text:
|Publication number
|Publication type
|Application number
|Publication date
|Sep 15, 1998
|Filing date
|Dec 31, 1996
|Priority date
|Mar 9, 1995
|Fee status
|Also published as
|Publication number
|John F. Cockburn
|Original Assignee
|Cockburn; John F.
|Export Citation
|BiBTeX, EndNote, RefMan
|Patent Citations (26), Referenced by (17), Classifications (23), Legal Events (3)
|External Links: USPTO, USPTO Assignment, Espacenet
This application is a continuation-in-part of application Ser. No. 08/706,986, filed Aug. 27, 1996, entitled "Medical Needle for Use in Ultrasound Imaging and Method of Enhancing the Visibility of Such a Needle to Ultrasound" now U.S. Pat. No. 5,728,124, which is a continuation of application Ser. No. 08/401,625, filed Mar. 9, 1995, entitled "Medical Needle for Use in Ultrasound Imaging and Method of Enhancing the Visibility of Such a Needle to Ultrasound," now U.S. Pat. No. 5,549,112.
The present invention relates to a medical needle for use in ultrasonic imaging.
The theory of ultrasonic transmission in biopsy needles is discussed in ULTRASONICS Vol. 26, No. 1, 1988 pp 27 to 30.
U.S. Pat. No. 3,556,079 (Omizo) discloses a medical apparatus comprising a tubular needle within which is mounted an ultrasonic transducer, which may be a transmitter, a receiver or a combined transmitter and receiver. This transducer is coupled to saline solution within the needle and transmits and/or detects ultrasound at considerable distances through body tissue at a frequency of, e.g., 5 MHz, which is subsequently reflected off, e.g., flowing blood in a blood vessel and shifted in frequency according to the Doppler equation. If the transducer in the needle is a transmitter only, then an external ultrasound receiver is arranged to detect the reflected Doppler-shifted ultrasound, which is demodulated to generate an audio signal whose amplitude is a maximum when the needle is directed at the blood vessel. However, the above arrangement merely enables the position of the blood vessel or other target to be detected and does not enable the position of the needle to be detected. It cannot, for example, be used to direct a needle towards a portion of diseased static tissue. Furthermore, it is not an imaging system.
Ultrasound imaging utilizes the principle of sound reflectivity in order to form images of body organs. These images are displayed on the monitor in grey-scale. Some ultrasound machines also incorporate the principle of Doppler frequency shift, which allows moving objects, e.g., red blood cells in a blood vessel to be imaged. Such vessels can then be assigned a color according to the direction of movement within them, and they appear in color against the grey-scale background of their environs.
It is often desirable to form such an image during treatment with an aspiration or a biopsy needle, and it has been found difficult to produce a clearly defined image of the needle by this technique. It has been proposed to apply a transverse vibration to the needle in order to overcome this problem, but this does not result in a clear image of the needle tip.
GB-A-2,157,828 discloses an ultrasonic imaging apparatus comprising an inner needle having a miniature ultrasonic transducer mounted at its tip and an outer tubular puncture needle surrounding and supporting the inner needle. An ultrasonic imager generates an ultrasonic beam, which impinges on the miniature transducer, and the resulting electric output signal is either used to trigger a transponder, which causes the transducer to emit a predetermined ultrasonic signal, which is detectable and locatable by the imager or to enable circuitry in the imager to detect the position of the needle from the time interval between emission and detection of the ultrasonic beam. From this information, the position of the needle can be superimposed on the image. However, the above arrangement is complex and expensive, and, in general, the needle can be used only with one design of imager.
Further background information is provided in U.S. Pat. No. 5,131,394; EP-A-397,960; EP-A-083,973 (which teaches at page 7, paragraph 1, the desirability of contact between the stylet and the needle); and WO-A-82/03160, which, however, lies outside the technical field of the present invention.
EP-A-453,251 discloses a biopsy needle having a solenoid coil coupled to a core, which is mounted directly on the proximal end of the stylet and arranged to reciprocate the stylet longitudinally at a frequency of, e.g., up to 100 Hz in order to render the needle tip visible to Doppler ultrasound. The amplitude of vibration is such that the tip of the stylet oscillates between a position in which it is flush with the opening of the cannula and a position in which it is retracted about 1 mm into the cannula.
However, the above arrangement in which the vibratory transducer is directly coupled to the stylet has the disadvantage that movement of the stylet inevitably causes motion of similar amplitude and frequency in the cannula, with the result that the motion is not confined to the needle tip and the Color Doppler imager assigns a flare of color to the entire needle. Furthermore, the weight of the solenoid makes the needle harder to manipulate, an important point when one considers the degree of accuracy needed to perform certain biopsies.
U.S. Pat. No. 5,549,112; copending U.S. patent application Ser. No. 08/706,986, filed Aug. 27, 1996; and UK patent applications GB 9503548 and GB 2298368 (from which the present application claims priority) discloses and claims a medical apparatus comprising a tubular needle which is adapted for insertion into body tissue, the needle being provided with a transducer which is substantially mechanically isolated from the needle and coupled to a fluid column within the needle, the transducer being arranged to generate a longitudinal oscillation of the fluid column at a sub-ultrasonic (preferably audio) frequency, which enhances the visibility of the region of the needle tip to Doppler ultrasound imaging.
The above patent and applications disclose an apparatus in which the transducer is remote from the needle and is coupled to the needle by a flexible tube, which contains a further fluid column (preferably an air column) coupled to the transducer. The above apparatus was subsequently described by the present applicant in the May 1995 issue of Radiology. In a preferred embodiment disclosed in the above patent application, the needle comprises a tubular stylet, the stylet being located within a cannula or trocar and the transducer being coupled to a fluid column within the stylet and substantially isolated from the stylet.
The present invention is directed to a medical needle having an aperture at its distal end which communicates with its bore, the aperture being located and dimensioned to substantially prevent its occlusion by body tissue in use.
The invention also provides a medical needle assembly comprising a stylet within a cannula, the stylet having an expanded distal tip which tip has a transverse cross-section generally complementary to that of the bore of the cannula so as to substantially prevent the occlusion by body tissue of the distal end of the cannula in use, the stylet being advanceable relative to the cannula to define a radial aperture between the tip and the distal end of the cannula which communicates with the bore of the cannula.
For the avoidance of doubt, neither the hollow medical needle disclosed in my earlier UK patent application GB 9404863.4, which has a radial aperture at its proximal end and an open tubular distal end through which a solid stylet extends, nor the needle assembly disclosed in that UK patent application in which the cross-section of the distal tip of the stylet is not generally complementary to that of the bore of the cannula is considered to be within the scope of the present invention.
In a preferred embodiment of the present invention, the aperture is a radial aperture formed in a cylindrical wall of the needle. However, it is also envisaged that the aperture may face rearwardly.
The medical needle of the present invention can for example, comprise a hollow stylet in which the aperture is formed, and can optionally include a cannula or trocar in which the stylet is located.
Preferably the aperture has a non-cutting external edge region, which can for example, be defined by a convex transition region between the forward and/or rear region of the aperture and the adjacent forward and/or rear external surface of the needle wall.
Desirably the smallest dimension of the or each aperture is no greater than 2 mm, preferably no greater than 1 mm, and more preferably no greater than 0.5 mm.
The biopsy device of the present invention is particularly, but not exclusively, for use in the above-described apparatus of GB 9503548.1. For example, the needle of the invention (particularly when in the form of a stylet) can alternatively, be used to introduce alcohol from its aperture into a tumor to necrose the tumor.
Preferred embodiments of the invention are described below by way of example only with reference to the accompanying drawings, wherein:
FIG. 1 is a diagrammatic representation of an ultrasonic imaging apparatus for use with a medical needle in accordance with the invention;
FIG. 2 is a longitudinal cross-section of another needle in accordance with the invention for use in the arrangement of FIG. 1;
FIG. 3 is a longitudinal cross-section of still another needle in accordance with the invention for use in the arrangement of FIG. 1;
FIG. 4 is a longitudinal cross-section of yet another needle in accordance with the invention for use in the arrangement of FIG. 1;
FIG. 5 is a longitudinal cross-section of still yet another needle in accordance with the invention for use in the arrangement of FIG. 1;
FIG. 6 is a longitudinal cross-section of another needle in accordance with the invention for use in the arrangement of FIG. 1;
FIG. 7 is a side elevation, partly in cross-section of another needle in accordance with the invention;
FIG. 8 is a side elevation, partly in cross-section of an aspiration biopsy needle assembly in accordance with the invention;
FIG. 9 is a side elevation, partially in cross-section of a further aspiration biopsy needle assembly in accordance with the invention; and
FIG. 10 is an enlarged and sectioned side view of the distal end of the tubular stylet of FIG. 2.
Referring to FIG. 1, which is a purely diagrammatic representation, a medical needle 1 is shown inserted into body tissue 10. The needle comprises a stylet 3 having an outside diameter of 0.457 mm (0.018") and housed within bore 20 of a 22 gauge tubular cannula 2 having an outside diameter of 0.711 mm (0.028"). Closed beveled tip 15 at the distal end 16 of the stylet projects about 2 mm beyond the distal end 17 and the beveled tip 31 of the cannula. The stylet is hollow and has an aperture 32 such as an eccentric opening immediately adjacent to its closed beveled tip. The eccentric opening, which protrudes beyond the distal end of the 22 gauge housing cannula, allows an oscillating air column to deliver movement to adjacent tissue but is shaped and dimensioned to minimize the possibility of body tissue entering the stylet and occluding it. This arrangement allows the tip of the stylet to be rendered visible to Doppler ultrasound during the insertion of the needle through tissue. Eight millimeter flexible pressure tubing 4 connects the hollow stylet with the neck of a funnel member 5 as shown. The mouth of funnel member 5 is coupled in an airtight manner to a moving coil loudspeaker 7 whose diaphragm 6 is driven by a signal from a signal generator 8.
Preferably, the signal, which may be a pulsed or an oscillating signal, has a period of 0.03 s to 0.001 s. More preferably, the signal has a sine, square or triangular waveform of frequency 333 Hz to 1 kHz (ideally 400 to 800 Hz, e.g., 600 Hz) and a power of a few (e.g. 100) mW.
The body tissue is insonated with an ultrasonic beam 11 by a Doppler ultrasound imager 9, which may for example be an Acuson 128 XP10 imager. An image 13 of the needle tip is formed on a screen 12 of the imager.
The optimum frequency of the longitudinal oscillation generated by the transducer of the needle arrangement will depend on the Color Doppler ultrasonic imager with which it is being used, in particular on the velocity range detectable by the imager. In a typical Color Doppler ultrasonic imager, the minimum detectable velocity will be of the order of �0.001 m/s and a maximum velocity of about �3.8 m/s, with a more usual range being from �0.02 m/s to �0.6 m/s. Accordingly, it is believed that the frequency and amplitude of oscillation should be such that the maximum velocity is within the above ranges. With conveniently achievable amplitudes of oscillation, it is believed that the most useful frequencies will be in the audio range, i.e., 20 Hz to 20 kHz, but the invention is by no means limited to stylets suitable for the above ranges.
By way of example, a working model of the needle utilizing a jelly phantom in place of the body tissue 10 was constructed generally as shown in FIG. 1. The components of the working model were as follows: hollow cannulas, a hollow stylet, a loudspeaker, signal generator and 50 cm of `pressure` tubing. The cannulas were standard 15 cm Chiba needles (Cook Inc., Bloomington, Ind.) in 18, 20, and 22G sizes, and the 15 cm hollow stylet was made of superelastic nickel titanium alloy with an inner diameter of 0.406 mm (0.016") (Raychem Corp., Menlo Pk. Calif.). The speaker coil was modified from a 127 mm (5 inch) diameter plastic-coned loudspeaker (Tannoy Ltd., Strathclyde, Scotland) and was connected in an airtight arrangement via a funnel to the hollow stylet. The signal generator used was a Korg 770 synthesizer (Keio Electronic Laboratory Corporation, Tokyo, Japan). This instrument generates square, triangular and rectangular waveforms at a wide range of audio frequencies. The signal was amplified through a Realistic SA 1500 audio amplifier (Tandy Corporation, Fort Worth, Tex.).
Color Doppler ultrasound machines used to evaluate the needle were an Acuson XP10 (Acuson Ltd.), and a Diasonics Spectra VST (Diasonics Ltd. Milipitas, Calif. USA). Testing was done by applying a 3.5 MHZ probe to a jelly phantom and immobilizing it in position. The pressure tubing was then connected directly to the needle barrel (minus its matching solid stylet). The needle was then inserted into the phantom as far as possible. Probes of 5 MHz and 7.5 MHz were also used with the needle with similar results. Signal was applied to the needle starting at 1 Hz and gradually increasing in frequency until color signal was registered by the ultrasound machine at a selected pulse repetition frequency and gain setting.
The following results were observed. The needle tip was displayed as a beacon of color regardless of the angle of incidence of the Doppler beam. Transverse, longitudinal and oblique projections displayed the beacon equally. The color signal was not constant but was found to change hue and to flicker at varying rates depending on the frequency of the sound wave applied to the needle. This is believed to be caused by an interference pattern at the needle tip between the frequency of motion and the pulse repetition frequency of the incoming Doppler wave. The needle tip was readily detectable when inserted fully into the phantom. This corresponded to a depth of 15 cm. No signal other than that at the tip of the needle was registered when the needle was stationary.
It was found that a frequency of 600 Hz yielded a beacon of signal, which was readily detectable at pulse repetition frequencies ranging from 800 to 2250 kHz using the Diasonics machine. Within this range, color gain values of between 68 and 80 dB were required to demonstrate a visible beacon unaccompanied by color noise on the screen. There was no visible difference between sine, square, triangular or rectangular waveforms. Many other frequencies were found to generate detectable signal at various pulse repetition frequencies and color gain settings, but 600 Hz was the single frequency most likely to be detectable in the range of pulse repetition frequencies described.
Increasing gain values above 80 dB led to color noise which could be mistaken for the needle tip. Below a pulse repetition frequency of 800 kHz useful signal at the tip uncorrupted by color noise was demonstrated only at 400 Hz with this particular apparatus. Above 2,250 Hz, a similar problem occurred with this particular apparatus. Because pulse repetition frequencies are not given a numerical value on the Acuson XP10 display, it was not possible to directly correlate the findings between it and the Diasonic Spectra VST. It was found that the Acuson machine was capable of displaying the color beacon at the tip of the needle as well as the Diasonics although differences in frequency response between these two machines could not be ruled out because the frequency of pulse repetition is not displayed on the Acuson machine.
At higher pulse repetition frequencies (greater than 1000 Hz), tissue motion `flash` was not prominent and did not obscure the signal at the needle tip when Doppler interrogation was performed during the process of needle insertion. At pulse repetition frequencies lower than 1000 Hz, an increasing amount of tissue flash was seen with needle movement, which at the lowest settings, e.g., 100 Hz was very prominent.
It was found that when a tissue or agar phantom was used, the needle accumulated material within it and became blocked during insertion. When this occurred, no color signal was visible at the tip. Blockage was prevented by using a phantom made of ultrasound coupling jelly.
The 0.406 mm (0.016") internal diameter hollow stylet was connected to the pressure tubing and inserted into the 20G Chiba needle so that it protruded just beyond its tip to see if it was possible to conduct a signal down a lumen of this diameter. Satisfactory color signal was easily visible at the tip of this hollow stylet, although the size of the beacon was smaller than when the 20G needle barrel was connected directly to the pressure tubing.
The volume control of both amplifier and signal generator needed to be a maximum in order for good quality signal to be registered. Accordingly, the speaker was housed in a cabinet to minimize unwanted sound output. Reducing the volume caused a corresponding reduction in color signal on the monitor. Of interest is the observation that slight movement of the transducer off the needle tip resulted in failure to detect any signal. This sensitivity allowed detection of the exact location of the tip of the needle in both color Doppler and spectral modes. Furthermore, the needle tip could be easily found when the probe was displaced far away from the insertion site and aligned randomly with respect to the needle shaft.
Referring now to FIG. 2, another needle arrangement is shown designed to prevent occlusion of the oscillating fluid column during insertion into the body tissue and comprises a tubular outer cutting sheath 34 housing a trocar 21. Trocar 21 has a recess 14 at its distal end which exposes a retractable tubular stylet 30 which has a radially directed aperture 32 adjacent its (distal) end 16. The bore of stylet 30 communicates with the funnel arrangement shown in FIG. 1 via flexible tubing 4 and consequently the Doppler signal is emitted at aperture 32 throughout the insertion and enables the precise position of the tip portion of the needle arrangement to be detected continuously. In a variant, two, three or more smaller apertures regularly circumferentially distributed about the forward region (e.g., the region up to 10 mm from the distal end) of the stylet can be substituted for the single aperture 32 in order to increase the strength of the stylet.
In use, first the trocar 21 is advanced (i.e., to the right in FIG. 2) together with the stylet 30, the latter having its aperture 32 located in the recess 14 as shown and the outer cutting sheath being retracted as shown. When the recess 14 has been advanced to the required position, as determined with the aid of the Doppler ultrasound image of the stylet tip region, the stylet 30 is withdrawn from the trocar 21 to allow tissue to fill the recess 14 and outer cutting sheath 34 is advanced (i.e., from left to right relative to FIG. 2) over the trocar to cut off the tissue lying in recess 14. The resulting tissue sample can then be extracted. In this manner, a tissue sample (e.g., of a liver lesion) can be taken from an accurately known region of the tissue.
FIG. 10 depicts an enlarged and sectioned side view of the distal end 16 of tubular stylet 30 of FIG. 2. Bore 18 extends longitudinally in the tubular stylet and is defined by wall 19 of the stylet. Radially directed aperture 32 extends through wall 19 and communicates with bore 18.
The needle arrangements of FIGS. 3 to 6 are similar to that of FIG. 2 except that the design of the stylet about or near the forward tip is varied. In one variation, an inclined surface 35 defines the distal tip of stylet 30. Accordingly, corresponding parts are denoted by the same reference numerals.
In the arrangement shown in FIG. 3, the aperture is defined by a channel 32A of rectangular cross-section cut in the upper surface of the wall of the hollow stylet 30.
In the needle arrangement shown in FIG. 4, the aperture is defined by a channel 32B of rectangular cross-section cut in the upper surface of the wall of the hollow stylet 30. The sides of the channel 32B are convex, and the base of the channel is concave, so that the transverse cross-section of the channel has a gradual convex transition with the adjacent forward portion of the exterior surface of the cylindrical wall. The resulting aperture is, therefore, less likely to cut tissue as it is advanced.
In the needle arrangement shown in FIG. 5, the aperture is in the form of one or a plurality (e.g., 3) of longitudinal slits 32C of length 5 mm and width 100 micrometers which are spaced regularly around the forward region of the circumference of the stylet.
In the arrangement shown in FIG. 6, a plurality (e.g., 5 or more) of circular apertures 32D are provided. They are suitably of diameter 100 micrometers and can be formed by laser beam perforation of the stylet wall, for example. In a particularly preferred embodiment there are 15 apertures of diameter 127 micrometers (0.005 inches) formed by laser beam perforation of the stylet wall.
The needle arrangement shown in FIG. 7 comprises a solid stylet 130 having an expanded distal tip 133 of circular transverse cross-section with an inclined flat face 135, the face 135 having a cutting edge at its periphery, and a cannula 140 whose cylindrical bore is of a slightly greater diameter than that of the distal tip of the stylet. The outer edge region 142 of the mouth of the cannula is rounded to prevent it from cutting tissue and a radial aperture 132 is defined by the gap between the mouth of the cannula and the distal tip of the stylet. The proximal end of the cannula 140 has a radial port 141 which communicates with its bore and can be attached to the flexible tubing 4 of the apparatus shown in FIG. 1 to provide sub-ultrasonic emission from aperture 132. The proximal end 131 of the stylet 130 protrudes from and, in the position shown in FIG. 7, seals the proximal end of the cannula 140 but can be retracted to withdraw the stylet from the cannula after the tip region of the assembly has been located by the Doppler ultrasound apparatus of FIG. 1.
The needle arrangement shown in FIG. 8 comprises an aspiration biopsy (Chiba) needle 40 and a hollow tubular stylet 30 with a non-cutting aperture 32E, which is housed within the needle 40. Inclined surface 35 defines the distal tip of tubular stylet 30. The periphery of the aperture 32E is smoothly rounded to prevent occlusion by tissue and the bore 18 of the stylet is connected to the flexible tubing 4 of the apparatus shown in FIG. 1 to provide sub-ultrasonic emission from aperture 32E.
The needle arrangement shown in FIG. 9 comprises an aspiration biopsy (Chiba) needle 40 and a hollow tubular stylet 30 with a non-cutting aperture 32F, which is housed within the needle 40. Inclined surface 35 defines the distal tip of tubular stylet 30. The periphery of the aperture 32F is smoothly rounded and faces rearwardly to prevent occlusion by tissue, and the bore 18 of the stylet is connected to the flexible tubing 4 of the apparatus shown in FIG. 1 to provide sub-ultrasonic emission from aperture 32F.
In all the arrangements illustrated in the drawings, the stylet, cannula and trocar (if used) as well as the flexible tubing are sterilized and can be disposable.
The invention also provides a medical needle which is adapted for insertion into body tissue, the needle being provided with a transducer which is substantially mechanically isolated from the needle and coupled to a fluid column within the needle, the transducer being arranged to generate a longitudinal oscillation of said fluid column at a non-ultrasonic frequency which enhances the visibility of the needle tip to Doppler ultrasound imaging.
The invention also extends to every novel combination or sub-combination disclosed herein.
|Cited Patent
|Filing date
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|Haruo Omizo
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|Laparoscopic surgical device and related method
|Sep 30, 1993
|Nov 1, 1994
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|Dec 13, 1994
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|Jan 24, 1995
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|Ultrasonic instrument
|May 14, 1993
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|Becton, Dickinson and Company
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|SOFIC Soci�t� Anonyme
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|Ultrasonic imaging of biopsy needle
|Title not available
|Title not available
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|Francois Chaise
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|Citing Patent
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|Dec 26, 2000
|Aug 5, 2003
|Edward G. Bounds, Jr.
|Egg injection apparatus and method
|Jul 6, 2001
|Apr 13, 2004
|International Business Machines Corporation
|Jan 31, 2006
|Sep 28, 2010
|Summit Access Llc
|Microtaper needle and method of use
|Nov 27, 2012
|Cook Medical Technologies Llc
|Endcap for safely deploying tissue anchors
|Nov 22, 2005
|Aug 5, 2014
|Senorx, Inc.
|Graphical user interface for tissue biopsy system
|May 22, 2008
|Oct 13, 2015
|Cook Medical Technologies Llc
|Medical devices, systems and methods for closing perforations
|May 7, 2012
|Feb 2, 2016
|Cook Medical Technologies Llc
|Deflectable biopsy device
|Feb 16, 2012
|Mar 15, 2016
|Cook Medical Technologies Llc
|Total core biopsy device and method of use
|Sep 23, 2008
|May 17, 2016
|Cook Medical Technologies Llc
|Medical devices, systems, and methods for using tissue anchors
|Mar 18, 2005
|May 18, 2006
|Roger Edens
|Guided hypodermic cannula
|Nov 22, 2005
|Jul 6, 2006
|Derek Daw
|Graphical user interface for tissue biopsy system
|Dec 8, 2006
|Aug 2, 2007
|Cook Critical Care Incorporated
|Hyperechoic stimulating block needle
|Jun 8, 2007
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|U.S. Classification
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|Fee payment
Year of fee payment: 4
|Feb 28, 2006
|Fee payment
Year of fee payment: 8
|Feb 19, 2010
|Fee payment
Year of fee payment: 12


text:
Twenty-five years in jail could have been the penalty for an Australian couple who found themselves involved in a travel sweepstake scam.
On October 13th of this year at the Perth International Airport in Australia, two Australian residents returning from Canada alerted customs with concerns regarding their luggage. The couple had won a trip to Canada with new luggage from AUSCAN Tours, a bogus Canadian tour company. When the bags were examined, 3.5 kilograms of methamphetamine were discovered in each suitcase and the couple realized they had been tricked into being drug mules. A man has been arrested and charged with the crime.
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text:
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Creative #: 144479861
License type: Royalty-freeRoyalty-free pricing is based solely on the size of the product you need, not the specific use. You don't have to pay any additional royalties on a use-by-use basis. Once you license a royalty-free product, you may use it multiple times for multiple projects without paying additional fees. (Pornographic, defamatory, libelous or otherwise unlawful use of any image is, of course, prohibited.)
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Brooklyn, NYUSA
July 22, 2013
Unfortunately, I don't have anything to bring this time. I may be able to get my hands on some binoculars next time though. I'm dying for a telescope of my own, but with salaries in publishing, a meet-up group seemed more economical.
I'm a children's book editor with a strong interest in making big, complicated scientific ideas accessible to children. I am fascinated by astronomy and am a voracious reader of information about our universe.
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Behind Culberson, Federal Funding for METRO Blocked (Updated)
Updated: This story was updated to include quotes and information provided by METRO Chairman Gilbert Garcia.
A debate on Houston transit was settled Tuesday, mostly by people who don't live here.
The U.S. House of Representatives passed a transportation spending bill for fiscal 2015 Tuesday, 229-192, cutting off funding for METRO's proposed University Line in the process.
Rep. John Culberson, R-Houston, included in the bill a section that "bars the use of funds to advance in any way a new light or heavy rail project ... if the proposed capital project is constructed (or planned to be constructed on) Richmond Avenue west of South Shepherd Drive or on Post Oak Boulevard north of Richmond Avenue."
Strange coincidence: the University Line is supposed to run along Richmond and go through Shepherd.
From gometrorail.com
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According to Stephen Worley, Culberson's director of communications, the congressman's staff spoke to 86 percent of property owners on Richmond Avenue west of S. Shepherd Drive last year and found that 81 percent of them were opposed to the proposed rail line, seventeen percent were in favor of the line and two percent were unsure.
David Crossley, president of Houston Tomorrow - an institute dedicated to improving Houstonians' quality of life - doesn't buy Culberson's data.
"We know that there is pretty overwhelming support for (the University Line)," Crossley said. "Every single civic association along Richmond supports it, so how can he be saying that?"
It's not that Crossley doesn't think Culberson is listening to any of his constituents, just a specific portion of them - the portion that donates.
"So much of what's going on with transportation policy in our region is about trying to find a place where people may be in 30 years," Crossley said. "Spend part of your money on the people who are already here in Houston. Don't be so focused on satisfying the whims of the people who contribute to you, who own land out on the fringe."
Whether satisfying the rich was Culberson's main objective, he won, and now METRO won't receive federal funds for the University Line. So what does METRO do now?
"Obviously I'm disappointed, but ultimately I can not predict events in the future," said METRO Chairman Gilbert Garcia. "It will be challenging. We'll just have to see how things evolve eventually in that time."
Garcia said METRO's current focus is increasing bus ridership, and completing the Red, Southeast and East End rail lines - goals the 2015 federal transportation spending bill doesn't hamper.
"Recent events in Washington are not going to affect those priorities," Garcia said.
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The new Rehydration Unit: Adapting ORS training and treatment for the mothers of Fakir Bagan in Calcutta
February 24, 2014
In the video, the Haitian child was listless: his eyes were sunken and his shriveled body was limp. His mouth curled, turtle-like, to prepare to cry, but no tears came. A gloved hand, arm hairs poking out, reached for the skin around the child's abdomen. The hand of the clinician pulled gathered skin to form a sinusoid mound. Then, instead of snapping into place as skin normally does, the mound slowly melted back like silly putty. The words "SKIN PINCH" scrolled across the bottom of the video.
February 07, 2014
This is a short story about Life for African Mothers connecting the dots-- for compassionate providers and women in the lowest resource countries. When we first spoke to Angela Gorman of Life for African Mothers we were really intrigued by her model and inspired commitment to women globally. First, like Maternova, she was interested in connecting Product A to Point B. She realized that women were dying, thousands each day, for lack of a tiny pill that costs just 30 cents.That pill? misoprostol. With bureaucracy and counterfeiters making it nearly impossible to obtain locally, Angela devised a brilliant plan to carry in this lifesaving medicine in person.
January 28, 2014
Since I graduated with my Master of Public Health in 2012, I have been working at a community-based program in infectious disease epidemiology. It is not the global focused job I had originally hoped for, but I was newbie in the public health sectors (who were heavily walloped by budget cuts at the time) and was happy to get a job in public service that fell in line with my future goals. While I am still entirely content at my current position, I find myself frequently daydreaming about the day when I will return to Cambodia and continue to improve the health of those people I met during my public health field study in 2011. Needless to say, this experience transformed me into a more passionate person and is one of the fundamental reasons I find myself back at Maternova today.
0 COMMENTS Maternova | maternal child health | Cambodia
January 23, 2014
When we originally saw these lovely little pieces of inspiration, we immediately were struck by the simple design and message. When we realized we could have them in red, teal, and orange – we knew we had to be part of it!
0 COMMENTS Bravelets
January 10, 2014
Though we focus on maternal mortality and maternal death, in many settings, 'near misses' are equally important as both a public health concept and a human rights issue. The 'near miss' in obstetrics refers to a woman who was critically ill and would have died had it not been for care. Severe acute maternal morbidity (SAMM) in low-income countries. Put another way, in looking at the health system, it is important to identify what factors led to death, and what factors helped narrowly avert death. In assessing the efficacy of a safe motherhood system, policymakers must look at the prevalence of near misses-- a decrease in the number of maternal deaths accompanied by an increase in severe acute maternal morbidity is of concern.


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Video: Goins Tracks Down Fly Ball for Tremendous Catch
Blue Jays Designate Colt Hynes for Assignment
The Blue Jays have designated lefty Colt Hynes for assignment, the club announced. He loses his 40-man spot to help clear space for the team's September call-ups, which include the previously non-rostered Jeff Francis...
Blue Jays Set to Promote Five as Rosters Expand
The Toronto Blue Jays will take advantage of expanded rosters by calling up five players Tuesday, bolstering their team for the final month of the season...
Video: Ryan Goins' Awesome Glove Flip
Mark Shapiro a Perfect Fit at President for Forward-Looking Blue Jays
Mark Shapiro couldn't have picked a better time to come to Toronto. Hired Monday by the Blue Jays to replace retiring team president Paul Beeston, the longtime Cleveland Indians ...
Jays GM Accuses Tolleson of Quitting on Team
Alex Anthopoulos says Steve Tolleson quit on the Blue Jays . Tolleson says he has battled three stubborn injuries over the past three months and remains determined to play again this season...
Juggernaut Jays Sweep Toothless Tigers
The Blue Jays and their juggernaut offence are not only beating teams right now, they are leaving them overwhelmed and demoralized.....
PHOTO: Toronto Fans Urge Blue Jays Stars to Suit Up for Maple Leafs
The Toronto Blue Jays and Maple Leafs are on opposite sides of the competitive spectrum, so some local fans are looking to their red-hot baseball club for some help on the ice...
Pillar's two-run home run
Watch: Encarnacion Stays Hot, Homers Again vs. Tigers
Donaldson's Solo Shot
Revere Leading off vs. Tigers; Tulo Batting 5th
Edwin Encarnacion's 9 RBI, HR Hat Trick Showcases Blue Jays' Overlooked Slugger
The hottest hitter on the planet has been massively overlooked. But he did all he could to change that Saturday afternoon, breaking through the star power of his teammates to shine as bright as any player has this season...
Edwin Encarnacion on Instagram: 'This Was an Unreal Feeling!'
encadwinThis was an unreal feeling! Thanks so much for the love and support! Let's keep it going! Go Jays! @bluejays....
VIDEO: Blue Jays Fans Salute Encarnacion with Hat-Trick Celebration
Encarnacion's Homer Brings Hats
Edwin Encarnacion Posts 3-HR, 9-RBI Game vs. Tigers
If you're a fan of the invisible parrot Edwin Encarnacion takes for a stroll as he rounds the bases after home runs, you were in luck Saturday...
Watch: Storm of Flying Hats Delays Blue Jays Game
Video: Revere Makes Fine Grab at the Track
Homers Fuel Blue Jays' Victory over Tigers
The lasting image for fans of the Blue Jays ' 5-3 win over the Detroit Tigers on Friday will be Josh Donaldson's line drive home run crashing off the facing of the fifth deck over left field, followed by chants of M-V-P raining down on the field...
It Seems Anything Is Possible for Stroman the Optimist
"Morning World!" Marcus Stroman rolls out of bed every morning and bounces into his life, at least six inches off the ground.....
Blue Jays Hit 3 HRs in 5-3 Win over Tigers
TORONTO -- Josh Donaldson and Troy Tulowitzki hit back-to-back homers, Jose Bautista also connected and the Toronto Blue Jays won for the eighth time in 10 games, beating the Detroit Tigers 5-3 on Friday night...
Blue Jays' Josh Donaldson Crushes Home Run vs. Tigers That Reaches 5th Deck
It's a bird, it's a plane, it's a...baseball? Josh Donaldson crushed Matt Boyd's 93 mph fastball in the third inning Friday, sending it flying toward the fifth deck at Rogers Centre ...
Gibbons Thinks Stroman Will Start If Rehab Goes Well
Marcus Stroman threw another simulated game on Friday and things look to be on track for him to move forward in his recovery process...
The Blue Jays Are Gonna Cut You Down
One creative Blue Jays fan edited together every team home run (through Aug. 26) and set it to Johnny Cash's version of "God's Gonna Cut You Down" for an oddly captivating compilation...


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- Miss Florida 2017 stripped of crown days after win - US Weekly
- Lindsay Lohan steps out amid relationship drama - TMZ
- Was Taylor Swift snubbed by the VMAs? - Gossip Cop
- Rachel Platten sings "Fight Song" with lots of stars - Just Jared Jr
- Farrah Abraham sizzles in a revealing bikini - Radar
- New pics from the Clooneys' Italian summer - Lainey Gossip
- Fox News snubs major DNC moment - The Hollywood Reporter
22 June 2010 at 1:47 AM
Matt Bomer: 'White Collar' Returns July 13th!
About this photo set: Matt Bomer and the rest of the White Collar cast are back for a second season on Tuesday, July 13 on USA! "The stakes have been heightened a lot!" Matt said… Read More Here
Photo #: 2460469
Posted to Matt Bomer, White Collar
powered by ZergNet


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$0.99Chief Sam Jenkins learns of an illegal card game and the sale of moonshine at the Iron Skillet restaurant and decides to raid the premises. Police confiscate untaxed liquor, cash proceeds, and a revolver. That looked straight forward until a firearms examiner links the confiscated handgun to an unsolved homicide. Jenkins encounters political corruption, domestic abuse, and a cover-up in his
$0.99Chief Sam Jenkins investigates the murder of a Tennessee school teacher. All the facts point to a simple conclusion, the man's wife, an escaped mental patient, killed her husband to gain custody of their small daughter. With the help of his usual cadre of friends and co-workers, Sam devises a plan to lure the obsessed woman into a trap when she tries to kidnap the child from the foster parents
$0.99Building contractor, Scott Beets, seeks help in catching the person responsible for stealing the copper wire and pipes he uses for home construction. Police Chief Sam Jenkins finds the thief, but shortly after the burglar is released on bail, the complainant is found murdered. The investigation reveals numerous suspects, leaving Jenkins to find the guilty one.
$0.99While in the middle of an armed robbery arrest at a nursing home, Sam gets a call from his wife, Kate, a volunteer at the same locations assisted living facility, saying there is a problem. Wallace Cumberbatch was found dead in his room. The attending physician says it was not murder. The medical examiner says, maybe. But a resident ex-detective in a wheel chair claims its a homicide. Sam
$0.99A past informant leads Chief Sam Jenkins and Sergeant Stan Rose to a partially buried corpse in a forest clearing once used by marijuana growers. At the crime scene, the medical examiner states a fact and makes a conjecturethe dead man was killed elsewhere, and the killer was a vampire. The investigation leads Jenkins to a group of religious fundamentalists. Jenkins has to figure out a way to
$0.99Sam Jenkins investigates the shotgun murders of an aging movie star and the younger man with whom she was having an affair. Two of the suspects include the womans husband, a Hollywood producer, and the young mans father, a high-powered attorney. Sam knows hes not dealing with the usual down-home crowd from Prospect, Tennessee. His inquiry spans the nation, from California to a prestigious country
$0.99Prospect City Councilman Danny Swope had two bad habits. He drank too much and he beat his wife. Throw in an overbearing personality, and Police Chief Sam Jenkins isn't surprised when Danny is found shot to death. Jenkins' investigation takes him into the world of cowboy action shooters and his own deadly fast draw contest.
$0.99A fourteen-foot-tall statue of a cow is stolen from a market in Prospect, Tennessee. Police Chief Sam Jenkins enlists the help of his friend, a TV reporter, who broadcasts an appeal for help. With the laughs and giggles that inquiries bring regarding the theft, Jenkins is not happy. Soon an informant calls offering a tip on where to find the stolen cow, for a price.
The Great Smoky Mountain Bank JobSam Jenkins law enforcement colleagues know hes quick to ask a professional favor. But when a beautiful Treasury agent asks for his assistance, he balks. Special Agent Lucy Frobisher wants Sam to re-open a forty-three year old investigation and find her fathers killers. Reluctantly, the ex-New York detective turned Tennessee police chief delves into the robbery-homicide and finds himself back
Sam Jenkins Mysteries (Book 5)Chief Sam Jenkins runs headlong into Tennessee's faction of Korean organized crime when a mobster tries to shake down two former call girls attempting to establish a legitimate business. Soon, bodies begin piling up—all with a Korean connection—in Sam's town of Prospect and nearby Knoxville.Sorting truth from fiction calls for more than Sam and his officers can handle, so he turns to the women in
$1.69Jerome Lee, owner of the Magic Panda, a new Chinese restaurant in Prospect, suspiciously has a finger cut off. Three days later, he's found hanging from a second floor landing in his home, a suicide note only a few feet away. But Police Chief Sam Jenkins thinks Mr. Lee was the victim of gangster Jimmy Fong, a thug employed by loan shark and triad leader Martin Kee. Sam's investigation takes him to


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Welcome to the Portland Jobs Alliance!
Welcome to the Portland Jobs Alliance! We are a partnership of community education and employment practitioners utilizing a comprehensive approach to prepare skilled immigrants and refugees, single parents, and people with low to moderate incomes to successfully find and keep quality jobs while meeting the growing employment needs of Portland-area businesses.
If you are an employer seeking qualified individuals for an array of positions, we want to help. Contact us at email@example.com or via phone at (207) 882-5136. The Portland Job Alliance offers free services to help with your staffing needs.
Recent News
Networking Event for Professional New MainersPosted Nov 24, 2014
The Diversity Hiring Coalition of Maine, in collaboration with Portland Adult Education, hosted a Networking Event for Professional New Mainers on November 13, 2014 at the Portland Public Library. The event was an opportunity for New Mainers with professional work experience and credentials from th ...read more


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Wisconsin Dells Free Coupons
Enjoy FREE Money Saving Coupons from Dells.com for your Wisconsin Dells Getaway! Click the links below to filter through categories. Note: the following are not actual coupons. To print actual coupons, you must sign in and click "Print."
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Al's Fox Hill RV Park & Campground
Get 2 Nights Free
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Google Reader has a useful "Details and statistics" feature, the data for which I would like to be able to access programatically (specifically the "Number of subscribers").
Does anyone know how to get "Number Of subscribers"via the API? I know I can access a feed programatically using (e.g.): http://www.google.com/reader/atom/feed/http://xkcd.com/rss.xml, I'm hoping that the stats are available somehow too.
thanks JT


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A project of People For the American Way dedicated to monitoring and exposing the activities of the right-wing movement. Learn More >
Matt Barber calls Jimmy Carter 'An Apostate' for Backing Marriage Equality
Submitted by Brian Tashman on Thursday, 4/12/2012 10:15 am
Liberty Counsel deputy Matt Barber attacked former president Jimmy Carter, who in a new study Bible writes that he supports marriage equality for gays and lesbians, as "an apostate" in an interview with LifeSiteNews. Barber told the conservative outlet that Carter is using his influential position "to push heretical notions," and Richard Land of the Southern Baptist Convention's Ethics and Religious Liberty Commission called Carter "hopelessly confused as a theologian":
At the same time the 39th president has highlighted his more moderate stance on abortion, Carter has endorsed same-sex "marriage." He told The Huffington Post, "I personally think it is very fine for gay people to be married in civil ceremonies" but he added he drew the line, "maybe arbitrarily, in requiring by law that churches must marry people."
Dr. Richard Land said, "I'm not surprised that he holds that view. He is hopelessly confused as a theologian." Carter has said his favorite theologians were liberals Rienhold Niebuhr and Paul Tillich.
"Homosexual conduct, is listed over and over again in black-and-white as sin," said Barber.
"There's a word for what Jimmy Carter is doing. That's apostasy," Barber told LifeSiteNews.com. "That's a strong word to use, but Jimmy Carter is an apostate in that he is leading the least of these to sin against what Scripture clearly condemns in terms of homosexual conduct."
"He is not just fooling himself with this," Barber told LifeSiteNews. "Unfortunately he's using the goodwill he has developed over the years and his history as the leader of the free world to push heretical notions."
Filed Under
Organizations:Liberty Counsel , Life Site News, Ethics & Religious Liberty Commission
People:Matt Barber , Richard Land
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Hotels in Phuket (and vicinity), Thailand
Search & Compare Phuket (and vicinity) Hotels
Trending now in Phuket (and vicinity)
- Most bookedSanthiya Koh Yao Yai Resort & Spa
1,027 people looked at this hotel in the last hour
Most recent review
"Hotel was very good but difficult to get there as the boat stops early there was hardly no entertainment but the staff were top rate"
A Traveller, Jul 2016, GB
772 people looked at this hotel in the last hour
Most recent review
"As a family we had a great time lazing by the pool, swimming in the beach, a bit of tennis and archery practice. Breakfast was fantastic as well as the other restaurants. "
A Traveller, Jul 2016, AU
659 people looked at this hotel in the last hour
Most recent review
"Best place we have ever stayed Don't think anywhere will ever better it. We will be back. We love Banyan Phuket xxxx ❤"
A Traveller, Jun 2016, GB
588 people looked at this hotel in the last hour
Most recent review
"Everything was perfect, rooms were spacious, private and modern, very clean, staff were very helpful."
A Traveller, Jul 2016, AU
504 people looked at this hotel in the last hour
Most recent review
"This is a good value for money hotel very close to the shops and nightlife of Patong. It's attached to a mall that offers 30+ restaurants choices plus a Starbucks. I had a room with swim up access to the pool. It was clean and spacious, and had lots of storage. Wifi was everywhere, reasonably fas..."
A Traveller, Jul 2016, SG
492 people looked at this hotel in the last hour
Most recent review
"Cleaning staff were very friendly and accommodating. Checkout procedure was very outdated bordering on pathetic. Took 25 minutes to check out and it was not even busy upon check out. They over complicate the whole procedure by issuing hand written receipt for the room deposit that is clearly w..."
A Traveller, Jul 2016, AU
440 people looked at this hotel in the last hour
Most recent review
"Respectful people, lovely atmosphere, perfect couple of family hotel would definitely recommend, breakfast wasn't all that, but would go again."
A Traveller, Jul 2016, GB
413 people looked at this hotel in the last hour
Most recent review
"It was perfect for us as we just wanted to relax. We could read by the pool or on the balcony, both with a sea view and nice breeze. The bed was comfortable, the jacuzzi on the balcony was nice, the breakfast was not bad! However, food options were limited as we didn't really want to spend every ..."
A Traveller, Jul 2016, SG
165 people looked at this hotel in the last hour
Most recent review
"Our stay at The Racha was simply amazing! We were picked up at the airport in a very comfortable BMW. Our driver was so great and he showed us around Phuket before we boarded the boat to transfer to The Racha. When we arrived to the resort, we were greeted by a lovely staff member, View. View was..."
A Traveller, Jun 2016, US
146 people looked at this hotel in the last hour
Most recent review
"Nice getaway a bit far from everywhere. But hotel makes up for it by having lots of organised activities. Get romantic getaway with very nice hotel design and pays attention to details. Staff are very well trained. Great view looking out from poolside."
A Traveller, Jul 2016, HK
Map of Phuket (and vicinity) hotels
- Patong Beach
- Jungceylon Shopping Center
- Kamala Beach
- Rawai Beach
- Nai Harn Beach
- Kalim Beach
- Aphrodite Cabaret Show
- Patong Hospital
- Tri Trang Beach
- Splash Jungle Water Park
- Pansea Beach
- Phuket Zoo
- Phuket Weekend Market
- Laem Singh Beach
- Phuket Fantasea
- Central Festival Phuket Shopping Center
- Bazaan Fresh Market
- Kata View Point
- Paradise Complex
- Simon Cabaret
Best hotels in Phuket (and vicinity)
If you are looking for Phuket (and vicinity) hotels in a particular area, you can use the search feature at the top of the page to search by neighborhood, landmark, address or zip code, or you can search by using the built-in map feature. You can also browse hotels in Phuket (and vicinity) by type, amenities, and star-rating so that you can find the best hotel. Currently, top rated hotels in Phuket (and vicinity) are:
- Sansuko Ville Bungalow Resort
- Baan Karon View
- Sweet Bungalow
- Pool Access 89 at Rawai Hotel
- Naka Resort
The location of your Phuket (and vicinity) hotel is important. If you are traveling to Phuket (and vicinity), &StateorCountry for business, you may want to consider getting a hotel close to the airport or near your meeting venue. By doing so, you can really cut down on transportation costs and time. You may also want to book a hotel that offers free wifi just in case you need to get some work done.
If you are traveling for vacation, figure out which attractions or landmarks you want to see and book a hotel that is within close proximity. Although hotels near attractions might cost a little more, you may find that spending those extra few dollars is worth the convenience. You can even find hotels that align with your interests. For example, if you are looking for a relaxing vacation, a spa hotel may be the perfect choice for you.
You'll also want to determine which type of accommodations will suit your needs before booking a hotel in Phuket (and vicinity). If you're traveling with the kiddos, a family friendly hotel will offer larger rooms and more sleeping arrangements. For those traveling for an extended period of time, booking a hotel suite with a kitchenette is a smart move and will feel a little more like home. If you are budget conscience and just need a place to rest your head, a hostel or motel may be all you need.
If you are looking to score the best discounts and deals, use the filter to sort by price from low to high. You can book a hotel in Phuket (and vicinity) for as low as $4 per night. If you are looking to cut down on expenses, look for hotels that include free breakfast and parking. Some hotels even offer free shuttle service to and from nearby places. You can also sort by star rating, proximity, and guest rating.
Before you book, check out user reviews. Hotels.com has 58340 reviews in Phuket (and vicinity). We show reviews from Expedia and TripAdvisor so you know that you are reading genuine, reliable reviews. Be sure to download the Hotels.com app so you can book your reservations on the go, view amenities, and save the hotels you want to view and compare later.


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Pipped by Aussie big sister
Wellington's sister city Canberra has the best quality of life in the world - apparently.
Australia's best islands for a holiday
Australia has more than 8000 islands to choose from. Here are the 10 best for a holiday.
Humpback whale photobombs
A group of jet-skiers had a "once in a lifetime" encounter when a baby humpback jumped up to say hello.
Cairns' other island paradise
The glass-bottom boat slides over the water like a spatula smoothing cerulean icing.
Banksy stencils destroyed in Melbourne
The city's construction boom has claimed yet another preserve of its popular street culture.
I signed up for a naked art tour
We aren't just observers on a tour; we've become the art.
Quirky, stylish and sexy
QT Sydney's carefully curated cool the welcome antithesis of every other bland hotel.
New generation of Central Desert artists
The sun-bleached scene is straight out of an Albert Namatjira painting.
An outback spiritual oasis
New Norcia has to be one of Western Australia's most unlikely tourist destinations.
Going for glory in the Outback
Dirt, dust, bulls and broncos - welcome to rodeo season in remote Australia.
Australia's most exotic town
There's plenty of pearlers for kids and adults alike in this West Australian beach paradise.
Wedding Cake Rock at risk
Hoping to get your photo taken on the edge of this unique rock? You're out of luck.
Gorge on Queensland's secret ravines
Take a hike through the creek beds and soaring cliffs of Carnarvon Gorge.
Queensland's best-kept beach secret
With its gentle waves and stunning sunsets, Agnes Water likely won't stay a secret for long.
Howe's that for an island escape
The challenge is to find a spot which is attractive enough to tour without being dominated by tourists.
Australia's lesser-known islands
Sun, sand and solitude: why these are Australia's six best lesser-known islands.
Rio Olympics athletes' village deemed uninhabitable two weeks before opening ceremony
Horror house raises concerns about CYF handling of young family
Australian parent Woolworths closes six Countdowns
Faces of Innocents: Lisa Hope was killed the night before she was to be reunited with her mother
Kiwi sportsman Jason Lee 'kidnapped' in Brazil
Wellington apartment with makeshift cubicle bedrooms labelled 'unlivable' by students
House prices could fall 11 per cent by late 2019, as building catches up: Infometrics
Richard Hoagland spent two decades raising a family using a dead man's name
Massive waves close roads and destroy seawall amid weather chaos in Wellington


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Daily Archives: 26 May 2010
Liturgy Planning for 2011
If your parish is like mine, your staff (and maybe you!) are already planning for the coming liturgical year. A late Easter (April 24!) means that Good Friday is the last day of classes here at the university. Lent begins … Continue reading
Posted in Liturgy, Parish Life 6 Comments
All Are Welcoming An Archbishop
Jimmy Mac sent me the program for Archbishop Gomez's Mass of Reception. Lots of text to read while you're waiting for Mass to begin on page 13. And it's a typically LA start, a medley arranged by Tony Alonso: Iona's … Continue reading
Posted in Liturgical Music 5 Comments
OCF 3-4: The Eucharistic Connection
The Eucharist is a sacrament of initiation, as we read yesterday. But it is also a celebration of renewal, nourishment, and strengthening–the basic and esssential spiritual maintenance of the Christian. Both aspects of the Eucharist, meal and sacrifice, are emphasized … Continue reading


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Once they start walking and talking, there's no holding them back! Little toddlers want toys that keep them busy, challenge their growing brains, and put smiles on their sweet, round faces. Rest assured, these amazing toys will astound them.
Build a castle. Dig for buried treasure. Made in the USA from 100% recycled plastic with no BPA, phthalates, or PVC, this eco-groovy Sand & Water play set always leaves a light footprint, no matter how ambitious the project. This 3-piece set comes with the Seaplane, shovel, and rake. The Seaplane features a spinning propeller and chunky, oversized pontoons, designed to float. Perfect in a sand box, pool or bathtub, this plane is just right for little hands, and can easily be tossed in a beach bag for on-the-go fun. All the pieces are dishwasher safe, making it the perfect set for both indoor and outdoor play! This sand & water set is not your typical toy. Manufactured and assembled in the USA, it's made from 100% post-consumer recycled plastic milk jugs (HDPE #2 plastic) that save energy and reduce greenhouse gas emissions. With no external coatings, paints, or dyes, this super-safe, durable toy is good for the earth and safe and fun for little ones. It's also packaged with no plastic films or twist ties.
Includes 1 plane, and 2 sand tools.
Measures approximately 9" long x 9" wide x 6" tall.
It's the perfect time to get everyone together to create and enjoy some cool treats! From ice pops to ice cream, we've got the amazing gear and goodies to help your family make some yummy ...
We're hiring! For over 30 years Mastermind Toys has been focused on offering the very best in quality toys and books for children in a shopping environment that is engaging, inspiring and fun. Send resumes to email@example.com
Mastermind Toys in the Terra Losa Shopping Centre is now open.
Details Here


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From the Back Cover
language community.
Letters * Numbers & Colors
Greetings * Holiday Phrases
Getting to Know You * Making a Date Sports & Coaching * Medical Care
Office Essentials * Signs of Worship
Baby Signs * Classroom Signs
About the Author
Suzie Chafin has the knack! She was born hearing to deaf parents, and American Sign Language was her first language. The author of Your Pregnancy Devotional: 280 Days of Prayer and Inspiration, Suzie contributes to About.com's Guide to Parenting Multiples and speaks on a variety of parenting topics.


text: AdChoices Terms of Use Privacy Policy Hide TOP 10 Top 10 Entertainment Inspirational Graduation Speeches Share Tweet 0 Shares 9. Mark Zuckerberg Facebook founder and CEO Mark Zuckerberg was quick to remind Belle Haven Middle School graduating students that there are no shortcuts in life, despite being a Harvard dropout himself. Which is good advice for normal people, but probably doesn't really apply to billionaires in exactly the same way. Next Page TOP 11 10 9 8 7 6 5 4 3 2 1 Comments Share your opinion Your name More Like This Uncategorized Check Out These Key Tips On College Life Read More Uncategorized Choosing The Right University Read More A Better Look Thinking Of Law School? Read This First Read More A Better Look The Decline Of Law School Read More A Better Look How Your School Is Scamming You Read More A Better Look TED Talk: The Demise Of Men Read More Around the Web Special Features Guy Gear The Best Watches Under $500 Read More Special Feature The Ultimate Guide To Hooking Up Online Read More


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- larnold65
- Irsko, Pár, 25-30
- Nomád nováček
- 4 Recenze
The staff at this hotel are so lovely and helpful, they made our stay here. So willing to help with bookings, local tips and any questions. Breakfast is delicious, swimming pool great in the Hoi An heat, and the free bikes are great too. Highly recommend this hotel.
- Anonymní
- Anglie, Muž, 25-30
- Horlivý cestovatel
- 18 Recenze
A nice hotel, rooms were lovely with free silk robes! Pool was a nice addition. Free bikes really useful as the old town is a 5-10 minute cycle away. Have to say, I did spot a rat on the 1st floor while I was there, which we reported to the front desk, rodent-phobes beware. Other than that was a great stay
- Anonymní
- Francie, Pár, 41+
- Nomád nováček
- 1 Přezkoumání
Perfect stay in Hoi Han Very pleasant location, delicious breakfast, and kind staff. Just be carefull with the bicycles,, check brakes before riding !
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Rezervujte si pokoj na cestách s novou mobilní aplikací Hostelworld.


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- You'll save an extra 5% on Books purchased from Amazon.ca, now through July 29th. No code necessary, discount applied at checkout. Here's how (restrictions apply)
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In the Garden of Beasts: Love, Terror, and an American Family in Hitler's Berlin Hardcover – May 10 2011
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"By far his best and most enthralling work of novelistic history….Powerful, poignant…a transportingly true story."--The New York Times
"Tells a fascinating story brilliantly well."--Financial Times
"Highly compelling...Larson brings Berlin roaring to life in all its glamour and horror...a welcome new chapter in the vast canon of World War II."--Christian Science Monitor
"Terrific."--Los Angeles Times
"A stunning work of history."--Newsweek
"Larson has meticulously researched the Dodds' intimate witness to Hitler's ascendancy and created an edifying narrative of this historical byway that has all the pleasures of a political thriller….a fresh picture of these terrrible events."--The New York Times Book Review
"Larson has taken a brilliant idea and turned it into a gripping book."--Women's Wear Daily
"Harrowingly suspenseful." Vogue.com
"A gripping, deeply-intimate narrative with a climax that reads like the best political thriller, where we are stunned with each turn of the page."--Louisville Courier Journal
"Electrifying reading...fascinating." Minneapolis Star-Tribune
"Larson's latest chronicle of history has as much excitement as a thriller novel, and it's all the more thrilling because it's all true."--Asbury Park Press
"A superb book...nothing less than masterful."--Toronto Globe and Mail
"Even though we know how it will end — the book's climax, the Night of the Long Knives, being just the beginning, this is a page-turner, full of flesh and blood people and monsters too, whose charms are particularly disturbing."--Portland Herald
"Larson succeeds brilliantly…offers a fascinating window into the year when the world began its slow slide into war."--Maclean's Magazine
"Erik Larson tackles this outstanding period of history as fully and compellingly as he portrayed the events in his bestseller, THE DEVIL IN THE WHITE CITY. With each page, more horrors are revealed, making it impossible to put down. IN THE GARDEN OF BEASTS reads like the true thriller it is."--BookReporter.com
"Larson's strengths as a storyteller have never been stronger than they are here, and this story is far more important than either "The Devil in the White City" or "Thunderstruck." How the United States dithered as Hitler rose to power is a cautionary tale that bears repeating, and Larson has told it masterfully."--Cleveland Plain Dealer
"Reads like an elegant thriller…utterly compelling… marvelous stuff. An excellent and entertaining book that deserves to be a bestseller, and probably will be."—The Washington Post
"Larson's scholarship is impressive, but it's his pacing and knack for suspense that elevates the book from the matter-of-fact to the sublime."--Pittsburgh Review
"A master at writing true tales as riveting as fiction."--People (3 1/2 stars)
"Larson has done it again, expertly weaving together a fresh new narrative from ominous days of the 20th century."--Associated Press
""Mesmerizing...cinematic, improbable yet true."--Philadelphia Inquirer
"[L]ike slipping slowly into a nightmare, with logic perverted and morality upended….It all makes for a powerful, unsettling immediacy."--Bruce Handy, Vanity Fair
"Dazzling….Reads like a suspense novel, replete with colorful characters, both familiar and those previously relegated to the shadows. Like Christopher Isherwood's Berlin Stories or Victor Klemperer's Diaries, IN THE GARDEN OF BEASTS is an on-the-ground documentary of a society going mad in slow motion."--The Chicago Sun-Times
"[G]ripping, a nightmare narrative of a terrible time. It raises again the question never fully answered about the Nazi era—what evil humans are capable of, and what means are necessary to cage the beast."--The Seattle Times
"In this mesmerizing portrait of the Nazi capital, Larson plumbs a far more diabolical urban cauldron than in his bestselling The Devil in the White City...a vivid, atmospheric panorama of the Third Reich and its leaders, including murderous Nazi factional infighting, through the accretion of small crimes and petty thuggery."--Publishers Weekly(Starred Review)
Praise for Erik Larson
"A ripping yarn of murder and invention."—Los Angeles Times
"Larson's gift for rendering an historical era with vibrant tactility and filling it with surprising personalities makes Thunderstruck an irresistible tale."—The Washington Post Book World
"Gripping….An edge-of-the-seat read."—People
"[Larson] relentlessly fuses history and entertainment to give this nonfiction book the dramatic effect of a novel….a dynamic, enveloping book."
—The New York Times
"A hugely engrossing chronicle of events public and private. Exceedingly well-documented, exhaustive without being excessive, and utterly fascinating."
—Chicago Tribune
"An irresistible page-turner that reads like the most compelling, sleep-defying fiction."—Time Out New York
"A gripping account…fascinating to its core, and all the more compelling for being true."—New York Times Book Review
"Superb...Larson has made the Great Hurricane live again."—The Wall Street Journal
"Gripping….The Jaws of hurricane yarns."—Newsday
About the Author
ERIK LARSON is the author of the national bestsellers Thunderstruck, The Devil in the White City, and Isaac's Storm. ErikLarsonBooks.comSee all Product Description
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Customer Reviews
Top Customer Reviews
Appointed ambassador to Germany in 1933, Dodd, his wife and two adult children are initially enamoured with the changes and energy they find in Germany (Dodd had studied there in his youth). His daughter Martha, willful, self-absorbed, bright and naive is especially enthralled and counts Nazi officials among her beaus. Over time their enthusiasm for the regime wanes as it implements increasingly draconian measures against its own people.
Ambassador Dodd finds himself a Cassandra-like figure, warning the American administration of Germany's rearmament to no avail.
While readers may be familiar with this period of history, Larson brings a fresh perspective. Reading in the Garden of Beasts is liking watching history unfold before your eyes. It's a cautionary tale of apathy and denial that bears remembering.
Unlike other career diplomats, Dodd was not born into privilege nor did he respect it. He thought that during the trying times of the 1930s, diplomats should live modestly and not in the extravagant fashion their wealth afforded. As an historian, he could place the events that were occurring in Berlin at the time in an historical context. In a speech given to the American Chamber of Commerce in Berlin in October of 1933, he compared the behaviour of Hitler and the Nazi party to that of the despotic rulers of Rome under Caesar and France under Louis XIV. As his ambassadorship proceeds, Dodd becomes more and more despondent Germany and the fact that he can't awaken the world to the dangers and atrocities perpetrated by Hitler. His actions become less and less acceptable to the U.S. State Department. They believe he should be neutral to the events and atrocities happening at the time.Read more ›
Dodd was a history professor prior to receiving the post and was actually not one of Roosevelt's first choices. Many in the State Department weren't supportive of him and he had to defend himself at every turn. The fact that he wasn't rich and refused to live beyond his salary was a source of annoyance for other statesmen. For example, he brought his old Chevrolet and drove that around Berlin, a sign of just how frugal he was. He also had his own opinions and wasn't always in agreement with other members of the government.
At first Dodd and his family was very enthusiastic about the post and about Germany, especially his daughter, Martha who loved the party scene and dating all sorts of different men. In fact, she was one of the last members of the family to change her opinion about the Nazi party and all that it entailed. Dodd saw what was going on, but believed that once in solid control of the country that Hitler would settle to a more moderate way of governing. Of course, that didn't happen.Read more ›
Most recent customer reviews
This book is about bringing history to life. It is a terrifying portrayal of the increasing tyranny that occurred in Nazi Germany. Read morePublished 8 months ago by Bruce Ryckman
I lived in Berlin for seven years and have travelled there many times on other occasions. It is a city I love, but until now I have avoided spending much time on its Nazi past. Read morePublished 8 months ago by R Helen
larson treats the reader to a great and compelling lesson about one of mankind's darkest hours. he recognizes that we collectively failed by allowing a group of thugs to capture... Read morePublished 9 months ago by Ivan Whitehall
Insight into the social world of psychopaths as they prepare for world domination.Published 10 months ago by Les Parry
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- Books > Biographies & Memoirs > Leaders & Notable People > Political
- Books > Biographies & Memoirs > True Accounts > True Crime
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- Books > History > Europe > Germany > Third Reich
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text: July 6, 2016 Postcode: BL6 We needed a new consumer unit and for it to be relocated in a different room, meaning going through a wall. John and Tim (business partners) worked all day to eliminate and destroy old wiring and units, of which there were quite a few, then put in new wiring from the meter to the new combined consumer unit. This was done efficiently, safely, with minimal disruption, and when everything double-checked and explained to us we paid the agreed account, feeling confident in their workmanship and professionalism. We wouldn't hesitate to have these two work for us again if ever we needed decent, pleasant qualified electricians. Service: Value: Get details »


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Fact: No matter how old you get, riding a jet ski never gets old.
Whether you're an 18-year old, like Austin Mahone, or in your 60's like Sylvester Stallone, there is just something eternally enjoyable about cutting though the ocean rip tide on a cool, sleek, jet ski. Celebrities from every age group…
Spring has Sprung for the rich and famous! But worry not, average humans, here's your chance to live vicariously through the Kim Kardashian's of the world.


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Johnson lifts Auburn past Memphis 31-10 in Birmingham Bowl
Jeremy Johnson came off the bench to run and pass for a touchdown, lifting Auburn to a 31-10 victory over Memphis on Wednesday in the Birmin…
Jeremy Johnson came off the bench to run and pass for a touchdown, lifting Auburn to a 31-10 victory over Memphis on Wednesday in the Birmin…
The Auburn Tigers took on the Memphis Tigers in the Birmingham Bowl at Legion Field.
The fire department made sure the celebration was large and loud.
Tuscaloosa Mayor Walter Maddox and East Lansing, Michigan Mayor Mark Meadows have made a bet on the Cotton Bowl, where the University of Ala…
Ramsden, 21, died in a swimming accident on December 26 in Sarasota, Florida.
Dallas, TX (WIAT) – Alabama head coach Nick Saban and Michigan State head coach Mark Dantonio meet with the media to discuss their final tho…
This year saw quite a few celebrities call time out on their long-term relationships.
The love Louis has for his furry friend is undeniable, which is why he decided to write a letter to Santa asking for his help.
Bill Cosby has been released on $1 million bail on a sex assault charge in Pennsylvania.
The Electronic Frontier Foundation (EFF), filed a complaint with the Federal Trade Commission this month accusing Google of accessing the in…
The Tuscaloosa and University Police Departments responded to reports of a robbery at 4:30 a.m. Wednesday.
In the season of giving, it is not unusual to see a line outside local charities as people drop off donations.
The comments were relevant in determining whether he should be allowed to work as a public school teacher.
One viral video is proving man is really born with an instilled love for bacon, or at least this little man.
Exercise and dark chocolate can serve as anti-depressants if you've got a case of the winter blues.


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Hotels in Langley, British Columbia
Search & Compare Langley Hotels
Trending now in Langley
- Most bookedCanadas Best Value Inn - Langley / Vancouver
153 people looked at this hotel in the last hour
Most recent review
"Stay often....good clean room Had a problem with shower drain.....they came and fixed right away "
A Traveller, Jun 2016, CA
146 people looked at this hotel in the last hour
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"The hotel is conveniently located near major routes but unfortunately my room was on the highway side which made it relatively noisy. The rooms are nice and clean with a modern feel to them, however, the free Internet service was intermittent which made working in the room impossible without a p..."
A Traveller, Jun 2016, CA
105 people looked at this hotel in the last hour
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"All I have to say is, the bed was extremely comfortable and I wish I could take it home."
A Traveller, Jun 2016, CA
97 people looked at this hotel in the last hour
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"Cleanliness in a hotel is my number one concern. The Days Inn met this concern quite well. The bed was comfortable and I enjoyed the bed linens, bathroom towels and the housekeeping in general. Breakfast was good: lots of fresh fruit! This hotel is next to a Tim Hortons which was fortunate....."
A Traveller, Jun 2016, CA
48 people looked at this hotel in the last hour
Most recent review
"Had an exhausting day driving in Langley and got stuck in horrible traffic. Checked in at 8pm without having had lunch or dinner. Was able to get a bite at the Subway at Home Depot. No market that I could find nearby but was too tired to look. Nice to have a long hot bath. Slept well. Staff frie..."
A Traveller, Jun 2016, CA
40 people looked at this hotel in the last hour
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"We were heading to Vancouver needed a quick nights rest, would now go back and stay longer, so close to lots of good shopping and restaurants. For sure the nicest holiday inn we have seen"
A Traveller, May 2016, CA
40 people looked at this hotel in the last hour
Most recent review
"This is a decent hotel with free parking. The neighbourhood isn't super great but the parking is free and, as a single woman, I felt safe. The room was comfortable, quiet, and the in-room dining was surprisingly good at a reasonable price. All in all, a good place to stay."
A Traveller, Jun 2016, CA
37 people looked at this hotel in the last hour
Most recent review
"While not necessarily close to anything, this hotel was useful for us when attending a wedding in Fort Langley. Upon check-in, we were quite surprised at the helpful and friendly staff at the front desk."
A Traveller, Jun 2016, CA
28 people looked at this hotel in the last hour
Most recent review
"Well managed, nice staff, clean and comfortable. We did not visit the buffet breakfast any of the three days we stayed, as we had early morning plans each day. "
A Traveller, Jun 2016, US
22 people looked at this hotel in the last hour
Most recent review
"Check-in took a little longer than I would have liked. Staff was not present and service bell was rung many times. Once staff showed up, check-in was smooth and fast. Out room was exactly what we expected. Kids loved their bunk beds. Pillows were a little lumpy, but not too bad. Swim area was gre..."
A Traveller, Jun 2016, US
Map of Langley hotels
Best hotels in Langley
If you are looking for Langley hotels in a particular area, you can use the search feature at the top of the page to search by neighborhood, landmark, address or zip code, or you can search by using the built-in map feature. You can also browse hotels in Langley by type, amenities, and star-rating so that you can find the best hotel. Currently, top rated hotels in Langley are:
- Princess and the Pea B&B
- Sandman Signature Langley Hotel
- Holiday Inn Express & Suites Langley
- Best Western Plus Langley Inn
- Days Inn & Suites Langley
The location of your Langley hotel is important. If you are traveling to Langley, &StateorCountry for business, you may want to consider getting a hotel close to the airport or near your meeting venue. By doing so, you can really cut down on transportation costs and time. You may also want to book a hotel that offers free wifi just in case you need to get some work done.
If you are traveling for vacation, figure out which attractions or landmarks you want to see and book a hotel that is within close proximity. Although hotels near attractions might cost a little more, you may find that spending those extra few dollars is worth the convenience. You can even find hotels that align with your interests. For example, if you are looking for a relaxing vacation, a spa hotel may be the perfect choice for you.
You'll also want to determine which type of accommodations will suit your needs before booking a hotel in Langley. If you're traveling with the kiddos, a family friendly hotel will offer larger rooms and more sleeping arrangements. For those traveling for an extended period of time, booking a hotel suite with a kitchenette is a smart move and will feel a little more like home. If you are budget conscience and just need a place to rest your head, a hostel or motel may be all you need.
If you are looking to score the best discounts and deals, use the filter to sort by price from low to high. You can book a hotel in Langley for as low as $54 per night. If you are looking to cut down on expenses, look for hotels that include free breakfast and parking. Some hotels even offer free shuttle service to and from nearby places. You can also sort by star rating, proximity, and guest rating.
Before you book, check out user reviews. Hotels.com has 2974 reviews in Langley. We show reviews from Expedia and TripAdvisor so you know that you are reading genuine, reliable reviews. Be sure to download the Hotels.com app so you can book your reservations on the go, view amenities, and save the hotels you want to view and compare later.