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Dinner Plain Accommodation 1 - 7 Share
Holiday apartment for rent in Dinner Plain
prices not listed
Dinner Plain Accommodation, with an extensive portfolio of self contained chalets, cabins and fully self-contained apartments in the alpine village of Dinner Plain, finding the right accommodation has never been easier. Linen and towels are provided in all accommodation.
Designed to compliment the beautiful snowgums and history of the area, Dinner Plain is open all year round and offers a choice of accommodation the mountain cattlemen could only have dreamed of. Located high in the mountains in the heart of the Great Alpine Road halfway between the Great Alpine Valleys and the Gippsland Lakes, Victoria.
There's bars, cafés and restaurants open throughout the year. Relaxing by the fireside, exploring the bush tracks and trails, mountain biking or skiing and kids playing in the snow during the winter months and located just 10 km from Mt Hotham Alpine Resort.- there's something for everyone at Dinner Plain Indulge in the unique experience that is Dinner Plain.
Walk it, ride it, bike it, ski it, Dinner Plain....Enjoy it!!
Payments required to confirm a Reservation
A $50 deposit is required at the time of making your reservation to confirm your reservation.
Balance of payment is required 60 days prior to arrival. If the booking is made within 60 days of arrival full payment is required to be made at time of booking. Where the deposit is unpaid within 60 days prior to arrival Dinner Plain Accommodation reserves the right to cancel your booking without further notice to you.
Methods of Payment
Dinner Plain Accommodation accepts the following credit cards - Mastercard, Visa and AMEX (a 1.5% surcharge to applies to Visa and Mastercard and 3.3% surcharge applies to AMEX).
Security Deposit/Bond
For all properties a security deposit of $500.00 is required on or prior to your arrival at Dinner Plain. It may be paid by credit card or cash only. The security deposit will be held in trust and refunded in full, within 7 days of your departure date, provided that the property was left in a clean and tidy condition with no undue damage caused or excessive cleaning required.
Dynamic Pricing -
Prices/ quotations are subject to change without notice and will not be guaranteed until payment has been processed and you have received formal confirmation of your booking from us via email, SMS or letter. A dynamic pricing structure is in operation, tariffs change regularly according to occupancy. If a lower tariff is listed than previously booked we unfortunately cannot amend the tariffs charged after a booking confirmation has been issued.
Check In -
When planning your stay, please be aware that check in is available from 4:00pm in WINTER and 2:00pm in SUMMER and the check out time on your day of departure is 10:00 am.
If you think that you will not arrive before 5pm on your day of arrival, please call our office to arrange the collection of keys after hours.
Should you require times earlier or later, they are strictly subject to availability and may incur an additional day use charge.
Travel Insurance -
Dinner Plain Accommodation recommends guests purchase Travel Insurance, which is generally inexpensive, but can really save a lot of emotional distress if an unforeseen event occurs. We recommend your travel insurance will cover you for airline flight and accommodation cancellation. We also recommend you are covered for accident, illness, medical evacuation and theft.
Property Availability -
The property that you have reserved may become unavailable due to circumstances beyond the control of Dinner Plain Accommodation. In such instances, Dinner Plain Accommodation will endeavour to place you in alternative accommodation, however, is unable to provide any guarantees in terms of the availability and facilities of the substitute accommodation.
Equipment and Facilities provided at properties -
If equipment and or facilities fail, Dinner Plain Accommodation will endeavour to get it back in working order as soon as possible/practical; no refunds or compensation will be paid for any such breakdowns.
As certain utensils and appliances are not standard across all of our properties, should you require specific items such as a coffee plunger, baking tray, egg rings/cups, hairdryer, etc. we strongly recommend that you bring your own to avoid disappointment. Fire Lighters are also a great idea, to help you quickly start a wood fire.
Cancellations -
We understand that circumstances may arise where you need to cancel your reservation. Should this occur, all booking cancellations must be notified in writing to Dinner Plain Accommodation, and the following cancellation fees will apply:
Cancellations made between 0 and 40 days of the arrival date, no refund is applicable, unless the chalet/apartment is rebooked, in this instance a partial refund may be available
Cancellations made more than 40 days prior to the arrival date incur a penalty of a $100 service charge.
We strongly recommend guests take out Travel Insurance to cover against cancellation penalties.
Change of Property by Guest -
More Than 40 Days prior to Arrival
Once a booking has been confirmed by way of a deposit and a change of property is required, providing that the change request is received by Dinner Plain Accommodation at more than 40 days prior to arrival and availability of an alternative property has been confirmed, a booking transfer fee of $100 per property applies
Less Than 40 Days prior Arrival
When a change request is received within 40 days of the arrival date, this will be treated as a cancellation and will be subject to the cancellation policy above.
Changes of dates by Guest -
If there is a change in dates which shortens the original booking, the original booking cost will still apply.
Any changes to extend the booking, utilising the original dates booked, will not be penalised.
Changes in dates, which do not utilise the original dates booked, will be treated as a cancellation and will be subject to the cancellation policy above.
There are no refunds or credits issued for early departures


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Liza Of Lambeth
by W. Somerset Maugham
LIZA OF LAMBETH is Maugham's first novel, and such is its power that it remains as vital today as when first written. Liza is a warm-hearted young girl, stifled by life in a London tenement.
Liza has been bred to it and externally can cope. But the heart is the problem: it craves love and affection.
"A fine book...shows all the promise of the author's later
Product Details
- 9781934648674
- Publisher:
- Norilana Books
- Publication date:
- 07/01/2008
- Pages:
- 132
- Product dimensions:
- 6.00(w) x 9.00(h) x 0.31(d)
What People are Saying About This
George Orwell
I believe the modern writer who influenced me most is Somerset Maugham, whom I admire more intensely for his power of telling a story straightforwardly and without frills.Meet the Author
W. Somerset Maugham was born in Paris in 1874. He trained as a doctor in London where he started writing his first novels. In 1926 he bought a house in Cap Ferrat, France, which was to become a meeting place for a number of writers, artists and politicians. He died in 1965.
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1 reviews.
The story plot is nothing extraordinary, nor are the characaters unique, but what sets this short novel apart from the rest is the vivid picture that Maugham creates of the lower section of the London society. The story flows freely with a lucid style of writing, arresting the reader's attention from the first pages to the last, and touches a chord in the reader's heart somewhere deep, all along the way. Definitely a work of class, more so, it was Maugham's first novel. The old adage 'morning shows the day' aptly describes what the writer achieves in this work and the masterpieces that follow (Of Human Bondage, The Moon and the Sixpence, The Razor's Edge, etc.).

subset: commoncrawl


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Welcome to the 2016-2017 Simcoe Region Local League season. Local League Hockey is House League Recreational Hockey for small centres Body Checking was removed from all Recreational Hockey in 2015 played within the OMHA. (House League, Local League, Rostered Select and Minor Development) PLAYOFFS The league playoff season begins on Monday, February 6, 2017. and ends on Friday, March 31, 2017. Final regular season standings only determine placement in Round 1. After round 1 as Series Winners advance, regular season standings only determines Home Ice advantage. The SRLL playoff tie breaker formula (Round Robins) is pre-programmed into the playoff standings. These results are tracked in the Post Season GF% column found in the Division Standings/Series expanded results. Your initial view of the standings is NOT of the expanded standings. You need to go to the Division Results page, select the Series you wish to view, and click the series letter on the flow chart. The expanded standings for that series will then appear. Now you can view the expanded results. Teams are guaranteed two rounds of playoffs. Round 1 runs from February 6 to February 21, 2017 (16 days). Those teams who are successful continue on the Championship flow. Those teams who are not successful continue on the Consolation flow. Round 2 runs from February 22 to March 10, 2017 (17 days). Those teams who are not successful are now eliminated. March Break (March 11 to 19, 2017) ALL Playoffs games stop for March Break. Round 3 (Finals) run from March 20 to March 31 (12 days). The SRLL allows timeouts in the Playoffs as per Hockey Canada rules. All SRLL Home AND Away games sheets are to be emailed by both teams to email@example.com after every game. ********************************************************************************************************************************** Initiation Program (I.P.) and Tyke Hockey There aren't any playoffs for these divisions. The regular season began on Thursday, December 1, 2016 and ends on Sunday, March 5, 2017. Teams play 16 games for Tykes (7 year old) and 12 Games for I.P. (6 year old) *Note - As per OHF, OMHA and League Regulations "the use of the BLUE puck is MANDATORY in all SRLL I.P. and Tyke games". *Note - All SRLL I.P. and Tyke teams are to use the two (2) minute Buzzer for line changes as per League Regulations. FUN DAY The Tyke and Initiation Program Fun Day is scheduled for Saturday, March 25th, 2017. [http://www.arenamaps.com/arenas/1568.htm] Nobleking is hosting the Initiation Fun Day on Saturday March 25th from 10:00 a.m. to 3:00 p.m. at the King City Arena. Richmond Hill (Oak Ridges Division) is hosting the Tyke Fun Day on Saturday March 25th from 9:00 am to 4:45 p.m. in Oak Ridges, Richmond Hill at Bond Lake Arena. [http://www.arenamaps.com/arenas/162.htm]. The day includes Hockey Games & Skill Competitions
*NOTE: We strongly urge that all teams car pool to Bond Lake Arena. Parking Spaces are limited. An information package with details will be sent to all Associations. Team officials - see your Association Executive member for more information. There are skills competition events and refreshments for the kids in addition to the games. ********************************************************************************************************************************** REGULAR Season The regular season began on Friday, September 30, 2016 and ended on Tuesday, January 31, 2017. All teams play a 26 game season (13 Home and 13 away games) plus playoffs. As the number of teams in each age group varies anywhere from 6 to 24 teams, and fluctuates from year to year, the league cannot offer balanced schedules. The SRLL regular season tie breaker formula has been programmed into the season standings and these results are tracked in the W% column. TIME OUTS
Team Balancing Requirements Please note: this next section only applies to Associations having multiple teams playing within the same division. The Simcoe Region Local League has balancing rules in place requiring Associations (with multiple teams playing within the same division) to not exceed a predetermined percentage spread specified in the constitutions policy set to keep one stacked team, from an Association with a number of teams in the same division, from running away with the division. This will require Associations to trade players among their own teams within that division prior to the November AND December deadlines each season if the winning percentage spread between the top and bottom team from that same Association is too wide, or "out of balance". Associations are required to ensure all their teams play a certain number of games by November, and again by December, so they can monitor and report to the other league members at the monthly league meetings on their progress and all steps taken to achieve balancing. All teams are to be balanced by certain deadlines, but once the teams are within the percentage spread requirement on the deadline, there is no requirement to maintain this spread after the deadline. Good coaching can improve team performance and is not penalized. The intent of the policy is simply to prevent any Association with multiple teams within the same division from entering a stacked team. Any Association with teams that failed to balance and are still out of balance by the middle of December each season will have been fined two times for missing two deadlines. Those Associations have until the end of the season to bring the unbalanced percentage spread back into balance. If at seasons end, the winning percentage spread between the "unbalanced" top and bottom same Association teams exceeds the allowable spread set by the policy, the Association is fined one final time and faces the possibility of having one or more of those teams in the division denied entry (disqualified) into the playoffs. This long standing League requirement was developed, voted on and inserted into the SRLL Constitution by the Association Presidents who created this League (including its predecessor) 30+ years ago. Reminder: All SRLL Home AND Away games sheets are to be emailed by both teams to: email@example.com after every game.
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Give us a call to get our secret deals 1-800-468-3578
Property Location
With a stay at Super 8 Gardiner/Yellowstone Park Area in Gardiner (North Entrance Yellowstone), you'll be minutes from Roosevelt Arch and Parks' Fly Shop. This motel is within the vicinity of Yellowstone National Park North Entrance and Osprey Falls Trail.
Make yourself at home in one of the 66 air-conditioned guestrooms. Complimentary wireless Internet access keeps you connected, and satellite programming is available for your entertainment. Bathrooms have shower/tub combinations and hair dryers. Conveniences include coffee/tea makers, housekeeping is provided daily, and cribs/infant beds (complimentary) can be requested.
Take advantage of recreation opportunities such as an indoor pool, or other amenities including complimentary wireless Internet access and tour/ticket assistance.
A complimentary continental breakfast is served daily.
Business, Other Amenities
Featured amenities include a 24-hour front desk and a safe deposit box at the front desk. Free self parking is available onsite.


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Price: $48.00 USD
Available at: Bare Escentuals
This convertible eyeshadow palette includes twelve base, crease and liner shades that mix and match for endless on-the-go looks. Buff, blend, line and define effortlessly with the multi-tasking eye brush. Includes application tutorial for ultra-chic looks.
The menu button now contains all of the sections of our site.
And you'll see personalized content just for you whenever you click the My Feed heart .
SheKnows is making some changes!


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Pinkie and Mysty have been placing the final touches on the Midsummer festivities. They are joining all their furriends and ready for a MidSummer of Dancing, Dining, Music and more.
Meanwhile, Tiger Magnificat Grey Milliken is chatting with Penny, Tang and Pupa Muma Aamose Grey Milliken. Tucker and Shibui, greet Pupa Muma, who has a new dress in a particularly flattering shade of sapphire blue, that brings out the highlights in her tabby fur so well! Tang looks so handsome in his tux. Shibui and Tucker look so charming together, whatever are they quietly mewing!
Here's Silvermyst and Cheyenne Autumn, waiting for their friends to finish dining and come in for mewsic and dancing. Oh my, they are such handsome kitties! And - look who's here. It's Nicolas Cage!
Here's Pepper Mille'! Minnie Mouser says to her friend, "Oh Pepper! What a stunning hat! And I was worried.. I didn't think you were coming." Pepper Mille' replies, "Mew mew, Minnie, good to see mew! My dear winkwink couldn't come but I decided to come along anyway, to see all my furriends.. "
We'd like to thank the following cats for their help with the ball and mainly with the wardrobes - Miss Pinkerton, LuvKitty's, Tiffany's Closet, Madam Troublinski, Mystyque among the many. If you dressed yourself or another kitty, please let us know so we can add mewr name here.


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The National Tiger Conservation Authority (NTCA) said that there shall be no tourism within the core area of tiger reserves in Madhya Pradesh, according to documents filed in the Madhya Pradesh High Court.
The NTCA direction has been spelt out in an an affidavit filed before a Madhya Pradesh High Court bench headed by Justice KK Lahoti.
The directive effectively back an NGO's demand for a ban on tourists in the core areas of tiger reserves in Madhya Pradesh. The NGO has been supported by the union environment and forests ministry.
The authority's reply, in a case related to tiger conservation, was filed Friday after receiving the approval of Environment and Forests Minister Jairam Ramesh.
"We had put three major issues before the court - notification of buffer zone in tiger conservation projects, prohibition of tourism in core areas of reserves, and implementation of tiger conservation plan," Ajay Dubey of Prayatna NGO told IANS.
"The reply of the central government is satisfactory," said Dubey, adding that the state government was allowing tourists access to Kanha National Park's core areas.
Dubey filed a petition against the authority, the central government and the Madhya Pradesh government for the court's direction to them to notify the core and buffer areas in and around the tiger reserves.
The petitioner also sought a direction to ensure that the core areas so notified were maintained as "inviolate" zones.
The court, after having taken serious note of the matter, had directed the authority and the government to file an affidavit as regards the status of core areas in the tiger reserves.


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•Canterbury Scene
From Progarchives.com, the ultimate progressive rock music website
| 20 ratings | 3 reviews | 10% 5 stars
Write a review |
DVD/Video, released in 2001 Songs / Tracks Listing LIVE IN NOTTINGHAM 1990 Search CARAVAN Classic Rock Legends (DVD) lyrics Music tabs (tablatures)Search CARAVAN Classic Rock Legends (DVD) tabs Line-up / Musicians- Pie Hastings / guitars and vocals
Classic Rock Legends/Classic Rock Productions and to SouthSideoftheSky for the last updates Edit this entry |
CARAVAN MP3, Free Download (music stream)
Open extended player in a new pop-up window | Random Playlist (50) | How to submit new MP3s
- In The Land Of Grey And Pink In The Land Of Grey And Pink, 1971
- Winter Wine In The Land Of Grey And Pink, 1971
- Aristocracy Waterloo Lily, 1972
- It's Getting A Whole Lot Better The Unauthorised Breakfast Item, 2003
Buy CARAVAN Classic Rock Legends (DVD) Music
In The Land Of Grey And Pink - Caravan Import · Remastered DECCA 2015 | Audio CD | $4.38 $3.10 (used) | |
Caravan Import · Remastered DECCA 2015 | Audio CD | $2.71 $8.25 (used) | |
For Girls Who Grow Plump In The Night - Caravan Import · Remastered DECCA 2015 | Audio CD | $4.38 $6.00 (used) | |
Legends of Progressive Rock Hallmark Music & Entertainment | Audio CD | $23.54 $11.97 (used) | |
If I Could Do It All Over Again - Caravan Import · Remastered DECCA 2015 | Audio CD | $4.42 $3.15 (used) | |
In The Land Of Grey & Pink 40Th Anniversary - Caravan Import DECCA 2015 | Audio CD | $15.02 $14.03 (used) | |
Live at the Fairfield Halls Import · Remastered Polygram UK 2002 | Audio CD | $4.38 $3.11 (used) |
More places to buy CARAVAN music online
- DOUG LARSON IMPORTS — Buy prog rock music and rarities (Free shipping on orders over 10 cds)
- AmazonMP3: Search for CARAVAN DRM-Free MP3 Downloads @ Amazon.com MP3
- Try Amazon Prime Music (30-day free trial)
CARAVAN Classic Rock Legends (DVD) ratings distribution
(20 ratings)
Essential: a masterpiece of progressive rock music(10%)Excellent addition to any prog rock music collection(45%)Good, but non-essential (35%)Collectors/fans only (0%)Poor. Only for completionists (10%)
CARAVAN Classic Rock Legends (DVD) reviews
Showing all collaborators reviews and last reviews preview | Show all reviews/ratings
Collaborators/Experts Reviews
Favourites Made Visual, Feb 21 2004 By Robert Carlberg (Seattle)
The DVD of Caravan live that I ordered from Classic Rock Productions came in the mail today. As I suspected/hoped, it's the 1990 Bedrock TV production (released on CD in 1993 by Demon/Code 90), which was a very high budget affair -- 6 or 7 cameras (including a couple on booms), 24-track recording, huge stage, absolutely fabulous sound, and overall a great show. It was broadcast once in England (at like 3:30 am!) and then locked away in a vault for 13 years. For some reason two short tracks on the Code 90 CD are NOT included in the DVD, If I Could Do It All Over Again and In The Land of Grey and Pink which is a shame, but what's here is great quality stuff. The CD has been a perpetual favourite of mine for the past decade & change so I'm happy to add the visuals accompanying it to my collection.
Jigsaw puzzles on a tree, Dec 16 2002 By A Customer
There is no arse shakin, hair flinging or head bangin' goin on at this 1989 gig. But what we have is the original line-up including Pye's brother Jimmy Hastings on sax and very lyrical flute. Their songs and sound have a unique and unforced, esoteric English tone to them. Pye and Richard Sinclair share vocals (they sing, not scream) with an air of sincerity. There are times when the drummer really gets his kit and the whole band swinging, and Richard Sinclair's fretless Fender bass is musical and a great joy (look for the decal of a little mouse holding a giftbox on the front of the bass, quite funny). To me this is the definitive lineup. I bought this dvd with some reservation, but it gets played as much or more than any others...when I want to hear some good, unorthodox English rock yet not get blasted or srceamed at.
My criticism is they chose to use digital keyboards instead of real organ, electric piano (and analog synth if any).
This gets played in my home often and I'm sure I'll watch it again very soon.
Classic..., Jul 10 2002 By nessy (Nashua, NH United States)
I was lucky enough to buy this DVD on NEARFest 2002 Prog Rock festival for less and had it signed by current Caravan line-up! ( Not to mention that their show on NEARFest was great, easly the best festival performance!) I cannot rate myself as great Caravan/Canterbury fun, but I really enjoy their set! The concert recorded on the DVD took place about 10-15 years long. Caravan was in the great form then ( and now) it played their classic: For Richard, White Wine, Ten Feet Underground, etc. The concert represents Caravan classic line-up: Sinclair bros, Pye Hastings, their original drummer, etc. Highly recommended for Canterbury nuts and all prog heads!
That being said , the image and sound of this DVD is more than acceptable. Also you get to see the classic lineup of the band in good shape since this is a late 80's / early 90's concert. The setlist just includes 5 songs but among those you can find some gems like Nine Feet Underground , For Richard and Winter Wine. Richard Sinclair's performance is awesome , he is one of my favourite singers of the 70's and 20 years later he still has that magical tone in his voice.
As I said before , my only complaint as regards this DVD is that it should have included some other songs that were played in that show. Just think of that when buying a DVD from Classic Rock series: Really good material , not much lasting appeal.
SPECIAL COLLABORATOR Symphonic Team
Like Wishbone Ash, Strawbs, Rick Wakeman, Hawkwind, Asia, and several other legendary bands, Caravan also have their own entry in the Classic Rock Legends video library. Released early in the new millennium, all of these DVDs have beautiful art work by the great Roger Dean.
Caravan here consists of Pye Hastings, Richard Sinclair, David Sinclair, and Richard Coughlan. A set list of five songs is performed including an excellent rendition of Nine Feet Underground. Other familiar songs include Winter Wine and Head Loss. The only number I don't particularly like is the poppy Videos Of Hollywood. Overall, this is a good performance, but the band does not have a very strong stage presence. The audio is better than the video.
A worthy entry in Classic Rock Legends series and a good addition to a Caravan collection
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OPPC consists of a Java GUI and server libraries. It allows user create objects, attributes, operations and set privileges and permissions. These info can be mapped to application objects through server libraries. Easy to use and high performance.
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Excellent Easy Eggs With Lentils and Seasoning
A good, simple meal for breakfast, lunch or dinner.
cheese, eggs, lentils, seasoning
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Southern Fried Chicken Livers Recipe
Now I love this way of eating livers- Hardly get it here in the New England. My version of a Southern style recipe I tried down South Prep:5m
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An easy dish to prepare the night before, so you can enjoy the morning with your family while it bakes in the oven. My daughter hates eggs, but loves this...
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Probably one of the most famous southern dishes...heck, we even have a movie named for em. These make for a great summer side dish. Prep:15m
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cornmeal, cheese, eggs, +creamed corn, +buttermilk, +vegetable oil, +onions, +green pepper, +black pepper
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Samurai Jack Intro - Remake Latino
Samurai Jack Opening remake by latin animators
4.40 / 5.00 7,639 ViewsYet another school project. The drums and the background "shouts" were recorded by my roomate and myself. Not too much else to say. Enjoy the showdown.
*Update* Fixed the audio so that it is in sync now. Also fixed the buttons.
it rocked, but i found it to short if it was a bit longer i'd give it 100%
Best drawing animating ever!!
haha i rememebr doing that too but with mroe blood lol it was amazing. love the ending it was hilarious
Personal Favourite !
I loved it, I saw it before, I've seen it again... multiple watch, classic... good job... except, last time I watched it, I didn't right a review... good job man, keep up the good work...
it was pretty cool.
1.add more color
2.make some longer flashes
3.i like how you think keep making flashes like this
4.wat im rating this
I can't believe that kid killed his opponent with a single strike from a stick. He's got talent with his sword. But he couldn't dodge the ball. Great flash.


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Definition Paragraphs
What is the Purpose? To expand a definition by giving further explanation and examples. When will you write this type of paragraph? As part of an essay, especially in natural & health sciences and humanities As part of a test there may be questions asking for definitions of terms
What does a successful definition paragraph look like? Topic sentence: Topic (term to be defined)+ general noun+ an adjective clause Body –Explanation –Examples Conclusion – refer back to the topic sentence
Example Paragraphs Cholera Cholera is an intestinal infection that can be described according to its cause, symptoms, and treatment. A bacterium, called Vibrio cholera, is the causative agent of cholera. It can be spread through contaminated food, water, or feces. Cholera patients may exhibit different symptoms that can vary from mild to severe. Some symptoms are diarrhea and loss of water and salts. Oral or intravenous replacement of fluids and salts as well as specific antibiotics is a possible treatment for cholera. Patients can be treated with an oral rehydration solution or, in severe cases, an intravenous fluid. Cholera is a serious infection that can only be resolved with medical intervention.
Example Paragraphs Canine Teeth One of the most important types of teeth in the human mouth is the canines which are the long, sharp teeth found in the front corners of the upper and lower rows of teeth, between the incisors and bicuspids. Because they are long and strong and deeply rooted, they have several functions. First, even though canines do not chew food, they guide the jaw during the chewing process. Second, they shape the face. They can also serve as anchors for other teeth when a dentist puts in bridge work. And finally, as the name "canine" suggests, they work like the teeth of a dog to cut and tear food-and to bite. In sum, the purpose of these essential, sharp teeth is manyfold.
Example Paragraphs Assertiveness Assertiveness means standing up for your rights --- politely, but firmly. For example, my friend Teresa is assertive. Once when we were in a restaurant and her hamburger was well done instead of rare, Teresa signaled the waiter and nicely asked if she could return the excellent but well-done burger for one that was a bit rarer. I braced myself for an argument, but the waiter just replaced the burger. Another time as we stood in line for movie tickets, a guy cut in front of Teresa. She tapped him on the shoulder, smiled, and said, "I see there was a gap that looked as if it were the end of the line, but it's really back there." When the guy stared at her and said, "I'll just stay here. You don't mind, right?" She answered, "Well, yes, I do mind." She then made sure the people in back of us were listening and said, "And you're not being fair to all these other people, either." The guy left. Assertiveness helps you get what you want and deserve without creating a scene.
Example Paragraphs Gossip. According to The American Heritage Dictionary, gossip is a "trivial rumor of a personal nature," but this definition makes gossip sound like an activity that is harmless. At first, gossip might not seem so bad. One person tells a second person something about someone, and that second person tells a third, and so on. The information passes from person to person. However, gossip is much more than just information and rumor. As the rumor continues, it grows and changes. People do not know all the facts. They add information. As gossip goes from one person to the next, the damage continues, and the person who is the subject of the gossip can't do anything to answer or protect himself or herself. Celebrities and regular people suffer from the negative effects of gossip. For example, a current celebrity might lose custody of her children due to gossip that is currently circulating about her. For these reasons, gossiping is a bad habit.
In-Class Writing Choose one of the following words to define in a paragraph: –Freedom- Terrorism –Discrimination- an Artist –Kindness- Gravity –Global Warming- Plagiarism –Farming- a Zoo Provide your brainstorming and completed paragraph to me by the end of class today.
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Home | What's New | Features | Gallery | Reviews | Reference | Forum | Search
General Dynamics FB-111A
by Willy Peeters
HyperScale is proudly supported by Squadron
Here is my cartoon version of a General Dynamics FB-111A.
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3 November 2014
Ultimate Shine Solid Shampoo
4 comments
- Anonymous23 March 2015 at 10:33
My hair was completely destroyed by this shampoo. I would never recommend this to anyone. Any tips to get the hair to recover after this terrible product?
ReplyDeleteRepliesSo sorry your hair was so damaged by it - I'm guessing this is one of those products that causes extreme results - good or bad. I would recommend that you get some Jasmine and Henna Fluff Ease Hair Conditioner - I leave this in my hair for about half an hour, every time my hair feels a little dry or damaged and it completely restores the moisture and the natural shine : )
Wow I could never leave these schampoos in the hair for long because the SLS are so harsh at cleaning (used in soap and to clean clothes too). I even went on a no poo cure. Because of what happened to you, I think I will try other bars before this one.
ReplyDeleteReplies- Anonymous30 October 2015 at 09:54
Unfortunately, almost all of Lush's products contain SLS, from what I've seen. It's really disappointing.


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Groovi Border Plate - Border 1 - Edging
Code: GRO-PA-40003-09
These intricate and clever designs have been laser etched with precision into top quality acrylic plates, therefore allowing you to get into the groove with a specifically made-to-measure embossing tool, and easily follow the design path using parchment. This technique makes the
end result quick, crisp and clean.
For the best results from the Groovi Plates and Groovi Plate Mate, use the 0.8mm - 1.3mm embossing tool.
Size measures 60mm x 297mm


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Website ReDesign Project
- Status Closed
- Budget $30 - $120 USD
- Total Bids 16
Project Description
You will redesign an existing website with a new look and to be responsive to different screen sizes including phones, pads, tablets, etc. You will create the designs, do the markup and convert the existing pages (a few php templates). There is an existing logo and colors that can be used and there is existing content but you must completely redesign the website including subpage templates with a new look and responsive design. The new layout should be modernized and different. Use of Twitter Bootstrap or other UI styling libraries is a plus.
There is already an existing website (HTML, php), logos, colors, stylesheet/CSS, etc. You should not use the existing images and layout but you can use the logo, CSS, etc. This is a new design. Photoshop should be used for different UI designs/layouts and mockups. Html markup using div structure and CSS - HTML 5. Must be compatible with popular browsers and devices.
All images must be created by you or licensed, no copyright infringement. We expect all PSDs, free fonts, images, and work to be delivered to us, with any commercial fonts named. We will own all copyright over the website pages / designs you create. Source should be provided for all code written with all rights transferred to us.
We are looking for a good price, it is a factor in our decision. If you deliver great quality, it will be possible to get a lot more design jobs in the near future. We outsource all our graphical design work.
Our quality standards are very high. We are only looking at talented and experienced designers with good ratings on this site and that submit good references / work samples.
We will send more details about this particular job to the candidates who give us the best impression.
Thank you.
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Pet Setting & Drop Ins in Ottawa Hills, Grand Rapids, MI
Book a pet sitter to stop by your home a few times a day to feed and play with your dog.
Serious love for dogs!
South East End, Grand Rapids, MI, 49506
Dog Boarding, Drop-In Visits, Doggy Day Care, Dog Walking
"Loved having Erin take my baby for walks why I was at work! It was very reassuring knowing that she was stopping by and that Elsa was in good hands. Thanks E... (more)"
We'll love them like you do!!
John Ball Park, Grand Rapids, MI, 49504
Dog Boarding, Drop-In Visits, Dog Walking
"Katie is always wonderful to my pups! Now that they've all got a routine, they are comfortable with her and vice versa. I feel as though she treats my Kam an... (more)"
Dog whisperer and lover of dogs!!
Kentwood, MI, 49512
Dog Boarding, House Sitting, Drop-In Visits, Doggy Day Care, Dog Walking
About: Dogs have been a part of my life for as long as I can remember. I currently have a chocolate lab who rules the house. We shower her with affectio... (more)
Passionate Animal Lover
East Hills, Grand Rapids, MI, 49503
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"Julia is the BEST! She is a very sweet person who was eager to help us out. She took fantastic care of our cat and even offered to bring in our mail while ... (more)"
2 friendly pups to keep yours busy! Fenced yard!
Alger Heights, Grand Rapids, MI, 49507
Dog Boarding, Drop-In Visits, Dog Walking
"This was our first time using Rover and we had a great experience with Sara. She was so sweet and great with our dog. We will definitely use her again. Thank... (more)"
I love animals of all shapes & size
Wyoming, MI, 49548
House Sitting, Drop-In Visits, Doggy Day Care, Dog Walking
"Cheyenne went above and beyond what she needed to do, Brought her dogs over to play with mine and worked on calming her down around other dogs. VERY PLEASED ... (more)"
Alger Heights, Grand Rapids, MI, 49507
Dog Boarding, Drop-In Visits
About: I have recently been volunteering at the animal shelter here in Grand Rapids and long to bring most of the dogs home with me. I love absolutely al... (more)
Young couple doggy loving couple!
East Grand Rapids, MI, 49506
Dog Boarding, Drop-In Visits, Doggy Day Care, Dog Walking
About: Ryan and I absolutely love small dogs and enjoy baby sitting them! We live in East GR and love walking around town and spending time snuggling a cu... (more)
A college student caring for pets!
Belknap Lookout, Grand Rapids, MI, 49503
Dog Boarding, House Sitting, Drop-In Visits, Dog Walking
About: I have always loved animals and have had many growing up as a child. Any animals including dogs, cats, horses, hamsters. I have had family members ... (more)
Work from home athletic dog lover
Fuller Avenue, Grand Rapids , MI, 49506
Dog Boarding, House Sitting, Drop-In Visits, Doggy Day Care, Dog Walking
About: Having worked at a zoo for seven years I have a lot of experience in training and enrichment of animals. I raised my fist pup at 12 and have not be... (more)
Ready to give love and snuggles!
South East End, Grand Rapids , MI, 49506
House Sitting, Drop-In Visits, Dog Walking
"Laura has been a delight to work with and has been so responsive to our needs. She sends us pics or videos of our dog when she lets her out and we can tell h... (more)"
Experience exceptional service and a personalized match
From start to finish, we'll handle all the details for you.
Learn About PremierRover also offers pet setting & drop ins in these other Grand Rapids neighborhoods:
Alger Heights | Baxter | Belknap Lookout | Cherry Run | Eastown |
Fuller Avenue | Highland Park | Midtown | Oakdale | West Grand |
Rover.com is the simple, savvy way to find and book Ottawa Hills, Grand Rapids drop in pet sitting. It's easy to find the perfect pet sitter. Many sitters have offered pet sitting on Rover for years, and 95% of reviewed stays have received a perfect five-star rating. You'll get daily photo updates, and every stay booked through Rover also includes premium pet insurance, 24/7 support, and a reservation guarantee. Pet sitters on Rover have the option to complete a free background check, which you can see from their background check badge. Pet sitters are booked on Rover every minute of every day, and 92% of the population lives within a short drive of one of the more than 65,000 sitters who've listed their services on Rover, so you're sure to find the perfect pet sitter in Ottawa Hills, Grand Rapids . When you book with one of our trusted pet sitters on Rover you get peace of mind that your home and pets are in loving hands.
A Daily Treat: A Blog by Rover
Rover's got you covered, even when you don't need a dog sitter. Check out our blog for pictures of adorable dogs, help on your biggest dog-related questions, and more:
- Top 100 Dog Names and Unique Dog Names, depending on your preference
- Dog Doors: Everything You Need to Know to Find the Right Fit
- 5 Common Dog Fears and How to Help
Book a Stay, Donate to a Cause
Sit a Dog, Save a Life lets you raise money for local dogs-in-need by doing something you do already: asking your neighbors to watch your dog instead of leaving them in a kennel. Many Rover sitters in Ottawa Hills, Grand Rapids donate a percentage of their earnings to nonprofits through Sit a Dog, Save a Life. When you book with a sitter who has the Rover Donation Badge on their profile, you're helping dogs in need, right here in Grand Rapids.
We're proud to support over 200 organizations across the nation, including:


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I am 25 years old, I have been "Bipolar" for 30 days now however, I have been the 'unpredictable' one for over 13 years.
When I thought about sending this memoir I wasn't sure if it would be best to start with the "end" (also known as the present) or the beginning (also known as puberty). In the end I decided that I would start off with the 3rd act, as I so lovingly refer to it.
It was February 17th 2003, I was sitting in my bedroom in Baltimore MD debating on whether or not I wanted to go and Reshovel my car out of its parking space in front of my apartment. It was 2 days after the biggest snow storm since 1996 to hit the eastern seaboard and while I spent 7 hours the day before trying to locate my car underneath 8 feet of snow, the snow plows had blocked it in again. So I put on my sneakers and walked outside to see what I was in for, I decided that if I just moved the car a little I could probably get it out without having to shovel. I hit the alarm, climbed in slid the key into the ignition and NOTHING. It seemed that the enormous amount of snow that had been on the hood for 2 days drained the battery. Now logically that would not have been a crisis, you get some jumper cables and put some juice back into the darn thing and go about your day right? No, that isn't how things worked in my brain, it immediately turned into the crisis of 2003, and I had NO IDEA how I was going to get out of it.
Pretty quickly though Mrs. Logic took back over and I made myself walk into the apartment and call someone, but I stopped to get the mail on the way in. Bills were never a good thing, and today mixed in with all those mean ole bills was a notice from the District Court of Maryland informing me that I had NOT paid my rent. Now logic was still there and I told myself that I paid the rent and I would call them tomorrow and straighten it all out, then walked into my apartment. Now I had fully intended to call a friend to give me a jump, but by this time logic was being overthrown by irrationality, and instead I decided to see exactly how much my bills were.
Ok here's the condensed version, after I saw how much I owed in bills, and my car not starting and getting a notice that I hadn't paid the rent logic was a thing of the past and I had made up my mind. I scoped out my medicine cabinet found 80 or so pills that would do the trick; poured a glass of tea and went to my bedroom. While I was on the phone convincing my best friend that I was ok, I was swallowing these pills (took me 2 gulps flat). Of course that amount of pills takes about 2 and a half minutes to take effect and soon I couldn't hold the phone up and was slurring, I told my friend I would call her back in 20 minutes and hung up and passed out. She got concerned when I didn't call her back, came to my apt and found me and called 911. I was taken to the ER where I was "Certified" by the state of Maryland to a mental hospital where I spent 6 days.
Now the funny thing is that I had taken pills like this many times before, the first time when I was 12. See even that young I knew something was wrong with me I was NEVER happy and to read my journals from that time period you would not argue with me. But we were a military family and I am sure that a lot of the depression was written off to our frequent moves and new countries. I went through incredible suicidal lows until I was about 17, and then I discovered drugs and alcohol. From then until I was 20 that's ALL I did, get high, get drunk and party. I know now that this was apparently a very long manic episode, it all fits; decreased need for sleep increased energy, feelings of invincibility etc etc. When I look back it seems that as I got older I added more elements to my mania, they also got longer; in fact at times they were so long people just got "used" to them. I added men into the picture – LOTS OF MEN - added more drugs harder drugs and started spending money I had put away for bills. Of course I just KNEW that money would be there when I needed it, so I had no worries. My mania was never violent then it was always just FUN, tiring for those around me but FUN, we would party drink get high whatever we wanted to do. It was during these times that I was the most sexy, the funniest the classiest the coolest person around. That was what I saw anyway.
By the time I was 24 I had been with over 70 men, done enough drugs to finance an entire Cuban cartel, drank enough liquor to make up for all those in Utah that don't drink; spent a night in jail after I went postal on an ex boyfriend of mine, got involved with and married a man who 2 weeks later went to prison on King Pin charges; had 2 miscarriages. Attempted suicide 2 more times, paid over 3K in speeding tickets (thanks to that recklessness that comes with mania) gotten thrown out of 3 night clubs for fighting, and the list goes on.
At 25, now; I was hospitalized, subsequently diagnosed and deemed unsafe to myself by an ENTIRE state. As you can see I try and find some humor in this, it's still so foreign to me that I have to! Right now I am on Lithium, Wellbutrin, and Risperidol but it's still very early and I am not able to see a difference yet.
I would like to say that I wrote this in hopes that someone somewhere can learn from my experience but that just isn't the case, I wrote this to see my life or a version of it on paper so that maybe I can get a better grip on what's going on. Regardless I hope that this was informative and possibly humorous to whomever decided to read it.
Bipolar World © 1998, 1999, 2000, 2001, 2002, 2003, 2004, 2005, 2006, 2007, 2008, 2009, 2010, 2011, 2012, 2013, 2014 Owners: Allie Bloom, David Schafer, M.Ed. (Blackdog) Bipolar World Partners: John Haeckel, Judith (Duff) Founder: Colleen Sullivan
Email Us at Bipolar World
About Us Add a Link Advance Directives Alternative Treatments Ask the Doctor Ask Dr. Phelps about Bipolar Disorder Ask The Doctor/Dr. Phelps' Topic Archives Awards Benny the Bipolar Puppy Bipolar Chat Bipolar Children Bipolar Disorder News Bipolar Help Contract Bipolar World Forums Book Reviews Bookstore BP & Other mental Illness Clinical Research Trials & FDA Drug Approval Community Support Contact Us The Continuum of Mania and Depression Coping Criteria Criteria and Diagnosis Criteria-World Health Disabilities, DSMV-IV Dual Diagnosis eGroups Expressions (Poetry, Inspiration, Humor, Art Gallery, Memorials Family Members Getting Help for a Loved One who Refuses Treatment Greeting Cards History of Mental Illness Indigo Job and School Links Medications Medication and Weight Gain News of the Day Parent Chat Pay for Meds Personal Stories Self Help Self Injury Significant Others Stigma and Mental Health Law Storm's Column Suicide!!! The Suicide Wall Table of Contents Treatments Treatment Compliance US Disability Veteran's Chat What's New?


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Members of the CUMC Community Campaign to Support NIH Funding Faculty, staff, and students at CUMC are speaking out-- and rallying-- against NIH funding cuts, mandated by the sequester.
New Research May Explain Why Obese People Have Higher Rates of Asthma Increasing leptin-signaling may relieve asthma in obese people: new research results from CUMC's Dr. Gerard Karsenty.
Study Explains Decrease in Insulin-Producing Beta Cells in Diabetes A new study by CUMC researchers shows that beta cells do not die but instead revert to a more fundamental, undifferentiated cell type.
Researchers and Community Leaders Identify Approaches for Research to Improve Northern Manhattan Health Outcomes March 1, 2012 –Improving…


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Publication number | US6847845 B2 |
Publication type | Grant |
Application number | US 10/034,143 |
Publication date | Jan 25, 2005 |
Filing date | Dec 28, 2001 |
Priority date | Dec 28, 2001 |
Fee status | Paid |
Also published as | US20030125780, WO2003057311A2, WO2003057311A3, WO2003057311B1 |
Publication number | 034143, 10034143, US 6847845 B2, US 6847845B2, US-B2-6847845, US6847845 B2, US6847845B2 |
Inventors | Elisabeth L. Belden |
Original Assignee | Medtronic, Inc. |
Export Citation | BiBTeX, EndNote, RefMan |
Patent Citations (15), Non-Patent Citations (2), Referenced by (24), Classifications (4), Legal Events (4) | |
External Links: USPTO, USPTO Assignment, Espacenet | |
This Application is related to commonly-assigned patent application Ser. No. 10/034,905, filed on even date herewith, entitled "improved system for Providing Electrical Stimulation to a Left Chamber of a Heart".
The present invention relates generally to a configurable connection system for a medical electrical lead; and more specifically, relates to an improved connector for a multi-polar lead.
It has long been known that implantable medical electrical leads may be positioned transvenously within one or more chambers of the heart or the associated vascular system to provide electrical stimulation to cardiac tissue. Often, such a lead includes multiple electrodes. For example, a lead may include a pair of pace/sense electrodes. This electrode pair may be used to deliver low-voltage stimulation such as pacing pulses to the tissue. Often, the electrode pair will include a tip electrode that is used as the cathode to supply such pacing pulses. In the case of electrodes positioned within the cardiac vasculature, this is not necessarily the case, however. That is, when electrodes are positioned within a vein, the most distally-positioned electrode is not necessarily the best electrode choice for use as the cathode. In this type of situation, threshold testing may be performed to determine which electrode of an electrode pair will provide better capture of the heart, and is therefore more suitable for use as the cathode.
As another example, some leads include one or more pace/sense electrodes to provide pacing and sensing capabilities, and at least one additional high-voltage electrode to provide high-voltage therapy, including cardioversion/defibrillation shocks. In some instances, it is advantageous to electrically couple the high-voltage electrode with at least one of the pace/sense electrodes prior to high-voltage therapy delivery, since this increases the amount of tissue affected by the therapy. In other words, it increases the "shadow area" of the high-voltage electrode. Preferably, one or more pace/sense electrodes being uses as an anode during pacing therapy is selected for electrically coupling to the high-voltage electrode.
In either of the above-described examples, it is necessary to selectively couple an electrode to circuitry within an implantable pulse generator or another signal generator. This electrical coupling is generally performed after threshold testing or another type of electrical signal testing is performed. However, current lead systems do not provide a mechanism for readily these types of selective connections. Therefore, what is needed is an improved connection system for a multi-polar lead that will solve at least some of the foregoing problems.
The current invention provides a connection system for coupling selected conductors carried by a medical electrical lead to a source of energy such as an implantable pulse generator. The connection system includes a first port that may be coupled to at least two conductors carried by a lead. The first port electrically couples the at least two conductors to each other, and to the source of energy. A second port is provided to respectively electrically couple at least one additional lead conductor to the source of energy.
According to one exemplary use of the current connection system, the system provides a means for selectively coupling a high-voltage coil electrode of a medical lead to a second electrode carried by the lead to increase the shadow area of the coil electrode during high-voltage therapy. As another example, the connection system allows for cathode selection between multiple pace/sense electrodes provided on a lead body.
According to another aspect of the invention, a connection system for use in electrically coupling a source of energy to a multi-polar medical electrical lead having at least three conductors is disclosed. The connection system includes a first port to selectably electrically couple to at least two of the at least three conductors, and a second port to electrically couple to another one of the at least three conductors. The connection system also includes a connector to couple to the source of energy, where the connector may include an industry standard connector such as an IS-1 or DF-1 connector, or may include a non-standard connector.
In another embodiment, a medical system to provide electrical stimulation to living tissue is disclosed. The system includes a lead having at least three conductors, each of the conductors being coupled to a respective electrode. The system further includes an energy source, and a connection system to electrically couple ones of the at least three conductors to the energy source. The connection system includes a first port to electrically couple at least two selected ones of the at least three conductors together in common, and second port to electrically couple to at least one other one of the at least three conductors. The connection system further includes a connector to respectively electrically couple the first and second ports to the energy source.
Other scopes and aspects of the current invention will become apparent to those skilled in the art from the following description and the accompanying drawings.
The present invention provides a connection system for a multi-polar lead. Although a single embodiment of the lead is provided herein for exemplary purposes, it will be understood that any multi-polar lead having electrodes adapted to be selectively configured may usefully employ the current connection system. The lead disclosed herein is therefore solely provided for illustrative purposes.
A. An Exemplary Lead System as may be Adapted for Use with the Current Invention
The distal end of the elongated body includes a tip electrode 12 for pacing and sensing in the left ventricle. This electrode could be any of the various types of pacing electrodes known in the art such as a porous platinized electrode assembly. A tip electrode is shown, although a ring electrode located proximate the distal end of the elongate body 10 could be used in the alternative. In one embodiment, this electrode is a steroid-eluting porous pacing electrode, as described in commonly-assigned U.S. Pat. Nos. 4,506,680, 4,577,642; 4,606,118 incorporated herein by reference. The electrode may be constructed of porous, sintered platinum, titanium, or a similar bio-compatible metal.
Tip electrode 12 could include means to aid in fixing the electrode assembly at a desired site of implant within the branch vein. For example, the electrode could include flexible tine-like or fin structures. Fixation devices of this nature are disclosed in U.S. Pat. Nos. 5,964,795, 6,006,122, and 5,387,233 which are incorporated herein by reference. Alternatively, the lead body 10 could be shaped to have side-to-side undulations to wedge the lead within the vessel and aid in retaining the lead body at the implant site.
Shocking electrode 16, located proximal to tip electrode 12 provides cardioversion/defibrillation stimulation, and, in one embodiment, may be used as an anode for bipolar pace/sense therapy in conjunction with the pace/sense cathode, as will be discussed further below. Shocking electrode 16 is a coiled electrode that may be of any construction known in the art. In one embodiment, the coil is isodiametric with respect to the lead body. Such isodiametric electrode coils may be molded into the electrode body or the coils may be machined to provide a flush surface. This is described in U.S. Pat. No. 4,161,952, issued to Kinney et al. Similarly, U.S. Pat. No. 5,957,970 to Shoberg discloses an isodiametric defibrillation lead as may be used with the current invention. The lead described in the ′970 patent is manufactured by removing a portion of an extruded tubular lead body in the region of the coil so that the electrode is flush with the surface of the lead.
Shocking electrode 16 may be encased in a layer of porous PTFE material or expandable PTFE (ePTFE), as shown in FIG. 2. The porous PTFE jacket 30 is designed to prevent tissue in-growth around the coils of the shocking electrode. Shocking electrode 16 is electrically coupled to a conductor 23 (shown dashed) extending to a connector 140 at the proximal end of the lead. More specifically, conductor 23 is electrically coupled to a connection member shown as pin 146 of the connector.
In one preferred embodiment of the current invention, elongate body 10 may further include a ring electrode 18. In
In the illustrated embodiment, conductor 21 extends to a connection member shown as pin connector 142. Conductor 25 extends to a similar pin that is not shown in FIG. 1.
As noted above, the construction of the lead body may be of any type known in the art. Conductors 21, 23, and 25 may be of a cable or coil design, and may reside within individual lumens formed in the insulation. In another embodiment, one or more of the conductors may be coils positioned coaxially with respect to each other, with insulation provided between adjacent coils.
The lead body may further include a lumen for receiving a stylet For example, one of the conductors 21, 23 and 25 may be coiled to define such a lumen, or the lumen may be formed within the insulation. In yet another embodiment, the lumen may extend through the distal end of elongate body 10 and tip electrode 12. In this instance, a guidewire may be advanced beyond the lead distal tip for positioning the lead body within the coronary sinus or a branch vessel. In this embodiment, a tip seal 13 may be provided at the distal end of the lumen, as described in commonly-assigned U.S. Pat. No. 6,192,280 incorporated herein by reference. This tip seal prevents the ingress of bodily fluids into the lumen.
The lead body 10 of
According to yet another aspect of the invention, additional collapsible PTFE lumens as may be formed of PTFE tubing may be added around the lead body. Each of these tubes will further selectively promote tissue in-growth, and, may be positioned to urge one or more of the electrodes against tissue after the implant procedure. These additional lumens may further be used during an implant procedure in conjunction with a guidewire or stylet to steer a lead around a curve within the vascular system.
In one embodiment, the distal end of the lead body is sized to be positioned within a branch vein as a means of fixation. In this embodiment, the diameter of lead body 10 may range from approximately 0.030″ to 0.090″, and in a more specific embodiment may range from approximately 0.040″ to 0.065″. In such an embodiment, all electrodes have a diameter similar to that of the lead body to allow for placement of the lead within the coronary vessels.
Positioning of the lead may be completed using several methods. During the implantation procedure, a guide catheter may be used to cannulate the ostium 64 (shown dashed) of coronary sinus 62. A guidewire may then be pre-loaded into side lumen 32, and the guidewire and lead may be delivered within the lumen of the guide catheter into the coronary sinus 62. Thereafter, the guidewire may be advanced beyond the distal tip of the lead and navigated into the selected branch vein. This process may be aided using fluoroscopy. A radiopaque marker such as marker 53 (
In another embodiment wherein the side lumen 32 includes a closed distal end, a stylet may be pre-loaded in the lumen, and the lead and stylet combination advanced within the lumen of the guide catheter to the coronary sinus 62. Thereafter, the stylet may be used to advance the lead distal end past the guide catheter distal end and into the desired branch vein. The guide catheter and stylet may then be removed from the body.
In yet another embodiment, the lead need not include a side lumen, but instead includes a lumen within the lead body, as may be defined via a coiled conductor in the manner discussed above. A stylet may be pre-loaded into this internal lumen so that the lead and stylet may be advanced into the coronary sinus in the manner discussed above, and thereafter positioned within a branch vein. According to yet another embodiment of the invention, the internal lead lumen may extend through the distal end of the lead, and a guidewire may be used to place the lead in a manner similar to that discussed above with respect to the side lumen. That is, after the guidewire and lead are positioned within the coronary sinus, the guidewire is advanced to sub-select the branch vein, and the lead is then tracked over the guidewire to the target destination. The guidewire and guide catheter are thereafter removed from the body.
As shown in
After the leads are positioned within the patient, they may be coupled to an implantable medical device (IMD) 80. The implanting physician may then perform electrical testing to determine whether tip electrode 12 or ring electrode 18 provides the best location for bi-ventricular pacing. Temporary contacts can be made with the connectors at the proximal end of the lead to test the most distal electrode 12 versus the most proximal electrode 18 as the cathode with the other two electrodes serving as the anode. Selection of the cathode is based on the efficiency of bi-ventricular pacing. This selection can be made by programming the pulse generator, or by providing a separate jumper connector to a pin grid array at the proximal end of the lead body 10.
As described further below, after lead implantation is completed, a physician may conduct testing to determine whether the tip electrode 12 or ring electrode 18 are associated with better pacing thresholds, and should therefore be selected as the cathode. After this determination is complete, the connection system of the current invention may be used to accomplished the selected configuration as discussed further below.
B. Connection System of the Current Invention
As shown in
Lockout member 149 may optionally be provided as a protruding ridge between pins 142 and 148 to prevent mating interface 160 from receiving the combination of pins 142 and 148, since this would select shocking electrode 16 as the pacing cathode, with the remaining two electrodes selected to deliver high-voltage shocks. In another embodiment, color-coding may be provided to indicate the various possible connection combinations that may be made to the connector 140. For example, the connection member associated with a coil electrode of a lead may be color-coded to indicate that that connection member should not be selected as the cathode connector.
Dashed lines 204 illustrate the electrical connections associated with the ports of mating interface 160. Port 164 is electrically coupled to connector pin 206 and ring connector 208 of adapter via conductors 210 and 212, respectively. Similarly, port 162 is electrically coupled to pin connector 214 via conductor 216. By selectively coupling port 162 to either pin 142 or 148 of connector 140, then coupling pins 206 and 208 to a connector block of a pacemaker cardioversion/defibrillator as is known in the art, the desired electrical connections as determined by threshold testing may be obtained. A high-voltage shock may then be delivered via pin 206 and conductor 210, whereas pacing therapy may be delivered via pin 214, with the return current path being provided by pin connector 206 and ring connector 208.
As noted above, to determine the optimal configuration for a lead according to the current invention, threshold testing or other testing may be performed. During this testing, various pins of connector 140 may be temporarily coupled. This can be accomplished using adaptors having clips similar to "alligator" clips.
One skilled in the art will recognize that many variations of the current invention connector system exist within the scope of the current invention. For example, connector 140 may include any number of connection members, or pins. Mating interface may be formed in virtually any shape as required to mate with a connector 140 at a proximal end of a lead, and the ports of mating interface may likewise be formed in a variety of shapes and sizes to accommodate the connection members of connector 140. If desired, the mating interface may include protruding connection members such as pins, whereas the connector 140 includes receptacles to receive the pins.
Mating interface 160 a may be arranged in a selected one of four positions relative to the connection members of connector 140 a. One or more lockout members similar to lockout member 149 (
The type of mating interface shown in
According to yet another aspect of the invention, an extension member may be joined temporarily to one or more connection members of connector 140. Such an extension member provides a means to remove a delivery catheter over the lead without losing control of the lead.
The above-described invention provides an improved connector system for use in configuring electrodes of multi-polar leads. The above use of the connector system is exemplary only, and one skilled in the art will appreciate that any configurable multi-polar lead for any cardiac, neuro-stimulation, Transcuteous Neurological Stimulation (TENS), spinal cord stimulation (SCS), or any other bio-electrical stimulation purposes, may likewise employ the current invention. It will be appreciated that other modifications and adaptations within the scope of the invention may be contemplated by those skilled in the art. Therefore, the above discussion is to be considered exemplary in nature, and not limiting.
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US6192280 | Jun 2, 1999 | Feb 20, 2001 | Medtronic, Inc. | Guidewire placed implantable lead with tip seal |
US6295475 | Oct 27, 1999 | Sep 25, 2001 | Pacesetter, Inc. | Single-pass atrial ventricular lead with multiple atrial ring electrodes and a selective atrial electrode adaptor for the coronary sinus region |
Reference | ||
1 | Cazeau et al., "Four Chamber Pacing in Dilated Cardiomyopathy," Nov. 1994, PACE 1994; 17 (Pt. II):1974-1979. | |
2 | LeClercq et al., "Acute Hemodynamic Effects of Biventricular DDD Pacing in Patients with End-Stage Heart Failure," Dec. 1998, J Am Coll Cardiol 1998;32:1825-31. |
Citing Patent | Filing date | Publication date | Applicant | Title |
US7059878 | Feb 23, 2005 | Jun 13, 2006 | Remington Medical, Inc. | Epicardial pacer extension cable system |
US7204703 | Jun 1, 2006 | Apr 17, 2007 | Remington Medical, Inc. | Epicardial pacer extension cable system |
US7225035 * | Jun 24, 2004 | May 29, 2007 | Medtronic, Inc. | Multipolar medical electrical lead |
US7241180 | Jan 31, 2006 | Jul 10, 2007 | Medtronic, Inc. | Medical electrical lead connector assembly |
US7933652 | Apr 16, 2007 | Apr 26, 2011 | Medtronic, Inc. | Bi-directional connector assembly for an implantable medical device |
US8200335 * | Jan 30, 2009 | Jun 12, 2012 | Medtronic, Inc. | Implantable medical device lead connection assembly |
US8290593 | Oct 30, 2009 | Oct 16, 2012 | Medtronic, Inc. | Implantable medical device including a plurality of lead connection assemblies |
US8364268 | Apr 18, 2011 | Jan 29, 2013 | Medtronic, Inc. | Bi-directional connector assembly for an implantable medical device |
US8805519 | Sep 30, 2010 | Aug 12, 2014 | Nevro Corporation | Systems and methods for detecting intrathecal penetration |
US8903512 * | Jul 29, 2003 | Dec 2, 2014 | Medtronic, Inc. | Medical system including a novel bipolar pacing pair |
US8965482 | Sep 30, 2010 | Feb 24, 2015 | Nevro Corporation | Systems and methods for positioning implanted devices in a patient |
US9345891 | Jan 15, 2015 | May 24, 2016 | Nevro Corporation | Systems and methods for positioning implanted devices in a patient |
US9351655 | Aug 21, 2009 | May 31, 2016 | Boston Scientific Neuromodulation Corporation | Systems, devices, and methods for electrically coupling terminals to electrodes of electrical stimulation systems |
US9358388 | Jul 8, 2014 | Jun 7, 2016 | Nevro Corporation | Systems and methods for detecting intrathecal penetration |
US9403020 | Oct 4, 2012 | Aug 2, 2016 | Nevro Corporation | Modeling positions of implanted devices in a patient |
US20040230276 * | Jul 29, 2003 | Nov 18, 2004 | Marshall Mark T. | Medical system including a novel bipolar pacing pair |
US20050288761 * | Jun 24, 2004 | Dec 29, 2005 | Medtronic, Inc. | Multipolar medical electrical lead |
US20070178770 * | Jan 31, 2006 | Aug 2, 2007 | Douglas Rentas Torres | Medical electrical lead connector assembly |
US20080208290 * | Apr 16, 2007 | Aug 28, 2008 | Medtronic, Inc. | Bi-directional connector assembly for an implantable medical device |
US20090204194 * | Apr 23, 2009 | Aug 13, 2009 | Medtronic, Inc. | Medical system including a novel bipolar pacing pair |
US20100114210 * | Jan 30, 2009 | May 6, 2010 | Medtronic, Inc. | Implantable medical device lead connection assembly |
US20100137929 * | Oct 30, 2009 | Jun 3, 2010 | Medtronic, Inc. | Implantable medical device including a plurality of lead connection assemblies |
US20110087305 * | Oct 8, 2010 | Apr 14, 2011 | Medtronic, Inc. | Medical lead system with router |
US20110196448 * | Apr 18, 2011 | Aug 11, 2011 | Medtronic, Inc. | Bi-directional connector assembly for an implantable medical device |
U.S. Classification | 607/37 |
International Classification | A61N1/05 |
Cooperative Classification | A61N1/056 |
European Classification | A61N1/05N |
Date | Code | Event | Description |
Apr 19, 2002 | AS | Assignment | Owner name: MEDTRONIC, INC., MINNESOTA Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:BELDEN, ELISABETH L.;REEL/FRAME:012797/0095 Effective date: 20020319 |
Jun 19, 2008 | FPAY | Fee payment | Year of fee payment: 4 |
Jul 25, 2012 | FPAY | Fee payment | Year of fee payment: 8 |
Jul 25, 2016 | FPAY | Fee payment | Year of fee payment: 12 |


text:
A > APPLE > MACINTOSH Plus
Demonstration version of a commercial software (MS DOS & Win95)
A commercial Software which emulates the Atari ST/TT and the Mac 128/Plus/2 (Win95 / Win NT)
Same as Apple lisa emulator for unix but ported to windows
PearPC is an architecture-independent PowerPC platform emulator capable of running most PowerPC operating systems.
good 68K Emulator For Windows
A Mac 128 Emulator for MS DOS / Win97 (available for OS/2 too)
A Mac 128 Emulator for Macintosh !!!
Demo version of a commercial software (Linux / NextStep)
for HP-UX and Solaris
Basilisk II is an Open Source 68k Macintosh emulator. Good emulator, runs on several platforms, even Amiga
Mini vMac, a spin off of the program vMac, emulates a Macintosh Plus and Macintosh SE. So far it works on Macintosh OS, Microsoft Windows, and the X Window System.


text:
A pack is a collection of content you publish and distribute to users. Depending on your use case, packs may be workbooks, manuals, guides, tool boxes, client deliverables, or other resources. Pack content can include Word docs, PDFs, videos, PowerPoint decks, and more.
A distribution is the provision of one of your packs to one user. Any additional or future updates you wish to provide to the same user do not count as additional distributions. Every plan comes with free distributions and, once those are used, additional distributions cost $1 each.
One advantage of using the SharedBook platform is that you can easily import your existing content without having to reauthor it. Microsoft Word docs, PowerPoint presentations, PDFs, image and more can be uploaded and added to your library. Links to externally-hosted videos can also be included and, very soon, you will be able to upload and embedd them.
Absolutely. Our goal is to provide a secure digital/mobile publishing platform that scales with your needs. When you decide to publish more packs or wish to add more features, your account can be easily upgraded to whichever plan best fits your needs.
All content distributed through the SharedBook platform remains within our secure user environment. Instead of downloading files that can be e-mailed or saved and shared, users are provided an online/offline app environment from which they can consume your content on any mobile device, desktop, or laptop.
Your valuable intellectual property needs to be protected and secure. Files distributed through e-mail or other insecure methods (LMS/CMS) can be easily saved, shared, or stolen. And traditional paper formats can be lost, discarded or copied. SharedBook allows you to deliver to digital devices securely and gives you control at all times.
SharedBook provides multiple features that provide increased control. For example, you can distribute your materials to virtually any digital device and via print. The Withdraw feature allows you to remove content from end users devices at any time. And the Revise feature allows you to update your content and push those updates to users without them having to seek out the changes.
Yes! SharedBook uses your existing files and doesn't require you to re-author them. Simply upload any files you would like to distribute. Then use the SharedBook platform to pick and choose items for your custom "Pack" and create the perfect personalized digital material for every client in minutes.
SharedBook helps firms of any size increase the impact of their content by meeting evolving expectations for engaging, mobile delivery while controlling access and protecting intellectual property.
Phone: 866-297-9022
Email: email@example.com
Address: 4750 Venture Drive, Suite 400, Ann Arbor, MI 48108


text:
Bryant Creek Pioneers--Thomas S. Brown & John Burden
Hardcover, 708 Pages
Prints in 3-5 business days
This 700-page book is an exhaustive family history of an early southern Missouri settler, Thomas S. Brown. He traveled from Brown County, Indiana, to Bryant Creek Valley in Douglas County, Missouri, in the 1840s. The book includes hundreds of old historical photos for his family and the Bryant Creek area, and was written by old Tom Brown's great-grandson, Logan Brown and Logan's wife, Cinita, now both in their 80s. Before retiring, Logan was a long-time carpenter and Douglas County Coroner. Cinita is a retired elementary school teacher and is one of the most knowledgeable historians of the southern Missouri area. As well, she is a master storyteller who has delighted many groups of adults and schoolchildren through the years with her graphic presentations. In the book, many old stories told by Logan's ancestors are included.
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Product Details
- Copyright
- Logan and Cinita (Davis) Brown (Standard Copyright License)
- Edition
- Second Printing
- Publisher
- Logan and Cinita (Davis) Brown
- Published
- November 20, 2014
- Language
- English
- Pages
- 708
- Binding
- Hardcover (casewrap)
- Interior Ink
- Black & white
- Weight
- 3.64 lbs.
- Dimensions (inches)
- 8.25 wide x 10.75 tall
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- Southern Missouri ,
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- Douglas County ,
- Ozark County ,
- Thomas Brown ,
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- John Burden ,
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- Yates Cemetery
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text: What is "D-cracking"? The term, which was introduced in the 1930's may mean any of several things, depending on who uses it. It may mean almost any crack that has been filled with direct and debris. Or it may mean cracks, filled or unfilled, that have been caused by freezing and thawing or other weathering of concrete. More properly the term identifies a series of closely spaced cracks in a pavement wearing surface at specific kinds of locations. These places are adjacent to joints, adjacent to other cracks or adjacent and parallel to the free edges. The term also describes the initial stages of such cracking, which begins below the wearing surface and later develops into closely spaced surface cracks. Thus D-cracking has a characteristic crack pattern and indicates a particular kind of pavement distress. D-cracking is now understood to begin with distress that develops in porous, absorptive coarse aggregate. Such particles near a joint or slab edge may become critically saturated with water. During freezing and thawing, they undergo progressive micro cracking. As time goes on the cracks extend into the surrounding mortar and into other aggregate particles. A four year study of D-cracking has been completed by the Portland Cement Association. The following recommendations can now be made: aggregates with D-cracking potential can be upgraded by using a smaller maximum size in the concrete; the maximum size that can be used without developing distress can be determined by evaluating concretes in standard freezing and thawing tests; selective quarrying should be done at some source to avoid material that is potentially nondurable; and drainage systems for pavement slabs, although allowable, should not be used as the sole means of eliminating the development of D-cracking.


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Summit on 5/27 - Still Questionable
Whitney Zone
Registered: 09/21/09
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Posted by zipperdoyle, 05-29-07
I made a successful solo summit attempt on Sunday (5/27). Made it to the cable section around 7:30 and there was a thin row of rocks along the cables (no ice on them) that I walked along with confidence. I had one hand on the cable to my right, my trekking pole to the left, and walked on the dry rock. The rest of the trail was fairly clean and there were a few tricky spots on the backside where the trail was a downhill of snow/ice to the next rocky section. I felt very comfortable as the snow was firm and I used the foot holds that were previously created by other hikers. Made the summit in about 3.5 hours and enjoyed the spectacular views. There were several people at the top while I was there.
Now the part that makes me reconsider my attempt (left the summit at 11:00): As the day progressed the sun came out and started to melt the snow that had been firm earlier that morning. All of the spots that were easier to traverse now became a slush fest and I would literally sink or slide into the snowy sections. They were not an issue until I reached the cables and came to the middle of the cables where they hang out over the abyss.
Earlier in the morning there was a nice dry rocky section that I walked across, but now the snow had turned to slush and covered the last portion of this section. The only way across was to walk through the slush and the cables were about three feet to my left in the air. My heart rate started to pickup as I knew that all of the snow was slush and the footing going to give away. I literally took one step on the snow and it gave away under my feet and I fell out over the abyss. Thankfully, I have a long wing span (6'5") and I caught myself on the cables, as one of my feet was dangling over the edge. I was also fortunate that I fell on my side, rather than head first as I was able to grab on to the cables.
Initially, I thought it was kind of funny and thought it would be a "cool" story to tell people at work on Tuesday. But after reading other posts and considering that I probably would have ended my life if I did not catch the cable, made me reconsider my actions. There were probably around 20-30 people on their way up as I descended so I'm hoping that they made it safely back down later in the day as the snow turned to slush.
Posted by Dave A. R, 05-30-07
A harrowing tale -- thanks for the warning.
Posted by VersatileFred, 05-30-07
Thanks for sharing. The more real-life stories that we can share the more we remind people that it is best to err on the side of caution. Even so, we still hear stories like
Hikers Walking Into Lightning Storm. Someone Tell Me Why!.
Orientation Notes for Whitney First Timers
Posted by zipperdoyle, 05-31-07
I do have one more other strange occurrence that happened that morning on the trail. As I walked up the first few switchbacks before the cable section I came across a tarp laid in the middle of the trail with a sleeping bag on it. I walked across it in my boots and poles confused as I was uncertain what was going on.
I later learned that there was a guy who was suffering from altitude sickness and he decided to lay down in the middle of the trail in his sleeping bag for quite some time(I think his friend was there with him). Probably not the most effective way to battle AMS, but I know that many of the other hikers I met up on the summit were offering water/meds to him and trying to coerce him to go down the hill. I do recall seeing a guy in jeans walking down in a drunk like state so I'm assuming he made it down okay. Altitude is not a thing to toy with especially when you start to feel the symptoms.
Posted by VersatileFred, 05-31-07
Wow! That sure sounds strange. If he was just hiking up from Trail Camp to the summit, he probably would not be carrying his sleeping bag with him. Maybe he had too much altitude exposure at Trail Camp that led to sickness on the switchbacks. That is all that I can think of.
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Fun typography quote poster from our 'You Are My Sunshine' series. Cute baby nursery decor, or gift for a friend. Choose from left aligned or centered style.
Sizes start at 5x7 inches and go up to 24x36 inches. Printed on ultra premium heavy stock matte paper with hi-definition inks.
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#GuitarOfTheMonth - February 2017
Published by ProjectGuitar.com Winner of this month's Guitar Of The Month contest is the ever-popular @ScottR! Even in spite of Scott's very-occasional builds (1-2 per year?), they are consistently popular and finely-documented over in the forums. So much so, he's managed to collect several GOTM wins including last year's Guitar Of The Year....
Go to current Guitar Of The Month contest »