"When I opened my boutique for sizes 18-32 back in 1993 I quickly learned that the only way to stock it with fashionable, well-made, plus size clothing was by travelling to Germany several times a year and buying garments from a huge selection that were simply not available anywhere else.
"Germany has led the world in the production of plus-size high fashion and as I wanted my customers to have access to the very best quality clothing, it made sense for me to source my stock from there.
"After the launch of Lady Bountiful, one or two plus-size stores began to appear elsewhere in the UK and I assumed the growing demand for clothing for bigger women would eventually convince British designers and manufacturers to take the significant plus-size sector seriously.
"However, despite the passing of two decades little has changed. I still make my trips to Germany, several times a year, to select my Autumn/Winter and Spring/Summer collections because the offering of size 18 – 32 garments from the UK's designers and manufacturers is virtually non-existent.
"Actually it is scandalous that this section of society is ignored by the vast majority of designers and manufacturers, because the number of plus-sized women in the UK is significant. You could argue that we are victims of a form of discrimination. Why shouldn't larger sized women have the same range of choice in clothing as slimmer ladies?
"Perhaps the designers and manufacturers haven't realized that many of the ladies who buy their clothes from Lady Bountiful are successful and affluent individuals who are prepared to pay significant sums to ensure they look superb.
"Why leave this valuable trade to the Germans? Can't British designers and manufacturers compete?"
Alice believes it is time for plus-sized ladies to make their voices heard.
"They should complain when they can't find what they want," added Alice. "They should demand a better level of service and equality for plus-sized fashion lovers. Let's hope things have improved by the time we celebrate Lady Bountiful's 30th anniversary.
For further information about Lady Bountiful click onto: www.ladybountiful.co.uk


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Pioneer of In Vitro Fertilization Wins Nobel Prize in Medicine
The British scientist who pioneered techniques of in vitro fertilization, which in the last generation has revolutionized treatment for infertile couples who wish to bear children, was awarded the 2010 Nobel Prize in Physiology or Medicine this morning. The researcher, Robert G. Edwards, an 85-year-old professor emeritus at the University of Cambridge, will receive the prize, worth about $1.5-million this year, at a ceremony in December. Mr. Edwards's work, which began in the 1950s and was conducted at Britain's National Institute for Medical Research as well as at Cambridge and at the Bourn Hall Clinic, was crowned in 1978, with the birth of Louise Brown, dubbed the world's first "test-tube baby." Some four million more have followed. Sweden's Karolinska Institute, in Stockholm, hailed Mr. Edwards, who worked with the now-deceased Patrick Steptoe, for not only making IVF possible through important discoveries but also making it safe and effective through refinements and training for IVF specialists at the clinic. In its citation, the institute said Mr. Edwards's "contributions represent a milestone in the development of modern medicine."
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Please enter your travel dates.
Standard Single Room
Superior Single Room, 1 Single Bed
Standard Twin Room
Superior Twin Room
Jyvaskyla hotel with an indoor pool
Situated in the city center, this hotel is close to Jyvaeskylae Art Museum, University of Jyvaskyla, and Alvar Aalto Museum. Nearby attractions also include Jyvaeskylaen Jaahalli.
Hotel Features
In addition to a restaurant, Cumulus Jyvaskyla features an indoor pool. Other amenities include a bar/lounge and complimentary wireless Internet access.
Room Amenities
Guestrooms have complimentary wireless Internet access, minibars, and desks; rooms also include hair dryers and private bathrooms.
Hotel Amenities
- General
In addition to an indoor pool, Cumulus Jyvaskyla provides a sauna and a fitness facility. The hotel offers a restaurant. A bar/lounge is on site where guests can unwind with a drink. Guests can enjoy a complimentary breakfast. An Internet point is located on site and high-speed wireless Internet access is complimentary.
Business-related amenities at this 3-star property consist of audiovisual equipment and small meeting rooms. 6 meeting rooms are available. This Jyvaskyla hotel also offers multilingual staff, complimentary newspapers in the lobby, and dry cleaning/laundry services. Limited onsite parking is available on a first-come, first-served basis (surcharge).
Cumulus Jyvaskyla is a smoke-free property.
- Swimming pool - indoor
- Sauna
- Free breakfast
- Restaurant
- Room service (limited hours)
- Bar/lounge
- 24-hour front desk
- Dry cleaning/laundry service
- Television in lobby
- Elevator/lift
- Complimentary newspapers in lobby
- Multiple large conference rooms
- Fitness facilities
- Internet point
- Half board rates available
- Full board rates available
- Free Wi-Fi
- Dial-up Internet access - surcharge
- Total number of rooms - 202
- Number of floors - 5
- Microwave in lobby
- Audiovisual equipment
- Patio
- Luggage storage
- Airport transportation (surcharge)
- Designated smoking areas
- Multiple small meeting rooms
- Multilingual staff
- Parking limited (surcharge)
- Parking (surcharge)
- Safe-deposit box at front desk
- Year Built 1977
- Number of meeting/conference rooms - 6
- Smoke-free property
- Number of buildings/towers - 2
- Internet
Available in all rooms: Free Wi-Fi
Available in some public areas: Free Wi-Fi
- Parking
Parking (surcharge), Parking limited (surcharge)
- Room Amenities
- Phone
- Minibar
- Wake-up calls
- Daily housekeeping
- Private bathroom
- Hair dryer
- Handheld showerhead
- Shower only
- Iron/ironing board (on request)
- Television
- Blackout drapes/curtains
- Free Wi-Fi
- Dial-up Internet access (surcharge)
- Extra towels/bedding
- Connecting / adjoining rooms available
- Electronic/magnetic keys
- Desk
- Rollaway/extra beds available
- Cribs/infant beds available
- Pillow menu
- City view
- Dining
Guests are offered a complimentary buffet breakfast.
Huviretki - Overlooking the city, this restaurant serves breakfast, lunch, and dinner. Guests can enjoy drinks at the bar. A children's menu is available.
Room service (during limited hours) is available.
- Recreation
Recreational amenities at the hotel include an indoor pool, a sauna, and a fitness facility.
The recreational activities listed below are available either on site or nearby; fees may apply.
- Golf - driving range nearby
- Golfing nearby
- Golf - miniature nearby
- Snowboarding nearby
- Skiing - downhill nearby
- Skiing - cross-country nearby
- Ice skating nearby
- Snowshoeing nearby
- Swimming nearby
- Boat launch nearby
- Aerobics nearby
- Volleyball nearby
- Basketball nearby
- Tennis nearby
- Sports center nearby
- Yoga classes/instruction nearby
- Pilates classes/instruction nearby
- Bicycle rentals nearby
Policies & Fees
- Check-in
Check-in time starts at 2 PM
- Check-out
Check-out time is noon
- Payment types
Accepted at this hotel: American Express, Diners Club, MasterCard, Visa
- Pets
Pets not allowed
- General
Extra-person charges may apply and vary depending on hotel policy.
Government-issued photo identification and a credit card or cash deposit are required at check-in for incidental charges.
Special requests are subject to availability upon check-in and may incur additional charges. Special requests cannot be guaranteed.
- Fees
- The following fees and deposits are charged by the property at time of service, check-in, or check-out.
- Self parking fee: EUR 10-16 per night
- Pet deposit: EUR 10 per night
- Rollaway bed fee: EUR 30 per night
The above list may not be comprehensive. Fees and deposits may not include tax and are subject to change.
- Additional Details
The property has connecting/adjoining rooms, which are subject to availability and can be requested by contacting the property using the number on the booking confirmation.


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Intro : Dm,Bb,F,C Dm Bb It feels like we've been out at sea F C So back and forth that's how its seems Whoa Dm Bb and when I want to talk You say to me F C Bb That if its meant to be, it will be C Bb So crazy in this thing we call love Dm Bb
Artist: Justin Bieber feat. Jessica Jarrell Song Title: Overboard Album: My World 2.0 (2010) Tabbed by ashleyfoo Email: email@example.com Rate and comment please =) Standard Tuning Capo on 5th fret [Intro] C F C G Am F C G Am C It feels like weve been out at sea
Overboard by Justin Bieber Heyyyy!!! Here's Overboard by Justin Bieber :) Capo 5 Have fun :)If you have any questions, comments, or thoughts on the meaning of life then feel free to email me at email@example.com :) Am F It feels like we've been out at sea, whoa C G So back and forth that's how it seems, whoa Am F And when I wanna talk you say to me C G That if it's meant to be it will be Whoa oh no
Artist: Justin Bieber Song Title: Overboard Tabbed by isabella Standard Tuning [Intro] F Bb F C Dm Bb F C Dm Bb It feels like weve been out at sea F C So back and forth thats how it seems Dm Whoa and when I want to talk Bb


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Elfwood is the worlds largest SciFi & Fantasy community.
- 151426 members, 1 online now.
- 13020 site visitors the last 24 hours.
Firebird | Persephone |
Glow and Neon | Wynken, Blynken, and Nod: A river of crystal light |
Detail2- Birds of Prelisin | Detail3- Birds of Prelisin |
Elfwood is a site for Fantasy and Science Fiction art and
stories. The site was founded by Thomas Abrahamsson and
is maintained by helpful
assistants and moderators, owned by the Elfwood
AB corporation.


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Real Madrid manager Jose Mourinho is refusing to panic following his side's 2-1 first-leg defeat to Bayern Munich at the Allianz Arena.
Goals from Frank Ribery and Mario Gomez consigned Real to their first away defeat in 22 games, but Mourinho is confident that his players can turn the tie around in the second leg on April 25.
He said: "We don't need any crazy result in the return leg, we can win with a normal result and go through.
"I think my team can respond to this game, with our fans behind us."
Several Madrid players had their boots stolen from the changing room prior to kick off.
Jose Mourinho confident of progression
© PA Photos
By Robert Summerscales, Reporter
Filed: Wednesday, April 18, 2012 at 00:48 UK
Filed: Wednesday, April 18, 2012 at 00:48 UK
Last Updated: Wednesday, April 18, 2012 at 10:13 UK
View our homepages for Jose Mourinho, Mario Gomez, Frank Ribery, Bayern Munich, Real Madrid, Football
Follow @SMBayern to get every Bayern Munich headline from Sports Mole, and follow @SportsMole for the latest breaking news stories
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Managers Mike Marsh of M & M Ranch House and Robin Collins of Walmart and Kathy Valenzuela, representing Carlito's Mexican Restaurant, each drew one raffle ticket for first, second and third prizes and Mario Ysit drew an alternate ticket in case one of the first three prizes weren't claimed for the Marine Corps League's recent raffle.
The winners will be notified by phone. Their prizes will be awarded at the Marine Corps League's monthly meeting at 6:30 p.m. Wednesday, Sept. 18.
Walmart, M & M Ranch House, Carlito's Mexican Restaurant and several other businesses have assisted the Marine Corps League with raffle prizes for several years. Proceeds are used to help local Marines and their families, the Honor Guard detail at the Northern California Veterans Cemetery and other local cemeteries, the Young Marines and other projects, including shipping gifts to Marines and other service personnel in war zones around the world.
Detachment 1140 meets on the third Wednesday of each month at the Veterans Memorial Hall, 735 Oak St. in Red Bluff. Marines and Navy Corpsmen are cordially invited to meetings. Detachment 1140 can also be found on Facebook.


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The 2012 Fall Rally "Witches & Wizards" was held at the LoW HI RV Ranch in Deming, New Mexico from October 31 to November 3. Over 70 people attended the rally chaired by Mickey Tanner. As you can see in the slide show, there were many activities to do. Plan your spring rally now here at the ranch in March 2013.
Registration forms for any rally in newslettter (members only). If you wish to register for a rally as a prospective member, contact firstname.lastname@example.com . Click Here to download RALLY REGISTRATION FORM to Print and mail in. Look for info on cost and where to mail in the latest newsletter.
Sept. 25-29, 2013
Yankee LoWs Northeast Rally
Lake George, NY
Rally fee $65 by Aug 10—$75 thereafter
Make check payable to Yankee Lows.
send to Maureen Fusco,
34 Cranston Ave. Shelton, CT 06484,
King Phillips Campground Lake George, NY. Stay 2 nights—3rd night free
Reserve campsite directly with campground 518-668-5763
Early days Mon & Tues—pay 2, get 1 free applies.
- WiFi on site
full hookups available
trailer rental: 518-793-1533
Shopping outlets nearby
Boat ride on Minnie HaHa ($12, payable with reservation)
Trolley into Lake George Village
catered dinners
games and prizes
Directions: from the South: I-87 N to exit 20; left onto Rte 9 North 2.3 mi. Turn right onto Bloody Pond Rd. c/g on right.
Directions: from the North: I-87 S to exit 21; right onto Rte 9 South 3/4 mi. Turn left onto Bloody Pond Rd. c/g on right.
Border LoW Rally Celebrating the 45th. anniversary of Loners On Wheels RV Singles
Border LoW Rally
October 22 – 27, 2013
Antique Capital RV Park
Gladewater, TX
Theme: Western 1800's
Fee is $40 early registration before October 10th,
After October 10th, it's $50
Mail registration to:
Gene Adams OR Dorothy Owens
1121 Muntz Cut-Off Rd 10182 Old Post Rd
Marshall, TX 75670 Texarkana, AR 71854
(903) 238-6329 (903) 701-4907
Your registration fee includes five breakfasts, one weiner roast, and four dinner entrées
Entertainment will include a miniature golf tournament, bean bag tournament, 42 tournament, bingo, door prizes, a karoke night, a chili cook-off, and arts and craft lessons.
Monster Mash Bash Rally
Rally Fee $40.00 until Oct 21
$50.00 after
October 28, 29, 30, 31 2013
LoW-HI RV Ranch
1795 O'Kelley Rd SE
Deming, NM 88030
Co-Chair: Karen Levi


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Nov 5
via utnereader
Spectrumville, the forum, has been getting an average of about one new user per day. This isn't all that bad, but I'd like this number to go up a bit.
I think it would be great if you people could share links to Spectrumville via your blogs, forum signatures, Facebook among other places.


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Tags: travel photographs, ride photographs, motorcycle photographs, honda photographs, tourist photographs, travel canvas prints, ride canvas prints, motorcycle canvas prints, honda canvas prints, tourist canvas prints
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travel framed prints, ride framed prints, motorcycle framed prints, honda framed prints, tourist framed prints, red framed prints, silver framed prints, mountains framed prints, parked framed prints, lookout framed prints, sight see framed prints, beautiful framed prints, colorful framed prints, transportation framed prints, fun framed prints, leisure framed prints, recreation framed prints, bikes framed prints, nobody framed prints, modern framed prints, sport framed prints, smoky framed prints, ridges framed prints, peaks framed prints, landscape framed prints, travel greeting cards, ride greeting cards, motorcycle greeting cards, honda greeting cards, tourist greeting cards, red greeting cards, silver greeting cards, mountains greeting cards, parked greeting cards, lookout greeting cards, sight see greeting cards, beautiful greeting cards, colorful greeting cards, transportation greeting cards, fun greeting cards, leisure greeting cards, recreation greeting cards, bikes greeting cards, nobody greeting cards, modern greeting cards, sport greeting cards, smoky greeting cards, ridges greeting cards, peaks greeting cards, landscape greeting cards, travel prints, ride prints, motorcycle prints, honda prints, tourist prints, red prints, silver prints, mountains prints, parked prints, lookout prints, sight see prints, beautiful prints, colorful prints, transportation prints, fun prints, leisure prints, recreation prints, bikes prints, nobody prints, modern prints, sport prints, smoky prints, ridges prints, peaks prints, landscape prints, travel posters, ride posters, motorcycle posters, honda posters, tourist posters, red posters, silver posters, mountains posters, parked posters, lookout posters, sight see posters, beautiful posters, colorful posters, transportation posters, fun posters, leisure posters, recreation posters, bikes posters, nobody posters, modern posters, sport posters, smoky posters, ridges posters, peaks posters, landscape posters
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What to Do in the US
Travel Channel's picks for what to do in the United States.
Similar Topics: United States , North America , California , Beaches , Restaurants
Showing 2071-2080 of 2458
Bridget embraces the aloha spirit
VIDEO | Bridget lets her inner hula girl go wild while in the Hawaiian ...
Partying at the Port of Miami
VIDEO | The biggest party in Miami is the Groove Cruise, a three-day ...
Fleet Week in Times Square
PHOTOS | Rusty, Kirk and the team are hired by the Navy to create a ...
Deep-Fried in Berkeley
VIDEO | At Sumo, in Berkeley, if it can be eaten, it can be deep-fried.
Celebrity Poker Tournament
VIDEO | South Point hosts a celebrity poker tournament to raise money for ...
The Great Calusa Blueway
VIDEO | Marianela kayaks down this serene 190-mile paddling trail in ...
Southern California Getaway
Daily Escape | Santa Barbara, California
Hilton Head, South Carolina
ARTICLE | One of the largest islands on the East Coast, Hilton Head is ...
Keep the Customer Happy
VIDEO | Joe appeases an angry customer when Midway runs out of washer fluid.
Yosemite Falls
Daily Escape | Yosemite National Park, CA


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48 exp 12 hdr 9 explore water canon 8 sky nature 7 night landscape blue 6 light nikon eos macro sunset portrait 5 d300 çanakkale green fisheye sigma maydos love flower loved 40d gökyüzü eos40d 4 landschaft mace2000 fullframefisheye int nikond300 lr4 bravo 1000v fisheyehemi natur türkiye countryscenery panorama willametteriver fp nikcolorefexpro4 specanimal clouds nikon105mmfisheye sigma1020 350d canong9 detailextractor cropped 3 g9 thephotographersephemeris ir interesting denmark ontario vanhilliard tonalcontrast r72 quality clsb turkey naturesfinest dove reflection 1000v40f white 1500v60f summerqtr 2for2 infrared texture ousohsucollaborativelifesciencesbuilding supershot blogged 5 impressedbeauty d80 interestingness scandinavia güvercin darkenlightencenter sigma30mmf14 pscc avianexcellence intersting portland dansk beach northsea fa flight birds platinumphoto coolpix stars egrets avian 4aces nests river sun photographer cloudjunkie megashot abigfave kızılötesi lake firstquality specanimalphotooftheday notedited falsecolour fotografca 9 sigma30mmf18 flickrdiamond fog co payitforward chair e4200 herons photomatix oregon colors astrophotography diamondclassphotographer tree skyline 600mm distorted st portlandmilwaukielightrailbridge forest 3000v türkei d2h rossislandbridge canon350d sea greatblueheron pdxnightowls 3 imageborders ultimateshot rasg1969 türbandeğil rust tigem whitepelican panning theunforgettablepictures jylland storm businesssolutions kedi mountains g1 çözüm trees proimage unique top20india strobistinfo430exlefttriggeredtothesmokewithoce3 baggersee fancyfrontier12 hss filmcamera utata:startdesc= rags estrellafugaz mirror fujichrome mikimiska83 devereaux winter plannar istanbulatatürkarboretumu 墨西哥城 broadwaybridge barcelone grandtetonnationalpark caminar 30second diyebileceğimi rain way ederim picturethecure2008 d2x rf internationalyearofastronomy 16mmf28dfisheye antiflickr drug lucisart schtumple me selfportrait 07 ayçiçeği 4season bakmak moon 墨西哥 şans chicks shoreline d700 canon450d nice granada sbfmasterpiece fujisensia400 konya flickrstruereflection5 iya2009 مكسيكو srbija nikolat planetoftheapes ff12 thickets flickrunitedaward europa observationpoint largaexposición mexicocity bitiyorum serbia 芒草 rogla göteborg natura video rumi photographers intepetigemarası specanimalphotoofthemonth 6d people thezephyrsong zrece javiindy kask walk contax seçim lensflare california humor bej gardenhill hertercihyenibirhayattır 1022 moonlit exposion professional removecolorcast education goldstaraward alone nightshot fishing scarf rangefinder flickrstruereflection2 ciudaddeméxico yakala excellentphotographerawards 1 monochrome down sand kaçış deutschland olivethehampster 400d helmet koş 1365 finish coth smallthings bir başörtüsü cosplayers mountain tetons red0705124743800jpg masiero spårvagn frhwofavs hand badenwürttemberg tower vision:portrait=099 lång jpg直出 jupiter lighthouse chilangolandia nesting gökyüzütexture مدينة prohibition scenery ombra barcelona pen startrails umbrella coffeebreak comp time:hour=11pm rays fleursetpaysages feeding
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Flickr Hive Mind is a search engine as well as an experiment in the power of Folksonomies. All thumbnail images come directly from Flickr, none are stored on Flickr Hive Mind. These photos are bound by the copyright and license of their owners, the thumbnail links take to you to the photos (as well as their copyright and license details) within Flickr. Because some other search engines (Google, etc.) index parts of Flickr Hive Mind, you may have been led here from one of them. Welcome to Flickr Hive Mind, almost certainly the best search engine for photography on the web. If you are a Flickr user and use Flickr Stats you may have seen people being led to your photos via Flickr Hive Mind (as a Referrer). Flickr requires that I inform you that Flickr Hive Mind uses the Flickr API, but is neither endorsed nor certified by them. There are literally hundreds of other web tools built around the Flickr API, see Flickr Bits for a bunch of examples. If you are unhappy with your photos' presence on this site, you can (a) make your photos private for yourself, friends, and family. These settings will be instantly honored by Flickr Hive Mind and all other API-driven applications. (b) Hide your photos globally from text and tag searches on 3rd party sites that use the Flickr API, via your preference settings on Flickr. See the privacy tab at: http://flickr.com/account/. To also remove yourself from searches for specific user names, you will need to set your Flickr profile to be hidden from searches. Flickr has finally created a single page with all these settings, this is much easier to do now and is the preferred method - it will shut down all API driven sites. (c) Finally, you can Banish Yourself From Flickr Hive Mind. To banish yourself from Flickr Hive Mind, you must first authenticate to Flickr, which lets Flickr Hive Mind identify who you are. Once logged in, come back to this area and there will be a link to banish you. If there are any problems email me at nosflickrhivemind ... at ... fiveprime ... dot ... org. (a few people with weird characters in their user names may have had problems)Log In To Flickr Now
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Fiveprime.org supports The Mountain Institute - Sustaining mountain people, cultures and environments through education, conservancy, and sustainable development.


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promotional discount applied. Cart total will refelect savings.
Buy 2 or more, each at $64.79 Buy 3 or more, each at $63.35
Quantity discount will reflect in cart.
This product may only be purchased with the approval of a veterinarian and may require verification. We will collect any necessary information at checkout and verify a prescription if required.
Sometimes, manufacturers require that products be advertised only at their suggested prices. When we choose to sell these items for less, we display the sale price only in the cart. To see the price, click Add to Cart.
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Product Reviews by Customers


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US Stocks Open Lower On Euro Worries
Posted: 01/30/2012 - U.S. stocks are falling at the opening of trading. Uncertainty about a deal between Greece and its creditors to ease its debt burden is weighing on investor sentiment.
Posted: 01/30/2012 - U.S. stocks are falling at the opening of trading. Uncertainty about a deal between Greece and its creditors to ease its debt burden is weighing on investor sentiment.
Posted: 01/27/2012 - Frontier Airlines is bringing its headquarters back to Denver.
Posted: 01/27/2012 - The U.S. economy saw its strongest quarter since early 2010, though falling just short of economists' predictions.
Posted: 01/27/2012 - The number of aging prison inmates is growing, leaving prisons to make decisions about how to accommodate.
Posted: 01/26/2012 - The Dow Jones industrial average is trading near its highest close since the financial crisis.
Posted: 01/26/2012 - 2011 was the worst home sales year on record, the Commerce Department said Thursday, though there are indicators that the market is starting to recover.
Posted: 01/26/2012 - A government watchdog says U.S. taxpayers are still owed $132.9 billion that companies haven't repaid from the financial bailout, and some of that will never be recovered.
Posted: 01/26/2012 - Stocks are opening higher as solid economic news and strong corporate earnings highlight the economy's growing momentum.
Posted: 01/25/2012 - The lack of December snow has hurt sales of ski and snowboard gear, according to a snow sports trade group.
Posted: 01/25/2012 - The Federal Reserve has downgraded its outlook for economic growth this year but is slightly more optimistic about the unemployment rate.
Posted: 01/25/2012 - Apple has again surpassed Exxon as the most valuable U.S. company after a huge fiscal first quarter.
Posted: 01/25/2012 - The number of Americans who signed contracts to buy homes fell in December after hitting the highest level in a year and a half.
Posted: 01/24/2012 - An ongoing recession in Europe will drag the entire world economy down this year, the IMF predicts.
Posted: 01/23/2012 - Thanks for being a great member! In fact, you're so special we're putting some extra money into your account. That's the message a lot of members of ENT Federal Credit Union are getting today, but it's not a scam. Why most are being singled out and when the cash is coming.
Posted: 01/23/2012 - Thorsten Heins is taking over as CEO of BlackBerry maker Research in Motion, following the departure of co-CEOs Jim Balsillie and Mike Lazaridis.
Posted: 01/19/2012 - A monthly survey of bankers puts the report's overall index at a 4 1/2-year high, but other indicators show trouble ahead for the rural economy.
Posted: 01/19/2012 - The average rate on the 30-year fixed mortgage fell again this week to a record low.
Posted: 01/18/2012 - Stocks are closing at their highest level since last summer.
Posted: 01/18/2012 - Homebuilders have an improving opinion of the housing market because they're optimistic that sales will rise this year.
Posted: 01/17/2012 - Stocks are rising strongly at midday on signs of resilience in Europe's debt markets and a gradual slowdown in China.
Posted: 01/16/2012 - Optimism about the economy could actually have a negative impact on your wallet this year, economists are predicting.
Posted: 01/13/2012 - Home Depot stores across the nation are planning to hire 70,000 temporary, part-time workers.
Posted: 01/13/2012 - Stocks are opening lower after earnings fell at JPMorgan Chase, the country's largest bank, and rumors swirled that more downgrades of European debt may be coming.
Posted: 01/12/2012 - President Barack Obama is asking Congress for another $1.2 trillion increase in the nation's debt limit.
Posted: 01/12/2012 - First Niagara Bank has agreed to sell 37 HSBC branches to KeyBank as part of its purchase of HSBC's entire upstate New York retail network, the banks announced Thursday.


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AAF - All About Furniture BT2430 Description
ATTCO EcoBoo Table Top, rectangle, 24" x 30", 1-1/2" thick, bacteria resistant, renewable bamboo. See Spec Sheet For Grade 1 Color Options. Contact Customer Service For Additional grade, Color and Stain Options. Upcharges may apply.
AAF - All About Furniture BT2430 Specifications
- Product Spec Sheet
- Manufacturer: AAF - All About Furniture