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This book provides step-by-step guidance for using innovative video modeling techniques to support the development of young children with autism spectrum disorders. It shows how to film personalized videos that highlight the exact skill that is being taught and how to incorporate these videos into the child's daily routine to encourage learning. more »
2012, Paperback: £13.99/ $19.95Keywords: Asperger syndrome, autism, child development, child psychology, children, early intervention, education, educational psychology, educational training, high functioning autism, intellectual disabilities, life skills, mainstream education, occupational therapy, parenting, pervasive developmental disorder, play, psychology, special education
This book provides a blueprint for an educational intervention program that is evidence-based, comprehensive and integrative in its approach. Grouping techniques into five categories, the book examines autism spectrum disorders within a developmental context, and shows that interventions with autistic individuals can be really successful. more »
2011, Paperback: £20.99/ $29.95Keywords: applied behaviour analysis, Asperger syndrome, autism, child psychiatry, child psychology, cognitive behavioural therapy, developmental coordination disorder, dyspraxia, early intervention, educational psychology, emotions, high functioning autism, life skills, nonverbal learning disabilities, occupational therapy, parenting, pervasive developmental disorder, play therapy, sensory issues, sensory stimulation, social skills, social stories, special education, speech and language pathology, speech and language therapy
This guide offers practical advice on how to recognize the signs of developmental delay, address difficulties effectively, and help the child to flourish. The author presents a practical approach to dealing with developmental delay, equipping readers with the knowledge, understanding and tools to tackle problems successfully. more »
2010, Paperback: £12.99/ $19.95Keywords: ADD, ADHD, Asperger syndrome, child development, child psychology, children, communication, counselling, dance and movement therapy, disability, dyslexia, dyspraxia, early intervention, education, educational psychology, families, high functioning autism, inclusive classroom, mainstream education, nonverbal learning disabilities, occupational therapy, parenting, pervasive developmental disorder, psychology, sensory issues, special education, speech and language pathology, speech and language therapy
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(3 titles match the current selection)


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Posts tagged managed beans
Spring a surprise on a JSF developer – how Spring beans can become "JSF Managed Beans"
Recently I was looking at a JavaServer Faces application, that did something relatively simple – but was exhibiting strange behavior. The output shown on the page (and this is a simplified version of the real life situation) was:
dlroWolleHI had been asked to look into the situation and correct it. Before starting to make any changes I decided to familiarize myself with the application as it currently was. And then they almost tricked me.
The JSF page had a simple outputText component with an EL Expression in its value attribute. Something like:
<h:outputText value="#{someBean.property}"/>I decided to take a look at the code for that bean, to understand the logic behind deriving the value of the outputText. So I first opened the faces-config.xml file to find the managed bean declaration that would tell me which class definition was behind the bean included in the EL expression. However, the faces-config.xml did not contain any managed bean definitions at all. None. And yes, I tried to see whether the web.xml specified any other faces-config.xml alternatives. But it did not.
Slowly it dawned on me (more…)

subset: commoncrawl


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Achieving Affective Impact: Visual Emotive Communication in Lifelike Pedagogical Agents
Lifelike animated agents for knowledge-based learning environments can provide timely, customized advice to support learnersâ problem-solving activities. By drawing on a rich repertoire of emotive behaviors to exhibit contextually appropriate facial expressions and emotive gestures, these agents could exploit the visual channel to more effectively communicate with learners. To address these issues, this article proposes the emotive-kinesthetic behavior sequencing framework for dynamically seque
Combining heuristics and formal methods in a tool for supporting simulation-based discovery learning
This paper describes the design of a tool to support learners in simulation-based discovery learning environments. The design redesigns and extents a previous tool to overcome issues that came up in a classroom learning setting. The tool focuses on supporting learners with experimentation to identify or test hypotheses. The aim is not only to support learning domain knowledge, but also learning discovery learning skills. For this purpose the tool uses heuristics and formal methods to assess the
KMsim: A Meta-Modelling Approach and Environment for Creating Process-Oriented Knowledge Management
This paper presents a new approach to modelling process-oriented knowledge management (KM) and describes a simulation environment (called
KMSIM) that embodies the approach. Since the beginning of modelling researchers have been looking for better and novel ways to model systems and to use appropriate software to create simulations. The application of the approach and KMSIM make it possible to create realistic business models (BMs) and simulate the consequences of KM interventions and events. The
Aspects of Speech Act Categorisation: Towards Generating Teachers' Language
In this paper we examine a possible method for classifying speech acts produced by human teachers, with a view of informing the designs of intelligent natural language tutors and of providing the basis for a formal analysis of the effects that teachers' language has on students' learning. We argue that traditional means as initiated by the Ordinary Language Philosophers such as Austin (1962), Grice (1975) and Searle (1979) are not sufficient to account for all types of linguistic phenomena occur
ELM-ART: An Adaptive Versatile System for Web-based Instruction
This paper discusses the problems of developing versatile adaptive and intelligent learning systems that can be used in the context of practical Web-based education. We argue that versatility is an important feature of successful Web-based education systems. We introduce ELM-ART, an intelligent interactive educational system to support learning programming in LISP. ELM-ART provides all learning material online in the form of an adaptive interactive textbook. Using a combination of an overlay mod
La construction de protocole de travaux pratiques
de chimie à laide dun logiciel: quels apport
Larticle présente une étude effectuée avec des élèves de terminale S, à partir de lutilisation du logiciel firstname.lastname@example.com qui a pour objet lacquisition de connaissances procédurales et déclaratives par la réalisation dun protocole expérimental en chimie. La situation-problème proposée consiste à déterminer la concentration du colo-
rant E124 dans un sirop de grenadine. Dans un premier temps, la situation pédagogique modélisée dans lenvironnement informatique est décri
Quality in the New Learning Space: Ongoing Process of Teacher and Staff Training
Quality in the new learning space: ongoing process of teacher and staff training,Proceedings with reading panel
Mobile Usability in Educational Contexts: What have we learnt?
The successful development of mobile learning is dependent on human factors in the use of new mobile and wireless technologies. The majority of mobile learning activity continues to take place on devices that were not designed with educational applications in mind, and usability issues are often reported. The paper reflects on progress in approaches to usability and on recent developments, with particular reference to usability findings reported in studies of mobile learning. The requirements of
The evolution of research on collaborative learning
For many years, theories of collaborative learning tended to focus on how individuals function in a group. More recently, the focus has shifted so that the group itself has become the unit of analysis. In terms of empirical research, the initial goal was to establish whether and under what circumstances collaborative learning was more effective than learning alone. Researchers controlled several independent variables (size of the group, composition of the group, nature of the task, communication
Toward a Learning Technologies Knowledge Network
The National Science Foundation-funded Center for Innovative Learning Technologies (CILT) is designed to be a national resource for stimulating research and development of technology- enabled solutions to critical problems in K-14 science, math, engineering and technology learning. The Center, launched at the end $1997, is organized around four themes identg5ed as areas where research is likely to result in major gains in teaching and learning, and sponsors research across disciplines and instit
The Internetworked School: A Policy for the Future
not available
Experiences with Writing Grid Clients for Mobile devices
This paper describes our attempts to write GRID clients for Mobile Devices, such as a PDA, which have restrictive computational and storage facilities. Our experiences are based on an implementation of a mobile GRID client for Finesse, an existing web-based e-learning system.
At this stage of our work we are not looking to novel applications of mobile learning, but rather are exploring the feasibility of mobile devices as GRID platforms, with novel learning applications as our future aim. We ex
Learning with Digital Technologies in Museums, Science Centres and Galleries
As early as 2002 the number of virtual visitors to many museums' websites had already overtaken the number of physical visitors on-site. These developments, both within the walls of the institution and outside them, provide a number of challenges for educators and curators, at the heart of which lie the questions - what is distinctive about learning in museums, science centres and galleries, and how might this change or evolve through the increasing use of digital technologies?,A NESTA Futurelab
Scénariser l'enseignement et l'apprentissage : une nouvelle compétence pour le praticien?
27 research papers about using scenarios for computer based learning environments,Workshop proceeding
Effectiveness of Reading and Mathematics Software Products: Findings from the First Student Cohort
Congress posed questions about the effectiveness of educational technology and how effectiveness is related to conditions and practices. The study identified reading and mathematics software products based on prior evidence of effectiveness and other criteria and recruited districts, schools, and teachers to implement the products. On average, after one year, products did not increase or decrease test scores by amounts that were statistically different from zero.
For first and fourth grade read
The proving process within a dynamic geometry environment
Proof and proving have been objects of investigation from the point of view of mathematics and mathematics education for the past few years. Historical and epistemological studies show that proof is a crucial activity within mathematical practice. Didactical studies show that students encounter many difficulties when approaching proving in the classroom. Research at a cognitive level has developed frameworks interpreting students' difficulties. Studies concerned with the use of new technologies
Beyond logging of fingertip actions: analysis of collaborative learning using multiple sources of da
In this article we discuss key requirements for collecting behavioural data
concerning technology-supported collaborative learning activities. It is argued that the
common practice of analysis of computer generated logfiles of user interactions with
software tools is not enough for building a thorough view of the activity. Instead more
contextual information is needed to be captured in multiple media like video, audio
files, snapshots, etc, in order to re-construct the learning process. A softwa
We Have Met Technology and It Is Us
The chapter explores the relationship between technology and intelligence with an emphasis on technologies as forms of tool-mediated social practices. This involves the argument that although tools are constituents of a technology, it is the way in which tools are deployed as part of a social practice that is crucial. Artifacts are considered as the foundation blocks of technology.


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Most popular Wellness Dec 4/2013 Five stress-relieving spa treatments to calm you before the holidays Counterbalance the December mayhem and leave yourself with a party-ready glow.
Recipes Nov 30/2013 Over 100 holiday cookie recipes! http://www.chatelaine.com/holiday-cookie-recipes/�
Fashion Today Seven ways to look smart this December Whether it's the office cocktail party, dinner with friends or a gala event, there are lots of options (at every price point) to look festive and stylish this holiday season.
Money & Career Today How Canada's top innovators define success We spoke with seven leading women who shared their thoughts on what it means to be successful.
Living Today Study finds cats can hear you, they just choose not to listen Japanese researchers find out why cats react differently than dogs when it comes to domestic life.
Menus Today Cheese fondue party menu As the holiday season gets into full swing, we start to crave artfully arranged (and oh-so-delicious) appetizers and hors d'oeuvres. And what better way is there to indulge those cravings than with a cheese fondue party?
Fashion Dec 4/2013 Five gorgeous tassel necklaces to dress up any outfit Editorial intern Courtney Greenberg shares the splurge-worthy necklace she wants right now, plus four more to wear through the party season.
Book Club Dec 4/2013 Five books by women writers you should read Author Meg Wolitzer on why books by men and women on the same subjects – love, sex and marriage – are perceived so differently.
Real Life Stories Dec 4/2013 What it feels like to live in the real Downton Abbey The former chartered accountant turned eighth Countess of Carnarvon shares what it's like to live in a castle.
Travel Dec 4/2013 Vienna's charming holiday markets and Alpine traditions The hills are alive with the sound (and taste!) of Christmas. Let Vienna's charming markets and enchanting Alpine traditions inspire your festive celebrations
Money & Career Dec 4/2013 Why feminism should look a lot more like this If you type "empowered female" into a photo agency's search tool the results are shockingly limited and almost comical. Find out more about the results here.
Home Decor Dec 3/2013 Seven hostess gifts for every personality Be the best guest at any party with these top picks from event planning experts Ashleigh Dempster and Amanda Blakley.
Wellness Dec 3/2013 Four basic meditation tips to attain clarity and peace of mind He's a master of meditation, a sought-after yogi and a Canadian. Eoin Finn brings his laid-back, West Coast bliss to the minds of the overworked and stressed out.
Beauty Dec 3/2013 Five festive manicures to glam you up for the holidays From sophisticated and sharp to bedazzled designs, here are our fave polishes to wear during the party season.
Chatelaine Kitchen Dec 3/2013 Four things our food team loves this month! From a new cookbook with fabulous French flair, to a handy kitchen gadget — these are the items on our food team's radar this month.
Wellness Dec 3/2013 Five ways to live without regret The holidays can be an emotional storm of unexpressed thoughts and resentful feelings. Use these basic tips to weather the stress, and strengthen your resolve.
Chatelaine Kitchen Dec 2/2013 Top 10 foodie faves from the One of a Kind Show This past weekend, I shopped the stalls at the One of a Kind Show to bring you my top 10 foodie faves! The show runs at Toronto's Direct Energy Centre at the CNE grounds until December 8.
Editor's picks 30+ one-pot meals Homemade flu-fighting tea recipe 11 best bread recipes Our best-ever soup recipes Chatelaine Edition of Cityline!
Subscribe To the magazine Our December holiday double issue Subscribe now! Subscribe To the newsletter(s) Follow us Facebook Pinterest Pin It Twitter More


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Building Desert Economies
Wednesday, 20 November, 12:30pm
Research Ethics
Recognition of the diversity and uniqueness of peoples, as well as of individuals, is essential.
Family History
Information to help you with your Indigenous family history research.
Return of Materials to Indigenous Communities (ROMTIC)
Are you looking for images or sound recordings from your community?
Online collections
View our online collection of resources on selected topics
Little Red Yellow Black Site
Explore this exciting and accessible guide to Indigenous Australia
The world's most comprehensive collection of print, moving image, sound recordings and photographic materials relating to Australian Aboriginal and Torres Strait Islander cultures and histories.


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We are an extremely family friendly club who actively promotes introducing children to a life long passion for game fishing.
Club Ladies and Juniors Fishing Outing
plus Club Xmas Party 8th December 2013
More info: http://www.spgsfc.com/upcoming-tournaments-events/
Welcome to the home of Surfers Paradise Game & Sport Fishing Club
Welcome to the website of Surfers Paradise Game and Sport Fishing Club Inc. Our club's focus is to bring people together through a love of fishing and forge new and long lasting friendships with like minded people.
->Find out more about our club.
Recent in the galleries
Video & Photo Galleries
Recent images from our photo galleries and video from our club members in action. Visit our club photo and video galleries here.
Monthly Meetings
On the first Monday of the month.
The Surfers Paradise Game and Sport Fishing Club welcomes all visitors to attend from 6:30pm.


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Black and white and orange and yellow and sweet
I have obviously missed my calling - I should be a Sweet Stylist, just like brilliant NYC event planner (and dessert table designer extraordinaire) Amy Atlas. Though, if you know me, you know I have such a rotten sweet tooth for baked goods. One week doing stuff like this and I'd be have to enroll in my local chapter of Cake Eaters Anonymous.
Anyhoo, Atlas's work is chic and beautifully styled, with a controlled use of colour and a lovely sense of wit. Click here to check out her whole portfolio, and here for her blog. I'll be checking out that Jan issue of Town & Country that she just posted about and, oh, I stumbled across the work of Atlas on another blog that's totally worth a boo - Liberty Post. So play nice and make sure you check that site out too. And, if anyone is inspired enough to throw a dessert party, I'll expect an invite.


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Standard delivery (no extra charge): Order by Dec 19
Overnight delivery (charges apply): Order by Dec 23
Full Shipping Schedule
To perform a search, enter a keyword, phrase or item number in the search field and click "search."
We offer two ways to locate information:
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Brassy yellow in color, the 1999 Riverstone Chardonnay has terrior-based aromas of lime, nectarine, and wet stones, complemented by butter, vanilla and toasted oak bouquet from the barrel fermentation and sur lie aging. The flavors echo the aromas with citrus, stone, fruits, butter, butterscotch and toasty oak. Producing layers of complexity, an exceptional balance of acidity and palate weight, it ends with a lenghty finish.
Alcohol: 13.8% by volume.
Founded more than three decades ago by Jerry Lohr, J. Lohr Vineyards & Wines crafts an array of acclaimed wines from estate grapes. Still guided by Jerry today, this pioneering estate vineyard program is comprised of almost 3,000 acres of vines in Monterey County, Paso Robles and Napa Valley. From this palette of world-class fruit, J. Lohr handcrafts three tiers of award-winning...Read More About J. Lohr
The largest of California's wine growing regions, the Central Coast produces the majority of California's wine. The district sprawls out, covering most of the vineyard land between San Francisco and Santa Barbara. Smaller sub-AVAs of the Central Coast include Monterey Bay, Paso Robles, Santa Ynez Valley, Santa Maria Valley, Santa Cruz Mountains and many others. Notable Facts...Read More About Central Coast
Chardonnay (shar-dawn-AY) White Wine's Queen Bee Like Cabernet Sauvignon, Chardonnay can grow just about anywhere. It adapts well to different soils and different climates. While frequently paired with California, its native home lies in the vineyards of Burgundy, France. The only major white grape of the region, Chardonnay is at its best on the rolling...Read More About Chardonnay
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Number of diagonals in a hexagon explanation
This is video using a computer monitor to show how many diagonals are in a hexagon. A hexagon has a total of 9 diagonals.
Tessellation Slideshow of Students Projects
A musical slide show of 7th grade students tessellation projects. There is a definition at the beginning of the video of tessellation and where you can find tessellation. The video then shows how the students took a square and moved it into action using three types of tesselations-translation, rotation, and reflection. (02:45)
Geometry Rotation
A rotation is an isometric transformation where the original figure and the image are congruent. The orientation of the image also stays the same, unlike reflections. This video demonstrates how to perform a geometry rotation. (6:55)
Reflections and Rotations
This video teaches rules for reflections and rotations. Review of symmetry is provided in this clip.
Bar Graphing 4th Grade
This is a 3 minute story of a student earning money by doing various jobs. The student puts all the money earned and jobs on a bar graph. This clip give an overview of bar graphing for 4th grade math.
Introduction to Frequency Tables
A brief introduction to the use of Frequency Tables. Definitions of statistics, data, and frequency table are discussed.
How to Prove Triangles are Similar
Students learn the following theorems related to similar
triangles. If an angle of one triangle is congruent to an angle of
another triangle, and the lengths of the sides that include each angle
are in proportion, then the triangles are similar (Side-Angle-Side
Similarity Theorem, or SAS Similarity Theorem). If the lengths of the
sides of two triangles are in proportion, then the triangles are
similar (Side-Side-Side Similarity Theorem, or SSS Similarity Theor
How to Find the Perimeter of a Triangle
This is a very brief tutorial that focuses on solving the perimeter of a triangle. The teacher uses a small whiteboard for instruction. (01:51)
Learn about Perimeter and Area
Learn about Perimeter and Area - The video teaches students how to calculate the perimeter and area of figures. (05:36)
[French For Kids] What Do They Do? Part 6
This brief video, which focuses on activities, has simple sentences spoken by a native speaker in French and the sentences are accompanied by appropriate images. The video, however, may be better served if the English translation were present, especially for beginning French learners. It is well-produced with clear sound.
The History of Valentine's Day
This professional video explores the history and legends surrounding Valentine's Day. The presenter explains the legend of St. Valentine. The end of the video consists of impromptu interviews of customers at a greeting card store. (03:59)
Linear Inequalities - A Visual Proof
An instructor shows why we flip the sign when multiplying or dividing by a negative when solving inequalities. He uses a flip chart and shows several examples including both inequalities and word problems.
How to Divide Inequalities
How to Divide Inequalities. Part of the series: Math Fractions and Equations. When dividing inequalities, treat the equation like any other standard equation. Flip the inequality sign when dividing an inequality by a negative number with help from a math author and teacher.
Graphing Linear Inequalities in Two Variables
This video begins with a simple inequality, then explains how to graph the inequality. The instructor begins by showing how to graph the boundary line, then tells how to show the correct solution set on the graph by shading.
Graphing Systems of Linear Inequalities
In this video, the instructor goes through the steps needed to graph a system of linear inequalities. He discusses slope, shows how to draw the line on the coordinate plane, and explains what section of the graph should be shaded. There is some shadow on the white board which makes it a little more difficult to see at times during the instruction.
World War II: Invasion Of Poland - part 5/5
September 1939 - May 1940 The German and Soviet invasions of Poland, the Winter War, the sinking of the Graf Spee and Britain's apathy during the "phony war" until Britain's defeat in its first military engagement with German land forces in Norway, which led to the rise of Winston Churchill. Interviewees include Lord Boothby, Lord Butler, Admiral Charles Woodhouse, Sir Martin Lindsay and Sir John "Jock" Colville.
Symptoms of Diabetes - Illumistream Health
One-third of diabetics don't know that they have the condition. This video can help you avoid being one of those undiagnosed. In this video, a doctor explains the risk factors, signs, and symptoms of diabetes. 2:55 min.
Preventing Stroke
Up to 80 percent of strokes that occur in the United States each year could be prevented! In this video, a doctor give practical advice to stroke prevention. 3:33 min.
Music Key Signatures Explained
This is an excellent teaching tool for high school and and advanced musical instumentalist.
Reading sheet Music Part 1
Scales octaves on a piano. This is a wonderful tool to use for instruction for middle and high school age children.


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This Bugatti Vela blender is the ultimate in food blenders, and has a fabulously stylish design this will add instant luxury to your kitchen, with a 1 year manufacturer's warranty. The Bugatti Vela blender has the choice of four speed settings of low, medium, high and maximum, or you can use the pulse function for instant maximum speed. The function 'ice' allows you to blend/grind ice with an automated programme to get the best results. This blender Vela has a unique conical design of the mixing jar guarantees food moves about easily for perfect blending, while allowing you to introduce ingredients through the lid, from the filler cup. The jar can be stored on the power base in many different positions without the need to lock it on to the base. The reinforced clear glass mixing jar features contents marks on both sides and can blend up to 1.5 l (50oz) at a time.
The high quality solid steel blades are uniquely designed to mix ingredients powerfully. Ice can be crushed in an instant. The lid features a polycarbonate filler cup with level marks to pour exact amounts of ingredients into the glass jar, the cup can also be bayonet locked into place to form a knob to lift the lid. The Bugatti Vela blender comes beautifully packaged in a sleek black box and makes a brilliant luxury gift idea for any food lover; it is available in a choice of chrome, red, white and black (please note this item is UK delivery only).
Bugatti take a basic, everyday item, evaluate and modify it so they can present you with a brand new concept, helping to make the experience of buying kitchenware and luxury gifts a new world for you to discover.
This Bugatti Vela blender is delivered next day in the UK!
Free delivery to UK addresses*Next Day delivery is £5.95 and Saturday delivery will be charged at £9.95.
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"Internet Purchases Only" "Not a Retail Store Stock Item"
This item is viewable at our retail store in LEXINGTON, KY. It may be on display and is available for immediate purchase and pick-up.
click here to see all brands we sell
*Please Note!! Many of our pictures are stock photos provided to us by the manufacturer and do not necessarily represent the actual item being purchased. Please verify this picture accurately reflects the product described by the title and description on this page before you place your order.
The 625 Citori Sporting is poised to redefine over and under shotgun performance. Vector Pro lengthened forcing cone technology works with the included Invector Plus Diamond Grade choke tubes to maximize ballistic performance. Luxuriously finished wood features beautiful checkering. Intricate receiver artwork ensures the 625 Sporting looks as great as it performs.


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Purchase land and build your own home from the ground up in the newest DLC for Skyrim.
Views: 51,420 | Posted: 08/28/2012
*SPOILERS* We use more than wooden stakes to kill vampires in the Dawnguard DLC for Elder Scrolls V: Skyrim.
Views: 33,035 | Posted: 06/26/2012
The interview concludes with Todd Howard answering questions from Twitter.
Views: 31,636 | Posted: 06/05/2012
The first gameplay footage for the new Skyrim DLC - Dawnguard!
Views: 80,304 | Posted: 06/05/2012
The first footage of Skyrim's first DLC - Dawnguard!
Views: 106,967 | Posted: 05/31/2012
By: GameTrailers
The legend of FatBlade is born, In this parody of the trailer for Skyrim we tell the tale of one who is great, one who is known through out the land, one....who is fat. The mighty FatBlade.
Views: 384 | Posted: 05/30/2012
By: Sephis85
[url]http://pixeljudge.com[/url] - COMING SOON!! Other Mods Used: - Bellyaches Animal and Creature Pack - Better Dynamic Snow - Better Dynamic Snow v2-12 - Enhanced Blood Textures - Enhanced Night Skyrim - Enhanced Night Skyrim v04 Color Galaxy - High Quality Eyes - High_Quality_Eyes-1_20 - Perfect Legionnaire - Imperial Armor Reforged 3-0 - Perfect Legionnaire 3-0 - Blue cloth version - Realistic Ragdolls and Force - SkyUI - Sounds of Skyrim - The Dungeons - Sounds of Skyrim - The Dungeons Full 1_1 - Weapons of the Third Era MoS edition - 3rdEraWeaponsMoS_v1_41 - W.A.T.E.R. - Water And Terrain Enhancement Redux
Views: 1,017 | Posted: 05/30/2012
By: Neocoolzero
Couple TES online screesn/concept art i found online,enjoy them.
Views: 2,467 | Posted: 05/07/2012
Now you can experience the world of Elder Scrolls V: Skyrim utilizing your Kinect!
Views: 40,739 | Posted: 04/12/2012
By: Aroddo
THAT'S how you do FUS RO DAH! I was recently browsing through all the old movies I had seen and stumbled on that weird chinese kung-fu comedy .... and I realised that it was just perfect for a Fus Ro Dah video! By a happy coincidence the longest unedited sequence in this clip overlays perfectly with the skyrim trailer battle sound effects. Only had to add some thunks for the first few kicks and some roaring tornado sounds, fiddled with the timing and it was done. And to top it, the narrator's voice sounds like he's actually commenting on the parody! "And when the truth finally dawns, it dawns with fire." How do you like it?
Views: 861 | Posted: 04/02/2012
Posted: Apr 25, 2013
Posted: Apr 18, 2013
Posted: Apr 15, 2013
Posted: Mar 12, 2013
Week of
Dec. 08
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Vita, PS3,
Release Date: 12/10/2013
Release Date: 12/10/2013
Release Date: 12/10/2013
Release Date: 12/17/2013
Featuring 26 tables, and free for existing Zen Pinball and Marvel Pinball owners, Zen Pinball 2 offers a new...


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Quotes from authors born on May 17th
Americans are the great Satan, the wounded snake.
Ayatollah Khomeini
The best way to predict the future is to invent it.
Alan Kay
When we got back to the U.S., I wanted to kiss the ground after seeing what people in other countries are denied or don't have.
Sugar Ray Leonard
The deviation of man from the state in which he was originally placed by nature seems to have proved to him a prolific source of diseases.
Edward Jenner
One other fact is significant: the domestic feasts and sacrifices of single families, which in David's time must still have been general, gradually declined and lost their importance as social circles widened and life became more public.
Julius Wellhausen


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out of 5
(2 reviews)
(Neighborhood average
Hotels.com Guest Rating
Hotels.com Guest Rating
TripAdvisor Traveller Rating
It was just the getaway I needed and they really delivered. Well-manicured grounds, attentive staff, lots to do, and easy access to the beach and workout... facilities made it a hit. My only quibble was with the fact that the main bathroom had some issues with the faucet: the handle was missing, the diverter would not fully engage so half the shower went right out of the faucet and down the drain rather than through the cheap showerhead, and the stopper to take a bath had been removed. This was surprising since attention to detail everywhere else was really first-rate. by Steve from DC on 10/01/12


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Ryan pit stall
the #39 pits in stall # 39 with the 93 pitting behind him & a clear area in front of him. In front of the clear spot is the 11 car. Think pitting towards the back will keep him from dealing with what happened to Kurt yesterday.
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Select a tag to browse associated projects and drill deeper into the tag cloud.
number #1 bulletin board (forum) software for Joomla!. FireBoard is a native forum software which means it integrates into your Joomla! site with no hacks or bridges, just a straight component installation and you have a powerful forum at your disposal.
Copyright © 2013 Black Duck Software, Inc. and its contributors, Some Rights Reserved. Unless otherwise marked, this work is licensed under a Creative Commons Attribution 3.0 Unported License . Ohloh ® and the Ohloh logo are trademarks of Black Duck Software, Inc. in the United States and/or other jurisdictions. All other trademarks are the property of their respective holders.


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Conditions of Use
There is no air on the moon. Astronauts go to the moon. They have to wear suits because they can't breathe. They use an oxygen machine in the suits.
The moon looks white and grey. There are different kind of rocks on the moon. There aren't any oceans on the moon, but there are places called seas. I got to see moon rocks. They were grey. The astronauts brought them back. Someone from NASA delivered the rocks to my teacher. They were in a grey box.
I like moon rocks. They're the best thing in the world!
Article posted November 6, 2009 at 12:11 PM • comment • Reads 1175 • Return to Blog List
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- December 31, 2012
- 6:44 a.m.
- Suggest removal
- Reply to this post
ENVIROSCIGUY writes:
WOW! That was the dumbest op-ed I've ever read. Is Terry Paulson a pseudonym for Rick Santorum? Fear truth. Fear science. Fear education. Blame the poor. Blame teachers. Blame anyone who wants change or social justice.
His action plan was great though. Get involved locally. Help your neighbor pay his mortgage. Give money to the Rescue Mission (not by handing out $20 bills).
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Fans who were hoping to meet Toby Keith during one of his Live In Overdrive Tour stops, may have to think of another plan. According to Tulsa World, the singer has canceled all meet-and-greets on the road, due to safety reasons. The Meet & Greet Policies on his official website states, "Due to current security concerns, ALL personal meet and greet requests for friends, family, and Fan Club members have been discontinued. Thank you for your understanding." Toby will continue touring, with his next stop in San Antonio, Texas on February 9th
Tyler Farr at Wild Wing Cafe
Tyler Farr did a Q&A at Wild Wing in the Vista on 11-07-13
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Archive footage, library pictures and file footage are film or video footage that has not been custom shot for use in a specific film or television program. archive footage is useful to filmmakers as it is much cheaper than shooting new material. A single piece of archive footage is called a stock shot or a library shot. Archieve footage may already have appeared in previous productions but can also be outtakes or footage shot for previous productions but not used. archive sales can also be used to integrate news footage or notable figures into a film or news bulletin.
thermal curtain lining A curtain (sometimes known as a drape), is a piece of cloth intended to block or obscure light, or drafts. Curtains are normally hung on the inside of a window to block the travel of light. In some instances you can hang curtains with thermal linings to keep the heat in a room.
We are a small team of Injury solicitors and a call to this number will put you straight through to one of us. Whilst our offices are in Bromley, we cover the whole of Kent and South East London and have clients spread throughout England and Wales. If you can't come to us, we will send someone out to see you when necessary to explain our "no win - no fee" funding arrangements, answer your questions, take statements and photographs and even visit the scene of the accident with you.
slate sealing Sealing is the application of a surface treatment to slow down or stop staining. All natural stone is porous since it is made up of countless interconnected capillary pores through which liquids and gases can move. Natural stone may include granite, basalt, marble, limestone, travertine, sandstone and slate. These porous materials act like a "hard sponge" and actually suck in liquids over time, along with any dissolved salts and other minerals. Very porous stone, such as sandstone will absorb liquids relatively quickly, while denser igneous stones such as granite are significantly less porous and may take an hour or more to absorb oils and water-based liquids.
Meet The Hairforce. We are a highly skilled team of Lice Assassins who can eliminate rid head lice problems, no problem.
dvd duplication is generally done by a DVD recorder, also known as a DVDR with the ability to record from an original DVD. Such devices are available as either installable drives for computers or as standalone components for use in studios or home theater systems. There are companies that focus on short run dvd duplication. It is imperrative to obey copyright laws when duplication any media.
The introduction of Closed Circuit Television (cctv doncaster) has been one of the best weapons against crime. Pictures from the cameras are continuously monitored at Doncaster Council''''s Monitoring Centre. The Police are informed of suspicious incidents as they arise and can be directed to the exact location by Doncaster Council Monitoring Centre Operators.


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Two sisters, Pat and Francis, from Georgia run the Hedges. They bring with them warm Southern Hospitality that permeates through the entire staff. Good food from Sue the head cook that has been with the sisters for 39 years. Relaxing atmosphere. Community campfire every night. Good quality boats for guests use; royalex and fiberglass canoes, kayaks. (no cheap tin-can aluminum... More
- Also Known As:
- The Hedges Hotel Blue Mountain Lake
- The Hedges Hotel
- Hedges Blue Mountain Lake
- Hedges Hotel Blue Mountain Lake


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Colds and Flu
Got the Flu? Here's What to Do.
It's hard to turn on the news these days and not hear about how devastating this flu season has become.
Filed Under: Colds and Flu
One of the Best Flu Prevention Tactics Revealed
Getting a good night's sleep is one of the best ways to protect yourself against the flu this winter. Unfortunately, the struggle to get a good night's sleep is an exhausting battle shared by many.
Filed Under: Immune Health
Flu Protection--Start Now!
We're fast approaching flu season, which officially runs from November through April. Soon you'll be bombarded with messages from medical professionals, pharmacists, and even school officials telling you that the best way to protect yourself from the flu is to get your annual flu shot.
Filed Under: Colds and Flu
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Formula 1's film night in gear for charity cash (From Cotswold Journal)
Get involved! Send your photos, video, news & views by texting EJ NEWS to 80360 or e-mail us
Formula 1's film night in gear for charity cash
11:10pm Friday 20th September 2013 in News
A SNEAK preview of new Formula 1 movie Rush featuring Vale of Evesham racing driver Rob Austin has raised nearly £20,000 for charity.
WIX Racing team driver Mr Austin welcomed about 300 fans and guests to the Regal cinema in his hometown of Evesham for the exclusive screening. The event stopped traffic in Port Street as the original 1976 Surtees F1 car, which is used in the film, parked in front of the cinema for guests to admire.
But the real star turn of the evening was former F1 driver Brett Lunger, who is played by Mr Austin in the film.
In a twist of fate, he was on holiday just 20 miles from Evesham visiting his sister at the time of the preview and decided to attend.
"All I can say is what a night," said Mr Austin. "So many thanks to so many people, particularly to WIX, the Regal and Studio Canal for giving us a sneak copy of the film. And of course to all our great fans who came along – some from the other end of the UK.
"It's impossible to mention everyone, but they know who they are. And I don't think I've ever drunk so much champagne in my life."
Ticket sales, plus £8,000 raised through an auction on the night and a raffle, raised £18,903 which will be split between the Pancreatic Cancer Research Fund, Home Helps UK and the Vale of Evesham School.
The film, which relives the story of rival Formula 1 legends James Hunt and Niki Lauda, is currently showing at Worcester's Vue and the Odeon cinemas.
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Raven Clabough
HHS Secretary Wants ObamaCare for Illegals Through Citizenship Pathway
Health and Human Services Secretary Kathleen Sebelius is urging Congress to pass immigration reform so that it may help undocumented individuals gain greater access to healthcare services. As observed by the Daily Caller in February, however, a pathway to citizenship may increase the cost of Obamacare up to $300 billion over a decade.
Secret Court Ruled in 2011 That NSA Surveillance Is Unconstitutional
The Electronic Frontier Foundation has been fighting the federal government in court to release to the public an 86-page opinion of the secret Foreign Intelligence Surveillance Court (FISC), issued in 2011. According to that opinion, the surveillance conducted by the National Security Administration is unconstitutional under the FISA Amendments Act.
On August 21, the government was ordered by the court to release the opinion, one year after the EFF announced that it would be filing a Freedom of Information Act (FOIA) lawsuit against the Justice Department in pursuit of "any written opinions or orders from the FISC discussing illegal government surveillance, as well as any briefings to Congress about those violations."
Syrian Opposition Accuses Assad of Chemical Attack
President Assad's regime is being accused of launching a chemical attack on the Syrian opposition, but impartial experts are casting doubt on the veracity of those claims.
Has the Obama Administration Suspended Aid to Egypt?
Conflicting reports indicate that the Obama administration may have suspended military aid to Egypt.
Jobs: A Film About the Apple Genius
When Apple founder Steve Jobs passed away nearly two years ago, it seemed inevitable that a film honoring the technological and business genius would come out of Hollywood. Jobs, starring Ashton Kutcher as the young Steve Jobs, proves to be an interesting film with some positive elements including a pro-capitalist perspective.
Snowden Says NSA Targets Journalists Critical of Government
Controversial whistleblower Edward Snowden has levied a variety of accusations against the National Security Agency. The latest allegation asserts that the NSA has specifically targeted journalists who wrote critically about the federal government following the September 11 attacks.
Surge of Asylum-Seekers is Flooding Immigration System
According to Immigration and Customs Enforcement, there has been a sudden influx of illegal immigrants from Mexico requesting asylum that has overwhelmed the system. In fact, documents recently obtained by Fox News reveal that Immigration and Customs Enforcement has been paying for hotel rooms for illegal immigrants and their families owing to processing centers in San Ysidro and Otay Mesa, California, being overcrowded. Some now believe that the increase is actually an orchestrated effort.
TSA in the Airport and Beyond
Despite the controversy surrounding the intrusiveness of the Transportation Security Administration (TSA), its duties continue to expand. The agency now has a greatly expanded program of "Visible Intermodal Prevention and Response" squads, known as VIPR teams, assigned to perform security sweeps at transportation facilities across the United States in the name of terrorism prevention.
E-mails Show Collusion Between IRS and FEC to Target Conservatives
E-mails recently obtained by National Review online indicate collusion between the Internal Revenue Service and the Federal Election Commission in the targeting of conservative groups.
Congress to Receive ObamaCare Exemption
The White House has struck a deal with the U.S. Congress that highlights the increasing disparity between lawmakers and the American people. Members of Congress will enjoy a regulatory fix that ultimately saves them thousands of dollars by allowing the federal government to continue subsidizing their health plans.


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The move comes less than two months after former Asia disputes head Martin Rogers and litigation partner James Wadham announced they would be leaving to join Davis Polk & Wardwell.
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Clifford Chance Relocating U.K. Banking Litigation Head to Hong Kong
The Asian Lawyer
February 4, 2013
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text: O Tracie Egan Morrissey on Jezebel Cats animal magnetisms fat cats Garfield Kitties 4/16/08 6:40pm 4/16/08 6:40pm Edit23,785g1121LEShare to KinjajFacebookiTwitterkTumblrK Fat CatThis kitty's name is Orazio and he's super chubs, weighing in at 35 lbs! He's being hailed as the real-life Garfield, and since he lives in Italy, we're sure he also loves lasagna (and hates Mondays). [Ananova via Neatorama] LDiscuss


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What's the point of this article? If you're gay you're cool but anyone else doesn't have the right to celebrate their sexuality? Why are gays which comprise 3% of the population allowed to harass and intimidate the general public businesses and even force the introduction of their lifestyle? Why? If you believe in Evolution than this would have to be a dead end survival strategy that does nothing to insure the survival of a species. So it must be an aberration.
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Feel just like your favorite armored hero with this high-tech Iron Man Mission Mask! When you pull on the mask and its visor lights up, you'll feel like the coolest armored Avenger in the neighborhood! You'll be armed for battle with the mask's dual missile launchers. Light up your target for ......More
G.I. JOE is the world's greatest special-ops fighting force with top-secret ninja training from the toughest of masters. Led by ultimate ninja commando ROADBLOCK, these elite heroes defend the globe from the evil forces of COBRA. Gear up to take on the role of a G.I. JOE special forces fighter ......More
Get the gear you need to feel just like your web-crawling hero! Pull on the Hero Mask to hide your identity and look like THE AMAZING SPIDER-MAN. The web-battling sounds of the Hero FX Chest Light will make the action more awesome, and with your Rapid-Fire Web Shooter locked and loaded with 5 web ......More
MARVEL THE AVENGERS CAPTAIN AMERICA Hero Mask Make superhero action "come alive" with this awesome CAPTAIN AMERICA mask! When villainy rears its ugly head and you've got to save the day, put on your mask to feel just like your favorite patriotic hero. With a comfort-padded eyepiece and ......More
The bow carried by Clint Barton is more than just a supremely advanced piece of technology. In his hands, it is the most accurate weapon in the world. Now you can imagine you are the world's most incredible marksman with this mighty bow! Become a master bowman like your favorite hero with the ......More
Imagine yourself defending Earth as the mighty OPTIMUS PRIME! His blaster is the most powerful weapon in the universe. Use it to destroy the DECEPTICONS and save the day! Get ready for fast-paced battle fun with this fierce-looking blaster! Lights and sounds help amp up the excitement as you fire ......More
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BL2 is only fun if you bring friends.
commented on Killzone Shadow Fall dev says game can handle 24 enemy AIs before framerate drops in reply to Wi Tu Lo
Wi Tu Lo said:That's a lot of things shooting at me at once. sounds like the game might be a little hard. Nice. Sounds good!Unless the AI are brainless.
None of this is good. None of it
commented on Video Game Voters Network launches campaign against Fox News over violence in video games in reply to cowsmotha
cowsmotha said:Great this will do absolutely nothing. Nothing comes of this and it will probably end up making gamers look bad. Those guys are crazy good at...Yeah I feel like this could easily back fire.
commented on Valve announces Steam Family Sharing program
Hey it was an OK idea. Steam is probably going to take it far!
Bets: A new pet in WoW or something new in SC2
commented on Your current-gen Madden NFL 25 Ultimate Team will transfer to Xbox One and PS4 in reply to Purpage
Purpage said:If they can do this with Madden they should do it with everything else.Dude. Yes. I hope this works with Dragon Age 3
I object to this game!
Capcom is doing us a good service by making this


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Mom-to-Be Gifts for Adults - For the Home
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Over the past 20 years, percutaneous transluminal angioplasty (PTA) hasevolved into a widely used, reliable, minimally invasive method to treat iliacartery occlusive disease. Primary technical success rates have been reported tobe 90 to 98%, with 5-year patency rates of approximately 70%. In a definedpercentage of patients, suboptimal results immediately following PTA lead toearly failures. With the advent of stents, however, many of these suboptimalresults have been salvaged, and long-term patency rates with percutaneoustherapy now approach the success rates obtained with surgical reconstruction.The following is a review of the percutaneous devices available and technicalconsiderations relative to percutaneous iliac artery revascularization.
Endovascular treatment of stenotic or occluded iliac arteries is primarilyindicated only in patients who are symptomatic. The main clinical indicationsfor endovascular treatment of an iliac artery lesion include the following:intermittent claudication which adversely affects the patient's lifestyle,(SVS Category 3); rest pain, (SVS Category 4); tissue loss (SVS Category 5 and6); and to improve inflow into a graft or an extremity (i.e., femoral-poplitealbypass graft, femoral to femoral artery cross-over graft, prior to amputationto lower the level of amputation and/or promote healing at the amputation site,and to improve inflow or outflow in the extremity which has had a previousbypass graft placed).
The best results for iliac PTA usually are obtained in patients withCategory 1 and Category 2-type lesions, as determined by the American HeartAssociation Guidelines (table 1).1 Iliac artery stenting may have its greatestbenefit in the treatment of Category 3 and Category 4 lesions.
A stenosis is considered hemodynamically significant if the cross-sectionalarea of the vessel lumen is reduced by 70%. Occasionally, despite multipleprojections, it is difficult to determine the degree of stenosis significance.In these situations, a trans-lesion pressure gradient should be measured. Apeak-to-peak systolic pressure gradient of 10 mm Hg or greater at rest isconsidered hemodynamically significant. A peak-to-peak systolic pressuregradient of greater than 15 mm Hg following the administration of a vasodilatoralso is considered significant. When measuring a pressure gradient, it isprudent to measure simultaneous pressures above and below the lesion.Intraarterial pressures can vary significantly from heartbeat to heartbeat,rendering a "pullback" pressure measurement difficult to interpret.
Although the goal of any intervention is to have no residual stenosis, thisdoes not always happen. However, a residual stenosis of less than 30% andreduction of the pressure gradient below 10 mm Hg is considered satisfactory.If a larger residual stenosis or a persistent gradient greater than 10 mm Hgremain following PTA, early recurrence is likely.2
The indications for iliac artery stent placement include the treatment ofimmediate elastic recoil following balloon angioplasty, flow-limiting intimaldissections, a residual stenosis of at least 30%, a residual peak-to-peaksystolic pressure gradient of more than 5 mm Hg, or chronic occlusions. In thissubset of patients, placement of intravascular stents has lead to short-termpatency rates of greater than 90% and long-term patency rates between 85 and90%.3 Although the benefits are yet unproven, iliac stents also have beenplaced in patients to treat severely ulcerated plaques.
Contraindications to iliac stenting are not well defined. Obviously,fluoroscopic equipment, which allows adequate guidance to deploy the stentsafely, must be available. In the setting of ongoing bacteremia, insertion ofan iliac artery stent is contraindicated. In addition, placement of anuncovered stent in a ruptured iliac vessel or in the presence of apseudoaneurysm should be done with caution.
About one in three patients undergoing iliac PTA have suboptimal results4and may benefit from the placement of an intravascular stent. The diameter ofthe stent to be deployed is determined by either direct iliac arterymeasurement from a cut film arteriogram, calculated iliac artery measurementsusing internal or external calibration with a digital angiographic system, orfrom vessel diameter measurements obtained using intravascular ultrasound(IVUS). Currently, there are two types of intravascular stents that are FDAapproved: the balloon-expandable Palmaz stent (Cordis, Johnson & Johnson,Inc., Warren, NJ), and the flexible self-expanding Wallstent (Schneider, Inc.,Minneapolis, MN). Several other self-expanding stents (Symphony stent,Meditech, Boston Scientific Corp., Natick, MA, and the Memotherm stent, C.R.Bard, Inc., Covington, GA) are FDA approved for biliary applications, but havebeen used in the vascular system only in Europe.5,6
The Palmaz balloon expandable intravascular stent is made from a single tubeof 316L stainless steel with etched rectangular slots that are arranged instaggered rows around the circumference of the stent. The Palmaz stent comes inseveral sizes (table 2). As with all intravascular stents, foreshorteningoccurs when the stents are expanded. The degree of foreshortening varies withthe individual stent type and diameter. Approximately 10% of foreshorteningoccurs when the larger size stents are expanded to the maximum recommendeddiameter, and about 20% of foreshortening occurs when the medium size stentsare fully expanded. However, due to its method of deployment and minimalforeshortening, the Palmaz stent can be placed with a high degree of precision.
The manufacturer recommends that these stents be placed on ascratch-resistant balloon to avoid balloon rupture during stent deployment. Inaddition, the compliance of the angioplasty balloon used for stent deploymentalso can be important. A semi-compliant balloon such as the Opta-5®(Cordis, Johnson & Johnson Co, Miami, FL) can result in some molding of thestent to the contour of the vessel, and also can provide the opportunity tomildly over-expand the stent at higher inflation pressures (tables 3,4).However, a compliant balloon tends to expand the most outside the lesion. Anoncompliant balloon (table 5) can be useful in expanding the stent in areas ofincreased resistance or at sites of residual stenosis following stentdeployment.
It is also important to mount the Palmaz stent on the middle of mostballoons. Otherwise during balloon inflation, the stent will "squirtoff" the balloon in a partially-expanded state (figure 1). It is best tomount the stent with gentle hand crimping or with the use of a crimping tool,being careful not to use a shearing motion, which might perforate the balloonwith the sharp ends of the stent. Once the stent is tightly crimped on theballoon and the introducer is placed over the balloon and stent, they areadvanced coaxially over a guidewire and into the vascular sheath. The onlyexception to this rule is when using the Olbert balloon (Meditech, BostonScientific, Corp., Natick, MA). The stent should be crimped off-center on theOlbert balloon, closer to the proximal radiopaque marker on the ballooncatheter.
The manufacturer recommends the use of an introducer sheath at least 2 Flarger than the shaft size of the angioplasty balloon catheter. The largerstents (P308) which are FDA approved for iliac stenting require a 5.8 to 7-Fshaft balloon system and an 8 to 10-F introducer. However, manyinterventionalists try to use medium-sized Palmaz stents (which are not FDAapproved for intravascular use) for vessels of 4 to 10 mm in diameter. Themedium size Palmaz stents can be mounted on balloon catheters with a 5-F shaftand can be inserted through 6 to 7-F introducer sheaths. The vascular sheathshould be long enough to allow the balloon and Palmaz stent combination to bedelivered to the lesion in a covered fashion.
Once the stent and balloon are positioned across the lesion, the sheath isretracted to completely uncover the stent and balloon. A radiopaque marker atthe tip of the sheath facilitates visualization of the sheath tip. Confirmationof stent position can be performed by injecting the sheath just prior todeployment. Road mapping also is helpful for precise positioning. Oncepositioning is confirmed, the balloon is then inflated with dilute contrast orsaline. Following inflation, the balloon is deflated and rotated in a clockwisemotion to help fold the wings free of the stent and is then removed from thesheath.
Stent placement can be confirmed by injecting through the sheath (figure 2).For long lesions, place additional stents in a similar manner, remembering tobegin with placement of the stent furthest from the puncture site. The stentshould be overlapped approximately 3 to 5 mm. The use of long stents reducesthe need for multiple, overlapping stent placement. At the end of theprocedure, remove the guidewire and sheath, making sure that the J-tip of theguidewire does not catch on the free end of the newly placed stent.
The Palmaz stent is a rigid stent and usually cannot be advanced across theaortic bifurcation to the contralateral iliac artery. This stent has beenreported to have the highest radial force of the available intravascularstents.7 However, because the Palmaz stent is made of stainless steel, it isnot MRI compatible. The manufacturer suggests that an MRI not be performed forapproximately 6 weeks on patients who have had a Palmaz stent placed.
The Wallstent is a self-expanding metal stent comprised of metal filamentswoven into a tubular, braid-like configuration. The Wallstent is made ofElgiloy®, a superalloy combining cobalt, chromium, nickel, and othermetals. Elgiloy contains a relatively low amount of iron, making the stentnon-ferromagnetic and MRI compatible. The iliac Wallstent ranges in size from 6to 10 mm in diameter and comes in varying lengths (table 6). Because of itsflexibility, the Wallstent is able to be placed within tortuous or angulatedvessels without kinking. In addition, its flexibility allows for placementacross the aortic bifurcation into the contralateral iliac artery.
Because the Wallstent is a self-expanding stent, it is not mounted on aballoon, but rather is constrained in a pre-packaged 7-F delivery catheter.Positioning of the Wallstent is accomplished by placing the stent catheterassembly (figure 1) through a 7-F sheath; the sheath is needed only to provideaccess to the vessel and does not need to be across the lesion. When placingthe Wallstent, close attention should be paid to the constrained stent lengthbecause, upon deployment, the Wallstent foreshortens significantly. Knowing theunconstrained length of the stent at different diameters is critical to aid instent positioning (table 7). As the Wallstent is uncovered and foreshorteningoccurs, the lesion should be kept at the center of the Wallstent by gentlypulling back the partially constrained stent to the appropriate position acrossthe lesion. With the newly designed Wallstent (Unistep Plus System®,Schneider), the stent can be reconstrained if at least a little over 10% of thestent remains covered. Once reconstrained, the stent can be repositioned anddeployed in the appropriate position.
Following deployment of the Wallstent, if there is incomplete expansion ofthe stent, a scratch resistant angioplasty balloon (table 5) can be used tohelp further expand the stent. If multiple stents are being placed, it isimportant to remember that foreshortening may continue over time. Therefore,adequate overlaying of the stents is important in order to prevent theformation of gaps between the stents over time. Otherwise, the shortest stentpossible should be used to minimize the amount of foreign body reaction.
The Symphony stent (Meditech, Boston Scientific Corp.) is a flexible stentmade from a single strand of nitinol wire, arranged in a hexagonal design andwelded at the contact points (figure 1). Nitinol is a nickel and titaniumthermal memory alloy that can accommodate large changes in shape in response tochanges in temperature. The Symphony stent is self-expanding and is mountedwithin a 7-F catheter with a pistol-like delivery system. It is available in 6,7, 8, 10, 12 and 14-mm diameter sizes and varying lengths. The stentforeshortens between 5 and 10% during deployment and expansion (table 8). Whenplacing the Symphony stent, the manufacturer recommends that the nominaldiameter of the unconstrained stent be at least 1 mm larger than the diameterof the target vessel. The lack of radiopacity of this stent makes it difficultto visualize during fluoroscopy (figure 3). Because the Symphony stent is madeof nickel, it is MRI compatible. As noted earlier, this stent is currentlyapproved by the FDA for use in the biliary tract in the United States, and aniliac artery clinical trial is now underway in the United States.
The Memotherm stent (C.R. Bard, Inc.) also is a flexible stent etched from asingle piece of nitinol material, with no braids or crossing filaments (figure1). Because it is made of nitinol, it is flexible and compatible with MRI. Dueto the construction of the stent, minimal foreshortening occurs with stentdeployment. The Memotherm stent is available in 7, 8, 9, 10 and 12-mm diametersizes (table 9). It comes in lengths from 30 through 110 mm (in 10 mmincrements). These stents are delivered via a 7-F preloaded delivery system.The Memotherm stent currently is only approved by the FDA in the United statesfor use in the biliary tract.
The Symphony and Memotherm stents are placed through a 7-F sheath which doesnot need to cross the lesion. Once these stents are positioned across thelesion, repeated firings of the delivery gun trigger slowly move the coveringback, exposing and ultimately deploying the stents. Markers on the catheterdemonstrate the position of the stent and the amount of uncovered stent. TheSymphony stent can be pulled back for minor adjustments if less than 50% of thestent is uncovered; the Memotherm stent cannot be repositioned once deploymentis initiated. Once deployed, a scratch-resistant balloon angioplasty catheter(table 5) can be used to help further expand the stent.
Because of their flexibility, the Wallstent, Symphony stent, and Memothermstent can be placed over the aortic bifurcation into the contralateral iliacarteries (figure 4).
Lesions at the aortic bifurcation that extend into both iliac arteries canbe treated using the "kissing" stents technique. As with"kissing" balloon angioplasty, "kissing" stents preventplaque shifting at the aortic bifurcation and inadvertent compromise of thecontralateral iliac artery lumen. When placing "kissing" stents, itis important to attempt to have the proximal ends of the stent completely overthe ostia of the left and right iliac arteries at the aortic bifurcation.Failure to completely cover the ostia could lead to early recurrence of anatherosclerotic lesion at this site.
Occasionally, disease extends into the aortic bifurcation and stenting ofthe aortoiliac segment becomes necessary. In this situation, the proximal endof the stents are placed further into the aorta, moving the newly constructed"bifurcation" more proximally (figure 5). A disadvantage of thistechnique is that large portions of the iliac stents can remain uncovered atthe bifurcation and become a nidus for thrombus formation. As in"kissing" balloon angioplasty at the aortic bifurcation, it isimportant to note the diameter of the aorta where the two balloons will"kiss" to be sure that the diameter of the lower aorta canaccommodate simultaneous inflation of both balloons and stents (figure 6).
If the origin of one iliac artery is being stented, the other iliac arteryorigin, even if it appears normal, should also be stented to prevent plaquefrom shifting from the diseased iliac artery into the unaffected vessel. Inaddition, the use of bilateral stents will hopefully reduce the unevenhemodynamic stress which may result in early progression of atheroscleroticdisease in the contralateral iliac artery if it remains unstented.
Early recurrences and high failure rates were common with simple balloonangioplasty of iliac occlusions. However, improved long-term patency ofocclusions following placement of a stent is now being seen. Once the occlusionis crossed with a guidewire, permanent stenting of the occlusion withoutpredilating the lesion has been advocated in order to trap any thrombus andplaque between the stent and vessel wall, thereby reducing the risk for distalembolization.8
Although primary stenting of all iliac artery lesions has been advocated,several large studies have shown that there is clearly a large subset ofpatients who are adequately treated with PTA alone.4,9 Given the success ofballoon angioplasty alone in such a large number of patients, it is unclear ifprimary stenting of all iliac lesions is cost-effective.
Stent deployment is usually uneventful, but problems can occasionally occur.Familiarity with these potential problems beforehand makes dealing with themeasier, should they occur. The Palmaz stent may move on the balloon if notproperly crimped, or if the stent is advanced through a tortuous vessel oracross the lesion without a covering. When the stent moves on the balloon, anattempt should be made to pull the Palmaz stent back into the sheath and removethe sheath, stent, and balloon catheter as a unit over the guidewire. A newsheath and stent-balloon combination can then be inserted. If the stent cannotbe pulled back into the sheath, it may be possible to partially inflate theballoon, trapping the stent, and then reposition the partially inflated balloonwith the attached stent across the lesion before deploying it. Should thisfail, the stent can be deployed where it is and a new stent should be insertedappropriately and positioned across the lesion.
Occasionally the Palmaz stent can "squirt off" the end of theballoon during balloon inflation if it is not properly centered on the balloonwhen mounted or if a silicone coating is present on the balloon. If this shouldoccur, it is important to maintain guidewire access through the stent at alltimes. If the Palmaz stent becomes dislodged, the old balloon can be removedand a new balloon with a low profile can occasionally be advanced through thestent. This new balloon can then be gently inflated, trapping the Palmaz stentand allowing repositioning of the stent at the desired location. If the stentcannot be repositioned, deploy it where it is. A new stent is then inserted anddeployed in the appropriate position.
If balloon rupture should occur during the initial inflation, the balloonoften can be inflated enough to deploy the Palmaz stent by using a 5 ccsaline-filled syringe and injecting the syringe as rapidly as possible. Theballoon can then be deflated using a 60 cc syringe, and a new balloon can beinserted in the stent to complete the inflation. Should the balloon becomecaught in the stent, careful rotation of the balloon will usually free it. Ifthis maneuver is unsuccessful, advancement of the sheath to the edge of thestent before pulling back on the balloon may help prevent the stent frommigrating back as the balloon is removed. If a 5-F balloon catheter cannot beadvanced through the unexpanded stent, a 4-F catheter can be advanced over theguidewire, through the stent, and a 0.018'' platinum-tipped wire can beadvanced through the 4-F catheter. After removing the 4-F catheter, a smallvessel balloon catheter (3.5-F Symmetry, Meditech, Boston Scientific Corp.,Natick, MA) can be advanced over the wire through the stent. The stent can thenbe partially opened, which will allow the insertion of the 5-F balloon catheterthrough the stent. The stent can then be deployed.
Because all of the stents mentioned have spaces between the metal struts,guidewires can easily pass through these spaces. The use of a J-wire will helpprevent penetration of the stent spaces and keep the passage of the guidewireintraluminal.
Rarely, a stent will migrate and float freely in the aorta. Should thisoccur, the stent may be entrapped with a loop snare and deployed in a smallervessel. This maneuver is much easier to perform if guidewire access has beenmaintained. Complete removal of a Palmaz stent from the vessel usually requiresa surgical cutdown. Once snared, the Wallstent will fold in half quite easily,and can be removed through an 8-F sheath.
The use of prophylactic antibiotics just prior to stent placement iscontroversial. However, prophylactic antibiotics make sense when placing anintravascular stent, given the frequent antibiotic use before placement ofpermanent surgical prosthetic grafts by vascular surgeons. Broad spectrum firstor second generation cephalosporins have been shown to be adequate forprophylaxis when graft material is placed in vascular surgery patients. Animalresearch has shown that should transient bacteremia occur at the time of stentplacement, implanted stents are more likely to become "seeded" andsubsequently infected when compared to an angioplasty site without stentplacement.10 Recent data also suggests that transient bacteremia may occur morefrequently than once considered.11 There have been several reports of infectedintravascular stents in the literature.12,13
The technical success rate for placement of iliac stents is greater than95%.3 Richter has reported cumulative 5-year patency rates of 93.6% for thePalmaz stent, although other authors have reported somewhat lower patencyrates.3,14 The 36-month patency rate for the Wallstent has been reported to beapproximately 80%.15
Unfortunately, recurrent stenoses can occur in successfully treated lesions.Recurrence usually is due to intimal hyperplasia within the stent orprogression of disease proximal or distal to the stent. When this occurs,balloon angioplasty occasionally produces an adequate result, improving theluminal diameter and abolishing the pressure gradient within the stent.Frequently, an additional stent must be placed within the previously placedstent to restore luminal diameter and abolish the pressure gradient within thestent (figure 7). Occasionally, the Simpson atherectomy catheter (DVI,Mallinckrodt Medical, St. Louis, MO) can be used to remove the hyperplastictissue from within the stent.
Acute stent thrombosis occasionally occurs. Thrombolysis with urokinaseusually is effective in restoring patency of the stent and native artery.Delayed stent thrombosis usually is secondary to intimal hyperplasia within thestent or progression of atherosclerotic disease above or below the stent.Following thrombolysis, these lesions need to be addressed.
In order to minimize the risk for the development of acute stent thrombosisand exuberant intimal hyperplasia, endothelialization of the stent should bepromoted. Ideally, the process is aided by embedding the stent struts into thevessel wall so that the final stent diameter is approximately 10 to 15% largerthan the diameter of the vessel. If under-expansion of the stent has resultedin incomplete stent strut approximation, thrombus will be deposited along thelength of the stent which is not embedded. Multicentric endothelializationthrough the metal lattice of the stent will not occur, and theendothelialization process will end much more slowly. Slow endothelializationis prone to continuance of thrombus formation and smooth muscle proliferation,which ultimately leads to narrowing of the stented lumen and/or stentthrombosis.16 Therefore, it is important to insure good stent-to-vessel wallapproximation. To this end, IWS has been shown to be helpful.17
Following stent placement, daily aspirin use and cessation of smoking toslow the progression of atherosclerotic disease are recommended. However, theefficacy of coumadin following stent placement in the iliac arteries has notbeen demonstrated.
Intravascular stents have been shown to be helpful in improving theimmediate cosmetic and hemodynamic results of iliac angioplasty in a definedsubset of patients. Hopefully, ongoing studies will determine if iliac stentingcan improve upon the long-term patency of successful balloon angioplasty. Inthe meantime, utilizing a strategy of selective iliac artery stenting seems tobe most prudent. In addition, individuals performing iliac artery stentingshould be familiar with the nuances of each device and how to minimize the riskof both technical and clinical complications.AR
Dr. Spinosa, Dr. Angle, Dr. Hagspiel, Mr. Pyle, and Dr. Matsumotoare in the division of Angiography and Interventional Radiology at theUniversity of Virginia Health Sciences Center in Charlottesville, VA.
1. Pentecost MJ, Criqui MH, Doros G, et al: Guidelines for peripheralpercutaneous transluminal angioplasty of the abdominal aorta and lowerextremity vessels. A statement of health professionals from a special writinggroup of the councils on cardiovascular radiology, atherosclerosis,cardiothoracic and vascular surgery, clinical cardiology, and epidemiology andprevention, the American Heart Association. Circulation 89(1):511-531, 1994.
2. Kadir S, White RI Jr., Kauffman SL, et al: Long-term results ofaortoiliac angioplasty. Surgery 94:10-14, 1983.
3. Murphy KD, Encarnation CE, Le VA, et al: Iliac artery stent placementwith the Palmaz stent: follow up study. J Vasc Interv Radiol 6:321-329, 1995.
4. Tetteroo E, Van Engelen ED, Spithoven JH, et al: Comparison ofhemodynamic and angiographic criteria for stent placement after iliacangioplasty. Radiology 201:155-159, 1996.
5. Stockx L, Raat H, Wylms G, et al: Clinical experience with a newnickel-titanium alloy self-expanding stent. Cardiovasc Intervent Radiol20(1):S106, 1997.
6. Lampmann LEH, Schumaker MC, Hamming J, et al: Initial results with thememotherm stent in iliac occlusive disease. Cardiovasc Intervent Radiol19(2):S84, 1996.
7. Lossef SV, Lutz RJ, Mundorf J, et al: Comparison of mechanicaldeformation properties of metallic stents with use of stress-strain analysis. JVasc Interv Radiol 5:341-349, 1994.
8. Voewerk D, Guenther RW: Mechanical revascularization of occluded iliacarteries with use of self-expandable endoprostheses. Radiology 175:411-415,1990.
9. Tegtmeyer CJ, Hartwell GD, Selby JB, et al: Results and complications ofangioplasty in aortoiliac disease. Circulation 83(1):I-53-I-60, 1991.
10. Thibodeaux IC, James KV, Lohr JM, et al: Infection of endovascularstents in a swine model. Am J Surg 172(2):151-154, 1996.
11. Wagner HJ, Alfke H, Hoppe M, et al: Bacteremia associated with invasiveradiological procedures. J Vasc Interv Radiol 9(1):193, 1998.
12. Chailmers N, Eadington DW, Gandanhamo D, et al: Case report: Affectedfalse aneurysm at the site of an iliac stent. Br J Radiol 66:946-948, 1993.
13. Therasse E, Soulez G, Cartier P, et al: Infection with fatal outcomeafter endovascular metallic stent placement. Radiology 192:363-365, 1994.
14. Richter GM, Roeren T. Brado M, et al: Further uptake of the randomizedtrial: Iliac stent placement versus PTA-morphology, clinical success rates andfailure analysis. J Vasc Interv Radiol 4:30-31, 1993.
15. Martin EC, Katzen BT, Bennotti JF, et al: Multicenter trial of theWallstent in the iliac and femoral arteries. J Vasc Interv Radiol 6:843-849,1995.
16. Palmaz JC: Balloon expandable intravascular stent. AJR 150:1263-1269,1988.
17. Ko F, McCollugh R, Manning L, et al: Use of intravascular ultrasound inthe endovascular management of atherosclerotic aortoiliac occlusive disease. AmJ Surg 172(5):546-549, 1996.


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Find accommodations in Orillia with the hotel list provided below. Explore our guide for inexpensive and discount hotel/motel rates in or near Orillia, ON for your personal leisure or group travel. Explore the most favored Orillia Ontario hotel rooms. Review the Orillia hotel list below to find the perfect lodging. We also have a map of the Orillia hotels. Planning a group? Lock in Orillia Group Hotel Discounts
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Book | 2007
by Timothy Butler
Butler, Timothy. Getting Unstuck: How Dead Ends Become New Paths. Boston: Harvard Business School Press, 2007.
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The Reality-Based Community's *Having* a Breakdown?
I suppose that Mark Hemingway's Corner post title is technically possible – but from where I'm sitting the quote-unquote 'reality-based community' started their breakdown some time around 12 noon on the Wednesday after Election Day 2002. They expected to win seats back then, not lose them – and the disconnect between their expectations and objective reality drove many of them quite, quite that. After almost | Read More »


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Focus Newsletter
FOCUS is a free quarterly newsletter for customers of the GSA Public Buildings Service, Mid-Atlantic Region.
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- Rob Hewell reflects on 40 years of federal service, as he announces his retirement
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Moderators: tdc2000, UKMusicLova, stevyy, Benjamin
Yeah, Ireland is the weakest track. Parasol, Original Sinsuality, Sweet The Sting & the title track are still my favorite tracks.Vindrag wrote:Maybe it's an "age-thing"? It was the first Tori Amos album I bought and I fell instantely in love with Parasol, The Power Of Orange Knickers, Sleeps With Butterflies, Original Sinsuality & the title track.
The rest of the album remained a dull mystery to me up until last summer, when I listened to the tracks in a much more mature way I think. Cars And Guitars was the song that made me understand the side of the album which I had not grasped earlier.
I have not fallen for Toast yet, although being a favourite amongst many fans. Then there's possibly Tori's possibly worst song on this track, Ireland?
I will listem to them NOW!!Vindrag wrote:joiPrince!
Why not listen to either Under The Pink or Boys For Pele? Both regarded as some of her best material, rightfully so!
Under The Pink focuses a lot on piano and strings, while Boys For Pele has a more varied sound with more beats and complex soundscapes. Both driven by extremely personal and touching lyrics. You could pick either one of them, my favourite from those two is Boys For Pele.
The songs she performed on David Letterman is a Pele track, here's a few other tracks from that album:
1. Caught A Lite Sneeze
(released as a single, awesome production and passion)
2. Marianne
(this track is really powerful, the lyrics are of great importance as always, but how the song goes up and down is just amazing)
3. Beauty Queen/Horses
(my second Tori track ever, I was hooked immediately)
4. Hey Jupiter
(one of her most important tracks maybe? she used to always end her concerts with this track, fan favourite + there's a Dakota version with beats in it - equally amazing)
5. Twinkle
(one of her best, short, simple, about saying farewell in a way... the lyrics are heartbreaking
There's quite a few upbeat tracks on this album as well, but I only posted one of them. Some crazy Tori tracks! The artwork, the lyrics, the passion, the vocals, the production - this is a 5/5 album! Undoubtedly!
A little blubber in my igloo
And I knew you pigtails and all
Grils when they fall
And they said Marianne killed herself
And I said not a chance
Don't you love the girls ladies babes
Old bags who say she was so pretty why
Why why why did she crawl down in the old
Deep ravine
C'mon pigtails girls and all those sailors
Get your bags and hold down won't you just
Hold down cause Ed is watching my every sound
I said
They're watching my every sound
The weasel squeaks faster than a seven day week
I said Timmy and that purple Monkey
Are all down
At Bobby's house
Making themselves pesters and lesters and jesters an dmy
Traitors of kind
And I'm just having thoughts of Marianne
She could outrun the fastest slug
She could
Quickest girl in the frying pan
And I'm just having thoughts of Marianne"
I have no words. This track is dangerous. The lyrics.."and through the life force and there goes her friend
on her Nishiki it's out of time
and through the portal they can make amends
hey would you say whatever we're blanket friends
can't stop what's coming
can't stop what's on its way
and through the walls they made their mudpies
I've got your mind I said
she said I've your voice
I said you don't need my voice girl
you have your own
but you never thought it was enough of
so they went years and years
like sisters blanket girls
always there through that and this
there's nothing we cannot ever fix I said
can't stop what's coming
can't stop what's on its way
Bells and footfalls and soldiers and dolls
brothers and lovers she and I were
now she seems to be sand under his shoes
there's nothing I can do
can't stop what's coming
can't stop what's on its way
and now I speak to you are you in there
you have her face and her eyes
but you are not her
and we go at each other like blank ettes
who can't find their thread and their bare
can't stop loving
can't stop what is on its way
and I see it coming
and it's on its way"