text:
Sale Inline Skates
Showing 1 - 9 items
Reg. $299.99
The Rollerblade Twister 80 Urban Inline Skates are made to be quick and maneuverable so you can skate between obstacles on the streets and through the park. If your playground is the concrete jungle then these skates were made for you. Back again for a... Read More
{boxId:"compare6aff326d76dd6b6e6d2dfe977e", id:"371597P"}
Reg. $379.99
The Rollerblade Maxxum 90 Urban Inline Skates combine a fusion of superior lateral support, comfortable padded liners, and a versatile wheel setup that can be used for commuting, cruising, or training. The vented, molded hard shell provides plenty of s... Read More
{boxId:"compare387d8d378b7b70a106505ecad8", id:"415886P"}
Reg. $419.99
The Rollerblade Maxxum 100 Urban Inline Skates are the ultimate hybrid of urban skates offering a combination of superior lateral support, comfortable padded liners, and a versatile wheel setup that can be used for commuting, cruising, or training. The... Read More
{boxId:"compare06980abca4448c88f5de73cdbb", id:"415874P"}
Reg. $325.00
The K2 VO2 100 X Pro inline skates are the high end fitness skates you've been looking for. Great for athletes looking for a solid training session or a fitness inline skater looking for a top of the line skate with all the bells and whistles, the K2 V... Read More
{boxId:"compare7f8482fa95b4ae215b29d8cd61", id:"410352P"}
Reg. $349.99
The Rollerblade Macroblade 100 Inline Skates offer a new design which increases performance and comfort. From speed to stability, any serious skater will fall in love with these skates the moment they step into them. Built with a Macroblade Shell, thes... Read More
{boxId:"compare68f1a3506520f7ff43f0f68334", id:"415828P"}
Reg. $449.99
Get a Gotham inspired skate that looks awesome and will carve up the streets with the Rollerblade Metroblade C Urban Inline Skates. This skate will tackle turns and give you little bursts of speed all while giving you custom comfort. For lots of dura... Read More
{boxId:"compare42217fc56cc9cbe59506043747", id:"415862P"}
Reg. $479.99
The Rollerblade Tempest 100 C Inline Skates offer plenty of support, comfort and strength so you can get the most out of your skating experience. The Tempest 100 C features a Carbon Fiber Shell which makes these skates very durable and supportive. With... Read More
{boxId:"compare1c13aee35e1e13ed8ce1231f79", id:"375662P"}
Reg. $300.00
The K2 Uptown urban inline skates have some fantastic features making them a hard skate to pass up. Great performance from an aluminum frame and shock absorbing footbed meshes with unique features like glow in the dark accents to make a remarkable skat... Read More
{boxId:"compare8dcae09bc1cdfc0f767af79deb", id:"410392P"}
Reg. $539.99
With cutting edge components and premium materials, the Rollerblade Tempest 110 C Inline Skates are for those who love speed and want the best support, comfort and performance out there. The Precision Fit Liner adds comfort and ensures that you have a ... Read More
{boxId:"compare23eacc0d7e50a90190176a7aea", id:"375651P"}


text:
Still Alive (Portal)
Credits & Info
- Uploaded
- Feb 4, 2013 | 8:30 AM EST
- File Info
- Song
- 4 min 10 sec
- Score
- 3.88 / 5.00
Related Content
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Licensing Terms
You may not use this work for commercial purposes without making specific arrangements with the artist UNLESS your work is a web-based game or animation, in which case you may use this freely.
- Score:
- Rated 3.88 / 5 stars
- Plays & Downloads:
- 13,472 Plays | 607 Downloads
- Share Links:
- Genres:
- Easy Listening - Jazz
- portal
- still
- alive
- smes
Author Comments
Rated 5 / 5 stars
hey im geting this bug with the newgraunds music in some point of the music it does this:pssfjdfhjsdhf. its realy anoying but still great work
Damn, sorry to hear about the bug. But glad that you enjoyed the music =)
Rated 1.5 / 5 stars
the piano is really annoying
Hmmm from all this hate for the piano, i think i'll remix it to turn the piano down at least
Rated 5 / 5 stars
I am for sure that you will respawn to this review like you did with all the others.
Correct! I am Alive again..... Still Alive! =P
Rated 4.5 / 5 stars
THANK YOU! We shall!!!! =)
Rated 3 / 5 stars
Mastering could be improved. The drums and the bass overshadow the piano and sax at times, and the various instruments sound out-of-sync when the tempo picks up. I found listening to the saxophone was more enjoyable than focusing on the other instruments. Sorry Harry :(
Yeah, I'm just getting into mixing and mastering as we speak. I have lots to learn obviously! Hopefully can get some good quality stuff up soon too. Thanks for your review! =)

subset: commoncrawl


text:
603 N. Lamar Blvd Austin, TX 78703 512-472-5050 Open 9AM - 11PM The largest independent bookstore in Texas!
Books On Our Site May Not Be Available In-Store
Is This Book In Stock? Be Savvy! Check availability details beneath the blue "Add to Cart" button.
Reach for the Sun Vol. 3 (Paperback)
Special Order
Literary Criticism. Reach for the Sun is the third volume of Bukowski's letters from Black Sparrow Press, selected by Seamus Cooney.
About the Author
Charles Bukowski is one of America s best-known contemporary writers of poetry and prose and, many would claim, its most influential and imitated poet. He was born in 1920 in Andernach, Germany, to an American soldier father and a German mother, and brought to the United States at the age of two. He was raised in Los Angeles and lived there for over fifty years. He died in San Pedro, California, on March 9, 1994, at the age of seventy-three, shortly after completing his last novel, Pulp.


text:
accounting jobs
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Ambry Genetics - Aliso Viejo, CA
Lead, develop and support a rapidly growing billing, collections, and insurance verification team using strategic, tactical, and process improvement decision...
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CAMP-of-the-WOODS - Speculator, NY
Complete all bank account reconciliations. Participate in CPA audit; The Accounting Manager oversees the day-to-day back office responsibilities of the...
Staff Accountant
Seaboard Foods - Guymon, OK
Full GL accounting duties, including research, analysis, reconciliation, journal entry, transaction entry, and statement preparation....
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Phillips Pet Food & Supplies - Easton, PA
MBA, CPA or CMA a plus. Ensure the monthly and quarterly Bank Compliance activities are performed in a timely and accurate manner....
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Pacific Power Group - Vancouver, WA
Resolve accounting discrepancies and irregularities. Assists with financial, bank, and internal audits....
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Ervin Equipment - Toledo, IL
AP, AR, fixed assets, general ledger reconciliations and maintenance, etc. Bachelor's degree in Accounting or related field is required....
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CliftonLarsonAllen - Minneapolis, MN
Complete non-complex account reconciliations, such as bank reconciliations, accounts receivable, accounts payable, and other balance sheet accounts....
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New Hampshire Public Defender - Concord, NH
Finance, Accounting, Human Resources, Risk Management and Facilities Management. The ideal candidate will have strong analytical and financial planning skills...
Sr. Financial Analyst
Wabash National Corporation - Lafayette, IN
Revenue accounting — gross/net sales/rebates/accruals. Eporting to the Director of Finance, CTP (Commercial Trailer Products), this position will support Wabash...
InterVarsity Christian Fellowship - Madison, WI
Fulfill general accounting functions, maintain financial systems, analyze financial information, develop and maintain reports, provide communication and...


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Nokia Lumia 610 Windows Phone
Nokia Lumia 610 review: A well constructed, budget Windows Phone that offers a solid user experience
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First impression on unpacking the Q702 test unit was the solid feel and clean, minimalist styling.
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For work use, Microsoft Word and Excel programs pre-installed on the device are adequate for preparing short documents.
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The Fujitsu LifeBook UH574 allowed for great mobility without being obnoxiously heavy or clunky. Its twelve hours of battery life did not disappoint.
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The screen was particularly good. It is bright and visible from most angles, however heat is an issue, particularly around the Windows button on the front, and on the back where the battery housing is located.
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My first impression after unboxing the Q702 is that it is a nice looking unit. Styling is somewhat minimalist but very effective. The tablet part, once detached, has a nice weight, and no buttons or switches are located in awkward or intrusive positions.
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text:
The Spanish Tragedy, The Revenger's Tragedy, 'Tis Pity She's A Whore and The White DevilFrancis Bacon described revenge as a 'kind of wild justice'. Then as now, early modern playwrights and their theatre-going public were fascinated by the anarchic energies that a desire for retribution unleashes. Rather than rehearsing familiar conventions, each of these plays presents a unique social and cultural milieu where dark fantasies of revenge are variously played out.In Kyd's The Spanish
$12.29Give your baby a great name! Naming Baby helps take the stress out of choosing the perfect name for your bundle of joy. It includes over 3000 boys' and girls' names, and their meanings, and provides lots of sound advice. - How to choose a name that complements your surname. - How to keep your relatives and spouse happy, while still ending up with a name you (and your child) will like. - Ideas for
$9.89Exercises and reflections to create moments of mindfulness in every day that will lead you to a calmer, more positive way of livingo Struggling to slow down and live in the moment?o Feeling overwhelmed by constant daily distractions?o Seeking a better life balance?If you answered yes to any of these questions, you will find the exercises and reflections in A Year of Mindful Living will help you to
$2.99You'll find a name for your new baby in this book! 15,000+ Baby Names was designed to let you easily scan through a list girls' and boys' names to find the right name for your new baby. This book includes: guidelines for naming your baby; names from a variety of racial, ethnic, and religioius backgrounds; origins, meanings and famous namesakes; and a helpful cross-referencing system to lead
The Life-Changing Magic of Tidying Up
The Japanese Art of Decluttering and Organizing by Marie Kondo | Key Takeaways, Analysis & ReviewThe Life-Changing Magic of Tidying Up by Marie Kondo | Key Takeaways, Analysis & Review Preview: The Life-Changing Magic of Tidying Up: The Japanese Art of Decluttering and Organizing (2011) by Marie Kondo helps readers discard unnecessary items, reorganize their possessions, and properly store items in a home. The procedures Kondo developed for organization and decluttering are called the
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Finding Your Way Back to YOU: A self-help book for women who want to regain their Mojo and realise their dreams!Are you at a crossroads in life, lacking in motivation, looking for a new direction, or just plain 'stuck'?Finding your Way back to YOU is a practical resource written specifically for women who have found themselves in any of these positions.Written by Lynne Saint - experienced Life Coach, NLP Practitioner and Hypnotherapist – this is a hands-on book with an accompanying downloadable journal and
Over 7,000 of this year's favourite namesThe ONLY annually updated baby names book including the year's most popular names, celebrity choices and names making a comeback. Discover the right name for your new child with over 7,000 inspirational names, tips on choosing and a look at the trends for 2013. Choosing a name for your baby is one of the most enjoyable parts of preparing for your new arrival. But choosing the right name for your
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Baby Names For Dummies®, Mini EditionFind the right name for your baby!Includes Biblical, medieval, Shakespearean, and international namesThis guide is more than just a listing of names - each entry contains variant spellings as well as the name's meaning, history, and derivations.Discover how toDecide what matters to you in a nameChoose a name from around the globeSelect a name from literature
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text:
WebScarab is an intercepting HTTP/HTTPS proxy written in Java and packaged for OS X. You can view and modify requests. Good for debugging web applications.
Required OS: not specified
, developer
, security
, sniffer
, interceptingpro
, java
Neighbours are people who use many of the same apps as you. You can find
user neighbours on the right hand side of the user profiles.
please give us feedback |
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Created by Arne & Marcus.
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text:
I'm new to Team Foundation Server 2010 and I have a question about permissions.
Is it possible for a project to inherit permissions from a project collection? I want to setup a custom contributor group at the project collection level and add the developers to it. Each time they create a new project I want to inherit the permissions from the project collection. That means I don't have to explicitly add the developers to the project each time they create one.
Maybe there is some other way of doing this and not having to setup a custom contributors group? Any help would be appreciated!


text:
June 22, 2016
Dinner at 6:30p, Meeting to begin promptly at 7:00p
The Mancheski Executive Seminar Room
in the Lender School of Business
on the Mount Carmel campus of Quinnipiac University.
275 Mount Carmel Avenue, Hamden, CT 06518
For Directions to QU, Click HERE. For the QU Campus Map, Click HERE.
Davis Rusch and special guest Bob Orban (via Skype) will conduct a presentation on audio processing for TV, AM, FM and Streaming.
Bob Orban Bio:
In 1970, Bob founded Orban Associates, originally as a manufacturer of studio equipment. In 1975, Orban Associates introduced the original Optimod-FM 8000, which was the first in a long line of broadcast audio processors for AM, FM, TV and digital broadcasting from the company.
Orban has also been involved in professional recording for many years and has mixed several records released on the Warner Brothers label, as well as on small independent labels. As a composer, his music has been heard on classical radio stations in New York and San Francisco, and his score for a short film, "Dead Pan," was heard on PBS television in Chicago. He has designed studio reverberators, stereo synthesizers, compressors, parametric equalizers, enhancers, and de-essers under both the Orban and dbx brand names.
Bob Orban has been actively involved in NRSC committee AM improvement work. He has been widely published in both the trade and revered press (including Audio Engineering Society, Proceedings of the Society of Automotive Engineers, and SMPTE). He co-authored the chapter on "Transmission Audio Processing" in the NAB Engineering Handbook, 10th edition. He currently holds over 20 U.S. patents. In 1973 he was elected a Fellow of the Audio Engineering Society. In 1993, he shared with Dolby Laboratories a Scientific and Engineering Award from the Academy of Motion Picture Arts and Sciences.
In 1995, he received the NAB Radio Engineering Achievement Award. In 2002, he received the Innovator award from Radio Magazine. In 2015 Orban introduced the Optimod PCn 1600, the first Optimod that runs natively on the host computer's Intel x86 processor; the software does not use dedicated DSP chips.
This year Orban introduced the company's new flagship FM audio processor, the OPTIMOD-FM 8700, featuring versatile five-band and two-band processing for both analog FM transmission and digital media.
Food and Refreshments will be provided (couresty of Orban).
Meetings are open to all individuals: members and non-members.
Your SBE Chapter 14 Leadership:
Fred Krampits - Chairman
Ryan Krupa - Vice Chairman
John Ramsey - Treasurer
Your Chapter 14 Team:
Fred Krampits - Chair
Ryan Krupa - Co-Chair
John Ramsey - Sec/Treas.
Charles Fitch/Mike Graziano, Certification Co-Chairs


text:
My husband and I spent a very relaxing anniversary in the Sunset Suite earlier this month.
I chose this place because I had stayed here 25+ years ago when it was a dive charging $23 per night. I had noticed this place more recently while driving through Ashland to eat at the Thai Pepper or Kat Wok because it was obvious that upgrades were being done. The garden landscaping and twinkling lights in the courtyard piqued my curiosity. I went to the website and was impressed by what I saw, though I thought I would reserve judgment until we saw it in person.
I chose the Sunset Suite because it touted 2 televisions and 2 separate rooms... my idea of the perfect anniversary... his in one room and hers in the other ;). An unanticipated bonus with this choice was that it is apart from and adjacent to the original motor lodge area, in a small home that has been converted into three units. It has a dedicated shared parking area (suitable for 2 compacts) and on-street parking for larger vehicles. There is a small tree-shaded deck with a cozy sitting area that would be very nice in the spring, summer, or fall. The rooms are tastefully painted in grey with white trim, with a dark wood floor. The photo of this room on the website is the most accurate room depiction I've seen.
The front door opens into a small living/sitting room. The couch is comfortable, with an ottoman/table. There is a wet bar with water glasses, wine glasses, ceramic cups, and 2 coffeemakers. The coffee provided is obviously freshly ground and very tasty.
The bedroom is adequately sized and very nice, the bed was incredibly comfortable, though the bedside clock required a degree in engineering to set the alarm. They have every amenity in the bathroom, a very nice selection of soaps, and fluffy white bathrobes to use during your stay. The large tub is gorgeous and deep. The shower pressure is adequate.
Morning Glory Cafe is only a block away. This was another reason we chose The Palm. Morning Glory opens at 8 AM on the weekends, so we were able to get there just before the rush, have a leisurely and scrumptious breakfast, and then go back to the room to take a little nap before check-out time (11 AM).
The management and staff is quite friendly and accommodating. Read the cancellation policy before you make a reservation on-line. If you have a problem with the policy, I recommend calling The Palm directly and talking to the manager to see about other reservation arrangements.
I will definitely stay here again. I plan on running away from home some evening and renting one of the small rooms in the courtyard area... but that's our little secret... and I'll tell you all about that room afterward.
- Official Description (provided by the hotel):
- Step outside of the ordinary. Guests enjoy award-winning gardens, mature trees, and lawn seating areas that are as welcoming as they are comfortable. Cottage-style guest rooms and sumptuous fireplace suites available. In summer and fall, you'll enjoy an inviting new pool concept complete with private cabanas, and soothing water features. Guests enjoy flat-screen TVs and both complimentary wireless internet and parking. Conveniently located across from the university. ... more less
- Also Known As:
- The Palm Hotel Ashland
- Palm Hotel Ashland


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You may want to edit your link ... ;)
You may want to edit your link ... ;)
matt should apply a language filter on this forum...
i dont use the word ass and google find my site offensive for adsense application coz of use of offensive words...
Are you talking out of your ass again? What's wrong with ass? Why is saying "ass" bad? Are you just trying to be an ass? I already know that you are a pain in the ass. Google can stick their adsense up their ass.
Taboo it - use the word 'donkey'. :) Or the russian 'zhopa'. (no direct relation to 'zope', but there might be something...)
Cool. I also see you fixed the image thing. I thought you just had a baby! :)
Israelis Kill Saruman
No, that was Anti-Matter Moose, my guest blogger. He does the game and movie reviews on my site. He and his wife live in Windsor, ON, and they are the new parents! :)
I have a 12 and 8 y/o. My moose-making days are over!
I dont know about Nuclear Moose Candy. This stuff is commonly referred to as toxic waste.
This topic has been closed to new replies.


text:
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All Comments (14)
So delighted to meet you. 'Your ass, pussy, boobs, hips, legs and dick are just so good to be true, can't take my eyes off you' lol the four season song. lol
Big load... HOW?!?!
Shake it! Shake it! Shake it! Shake it!
a want the naime of this nana
kateme i want that ass
Pretty sure the male talent is Snoop Dog
the name is kelly divine
this is not a big load
Name of the gal, plz?
good ass
Spotty bott!
Perfect big white ass. Amazing girl
Love the way she works that ass and pussy, big pussy lips to wrap around my dick


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Leprechaun is a 1993 cult American horror comedy film written and directed by Mark Jones. It stars Warwick Davis in the title role and Jennifer Aniston in her film debut. The film was shot in Saugus, Santa Clarita, California. Wikipedia
Alex: We're rich, you know what this means?
Ozzie: Yeah, I can buy comics every week.
Alex: Yeah, but you know what else?
Ozzie: What else?
Alex: We can get you an operation.
Ozzie: For what?
Alex: To make you smart, see we can go to the hospital and have them operate and fix your brain!
|30 points
|1 point
|1 point
|1 point


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New English Hobbit has arrived …
Three new Russian Hobbits have arrived …..
New Dutch Hobbit has arrived …..
Special Dutch edition of The Hobbit: only available in Belgium, for sale at Standaard Boekwinkels (marketed by knack.be).
Thanks to knack for selling me this book!
Paperback, in box with the three parts of In de Ban van de Ring (see right picture). Covers by Alan Lee, no illustrations, just the usual maps.
More info about this book? Then click on cover of De Hobbit.
03 2015
new French Hobbit
New Macedonian Hobbit
New Spanish Hobbit has arrived …. a very special one
This really is a very, very fine Hobbit. A limited Spanish edition, celebrating The Hobbit's 70th birthday.
Hardback with dust jacket in a wooden box, Minotauro 2007. This is number 2.628 (of only 3.500 copies).
Thank you Susana Pérez Sánchez for selling this beautiful book, a real gem in my Hobbit collection, to me.
More info about this book? Click on cover.
01 2015
Once again a Cornish Hobbit …
HOBBITHUNTER BOOKSHOP – ten new additions
Today these new additions in HOBBITHUNTER BOOKSHOP. Please go to www.hobbithunterbookshop.com and take a look at the bottom of your screen.
Amongst those ten books:
01 2015
New Hobbit: the Cornish translation of The Hobbit
Quite a surprise: all of a sudden there was a Cornish translation of The Hobbit. Translated by Nicholas Williams, he also translated The Hobbit into Irish (An Hobad, 2012).
Hard back edition, no dust jacket issued. I bought this book at amazon.co.uk.
For more information about this book, click on cover.


text:
I'm currently dealing with emotional problems as is, so it's really important that I figure out whether or not OTCL will help or make this worse. Also, it would be a big inconvenience if this affected my sex drive negatively. My boyfriend and I see each other rarely, so it'd be bothersome if I was never "in the mood."
Ortho Tri-Cyclen Lo - How does OTCL affect mood and sex drive?
- Posted:
- 30 Mar 2012 by Wiseone314
- Topics:
- ortho tri-cyclen, ortho tri-cyclen lo, birth control, sex
Responses (1)
17 Apr 2012
Most all birth control pills affect your mood or emotions at first maybe the first few months or so this is only because your body is adjusting to it but this usually isn't really noticeable unless your on a high dose I was started on lo estrin 24 and it was just too much for
Me I felt I was goin crazy some days so I had it switch to a lower dose now I've been on it for 2 years with no problems and as far as the sex drive it sometimes decreases it but also it can increase it so it just all depends on how your body responds to it! Hope this helps!
Further Information
Search for questions
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I usually take birth control every month, I had a breakthrough bleed in my last week on my pills so I decided just to have my period. I believe it ...
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Reviewed by 2 customers
Great color, shade is very clean white, the base is slightly smaller (very slightly) than I would have preferred for this design, but that is being nit-picky. I'm worried about replacing the shade, should that need to happen. The shade is oval and may be tough to find. The pricing is excellent.
The color is a true bright aqua or light turquoise. They are a little


text:
Savannah: Response to engagement news is 'crazy'Play Video
More video
TODAY's Sheinelle Jones looks back at her family history
Web Extra: TODAY's Sheinelle Jones and Dylan Dreyer prank their producer
Web Extra: Watch outtakes from Dylan and Sheinelle's intern experience
TODAY's Sheinelle Jones and Dylan Dreyer intern with Rascal Flatts
Savannah Guthrie made a big announcement on TODAY Monday morning: She's engaged!
After revealing that her longtime beau, Mike Feldman, proposed over the weekend, the Twitterverse lit up with warm wishes and congratulations from celebs and viewers alike.
Check out their reactions to the exciting news — and that gorgeous ring — below:


text:
<x>Hi all,

I am refining a structure of a protein with a mutated DNA bound. I want to overlay that DNA with a DNA molecule I built using coot. When I go to overlay the two DNAs, I get the error message "mobile selection must derive from one object only". I made sure that the files were defined the same way in their PDB files.

Any advice?

Jason Porta
Graduate Student
Dept. Biochemistry
University of Nebraska Medical Center
Omaha, NE 68198

</x>


text:
tag: sideboard
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Side Table of Curly Cherry and Tiger Maple
This curly cherry and tiger maple table was a wedding present for my son and his bride. It was specifically designed as a serving table with storage for wine bottles and glasses. The table's sides...view details
Side Board (design is from Garrett Hack)3 comments
This was from Garrett Hack. While I know it doesn't match his quality... I did my level best not to embarrass him. I've had lots of complements on it. He has great video's on FWW that I have found...view details
Server Table in the Greene & Greene Style2 comments
Server table to accompy dining room table and chairs completed earlierview details
Dichomate Stained Cherry Buffet4 comments
This buffet was constructed from solid cherry (frame and top) and shop-made veneer plywood panels all around. I used traditional mortise/tenon joints and dovetailed drawers (front and back). The...view details
Biedermeier Sideboard5 comments
This sideboard is a house-warming gift I made for my son and his family. I designed it based on Biedermeier furniture (mid 19th century Austria), whose classic simplicity seems to work well in...view details
Cherry Shinto Style Chest of Drawers
Draper had just completed a chest of drawers in the Shinto style and liked it so much he decided to make this sideboard next.view details
David's Shop
Some of my shop photos.view details
Zink Coasters
To make these coasters, I use a variety of woods, such as bloodwood, padauk, purple heart, walnut,cherry, and oak. Making patterns to compliment the natural colors of wood is a welcomed challenge!view details
Walnut and White Oak Sideboard2 comments
Complete with a live edge in the backsplash and the front edge of the topview details
Merlin - Teak and Beech credenza3 comments
Nesting Cabinet in stand. cabinet is fassened to stand with through wedged tenons. integral drawer and door pulls. stand, drawer fronts, carcasse interrior; European Beech. Carcasse is shopcut...view details
Two doors furniture
This two doors furniture's also made with oak for the carcass and the panels of each doors are made with ash. The top is made with breadboards, both are linked with ash pegs and the cracks on the top...view details
aok and wallnut sideboard1 comment
this furniture is made of oak for the carcass and wallnut for doors panels and butterfly keys on the top and left front foot. The joinery was made by hand. It's 2.40m long by 1.10m tall and 65cm...view details
Zen Foot of Bed Chest3 comments
Zen Foot of Bed Chest with drawer storage and more importantly a place to fold the comforter onto. This piece was custom designed and built for a Client in Boston.view details
Mahogany Federal Sideboard1 comment
Sideboard serves as a lesson for student thesisview details
Woodworking Business - What To Build To Make Profits2 comments
Woodworking is a great art and hobby that you can quickly turn into business. You need to know that different woodwork projects will have different markets. For instance, if you are making toys, then...view details
7 Drawer Hallway Table
Embodying the Shaker custom of simplicity, this 7 Drawer Hallway Table created by Jim Zink of Meredith, New Hampshire is a contemporary translation of traditional Shaker furniture. Light in color...view details
Madrone and Maple Sideboard2 comments
Sleek lines for a modern sideboardview details
Ravenwood Wine Hutch
I live in Oregon's wine country and wanted to create a unique wine cabinet made largely from local woods. This design is a blend of different design styles and elements. I wanted a design to...view details
Cherry Sideboard
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Anneal-Rite affords annealing case necks at 750 F. and not the case head. A .308 Win. case has only 5% of its weight in the neck. When heated quickly and removed from the flame there is 95% of the brass dissipating the heat, which is being absorbed by the aluminum cartridge case holder. This prevents case head annealing.
Read the ANNEALING ARTICLE click button, top of page
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Anneal 500 to 600 cases per hour @750 F - CONSISTENT - FAST - PERFECT. Improves accuracy, extends case life. Anneal-Rite Includes; base stand, two propane bottle holders, one 750 F. bottle of Tempilaq© heat indicating liquid, cartridge case holder, wood turning knob & axle. CLICK CARTRIDGE CASE HOLDER LIST BUTTON for selections. Propane torches optionally available. For additional information email email@example.com or call (479) 629-5566.
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Most Recent Articles In Fashion
Latest Fashion Articles
- Clothing and Country: Queen Elizabeth's Couture Goes on Display at Buckingham Palace
- Celebrity Fashion Report Card: Taking the Heat
- Beyoncé to Wear Francesco Scognamiglio on Stage in Milan
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Start your coat fund now. The fall runways were lined with amazing toppers. This week, WWD highlights the best of the bunch, beginning with those worked in plaids.


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Apple announces countdown to 100 million songs
As the number of songs downloaded from Apple
Related Stories
- Apple bringing full iTunes Match capabilities to Apple Music subscribers
- Apple releases iOS 9.3.3, watchOS 2.2.2, tvOS 9.2.2, iTunes 12.4.2
- Rumor: Apple making longterm plans to retire music downloads? (Update: Source doubles down)
- NBC Sports Radio now available in Music app
- Apple releases iTunes 12.4.1
- Apple engineers visit musician's home, are stumped by iTunes deletions
You can eat unposted threads, and I'll be busy trying to be # 100 million.
Posted by jwc110869 in Irvine, CA on July 1, 2004 at 10:18 AM (CDT)
One very oddly written contest rules page
Read the second sentence of the last paragraph. Now read the bold paragraph where it states who wins the 20GB iPods.
Posted by Attis in Irvine, CA on July 1, 2004 at 10:48 AM (CDT)
so i guess that means that free weekly downloads are eligible to enter but not to win?
Posted by wheelbarrow in Irvine, CA on July 1, 2004 at 11:03 AM (CDT)
ok…so why would anyone buy a song right now then?
They should've waited until reaching the 95 mark before announcing this.
Posted by adrenaline in Irvine, CA on July 1, 2004 at 2:42 PM (CDT)
The Apple counter is going up every few minutes, so people haven't stopped buying :)
They must realize the chances of winning are so small they need not worry about it.
Posted by Nagromme in Irvine, CA on July 1, 2004 at 2:51 PM (CDT)
Not bad. I could use another iPod :) too bad its like impossible to win.
Posted by TheGFather in Irvine, CA on July 1, 2004 at 2:57 PM (CDT)
This doesn't make sense to me. Any other business that gives away prizes to it's n-th customer, doesn't post how many customers they've had so far. If you do, people like myself, won't buy anything until other people get the counter close. I think there will be slow business until the counter gets close to a 100,000 mark, and then people'll buy a lot, and then stop again and wait. Maybe it'll all even out in the end, but I doubt it.
Posted by movafova in Irvine, CA on July 2, 2004 at 8:14 AM (CDT)
Sales have actually increased since the contest was announced.
Posted by Chimpee in Irvine, CA on July 3, 2004 at 9:45 AM (CDT)
well ... couldnt they make the counter fake? we could all be waiting for no reason. I mean cmon the counters at 893,733 then for 5 min nothing happens then all of a sudden BAM 900 mil? wtf.
Posted by THeGfather in Irvine, CA on July 3, 2004 at 9:18 PM (CDT)
^900 mil, wtf? Apple is counting up to 100 million…but I agree that it would be nice if the counter refreshed more often. ARRGH.
Posted by jeffro in Irvine, CA on July 9, 2004 at 6:04 PM (CDT)
Recent News
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- Opinion: Why Apple needs a dedicated HomeKit app


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Director: Bryan Wizemann
Cast: Lauren Ambrose, Audrey Scott, Dylan Baker, Penelope Ann Miller, Adina Porter, David Conrad
Country: USA
Think of Me (Bryan Wizemann)
Lauren Ambrose (Six Feet Under) gives a breakout film performance as a single mother struggling to make ends meet in seedy Las Vegas. Working two jobs while trying to wrestle child support out of her ex-, slipping out for hits of meth from her upstairs neighbour, having anonymous sex with the guys she picks up at the local strip bar (and then awkwardly suggesting they could like maybe pay her a hundred bucks?), and generally being a terrible mother to her already troubled eight-year old daughter, Ambrose plays a young woman caught up in intractable problems. Plus, she is completely alone.
Even the people who try to help her out appear to be creepy, manipulative, untrustworthy in the extreme. Ambrose's Angela is adrift, and while we watch her struggling against the chains that have entangled her, we see them only tighten with each desperate movement. As a tour around the edges of third world America—a place where children wear the same cheap clothes day in and out, the car never starts, the credit card is king, and the carwash is the best entertainment money can buy—this is a chilling and illuminating film. Too bad the ending feels hollow, relying on a deus ex machina trick that feels utterly out of snyc with the otherwise stark realism of the foregoing.
Blesst Chest "Blesst Chest Theme Song" (audio) (premiere) // Music
The Chairman Dances "Dorothy Day and Peter Maurin" (audio) (premiere) // Music
National Park Radio 'The Great Divide' (album stream) (premiere) // Music
Kendra Erika "The Truth Never Lies" (video) (premiere) // Music
Culture Belongs to the Alien in 'Spirits of Xanadu'
// Moving Pixels
"The symbols that the artifact in Spirits of Xanadu uses are esoteric -- at least for the average Western gamer. It is Chinese culture reflected back at us through the lens of alien understanding.READ the article


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OSI-Approved Open Source (106)
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ICQ like client for Symbian OS 9.2
Portable GameBoy Emulator
A portable emulator, mainly oriented on the GameBoy by Nintendo but in the future maybe also other Z80-based systems. Written in C++ and with SDL.
A graphical user interface (GUI) for MySQL Databases using Trolltech's QT toolkit. Intended for people with no or little SQL Knowledge and for creating small databases on a PC.
Linux Instant Messenger Tonix
LIMT (Linux Instant Messenger Tonix) is a new IM for VoIP, text messages and file sharing.
CrossPlatform Toolkit Library
A C++ based framework for highly object-oriented cross-platform programming. Includes Thread, Processes,Filesystem access,GUI, etc. plus a set of generic utilities like Strings,Data structures,advanced debugging tools, etc.2 weekly downloads
XMPP/BeOS Talk2 weekly downloads
C/C++ Memory Debugging Library
MemDBG is a little library that can help C and C++ programmers to debug memory leak bugs and other common pitfalls. It traces the memory blocks allocated and can reports errors and other informations on standard output, files and through UDP datagrams.1 weekly downloads
prt-get is a package management tool for CRUX (http://crux.nu) which provides additional functionality to crux' package management system. It works with the local ports tree and is therefore fully compatible with ports(8) and pkgmk(8)/pkgadd(8).
This project is about height map generation by fractal formulas and perlin noise. FractalEye is a software written in C++/Qt3. The implementation sports with portable and efficient highlevel primitives, which compile under GNU C++ and BCC32.1 weekly downloads
SpeedModem 50B+200 CELL 19A-BX
Control- and Status-Utility for Tr*ndCh*p-based ADSL-modems. It allows to access the devices' console-service and retrieves their current staus. For example those TC3084 devices are supported: Lucent CELL 19A-BX, Speed Modem 50B(+) and 200 by Arcor.1 weekly downloads
gimmage: a simple image viewer for unix
Gimmage is a small gtk image viewer, perfect for command line usage as it accepts directories and image filenames as arguments. It also has a filechooser integrated into the main UI, making accessing images and directories a snap.5 weekly downloads
traffic shiffer, web interface & reports, squid and sendmail log analyzer2 weekly downloads
PSP-OSS is an initative for a 3rd party shell on Sony's PSP1 weekly downloads
Konversation is a user-friendly Internet Relay Chat (IRC) client built on the KDE Platform.1 weekly downloads
Haiku is an open-source operating system currently in development designed from the ground up for desktop computing. Inspired by the BeOS, Haiku aims to provide a computing experience that is simple yet powerful, and free of any unnecessary complexities.1 weekly downloads
ClamCour is a Courier-MTA multithread filter that allows Courier to scan mail for viruses using Clam Antivirus package.1 weekly downloads
Orbgnosis a satellite targeting system that finds optimal rendezvous tours among many target vehicles. Given initial states for a chaser and multiple targets, Orbgnosis finds tours (i.e. Wandering Salesman Problem) that visit each target in turn.
FastCPP is an Apache module which implements a C++ Web development environment, and it can be used to develop high-performance Web applications. Fastcpp program converts Fastcpp scripts to C++ source files by using the mixed syntax of C++ and HTML.
Konference is (or better: will be) a video-conferencing application for KDE. Since the rewrite (2005/01/25) it supports SIP as the signalling protocol. No longer H323 folks.1 weekly downloads
The smartCast.org project provides multicast audio/video streaming server capabilities, extended by simple RTCP statistics and SAP announcements. There are two version: simpleCast is a command-line single-stream server, smartCast is a multi-stream daemoni
Zia httpd server
The goal of this project is to create an HTTP Server: It will be able to handle classic HTTP documents and pages requests, CGI execution, etc... A Desktop server developped in C++, with interoperable modules support. This server will have to handle secur
KHTML/BeOS Browser
Nirvana is the new approach to produce brand new alternative way to Web Browsing under BeOS/Haiku. Our main goal is bring free, fast browser which is coded in BeOS-native C++ style and utilizes proven codebase, with support for modern technologies like CS2 weekly downloads
The Fish
The Fish provides a GTK, Qt and ncurses based graphical tool to manage and edit FreeBSD system variables stored in /etc/defaults/rc.conf and /etc/rc.conf.1 weekly downloads


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Fern is a four year old Dutch Harness/Shire Sport Horse Cross mare. She stands at 15.2 hands high (looks like she'll mature around 16.1) she is a great…SOLD
Check his video: https://youtu.be/Rhy3pp831p8 Max is a gorgeous Draft horse. He is a mix Shire x Appaloosa. He's a bay roan, 15.3 hands high, 8 years…SOLD
3 year old Sparkles is a stunning Registered Gypsy/Drum mare. Complete in-your-pocket personality, she seeks out attention, has a solid start under saddle…SOLD
This is a 16.2 hand BLACK SHIRE GELDING that is very flashy. He has four high white stockings and a blaze face. This gelding is very broke to ride and…SOLD
Handsome 18.2 hand Shire gelding, 15 years old. Trained to Second Level dressage. He loves trails and polls. W/T/C. He has had extensive Clinton Anderson…SOLD
Beautiful 11 year old black and white overo warmblood mare for sale! She was shown in pony club and dressage for a while then she was shown in 4h by a…SOLD
UPDATE: On August 2, 2012, Indy was named Jr. Champion and Res. Grand Champion, as well as Best Ohio Owned Shire Stallion at the Ohio State Fair Regional…SOLD
This mare will definitley stand out in a crowd. Dont let her size intimidate you, as she is as sweet and quiet as they come. She is a 12 yr old black shire…SOLD
Fairfax, CA


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text: It does not matter if you stay with us once a year or once a month, at the Cambria hotel and suites in Fort Collins, CO, you are always a VIP. We are near Colorado State University, Fort Collins Country Club, Medical Center of the Rockies and the Fort-Collins-Loveland Municipal Airport. Our smoke-free, stylish and modern hotel offers you free WiFi, free parking, a business center and an indoor heated pool. There is an option for everyone at our Social Circle bistro, perfect for a simple yet interesting bite to eat and vibrant full bar. Catch a workout on the go at our Custom Fit fitness center. All stylish and modern suites feature a flat-screen HDTV, refrigerator, microwave, coffee maker and hair dryer. Earn rewards with every stay with our Choice Privileges Rewards program. Breakfast available at a charge.


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GASPARILLA ISLAND, Fla. When Doug Creek was a pitcher for the St. Louis Cardinals his favorite part of spring training was coming to St. Petersburg, Florida where he got to fish in saltwater.
Growing up in Martinsville, WV. Creek was an avid bass fisherman, a hobby that followed him to college at Georgia Tech. But it wasn't until he got a taste of saltwater game fish that he started to gravitate toward Florida waters.
"Once I caught my first redfish I was ruined," admits Creek, who now lives fulltime in Punta Gorda, Fla. "Saltwater fish are so much tougher than freshwater fish, and you never know what you're going to catch. There are not as many limitations."
"I got to play ball for 14 years. Now I'm retired from baseball with a wife and two little kids and I'm living the dream," said Creek. "I guide and also have a baseball academy where I teach baseball to little kids."
Tarpon season is Creek's busiest time of the year. He'll run a fishing trip until mid afternoon, come home, wash the boat and head over to the baseball academy to help kids work on their pitching motion. He says he's happy as can be in his little piece of beauty away from the crowds and big cities.
"Charlotte Harbor is so much different from Tampa Bay, even though it's only 75 miles north of here," Creek said. "This is old Florida here. There's so much backcountry in Charlotte Harbor, where Tampa Bay has a lot of development on it and a lot less habitat."
The two big bay systems so close to each other compete for the game fish traveling up the west coast of Florida, and habitat isn't always the determining factor. Red tides, water temperature and the abundance of baitfish will attract or deter the fish from one area.
"When redfish come in during the spring, they decide they're either going to go in Tampa Bay or Charlotte Harbor. One location will have them when the other one won't."
Unlike a lot of the waterways in Florida where urban fishing around docks and bridges are the favored Snook haunts, Creek says he fishes a lot of pristine shorelines and wide expanses of grass flats. It's that natural beauty of the location that makes fishing in Charlotte Harbor a special place to catch a memory.
"A lot of my fishing here is deep water tight to the mangroves. I like to beat the bushes, but we'll also get big open flats where the redfish will get onto the potholes over the sand," said Creek.
"We caught some Snook and trout this morning along the drop-off on the edge of a sandbar in open water," Creek said. "We were on the West Wall where we have ten miles of sandy potholes and drop-offs."
Creek said the six Snook they caught on the first day of the tournament all came from open water that had no relative pattern to it. The fact that the fish are sitting in arbitrary locations makes it harder to target them on the flats.
"Usually they'll sit in potholes or along the mangroves or where there's a strong current moving around an island shoreline. Today, they were just out in open water in the middle of nowhere," Creek said.
Going into the second day of the Raymond James Boca Grande Classic Creek plans to target some of the first tarpon to arrive in the area this spring. If he can catch a fish or two early, then he'll be back on the flats of Charlotte Harbor chasing Snook, sea trout and redfish and living the dream.


text:
Mimic Technologies Blog
Better Teamwork Leads to Better Outcomes in the OR
Surgery has often been referred to as a team sport. The role of the surgeon is undoubtedly critical but so is the role of the entire team in ensuring patient safety and positive outcomes.
This is especially true in robotic surgery where the main surgeon is no longer at the patient's side but is seated at a robotic console outside the operative field. The console-side surgeon now relies heavily on a first assistant or patient-side surgeon. The first assistant is a skilled laparoscopic surgeon whose prime objective is to work as a team with the robotic surgeon to maximize efficiency during the procedure.
A recent study titled, "Impact of Assistant Surgeon on Outcomes in Robotic Surgery," by Dr. Rishi Nayyar, et al., published in the Indian Journal of Urology found that, "with increasing experience of patient-side surgeon and associated console surgeon, who form a consistent surgical team, the mean operative time for all robotic procedures shows a consistent trend of reduction across all surgical types." (Click Here to Access the Full Study)
Typically, better outcomes in robotic surgery are associated with only the console-surgeon. According to Dr. Nayyar's study, there is no existing objective evidence regarding the impact on outcomes with the experience of the assistant surgeon in robot-assisted surgery. Therefore, the goal of this recent study was to objectively verify the hypothesis that the experience of patient-side assistant in robotic surgery affects intraoperative outcomes.
During the study, a total of 100 cases of robot-assisted laparoscopic pyeloplasty were analyzed and on comparing outcomes between the 1st and 2nd halves of the assistant experience, the mean operative time reduced from 102.50 min to 82.80 min (P = 0.001) and mean blood loss reduced from 72.00 ml to 63.90 ml (P = 0.91). (See table below)
As the study suggests, a console-surgeon and first assistant to who work consistently together make a better team and positively influence the outcome of the procedure. Mimic's Xperience Team Trainer (XTT) was developed specifically for this reason.
The XTT simulates the patient-side and connects with the dV-Trainer that simulates the console side, thereby allowing both the console and the patient-side surgeons to train in tandem with virtual reality simulators. Routine tasks are executed crisply and efficiently while also working on communication between both surgeons.
A 2015 study done by Dr. Jacques Hubert, et al., published in Surgical Endoscopy confirmed face, content, construct, and concurrent validity of the Xperience Team Trainer as an assessment tool of robotic surgery bed-assistance skills for the patient-side surgeon.
This study also emphasized the importance of teamwork between the patient-side and console-side surgeon in robotic surgery, which may change the paradigm of robotic surgery training in the near future. To read a past post about this study, click here.
Nayyar R, Yadav S, Singh P, Dogra PN. Impact of assistant surgeon on outcomes in robotic surgery. Indian J Urol 2016;32:204-9
Things to Consider When Looking for a Robotic Surgery Simulator
There are many aspects to a training simulator that can be considered when making the initial investment in simulation training. For robotic surgery, we believe the top factors to consider are:
- Validation studies conducted on and using the simulator
- Fidelity of the controllers
- Accessibility of the simulator
- Data, data, data!
Since Mimic launched its first version of the dV-Trainer in 2007, there has been a growing number of new robotic surgery simulators entering the market. The real impetus for simulation training was made clear in 2010 when Intuitive Surgical decided to launch their own Skills Simulator, a backpack-like addition for the da Vinci® Si platform.
Intuitive Surgical chose to license 27 exercises that Mimic had already developed or were in the process of developing especially for ISI. This was made possible by the new design of the system, which allowed for the console to operate independently of the patient side cart and core. Since 2010, both the ROSS Simulator from Simulated Surgical Systems and the Robotix Mentor from Simbionix (now 3D Systems) have entered the playing field.
The installed base of da Vinci® surgical systems is now over 3,500 systems around the world and close to 2,000 simulators have been installed and used to support this installed base. The majority of training simulators are da Vinci® Skill simulators (with Mimic's licensed software) and close to 12% of robotic surgery simulators are Mimic's dV-Trainers.
Our estimate is that over 70% of institutions performing robotic surgery have access to a simulator of some form or another and that close to 90% of robotic surgeons will at some point have tried a simulator. In fact, since 2007 we believe that between the dV-Trainer and the da Vinci® Skills Simulator over 6.25 million exercise sessions have been completed.
So has all of this simulation training activity been valuable you may ask? One way to look assess simulation training is through validation studies. There are currently five different ways of determining validity. Starting with the basics Face, Content, and Construct and moving to more valuable validation such as Concurrent and Predictive, the definitions are:
Face validity: Does the simulator have a realistic look and feel, compared to the actual surgical system?
Content validity: Is the simulator useful as a training tool for the surgical system?
Construct validity: Does the simulator have the ability to distinguish between Novice and Expert users?
Concurrent validity: How does the simulator compare to a similar or related construct (Dry Labs, Tissue Lab, etc.) carried out on the real robotic surgical system?
Predictive: validity: Can the simulator be used to predict actual performance in the O.R.?
Face and Content are of relatively low value as they are subjective and the most highly valued validation studies are Construct and Predictive validity. The table below shows the number of papers that have been published on various types of validation. As you can see there have been over 30 papers published on Mimic software either on the dV-Trainer or the da Vinci® Skills Simulator platform.
Recently, simulation was a large part of the discussion at the FDA town hall meeting in Washington. Roger Smith from Florida Hospital presented a comparison of the different simulators led by himself (the table above is adapted from his presentation). The data presented was clear that the most focus in researching the simulators was on the controllers and how close they emulated the real robotic surgeon's console. Obviously, the da Vinci® Skills Simulator, which uses the real console is the real thing. However for the other simulators, this is where concurrent validity because extremely important, as essentially you are replicating (using the simulator) the same activity a surgeon would be doing on the real robotic surgical system.
A direct head to head study was done by Prof. Jacques Hubert and his team at the STAN Institute in Nancy, France between Mimic's dV-Trainer and the da Vinci® Skills Simulator. During the study, participants completed the same exercises on the both systems and researchers found that on average there was only a 3% difference in overall score between the two systems. (89.9% vs 86.8%). This varied by the type of exercise but remained consistent with some internal bench-marking carried out by Mimic. No studies have been done to the same extent on the Ross and Robotix Mentor systems.
Another component to take in consideration when choosing a robotic surgery simulator is the accessibility to the system. While the great thing about the da Vinci® Skills Simulator is that it uses the real console, this can also be very detrimental and a negative for the da Vinci® Skills Simulator that it uses the real console. Very few hospitals can afford to have a dedicated console outside the OR that is used purely for training and simulation. If an institution is lucky enough to have a dual console system they will have the simulator on the second console but that is still kept in the OR. The value of the second console is in allowing programs with residents to keep training new surgeons without interrupting the flow and efficiency of the OR. Data shows that simulation systems in the OR are used less than systems outside the OR. This is due to the simple fact that as robotic programs become more successful and utilization increases there is just not enough time for training.
All things considered, any learning experience is only as good as the objectives and goals that are being set for the student and how well they are being tracked. The MScore system allows tailored pass marks, proficiency levels and curricula to be set for the students based on their learning objectives. A multitude of metrics and data can be reviewed to allow a student to learn from their mistakes and improve their psychomotor skills.
So when looking for a simulator, make sure to find one that is validated, has high fidelity controllers, can be accessed 24/7 outside the OR, and has a flexible management and scoring system that can be tailored to meet your learning objectives. In the Tanaka study that was referred to in Roger Smith's presentation to the FDA meeting, an observation was made that while the majority of study participants preferred the usability of the da Vinci® Skills Simulator, 70% felt the dV-Trainer was the best value for money spent when taking all things into consideration.
Click here for more validation studies on Mimic and the dV-Trainer
The Value of Procedural Simulation and the Maestro Approach
Growing in popularity, robotic surgery is still not without challenges. Before the benefits of robotic surgery can be fully realized, the highest level of patient safety must be ensured, while remaining cost effective and at the same time allowing new surgeons the ability to be trained and access the technology without impacting safety and cost-effectiveness.
The Halstedian Method of "see one, do one, teach one" is clearly no longer sufficient for surgical training. Many comparisons between the training of pilots and the training of surgeons have been made over the years. In 2013, the FAA updated their rules to state that to be qualified as a First Officer, a pilot needed 1,500 hours total time. This includes both real and approved simulation time. Looking at a typical Resident training program, the calculations for a general residency that will last 4 years is approximately 16,600 hours. If within this a surgical trainee chose to focus on Gynecology for 20 months they would receive 6,400 specialty hours. If a surgeon focused on minimally invasive surgery, such as robotics, the Accreditation Council for Graduate Medical Education (ACGME) guidelines recommend 105 hours exposure to a variety of cases. Even tripling this minimum, a surgeon would be only at 300 hours of surgery, which is only a fraction of the 1,500 hours the FAA recommended training time for pilots.
Just as in aviation, simulation has been seen to be a solution allowing surgeons to develop their skills without impacting patient safety. Mimic's MSim software, found on both the dV-Trainer and the da Vinci Skills Simulator, has been one of the most researched and validated simulation software in the surgical field. Table 1 below shows the range of validation studies that have been carried out on either platform as well as other simulators.
The studies, and in a particular the predictive validity study looking at simulation and operative outcomes, carried out by Dr. Culligan, have helped shape recommendations for surgical training being developed by medical societies such as those developed by the American Association of Gynecologic Laparoscopists (AAGL) in 2014.
All of these studies and simulation programs focused on the psychomotor component of learning how to "drive the robot" and not necessarily the cognitive training requirements that would help train the next generation of surgeons. Augmented reality was developed under the Maestro AR name to help solve this issue. It is best to think of Maestro AR as a curriculum incorporating both psychomotor tasks and cognitive questions supported by a moderated guide on a procedural approach and technique.
The basic premise is that a student will learn more if the psychomotor skills that they require are placed within their procedural context as opposed to in a vacuum. As students are learning how to use the robotic device they are also being tested on tissue recognition, procedural choreography, as well as learning from the narration about the decision making process behind this specific approach.
The Benign Hysterectomy Maestro AR module, for example, is divided into 9 modules starting with a Pelvic Anatomy survey and working through clear steps on how to deal with the ligaments and uterine vasculature before finishing with the Colpotomy and the Vaginal Cuff Closure.
"Maestro AR addresses the next frontier of training by developing a pathway that incorporates Didactics with Augmented Reality through virtual reality simulation," says Mireille Truong, Virginia Commonwealth University Medical Center, "I am confident that research will show that adding didactic elements to simulation training will continue to improve surgeon performance when they enter the OR."
As with the airline industry, simulation is becoming a vital part of the armarmentarium required for surgeons to ensure that through all stages of their career, they have the correct level of skills for the task ahead of them. Just as pilot is able to land a plane in virtually any airport around the world on their simulator, it is hoped that surgeons will also be able to develop their skills within a procedural scenario in an augmented reality environment.
What's in a Score? (and What is the Data Telling You)
by: Christopher Simmonds
Data, data, data. That is all we seem to hear about today in healthcare. One of the consequences of the Affordable Care Act has been to ensure that hospitals, physicians, surgeons and nurses are becoming obsessed with data and information to an extent like never before. Looking at information across large data pools, trends can be identified and behaviors that drive the trends can be discovered and, if needed, modified, including robotic surgery, which is one of the areas where there is a lot of analysis occurring.
Robotic surgery is truly a misnomer, as in reality it is a computer-assisted surgery where the computer has been placed between the surgeon and the patient, enhancing the surgeon's capabilities as compared to other surgical techniques. If the robot was compared to a super hero, its role would be to turn the surgeon into Iron Man whose every day actions are enhanced by the power of computing.
The fact that there is a computer between the surgeon and the patient means that a lot of data can be captured. At their town hall meeting in July 2015, this was specifically noted by the FDA. In addition, a main focus of that meeting was training and simulation which also is computer-based and captures a lot of information, including a surgeon's actions which can then be translated into a scoring system. So what can these scoring systems for robotic surgery training tell us?
If you study surgeons long enough you can identify that some surgeons will be very precise in their motions and other less so. When training new surgeons there are also certain good habits you would like them to develop such as keeping their instruments in view at all times and making sure they do not use too much force or drop things. For these reasons the MScore system, which underpins all the scoring on the dv-Trainer, looks at efficiency and good habit metrics when calculating overall scores.
When Mimic initially developed the MScore system it was calculated as a percentage-based scoring system. The scores were based on the weighted average of all individual metrics as compared to an expert base line. While this provided a simple and easy way to display the score it may not have been the best in helping an individual focus on specific areas of improvement. A high percentage in one area could compensate for a low percentage in another area while still producing an acceptable overall percentage. Mimic refers to this as the classic scoring system.
After being challenged by educators, Mimic decided to take inspiration from FLS and develop what it now refers to as its proficiency-based scoring system.
Like the classic scoring system the revised MScore system is based on expert user benchmarks, however, proficiency is measured as being within one standard deviation of the mean score of those experts. As an example, if five surgeons' results have been pooled to produce the benchmark you have to perform better than at least one of these surgeons in order for you to pass. Instead of the overall result being a combination of the scores you have to become proficient at each individual metric before you can pass. The example below shows an individual who has passed on all other areas but failed in the area of blood loss. The number shown is a weighted addition of all the metrics together. The user would have likely passed in a percentage-based system as their superior scores in all the other metrics would have been compensated for their lower score in blood loss.
The other difference between the classic scoring system and the proficiency-based scoring system is that you can set proficiency thresholds. In FLS for example, for students to pass they need to complete the same exercise twice consecutively and ten times non-consecutively. The same principal has been introduced into MScore and defaults to two consecutive and five non-consecutive passes, though this can be modified by the end user.
Mimic realized early on that they did not have all the answers and therefore ensured that the scoring system was developed with an open architecture approach. Expert level benchmarks can be input from peer reviewed literature as well as from scores posted by surgeons within specific institutions. Weighting and proficiency levels can modified to meet specific needs. However curriculum and benchmarks such as the Morristown protocol are often used and have been implemented across many systems.
Overall, both the classic scoring system and the proficiency scoring system are helping surgeons improve their performance which is a good thing, noting that it will probably take someone longer to pass a proficiency-based curriculum than a percentage based one. In some instances this data is being used a part of annual certification programs but that will be the subject of another blog post, another day.
Maestro AR Inguinal Hernia Repair module debuts at CRSA and ACS in Chicago!
New Maestro AR™ 3D augmented reality brings procedure-specific content to robotic surgery simulation training for General Surgery
Mimic Technologies, Inc, announces the launch of the Maestro AR Inguinal Hernia Repair, a new augmented reality software module exclusively available on their dV-Trainer® robotic surgery simulator. Maestro AR is the first robotic surgery simulation technology that allows trainees to manipulate 3D virtual robotic instruments as a way to interact with 3D endoscopic video footage of an actual surgical case.
This full procedure simulation was developed in collaboration with Dr. Rick Low, M.D., Chairman of Surgery at John C. Lincoln Hospital, Phoenix, AZ, Chairman of the Robotic Program at John C. Lincoln Healthcare Network, and Medical Director for CAVA Robotics. Using 3D augmented video, Dr. Low guides trainees through each step of a robot assisted laparoscopic Inguinal Hernia Repair, from port placement and robot setup considerations to the final steps of the surgery. "With this Maestro AR procedure-specific training module, we present a reproducible, stepwise approach to robotic Inguinal Hernia Repair that we believe provides an excellent mechanism for the developing robotic surgeon to overcome the learning curve and mature into an expert robotic surgeon", said Dr. Low.
At each critical juncture of the procedure, trainees experience both cognitive learning and robotic surgery skills development by identifying critical anatomical structures and surgical landmarks, simulating tissue retractions, predicting dissection planes, answering multiple choice questions, and completing virtual reality skills exercises. Embedded virtual reality tasks emphasize hand-eye motor skills critical to proficient surgical technique, including needle handling and driving, knot-tying, and closure of a peritoneal defect. For each step in the procedure, comprehensive metrics are gathered and reported, allowing trainees to objectively track their progress at learning the procedure and becoming proficient with required robotic surgery skills.
Maestro AR for Inguinal Hernia Repair divides the complete procedure into the following steps:
1. Patient Positioning and Setup
2. Exposure of Pre-peritoneal Space
3. Reduction of Hernia Sac
4. Positioning and Suturing of the Mesh
5. Closing the Peritoneum
"By augmenting real surgical video with interactive virtual content, we are able to deliver realism on a whole new level," said Jeff Berkley, PhD, CEO of Mimic Technologies, Inc. "Our process for generating augmented reality is also extremely efficient and we expect to generate a large volume of content over the next few years that will allow trainees to walk through a wide variety of surgical scenarios as presented by world leading educators. We feel this will expose surgeons to a tremendous variety of surgical scenarios that would not normally be encountered under a normal case load."
Maestro AR is available exclusively on the Mimic dV-Trainer. In addition to Inguinal Hernia Repair, modules for Hysterectomy (lead by Dr. Arnold Advincula of Columbia University) and Partial Nephrectomy, (lead by Dr. Inderbir Gill of USC) are also available. Prostatectomy and Lower Colon Resection will be added to the package within the next half year.
Maestro AR for Inguinal Hernia Repair will be demonstrated at the Mimic Technologies booth at the Clinical Robotic Surgery Association (CRSA) in Chicago, IL, on October 2-3, 2015 and during the American College of Surgeons Clinical Congress (ACS), Mimic Booth #756, Chicago, IL, on October 5-7, 2015. In addition, Dr. Low will be speaking about Maestro AR at CRSA on Saturday, October 3, 2:05pm in a talk titled, "How to optimize costs and time in ventral hernia repair".
For more information: www.MimicSimulation.com/IHR


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The UP choir had their concert last weekend here in Pittsburgh which was hosted by FAAP and we were so lucky to have watched such incredible performance. The members of the choir were from UP alumni and they were touring all over Europe and some places here in the US. Together with the group was a famous Filipino comedian celebrity Nanette Inventor who also have amazing voice. It was quiet nostalgic listening to our own Filipino music and be in a crowd of mostly Filipino. Feels like home.
UP Concert Chorus with Nanette Inventor
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3 Reviews
Made this for a large group (triple the recipe). I left out the lemon juice when steaming the green beans. The color was good and the gremolata perfectly seasoned the beans. I'm a green bean fan so I've made several times since and enjoy the leftovers all week. Very fresh taste when made with fresh green beans, but I also made with whole frozen beans and can't tell much difference. Thank you!
Bergy's right...lemon does turn the beans an unattractive color. Even the lemon pepper I used to sub for the lemon juice/rind did.
I had some green beans to use up, so this recipe appealed to me. It turned out quite nice and I might even try it at room temperature or cold for those hot summer days. It has a nice fresh taste that we liked


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Mike Mayo, CSLA Bank Analyst, discusses an earnings call with Comerica that took a heated turn. » Read More
After Alcoa kicked off earnings season with a miss, will profits and outlooks will be strong enough to extend the market's advance?
A weaker-than expected jobs report spooked investors however it failed to send stocks tumbling. Instead money rotated into tech. Should you scoop up tech, too?
Pete Najarian anticipates some big moves in bank stocks and he's using the XLF as his proxy. What's the trade?
Stocks retreated Tuesday after several earnings reports beat expectations but economic numbers missed their targets. The Dow shed more than 50 points, or 0.5 percent, but still held above 10,000. The S&P and Nasdaq each lost about 0.6 percent.
Stocks retreated Tuesday after several earnings reports beat expectations but economic numbers missed their targets. Apple and Caterpillar surged after their earnings blew past forecasts.
Futures were poised for a modestly higher open on the strength of more earnings surprises from some of Wall Street's leading companies.
J.P. Morgan's blowout third-quarter gave the financial sector a big boost today. The firm reported a profit of $0.82 a share versus Wall Street's consensus estimate of $0.52. With J.P. Morgan's results setting the tone on the earnings front, should investors expect similar results from the group?
Another wave of much better-than-expected corporate results Tuesday shows that Wall Street's analysts have badly miscalculated earnings this quarter.
A late rally pushed stocks higher Tuesday following better-than-expected earnings from several Dow components. The Dow logged its seventh-straight gain, the Nasdaq, it's tenth.
The Dow advanced Tuesday as a slew of components beat earnings expectations. But there were pockets of weakness throughout the market, including chips, hardware, banks and retail. The Nasdaq was lower.
The Dow bolted out of the gate Tuesday as a slew of components beat earnings expectations. But there were pockets of weakness throughout the market, including chips, hardware, banks and retail. The Nasdaq was lower.
Futures indicated a slightly lower open for Wall Street Tuesday ahead of a slew of earnings and Federal Reserve Chairman Ben Bernanke's Capitol Hill testimony.
The quarterly reports for the big banks were terrible across the board, but stocks are up because the psychology and the method of valuing bank stocks have changed, said Richard Bove, financial strategist at Rochdale Securities.
The level of hesitancy in the market is so palpable you can almost taste it. Volume has dried up from even the last few months tepid pace. It seems that investors are waiting for someone else to jump in and make the first move.
Credit ratings agency Standard & Poor's on Wednesday cut ratings on 18 banks amid concern about further weakening in the financial sector.
The 30-year Treasury auction Thursday was met with strong response as the bid-to-cover ratio was a strong 2.68 to 1. The past few auctions were covered 2.21 on average.
Why are traders flooding bearish positions on Zions Bancorp on Tuesday?
While indicating a modestly lower open earlier this morning, the markets turned around late in the morning on a strong rebound in financials and the digestion of a series of less pessimistic comments by corporate executives.
Many of the recent fixes in the financial sector are merely "window dressing" and problems still persist in the banking sector, says veteran baking analyst Michael Mayo.
The Lightning Round is extended in this CNBC.com exclusive feature.


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Skip to comments.Marine beaten to death at Camp Pendleton
Posted on 11/09/2011 1:04:05 PM PST by ColdOne
CAMP PENDLETON, Calif. A 19-year-old found dead in his Camp Pendleton barracks had been beaten to death by a fellow Marine, investigators say.
Lance Cpl. Mario Arias Jr., from Canoga Park, Calif., was attacked at the San Diego County base over the weekend, authorities said.
The air crew trainee, from Marine Light Attack Helicopter Training Squadron 303, Marine Aircraft Group 39, 3rd Marine Aircraft Wing, enlisted in August 2010.
The Naval Criminal Investigation Service said the suspect is being treated in a hospital for "significant injuries" sustained when he jumped from a third-floor balcony.
Ed Buice, spokesman for NCIS at its headquaters in Quantico, Va., told msnbc.com that neither the suspect's identity nor the hospital where he is being treated would be released until charges had been brought.
(Excerpt) Read more at msnbc.msn.com ...
Just hoping this is not somehow related to the sexual orientation of either or both Marines.
Hope the dead guy wasn't gay or we'll never hear the end of this....
"The Naval Criminal Investigation Service said the suspect is being treated in a hospital for "significant injuries" sustained when he jumped from a third-floor balcony."
Looks like out suspect just signed up for a Life Long Enlistment in our military and will be stationed at Ft. Levenworth.
A guy is beat to death...and the perp jumps out a 3 story window?
Quite a bit of drama here.....
Seems gay.
More likely an Ego clash between a wanna be alpha and another devil dog who wouldn't roll over for anyone without the stripes to merit such.
Or over women.
If that is the case, you'll hear more of these type of stories.
Pandora's gay box is blown wide open.
A Code Red that went horribly wrong?
If he was gay he's not anymore.
You can't handle the truth.
Is Leroy Jethro Gibbs doing the interrogation?
Very unusual event. In my 21 years in the Corps I never heard of a case like this happening. Fist fights in the barracks, sure, usually over women with alcohol and ego mixed in.
But to the death? Unusual. In spite of what Hollywood would try to tell you.
This was so violent that it may well have involved 2 sodomites - one of whom felt "rejected" or jealous...
You would think someone would have heard something and try to stop it?
If I were a betting man I would bet on that.
We will see I suppose.
There was a soldier found floating in the river with a 2x4 thru his sleaves.
A captain was locked in a locker and tossed out a third story window. He wasn't dead after the first drop, so they took him for a second drop.
We knew of heroin dealers who were Viet Nam vets. They brought home a very dark side of that war.
No, I believe it is in other capable hands.
"Just hoping this is not somehow related to the sexual orientation..." or race. Arias signed up in '10, before DADT was eliminated. Just sad, no matter the circumstances.
That's what I'm wondering. Somebody knew enough to say that the confrontation was over the suspect's drinking, and they could only know that if they were present.
Something's not making sense here.
Things must have calmed down by the time I enlisted.
Although, one night when I had barracks duty a drunk Marine did try to toss me off the second deck of the barracks. He was too drunk to manage it, thankfully, and was properly contrite the next morning after his friends told him what he did. Too late, it was already in the log book. Wonder whatever happened to him?
Or if it were a constant occurance.
YOu bet they do. These kids live in palaces compared to the nasty squadbay I endured in Okinawa.
If it was two queers we will never read or hear about it in the MSM.
Since DADT has been stricken, the suspicion should be:
"Did he Tell them that he was a homosexual, and the Ask them to perform a homosexual act?"
I have been predicting a rash of military homicides from this for years. And soon, commanders will learn the lesson that under *no* circumstances should those homicides be recorded as because of the sexuality of anyone involved.
This will include the murderer, who will be bluntly told that if he fabricates *any* other reason for the murder, he will get years' less time in prison.
Sounds gay, but we'll have to wait and see. When I was in the Army, there were a lot of guys drinking themselves to an early grave. I never "confronted" any of them, not even the ones I liked, because it was none of my business.
I volunteered for VN in '70 to get out of our drug ridden racially divided kaserne. Much safer out in War Zone C than in the barracks at night with various stoners, dealers, junkies, and race haters running around.
Much safer out in War Zone C than in the barracks at night with various stoners, dealers, junkies, and race haters running around.
Those were the times when "low risk criminals" had a choice of going in the army or going to jail. We had some real treasures in the women's barracks.
No somethings not.
We had a guy that had restored two '57 Chevies in high school. Carried pictures of them around in his wallet, and would pull them out the way other guys showed off their wives or girl friends.
One was stock, and the other was balanced and blueprinted with nitrous injection and similarly beefed up steering and suspension.
The kid would blow into some Midwest town, pick up some local girl, and cruise the local strip, After a week or so, he would race some local hotshot for pink slips. Then he would skip town before the newly carless discovered that the car was a ringer.
Alas, he eventually blew into a town where his floozy of the week turned out to be the local judges daughter (and an overly mature looking fourteen). Ergot - Marine Corps.
His mom sold both those cars while we were at stumps.
Hate to say it but that was my first thought.
it fits the pattern for either one or both being homosexual.
While stationed at Mainside at Camp Pendleton in the late 70s, a lance corporal bludgeoned to death a corporal in the enlisted quarters where I lived....simply for being passed over for promotion.
There's no evidence that either one is a sodomite. One was drinking and the drink may simply have compromised any sound judgment he may have had.
Drink first compromises judgment. And after considerable drinking only then it will effect ability. He apparently was not compromised enough to not be able beat the other marine to death. But he was compromised judgmentally enough to jump from the 3rd floor.
Yes and a big new hospital coming up by the I-5 gate in O-side.
Does Oceanbag (that's what we called it) still have that stupid "Tan your hide in Oceanside" banner?
I spent Christmas of '67 in the isolation ward of the old 'Mainside' base hospital, which then was a huge, meandering one-story maze that covered acres it seemed. I'd been on mess duty as "Salad Man" with my bare arms mixing greens all day long when I came down with Rubella a/k/a German Measles........heh; I started a plague.
Welcome to FR, by the way....and be sure and locate (and act upon!) the Donate Now button; you won't regret it.
I think the base hospital is now 4-5 stores. Still run by the Navy.
The new one will be much larger. They say the'll be doing therapy for the wounded there.
Haven't seen that sign. We live downtown and we fondly call the downtown Marinetown. Our son was at CP Camp Marguerita until he got embassy duty, MSG.
Did you read the article or just the excerpt?
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