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Justia Patents US Patent for Personal health care system Patent (Patent # 5,590,648)
Personal health care system
Apr 7, 1994 - Tremont Medical
A personal health care system utilizing a unitary command center having a computer for receiving, storing, processing, and transmitting information, and a plurality of interfacing ports. Each interfacing port is adapted to accept a plurality of different patient monitoring sensor modules, a plurality of different accessory modules, and a plurality of different therapy-providing modules. An accepted module is electrically interconnected to the data processor for sending and receiving information therebetween. The data processor includes means for providing operating instructions to the sensor modules, accessory modules, and therapy-providing modules. Each sensor module senses and provides information on a condition of a patient and each therapy-providing module provides a therapy to the patient. The data processor monitors the information provided by the sensor modules and controls provision of the therapy to the patient.
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The present invention relates to the field of providing health care for patients.
Care of the ailing elderly and other bedridden or partially bedridden patients often requires the monitoring of several health parameters, as well as treatment of one or more indications. Hospitalization of such patients is very expensive. Cost containment with maintenance of quality care is a major focus for the health care industry. Given the great cost of hospital space, increasing demands are being made to move patients as soon as possible from a hospital through perhaps some intermediary care-giving recovery facility, such as a nursing home, to the home itself. Often the patient is moved before he or she is ambulatory or capable of being removed from life-support apparatus and specialized equipment has been developed for such moves, U.S. Pat. Nos. 4,957,121 and 4,584,989 describing examples of such equipment.
Various devices for patient monitoring and/or treatment in the hospital or home care setting are known in the art.
U.S. Pat. No. 5,101,820 discloses a bedside unit for supplying oxygen, and U.S. Pat. No. 4,300,550 discloses a combination oxygenating and aspirating device.
U.S. Pat. Nos. 4,403,984, 4,449,538, 4,534,756 and 5,088,981 disclose various controlled infusion systems.
U.S. Pat. No. 4,366,818 discloses a vacuum type urinating aid.
U.S. Pat. No. 4,710,165 discloses a suction/collection device that can be hung at a patient's bedside.
U.S. Pat. No. 3,857,383 discloses a health screening unit including testing equipment.
Frequently, several types of monitoring and therapeutic devices are needed to maintain a home-bound patient, such as a monitoring unit described by Fu and Manning (U.S. Pat. No. 4,803,625), a feeding and aspirating unit such as described by Wooten and Rives (U.S. Pat. No. 3,860,000) and a drug infusion unit such as described by Bowman and Westenkow (U.S. Pat. No. 4,291,692). Such an array of separate devices is bulky, cumbersome, difficult to set-up and maintain, and confusing to use by an unskilled care-giver. The multiplicity of power cords, monitoring displays, alarms and related circuitry presented by individualized units makes their placement and access a problem. Access to the patient can be a problem as well. Additionally, these separate devices are usually rented or purchased and serviced by different dealers.
In short, no system has been provided in the prior art which is well adapted for use in home health care, sub-acute care, and/or assisted care which solves all of the aforementioned problems and drawbacks with a compact, integrated, self-contained unit.
There remains a need in the art for improved systems for the treatment and monitoring of ailing elderly and other bedridden or partially bedridden patients, particularly in the home health care setting.
In accordance with the present invention, a personal health care system comprises a command center including computer means for receiving, storing, processing, and transmitting information. Means are provided for supplying electrical power to the system, the power supply means comprising means for connecting to an outside source of electrical power, battery means for storing and delivering electrical power, or a combination thereof. Means are also provided for connecting the computer with a plurality of patient monitoring modules, wherein the computer monitors information on the patients condition which is received from the monitoring modules. The plurality of monitoring modules are selected from a breathing rate sensor, a pulse rate sensor, a body temperature sensor, a blood pressure sensor, a urinary discharge volume sensor and an oximeter, among others. Means are included for providing an alert concerning the patient's condition, the alerting means comprising an alarm, means for electronically communicating with a remote monitoring service, or a combination thereof. Additional means are provided for connecting the computer with a plurality of modules for providing therapy to the patient, wherein the computer controls provision of the therapy to the patient. The therapy-producing module is selected from means for assisting the patient's breathing, means for delivering medication to the patient, means for delivering nutrition to the patient and means for receiving and removing urine from the patient, among others.
FIG. 1 is a block diagram including a personal health care system in accordance with one embodiment of the present invention.
FIG. 2 is a block diagram showing independent power, alarm, and communications channels for enhancing reliability of a personal health care system in accordance with the present invention.
FIG. 3 is a perspective view of a personal health care system command center in accordance with one embodiment of the invention.
FIG. 4 is a perspective view of the command center of FIG. 5 with side portions opened for access.
FIG. 5 is a perspective view of the command center of FIGS. 3 and 4 showing lines for connecting to a patient.
FIG. 6 is a perspective view of a command center in accordance with the invention showing some optional accessories.
FIG. 7 is a perspective view of a portion of the command center of FIG. 3 showing several unoccupied interfacing ports and several interfacing ports accepting modules and electrically interconnecting the modules with the personal health care system.
FIG. 8 is a perspective view of a typical system module.
FIG. 9 is a cross-sectional view taken along the line 9--9 of FIG. 8.
With reference to the drawings, a personal health care system in accordance with the present invention includes a unitary command center 10, having a means for receiving, storing and processing information such as computer 12.
Unitary command center 10 includes means for supplying electrical power to the system. The power supply means can comprise a power supply cable 14 for connecting to an external source of electrical power such as AC house current. A battery 16 for storing and delivering electrical power to the system, or in preferred embodiments, a combination thereof is shown in FIG. 1. With the combination power supply system shown in FIG. 1, battery 16 acts as a backup in the event of an external power failure.
In the embodiment shown, all power to the personal health care system of the present invention is through unitary command center 10 by means of power supply cable 14 or battery 16. In accordance with the embodiment, unitary command center 10 supplies all power to the below-described peripherals, patient monitoring sensor modules and therapy-providing modules.
Unitary command center 10 is connected to a plurality of patient monitoring sensor modules for monitoring the health parameters and condition of a patient 18. In preferred embodiments, the patient-monitoring sensor modules are detachably connectable to unitary command center 10 via an interfacing port 74. The plurality of sensor modules connected to patient 18 can include a breathing rate sensor 20a, pulse rate sensor 20b, body temperature sensor 20c, blood pressure sensor 20d, urinary discharge volume sensor 20e, oximeter 20f, an ECG sensor module, an EKG sensor module, an EEG sensor module, an oxygen analyzer module, a fetal monitor module, a dental patient monitoring module, and a multi-gas analyzing module.
Breathing rate sensor module 20a can be any suitable breathing rate sensor, such as those incorporating a hollow tube fastened about the patient's chest. Pulse rate sensor 20b can be any suitable pulse rate sensor, such as pulse rate sensors which are presently well known in the art. Body temperature sensor 20c can be any suitable body temperature sensor, such as those which are presently known in the art. The blood pressure sensor 20d can be any suitable blood pressure sensor, including blood pressure sensors which are well known in the art. The urinary discharge volume sensor 20e can be any suitable means for measuring urinary discharge volume. Suitable urinary discharge volume sensors include those which measure the weight of the urinary liquid. Oximeter 20f can be any suitable oximeter means, including oximeters which are presently known in the art.
In addition to the sensor modules described above, any number of other patient monitoring sensor modules can be included in the present personal health care system.
A personal health care system in accordance with the present invention includes an alerting device for providing an alert concerning the patient's condition. The alerting means can comprise an alarm 24, which can be an audible and/or visible alarm, and/or means for electronically communicating with a remote monitoring service, such as a radio-frequency communication device, or modem 26. In the embodiment shown in FIG. 1, the personal health care system of the invention includes both an audible alarm 24 and modem 26. Modem 26 automatically dials for an ambulance or other professional assistance in the event of an emergency condition, and/or can provide information on the patients condition to an off-site patient monitoring service. The modem 26 may be supplemented with or replaced by a direct connection to a peripheral device, a local network, and/or an electromagnetic transmission means.
In accordance with the present invention, a plurality of modules for providing therapy to patient 18 are electrically interconnected to computer 12 via an interfacing port 74. The therapy-providing module can be a means 28 for assisting the patient's breathing, a means 30 for delivering medication to the patient, a means 32 for delivering nutrition to the patient, a means 36 for receiving and removing urine from the patient, and/or other means. Any other suitable modules for providing therapy to the patient can be provided, such as a heat pad module 35 connected to heat pad 35a via line 37.
The aforementioned therapy-providing modules may perform the following functions: maintaining blood sugar, providing electric nerve stimulation, providing physical therapy, providing insulin, ventilating, nebulizing, providing chemotherapy, injecting via a syringe, humidifying, respirating, and operating a heating pad, as well as many other functions that would be apparent to one skilled in the art.
In preferred embodiments, the personal health care system of the present invention includes a plurality of the therapy-providing modules, and the therapy-providing modules are detachably connectable to unitary command center 10.
The provision or dispensing of therapy by the therapy-providing modules of the present invention is controlled by computer 12. In preferred embodiments, the provision or dispensation of therapy can be based on information received by computer 12 from one or more patient monitoring sensor modules. For example, dispensation of a heart drug to the patient by medication-providing module 30 can be controlled by computer 12 based on information on the patient's pulse and/or blood pressure received by computer 12 from pulse rate sensor 20b and blood pressure sensor 20d, respectively.
In the embodiment shown, the means for receiving and removing urine from the patient is a suction pump. An external urinary catheter 34 is connected to the suction pump 36 via tube 38. Pump 36 is activated by computer 12 in response to a discharge of urine by patient 18, which is detected by the urinary discharge monitoring sensor module 20e.
In the preferred embodiment, the means 28 for assisting the patient's breathing can be a respirator, ventilator, continuous positive airway pressure (CPAP) device, nebulizer, humidifier or O.sub.2 concentrator. When the breathing assistance means 28 is a respirator, ventilator or CPAP device, it can be controlled by computer 12 based on monitoring of breathing rate sensor 20a.
The means 28 for assisting the patient's breathing provides oxygen to the patient via line 48, and mask or nasal prongs 50.
In the embodiment shown, the means for delivering medication to the patient is comprised of an infusion pump 30, connected to the patient 18 via an intravenous or intramuscular line 52.
in the illustrated embodiment, the means for delivering nutrition to the patient is comprised of a nutrition pump 32 which delivers nutrition to the patient via enteral line 56.
In the embodiment shown, the unitary command center 10 includes a clock 44, connected to computer 12 by 46. Computer 12 can compare information received from the monitoring modules against clock 44 when computer 12 is processing information from the monitoring modules. For example, the breathing rate monitoring module 20a can be utilized to monitor apneic episodes of the patient by comparing the patient's breathing rate against clock 44. When the means 28 for assisting the patient's breathing is a CPAP device, computer 12 can increase the air pressure of the CPAP if sensor 20a indicates that breathing has stopped for a specified period of time as measured by clock 44. After breathing is restored to a normal rate, the CPAP returns to its normal setting under the control of computer 12.
Computer 12 can also utilize clock 44 to time infusion of drug(s) by pump 30, as well as delivery of nutrition by pump 32. The clock 44 can also be used for timed control of heat pad 35a and/or the nebulizer or humidifier.
In preferred embodiments, unitary command center 10 includes means for diagnostic analysis of the personal health care system. In accordance with this embodiment, the alert means (alarm 24 and modem 26) includes means for providing an alert concerning malfunction of the system in response to a malfunction signal outputted from the diagnostic analysis means.
In preferred embodiments, the personal health care system of the present invention includes a plurality of accessory modules. Such accessory modules include but are not limited to a urine collection module, a water module providing drinking water to the patient, a suction pump removing a fluid from the patient, a vision testing module, a breast pump module, a hearing test module, an eye motion detecting module, a printer module, an intercom module, a networking module, a modem module, a magnetic card reading module, a voice recognition module, a memory card reading module, a strip chart recording module, and a telephone module.
However, one skilled in the art will recognize that a plurality of other different devices and accessories may be attached to the personal health care system in order to further enhance patient care. Moreover, one skilled in the art will recognize that a module listed as an accessory may in certain circumstances be considered to be a monitoring device or to be a therapy-providing device.
FIG. 2 illustrates a command center which exchanges, controls and alarms information with the various therapeutic and monitoring sensor modules.
The heart of the computer means 12 is a central processing unit (CPU). FIG. 2 also illustrates control circuitry and local memory. During normal operation, the CPU is under control of the primary microprocessor. If, however, a failure is detected by the microprocessor monitoring hardware or watchdog 22, an alert will be issued via the alarm 24 and/or modem 26.
In the embodiment shown in FIG. 1, unitary command center 10 includes means for inputting information into the computer, such as a scanning wand 60a for reading bar codes, a trackball, a mouse, a magnetic card reader, an optical card reader, a microphone, a touch sensitive data screen 60b, key 60c and a keyboard 60d, connected to computer 12. However, one skilled in the art will recognize that other inputting means may be employed. The means for inputting information may be employed to provide a security feature preventing unauthorized access to the unitary command center 10. Additionally, unitary command center 10 includes display means 64 for displaying information which is input into, received by and stored by or processed by computer 12. Also shown may be a PCMCIA card read/write unit 68, connected to computer 12.
As can be seen in FIGS. 1 and 7, the unitary command center 10 preferably includes a plurality of interfacing ports 74, 74a, 74b for accepting the patient monitoring sensor modules, the accessory modules, and the therapy-providing modules. Four smaller size ports 74a and two larger size ports 74b are shown in FIG. 7. While two sizes are seen, one skilled in the art will recognize that one, three, four or any other number of sizes of ports may be provided.
As seen in FIG. 7, each interfacing port includes an electrical connector 76 for electrically interconnecting an accepted module to the computer 12. Correspondingly, and as may be seen in FIGS. 8 and 9, each patient monitoring sensor module, each accessory module, and each therapy-providing module includes a mating electrical connector 78 positioned and sized to interconnect with an electrical connector 76. As one skilled in the art will recognize, the electrical connectors 76, 78 may be selected from any of a variety of known electrical connectors.
Preferably, a plurality of the interfacing ports have a common first physical outline 80 (as seen in FIG. 7) and the interfacing side of each of a plurality of the sensor modules, accessory modules, and therapy-providing modules has a complementary common second physical outline 82 (as seen in FIG. 8). Also preferably, each interfacing port also has a mounting and retaining means 83 to permit any sensor module, accessory module, or therapy-providing module 85 having the proper physical outline to be mounted and retained in a corresponding interfacing port 74. For example, the mounting and retaining means 83 could comprise 1/4 turn fasteners for locking the module into the interfacing port and holding the module therein. However, one skilled in the art will recognize that many means for mounting and retaining a module in the interfacing port may be employed. Thus, any sensor module, accessory module, and any therapy-providing module having the second physical outline 82 may be accepted by any interfacing port having the common first physical outline 80 and the mounted module will be electrically interconnected to the computer 12.
As seen in FIG. 1, the unitary command center 10 also includes an electrical bus 84. Preferably, each module has a slave processor 86 (as seen in FIG. 9) electrically connected to the electrical connector 78 and the computer 12 communicates with the slave processor 86 via the bus 84 and the electrical connectors 76, 78. Also preferably, the electrical bus 84 supplies power to the modules from the unitary command center 10 via the electrical connectors 76, 78. As one skilled in the art will recognize, the communications portion of the bus 84 may comprise an RS-485 bus, ethernet or any of a plurality of other buses.
Preferably, the slave processor 86 on each module is adapted to receive information from and provide information to the computer 12 by way of the electrical bus 84. Also preferably, the slave processor controls the operation of the module. Thus, the computer 12 communicates with the slave processor 86 on the module and programs the module to perform in a particular manner.
Preferably, commands to a particular module are transmitted as packets of information originating from the computer 12, and each of the modules electrically interconnected to the computer 12 via the bus 84 listens for packet transmissions. Upon detection of a packet directed to a particular module, the module will formulate a response and transmit it to the computer 12 to acknowledge the reception of a command. Preferably, the computer 12 always initiates communication and each module can only respond to a request for information.
Preferably, each module electrically interconnected to the system 10 is capable of operating independently once programmed by the computer 12. For example, the infusion pump module 30 may be programmed to deliver 20 millimeters of a liquid at a rate of 1 millimeter per hour, and will complete the task without the need for further commands from the computer 12.
Preferably, the bus 84 includes an emergency alarm signal line to allow any module to alert computer 12 of problems encountered. For example, if an air bubble is detected by the infusion pump 30, the pump will cease to operate and will signal the computer 12 that an alarm condition exists. Thereafter, the computer 12 would communicate with the pump module 30 via the bus 84 to discover the exact cause of the problem. Depending on the problem, the computer may then issue an alert via the alarm 24.
Preferably, the computer 12 is self-configuring based upon the modules electrically interconnected to the bus 84 upon start-up. Thus, the computer 12 polls for the existence of a variety of types of modules by way of the bus 84. If a particular type of module is present, the module responds to the poll with an acknowledgment. Once the existence of a type of module is established, the computer 12 homes the existence in an active device table.
Preferably, the computer 12 includes a plurality of module software drivers. Each type of module for use with the system has a corresponding module software driver. The module software drivers are designed as independent code modules allowing each driver to be developed independently of the main operating code for the computer 12. Preferably, the computer 12 contains a device table data structure that contains a list of all possible types of modules as well as the names and/or the locations of the corresponding module software drivers. If a type of module is marked as active during the aforementioned polling process, the computer 12 activates the module software driver corresponding to the module. Thus, the computer 12 employs the module software driver to control the module.
A module software driver contains all of the code required to operate a particular type of module, and comprises a control portion and a user interface portion. The control portion is responsible for programming and communicating with the module, and acts on information supplied through the user interface portion to accomplish the actual module control. The user interface portion is responsible for passing information to the control portion and for displaying information concerning the module on the display 64. Preferably, each module software driver will be assigned an area on the display 64 to show the status of its corresponding module For example, the module software driver associated with the blood pressure monitoring module 20d will show pulse and pressure in its assigned display area. Preferably, the user interface portion also provides a custom programming display to permit a user to enter module control program parameters via the display 64 and/or inputting device 60a-d.
As should be recognized, the unitary command center 10 of the personal health care system may be one of several slave command centers interconnected via a communications network. Accordingly, a master control center may be utilized to command and control all the slave command centers from one centralized location. The master command center may be one of the command centers 10 or some other unit specifically designed and programmed to command and control all the command centers. Still further, one slave command center in the network may command and control the modules of another slave command center. While information may be electronically transmitted via the communications network between each individual command center and the master command center, it is also envisioned that a recording media may be used to manually transport such information. Such media includes but is not limited to a magnetic recording media, an optical recording media, and a memory card.
In preferred embodiments, unitary command center 10 is easily portable and movable on wheels along with the patient, as shown in FIGS. 3-6. With reference to FIG. 6, the command center can include means 90 for dispensing fresh water with straw, utility table areas 92, 94, 98, a light 96, a waste bin, an IV rack 100, means for storing disposable supplies (not shown), a telephone (not shown) and any other suitable accessory.
The home care patient often requires multiple therapies. It is not uncommon for a stroke patient, for example, to require oxygen, infusion delivery of antibiotic and pain medication, enteral feeding into a gastronomy tube and occasional nasal CPAP. The present invention is capable of providing all these therapies in a single unit located at bedside, eliminating many of the problems associated with the use of multiple non-integrated devices provided by different sources.
Since many modifications, variations, and changes in detail may be made to the described embodiments, it is intended that all material in the foregoing description and accompanying drawings be interpreted as illustrative and not in a limiting sense.
1. A personal health care system comprising:
a unitary command center for monitoring a patient and administering therapy to a patient;
a data processor within the unitary command center for receiving, storing, processing, and transmitting information;
a plurality of modules selected from the group consisting of a plurality of different patient monitoring sensor modules, a plurality of different therapy-providing modules, and a plurality of different accessory modules, each module being at least partially contained within a module housing; and
a plurality of interfacing ports positioned on the unitary command center and electrically connected to the data processor, each interfacing port for accepting one of the module housings and for electrically interconnecting the module associated with the accepted module housing to the data processor for sending and receiving information therebetween,
the data processor including means for providing programming instructions to the associated module for operating the associated module,
each sensor module for sensing and providing information on a condition of a patient, the data processor including means for monitoring the information provided by the sensor modules,
each accessory module for providing an accessory function,
each therapy-providing module for providing a therapy to a patient, the data processor including means for controlling provision of the therapy to the patient.
2. The system of claim 1, wherein at least one of the sensor modules is selected from the group consisting of a breathing rate sensor module, a pulse rate sensor module, a body temperature sensor module, a blood pressure sensor module, a urinary discharge volume sensor module, an oximeter sensor module, an ECG sensor module, an EKG sensor module, an EEG sensor module, an oxygen analyzer module, a fetal monitor module, a dental patient monitoring module, and a multi-gas analyzing module.
3. The system of claim 1 wherein at least one of the accessory modules is selected from the group consisting of a urine pump module, a urine collection module, a module providing drinking water to the patient, a suction pump removing a fluid from the patient, a vision testing module, a breast pump module, a hearing test module, an eye motion detecting module, a printer module, an intercom module, a networking module, a modem module, a magnetic card reading module, a voice recognition module, a memory card reading module, a strip chart recording module, and a telephone module.
4. The system of claim 1, wherein at least one of the therapy-providing modules is selected from the group consisting of means for assisting patient breathing, means for delivering medication to a patient, means for delivering nutrition to a patient, and means for receiving and removing urine from a patient.
5. The system of claim 4, further including the means for assisting patient breathing, said means being selected from the group consisting of a respirator, a ventilator, a continuous positive airway pressure device, a nebulizer, a humidifier, an oxygen concentrator, and a combination thereof.
6. The system of claim 4, further including the means for delivering medication, said means comprising a nebulizer, an infusion pump and a member selected from the group consisting of an intravenous line and an intramuscular line.
7. The system of claim 4, further including the means for delivering nutrition, said means comprising a nutrition pump and an enteral line.
8. The system of claim 4, further including the means for receiving and removing urine, said means comprising an external urinary catheter.
9. The system of claim 8, wherein the means for receiving and removing urine further comprises a container connected to the external urinary catheter for collecting and measuring urine.
10. The system of claim 8, wherein the means for receiving and removing urine further comprises a suction pump fluidly connected to the external urinary catheter for removing urine therefrom and electrically connected to the data processor, and wherein the suction pump is activated by the data processor, the activation in response to a discharge of urine by a patient, the discharge being detected by a urinary discharge monitoring sensor module electrically connected to the data processor.
11. The system of claim 1, further comprising an alerting device electrically connected to and activated by the data processor for providing an alert concerning a condition of a patient, the alerting device being selected from the group consisting of an alarm, means for electronically communicating with a remote monitor, and a combination thereof.
12. The system of claim 11, wherein the alarm is selected from the group consisting of a visible alarm and an audible alarm.
13. The system of claim 11, wherein the means for electronically communicating with a remote monitor is selected from the group consisting of a modem, a direct connection to a peripheral device, a local network, and electromagnetic transmission.
14. The system of claim 11, further including means for diagnostic analysis of the system.
15. The system of claim 14, wherein the means for diagnostic analysis outputs a malfunction signal in response to a malfunction and wherein the alerting device provides an alert concerning a malfunction of the system in response to an outputted malfunction signal.
16. The system of claim 1, further including a power source electrically connected to the unitary command center for supplying electrical power to the system, the power source being selected from the group consisting of a power supply cable for being connected to an outside source of electrical power, a battery, and a combination thereof.
17. The system of claim 16, further including the plurality of different patient monitoring sensor modules, the plurality of different accessory modules, and the plurality of different therapy-providing modules, the power source providing power to the patient monitoring sensor modules and to the therapy-providing modules via the interfacing ports.
18. The system of claim 1, wherein a plurality of the interfacing ports have a common first physical outline and wherein a plurality of the module housings have a complementary common second physical outline with respect to the first physical outline, any module housing being accepted by any interfacing port when the first and second physical outlines are matched, every interfacing port further having retaining means to retain an accepted module housing in place.
19. The system of claim 1, wherein the data processor includes a plurality of module software drivers accessible by the data processor, each module software driver corresponding to at least one of the modules, the data processor having means for determining whether a particular module is electrically interconnected thereto, and for controlling the particular module via the corresponding module software driver.
20. The system of claim 19, wherein each module software driver comprises a control portion and a user interface portion, the control portion adapted to allow the data processor to program and communicate with the particular module and the user interface portion adapted to allow a user to pass information concerning the particular module to the data processor and to display information concerning the particular module on a display.
21. The system of claim 1, wherein each interfacing port includes electrical connectors connected to an electrical bus of the unitary command center and each module includes corresponding electrical connectors connected to a slave processor, the slave processor adapted to receive information from and provide information to the data processor via the electrical bus and electrical connectors and to control the operation of the module.
22. The system of claim 1, wherein the unitary command center includes an inputting device electrically connected to the data processor for inputting information into the data processor.
23. The system of claim 22, wherein the inputting device is selected from a group consisting of a scanning wand for reading bar codes, a trackball, a mouse, a magnetic card reader, an optical card reader, a microphone, a touch-sensitive data screen, a keypad, and a keyboard.
24. The system of claim 22, further including a display electrically connected to data processor for displaying information from the data processor including data input into, received by, stored by and processed by the data processor.
25. The system of claim 1, further including a clock electrically connected to the data processor, the data processor being adapted to compare the clock with information received from the sensor modules when the data processor is processing information from the sensor modules.
26. The system of claim 25, further including a breathing rate sensor module electrically connected to the data processor, the data processor being adapted to compare the clock with breathing rate information received from the breathing rate sensor module for monitoring apneic episodes of a patient.
27. The system of claim 1, further including at least one of the patient monitoring sensor modules.
28. The system of claim 1, further including at least one of the therapy-providing modules.
29. The system of claim 1, further including at least one of the accessory modules.
30. The system of claim 1, further including the plurality of patient monitoring sensor modules, the plurality of accessory modules, and the plurality of therapy-providing modules, wherein the plurality of patient monitoring sensor modules, the plurality of accessory modules, and the plurality of therapy-providing modules are detachably connectable to the unitary command center via the interfacing ports.
31. The system of claim 1, further including the therapy-providing modules and a heat pad connected to the data processor.
32. The system of claim 1, wherein the data processor comprises a computer.
33. The system of claim 1, wherein the data processor controls provision of the therapy to the patient in response to patient information provided by at least one of the sensor modules.
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Filed: Apr 7, 1994
Date of Patent: Jan 7, 1997
Assignee: Tremont Medical (Aston, PA)
Inventors: Andrew Mitchell (Wilmington, DE), Joseph L. Lardear (Newark, DE), Dave I. Schonbach (Hockessin, DE)
Primary Examiner: Lee S. Cohen
Law Firm: Panitch Schwarze Jacobs & Nadel, P.C.
Current U.S. Class: 128/630; 128/670; 128/671; 128/716; 128/20024; 364/41302; 364/41327; Means For Introducing Or Removing Material From Body For Therapeutic Purposes (e.g., Medicating, Irrigating, Aspirating, Etc.) (604/19)
International Classification: A61B 500; A61M 500;


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Two men arrested following aggravated burglary in Reigate
Two men smashed windows and entered a property in Alexander Road
Two men aged 18 and 20 have been arrested following an aggravated burglary at a property in Reigate last night.
Police were called to Alexander Road at around 11.30pm following reports that two men had smashed windows at the front of a property before gaining access via the rear of the property.
When inside they verbally threatened the occupants before making off.
Detective Sergeant Karen Hughes, from East Surrey Criminal Investigation Department at Surrey Police , said: "Thankfully the occupants were not injured but this terrifying ordeal has understandably left them extremely shaken.
The latest from East Surrey
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"We have seized two weapons from the scene and are carrying out forensics at the property today (October 13) to establish the circumstances behind this incident.
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"I would like to reassure local residents that we believe this is an isolated incident and there is no threat to the wider community."
Surrey Police is urging anyone with information to call 101 quoting 45170113076.
Keep up to date with the latest news from around the county via the free Get Surrey app.
You can set up your app to see all the latest news and events from your area, plus receive push notifications for breaking news.
Available to download from the App Store or Google Play for Android .

redpajama_set_name: RedPajamaCommonCrawl


Next PostSoren, Genesis and Origin on their way!
And yet you only have 89 wordpress followers…?
Yep. I don't spend a lot of time on WordPress. The mailing list I'm building is my Mailchimp account. That's the one with 973 subscribers.
Gotcha! Email lists are a great way to make money; I really need to figure out how to automatically add my subscribers to my own email list.
Fantastic news! Looks as if you invested $45 wisely.


text:
package simpleserver.command;

import static simpleserver.lang.Translations.t;
import simpleserver.Color;
import simpleserver.Player;
import simpleserver.Server;

public class DownfallCommand extends AbstractCommand implements PlayerCommand, ServerCommand {

  public DownfallCommand() {
    super("toggledownfall", "Toggles rain and snowfall in the world");
  }

  public void execute(Server server, String message, CommandFeedback feedback) {
    server.runCommand("toggledownfall", "");
    feedback.send("Toggling rain and snowfall, hold on...");
  }

  public void execute(Player player, String message) {
    player.getServer().runCommand("toggledownfall", "");
	  player.addTMessage(Color.GRAY, "Toggling rain and snowfall, hold on...");
  }
}

redpajama_set_name: RedPajamaGithub


text:
About Eli Jaxon-Bear
Interviews with Eli Jaxon-Bear
About Gangaji
An Outlaw Makes it Home
Wake Up and Roar
From Fixation to Freedom
Freedom and Resolve
The Diamond in Your Pocket
You Are That
An Outlaw Makes It Home: The Awakening of a Spiritual Revolutionary
by Eli Jaxon-Bear
Can drugs, sex and revolution lead to lasting fulfillment and love? This memoir by Eli Jaxon-Bear, framed as a teaching story, using Joseph Campbell's model of the hero journey, answers this question in an exciting, funny and deeply personal memoir.
by H.W.L. Poonja, edited by Eli Jaxon-Bear
Sri H.W.L. Poonja, known to the world as Papaji, introduced satsang to the West. Through his student Gangaji, and this book, and later other students of his, satsang has now spread throughout the world.
Everyone wants to be happy. This is a universal component of the human condition and may seem so self-evident that it does not bear noting. So why is it that so few people are truly happy?
NEW 4TH EDITION AVAILABLE MAY 2019
The Enneagram has appeared in our time as an illusory medicine to cure an imaginary disease. The disease is the egoic idea of separation from God, from one's true source.
by Gangaji
In this book Gangaji invites you to examine your life and to wake up from the trance of who you think you are and experience the truth of who you really are.
We are living in an unusual time, a time when ordinary people with limitations and conditioned habits have the opportunity to awaken to self-realization — and not only to awaken, but to stay true.
In this new book Gangaji uses the telling of her own life story to help readers uncover the truth of their own. Gangaji guides readers to the realization that once they can uncover and speak the truth about themselves, deep and lasting fulfillment is possible.
The classic teachings of Gangaji are now available in an elegant updated collector's edition for beginning and returning students.
New Release From New Morning Books:
From being attacked by possemen on a civil rights march in Alabama to becoming a federal fugitive in a cabin in Colorado, Jaxon-Bear's life then leads us to the uncharted Andes, a Zen Monastery in Japan and a Sufi initiation in Morocco. We are taken on a roller coaster adventure of discovery in the search for freedom and finally finding true love and fulfillment. We see the tests and challenges that confront all of us as we navigate through life in the search for happiness.
Peter Coyote wrote, An Outlaw Makes It Home, bares it all. An often laugh-out-loud, but always playing-for-keeps quest for spiritual wisdom and enlightenment, it unfolds in rapid fire short bursts of improbable adventure, with a startling turn in the heartwarming discovery after an eighteen year search. Jaxon-Bear does not spare himself or try to polish his flaws and mistakes: in that regard, he is a warrior. I consumed this book in huge gulps and would do it again. I urge others to read it.
In this interview, Eli takes us through the start of his journey in Montgomery, Alabama in March of 1965.
Welcome to New Morning Books
We offer books that inspire the search for, and the finding of, true freedom. Our mission is to support world peace and freedom through universal Self-realization. We believe that certain books can offer a gateway in and show the direction for self-investigation. We follow Plato's teaching and advice to us from thousands of years ago, and still relevant today: "Know yourself."
Welcome to our small offering. May the books here serve you directly.
"All stories have a happy ending. If you're not happy, your story hasn't ended yet."
–Eli Jaxon Bear
Also From New Morning Books:
Satsang with Papaji, Edited by Eli Jaxon-Bear
Sri H.W.L. Poonja, - known to the world as Papaji – introduced satsang to the West. Through his student Gangaji, and this book, and later other students of his, satsang has now spread throughout the world. His radical transmission of a silent mind and the possibility of instant awakening through direct self-discovery has already made a huge impact in spiritual seekers everywhere.
New Morning Books
384 Helman Street
email: leigh@leela.org
Copyright © New Morning Books. All Rights Reserved.


text:
Niseko, Japan: A Powder Paradise for Skiers and Snowboarders
July 31, 2014 By Dave
Mt. Yotei (photo: Andrew K. Smith)
Tucked inside the western edge of the Japanese island of Hokkaido, Niseko is a world-renowned powder paradise for skiers and snowboarders alike.
Anticipation for each Winter season starts when the first snows begin to fall atop Mt. Yotei, known as the "Mt. Fuji of Hokkaido."
Due to its proximity to Siberia, Niseko benefits from weather patterns bringing cold air across the Sea of Japan, where moisture collects and is later dumped in the form of snow across the region. Lots of snow.
An average of a little over 595 inches (15 meters) per year qualifies Niseko as one of the top three snowiest ski resorts in the world.
And it's not only the volume of snow that sets Niseko apart, but it's also the quality too. With an average Winter temperature of 17.6F (-8C), the snow tends to of the dry, champagne powder variety.
It's this combined reputation for consistent, high-quality snowfall, that draws tourists from around the world to a town of no more than 5,000 people in northern Japan.
Planning a trip to Japan? Book budget-friendly train passes here!
Niseko – February 2014 (photo: Perfect Zero)
The closest major city and airport is Sapporo, a two-hour flight from Tokyo or a four-hour flight from Shanghai, China.
Once in Sapporo, it's another two and a half hours by private taxi or coach, or three hours by train, to Niseko.
It's recommended that transfers be booked two weeks in advance, while train tickets can be bought on arrival.
Snowboarder (photo: Andrew K. Smith)
The Niseko Resort
Niseko features 69 runs serviced by 28 lifts and gondolas.
There's a wide variety of terrain to suit everyone's interests, including groomed trails, trees, moguls, and the Hanazono terrain park, featuring a half-pipe and rails.
The lifts operate 12 hours daily, from 8:30 a.m. to 9 p.m. Needless to say, with hours like these, night skiing is available
The All Mountain lift pass provides access to Niseko, plus three additional and interconnected ski areas (known collectively as the Niseko United Area).
A wider range of Winter services are available, including:
Ski and snowboard equipment rentals
Backcountry/avalanche equipment rentals
Private and group ski lessons, plus a special kids program
Private backcountry tours
Catskiing tours
Spa services, including oil, hot stone, and shiatsu massages
Access to natural 15 hot springs (onsens)
Assistance in arranging day trips
Accommodations run the gamut from ski in/out mountain chalets to house rentals, townhouses, apartment rentals and hotels of all sizes. There's even a Hilton.
And due to the international nature of tourism here, it's possible to find a wide range of American and European cuisines, in addition to Japanese.
Like many ski resorts, when the snow gives way to warmer weather and fresh flowers, Niseko begins to attract a different kind of visitor.
Whitewater rafting, hiking and golfing are just a few of the many ways one can pass the Summer months, while waiting for those first snowflakes to fall atop Mt. Yotei, signaling the beginning of a new Winter season.
This post was brought to you by Hanazono Niseko.
Last Updated on July 5th, 2019
Filed Under: Japan
Nick Paton says
The snowboarder bug in me is taking hold again. I'm thinking Japan might have to be on the cards for next year!
I'm heading to Japan soon so I will certainly be keen to check this place out
Uma says
That last picture that you posted in the article makes me want to be in Niseko for first chair this season … alas, I'll be in Latin America! Adding this place to my bucket list!


the cruise planner is allowing me to book dining and shows from 7pm on.. ship leaves at 8pm..
So what time is the Muster drill for those getting on in Rome? I have the ice show at 7pm.. would hate to miss that for the drill.
No recent history of Oasis sailing from CV.
Symphony did the same route last summer, and the Civitavecchia day muster was 4:45 PM.
Ok, thanks I would think regardless that the muster would be finished by 6pm latest.. I would think. I cant see them having it when it gets into dining- entertainment times as they need to staff both.


The Topeka Art Guild and Gallery is a perfect forum for local artists needing a gallery to display and sell their original works to the public. All the art work comes from established to inspiring artists using various art mediums such as paintings, glass-ware, and pottery. The gallery exhibits approximately 25 artists, and new art work is on display every two months. Topeka Art Guild also features one Artist of the Month. Visit regularly to meet the artists and view the changing selection of original artwork on display. Learn about TAG membership - one benefit of which is the opportunity to display your work in The Gallery. Wednesday-Saturday 11 AM-5 PM Thursday Evening 5 PM-8 PM First Friday 11 AM-8 PM The Galley is available for private group viewings and is open other hours for special events and upon special request.


It's June. I'm not sure how that happened. We are almost halfway through another year which is frightening. This month has flown by because I'm literally living weekend to weekend, wedding to wedding. I had a really rocky start this year. One that shook me to my core and instilled copious amounts of doubt into things I had been so certain about. I began to seriously question what I was doing and if I was even any good at it. I felt as though I had been set up to fail.
And then I had my first wedding. And another one followed. And before I knew it, it was mid-June and I had successfully completed 15 weddings with 15 happy brides who reminded me I was doing exactly what was meant for me. We all need a little shake up every now and then. A reminder to not take what we've been blessed with for granted. To appreciate who we are, who we're with and what we're doing. To place emphasis on the positive and re-focus for the future.
I had a humbling moment this week. I reached 100 reviews on WeddingWire. That's a lot of weddings. A lot of feedback. A lot of positive reinforcement from the past five years. I feel incredibly fortunate to have had the pleasure to meet so many different families and to have been a part of such a pivotal life moment for so many couples. And since I'm already tooting my own horn, I might as well go ahead and mention that Orangerie Events was a finalist for the Best of the Triangle award in the Event/Wedding Planner category. Apparently the award is fan-voted and my chances at scoring the title would have probably increased slightly had I known I was even nominated. I guess you should be thankful I didn't know and didn't flood your social media with my desperate pleas for you to vote. Nonetheless, I do feel honored that someone out there took the initiative to put my name in the hat. I somehow managed to still squeeze out among the top despite me having zero clue it was happening.
I've once again procrastinated and have failed to post my monthly goals at the beginning of the month. I'm really hoping I can get my act together in July. Regardless, here's a recap and current standing of my May goals and some predictions for the rest of June.
1. Catch up on emails. – This will be an ongoing and daily battle. But in comparison to where I was last year at this time, it's a vast improvement.
2. Fix my slush machine. – The slush machine is presently undergoing surgery and is expected to make a full recovery within the next two weeks.
1. Go camping. – Done. Read about it here.
2. Go fishing. – Finito.
3. Go have an eye exam. – I rewarded myself with Ray-Ban sunglasses before completing the eye exam. Oops. Planning on accomplishing this small task by the end of this month.
1. Clean up the van. – I have a really cool work van that looks like total sketch balls right now. It has a makeshift tag. It's filthy and unmarked. And this past weekend, someone hit the driver's side mirror and knocked it off. It's time to get the thing cleaned up, properly labeled and in tip top shape. I would also like to note that as I was setting up a wedding with the florist on Saturday, I began telling him about the mirror falling off only to find out he was the culprit. Oh the irony.
2. Schedule a schedule. – It's weird how this business goes in waves. How there are really busy seasons and then slower weeks. How some weeks you feel incredibly inspired and other weeks you feel as though you're completely spent. I'm inspired right now. I'm fascinated by what I could become. And I know the next step to making those dreams juggling around in my head a reality is to implement a schedule and stick to it.
3. Order all needed promotional material. – I need some business card sleeves. I need to switch out some pictures online and I need to update my twitter page since they've changed the format. I feel confident I can take care of all of this by the end of the month.
4. Start contributing to Carolina Style Magazine. - I have the opportunity to become a contributing writer to Carolina Style and I am so excited. Stay tuned for my first official article next month!
1. Visit an amusement park I've never been to. – I'll be checking this off the 30 before 30 next week in celebration of my brother's 26th birthday!
2. Indulge in an unusual spa service. – Since the past two months have been so hectic and somewhat stressful, I intend on pampering myself while embracing a new Chinese form of healing. I'm looking forward to a very unusual spa service and blogging about my experience. And just in case that experience isn't relaxing, which I don't expect it to be, I have a facial booked to make up for it.
3. Go have an eye exam. – Since I failed to do so last month, we'll go ahead and get this one taken care of next week.
4. Order a fabulous dress. – I have a fantastic birthday party coming up next month and I'm running out of time to purchase an unforgettable Great Gatsby dress.
There you have it. A little late but better late than never. I know, I know. Never late is better. Thanks Drake. Speaking of artists, if you aren't alternating between the new Maroon 5 song "Maps" and the new Lana Del Rey album "Ultraviolence," you're silly. Here's to a June full of river floatin', back porch sittin' and firefly watchin'.
I have officially scratched through two items on my list of "30 Things to Do Before 30." And I must admit, I chose two really awesome activities to tackle first. A few weekends ago, my mom and her boyfriend planned the perfect camping trip in a little town in Virginia. The night before we left, I wandered the camping aisle at Target for at least an hour trying to figure out what we needed because this was a whole new territory for me. Instead of thinking about temperatures dropping drastically and waking up frozen, I was concerned with how to repel snakes and how to divert bears.
I've learned recently, and this trip only confirmed it, that my family and I either communicate too much or not enough. We never communicate just the right amount. What do I mean by too much? I had 16 exchanged calls between my brother and me on Friday. Too much that when my brother didn't answer my dad's multiple calls and texts on Saturday morning, my father assumed the worst, packed to drive three hours to Hickory and called the police to file a missing person report.
What do I mean by not enough? The only information I had for where we were meeting the family the day of the camping trip was an address. 40 minutes away from the destination, I lost all cell service with no way to call my mom to ask pertinent questions like what the property looked like or what time they were going to arrive. After waiting for more than an hour at the mailbox of 61 Red Fox Lane, which happened to be the wrong address, I decided we needed to drive to a gas station to find a phone and hope I could call someone who knew where we were should be. As we drove about two miles the direction we came, the good Lord stepped in and intervened. Without a second to spare, my car met Darius' 6-wheeler at the top of a random gravel road. I don't know what we would have done if we both wouldn't have been at the exact same spot at the exact same time. Probably should have had better lines of communication before we got to that point. Lesson learned.
I can't lie. Going camping was one of the most rejuvenating things I've done in a while and I totally never expected that. I felt like my senses were awaken. I was tucked away among a fortress of trees with only nature and the people with me to occupy my time. It was refreshing to be without my cell phone or internet access. To not gage the worthiness of what I was doing based on the number of likes on Instagram. To check myself for ticks instead of mindlessly checking Facebook. To be present and engaged at every meal instead of distracted by a text or electronic screen.
To be honest, it was spiritual. There was something quietly humble about casting a rod, catching a fish, prepping it, cooking it over a fire and then eating it. I felt a sense of reverence that this living thing had just been sacrificed to nourish my body and satisfy my hunger. I know I sound like a fruit loop or wanna-be tree hugger, but sometimes we completely take for granted the beauty painted around us. The smell of honeysuckle. The allure of a wild animal. The sensation of running barefoot through the grass. The sound of a crackling fire. The purpose of that very fish we caught and ate.
I think more than anything I was reminded of how very small I am. I sat in complete darkness, staring upward at a midnight sky full of thousands of stars staring back at me. In this world, my existence is so tiny and yet still meaningful and purposeful. How could the same being that created the canopy of constellations above me still have an interest invested in my purpose and who I am? That's love. I fell asleep that night not to the noise projecting from the app on my iPhone but the real live version of rippling creek water next to me. I fell asleep happy. I also fell asleep shivering. That was my own fault.
I do advise that should you decide to go camping and perhaps wade through a creek, do so in water shoes. Wearing normal tennis shoes will cause your laundry room to reek for days, even post-wash. I'm hoping the next 28 items I cross off of my list are as meaningful and memorable as the first two.
Go to a hookah lounge.
Go have an eye exam.
Attend a professional baseball game.
Send my grandmother flowers unexpectedly.
Plan a fun trip with my close friends.
Stomp on grapes to make wine.


Iakovlev V.A., Levchuk T.P., Malakhova E.A.
Abstract: A method is developed for determination of the lipoprotein lipase activity. The method is based on the steady state potentiometric titration at constant pH value of higher fatty acids, liberated during the hydrolysis. An oil emulsion intralipid, activated by human blood serum, was used as a substrate. The sensitivity of the method was equal to 0.004-0.010 micronM of fatty acids per min. The reproducibility of the results was 2-5%. This simple and rapid method enabled to study kinetic of reactions, catalyzed by lipoprotein lipases.
Reference: Iakovlev V.A., Levchuk T.P., Malakhova E.A., Use of potentiometric titration at constant pH for determination of the activity of lipoprotein lipase, Voprosy meditsinskoi khimii, 1976, vol: 22(3), 417-421.


I like it with sliced banana stirred into it. I buy the fat free small curd. My daily afternoon snack.
I have also had it in an unusual way that is really what started me liking cottage cheese in the first place. It was mixed with cucumber, green olive, fresh dill and black pepper. So good!!
I had it with my scrambled eggs and a couple of cherry tomatoes this morning, very good! Yum yum, and very filling.
ooh I forgot about eggs! I like to put it inside omelets, it's a little runny and messy but very tasty!


Is the Taj Mahal Worth the Hype?
The Taj Mahal the stuff of legend, the most recognisable symbol of India, somewhere that people have raved about to me and so I approached it with great trepidation.
We have been happily ticking them off, starting in 2009 with Cristo Redentor and finally reaching Machu Picchu in 2016.
Our overnight train from Agra was a slow and bumpy affair. We had two berths in Sleeper Class, the hard bunks without bedding, and the carriages devoid of air conditioning. To cool the train, the windows are open all night, this means that insects fly in and out of your sleeping space chomping merrily on your bare hands, and the wind tickles you awake every so often.
There was also the alarming tendency of huge freight trains to stop by ours. The giant thunder roll of a 50 carriage train slowing, so that each car hits the one in front in a very loud domino effect rips you from your slumber and it takes a second to realise you aren't about to die. Suffice to say, we didn't get the most restful night's sleep!
We arrived at our hostel around 10 hours after we were expected. They had given our room away to someone else, and so they told us we could crash in another. Two beds lay in what appeared to be a kitchen. We giggled at the absurdity of it, but we were so exhausted that we gratefully slipped under the covers and napped for the next three hours.
We woke up, starving hungry and decided to get some food before we made our way down to the Taj Mahal. The hostel had a restaurant and we greedily scoured the menu. Karl landed on peanut butter toast, delicious comfort food to ease the pain of the night before.
Five minutes later the waiter arrived with our plates held aloft and placed them in front of us with a head wobble. Mr Fluskey stared in dismay at his plate of peanut butter toast…. A piece of toast, covered in butter and scattering of un-roasted peanuts. I couldn't stop laughing for a good five minutes. It was one huge plate of schaudenfreude. Oh how I hoped karma wouldn't bite me in the bum.
The streets of Agra were dusty and crowded, very crowded. We walked down a thin road lined on either side by scores of stalls selling marble items. We were approached every two metres by a stall owner showing us another item that we could neither afford nor carry. If I was in the market for a marble pestle and mortar then I'd have been overjoyed but adding four kilograms into my already ridiculously overpacked backpack wasn't on the agenda.
We were spat out into a small courtyard with the ticket office on our right hand side. Here we paid around £10 each for a ticket. Indian nationals get to enter for one tenth of that price but I don't think I mind it in India, where the average wage is far, far below that of the UK.
On our second trip to the Taj (the time that we came with my Mum) we approached on a much larger road, much freer of stalls or tours. It was a much more relaxed and pleasurable approach.
After a security check, you come out into a large walled section of garden. Most visitors stand and look around confused. "Where is the Taj?" It doesn't take too long to realise that everyone is coming and going through a large main gate.
It is a nice terracotta colour, which makes the white marble of the Taj a wonderful contrast. Your first glance of it is through this gate and it is at this point that you realise this isn't going to be a let down.
The garden stretches out, satisfyingly symmetrical before you. Fountains lie between walkways that lead down towards the tomb. This view is actually the back of the Taj Mahal but it by far the most famous. Stop for a few selfies and one or two attempts at getting a picture free of crowds but then it's time to move on and give others their turn.
The Taj Mahal has been referred to as the ultimate romantic gesture. In 1636 Shah Jahan, a Mughal emperor, was heartbroken when his favourite wife, Mumtaz Mahal died giving birth to their 14th child. He began plans to create the ultimate resting place. He borrowed heavily from other building designs around his empire (for example, Humayan's Tomb in Delhi) and created the Taj Mahal.
The huge dome stands 35m tall and dominates the imagination when somebody says "the Taj Mahal". It sits atop the mauseloum that houses Mumtaz Mahal and the husband she preceded. The structure is made of white marble which was unusual and so all the more striking. The dome has a lotus design near the top and this is echoed throughout the whole buildings decorations.
The four minarets that stand on each corner of the building were actually designed to have a muezzin perform the call to prayer from them. They are around 40 metres tall and if you look closely, you'll see that they all lean slightly away from the tomb. This was meant to stop them collapsing onto the main building should an earthquake take its toll.
To the East and West are two identical buildings, one a mosque and the other it's mirror (he loved a bit of symmetry did Shah Jahan). The is one sneaky way to tell the difference. The floor of the mirror has a geometrical pattern but the mosque has the spaces marked out of prayer mats. This is a working mosque and every week the whole site is closed for everyone other than than those attending Friday prayers.
As you approach the building, past the bench made famous by Princess Diana, the scale starts to make an impact. The little plinth that it stands upon is actually larger than head height and you have to climb steps up to it. You need to leave your shoes here or put them in your bag if you prefer. There's also the option to use shoe covers but these always make me feel really stupid.
Up on the second level you will start to notice details that you never knew existed. The marble isn't just flat blocks, but patterned; beautifully so. The nooks and crannies of the building are all interesting and suddenly you realise why people can spend hours here. The marble reflects the light from the sky changing from a golden glow in the early morning to pink at sunset and bright white under the light of the moon.
Shuffling through the rooms, directed by unsmiling guards, and into the main burial chamber you can see more lovely detailing on the walls, but only after you eyes have adjusted from the bright light outside.
You come back outside to the front of the building with a view over the river Yamuna. The first time we visited, it was so hot that people were lying in the shade under the Taj, on the marble.
We decided to give it a try, and it was kind of lovely lying down, cooling off on the marble and gazing up at the monument. I suppose it felt naughty too, you can't go and lie around in Buckingham Palace, can you!?
I feel a little silly for doubting the Taj Mahal. Another of my little mottos says "It must be famous for a reason". I loved it, and then I visited a second time and I loved it all over again. I am not a fan of Agra itself but the island of beauty that is the Taj Mahal is an absolute delight.
So to answer my question in a much simpler way: Is theTaj Mahal worth the hype? Yes!
Foreigners : 1000 rupees (Rs500 of this is a levy paid to local government) You will get a shorter line and some water.
06:00 – 19:00 on weekdays, except for Fridays when it closed to all but those attending Friday prayers.
Moonlight viewings are available for two days either side of the full moon apart from if this falls on a Friday or during Ramadan.
The list of belongings allowed inside the grounds is quite small so avoid bringing to much.
Rumour has it, they are funny about books, games, cards, dice etc but these aren't specifically banned.
If in doubt, go with the bare minimum.
Agra is very accessible. It is one point of the golden triangle (Delhi, Agra, Jaipur).
There are limited flights to Agra's airport but it doesn't have that much commercial traffic.
There are almost 20 trains a day from Delhi. Some take as little as 2 hours, some as much as 5. Do your research to make sure you get what you want. There are also connections with Chennai, Kolkata and Mumbai, and locations on those train lines. There are a few stations in Agra so if you are arranging a driver/guide, make sure you know which one you will be arriving into. It is even possible to take a day trip by train from Delhi. There is a good Travel Savvy guide, on how to do that here.
There are plenty of buses that travel between Delhi and Agra. The trip takes 4- 5 hours. The government buses are the most reliable. The roads are bumpy, the buses crowded and toilets are nonexistent. I would recommend the train over the bus.
It is very possible to drive to Agra. Driving in India can be tricky if you don't know the "rules" so proceed with caution if you are driving yourself. We took a day trip from Delhi by taxi the second time we visited. It was a very early start and so we slept some of the way there and back…despite the bumps.
Beautiful and so glad it isn't over-hyped. I've definitely had that moment in my travels when I was disappointed and underwhelmed by a place that fell short of my expectations. The Taj Mahal has always fascinated me.
It really is an impressive building. I remember it being crazy hot when I was there though, would love to go back when it is not so hot.
This question has been nagging at me for years — I bailed on going to the Taj at the last minute when I was in Agra (I saw it at different angles from a few rooftops). Guess I'll have to go back! I didn't realize there was so much detail in the marble.
I've always loved looking at pictures of this incredible building. The architecture is so perfect, and it has a great backstory too. I'd somehow never realized that you were allowed to explore inside too. This is definitely tops on my list of things to do if I ever make it to India.
Thanks for that virtual tour! I am Indian and have still not been to the taj Mahal, hehe!
The sheer size I'm sure is incredible. I'm an architecture nerd so I think I'd love it. Thanks for sharing!
I definitely want to visit the Taj Mahal some day. It is such a beautiful building. The tips are helpful – it sounds like an adventure getting there!
This totally answers an anxiety of mine! I felt it before Angkor Wat and before Machu Picchu as well.. would it be a let down? I had no idea the Taj was so intricate down to the tiniest detail. Great write up!
Good to know its worth it – having had a few bad experiences with some of these World Heritage sites (Egypt comes to mind) I am so glad to hear that the Taj is worth the trip.
Yes it's wonderful at sunset specially.


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Its your Virtual Tour Buddy, you can trust.
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text:
Dan Cawley
Chief Operating Officer / Staff
As Chief Operating Officer, Dan Cawley oversees the Systems and Operations department and ensures that our finance, IT, office, HR and legal systems and strategies have the greatest possible impact to support Hopelab's work. At Hopelab, Dan has established systems to steward the agency's financial resources and oversees the cultivation of key partnerships, designing contractual aspects of these relationships that allow mutually beneficial collaboration. He uses an inquiry-based approach to understand the interests and needs of our partners in order to create win-win scenarios that support Hopelab's mission and demonstrate our core values. Over years in previous positions, Dan gained knowledge and expertise in strategy development and implementation, fund development, finance, administration, and technology management. Prior to Hopelab, Dan was the Deputy Executive Director, Finance & Administration for the San Francisco AIDS Foundation and Pangaea Global AIDS Foundation, its global affiliate. He was previously Director of Finance & Administration for the Stop AIDS Project and the Business Director for the Foundation for National Progress, publishers of Mother Jones Magazine. Dan also held finance positions in other industries including motion picture production and telemarketing. Dan grew up in the Bronx, New York and attended SUNY Oswego, where he received his BS in Marketing. He loves completing all types of puzzles, watching a good movie and enjoying great food and cocktails with friends and family. Dan lives in San Francisco with his partner and two children.


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City weighs 'fright' factor in use of unmarked cop cars to stop women in traffic
Common law rights Free people vs. police state Local economy Political figures June 13, 2017 0 David Tulis
Commercial government, Liberty, Search & seizure, Welfare
Chief Fred Fletcher says the mother of a boy shot by gangland misdoings suffered "fear and horror." But do city police traffic stops in private cars create such fright among innocent users of the public roadways? The story develops. (Photo Wrcbtv.com)
A public statement given by Chief Fred Fletcher in the case of the shooting of an 8-year-old boy alludes to the emotion of fear. A lengthy statement gives the public reason to understand Mr. Fletcher's official empathy with fear and dread in the course of police work.
By David Tulis / Noogaradio 1240 AM 92.7 FM
The case involves the June 8 shooting of a boy in a gang-related spat where a bullet fired allegedly by a convicted felon went through the window of the van, striking and critically injuring the boy.
"I can't even begin to imagine the fear and horror that Mom experienced at that moment," the chief said. "Nothing pisses off cops like bad guys who harm children."
The question if human fear is central in a developing inquiry into the use of unmarked police cars in traffic enforcement. In the past three weeks I've seen three traffic stops by unmarked police cars, two on Highway 153 and one on Hixson Pike.
Stacey Johnson of La Paz says police should make citizens "feel safe." (Photo Wdef.com)
On June 6 I asked deputy city attorney Phil Noblett and city attorney Wade Hinton in separate encounters downtown to identify the authority that allows for such encounters for the purpose of traffic enforcement.
The condition of fright and shock is a legal concept, and states vary in how they treat for these subjective conditions as torts or legal wrongs ("Fright, Shock, etc.," 38 American Jurisprudence 2d). Fear and fright are causes of concern for the public and for the Tennessee supreme court.
➤ The feeling of safety is at issue for Hispanic groups such as La Paz, who seek to shield immigrants from harassment and abuse. Stacey Johnson, the executive director of the group, in a story about a fund raiser, tells about how police and school officials want "to make sure that everyone feels safe here in Chattanooga and I think we've really done a good job with our partners to help people feel safe."
➤ In at least one ruling the Tennessee supreme court has highlighted its desire to have people avoid fear and fright, especially from police. In its Hicks case allowing unconstitutional roadblocks but with judicially imposed limits, the court expresses concern for not only for the safety of motorists, "but the presence of advanced warning signs" to "'reassure[s] motorists that the stop is duly authorized,'" thereby diminishing the possibility of surprise, concern, or fright. *** Although the absence of publicity will not invariably render a checkpoint invalid if other measures satisfy these concerns, the advanced publicity requirement of Downey must nevertheless be regarded as a key aspect of a minimally intrusive roadblock."
The sheriff's department appears to have express authority to use unmarked cars, but the use by municipal corporations such as Chattanooga do not have that express permission. I have argued with the police department spokesman that such use of unmarked cars requires specific authority, because of the fright factor. Private malefactors have been known to use dashboard-mounted lights and fake uniforms to arrest, stop and molest female travelers, whom account for roughly half of the traveling population. If anything, the city's answer is developing.
The story develops further as we receive back Mr. Hinton's response, examine the training manuals and policy files we obtained from Mr. Fletcher through an open records request and as we review Tennessee jurisprudence and court rulings on police authority. Separately I have developed the story of the challenge to policing at its roots by Basil Marceaux of Soddy-Daisy, whose interlocutory appeals and state responses to them strongly suggest an unstable legal authority for municipal policing in Tennessee.
For the record: Statement of Fred Fletcher, Chattanooga police chief
I can't even begin to imagine the fear and horror that that that mom experienced at that moment. My heart goes out to the family. To them I say I am truly sorry you had to experience this horrific crime. As your police chief and your neighbor I cannot even express how angry I am that there are people in our community with such little disregard [sic] for life. Nothing pisses off cops like bad guys who harm children. We are all sorry this happened to your family. I want to commend your Chattanooga police officers who worked aggressively, effectively, and intelligently to locate this brazen criminal and his accomplices. Your cops put them in jail within hours of this horrible act of violence. The ability to put these bad guys in jail where they belong so quickly did not happen by accident. It did not happen overnight. Your police officers have been working with our community since I arrived here over three years ago, not just last night, but for three years to build a relationships, the strategies and the technologies necessary to make this happen. We're fortunate to have three crime analyst who work in this very facility *** who crunch numbers and data everyday to anticipate crime trends and hotspots throughout our city. Your police commanders, Capt. Glenn Scruggs among them right here on my left, similarly work with our community [in] partnerships to best address crime. Together we all work together to determine where and when police officers need to be to place themselves between violence and our community. (Wrcbtv.com)
State of Tennessee v. Hicks. http://caselaw.findlaw.com/tn-supreme-court/1126395.html
Natalie Potts et al, "UPDATE: 8-year-old boy shot in critical condition, four arrested," Wrcbtv.com, June 9-12, 2017. http://www.wrcbtv.com/story/35627163/update-8-year-old-boy-shot-in-critical-condition-four-arrested
Christina Reuille, "La Paz Chattanooga meets with local leaders," June 12, 2017, Wdef.com. https://wdef.com/2017/06/12/la-paz-chattanooga-meets-local-leaders/
U.S. jets rake Tennessee's 4 cities; anecdotal evidence program working
ISP defies government-backed players, seeks to serve small outfits
Office Depot urges you to win points by trading on Lord's Day
Wild Tennessee case: Marriage at 'very foundation of social order, morality'


Location Based Services (LBS) as a marketing tool requires several factors to be successful. Do you know how to make the most of your business's geographical location?
Before you can get to the "good stuff" you should start with the basics – what do you want to achieve? Set clear goals and create a strategy so you can easily measure if you have been successful or not. Your goals could be anything from selling an X amount of your product to attracting attention from brand new customers/ increase loyalty.
Next you should claim your profile page. Some Location Based Services add your business info automatically, but it is usually the bare minimum. For others you might have to register your profile first. Usually it is free to claim your page and you should do it for a number of sites – the more the merrier so to speak.
Provide as much info as you can on your business. Make sure the info (especially your contact details and location) is correct and update it regularly if the final push a customer is looking for.
Reward customers for checking in – otherwise what would be the point?
Encourage customers to write reviews. Keep in mind that you will receive negative feedback at some point, but it is how you handle it that matters. Don't delete bad reviews – it is your chance to show that you care about your customers. People won't turn your business down because a handful of customers don't like you, but if you react negatively on bad reviews they won't look at your business twice.
Location Based Services can be a successful marketing tool in the right hands – make sure it is yours and not your competitor's.


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Your grandmother might have utilized the usual vaseline on her tresses but still swears because of it. This can be great for truly harsh patches on elbows and legs, nevertheless when you use too much mineral oil or petroleum, your skin pores will get blocked. What causes acne on your face can establish even more dryness in your scalp, because while you still apply it to clogged pores, they will not take in the dampness and your tresses should be at risk of more damage.
Alternatively, opt for something such as natural shea butter. Filled with treating properties, shea butter is amongst the healthiest moisturizers for locks and skin alike. Jojoba or papaya oils will also be really healthy and well-known. You may take to ayurvedic natural oils present in wellness food stores and Indian beauty supply stores. Demonstrably, the surface associated with the locks is quite various, but an ayurvedic-based hair oil is going to be natural and gentle adequate for everyday use and certainly will market softness and resiliency.
You can also hydrate straight from home cupboard. Coconut, olive, and safflower essential oils are superb the tresses and skin. If you wish to do a hot oil therapy once a week, try using one of these essential oils, carefully heated when you look at the microwave oven. Apply very carefully from head to stops, cover a towel around your head for about twenty mins, and then rinse completely making use of warm liquid.
While opinions can vary regarding best lotion for black colored tresses, everyone is very definite which you can not simply slap some lotion on your head, give it a scrub, and call-it done. When applying oil, therapeutic massage it gently in to the head to make sure optimum penetration. This also really helps to enhance your blood circulation and stimulate skin's very own natural oils.


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Catholicism's Most Right Wing Cardinal, Raymond Burke, Has A Severe Case Of COVID-- Pray
If Satan had managed to place a man inside the hierarchy of the Catholic Church, it would have been American neo-fascist Cardinal Raymond Burke of Wisconsin, who went on from being bishop of La Crosse to arch-bishop of St. Louis. Pope Francis, finally fed up with his far right extremism and obsessive homophobia and Islamophobia, banished him to Malta in 2014-- and then further demoted him 3 years later so that now he has no real position at all. Last week he announced he has a severe case of COVID-19 and today the loud-mouthed anti-vaxx/anti-mask fanatic is on a ventilator in a Wisconsin hospital, fighting for his life.
In a Dec. 12, 2020, homily, the cardinal referred to the coronavirus as the "Wuhan virus," a derogatory nickname former President Donald Trump used to refer to the first reported cases of the virus in Wuhan, China.
Burke also said the virus "has been used by certain forces, inimical to families and to the freedom of nations, to advance their evil agenda."
"These forces tell us that we are now the subjects of the so-called 'Great Reset,' the 'new normal,' which is dictated to us by their manipulation of citizens and nations through ignorance and fear," said the cardinal.
In a May 2020 talk he delivered at the virtual Rome Life Forum, Burke spoke out against government imposing vaccination mandates. He also warned that some groups in modern society would suggest that "a kind of microchip needs to be placed under the skin of every person, so that at any moment he or she can be controlled by the state regarding health and about other matters which we can only imagine."
In a lengthy March 2020 statement he posted on his blog, Burke wrote, "In combating the evil of the coronavirus, our most effective weapon is, therefore, our relationship with Christ through prayer and penance, and devotions and sacred worship. We turn to Christ to deliver us from pestilence and from all harm, and He never fails to respond with pure and selfless love."
Burke has said that Catholics cannot vote for Democrats and he once said that Catholics who voted for Obama had "collaborated with evil." He has brought pain and suffering to countless Catholics and he will not be missed outside of a small circle of hateful extremists. Wisconsin has had 704,854 cases of COVID-- 121,058 cases per million and over 8,300 have died. In the last 2 weeks cases have risen 88% and hospitalizations are up 139%. Hospitalizations in Burke's home county, La Crosse, are up 841%. Maybe people there still take him seriously.


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All members (minimum of 2 years in the LGPS required) have the right to retire early at their own choice from 60 onwards even if this is before their normal pension age. This may may sound like an interesting opportunity, but be very careful. Because you are choosing to draw your benefits early, they will normally be reduced by a percentage to take account of the fact that we are paying them for longer.
Age 65 (or your State pension age if later) for any benefits you build up after April 2014.
Let's say you retire at 60, and your State pension age is 66. You would be drawing your pre 2014 benefits 5 years early (5 years before 65) and your post 2014 benefits 6 years early (6 years before 66).
This is a form of protection from early retirement reductions for members who joined before 2006 and have long service. If you retire early in this way it could mean smaller reductions.


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Posted on September 1, 2021 October 3, 2021 Author Barbara W. Kuo	Comment(0)
This Thursday, September 2 at 9 p.m. ET, Amazon Music and Amazon Live will present a livestream with the GRAMMY-winning multi-platinum group Imagine Dragons celebrating the release of their new album "Mercury – Act 1".
Streaming on Amazon Live, the event will feature the group performing intimate acoustic versions of songs from their new album, as well as fan favorites. As part of the livestream, the group will also host a live Q&A with fans, answering questions about their new album and more.
Teaming up with esteemed producer Rick Rubin and with its track inspired by the word "mercurial", Mercury – Act 1 is a straightforward album that abandons metaphor-laden lyrics and instead embraces emotional ends, holding nothing back.
"Follow You" and "Cutthroat" were the first glimpses of the record, released simultaneously in March 2021, the first reaching No. 1 on Alternative Radio and Billboard's Alternative Airplay charts, marking the band's fastest rise to the top. top of these charts. The album's current single, "Wrecked," is a faith-based exploration of grief, written by lead singer Dan Reynolds after losing his sister-in-law to cancer in 2019.
With 46 million albums and 55 million songs sold worldwide, as well as 74 billion combined streams, Imagine Dragons remains one of the best-selling rock groups, reinventing the genre with its huge success in the 2010s afterwards. formed in 2009. Billboard's top 3 rock songs of the decade belonged to the group – "Believer", "Thunder" and "Radioactive".
Amazon Music's Rocio Guerrero on "La Cultura That Connects Us" for Latinx Heritage Month
In an exclusive interview for crema by mitú, Amazon Music Latin Global Head of Latin, Rocio Guerrero, told us about Amazon's plans for its first anniversary which coincides with Latin Heritage Month, connecting languages, genres music, cultures and more. For the first anniversary, Amazon Latin Music celebrates the richness and diversity of the many genres […]
Billie Eilish, Kid Cudi, HER Headline Amazon Music Prime Day Concert
Posted on June 14, 2021 November 18, 2021 Author Barbara W. Kuo
Amazon Music shared the trailer for this year's Prime Day concert with hitmakers Billie Eilish, Kid Cudi and HER headlining the event. Each artist recorded a unique 25-minute set for the three-part immersive music experience, all of which will be available to stream on Prime Video starting June 17. True to the aesthetics of his […]
Amazon Music on Android and iOS now comes with a "car mode"
Posted on April 9, 2021 October 6, 2021 Author Barbara W. Kuo
The new Car Mode on Amazon Music uses a simpler interface with bigger text, custom presets, simplified buttons, and more. Amazon Music gets a new car mode feature to reduce distractions while driving with a streamlined user interface with bigger text, streamlined controls, and more. Amazon Music gets a dedicated car mode According to Committed, […]
YouTube Videos Tackle Mental Health Issues for Parents and NYS Students
How to download YouTube videos in 4K for free


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Памятник культуры Подкарпатского воеводства, регистрационный номер А-389 от 28 ноября 1995 года.

Воинское кладбище № 221 — Клеце () — воинское кладбище, находящееся в селе Клеце, Дембицкий повят, Подкарпатское воеводство, Польша. Кладбище входит в группу Западногалицийских воинских захоронений времён Первой мировой войны. На кладбище похоронены военнослужащие Австро-Венгерской армии, которые погибли в мае 1915 годов во время Первой мировой войны. Памятник культуры Подкарпатского воеводства.

История
Кладбище было основано Департаментом воинских захоронений К. и К. военной комендатуры в Кракове в 1915 году. Автором некрополя является немецкий архитектор Густав Россманн. На кладбище площадью 50 квадратных метра находятся 2 братские могилы, в которых похоронен 31 австрийский солдат.

Некрополь находится в 500 метрах на запад от дороги Ясло — Пильзно возле ручья Гоголувка.

28 ноября 1995 года некрополь был внесён в реестр памятников культуры Подкарпатского воеводства.

Источник
 Oktawian Duda: Cmentarze I wojny światowej w Galicji Zachodniej. Warszawa: Ośrodek Ochrony Zabytkowego Krajobrazu, 1995. ISBN 83-85548-33-5.
 Roman Frodyma Galicyjskie Cmentarze wojenne t. II Okolice Tarnowa (Okręgi V—VII), Oficyna Wydawnicza «Rewasz», Pruszków 1998, ISBN 83-85557-38-5

Ссылки
 Метрика кладбища
 Cmentarz nr 221 — Klecie

Западногалицийские воинские кладбища
Кладбища Подкарпатского воеводства
Памятники Подкарпатского воеводства

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Q: ELIPS Studio 3 - Validating email address How can I check the given email id is valid or not using ELIPS Studio 3?  Is it possible?
Thanks in  Advance.

A: if you want to validate an email ID formay then you can use regular expression. if you are looking at validating a email address to see if it exists or not then there is no way.

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