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Lunch Duchess conduct an 'emotional exorcism' on their new album, 'Crying for Fun'
Where there's unhappiness, there is art.
This Friday, Lunch Duchess will release their debut album, Crying for Fun, a bare-faced gallop through frontwoman Katharine Seggerman's tremendous internal life that serves up catharsis without a thought to collateral damage. But now Seggerman is wondering: What happens after all your sadness is purged?
"This record, and the way that I've been writing pretty much forever, is all emotional exorcism," Seggerman says. "I write the song, and then I realize what I'm feeling. And maybe I act on it. But unfortunately I've been really emotionally stable lately. It's awful. It's such a cliché."
It's hard to say how serious Seggerman is about this. She does appear happy—even-keeled, at the very least—but conversations with her are unpredictable; she's simultaneously stone-faced and utterly uninhibited. Maybe it's the Boston in her veins (Seggerman moved here from Massachusetts in 2013), but she somehow divulges her every insecurity while making you feel like you haven't gained an inch with her.
Crying for Fun is this paradox manifested as music, a byproduct of her mishap-laden journey to happiness. Seggerman has always used her instinct for self-sabotage as the catalyst for her art—her songs bubble out of the cauldron of her mind, spilling everywhere—but Crying for Fun advances the garage-made confessions of Lunch Duchess' 2016 EP My Mom Says I Have a Rich Inner Life into full-on theatrics. The lyrics are completely upfront—yup, she's singing about shitting on "Better"—but you still feel like she's hiding something more in the peppy show-tune embellishments.
Seggerman links My Mom with Crying for Fun through the opening song, "Cry Pt. II," a sequel to the EP's first track that begins "I like crying for fun/You know I've said it before/I bet you thought I was done."
"It's me turned up to 11," Seggerman says. "That's just kind of how I deal with stuff. Like, 'This is extremely painful, but I'm just gonna add a joke at the end.' Then I can deal with it a little better."
The dysfunction parades on from there, Seggerman drawing buckets of angst from her longterm off-and-on relationship with her ex. "Lust/Love" is trapped between trying to move on and being petrified of commitment ("Said I was your best, that's super nice/But I prefer some strife/Is that what I call love?"). "Creepin'" is the doubt-stricken sendoff that comes after the final final try.
"There's a test you can take online that will tell you your attachment style. I think I took that test somewhere in the middle of writing this record, and I got 'avoidantly attached,'" she says. "I wouldn't join any club that would have me—it's that sort of thing."
Though unflinching, Seggerman's lyrics are all retrospective: You're looking at her life through the rearview. The fanciful tryst on "'Chicago'" has long since lost its novelty. The nightmare evening of "Wisteria Boys" is only a sickening memory. The political disgust of "Body" lives on, but the point of exorcism is that you evict your demons, not that you reconcile with them.
Lunch Duchess has become known for the fact that Seggerman plays drums while singing, like some kind of frank, millennial Levon Helm. In the band's three-year tenure, she's been supported by a cast of friends that's liable to change tour to tour, but Seggerman has always been there, providing the emotional and rhythmic core. After Crying for Fun, that all changes.
Founding member Nicky Steves (who moved with Seggerman to Minneapolis back in '13) just left the band. Taking Steves' place is Ranelle LaBiche, Seggerman's former bandmate in Bae Tigre, who will fill in on keys and backing vocals alongside Sam Frederick and Matthew Sandstedt. And Seggerman is handing her drumsticks over to drummer Jeff Marcovis.
"Drumming and singing is fun, and I feel like I've mastered it, but it's a pain in the butt," she says. "We played this one acoustic show at the Aster where I didn't drum, and I was like, 'Oh, this is fun.' I can move around the stage, I can connect with people a little more."
Stepping out in front of the drum kit means Seggerman will perform exposed, venting her inner turmoil directly to the audience. But still, she's unafraid. Those things have expired. She's content for maybe the first time in her adult life. So what's the point of hiding?
"I'm in a very happy, stable relationship, which is extremely unusual for me," she says. "It's blowing my mind."
Seggerman also recently started grad school to become a therapist. After years of belting her therapy into a mic in front of local scenesters, she'll soon begin coaching others on how to productively work through traumas. After that, she questions if she'll need music at all.
That's probably dramatic. One good relationship and a positive career prospect probably isn't enough to resolve all that's wrong with your brain chemistry, but Lunch Duchess was born in that nexus of drama and hope. In the band's brief mythos, you're always just one good, big cry from setting yourself right for a while.
Still, Seggerman sounds resolved. "I think I'm out of the doom cloud,"
she says.
Lunch Duchess
Where: Mortimers
When: 9 p.m. Sat. Aug. 31
Tickets: 21+; $7 advance, $10 at the door: more info here


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Argentina without Messi: How strong are they?
It's not a secret that, Messi aside, the current Argentina national team is not exceptional. There has always been some debate on this and the general consensus is that they have a lot of talent in attack while the rest of the team is "normal". Since "normal" is not always easy to define, I tried to understand how strong this squad is compared to European football clubs. This might be helpful, considering that we watch club football much more often than international football and it's easier to create a general idea how good each club is.
I have used a very similar methodology to the one used in this article at Financial Times, written by Murad Ahmed and John Burn-Murdoch. The idea is very simple and can be explained as follows:
- Argentina's squad strength is valuated according to the quality of their players, better the players, better the squad (and vice-versa).
- Each player's quality is estimated by two parameters:
- quality of the club they play: good players play on better clubs,
- level of participation: good players play more minutes.
I have used the data for the 2017/18 season. The quality of the club is represented by the Soccer Power Index (SPI), which is a metric to rank football clubs developed by FiveThirtyEight, while minutes played by each player are from Transfermarkt.
The graph in Fig 1 shows minutes played in 2017/18 and their respective club's SPI for all Argentina's NT players. In simple words, if a player plays in a club with a high SPI and if he has played a lot of minutes in 2017/18 (top-right players), then he increases the quality of the squad. As it is quite obvious, most of this squad strength comes from the 4 forwards, who are all key players in their respective clubs.
To get an overall estimation for Argentina, I calculated a weighted average of their squad SPI, excluding Messi, and another average SPI excluding the 4 forwards (just to get an idea of how good the rest of the team is).
The bottom graph in Fig 1 compares Argentina's squad average SPI (74.1) to European football clubs who lie on the 70-75 range. This gives an idea on how good this squad is, i.e. something in between Eibar and Marseille.
Note: FiveThirtyEight's SPI ranking doesn't include Chinese Super League and, to evaluate Mascherano's new team (Hebei China Fortune) strength, I used another team rating metric and converted it to FivethirtyEight's SPI system.

subset: commoncrawl


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- Published in Career And Entrepreneurship
5 Questions Expats Should Ask Before Starting A Business In Paris
Relocating to France can be a stressful enough experience, but starting a business can take this stress to a whole new level. It doesn't have to be that way however. Once you've mastered the language, the tax system and other Country specific factors, starting a business in Paris is really no different to starting up anywhere else.


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Grassfed cattle
Industry is represented by: Cattle Council of Australia
Name of the levy: Cattle livestock transaction levy
Who collects the levy:Australian Government Department of Agriculture and Water Resources - Levies
How we consult on where your levy is invested:
Industry consultation is based on MLA's regional consultation framework for research, development and adoption, which features four levels of consultation:
1. Red Meat Advisory Council and Peak Industry Council (PICs)
2. Red Meat Panel
3. Regional Meat Research Councils
4. Regional Red Meat and Livestock Committees
Key levy funded projects include:
Marketing: In July 2017, MLA's 'Australian Beef. The Greatest' campaign was launched, inspiring consumers to reconnect with beef - the greatest meat on earth.
Meat Standards Australia: Meat Standards Australia (MSA) was developed by the Australian red meat industry to improve the eating quality consistency of beef and sheepmeat. More than 2.7 million cattle were graded through the MSA program in 2016-17, delivering an estimated $130 million back to beef producers through additional farm gate returns.
Targeting buffalo fly: A three-year R&D project is underway to investigate controls to target buffalo fly - one of Australia's most significant cattle pests, estimated to cost the industry $99 million annually. It will focus on direct control of buffalo fly populations using an agent known as Wolbachia.
Pasture dieback action plan: MLA is undertaking an action plan to map and address widespread dieback of pastures including buffel grass in central Queensland and native bluegrass in the Wide Bay Burnett region. Detailed investigative work involving producers, researchers and experts is in progress following widespread reports of pasture dieback from beef producers.


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Marriage and Taxes standard deductions
Marriage and Taxes Introduction: Bill and Mary plan to marry in December of 2012. Bill's salary is $32,000 and he owns a residence. His itemized deductions total $12,000. Mary's salary is $39,000. Her itemized deductions total only $1,600 as she does not own a residence. Assume that 2013 tax rates, exemptions, and standard deductions are the same as 2012. Task(s): Answer the following questions: a.
What will their tax be if they marry before year-end and file a joint return? The file joint of returns will be $12,000. b. What will their combined taxes be for the year if they delay the marriage until 2013? The combined taxes will be $13,600 if they delay the marriage. $12,000 + 1,600 = 13,600. c. What factors contribute to the difference in taxes? Some of the factors that can result a difference in the taxes would be based on your itemized deductions.
Examples a itemized deductions are mortgages that you own, have done any charitable donations, medical expenses, Long-term care services, and relocating for new employment. For a marriage case they can us the marriage penalty, Examples of a marriage penalty: (1) Both of the earns $80,000 a year mas two single individuals, the marginal tax rate will be 25% However, if you are a married couple, the marginal tax rate on a $160,000 annual income is 28%. 2) If you are married you are allowed to write off a total of $3,000 in losses, if filing separately, each only has a $1,500 limit; whereas two single individuals can write off a total of $6,000. (3) When it comes to IRA contributions, they are phased out at income levels between $178,000 – $188,000 for married couples versus a range of $112,000 – $127,000 for single taxpayers. Ingenuity. Empathetic.


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These issues relate to the way women deal with emotions and are also affected by the biological differences in women. Over the past few years, there has been a lot more emphasis placed on rehabilitation for men's drug abuse. However, some rehabilitation centers have also stepped up to create programs to deal with drug addiction in women, as well.
Biological Factors
Women's addiction can be attributed to certain biological factors. Women's bodies usually weigh less, compared to men, and contain more fat and less water. These larger amounts of fat highly retain alcohol in women's bodies, causing greater addiction effects. Women have been reported to have lower levels of those enzymes which help break down alcohol; hence, much alcohol is absorbed into their bloodstream. Women's physical health is highly vulnerable to the impacts of drug use.
Physical Abuse
Violence, abuse and trauma are closely linked to drug abuse. Compounded with drug use problems, these three factors cause physical and mental health issues. Self-harming habits and illegal drug use can be directly attributed to abuse, trauma and violent experiences. Sexually abused girls use drugs as a relief from the trauma. This is similar to the physically abused women in their marriages, who often turn to drugs to relieve the stress and pain surging within them.
Psychological Issues
Drug abuse problems also come about when women use unhealthy substances as a means of coping with stress, panic, anxiety, chronic pain or gynecological problems. Although these may be the consequences of victimization; the substance use only increases the victimization risks.
Social Stereotypes
Social stereotypes have also contributed to addiction in women. Women who have begun substance abuse are misjudged and termed promiscuous and ill-mannered. Our society considers them more "evil" than the male addicts and this neglect and separation leads to increased addiction.
Personal Perception
Confidence, sexual health and appropriate weight are very critical to a woman. Most of them will opt for drugs just to maintain confidence before people. They also take substances to boost their sex life, to lose weight and reduce tension.
Because men's addiction issues have been more prevalent, it's only been lately that women's addiction has been given more specialized attention. Ohloff Recovery has broadly explored the relevant reasons for women's addiction, with the establishment of successful women-based treatment programs.
Distributed by Client Initiatives
Media Contact
Company Name: Ohlhoff Recovery Programs
Contact Person: Arlene
Email: email@example.com
Phone: 415-621-4388
Address:601 Steiner Street
City: San Francisco
State: California
Country: United States
Website: www.ohlhoff.org


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There's a wisteria planted just outside the front door and although it is beautiful, it is entirely mis-placed for such a vigorous plant. We don't have a long expanse of wall for it to grow on and to show it's wonderful mauve flowers, all we have is a narrow space of wall that goes straight up to the low roof.
And that's exactly what has happened this year. The wisteria flowered in early summer and gave a pretty display of hanging flowers and then it grew. And grew and it kept on growing! It grew to the top of the house and wound itself around the guttering and into the eaves.
It became a focal point for wasps and having had one wasps' nest removed from the porch, I watched more wasps start to explore the possibility of building a nest close to the shelter of the wisteria. I dislike wasps, I am frightened of their sting and Mr J has an allergy to their sting, so without wanting to get hysterical about them, I was pretty scared of the prospect of yet another colony of them living just outside the door.
Clearly this lovely climber is in the wrong place. I am sure if it could talk it would tell me it likes where it is, but for us, it isn't working. I don't want to get rid of the wisteria, but I do want to move it to the front garden to allow it to grow along the long low fencing that surrounds that part of the garden.
So on Sunday, we tackled the task of cutting the plant back prior to moving it.
We cut it to waist high so that it will sit nicely in the new place we have in mind for it.
Then we set to work removing all the long leggy growth that has happened this year.
We were surprised at how quickly the snug and hallway became much, much lighter. I think we hadn't realised just how much light was being blocked out by this vigorous beauty.
We simply can't reach the very top growth and are leaving it to shrink back and hopefully it will then fall out of the eaves and guttering once it is no longer wedged in place. The next step will be to carefully lift the root from the ground, but I am going to wait until a little later in the year when the wisteria is dormant and the shock of being moved will be minimalised.
We tried to shred the stems so that they could be composted easily, but the bark kept wrapping itself around the central spindle of the shredding machine, so we have left it on the ground to rot down (more slowly).
After all that cutting and chopping we were both ready for a cuppa!
If you'd like to receive my blog posts direct to your inbox just enter your email address in the box below and follow the instructions. You'll probably need to confirm by clicking a link in your email inbox and then you will receive my blog each time a new entry is published. You can, of course, cancel your subscription at any time.


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It happens to all traders. 9:30 you hear that bell ring, with your plan in hand, you are ready to trade. 9:45 you put on your first trade: Stopped out. 9:51 you put on the second trade: Stopped out. You know where this is going…
All the statistics in the world wouldn't prove to your feelings that the next trade is going to be different. Two things are happening here 1) Unconcious negative priming 2) Fixated mindset.
These thoughts can range from "This next trade just isn't gonna work I can feel it." To "f@&k this! I'm a horrible trader, nothing I ever do is right." How do you break this mind set? Move the body, but why?
"How do you break a negative mindset? Move the body!
In John Coates book The Hour between dog & wolf, he cites numerous studies supporting the idea that the endocrine system as a whole is meant to prepare the body for movement. You are sitting there trading though! Move the body! As the chemical cocktail permeates your system you are prepared to escape that tiger, fight that local villager, or keep your rank as Alpha Male. But you're still sitting there. Get up! There is support that exercise does more than just burn calories (more on this in a later blog & how it may effect trading)
Use the endorphins that flood this biomechanical machine to move. Go for a walk, go hit the heavy bag, do short sprints, squats, burpees, or push ups! Anything that will let those chemicals be used in the way they were supposed to.


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Change reports on your app
Saved in file or DBfield
One line of code to preview
Formulas, parameters
Report Header, Report Footer, Page Header, Page Footer and group bands
Labels, fields, lines, rectangles, images, charts (bar, line, pie), barcodes.
Sum, count and subtotal functions.
Export to PDF.
Visual interface easy to use, drag'n drop elements, zoom, view dataset of records, page width, height and margins set or import from printer.
HotSpot areas in preview.
Listbox property as recordset.
Support for barcodes with Simbarcodes or BarcodeMBS
Because the report definition is on XML, you can save on file, a constant or a string database field.


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While we're proud of the work we did in the '80s, pioneering trail riding without the luxury of suspension, we have to admit that we're happy those days are committed to memory. That's because our modern day mountain bike suspension is groundbreaking, whether it's our Brain technology on the XC front or our Öhlins partnership for the trail and gravity contingent. We're delivering perfect rides, every time.
Show FiltersHide Filters
1 product


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When's the last time you truly LOVED a photo of YOURSELF?
I invite you to celebrate who you are right now; your pure, natural, authentic self!
Your session planning begins well before you arrive to have your photos taken. Each session includes a pre-session consultation to ensure you are fully prepared and know exactly what to expect when you arrive for your photo shoot. We'll talk about the look and feel you want for your photos, who you want to be photographed with, what to wear and how to prep for your session.
When you arrive for your photos, we will begin with a complete hair and makeup makeover (please note that children's sessions and mini-sessions do not include hair and makeup). Feel free to bring a bottle of white wine and relax while you're being pampered – it's best avoid red unless you want to have stained teeth in your photos! Once your hair and makeup are finished, you can slip into your first outfit and we'll start your fully guided photo shoot, which includes several wardrobe and styling changes.
Have nothing to wear? Don't worry! You'll have access to my Client Closet, where you'll find all sorts of amazing dresses, from vintage to princess inspired and everything in-between including some of my own handmade creations! Sizes range from 1 year old to woman's size 16.
MAKE IT GIRLS DAY OUT by enjoying this special session with your best friend, sister, mom or daughter at no extra cost!
After your session, we'll meet again so you can see the beautiful images we've created! This is my favourite part… watching you fall in love with with your photos and yourself – all over again or maybe even for the very first time!
A session retainer fee of $190 includes a session for two. Individual images start at $275 and folio box packages start at $900. On average, people spend $1400 on their images, but the package you choose is completely up to you!


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Here we are again with another First Day of the Rest of Your Life.
Time for that lovely poem by Red Saner called Green Feathers. It's about moss, like the kind that grows on old headstones, but it's all about hope, this springy green stuff, not the end of hope. Listen:
Five minutes till dawn and a moist breath of pine resin comes to me as from across a lake. It smells of wet lumber, naked and fragrant. In the early air
We keep trying to catch sight of something lost up ahead, A moment when the light seems to have seen us Exactly as we wish we were.
Like a heap of green feathers poised on the rim of a cliff?
Like a sure thing that hasn't quite happened? Like a marvelous idea that won't work? Routinely amazing – How moist tufts, half mud, keep supposing
Almost nothing is hopeless. How the bluest potato Grew eyes on faith the light would be there. And it was.
And it was: the light was there. Welcome new life! Alleluia!


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This was a great load even when delivering in Florida. They paid well enough to deadhead back out. I got lucky and was called to do the next load only 150 miles away up to Ohio.
This load takes special care in not over tightening the straps for obvious reasons. Strap placement is important and the people at the plant showed me how they wanted it done. My trailer lower deck length was a great help due to the length of each piece.
I was glad to get a good payer right out of South Carolina and I have to say having a good run of luck was appreciated after all the low freight volume and bad pricing.
You will learn how and where to place straps and other tips below.
- How to place straps with the wood protection
- How many straps to use for the length of product
- How the load fits onto the lower deck of a 51′ step
- Where not to strap to avoid damage
This load paid well and I was glad to get it. I mention that Florida loads are not always the best as loads out are not that plentiful. I did get lucky and had a load come out the next day that had to be picked up on a Saturday. I was happy to see that.


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gTLD Digital Brand Strategist Jennifer Wolfe Releases New Book "Domain Names Rewired"
Cincinnati, Ohio (PRWEB) November 15, 2012
A highly anticipated second "act" for generic Top Level Domain (gTLD) digital brand strategist Jennifer Wolfe and former US Commissioner of Trademarks Anne Chasser – Wolfe Domain, the leading gTLD digital brand strategy firm, today announced the release of "Domain Names Rewired" following the successful publication of "Brand Rewired" in 2009.
Delivering a clear message to brands that the Internet will experience a complete paradigm shift as more than 1,400 new gTLDS will launch in 2013, "Domain Names Rewired" details the most critical digital strategies for brands in building and protecting their organizations' interests.
"Largely under the radar of even sophisticated and savvy business executives, when the new Internet launches in 2013, businesses of all sizes will need guidance on how to respond," said Wolfe. "Organizations' digital strategies will need to evolve to evaluate which domain names they use and how they connect to social media, apps and other mobile technologies. The next generation of the Internet is upon us and brands need to engage or they will be left behind."
"Domain Names Rewired" covers the business community's response to the program, opportunities, new business models and what is needed to defend brands in this new regime. In addition, authors Wolfe and Chasser interviewed global leaders in trade organizations, corporations, technology and other thought leaders including Microsoft Corporation, Verizon Communications, Neustar, Proctor & Gamble and RE/MAX to identify and predict trends. Based upon their research, a few trends emerged:
1.Many of the generic TLD business will fail and new business models will emerge, just as in the .com era.
2.There will be increased merger & acquisition activity because large companies that did not apply will look for companies that did apply and adopt successful strategies to acquire.
3.This will likely spawn innovative activity that may lead to an increase in IPOs of the companies that get it right. IPOs always follow innovative or disruptive technology as a fast way to generate capital and grow at an accelerated rate.
4.Elimination of cable and traditional television will accelerate. A few trusted sources will emerge as aggregators of content. Consumers will select a handful of sites and apps they trust to manage their entire life and world online.
Brick and mortar retail will need to become a destination source of entertainment in driving consumers to continue visiting actual store locations. Additionally they will need to tie their in-store experience to savings for consumers purchasing other products online.
There will be new ways of navigating the Internet and accessing communities and apps, and disruptive innovation will result. Search won't die, but it must evolve.
Horacio Gutierrez, corporate vice president and deputy general counsel for Microsoft writes, "Domain Names Rewired takes a topic so far reserved for specialists—ICANN's upcoming release of over 1,000 new generic Top-Level Domains (gTLDs)—and makes plain why everyone else should care about it, and how they should think about the threats and opportunities that the resulting new Internet will present to them and their businesses. With full command of the technical aspects of the topic and keen awareness of the relevant historical precedents, Wolfe and Chasser spell out the impact of the new regime on existing Internet business models and predict the emergence of new ones. Just as in the settlement of the American West, the new frontiers opened by ICANN's regime will open doors to a new breed of pioneers, cowboys, trappers, prospectors, and miners. Like their predecessors in American history, only those who are well prepared for the new environment will succeed. Reading Domain Names Rewired is a great way to begin the preparation."
Published by Wiley & Sons, "Domain Names Rewired" is available for purchase at Amazon.com.
Wolfe launched Wolfe Domain in late 2011 to provide comprehensive guidance to global brands, interactive agencies, domain registrars and legal counsel representatives, on establishing and evolving holistic gTLD, name-anchored brand strategies for the next generation of the Internet. Using its proprietary Digital Mapping™ tool, Wolfe Domain helps brands and their partners develop digital brand plans that effectively leverage a new gTLD strategy as the foundation for branding, social media and mobile initiatives. Wolfe is also a member of the ICANN's prestigious Generic Names Supporting Organization (GNSO) Council, the policy-development body responsible for developing and recommending substantive policies relating to gTLDs to ICANN's Board.
About Wolfe Domain
Wolfe Domain is a gTLD digital brand strategy advisory firm, providing comprehensive guidance to global brands, interactive agencies, domain registrars and legal counsel representatives on establishing a holistic gTLD, name-anchored brand strategy for the next generation of the Internet. With thousands of new gTLD names set to launch in 2013 and an entirely new set of rules on the Internet, Wolfe Domain was founded to help Fortune 1000 and emerging growth organizations evolve and strengthen their brand identities in this next generation of digital engagement, regardless of whether they applied for gTLDs. Using its proprietary Digital Mapping™ tool, Wolfe Domain helps brands and their partners develop digital brand plans that effectively leverage a new gTLD strategy as the foundation for branding, social media and mobile initiatives. Visit http://www.wolfedomain.com for more information


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Global Business Management AAS Degree
Wake Tech Course ID: A25120G
Completion Earns:AAS - Associate in Applied Science
Total Credits:66
Campus Availability:
Financial Aid:Yes, financial aid is available for this program
Downloads & Resources:Program Planning Guide - A25120G - Global Business - 2020FA.pdf
The Business Administration - Global Business Management curriculum introduces students to the free enterprise system and the fundamentals of core business functions and processes, alongside topics related to international trade, economics, law, and other issues. The program focuses on the unique factors that pertain to entrepreneurial ventures and small businesses in today's global economy. Courses include business concepts in accounting, business law, economics, management, and marketing. Students learn how to apply these concepts through the study of computer literacy, communication, team-building, and decision-making.


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Gout Disease - Could that Pain Possibly be GoutIt's not unusual for anyone to experience joint pain at any time in their life; overexerting yourself when physically active, not warming up properly before workout routines, and being overweight by even a few pounds can put undue stress on your joints and lead to discomfort or even pain. There is some persistent joint paint however that should be given extra consideration, as it may be a serious arthritic condition called gout. What is this disease, what causes it, and what can you do to fix it?
- Why cherries seem to help the gout patient, no one seems to know and none of the big foundations are trying to find out.
- Grant money is available for drug research but not for food research.
- Cherries have been show to relieve the pain of gout sufferers.
- Cherries contain calcium phosphorus, Vitamin A, thiamin, riboflavin, niacin and Vitamin C.
- Why not give Cherries or Cherry juice as a treatment for your gout pain.
- It is certainly a more pleasant treatment without the undesirable side effect of drug therapy.
- Uric Acid play a prominent part in this composition.
- It is with this prominence that we hope people get to know more about Uric Acid.
You have painful spots on any of your joints at all, you would do well to speak to your doctor immediately. Gout can be treated effectively with changes in your diet, medication, and other means. There is no reason that you need to suffer with the pain and discomfort. Developing a vision on Gout Pain, we saw the need of providing some enlightenment in Gout Purine foods others to learn more gout gout Pain.
Gout is a disease in which there is a buildup of uric acid, formed into crystals, which get deposited in the cartilage of joints or tendons, and even surrounding tissue. This causes these areas of the body to become inflamed and swollen, as with other forms of arthritis. While gout can really occur in any joint of the body, it usually attacks the big toe first, followed by the ankle, heel, knee, wrist, elbows, and even the spine. It may seem even a bit laughable to think of an inflammation of the big toe as something that needs to be taken seriously, but in reality gout is a very painful disease. It is usually accompanied by a burning sensation, swelling, stiffness, and a warmness of the affected area. Typically the patient also has a low-grade fever that lasts longer than it should. Many who suffer from gout even in its most minor form find that any contact of the affected area, such as with an article of clothing, can be excruciating. Gout Pain are versatile as they are found in all parts and walks of life. It all depends on the way you take it.
There are many causes of gout, from genetics to a previous injury of the affected area that has left it vulnerable to the disease. Diet is also a common factor; those who eat foods high in sodium or salt content are more prone to this condition, as sodium helps to form these uric acid crystals. Many who are diagnosed with this condition are counseled to change their diet immediately and cut out all processed and pre-packaged foods, as these are typically very high in sodium content. While some have previously felt that certain ethnic groups were predisposed to gout, it is now believed that their diet has no doubt played a much larger part in this than just genetics. Also, turf toe gout's kidneys are not functioning properly, this means that the system is not dumping the uric acid the way it is supposed to be, causing it to back up into the bloodstream and form these crystals. Developing a gradual interest in Uric Acid was the basis for writing this article. On reading this, you will gradually get interested in Uric Acid.


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A week in the life of greensNovember 5, 2018
Monday 5th November 2018.
All greens were "swished" first thing this morning.Bunkers were raked .
All tees were mown including the lilac tees. The majority of the fairways were cut with any remaining to be done on Tuesday. The practice ground and greens are to be cut later in the week. All tee markers were re-positioned to minimise wear and tear. (Note to please use the soil/sand /seed mix on all the par 3's
With regard to this, are you aware that there are divot bags next to the shoe cleaner just outside the clubhouse? Ideally, everyone should be taking one of these with them every time they play. Please fill all divot holes where you are unable to replace the divot.
This however, is one divot that should never have been made!
The blue lines around the greens will shortly be reinstated.
The major project this week is still dealing with leaves. The ditches on 6,7 & 8 have/will be cleared of debris this week.
The 28 day rolling disease management programme was carried out today after the greens were cleared of debris
The drainage pipes have arrived and will be installed into the renovated 8th and 16th green-side bunkers.
The fairway on 6 has been widened to the right of the green in an attempt to help the drying out of this area over winter.
The irrigation system is to be shut down this week- pipes drained , electrics turned off and the main pump also drained to avoid freezing issues over winter.


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Why is Knowing how to Perform CPR so Important?
Date: Wednesday, 11 October 2017. -
Blog, Defibrillators
Cardiopulmonary resuscitation, or CPR, is a life-saving skill that everyone should have as you never know when you may need CPR to save a person's life.
People die every day from cardiac arrest, drowning, smoke inhalation and other causes as a result of family members, friends and bystanders who do not know how to respond to an emergency situation effectively.
In the time it takes the emergency services to arrive to the scene, the victim's chance of survival is rapidly decreasing. Often, it is too late which is why bystander CPR is so important.
Why Take Action: The Facts
Only 22% of people in the UK would be confident in performing CPR on a stranger. This has resulted in a great number of deaths occurring that could have been prevented if bystanders had responded more effectively to the situation.
On average, 35% of people in the UK believe that performing CPR on someone could make the casualty's condition worse. By providing CPR to a victim of a cardiac arrest, you are effectively taking over the role of their heart and lungs by pumping blood and oxygen around the body.
CPR involves a combination of chest compressions to keep circulation going and rescue breaths that will inflate the lungs. Even if you are untrained in CPR using rescue breathing, you can still help the victim by using hands-only CPR. The risks of CPR outweigh the benefits as the victim will be able to recover from any injuries or bruising occurred as a result of resuscitation.
Many people think that calling 999 is enough to help the victim. Unfortunately, this is not the case as treatment is needed immediately for the best chance of survival. A study that found the biggest obstacle to bystander CPR is that not enough people know how to do it.
Without the knowledge of CPR, people may be reluctant to act in an emergency due to the fear of making things worse. It was found that 57% of bystanders did not know how to perform CPR and as a result, victims would not receive the immediate treatment needed to restore circulation and maintain blood flow to vital organs.
It takes the emergency services approximately eight minutes to arrive to the scene following an emergency incident. For every minute that goes by where a victim of #SCA does not receive treatment, it is thought that their chance of survival decreases by 10%. Sadly, in most cases, this could be too late to treat a victim of sudden cardiac arrest. Knowing how to perform effective CPR could, however, have the potential to make a life-saving difference.
Bystander CPR boosts survival rates
Effective bystander CPR that is given immediately after a sudden cardiac arrest can double or even triple a victim's chance of survival, but only 32% of cardiac arrest victims get CPR as a result of bystanders who are unaware of how to help in an emergency situation.
Effective CPR and defibrillation is the only definitive treatment for a victim of sudden cardiac arrest. Given that the victim's chance of survival falls by approximately 10% for every minute that passes without bystander CPR until defibrillation. It is therefore vital that bystanders perform CPR as soon as possible as their survival depends on those nearby during the time it takes for the emergency services to arrive.
Save A Life
You never know when you might find yourself in a situation where you are required to save a person's life. CPR is a simple skill that can take just a few short hours to learn. By acquiring this skill in that time, you will be equipped to save a person's life.
Additionally, being trained in the use of a defibrillator will ensure you are equipped with the necessary skills to save a victim of sudden cardiac arrest. All of our AED courses include CPR training.
If you would like to know more about why CPR is so important or if you require any further information about any of our courses, join the conversation by tweeting us @imptraining.


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Why This Mexican Mountain Town Keeps Getting Voted 'Best Small City In The World'
When you think of Mexico, famous beach towns may come first to mind. But Mexico is more than its coasts. And one place, the 'Heart ...Read more
Sweet Spot: New Chocolate Museum Houses the World's Largest Chocolate Fountain
It's one part of the great trifecta of iconic Swiss contributions to world culture: precision clocks, alpine-produced cheese… and chocola...Read more
Places You Can Tour Wine Country Close to Home
There may be more places than you think.California's legendary wine regions and famous wineries have the weather, the scenery, the lifest...Read more
How You Can Help Solve Overtourism - AND Still Enjoy the World's Most Popular Destinations
Amsterdam. Venice. Barcelona. Just to name a few. These are spectacular, vibrant, magical cities… reeling under the weight of touris...Read more
Top Things to See in Barcelona
It's one of the top destinations in Europe, let alone the Mediterranean. Barcelona tops everyone's travel bucket list, and for excellent ...Read more
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All eyes are on this SoCal city every New Year's Day for two of America's most iconic annual events. Pasadena, California plays host...Read more
4 Royal Family Hangouts in London
The latest Royal news has us all abuzz and reminds us it's time to book a trip to England's capital and home of the British Royal Family....Read more
7 Tips for Touring Tuscany
If you close your eyes and picture 'Italy', chances are, it's the rows of vineyards and cypress trees, villas and farmhouses, fabled town...Read more
Monaco Mystique: 5 Things You Didn't Know About the World's Most Glamorous Destination
It's been featured in no less than two James Bond movies. Not to mention To Catch a Thief, the Alfred Hitchcock thriller starring Gr...Read more
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Architecture is the calling-card of a city. Some destinations are made famous by cathedrals or castles, towers or temples, statues or sky...Read more
Fact or Fiction? 3 Things You Need to Know About 'Dracula's Castle'
Before every travel destination had a ghost tour and haunted hotels, there was Dracula's Castle.Irish author Bram Stoker's 1897 Gothic ho...Read more
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'Greece' evokes two pictures in most people's imagination: the ancient cradle of Western civilization, democracy, philosophy, literature ...Read more


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Saint Stephen the Great
Saint Stephen succeeded his father, Prince Bogdan II, as Prince of Moldavia on April 12, 1457 soon after the latter was murdered. He defended his country against the Turks, and he also built many churches and monasteries.
Saint Stephen the Great was a spiritual son of Saint Daniel the Hesychast (December 18), who told him that if he built a church after every battle he would be victorious in all his wars. Following Saint Daniel's counsel, Saint Stephen won forty-seven battles and built forty-eight churches or monasteries. He also built the Putna Dormition Monastery in northern Moldavia in 1466 when Saint Daniel urged him to do so.
In 1476, Saint Stephen lost the battle of Razboieni to the Turks. He went to visit Saint Daniel at the Voronets Monastery to ask whether or not he should surrender the country to the Moslems. Saint Daniel told him not to surrender, because he would soon win a decisive victory. Saint Daniel also told him that after he had saved the nation, Stephen should build a monastery in honor of Saint George at that place. Having faith in Saint Daniel's prophecy, Stephen went forth with his army and drove the Turks from the country.
Saint Stephen fell asleep in the Lord on July 2, 1504, and was buried at the Putna Monastery. He was glorified by the Orthodox Church of Romania in 1992.


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Enter your phone number to have Creekside Pet Care Center's address and phone number sent to your phone.
Your pets are in the best hands when it comes to veterinary surgery.
Veterinary surgery can range from a common spay or neuter procedure to the more complex surgeries, such as mass removal, bladder stone removal, abdominal exploratory, foreign body removal and splenectomy. Whether it is a scheduled elective procedure or an unexpected health issue that has prompted you to seek surgical care for your pet, Creekside's expert hospital staff has the experience to handle a variety of veterinary surgeries using the most advanced techniques.
Anesthesia is commonly used in veterinary surgery to keep your pet comfortable and free of pain during a procedure. Although technological advancements have made anesthesia and surgery very safe for pets, some risks still exist. To decrease these risks, we require all patients undergo a physical exam prior to surgery, and we also conduct a pre-anesthetic blood screening before any anesthetic procedure. This blood panel will help reduce anesthetic risks by ruling out many internal problems, including clotting disorders, liver and kidney abnormalities and anemia. In addition to the examination and blood screening, we also place an intravenous catheter and administer fluids to help keep your pet hydrated and maintain blood pressure during the procedure.
In addition to constant supervision by the surgery technician, your pet will also be monitored with state-of-the-art equipment, including an ECG to monitor heart activity, a non-invasive blood pressure monitor and a pulse oximeter, which measures heart rate and oxygen concentration levels. Rest assured, only the safest, most effective and latest anesthetic and pain-control protocols are utilized. Our surgery suite is also equipped with heated surgery tables for increased patient comfort.
Spaying (i.e., overiohysterectomy) refers to the surgical procedure performed on female dogs and cats to render them infertile. There are many benefits to spaying your female pet. First, you will contribute to the prevention of pet overpopulation. Second, spaying will eliminate the sometimes messy heat cycles that attract male dogs to your house from miles away. Third, you will help prevent diseases in your pet, such as pyometra (i.e., a life-threatening infection in the uterus) and mammary (i.e., breast) cancer.
Neutering (i.e., orchiectomy) refers to the surgical procedure performed on male dogs and cats to render them infertile. There are many benefits to neutering your male pet. First, you will contribute to the prevention of pet overpopulation. Second, neutering will help eliminate undesirable and sometimes destructive behavior. Third, you will help prevent diseases in your pet, such as prostate disease and testicular cancer.
Declawing (i.e., onchyectomy) is the surgical removal of the nail bed. This procedure eliminates the destruction of furniture as well as cat scratches in people. It is reserved for indoor cats since outdoor cats rely on their claws for defense. In cats, the nail or claw is produced by a piece of bone called the ungal process located at the end of each toe. This bony process must be removed in its entirety to prevent regrowth of the nail and optimize healing.
Our surgical technique is blade free. We use a laser for all declaw procedures in order to minimize the size of the wound, decrease post-operative discomfort and expedite the healing process. Also, we utilize the most effective pain control combinations available in modern veterinary medicine to ensure the patient is very comfortable while healing occurs.
Soft tissue surgery refers to procedures that are not associated with the bone. A few examples, indications and benefits are listed below:
If surgery is necessary in your pet's case, we will provide him or her with the highest degree of comfort and care possible. While the use of anesthesia is generally harmless for pets, we always administer a thorough head-to-tail examination prior to the procedure to determine the safest surgical plan of action to be sure there is no hidden condition that could compromise your pet's well-being during the prescribed veterinary surgery.
Once we have a full working knowledge of your pet's condition, we will guide you in how to prepare your pet for surgery.What to Expect on Surgery Day >
We know your pets mean the world to you as members of your family; you should trust the hands that are responsible for their medical needs. If you are looking for the best surgical care for your pet from the best veterinarians with the best equipment, contact us today at 1-800-My-Pet-Care, or fill out our contact form.


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I've always loved the color lilac. You don't find too many pieces in that color, alone. It's beautiful. Perfect for spring.
Shop: Jacket (I sized down to a small) // Shoes (TTS) // Tank (Size 6) // Jeans (TTS)
One of the top colors featured at NYFW for spring 2018 is Lilac. It's no surprise that various shades of purple have been popping up everywhere since Pantone's color forecasting institute announce UltraViolet as their "Color of the Year".
I have always LOVED the color purple in clothes. I am not sure if it is my dark hair or my skin color but I have always taken advantage of wearing it. So I was super excited to see how much of it is showing up in stores.
My mom and I were in love with this jacket when we saw it at Old Navy a few weeks ago. Not only is the color beautiful but it is extremely soft and just warm enough to get us through the cooler temps at the beginning of spring.
The great thing about this jacket is how many colors it comes in. You can get it in navy and green – both perfect staple colors all year round. You can also get it in a really pretty coral – and for the price you won't feel guilty if you only wear it with a few outfits (I am thinking with white lace dresses for easter, white jeans and a tank for weekend wear, and even with leggings and tennis shoes for spring errand).
I wanted to take a second to talk about these heels. This style is so versatile and comes in a ton of colors. My favorite thing about them is that you won't have to put them away at the end of a season like most shoes. They are a great staple shoes for all year round and can be worn with almost anything – dressy or casual. Check them out here in tons of colors on major sale!
Have a good week!


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A newly released study suggests that nursing homes have several steps to go through before they are ready to participate in health information exchanges. The study, which appeared in the AHIMA-backed Perspectives in Health Information Management, was designed to help researchers understand the challenges nursing homes faced in health information sharing, as well as what successes they had achieved to date.
As the study write up notes, the U.S. nursing home population is large — nearly 1.7 million residents spread across 15,600 nursing homes as of 2014. But unlike other settings that care for a high volume of patients, nursing homes haven't been eligible for EMR incentive programs that might have helped them participate in HIEs.
Not surprisingly, this has left the homes at something of a disadvantage, with very few participating in networked health data sharing. And this is a problem in caring for residents adequately, as their care is complex, involving nurses, physicians, physicians' offices, pharmacists and diagnostic testing services. So understanding what potential these homes have to connect is a worthwhile topic of study. That's particularly the case given that little is known about HIE implementation and the value of shared patient records across multiple community-based settings, the study notes.
To conduct the study, researchers conducted interviews with 15 nursing home leaders representing 14 homes in the midwestern United States that participated in the Missouri Quality Improvement Initiative (MOQI) national demonstration project. Studying MOQI participants helped researchers to achieve their goals, as one of the key technology goals of the CMS-backed project is to develop knowledge of HIE implementations across nursing homes and hospital boundaries and determine the value of such systems to users.
The researchers concluded that incorporating HIE technology into existing work processes would boost use and overall adoption. They also found that participation inside and outside of the facility, and providing employees with appropriate training and retraining, as well as getting others to use the HIE, would have a positive effect on health data sharing projects. Meanwhile, getting the HIE operational and putting policies for technology use were challenges on the table for these institutions.
Ultimately, the study concluded that nursing homes considering HIE adoption should look at three areas of concern before getting started.
- One area was the home's readiness to adopt technology. Without the right level of readiness to get started, any HIE project is likely to fail, and nursing home-based data exchanges are no exception. This would be particularly important to a project in a niche like this one, which never enjoyed the outside boost to the emergence of the technology culture which hospitals and doctors enjoyed under Meaningful Use.
- Another area identified by researchers was the availability of technology resources. While the researchers didn't specify whether they meant access to technology itself or the internal staff or consultants to execute the project, but both seem like important considerations in light of this study.
- The final area researchers identified as critical for making a success of HIE adoption in nursing homes was the ability to match new clinical workflows to the work already getting done in the homes. This, of course, is important in any setting where leaders are considering major new technology initiatives.
Too often, discussions of health data sharing leave out major sectors of the healthcare economy like this one. It's good to take a look at what full participation in health data sharing with nursing homes could mean for healthcare.


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Building on the European Coal and Steel Community, the Treaties of Rome signed 60 years ago planted the seed of what became the European Union and have brought peace, economic prosperity and social progress. Today, digital is to Europe what coal and steel were 6 decades ago. It has the same huge potential to improve peoples' lives, to reinventing our way of working and to raise investments in the future, bringing huge economic potential for European innovation. Digital will strengthen European economy and society so that business can thrive in the global digital transformation.
Celebrating the Treaties of Rome and looking into our common digital future, the Digital Day has put Europe's digital challenges and future in the spotlight. It explored the exponentially increasing role of digital in daily life of Europeans, their economy and society.
The event was organised around industrial competitiveness and societal challenges, and it brought together Ministers, high-level representatives and key stakeholders in four different sessions:
Have a look at the full agenda.
Announcements and outcomes
The Digital Day was the occasion for the launch of the new European Interoperability Framework.
Ministers signed declarations committing to concrete progress in high performance computing and connected and automated mobility. They drove forward the digitisation of European industry and addressed the social dimension of the digital single market. All the main announcements are summarized in the related press release.
You can watch the recordings of all the sessions and video testimonials of key participants on the Digital Single Market Youtube channel.
To scroll through the highlights of the online debate, take a look at the Twitter Moments collections. You can also watch Facebook live chats with several ministers and keynote speakers.
Have a look at the results of online polls related to the topics of the sessions: HPC, Digital Skills, Digitising industry and Connected mobility.
Side events
Several side events took place:
24 March 2017
- A high level roundtable on the main challenges for cybersecurity in the energy system;
- A seminar on "Individual responsibility and collective trust in the age of social media";
25 March 2017
- The concert "The sound of a dream" will celebrate in music 60 years of peace and cultural integration.
Please find more information on the side events.


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Best places in Tenerife for parties & families
Best places in Tenerife for parties and nightlife
- Playa de las Americas
- Costa Adeje
Playa de las Americas – plenty of restaurants and bars
If you are a party animal and don't like complaining about loud music and "happy" people then this is the place for you. What we have here is a multitude of bars and restaurant that you can enjoy from dusk till dawn.
Another thing you can do here when you take some time off from drinks and food is to go at Piramide de Arona. This is maybe one of the best shows you can attend in Las Americas. It is a mix of flamenco and opera that will wonder your eyes an fuel your soul with a unique and spectacular experience.
If you are planning to stay here, you have various options such as Marola Park, Endless Summer House, or other fancy places for fancy people like Europe Villa Cortes Gl or Tenerife Royal Gardens.
Don't worry about shopping, you'll have plenty of shops and brands to choose from. The best one is the shopping center called Centro Comercial Safari which is right in the middle of the town. Don't forget to try some local fruits also!
Costa Adeje – the party hot spot
The best area to stay in Tenerife, in my opinion, would be Costa Adeje. It may become overwhelming at times but you will definitely enjoy the live music, classy restaurants or its clubs such as Bahia Beach or Monkey Beach Bar.
Unlike other places in Tenerife, what you have here among big clubs and hot atmosphere is the most known water attraction In Europe: "Siam Park". This one is right next to Costa Adeje and the South Tenerife airport.
Best place in Tenerife for families
Los Cristianos – party scene and family friendly
Next, to Playa de las Américas you will find Los Cristianos which has great beaches for waters sports and is best known for its party scene. The history of the town speaks for itself while tourism plays an important role here in terms of economy.
Being very close to the Tenerife South-Reina Sofia Airport (14 min drive), Los Cristianos will be most likely suitable for your kids. Los Cristianos Beach and Las Vitas, two sandy beaches with beautiful children playgrounds would make for the perfect family holiday.
While your kids are playing we invite you on the other side of the town: Los Cristianos clubs
Los Cristianos is one of the two party centers in Tenerife and the most know locations for parties here are Papagayo Beach Club and Hard Rock Café Tenerife.
The place has prices for everyone so if you want to stay longer I'd recommend Castello del Puerto as a budget option or Paradise Park Fun Lifestyle Hotel for families. If money is not your concern then you can go for luxury places like Europe Villa Los Cortes GL or Sir Anthony.


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As indicated by the Best MAN article lovingly tucked away on this blog, it should come as no surprise that I'm a big fan of the Mega-est of Mega Men; Mega Man.
With the exception of some of the more obscure games in the franchise, namely that of Wily and Light's Rock Board: That's Paradise and the EXE and Star Force series; I've played and enjoyed the vast majority of Mega Man's games.
A funny thing about Mega Man, is the fact that many of the spin-offs to the linear series are actually some of the better games in the entire franchise.
In example, the Mega Man X series is probably my favorite in the entire Mega Man continuity.
In terms of both art design and gameplay mechanics, I've always felt that the X series was a logical and welcome progression to the Mega Man games of old; such that I've actually found it somewhat difficult to go back to the basic "run and jump" style of the older games.
On that note, today our list of the Top 10 Videogame Songs takes us to a Mega Man series that represents a rare instance in videogames, that of the spin-off of a spin-off.
Said series is of course the uber-difficult but oh so rewarding Mega Man Zero series:
#7. Mega Man Zero 2 – Clover
Mega Man Zero 2 is probably my favorite entry in the Zero series, largely on the grounds that it's gameplay, story, and features seemed the most cohesive and streamlined out of all of the games.
Taking place far in the future beyond the one depicted in the X series, Zero casts the player as the titular character of the same name that was introduced in the prior series.
The core gameplay between these 2 series wasn't all that different, however Zero went the extra step of granting the player a number of new weapons and abilities, as well as a complex and customizable upgrade system.
As mentioned previously, the Zero series also went out of it's way to significantly up the difficulty level, occasionally to obscene levels; but largely for the better.
The real star of the show of the Zero series, at least in my book; was the artistic design:
In terms of outstanding art design, there are few game series that can measure up to the Zero series in terms of creativity and colorfulness, as well as outright beauty.
I bought the Mega Man Zero art collection pretty much as soon as it became available, and to date it's probably the most flipped through art book on my shelf.
While the visuals of Mega Man Zero were indeed a key selling point for me, I was surprised to find that, upon first picking up the series; the music was also quite good despite being played through a Gameboy Advance speaker.
On that note, "Clover" is kind of unique on this list, as it represents a song that actually is only featured in-game in an instrumental form, yet is included on the Mega Man Zero 2 soundtrack as an actual song.
While some would argue that this should disqualify the song for inclusion on this list, I stand by my decision on the grounds that it's a awesome fucking song, and probably shouldn't have been in the game given that it was featured in a Gameboy Advance game and likely would have sounded like shit being played through it's tinny-ass speakers.
That being said, as was the case with "God Hand," part of the overall appeal of "Clover" spawns not just from it's quality as a song; but from the fact that it took some serious time and effort to gain access to.
The instrumental version of "Clover," titled "Awakening Will," serves as the ending theme of Mega Man Zero 2, and for my money; I think it was worth the effort:
As I made my way through the Mega Man Zero series, I made it a point to sit down and listen to the official soundtracks of each game in sequence, and I'll never forget the time when I first had "Clover" play through my headphones.
Sure, there's better pop songs out there, but much like "God Hand," part of the appeal of "Clover" to me is the fact that I actually remember most of the lyrics.
As someone who still slips up on lyrics from "Eye of the Tiger," despite having heard it 6 BILLION TIMES, I think it goes without saying that learning songs is not one of my strong suits.
I haven't heard "Clover" all that many times, and yet for some reason the lyrics come quite naturally to me… Despite being sung in Japanese.
If that's not an indication of a well written/catchy song, I don't know what is.
Anyway, that was #7 on our list of the Top 10 Videogame Songs, check back tomorrow for more!
Filed under: Games, Top 10 Videogame Songs, Uncategorized, 2, Awakening Will, Azn Badger, Battle Network, Best Man, blog, Capcom, Clover, Dr. Light, Dr. Wily, EXE, Eye of the Tiger, Gameboy Advance, Games, III, Japanese, Mega Man, Mega Man X, Mega Man Zero, Monopoly, music, Nintendo, Rock Board, Rock Man, Rocky, Star Force, Top 10 Videogame Songs, videogames, X, Zero


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This arrangement features an array of flowers accented with greens.
All items featured on this site represent the types of arrangements we
offer and may vary depending upon availability in certain regions.
All orders are automatically processed as "Good" unless you
decide to change the order to a "Better" or "Best" arrangement. You'll
be given this option on our order form.


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The Oltalom Society took on the task of running the hostel from the Municipality of Budapest on the 1st of January 2000.
The hostel provides accommodation for single women without a home if they show a willingness to arrange and modify their lives.
Terms and conditions of admission:
• Hungarian and other EU citizens above the age of 18
• Immigrant with a permanent residence permit or
• Refugee accepted by the Hungarian authorities
• Capable of self-sufficiency
• Have no other possibility for accommodation
The rooms have either four or seven beds. The hostel makes social life possible, and supplies tenants with bedding, opportunity to wash, cook and clean. Six people do the professional work. Three social workers do daytime shift (from 8 to 6 in the evening) and three work at night (from 6 in the evening to 8 in the morning). On the weekends and holidays the staff work 24-hour shifts.
Professional work:
• Attending to the tenants' affairs
• Assisting in their social integration
• Fulfilling the clients' fundamental physical-, mental- and social needs
Primary tasks:
• Offering individual treatment
• Appraisal, recognition, strengthening and – if necessary – restoration of abilities for re-socialization
• Cultivating and – if necessary – restoration of family- and social connections
• Assisting in official matters
• Organizing communal life within the institution
Official administration:
• Job-hunting and placement, contacting employers
• Searching for further education/training possibilities
• Obtaining official documents
• Administrating social security provisions
• Searching for further social provisions as available
• Searching for alternative residential possibilities
• Keeping contact with other social institutions
Maintainer: Oltalom Charity Society,
Name of institute: Temporary Home for Women,
Leader of institute: Mrs. KISS (Erzsébet Erdélyi),
Address: 1051 Budapest, József nádor tér 10.,
Phone number: (+36-1) 266-9047, (+36-1) 267-0131; +36-70-456-5223,
E-mail: [email protected],
Number of beds: 64


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Dracula (1897), not only an incalculable influence on the world of supernatural fiction (and horror movies) but also one of the most famous of all literary characters, was the creation of Abraham (Bram) Stoker, who was born in Dublin, Ireland in 1847. As a child Stoker spent many hours listening to his mother's grim tales of Irish folklore and real-life horrors. We therefore need look no further than his childhood to find the terrifying and haunting images which would later be the mark of much of Stoker's literary output as an adult. Educated at Trinity College, Dublin (Ireland's finest academic institution), Stoker in the end disappointed his father's ambitions for him to become a lawyer and instead became the manager of the famous English actor, Sir Henry Irving. Stoker's association with Irving brought him into contact with some of the finest writers of the day, including Sir Arthur Conan Doyle, George Bernard Shaw, Wilkie Collins and Walt Whitman, but for him the excitement of touring with an actor paled into comparison beside his true passion of writing. Strangely enough it was Irving, with his striking appearance and imposing presence that provided the template for the figure at the heart of Stoker's life's work: Count Dracula.
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Liddell's Ghost
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M R James
M R James's Suffolk
The macabre beneath the landscape is not dispelled by nearness to the sea. What Henry James knew, and described in English Hours (1905) – the strangeness present on a flattened seashore – M R James (no blood relation, although the two were acquainted) expressed in two of his best-known ghost stories: Oh, Whistle, and I'll […]
A Warning to the Curious
Here's a real festive treat. In 2000 the BBC produced a series called Ghost Stories for Christmas, with Christopher Lee in which Lee played M R James reading four of his own stories. Lee, who actually once met James, obviously enjoyed making this series and A Warning to the Curious is a real highlight – enjoy!
Lost Hearts
I have been haunted by the writings of M R James since childhood but when asked what is my favourite of all his ghostly tales I've never fully been able to answer. Lost Hearts, an early tale which apparently James didn't much care for, and which only appeared in Ghost Stories of an Antiquary to […]
A Ghost Story for Christmas: The Tractate Middoth
Here's a real treat to conclude the series of Christmas ghost stories that I've been posting for the last few weeks – the BBC adaptation of The Tractate Middoth from just a couple of years ago. Fingers crossed they do another one this year!
A View from a Hill
Last week's ghost story video seemed to go down pretty well, so here's another M R James classic filmed by the BBC for your delectation:
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Work with Me
World Travel with Shannon is a blog that caters primarily to solo, adventure travelers as well as those who wish to learn more about sustainable travel methods. Rather than simply telling personal stories, I aim to be a valuable resource to those who wish to travel, study, and adventure abroad whether for a week or ten years.
So you want to work with World Travel with Shannon? I am always happy to discuss sponsorship, partnerships, marketing, consulting, advertising, television, and speaking engagement opportunities. Please contact me to discuss the possibility of working together.
Who am I?
I am Shannon O'Neill and I have been traveling off and on since 2002. Though I am newer to blogging, I am an experienced traveler and marketer and can provide value to you and your business. I have a Bachelor of Arts in Psychology and a Master of Arts in Teaching. Due to my background, I am exceptionally good at communicating with others, understanding what they want, delivering that to them, as well as breaking information down into an easy-to-digest format.
The Demographic:
With a 50/50 male to female split, World Travel with Shannon appeals primarily to solo, adventure travelers. More than 50% of monthly visitors are from the United States with 18.99% also logging in from the United Kingdom.
Partnership Opportunities
As a blogger, I am always open to new possibilities and partnerships. If you are interested in partnering with World Travel with Shannon, please contact me.
Press Trips:
I started this blog because I love to travel and I would be happy to go on press trips and promote your brand provided it is in line with the theme of my website.
Product Reviews:
I will happily accept and promote products related to travel. Please note I will give honest reviews of every product I receive. Product reviews will include a link back to your website and will remain in the archives. Reviews will also be posted on social media sites for maximum visibility.
I am happy to promote any contest of giveaway your company may have that is related to travel.
Personal Training & Health Coaching
For as long as I can remember (middle school?), I have had an interest in being healthy and fit. I spent time backpacking, hanging out at the gym, dabbling in some sports, and learning as much as I could about working out and eating right. When thinking about college, I initially wanted to study nutrition or become a doctor. I wound up studying psychology instead and eventually getting a master's in teaching. I wound up eventually joining the Coast Guard and when an injury forced me to leave, I studied to become a personal trainer because I knew I wanted to help people become fit and healthy.
Personal training wasn't quite enough though. I wanted to make a difference in people's lives and to do that, I would need to be able to coach them through behavioral change to make sure these new healthy methods I was teaching would stick. With psychology and teaching as my background, I made the decision to become a health coach and fitness nutrition specialist as well so I can best serve those I work with.
To learn more, please visit my dedicated website at www.shannonloneill.com. I look forward to working with you and helping you reach your health and fitness goals.
Marketing & Consulting
With more than three years as a professional marketer in Boston, MA and now running my own travel blog, social media, as well as multiple other websites, I have the experience and knowledge needed to help you and your business get on your feet. Whether you want me to do everything or you would like me to teach you or a member of your staff, I am happy to help! I work with small businesses, bloggers, and artists primarily.
Social Media:
Whether you're looking for suggestions, training, or want someone to run your social media campaigns, I am happy to help. Please contact me for rates and packages.
Do you struggle with figuring out what to write about or which types of content would work best for your readers? I can help you assess, brainstorm, and even create your content. I love to write and am an SEO whiz. Please contact me for rates and packages.
Blog Creation/Hosting:
In 2016, if you do not have a blog, you are quite simply not doing enough to get your brand noticed. Inbound marketing is the buzzword of 2016 but also a genius concept. Give the customers exactly what they want, solve their problems, and they will remember you when it comes time to buy your product. Simple as that. I am happy to discuss blog creation as well as hosting possibilities for your company. Please contact me for rates and packages.
Blog/Social Media Audits:
If you already have a blog and social media accounts but you feel you can be doing a better job, I would be happy to spend some time going through everything and giving you a detailed report on what you can do to improve aesthetically, optimize for SEO, and improve your ROI. Please contact me for rates and packages.


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HOPE International Development Agency exists to improve the supply of basic human necessities for the most marginalized in the developing world through self-help activities, and to challenge, educate, and involve North Americans regarding development issues.
Our work creates long-term, self-sustaining benefits for people by teaching them income generating skills and further developing family and community infrastructures, like clean water, education, vocational training, sustainable agriculture practices, disease prevention, revolving loan funds, and community planning methods.
Website: https://hope-international.com/


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Rent costs spiral from Agri HQ decentralisation
The most expensive rented building for Department of Agriculture staff in Portlaoise is the Grattan Business Centre.
Leased since 2006, it costs E264,640 to rent annually more than E100,000 to fit out for up to 100 staff. A former Eircom building costs E191,000 annually - it has been leased since 2005.
Three buildings at Gandon Court near Portlaoise Prison are rented separately. The total annual cost is more than E213,000. Another office at Grattan House is costing the taxpayer E75,000 each year while a warehouse in the Clonminham Industrial estate costs almost E100,000 annually.
When the total bill is totted up the bill on these rents amounts to more than E11 million but the cost excludes other property expenses caused by decentralisation such as the cost of buying a site for the proposed HQ on the Mountrath Road. The were also design plans for the building which cost more than E240,000.
Separate figures show that the Agri bill could put the decentralistion rent bill higher. A office for staff of the NCCA and Equality Tribunal is being rented at almost E70,000 annually - the offices cost nearly E360,000 to fit out.
The last Government scrapped a public private partnership approach but to building a HQ in 2009 budget but it said construction could go ahead a "traditional procurement process". Portlaoise was part of a PPP bundle with Mullingar and Carlow. A preferred bidder had already been chosen.
More than half of those due to move to Portlaoise, 317, were already working here by last June. While none of the 150 Ministerial staff were due to move, including the Secretary General, the new HQ would have offices for Minister and the top civil servants. Problems also emerged over the transfer of 150 IT staff.
An review of the project carried out in 2009 said the Department had made "excellent progress" but questioned the move of ICT (computer) staff. It raised concerns over the building of a HQ for 800 staff because it might be under-used because of the slow transfer of ICT staff and the cut recommended by An Bord Snip Nua of more than 1,000 from the Department.
The OPW said a preparation of a report on the new HQ is a matter for the Department of Agriculture. It said any decision on the halting of decentralisation to Portlaoise would be decision for Government.
"We have not been advised of any decision to halt the Department of Agriculture project, other Government Department moves are pending review later this year," it said.
Assuming that a decision to proceed is given by the end of 2011/beginning of 2012, the OPW said it would expect that a building could be completed by end of 2014 - assuming no planning delays.
The former Minister for Finance Charlie McCreevy announced decentralistion in his 2003 Budget.


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Job Description
Client & Location Information
Aged Care Pharmacy located on the North side of Brisbane, approx. 20kms from the CBD.
Job Specification
A Locum Pharmacist is required from Monday 5th Nov - Friday 30th Nov.
Work hours are: Mon - Fri 9am-5pm (1/2hr break)
The locum will be working alongside 1-2 other Pharmacists and a team of Dispense Techs, using Fred & Fred Pak to be checking medication charts & packing profiles for a high volume of aged care residents.
Experience Required
*Registration as a Pharmacist with the Australian National Pharmacy Board.
*Experience with Fred Dispense & Fred Pak
*Checking Webster packing
*Aged Care experience desirable, but not essential
Salary & Benefits
$42/hr + super Mon-Fri
How to Apply
Submit your interest online, or if you are registered with us contact Nivi or Belinda directly for a confidential discussion on 1800 429 829 or email firstname.lastname@example.com.


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Welcoming Speech by YM Hj Mahadi bin Hj Md Tahir, the President of PABD
Bandar Seri Begawan – The Astronomical Society of Brunei Darussalam (PABD) held it's 3rd Annual General Meeting today (28 October 2018), at Al-Afiah Hotel Kiulap. Present at the meeting was YM Hj Mahadi bin Hj Md Tahir the President of PABD and YM Hj Johar bin Hj Mohamad Vice President of PABD.
Continue reading "Astronomical Society of Brunei holds 3rd AGM"


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Miracle League
Sponsored By
Wiffle Ball Tournament Raises Money For Charity LeagueHundreds of people hit the baseball diamond for a great cause Sunday. The Big Wiff, as it's known, is a wiffle ball tournament, benefiting the Miracle League of Minnesota.
Miracle League Gives All Kids Opportunity To Play BallA Twin Cities baseball league is teaching kids more than just the fundamentals of the game. The West Metro Miracle League gives kids of all abilities the chance to play. Built off Highway 101 in Minnetonka nearly eight years ago, the modified field is specially designed for children with special needs.
Miracle League: 'It's Just Awesome' Mitchell Scott is 11 years old. "He loves baseball," says his mom, Gerri. "He loves going to the games, he loves playing the games. He would play all day if you let him."
Video: Killebrew's Legacy Lives At Lakeville Miracle FieldThe legacy of Twins Hall of Famer Harmon Killebrew lived on Sunday at a special field in Lakeville, Minn.


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Just a 10-minute walk from the University of Manchester's Fallowfield Campus or 20 minutes on the bus to Manchester Metropolitan University, dwell Weston Court is ideally placed for getting to class.
After your lectures and tutorials, meet up with friends to sit and relax in the nearby parks, or head for one of the many laid back cafés in the area to fuel up on food and chat. Call into the stunning former church building that is now home to 256 Wilmslow Road for burgers, wraps and meze that won't dent your wallet, or just grab a drink and stake out your spot in the beer garden.
Back at dwell Weston Court, see who's about in the quiet courtyard garden or, if you need to study, you'll find a spacious desk area in your bedroom. Throw yourself on the double bed to unwind, then freshen up at your vanity sink or hop in the shower in the shared bathroom before dinner.
Cook dinner with your housemates in your fully fitted kitchen and eat at the stylish breakfast bar or relax on the comfy sofa in the spacious living area. Throw your feet up in front of the flatscreen TV to watch your favourite shows. While away the evening catching up with your friends or use the free Wi-Fi to get some extra research done for class tomorrow.
With all bills included and a promise of great security thanks to the CCTV and gated entrance, you have nothing to worry about but loving student life in Manchester.


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The Cromwell Police Department is investigating an accident involving a snow plow operator. A woman was injured in the accident and was transported to Hartford Hospital. You can learn more about this accident from the Hartford Courant:
If you would like a Free Consultation for an Automobile Accident Claim, please contact us directly.


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Bags of Style
When it comes to handbags, newer isn't always better
A BAG IS a bag is a bag. Except, of course, when it's vintage Hermès or Chanel. If you measure desirability by press and paparazzi coverage, there is no doubt that the Hermès Birkin and, to a lesser extent, the classic, quilted Chanel 2.55 are the world's most desirable bags. Of course, there's another way to judge a bag's merit and that's by examining the prices they obtain on the secondhand market. By that measure, the Birkin and its older sister, the Kelly, win hands down.
"I always say that buying a new bag is like buying...
To Read the Full Story


text: Safety Alert: Certain Alcohol Pads/Swabs Recalled by FDA -- anyone taking injectable medication check package to see if they were made by Triad Group January 8, 2011 The FDA has launched an important recall of alcohol prep pads, swabs, and swabsticks manufactured by Triad Group because of possible contamination. Anyone taking an injectable medication for their MS should check the alcohol prep pads in their medication package and should not use them if they were manufactured by Triad Group. The FDA has posted additional information on its Website: Read More Because alcohol pads/swabs may be manufactured by one company and distributed by another, if you cannot tell whether the product was manufactured by Triad, you can call the 800 number provided on the product packaging to find out, or contact the patient support program for the injectable medication you are taking to find out who manufactures the swabs that are included with your medication.


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trustedreviews.com »
Super-zoom cameras are often also referred to as bridge cameras, because traditionally they have occupied a position between the everyday consumer territory of compact cameras and the more exotic land of the digital SLRs. Most of them have optional manual exposure, multiple metering and autofocus options and other advanced features, which can make them a bit of a daunting prospect for anyone who doesn't know the difference between aperture and shutter speed. The majority of the camera-buying public just want a camera that they can point and click, and be assured of getting a good picture in most situations, without having to fiddle around selecting the right shooting mode or worrying about the ISO setting.
Read the full review »


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Auto Insurance Center
Student Car Insurance: Discounts And Coverage
It's all about you. We want to help you make the right coverage choices.
We strive to help you make confident insurance decisions. Comparison shopping should be easy. We partner with top insurance providers. This doesn't influence our content. Our opinions are our own.
Article 4 of 10 in Car Insurance for Specific Needs
Whether you are a student in high school or college, you are going to be in a high risk category for the purposes of your car insurance. Young people face higher car insurance premium payments, and will do so until 25 years old. Fortunately, there are ways that students can save money on their car insurance that you can take advantage of.
TIP: Insurance for students can be pricey, but you can reduce your car insurance rates by showing that you are a responsible student, person, and driver. When shopping for student car insurance, look for discounts that you can qualify for.
Are You a Student?
Some people can be students well into their 30's, so whether or not you are considered a student for the purposes of getting a student discount on car insurance may not be simply as cut and dry as being in school. The high risk category that includes most students is actually based on age, not whether or not someone is in school. Typically, a car insurance company will consider a young driver to be high risk if they are under the age of 25, which is where high school, college, and even some advanced degree students usually fall.
TIP: If you are under the age of 25, and you are a student, then you may qualify for student car insurance discounts to help you reduce your premium payments. If you belong in this group, look for discounts when getting your student car insurance quote.
Common Discounts on Student Car Insurance
Each auto insurance company is different, and as such will offer different discounts on your student auto insurance. When shopping, get as many quotes so you can compare them to find the best price, and consider the following common ways to save money:
- Good Student: The most common discounts for students is one offered for those who perform well in school. If you maintain a good Grade Point Average (GPA), then most car insurance companies will take money off your premium payments. Typically, car insurance companies require a GPA of 3.0 or above in order to qualify for the good student discount.
- Driver's Education: Typically, this is available only to students who are new drivers, and is offered if you have taken and completed a driver's education course approved by your insurance company. Sometimes these courses are online, and sometimes they require you to get driving instruction. When getting a quote for student car insurance, ask how you can get a driver's education discount.
- Stay on Your Parent's Plan: An option to reduce your insurance is to be on a plan with experienced drivers like your parents. Typically, this option is only available for students who still live with their parents, however, if your parents still claim you as a dependent on their taxes then you may be able to remain on their insurance plan.
Ask their insurance provider how you can remain on your parent's plan and save money.
- Miscellaneous Tips: In addition to the primary ways you can save money, some insurance companies offer discounts for things like:
- Living close to the school in an effort to reduce your driving
- Getting an old car, or a car with safety features that prevent damage in an accident
- Going to college in a rural area where insurance rates are lower
- Driving carefully and establishing a good driving record
- Living close to the school in an effort to reduce your driving
TIP: Regardless of what discount you qualify for, keep in mind that any traffic accident or citation can result in you losing the discount and paying more for your premium. Drive safely and obey the laws of the road to avoid an increase in your student car insurance!
When you are purchasing student car insurance, there are a number of discounts available to you. Further, there are some companies that tend to have lower rates for young people, and you will only be able to take advantage of your cost-saving opportunities by comparing several student car insurance quotes before buying.
Click here to visit the Free Advice quote center and start shopping for student car insurance today!
For more information about getting the right car insurance policy to fit your needs, check out the following articles:
Click Here for a FREE car insurance quote today!
What Is Car Insurance and Why Should I Buy It?
Save Money When Buying Car Insurance with Online Quotes
Car Insurance Driver Discounts
Basic Types of Auto Insurance Coverage
What to Know About Car Insurance Agents Before You Buy
How to Fill Out an Online Car Insurance Quote
How Insurance Companies Calculate Your Car Insurance Rate
More Articles Addressing A Variety Of Car Insurance Needs


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Tampa Bay Plumbers agrees to service trade to help Ybor City business owner afford emergency plumbing repair. The nearly 100Continue reading
Tag: plumbing smoke test
Commercial Smoke Testing for Leaks
This is a smoke test we performed at a 14 unit condo development in Fort. Lauderdale Florida today. We foundContinue reading


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Tour Monterey Bay flower farms
As Americans become increasingly aware of the importance of domestically grown products, participants in this weekend's Monterey Bay Greenhouse Growers Open House are eager to show visitors that the flowers on their tables can be as fresh, local and sustainable as the food on their plates.
The free tour, from 10 a.m. to 4 p.m. Saturday, gives flower admirers a glimpse inside the state's $10 billion industry - $700 million of which comes from Santa Cruz and Monterey counties, according to the California Cut Flower Commission.
Many of these farms, like Kitayama Brothers, which manages more than 2.5 million square feet of greenhouses in the area, are multigenerational and have contributed to the local economy for decades. Kitayama predominately grows lilies, gerberas and gardenias and are leaders in the California-grown flower movement. Other participating growers include California Pajarosa (roses), Four Winds Growers (citrus and fruit trees), McLellan Botanicals (orchids) and Succulent Gardens.
Normally closed to the public, each greenhouse will host tours, provide growing advice and tips, and have plants for sale with the proceeds going to charities of their choice. Many will also have presentations, including Pajarosa, where Christina Stembel of Farmgirl Flowers and Field to Vase ( www.fieldtovase.com) will conduct bouquet design workshops.
Visit www.montereybayfarmtours.org for more details and to download a map.
Domestic flower movement grows
Floriculture is the nation's third largest agricultural product yet it wasn't until a recent White House state dinner that domestic and California cut flowers were intentionally added to the centerpiece bouquets.
In February, domestic flower advocates and growers were part of a Washington delegation that created the bipartisan Congressional Cut Flower Caucus headed by Rep. Lois Capps, D-Santa Barbara, and Rep. Duncan Hunter, R-Alpine (San Diego County).
"Lots of people care about where their food is coming from, but our annual open house event really helps us make that important connection for people when it comes to the flowers they buy," says Kasey Cronquist, CEO and ambassador of the California Cut Flower Commission. "Tours like these increase awareness of the state's cut-flower industry."
- Sophia Markoulakis
Sophia Markoulakis is a Burlingame freelance writer. E-mail: firstname.lastname@example.com


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Finding useful health information on the Internet can be difficult, but we're here to help. This page gathers quality information from trusted sources. You can learn more about the disease, visit handpicked websites, and find resources to help you in your daily life. Need more information? Click the menu on the left to find more!
Medical Disclaimer
The medical information on this site is provided as an information resource only, and is not to be used or relied on for any diagnostic or treatment purposes. This information is not intended to be patient education, does not create any patient-physician relationship, and should not be used as a substitute for professional diagnosis and treatment.
Sclerosteosis 2
Sclerosteosis 2 is a disorder that causes excessive bone formation. This results in bones that are denser and wider than normal. Individuals with this condition have tall or webbed fingers and abnormal nail growth often first noticed at birth or early childhood.
Symptoms of sclerosteosis 2 may include enlarged bones, especially the skull. Abnormal skull growth can cause pinching of nerves in the brain, resulting in an inability to properly move, hear, smell, or see. Enlarged facial bones cause deep eye sockets, misaligned teeth, and large jaws. The individual might also have frequent headaches.
Sclerosteosis 2 is caused by a changed (mutated) SOST2 gene. Genes are inherited in pairs, one from the mother and one from the father. The SOST2 gene is responsible for making sclerostin, a protein that normally functions in preventing bone formation. Sclerosteosis 2 is inherited in an autosomal recessive manner meaning that two mutated genes needs to be present, one from the mother and one from the father, to have the disorder. Most individuals with this disorder will have parents with the condition, or their parents will be carriers, meaning they only have one mutated gene and do not show any symptoms.
Physicians can diagnose sclerosteosis 2 by examining the patient for abnormal bone growth or by ordering x-rays for confirmation. Genetic testing is also available to determine if an individual has sclerosteosis 2. Genetic counseling may accompany testing as well to help patients with their decision-making process.
Upon diagnosis, pain therapy for joints and drug therapy exist to help manage the symptoms. Surgery is also available as a treatment option. If you or a family member has been diagnosed with sclerosteosis 2, talk with your doctor about the most current treatment options. Support groups may also provide resources for support and information.
Description Last Updated: Aug 15, 2018


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Search News & Insights
HIQA Guidance on Key Performance Indicators to Monitor Quality of Healthcare
In September 2010 the Health Information and Quality Authority ("HIQA") issued a new guidance note entitled Guidance on Developing Key Performance Indicators and Minimum Data Sets to Monitor Healthcare Quality. Its purpose is to assist healthcare providers to develop appropriate Key Performance Indicators ("KPIs"), in monitoring and improving the quality of service provided to patients.
KPIs are performance monitoring tools that can be used to identify where performance is meeting desired standards and where it is falling short. KPIs can also be used to provide accountability to service users and governing bodies, by allowing for inter-organisational comparisons, which can facilitate decisions in relation to resource allocation.
The Guidance defines KPIs as 'specific and measurable elements of health and social care' and outlines how healthcare providers can develop them for use on a local and national basis to address the increased public focus on the quality of healthcare services.
Good quality information is vital in performance monitoring and the use of KPIs can aid in the procurement of such information by grounding a systematic approach to data collection. However, KPIs need to be clearly defined if the data collected is to maintain a high level of quality and in order to enhance the validity and reliability of the KPls.
The Guidance proposes six key criteria for the creation of a KPI:
- Identify the audience and the use intended for the KPIs. The audience is the group or person whom the KPI will assist, and might be the service-user, clinician, general public, facility or the healthcare system. The use of the KPI might centre on safety, effectiveness, efficiency, the individual or equity, and can range from internal use to enable an improvement in service, to an external comparison of the standard of an organisation against a similar body.
- Consult with stakeholders and the advisory group throughout the development process. This facilitates the identification of stakeholders' needs and contributes to the acceptance of KPIs. As the most important stakeholder in healthcare, the service user requires special consideration in this process but consultations should also be undertaken with relevant health professionals.
- Balance the process of data analysis through consideration of the needs of the service user and internal management, the need for continuous improvement, and financial considerations.
- Determine selection criteria, as to which KPIs will be used, based on the views and consensus of experts and potential users.
- Finally, define the KPIs and identify the rationale for assessing performance to provide context and highlight the importance of the subject being measured.
In line with the increased public awareness of the quality of health care services provided by organisations and individuals, HIQA intends that use of KPIs will assist health service providers in monitoring and improving the quality of service provided to service users.