text:
SouthLake Permyjaya Launched by Naim in Miri City
A Multi-Award Winning Developer-Contractor named NAIM HOLDINGS BERHAD had just launched it's Signature project called SouthLake Permyjaya located opposite Desa Bahagia in Miri City on July 12-13, 2014. Together with a property showcase, the launching event was held at the Ground Floor Concourse (Atrium), Permaisuri Imperial City Mall Miri, from 10am-9pm on both days.
Introducing the SouthLake's Innovative Next Generation (SLING) Lifestyle which offers extraordinary living experience to its residents.
Highlights of the SouthLake Permyjaya Project in Miri City:
- A project spanning over 450 acres
- Club house at the lake front, providing a world of recreational and wellness facilities
- A 30-acre scenic lake for pure relaxation and healthy outdoor activities
- Security Guarded precincts for total peace of mind
- 'Security-smart' homes equipped with CCTV,
- web-enabled arming and disarming alarm, with a Central Monitoring System
- Enhanced connectivity with high speed broadband ready homes
- Embrace the unrivaled experience of lakeside living
- Comprising of residential and commercial components
- Located within the highly successful Bandar Baru Permyjaya township
- An array of retail, commercial and health care (1st KPJ Miri Specialist Hospital) at your doorstep
Currently, the project has introduced 2 components which are:
- 2 Storey Terraces Homes (Bilberry) at Willow Moss precinct. (price from RM558,888)
- 2 Storey Twin Villas (Lime Flower) at River View precinct. (price from RM793,888)
For now, Naim is giving promotions for their early bird customers:
- free legal fees for S&P
- free clubhouse membership
- free High Speed Broadband for 2 years (UNIFI)
- free Smart Security System with CCTV, web-enabled arming and disarming alarm, a panic button and a Central Monitoring System (CMS)
- free security guard services for 6 months (at precinct entrance)
- pre-install underground gas piping
Hopefully, both show house will be available by the end of this year. The houses mentioned above will be completed within 2 years time.
Developer information:
Naim Land Sdn Bhd
Miri Sales Office : Lot 223 – 226, First Floor, Permy Mall, Bandar Baru Permyjaya, Miri.
For those interested to know more about Naim Signature Collection, you can reach through Naim's sales representatives via the contact information below.
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text:
- 48 years old
- Date of birth: May 5, 1966
- Date of passing: Jun 20, 2014
- Place of passing:
palmetto, Georgia, United States
|Let the memory of jeff be with us forever
"my dearest Jeff, you completed me and was and will always be everything to me. no we were not legally married but you and I had our plans we just had to get thru the things we were dealing with before we took care of the other things. You have my heart just as I know I have yours. Its so unfair. I honestly cant see my days let alone my nights w out you, I ache for you, your every touch, your smell. everything I do,i see, or I go I see you. I miss your holding me at night, the I love you...mores, the wake ups to tina and itty bitty bang bang all this. lol We shared a love most people only dream of yes we had our arguments , yea I know there used to be only one person who could make you angry now theres two... me and laurie. I do know you were different you were faithful to me and our love. I always knew how much I loves you, and I could never see a day of my life w you not in it, but dear god the emptiness I feel is beyond imaginable. we had so many plans left to follow thru with. you and I know what those were that's all that counts really. I keep thinking its a nightmare im gonna wake up at any moment and see you beside me as always, just as the night you passed. I tried so hard to save you babe. you have the most genuine heart of anyone I know, never speaking a harsh word of anyone, although you would make excuses for several. at the drop of a hat you would help anyone at anytime no questions asked. I love you... more. You have my whole heart for my whole life, today tomorrow and forever.we will be together again until then I will forever keep you close in my heart my thoughts my dreams! Michelle aka "your favorite gwyndolyn""
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text:
|Publication number
|Publication type
|Application number
|Publication date
|Jan 20, 1998
|Filing date
|Mar 22, 1995
|Priority date
|Mar 22, 1995
|Fee status
|Also published as
|Publication number
|Alex M. Greenberg, Douglas M. Spranger, Paul J. Mulhauser, Mark C. Newby
|Original Assignee
|Human Factors Industrial Design, Inc., Greenberg Surgical Technologies, Llc
|Export Citation
|BiBTeX, EndNote, RefMan
|Patent Citations (23), Non-Patent Citations (2), Referenced by (65), Classifications (13), Legal Events (7)
|External Links: USPTO, USPTO Assignment, Espacenet
The present invention is directed to a surgical instrument and, more particularly, to an endoscopic suture tying aid.
Endoscopic surgery is surgery performed intracorporeally without requiring a large incision. Endoscopic surgery is typically performed by inserting a number of ports through small incisions in the patient's skin to access the surgical site. One of the ports receives an endoscope, which is a video camera-like device. The surgeon views the surgical site via the endoscope and performs the surgery by inserting surgical devices through the ports into the patient. This avoids having to "open up" the patient, resulting in less invasive surgery than conventional procedures.
FIG. 1 illustrates a typical laparoscopic surgery, which is one type of endoscopic surgery. FIG. 1 shows three tubes, or ports 30a, 30b, 30c, inserted through a patient's cutaneous region (skin) 32, through several tissue and muscle layers 34, past the peritoneal membrane 36, which encloses the abdominal cavity, and into the abdominal cavity 38. One port 30a receives a laparoscope 40. The laparoscope 40 is a type of endoscope. The laparoscope 40 provides a light source and may be connected to video equipment for displaying the surgical site on a TV monitor. The port 30a also receives an insufflator 42 which inflates the abdominal cavity with CO2 allowing the organs to be seen, and providing the surgeon with room to manipulate surgical instruments. Laparoscopic surgery is commonly used for many types of abdominal surgery and is also becoming increasingly common in other surgical areas, such as thoracic surgery. This specification describes the invention illustratively with respect to laparoscopic surgery, but a person skilled in the art readily understands that the invention described may be used in many types of endoscopic surgery.
One difficulty facing surgeons performing endoscopic surgery is suturing through the ports 30. A surgeon may wish to tie knots during endoscopic surgery for many reasons. For example, a surgeon may wish to close an incision made in an organ or to tie off a portion of an organ to be removed. One reason suturing is difficult is because of the difficulty in tying knots for sutures located inside the patient, when the surgeon can only access the surgical site through the ports.
This task is difficult for several reasons. The surgeon's approach to the surgical site is limited to the access provided by the available ports. In a typical laparoscopic surgery, for example, the surgical site is typically quite distant from the surgeon's hands. For example, a standard grasping tool used for tying sutures intracorporeally is 14 inches long. Thus, the surgeon's hands are more than a foot away from the surgical site. The surgeon has less control over the surgical instruments than if tying the sutures "hands on", making a simple task much more difficult. Another reason is that the surgeon is not directly viewing the surgical site. Rather, the site is often viewed by watching a video monitor. The surgeon must replace hand-to-eye coordination with hand-to-video coordination. The camera also presents other difficulties, such as difficulties adapting to the depth of field presented, viewing angle, and limited camera frame size.
Intracorporeal suturing and knot tying require several series of movements involving passing the suture and needle from one surgical instrument to another. This series of passes is required for each "bite" of tissue in a simple running stitch.
Even more difficult is knot tying the first and last passes of a run of continuous sutures. A typical knot tied during laparoscopic surgery is a "surgeon's knot". This knot consists of two or three half hitches or "throws" and one reverse half hitch, which is a "locking throw". Intracorporeally, this knot requires multiple passes with grasping the needle and suture. The loops of one throw of the knot are formed by wrapping the needle end of the suture around the shaft of a grasping instrument opposite to the instrument holding the needle. With loops around the grasper's shaft, the suture opposite the instrument holding the needle is picked up. The throw of the knot is then formed by pulling on the suture legs in opposite directions. To complete a surgeon's knot, this must be done three or four times (i.e., three of four throws), depending on the suture thickness. The final knot (the locking throw) must be looped in the direction opposite the other throws. Once the locking throw is complete, the two ends of the suture are secured by a grasper, cut, and removed from the site by withdrawing the grasper from a port.
Several methods are currently used to tie sutures during laparoscopic surgery. One method passes an endoscopically introduced needle through tissue flaps. The needle and suture are withdrawn through a port and a knot is tied outside the patient's body. Using a knot pushing device, the knot is pushed back into the body, securing the tissue flaps. This method has several disadvantages. It requires a long suture length. This suture length makes it difficult to tie continuous sutures. Also, the instruments must be withdrawn from the ports to tie the knots. All of these disadvantages result in a time consuming and inefficient process.
A second method is to use two grasping-type surgical instruments to tie a knot intracorporeally. This method requires greater than usual manual dexterity and replacing hand-to-eye coordination with hand-to-video coordination, because the surgeon must view the surgical site on a monitor screen.
A third method is performed with a device illustrated in FIG. 2. This device is manufactured by Storz, a German company having offices in Culver City, Calif. and sold under the trade name Koninckx. This instrument 50 has a needle grasper 52 and a hood 54 attached to a shaft 56. To tie a knot with the Koninckx device, one end of a suture is grasped with a grasper and the other end is free. Using the Koninckx device, the suture is caught using a hook 55 attached to the hood. The rotating knob 56a is turned 360� to create a loop around the suture leg. Using the grasper, the other end of the suture is now grasped through the loop and pulled through the loop to complete the knot. This knot is not a surgical knot, as preferred by most surgeons performing endoscopic surgery. The Koninckx device cannot tie a true surgeon's knot because the hook cannot rotate around the suture in two directions. Thus, it cannot make the final locking throw in the opposite direction.
It is an object of the present invention to provide an endoscopic device which facilitates tying surgical knots intracorporeally.
This object is achieved by an endoscopic intracorporeal suture tying aid according to the present invention. The device allows a suture to be looped around itself multiple times and cinched. Preferably, the device allows the suture to be looped in two directions, enabling a surgeon's knot to be easily made.
A preferred structure comprises a needle holder connected to a proximal end of a shaft for releasably holding a needle; a hook which is longitudinally positionable with respect to the needle holder; and a shaft which is axially rotatable with respect to the hook. The hook may be placed in at least two positions; the first position being in the vicinity of the needle holder and the second position being distal to the needle holder.
This device is preferably used as follows. The needle holder holds a needle, which passes a suture through tissue. The hook is then positioned in the vicinity of the needle holder, and the shaft axially is rotated so that the needle rotates, causing the suture to be snared by the hook. The hook is withdrawn, creating a loop and pulling additional suture through the tissue. The shaft is again axially rotated, looping the suture a desired number of times around itself. The hook releases the suture and then the knot is cinched, forming one throw. Multiple "throws" may be formed. A final throw in the opposite direction may be made, thus forming the locking throw of a surgeon's knot.
Another preferred structure includes a longitudinally rotatable hook and a longitudinally extending suture barrel through the shaft. This device is used in a manner similar to the first embodiment, except that when the suture is snared, the hook is rotated longitudinally and distally to withdraw additional suture length through the tissue. The barrel extends to facilitate looping the suture. The barrel is withdrawn into the shaft and the shaft is extended to cinch the suture into a knot. The hook is rotated longitudinally and proximally to release the suture.
Yet another preferred structure has a sheath which rotates with respect to the needle holders.
This and other features of the invention will become apparent from the following drawings, wherein:
FIG. 1 is a cross-sectional view of a patient undergoing a laparoscopic surgical procedure;
FIG. 2 is side elevational view of a prior art intracorporeal knotting device;
FIG. 3 is a side elevational view of a preferred embodiment of an endoscopic intracorporeal tying aid according to the present invention;
FIGS. 4a and 4b are cutaway views of the device illustrated in FIG. 3;
FIGS. 5a and 5b illustrate alternative embodiments of the needle holders according to the present invention;
FIG. 6 is a front view of the device illustrated in FIGS. 4a and 4b;
FIG. 7 is a perspective view of the device of FIG. 3 holding a needle and having a sheath covering the needle;
FIGS. 8-15 illustrate a method for tying a suture intracorporeally using one or more throws using the device of FIG. 3;
FIGS. 16-21 illustrate a preferred structure and operation of an alternative embodiment of an endoscopic intracorporeal tying aid according to the present invention; and a method for tying of a suture intracorporeally using this tying aid; and
FIG. 22 is a cutaway view of a third embodiment of an endoscopic intracorporeal tying aid according to the present invention.
FIGS. 3, 4a, and 4b illustrate a preferred embodiment of an endoscopic intracorporeal suture tying device 60 according to the present invention. The device 60 has a handle 62 and trigger 64. Distal to the trigger is a hollow shaft 66 (see FIGS. 4a, 4b). At the distal end of the hollow shaft 66 is a needle holder 68a, 68b. The shaft may be rotated by turning a knob 70. A positionable sheath 72 runs the exterior length of the hollow shaft 66. At the pistal end of the sheath 72 is a hook 74. The hook 74 may be either integrally or fixedly attached to the sheath 72. It is preferable that the hook 74 be flexibly connected to the sheath 72 so that it can fold slightly inward when passed through a port 30. This flexibility is preferably limited to a single plane. That is, it should fold inward but not move side-to-side. The sheath may be retained in several different positions by a sheath positioner 76.
The handle 62, trigger 64, and sheath positioner 76 may be made of any material commonly used for surgical devices such as plastic, stainless steel, or other suitable material. The shaft 66 is preferably made of a suitable biocompatible material such as stainless steel, titanium, or other material. The sheath 72 is preferably made of a relatively stiff, biocompatible material such as stainless steel or an extruded or injection molded polymer.
FIGS. 4a and 4b illustrate an exemplary embodiment of a trigger 64 according to the present invention. A person skilled in the art readily understands that the trigger 64 may be designed and implemented in a number of ways. In this illustrative embodiment, the trigger 64 is pivotally connected to the handle 62 by a hinge 79. The trigger 64 may be, for example, a ratchet and pall arrangement with the release 78. Pressing a trigger release 78 causes the pall 80 to disengage from the ratchets 81. The trigger 64 is also connected to one end of an arm 82. The opposite end of the arm 82 is connected to a beak 68a. Pulling the trigger 64 causes the beak 68a to close in order to grasp a needle or suture.
The needle holder 68a, 68b, may be either a grasper 68a', 68b', as shown in FIG. 5a, or a clamp, as shown by needle holder 68a", 68b", as shown in FIG. 5b. The dashed-line arrows indicate the needle holder movements. The grasper 68a', 68b' may be preferable because the surgeon is provided with more degrees of freedom to angle the needle held in the needle holder than with a clamp 68a", 68b". The very distal end of the needle holder 68a, 68b includes a surface 83 which may be used as a knot pusher. The clamp 68a", 68b"provides a larger surface 83 than the grasper 68a', 68b'.
As seen in FIGS. 4a and 4b, a lumen 84 extends through the hollow shaft 66 and the handle 62 to allow a suture 86 to pass through. At the distal end of the shaft 66 (seen in FIG. 4b), in the vicinity of the needle holder 68, is an aperture 88 which connects to the lumen 84, allowing the suture 86 to exit the distal end of the device 60. Similarly, a second aperture 89 is located near the proximal end of the device (seen in FIG. 4a) on the handle 62. The shaft also includes a device 90 for holding the suture taut while preparing the device for use. As illustrated in FIG. 4b, this device may be a flexible membrane made of, for example, an elastomeric membrane such as silicon, that will hold the suture taut. A person skilled in the an recognizes that any number of structures are equally suitable for holding the suture taut, such as a mechanical clamp, a clasp, reel, or other device.
The hollow shaft 66 may be axially rotatable. As shown in FIGS. 4a and 4b, this rotation may preferably be accomplished by connecting the handle 62 to knob 70. In this illustrative embodiment, the proximal end of the shaft 66 is fixedly connected to the knob 70. The knob 70 is axially, rotationally connected to the shaft 66. The sheath 72 is not connected to the shaft 66, and the shaft 66 is free to axially rotate with respect to the sheath 72.
The sheath 72 may be longitudinally positionable into a number of desired positions. Three positions are illustrated in FIG. 4b. The first position, which is optional to the operation of the present invention, is a fully extended position, shown in dashed lines. In this position, the sheath 72 covers the needle holder 68. The second position is an intermediate position, shown in solid lines in FIG. 4b. This position exposes the needle holder 68 and generally aligns the hook 74 with the needle holder 68. The third position is a fully retracted position, also shown in dashed lines in FIG. 4b. This position withdraws the hook 74 portional to the needle holder 68. The purpose of these positions will be made apparent below.
The sheath may be retained in any of these three positions by the sheath positioner 76. As seen in FIG. 4a, the sheath positioner 76 may comprise a series of detents 92, at least one detent for each desired position. The sheath 72 may have one or more complementary-shaped indents 94 for mating with one of the detents 92. When the sheath is placed in the desired position, the indent 94 will mate with the appropriate detent 92, thus retaining the sheath in the desired position. Alternatively, the sheath positioner 76 may be self-centering to automatically return to a predetermined position, for example, the intermediate position, when not retained another position. This self-centering mechanism may include a spring 95 or other resilient device to return the sheath to a predetermined position, for example the intermediate position.
FIG. 6 shows the front of a device 60 according to the present invention holding a needle 110 connected to a suture 86. The suture exits the device 60 through aperture 88 and is tied to an end of a needle 110. The needle is firmly held in the needle holder 68.
FIGS. 8-15 illustrate a preferred method of forming several "throws" of a knot, using the device illustrated in FIG. 3-7. Before the device 60 is inserted through a port to the surgical site, it should be prepared. To prepare the device for introduction to the surgical site, a proximal end of a suture 86 is placed into the hooked end of a guide wire. The guide wire is pulled through the proximal end of the suture 86 through the shaft's lumen 84. The proximal end of the needle 110 is held within the lumen 84 and the sheath 72 may be placed in the fully extended position to cover the needle 110 and needle holder 68, as seen in FIG. 7, when inserted through a port (e.g., either 30b or 30c of FIG. 1) to the surgical site. The suture may be held taut by a suture holding device 90. The guide wire is removed from the suture 86.
Once the device 60 is introduced to the surgical site, the sheath 72 is placed in the fully retracted position and a needle 110 is held in the needle holder 68 (a grasper is shown) and passed through tissue T to be sutured, as seen in FIG. 8. The needle 110 is disengaged from the needle holder 68 by releasing the tension by pulling the trigger 64.
As seen in FIG. 9, a grasping instrument 112, introduced through another port, may be used to reposition the needle 110 back into the needle holder 68 and resecured by squeezing the trigger 64. An additional length of suture may be withdrawn by pulling proximally on the device 60. Additional suture may be needed, for example, to form suture loops or to chain multiple stitches. An alternative method for withdrawing additional suture length is by pulling on the needle 110 with the grasping instrument 112 before returning the needle to the needle holder 68.
As seen in FIG. 10, the sheath 72 is moved forward to the intermediate position so that the hook 74 is in the vicinity of the needle holder 68 (an arrow indicates the direction of motion in FIGS. 10-15 and 17-21). The knob 70 is rotated so the shaft 66 rotates, causing the needle 110, held in the needle holder 68, to rotate. The rotation of the needle places the suture 86 in the hook's 74 path. The hook 74 snares the suture 86. Placing the sheath 72 into the withdrawn position, as seen in FIG. 11, causes the hook 74 to withdraw the suture 86 and creates a suture loop.
The knob 70 is now rotated so the suture 86 loops around the shaft 66, as seen in FIG. 12 (illustratively, the shaft is rotated clockwise). The shaft 66 may be rotated multiple times. Preferably, the shaft 66 is rotated twice to create two loops. Because the suture extends through the shaft 66, the loops are formed around the suture 86. Thus, there is no need to pull the needle 110 through the loops. Because the suture extends through the shaft there is no need to use a grasping instrument to hold the second leg of the suture 86. As seen in FIG. 13, the sheath 72 is moved forward to the intermediate position to release the suture 86 from the hook 74 and then placed in the withdrawn position to remove the hook from the vicinity of the needle holder 68.
As seen in FIG. 14, the grasping instrument 112 may be used to remove the needle 110 from the needle holder 68. The throw may be cinched by pulling on the needle 110 with the grasping instrument 112 or, while pulling on the suture from the distal end of the device 60, the distal surface 83 of the device 60 may be used to push the knot into a closed stitch. Alternatively, pulling the proximal end of the suture 86 through the lumen 84 cinches the stitch. A third alternative is to pull proximally on the device 60 and with the grasping instrument 112 pull the suture 86 to cinch the stitch.
A locking throw may be formed by repeating these steps, but the shaft 66 is axially rotated in the opposite direction. For example, the throw illustrated in FIGS. 7-14 is formed by rotating the shaft clockwise. A locking throw for this knot is formed by rotating the shaft 66 counterclockwise.
Continuous sutures may be tied by providing enough suture and by placing the needle 110 back into the needle holder 68 and continue suturing. Additional single sutures may be performed by withdrawing and reloading the instrument.
FIG. 15 illustrates an alternative method for releasing additional suture for another knot after the step illustrated in FIG. 9. The entire device 60 may be withdrawn proximally, or a forceps may be used to pull out additional suture.
FIGS. 16-21 illustrate an alternative embodiment and operation of the intracorporeal endoscopic suture tying aid of the present invention. This alternative device 260 has a pivotable hook 274 which is connected to a second arm 282 (shown in dashed lines in FIG. 16). Pulling the second arm 282 proximally causes the hook 274 to pivot upwards. The hook 274 may be a pivotal unit having a first portion that is a rod 275 and a second portion that is a hooked element 276. The distal end of the rod 275 is connected to a sheath 272 by a first pivot 278. The sheath 272 is substantially as described above. The shaft 266 is also substantially as described above, except that it has a longitudinally slidable suture barrel 285 having a lumen 284 (the barrel and lumen are shown in dashed lines in FIGS. 16 and 18). Pushing on this barrel 285 distally causes it to extend out of an aperture 288 in a distal end of the shaft 266.
The device 260 is prepared and introduced as described above. A needle 210 is passed through tissue T to be sutured and repositioned into the needle holder 268 and resecured as described above, with the sheath 272 in the withdrawn position, as seen in FIG. 16. An additional length of suture 286 may be withdrawn from the device 260 by sliding the sheath 272 and barrel 285 forward so that the hook element 276 contacts the suture and the barrel 285 is located near the tissue to be sutured, as seen in FIG. 17. Extending the barrel 285 forward creates a larger controlled loop for the hook 274 to snare.
With the sheath 272 and barrel 285 in this position, the second arm 282 is moved proximally to pivot the hook 274 on pivot 288 so that the rod 275 and hook element 276 rotate backwards, as seen in FIG. 18. This pivoting movement pulls additional suture 286 from the barrel 285. The additional suture allows continuous suturing and a loop having a larger diameter than the loop created by the device illustrated in FIGS. 3-15. If a knot is desired (i.e., the beginning or end of a run of stitches), the shaft 266 is rotated, for example twice, looping the suture around the barrel 285, which is extended to the tissue being sutured.
FIG. 19 shows the suture 286 having loops as the barrel 285 is withdrawn into the shaft 266. The hook 274 is further rotated proximally to secure the suture and its loop. This further rotation also increases the available suture length for continuous suturing. The shaft 266 is pushed distally towards the tissue to be sutured to operate as a knot pusher to cinch the throw closed with surface 283, as seen in FIG. 20. The pivotable arm 274 may then be rotated forward by pushing the second arm 282 distally so that the rod 274 and hook arm 276 rotate distally to release the suture 286, as seen in FIG. 21. Additional suture length is available for continuous suturing.
FIG. 22 illustrates another embodiment of an endoscopic suture tying aid according to the present invention. The endoscopic suture tying aid 300 has a hollow shaft 366 fixedly connected to a handle 362. A needle holder 368 is located at the distal end of the hollow shaft 366. A sheath 372 having a hook element 374 connected to a distal end of the sheath, is fixedly connected to a knob 370. Turning the knob 370 rotates the sheath 372 and therefore the hook 374 axially with respect to the needle holder 368. This device 300 is used in the same manner as illustrated in FIGS. 7-15, except that the hook 374 axially rotates with respect to the needle holder 368.
While the invention has been described by the reference to specific embodiments, this was for purposes of illustration only and should not be construed to limit the spirit or the scope of the invention. For example, although the invention has been illustrated with respect to laparoscopic surgery, a person skilled in the art readily appreciates that it may be applied to many areas of endoscopic surgery.
|Cited Patent
|Filing date
|Publication date
|Oct 18, 1974
|May 11, 1976
|United States Surgical Corporation
|Three-stage surgical instrument
|Oct 8, 1976
|Sep 4, 1979
|Jarvik Robert K
|Repeating hemostatic clip applying instruments and multi-clip cartridges therefor
|Sep 24, 1982
|Dec 18, 1984
|United States Surgical Corporation
|Flexible, hydraulically actuated device for applying surgical fasteners
|May 17, 1990
|Aug 6, 1991
|Wilk Peter J
|Endoscopic suturing device and related method and suture
|Nov 13, 1989
|Dec 10, 1991
|United States Surgical Corporation
|Surgical instrument
|Sep 24, 1990
|Dec 24, 1991
|Inbae Yoon
|Suture devices particularly useful in endoscopic surgery
|Feb 5, 1991
|Mar 31, 1992
|Cyprus Endosurgical Tools, Inc.
|Christoudias curved needle suture assembly
|Nov 1, 1991
|Sep 15, 1992
|Ferzli George S
|Laparoscopic instrument
|Sep 11, 1990
|Jan 5, 1993
|Pierce Instruments, Inc.
|Knot pusher
|Mar 3, 1992
|Jan 12, 1993
|Ethicon, Inc.
|Method of forming a suture knot
|Apr 23, 1991
|Jan 26, 1993
|Arieh Bergman
|Suture ligating device for use with an endoscope
|May 30, 1991
|Jun 8, 1993
|Burkhart Stephen S
|Endoscopic suture knotting instrument
|Oct 23, 1991
|Jul 6, 1993
|Ethicon, Inc.
|Suturing device for multiposition holding of suture needles
|Dec 6, 1991
|Aug 10, 1993
|Cyprus Endosurgical Tools, Inc.
|Christoudias knot--transfer method and instrument
|Sep 18, 1992
|Aug 10, 1993
|Ethicon, Inc.
|Endoscopic suturing device
|Oct 15, 1991
|Sep 7, 1993
|Ethicon, Inc.
|Suture needle holder for endoscopic use
|May 1, 1992
|Oct 5, 1993
|Li Medical Technologies, Inc.
|Intracorporeal knot tying apparatus and method
|Nov 23, 1992
|Aug 9, 1994
|Adair Edwin Lloyd
|Parallel channel fixation, repair and ligation suture device
|Sep 22, 1993
|Jun 13, 1995
|Pa Consulting Group
|Endoscopic knot tying tool and method
|Feb 7, 1994
|Oct 3, 1995
|Richardson; Philip
|Suturing apparatus
|Feb 17, 1994
|Nov 14, 1995
|Arthrex, Inc.
|Method and apparatus for installing a suture anchor through a hollow cannulated grasper
|Dec 19, 1994
|Mar 19, 1996
|Linvatec Corporation
|Endoscopic needle with suture retriever
|Aug 22, 1991
|Feb 25, 1993
|Storz Karl Gmbh & Co
|Needle holder for use with endoscope - has jaws which can be manipulated to form knot in surgical thread
|Koninckx Suture Grasper and Knotting Device Set, Prof. Koninckx, K.U. Leuven, Storz, Karl Storz Endoskope, Aug. 1992.
|Koninckx Suture Grasper and Knotting Device Set, Prof. Koninckx, K.U. Leuven, Storz, Karl Storz--Endoskope, Aug. 1992.
|Citing Patent
|Filing date
|Publication date
|Jun 25, 1997
|Feb 16, 1999
|Ethicon Endo-Surgery, Inc.
|Suture cartridge assembly for a surgical knot
|Jul 29, 1997
|Sep 21, 1999
|Yoon; Inbae
|Surgical instrument with multiple rotatably mounted spreadable end effectors
|Apr 22, 1998
|Sep 21, 1999
|Yoon; Inbae
|Suturing instrument with rotatably mounted needle driver and catcher
|Aug 1, 1997
|Sep 28, 1999
|Yoon; Inbae
|Suturing instrument with spreadable needle holder mounted for arcuate movement
|May 1, 1997
|Nov 16, 1999
|Yoon; Inbae
|Suturing instrument with one or more spreadable needle holders mounted for arcuate movement
|Jun 17, 1997
|Nov 30, 1999
|Yoon; Inbae
|Suturing instrument with multiple rotatably mounted spreadable needle holders
|Aug 1, 1997
|Nov 30, 1999
|Yoon; Inbae
|Suturing instrument with rotatably mounted spreadable needle holder
|May 1, 1997
|Dec 21, 1999
|Yoon; Inbae
|Suturing instrument with multiple rotatably mounted offset needle holders and method of using the same
|May 1, 1997
|Jan 25, 2000
|Inbae Yoon
|Surgical instrument with multiple rotatably mounted offset end effectors
|May 1, 1997
|Jun 27, 2000
|Yoon; Inbae
|Surgical instrument with rotatably mounted offset end effector and method of using the same
|Apr 28, 1999
|Jul 11, 2000
|Yoon; Inbae
|Instrument and method for suturing anatomical tissue and tying suture material
|May 21, 1998
|Aug 8, 2000
|Applied Medical Resources Corporation
|Suture clinch
|Jul 23, 1997
|Oct 3, 2000
|Yoon; Inbae
|Surgical instrument with arcuately movable offset end effectors and method of using the same
|May 1, 1997
|Nov 7, 2000
|Yoon; Inbae
|Suturing instrument with rotatably mounted offset needle holder and method of using the same
|Aug 5, 1999
|Apr 10, 2001
|Inbae Yoon
|Surgical instrument with multiple rotatably mounted offset end effectors and method of using the same
|May 5, 2000
|Jul 17, 2001
|Inbae Yoon
|Method of using surgical instrument with rotatably mounted offset end effector
|Jul 25, 2003
|May 19, 2009
|Johnson David B
|Feb 3, 2006
|Mar 2, 2010
|PUR Water Purification, Inc.
|Fluid container having an additive dispensing system
|Jun 25, 2004
|Sep 14, 2010
|Cardica, Inc.
|Compliant anastomosis system
|Feb 9, 2010
|Apr 9, 2013
|Pur Water Purification Products, Inc.
|Fluid container having an additive dispensing system
|Nov 28, 2007
|Oct 8, 2013
|Cook Medical Technologies Llc
|Visceral anchors for purse-string closure of perforations
|Jun 22, 2005
|Oct 15, 2013
|Pur Water Purification Products, Inc.
|Additive dispensing system for a refrigerator
|Dec 3, 2004
|Nov 5, 2013
|Cardica, Inc.
|Compliant anastomosis system utilizing suture
|Apr 2, 2010
|Feb 11, 2014
|Cook Medical Technologies Llc
|Tissue anchors and medical devices for rapid deployment of tissue anchors
|Jun 24, 2005
|Apr 8, 2014
|Smith & Nephew, Inc.
|Suture passing surgical instrument
|May 22, 2008
|Jun 3, 2014
|Cook Medical Technologies Llc
|Suture lock
|Jun 22, 2005
|Nov 25, 2014
|Pur Water Purification Products, Inc.
|Cartridge for an additive dispensing system
|Jul 2, 2009
|Jan 27, 2015
|3M Innovative Properties Company
|Apparatus for dispersing additive into a fluid stream
|Jun 10, 2011
|Jun 2, 2015
|Entourage Medical Technologies, Inc.
|System and method for transapical access and closure
|Dec 21, 2012
|Oct 20, 2015
|Entourage Medical Technologies, Inc.
|System and method for transapical access and closure
|Dec 21, 2012
|Nov 17, 2015
|Entourage Medical Technologies, Inc.
|System and method for transapical access and closure
|Jul 4, 2011
|Mar 15, 2016
|Laprotech Ab
|Laparoscopic instrument
|Aug 19, 2011
|Jul 26, 2016
|Entourage Medical Technologies, Inc.
|Method for providing surgical access
|Mar 31, 2006
|Jan 17, 2017
|Ethicon Endo-Surgery, Inc.
|Method for suture lacing
|Aug 19, 2011
|Feb 28, 2017
|Entourage Medical Technologies, Inc.
|Method for tensioning a surgical closure
|Dec 21, 2012
|Apr 18, 2017
|Entourage Medical Technologies, Inc.
|System and method for transapical access and closure
|Aug 19, 2011
|Jun 13, 2017
|Entourage Medical Technologies, Inc.
|System for providing surgical access
|Oct 21, 2015
|Jul 4, 2017
|Olympus Corporation
|Suture device
|Oct 29, 2014
|Aug 15, 2017
|Entourage Medical Technologies, Inc.
|System for providing surgical access
|Aug 19, 2011
|Aug 15, 2017
|Entourage Medical Technologies, Inc.
|Method for providing surgical access
|Aug 19, 2011
|Oct 10, 2017
|Entourage Medical Technologies, Inc.
|System for providing surgical access
|Sep 25, 2013
|Oct 10, 2017
|Helen Of Troy Limited
|Additive dispensing system for a refrigerator
|May 22, 2002
|Nov 27, 2003
|Hatch Laird L.
|Suture passing surgical instrument
|May 16, 2003
|Nov 18, 2004
|Sharrow Joseph F.
|Battery mechanism
|Jul 25, 2003
|Jan 27, 2005
|Johnson David B.
|Jul 3, 2003
|Oct 13, 2005
|Bose Ganendra C
|Formation of knots
|Jun 24, 2005
|Oct 20, 2005
|Orthopaedic Biosystems Ltd., Inc. A Delaware Corporation
|Suture passing surgical instrument
|Jun 22, 2005
|Jan 12, 2006
|Olson Judd D
|Additive dispensing system for a refrigerator
|Aug 8, 2005
|Jan 26, 2006
|Orthopaedic Biosystems Ltd., Inc., A Delaware Corporation
|Suture passing surgical instrument
|Feb 3, 2006
|Aug 31, 2006
|Arett Richard A
|Fluid container having an additive dispensing system
|Mar 31, 2006
|Dec 14, 2006
|Stokes Michael J
|Method for suture lacing
|May 22, 2008
|Dec 4, 2008
|Wilson-Cook Medical Inc.
|Suture lock
|Jul 2, 2009
|May 26, 2011
|Bassett Laurence W
|Apparatus for dispersing additive into a fluid stream
|Aug 19, 2011
|Apr 12, 2012
|Shluzas Alan E
|System for tensioning a surgical closure
|May 5, 2017
|Aug 17, 2017
|Olympus Corporation
|Medical instrument and medical system
|Jul 9, 2014
|Dec 2, 2015
|Suture device
|Jul 9, 2014
|Jun 23, 2017
|Mar 18, 1999
|Oct 19, 2000
|Aesculap Ag & Co Kg
|Surgical needle holder for keyhole surgery; has tubular shaft with jaws and suture channel extending through wall of shaft, open at distal end and proximal end close to operating handle for jaws
|Mar 18, 1999
|Mar 8, 2007
|Aesculap Ag & Co. Kg
|Chirurgischer Nadelhalter
|Jul 21, 1999
|Apr 20, 2000
|Sarbu Joan
|Instrument zum Herstellen eines Knotens in einem Faden, insbesondere f�r die endoskopische Chirurgie
|Jun 16, 2009
|Sep 2, 2010
|Richard Wolf Gmbh
|Medical needle holder for e.g. intracorporal suturing of wound, during endoscopic operations, has actuating lever arranged at proximal end of shaft and provided for moving stopper between pivoting and swivel out positions
|Jul 3, 2003
|Mar 25, 2004
|Ucl Biomedica Plc
|Improvements in and relating to the formation of knots
|Jul 4, 2011
|Jan 12, 2012
|Laprotech Ab
|Laparoscopic instrument
|Mar 1, 2012
|Sep 13, 2012
|Medi-Globe Vascutec Gmbh
|Aid for forming a knot from a medical suture thread structure
|Jul 9, 2014
|Feb 12, 2015
|Suture device
|U.S. Classification
|606/148, 606/139, 606/205, 606/147, 112/169
|International Classification
|Cooperative Classification
|European Classification
|Jun 22, 1995
Owner name: GREENBERG SURGICAL TECHNOLOGIES, LLC, NEW YORK
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:GREENBERG, ALEX M.;REEL/FRAME:007543/0642
Effective date: 19950609
Owner name: HUMAN FACTORS INDUSTRIAL DESIGN, NEW YORK
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:SPRANGER, DOUGLAS M.;MULHAUSER, PAUL J.;NEWBY, MARK;REEL/FRAME:007543/0611;SIGNING DATES FROM 19950427 TO 19950503
|Jul 20, 2001
|Fee payment
Year of fee payment: 4
|Nov 5, 2003
Owner name: GREENBERG SURGICAL TECHNOLOGIES, LLC, NEW YORK
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:REFAC;REEL/FRAME:014669/0228
Effective date: 20031022
Owner name: REFAC INTERNATIONAL, LTD, NEVADA
Free format text: MERGER;ASSIGNOR:HUMAN FACTORS INDUSTRIAL DESIGN, INC.;REEL/FRAME:014669/0231
Effective date: 19981223
Owner name: REFAC, NEW JERSEY
Free format text: BILL OF SALE;ASSIGNOR:REFAC INTERNATIONAL, LTD.;REEL/FRAME:014669/0865
Effective date: 20020930
|Jul 19, 2005
|Fee payment
Year of fee payment: 8
|Jul 27, 2009
|Maintenance fee reminder mailed
|Jan 20, 2010
|Lapse for failure to pay maintenance fees
|Mar 9, 2010
|Expired due to failure to pay maintenance fee
Effective date: 20100120


text:
Welcome and Merry Meet,
So you are looking for knowledge about Wicca and Witchcraft , Well my friend, this is the best and most complete set of E-books about wonders of Wicca you will find anywhere.
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text:
Those who are interested in a master degree have a wide variety of options open to them. This graduate degree is generally pursued after completion of a bachelor program and can be offered in many different subject areas. Each program will vary from school to school.
Graphic design is a branch of design that emphasizes using art to communicate. Graphic design may include the use of images, words, basic graphic forms and the overall layout of the visual design to convey a message or feeling.
French is the official language of Niger and several indigenous languages are spoken throughout the country. Students in Niger may enjoy the chance to improve their language studies. Immersion in a foreign culture with ancient traditions could also be beneficial to students in the country.
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text: Although most tend to think that the sound of thunder is made by two clouds banging together, this is only somewhat true. Thunder is made by the friction of two clouds rubbing together causing an electric charge, which is the lightning. After the lightening is sent to the ground, the clouds gain part of the electric charge causing the sound of thunder to be produced. To find more information click here:


text:
Individual counseling/therapy works best when you are ready to work on you and need ways to make your life more manageable. Individual counseling helps you process your concerns and struggles in a one-to-one setting. I will work with you on feeling better in a safe and supportive way.
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text:
Fred Foley recalls going to Edge Hill library on Lodge Lane
Resource Type: Audio | Posted on 25th July 2012 by Jenny Porter
Fred Foley nostagically remembers Lodge Lane and going to the library there on a Saturday morning following his weekly bath. He also highlights the importance of visiting places from your past even though you can't go back to the way it actually was.
Interviewee: Fred Foley
Interviewee Gender: Male
Interview Transcript
Fred: Its only just closed the Library hasn't it?
Jenny: Yeah
Fred: Because what I used to do, I say I was studying and I used to love reading and I still was a kid, I'd read more than I'd do anything else and I used to go and get me bath Saturday morning, Saturday morning bath because we only had the bath tub you know between the houses and I had me bath and I'd go in the library and I'd be reading in the library and just doing any homework I had for the week I'd sit in the …and I used to (indecipherable)…and that was in Lodge Lane and Lodge Lane it was all alive then it was all buzzing you know and when they'd go down and sort of (indecipherable) its all thingy now its all…when they say you can't go back I know you can't re-visit the past but you can go back and say well this is where I was a kid.
Categorised under: Change & Communities


text:
Coffee House Business Plans
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text:
NFL Waiver-Wire Additions for Wk.13
Who are the best adds off the waiver-wire in fantasy football leagues for Week 13?
The FIRST ever GM inspired Fantasy Baseball Draft Guide from Jim Bowden and Howard Bender. Always live, never outdated and filled with rankings, strategies, sleepers, rookies and more. All from a REAL GM perspective. Get it 50% off instantly now.
For most folks they're one week away from the fantasy football playoffs. That's pretty much the definition of crunch time. Are there any players on the waiver-wire this week that you might be able to add to help you make the playoffs? Are there any players out there that might be able to have success for your club once the playoffs begin? Let's take a look in the Week 13 Waiver-Wire piece.
Take on Ray Flowers. Show me that you've got more football knowledge than the arrogant one. Sign up for the Weekly Fanduel.com/BaseballGuys.com NFL Salary Cap Contest. Pick your one week squad based on salary cap levels for players. Finish in the top-15 in Week 13 and you will at least double your $10 investment (all top-15 finishers will receive at least $20). Win the battle and you're looking at a $250 windfall. Simple as that. You interested?
(Assuming a $100 Budget)
Matt Flynn, Packers
The Packers QB in Week 13 barring something unforeseen will be Flynn. Taking over for an ineffective Scott Tolzien, Flynn led a dramatic comeback in Week 12 that resulted in a tie for the Packers as he completed 21 passes for 218 yards an a score, eerily similar numbers to his last outing back on September 29th for the Raiders (21 completions, 227 yards and one score). There are weapons everywhere in Green Bay, but Flynn is still as physically limited as ever. He does face a Lions club that allows the 11th most points to QBs in Week 13, but he's still nothing other than a QB2 option.
Ryan Tannehill, Dolphins
Tannehill isn't over the top good, but the numbers are growing. He's been remarkably consistent this season and in a standard fantasy setup he's very likely to be a top-15 QB this season. Seriously. The reason is that consistency factor. In the SiriusXM Hosts League Tannehill is averaging more points per game that Tom Brady. I know, right? Furthermore he's recorded at least 16.5 points every week. Peyton Manning just went for 15.5 against the Patriots Sunday night. Tannehill and his mates face a reeling Jets defense who can't stop anything over the top, and that's good news for Tannehill and Mike Wallace owners.
Brandon Weeden, Browns
Jason Campbell suffered a concussion in Week 12 so it's going to be Mr. Weeden against the Jaguars in Week 13. On paper facing the Jags should be a boon to the Browns offense, but the Jags actually looked fairly sharp against the Texans in Week 12. Regardless, Weeden is terrible and should only be considered in two QB leagues. Even then, with no teams on Bye this week, I can't think he should be in anyone's lineup. He has a 51.5 percent completion rate and has just six touchdowns and eight turnovers including seven interceptions.
C.J. Anderson / Montee Ball / Ronnie Hillman, Broncos
Knowshon Moreno carried the ball 37 times for 224 yards an a score in an effort that would tire out Wolverine. Unfortunately his heeling powers will be tested, and they aren't up to Wolverine standards. Moreno tweaked his lower leg in Week 12 and that gives the other runners in this backfield hope. Ball was looking good with seven carries for 40 yards against the Patriots, but then he lost a fumble which is an ongoing issue (he's fumbled three times in just 75 carries this season). Anderson was then called on and he too had success with three carries for 16 yards. Don't forget about Ronnie Hillman who can do something things as well. All depends on the health of Moreno's ankle, but if he's out it's hard to see just how this backfield will play out with any degree of certitude.
FAAB BID for Anderson: $5-10
FAAB BID for Ball: $10
FAAB BID for Hillman: $1-5
Brandon Boldin, Patriots
Stevan Ridley has scored six times over his last seven games. That's the good news. The bad? He's fumbled in his last three games. Obviously that is unacceptable. After his fumble against the Broncos his night was over as he finished with four carries for 14 yards. At this point, it's anyone's guess what his role will be moving forward. You just can't play if you fumble the ball (LeGarrette Blount also fumbled and was only given two carries). Shane Vereen ran the ball 10 times for 31 yards in Week 12. That's not goo. As a side note, he looked terrible as a pass catcher. I know he eight balls for 60 yards, but if you watched the game he, literally, bobbled every pass throw his way. He's having a very hard time catching the ball with the brace on his hand. Up stepped Bolden who ran the ball 13 times for 58 yards an a score. It's possible Boldin will lead the team in carries in Week 13. I doubt anyone at Patriots headquarters even knows who will lead the club at this point.
Benny Cunningham, Rams
The growing belief is that Zac Stacy (concussion) is unlikely to play in Week 13. With Daryl Richardson a healthy scratch last week, and Isaiah Pead not even getting a touch while active, it sure seems like Cunningham is a nice pickup this week. After all he torched a beat up Bears' defense for 109 yards an a score on just 13 carries, and for the year he's averaging 6.0 YPC on 40 totes. The downside is that he's set to face a suddenly surging 49ers' defense in Week 13 and that might end up being his only start this season. Worth an add, but don't break the bank.
Mike Gillislee, Dolphins
This fifth round draft pick hasn't played a single snap this season. However, with Daniel Thomas suffering a significant ankle injury, it looks like Gillislee will be asked to fill the backup role to Lamar Miller (Marcus Thigpen would seem to be an afterthought). As we've seen all season long the Fish have been exceedingly reluctant to trust Miller with the lead role so an injury to Thomas doesn't immediately send my mind to the place where I feel confident that Miller will all of a sudden be touching the ball 20 times a week. Even so it's hard to see Gillislee starting for anyone in the fantasy game barring an injury to Miller as he's most likely to fill the role of support player.
Dennis Johnson, Texans
Ben Tate is flat out beat up. He's not the game changing talent we've seen in the past due to various injuries. Tate will still be the starter in Week 13 against the Patriots but it's no longer a lock that he's going to see 20 touches, not after Johnson looked sharp running the ball 13 times for 74 yards in Week 12. Remember back when Arian Foster was healthy and Tate would get 8-10 touches a week? We can say that Johnson is the new Tate – at least. It's quite possible that we could be looking at a timeshare with the dreaded "hot-hand" approach out of the Texans backfield. If you're in a 12 team or larger league Johnson shouldn't be on waivers though you should note the Texans take on the Patriots in Week 13, a game in which they will likely be well behind in.
Donnie Avery, Chiefs
Four receptions for 91 yards an a score gets your attention. Find some other shiny object to look at. Avery last scored in Week 1. Ugh. The last time he had 35 receiving yards was Week 5. Ugh. His QB is Alex Smith. Ugh. Nuff said.
Nate Burleson, Lions
I wrote about Burleson Monday in State of the WR. He's the #2 wideout in an offense that throws the ball 42 times a week, the second highest mark in football. He also appeared in 72 of 80 snaps for the Lions in Week 12 as they clearly have no misgivings about running him out there right away. He's got the makings of a weekly play as a WR3. Add him.
Jacoby Jones, Ravens
Run to the waiver-wire an add Jones after he went for six catches, 103 yards an a score in Week 12. Uh, not so much. Jones is like that hot girl at the bar. She smiles at you so you send her a drink. She gets the drink from the bartender and smiles again. You get up your liquid courage and head on over to talk to her. About 35 seconds into your conversation her 6'3", 235 muscle bound freak of a boyfriend shows up. You've been had my friend. Jones is the same way. He's a fraud. Do you know how many 50 yard games he has this season? One. The only reason he has one is because of poor pass D on his 66 yard reception over the past weekend. The definition of a tease.
Justin Hunter, Titans
A second round pick out of Tennessee, Hunter has seen 13 targets the past two weeks as his role has grown with the addition of Ryan Fitzpatrick under center. Oops, that's not right. It might look that like depending on which website you use, but the truth of the matter is that Hunter didn't record a single target in Week 11 against the Colts (he was concussed in the game). So in two of the last three games he's had six targets, and he looked sharp against Oakland in Week 12 with six receptions, 109 yards and one score. Is he worth an add in 12 team leagues? He's more of a flier type. This isn't an offense that can consistently keep a rookie like this involved from week to week since he's no better than the third option in the passing game. Deeper leagues though can have at Hunter and hope his rapport with the Bearded One (Mr. Ftizpatrick) grows.
Cordarrelle Patterson, Vikings
Finally. The Vikes finally realized that the talented by raw rookie needs the football in his hands. Patterson started in Week 12, saw 11 targets, and caught eight balls for 54 yards. The Vikings aren't going to suddenly start passing the ball for 300 yards a week, and Christian Ponder lacks the arm strength to challenge defenses deep, but as we've seen on kick returns all year Patterson just needs top get the ball in his hands – he can make yards on his own.
Tiquan Underwood, Buccaneers
Two scores and 108 yards for Underwood in Week 12 are exciting. At the same time he's gone over 65 yards just once in seven games. He's yet to catch more than three passes in a game. He's yet to have more than five targets in a game. Mike Glennon has thrown less than 25 passes in 4-straight games. You sure you want to go all in with Underwood?
Ladarius Green, Chargers
Part of the new breed of tight ends, Green is 6'6", weighs 240 lbs, and can run like the wind. He's also surging with 80 yards in each of his last two games an a score in Week 12. Of course his snap count, and more importantly target totals, will be limited by the presence of Antonio Gates. He's more of a desperation play in re-draft leagues, but those of you in dynasty leagues would be advised to scoop him up if he's still available.
Brandon Myers, Giants
Score a touchdown at tight end an it's like we have to talk about you. Myers scored in Week 12. We're talking. It should be a short convo though. The score was his first since Week 1 and Week 2 was the last time he caught more than three passes in a game. Move along.
Jacob Tamme, Broncos
Five catches, 47 yards an a touchdown. No it's not Julius Thomas it's Jacob Tamme! Stepping in for the injured Thomas he produced like he was the TE1. He's not. The expectation is that Thomas plays in Week 13, and that means adios to the value with Tamme who had a total of 5.7 fantasy points this season before Week 12.
Ray Flowers can be heard daily on Sirius/XM Radio on The Fantasy Drive on Sirius 210 and XM 87, Monday through Thursday at 7 PM EDT & Friday's at 9 PM EDT. For more of Ray's analysis you can check out BaseballGuys.com or the BaseballGuys' Twitter account where he tirelessly answers everyone's questions.


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Dean visited a 9v9 pitch today at Withington. FC Phoenix are looking for a home pitch for our 2011-2012 season. The ground was next to the Withington Parish Hall and the first impression was it was very modern and quite impressive looking. They have obviously put a lot of thought into the setup of the facilities and would be ideal for children with lots of playing space.
On the grounds they have put a 7v7 and a 9v9 pitch. All the area had been recently sowed with grass seed which had taken quite well although still a little thin and patchy and in need of some rain. Both pitches are marked out already and underground drainage had been placed under the pitches they said.
Although this 9v9 pitch would be available to us if we want to rent it, their plans are to setup their own team. Already registered now as Withington Junior Football Club it was made clear to them that we are FC Phoenix and thats the way we will be staying. Apart from all their hard work and effort, it is very clear both pitches have quite a steep incline and has no trees acting as possible wind barriers so the wind could blow against the players whilst running up hill. With this in mind we must imagine how hard it would be to play on and must consider this when deciding. Any questions please ask Dean.
Announcements >


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Probe into mining tragedy launched
An inquiry has been launched after four men died in a mining tragedy that "stabbed through the heart" of a community.
An inquiry has been launched after four men died in a mining tragedy that "stabbed through the heart" of a community.
The bodies of Phillip Hill, Charles Breslin, David Powell and Garry Jenkins were discovered at the Gleision Colliery in South Wales on Friday, dashing desperate hopes that any of the men would be found alive.
Authorities will now switch from a search and recovery operation at the flooded mine to an investigation into the incident at the pit near Swansea, police said.
The alarm was raised early on Thursday after the shaft flooded, trapping the men. It had been hoped the miners - originally part of a group of seven - might have found refuge in an air pocket following the accident. The bad news came through gradually on Friday however, with police announcing at 6pm that the body of the last of the four had been found.
Fire and rescue and ambulance workers said they had never seen or worked in such conditions before. The men's bodies were found close together, one on the exit side of the blockage and the other three, which were recovered on Friday afternoon, in the area where they had been working.
The tragedy sent shockwaves through the close-knit Swansea Valley community, which had been desperately hoping that the last man would be found alive.
Peter Vaughan, Chief Constable of South Wales Police, said: "We've been humbled by the community spirit that's been shown during this most tragic of incidents," and asked for the privacy of the families of Mr Hill, 45, from Neath, and Mr Breslin, 62, Mr Powell, 50, and Mr Jenkins, all from the Swansea Valley, to be respected.
Swansea City Football Club will hold a minute's silence for the four miners before the team's Premier League home game against West Bromwich Albion at the Liberty Stadium. Chairman Huw Jenkins described the disaster as a "dreadful tragedy which has affected the whole community", adding: "Our sympathy goes out to the families who have lost loved ones in extremely sad circumstances."
Local people have begun leaving floral tributes near the mine. One card said: "There's a cry in the valleys, tears in the West, Mourning the heroes that wear the pit vest, Underground grafters always put in a shift, Below the hillside in the deep dark drift, They're not coming home to their children, their wives, The mine once again takes cherished lives, The coalfields of Britain all unite in your mourn, We're all the same breed, we're pit village born, RIP from the people of the Rhondda Valley."
Local Labour MP Peter Hain is launching the Swansea Valley Miners Appeal Fund to support the families of the victims. Mr Hain wrote: "The deaths of four miners at the Gleision Colliery was the worst mining accident Wales has seen for generations... Please give what you can to support the families."


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Rapha reminds me I live in a fantastic place
There are many reasons we like Adelaide, but for me, the cycling is near the top of that list. It has it's fair share of detractors, but mostly they are merely trendy young-types bemoaning the fact that it's not Sydney or Melbourne and theres not enough action here. I actually like that. Feels like a small town but has over 1 million people. The hills are beautiful, and so very close to the city with very little traffic, which makes them perfect for riding your bike through. An easy escape.
Rapha makes beautiful movies. They came here to document their Gentlemans Race last year, and this is the result.


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According to the American Animal Hospital Association (AAHA) 1-out-of-4 more pets would survive, if just one pet first aid technique was applied prior to getting emergency veterinary care.
Will you know what to do when your animals need you most?
Beth Bowers, Owner/Trainer Dallas Pet CPR & First Aid Education, offers the most comprehensive Pet Care Workshop available in the DFW area. Learn everything you'll ever need to know in the case of a Pet emergency.
Location: The Boarding Bungalow, 4681 Ohio Dr #100, Frisco, Texas 75035
Event Cost: $129-$139
For more information, contact Beth Bowers at firstname.lastname@example.com or (214) 476-9938.
Register at: http://www.powertothepawz.com
Guaranteed to be the most complete & comprehensive training in DFW!"
"Beth's CPR & First Aid Seminar is, without question, the most comprehensive and enjoyable pet care class I've ever taken. She uses her own experience as a veterinary technician and dog care facility manger to create meaningful scenarios and experiences that you can apply to your own pets. Beth ensures that every student understands each technique by allowing practice on both stuffed and demonstrations with live dogs, which makes the instruction more memorable. The 8 hour class simply flew by! It was a great value and I will be taking it every year from now on."
~Yvonne Ybarra – DallasDogLife.com~
The Pet CPR & First Aid Program covers the following topics:
Skill: Restraining & Muzzling
"Any pet that is pain or is going to be moved into pain, can and will bite."
PetSaver Handbook
Hands-on Skill Practice
Skill: Primary Assessment
"In the first 12 seconds of you being on the scene you will know what to do and what actions to take."
PetSaver Handbook
Hands-on Skill Practice
Skill: Rescue Breathing
"The pet patient had a heartbeat but is not breathing"
PetSaver Handbook
Hands-on Skill Practice
Skill: Canine & Feline CPR
"The pet patient has no heart beat and is not breathing."
PetSaver Handbook
Hands-on Skill Practice
Skill: Choking Management
Conscious Choking, Unconscious Choking (Witnessed & Found)
Hands-on Skill Practice
Skill: Bleeding & Shock Management
Restraint, Muzzle, Elevation, Direct Pressure, Pressure Points, Immobilization, Shock Management & Transportation.
Hands-on Skill Practice
Skill: Snout-To-Tail™ Assessment for Injury & Wellness
"A deliberate and systematic assessment from the snout to the tail of the pet with intent and purpose looking for any injuries the pet does not present to you or for wellness to create a base-line of your pet's health."
Hands-on Skill Practice
Skill: Assessing the Pet's Vitals
"If you know what is normal for your pet then you will be able to quickly recognize when your pet is presenting not-normal."
Hands-on Skill Practice
Handbook: Pet First Aid Kit Contents
Equipment & Supplies for Putting Together Your Own Pet First Aid Kit
Lecture: Poisoning
Definition, Causes, Signs & Actions For Survival
Lecture: Insect Bites & Stings & Snakebite
Definition, Causes, Signs & Actions For Survival
Lecture: Heat & Cold Injuries
Definition, Causes, Signs & Actions For Survival
Lecture: Seizures
Definition, Causes, Signs & Actions For Survival
*** Join Us! Your Pet's Life Could Depend On It! ***


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It's been a particularly cold and wet week, so when members of the Orange County Rescue Mission showed up in Dana Point to deliver chili and coffee to the area's homeless, they carried something extra.
Sleeping bags, clothing, gloves, blankets and tarps were handed out to families to help combat temperatures that have been close to freezing, said Ryan Burris, chief relations officer for the organization.
"There were quite a few people," at the organization's outreach Tuesday night, he said.
Organizations that provide housing, food and services to the county's homeless and the working poor said demand for their services has increased, and some are planning to expand their efforts. The Orange County Rescue Mission is looking to add another van to deliver food and coffee. Mercy House officials, who operate two winter shelters, are working to set up a yearlong shelter for the homeless next year.
"We are seeing a relatively high number" of people at the armories, said Larry Haynes, executive director of Mercy House. "After 25 years, what's interesting is we are seeing a lot of new faces."
The winter shelters, located in Santa Ana and Fullerton, were opened Dec. 3. As the temperatures have dipped, officials said, as many as 300 people a night have arrived at both locations – an increase that doesn't usually happen until January.
"We aren't turning anyone away," Haynes said. "We still have beds."
On Thursdays, the Orange County Rescue Mission distributes chili and coffee in the Santa Ana Civic Center area, handing out about 400 servings in the day. The organization is looking to add another van to its arsenal, and possibly provide services in two locations.
The nonprofit also provides breakfast and dinner to the winter shelters
Though temperatures are expected to rise slightly this week, nights will remain cold.
On Thursday night, the National Weather Service expects the temperature to fall to 37 degrees.
It's unclear why more people seem to be turning to the shelters this year, Haynes said. He believes the increase could be a mixture of better outreach to homeless and working-poor families, cold weather, and that impact of the financial crisis on families.
Located in Santa Ana and Fullerton, the shelters hold a total of 400 beds. The shelters have approached capacity but have not had to turn people away in the last five years, Haynes said. Still, he said he is looking at options in case the need exceeds the center's resources this year.
"We have a couple of ideas, but I'm not sure if we could afford them," he said. "We're always in, just under the wire."
Contact the writer: email@example.com or 949-454-7361


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In this article I am going to show 10 pictures of different people performing a series of "professions of the past". With these photos I shows how people struggle to make a living in East Africa. Pictures were all taken between September and December of 2016 in 7 different countries. …Leer más »
Living in the mountains around Kilembe
This is about the people living in the mountains around Kilembe village, in Uganda. It is in the Rwenzori mountains, which make the border between Uganda and Democratic Republic of the Congo. This mountains reach heights up to 5,109 metres (16,762 ft). The highest Rwenzori peaks are permanently snow-capped.Leer más »
Women dancing in Lamu
The women began to sing their traditional songs and to dance, dressed in yellow or blue colors with suits made specially for this occasion, each colour symbolizing one team. The dance consisted in moving the feet very fast, with small jumps, and making face gestures and touching with their hands …Leer más »
Video: People of Lamu, Kenya
A wonderful group of people, a camera, and a bit of music. All the necessary to make a video where to show the face of those who need to be heard. They are the people at the NGO @afrikable_ongd, in Lamu, Kenya, where these women (and some men) found a …Leer más »
Garbage City, a slum in Cairo
I visited the "Garbage City", a slum in Manshiyat Naser, a neighbourhood on the outskirts of Cairo. Along its streets, men sit in groups to smoke shisha and drink tea. There are both Muslims and Coptic Christians among them, all mixed without problem and coexisting with joy, despite the recent terrorist …Leer más »
Barazani, a sample of real Tanzania
Restaurants in villages like Barazani, far away from big cities, are not more than a small room where everything is. The kitchen is just 2 or 3 "pots" with charcoal on fire, and over them some other pots with rice, meat with sauce (chicken or beef), beans and that's all. This …Leer más »
Children of Rwanda
There were dozens of children of Rwanda following us (my friend Andy, the priest of the local chuch who was performing as a guide that day, and me) along the trails between the small villages in the Lake Kivu area. It was Saturday and the children were not in school.Leer más »
Discovering Bujumbura, Burundi
Here you can find some photos about my days discovering Bujumbura. The travel advice the UK Gov mentions about Burundi is: "If you don't have an essential reason to stay in Burundi, you should leave if the opportunity arises to do so safely by commercial means". The Spanish one says: …Leer más »
Countryside in Eastern Congo
Photos from the trips from Goma to the Virunga National Park to visit the gorillas, and another trip to hike the Nyiragongo volcano. It is supposed to be a land at war, a "no-go area", one of the most dangerous zones of Africa. Well, I am not going to deny …Leer más »
Life in Goma, Eastern Congo
Life in Eastern Congo How is life in Eastern Congo, a region of the world so devastated by armed conflict? In our minds we can fill the shadows of knowledge with visions of war movies, terror and destruction. Foreign Offices of most countries of the world encourage people to avoid by …Leer más »


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Have we started going backwards? Do we lack basic humanity for others?
Yeah, I'm supposed to be on hiatus, but I want folks to look at this video. See what some of us have become.
Let's start with the fact that these women fighting seem to be missing parts of their clothing. Some are missing pants. Some are missing tops.
These are grown people fighting. Not kids, grown ups.
One of these "grown ups" is pregnant. She is fighting. A grown pregnant woman is fighting folks. Does she not know a kick to the stomach could lead to harming her child or worse?
What is the most pathetic thing about this video is the fact that there are men hitting women. A man and two women decide to jump a pregnant woman.
There are men referring to women as bitches. The cameraman is telling folks to "beat that bitch". The "bitch" in question is a PREGNANT LADY.
The worst part of all: Not one person is trying to diffuse the situation. No one thought to try to stop this mess? Someone else tries to jump in on the action, but no one tries to stop the fight. I understand you don't want to get involved, why not call the police? Alert the manager of the Burger King? Why the hell are we allowing this mess to go on in the year 2010?


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letra de rock-hatchet-knife – municipal waste
kicking and screaming where once you were camping
wishing you were dreaming you're burning not tanning
this campground is f-cked!
there's no where to flee!
your teeth adorn jewerly
you won't live to see!
buried alive – ceremonial throne
your life until now is just meat on the bone!
abducted by a blowdart to the throat
unconscious due to it's poisonous coat
stripped of your life
with a rock-hatchet-knife!
look into their eyes
blood dripping from their chin
as the flesh is getting ripped
from your motherf-cking skin!
nowhere to run
in a puddle of blood
as you get eaten alive by the people of mud!
look into their eyes
and see your own fate
your life just turned
into something they just ate
stripped of your life
with a rock-hatchet-knife!


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The person you are is heavily influenced by the people you are surrounded by. Do you live in a house where all your roommates play games all the time? You are likely to join them and you won't get any work done. Are you in the national team for a sport? You are more likely to train hard, watch your food and live a healthy life, because the people you are surrounded by do the same!
How inspirational are your friends?
"For true inspiration, look to yourself and those beside you" – Yoda
Your level of inspiration is highly influenced by yourself. Are you an idea maker? Are you doing things that are inspirational to you? NICE!
And how do your friends respond to this? How are the people you are hanging out with the most towards your inspiration? Do they increase your level of inspiration? Are they inspirational to you, or are they energy-sucking inspiration killers?
Inspiration Killers
Let's start with the negative first. Ever had a great idea and a friend who killed it immediatly? 'Let's make an app where you can find the cheapest beer in the neighbourhood.' 'Dude, that already exists and that would take a lot of time, how are you going to know the prices anyway?' Screw them.
If your friends are responding like that, punch them in the face. Hereby I give you the full permission, if they get angry, send them to me. If your friends are EVER saying something similiar in their first response to your new idea, punch them. Why would you kill creativity/inspiration like that right away? WHY WOULD YOU? Please explain. Alright, don't punch them, ask them that very question: 'Why would you kill my idea like that before letting me finish? You just come up the stage, saying "Imma let you finish" like Kanye West and you just kill my very idea.' This could turn out in a nasty fight, but the problem will be out of the way from that point on.
The thing is: Telling an idea, showing your inspiration is a sign of vulnerability. You are SO vulnerable when you are putting something uncommon out there. Something other people might not have thought about before, something that could be awesome (or really stupid). And what do those people do. They just kill it. You are showing them your cheek when you are telling a new idea for the first time and they simply smack your face. They deserve a punch back right?
I think spreading ideas is one of the most powerful tools in personal branding, as well one of the most powerful tools in becoming the awesome human being you are becoming. That is why I love the TED conference so much. People are spreading ideas, creating inspiration on that very moment. Which brings me to the next point.
Inspiration Givers
An other sort of people are the inspiration givers. They are the people who don't answer your questions by answering them, but they tell you how to find the solution. They are the people who are laughing when you make a mistake, because you learn something. These friends are the friends that will embrace your new idea, until you are at a point where you could use some criticism and they will give it to you. They will shut their mouths until it is time to share their point of view.
They are the ones who come with new ideas as well. The ones who do inspirational things, as you are doing. People who aren't watching television passivly all day, shouting at every idea that comes along, but people who are out with other people, having fun, creating inspiration.
Now it is up to you, pick your friends wisely..
Or just punch them in the face when they are smacking your cheek first! Let me know your thoughts in the comments!
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The next National Volunteer Week is April 6-13, 2014.
National Volunteer Week celebrates ordinary people doing extraordinary things to improve communities across the nation. This one week highlights the enormous contributions that volunteers make every day.
The theme — Celebrating Service — honors individuals who take action and solve significant problems in their communities. Since our nation's founding, volunteers have been the source of action and change. Two hundred and 35 years later, their energy continues to move our country forward.


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Spiced Smashed Chick Peas
Waves crashing, sun warming, kids laughing…its summer and our days are filled with sun soaked activites and warm nights listening to crickets and chasing fireflies. Who wants to be inside at a kitchen stove! This is one of those super simple, fresh, healthy, throw together recipes that scream summer. I make it all the time – for lunch, for company,… Read more »


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Naming ideas
A while back, I said that writer's block hasn't been around that long. A friend keenly pointed out, though, that it might have existed long before someone decided to name it.
After all, lots of discoveries work this way. DNA, galaxies, memes – these all existed before anyone discovered them or noticed them and gave them names. But now that we have names for them, we can talk about them easier.
Ideas with names like this are like Lego bricks. We can hold them. We can move them around, rearrange them, build them up, or combine them with other ideas. On the other hand, without names, ideas feel liquid. They're harder to grasp. They're harder to combine with others while maintaining their original integrity.
That's why naming ideas can be so important.
Take the example I started with at the top: writer's block. We can talk about writer's block now. We can diagnose it. We can try to prescribe remedies for it. Before naming it, writer's would have had more trouble uniting in their common problem. "I can't write" can describe so many different problems beyond the more specific difficulty of writer's block. Perhaps that writer had hand cramps.
The same goes for other ideas, now named.
- Division, multiplication, cubed roots
- Opposites, rhymes, synonyms
- Gm, F#, Amaj7
- Circle, square, triangle
- Heart break, genocide, minimalism
- Drama queen, unibrow, selfie
Each of these ideas existed before we had a name for them. But now with the name, we encapsulate these ideas in a few words. So our conversations, both internally and with one another, can be more complex because we don't have to resort to definitions each time we want to include one of these ideas. We can use the short form, the name, instead.
And when we hear the names, there's a nod of recognition: "Ah, yeah, I know what you mean…"


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04-03-2012 #11B4rtj4h Guest
If you're on CFW:
1. Try reinstalling the game
2. Format your disc and reinstall the game
3. Reinstall local files
If you're on OFW
1. Delete local files and reinstall them
That's all i can think of.
04-03-2012 #12totalz Guest
04-04-2012 #13Erz Guest
I see, I though you are move from 3.41 to 3.55. If you are change from 3.41 to 3.55 then probably the Eboot...
At the very least I know when this problem occurred is
1. Play the game at different user (User B can't load User A save data)
2. The save data is corrupted/ locked
Try to follow B4rtj4h instruction, I'm really sorry that I can't help
04-04-2012 #14GotNoUsername Guest
If y are on CFW
1. You need a file manager e.g. Multiman
2. Create a new save in game you can load
3. Copy your old Save the not working one to USB
4. Browse on the file manager to the user (e.g. 0000001 or 00000000) go into the save game folder and open the corresponding save (e.g. BCXXXXXXXXXX - Save)
5. Copy from the USB Stick everything into the save folder on the PS3 (it will overwrite) except the sfo
6. Go in game load save and create a news save the next time y save
This should work


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Death of Cook Islands candiate shocks Democrats
The President of the Cook Islands Democratic Party says the death of Kete Ioane, its candidate for an upcoming by-election, has left Aitutaki shocked.
The President of the Cook Islands Democratic Party says the death of its candidate for an upcoming by-election on Aitutaki has left the community, and party, shocked.
Kete Ioane -- who the opposition hoped would gain it an extra seat so it could form a coalition government -- died in New Zealand on Friday, five days before the scheduled by-election.
Mr Ioane was transferred to New Zealand for treatment after he was hospitalised on Rarotonga after he aggravated an old leg injury.
The Democrats President, Sean Willis, told Jamie Tahana the party has stopped all campaigning and gone to support Mr Ioane's family.
SEAN WILLIS: Well unfortunately for us Mr Ioane was a sure winner, and what we have done as a Democratic Party, is we've ceased all political campaigning and everything and we've gone to support the family and we've gone up to Aitutaki and we've had the family service and we've told everyone 'no politics'. The grieving of the family is more important than politics.
JAMIE TAHANA: This was sudden. How are his colleagues and family on Aitutaki doing?
SW: The family and everybody in the society and us Democratic Party supporters are shocked. When he had his operation he was well and up and then two days later things turned for the worse, so we're shocked but like I have said it's a matter of giving support to the family and moving on and sorting out -- as is normal Cook Islands custom -- the burial procedures and everything else. Papa Kete was a community man and we're going to support the family and honour him and what he's done for the people. He was one of the few MPs that stood for Aitutaki that put something in place. He had the roads tar sealed, he did a lot of things and unfortunately for us he was working on the water project when we lost government, but he was still promoting that on his passing, and he is one of the very few people who have stood for Aitutaki that has actually done something. How do I put it? All the rest were steam cleaners. When they talked there was a lot of steam but no action.
JT: Of course things must move on so when it comes time to look at the by-election again what kind of process will the Democrats go through?
SW: Well, when it comes again to the time to select the candidate, that's up to the constituency of Vaipae-Tautu, which Vaipae, Tautu, and Vaipeka, and they select the candidate who they consider to be the best person and then we go back to the polls. That's democracy.
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October Breathe Deep Workshop in Brooklyn focuses on Stress Relief
Posted by admin on October 2, 2015 breath Breathe Deep Mind Body Awareness Mind Body Wellness Pain Management Self-Care Stress Workshops
Breathe Deep Sunday, October 11 The Grand Room at South Oxford Space, Brooklyn 138 South Oxford Street, Brooklyn, NY 11217 6:30 – 8:30 PM $40 Register Now Breathe Deep is a workshop in ways you can use your breath to relax and release tension from your… read more
Thoughts on Setting Course for the New Season
Posted by admin on September 15, 2015 Mind Body Awareness Tip of the Month
Photo by Craig Chin Your body is the portal to your deepest wisdom. As you step into this new cycle, consider that rather than using your body as a means to meet the demands of your mind, you can learn to use your mind to listen and become present… read more
Love After Brooklyn (a story in Dance)
Posted by admin on August 21, 2015 Dance Mind Body Awareness Self-Care
I left Brooklyn three times in the past year, each time more definitively. By the time I'd officially given up my beautiful space on Dean St at the end of February, the heartbreak was so tangible that I was actually diagnosed with a broken heart by two… read more
Breathe Deep Workshop at GHVFHC Wednesday 7/29
Posted by admin on July 27, 2015 Uncategorized
For those of you in the Hudson Valley, I'm offering a free Breathe Deep workshop at the Greater Hudson Valley Family Health Center this coming Wednesday. Here are the practical details, and below that a little more about why I'm doing this workshop at… read more
When I Looked Death in the Face, This is What I Saw
Posted by admin on May 27, 2015 Mind Body Awareness Mind Body Wellness Self-Care
This article was originally send as a newsletter to my list in May – to join the mailing list, use the field on the right. A lot has changed since I wrote you two weeks ago – flowers have come and gone, temperatures have climbed and worlds have shifted… read more
What the experts diagnosed me with and what it says about my health
Posted by admin on April 24, 2015 Mind Body Awareness Self-Care Uncategorized
Helloooo I'm over here. Looking over the Hudson, marveling at the late April snow. It's been a while since I've written, the break in my blog flow was as unexpected as today's snow, though I'd call what triggered it more of a massive earthquak… read more
3 Reasons Why Sharing Touch is Essential to Your Health
Posted by admin on January 30, 2015 bodywork Couple's Workshop Massage Mind Body Wellness Partner Stretching self-massage Workshops
With affordable health care at the center of so many debates these days, I'm always surprised at how little of what's being discussed actually has to do with health, or for that matter, care. Actually it's really no wonder that the cost of our… read more
Teeth Brushing & the Art of High Performance Living
Posted by admin on January 9, 2015 Mind Body Awareness Self-Care
A funny thing happened on the way to writing you this article about how to use the most banal of daily activities, brushing your teeth, as a supreme exercise in tuning your whole day for mental and physical fitness. I sat down in front of a blank screen… read more
New Years Wishes
Posted by admin on January 1, 2015 Self-Care
A vital, healthy 2015 to the adventurers and seekers of the Force & Flow family! I sent this email out to my mailing list yesterday, and I'm sharing it on the blog for those of you who don't get me in your inbox (it's easy to remedy! just look up at… read more
When's the last time you took a deep breath?
Posted by Alex Goldberg on December 4, 2014 breath Events Mind Body Awareness Release and Replenish Stress Workshops
Breathe Deep The pain in your neck, the strain in your back, the static in your mind and the fatigue in your eyes… What if all these could be remedied with one simple, free and universally accessible treatment? Transform tension, pressure and rigidity… read more
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