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Risk of HIV infection through touch?
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January 15, 1999, 07:38 PM
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I am happy to say that I am in no way connected to the CDC. I am in fact a simple "foot soldier" hoping to clarify an area where I have something to give.
Let me also say that I never want to be in the position of defending a government agency.
Now lets talk about HIV testing and the blood supply. Most stats are based on a population of 271 million in the U.S..
TESTING- Before being diagnosed with HIV you must have a positive EIA test(which tests for your antibodies to the disease) and a positive western blot. The accuracy of these tests combined is greater than 99%. There is a window where current tests cannot detect the virus. This is because sufficient antibodies do not yet exist. This window is generally 3mos. but can be up to 6. In certain very rare cases this window can last 2yrs or more.
If you are HIV+ and develop certain clinical conditions you are diagnosed with AIDS.
BLOOD SUPPLY- The blood supply is currently tested for HIV1, HIV2, HTLV-1, HepB, HepC, and Syphilllis. There is a window with HIV where the person is infected, and also infectious, where someone could give blood and not have it detected by the screening tests(see above). They do attempt to weed these cases out by denying people who even have risk factors for HIV. At the end of 1992 there were 4,959 cases of transmission by recieving blood/tissue products. All but 21 of those occured before screening started in 1985. To give you an idea of safety, there are around 17 million units of blood products used every year. Studies have shown blood product trasmission rates of HIV between 1/38,000 and 1/300,000. There was a study in 1990 by the CDC and American Red Cross that showed a rate of 1/225,000.
As to other infectious diseases and CPR. Some facts may have been posted already. Those diseases listed are the ones you should be most worried about.
HIV- Roughly .4% of the population in the U.S. is HIV+(.13% is documented HIV+). There have been no reported cases of transmission via CPR. There has only been one case of transmission via french kissing- I think this is believed to be a blood exposure in reality. There is a 1/250(4%) chance of contracting it through a needlestick. There have only been 54 documented and 133 possible cases of transmission of HIV to a U.S. healthcare worker since the inception of testing the disease(84-85?).
TB- I do not know if this has ever been spread by CPR. 10-15 million people are infected in the U.S.(vast majority is pulmonary). On average, only 10% will ever have the active/contagious form of the disease in their lifetime. If the disese is not active, it is not contagious. I have not seen numbers about the # of active cases currently in U.S, but this would be much less than 1-1.5 million( .4-.6% of population) because it would be spread over their lifetime. To spread pulmonary TB one must cough deeply and aerosalize the germ. I do not know if CPR mimics this cough, I doubt it does- really efficiently anyway(it is very difficult sometimes to get a good sputum from patients, even when they try hard). "Really contagious" is relative. If someone had active TB and I was in an ambulance I would treat it as such. But, in the realm of infectius disease, it generally takes a prolonged encounter- like living with someone. The odds of catching the disease from someone with ACTIVE TB, in this circumstance, is 23%. Of course just like the girl at the prom, you might get "lucky" the first time. Plus if you sum up the time you spend with these people as an EMT over 20 years it adds up to a prolonged exposure. The vast majority of TB is treatable with medication. There is a small percentage of drug resistant strains which is on the rise(did not look up the #, but again only 10% of these will ever have active disease)
Hep B- Occurance of less than 2% in population with ~1 million chronic carriers(.4% of pop). You can get this by a person with an acute infection or chronic infection. 6-10% go on to chronic infection, .5-2% go on to liver failure. Transmission has not been documented by kissing although it is present in saliva(you generally get this by sharing needles or sex). There are some cases of infection by bites. I do not know if any cases have been transmitted by CPR. You can get vaccinated against this disease. If you are an LEO, medical personel, still dating, or other dealing with the public in an intimate manner- vaccination is HIGHLY recommended. Make sure you get tested for seroconversion("immunity") after the series. You may have to have another round of shots.
HepC- I screwed up here before, I misread the stats. This is more common than I previously thought, with a prevalence of 1.8%(majority are carriers) in our society. If you get a needlestick there is a 5-10% chance of getting it. Routes of transmission are not well understood at this time other than it is definitely spread by blood contact. It is very bad though as most cases(70%) go on to liver failure and ~85%(or more) will develop carrier status. Treatment is available and is effective 15-30% of the time. No vaccine is available. Good news is that in recent years the incidence of new cases is down 75% due to screening the blood supply.
There are a myriad of other diseases including meningitis which can ruin your day. I would caution against dwelling on diseases too much. There is a saying that 2nd year medical students are all hypochondriacs, as they have learned alot of what can go wrong but have no clinical framework to put it in perspective. One can go mad thinking about germs.
To summarize the encouraging news:
HIV- no known cases of transmission by CPR.
Only 1 case of transmission by kissing.
TB- usually takes a prolonged encounter and really good coughing. BTW don't inhale the patients breath while giving mouth to mouth, turn face away etc.... Majority of cases treatable.
HepB- get vaccinated. No known transmission by kissing. Only .5-2% of infected go on to have liver failure.
HepC- This is bad. lets do the math though. Assume transmission rate of 5%(very high as this is low end for a needlestick). What are the odds that you will perform CPR in general public on a HepC+ person AND that you will contract this disease? .018 X .05 X 100%= .09% = 1/1,000 (we can probably add at least another zero or two here for mouth to mouth which would make it 1/10,000-1/100,000).
Again we are talking about one exposure of mouth to mouth with a person who is not blatently disgusting health/bloody wise. I would caution against placing your mouth on blood- this will increase your risk significantly. While I cannot give you one number, I think you can see that to get a bad disease from this type of exposure would be rare(my opinion, do with the information as you will). There are risks, minimize them when you can.
BTW- I have several messages out to the CDC and elsewhere as to whether there have been reported cases of hepatitis or TB (now HepC also)through giving CPR. Don't hold your breath. If I get it, so will you. Dennis, I will also attempt to get the # of healthcare workers who contract potentially terminal bugs/year.
Also- my #'s and information were derived from a large number of references, some up to 3-5 yrs old. They are very good approximations. I am not publishing, so I have not included the numerous citations. If anyone has a question about a particular fact or # I will tell you where I got it.
I really appologize for the length of the post. You won't have to suffer another long one from me for awhile
- promise.
This post was revised due to faulty information on Hep C(a little crow, on occaision, is good for the soul) and addition of a couple of clarifying stats elsewhere. No other changes in numbers were made.
[This message has been edited by olazul (edited 01-16-99).]
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As an account executive and a marketeer, I tend to frequent a number of Marketing, Business, and Networking events here in Dayton. One group I really enjoy being a part of is the Dayton Chapter of the American Marketing Association. The group meets monthly, brings in interesting speakers, and offers some great opportunities to network with others in the marketing profession. The Dayton AMA has launched a new web site, which can be found at www.daytonama.com. I have updated the link on the Dayton Marketing Community site to point to the new AMA site, and as always the group's events, along with many others, can be found on the Dayton Marketing Community Calendar. I hope to see you at the next Dayton AMA event, or elsewhere around town.
Dayton AMA has a new HomePublished October 10, 2007 Marketing Leave a Comment
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- For the primary universe counterpart, see Romulus.
In the mirror universe, Romulus was the adopted homeworld of the Romulans and capital planet of the Romulan Star Empire. In late 2376, Romulus was rendered uninhabitable by the detonation of a thalaron bomb at the hands of the Klingon-Cardassian Alliance. (NF - Mirror Universe short story: "Homecoming")
History[edit | edit source]
Dark Mirror[edit | edit source]
In a different permutation of the mirror universe, the Earth Empire pressed on after their victory over the Romulans in the Battle of Cheron in 2160. Two weeks later Imperial vessels appeared above Romulus and Remus. The Terrans destroyed Remus with molecular disassociators, which resulted in tectonic activity on Romulus. The Empire offered Romulus to become a subject world, supplying natural resources, workers and taxes and receiving moderate changes to their laws to reflect the new affiliation. On the eve of the deadline for the answer, the Romulans committed mass suicide. Earth subsequently sent colony ships to take over the empty planet. (TNG novel: Dark Mirror)
Star Trek: Mirror Universe[edit | edit source]
In the late 2376, thalaron radiation burned all organic matter on the planet to ashes. Less than 50,000 Romulans escaped the holocaust aboard the ships of the Romulan fleet. Praetor Hiren yielded his power to Captain M'k'n'zy of Calhoun, making him commodore of the fleet. (NF - Mirror Universe short story: "Homecoming")
Following the loss of the Romulan homeworld, the Star Empire was conquered by the Alliance in January 2377. Romulan space was liberated from the Allied yoke in 2380, following the victory of the combined Romulan-Terran Rebellion and the signing of the Tripartite Armistice. (ST - Mirror Universe novel: Rise Like Lions)
After the holocaust, Romulus would remain inhabitable for 950 years, until the early 32nd century. (NF - Mirror Universe short story: "Homecoming")


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Given that it's basically compulsory for anyone over a size 4 to leave the Big Brother house and make a fitness video, it was only a matter of time until Josie Gibson started working on her 'miraculous weight loss' DVD and magazine spread.
Although she's only a size 16 (and freaking hot, if you ask us) Josie apparently feels uncomfortable with her weight, saying recently: "I am a womanly woman. I am a little bit insecure about it." What does she want, a penis?
Anyway, here she is working out in London, in full view of the photographers – no doubt for those all important 'before' pics.
We want her to be happy and stuff, but we hope Josie doesn't go all weird and muscular. Fortunately it sounds like she's being sensible about it, saying: "You see all these stars and they lose all that weight and it just doesn't suit them. Take Natalie Cassidy, I think she looks better when she's got all her curves.
"I want to lose a little bit of weight - but I love a nice curry, that's my downfall. I love Jamaican food, a nice bit of curried goat."
But what does John James have to say about it all? He read off a bit of paper said: "I couldn't care less what Josie weighs. I love her just the way she is. It's up to her completely."
Oh yeah, that's what they all say.


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Pet Spotlight
Submit your pet to the Pet Spotlight!
Pet Name: BerandCyan
Owner: lordandmastertenchi
Breed: Krawk
About BerandCyan:
Ber: Eeeeghh... This place is weird... *Triple-blink*
Cyan: Yes. Yes it is. Now just ..... you know... Go where I go. AGH! HOLD ONTO YOUR TAIL!!
Ber: WHEEEEEE!!
Both: WAAGHH!!
A Two Headed Krawk tumbles onto the stage. One growling, the other giggling.
Ber: Lets do that again!! Eehehehehehe!!
Cyan: NO. ..... *She blinks, and pulls her comrad up with her*
Ber: *blink.. Blink.. Blinkblinkblink* Peeeeeeeople.
Cyan: Huh. Hello Ladies and Gentlemens. Acara to Zafara. We are your next Pet Spotlight.... Spotlighteers?
Ber: I 'unno. o__o
Cyan: Yeah. Anyways. We're Ber -- Thats the idiot. And Cyan-- Thats me. We are. As you can no doubt tell.. Unless you've got Blurred Vision. Or something... We are a Mutant Krawk.. With two heads... And two tails. Yippee.... >3>;
Ber: AIIIIEE! I think I squished a Cooty... ;0; *She begins to sob*
Cyan: .. Right. Okay. Hi. Ber and Cyan. yadda yadda. ... Aha! Okay. We have two other siblings. A pet that constantly changes-- Lab Ray pet-- An egotistical 'basilisk' krawk, and a Furry thing. That... We don't know. He smells. >:|
Ber: o___o It wasn't a Cooty. It was a Mootix.
Cyan: Yeah. We were originally 'Created' as a Green Eyrie. But then our owner, Chizzy came up to our eyrie self and proposed we drink her expensive 'Krawk Transmogrification Potion'. Well thats fine and dandy. All Mutant Krawks have one head. Not me. I get a chance to become a krawk and its ruined by this imbecile!
Ber: ....... Heey... I'm not an Im... imbe.... imber... Buh? *she shakes her head, evidentally confused by the word*
Cyan: Point proven. Chizzy suspects our Potion had the properties of a Hissi Transmogrification potion.. Ya'no.. The Two Headedness. And extra apendages... Gaar...
Ber: *looks at you* I don't like you. I'm not gunna talk. :(
Cyan: Thank Neopia... Anyways. You may be wondering a little about us.
Ber: Eeehhh... But I know all about you Cyan!!
Cyan: But they don't! Yeesh... *Ahem* I'm sarcastic. I hate lots of things. Especially the head to my right. Everyone thinks I have a name-calling problem. Tche.. I do not.. I hate small, fuzzy things... Small.. unfuzzy things are alright. Annnnd..... I like to eat Baggus'. Its Kynoni's fault.. stupid Desert Goer...
Ber: X3 I like stuff. Annnd.. I like to eat... Things. Oh! And I like Sleepin' Lots!*She grins, madly*
Cyan: Right... Uh our owner plans on getting us a Duocorn for Christmas. I called naming it. We like Duocorn's because of the ... pair of horns they have.
Ber: I WANT THE LEFT HORN TO HAVE A ... Thingy on it...
Cyan: Mm-hmm.... We currently Snicklebeast as our Pet.. But Ber was licking it... And now it doesn't come out of hiding. -____-;;
Ber: But it smelt like caaandies.
Cyan: Thats because everything tastes like candy to you... *Sigh..* Anyways... thats really all we have to share with you. So. We're gunna leave n--
Ber: AIIEEEEEGHGHG! I don't like it here!! *flee*
Cyan: WAGH!! Ber! Slow down!!
The two of them thus stumble off stage.
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Every business needs to think digital. Fail to do so and you risk remaining stuck in old ways of working that are no longer effective in our increasingly digital economy. However, it can be hard to make the transition. If things seem to be running OK, it's easy to be a little complacent and to continue doing what you have always done – for longer than you should. So here are five questions you may want to ask yourself about the digitalization of your business.
One. How well do you tailor your goods or services to meet your customers' needs? Consumers increasingly expect what they buy to be personalized to them. That's going to be more and more the case with the development of the semantic web— Web 3.0 — which will make internet searches much more accurate, giving people pages that are exactly geared to their behaviors, preferences, likes and dislikes. This will lead to the creation of new business models.
Many marketers see this kind of individualization as the future of marketing. Already a large majority of consumers say that personalization influences their buying decisions. So the more you can deliver a relevant message, the more willing customers will be to buy from you. Cookie-cutter communication that uses off-the-shelf responses no longer works.
Two. Do you have a strategy for 'mobile'? If not, you are missing a trick. This year mobile search is expected to generate nearly 28 billion enquiries more than searches made from desktop computers. And with the Internet of Everything (IoE) and wearable devices set to play a very big part in our lives, the disparity is likely to become even greater.
Three. Are you offering enough self-service opportunities so consumers can solve product and service issues themselves? This is something half of them want and nearly three-quarters expect when they go to a company's website.
Four. Have you made collecting, tracking and using data a central part of your business? If you are to respond to the changing needs of your market and individual customers, you need data that shows you what is happening with both of these, in real time. As the world shifts to IoE-enabled devices, expectations will grow alongside, as more data will mean more opportunities to engage with and please the customer.
Five. Are you watching what your competitors are doing? If they suddenly seem to be making gains, it could be that they have already started to digitalize, probably using cloud-based solutions. If they haven't, there's an opportunity for you to get ahead of them.
If you would like to find out more about your digital options, why not call one of our team? Or calculate your DigitalizationIndex to get an indication of the areas you should be prioritizing.


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My mother passed away at midnight last night. I knew it was coming but didn't expect it to be so soon. I thought she would at least make it through Christmas and her birthday two days after.
I had prepared myself for this news, but it is still hard to take and I suppose I am still in something of a state of shock. I had prayed just a couple of days ago that if she had to go that G-d be merciful and make it quick so she wouldn't have to suffer. I am at least thankful for that, she simply slipped into a coma and never woke up again. I think that's preferable to suffering a painful, lingering illness and death.
She's at peace now.
I am in Florida with a load heading to Ohio. I am waiting for our dispatch office to open up so I can find out if there is another driver in the area or a reasonable distance away who needs a load and can take mine so I can get home. I am grieving for my mother and at the same time my head is swimming with all of the details that must be attended to. I can't even think straight about all of that right now.
I tried to get at least some sleep last night after getting the news, but it was spotty at best. I remember at one point, between the tossing and turning, having a brief dream that I had rushed home to find that she was in fact still alive. Some part of my mind trying to deny the reality I suppose.
The clock is moving painfully slow right now. I just want to get this load off of me so I can get home where I am needed. I regret not having made it there to see her one last time before she passed. I truly thought we had a little more time.


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Checking for auto liens is an extremely important part of buying a used car. Existing liens can prevent you from transferring the legal title of the car into your name. In a worst-case scenario your new car can be repossessed by the lender that has a lien against it. Below are the most common ways to check for existing liens.
What Is an Auto Lien?
A lien is a legal document that gives claim over a vehicle to the person holding the lien. It grants a claim over the vehicle to the person who has loaned you money to buy the vehicle. It provides a person or company a level of protection in the case that you are unable to repay the loan. The holder of an auto lien has a legal claim to the vehicle and can repossess it if the loan is unpaid.
It is vital to verify there are no outstanding liens on the vehicle. When you purchase a vehicle you want to have clear title to the car. If an existing lien exists you will be in for quite the surprise when you try to transfer thr title to the vehicle into your name and the DMV refuses your request.
Department of Motor Vehicles
The best way to see if there is a lien on the car is to check with your local DMV. You will need the VIN (Vehicle Identification Number) of the vehicle. You might want to jot down the license plate number as well. The majority of DMVs have their databases online these days so your first stop should be their website. Usually lien information will be in the title or registering a car section of the site. Simply enter the VIN of the car and it will bring up the details or any liens. If your DMV does not have this information online you should be able to get lien information by calling the DMV office or visiting in person.
Car Lemon Report
A car lemon report such as Autocheck.com will provide lien information in its reports. You will need the VIN to pull up the report on the vehicle. Unlike the DMV, which usually provides this information for free, you will have to pay for the report and prices range from $18.00 to $35.00. The report will contain information about liens as well as any title issues, service records and other information.
If a lien does turn up on any of these reports, it is important that you resolve the issue before proceeding with the purchase. Often times the lien will have been settled but the bank or lien holder has not processed the proper paperwork to remove the lien. Make sure you have a loan satisfaction letter from the bank or lien holder before closing the deal.
There are many components to buying a used car but one of the most important is checking for existing liens. You can do this at your local DMV or car lemon report sites.
However if the shoe is on the other foot and you need to dissolve a lien on your behalf, here are some tips on resolving the matter.
Installment Payments
If the lien holder will agree, you can arrange to pay off the lien in installments while still using your car. This is perhaps the ideal arrangement since you can still get to and from work easily and earn money to pay off the debt bit by bit.
Be aware, however, that it should be a proper, legal arrangement rather than just a casually arranged plan. This is for the safety of both parties and prevents arguments later over whether the lien was paid off. You should also be prepared to pay more than the sum of the lien because of interest payments on the debt. This is only fair since you'll be paying over a longer period.
Pay in Full
The ideal way to pay off your lien is to simply pay it in full. If you do have the money in your account, paying off the debt is always worthwhile since your car will then be free and clear and you won't have the threat of legal action hovering over you.
The problem is that people will usually pay household bills if they have the money so the chances are that you won't have the funds to cover the amount owed on the lien. Usually, you'll need to try and make other arrangements.
Challenging the Lien
Under certain circumstances, you can challenge a lien in court although you'll probably need the money to pay an attorney in order to do it.
With a mechanic's lien, there's a 20-day period before it takes effect. The lien has to be recorded in a proper time frame once the repairs have been finished. Also, if the mechanic forecloses on the lien, which is his right, the lien must be recorded within the appropriate time frame as well. In other words, the rules are quite strict and if they're not followed properly, you have the right to challenge the lien in court.
Using an Attorney
This option might well prove more expensive than paying off the lien but if you feel it's necessary, it can be a successful route to take. A lawyer whose specialty is property law might be able to find some legal loophole that invalidates the lien. If he can, a court might be persuaded to invalidate the lien. In this instance, however, you will ruin any relationship you've enjoyed with the mechanic.


text:
Price: $17.50
Quantity: 1 available
Book Condition: Very Good+ in Very Good dust jacket
Inscribed by author on title page. " In Memory of Jack London - Robert Campbell. " text is clean. Blue cloth with gilt lettering. Bump to base of spine. Dust jacket shows light edgewear along top edge. ; Signed by Author
Title: Juice
Categories: Mystery,
Edition: 1st UK Edition; First Printing
Publisher: London, Allison & Busby: 1990
ISBN Number: 0850318378
ISBN Number 13: 9780850318371
Binding: Hardcover
Book Condition: Very Good+ in Very Good dust jacket
Inscription: Signed by Author
Item: 1.00 Item
Seller ID: 5770


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Hornswoggle may have been released from his WWE contract last week, but his character will live on in WWE history in some of the more confusing and controversial storylines in WWE history.
In a new blog by former WWE creative writer Kevin Eck, the story behind Hornswoggle as the Anonymous Raw General Manager was revealed.
Eck said that he wanted the Anonymous Raw GM to be Kevin Nash, with the idea that Nash had to keep his identity secret due to being under contract to TNA. It would be revealed that the e-mails were being sent from the production truck, and when investigated, Kevin Nash would be there in a wizard's hat, a play off of his WCW Oz character.
The storyline was dropped right before Eck made it to the WWE, but says that ideas were pitched on occasion to finish the storyline. One writer joked that Hornswoggle should be revealed as the Raw GM, because the payoff of him being revealed as McMahon's son was so bad. They thought it was so ridiculous that McMahon may go for it.
"The idea was that after Hornswoggle was outed as the GM, he'd reveal who he truly was," Eck wrote, "saying that his name was Lou Manfredini (the last name of one of the writers), he would speak with a W.C. Fields-like accent, chomp on cigars and refer to women as 'dames.'"
Hornswoggle was eventually going to become a heel manager, and Vince McMahon greenlit the idea. However, Hornswoggle couldn't fit the role when they tried it out, and he wasn't given much time to prepare for it. Eck said that the angle was so bad that Vince McMahon actually apologized to Jerry Lawler for involving him in it.
You can read Eck's full blog at this link.
Source: Kevin Eck Wrestling


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A funny thing happened on the way to the appropriations committee…
Late yesterday, the Natural Resources, Agriculture and Environmental Quality Appropriations Subcommittee met to finalize it budget, and the third item on the agenda was the approval of federal funds to the tune of $71 million.
Before the committee outlined the programs they would fund with the federal dollars, Representative Mike Noel (R – Kanab) and Senator Margaret Dayton (R – Orem) decided to send out some red meat.
"I just wanted everybody to be aware that the $71 million we are depending on the federal government to fund us with may not exist in the future." Noel said prior to the vote. Dayton added, "that is probably $71 million that [the federal government] probably took from us in the first place, or less, or more, who knows? Probably more, and are returning it with their strings. It really is our money, the question that we really have to resolve is how many of their strings to we have to accept to do with our own money that shouldn't have left here in the first place." A motion was then made to reject the federal money, which was expected to fail as there was no way the committee could pay for all the projects they had just added to the budget without the funds.
Sensing an opportunity to make a big statement, and hold the Republicans to their rhetoric, the three Democrats on the committee – Senator Jim Dabakis (Salt Lake City), Representative Susan Duckworth (Magna) and Representative Larry Wiley (West Valley) – shocked everyone by casting the deciding votes to reject the federal funds.
Due to rules set fourth in the appropriations committee, which is made up of both House and Senate members, at least half of the house or senate members have to agree with the adoption of such fees, and a majority of the members of the other chamber must motion to adopt. With the surprise vote of the Democrats, four of the six senators voted no, as did five of the nine representatives… causing the committee to reject federal funds for the 2013-14 fiscal year as it relates to natural resources.
This sent the committee into a tailspin as the unprecedented action prompted questions such as, "What does that mean?" from Representative Roger Barrus (R – Centerville). Ivan Djambov, Fiscal Analyst for the legislature, said, "This has never happened before…if you vote that they do not accept the new grants for 2014…I think that [state agencies] won't be able to use the [federal grants]." Djambov then reminded the legislators that they would most likely not be able to fund the various projects set as priorities for the committee. Barrus, after hearing this information, asked why lawmakers would vote the way they did.
Senator Kevin Van Tassell (R – Vernal) quickly reminded the committee that "we just shut down DEQ (Department of Environmental Quality), we have probably shut down most of our conservation programs, most of our firefighters. I guess if that is what we want to do, as long as we know that is what we are doing."
Ultimately, Representative Duckworth, Representative Mike McKell (R – Spanish Fork) and Senator Ralph Okerlund (R – Monroe) changed their votes before the vote closed, and the committee accepted the federal funds – allowing lawmakers to properly fund the projects further down on the agenda.
"We decided to give Republicans exactly what they wanted – an opportunity to reject federal funds," Dabakis said after the meeting. "Of course, once we did, the place fell into anarchy."
**UPDATE** To listen to the committee hearing, click here and listen to the first 20 minutes.


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How to Prepare a Performance Appraisal
A performance appraisal, also called an employee evaluation, is a way for managers to keep tabs on employee performance when running a business. The appraisal is a measurement tool that lists key behaviors and duties essential to your work process—you, as the manager, are responsible for rating the employee on each of these points.
Determine the most important factors or attributes that you want your employees to display while on the job. For instance, "arrive on time," "quality control" or "good customer service." List all of these factors in bullet point format for reference as you develop your performance evaluation form.
Prepare the performance appraisal form with a listing of questions based on your requirements as listed in Step 1. Categorize your list of questions into sections on the form so that it's simpler for you and the employee to follow. For instance, you might have a section on punctuality, another regarding the employee's responsiveness to customer inquires and yet another regarding dependability.
Create a rating scale to use on your appraisal form for each question on the sheet. For instance, you can rate the employee on a scale of 1 to 5, where 1 shows a need for improvement and 5 is for exceptional work.
Fill out your appraisal sheet for each employee. Take your time when choosing ratings using your own knowledge of the employee's work as well as feedback from customers and co-workers if possible. This is called 360 degree feedback.
Prepare questions and comments, in addition to the ratings, that you want to speak with the employee about at the actual review. You can enter the comments directly on the form or jot down notes for your own reference on a separate page. For instance, you might want to ask an employee how she managed to improve her sales percentages in such a short period of time so that you can use that information in your sales training procedures.
Make a copy of the filled form for the employee to keep for his own records after you complete the review meeting. Keep your copy of the appraisal in the employee's file.
Photo Credits
- Jupiterimages/BananaStock/Getty Images


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"A Lesson from Seeds," Friend, September 2016, 2–3
From the First Presidency
A Lesson from Seeds
Adapted from "God's Harvest," Ensign, Aug. 2014, 4–6.
Christa worked for a seed company. One day she got a complaint that puzzled her.
"The seeds don't work," a customer said.
"Did you plant them in good soil and give them water and sunlight?" Christa asked.
"No! That would mean getting dirty."
Christa decided to write instructions: "You must plant the seeds. You can't set them on the shelf and expect them to grow."
Soon she got another complaint.
"I planted the seeds, and I was hoping to have tomatoes for dinner. Now I am very disappointed."
"Wait," Christa said. "Are you saying you planted the seeds today?"
"Don't be ridiculous," the customer replied. "I planted them a week ago."
Christa added another guideline: "You must be patient and wait."
All went well until Christa received another complaint.
"I planted the seeds, gave them water and sunshine, and waited. But I got zucchini!" the customer said.
"You ordered zucchini seeds," Christa said.
"But I don't want zucchini. I want pumpkins! I planted the seeds in my pumpkin patch!"
Christa wrote: "The seeds you plant determine the harvest."
Just as seeds require work and patience, so do many of Heavenly Father's blessings. If we plant and nurture gospel standards in our daily life, we will grow up to have spiritual fruit of great value. Our goal is to live good lives so that the harvest of God's blessings can be ours.
Seeds of Faith
Seeds need sunlight, water, and soil to grow into strong plants. Here are some things that help your faith in Jesus Christ grow strong.
Grow your Faith! Read more in Alma 32:41.


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Day 3: 30 Days Wild – An old favourite.
Day 3 and one of my favourite walks with the hound. This evening I am joined by The Girl who supplied some of the photographs.
The disused railway line which runs from Pelsall to Brownhills and forms part of the National Cycle Network, is one of our favourite routes. The landscape changes so much in the mile or so along the line and by the time you get to Ryders Mere you could be in the depths of the Countryside.
The development and status of Clayhanger Marshes SSSI is well-known and documented locally having been visited by the rare Hoopoe in recent years. But it's the ordinary stuff that I like here. There are so many Oak trees along the route that I lost count and many, many small birds diving in and out of the hedge row. I always see a Blackbird or two along here and today was no exception. The brambles are heavy with blossom promising a bountiful harvest come September.
Once you get to Ryders Mere, the noise of the Gulls is great. If you were to close your eyes, you would be forgiven for thinking you were in a Cornish fishing village and not the heart of the Midlands! You couldn't be further from the sea. The Black Headed Gulls all lined up on the posts were a sight to raise a smile, until they caught wind of the dog! Having walked this route with local birder Chaz, I know there is a rich variety of water birds here, not in the least the Oystercatcher who was not impressed by our presence and circled above us calling until we were well clear of the area. I know we also saw Swans, Canada Geese, Mallards and the Heron, but also several pairs of Tufted Ducks and I think Goosander.
Scores of circling Swifts accompanied us on our return along the railway line diving and wheeling to catch the midges heavy in the air. No sign of any bats this evening, although we were a little early I think. Another time.


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Help Provide Gifts This Holiday Season for Foster Families!
It is better to give, than to receive! As you do your holiday shopping this year, try not to forget that some families struggle to provide holiday gifts for their families.
Devereux, a private, non-profit agency that serves young people from birth to age 22, is looking for volunteers to run a gift certificate drive to help foster families have an enjoyable holiday season.
Devereux has agencies all over the country, but the agency based out of Woburn is looking for volunteers to help collect gift cards, movie passes, and restaurant certificates that will go to teenagers placed in foster homes.
If you are interested in this volunteer opportunity, please contact Maura Donahue (781) 939-3192 or firstname.lastname@example.com.
Devereux Massachusetts is dedicated to serving children and adolescents with special emotional and behavioral needs. They provide highly-individualized, strength-based treatment and education within a supportive multi-disciplinary continuum of care. (See attached brochure)
For more information, check out their Facebook!
nike air max 2019 metallic silver


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- Betts has won the Ethel Turner Prize for Young People's Literature at the 2014 NSW Premier's Literary Awards for her YA novel Zac & Mia.
Zac & Mia, Betts' third novel for younger readers, won the Text Prize for Young Adult and Children's Writing in 2012.
The judges of the Ethel Turner Prize said of Zac & Mia, '[it] is beautifully crafted and unselfconscious in style and language, and, without any hint of hyperbole, these characters become part of the reader's experience and will live on in a reader's memory. This is a novel that is completely accessible and appealing to its intended audience, the young adult reader. Zac and Mia is very well written, and will be very well read.'


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Opinion: Will Google's Smart TV Finally Bring Apps and Web Browsing To The Living Room?
Years from now, children will look back at us in 2010 and wonder why we were browsing the web on small laptop screens when we had massive televisions and sound systems available in our living room. Perhaps those same children will wonder what it was like before "Smart TV". Smart TV is a new service from Intel, Google and Sony that brings the web to our television sets, and if the rumors are true, is likely being announced in a few days at the Google I/O conference. What is this service about, and what does it mean for the future of television and the web?
To start, let's look at what we expect to be announced about Smart TV in the next few days. The vision will likely be something like this:
Imagine starting up your television, watching your favorite show and simultaneously using a small sidebar displaying news feeds from your Facebook friends about their reactions to the show. You can easily browse the web, post status updates, download new applications and see television show popularity ratings and more. The best thing is that it's all integrated into your existing television without any further technology required.
Implications of Smart TV
This is what pundits are expecting from the Smart TV vision. This has been a long time dream for television companies (Samsung has tried the web TV angle for years), but it seems that the time has come to finally fuse the great American pastime of television with the new socially active technologies of the web. If a service like this takes off, a whole new business ecosystem emerges. Interactive advertising will need to get an overhaul to provide advertisements that match the visual quality of television shows. Application developers and content producers will need to learn how their viewers are watching TV and learn to reach out in new and interesting ways (imagine chatting with a director as you watch his newest production). The service would also open up a host of new user experiences and business partnership opportunities.
Smart TV and Business
As far as business relationships are concerned, there aren't any details about Google's relationship with Sony, but the big question is whether this deal is a Sony-exclusive. If so, then application developers will not have as great an incentive to develop for the Smart TV platform, because it's only one brand of television. That gives competitors the chance to develop their own application platform and sign with Samsung or Panasonic. That said, Apple has also made moves into the space, and they may promote their own Apple TV product again along with their superior application platform. Microsoft has the XBox as well, and they've integrated NetFlix to make the machine a great way to easily stream movies from the web. This would lead to a war of applications on television that will likely be confusing for the user, although power users will enjoy the variety. The business relationships are still unclear, so we're waiting to see what to expect on this front.
On the technology side of things, Google is planning to bring the Android platform, including their full application platform, to Sony televisions by integrating them with Intel's new 'Canmore' chip. By leveraging the software and application strength of Google against the hardware capabilities of Intel, I'm hoping to see an easy-to-use platform that allows developers to easily come up with new ways to enjoy television. The hardware all resides inside the TV, and that begs the question of whether it will be going head to head with existing set-top boxes. For instance, if Apple re-enters the game, the downside is that you'll need a separate box from the television to use it. It'd be something like a television console. This would also put Apple in a battle versus Microsoft, and that would be a tough battle considering XBox's great momentum and success with the XBox 360.
Google's Opportunity
If, as I suspect, Google is planning to make relationships with all the television hardware manufacturers, then Google skips a step and enters into living rooms by default. That would be a powerful position for Google, a great opportunity for viewers and an absolutely massive step for the Android platform. It leaves Google out of direct competition (for a while) with Microsoft or Apple, and allows them to grow quickly. It also lets them throw the Google Chrome web browser into televisions, and that would quickly become the default browser for Smart TVs. Features like Google Chrome's "bookmark synchronize" would become a surprisingly easy way to keep your bookmarks synced along all your devices: your Chrome on your home computer, your Android mobile device and your television. There are rumors that Sony will also be releasing Blu-Ray players that include Android as well, which is just another step in the direction of a Google-powered living room. We'll keep you updated as things progress this week.


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MissInternetEarth replied on United Kingdom (Great Britain) Permalink
I'm happy to read that you like our website.
Have fun practising your English!
Best wishes,
LearnEnglish Kids team
DoctorKidSwan replied on India Permalink
Hi! My birthday is on March 19 .I don't like to call my friends , I only want to be in my house
all day.
SpottyPixiePrincess replied on Canada Permalink
Hi! My birthday was on 6th of April. I invite my friends to my house and celebrate the party. After eating the birthday cake, my friends and I will have pool party. It's fun and excited. I had 3 fancy dresses, a set of dolls, a box of jewellery filled with some neckalaces and bracelets, a white cat, a teddy bear and the best present is the doll house!! I love celebrating birthday party.
ExtraPearl3000 replied on India Permalink
PinkPuma replied on Brazil Permalink
My birthday is 1st February...
I celebrate my birthday with my family and friends.. We go to pizzerias or we go to my home and make a party here! I also go to the church to receive a pray... It's the best part! I think the best present I have ever got was my hamster, Twister! Well, when I go to birthday's partys I eat! :)
RedDaffodilDuck replied on India Permalink
i like it
RedRapRap replied on Turkey Permalink
Hi! I'm Öykü!
I'm from Turkey.
My birthday is on 22th January.
I celebrate my birthday with my family and friends.
My best birthday present is a book.
Its name is Sayı Şeytanı.
I eat snacks and celebrate the birthday party.
Happy Birthday everyone! :)
PinkJellyfish1 replied on Azerbaijan Permalink
My birthday is 21 december
GoldSunnyGlass replied on Bangladesh Permalink
My birthday is on 8th January.I celebrate my birthday by bringing cake and eating it and have fun.
PrincessBluebir... replied on Egypt Permalink
My birthday is on June 29 .I celebrate my birthday with my family. The best present i ever got was a Plastic House . I eat the cake than i give him /her a present


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Our classic trench coat shape, crafted from a Loro Piana Storm System® cotton for a weatherproof finish. Cut with a cropped silhouette — emphasised by the rounded long sleeves — this fawn-tone double breasted look is detailed with a high-rise belt and logo engraved buttons. Made in the United Kingdom, this design represents the Mackintosh DNA with its mix of traditional style and revolutionary, intricate craftsmanship.
Product ID: 13528871
Size & Fit
Model wears size UK38
Model measures: chest 38"/96cm, height 6'1"/185cm, waist 32"/81cm
Details & Care
Loro Piana Storm System® Cotton
6-horn button double breasted closure
Throat latch
Long sleeves with adjustable sleeve tabs
Buggy sleeve lining
Buckled waist belt
Front slash pockets
Mid-thigh length
Single vent
100% cotton
Dry clean only
Made in the United Kingdom
Style ID: MO3231
Model: GM-039BS E501/G209
Returns & Exchange
If you are not happy with your purchase you can return it to us within 14 days for a refund.


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Reviews on these picture books:
-- The Big Picture Story Bible (David Helm)
-- The Kidderminster Kingdom Tales (Christopher Lane)
These chapter books for younger children:
-- Tales of the Kingdom (David Mains) & sequels
-- The Princess & the Goblin (George MacDonald)
-- the Charlie Bone series (Jenny Nimmo)
These for older children:
-- the Artemis Fowl series (Eoin Cooper)
-- the Dragon Keeper Chronicles (Donita Paul)
Please leave suggestions and/or comments so I know what would be most helpful! I've got so many books to review, I hardly know where to start!! :) I really want to serve YOU!
Jeannette (not verified)
Sat, 11/06/2010 - 19:51
Christina, have you ever read Recollection Creek by Fred Gipson (author of Old Yeller)? It's hard to find because it is out of print (I think), but Ashlea might have her copy. It's a very humorous story of a boy growing up in early day Texas. Very entertaining for all ages.
Nicole (not verified)
Sun, 11/07/2010 - 16:41
Well in keeping with the spirit of AMAZING fantasy/coming of age novels/great adventures i just had to recommend the Heir Chronicles, by Cinda Williams Chima. So far i have read the first two books in the series (The Warrior Heir and the The Wizard Heir) and I can't stop reading... I'm so glad i bought the trilogy as a book set (and, as it so happens, these books were NY Times Best sellers).
Well I don't want to spoil the books (because you HAVE to read them and you would be super mad if i spoiled them for you), but i will say that the author does a great job integrating history with fantasy! It's one of those books that (if you REALLY stretched your mind) you could believe in... kind of like Harry Potter and you just realize you're a muggle (or in these books, an anaweir) .... I could write loads about the books, but i think you should prob just read them :)


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Chris Doyle, administrator, and Kristin Thompson of Riddle Surgical Center in Media, Pa., discuss five improvements that made their good surgery center great. Click to continue »
Here are 36 administrators of joint venture ambulatory surgery centers to know. Click to continue »
Billing and coding operations at ambulatory surgery centers are rapidly changing. ASCs may need to evaluate and update certain practices to stay relevant, compliant and profitable. Click to continue »
This issue of Becker's ASC Review focuses on operational improvement, ASC financial issues and increasing profitability. Click to continue »
Karen Reiter, administrator at DISC Sports & Spine Center in Marina del Rey, Calif., discusses five initiatives her surgery center has taken on to improve the patient and physician experience at the ASC. Click to continue »
Here eight ambulatory surgery center administrators discuss healthcare reform and how it has affected their centers. Click to continue »
As more employers adopt insurance plans with higher deductibles as a way to better manage and save on employee healthcare cost — patients seeking surgical procedures are facing higher out-of-pocket costs, including increased co-pays and deductibles. Click to continue »
Here are 12 statistics on average ambulatory surgery center administrator salaries, according to VMG Health's 2011 Intellimarker survey. Click to continue »
Many ambulatory surgery centers are familiar with compact scheduling — scheduling many cases in a row to avoid excessive downtime — but they may not be optimizing these tactics to fully reap the benefits of a busy surgery center and staff. Click to continue »
Arvind Movva, MD, CEO of Heartland Clinic Regional Surgicenter, shares seven tips to keep operations running smoothly at a busy, multispecialty ambulatory surgery center. Click to continue »
Here are 36 notable surgery centers that perform a majority of GI & endoscopy procedures. Click to continue »
Here are five big factors in the ambulatory surgery center growth, mergers and acquisitions market today and projections for the future. Click to continue »
Here are 12 statistics on ambulatory surgery center case volume based on data from the VMG Multispecialty Intellimerker 2011. Click to continue »
Healthcare legislation and mandates will drive more patients to outpatient settings in 2013 and forced a shift in healthcare costs, according to Healthcare Finance News. Click to continue »
Accountable care organizations are beginning to sprout up across the healthcare landscape in many communities, led by physicians, hospital and health system leaders. Click to continue »
A trend toward price transparency in healthcare is sweeping the country and ambulatory surgery centers are in a prime position to benefit. Click to continue »
Not much has changed over the past year regarding accreditation standards. Click to continue »
Here are 61 CEOs of ambulatory surgery center management and development companies. Click to continue »
© Copyright ASC COMMUNICATIONS 2020. Interested in LINKING to or REPRINTING this content? View our policies by clicking here.


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We have small and large cabins, 30 and 50 amp regular and full hookup campsites, and tent camping accommodations. RESERVATIONS ARE NOT REQUIRED, but strongly encouraged. We have a large lodge available for rental for weddings, family reunions, work gatherings, church camps, and more. For booking details, please call (731)-658-2246 and ask for Tina.
205 Sparks Road
Hornsby, TN 38044


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Story telling is an important activity that every growing child must be initiated into as it can help in honing their inherent creative instincts. The art of storytelling, which is fast becoming obsolete, is used a valuable learning tool in our school.
Storytelling is an activity that can help children develop their innovative side. It provides them the chance to develop their communication abilities and overcome the fear of speaking in front of a crowd. Stories can also enhance their intercultural understanding while exploring their own cultural roots. By exposing children to a range of diverse cultures, storytelling can go a long way in improving their inventive skills. It encourages them to participate in community events as they learn to be confident through regular storytelling sessions in the school.


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Everything about the new Mercedes-Benz GLC Coupé suggests power and grace, from the signature sloping roofline to the fluid contours and diamond radiator grille. Perfectly blending the sports performance of a Coupé with the athletic prowess of an SUV, this is a compelling car that simply must be driven.
Engine choices include two impressive four-cylinder diesels; the GLC 220d and the GLC 250d. Each engine offers seductive power, uncompromising efficiency and a thrilling driving experience that brings exhilaration to a whole new level. The carefully sculpted outlines of the GLC Coupé offer game-changing aerodynamics for a ride that exceeds every expectation.
4MATIC permanent all-wheel drive, coupled with specially tuned sports suspension promises confident and self-assured handling that offers class-leading agility and supreme dynamics. The GLC Coupé is undoubtedly a premium choice for drivers who only accept the best in style and performance.
Feel completely confident behind the wheel with the plethora of safety features offered in the GLC Coupé. Find top-of-the-range tech like the optional LED Intelligent Light System headlamps, which offer a cornering light function and dynamic range adjustment for the ultimate visibility in all weather conditions.
Choose from a range of comprehensive packages, each offering safety solutions that suit your every need. Opt for the Lane Tracking package for intelligent systems such as Blind Spot Assist, providing a visible warning in the exterior mirrors if a vehicle is detected in your blind spot, with an audible warning if you are indicating to move out of your lane.
The Driving Assistance package offers extra safety measures such as DISTRONIC PLUS with Steering Assist and Stop&Go Pilot, a radar-assisted cruise control that is able to maintain a safe distance from the vehicle ahead, even when braking to come to a standstill.
Dramatic styling cues from the Mercedes-Benz SUV design language blend seamlessly into classic Coupé styling, lending the GLC Coupé an irresistible power and athleticism. With a longer and lower stance than its SUV counterpart, a high belt and dropping roofline creates dynamic visual impact. Wraparound LED High Performance headlamps offer striking visual details, and large air intakes offer a truly sleek and focused look.
Step inside, and you'll find equally dramatic styling, emphasised by the quality and attention to detail eminent in every feature. Heated front seats upholstered in ARTICO leather offer supreme driving comfort, while a sculpted dashboard and centre console offers eye-catching touches of elegance.
Find plenty of versatility too, with a boot capacity of 500 litres, expanding to 1,400 litres when the rear seats are down. An additional benefit includes a lockable luggage compartment floor, along with plenty of extra stowage throughout the cabin for complete flexibility.
Find a complete selection of premium technology within the GLC Coupé, ready to complement every journey you take. An Audio 20 CD system with Bluetooth® music streaming is ready to provide the perfect entertainment, while a Garmin® MAP PILOT system and high-resolution 7-inch multimedia display waits to guide you seamlessly to your destination.
A plethora of expedient systems are ready to ensure your driving experience is as relaxing as possible, such as Active Parking Assist with PARKTRONIC; it identifies the perfect space for you, guiding the vehicle in effortlessly. A reversing camera is also included as standard for perfect peace of mind.
And if you'd like a little extra, there is a whole range of options to complete your dream; from a 360˚ camera system to give you all-round assurance, to KEYLESS-GO, which offers automatic powered boot closing, keyless start and hands-free access for complete convenience.
|Vehicle Length
|4732 mm
|Vehicle Width
|2096 mm
|Vehicle Height
|1602 mm
|2873 mm
|Unladen Weight (DIN)
|1845 kg
|Engine Example
|GLC 220d 4MATIC
|Engine / Cylinders
|Engine Capacity
|2,143 cc
|Max Torque
|400 NM @ 2,800 rpm
|Max Power
|125 kW @ 4,200 rpm
|Top Speed
|130 mph
|0-62 mph - 8.3 sec
|Combined Cycle
|56.5 mpg
|Urban Cycle
|49.6 mpg
|131 g/km (18" Alloy Wheels)


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Eveis apartment
Eveis is Val di Fassa's ancient name
80 Sq m • 6 people • 2nd floor
Apartment Eveis is located on the second floor of the house next to ours.
The apartment has a hallway in common with Focobon apartment that leads to the entrance, which you can access by a flight of stairs.
Eveis is warm and smells like wood, all the covering is in wood, and the furniture in pine.
The apartment has three bedrooms: a double bedroom, another with two separate beds and the third elevated, for the kids. The kids bedroom is all in wood and has a small balcony and playground.
There are two bathrooms, both of them with shower, wc, basin and a bidet. One of them has also a bath tub and washing machine.
The living room has a couch, a kitchen and a wide balcony from where you can see the garden. the kitchen is well furnished with hob, electric oven, a refrigerator and a freezer.
You can connect to wi-fi in the whole house.


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Our project managers and consultants strive to ensure that our customers are 100 per cent successful in their Timegrip acquisition and implementation.
Our support staff have in-depth knowledge of all Timegrip's functions and can answer any technical question.
Timegrip's technology is developed wholly in Norway for distribution online, and is delivered in the form of Software as a Service (SaaS).


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A Miami doctor was recently hit with a $33.8 million malpractice judgment after a baby he delivered was left with permanent brain damage due to his negligence.
The Miami Herald reports that Dr. Ata Atogho made three fatal mistakes when he delivered the child of Marla Dixon and Earl Reese-Thornton Jr. on Dec. 2, 2013:
The doctor ordered nurses to restart a drug to strengthen contractions; he failed to perform a Cesarean section; and most egregiously, he walked away from Dixon's room for long periods, once for an eight-minute phone call from his stockbroker, according to the verdict.
Baby Earl was born blue in the face and his limbs were limp after he came through his mother's birth canal, and by then he had severe brain damage from lack of oxygen.
The doctor, Dixon said later, blamed her for not pushing hard enough. He also falsified the 19-year-old mother's medical record with a note that made it appear she had refused a C-section.
"Not one time did he apologize," Dixon said of the doctor. "He blamed me."
The story got worse when Dixon found out two other babies delivered by Atogho that same year were permanently brain damaged, too, and a third was disabled for life.
All of the mothers were teen moms, all receiving pre-natal care at at Jessie Trice clinic, which serves many of Miami's low-income and uninsured residents.
Atogho was accused of rushing of rushing to deliver her baby and using a vacuum device that disfigured her daughter, born in September 2013, with permanent damage to nerves in her shoulder and neck. The baby's mother, who was 17 at the time, agreed to settle for $92,200 in January, reports the Herald.
In another case, this one in May 2013, a 19-year-old mother accused Atogho of ignoring signs that her baby was in distress and waiting too long to perform an emergency C-section. The baby girl was born with permanent brain damage.
The Herald reports that Atogho has not received a reprimand and no other disciplinary action has been taken against his Florida medical license for the incident. He's not personally liable for the $33.8 million judgment for Dixon, either.
The U.S. government (i.e., taxpayers) is. Dixon and Reese-Thornton were able to sue the federal government because Atogho worked for a federally funded health clinic.
Atogho now works in private practice and has privileges at Jackson North Medical Center and Memorial Miramar Hospital in Broward County.
Read more of this story at the Miami Herald.
Toxic Tush Doctor Sentenced To 10 Years In Prison
Doctor Botches Surgery Learned From YouTube
True Strength: Celebrities Who've Been Open About Their Mental Health Issues
True Strength: Celebrities Who've Been Open About Their Mental Health Issues
1. Lady Gaga once told Billboard about her depression, "I've suffered through depression and anxiety my entire life. I just want these kids to know that this modern thing, where everyone is feeling shallow and less connected? That's not human."Source: 1 of 10
2. Adele once admitted that anxiety attacks keep her from playing large festivals and arenas.Source: 2 of 10
3. Jennifer Lawrence once revealed that she suffered from social anxiety as soon as she started school.Source: 3 of 10
4. Kid Cudi checked himself into rehab in October for depression and suicidal thoughts.Source: 4 of 10
5. After a stint in rehab for anorexia, bulimia, and cutting, Demi Lovato discovered that she was manic depressive/bipolar. She told People, "I feel like I am in control now, where for my whole life, I wasn't in control."Source: 5 of 10
6. Kanye West reportedly felt suicidal after the death of his mother in 2007.Source: 6 of 10
7. Zayn Malik's anxiety is often so crippling, it's caused him to cancel shows.Source: 7 of 10
8. Britney Spears knows a thing or two about social anxiety, saying, "I'm not good in large groups, I just make everything awkward."Source: 8 of 10
9. The Rock talked to Oprah about his depression, saying, "I wish I had someone at that time who could just pull me aside and say, 'Hey, it's gonna be okay. It'll be okay.'"Source: 9 of 10
10. Kerry Washington once spoke about her depression and unhealthy relationship with food and exercise in college, saying, "I think it's really important to take the stigma away from mental health."Source: 10 of 10
Black Miami Doctor Causes Permanent Brain Damage In At Least 3 Babies Born To Teen Moms was originally published on newsone.com


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Features May 2007
On the changing relationship between the Austrian economist and bien-pensant thinkers.
A rule, which, in speculation, may seem the most advantageous to society, may yet be found, in practice, totally pernicious and destructive.
—David Hume
It is one of the most disheartening spectacles of our time to see to what extent some of the most precious things which England … has given to the world are now held in contempt in England herself.
—Friedrich A. Hayek
We were the first to assert that the more complicated the forms assumed by civilization, the more restricted the freedom of the individual must become.
—Benito Mussolini
In fact, Benito, you weren't the first. The palm for first promulgating that principle in all its modern awfulness must go to V. I. Lenin, who back in 1917 boasted that when he finished building his workers' paradise "the whole of society will have become a single office and a single...


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What is Olaplex?
Olaplex is a hair 'bonding' product, that helps to maintain and repair hair, which has been damaged from chemical processing. Suitable for coloured, highlighted and permed hair, Olaplex is positioned as an innovation in hair care and can rebuild the strength of the hair from within.
How does Olaplex Work?
With 3 steps, Olaplex is initially used in the colouring process at the hairdressers. When I had my hair dyed at Toni and Guy a few years ago, they used Olaplex in the bleach and it helped to prevent as much damage and ultimately meant I had less breakage during the bleaching process. If you're having your hair dyed at the salon they usually add this for an additional price of around £5-£10 to your colour.
You can also get Olaplex 3 (pictured) for use at home. This is used once a week and as a pre-shampoo treatment.
Is Olaplex any good?
The thing to remember about Olaplex is that it's not a traditional conditioner. You won't have immediately shinier hair, but you will notice less breakage and stronger hair over time. I'm one of those people who loves immediate results and after the first few uses, there was nothing to note. However, after around 6 weeks I am noticing less breakage, on my dry, brittle, over-processed hair.
It doesn't come cheap for the at-home Olaplex 3 treatment. I got this bottle of Olaplex from Notino for around £20. If you are suffering from really damaged hair it is worth the investment, but as mentioned, don't expect immediate mermaid hair as that's not the idea of the product and it doesn't work like that.
I have seen a noticeable difference on my extensions though, and the dryness I was experiencing after around 3 weeks of wear with them has *almost* been reversed.
Worth Noting….
There are a lot of brands bringing out products which are claiming to be the same kind of thing as Olaplex. I recently picked up a shampoo and conditioner from a brand called 'SYOSS' in Tesco and each product cost £2.
After researching the ingredients when getting home, it turns out these SYOSS versions are just full of silicones, which gives your hair a glossy feeling. This isn't the same as Olaplex, which repairs from within. Silicone coats your hair and these SYOSS ones appear no different or better than Pantene shampoo and conditioner.
Whilst you might like the result, the long-term benefits cannot be likened to Olapex.
Just sayin'
If you want to give the real Olaplex a whirl though, head to Notino to discover more.


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WE ALL love to chat on two-way radios, whether it's with fellow travellers about how they're travelling, strangers about hazardous road conditions, or station workers about accessing land.
However, one thing is for sure: It's a damn pain when we can't hear each other properly. It's a situation usually caused by one of two things: the UHF is out of range, or it has poor sound quality and volume.
Often, no matter how high we turn up the volume, all we get is louder muffled noise, because the speaker is mounted within the dash or near the footwell. Some radios have an optional remote speaker, but many don't. The alternative has been a handset with a built-in speaker, which is smaller and therefore easier to attach to the dash or console.
But this still raises the problem of sound quality; by holding the mic and speaker, you're inadvertently blocking the sound or having to hold a mic that's too large.
This is not so with the TX3350, which features the trademarked SoundPath speaker microphone. What the engineers at GME have managed to do is project the sound away from your hand to allow clear sound from the in-built speaker.
GME has also managed to produce an ergonomic, full-function LCD handpiece to control all features of the base unit – a top effort in miniaturisation. The head unit can be tucked away under the dash, within the console, under a seat or in any other hidden space. It comes with an extension lead from the head unit to the microphone. The handpiece is mounted on a traditional microphone clip, and extra external speakers aren't necessary.
The TX3350 also features digital signal processing for pure sound, user-selectable/adjustable open and group scan, squelch, duplex channels and priority channel, plus 104 in-built DCS codes, 50 in-built CTCSS codes, five-digit selcall with quiet mode, and a five-year warranty. It's Australian designed, engineered and manufactured.
Having used the GME TX3350 for just a few weeks, I reckon it's the duck's nuts of UHF radios. I didn't need the extension lead as I've semi-hidden the head unit under the centre dash and hung the microphone where my gangly arm can easily reach it.
Something I've found over the years with some 'loaded' handheld microphones is the annoying ease of accidently pushing buttons while using the mic. Sometimes I've unintentionally changed channels while talking; other times I've inadvertently turned the volume way down, leaving me to wonder why no one wanted to talk to me!
Not so with the GME TX3350. The ergonomics of the handpiece negate accidental button-pushing.
I've opted for a GME AE4705 antenna that measures 1200mm long and has a 6.6dBi gain. It's ground independent and came complete with a sturdy spring base. The fibreglass whip is easily removable should I wish to use shorter (for hilly country) or longer (for flat country) whips to suit different terrain.
Same goes for the super-rugged, heavy-duty stainless-steel spring mount; I had the same on my last vehicle and, while it soaks up the stresses of corrugations and pot holes, it doesn't flop all over the show like a pansy in a gale.
All up, I've got a brilliant UHF set-up that's been designed and manufactured in Australia for our conditions. The compactness of the head unit allayed my fears of squeezing it into my dash, and the handheld unit delivers quality easy-to-hear sound. It's a beauty! Once I learn which button does what, all I'll need is someone who'll listen to me.
Available from: www.gme.net.au
We say: Compact; easy to use; full-featured.


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Assessor's Manual, Volume 4, Exemption Administration
Exemption Administration Manual - Part 2
Section 4.07 - McK U Con L Section 6272 (Urban Renewal)
Exemption Code(s): 18180 Year Originally Enacted: 1968
SUMMARY: Urban renewal or civic projects owned or under the control of the NYS Urban Development Corporation (UDC) that are located and used as required (see Property Location and Property Use Requirements below) are wholly exempt from taxation and special ad valorem levies, but are liable for special assessments. This exemption also applies to UDC subsidiaries.
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Please send general questions or comments to ORPTS.


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Summer Internship with SARL Ikalogic, France – Deepak Solanki from Lovely Professional University
Daily Winner for: – 18th August, 2011
Name of the intern: – Deepak Solanki
Institute: – Lovely Professional University
Organization interned with: – SARL Ikalogic
Getting an internship for a small grade college student who does not have contacts in the companies or with the professors is very difficult. The same happened with me. I applied to all the IITs for Summer Research Intern but was rejected everywhere even though I have done work in my field (Robotics) before. I was quite disappointed because nobody was evaluating my knowledge and what I had done. Just because of the college name and with no recommendations I was not able to get any internship. Then once I thought why only IITs or big brand companies? The soul purpose of the internship is to learn and I should go to the place where I can learn more. The best way I found is to go to the start up companies there you can get the proper guidance as well as the work. So I started looking at the start up companies which is working in Robotics.
I was following a forum and there I came to know about a person Ibrahim Kamal who was the winner of International Robotics Competition RoboCon 2007. He started a small company in France. I thought of doing internship under his guidance. I just sent an email to him explaining what I have done and my wish of doing internship. After few days, I got the positive reply from his side. He took an interview and I was selected. That was one of the happiest ever moments for me.
It was very exciting for me as I was going to a foreign country for first time in my life. Finally I reached there and had a great welcome by my boss :) I experienced a different culture, different food style (I am a vegetarian but didn't find veg food there), bad weather (temperature goes below – 20 degree in the night), and language problem (people in France didn't know English and I didn't know French ) but I managed and enjoyed it.
I spent 5 months there and learned a lot of things technical as well as cultural. I completed the project before time and then traveled to many places as I love traveling and exploring different places. Traveling in TGV (One of the fastest train in the world) was awesome and going to country side and exploring the nature was amazing. This was one of the best experience that I had at the end of my teenage. :)
Was this interesting? If yes, please like the post on Facebook (below) and help Deepak become winner of the week and win the prize (Rs. 1,000/-) that he truly deserves!


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It Won't Be Long Until This Administration Starts Killing People
After the Mueller Report was released, and people got to read for themselves (redacted as it was) the OVERWHELMING evidence of Trump's attempts to obstruct justice, Donald (as he often does) took to Twitter to express his anger. And the … Continue reading
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COGZ CMMS Software Partial Customer List
Check out our wide range of customers listed below. COGZ CMMS Software is used in every type of maintenance operation including building, education, facility, food processing, hospitality, manufacturing, medical, transportation, public works, energy, and utilities. Companies large and small all over the world use COGZ to manage their maintenance departments.
Free Trial! Start Using COGZ Now!
Public Works
APD Sunland – Appomattox River Water Authority – Audubon State Historic Site – Bayou Segnette State Park – Brunswick News – CFS Leitrim – Chicot State Park – City of Amarillo – City of Brush – City of Colville WWTP – City of Concord NH Wastewater Treatment Division – City of Deltona – City of Norfolk – Clean Caribbean & Americas Co – Correctional Service of Canada – County of Marin – County of Passaic – County of Peoria – Ecovation Inc. – Ector County – Hodges Gardens State Park – Jamaica Observer Ltd – Jefferson County Water Authority – Jimmie Davis State Park – Jurupa Community Services District – Lake Bistineau State Park – Lake Claiborne State Park – Lake D'Arbonne State Park – Lake Fausse Pointe State Park – Nauticus: The National Maritime Center – Norristown Municipal Waste Authority – Panama City Port Authority – Parks Canada – Poverty Point Reservoir State Park – Quadomain Recreation Assoc. – Rahway Valley Sewerage Authority – Rodeo Sanitary District – Rosedown State Historic Site – South Toledo Bend State Park – Southwest Indiana Regional Youth Village – Tickfaw State Park – Town of Fairfield – Town of Branford – Town of Glastonbury – Township of Willingboro – Truckee-Donner Public Utility District – Town of Plymouth – Tuscon Newspaper – Unicoi Water Utility – Westlands Water District


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Wild Blueberry Raspberry Smoothie Bowl
< 10 min
serves 1
1/2 cup frozen Wild Blueberries
1/4 cup fresh cherries, pitted
1/2 cup siggi's Raspberry drinkable yogurt
1 cup spinach
optional toppings – coconut, granola, walnuts, banana slices
1. Combine all ingredients in blender. Blend until smooth.
2. Pour into bowl, top with whatever toppings you like.
3. Eat with a spoon and enjoy!


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By David True, General Manager, US, SEQR Mobile Payments
March 2, 2017
Talk of mobile payments has been taking up pixels in the payment press for years, and was creeping into the wider retail conversation even before Apple Pay arrived in October 2014. But in the US, using a mobile phone for in-store shopping is still the exception. Is it any different in the EU? Let's take a look.
Consumers like to shop and love their phones, and apps are a big reason. But in Europe as in the US, the mobile shopping world is dominated by retailer-agnostic, online-only apps. Amazon leads in the US, and increasingly in Europe. This threat to brand, share, and margin is clear, and retailers in the EU are working to find solutions. Jaeger is a UK retailer, founded in 1884, who, like many in fashion, has struggled in recent years. Digital is central to turnaround efforts, and in December 2014 they brought in Cathy McCabe from Burberry as their CIO.
Cathy has some clear views about the role of mobile in her vision for Jaeger. Just a month after joining, she made the now-common argument that payments should disappear into commerce, and POS should disappear, freeing floor space for selling and allowing all to be done through the customer's phone.
Where has McCabe taken Jaeger? In a July 2106 article, she commented
"We've replaced point of sale in all our stores, we've introduced mobile point of sale (MPoS), we've introduced other tools such as digital receipts to help drive different types of engagement with our customer base,"
"We brought the loyalty program in house after it had been outsourced for a number of years – we're in the process of transforming loyalty. We introduced JaegerInspire [in association with tech startup Proximity Insight] – an in-store tool which gives the store staff more information at their fingertips such as product data and customer engagement and purchase history."
That was a start. Jaeger planned to add new, mobile phone features such as video and reviews to increase customer engagement and future link physical store and digital operations. But no store-specific app, with payments. Not yet.
Did it work? Apparently not quickly enough for its private equity owners, who cut senior management, including McCabe, in December. While Jaeger's operating losses narrowed, same-store sales fell. But the strategy makes sense-- we saw Amazon launch a version of this idea last month, in a grocery store, with Amazon Go.
Fashion has its own unique challenges. Other areas of retail are driven less by style and more by product mix and convenience, and here mobile can clearly help.
In the Netherlands, where 20% online shopper used their smartphone to place an order in Q3 2016, grocers have taken note, and are using the channel to build loyalty. How? By making it easier to get groceries home. One leading chain, Jumbo, is betting on pickup points, where a customer can stop and pick up the pre-ordered groceries; the other, Albert Heijn, has pickup points but also offers home delivery. Both have apps for ordering and paying.
2016 research indicate grocery shows mobile growth interest in Germany and France, and in both those markets we see grocers looking to implement variations of what is happening in the Netherlands. Lidl, for one, is testing the idea in select German locations.
Outside of verticals where delivery is important, who had done the most to integrate mobile into the shopping experience? A good candidate is FNAC, a French-based chain that is roughly a combination of Best Buy and Barnes and Noble, with a Gallic twist. FNAC has a mobile app that combines shopping, order tracking, promotions and events, and uses geo-location to display different content when the user is near a FNAC store. As they describe it:
"FNAC is accelerating its mobile development by launching a new version of its iPhone and iPad application. This is a step further in the brand's omni-channel development, establishing a real link between its Website and its stores thanks to mobile…. It has been rethought entirely to reinvent a new purchase experience: simple, personalized, relational and local."
How about the omnichannel wallet? The one that bridge physical and digital, with payment built in? Who is leading that effort?
Some are certainly working on it. Last month, in France, three financial institutions (BNP Paribas, Crédit Mutuel, and Oney), a couple of big retailers (Auchan and Carrefour) and a petroleum company (Total) announced they were working with MasterCard to offer a "..unified universal mobile payment solution designed to enhance the customer relationship".
This effort grew from distinct digital wallet launched by some of those involved; one can infer those wallets were not getting the hoped-for results, which lead the cross-business effort.
Finance folks working on an app? Sound a bit like an MCX remix, built by frenemies. Will their wallet see greater adoption than CurrentC? I'll be watching.


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I'm looking for an America and Canada military jacket. Can be used or new, I don't really care as long as its in good condition.
I'm looking for the price to be under 55$ including shipping to the US, and be able to be delivered before October 6th
For size, probably around small/medium.
Thanks so much ^^
Looking for America and/or Canada Hetalia Jackets!
Looking to buy a costume or prop? Look no further!
Post Reply
2 posts • Page 1 of 1
- Posts: 3
- Joined: Sat Jul 21, 2018 4:05 pm
Looking for America and/or Canada Hetalia Jackets
I thought you have a good looking pair for sale not too long ago?
Post Reply
2 posts • Page 1 of 1


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Row Bots: Hexbug Warriors First Look, Part 1
What the Hex…
Anyone who has read this blog in the past knows I'm a fan of Innovation First Labs Inc. and their line of robotic toys. My favorites are the arthropod inspired Hexbug Nanos. I just love to watch the meanderings of these self propelled creatures along the modular tracks you can design and expand yourself. After a while they seem to take on individual personalities. Needless to say a selection of Hexbugs, tracks, platforms and corrals (as well as the "Battle Bridge" kit) made a great gift for my Godson – and for me as well.
At Toy Fair 2012 Innovation First Labs gave a sneak-peek at their newest spin on the product. They're called Hexbug Warriors Battling Robots. It was clear from the prototypes and their accoutrements that this was going to be a grand addition to an already fun franchise.
It's Academic…
Taking a page from Harry Potter and X-Men, as well as real life school robotics competitions Innovation First supplies parts for, the Warriors are back-storied to be the creations of four fictional student "academies" in the year 2087. They are color coded to note each academy. Caldera Prep (Red), Viridia Prep (Green), Bionika Cyborg (Blue), Tronikon Tech (Yellow.) Each of the Warriors can be outfitted for battle with a range of armor and weapons. Saw blades, pinchers, scoop wings, borer cones, side plates and other pieces can be mixed and matched to your desired effect.
When Push Comes to Shove…
Whereas the earlier Bridge Battle kit pitted Hexbugs against each other in push and shove matches – with losers being knocked off an elevated concave arena – Warriors ups the ante with a "last man standing" motif. This is driven by sensor tech inside the robots. Each Hexbug Warrior has an LED light that signals its current health state in Green, Yellow or Red as it wages battle. Eventually the shock sensor will shut a Warrior down after its maximum number of hits. The ultimate victor is the one still running.
SkeletonPete Says…
This first installment of my review gives you a look at the packaging variations. It will be followed next week by up close images of the individual Warriors, their battle armor and weaponry. The third report will enlist some family members a real world view of game play. My previous coverage of the Hexbugs line can be read here.
Click Any Image to Launch the Gallery
One Response to "Row Bots: Hexbug Warriors First Look, Part 1"
I would be lying if I didn't admit that I want all of these. One of the coolest items I have ever seen and something that is innovative and allows for creativity in game play. Good job Innovation Labs.


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Here's the latest article from the Short Stories site at BellaOnline.com.
French Short Scary Stories-Guy De Maupassant
More short scary stories ideas for Burns Supper nights,Hallowe´en or just for goth students running out of grisly Edgar Allen Poe stories - Guy De Maupassant´s ´The Hand´ all grisly, shrivelled and black,may open a second world of classic gothic horror genre short stories... is that hand moving...?
Please visit shortstories.bellaonline.com for even more great content about Short Stories.
To participate in free, fun online discussions, this site has a community forum all about Short Stories located here -
I hope to hear from you sometime soon, either in the forum or in response to this email message. I thrive on your feedback!
Have fun passing this message along to family and friends, because we all love free knowledge!
Siobhain M Cullen, Short Stories Editor
One of hundreds of sites at BellaOnline.com


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Election Results: Your New Board Members Are…0
The election results are in and the votes have been tallied. Thank you all who nominated, discussed, and voted in the this election. This was a big step forward in the sustainability of our community. The election of this board marks creates the first full rotation since its creation by the community and as such an evolution into the long term sustainability of the StartupBus organization (which in turn, supports our community). Thank you to all that participated.
Without further adieu, you as a community have elected the following community members to our board of directors. In alphabetical order, your new Directors are:
- Dan Porter
- Greg Ross-Munro
- Prateek Gupta
- Steven Beeckman
- Yanique DaCosta
They join the existing directors, the founder Elias Bizannes and myself Mitch Neff as Executive Director, as well as the other community members (who will now be serving their second year of a two year appointment)
- Steve Repetti
- Christoph Richter
- Jorge Rios
- Mahoney Turnbull
Please join me in welcoming them all to the board, which meets again in mid January 2017. We couldn't be more excited to have them on board to help steer the vision and goals of StartupBus.
Thank you to Andrew Pinzler, Jamie Roth, and Marcello Schermer for their work since being elected two years ago. They worked closely with the founder on thinking about what's best for StartupBus and the community, and independently made some important recommendations. That included the creation of this board of directors, that they seeded and now are rotating off. StartupBus wouldn't be where it is now without their leadership.
As always, feel free to reach out to any Directors or Board members with your ideas, thoughts, or to just get involved in the community!


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What are you doing Friday night? How about a change from the same old dinner and a movie--it's time for some Midnight Mutt-ness.
Every year, the Pima Animal Care center holds a late-night animal adoption event for dogs, cats, kittens and puppies.
"This is the time of year when our facility is overflowing with wonderful animals," says Dr. Rodrigo Silva, manager of the Pima Animal Control Center. The center has successfully gone for 16 months without having to euthanize adoptable pets, but an unfortunate side effect is that the shelter simply has too many animals. They all need homes, and the center's staff and volunteers hope to surpass last year's number: During 2003's Midnight Muttness, approximately 125 animals went home with their new families.
There are a variety of perks for pets at the event. Vendors will offer animal massage, pet birthday parties, gourmet pet treats, hip duds for doggies and a plethora of other products and services. If your dog needs some new digs, check out the silent auction of one-of-a-kind dog houses, built by Wilson K-8 students and Life Scouts.
There's good stuff just for the humans, too--try free hamburgers, hot dogs, veggie burgers, pizza, chips and salsa, burritos, donuts, drinks and other delicacies to feed your play-induced munchies. While you're chowing down, enjoy rock music from the Jons, Zydeco and Tex-Mex from the Carnivaleros, blues from Mitzi Cowell and the Valiants, folk rock from the Guilty Bystanders and tunes from the Desert Bluegrass Association.
Adoption fees are $65 for cats and $75 for dogs. These prices are a bargain: They include vaccinations, a spay or neuter procedure, a vet check, two months of pet insurance and a microchipping service. Most importantly, it is a small price to pay for a healthy and happy furry friend. For more information, call 743-7550 or visit midnightmuttness.com.
I have vivid memories of the toy trains my sister and I had during our childhood. A blocky, wooden, connect-the-tracks set led to a mechanized, several-car train with fused tracks. I also remember a burning scent regularly emanating from the locomotive, but I think it was supposed to be that way. In either case, my father was just as enamored--if not more so--with the train set than my sister and I were. I suspect that we were not alone in this situation.
That is why this weekend's Summer Train Show and Swap Meet is a sure bet for families and kids of all ages (Hi, Dad). The Gadsden-Pacific Division Toy Train Operating Museum's biannual open house is an effort to help introduce people to the toy-train hobby and to allow toy-train operators and collectors to find those pieces they've been searching for. The event will feature several operating toy-train layout displays and a rug layout for little kids.
Whether you're an aficionado, a newbie or merely interested in seeing what sort of things are out there in the toy-train world, the Summer Train Show and Swap Meet promises a fun time for all. Admission is $3 per adult; kids below the age of 13 get in free with an adult.
There is a force working in our community to foster understanding between different faiths through films. The coalition of Congregation Ner Tamid, the Islamic Center of Tucson and St. Francis in the Foothills United Methodist Church call themselves an "interfaith task force." They schedule community movie nights on Sundays, followed by a discussion of the movie.
This weekend's movie is A Majority of One, the story of a Jewish widow who travels to Japan to join her daughter's family after World War II. On her reluctant voyage, she meets a Japanese widower, and the two find they have a lot in common. The film also dissects the cultural differences and issues involved in relationships of this nature. It stars Rosalind Russell and Alec Guinness.
A potluck dinner is scheduled for pre-show sustenance, so be sure to bring a food dish to share. The movie discussion will close out the night, so save up your opinions, questions and ideas. The event is free.
In Tucson, a city blessed with strong, near-constant sunshine, solar energy is a big deal. Houses are often built to harness solar energy for lighting, heating or other uses, providing a novel, environmentally responsible energy supply. The Solar Store, a valuable source for these renewable-resource technologies, offers regular classes to educate Tucsonans on these opportunities to utilize a clean, reliable and inexpensive resource.
This week, The Solar Store offers a class on solar-powered hot water. The general concept of these systems will be discussed, as will the different types of systems and the different components involved. With the store's experts on hand, attendees will learn the facts of solar water heating and its benefits.
The price of the seminar is $10, which is refundable in the form of a gift certificate toward any future purchase at The Solar Store.


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| 13.5°C Belfast
Critics of the independent sector would have us believe that private hospitals are draining the public purse when this couldn't be further from the truth.
All work undertaken by 3fivetwo must first pass through Government tender, open to any company in the UK.
Under the tender process, when a health trust advertises a contract for work to be done by the private sector it typically states that the cost must be at, or below, the cost laid out in the NHS tariff which sets out the cost of thousands of procedures, from hip replacements to CT scans. This includes the cost of the surgeon's time, theatre time, beds, medication and any part of the treatment that is involved.
Using the private sector to address waiting lists is therefore actually more cost-effective than the additional work being done in-house and there are a number of reasons for this.
If you need to meet waiting time targets it means facilitating extra clinics and surgery which in turn requires the staff to work overtime, which can be expensive and can be prohibitive under Agenda For Change policies which nurses are contracted to.
In addition to staff, there will also be an investment in infrastructure required, typically millions yet the independent sector already has much of this in place including, theatres, wards and CT scanners.
So long as the costs remain within NHS tariff and the patients are seen quickly there is little room for debate.
In addition to the same cost, 3fivetwo use only consultant doctors to deliver care and they do so here locally in the most advanced facilities available, such as Kingsbridge Private Hospital.
The result is that the public purse gets value for money, the patients are seen without the need for long journeys and the money is retained here in Northern Ireland to be spent in our own economy.
Mark Regan is CEO of Kingsbridge Private Hospital in Belfast
Belfast Telegraph