text:
|Número de publicación
|Tipo de publicación
|Número de solicitud
|Fecha de publicación
|24 Nov 1987
|Fecha de presentación
|21 May 1986
|Fecha de prioridad
|22 May 1985
|También publicado como
|Número de publicación
|Adrian J. Elsworth, Michael G. Daniell, Paul Zwaan, David P. M. Stewart
|Cesionario original
|Fisher & Paykel Limited
|Exportar cita
|BiBTeX, EndNote, RefMan
|Citas de patentes (19), Citada por (107), Clasificaciones (18), Eventos legales (6)
|Enlaces externos: USPTO, Cesión de USPTO, Espacenet
This invention relates to methods of and/or apparatus for humidifying gases and has been devised particularly though not solely for use in providing humidified gases to a patient in a hospital in need of such humidified gases.
It is an object of the present invention to provide methods of and/or apparatus for humidifying gases which will at least provide the public with a useful choice.
Accordingly in one aspect the invention consists in a method of humidifying gases; said method comprising the steps of supplying water into a first passageway by passing the water from a source of substantially constant positive pressure to said first passageway, heating said water, passing gases through a second passageway, causing water vapour but substantially no liquid water to pass through a microporous wall common to both said passageways, said microporous wall being permeable to water vapour but substantially impermeable to liquid water, the water vapour passing through said microporous wall to be entrained in the passing gases to humidify said gases for transmission to a point of use, monitoring the temperature of the humidified gases, causing changes in temperature of the humidified gases to cause changes in the supply of heat to said water to maintain the temperature of humidified gases within a desired range of temperatures, monitoring the rate of flow of water of said first passageway, comparing the monitored rate of flow of water in said first passageway with a desired rate of flow of water therein, and causing a cessation of flow of water in said first passageway and heat to said water on the monitored rate of flow of water and the desired humidified gases temperature and the power delivered varying more than a desired amount from said desired rate of flow, desired temperature, and delivered power.
In a further aspect the invention consists in apparatus for humidifying gases; said apparatus comprising a first passageway, water supply means for supplying water to said first passageway, a second passageway through which gases are supplied to a microporous wall common to both said first passage and said second passage at a point of use, said microporous wall being permeable to water vapour but substantially impermeable to liquid water, means to supply heat to said water to generate a vapour pressure within said first passageway sufficient to cause passage of water vapour but not liquid water through said microporous wall, a control unit including temperature monitoring means to monitor the temperature of said gases close to said point of use, water flow monitoring means to monitor the rate of the flow of water to said first passageway, means to compare the monitored rate of flow thereof with a desired rate of flow, and means to cause cessation of flow of water and of heat to said water on the monitored rate of flow of said water or the desired temperature of said gases varying by more than a desired amount, the construction and arrangement being such that on gases being passed through said second passageway tube over the surface of said microporous wall, water vapour but substantially no liquid water passes through the walls of said first passageway to be entrained in said gases passing through said second passageway and over said microporous wall.
To those skilled in the art to which the invention relates, many changes in construction and widely differing embodiments and applications of the invention will suggest themselves without departing from the scope of the invention as defined in the appended claims. The disclosures and the descriptions herein are purely illustrative and are not intended to be in any sense limiting.
One preferred form of the invention will now be described with reference to the accompanying drawing in which,
FIG. 1 is a diagrammatic view of apparatus according to the invention,
FIG. 2 is an enlarged diagram of a valve constructed according to part of the invention,
FIG. 3 is an enlarged view of part of FIG. 1,
FIG. 4 is a further enlargement of a termination arrangement,
FIG. 5 is a view of part of FIG. 4,
FIG. 6 is a diagrammatic cross section of an inspiratory line with a microporous tube supported therein by a separating means,
FIG. 7 is a cross section of the construction of FIG. 6, and,
FIG. 8 is a diagram of apparatus used in the invention including a block diagram of electronic circuitry used in the invention.
Referring to the drawings, particularly FIGS. 1 and 2, and according to the invention, humidifying apparatus is provided as follows: a water supply bag 1 provides water to a drip chamber 2 removably mounted in a shaped slot 3 of a casing 4 containing a control unit which will be described in detail later. An inspiratory line 5 leads from a breathing machine e.g. a ventilator (not shown) of orthodox construction and use and gases pass through the inspiratory line 5 from the ventilator to a Y junction 6 which in turn is connected to a mask or other device which enables the gases to be supplied to a patient. An expiratory line 7 is connected to the Y junction 6 and passes expired gases to an exhalation valve (not shown). Lines 5 and 7 are preferably flexible corrugated, tubes or the like made of a suitable synthetic resin material e.g. polyethylene.
A humidifying element is provided comprising a microporous tube 10 having the property of being permeable to water vapour but substantially impermeable to liquid water for example made of expanded PTFE (poly tetra fluoro ethylene) and the tubing is preferably flexible, inert and hydrophobic. Such a tubing is manufactured under the trade mark GORE-TEX and is available from W. L. Gore & Associates Inc. Newark, Del, U.S.A. in various diameters from 1 mm to 12 mm inside diameter. Microporous structures of such tubing are available having 2.0 micro meters to 3.5 micro meters passageways therethrough. The tube 10 is looped and the free ends are mounted in a termination block 11. Tube 10 is positioned in line 5 and is supplied with a supply of water from the bag 1 through tube 15, drip chamber 2 and tube 16, and provides a common wall between water in the tube 10 and gases in the inspiratory line or tube 5. The tube 10 is mounted within the line 5. The inspiratory line or tube 5 may for example be of any useful diameter and length for example 20 millimeters inside diameter and about 600 millimeters in length. The tube 10 may be arranged in a single length or may be arranged as a helix or bunched as desired to give the desired vapour transmission rate. Preferably however the tube 10 is looped as more clearly shown in FIGS. 3 and 6. The water supply bag 1 is a flexible bag suspended at a convenient level e.g. on a mobile pole 17 to give a desired static head.
In FIG. 2, tube 15 leads to an orifice 20 in the drip chamber 2 and the orifice 20 is dimensioned to supply drops of water falling through air space 37 in the chamber 2.
The drip chamber 2 is shown in more detail in FIG. 2.
Water passes from orifice 20 as a series of drops and each drop falling through air space 37 gives a signal through interruption of an infra red beam from an infra red transmitter 30 to an infra red receiver 31 which is referred to as drop detector 31. The housing walls 32 of the slot 3 are tapered so that the drip chamber 2 and associated tubes 15 and 16 may be readily placed in position and removed without interference with other parts of the control unit in casing 4. This is of considerable advantage since it enables "throw away" or separately sterilizable "plumbing" assemblies to be used, leading to good hygiene.
Mounted within the tube 10 is a looped heating element 25, FIG. 3, with the two free ends of the loop each crimped to an interconnecting wire 21 which in turn is connected by soldering to a printed wiring board 23 and in turn to one of a pair of leads 22 and via a connector 24 and cable 26 to the control unit in casing 4.
A suitably resistive heating element wire is used, and to reduce risks of overheating, the heating element is preferably a low melting point material. Changes in resistance due to temperature changes of the heating wire are used to give an approximate measurement of the wire and water temperature. The heater wire preferably has a readily measurable temperature coefficient of resistivity. Wattage input for the heating element 25 can be quite high, suitable operating parameters being for example 2 4 V, 125 W.
The melting point of the element wire is preferably less than the melting point of the material of tube 10. Where the material of tube 10 is of GORE-TEX which has a melting point of about 350° C., a suitable material for the element wire 25 is a tin-silver alloy having a melting point of about 230° C.
The heating element wire 25 is preferably "cold ended," e.g. by crimping, welding or brazing the element wire 25 to the low resistance e.g. copper wires 21 to enable the ends of wire 25 to run cooler than the main run of wire 25 and reduce the risk of overheating the ends. The terminal block 11 and details thereof are shown in more detail in FIGS. 3 to 5. As illustrated in FIG. 4, for example, terminal block 11 comprises a body 12 having an inner chamber 27 therein and a nipple member 17 projecting therefrom which defines a flow communication passage into chamber 27. The ends of tube 10 are positioned concentrically over a nipple member 17 as illustrated in FIGS. 4 and 5. The ends of the tube 10 are preferably split and the two or more resulting strips 14 turned outwardly normal to the longitudinal axes of the tube and a thick flange member 18 clamped in place concentrically over tube 10 and nipple 17 by rivet means 19 in flange member 18. Flange member 18 retains strips 14 between body 12 and flange 18 and also retains tube 10 on nipple 17 by rivets 19 into the block 11 to connect tube 16 with preferably both ends of the tube 10, there being an opening from a chamber 27 to the passageway of tube 10.
To maintain separation between the line 5 and the line 10 separating means are provided as illustrated in FIGS. 6 and 7. The separating means preferably comprise a longitudinal sinuous member 8 made for example of a suitable synthetic resin material e.g. a polypropylene homopolymer and, as may be seen from FIG. 7, the sinuous member 8 is made of two strip sections 8' and 8" each section being provided with semi-circular grooves 9' and 9", respectively to provide, when assembled as shown in FIG. 7, a circular aperture 9. The apertures 9 are arranged on the sinusoidal line of member 8 so that they are in longitudinal alignment and tube 10 is inserted or positioned in apertures 9 and is thereby supported at frequent intervals with the upper and lower arms of the tube 10 being maintained in spaced relationship from each other and from the wall of line 5 as may be seen from FIG. 6. The sinusoidal member 8 is arranged to have joining means preferably in one member, such as studs 13 at intervals in one member 8' or 8" and holes in the other member 8' or 8" respectively, the studs 13 fitting tightly in the holes to enable the two members 8' and 8" to be clipped together with the microporous tube 10 in the defined apertures 9 therebetween. In this way, sinusoidal bends 39 of the member 8 are fitted against the line 5 and since ends 38 are also so fitting, the tube 10 will be supported separated from the line 5.
In use hot water is supplied to the tube 10 at for example 80° C. It is of course undesirable that a tube containing water at this temperature should have direct contact with the line 5 which may be resting on the bare chest or other part of the patient's body. Accordingly this form of the present invention obviates or minimises a risk of the high temperature part of tube 10 being in a position to transmit heat by direct contact between the tube 10 and line 5 and then to a patient's body. Additionally at least in the preferred form there is a considerable improvement in heat transfer performance over an unsupported microporous tube.
Referring again to FIG. 2, the drip chamber 2 contains a water exit valve comprising a ferro magnetic (e.g. steel) ball valve member 33 which rests in and covers a funnel-like water exit ball valve seat 34. Ball valve member 33 is displaced sideways relative to the flow of water through seat 34 by applying current to an electromagnet 35 disposed within the casing 4 to permit flow of water from the drip chamber 2 to the tube 16. Since the flow rate is low, only a small displacement is necessary as between open and closed positions of the ball 33. The ball is held in the closed position by gravity and the static pressure of the water.
The pool of water in the drip chamber 2 is maintained at a suitable level 36 so that the drops fall through an air space 37 from the orifice 20 to the level 36. This level is substantially maintained automatically once set because an increase in height of level 36 increases the air pressure in air space 37 and reduces the hydrostatic force which causes the formation of drops.
As illustrated in FIGS. 1 and 3, air temperature sensing element 40 e.g. one or more preferably two thermistors is or are removably positioned in the inspiratory line 5 downstream of the heater 25. The actual position depends on the amount of cooling of the gases desired. To obtain adequate humidification of the gases it may be desirable to heat the gases to a higher temperature than that desired, and to allow cooling to 100% RH. The heated water in tube 10 heats the gases in tube 5 and the heating to a higher temperature results in the gases attaining a higher than desirable temperature--say 38° C. The gases are then cooled by passing through a cooling tube 41 positioned between the tube 5 and the sensing element 40 in the Y junction 6. The length of the tube 41 gives some control over humidity.
Alternatively or in addition an auxiliary heater 42 FIG. 8, is positioned in or adjacent the inspiratory section 43 of the Y junction 6, and, to assist in controlling the heat and humidity an auxiliary air temperature sensing element 44 is provided between the heater 25 and the auxiliary heater 42.
Also a heating element 45 may be positioned in the expiratory line 7 to prevent condensation and/or to condition expired gases for further treatment in the ventilator and return to the patient if desired.
Referring now to the schematic diagram of FIG. 8, an electrical transformer is provided in power supply system 50. Preferably changes in resistance of the heater element 25 due to temperature changes of that element are used to provide electrical signals which activate control of power supply 50 to supply appropriate power to the heating element 25. These signals and signals from the air temperature sensing devices 40 and if provided 44 are supplied to an analogue to digital converter which is preferably a multiplexed arrangement, and a set temperature control 51 also supplies signals to the analogue to digital converter 52. Signals from drop detector 31 are supplied to a binary input interface 53, and manually operated "mute" and "function" switches 54 and 55 are also provided to this interface. The convertor 52 and the interface 53 feed an 8085 microprocessor 56 with which is associated a memory 57. The 8085 microprocessor 56 and a further 8048 microcontroller 60 are interconnected through a mutual surveillance connection 58 and data interface 59. The interconnection 58 enables the 8048 microcontroller 60 to check on proper performance of the 8085 microprocessor 56 and to enable the microprocessor to check on the operation of the microcontroller 60. The micro controller 60 supplies a water useage display 61 and an air temperature display 62. The noted transformer in power supply 50 supplies the heater 25 through a main heater Triac 68, and a backup Triac 63. The current sensor 64, an alarm 65, a voltage sensor 66 and other electronic backup equipment provided in the form of an analogue backup 67 are interconnected with the remaining apparatus. The current sensor 64 and the voltage sensor 66 enable the resistives of the heater element 25 to be calculated to give an indication of the temperatures of that element. The analog to digital converter 52 acts with the analogue back up 67 maintaining a check on the voltage output of the power supply 50.
The operation of the apparatus is as follows.
An operator brings the support pole 17 carrying the control unit in its casing 4 to a patient. The operator then sets up the "plumbing" comprising the water bag 1 which may be a normal intravenous supply water bag, the tube 15, the drip chamber 2, the tube 16 and interconnect this equipment with the inspiratory line 5 connected to the Y piece 6 which in turn is connected to a mask or other device for administering gases to a patient. Because the temperature sensing device (thermistor) 40 is removable and the leads 22 connect to leads 26 through the plug and socket 24 ready interchange of the tubes 5 and 10 is possible. It is to be noted that the "plumbing" may be provided as a new sterilized piece of equipment for each patient and this provides considerable advantages in getting the equipment quickly into use.
With power off in the control unit, the operator then causes water to flow into the drip chamber 2. Since the magnetic ball valve member 33 rests on its seat 34, the valve is closed and the water level in chamber 37 builds up by drip flow until air pressure in chamber 37 inhibits further drop formation. The operator then turns on power supply to the control unit and as a result the magnetic ball valve is opened and water flows into the tube 10 and is heated therein to a desired temperature. By virtue of the nature of the wall of the tube 10 permitting water vapour but substantially no liquid water to pass, water vapour passes into gases flowing over the outer surface of the tube 10 i.e. within the inspiratory line 5. The static water pressure gives a water pressure sufficient to cause flow of water to the tube 10 and prevents back flow of water vapour up tube 16. The demand for water depends on the passage of water vapour but substantially no liquid water through the microporous wall of the tube 10, and passage of water vapour depends on the difference between water vapour pressure in tube 10 and water vapour pressure in tube 5. The water vapour pressure in the inner tube 10 is controlled by the temperature sensor 40. Thus the temperature of the gases delivered to the patient is sensed by thermistor 40, and controlled amounts of heat are supplied by the heating element to the water in tube 10 under control of the microprocessor 56 in response to signals from the thermistors 40. Signals are passed from the temperature sensors 40 (and 44 if provided), and the change in resistance of the heater element 25. The drop detector 31 signals together with the convertor signals are fed to the 8085 microprocessor 56 and in turn signals are supplied to the microcontroller 60 which controls the amount of heat supplied to the heating element 25. Counts are indicated at 61 as to the number of drops per minute and the air temperature display 62 receives signals from the 8048 micro controller and in the event of maloperation the alarm 65 is operated. In addition the valve solenoid 35 is energized to keep the ball member 33 off its seat 34 to permit water to pass to the tube 10. In the event of maloperation of the water delivery rate this solenoid 35 is deenergised causing closing of the valve. Thus there is a major safety advantage in that it is not possible for water to pass through the apparatus unless electrical power is switched on to the magnet 35 in particular and to the control unit in general so that it is not possible for water to flow through the apparatus without the control unit being in operation.
The outline of the software programme provided to achieve the above and to provide safe operation and protection against maloperation is as follows.
This processor has three primary functions:
(a) To act as a safety backup. The two processors in the system each have independent airway temperature sensors, and each processor is able to turn off the heater independent of the other. The backup processor detects temperature anomalies in conjunction with the analogue backup circuit.
(b) It processes some of the system outputs.
(c) Each processor in the system checks that the other is operating correctly via the watchdog interface (58).
Self test
Start 8085
Start watchdog timeout
Do forever
update serial communications output
update alarm state, dependent on analogue fault input and logical processor flag
operate solenoid
operate spare outputs as instructed by control processor
operate fault simulator
if backup or co-processor fault, go to a safe condition
**Other tasks are actioned on an interrupt basis.
Start AC peak timer. AC peaks are communicated to the control processor (56) to enable it to take voltage and current readings from the heater.
Receive data from logical processor
Reset watchdog timer
Update alarm outputs
Generate a pulse indicating AC peak if it is a peak interrupt
Check logical control processor (56) is running, and has not been recently restarted
If logical processor is not running:
make all outputs safe
attempt to restart it three times
alarm if it does not restart
If logical processor requires frequent restarts:
make all outputs safe
This processor primary task is the control and performance algorithms. It analyses all system inputs and controls the outputs.
Do forever
control temperature to set value
display temperature
display water consumption
detect fault conditions
take action on faults
detect water
detect function input(s)
take action on function inputs end do
set all outputs to safe condition
self test ROM, RAM, ports, watchdog
user visible tests
check valve operation
detect function inputs
Determine mains frequency
Determine heater wire type
Check reference temperatures
Read set knob
Read and moving average thermistors
Apply heater wire on/off algorithm
Control expiratory heater
Control auxiliary heater
Display a moving average temperature
Detect occurrence of drop
Calculate weighted average mls per min.
Display for each drop detected
Flash detect light upon drop detection
High airway temp
Low airway temp
Temp probe failure
Water rate high
Water rate low
Triac not on/off
Fault simulator fail
References out of range
Set temp out of range
Water temp high
Water temp low
Too long to warm up
Power to water ratio
System faults
Transmit over an RS 232 standard interface the following:
water usage
set temperature
wire temperature
average power
status flag
alarm/error state
Mutes alarm for 60s unless new alarm occurs
Initiates recovery from conditions as described
Provides entry to special functions
Auto return to normal operation if not manually returned
It is desirable that gases from the ventilator into tube 5 are at a reasonably low temperature--say 25° C. If the gases are at a higher temperature--even as high as say 37° C. humidification is possible by setting the desired operating temperature of sensor 44 at a higher temperature of say 39° C. so that a water vapour pressure difference across the microporous wall of tube 10 can be obtained by heating the water in tube 10 to an even higher temperature--say 45° C. and then cooling the gases in portion 41. Before the sensors 40 are reached, the gases cool down to patient input temperatures of say 37° C. In the event that there is excess, then the auxiliary heater 42 is brought into action.
It will be apparent that the foregoing construction gives a humidifier which is very simple to construct and to use and which does not require material construction or features to put it into operation. In this respect in particular the ready removability and replacement of the "plumbing" i.e. the water supply elements enables the apparatus to be brought in use very quickly.
Further advantages of the present invention at least in the preferred form over present humidifiers are:
1. Because of a reduction in the volume through which the gases must pass better control is possible.
2. Because of a reduction in the volume through which the gases must pass, the gases supplied by the breathing machine (ventilator) are delivered to the patient with less time lag.
3. Because of a reduction of the volume of water which must be heated and because of the proximity of the heated water to the patient, faster and more accurate temperature control is possible.
4. The control of water flow is substantially automatic even though the patient's demand for water vapour varies.
5. Because of the compactness of that part of the apparatus near the patient the sensor and tube 10 may be positioned proximally rather than distally to the patient's head.
6. Because of the proximity of the humidifying element to the patient, heat and water losses and subsequent condensation in the delivery system is reduced.
7. The water flow control valve assists materially in preventing water from being passed to the humidifing device under fault conditions at least assisting in preventing dangerous maloperation.
8. Movement of the ball in the valve up a slope is advantageous in that it reduces the power necessary to move the ball to and hold it in the open position. The ball does not need to be completely lifted off its seat.
9. The display of water usage allow a measure of humidifying performance to be ascertained by a visual check.
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|Clasificación de EE.UU.
|Clasificación internacional
|Clasificación cooperativa
|Clasificación europea
|7 Jul 1986
Owner name: FISHER & PAYKEL LIMITED, MT. WELLINGTON HIGHWAY, M
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST.;ASSIGNORS:ELSWORTH, ADRIAN J.;DANIELL, MICHAEL G.;ZWAAN, PAUL;ANDOTHERS;REEL/FRAME:004648/0464
Effective date: 19860505
Owner name: FISHER & PAYKEL LIMITED,NEW ZEALAND
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:ELSWORTH, ADRIAN J.;DANIELL, MICHAEL G.;ZWAAN, PAUL;AND OTHERS;REEL/FRAME:004648/0464
Effective date: 19860505
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Year of fee payment: 8
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Year of fee payment: 12
|10 May 2005
Owner name: FISHER & PAYKEL HEALTHCARE LIMITED, NEW ZEALAND
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:FISHER & PAYKEL LIMITED;REEL/FRAME:015991/0137
Effective date: 20010626


text:
Record your sketches with this wire-o A5 hardback sketchbook from Winsor & Newton. The sketchbook contains 50 perforated sheets. Once you have created your sketch with a pencil, pen, ink or light water colour, you can gently remove the sheet from the pad. This wire-bound, black sketchbook contains 50 sheets of 170gsm A5 paper. A hard card prevents the pages from creasing, and the paper is acid free, ensuring long life.
Catalogue Number: 139-6146
- Suitable for pencil, pen and ink and light water colour washes
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subset: commoncrawl


text:
Herman Ostrow School of Dentistry of USC
Since 1897, the Herman Ostrow School of Dentistry of USC has provided students with unique, intensive clinical experiences using the most advanced techniques and technologies in the field. Graduates form a tightly knit community of proud alumni, provide top-notch patient care, conduct world-class research and lead the oral health field.
The school's strength is its educators. Their world-renowned expertise, combined with innovative curricula, gives students the strong clinical education they need to become great oral health professionals. The curricula include the Doctor of Dental Surgery program, the baccalaureate in dental hygiene program and postdoctoral advanced and specialty programs: endodontics, general practice residency, operative dentistry, oral and maxillofacial surgery, oral medicine, orofacial pain, orthodontics, pediatric dentistry, periodontology and prosthodontics. Other programs include an advanced standing program for international dentists; a master of science degree in dental hygiene; online master of science degrees in geriatric dentistry, orofacial pain and oral medicine; an online graduate certificate program in geriatric dentistry, and master's and doctor of philosophy degrees in craniofacial biology.
The Herman Ostrow School of Dentistry's celebrated status as a well-funded dental and craniofacial research unit allows students to enrich their education through laboratory activities and bolster their clinical skills with strong scientific foundations.
Through community service, the Herman Ostrow School of Dentistry provides valuable clinical experiences to the students while helping disadvantaged individuals improve their oral health. Serving the surrounding community helps students develop clinical competency and learn to treat all members of diverse communities with care and compassion.
Avishai Sadan, DMD, MBA, Dean
Mahvash Navazesh, DMD, Associate Dean of Academic Affairs and Student Life
Douglas Solow, DDS, MBA, Associate Dean of Clinical Affairs
Roseann Mulligan, M.S., DDS, Associate Dean of Community Health Programs and Hospital Affairs and Chair, Division of Dental Public Health and Pediatric Dentistry
Ilan Rotstein, DDS, Associate Dean of Continuing Education and Chair, Division of Endodontics, Orthodontics and General Practice Residency
Yang Chai, DDS, Ph.D., Associate Dean of Research
Malcolm Snead, DDS, Ph.D., Chair, Division of Biomedical Sciences
Mark Urata, M.D., DDS, FACS, FAAP, Chair, Division of Oral and Maxillofacial Surgery
Casey Chen, DDS, Ph.D., Chair, Division of Periodontology, Diagnostic Sciences and Dental Hygiene
Sillas Duarte, Jr., DDS, Ph.D., Chair, Division of Restorative Sciences
James Gordon, Ed.D., P.T., FAPTA, Associate Dean and Chair, Division of Biokinesiology and Physical Therapy
Florence Clark, Ph.D., OTR/L, FAPTA, Associate Dean and Chair, Division of Occupational Science and Occupational Therapy
G. Donald and Marian James Montgomery Dean's Chair in Dentistry: Avishai Sadan, DMD, MBA
George and Mary Lou Boone Chair in Craniofacial Molecular Biology: Yang Chai, DDS, Ph.D.
Don and Sybil Harrington Foundation Chair in Esthetic Dentistry: Pascal Magne, DMD, Ph.D.
Sykes Family Chair in Pediatric Physical Therapy, Health and Development: Linda Fetters, Ph.D.
Wayne G. and Margaret L. Bemis Endowed Professorship in Endodontics: Rafael Roges, DDS
Ralph W. and Jean L. Bleak Professor of Restorative Dentistry: Winston Wan-Li Chee, BDS
Charles M. Goldstein Professor of Community Dentistry: Roseann Mulligan, DDS, M.S.
Phillip Maurer Tennis Professorship in Clinical Dentistry: George C. Cho, DDS
Mrs. T.H. Chan Professorship in Occupational Science and Occupational Therapy: Florence Clark, Ph.D.
Professors: Yang Chai, DDS, Ph.D.; Chih-Kuang (Casey) Chen, DDS, Ph.D.; Glenn Clark, M.S., DDS; Tina F. Jaskoll, Ph.D.; Michael Melnick, DDS, Ph.D.; Cedric Minkin, Ph.D.; Roseann Mulligan, M.S., DDS; Mahvash Navazesh, DMD; Janet Moradian-Oldak, Ph.D.; Michael Paine, BDS, Ph.D.; Pragna Patel, Ph.D.; Ilan Rotstein, DDS; Avishai Sadan, DMD, MBA; Michael L. Schneir, M.S., Ph.D.; Jorgen Slots, MBA, DDS, Ph.D., DMD; Malcolm L. Snead, DDS, Ph.D.
Associate Professors: Winston Wan-Li Chee, BDS; George C. Cho, DDS; Sillas Duarte, Jr., DDS, Ph.D.; Robert G. Keim, DDS, Ed.D.; Ralph L. Leung, M.S., DDS; Pascal Magne, DMD, Ph.D.; Glenn Sameshima, DDS, Ph.D.; Arnold Tiber, DDS, Ph.D.; Homayoun H. Zadeh, DDS, Ph.D.
Associate Professor (Librarianship): John P. Glueckert, MLIS
Assistant Professors of Dentistry: Ruchi Bajpai, Ph.D.; Amy Merrill-Brugger, Ph.D.; Ramiro Murata, DDS, Ph.D.; Parish P. Sedghizadeh, DDS; Jian Xu, Ph.D.; Jiang Zhong, Ph.D.
Professors of Clinical Dentistry: Jane Forrest, RDH, Ed.D.; Michael Jorgensen, DDS; Diane Melrose, BSDH, M.A.; Michael J. Mulvehill III, DDS, MBA; Douglas Solow, DDS, MBA
Associate Professor (Clinical Scholar): Stephen Yen, DMD, Ph.D.
Associate Professors of Clinical Dentistry: Loris Abedi, DDS*; Gardner Beale, DDS; Linda Brookman, RDH, MSHS; Reyes Enciso, Ph.D.; Richard Furuichi, DDS; Joyce Galligan, R.N., DDS; Richard Green, M.S. Ed., DDS; Michelle Ikoma, DDS; Kian Kar, M.S., DDS; Thomas Allen Levy, M.S., DDS; Niel Nathason, MPH, M.A.; Saravanan Ram, DDS, MDS; Ramon Roges, DDS; Eddie Sheh, DDS; Donna Smith, RDH, M.S.Ed.; Piedad Suarez, DDS; Joyce Sumi, RDH, M.S.; Richard Udin, DDS; Mark Urata, DDS, M.D.
Assistant Professors of Clinical Dentistry: Tae Ahn, DDS; Lupe Arevalo, RDH; Kim Austin, DDS; Nissim Benbassat, DDS; Yaara Berdan, DDS; Jucheng Chen, DDS, Ph.D.; Nam Cho, DDS, M.D.; Christine Edwards, Ph.D.; Laura Elizondo, DDS; Sharon Faust, DDS; Alon Frydman, DDS; Dan Grauer, DDS, Ph.D.; Ripsik Gukasyan, DDS; Phuu Han, DDS, Ph.D.; Tran Han, DDS; Helia Hooshangi, DDS; Annie Huang, DMD; Julie Jenks, M.S., MPH, DDS; Boris Keselbrener, DDS*; Tae Kim, DDS; Janet Lent, DDS; Richard S. Lin, DDS; Bethany Lowe, DDS; W. Michael Madden, DDS; Ali Ostadali Makhmalbaf, DDS; Chris Mayeda, DDS; Mehdi Mohammadi, MPH, DDS; John Morzov, DDS; Lisa Pedersen, MSW; Jose Polido, DDS; Elham Radan, DMD, M.Sc.; Rafael Roges, DDS; Gelareh Ronaghi, DDS; Neimar Sartori, DDS, Ph.D.; Santosh Sundaresan, DDS*; Marlene Talley, DDS; Thomas Tanbonliong, Jr., DDS; Antonia Teruel, DDS, Ph.D.; Anita Tourah, DDS; Natalie Tung, DDS, M.D.; Tomoko Wada, DDS
Research Assistant Professors: Matthew K. Lee, M.D.; Alireza Moshaverinia, DDS, Ph.D.; Yan Zhou, Ph.D.
Clinical Professors: Ralph B. Allman, M.S., DDS; David Good, DDS; John J. Lytle, DDS, M.D.; Gayle Macdonald, Ph.D.; Dennis-Duke R. Yamashita, DDS; Margarita Zeichner-David, Ph.D.
Clinical Associate Professors: Barbara D. Edwards, RDH; Mina Habibian, DMD, Ph.D.; John Kishibay, DMD, Ph.D.; Bach Le, DDS, M.D.; Michael Padilla, DDS; Anthony Park, DDS; Richard Phillips Jr., DDS*; M. Hazem Seirawan, DDS, M.S., MPH; Hovhanness Shnorhokian, DMD, Ph.D.; Ann Spolarich, Ph.D.; James W. Tom, DDS, M.S.; Arman Torbati, DDS; Leon Unterman, DDS; Stefan Zweig, DDS
Clinical Assistant Professors: Mainul Ahsan, Ph.D.; Alexander Alcaraz, DMD; Gabriela Anderson, DDS; Vartuhi Avanesian, DDS; Nasrin Bahari Chopiuk, Ph.D.; Ting Cho, DDS; Simon Choyee, DDS; Chloe Cohen, DDS; Xiao Mei Cui, DDS; Sibel Dincer, DDS, M.S.; Irene Esteves, RDH; Andrea Gamble, DDS, M.S.; Ellen M. Grady, B.A.; Melina Gregorian, DDS; Stan Hanes, DDS; Lisa Hou, DDS; Steven Kallman, DDS; David Kang, DDS; Parabjeet Kaur, DDS; Alena Knezevic, DMD, Ph.D.; Theresia Laksmana, DMD, M.S.; Jennifer I-Chen Lo, DDS; Stacy Love, DDS; Michael Mashni, DDS; Joel McPherson, DDS; (Mehdi) Mohammad Mohammadi, MPH, DDS; Brett Nagatani, DDS; Camille Nakamura, DDS; Naomi Nguyen, DDS, M.S.; Lisa Oshiro, RDH; Vanessa Pardi, DDS, Ph.D.; Kristine Parungao, BSDH; Dieu Pham, DDS, M.D.; Vanthi Pham, DDS; Lisa Popkoff, DDS; Narendranath Ravindranath, Ph.D.; Adrine Reganian, RDH, M.S.; Lucille Rotstein, B.Ch.D.; Liane K. Sakai, DDS; Mary Satuito, DDS; Daniel Schechter, DDS; Daniela Schmid, DDS, Ph.D.; Natalia Slusky, DDS; Jenny Son, M.S., DDS; Flora Stay, DDS; Judith Tefft, Ph.D.; Jeremy Teoh, MPH, DDS; Christopher Truhan, DDS; Fabiana Varjao, Ph.D.; Lois Velasco, DDS; Xun Sean Xu, Ph.D., DDS; Kiyomi Yamazaki, DDS, Ph.D.
Clinical Instructors: Amelia Andrade-Garcia, RDH; Joiakim Bakhoum, DDS; Joan Beleno, RDH; Katheryn Bowns, RDH; Linus Chong, DDS, M.S.; Patricia Denny, M.A.; Shahrokh Jedian, DDS; Gerald McClellan, DDS; Albert Mizrahi, DDS; Michaela Nguyen, RDH; Carlos Sanchez, RDH; Eugene Zakaryan, DDS
Degrees Offered
The Herman Ostrow School of Dentistry awards the following degrees: the Bachelor of Science, Dental Hygiene; the Master of Science, Dental Hygiene; the Master of Science, Geriatric Dentistry; the Master of Science, Orofacial Pain and Oral Medicine; the Doctor of Dental Surgery; the Advanced Operative Dentistry Certificate/M.S., Craniofacial Biology; the Advanced Orthodontics Certificate/M.S., Craniofacial Biology; the Advanced Pediatric Dentistry Certificate/M.S., Craniofacial Biology; the Advanced Pediatric Dentistry Certificate/Ph.D., Craniofacial Biology; the Advanced Periodontology Certificate/M.S., Craniofacial Biology; Advanced Dental Education Certificate programs in Endodontics, Geriatric Dentistry, Operative Dentistry, Oral and Maxillofacial Surgery, Orofacial Pain, Oral Medicine, Pediatric Dentistry, Periodontology, and Prosthodontics; Master of Science in Craniofacial Biology; and the Doctor of Philosophy in Craniofacial Biology. The school also offers a minor in craniofacial and dental technology.


text:
V52 #GrowthCircle #TopEngagers I wanted to create a new #GoogleCircleShare for top engagers. These are people that will share and re-post your circles and other content you produce.
I highly suggest adding each and every person in this #GoogleCircle as they will be sure to interact with you.
➤ If you would like to be a part of my top engagers #BosmolCircle then please do the following:
1. Add the circle
2. Plus the original post
3. Share the circle publicly (and with your circles/extended circles)
4. Comment on the original post when complete
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I am confident that together we can get this to over 420+ plusses just like we did last time at https://plus.google.com/113366971528616805489/posts/2CaYeejdE2Y
In recent years, ride sharing companies have provided tens of thousands of individuals an alternative form of traveling by competing with public transportation, taxicabs or driving their own cars. Customers now have a variety of affordable options of transportation by summoning a ridesharing vehicle to their current location.
However, there is a stark difference between hiring a taxicab and a rideshare vehicle. The individuals operating rideshare cars are private citizens and work as independent contractors without any affiliation to a vehicle dispatch company. The individuals need to be over 21 years old and maintain a clear driving record to use their own vehicle to transport others. Unfortunately, the vetting process does not require the rideshare operator applicant to provide any past medical problems that could affect their driving capacity.
Negligent Ridesharing Drivers
Because rideshare programs are still in their infancy, there are a variety of loopholes available to drivers that could place customers, other drivers and passengers at odds for receiving compensation if involved in an accident. In fact, most insurance carriers offer limited coverage for rideshare drivers who waver between operating a business for hire and driving their car for personal needs.
Event taking place December 18th at Memorial Parkway SW Huntsville Alabama. Click On The Link: http://lnkd.in/bdSM6Q9 For Details And Sign Up Today!
If you follow me here on G+ or on any other social media site, you know social media is a huge part of my real estate business!
I've learned so much about social media in the past year from many top SEO/Social Media professionals as well as other top Realtors here on G+. I decided it was a great idea to put together a story over on +Storify that provides some insight and resources on how Realtors should be utilizing Social Media.
Check out the story at https://storify.com/KyleHiscockRE/how-realtors-should-be-utilizing-social-media
There are some great resources in the story from +Bill Gassett as well as +RESAAS | The Real Estate Social Network™!
If you find the story helpful or know anyone looking to get into social media, please consider sharing the story socially.
#Realestate #socialmedia #Realtors
- Only Practice Family Law
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- We have a division that only practices in Family Law
- Thomas Goode Jones School of LawLaw, 1997 - 2000Juris Doctorate
- University of Alabama in HuntsvilleEnglish
- Athens State UniversityEducation
Killen police arrest teens involved in multi-state ATM fraud scheme
Two devices were discovered attached to the ATM at the SunTrust Bank in Killen on Saturday. One device was there to capture video of custome
Same sex couples set to wed
Huntsville, Ala. (WAAY)-- Do you hear the wedding bells?
Rowena Cox on reaching 105: 'I've never been a worrier. I have a good ti...
'In this day and time, if I'm not on the Internet, I haven't done a thing' -- Rowena Cox, 105.
What you can do now to help business growth in 2015 and beyond
To know where you are going, you have to know where you are and where you've been. This is the message ActionCOACH, the world's leading busi
Facts You Should Know About Alibaba and its Upcoming IPO
Chinese e-commerce giant Alibaba.com is set to begin trading on Friday September 19th on the NYSE under the ticker BABA. But how much do you
Scribd is a way to easily put your documents online.
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MyCase - Login
Login to your own MyCase account.
The comprehensive resource for Google+ trends and statistics
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Family Law Lawyer Tech & Practice: The Big Screen TV In My Office
Charlotte Coker Christian's insight: Take a look at this setup from John Harding, a family lawyer from San Francisco. Alabama Family Law Gro
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Do men get divorced because their friends in the pub are doing it?
Nearly one in four men said they had been influenced by friends who were already divorced or separated, the Co-operative Legal Services surv
Charlotte Christian
Works as Divorce Lawyer. Lives in Huntsville, AL. Huntsville Divorce - Custody - Military Lawyer
Top Google+ users containing "divorce lawyer" [1 - 20], total of 299 fou...
Top Google+ users containing "divorce lawyer" [1 - 20], total of 299 found Google+ trends and statistics
How to Create a Custom Web 2.0 Link Wheel
Create a Web 2.0 Social Link Wheel in 7 Steps. Social Shares is the New SEO so your mantra and mission is to BE EVERYWHERE but focus on the


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- 76Promote
Phone Cases
CA Route 267by Chris Root
Protect your iPhone with a one-piece, impact resistant, flexible plastic hard case featuring an extremely slim profile. Simply snap the case onto your iPhone for solid protection and direct access to all device features.
Official WEB® ☆ ☆ ☆ ☆ ☆ OUTSTANDING ART! ;-)
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almost like the road to nowhere...love it!
This is such a great image that I'm pinning it to my Pinterest public S6 favorites board with the hope that it will drive more traffic to your wonderful art!
wonderful with the fog
Lovely atmospheric image.
Very nice!
Beautiful atmosphere!
Thank you!
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Alice's Salon of BeautyRead MoreAlice's Salon of Beauty knows you don't want a barber. At their salon, you can get your tresses cut, curled, and dyed. With so many services on their menu, think of it as a beauty bar in Saint Louis. The professional stylists at this salon are readily available for all of your hair care needs, such as haircuts and coloring processes. So clean up your look at Alice's Salon of Beauty and put yourself on the path to perfection.111 Church StSaint Louis, MO US
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Vanna White, America's favorite crocheter and Lion Brand's spokesperson for over 14 years, introduces Vanna's Choice® Baby, an easy-care, silky-soft premium basic available in a range of beautiful, baby-sweet shades. Babies and kids adore the comforting feel and moms appreciate its great looks and easy wash and wear care. And while it's ideal for everything from cardigans and caps to blankets and booties, Vanna's Choice® Baby isn't just for the toddler set. The soft colors coordinate beautifully with those in the Vanna's Choice® line, so you can mix and match yarns with picture-perfect results.
100% Premium Acrylic
Knit: 16 stitches x 22 rows = 4" (10 cm) on size 9 (5.5 mm) needles Crochet: 12 sc + 15 rows = 4" (10 cm) on size J-10 (6 mm) hook
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Bright medium pink
Magenta pink
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Light spring green


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Shay Assad, director of defense procurement and acquisition policy at the Defense Department, has been at the center of acquisition reforms for years and has most recently led the way in encouraging a customer-focused culture in DOD procurement.
Under Assad's leadership, DOD has carefully considered the needs of its acquisition workforce and found new ways to address them. He has been particularly involved in helping contracting officer's technical representatives balance their complex workloads, which involve making fair and competitive contract awards and then managing those contracts.
Assad met with reporter Matthew Weigelt to talk about the role of COTRs, how to manage bid protests and what civilian agencies can learn from DOD's experience.
FCW: Contracting officers' technical representatives manage contracts after they're awarded. But those responsibilities are often secondary to their main jobs. How have you helped them balance that workload?
Shay Assad: When we send soldiers and Marines into the battlefield, there are specific individuals who have been designated as COTRs. They are getting trained stateside so they know, in that particular case, their primary role is to act as a COTR for their specific unit.
We're dealing with this in two ways. One is a lot of the services that are being performed on the battlefield are actually being overseen by [Defense Contract Management Agency officials], who are professionals in looking at this work. And we have also issued a handbook for each of our COTRs.
FCW: How did you go about making it the COTRs' primary work?
Shay Assad: We still, on the civilian side in [the continental United States], have that issue. COTRs have the responsibility for contracting oversight as an ancillary duty. Now that in and of itself is not necessarily a problem. The problem is when you overload COTRs with a multiplicity of contracts that they have to look at as well as do their day-to-day job. Then it becomes problematic. So it really is finding that balance in their workload.
FCW: It puts more responsibility on managers to have a good understanding of what the COTRs are doing so they can spread out the work.
Shay Assad: Absolutely. And frankly, we are trying to educate our contracting officers that, when interviewing an individual, one thing they are talking to them about is their workload to ensure that, in fact, they can appropriately oversee the contract.
Now, that's changing culture. We are trying to put the appropriate emphasis on overseeing our services contracts, and in the past, I think that hasn't always been the case.
FCW: The government is pushing for better contract management, knowing the contractors that are out there and making sure agencies are choosing the good performers. How are you making past performance more of a priority?
Shay Assad: Past performance is a requirement of really all of our source selections. People have to examine past performance whether they are doing a determination response, a responsibility determination, or they are doing a formal source selection with past performance in it.
The real key for us is that we need to set this up. I just issued a memo on this that was very blunt, frankly, to the workforce. We are headed toward ensuring that the requirement for submission of past-performance evaluations is really tied to the performance evaluations of our folks who are responsible — that is, contracting officers and program managers.
We are going to be much more direct in terms of putting some guidance out there so our contracting officers and program managers realize that this isn't just something nice to do. This is a mandatory requirement that we really do need to have in order to make past performance effective.
FCW: DOD rearranged its acquisition workforce by changing its culture. What lessons could you pass along to civilian agencies?
Shay Assad: I think the real key is to take a hard look in the mirror.
You have to know and understand what your capabilities are and understand what the needs of your customers are. You have to ensure that this isn't just a quantity matter. This is a quality matter, frankly — quality being the breadth and scope of what contracting officers and acquisition professionals need to know.
My advice would be, before you go out hiring folks, you need to have a very good understanding of where you want to be in the end-game in terms of the quality of folks you are hiring and in terms of the skill sets you expect them to have.
FCW: DOD officials have talked about creating a central group to help contracting officers conduct market research. How would that work?
Shay Assad: One of the things that we are looking at is creating within the DCMA a pricing center of excellence. It would include a market research branch. If people are looking for a particular service, these folks would be able to provide them guidance as to how to go about doing that market research.
Right now, we are in the infancy stages of that.
FCW: We are seeing a shift from large-scale weapons system purchasing. How are you going about accomplishing that and encouraging people to think differently about it?
Shay Assad: We need to understand what's good enough. What's the requirement, and what systems meet that requirement? We should ensure that we buy what we need [and] not go reaching for the stars when we don't have to.
I do think that we also need to make sure that [the systems] are open architecture and that we can, in fact, change things within that system easily so that we get a multiplicity of companies that are able to meet our requirements.
I can tell you open-architecture requirements are fundamental. We want to create an environment where we have the flexibility to make changes in the future or increase capability without being tied up with proprietary data systems or restricted software rights.
FCW: How do you address concerns about bid protests by using peer reviews and more advisory panels?
Shay Assad: You really hit the nail on the head. It's the utilization of peer reviews, the exchange of best practices and, frankly, just being a little bit more deliberate to ensure that our [requests for proposals] are clear, not ambiguous, as to what it is we want to buy.
Second, [by] saying how we are going to evaluate it and then in the execution phase of the source selection, as simple as it may sound, [by] doing what we said.
FCW: You used to be a naval procurement officer. How did you end up in that job, and was procurement a perfect match for you from the start?
Shay Assad: I was an engineering officer first aboard Navy destroyers. Then I transferred to the supply call, which is basically the business aspect — the businessman, if you will, of the Navy.
I was onboard [the] ship looking toward my future, and there was this thing called "acquisition." I read about it, and it sounded like it might be fun. And believe it or not, from the first day I walked in through the door to today, I've loved every minute of being in this profession.
The world of acquisition is a great place to be. It's very exciting. It gives you insight into all aspects of the entire business cycle and spectrum, and so I've loved every minute of being here.
I was very fortunate [that], when I walked through the door, I was mentored by some really terrific Navy contracting professionals named Bob Boardman and John Flaherty. They were very senior guys. The tie happened to be I was a kid from Massachusetts, and they were both from Massachusetts, so they kind of said, "Let's take this young naval officer under our wing."
But what it led me to believe — and I've tried to hold true to it — is senior professionals really need to...take the time to mentor young folks because eventually those young folks will become the leaders that [the senior professionals] presently are.
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I keep seeing the reference to buying what's 'good enough'. My concern with this is that it could be very short sighted. I can only hope that those defining good enough are also looking to the future to understand new concepts and tools that should be taken advantage of, particularly in terms of technology as it is changing so fast. I have worked in and with the contractor environment for many years and while I saw a fair amount of waste I also saw that our current technology is based on funded discoveries through the years - things that required risk of investment. I don't think too many people give that much thought today - but I do hope we don't lose that spirit. Looking at what's happening today, especially to NASA, I fear we will no longer be the lead.
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February 25, 2012
Hott as hell
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Hot babe Tiffany Preston stroking dick with hot white panty and make him cum inside panty part 1of2
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4. Stir Fries:
Follow the directions for steaming kale, but instead of throwing kale in a steamer pot, throw it into your stir-fry after the dish has finished cooking. The residual heat from the dish will cook your kale perfectly, but if it doesn't cook well enough simply turn the heat back on for a moment.
Tip: If your kale is a bit too chewy in the dish, add a touch of oil or tahini to soften the kale and add flavor.
5. Soups:
Just as with a stir fry, when adding kale to a soup you want to make sure the other ingredients are fully cooked before adding in your kale pieces (removed from the stem and chopped). I find kale an excellent addition to pretty much any type of soup. Just cook up a pot like you normally would and then throw your kale in right before the dish finishes cooking (usually 10-12 minutes in a hot soup will be enough to soften and cook the kale.)


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April 30, 2013
I'm an amateur forager, eager to expand my knowledge. Eric invited me to this event.
Hi All, I'm Jamie. I like to spend my time outdoors, particularly with my son Everett.
Meetup members, Log in
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Staff at Tenn-Share member libraries are invited to a trial use of AtoZ Databases from now through November 7. ?http://www.atozdatabases.com/
Please register for ShareFest by Friday, October 16th. The cost is $15, which includes breakfast and lunch, plus learning, networking, and opportunities. If you have a profile in the system, please login before you register. See you soon!
The Tennessee Library Resource Sharing Award is presented annually to any person, institution or organization in Tennessee that has done outstanding work in promoting resource sharing within and among Tennessee libraries and other information agencies. The recipient(s) will be recognized based on efforts to make available shared library and/or information resources that benefit the organizations involved and the patrons they serve, and that would not be available to them without cooperative efforts. Nominations will be accepted through this form until Friday, October 9, 2015. The Tenn-Share website provides a list of recent recipients. The award will be presented at ShareFest: a Digital Leadership Conference on Friday, October 23, at the Nashville Public Library Conference Center. I look forward to hearing from you. Melissa Brenneman
5:30 PM to 8:00 PM CST
9:00 AM to 4:00 PM CST


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Last week, Dann quit the band,
Now we're back together, uh.
Misunderstanding, didn't understand.
It doesn't matter, now we're back together again.
A-la la la la la.
Couldn't split up Kato and Nash. (that's true)
Couldn't split up Tango and Cash.
That's also true!
This is our song of exultant joy because
We only came to kick some ass.
Rock the fuckin' house and kick some ass.
What we gonna do with all the cash?
Smoke hash, and then we thrash.
We'll throw a big ol' bash y'all.
And everyone is invited to the bash.
And everyone you're all invited to the bash!
C'mon Dann, one time c'mon!
"He makes it really easy on you as a coach because he has tremendous football instincts," Michigan tight ends coach Jay Harbaugh said. "Things come really naturally to him. He doesn't have to see things too many times. He has a good sense for how things should look and feel, and he's a tough, physical guy."


text:
The 10 Must-Have Products for
Your Clutch
'Tis the season for holiday parties. But hours of eating, drinking, and being merry can have an ugly side—smeared mascara, smudged lipstick, shine where you want it least.... We've found a pretty solution: ten beauty essentials tiny enough to tuck into your clutch, making it easy to look amazing from hors d'oeuvres until the last dance.
- G Hannelius on Creating Her Successful Nail App and Why Teens Love Natural Makeup
- Amy Poehler's Smart Girls Just Launched an Adorable, Awesome Makeup Tutorial Series
- Beauty Legend Pat McGrath Launched Her First Makeup Item
- The Bizarre Way Violence Inspired the Nars x Steven Klein Collection
- 7 Makeup Tips I Learned From a Makeover With a M.A.C. Artist


text:
Gulabi Mutton, Lamb Chops in Tomato Sauce By Chef Zakir
Khash Khash Qeema, Mutton Peshawari, Dhai Aur Piaz ki Chatni By Rida A
Mutton Kaju Korma, Aloo Keema ke kabab, Srikandi Dry Nut By Chef Zakir
Get 5 awesome tips to remove ear wax yourself and get rid of botheration and annoyance caused by impacted wax in the ears. Though one can consult doctors and physicians to remov ...
[Read More]
Nashpati 3 Khatarnak Bemarion Ki Dushman
04 Oct 2015
How to Make Moti Pulao Recipe
03 Oct 2015
Generally a disturb stomach is an effect due to the consumption of a wrong type of food, which leads to improper functioning of the digestive system. Overeating, too much consumpti
[Read More]
Liver is responsible for many important functions related to digestion, Here at KFoods, providing you such an easy way to boost the health of your liver and other related functions
[Read More]
Rangoli Restaurant
Fenugreek seeds have small, roughly angular, brownish yellow seeds. The seeds have a bitter yet pleasing flavor and potent aroma and are a c ... [Read More]
KFoods.com, the treasure trove of foods and recipes, is the leading
food portal of Pakistan. KFoods offers food cooking
recipes in Urdu and English from almost all Pakistani, Indian and major
Asian cuisines. Discover thousands of food recipes with pictures, ingredients and
detailed video instructions from favorite chefs and cooking experts of Pakistan.
From spicy biryani recipes
to scrumptious desserts recipes,
the collection count is big and growing even bigger.
KFoods also offers you lots of health and beauty tips (gharelu
urdu totkay) from famous nutritionists and dietitians like Zubaida Aapa,
Chef Asad and Dr. Khurram. KFoods also provides with articles, daily grocery prices,
restaurant deals and cooking courses. Just type kfoods.com in your browser and enter
a world of mouthwatering tasty recipes!
All Rights Reseverd by Kfoods


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1858 1C Small Letters PR63 PCGS....Click the image to load the highest resolution version.
1858 PR63 Flying Eagle Cent
1858 1C Small Letters PR63 PCGS. Eagle Eye Photo
Certificate. The 1858 Small Letters Flying Eagle cent boasts a tiny
proof mintage of about 200 pieces, including both High Leaves and
Low Leaves varieties. The issue is rare today in all grades. The
present coin represents the more available Low Leaves variety, with
the leaves in the wreath below the top of O in ONE. The surfaces of
this Select example are nicely reflective, with light golden-brown
color. The devices are strongly impressed, and a few spots of dark
color on the reverse are the only mentionable distractions.
Population: 8 in 63, 45 finer (1/12).(Registry
values: N4719) (NGC ID# 227D, PCGS# 2043)
Low-Mintage Small Letters Variant
Service and Handling Description: Coins & Currency (view shipping information)
Sales Tax information | PCGS Guarantee of Grade and Authenticity | Terms and Conditions
Bidding Guidelines and Bid Increments
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Buyer's Premium per Lot:
15% of the successful bid (minimum $14) per lot.
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Contact Information
1045 E Harriman Pl San Bernardino, CA 92408
1045 E Harriman PlUSCaliforniaSan Bernardino92408
(909) 380-7100bjsrestaurants.com
$$Restaurant, BrewpubToday 11:00 am – 12:00 amMenu
"Welcome to BJ's." This is how you are greeted upon entering our caring, high-energy and fun restaurants. We promise to do whatever it takes to serve high-quality food and beverages to every guest.
Google+ URL


text:
NBA Fair Comes to Sioux Falls
SIOUX FALLS, S.D. (August 8, 2006) – The Sioux Falls Skyforce announced today that the NBA Fair has made a stop in Sioux Falls during the Sioux Empire Fair, which runs from Tuesday, August 8, until Sunday, August 13. The NBA Fair is an interactive, mobile tour that brings the excitement of the NBA to fairs across North America and showcases the attractions, contests, and activities of the National Basketball Association.
The NBA Fair hours will be 12:00 pm-12:00 am Tuesday thru Saturday and 12:00 pm-10:00 pm on Sunday. The Skyleaders will be in attendance at the NBA Fair on Wednesday, August 9, to judge a dance and dunk contest, sign autographs and interact with fans. Below are some highlights of the NBA Fair:
Wednesday, August 9
Skyleaders (6:00-8:30 pm)
Friday, August 11
Former NBA Player, Trent Tucker (7:00-9:00 pm)
Saturday, August 12
Trent Tucker (12:00-1:30 pm)
Pacemates, Indiana Pacers Dance Team (4:00-5:00 pm)
Pacemates (9:30-10:30 pm)
Sunday, August 13
Pacemates (1:00-2:00 pm)
Pacemates (3:00-4:00 pm)
Season tickets are now on sale for the 2006-07 season. Call the office today at 332-0605 for more information.


text:
Diversified Telecommunication Services
Company Overview of IntelePeer, Inc.
Executive Profile
Robert Steiner
Member of Advisory Board, IntelePeer, Inc.
|Total Calculated Compensation
|This person is connected to 1 Board Members in 1 different organizations across 2 different industries.
See Board Relationships
Mr. Robert Steiner was a Partner of NorthCap Partners. Mr. Steiner serves as Director of Global Consulting Services EMEA for QAD (Nasdaq: QADI). Mr. Steiner was responsible for NorthCap Partners's investments in Voex Inc., Scalado AB, and was responsible for Ascio Technologies A/S. Mr. Steiner served as an Investment Director of IVS A/S and Chief Executive Officer of Ascio Technologies, Inc., where he led a successful turnaround leading to the acquisition by AIM listed ...
Corporate Headquarters
2855 Campus DrivePhone: 650-525-9200
San Mateo, California 94403
United States
Fax: 650-287-2628
Board Members MembershipsThere is no Board Members Memberships data available.
Bachelor's Degree 1979
Rhode Island School of Design
Master's Degree 1981
Arizona State University-Tempe
Unknown/Other Education 1992
Lorange School of Business
Other Affiliations
Annual CompensationThere is no Annual Compensation data available.
Stocks OptionsThere is no Stock Options data available.
Total CompensationThere is no Total Compensation data available.
|There is no Competitor Compensation data available.
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Our data partners will research the update request and update the information on this page if necessary. Research and follow-up could take several weeks. If you have questions, you can contact them at firstname.lastname@example.com.


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This Hampton Inn is located in a historic property and is an excellent choice. The staff is very accommodating, the rooms are comfortable, and the price is right. The location is an historic college town in the Shenandoah valley.
Review collected in partnership with Hampton
A great old mansion that is delightful to the eye and offers all the amenities. The town is a delight and the college is an added plus. We had dinner in town recommended by the staff and it was excellent. Stay here if you are near Lexington, Va.
My husband and I changed plans for our anniversary weekend and were looking for a destination close to Washington DC ..yet less congested. Having lived in Lexington many years ago for a brief period, we chose the Manor House at the Hampton Inn. The room was large, comfortable and clean. A gas fireplace and lovely furnishings made it special. The breakfast was quite good as well. I would recommend this property. We had a king room...the VMI room.
This was the second time at this wonderful, historic hotel, with the first being our initial discovery during a blizzard. The staff is friendly & breakfast is great. A little pricey, buy hotel has a lot of charm. The town offers quaint shops as well as VMI. Would definitely stay here again.
Chose this location primarily because we had a smoker in our party for a destination wedding. One of the few available smoking rooms in the town. Room was comfy and clean with nice toiletries. Bed was great.Staff was more than polite, helpful over the phone when I made reservations and then located a less expensive room in another call. Did mind that the hot water ran out in the second shower. Spoke with the maintenance super who happened to be in the office, but the second morning we ran out again!Breakfast better than the usual and very helpful staff.
Stayed in the historic house portion with tall ceilings, fireplace, king size bed. Rooms clean, furniture nice, spacious room. Staff friendly and helpful. Location central to Lexington - five minutes from everywhere. Felt as if staying at home.
The service was excellent and I had a very good stay. I love the historic nature of the hotel and the staff was very attentive. I also enjoyed the complimentary breakfast as there was something for everyone to enjoy. I would definitely recommend this hotel to anyone traveling to Lexington.
Own or manage this property? Claim your listing for free to respond to reviews, update your profile and much more.


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Royalty Free Music Unique To Your Project - Every Time
Royalty Free Music — Unique To Your Project – Every Time
Try SmartSound's Award Winning and Patented Technology Yourself
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Or Browse By (Click to add multiple browse filters)
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The following tracks match: Country/Folk, Happy
In Zydeco We TrustCrisp, fast, acoustic guitar leads a foot-stomping track of varying rhythms driven by strings, keys and drums that hopscotch the shuffling beat and merge in a wild, raucous finale.https://www.smartsound.com/strata/images/STRATCPB_200.jpgSingle7100203-ST$ 39.957100203-EX$ 69.957100203-W$ 149.95Genre: Earthy, Folk, Outdoorsy, Traditional, Country/Folk, Indie Rock, Indie Artist, Dance, Pop Rock, Zydeco, Indie, Pop Keywords: Driving, Energetic, Exciting, Happy, Positive, Cool, Carefree, Cheerful, Confident, Effervescent, Exuberant, Fresh, Heartwarming, Hypnotic, Inspiring, Intense, Lively, Powerful, Refreshing, Striving, Thrilling, Triumphant, Fun, Festive, Upbeat, Folklore Instrument: Country Band, Accordion, Banjo, Bass (Electric), Drums, Guitar (Acoustic), Mandolin, Acoustic, Instrumental, Guitar Production Types: Commercials, Indie Film, Nature, Short Film, Travel, Home Videos, Background
In Zydeco We Trust from the album Contemporary Pop Beds
Let's Playhttps://www.smartsound.com/strata/images/STRATFG_200.jpgSingle70905-ST$ 39.9570905-EX$ 69.9570905-W$ 149.95Genre: Country/Folk, Pop Keywords: Driving, Exciting, Happy, Positive, Cool, Lively, Refreshing, Fun, Hopeful Instrument: Country Band, Guitar (Acoustic), Mandolin, Percussion, Violin, Acoustic, Instrumental, Guitar Production Types: Kids, Commercials, Nature, Home Videos
Let's Play from the album Fun & Games
All Join InPick up the pace with this uptempo country ride. A fine accompaniment to active scenes involving travel or good times.https://www.smartsound.com/strata/images/BS28NP_200.jpgSingle57401-ST$ 39.9557401-EX$ 69.9557401-W$ 149.95Genre: Southern, Country/Folk Keywords: Driving, Happy, Cheerful, Confident, Lively, Refreshing, Upbeat Instrument: Country Band, Guitar (Electric), Guitar (Pedal Steel), Instrumental, Guitar Production Types: Documentary, Nature, Travel
All Join In from the album Nashville Pickin'
Big HeartsThis celebratory country happening can turn up the joy in most any project. Great for positive subjects in the heartland.https://www.smartsound.com/strata/images/BS28NP_200.jpgSingle57402-ST$ 39.9557402-EX$ 69.9557402-W$ 149.95Genre: Outdoorsy, Southern, Country/Folk Keywords: Happy, Positive, Uplifting, Bold, Upbeat Instrument: Country Band, Acoustic, Instrumental Production Types: Documentary, Nature, Background
Big Hearts from the album Nashville Pickin'
Texas FriendshipWide open spaces and big sky come to mind in this easy-paced country selection. Ideal for any application needing a strong dose of country flavor.https://www.smartsound.com/strata/images/BS28NP_200.jpgSingle57410-ST$ 39.9557410-EX$ 69.9557410-W$ 149.95Genre: Southern, Country/Folk Keywords: Happy, Positive, Confident, Refreshing, Upbeat Instrument: Country Band, Guitar (Pedal Steel), Instrumental, Guitar Production Types: Documentary, Nature, Background
Texas Friendship from the album Nashville Pickin'
Going My WayThis smooth and bluesy piano feature can give your project a little smile.https://www.smartsound.com/strata/images/STRATFC_200.jpgSingle66605-ST$ 39.9566605-EX$ 69.9566605-W$ 149.95Genre: Blues, Country/Folk Keywords: Happy, Positive, Carefree, Leisurely, Light, Fun, Upbeat Instrument: Country Band, Instrumental Production Types: Kids, Biography, Background
Going My Way from the album Funky Country
When We All Get To HeavenA bright and positive country-tinged arrangement of the famous hymn.https://www.smartsound.com/strata/images/STRATHYR_200.jpgSingle63310-ST$ 39.9563310-EX$ 69.9563310-W$ 149.95Genre: Spiritual, Traditional, Themes, Country/Folk, Religious, Easy-Going, Pop Rock, Specialty Keywords: Happy, Positive, Uplifting, Upbeat, Church Instrument: Guitar (Electric), Instrumental, Guitar Production Types: Religion
When We All Get To Heaven from the album Hymns Revisited
Boughs Of HeatherBreezy and easy - an acoustic guitar feature with ethereal touches in the background.https://www.smartsound.com/strata/images/STRATNP_200.jpgSingle62101-ST$ 39.9562101-EX$ 69.9562101-W$ 149.95Genre: Outdoorsy, Themes, Easy-Going, Indie, Country/Folk Keywords: Happy, Positive, Cheerful, Relaxed, Upbeat Instrument: Guitar (Acoustic), Acoustic, Instrumental, Guitar Production Types: Commercials, Indie Film, Short Film, Spoken Word/Narration
Boughs Of Heather from the album Natural Progressions
FreewayWhether cruising the road, or getting projects done, this versatile acoustic guitar feature can help get the job done.https://www.smartsound.com/strata/images/STRATNP_200.jpgSingle62102-ST$ 39.9562102-EX$ 69.9562102-W$ 149.95Genre: Themes, Corporate/Technology, Indie, Country/Folk Keywords: Driving, Energetic, Happy, Positive, Upbeat Instrument: Guitar (Acoustic), Acoustic, Instrumental, Guitar Production Types: Commercials, Corporate, Indie Film, Short Film, Spoken Word/Narration
Freeway from the album Natural Progressions
It's A BreezeA perky and positive acoustic backdrop, for any subject needing a little uplift.https://www.smartsound.com/strata/images/STRATNP_200.jpgSingle62103-ST$ 39.9562103-EX$ 69.9562103-W$ 149.95Genre: Easy-Going, Indie, Country/Folk Keywords: Happy, Positive, Perky, Upbeat Instrument: Guitar (Acoustic), Acoustic, Instrumental, Guitar Production Types: Commercials, Indie Film, Short Film, Spoken Word/Narration, Background
It's A Breeze from the album Natural Progressions
Choose your license:
|Customizable with Sonicfire Pro and Quicktracks
|Personal and professional use
|Promote a product or service
|Use on my own website
|Videos created for a third party
|Use on my clients website
|Monetized videos on YouTube, Vimeo, Facebook, Etc.
|Display at Film Festivals
|Display in theaters
(one theater)
(unlimited theaters in one country)
|Assign Distribution Rights
|DVDs & Downloads
(up to 2000)
(up to 10000)
|In mobile apps
|Local TV/radio broadcasting (includes advertising)
|National TV/radio broadcasting (includes advertising)