text:
|Publication number
|Publication type
|Application number
|Publication date
|Sep 25, 2008
|Filing date
|May 27, 2008
|Priority date
|Sep 23, 2003
|Also published as
|Publication number
|Bruce H. Kenknight, Qingsheng Zhu
|Original Assignee
|Cardiac Pacemakers, Inc.
|Export Citation
|BiBTeX, EndNote, RefMan
|Referenced by (3), Classifications (9), Legal Events (1)
|External Links: USPTO, USPTO Assignment, Espacenet
This application is a continuation of U.S. application Ser. No. 10/669,170, filed Sep. 23, 2003, the specification of which is herein incorporated by reference.
This patent application pertains to methods and apparatus for the treatment of cardiac disease. In particular, it relates to methods and apparatus for improving cardiac function with electro-stimulatory therapy.
Implantable cardiac devices that provide electrical stimulation to selected chambers of the heart have been developed in order to treat a number of cardiac disorders. A pacemaker, for example, is a device which paces the heart with timed pacing pulses, most commonly for the treatment of bradycardia where the ventricular rate is too slow. Atrio-ventricular conduction defects (i.e., AV block) and sick sinus syndrome represent the most common causes of bradycardia for which permanent pacing may be indicated. If functioning properly, the pacemaker makes up for the heart's inability to pace itself at an appropriate rhythm in order to meet metabolic demand by enforcing a minimum heart rate. Implantable devices may also be used to treat cardiac rhythms that are too fast, with either anti-tachycardia pacing or the delivery of electrical shocks to terminate atrial or ventricular fibrillation.
Implantable devices have also been developed that affect the manner and degree to which the heart chambers contract during a cardiac cycle in order to promote the efficient pumping of blood. The heart pumps more effectively when the chambers contract in a coordinated manner, a result normally provided by the specialized conduction pathways in both the atria and the ventricles that enable the rapid conduction of excitation (i.e., depolarization) throughout the myocardium. These pathways conduct excitatory impulses from the sino-atrial node to the atrial myocardium, to the atrio-ventricular node, and thence to the ventricular myocardium to result in a coordinated contraction of both atria and both ventricles. This both synchronizes the contractions of the muscle fibers of each chamber and synchronizes the contraction of each atrium or ventricle with the contralateral atrium or ventricle. Without the synchronization afforded by the normally functioning specialized conduction pathways, the heart's pumping efficiency is greatly diminished. Pathology of these conduction pathways and other inter-ventricular or intra-ventricular conduction deficits can be a causative factor in heart failure, which refers to a clinical syndrome in which an abnormality of cardiac function causes cardiac output to fall below a level adequate to meet the metabolic demand of peripheral tissues. In order to treat these problems, implantable cardiac devices have been developed that provide appropriately timed electrical stimulation to one or more heart chambers in an attempt to improve the coordination of atrial and/or ventricular contractions, termed cardiac resynchronization therapy (CRT). Ventricular resynchronization is useful in treating heart failure because, although not directly inotropic, resynchronization can result in a more coordinated contraction of the ventricles with improved pumping efficiency and increased cardiac output. Currently, a most common form of CRT applies stimulation pulses to both ventricles, either simultaneously or separated by a specified biventricular offset interval, and after a specified atrio-ventricular delay interval with respect to the detection an intrinsic atrial contraction.
Cardiac pacing therapy, if delivered synchronously, is demand-based. That is, pacing pulses are delivered only when the heart's intrinsic rhythm fails to maintain an adequate heart rate. Cardiac electro-stimulation delivered for purposes other than to enforce a minimum rate, however, is currently delivered in a more or less constant manner without regard for changes in the patient's condition.
The present invention relates to a method and device for delivering cardiac function therapy on a demand basis. In accordance with the invention, an implantable device for delivering cardiac function therapy is programmed to suspend such therapy at periodic intervals or upon command from an external programmer. Measurements related to hemodynamic performance are then taken using one or more sensing modalities incorporated into the device. Based upon these measurements, the device uses a decision algorithm to determine whether further delivery of the cardiac function therapy is warranted.
As noted above, most current cardiac pacing devices are demand based, that is, any pacing mode or pacemaker that delivers an output pulse only when the intrinsic rate is less than the programmed base rate. Thus, a demand interval specifies the time period between two consecutive paced events in the same chamber without an intervening sensed event. As described below, implantable devices for delivering cardiac function therapies may be prescribed for post-MI patients or heart failure patients in order to boost cardiac output and/or to reverse cardiac remodeling. In such cases, the cardiac function therapy delivery can be made available on a demand basis in accordance with the present invention.
One example of electro-stimulatory therapy for the purpose of improving cardiac function is CRT. In ventricular resynchronization therapy, the ventricles are paced at more than one site in order to affect a spread of excitation that results in a more coordinated contraction and thereby overcome interventricular or intraventricular conduction defects. Biventricular pacing is one example of resynchronization therapy in which both ventricles are paced in order to synchronize their respective contractions. Resynchronization therapy may also involve multi-site pacing applied to only one chamber. For example, a ventricle may be paced at multiple sites with excitatory stimulation pulses in order to produce multiple waves of depolarization that emanate from the pacing sites. This may produce a more coordinated contraction of the ventricle and thereby compensate for intraventricular conduction defects that may exist.
Another type of cardiac function therapy is stress reduction pacing which involves altering the coordination of ventricular contractions with multi-site pacing in order to change the distribution of wall stress experienced by the ventricle during the cardiac pumping cycle. The degree to which a heart muscle fiber is stretched before it contracts is termed the preload. The maximum tension and velocity of shortening of a muscle fiber increases with increasing preload. The increase in contractile response of the heart with increasing preload is known as the Frank-Starling principle. When a myocardial region contracts late relative to other regions, the contraction of those opposing regions stretches the later contracting region and increases the preload. The degree of tension or stress on a heart muscle fiber as it contracts is termed the afterload. Because pressure within the ventricles rises rapidly from a diastolic to a systolic value as blood is pumped out into the aorta and pulmonary arteries, the part of the ventricle that first contracts due to an excitatory stimulation pulse does so against a lower afterload than does a part of the ventricle contracting later. Thus a myocardial region that contracts later than other regions is subjected to both an increased preload and afterload. This situation is created frequently by the ventricular conduction delays associated with heart failure and ventricular dysfunction. The heart's initial physiological response to the uneven stress resulting from an increased preload and afterload is compensatory hypertrophy in those later contracting regions of the myocardium. In the later stages of remodeling, the regions may undergo atrophic changes with wall thinning due to the increased stress. The parts of the myocardium that contract earlier in the cycle, on the other hand, are subjected to less stress and are less likely to undergo hypertrophic remodeling. This phenomena may be used to effect reversal of remodeling by pacing one or more sites in a ventricle (or an atrium) with one or more excitatory stimulation pulses during a cardiac cycle with a specified pulse output sequence. The pace or paces are delivered in a manner that excites a previously stressed and remodeled region of the myocardium earlier during systole so that it experiences less afterload and preload. This pre-excitation of the remodeled region relative to other regions unloads the region from mechanical stress and allows reversal of remodeling to occur.
An implantable cardiac device is typically placed subcutaneously or submuscularly in a patient's chest with leads threaded intravenously into the heart to connect the device to electrodes used for sensing and stimulation. Leads may also be positioned on the epicardium by various means. A programmable electronic controller causes the stimulus pulses to be output in response to lapsed time intervals and sensed electrical activity (i.e., intrinsic heart beats not as a result of a stimulus pulse). The device senses intrinsic cardiac electrical activity by means of internal electrodes disposed near the chamber to be sensed. A depolarization wave associated with an intrinsic contraction of the atria or ventricles that is detected by the device is referred to as an atrial sense or ventricular sense, respectively. In order to cause such a contraction in the absence of an intrinsic beat, a stimulus pulse (a.k.a. a pace or pacing pulse when delivered in order to enforce a certain rhythm) with energy above a certain threshold is delivered to the chamber.
Shown in the figure are four exemplary sensing and pacing channels designated "a" through "d" comprising bipolar leads with ring electrodes 33 a-d and tip electrodes 34 a-d, sensing amplifiers 31 a-d, pulse generators 32 a-d, and channel interfaces 30 a-d. Each channel thus includes a pacing channel made up of the pulse generator connected to the electrode and a sensing channel made up of the sense amplifier connected to the electrode. The channel interfaces 30 a-d communicate bidirectionally with microprocessor 10, and each interface may include analog-to-digital converters for digitizing sensing signal inputs from the sensing amplifiers and registers that can be written to by the microprocessor in order to output pacing pulses, change the pacing pulse amplitude, and adjust the gain and threshold values for the sensing amplifiers. The sensing circuitry of the pacemaker detects a chamber sense, either an atrial sense or ventricular sense, when an electrogram signal (i.e., a voltage sensed by an electrode representing cardiac electrical activity) generated by a particular channel exceeds a specified detection threshold. Pacing algorithms used in particular pacing modes employ such senses to trigger or inhibit pacing, and the intrinsic atrial and/or ventricular rates can be detected by measuring the time intervals between atrial and ventricular senses, respectively.
The electrodes of each bipolar lead are connected via conductors within the lead to a MOS switching network 70 controlled by the microprocessor. The switching network is used to switch the electrodes to the input of a sense amplifier in order to detect intrinsic cardiac activity and to the output of a pulse generator in order to deliver a pacing pulse. The switching network also enables the device to sense or pace either in a bipolar mode using both the ring and tip electrodes of a lead or in a unipolar mode using only one of the electrodes of the lead with the device housing or can 60 serving as a ground electrode. As explained below, one way in which the device may alter the spatial distribution of pacing is to switch from unipolar to bipolar pacing (or vice-versa) or to interchange which electrodes of a bipolar lead are the cathode and anode during bipolar pacing. A shock pulse generator 50 is also interfaced to the controller for delivering a defibrillation shock via a pair of shock electrodes 51 to the atria or ventricles upon detection of a shockable tachyarrhythmia.
The controller 10 controls the overall operation of the device in accordance with programmed instructions stored in memory, including controlling the delivery of paces via the pacing channels, interpreting sense signals received from the sensing channels, and implementing timers for defining escape intervals and sensory refractory periods. An exertion level sensor 330 (e.g., an accelerometer, a minute ventilation sensor, or other sensor that measures a parameter related to metabolic demand) enables the controller to adapt the pacing rate in accordance with changes in the patient's physical activity. A telemetry interface 40 is also provided which enables the controller to communicate with an external programmer.
In one embodiment, the exertion level sensor is a minute ventilation sensor which includes an exciter and an impedance measuring circuit. The exciter supplies excitation current of a specified amplitude (e.g., as a pulse waveform with constant amplitude) to excitation electrodes that are disposed in the thorax. Voltage sense electrodes are disposed in a selected region of the thorax so that the potential difference between the electrodes while excitation current is supplied is representative of the transthoracic impedance between the voltage sense electrodes. The conductive housing or can may be used as one of the voltage sense electrodes. The impedance measuring circuitry processes the voltage sense signal from the voltage sense electrodes to derive the impedance signal. Further processing of the impedance signal allows the derivation of signal representing respiratory activity and/or cardiac blood volume, depending upon the location the voltage sense electrodes in the thorax. (See, e.g., U.S. Pat. Nos. 5,190,035 and 6,161,042, assigned to the assignee of the present invention and hereby incorporated by reference.) If the impedance signal is filtered to remove the respiratory component, the result is a signal that is representative of blood volume in the heart at any point in time, thus allowing the computation of stroke volume and, when combined with heart rate, computation of cardiac output.
The controller is capable of operating the device in a number of programmed pacing modes which define how pulses are output in response to sensed events and expiration of time intervals. Most pacemakers for treating bradycardia are programmed to operate synchronously in a so-called demand mode where sensed cardiac events occurring within a defined interval either trigger or inhibit a pacing pulse. Inhibited demand pacing modes utilize escape intervals to control pacing in accordance with sensed intrinsic activity such that a pacing pulse is delivered to a heart chamber during a cardiac cycle only after expiration of a defined escape interval during which no intrinsic beat by the chamber is detected. Escape intervals for ventricular pacing can be restarted by ventricular or atrial events, the latter allowing the pacing to track intrinsic atrial beats. Cardiac function therapy, whether for the purpose of cardiac resynchronization or for reversal of remodeling, is most conveniently delivered in conjunction with a bradycardia pacing mode where, for example, multiple excitatory stimulation pulses are delivered to multiple sites during a cardiac cycle in order to both pace the heart in accordance with a bradycardia mode and provide pre-excitation of selected sites.
A particular pacing mode for delivering cardiac function therapy, whether for stress reduction or resynchronization, includes a defined pulse output configuration and pulse output sequence, where the pulse output configuration specifies a specific subset of the available electrodes to be used for delivering pacing pulses and the pulse output sequence specifies the timing relations between the pulses. The pulse output configuration is defined by the controller selecting particular pacing channels for use in outputting pacing pulses and by selecting particular electrodes for use by the channel with switch matrix 70. The pulse output configuration and sequence which optimally effects reverse remodeling by selectively reducing myocardial wall stress may or may not be the optimum pulse output configuration and sequence for maximizing hemodynamic performance by resynchronizing ventricular contractions. For example, a more hemodynamically effective contraction may be obtained by exciting all areas of the myocardium simultaneously, which may not effectively promote reversal of the hypertrophy or remodeling.
In order to deliver cardiac function therapy on a demand basis, the controller of an implantable cardiac device is programmed to suspend delivery of the cardiac function therapy and assess the patient's cardiac function by means of one or more sensing modalities. A decision algorithm is then employed to determine subsequent therapy. In one embodiment, a binary decision algorithm either continues or indefinitely suspends the cardiac function therapy based upon the cardiac function assessment. For example, stress reduction therapy may be employed in a heart failure or post-MI patient to effect reversal of cardiac remodeling. If the cardiac function assessment indicates that the patient's condition is unchanged or has deteriorated, the device resumes the stress reduction therapy. If the patient's cardiac function has improved sufficiently, on the other hand, the device indefinitely terminates the therapy. Delivery of cardiac resynchronization therapy may similarly be continued or terminated based upon the cardiac function assessment. After termination of cardiac function therapy, the device may continue to monitor the patient's cardiac function, periodically or otherwise, so that therapy can be resumed if needed. In addition, the device may periodically switch on therapies and see whether patient conditions have evolved gradually and therapy delivery is warranted again.
In another embodiment, the delivery of cardiac function therapy is modified in accordance with the assessment of cardiac function. The cardiac function therapy may be modified by changing the pulse output configuration, the pulse output sequence, and/or various pacing parameters. For example, the device may change from a pulse output configuration and sequence considered optimal for reversal of remodeling to one considered optimal for resynchronization pacing or vice-versa as a result of the cardiac function assessment. In another example, pacing parameters such as the length of one or more escape intervals, a biventricular offset interval for biventricular pacing, or an AV delay interval for atrial tracking or AV sequential pacing are changed in accordance with the cardiac function assessment.
a. Assessment of Cardiac Function
One means by which cardiac function may be assessed is by measuring cardiac output and comparing it with the patient's measured exertion level. As described earlier, cardiac output may be measured by an impedance technique in which transthoracic impedance is measured and used compute stroke volume. The stroke volume integrated over time (or averaged and multiplied by heart rate) gives the patient's cardiac output. A look-up table or linear function may be used to compute what cardiac output is considered adequate for a given exertion level. Based upon these measurements, the device may then decide whether cardiac function therapy is warranted.
Another means for assessing cardiac function is by determining the autonomic balance of the patient. It is well-known that an increase in the activity of the sympathetic nervous system may be indicative of metabolic stress and the need for increased cardiac output. One means by which increased sympathetic activity may be detected is via spectral analysis of heart rate variability. Heart rate variability refers to the variability of the time intervals between successive heart beats during a sinus rhythm and is primarily due to the interaction between the sympathetic and parasympathetic arms of the autonomic nervous system. Spectral analysis of heart rate variability involves decomposing a signal representing successive beat-to-beat intervals into separate components representing the amplitude of the signal at different oscillation frequencies. It has been found that the amount of signal power in a low frequency (LF) band ranging from 0.04 to 0.15 Hz is influenced by the levels of activity of both the sympathetic and parasympathetic nervous systems, while the amount of signal power in a high frequency band (HF) ranging from 0.15 to 0.40 Hz is primarily a function of parasympathetic activity. The ratio of the signal powers, designated as the LF/HF ratio, is thus a good indicator of the state of autonomic balance, with a high LF/HF ratio indicating increased sympathetic activity. An LF/HF ratio which exceeds a specified threshold value may be taken as an indicator that cardiac function is not adequate.
A cardiac rhythm management device can be programmed to determine the LF/HF ratio by analyzing data received from its ventricular sensing channels. The intervals between successive ventricular senses, referred to as RR intervals, can be measured and collected for a period of time or a specified number of beats. In order to derive a signal representing heart rate variability during a sinus rhythm, ectopic ventricular beats (i.e., premature ventricular contractions or PVCs) can be detected by monitoring whether a P wave precedes each R wave, with the RR intervals before and after the PVC changed to an interpolated or otherwise filtered value. The resulting series of RR interval values is then stored as a discrete signal. The signal can be used directly as indexed by heartbeat such that each value of the signal represents an RR interval for a particular heartbeat. Preferably, however, the signal is resampled at a specified sampling frequency in order to equalize the time intervals between signal values and thus convert the signal into a discrete time signal, where the sampling frequency is selected to meet the Nyquist criterion with respect to the frequencies of interest. In any case, the RR interval signal can then be analyzed to determine its energies in the high and low frequency bands as described above.
Spectral analysis of an RR interval signal can be performed directly in the frequency domain using discrete Fourier transform or autoregression techniques. Frequency domain analysis is computationally intensive, however, and may not be practical in an implantable device. A time-domain technique for determining the high and low frequency components of the signal is therefore preferably used.
In the above description, heart rate variability was derived from the RR interval signal during normal sinus rhythm. It should also be appreciated that, if normal sinus rhythm is present, the RR interval is equivalent to the interval between successive atrial senses. As used herein, therefore, the term RR interval should be regarded as the interval between heart beats during sinus rhythm whether the beats are atrial or ventricular. Also, as an alternative to time-domain filtering, a statistical method of estimating the LF/HF ratio may be employed as described in U.S. patent application Ser. No. 10/436,876 filed May 12, 2003 and herein incorporated by reference.
Other means of assessing cardiac function may also be employed to deliver demand-based cardiac function therapy. The impedance technique for measuring cardiac output discussed above may also be used to measure ventricular volumes at various stages of the cardiac cycle such as end-diastolic and end-systolic volumes and used to compute parameters reflective of cardiac function such as ejection fraction. The implantable device may also be equipped with other sensing modalities such as a pressure transducer 85 shown in
b. Exemplary Algorithm
Although the invention has been described in conjunction with the foregoing specific embodiments, many alternatives, variations, and modifications will be apparent to those of ordinary skill in the art. Such alternatives, variations, and modifications are intended to fall within the scope of the following appended claims.
|Citing Patent
|Filing date
|Publication date
|Jun 17, 2004
|Feb 16, 2010
|St. Jude Medical Ab
|Detection and/or monitoring of diastolic heart failure
|Jul 13, 2007
|Sep 28, 2010
|Cardiac Pacemakers, Inc.
|Combined remodeling control therapy and anti-remodeling therapy by implantable cardiac device
|Jan 30, 2009
|Apr 16, 2013
|Medtronic, Inc.
|Pre-excitation stimulus timing based on mechanical event
|U.S. Classification
|607/19, 607/32
|International Classification
|Cooperative Classification
|European Classification


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The NSVRC enjoys a strong partnership with state, territory and tribal anti-sexual assault coalitions and national allied organizations. This online directory is an attempt to highlight the many organizations and projects working to eliminate sexual violence. This directory includes recognized coalitions and national organizations that meet the following criteria:
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Music is a funny thing and, usually, not something you think of in terms of horror. Even at it's darkest, I don't know that it's ever scary.
There are some kinds of music — particularly the harder, harsher speed metal or even some of the more artsy experimental composers — which set my teeth on edge and kickstart the flight-or-fight impulse in me. But I don't know that I'd classify that response as fear. The stories about Stravinsky and the premiere of his The Rite of Spring, that's a pretty incredible tale of the visceral power of music. The best exploration I know of on that subject is this excellent RadioLab episode.
But, from time to time, music has actually frightened me — and not because it was cacophonous or atonal/experimental. There was something genuinely frightening about the circumstances surrounding it and it's stayed with me ever since. Here's the top three…
When my brother was in high school, he'd listen to music late at night in his room. He had a battery-powered cassette player and the music would keep pace with the amount of charge left in the batteries. The longer they'd gone, the slower the music would become — producing some genuinely creepy effects. I can remember the batteries going dead one night while he was listening to "Radio Clash" and the music just started grinding down, slower and slower> I was asleep in my room and I could hear, faintly, "Thiis . . . isss . . . the Raaaadiooo . . . Classsshhhh…" drifting across the hallways, just barely audible.
And then he rewound the tape and listened to it again. Joe Strummer's laugh at the beginning was chilling and I drifted off into half-waking dreams of a demon band, moping their way through the slow-motion tune. Creepy.
And then there was the night, years later, when I was up late writing. I'd recently discovered the music of Glenn Gould and it was just about the only thing I would listen to. As I said, it was late and I was alone in the apartment, working on a particularly difficult segment for a play that I'd been commissioned to write. It was quiet and I had Glenn Gould on, very low and repeating the album over and over again.
A few hours into writing, I realized that I could hear a voice, low and measured, just on the edge of consciousness. I got up and checked around the apartment — nothing. A while later, the voice edged its way back into my consciousness again. Once again, I got up and checked around, looked outside — nothing.
I stood there, listening.
There. The voice rose and fell again, very low.
I switched off the music to hear better. Nothing.
Turning the music back on, the voice began again and I realized that the voice was on the music, on the recording. I did not know it at the time, but Gould had a tendency to sing or hum along with himself as he played. And, because he had passed away years before, I was more or less listening to the voice of a ghost.
But the creepiest music I have ever heard is the times, late at night, when I would be shocked out of a deep sleep by the sound of the cat walking across the open piano. That strange, discordant jumble of notes was so startling, so strange in an otherwise quiet house.
Worst of all was the time when, hearing the piano, I sat up to go down and close the lid on the keys . . . only to find that the cat was sleeping at the foot of the bed. It was a difficult task to work up the nerve to go downstairs anyway and check on the otherwise quiet house. I found nothing, of course — leaving me with no other explanation for what (or who) might have been playing in the night.
I will say, however, that the theme from the Haunted Mansion — aka Grim Grinning Ghosts — is a genuinely spooky little tune. And I love it. But this is coming from a guy who has Tubular Bells as his ringtone. So.


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WASHINGTON — Republicans and Democrats on Tuesday honored GOP Sen. Richard Lugar from the Senate floor, praising him for his years of service and calling him one of the chamber's all-time best.
Mitch McConnell, the Senate's Republican leader, called Lugar a forward thinker and the embodiment of a "Republican intellectual." He praised Lugar's work on foreign policy issues, saying Lugar always pressed to improve the world around him.
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McConnell also paid homage to Lugar's genial personality.
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After representing Indiana for 36 years, Lugar is retiring in early 2013. Earlier this year, he lost a Republican primary to Richard Mourdock while seeking a seventh term. Mourdock went on to lose to incoming Sen. Joe Donnelly, a Democrat.
McConnell said Lugar represented the best of the Senate as an institution. Sen. Dick Durbin, the No. 2 Democrat in the Senate, echoed that view calling Lugar an important voice. His "perspective on the world has been so important for decades," Durbin said.
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For some, getting a solid six hours of sleep is a feat in and of itself, which means that remembering the secrets your subconscious whispers during those forty winks is entirely out of the question. But, if you're up for an advanced course in nocturnal healing, we like the idea of looking to Native American tradition. Originating with the Ojibwe Nation, dream catchers have served a wide range of purposes, and we see them as a beautiful way to awaken — and capture — the imagination.
And since you may not have the big bucks saved up to travel for the real deal or to spend on an ornate Etsy rendition, we asked our pal Natalie Shriver from Design Love Fest to help you create a wondrous — and totally affordable — web of your own. Just follow these simple DIY steps, and, after the work's been done, we give you permission to doze off and dream a little dream.
Photographed by Molly Cranna


text: He has Jimmy Graham measurables, but appears to have Homer Simpson smarts and effort. If he can't see the field on a team desperate for what we assume was supposed to be his strength then I think he get's cut in the off season. We just can't afford to not fill this spot in this type of office with a young QB.


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Student Life
Feeling Lost?
Find your way to fun with this map. View all the events hosted on campus all in one easy roadmap.Read more »
Student Orgs
Looking for a great way to meet other students who share your interests?
Student groups offer social, service, and professional opportunities for their members within the university and in the community. Membership can help you to meet people, develop leadership abilities, build decision-making and problem-solving skills, and use what you're learning in the classroom.Learn more »
Upcoming Events
Student Leader Kickoff Dinner
Saturday, August 29, 2015, 5:30pm - Phoenix Rooms
Drive-in/Outdoor Movie
Tuesday, September 1, 2015, 8:30pm - Phoenix Park
K-Von comedian
Wednesday, September 2, 2015, 8:00 pm - Phoenix Rooms
Shopko Night
Wednesday, September 2, 2015, 9:30 pm - Shopko East Towne Mall
Bubble Soccer
Thursday, September 3, 2015, 2:00 pm-6:00 pm - Phoenix Park


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I hope you enjoy the few videos i have on there with music, and commentary!
Thank you!
Edited by MysticalOS, 24 April 2014 - 10:37 PM.
Jump to content
Posted 23 April 2014 - 09:33 PM
Edited by MysticalOS, 24 April 2014 - 10:37 PM.
Posted 28 April 2014 - 10:50 AM
Hello everyone, I am ZeTillerMann and I am providing you with a video challenge!
I have uploaded a video of myself playing against the best deck I've ever faced in arena:
So here is the challenge: Post a video of yourself playing or facing a better deck than this, if you have, message me on my channel or my stream:
Posted 28 April 2014 - 07:41 PM
Heres the 4 instalments of the friend v friend hearthstone series i have created.
I hope you enjoy these videos and you like and sub them!
If you want to add me feel free ! Soulexite#2795 thats my battle tag!
Episode 1
Episode 2
Posted 28 April 2014 - 07:42 PM
Episode 3
Episode 4
Posted 28 April 2014 - 07:43 PM
Feel free to post your videos also!
Posted 28 April 2014 - 08:22 PM
I merged the video threads.
I am going to remind people that there is ONE video sharing thread. Unless your video is part of a full guide or discussion that merits it's own topic, I ask that video sharing be limited to a single thread to keep this forum from looking like a personal youtube advertisement forum. We want to keep actual discussions and game information visible to visitors and not buried under a bunch of video sharing threads.
Post videos to your hearts content, in THIS thread. Thank you for your participation on EJB.
Posted 28 May 2014 - 05:31 PM
Hey guys,
if you like to rack your brains over a good Hearthstone Puzzle once in a while, come check out our YouTube-Channel: Hearthstone Puzzles
Our latest Puzzle: http://www.youtube.c...h?v=wKV8eHXapr4
We create and upload new puzzles regularly. Feel free to leave a comment and give us feedback. Thanks!
Posted 30 May 2014 - 05:44 AM
I used to be a big fan of Red vs. Blue in the old days so my friend and I thought it would be fun to give it a try with Hearthstone. What do you guys think? Looking for some honest feedback.
Edited by Kikonda, 30 May 2014 - 02:32 PM.
Posted 23 June 2014 - 07:11 PM
Posted 26 June 2014 - 12:31 AM
Equality + Avenging Wrath rng
Edited by Bleether, 26 June 2014 - 12:31 AM.
Posted 27 June 2014 - 12:15 PM
Hey everyone !
just a silly "guide" i made on How to get 12 wins in Arena !
Posted 28 June 2014 - 11:00 AM
120 opening Pt.1
Posted 19 July 2014 - 08:34 PM
Posted 21 July 2014 - 06:04 PM
Posted 21 July 2014 - 06:05 PM
Posted 21 July 2014 - 06:05 PM
Posted 21 July 2014 - 06:27 PM
I want to remind again that video sharing/youtube channel advertising is in this thread only. This thread has no limits to video posting and is meant for advertising/sharing.
Only create a new thread if it's going to contain actual content in the post other than a video link. If you want to do an actual guide post, please do so with full writeup on a topic you feel will draw constructive discussion. Some of these video guides are great if they just had been presented better in their own threads. You can include video in that post if it compliments the guide but the entirety of the guide shouldn't be a video and nothing else.
Posted 23 July 2014 - 02:36 PM
Want to speedrun the 3 NORMAL bosses in Hearthstone, so you can get straight into the REAL action? We got you covered! Stay tuned for the next phases!
Posted 30 July 2014 - 02:13 PM
Turn 3 Lethal
Posted 06 August 2014 - 04:06 PM
Edited by Persona#1233, 06 August 2014 - 04:07 PM.
World of Warcraft Discussion →
Deadly Boss Mods →
Bug Reports and Support →
Archived Reports →
[Fixed] Bug in Naxx
Started by Kronnk , 26 Oct 2014 Naxx
Other Games →
Hearthstone →
Curse of Naxxramas: The Plague Quarter Playthrough Guide (Includes Heroic)
Started by Overdos3 , 29 Jul 2014 curse of naxxramas and 4 more...
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Hi i'm a newbie to Apple products, I installed MAMP on my Mac and now have no idea where the default folder where all the html files are put go to. Also new to web development. Anyone help?
Take the 2-minute tour ×
Ask Different is a question and answer site for power users of Apple hardware and software. It's 100% free, no registration required.
In the MAMP application, click on "Preferences..." then go on the "Apache" tab. There you will be able to locate the default folder. You can create a new one and set it as default there too.
I haven't used MAMP in a while, but according to their FAQ it looks for the HTML files (by default) in: /Applications/MAMP/htdocs
This seems like an odd place to store them. You can (and probably want to) change the default in MAMP's preferences to a different folder so you can store your files somewhere else.


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Explore the Ocean World, LLC
367 Ocean Boulevard
Hampton Beach, NH 03842
Ph: 603-431-0260
The mission of our facility is to educate visitors about the importance of the estuarine and oceanic ecosystems of the New Hampshire coast, while providing a unique opportunity to view and touch sea animals that they may never otherwise encounter. Our intent is to improve public awareness of the Gulf of Maine's natural wonders, help visitors to fully appreciate New Hampshire's remarkable natural resources, and to foster a stewardship for seacoast and its environment.
The center contains multiple exhibits focusing on the oceanic environment and the precarious balance between human use and healthy ecosystem functioning. Visitors will learn about the Gulf of Maine ecosystem and the local fishing industry it supports. The center contains a refrigerated aquarium displaying fish and invertebrates from the coast and deep-ocean, while also providing two hands-on touch tanks. In addition, multimedia expositions and display cases are present, augmented with live presentations and dried specimens to touch and examine.
10:00 – 5:00 Daily June 29th – Labor Day
11:00 – 4:00 Weekends in September
Website: http://exploretheoceanworld.com
Facebook: Explore the Ocean World Facebook Page
To improve the chance of seeing your comment posted here or published in the New Hampshire Union Leader:
- Identify yourself. Accounts using fake or incomplete names are suspended regardless of the quality of posts.
- Say something new, stay on topic, keep it short.
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- Avoid comments in bad taste, write well, avoid using all capital letters
- Don't cite facts about individuals or businesses without providing a means to verify the claim
- If you see an objectionable comment please click the "Report Abuse" button and be sure to tell us why.
Note: Comments are the opinion of the respective poster and not of the publisher.Be the first to comment.
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INDIANAPOLIS – People across the nation today recognized Jan. 11 as "National Human Trafficking Awareness Day" in hopes of giving a voice to victims and educating the public about the crime.
Indiana Attorney General Greg Zoeller said public awareness remains a critical component to stopping the crime. Human trafficking is tied as the second largest and fastest growing criminal industry in the world, just behind drugs, according to the U.S. Department of Health and Human Services.
"Human trafficking prevention is a year-round focus, but today helps shine a national spotlight on a dark issue that has impacted our state and the rest of the country," Zoeller said. "Efforts to stop the demand for commercial sex and prosecute traffickers have included public awareness campaigns and strengthened state laws, but it's clear that more needs to be done. I am committed to using all available resources to help fight this horrific crime."
This week the president proclaimed the month of January as "National Slavery and Human Trafficking Prevention Month" and reminded Americans of the 150th anniversary of the Emancipation Proclamation.
In November, Zoeller, joined by 45 other attorneys general, called on Congress to reauthorize a law that helps protect human trafficking victims and prosecute traffickers. The Trafficking Victims Protection Act (TVPA), which funds efforts to combat modern-day slavery, expired in 2011 and so far legislators have failed to reauthorize it.
Last year, Zoeller supported a new state law that closed a loophole in Indiana law respecting the crime of "promotion of human trafficking" and also more effectively defined the crime of "promotion of human trafficking of a minor" so that prosecutors could bring charges against traffickers even if no force was used, in situations involving prostitution and/or participation in sexual conduct. Zoeller said he plans to support additional legislation this year that will facilitate prosecution of traffickers and protection of victims. Since the 2012 law was enacted, the Indianapolis Metropolitan Police Department and Marion County Prosecutor's Office have brought four cases against alleged human traffickers.
Zoeller is the co-chair of the Indiana Protection for Abused and Trafficked Humans (IPATH) task force. The task force has trained more than 4,000 persons including law enforcement, cab drivers, first responders, medical professionals and others so that they can identify human trafficking victims and know how to respond.
As part of the public awareness effort, the Attorney General's office is collaborating with Truckers Against Trafficking (TAT) and the Indiana Motor Truck Association (IMTA) to educate Indiana truck drivers about sex trafficking. The IMTA is challenging their members to provide training on human trafficking for all their drivers, and TAT has provided thousands of training DVDs, wallet-sized trafficking indicator cards, and decals to be placed in truck cabs, which display the National Human Trafficking Hotline number.
AG Zoeller is the co-chair of the National Association of Attorneys General (NAAG) Standing Committee Against Human Trafficking and has been publicly supportive of many efforts to combat trafficking, including an initiative to reduce demand called "Don't Buy the Lie."
For more information about the Attorney General's human trafficking prevention efforts visit www.in.gov/attorneygeneral/humantrafficking/.


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Memphis, TN (Sports Network) - Andrea Bargnani scored a game-high 21 points and the Toronto Raptors closed out the preseason with a 120-106 victory over the Memphis Grizzlies on Friday.
Bargnani shot 6-of-12 from the field, including three from 3-point range, Jonas Valanciunas added 15 points and seven rebounds, while Kyle Lowry finished with 18 points and seven assists for the Raptors, who won six of seven contests in the preseason.
Amir Johnson, Jose Calderon and Terrence Ross all contributed double-digit scoring efforts off the bench for Toronto, which will host the Indiana Pacers on Oct. 31 to begin its regular season play.
Jerryd Bayless scored a team-high 17 points while pulling down seven rebounds and dishing out five assists for Memphis, which dropped its fourth game of the preseason. The Grizzlies will also kick off their season on Oct. 31 when they travel to Los Angeles to play the Clippers.
The Grizzlies got out to the early lead and did not trail throughout the first half. Quincy Pondexter scored 10 of his 16 points during the second quarter to help Memphis build a 66-59 halftime lead.
However, the Raptors took control in the third, outscoring the Grizzlies 32-21. Lowry's nine points in the quarter helped build a 91-87 advantage for Toronto, which closed out the period on a 14-6 run.
Calderon's layup with just over three minutes to play extended the Raptors' lead to double-digits, a difference they maintained for the rest of the game.
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One Week (2001)
A week before his wedding, the soon-to-be groom learns that he may have contracted HIV. He takes an HIV test and has to wait a full week for the results--a week that turns out to be the most hectic seven days of his life.
Cast: Pam Mack, Kenny Young, Milauna Jemai, Saadiqa Muhammad, Eric Lane
Produced by: Carl Seaton
Directed by: Carl Seaton
Written by: Kenny Young, Carl Seaton
Running time: 1hr 37min
Opens: Oct 19, 2001 Limited
|Theaters for Today
Pick a day
on this day.


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Most popular dogs in the U.S.
The American Kennel Club announces the most popular dogs in America. (Jan. 30, 2013)
Newsday.com now uses Facebook for our comment boards. Please read our guidelines and connect your Facebook account to comment.
Peek inside Long Island's most lavish homes Funny faces at the U.S. Open 2015 Historic papal visits to the U.S. Evolution of LI cheerleaders LI notable deaths Who's ringing stock exchanges' bells? Long Island teachers prepare for school year Promotions, new hires and jobs on Long Island Long Island and New York City's top photos St. Dominic football practice U.S. Open Arthur Ashe Kids' Day African American Heritage Parade photos


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Fitted as standard, the CDR audio system features a 7-inch color monitor that also acts as a touchscreen, giving you quick and easy access to the most important functions and menus.
The integrated CD radio supports MP3 playback and features an FM twin tuner with RDS, 30 memory presets, dynamic autostore and speed-sensitive volume control.
On request, the CDR audio system can be combined with the BOSE® Surround Sound System or Burmester® High-End Surround Sound System.
The Sound Package Plus is fitted as standard. The system comprises a separate amplifier with a total output of 235 watts, seven amplifier channels and nine loudspeakers, all of which combine to create the perfect interior sound experience.
The new CDR Plus audio system is available on request. All functions can be operated via the 7-inch high-definition WVGA TFT touchscreen or the optional multifunction steering wheel.
The radio with twin tuner receives both digital and analogue signals and adjusts automatically for optimum reception. The single CD/DVD player plays audio CDs, MP3 music files and audio/video DVDs. A USB port allows a USB stick, MP3 player, iPod® or iPhone® to be connected directly, making your music collection, podcasts or audiobooks instantly available. A cover art function allows album covers to be displayed, thus ensuring your collection is clearly organised – and looks good too.
Devices connected via USB can be operated using CDR Plus or the optional multifunction steering wheel. An additional AUX interface can be used to connect other external audio sources – the system is then operated via the connected device.
© 2015 Porsche Cars North America, Inc. Legal notice. Privacy Policy.


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IBEROSTAR Creta Panorama & Mare
OverviewIBEROSTAR Creta Panorama & Mare
The 4-star IBEROSTAR Creta Panorama & Mare Hotel offers all-inclusive accommodations in Panormo. Perched next to two private coves, this top family-oriented hotel on the island of Crete is ideal for travelers looking for vacations full of traditional Greek charm. With breathtaking views of the Aegean Sea, this tranquil enclave is the perfect locale if you want to relax in a comfortable yet fabulous environment.
- Beautiful Aegean Views. Its privileged location on the beach makes theIBEROSTAR Creta Panorama & Mare a great family hotel. Guests can rest and have fun at the same time while enjoying unforgettable sea views; they also have exclusive access to two private coves for an indulgent and relaxing dip.
- Greek Temptations. The endless variety of international culinary delights combines with tempting Greek fare for you to taste at our hotel's establishments. Mediterranean-inspired dishes are prepared in all of our restaurants, offering breakfast, lunch, and dinner at various times of the day. Moreover a special set-up menu dinner is offered per one week stay with participation upon prior reservation.
- A Pool for Everyone. The IBEROSTAR Creta Panorama & Mare Hotel is a full-service resort with, above all, spectacular swimming pools. Our 4-star accommodations provide seven pools total: four outdoor pools, one indoor pool, and two children's pools (one integrated saltwater, one separate with freshwater).
- Meeting Rooms
- All-inclusive
- Specialty Restaurants
- Children's Pool
- Indoor Pool
- Pool Towels
- Sand beach
- Kidsclub (4/7 years)
- Maxiclub (8/12 years)
- Teenclub (13/17 years)
- Children's menu
- Playground
- Massages
- Fitness room
- Beauty salon
- Pool
- Babysitting Services (Charge)
- Wi-Fi in Room (Charges)
- Public Wi-Fi Areas (Charge)
- Sauna
- Beach hammocks (with charge)
- Sea front hotel
- Jacuzzi
An amazing resort on the shores of the Aegean, ideal for anyone wanting to discover Crete.Book Now
IBEROSTAR Creta Panorama & Mare
- P.O. Box 32
- Rethymnon - Crete
- Greece
- Tel.: 0030 2834051502
- Fax: 0030 2834051151
- E-mail: email@example.com
Country Facts
- Language: Greek
- Currency: Euro
- Population: 11.305.118
- Capital: Athens


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Requirements for Solar System/Green Digital Submittal
All property owners applying for a permit for new construction will be required to submit a properly completed Owner Builder Form (pdf/968kb/3pp) at plan submittal, before a building permit will be issued.
File Format & Limitations
- Adobe PDF file format, 8-1/2" x 11" or 11" x 17" in black and white or....
- Autodesk DWF file format, 24" x 36" in black and white, are the standards for submittal and reviewing plans (background and text).
- Digital Submittal is only available to Single Family Residential projects.
- Quality Submittal Guidelines and Design Requirements (pdf/434kb/12pp)
Digital Signature Acceptance - per the Board of Technical Registration:
A-30-304 Use of Seals G. An electronic signature, as an option to a permanently legible signature, in accordance with A.R.S. Title 41 and Title 44, is acceptable for all professional documents. The registrant shall provide adequate security regarding the use of the seal and signature. Call 602-364-4930 for more information.
During and after you've completed the process, we'd like to hear from you. What did you like best? What did you like least? How can we make it better?
- Phone: 480-312-7800
- E-mail: firstname.lastname@example.com


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Who's on Tour In Europe: October 2013
September 26, 2013 via Pepsi
Who's on Tour in Europe: October 2013
Looking to make some memories? There's nothing like experiencing a live performance by one of the biggest stars in the world with thousands of other people. When musicians sell out arena tours it means they've reached a level in their career that the entire world cares about. There are some incredible musicians touring the world right now. These are the ones that people will remember. When you see a teenager two decades from now wearing the very same tee shirt you bought at the show—it's become vintage by then—you'll look back and be able to say, "I was there." With 2013 coming to an end it's time to think about the music events that you want to close out your year with. Europe's got some major concerts coming up, including an up-and-coming rapper whose first two singles reached No. 1 on U.S. Billboard Hot 100 Chart, an English indie rock band whose debut album became the fastest-selling in British music history, the return of a '60s classic and many more.
Arctic Monkeys
The Grammy-nominated indie rock band Arctic Monkeys are setting to go on tour this fall around the same time their fifth studio album AM drops. It dropped September 9 following the release of a handful of singles including "R U Mine?""Do I Wanna Know?" and "Stop The World I Wanna Get Off With You." It's the band's fifth studio album, and according to an interview with BBC Radio 1's Zane Lowe, frontman Alex Turner cited The Velvet Underground's VU as a direct influence. However, it's not just a straight rock 'n' roll album--Turner also calls out such disparate inspiration as Outkast, Aaliyah, and Black Sabbath. The AM Tour is a worldwide concert switching back and forth between North American and European legs. Click here to check concert dates and buy tickets. Stream the official audio for "Stop The World I Wanna Get Off With You," above.
Sigur Ros
The Icelandic post-rock band Sigur Ros released their latest album Kveikur June 17. It's the band's first album release through their new label XL and also their first album since their debut Von to not feature Kjartan Sveinsson, following his departure in 2012. In promotion of Kveikur, Sigur Ros has embarked on an 82-stop tour visiting Australia, South-East and East Asia, North America and Europe. Stream the second single from the album, "Ísjaki" above. To grab your ticket to a Sigur Ros concert click here.
Macklemore & Ryan Lewis
Still riding the major success off of hit singles such as "Thrift Shop" and "Can't Hold Us" Macklemore & Ryan Lewis wrapped up a North American tour ending with Made in America September 1. Now the duo heads to Europe to for a fall world tour in France, Ireland, Switzerland, Germany and many more through the rest of September and October. Click here for all the tour dates on Macklemore & Ryan Lewis' fall world tour. Watch the video for "Thrift Shop," above while you purchase.
Fleetwood Mac
Fleetwood Mac is currently on a world tour called Fleetwood Mac Live. The world tour began in early April in Columbus, Ohio and stretch across 14 countries in North America and Europe for 66 shows. Fleetwood Mac will play all of their classic hits ranging from their debut album Peter Green's Fleetwood Mac in 1968 to their last album in Say You Will in 2003. The European leg of the tour kicked off September 20 in Dublin and will conclude in Amsterdam October 26. Click here for all the tour dates for Fleetwood Mac Live. And if you've never seen the video of Stevie Nicks singing "Wild Heart" backstage before a show from the Rolling Stone photo sessions, do yourself a favor and click play above.
Flaming Lips
The Terror is the thirteenth studio album by experimental rock band The Flaming Lips. Since its release the Oklahoma City band has been touring all around the United States and UK to promote the album. Their upcoming European gigs will be in England September 6 and Belgium September 7. Click here to grab tickets and catch them before they shift back to North America. Check out a video of the band performing the title track off The Terror above to get psyched.


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Bridgewater celebrates New Orleans on Katrina anniversary
Dee Dee Bridgewater, "Dee Dee's Feathers" (OKeh/Sony Music/DDB Records)Associated Press
- SamsungSponsored
Galaxy S6 edge+ or Galaxy Note5?
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Former Beats Music Head Exits Apple Music
Ian Rogers will reportedly be taking a job in Europe in an unrelated industry.The Hollywood Reporter
2015 MTV VMAs Preview: "We Have a Delay So We're Prepared for Miley," Says Show's Executive Producer
"There's a chance for anything," says veteran executive Van Toffler of the Aug. 30 show — his last as producer.The Hollywood Reporter
Tegan and Sara Sign with WME: Exclusive
The sister act is the performer behind "Everything Is Awesome," from 'The LEGO Movie.'Billboard
Vine can now put perfectly looping music over your videos
Vine is getting into music. With an update rolling out Friday, Vine will begin letting its users add music to their videos. The music will be selected and licensed by Vine — it's not yet clear whether you'll be able to dig into your private library to put "Bad Blood" over everything.The Verge
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Virginia: New Rule Has Drivers Shocked And Furious
Virginia Drivers who drive less than 50 mi/day are in for a big surprise...
Nile Rodgers: The Chic Album 'Is Still Coming This Year'
BMI Icon honoree Nile Rodgers talks about setting a release date for Chic's long-awaited album return, Duran Duran and Diana RossBillboard
Music publishing group says it's suing SoundCloud over royalties
A British music industry group that represents more than 111,000 songwriters and publishers is taking legal action against the popular streaming website SoundCloud for copyright infringement.Los Angeles Times
This Is The Kind Of Bullsh*t You Face As A Woman In The Music Industry
With the help of women on Twitter, a music critic has shed light on an uglier aspect of the industry she works in.Jessica Hopper, music and culture critic and senior editor at Pitchfork, sparked a conversation on Twitter when she asked women and "other marginalized folks" among her almost 28,000…Huffington Post
Texans RB Grimes escapes by playing piano, writing songs
Jonathan Grimes got an NFL pink slip four times before finally hanging on with the Houston Texans and spending all of last season with the team. ''But I definitely lean on music a lot more just for peace of mind,'' he said.The Associated Press
- Levi'sSponsored
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Great Album Covers Featuring Man's Best Friend (11 photos)
Rick Springfield is enjoying a bit of a comeback, and there are those who think it's all part of the good "karma" he's banked along the years by being kind to canines. Also... it's National Dog Day! So let us celebrate 13 great album covers, including two Springfield LPs, on which man's best friend…Live Nation
Meet the bandleader picked to set the soundtrack to Colbert's 'Late Show'
Jazz musician Jon Batiste has found his groove. At just 28, he's performed in more than 40 countries, had a No. 1 album on the jazz charts and will be sharing the stage as bandleader with the new "Late Show" host Stephen Colbert starting Sept. 8 on CBS. Growing up in Kenner, La., a suburb of New…Yahoo News Digest
Macklemore Stars in Very Own 'West Side Story' on New Song 'Downtown'
Who knew Macklemore was a fan of classic Broadway musicals? His latest video for the new song "Downtown" is basically an extended riff on "West Side Story." And if you were wondering if Mack is a Shark or a Jet, just take into account that he does call his fanbase the Shark Face Gang.Live Nation
Everything We Know About One Direction's Pre-Hiatus Album
In Billboard's new fall preview issue, we take a look at One Direction's highly anticipated new album. Here's what we know about the 1D's follow-up to Four:Billboard
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Time To Upgrade Your Ride? Toyota Has You Covered
With 0% APR on many Toyota models thru 9/8, the Annual Clearance Event is the perfect time for qualified customers to try a new style on for size.
How Creamfields Started the Global Dance Festival Movement
This weekend, starting at 10 a.m PT/ 2 p.m. ET Friday, Yahoo Live will live stream selected acts from all three days of the Creamfields festival in the U.K., featuring sets from many of the top EDM acts in the world, including Fatboy Slim, Steve Aoki, Martin Garrix, and many more.Live Nation
Walk The Moon To Perform 'Shut Up And Dance' On The VMAs Red Carpet
One of the biggest songs of the year is set to kick off the 2015 MTV Video Music Awards pre-show on Sunday. Walk the Moon will perform their hit single, "Shut Up and Dance," as well as their new song "Different Colors," on the red carpet this weekend, lead singer Nicholas Petricca confirmed to The…Huffington Post
Marc Stone: New Orleans Bluesman
"All of the great masters we love weren't trying to faithfully re-create the past. They were trying to be successful as the hip new shit."Ozy
Rising R&B Star Tinashe: 'I Don't See Myself as an Urban Niche Act'
Tinashe is an admitted member of the more-is-more school of thought: "I grew up in the era of steady content, every day, all day," says the 22-year-old, calling in from her tour with Nicki Minaj days after playing Billboard tracks off her upcoming sophomore LP in a downtown Manhattan studio.…Billboard
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Thoia Thoing
Music video by R. Kelly performing Thoia Thoing. (C) 2003 Zomba Recording LLCVEVO
Everything We Know About Justin Bieber's Comeback Album
In Billboard's new fall preview issue, we take a look at Justin Bieber's highly anticipated new album. Here's what we know about the Biebs' first proper full-length since 2012's Believe.Billboard
Watch Taylor Swift Sing 'Smelly Cat' With Lisa Kudrow at L.A. Show
Taylor Swift's 1989 world tour has featured an epic roster of special guests, with names getting bigger and weirder as it's progressed. For her final show at Los Angeles' Staples Center, Swift brought out actress Lisa Kudrow, who reprised her famous Friends character Phoebe Buffay. With acoustic…Rolling Stone


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Hang tight!
Recipe by Michelle
"This is the best Chicken Cordon Bleu recipe! Chicken stuffed with ham and Swiss cheese. I hope you enjoy it as much as I have."
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skinless, boneless chicken breasts
8 slices
cooked ham
4 slices
Swiss cheese, cut into 1 inch pieces
salt and pepper to taste
1 teaspoon
dried thyme
1/4 cup
melted butter
1/2 cup
cornflakes cereal crumbs
1 (10.75 ounce) can
condensed cream of chicken soup
1/2 cup
sour cream
1 teaspoon
lemon juice
Updated review: I made this recipe again tonight. This time I used a combination of crushed corn flakes and italian bread crumbs. I again used munster cheese instead of swiss. I decided to try the gravy and it was good, but I don't think it's necessary as the chicken tastes great alone.
Original review: My husband says this is the best new recipe that I've ever made, and he's hard to please.
I did things slightly different for personal preferences. First of all, I used Italian bread crumbs instead of Corn Flake crumbs because that's all I had in the house. I used munster cheese instead of swiss becuase neither of us like Swiss. And I didn't make the gravy, because my husband isn't a gravy person.
These were so simple to make, took little time and turned out wonderfully. The first time I made this it came out too dry, so I adjusted my cooking temperature the next time to 350, for 30 minutes, and it worked fine. I will definately make this again!
I did not care for the cornflake coating and the inside was dry.
396 Ratings
Really great!... liked the creamy sauce. Used mozzarella cheese instead of swiss. The cheese will run out if you don't tack up the sides of the chicken breast. One thing that helps is if you fold the ham around the cheese, and then wrap the ham/cheese square in the chicken. Less cheese oozes out!
Will definately make again!
Delicious! I used bread crumbs to coat the chicken and then sauteed in a pan with a little butter and olive oil. Once browned, I made the sauce, adding my usual seasonings and some white wine. I then poured the sauce over the chicken to heat through. Thank you Michelle!
Every time I make this my family loves it. I melt the butter in the 13x9 pan in the micro and then roll the chicken in it and then roll it in bread crumbs and return it to the pan. Very easy. I use whatever kind of cheese I have on hand in the fridge. Be sure to put a little water in the bottom of the pan so they don't stick. Also, the sauce it the best!
We really enjoyed this recipe. I dipped the chicken breasts in a beaten egg, then rolled in seasoned bread crumbs and drizzled melted butter over them. We didn't like the sauce at all and felt the chicken was delicious without it. I also made two of the rolls with Swiss cheese and two with Provolone, and my husband and I liked the Provolone better (our son preferred the Swiss). I'll be making this recipe this weekend when my daughter's fiance and his parents come for dinner.
This was fabulous, especially the sauce, we loved it.. I asked my Husband if I should make it again? He said definetly. have about 3 times since. It is something I have to make now regularly. I served this with Chicken Flavored rice. It was great... not to difficult either..
Thanks for this recipe! It gives a twist to chicken hardly any effort. I've made it twice now. Neither time did I bread it or make the sauce, actually. After rolling the chicken up, I sprinkled paprika on the top, surrounded it with wedges of butter, and let it bake. The second time I made it, I was running low on time, so I pan seered some seasoning into the chicken first, and then rolled it all up and let bake for 25 minutes. The nice thing about not breading the chicken is that I didn't need toothpicks, so no worries of the little sticks breaking in the food. When first seering the chicken, it made for less flexible meat to roll-up, but it worked anyway and my guests loved it!
* Percent Daily Values are based on a 2,000 calorie diet.
Cordon Bleu Chicken Rolls
Serving Size: 1/6 of a recipe
Servings Per Recipe: 6
Amount Per Serving
** Calories: 429
** Calories from Fat: 197
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The Loyola MAT (Master of Arts in Teaching) offers a course of study that is designed to prepare exceptionally qualified teachers who are responsive to the educational needs of diverse learners.
The program has been designed with flexibility in mind. Whether you are a recent college graduate, experienced classroom teacher, or a career-changer following your inner passion, the MAT program offers the right combination of coursework, internship experiences, and individualized attention to help you reach your goals and achieve certification.
An undergraduate major (or 27-30 sufficient credits) in the content area in which the aspiring teaching is seeking certification (art, biology, chemistry, earth/space science, French, music vocal/instrumental, physics, English, Spanish, mathematics or social studies) is required. Social studies certification includes majors in economics, history, philosophy, political science, psychology, and sociology. Completion of this program and satisfactory scores on the Praxis CORE (or equivalent) and Praxis II exams will lead to Maryland State Department of Education (MSDE) certification. Art, French, music vocal/instrumental, and Spanish apply to grades PreK-12 and other certification areas apply to grades 7-12.
The Master of Arts in Teaching program is grounded in the guiding tenets of Loyola's education department: competence, conscience, and compassion and is influenced by the Jesuit educational philosophy which emphasizes academic excellence, reflective practice, and social justice in education. The MAT program offers a course of studies that is designed to prepare exceptionally qualified teachers who are responsive to the needs of diverse learners.
Recent college graduates and career changers will use the content knowledge obtained at the undergraduate level as a foundation for exploring educational pedagogy. Experienced teachers will gain even better understanding of the latest educational techniques and best practices. Students are encouraged to identify goals and then can work to achieve them in a learner-centered environment.
Most classes are offered in the late afternoon and early evening to balance various schedules. The program is available in both a part-time and full-time format to accommodate students who want to complete the program on a fast pace, as well as students who prefer to take a number of years to finish. Students may start the program in any of our three semesters fall, spring, or summer.
*Includes two-required field placements.
**Students participating in a Professional Growth Experience (PGE), a six credit option, will fulfill the internship requirement.
***This course can be waived through examination or prior coursework.
Loyola's MAT programs have been approved by NCATE and the Maryland State Department of Education using recognized state and national standards and include the Maryland approved reading courses.


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First the BeanCounter is gone, Rex is supposedly safe - although his presser has been cancelled, so maybe not so fast as maybe more objective voices have convinced The Bandaid legacy owner that no self-respecting GM will take over that mess if having to start off with only 1 testicle.
and now Schefter has reported that Chan Gailey has been kicked to the curb. We still have Nix, but who knows for how long.


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Colm Toibin
News about Colm Toibin, including commentary and archival articles published in The New York Times.
Chronology of Coverage
Apr. 22, 2015
Jeff Gordinier reviews book On Elizabeth Bishop by Colm Toibin. MORE
Oct. 14, 2014
Janet Maslin reviews book Nora Webster by Colm Toibin. MORE
Oct. 5, 2014
Jennifer Egan reviews book Nora Webster by Colm Toibin. MORE
Nov. 24, 2013
Charles Isherwood reviews audiobook The Testament of Mary by Colm Toibin, read by Meryl Streep. MORE
Mar. 3, 2013
Maureen Dowd Op-Ed column relates discussion she had with author Colm Toibin about his book The Testament of Mary, which has been turned into play and will appear on Broadway, and about his views on Catholic Church. MORE
Nov. 11, 2012
Mary Gordon reviews book The Testament of Mary by Colm Toibin. MORE
Jun. 12, 2012
Dwight Garner reviews book New Ways to Kill Your Mother: Writers and Their Families by Colm Toibin. MORE
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Highlights From the Archives
One by One, Narratives Reflecting Life's Mosaic
The two most haunting stories in the volume — "Lélé" by Edwidge Danticat and "Donal Webster" by Colm Toibin — unfold, like elaborate origami flowers, into complex portraits with the emotional density and historical depth of field of a novel.January 8, 2008 booksReview
The Passion of Henry James
For a while, during the Gay Nineties of their respective centuries, the American writer Henry James and the Irish writer Colm Toibin -- whose remarkable new novel is about James -- were faced with the same embarrassing problem. It was a problem that touched both their personal and professional lives; to both writers, it seemed to be a problem that fiction alone could solve.June 20, 2004 artsReview
A Writer's Ambiguous Love Affair With New York
How he seemed to hate New York. A ''terrible town,'' Henry James called it in ''The American Scene.'' For Colm Toibin, author of ''The Master,'' the acclaimed biographical novel about James published last year, James's anger at the city reflects his sexual ambivalence, and perhaps offers a clue to the nature of ''the obscure hurt'' that James claimed he suffered in his youth, which kept him out of the Civil War, but may also have paralyzed him emotionally.November 25, 2005 artsNews
A Little Nearer Redemption
Set in Dublin and rural County Wexford, Colm Toibin's new novel summons three generations of an Irish family and lets them have at one another -- a clash of country versus city, conservative versus liberal, old ways versus new.September 10, 2000 artsReview
Memories of a Catholic Boyhood
Mr. Toibin, an Irish novelist who also works as a journalist, has written a memoir about his own relation to faith in the Irish context, augmented by a correspondent's reports of Holy Week visits over the years to the new Eastern Europe, Spain, the Balkans and Rome.September 17, 1995 artsReview
Prose on Poetry
New books include Helen Vendler's "The Ocean, the Bird, and the Scholar."
September 6, 2015, Sunday
MORE ON COLM TOIBIN AND: Vendler, Helen , Books and Literature , Poetry and Poets , Toibin, Colm , Lehman, David , James, Clive , Simic, Charles
Ambivalence Prevails at PEN Festival Prayer Session
An evening of "Prayer and Meditation" came off as a conflicted preamble to the National Day of Prayer on Thursday.
May 8, 2015, Friday
MORE ON COLM TOIBIN AND: PEN American Center , Books and Literature , Prayers and Prayer Books , Religion and Belief , Toibin, Colm , Kushner, Rachel , Holman, Bob , Kashua, Sayed , Danticat, Edwidge , Shaughnessy, Brenda
Colm Toibin on Elizabeth Bishop: A Different Kind of Literary Tango
The novelist and critic offers a deeply personal study of a poet who was one of his major literary influences.
April 22, 2015, Wednesday
MORE ON COLM TOIBIN AND: Books and Literature , Toibin, Colm , Bishop, Elizabeth , Poetry and Poets , On Elizabeth Bishop (Book)
PEN World Voices Festival Returns With Eye on Africa
Participants in the 11th annual festival will include Chimamanda Ngozi Adichie, Edwidge Danticat and Michael Ondaatje.
February 11, 2015, Wednesday
MORE ON COLM TOIBIN AND: Adichie, Chimamanda Ngozi , Danticat, Edwidge , Ondaatje, Michael , Toibin, Colm , Books and Literature
A Change in the Climate for an Icy Irish Matron
In Colm Toibin's new novel, "Nora Webster," the flinty heroine is a just-widowed mother of four who returns to work and finds the experience slowly transformative.
October 14, 2014, Tuesday
MORE ON COLM TOIBIN AND: Books and Literature , Toibin, Colm , Nora Webster (Book)
Finding a Voice
A woman struggles toward independence after her husband's unexpected death in Colm Toibin's novel.
October 5, 2014, Sunday
MORE ON COLM TOIBIN AND: Toibin, Colm , Books and Literature
Big City Book Club Discusses 'Brooklyn'
The Big City Book Club talks about Colm Toibin's acclaimed 2009 novel, the story of a young Irishwoman who leaves a fragile mother behind to find herself in Dodgerland in the early 1950s.
May 19, 2014, Monday
MORE ON COLM TOIBIN AND: Toibin, Colm , Brooklyn (NYC) , Immigration and Emigration , Book Clubs
Big City Book Club
When the Big City Book Club convenes next, we'll be reading Colm Toibin's acclaimed 2009 novel, "Brooklyn." The online discussion will take place on Monday, May 19, starting at 6:30 p.m.
May 11, 2014, Sunday
MORE ON COLM TOIBIN AND: Book Clubs , Toibin, Colm Brooklyn (NYC) , Book Clubs , Toibin, Colm
PEN World Voices Festival Opens 'On the Edge'
The Syrian poet Adonis, Salman Rushdie, Judith Butler and others spoke at Cooper Union on Monday night.
April 29, 2014, Tuesday
MORE ON COLM TOIBIN AND: Adonis , Rushdie, Salman , Toibin, Colm , Butler, Judith , Chomsky, Noam , Cooper Union for the Advancement of Science and Art , Writing and Writers , Books and Literature
Colm Toibin Named Chairman of PEN World Voices Festival
Mr. Toibin will take over the duties from Salman Rushdie beginning in 2015.
April 17, 2014, Thursday
MORE ON COLM TOIBIN AND: Rushdie, Salman , Toibin, Colm , PEN American Center , Writing and Writers , Books and Literature
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