text:
No two pregnancies, deliveries or postnatal outcomes are the same; many are uncomplicated however some encounter complications. This means a thorough understanding of the changes that have occurred to a woman's body and mind, during pregnancy, and after the delivery of her baby is essential. These changes, which are specific to every woman, guide the trainer in developing an optimal personalised exercise programme, and manage not only the straightforward client, but the more complex one as well.
This course details the many benefits and the limitations of exercise, and the effects of exercise physiologically on the woman's body after delivery. It also covers the effects of pregnancy on the female musculoskeletal system following a sudden change of load after delivery.
The course provides screening tools and active tests to be able to assess a woman's readiness for exercise, the intensity and modality that is appropriate for each individual woman. It also identifies the signs and symptoms which may require the postnatal client to cease exercise and seek further advice; and when exercise is contraindicated. Symptoms of postpartum lumbar spine and pelvic girdle pain are outlined and the appropriate management of this client, through exercise and / or referral are reviewed.
The role of core stability in managing a postpartum woman and how to appropriate teach correct recruitment of the deep core muscles including pelvic floor are revised. The course explains the risk of occurrence of a diastasis rectus abdominus if an exercise programme is not delivered with a full understanding of abdominal muscle function in that area. Examples are given of how to reduce the separation through exercise and advice, along with exercise modifications for various movement dysfunctions. Good postural control in standing, sitting and functional everyday tasks for a pregnant woman are reviewed, and when referral to a medical specialist is appropriate.
Presented by Lorraine Starsmeare M.Clin.Physio. (Women's health & Incontinence), APA Titled Women's Health Physiotherapist
Lorraine has over 30 years of international experience in the U.S.A, UK and Australia. She initially worked as a physiotherapist in sports and rehabilitation settings, then specialised in occupational physiotherapy and ergonomics, and the treatment of work-related musculoskeletal conditions. She has been extensively involved with; the development, implementation and delivery of injury prevention and ergonomic programmes in the workplace; the presentation of educational programs including ante & post-natal classes; lectures on behalf of the Dept of Sport, Recreation and Racing; and OH&S training for industry and childcare. She gained registration with Fitness Australia in 1994 and conducted aerobics, aqua fitness, and individual fitness and rehabilitation programmes. She has completed all levels of the Australian Physiotherapy Association accredited, Clinical Pilates course and continues to build on her knowledge through experience and attending courses held by leading clinicians from around the world. She has incorporated Clinical Pilates into her 'hands-on' treatment of musculoskeletal problems; and for the last 20 years established and expanded her own business specialising in the care of individuals, including the pre and post-natal woman, using exercise physiotherapy to address movement dysfunction on a one on one, and in a class environment. She completed her postgraduate master's degree in Continence and Women's Health in 2018 and received her APA Women's Health Physiotherapist title in 2019. Since 2014, in conjunction with Well College Global (formerly Cadence Health) she has written, developed and provided online pre & post-natal courses for health and exercise professionals.
Course Schedule
To enrol in the course log onto https://www.wellcollegeglobal.com/pregnancy-fitness-and-nutrition-courses.html
Members $245
Non Members $280
CPD Points
Contact Details
For more information or to enrol in the course, please contact the provider using the below details.
Lorraine Starsmeare
Em: email@example.com
W: www.wellcollegeglobal.com


text:
Buy Phentermine Paypallike it View all 1121 reviews $0.28 - $3.92 per pill
buy adipex 37.5 mg online
Reproductive and developmental studies of acetaminophen in rats and mice have shown fetotoxicity, necrosis of the liver and kidney in alprazolam 1mg street value the pregnant rat and the fetus, retarded buy phentermine paypal growth and decreased reproductive capacity of the offspring. Alcohol also increases paracetamol's liver toxicity. Although it is devoted to books, reading is not allowed. He continued conducting cinema orchestras and play the piano at saloons and cabarets during this time, and this is also the time where he learned to drink alcohol. In addition, the pronouns of periphrastic forms are in brackets when they appear. In rare cases antidepressants can make users obsessively violent or have suicidal compulsions, which is in marked buy phentermine paypal contrast buy phentermine mexico online to their intended effect. Alcohol itself is a sedative-hypnotic and is cross-tolerant with other sedative-hypnotics such as barbiturates, benzodiazepines and nonbenzodiazepines. Club drugs are used in buy phentermine paypal Australia in a variety of dance clubs and nightclubs. In sushi preparation, chefs usually put the wasabi between the fish and the rice because covering wasabi until served preserves buy phentermine paypal its flavor. Another scene that does not feature in the movie that was present in the script comes where Bobby helps Terry escape from her bedroom after she is grounded by her parents. Meprobamate is licensed for the short-term relief of anxiety, although whether the purported antianxiety effects of meprobamate are separable from its sedative effects is not known. Natural processes that generate nitrous oxide may be classified as nitrification and denitrification. Yugoslavia and Romania expanded into former Austro-Hungarian territory. Bree begins to subtly flirt with Keith. The Appeals' ruling said the evidence was fairly admitted. Senku learns his revival was possible with nital, reviving his friend Taiju Oki and their buy phentermine d online classmate Yuzuriha Ogawa to rebuild their civilization. Many forms of blood doping stem from the misuse of pharmaceuticals. Hammer arrives, and promises to be Soma's vendor again. Considering the needs of health professionals led to a system in which USANs reflect relationships between new entities buy phentermine paypal and older drugs, and avoid names that might suggest non-existent relationships. Though this film does not feature any music by Nirvana, it has songs by the artists that inspired Cobain. This quality helps to explain, in part, why many of his pieces are considered quite challenging to perform. Several songs concern his best friend Lockett Pundt, the guitarist for Deerhunter, whom the album is buy phentermine paypal dedicated to. When brain glucose levels buy phentermine paypal are sufficiently low, seizures may result. A judge who sentences a man to die for a crime cannot be charged with attempted murder if the convicted man is later exonerated. I wanted to do so but it simply was not an option for me at the time. Bile excretion is different from buy phentermine paypal kidney excretion as it always involves energy expenditure in active transport across the epithelium of the bile buy phentermine in south africa duct against a concentration gradient. He issued nine reports and sponsored reform legislation or Bar rulemaking to implement many of them. There is a risk of misuse and dependence in both patients and non-medical users of alprazolam; alprazolam's high affinity binding, high potency, and rapid onset increase its abuse potential. The rate of decline is different for each person. Donihue's buy phentermine paypal work is not superficial. Siloti left the Moscow Conservatory after the academic year ended in 1891 and Rachmaninoff asked to take his final piano exams a year early to avoid being assigned a different teacher. Examples include the vinylcyclopropane rearrangement and the divinylcyclopropane-cycloheptadiene rearrangement. Tabulature was also used in the Baroque era to notate music for the lute, a stringed, fretted instrument. This is her only appearance in the novel. Seeds were at first quickly scattered onto the soil. It is traditionally hung; softneck varieties are often braided in strands called plaits or grappes. Efforts to report them as fraudulent receive little response. Walker accepted the offer, and Homolka later agreed to it. Moe, order adipex online canada along with others at the bar, when Moe tells the barflies that the child actor who played Alfalfa that Moe killed was an orphan who was owned buy phentermine paypal by the clonazepam side effects weight studio. A bus or jeepney driver buy phentermine paypal takes home or pays a boundary, a commission paid to a transport operator daily for taking passengers, buy phentermine paypal and also the excess collected fares taken home as daily wage. Sharad Purnima, also called Kojaagari Purnima or Kuanr Purnima, is a harvest festival marking buying xanax in thailand the end of monsoon season. Vivian's life was published. Positano was a buy phentermine paypal port of the Amalfi Republic in medieval times, and prospered during the sixteenth and seventeenth centuries. Likely evidence for these worms was plentiful in people's feces, especially those of starving people, because many intestinal worms will evacuate the digestive system if they are not able to ingest enough sustenance. It is most commonly applied buy phentermine paypal to potted plants, or to magnesium-hungry crops, such as potatoes, tomatoes, carrots, peppers, lemon trees, and roses. Much expenditure was done over the political propaganda. Roughly 80% cases reported to date have been male. I'm cheap phentermine 37.5 mg not one to complain to the referee, but it's beyond me why she didn't win. The development section, with its broken tenths in the left hand and the polyphony in the treble, is tramadol dose for dogs by weight very original in its sonorities. When ingested, thebaine causes nausea, vomiting, buy phentermine paypal and myoclonus. According to Nawar al-Hassan Golley, Arab feminism was closely connected with Arab nationalism. League of Resident Theatres.
buy phentermine online reviews
Freud, as do those who practice psychoanalysis today, is ungenerous. This is where the motif is repeated the second time, then xanax and weight gain giving buy phentermine paypal way to the coda. Initially, the character was a lampoon of Chan, cheap xanax online pharmacy but in a later episode, Hoo appeared rather more brilliant and resourceful, while Max, though helpful as always, appeared more so as a contrast. By 1895, 2300 tons of buy phentermine paypal asbestos were being removed from the open pit mine per year. In the 2000s, notated music is produced as sheet music or, for individuals with computer scorewriter programs, as an image on a computer screen. Featherings are the inner bark of twigs and twisted shoots. The third movement is in ternary form, consisting of a scherzo and trio. He remains one of its board members. EST, 10 minutes after buy phentermine prescription online receiving the injection. Another source claims that Smith was thrown off a boat and shot in a manner similar to the Israeli call center manager. There are two reasons for this drastic decrease. This can be used to buy phentermine paypal increase dysmetria and confirm a diagnosis of cerebellar dysfunction. Thus Davis chose to create her own party yet still continue to advocate for Libertarian ideals. Notes: Mazu worship is credited with leading to miraculous salvations at sea, buy adipex online uk protecting sailors and travelers from drowning. Searle is most notable for having developed the first female birth control pill, and the artificial sweetener NutraSweet. The most frequent characteristics of Helvetisms are buy phentermine paypal in vocabulary, phrases, and pronunciation, but certain Helvetisms denote themselves as special in syntax and orthography likewise. Pure polycrystalline magnesium is brittle and easily fractures along shear bands. Central dictates what dishes the students are required to make and the correct recipe and method for their buy zolpidem europe preparation. Westley arrives for his wedding via an autogyro, but at the ceremony, Andrews reveals to his daughter about Peter's refusal of the reward money and tells her that her car is waiting by the back gate in case she changes buy phentermine paypal her mind. The circle is completed: first sections, then periods, and finally phrases. For instance, it increased the number buy phentermine paypal of natives in the colonial army and built strategic hamlets. Items which are paid by patients who can afford it buy phentermine paypal are: After completing five semesters, he went on to the Illinois Institute of Technology in Chicago to complete the three remaining semesters. Cary Brokaw, executive producer of the series, worked for over ten years to bring the 1991 stage production to television, having first read it in 1989, before its first production. Eugene, wanting Rapunzel to be free, slices off her hair, destroying its magic and causing Gothel to age rapidly. Werner had suggested that they buy phentermine paypal take a chance on Barr whom they had seen buy phentermine paypal on The Tonight Show. Emmeline Pankhurst was the most notable activist in England. After locating the mass for biopsy, using x-rays or palpation, a special buy phentermine in singapore needle buy phentermine paypal of very fine diameter is passed into the mass. Haoma was a biochemical Euro-Asian correlate of ayahuasca cannot be a priori excluded. It is in a double variation order phentermine online legally form, with each pair of variations progressively elaborating the rhythm and melodic ideas. This new church was contemporaneously recognized as a major work of architecture. We had to create parts for all the other groups we cut for, but not Brian. Negative symptoms can be more lasting and more debilitating than positive symptoms of psychosis. Dopamine cannot diffuse across the BBB because of the catechol group, it is too polar and therefore unable to enter the brain. Maisie's mother, Natasha, finds out and sacks Holly, before telling her parents. Vigabatrin helps lower GHB levels through GABA transaminase inhibition. Mafuyu leads the band in performing a new song he has written, but Given is not selected for the festival. Many of the British musicians and bands that had embraced psychedelia moved into buy phentermine paypal creating the progressive rock genre in the 1970s. Arizona's Governor Doug Ducey signed the Arizona Opioid Epidemic Act on January 26, 2018, to confront the state's opioid crisis. Thayil also stated that while he does not rule out the possibility of working with Cameron and Shepherd in a different capacity, writing or touring under the Soundgarden banner again was unlikely. Buy phentermine paypal Stewart is a fictional character from the Australian soap opera Home and Away, played by Ray Meagher.

subset: commoncrawl


text:
Business License – The Story
I went to at least one place and asked for a yr's lease and he or she mentioned that could not be accomplished, as a result of once a month they maintain a board meeting in that room (and by the way there's just one room that can accommodate a large enough area for lessons) – and she said that first they've dinner after which they've their board assembly. So I asked her in the event that they could not have their board assembly on one other evening. She mentioned, no – that's the evening we've been having the assembly for a few years. I requested he how many people got here to those board conferences – she mentioned there are 12 of them. So I thought to myself this makes absolutely no sense. This room is meant to generate an earnings and yet, enterprise is being turned away because these 12 people can be inconvenienced by having their meeting on one other night time.
Again and again they have incorporated some standards and values to treat the company with utmost priority and immense customer satisfaction. Recruiting companies involved with hospitality staff recruitment are at all times open to experiment, with new places, new fields for recruiting the sources in the hospitality section.
1. Promise them you'll enhance their lives, and how
Well completely different products give completely different payouts, some will give $20 a sale others will give $200 a sale. Absolutely many people do online marketing as a …


text:
There is a bug in the code designed to write some code to a sheet module in this procedure. (Excel 2000). Suggestions/cures?
There is a bug in the code designed to write some code to a sheet module in this procedure. (Excel 2000). Suggestions/cures?
Found your problem. Your code was working fine. It's the code you were writing to the vba editor that was causing excel to crash. If you try to add code that the editor chokes on, it crashes excel. Take a look at the new attached file.
I knew I shold have tried to run the code that was added. LOL
CBrine - Good catch
Hi Cbrine,
Still the same problem!
Can you tell me, if you let the MsgBox Pause run, Is FindWord visible as one of the sheet tabs?, With me it is not.
Occurences of:door
LocationCell TextData1!A21Revised cost of internal doors and screensData1!A22Saving on standard doorsData1!A23Addition to glazed doors, cupboard doors and glazed screensData1!A26Window/External Doors: Investigate alternative suppliersData1!A8567 ? 68. Allow the provisional sum of ?750 for supply of door bell and bell push (terms strictly nett)Data1!A8758 ? 59. Allow the provisional sum of ?750 for supply of door bell and bell push (terms strictly nett)MoreData!A21Revised cost of internal doors and screensMoreData!A22Saving on standard doorsMoreData!A23Addition to glazed doors, cupboard doors and glazed screensMoreData!A26Window/External Doors: Investigate alternative suppliersMoreData!A8567 ? 68. Allow the provisional sum of ?750 for supply of door bell and bell push (terms strictly nett)MoreData!A8758 ? 59. Allow the provisional sum of ?750 for supply of door bell and bell push (terms strictly nett)MoreData!E21Revised cost of internal doors and screens
MoreData!E22Saving on standard doorsMoreData!E23Addition to glazed doors, cupboard doors and glazed screensMoreData!E26Window/External Doors: Investigate alternative suppliersMoreData!E8567 ? 68. Allow the provisional sum of ?750 for supply of door bell andMoreData!E8758 ? 59. Allow the provisional sum of ?750 for supply of door bell and
Here's the response I get on running with the default value "door". It appears on Worksheet "FindWord"
Edit: That's uglier then I thought it would be.
Also, I did setup the pause msgbox to run. No Problems.
What happens when you run it?
It all works except adding the code to the sheet. Here's a simplified version.
Still no errors here MD, I'm baffled
I think I have it. I think the problem is that Excel doesn't actually "add" the CodeModule to the collection until the codepane is displayed for the "new" sheet. In other words when you are stepping through the code it is added, when you are using the macro it is not.
I revised the code to this and I got no more errors, no GPF's no excel crashing.
Which by the way I was getting a lot of before.
Sub AddSheetCode()
Dim strCode As String
Dim FWord As String
Dim WB As Workbook
Dim Sh
Dim I As Integer
Set WB = ActiveWorkbook
strCode = "Private Sub Workbook_SheetChange(ByVal Sh As Object, ByVal Target As Range)" & vbCr _
& "If Sh.Name = " & Chr(34) & "FindWord" & Chr(34) & " Then" & vbCr _
& "If Target.Address = " & Chr(34) & "$B$1" & Chr(34) & " Then" & vbCr _
& "FindAll Target.Text, " & Chr(34) & "False" & Chr(34) & vbCr _
& "Cells(1,2).Select" & vbCr _
& "End if" & vbCr _
& "End if" & vbCr _
& "End Sub"
Debug.Print strCode
FWord = "ThisWorkbook"
For I = 1 To WB.VBProject.VBComponents.Count
If WB.VBProject.VBComponents.Item(I).Name = FWord Then
Exit For
End If
If Not WB.VBProject.VBComponents.Item(I).CodeModule Is Nothing Then
If Not WB.VBProject.VBComponents.Item(I).CodeModule.Find("Workbook_SheetChange", 1, 1, 100, 100) Then
WB.VBProject.VBComponents.Item(I).CodeModule.AddFromString (strCode)
End If
End If
Set WB = Nothing
End Sub
Thanks Tommy and all others who rendered assistance. Final version has been posted as a KB entry. I've still to puzzle out exactly what's going on, but its working!
Hey Tommy, just trying to follow this great thread. What are GPF's?Originally Posted by Tommy
Regards, Zack Barresse
Check out the KB! :|: BOARD TAGS: WHAT ARE THEY AND HOW DO I USE THEM
What is a Microsoft MVP? | Free Microsoft Courses | My Book on Excel Tables
Hi Zack,
General Protection Faults (the things that make your PC crash).
That's all I know about them!
Hi Tommy,
I was running the code again, and failed to get the FindWord page to add. Investigation showed that the error on Sheets(FindWord").Select was -2147352565 , not 9 as per usual. This can be added to the routine, but I wondered if you had any ideas?
Hi Zack,
To go along with MD, that is how I tell I have got to pay more attention to what I am doing . It could mean that I stepped on some system memory (OS).
This is what MS says about the error.
-2147352565 (8002000B) Invalid index.
It is an automation error. Were you making this into an add-in? If so it may have gotten confused as to which workbook you were working on, just a guess. Did you change versions? I have a copy 2003 to test and maybe duplicate the error. If I can duplicate the error I (hopefully) can fix it, but I need to know how to duplicate.
Hi Tommy,
I've amended my code to if Err <> 0 (as suggested by DRJ), so this avoids the issue. However, on using the procedure at work, I notice it doesn't handle sheet names with spaces. Can you return the KB item to WIP so I can add a couple of quotation marks
Hi MD,
I changed the KB to WIP.
I would suggest 2 things in the Err <> 0 part, this is just me and to my knowledge is not necessary. Err.Number <> 0 this is because I just like to know what I am checking for, once the Err.Number <> 0 then Err.Clear I prefer to clear it if it is there, the only reason is I have spent hours looking for an error that I knew I had trapped, come to find out it was someplace else entirely and was left over.
As follows?
If Err.Number <> 0 Then
'error occured so clear it
Sheets.Add.Name = "FindWord"
Sheets("FindWord").Move After:=Sheets(Sheets.Count)
'Run macro to add code to ThisWorkbook
End If
Yes, but once again this just my opinion.
I agree with the logic, especially where an error is anticipated as in this case.
A "curiosity".
Entering * as the search term lists the contents of all the used cells in the workbook. Although why anyone would want to do this I don't know.


text:
The Essentials of – The Basics
What to Look for in the Professional Web Designer That You Hire
Websites are becoming all too common for businesses and even regular individuals to have. There is no doubt that you will be getting names of web designers even when you ask people around you for them. And yet, anyone who claims to be a web designer is not always the professional ones. The term website designer often ranges from people who know the basics of website design as well as those who are truly skills, qualified, and professionals. Having this fact in mind, it can be quite tricky to choose the most fitting web designer for your needs. Choosing the wrong web designer often means that you will be turning off possible customers as well as your profit sales. So, it is very important that you only acquire the professional help of the right web designers.
In addition to choosing web designers, you may also have to choose from a variety of web design companies or agencies. It is vital that you know how to do some research work if you want to only hire the right company or professional for your website design needs. It is never impossible to find quality web design services at a price that you can afford if you just know how to look for them. Besides being affordable, they can also provide you with the kind of web design style that you prefer. Just make sure that they are professionals at what they do. Here is a useful guide to finding professional web designers if you don't know where to start.
If you go through your web design agency options, for sure, they will tell you that they do a great job at designing your website. But then, you must not believe them right away unless you see get some proof from them. Before hiring any web designer, always get a list of their clients as well as their website addresses. Take the time to check the website of the professional web designer in question because there is no doubt that they will have a gallery of the work they have created in the past. Take the time to browse through their sites so that you can check if you like their style as well as their work.
You have to look into certain factors of the website of the web designer as well as the websites they have created for their clients. Make sure to consider the clarity of the business message and how well the website ranks in search engines. Make sure to take the time to contact the past clients of the web designers to and ask about how they feel about the website that the designer has created for them. Make sure to inquire about the overall experience of working with the web designer in terms of the design process and after it. Doing this enables you to know what it might be like to work with the web design company that you plan to choose. Make sure to get in touch with more than just one previous client as they may have mixed feedback.


text:
Property DescriptionThis is a truly grand villa situated in Season Resort. It can comfortably sleep up to 16 guests at a time. It's perfect for large families or families looking to share. This 2-storey villa boasts 7 bedrooms, a games room and covered patio by the pool. If you're looking for a large fully-equipped modern vacation home that will host a number of guests with ease without anyone growing bored, this is the home for you! As you first enter the villa, you'll notice the vaulted ceilings in the foyer and the tiled entrance and hallway. If you look to your left, you'll see the formal living room. This carpeted area has two red sofas and is a great little place to sit down and have a quiet conversation with someone. Just off the formal living area is the formal dining area with built-in shelving in the walls and seating for up to 6 around the rectangular wooden table. If you want to enjoy a nice meal with everyone around the same table, this is the place to do it at. If you continue further back into the villa, you'll enter the open-plan, fully-equipped kitchen with modern appliances, plenty of counterspace, and an island that doubles as a small breakfast nook with seating for two. Just off the kitchen is a small breakfast nook that receives plenty of sun form the patio doors that lead out onto the pool area. The kitchen opens onto the large living room with vaulted ceilings. Here, there are two large, brown leather sofas, an arm chair, and a large flat screen TV. This is the perfect place to sit back, relax, and watch a good movie after a long day out at the parks. The first bedroom, the master bedroom, has a king-size bed and en-suite bathroom with garden tub and walk-in shower. The second bedroom has a queen-size bed. The third bedroom has a full-size bed and a single bed. The fourth bedroom has a single bed and a full-size bed. The fifth bedroom has a full-size bed and single bed. The sixth bedroom has a king-size bed, and the seventh bedroom has a single bed and a full-size bed. The best two parts about this house? The pool and the games room! The games room is in the converted garage and has a pool table, a foosball table, and an air hockey table. You're sure to spend hours in here playing. The screened in pool area has a large pool, 6 loungers for laying down and getting a tan, and a couple of tables and plenty of chairs to sit around and enjoy the weather.Community DescriptionSeasons Kissimmee is a quiet resort community of 71 well maintained vacation homes and villas. It is located approximately 5 miles from Epcot in the Walt Disney World Resort. Seasons is located south of Orlando on US 192 east just behind Medieval Times and close to Wal-Mart. The local attraction Old Town Kissimmee is also located just 5 minutes away. Other major attractions in proximity to the Seasons villas include Magic Kingdom and Universal Studios. Major shopping and restaurants can be found up and down the US 192/Irlo Bronson Memorial corridor located approximately 0.9 miles away. The resort community is well located and maintained. Many Seasons Kissimmee rentals are lakefront or water view which is always in high demand. Seasons Kissimmee vacation rentals also offer a community playground as well as a pond/lake with walking trail. If you desire a private pool, be sure to rent a vacation home with one. Most of the vacation home rentals in Seasons Kissimmee offer 4, 5 and 6 bedrooms sleeping 8 to 14 people depending on the house size.Distance to Nearby Attractions - Disney World: 6.1 miles- Universal Studios: 17.9 miles- SeaWorld: 12.9 miles- Falcon Fire Golf Course: 9.5 miles- Disney Golf Course: 10.6 miles- Premium Outlets: 8.1 miles- Airport (Orlando International Airport): 19.3 milesServices IPG Florida Vacation Homes Offers- 24-hour online check-in- Mid-stay housekeeping- BBQ, Pack & play, crib rentals- Pool heat (where available)- Ticket sales to all major theme parks
Check the calendar to see when to book this unit!
Our rates, see what season works best for you!
What our previous guests have said about us!
Availability Calendar
Get a quote
Guest Reviews
Add a Review
Since 1998, Southern Select Villas remains one of the most Experienced
Vacation Rental Booking and Property Management Companies in Florida.
"Service you Expect. People you Trust."


text:
South Africa has tightened regulations for processed meat products to try to avoid a repeat of the listeriosis outbreak in … More
Tag: Food Safety
Multiple agencies make a mess of food safety
Yet every government faces these challenges, and the lesson that has been learned globally is that involving multiple agencies in … More
Enforce strict laws to curb trade in hazardous food
There have been many scandalous media reports over the last one year of sale of substandard goods in the Kenyan … More
Strengthen policies to ensure food safety
Kebs, a national standards body that is mandated to provide standardisation, metrology and conformity assessment, has failed Kenyans to the … More
The future of food regulation
There is no comprehensive law that regulates the food industry in Kenya. Instead, there are multiple agencies co-ordinated by the … More
African Union mulls harmonized biosafety system framework
The African Union (AU) is looking at the possibility of harmonizing biosafety regulations to ensure more effective handling of biotechnology applications in … More
Why food safety in Africa's informal markets must be driven by consumers
Across the continent, tainted food kills about 140 000 people every year, and leaves 91 million more suffering from diarrhoea, tapeworm, hepatitis and even … More
Why African Countries Maintain Tight Restrictions on Genetically Modified Food
African countries have long maintained some of the strictest regulations on genetically modified agriculture, with only four out of 47 … More
Rwanda Must Pick a Side in its GMO Debate
Like a phoenix, Rwanda is fast rising towards a future that is inclusive, innovative and self-reliant. It is in this … More
Food safety and the Sustainable Development Goals
A technical brief titled Food safety and the Sustainable Development Goals sets out the linkages between food safety and the Sustainable … More


text:
News roundup: Marriage, Markey and moreDOMA is defeated by the Supreme Court, Markey is elected as MA's new Senator and Obama lays out new environmental policies.
Campaigns kick into gear with nearing Senate Special ElectionThere is little time to waste for all involved.
Boston College is well represented in upcoming Senate Special ElectionWhatever the eventual outcome, BC will most likely continue to be well represented in the U.S. Senate.
James Franco's inaugural poem: "Obama in Asheville"Is James Franco joking in his poem "Obama in Asheville?" Probably not. ...
Remembering Tip O'NeillReflecting on O'Neill's contributions to BC and the country on his 100th birthday.
45,000 Massachusetts workers may lose unemployment benefitsIt is estimated that 45,000 Massachusetts residents may lose unemployment benefits right after the Christmas holidays if the government decides not to extend the benefit program currently in place.
Marriage equality gains momentum at the state level in 2012The states that issue marriage licenses to same-sex couples are Massachusetts, Connecticut, Iowa, Vermont, New Hampshire, New York and the District of Columbia. Five additional states – Delaware, Hawaii, Illinois, ...
Maine's Independent Angus King to Senate"There are really two criteria that I've honed it down to, and one is the extent I can maintain my independence and the second is how effective I can be ...


text:
1. Introduction
With the growth in electronic health records (EHRs), more and more facilities are gathering large amounts of digitized patient data. Much of the responsibility for patient data input has been taken on by nurses who previously recorded patient information in paper-based formats. Although accurate documentation is essential for patient care, computerized patient data also enhances quality for the entire healthcare system. Healthcare providers can use data mining to uncover previously unknown patterns from vast data stores and then use this information to build predictive models. Since the 1990s, businesses have been using data mining for activities such as credit scoring, fraud detection, and maintenance scheduling. Now, healthcare organizations are also seeing value in data mining. Healthcare organizations can use data mining to make better patient-related decisions. For instance, they provides information to guide patient interactions by determining patient preferences, usage patterns, and current and future needs-all of which help to improve patient satisfaction.
All clinicians have shouldered a large portion of the responsibility for recording patient data in the EHR, but their efforts will contribute to a significant potential benefit to patients and to the health delivery system. As more data becomes available to data miners, clinicians will also benefit by having more opportunities to provide appropriate, well planned, and cost-effective patient care. But there is a more suitable mining method discovered. Process mining is one of the most vital and motivating area of research with the objective of finding meaningful information from huge data sets.
Process mining is a process management technique that allows for the analysis of business processes based on event logs. The basic idea is to extract knowledge from event logs recorded by an information system. Process mining aims at improving this by providing techniques and tools for discovering process, control, data, organizational, and social structures from event logs [1]. Process mining techniques are often used when no formal description of the process can be obtained by other approaches, or when the quality of an existing documentation is questionable. For example, the audit trails of a workflow management system, the transaction logs of an enterprise resource planning system, and the electronic patient records in a hospital can be used to discover models describing processes, organizations, and products. Moreover, such event logs can also be used to compare event logs with some prior model to see whether the observed reality conforms to some prescriptive or descriptive model. In present era, process mining is becoming popular in health care field because there is a need of efficient analytical methodology for detecting unknown and valuable information in health data.
2. Related Research
As electronic health records are accumulated and available to enhance healthcare service, data mining techniques are applied for decision making in hospital with the two objectives. One is for doctors and the other one is for hospital management. For doctors, data mining can help to determine the diagnosis of patients based on available big datasets. Aljumah et al. [2] concentrated upon predictive analysis of diabetic treatment using a regression-based data mining technique. Lee et al. [6] adapt and extend association rule mining and clustering algorithms to extract useful knowledge regarding diabetes and high blood pressure from the 1999– 2008 survey results. Santos et al. [15] presented an automated data mining system that allows public health decision makers to access analytical information regarding brain tumors. The emphasis in this study is the use of ontology in an automated data mining process. The non-experts who tried the system obtained useful information about the treatment of brain tumors. Bilge et al. [3] aimed to explore rules and relationships that might be used to detect possible asymptomatic carotid stenosis by using data mining techniques. For this purpose, Genetic Algorithms (GAs), Logistic Regression (LR), and Chi-square tests have been applied to the patient dataset. Mookiah et al. [10] discussed the data mining system for the automated identification of normal and glaucoma classes using Higher Order Spectra (HOS) and Discrete Wavelet Transform (DWT) features. The extracted features are fed to the Support Vector Machine (SVM) classifier with linear, polynomial order 1, 2, 3 and Radial Basis Function (RBF) to select the best kernel function for automated decision making.
Data mining can be used for decision making of hospital management. Yang et al. [17] proposed a data-mining framework that utilizes the concept of clinical pathways to facilitate automatic and systematic construction of an adaptable and extensible detection model of fraudulent and abusive cases. The proposed approaches have been evaluated objectively by a real-world data set gathered from the National Health Insurance (NHI) program in Taiwan. The empirical experiments showed that our detection model is efficient and capable of identifying some fraudulent and abusive cases that are not detected by a manually constructed detection model. Lavraca et al. [5] proposed an innovative use of data mining and visualization techniques for decision support in planning and regional-level management of Slovenian public healthcare. The results are applicable to healthcare planning and support in decision making by local and regional healthcare authorities. In addition to the practical results, which are directly useful for decision making in planning of the regional healthcare system, the main methodological contribution of the paper is the developed visualization methods that can be used to facilitate knowledge management and decision making processes.
There are some research about time data in healthcare environment in connection with data mining. Yeh et al. [18] combined temporal abstraction with data mining techniques for analyzing dialysis patients' biochemical data to develop a decision support system. The mined temporal patterns are helpful for clinicians to predict hospitalization of hemodialysis patients and to suggest immediate treatments to avoid hospitalization. Lin et al. [7] reported a data mining technique have developed to discover the time dependency pattern of clinical pathways for managing brain stroke. The mining of time dependency pattern is to discover patterns of process execution sequences and to identify the dependent relation between activities in a majority of cases. By obtaining the time dependency patterns, doctors can predicted the paths for new patients when he/she is admitted into a hospital; in turn, the health care procedure will be more efficient.
Process Mining can be also applied to healthcare data to support decision making of doctors and hospital management [9, 13]. Homayounfar [4] describes process mining in relation to hospital information systems and shows which direction the challenges can take if the two areas are combined by applying process mining in hospital information systems. Combining the field of process mining with the hospital information systems is the modern and recommendable approach, and provides a lot of meaningful results if the event logs are appropriately maintained and the structure of the data is a-priori known. Mans et al. [8] demonstrated the applicability of process mining using a real case of a gynecological oncology process in a Dutch hospital. They applied process mining techniques to obtain meaningful knowledge about these flows, e.g., to discover typical paths followed by particular groups of patients. This is a non-trivial task given the dynamic nature of healthcare processes. Rebuge et al. [12] introduced a methodology for the application of process mining techniques that leads to the identification of regular behavior, process variants, and exceptional medical cases. The approach is demonstrated in a case study conducted at a hospital emergency service. Tsumoto et al. [16] presented process mining results in which the temporal behavior of global hospital activities is visualized. The results show that the reuse of stored data will provide a powerful tool for hospital management and lead to improvement of hospital services. All of the above existing research are for hospital management using process mining. In this paper, process mining can be applied to help doctors by finding the principal and most complex medical procedures, then we will propose an algorithm how to determine the diagnosis from the discovered process.
3. Methodology
3.1 Problem Description
Most patients need to take medical procedures (medical test and examination) in hospital to diagnose disease. Furthermore some patients can be diagnosed by only one procedure, but there are many patients who are not classified into the general diagnosis procedures and they need to take several extra steps until the name of disease is identified. Although this case is not majority, but it is very important to discover such a patient who has very difficult disease to diagnose and recognize what is the main process being followed in the hospital. Concerning the processes, there are important questions that require an answer;
What is main procedure process that multi-procedure patients take in the hospital?
If the procedure process is discovered, what kind of diseases is diagnosed?
In this research we used a data set of US National trauma data bank [11] published in 2010. The data set includes 6,359 kinds of diagnosis, 3,021 kinds of procedures. Especially there are 55% patients took multiple (2 and more) procedures to find a final disease.
<Table 1> shows the number of patients who took 2 and more procedures. The total number of patients in this dataset is 716,460, and they took 2,645,132 procedures to diagnose, which proves that more than half of total patients took 2 and more procedures. The number of 91,280 patients took 2 kinds of procedures and the number of procedure code becomes 182,560. The same way, 3 kinds of procedures, 4 kinds of procedures, 5 kinds of procedures, and 6 and above are in the table. We will utilize the patient's data which have 2 and more procedures, because we try to discover process model of procedures in the hospital. In other words, 2,325,716 (88%) procedures of 397,044 (55%) patients are used for process mining.
<Figure 1> shows that flowchart of the algorithm. The first step is process mining of procedure (medical test and examination) log data using a commercial software package, Disco [14] for process mining, which is one of the powerful tools in process mining. The result is shown in the process diagram map, statistic and cases. The second step is selecting a number of activities for diagnosis determination. It is a very important step for diagnostic analysis, because the final result will depend on the number of activities. If we select more activities, the final diagnosis set becomes smaller. On the contrary if we select less activities, the final diagnosis set becomes larger. The activities can be selected based on the max frequency. The third step is building diagnosis set. For each selected activity, there are related diagnosis set which can be extracted from the diagnosis log data. That means that if one patient take a procedure, he/she may have certain set of diagnosis in the log data. We can understand easily that what kind of diseases diagnosed by one activity (procedure) in the discovered main process model. The fourth step is an intersection of diagnosis sets. If the intersections are found satisfactorily, we can conclude our algorithm to find diagnosis in the main process is success. If not, we have to decrease number of activities and reselect the number of activities. And doing the step 3 and 4 repeatedly until the diagnosis are found successfully.
Using this algorithm we can answer the above 2 questions. The main process of procedures in trauma center can be discovered using process mining. This new knowledge can be utilized not only for management and operation improvement of facility, but also useful for doctors to decide diagnosis of patients who has very complex procedures and difficult disease. This research will prevent wrong diagnosis of difficult patients by using process mining technique
3.2 US NTDB Data
US National Trauma Data Bank (NTDB) is trauma related data voluntarily reported by participating trauma centers. The Research Dataset (RDS) [11] is a set of relational tables and consists of 18 data files as in <Table 2>. Among them, only two files RDS_DCODE and RDS_PCODE are used in this paper. RDS_DCODE has diagnosis information for each patient using ICD-9-CM code. ICD-9-CM means to be ninth revision of the International Classification of Diseases, Clinical Modification. ICD-9-CM is the official system used in the United States to classify and assign codes to health conditions and related information. The International Classification of Diseases (ICD) is the standard diagnostic tool for epidemiology, health management and clinical purposes. This includes the analysis of the general health situation of population groups. It is used to monitor the incidence and prevalence of diseases and other health problems, proving a picture of the general health situation of countries and populations. ICD is used by physicians, nurses, other providers, researchers, health information managers and coders, health information technology workers, policy-makers, insurers and patient organizations to classify diseases and other health problems recorded on many types of health and vital records, including death certificates and health records. In addition to enabling the storage and retrieval of diagnostic information for clinical, epidemiological and quality purposes, these records also provide the basis for the compilation of national mortality and morbidity statistics by WHO Member States.
The example of RDS_DCODE are as follows; 001~139 (Infectious And Parasitic Diseases), 280~289 (Diseases Of The Blood And Blood-Forming Organs), 320~389 (Diseases Of The Nervous System And Sense Organs), 390~459 (Diseases Of The Circulatory System), 520~579 (Diseases Of The Digestive System), 710~739 (Diseases Of The Musculoskeletal System And Connective Tissue), 800~999 (Injury And Poisoning). Since our data set is about trauma, all of the diagnosis codes used in this paper are in 800~999.
RDS_PCODE file includes procedure codes using ICD-9- CM code. A medical procedure is a course of action intended to achieve a result in the care of persons with health problems. A medical procedure with the intention of determining, measuring or diagnosing a patient condition or parameter is also called a medical test. For trauma patient, the example procedure codes are 76~84 (Operations On The Musculoskeletal System), 85~86 (Operations On The Integumentary System), 87~99 (Miscellaneous Diagnostic And Therapeutic Procedures), etc.
<Table 3> shows the RDS_PCODE file descriptions of field. The file included 5 fields with incident key, procedure code, year of procedure, days to procedure and hours to procedure with their definition, data type, length and valid values. From this file, two fields are used in process mining; incident key for id case, procedure code for an event. If there are multiple records with the same incident key, it means that one patient took multiple procedures.
<Table 4> shows the RDS_DCODE file that includes 2 different fields, incident key and diagnosis code with definition, data type, length and valid values. In this paper, incident key is used for each patient, and this can be multiple in this file, which means this patient has two or more diagnoses. This incident key can link RDS_PCODE and RDS_DCODE files. One patient with the same incident key can take procedures in RDS_PCODE and can have diagnoses in RDS_DCODE. The cardinality between RDS_PCODE and RDS_DCODE relationship is m:n. We are going to find most relevant diagnosis in RDS_DCODE of the main process model discovered from RDS_PCODE in following sections.
4. Discovering Process Models
<Figure 2> shows discovered process model of procedures in RDS_PCODE with the same incident key. That was result of commercial software package, Disco [14]. There are many different flows from start to end. But we can find that there is a main process that has several activities in the flow. It is called main process, and there are 5 activities (procedures) on the main process. That is, 86.59 → -2 → 88.26 → 87.41 → 79.36. This means 5 activities are most related pattern based on the precedence rule determined by process mining algorithm. If we consider only procedure data, these 5 activities may happen together with this sequence. If one patient arrives at hospital, he/she may take these 5 procedures. But second procedure code, -2 (unknown) is meaningless, so only 4 procedures except -2 are considered from now on.
<Table 5> shows the description of procedures in the main process model. They are closure of skin, skeletal x-ray of pelvis and hip, CAT, reduction of fracture, etc. Even though we cannot understand medical terminology completely, we can see that 4 procedures are related and becomes main process in the hospital.
5. Diagnosis Analysis from Process Models
Now we have discovered main process which has 4 activities (procedures), 86.59, 88.26, 87.41, and 79.36. Then next step is finding diagnosis from the discovered main process. Using the frequency criteria, 5.71% of all patients who took the procedure code 86.59 is diagnosed with diagnosis code 873.0. Likewise, 17 kinds of diagnosis codes (873.0, 873.42, 920, …, 873.43) are selected according to relative frequency that is one or more percent. These 17 diagnosis codes becomes diagnosis set 1 of procedure 86.59 in <Figure 3>. In <Figure 3>, the other 3 diagnosis sets are generated using the same method. Procedure 88.26 generates diagnosis set 2 having 16 diagnoses (920.0, 820.2, …, 802.0). Procedure 87.41 generates diagnosis set 3 having 17 diagnoses (861.21, 860.0, …, 802.4). Procedure 79.36 generates diagnosis set 4 having 19 diagnoses (823.0, 824.4, …, 823.2).
Once diagnosis sets are generated for each activities in the main process, we need to extract common diagnosis set of whole main process. We have to determine final diagnosis of main process. There are so many methods to integrate several diagnosis sets, but the simplest method is intersection. If the intersection set of common diagnosis is satisfactory, we can return the final diagnosis of main process. But otherwise, we must go back to the previous step then reselect the number of activities. Most possible method for successful intersection is to decrease the number of activities. If the number of activities is decreased from 4 to 3, common diagnosis set will be bigger and it becomes easier to find intersection set.
<Figure 4> shows the intersection of diagnosis sets in <Figure 3>. We found 5 different diagnosis codes (861.21 Lung contusion closed; 805.4 Fracture lumbar vertebra, closed; 860.0 Traumatic pneumothorax and hem thorax; 916.0 Abrasion in hip, thigh, leg or ankle; 919.0 Superficial injury of other multiple and unspecified sites) in the order of frequency that are included in all of 4 diagnosis sets. From this result, we can conclude that 861.21 is the most possible diagnosis from this analysis. This means that patients diagnosed by those 5 diagnosis codes took the same procedures from our main process model. If there is new patient who took the same procedures in the main process model, we can conclude this patient has high possibility of the same diagnosis code. This case may be not so common. But it is very important to give a suggestion to doctors in case the patient took complex multiple procedures, which will prevent wrong diagnosis and reduce wrong treatment.
In order to validate the contribution of our approach, process mining result is compared with data non-procedural data analysis in <Table 6>. When we do not consider process mining, the most possible diagnosis is 920 (Contusion of face scalp and neck except eye(s)). But when we apply more than 4 activity patient, the most possible diagnosis becomes 861.21, which are the same result from process mining.
6. Conclusions
This paper proposed a new method to find a final diagnosis of a patient, who needs several procedures (medical test and examination) to diagnose disease of a patient by using process mining approach. We used 2 million procedures log data and there are 397 thousands patients who took 2 and more procedures to find a final disease. From those multi-procedure taken patient data, 4 procedures were discovered to be a main process model in the hospital by using process mining method. Using this main process model, we can understand the sequence of procedures in the hospital and furthermore we can find the most probable diagnosis of main process. This will support doctors to decide diagnosis of patients who took very complex multiple procedures. For a future work, the practical validation of result will be possible by collaboration with medical experts and furthermore patient behavior analysis and hospital structure design using this kind of dataset are possible.


text:
Family Law
Ask a Family Law Question, Get an Answer ASAP!
Hi thank you for your message, were you married to the mother of the child or named on the birth certificate?
Hi thank you for your message, well then you cannot be held responsible for payments of child maintenance it is not clear you owe as the child has not been confirmed as yours and you do not have parental responsibility. You should therefore, contact the DWP and ask them to confirm the basis of the arrears against you given there is no legal basis for you being determined to be the father. You are not on the birth certificate and were not married to the mother nor a court order evidencing you as the father. I hope this helps, if you can please accept my answer and rate me 5 stars (in the top right of your screen) then Just Answer will credit me for helping you today.


text:
If a Rental Car Insurance
If you have been concerned in an accident with the condo car, you ought to desire to make certain it will get repaired or replaced. If you opt out of the condo model insurance, you may maybe or may maybe now now no longer be protected via method of your auto policy policy. If you grasp complete policy in your private vehicle, the probabilities are actually nice that your policy model may even cover a condo vehicle. However, they may maybe have other coverages and deductibles, so you simply ought to desire to touch your policy model or experiment their phrases and conditions.
When choosing to make use of your private insurance, word that there are pros and cons to utilizing them. The benefits are which you just simply may supply you find out the proper strategy to be capable to treat your private brokers which may maybe be much plenty much rather a complete lot much less of a challenge for you. On the downside, utilizing your private model ability that your greatest beauty will maybe increase. Also, in most instances the condo automobile model will rate your credits score score score card for repairs and also you may supply you find out the proper strategy to be guilty for coordinating repayment out of your auto policy company.
To dangle clean of a few of those problems, you may supply you find out the proper strategy to make use of the condo automobile insurance. Your auto policy greatest beauty will now no longer be impacted. Also, you may now no longer desire to pay a deductible. Using the condo insurance, the condo model will treat everything for you.
On the other hand, condo automobile policy is often fairly costly. It can primarily rate extra than the real rental. Your policy model bases its charges in your news and news of drivers with same profiles to you. This is now no longer the case with condo companies, who supply every day flat charges primarily founded mostly principally at the probability that every one driver may maybe have an accident. Renting a automobile for a lengthy interval of instances ability which you just simply simply may spend a huge quantity of funds on insurance. For some, paying the every day charges may be substantially decrease than paying a deductible via method of ability of their company.
It may be very very most very predominant for you to clean up if condo automobile policy is what you in physical actuality want. If you're traveling to an unfamiliar part with other laws, weather, and extra traffic, you're statistically at a upper risk of getting an accident. You may maybe be extra doubtless to settle for condo policy in a case like this. Additionally, a majority of private policy companies will now no longer supply policy in overseas countries.
One final form which you just simply simply may maybe be capable to assume is the use of your credits score score score card model for insurance. Some most very very most very predominant credits score score score card companies supply constrained safe practices on condo automobile losses. On the contrary, they'll now no longer cover property wreck or accidents sustained within the accident. Be certain to well be widespread with the phrases and conditions of your credits score score score card model earlier than choosing this option.
Regardless of what form you choose, they every one have their benefits and disadvantages. Based in your certain person instances you ought to desire to decide on which form is greatest for you: condo automobile insurance, private policy coverage, or utilizing your credits score score score card. Whichever you choose, it ought to now now no longer be a option which you just simply simply make lightly.


text:
A Hearty Milestone for Sacramento: Over 1,000 Lives Saved with TAVRs
A few months ago, 87-year-old Margie Malaspino wouldn't have been able to play Mrs. Santa for her local Soroptimist event. She was in heart failure due to a constricted aortic heart valve, called aortic stenosis.
"I tired out too easy," she says. "I had no energy to even walk across the house." And, way too little energy to play Mrs. Santa for children.
But all that changed by the time Malaspino's role as Mrs. Santa came earlier this month. She was full of life and all smiles, thanks to a minimally invasive valve replacement known as a TAVR – transcatheter aortic valve replacement – that was performed at Sutter Medical Center, Sacramento. The hospital was one of the first TAVR centers in the nation, first implanting one in 2012, and in October 2019 became the first center in the Central Valley to perform 1,000 TAVR procedures. Sutter Medical Center, Sacramento has performed the most TAVRs in the greater region and is in the top five in the state, according to the TAVR's maker, Edwards Lifesciences.
TAVR is performed without the need for open-heart surgery to replace a narrowed aortic valve. A team of interventional cardiologists and heart surgeons work side-by-side to thread a catheter containing the new valve through a vein and expanding it once it's in place. It originally was used just in older patients – usually those in their 80s and 90s – and others who may be too weak to have an open-chest surgery. Just this year, it was approved by the FDA for standard-risk patients, too.
The TAVR team at Sutter Medical Center, Sacramento has since pioneered several improvements to the TAVR procedure. Among them: In 2015 the team was the first in Sacramento and one of the first nationally to perform TAVR using conscious sedation rather than general anesthesia, providing inherent benefits to these elderly and frail patients, and in 2018 the team was the first in the Central Valley to perform an innovative catheter procedure called BASILICA followed by a TAVR, successfully preventing an often-fatal complication of a valve-in-valve replacement.
"We are so proud to be able to give people their lives back with this procedure," said Thomas Rhodes, R.N., administrative director of cardiovascular services at Sutter Medical Center. "Margaret's story is one of many successes that we love to hear. We have an incredible team devoted to improving our patients' lives."
Just two weeks after the procedure, Margie was back on the go, thanks to the team at Sutter Medical Center. Not only did she play Mrs. Santa, she is back calling bingo at least once a month and going out with her friends to dance and listen to music.
"She has a better social life than I do," said her granddaughter, Erica. "She runs circles around her five great-grandsons."


text:
P4 Pacific
This is a kitbash on a Mantua Pacific. The dimensions of the Mantua model match the dimensions of the B&M P4 Pacific almost exactly, to within inches every where. She received a cast brass pilot, other cast brass acessories, a can motor conversion kit, lead ballas and a paint and decal job.
David Starr, Sep 16, 2018
There are no comments to display.
- Album:
- HOLocomotives
- Uploaded By:
- David Starr
- Date:
- Sep 16, 2018
- View Count:
- 239
- Comment Count:
- 0


text:
Origin: Germany
Genre: Epic Black Metal Melodic Black Metal
Label: Silverwolf Productions
Year: 2009
"Sycroscope" is the third album from the German band. They were formed in 1996 when they released their first demo, but it took them 8 years to release their debut full-length album "Paths" in 2004. Then they changed label to release "Gate" in 2006 and now they signed with Silverwolf Productions for this new album (three different labels so far).
Sycronomica play melodic symphonic black metal with an epic mood and some folk touches. They have a decent production for this demanding genre and a solid sound, even if the sound of synths should be more powerful and "real" in my opinion. Their songs are very well composed with many interesting ideas and a variety in rhythm, power and atmosphere. I'd also like to comment the excellent vocals in this work; both the majestic brutal ones and the epic clean ones. Guitars and synths have the first word in the melodies, changing the leading role between them. There also parts where operatic clean vocals sing the lead melodic lines and these are the parts that I find most interesting in this album. The 9 songs of "Sycroscope" last for 55 minutes and their lyrics are half in English and half in German. I believe though that some parts in the songs are not "that necessary" and it would be in favor of the band if the album was shorter, keeping only the best elements of their music.
Overall Sycronomica have made a big effort in this album and the result is quite satisfying. What stops them from making something bigger, in my opinion, is the lack of something fresh and personal in their sound that will make the listener recognize them among the countless releases of this genre. Anyway it's not a band that should be overlooked by fans of the genre and you can check it on your own in the links below.
Rating: (7,5/10)
Sycronomica @ Facebook
Sycronomica @ MySpace
Originally published on HeavyMetalCosmos


text:
California driver Rico Abreu spoiled the PA Posse's three-win streak during Pa. Speedweek, taking the checkered flag for the 42-car field at Lincoln Speedway on Monday night.
NASCAR driver Christopher Bell, who will race two more times in central Pennsylvania after his two races at Pocono Speedway over the weekend, was just one of the heavy hitters in the lineup.
Former NASCAR driver Kyle Larson, 410 Sprint Car all-star drivers Aaron Reutzel and Cory Eliason and dirt track legend Sammy Swindell made for a big-name field.That didn't stop Abreu, though.The California native started on the pole of the 30-lap feature, held off the field twice on restarts and came away with the victory.
Reutzel, also on the front row, finished second, with Bell finishing third. Brent Marks held on for a fourth-place showing and Ryan Smith represented the PA Posse in the Top 5.Despite the win on Monday night, Abreu sits in fourth place of the Pa. Speedweek points standings after four races.Danny Dietrich, who made it back-to-back victories on Sunday night at Selinsgrove Speedway, holds a 24-point lead with 608 points over Larson (584). Freddie Rahmer (527) sits in third place, with Abreu (423) and Smith (525) round out the top 5.
Pa. Speedweek continues tonight at Grandview Speedway, with racing scheduled to start at 7:30 p.m. On Wednesday, Port Royal Speedway will host Race No. 6 of the event, beginning at 7 p.m.
Despite Danny Dietrich starting on the pole, it was not an easy race to victory at Selinsgrove Speedway on Sunday night.
Rico Abreu jumped into the lead for three laps midway through the 30-lap feature. But the veteran took the lead back on Lap 15 and pulled away from Abreu as he worked through lapped traffic. Abreu ran strong enough to register a second-place finish. snapping Kyle Larson's 16-race streak of finishing first or second , as Larson came in third. Anthony Macri rebounded from his rough night at Lincoln on Saturday to finish fourth. Brock Zearfoss, who recently announced he was pulling off the All Star tour to run locally, crossed the line fifth.
It made for an exciting weekend for Dietrich, who scored the win for the Kevin Gobrecht Memorial and the $9,200 prize that went with it at Lincoln Speedway on Saturday.
Saturday night's race at Lincoln Speedway was a true thriller with a three-car battle for the lead between heavy hitters Dietrich, Larson and Lance Dewease. With 10 laps to go, the three crossed the start-finish line nearly three wide with Dietrich getting the advantage and eventually going on for the win. Larson finished a close second. Dewease crossed the line third and Freddie Rahmer finished fourth. Abreu completed the top five.
With 51 cars in the pits on Saturday it was the highest car count for a PA Speedweek race in recent memory, according to Speedweek officials.


text:
Show Love This Month – Share Blood and Save Lives! Donations save lives. Receive a free long sleeve T-shirt, $10 Gift card and cholesterol screening with each donation. This month we celebrate the impact of blood donations in the life of Rebecca. Watch Rebecca's amazing story.
8 a.m. – 1 p.m. Sunday, Feb. 23 on Azeele Street next to Harnish Activities Center


text:
A Ritzy Chinese New Year Feast 2020
at Rumah Luwih Beach Resort
Chinese New Year, also known as Spring Festival or Lunar New Year is a celebration of the arrival of the new lunar year, which will fall on 25 January 2020 and marks the beginning of the year of the Rat.
During this time, families come together, which is commonly referred to as a family reunion. Make Rumah Luwih your home to celebrate the festival here in Bali. The entire resort will be adorned with pretty red Chinese lanterns, couplets, interior and exterior decorations depicting images of prosperity.
You will be delighted with the resort's lavish Chinese Specialty Buffet Brunch that offers authentic and refined Chinese cuisine such as hand-pulled Lamien noodles and the iconic Yee Sang in a stunning beachfront colonial setting priced at just IDR 350,000 nett per person. There will be amazing performances by a traditional Barongsai, a fashion show and an array of food that will tantalize your palate. At Rumah Luwih, you'll embrace the Year of the Rat in the most jovial ambiance.
The Chinese New Year Brunch at Rumah Luwih comes with complimentary access to the infinity pool and the children's playground. Reservations are essential by email to email@example.com. Terms and Conditions apply. Welcome in prosperity and joy in celebrating the new year with Rumah Luwih's Lunar New Year Feast on 25 January 2020.
Rumah Luwih Beach Resort
Jl. Prof. Dr. Ida Bagus Mantra, Km 19.9
Pantai Lebih, Gianyar, Bali – Indonesia
Phone: +62 361 2005899, +62 361 2005888
Email: email@example.com | www.rumahluwih.com
About Bali Plus Magazine:
Bali's Biggest Little Guide Book
Bali Plus Magazine is one of the oldest tourism and travel magazines on Bali Island. Entering its 24th year in 2020, this monthly pocket-sized and complimentary magazine was created with the aim to provide useful up-to-date Bali's information for travellers and tourists on everything unique and relevant in Bali; from Balinese Hindu culture, Bali's Activity, Bali's Art, and ceremonies, most fashionable events and launches that are taking place across the island, Travelling in Bali, Dining in Bali, Bali with Children, Shopping in Bali, Spa in Bali, Accommodation in Bali, Party in Bali, to the Bali Map. Available in English, and upon request Japanese and Mandarin, this award-winning magazine has a strong online presence and engagement via its website, daily e-newsletters and social media platforms which are updated daily.


text:
Also, this is the last week for a couple of girls to be in the store. The Verdant ring and the Time is a Mountain necklace will be heading to the boutique if they don't sell this week....so, last chance!
I hope you're all having an awesome end of year! I've been neglecting my blog (crazy doesn't begin to describe what it's been like at Andewyn Designs, but it's also been an incredible year)...but, I HAVE been reading all of yours.... I love my blog friends, you're all amazing!
Happy weekend!


text:
The citizenship project
for secondary and higher education
Globaland XL is a two-day, interactive educational project about global and social issues. In groups, students govern their own country in a virtual world.
They earn money through creative games (music, film, sport, quiz, etc.) and use this money to improve their country. They have to make various choices, from tax rates to ministry budgets and from (ethical) policy choices to international cooperation.
After each game round, groups receive visual feedback about the development of their country. They also earn points which determine their place in the overall ranking. There are amazing prices for the winners of Globaland XL.
Project day 1
- 08:45 Start
- 09:00 Game round 1
- 10:15 Break
- 10:45 Distribution round 1
- 11:45 Break
- 12:15 Game round 2
- 13:30 Break
- 13:45 Distribution round 2
- 14:45 Fairaway
- 15:00 End
Project day 2
- 08:45 Start
- 09:00 Game round 3
- 10:15 Break
- 10:45 Distribution round 3
- 11:45 Break
- 12:15 Game round 4
- 13:30 Break
- 13:45 Distribution round 4
- 14:45 Festive conclusion
- 15:00 End
Project in a nutshell
Globaland XL takes 2 school days. 2 to 25+ classes can participate at the same time.
Each class will be divided into 6 groups. Each group governs their own country.
During creative games they can earn Globa's to improve their country.
Groups receive instructions through inspiring videos.
Groups make various choices: from tax rates to ministry budgets...
...and from ethical policy choices to international cooperation.
Groups receive visual feedback on all choices made.
The scored points determine their place in the overall ranking.
The winning groups will receive amazing prices!
Target group
The simulation game has multiple levels making it suitable for students of all years of secondary and higher education, both in the Netherlands and Flanders. English versions are available for schools with bilingual education. 2 to 25+ classes can participate in a simulation game at the same time.
"The projects of Cross Your Borders contain themes that really stimulate students to think further."
- Jaap Brasser, Erfgooiers College
Learning outcomes
The aim of Globaland XL is to show young people that living in a prosperous and just country should not be taken for granted. This is something we believe can only be achieved if everyone works together, within and between countries.
We want to give young people insight into different global and social issues, how these relate to each other and what you can do about it. We challenge them to form their own opinion and try to make them enthusiastic to take action.
In the school year 2020-2021, the introductory price for the two-day educational project is €950 plus €19,50 per participating student. Payment via the CJP Culture card is possible. You will receive a completely organised project for this price, including all required materials and an enthusiastic young team.
The project seamlessly fits the objects for citizenship education of the Ministry of Education, Culture and Science.


text:
15 Aug 2019
Top 15 Room Lamps for 2019
Wall Sconces Lamp – TOOGOO(R) LED Wall Sconces Lamp Fixture Living Room Hotel Canteen Light Backlight Decor - 11colorwarm whitepackage contents1 x wall sconces lampnote light shooting and different displays may cause the color of the item in the picture a little different from the real thing. Dimensionsoverall height 14 cm(5. The measurement allowed error is +/- 1-3cm. Toogoo is a registered trademark. Only authorized seller of toogoo can sell under toogoo listings. 6 inch)bulb informationnumber of bulbs1bulb includednomaterialfixture materialmetalshade materialmetaldecoration material glassweightnet weight(kg)1. 6 inch)overall width 25 cm(10 inch)overall depth 14 cm(5. Our products will enhance your experience to unparalleled inspiration.
Rising Fire Red Dragon Table Lamp Lighting Shades Floor Desk Outdoor Touch Room Bedroom Modern Vintage Handmade - The lamps come with a standard us 2 pin plug and cable with on/off switch. Material wood. Electrical 110-240 v. Quantity 1 piece + free adapter. Size w x l x h 500 x 500 x 1100 inch approx.
Dewel Cement lamp Minimalist Retro Hanging Lamp Vintage Lamp Livingroom Lamp (No Bulb Included) (Grey) - Suitable for living rooms, bedrooms, hallways, outdoor, bar or hotel decoration. Contemporary classic and elegant design style, apply to major hotels and home decor. Decorating at home it is a good choice. Perfect combination of bulbs and fixtures, emitting a soft light. Scientific principles of lighting, effectively protect the eyesight.
Table Lamp, Small-eye Led Touch Sensor Bedside Lamp Living Room And Bedrooms, Dimmable Warm White Smart Light - Rgb light mode you can activate auto-cycling mode with 256 stunning colors for sensational or room-filling light with this led bedside lamp, and you can also set the color as you want. Eco-friendly low power consumption design for longer lifespan (rated at 35,000 hours) with a minimalist design and at 9″ tall with a compact, space-saving footprint, less is so much more and it's light too at just 11lb (500g). Package contents 1 x small-eye smart led atmosphere lamp, 1 x data cable, 1 x user manual (multi-language), full 24 month worry-free warranty card & 100% customer satisfaction. 3-level brightness the lamp can light up with white light for normal usage and you can choose the most suitable brightness to satisfy your need. Table lamps touch 360° touch sensor activates auto-cycling mode with 256 stunning colors for an intense, mesmerizing lighting experience light up a bright new world in sensational style.
Lightinthebox 5w E27 Crystal Pendant Lamp For Living Room Crystal Chandeliers For Dining-room , Modern Home Ceiling - Home color=white light source color=warm white. 100% brand new, 100% refund/replacement for quality problem. 5w e27 crystal pendant lamp for living room crystal chandeliers for dining-room. Voltage=110-120v. Note lightinthebox is a registered trademark in usa since 2013 with no retailers on amazon.
Rosefray Table Lamp, Led Bedside Lamp With Touch Sensitive Control Panelfor Living Room And Bedrooms+ Dimmable - Rgb light mode you can activate auto-cycling mode with 256 stunning colors for sensational or room-filling light with this led bedside lamp, and you can also set the color as you want. Package contents 1 x rosefray smart led table lamp, 1 x ac adapter, 1 x user manual, full 24 month worry-free warranty. Longer lifespan and space saving this bedside lamp is eco-friendly and low energy-consuming it can last 20,000 hours its minimalist design (9″ tall) with a compact body saves much more space. 3-level brightness the table lamp can light up with white light for normal usage and you can choose the most suitable brightness to satisfy your needa perfect lighting solutionfor you and your family. Touch activated table lamp 360° touch control, you can power on/ power off /switch light mode/adjust brightness/ change colors as you wantall you have to do is a gentle press.
1 Set Lighting String 20 Heart Paper Craft Lights Set Lamp Mixed Colors Decoration Patio Home Living Room Yard - 20 non-flashing bulbs per string of lights no dim string length 365m/ heart size 7×6 cm very light weight can use for decorate for any occasions, can be used indoors or outdoors with caution. This light is subtle, safe and portable they are a perfect choice to place in beautiful small plants, floral arrangements, or table centerpieces handmade, high quality product from thailand shipping around 1-21 days. Ship fromnote color might be slightly different due to shade and light of photography and computer adjustment ship from thailand approximately 13-21 days shipping time plus we also give you a special vacuum 3d decal/ sticker of ganesh god, lord of lucky and success thailand approximately 13-21 days shipping time note color might be slightly different due to shade and light of photography and computer adjustment plus, we also give you a pack of 100-cone jasmine incense, very long scent, genuinely handmade. Handicraft of mixed colours (red, white & pink) of mulberry paper with organic dyed 110 volt for us, 230 volt for uk with fuse and lights bulb spare 110-250 volt for other country with adapter plug and lights bulb spare. 1 set of handmade 20 heart paper craft on lighting string 20 mini bulbs (+ 1 spare) in clear, white wire.
WCG Modern Minimalist Bedroom Ceiling Led Simple Modern Children's Book Room Bedroom Round Living Room Lamp , warm white - Typeflush mount,featureled,stylemodern/contemporary,finishpainting,number of tier1 tier,light directionambient light,suggested room fitliving room,hallway,kids room,study room/office,dining room,bedroom,sug. Home decoration essential ceiling lamps. Normal arrival time 7-15 days. Is it, let your family become more warm. Imported.
17″H Minimalist Living Room Indoor Table Lamp – Round - Material resin and linen color light wood tone us seller, fast free shipping. 5 inch) wide. Bulb base e26 but bulb not included wattage max 60w dimensions 42cm(12. Technical details resin base fabric shade traditional style for you to have a warm and quiet night e26 bulb base but bulb not included there is a on/off switch in the middle of the cord. 6inch) high,14cm (5.
WCG Modern Minimalist Living Room Lamp Square Crystal Lamp LED Ceiling Lamp Bedroom Dining Room Lighting 8803 , 90-240v-yellow - Home decoration essential ceiling lamps. Typeflush mount,featureled,crystal,stylemodern/contemporary,finishothers,light directionambient light,suggested room fithallway,living room,entry,kids room,study room/office,bathroom,kitchen,dining room,garage,bedroom,. Normal arrival time 7-15 days.
Fengzhicai Tulip Led Mushroom Nightlight Wall Light Sensor Baby Bedroom Decoration Lamp - Beautiful tulip flower, romantic stylegood and creative design make your room and your life colorful. Switch type induction type. Plug us plug. The soft light won't hurt your eyes. Ideal desk lamp, decoration light, night light, bedside lamp, kitchen, gift.
Table Lamps Living Room Shade Bedroom Reading Tiffany Mainstays Lamp Indoor Contemporary Decor - Amaze your family and friends with this unique and contemporary tabletop display. Easy to use and setup perfect as a gift to love ones and relatives at any occasion. Crafted with elegance and designed neatly to fit anywhere in your home. Classy floral & fairy style home and bedroom decorative lamp that is sure to bring you calm brightness. 100% money back guarantee offered by decorduke if for any reason you are not satisfied with our lamps, we will offer you a full refund or a free replacement guaranteed.
WCG Round Crystal Lamp Modern Atmosphere Living Room Lamp LED Ceiling Lamp Creative Bedroom Lamps 8804 , white-90-240v - Is it, let your family become more warm. Home decoration essential ceiling lamps. Normal arrival time 7-15 days. Typeflush mount,featureled,crystal,stylemodern/contemporary,finishothers,light directiondownlight,suggested room fitstudy room/office,bathroom,kitchen,dining room,bedroom,garage,living room,hallway,kids room,sugge. Imported.
FUMAT E27 18″ European Bead Tiffany Pendant Lamp Color Glass Dining Room Lighting 18″ - So the color may vary slightly from image. 3. This product contains lead, a chemical known to the state of california to cause cancer, birth defects, and other reproductive harm if ingested. Specification1. Product is hand made, so the color may vary slightly from image. Shade colors will appear darker and less vibrant when not illuminated. The all are made by hand,if buying two of the same item, slight differences should be expected. 2. Please use a soft dry cloth to remove any excess oil. Due to the nature of stained-glass, colors may vary. The face of the shade has been protected with mineral oil as part of the finishing process.
17″H Minimalist Living Room Indoor Table Lamp – Rectangle - 17″h minimalist living room indoor table lamp. What you get mymahdi led light bluetooth speaker, usb cable(adapter included), free for a different and small dome(to replace the dome, you just need to yank them up) one year warranty and 30 days money-back. The speaker is nicely designed with a light imitation wood it features a good capacity battery (4000mah) which can keep it playing music for hours and choose from over 16 million colors in the mymahdi bluetooth app to match the light to your mood. Bluetooth 40 speaker, which could easily connect with any bluetooth enabled phone or ipad from up to 33 feet away if you connect your phone to it and go out of range, it will reconnect to it as soon as you return to the coverage area. It's multifunctional, wireless bluetooth speaker, dimmable led table lamp and ambient nursery light which can tf card playing device, hands free and app control,voice control(the light turns on when it hears noise and then turns off on its on when it gets quiet).
We are a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for us to earn fees by linking to Amazon.com and affiliated sites.