From: Subject: Laparoscopic Spays are Not Just for Specialists Date: Fri, 30 Apr 2010 08:37:49 -0500 MIME-Version: 1.0 Content-Type: multipart/related; type="text/html"; boundary="----=_NextPart_000_0000_01CAE840.6A9D38C0" X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2900.5579 This is a multi-part message in MIME format. ------=_NextPart_000_0000_01CAE840.6A9D38C0 Content-Type: text/html; charset="utf-8" Content-Transfer-Encoding: quoted-printable Content-Location: http://www.veterinarypracticenews.com/vet-cover-stories/laparoscopic-spays-are-not-just-for-specialists.aspx =EF=BB=BF Laparoscopic = Spays are Not Just for Specialists
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A=20 laparoscopic ovariectomy is performed = using a=20 two-port=20 = approach.
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Laparoscopic=20 Spays are Not Just for Specialists

By Lori Luechtefeld
3D""
Endoscopy has=20 experienced significant growth among both=20 specialty and general veterinary = practitioners in=20 recent years, and perhaps the greatest = area of=20 growth is in laparoscopic-assisted spays. = As with=20 many relatively new surgical procedures, = the=20 technique and its equipment have evolved = rapidly=20 to meet the needs of veterinarians.=20

Jim Houchens, DVM, of Arvada Veterinary = Hospital in Northern Denver, says that = adding=20 laparoscopic-assisted spays to his = practice=E2=80=99s=20 arsenal of offerings has helped him to = attract new=20 clients.

=E2=80=9CFor established veterinarians = like me, the=20 procedure is a terrific cure for = burnout,=E2=80=9D he=20 says. =E2=80=9CFor younger veterinarians, = it=E2=80=99s a way of=20 whetting their appetite for the skills and = technology that will be coming down the = pipeline.=E2=80=9D=20

The clinical advantages of the=20 laparoscopic-assisted ovariohysterectomy = technique=20 were established in a study published in = the=20 Journal of the American Veterinary Medical = Assn.=20 in 2005.

For the study, Chad Devitt, DVM, MS, = Dipl.=20 ACVS, of the Veterinary Referral Center of = Colorado, worked with Ray Cox, DVM, of the = Deer=20 Creek Animal Hospital, and Jim Hailey, = DVM, of the=20 Redstone Animal Hospital in Littleton, = Colo., to=20 compare traditional OHE with a=20 laparoscopic-assisted OHE using two = portals.

The study found that dogs spayed using = the=20 laparoscopic-assisted OHE technique = experienced=20 less pain and surgical stress than those = spayed in=20 a traditional open procedure.

Since the study, the veterinarians, = working in=20 partnership with BioVision Technologies in = Golden,=20 Colo., have refined the procedure to use = only one=20 portal.

Evolving=20 Procedure
Jeff Mayo, DVM, = owner of=20 Mayo Veterinary Services in Mountlake = Terrace,=20 Wash., operates a mobile practice that = provides=20 relief work, in-house surgical training = and=20 surgical practice. He first starting = performing=20 laparoscopic-assisted spays in 2004.

=E2=80=9CAt that time, about 25 percent = of my clients=20 were accepting of the procedure as a = better and=20 less-painful method of sterilization for = their=20 female pets,=E2=80=9D he says.

=E2=80=9CIn the beginning, I was = performing one-, two-=20 and three-port approaches using various=20 electrocautery devices or extracorporeal = knot=20 tying,=E2=80=9D Dr. Mayo adds. =E2=80=9CAs = I advanced in my skill,=20 I began using various devices I can attach = to my=20 radiowave radiosurgery Ellman unit. My = currently=20 preferred method is a one- or two-port = procedure.=E2=80=9D=20

Randy Hutchison, DVM, of Animal Clinic=20 Northview in North Ridgeville, Ohio, has = been=20 performing laparoscopic-assisted spays for = nearly=20 three years, the bulk of which are = ovariectomies.=20 He uses a two-port technique.

=E2=80=9CI think a lot of the = instrumentation is still=20 geared toward multiport = techniques,=E2=80=9D he says. =E2=80=9CBut=20 as a lot of the instrumentation evolves, I = do=20 think the single port will be the way to = go in the=20 future. Each time you can reduce the = number and=20 length of incisions, the better for the=20 patient.=E2=80=9D
 
Jeff = Latimer, DVM, owner of=20 Princess Animal Hospital in Kingston, = Ontario,=20 Canada, says that veterinarians owe it to=20 themselves and their patients to perform=20 laparoscopic-assisted spays in the fastest = and=20 easiest way possible. He uses a one-port = technique=20 on the midline of the patient.
  =
=E2=80=9CWhen=20 performing biopsies and exploring organs, = you will=20 need to use a multiport = technique,=E2=80=9D he says. =E2=80=9CIf=20 you buy a single-port system, it will come = with=20 the necessary items that you will need to = place=20 one or two more ports as needed.  =

=E2=80=9CIf you buy a system that is = only able to be=20 used with multiple ports, you will likely = choose=20 not to perform spays, as the benefits are = lost if=20 you have three small incisions instead of = one,=E2=80=9D he=20 adds.
 
Veterinarians who = choose the=20 single-port approach must ensure that the=20 instruments they purchase are long enough = to go=20 through the scope, Dr. Latimer notes.

Benefits=20 for General = Practitioners
Mayo, who=20 has taught the laparoscopic-assisted spay=20 technique to veterinarians across the = United=20 States and Canada, says that certain large = metropolitan areas of the country seem to = embrace=20 the procedure more than others.

=E2=80=9CIt has been slow to catch on, = and I think=20 practitioners are finally starting to see = the=20 value in the procedure itself, as well as = the=20 other procedures and income that rigid = endoscopy=20 can bring to their practices,=E2=80=9D he = says. 

Latimer says that his practice now = performs 75=20 percent of its canine spays using = laparoscopy. The=20 technique is performed using = BioVision=E2=80=99s one-port=20 system, through a 10-millimeter operating = scope.=20

However, the laparoscopic-assisted spay = technique wasn=E2=80=99t what prompted his = practice=E2=80=99s=20 purchase of the system.

=E2=80=9CUsing one port, we can get = diagnostic-sized=20 biopsies of liver, spleen, kidneys, = pancreas and=20 intestines while being much less invasive = than=20 when performing a traditional = exploratory,=E2=80=9D=20 Latimer says. =E2=80=9CIt was being able = to provide a new=20 option for the pet owners in Kingston that = drove=20 the decision to purchase the equipment. = Using the=20 equipment for spays is just an added = bonus.=E2=80=9D

Similarly, Dr. Houchens says that his = client=20 base has been overwhelmingly receptive to = the=20 laparoscopic-assisted spay technique, = which he has=20 been performing for nearly two years.

Interest in the procedure skyrocketed = after his=20 practice and its use of the technique were = featured in a local newspaper. This past = August,=20 his practice ceased to offer the = traditional open=20 spay as an option.

Craig Stoenner, DVM, of All Pet Complex = Veterinary Hospital in Boise, Idaho, says = his=20 practice has also moved to exclusively = offering=20 the laparoscopic-assisted spay technique. = =E2=80=9CAs a=20 group, our veterinarians decided that = since this=20 is the best way to do the procedure, = it=E2=80=99s the only=20 way we should do it,=E2=80=9D he says.

=E2=80=9CAs a profession, veterinary = medicine continues=20 to evolve,=E2=80=9D he adds. = =E2=80=9CTwenty years ago, we didn=E2=80=99t=20 supplement patients with fluids, and we = didn=E2=80=99t=20 perform preliminary blood work. Now = practitioners=20 do these things because we=E2=80=99ve = realized they=20 represent better medicine. And = that=E2=80=99s the way we=20 feel about the laparoscopic-assisted = spay.=E2=80=9D

Training=20 Requirements
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Two-port=20 laparoscopic-assisted spay technique.=20 (Courtesy of Karl=20 = Storz)

Mayo says=20 it is important to learn other procedures = before=20 tackling the laparoscopic-assisted spay. = This=20 enables practitioners to become = comfortable with=20 the equipment, he says.=20

=E2=80=9COnce the practitioner is = comfortable with=20 performing simple procedures=E2=80=94such = as biopsies in a=20 two-dimensional live image=E2=80=94then I = would move on to=20 the laparoscopic-assisted spay = techniques,=E2=80=9D Mayo=20 says. =E2=80=9CThat being said, I have met = a fair number=20 of doctors who can pick up the procedure = fairly=20 easily in a staged teaching environment in = a=20 single day.=E2=80=9D

Dr. Devitt, developer of the=20 laparoscopic-assisted OHE technique, says = that a=20 single training course is enough to get a = general=20 practitioner started with the=20 laparoscopic-assisted spay technique.

=E2=80=9CHowever, it=E2=80=99s = worthwhile to consider taking=20 two or more courses,=E2=80=9D he says. = =E2=80=9CIt greatly=20 increases a practitioner=E2=80=99s comfort = level in=20 performing the procedure.

Latimer concurs.

He says he purchased his equipment last = fall=20 and spent a day of formal training on the=20 single-port laparoscopic-assisted spay = technique.=20 =E2=80=9CI returned from this and spayed = eight to 10 dogs=20 for the humane society,=E2=80=9D he says. =

=E2=80=9CAfter this, I began spaying = our own clients=E2=80=99=20 dogs, without charging more for the=20 service. I then did a three-day = advanced lab=20 at Colorado State University,=E2=80=9D = Latimer says.=20 =E2=80=9CAfter this lab, I felt = comfortable charging for=20 this service and giving the clients the = choice.=E2=80=9D=20

Paul Young, DVM, of the Sunset = Boulevard Animal=20 Clinic in Houston, Texas, began working = with the=20 single-port laparoscopic-assisted spay = technique=20 toward the end of 2007. He did about 10 = procedures=20 in the first month after training.

=E2=80=9CThe training was at a good = pace, and not too=20 advanced for the first-time user of the=20 equipment,=E2=80=9D he says. =E2=80=9CTo = anyone who is interested,=20 I would highly recommend taking another=20 veterinarian from the practice=E2=80=94or = their primary=20 surgical technician=E2=80=94to the = training sessions.=20 Having an extra set of ears and eyes for = this kind=20 of work is invaluable.=E2=80=9D

Healthy=20 ROI
Regardless of the clinical = benefits of laparoscopic-assisted spays, = many=20 general practices have been slow to adopt = the=20 technique, with major reasons for = hesitation being=20 the initial start-up costs and training=20 requirements.
 
Latimer says = the main=20 drawback to the technique is that = practitioners=20 must relearn how to spay a patient. = =E2=80=9CI have been=20 doing this for six weeks, at an average of = a=20 surgery a week, and I am down to 50 = minutes,=E2=80=9D he=20 says. =E2=80=9CThe good news is that the = big fat Labrador=20 is just as fast as the small = dog.
 =20
=E2=80=9CThere is also a learning = curve for your staff=20 to learn how to prepare the = instruments,=E2=80=9D he adds.=20

Mayo says that seasoned laparoscopists = can=20 comfortably spay a dog in 20 minutes. = Moreover, he=20 says, the return on investment is healthy. =

=E2=80=9CIt is difficult to charge = enough for spays to=20 support the costs of the = equipment,=E2=80=9D he notes. =E2=80=9CIf=20 a practitioner is considering obtaining = rigid=20 endoscopic equipment, I recommend learning = not=20 only the spay, but also the cryptorchid = neuter,=20 organ biopsies, gastropexies, rhinoscopy = and=20 cystoscopy.=E2=80=9D
 
Dr. = Stoenner says that=20 a practice does not need to be large to = benefit=20 from adding the laparoscopic-assisted spay = to its=20 offerings.
 
=E2=80=9CThe = single-port system=20 in particular is really designed for the = general=20 practitioner,=E2=80=9D he = says.
 
=E2=80=9CThe=20 equipment very easily pays for itself. If=20 veterinarians are looking for services to = help=20 build their practices, this does that very = well.=20 Not only does it elevate the perception = that the=20 client has of your clinic, but it is also=20 something that your staff will take great = pride=20 in.=E2=80=9D <HOME><= /A>

Click=20 here to watch a = five-minute training video of a = lapraoscopic spay,=20 courtesy of Karl Storz Endoscopy-America=20 Inc.

 = Give=20 us your opinion on
Laparoscopic Spays = are Not=20 Just for Specialists
Industry Professional Site: = Comments=20 from non-industry professionals will be = removed.=20

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HelpDesk Ticket - 30070 = [Internet]
Owner Assigned Department Due Date Completed Date Created Date
Michelle Williams - Ext 3349 = [Mis] Mis 05/08/2006 05/02/2006
Assigned User Status Percent Complete Priority Parent Ticket ID
 
Summary
Post a Comment to an = Article
Detail Request
Charles -

I would like = each news article to be able to have a comment by a user. So at the end = of an article it says (in a button) "Post a Comment" - Then a text box = is created for the user to type no more than 200 words and a text box = titled First Name and a text box titled city, State and a button for = submit. The comments should be date stamped.

Then there would be = one of two items next to the Post a Comment Button. If there were = already comments submitted, a button would say "See Current Comments" or = a text line would say "No Comments Yet"

Peter & Mike should be = able to edit and or remove comments from the site.
Comments
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TypeFileCommentCreatedByCreatedOn
Comment Vincent, please replace the checkbox = graphic. Read Michelle's comment, she also wants to have text changed to = black. Vivian Tran5/26/2006 8:59:07 AM
Comment =20 I am sending an email to Vivian with a = new check box look - Also, can we try black text please.

Thanks! 		Michelle Williams5/25/2006 4:13:26 PM
Comment =20 Please take a look and let us = know
http://192.168.1.230/dog/news/temparticle.aspx 		Charles Lee5/25/2006 12:48:59 PM
Comment =20 applied new font style , = http://192.168.1.230/dog/news/temparticle.aspx Vincent Li5/25/2006 11:03:38 AM
Comment =20 Vincent - read Michelled's comments and = also try this font: Comic Sans MS or Times New Roman Vivian Tran5/25/2006 10:44:39 AM
Comment =20 Vivian can you come up with the new font = and send the back? Thanks Charles Lee5/25/2006 10:39:01 AM
Comment =20 I would like a different font, I had = asked Vivian for this previously - please use single quotations on both = sides of the title and please make the second text say No Current = Comments. Michelle Williams5/25/2006 9:58:07 AM
Comment =20 Michelle please take a look and let me = know if you want to move this = in
http://192.168.1.230/dog/news/temparticle.aspx
Thanks 		Charles Lee5/25/2006 9:10:01 AM
Comment =20 Replaced the image button and changed = wording to Give us your opinion on + = title.
http://192.168.1.230/dog/news/temparticle.aspx 		Vincent Li5/25/2006 9:07:21 AM
Comment Vincent, please replace this button with = the one using CSS. Vivian Tran5/23/2006 4:02:56 PM
Comment =20 Vivian please make graphic / Design = change per Michelle's email and send it back to her for her approval Charles Lee5/22/2006 7:34:02 AM
Comment =20 reassign to Charles .. Vivian Tran5/18/2006 3:42:11 PM
Comment =20 Charles - How do you want me to handle = this? Vivian Tran5/18/2006 3:08:35 PM
Comment =20 See email I just sent please. Also want = the peach shadowing on the click through pages please. Michelle Williams5/18/2006 11:17:36 AM
Comment =20 Michelle please uat and let me know if = this is okay for = production
http://192.168.1.230/dog/news/temparticle.aspx 		Charles Lee5/18/2006 7:35:20 AM
Comment =20 I modified the styles, the new version = is on staging.
http://192.168.1.230/dog/news/temparticle.aspx 		Vincent Li5/17/2006 3:26:06 PM
Comment =20 Vincent - I'm forwarding this ticket = back to you. I've sent you the style for button. Let me know if you need = anything else. Vivian Tran5/16/2006 10:01:31 AM
Comment =20 Assigned back to Vincent for = modification on Michelle's comment Charles Lee5/16/2006 8:50:23 AM
Comment =20 Vivian needs to crerate buttons for this = so it is not the grey buttons - also the no comments posted should not = be underlined and the text should be a differnet color and font than the = article date posted. Also the new page should not say News at the top - = it should have "Comments on (insert article name here). Michelle Williams5/15/2006 5:23:54 PM
Alert Owner =20 Michelle please take a look and let me = know if this is okay Charles Lee5/15/2006 8:01:26 AM
Comment =20 Changed to Waiting for User Charles Lee5/11/2006 9:24:41 AM
Comment =20 This is up on staging. waiting for = approval to move into production Vincent Li5/10/2006 1:02:27 PM
Alert Owner =20 Please take a look at this page and let = us know if you need any changes. = Thanks

http://192.168.1.230/dog/news/temparticle.aspx 		Charles Lee5/10/2006 11:28:10 AM
Comment =20 This is done on my box, waiting for page = layout and image buttons. Vincent Li5/9/2006 7:38:15 AM
Comment =20 Vincent let me know if you have time to = work on this task before 5/8. If not I'll assign to Richard Charles Lee5/3/2006 12:14:48 PM
* Comment is Required
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File = AttachmentComment = Options
=
Sub = Tickets
TicketIDSummaryStatus%DueDateAssignedUser
30131 Vivian please create = buttons so these are not grey buttons.Completed10005/16/2006Vincent Li
=20  
 

Copyright by Bowtieinc 2006
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} .product A:active { FONT-FAMILY: Arial, Helvetica, sans-serif; COLOR: #004793; FONT-SIZE: = 14px; FONT-WEIGHT: bold; TEXT-DECORATION: none } .product A:hover { FONT-FAMILY: Arial, Helvetica, sans-serif; COLOR: #004793; FONT-SIZE: = 14px; FONT-WEIGHT: bold; TEXT-DECORATION: none } .panelbarHeaderCollapsed TD { CURSOR: pointer } .panelbarHeaderHoverCollapsed TD { CURSOR: pointer } .panelbarHeaderExpanded TD { CURSOR: pointer; FONT-WEIGHT: bold } .panelbarHeaderHoverExpanded TD { CURSOR: pointer } .panelbarItem TD { BACKGROUND-IMAGE: url(/images/submenuBG.jpg); PADDING-BOTTOM: 0px; = PADDING-LEFT: 30px; PADDING-RIGHT: 0px; FONT-FAMILY: Arial, Helvetica, = sans-serif; HEIGHT: 19px; COLOR: #0d50a7; FONT-SIZE: 12px; CURSOR: = pointer; FONT-WEIGHT: normal; TEXT-DECORATION: none; PADDING-TOP: 0px } .panelbarItemHover TD { BACKGROUND-IMAGE: url(/images/submenuBG_hover.jpg); PADDING-BOTTOM: = 0px; PADDING-LEFT: 30px; PADDING-RIGHT: 0px; BACKGROUND-REPEAT: = no-repeat; FONT-FAMILY: Arial, Helvetica, sans-serif; HEIGHT: 19px; = COLOR: #0d50a7; FONT-SIZE: 12px; CURSOR: pointer; FONT-WEIGHT: normal; = TEXT-DECORATION: underline; PADDING-TOP: 0px } .panelbarItemSelected TD { BACKGROUND-IMAGE: url(/images/submenuBG.jpg); PADDING-BOTTOM: 0px; = PADDING-LEFT: 30px; PADDING-RIGHT: 0px; FONT-FAMILY: Arial, Helvetica, = sans-serif; HEIGHT: 19px; COLOR: #0d50a7; FONT-SIZE: 12px; CURSOR: = pointer; FONT-WEIGHT: normal; TEXT-DECORATION: underline; PADDING-TOP: = 0px } .featuredProducts { WIDTH: 100%; FONT-FAMILY: Arial; FONT-SIZE: 12px; FONT-WEIGHT: normal } .featuredProductsPhoto { BORDER-BOTTOM: 0px; BORDER-LEFT: 0px; PADDING-BOTTOM: 2px; = PADDING-LEFT: 0px; PADDING-RIGHT: 4px; FLOAT: left; VERTICAL-ALIGN: top; = BORDER-TOP: 0px; BORDER-RIGHT: 0px; PADDING-TOP: 0px } .featuredProductDG { WIDTH: 100% } .featuredProducts_SeeAll { TEXT-ALIGN: center } .featuredProduct_AdText { FONT-FAMILY: Arial; FONT-SIZE: 12px; FONT-WEIGHT: normal } .featuredProduct_Image { PADDING-BOTTOM: 6px; PADDING-LEFT: 12px; WIDTH: 120px; PADDING-RIGHT: = 6px } .button_featuredProductShowCase { TEXT-ALIGN: center } .featuredProducts_blue_border { PADDING-BOTTOM: 10px; BACKGROUND-COLOR: #f4f4f9; PADDING-LEFT: 5px; = PADDING-RIGHT: 5px; FONT-FAMILY: Arial; FONT-SIZE: 12px; FONT-WEIGHT: = normal; PADDING-TOP: 5px } .div_featuredProductsHeader { BACKGROUND-IMAGE: url(/images/bg_gradient_blue_red_header.jpg); = PADDING-BOTTOM: 0px; PADDING-LEFT: 15px; PADDING-RIGHT: 0px; = FONT-FAMILY: Arial; HEIGHT: 24px; COLOR: #ffffff; FONT-SIZE: 18px; = FONT-WEIGHT: normal; PADDING-TOP: 2px } .color1_box { BORDER-BOTTOM: #005c43 1px solid; BORDER-LEFT: #005c43 1px solid; = PADDING-BOTTOM: 7px; BACKGROUND-COLOR: #e2edea; PADDING-LEFT: 7px; = PADDING-RIGHT: 7px; FONT-FAMILY: Arial, Helvetica, sans-serif; COLOR: = #000000; FONT-SIZE: 12px; BORDER-TOP: #005c43 1px solid; FONT-WEIGHT: = normal; BORDER-RIGHT: #005c43 1px solid; PADDING-TOP: 7px } .color2_box { BORDER-BOTTOM: #999999 1px solid; BORDER-LEFT: #999999 1px solid; = PADDING-BOTTOM: 7px; BACKGROUND-COLOR: #f5f5f5; PADDING-LEFT: 7px; = PADDING-RIGHT: 7px; FONT-FAMILY: Arial, Helvetica, sans-serif; COLOR: = #000000; FONT-SIZE: 12px; BORDER-TOP: #999999 1px solid; FONT-WEIGHT: = normal; BORDER-RIGHT: #999999 1px solid; PADDING-TOP: 7px } .PollsHeader { BORDER-BOTTOM: #005c43 1px solid; BORDER-LEFT: 0px; PADDING-BOTTOM: = 2px; PADDING-LEFT: 2px; PADDING-RIGHT: 2px; FONT-FAMILY: Arial, = Helvetica, sans-serif; HEIGHT: 20px; COLOR: #005c43; FONT-SIZE: 13px; = BORDER-TOP: 0px; FONT-WEIGHT: bold; BORDER-RIGHT: 0px; PADDING-TOP: 2px } .heading { FONT-FAMILY: Arial, Helvetica, sans-serif; COLOR: #005c43; FONT-SIZE: = 16px; FONT-WEIGHT: bold; TEXT-DECORATION: none } .DataGrid { BORDER-BOTTOM: black 1px dashed; BORDER-LEFT: 0px; BORDER-TOP: 0px; = BORDER-RIGHT: 0px } .PollsDataGrid { BORDER-BOTTOM: 0px; BORDER-LEFT: 0px; BORDER-TOP: 0px; BORDER-RIGHT: = 0px } .articleListingsPaging SPAN { PADDING-BOTTOM: 3px; PADDING-LEFT: 0px; PADDING-RIGHT: 0px; = FONT-FAMILY: Arial; COLOR: gray; FONT-SIZE: 12px; FONT-WEIGHT: bold; = PADDING-TOP: 3px } .articleListingsPaging A { FONT-FAMILY: Arial; COLOR: #004793; FONT-SIZE: 12px; FONT-WEIGHT: bold; = TEXT-DECORATION: none } .articleListingsPaging A:active { FONT-FAMILY: Arial; COLOR: #004793; FONT-SIZE: 12px; FONT-WEIGHT: bold; = TEXT-DECORATION: none } .articleListingsPaging A:link { FONT-FAMILY: Arial; COLOR: #004793; FONT-SIZE: 12px; FONT-WEIGHT: bold; = TEXT-DECORATION: none } .articleListingsPaging A:visited { FONT-FAMILY: Arial; COLOR: #004793; FONT-SIZE: 12px; FONT-WEIGHT: bold; = TEXT-DECORATION: none } .articleListingsPaging A:hover { FONT-FAMILY: Arial; COLOR: #004793; FONT-SIZE: 12px; FONT-WEIGHT: bold; = TEXT-DECORATION: underline } .articleListingsContainer { PADDING-BOTTOM: 3px; PADDING-LEFT: 0px; PADDING-RIGHT: 0px; = PADDING-TOP: 3px } .articleListingsContainerBG { PADDING-BOTTOM: 1px; BACKGROUND-COLOR: #f7f7f7; PADDING-LEFT: 1px; = PADDING-RIGHT: 1px; PADDING-TOP: 1px } .articleListingsDescription { FONT-FAMILY: Arial; COLOR: #000000; FONT-SIZE: 11px; FONT-WEIGHT: = normal } .link_more:link { FONT-FAMILY: Arial; COLOR: #006e53; FONT-SIZE: 11px; FONT-WEIGHT: bold; = TEXT-DECORATION: none } .link_more:visited { FONT-FAMILY: Arial; COLOR: #006e53; FONT-SIZE: 11px; FONT-WEIGHT: bold; = TEXT-DECORATION: none } .link_more:active { FONT-FAMILY: Arial; COLOR: #006e53; FONT-SIZE: 11px; FONT-WEIGHT: bold; = TEXT-DECORATION: none } .link_more:hover { FONT-FAMILY: Arial; COLOR: #006e53; FONT-SIZE: 11px; FONT-WEIGHT: bold; = TEXT-DECORATION: none } .article_SeeAll_button { PADDING-BOTTOM: 4px; PADDING-LEFT: 12px; PADDING-RIGHT: 0px; = PADDING-TOP: 4px } .font_12pt_blue { FONT-FAMILY: Arial; COLOR: #004793; FONT-SIZE: 12px; FONT-WEIGHT: bold } .articleArrow { PADDING-BOTTOM: 3px; PADDING-LEFT: 8px; WIDTH: 10px; PADDING-RIGHT: = 5px; FLOAT: left; HEIGHT: 10px; VERTICAL-ALIGN: top; PADDING-TOP: 3px } .articleListingsTitle { FONT-FAMILY: Arial; COLOR: #004793; FONT-SIZE: 12px; FONT-WEIGHT: bold; = TEXT-DECORATION: none } .articleListingsTitle:link { FONT-FAMILY: Arial; COLOR: #004793; FONT-SIZE: 12px; FONT-WEIGHT: bold; = TEXT-DECORATION: none } articleListingsTitle:visited { FONT-FAMILY: Arial; COLOR: #004793; FONT-SIZE: 12px; FONT-WEIGHT: bold; = TEXT-DECORATION: none } articleListingsTitle:active { FONT-FAMILY: Arial; COLOR: #004793; FONT-SIZE: 12px; FONT-WEIGHT: bold; = TEXT-DECORATION: none } .articleListingsTitle:hover { FONT-FAMILY: Arial; COLOR: #004793; FONT-SIZE: 12px; FONT-WEIGHT: bold; = TEXT-DECORATION: underline } .articleTitle { FONT-FAMILY: Arial; COLOR: #031fae; FONT-SIZE: 14px; FONT-WEIGHT: bold } .font_errorMessage { FONT-FAMILY: Arial; COLOR: #c20206; FONT-SIZE: 11px; FONT-WEIGHT: bold } .DataListVBorder { BACKGROUND-IMAGE: url(/images/vdotborder.gif); BACKGROUND-REPEAT: = repeat } .DataListHBorder { BACKGROUND-IMAGE: url(/images/hdotborder.gif); BACKGROUND-REPEAT: = repeat } .blogDate { TEXT-TRANSFORM: uppercase; LETTER-SPACING: 3px; COLOR: #808080; = FONT-SIZE: 10px } .blogTitle { MARGIN-TOP: 0px; FONT-FAMILY: Times New Roman; MARGIN-BOTTOM: 0px; = COLOR: #339966; FONT-SIZE: 24px; FONT-WEIGHT: bold } .blogByLine { MARGIN-TOP: 0px; MARGIN-BOTTOM: 0px; LETTER-SPACING: 1px; COLOR: = #000000; FONT-SIZE: 11px; FONT-WEIGHT: bold } .blogDeck { PADDING-BOTTOM: 5px; PADDING-RIGHT: 20px; LETTER-SPACING: 1px; COLOR: = #000000; FONT-SIZE: 11px } .blogArchive { BACKGROUND-COLOR: #005d89; FONT-FAMILY: Times New Roman; = LETTER-SPACING: 1px; COLOR: #ffffff; FONT-SIZE: 18px } .blogArchiveBoxBorderColor { BACKGROUND-COLOR: #005d89 } .blogArchiveBoxText { BACKGROUND-COLOR: #deeaf0 } .blogArchiveBoxTextDate { TEXT-TRANSFORM: uppercase; LETTER-SPACING: 1px; FONT-SIZE: 10px; = TEXT-DECORATION: none } .subcategoryheader { PADDING-BOTTOM: 5px; BACKGROUND-COLOR: #e2edea; PADDING-LEFT: 10px; = WIDTH: 601px; PADDING-RIGHT: 5px; MARGIN-BOTTOM: 2px; COLOR: #005c43; = FONT-SIZE: 15px; FONT-WEIGHT: bold; PADDING-TOP: 5px } .subcategoryfooter { HEIGHT: 22px } .categoryheader { PADDING-BOTTOM: 5px; BACKGROUND-COLOR: #e2edea; PADDING-LEFT: 10px; = WIDTH: 601px; PADDING-RIGHT: 5px; MARGIN-BOTTOM: 2px; COLOR: #005c43; = FONT-SIZE: 15px; FONT-WEIGHT: bold; PADDING-TOP: 5px } .categoryfooter { WIDTH: 536px; HEIGHT: 12px; FONT-SIZE: 0px } .gradientgrayBG { BACKGROUND-IMAGE: url(/images/gradientgrayBG.jpg); PADDING-BOTTOM: 5px; = PADDING-LEFT: 5px; WIDTH: 615px; PADDING-RIGHT: 5px; BACKGROUND-REPEAT: = repeat-x; PADDING-TOP: 5px } .categoryimage { =09 } .categorytitle { PADDING-BOTTOM: 10px; PADDING-LEFT: 0px; PADDING-RIGHT: 0px; COLOR: = #00338c; FONT-SIZE: 15px; FONT-WEIGHT: bold; PADDING-TOP: 0px } .categorydescription { PADDING-BOTTOM: 10px; PADDING-LEFT: 0px; PADDING-RIGHT: 0px; = PADDING-TOP: 0px } .categorylink { =09 } .productimage { =09 } .producttitle { PADDING-BOTTOM: 10px; PADDING-LEFT: 0px; PADDING-RIGHT: 0px; COLOR: = #00338c; FONT-SIZE: 13px; FONT-WEIGHT: bold; PADDING-TOP: 0px } .productdescription { PADDING-BOTTOM: 10px; PADDING-LEFT: 0px; PADDING-RIGHT: 0px; = PADDING-TOP: 0px } .productcontact { =09 } .productlink { =09 } H1 { MARGIN-BOTTOM: 0px; COLOR: #005c43; FONT-SIZE: 16px } H2 { MARGIN-TOP: 0px; MARGIN-BOTTOM: 0px; COLOR: #004990; FONT-SIZE: 12px; = FONT-WEIGHT: normal } H3 { FONT-STYLE: italic; MARGIN-TOP: 0px; COLOR: #000000; FONT-SIZE: 11px; = FONT-WEIGHT: normal } .sidebar { BORDER-BOTTOM: #cecece 1px solid; BORDER-LEFT: #cecece 1px solid; = PADDING-BOTTOM: 5px; PADDING-LEFT: 5px; WIDTH: auto; PADDING-RIGHT: 5px; = BORDER-RIGHT: #cecece 1px solid; PADDING-TOP: 5px } .top { WIDTH: 400px } .btnBG { BACKGROUND-IMAGE: url(images/btn_bg.gif); BORDER-BOTTOM: #cccccc 1px = solid; BORDER-LEFT: #cccccc 1px solid; PADDING-BOTTOM: 5px; MARGIN: 2px; = PADDING-LEFT: 5px; WIDTH: auto; PADDING-RIGHT: 5px; BACKGROUND-REPEAT: = repeat-x; BORDER-TOP: #cccccc 1px solid; BORDER-RIGHT: #cccccc 1px = solid; PADDING-TOP: 5px } .btnlink { WIDTH: auto; COLOR: #005c43; FONT-SIZE: 12px; FONT-WEIGHT: bold; = TEXT-DECORATION: none } .btnlink:hover { WIDTH: auto; COLOR: #004990; FONT-SIZE: 12px; FONT-WEIGHT: bold; = TEXT-DECORATION: underline } .btn_marginL { MARGIN-LEFT: 23px } #div_classifiedHeader { PADDING-BOTTOM: 0px; BACKGROUND-COLOR: #006952; PADDING-LEFT: 15px; = PADDING-RIGHT: 0px; FONT-FAMILY: Arial; HEIGHT: 24px; COLOR: #ffffff; = FONT-SIZE: 18px; FONT-WEIGHT: normal; PADDING-TOP: 2px } .classifiedHeader_blue_border { BORDER-LEFT: #006952 1px solid; PADDING-BOTTOM: 10px; BACKGROUND-COLOR: = #ffffff; PADDING-LEFT: 5px; PADDING-RIGHT: 5px; FONT-FAMILY: Arial; = FONT-SIZE: 12px; BORDER-TOP: #006952 1px solid; FONT-WEIGHT: normal; = BORDER-RIGHT: #006952 1px solid; PADDING-TOP: 5px } .bg_blue_line_top { BACKGROUND-IMAGE: url(/images/bg_blue_line_top.gif); WIDTH: 1px; = HEIGHT: 27px; FONT-SIZE: 0px } .bg_blue_line_mid { BACKGROUND-IMAGE: url(/images/bg_blue_line.gif); HEIGHT: 27px; = FONT-SIZE: 0px } .cap_left_classifiedType_OFF { BACKGROUND-IMAGE: url(/images/cap_left_gray_blue.gif); HEIGHT: 27px; = FONT-SIZE: 0px } .classifiedType_OFF { BACKGROUND-IMAGE: url(/images/bg_cap_selected_on.gif); PADDING-BOTTOM: = 0px; PADDING-LEFT: 10px; PADDING-RIGHT: 10px; FONT-FAMILY: Arial; = HEIGHT: 12px; COLOR: #006952; FONT-SIZE: 16px; FONT-WEIGHT: bold; = PADDING-TOP: 5px } .classifiedType_OFF A { FONT-FAMILY: Arial; COLOR: #006952; FONT-SIZE: 16px; FONT-WEIGHT: bold; = TEXT-DECORATION: none } .classifiedType_OFF A:active { FONT-FAMILY: Arial; COLOR: #006952; FONT-SIZE: 16px; FONT-WEIGHT: bold; = TEXT-DECORATION: none } .classifiedType_OFF A:link { FONT-FAMILY: Arial; COLOR: #006952; FONT-SIZE: 16px; FONT-WEIGHT: bold; = TEXT-DECORATION: none } .classifiedType_OFF A:visited { FONT-FAMILY: Arial; COLOR: #006952; FONT-SIZE: 16px; FONT-WEIGHT: bold; = TEXT-DECORATION: none } .classifiedType_OFF A:hover { FONT-FAMILY: Arial; COLOR: #006952; FONT-SIZE: 16px; FONT-WEIGHT: bold; = TEXT-DECORATION: underline } .cap_right_classifiedType_OFF { BACKGROUND-IMAGE: url(/images/cap_right_gray_blue.gif); HEIGHT: 27px; = FONT-SIZE: 0px } .bg_blue_line_mid { BACKGROUND-IMAGE: url(/images/bg_blue_line.gif); HEIGHT: 27px; = FONT-SIZE: 0px } .cap_left_classifiedType_ON { BACKGROUND-IMAGE: url(/images/cap_left_red.gif); HEIGHT: 27px; = FONT-SIZE: 0px } .classifiedType_ON { PADDING-BOTTOM: 0px; BACKGROUND-COLOR: #005a8c; PADDING-LEFT: 10px; = PADDING-RIGHT: 10px; FONT-FAMILY: Arial; HEIGHT: 24px; COLOR: #ffffff; = FONT-SIZE: 18px; FONT-WEIGHT: bold; TEXT-DECORATION: none; PADDING-TOP: = 3px } .classifiedType_ON A { FONT-FAMILY: Arial; COLOR: #ffffff; FONT-SIZE: 18px; FONT-WEIGHT: bold; = TEXT-DECORATION: none } .classifiedType_ON A:active { FONT-FAMILY: Arial; COLOR: #ffffff; FONT-SIZE: 18px; FONT-WEIGHT: bold; = TEXT-DECORATION: none } .classifiedType_ON A:link { FONT-FAMILY: Arial; COLOR: #ffffff; FONT-SIZE: 18px; FONT-WEIGHT: bold; = TEXT-DECORATION: none } .classifiedType_ON A:visited { FONT-FAMILY: Arial; COLOR: #ffffff; FONT-SIZE: 18px; FONT-WEIGHT: bold; = TEXT-DECORATION: none } .classifiedType_ON A:hover { FONT-FAMILY: Arial; COLOR: #ffffff; FONT-SIZE: 18px; FONT-WEIGHT: bold; = TEXT-DECORATION: underline } .cap_right_classifiedType_ON { BACKGROUND-IMAGE: url(/images/cap_right_red.gif); HEIGHT: 27px; = FONT-SIZE: 0px } .bg_blue_line_mid { BACKGROUND-IMAGE: url(/images/bg_blue_line.gif); HEIGHT: 27px; = FONT-SIZE: 0px } .bg_blue_line_top { BACKGROUND-IMAGE: url(/images/bg_blue_line_top.gif); WIDTH: 1px; = HEIGHT: 27px; FONT-SIZE: 0px } .corner_top_left_red { BACKGROUND-IMAGE: url(/images/corner_top_left.gif); WIDTH: 5px; HEIGHT: = 5px; FONT-SIZE: 0px } .corner_top_right_red { BACKGROUND-IMAGE: url(/images/corner_top_right.gif); WIDTH: 5px; = HEIGHT: 5px; FONT-SIZE: 0px } .corner_bot_left_red { BACKGROUND-IMAGE: url(/images/corner_bot_left.gif); WIDTH: 5px; HEIGHT: = 5px; FONT-SIZE: 0px } .corner_bot_right_red { BACKGROUND-IMAGE: url(/images/corner_bot_right.gif); WIDTH: 5px; = HEIGHT: 5px; FONT-SIZE: 0px } .red_line_top { HEIGHT: 8px; FONT-SIZE: 0px; BORDER-TOP: #005a8c 1px solid } .box_red_border { BORDER-LEFT: #005a8c 1px solid; BACKGROUND-COLOR: #ffffff; = BORDER-RIGHT: #005a8c 1px solid } .font_errorMessage { FONT-FAMILY: Arial; COLOR: #c20206; FONT-SIZE: 11px; FONT-WEIGHT: bold } .classified_directoryListings { FONT-FAMILY: Arial; FONT-SIZE: 12px; FONT-WEIGHT: normal } .float_left { FLOAT: left } .bg_red_line_mid { BACKGROUND-IMAGE: url(/images/bg_red_line.gif); HEIGHT: 28px; = FONT-SIZE: 0px } #div_categoryHeader { PADDING-BOTTOM: 0px; BACKGROUND-COLOR: #006952; PADDING-LEFT: 10px; = PADDING-RIGHT: 10px; FONT-FAMILY: Arial; HEIGHT: 23px; COLOR: #ffffff; = FONT-SIZE: 14px; FONT-WEIGHT: bold; PADDING-TOP: 5px } .cap_right_blue2 { BACKGROUND-IMAGE: url(/images/cap_right_blue2.gif); WIDTH: 40px; = HEIGHT: 28px; FONT-SIZE: 0px } .cap_left_blue { BACKGROUND-IMAGE: url(/images/cap_left_blue.gif); WIDTH: 10px; HEIGHT: = 28px; FONT-SIZE: 0px } #div_classifiedState { BORDER-BOTTOM: #b9d7e8 1px solid; BORDER-LEFT: #b9d7e8 1px solid; = PADDING-BOTTOM: 0px; BACKGROUND-COLOR: #e5f1f8; PADDING-LEFT: 10px; = WIDTH: 100%; PADDING-RIGHT: 0px; FONT-FAMILY: Arial; HEIGHT: 19px; = COLOR: #005a8c; FONT-SIZE: 14px; BORDER-TOP: #b9d7e8 1px solid; = FONT-WEIGHT: bold; BORDER-RIGHT: #b9d7e8 1px solid; PADDING-TOP: 3px } #div_blue_line { BORDER-LEFT: #ffffff 4px solid; BACKGROUND-COLOR: #8e9adc; WIDTH: 100%; = HEIGHT: 2px; FONT-SIZE: 1px; BORDER-RIGHT: #8e9adc 6px solid } .classifiedDG { WIDTH: 100% } #div_content_body { BACKGROUND-IMAGE: url(/images/bg_content_body.gif); PADDING-BOTTOM: = 0px; PADDING-LEFT: 15px; WIDTH: 731px; PADDING-RIGHT: 0px; PADDING-TOP: = 4px } .blue_line_top { BACKGROUND-COLOR: #ffffff; HEIGHT: 8px; FONT-SIZE: 0px; BORDER-TOP: = #006952 1px solid } .box_blue_border { BORDER-LEFT: #006952 1px solid; PADDING-BOTTOM: 3px; BACKGROUND-COLOR: = #ffffff; PADDING-LEFT: 3px; PADDING-RIGHT: 3px; BORDER-RIGHT: #006952 = 1px solid; PADDING-TOP: 3px } .bg_blue_line_mid2 { BACKGROUND-IMAGE: url(/images/bg_blue_line2.gif); HEIGHT: 17px; = FONT-SIZE: 0px } .red_line_bot { BORDER-BOTTOM: #005a8c 1px solid; HEIGHT: 8px; FONT-SIZE: 0px } .taboff { BACKGROUND-IMAGE: url(/images/tabbg_off.jpg); BORDER-BOTTOM: #a0c5bb = 1px solid; TEXT-ALIGN: center; FONT-FAMILY: Arial, Helvetica, = sans-serif; HEIGHT: 23px; COLOR: #0068a5; FONT-SIZE: 16px; BORDER-TOP: = #a0c5bb 1px solid; FONT-WEIGHT: bold; BORDER-RIGHT: #a0c5bb 1px solid; = TEXT-DECORATION: underline } .taboffLink { FONT-FAMILY: Arial, Helvetica, sans-serif; COLOR: #000000; FONT-SIZE: = 12px; FONT-WEIGHT: normal; TEXT-DECORATION: none } .tabon { BACKGROUND-IMAGE: url(/images/tabbg_on.jpg); TEXT-ALIGN: center; = HEIGHT: 23px; BORDER-TOP: #a0c5bb 1px solid; BORDER-RIGHT: #a0c5bb 1px = solid } .lefttab { BORDER-LEFT: #a7c8bf 1px solid } .tabonLink { FONT-FAMILY: Arial, Helvetica, sans-serif; COLOR: #097057; FONT-SIZE: = 13px; FONT-WEIGHT: bold; TEXT-DECORATION: none } .border { BACKGROUND-IMAGE: url(/images/ishbg_bottom.jpg); BORDER-BOTTOM: #a7c8bf = 1px solid; BORDER-LEFT: #a7c8bf 1px solid; BACKGROUND-REPEAT: repeat-x; = BACKGROUND-POSITION: 50% bottom; BORDER-RIGHT: #a7c8bf 1px solid } .ishhdr { BACKGROUND-IMAGE: url(/images/ishbg.jpg); PADDING-BOTTOM: 5px; = PADDING-LEFT: 20px; PADDING-RIGHT: 5px; COLOR: #097057; FONT-SIZE: 14px; = FONT-WEIGHT: bold; PADDING-TOP: 7px } .ishbrdr { BACKGROUND-IMAGE: url(/images/ishbg_bottom.jpg); BORDER-BOTTOM: #9fc4ba = 1px solid; BORDER-LEFT: #9fc4ba 1px solid; BACKGROUND-REPEAT: repeat-x; = BACKGROUND-POSITION: 50% bottom; BORDER-TOP: #9fc4ba 1px solid; = BORDER-RIGHT: #9fc4ba 1px solid } .ishmag { PADDING-BOTTOM: 5px; PADDING-LEFT: 15px; PADDING-RIGHT: 7px; = PADDING-TOP: 7px } .ishcopyhdr { COLOR: #097057; FONT-SIZE: 12px; FONT-WEIGHT: bold } .ishcopypad { PADDING-BOTTOM: 7px; PADDING-LEFT: 10px; PADDING-RIGHT: 15px; = PADDING-TOP: 5px } .schoolbckgrnd { BACKGROUND-IMAGE: url(/images/schlbg.jpg); PADDING-BOTTOM: 7px; = PADDING-LEFT: 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